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Home My WebLink About3260 DAKOTA AVE - Building Permits(774) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 3260 DAKOTA AV Suite: Vicinity: ROOF Parcel Number: 13906706 Applicant: FERGUSON, LEW Address: 4091 E LA PALMA SUITE D ANAHEIM, CA Owner: GRAHAM, ROBERT E Address 3260 DAKOTA AVE COSTA MESA, CA Convacror. MC CORMACK ROOFING Address: 4091 E LA PALMA SUITE D ANAHEIM, CA Zip: 92807 Arch : Address: Phone: Zoning: Phone: (714)630-5543 Zip: 92807 Phone: Zip: 92626 Phone: (714)630-5543 License: 643700 Eng: Address: Status: ISSUED Applied: 02/18/2003 Issued: 02/18/2003 ISSUED BY: � Phone: Zip: License: License: SCOPE OF PERMIT REMOVE EXISTING ROOF. REPLACE SHEATHING AS NEEDED, INSTALL 30# FELT, 30 YEAR, GAF COMPOSITION SHINGLES. 2,400 S.F. INCLUDES ATTACHED GARAGE. Plan Check: $0.00 Permit: $97.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 SETBACKS MAINSTRUC7URE Front 0-0 ACCESSORY Front 0-0 PARKING Existin : 0 Rear 0. 0 Rear 0-0 Reauired: 0 FEE SUMMARY PLANNING 8 ZONING Lek 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0-0 Right 0- 0 $3,500.00 $3,500.00 �i NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requiremeNs under Califomia statutes and related i, regulations. (Ord. No. 92-28, § 1, 12-21-92) � EXPIRATION: This permit shall automatically expire and becoma 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 authonzed under this permit to ba considered lagal, such work must comply with all applicable codes, and all requlred inspeetiona and tinal epproval must be obtained. Failure to obtain Inspections and final approval will result in the expiration ot this permit. FOR INSPECTIONS CALL: (714) 7545626 ?d46-06 (N00) WORKERS' COMPENSATION DECLARA710N: . � I hereby ettirm under penalry of perjury one of the following decleretions: � ❑ I heve end will maintain a certificate of consent to selt-Insure for workers' compensetion, es O�ovided tor by section 3700 ot Ihe Labor Code, lor Ihe peAormence ot the rk tor which Ihis pertnil is issuetl. I have entl will maintain workers' compensatlon Insurence, as required by section 3700 oi Ne Lelwr Cade, for Ihe pertortnance of the work for which Ihis pertnit is issued. My wo ers' compensatlon Insurance wrtier�@n,tl policy number are: � Cartier: CW ��.Ai Z,.�S. i��' • Policy Number: � Q IQ 60 � 5 f 0 (lhis section need not be completed i/ the pemut is velued at one hundred dollars (5700) or /ess.) , ❑- I certity thet in the pertormance of the wark tor w�ich ihis pertnit is issued, I shall not employ any person in eny menner so as to �ecome subject to iha workers' compensalion laws of Califo ia, and agrae Ihet if I should become subject to the workers' wmpensation provislons of Sectlon 3700 at tha Labor Cotle, I shall torthwith comply with these pro� i Appllcant Signature: 1 � �"S �--~�--'l oa�a: b'�l if�o 3 WARNIN(3: FAILURE TO SECURE WORKERS' COMPENSAiiON G GE IS UNLAWFUL ANO SHQL SUBIEGT AN EMPLOYER TO CRIMINAL PENALTIES AND pVIL FlNES UP TOONE HUNDRED THOUSaND OOILARE (5100,000). IN AD�ITION TO THE COST OF CAMPENSATION, �AMAGES AS PROVIDED FOR IN SECTIIXJ 3]Ofi OF TME LABOR CADE, INTEREST, AND ATfORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby atfirtn thet I am force end ettect. Lic. M_ Canirectols Slgnatura: of Chapter 9(commencing with Section 7000) oF DiWslon 3 ot the Business and Pmtessions Code, end my license is in full � Gess» C 3 4 Ti • - — Date: !9 7--�/ ! f/�O l�— CONSTRUCTION LENDING AGENLY: ❑ I hereby aHirtn that there is a consiruction lentling agency for ihe pedormance of the work lor which this pertnit is issued. (Sec. 3097, Civil Code). Lender9 Name: Signature: _ OWNER-BUILDER DECLARATIONS: Lentlefs Atltlress: Date: I here6y eHirm that under penelry of perjury thet I am EXEMPT FROM TME CONTRACTORS LICENSE LAW for lhe tollowing reason (Sec. 7031.5, Buslness antl Professlons Code: Any ciry or counry which requires a permit to consiruct, elter, improva, demolish, or repalr any siructure, prior