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Home My WebLink About2441 ELDEN AVE - Building Permits (9)(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, GA 92626 Job Address: Suite No Vicinity: Parcel Nunmber: AppliCant Address: Owner: Address 2441 ELDEN AV �A COMMON AREA 43928137 DECINCES,TIM 12 STRAWBERRY FARMS ROAD IRVINE, CA ELECTRICAL PERMIT Phone: 949.417.4280 Zip 92612 DECINCES, DOUGLAS AND KRISTI 12 STRAWBERRY FARMS ROAD IRVINE, CA Convacror. OW NER-BUILDER Address: ISSUE FEE Temp serviCe lest Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting FixLs Recept Outle4s Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a Motors to 1hp Motors to 70hp Motors to SOhp Motors to t00hp Motars over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Phone: 949.417.4280 Zip: 92612 Phone: Zip: License: 000000 SCOPE OF PERMIT ELEC METER PEDESTAL FOR SUMP PUMP $23.50 $0.00 50.00 50.00 50.00 $0.00 50.00 $0.00 30.00 50.00 so.00 $0.00 $0.00 50.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $30.50 $0.00 50.00 i0.00 Quantity 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 FEESUMMARY Temp Dist System / Lighting Busway /100 ft Standing Section Misc Electrical Equipment Transformers up to 1 kva/kw ................up l0 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Vollage Equipment Low Volt Wiring System / Ckt Misc. Conduit Misa Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Sland Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee Status: ISSUED Applied: 02/03/2005 Issued: 02/03/2005 ISSUED BY: � ` � Quantity $0.00 0 $0.00 0 $0.00 0 50.00 0 50.00 0 50.00 0 50.00 0 50.00 0 50.00 0 50.00 0 50.00 0 50.00 0 $0.00 0 50.00 0 $0.00 D 50.00 0 $0.00 0 $0.00 $0.00 50.00 50.00 TOTAL CALCULATED FEES $54.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord, No. 92-28, § 1, 12•21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commencetl within 780 days, or if work is suspended or abandoned for a period of 1 BO days. INSPEC710NS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inapectiona and (inal approval must be obtained. Failure to obtain inspections and (inal approval will result in the expiration o1 ihis permit. FOR INSPECTIONS CALL: (714) 7545626 2666d8 (HW) WORKERS' COMPENSA710N DECLARATON: � I hereby eXirm under penalty ol perjury one ot t�e followinq declaralions: ❑ I heve entl will melntaln a cetlilicete ot consem to self-Insura tor workers' compensation, es prodtled for by saction 3700 ot ihe LaDor Code, for Ihe pertortnence of t�e wark tor which Ihis permit Is issue0. ❑ 1 �ave and will melntain workers' cpnpensatlon insurance, as required by section 3700 ot t�e Lebor Code, Por Ihe pedortnance oi Ne work for which UIs pertnii is Issued. My workers' compensalion Insurenca carner entl policy number are: Carrier: (This sectlon neetl nol be permit is velued af one hundred dollars ($100J or less.) Policy Number: �I certify thet in the pertormence of the work tor which ihis permit is Issued, I shall not employ any person in eny manner so as to become subject to the workers' compensetion laws of Celifomia, end egrae ihat if I should become sub�ect to ihe workers' compensetlon provislons af Section 3700 of the Lebor Coda, I shall torthwith comply with Ihese provlslons.�_ �, A gneture: �� -.st�, � �9e1e: / - 3 - � S W�G: FAILURE TO SECUFE WORK PENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDFED THOUSAND DOLLARE (5100,OW), IN ADDITION TO THE COST OF CAMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]W OF THE LABOR OODE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby attirm ihat I am Ilcensed under provisions of Chapter 9(commencing with Section 7000) ot DiNsion 3 of the Business end Professions Code, end my license Is in full toma antl ettacL Lic. a Cless A Conirectors Signature: Data: CONSTRUCTION LENDING AGENCV: ❑ I hereby etlirm ihal Ihere i5 a conSlNttion lendinq agency for ihe pedormance of ihe work lor which IhiS permit is issuetl. (SeC. 3097, Civil Code). Lendels Name: Lentlefs Atltlress: Signeture: Date: OWNER-BUILOER OECLARA710NS: I hereby aHirtn that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reeson (Sec. 7031.5, Busineu end Professions Code: Any ciry or counry which requires a permit to consiruct, alter, improve, demolish, or repalr eny siructure, pnor to Its issuance, also requires Ihe epplicant lor such pertnit to file e signed stetement thet he or she is Ilcensed pursuent to the pmvisions ol the Cantrectars License