The URL can be used to link to this page

Home My WebLink About2868 DRAKE AVE - Building Permits�STP MfS � fi a. � > . � % u J •�O+�a�mm � N CITY OF COSTA MESA BIIILDING DIVISION N 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax Q74) 754-4856 • www costamesaca.qov PERMIT TYPE APN: 14154501 JOB ADDRESS: vicinity: Squares: 0 FOR INSPECTIONS CALL: (714) 754-5626 B_ROOF2 2868 DRAKE AV CM PERMIT NUMBER: B12-00068 STATUS: ISSUED DATE ISSUED: 0 410 512 01 2 ISSUED BY: CAC Suite/Unit: Valuation: 53,520.00 SCOPE OF WORK: TERA OFF EXSITING WOOD SHINGLES ON ALL ROOFS EXCEPT FOR 2ND STORY. INSTALL 1/2" RADIANT BARIER PLYWOOD AND 30 YEAR CLASS A COMP. 2-15 LB FELT. GARAGE NOT INCULDED . INSTALL BATTERY OPERATED SMOKE DETECTORS ON EACH FLOOR IN EACH BEDROOM AND HALLWAYS LEADING TO BEDROOMS AND ADJACENT TO STAIRS ON THE 2ND FLOOR. INSTALL BATTERY OPERqTED SMOKE DETECTORS ON EACH FLOOR ALSO IN THE VICNITY OF BEDROOMS AND ON EACH FLOOR NOTE:RESIDENTIAL RE-ROOF: Final approval of permit shall not be granted until access to dwelling unit(s) is provided for verification of the installation of smoke and carbon monoxide alarms by the City Inspector. See Attachment wllnspection Card OWNER: PARIS,VINCENTLTR PHONE: APPLICANT: BRENDA 9ELTRAN P FI O N E: 213-749 •-9938 �\F�': CON7RACTOR: SOUTH WEST ROOFING CO Address: 3972 S GRAND AVEUnit: �i�ty/State/Zip: LOS ANGELES CA 90037 v:. ARCHITECT: b� ENGINEER: ;{ i.'i FEE SUMMARY iL Reroof Plan Check: $0.00 Reroof Permit Fee: $9725 fteinspection Fee: $0.00 Bidg Std Admin Fund $1.00 Address: 2868 DRAKE AVE City/State/Zip: COSTA MESA, CA Address: 3912 S GRAND AVE Ciry/State/Zip: LOS ANGELES CA License No. License No. PHONE License No. 826921 213-4464677 CELL: PHONE: PHONE: Unit: Unit: : TOTAL FEES $98.25 q� HOURS FpR CONSTRUCTION ACTIVITY; EFFECTIVE 3178/2010 • PER CMMC Sec. 13•279 c �� Monday thru Friday - 7:00 am thru 7:00 pm. Saturdays - 9:00 am thru.6:00 pm. Prohibilied all hours - Sundays and the following Fetleral holitlays i,,� New Years Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day and Christmas Day Cl '. Ar.i NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related `Iegulations. (Ord. No. 92-2$, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. ,.i IIJSPECTIONS: In order for the work authorized under this permit to be wnsidered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Pailure to obtain inspections and final approval will result in the expiretion of this permit. c, GOUEt. INSPECPONTYPE DATE INPTIAL C0� INSPECiIONTVPE �1F� INTITIALS ,l('i16 Fixed Syslem Finalfire Prevenlion 206 Final Mechanical 1" � iY66 Pool Spa Final 208 Final Plumbing EUO e��Y�'J_ 20Y i31' 203 n �, � �i Final Re-Roof Final Block/Retaining Wall Final FaMory Fire Place Final Si9n Final Demolition /�� /� 210 Final Electnc3l 212 Final Fire Prevention 22o Final Planning Approval 222 Final Site 250 Final Builtling/Oceupancy � WORKERS' COMPENSATION DECLpRqTION: I hereby aKrm under penalty of perjury one of the lollovring declarations: ❑ I have and vrill maintain a certifica(e of consent to self-Insure tor workers' compensation, as provided for by spction 3700 0( Ihe Labor Code, for t�e p ance of lhe work for which thi5 permit is issued. I have and will maintain workers' compensation insurance, as required by sec n 3700 of the Labor Code, for the peAortnance of the vrork for which this permit is issued. My workers' compensation Insu2nce cartier anC policy num�be�J : � t / � (` QGarner. ��'� �—l•� � . (This setlion neetl 1nIX� De wmple(!etlONhe pprmf a <valuetl et an nuntlmtl tloMrs (f f001 abu ) P �Numbe. `t�j � - �.1��1�� >- ❑ I certiy Ihai in the pertormance of t�e work (or which this permit is issued. I shall not employ any person in any manner so as to become subject to t�e workers' compensation aws 6f California, and agree that i( I 5houlA � bewme su ject to e worke • compensation provisions of Section 3700 of ihe Labor �p e I h Hprthwit :omply wiU these prodsions � �' -S� OIZ Ma ��'•��+e at WARNING: FAILURE TO SECU VJpRKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&JECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDRION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DEGLARq710N: I hereby aKrm that I am licensetl under provisions of Chapier 9(commencing Owner ID verified by driver's�e. ❑ Yes ❑ No Driver's License No. Expires: Venfication of Ownership by (rype ot document. i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certiy that no excavation five (5) or more feet in depth into which a person is required to descend, will be matle in conneciion with vrork authorized by this permit, and that no building structure, staflolding, falsewOrk. or demolitbn or tlismantling thereof, will �e mare than thirty-six (36) feet high. (Chap. 32, Grp 2, M 2, Sec. 3a7, 7itle 8, Calitomia Administrative Code). ❑ A5 owner-builder, I will not employ anyone to tlo work which vroulA require a permit from the Division of IndusMal Salery, as noted above, unless such person has a permit to do such work from the division. ApPliwmb SignaWm Divisian of Intlustrial Safery Permit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or fuWre building occupant need to file antl 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 Satety Code requires, vrith some exceptions, that a Business Plan 6e filed vrith the Costa Mesa Fire Department Dy every business which has at any one lime dunng a reported year a quantiry ol hazardous materials equal to or greater than a vreight of 500 pounCs, or a volume of 55 gallons, or 200 cubic feet ot wmpressed gas al standard temperaWre and pressure). vnth Section 7000) o( Division 3 of the Business and Prolessions Code, antl 2 Does or will the applicant or present or future huiltling occupant neetl to file �ens(eJ'/��i1n full forc(en'and eHect. a registration form for acutely hazardous materials? ❑ Yes ❑ No lic. # V l� - l� Class. —� (Section 25533 of the Calitomia Health and Safery Code, vrith some _ �exceptions, requires regislration with the Casta Mesa Fire DeDartment by each business which at any one time has on hand a quantiry of atutety �eu vah r i namra �te hazardous matenals equal to or greater than a weigM of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of wmpressed gas at standard CONSTRUCTION LENDING AGENCY; temperature antl pressure). ❑ I hereby affirm that there is a consWction lentlin9 agency (or the pertortnance of ihe vrork tor which this pertnit is issued. (Sec. 3097. Civil Code). Lendefs Name: Lendets Adtlress: Sipwture Date OW NER-BUILDER DECLARATIONS: I hefeby Biffm �hat Under penalry of perjury lhat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for lhe f0110wing feason (SeG. 7031.5, BuSiness and Professions Cotle: Any city or wunry which reQuires a permit lo wnstrucl, alter, improve, demolish, or repair any slrucWre, prior to its issuance, also requires ihe applicant lor such pertnit lo file a 5ignetl S�atemen� that he or she is licensed pursuant to �he provisions of the Cont2ctors License Law (Chapler 9(commencing with Section 7000) of Division 3 of the Business antl Professions Code) or that he or she is exempt there(mm antl the basis for the allegetl exemption. qny violation o( Section 7037.5 by any applicant (or a permit subjects the appliwnt to a civil penalry ot not more than five hundretl tlollars (5500).): ❑ I, as owner of the property or my employees vrith wages as their sole compensalion, WILL DO THE WORK, and the structure is nol intended or offered for sale (Sec. 7044, Businesg and Professions Code: The Contractors License Law tloes not appry to an owner of property who builds or imOroves ihereon, antl who does such vrork �irrisel( or