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Home My WebLink About2873 DRAKE AVE - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa%�Fx�TRICAL PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 2873 DRAKE AV Suite No Viciniry: Parcel Nunmber: 14154131 Applicant MAXWELL, MARIA Address: Owner: Address Contractor. Address: � ' . MAXWELL, MARIA L 2873 DRAKE AVE �� .. ' / � ,�. . , � / � COSTA MESA, CA.- , "�- , " �� n��; ; , Phone: 774-545-2927 Zip - �Fhone: � � � Zip: 92626 Phone:' Zip: ' License:� Status: ISSUED Applied: OSI072007 Issued: OS/07/2007 ISSUED BY: __ - _ , i�/� , �,� _ . � �. _ � � � �` _ � �, �, . � SCOPE OF PERMIT � � INSTALL iCONDUIT AND OUTLET FOR NEW A/C UNIT, WITH CONDENSER IN THE BACKYARD, �, ' RE:M07-00246. ELECT WORK INCIDENTAL TO MECH PERMIT. - ', , �- 5/11/07: SUPPLEMENTAL ACTIVITY TO ADD ELEC SERVICE CHANGE-OUT 7 SVS TO 200A ' � - , _. . _� _ .. . . , _ _ , . �- FEE SUMMARY �-- � -- - , � ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool I Spa Lighting Fi�As Recept Outlets , Switches Non Res Appl • - Res Appl Service to 200a Service to t000a Service over 1000a Motors to thp Motors to tOhp , -' � Motors to SOhp � Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole Quantiry > Quantiry 523.50 �� Temp Dist System / Lighting 50.00 0 $0.00 . . " , , Busway./100 ft _ � S0.00 0 " $0.00 -- - --- �_- --- �- ' ��Standing Section � --- �' $0.00 0 � �, � $0.00 �• 0 " �� MiscElectricalEquipment ' $0.00 0 , , $0.00 0 Transformers up to 1 kva/kw $0.00 0� , $0.00 . 0 .........._::.:up to' 10 kva/kw 50.00 0� 50.00 0 .................up to 50 kvalkw 50.00 0 �� 51.10 1 .................up to 100 kva/kw 50.00 0� . 50.00 0 . :.....:..........over 100 kva/kw �50.00 �' 0,' � $0.00 0 !' �')�'�� Low Voltage Equipment $0.00� �,;✓0 � � . $0.00 0 . � Low Vo16Wiring System! Ckt $0.00 ;r � 0 - $30.50 1 � Misc. Conduit � 57820 � 1 , 50.00 -' - 0 � Misa Conductor - � ' � ' S0.00= 0 , $0.00 - 0 Circus ( gen or ride) 50.00 0 ," 30.00 � 0 . �� Circus (mech ride orlights)- - ' $0.00 ij . 0. � , � $0.00 - ��0�. ` � �ChrisimasTreeStand. ': -� � $0:00 �-''0' , -/ $0.00 �> �� 0 = �� _ � - � Fireworka Stand � $0.00 � `� 0 �. - � $0.00 � , 0 � - � � . Other Eledrical Fee � � � "$0.00" � � , � $0.00 0 � � - " ' . .$0.00 �-, , 0 Investigation Fae � ' $0.00' $0.00 � 0 � - Plan Check Fee 50.00 � $OAO � 0 � , Reinspection Fee � � : $0.00 � $0.00 -. . - 0 . � - $0.00 . 0 � � TOTAL CALCULATED FEES-'S73.30 $0.00 0 - - . . � . /'�/Y��IC�ITC / CIIC/�11�1 /�11�1�1�T1/I�IC NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Califomia 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 ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspections end 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 2448-4818�00) WORKERS'COMPENSATONDECLAflAnON: _ I hereby aflirtn untler penalry of perjury one of the following tleclarations: ❑ I have and will maintain a certific&te of consent to sell-Insura tor workers' compensation, es provided for 6y section 3700 of tha Labor Cotle, for the peAormance of the work for which Ihis permit is issued. ❑ I have and will maintain workers' compensation insurence, as required by section 3700 ot the Labor Code, for Ne pertormance ot Ihe work For which ihis pertnit Is Issued. My workers' compensation Insurence carner and policy number are: Carner. Policy Number. (Tp(s secfion need nof be completeU i( the permit is velued af one hundretl dollare ($100) or less.) � I certity that in Ihe performance oi the work for which this pertnit is issueQ I shell not employ any person in eny manner so as to become sublect to ihe workers' compensation lews oi CalHornie, qd agree that ii I should become subjecl to ihe workers' compensation provisions oi Section 3700 of the Lebor Code, I shall forthwith comply with these provisions. �I ,� �� pq n��cer,csrgne„�e: h7,�lIA,Q r.