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Home My WebLink About900 DARRELL ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us ELECTRICAL PERMIT Job Address: Suite No Vicinity: 900 DARRELL ST BACK YARD Parcel Nunmber: 42235220 Applicant: JORGENSON, CHAR Address: 900 DARRELL ST : ,/, 1r� /), j�0i � � � ,, /�iContracror.. :�� ` Address: i{;�� C?/ jj}}J /J '(� � I �j�j � ,,�(i z� ,t�+ -; �� (� � ;; � 1 �I �� I�� 4�,f �1 lit �� _— i �� 11 �. � �� :i New Res (3+units) / Pool / Spa�A �--� Lighting Fixts� Recept Outlets � SwitChes � �� Non Res Appl � Res Appl � Service to 200a \ Service to 1000a Service over 1000a Motors l0 1 hp Motors l0 10hp Motors to SOhp Motors to 100hp Molors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intertned Pole BUILDER AND ELE( DUIT AND " I �., $23.50 j �� $0.00 i' ��$0.00 $0.00 � ��i• ��\ $0.00 ` �\,\\:`\$0.00 � ,',$0.00 � \$0;00, �, $0;00�. D.,%,$o oo� �o T7 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: f"`-,i� �^'"\�p` Phone: 949-650I-0790 �� ' ZiP� g26Z� I r�� \ � 1--� U �'j J � �--- ��-�--��_ h� Phone: A\l�� T �� \ Z�P 926z� ` 3 � � ``��•') � i�� °�� `h' �Aa � �(�— ��5 �`��j'��,� ao / . ��,� \�r � �� o, �Zj�Fhone� ✓t ., ; � �-..j I /f_ o '�...� P_ .,;-._"^- 2-�_° —��' _��n�" �� License: 000000 "''^ =�.. � / `�' .,; � SCORE OF.PERMIT ,� ,�,-H.�„q �� i'FOR'ABOVE GROUND SPA. MISC ELECTRICAL FOR ABOVE Temp .;;��ZJ,.�o✓, qn�..^�:...: j;:;� ,in � �,°a.'r.�.�:. 0 .,. ��C� 'G'� c;r�: � J li O �: :i %.> ��OW�V � � a'..0.• o o<Low�V ` 3 ° f CfMisa� ��_� , � ...__ , Stams: ISSUED Applied: 07/16/2002 Issued: 07/16/2002 �-----=1 Quantity / Lighting ? $0.00 0, al Equipment ; up to 1 kva/kw to 10 kva/kw 0 0 ��y 0 �$0;00 i�r0 "--�;--J= -` 'Circus�(�gen�;o�ride) �$0.00� 0 $0.00 �.�J .O�r- '--"Grcus(inechride�orlights)�($0.00�0 '�12:30 (_n1 �/ C>�f, _`�� - �� ChristmasTree�SWnd \ �u$0.00 j0 $O.00i � O�L�f-�—�� ! ��Fireworks�Stand'� � ' �� ,J � �$0.00 0 $0.00�"�0 �:�JL(��OthevElectrical�Fee` �$0:00 $o.o0�'��0�� $0.00 O�l��(nvestigalion;Fee $0.00 $0.00 0 �-�-�---_�_ ,Plan_Check�Fee $0.00 $0.00 0 Reinspection Fee $0.00 $0.00 0 $0.00 0 TOTAL CALCULATED FEES $54.00 $0.00 0 COMMENTS / SPECIAL CONDITIONS G 0 INOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28,�§ 1, 1241-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 �days, or if work is suspended or abandone[1 for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspeetlona and final approval must be obtained. Failure to obtain inspections antl final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 . eaaowo tdw� WORKERS' COMPENSATION DECLARATION: ' - v ' ' I hereby afFirtn under penalty of perjury one oi the Followinq tleclarations: �� ❑ 1 heve entl will maintein e ceniticate o� consant to self-Insure for workers' compensetion, as provitletl for by sectlon 3700 of the Lebor Cotle, for ihe peAortnenca oi the _ work for which this pertnit is issued. . ❑ I have entl will meintain workers' compensation ins rance, as required by section 3700 of the Lehor Code, for Ne performance of the work for w�ich this pertnit is issuetl, My workers' compens � on I u nce carrier ol' umber are: �' � \^ ,,� e Cartier: Policy Numbec NV1 /VV'-� his secfion nee be co ipl tl i! the peimit � velued et ane hundred dallers ($100) or Iess.J . , ` rtity that i t� ertom nce � the work tor which ihis permit is issued, I shall not employ any person in any menner so as to bacome su6ject to the workere' compensation of Celi mia, a egree ihet if I should become subject to ihe workers' compensation provisions of Section 3700 ot Ihe Labor Code, I shall forihwilh