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Home My WebLink About3216 DAKOTA AVE - Building Permits(714) 754-5273 • Fax (714) 754d856 • www.ci. Job Address: 3216 DAKOTA AV Suite: Vicinity: REAR SIDE YARD PrimaryOcc: R3U7 Parcel Number: 13908505 CITY OP COSTA MESA � BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT npp�icant: MORRIS, STEVEN Address: 3216 DAKOTA AVE COSTA MESA, CA Owner: MORRIS, STEVEN Adtlress 3216 DAKOTA AVE , - COSTA MESA, CA Gontractor. - Address: , � - Zip: i. . Arch : Address: Phone: Zip: License: Type of Construction: V-N Zoning: Phone: 949-678-0490 Zip: 92626 Phone: 949-678-0490 Zip: 92626. Phone: License: iNUMBER -00552 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: tSSUED Applied: OSI012007 Issued: 06/182007 ISSUED BY: Eng: BRYANT R BERGESON Address: 26748 HWY 189 � .�Phorte: 909-336-G970 BLUE JAY, CA � � 92327 License: C048805 SCOPE OF PERMIT � ADD 730 Sf TO A SINGLE STORY SfD, 14 SF TO THE (E) GARAGE, A 154 SF ATTACHED REAR COVERED PATIO, A 50 SF FRONT PORCH AREA AND AN INTERIOR REMODEL OF HOUSE. WORK TO INCLUDE: CONVERT (E) BEDROOM INTO 2 NEW BAHTROOMS, ADD 2 NEW BEDROOMS, FAMILY ROOM, LAUNDRY ROOM, A NEW STORAGE AREA LOCATED IN THE GARAGE AND NEW ROOF FRAMING. 4 BEDROOM, 2 BATHROOM SFD TO BE CONVERTED INTO A 4 BEDROOM 3 BATHROOM SFD. FEE SUMMARY Plan Check: 518424 Permit: 51,133.75 SMIP Res: 512.50 SMIP Com: 50.00 Other: 30.00 I nspection: 50.00 Total: $1,330.49 - PLANNING & ZONING SETBACKS MAINSTRUCTURE Frpnt 20-4 ACCESSORY , Front 0-0 PARKING Existin : 4 Rear 19- 4 Left 5- 0 Rear 0- 0 - Ceft 0- 0 Reauired: - 4 - „ Pr000sed: 4 Calc Valuation: 5�z5,000.00 Claim Valuation: - s�zs,000.00 � Righf 5- 0 Right 0- 0 " - NOTICE: The work authoriZed by this permit shall comply with all applicable handicap access requirements under Calitomia statutes and related regulations. (Ord. No. 92•28, § 1, 1247-g2) EXPIRATION: This pertnit 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: �n order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspectiona end final epproval must be obtained. Failure to obtain inspectlons and final approval will result in the expiration ot this pertnit. FOR�INSPECTIONSCALL: (71q)754-5626 emo-co �aw� WORKERS' COMPENSATION DEC�7AnON: I �e�a6y ettirm under penalry ot perjury one ol the following dadaretions: ❑ I heve entl will�.malutain e ceNf�cale ot consent to selbinsure tor workers' compensation, es pmNdad lor �y section 3700 ot t�e Lehor Catle, lor the pertortnence ot t�e work for which this permit Is issued. ❑ I have antl will maintain workers' compensation insurence, es requiretl by section 3700 of ihe Lebor Code, for ihe pertortnance ol Ihe work lor whlch this permit Is I55ueA. My workers' compensatlon Insurence carner and poliry numCer ere: Cardor: permi( is valued et ane Policy Number: or less.) � I certily Ihet in the peAormancd o� t�e work for which this pertnit is isSueQ I shell not employ eny person in eny menner so as to bowme subject lo Ihe workers' compensetion laws qt eAfomie, and egree that It I s ecome sub�act to the workers' compensetion provlslons ot Sectlon 3700 of Ihe Lebor Code, I shall lorihwit� COmply wiih �ho59 p isions. �� O� Applitant Sipnatur9n �r - Date: WARNINO: FNIURE SECURE WORI(ERS' COfdPE135AilON COVERAGE IS UNL4WFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINPL PENALTIES AND CML FlNES UP TO ONE HUNDRED THWSAND (5100,000),INADWT�ONTOTHEODSTOFCOMPENS�TIpN,DMUGESASPRWIOEDWRINSEGTI0N3lO80FTHELABORCODE,IMEREST.AND�TTORNEVS:EES. LICENSED CONTRACTORS DECIAAAnON: I heraby eHirm t�al I em Iicensetl under provisions of C�apter 9(commendng with Sectlon 7000) oi Dlvision 3 of the Business en0 Professions Code, entl my Iicense Is in lull lorce end eflecL Llc. a Class a Comrec�or's Slgnature: Date: CONSTRUCTION LENDING AGENCV: ❑ I horeby eHirm thet there Is a construction lending egency lor t�a pertormence of Ihe work lor which Ihis permil is issueG. (Sec. 3097, Civil Cade). Lenders Name: Lentlers Address: iSignature: Date: OWNER-BUILDER DECLARASIONS: I hereby aHlrtn Ihet untler penalry at per�ury Ihat I am E%EMP7 FROM TME CONTAAC70RS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business antl Profe55ions Code: Any ciry or county which requires e permit to construc6 elter, improve, tlemolish, or re0air eny sWcture, prior to its issuance, elso requires the epplicant for such pertnit to file e signed statement ihet ha or she Is Ilcensed pursuant ro the provislons of the Contraaors LJcense Law (Chapter 9(commendng with SecYlon 7000) 01 DNLsion 3 of Ne eusiness end Profassions Code) or thet he or she is exempt therefram entl Ihe basis for Ihe alleped exemption. Any violatian of Section 7031.5 by any applicant for e pertnit su ' cls the epplicant to e dvil penalry ol not more than frve hundred dollars (5500).): I, ns owner ol t�e property, or my employees vrith wages es their sde compensetlon, WILL DO TF1E WORK, and the swnure Is not intended or ofleretl tor ule (Sec. 7044, Business antl Professions Coae: The Coniractors License Lew tloes not epply to an owner of properry who builds or Improves Ihereon, and who does such work himselt ar hersetl or ihrough his or her own employees, provitletl t�at such imprwements are no1 intentletl or offered for sale. If, however, the builtling or imprwemem is sold within one year ol complePon, Ne owner-6uilder will have the Durtlen of proNng that he or she did not builtl or improve for purpose ot saleJ. ' ❑ I, ns owner of Ihe properry, em EXCLUSIVELV CONTHACTNG Wrt51 LICENSED CONTRACTOBS to construct the prqect (Sec. 70a4, Business and Pmfessions Cotla: The comractars License Lew tloes not eppy to an owner at praperry who builds ar improves ihereon, antl who contracis far such prolea with a contractor(s) liconse pursuanyD the ConiraG�ors Ucense Laws.l. ❑ I em exempt ID v�e�by tlnvers license. ❑ Ves ❑ No 8u5iness entl PrOfession5 Code lor this reason: of Ownership by (rype of tlocument, i.e. - properry tan bill or tleed): DAvers Licensa No. Date: Expires: DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATION: ❑ I hereby certify Ihet na excavatlon five (5) or more faet in tlepth into which e person Is raquiretl to tlescentl, wlll be meda in connectlon wilh work authodzatl by Ihis pertnit, end thal no Duil0ing siN�ure, scaHWding, falsework, or demolition or tlismantling thereof, will be more Ihen Ihirty-sl: (36) feet Ng�. (Chep. 32, Gry 2, Art 2, Sec. 347, Ttle 8, Celitomia Administralive Code). ❑ As owner�Dulltler, I will not employ enyone to do work which would requira a permll Irom the Division of Industrlal Safety, es noteC eDove, unless such person has e permlt to do such work trom t�e tlivislon. Signature: Date: Divislon ol Intlustrial Salery Permit Number. CERTIFlCATE OF COMPLIANCE AND AUTHORVA710N OF EMRY: 1 cenity under penelry of perjury that 1 have read this epplicetion end state that tha infortnatlon given is correct. I agree t mply with ell sta�e lews end ciry ordi es releting lo bullding wnstmction, and authodze representalives of Ihe Ciry of Casta Meu to enter upon the ebove-describ ' ropert lor' pectl�W . agree not to acupy or allow occupancy of any builtlinq euthonze by this permit u I tine inspection. C°o-r 8-� - Signatu�e Of Legal Owner(s) Date And/OrAut�arized Applicent Date COOf i. MSPECTIONTfPE 1618 Fixotl System Flnal fire Pre�ention 7268 Pool Spa Final 200 Final Re-Rool 201 Finel BIxWRelelning Well 202 Flnel Fectory Flre PleCe 203 204 Flnel Slgn Final DemdWon PAIE V�EL9 CWEt NISPECTIOfIr'fPE 206 Finel Mechanicel 20B Finel Plumbing 210 Finel Electdcal 212 Finel Flre Prevention 220 Finel Planning Approvel 222 finel Site 250 Finel BulldingiOccupency � I�� . .. .. . .�;; , NEWPORT-MESA UNIFIEb SCHOOL DISTRICT CERTIFlCATE OF COMPLIANCE OF DEVELOPMENT FEE: PURSUANT TO AB 1600 AND AB 181 C To: (7C) City oi Costa Mesa ( ) City of NewpoR Beach ( ) Counly of Orange Applicant: ��e��— �p «�r� Address: l�� b � 0.�'` D�� ' I v e TelephoneNumber: � / 7- �� —�'7 7v TracUParcel and Lot Number(s): Loca6on of Project: Number of Square Feet ot: Residential Space Commercial and Industrial Space CommerciaVlndustria� Projed is: (Check One) _ Warehouse RSD _ Movie Theater _ Mini-storage _ Heavy IndusViat _ Regional Shops _ Light Industrial _ This projed is exempt beceuse �x 51.84 x S .30 _ Motel Bank _ Neighborhood Shops _ RacquetMealth _ Hotel Medical Of6ce Of�ce Park Total Total I. � _ Preschool _ Auto Repair __ Hospital � Large O1fice , Office BWg. ___ Restaurant __ Fast food This certifies that the above-named Developer/App6cant has paid school fadlity tees in comp6ance with Govemment Code sections 53080 and 65995. The Building Permi� for fhis square footage in this proposed development may now be issued by your jurisdic9on. Checks are to be made payable to NewpoR-Mesa Unified School ��✓l__\/ / � � RepreuNaWe The above representation as to square footage is true. App6cant agrees that i( it is later detemii true, the� tfiis certificate shall automatically temtinate and the appropriate Cily/County shall be Date: C� /��, Q � are not A . ,�0 r � � "Fa�� .' PERMIT TYPE � CITY OF COSTA MESA � BUILDING D/VISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca s FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBE E07-00807 JOB ADDRESS: Vicinity: ELEC 3216 DAKOTA AV CM STATUS: ISSUED DATE ISSUED: 09/17I2007 ISSUED BY: RMD Suite/Unit: SCOPE OF WORK: ELECTRICAL'PERMIT TO ADD 730 SF TO A SINGLE STORY SFD; 14 SF TO THE (E) GARAGE, A 154 SF ATTACHED REAR COVERED PATIO, A 50 SF,FRONT PORCH AREA AND AN INTERIOR REMODEL OF HOUSE. REF#: 807-00552. WORK TO INCLUDE: 55 LIGHT FIXTS, 60 OUTLETS, 37 SWITCHES, 1 SERVICE TO 200A, 1 SUBPANEL TO 200A. OWNER: MORRIS, STEVEN PHONE: 949-678-0490 APPLICANT: MORRIS, STEVEN PHONE: 949-678-0490 CONTRACTOR: OWNER-BUILDER � Address: Unit: PHONE: City/State: ZipCode: ELECTRICAL PERMIT FEES Electrical Plan Check Fee: $0.00 Electrical Permit Fee: $217.66 Reinspection Fee $0.00 TOTAL FEES $217.66 t� Address: 3216DAKOTAAVE Unit: City/State/Zip: COSTA MESA, CA Address: 3216 DAKOTA AVE Unit: City/State/zZip: COSTA MESA,'CA License No. 000000� CELL: ,, , � �?;��'�f •''�'t,, � NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes,�all required inspections and fnal approval must be obtained. Failure to obtain inspections and fnal approval will result in the expiration o,yf this permil. OC DE N. I_NSYECTION ME ��Ti IN701R1 CO�ER INSPECTION TVPE �YA¢'/ INililAlS 1618 Fixed System Final Fire Prevention 20fi Final Mechaniral .v 1266 Pool Spa Final 208 Pinal Plumbing �,� 200 Final Re-Roof 270 Final Electncal P�g 201 Final BIocWRetaining Wall 272 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demoli�ion 250 Final Building/Occupancy WORKERS' COMPENSATION DECLARATION� Ovmer ID verifed by dn�nse. ❑ Yes ❑ No • Y` I hyreby aKrm under penalty of perjury one of lhe following declarations: Dnver's�License.No. /�� (`] LExpires:� � Cr �� ❑ I have and will maintain a ceAificate of consent to sel!