�z� 1�1 �� . ate,. L� 5-l1-.;2/JO7 WARNING FAII.URE TO SECURE WORNERS' COMPENSATION VERAGE IS UNLAWFUL ANO SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FlNES UP TOONE HUNDRED THOUSAND DOLLARE (5100,00p), IN ADORION TO THE ODST OF COMPENSATIIXJ, DAMAGES AS PROVIOED FOR IN SECTION 3%O60F THE LABOR CODE, IMEREST, PND ATTORNEV'S FEES. LICENSED CONTRAC70RS DECLARATION: I hereby aHirm that I am licensed untler provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Pmfessions Cotle, and my license is in full i force antl ettect. Lla N Class e I Contractor'S Signature: Date: � CONSTRUCTIONLENDING AGENCY: I❑ I hereby aHirm thal there is a construction lending agency for the pedormance of the work for which this permit is issuetl. (Sec. 3097, Civil Code). Lentlers Name: � Lentler's Address: , Signawre: Date: OWNER-BUILDER OECLARATIONS: I hereby aHirm thet under penalry ot perjury that 1 am EXEMP7 FROM THE CONTRAC70RS LICENSE LAW tor Ihe following reason (Sec. 7031.5, Business end Protessions Code: Any ciry or county which requires a permit to consiruct, elter, improve, demolish, or repair any slrucNre, Onor to its issuance, also requires ihe applicant for such pertnil to file a signetl stetament that he or she is licensed pursuant to ihe provisions of the Cantrectors License Law (Chapter 9(commencing with Section 7000) of Divislon 3 oi the Business and Professions Code) or thet he or she is exempl therefrom and Ihe basis tor t�e alleqed exemption. Any violation of Sedion 7031.5 by any applicent for e pertnit subjects the applicant to a civil penalry of not mora than tive hundred tlollars ($500).): ❑ I, as owner of ihe properry, or my employees with wages es their sole compensation, WILL DO THE WORK, and the structure is not intentled or oflered 1or sale (Sec. 7044, Business and Protessions Code: The Contractors License Law does not epply to an owner of Droperry who builds or improves ihereon, and who does such work himself or herself or ihrough his or her own employaes, provided Ihat such improvements are not intended or oHered for sala. If, however, Ihe building or improvement is �� soltl within one year of completion, ihe owner-builder will have the 6urden of proving that he or she did not build or improve for purpose of sale.). I, as owner ot the propeny, am E%CLUSIVELV CONTRACTING WITH LICENSEO CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The coniractors License Law tloes not apply to en owner ot pmpeny who builtls or improves thereon, end who wniracts tor such projec[ wilh a contraclor(s) license pursuant to ihe Contradors License Laws.). ❑ I am ezem untler sec�{� 9vaw �--J�.QA/A Y� Owner ID verifietl hy drivers license. Verification of Ownership by (type o� Business and Professions Code br this reason: ti� oa,'-e:� s-ll-aDc7 Ves ❑No o��su�e�5e,�. ExPire`s:�o� �1-oq i.e. - property tav 6ill or tleed): DIVISION OF INDUSTRIAL SAFETY PERMR CERTFICATON: ❑ I hereby cenify that no excavation five (5) o� more feet in depth into which a person is required to descen4 will be mede in connec�ion with work authorizetl by this pertnit, and ihat no huilding structure, scalloltling, falsework, or demolition or dismantling thereof, will 6e more than ihirty-six (38) feet high. (Chap. 32, Grp 2, Art 2, Sec. 347, Title 8, Califomia Adminlsirative Code). ❑ As owner-bullder, I will not employ anyone to do work which would reQuire a permil from the Division oi Industriel Setery, as noted ebove, unless such person hes a permit to tlo such work from Ihe division. Signature: Date: Division of Indusirial Safery Permit Number: CER7IFICATE OF COMPLIANCE AND AU7HORVJITON OF ENTRV: I certiy under penalty of perjury Ihal I have reatl ihis application and state that the information given is wrrect I egree to comply with all stata laws end city ortlinances ralating to builtling construction, end authonze representatives ot ihe Ciry of Cos�a Mesa �o en�er upon �ha ebove-descnbed propertyryfo�r inspection��° ses. I agree not to y or allow xcupancy of any building authonzetl by t�is pertnit until finel inspection. �'I.ZUI/.�i Y/iJCl,¢4 Rr�uP� D$-/l-.2d0� Signat � f4w`neqs) iDete._] And/OrAuthorizad ApPlicant Date COUE �, INSPECTIDNTYPE 1676 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final Block/Retaining W ail 202 203 Final Fectory Fira Place Final Sign 204 Final Demolition fj�jf IMRIFLS CO�E 1 INSPECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 272 Final Fire Preven�ion 220 Final Planning Approval 222 Final Site 250 Final Building/Occupency UpTE 1��LS "C�-l�-�:L/' �-�1 9 I � '� �'�1w (714) 754-5�3�f�,��1d1�7��t www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: Parcel Nunmber 2873 DRAKE AV Status: ISSUED Applied: 05/07I2007 Issued: OS/07/2007 14154131 Applicant: MAXWEI,L, MARIA Address: Phone:714-545-2921 Zip Owner: MAXWELL, MARIA L Address 2873 DRAKE AVE Contractor: Address: Phone: COSTA MESA, CA-Zfp: 92626 . Phone: Zip: License: ISSUED BY: �� SCOPE OF PERMIT INSTALL 1CONDUIT AND OUTLET FOR NEW A/C - ' � � UNIT, WITh{ CONDENSER IN THE BACKYARD, � . RE:M07-00246. ELECT WORK INCIDENTAL TO MECH PERMIT. FEE SUMMARY Quantity Quantity - ISSUE FEE 523.50 Temp Dist System / Lighling 30.00 Temp service test � - g0.00Busway /100 ft 50.00 0 Res. a/c package $O.00Standing Sec(ion $0.00 � 0_ ; New Res (1-2 units) 50.00 OMisc Eledrical Equipment -- -__ 50.00 New Res (3+units) 50.00 OTransformers up to 1 kva/kw _$0.00 Pool / Spa 50.00 0 ................up to 70 kva/kw 50.00 0 Lighting Fixts 50.00 0 .....,__..._..up to 50 kvalkw Recept Outlets S1.1U . 