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Home My WebLink About1104 DENNIS DR - Building Permits`E5M5 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING I I n11 (ICL I IIG- r"-117 Properties West Development OWNER MAILp ADDRESS 508 29th Street CITY New ort Beach Ca. NOL 6 -4 1 CONSTRUCTION LENDER BRANCH ADDRESS ARCHITECT Frank S an ler TES' -0 2 OR ENGINEER ADDRESS 2240 Newport Blvd., :!OV t 0-77PNs400 537* ***103.36 APPLICATION FOR STRUCTURAL PERMIT RECEIVED BY I DATE RECEIVED r TE 19RUPn BUILDING ADDRESS pertiies west Leveio R es. Atd, Car, VALUE CONTRACTOR uwner BY ADDRESS TEL. NO. OF v CITY NO. PLANS F STATE CITY YARDS APPROVED EI, DATE II" ;I USE Of BUILDING YARDS APPROVED ACCESSORY BUILDIN, FT. DATE APPROVED n LIC. NO. LIC. NO. MAIN BL W SIZE NO.OF BLDG S. (FROM C/LS 0. OF LOT NOW ON LOT N7 a USE OF G D EXISTING BLDG. PERMIT FEE s u n PLAN CHECK $ 99-50 FSeparate permits are required for L SIDE / electric, plumbing and heating work. G REAR USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BEI AMAIN BLOCS. Construct single family 3 bed- R 0 cU.v. a } room house, Plan #2 APP a 0 1 hereby acknowledge that I have read th pplication d state tY. that the above information Is correct en agree to comply with well r 0. all laws regulating building construction, and 1 shall not employ Z any person In violation of the workman's compensation laws of 5W the State of California. 3 1 hereby certify that I am properly licensed as a contractor under THE AMO the State of California Business and Professions Code, Division 3, Chapter 9, and that such licenses are in full force and effect, or 1 THE PURP( em exempt from the provisions of the State of California Business VALUATION antl Professions Code, DI i4lop 3, Chapter 9. Signature Permittee -- s55,100 Authorized Age t EI, DATE II" ;I USE Of BUILDING YARDS APPROVED ACCESSORY BUILDIN, FT. DATE APPROVED n TOTALPAID 41/89,34 PEC Al_ R7(7, ? .!, ENT m 2,057 OWN UNDER VALUATION IS FOR D ESTABLISHING A PERMIT FEE ONLY: PERMIT FEE s u n PLAN CHECK $ 99-50 e TAX It 3.86 TOTALPAID 41/89,34 (714) 754-5273 • Fax (714) 754-4856 • www.cl.costa-mesa.cSWILDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 1104 DENNIS DR Suite: Vicinity: REAR OF RESIDENCE Primary Occ: Parcel Number: 41207445 Applicant: TRACHY, GARY Address: 343 W FLETCHER AV ach Type of Construction: V -N Zoning: R1 Phone: 714-493-9850 Zip: 92865 Phone: Zip: " 92626 -1651 - Phone: 714-493-9850, - License: 310970 Eng: Status: ISSUED Applied: 07/12/2006 Issued: 07/12/2006 ISSUED ji� % IN Address: -- Address: Phone: - - Phone: Zip: License: - License:. SCOPE OF PERMIT CONSTRUCT 250. S.F. PATIO COVER TO REAR OF S.F.D. \ _ FEE SUMMARY Plan Check:. $72.31 Calc Valuation: $4,630.00 Permit: $111.25 Claim Valuation: $1,800.60 SMIP Res: $0.50 _ SMIP Com: $0.00 = Other: $0.00 Inspection: $0.00 — Total: $184.06 PLANNING &ZONING SETBACKS , MAIN STRUCTURE Front 0-0 Rear 0.0 Left' -0-0 Right 0-0 , ACCESSORY Front 0-0 ,Rear 0-0 Left 0-0 .-_Right.- .0-0 ' PARKINGExisdn : 0 ,Required: 0 Proposed: 0 ; NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements 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 commenced within 180 days, or if 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 required Inspections and final approval must be obtained. Failure to obtain Inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 twnni ORANGE, CA _ Owner: WONG, EIMEI TR Address 1104 DENNIS DR COSTA MESA, CA Contractor:/ GR,M CONSTRUCTION INC Address: W FLETCHER AV ' x!343 ORANGE,,/CA'/ Zip: 92865 'r ach Type of Construction: V -N Zoning: R1 Phone: 714-493-9850 Zip: 92865 Phone: Zip: " 92626 -1651 - Phone: 714-493-9850, - License: 310970 Eng: Status: ISSUED Applied: 07/12/2006 Issued: 07/12/2006 ISSUED ji� % IN Address: -- Address: Phone: - - Phone: Zip: License: - License:. SCOPE OF PERMIT CONSTRUCT 250. S.F. PATIO COVER TO REAR OF S.F.D. \ _ FEE SUMMARY Plan Check:. $72.31 Calc Valuation: $4,630.00 Permit: $111.25 Claim Valuation: $1,800.60 SMIP Res: $0.50 _ SMIP Com: $0.00 = Other: $0.00 Inspection: $0.00 — Total: $184.06 PLANNING &ZONING SETBACKS , MAIN STRUCTURE Front 0-0 Rear 0.0 Left' -0-0 Right 0-0 , ACCESSORY Front 0-0 ,Rear 0-0 Left 0-0 .