herselt or lhrough his or her own employees, provided l�al such imprOvements are nol intended or offered for sale. If, however, the building or itnprovement is soltl within one year of complelion, the owner-builder will have the burden of proving Ihal �e or she did not build or improve for purpose of sale.). ❑ I, as owner of lhe propeAy, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct the projecl (Sec. 7044, Business and Professions Code: The wntractors License Law dces not appN �o an rnvner of property who builds or improves Iherevn, and wtio wntracis for such project wiih a wnlraclor(s) license pursuant b lhe Contractors License Laws.). ❑ I am exempl under sec. Business and Professions Code for this reason: SiBne��,e 305J<fi (3ro � 3. Does or will the appliwnt or present or fuWre DuilCing occupant need ro prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the Calitomia Health and Safery CoCe provitles that the Costa Mesa Fire Department may require the preparation, certification anC filing vrith the Fire Department of an RMPP by businesses which are reQuired to register awtely hazardous materials vriih the Fire Department. 4. If an RMPP is presentty requiretl, has Section 25534 of the Califomia Health antl Satery Code been (ulty complied vrith? ❑ Yes O No 5. Does or vrill ine applicaN or present or future building oCtupant require for lhe work which is the subject of this application a pertnit tor such cOnStrut�ion or modifiCalion from �he South Coast Air Qualiry Management District or trom any other air pollution control tli5lrict or agenGy? ❑ Yes ❑ No (Section 65850.2 0l the Calilomia Govemment Cotle requires that the requested informalion be fumished on applications for non-resitlential builtling pertniis). 6. Will any part o( Ihe faciliry to be consWcted under lhis Derml� be within 1000 teet irom the outer boundaries of a school? ❑ Yes ❑ No Qf'yes', Ihe (acility mu5t meet Ihe requirement of SeCti0n5 25534 anC 42303 of Ihe California Healih and Safery Cotle). 7. If a permit fmm the South Coast Air Qualiry Management District or other air pollution control disMct or agency is required for the vrork which is the subject of this appliwtion, have all of the disclosures prescnbed by Califomia Health and Salery Code Section 42303 been made? ❑ Yes ❑ No B. Qf'yes', attach certi(cate o( compliance from the appropriale air polNtion control oKcer). CERTIFICATE OF COMPLIANCE: I certi(y that under penalry of perjury l�e inlortnation given above is correct. I agree to compty with all state lavrs and city ordinances regarding Hazartlous Materials and Emissions. Signatum Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury lhal I have read this aDPlication antl stale ihat the information given is correct. I agree lo comply with all state laws and ciry ordinances relating lo building construction, and authorize representatives ol the Ciry of Costa Mesa to enter upon the above-described pmperty (or inspection purposes. I agree not to occupy or allow occupancy of any building authonzed by this permit until final'mspection. � Sig af e mar�s� _ I 1� D� �•�`, ^ � �Lqpplirant _ e-.• IY 9 _ � . . �,. � ._„ • . OF CO3Ta,ytEsn C�ONSTRUCTION PERI IT : . x i . _ '_ : q . "t:}_' . . . Applicant to fi11 in all spatts except those witnin hcavy borGar Ilnes antl si9n all approvriate tleclarations. � TYPE OF CONSTRUCTION LI NEW LSI ADD L� ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OT E � Owner's Name '��/� /�-� C-f �_!¢R� S Phone7%7-773'j' DE Cq, ION OF WORK/USE OF BIDG. Address aI�g,,6 � �� A,,�'.�/i-'.f��p ' N� Arch/Eng. J�}p�� /i�J ��/!