1 .................up to 100 kva/kw 3witches £0.00 0 � ..............over 100 kva/kw $0.00 0 Non Res Appl 50.00 - OLow Voltage Equipment $0.00 0 � Res Appl $0.00 0 . Low Volt Wiring System / Ckt ..'$0.00 �� Service to 200a 50.00 OMisc. Conduit 51820 7 �� '` Service to 1000a $0.00 � OMisc. Conductor 50.00 0� ' Service over t000a S0.00 OCircus ( gen or.ride) 50.00 � 0 Motors to 1 hp 50.00 OCirws (mech ride or Iights) 50.00 Motors to 10hp $0.00 OChristmas Tree Stand $0.00 0 � Motors to 50hp $0.00 , OFireworks Stand 50.00 �.0. Motors to 100hp 50.00 �, � OOther Electrical Pee �SO.QO Motors over 100hp 50.00 � 0 � _ .� Sub panel to 200a $0.00 �.OPIan.Check Fee $0.00 Pole Light Pkg SO.OQ OReinspeclion Fee ,50.00, ._ , , Sign Circui�s 50.00 0 - � . � , � Temp Pwr Pole S0.00 OTOTAL CALCUTATED FEES $42.80 � In�ermed Pole 50.00 0 � 50.00 0 $0.00 0 0 o� , .: . . .' ,. Communication drops 50.00 � � I COMMENTS / SPECIAL CONDITIONS Investigalion Fee $0.00 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § t, 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 780 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 Inapections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 . 24463816/00) / � WORKERS'COMPENSAnON DECLARAnON: I hereby eNirm under penalry oF perjury one oi ihe tollowing tlecleretions: ❑ I have and will maintain e cenifiwte of consent to setl-Insure for workers' compensation, as provided for by saction 3700 of ihe La6or Coda, for the peAormance af ihe work far which Ihis permit is issuetl. ❑ I �ave entl will mainlain workers' compensalion insurance, as required by section 3700 oi Ne Lebor Code, for ihe peAortnance of the work for which this pertnit is issuetl. My workere' compensetion Insurence carrier entl policy number ere: Cardec Policy Num�er. (This section need nol be com0�eted il the permit is valued et one huntlred tlollers ($100) ar less.) ❑ I certity Ihat in Ihe pertormance of ihe work tor which this permit is Issued, I shell not employ eny person in any manner so as to become subject to ihe workere' compensation laws of Celifornia, entl egree that if I should become subject to t�e workers' compansatlon provisions of Section 3700 oi the Lebor Code, I shall forthwith camply with the5e prOvi5ion5. Applicant Signatura: Date: WARNING: FAILURE TO SECURE WORKERS' CAMPENSATION CAVEPAGE IS UNLAWFUL AND SHALL SUBIELT AN EMPLOVER TO CRIMINAL PENALTIES ANO CIVIL FINES UP TOONE MUNDqED THOUSAND DOLLARE (5100,000�, IN ADDITIIXJ TO THE CAST OF COMPENSATION, DAMAGES AS PFOVIDED FOR IN SECTION 3706 OF THE LABOR fAOE, INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I herehy aHirm that I am licensed under provisions ot Chapter 9(commencing with Section 7000) of Divislon 3 of the Business antl Professions Code, and my licensa is In full force end ettect. Lla x Class # Cantrectors SigneWre: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby aflirm ihat Ihere is a conslmction lending egency tor the pedormance ot tha work for which ihis permit is issued. (Sec. 3097, Civil Code). '�. Lentler'S Name: LentleYs Atldress: Signeture: Date: OWNER-BUILDER DECLARATIONS: I here6y attirm Ihat untler penelry of perjury that I am E%EMPT FROM THE CON7RAC70RS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions Cotle: Any ciry or county which requires e parmit to construct, elter, improve, demolish, or repair any structure, pnor to its issuance, also requires �he applicant for such permit to file e signed stetement ihat he or she is Ilcensed pursuent to the provislons of iha Contractors License Law (Chapter 9(commencing with Seclion 7000) of Divislon 3 ot ihe Business and Professions Code) or thet he or sha is azempt Ihereirom end the 6asis for Ihe elleged exemption. Any violation of Section 7031.5 by any epplicent for a permit Sub�ects the epplicent to a civil penalty oi not more lhan five hundred dollers ($500).): ❑ I, as owner of ihe property, or my employees wl�h waqes es thelr sole compensation, WILL DO TME WORK, ana Ihe structure is not intanded or otteratl for sale (Sec. 7044, Business end Protessions Cotla: The Contraciors License Law tloes not apply to en owner of properry who builds or improves thereon, and who doas such work himself or hereelf or through his or her own employees, provided ihat such improvements are not intendetl or oHeretl tor sale. If, however, ihe building or improvemant is soltl within one year ot completlon, the owner-builder will have �he burden of proving ihat he or she did not 6uild or improve for purpose of sale.). ' ❑ I, as owner oi the property, em EXCLUSIVELV CONTRACTNG WITH UCENSED CONTRACTORS ro consiruct the project (Saa 704a, Business and Professions Cotle: The contractors License Law does not epD�Y �o an owner of propehy who builds or Improves thereon, and who contracts for such prolect with e coniractor(s) license pursuant to Iha Contractare License Laws.). ❑ I am exempt under sec. Business end Pwfessions Code tor this reas9n: Signelure: � Date: Owner ID vanfied by tlrivaYs license. ❑ Yes ❑ No Dnvers Licensa No. Verification of Ownership by (type of tlaument, i.e. - property tac bill or tleetl): DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION: Eapires: _� ❑ I hereby certify t�et no excavation tive (5) or more teet in depth Into which a person is required to descend, will be made in conneclion wi�h work authorizad by Ihis pertnit, and that no Duiltling siructure, scattolding, talsework, or demolition or tlismantling Ihereot, will be more than ihirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle B, Califomia Administrative Code). ❑ As ownar-builder, I will not employ anyone to do work which would require a Dermit irom ihe Division ot Indusirial Setety, as noted ebove, unless such person has e permit m do such work from Ihe tlivision. Signature: Data: Division of Indusirial Safety Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AUiHORVJITON OF EMRY: I certity unCer penalry oi perjury that I have read this application antl state Ihat the infortnation given is correct. I agree to comply with all stete laws end ciry ortllnances releting to builtling construction, and authorize representatives ot �he Ciry of Costa Mesa to enter upon the ebove-described properry for inspection purposes. I e9ree nat to occupY or allow occupency of eny 6uilding authorized by Ihis permit until final inspection. COUE I. INSPECTION TYPE QejF �$ 4Q.Q;t INSPECTIONTYPE 1616 Fixed System Final Fire Preven�ion 206 Final Mechanical 1266 Pool Spe Final 200 Final Plumbing 200 Finel Re-Roo� 210 Fi I ER 201 Final BIocWRetaining Wall ' al Fir Pr ention 202 Final Fadory Fire Place Fi ning p 203 Final Sign 222 Final Site 204 Final Demolition -�d0 250 Final Building/Occupancy ¢eg u�ess Job Address: Suite No Vicinity: Parcel Number: MECHANICAL PERMIT 2873 DRAKE AV Staws: Applicant: MAXWELL, MARIA Address: Applied: O5/07/2007 Issued: OS/07/2007 14154131 Phone:714-545-2927 Zip: Owner. MAXWELL, MARIA L Address: 2873 DRAKE AVE Contracroc Address: Phone: COSTA MESA, CA Zip: 92626 Phone: Zip: License: SCbPE OF PERMIT REPLACE FAU, INSTALL NEW A/C UNIT, WITH CONDENSER W THE BACKYARD ISSUED ISSUED BY: ��-- FEE SUMMARY �uantlty Quanfity � � ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair/Alt Cooling/Heat Inst / Rep. Recess Wall Htr Refrig Sys <700 k B7U Refrig Sys > 700 k BTU Gas Piping 56.15 Factory Fireplace $0.00 Hood w/Mech Exhaugt VAV Bax $0.00 Vent Fan / Single Duct Appliance 50.00 Fire Dampers 50.00 Smoke Dampers 50.00 Inst or Relocate Appl Vent to 30 hp $0.00 0 . Air Handlers < 10000cfm Air Handlers > 10000cfm Floor Furnace 50.00 Flaor or Suspend Heater 523.50 Repair/AltAbsorbtionUnit 514.80 7 Repair/AltRefrigerationUnit S0.00 0 Ventillation System 50.00 $0.00 0 Evaporative Cooler S0.00 50.00 0 Commercial Incineralor 50.00 - 514.80 1 Domestic Incinerator 50.00 50.00 0 Comoressors / Absorption Svs�ems 1 Up to 3 hp / 100 k BTU S0.00 0 0 3 To 15 hp / 500 k BTU 50.00 0 50.00 0 15 To 30 hp / 1,OOO.k BTU 0 30 To 50 hp ! 1,750 k BTU �� 50.00�� 0. 50.00 0 Over 50 hp / Over 1,750 BTU . 0 Boilers � � 0 Up to 3 hp 50.00 0 0 3 To 15 hp� $0.00 0 50.00 0 15 $0.00 0� 30 l0 50 hp $0.00 - 0 . Over 50 hp ' 0 Other Mechanical Fee 50.00 0 Plan Check Fee $0.00 � Reinspection Fee � $0.00 50.00 50.00 :� �� .