-Insure�for workeis'CVerifcation of Ownership by pype o( document, i_e. - propeny tax bill or tleetl): compensation, as provided (or by section 3700 of the Labor Cotle, for the , peAormance of the vrork for which this permit is issued. ' � ' ❑ I have and will maintain wurkers' compensation insu2nce.�as required by � seclion 3700 0( Ihe Labor Code, fw the peAwmance of the wurk for which this pertnit is issuetl. My workers' compensation Insurance carrier and policy number are: Carrier: (1 his seCun nped nol0e wmpletetl AMe penna is vaNetl al me hund�ed tldlars (St00) w les.s.) ��Pqlicy mber. rtily that in Ihe peAortnance of the work for which this permit is issue4 I shall not employ any person in any manner so as to become subject to the workers' compensation laws o( Cal'rfomia, antl agree that if I shoold become subjeF t to the workers;compensation provisions of Section 3700 of �h0 Labor C Ce, I 5h eR wtf'�ith comply wilh Ihese provision5. � o�� "�'sSie�atve Oaie � _. . �_ N/A ING FAI�URE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHAIL SUBJECT AN EMPLOYER TO CRIMINAL P�NALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAN� DOLL4RS (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LA80R CODE, IMEREST, AND Al70RNEY'S FEES. LICENSED CONTRAC70RS DECLARATION: I hereby aKrm that I am licensed untler provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my licen^se is in full force and eRect. /� #//�\ �t.� � V � ��T— \ Convac�or's Signawre Date CONSTRUCTION LENDING AGENCY: ❑ I here6y aKrtn Ihat there is a conslruclion lending agency for the peAormance of Ihe work for wfiich this permit is issued. (Sea 3D97. Civil Code). Lender's Name: Lender's Address: SignaWre Date OW NER-BUILDER DECLARA710N5: I hereby aifrm that under penalty of perjury that I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for the following reason {Sec. 7031.5, BUsiness and Professions Code: Any ciry or county which requires a permit to cOnstmct, alter, improve, tlemolish, or repair any sWCWre, prior t0 i�s isguance, also requires the applicant for such permit to file a signetl statemenl Ihat he or she is licensetl pursuant to ihe provisions of Ihe CoMrectors License Law (Chapter 9(commencing with Seclion 7000) of Division 3 of Ihe BUsiness and Professions Code) or lhal he or she is exempt therefrom an0 the basis tor the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicanl to a civil penalry of not more than fve hundred dollars (5500).): � I, as owner of the pmperty, or my employees wi(h wages as lheir sole Ccompen,alion,_WILL DO 7HE WORK, and the structure is not intended or oflered �or sale (Sec. 7044, Business antl Professions Cotle: The Contracrors License Law tloes not apply to an ovmer of property who builds or improves thereon, and who does such work himself or herself or thmugh his or her own employees, provided that such improvements are not intended or otfere0 tor sale. If, however, the builtling or improvement is sold within one year of completion, the owner-builder will have the burden of proving thal he or she did not build or improve tor purpose of sale.). _ CJ I�, as ovmer o( the property,'am EXCLUSIVELY CONTRACTING WITM LICENSED CONTRACTORS ro construct the project (Sec. 7044, Business and Professions Code: The wntractors License Law dces�n0� apply lo an ovmer of property who builds or improves thereon, and who contracts for such project with a contrector(s) license pursuant ro the Contractas License Lav.s.�. [] I am exempt under sec. � Business and Professions Code for this reason: _ � —q //—�/��, b � /� 519nature / aD le �--' 309-qc `3ro,� �- - `_--. � C - - - / DIVISION OF INDUSTRIAL SAFEN PERMIT CER7IFICA7�ON: • ❑ I hereby certify �hat no excavation five (5) or more feet in depth in[o w4ich a person is required to descend, will be made in connection with xork authorized by this pertnit, antl that no building strucWre, scaffdding, falsework, a demolition or dismantling thereol, will be more than Ihirty-six (36) feet high. (Chap. 32, Gry 2. M 2, Sec. 341, 'fit(e 8, Califomia Atlministrative Code). ❑ As owner-builtler, I will not employ anyona to do v.ork which vrould require a permit from the Division ot Industrial Safety, as notetl above, unless such person has a peimit to do such vrork (rom the division. App�lw^I's SignaWre Division of Induslrial Satety Permit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CER7IFICATION: 1. Will the applicant or present or fWure 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 Califomia Health and Safety Cotle requires, with some exceptions, that a Business Plan be fled wilh Ihe Costa Mesa Fire Department by every business which has at any one time during a reported year a quaMity of hazardous matenals equal to or greater than a weight o� 500 pounds, or a volume o( 55 gallons, or 200 cubic fee[ of compressed gas at standard temperature and pressure). 2. Does or will the applicant or present or future building occupant need ro file a registration form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the Califomia Health and Safery Cotle, v+ith some ezceptions, requires regisiretion with the Costa Mesa Fire Department by each business which a! any one time has on harM a quantity of acutely hazardous ma[erials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3. Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Preven[ion Pmgram for acu[ety hazardous matenals)? ❑ Yes ❑ No (Section 25534 of the California Health and Safery Code provides thal the Cosla Mesa Fire Department may require the preparation, certi(cation antl filing with the Fire Department of an RMPP by businesses which are required to regis[er acutely hazardous materials with the Fire Deparlmeni. 4. I! an RMPP is presently required, has Sedion 25534 of Ihe Califomia Health and Safery Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or fuWre building occupant require (or the work whiCh is lhe subjeCl o( lhis appliCation a p0rmil (Of SUGh ConSWctiDn or modifcation from the South Coast Air Qualiry Management District or from any other air pollution control district or agency? ❑ Yes ❑ No (Sectbn 658502 of Ihe Califomia Govemment Code requires that the requestetl information be fumishetl on applications fa rron-residential building pertnits). 6. Will any part of the faciliry to be constructetl untler this permit De within 1000 feet from the outer boundaries of a school? ❑ Ves ❑ No Qf "yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Healt� and Safety Code). 7. I( a permit from the South Coast Air Quatity Management District or other air polWtion control district or agency is requiretl for Ihe vrolk which is the subject of this application, have all ol the disclosures prescribed by Califomia Heallh and Safery Code Section 42303 been made? 0 Yes ❑ No 8. Qt'yes", attach certifcate of compliance'from the appropriate air pollution control oKcer). � CERTIFICATE OF COMPLIANCE: 1 certify Ihat under penalty o( perjury the in(ormation given above is correct I agree to comply with all state laws antl city ordinances regarding Hazardous Materials and Emissions. . SlgnaWre Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have reatl this application and state that the information given is correcl. I agree to comply w"nh all state laws and ciry ordinances relating to building construction, and authonze representatives of the Ciry of Costa Mesa to enter upon [he above-descnbetl property (or inspection pur oses. I agree not to occupy or allow occupancy ot any building authorized ,i�his permil � inal-iqsryeetien--- %� �SfgnaWreo egalOwneqs) �Dat / AnClor Au�M1onzeO ApPlirant Ddte A/P/D Information Activily: E07-00801 Consl Type: V-N Owner: MORRIS, ; Contractor: OW N ER-B Applicant: MORRIS � Description: ELECTR�C � Requested Inspect Date: Monday, March 31, 2008 Site Address: 3216 DAKOTA AV CM Type: ELEC SubType: RRIP Status: ISSUED Occupancy: Use: Insp Area: Phone: 949-678-0490 Requested Inspection(sl Item: 210 FINAL ELECTRICAL Requested Time: 08:00 AM Requestar: .. ... . Phone: Assigned To: •• Entered By: NICHO_D K Aclion: Time Exp: Comment: RRC"FAUL'I-IQpT WORKING. SINGLE-QOT'CEiIN GARAGE IF NON GFI Comment: GROUND SWITCHES Inspection Historv Item: I[em: Item: Item: Item: Item: Item: �10/01/07 Inspector: RHB Approved " Action: PA Partial approval OTED ON JOB CARD. Action: CO Correction(s) Required AGRAM. MEET 2/4 AND 6/12 Action: NR Not Ready Action: AP APPROVED Item: 46 ROUGH ELECTRIC CONDUIT Item: 48 ELEC. T-BAR CEILING Item: 50 ELEC. POWER FINAIJMETER RELEAS Item: 100 ELECTRICA� BONDING Item: 106 ELECTRICAL CONDUIT - UNDRGRND Item: t 18 POOL ELECTRICAL FINAL Item: 210 FINAL ELECTRICpAL ( ) q Com�me/�l8'. ARGeFAULT NOB WORKING. SINGLE OUTLE�T�IN GA�RAGSE IFeNON GFt 03/25/08 Inspector: RHB Action: CO Correction(s) Required Comment: GROUND SWITCHES REPT131 Run Id: 8486 CITY OF COSTA MESA � ' ' . B{IILDING DIVISION i � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • wwn.ci.costa-mesa.ca.us �.