-_Right.- .0-0 ' PARKINGExisdn : 0 ,Required: 0 Proposed: 0 ; NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements 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 commenced within 180 days, or if 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 required Inspections and final approval must be obtained. Failure to obtain Inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 twnni DECLARATIONS WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: - ❑ 1 have and will maintain a certificate of consent to self -Insure torr w _,_work for which this permit Is Issued. orkerslimpensetlon, as provided for by section 3700 of the Labor Code, for the performance of the —I have and will maintain workers' compensation Insurance, as required by section 3700 of the Labor Code, for the performanca of the work for which this permit is Issued. My w rke ' compensetlon Insurance carder antl policy number ere: _ G, I ( `Cerner: [ `-FEND „Policy.Number. �y ( OO 7j � lY S9 5(Rlls'section need not be completed /f the permit is valued at one hundred dollars ($100) or less.) ❑ 1 cartity that in the per drnance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws o1 Ce+jiornia, and agree that If I should become subject to the workers' compensation provisions of Sectio 3700 o the Labor Code, I shall forthwith comply with these provis'ollltl plicantSignatu`re: �� `� Date:----- ,.WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERA E IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTI S AND CIVIL FINES UP TO ONE HUNDRED ;THOUSAND DOLLARE ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provlslons of Chapter 9 (commencing with Section 7000) of Division 3 of the B ass end Professions Code, and my license is in full -force and effect. Uc. N (9 rl ,Class e `.Contractor's Signature: - D lel.., _ Fr..Ate: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER -BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professlons Code: Any Gry or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to Its Issuance, also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she Is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure Is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors Lloense Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not Intended or offered for sale. It, however, the building or Improvement Is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ' ❑ 1, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ 1 am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑ Yes ❑ No Driver's License No. Expires: Verification of Ownership by (type of document, I.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 hereby cer ity that no excavation five (5) or more feet in depth into which a person Is required to descend, will be made in connection with work authorized by this permit, and that no building structure, scaffolding, lalsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high, (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, California Administrative Code). ❑ As owner-bullder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 2D) cubic feet of compressed gas at standard temperature and pressure). ......._................._..............._....................prese..........................___..........._...........ed to__........._..—......_...........�....................................._..........__._.__.__.._.._.. . ......... 2 Does or will the applicant or present or future building occupant need to lila a registration torn for acutely hazartlous materials? ❑Yes ❑ No (Section 25533 of the Callfornla Health and Safety Code, with some exceptions, requires registration with the Costa Mese Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). ............_ ......... ..... __......................... ............................. ........._._...................................._..................... __...................... ____........ _............. _...... _.... _.._........................... _......... _........... -.............. __.......... __ 3 Does or will the appplicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and tiling with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. ............................................................................................................................................................................................................................................................................................................................................................................................ 4 If en RMPP is presently required, has Section 25534 0l the California Health and Safety Code been fully complied with? ❑ Yes ❑ No ........................................................................................................................................................................................................................................................................................................................................................... _.................. . _........ 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this a plication a $emit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). ......................................................................................................................................................................................................................................................................................... ......................................................................................... 6 Will any pen of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes No (It -yes-, the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). ............................................................................................................................................................................................................................................................................................................................................................................................ 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which Is the subject of this application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No ............................................................... ................ ._........................................ _....................... __._.................................... _.............................. _................................................................................ ...................... _..._..................... _..................... 8 (If -yes-, attach cortificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANC - D AUTTiORIZAT10N OF ENTRY: I certify under penalty of perjury that I have read this application and state that the Information given is cored. I agree to comply with II tate laws end city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the above-described property for in pe tion purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. ignet re Of Legal Owners) Date 7 �2 O _And/O thodzed plic____/. . _ . - —�Dal CODE t. INSPECTION TYP L QZTE IRMA CODE I INSPECTION TYPE gnTE INTTIA� 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re -Roof 210 Final Electrical 201 Final BlockfRetaining Well 212 Final Fire Prevenffon 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Oocupancy /p -fl�o ADDRESS OF 501LDi 1104 DENNIS DR 'OW1ffAS NAYEIP KNONN: WONG, EIMEI D ADDwEss 1104 DENNIS DR COSTA MESA,CA APPL. MMIwD ADDRESS ARCHITECT OR EWLIEER: ARCH. OR ENO: S ADDRESS: UNT: FLOOD: AHL38 92626 W. N04 UNT: cownA«DITsNwE LINNERT ROOFING INC (714)632-1900 CONIRACTORSMNIDIG 2851 LA CRESTA AVE ADDRESS: ANAHEIM CA uCNo: 6321900 92806 UNT: LICENSED CONTRACTORS DECLARATION: I hereby porton uMer penalty d perjury that I am ficemtl ruder poeiond vie Chapter 9 m (comeacirg, with