� a'L'Ci� se No. a 97 �iI TYPE OF PERMIT GRA�ING�� FOUNDATIO^N_� STRVCTG Addre55 ��/� ✓� �� G ❑ TENANT ELECTRIGAL 6[J VWMBING ly'MECHANICAL ConlraCtor'SNam K Phonel�y��y �'�THER p PROJECT DESCRIPTION 5r3. Addre551mailing) ^-� 'p�= `��"'�� , COIVSTRUCTIONTVPE— City License No. ZONE LICEfJSED CONTRACTOR DECLHRATION � - // 1 hereby afti�m lbat I am licansetl untler provi5ion5 of Char[¢r 9(commencing Remarks: y� with section 7000) of Dlvision 3 oi the Business antl Professions Cotlo, antl my license is in full orce ana etfect. 70 S License Class - 'cense No.— Date�� Signature � 'NORKERS' COMPENSATION OECLARATION Bd� Sink �ereby affirm that I have a certifi<ate o/ consent to selt-insure or a certiFlcate Worker5' Compensation Insu�ance, o� a certitied copy thereot (Sectlon / Backtlow Preventer 3800, Lab. C.) / � �. Poliey No. � C%�� g'Z Y Company e' -/ Backflow Irrigation �Certlfietl copy Is M1ereby lurnishetl. � ' Q4 Certllietl cop y Is tlletl with Ihe city Buil i g Division. z, Bathtubs 'Dafe ��"'i4�.��APplicant EXEMPTION FROM WORKERS' CO ENSATION DECLA TION / Clarifiers (Thisseclion neetl not be completetl it the pe�mit i5�to� one ntlretl ($3'00) or. - less). '� . � � . Dishwasher 1 certity that ip'lhe Performance of �he wo�k for which this Oe�m�t is ¢suetl,�l � shall not employ any person In any manner so as to beco �e subjCct to lhe Drinking Foun[ains Work¢r5' Compensation LawS of California. Date Signature FIOOr Drains 'NOTICE: If, afle� making ihi5 tleClaratlOn, you shoultl become subject to the Workers' CompenSatiOn provisions of the Labo� Cotle, you must IOrthwith FIOOf$i�ks comply'with such provisions or Mis permil shall be tleemetl rovoketl. CONSTRUCTION LENOING-AGENCV GasService . I nereby a(tirm Ihat there is a conztruction lentling a9ency for the performance of lhe work tor v�lfich� this�nefmit is issued (Section 3097 Civ. CJ �nte�ceptor5 LenEer's Name �v� � �LL Lenaer's AtlEress Kitchen Sink OWNER BUILDEI2 DECIARATION - I herCby afti�m that I am exempt from the Contrattor'S License Law (or the 3 LdvdtO�ieS following reason (Section ]031.5 Business antl Professional Cotle: Any cltY or county which wquire5 a permit to conztruct, alteq-improv¢, tlemolislt or r¢pair P-Trep any Structu�e, priOr to its Issuance, also requireSlhe applicant for SUGh pe�mit to file a signetl sta[ement lhat he/she is licensetl pursuant to [he Provisions oi ROOf D�dins � �he Contractor's License Law (Chapter 9(commencing with Sectlon ]000) ot 'vision 3 of the Busine5s antl Professions Cotle) or that he/She is exempt >reirom antl tne basiz tor the allegetl exemption. Any vlolation of Section J31.5 by any dpplicanl fOr a permit subjects the applicant [o a clvll �enalty of nof more lM1an live nuntlretl tlollars (5500). I, as owner of �he property or my emplOyees with wages as Iheir Soln ReinSpBctiOn F¢B compen5ation, will tlo Iho work, antl lne-5[ructure is not Intendetl o� offeretl for 5ale (Section 7044, Business antl Professional Cotle: The Contractor's License Law tloes not apply to an owner Of a property who builtl5 or improves t n tn n n n �Ut12L5 r_ VALUATION S GRADINGCU.VDS.� AC $15 thereon, antl who tloes suth work himsel /he�se or rou9 is or e� own emplOyoes, prOvlCetl Ihat such Improvemenls are mt intentletl o� oHeretl fo� BOiIE� sale. I1, howeveq lhe bullWny or improvemen[ I5 soltl wi[bin one year of com- pleHon, tM1e owner wlll hava the burtlen of proving he/she tlitl not builtl or im- DUC[ - UOd¢� i�i�OUnd prova for the purpose ot sale�. ❑ 1, as owner ol the property, am ¢xclusively contracting witn Iicensetl con- Duct-Structurel tractorsto consVuct the prolect (Section 7044, Business antl Protessions Cotle: The ConVactoYs License Ww tloes not apply [o anowner ot properW who � Duct- Ventilating builtls or impraves tM1ereon, antl wM10 conVactS tor sucn projects wilh a mn- tractor(s1 licensn pursuant ro the Contractor'S License Law). 