Law (Chapter 9(commencing with Section 7000) oi Divislon 3 of t�e Business entl Protasslons Code) or thet he or she is exempt therefrom end the 6a515 tor the ellegetl esemption. Any Wolation ot Sadion 7031.5 by eny epplicant for e pertnit su6jects the applicant to e civil penalry oi not more than five hundred dollars ($500).): �'1, as owner of the property, or my employees wlih weges as ihelr sole compensetlon, WILL DO THE WORK, and Ihe stmcwre is not intentletl or oHered lor sale (Sec. 7044, Business and Professions Coda: The Contractors License Law does not epply to an owner of property who builds or improves thereon, anG who does such work himself or hersell or ihrough his or her own employees, provided thet such improvements ere not Intended or oHeretl for sele. If, however, ihe building or Improvement is sold within one year ot completion, ihe owner-builder will heve the burden ol proving that he or she did not build or improve tor purpose of saie.). ' ❑ I, as owner of the praperty, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to canstruct the prqect (Sec. 7044, Business antl Prolessions Code: The conlrBti0r5 LltenSe Law does not epply to en owner oi propeny who builtls or Impmves thereon, and who contrads tor such pmject with a contractor(s) �{, �li�cense DurSuaN �o the Contrectors License Lews.). �i am e:empi under sec. Business ana Professions Coda for Ihis reason: �98��?'" � � — 6— Ven(icetion ot Ownership by pype ot tlaument, i.e. - proparry taz hill or Oeed): DIVISION OF INDUSTRIAL SAFE7V PERMIT CERTIFICA710N: ❑ 1 here6y certity thet no excavetion five (5) or mare feel in depih into which a person Is required to descend, will be made in connection with work euihorized hy Ihis permit, and that no building structure, scattoltling, falsework, or tlemolition or dismantling thereof, will be more then ihirry-six (36) �eet high. (Chap. 32, Grp 2, Ar12, Sec. 341, Title B, Californie Adminislretive Code). ❑ As owner-builder, I will not amploy anyone to do work which would reQuire a permit tmm the Division ol Industriel Sefery, as noted above, unless such person has e permi� �o tlo such work from ihe division. Signalure: Date: Division oi Industrial Sefery Permit Number: CERTIFICATE OF COMPLIANCE ANU AIITHORIZA710N OF ENTHY: I certify under penelry of perjury ihat I have read ihis epplication end state ihet the informetion given is correct. I egree to comply wIN all steie lews and ciry ortlinences relating to bulltling construction, entl authonze representatives of the Ciry of Coste Mesa to enter upon Ihe ebove-descri perty to inspection purposes. I egree not to occupy or ellow occupancy of eny building authorized by ihis Lpe�rmit until final inspection. � �'--�� ------ / � U� � -' r'-*e6f'�gal'Owner(s) � -t�'- Antl/Or Authorized Applicam CODE �. �xsveenoxTvve 1616 Fixetl Sys�em Final Fire Prevention 1266 Pool Spe Final 200 Finel Re-Roof 201 Final Block/Retaining Wall 202 Final Fectory Fire Place 203 Finel Sign 20< Final Demolitian D�/¢, I AL CQUE� INSPEGTONTYPE 206 Final Mechanical 20B Final Plum6ing 210 Finel Elecincal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy . �I Alpine Consultants, Inc. 23011 Moulton Parkway, Suite J-12 Tele: (949) 855-8058 Laguna Hills, CA 92653 Fax: (949) 855-4058 April 21, 2004 Building Department CITY OE COSTA MESA 77 Fair Drive Costa Mesa, CA 92626 Attention: Grading Inspector Subject: Civil Engineer's Certification of Rough Grading Reference Project: 5-2003-243 G03-00021 � Address: 2441 Elden Avenue, Costa Mesa Legal: Lot 56, Tract 300 Owner: Decinces Properties I hereby approve the rough grading for the referenced project in ac- cordance with my responsibilities under the City of Costa Mesa Grading and Excavation Code. Rough grading has been completed substantially in conformance with the approved grading plan for lots l.through 4 which includes: line and grade for all engineered drainage devices (graded and ready for paving or construction), staking of property corners for proper building location, location and inclination of all slopes, and construction of earthen berms and positive building pad drainage. William F. Young, R.C.E. 35715 �O Q RO F ESS�O�, '��\v�AMF yp912 y� G � � 2 � 35715 � m �� / J'�'�,_ C/VIL _�/ U� Aipine Consuitants, Inc. 23011 Moulion Pakway, SuRe J-12 Tele: (949) 855-8058 laguna Nills. CA 92653 Fax: (949) 855-4058 January 13, 2005 Grading Inspector Building Department CITY OF COSTA MESA 77 Fair Drive Costa Mesa, CA 92628 Atten[ion: Grading Inspector Subject: Civi1 Engineer's Certification of Final Grading Reference Project: 5-2003-243 G03-00021 Address: 2441 Elden Avenue, Costa MEsa Legal: Lot 56, Tract 300 Owner: Decinces Properties I hereby approve the final grading for the referenced project in accor- dance with my responsibilities under the City of Costa Mesa Grading and Excavation Code. Final grading has been completed substantially in conformance with the approved grading plan which includes positive drainage away from the buildings. !