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Home My WebLink About402 COSTA MESA ST - Building Permits(714) 754-5273 • Fan (714) 754-4856 • www.ci.cosla-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: Applicant Address: Owner: Address 402 COSTA MESA ST BETWEEN HOUSE 8 GARAGE 42631211 BALLARD, DAVID 415 SANTA ANA AVE NEWPORT BEACH, CA DOYLE, DAVID M 2 PENINSULA NEWPORT COAST, CA Phone: (949) 6423670 Zip: 92663 Phone: Zip: 92657 Contredor. DAVID BALLARD ELECTRICAL CONTRACTORS Address: 415 SANTA ANA AVE ISSUE FEE Temp service test Res. a/c package New Res (7-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over t000a Motors to 1 hp Motors to tOhp Motors to SOhp Motors to 100hp Motors over t00hp Communiwtion drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole Phone: (949)642-3670 NEWPORT BEACH, CA Zip: 92663 License: 780450 SCOPE OF PERMIT ELECTRICAL SERVICE UPGRADE TO 200 AMP. $23.50 $0.00 $0.00 50.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $30.50 $0.00 $0.00 $0.00 $0.00 $0.00 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Duantiry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist System / Lighting Busway /100 ft Standing Section Misc Eledrical Equipment Transformers up to 1 kva/kw ................up to 70 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System I Ckt Misa Conduit Misc. Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee Status: ISSUED Applied: 11/30/2000 Issued: 11/30/2000 ISSUED BY: Quantity $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 so.00 0 $0.00 0 $0.00 0 So.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 50.00 $0.00 $0.00 TOTAL CALCULATED FEES E54.00 COMMENTS / SPECIAL CONDITIONS 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 Inspectiona end tinal epproval must be obtained. Failure to obtain inspactions and final approval will result in ihe expiration of �his permit. FOR INSPECTIONS CALL: (714) 7545626 2d48d8(6D0) WORKERS'COMPENSAnON DECLAPATON: _ I hereby attirm under penelty ot perjury one of ihe lollowing declaretions: ❑ I have end will maiNain e cetlilicate ot consen� to self-Insure tor workers' compensation, as provitled tor by section 3700 0l Ihe Lebor Coda, for Ihe pertormence of ihe —work tor which �his pertnit is issued. � I�heve entl will malntain workers' campensafion insurence, az requiretl by section 3700 of ihe LaDor Code, br ihe perlortnance of Ihe work tw whkh Nis pertnit is issued. My wo rs' compensa[lon Insurance carner and policy number are: / Carrier..1�/./.G /.(l�J�JA-�/ PoliryNumber.�—�� lC+ �� ((h/s section need not be compleretl i! tne permif is valued et one hundred dollaro ($100) or less.) ❑ I certity thet in Ihe peAormence ol �he work for which this compensation laws ol Califomlq, end e at It I oul _ comolv with ihese oroNSlons!i � WARNINO: FAILURE TO SECURE WORKERS' WMFENSATION ( TFKK/SPND DOLUHE (5100,000), IN ADDITION TO THE C0.5T OF LICENSED CONTRACTORS DECLARAnON: I hereby eflirm Ihe4Pem�llceqsed under rovislons of Chapter i force end aXect: Llc-p �� -,a�i r, / A(As Issued, I shall not employ any person in eny menner so es to become subject ro the workers' bme subject to Ihe workers' compensation proNsions ol Sectlon 3700 of Ihe Lebor Code, I shall forthwith �Date:��-� /�t'1 /t�%� ISUNIAWFULPNDSHALLSUBJECTANEMPLOYERTOCRIMItALPENAL I�CIVILFMESUPTOONEHUNDRED �TIIXJ, DAMAGES AS PROVIDED FOF IN SECiION 3�OB OF iHE LABOR CODE, INTEREST, AN� ATTORNEV'S FEES. with Section 7000) af Divlsion 3 of�the Bu'siness end Pr9jessionsQode, entl