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Home My WebLink About3276 DAKOTA AVE - Building Permits, � ,, ._, ..,_ __. _ _ . , - - Job Address: $276 DAKOTA AV � Suite No Vicinily: . � . � � ParcelNunmber:� 13906702 � � App�icant: MASON,ILL Address: 3276 DAKOTA AVE COSTA MESA, CA� Owner: Address � Drain LDER AMT Q $23.50� 50.00 0 30.00 , 0 p $19.60." 2 $0.00 " 0 � $0.00 0 ,�_ 50.00 0. Drinking'Fountain f�-� Expansion�Tank\ �•1 Gas Earthquake Valve Gas (1-4 outletsj�� Gas (Over 4 outlets), < Gas Repipe \� Gas Service Intercepiors (Grease, Oil)* Interceplors (Sand Auto )� � � � �� ,Zip: 92626 � Status: ISSUED ' Applied: 04/12/2007 Issued: 04/12Y2007 _ �/'y��'r ISSUED BY: �!'� /, } � �.' �'� ./� '/ �i-.,��f�� 4 ` l�� '� �� ) �C� . . � � ` �� „"`. \7� �' �'� ��`��' �``..// O \� . � �� , !d e OUTLETS) 1 SHOWER'1 KITCHEN SINK 3 / Washer Process Piping (per 10 Receptors ' Septic Tank ' SewerCapforDemo SewerConnect�� .y^, Sewer Private;Line�% �� u �iii��i R�Sink,� ��Smk' SPa�11 \ Spa:G �. �l t �' ; aLd� o ial� `� � a �1'0 �b�0 � o �. Q-� oP� ° °,o . 0 ooO� o�Vo 0 $0.00 0 50.00 0 so.00j�o , $0.00�'0 $0.00 0 $0.00 0 19;60r 2 $0.00�- 0 50.00��04,' $0.00 °0`"`. $9.80' ��.1, 50�00 � CO�� $0.00 � 0� so.o�oi _�-�--'.""'"..,� �� o '^_�____��1�� . . /j�`� i.� \ t � 1 `l��\C' ` ' � ,� �� '�/-�'J\ ��t� �C � }v � ;WASH BASINS 1 � ��'� '�� t� � { �—,`� ��i � ��iE�� LJ�_'i1�� _.' Sump Pump t�� $0.00 1 "0 Swimming Pool 5 (�..�$0.00 0 Trap Primer � $0�00 � 0 Urinal $0:00,yI �0 Vacuum Brkr BkFlow(1-0) Gi0.00 p 0 Vacuum Brkr Bkflow(5+) � $0.00�'j � 0 wasn easin j/Jf ��s.eo 2 Wash Basin.Se�� S 59:80/ 1 VJaste and{Vent System� $0.00 0 VJater Closet�(Toilet).. / $29 �40 3 Water Heater / venl ��% $,12.90 1 N/ater Piping (Instbr Rep.)�C$0.00 0 N/ate� Re-pipe �y' J�) $0.00 0 N/ater Servlce r�' $0.00 � 0 WaterSoftener �f' $0:00 ' 0 OTHEF2�� ff�/ % $0.00 VIQLATION� � �0.00 PL`AN:CHECK � $0.00 REINSPECTION $0.00 0 � ��' CALCUCATED FEES: 5759.55 ,�� NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) ' EXPIRATION: This permit shall automatically ezpire and become void if work is not commenced within 180 days, or if work is suspended or abandoned tor a period of 180 days. � ' INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspectlone and final�approval must be obtained.�Failure to obtain inspections and tinal approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 � !aaa-ae Ia�oo) WORKERS' COMPENSATION DECLARATION: . . , I �ereby ettirm under penalry of perjury one of Ihe totlowing tleclarations: w '', .. -' � ' , ❑ I�have and will'maintain a Gertificate ol wnsent ro self-Insure for workers' compansetion, as'provitled for by section 3700 of ihe Labor Code, for the pertormence of iha work for which Ihis permit is issued. • � ❑ I have and will maintain workers' compensation insurence, es requiretl by section 3700 of the Lebor Code, for the pertortnance of ihe work for which ihis permit is issued. My wakers' compensation Insurance carrier and policy number are: - � Carner. � ' Policy Numher: ' ' ' (This section need nof be comp/9�ed il the Oermlf is valued af one hundretl dollers (S 100) or less.) » - , ❑ I iertity ihat in the pedormdnce 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 Califomia, antl egree that if I shoultl becoma subject to the workers' compensation provisions ot Sectio� 370� of the Lsbor Cotle, 1 shall torthwith comply with these provisio�s. � Applicent Signawre: Date: � � WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVEPAGE IS UNLAWFUL AND SHALL SU6IECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED T/IOUSAN� DOLLARE (5100,000), IN ADDRION TO THE COST OF WMPENSATION, OAMAGES AS PROVIDED FOR W SECTION 3]O60F THE IABOR COOE, INTEPEST, ANO ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hareby attirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) oi Division 3 of the Business antl Professions Code, antl my license is in full force and ettect Lic. A Class s' Coniractor's SignaNrei� Date: CONSTRUCTION LENDING AOENCY: ' ' ❑ I hereby aflirm ihal lhere is a construction lending agency tor the pedormance ot the work for w�ich this pertnit is issuetl. (Sec. 3097, Civil Cotle). Lender's Name: Lentler'S Address: ' Signature: � Date: OWNER-BUILDER DECLARATIONS: I hereby aHirm ihat under penelty of perjury that I am EXEMPT FROM THE CONTRAC70RS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business antl Professions Cotle: Any ciry or counry which requires a pertnit to constmct, alter, improve, demolish, or repair any structure, pnor to its issuance, also requires the applicant tor such permit ro file a signe0 statement that he or she is licensed pursuant to the pmvisions of the Contractors License Lew (Chapter 9(commencing with Saction 7000) ol Division 3 of t�e Business�and Professions Code) or Ihat he or she is exempt iherefrom antl the basis for Ihe alleged ezemption. Any violation of Section 7031.5 by any applicant tor a permit su6jads Ihe applicant to a civil p9nalry of not more than five huntlred tlollars ($500).): ❑ I, as owner of the property, or my employees with wages as iheir sole compensation, WILL DO THE WORK, antl tha stmcture is not imentletl or oHered for sale (Sec. 7044, Business and Professions Code: 7he Coniractors License Law does not apply �o an owner of property who builtls or improves Ihereon, and who tloes such work himself or herself or thmugh his or her own employees, provided ihat such improvemeNs are not intended or oNered for sale. If, howevei, the builtling or improvement is � tl wit�in one year of comPletion, iha owner-builtler will heve ihe burden of proving that he or she did not build or imDrove for purpose of sale.). n� /I,'as owner of lhe property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct Ihe prolec� (Sec. 7044, Business and Professions ,� Cotle: The contractors c�ensa Law does not apply to en owner of propetly who builtls or Improves �hereon, and who contrac�s for such prolect wi�h a con�ractor(s) �`j license pursuaD( to t Con�racrors Licanse Laws.). [] I am Owner ID ventietl b}�.dlf4er's lice�se. Verificatlon of Ownership by (typdpf Business antl Professions Code lor this reason: ❑ No Drivers,Cicense No. propeny tax 6i11 or tleed):�`yf DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: rEzpiies: ✓ ❑ I hereby certity that no exc��ation five (5) or more feet in depih into which a person is required to descend, will 6e made in connec�ion with work authonzetl by Ihis permit, antl that no 6uiltling sWcture, scattolding, falsework, or demoli�ion or dismantling thereof, will be more than ihitly-six (36) feet high. (Chap. 32, Grp 2, An 2, Sec. 347, Title 8, California Atlminisiretiva Code). ❑ As owner-builtler, I will not employ anyone to do work which would require a permil imm the Division of Industrial Safety, as notetl above, unless such person hes a permit to do such work irom the division. ' Signature: Date: Division N Indusirial Safery Parm�t Number. CER71FlCA7E OF COMP ANCE AND AIfiHORIZA710N OF EN7RY: I cenity under penalry of perjury that I have read this application antl state ihal �he information given is correc�. I agree lo m y with ell state laws antl city ordinances relating to building wnsirucCwn, and authorize represenlatives oF [he Clry of Costa Mesa to enter upon Ihe above-described pr p br ihspection puryoses. I agree not to acupy or allow acupancy of any building euthorized by Ihis permit until final inspection. 41! 210� Si�ature�OfCegel,0; ner(s) ^Da� COUE I, MSVECTIONTYVf 1616 Fixetl Sysrem Final Fire Preven�ion 1266 200 201 2�2 Pool Spa Final Final Re-Root Final Block/Retaining Wall Final Faclory Fire Place� ' � 203 Final Sign 204 Final.Demolition O�TE INTRIALS 40DE� INSPECTIONTYPE � , ., . � 206 � Final Mechanical 208 Final Plumbing , 210 Final Eiecirical 212 Final Fire Prevention �., 220 . Final Planning Approval , 222 Final Site � � 250.. Final Builtling/Occupancy , Date �NTRIRlS � � : ► A/ternafe Materia�; Alternate Design " - and Methods of Construction Under the authority of Section 104.2.8 of 2001 CA Building Code, 2001 CA Plumbing Code, 2001 Mechanical Code and 2004 CA Electrical Code, the undersigned request approval of altemate matenals and methods of construction for: Project Name: 3Z%6 IJ�}KOT%} — Ad0�1ioJ/i2tnooc� os dfo Date: �i-26-a] ProjectAddress: �Z%�, ��k0�} Building PertniUPlan Check Number. �C7%'�OZ%$ Code Requirement (Specify Code Edition and Section): S�'<�70tiJ E�oS� !! CFue Nc1� 1�COL7 C 1� ZOOI Do�s �T �ecoa�� P�X rH[iin� ,q� 2o n�RTFPiAL Fia2 t �A'I�a O�.t7Rihuiion) PiP�. Altemate Proposed: Justification of Equivalency between code provision and altemate design method (Attach copies of any reference, test reports, expert opinions, etc.) ��t TkQ/ni(r iS q LeSTFl� /�RoDuC,f Foe f�7/�OCi h/RFT,E,e : 2�'-BO �R �S/�, �__ _ _,. .,.�.. - - --,. „�.., ..�,_ .,_ . ,. . _ . �(� t � t_. nnr4s�.l A CHITECT O� I�R (PRINT) �t �'a[o I �,ro �7C�G l2S AR HITECT OR ENGI EER'S LICENSE NUMBER COMRACTOR'S LICENSE NUMOER 2160-a6rev.9106 , Job Address: 3276 DAKOTA AV Suite: Vicinity: � - Primary Occ: R3 Dwellingsl Cong Res <10 Parcel Number: 13906702 Applicant: MASON, BILL � Address: 3276DAKOTAAVE COSTA MESA, CA _ ✓ 1.�' % �G^ owner: MASON ANN M FLORY Address � 3276 DAKOTA-AVE �.�� '� f � � -^a �,. �-''� � ,COSTA MESA, CA�./+�� , � �._ , �: � Contractor ��OWNER-BUILDER %r-: Address �' � � T �//„i� / ,.;�rf'� '��'�;..;�:�/ Zip: i�i�i .'�'.Fn l�� Y �v3c AVE Phone ... i. ..: �� FT. � �� '�Q. F7. .. `� FT. ,�. ' ?� ��32.SQ. FT.:(47°{ ) .� �� `.. c. '�,y ... ` y806.10 � ( 124015'_} �$14 34 '' " I un nn. ! SETBACKS �:� MAIN STRUCTURE Fron� 20-e( ACCESSORY Front 0- 0 •- "'�y Type of Consiruction: , V-N Zoning: F Stalus: ISSUED Applied: 03/09/2007 ' Issued: 03/09/2007 Phone: 774-724-3990 ISSUED BY: '��Zip 92626 � . 'a._a '�"�" Ji:A„'Y. 'wW � � Y• � �� 4�t . i � � � •� , �v�`. �Phone ��.: ,,� �a�� ` � Zip�' 92626^ . �~\ . i � �. �'�\ �\, =_..a.., ,i.,,.� .� �� l\\�`�\ . �' �a�`'^�,'�.,� �./ ��.~� ~� . '^; � :`.�c�.,t I '` ;� ,. , . \.'^'\\`'�. `.... ,� � .� . Phone: .�".d\\�� `./',. � �4 J � License: 000000 . �`�.. , � � � \ V �� f�� - Eng: "��}'�� f. � �� 14'�427-0688��;,,, ^:'Address: fl �"'�" Y `\Phoi `��-� �_ .� �� , r ��,�': • ix _ t � :. �. 29759t"� � - � � � �r`� ! Licer �. �., ra j..�-v. 'ar... �.� .R'".:1.� i - . ., + 4:�i� iTING SINGLE-STORY SFD. WORK TO CONSIST OF RELOCATION/Ek LIBRARY AND POWDER ROOM. EXPANSION OFQHE'KITCHEN AND I 200M. CONVERTI6SF HABITABLE AREA FOR THE�EXPANSION OF T fER'BEDROOM�TO-AN`OFFICE'AREA'=-"`�_—' � �� - % ��`� }� �� 't�'%�' f� � ?l',�� . , � � `�`3n � b � � ., � d�r 1'i ' . �OC� _ O �`a,ts,4' ``p� �tao'�' S cs�;� r �t U: r'��;>•C� \��Y'��'-`��: � � �l1�4'�°� e �" ,,�(� g o B a .�n w� n` � 3 0 a��i; �.- o (� � �lvC , � %O° �� r�� „� � YLHNNINIi'tk'L i__„_ ._�r -' ��Rea�79�0 7 1 �1�`� �Left� � �: J i.; �' t l � �,�.'_.+..,_ 't�.�. ��---�'"` `` 1 l�`t <\ �V;��, � `�`{ �!R �� ,4 �LIVING ROOM ,�1� �``'-�.,° t.;��r Valuation:� �� $ia3aze i Valuation: � �r� $o �� Z� (� f� %�ti o �� \��%/i%,� � % /lr;j �� %5=0 / 0- 0 _ ti ) '.�.' 1 R ^ .�� .r NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) , EXPIRATION: This permit shall automatically ezpire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. - . , � INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applioable codes, and all � requlred Inspectione and tinal approval must be obtained. Failure to�obtain inspections and tinal approyal will result in the expiration of this permit. I FOR INSPECTIONS CALL: (714) 7545626 � ' . . . � � � at�ae(rvool . -, WORKERS' COMPENSATION DECLARATION: � , � ` . I hareby aflirtn under penalty of perjury one of ihe following declarations: - ' ' - , ❑� I have end will meintain e cenificate of consent to self�lnsure for workers' compensetion, es piovitled for by section 3700 of the Labor Code, for the peAormance ot ihe work tor which this Dertni� is issued. . ' ' ' ❑ I �ave antl will maintain workers' compensation insurance, as required by section 3700 ot the Lebor Cotle, for the perfortnance of the work for w�ich Ihis pertnit is issued. My workers' compansatlon Insuranca carrier end policy number are: � - . Gerrier: Policy Number: ' (This secfion need nof be comp/eted il fhe permit is veluetl et ane hundred dollers ($f 00) or less.) ❑' I certity thet in the performance o� tha work for w�ich Ihis permit is issued, I shall not employ any pereon in eny manner so as to become subjact to the workers' compensatlon laws of Calilornie, and agree Ihat N I should becoma sublect to the workers' compensation provislons of Section 3700 of Ihe Lebor Cotle, I shell forthwith comply with these provislons. Applicant Signature: Date: � WARNING: FAILUftE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNIAWFUL MlD SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED TMOUSAND DOLLARE ($100,000), IN ADDITIqV TO THE COST OF COMPENSATION, OAMAGES AS PROVIDED FOR IN SECTION 3]O60F THE LABOR CODE, IMEREST, AND AiTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: . I hereby attirm Ihat I am licensed under provislons of Chapter 9(commencing with Section 7000) oi Division 3 ot the Business antl Professions Code, end my license Is in full torce and eHect. Lic. s ' Class a i Contractofs Signeture: Date: , CONSTRUCTION LENDING AGENCY: ' � ❑ I hareby aHirm Ihel lhere is a constmction lending egency lor ihe pertormance of the work for which Ihis permit is issued. (Sec. 3097, Civil Cotle). