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Home My WebLink About919 DARRELL ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us � MECHANICAL PERMIT �ob nddress: 919 DARRELL ST Suite No ��ry: Parcel Number: 42235310 Applicant: BRIAN SIMKO Address: 1953 FEDERAL.A` Owner. . BEftGEVIN, <�a +q eM � �� ;;.: '�,!�,' �, ��**� �", � � ., � � �. �, �a i i rnin vrn. ,.... �.. �.�w �......�..�.- ISSUED BY: � .1 F:. _. . .r�.e� ,�,1. �.M1x ��e S�. Y •�.� .u, �, „ g $ ,�� Phone��949- 548 5�665� .; � � ,a �� . �,�. Zip , 92627 ,,: �;<-u Y. :. r '+'� , �*? ' ' �,s . ,2, , n ��;3„ i. .. w �. «:., '��, � i, .'�g r ;a 3ETH + � + + w�_ �.r .��_ �1�,.� �- . � �'--,. �� e � v-:'�,�.� � .4>, d> C� ;z � •i`�^ �" -`Y �+�:;' ,- Phone: 858349-6284 »y •_ � � � � --- MESA CA�*�� , � Zip: 92627-3315 � � � �� ,,,,�"y �;. � : , x: � MP:HEATING AND AIR CONDITIONWG � �� '�� ., � DERAL AV �� "`m "�^ �; �'� � ' Phone� 949- 548-5665 �e�4�', � , �` �� MESA CA ' Zip 92627 ,' ; � z �, z � , .� � f �.s%�'�', " License 708775 '^ � � � ��' ��g y�. � "� , -+,✓i'. fi" �9'�x;�� . .... , . _ . �-5#"A ... .,.. _ u�n,a.., �,' — _- Status: ISSUED Apptied�. 12I14I2005 Issued: 12/14/2005 � � `� r� � FEE SUMMARY �=��e�� _ � :�. �qa.� r =�sw �Y u�� a�y' , -s,,� QUdf1�l s x azs �«. s�.a -::-, �- �� $2350 �..� r .Repairl IOkBTU �' ��'��.� �>$1480� 1 � � . �.�:Repav/ 70kBTU�,� ' � � N � $0,00•,• 0 ,,, ;' ,,,, ;, ,__._.Ventillati Qooling/Heat �-- �'�"$13:70 1 � Evapora ecessWallHfr:%�'�:�-:$000 0 �• � Commei 100 k BTU$'sE��:_ .a -5,'�,�;-$0.00 0 , �' ;%-. °� �^�-Domesti '.' , , .A .-., 100kBTU,i�=S �.".=$000.._�_.. ..� �..,,. �:._..�«ia'__C°moi.� $moke Damj Inst or Reloc Air Handlers� Air Handlers' FloorFurnac Kloor or Sus� . O-.. 0 0 0' Q 0 0 0 0.: � au uu y�u ,"$0 00 �� * �"'� � SO 00 .,,. ,� � :'�:.., v°;s y;n. `�O" <, -�• �,. �` .�*- � b `�� y� ,,.....a_ ',�-, 0 � Up to 3 hp /;100 k BN .- •+ � 3 To 15 hp / 500 k BTU 1570 30 hp / 1,000 k BTU 30 To 50 hp F1,750 k BTU '� Over 50 hp�/.Over 1,750 BTU , A:, ,.,:,� hp hp i � ��" $o 0o u a �' � `'- $0.00'. ":%0 �. �'� 'u� � $0�00�-;r 0 � �� $000• = 0 q � _. fr$ 9p'r2� . �„ . .�ry[i� �S'.,WOQO � � H �SY i y ��,.'' r$000 f0 � � �.^'r $0 00 � ��0 , ��r. - $000:`�:0 �-''" s�=-':t = $O.00--r� 0 � :r �. ', �-s �< �.$0:00 .� K. < .�;$0.00 '� , �,..-$0.00 � .::- '� ... _D FEES � ��552.00 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap accass requirements under California statutes and related regulatione. (Ord.'No. 92•28, § 1, 12-21-92) . EXPIRATION: This parmit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must compry with all applicable codes, and all required Inspectlona and flnal epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR {NSPECTtONS CALL: (714) 7545626 WORKERS' COMPENSATION DECLARA710N: . ' � . '' � I �ereby ettirm under penelty oi perjury one of the tollowing tleclarations: , ,� � �� ' ' ❑� I have antl�will maintain e certificate oi consent to seN-Insure foi workers' compensetion; es providea tor by section 3700 ot the Labor Coda, for ihe �perfortnence of the work for which this permit is issued. '• -�� - �❑ 1 have end will meintain workers' compensation insurance, as required by section 