complywiththe visions. ^ �% Applicant SigneNre: Dete: I��' �/1 -� � L_- , WARNING FAILURE TO SECURE WORKERS' CAMPENS TI VERAOE IS UNIAWFUL AND SHALL SU&IECi AN EMPLOVER TO CRIM�NAL PENALTIES AND CIVIL FMES UP TOONE HUNDRED TFKKISAND DOLLARE (5100,000�, IN ADDITIIXJ TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 31060F THE LABOR CADE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: � 1 hereby eHirm Ihet I em licensed under provisions of Chapter 9(commencing with Section 7000) ot Division 3 0l ihe Business and Protessions Code, antl my license is in full force end eRect Lic. # Cless N Contractor's Signamre: Date: CONSTRUCTION LENDING AGENCY: � ❑ I hereby aHirtn that there is e constmction lending agency tor the peAormance.of ihe work for which ihis permit is issued. (Sec. 3097, Civil Code). Lender's Neme: � Lender's Atltlress: SignaNre: OWNER-BUILDER DECLARATIONS: Dete: I hereby aHirm t�at under penalry of perjury ihet I em EXEMP7 FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business end Professions Cotle: Any city or counry which requires e permit m construct, alter, improve, demolish, or repair any sWCNre, prior to its issuance, elso requires the applicant for such pertnit �o file e signed statement Ihat he or she is Ilcensed pursuant to the pmvisions ot the Comractors License Lew (Chapter 9(commencing wlih Sectlon 7000) of Divlslon 3 ot the Business and Professions"Cotle) or ihat ha or she is exampt Iherefrom and Ihe basis tor the alleged exemption. Any violation of Section 7031.5 Dy flny epplicent for e permit subjects the epplicant to4 civil'penalry ot not mare than tive hundred dollars ($500)J: - bu a�i �!/� . ❑ I, as owner ot the property,.or my employees with weges as thair sole campensation, WILL DO THE WORK, end the strucWre is not in�endetl or ottered for sale (Sec. 7044, Business and Professions CotleiThe Coniractors License Law does not apply to an owner ot property who builds or improves ihereon, and who does such work himseN or herself or`hrough his or fier'own employees, provided thet such improvements ere not intended or ottered for sale. If, however, the building or improvement is d within one year of completion, tha owner-builtler will heve the burden ot proving ihat he or she did not build or improve for purpose of sale.). I, as owner oi the prope , em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct Ihe project (Sec. 7044, Business and Professions Code: T onirector i e Lew does not apply to an owner oi property who bullds or Improves ihereon, antl who conlrads for such project with a contrector(s) license rs ant to th Contra ors License Laws.). ❑ I em e:e der sac. Business and Protessions Cotle for this reason: Signature: Date: � � � Owner ID verified by dnver's license. ' S No Driver's License No. Expires: Veriticetion of Ownership by (type oi tlwument, i.e. - property ta�c bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMR CER7IFICA710N: ❑ I hereby certity that no excavetion five (5) or more feet in depth into which e person is requlretl to tlescend, will be matle in connection with work euthonzed by ihis pertnit, and that no building structure, scattolding, felsework, or tlemolition or dismantling thereoi, will he more than ihiny-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Calitomia Administrative Code). ❑ As owner-bullder, I will not employ anyone to do work which woultl require a permit irom ihe Division of Intlustrial Safety, as noted e6ove, unless such person hes a pertnit to do suc� work irom the division. Signeture: Date: Division oi Industrial Satery Permit