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLAFiA710NS: . � I hereby efFlrtn thet under penalry of perjury that I em EXEMPT FROM THE CONTRAC70RS LICENSE lAW for ihe tollowing reason (Sec. 7031.5, eusiness and Prolessions Code: Any city or counry which requires e pertnit to construct, alter, improve, demolish, or repair any sWCNre, prior to its issuance, also requires ihe applicent for such pertni� to file e signed stetement that he or she Is licensed pursuant to the provislons of tha Contrectors License Lew (Chapter 9(commencing with Section 7000) of Divlsion 3 ot ihe Business flntl Protessions Code) or that he or she Is exempt therefrom and the basis tor the alleged exemption. Any violation of Section 7031.5 by any epplicant for e permit sub�ects the epplicant to e civil penalry of not more than tive hundred dollars ($500).): ❑ I, as owner of the pmperty, a my employees with wages as iheir sole compensetion, WILL DO THE WORK, and ihe stmcWre Is not intended or olfered for sale (Sec. 7044, 8usiness and Professions Code: The Contractors License Law does not epply to an owner of property who builds or improves thereon, antl who does such work himself or herself or through his or her own employees, provided ihat such improvements are not intended or oNered for sale. It, however, Ihe building or improvement is sold within one year of completion, ihe owner-builder will heve the burden of proving �hat he or she did noi builtl or improve tor purpose of sale.). ' I, as owner ot ihe property, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 70G4, Business and Professions \<� Code: The coniractors License Law tloes not apply lo an owner of propeny who bulltls or Improves thereon, and who contracts tor such project with a contrecmr(s) . license purouant to t ntractors License Lews.). ❑ 1 am exem uo c. Business and.Protessions Code for this reason: Siqnatura:"'.� Date:. � � . � �'"'�Expires: �--- i. Venficetlon of Ownership by (rype of tlocument, i.e. - properry tax bill or tleed). DIVISION OF INDUS7RIAL SAFETV PEHMIT CERTIFICATION: ,' � ❑ I hereby certity ihet no ezcavation five (5) or more feet in depih into which e person Is required to descend, wlll be matle in connection with work authonzed by t�is pertnit, and Ihat no builtling structure, scaHolding, falsework, or Oemoli�ion or tlismamling ihereoi, will be -.ore then �hirty-sl: (36) teet high. (Chap. 32, Gry 2, Ah 2, Sec. 341, Title 8, California Administrativa Code). . � � ❑ As owner-builder, I will not employ enyone to do work which woultl require a permit from t�e Division ot Industnal Satety, as notetl above, unless such person hes a permil �o do such work from ihe tlivision. SignaNre: Date: Division of Indus�nal Sataty Permit Number: 2 5 6 W ill t�e epplicent or present or fuWre building occupent neetl m tile antl cenity a Business Plan for emergency response to release or ihreatened release oi a hazartlous matedal7 ❑ Yes ❑ No . _ (Sedion 25505 of the Calitornie Health antl Sefery Code requires, with some exceptions, thet e Business Plan be filetl with ihe Costa Mesa Fire Depertment by every busineu which has et eny one time during a reported year a Quantiry ot �azardous matenals equal to or greater ihan a weight of 500 pountls, or a volume o155 gallons, or 200 cubic feet of compressetl gas at standard temperaWre antl pressure). ............................................................................................................................................................................................................................................................................................. ....................... .................................................. Does or will Ihe applicant or present or future builtling wcupant need to tile e registretion form tor acutely hazartlous matenalsl ❑ Yes ❑ No (Section 25533 oF the California Healih antl Satety Code, with some exceptlons, requiras registretion with the Costa Mesa Fire Department by each business which at eny one time has on hend e quentiry of eculety hezardous meterials equel to or greater Ihan e weight oi 500 pounds, or e volume oi 55 gellons, or 200 cubic feet of compressed ges et standard temDerature antl pressure). ................................................. _................................................... _... _.. _........................................... _................................................................................................................................................................................................................. Doas or will ihe applicant or present or tu�ure building occupant need m prepare en RMPP (Risk Manegement and Prevention Progrem tor acutely hazardous matedals)7 ❑ Yes ❑ No (Section 25534 of the Celifornie Health and Safety Code provitles �ha� �he Costa Mesa Fire Depatlment may require ihe preparation, certificatlon and filing with the Fire Depertment oi an RMPP by businesses whic� are required to register acutely hazerdous metenels with the Fire Depariment. If an RMPP is presently requiretl, has Section 25534 of ihe Californie Health end Safery Cotle Geen tully complietl with? ❑ Yes ❑ No ............................................................................._.._.....................................................................................................................................................................................................................___._.............................................................. DoeS or will Ihe applicant or present or future building occupent raquire br Iha work which is the sublect of this a plication epe,rtnit for such consiruction or modlflca�lon irom the Sou�h Coast Air Dualiry Management Disinct or Irom any other air polluiion control dis�ric� or agencyt � Ves LJ No (Sectlon 658502 of the Califomia Government Code requires that tha requestetl inPormation be fumis�etl on applications tor nomresidential building permits). ....................................................................................._...................................................................................................................................................................................... ....................... ................................................................. Will any patl of iha tacitiry to be constmctad under this permit be within 1000 feet from the outer boundades oi e school7 ❑ Ves � No Qf'yes", the taciliry musi meei ihe requirement of Sections 25534 antl 42303 of the California Health end Safety Code). ...................................__....................................................................................................................................................................................................................................................................................................................................... If a permit fmm the South Goast Air �uelily Manegement Disirict o� other air polWtion control district or agency is required for the work which Is the subject of this epplication, have all of the disclasures prescnbed by Celifomia Health and Sefery Code Section 42303 been made7 ❑ Yes ❑ No .............................................................................................................................................................................................................................................................................................................................................................................. Qf'yes", atlach certitiwte of compliance trom the appropriate air pollution control otlicer). GERTIFICATE OF COMPLIANCE: I certity ihat untler penalty of perjury the information given ebove is correct. I agree to comply with all state laws and ciry ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFlCATE OF COMPLIANCE AND AUTHORIZATION OF ENTAY: I cetliry under penalry of perjury thet I have read this epplication and state thet the information given is correct. I egree to comply I ste ��s and city ordinances relating to builtling conswdion, and authorize representetives of Ihe Clry of Coste Mesa to enter upon Ihe ebove-described prope f ns n pu poses. I egree not to occupy or allow occupency of any building authonzed by thi�mit� al�spection. � neWre Of Cegal Owner(s) 4r-�O — - AnNOr Authodzed Applicant Date � CODEI INSVECTIONTYVE . � PA7E INTRIRLS 1616 Fixed System Final Fi�e Prevention 1266 Pool Spe Final , � . � 200 Finel Re-Rooi , 201 ., Final Block/Reteining Wall , . � 202 'Final'Factory Fira Plece -' ' ' ' ' � 203 Final Sign u 204 '•�FinalDemolition . - . - � � COpE1 INSPECTIONTYPE , pZ¢, 7y��$ 206 � Final Mechanical . , 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention , , _ 220�. , Final Blanning Approval , . � 222 Final Site . . 250 : .FinalBuilding/Occupancy �... . �d/s/(Z� .� �� :R . e ' .�vh-: , � . . • � ' . •� / 1 Job Address: 3276 DAKOTA AV Suile: Viciniry: Primary Occ: R-3 Dwellings/ Cong Res <10 Parcel'Number: 13906702 ' Applicant: MASON, BILL - Address: 3276 DAKOTA AVE � COSTA MESA, CA � Owner: MASON, ANN:M-FLORY Address 3276 DAKOTA AVE �� _ . .r'�-17�.� � .�rn Zi� Type of Construction: V-N Zoning: 0�\ � � } u c- ��;/ �,G/ /� _ .. ' ..� AVE VNw�:INI) I ' I SIZE = 6,050 SQ. FT. IDENCE',=;2;�101 SQ. FT. �y AGE�=397�SQ.�FT. •� � �EWAY = 334tSQ. FT. GOVERAGE�r2:832 SQ. FT. (4 Check: Permit� IP,Res: P, Com: 10 . 15 S4 0 'a' SETBACKS v . MAIN STRUCTURE Front� 0, \ . ACCESSORY Front 0- Phone: 7 Phone: 714-724-3990� Phane: License: Eng: Address: ..�e , .K�.,n ll�� ...- .--'��_c_.� �"-�- � � t .� � SCOPE OF PERMIT �"\ J EXISTING SINGLE-STORY SFD. WORK TO CONSIST OF OF'A LIBRARY AND POWDER ROOM. EXPANSION OF TH BEDROOM. CONVERT76SF HABITABLE AREA FOR THE'I �� .�� . �sT• 40-ll r - :• O � D� O � i. O p ' Op. ry o 60 � 0�''p 1 '�� Gp o O�° ° � G � ��.�d � b � � � /a% o ,7 . '� � oQ�° o00 0� 0 6 o�y a 2�,¢�8� �oQ�..� oQ �O°. ��_1'� (��5�� 5� �� Ceft . 0- 0� � Status: ISSUED Applied: 03/09/2007 Issued: 03/09/2007 . r h ISSUED BY: / a /1"�`�-/' ` 1 '.� .t�'.,. �, �� `��1\ Phone: C�.\ � 1 ; \\'��,. . �n��i��se� �? 111 i 7� �t�,-�u,��i r_--� ��1y 1 ��ATIONIEXTENSION OFTNE�LIVING ROOM 1EN AND ENLARGEMENT�OF TFiE EXISTIN �ION OF THE EXI$ `ING GARAGES J� �� '� � '�� , t,��..� �,. �� /�"� Lc�'l� j ��.,,1 .