/' �n:�%�GG�^'�� William F. Young � R.C.E. 35715 � (714) 754-5273 • Fax (714) 754-4856 •�wiw.ci.costa-mesa.ca.us 77 FAIH UHNh, GVJ I A MtJA, l:A tlLti2ti Job Address: Z441 ELDEN AV Suite: Vicinity: Parcel Nunmber: 43928137 GRADING PERMIT Zoning: Applicant: EDGARDO J. GELSANO Address: 20351 IRVINE AV SUITE 1C Phone: 714-641-1505 SANTA ANA, CA Zip: 92707 Owner: DECCINCES, DOUGLAS AND KRISTI Address 12 STRAWBERRY FARMS ROAD IRVINE, CA Contractor: Address: Zip: Eng : Address: Zip: Phone: 949.417.4280 Zip: 92612 / Phone: License: Phone: License: ISSUED BY: Status: ISSUED Applied: 12/04/2003 Issued: 03/17/2004 SCOPE OF PERMIT CUBiC YARDS GRADING. 0 CUT/2,200 CUBIC YARDS FILL. ON SITE IMPROVEMENTS: AGGREGATE BASE SECTION, ASPHALT CONCRETE, AND DRIVEWAY. REF: PA-03-08, PM-03-243. B03-02094. 96 97 AND 98. SEWER CONNECTION AND WATER CONNECTION REQUIRES A SEPAR,4TE PERMIT. z2oo Plan Check: 344.00 $202.00 Permit: $223.50 Other: $102.15 $0.00 Inspection: $0.00 $0.00 Total: NOTES: $57'I .65 FEE SUMMARY PLANNING & ZONING Calc Valuation: Saa,�os.00 NOTICE: The work authorized by ihis peYmit shall comply wlih all applicable handicap access requiremeMs untler California statutes and related regulations. (Ord. No. 92-28, § 1, 1247-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, o� ii work is suspended or abandoned for 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 codes, and all requlred Inapactiona end final epprovel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545628 2dd6d6 (fi/00) WORKERS' COMPENSATION DECLARATION: I here6y ettirm under penalry af perjury one of the following declarations: ❑ I heve entl will maintain e certificete of consent to self�lnsure for warkers' compensatlon, es provitled lor by sectian 3700 0l iha Labor Code, for the peAormance ai the work for which this permlt I5 issued. ❑ I �ave antl will maimain workers' compensetion insurance, as required hy secpon 3700 ot ihe Lehor Cotle, tor the pertortnance of the work tor which this permlt is issuetl. My workers' compensatlon Insurence carrier and policy number are: Cerner: Policy Number: (lh/s sec(lon need nol be canp/eted il the pemut is velued et one huntlretl dollars ($100) or less.) ❑ I cenity Ihat in the peAormance of the work for which t�is pertnit is issued, I shall not employ any peroon in eny manner so es to become su6ject to the workers' compensetion laws ot Calitomla, end egree that if I should hecome subject to the workers' compensatlon provisions ot Sectlon 3700 ot the Labor Code, I shell torthwith comply with these provisions. Applicant Slgnature: Data: WARNINp: FAIWRE TO SECURE WORKERS' CAMPENSATION CAVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSPND DOLLARE (5100,000), IN ADDITION TO THE COST OF CAMPENSATIpJ, DM+AGES AS PROVI�ED FOR IN SECTIpJ 3]O6 OF THE UBOR COOE, INTEREST, AND ATTOFiNEV'S FEES. LICENSED CONTRACTORS DECLAHATION: I hereby ettirtn Ihat 1 am Iicensetl under provisions of Chapier 9(commencing with Section 7000) of Olvislon 3 ot the Business and Professions CoCe, and my license Is in full force end aMect. Lic. # Class a Contrectors Signawre: Date: CONSTRUC710N LENDING AGENCY: i ❑ I hereby aNirtn that there is e constmction lentling agency for the peAormance of the work Por which ihis permit is issuetl. (Sec. 3097, Civil Gode). �'' Lentlefs Neme: Lentler'S Address: Signature: Date: OWNER-BUILDER DECLARATONS: I hereby eflirtn that under penelty of Derjury that I am EXEMPT FROM 7ME CONTRACTORS LICENSE LAW for the fallowing reason (Sec. 7031.5, Business entl Professions Cotle: Any ciry or counry which requires a pertnii to construcL alter, improve, demolish, or repair eny siructure, prior to its issuance, also requires Ihe applicant lor such permit to file a signad statement ihet he or she Is Iicensad pursuant to the provisions oi the Contrectors License Lew (Chapter 9(commencing with Section 7000) of Divislon 3 of ihe Business end Professions Code) or t�et he or she is exempt therelrom antl the basis for ihe elleged eaemption. Any vloletion ol Section 7031.5 by any apPlicant tor e permit subjects ihe applicant to a clvil penelry ol not more than tive hundred dollers ($500).)