3700 of ihe Lehor Code, for ihe pedortnance of the work tor which Ihis pefmit is issuetl. My workers' wmpensation Insurance carner antl policy number ere: -� � - . Carner: �� PoliCyNumber: ' (Ihis secn'on need not be campleted il fhe Oermit is valued ef one hundred dollers ($t00J or less.) � .. .. .. .. .. .. ..... , certify that in ihe peAor � ro a work lor � is permit is issued, I shall not employ any person in any manner so as to tiecome subjecl to the workers' compensetion lay�s.ofLalifomia d agr � e i I should become subject to the workers' compensatlon provislons ot Sectlon 3700 of the Lebor Code, I shell forthwith ithth prs�e o i�� p�gna[ure: D�� y/a.� WARNING FAILURE T ECURE ORKERS' CAM SATION COVERAGE IS UNL4WFUL AND SHALL SUBIECT AN EMPLOVER TO CPIMINAL PENALTI ND CIVIL FlNES UP TO ONE HUNDRE� TI/OUSAND DOILARE (StOD,000), IN ADDITIIXJ TO THE C0.ST OF CAMFENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3)O60F THE LABOR CODE, IMEREST, AND ATTOqNEPS FEES. LICENSED CONTRACTORS DECLARATION: - - , I heraby,aHirtn�theY.l'eiii licen� _untle;�,Rroyj�o�i f� (commencing with Section 7000) of E ,� "'i ; and my licensa is in tull CONSTRUCTION LENDING AGENCV: ❑ I hereby aflirtn Ihat there is a construc�ion lentling agency for Ihe pedormance of ��e work for which this permit is issued. (Sec. 3097, Civil Cotle). Lender's Neme: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aflirtn thet under penalty oi perjury thet I am E%EMPT FROM THE CONTRAC70RS LICENSE LAW tor the following reason (Sec. 7037.5, Business and Protessions Cotle: Any city or county which requires a permit to consiruct, alter, improve, demolish, or repair any structure, pnor lo its issuance, elso requires the applicant for such pertnit to file a signetl statemem ihat ha or she is licensetl pursuant to ihe provisions of the Contractors Ucense Law (Chapter 9(commencing wlth Section 7000) of Divislon 3 of Ihe Business end Pmfessions Code) or thet he or she Is exempt Iherefrom and the basis tor the alleged e:emption. Any violetion oi Section 7031.5 by eny epplicant for e pertnit subjecis the epplicant to a civil penelty ot not more than tive huntlretl dollars ($500).): ❑ I, es owner of the properry, or my employees with weges as their sole compensation, WILL DO 7HE WORK, end the siructure is not intentletl or otteretl for sale (Sec. 704d, Business and Professions Code: The Contractore License Law does not apply to an owner of property who builds or improves t�ereon, and who does such work himself or hersaN or through his or her own employaes, provitled ihat such improvements are not intenaetl or offered tor sale. N, however, ihe bullding or improvement is sold within one year of completion, iha owner-builder will have the burden of proving ihat he or she did not builtl or improve for purpose of sale.). • ❑ I, as owner of the properry, am EXCLUSIVELV CONTRACTING WI7H LICENSED CONTRACTORS ro wnsimct the project (Sec. 7044, Business ana Professions Code: The conirectors License Ww does not apply to en owner of pmpeny who builtls or Improves ihereon, and who contrecis tor such project wi[h a contrector(s) license pursuant to the Contractors license Lews.). ❑ I am exempt untler sec. Busineu end Pro(essions Coda for this reason: Signature: Date: Owner ID ventietl Dy tlnvefs license. ❑ Ves ❑ No Drivar's Licensa No. Eapires: Verificatian af Ownership by (rype af document, i.e. - property tex bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATON: � I here�y cenify that no excavetion tive (5) or more feet in tlepth in�o which a person Is �equired to descend, will be made in connedion with work authonzed by this permit, and that no building swcWre, scaHolding, lalsework, or demoli�ion or tlismantling ihereof, will be more than thitly-six (36) fee� high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle e, California Administrative Code). ❑ As ownerbuiltler, I will not employ anyone to do work which would require a permit from the Division of Industnal Safery, es noted ahove, unless such person has a permit to do such work from the division. Signature: Date: Division ot Indusirial Setety Permit Num6er: CERTFlCATE OF COMPLIANCE AND AIJT}iORIZA710N OF ENTAY: 1 certify under penalry of perjury ihat I have read Ihis application and state ihat the infortnation given is wrrect I agree to wmply with ell state laws antl ciry ordinances relating to building construction, antl authodze representatives ot the Ciry ot Cwta Mesa to enter upon the ebove-tlescribed pwperty for inspection puryoses. I agree not to occupy or allow occupancy of any building authorized by ihis permit un�il finel inspection. CODE Y, .INSPECTIONTYPE , 'PATE � , IMRIALS 1616 Fixed System Final Fira Prevention 1266 , Pool Spa Finel � , . , 200 Final Re-Root �201 � � Finel BIaWRetaining Wall • , 202 Final Fectory Fire Place - � � � ' ' � 203 Finel Sign 204 - ' Final Demoli�ion ' ' -' " ' ' COOE� INSPECTIONTYPE � � 206 Final Mechanical . ' �� ,�� . . 208 ..Final Plumbing , , � 210 Final Electncel � � , 272 Final Fire Preventian �220 " Final�Planning Approval 222 Final Site ' 250- '' Final Building/Occupancy • y��' � ::.�:v i ' '�, : (714) 754-5273 • Fax (714) 754-4856 �ob Address: 919 DARRELL ST Suite No Vicinity: Parcel Nunmber: 42235310 npplicant: ROCKY KE i Address: 2737 S CRODD �` � `Jr ( `� �. ��( �.� j � �� t i j�i � � '� � i �Arch / Eng :I v �i� � �� Address: �� (Y� 1 1 i 1 �� '1�,� � �� ` ISSUE FEE�� t Backflow irrigation �' i Backflow Pieventer �'� Bathtub Clanfier Syst\ � `,�, , Connect Qce,Soda,etc)� Dental UnRs � 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 ) CITY OF COSTA MESA - BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT. PERMIT PLUMBING PERMIT 0 PERMIT NUMBER � P00-00239 77 FAIR DRIVE, COSTA MESA, CA 92626 � ISSUED BY: Status: ISSUED Applied: 05/09/2000 Issued: OS/09/2000 " �`�..��= c� Y '. '',G � - 1``,� ��. MPy� i'� `�l 1 I J� r�(J� ��. (\ � � Phone^(714)241-1414/�/J� . / /J ��`� 4 \L./�` • �Zip:= 92704 ��" +�J(�. tr� %��',� ) ` C��';,,r-��-"�`'�� ,' �,, �\' � ///_./__"� �✓ �h\ � i j , �EWART'A TR �\�J � ,,�� , �� >T � � '�' \ ,. Phone: �'�A \��', � CA Zip;�? 92627 - . , .� jf �\ � ,`� i HEQTI� �',;, `Phone: (714) 24 Zip: 92704 License: 529127 � � � �� ONDITIONING( ; �� l � ` �-iata-�� ., ._ , `v' ��y n ' nz,�' �'(� �(rk; �I�a�'.yr' U'�'�(I�YUCJ��V/�U �1��\l�1f� l� _ _ __- _--- =Phone: -� -`'=_ __ �� - --� � . ___- �__ �__ � i � _ I_. SCOPE OF PERMIT I OUT E' ISTING WATER HTR WITH NEW WATER.HTR.r- � "`'^� �' - ��5� -• 'FEESjr�U�MMARY QTiY ' r �RlE`.