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Home My WebLink About1461 DEAUVILLE PL - Building Permits(714) 754-5273 • Fax (714) 754.4856 • www.ci.costa-mesa.OUR-DING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 1461 DEAUVILLE PL Suite: 2020 E FIRST ST Vicinity: FRENCH QUARTERS 1461 THRU 1467 DEAUVILLE Primary Occ: R-1 Hotels/Apts/Res >10 Occ Type of Construction: V -N Parcel Number: TPN98079 Zoning: Applicant: PEARSON, VESS Address: P 0 BOX 3908 SEAL BEACH, CA Owner: FRENCH QUARTERS HOA Address 2020 E FIRST ST SMTP Res: SUITE 500 -- SMIP Com: SANTA ANA, CA Contractor: ,.G M ROOFING COMPANY Address: P O BOX 3908 - Total: SEAL BEACH, CA Zip: 90740,', " Arch ' Addr Phone: 562-429-7663 Zip: 90740 Phone: 714-285-2626 X211 Zip: 92705 Phone: 562-429-7663 License: 472566 Eng: Address ISSUED BY: Status: ISSUED Applied: 05/22/2006 Issued: 05/22/2006 ess. - - Phone: Phone: Zip:/,,,License: - - - - License: - 1<, ' SCOPE OF PERMIT REI200F CONDO COMPLEX 1461 THROUGH 1467 DEAUVILLE PLACE AT FRENCH QUARTERS: T/O EXISTING ROCK ROOF, REPAIR/REPLACE SHTG AS NEEDED, 2 LAYERS 15# FELT, INSTALL GAF 40 COMP SHINGLES PER MFGR'S SPECS. PITCHED ROOF ONLY. 26 SQUARES FEE SUMMARY - Plan Check: $0.00 Permit:'. $153.25 SMTP Res: $0.77 SMIP Com: ' $0.00 Other: $0.00 Inspection: $0.00 Total: $154.02 SETBACKS MAIN STRUCTURE Front 0-0'�� ,Rear' 0-0 ACCESSORY - - Front 0-0 Rear_ ' 0-0 PARKING Existin: -0 Required:' -0 Calc Valuation: $7,650.00 Claim Valuation: $7,650.00 'LANNING & ZONING -- Left 0- 0 Rigfit :0-/b - Left 0-0 - Right: 0-0 - Proposed: 0- - - NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: V1 4) 7545626 2446-46(6100) DECLARATIOMS WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ' ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of'the work for which this permit Is Issued. . I have and will maintain workers' compensation insurance, as required by section 3700 of the labor Code, for the performance of the work far which this permit is issued. My werkCe�ra' c�ompensationGlnsurance carder and policy number are: �-1 Carrier:-�-Y-i�F 9 ukx) Policy Number: IJ0 G_L- Zoo L (This section need not be completed /f the permit is valued atone hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and a ee that that icome subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with these provi'on . Applicant Signature: Date: s 'L`L—OLa WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37M OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES, LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed undeerrlprovisiogs of Chapter 9 (commencing with Section 7000) of Division 3 of the Business a Prof ssions Code, and my license is in full force and effect. 1.1c.#I �.. IOL Class a �' - qq Contractors Signature: D .2 _ _ Date: �5,7 2—OL— CONSTRUCTION LENDING AGENCY: ❑ 1 hereby affirm that there is a construction lending agency for the performance of the work for which this pernit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER -BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that 1 am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. It, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by ddvers license. ❑ Yes ❑ No Driver's License No. Expires: Verification of Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, California Administrative Code). ❑ As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). .._........._.........._........__........_._................._............_..........................................__..................._.............._.._......................_......____..................................................._.__......................... _.............. _........ _........................... __...... . 2 Does or will the applicant or present or future building occupant need to file a registration forth for acutely hazardous materials? ❑Yes ❑ No (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). .................................... _.......... .... ............................... _................................... .................................................................................. ........................................................................... _...... ...................... ................... ...................................................... 