Number. CERTIFlCA� F COM(�CWV AND AU7HORIIATION OF ENTTiV: I cetlity untler penalry of perjury that I have read this application antl state that the intortnation given is correct. I agr I compt�`with a tate laws end ciry ordinances relating to building constmction, antl authorize representatives ut the qry of Costa Mesa to enter upon the above-describ operry fo inspec n purposes. I agree not to acupy or ellow occupancy ol any building authonzed by Ihis permit unlil final inspec4'on. +`—� `7 — I lo —07 SianaWreOfL aal0 aert51 - � � Date AncUOr Authorized Applicant COOE I, INSPECTIONTYPE 161fi Fixed System Final Fire Prevention 1266 Poal Spe Final 200 Final Re-Roof 201 Final BIocWRetaining Well 202 Final Factory Fira Place 203 Final Sign 204 ' Final Demolition ` ' Q�T� �NTRIqLS CO�EA INSPECTIONTYPE 206 Final Mechanical 20B Finel Plumbing 210 Final Electrical 212 Final Fire Preventian 220 � Final Planning Approval '� 222 FinalSite 250 FinalBuiltling/Occupancy Qd¢ INIRIALS (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DFIVE, COSTA MESA, CA 92626 Job Address: 900 DARRELL ST Suite No Vicinity: BACKYARD Parcel Nunmber: 42235220 Applicant: JORG Address: 900 DA PLUMBING PERMIT V � CA � ��. �N,�JEFF M ST� % ,, CA 1 DER ,�"� V 'p0� � \ �_�c. Status: ISSUED Applied: 07/16/2002 Issued: 07/16/2002 -._--___� ISSUEDBY: �CiO�✓CK�J�� :r-� i - /d�L,'-,. 1 �' � J{�` � 1 r-� � 1 n � 7 �/ � Phone:--949-650-0790 ��! � �`Z--�. ti � � � _�-��0�� \��, �� \O� 1 /)\� Phone: � ��,� 90� v � �pp �- ��) I � ,�.�4� � i �zj �.� x. �' II `"'1/1'�� `6 g� ' • �.��=� � ( � �� Phone: ..,, � �� ° ��'�, �'P� r-- ��"-� � �� , �__'v License: 000000 _ _ � � , E ��'�� '�T1T��Y C2'� 17`l�� All�'71`� r ��f�.� �-�---__- -- __.�_.� � \" 1 _\ ISSUE FEE� �'" Backflow vngation� Backflow Prevente�� Bathtub � Clarifer System Connect Qce,Soda,efcj� Dental Units � Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service � Interceptors (Grease, Oil) Interceptors (Sand Auto ) i $0.00 $0.00 $0.00 $0.00 $0.00 $6.15 $0.00 $0.00 $0.00 $0.00 $0.00 ELECTRICAL LINES FOR 0 0 0 1 0 0 0 0 0 ,+S"�J'rCC JUIYIIYWRT �, . r y',,� �i��n- . �r "�C :3��•_, oo n E� ,. t o0 0 o AMT 5�9C]l haundry Tub /�Washer�;_ � $0.00� fir0^. Landsncap�'I"igationr� � D��$0,00 ��' 0> P-Tra � Pressure�Regulator� n � '� $0.00 �0' l Receptors _�„w �,�"�'_50.00= "�0" �� . SepticTank�� --_ -=--$0.00 0: � SewerCapforDemo _$0.00;7�0'\� �) �` SewerConnect �3��^"'$0:00-'�0`t� ; �„ �SewerPrivateLine j �--� i'$OAO�`0--� ' ��Shower�"� +-� �-�L"�-� so.00` oi.iG�� Sink, Floor -' Sink, kitchen Sink, service/mop Spa (private) Spa (public) $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 COMMENTS / SPECIAL CONDITIONS f �, � �� u p Pump � ri^ Wash Basin�U/ Wash Basin�Set Waste and�Vent System Water Closet (Toilet) �Water Heater / vent Water Piping (Insl or Rep.) Water Re-pipe Water Service � Waler Sokener OTHER VIOLATION PLAN CHECK REINSPECTION 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES: E29.65 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NO710E: The work authonzed by this permit shall comply with all applicable handicap access requirements under California statutes and related � regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for, a period of 180 days. . ,.,- INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all �' required Inapections and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 , zansrs (s�oo� WORKERS'COMPENSAnON DECLARAnON: , , , : ' _ - � I hereby attirtn under penalry ot perjury one ot the following declarations: . -. ❑ I have and will maintain e certificate of consent to