my license is in full CONSTRUC710N LENDING AGENCY: ❑ I hereby eHirm Ihet there is a conswction lending agency for the peAormance of the work for which this permi� is issued. (Sec. 3097, Civil Cotle). Lenders Name: Lentlers Address: Signature: OWNER-BUILDER DECLARATIONS: Date: I hereby effirm Ihat under penalry ol per�ury thet I am E%EMPT FROM THE CON7RACTORS LICENSE LAW for the lollawing reason (Sec. 7031.5, Business end Professions Cotle: Any ciry or counry which requires e permit to construcL alter, impmve, demolish, or repair eny slrucNre, prior to its issuance, also requires the eDP�icant for such pertnit to file a slgneG slatement that he o� she Is Iicensad pursuent to the provisions af the Contractors Ucease Law (Chapter 9(commertUag with SecUon 7000) ot DlNsbn 3 of t�e Business entl Pmfessions Code) or thet ha or she is exempt therefrom antl ihe basis br the alleqed exemption. Any violetlon of Section 7031.5 by any applicant for a pertnit subjects the epplicant to e civll penelty ol nat mare than tive hundred tlollere ($500).): ❑ I, es owner of the property, or my employees with wages as their sole compensation, WILL DO 7HE WORK, end Ihe structure Is not intentletl or otFered tor sale (Sec. 7044, Business and Professions Code: The Conirectors License Lew dces no� apply to an owner of propeny who builds or improves Ihereon, entl who does such work himself or herself or through his or her own employees, provided that such improvemenis are not Intended or aHered for sele. II, however, t�e building or improvement is soltl wit�in ona year oi completion, Ihe owner-builtler will hava the burtlen oi proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am El(CLUSIVELY CONTRACTING WI7H LICENSED CONTRACTORS to consfruct tha prolect (Sec. 7044, Business and Profeuions Code: The conlrectors Llcense LaW does not epply to en owner ol pmperty who builtls or impmves Ihereon, antl who coNracts br such pro�ect with a contrector(sj license pursuant to ihe Contrectors �cense Laws.). ❑ I am ezempl untler sec. Signatura: Owner ID vedfied by driver's license. ❑ �es ❑ No Business antl Professions Code br Ihis reeson: Venficatlon oi Ownership by (ype of tlocumenL i.e. - propeny tu bill or deed): Dnvers Licansa No. Date: Expires: DIVISION OF INDUSTRIAL SAFETV PEAMIT CER7IFICATION: ❑ I hareby certity ihat no excavatlon i��e (5) o� more feet in depih into which e person Is requiretl to tlescend, will be made In connection with work euthorized by Ihis permit, aod Nat no 6uilding sWctufe, scaHolding, felsework, or demolition or disma�tli�g thereot, will he more lhan thirty-siz (36) leat high. (Chap. 32, Gry 2, Art 2, Sec. 347, 77t1e B, Califarnie Atlministrative Cotle). ❑ As awner-builder, I will not employ anyone to do work which woultl require a permi� from iha Division ot IntlusMel Sefety, as notetl above, unless such person hes e permit to tlo such work irom the divislon. Signature: Date: Division of Intlustrial Safery Permit Numher: CERTFlCA7E OF COMPLIANCE AND AIJTMORVA710N OF ENTAV: I certiry under penalry ot perjury that I have reatl t�is appliwtion and state that the informatlon given is correct. I egree to comply with ell stare laws end ciry ordinances relating to building construction, an0 euthonze representatives ot the Ciry of Casta Mesa to enter upon the above-described property tor inspection purposes. I egree n�occupy or allow occupancy of any building authonzed by Ihis permit until tinel inspection. COUE I, INSPECTONTYPE 7616 FixeA System Final Fire Prevendon 1266 Pool Spa Final 200 Flnel Re-Roof 201 FInaI BIxWReIalnlnp Well 202 203 204 Final Fectory Fire Place Flnal Slgn Finel Demolilion �'7.