to its issuance, also requires t�e epplicant tor such permit to file e signed statement ihat he or she Is Ilcensed pursuent to the provisions of Ihe Contrectors Licanse Lew (Chapter 9(commencing with SecOon 7000) ot Divislon 3 oi the Business anC Protessions Code) or thet he or she Is azempt therefrom and the besis for the elleged e:emption. Any violation oi Sectlon 7031.5 by eny applicant for a permit subjects the epplicanl to e civil penalry oi not more than live hundred dollars (5500).): ❑ I, es owner of the pmperty, or my employaes with wages es their sole compensation, WILL DO THE WORK, antl the strucWre Is not intandetl or oftered for sale (Sec. 7044, Business end Professions Code: The Coniractors License Law dces not apply to en owner of property who builds or improves ihereon, and who Aces such work �imself or �ereelf or through his or her awn employees, providad Ihat such improvemants ere not Intended or aHeretl for sele. If, however, the builtling or improvement is soltl wit�in one year of com0letion, the owner-builder will heve Ihe burden of proving Ihat �e or she tlitl not build or improve for purpose ol sale.). � ❑ I, es ownet oi the properry, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTHACTORS to construct the prol�� (Sec. 7044, Business end Professions Code: The contractors License Lew tloes not epply to an owner of property who bulltls or Improves ihareon, and who coNrects br such project wlth e comractor(s) liten5e pursuant to the Comractors Licensa Lews.). ❑ I em exempt under sec. Business and Professions Coda lor this raason: Signature: Date: Owner ID verilied by tlrivers license. ❑ Ves ❑ Na Driver's License No. Expires: Venlicetion ol Ownership by (type oi tlocument, i.e. - propeny tax �ill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certity ihat no exwvation fiva (5) or more feet in depth into which a person Is requireC to descend, will be made in connection with work euthorizetl by this parmit, antl ihat no builtling structure, sceHolding, lalsework, or demolition or dismantling thereof, will be more Ihen ihirry-si: (36) taet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Tille 8, Calllomla Atlministrative Code). , ❑ As ownerbuilder, I will not employ anyona to tlo work which woultl require e pertnit from Ihe Division ot Industrial Satery, es notetl a�ova, unless such person hes e permil Io do such work trom ihe divislon. Signawre: Date: Division of Indusirial Safery Permit Number: CER7IFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I cenify under penalty ot perjury that I have read this application end state t�et the iniormation given is cortect. I egrae to wmpty with all siate laws and ciry ordinances relating to building wnstructian, end euthonze represen�atives oi the Ciry of Coste Mesa to enter upon the ebove-described property for inspection puryoses. I egree not to occupy or allow acupancy ot eny building aulhonzed by this permit until final inspection. Legal Owner(s) Date 07—�/ft�0� i n Annlirant D2I0 � CODE 1, INSVECTONTYPE 1616 Fixed System Final Fire Prevenfion 1266 Pool Spa Final 200 Final Re-Rool 201 Finel BIocWRetaining Wall 202 Final Factory Fire Place ' 203 Finel Sign 204 Finel Demolilion � Q�jf, AL � "% (OH/r' COOE� INSGECTIONTYPE 208 Final Mechanicel 208 Final Plumbing 210 Final Eleciricel 212 Flnal Fire Prevention 220 Final Planning Approval 222 FinalSite 250 '� FinalBuilding/Occupency �g �� PPOJECT ADDflESS: 3 Z 6 O D��( �wNee�sxnmc: MURPHY� CYT � nooeess: 3260 Db.KOTP COSTA MESA, AHCHIENGINEEN: WALTER REAGAN 92626 flEG.NO.: UNIT: ADOPE55: UNR: eeRminee: SIERRA RObFING ( 714 ) 847-1773 nooncss: 16631 KETTLER LN H.B. CA 92697 LICENSW CONTBRLTOB OECIAflFT10N: I here�y allirm lAal I am licensed untler pmvisions al ChaD�er 9(commencing with Sec�ion 71100) 0� UN io usiness an0 Prol i n an0 my IiRnse 6 in I �$ anG elleci. aa�� q�� CITY LIC.: STRTE LIC.. q�jr /Jq � .