seN-Insure for workers' compensation, es provided tor by section 3700 of the le6or Code, for ihe perlormance of ihe work for which t�is permit is issued. + •- -� ❑ I have and will maintain workers' compensation Insurence, fls required by section 3700 of the Labor Code, fof Ihe'pedormance of the woM or which Ihis p.ertnit is issuetl. My workers' compe�jsati Ins �e�Je�c�ar� ie�r e� oll number are: ( � � rp- Cartier. `�_(��—C/l�'"XJ� � PolicyNumbec l q.QJV=—�� rs secfion need not be comp/eted il fhe permit ve/ued et one hundretl tlollers ($100) or /e55J I cenity t�at in t Aortnenc of th ork for which ihis pertnit is issued, I shall not employ any person in eny manner so as to become subject to the workars' �� compensatlon la f alifomi and e ee thet If I should become subject to the workere' compensation provisions of Section 3700 0l ihe Labor Coda, I shall fonhwith complywiththese- ov ions. �� %� Applicant SigneNre: 4 `�-_/ � d �l'� Dete: ��Vl '�Q � WAiiNING PAILURE TO SECURE WORKERS' COMPENSA �ON CO ERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HONDPEO THOUSANOOq1ARE(510D,OW�,INADDITIONTOTHEC05 OFCOMPENSATIIXJ,OAMAGESASPfiOVI0E0FOqINSECTION3]O60FTHELABORCODE,INTEREST,ANDATTOFNEY'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby eHirm Ihet I am licensetl untler D�a��sions of Chapter 9(commencing with Section 7000) ot Division 3 of ihe Business and Professions Coda, and my license is in full force and eflect Lic. A Cless N Contrectofs Signature: Dete: CONSTRUCTION LENDING AGENCY: � ❑ I hereby eHirtn that there is a constmction lending agency for the pertormance of the work tor which Ihis permit is issued. (Sec. 3097, Civil Cotle). Lender's Name: Lender's Address: SignaNre: Date: OWNER-BUILDER DECLARATONS: I hereby aHirm Ihet under penalry oi perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, Business end Professions Cotle: Any city or county which requires e permit to consWcL alter, improve, demolish, or repair any swctura, pnor to its issuance, elso requires the applicant for such pertnit to file e signed statement that he or she is licensetl pursuant to Ihe provislons of Ihe Coniractors License Law (Chapter 9(commencing with Section 7000) of Dlvision 3 ot ihe Business and Professions Code) or ihet he or she is ezampt thereirom entl Ihe basis tor the elleqetl exemption. Any violetion oi Section 7D31.5 by eny epplicent for a permit subjecis ihe aDPlicent to a civil penelty of not more then tiva hundred dollars ($500).): ❑ I, as owner oF the property, or my employees with wages as their sole compensation, WILL DO 7HE WOiiK, and the structure is not intentletl or oNeratl tor sale (Sec. 7044, Business end Protessions Code: The Coniractors License Law tices not apD�Y �o an owner of properry who builds or improves Ihereon, antl who does such work himself or herself or Ihiough his or her own employees, providetl t�at such Improvements ere not intendad or oHered for sale. If, however, Ihe building or improvement is soltl wit�in one yeai,ot�complefion,�ihe�wner-builder will have the burden of proving thet he or she did not build or improve for purpose of sale.). �L �� I, as ow�er of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct Ihe project (Sec. 7044, Business and Professions � Code: Th�'contr s License La'w'8oes not appl; to an owner of property who builtls or Improvas thereon, end who contracts for such project with e contractor(s) license �p�/r3ylanC(o th ontractors License Laws. . ❑ lam Signature: - ' (,Q Ownar ID venfietl by tlrivafs license. s Veriticatian of Ownership by (typa of tlocument, i.e. Business and