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HomeMy WebLinkAbout2080 CONTINENTAL AVE - Building Permits(ATTACHMEN9 CITY OF COST. Neighborhood Improve Work Write L�Iam� June Hilbert Pr e Arlrir�ss: 2080 Continental Ave. Phone: p74) 754•5049 Fax: (714)754-5330 TDD: U14) 754-SZ4a pmi I ler@ti.tosta-mesa.ca. us PAUL MILLER Houvng Rehabllilauon Cwrdinaror Redevelopnent Agency/ Houvngand Community Developmm[ CITV OF COSTA MESA, GLIFORNI� 77 FAIR DRNE • POST OfFICE BOX 1200 • 92628-1200 ..��- '�.�- �.. � .. . ����- All work is to be done per City of Costa Mesa Building, Planning and Public Works Codes. In order to establish standards of quality, the detailed specifications may refer to a certain product hy name and7or from a major manufacturer. This procedure is not to be construed as eliminating from competition other products of equal or better quality by other manufacturers. The Contractor shall furnish the list of proposed desired substitutions prior to signing the contract. All items listed on the work description, unless otherwise specified, shall include ali patching and finish �vork, including trim, hardware, patching and finish painting and/or staining. The Contractor is responsible for all permits, fees, City business licenses, plans, etc. City of Costa Mesa Standard Rehabilitation Specifications apply to all items listed on work description. � � � . �- � �� � Install Milgard double hung, dual pane vinyl windows through out house. (where applicable to meet code.) 2. Install aluminum gutter system around entire house as needed with downspouts. 4. Install new stove vent hood per code. Owner to approve vent hood 5tyle. ** Code violation/Housing Quality Standard I have reviewed the above work description and understand that any changes, additions or deletions shall have prior approval by the City of Costa Mesa Neighborhood Improvement Persormel. u. - ��d5 (i�'�-��1 ' �,��, � i� lvv Signature of Property Owner Date (714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa��DING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 2080 CONTINENTAL AV Suite: Vicinity: Parcel Number: 42250333 Applicant: MCKINISH, JERRY Address: 915 LAKE ST HUNTWGTON BEACH, CA Owner: HILBERT, JUNE Address 2080 CONTINEN7AL AVE . ' COSTA MESA; CA - Contractor. JK CONSTRUCTION Addiess: 915 LAKE ST � Arch : Address: HUNTINGTON BEACH, CA Zip: 92648 Phone: Zoning: Phone: 949-548-7137 Zip: 92648 Phone: Zip: 92627-4128 Phone: (7i4)404-9846 License:. 450297 . Eng: Address: ISSUED BY: Status: ISSUED Applied: 03/11/2003 Issued: 03/12/2003 Phone: Zip: � License: ��License: � SCOPE OF PERMIT HOUSING PROJECT. INSTALL MlLhiqRD DOUBLE HUNG; DUAL PANE VINYC WINDOWS?HROUGH-OUT DWELLING. ALL BEDROOM WINDOWS CHANGE OUTS ARE TO COMPLY WITH CURRENT EGRESS CODE. -. . . .. � � Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total $0.00 $153.25 $0.75 $0.00 $0.00 $0.00 $154.00 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Ezistina: 0 Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PIANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0-0 $�,soo.00 $7,500.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements untler California statutes and related regulations. (Ord. No. 92-28, § 1, 72-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned �or a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codas, and all �, requlred inspectlons and Tinal approval must be obtained. Failure to obtain inspections and final approval will resWt in the ezpiretion of ihis permi�. FOR INSPECTIONS CALL: (714) 7545626 ?466-66(N00) � � WORKERS' COMPENSATION UECLAtiA770N: I hereby ettirm under penelty ot perjury one ot the tollowing declarations: have antl will meintain a certiticate ot consent �o self-Insure for workers' compensation, as provided for by section 3700 ot the Lebor Cotle, for the paAormance of the work for which tl�s pertnit is issued. I have antl will mAyntain workers' cwnpen� tion i rance, as q re0 by ction 3700 of ihe Labor Cotle, tor ihe peAortnance of �he work for which this partnit is issued. My warkers' comp�sation Insu�ce ar - Qpolicy w r are: Cerrier. � Policy Number: (This section need nof campleted i/ th erm� � valued al o e hundred dollers ($100) or /ess.) ❑ I cetlify th in thB ped mance he for which this permit is issueQ I shall not employ any person in any manner so as to become suhject to the workers' compensati laws of C lifom' a C thet il I should become subject to the workers' compensadon provisions of Se tion 3700 f the Labor Code, I shall forthwith comply wilh lh mv' ion5 � I� P, \� Appliwnt Signeture: Date: � U WARNING: FAILURE URE RKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES lIP TOONE HUNDRED TFIOUSAND E �.