� ❑ I, es owner of ihe property, or my employees wi�h weges es Ihelr sole compensation, WILL DO THE WOFiK, and the sWCWre Is not intentled or oMeretl tor sale (Sec. 7044, Business and Professions Cotle: The Contrectors License Lew does not appry to an owner ot pmperty who builtls or improves ihereon, and who Goes such work himself or hersetl or thwugh his ar her own employees, provided ihat such improvemenis are not Intended or ottereC tor sele. II, however, the builCing or Improvement is isold within one year ot completion, the owneo-builder will have the burtlan oi proving ihat he or she ditl not 6uild or improve for purpose oi sala.). • �, es owner of the property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the prolect (Sec. 7044, Business and Professions Cotle: TTe contraqors Llcense Lew tloes not apply to an owner ol pmperty who bulltls or Improves thereon, and who comrects lor such pmject wlth a comrector(s) license pureuant to t�e Con�ractors License Lews.). ❑ Jam.@xempt uotler.sflc. �J Business antl Profeuions Code for this reason: OwnePl6verified�y ��icense. ��eS' ❑ No � Verificetlon of Ownership by (type ol dwumem, i.a. - property ta�c blll or tleed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: No. cD`2_D� / O`7 :pires: _ y O`l ❑ I hereby certify �hat no excavatlon five (5) or more feet In depth in�o which a person is required to descend, will be made in connection with work euthorizetl by Ihis pertnit, end thai no building sWCWre, scattolding, talsework, or demolition or dismantling thereoi, will be mora Ihan thirry-six (3fi) feet high. (Chap. 3.2, Gry 2, Art 2, Sec. 341, Tltle B, Califomle Administrative Cotle). ❑ As owner-builder, I will not employ enyone to do work which would require e permit trom t�e Division oi Intlustnel Sefery, es noted ebove, unless such person has a pertnit to do such work trom ihe division. SignaWre: Date: Division of Indusinal Sefety Parmit Number: CERTiFlCATE OF COMPLIANCE AND AllT}IORVATION OF EMAY: I certily under penalty ot perjury ihat I have read �his apPlication and sta�e that the infortnation given is correcL I egree to comply with all state lews and ciry ortlinances raleting to building constructlon, anU authonze representatives of the Giry of Casta Mesa to enter upon the ebova-described property for inspection p� �roT <, o��egree not to occupy or allow occupency of any building authorized by this permit until tinal insDection. PA� I[mr �s 1616 � Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Finel Re-Rool 201 FIne181xWRetalning Well 202 Final Factory Fira Plece 203 Finel Sign 204 Final Demolition CODEI ItlS�➢2N� . 206 'Flnal Mechanical 20B Final Plumbing 210 Finel Eleciritel 272 Final Flre Prevention 220 Final Planning Approval 222 Final Si�e 250 Final euildinq/Occupancy Date PAIE It�ELS 1-26� �Q� (714) 754-5273 • Fax (714) 754-4856 • wv+w.ci.costa-mesa.ca.us 77 FAIR DPIVE, COSTA MESA, GA 92626 Job Address: 2441 ELDEN AV Suite No Vicinity: Parcel Nunmber: 43928137 Applicant: DARWIN PEAF2SON Address: 2436 NEWPORT BL COSTA MESA, CA PLUMBING PERMIT Phone: 7146319015 Zip: 92627 Owner: DECINCES, DOUGLAS AND KRISTI Address 12 STRAWBERRV FARMS ROAD IRVINE, CA Phone: 949.417.4280 Zip: 92612 Contractor: ULTIMATE ENGINEERING GROUP Address: 2436 NEWPORT BL � " Arch / Eng : Address: ISSUE FEE BackFlow irngalion BackFlow Preventer � Bathtub Clarifier System V�� Connect Qce,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Founfain Expansion Tank Gas Earthquake Valve Phone: 7146319015 COSTA MESA, CA Zip: 92627 License: 706969 Phone: Zip: LiCense: � SCOPE OF PERMIT SEWER CONNECTION ON PRIVATE PROPERTY - FEE SUMMARY '. AMT QTY � . AMT $23.50 � Laundry Tub / Washer $0.00 $0.00 0 Landscape Irrigation - _ $0.00 , $0.00 0 P-Trap . $0.00 $0.00 0 , � . Pressure Regulator , . $0.00 �, $0.00 �.- 0 � :Process Piping (per 10 ft)� $0.00 , $0.00 0 � , Receptors � $0.00 � $0.00 0 �. �� , Septic Tank $0.00 �$0.00 0 Sewer Cap for Demo , -$0.00 $0.00 0 Sewer Connect $0.00 $0.00 0 Sewer Private Line $24.65 $0.00 0- Shower $0.00 $0.00 0 - Sink, bar $0.00 $0.00. 