Protessions Code for Ihis reason: � Date: � � ❑ No Drivefs Liden50 No. ' Expir85: properry taz bill or deetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certify t�af no excevetion fiva (5) or more feet in depih into which e person is repuiretl to descend, will be made in connection with work authonzeC by ihis permit, antl that no building strucNre, scaHolding, falsework, or demolition or dismantling thereot, will be more than thirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Tltle 8, Celifomia Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a Dermit from ihe Division of Indusirial Safery, as noted above, unless such person has e permit �o do such work from ihe division. Signature: Date: Division of Industnal Satery Partnit Number: CERTiFIC OF COh� CE AND AUTHORIZATION OF ENTRY: I certify under penalry of perjury that I have reatl ihis application and state that ihe information given is correct. I gr to comply with II stete laws and city ordinances relating to building construction, and authorize representatives of Ihe Ciry ot Costa Mesa to enter upon Ihe above-descr 4 roperij*for insp tion puryoses. I agree not to occupy or allow occupancy of any building authorized by ihis permit until tinel insfpection. ''�.J��Q �� .il �'J 'U � Sianature e al Owner(sl - � Date AnNOr Authorized Applicant CQOE Y. INSPECTIONTYPE 7616 Fised System Final Fire Prevention 1266 Pool Spe Final . � � 200 201 202 203 2 4 Final Re-Root Final Block/Retaining Well Final Factory Fire Plece Finel Sign Final Demolition Qj�jj INTRIALS �a INSPELTIONTYPE ' 206 Final MeChanical . 20B Final Plumbing 210 Final Electrical 212 - Final Fire Prevention ' , 220 Final Planning Approval 222 Final Site - � � " ' �' 250 Final Buildincy0aupancy DRTE INfITIALs . .. .�. /?�� . . , . . . . . . . . � ' . � '� ` H�t � rt+��t^�=R`attr#�� .. �N T �. . . . . '" . - . . , � "�t�. i��t7��A � y��+} � . M—f-� , � . ' . . � . �� _ . . . � . ' Ft� ch�f3�.Yv4, . �`i.? s t "t�y�'�. '� --� z�� ' " � ' • . ., . ...: t� A.�.�4��ttt�� R. �\ ' - ' �. _ .� . � . .. . _- � . ' _ . 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' ��G. t5 � s x r � '3 �'x5' �d'�' 'Sz.2�f;� +k`kc w�' '. + ' t 5.�� 4 '`� YI y'i-�" t n'^t�� ,• y �?'i � .sT npY �d' x� y � r+�, �� S' �tF ^> d,�p Rry� '�j*Y n'� � i- ., a i{ . r. ai �f.F-� c r� i Z�kru r i� Na �^. 4 -'h" f �.sd,rc t�' .. . �t( � "�"7r'�%�:•i�S7C�:��i�flF,s:� .y ;`!r.�ih��l s%{a�. .,"mb. . . ri:��*f F�. �,'.:;�f�:,�d.5'� ��a:4�ey� ,:�.�.. �-.Y; .'r,,} 1'r; :..ttt.TS�.�: � �{1 J �� (774) 754-5273 • Fau (714) 754-4856 • www.ci.costa-mesa.ca.us � 77 FAlfi DRIVE, COSTA MESA, CA 92626 - Job Address: Suite No Vicinity: Parcel Nunmber: •.. 900 DARRELL ST 42235220 . Applicant: COOK, MATT Address: 2035 PLACENTIA Addiess: �/ i �u\u ui COSTI 0 ELECTRICAL PERMIT ,._. ; Status: ISSUED Applied: 07/17/2002 Issued: 07/17/2002 ISSUED BY: �j�pC�c��v�� C/- ---'� c� �-�` 1" _��l I'� =�l—. Phone: 949-645=5761 � i Zip:�92627 '� �` ) _---� ��./ � :�s ,—�-- - --�� -�. � � � -�� =�l =� � � � -J,r.�'' ~ � � c�`\ Phone: \ �./ Zip: 92627 ��.'� r% 1\ /PORT COAST ELECTRIC aeee PL"ACE`NTIA� ='H� tj /fj� _�� yoo e K,i "A�MESA, CAw.-� �� `^�. --._ Recept Outlets � SWit�hes1� � ResAppIAPP�\ �� Service to 200a �'\ {!�� Service to 1000��L\ �i Service over 1000a \\\\ `� Motors to 1 hp Mators to 10hp � � Motors to 50hp Motors to 100fip Motors over t00hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole $23.50 $0.00 $0.00 � $D.00 ( $0.00 { $0.00 ;$0.00 �$0.00 i $0.00 $0.00 $0.00 $0.00 $0.00 $O.DO 4� Q � oeeo 6 } n' 1' � �� 9A9-645-5767f� � � Q�fi97"2 " ro � ! 