��t'i'+"l! � .J�r?`�,�AMT QTY ��I Laundry:Tub'/ Washer� �^ r$0:00�, . 0 0'� - � Landscape�Irrigatiori��J�c$O.00i�. 0-� s ',t .i ,�\�\�j /-\ '',�� ,��ti,}, � � ,�,�,� �� `�; �� , � � �4 �� 1,�.-. �`ti ,�� ,�. �,�. , . _ ,., f� , � �{ �..T � ,��sump�rump ; �-yu.Uo � + -Swimming Pool i ;" ,'; $0.00 , r'� -- f Trap,Pnmer � � � $0 00 �-�'"5 Unnal �/� � �7� $0.00 � l/% Vacuum Brkr Bkflow(1=4)- $0.00 $000�'.-0 \��Recepto�s�� u �,��°� $OOO��u�O�/�VacuumBrkrBkflow(61) $0.00 $0.00/�0� - �� SepticTank��''� �� ' $000 %0� � Wash�Basin �� $0.00 ., $0.00�� Or�� r�SewerCap`�for.D'emo�-}:�S$0;00� � 0 ��N%asfi Basin Set�/ $0.00 $0:00 0<� � �Sewer Conn'ect' �--- '" "$0.00 0 �`\ Waste and.Vent System $0.00 $0.00�0�-1,f��Sewer,Private.Line $000� 0 �� WaterCloset(Toilet) $0.00 $0.00�0� �Shower 1 ; 'I ! � ,'�1 '�`� .t . � - -� r I$0.00 � 0„� Watei Heater / vent $12.30 $0.00 �.0 -+-`= Sink, bai t-i � ' � �'' S $0_00,_�-0 J �J.Water Piping (Inst or Rep.) $0.00 �.. �...7�,*-. ��. _ � y� 4= /'�� $0.00 0'�`��-Sink, commeraal $0.00 0-:�f=%-' Water Re-pipe $0.00 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 . Sink;Floor�,:_;- -$O.00y�O�%` WaterService $0.00 Sink,-kitclien''�t-� v��$0.00��-' 0 Water Softener $0.00 Sink, service/mop ' $0.00 0 OTHER $0.00 Spa (private) $0.00 0 . VIOLATION $0.00 Spa (public) $0.00 0 PLAN CHECK $0.00 REINSPECTION $0.00 COMMENTS / SPECIAL CONDITIONS TOTAL CALCULATED FEES: E35.80 QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 C NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements undar California statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become void if work is not�commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. , INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inepeetlona and final approval must ba obtained. Feilure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECLARATION: - I hereby,aitlrm under penalry oi perjury one ot the following tledarations: � " � � ❑ 1 have antl will meintain a certiticate of consent to self-Insure for workers' compensation, as providetl for by section 3700 of the Labor Cotle, for the peAormance of ihe work for which �his permit Is issued. . � �I have antl will maintain workers' compensation insurance, as requiretl by section 3700 of Ne Labor Code, for Ihe pertortnance of the work for which this permit Is issuetl. My workers' compensation Insuranca carner and policy number are: , Cerrier: VV�i� r.t�nT�n�-J �-NS. Gi�+�nry„�„� PolicyNumber: NO �O�Q f($Dq (This secfion need nof be comp/efed '/ lhe permit is valued a one hun red dollars ($100) ar less.) ' ' � � ❑ I certify that in tha pertormance of the work tor which this permit is issued, I shall not employ any person in any manner so as to become subjed lo the workere' ' compensation laws ot Califomie, end egree thet if I should become subject to the workers' compensation provisions of Section 3700 of Ihe Lebor Code, I shall forthwith comply with ihese provisions. Applicant Signature: Date: WARNING: FAILURE