�� FOR INSPECTIONS CALI: (714) 754-5626 PERMIT NUMBER:' M07-00418 PERMIT TYPE JOB ADDRESS: Vicinity: MECH 3216 DAKOTA�AV GM STATUS: DATEISSUED: " ISSUED BY: . SuitelUnit: ISSUED 07116/2007 SOK SQ. FT: ' 0 .. . . - . . � . � . SCOPE OF WORK: ADD 730 SF TO A SINGLE STORY SFD. REF.: B07-00552. MECH INCLUDES: 1 REPAIR/ALT COOLING/HEAT, t HOOD WlMECH EXHAUST AND 4 VENT FANS. " OWNER: MORRIS, STEV�N � - � �Address: . PHONE: �� City/State/Zip: APPLICANT: MORRIS, STEVEN . � � Address: PHONE: 949-678-0490 � Ciry/State/zZip: CONTRACTOR: OWNER-BUILDER Address: Unit: � ' PHONE: City/State: � � . . ZipCode: - - - � MECHANICAL PERMIT FEE SUMMARY MECH ITEM FEE: _ . ' $76.85 PLAN CHECK FEE:. -� - • � � $0.00 INVESTIGATIONFEE: - , �$0.00� REINSPECTION FEE: � �- �, $0.00 � TOTAL FEES: $76.85 , _ 3276 DAK07A AVE Unit: COSTA MESA, CA 3216 DAKOTA AVE Unik COSTA MESA, CA License No. 000000 CELL: 9 NOTICE: The work authorizeq by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. � INSPEC710N5: In ortler tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and Flnal approval will result in the ezpiration of this permit. CQDE/, INSpECTONTYPE QpT�F IN AL tooei I_N$FEC110NTYPE �� 1616 Fixed System Final Fire Prevention 206 final Mechanical 1268 Pool Spa Final � 208 Final Plum6ing 200 Final Re-Roof ' ' 210 Final Eleclncal 201 Final Blcek/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final BuildinglOccuOancy WORKERS' COMPENSATION DECLARATION: I hereby aKrtn under penalry o( perjury one ot the fouowing declaration4: ' ❑ I have an0 will maintain a certificate ot wnsent to self-Insure for vrorkers compensation, as pmvided for by section 3700 of lhe Labor Code, for Ihe pedormance of Ihe work for which Ihis permit is issuetl. ,' ❑ I have and will maintain v.orkers' compensation insurance. as requiretl by seclion 3700 of the Labor Code, fw lhe pedormance of the v.ork fa which this pertnit is issued. My workers' compensation Insurance carrier antl policy number are: Carrier. (Thu se[Aon neetl rrof he comperetl A Ne ce�d a valuetl al one huna�edOdlars (5100) orleu ) Policy Number: ❑ I ceAify Ihat in the peAormance ot the work for which this permit is issued, I shall not employ any person in any manner so as to become subject [o Ihe workers' compensation laws o( California, and agree that if I should become subject to the workers' compensation pmvisions of Section 3700 of the Labor Code, I shall torthvdth comply with these provisions. Appliwnl's SignaWre Date WARNIN6: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereDy aKrm that I am licensed under provisions ot Chapter 9(commencing vrith Section 7000) o( Division 3 of the Business antl Professions Code, and my license is in full force and eHect. Lic. # CIa55 # Comraaor s Signawre Date CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm ihat there is a constmction lentling agency for the peAortnance of the work for which this pertnit is issued. (Sea 3097, Civil Code). Lender's Name: Lender's Address: OWNER-BUILDER DECLARATIONS: I hereby aKrtn that under penalty of perjury that I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for [he following reason (Sec. 7031.5, Business anA Professions Code: Any ciy or county which requiras a permil to construcl, alter, improve, demolish, or repair any strucWre, prior ro its issuance, also requires Ihe applicant tor such permit to fle a signed statement that he or she is licensed pursuant to the pmvisions of Ihe Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of ine Business and Professions Cotle) or that he or she is exempt therefrom and the basis for ihe alleged exemption. Any violation of Section 7031.5 Dy any applicant for a permit subjects the applicant to a civil penalry of not more than five=retl dollars ($500�.): I as owner of the property, or my employees with wages as Iheir sole compensation, WILL DO THE WORK, and the stmcture is not intended or offered for sale (Sec. 7044, Business and Pmfessions Code: The Contractors License Law does not apply to an ovmer of property who builds or improves thereon, and who does such work himself or hersel( or thmugh his or her own employees, provided that such improvements are not�intendeC or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder.will have the burden of proving that.he or she did not build or improve (or purpose of sale.). � ❑ I, as.ovmer of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The•contractors License Law dces not apply to an owner of prope who builtls or improves Ihereon, and who conlfZcls for such projecl wlth a c ractor(s) license pursuant to the Contractors License Laws.). � � �Pam exempCunder sec. Business and Professions Code for this reason: 7 � � `- SipnaWre � . !'_ate _ _ , 3 ]-46(3/0])" ` Owner ID verified by drive �se. ❑ Ves ❑ No /� // Criver's-License No. � /-�-��- L,P Verifcation of Ovmership by (rype of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: ❑ I hereby certily that no excavation frve (5) or mae feet in deplh into wfiich a person is required to descend, will be made in connection with xvrk authorized by Ihis permit, and that no building stmcture, scaf(dding, falsework, p tlemolition or dismanHing thereof, will be more than lhirty-six (36) feet high. (Chap. 32, Grp 2. Art 2. Set. 341, Title 8, Califomia Administ2tive Cotle). ❑ As owner-builtler, I vrill not employ anyone to do work which would require a permit (rom the Division of Industrial Satety, as noted above, unless such person has a permit to do such work (rom Ihe division. Applicanfs SlgnaWre DiviSion of Industrial Safety Permit Numbec _ H/VARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the appliwnt or present or fuWre Duiltling occupant need to �le and certify a Business Plan for emergency response fo release or threatenetl release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the Califomia Health and Sa(ety CoGe requires, with some ezceplions, that a Business Plan be filed with lhe Costa Mesa Fire Depariment by every business which has at any one time during a reportetl year a quantity of hazardous matenals equal ro or greater than a weight of 500 pounds. or a volume of 55 gallons, or 200 cubic teet of compresse0 gas a1 standartl tempereture and pressure). � 2. Does or will the applicant or present or future building occupant neetl lo fle a regislration fortn for acutely hazardous malerials? ❑ Yes ❑ No (Section 25533 of [he Cali(omia Health antl Safety Code, with some exceptions, requires registration with the Cosla Mesa Fire Depanment by each business which at any one [ime has on hand a quantity of awtely hazardous malerials equal to or greater ihan a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standartl temperature antl pressure). 3. Does or will the applicant or present or fuNre building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 ot the Califomia Health and Safery Code provides that the Cosla Mesa Fire Department may require the preparalion, certifwtion and fling wilh Ihe Fire Depariment of an RMPP by businesses which are required to register awtely hazardous materials with lhe Fire Department. 4. If an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complietl vnth? ❑ Yes ❑ No 5. Does or will the applicant or present or future buildinq occupant require for lhe work which is the subject of this application a permit lor such construction or motlifiwtion trom the South Coast Air Quality Management District or fmm any other air pollution control tlislnct or agency? ❑ Yes ❑ No (Section 658502 of the Califomia Govemment Cotle requires that the requestetl information be fumishetl on applications (or ran-resitlential building pertnils). 6. Will any part of the facility to be constructed under this permit be within 1000 feet from the outer bountlanes of a sc�ool? ❑ Yes ❑ No Qf yes", the taciliry must meet the requirement of Sections 25534 and 42303 o( the Califomia Health antl Safety Code). 7. If a permit �rom the South Coast Air Quality Managemenl District or other air pollution contml district or agency is required for the vrork which is the subject of this application, have all of the disclosures prescribed by Calitornia Health and Safety Code Section 42303 been made? ❑ Yes ❑ No � B. Qf'yes", attach certifcate of compliance from the appropnate air polNtion control oKcer�. . . CERTIFICATE OF COMPLIANCE: Lcertify ihat untler penalry of perjury tha � information given above is covecL I agree to comply with all state laws antl city ortlinances regarding�Hazardous Materials and Emissions. � CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I ceAify under penalty of perjury that I have read Ihis application and state that the infortnation given is wrrecl. I agree to comply with all state laws and ciry ordinances relating to building consWction, and authorize representatives of the City of Costa Mesa to enter upon the aboveEescrihed property for inspection purpo�. I agree not lo occupy or allow occup ncy of any building authorized by t i pertnit until final inspection. — � D� . SignaWre of Lepal Ormeqs) . � a�e And/orAulhoriie4AppLcanl Dale CITY OF COSTA MESA B111LDING DIVISION � � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • ww�v.ci.costa-mesa.ca.us �.�� FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER. P07-00462 PERMIT TYPE JOB ADDRESS vicinity: PLUM e STATUS: DATE ISSUED: ISSUED BY: 3216 DAKOTA AV CM , Suite/Unit: ISSUED 0 711 612 0 0 7 SOK SCOPE OF WORK: ADD 730 SF TO A SINGLE STORY SFD. REF.: B07-00552. PLUMB INCLUDES: 1 DISHWASHER, 1 LAUNDRY TUB, 2 KITCHEN SINKS, 1 WASH BASIN, 1 WASTE 8 VENT SYS, 1 WATER�CLOSET AND 1 WATER PIPING. OWNER: MORRIS, STEVEN� - PHONE: APPLICANT: MORRIS, STEVEN PHONE: 949-678-Q490 CONTRACTOR: OW NER-BUILDER Address: - . � . � City/State: � ZipCode:. � PLUMBING PERMIT FEE'SUMMARY PLAN CHECK FEE: � $0.00 PERMIT FEE: $101.90 J "� - Addressi ' 3276 DAKOTA AVE City/State2ip: COSTA MESA, CA Address: 3216 DAKOTA AVE City/State/zZip: COS7A MESA, CA License No. 000000 PHONE: CELL: .. ; TOTAL FEES: $101.90 - . . � -� . NOTICE: The work authonzed by this permit shall wmply with all applicable handicap access requirements under Califomia sWtutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work musl comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obfain inspectlons and final approval will resultin the expiration of this permit. OC OEt. INSVEG710NTYPE D�T IN L yQ�E[ INSPECPONME � yA E INTITIIL 1fi16 Fixed System Final Fire prevention 206 Final Mechaniwl /� t� 1266 � Pool Spa Final ' 208 Final Plumbing U( a 7_� s � 200 Final Re-Roof ' 210 Final Electri�yl 201 Final Block/Retaining Wall 212 Final Pire P�evention 202 Final Faaory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final �emolition 250 Final Building/Occupancy WORKERS' COMPENSATION DECLARATION: . I hereby affirm under penalty of perjury one of the foliowing declare[ions: 0 I have antl vnll maintain a certifiwte of consent to self-Insure for vrorkers' compensation, as provided tor by section 3700 of the Labor Cotle, for Ihe peAormance o( Ihe vrork for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as requiretl by section 3700 of Ihe Labor Code. fw the peAortnance o/ Ihe work for which Ihis pertnit is issued. My workers' compensation Insurance carrier antl policy number are: Carrier. (This seC.on neetl irof be wmdetetl A Ihe ce�� is valued al one hond.etl d�llars (5100) orless ) Policy Number: ❑ I certify lhat in the peRormance of the vrork for vuhich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomia, and agree that it I should become subject lo the workers' compensation provisions of Seclion 3700 of the Labor Code, I shall forthwith comply with these provisions. ApPliwnt's SignaWre Da�e WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (3100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Protessions Code, antl my license is in full force and effect. Lic. # Class # Contractor's Signature Dale CONSTRUCTION LENDING AGENCY: ❑ I hereby affrm that Ihere is a construcl'an lending agency for lhe peAortnance of the v.ork (or wfiich this pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: OWNER•BUILDER DECLARATIONS: I hereby affirm Nat under penalty of perjury that I am EXEMPT FROM THE CONTRAC70RS LICENSE LAW for the following reason (Sec. 7031.5. Business and Professions Code: Any ciry or county which requiras a permil to constmct, alter, improve, demolish, or repair any structure, pdor to its issuance, also requires the applicant for such pertnit to file a signed stalement that he or she is licensed pursuant to the provisions of Ihe Conlractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Professions Code) or that he or she is exempt therefrom and the hasis for Ihe alleged exemption. Any violation of Section 7031.5 by any applicant a permit 5ubjects the applicant lo a civil penalry of not more Ihan fve h red dollars ($500�.