1 License: 675371 � �, � 0 MisC EleCtriCal EqUipment 0 Transformers up to 1 kva/kw 0 ''-��}: ��^ a'�'� u to 10 kva/kw •w' ,�� ........ ....... p � . ... 4 .e,�...'t. ` 9 ....�.... �^.. �:up to 50 kva/kw 0 ;:�.��b��' �- � .. :.....:...`�.'.�.;up to;100 kva/kw 0� -.S� �� 2. -- over'100 kva/kw; 0�� ^�� LowVoltageEquiprrient' �� - 0_ U o`%> '� GLow�Volt Wmng System / Ck �d� �� , ," � - Misc. Condwt :, a P � � ; � 0`�'yt.;` ° ; �° " �(Misa Conductor �:'/ j ��ti, O � � `;:.-`\"`'�:1,,, �: �/�o�,r��-� -- - ; � �; ;��..��_i� ( � rU� J �� i �d � ,; i �_ � ��f, l r,--- �' �JU, L.�: Quantity b�� `-�- $0.00 0 � $0.00 0 i � �, $0.00 0�� $0.00 p�� ( \'�� I$0.00 �'0� ^�r� ) �$0.0 � J 0` �,� v/ )� $0.00 �0 \f '$OAO 0,�,� � �,: $0:00� 0} } �� ,.,-$0;00 0`""�1 j�$0.00/A 0 �� $0.00� �0 � $0.00 ��i0 �� r '? lights) �� d� �� $0.00 $0.00 $0.00 TOTAL CALCULATED FEES $54.00 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned 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 inspectiona and final epproval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 «aa�na �aw� WORKERS'COMPENSATION DECLARA710N: - � �� " I hereDy eHirtn under penalry of perjury one of the following declaretions:.. ,� ' . . ❑ I have and will inaintain a cenificate of consent ro setl-Insure for workers' compensation, as providad for by section 3700 ot the Lebor Code, for the pertormence of the work tor which Ihis Dermit is issued. - ❑ I have and will maintain workere' My workers' compAhsatiqo Insy Carner: �J insurance, �s requiretl by section 3700 oi ihe Lebor Code, for the perfortnance of the work for which this permit is issuetl. pd poliSyq m46r are: Policy Number: orless.) - - - . m/I certify the� in the peAormance of ihe work for which Ihis permit is issued, 1 shall not employ any person in eny manner so as to bacome su6ject to the workers' '� compensation laws of Calitomia, antl agrea t�at ii I shoultl becoma subfect to the workers' compensation pravisions oi Section 3700 of ihe Labor Code, I shall forthwith comply with Ihese provisions.�-/J--/� �� .�-/f r� Appliwnt SignetuFe: ---'Z��+7A/ W�— Date: I� I � 0� WARNING: FAILUPE TO SECURE WORKERS' CAMPENSATION CAVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED THOUSAND DOLLARE (E100,000), IN NDDRIIXJ TO THE C0.ST OF COMPENSATION, DAMAGES AS PROVIDED FOii IN SECTION 3]Ofi OF TME LABOR CODE, IFIrEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eHirm ihat I am licensed untler provisions of ChaO�er 9(commencing wi�h Seciion 7000) ot Division 3 oi the Buslness and Professions Cotle, antl my license is in full force antl eflect. Lic. N Class» Contractofs Signawre: Date: � 'u / CONSTRUCTON LENDING AGENCY: � ❑ I hereby afFirm that there is a construction lentling agency tor ihe Derformance of the work for which ihis permil is issued. (Sec. 3097, Civil Code). LBndeYS Name: Lender'S Atldre55: . Signature: OWNER-BUILDER DECLARATIONS: Date: I hereby etfirtn that untler penalry of perjury ihat I am E%EMP7 FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Professions Code: Any city or counry which reQuires a permit to cons�ruct, alter, improve, demolish, or repair eny simcture, pnor lo its issuance, also requires the applicant for such pertnit to file a signed statement that he or she is licensed pursuant to ihe provisions of ihe Coniractors License Lew (Chapter 9(commencing with Section 7000) ot Dlvision 3 oi the Business and Professions Code) or ihat he or she is ezempt therefrom antl Ihe Dasis for the alleged e:emption. Any violation ot Sadion 7031.5 hy any epplicent tor a permit subjects the epplicant to e civil penelry of