% aluation� � \8ia3;aze.00 ✓alualion: � )JSo.00 �� af � % % � � (r� /�v . fJ ' _ . r� l��/ n�� . . � `n�v ' �v s'o� a- o iNOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California stafutes and related , regulations. (Ord. No. 92-28, § 1, 72-27-92) � � � �� EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. ' �- INSPECTIONS: In order for ihe work authorized under. this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspeetions and final approval must be obtained. Failure.to obtain inspections and final approval will result in the expiration ot this permit. I' FOR INSPECTIONS CALL: (714) 7545626 , �- 6d&46 (8/00) � WORKERS' COMVENSATION DECLAAATON: ' . ' � ` , � I hereby aHirm untlar penalty oi perjury one ot Ihe following tleclarations: � � � --. . � �' �I have and will maintain a certificete o/ consent to selt-Insure for workers' compensation, as provitle0 for by section 3700 of the Lebor Code, for ihe pertormance of Ihe wxk for which t�is permit is issued ! � . , ❑ I have and will maintain wotkers' compensation insurence, es requiretl by sectioli 3700 of ihe Labor Cotle, tor the peAormance of the work tor whicFYhis pertnit is issuetl. My workers' tompensation Inswance carrier and policy numbar are: . � Carrier: Policy Number: � (This section need not be completed i( fhe permi! is valued ef one hundred dollars ($100J or less.f . ❑ I certily that in the pedormance of Ihe work for which this pertnit is issued, I shall not employ any person in any manner so as to become subject to the workers' ' compensetion laws of California, end egree that if I should become subject b the workers' compensation pmvisions oi Section 3700 0l the �abor Cotle, I shall torthwith comply with these provisions. � - _ Applicant Signature: Data: WARNING FAILURE TO SECURE WORKERS' COMPENSATION CAVERAGE IS UNIAWFUL AND SHALL SUflIECT AN EMPLOYER TO CRIMINAL PENALTIES AND qVIL FINES UP TO IXJE NUNDRED THOUSAND DOLLARE (5100,0p0), IN PDDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CA�E, INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm that I am licensed untler provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Cotle, and my license is in full force antl ettect Lic. N Ciass N ' . ' Contrector's Signature: Date: CONSTRUCTION LENDING'A6ENCV: - "' � ❑ I hereby aflirm ihat ihere is a construction lending agency for ihe pedormance oi the work for which ihis permit is issued. (Sec. 3097, Civil Code). Lentler's Neme: Lentler's Adtlress: ' � SignaWre: Date: � ' DECLARATIONS: I hereby aftirm that untler penalry of perjury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business entl Professions Code: Any city or county which requires e permit to constmct, alter, improve, tlemolish, or repair any stmcture, prior to its iuuance, also requires lhe applicant tor such pertnit to file a signed statament ihat he or she is licensed pursuant to the provisions of the Contractors License Lew (Chapter 9(commencing with Section 7000) of Division 3 of tha Business and Professions Code) or thet he or she is exempt therefrom and the basis for the alleged eremption. Any violation of Section 7031.5 by any applicant tor a permit sublects the applicant to a civil panelty of not more than tive hundred dollars ($500).): ❑ I, as owner of ihe property, o� my employees with wages as their sole compensation, WILL DO 7ME WORK, antl the siructure is not intendea or oHeretl for sale (Sec: 7044, Business and P�ofessions Code: The Contractors License Law does not apply to en owner oF propetly who huilds or improves thereon, and who tloes such work /y himseN or herself or through his or her own employees, provided ihat such improvements are not intended or oHered for sale. If, however, ihe building or improvement is // sold within one year of completion, the owner-builder will have the burden of proving ihat he or she did not build or improve for purpose of sele.). � �� I, es owner ot ihe property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS �o cons�mct ihe project (Sec. 7044, Business antl Professions Code: The contractors License Law does not apply to an ownar of property who builtls or impmves thereon, and who conlracis br such project with a con�ractor(s) license pursuant to Ihe Coniractors License Laws.). � • , . ❑ lam Owner ID ventietl by�Crivet'S IicePse. Verification of Ownership by (type ot Business and Pmfassions Code for this reason: sJ ❑ No Driver's License�No. i.e. - property tax bill or deed): '� r DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certify ihat no exc��ation five (5) or more teet in depth in�o which e person is requiretl �o descend, will be made in connection with work authorizetl 6y �his permit, and ihat no building simctura, scaflolding, falsework, or tlemolition or tlismantling ihereot, will be more than Ihirty-sia (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 347, Title 8, Califomia Atlministrative Cotle). • . ❑ As owner-builde�, I will nol employ anyone to do work which would require a parmit from the Division of Intlustrial Safery, as noted above, unless such person has a permit to do SUCh work fmrP lhe division. Signawre: Date: Division ot Intlustrial Safaty Parm�1 Number�. COOE� INSFECTONTYPE 1616 � Fi:etl System Final Pire Prevention 1266 Pool Spa Final 200 Final Re-Rooi 201 FInaI Block/Retaining Wall 2o2 , Final Factory Fire Place �. 203 Final Sign � INTRIALS r / CO�E� 206 / 212 Fine ire 220 Final. 222 Flnel Slte ' ILAT� I RI� o - �� " . il. . 204 - . Final Demolition. . . , , 250 ,Final Building/occupancy„ 0 i �ob nddress: 3276 DAKOTA AV Suite No Vicinity: � , ParcelNunmber: �39�67�2 Applicant: MASON,ILL Address: 3276 DAKOTA AVE � Owner: Address FEE Res Service ovei�1000 Motors to �1 hp) Motors to 10hp Molors to 501ip� Motors to 100hp� Motors over 100hF Communication dr Sub panel to 200a Pole Light Pkg Sign Circuits � Temp Pwr Pole Intermetl Pole COSTA MESA, CA T $23.50 L $0.00 � 50.00 $0.00 50.00 $0.00 $56.50 $47.55-� $47.71 $0.00 $19.00 � $0.00 ' � ne:� `c. " i 0 Status: ISSUED, . . Applied: 04/12/2007 Issued: �04/12/2007 �- - � � `f, �, I$SUED BY: �: �� `r � L/'/ .,l � `�t f'�� l/ ,� � -�. J '�`\ �� „ �"r'�"`"�"�tj�� \ . \ �� n{�� \� - Phone:� .� . • - Zip: �� . � � � License:000000 ••�• Ii^iA • �ea �`SGOPE OEPI 47 OUTLETS 1 SUBPANEL Quanti� l.. �. � 70 55 q7 0 0 .� ws�;'! 0 ,:'.` o� p3� 0 r b� am� . . � 000 oOQQ � �;0, �� ,�'l�� o '�o 00 :�o O p`, o �.o� �,,� g,' / j�,`� � \�..._`�"` '�/ 0� r.�� —�`� o� �� q-�.�... . Busway/100ft Standing Secti ............ .uP to�50 kva/kw ......... � up to 100 kva/kw ��.over 100 kva/kw Low Voltage�Equipment Low Volt Wiring System / Ckt tand� rical'Fee°�° 0 n F.ee Fee �' � �� r�'�� t"lt �� $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $o 00 $0.00 $0.00 $0.00 $0.00 Y 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, 72-21-92) ' � 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 p`eriod of 180 days. INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspeetions and final approval must be obtainad. Failure to obtain inspections and tinal approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 � - ». o «.�,� WORKERS' COMPENSATItlN DECLARA710N: . . � � I hereby aHirm untler penalty of perjury one of ihe following declarations: '��. -� , �• k ' ❑ ,I have end will maintain a cenificete oi consent to sell-Insure for woikers' compensation,-as provided for by section 3700 of ihe Labor Code, for the pertormance of the work For which this permit is issuetl. , . �.,.. ❑ I have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for Ihe performance of Ihe work for which ihis permit is issuetl. My workers' compensation Insurance carrier antl policy number are: _ . 1 Policy Number: Certier: " ' - ' (This section need nof be comp�etea i! the Oermif is valuetl a! one hundred tlollars (S 100) or less.) . ❑ I certify ihat in�the performance ol the work for which t�is permit is issueQ I shall not employ any person in any manner so as to hecome suhject to the workers' �. compensation laws of Galitomia, antl egree Ihat if I shoultl become subject to the workers' compensation provisions of Section 3700 of tha Labor Cotle, I shall forthwith Comply with Ihese proviSions. - . Applicant Signature: ' Date: WARNING FAILURE TO SECURE �'dORKERS' CqAPENSATION COVERAGE IS UNLAWFIIL AND SHALL SIIBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND qVIL FINES UP TO ONE HUNDRED TFIOUSAND OOLLARE (8100,000�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGE$ AS PROVI�ED FOR IN SEGTIQV 3�O60F THE LABOR CODE. INTEREST, AND ATTORNEYS FEES. LICENSED CON7RACTORS DECLARATION: I hereby aRirm that I am licensetl untler provisions of Chapter 9(commencing with Section 7000) of Division 3 of ihe Buslness and Professions Code, and my license is in full torce and eflect Lic. A Class a ContrectorsSigneture: Date: � � CONSTRUCTION LENDING AGENCY: ' ❑ 1 hereby affirm Ihal lher� is a consiruclion Vending agency For the peAormance oi ihe work br wNch this permii is Issued. (Sec. 3097, Civil Code). Lentler's Name: � Lender's Address: Signature: OWNER-BUILDER DECLARATIONS: Date: I hereby attirtn Ihat untler penalry of perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the followinq reason (Sec. 7031.5, Business and Professions Code: Any ciry or county which requires e permit to constmct, alter, improve, tlemolish, or repair any structure, prior to its issuance, also requires the applicant tor such pertnit to file e signed statemant Ihet he or she is licensetl pursuant to Ihe provisions of ihe Contractors License Law (Chapier 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or ihat he or sha is exempt therefmm and the �asis For the elleged ezemption. Any violation of Section 7031.5 by any applicant for a pertnit su6jacts the applicant to a civi� penalry of not more ihan five hundred dollars ($500).): ' ❑ I, as owner of ihe.propedy, or my employees with wages as iheir sole compensation, WILL DO 7HE WORK, and Ihe strucWre is not intentletl or oHeretl for sale (Sec. 7044, Business and Pro�essions Code: The Coniractors License Law does not apply to an owner of property who builds or improves Ihereon, and who does such work himseN or herseN or ihrough his or her own employees, pmvided ihat such improvemenis are not In�ended or oNered for sale. Ii, however, the building or improvement is �rsold within one year ot completion, ihe owner-builder will have the burden of proving Ihat he or she tlid not build or impmve for puryose ol sale.). �I, es owner oi the propeRy. am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consimct the project (SecJ044, Business and Professions 7i .�Cotle: The wmractors License Law does not appy to an owner ol property who builds or improves thereon, antl who coniracts br such project with a con�ractor(s) license pursuant to ihe Contractors License Laws.J. . ' , � ❑ lam Owner ID verified By�fMver's iicen5e. Verifica�ion ol Ownership by (rype oi Business and Prolessions Cotle for this reason: s ❑ No . � Driveis.License No. J� i.e.� properry tax Dill or tleed):'.—' DIVISION OP INDUSTRIAL SAFETV PERMIT CERTIFICATION: � � ❑ I hereby certify that no axcavation tive (5) or more fee� in depih into which a person is required to descend, wiil be�mada in connection with work authonzed by ihis permit, and that no building stmcWre, scaHolding, talsework, or demolition or dismantling thereoi, will be more than �hirty-six (36) feet high. (C�ap. 32, Gry 2, Art 2, Sec. 341, Tille 8, Califomia AGministra�ive Code). � _. . � � ❑ As owneahuilder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safery, as notetl above, unless such person has e permit to do such work ffom the tlivision. . - � � SignaNre: ' � Date: Division ot Indusinal Sefety Pp�mit Number: COOE I. INSPECTONTYPE 1616 Fixetl System Final Fire Prevention 1266 200 201 202 203 Pool Spa Final Final Fe-Roof Flnal Block/Reteining Wall Final Factory Fire Place ; Final Sign 204 Final Demoiition OATE I IA� C�y�A' INSPECTIONTYPE � � � � � 206 � Final Mec�anical 208 Final PlumDing � � � �210 Final Electrical 212 Final Fire Prevention 220 FinalPlanning Approval, , 222 Final Site 250 Final Builtling/OccupanCy Q�TE INTRIALS . � ' ° - ', � (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us � � MECHANICAL PERMIT �ob Address: 32Z6 DAKOTA AV , . Suite No . .. . -- � � Vicinity: . Parcel Number: '13906702 . Applicanf: MASON,ILL �/�� +,R�'' Address: 3276 DAKOTA AVE� (,I{� �o�� COS�A, ME,�;CA �` Owner: > VAV Boz � l� Vent Fan /.Single Appliance� Fire Dampe� Smoke Dampers, Inst or Relocate�F Air Handlers <\1i AirHandlers> 1i Floor Furnace Floor or Suspend A ER 5 �� Zip: � 92626 � �� --'� ;_. �—=—=-� ,— �,v � `—� ��_—^, --_ --� Phone: Zip: 92626 � PhoneI� � Zip: I�� . ..i ;,.e„� � nnnnnn. e6=e // rHln vnlvc, 4vJ � H mCOH, \.n amm Status: ISSUED � ' Applied: 04/12/2007 ' � Issued: 0411 2/2 0 0 7. � �/�v? r 1 � � . ISSUEDBY: // ,"/�-1(r/` '?r-r ,�� .. i;� �. G )BTU 1 AC UNIT < t00KBTU 1�DOWN DRAFT FAN OVER THE 4�VENTj'E/,ANS FOR BATHROOMS . � � C�'0�'�i QZlL'` lt 117L1� f��'� Quantity 623:50 Repair /'AR'Absorbtion'i 614'.80 1 �„� Repair/AltRefrigeratio «:� 0 , 0 1 1 0 4 0 0 : Up.to�3��hp_/ 100 k BTU V $ 00`� O` � 3:To 15�hp-/,500 k BTU $O:OOJ 0 15 To 30 hp / 1,000 k BTU "� �50.0'0; 0� � 4'��j"t"4.