\I�IliWLLby COOE 1 INSPECTION TYPE 206 Final Mechenical 208 Final Plumbing 210 Finel Electrical 212 Finel Fire Preventlon 220 Final Planning Approval 222 Final Si�e 250 Final Building/Occupency �l/� �.: �_ 1 1111_ :. �� ; r ,� �', � CITY OF COSTA MESA ; _ � BUILDING p/VIS10N � DEVELOPMENT SERVICES DEPARTMENT u •` � � PERMIT PERMITNU R "�+dmm 699-00315 (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 402 COSTA MESA ST Suite: Vicinity: Parcel Nunmber: 42631211 Applicant: TROY ALEXSON Address: Owner: ALLEN, BRAD Address 402 COSTA MESA ST BUILDING PERMIT Zoning: Phone: Zip: Phone: 949-650-6344 COSTA MESA,CA Zip: 92657 Contracroc LEE ROOFING OF COSTA MESA Address: 01653 SUPERIOR AV COSTA MESA CA Zip: 92627 Arch : Address: Phone: 949-642-7222 License: 349686 Eng: Address: Phorie: Zip License: Zip: SCOPE OF PERMIT REROOF 2300SF RESIDENCE W/COMP OVER EXISTING COMP. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total $0.00 $74.75 $0.50 $0.00 $0.00 $0.00 $75.25 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Existinp: o NOTES: Rear 0-0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 Status: ISSUED Applied: 03/08/1999 Issued: 03/08/1999 Phone: License: $2,868.00 $2,868.00 EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 1 BO days. • INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inepectlona end final approval must be obtained. Failure to obtain inspections and final approval will result in Ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSA710N DECLARATION: I hereby eRirtn under penelry oi pe�ury one of Ne tWlowing decleretions: ❑ I heve entl wlll mainlein e certificate ot consent to setl-Insure for warkers' compensation, as provided for by section 3700 of Ihe LeDor Cotla, for the peAortnance of Ihe work lor which Ihls pertnil Is luued. ' ❑ I have entl will malntain workers' compensation insurance, es required by section 3700 of ihe Lebor Code, for Ne peAortnance oi Ihe work for which Nis pertnit is issuetl. My wo �ers',co/m� ensatio sura e carrier end policy number ere: � D�� Cartiar. � //'TJC �� POIIcyNumber: / � (Thls section neetl nof be completetl i the Oermif Is valued et one hundred do0ers ($100) or less.) � ❑ I certity thet in t�e pertortnance of ihe work for which this permlt Is issued, I shell not employ any person in any menner so es to become suDject to ihe workers' compenseti rnia, nd egrp ee �h� I should became subJect to Ihe workers' compensetion provisions of Sectio 3700 of the Lebor Code, I shell forthwith comply with ihese p i ns. ��h y� , 3/� �q � Applicant Slgneture: lYl�/f+��/ Date: '�� /9 WARNING: FAILURE TO SECURE WORKERS' COMPENSNTION COVEMGE IS UNLAWFOL ANO SHALL SUBJECT AN EMPLOVEfl TO CRIMINAL PEN TIES AND CIVIL FINES UP TOONE HUNDFED TIKK1SrW D DOLI.ARE (5100,000J, IN ADDITIIXJ TO TNE COST OF COA1PENSATION, DAMAGES AS PROVIDED WF IN SECiION 37060F THE LABOq CADE, IMEREST, AND ATTORNE`fS FEES. LICENSED CONTRACTORS DECLARATION: I hereby aMirtn Ihet 1 em licen e untler rovisions ot Chapier 9(commencing wlth Sec n 7000) ot Division 3 of the BuJ� e nd Prafessions Code, end my license is in full torce and eNact. Lic. p �/ Clau k L" — � ContreCloYs SlgnaNre: / Date: ! � CONSTRUCTION LENDING AGENCY: ❑ I hereby eMirm ihet there is a construction lentling egency lor ihe pertartnence of Ihe work for which ihis permit is issuad. (Sac. 3097, Civll