not more than five hundred dollars ($500).): ❑ I, es owner of Ihe property, or my employees with wages as their sole compensa�ion, WILL DO 7HE WORK, and the structure Is not intentled or oNered for sale (Sec. 7044, Business and Professions Cotle: The Coniractors License Lew tloes not apply to an owner of property who builds or improves thereon, antl who tloes such work himself or herself or through his or her own employees, provided ihat such improvements are not intentletl or oNerad for sale. If, however, ihe builtling or improvement is sold within one year oi wmpletion, tha ownerbuilder will have the burden ot proving ihat he or she did not builtl or.improve for purpose ot sale.). ❑ I, as owner of Ihe pmDeny, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct the project (Sec. 7044, Business antl Professions Code: The con�ractors License Law does not epply to an owner of property who builds or Improves Ihereon, and who comrects for such project with a conirector(s) license pursuant to the Contrectors License Laws.). ❑ I em exempt under sec. Business and Professions Code for Ihis reason: SignaNre: Date: Owner ID verifiad by ddvefs license. ❑ Ves ❑ No Dnvers License No. E:pires: Verificetion of Ownership by (type ot document, i.e. - property tax bill or tlaed): DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION: � I hereby certity ihat no excavation five (5) or more feet in depth into which a person is required to descend, will be made in connection with work auihonzed by ihis pertnit, antl ihat no building sWcture, scaHolding, falsework, or demolition or tlismantling thereof, will be more than ihirty-six (38) feet high. (Chep. 32, Gry 2, Art 2, Sec. 341, Title e, Califarnie Administretive Code). ❑ As owner-builder, I will not employ enyone to do work which would require a permit from the Division of Industrial Safety, as notetl a6ove, unless such person has a permit to tlo such work irom the division. Signatura: � Date: Division of Indusirial Safery Permit Number: CERTIFlCA7E OF COMPLIANCE AND AUTHORIZA710N OF EMRY: I certify under penalry of perjury that I have read Ihis application and state ihat Ihe intorma�ion given is cortect. I egree to comply with all staie laws antl city ordinances relating to builtling consWction, end authorize representatives of the Ciry of Costa Mesa to enter upon the ebove-descnbed propeRy tor inspection purposes. I agree not �o occupy or allow occupancy of any building authorized by this permit until final inspection. Si nat f ega Owner(s) - �: J I� ��9� .� l.l - AnNOr Authonzed Applicant Date CODE t. INSPECTIONtYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spe Final , � 200 Finel Re-Rooi 201 Final BIocWReteining Well 202 Final Factory Fire Place 203 Finel Sign 204 Final Demolition ' COOE I INSPECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Elecirical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 -' Final Building/Occupancy iIf .�w_ OW NER �r1St01 BSt3t25 DATE �-18-56 �� - JOBADDRESS 9OO ll8ITE11 SLT'eEt BUILDINCaPERMITNO. ZH31 GENERALCONTRACTOR $.V.Hunsaker VALUE $ 8�85(�.Q� LOT �}(a BLOCK TRACT 2873 Single Res., w/att gar GROUP I& J TVPE V INSPECTIONS _----� D T A Footing Trench Founda[ion Forms and Grade to Garage Rough Framing �=� � Plumbing,.Rough o. a «. i i/� =/ P�umbing, Rough Complete Temporary Pole Wiring, Rough � � ��/�. Heating, Rough Heating, Final� S(� Sewer,iHo_use� �; � Sewer,SY. %�/y. Septic Tank or Cesspool ��,�, �7�I -� �.