HomeMy WebLinkAbout2620 FAIRWAY DR - Building Permits✓
(714) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.���LDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 2620 FAIRWAY DR
Suite:
Vicinity: ROOF
Parcel Number: 43921304
Applicant GARCIA, DAVID
Address:
Owner: MCKINNEY, JILL
Address 2620 FAIRWAY DR
COSTA MESA, CA
Contrector: COAST ROOFING
Address: 21681 IMPALA ST
HUNTINGTON BEACH, CA
Zip: 92646
Arch :
Address:
Zoning:
Phone:
2ip:
Phone: 949-646-4058
Zip: 92627
Phone: 714-968-8754
License: 450393
Eng:
Address:
Status: ISSUED
Applied: 11/05/2002
Issued: 11/OS/2002
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF. INSTALL 30# FELT, 30 YEAR, CELOTEX PRESIDENTIAL (COMP) SHINGLES. USE EXISTING SHEATHING. 2,000
S.F. INCLUDES DETACHED GARAGE, WORK TO BE DONE CONCURRENTLY.
Plan Check: $0.00
Permit: . $9725
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $97.75
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0-0
PARKING Existlnq: 0
Rear 0- 0
Rear 0- 0
Re uired: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
$3,480.00
$3,480.00
NOTICE: The work authorizad by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ortl. No. 92-28, § 1, 12-21-92)
EXPIRA710N: This permit shall automatically expire and become void if work is not commenced wilhin 780 days, or if work is suspendetl or abandoned
for a period of 180 days.
INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspectiona and final epproval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
tsasae 1aroo1
WORKERS' CbMPENSAiION DECLARATION: � •
I �ereby ettirtn untler Denelty of perjury ona o� the tollowing tleUarations:
❑ I heve end will meintein e certilicate o1 �nsent to self-Insure tor workers' compensation, es provitletl for hy section 3700 ot the Lebor Cotle, for ihe pertortnence oi Ihe
work tor which Ihis permil Is issuetl.
�� I heve entl wlll melntain wwkero' compensation insurence, as requiretl by secNon 3700 ot the Labor Catle, iw Ne peAortnance of tha work for which this permit Is issuetl.
My workers'SomPensa�ion Insurance rbrtier and policy number are:
Policy.Number. �} l A ,S 6 �f'.6
valued et one bundretl tlollers ($f 00) or less.)
❑ I certify that in the pertormence af the wo�k lor which Ihis permit is issuetl, I shall not employ eny peroon In eny menner so es to become sublect to the workers'
compensation lews ol Calltomie, antl ag�ee that it I should become sub�ect to the workers' compensation provl5ions of Saction 3700 af ihe Lebor Catle, I Shell forihwlth
comply with the e provisions. �
Applicani Signature:: �(�� H ��� �Dete:�. %�— ur- �� �'
WARNM�:'FAILURE TO SEWRE WORKEFS' CAMPENSAiION COVERAGE IS UNIAWFUL ANO SHALL SUBIECT AN EMPIOVER.TO CRIMINAL PENALTIES AND CIVIL FINES UP TO qJE HUNDREO
THOUSAND DOLLARE ($100,000�, IN ADDITION TO THE COST OF COMPENSATIQV, DAMAGE$ AS PROVIOE� FOR IN $ECTION 3]Ofi OF THE LABOF CAOE, IMERESi, AND ATTORNEV'S fEES.
LICENSED CONTRACTORS DECLARATION:
ftrereby.eftirm thet I am licen�setl under pwvisions of Chapter 9(commencing with Section 7000) of Division 3 of the,8usiness and Professions Code, antl my license is in tull
CONSTRUC710N LENDING AGENCV:
❑ I hereby aHirtn that there is a construaion lending agency for �he peAormence ot l�e work tor which this permit is issuad. (Sec. 3097, CiWI Code).
Lentlefs Name:
Signeture: _
OWNER-BUILDER DECLARATIONS:
Lentlets Address:
Date:
I hereby eMirtn that untler penalry of Oerjury tnat I em EXEMP7 FROM 7HE CONTRACTORS IICENSE LAW lor the tollowing reason (Sec. 7031.5, Busine55 antl Prolessions
Cotlo: Any ciry or county which requires a pe�it to construct, alter, improve, demolish, or repair eny structure, prior to its issuance, also requires Ihe apDlicant lor such pertnit
b filo e signetl stetemem Ihat he or s�e Is licensed pursuant to Ihe provisians ot the Contrectors License Ww (Chepter 9(commendng with Sectlon 7000) af Divislon 3 of t�e
Business antl Professions Code) or that he Or she is exempl therefrom and the basis lor the allegetl exemption. Any violatlon oi Section 7031.5 by eny appllcant tor e pertnit
subjects the applicant to a civil penelty of not more than five �undred dollars ($500).):
❑ 1, as owner ot tfie property, or my emplOYees with wages es theU sole compensallon, W ILL DO TME WORK, s�M lhe swctura Is not iMentled or oitaretl tor sale (Sec.