�; (�—C�`/Z SignaWre Cecti�� `�� WOflKEBS' COMPENSRTION DELlAPA7tON: 1 AertO lirm Itwl I �ave a ceniliwte con5enl lo setf-insure or a cenificale of Workers' comPenutron 1s�� g�dieA caDY �hereol c�ion 3800. Lao. A�7 / O S/ 9 Z eoucr no.: STATE FUND EXP. URTE: COMPANY: rvyn ❑ Cenifie0 copy is OereDy lumishetl. CCnilietl cop is liled wit� the ity BuilAing �'�on. Cy _ �. '03h: ✓— �—/ 2 APPlicant: C �� '7� EXEMPfION FBOM WOflI(EBS' fAMPENSATION OECUBATIO Qhis seclion neea nol be comDleteO i� IAe pe n is �or one hunarcd (5100� or less). I cenily ihat in Ihe oedormance ol ihe work for whicn ini permil is issuetl. I snall not emoloy any person in any manner so as to �ecome Subjecl IO I�e Workers' Compen5alion Laws ol Califomia. Oa�e: � SignaWre: NOTILE:I1. after making �his Oeclaration. y0u s�ou10 become suble��o ihe Workers Compensation pmvisions ollhe LaDor Coae. yoU muSi fOrlhwiih tomply wiih SUCh provisions or I�is Dermii S�all be AeemeO fevokea. CONSTflUCTION LENUING AGENLY: I here�y dflirm Iha� there is a con5imc�ion IenUing aqency for �Ae pertOrmance ol Ne work for whith iM1is p¢imit is i55uM �Stt�ion 3097. Gv. C). LENDEfl: ADONESS: OWNEH BUILOEN OECLABRTION: I Aerehy alli�m t�at I am e�empt imm t�e Coniractors' State License Law br ihe followinA �eazan (Sec�ion 7031.5 eusines5 and Pmlessional Coae: qny city ol counry whic� repuires a permit Io conslmci, alier, impmve, tlemolish, or repair any s�mcture. prior to i�s issuance, also repuires Ihe applicani �or such permi� [o lile a siAneO s�atemeN �hat he/she is licensetl pursuant �o the provisions ol �he Comracmrs' S�a�e License Law (ChaD�er 9(commencing wiN Section 7000) ol Division 3 0l �he Business antl Pro�essions Cotlel or that helsne is exemo� therefmm antl Ine Gasis for �he alleBea exemption. My violation of Section 7031.5 by any applicani lor a permit 5uhjecl5 Ihe applican� lo a civil penalty 01 noi more ��an �ive hunAreA Oollars (SSIb�. I. as owner of Ihe OmDenY or my employees wilh wages as iheir sole compensation, will do ihe work, and Ihe ❑ StmcWre is no� in�endetl or oiferetl lor sale (Section 7044, Busness and Pmlessional Cotle'. The Coni�ac�ors' Sta�e License Law tloes not apply �o an owner ol a pmperly who builds or imD�oves ihereon, and who Ooes such work himself/hersell or thmugh his or her own empl0yee5. pmvi4eA IAa� SUt� impmv¢menl5 ar¢ n0� in�ended Or atlere0 br 5ale. I�, hawev¢r (he huilaing ar improvemen� is sold vnl�in one year of compleiion, ihe owner will �ave Ihe burAen of Dmving �e/she did not 6uiltl or impmve for Ihe puroose ol sale�. I. as owner ol Ihe pmpetly, am ¢eclUsively conlraC�ing wiih licensed Conlrac�ors b tonstmCi �he O�OIeC� ($ec�ion 7004. Business ❑ and Pmtessions Code: The Conimclors' glaie License Law tloes no� apDly lo an ovme� ol pmperry who �ml0s or impmves thereon antl w�o coniracls lor suc� projects vnih a contraclor�s) IiCense pursuanl to ihe Coniractar5' State Li�¢nse Law�. I am aware inat pmol of ineir Worker's Comvensation insurance snoula be pmvide0 lo me. � I am exempl unAer Section: 8. 8 F. C. br ihis reason: Oa�e: U+mer. I tlo hereEy cenify inat I am aware ol antl unaergtantl �he requiremems ol Califomia Mealih anU Satery CoOe Seqions 25505. 25533, anA 25534 anA Ihai I or any IUNre EuiltlinB ocapant will/will no� �ci¢�e one) neeG �o comOty wilh sai0 sta�e cotles and �he requiremenis �or a permit lor consimc�ion or modibcalion �mm t�e qir Ouality ManaAemeni Oislriti. He9Een�iai cons�Nc�ion applicaiions are eNempl7rom ��eu provislons. Dalel APplicanl: I ner¢by cetliiythat Inave reatl Inis apv�ication ana state IAat Ine aoaveinlormation is correcl.lagtee�o comply with allcity antl county ordinancesandslalelawSreWtinglaUuilOingcons��uclionan�eteUyaWtqri�erepreun ' o�Ioenlerupont�eaCOve�mentianea plOp¢tly IOfI05p¢C�1M pOfp0525. j{ / — v�9� _. � �✓rir� .7A „� O_ Driver's License or Social Securiiy M: t6a1-a6 Whne—Bmlamg; Green—Cotle EnlorcemenC Canary—Applicanl; Pink—Rwenue: GdEenroO—Assessor CITY OF COSTA MESA - BUILDING PERMIT ` PERMIT NO: B 057657 PLAN CHECK NO: N ��„z�;: �*--�—�: CONSTRUCTION TYPE: V-N PERMIT TYPE; STR PURPO5E: ALT JOB DESCRIPTION ; RESHEATH 6 REROOF W/25 YR CLASS SHINGLES SQ FT: 4,900 CLAIM VALUE: 4,900.00 CALC-VALUE: 9,900.00 GROUP OCC: R-3 / COMMENTS: SMOKE DETECTOR RE�UIRED IN THE HOME *****�e**�***r�e*��t*�rr�r�t�t�t**�t *�t�r��e�r�e*�r�t�t�e+t�e*�r***�t+t�r�r**�e+t*�r�t�r*****+�*�+t�r�t+r�r�t�**�r�t�r 2 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 BUILDING --------- FRNT: FT IN REAR; FT IN FRNT: FT ZN REAR; FT IN LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT . IN PARKING REQ• PROV; PARCEL; 13906706 ZNE; REF NO: PLANNING NOTES> i iF iF if it if ik �FiflF iF IF 1E k k�f ik iE 1f iF If iF k k iF 3k �k 1f k M k iF iF iF1f if ik i! M M if iF k ik k if jf if jkiF iFk if kjf iFlf k�F if iF iF if iflF iF if if If if if �f k k IF k k 1F �F iF 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: BUILDZNG APPROVED BY ; DATE; APPLICATION ISSUED BY• DATE: �� iE�kifififkifiklfifkifiFitkitkiFkitlfiE 1E�EifiFlF�kiF3FkiF ifiE iflk�f�f�fkiFifk%kiklFififkit�FitiFkifiEifififkififltkklE�fM ififif�fiflf�Elf�filiFkkjtifiEifklFifkiEiEffiFiFkiFifiFifkiFikifitkififikillElh LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 72.00 ,50 SMZP/NON-RES ' PLAN ISSUE FEE BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID � DUE TOTALS----> 72,50 0,00 0,00 72.50 72,50 �.00 REVENUE DIVISION TOTALS--> COLLECTED; 72,50 OVER/SHORT: ,00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK 72,00 ,50 iFiF M if if 1E iE iF k iE if if iF 1f 1f fk IF 3F iF 1F iF k 1F if ik 1flf k iF iF M iF iF 1k k k iF iE if k iF k 1! iF if if k if it �k if ik ik M�t ik If a! 1f �F If iFif k k if M 3F it iF If ik if ik i� iF k if if I N D I V I D U A L F E E B R E A IC D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST / SFR 4900 REROOF HY VALUE RESIDENTIAL NOZONE '7: CO1:; OA-;f';:5c�i4 "4'; 900. 00 END OF FEES Ct T�: ��, �.; .'; : ,-, _.: 4 n �CONSTRUCTION AND PLAN�IING '• POOL d SPA qPPROVALS Permit # Oate Inspector pppROVALS Permit # Oate tnspector 7. 7emporary Electrical Service�or Pole�� 52. Pool & Equipment Location � 5.2. 5oil Pipe�Undr�qrnd. . ':.�4 53. Steel Reinforcement , �i;��:`.FlEctrical Condwt�ltility Undtgrp�." 54. Forms ' �i:4. Elettrical CorCtuit�Undrgrnd. n 55. Electrical 6onding �.�s.- ! �."`;t`Y,e1 Reinfor�t�ent '�;K 56. Rough Plumbing & Pressure Test ;�, V:.. �i. �It�ctrical UF�H Gmd. 57. APPflOVAL TO COVER-GUNITE � ' s• ' F,00tings `' U' - -. . 58. Electrical Conduit�Undrgrnd. -- ;;pt. - � ✓ �'�B; rTto�ndation ' y " � 59. Gas Pipe, � Undrgrnd., Test ,�� - Water Pi e�Undr rnd. ' '�� P 9 . • 60. Backwash Lines, P-Trap, Q Und�grnd. a�P. Svuctural Floor System • � �� - 61. APPROVAI TO DECK "' i L, Pr.operty Sewer LiFle & Ffiuse Cormection " 62. Backwash & Receptor�Finai "" .'r S .: 12. S'P,}�'er Cap ,y °' ' ;y � 63. Heater & Vent�Final . 13. Roof Drains 2 , � 64. Plum6ing System � Flnal . � . .e, 14. Rough Plumlj'ing �" � • , 65. Electrical-Final �+' 15. Rough Electriral�Conduit . 66. Solar System-Final 76. Rough ElectrV Wiring , 67. Fencing & Access ApProval , 77. Rough Wiring'Sign 68. APPROVED FOR PLASTERING 18. Ftough Electr�al�T Bar Ceiling 69. POOL/SPASYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ' ' _ - LT :L 20. FoughLFaCtory� �eplace ' \,� sa , � �Y � " APPH�,�UV�An;S=�� Permit # , . �x � ' _ _ -�. ` ' • .x a. ' . '. ' • 2{: D?lycts,f SjructNr� .... �.,� k � ' _ ,� - 70. -Un ergraund yydro � 22. D!�ctsytVeritilating� i ��5 "S'� `', 77, Produ�t�iQing O'Gas �Oil � � c 2 . Gas Pi �Rou h'& Test � '_' � �_ '' �� ` - � �= 9 � r,s � r � p.> :, - 72. Undergrqund FYuif�� . ` ,� l. .J 2A; Roof Fam'rng �:� .. ••� �� *;�: � 73. Undergrnd. Storq e TanK � Gas OOiI ,�I� o .K 25. F%pf $heathincf; ; c �.�..,%n � :'��'� 7-0.�.Overhead HYdrq� ` � L4! _ 26. 7t6ar Ceiling (Svneturall &Monocoat + 'i •,+ a� 75. Dry Chemical � � * , - "� 2� F�me�and�lasl)jng ; S� � � ,p . e 76.`Dry $tar�ipe'" s- � � ' T • � 2� 4�thinq&.Siding� �. -.�,.._ . ..i :. � 72; FIXEDSY„STE� +FINqi� .. - � . , � o ry�.. � �- .... r iq i �i7 i s t 29. Insula{�on , ,,, � . , ,y 7�•. FIRE PREV. FINAL * ;� u; . 