�L�NADDITIONTOTHECOSTOF�PENSATION,OAMAGESASPROVI�EDFORINSECTION3]O60FTHELABORCODE,IMEREST,ANDATTORNEV'SFEES. LICENSED CONTRAC I herehy aflirm that I�f force end etfect. Lic V�. Contrsctofs SignsWre: CONSTRUCTION ❑ I hereby aflir Lender's Neme: Signature: _ 9(commencing with Section 7000) ot Division 3 of the Business and Professions Cotle, end my license is in full Class N Data: '}� S r1 T /1 ING AGENCY: there is a construction lending agency for Ihe pedormance of �he work for which this permit is issued. (Sec. 3097, Civil Code). LentleYs Address: Date: OWNER-BUILDER DECLARATIONS: . I hereby attlrm thet under penfllry of perjury thet I am E%EMPT FROM THE CON7RACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business entl Professions Code: Any ciry or county which reQuires a pertnit to construd, elter, improve, tlemolish, or repair any strucNre, prior to its issuance, also requires the appiicant for such permit to file a 519netl stateme�t ihat he or she is licensetl pursuant to Ihe qrovisions of �he Contractow License Law (Chapter 9(commertcing with SecUon 7W0) of Division 3 ot tRe Business and Professions Cotle) or that he or she is exempt iherefrom end t�e basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a pertnit subjects the apD�icenl to e civil penelty of not more Ihan tiva huntlred dollers ($500).): ❑ I, as owner ot ihe p�operry, or my employees with wages as their sole compensation, WILL DO TI1E WORK, and ihe stmc�ure Is not intended or oHeretl tor sale (Sec. 7044, Business and Professions Code: The Contractors License Ww dces not apply to an owner of property who builds or improves ihereon, and who tices such work himself or herself or Ihrough his or her own employees, pmvided ihat such improvements are not intendetl or oNered for sale. If, however, the building or improvement is sold within one y�ar of completion, ihe owner-builder will have the burden of proving that he or she ditl not build or improve tor purpose of sale.). � ❑ I, as owner of ihe Property, em EXCLUSIVELY CON7RACTING WITH LICENSED CON7RACTORS to constmct the project (Sec. 7044, Business and Prolessions Code: 7�e comractors License Law does not epply to an owner of property who builtls or improves thereon, antl who conirects for such prolect with a contractor(s) license pursuanl �o the Contracbrs License Laws.). ❑ I em ezempt untlB� sec. Business and Pwfessions Cotle for this reason: Siqnature: Date: Owner ID ventiad by dn�ers license. ❑ Yes ❑ No Drivers License No. Expires: Verification of Ownership by (type of document, I.e. - properry tax bill or deetl): DIVISION OF INDUSTR�AL SAFETV PERMI7 CERTIFICATON: ❑ I �ereby certify Iha� �o excava�ion five (5) or more feet in depth in�o whlch a person is required to descend, will be mede in connection with work authorized by ihis pertnit, and Ihat no builtling slmcNre, scaflolding, falsework, or demolition or dismantling thereof, will be more than ihirty-six (36) teet high. (Chap. 32, Grp 2. Art 2, Sec. 341, Ttle B, Celifomia Atlminisirative Cotle). ❑ As owner-6uiltler, � will not amploy anyone to do work which would require e permit from Ihe Division of Industrial Safety, as noted ebove, unless such person has e permit to do such work from the division. Signature: Date: Division of Intlusirial Saiary Pertnit Number: HAZAHDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 W ill �he epplicant 0� P�esent or tuture building occupam need to file antl certity a Business Plan for emergency response to release or threatenetl releese of a hazertlous meteriell ❑ Ves ❑ No (Section 25505 oi Ihe Califomia Health and Safety Cotle requires, with some e.cepiions, that a Business Plan be tiletl with Ihe Costa Mesa Fire Department by every business which �as at eny one time tluring a reportetl year a quantity of haeardous matenals equal to or greater ihan e weight of 500 pountls, or e volume ot 55 gallons, or 200 cubic teet ot compressed gas at standard tempereNre and pressure). ���� licant or resent or fuWre buildin aa �ant need to file a re istration fortn lor awtel hazar '� I 1 ��� ������������������������������������������ ............................................... ................ .................... ....................... 2 Does or will t�e app p g p g y dous materia s ❑ Yes ❑ No (Saction 25533 ot Ihe Califomla Heelt� and Safety Code, with some exceptions, requires reglsiretion with the Casta Mesa Fire Depatlmeni by each business which at any one time has on nend a quantiry ot ecutely hazardous matenals equal to or greater ihan e welght of 500 pountls, or a volume of 55 gellons, or 200 cubic faet of compressed 9as a� stentlard tempereWre and pressure). ...................................................................................................................................................................................................................................................................................................................................................................................... 