3 Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materiels)? ❑ Yes ❑ No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. ................................................................................................................ ................................................................ ........................... .__...................................................................................................................................................................... ..... 4 If an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? []Yes ❑ No ............................................................................................................................................................................................................................................................................................................................................................................................ 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this a plication eggemit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency?Yes U No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). ......_........._..........._.........._................... _........... _............................ ..............._..... _............................................................ _._._........................................................... _.__...... ............ __........ .................................... .._............ _............. _.. 8 Will any pan of the Facility to be constructed under this permit be within 1000 feel from the outer boundaries of a school? []Yes ❑ No (if 'yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). ................ ............ ............................... ................................:.................................. ............................................................................................................................................................................................... 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? [:]Yes [INo .._......._..................... _.......... _.._................. _........................................ _.................................... ............................ ............................................................................. .............._............................................................................................................. 8 (If yes", attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certity that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORVAT10N OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection, Signature Of Legal Owner(s) Dale A7� S^`LLL) And/Or Authorized Applicant Dale CODE 0. INSPECTION TYPE DATE IKMMLS CODE 1 INSPECTION TYPE PATE ILLS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final_ �208 Final Plumbing 200 Final Re -Rooter J( 210 Final Electrical 201 Final Block/Retaining Well 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval . 203 Final Sign 222 Final Site 204 Final Demolition- 250. Final BuildingrOccupancy , 05/18/2006 13:38 81838V-'35 TRANSPACIFIC PAGE 01/01 French Quarter Homes Association May 18, 2006 / Attn: Regina Diaz City of Costa Mesa Building and Permits 77 Fair Drive Costa Mesa, CA 92628 Re: Permits for French Quarter Homes Association Dear Ms. Diaz, 9 The Board of Directors of French Quarter Homes Association has approved for GM Roofing Co, to repair the roofs at this association. Here is the listing of all the addresses that will be repaired. GM Roofing is authorized to proceed in any way necessary to complete this project. 