7044, Business and Professions Cotle: The Contractors License Law does no� apply to an owner of property who builds or improves thereon, entl who does such work
himseN or hersell or ihrough his or her own employees, provided ihat such improvemenis ere not Intentlee or oftered for sale. If, howaver, Ihe building or Improvement is
sold within one yeer of comDletion, ihe owner-builder will have �he burden of proving thet he o� she did not builtl or improve for puryose ol sale.).
❑ I, es owner of ihe property, am EXCLUSIVELY CONTRAC7ING WITN LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professlons
Code: The contractors License Law tlo�s not epply to an owner ol p�operly who bullds or Improves thereon, ena who contracis for such project with a comrector(s)
license pursuant to the Contractors Lic6�se Laws.).
❑ I em exempl under sec. Business and Prolessions Code for this reason:
Signafura: Da�e:
Owner ID venfied by dnver's licanse. ❑ Yes ❑ No Driver's License No.
Verilication of Ownership by (rype of documen4 i.e. - pmperty tax bill or deed):
Expires:
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby ceritly ihat no excevatlon tive (5) or more feel in tlepth Into which e person Is requiretl to tlescentl, wlll be meda in conneciion with work euthoAzetl by Ihis
partnit, end Ihat no builtling sirudure, s�holding, falsework, or demolition or dismentling Ihereof, will be more Ihen ihirry-sia (38) teet high. (Chap. 32, Grp 2, Atl 2, Sec.
341, Ttle 8, Celllomie Administretive Coae).
❑ As owner-�ulltler, I wlll not employ enyone to do work which would require e permii trom the DiWsion of Industrial Satery, as noted abova, unless such pereon has e
permit to tlo such work from the division.
Signature: Date:
Division oi Indusiriel Sefery Permil Number:
CERTIFlCATE OF COMPLIANCE AND AUTH�AIZATON OF ENiAY: I certih/ under penalty of perjury thel I have read this epplication and state l�al �he information given is
correcL I egree to comply wlth ell stete laws end ciry ortlinances releting to building consiruction, end euthodze represeniatives ot ihe Clry of Costa Mesa to enter upon the
ebove�described property lor inspec�ion purpOses. I agree not to occupy or ellow occupency of eny buildinp euthorizad by this permit until final inspection.
COOE 1. INSPECTIONTYVE
1618 Fixetl System Finel Fire Prevention
1288 Pool Spe Finel
200 Finel Re-Rool
201 Flnal Blxk/Retaining Wall
202
203
Final Factory Fire Place
Finel Sign
204 Finel Demolition
�g �
/ /� 02_.�
� Si
COUE I INSPECTION TYPE
206 Final Mechanical
20B Final Plumbing
210 Final EletMtal
212 Finel Fire Prevention
220 Final Plenning Approval
222 Final Site
250 Final BuildinglOccupancy
PH0.1ELTpDOflE55: Z(ZO FAIRWAY(D
OWNEfl'SNAME: MC KINNEY, JOHtd
nooRess: z620 FAIRWAY DR
COSTA MESA,CA
RPCHIENGINEEfl:
noonEss:
I�S UNIT:
TR
92627
flFG.NO.:
uxiT:
PEHMITTEE: NOCK PLUMBING (714)895-1246
aoon[ss: 11610 SEABOARD CIR
STANTON CA 90680
UCENSEO LONTBACTOB OECIANpT10N: 1 �eieby allirm Iha� I am Iicense0 unCer pmWsions of C�ap�er 9(commencin0 ��� Section
7000) ol �rv�sion 3 of ihe Business and Pmfessions Code, an0 my lice s in full lorce anA eflecl.
ciTr uc.: p 5 p 3 8 srnre uc.: 51 19 71 c ss: �_� —C
oate: � I Signature: _v �
WOflNEHS' COMPENSATION EClANa7lON: I hereby alfirm Ina� I have a cenilicate of consent b self-insure or a cehificate of workers'
Campen5ation Insurance, or cenifiea caOY ��ereof 1Section 3800, Lab. C1.
roucrNo.: 1167992-99 E%P.ORTE: O3/OS/9S
comrnxv: STAT E
❑ Cendietl cooY's nereb fumishetl. � CertilieA cooY is Iite ine cily Build �sion.