� �� $0.00 0 $0.00 0 Investigation Fee 50.00 � TOTAL CALCULATED FEES $59.25 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by ihis permit shall comply with all applica6le handicap access requirements under Califomia 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 il work is suspended or abandoned for a period of 1 BO 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 inepeetlona and final epproval must be oblained. Failure to obtain inspec�ions and final approval will result in ihe expiration of this pertnit. FOR INSPECTIONS CALL: (714) 7545626 244646(N00) � WORKERS'COMPENSAnON DECLARATON: I hereby atfrtn under penalry o1 perjury one of the tollowing declarations: ❑ I heve end wlll melntein a certilicete of consent m setl-Insure lor workers' compensetion, es pmvltled tor by section 3700 ot the Le6or Code, tor Ihe pertortnence of ihe work for which this pertnit is Issuetl. ❑ I �ave flntl will maintain workers' mmpensation insurance, az raquired by SecUon 3700 ot the Lebor Code, for Ne peAortnance ot Ne vrork lor which Nis pertnit Lq issued. My workers' compensatlon Insurence carrier and pplicy number are: Cerrier: Polity Numper: (This section need not be comple(etl /I (he permit is vel�ed et one hundred dd/ars ($100) or leu.) ❑ I certify that in ihe peAormence ol the work for which this pertnit is issueQ I shall not employ eny person in any manner so as to become subl� io the workers' compensetlon laws of Califomla, end egree that if I shauld become sub�ecl to Ihe warkers' compensatlon provlslons of Section 3700 at Iha Lebor Code, I shall fonhwlth comply with these provisions. Applicent Signeture: Date: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFU� AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES RND CML FlNES UP TO ONE HUNDRED TKKI54ND DOLLARE (E100.000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED WR IN SECTION 31080F THE LABOR CODE, IMEREST, AND ATTORNE`/'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eMirm Ihat I am Ilcensed untler provisions oi Chapter 9(commencing wit� Sectlon 7000) ol Divislon 3 ot the Business antl Professlons Code, end my license is in full force end eHecL Lk. k Class # Contrectofs Signeture: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby ettirtn Ihet there is a consiruction lending egency for the pertormence at the work for which ihis permit is issued. (Sec. 3097, Civil Code). lentlers Name: Lenders AAdress: Signeture: Date: OWNER-BUILDER DECLARA710NS: I �ereby eHlrtn Ihet under penelty ol perjury Ihat I am E7(EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business entl Prateuions Cotle: Any ciry or counry which requires e partnit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicent tor such pertnit ta flle e signed atetement t�et he ar she is licensed Dursuant to t�e provislons ot the Contrectors License Lew (Chapter 9(commendng wit� Sectlon 7000) oi DMslon 3 ot the Business entl Pmfessions Code) or thet he or she is atempt thereirom end Ihe basls for the alleged exemption. Any violation ot Section 7031.5 by any epplicant for a Oermit sublects the epplicam to e civil penalry oi not more than five hundred dollars (5500)J: ❑ I, es owner of Ihe properry, or my employees with wages as thair sole compensatlon, WILL DO THE WORK, end the slructure Is not intenaetl or oflered tor sale (Sec. 7044, Business end Professions Code: The Coniractors License Law tloes not epDly to an owner ot property who builds or improves thereon, and who tloes such work himselt ar herself ar through his or �er own employees, provided thet such Improvements ere nat Intended or oHered lor sale. If, however, Ihe building or Improvement is soltl within one year ot completion, Ihe owner-builtler will heve Ihe burtlen of Drovinq ihet he or she did not build or improve for purposa at sale.). • ❑ I, es owner of the property, em E%CLUSIVELY CONTRACTNG WITH LICENSED CONTRACTORS to construct the prqect (Sec. 7044. Business antl Professions Code: The contrectors Licensa Lew does not apply to an owner ol property who bullds or Improves iheraon, and who contracis for such pro�ed wlih e conirector(s) license pursuent to the Contrectors License Wws.). ❑ I am exempt under sec. !