1 am aware tha[ � Exhauit Syst2m ❑ MWtiple ❑ proot o( [heir Worker'S Compensalion insurance shoultl be provitletl to me. _ ❑ 1 am exempt un0er Setlion B. & P. C. for this reason Firepl/Fact.8lt. ICBO # Date Owner Heating System & Ducting I hereby cerliry that I have reatl Ihis application antl state that tne abOve ❑O�100,0008TU �100,0006T information i5 Correct. I agree to comply with all city antl county ortlinance5 and state laws relatlnq to builtling consVuction, antl hereby authorize repre- sentatives ot this city. to enter upo he above entionea prooerty for inspectlan p os s. � Signature Date z� Drivers' License or 55 � � - Reinspection Fee $15 CMF 0865-46, rw. 10/B4 Whit¢ - BUII4ing: Canary - App�{cant; Pink - AtGounting; Goltl¢nrOtl - ASSesso� Showers Service Sink Sewer Cap � - . Sewei�Connection Solar Collectors � Solar. Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Aum-Wash Laundry Trays Issue Fae Hood or Typel ❑ Canopy Typell ❑ Fefrigeration System ❑o�ioo,000eru ❑ioo,000aru System Repair/Alteratio Fire Dampers Q(�j�(_, Registers Issue Fee A.P. # �� - S Main Building: E n � T Front p( D ARea C Right � K Left S Ping. Ref. # Planning Not� Automatic Washer ' Construction Pole Su6. N ' Cookin9 Unit � � Dishwasher N • Dryers ❑Gas �Electric � � Fan � F.A,U. Fixtures � � - � � � Device eoxes , � �/ Outlets'� � L O Switches • �� 6 � Garbage Dispoul • $ 3 � + � � Reinspection Fee $15 FEES �. � DEVELOPMENTSERVICESREQI � Zoning APProved By . ."`. ' ' Building Approved By AppL�tion" Issued By + � � $ 3 8691 7/02/B6 407.89 `�. ' . �` w... Ari.:.i....�a.�:r Zone �, Accessory Building: Parking Req./Provided ELECTRICAI Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 700 amps Meler ❑over700amps - Sub Panel MotOrs �0.1 HP O1'h - 8 Inc.Solar �9-15 HP 016-75+ FEES Pole Lighc ,.- Range . � Sign - � � ' Standing Settions N ' Trash'Compac[or� � � IssueFee -� $�3 Z O N I N G R E Q M T S . , ' i "� SUMMARY OF FEES ' � � _ __ BUIL�ING PERMITw $ :�i�.3• 00 SMIP �. $ �_ � PLAN CHECK � - S PEFMIT � = ^ PLUMBING � • S � . ISSUANCE � $ � •,PLAN CHECK,'25% $ S.O'O -. ENERGV P.Ct $ �.ELECTRICAL • �, $ r.i%.00 .GRADING 5 � PLAN CHECK .50% $ �7. —DO MICROFILM $ -- - MECHANICAL, $ � • � � ,� TOTAL FEE $ � � g PLAN CHECK 25% $ • 00 _ ,.. � �',- CONSTRUCTION AND PLANNING . 1' AP�PROVALS Permit # E 1. Temporary Electrical Service or Pole ,, ,2•� Soil Pipe-Unilrgrnd. � �. Electnical ConduiLUtiliry-Undrgrnd.� 4..Electrical Conduif=Undrgrnd. 5. Steel Reinforcement 6. Eleetrical��UFE•R Grnd. 7. Footings�q��S�� _ S:.Foundation ' . ' 9. Water Fipe;Undrgrnd. � 10. Structural Flooi Syst2m ;� 11. Property Sewer L•ine�& House Connection 12. Sewer CaP " ' ' . , . 13. Roof Drains � , � � 14. Rough Plumbing� - ' � 15. RoJg15 Elecvical-Conduit 7 6! •Rough Electric Wiring �`�T• G.� � V c GOnP 17. P�egFrYdi+wrt� '�%G/>Rn.SB 18. Rough Electrical-T Bar Ceiling 19. Rough Heating & Air Conditioning 20: Rough FactorV Fireplace 27. Ducts, in Structure � 22. Ducts, Ventilating 23. Gas Pipe-Rough & Test 24. Roof Framing � 25. floof Sheathing . 26. T-Bar Ceiling (Structural) 8i Monocoat 27. Frame and Flashing 2 . Lathi _ Siding ' , 29. Insulation � 30. Drywall Nailing �' _ r 31. Plaster Brown Coat �.• �s 32. Electrical Power Meter-Final � �� 33..Final Electric � 34. Final Heating & Air Conditioning ! 35. Final Gas Pipe-Test i 36. Hood or CanopY � "� 37. Final Factory Fireplace , 38. Final Plumbing ` 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final . 42. Backflow Preventer 43. Backflow Irrigation - 44. Landscape Irripation System 45. Sound Attenuation � 1 46. Handirap Regulations - '47. FINAL STRUCTURE & BUIIDING '48. Special Requirements Completed ��49. Electric Release to Edison 'S0. Gas Release to Southern California Gas �� g�1. CERTIFICATE OF OCCUPANCY N8� Date Date Inspector ''iu'b� L.f�% 7-/b-8� , L� /0'LTiiK. C..C.Ii ��23-�'L C�/J /O•J•� ! !61'i��.�' �' '��Li G� LiV PO( SPA APPROVALS Permit # 52. Pool & Equipment Location . 