��"%�'�30 To 50 hp / 1,750 k BTU $0.00 0� 0�(° �,°Qver 50 hp / Over 1,750 BTU " � $0_00 LO .. 0 0, �o o- .0 � Boilers::.�,- � D��.. "� � � �� fj Up to 3-hp'�R:° a" j) fi�, $0.00� 0 Q . '� �r�+s*i'� ' .� �Oa°np opn�3To15��6P-, `.' .., L� $0.00 0 - �Itop��`j�'�To`G+¢15to30hp� s �C<� $0.`00 0 og pQ �- a 60 � p90 to50,hp o�< $0.00 0 '�� o�� o�Other.Me hanicaCFee �� $0.00 0 �� ?�p�G�G ,> , ' � D�so.00 � so.00 �� % $0.00 , ,- CU �ED�FEES 5103.40 ,� � GIAL-..GONDII"IONS'" �-�„'�-- �- 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 wi�hin 780 days, or if work is suspended or abandoned fora�pe�iod 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 tinal epproval must be obtained. Failure to obtain inspections and final approval will resuA in the expiration ot this permit. FOR INSPECTIONS CALL: (714) 7545626 � " - � 146-46 (&00) .� WORKERS' COMPENSATION DECLARATON: � ' . ' ' I hereby aHirtn under penalry ot perjury one of ihe following declarations: .°,'� ,' . .� � . � � .' �' I have entl will maintain a Gerlificete of conseni to seli-Insure For workers' compensation, as provitled for by,section 3700 of the Lebor Code, for Ihe peAormance oi.ihe work for whic� this permit is issuad . , '❑ I have and will maintain workers' compensation insurance, as requiretl by section 3700 of the Labor Code, for ihe peAo�ance of the work tor which this permit is issuad.. My workers' wmpensation ��surence carner antl policy,number are:, - _ � Carrier: � Policy Numbec (This section need not be compla�etl il the permit is veluetl at ane hundred tlallars ($100) or less J ❑ I cenity that in the performdnce ol the work for which this permit is issued, I shall noi employ any person in any manner so as to 6ecome subject to the workers' �- compensation laws of Califomia, and agrea that ii I shoultl become subject to tha workers' compensation provisions of Section 3700 oi tha Labor Code, I shalf torthwith comply with ihese provisions.' , � Applicant Signature: Oate: ' WARNINO: FqILURE TO SECURE WPAKERS' COMPENSATIdJ CAVERAGE IS UNLAW FUL AND SHALI SUBIECT rW EMPLOVER TO CRIMINAL: PENALTIES AND GVIL FMES OP TO ONE HUNORED THOUSAND DOl1ARE (E100.000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PRWIDED FOq IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEVS FEES. LICENSED CONTRACTORS DECLARATION: . . I hereby eftirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Oivision 3 of ihe Business antl Professions Code, antl my license is in full force and efrect Lia % . Class X Contractor's Signature: " Date: CONSTRUCTION LENDING A�ENCY:' ' � .. . ❑ I hareby aNirm that there is a consimction lending agency for lhe performance of ihe work for which this permit is issuetl. (Sec. 3097, Civil Cotle). Lenders Name: Lenders Address: Signeture: � Date: OWNER•BUILDER DECLARATIONS: I hereby affirm Ihat untler penalry of perjury ihat I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for �he following reason (Sec. 7031.5, Business and Professions Cotle: Any ciry or county which requires a permit to constmct, alter, improve, tlemolish, or repair any strucWre, prior to its issuance, also requires iha applicant for such permit to tile a signed statement ihet he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of ihe Business and Professions Code) or ihat he or she is exempt therefrom and lhe basis for ihe alleged exemption. Any violation of Section 7031.5 by any aOP�icant for a permit suhjecis the applicant to a civil penalry oi not mare than five hunAretl tlollars ($500).): � ❑ I, es owner of the property, or my employees with wages as iheir sole compensation, WILL DO THE WORK, and the stmcWre is not intentled or oReretl tor sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves ihereon, antl who does such work himself or herself or ihrough his or her own employees, providad ihat such improvemenis are not intended or oHeied �or sala. If, howevar, ihe building or improvement is ��sold within one year of completion, ihe owner-builtler will have ihe burtlen of proving that he or she did not build or improve for purpose of sale.). �I, as owner ot the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CON7RACTORS to constmct the project (Sec. 7044, Business antl Pmfessions .,,y Code: The contractors LicenSe Law does not apply to an owner of property who builds or Impmves Ihereon, and who coNratts for such pmject with a con(ractor(s) license pursuay( to th9�Cor ractors License Laws.). , ❑ I am exemp u �c. 1 Business and Protessions Code tor thls reason: SignaWie: �_ — _— ;Oi � wner ID verified by d� 's license. ❑,VesZ ❑ No . Driver;s License No. � /. " Verification ot Ownership by (typa of document, i.e. - pmperry tax bill or deetl): '� DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I �ereby cartiy that no exca�ation five (5) or more fee� in depih into which a person is required to dascen4 will be made in connection with work au�honzed by Ihis permit, and that no buildinq sWcture, scaHolding, falsework, or tlemolition or dismantling �hereof, will be more ihan ihitly-six (36) teet high. (Chap. 32, Grp 2, Art 2. Sec. 341, Title B, Calitornia Adminisirative Code). � ' ❑ As owner-huilder, I will�not employ anyone to do work which would reQuire a permit fmm the Oivision of Indusirial Satety, as noted above, unless such person has a , permit to do such work frort� the division. SignaNre: � Dale: Division of Indusirial Safety Perm�� Number. COUE �. INSVECTIONTYVf 1616 Fized System Final Fire Prevention 1266 Pool Spe Final 200 � Final Re-Raol . � 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Siqn 204 . Final Demolition -� . . o"rE i�� • COOE I INSVECTION TYPE 206 Final�Mechanical � � 208 Final Plumbing 210 Final ElecMcal � 212 Final Fire Preverition 220 Final Planning Approval 222 Final Site . 250 Final P�TE INTIilALS ' /f)S-fl� &S�_ 6 . , y . , . . . ' ' ' .- . ,. . . " . �' . . . ' -. . � . . . � . . . . ... �. .. eeaecraooeess 3276�DAKOTA AV ' , � onir i�"• � � �;� ' � CITY OF CGSTA°^MESA� -.BUILDING PERMIT l� PERM�NO �B , `045644 ��} ,. ..OWNEBS N�MEt� � r �' ; .. . : ' �. • ' � � n �' - . 1 " . . � � � . ., �S i . .'!;. � `� ` . � .. . . nooxess: HILli 'L MASOPI` : ; , ' r ,W3 � � y . . ; . , . . . i - ' . ,SAME � y � P�ERt4IT NO.: B .046G44 FLAN CHF.C_K hlOi .03280 90 S GOVT: TI. SUP.P IV ' � .• � -• � ` . . 1 � 1 : .' S � � : j t Y +' t .. .fI �. . � - . -G . - � . . '." . ir . l , i T n . . r - I . � .. . i � r. � -. . , i':' 1 ltr `, ' ' � ' � . - � : : � � ' • E � y� � ,: j .� i � � � :'. � � � .C(JNSTRUCTION. TYPE.. .' r � : : FERMIT�TYPE.: iSTR . �'A,PURPOSE. jP.L�L� ,... . r � �,•751-0:37'4 . : ,;. r, � . ;;' ; � �v .; ' �, f ,. -:• , .- + • : : .� . � -, . � ; +'-.; ` ; , } .. , , . , 'vRNCNIFNGINEEB:_�• � +^ � . NECNO ,. '� ';,7p$,1'iEF_CRIPTIUPI � 'i; LI:G�LIZE 21SF BOX W�INDpW &:REPLACE WIDIDU'. 5Q FT: 1 �0�0� � �' �'� � ' rt, RDDXESS :; . . ; ..,' . ' 1 , . �. t ` ...UNR , , ,' , . . � t ; � :' 4 � , 'r i '. t . ; i ' ' ' a .� � i - � - . . , i. . � ; . t . . .. � ; :� � • � , , i -� - CLAIM •VALUE ' - 1. , 000 . 00, CAI:C-VALOE t . � ` ' � 1•, 000 . 00 � . GROUP OCC : ,R � � /" , i�.: + . '�� PENMIfTEE: BILL -L� MASON ' - '� :�. ,. , f 714 )�"751 ;0344 . ' .. � , : � : r . '. ; �; . - z � � : �, . . � ,� eooxess: 3276 DAKO'PA AV ' ' j . : ; , CUMMENTS: ; � '' ' :; • . . . . . { � : `' , r f , � � ; - � . _ • < ' C.M!' � . . ' CA�92626 -. . *�**��t*x*�+�**�c****x*�*�*��**;��x*4**�*��*�c*3c***x*x**�**+c**�'***��*��ic�*�c��*�rx�*t� �'.. ' LICENSEU CONTMCtOB �ECLAMTIONi � I here�y affirm ihat I am licensetl untler provisions of CAaO�er 9(commencing vnth Section � �� ,"' - ' . � ?' 'ZUNI.PlG RE'qOI;REMENTS , ��. r -, 7000) oi:Didsion 3pt lhe Business anGprofessions Cotle, anE myJicansa is in tull lorce anE ettec�.� •� " � , . '? �' ` ,. ' . � � i. � . 1' �� i. ;. . i �� ' • c. S. F. T B' £� C K S i ' 1 0 ' CITY LIC : . . . 8TRTE LIC.: ; i CLASS '� ! I . . . � � ( � i - G 1 ' ' , . � � ' ' � ' . i. .i p �' ��'� � `_ Date: ' ' � ' �Si9naNie •� r.. ' . . � . ' �'� � v'-"-- -'-` MAIN FIUILUIrIG ---'---- . � ; -}. - ----- ACCF.SSORY,BUILDIDIG- --- — . .' .' �.WOBNEBS'COMPENSATIONOECIANRTION: I�erebyathrmthatl�aveacerldicateofconseniloselt-insure�oracertdica�eolWorkers ' FRId1 .. r • F,T � ",.I�N. REAR�: . FT � IN ',F12N'P: .'ET��. � IN' REAR�: : ' �` FT ' s I.hdt,� � �% Comoenunonlnsu�Ance oraienified copythereat(Secnan3800'Lao CI : • ! , , � .L�EFT: p FT . �IDI� RGH7.': ' FT - 4 IN' ' �I FFT -. : � FT� I�N'RGFiT: F1 � � -I�11 : ' iF .' �LICY NO.: � ' ...� ` ; E%P. ORTE: : ' ; { . �. . . i , t . . � i . �_ ' ' . . i i.. . ,�. . . . ' , ' - . ,C r MPRNY: � , ,-,. - � �� . ' ' ; � PARKING REQ• • ' '� C PROV: . � PARCEL: -7"39067�07. 7NF.: R] -r'.�'R�F. NO . ; , . . . Certilie0copyisAere6yfumishe0.�❑ Cetlifed'coDYi5file0vnththeciryBwltlinODivision. '� - . PLANNING'NOTCS>..REPLI�CE' EXISTING WINDOWS'WITH �DIEW ONES AS SHOWN ON PLADI�: ��' �� . .. _ .._L. . . _ _ .. ,J �.... .. : .. ' �. . .�_} .�..�� ' ._: ' . .: . .t � .. 1'. ��_. : ' , . 7 ' .T}.' ' l, i. . .� - i:. t . . . ( _•.. . 1 l � 1 . . . . .. �.. � . .. . . f Oate: t__,,.. •1.. � ' NOPilcant f � Y ' ' . .1 • ' jt3E1EiE3t3E`3EiEiE7EiEaE9EiEiEif3EiPiE3E3EiFiEiEif3E3E�EiEiE3EiEjEiEiE3E3E3E1fiEiEif3(9E9f9EiEiE3liEiE3E#iE1E3EiEiE3EiEiEjtif�fhif3Ea(�Ifi('EiEifiE3f1E'dEiEifjE_ s � i EltEAlPfION FBOM wONKERs' coMPEN8nTI0N oECURAiIox: (inrs secuon neea not � mpktee il me permn is lor'one eunnrea �51UU� a less�. , �' D, E �� E. L .O 13��,M' E N T;. � S E' R C! I�i�C E� S-, � R� E Q 0'I� �.R E M�' E�� N sT,�'S' ' , �� I certity ihat in iha peAormance of ihe work to which tAis Oermrt is issu I s� t mploy any person in any manner so as to become ! 1 1 � ( i .� ��` , �,, �, � ' � �� t �., � �� " ' sublect ro tne orkers' mpenutian [aw oi Caiitomia. ; �; '� •, � N I NG: A OC�TiD , jB Y !� � � �' � DAT E i` 3�- Z� �. � . Z O P P R � . . -- — . � ` C_ `--_ . `f - ' Wte: " . "" ' SiqnaNrei� :. � . .. _ .. �,__... .� ,5.s. . _. .� ._ ..V . � . . ``� "t' - 4. . _ . . " - . . x . . . .. NOTICE:I,aftermakinAlhisEeclaration youshouldbecomesu�jecLt e'Workers'CompensanonprovisionsoimeLahor �DUILD.L.NG;AP.PROVfiD BY r._ } . � ' �' _ . _ R `� i ' �' i.: �DATE: ��.�. ��;� COAe, you must forthwith comply JnN such proNsions ar this permit shall �e Oeemetl revoked. ' : !' -. , � � �- � l�,. '. � � - 1 �' � f '� �� i � � ` .- �!• -; o APPL3CATION 3S�U�D,BY: ^ ' i ' �±_�� , � DATL': � '%, j . CONSTBUCTION LENDING IIGENCY: 'I��Aeahy aifirm ihat ihere is a construction �enOinA apency for t�e ertormance of the work for �` ' c. !' j '�. � �. � w�ic� this permit is issuetl (Sec�ion 3097, Civ.' C�.' � i� � . , i � .. � ' � " - �� T +' .. . ; � � � � � � ,� �1EkiE3F3EiEiE�%ifiEiE3EiEjF�EiEiEiEiElEiE3f . �i��F3EitiEltiEiFiE9f�EiElF3FiFiF3E'ifii,it�"3� iEi( , � LENDEP: ..A..` � � � ..� iEiF�EiEiEiEif3E�E3EiE.3E�E3E3EjEiFiE3EiFif�1F*�EiEiEfEiEifiEiEiEiEifaE�1E3E3fiEiE�E�lEififiEifiFjEifjEdE�EiEdf�Ei(3E3EiEiEif;ififiEiEiFiE-1E.�1E%iF3E.3Fif9(3EiE;-1f, �. . . ROUflE38:' . �,- . - ' ' _ ' . ' . ' t _ . . . , . . , • , � �`i � ,� + ��t.' liEGI.LIZATZON Y --h ��', -'�-: p �H- g - � g'U-�M-M'A•g. Y" '� :. STRUCTURAI SEGMET1Tc`t . a._, .. - i . v. �'�^ . t . � . c .: i . j � � , .. . 1 . `. , �.! . • � � .: � - : % ' . . , ' ' : t : � �. ! ' s ' . OWNEB�BUILOEBOECIAMTION: I'herebyaKrmihatlamexemptfmm,theConiracrors'S6ie�icen'seiaw�ormero��uwinqreuoq � � - �BLDG' `PMT PLUMBING � ,ELEGTR�IC �MECIIANIC � • � FIREi ' 4�SM�IP/,12I"S ' GRADIfIG � ' (Sectian 7031.5 Busine5s anAPrdfe'ssional Cotle: _Any city oi county w�ic� reQwres a�permitJo construct„alter, im0�ove,"Uemolish or i pERM I T �� ,- � S � : 0 0 ,' • ' � ' ' � ' � � ' • ' � i s . 5 0 � � '. i' - •„' ^ �` repair any stmcture, D�or to Hs issuance,+zlsa requires Ihe appfcant for such permit ta tile a'signetl statement that he/she i3licenseA - � � : ., � . � � - � ' `. . • , ! � ' � � (.y. . � � � � pursuant to I�e pmvisions bi the Cantractors' State Licenu Law (Chapter 9 (commencing with 5ection 70W) of Division 3 of the 8usiness � � � �� . ` ' . � �? ,: -+ ^ � ' � ' i ; , � � . }" � ' SM�I P / DION -R E � • � , +, i. `. anE Pmleuians Cotle),-or that hels�e�is ezempt t�ereimm and the basis br t�e allegetl axempnan � Any violation al Section 7031 5 �y i:p 1+F! �`� -' � ` 3 2 J � -�' �, � � • .'