3 Dces or will �he applicant or present or future building occupant need to prepare an FMPP (Risk Management and Prevention Program for acutely hazardous matenals)7 ❑ ves ❑ Na (Section 25534 of the Califomie Health and Safety Goda provides iha� the Costa Mesa Fire DepartmeN may requira the preDaration, catlification and liling with Ihe Fire Depertment oi en PMPP by businesses which ere required to register acutely hazardous materiels with ihe Fire Departmant. ............................ .... ...................................................................................................................................................................................................................................................................................._.................................... 4 If an RMPP is resentl re uired, hes Section 25534 of ihe California Health antl Safet Code been full com lied with7 P Y Q Y Y P � Yes ❑ No ........................................................................................................................................................................................................................................................................................................................................................................................ 5 Does or will the epplicant or pre50nt or fuNre building occupanl require tor the work which is the subject of Ihis a pliwtion a ermit /or such consiruction or motlifitation from �he South CoBst Air �ueli�y Managemen� �isMct or fmm any other air poliution coniml disinct or agenc� � Ves � No (Section 65850.2 0� the California Govemment Code requires �ha� �he requested information be turnishetl on applications fo� non�resitlenlial building permits). ..........................................................................................................................._................................................................................................................................................................................ .................................................................. 6 Will any pan of the faciliry to be consimcted under Ihis permit be within 1000 teet from the outer bountlanes of a school? ❑ Ves ❑ No (It'yes", Ihe taciliry must meet the requirement oi Sections 25534 and 42303 ot Ihe Califomia Health and Sefety Code). ...................................................................................................................................................................................................................................................................................................................................................................................... 7 N e pertnit trom Ihe South Coast Air Oualiry Menegemem Oistrict or other air pollution control district or agency is requ�red for ihe work which is ihe sublect of this applicatlon, hava all oi the disclosures prescnbed 6y Califomia Health and Safety Code Section 42303 baen made? ❑ Yes ❑ No GERTIFICATE OF C regartling Hazartlous Signawra: CERTIFlCA7E OF correct. I egree to ebove-described p I cartify that under penalry ol periury the infortna�ion given above is correct. I agree to comply with all state laws and city ortlinances Emissions. ._ _ . . _ _ Date: _ _ _ .. _ 7Gf6 Fixed System Final Fire Prevention 1266 Pool Spe Final 200 Finel Re-Roat 201 Finel BIocWRetaining Wel1 202 Finel Factory ��re Place 203 Finel Sign 204 Final Demolitian %I1710N OF ENTAV: I certify under penalty oi peryury that I have read this application antl s�ate that the informaiion given is city ordinances relating to building construction, antl authorize representatives ot the City of Costa Mesa to enter upon the I agree �ot to occupy or allow acupanty oi any building authorized by Ihis permit until final inspection. Qi1� I A COpE� INSPECTIONTYPE 206 Final Mechenical 208 210 212 220 Final Plumbing Final Electrical Final Fire Prevention Final Planning Approval 222 FinalSite 250 Final Building/Occupancy � �—B IHIIi1RL5 Phone: p1q) 754-5049 Fax� ' q) 754-5330 TDC 1754-52J4 pmi Iler@ci.w,fa-m esa. ca. u s PAUL MILLER Housing Rehabililalion Coordinata Redev¢lopment Agenry/ Mou4ng and Communily Development Clh" OF COSTA MESA, Cq�IFORNIA 77 FAIR DRNE • PpST OFHCE 80X 7200 • Name• June Hilbert 92628�1100 (ATTACHI7ENT NO. 1) CITY OF COSTA AIESA 'ghborhood lmprovement Program �Vork �i'rite Up • ��1" �1�1" �L'i�� Pr e� Addreee: 2080 Continental Ave. �'�rork Phone: All work is to be done per Cit�� of