0 Sink, commercial � ' ' "$0.00 $0.00 0 Sink, Floor $0.00 Status: ISSUED Applied: 07/15/2004 Issued: 07/15/2004 ISSUED BY: Qn _ 0 " 0 0 0 - Q, 0 p. 0 0 1 AMT Sump Pump - $0.00 Swimming Pool $0.00 'Trap Pnmer, , � /, �� $0.00 " Urinal ; � �"% ' , ;; '� $0.00 Vacuum.Brkr Bkflow(1=4) $0.00 ' ; Vacuum Brkr Bkflow(5+) $0.00 � � Wasfi Basin : . % $0.00 Wash Basin Set $0.00 Waste and Vent System $0.00 Water Closet (ToileQ $0.00 0 , Water Heater / vent $0.00 0- ��` Water Piping (Inst or Rep.) $0.00 � 0 Water Re-pipe $0.00 0 Water Service $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Calitornia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 1 BO days. ' INSPECTIONS: In order for the work aulhorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspeetiona end finel epprovel must be obtained. Failure to obtain inspections and final approval will result in tha ezpiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 244&48 (fl�00) WORKERS'COMPENSA710N DECLARATION: I heroby ettirm under penalty of perjury one of the tollowing tleclarations: ❑ I h ve end will maintain e certificate of consent to self-Insure for workers' compensation, as provided for by section 3700 of the Lebor Code, for the pertormence of the ork lor which this permit is issued. _�I have end will maintain workers' compensation insurance, as requirad by section 3700 of the Lebor Cotle, for tha pedortnance of Ihe work for which Ihis pertnit is issued. '�--My workers' compensation Insurence /c�arder end policy number ere: CaLner. s%14'T.� /- V%�� r-Policy�Num6er� �� Z� Z�7 � -,(Th15;5ecNomneetl nat 6e completed illhe Oermit is velued af one hundred dollars ($100J or Iess.J �---�_,�- ❑ I certify ihat in the peAortnan �� work for which ihis rtn is issued, I s�all not employ any person In eny manner so as to become subject to ihe workere' compensetion lews of Calif ia, e egree Iha if I sho b ome sub�ecl to ihe workars' compensetion provisions of Section 3700 oi ihe Lebor Cotla, I shall forihwith comply wlih ihese provisi s. d Awpp� �a�n1:SlgneNre:"�^+ . �^ � �� -rDele:- � ��S � / �WAHNIHO.'FAICURE TO SEWRE WORKERS' CAMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPL�OYERTO CFIMINAL PENALTIES AND CIVIL FINES UP TOIXJE HUNDRED THOUSAND DOLLARE ($100,000�, IN ADDITION TO THE COST OF CAMPENSATION, DAMAGES AS PiiOVI0E0 WR IN SECTION 3]OB OF THE L4BOR WDE, IMEREST, AND ATTORNEY'S FEES. LICENSEDCONTRACTORS DECLAHATION: I herahy aHirtn that I am licensed under rovision ot Chapter 9 ommencing with Section 7000) ot Division 3 Ij [�df,,,Business and P ofe sioj� Cotle, and my license is in tull torceand.eHect'Lk�N-�-�-� 9��. Classq�/J 'r �`"` a Co��nt'ac��to,Y�s Signature:"F �E '•- ate: %�� .5�- O g d`��. CONSTRUCTION LENDING AGENCY: ^ �'� ' ❑ I hereby attirm thaf there is e construction lentling agency for ihe pertormance of Ihe work for which ihis permit is issuetl. (Sec. 3097, Civil Code). Lender's Name: Signoture: _ OWNER-BUILDER DECLARATIONS: Lender's Atldress: Date: I hereby eHirtn thel under penalry of perjury thal I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business end Professions Code: Any ciry or counry which requiras a permit to construct, alter, improve, demolish, or repair any strucNre, prior to its issuance, also requires the applicant for such pertnit to filo e signetl statement ihat he or she Is Ilcensetl pursuant to the provisions oi the Contractors License Lew (Chapter 9(commencing with Section 7000) ot DlNslon 3 of the Business and Professions Code) or ihet he or she is exempt Iherefrom end the basis tor ihe alleged axemption. Any violetion of Section 7031.5 by eny applicant tor a pertnit subjects the applicant to a civil penalty of not more than five hundred dollers ($500).): ❑ I, as owner of ihe property, or my employees with wages as iheir sole compensetlon, WILL DO THE WORK, and ihe structure is not intendetl or ottered tor sale (Sec. 7044, Business and Protessions Code: The Contractors License Law tloes not apply to an owner oi property who builds or improves thereon, and who does such work himself or herself or ihrough his or her own employees, provitled ihet such improvements are not intended or otteretl tor sale. If, however, ihe building or improvement is sold within one year of completion, the owner�huilder will have the burtlen of proving ihat he or she did not build or improve tor purpose of sele.). ' ❑ I, e5 owner of Ihe properry, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to Consiruct the project (Sec. 7044, Business antl ProfeSsions Cotle: The coniractors License Law does not epply to en owner of property who �uilds or improves thereon, entl who coniracts for such project with a contractor(s) licanse pursuant to the Contmctors License Lews.). ❑ I em exempt under sec. Business end Protessions Cotle for ihis reason: Signature: Date: Owner ID verified by dnvers license. ❑ Ves ❑ No Driver's License No. Verification of Ownership by (type of document, I.