�: (� _�I, as owner of the pmperty, or my employees with wages as their sole bmpensation, WILL DO THE WORK, antl the sWcture is not intended or oftered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law tloes not apply to an ovmer of properly who builds or improves thereon, and who does such work himself or herself or,through his or her own employees, provided thal such improvements are not intended or oNered for sale. If, however, the building or improvement is sold vnthin one year of completion, the owner-builder will have the burden,of proving that he or she did not build or improve for purpose of sale.). ❑ I, as ovmer of lhe property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the pmject (Sec. 7044, Business anC Pro(essions Code: The conl2ctors License Law dces not apply to an rnvner of property o build5 or improves Ihereon, and who cOnt2Ci5 (of SUCh projeCl with a con tor(s) license pursuant to Ihe Cont2ctors License Laws.). [ I am ezempt under sec. Business and Professions Code lor this reason: /6 O% --SiB�awre' - �at ,�i ' OS]-a6(3/0]) Owner ID verifietl by drive .ise. ❑ Yes ❑ No / � Q p �Driver's License No. � �Expires: �" 1 .�__ _..� , Verifcation of Ovmership by (type of document, i.e. - property lax bill or deed): _ DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby ceA'rfy that no excavation frve (5) or more feet in deplh into which a person is requiretl to descend, will be made in connection vrith vrork authorizetl by this permit, and that no building stmcture, scaffdding, talsev+ork, a demolitan or dismanUing ihereof, will be more ihan thirty-six (36) (eel high. (Chap. 3.2, Gry 2. M 2. Sec. 341, Title 8, Califomia Administralive Codej. ❑ As ovmer-builder, I will not employ anyone to do work which vrould require a permit from the Division of Industrial Safery, as noted above, unless such person has a permit fo tlo such work tmm the division. ApPLcanl's SignaWre Oate Division o! Industrial Safery Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or Wture builtling occupant neetl to fle anC ceAify a Business Plan for emergency response to release or threatened release o( a hazartlous material? ❑ Yes ❑ No (Seclion 25505 of the Califomia Healih and Sa(ety Code requiras, wilh some exceptions, Ihat a Business Plan be filed with lhe Cosu Mesa Fire Department by every business which has at any one time dunng a reported year a quantiry ot hazardous materials equal to or greater ihan a weignt of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standarA temperature and pressure). 2. Does or vrill the applicant or present or fuNre building occupaN need to file a registration form for acutety hazardous ma[enals? ❑ Yes ❑ No (Section 25533 of the Califomia Heallh an0 Safety Code, wit� some ezceptions, requires registra[ion with the Costa Mesa Fire Departmenl Dy each business which at any one time has on hand a quantity of acutety hazardous materials equal to or greater than a weight of 500 Dountls, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3. Does or will Ihe applicant or present or /uture building occupant neetl to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous matenals)? ❑ Yes ❑ No (Section 25534 of the California Health and Safery Code provides thal the Costa Mesa Fire Department may require the prepa2tion, certifcation and filing with the Fire Department of an RMPP by businesses which are requiretl to register awtely hazartlous matenals with the Fire Department. 4. If an RMPP is presently required, has Section 25534 of the Califomia Heallh and Satery Code been tully complieC with? ❑ Yes ❑ No 5. Does or will the applicant or present or future builtling occupant require for lhe work which is the subjecl of ihis aOPlication a permit for such conslmclion or motlification (rom the South Coast Air Qualiry Management DisMct or from any other air polWtion wntrol tlistrict or agency7 ❑ Yes ❑ No (Seclbn 658502 of the Califomia Govemment Cotle requi�es thal lhe requesletl infortna�ion be fumished on applications fa ran-residential building pertnits�. 6. Will any part of the facility to be constructed under this permit be within 1000 leet from the outer boundaries o1 a school? ❑ Yes ❑ No (II yes", the faciliry must meet me requirement of Sections 25534 and 42303 of the Calitornia Health and Safety Code). 7. If a permit from the South Coast Air Qualiry Management DisMc� or olher air pollution control district or agency is required for the vrork which is the subject of this application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. Qf'yes", attach certifcafe of compliance (rom the appmpnate air polWtion control officer�. � ., CERTIFICATE OF COMPLIANCE: I certify that,under penalty of,perjury the information given above is covect. I agree to comply vrith all state laws and city ordinances reqartling Hazardous Materials and Emissions. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read Ihis application and state that Ihe inlortnation given is cortecL I agree to comply with all state laws and city ordinances relating lo building consWction, and authorize representatives of Ihe Ciry of Costa Mesa to enter upon the aboveEescribed property for inspection pur oses. I agree not to occupy or allow occupancy of any builtling authorized b his permit until fnal ins ec�ion. ` v Signatureo al.Qmeqs�.- ` a�e AnG/orAulM1onieOApplican� Dale mopessoFeuuou+c: 7216 DAKOTA AV OWNE,tGNFMEIFp10YM: MORRIS, STEVEN �oonEw: MORR I S, AMANDA 3216 DAKOTA AVE COSTA MESA,CA �avi. �uiuxc wo�ss: /iptNRECTONFNtlN@A: JPCN.Ofl ENG:S ADDHE55: CMRHACTOR'S NAME: CONIPACTORSYNlWO AOOPE55 UNT: EL�OOD: X 37 92626 uc xo: UNT: 11G N0: UNT: UCENSED CONTPACTOPS DEC41NI1TON: I hmeby aflim uMm perWy d pa�jury iM1m I am licermd uMer yatisiom d Cheplm 9 (mmmencirq wi�� Sacfon )0001 d Orviaon 3 ot the Bueinma end Pm��apna Cada, eM my licenm o in lull iace vM aHae. cm uc. No.: uc. cuss: uo, No.: E X P: Dete: Comreew: OW NEH BUILOEH DECIANATION: I hareby effi�m undx peraly d{y�Nry �� I em uemq /mm the ComreNon liceme law la Ihe Idlow�g reeson 1�� 031.5 &»'uwae end Prolesaiom Code: Any ��y Q�my xfiitA requiree e pafmA b mnaM1ucl, ellar, improva, Eamd'nh. or repei arry eVuci�ro. p'v io us'sweza, a6o.reVuirea iho epp�imM �or yuch pxmn lo fib e eqneE elelemant Nel he a eM n IironaeE W�*�+� �o iM prwieiom d Me Conlredore,Licenae Lew �Cheqar 9(mmme��p wilh Sedion )OW) W �ivcion � d t!e Busir�an vM Prdeasuna COEe� ar thet he or ehe ia evemq ��sehom end ihe beeie Iw tM ellepeE examption. My voleton N Seqion )031.5 by enY aDd�^t lor e permn wbjada the epplv:aM to e avA pe�¢ny a �q mae Ihen tive huMred ddlen �55001I. � I.esownardihaproparlYormyempbyeeawlhwepesmtheim�y�panee�ion.vAllEothewrk.eMlheev�cWnurw�imaiMeL w Mmed Im sele (Secwn ]oas. Buei�ro» eM Prolesaiona Code: The Con�reaors Licenae Lew doea ral eppyto en ownerd propeM ..ro wam « mw� �na,�. ene.no d�s .uw ww� h�xn a ne�w a m,asn no «ner o�.n emvM«s. w�+a� �nm.�cn impavemeMs ara rat inieMed or oflaed la sele. X, however, �hq p�iMinO a'vnpavemeM ie wld wNhin aro yeer d wmpleton, tln owner-buiMer will �eve iM buMen W provinB � or ehe did na build or improve Iw iM WT�a d eab). � 1. m oMner d �M P'W�Y. em e�tl�ra.NY mn�redn0 wilh I�mNBd mnVacias �o cmmW Na polaC (Senun IOM. Busmma eM Prdessbns Code: The Lamreaae L'censa lew Eoas M epdY ia en owmr d qopeily wlw WiHa a imqoves Ihereon eM wM10 conlracta 1a mwM1 D�I�9 � a mniteda(nl licaneed Wnuenl �o IM Conl�eGwe Licenaa Lew). p i,,,,,=,ma�„e, s,��,: BA'Z044 B(dP.C.,brNrefacw : OWN HUILDER a�e- � � p� � I do hereby eenM �� ^ aware d end uMenteeM �M uiremeMa d Calimnie HeeXh uM Selery Cafa Sediona 25505, 2553J, eed 25534, arM ihet I a eny Mure hiki�p orapenl will / w11 nd (omJa pb) � to compty wilh aeid pma mdu e�d tM reQuiremenle br epeimillaoonelNclionamoJificmionhamlMA'r eu�y anepemenlDiqrid.RaNemielmnaMioneppira�iomereazmmqhanNms oma: nod�: WORKEH'S COMPENSRTION DECL�HATION: I Mreby effi�m uMe� pereryy d parjury aro d IM idlowiip dadvet"vru: � IheveeMx+lmeinlanecaruficatadrauantloeellireunforwwka�icwnperoe�on,mprovNaE/orbySeqian3)00dtMlebor cma, i« ma rono��a a me � i« wnkn mg remm o�n�ae. � � neve e�d m� meime:� xo�.n oomo��, ��e. %, �wwied M saeb, a�ao d ua �en« coae, b, me v�,�o. a me wpk lor whieh this peimn u'veued. MY ��' �^Oanselian i�renee feerix aM pd'v.y rwmEer ere: Carrier: Pdiry Number. �mb s«.;ar need na ae mmdaroe r me v�� rs rw orie numree aaien rs�ool w bsv.� � I ceMN Ihm in IM1e pMormence W the wwk br which �hia permn ia iasued. I shNl nd empby anY Da� in e�ry menner m m to Eecame wbpe io Ihe xaken• mmD�setion lewe a eefRomu. eM earee ihm il I ehouk Exame aD'pd to iM xveken' <omre�sman o�sboe a seaion a�ao w ma Leba, coae, � slw� �onnwnn comvN wnn mob aoN,ian. Dme: Aod� Warn/n0� Fellun ro�xuro woNeri compauetlon corerep� l� u�N�1, m0 Null �ubper �n employsr ro crlMne/ oM+�„u end c/WI lhre uy ro aro IrwdreC flrouLM CWkn (SfOqWOA In MGifbn ro M� cwt oI rompwatbM1 tlamep� u pvvWM b� In Sxtlon 3106 0� M� Lebor Cods, /nfxest, end ettomsys Iw. CONSTNUCl10H LENDING AGENCY: I Mreby elfirtn uMer penelry W perNrv �� ie e conatrudion bMirp ep�cy la Iha peAmmeMe d iM xoM f« whidi Ihe pemii n esued (�� ), CM. CI. LENDEH'S N11ME: IENDEH'S ADOHESS: I cenity t�et 1 heve read thia epplce�im enE sleb ihet Ihe ebave informyion ia conea. I e0� �o mmpty wnh ell tlry eM couMy adinencae eM atale lexe relel'up to buJdvp wnatrumon end hxeby eu�ho�rte iepqaantelivea d lhie oy lo enler upon �M ebwe-mentuned prupeity �«'"'°°"'°"0"`°°'°' S•CCVfi�I MORRIS mN 7 /,� �— oma6��`� grielure Ovm OganVAppYranVCmireaq (5151-a6.WP) Whna-BuiWiq 8 Sefdy: GreamFb: Cerery_Appirenl: Fnk-Revenua: Goldanro�Aaeemr CITY OF COSTA MESA - BUILDING PERMIT PERMZT NO: B 082761 PI,AN CHECK NO: OT£346-97 L CONSTRUCTION TYPE: V-N YERMIT TYPE: STR JOH UESCRIPTIGN : CONST. 6'X 6L' SHARRED BLOCF< WALL YERM NO: H 082%6? �n�n GOVT: N SUPP:.:tSB� .