30. Drywall Naiiing?+? " " � � ' � -� aiEALT,H DEPT.�REQUIREMENT , 31. Plaster�rown Co�t S � i,.�,. r � ' 1 k*, 79. FINAL 1NSPECTJON .`' '7 . 32�. Electrcal PoWen�MeiErFfnal � ,,U � ' �{ e!. 80+ FO00 CERTIFICATE CSSUED N. 33: Fi�jal ElecV�c � ', =� , •'� � � ' fJ'otes: �' ^ `' ,' .� ;',•„ : . �. ,�. a � i -. � . - .. � r . � 34. Freal HeaLng & Av Condiqoq�mg ':�; ;:x1 ^ � _ r •r y 3� pinal Gas Rpe-Te;t _ - k � ' � _ . �� = r '- . � �+� 36. Nood oi CanoP,Y,x � n' K t- � � >' .� � � 'S' �+r k �r rt ' 37.. Final FectorY ��P��. �� 'ts• a .*' 1 1 '.R x i ^ } r �;, . x 1' r L .. .. � a 1 � - . ., 38. Final PJumbing tt ti' . � v� � I x.r. � i- �+ 'c 39. WaterService-Finals, � :o � j '� : ,- � . ri tt. �r, ., , � 40. Gas Sef+'ice;Final�. ,� ��, ,_ ',; ; ,.� � .. _ �,� , - ' 47. Solar pomEstioFinaL •' '=+ � � ! � - �- ' I _ 1 �+ � �o -J t * ' A2: BackftOw Prevent�r' N �-. � i i� a ,�. - , - i' 43. Backfbw Vrigatitln�v a:.> -� " } '" '= '' - �, . :x r w. ,� i +. � �� S. Y � n � , 44. l�andscaps trrigation System ,� - e�, � .,, • + _ � r � p� - i�� .. 45. Sound Attenuation $:•- iT' r s " '�� • '"' 'r�.'� f' � . in :� ye -� �t � 46. Handicap Regufations .. � ` �� !�; , , u � �p � 47. F NALSTRUCTURE&8171LDWG �6r �, ' �1'j�� ` '�c`� , " . 48. FtNAL PL/iNNIlyG � :T �' � �; , �y • - � �. n � 4$: ElectriaRelease to Edison � � ' �^ �� , , /0 - �- 5��.� _ �� 2�- . 50. Gas Re'�ease m Sa�ithem Califom�a Gas Co � ` " - �� ' � • • �� I i � � �• ' 51. CERTIFICATE OF OCCUPANCY > > „ ,r,p r , _ No. Date e 1 CIT� OF COSTA IVIESA � . - , Appllcant to fill In all spaees xcept those within heavy bortler Iinei anE zign all aoProorlate tleelantions. TRACT NO. i,LOT,NO. � BLD . . 1 'CORSTRUCTION PERMIT �� ' ' Q— d J '%S i 3 Z � � ApplicenYs MBfling AddfCR � . TVPE OF CONSTRUCTION NEW ADO ALTERATION REPAIR ; ProjectAddrass �Kfl ` y' � �iCONVER510N ❑ DEMOLIS/y�� ❑ OTHER " �. 4.�V pQ {. R`�CS'GTi�php�e $ Y��3`%S� DESCRIPTION OF WORK �✓«�G � Owner's.Name' ' - � . - ' _ ' Address SJM1tML RS �� . ' TVPE OF PERMIT GRADING FOUNDA710N STRUCTUHAL Aroh/Eng. ' . ' LiC0n5C No. � ❑� TENANT ❑ EIECTRICAL ❑ PWMBING ❑ MECHANICAL , Address; � ❑ O7HER ' • � � . Contrector's Nam , V�� Phone �` �b 7 PROJECT DESCRIPTION' St�. F�T.- � � UPy� Cv ' � % q -rR�(,(.,, � CONSTRUCTIONTVPE � L'OC�� VALUAT�ON$T/B�a � Addreu ail'n 1 . , - T �� 1 � � . ' . 20N� GRADING GU. VDS. ACRES ' �icen o �-� r� ( M GCENSEO CONTRACTOR DECLARATION , Remarks: • � � ' C�� 1�hereby affirm that { am 7}censetl under D*ovisbns oT Charte� 9(commanctng . , , , . �1 wlt� section 7000) of Division 3 ot tha Busineis antl Professlons Cotle, antl , ' my Iicense is In � II fo ca antl elfecL , / `' Llcen CI s � ' LI<ense N I� . PLUMBING _- � DOBKERS' GOMPENSATIO�N OE RA 10 . Baf Sink . ' Sewef Cap' � � hereby atflrm that I nave a certltlWte of conse t to se� re.or a certlfitdte_ � . BBCkflow Preventer � �• - SewCr ConnECtion' � \ af Workers' ompansatlon Insurance.�or a cer tietl coOY theraoi (Settlon � � � �� 3800, Lao. �__�_ � ' "'� " � Beckflow Irrigation ' � $olar Collecrors � �o.��ZS 2� GomPanY ` ��OAJT /4�lS � . rtl(ie� copy li ereby turnishea, j Bathtubs � Solar PipinB � � Cer fie op y I5 I tl wit� ' Divislon. Date � �r' �� Ap011cant Claritiers . - SalarTank • EXEMPTION FROM WORKERS'�COMP SATIO C RAT DiShNash¢r ' ' ' SWimmlilg Pool w/Sp0 ' (Tnis section neeC nat be com0letetl if the permit I f on hun E(=100) or ' — iess). -' ' � Drinkin Fountains • Urinal ' I cerdry that In the pertormance of tne work for which thii perm�t is issuetl I 9 ' ' shall not employ any permn in any manner So.as to become sub�ect to t�e � , � �- . Workers'� Compensatlon Lawi o/ Californla. � Floo� Drains WBtEr Clos2t � ', oate Signature • - . -No710E: If, atter making tNs aeclarai�on, you snoula eecome'�sub)ect�to the � Floor Sinks ' - - Water Heater - Workers' ComDenSatian proNsions o( the Labor Cotle, you muzt fort�with . comply with such prov151on5 or tp�s`parmit shall 6e Geametl revoketl. Gfls$ervic¢ Outlets 'Wat¢iS2Nice ' ' CONSTRUCTION LENDING AGENCV ' ' � ' ' . I hereby aftirm that thera Is a construc��on lentling agen<y for tha parformance Intercepto�s ' 01 the 'wOrk for wblch tN5 oerm�t�is issy¢E ($eCUOn 3097 Clv. C.) _ , Lentlar's Name �� KitchEn Sink . ' - ' " . ' � Lentler'S AtlOr� �r - � � OWNER'BUILOER OECLA—�ATIOPI v / � ' - ' � �'atofie5 - . 