1461, 1462, 1463, 1464, 1465, 1466, 1467 Deauville, Pitched roof only 1451, 1452, 1453, 1454, 1455, 1456, 1457, 1458, 1459 Deauville, Pitched roof and flat roof X1441, 1442, 1443, 1444, 1445, 1446, 1447 Deauville, Pitched roof only 1431, 1432, 1433, 1434, 1435, 1436, 1437 Deauville, Pitched and flat roof 1421, 1422, 1423, 1424, 1425, 1426, 1427 Deauville, Pitched roof only 3141, 3142, 3143, 3144, 3145, 3146, 3147 College Avenue, Pitched roof only These addresses are all located in Costa Mesa, CA 92626 If you have any questions feel free to call Erik Sheesley, at 714-285-2626, ext 211. Sincerely, By director of the Board of Directors French Quarter Homes Association Erik Sheesley, CC Community Association Manager Professionally Managed by Transpacific Companies 2020 Vw Fir" Street, suite 500 Santa Ana, CA 92705 Phone: 714-285-2626 Fax: 714647-9393 (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.c43$ILDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 1461 DEAUVILLE PL Suite: Vicinity: DETACHED GARAGES Primary Occ: U Parcel Number: TPN98079 Applicant: VES PEARSON Address: P O BOX 3908 SEAL BEACH, CA Owner: FRENCH QUARTERS Address 2020 8 FIRSTSTi�� SUITE.500 i ,_- SANTA AN CA\�-1 Status: ISSUED Applied: 08/02/2006 Issued: 08/03/2006 Type of Construction: V -N Zoning: Phone: 562-429-7663 ISSUED BY: �— —.`Zip:---90740_ — �G.,c _- (-, Phone: 1714,285-26//26X21.1��,,}� 05' Zip: 9 Phone: 562-429-7663 License: 472566 fAr h' : l / fi Eng:^�. Address: /� ff Address: _ ti % rJ/ / "Phone: .Ie, int c - � , 1 License:, SCOPE OF PERMIT`-�-�� {'ITEAR OFF EXISTING ROOF.,INS ALL'2 LAYERS OF 15# ASTM FELT, GAF 40 YEAR, LAMINATED COMPOSITIONS j REPAIR/REPLACE SHEATHING AS NEEDED. 24 SQUARES FOR DETACHED GARAGES FOR -1461 THRU 1467 DE( (t}I j LIC U ----fir=__.FEE=SUMMARY= P. �Vx ' Plan Check: $0.00 ( �;1 7 + Z!1/" �/ Calc Valuation: 11; y ti'h'( l Permit= DECLARATIONS C"i WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will malntaln a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the ork for which this permit is Issued. will maintain workers' compensation Insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. --My workers' compensation Insurance carrier and policy number are: %Ca elite Flt N U _a79;;-a79;;not be completed i/ the permit /s valued at one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith complywith.these,pr!a l P I plicant Signature:_ \\`i Aa (A�. ls: a h u b WARNING'ULAIF-RE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN Eh 1P0 CRIMINAL PENALTIES AND CML 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, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: 0reby.affirm.thaLl am licensed under proslons of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full e�eritl effect. Lla-M �L'i i� 2 Contract gnature: CONSTRUCTION LENDING AGENCY: ❑ 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lenders Address: Signature: Date: OWNER -BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that 1 am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she Is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a cI it penalty of not more than five hundred dollars ($500).): ❑ I, as owner o1 the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such Improvements are not intended or offered for sale. 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 for purpose of sale.). ' ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors Llcense Law does not apply to an owner of property who bullds or Improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. ❑ Yes ❑ No Drivers License No. Expires: Verification of Ownership by (type of document, Le. - property tax bill or dead): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be made in connection with work authorized by this Permit, and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title B, California Administrative Code). ❑ As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present Or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be tiled with the Costs Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). _...._...__._.._.........__.........plica..........__......._............................___.........................._........file..................................................................__.........._..................._.__..........._......__..........._............__........__.........._._....... 2 Does or will the applicant or present or future building occupant need to file a registration torn for acutely hazardous materials? ❑Ves ❑ No (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mass Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). ..........................._........._.............................. ................................ ...................................................................... ........................................................ ................................................................. ..................... .................................................................. 3 Does or will theappplicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes 11No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. .._.........._........_........_........._................._..............._.............___......_........................................................................ie",t.........................n'f'..___..__..._.....w'ii............................._._.......-..._............. ........... _........... ....... ...... _........ 4 If an RMPP is presently required, has Section 2553.. of the Califomia Health and Safety Code been fully complietl with? ❑Yes ❑ No ........_........_......._.......__.....appl........__................_........__.—.._................................__..................................................................._ubject ...................pl.............__............._.......-._.............__......._.........odificati ...... 5 Does or will the applicant or present or future building it occupant require for the work which is the subject c this a plication a emit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? � Yes � No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). ...................._........._................... ........ ........................................ _._.......................................................................................................... .....___............................................._...... ............................ 8 Will any pan of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No (If yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). .........................................................................................................._........................................................................................................................................................................................... ................. .................................................................... 7 If apermit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No ......_................................................... ............................................. _............................................................................................................................................................................................... __.......................... _................................................... B (If yes", attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certity that under penalty of perjury the information given above is correct. I agree to comply with all stale laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIIRCATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the Information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to Occupy or allow occupancy of any building authorized by this permit until final inspection. Sign re OI Legal Owner(s) Date And/ r"Authorized Appricanb-^r _. Date CODE.. INSPECTIONTI'PE PATE INTIT9L5 CODEC INSPECTION TYPE PNTITTA 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1268 Pool Spa Final Q �1 208 Final Plumbing 200 Final Re-RoofC� � 0 �(��fL}C 210 Final Electrical 201 Final Block/Retaining Well 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy Applicant to fill in all spaces within heavy border linesand sign all appropriate tLeclaralicAs CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. CDG. NO. Y 3320 1/2V/83 - g000 CONSTRUCTION PERMIT TYPE OF CONSTRUCTION ❑ NEW ❑ ADD ❑ ALTERATION ❑ REPAIR; ,O,C r ERSION El DEMOLISH O'OTHER - - - - - I - DESCRIPTION'OF WORK . -_-- _ '_ '_T` ZONING REGULATIONS A.P. 3F ZONE PLNG. REF. * - - - Project Address .1�/ /�`fr 'ij; e -7R Owner E • Phone Address/ /Y� q' Arch/Eng. - License No. - Address --"- -- - _ _ Contractor. Phon - TYPE OF PERMIT } --- ,-O-GRADING".` ❑ FOUNDATION ❑STRUCTURAL S SETBACK T.. pp _ 51 YARD LSEpE To glJ I l'�DING - PROPE RTV LINE - - Address e E /I/G� _ LICENSED CONTRACTOR DECLARATION - _"- TENANT ❑ELECTRICALPLUMBING ❑rv1ECF1ANICA Y RD I hereby. affirm that I am licensed under provisions of Charter 9 (co m-' RIGHT mencing with section 7000)- of Division 3 of the Business and - ❑ OTHER Profession 5 Cotl an y is in full force and effect. REAR YARD (TO P/L) - _license ' PROJECT DESCRIPTION'- _ License Class cense No .