- � �- , , . � �',.. � �. :� ` ; any aDPlmant bF a permit sublecis Ihe aD�licant ta a civil D?nalry of nat mom Ihan five hunOreG Aollars (5500�� ' I S SUE � FE E r � - � �� . . � , � � ' �' ' , � �. �:- � ` � - ' � � �' ' � ' � � ' ' ' BUILDING-DI•V,.-> PERMI+T, � ,ISSUE`=, PLAN-CHECK�� + i, as owner ot the oroperry;ortmy, em toyees with wapes as•their sole�compenszimn, vnll ao;ihe wone.:antl ttie - , i .TOTAL � � FAID . �DUE '-7 , strucmre is not intenoeo or onered tor sa�e (s�ecnon 70a4, Busmess and Protessional COAe: -�T�e Cantracmrs �State L¢ense Law ; s, T Q,TAL S;-'= --> C ' . S 0:.; 5 0 ' 0: 0 0` ' 1 6�. 2 5� � ' 6 6. 7 5` ��6 6. 7 5 " �� •�� ." �, U 0 ` � � does not aDPly.to an owner a( a Omyerty w�o UuilAs oqimDmves Iherean, antl who Ooes sucA wark himulf/Aersetl octArouAh. '. .. " � • , . . .. ; � � - � � - '1 '- � ! '. � i 7 • ; y , - Y- ,�his ar har own'employees, �pmNAetl Ihat such impmvements a2 not inten0etl or offereE for Sale. Ii, however the huiltling ar : {,' -. - " l 1 ' � � a ? ' r � � , ' ' "! ' ` � ' � ' _" imDrovementiSmlawithinoneyear�afcampletion,theownermilhavetheburtlenoi.provinphe/sheEi0not6mltlorimprove ..REVF.NUF•,�DIV.ISI.ON TOTALS` �-?'� ""�'COLLECTED�: � ' �•-65.'7� 0�'ER!SHORT:•., -�!�:. . 00 � -� 'fort�epur0ose�oisale�.� �, . .. r , , �, w ?• ; • "' � r. . .. "'� � t,-. � '� I3LLG PMT PLUMBING" ELECTRIC�; MECHANIC � . FIRE �SMIP/TOT� �GRAUT.IdGt PIATIrCHEr_K -, b �" rl as owner oi the pmperty, am exclusively contractinp with licensetl cantractors to construq �Ne prol�� (,�ctian,704C �Busmess � �� ' � � '' � � . O O 'z �; , ` � ^ � . ' � ' �.' � �, ' ' . 1 G '< � ' � ` : and Pmfessions Code: The Cantractors' State License Law Oues not apDry ro an owner oi pmperry who �ml0s ar improves Ne2on J s + � � • ' - - '•� � -- ' � � . � � � . • "'. • - - �` �. � ' f , ; :. , :' ' �anAwAoconlraclsforsucAprolectswit��aconiracror�s)IicensepursuanitotheCan(racrors'StateLicenSeLaw�.,lamaware s#�i:xac{:�t{:.p;7:'1.#?E?F�i:l��%�A�I�i��f%#M�i��-Y#�!��#:ifi�iE14�:7E�1F3ElE�7FiEiE*if?F'iEfEi(�1E9E�fiEiEi4lFiEtE�t%iEiEitiE�7fMiE�t-3t�lE3E�fiF.i(�iE�E. �r� tnat proof ol tneic Worker's Compenuuan insurance shaNn be D�oviUetl to�me.' x . : !` ^.. ,'' � , I. N U 7. ` F;,1�� U. U-A T, C• �E� � 6 t- �B - R� �1? A� IC � I?' O W. Nf .. � . .,�' ''' f � I am exempt un0er Section: 1 B • & P C . � , ;� � � • 1� : ',-.� � � ' . . � . . , � ' ' � • .. ' ' �. .' ! i �' . . . ' �orinisreasan: '. �� "' �, , ` TYPF. QTY-, � L E S C R.I`. P• T 7 O N� ' �'; UNITj COST s TOTAL: ��OS1, � �y��7/� ;. ( . . � Wte:' J Z .-!.i J 1 � � l Owner� ' � : � . � , . i ., � , . �r . , ' . } , , :f . SFR 1000 - AI�TER.HY VALUE'"RE52DENTIALi N07.OD1� 7.:00 „ �1',Q00.00 A.. I Oa Aere6y certity that I am aware of and un0eistanC t�e reQuirements ot Califomia H al antl Safery CoEe Sections 25505; 25533 an0 �. • , � . . • , r . � ' �. "25534 anE I�at I oc.any future huilding occupan� wiNwill noi (circle one) nee0 to com ith sai0 state codes antl t�e requiremenis lor.a ,.-..., ..i .. ;�_ ,�, ,., ,'. ._ . j rF -•- END � OF� FEF.a � _ � ' � �; - � . _ permit for cbnstmction or motlificalion irom tha Air Uualiry ManaOement Distnct. Hesitlential cronstruction apDlications are exemD� imm , � + � � � j, " �' p � ' �, j (�' � � . � e ' � �' � ' ' ' Ihese Pmnsions. , . i ' ; t ' i � � • . . � - . . • � . . � . ' '� . . � � r . . � f , .. f . .� ' . 5ih i, , ,i� � . , ; s . . Oate�� ' . � , ACPlicanC , . . ' i ' • ' ' i � i t ' . . . ,. `. . � ' , i ' S ' t t ' � :} f I . . I here6y cetliy t�at I have reaA tAis applicatiyyy�� and state ihat ihe a�uve inloimation is cortecL I�aA�ee �a �omON with all ciry antl counry � � � � � �! � �� . .' , � , _. y '�� } ' or0inances an0 sta[e Wwz relating ro GuildingtOnstrudion an0 hereh auth ' presentatives of ihis ciry ro enter uDon Ihe abave-menno etl e - .�- - � ..- ; . ♦ , . Y � � ' , , ' ' .;' - � � ' _ �; . " ' , . proDeM for in50ection urposes. - � I ! � ! � � i � . , . ..` � 7 . t , � � . . •. � .:.'.-{ . r '..� � , n �� i . � . '� , y ' . . �• . � `.' , t i '�.. . � ' � , i ^ Date.'� - - Si9naNre: ' ' . . � . ' : ' . i . ; .�i } , . - - �: 01 OOOS67,72-OOOS6274, -� '� '. . � : . . . . -TOT ��66 � orivers�icenseorSocia�securityx: ' � ; i , ,' � . , .' ' . ' { � : � , ; � • 'DATE:',03/22l9D� TItiE�-iS:Q� - `� . �1801:48 W�te-Builtling Green-Coee Enlomement: Cdnary' APGbcani Pink- " ' --"' " " �: . . . ` •. ,'•. ' .�". • • - � • . • • — , . y � 'Ravenue,�GolEenrotl-Assesaor ' � . J,__. . . i " � ,. t ir:., .;:� . a � � . . .. • . . - b .. . ' � ' . . . � . . a . ... ' ' .. 1 . . � - . CONSTRUCTION�ND�PLANNING � Y.. +. . � ..� '. .P. &SPA� � ; s.i � , ; �� : -�� Date: ` Inspector �` � =- Date � � Inspector' ." ^.APPROVALS Permit# ' APPROVA'LS �Permit-#` , c-. . . _� '� r 1 - -��1'TemDorary�Electrical Service orzPole y:� j'� ,� �52. Pool & Equipment Location' .., tL� . , 4 1: . - - � 2. Soil Pipe-Undrgrnd._.�. . - � U �^ z ^ :� 53. Steel Reinforcement ' �;' ' . � ��+3.`Electrical Conduit•Utility-Undrgrnd. � -"�'.�y'': _ ,- 54.,�Forms. . ' " � " ` r�� . ` . _ . .T . .. . \. , F. . .. - . : _ , ','.i . _ - ; '' 4. Electrical Conduit�Undrgrnd. � ;;� _ 55.•Electrical Bonding �Y .,.. '� 1..• . . `- ;."5: Steel Reinforcement '• `' � � � ' - . - 56:�`Rougfi.Plumbing�& Pressure�Test ' ` � :s ' � � y�6: Electrical UFER Grnd''` � " `',.14�;,�� - _ �' 57. �APPROVAL-TO.COVER�GUNITE � < ' " '�.7. Footings � �� ' � . - ' _ -. 58. 'Electrical Conduit-Undrgrhil.,, � -' 't ` � ='8. Foundation - � x _ - � �, - • �59. Gas Pipe, � �Uridrgmd:, Test y-. � �;,)' r " 9.�Water Pipe-Undrgrnd.u:�v` - � �' -- ' 'f,f, 5�, .��, 60 'Backwash Lines,�P_-Trapj�O�Undrgmd. : � - . _>. � `� 3 10. Structural Floor System � �- �` ;d �� ; ,J-� �. - 61..APPROVAL,TO DECK'-'i � ,i^ - - ` '*'i' -' -e.. . : .. �f� . i' 11. PropertySewer� �ine & House Connection .',. i-„r: 62.•�Backwash & Receptor-F4neh -� - � � � 4 12. Sewer CaP � . _ -- • . � !': :, ; � - _ 63._�Heafer.& Vent-Final' .�� - �� ~"-.' . ` i Z �13. Roof Drains '. ' , � . ? I � ^ = � 64.>.P.lumbing SYstem'- Final. �� .u�i, ' - �� i, . �. .: ' . . .. . i 14:' Rough Plumbing � '�� .. 65 Electrical-Final � �--' �. 75. Rougli Electrical-Conduit � . , "� : : 66.'+Solar SYstemtFinal " � , � ' � 16. Rough.Electric.Wiring� , � `�,,; 67.;-Fencing & Access.ApProJal � - � " � 17. Rough Wiring Sign :• s � � � , � � ! �° � , " � �68. AP.P.ROVED�F.OR�' PLAST.ERING � + � > .18. Rough Electrical-T Ban Ceiling - �'-_ " 69.- POOL7SPA�SYSTEMS FINAL � ' ' '�79 �Rough�Heating &�Air Condiiioning �y � �� : j ,� `_„FIRE DEPTrREQUIREMENT"y � � w , 20.''Rough Factory Fireplace � : ' ' ' � " ;, 'qppROVALS,' _Per'mit # ` - � 21.-Dutjs, in Structu�e' . ' •' �'-' - "�'' ' �70. Undergiound,Hydro " � r ..y 22.� Ducts, Ventilating� ; � " - _ : : � � y71.� Product�Piping O Gas ❑ Oil - . ' 23. �GarPipe�Rough & Test �," = ` r; „'.a. �� -7y, �Underground Flush � � - � 24�Roof.Framing '; � ` � � .�� "J3.=Undergmd:Storage-Tank OGas��OOiI � . � � 25. RoofSheathing � �� _' �. ,'�� 7qi��pyerheadHydro,. _ , 26.`.T-Bar Ceilirig (Structural) &'Monocoat �, x �+k; T 75,_1Dry Chem.ical - _ " - � 27.. Frame and Flashing �- 76. Dry Standpipe �,, � � ' �.r�� : 28.; Lathing & Siding , � , ; ;,`,' -'' ��, �,y ` ' "'"� ' K ', 77:- FIXED.SYSTEM;FINAL,. _ , , - � 29. �Insulation � - �' �"i , ': � 78:�,FIRE PREV. FINAL � • � - � � ��30. Drywall'Nailing -, . .� � � "'y'�;. � � HEALTHDEPT-.REQUIREMENT � ' 31. Plaster Brown Coar +^'- • . - ��79. FINAL INSPECTION ' �- . � � ,-32`_Electrical Power Meter-Final �� ' ��_ ` 80`.'_�POOD CERTIFICATE ISSUED , . • �33.�Final Electric � � . - . � ( d� Notes: � � � . . " � . _ . ^•34 =Final Heatiny�& Air Conditioning- ,+� � . �-' �' � � � - ' �, ' � � _ � . � ' :ti' . A M135i Pinal Gas Pipe�Test, • - � � _ � - , � - �- � � _36._Hood or-CanoPY `"' _ ` , } _ -�' . . _ , ._ � � u i,- , . . �-37 `Final Factory FirePlace: �� v`� K ' � i; n � - � <. "_38. Final Plumbing � ^'' , ' = '�� , i [.�; °' -- � `' � - ' - G: m „'y' +.: � ` 39.-Water Service-Final� - ' t'� '�- - • _ �- � • " . . �� 40.�Gas Service-Final � " � � ' '"-• ' �.`� �• , ' � ,� . - -�-. - -. . - . . �,41' Solar pomestjcFinal • � � , '� � � � . - - ., , - - _ � '��i �- � 42. Backflow Preventer. `i ' .I ` � - . - `• �-- . . � A .-.- �-: . _ "' '- � � '.,=>'• 43. Backflow Irrigation ,.: - - - :. c:. . � � r . ' � • � - ' � ^�'� �. � �• 44. Landscape I�rigation System �� ' -� ` � '=' �-� - �' `' _ ._ ' -' . ` , �-;�:�� - . � _ ;-��- s :.' * T r:� . . x r, :�-. � a� rt - a� � . . - - `'45::Sound ,Attenuation , . ' �-� :. . . {-;: - _� -. - - � i �. . . . . (' ' .46rHandicap Regulations ' � '' _ �; � `' ' •��" , - � , . • , ��+ .. .47.`FINALSTRUCTURE&BUILDING- ; `\:��\..�V� � "' � _ .� � • ' . 48:-FINAL PLANNING • ' ' �' - �- ' . .. .. . ..� . . .. .. � c _� . .. � � 49';�Electric Release to;,Edison � _ " ' � � - � • . - � ' - , ' , " . 50 =Gad Release to Southern,Califomia Gas Co '. �� ' ' ' ' ° " '. � � t) : ,: � • 51. CERTIFICATE OF OCCUPANCY . ' • � ' -• '" No. ' Date - . , . ' . • - .. . . . �� .. . . ' . , , _ 9 �r�n�.� .�• .�.� � T.a �i�. � . �PflOWNERSNAME'. 327� DAKO'PA AV..�4 +�^ e, ,-`' � UUSITi . -Vi� � BIL'L •L�.MASQN-; - i • � �, ROUflESS: r ! ' � � <<� , eoAME`;. i . a , r lt; �,. � r i i . i t e _ � y ' ' � . � . , ' r � ' � : I � . � r,. .i �,-a��-r— .;ir. , � - �' . . . , � _ � Y . �"751=037'4' . '.►fl��NGINEEfl i t. I%: t . flE0 NU �:' � ,�t' � J��DDBESS. . � � . y 1 1,� " � � '�UNIT., . � ; � �• i `�.� <, : ,' � r i { r . � • "; PEflMITTEE. ,BILL I,' MASON ,. i ,( 714 ) 751 ��0'37.4 ^�'� noowess. 32Z6 DAKOTA AV � . �� l . � � �,• 'r c ' C:M.. � � ; �,' .'��, ''CA 92626 � . 110EN5FD fANTMCTON DECUMTION: � I hereby aflirm that I am ticenseU unUer Drovisions of CAapter 9(commencinq witA Section 7W0) ol Division 3`ai the.Business antliPmfessians CaEe, an0 my.licen5e is in lull larce an0 eifect.• � CITY 11C :� . ') 37RTE OC.: ' � � i� CIASS: 1`. F �, Oate: .' : ' -' : Sipnatme: , �� • • .. � ' • WOPNENS' COMPENSRTION DECUM710N: I herehy affirm that I have a cetlihcite ot consenl ro self insure ora cenifiwte aI Warkers Compensationlnsurance or a certifie0 coDY �hereai (Section 3800 La6. C). � � � , „ �"�CY.NO.: ° • ' � � E%P U�TE: , ' i � ' . �:;'-APRNY: � �.., : ' . . ; , :. .a� ' . ��*�Certilietl coDY�is Aeretiy fum�she0 ��❑ CertifieA copy, is fle0 wR� Ihe ciry BUIIEinq Dmsion. ' , . .._�. _• 1 _..:.,.._ � . ,._ Oate.`. • � . .. .._' ADPI¢ant `. .r ..! "' . e IXFMPfIOX FPOM W08KEB5' COMPENS�710X OECWLITIQN: �, QNs sec6an nee0 no � campl�eteA ii the Dermit is for one hunOreO ($100) or �less�. I ceniTy Nat in �Ae DeMormance o� Ihe work � which �Ns.permi� is i eue , sha no employ any person in any manner w as to becoma ',su6lect to Ih Workers' Cumpenulion Law of Califomia.',�' ; , i. Date:' _ ... , ..: SlOnature:. . . ' _ .T . ...,_ .. .� .; ' ' , NO710E:11, afler makinp this tleclaration, you'should hecome sub� t�� tAe,Workers' Campensanon prows�ons ot t�e La6or ��'Cotle, you must forthwitA camply wiID such pmvisions or ihis per ',s�all 6e Ueemetl reJoked ., „i ."� . i .�� • CONSTRUCTION LENDING RGENCY: I�he26y aPorm ihxt I�ere is a construction IenUing aAe��Y �ar [he OeNormance�ot �he work for which�this Dermie is,issued (Section 3097 Crv C) �.-"�b ' ' i ; � . f , � ti � , �, LENDEH:� � � � ' � >' . ' ROONESS. ♦._ . '. . . . '.� � • .. � ' •:f � � 3 � - , . . i i . + •'� .1 < . .0 .. ' o_ / � ' l .. a, ; . , ? � ,� � r� . ~ . �. i i; � . . . .y 'OWNEB BUILOEN OECUHIITION: ,I herehy atlirm that I am exempt fromdhe Contrxciors State License Law far ihe following reason ;(Section 7031.5 Business'SnU Professional Coae. `Any ciry of counry wliicA repuires a Oermit to canstruct: attar, im0�ove, demolish or �repair any stmcture, Drior,to Rs issuance, also requires the aDPlicane for such permit to�file z sipneA statement that he/she is�licensetl pursuan[ to t�e provisions ui ihe Coniractors� State License Law (C�apter 9(commencing vntl an0 Pmiessions Cotle) ar thai he/she is exempt Nerefmm antl the Oasis far the allegeA exe any applicani tor a'permit subjec[s Ihe applmant to a civil Denalry af noi more Ihan five �i . ! '" '� '�I as owner ot t�e Dmperry ar�my emVloyees�witti wages as•their sole�ci 7:� stmcWre is nat intentlee or otteaE for sale_(Section 7044, Business anC Pmiessional , Aoes nat aDDly to an ownen of a pmpeM who Uuiltls or impmves ihereon, antl who , his ar her own employees, proviEed thafsuch imD�avements aie not intenOeU or i x,,: , impmvement is sold wit�in one year of cdmpletion, Ihe.owner�,wilPhave the burden 4ar ihe DurWsa.of salel.' . � . ; ' � � . i. �^. � ' �. .M1t . . . . _ .. . : , �-' ' I as owner of Ihe pm rry , xm exclusively coniractin wiN IlcenseA cantractors to c .