53. Steel Reinforcement 54. Forms 55. Electrical8onding 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVER-GUNITE 58. Electrical Conduit-Undrgrnd. 59. Gas Pipe, � U�drgrnd., Test 60. Backwash Lines, P-Trap, O Undrgrnd. 61. APPROVAL TO DECK 62. Backwash & Receptor-Final 63. Heater & Vent•Final 64. Plumbing System - Final 65. Electrical-Final 66. Solar Sy.stem-Fina� - 67. Fencing & Access Approval 68. APPROVED FOR PLASTERING 69. POOL/SPASYSTEMSFINAL fIREDEPT.REQUIREMENT APPROVALS Permit # 70. Underground HYdro � ' 71. Produc[ Piping O Gas ❑ Oil 72. Underground Flush 73. Undergrnd. Storage Tank O Gas ❑ Oil 74. Overhead Hydro � 75. Dry Chemical 76. Dry Standpipe 77. FIXED SYSTEM FINAL 7S. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION 80: FOOD CERTIFICATE ISSUED Notes: /b lC i.bj' �p ,�6 �K .la s�� o� � w,�� Date �Inspector -f/0:• ,/ ' ^ � �� ■ � ■ � � �.. ■�� fl . • � i / i i .j' �. ��' _ �i ■�Y ` . ! � �`_ " � "�i� 'a _ �� r- l� ■ ii.c� . `� , i � � - ' - - . � �.� � � _ _ � ■ s � - -- ■��1� i *.. I� / � I :, � : r;. . � ''�(i% �;;:..:...�1a��.L,�' ��3��'`�' ' :; / C APD�icanl to fill In all spates except t�ose within heavY Oortler Ilnes antl sign all apOropriate tlecla�ations. • CI71�OFcoSra�MGEsa, \CO,,N�,S.'T-RUCTIONPERMIT Project/�ddress' _.,x-0 L � �1'�-�- � Applicant's MailingAddress �� ' �AN�� ' _ 991 Owner's Name ��✓� ��5 Phone Address �� Arch/Eng. License No. Address Contractor'sMameACJ��IU'^�� /3WLa%��/GS phone =-�'�yy�. Address (mailing) /yr �%•� rO�A/dG��' .#'.U. /7LAf;fiVTIF Ciry License No. �n.� �r —7- LICENSED CONTRNCTOR DECLARATION • I hereby aHi�m ihat.l am licensetl untle� p�ovislons of Charter 9(commenCing with se<[ion 7000) ot Dlvlsion 3 ot the uslne ntl Protessions Cotle, and my license is in full f<e antl effect, i yD S3 License Class � cense No.�N Date� �%"9 �T_ Signature WORKERS' COMPENSATION DECLA ION '�ereby ai/irm tnat I have a certificate onsent to 5¢It-insure or a certificate Workers' CompensaGon Insurance, or a certlfletl coOY tbereof (Settion J0. Lab. C.) Policy No. Company ❑ Certifietl copy is hereby furnishetl. ❑ Certl/ietl copy Is �Iletl with the ciry Builtlin9 Dlvlsion. Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This seclion neetl not be Completetl if the pCrmit is for One huntlr¢tl ($100) or less). I certi(y tha[ in the per(ormance of the work for which this perm�[ is Issuetl, I shall not employ any person in any manner so as to become subject to the Workets' Compensation Laws ot California. . Da[e Signature NOTICE: It, afte� mdking this declatation, you shoultl become Subject to.the . Workers' Compensation provisions o� the Labor Cotle, you must forthwith comply wi[h such -p�ovisions or thi5 permit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV . 1 h¢reby afflrm that t�ere Is a ronstruction lentling a9en<y for Ihe perfo�mance of the work tor which this permit is Issuetl (Sec[ion 309] Civ. C.) Lentler's Name . Lentler's Aatlress OWNER BUILDEH DECLAftATION 1 hereby aftirm that I am ¢zemOt from the GonVactor'S Lic¢nse L.aw tor the followin9 reason (Seclion 7031.5 Business antl ProteSsional Cotla: Any'citY or county wM1lch requi�es a permit to const�ucq alt¢r, improve, tlemolislt o� repai� any struGture, prior lo iti i55uance, also reqWres tne applicdnt for such•permit to tiie a signetl statement that he/she is Iicensetl pursuant to tne provision5 ot the Contractor'S License L.aw (Chapter 9(commencin9 wiih Section 7000) ot ^�vision� 3 of the Business antl Professions Cotle) or that he/5M1e is exempt- �ef�om antl the basis for th¢ allegetl exemption. Any v101atlon of SeCtion Q.5 by any applicant for a permit subjects the applicant to a civil �talty of no[ more Ihan five hundretl tlollar5 (E500). b I, as owner ot the property or my empioyees with wa9es as their sole compensation, will tlo the work, antl the structure is not Intentletl or offeretl tor