Wte: � AP�IitanC �
E7(EMPTION FflOM WOHIIENS COMPENSATION OEClAMT10N: (This se[lian nee0 no� be compkteU il Ihe perrttit is lor one huMtttl (3100) or I¢t�.
� 1 t¢rliry Ihat in I�e Oe�ormance ol I�e wOtk �or w�ic� thi5 permil is issue4 I 5�all n0i emptoy any person in any manner 50 as la �eCOme
su�lecl lo Ihe Wo�kers' ComDensation LawS of Calilomia.
Date: Signature:
NOTICE: I�, al�er making Ihis declaration. you ShaUIU Cewme Su01e�� �a Ihe WOrkers' Compensation provisions al Ine LaEor
Cotle. you mus� forthwil� comply with such pmvisions or tNs permi� stwll be tleemeG revokeA.
CONSTflUCTION LENOING FGENCY: I heresy allirm inai lhere is a wn5tmciion IenJinp agency tor the peAormance af t�e work lor
w�icn Inis Oermn is i=.sue0 (Sec�ion 3097. Civ. C).
LENDEfl:
AO�PE$$:
OWNEB BUILOEH OECLANATION: I hereby a��irm ��al 1 am ¢Kempi Irom lhe ConVaCtOrS' Stare License Law 1or the tollowinq reason
�Section 1037.5 Business anG Pmlessional Cotle: Rny city ol caunly w�ich requires a permit to constNct, alter. impmve, Oemolish, or
reDair any Slmtlure, prior lo its issuance. alio reQuireS ihe applicanl �or Suc� permi� lo file a SigneO Slatemen� �ha� �e/5�e is li[¢nSeJ
pursuant �o ihe provisions ol ihe Contrac�ors' State License Law (C�apler 9(commencinA witA Section 7000) of Division 3 oi the Business
and Prolessions Code) a� ihat he/sne is exempt Iherelmm an0 ihe basis tar I�e alleAQO exemption. Any violatian ot Settion 7031.5 Dy
any applicant lor a permit SUEIecIs t�¢ appliCani Io a ciNl penalry 01 n0i mof¢ ��an �iv¢ �unGreA Eoliars (5500�.
I. as owner ol �he pmpetly ar my employees wit� wages as Iheit sole compensa�ion, will do Ihe woB, and the
❑ slmcWre is no� intenGed or Oflerea �or sale (SetUon 70G4, Busine55 antl Pm�e55ional Code: The ConiraC�ofs' S�ale License Law
Ooes not appty to an owner ol a propeny wAo Uuilds or im0�oves tilereon, and wAa tloes suGh work himself/hersell ar I�rough
his or her own emDloyees, provitled Iha� suc� improvemen�s are nol imenOeA or offere0 br sale. I�, however IAe �uilding or
impmvemem is sola within one year ol comDlelion, ��e owner will have ihe bur0en o1 provinp �e/she did not huild or impmve
lor ine purpose of salel.
I, as owner oi Ihe pwperty. am exclusively comraclinA wiih licensetl contracmrs Io consimcl t�e prole�� (Section 7044, Business
❑ anA Pmle55ion5 Cotle: The CAniraqOfs' Siat¢ LiCense Law tloes nol apPly IO an owner o� OrOpehy who UUiltls Or impmve5 there0n
an0 w�o [ontracls for suc� pmle��s wilh a cOnlraclor�s) license pur5uani �o ��e Contrac�ars' State License law�. I am aware
IAa� pm0� ot thei� Workei s Camppn5ali0n insurant¢ S�Uu10 b¢ D�UviE¢tl IO m¢.
� I am exempt under Section: 8. 6 P. C.
br ihis reasan:
�a�e: Ownec
I do nereby cenify that I am aware of ana unUers�ane tne repuiremems oi Catilornia Heattn ana Safety CoOe Sectians 25505, 25593, an0
2553E an0�hallorany�uture buil0inp occupanivnlVwillnol�tircle one) ne¢Eto compty vnlA Saitl slaie cotles antl the reQuiremenl5�ora
permil lar consimciion or modificalion Irom 1�¢ Air Ouabty ManaAemen� �isVici. Resitlenlial constmciion apDlica�ions are exem0� ��om
I�C52 p�Ovi5i0115.