� Busine5s end Prole55i0n5 Code lor this reasony � Signeture: p7/Jn/G ��t,c�ur Lt, � Oate� �Owner ID verified 6y ddver s license. Ga Yes ❑ No Ddvefs License No. _[�[�� Veriilcatlon of Ownershlp by (type ol tlaumen6 i.e. - property taa bill or deed): UIVISION OF INDUS7RIAL SAFETV PERMR CER7IFICATON: ❑ I hereby ceM1ily thet no excavetlon tive (5) or more feet in depth into which a person is requlred to descend, will be mede in connectlon with work euthoAzed by t�is permit, entl t�et no building siructure, scallolding, falsework, or demolition or tlismantling t�ereol, will be more than ihirty-six (36) leet hiph. (Chap. 32, Grp 2, An 2, Sec. 341, TWe B, Calitomia Administrative Code). ❑ As owner-builder, 1 will noi employ enyone to do work which would require e permit trom Ihe Division of Indusirial Safery, es noted ebove, unless such person hes e permit to do such work irom Ne division. Signature: Date: Division of Intlustnal Safery Permit Number: CERTIFICATE OF COMPLIANCE AND AIITHORIZA110N OF ENTRY: I certity untler penalty of perjury that 1 have reatl this application and stete thet the Informetlon given is correct. I egree to comply with ell stete lews end ciry ordinances relating to bullding consiructlon, and euthonze representetives ol the Clty of Costa Mesa to enter upon the ebove-desnc�nbed prope o� inspecfian purpos . I egree not m occupy or elbw occupency ot eny building authorized by this permi� until Mal inspection. I�/i'iLG� a< �� 05'v7'.?00% � Finnahvw O�oal Owner/sl D3te Antl/Or Authodzed Applican� Date MOE I. IHSPECTIONTYPE 1618 fixed System Final Fire Prevention 1286 Pool Spe Final 200 Final Re-Rool 201 Flnel BIaWRetelning Well 202 Finel Fectory Fira Place 203 Finel Sign 204 Finel Demolilion PAIE �$ y_Qj1j,[ INSPECTIONTYPE 206 Final Mechanicel 20B Final Plumbin9 210 Final Electrical 212 Final Flre Preventlon 220 Final Planning Approval 222 Final Sita 250 Final Building/Occupenry Qdg I�I (a G d USE CO�IYLI�.S �i f!'H 7_�'�1;�G BY: DATE: 5. U7 C1 ) /"f ` `�' ( ° C-� �'--- �� U�wl�e___ (714) 754-5273 • Fa�c (714) 754-4856 • www.Ci.Cos�a-rfie5a.c�„UILDING PERMIT �� FAIR DFIVE, COSTA MESA, CA 92626 Job qddress: 2873 DRAKE AV Suite: Vicinity: RESIDENCE AND ATTACHED GARAGE. Parcel Number: 14154131 App�icant: MAXWELL, MARIA L Address: 2873 DRAKE AVE COSTA MESA, CA Owner: MAXWELL, MARIA L Address 2873 DRAKE AVE COnVactor: Address: Zip: Arch : Address: COSTA MESA, CA Phone: Zoning: ISSUED BY: Phone: 714-545-2921 Zip: 92626 Phone: Zip: 92626 Phone: License: Eng: Address: Status: ISSUED Applied: 07/07/2003 Issued: 07/08/2003 Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISITN ROOF. REPLACE SHEATHING AS NECESSARY, COVER WITH 30 YEAR COMP. INCLUDES ATTACHED GARAGE. ADD TWO SKYIIGHTS IN HAILWAY. ICBO #3933 . NO CHANGES TO ROOF FRAMING FOR SKYLIGHT INSTALLATION. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total $0.00 $167.25 $0.90 $0.00 $0.00 $0.00 $168.15 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Exisfinq: o Rear 0- 0 Rear 0- 0 Re uired: 0 FEE SUMMARY PLANNING & ZONING Lefl 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 ss,000.00 59,000.00 . NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related i regulations. (Ord. No. 92-28, § 1, 12-27-92) EXPIRATIOfY: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspended or abandoned tor 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 Inspeetions end (inal epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 75h5626 >naa+s It✓ap� WORKERS'COMPENSAnON DECLARAnON: � I hereby aNirm undgr penalrynf perjury one ol the tollowing decleretions: , . _, ❑ I heve end will maintain e certificate of wnsent to self-Insura tor workers' compensatlon, es pravided for by section 3700 of Ihe Lebor Code, tor Ihe pertormance ol Ihe work lor which this permit is issuetl. ❑ I have entl will meintain workers' compenution insurance, as required by section 3700 of Ihe Labor Cotle, for [he peAortnanca of the work for which this pertnit is issued. My workers' compensation Insurence cerner end policy number ere: Cartier. Policy Number. (This section need no( be completed iI (he permif is veluetl et ane hundred dollars ($100) or less.) I� � I certity thet in the peAormance of the work for which this permit is issueq I shall not employ eny person in any manner so es to become subject to the workers' \ compensation lews ol Califomia, anE agrea �het If I should become subject to the workers' compenselion provisions of Section 3700 0l the Labor Code, I shall lorihwith complywiihihese ovisions. (y/ /�% ApplicaniSignature: .a2iiTC. �LQ,tL �.J�IQL�`iCY Date: . �- 8' �.