Section 7000) of Division 3 a IM Budsea end Praesaima Code, end my Oserse is W la in Ice aeked d . cmuC.No.:: 062160 uc.cuss: C39 uC..NNO.: �6j3219/000 EXP: 05/98 Dere- Cowma: OWNER BUILDER DECLARATION: I hereby alfitm uMer penalty d perjury That I am exempt Icon IM Coraafam Lioame law la the Mbwkg, reason (Section 7031.5 Business and Professional Code: Any City or county amch "was a p oras to construct. Ma, bnWmar, demdeh, a repair any structure, pdr to ts issuance. also "am IM appears for such Perest to fib a epsed swemem than M or eM I kmmed pumnnt to the paviaons d the Contractors license low (Chapter 9 (commavag, arch Saaion 701 of Division 3 a the dusimss ad Prdmiiae Codel or that M or she or memp therellan and IM hame for the singed mamption. "violation of Section 7031.5 by any applicant for a Permit anbjectm the -ponce in - "penalty of and mon Ihw live hurdrsd dellen ISSOOD. ❑ 1, m omw d the property or my emplamee mh wegee m their auto compamatkm, will m the gmrk, and the structure e M inlaldad or MorM for We (Section 7004, Busing» and Prolmsione Code: The Contractors Limnos Lew does not applylow bwnerd property whe bulde or mpnme Ihemon, and who does such work himself or hersef or Ihrcugh he or her own ampbyese, proyclal that such impovemeaa we ret intended or offered for gate, 0, Wweva, the Wilding, or inprovamaro is sok within aro Yea of complwon, the owsenbuilder vill Mum the Wrdw of prompt M or she dk ret bold or Improve for the propose of see). ❑ I. as owser d the propwy, am mokunay contracting, mirth licensed contractors to mnvw the prapa (Section 7044, Bueirms ad PMeasions Code: The Caaactors L'cenas law does not so* in an ower of Property wlc Wild or inprovm 1Mrsan ad who contracts M wfr projects auh a caaplctoRel Ikansed pursuant m the Cammctors Lloerwe law). ❑ I am asemp under Section: B. A P.C., for Ne pleacn: Dora: Owen . I do hereby CMM Net I em .were a end udantad the rgguimmarts a Callome Ileelth ad Seely Cada Seaiom 25505.255Si, ad 25534. and that I or ay, Mum bdldmp ooarya a will I w0 not (mcn one) mM to oonrphy wlth eek pate codas coal IM requirements kr e carton for constramon or nadioor ion pare lM Air-mwty Vgpemant Cinnot.Re®damst construction appagoism are mane Irons theme provisions. Dae: Applicant: WORKER'S COMPENSATION DECLARATION: I hereby alran uMw penalty of perjury ore of the hdoodn, mdeMiora: ❑ I have and wii m ntee a meth e d wnewt io sMJmum for awkam' oormensatbn, m prwidM fa by Section 37W d the labor Com. la the pertomanse of the work for which this pawn is imuM. f:7 1 Mw ad wii memtan wakwe' wmpangat on imurence, as reatamd by Senior 37M d the labor Com. W IM pMamwxe d IM 7C waklawhimthnPamiteesued.MywalmormAT""MU D "p��am; EXPIRES Carrier: Panay Numbw. 2 6 to— 01/01/98 as motion mad ml he conpbfed If has permft is br ore hwdreC alders IiIMI or Iaas.) ❑ I curtly Nat in the pMomWnce d the Work b which the pemk is eeued, I Mao mI empoy airy paaon a ay menmr oro m 10 because smbpct to IM awrkere' a.'emaian ewe of Cold na.. and apses that f I ehauld bacons abject Io the workers' oornpgnaaian pwgo ns d Section 37W a the Labor Com. I shag forthwith comply wMr Grose awbnro. G e: G 4 7 ApppraN: o--�---� am/np: Fallon W exon.&am conMeneatlon comm" Is unlewtul, andalWl a!/ect en employer to edmfnelpenaltlee anal c/vll flme W N won hundred treatment, "yet, (61000DDI M scalgAn Io c m cwt al compeneatlor, Mmepts m prodded br In 5wdm 3706 of ala Labor Com, lnngra, anal.Mrney'i tens CONSTRUCTION LENDING AGENCY: I haunt apron umw penalty of perjury that them e e ooretadion Iowa rg, Werw.y b the pMamaece of the oak for which the pemE is Awad (Section 3097. Ce. C). LENDER'S NAME LENDER'S ADDRESS: I coney that I hone grad the appliraaan and neo Iha the secure idormaion is conga. I Apple to comply arch a0 city and plumy aduranses ad arae lean Mating, to wwyg constructor, aha haraby author¢a repeseroMvae of the my to grow upon Ina eboamaJioned properly for nupecom p r, TM aRow� I 5*n ara of CemdAprefAppFanVConirada (515146.WP) WhM-Builmg, 6 Salary: Orson -File: Conary oppicam: Pink -Revenue: OoldMnad-Aseeera CITY OF COSTA MESA — BUILDING PERMIT L PERM NO: B 08407 PERMIT NO: B 084075 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: SIR PURPOSE: ALT JOB DESCRIPTION ; T/O RESHEET 6 REROOF MONIER CEDAR TILE SQ FT: 7,000 CLAIM VALUE: 7,000.00 CALC—VALUE: 7,000.00 GROUP OCC: R-3 / COMMENTS: X dbdfi*�***�it�E�f+E+t•reit+r+t�*�r+r*****�r****irirSr+t****ir*�kr�*x�-it***+E*******�**�r��*�****it*�Ex+E*** Z 0 N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- 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 REQ: PROV: PARCEL: 41207445 ZNE: REF NO: PLANNING NOTES,> gy' > **dfi*itxdbiEik*kkif�.**dfi�**iE*irk*it dbdEdEkRdEykdtdtifi*dtiFih*+�k9Edkdt9t9tdk*iE*iEnrdtitdtRh*Rt RE*dr***iH9Ed6iF9E d4****itiE*9i�(' D E V E;L O P M E N T S E R V I C E S R E Q U I R E M E N`T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : DATE: ' APPLICATION ISSUED BY: DATE: *dF df***9f iF*SE 9k**iFiH fe iE it**RE dE *9i df iE fEiE**9E*ii iF iF±PifSF iYiF iF±YK aE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 124.75 70 SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 125.45 0,00 0.00 125.45 125.45 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 125.45 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 124.75 .70 ***d4 dh irk****irk iF irk*>4*if**irk***k**k*irk irk*irk*de df***kale dE dE if df*%1F%dF iF iF iE lE df dE*iE 9E*if dF df iE 9E*iE 9F di alt i6 dF*9F iE dF 9E 9f dE 9E 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 I P T I O N UNIT COST TOTAL COST SFR 7000 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 7,000.00 END OF FEES 08-00-1997/11:15 AWS125.45 RCPTN:01-1010307 PERMIT:084075 CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspactor POO SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53, Steel Reinforcement .3,-Electrical Conduit Utility-Undrgrnd. 54. Forms ' 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test & Electrical LIFER Grnd. Y7, 57. APPROVAL TO COVER-GUNITE Footings 58. Electrical Conduit-Undrgrnd. - 8. Foundation - 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor'System 61. APP ROVALTO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64, Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 7 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. POOLISPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT, REQUIREMENT APPROVALS Permit # • 20. Rough Factory Fireplace - - 21. Ducts, in Structure %Underground 70. Hydro 22. Ducts, Ventilating + 71. Product Piping O'Gas Cl Oil 23. Gas PipeRough &-Test r _� 72. Underground Flush . 24. Roof-Framing 73. Undergrnd. Storage Tank 0 Gas 0 Oil 25. Roof Sheathing v 74. Overhead Hydro 26. T-Bar Ceiling (Structurall & (ono coat 75. Dry Chemical 27. Frame and Flashing' - .�'. 76. Dry Standpipe '.. 28. Lathing & Siding 77'. FIXED SYSTEM FINAL ' 29. Insulation - . ' 7g, FIRE PREY. FINAL 30. Drywall Nailing - HEALTH DEPT: REQUIREMENT 31. Plaster Brown Coat 79. FINAL fhSPECT1ON 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric ! Notes: 34. Final Heating & Air:Conditiomng - - - - - 35. Final Gas Pipe-Test' 36. Hood or Canopy 37. Final Factory Fireplace + 38. Final Plumbing 39. Water Service-Final 4r f 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer. -. .. -43. Backflow Irrigation -. - 44. Landscape Irrigation System.. 45. Sound Attenuation• - 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51, CERTIFICATE OF OCCUPANCY No. Date ADDRFSS OF SIIILMNO: 111,14 U ZIN ry 1 b L OYINEITSILWE IF KNOym: WONG, EIMEI D 1DRIMIh1104 DENNIS DR COSTA MESA,CA A . M011140 AOORESS UNIT: CITY OF COSTA MESA — BUILDING PERMIT FLOOD: AHL38 92626 PERMIT NO: P 081361 PLAN CHECK NO: N CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU ARCHITECT OR ENOD1ffA: M N0.: MCN OR END.'