TO SECURE WORKERS' CAMPENSATION CAVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE ($100,000), IN ADDITION TO THE CAST OF CAMPENSATION, DAMAGES AS PROVIDED FOR M SECTION 3]O60F THE LABOR CODE, INrEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business and Pmfessions Cotle, and my license is in full torce and eflect. Lic. a— _r�l %-R�- —1 Z7 Class # C-�(� Contrector's Signawre: . L� IC�. m Date: -S- `�" Oa CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirm that there is a constmction lending agency Por the peAormance ot Ihe work tor which Ihis permit is issuetl. (Sec. 3097, Civil Code). Lender's Name: Lendefs Atltlress: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby eHirm that under penalry of perjury that I am EXEMPT FROM THE CONTRAC70RS LICENSE LAW for tha following reason (Sec. 7031.5, Business and Professions Code: Any ciry or counry which requires a permit to construct, alter, improve, demolish, or repair any sirucWre, prior to its issuance, also requires the epplicaN for such permit to tile e signed statement ihat ha or she is licensed pursuam ro the pmvisions of Ihe Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of ihe Business antl Professions Cotle) or that he or she is exempt therefrom antl �he basis for ihe alleged ezemption. Any violation of Section 703t5 by eny applicant for a permit sub�ecis the epplicant to e civil penalry of not more then tive hundretl tlollars ($500).): ❑ I, as owner of the property, or my employees with wages as lheir sole compensetion, WILL DO THE WORK, entl the simcture is not intended or ottered for sale (Sec. 7044, Business and Protessions Code: The Comrectors License Law tloes not appty to an owner of property who builds or improves ihereon, and who does such work himself or herself or ihrough his or her own employees, provided Ihat such improvements are not intendetl or ottered for sale. It, however, the builtling or impmvement is sold within one year of completion, ihe ownerbuilder will have Ihe burden of proving ihat he or s�e tlitl not builtl or improve for purposa ot sale.). ❑ I, as owner of ihe property, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct the project (Sec. 7044, Business and Professians Code: The coniracbrs License Lew does not apply to an owner of property who builds or improves Ihereon, end who contrects tor such prolect with a coniractor(s) license pursuant to Ihe Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Cotle for ihis reason: Siqnature: Date: Owner ID verified by driver's license. ❑ Yes ❑ No Dnvers License No. Verification of Ownership by (type of document, i.e. - property taz bill or tleetl): DIVISION OF INDUS7RIAL SAFETY PERMI7 CER7IFICA710N: Expires: ❑ I hereby ceriify ihat no excavation five (5) or more faet in depih into which a person is requiretl to tlescend, will be matle in connection wi�h work authorized by this permit, and that no building stmcNre, scaftolding, falsework, or tlemolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, An 2, Sec. 341, Ttle 8, Celitornia Administrative Code). ❑ As owner-builtler, I wiil not employ enyone to do work which would require a permit from the Division