Costa Mesa Buildine, Planning and Public Works Codes. In order to establish standards of quality, the detailed specifications may refer to a certain product by name and/or from a major manufacturer. This procedure is not to be construed as eliminatine from competition other products of equal or better quality by other manufacturers. The Contractor shall furnisli the list of proposed desired substitutions prior to signing the contract. All i[ems listed on the �eork description, unless othenvise specified, shall indude all patching and finish work, including trim, hardware, patching and finish painting and/or staining. The Contractor is responsible for all permits, fees, City business licenses, plans, etc. Cit}� of Costa Mesa Standard Rehabilitation Specifications appt}� to atl items listed on «�ork description. � Install Milgard double hune, dual pane vinyl �+�indows throvgh out house. (where applicable to meet code.) ��_�� -�Z Fetimate• �� �-- 2� � �I �-b, , _ �.�-� S� 2. Install aluminum gutter system around entire house as needed with downspouts. Relocate new 30 gallon water heater to exterior of propeRy per code in a meta[ cabinet. Inctude seismic strapping, and Up discharge line. 4. Install new stove vent hood per code. Owner to appro��e vent hood style. ** Code violation/Housing Qualit,y Standard I have review�ed the above work description and understand that any changes, additions or deletions shall have prior approval by the Ciry of Costa Mesa Neighborhood Improvement Personnel. Signature of Property O���ner Date Phone: (77q) 751-i049 Fax: n�4) 754�5330 TDD 1754-524a pmiller@ci. : mesa.ca.us PAUL MILLER Hwvng Rehabilitalion Coordinaror Redevelopment ngpncy/ Movvng and Communi[y Developmen; CI'fV OF COSTA MESA, �q�IFORNl4 77 fAiR DRNE • PpST OFfICE BOX 1200 • I�an1e: June Hilbert 92618-1200 I � �(ATTACHMENT NO. 1) I CITY OF COSTA h1ESA �ghborhood Impro��ement Program Work Write Up • � 11 '� 1 � 1' �l:ia�jd��iy� • ��•■ • �� 1'1 •� � � • • �7 ��- A[I work is to be done per City of Costa Mesa Building, Planning and Public �t'orks Codes. In order to establish standards of quality, the detailed specifications may refer to a certain product by name and/or from a major manufacturer. This procedure is not to be construed as eliminating from competition other products of equal or better quality by other manufacturers. The Contractor shall furnish the list of proposed desired substitutions prior to signine the contract. All items listed on the work description, unless otherwise specified, shall include all patching and finish work, including trim, hardware, patching and finish painting and/or staining. The Contractor is responsible for all permits, fees, City business licenses, plans, etc. City of Costa D1esa Standard Rehabilitation Specifications apply� to all items listed on work description. 2� �,��] 72 V(J Wnrk l�Pcrri tn inn: Fstimate� Fxterinr ��, �-- 2� � 1. Install R4ilgard doub2e 1mng, dual pane vinyl windows �l (��, ,� q,��- s� throu�h out house. (where applicable to meet code.) l� 2. Install aluminum gutter syst�m around entire house as needed with downspouts. 3. Relocate new 30 gallon ���ater heater to exterior of property per code in a metal cabinet Include seismic strapping, and t/p discharge line. 4. Install new stove vent hood per code. Owner to approve vent hood style. ** Code ��iolation/Housing Quality Standard I have revie��ed the above work description and understand that any changes, additions or deletions shall have prior approval by the City of Costa Mesa Neighborhood Improvement Personnel. Signature of Property Owner Date � PHOJECT�AOOflESS: 'lOBO CON7`INENTAL .AV OWNEB'SNAME: HEIL, MARJORIE P aoosess: z080 CONTINENTAL AVE COSTA MESA,CA 92627 (714)642-6581 AflCN/ENGINEEH: qEG.NU.: AD�HESS: uxir: CITY OF COSTA MESA — HUILDING PERMIT ' PER�iIT NO; M 052442 PLAN CHECK NO; N � CONSTRUCTZON TYPE: 5—N PERMIT TYPE: MEC UNIi: PEHMITTEE: MCB HEATING & AIR � ( 714 ) 639-8781 aooAess: 960 N. MAIN ST ORANGE CA 92667 UCENSED CONTflRCTOfl OECIAHATION: I here0y a�firm Ihat I am licensed untler pmvisions oi Chapter 9(commencing wi�h Seciion 7000� nf Divsion 3 0l I�e Busness antl Pmlessmns Cotle, antl my license is in full force antl eflect. ciTvuc.:049406 sTnreuc.:56813��20 �ale: ._�_.