�—/1 - Lathing, In Out y� pr b�/7 Plumbing, Finai, Fixtures C� Plumbing, Fin�al Gas Tesf�� Wiring, Final y<,— Occupancy �, � FOflM 210 3M 10�95 j SUBCONTRACTOR r.v-tJ.c�c. �r � -`�`: L=_ ., i� /_ � . PERMITS ISSUED I NUMBER ,�� , Costa Mesa Building De�artment "' �"' "�+ P. O. Box 3!7 ,� -- '�: �" COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN Building (� T � Address -1 � � V A-�Q.G�-�- S 1. - Costa Mesa, California c�oss sf. ��_ ��1�% f l<% 2� (� �. l or Contractor � �v� � � IJSa1L-E.Q. :�PPLICATION FOR PERMIT � BUILDING ' FOR OFFICE USE ONLY Receipt No. Pperm?lf No. ' �U✓/ � ;�'erv y Date Rec'd. Date Issued ' �- � s -.� �-i�-�-� ing . ss Costa Mesa, California :5c �« � No.A'�'�-��5� Zone r/.I No.af I Type ' G Lic. i 7� Plans No. Approved b ' Date ,,,�� , , _ ,r , CORRECTIONS 0 (Attach Metesand Bounds) No. of SizeofLot fP�X /�O Nowc 4seof I No.of Existing Bldg. � Famil Setback Line from .— r Rear I✓ I Alteration I I Moving 'O�� No.of Renm! C� Addition Stories . -_...- _ . . � ��`�'. . Covering S�UGCO ��Covering IGoGlL f]PPROVAri�' Use of Ne / Foundation Location Inspecto Building�Ip�9�,� r/}y(7/(�f%�GL�(.(.,/�liCy Forms,Materials� ,Q-- Under-Pinning /._ G Frame: Fire Stops, Bracing, Bolts I hereby acknowleilge that I have read this Application and state tha2 the above is correct and agree to mmply Lath. Int. with all Clty Ordinances and State Laws regulating building COnstivCtion. Lath. Ext. Signatureof j� ' � - Permittee �LJ � ) � " Plaster, Int Authorized Agt. �'/`s+,ct�p ��///[{�J /ti;� % plaster. Ext. Valuatlon PeltJrnit Fee $� z, Oa Masonry RE �y �y �/ , 0 O Plan Check $ % / � Od Bond Beam $ 0 / d �� Total Fee $ 3 3 ..�Q FINAL liM 204 10�$3 D. V. Q S. �' '/`. ^'i ! i �'1. 1/�� r Street PLOT PLAN Show Iocation � and distancea irom property Ilne and between bulldinga '., ' ♦ . i �. ._' -) �. �'�1 -V !. ' _. � _. . � � COSTA .=. .;:.� Af z3 7 P�55��i�+E�� ,,5,v�� t a;it-3 ti.�(i .: , ; . , �+. . { `; � . 1 _ -�t _ . . �... 1 , ' � -1' i ! � , i; -_ .....�: . .: � r 1.,'�"�i7, ...`i :_`'�r�.."lt !; `;.. ..._ . � 1 9 \ S � ♦ ` - r J , .. � : .� � ,^• . -;-. ..- . , . . �-�� .., i, . _' _ ' t'�:,, 1 '' i ��. , ... . :1 � .. .. i'� � .. . �' ��.. •. . � -, � � � � J .. . 1 . „' _ . . \ i - � � -� � . � + - - ' �� . _- - . ��, , _ , � . �\ . • . ' _.i .. �` ' , :> _ ' '.,'..-� ' :: . _ \ • _ ' . . .....��':I i,\�. , i,,,,. _'�i i� . . . ., � - �� , . -• , . , '� . !'� f') � . > GENERAL CONTRACTOR FIRE `LONE VALUE $ }� UC Date GAOUP I TYPE V SUBCONTRACTOR I Date �z� Final , �. ! " �� ; . 26398 :� COSTA AAESA BUILDING-SAFETY DEPARTMENT ' . V.O. BOX 72M COSTA MESA, CALIFORNIA Y2E2E _- For AppllcorH,''ro Fill In ComplNsly ' - �TYPE OR PRINT � � aui�o�no : /$ ., (°.. �tc M, vc ADDRHDD � , . �� COSTA MESA. CALIFORNIA , � � USE OR ' EXIBTIN6 BLD6. �. O�� I M �. . � B6TpACR LIN6IROY � � '�' ' 'cerrren o� ernesr - R6AR YM .? / CID YAR LlFr � /� RIO!(T' �I � � � bescwwnoN oF� wowc. NEW ALT6RATION ADDITION REPAIR MOVINO DHMOLI H Bl11LDIN0 �/ /_„ � y NO.OP � ._ � I X6R6sY ACRNOWLQtlO[ 7XAT.1 XAV6 wno er�n nur na �sov� �e eortqi PLY WITX A�L CITY OR��f! AR10 i DUILCINO CONBTRUC}IOM. 11 NUV23-66 001056# *��*Z�•�0 ArPLICATION FOR PERMR BUILDING For Offity Un Only ncc�i'r Ho. �� z3 zon� , xo. or y u�s o� n�xr - ---F� � .ux. �/ � .uao�xa l - ```��,��/��/ � tao�� .� � � �f D�DCIIIRION' � .// A. P. NO. //✓ =.'S 3�—. j� NM6: NO EAVB OVBRFIANO BHALL BB LE88 TNAN 80' TO SID6 Q REAR P. L'- . ' � . EAVEe ALLOWHD. � fU.B.C.REQUIREMHNTI ' YARDfMPROVlD YAPDHAPPROV6D MAIN BUILDINO AGC6880RY BUILDIN6 �� VM.AC �I'a.7-�% I DAT6 r� � L / DATQ � b a . � � i. Fr. � " '/XOWN UMDlIi VALUATION �e POp TX8 �' � terweuen�no•w P6RMIT R68 ONLY. w PHRMIT F86 ' " � � . _ PLAN GHECK- i� �_ w