�' -' antl Pmlessions CoOe:�The Contractors State L¢ense Law dces not apDly ro an own� : anQwho contracts for such prolects with.a coniracror(s) license pursuant to the Ci ' tAat proof o/ tAeu Worker's Campenuiion insuance shoultl be DroviEed to me. ' .� -I am axempt unEer Sec�ion: ' � } � 8�8 P � # � . , � lor this reazon: �� i , 3,�� ! , :, , 3 , : ; � �Date � - � ' � Ownec � . I Eo hereby certiry that i am aware af and unEeistznU the reqwiements ol California He t a 25534'anC that I oGany fNure huil0ing accuDant wilUwiil not (drele ane) neetl ta compy vntA =permit for conslmciion or motlificaiion irom the Nr Ouality ManaOemenLDisirict. flesitlentia Date `_ 'Ihereby orEinanc 'o�ooem � oate`� Onver s I61/ifi 1VI510f15. }. , . . ' � ' � i c � � � ` . qpPlicanC ;" . . certity Ihat I have reaU t�is aD0licaiion antl slale Ihat [he above infoi �s anE SGte laws relatinq to CuilOinA co rucUon an0 �ereby ' e lor inspection urposes' • 3' ' � 3 2 � • ' iqnature ; � �icense or Social Secunry x: � F W�ite-Builtling; Green-Cotle Enforcement; Cznary-Applic Section 7000)bi DiJision 3 ui the Businew iption Hny violation of Secllon 7031 5 Gy' ieree aollars'(5500). � � , � .. npensation wilb0u�iha work..and Ihe oAe:. The Contactors:State Ucense law ]oes such work himsetflhersell or.t�mup� IereE for sale. It, however ihe building or d proving he/she OiA,nat �uilU onmprove , c � '. . atmcl Ihe Drolect (Section 7044, Business oi Droperty who 6uAtls or improves thereon rt2ctors' State License law).•I am aware , i . . ' . ' I/V+--= ; : i Safery Cotle Sectians 2550.5„25533, and aid state co0es antl the repuiremenls for a constmction apP�ications are exemD<<mm � , ,. is correct. 1 agree ro comply wiih all city anUjjj��ounry nW�ives ot �h¢ ciry Io enter upon Me aDove-m�iion¢0 c, � � . . . . ' .- v . '. r - -� ---� , 1 , .s ' „CITY OF' �COSTA' ME�A: - BO•iLDSNG PERMIT PERM D10: AB� 0466q0 ' ";i . .. • '• - � . . . � � .� , ' , � . � ' . a � , C � P •,n� • . .. .r s . . .PERMIT NO: BE�� 046640 ��:.. i?LAN,CIitiCR NQ; ,03277 '9�0 S ' COVT:�'Di SUP��: A1 "�: I .' j ". � I ' • , - '. J . 1 .�, t ' � � i t � , � i -;'i L�. 1 1 ' • _ . E t i . �CONSTRUCTTON TYP,E';; , = ' ' PERMIT`�TYPE�: F.LE STR ' � , , ".FURPOSC �iDD;� !_{ � . • ' ' � '. . + ' �. . � y • . . . ' ... . c i � ( - : ' JOB- DESCRIPT7UDl �:• AUL� 130SF PATIOj COVE22+�(TREI,LIS) 6 EI.F.CT ��.S,Q I-T: ��-•1�30� '., f.; � . . . � .. ,i . : � , r ' - i�, � .ACL`AIM VALUE .. � � 1,,500.00• CAI;C-VALUE': ' �i 794.00� �GROUP �OCCi; :R-3 ,/ j � �" � y- : .� r � : '. � _ ...�� .�:�. . ,. . t,,, . i� .�_!. .. �:i •�� ;�+�, ' COMMEN'TS E `� ; .. : , � � ' � : . : . .. . " , , _ , a � ; . : ;`; ; , • . ' ?. *�***�,*it�it�tit�t*it*�+e****it�ie+�x�iticitx*x��ieit�t�***��*x�**�*ie*atx�it�*��c**x'it',it�t�r�*�**x�`��*�*� t ' l . � '' ,Z••O N 7' N G�. R:E. Q U I;R E M.E Dl .1' S ��,,.., , . LLS� E iT I? A C. K S' . � ' , . ' � ^ � _ !�7 ': • • , � � _ � . � ., . . ` ' . . � MAIN, BUILDIDIG -�----'-- � � -�-'—=--- ACCESSORY BUILDING�' = � ` ' �FRNT, y, , F,T , ,IN REAR: " !�FT" IN , '.F'RD1T: -,,FT � IN RF.AR: FT IDl' �? ' ,L�EFT: � F,T IDI RGHT': FT IN � LEFT: FT , IN RGHT: �: FT ` ��SId�� ' , ;' , i , ... . : � � ' ! j. '1 . ' S . � . i �p � PARKIN'G REQ� ` FROV: ' ' PARCE.L': ..13906702 ZNF.: R1 REF NOr • , '' .' PLANNING NUTES> AI>D NEW; TRELLIS; BOX W3NDOW, IN FTtONT;� SKY LIGATS• � EXIT I,SGl1T.,� ' {. - `• "--- ` ' -•-� >-tT,IGIiTING• =GI.ASS'� ALOCK ADIn MISCALLANEOUS; F.I.ECTRICAL. .� ' �lE9E�lEiFiEiE3E3EififiE3hiFiEihiEifififif:ifkiF�EitihiEiEiE�%if1E�1E�If1E�EiElE3E�1f-iFififiFlfiFiEififN3EiE3(-iEiflflPiEif�it�ifiE,iE1E1E�IfikifK-itiE�)fiF�#iEif�M� "': :�� n E'�V F.L O"Py M E N T, S E R V I�.C.E S: � R' F. Q U I. R'E M E Dl �T� S+, � . . � ZONIDIC APPROVED �$Y ��:�' � ' -�'� � ' -- •=DATE• �J' -- - .j ` .1, L ; e ' BUILDING'�AF,PRUVED BY- • `� �._ --. ,�Y��. ..� r ,DATEd � i' ""'r . APFliICRTIOi�I ISSUED 6Y;:. t: ' . : ' `' � 'AA•TE� ��-'Z�. — i� � ..��*3eic�r�***r��c��riE;�*iFieir*x��-�'i�i�Tt'k��'R'iF��F��--?��?��F��F'�'3�*'*it*****-�rx�XfF�F�li'�7'��'a('-x�'� � . ; . . �If�lEif1E9E3E#iEiEjF3E3f3ErE3E�iFsf3EiEsF36ak'iEiEifiElEifiE*K�1k�P1EiEiE1E1Qik�i(�1FiF�1EiFiEiEiEitkiEiElfK�fEififi(1EiE�(�iE�iflE�]f-iE1EiF�1fiE�)E�IEiE%ifi(iSifiE�if. �' . : . � . . LEGAliIZATIU�I:N� -' , � ,"` -"' F �E, E - S: U"�M' M"�"A R �Y"!".'"�" �'�'- STRU,CTURAT.`SECMENTrY' . - � ' i � ' ' - ' . . .. . � . � . { . ' � ' � . + -� '�' BLUG'PM1'~ PLUMHIDIG ELECTRIC ,�MECiII�N7G . FSRC; +SM7:_P/RCS=. � GRAIJIAI�G, PERMI,T ., i' ; . 41' `00 _ � ^ ` �'� ' 7. 50 . • � ' a • . SO' : , .� . - `; - ...-<sor . ,sMieiNori:�Es; , � :PL�r� �•�, z.'6 65 � . ; -�..T, . . � � ' � �� . t `� ISSUE�F�E -1.5:'00 ; • ' , 1 j .t '.. y BUII;DZNG-DIV" %•1 � PF.RMIT • ISSOF -PI;AN?CIiF.CK� . 'tOTA1� . � .l�AID ' 'DUE. �TOTAI,S'-=y-?, ,.(''49,.00 ,`15.0.0-�.;`;.� �;26.65;' � .9�.65' � � 9,0.6.5 ' . ; � pp �` . � f . '�1 � � Y. • X ) . ' . . � • 'REVEDIUE'UIVI_SIGN TOTALS--'> " � : �COLLECI°F.Dc 90.65 OVER/SIiOft'C:. t � ' .UO '' , - BLbG :f?P4T PLUMBING F.UECTRIC° MECfIANIC FiRF.. SMIP,/,TOT GF.?�IiI�IG, PliAN!-CFIE'CR � '� °.�1�.00 , .,22tS0- .tip ' ', ' .50._ i' ' , a �'6.65 r,.. :� . . ' '0, ' } � ' i � I . .. riEiEif�F�lFifiFiFifikiEifiEiElE'fiEiFif�iEjElt3EjE'if�lf�if�E-)EiE-1f3kkiElEifffiE3E%1E3ffE�lEfE�ElElE�EIEiEifdE3Eif3E3f�ifiE3EiEiE#iEdE�4jf�1E?FN�-%�iFjflPif?(�f�if �� . 'I A1 . D, 1 � �? I='D U :P. L�: F .E . E � !3 R E P . iC 'D O W N. ' ; 4 ' ` . � , . .. � . . }. . + .I .' � �, �TYIi'L � QTI ♦' D I> S � I2 'I= P T I��O tl ; ": � ; UNIT rOST' �� TOTAL COST`, , - . , .w > � � 4PR j 13U � RHS`PnTIU'COVER-POS1 ��TRELLZS • i 17.80 {- �1,799.0,0 ` ELE , ;.�7 . _ FIXTURF.S. I�:IGI�TII�IG�,''. ] �,51' ^� �A... , .t , .75 . F S "'S . ELE.i �1 RECEPT/�U'fLE'I. � c�, 1: ST' 20 EP.. . �. 15 '., ,. : 15 t�' , - RerenTis��t��c�i , i <.. 1.sT ��o r:p,. � .-.�s t . ,-_ F ; ,•� i..so . ELE� � - . • ;. y r � GiJD OF :FEES • . 1 , �' , I . ' i ' ; �, , ! _ , : � � � i r . � i . y 7 .. � . � i . . - . a�., 1. : i � . • t' , ' + n . ; . . _...�._''. "' . _ ' , : . P .. r . -.;.. �� . . -'f . .p, :•� , ' 't> ' � '. � � � � + F'U �� . � , ' O1 000567b8 Q0��6771. T�7�T f {�90' 65 _ . , . ; . : � {; 'J , ; � ' - ` ;' DATEe �3/22/9Q iTItIE i`,.07 -r � . ' r � � i � A � . . � ., . '... . ..... ' . _ ' � , ' � . . �_... . d ; '_ i "' . .__. . _ _ . - . «.. . . � ... <'� .. . L 7 i� ,' ' ",. , .- ..r . . . .. . . . .�. . ., , . . . �.,.._.,_... »..�_._.._ ...._� :....__. _ _.. �'__ _ ._ . . � . '• � CONSTRUCTION AND PL"ANNING� 4 ' - r � � - : .. . . C -�,: P�. , & SPA - . -3 , .y y. -�' � � , '. a APPROVP�IS . ��ermit # . • Date �. � Inspector F Date � Anspector � � : . - � APPROVALS .� Permrt.# _ E�., {�.� ' .1.',Tem orai - Electrical Seivice orPole , '� � �' ' � � �. �= . � P . Y. _ � _.( j ;52.?`Pool'& Equipment Location U;� : . L� y Ji. -2.��SoilRipe�Undrgrnd.�i>_ � - � �"�' ��, rj�' •53.'Steel%Reinforcement i� - If ._ ` � ,��.�� . : +3:YElectrical Conduit �Utility-Undigrnd: �>�_�' I 1 ��' 54. �Forms �. ' • � � f`;,' � " � % ( . ' ` 4.� Electrical ConduiYUndrgrnd. ., - . ' �`' � 55. Elecfrical Bonding - � , �� t' S: Steel Reinforcement � ' - ' __ � 56. Rough.Plumbing & Pre'ssu're�Test � , _ ' ��` 6. Electrical UFER Grnd.' - - �� - � 57. APPROVAL,TO�-COVER�GUNITE � - - �"'.. v. - ,- . . �7. Footin9s " . � � S 5 � �58. .Elecfrical Conduit'Undrgrnd. ' . ' �' 8. Foundation - � - ' � ' � � , ` � ; , , 59. `Ga's�P.ipe, O Undrgrnd',�Test �, �.--..,, r. , �-; s � 9. Water Pipe-Undrgmd.'' ' �-�`�=i�y.1 _. 60.'Backwash Cines;±P;Trap, O'Undrgmd... . ,� �.^:'"�;� � � 10. Structural Floor System ' , ;� .' �� '' � 67. 'AP,PROVAL TO'DECK''' -' � ' �� t�i a . 11.PropertySewerLine�&HouseConnection ��'�u'.: 62:-Backwash&ReceptorFinal `�� ' ' � ;; 12. Sewer Cap' � ..` . , � j �, � . , �. . : �� J, -. f ; _ � , 63. Heate�'& Verit-Final '(--� _ �13. Roof Diains �� ' � `� �y �� 64.- Plumbing System = Finaf ;• � � ��j '� � � � 14. Fough Plumbing . ' • � _ � _� 65.�'Electrical-Final � � _ . � � , � 15. Rough Electrical-Conduit .M ; � - � ` ' - ;; ;" - � r ., . � ' 66.= Solar System-Final , . � � "�76. Rou h Electric�.Wirin � � � '.y^:. , . - � :?' � ' 9 9' � �.° . 6J. +Feiicing & Access ApProval �' � } 17. Rough Wiring Sign. - - . " � ' � � 68.�APPfiOVED'FOR PLASTERING -•' � � 1 ':18. Rough Electrical�T Bar Ceiling" ��° . 69. �POOC/SPA�SYSTEMS FINAL "19,_RougFi Heating & Air Conditioning �-�'- �-� • -� �� ' _ i_ FIRE DEPTf. REQUIREMENT , . � � � 20.,Rough,FactoryFireplace� _ . - �'� - ' AppROVALS;-��Permit# � - �- . , 21.'Ducts, i� Str`uctuie^ � ' . _�� } : - "'_ + �:70. Underground Hydro : . 22_.Ducts, Ventilating ,� y�:- L; .-- 71. Producf�Piping OGas OOiI ' . 23.�Gas-Pipe-Rough & Test � � �c;': " r� �72. Underground Flush�" ' ' " �� . 24:=Roof Fr`aming ;,; , -' ,-, � . " ^, ; ;' -.73.-,Undergmd. Storage Tank O Gas' O Oil 25. Roof Sheathing -� . � C� _ ' 74; �.Overhead Hydro • � � 26.-T-Bar Ceiling (Structural) &-Monocoat�,;,, . i-:h { 75_,Dry Chemical .. - - � y � � 27.:-�Prame and Flashing, ;�'.'�;' $ � pd > � * 76. Dry Standpipe � � � ~ - ` . >, ^ �28! Lathing & Siding � ' �` "�`� � , ." � '� �- ` . 77`�. FIXED SYSTEM FINAL � � � � 29.�Insulation � � _ • � *� 7g"FIRE PREV. FINAL . � � - � - ��30. Drywall.Nailing � _ � . . ' ' HEALTH.OEPT: REQUIREMENT i 31. Plaster Brown Coat<. _ � �< -79�tlFINAL INSP-ECTION - -. � ,:.- ��32: Eiectrical Power Meter-Final� � "' '' "� 1� �SO�FOOD CERTIFICATE ISSUED : � .. _ � � .. .w . � � , _ - _'33. Fina6Eleciric ' '"�:�i�+� - �Notes: Q �,;,�34._Final Heating`�& Air'�Conditioning .}„� �, � r �` =� '� ' � _ , � , .' � ..r . � F�. .t >..��:. � 35: Final Gas Pipe-Test� ' - ��. . • ,.� •' � ,.... . . .... .. - . . . .. �-36._Hood or,CanoPY '�.� _ ` � �^i � '� � ,- , � _ �- ' r _ G'. . . . . -_. � . _. . . �..'. ��. � ... . . _ , ;37.`•.Final Factorv, FirePlace-. '� r:.;-. -.i ix- ��, �_f<J+ � -. ,�t ' . . ,_. . . "38: Final Plumbing �.'� . � �.` . " �; " - , .' . � - i. i� � Y�. w V• •.,39; Waier Service�FinaC �- � -•y �. - � ' �: t , � . - . , v � : . :�!40: GarService-Final � i� �7:" ' '�t-' .. ' . � . ' � • . r - _ . �41. Solar D'omesticFinal- -7.� - � v � - - "� - . ' � 42. Backflow Preventer '' �'="' �� - � " ^ ' - � i . %'Gi-.:.ii . ,. � _ . �.J,:, �. � 43. Backflow Irrigation �'-"� �'; ; � �„ �, - .,-.•. . • . ' : ~ '.�T �T44, Landscape triigation System%;�%�� '�w� - -� - ' � _ ". _ � . � �, � � `.' . n:�: ,-� ` �. . `45:'Sound'Attenuation "�?.r. ~• - a r.' y' . ` "� 1f . . `_L � '�46.� Handicap Regulations �� (� „� ' � - � �• �� • � . . . .�. n ��.� .:l i:i•1 �� . 47-FINAL STRUCTURE & BUILDING '� 1 l � � • ' �. , . �'i-� . i-' �\ � . \ �l� s: 'v F . 48.'FINAL PLANNING , . ' :� c�- ' 9' : t�;a•, t � ,r .- s-� �.. � �_ C�; . ti• '� r. � � �'e;� 749�.Electric.Release to',Edison � . _ � �� ° ' �; " ' . . - � - � ' • � ""`' • A * �� - 50^Gas Release to Southem Califomia Gas Co '" �` ' � s - : ' ` - ` � " , �'51. CERT�FICATE OF OCCUPANCY i . � • � : � . � . . . . . . � r'i No. Date : . . . � ^ - . .. � • . , � : � . . . . . �.... � . ' � '. . - . . _ . - . . -,;, . - . _ - . PPOJECT p0UflE55: � Z 7 6 iJAKOT�A AV , � .� � uNiT: �• � OWNEPSNAME:MASON„WIliL�iAM �' ' � � � ' dooeess: MASON , ANTI M F�' ' ' ' • � �3276 (�AKOTA AVE ' i'. COSTA MESF;,CA ' . .92626 • � -' - 7513074 • RflCHIENGINEEFl:, i � , - � � PEG.NO.: ' � � P��BESS: � ' ,. � _ _ � �.. . , - + - UNIT: . � - � PEFMITTEE: BILL L MASON � �� ! -� � � i 71`4 ) 75.1 � 0374 nooeess:. 3276: L'AKOTA AV • � C M � ' ' 'CA 92626 � ' LICENSED CONTFACTOP bECL�iBATION: I �ereby allirm �hat I am licensetl untler provisions of Chap�er 9(commencing�wilh Section � 7000) of �iv��son 3 of IM1e Busmess ana Pmlessians Cotle. and my license is inlull larce antl eflecL ' CITY UC.:� � S STATE LIC.: � ' CfA$S: . � � � • , ,. , , � Date: ' ' �Signamre: � WOflNENS'•COMPENSATION OECIANRTION: 1 hereby aifirm Ihal I have a cetlilica�e ot consen� to selbinsure or a certilicate of Workers' � ,.ompensa�ion Insurance. or a cetlifietllcopy Ihereai (Seciion 3800, Lab. C). � , , POLICY NO.: � � El(P. OATE: , i � COMPFNY: � � ' . �' '' ❑ Cetlifie0 copy is here�y lumished. ❑ Ceriilietl copy is �iletl wi�h Ihe ciry Builtling �ivision. � . _ _. . . . " . . ' , " l Oate. - ApD�ican�: � ENEMPTION FHOM WOflREflS' COMPENSATION OECUflATION: .! . ion ea no e COmpl¢�ed il �he permi� i5 for one �unaretl ($100) Or 1¢55). I cerlily ��ai m Ihe pedormance o� the work for whic� Ihis pe it is -.,i ,. I shall oi employ any person in any manner so as �o become su�lect lo Ihe W yike�rs' C oens.y� n Laws o� Califomia. � , ��/ � i � Dale:-{.