��� Signalure'. _ WOBREBS' CaMPEN5ATI0N DECIAFFTION: I hereby a�fir hat I have a e ate ol consent m seli�insure or a cenificate of warkers' Cam0en5aiion Insurance. or a cetlified copY �hereol �Section 3800. La �. Poucvxo.: P 6004729 EXP.ORTE: �118/92 COMPANY: CA I ND EM ❑ Cenifietl copy is �ereby Wmished. � Cetlifietl capy is IileA with ary B' inA Divisio Oate: 'L�Q � �� Applicant E%EMPTION FflOM WdflNEflS' COMPENSATION OECIABRTION: (This sedion nee0 iw mp eieU il Ue permt is lor one hundred (5100) or less�. I certily t�al in Ihe peAormance o� t�e wark �or whic� ��is permi� is issuetl. I 5� ot emplay any person in any manner so as lo become su0lect m ihe Workers' Compensation Laws oi Califomia. Oa�e: SignaNre: NOTICE: If, a�ter making ��is tleclaration. you shoultl become sublec� �o the Workers' Compensa�ion pmvisions of �he Lebor Code. you must fotlhwit� compty wiih such pmvisions or �his permi� shall he deemeE revoketl. CONSTflOLTION LENOING AGENCY: I �ereby allirm tAat �her¢ is a con5�mciion lentling agency for �he pedormance of the work �or wnich I�is permi� is issuetl (Section 3097. Civ. C). ' LENDEfl: ADDHESS: ' ' OWNEB 6UIL�EB oECIl�NF710N: I herehy alfirm ihat I am exempt Imm ihe Contractors' State License Law lor ihe following reason (Seclion 7031.5 Business antl Professional Code: Any ciry o� coun�y which requires a permii �o cons�ruc4 al�er, impmve, tlemolis�, or repair any siNclure. Drior to its issuance. also repuires t�e ap0�icant for such permii ta lile a signetl statement ihat hGshe is IicenseA pur5uani lo Ihe pmvisions ol �he Conlractors' S�aie Licenre Law (Chapl¢r 9(commencing wit� Sectian 7000) o� Division 3 ot �he Busine55 ana Pm�essions CoOe) or I�at �e/she is exempi Ihereimm an� Ihe basis lar �he allegetl eMemption. Any violation ol Section 7031.5 by any applicant �or a permit sublecis Ihe applicani to a civil penatly ol no� more �han �ive huntlred dollars ($500�. I, as owner ot ihe pmpetly or my employees wi�h waAes as iheir sole compensa�ion, will tlo the work, and �he ❑ slmcmre is noi imentletl or ofleretl lor sale (Section 7044. Busmes ' Pmfessional Co4e:�Coniractors' S�ate License Law Uoes no� apply �o an owner o� a pmpetly wha builds or impmve n, an0 who tloes oM1 himself/hersel� or �hmuAh his or her own employees. pmvitletl t�a� such impmvemenis ar ��en0e0 or of�erec le. II, haweve� �he builtling or improvement is sold wi�hin one year o� comple�ian. Ihe owner will ave the buraen o� pmving he/she Oitl no� huild or impwve lor t�e purpose ol sale). ' I, as owner ot the pmpeny. am exclusively contrac�ing wi�h Iicense0 contractors �o consimc� �he pmle�� (Sec�ion 7044; Business ❑ ana Pmlessions Cotle' The Coniractors' State License Law Ooes not apply to an owner of propeny who �uiltls or improves thereon antl who con�racls �or such prolec�s wiih a contraclor(s)license pursuantio Ihe Con(ractors' Sta�e License Law�. I am aware tha� pmai of ��eir Worker's Compen5aiion insurance 5houlU be pmvidetl �o me. � I am exemp� unEer Section� B. 8 P. C. lor this reason: Oate: Owner. � I Oo hereby cetlify ��a� I am aware o� antl untlersiantl �he requiremen�s of Califomia Health antl Safely Code Seclions 25505, 25533, and 25534 an� �hat I or any IUWre bwltling occupani willlwill not (circle one) neetl to comply wiih saitl s�a�e cotles antl the requiremen�s for a pumi� �or conslmction or motli�ication �mm �he Air Oualiry Managemen� �isVicL Fesidenlial conslmction apPlica�ions are exempi Imm ihese provisions. Dale: ppplicanl: ' I hereby cer�ifylnai I �ave reatl Ihis applicalion and statethatthe above in�ormation is correcL I agree�o comply wiih allcity antl coun�y oreinances and s�a�elawsrela�inglo building conSlmclion and here6y aulhorizerepresenlatives oil 's ci�ylo enleruponihe above-mentione0 pmpetly lor inspeciion pur0ases. ' Oale'. � d� �� Signamre: — AriveisLicenseoi5ocialSecuniy�: t6At�46 Whne—Bmltling; Green—Cotle Enlorcement: Canary—NpPlicanC Plnk—Revenue; GOldenro0—Assessor PERM NO: M 05299� GOVT; N SUPP; N PURPOSE; OTH JOB DESCRIPTION : CHANGE OUT WALL FURNACE SQ FT: CLAZM VALUE: CALC—VALUE; GROUP OCC: R-3 / CQMMENT5: � ****�+�****************��***�*+�******�r***�c***�**�**�*���r��*�**�x**+t�**�x**���c*�* 2 O N I N G R E Q J I R E M E N T S S E T H A C K S ------------ MAIN HUILDING ---------- --------- ACCESSORY HUILDING --------- FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT; F'T IN LEcT: FT IN RGHT; FT IN PARKING REQ• PROV: PARCEL: 42250� 2NE;• REF NO: PLANNING N6TES> �. . lE iE iE iF iF if if if iE �lE 3E iE ik 3k iE 1E iF iF iF N if iF if k 1F iE iE if iE 1E 1E iF if iF iE iE if iF lE ik !E #�lE iE iF 1f� iF ii� iE iE i!