1 �e�eCY�affl�irl that I am exemoY/rom the Contractor's Llcense Ldw /0� the „� . . � . � . - exempt untler Oate Drivers' Licenu or 55 MF 0865-46 rev. 12/82 pnrmn suo�eas me apD��nt [o a avn � 7retl tlollars (E500). . � -,- � ' or rnY employees with wagei as their sole � �ntl the structure Is mt Intentletl or otferetl ' � an0 Pro(eislonal Cotle: The Contractor's owner of a property who builtls or improws k hif�self/herself or through his or �er own , proVaments ar9 nol Inlentletl or oflemtl for mp�ovemenl I5 soltl wlthin ono year of com- �urtl0� of proving he/sha tlitl nol builtl or Im- �n e%clu5lvely contratHng',wlth'Ilcensetl con- z<tlon 7064, Business antl' Professlons Cotle: � Ie5 f1ol dpD�Y �O dn ownef of pfopelty wh0 , xho contracts for such prblects with a con- ;onVactor's License Law).� � � • � B. & P. C. �or Ihli reason � — Owner I hare �eatl Ih15 appliCdtion anG StatO I agree to comP�Y kh all city antl cou to bulltling cons ction, antl hereby a � to enter up �e ove-meqtloneC � , Date� Whit¢ - Builtling; Canary - Applicanh reDre- � Z Root�Orains � �• Showers Service Sink , � r Boiler ' � ' ' Duc2 "Under Ground ' Ezhaust,5ystem LJ Multiple � Firepl/Fact.8lt.IC60� , Heating System & Ducting � ❑a�oo,000 eru �ioo,000 : Hood or Type I ❑ , II Registers Accountin9: Goltlenrotl - Assessor • � Reinspection'Fee $15 : Iaue Fea $ 3 iANICAL Refrigeration System j ' ❑0-100,OOOBTU ❑t00,000,HTU I I System Repair/A�teration � . � i . � Reinspection,Fee � i Issue Fee $15 $ 3 A. P. 3W l .Y'l PLNG. REF.4k TO BUILDING PROPERTV LINE� �EFT SIDE VARD PKG.SPACE REQ. STREET WIDTH ' SPECIAL CONDITU �� , Auromaiic Wazher ConStruction Pole � . Cooking Unit � � Dishwasher ' Dryers" ❑Gas' �Electric � Fan F.A.U. ' Fixtures Device Boxes Generatar 00-5 KW 05-15 KW Transformer �15-50KW , 05U+KW Meter ❑up to 100 smps 2onin9 APProved BY—hK<• -� ApPliotion APProved BY � 1 APPliration laued BV 4827 8/30/'�3 REAq VARD (TO P, RIGHTSIDE VARD PROVIOECI K FEE•S i �9<37 fi Meter .LJover 100 amps - Sub Panel' . . ' , Sub Pole ; Mators �04 HP ❑iM$ - Inc.Solar•09-15 HP �16-15+ Microwave �Pole Light ' � Range._ . _ . ' Sign i Standing Sections TrasA Compactor i . SUMMARV 'BUILDINGPERMIT $, �S PLAN CHECK' $ �� PLUMBING $j � ' �PLAN CHECK. $ � ELECTRICAL ` $ PLANCHECK� ' $'. � � �MECHANICAL � $' � � PLAN CHECK � $ Reinspection Fea ; I S76 �«i�w'Fnw' � � � S 3 1 1F FEES � SMIP � j $ �' O.SO PERMIT � . ISSUANCE . $ : GRADING � $ l , $ , MICROFI�M $ ' ' TOTALFEE� ' $ � � LESS ' � ADVANCED�PC , $ ' - ' PINALFEE' �. $ 29�37 � ' ��CONSTRUCTION AND PLANNING ' - � �'�'��` -SP'4 � APPROVALS Permit�h Date. Inspector qppROVALS 'Permit# Date Inspector . 1. Teinporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgmd. ' , � . � - � 53. Steel Reinforcement� _ . • � 3. Electrical Conduit Utilitv,=Undrgrnd: -- . 54. Forms -' ' � 4. Electrical Conduit-Undrgrnd. �� ; � - ; 55. Electrical Bonding ' ' , . 5. Steel Reinforcement , � � �+j'�-�? � � . 56. Rough Plumbing_& Pressure,Test •. . 6. Electrical UFER Grnd. � � a 57. APPROVAL TO COVER-GUNITE � 7. Footings 9�13'�� .p.� 58. _Electrical �pnduit-Undrarr,rl. , � 8. Foundation s�tee 1� q•_�. ,.�j " � 59. Gas Pipe, O Undrgrnd., Test � 9. Water Pipe-Undrgrnd. , " 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System � �� 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection . ' 62. Backwash & Receptor-Final . 12. Sewer Cap . �. �� 63. Heater & Vent-Final � _ 13. Roof Drains � �� 64. Plumbing System - Final . 14. Rough Plumbing ' � � 65. Electrical-Final �- -� 15. Rough Electrical-Conduit 66. Solar SYstem-Final � � � � 16.� Rough Electric Wiring � 67. Fencing & Access Approval - 17. Rough Wiring Sign � � . 