Code). Lendefs Neme: Lenders Addreu: � Signeture: OWNER-BUILDER DECLARATIONS: Date: I hereby aflirm ihat under penelty of perjury that I em E%EMPT FROM THE CONTRACTORS LICENSE LAW tor the following reeson (Sec. 7031.5, Business antl Protesslons qode: Any ciry or county which requlres a permit to construct, elter, Improve, demollsh, or repair any stmcture, prior to its issuance, elso requires the epplicant for such permit to tile a signetl statement t�et he or she is Iicensed pursuam m the pmNsions of the Contrectore License Lew (Chepter 9(commencing with Section 7000) of Divislon 3 ot the Business and Pmfessions Cotle) or ihat �e or she is eaempt tharefmm antl t�e basls br the ellegetl ezemppon. Any vlolatlon ot Sectlon 7031.5 by any epplicant for a permit sub�ecGs the epplicant to e civil penalry of not more than fve hundred dollars ($500).): ❑ I, as owner ot t�e property. or my employees with wages es thelr sole compensation, WILL DO THE WORK, and Ihe structure is not Intentled or oHeretl for sale (Sec. 7044, Business and Protessions Cotle: The Contradors lJcense Lew does not appty to an owner of properry who bulltls or Improves Ihereon, entl who does such work himself or herself or Ihrough his or her own employees, provitled that such Improvements are noi Intanded or oXered lar sale. If, however, the builtling or Impmvement Is sold withln one yeer of completion, ihe ownervbulltler wlll have Ihe buMen oi proving ihet he or she did not build ar improve for puryose ol sale.). ❑ I, as owner oi the property, em EXCLUSIVEIY CONTRACTING WITH LICENSED CONTRACTORS b construc� the pro�act (Sec. 7044, Business and Protessions Code: The contrecrore License Law tloes not appty to en owner ol property w�o builds or impmves thereon, and who contracts tor such pwject with e contractor(s) license pursuaN ro the Contractors License Lews.). ❑ 1 em axempt untler sec. 8usiness end Prolessions Code tor this reason: Signeture: Date: __ Owner ID venileA by tlriver's license. ❑ Ves ❑ No Drivers License No. Expires: Venlicallan o1 Ownershlp by (type of tlocument, i.e. - property tex bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certity Ihet no eacavetion ilve (5) or more feet In depth Into whlch e person Is requlretl to tlescend, wlll be mede In connectlon with work authodzed by this pertnN, end Ihat no builtlinp strudure, scaRolding, felsework, w demolition or dlsmentling thereoi, will be more than thirry-six (36) feet �igh. (Chep. 32, Grp 2, Art 2, Sec. 347, Title 8, Celitornle Atlministretive Cotle). ❑ As owner-builder, I will not employ enyane to tlo work which would require a permit iram ihe Division oi Industrial Sefery, as noted ebove, unless such person has a pertnil Io do such work from Ihe division. SigneWre: Date: Division of Industrial Sefery Pertnit Numher: CERTIFlCATE OF COMPLIANCE AND AUTHORVATON OF ENTTiY: I certity under penalry af perjury Ihet I have read ihls application end state thet the infortnetion given Is wrrecL I egree to comply with ell state laws and ciry ordinences relating to building wnstruction, and authorize representatives ot ihe City of Costa Mese to enter upon the ebove-described property for inspection purposes. 