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Expires: ❑ I hereby certify ihat no excavation five (5) or more feet in depth into which e person is required to descend, will be mede in connection with work authorized by this permit, and that no building siructure, scettolding, falsework, or demolition or dismantling thereof, will be more than �hihy-six (36) feet high. (ChaD� 32, Grp 2, Art 2, Sec. 341, Tille B, Califomia Atlminisirative Cotle). ❑ As owner-builder, I will nol employ anyone to do work which would raquire e permit from ihe Division of Intlustriel Sefety, as notetl a6ove, unless such person has a permit to tlo such work fmm Ihe divisian. Signature: Date: Division of Industnal Safery Pertnit Number: CERIIFlCA7E OF COMPLJANCE AND AUIHORVA710N OF ENTRY: I cehify under penalry of peryury that I have read this appliration antl state ihat ihe iniortnation given is corract. I agree to compty with ell stete laws end ciry ordinances relating ro building constmction, and authorize representatives of t�e City ot Costa Mesa to enter upon the ebove-descnbetl property for inspection purposes. I egree no� to occupy or ellow wcupancy of any building euthorized by this permit until finel inspection. �F�', INSPECTIONTYPE 1616 Fizetl System Final Fire Prevention 1266 Pool Spe Final 200 Final Re-Roof 201 Final BIocWRetaining Well 202 Final Factory Fire Place 203 FinalSign 204 Final Demolition � GODE� INSPECTIONTYPE 206 Final MeChenital 208 Finel Plumbing 210 Finel Electrical 212 Finel Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building�Occupancy �Q p7.�i�I:iitiL\S� '7-L8 d`i � (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR ORIVE, COSTA MESA, CA 92626 BUILDING PERMIT y Job Address: 2441 ELDEN AV Suite: Vicinity: Parcel Number: 43928137 i . :' Applicant: CASAS, JIM Address: Zoning: Phone: 949-584-5162 Zip: Owner; DECINCES, DOUGLAS AND KRISTI Addresa 12 STRAWBERRY FARMS ROAD IRVINE, CA Contractor, DEL MAR MASONRY Address; 26572 NACCOME Phone: 949.417.4280 Zip: 92612 Phone: 949-061-0449 ISSUED BY: Status: ISSUED Applied: 03/23/2004 Issued: 03/29/2004 MISSION VIEJO, CA Zip; 92691 License: 734035 Arch : Eng: C.J. ATKINSON Address: Address: 2702 N. 44TH ST Phone: 200 Phone: 602-972-9392 PHOENIX,AZ Zip: License: 85008 License: 54055 SCOPE OF PERMIT 200 LINEAL OF pR0T0 II WALL FOR FUTUfiE SINGLE FAMILY DEVELOPMENT. REF: G03-00027. � Plan Check; $24521 Permit; $37725 SMIP Res; $2.40 SMIP Com; $0.00 Other, $0.00 Inspection; $0.00 Total; $624.86 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY � Front 0-0 PARKING Existinq: o NOTES: Rear 0-0 Rear 0-0 Re uired: 0 FEE SUMMARY PLANNING 8 ZONING Lek 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0-0 Right 0- 0 sza,000.00 52a,0oo.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 1, 72-21-92) EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or if work is suspended or abandoned tor a period o� 780 days. INSPECTIONS: In order tor the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required inspecttons and final approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration ot this permit. FOR INSPECTIONS CAI.L: (714) 7545626 26a6d61Cil00) WORKERS' COMPENSATION DECLARATION: I hereby ettirm under penalty of peryury one o� t�e tollowing declarations: ❑ I have and will maintain e certificate of consent to self-Insure for workers' compensetion, es providetl for by section 3700 of the Lebor Code, tor ihe pertormance of the � /Wark for which �his permit is issued. L7yi have and will maintain workers' compensetion insurance, as requira0 Dy section 3700 oi the Labor CoOe, for Ihe pertortnance of the work for which Ihis permit is issued. 1` My workers' compensation Insurance camer end policy number ere: Carder: policy Number: (Thls secfion need not be completed it the permit is valuetl at one hundred dollars ($100) or less. J ❑ I certify ihat in ihe peAo�mance oi tha work for which this pertnit is issued, I shall not employ any person in any manner o as to become subject to Ihe workers' compensation lews of Calijqrnia, antl egree ihat if hould become sublect to the workers' compensation provisions of ection 37 0 of the ebor Code, I shall torihwith compty with these provi5(i6/pk/. ' ApP��ent Signature: �/[.