�^. o h PURPOSE•�� '��0 SQ FT: ,F"�,�m n� n �_LAIhl VALpE: l, ca�c�, t7U rALC—VALUE: 1, �'40. �JU r,R.�UP 47rC: R—.s /��M COMMENTS: BLOCK WALL BETWEEN 3216 & 3220 DAKOTA AV ^ j�Ey�l�� iFlE%1E1fiE3E1E#1('aF�FiE�lF�41E�EaFiEdElf*3(-IfifiElE�1E�1EiE1Eik#iEiEifiElE1E-lElF�lEiEiFjE�1E�If�f�ElE3E�F�)EiEi(-ifiE�lE�iEjE1E�IEdE9ffEiElEif�lEdE3E�IE1f3Elf`�* W Z O N T N G R E Q U I R E M E N T S o a S E T B A C K S ------------ MAIN HUILDING ---------- --------- ACCESSORY HUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT': FT IN RGAT: F'T' IN LEFT: FT IN RGAT; FT IN PARKING REQ: PROV: PARCEL: 139085U5 ZNE: R1 REF NO: PLANNING NOTES> 6'HZGH BLOCK WALL ALONG SIDE (62')SHARED W/3220 DAKOTA AND 7 >'RETURN TO 3220 AND 14"FOR 3216 DAKOTA. 3II'FRONT SET6ACK. if 7ElE iE iE if if iE iF 3f 3f iE iE iE �)E �k' 3E 1F iE'lE �lE iE �)E iE �F iE �E �E iE 3E �X, iF if iE 3E'k IE 1E 1E �IE �IE �lE iE �E �IE �IE �)E iE �1t iE 1f' iE iE iE if 3f- �)E!E ff #'IE iElf df 1F fElf #�3E fF iE 9E 3E 1E iE iE �lf iE D E C� E L O P M E N T S E R C� I C E' S R E Q U I R E M E N�T S ZONING APPROVED HY �� DATE: BUILDING APPROVED BY : /'� DATE: � � APPLICATION ISSUED BY: DATE: iv i(-i4iEiEiEiEiEiE3EiE�EiEiEdF9EiEaEiEiEifiEik 3f3E iE ihiE�FiE3E3E1ElEiEiE��aFiE LEGALIZATION:N F E E S U M M A R Y 5TRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ET.ECTRIC MECHANIC FIRE.� SMIP/RES GRADING PERMIT 43.00 � 50 PLAN 27.95 � SMIP/NON-RE:S ISSUE FEE . BUILDING-DIV-> PERMIT ISSUE PLAN-CAECK TOTAL , PAID DUF. TOTALS----> 43.50 0.00 27,95 71.45 77.,45 ,00 REVENUE DIC�ISION TOTALS--> COLLECTED: 71.45 OVER�%SHORT: ,00 HLDG PMT PLUMBING ELECTRIC MECAANIC FIRE SMIP/TOT� GRADING PLAN-CHECF< 43.00 ,50 27,95 (��-i iE �E� 1F 1f !f i('!f� 1E if' iF iE iE iF iElElE j(' �If-1E if if iF iF i(-!E �lE 1E IE'.C� fE �f k fE if f(- iE fE IE �1F fE� 1ElE # iE if iE iE fh iE iE �lE 3E iE 1E iE iE 9E iF iE iE iE iE �E iE jE iE iE iE iElE �IF if if- iE *'.f 3E iE if I N D T V I D 0 A L F E E B R E A K D-O W N TYPE QTY D E S C R I P T I O N UNIT,�COST TOTAL COST SFR 62 RES-CONCRETE BLOCK WALL / FT, 20:;00 1,240.00 ENU OF' FEES i� �� . . �. J 05-�6-19971��:31 PM/i71.45 kCPTrc:�I-0�H5525 • COfdSTRUCTION AND PLANNING � _ POO� .. SPA ' t APPROVALS Permit #`` Dnte {nspectpi : APPROVALS Peimit # Date inspecfor i• 1. Temporery Electricai Service or Pole 52. Pool & Equipment �ocation 2. Soii Pipe•Undrgrnd.. , 53. Steel Reinforcement � � ( 3. Electrica! Conduit Utifty�Undrgmd. � 54. Forms ' � ' 4. Electrica7 Conduit-Undrgrnd. " 55. Eleetrical 8onding � � � � 5. Steei Reinforcement � . ��q -� �e�. '56. Rough Piumbing & Pressure Test , � 6. Electrical UFER Grnd. 57, APPROVAL70 COVEA�GUNITE j 7. Footings s q,_� �w� 58. Electrical Contluii-Undrgrnd. � 8. Poundat�on . 59. Gas Pipe, O Undrgtnd., Test 9. Water Pi e-Undr rnd. � P 9 � 6Q. 8ackwash Lines, P�Trap, O Undrgrnd. iQ. Structura� F�oos Svstem 61. APPR�VAI. TO dECK it. Property Sewer Lioe & House Connection �'� 62. Backwash & Receptor-Finai 72. Sewer Cap - ' � 63. Heater & Vent�Final 13. Roof D�T�ns ' 6A. Plumbing System - Fina! 14. Fough Piumbing � � � ' 65. Electricai-Final . , : 15. Rough Electrical�Conduit � 66. Solar SYstem-Pinai 76. Rouyh E�ectric Wiring 67. Fencing & Access Approval - 17. Rouqh Wiring Sign 68. APPROVED FOR PLASTERING ' 18. Rou�h E�ectriral�T Bar Ceiliny � 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE �EPT, REQUIREMENT 20. Rough Factory Firepiace APPROVAIS Permit # 21. Ducts, in Struc[ure 70. Underground Hydro 22. Ducts, Ventilating 77. Producc Rping OGas ❑OiI 23. Gas Pipe�Rough & Test 72. Underground Flush � 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oii 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ce�ling {Str�ctural) & Monowai 75. Dry Chemica! 27. Prameand Plashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78, FIRE PREV. FINAL 30. Dryvdali Nailing HEAITH DEPT. REQUIREMENT 37. Plaster B�own Coat 79. FINAL INSPECTION 32. Electrical Power Meter�Final 80. FOOD CERTiFICATE ISSUED 33. Finai Electric Notes: 34. Fin21 Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hoed or Canopy 37. Final FactorY Fireplace 38. Final Plumbing � • 39. Wacer Service-Finai 4�. Gas Service-Final 47. Solar UomesticFinai 42. Backflow Preventer I 43.Backflowlrrigation � 1��7`. �-� � c�'J'�` 44. �aodscape Irrigation System ` � GE�i"/�� 45. So�nd Attenuation 46. Handicap Aegulations 47. FINALSTRUCTURE&BUILDtNG L"��G�_tj? /:�.[, -_-_-� I / u� -Cv 48. FINAL PLANNING 49. Electric Release to Edison - � 50. Gas Release to Southern California Gas Co 51. CERTIF�CATE OF OCCUPANCY No Date PARTY WALL AGREEMENT TN[S AGREF,MENT, made and entered into this � day of M� J , 199�, by atid between S*� U� ///OCC, S hereinafter referred to as "LAND OWNER", a»d ��if��' t( ��E hereinafrer refetted to as "ADJACENT PROPERTY OWNER". It is hereby agreed that a party wall will be constructed on the property line between Addcesses of Adjoiniog Ropecaes in the City of Costa Mesa, County of Orarige, State of California, as per map recorded in Book , page of Miscellaneous Maps, in the office of the County Recorder of Orange County. The party wall shall be permitted to encroach � Land Ownzr(s) �� —�� Adjacent Pro(�rry Owner(s) (/ State of Califomia County of Orange // On r�� before me, `"�"�� """'�'�"� �� personally appeared ^ Da[e � i� Q� ' o�ary w �fc �s��/ Co 1�� s. �/' Nwne(s) of Signer(s) � personally knoxv IONe - UR - � proveA �o me on �6e �asis of silisfaclwy evieeMe to be We persoIXs) whose rumc(s) art subscnbed to �he wilhin in4�wnm� and almowledged lo �ffi �[+%/�ie�lhey exn:uled the vme in l�i�/I�l��r auUionzed capacity(ies), and tha( by ��e'v siglutlirHs) on Ihe iristrwneN 1he person(s), or the e�tity upon beh:�( of whic� tLe persoo(5) acteQ execWed Ne iasOnmenL MT�ESS my hand anA offCial xaL/</�/� • KATHERINE L. AAMSTAONG � �✓ ^— � COMM. k1027612 n s��n� or vo„�y State of Califomia U,-p � NOTARY PUBUC � CALIFORNIA .� County of Orange (!j � ORANGE COUNTY � v Mv Canm, Eaoiies Mav 75. �998 /" On before me, � personally appeared Date Notary PuDGc I`.NIf�SJ O� $Igll[!(SJ ❑ personally Ynouv to me - OR - a proved Io me on Ihe basis of satisfactory eviderce m be ILe persou(s) who� uame(s) Ware wb�ritxd l0 1he wilhin inywnmt aM xknowledged to ae tL�t hyshe/ihey executed 1he sw�e in his(hv/�heu auNorized capxity(ies), and Ihal by hi�herJlhev agnaNre(s) ao Ihe insmm�ent Ne persou(s), or the entlly �o be6alf of which the perso�s) xteQ executed Ne instrumenl. WIT\ESS my hand and official xai. Signanne of Notary TYPICAL 6�� CONCRETE BLOCK FENCE Cement Coping Ootianal —' Channel Block With 13/8� Horizontal Top of all Fences For Fences 5' or Less Vert. Bars 3/8" � at 4' -0" O.C. For Fences Higher Than 5' Vert. Bars 3/8"� at 32" O.C. � Fill Cells Solid With Grout W here Steel O ccu re Reinforcing Steel Shall Conform to Sec.A�15-39 A.S.T.M. All Steel to be Lapped 24" or to Code NATURALGRADE TWO 3/8'"O BARS 'G� CONTINUOUSTOP I & BOTTOM - _.r{ HORIZSTEEL MUST BE TIED IN PLACE AT TIME OF TRENCH INSPECTION. � � �d �11 � D ' � WIDTH p SEE CH[ 9 BELOW D.I'e � .,. -• .�:_ FOOTING REQUIREME GENERAL- NOTES MORTAR: p�e Part Plostic Cemenf, and Three Parts Sond GROUT; One Part Cement Three ond One Hali Ports S�and COPING: One Pcrt Cement, Three Parts Sand CONCRETE: W¢I I M+zed 1:2- I/2: 3- I/2 Max. of 7-I/2 Gollens of Wafer Per Sack ot Cement GROUT MAV BE POURED FROM THE TOP OF THE FENCE IN CEILS WHERE STEEL OCCUflS. CELLS AND AREAS OF HORIZONTAL REIN- FORCEMENT SHALL BE CLEAH, CIEAN & FREE OF ALL MORTAR DEBRIS, ETC. -- ---- ..,_�...,�. _ .' v,V ^o: � �r�.�,�a J ..� � ` n.-.i � � -I H OF E4RTHTCOT�H V? 7HE .NEIGTH-.0 'B��OW BOTTOM �OF __,_� CHART-- -- -- - `- ,_, _� `�_: FENCE FOGTiNG. ALE: 1/2�� = I' WIDTH . . . 14�� 14" . . . 12". . 12„ THICKNESS 10'�. . . 10" . . . . . . . . g" 8 „ DEPTH OF EARTHTOOTH 24" ... 20" 16". 12" SPACING OF EARTHTOOTH. . 12� . . . . . . . . . - .14� . . . 16�. . 16� City of Costa Mesa, California Building Department ��: �� . 84 e b � W W R ♦. N I m t �" �� . i , i ,_ J�i�^'.___ �.,�,�� t� �N �'FS] I.��::,�1..:% SfJ �'.�—� oiLSA CITY U': :'>> i A. ,�. PLAN�.�;f`�� Dl`J. REG. 5�}BJECT 10 BLDG. DEPT. DATE� gY ��_ .� �JL � V • . . � �� ►� Mq �BY 4F F �,F��/� �NF CITY OF COSTA MESA BUILDING DIVISION OWNER-BUILDER VERIFICATION A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and, as a condition precedent to issuing a building permit, require the completion and require the return of, an owner-builder verification. Attention Property Owner: An 'owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. � 1 personally plan to provide the major labor and materials for construction ot the pro- �posed property improvement. Ca'S'es O No I(heve/have not) �,ti,� U signed an application for a building permit for the proposed work. 3. I have contracted with the foliowing person (firm) to provide the proposed construction: Name Address Phone ( City Contractor's Lic. No. _ 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supeN�se and provide the major work: Name _ Address Phone ( City Contractor's Lic. No. _ 5. I will provide some of the work but I have contracted (hired) the following persons to pro- vide the work indicated: Name Address Phone Type of Work I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State of California Health and Safety Code and have completed the above information to the best of my per- sonal knowledge, in com liance ' Mhis State law. Signed: � ��— Date: � � Name: — �zc ,r.- .�v �S . (Printed or Typed) c.o.