68. APPROVED FOR PLASTERING 16. Rough Elearical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL . 19. Rough Heating & Air Conditioning � � 'FIRE DEPT. REQUIREMENT 2Q_ Rough Factory Fireplace . APPROVALS ' Permit # 21. Ducts; in Struaure �, � 70. Undeiground Hydro � � � , 22. Ducts, Ventilating � 71. Product Piping O Gas ❑ Oil 23: Gas Pipe-Rough & Test �_ � 72. Underground Flush - 24. Rooi Framing � � 73. Under9rnd. Storage Tank O Gas ❑ Oil 25. RooT Sheathing � 74. Overhead Hydro . 26. T-Bar Ceiling (Structural),& Monocoat • 75. Dry Chemical 27..Frame and Flashing 76. Dry Standpipe - ' 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation . 78. FIRE PREV. FINAL - 30. Drywall Nailing Notes: 31. Plaster Brown Coat � 32. Electriral Power Meter-Final ' 33. Final Electric ' i 34. Final Heating & Air Conditioning ' 35. Final Gas Pipe-Test ' ' � , � � � 36. Hood or CanopY � 37. Final Faaory Fireplace � . � - . . � 38. Final Blumbing �� 39. Water Service-Final 40. Gas Service-Final' � - � 41. Solar pomesticFinal . . . � • 42. Backflow Preventer � � � � `'� ^ 43. Backflow Irrigation � • ' 44. Landscape Irrigation System . , � . 45. Sound Attenuation . 46. Handirap Regulations , ' 47. FINALSTRUCTURE&BUILDING 3�� , �48. Special Requirements Completed . . 49. Electric Retease to Edison - . , 50. Gas Release to Southem Califomia Gas Co � , � 51. CERTIFICATE OF OCCUPANCY . _ . . . . � . .1 '" ' No Date ti TYPICAL 6�� CONCRETE BLOCK FENCE Cement Coping Optional Channel Block With 13/8 0 Hori�ontal Top of all Fences For Fences 5' or Less .-. Vert. 8ars 3/8" 0 at 4' -0" O.C. For Fences Higher Than 5' VerL Bars 3/8" 0 at 32" O.C. Fill Ceiis Solid With Grout Where Steel Occurs Reinfo�cing Steei.Shall Conform to Sec.A-15-39 A.S.T.M. All Steel to be Lapped 15 " or to Code NATURALGRADE 0 TWO 3/8" 08AR5 CONTINUOUS TOP & BO7TOM — �� y D i 0 a = LL H u > w a 2 a > Z —WIOTH �`�� SEE CHART BELOW � �. le . ` .e . b • O ♦ .. • D � . � � L Z. GENERAL- NOTES MORTAR : pne port Plastic Cement, and Three Parts Sand GROUT :, One Port Cement Three and One Holf Parts S'and COPING: One Part Cement, Three Parts Sand CONCRETE: Welt Mixed 1:2-I/2:3-I/2 Max. ot 7- I/2 Galtons cf Water Per Sack of Cement GqOUT MAV BE POUqED FROM 7HE TOP OF THE FENCE IN CELLS WHERE STEEL OCCURS. CELLSAND AREASOF HORI20NTAL RElN- FORCEMENT SHAIL BE CLEAR, CLEAN 8� FREE OF ALL MORTAR DEBRIS, ETC. BONDS SHALL 8E PROVfDEO BY LAVING BLOCKSINSTRETCHER COURSESSO THAT VERTICALJOINTSALTERNATEIN EACH COURSE. DEPTH OF EARTHTCOTH I/3 iHE HEIGTH OF FENCE �LOW BOTTOM OF FOGTING. SCALE: I/2��= I' � FOOTING REQUIRFMENTS CHART WALL HEIGHT . . . . . . . . . . .6�. . . . . . . . . . . . 5�. _ . . . . . . . . . . 4� . . . . . . . . . . 3� WIDTH . . . 14'� . . . . . . . . . . .14" . . . 12". . . . . . . . . . . 12�� THICKNESS . . . . ... 10". . . . . . . 10" . . . . . . . . . . . g". . . . . . . . . . . 8., DEPTH OF EARTHTOOTFi . . . 24° . . . . . . . . . . .20�� . . . . . . . . . . . 16�� . . . . . . . . . . _ 12�� SPACING OF EARTHTOOTH. . 12' 14' . . . . . . . . . . . 16'. . . . . . . . . . . 16' OWNERS NAME: _ — .— _ _ _ _ — _ _ _ _ _ _ City of Costa Mesa, California ��B ADDRESS: _ _ _ _ _ _ _ _ ` _ _ _ _ _ PERMIT NUM�ER:_ _ Building Department SIGNATURE _ _ _ _ _ _ _ _ _ _ _ _ _ _ ;� Ci �3 !"�i ;� ; j �� '`� � ;`, v � , THESE PtANS MUST BE ON JOB Ai ACL TtMES MAKE NO CHANGES WITHOUT PRIOR APPROVAL OF DEPT. THE ISSUFNCE OR GRANTING OP P PERMIT OR APPROVAL OF PLANS RPoD SPECIFlCP.TIONS SHALL NuT BE CO'ISTRUED TO BE A PERb11T FCR. OR FN AFPROVF: OF. ANY VIOLATION OF ANY OF TfiE PRONGIOttS OF iHIS CODE. NO PERHIT PRE SUMING TO GWf AUT40RITY TO VIOIATE OR CANCEL TNE PROYISIC�'S OF THIS CC6E SNHLL BE l'P•L10, CXCEP7 IN SO fAR !S THE N'OkK OR USE YlHfCH IT AUTHGRIZES 7S lAWFllL 7HE ISSUANCE OF F FERMIT B0.SED UPON PLANS AND SPECIFICATIOM1S $HALL RGT VREVCI:T THE EUILCIVu OFF(CIAL PROM iHEREAFTER REQUINING THE CCRRECTIJN OF C�2RO�i$ IN SAID PLANS kN0 $PECIFICATIOtU" 0� FRG�d PRE4EKTING FUIl01NG OPfRATIONS BEING CARRIEO Otl iNEREUNDEi WMEN (N i'I000.TtC90F THfS CODE OR fF ANY OTHER ORDiMAMCE C� TNF C7?Y. � , e � W � N 1 e STRUCTURAL APPROVAL ONLY SEPARATE PERMITS ARE REQUlRED FOR ELECTRICAI., Flt)A.46iiVG, HFATJNG, VEf�TiLAT;��dG AND REFRIGERAT!ON 4'�'ORK P�0'Ea�a$ #�'� d�S 7s THIS NUf�BER f"'�'? �1C^DM°ANY ALL IIJSPEC710�,' REQ6'�STS� //uWRPY �mF �A�M��L L �°� I :INlLLT 10 eGf:. 