�_/�2��2 . Dete: � WARNING: FAILURE TO CU E WORKERS' COMPENSATION COVERAGE IS UNIAWFUL AND SMALL SU&IECT AN EMPLOVER TO CRIMINAL PENAL IES ANO p IL FINES UP TOONE HUNDRED T/KKISAND OOLLARE (�), IN ADDITION TO THE COST OF COMPENSATION, DAhNGES AS PROVI�ED FOR IN SECTIqJ 3)O6 OF THE L4BOR COOE, INTEREST, PND AiTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I herBby affirm tha� I em force and eHacL Lic. N Contractor's SignaNre 9(commencing with Section 7000) of Division 3 of the Business and Professions Cotle, anA my license is in full class a �� ., � ,� � Date: CONSTRUC710N LENDING AGENCY: ❑ I hereby aNirm �hat iherE is a consimction lending agency for ihe performance of the work for which ihis permi� is issued. (Sec. 3097, Civil Code). Lender's Name: .__ . _ _. _ . _ Lender's Address: Signature: OWNER-BUILDER DECLARAnONS: Date: I hereby aflirm thet under penalry ot perjury Ihat I em EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, Business and Professions Code: Any ciry or county which requires a permit to constmct, alter, improve, demolish, or repair any simcture, prior to its issuance, also requires tha applicaN for such permit to file a signed statement that he or she is licensetl pursuant to Ihe provisions of the Comrectors Licensa Lew (Chapter 9(commencing with Section 7000) ot Division 3 of the 8usine55 end Pmfesslons Code) or thel he or she is enempt therefrom and the basis br the alleged e:emption. Any violetion oi Section 7031.5 by any epplicent for a permit subjects the applicant to a civil penalry oi not more ihan tive hundretl dollars ($500).): ❑ I, as owner of the propeRy, or my employees with wages as iheir sole compensation, WILL DO THE WORK, and ihe s�ructure is noi intended or oNered tor sale (Sec. 7044, Business antl Professions Code: The Contractors License Law dces not apply to an owner of property who builds or improves ihereon, antl who dces such work himselt or herself or ihrough his or har own employees, providad that such improvemenis are not inientled or oHered for sale. If, however, t�e building w improvement is sold within one year ol completion, the owner-builder will have ihe 6urden of proving ihat he or she did not build or improve for purpose of sale.). ❑ I, as owner of Ihe propetly, am E%CLUSIVELY CONTRACTING WITM LICENSED CONTRACTORS to constmct the project (Sec. 7044, Business end Professions Code: The conirectors Ucense Lew does not apply to an owner of pmpetly who bu➢ds or improvas thereon, antl who coniracts for such project with e contractor(s) license pursuant to the Gontradors License Laws.). ❑ I am ezempt untler sec. Siqnawre: Owner ID venfied by drivers license. ❑ Ves ❑ No Business and Profassions Cotle for this reason: Veri/ication of Ownership by (type of document, i.e. - pmpeny tax Dill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Drivefs License No. Date: Expires: ❑ I hereby certify �het no ex�avation five (5) or more faet in tlep�h into which e parson is required to descentl, will be mada in conneclion with work eutho�zed by ihis permit, and that no builtling structure, sceflolding, falsework, or tlemolition or dismantling thereot, will 6e more than thirty-sis (36) feat high. (Chap. 32, Gry 2, Ar12, Sec. 341, Ttle B, Calitomia Adminis�ra�ive Coda). ❑ As owner-builder, I will not employ enyone Io do work which would require a permit from Ihe Division of Indusirial Safery, es noted ahove, unless such person has e permit t0 do Suth work f�om ihe divi5ion. Signature: Date: Division of Industrial Safery Pe�it Number: CERTiFlCA7E OF COMPLIANCE AND AllTTfORIZATION OF ENiTiV: I certify under penelty of perjury ihat I have read ihis application and state ihat the intormation given is correcL I agree b comply witp ell state laws end ciry ortlinances relating to building construction, antl authodze �epresantatives of ihe City of Costa Mesa lo enter upon the ebove-descnbed property for inspection purpases. 1 agree not to occupy or allow occupency of any building authonzed by this permit until final inspection. CODE �. INSPECTIONTYPE 1616 Fixetl Syslem Final Fire Prevention 1266 Pool Spa Finel 200 Final Re-Roof 201 Final BIocWRataining Wall 202 203 204 Final Factory Fire Place Final Sign Final Demoli�ion ll]i�liuW1S�. �r�■ � . � . COpE• INSFECTONTYPE 206 Final Mechanical 20B Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Sita 250 Final Builtling/Occupancy P�g MIIDA4fi MAY-21-2004 10:14 ESIiFME ESI/FME,Inc. StructuraJ Engineers & Gonsu/fa Fax Cover Sheet: 714 835 2819 P.01/03 Number of puges (iac�uding this Cover Sheet): �_ pnte: S2i p Time• • COMPANY: �� % =A— Al]D�SS: ATTENTION: •:• FA<Y IVUMBER: i rr�o,r�Cr: C%��G,��/ x�: ��.e�� i,v �'.