sale (Saction ]044, Business antl Protessional Cotle: The Contrac[or's LiCense L.aw tlOes not apply to an owner ot a properry wno builtls or improve5 thereon, antl who tloas such work himself/herself or through his or her own emploYaes, provftl¢tl Ihat such improvements are nol InlenOetl or otteretl for wle. It, hawever, the bulltling or improvement is soltl wlthin one year of com- pletion, tne owner wlll have the burtlen of provin9 he/she tlltl not bulltl or im- �rove forthe purpose ofsale). ' I, a5 owner ot the properiy, am exclusively tontractlng witn licensetl com tractorz to mnstruct the project (Section 7044, Business anC Pro/essions Coae: The ConVaG[o�'S LicenSe Law tlaes not apply [o an own¢r ot Oroperty who builtls or Improves thereon, anC who contra<ts for such projects wlth a,con- Vactor(s ucanse vursuant to tne Contractor's License Law). I am aware tnai prooi o� thelr Worker's Compensation insurance shoultl be provitletl to me. ❑ I am exempt untler SecUon B. 6 P. C. tor [his reason Date �nspectlon purposes. Signature Drivers' License or 5 Owner ipplicatlon antl state that the above r with all clty antl counry ortlinances '.ruction, antl hereby authorize reore- the above-mentlonetl property tar __ Date /� �� 7 �,�� TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER q,p,# DESCRIPTION OF WORK/USE OF eLDG. � S Main Building: E TVPEOFPEHMIT GRADING FOUNDATION STRVGTURAL T Ffont ❑ TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MECHANICAL A Rear ❑ OTHER C qight PROJECT DESCRIP710N 5p. F7. oCCUaANCY K �CONST0.UCTIONTYPE VALUATION$ S L¢ft ZONE � GRADINGCV.YDS. ACRES PIng.Ref.# Remarks: � ' � Planning Notes:, Sink Preventer, Irrigation Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink - Lavatories P-Trap Roof Drains Reinspaction Fee Service Sink Sewer Cap Sewer Connection Solar Collectors �Solar Piping Solar Tank � 'Swimming Pool w/Spa Urinal Water Closet � Warer Heater Water Service Auto-Wash $15 Boiler Duct - Under Ground Duct - Structural Duct � Ventila[ing Exhaust System ❑ Multiple Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑0.100,000 BTU 0100,000 Reinspection fee �� . $75 ,^.MF OB65-46, rev. 30/84 White - Builtling; Canary - Applicant Plnk - ACGounting; GOItl¢n�Otl - ASSesso� Issue Fee Hood or Type I � Canopy Typell ❑ Retrigeration System Oaioo,000eTu ❑ioo,000eru System Repair/Alteration Fire Dampers Registers luue Fee FEES $.3 $ 3 Automatic Washer Construction Pole Si Cooking Unit Dishwasher • Dryers �Gas OE Fan F,A.U. Fixtures Device Boxes Outlets Switches Garbage Dis{ioul Generator �0-5 KN w 5298 I0/16/B6 � 2one Accessory Building: ' 'Parking Req./Provided ELECTRICAL - Transforiner ❑ 15-50 KW ❑ 50+ KW Meter LJup to 100 amps Meter ❑over100amps_ Iecttic Sub Panel � Moror's O0.7 HP 01 `f. - 6 InaSolar �9-15 HP Oi6 Microwave Pole Light Sign ' Standing Sections 5-15 KW Trash Compactor � Reinspection Fee _! $15 � I luue Fee DEVELOPMENT SERVICES RE�UIREMENTS: Zoning Approved By Building Approved ey Applifation Issued By PtAN CHECK $ PLUMBING . $ PLAN CHECK 25% $ ELECTRICAL - $ PLAN CHECK 50% $ MECHANICAL $ P�AN CHECK 25% $ SUMM% �O�F EES SMIP $ PERMIT ISSUANCE $ ENERGV P.C. $ GRADING $ MICROFILM $ TOTALFEE $ !� 15.00 TL FEES $ 3 2 O N I N G R E Q M T S 0 1\ f CONSTRUCTION AYJD LANNING POOL & SPA APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector i. 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 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. � 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAI TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Recepior-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 75. Rough 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 20. Rough Factory Fireplace APPROVALS Permit # _ 21. DuCts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 77. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72, Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro - 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy ••"' 37. Final Factory Fireplace 38, Final Plumbing � 39. Water Service-Final . 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. $ound Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed � • 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co ' - 51. CEFTIFICATE OF OCCUPANCY . + No. Date _ , AP Me6a BUILDING PERMIT NO. DESCRIPI'ION OF WORK Screened Pati FIRE ZONE VALUE $ 1,990.00 Date GROUP J TYPE V ZONE - SUBCONTRACTOR I PERMIT! i��fn I Nm -' � "`; 24753 CDTY �� i;�:`s;� �:�A COSTA MESA BUILDING-SAFETY DEPARTMENT I P.O. BOX 1200 GOSTA MESA, CALIFORNIA Y2626 , nrT � I4F1'1 � yyy�u,.ri'a�i� au�vi�auW i�. LAll� 7+ �J JOB ADDRESS 28 Dr3k2 Street BUILDING PERMIT NO. 2�7 GENERAL CONTRACTOR pwner-Suilder DESCRIPTION OF WORK COIIVei't exist�� G_ arage AP No. lL�l_91t5-1 LOT TRACT FIHE ZONE VALUE S LQSO.00� LqK'9�� SUBCONTRACTOR and r 24687 ► OOSTA AAESA BUILDINCrSAFEfY DEPARTAAErR P.O. BOX it00 COSTA MEBA� CALIFORNIA 92620 For App►IcaM to F(11 In CompbHly 7YP@ OR PRWT zSG� D��9� �l �° GOSTA MESA, CALIFORNIA �/ND.�� reL� NO✓ v�ais,Q .�iti � ��R - Rco�c�E 'f1iFb.1//! .til/' -i ��sA �.aG/G 8TAT6 C. USE OP DESCRIPTION OF WORK BUILDINO 1 XCR6lV ACRNOWLtDO� TIAi.I XAV6 AND eTAT[ TNAT TH[ ApOV6 19 CORqI PLY WITH �LL GITV �[�IN�MGL 1X� 1 or e�.eo�. i uvw � AUTH0111Z[DAOtNT ' c�rv �F c�sr� r��sa SEP 10 1965 AIPLICATION FOR PERMI �,�ii�'�o�y � ZONING NO.O► Y�[ �un� eVR ws�cn�mauiK. 7"�Q TG.a �� 1 M �\ A.P.NO.�/'�'S�S—i ��v N0T6: NOlAVEOVfiRMANOBMALLE8L688TNAN ` DO• TO HID6 C R6AR P. L M EAV88 �j ALLOWED (U.B.C.RHCUIRGMfiNTI \ YANO{MPROVlD YARDHAPPROVHD MAIN BUILOIN6 ACC6YSORY BUIL INO , I 1FROM GLfTRH[T) � / "` PR NT � "t' � IT. \`� \ R.� ID I � FI'. � 11 �v� L. BID RT.. ReAR ,!I �� . p� � DIHTANCQB6f. BBT.MAIN@ "V- MAIN BLDOY. AGGE89. BLD68. VAR.ii OATB C. . APPROVHD ,��R � q-l3-6;S- owTe a ro � ^-�-- m _ �iQ'� so.rr.�l Cm�,i�,1�2 � Tfl[ AYOUNT {MOWN UND6q VALUATION IB FOR TNH � ►URPOlI OP iQTApIJ8HIN0 A P6qMlT PE6 OXLY. vwwwrioH � 00 � reRM�r Fee f;'6 � $t,9 �� w 13� 5 TOTAL PEE .`L� f �-14��0 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COBTA M�A. CALIFORNIA � Fo� Applieanf fo Fill In Compleiely TYPE OR PR�NT BUILDING Zg68 Drake Avenue � ADORES6 COSTA MESA CALIFORNIA OWNER Mesa Del Mar Develo ment Co. aooeess 3800 E: Coast Highway c��n Corona del Mar No`.OR 3422i O� TE EERMSCCO C.Oi. NoOR 3422i ADDRESS 3800 E. Coast Hi hwa CONTRACTORM�CCO COiP. � � ADORESS 3800 E. Coast Highway FEE RECELVED �JUL 12t�o1 FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT euauiN� For Office Use Only RECEIPT NO. �iEgN1j!�� $(3v ED BV I OATB RECEIVCO I ��jj/.T� �SI�FyO � � ut f i�6 G COSTA MESA. CALIFORNIA TYPE l�� GROUP, Y"/ �7. D DATE ZONING ._ oF �or 6100 SF � I xow ow �or None p, p, NO. USE OF ' YARD6 EVES EXISTING BLOG. APPROVED ALLOWED 60TBACK LINH F!{OM ICCNTaR LINE BTJ ceNTeR oP 6TREeT �iO � - 1�� REAR YARD 3 �- FRONT FT. � �N. SIDE YARD I LEFT G� � I RIGNT %� R. SIDE / FT. IN. DESCRIPTION OF WORK L. SIDE FT. IN. NE! I X II ALTERATION I II AODITION I ^� REPAIR I II MOVING I II DEMOLISH I BP ROVED S �.T DATE �`�'�O � su��o No. oF SIZB � - �� ROOMS STORIES EXTERIOR WALL ROOF COVHRING . COVER�r1 USE OF BUILDING AND WORK TO �E PERFORMED Living Area - 1306 SF w/attached garage Garage Area - 414 SF Cov. Porch - 28 SF 1 HEREBY ACKNOWLEDOE TXAT 1 HAVQ RBAD THIB APPLIWTION THE AMOUNT BHOWN IINDER VALUATION I6 FOR TH¢ AND BTATH THAT Txe ABOVB IB COfl1tEGT AI�O AGPE! TO COM- pURPOBE OF. EBTABLIBHINO A PERMIT FEE ONLY. PLY WITH ALL CITY OPDINANCE9 AND �AT¢ LAWe RBOULATING 9LILLDINO CONBTtUCT10N. - VALUATION - a � SIGNATURE O DEL MAR AEVEIAPMENT C0. PERMIT FEE � �(� PERMI7TE / � $y� . $ 13,643.00 PLAN CHECK $ /(� AUTHORIZEO A �� • TOTAL F E