$ ADORES^: UNIT: COMUTOITSN*11i P PLUMBING AND INSTALLA (714)991-9477 CONfPACTORSMARSI0 1588 S ANAHEIM BL .,ANAHEIM 82805 CA uc�r 563793 LAM 3 LICENSED COMPACTORS DECLARATION: I hereby Or under penalty of perjury dW I we I'oer and ur lr aoviwms of Chea. 9 (wmmendrq wish Semon ]0)0) of Division 3 of the RhMes es arM Professions Codeerst mY It. b in foil hxce and effect. cmuc.No.050672 uc.cu,C 36 uc.No.:56P793 EXP: 09/97 yfe: comma«: 6 R BOILOER DECLARATION: 1 heroby affirm uMer perrelY d perNry Ihet em eaeml>t Iran the Cmlreaon License law la the dkw+m raewn (9aaion 7031.5 Bermes. enhd Pmiessias Cade: Any My or county which requhes a perm! Is mruaua. cher, improv, damd'sh, or repel any mr More. prior b he is u . also requires the applicant la each pemw to fib a mined wetemant that he or she is licensed Wenent b the tsmrmioms of she Conlreoon Liceme law (Chapter 9 (aenmencinp with Sedion 70OD) d Oivbion 3 of the Buminest mrd Prdaawarm Code) a Ihet M or ohm b exampl thmahOm and IM been la Na wkded exemption. Arty videl n of Section 703I.5 by any app4rant for a perms aubjede the aW it to a ofd penalty d na mea then Ma hurdrsd soden I$SmD. ❑ I, escr no d the vowy or MY employees with wepes m their som, woods. Wl do the work, mrd Na mrom echis intenOed or dlered W orale(Stiction 7014, euwnees mrd Prohiewom Core: The Contraaas liceme Lew does not apply to en b of pogny who iii or inpewea thereon. arc who does such wok herself or herself or tNagh he a her over employees, pwided arca wdh 'unpemamwm On, not buerdad or Offeree Ior swe. d, howevr, the wiring or knpegwnw b wird wdhd ahs year a mnpMion, the owner wen win hare the burden of I inp he or she did not desk a remove Its Ore Forpess of wile). ❑ I, m owror of the progeny. ant exdusiv* otntrrakp whh lioanwd conummons to oawrua the project (Sector 7044. Brains and pedaa'wu Code: The Cwndw licaesa law dose sol tippy ban mow ws properly Wer duke a lawwes thereon end whe emlracU for each prgeam wN a marwa(a) Ficemad pursuant to the Cwreaas LiMlae Law). ❑ I ern exempl under Sermon: B. 8 P.C.. far this reason: Dere: Amer I do hereby cenify that I em ewre of rest understand the nquiremanb of Celdanu Neagh and Salary Code Swiom 25505, 2553], arst 25531, aM Ihat I or arty rehire heikind ooMwn will /wilt not (cimb She) need to comply with Sail white owes end the requiromanle M a Fermh lorcau0uam amMdicationhanlhe Ai rmy ma rove 0iwrmd. Reskanlia mnstrus. eppimtimsma ezempt tram theta amiaions. Dae: Applipanl: WORKER'S COMPENSATION DECLARATION: I hereby elder under prhahy a perjury ons of the fodow'lad dwermiom: ❑ hev end wilt mainlaw a can the s wod for b Sed-inwro la workers' compansatdn, es provided la by Section 3700 d the Labor Cods. la the Id. d the k la wh'ch this permA b bared. X❑ Iher.sdwme mei wakes'nompe aton iro warw.mnquied by Semn3700dNe �naCode. kv the pe omenealM work for which this permit is issued. My waiws ip. urence mrrbr Out policy mhmlw ere: EXPIRE S C.:JJ 02/01/97 Popvy Number: (Me smolkn need nil Is, campAt"Of I Its, perm, e b am hundred de Ln IStml a Jess.) ❑ I wnly Orr in the prlamenca d the wail Ise whch Ihb pwmh b bared. I shed w empty eery person la en1' mearw w m to became wbiw to the woeyan' wmpenstrom laws of California. W wren shed If I shook bwrne md'ied to the workers' mpenembn Fraeieioes Of Section 37W a the lade Code. I Ned IalhrAh weepy whh thew pro+'vbna. Applirwn: Ing: FeBun ro esuro roMan'rorrperuetlon rovmepa /s ioi r, and SWI sublact en mrvioym to c n d parmltlm end c/dl Rrms eq ro oat hrndrW thousand dofbn ($1040001 M eddltbn to ft inset of rompanaawM1 dennpes as provldad for In S.H. 3708 of tlrs La0or Code, Interest, and 0 .- inr'e fees. CONSTRUCTION LENDING AGENCY: I hereby affirm um Mer pedy d perjury that b there a carMmdion Imsti, agency for the padamanoo of IM work for which this pem it IS issued ISsddn 3097. Cie. C). LENDER'S NAME: LENOER'S ADDRESS: I cre iy Its I hev reed this application and Owe that the above inlammion is cared. I rine to comply with all city rhe ootoy ord'ahmces and store leen rawin0 to buikbp conwrudion and hereby w horbe representatives of this sty to anter upon Ihe ebwa mentionM Mostly JOB DESCRIPTION : REPALCE WATER SOFTNER CLAIM VALUE: CALC—VALUE: PERM NO: P 081361 GOVT: N SUPP: N PURPOSE: OTH SQ FT: GROUP OCC: R-3 / OMMENTS: WATER SOFTNER iE dE iE dE iE iE dE iE HErt 9E iE dE dE iE dE iE di dE 1E**ii dE ii it dErt dE**iE ofd iE lEiE dE*dE*Hi*ii HE*dE*kiEiE oft dE iE dE BEkdEk iF iE 1EHE*dE iE dE iE irk iE dE oft id %dE iE 1t*dE Z O N I N G R E Q U I R E M E N T S S E T B A C K S ----------- MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- RNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN EFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN ARKING REQ: PROV: PARCEL: 41207445 ZNE: REF NO: LANNING N TES> > iE iE lir dE dh*iE 1E*fE 9E iE iE 9E*iE SE*iE iE dErt*iE*kdE iF**iE dE*dE HE*****dE iE ii iE iE ii**iE ii it oft iE iE 9E iE iE iE*kiE iE iE iF iE iE iE iE dE iE iE dE dE*iE iE iE* D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ONING APPROVED BY DATE: UILDING APPROVED BY : DATE: PPLICATION ISSUED BY: DATE: iE**iE*dE iE 1E iF*dF iE IE iE*dE iE 9E 41i iE dE iE iE O.*E TiE iF* iE iE EGALIZATION:N F E E S U M M A i Y STRUCTU SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING ERMIT 8,75 258 SMIP/NON—RES LAN SSUE FEE 22,00 UILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE OTALS ---- > 8,75 22,00 0,00 30,75 30,75 .00 EVENUE DIVISION TOTALS--> COLLECTED: 30,75 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 30.75 irk iiklF dirk*iE iE iE iE iE iE iE iF*$E1E*lir*!f*iE iF iE lE iE iE dE iE if iE iE iE iE***1E if iE SE iE iE iE*SE iE iE iF ib*iE*1E*iE iE iE iE*iE iE iE iE dE oft iE 9E iE dEkiE lir*dE dE I N D I V I D U A L F E E B R E A K D O W N YPE QTY D E S C R I P T I O -N UNIT COST TOTAL COST LU 1 WATER SOFTENER 8,75 8,75 END OF FEES I - 82-84-1997/81:87 PN/538.75 Date: PEkMIT:O81361 /5151�.WP) WI *4knId h0 i Satenc. Greei Carmry-Appirau; Pink-Rewuw; Oakmnod-Asaeswr CONSTRUCTION AND PLANNING APPROVALS Permit # Date fnspector POC SPA APPROVALS Permit # Date Inspecto✓ 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location ' 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms ".%. Electrical Conduit=Undrgrnd. 55. Electrical Bonding _ r'S SSteel Reinforcement. 56. Rough Plumbing & Pressure Test • 6..Electrical LIFER Grnd. 57, APPROVAL TO COVER-GUNITE 7, -Footings _ 58. Electrical Conduit-Undrgrnd. , B. Foundation = -- 59. Gas Pipe, O t1"rvdigrnd., Test 9. Water Pipe-Uncrrgrnd.y. 60, Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVALTO,DECK 11 :'Property Sewer Lina & House Connection 62. Backwash & Receptor -Final 12.. Sewer Cap - _ 63. Heater & Vent -Final -13. Roof Drains 64. Plumbing System - Final -14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final .76. Rough Electric Wiring 67. Fencing & Acdess Approval 17. Rough Wiring sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSPEMS FINAL 19; Rough Heating & Air Conditioning J _ FIR,E,DEPT_REQUIJ:iEMENT .. APPROVALS. _ Permit #K - F- 20. -Rough Factory FYreplace - _; -r x C„ 21, -Ducts, in Strdctuce , 70,_ Underground Hydro ' 22._Ducts, Ventilating - _ -• - - 71, product;Piping 0•Gas Oil 23. -Gas Pipe,Rough & Testr = ° 72. Underg ound Flush - 24'Roof Framing ` '; - _. .. }3. Undergind.StcrageTank ❑Gas OOiI 25. Roof Sheathingr-'= r 73 . 74, Overhead Hydro ` _ 26"T -Bar Ceiling (Structural) &Monocoat Dry Chemical 27. Frame and Flashing '_ = c - 76. Dry Standpipe; - 28 Lathing & Sidin} 77. FIXED SYSTEfy FINAL 29. Insulation = 28., FIRE'PREV. FINAL .. 30. Drywall Nailing HEALTH DEPTuRETQUfREMENT 31. Plaster Brown Coat" = :T-_ •' ' 79. FINAL -INSPECTION 32:_Electrical Power Meter -Fina! 80. FOOD CERTI'PICATE)SSUED 33. -Final Electric 34. Final Heating & Air Conditioning' 35' -Final Gas Pipe -Test 36• -Hood or Canopy - - - ;. - 37. -Final Factory Fireplace 38 Final Plumping 39. Water Service -Final r .�19 C?•.1 _ fv^ _ 40. Gas Service -Final 41. Solar Domestic•Final- �- -- .- 42. Backflow Preventer 43. Backflow Irrigation -44.. Landscape IirigatioP System;,; , 45. Sound Attenuation _46. Handicap Regulations - 47. FINAL STRUCTURE & BUILDING 48 FINAL PLANNING ; 49.7FIectric Release to Edison. - 50. -Gas Release to Southern California Gas Co ' / 51. CERTIFICATE OF OCCUPANCY No. Date