0� � FQ;t E��,�L, ', ;":SJir3 kRE 7Q � 1��DA1IE�(�j�,3 SE Eh1P1DY_�, ',: ;� .�5; TNial' 7HE •' Ol1�ppRp� +� si�;r� o� c.: , ; ; :;,t��sion oF � �uw,u,o INL��S?ki;L S'FE��I �: GQivSuLTED FOR ; ADGI(iCi�':! F.E:1Ui:^.Ett'iENTS. J � 3 �4KOT� srnee� � � � WNER �8 ADDRESS ENERAL CON1 P No. 139-06 tSPEG�TI_ONS 31LJ es GTER 1UGH PLl1MBING iOP. SWR. LINE � ISPA�NKIING $YSTEM MISCELL4NEOU5 ROUGH MEAYING nN0 aIR CONOITIOHING TEMPOR4RY $EFVICE OR PO�E UNOERGROUNO �� POWEA � ROUGM WIRING TRENCHES I I FOFMS STEEL FEINF. FLOOR SYSYEM BONO BEnM L STEEL R SHEPiHING FRAME AN� FLASHING L4THING — IN I � 1 PLASTER.BROwN COAT HEATING, VENT., PLUMBING. FIN41 ELECTRIC, FINAL 9WL��NG. FiN4l. DATE SUBCONTRACTOR —2-79 RMIT N0. � (-i �j ri :.+ y� ,' COSTA MESA BUILDING-SAFETY DEPARTMENT . P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Pill in Completely — Use Ink Only � nn��aFss ,� %�E.9 /) !�/L.�n`f-L2 �l/ t. F � � W 6. Q � h .T. F G w F Q O ..7 Q 7 r a a w a � � 4 Z .'L' 3 OWNER �L°'J��u � �, MA1� 'J�. ,/ /j : i CITV LL�✓TLL /%=�u N�� CON5TRUCTION LENDEfl BRANCH ADDRESS ARCHITECT TEL. ADDRE55 CONTRACTO �<%/iG/�� O/ly�/`L-GJ�pi" ADDRESS TEL. CITY NO. STATE CITY LIC. NO. UC. NO. SIZE I NO.OF BLDGS. OF LOT NOW ON LOT USE OF E%ISTING BLDG. Separate permits are required for electric, plumbing and heating work. USE OF BUILDING AND WORK TO BE PEFFOIiMED APPLICATION A.P. NO� J 1 BUILDING ADDRESS TRACT N � � �.o%N E 7E ROVE ZONE NO.OF PViNS VARDS APPROVE MAIN BUILDING (FROM GL STREET) DISTANCE BET I hereby acknowledge that I have reatl this application antl state that the above information is correct antl agree to comply with all laws reguleting builtling consttuction, entl I shall not employ ony person in violation of the workman's compensation laws of the State ot California. 1 heraby certify that I am properly licansed as a contractar under the State of California Business and Professions Cotle, Division 3, THE AMO Chapter 9, and that such licenses are in full torce antl effect, or I THE PURPI am exempt from the provisions of the State of Calitornia Business antl Professions Cotle, Division 3, Chapter 9. VAIVATION Signatura ot � , / Permittee $ � � Authorizetl Agent a° 2899., '��lq � 5.50 TL ��::r _.. �F.RU�'fO�E�tM[T 5.50 TL 'E R I D DATE ISSUED �-�l a -�- � PERMIT NO. vCC. i�0 LOT/is BLOCK DATE USE OF NEW BUILDING . BET. MAIN & ACCESS. BLD� DATE ' 2 n m 'm T. w SHOWN UNDER VALUATION IS FOF m )F E5TABLISHING A PERMIT FEE ONIY: e PERMIT FEE r�� `r � m PLAN CHECK S .�" o TAX b �'D LL • � U TOTALPAID § Lot 6a � Tr �=rQa �2�9:� COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOl( 917 COBTA MEBA. CALIRORNIA Fo� Applieanf fo Fill In Compleiely TYPE OR PRINT ■ STATE 3260 DaKota Avenue COSTA MESA CALIFORNIA PLALENTIA AVE NO. OP BLD6B. Q 88iBAGK LINE PROM CeMHR OP BTRe6T SO � REAR YARD 2 � SIDE YARD I LEFi J��r� I RIGHT S� J��- I DESCRIPTION OF WORK - - ISZII.DING 1611�%5$AOOMS WALL I ROOF {��QQ Shakes STUCCO COVERING qLDING AND WORK TO BE.PHRFORMED and Attached Garage Plan 1-B 1 H6HlBT ACKNOWL8DG8 THAT 1 XAVB pBAD TI�I6 MPLIGTION ANO BTATE TNAT TXE ABOV6 I8 CORPER AND A61iEC TO COM- PLY WITH ALL CITY OFIDINANG88 D HTATE W6 p66tRATNG BUILDINO CON ON., ' 91GNATURH OF�� nynziC��w-� PERMITTE� BUILDING ZONE �saw� FEE RECEIVED � �� -6a -�. FINANCE DEPT. APPh�,CATj1,ON;(FOR AERMIT BUILDING For Office Use Only COSTA MESA. ZONING NO.OF U8E OP NEW PLANS 7 BOILDINO L'. io-6o TX! AMOUNT BXOWN UNOEH VALUATION IB POR TX¢ PURP09E OP E6TABUeNiNG A PEpMIT F¢¢ ON�Y. VALUATION q / /�lI L`<j'�_PERMIT FEE S '�(G '� �v J p �y S PLAN CHECK 3 �Jf � AUTHORIZED AGENT p TOTAL FEE y �� '