Oate: AODlicant:
I �ereEy certify inat I have reatl @is application and state t�al llle above information is correct. I agree to comply vntA all ciry antl counry
orAinances ane stale laws retating ia Ovilaing canslmciion an0 �er ¢e re0resemative5 0� Ihis ciry lo enter upon the above-mentioneE
pmperty lor inspec�i , purpo 5. ('��\ � �
�ate: Si9naWre: ��' `�L —
Driver's �icense or Sociai Secu ty a:
1641-a6 W�ile—Buileing: Green—Catle Enlorcemenl: Canary—ApO�icant: Pink—Revenue; Goltlenrotl—Assessor
CITY OF COSTA MESA — HUILDING PERMIT PERM NO:'P 06690
PEAMIT NO; P 066908 PLAN CHECK NO; N GOVT; N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE; PLU PURPOSE; OTH
JOB DESCRIPTION . WATER HEATER C/O SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
COMMENTS: NO OTHER WORK AUTFIORIZED BY THIS PERMIT
�c-�c*�r***x�****x�**rx-�r�c-*+r+�-x�+���ri��-*+��**�*+c-***�r*+t**�-+c��t**��*x�**************�t*******x�*�r*
Z O N I N G R E Q U T A E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING RE�• PROV: PARCEL; 43921304 ZNE; AEF NO:
PLANNING N TES>
>
iE ik iE if if 1t k if 1f iE iF �F if M iE iF iE ff 1F iE if !F iE ff iF iE it iF 1E iP iE 4 iE �f if if iE �f %1t ik if if if iE if iF iF if if iE if if if !f iE if if iE iE iE 1E iE M iE iF if if iE iE if ff if if if iP iF if K
D E V E L O P M E N T S E R V Z C E S R E Q U I R E M E N T S
ZONING APPROVED BY DATE:
HUILDING APPROVED BY : DATE:
APPLICATION ISSUED BY: C���� '� DATE: Z� \�
x�******i�**�*it�tV�it*�tf***�'3FiF�r�F�iFTFiF3F3F3FiF:FiFiF �F'iFiF'iF�FiF"iFiF#�EiiFiF*ifiE**�c*�f** �..�
iF iF if ii iF fF 1f iF iE if iE iF aF i� ic r iE iF iE iE 1E iE iE iE if iE iE iF iF iE 1E 1E iE iF %if iE M iE iE IF iE if if-i! iE iE MiE iF iE iE iF iE±E iE 1E iE iE iE if iE iF * iE if iE if� if iF 3E iF iF IE if iE iE if �
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;N
PERMZT BLDG PMT PLUM�Ioo ELECTRIC MECHANIC FIRE SMIP/RES GRADING
25; SMIP/NON—RES
PLAN •
ISSUE FEE 20.00
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 7.00 20.00 0,00 27.00 27.00 .00
REVENUE DIVISION TOTALS--> COLLECTED: 27.00 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
2%.QO
l'
fE iF 1E 1flE 1f if iE iF #'-1k 1f k k iE M If fE if !f if iE 3E iE if iE if if if iF 1f fE 1E 1f 1f if if fE 1f 1E iE M 1f iklE ik i! k!!!f if iF!! 1E if 1E iE iflE 1E iE 1f 1f if if !f 1Elf iE iElE 1f !E if iE 1E 1flf it
I N D Z V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST }
PLU i WATER HEATER AND/OR' VENT 7.00 7,00
END OF FEES
71 OOi59452—OO1S9452 TO T 27.00
DATE: OS/2`/94 TItiE: iD:3D
CONSTRUCTION AND PLANNING POO� cPA
APPROVA�S Permit# Date inspector APPROVALS Permit# Date Inspector
1. Tempora�y Electrical Service oc Pole ' S2. Pool & Equipment Location '
2. Soil Pipe-Undrgrnd. _ 53. Steel Reinforcement �'�
3. Elearicai Conduit Utility-Urtdrgrnd. ' ` 54. Forms '
- 4. Electrica� Conduii-Undrgrnd. 55. E�ectrical Bonding '
5. Steel Reinforcemen[ 56. Rough Plum6ing & Pressure Tzst
6. Electrica� UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical Conduit�Undrgrnd.
& Foundation 59. Gas Pipe, O Undrgrnd., Test .