1 egree not to occupy or allow occupancy of eny building authorized by this permlt until finel Inspaction. i neture OI Legal Owner(s) / �j �� Date ,�/ �,�. ! �� An r uthonzed Appl�t Date COUE �. INSVEC710XTYPE 1616 Fixed System Flnel Fire Prevention 1288 200 207 202 203 Pool Spe Final Finel Re-Roof Finel Black/Reteining Well Finel Fectory Flre Place Finel Sign 204 final Demolitlon 2AC8A8 � I�� cc.'Y� eooe� INSPE[TONTYDE 20fi Flnel Mechenicel 208 Finfll Plumbing 210 Finel Electdcal 212 Final Fire Preven6on 220 Finel Planninp Apprwel 222 Flnal Site 250 Final Bulltlinp/Occupanq � �� nooness: q02 COSTA MESA ST o ne�sxame: DOYLE DAVID M nooAess: q02 C(SSTA MESA ST COSTA MESA,CA 92627 650-0976 AflCMIENGINEEfl: AOOflESS: nEc.xo.: UNIT: UNIT: PEflMITTEE: LYNCH 6 PIKE ROOFING ( 714 ) 871-8103 ROOflESS: 934 WES'P AMERIGE AVENUE FULLERTON CA 92632 LICENSED CONTflACTOB DECIABATION: I �ereby atlirm Ihal I am licensea unUer O�ovivons o� CM1apter 9 �commcncing wilh Section 7000� ol DiNsion 3 of I�e Business ane 7rolession5 Coae, anA my license i5 in lull lorce an0 effect. . �/�� c�Truc.: 053629 srnreuc.:403576 uss ��g oate:'�/_Q�9� Siqnalure: _ Z/�"}��/_' _ � WOflNEflS' COMPENSRTION OECIAflATION: I here�y aflirm that 1 �ave a cenifiWte ol consent ta sell-insure ar a certilicate of Workers' Comoensation Insurance, o� a cen��iea copy tnereot�5ection 3800, LaO. C1. eoucvxo.: 0675650-90 E%P.ORTE: O9IOS�9S comvnxv: STATE FUND � Cenifie0 copy is nere0y lumisliee. ❑ CenitieE copy is Ne0 witn tlre ciry BuilOing Oivivo c � �7 /f � � Date: %�%d�� Mpicam: �" /17%��.� /Ll'�1� '� ETEMPfION FPOM WOfiKEflS' COMPENSRTIOX OELNflATION: Rtis ucmn nre0 mt Oe wm�klW i� Ne permt is �a are hudred (5100� a less�. I cenity ihai in ine pedormance ol Ine work fot wtutli ina oermit is isw¢C. I Shau mt empby any per5on in any marvier 5o as to become sublect to Ihe Workers' Compensation Lav2 ot Calilamia. Oate: 9gnamre: NO71LE: I( alter making Ihis OeUaration. you StIW10 �emme wOjett ta lhe WOrkerS' COmDen5aii0n pfOvisions al t�e labOr catle. you mus� lonnvnm compry witn sucn omvisions or ttns oermit snall ee aeemea revakea. CONSTBIlC710N LENOING RGENCY: I �ere0y allirm t�at t�ere is a canstmctian lenaing a0enq for t�e pedormance ai ihe xrork lor which mis permit is issueu ISeciion 3097. Civ. CI. LENDEP: ROONESS: OwNEB euILOEP OECu8PTI0N: I ne¢Oy allirm Ina1 I am e*empt Imm ine Coniraclors' State Lkense Law far tAe IOltowinA �eason (Seclion 7031.5 Business antl Protessianal CWe: Rny city al tounty w�ic� repuires a Dermit ta Con5Vuc1, alter, impmve. tlemolish, or iepair any S�mclure. prior lo i15 i55uanCe, alsa reQui�es ��e appliCani lOr SucA Oermi� Io tile a SiOn¢tl Sla�emeni IM1aI �e/S�e is liCensed nursuam �o �ne pwvisions of �ne Coniractors' Siate License Law (Clupter 9lcommencinp wi�n Section 70W) ol Division 3 0l tne Business and Protessions CAae) Or Illat 11e/s�e is eeempt ��erelrom anG ibe Da9s lor Ine alle0e0 eeemption. Any violation of Section 7031.5 Uy any applican� �or a permit Suble��5 I�e applitan� l0 a Civil pGnalty oi n0i mor¢ I�an live hunCr¢0 EOIlarS (5500�. I, as owner ol t�e O�oOeny ar my emGloyees with wapes as tAeir sole compensa�ion, will do the work, an0 Ihu ❑ simcmre is not imentleE or ollerea lor sale 15ecUan 70aa. 8usiness anE Pmfessional Cotla The Canirac�ors' State Licenso Law aoes nol apoly to an owner ol a propeny wno ouiltls ar impwveatnereon, ana wAo Aoes sucn work himsell/hersell or ihrough nis or ner own employees, pmviCeG Ihal suc� im0��'emenls am n01 intenEeG or ofiereA tor sale. II, Mwever �he Duildinp-or impmv¢men� is SOIC vn��in one year ol completion, I�e ownM vnll IuvC ��¢ GurGen ol pmving hpJshe Uitl nol Uui10 or impmvc , tor Ine puroase al salel. I, as owner ol Ine propeny, am eetluSiveN conlractinp vnl� Iicense0 coniractors to fAmimct ihe pmlect (Sectian 