�. a o� s.s. n 754-5273 1042 66 PPOJECT ADOflESS: 3 Z 1 6 DAKOTA AV OWNEN'SNAME: MORRIS STEVE ADOflE55: 32iS Df.KOTA AVE COSTA MESA,CA 434-7494 PHCHIENGINEEH: • RDOXE55: UNIT: 42626 flEC.NO.: UNIT: PEFMITTEE: STEVE MORRIS (719)934-7944 noosess: 3 2 1 6 DAKOTA • C.M. CA 92626 LICENSEU CONTPACTOB OECLAPATION: � hereby alfirm Ihai I am licensed untler pmvisions o� C�apter 9 �commencing wi�h Section 7000� ol Division 3 of I�e Business and Pmlessions Co4e, and my license is in �ull �orce anC ellect. ciTr uc.: srnre uc.: cuss: EXP ; �aie: SignaWre: WOflNENS' COMPENSATION �ELlAflF710N: I hereCy affirm t�at I have a cenilicate of consent to sell-insure or a ceM1ilicate af Worker5' Compensalion Insurance. or a cerufiea coDY �hereol (Section 3800. Lab. CI. i POLICY NO.: E%P. ORTE: COMPANV: I❑ CeNfietl coOY is �ereby Wmish¢0. ❑ Cenifiea coDY �s liletl with I�e ciry BuilEing Oivision. �� I� I� oate: Applicant E%EMP710N FpOM WOflKEHS' COMPENSRTION OECUM710N: Q�4 5ettion neetl not be comDleteO if tAe ce�� is for one hunArM (511p) ot l¢55�. I cetti�y I�al in I�e pedormante o� lhe work lOr w�it� �his p¢rmii i5 i55u M1�Y�hploy any perwn in any manner 5o a5lo bemme sublect lo Ihe WorkeR' omoensation Laws of Califomi Da�e: � � 9 Siqna�ure: l'�T�� NO710E: II, a er makinB � is declaration, you s�oul ecome suGject to Ne Worker5' Compensation provisions of tAe La6or CaEe. yau mu9 torihwit� camply vnt� such Omvisions or t�is permit 5�ail be G¢emeA revoketl. CONSTXUCTION LENUING AGENCV: I �ereby a�lirm �ha� ��ere is a consimction lentling agency �or �he perlormance ol �he work �or w�ic� ��is permil is issue� �Section 3097. Gv. C�. LEN�Efl: ADDflESS: OWNEB BUILDEP OECLAPRTION: I Aereby ailirm t0ai I am exempt �mm tAe Contradors' Sia�e License Law lor �he following rea50n (Seclion 7037.5 Business anU Protessional CoOe: Nny ciry of counly which reauires a permit to constNCL alter, imv�ove, Uemalisn, or repair any simcture. prior to its issuance. also requires Ine apolicant lor sucA Dermit ta Iile a signed slatement Ihat he/sne is licensed pursuant io t�e pmvisions ol i�e Contracmrs' S�ate License Law (ChaO�er 9(commencinq with Section 7000) ol Division 3 of t�e Business an0 Pro�essions Cotle) or t�at helshe is eKempt tilerelrom anE I�e Gasis for IOe allepe0 exemption. Pny vialation of Seciion 7031.5 by any apDlicanl for a permit suble��s t�e applicdnllo a ciWl penalty o� noi more than live hundre0 Aoilars (5500�. I. as owner ol the property or my emVloyees mih wages as �heir wle compensation, will Eo the work, and ihe ❑ simcmre is not intenaea ar oflere0 tor sale (Seaion 70a4, Busmess anU Pmfessional Coae: T�e Contractors' State License Law Goes no� aDPly to an owner of a pwpeny who builas ar improves tAereon, an0 w�o Coes such work himself/�erselt or ihmuph �is or hei own emplaYees, pmvided iha� such impmvements are noi intended or ottered lor sale. I�, Aoweve� Ihe builtling or impmvemenl is salC wil�in one year ol com0letion. tAe owner will �ave ihe hurden ol Omving he/she diJ nat huiltl ar improve lor ine purvose ol sale). �C I. as owner al I�e pmperty, am exclusively conlracting wit� Iicense0 conVac�ors to cons�mct the prolec� (Section 70a4, Business L7 antl PmieSsions CaOe: The Conlracmrs' S�ate License law does not aDPly lo an owner of D�operty who bwltls or impmves ihereon ana w�o toniracts lor such pmle��s wit� a conlrac�or(s)license pursuan� �o ��e Conlracbrs' S�aie License Law),I am aware Ihat proof ot iheir Worker'S Compen5ati0n insutance ShoNE be pmhded lo me. � 1 am exempt untler Section: B. 8 P. C. tar Ims reason�. Dale:� / Owner ' I tlo �ereby cenity thal I am aware o� na untlerstana t�e reQuiremems ol Cali�amia Heallh and Sa�ery Code Seciions 25505, 25533, antl 25534 and l�at I or any IWure building occupant wilVwill no� (circle one) neeU to camply wi�h Said slate cotles antl Ihe requiremenis for a permil lar consiruction or modilicalion Iwm �he Air uality Managemeni Oislric�. flesiAential conslmc�ion applications are exempt Imm I�CSE pfON510f15. �ale: NpDlicanL I nereUy certily t�at 1 have reaE I�is ap0lication ana slaie I�al ��e a�Ove inlormation is wrrecl. I aA�ee to compty vnih all city and county artlinancesanUSlatelawsrelalingto�uildinAconslmqionanEherebyaN�orizere resenta�ivesolthiscil � en�eruponlheabove-mentionetl pmperly br inspecf n pvrpose . ' �ale: � � Signamre: 7 � orivei's �icense or Socia� Securiiy a: t6a4a6 Whne-9wlamg: Gieen—CoOe Enior<emenC Canary—Ap0licam: Pmk—Revenue: GoltlenraC—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: B 068672 PLAN CHECK NO; 03266-94 L CONSTRUCTION TYPE; PERM2T TYPE: STR JOB DESCRIPTION ; iqOLF CITY STANDARD HLOCK WALL CLAIM VALUE: 2,800.00 CALC—VALUE: 2,800.00 PERM NO; B 068672 GOVT: N SUPP: N PURPOSE; NEW SQ FT: 140 GAOUP OCC: R-3 / COMMENTS: CITY STANDARD BLOCK WALL +t*�r��r�x�x��-�-�r+e*�r�t�r�r�+r-�+c��-***�r*�r**��-x��r�r�t�*�r**«�-**�r+r*��r�r+r-��+t�r�r�r***�ert�t�r+�-*�rx��r�r�+t�--x-*+r+r** 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 BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: 20 FT IN REAR; FT IN LEFT; FT ZN RGHT; FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV; PARCEL: 13908505 ZNE: R1 REF NO: PLANNZNG NOTES> APPROX. 80 LF ON RIGHT SIDE PL S 60 LF INSIDE REAR PL. > 6' HIGH BLOCK WALL, *�r�r�rxx�r�r�r+r�r�r�r*x��rx�*+r*�r*�rxx�r�rx**��r�r��r�r�r�x��r�r�r�*�rx�r�r�r+r�r�rx�r**x�rx�x�+�x�r*xx�+��r�r�r�r��r**x�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 APPAOVED BY I�I��iIL DATE: 'P�f 2�,��jf,t HUILDING APPROVED BY ; APPLZCATION ISSOED BY; iEiEititifiEiEikiliF#iEitiEiEfE�lifkff%iE iF 1! iE 9E if fE iF iE it if iFlf if iE i! if iE iE iE iE if iE it iE M 1! # it if if iE if iE iE if iF fE fE if if if iF �E iE �F iE iF iE IE ik i LEGALIZATION:N F E E S U M M A R Y BLDG PMT PL[IMBING ELECTRIC MECHANICI PERMIT 54.00 _ , PLAN 35.10 • � ISSUE FEE � - _ DATE: DATE: � 2`1L°l �F��FiEfEiEiEif3kiEjfiE�F iEiF �F 1F iF iE it i!!E IP iE 1f iF ik iE iF 1! iE 3E 1F 9F iF iE 3F i! iE iE if STR�CTURAL SEGMENT:Y FIRE SMIP/RES GRADZNG ;50 SMIP/NON—RES BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK , TOTAL PAID DUE TOTALS----> 54,50 0.00 ' 35.10 89.60, 89,60 .00 REVENUE DIVISION TOTALS--> COLLECTED: 89.60�� OVER/SHORT; ,00 BLDG PMT PLUMBING ELECTRZC MECHANIC FIRE" SMIP/TOT GRADING PLAN—CHECK 54,00 . ,50 35.10 u it iE it it if it iE iF iE iE it iE jE iF * 1E iF iE 1! iE fE iE 7t k it it i! i! iE iE iE iE iF �F k.if if iE iE it if if iE iF iF iFK 1E fF if ik iF ik i4 i6 it fE iE if iF iE iE it if iE iE iE iF 9f iE iFlE ik if iE 3E i! ik iE I N D I V I D U A L • F E� E B R�E A�K D O W N TYPE QTY D E S C R I P T I O N �UNIT COST TOTAL COST SFR 140 RES—CONCRETE BLOCK WALL, / F'T, � 20.00 2,800.00 END OF.;FEES ': O1 �ryfJib6E54-00165ES5 T4T DATE: t78/30/44 TItlE: i`:49 V E9.6Q � �CONSTRUCTION AND PLANNtNG P�� & SPA APPROVA�.S Pe:mit # Date I�spector AppROVALS Permit ?k Date Inspector i. Temporary Electr�cal Service or Pole 52. Pool & Equipment Location 2. Soii Pipe•Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Elecirical ConduibUndr9rnd. 55. Electrita� Bonding 5.'Stee� Reinforcemenc 56. Rough Plumbing & Pressure 7est � 6. Electricai UFER Gmd. 57. APPROVAL TO COVER�GUNITE �ootings ��!/Q�/ /^� 58. E4ectricai Conduit�Und�grnd. t( C. Poundation 59. Gas Rpe, O Undrgrntl., Test � 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, � Undryrnd. 70. Structural Floor System 67. APPROVAL TO DECK 11. Prope�ty Sewer Line & House Connection 62. Backwash & Recepeer�Final 12. Sewer Cap 63. Heater & Vent�Final 73. Roof Drains 64. Plumbing System � Fina� 14. RouBh Ptumbing 65. Electrical-Fina� 15. Rou9h Electrical-Condu�t 66. Sotar SYstem-Final 76. Rough Electric Wiring 67. Fencing & Access Approval 77. Rough Wiring Sign 68. APPROVED FOR PLASTEFING 18. Rough Electrical-T Bar Celling 69. POOLISPA SYSTEh1S FINAL 19, Rough Heating & Air Canditioning FIRE DEPT, REQUIREMENT 20. .Rou9h factory Fireplace - APPROVALS .. Permit � 21. ,Duccs, in Structure 70. UndergrounC Hydro 22. Oucts, Ventliati�g 71. Product Piping fl Gas � Oil 23. Gas PiPe-Rou9h & Test 72, Underground Flush . 24. Roof Framing � -� 73. Unde{grnB.Stora9e'Tank �Gas ❑pit 25. Roo� Sheathing , ' 74,�O,verhead Hydro � 26. T-8�� Ce�ling (Structura�l & Monocoat 75. Dry Chemical ' ' 27. Prame and Flashing 76. Dry Standpipe ' " 28. Lathing & Siding � - 77. FIXED SYSTEM PINAL 29. InsUlation 76. FIRE PREV. FINAL .. 30. Dryrvall Nailing i � � HEALTH DEPT. REQUIREfv7ENT '37. Piaster Brown Coat . . 79. FINAL IN5PECTION 32. Electrical Power MeterFinal �80. .POOD CERTIFICATE ISSUED 33. Final F.lectric � Notes: _��{y �� G��r i� �34. FinalHeating&AirCondrtioning . 6�� j,�./ � ��-��C o� s 35. F(na� Gas Pipe-Test � �j'O ��sy� PJ'/.�dlg� _- 36. Hood or•Canopy - , � � �-.7�1a��., a.r� JPo r i , 37, Fina� Factory Fireplace , 38. Final Plumbing � C'� �// //� �� _ iAJ f 'Ct �! / G�� / K�/ / 39. Wat¢r Service�Final � Q�[ e __�✓t O�t�/ ��J�` S J � 40. Gas Service-Final r.^ / �41. Sola� Domestic-Fi�at � _y o ) o v�9_7_ _Y_J . 42. Backflow Preventer ' 43. Backflow Irrigation � .44. Landscape Irripation SYsiem �, • 45. Sound Attenuation 46. Handicap Regulations 47. FIN/aL STRUCTURE & BUILDING f� /L_p` 1 !7 48. FINAL PLANNING . 49. Electric Release to Edison �� 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date •':�r'4:ii^n� �� ..: �r -f96 0$l �!411M �Pi �.,J::<�'c_.. mQeN : ; io 6m.Pl. . _ .� i.�.,�,i G�JF : u..: ::W�9 k•- ` e : ".•. £064 �E^ '='- '��a� �..`��. �.: iw� ti4 an�xa Ile4� ",w�etl p��e susla as241 U P!a` Pue 1V�2 �`q �� .:1 1 �Me� aleiS �ol�ue a�ueuipi0 ¢seW o/,y�� Aue }o suoisinmd�e to uoileloU e4l t� Ip�mtlde ue eQ W p eysa� 1 suoil�ll�ads We u�d Si41 W 6uidumis e41 �uued ol PIa4 aQ lON lltlHS �� w�o a� ��d � el�� Io fai� �faa�eS D� we a�w oi mv+q�wn P� �rn N�, ew¢s uo uope�a8a10 � pue s�ld W M� *tL �seWB 1{� lE GW �N � lda� eQ 1Sf1W �g '�b] 2 0� Q'�rJildlTd HS3W V1SOJa � plSlllla �,�,�dS �J11I4'� Lt9S-VSL �o 9L9S-fSL i�v� �ljQ11�3dSNl b0� NEtID[NC[ 0 �0 Ld�� ADDITIONS, DELETIONS, OR C�RRECTIONS SHALL BE APPROVED DY Tf'[ PLA;J:�i��!G DEPAFTMENT � �- i � GOLF I, � , n s�'cle p� 11LlID[MCE � 3,� /(a = r.: ; �(�� -F °' CI'�YY O O TA '?° FLAY, C�T. ;? ( oua�Etr to e:oc3. oqt, �3 LT iD . �c7�o�-%,G A*� o�eroa o� �e�ssru� �C�-� Ol'� IJL IIESIDEMCE y-�ti /w��'' STREET A REilOENt[ Cement Coping Optionai �' Channel Block With 13/8¢i Horizontal Top of all Fences Fo� Fencei 5' or Leu Ven. Bars 3/8" ¢ at 4' �0" O.C. For Fences Higher Than 5' Vert. Bars 3/8"� at 32" O.C. � Fill Cells Solid With Grout Where Steel Occurs Rein(orcing Steel Shall Conform to Sec.A-15�39 A.S.T.M. AllSteelto be Lapped 24" or to Code NATURALGRADE TWO 3/B"¢ eARS CON7INUOUS TOP & BOTTOM HORIZSTEEL MUST BE TIED IN PLACE AT TIME OF TRENCN INSPECTION. TYPICAL 6�� CONCRETE ; BLOCK s 0 ¢ x �� u > w a= > z > a i � w O U H i on � � D � . F�-�—W�IOTH p SEE CHART '+ BELOW �L 0 ' . d' b � .. • � � � D e y e I -` � � 1�. L . 3 � �o" � 2„� FOOTING REQUIREMENTS CHART FENCE GENERAL- NOTES ' MORTAR: p�e par} plasticCemenf, and --: � � Three Paris Sond : O c�GROUT"� � One Port..Cement Tliree ona �__ �a,. � ' ��---. - One Holf _ Ports .�and ,.�COPING:•��One Part: Cement_,;Three '--""'-^Parfs_Sand � _ CONCRETE: Weil Mixed 1:2='P/2p 3-I/2 f7ry;y;Jz'�� JMax. of 7- I/2 Gol�ons of Water Per Sack of�Cement l Qh Caa _tT �C� %`.I : �-.:GROUT'MAY�BE POUHED FROM THE T,OP +�-OF TH� �FENCE•IN�CELCS WRERE STEEL OCCURS. ' CELLSANDAREASOFHOHIZO A'L�REIN- FOPCEMENT SHALL BE CLEAR, CLEAN & FREE OF ALL MOHTAR DEBRIS, E7C. DEP7H OF E4RTN7COTH i/3 ih1E HEIGTH OF FENCE � BELOW BOTTOM OF FOGTiNG SCALE: I/2�� = I' WIOTH 14 . . . . . . . . . . .14�' . . . 12". . 12.. THICKNESS .. 10". _. 10" . 8". 8" DEP1H OF EARTHTOOTH ... 24" 20�� . 16". . 12�� SPACIN6 OF EARTHTOOTH. . 12' _ . . . . . . . . . .I4' . . . . . 16'. . 