9. Water Pipe-Undrgrnd. 60. Backwash Linet, P�Trap, O Undrgmd. �"
10. Structural Floor SYstem� �.� 61. APPROVAL TO DECK '
i t. Property Sewer Line & House,Connection -, 62. Backwash & Recepror-Final �
'72. Sewer CaP ' , 63. Heater & VenrFinal
�
73. Roof DrB�ns ' � 64. Plumbing System � Final
14. Rough Plumbing �"' 65. Electrical-Einai �'
15. Rough Electrical�Conduit �l � 66. Solar System-final
16. Rough Electric Wiring � 67. Fencin� & Access Approval
17. Rough Wiring Siyn � 68. APPROVED FOR PLASTERING
78. Rough E�ectrical�T Bar Ceiling fi9. POOLISPA SYSTEAAS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace � ^ APPROVALS' - Permit #
21. Gucts, in Structure � � � . � 70. Undergrovnd'Nyitro
22. Ducts, Ventilating � , 77. Product�PipingCG•es �Oil
23. Gas Pipe�Rough � Tes2 , , 12. Underground, Flush
24. Roof FrB�ming • • 73. Underymd:StorageTank CGas rJOil
25. Roof Sheathing .' 74. Overhead Hydro
26. T-Bar Ce�ling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashiog � 76. Dry Scandpipe , , �
28. Laihing & Siding . • = 77. FIXED SYS7EM FIiVAL
29. Insulation � � ' .� 76. FIRE PREV. FI�!AL
30. Dry�vall Nailing ' � �• HEALTN DEPT. REQUiREMENT
31. Plaster B:own Coat � �' 79. FINAL INSPECTION
32. Electrical Power Meter�Final � 80. POOD CER7IFICATE ISSUED
33. Pinal Electric �Notes: -Z�_ sL
4 L-i-=���^� e��7 _ _ •
34. Finat Heating & Air. Conditioning ' �_ ��
� 'li�� y : �L/t/ �'L_ ��'7
35. Final Gas Pipe•Test •
36. Hood or Canopy
37. Finai Faetory Pireplace _ , ,
38. Final Piumbing .I .
39. Water Service�Final
49. Gas Szrv±ce-Fina{
47. Solar pomesiioFinal ' ..
42. Backfiow Preventer . � �
43. Backflow Irrigation �
44. Landscape Irrigation System , � _
45. Sound Attenuation � ' " , .
46. Handicap Regulations .
47. F�NAL STRUCTURE & BUILDING . � � "
48. FINAL PLANNING �
49. Electric Release to Edison �
50. Csas Release to Southern California Gas Co " . �
51. CERTIFICATE OF OCCUPANCY . �
No. Date
Applicant to fill in all spaces eaeept thoze within heavy borCer Iines anE sign all appra0��ate Oeclantions.
CIrY OF COS7n MESA CONSTRUCTION PERMIT
Proiect nddress 2 Lo �� %'%ti'Rvi//+'C .l�/'` _
Applicant's Mailing Address S�M C /
Owner's Name <J �L-•�1 G�1� �V -� L Y vhoGe �G'f��
Address � L� 7 (L/=�t•� � ��`��
Arch/Eng. License No.
Address I
Contractor's Nam hone
Address Imailingl I
Ciry license No.
LICENSED CONTRACTOR OECLARATION
I hereby aHi�m thdt I am Ilcensetl untle� provi5ions o( Chdrte� 9(commencin9 �
wl[h seclion 7000) of DIvi5lon 3 of Ihe Business antl Profe55ion5 Cotle, antl
my license is In full torce antl efiect.
License Class License No. �
Date Si9nature
WORKERS' COMVENSATION DECIARATION
I hereby afiirm that I hav¢ a certlficate of con5¢nt t0 self-insute or a cartl/ICat¢
" Workers' Compensation InSurance, or a certifled CopY thereof ($ection
:00, Lab. C.)
Policy No. Company
eCertilietl topy is nereby furni5hetl.
Cerfitiea cooY is filetl with the city Builain9 Olvisian.
Dale APPlicant
�EXEMPTION FROM WORKERS' COMPENSATION DECLAf2ATION
(ThiS section neetl nOt De complet¢tl If the permlt i5 tor one huntlretl (5100) or
Iess).
I certity tha[ in Ibe pmfo�mance oi the wOrk f0/ which thi5 Oe�m�l is Issuetl 1
shall not employ any person In any manner so as to become subject lo t�e
Workers' Comoensatlon Laws oi Califomia.
Date Si9nature
NOTICE: If, aiter making this tleclara[ion, you shoultl become suDject to lhe
Workers' Compensa[ion provisionz of the Labor Cotle, you must forthwith
comply wilh such o�ovizlons or tnis vermit shail be tleemetl revoketl.