-`�� i5igna�ure: � NO ICT E: E. a��er mA�ng Ihis declzra�ion. you shoul0 become s c� m Ihe Workers' Compensa�ion provisions of the Labar � Code, you must lorlhwith campry wit� such provisions or �his it shall be Aeemea revokeA. LONSTXUCTION LENDING AGENCY: I hereGy a��irm tha� Ihere is a conslmc�ion lending agency foc Ihe petformance o� ��e work lor ; which ihis permi� is issue0 (Sec�ion 3097. Civ. CJ. ' . . ' , f �LENOEB: i � � ' j � ...p00flE5S: . . ._.., ♦ -' "i"" _ . . .. ... , r- . � �,. ; � o • , # � OWNEB BUILOEfl UECLANATION:, I �ere�y a��irm Ihai I am exempt Imm �he Contrac�ors' Slate License Law for ��e �ollowing reasan � �' (Section 703t.5 Business and Prolessional CoOe:.; Any city ol caunty which reQuires a permit to constmct, alter, imprnve. tlemolish, or � repaii any s�mclure. prior to its issuance, a156 repuires the apPlicant �or 3uch permi� �o file a signetl statemeni �ha� he/she is licensed � pursuanl to the pmvisions oi �he Conlractors State License Law �Chapte79 (commen[ing wi�h Seclion 7000) ol �ivisiun 3�of Ihe Business an0 Pmlessions Gode) or I�al helshe is exemp� �here�mm ana ihe bavs locihe allegetl exemption. Any violation of Section 7031.5 by � any applicant �or a permrt subjec�s Ihe applicant Io a civil penalry ol not�more �han �ive huna�e0'Uollars (5500) ' . � . � a "I. as awnerol the pmpeny or my emDloyees with waAes'as their sole compensatian, will Oo the work,-an0 ihe, .� stmcmre is noi intentletl or ofieretl tor sale (Section 7044. Business antl Prolessional Code: The Coniractors' State'License Law�. tloes nal apply m an owner oi a propeny who builtls ar impmves Ihereon, and who does suc� work himsel�/hersel� or IhmuAh • �isor her awn empl0yees. pmvided Iha�.Suth improvemen�s are no� in�enUetl ai b�leretl Ior Sale. If, however �he building or � improvement�is sald wi�hin one year oi compleiion,.ihe ownecwill have Ihe buraen ol pmving he/she tlid no� build or impmve ; lor ihe.Ourpose of sale). � - ' � • - � ' ' ; ' �1, as owne�r o� ihe pmDeriy. am exclusively coniraciing with Iicense0 con�ractors �o conslmci �he D�olec� (Sec�ion 704d, Business � ' an0 Professians Code'. The Conlraclors' State License Law does nol apply,to an owner of pmpeity who �ml0s or imD�oves thereon and who comracls lor such pmlects wnh a contracmqs) license pursuan� �o �he Comractors' State License Law). I,am aware ihal p7oof of I�eir Worker's Compensation insurance snoul0 be pmvi0etl to me. , , �, � 'I am exempl under Section: �: B. 8 P. G ' , lor this reason: � i .�; • ` � �j %� � � Dale: _�OI(�SG�l.L— �O�vnec � � + I tla here0y cenily Ihat I am aware ol an0 untler5lanA,lhe requiremenls o� Cab�ornia He h tl$alery Cotle Section5 25505, 25533, antl � 25534 ane Ihai I or any WWre builtling occupan� willlwill not (circle one) need lo compl w 5ai0 Sla�e codes antl �he requirements tor a? permi� lor constmction or motlJication imm �he Air Oualily Managemen� DisVict Fesi tial consimction aDPlica�ions are exemp� imm ��ese pmvisions. � , , � ' i ' • ' ' . . i ' � Oale: � ,AOPlicanl: I here�y cetldy ��ai I have reatl Ihis application ana s�a�e �hai I�e above ortlinances and staie ISws relaling �o butltling conslmclion and hereb 1 property lor insp� .uon puq/pses/. \ � ' ` Daie _j��LJ�!_.�'`J— Signaiu}e: _ _ r / Driver's Gconse or Soclal Securily � 164i-46 White-Bmltling'. Green-Cotle EnbrcemenP, Canary-NI correct. I agree�lo complY wi�h all ciry antl counry tlives oi Ihis Ciry Io en�er upOn ihe a�ove-men[i0ned Pink-Revenue; Golaenrod-Assassor -. CZTY OF. COST'A MESA — BUII,UING PERMIT= �PERM NQ': . 3 D99571 ' ;�. . .,. -i: , _ �. . ., �_ . ��i:,, -� FEkMIT NO: .B : 049571 , _� P,LAN, CHECiC�NO: ! J N: � r� �,•GOVT: N iSUP.P: ht' �QONSTkUCTION TYPE: , ' ' � '` .PERMIT- T`a'PE': STR � ; , - � j , , . PURPQSE: .OTH � � �SOH UESCRZPTION � NEW COLOR �COAT J � ' � , � � - ' SQ F'P: � _ 1, 900 ; ,. . . . i.' .'r , ... � �. `, !•,_, . . , . � . •�� CLAIM VALUfi:' ' . '_ � CALC—VAI;UE:' - 1,90,0.00 G�OUP OC,C: R—'3 , 7 �.; GOMMENTS�:_. REF HE4'6'640 , , .. , � • .- "' '. . • ' � ' , *x-�t*�tx�***�rt�t�-*****.*.**�*'***�ir*******�*******�x��***�t*it'�rat**�**�t�t*.�t�***-��t** ir*�*�t*�**-x��x . 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 � 1 � � . � , i . . ' . . ' ' ' ' 1 ' . . . ' — MAIN BUILL�ING ---------- —=----.-- ACCESSORX BUILDING ------�--� ,FRNT: FT i ZN REAR: � FT . IN � FRNT; . ; FT IN REAR:` . FT 3N` I,EF'P: � FT IN RGHT: ' FT IN LEFT: , FT IN RGHT;' FT TN I � •`. 1 PARKING REQ: �� PROV: . PARCEL:.13906702 ZNE: �REF NO: �� _ PLANNING NOTES�.� � ' i i ; . .� _.. ' ' ' I ' ' •. � i•• 4` � ' �..� iu ie'x' if ***+t it �t *+t af �f'x"� �' af �t if if� if * ic'x' if'�t'K' * af i% * af *'x' if'x� if'x"x' �"� if *'�t'� x' �t'�+� af'�'�'� *�t *�c ii �x"x' if if +t'�'�t x� x'�t �*� ie �te'� ie'x � , � D' E'V E L O P'MtE N T � S E R V It C,E S. R E Q U I R, E M E N.�T�_S; � •` ZONZNG APPROVED BY� � � ! � ' ., ;DATE: � ' � .d..: .' • _ .. BUILDING APPROVED BY E} ' ' - , '. -r •..�. _ _ - DATE: - - , �� ' ,.. � I � APPLICATION ISSUED BY;� +� DATE: , D'Z �Q�,. if3F*ik�fififiE3Eif3fiEifiE,iFiEiFiEiFifiEiE �c e e 1E1EifififififiEiEiE � iEiE . #'3EififiE3fifiE.�F1fi(�iFdfiEdEiElEif�fE3Faf3Flf�fifiFiE_iFiEiEifif3fifiE9Fi 3fif1 ifikiFiFiEiEiiiEiEiflE3Fit1flFiEiF�iEiF�liif�if�'%�lk��-kiFieiEiEiiiiiF � - - r._ -�.' _-' LEGALIZATION:N � t- ' Fj E E_ S U �M A R Y � STRUCTURAI, SEGMENT:Y . . . � i � � . . <, , , , � � • , < < � �. �. . BLDGIPMT •PLUMBING, ELECTRI ;MECHANIC � , FSRE SMIP/R8S ' GRADING '- PERMIT . _ ! 33:00 f ., , ; �'. ' ( . � • i . 50 . ' � ! , , . . i , ! SMIP�/NON—AES PLAN - � ' . . . � � r � , :zssuE C•EE�? �~ ' ' � . ',� . ' � . : . � � , i E ' i SUILDINGrDIV=�> �PERMIT ISSU£=';PLAN—CHECK i TOTAL• 'PAID . ;DUE TOTALS---->', 33tS0 �0.00 , 0.00 � 33.50 . 33.50+ .� �.00' � .. � . ' . 7 ' . � . - . �. . _ .REVENUE-DIVISION TOTALS..--> � COLLECTED: � '�33!50 OVER/SHORT: � .00 ! �' BLDG PMT PLUMBING ELEC,TRIC-MECIiANIC FIRE SMIP'LTOT iGRADING PLAN—CHECR ' 33.00 ' ' ; , �' � : .SO , ; ' : � � � ,. . � , � � � � ' -� � ' ' � i ;`��***�******i�+�*�t**�*****�*****�t��rat��ie*****�*�it�ieit****�*�**�c�***-��r�x**+��*��*� *� , I N D i V�I D U.A L F E E ,B•R E A K D O W N '' ,� �; ,� . � i � . � � : .� TYPE ; QTY._ U E 5 C R�I:P T I O N ' '; UNIT COST 'COTAL COST i SFR� 1400•i ALTER BY VALUE� RESIDENTIAL� NOZONE '� 1.00 ' 1,400.00 _-- - — . _ i '� _ END OF.FEES � 3 � t � , � . • + ' � ' � ' ' ' ' ' � � � " ' " ' ' ,. c.' . � . . . _. . i . ..,_ " � 4l? C�OD7254?—�JQ472S9a DF,TE:,17/22I40 iItSE: � ( ^{ , i i '7"+JT � s3.:a4� iF.�� € . . � , � ""' ' _' �"'_.� i � ' ! - CONSTRUCTION AND�PLANNING : �� _ = y . , �JL & SPA.� . � �� ' Date -Inspector - � ' �: Date Inspector� :APPROVALS � Permit # - . AP.PROVALS Permit # _ _ . - •;.1 � �i.�Temporary_�lectrical Serviceor Pole '� ��- - . � 52. Pool & Equipment Location: � - _ ''1 ,` . , f.. + 2...Soil Pipe-�ndrgrnd. �. '' � v.l � 53. Steel Reinforcemen{ r1j ��? 3iiElectricalConduit�Utility-Undrgrnd. i�� 54.�Forms ' � � � �� : �'f-L;� .., . .� . _ . , �4`.'Elecfiical Conduit=Undrgrnd. ; �- �` � - 55. Electrical Bonding ��-� �) �.. 5:; Steel+Reinforcement � • " ' 56. -Rough Plumbing & Pressure Test `"� �.6?�Ele,ctricalUFER'.Gynd: � � ' ' S7. APFROVALTOCOVER-GUNITE _ ' - - �'7„wFootings "' �, - 58. Electrical Conduit-Undrgrnd. "8.� Foundation � �" / 59. Gas Pipe, O Undrgrnd., Test : � � /-' , ( n ��. 9. Water Pipe-Undrgrnd. `�� s 60. �Backwash Lines. P-Trap, O Undrgmd. .r. = S�'"'� - : 10. Structural Floor System '. l Y° �`' � 61. �APPROVAL TO DECK _ _-- ��p 11. Prope�ty Sewer Line & House ConneMion � 62. �Backwash & Receptor-Final �� 2� J'7 � 12.Sewei.Cap ;, . " � 63.�Heater&Vent-F.inal ' � :--'�- � 13. Roof Drains _°,-� '�� -' 64. Plumbing SYstem - Final j' �' �. � 14. Rough Plumbing. �' : . 65. _Electrical-Final , : ' � , 15. Rough Electrical�Conduit = �� - 66.;Solar System-Final ' ' I •<76. Rough Electric Wiring ; � -� 67. Fencing & Access ApProval �' j � 17. Rough Wiring Sign � 68.-APPROVED FOR�PLASTERING 18. Rough Electrical„T Bar Ceiling � . � 69.�POOL/SPfi SY.STEMS�FINAL '79. �Rough Fleating & Air Conditioning � - � ' - FIRE DEPT.�REQUIREMENT � � ' � . rt .'1 � 1:-� Li T h" Fy t' 1 20. fiough F,acto y Fireplace _- r`�",`� �` ^=� n'��` �{� �AppRO,VALS•{��FPermit # i�' T �- � �t �2 - - r; 1, i . 27. iDucts�, in'Structure� �-• r�; • �7 L'� �+.<� s� ' j0. Undergrouritl Hyd7o ' � �� 22.,Duc{s� Ventilating.:� � � � .j r� �y ;5 �i; ��71. Product�Piping�"Gas ❑Oil �~ �' �, y d. y .� . p �.. . � . .. .. , : �. 23. Gas Pipe;Rough & Test � .-,_; .�, M!� w; ��:C f:72. Underground�Flush::�•�• -� E�+ - 24. `-Roof-Framin�.-: c _�=' :g:., v , : `� r. .. � 'p a y . . . .._ r . . _� 9 -;,�; C: ,�: . 73.,`.Undergrnd�.'StorageTarik OGas ❑Oif ,�.s. t ' *l•� � L� '.JF.L.� ✓ t4�..' . 25. Roof.Sheathing x y �� ,- �i ��-+',; jq,i0verhead Hydro�� ' 26. -T-BadCeiling IStructural) & Monocoat �� '-' �- h�� 75.��,Dr,'y Chemical � ^1 �� ' ' � �L :z t> rn .>� *�:::r. t,-, •i 27. �Frame and Flashing" - :�'. ,• � '-'_: :r �` " �T"' ":-.� -.� .' °� '" - y+U:�. :. 76. Dry Standpipe F�.�i �i. ;�� 28. Lathing&Siding ��'-� ' �=�" x � '''�� 77;GFIXEDSYSTEM�FINAL'4, �,. ! y -1 �' L. •I Li' H J -! Y-i t l '29. Insulation �� S' .i .. .. `' o � � Ijzs �.e � � � �' , .. j � „�f:: :: 78.;FIRE PREV. FINAL t30.DrywallNailing j� � � '`��'�� -! HEALTH�DEPT4REQUIREMENT ��. � rr .� r. � ._.. � �• �31. Plaster Brown-Coat a• _a ' �, � � j� i. �;.79. FINAL IN,SPECTION i; �� , .32.�ElectricaliPower Meter.'Final y! �'! ; �� 4{ ; �� SO.�FOOD CERTIFIC'ATE ISSUED � : _ \ .,, 1' { � `� ... .�. a � 7^ .I'Vl f ��r i:�v� f'r. �. -��r ;:� in �.Ke .33.,F.inal,Electri�� .� ,, I �; ,}r� �; `Notes .� y„ {ij � _ „� � . �34.rFinal.Heating�& Air��Conditioning_� c' �r � � }�„ ��f, `r.i1 �._: ii�,7 � .: �_�'' � � . � ( �i;�,, n� ,-a ��' „n i� - 35.�Final'Gas Pipe Test'"' V- x � � i ��+t�' � � '1�', ' '" -`-' ; . x �v ' � x �+ � `r9F� � :,,r -, :-� ; • ,� �36. Hood�or CanoPY _ � ' - .. �c n ! i �'�� : ;';.• ` > " rv ' h.. V :.i :.�c, i ,�� tn� � `,37. Final'Factory Fireplace`:� �' s �� i�,�ir''' �� " "' �38. Final�Plumbing .. . � � i il {(� � i i U; �' 39. Watei-Service-Final'�. -�+ �- t ' AFr.:i � � .�..i .r �. � i .� n; I ��i �SI::L .. `t' _' �40. Gas Service-Final ;.� y�:n „ � ; i i � �� i :�: �:> >N �.•�� . , i ' .r C41. Solar pomestic�Final = `� '• ='� � � �� '� ' � v +' '� i � !Tt s i N. �.i. h� � '7� - .F t ;t F42.'Backflow Preventer� '� * � I i F� � �~ • . " {b ��. 4-. _ 43. Backflow Irrigation' �-' '' . ��f `'�' � � "_ � ' rr� :i. tl, �� _ ) r .`.. . ;. . .1... �. . � :,44�. LandscaPe Irrigation SYstem�y�q� -- :;_ �+t C% " U.e .r. e�: �,� !�: �;i:: . .i "' °3 - • � � , �- - . . . _ - .45'.'Sound Attenuation" •�ac:�- ' .i >: - ( � Fr:�': C`� r; �a �,,�,� ri;,y :; . � 'Y. �O 1a7 �,� ; � E. r � t. . ��• . - [:; i ;46.�Handicap Regulations '. _. i. . .. ..7. 1 �� :� r'�:� '= '. , . 47�..F.INAL STRUCTURE & BUILDING b � �+ � �� - � ^%��` l. ! ,� ,�� ,� 48'.�FINALPLANNING. _,� f o� I i��i �"� M . - t� •. •� � � 49.tElectric Release to Edison �� 1 I � �t� '�� -'-' `� ' � �' '' n � :k .r •. . 1 �50..Gas`Release to Southern California,GasCn �� f ; �{� �; ,:. f, �; . ;j`,j ;j, :� '51, CERTIFICATE OF OCCUPANCY' , i; .;, ;.: n ;�c, , , . _ • No. Date i ,PflOJECTRODflESS: 327(� DAKOTA AV ' - �, uNrt: � OWNER'SNIIME:�BILL L MASON ' � � � ' � „ aooeess: SAME ., � , � , � . •a . . , � - , ' , , i � . . 751.-0374 1 '. � � � RRCNIENCINEEH: � _ - � � NEG.MO.: ' �,RDDBESS: ' '� � " „ � ' , . . UNIT: , , i ' ' ' : � , PEflMITTEE: SMI`TT,YS �ELECTRIC " . ' � ( 71.9 ).963 �6466 ' ',�oon�ss: - 9681; POLLACK DR ' � - HH CA'92646 � ' ' UCENSEU CONTMCTOR OECLAMTION: I here�y aliirm tAat I am Iicense0 unAer pmvisions al C�apter 9(commencinB ��h Section '� 7000) ot OiNsion 3 al !Ae Business and�Pmfessions COCa, antl my licensa is in full force anE ettact. � ' . cin uc.: p 5 0 5 0 9 sTnTe uc.: S 1 fl 3 9 8,iL,Fuss: � 1_0 : � oaie: �^� 3— �!J SipnaWre: � �.