7044, Business ❑ and Pmlessions COGe: IDe Contratior5' Slale Licema Law Ooes noi apON �o an mm¢r 0� properry wta hml0s or impmves t�ereon ane wno contracu �or sucn o�oi��s vAtn a contocmrlsl liceme o�auant to the Contractors' Sute Lirense Law�. I am awam I�at pmol ol l�eir Woder'S Comp¢nsalqn inSurante slbula Ge pmvweG to me. � I am e�em0i under Seclion: B. 8 P. C. mi �Ns reazon: �a�e: O+mer. I Oo �ereGy cendy I�al I am a�rdre ot an0 un0ersiand I�e �epuitemenis ol Calilomia Healt� an0 Safety Code Sections 25505, 25533, and 2553< and t�a� I or any lulur¢ WilEmg occupant vnNmA rrot (drd0 one) neeG Io campty xii� SaiG slafe codes antl ��e �equirtmen�s for a Oermit lor tonslNction or moAAiWtion Imm t�e Ait Ouahiy Matupemenl Usinct. R¢Sitl¢niul wnSimcti0n appliWtions are exempl Imm IheSe pmviSians. Date: Ap0lieanl: 1 he�eby cendy that I have iead l�is application anE Slaie I�ai I�e a�we intormalion is corrtti. I agree lo compty vnlh all ci�y an0 counry or�inancesan4s1a1elawsreWlingto0uilaingconslruclionan0lcerebyaui7)Qr¢erepresentativesofthiscn toenterupontheabove-memqneE pmOetlV �or in5peclion urposes. y�.`i�:�✓'�—"�—C—'/��'�—�d �ate: 7��` Sfgnaiwe: oriver s �icense or Sauai Searity a: i6<t-a6 Wnne—Builaing; Green—CODo Enbrcemenr. Canary—Ap0licant: Pink—Revenue: Goltlenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 0527Z9 PERMIT NO; H 052729 PLAN CHECK NO: N GOVT; N SUPP; N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE; ALT JOB DESCRIPTION : T/OFF REROOF W/COMP SQ FT: 2,000 CLAIM VALUE: 2,000.00 CALC—VALUE; 2,000,00 GROUP OCC: R-3 / COMMENTS; SMOKE DETECTOR RE�UIRED IN THE HOME �f�f�tlflFiEiE�EitkiElEif*kififiEiflfiEiflEiFiFafiE �tfFlfifKiElFKk*lEiflfiElflfififiFlFikiFKiFil�ifiEif3EifiFiElF�EifiFifiFaF3FIf�EififiF3EifiEiEiF�f Z O N I N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING --------- 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: 42631211 ZNE; REF NO: PLANNING N(39'ES> > *+t�r*�r�e*****it+r*�itit******�**�r�e�r�e*��r***r�***�r*it**�r*****�*�r**�r*��******it*��rit�*�r*�** 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: �fV�.•� DATE• ��L if1E1f3FiEififlfififiFiEifiFifiFifiEifififif iEiEiFiFiE1E�FikiE1F �F�F�Fifit MifMihiFiFMiflfifMkkifiElE�FlfifiEkiflElEif�flEfEiFiflEiflfi!!FltMkiF�fi! �FMifiFiE�kifiEiFifiEifiEMkififafiFikiflFiEiEliififiFifiE�FlfifiEiFik LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;Y HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 45.00 �.; ,50 Y � RMTP/NAN—R�FS PLAN ISSUE FEE � ' BUILDING—DIV—> PERMIT ISSUE .P.LAN—CHECK TOTAL PAID DUE TOTALS----> 45.50 0.00 0:00 45.50 95.50 .00 REVENUE DIVISION TOTALS--> COLLECTED: 95.50 OVER/SHORT: ,00 BLDqSP00 PLUMBING ELECTRIC MECHANIC;, FIRE SMIP/TOO GRADING PLAN—CHECK J kififikkifkiEkifififififMifkififiEififkkikifkifiFkiFkiFifififififlfkifitififMMifiFikfFMififiElFklElfiEikiEif%ifikiElEikkiEififkiEifkiE�tiE I N D I V I D U A L F E E H R E A K D O W N TYPE QTY D E S C R Z P T I 0 N UNIT COST TOTAL COST SFR 2000 REROOF BY VALUE RESIDENIAL NOZONE 1,00 2,000.00 �END OF; FEES i: r / � , �• oz ca�9aE�;-eo�Ai��a �c�.e-, - D4TE: Di/iG141 TI�i:: 1�,:_^•; � "' � . . . � CONSTRUCTION AND PLANNING P00 PA ' � APPROVALS Permit # Date Inspector pppROVALS Permit � Date Inspector 1. Temporary Electrical Servite or Pole 52. Poo� & Equipment Location 2. Soil Pipe-Undrgrnd. _ �_ " 53. Steel Reinforcement � ,� 3.�El�ctrical Conddit U[ility-FindrgrndL" 54. Forms : �4;-Elecv�yal Condvji,llndrgrnd. "�.'� 55. Electrical Bonding -. Fi, Sfeel Reinforcemen�; �-- 56. Rough Plumbing & Pressure Test `� 6�. 