16' �� ' City of Costa Mesa, California Building Department w��:�� .e� , 's CITY OF COSTA MESA BUILDING DIVISION OWNER-BUILDER VERIFICATION A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and, as a condition precedent to issuing a building permit, require the completion and require the return of, an owner-builder verification. Attention Property Owner: An 'owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the��9ajor labor and materials for construction of the pro- pased property improvement. L�"Yes ❑ No 2. I (have/have not) proposed work. signed an application for a building permit for the 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address Phone ( City Contractor's Lic. No.. 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work: Name Address Phone ( City Contractor's Lic. No.. 5. I will provide some of the work but 1 have contracted (hired) the following persons to pro- vide the work indicated: Name Address Phone Type of Work i hereby affirm that I have received a copy of the information set torth in Section 19830 of the State of California Health and Safet Cnda_ have completed the above information to the best of my per- sonal knowledge, in ance wi his State law. Signed: Date: g �� c Name: c"5 � �� S . (Printed or Typed) C.D.L. # or S.S. # �L�'�4��'�'L�3 n PARTY WALL AGREEMENT THIS AGREEMENT, made and entered into this 26th day of ust, 1994 ,byand between Steve Morris and Amanda Morris hereinafter referred to as "�ANDOWNER;' and Mr. Peters hereinafter referred to as "ADJACENT PROPERTY OWNER" It is hereby agreed that a party wall will be constructed on the property line betW@en 3216 Dakota Avenue, Costa Mesa AND (Address of Adjoining Properties) 3214 Dakota Avenue, Costa Mesa in the City of Costa Mesa, County of Orange, State of California, as per map recorded in Book , Page of Miscellaneous Maps, in the office of the County Recorder of said County. The party waU shall be permitted to encroach IN WITNESS WHEREOF, the parties have entered into this Agreement the day and year first above written. LANDOWNER igneture) Mr. Steve Morris Name (Typed or Printed) " 3216 Dakota Avenue - 1906a6 ADJACENT PROPERT O ER �� /� ��irt" " " "' ' . Signat e) Mr. Peters Name (7yped o� Printed) 3214 Dakota Avenue (Address) NOTARIZATION RE�UIRED ' �CALIFORNIA ALL-PURPOS� ACKNOWLEDGMENT • . r,,.'s�s; State of ��^� County of Bz�y�— On �/a�� `� before me, �,s�G�� L� ��'��, Gii'c � � NRAtE. TIiLE OF OFFlCER � E G..'JCHE DOE. nOTaRV PUBLiC personally appeared ❑ personally known to me - OR - KATHEAINE L. ARMSTRONG '- COMM. q1027612 � U,"O` NOTARYPUBUGCALIFORNIA � p] .i., ORANGECOUNTV� � My Comm. Eaoires May 25. 1998 �1-/��i /� � NaIdE�S) OF SiGNEA1$) =d to me on the basis of satisfactory evidence to be the person(s) �vhose name(s) i�are subscribed to the �vithin instrument and ac- knowledged to me that he/she!they executed ihe same in his/heritheir authorized capacity(ies), and that by his/her/their sionature(s) on the instrumer�t the person(s), or the entity upon beh2lf of which the person(s) acted, executed the instrument. WITNES my hand and oYicial seal. � �• � ' $�u�4�Jn; p' NpTSP.Y OPTIONAL Thouah the data below is no� required by Izw. it nzy prove vzluable to persons relyine on the document and could preven; irzudulent reariachment of ,his 1orm. CAPACITY CLAIMED BY SIGNER i I m�on�i�u.a� U CORPOF:,7E OFFICER �,r.e;s� � PARTNER(5) ❑ LIIJ�ITED !J GENERAL L AT70RNEY-IN-FACT ❑ TRUSTEE(S) U GUARDIAN!CO�SeRVA70R Q � � OTHc'F: . SIGNER IS REPRESENTING: r:cmc O°'ERSOn�S: J= Eraci;�'ik51 �`W ,oE DESCRIPTION OF ATTACHED DOCUMENT TITLE OR TYPE OF DOCUI�AENT lJU1JBER OF PAGES DATc OF DOCUtJ�EN7 SIGNEF(S) OTHER THAN NAtJ�ED A60VE C�.'�?_'_ n�; i0'�=L vG ��.�.v r.55OCi47iOn' • 8236 Femnei <��e ? u So� 7'� F= • Caoo^a ?a�,. C> c�,��o.; �,g: PARTY WALL AGREEMENT THIS AGREEMENT, made and entered into this AIL�UST 30TH day of 1994 _ by and between STEVE MORRIS hereinafter referred to as "LANDOWNER;' and MQ�� M��1� Q'' hereinafter referred to as "ADJACENT PROPERTY OWNER:' It is hereby agreed that a party wall will be constructed on the property line between 3216 DAKOTA AVENUE, COSTA MESA, CA 92626 � � (A�dress of Adjoining Properties) 2.!3 �'A�Orct�� P1 CnC�� M45�1 l' A n12(oZl� in the City of Costa Mesa, County of Orange, State of California, as per map recorded in Book , Page of Miscellaneous Maps, in the office of the County Recorder of said County. The party wall shall be permitted to encroach 32l � i,h�or'0. c� o P l C.7��4 1%%��Q _r_�� Z�OZ�O IN WITNESS WHEREOF, the parties have entered into this Agreement the day and year first above written. LANDOWNER ADJACENT PROPERTY OWNER / � /!,:-�---- i SignatureJ� � ign ture) STEVE MORRIS M�QIL S, NCI,�iR Name (Typed or Printed) Name (Typed or Printed) 3216 DAKOTA AVENUE, COSTA 3Z13 �o�O�4�� p� MESA_, CA 92626 ��Cei I�S.C4 �'�g 2625- (Address) (Address) NOTARIZATION REQUIRED 1906-46 � . CALIFORNIA ALL•PURPOSE ACKNOWLEDGMENT . ' • /—�� • • �% /Li � � ' �.L�/a.. �: / ' •� • .��'. '� ��j� before me, n•tN.E. TITLE O: OFPICEF � EU.. vnNE DOE. NOTARY PUBLiC �...� NuaE�S) OF SIGNER(5) ❑ personally known to me - OR -!�proved to me on the basis of satisfactory evidence � to be the person(s) whose name(s) +s/are subscribed to the within inslrument and ac- knowledaed to me th2t #�efsF�e!they executed the same in d-i+�F+reritheir authorized JUDITH L. BOYD capacity(ies), and that by H�er/their � ' W signature(s) on the instrument the persor(s), � COMM.#97a282 or the entit u on beh2lf of which the U .�d NOTARVPUBLIC-CALIFORNIA � Y P m MY��ExpvsS�,i996� person(s) 2cted, executed the instrument. WITNESS my hand and o`�icial se21. r J� ' Su�'tTL'i.E OF itOTA OPTIONAL h'o.5e % Thouah the Cztz below is no� required by I�w. it mzy prove vzluable to persons relyine en the documem and could prevent irauoulenl reeY�achmeM o1 this form. CAPACITY CLAIMED BY SIGNER DESCRIPTION DF ATTACHED DOCUMENT INDIVIDUAL � I CORPOn^:,TE OFFICER �.c, ;si L.� PARTNEF(S) U LIMITED U GENERAL ❑ A7TORNEY-IN-rAGT ❑ TRUSTEE(S) U GUARDIA�!!CONSERVA70R �I QjHeR: SIGNER IS REPRESENTING: r:.id? D� =cPSONt90°'cc:TiG9 (/V GC.r-l' -e� TI LE OR TYPE Cr D UMEN7 tJUtJ�6ER OF PAGES 3 a C'��- �� DATc O DOCUME�'T _//u/ ' � SIGNEF(5) OTHER THAN NAI,AED ABOVE C.'.95? Nc'ip•.aL NG i A=.Y 4550CI4 i iON • 8<"36 Femnei <ve.. P O. 60+ i 1 E= • Ca:+, oa Par4. C4 pi ��9.;',E= � PARTY WALL AGREEMENT " ` THIS AGREEMENT, made and entered into this AUGUST 30TH 19_94 , by and between STEVE MORRIS day of hereinafter referred to as "LANDOWNER," and ��S �A�'"�MA 2S� nJ hereinafter referred to as "ADJACENT PROPERTY OWNER" It is hereby agreed that a party wall will be constructed on the property line between 3216 DAKOTA AVENUE, COSTA MESA, CA 92626' (Address of Adjoining Properties) in the City oi Costa Mesa, County of Orange, State of California, as per map recorded in Book , Page of Miscellaneous Maps, in the office of the County Recorder of said County. The party wall shall be permitted to encroach � O�( �, �� r�l Co L� � n�U� P( . Co s �,� � s� �A . IN WITNESS WHEREOF, the parties have entered into this Agreement the day and year first above written. LANDOW R C.��_ igna�ure) STEVE MORRIS Name (Tvoed or ADJACENT PROPERTY OWN R �l.)z,v� �� 2v�-v�cc.�.o� (Signature) ��s ��M�RS«,� Name (Typed or Printed) . 3216 DAKOTA AVENUE, COSTA MESA ��1� COL(j/�FlC�o PC. eos� C A�2.5.2 6 � (AddreSs) (Address) n �/'� 190&a6 /�'1�5�1 � NOTARIZATION REQUIRED � CALIFORNIA ALL-PURPOS� ..CKNOWLEDGMENT State of _ County of On _ l��9�_ before me, e� E D, personally appeared NSn'.E. TITLE Of OFFlCER JE.G.. VRNE DOE. NOTAFY PUBL�C NAME(5) OF SIGNER(51 ❑ personally known to me - OR - L�proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) as/are subscribed to the within insirumer�t and ac- knowledged to me that kab�He!they executed the same in �itheir authorized capacity(ies), and that by I�i�s�J}er/their - JUDITH L. BOYD signature(s) on the instrument the person(s), �' COMM.#974282 n or the entity upon beh2lf of which lhe p.�m NOTARVPUBUC-CAUFOFNIA � person(s) acied, executed the instrument. Oi ORANGE COUNTY � � �._l �. ... My Comm. E�pires Sep. 27. 1998 WI �ESS my hand 2nd o`icial seal. � . SiG�'S'URE O� NC'4�.Y OPTIONAL no.5P9) Thouoh the d2tz below is no� required by I�w, it mzy prove vzluzbie to persons relylne on the occumern and could preven; fraudulent res^zchment o1 this form. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT INDIVIDU.4L CORPOFATE OFFICER ❑ PARTNER(S) ❑ LII�AITED ! I GENERAL ❑ A�ORNEY-IN-FACT ❑ TRUSTEE(S) ❑ GUARDIAN!CONSERVA70R O orHea: SIGNER IS REPRESENTING: p'SmcD% cn50Nl$;J-.[KiTiIE$1 / � �I/ �� ♦ //UL� , .� � • • �• I �'UIJ�6ER OF PAGES �� DHT Or DOCUIJiEN7 — /%��t-Q— SIGNEF(S) OTHER THAN NAIJ�ED ABOVE C.', oc: �� c; �pr� qL b'O' 4FY ASSOCIF i iON • 8236 AemnE; c�.z.. ? C 6or i t E= • Conooa Pa rA C 4 p t�pp.716= R�ONESSOFBVILqNG: 3'G S 6 DAKOTA AV Ol'MEf.�NAMEIFp10WN:MORRIS, STEVEN mopEss:MORRIS, AMANDA 3216 DAKOTA AVE COSTA MESA,CA �rm. �uuNc AoowEss ANCHRECT OX ENf�NEEH: AXCIL OP EN4'4 �UONE55: UNT: FLOOD: X 37 92626 uc.ra.: IINT: CONLPACTOR'SWJIE:COOL SOLUTION INC. (714)434-7444 carnx�crorcs �uuxc 2 9 7 3 HARB OR B L ADDPESS: C. M CA uc xo.: 6 9 9 5 8 92626 uHt: 186 LICENSEU COHffl4CTOH5 DECLAPITION: I hareby eXim uMer peneEy W perjury Net I em licenaed uMer yovizione d Chepter 9 (commaraip xil� SecUon ]OW) d Divuion 3 d the Buaiireec ard Vroleaeiona Cade, arM my liceree a in lull Iwu erd eHeq. uc.No.:06 3�}&a uc.cuss: uc.r+o.: EXP: 02/96 om, 3 7 �o�„� � ��a,_c-- OW EN BUILDER 0� IANATION: I Mreby elfiim uMer y d perjury5litl I em emmq Iran iM Convmae Lirorae Lew lor Ihe I� Id wvg reamn (Sadion )W 1.5 6uaiwe+ end Profeasbns Code: AnY cCY a caunry xfiiM requiras e permit to caubuc1. eller, impwe. moleh, or repei eny sVucWre, prior to ib bsuence, elao reQuirea the epplicent br such permil to file e dpned atmemen� ihm he or ehe is IicenseE W�� o Iha prwivare W the Conlredwa Licave Lew �Chepler 9(mmmendrp xMh Sedion ]000) oi Divoion 3 d �ha Bueinav W Rdemion+ Cade� w thel ha w eha ia aRemq therehoen eM iM beeio Iw the dbped uemqion. My videiion d Swion ]031.5 by anY aOV��t la e permil wbpCe tM epplicenl lo e wil peneXy d nd mae Ihen iNa huMroE Edlan �SSOOj�. � I, es ownar d iha poperly or my empbyees xEh weges ac iM'r eole mmpenae�ion, will Eo Ihe woA, end ihe elrucNre e not inleMed or MereE iw aele (Seciion i044. Bueinees end Profeasions Code�. The Comreaan Lioanee Lew does nm eppyto en awnerol propany .no wus « mawm �ne�, e�e wno eoae .�cn.ro� �:m.en «neAer o� Nraron no or nm � emqm�, w%+am inei sucn �mwo,e,*e�u me �w �memaa «onmea ta sw. n. nw,�., me w�d�re a ma�m.m m awa.mn�� r.a, a�W.