- SQ. FT. -' '-- - - - PKG. SPACE REQ. - PROVIDED - - - /'L a� �� - Date Signature _ 'STREET WIDTH PARK FEE $•-' WORKERS' COMPENSATION DECL ATION "" _"' - OCCUPANCY_ CONSTRUCTION TYPE - -_ 1 hereby. affirm that I have_a cert -fl to of consent to self -insure ora VALUATION ZONING APPROVED. BY DATE. certificoWorkers, sation Insyrance, orcertified —ZONE .- f eoi I}n,Se tjon Bpp, L,dy. CJS � 10 ciz f� Iks GRADING CU. YDS. ACRES SPECIAL CONDITIONS:. pan /JA ertified copy is hereby' furnished. -' ❑ certified copy is filed with the city Building Division. REMARKS:. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - - (This section need not be completed if the permit is for one hundred - - - -- - - -• - ... - E100)) or less)). S -certffythat In the`'performance of the work for which this permit is PLUMBING C PLAN CHECK - - ELECTRICAL PLAN CHECK. issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation' Laws of California. BATHTUBS SHOWERS ! Date Signature NOTICE: If after making this declaration, you should become subject TOILETS- URINALS GENERATOR 0-1 KW KW to the Workers' Compensation provisions of the labor Code, you must -1-10 ,TRANSFORMER - forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS APPLIANCE 10-50 KW_50 + KW revoked. _ - - -- _ KIT.SINKS DISHWASHERS !MOTORS 0-1 HP -1-10 HP ' CONSTRUCTION LENDING AGENCY I hereby affiim that there,is a construction lending agency for the per. . SERVICE SINKS ''SUMPS '(INC. SOLAR)- 10-50 HP_SO + HP of'[he work.tor' which this : permit is issued '�(Section'3097 Civ.formance Lenders Name-"^°�•' - `Z'^+'` - _ _ 'FLOOR SINKS -7-3 C -,FLOOR DRAINS FIXTURES OUTLETS SWITCHES M1 , a Lender's. AilCresS?'• )� S ` - '.A1 ,-bRINKING.FOUNTAINS -GAS TUBE SIGNS OWNER BUILDER DECLARATION 1 hereby affirm that I.am exempt from.the Contractor's. License Law for INTERCEPTORS CLARIFIERS POLE LIGHTS the following reason (Section 7031.5 Business and Professions Code:-CUM.SWIMMING POOL P TRAP Any city or county which requires a permit to construct, alter,_ POLES METERED SUB improve, tlemolish or repair any structure, prior to its issuance, also re- WATER SERVICE ALTERATION PANELS MAIN„ SUB. quires the dpot cant for such permit to file a Signed statement that he is licensed pursuant to the provisions of the Contractor's License Law GAS SE OUTLETS I - SERV ICE AMP (Chapter 9 (commencing with- Section _7000) of Division 3 of the WATER HEATERS BTU OUTPUT �� iness and Profession$ Code) or that he is exempt therefrom and the for the alleged exemption. Any violation of Section 7031.5 by SEWER CONNECTIONS - applicant for a permit subjects the applicant to a civil penalty o not more than five hundred dollars ($500). SOLAR TANK COLLECTORS ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SVS. - ISSUE FEE Contractor's License Law does not apply to an owner of a property ISSUE FEE �+ APPLICATION APPROVED 'BV - DATE who builds or improves thereon, and who does such work himself or through his own employees, provided that Such improvements are not MECHANICAL PLAN CHECK SUMMARY OF.F FEES. ' intended or offered for sale. If, however, the building or improvement is sold within one year of completion' the owner will have the burden- of proving he did not build or improve for the purpose of Sale). ❑ - HEATING -SYSTEM -0-100,000 BTU - - BUILDING PERMIT $ - - SMIP I, as owner of the property, am exclusively contracting with AND DUCTING licensed contractors to construct the project (Section .7044, Business - 100,000 + BTU PLAN CHECK E ._ PERMIT and Professions The Contractor's License Law does not apply to a ISSUANCE. $ a pert of property who builds or Improves thereon, and who con- REFRIGERATION 0-100,000 BTU _ 's. Q PLUMBING [l It acts from tracts from such projects with a contractor(s) licesnetl pursuant to SYSTEM GRADING .$ the Contractor's License Law). .. 