� WAfiNING: FAIWFlE TO SECURE WORKERS' COMPENSATION COVERAG IS UNUWFUL PNO SHALL SUBJECTlW EMPLOYER TO CRIMINAL PENALTIES AND CNIL FlNES UP TOONE HUNORED TIIIXISPN� DdlARE (E100,000), IN ADDITION TO THE COST OF COMPENSATION, DANAGES 0.S PROVIDED WR IN SECTIIXJ 3lOfi OF THE LABOR CODE.IPREREST, AND FTTORNEY'S FEES. � LICENSED CONTRACTORS DECLARATION: I hereby aftirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 at the Business and Prolessions Code, end my license is in full force antl eHect. Lic. q Class # Comrector's Signatura: Oate: CONSTRUCTION LENDING AGENCY: ❑ 1 hereby ettirm that there is a constmction lending agency for Ihe pedormance of the work tor which this permit is issued. (Sec. 3097, Civil Coda). Lentlefs Name: Lendefs Address: Siqnature: Date: OWNER-BUILDER DECLARATIONS: I hereby ettirtn Ihat untler penalry of perjury that I em EXEMP7 FROM THE CONTRACTORS LICENSE LAW far the tollowing reeson (Sec. 7031.5, Business and Professions Code: Any ciry or counry which requires e permit to construct, alter, improve, demolish, or repair eny structure, pnor to its issuance, also requires the flp0liwnt for such pertnit to file e signed stetement ihat he or she is Iicensed pursuant to the provisions of ihe Contrectors License Law (Ghapter 9(commencing with Section 7000) of Division 3 of the Business and Prolessions Code) or that he or she I5 exempt iherefrom and the Dasis for the elleged exempiion. Any violation of SeMian 7031.5 by eny epplicant tor e permit bjects the applicant to e civil penelry of not more Ihan five �undred dollars (5500)J: I, as owner of the pmperry, or my employees with wages es their sole compensation, WILL DO TTtE WORK, entl t�e siructure Is not Intentletl or oHeretl For sale (Sec. 7044, Business and Professions Code: The Coniractors License Law does not apply to en owner of proparty who builtls or improves ihereon, an0 who does such work himself or herself or through his or her own employees, provided ihat such improvements ere not Intendetl or oNered for sale. If, however, the building or improvement is sold within one year oi completion, the ownerbuilder will heve the 6urtlen of proving ihat he or she tlitl not build or improve lor purpose of sale.). � ❑ 1, es owner ot Ihe properry, am E%CLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS to construd tha project (Sec. 7044, Business and Prolessions Code: The contracbrs License Law does not epply to en owner of pmpeny who bulids or Improves ihereon, and who comracis for such pro�ect with e contractor(s) license pursuant to the CoNrectors License Lews.). I am exempt nder sec. Business and Professions Code lor Ihis reasorr. %- cSi- �_3 ignalure: �.OD,l.%._s �� Date: Owner ID veniied by drivefs license. '/�Yes No Dr'rvets License No. �� Expiraz: ��o ".7�' ��/ Vedtication oi Ownership by (rype of docUme�, i.e. - pmperty ux Dill or deed): DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICA710N: ❑ I hereby certily thal no excavafion five (5) or more fee� In depih into which e person is required to descend, will be made in connection wi�h work euthorized by Ihis permit, and ihat no builtling stmclure, scaHoltling, falsework, or demolition o� dismaNling Nereof, will be more than thirty-six (36) lee� �igh. (Chap. 32, Grp 2, Art 2, Sec. 341, Tltle 8, Celitomia Adminisirative Cotle). ❑ As owner�builtler, I will not employ anyone to do work which would require e permil from the Division of Industriel Safaty, as notetl ebove, unless such person hes e permit to do such work fmm ihe division. Signeture: Date: Division af Industrial Safety Parmit Numbar: CERTIFlCATE OF COMPIJANCE AND AUTHORVJITON OF ENiAY: I cenify under penalry at perjury that I have read Ihis application and state �hat the infortnation given is wrrect. I egree to comply with all state laws end ciry ortlinances releting to building consWCllon, entl euthorize representalives of t�e City of Costa Mesa to enter upon Ihe ebove-desc � property f inspectio pu es. I agree not to occupy or allow accupancy ot any building authonzed by Ihis pertnit until final inspection. . f �'vua� �� . .��u��e.�Q � - 9 -03 Signamre Of Legal O ner(s) Date And/Or Aulhorized Appllcant 40oE r. INSPECTIONTYVE 1616 Fi:etl System Final Flre Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 FInaI BIocWRetaininq Wall 202 Final Factory Fire Place 203 Final Sign 20a FinalOemolition ' QSjE IMRIALS � � COOE I INSPECTION TYYE 206 Final Mechanicel 200 Finel Plumbing 210 Finel Elecincal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy CITY OF COS TA I�IESA CALIFORNIA P.O. BOX 317 From the Office of the Planning Department 1�* L�3� 'd�'�2 �. ,., ... .,, . . ^ 1 l : . 