�G.��a�� y�'aBNEBS' COMPENS�TION OECLARATION: I hereEy a//irm tAal I Aave a eertiticate al wnsen� to self-insura or a certitiwte of Workers' ��oensation Insurance, or a certifie0 copy ihereot (Section 3800,'LaO. C�. . , CY 80.: � � , � E%P. O�TE: . i � ' ' 1P�NY: . � ' � — Certifietl copy is hereby tumisAed. ,❑ Certitietl coDY��is filed with �he ciry�BuilEinA OiNsion. , �: , � Dale: � - � APDlicant: �. � . • ' E%Fb1PT10N FBOM VlOBKERS' fAMPEN&1TION DECUIIATION: Qhis secUon neetl not 6e comDlNeO if tAe permil is tar ane hunOreO (E700) or kss). I cehity Ihat in Ihe perlarmance of t�e work lor whic� this Dermit is issuetl, I shall nut employ any person in any manner sa as ro Decome � suhject to ihe Workers' Compensation Laws of Califomia. � ��'C // , • , � ��oare: T%'—'23•�^ g G Sipnamre: �.�1'- � �i�lmrt"� - - NOTICE_�It, ailer makinq thi Oecla2tion, yau s�aultl become suble�� a the Woders' ComDensation pmNsians at the La�or Catle, you must totlhwith comDly wit� sucA Omvisions or ihis Dermit shall �e OeemeU revokeU. � � • � CONSTBUCTION LENOING �GENCY: ,I Aereby',aflirm,that Ihere is'a constmction lentlinq ageniy for Ihe DeAormance ai tAe xrork for wliicli �his De�mii is i5sued (Seclion 3097, Gv. C). ' � � � � � ' lFNOEB: . . � � ' ' y 1 � . " ROOPE58:" . _ ' ' . � � -, -. i,� �, . , , , :° , - ' • ', � OWNER BUILUEP UECUM710N�: I hereby aflirm t�xt I am�exempt irom the Contactars' State License Law lor,the tollowin0 reason (Section 7031.5 Business antl Protessional CaOe: ' My ciry af caunry whic� aQuires a permi[ to construct, alter, improve. Eemolis�, or repair any slmcWre, D�or to tts issuance, also requires the applicant for such Oe�mit to file i siAneO statement ihat he/she is Iicense0 pursuant to ihe provisions of the Contractors' State License Law (Chapter 9(commencinq with Section 7000) of Division 3 oi t�e Busineu � an0 Pmtessions COAe) or tAat he/she is exempt there/mm anA the �asis for the alle0etl exemD�ian. pny violation of Section 7031.5 Ey any aDO�icani tor a Dermil su6iects ��e apDlicant to a cidl penalry oi not more than five hunOreA tlollars (5500�. . -. .� � ,� �I' as owner ol [Ae property or�my employees vnt� wa0es as�their sole,compensation, will�Uo [he work, anU-Ihe' s[mcture is not intentletl or offered to� sale (Sectian 7074, Business anE Professional COAe: The Cantractors' State License Law OaeS nat aOPN.�a an owner ot a'propeM1y who huilUs ar imD�oves (Aereon, and who dces such work himsetl/Aerselt or throuqti `�is or Aer own employees, Drovitletl-tha[ such improvemenls are not intende0 or oflare0 for sale. Ii, �owever t�a DuilAinp oi impmvement is sa10 within ane year oi�completion, the axner will have t�e �urtlen ot Drovinp�he/she did'no� builA or Improve ' lor tAe Duryose oi saiel. ` �. 1 t . , ' . . I, as owner oi tAe pmperty, am exclusively coniracting with IicenseE contracrors to canstruct Ihe project (Section 7044. Business O anA Pmhssions COAe: T�e Cmiracrors' State Licensa Law Eoes noYapDN �o an owner of pmDeity wAo bml0s or impmves t�ereon and wAo cantracts for such pmhcts qih a contractor(s) license pursuam to tAe ConiractoK State Ucense Law). I am axare that Dmut oi their Worker's Compens.Fion msurance shoulE he DroviOed to me.l ' . � � � I'am exempt under Section: , , B. 8 P. C. . , ' , fof Ihis reason: � i '' t ( � i , � , � , , . Data: � � ' � Owner. - ' � I tlo heieby cerlity (Aat I am aware of antl understanE ihe requirements al Catifomia Mealth an0 Safery Code Sections 25505, 25533; anJ ' 25534 anE that I or any tuiure buildinq occupant willlwill not (circle one) neetl to comply wil� saia stata coEes anG the requiremenis tor a permit for consimctwn or motltlicatian imm t�e Nr �ualiry Management Distnct. Hesidential construction ap0�ica[ions are exempt fmm ihese Dmvislons. . 1 � ' ' , � i . Oate:� ApDlicant: ( ' � ' I I hereDy certiry ihat I have�rea0 ihis ap0lication ana sta[e that the a6ove inPormation Is coriect I aA�ee ro comO�Y wtth all ciry;an0 caunry orAinances anG state laws relatinq ro GuilOinp wnsimdion and her auth ' representatives of Nis dry tu enter upon the a6ovameMioned pmperry br insDection purpous. , �y i Date:' '�✓ � �3 � 7 �% Siqnatur . � � � Drivei's License or Social �Secunry x: � � ` . � 1641-46 White—BuilEing; O�een—CoEe Eniorcament; Canary—APPlicant; Pink—Revenue; GolCanrotl—Assessar , , , , ' ' ,CZTY OF COSTA MESA' - �BOILDING PERMIT , PERM NO:� E' ;0482,52, �r �. �� ` � .. - . . �.. , c � . c.. , ;�", ; -�' 'E ,PERMIT .NO,: E � , 04.32.,� , ,.. PLAN CHECK NO: � . N�`. ,GOVT:� 'N. SUPP,: N �. ' � . �' _ _ � . . �ti � CONSTRUCTION' TYPE: , 5-N ; , .. PERM2T TYPE: �ELE• ' r . �' } �P,URPOS,E_: ,OTH � ; � � JOH DESCRIPTION :�L'EGALIZE 2�SR BOX WINDOW h�REPLAGE WINDO�,SQ FT *`�� "� j i y ' ' y ( CLAIM VALUE: -� GALC-VALUE; � - � ; , GROUP, OCC: R-3 � ./, �_ ; ' . � . I`� .. COMME1dT5t RE: 'B96644 PRIMARY, BLDG, PERMIT. � � ; � , � � � LL � � ' *�*�r**��r****�r*��**x*�x****�******�**�*��x*�***�*****+��*.��*�,��*��*:�***��*�� - , � Z O N I N G R E• t,� O I R E' M E N T S, "� '�'� i = �%�^ � � ' � � , 'S E T B A C K .5 , , . � , ,' ; , � ' . , ' : ;' _ � . � 1 . ' . 1 � � i r I .: �. ------------ MAZN BUILDING -=------=- --1----=-'ACCESSORY'BUILDING;---'---�'-:- FRNT: ' RT IN�REAR� FT IN FRNT: FT, IN REAR: 'HT ' PN`• , LEFT: , FT IN,RGHT; � FT IN 4 LEFT: FT. IN RGHT: ��=FT �TN'- � 1 � PARKING REQ• P,ROV:' PARCEL: 13906702 ZNE: �REF NO;� �� !'°� PLANNING NOTES> , � ; � ; ' � jt , i � - � > • -- � �- '-. , _...._.. . ' - �_. • ._ ._.�,_.. _ *�t*�t*�t��**�-*�ft�t**i��t�t�-***�t*�t�t**x��t�t�t�x**�-�-****�t*ic��t�t�t�t*�--�it*****��*�*�t�e-�*+r�i�.�*+t*-x��-�-*'�c � 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 Id T r8 � ' ! , - ' ZONINd APPRUVED BY, � ' ' ;, �UATE: ` ' ; � � • " ' � I"�. _. ., . _ . _ BUILDING APPROVED BY ; � /•�-- � ' iDATE: '-` ' �?�� L-t 'i'� , ' I ��!_� ' ' APPLICATION ISSUED,BY: t �Gj� DATE; �Z �: ! afififlFjtjEi(�iFjEifiE?'1Ei(iFih-7hih'ki'it:if�FiFiFi.x - �FiF�E�.iF��, .� . �7��ifiE�EiEiE?�ifiEiEiE 1FiFif,F�iFiilE .I jt it jf ?E?E !F if if iE iE jE if if if iE?6 �lE iE?t �` iE 3F if 1E jE it iE it �E it iP if iE it # jt if i(� iE if jf it ic iE 3E �7E jf if ��it iE if iE if iE iE iE iE iE jf �E it iE iP?E iE iE 9E iE iE it it 3E jf jf �E �3E iE LEGAL I ZATION : Y' ,"j . F E E_ S,' Ua M M A R rY �� STRUCTURAL SEGMENT : N ��! l, bLDG'PMT PLUMHING }�ELECTRIC�i29ECHANIC FPRE tSMIP/HES GRADING ' PERMZT� < , _ .. . ' � ., 1�.�5;0 J.. � � , � � � � ' ` - � , , `. �v, ,50% 'j � , ' ' ,SMIY/NON-RES' � PiaN . � . . ` , i � � � � , } � , IS5UE: FEE � - � � ' . g5�,i60,�' ` � . � . ' HUILDING-DIY-> I�ERMIT; ISSUE,-PLi�N=C&ECK. , TOTAL' PAID . ,DUE TOTAL5==--> - 16,50' 15.0'0 "`> �"0�00 3,1.50' 31.50 : � j.00 .._ .. , . . - e , . � � � , , � 4:. ' 'y � � REVENUE DIVISION TOTALS--> ; COLL,�;CT'�EIh:' ' 31 .'S0 OVERISHORT:i i' i 0.0 BLDG PMT PLUMF3ING ELECTR4C'MECHANIC F.IRE SMIP/TOT GRAUI�NG'PL`AN=CHECK 31.50 ,�� .:x E , � , , � � � • ' ' ^' •�j ! i ! � � � � ,-k i!� if !E if iE if # iE iE j!!P!;� iE #!E iE iE if ?E �E-1F # iE iE iElE ff !E 1t iE'If # iE iE iE iE i�if i4 if if?'t # iE � ih iE?E �fh%iE iE # 1f iE�iF 3: ik jE if'.f 3E'�P dE 34.iE 9F jf jf-if�'1E i' if �3E X�'/c iE iE � . t-� Z N D I'V 'I, D U A,L F'E E; b R E A;K D O W N, � J� , ' � � I ; TYPE � QTY� D E S� C�R �I P T I O�N!� ^ ' � UNIT CO�T; TOTAL COST � �./F! �' ' i • 1 ELE; 6, FIXTURES LIGHTING�`%? 1�ST� 20 �EA'. .' ,75 ' �' � 9�,50 ELE � 3 RECEFT/Of7TLET �� 1�ST 20 EA�, .7,5 ! 2.25 ELE ; ' �`" 2 " RECEPT/SWITCH ', `; bhS3' 20 EA. . � ,75 ; 1�.50 END OF;; FEES : � � ' . ' . ' �� ; : fi' � , . . ' � . • , . � . . • 1 � �^ . � � ' F • .� � . I , � I _ _ - . _ . _ � . _ 3, ', , . ' i , ' . r ' , � �. � � . �� ` , Q,1 Oa05��g3��-l?FiDo59�5 ry ' � �; � . • � -� - . G�,TE. t77/23i9� iFh1E: 2 :�1i�__ ��-- - �.�- " � � CONSTRUCTION AND�PCANNIN - � � .. = - P �& SPA - ' - ' ' Date � , Inspeetor � ' Date � Inspector �� APPROVALS �.-Permif # � ' ' �' � ` +. � � - . , APPROVA�LS � Permit #, �� p A �;_.-1: Temporary,Elect�icalServiceor,Pole ', ' 1 '�� _ 52. _Pool&�EquipmenYLocation • � � � � � _ . 'l. i 2. Soil Pipe-Undrgrnd. ..° ;1,; :, � � j ! , - � 53. ;Steel Reinforcement _ ' . _ : �, ' : �. ,, 3. Electrical Conduit Utiliry' -Undrgrnd. � ` , 54. Forms � . � , • ' , • 4. Electrical Conduit-Und�9rnd%' �� "�� ' 55. Electrical Bonding' ` � � �� * 5. Steel Reinforcement �- ' ' ' � � � � 56. Rough Plumbing�& Pressure:Test - � 6. Electrical UFER Grnd?-. � ��`' `�; f 57.'�APPROVAL,TO COVER-GUNITE �` 7. Foo[ings ' -. - �� • y" 58.'Electrical Conduit-Undigmd. � � � ; _t 8. Foundation � � - � � � ; �{, � • / ; , 59. �Gas.Pipe, �' Undrgmd., Test - � �" .�� . � � 9. Water Pipe-Undrgmd. � �, �/ j . . � 7� � � � '� 60.�_Backwash Lines, P-Trap, � �Undrgrnd.: ' ' f i"� ` ' ./ .,. ,-, ,:_ 10. Structural Floor Systemi �' .,� �;� � & . � T ' 61. ;APPROVAL TO DECK � ' " � � � 11. Property Sewer Line &�Nouse,�Connection •.�� 62. Backwash & ReceptorFinal .��' " i t ,. - � 12. Sewer Cap ' � ' � _ / ` 63. .Heafer & Vent-Final � 1 " 13. Roof Dr'ains ; i � _ � � � � � 64.'�Plumbing SYstem�= Final' �; ' _ _ � .� i 14. Rough Plumbing ,, � � ` ` 65.- �Electrical-Final' � ' ' 15. Rough Electrical-Conduit �, ��s+ i - � ' �' -'"' � ' , A � _. � �. 66.'Solar�System�Final , �"16. Rough Eleitric Wiring� i+J I'� 67. Fencing�& Access:Approval ;��'. � i � 17. Rough Wiring Sign � ,� - � "'� ; - �.� 68.,APPROVED�FOR_PLA$TEflING _ - � l 4 � 18. RoughElectrical-TBarCeiling.;" ` =, 69.��POOUSPA•SYSTEMS�FINAL � - � - ,... ..A. . _, . . .__ .- ' -._ -.'- _ .. -- - -- - - . � � �19. Rou h Heatin & Air Conditionin � - � � 9 9 . 9 FIRE DEPT. REQUIREMENT � 20. Rough Factory Fireplace � APPROVALS Permit.# 21. Dutts, in Structure , �, - , 7p, Underground Hydro � 22. Ducts, Ventilating 71. Product Pipin9 O Gas ❑ Oil 23. Gas Pipe�Rough & Test ' 72, Underground Flush . . 24. Roof Framing 73. Undergrnd.StorageTank �Gas ❑Oil 25. Roof 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 .. �� HEALTH DEPT. REQUIREMENT - 31. Plaster Brown Coat� �' ;� 79. FINAL INSPECTION 32. Electrical Power Meter-Final � 80. FOOD CERTIFICATE ISSUED - 33. Final Electric . � Notes: - 34.� Final Heating & Air Conditioning y..� ,` �� rQ L, h f . �!, K 35. Final Gas Pipe-Test �� o'� �o�i- J,� {�,� af- j-.iec�� 36. Hood Or Canopy - � ,� w �, , . 37. Final Factory Fireplace ' � � `� � 38. Final Plumbing � i� � 39. Water Service-Final "��% � n_ • • 40. Gas Service-Final � � l+ � � 41. Solar pomestic-Final � ( • � �42. Backflow'Preventer � � � _ 43. Backflow Irrigation . 44. Landscape Irripation SYstem'� � . � � ' 45. Sound Attenuation - • 46. Handicap Regulations ' . f . 47. FINALSTRUCTURE&BUILDING �� (� ' 48.: FINAL PLANNING 4,) � 49. Electric Release to Edison � . . 50. Gas Release to Southern California Gas Co '� � . , � 51. CERT1FfCATE OF OCCUPANCY No. qate I Lot 21 , . Tr 3722 ��. � , COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX SfY COBTA MEBA. CALIFORNIA For Applieanf fo Fill In Complefely � ' � TYPE�OR PRINT��%�� BUILDING ' AODRESS 3�.% ak t a V(�.I771 - � GOSTA MESAr CALIFORNIA � � owHER K& E Develo ment Co Inc' � MAIL : . . _ - . NEER ' ' ' NO. � LIC.TNO. O I I�� NO. M I �-ii%� .SIZE.. . L n� f�__� /�/1 I NO. OP BIDGB. O FEE R CEIVf D . G,� � �3_� c-�Q FINANCE DEPT. \ A�PLT��Af dN�'�fOR�1P�ffM1T • BUILDIIdG For Office Use Only - NECEIPT NO. PCRMIT NO. BUII.DING � • ' ADDRESS COSTA MESA, CALIFORNIA FIRE n`� ZONE TYPE�. U 'GROUP�/ APPROVED • � ' . BY ' DATE ZONING ZONE " I NO. OF � I V9E OF NEW . '-R-1' PLAN6 2 BUILDING W/ •dt BETBACK LIN6 iROM n (CENT6R LIN¢ BTJ GeNTER-oF BTi�ECT �O * REAR YARO GS � �FRONT SIDE YARO I �EFT �5 t 3�� I RIGHT S t.3�� R.�SIDE � ' DESCRIPTION OF WORK- . :,' L': 51 DE � 'I I� " � I II � .�. SZIELOING161S 7SSIROOMSn' 6 STOR EXTERIOR WALISTUGLO IROOF M'CIS �nveo�vc rnvrwiur. c�ti i .. �D r o i and Attached Gara�e 1 HeRHBV AGKNOWLEDGe THAT 1 XAVE READ�TXIB �PP4WTION AND 9TATE TXAT�TXE ABOVB I6 COPRECT AND AGREE TO COM• PLY�WITH ALL CITY OR�INANCEB//�ND 8iA E LAWB REOULATNO BUILDINa CONBTR GT10 - �. SIGNATURB O �J PERMI7TEG /! OJ t /�S3'�'hiIlJ.A � AUTHORIZED AGENT � TXE AMOONT 6HOWN ONOER VALUATION I6 POR THE +�PUPPOBE OF EBiABL18XING A PERMIT F£E OttIY. VALUATION ' ' - �J/ ' �.rj PERMIT FEE .$ , �7�p ^ $ ' / % � � � � PLAN CHECK $ /�� - TOTAL FEE $ ��/