'Fjy��rical UFER Gr�d. � 57. APPROVAL TO COVER�GUNITE ' T. f6'otings �• �+ � 58. Electrical ConduirUndrgrnd. - > '.�.'�Foundation � i' �� 59. Gas Pipe, O Undrgrnd., Test • 9.. Water Pipe•Undrgcnd. 60. Backwash Lines, P�Trap, O Undrgrnd. ' 10. Structural Floor System � 61. APPROVAL TO DECK • 11. Prpperty Sewer L"�ne,& HouseConqection 62. Backwash & ReceptorFinal - � 12. Sewer Cap � �' � 63. Heater & Vent-Final 'n :. 13. Roof Drains :c ' • 64. Plumbing SystBm � Final 14. Fough Plumbing � � 65. Electrical-Final 15. Rough Electric�l-Conduit , 66. Solar SVstem�Final . 16. Rough Electrie.Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical�T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 79. Rough Heating & A�r Conditioning FIRE DEPT. REQUIREMENT 20,:kough �cto,ry FireP�ace � : r� - �<. q. :pppROVAtS�'Permit # • - , 21. DuCts, iM1 Str�ictuie�; � . . . - � _ ;> ' ,.70. GndAr'g5'oun� Hyilro . 22. Ducts, Ventlhtiqg • ' * <<:" �� 77. ProducFPiping � 6as Q�OiI 23.-Gas Pipe�iough &'iest ';^ _ � _ y� � '72, UndergroSnd FlQsls_, ' � �. 24.,Roo'f Fremirig y. � �� _ _ .• . 73: Undergrnd:Storage'fenk�OGas OQiI 25. Ropf Sh`eathing ' „ � •i 7 ��11/ ;Dy! � ' 7q-0verhead Hydro- -� '�C v� 26. T•Bar Ceiling (Sv_ucwral) &.(a9qnocoat - �n - :,�s : 75.; Dry Chemical ' • . _ � 27: Frame and Flashin�' ' T_ � � 76` Dr Stanc�pfpe ��' • ' r. � •' i. �� v .y + :. Y p ^ , ,.�.' � r� - ,- _ �, 28.� Lat�iing& Sidin§ .'. :: ' t,., 1 y s 77T FIXED S�`(STEM,EINAL � �^29. Insulation ' � j� - "" - `'° ; T 7ga'.FIRE PREV. FINAL ; �. , �•30.Drywal��Wailing1' �\ ..� �� HEAL7F�l��EPT..REQUIRfMENT j31. PlasterBrownCoaf . ' � �. ' � �79i�FINALIN$P_ECTI,gN ' - � - �;32._Electrical Po�er�j�(Iat�r�Final� a �; �; ; �BO;,,FOOD CE�AI�IF�G(tTE ISSUED'� � I � -� 33.tFindl Efectric : r � .�� x' �X .. , N t�s: Q � � `� � ' T; 1' - �C 'a �� ' " .�7.. �-_ - ' 34,� Fin�! He�ting &'�ir, C�nditi0nin9.. , �. r_ ,� l ^.� 35:•final Gas Pipe�TaSC" �� - • �+ � �� S�- �36.'Nog(1 or CanoPYC � �• . ' i!'� ,. �� y ^ ��<" �J�`Gs.�/[� �Pi-�• e� -- �-37:=Finel Factory Fi7'aelaC4r � .S�'' '� . i '�-° • ' ' _ �'Ci,� . u . . .. ._. > ,i• i .� : � --- ".38. Final Plumbing . _ • v ; ;� " . :�, �. . (739. Wacer ServicrFinak � ' � � � �v • . . • • �+ � '� n �40. Gas Service�;Einal ', ,r ' " - , � � �� ' C � � :) . >;41. Solar pome=tic�Final,5 � •• ', � ? :• �y"_' - • ' - � a r, x r I � 42."�Backflow Prevente� � ;�. T '� � ,� _,� , ' ` . . - �. , 43. Backflow Ir[igation � + �-: % + C `- - J " ; 44. Landsc;Pe IfriAa[i4n SYstemJ ;:.= _ r ?, C* • ,J ^� �C.; • � . ,� t�45.�Sound Attepuation � i • � z. - - - � + ' , ,- � ' �!1 tt Y �46' Handicap Regulatipns - - ' ' 'y � • ' � •� �. �, y t �47,�PINALSTRLJCTURE&BUIIDING 7ib.c%/ �� r : :��,5 • I �l Y 48;'�IIdAL PLANNIN� � ` i ' .• . _ _ ;, � , �. i�� 49._-Electric Reiease ta;Edison , .. . '} i, � - - 50�.GaF�Relepse to Southern California Gas Co � - - ;,�;' .�. � `l `;�51. CERTIFICATE OF, OCCUPANCY , „ � � ';� _ . Np. Date COUNTY OF ORpNGE BUILDING DE4T. 636 No. Broadway Santa Ana� California Phone: KI 2-6211 Application for Building Permit AND FOR A Certif�cate of Use and Occupancy Permit No.____-l--�J--1-�__!J__�'_' 1 Date-----/ � f��'3�-Q----'---'------------ / 1. OWNER'S NAME---------CON+BT---OAAi7GiE--AiAES------------------------------------------------- PHOIVE:_B_BQfl�n-B2J�% MAILING ADDRESS-- - ZBS_�.__ b��l__$�i9-0� --- -- - -- --- -- - - ---- .,. CITY _ - —�4@�N_M98fl------------ Geor�a f3. Holetein L� Sone Name------------`---- ------'------------'------------------- Name.