� �F iF iF iE if 1E iE �iF 1E iE iF iE IE iF if it if 3FlF 1F if if 3F if i't 3k �1E �E D E V E L O P M E N T S E R,' �1 I C E S R E Q I7 Z R E M E N T S ZONING APPROVED BY . HUILDING APPROVED BY : APPiiCATION ISSUED BY•� aF iE 3f 3i� If iF if IF �E iE iE if iF iP iE jk iF �f iE aE k�E DATE: i DATE: , C DATE; cL s �iF1F 1F if ik 1f� if if if iE iFlFyflE3�3Fi� k iF 1E�1f�1E3f1fiFiF3EiEiE3f3EifiFiEifiF�Eiflf3fiE�flf3Fifif3EiE1fif3EiF�4)EiFiEiE�f3FiE�fiEiFiEiFi �fifiEiElFiE�7F�E1EjE1f*3Eifif�EiFjEjEiElElkif3f#leiEikik�F LEGALIZATION;N F E E _$,U M M A Y STRUCTURAL SEGMENT:N . f BLDG PMT PLUMBING ELECTR;IC, MECHANIC FIRE SMIP/RES GRADING PERMIT 9 00 `;= ,:�� • �SR SMIP/NON—RES ISS JE FEE ��� "' � 15.00 BUILDING—DIV—> PERMIT ISSUE P,liAN—CHECK TOTAL PAID DIJE TOTALS----> 9.00 15,U0 �� „-, ,0,00 � 24,(� 24.00 .00 <fi r REVENUE DIVISION TO'PALS--> COL`LECTED: 24.00 OVER/SHORT: 00 BLDG PMT PLUMBING ELcCTkZC�MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK . �; ;24.00 . i� . �%jf*iFiE#�1kiFiFiE3FikitiE�FjF3EiF3E3fiE9fiF3f3F,ififiEitiFjFlE1Fi(;�iF�ihifiFjfitiEX�if�F3E*iEaF�Kif3FiF3FiE1EiElfiFif3F3F�1F3f3FifiElEik3FiFiF3FiF3i•jFifhf ' I N D I 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 Z P T I O N UNIT COST TOTAL COST MEC 1 IiJST/RELOC RECES5ED FIALL HEATER 9,00 9.00 '/ �END OF FEES 1/ j.; : �.. . i4' l Y" �� ±. .f i% � Hr �% •,: oi occvz�a�-ooc�9i4ss -r�r z�,eu � �R�F= �7��2/�%i ili�li: La��Ji , r CONSTRUCTION AND PLANNING � POOL & SPA "� � - - APPROVALS Permit # �Date Inspector qppROVALS Permit # Date -� Inspector -�1. Temporary Electrical Service 8r Pole ,-'� , 52. Pool & Equipmenf'Location � j 2. Soil Pipe�Undrgmd. � ^ - 53. -Steel Reinforcemenc 3. Electrical.Conduit UiilitY�Undrgmd.� �' ,� ' 54. Forms -� . � � : � 4�Electrical ConduiC.U�drgrnd. , �,-> � 55. Electrical Bonding � ' � 'E/ '�. Steel Reinforcement �-. � 56. Rough Plumbing & Pressure Test • `6. Electrical UFER Grnd. �• 57. APPROVAL TO COVER-GUNITE ' =: Z Footings , ' � . 58. Electrical Conduit�Undrgrnd. ' • � S. Foundation ' ; y � r 59. Gas Pipe, � Undrgrnd., Test t � � r' � 9. Water Pipe-Undrgrnd. �; �� � 60. Backwash Lines, P-Trap, O Undrgrnd. �%� �L70:'Structural FloorSystem %�i'�_�'• j Y�. 61. APPROVAL•)ECK �;�"' � 11. P.r.o ert Sewer Line & HouSe,Connection',i% �` � ''^'i P Y /� �, 62. Backwash & Receptor�Final ,�� 72. Sewer Ca � �''-' ' ' P t� _, �,�t� . 63. Heater & Vent-Final � �+ � � 13. Roof Drains � , •. 64. Plumbing Sys�-^i - Final . - 14. Rough Plumbirtg � 65. Electrical-Fin� 15. Ru'ugh Electrical-Conduit � � ' 66. Solar SYstem-Final . 16. Rough Electric Wiring 67. Fencing & Access Approval -.. 17. 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 20hkoughFacto.ryFireplace . - :.r _ - � APPROVALS�' .Permit# ? 21. Ducts,in-Structuie, � , ' � �� , � . � , 70. Undergr.ound Hydro 22. Ducts, Ventilating � _ - �;71. ProductPiping OGas O"Oil 23.-Gas Pipe�Rough & 7est ' . - 72. Underground Flush � 24: Roof Framing � �- , � ' •73: Undergrnd. Storage Tank � Gas� � Oil ", . 25. Roof Sheathing � ' ' ' ' '' � � �`7q,;Overhead Hydro- � ", • 26. �T�Bar Ceiling (Structuraq & Monocoat . _ � • 75. Dry Chemical ' • 27:' Frame and Flashing; t , .� '.;, ° ' 76. Dry Standpipe � � ' - ' 28.� Lathing•& Siding �' .. _, -, �• 77, FIXED SYSTEM FINAL� u' ''29. Insulation � - , � � . � i - �` ' 7g�� FIRE PREV. FINAL 30. Drywall.Nailing �� , �� � ���1�• -. � HEALTH DEPT: R'EQUIR`EMENT � 31. Plaster Brown Coai' ,. ` I � p� ,� 79: FINAL INSPECTION �' - "." �� 32. Electrical Power Mete�,FinaL �. ,. � '�, r � 80..�FOOD CERTIFICA•TE ISSUED ?: � 33 �Final Eleciric ; � _ ! : ` , �, �.� " Notes:7/27�I4f �O`. OJy� hFQ�%7E �IJFiFrC�VQO'L.Fi� ��34.-FinalHeating.&F.irConditioning ' �'- ; ,' `'! (�/JS 4j ����jF,pyQ�p���}S P$��O$•Qj i i� � 35.:Firial Ga4 PiPe-Tesr � ' r ' U W�,C ^'[�f7/? ��' -- �36. Hoodoi,CanoPY - • ry / y�, ` ' " ' �= 37-Final Factory Fireplace �� ,; �� ` ���/,: � �� ' ...38. Final Plumbing � �� � ..: , ' ' ✓ � rJ'a • �. � � r �.�; - .39. Water Service-Final� * - �� � � � �'- • � ��� ' � �. � i/; a � � :40. Gas Service-Finai ' , � ' �' ` ` � . z,� yt�. ; ., � 41. Solar pomesticFinal . . +� " ' � � � �t. w � , , e. .. 42. Backflow Preventer, - � � �� ; , ' 43. Backflow Irrigation � • r -'- ` � _ •• ,; 44. Landscape ltripation System ��.-' ._ , �- ;� � - .� ' - � Y . ` 45."Sound Attenuation w • 5: - - ' << ; � � � � '46: Handicap Regulations ` ' � „ ; , ��, ; �� , 47.>PINAL STRUCTURE & BUI'LDING � � � f�� � . . � � 48i`FINAL PLANNING ' ' � . '�; , " " � ,� ' �. 49: Electric Release to Edison � t �� . . ' � _ � / . n `�:50. Gas� Release to Southem California Gas Co : � � U��s .. _ _ - � 51. CERTIFICATE OF�OCCUPANCY � a , ,„ i� No. Date c � F9 4 � 0 > _ u �„c,umo � (714)754-5273 • Fax(714)754-4856 CITY OF COSTA MESA B!/ILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT BUILDING PERMIT ,lobAtldress: 2080 CONTINENTALAV Suite: Vicinity: Parcel Nunmber: 42250333 Applicant CROWLEY, KEVIN Atldress: 1016 E 1 ST SANTA ANA Owner: HEIL, MARJORIE P TR Address 208000NTINENTALAVE COSTA MESA,CA Contractor. GREATER PACIFIC ROOFING Atldress: 01016 E. FIRST ST Arch / Eng : Atldress: Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: 7otal: SANTA ANA CA Zoning: Phone: 714/836-1966 Zip: 92701 Phone: Zip: 92627 Phone: 714/836-1966 Zip: 92701 License:" 621368 PERMIT NUMBER 698-01971 ✓ 77 FAIR DRNE, COSTA MESA, CA 92626 � Status: ISSUED Applied: ]0/30/f998 Issued: 10/30/1998 Phone: Zip: License: SCOPE OF PERMIT . TEAR-OFF EXISTING COMP ROOFS REPLACE W/ NEW 20-YR 3-TAB SHINGLE 0/1-LAYER OF ASTM 30# FELT. . - � � $0.00 $74.75 $0.50 $0.00 $0.00 $0.00 $75.25 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING existina: o NOTES: FEE SUMMARY , — � % PLANNING & ZONING Rear 0- 0 Left 0- 0 Rear 0- 0 Left 0- 0 Reauired: 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0-0 Right 0- 0 e $2,430.00 $2,430.00 EXPIRATION; This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned ��, for a period of � g0 days. . ' INSPECTIONS: In order (or the work authonzed under Ihis permit to be considered legal, such work musi comply wiih all applicable codes, and all required inspectlona and finel approval must be obtained. Failure to obtain inspections and tinal approval wi11 result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECLApAT10N: I hereby aflirtn under penalry oi perjury one oi ihe tollowing declarations: ❑ I have entl will maintein a certificate oi consenl to seli-InSure for workers' compensetlon, es provitletl tor by section 3700 of the Labor Cotle, for the pertortnence of lhe work lar which this permit is issuetl. (�_ 1 have entl will maintain workers' compensetion insurance, as required by section 3700 of the Labor Cotle, for the pertormance oi t�e work for which this pertnit is issuetl. Y My warkers' compensation Insurance carrier and policy numbar ere: e�� L Cartier. ( �Tla7P ��i.�� Policy Number: �rtL]� 9/ (This section neetl nof be comp/efed i! the Dermif is va/uetl at one M1undred dollars /$100) or less.) ❑ I certity that in ihe peAortna9Ge of iha work for which Ihis permit is issued, I shall not employ any person in any manner so es to become subject to ihe workers' compensetion laws of CeljJa(nia nd a e Ihat tl 1 should hecome subjad to the workers' compensatlon provisions oi Section 3700 of the Lebor Code, I shell torihwith comply with these provi d6ns J / ApplicentSignature: i�t(� ir Date: —/fJ7/—c?(J �/-siii%— WARNING: FAILURE TO SECURE WORKERS' OpMPENSATION COVE E IS UNLAWFUL AND SHALL SU&IEGT AN EMPLOYER TO CRIMINAL'PENALTIESAND CIVIL FWES UP TOONE HUNDRED T/qUSAND OOLLAHE (5100,000�, IN ADDITIOry TO THE COST OF COMP SNTION, DAMAGES AS PROVIDED FOR IN SECTION 3]W OF THE L4BOR CODE, INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eHirm Ihat I am licensed under provisi< torce and eHect. Lic. e_-�yr� Contrector's SignaNre: of C�epter 9(commencing with Section 7000) ot Division 3 of the Business antl Professions Code, anC my license is In fuil ClasslF /�-.��-J s Date: iD �o �� CONSTRUCTION LENDING AGENCV: ❑ I hereby attirtn that there is e consWCGon lending agency for Ihe perfortnance of the work tor which this permit is issued. (Sec. 3097, Civil Code). Lenders Name: Signeiure: _ OWNEH-BUILDER DECLARATIONS: Lenders Address: Date: I hereby aflirtn ihet under penalry of perjury ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reeson (Sec. 7031.5, Business and Protessions Code: Any ciry or counry which requlres a permit to consimct, elter, Improve, demolish, or repair any stmcture, pnor to its issuance, also requires the applicant tor such permil to file e signed statement ihat he or she is licensed pursuant to the provislons of the Conirectors License Law (Chapter 9(commancing with Section 7000) oi Division�3 of ihe Business and Profeuions Cotle) or thef he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any epplicant tor a permit subjecis Ihe applicant to a civd Oenalry ot not more than five huntlretl dollars ($500�.): - ❑ I, es owner oi Ihe properry, or my employees with wflges es their sole compensation, WILL DO THE WORK, antl ihe structura is not intentled or oHeretl for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds ar impraves thereon, end wha does such work himself or herseN or through his or her own employees, provided ihet such Improvements are not intended or oHered tor sale. If, howevar, ihe builtling or improvemant is sold within one year of completion, the ownerbuilder wlil have the burden ot proving that he or she tlitl not builtl or impmve for purpose of sele.). ❑ I, es owner oi t�e propetly, am �%CLUSIVELY CONTRACTING WI7H LICENSED CONTRAC70RS to constmct the project (Sea 7044, Business and Pmfessions Code: The conirectors License L�w tloes not epply to an owner of property who builds or improves thereon, end who comracis fo� such project with e wntractor(s) license pursuant to ihe Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Cotle tor this reason: Signature: Oate: Owner ID ventied by drivers license. ❑ Ves ❑ No Drivers license No. Veriticetion of Ownership by (rype of doCument, i.e. - pmperry tax bill or deed): E:pires: OIVISION OF INDUS7RIAL SAFETY PERMR CERTIFICATION: p I hereby cenNy that no e:cavation