��✓cs C'a,f /.3�. o�� 6� �/.,.. L�E� o/-' �� .s� ^ "n . - - ^ i .��,•/ C..c_ o J.B.� . ESI / FME INC. FROM: �f�Li�s1� �%!9.✓Jff/1�� • ESI / FME J.N. PLEASE NOTIFY SELYDER Q PHOP7E (714) 3352800 LF AL.T, PAGES ARE iVOT RECEIVED_ 1800 E_ 16TF3 STREET, SANTA ANA, CA 92701 '(7l4) S35-Z300 ' FPJC (714) 835-2819 OS/21/04 10:15 TX/RX N0.7391 P.001 � MRY-21-2004 10=14 ESI/FME ESt/FME, inc. STRUCTURAL ENG/NEEf�S DE$IGN�QF CONCR TE S..LAB�_for E�pan�ion�ex.= ?2or laraer_: LONG D1RECilOIV Reference: 1997 U.B.C., Chapter 18, Section 1815 Plasticity Index, P.I. 34 1. Figure 18.111.4: Cw = 15.0 2. Figure �8.111.8: I.C. = 0.23 3. Figure 18.'111.7: Maximum Spacing of Bms = 16.0 feet 4. Figure 18-1'11.6: I c = 7.2 ft. 714 835 2819 P.02iO3 (from soils's repert) 5. Figure 98.111.5: (L = 19 ft.) k = 0.65 6. Figure 18.111_1: As fy = 3800 7, f y= 36.0 ksi As = 0.110 in�lft. 5LA8_Q�SIS�N: Note: Max. bar spacing = 18" o.c., min. slab thickness = 4" (Sec. 1815.7) For # 3 bars, max. spacing = 18 " o.c. (18" max.) USE __ _4 " TWICK SLAB W! # 3 BAR�_ 18 " O.C. ElW.. p��GN OF_GRADE_�EAM: Data; w= 250.0 psf No. of beams = 3.0 k= 0.65 b= 12 inches L' = 16.0 ft. h= 18 inches Ic = 7.2 ft. d= '15 inches Lc = k Ic = 4.7 ft. K*1.33 ( ACI 10.5.; p` = 0.0015 (see ACI Flexure Table 1.1, fc = 2.5 ksi As = p b d= �.27 in' (fy = 40,000 �rs acivai = file : 2293 . P1 FSU . wka F=bd'l12000= 0.2 M= w L' ( L c)� / 2=103.7 k-ft M(per bm) = M/# bms 34.6 k-ft K(perbm)=M/F= 153.6 K(perbm)=M/F= 204.3 defl.= w{LC)^4 L/ 4 Ec I = 0.021 in. Allow. defl. = Lc / 480 = 0.1 in. V= w L' Lc = 19 kips _ v= V!A = 41.6 psi < 1.1 Pm = 50.p • • h • �- b �i � 05/21/04 10:15 TX/RX N0.7391 P.002 � MRY-21-2004 10�14 ESI/FME ESI/FME.Inc. STRUCTURAL ENG/NEERS DES1SzN _.OF _CO�CRE7�� BS_f_�* Ex�ln�ion_Jndex � or.lar�.er.: LONG DIRECTION Reference: 1997 U.B.C., Chapter 18, Section 1815 Plasticity Index, P.I. 34 1. Figur� 18.111.4: CW = 15.0 2. Figure 18.�'11.8: I.C. = 0.23 3. Figure 18.171.7: Maximum Spacing of Bms = 16.0 feet 4. Figur� 18.1 � 1.6: I r - 72 ft. 714 935 2819 P.03iO3 {from soils's report) 5. Figure 18.11 (L=19ft k = ShBet 2'� p� osizo�2oo4 JN. 3948 6. Figure 18.111.1: AS fy = 3800 7. f y= 36.0 ksi As = 0.110 in�lft. S.LAB_D�SISN: Note: Max. bar spacing = 18" o.C., min. slab thickness = 4" (Sec. 1815.7) For # 3 bars, max. spacing = 18 " o.c. (18" max.) USE__ _ 4" THICK SLAB W/ # 3 BARS.@ __ 18 "O.C, E/W DESIGN OF_GRADE BEAM.: Oata: w= 250.0 psf No. of beams = 3.0 k= 0.65 b= 15 inches L' = 16.0 ft. h= 18 inches Ic = 7.2 ft. d= 15 incFles Lc = k Ic = 4.7 ft. K'1 _33 ( ACI 10.5.: p= 0.0015 {see ACI �lexure Table 1.1, fc = 2.5 ksi As = p b d= U.34 in� (fy = 40,00� F=bd�/12000= 0.3 M = w L' (Lc)2/2=103.7 k-ft M(per bm) = M/# bms 34.6 k-ft K(perbm)=M/F= 122.9 K(perbm)=M/F= 163.4 deFl.= w(Lc}"4 1.14 Ec t = 0.017 in. Allow. defl_ = Lc ! 480 - 0.7 in. V= w L' Lc = 19 kips_. v= V/A = 41.6 psi < 1.� fm = SO.p USE 2 -# 4 BARS TOP 8 BOTTOM _._. _._.._.. . - (As aotual = 0.4 in') � fIB= 2293.P1FSL'I.wk4 TOTf7L P.03 O5/21/04 10:15 TX/RX N0.7391 P.003 r� ��Q COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 CO�A MEBA. GLIFORNIA For Applieant fo Fill In Complefely COSTA MESA. CALIFORNIA ?� � ; ��"/�.4rt 2 �/y/ /-`L /�� '!�7/NO. /YI/l�(\V�] NO. OP e�ooe. %SY I NOW ON LAT ■ 86TBACK LINH IflOM i_ i DESCRIPTION OF WORK BUILDING J �% � NO. OF /� SIZE � /"L IfY00MS �y� &TORI/ES EXTERIOR WALL J `ROOF (/ n � {i COVERING S/v<<"'ICOVERING .(W�/�-- U6H OF BUILDING AND WORK TO BE PERFORMED 1 HEPl9Y ACIWOWLHOGe THAT I XAVE qGAD TXIB APPYGTION AND BTATE THAT THE ABOV¢ IB CORREGT AIm AGRE6 TO GOM• PLY WITH ALL GITY OfiDW 9 �ND 6TAT6 W9 pi6ULATING BUILDIN6 CONBiRULT/ � 61GNATURE OF PERMITTE /' • r �y ' - `-'lN � AUTHORIZED AGENT FEE RECEIVED JUL 171961 p c(1� FtNANCE DEPT. , narut�iri� 6a6�IP�&8R BUILDING For Offite Use Only ae�s��, xo. ��r� � d BY DATC HeC IV¢D 6 IBBU 7-� �—� i � �'� ( BUILDING q ,/,/ I_R �'/ /�_ ADDRH88 .�L N�.l. 1 e� iC[C COSTA MESA. CALIFORNIA FIRE � LI I PIJ�Ne �I BUILDINO l a.s 1 tr ffi ICY�.. 3 o g .� ,W-, ��e�, � TNH AMOUM �HOWN UNDHH VALUATION I! IOR TXE PUfIPOBE OP EHTABLl8NIN0 A PBRMIT FQ ONLY. VALUATION PERMIT FEE $ •��- � S � J� � 1 �' PIAN CHEGK $ � � �