--------------•---------'---------------------"--'------ --- (Amhicect or Engineer) ' (Con�rac[or) Address --------- ----- - - - -----------------._---------- Adciress _ . �Q�... E. __Y?Lh_StraoB--------------------------- c��Y . - State Lic. No. ---- - c«y --- -Cost�..2-i0Q4 ------ - ---- -- ------ -- -- ------ $tate ' Phone.------------"------ Lic. Na1��r,•�. _----_ $� .----- Phone pCi8k4.Qi1 _8'�..��__. PROPOSED USE: --- -R08St�0AQB --� -��e��- -�7�'f�EtS��---� - - ------ -----�- -- --- --- -... 2. JOB LOCATIO[V--------'�t�07�__------`'--� S__T�---/7fS,�¢_-`S�'------D08$&. (House No.) (Name of Streeo) (Town or 3. LEGAL DESCRIPTION: Lot -__ �%�--____-----------____----Block .-------_...-_`-_---_-_._ (Metes and Bounda Descriptian—Use reserse side of form) ool Dis�rict) Tract _-1$f3�------------------- 4. CORNER LOT (�) INTERIOR LOT ( ) THROUGH LOT ( ) SLOPE OF LOT ( ) . 7p X i3� G � 5. SIZE OF BLDG.: -�%-j�-.�%-6-.AREA:____./�?s2_____....__.SIZE OF LOT:�______..___.____ AREA: _ F.'`�V__c�.____.._.__. 6. HEIGHT OF BLDG.: __._�BQ_________________CEILING HEIGHT:._._.__8�__.___._...____.. NO. OF STORIES._..___.�.______.. 6 7. NO. PAMILIES _.._____],..------___------___. Size of Smallest Bedroom: ____��X...._ ./_.�_ Size of Kitchen: _�_._1C.��__.______ � 8. EXTERIOR WALL CONSTRUCTIONF�BDI@-�St110Q�.____.__.INTERIOR WALL COVERING._____P_],&gY,E+I�_.__.___.._ (Frame, Stueco, Etc.) � (Plasrer�Dcywall, Etc.) ' . 9. SETBACKS: Front Yard from Center Liae of Street-_-_1��_-_--_----_--_-__---_-_-_-----------_---_-----_---------------. - - - -----.._- �cr i . , Neares[ Side Yard _.__-�z._____Rear Yard_._d-�{-------- Distance in Feet Between Bldgs. on Same Lo[ .___ �!�______ __.._._._..__ t0. A COMPLET$ PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES A[VD USE OF EACH. I l. For (a) Footing: Width _.___2�iN-______..__.____ Depth in Ground____.__],��_..___.__ Width o£ WaII ________6A____ Actessory Bldgs. and � Similar (6) Size of Studs: -_-�,--A_�.---__-.. $pating-_-1,8n--_----_--____'CC Material of Floor.�Q9.8_-__ -_-_----_ Structures: ' (c) Size of Floor Joists: ..y�._$_B.____----_----_Spacing _-.-_ ],gp_________---- `CC (d Size of Ra&ers: ___ _. ) Q.._R._ .__._.._..______.__ $pacing ....__�...____.._________..' CC 1?. VALUATION OF PROPOSED�RK: Including all laboq plumbing, electrical wiring, heating, fire sprinklers, paino ing and sewage, disposal� .._.7�,�0 00 -- - ��'� -� • . L;. I HEREBY CE�TIFY-THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTIOIV WORK WILL CONFORM TO ALL LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO. _ � (Owner) Plans F;led: __--__,___ � __- �__ — �d �,�p -' - ------ -- By: ---�-G ,i. `.."Q4---- ----- ------ ------- ----- ---- ' (Au[horized Agent) FOR DEPARTMENTAL USE ONLY FE�S: �j 00 Bldg. Pennit - �--_-oS � -- ---- -------- Plan Check - �$.___.__3 ��____ Tocal - -- - �- 3_�� ------ - - �- -- Receipt No. - ' -____-�� 7-S Paid to - - ....-------�----- Daec --- -_....------------ � � ` �. - Jb ------ --------------------- $M-1-50 GROUP-- — `_ -- ---- TYPE - - ---'�----- -- - - DIST. ' � � MAP'-- --�------ ---- SHEET NO.__�_, ____ CH='��G BY APPLICATION___,_� HEALTH._________.__ - ___.___. '"'4 FIRE ZONIIVG.----�17d _ MA RSHA L.-------------- PLAIVS AND , SPEC'5-----------�- ---- STATE-- - -- ----- --- CORRECTIOIVS ENGINEER PERM C. W. DONOHUE COUNTY BU LDING � � INSP�GTOR '_.____--_'___.__-__.___ '_____._.____________________ _ __________ _______________ GEPUTY i