tive (5) or more feet in tlepth imo w�ich a person Is required to descen4 will be made in connection with work authonzed by ihis permit, entl that no building strucl�re, scafloltling, falsework, or tlemolition or tlismantling ihereoi, will be mae then thirry-sia (38) feet high. (Chep. 32, Grp 2. Atl 2, Sec. 341, Title B, Califomle Administrapva Code). ❑ As owner-builtler, I will not employ enyone to do work which woultl require a permit irom �he Division of Industrial Satery. as noted above, unless such person has a pertnit to do such work irom the division. SignaWre: Date: Division of Industrlal Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AU7}IORIZATION OF ENTRV: I certiy untler penalry ot perjury that I heve read this application and state that the information given is wrrect. I agree to comply with all stete laws flntl ciry ordinances ralating to building consWction, antl authorize representatives ot the Ciry of Costa Mesa to enter upon ihe above-described propeJty for inspection puryoses. I a9ree not to occupy or allow occupancy ot any building authorized by this permit until tinal inspection. [3�TT�7�CFiJidrt�P�N'Jq 1616 126fi Fixed System Finel Fire Prevention Pool Spe Final 200 Finel Re-Raof 20� Final BIocWRetalning Wall 202 Finel Factory Fire Place 203 Final Sign 204 Final Demolition rL� _�y Pd2E It�llS �—� (IL"�'li �Qf�� INSPECTIONTYPE 206 Final Mechanicel 208 Final Plumbing 210 Final ElecMcal 212 Final Fire Prevention 220 Flna! Planning Approval 222 Final Site 250 FinalBuilding/Occupancy PAg U1iIDAlS Property Address Owner Contra� CITY OF COSTA MESA ' ' " BUILDING DIVISION ROOF COVERING CERTIFICATION PermitNo. �/O �v/��/ State Contractor License Number 62/36 4" Classification ��—c 3C'f I hereby certify that I have installed, or caused to be installed, a minimum Class C roof covering at the above address in conformance with Chapter 32, and Section 1704 of the latest adopted edition of the Uniform Building Code, as amended in Section 5-17 Title 5 Costa Mesa Municipal Code, and the installation instructions of the manufacturer. ❑ I further certify that I am the owner of the property. (Owner-Builder permittee only). �--I further ceRity that I am: ❑ Owner ot sole proprietorship company �_ Full partner of the company ❑ Limited partner of the company ❑ � Officer of the corporation I certify that as an authorized officer or agent of the company or corporation, I am empowered to make this certification, which shall be binding on all successors or assigns of the company or corporation. I shall deliver a copy of this Certification to the above listed owner, after submittal of form to ihe Building Division for acceptance. Received by Building Divis�on By: G� o Initial a�e 0990-06MW9/W While-BuiltlingDiv.;CaPery-ConVactor,Pink-Owner ! n/lPt1 %l'� f�/�/�il � .�i 1fw Company or Coryorste ame T ,/ ��'/S � �`�_ S� Addrwcc ORANGE COUNTY BUILDING DEPARI'MEN? 636 North Broadwpy �- SANTA ANA, CALIFORNIA FOR APP�ICANT TO FILL IN BUILDING ADDRE55 9�1Rl1 ti nen+e� A:.�_ SCHOOL DIST. OR TOWN NEAREST CROSS ST. (���� Q}.�,.,,.,+ CITr Rav ARCHITECT ADDRE55 LEGAL f�[ ]1 ' APPLICATION FOR PERMIT . � �' � ��� ��� '- . ' FOR OFFICE USE ONLY , 'RECEIPT NO. PERMIT NO. 7�'� 3 ,��6 a� �. ECEIVED BY � OATEREC'D. DATE ISSIiED n a � ��� �3-/�,b� b-/3'� BUILOING �x //�.�� �-y /— �__ ADDRE55 V.�� � � r(J �!i[ I^'*�— SCHOOL OIST. /! . � OR TOWN C�O-•Q Na CR 54361 NEAREST CRO55 5T. ��C��� ZONE NO. OF TYPE _ I GROIIP I PLANS I � AP D c � LIC. BV �ATECJ N� � ���� CORRECTIONS fATTACH METES & BO�JND51 SIZE OF LOT I NOW ON LOT O �%_��8 USE OF NO. OF NO. EXISTING BLOG. Fwmi�i[5 ROC SETBACK LINE FROM: REAR YARD CENTER OF STREET ,rj� f�; SIOE YARDln DESCRIPTION OP WORK NEW I 4 I AI TFR4TION I I ppfllTil]! BUILDING SIZE j (�'{ EXTERIOR WALL COVERING USE OF NEW BUILDING Ru ROOF COVERING APPROVALS FOUNDATIf 1 HEREBY ACKNOWLEDGE THAT I HAVE REAp THIS FORM: APPLICATION AND STqTE THAT THE ABOVE IS CORRECT UNDEF AN� AGREE TO COMPI�V WITH ALL COUNTY ORDINANCES FRAME: FI BRACI ANO STATE LAWS REGULATING BUILDING CONSTRUCTION. LATN. INT. SIGNATURE OF LATH.E%T. PERMITTE PLASTER,I AUTHORIZED AG PLASTER,E q PeRmii FtE S ��, MASONRV VALUATION T2�3O�00 p�pH CHecK $ %' BOND BEA� TOTAL / � FINAL FEE Sm 9-90-33 � 0 .T � D r STREET `. � '.I t �. PLOT PLAN Show location and distances from property line and between buildings. _ - � -. �......� ._�.�..._ _ ^ . . i; . • �. _ _ �� l� ._ � . .�. _•...� � .� .�.... J-^ J. - . �. .. ..�.. - j�. �' . � � .. . .. (' � .. -_ - �. . � . . -. . , .... . . ..... .�'.I . �� .-.- _ � . .: '. '�, r�. _ . ^�..;- � _. - � �'-- - " r:, . � I " _ � . A . . . �,.�p .. . �bV iJ.,y_v . ._. � • �t ) \\ r�^..:" '"' , '"'•.�, -`�` s.''.�.`�}�\.. .�.�,�y_� ` ' . . . . - . . �' . - . . • . `'i , . .. `�, . . . ..