100,000 +BTU PLAN CHECK It ❑ 1 am exempt under Section S. & P. C. for thisgOILE RS BTU ELECTRICAL $ - $ reason PLAN CHECK $ 'MICROFILM$ _ Date -Owner - - -SYSTEM REPAIR, ALTERATION- EXHAUST SYSTEM MULTIPLE - - -- MECHANICAL -$ TOTAL 'FEE $, - LESS AD- ,I,htfreby certifythat 1 have read this application and state that the above information is correct. I agree to om I with all city and count PY Y PLAN CHECK E VANCEPC $ ordinances an tate laws relating to onStructlon, antl hereby authorize - - representati f tn15 city to ter upon the above - p p tU 99nentpionedpro 0� Signaty L JJn edema Date f� 0 - . - - - -- FINAL FEE $ Drivers' Licen or SS ISSUE FEE CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor CONSTRUCTION AND PLANNING APPROVALSPermit # Date - Inspector POOL & SPA` •- APPROVALS - Permit # _ _ - : Date Inspector. 1. Temporary Electrical Service or Pole 43. Pool -& Equipment Location 2. SoilPipe-Undrgrn - " - - - - 44: Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. ".Forms '- - - 4. Electrical-Cgnduit-Undrgrn " - 46. Electrical Bonding 5. Steel ein orce' - '"" 47. Rough Plumbing & Pressure Test. 6' Electrical U ERGrn" ' 48.' APPROVALTOCOVER-GUNITE - 7. Footings "-"- - - - --- - - - 49; - Electrical'Conduit-Undr rn 8." Foundation i - - 50.' -Gas Pi e; ❑ Undr rn, Test 9. Water Pipe;Undrgrn - - 51. Backwash Lines' P -Tr . ❑ Undr rn' 10. ` " Structural- Floor'System--- '� 52. APPROVAL TO DECK " 117 Pioperty+Sewer Line &'Housi.Connection J - 53. Backwash & Receptor -Final ` 12. • Steibt Sewer Connection 54. Heater & Vent -Final 13. Rough Plumbing - - ' - 174: Rough _Electric -Conduit '- - � "'- •- -� _ _ :56." .Electrical -Final •-15. RoughElectric-Wiring- 57. SolarSystem_Final �•`.a.' ;� ry 16. _ Rough Heating & Air Conditioning_ _-- ;: -..- - _ ,__ •.. -encing & Access Approval 17'. Ducts in Structure. i i APPROVED FOR PLASTERING 18'. 19. 20. Ducts, Ventilating Gas Pipe=Rough.&Test RoofyFraming 60. - POOOSPA'SYSTEMS FINAL 21. 22. Roof Sheathing - Frame and -Plashing"' ' NOTES:27/2 a.. 93 23. Insulation - 24; Lathing & Siding 25'. Drywall Nailing 26. Plaster Brown Coat '" - - +� •-•• - 2T. Electrical Power. Meter -Final 28. Final'Elect6c - 29. Final Heating & Air Conditioning _ •-• 30. Final Gas Pipe -Test - - 31. Final Plumbing 32. ": Water Service -Final 33. Gas Service -Final 34. Solar Domestic -Final - 35. Landscape Sprinkling System -" - '-- -" `•+ 36. Sound Attenuation - 37. Handicap Regulations 38. FINAL STRUCTURE&BUILDING 39. ' Special Requirements Completed • " - ' 40. Electric Release to Edison - " - - "-' - - - - - - - " • - - - -- - - - - - 41. Gas Release to Southern California Gas Co. --e * -' •- T - -' - - ^--- _ - - `• " - - 42. ' CERTIFICATE OF OCCUPANCY No Date 22732 L4 4E RECEIVED - COSTA MESA BUILDING -SAFETY DEPARTMENT Plan# 216 AUG 3 1964 P.O. BOX 317 COSTA MESA. CALIFORNIA For Applicant'to Fill In Completely r(��TTFyIINAFNCE��7D�EP�T. APPLICAAON PORCPER14fIT•'ESA -TYPE OR PRINT BUILDING For Office Use Only BUILDING/ ADDRESS RECEIPT NO.rpGq 1/LT O. "LJ COSTA MESA, CALIFORNIA 2 3 _ R[C[IV CY O E [CEI DATEIESUED owNERHarborr Hall of Fame Homes Inc. 6 IM 8 1964 BOX 2066 BUILDING MAIL ADDRESS ADDRESS _ -'I ,, � Ana FIRE ZONE TYPE GROUP \ _ / CITYSanta NOL�I9-220/ ARCHITECT Ray Levanas TEL/KYR3-7010 APPROVED BY DATE OR ENGINEER NO. ONING ' ._ — ADDRFss 3432 Via, 0 rt0 N t -Bch Residential Bldg Cor ZO PUNS BUILD Hn NO. Or E OFLifetime CONTRACTOR LEG AL {{TTOX 2066 (�(� O DESCRIPTION t `J •J 1 ADDRESS Santa Ana CITY A. P. NO. NOTE: NO EAVE SHALL BE LESS THAN STATE 208676 TEL%19-2204 EAR P. L. 90" TO SIDE @REAR P. L. LIC. NO. NO. LL ]_p X HO I-rvo. OP SLDGS.�O EAVES ALLOWED (U. B. C. REQUIREMENT) OSIZEFF OF LOT NOW ON LOT - YARDSAPPROVED YARD3 APPROVED USE OF none- MAIN BUILDING ACCESSORY BUILDING ' EXISTING BLDG. ' ( FROM C/LhBTREET I SETBACK LINE FROM t C9J FRONT FT. 7 FT. CENTER OF STREET REAR YARD 25110' I 0 R. SIDE FT. FT. .0 SIDE YARD LEFT - RIGHT p� CJ DESCRIPTION OF WORK.SIDS/� FT. FT. n X'X'.REAR71.� FT. - FT.' Z NEW ALTERATION ADDITION DISTANCE BET. BET. MAIN @ S REPAIR MOVIryG DEMOLISH MAIN BLDGS. ` ACCESS. BLDGS. BUILDING NO.OF z DATE VAR. P. a i ,(r, 11 /U 880 ROOMS 7 STORIES C. U. P. !f" APPROVED 01 EXTERIOR WALK. ROOF _ I APPROVED _ - z COVERING DtUCCO COVERING Rock BY'. DATE USE OF BUILDING AND WORK TO BE PERFORMED V ,7 Construction of BIB occu c bld t' with nJ1t construction garage SO. FT. I.HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN�UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. L PLY WITH ALL CITY ORDINANCES All STATE LAWS REGULATING BUILDING CONSTRUCTION. VALUATION' PERMIT FEE $ "�J•� SIGNATURE OF PERMITTE j [�-'` LAN CHECK AUTHORIZED AGEN TOTAL FEE