CONSTRUCTION LENpING AGENCV
I hereby alllrm that tnere is a construction lentlin9 agency for the performance
ot lhe work fOt whiCh [his Oe�mit i5 ISSueG ($ection 309� Civ. CJ
Lentler's Name
Lentler's Atldress
OWNER BUILDER DECLARATION
I hereby affirm Lbat I am exempt from the Contractor's License Law for the
following reason (Section 7031.5 Business antl Professional Cotle: AnY city or
county which �equires a:permit to con5truct, alterI iTprove, tlemolish or repal�
dlly� S�1OCSWC� pllOf IO IIS 15511dOCC� d150ICQUIlQS IO2 dOP�IGdlIS TOI SIICh PBITII
to file a si9netl 5tatement that he/she is licensetl pursuant to [he provislons of
the Coniractor's License Law (Chapter 9(commencin9 with Section 7000) of
I., }Qivision 3 of lhe Business and Protessions Cotle) or Ihat he/she is exempt
;<;erefrom antl tbe basis for the allegetl exemption. Any violation of Section .
�:t.531.5 by any apP�icant for �a pe�mlt subjects the applicdnt to a civll
"''Endlty ot nbl mo�e lhan tive huntlretl t1011a�S ($500). .
�� b I, as owner o1'Iha proverty or my employees with wa9es.as their sole .
compenmtion, will tlo tne work, antl the sVucture is not intentletl or.otteretl
tor sale (Section 7044, Business anG Protessional Cotle: The Contraclor's
' license Law tloes not appty to an owne� o( a p�operty who builtl5 0/ Improves
the�eon, antl who tloes sucM1 work himsclt/M1erzelf or [brough hi5 0� her own
employees, pwvitletl lhat suth ImprOvements a�e not Intentle0 or ofteretl f0�
•sale. H, however, [M1e bulltling or improvement is soltl within one Year ot com-
pletion, the own¢� will have tha burtlen ot prOving he/she tlitl not builtl o� 1T-
-qrove for.the purposo of sale).
u I, as owner o1 iha property, am exclusivaly contracting with licensetl con-
'Vaciors to construct lhe projec[ (Section ]044, Business antl Protessions Cotle:
The ConVactorY License Law does not apply to an owner of property who
�uiltls or imoroves tnereon. anA who conVacts to� Suth oroiecti with a con-
�actor�5) I�cense pu/suan[ to me ConVacto�Y License Law). I aT aware Ihat
pr of oi thelr Worker't Comvensatlon inwranre snoultl be provitletl ro me.
�I am ezempt untler Section 8. & P. C. 1or thit reazon
� i � �i �
Da[e
1 have rea this
I a9ree t compl
to bwltling con5
� to^nnter u0¢n
L r
���,3.s u� 1 �,,...�, ,.�. I��. ,.�. I ��.�, ���.
TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER
DESCRIPTION OF WORK/USE OF BLDG.
TVPE OF PERMIT LJ GRAOING LJ FOUNDATION LJ STRUCTVRAL
❑ TENANT ❑ ELECTRICAL ❑ PLUM8ING ❑ MECHANICAL
❑ OTHER
PROJECT DESCRIPTION Sq. FT. oCCUVANGv_
CONSTRUCTION TVPE VALUATION $
ZONE GRAOING CU. VDS. ACRE$_
Remarks: �
�
Bar Sink
Backflow Preventer
Backflow Irrigation
Drinking Fountains
Floor Drains
Floor Sinks �
Gas Service
Interceptors
Ki[chen Sink
Roof Drains
Rei�spactian Fee
�UtI2t5
$15
Boiler
Duct - Under Ground
Duct - Structural
Duct - Ventilating
Exhaust System � Mul '
FirepVFacLBIt.ICB ��',3
Heating System & Ducting
❑4100,000 BTU � 100,000
'Si9nature ��[/[ •. oate�
Drivers' Li s o 55 # f2ainspection Fee $15
" ��--
0865�46, . 5/BB Whi[e - Bulleing: Canary - Applicant; Pink - Accounting: Goltlenrotl - Assassor
$hOWers
Service Sink
Sewer Cap
Sewer Connection
Solar Collecmrs
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water pout
Water Heater
Water Service
Auto-Wash
laue Fee
Hood or Typel ❑
Canopy Type I I ❑
Refrigeration System
❑0.100,000 BTU 0100,000
System Repair/Alteration
Fire Dampers
Registers
luue Fae
A.P. 3W
S Main Buildi
E
T Front
B Rear
A
C Right
g Left
Ping. Ret. #
Planning Notes:
ES flutomatic Washer
Construction Pole Su6.