��,. � owmr-0uikx will heve IM Wrden M povirp he a she tlk rM Wik a impove Iw ��e purpoee d vele). � I. es ovmer W iha propaM. em mdueiveN �ntrenine �h liceneed conlrenon to connrud tha projetl (Setlion ]OId. Bueineee eM GMessiona Gode: TM Conlredon licenae Lew Aaee iwt eppy lo en owner d poqnY ��ilds a imqovw Ihe�eon eM who wntrecu lor eutli pqeda wi�h e mrureGor�e) licemed Wnuani �o �ha Conlratlore Licen�e Lew). � I em ezampt uMer Senion: B. 8 P.C.. la �ho reawn: Daie: Owner: i eo nereM �.nM �w �� e.�a a�e u�wers�ene m, �c��mm.��e a cdeamu Hoenn d,d sde�r ceee s«vm. zssos, zssa�, e�d 2551a, eM thm I or eny M1nure W ikiiq mupem will / wil nd (dre4 aro) neeE lo comply wIh eeiE ateb wCro eM iM repuiromenb br e pe�mit lawnevunianor modAirationhom IM Ri�epement Di�nd. Raeidemiel mnniva'on epp4�ionsera exempt Irom theae prwieiona. Dete: Appliceni: WOflKEN'S COMPENSATION OECIAFATION: I heroby eifi�m unEer penelly d pepury aro W IM bllowinp Eederelions: � I heve vM xil meinieii e cerlHice�a d wneent lo �aX�inwre M waMere' compenaetion, u qovided la by Seebn �]00 d I�e lebar coae. i« m. ronamaM<a ma � io,..�n m�. o�n a a.�e. �� neve ena wio meimd, woders oomo�o� im�..�ce, e� na��a M seeim a�oo d ma �enor cma, ro, m. w�.m� a m. wark for which ihis parmn ie ivued. My workart wmpenaeiion ineuranca cerrier eM poliry number ve: c�.,: STATE FUND EXPIRES Pdry Number. — 1 0� � 1� 9 6 (]hia eanion neeC rrof 6e cwnObfed? �hs paimit is la one hundrad tldlers (St00/ a bsa.) I ceMRy �he� in �ha perlormence M Ihs wak br wh'rh thia pe�mn ie iasuM, I ehdl m� employ any penon in eny menner �o u �o ma eubjatl lo IM wuAen' wmpense�im lev.a d Celitomie. arM'q�ree t� wk Exane wbjetl to iM woMen' penae� roq d Seaion 9100 d iM lnbor Code. I ehall lonh G�� i�. � De�e: � Aodwa9L�— . W /np: �Nun ��eun woA'xi rompxuatlon rovx� unl�wlul, �na Mell su�Hcl �n xnp/oyx fo MMNI pmiltl�� nd c vll 9riss up ro on� hiartlrW lhouunE tlo/Nn /S1W,000 n�drlltlon ro N� cwf ol rompsiwtbn, pemsyu �s povltlM br In Swtlon 9105 0l Me labor COM, Inromq entl ettomry's /ro,. CONSTRUCTION LENDINO ROENCY: I Mnby eXirtn uMar panely d perNrv �hat iham ia e conniudion bnEiip egency br iM PBf�OlIIIBIICB O�IN! NVk�OlWi11d11hW pBllll� 19 63UB��$BYllfl'�OB'/.riN.C�. LENUEfl'4 NWIE: LENDEfl'S ADOPE55: I cerlity Ihet I Iwe reed iho applicetion erd elele �hei the abova iniamman is mrteu. I epiea to compy wilh ell dty enE mumy oNinences arM ete�e lewe ielelmp lo buikiq mnsUutlion vd Mreb/ aNhor¢e npremnletivm of Ihu ary lo amer upon tM ebove.mentonad qopeM �or inspedqn W�W�a� S�� MORRIS (5151dB.WP) wnn>-euaa:qasd.ry: Dete: ___�3 /� Pink-Revanue;GalEenioE-bseaea CZTY OF CO5TA MESA — BUILDING PERMZT PERM NO: M 076714 PERMIT NO: M 076714 PLAN CHECK NO; N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: OTH JOB DESCRIPTION : REPLACE F.A.U. & INSTALL A/C SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /U—i COMMENTS: X iE iE ff if 1E 3f iE 1E iF iF if iF iE iE IE iE iE 3E iE if iE iE if if if �E jE iE iE iE if iF 1E 1E if iE iE iF fE iE iE iE fE iE iE iE iF iF iE iF 1E iElF iE 3E iE iE 9E fE 1E 1E 1E �E dE fE fE 1E aF iF �f iF iE iE iE �E iF IE iE af Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY 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: 13908505 ZNE: REF NO: PLANNING NOTES> > Cv 1E iE iE -0f 1E �E 1E 1ElE iE iE iE iE 1E IE 1E IE IE i(� iE IE IE f(' iE'IE'IE 1E �E if iE �E iE 1E iF if iF 1E ik iE iE iE 3E 1E iE 3E 1E �f"lElE 1E 1ElE ff 3E 1E 1E iE iE 1E iE IE �ElE 1f IE If 1f iE 1E 1E 1E if� iElElE 1E 161E 3E 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 c ��.I ____ DATE: I I � APPLICATION ISSUED BY: LEGALIZATION:N F E E S BLDG PMT PLUMBING ELECTRIC PERMIT PLAN M M A MECHANIC FIRE 18.00 25$ DA STRUCTURAL SEGMENT:N SMIP/AES GRADING SMIP/NON—RES ISSUE FEE :v 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 18.00 15.00 0.00 33.00 33.00 .00 REVENUE DIVISION TOTALS--> COLLIECTED: 33.00 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MEGHANIC FIRE SMIP/TOT GRADING PLAN—CHECK ;j3' 3 . 0 0 � 1E 1FlE 1E iE 1E 1E iE iE 1E iE 1E 1E 1E iE if fE 1E iF if !E if iE iE 1E 1E 1f dE iE iElE 3E iE 1E 7E 1E 1E 1E 1E �E �k 1E 1E jE 1E iE 1f 1E 1E jE iE 1E 1E 1E 1E iE 161E 1E iElf iF 1E 1E 1E 1E'lE �ElF 1E if if if if iF 1k if 1E iE I N D I V I D U A L F E E B R E A K D O W N �� TYPE QTY D E S C A I P T I O';N UNIT COST TOTAL COST MEC 1 INST FORC—AIR/GRAV EURN <= 100 K HTU 9,00 9,00 MEC 1 REFRIGERATION SYSTEM� <= 100 K HTU/H 9.00 9,00 END OF FEES .i .i.�; i': i[' � �. - 0 �� CONSTRUCTION AND PLANNING , JOl & SPA � APPROVALS Permit # Date Inspector AppROVALS Permit #� Date (nspe�tor 1. TemPorary Electrical Service or Poie 52. Pool & Equipment Location � 2. Soi� Pipe-Undrgrnd. ' /i - 53. Steel Reinforcement ' .3. EleGirical Conduit Utility-UndCgrnd. 54. Forms ' � 4. Electrical ConduibUndrgrnd. 55. Electricaf Bonding 5. Ste¢I Reinforcement � 56. Rough Plumbing & Pressure Test 6: Electrical UFER Gmd. . 57. APPROVAL TO COVER-GUNiTE . �7. Footings 58. Electrical Conduit�Undrgrnd. - r. . - -8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe�Undrgrnd. , 60. Backwash �ineS, P�Trap, rJ Undrgmd. 50. StructuraV Ptoor Svstem 61. APPROVAL TO DECK � i i. Property Sewer Line & House Conqection 62. Backwash & Receptor-Final 12. Sewer Cap '" 63. Heater & Vent-Finai �73. Roof Drains 1 64. Plumbing System � Finai 14. Rough Plumbing' 65. Electrical-Final 15. Rough Elecirical-Conduit 66. Solar SYstem-Final 16. Rough Electric Wiring 67. Fencine� & Access Approval � S7. Rou9h Wiring Sign 68. APPROVED FdR PLASTERING • 78. Rough Electrical�T Sar Ceiling 69. POOUSPASYS7EMS FINAL 19. Rou9h Heating & Air Conditioqing FIRE DEPT. REQUIREMENT , 20. Rough Pactory Fireplace � ' �� - APPROVALS Permit # 21. Ducts, in Structure , ' . 70. Underground Nydro 22.Ducts,Venti�ating - - 77, ProductPiping��Gas ❑Oil 23. Gas PiPe-Roogh & Test � -, 72. Underground�Flush - 24. Root Fra'ming � � c - �� 73. Undergrnd. Storage Tank O Gas ❑ OiI 25. floo£ Sheathing -� ' _. 74. Overhead Hydro 26. T-B�r.Ceiling (Structurall & Monocoat .. . 75. DsV Chemical ' 27. Frarne and Flashing - . 76. Dry Standpipe � 2$. Lathing&Siding �: 77, fiXEDSYSTEMFINA�L-' 29. Insulation ' ` ' 78. FIRE PREV. F.INAL " � 30. Drywall Naiting - ._ �HEALTHDEPT.REQUIREMENT 31. Plaster Brown Coat � 79. FINAL INSPECTtON . �. 32. Electrical"Power Meter�Finai �� 8b�r FOOD CERTIF,CATE ISSUED ' � _ 33. Finat Electric Notes: �/ / 34. Fin�l Heating & Air Conditioning . �, 2 �� C� �b �� i 35. Fina� Gas Pipe-Test � ' - 36. Hood or Canopy - - . - 37. Finai Factory Firepiace ' . - . , 38. Final Plumbing � � . � 39. Water Service�Finaf � � 40. Gas Service-Final � , .. ,, , ' . `• . . � 41. Solar pomestioFinai • � � ' - 42. Back.flow Preventer . , 43. Backflow Irriqation � _ , 44. Landscape Irrigation System � - . � _� 45. Sound Atte�uation . ' - ` � 46. Handicap Regulations ' � 47. FINAL STRUCTURE & BUILDING ''_ � 48. FINAL PLANNING : 49. Electric Release to Edison •� '� � � 50. Gas Release to Southern California Gas Co j� � �, 51. CEpTIFICATE Of OCCUPANCY � No Oate OWNER PRENDERCAST� N. DATE 7-19-7$ _ JOB ADDRESS �16 nekota Avenue BUILDING PERMIT N0. 46421 GENERA� CONTfFACTOR DESCRIPTION of WORK AP No. i ��_nRc_na LOT vZ TRACT �F,�q FIRE ZONE � VALUE E 70O.00 ♦TER AOP. SwR. LINE I � NOUSE CON. ISCELLAN UN�ERGROUNO �J POWER ROUGH wIRING TRE4CHE5 U FOFMS F�OOR SVSTEM BONO BEAM � � STEEL REINFORCE SNEATHING FRAME nN0 FLRSHING L I PLaSTER,BROWN COAT IN4L BUILOING, FINAL SUBCONTRACTOR � E"� � L Q y y y" F G W F a A � 7 a x w a � a O� z W "i' 3 ,. _ cr6�21 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING ADDRESS pJ � OWNER MAIL �i � . , ' �i _ 17_ CITY BRANCH � ADDRESS ARCHITECT ADDRESS CONTRACTOR[ ADDRESS�d"f% CITY � STATE LIC. NO. 3a SIZE OF LOT USE OF TEI. NO. CITY ��ao3 LIC. NO INO. OF BL�DCS / NOW ON LOT Separate permits are required for electric, plumbing and hea[ing work. UILDING AND WORK TO BE PERFORMED I he�eby acknowledBe thet I heva read this applieation and state that the above informatlon is corract antl aB�ea to comply with ell laws reBuleting Guiltling conrtrucHon, and I shall not amploy eny person in vio�etlon ot Me workman's compensatlon lews oi Me Stete of Celifornia. I hereby certify ihat I am properly Ilcensetl as e contractor untler t�a Staxe of Callfornia Busineu entl Professions Code, Olvision 3, Chapter 9, antl that such Ilcensas ara In full torce and effe<i, or I am exempc trom tha provislons of the Stete of Callfornia B�sineu entl ProfessionsCo , Divizlon 3, Cha/p/teJ�9. Sipnnt�ro of �T � �/��r� _ Permittee �..�F+ LC ��%u�� AuthoNzetl Agent s 9929 7/19/:7� y,, 7.50 Tl; �p� _ .. . . . �.. t1^ APPLICATION FOR STRUCTURAL PERMIT RECEIVED BV DATE flECEIVED D E ISSUEC, i � I A.P. N BUIIDING ��/� ' O� ADDRESS TRACTJb�� LOT /.J BLOCK W ADD A P OWNER (1 ' VALUE S g O FIRE � ZONE TVP,E_ GROUP APPROVED � %I ��% BY //i� DATE L / L 20 NO.OF VSE OF NEW � � PLANS BUILDING YA DSAPPROVED VARDSAPPROVED MAIN BUILD NG . ACC,QSSOPV BUIL�IN (FROM GL T ET) FROM FT. / ry T FT n � � OISTANCE BET. . BET. MAIN & MAIN BLOGS. ACCESS. BLU VAft.# DATE .T C.U.P.:$ APPROVEO n m i m SQ. FT. N THE AMOUNT SHOWN UNDER VALUATION IS FOR m THE PURPp$E OF ESfAeI.ISHING A PERMIT FEE ONLY: _ e VALUATION PERMIT FEE S `� i v� n PLAN CHECK S "� 0 $ � TAX § LL � / � � -U TOTALPAID S LoT 73 - rRacr 3625 � , . � �� COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 9f7 COBTA MEBA. CALIFORNIA For Applieanf to Fill In Complefely � TYpE OR PR{NT BULLDIraG 32i6 DAKOTA AVENUE ADDRE65 COSTA MESA CALIFORNIA owNER KENKO� GaNSTRUCTION CO. "'"'� t555 PLACENTIA AVENUE nooRess rir NEWPORT BEACH T�{ 6=3z27 K.W. KOLL CONTRAGTOR ADDRE55 �rJSS pLACENTIA AVENUE C�T, NEWPORT BEACH �F� No. 6i>95 No: MI 6-3227 SIZE / I u�w�.P...B� Dre�� neinr OnX�00 'B6TBAC�N^vIN6�PROM _SO' oCeo veon LO� � I LEFT S f I RIGH7 5 t DESCRIPTION OF WORK BUILDING NO. OF 61ZE � 2� SF ROOMS � STORIES � EXTERIOR WALL STULCCiROOF ROCK COVERING ICOVERING USE OF BUILDING AND WORK TO BE PERFORMED SINGLE-FAMILY RESIDENCE AND ATTACHED GARAGE PLAN -C ' ZONE LE6AL � � � .'� � � ._ _ _ .� :J .5.�� S�13-E� ,-;j �;',, . _ ;r'• , �.I �` �.. . ..._� . APPLICATION FOR PERMIT � BUILDING For Office Use Only PECEIPT NO. P,� DATE 189LIE0 IAY 1 6 "1960 COSTA MESA. CALIFORNIA ZONING NO. OF U8E OF NEW PLAN9 �J BUILOING LINC BT.) ! EVES 1 HEREBY AGKNOWL�DOE THAT 1 HAVE REAO THIB APPLIGTION TX! AMOUNT SHOWN UNOER VALUATION I8 FOR THE AND 9TAT6 THAT TH6 ABOVE IB COPRECT AND AGftEE TO COM• pURP09E OP EBTA9LIBHING A veRMIT FEE oN�r. PLY WITH wLL C�TY onmNwHc¢s ANO 9TATE LAWB RE�ULATINO BULLO1Na coNeTRUCT1oN. , VALUATION SIGNATURE OF PERMIT FEE $ �� PERMI'RE /� O --rf . $ /'� 773 PLAN CNFCK $ /O r � AUTHORIZED