3. ; c. r; h �� r A�tn� ik. d�s1 �.'lie Dear � � The City of Costa Mesa wishes to advise you that in revising street addresses, the numbers listed below Vrere changed; L�t+ :�i3a '1!c'�eG 42Lt% Wt if�?f� �..+'a�".,' �?�D Old Address i .' p• �: , �� . New Address � F::`�,'a9 A'�C.� �� 7Ay For your convenience vre are listing the agencies belorr that we will notify of tdiis change. In addition to those listed, you may desire to notify your correspondents of the change. DL:rlb Your cooperation in this matter is appreciated. Uery tru7,y yours, lJ. L. Dunn, Director of P1 ing � � �� _J�,U'L � `^i` "7-� By: Dave Leighton, Planning Technician cc: Southern Cali£ornia Edison Compar�y Southern Counties Gas Compar�y Costa Mesa County 1�later District Pacific Telephone Compar�y U. S. Post 0£fice County Clerk (4) Public 1•dorks Departmen� Engineering Departanent Building Safety File� a 4j'�r '�(`j�F c,�, 1�. B �fCo ��6� ��a;� Sfa � BoPp�Psd .! ,, �vniv�rt WOOD�� DONAId% J08 ADDRESS 2873 Drake Av �GENERAL CONTRACTOR CaliYo AP No. 11�1 _51�� „�1 LOT 104 � I ICTIONS so�_ GAS W ATER ROUGH PLUMBING PROP. $WR. LINE NOUSE CON. � SPFINKLING SVSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARV SERVICE OR POIE UNOERGROUND � POWER � ROUGH WIRING TRENCMES FORMS ❑ STEEL REINF FLOOR SVSTEM BONO BEAM n STEEI REINFORCE [� SXEATHING FRAME AND FLASMING LATHING - IN n OUT n PLASTEft,BROWN CONT ST�"'TUHAL, FINAL NI �. VENT., REFR�G. AND A.C., FINAL BUILDING, FINAI UAIC FIRE ZONE SUBCONTRACTOR T N0. � 28537 ' COSTA MESA BUILDINCrSAFETY DEPARTMEM P.O. BOX 120D C�15TA MESA, CALIFORNIA 9282E For Applimrtf M F(U In Compltldy TYpE OR PRINT YUILDINO ADDRHYG COSTA MESA. CALIFORNIA srwTe L10. NO 61ZE OF LOT I18E OP T[L no. or einw. DESCRIPTION OF WORIC iun-s-s�,�. ws ��**+�s.00 AIPLICATION FOR PERMR BUILDINa For OfNc� Us� Only R[CqIT NO. �/y gp pll� r y.=a �Scnv4. (i� L. _ h K �' ZO No.o� r �LAN� LROAL � 9 OIBTANC6 06T. MAIN BLDOB. VAR. # - � � � � � ( 1AN0 BNALL E6 LlBB TXAN YARDBAPPROV6D ACGE880RY BUILDINO BHT. MAIN Q ACCES9. BLI DATH a �/AT/O CDU6.�S 1 NCP6oY �CRNOWL[00[ YMAT.1 MAV[ RfAD TNI� AP�YGTON AND OTAT6 TNAT Tlt ApOV�.lO C011R[GT AND A011[i YO COY. P�Y WITN �LL CIiY GqO1tUN��1 AN RA7[ LAv1s R[OYLATIN6 au��o�nacoxernucrtoH... i �r_ /_. TN6 AYOYM tMOWN UHOBH VALU�TION �B POp TN8 •YflPOBI O! �/iA0U0HIN0 A P6PNIT P86 ON�Y. v - � �� — — / /, .. � �/. ,/., �_�±; '� / < - ,. , s:.: -, ,,...,, i �r/ r/= `' -, OWN�R JOB AD MESA DEL MAR, AP No. INSPECTIONS coat OCCUPANCY r LOT . �„r:u TRACT 4260 FIRP 'LON� � Signaturc I DA'I'i] GROUPI&J naT� 3-�-� BUILDING P�RMIT NO. VALUL s18,768.00 nT.scxiPTiorr or woRxres TYPE V 7.ONE att gar �I� � ��- -G �c'u�--��P� ,, - � 6702 �� r `" �� D �� COSTA MESA BUILDING•SAFETY DEPARTMENT R 7 �� Lot 101t - Tract 1i260 � � P. O. BOX 917 COSTA MEBA. CALIFORNIA ,��E pEpjp�n JjSO-A FIN... p �,q� For Appiieanf fo Fill In Completely ��jY OfA�PPLICA�TION f-0R PERMIT "" ��%� TYPE OR PRINT BUILDING �, BUILDING � Drake Averne ADDRESS OSTA MESA. CALIFORNIA FOI' Offiee US@ OD�y OWNER I-iesa Del 24ar Decelopment Co. R681Yi "�. � MAIL 3800 E. COSSL Hl hW '� ��Eo er �Te necerv¢o o�n iseuco ADORESS S aY / �— —'� '� T%�RR 1 Q�y{72 --_- ^--_--- „_, ,.:__ r_�,c TEha�_Lo�n BUILDI c�Y7�� . ,.2 e. _ B. FlorenceAve. ADDRESS 80� F+. Coast fiighwap arv Corona Del iIar Cz1i£, B�TNo. 988o8�B-1 No: ox 3-7�220 BIZE LSOf' Q•L� I NO. OF BLDGB. 1� OF LOT �= U7 �� 1• NOW ON LOT USE OF rI021� EXISTING BLOG 88TBAvK.pNm.rtRN �4t 'jjit�il} acew vefaR — I LEFf S� I RIGHT S� DESCRIPTION OF WORK I If II GLTERATIDN I � A�OITIO �inn o°: PJCTERIOR WALL t�� CO ROOF COVERING i.T7C�z ;��n . OVERING t'f00(� UBE OF BUILOING wN� WORK TO BE PERFORMED ttached garage I HBPQBY ACNNOWIEDOE TNAT I HAVE RGD THI9 APPLIGTION ANO BTATE THAT TH6 ABOVC 19 CORRHCT AND AORH6 TO CON- PLY WITH ALL CITY ORDINANCBH ANO BTATE L�Wp p80UlATINO au��n�x0 CONOTRURION. 81GNATURE OFM ,. ll M Tln nP � PERMITTE AUTHORIZED AGE/ uW� �eaw� COSTA MESA. CALIFORNIA ZONING NO.OF � IBUILOINp �/�� PLANB Lot /o y?� °/ z 6 0 �cartraw uHe sr.� � FT. �' -s Fi. �� z y Fr. 5' APPftOVED zi/6z Livir� area 1739 S.P. Garage �� 1�60 S.F, Covered Porch 42 S.F. TH8 AMOUNT BHOWN UNDER VALUATION I� POP TH[ PURP096 OP EHTABLIBHIN6 A PBPMIT pEE ONLY. VALUATION I �. _ S� 7 I�S �� I PLAN CFiECK •