COoking Unit
Dishwasher;�
Dryers �Gas ❑Electric
Fan �" j
F.A.U.
Fixtures
Device Boxes-
OuUe�s
Swiiches
Garbage Dispoul
Generator �0-5 KW �5-15
� Reinspection Fee
—
$ 3 DEVELOVMENTSER
Zoning Approved By—
FEES Building Approved By
$ ;
$15
Zone
Building:
Parking Req./Provided
ELECTRICAL
Transformer � 75-50KW
❑ 50+KW
Meter ❑up to 700 amps
Mete� ❑over 100 amps
Sub Panel
MotorsO0.1 HP �iX-8
� InaSolar �9-75 HP �16-15+
Microwave � �
Pole Light . .
Range ,
VICES REQUI
Standing Sections
Trash Compactor
Issue Fea
FEES
$ 3
O
N
I
N
G
R
E
�
M
T
S.
SUMMARV OF FEES '
BUILDING PERMIT $ SMIP. $
PLAN CHECK $ PERMIT
PLUMBING $ ISSUANCE $
PLAN CHECK 25% $ ENERGV P.C. ,$ �
ELECTRICAL $ GRADING �$ �
PLAN CHECK 50% $ MICROFILM $ ,l
MECHANICAL $ � TOTALFEE $ � -O`�'
PLAN CHECK 25% $ '
01 G0014270-OOOS�i270 TQT 24.00
DAiE: 09/13l88 TIME: t0:!]
/
CONSTRUCTION AND PLANNING POO� _. SPA ,
APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. . 53. Steel Reinforcement
3. Electrical Conduit Utili[yUndrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding �
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Elecvical UFER Gmd. 57. APPROVAL TO COVER�GUNITE
7. Footings •-, � 58. Electrical Conduit-Undrgrnd.
8. Foundation � ` 59. Gas Pipe, � Undrgrnd., Test � �
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System � 61. APPROVAL TO DECK � '
11. Property Sewer Line & Hduse Connection 62. Backwash & Receptor�Final
12.' Sewer Cap 63. Heater & Vent-Final •
73. Roof Drains 64. Plumbing SYstem - Final
14. Rough Plumbing ` � 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
.1;6. Rough Electric Wiring 67. Fencing & Access Approval �
�1J. Rough Wiring Sign � 68. APPROVED FOR PLASTERING
�18. Rough Electrical-T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL �
�19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace "' , v APPROVALS Permit # _,
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating � 71. Product Piping OGas ❑Oil
23. Gas Pipe-Rough & Test • � 72. Underground Flush
24. Roof Framing �� 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing � , � 74. Overhead Flydro . " . � � �
26. T-E3ar Ceiling (Structural) & Monocoat 75. Dry Chemical -
27. Frame and Flashing ,� 76. Dry Standpipe '
28. Lathing & Siding � '77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL '''
30. Drywall Nailing - � HEALTH DEPT. REQUIREMENT ��
31. Plaster Brown Coat ' 79. FINAL INSPECTION
32. Electriral Power Meter-Final 80. FOOD CERTIFICATE ISSUED %�" ,bJ�
33: Final Electric � Notes: �
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Finail Factory Fireplace / (o �' G.� .
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar pomesticFinal . ��1
42. Backflow Preventer ' ���
�
43. Backflow Irrigation �� ,
44. Landscape Irrigation System �
45. Sound Attenuation
46. Hanclicap Regulations
47. FINALSTRUCTURE&BUILDING .
48. Special Requirements ComPleted �
49. Electric Release to Edison � (�
50. Gas Release to Southern California Gas Co � y
�
51. CERTIFICATE OF OCCUPANCY ; .. • �
No. Dats t
OWNER MORGAN, WALLACE & � DATE 9-19-�-7
JOBADDRESS 2620 Fairwav Drive BUILDINGPERMITNO. �{�j�8o
GENERALCONTRACTOR Owner Bldr. VALUE $ 'lOO.00
AP119-123-04
i 3g e�ocK TRACT ll63 Conv �ar, to den
INSPECTIONS
Footing Trenc�/�j�j)�,,.
Foundation Forms a tl Grade to
Rough Framing �—
Plumbeng, Rough to SIa6 —�
Plumbing, Rough Compiete
Temporary Pole
Wirinq. Rough .
DATE
39� �-7 :
�7 6
i
/
FEB 2 6 1957 V
Heating, Rough
Heating, Final
Sewer, House Sewer, St.
Septic Tank or Cesspool
L 'ng, In Out
P.__.ering
Plumbing, Final, Fixtures Complete
Plumbing, Fin�al Gas 7est
Wiring, Final APF
Occupancy ����f- - —,
FORM 210 3M lO�vS
SUBCONTRACTOR
PERMITSISSUED
R
,. , 4452
COSTA MESA BUILDING DEPARTMENT
P. O. BOX 31�
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
20 �AiRw� `�
COSTA MESA. CALIFORNIA
MAIL r /C 2 ^
nooRess ��} �.
�ITY C6S 1 A �
ARCH�TECT �
OR � NEER
ADDRE55 .�f
CONTRACTOR O
ADORE55
LEG/�L LOT
�ESCR�PTION NO.
A.P. NO. I
SIZE �O�X
OF LOT
USE OF
E%ISTING BLDG.
SETBPCtt LINE FFlOM
CENTER OF STREET
ne�sA - No:�,4.� Sf-1�
LIC.
p ,(/..e� r�o.
f ��L.
I / QTY LIC.
l,(/.�� NO.
� �y f TEL.
iyo � NO.
9LOCN TRACT
�- l�'d- l,
uo.ov o�ocs.
� � rmw orv �o. Q/�
> � REAR YARD��S
DESCRIPTION OF WORK
VEW ALTERATION ADDITION
REPAIR -��MOVING � DEMOLISF
BUILDING / / NO.OF
SIZE ����p, � � ROOMS U�Q STORIF
PITERIOR WALL n ROOF
COVERING R✓dfYe I'iJP COVERING
USE OF NEW
BUILDING
c
FEE RECEIVED
�-i q-s�� - ���,
FINANCE DEPT.
AP��GOk'l�R�� M� PERMIT
BUILDING
FOR OFFICE USE ONL1G
�/� � L -/�j•'-.1� � � -
BUILDING 7 / � ��A I`�i��
nooRess �"b
COSTA MESA. CALIFORNIA �
FIRE
pLqN
N[NG DEP7.
�
STnTE THnT THE wBOVE IS CORRECT ,�ND RGREE TO COMPIY WITH RlL
CITV ONDINPNCE$ AND STATE L1W5 flEGULA ING BUILDING CONSTFUC-
iioH. tl� VALUP.TION '
SIGNATURE OF ♦ � A � PERMIT FEE S
PERMITTEE � wW O Q
7/�/[�_ PLAN CHECK S
y ci�i
AUTHORIZED AGENT TOTAL FEE $
0 v �err
'7y�2
�C.OSTA MESA BUILDING DEPARTMENT
P.O. BO% 31�
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
BUILDING ✓i O �
ADDRE55 vG ^
COSTA MESA. CALIF NIA
MAIL
ADDRE55
��T� e
ARCH'TECT
OR ( VEER
AODRE55
LEGAL LOT
OESCRIpTION NO. _
A.P. NO. J/ 9-� I�.� �
S�ZE '7� Y 4n
OF LOT
LIC.
NO.
TEL.
NO.OF BLDGS.
f10W ON LOT .
$ETBl�CK LINE FROM /� I, /
CErviCa oF siaeei y[/ � �REAR VARD �'
Y
� `/
RIGHT ?y LEFT s�
DESCRIPTION OF WORK
NEW � ALTERATION II ADDITION
REPAIR
BUILDING /�
SIZE �
E%TERIOR WALL
COVERING
USE OF NEW
BUILDING
� NO.OF
ROOMS Q�Q. STORIES
ROOF r-� . �
��� R������D
i� i�/s��
Ftka �Y OgPr.—
��' �'3 �^�^?Q �;.
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
RECEIPT NO. ���pERMIT NC
BUIIpING
ADDRE55
COSTA MESA. CALIFORNIA
FIRE
ZONE
ZONE � .
Sl l
�� � ��
I
APPROVED
BY
PL4N5
DATE
CORRECTIONS
i FL".� I�1T1G DEPT.
�ni�rr�r�,w�� �� nr n�r.r
BY ' DATF�/
MERE6V ACKNOWLEOGE TMAT I M4VE REAO TIIIS 4PPLICATION >N�
$TI�TE TXRT THE 4BOVE IS CORFECT GND PGFEE TO COMPLY WITH ALL
CITY ORDINANCES RNO $TATE LA�NS FEGULATING BUILOING CONSTRUC-
iioN. VALUATION
SIGNATURE OF PERMIT FEE S �'�
PERMITTEE � _
� PLAN CHEGK S
5 /
Al1THORIZEO AGENT TOTAL FEE B (� �� vBM!