of Industnal Safery, as noted ebove, unless such person has a permit ta do such wark from Ihe division. . Signawre: Date: Division of Induslnal Safety Permit Numbar: CERTIFlCATE OP COMPLIANCE AND AUiHORVA710N OF ENTRV: I certify under penalry of perjury that I �ave read this application and state ihat Ihe infortnation given is correct. I agree to comply with all state laws and ciry ordinancas relating to building construdion, and authorize representatives of ihe City of Cosia Mesa to enter upon ihe above-descnbed property for inspection Durpases. I agree no� �o occupy or allow occupancy of eny building authorizetl by this parmit until final inspection. COpE Y, INSPELTIONTVPE ' 1616 ' Fixetl System Final Fire Prevention 12fi6 Pool Spa Final 200 Final Re-Roof' 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 Flnal Sign . 204 Final Demolition 2446d6 QAIf. INTITIALS Date .s_ c, � on Date 0 1' INSPECiIONTYPE 206 Final Mechenical 208 Final Plumbing 210 Final Electncal 212 Final Flre Prevention 220 Final Planning Approval 222 Final Site 250 Final BuildincyOccupancy �' 1_ IW' i . % • Ii.� / (714) 754-5273 • Fa�c (�14) 754-4856 JobAddress: 979 DARRELLST Suite No CITY OF COSTA MESA BUILDIN6 DIVIS/ON DEVELOPMENT SERVICES DEPARTMENT PERMIT Vicinity: INATTIC . Parcel Nunmber: 42235310 PLUMBING PERMIT .. ..". r'--'Y'y-�^',.'"_--._, PERMIT NUMBER P00-00267 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 05/22/2000 Issued: 05/22/2000 � � �" =, �" _ - f 1-`t � �� r• Applicanr. FALCON, RUDY.�,� � � ,-r!r� ,;�„ Address: 7675 SUPERIOR�AV �� , � � � �� Phone:�(714) 548-5558��%�� \ COSTA��MESA, CA�^� �Zip_-92627_ �1J (�� rr f- � r\.�\,��\ /r \� � �� =�=`'�-"'s-_`�\\�`�> �� \ �� \�i /�T �~�t'\`. �.�� ,_. � Owner.:� ALLISON, STEWART�A TR ��V� %�i - `��. � ��r / � , ��,��--r . < . i � > /Address \�919 DARRECL'ST.�% �.��`�� . � / 1/tif , /,� Phone: \1`�:' . � COSTA�ESA,CA �� /r,'� ISSUE�\\\`� n_\ Backflow irrigation ` ^ Backflow Preventer l'� Bathtub �� Clarifier System�., , Connect Qce,Soda etc) Dental Units \�n� Dishwasher \\ Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Ezpansion Tank Gas Earthquake Valve Gas (1-4 outlets) - Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) $0.00 $0.00 $0.00 $6.15 $0.00 $0.00 $0.00 $0.00 $0.00 Zfp�� 92627 � �ti: -91� �>._ . ,��_�, ___ . = Pfione: (714) 548-5`. Zip: 92627 License: 385443 ,' � - _�y; � �� .�1 � ; ��i, -`_�^�.�``,�i . �.x��__---_.�.,.. �� ;�,1t�fi� St��s� ��;"�a�j/{��t > ��j��;��; �� '�l`` �vs (f'�d'�khtitJlJ�O �l-llatii�u`l: _ ___.___-.._' Phone: � ..___. =_.--� = `��_f- _ I SCOP RMIT FOR PARTIAL REPIPE ( � i:se "' 'FEE arr ..�, r Ft("S'� � � Laundry�Tub / W 0 1 � � Landscape'trrigz �0 �,r�: ;?c7iF�Tiap; �^� .. .,.. .:�. ,"""" �'_'�''1 � • f � : ;; QT' i 0 ,pSui 0-. . .. .. Sw �� 0 �"--;\�;Re`ceptors`� c � '��.,��" $0.00�{0:0-�,. �� -�- �,0�.,. � ��SephcTank �� o��$O.00�.,r-0.--��-' ,� 0 �� §ew`er.Cap.forD'emor'`-'�'=-$0:00�==0� V Oc, f� j�SewerConnect -- =-$0.00 0�-' �0'�.!�� SewerF�ivate'Line� __�$0;00'-'0�� .0.,, ��jShow`er � ,� i i � � : �-� I $0.00 �`.-•� l-%J �..0_�� Sink,ba�,t.-'i.�!� ,�=�$0:00��_-Q...r . 0\`�"� _Sink, commeraal � $0.00 0 � /� 0 1 0 0 0 0 0 Sink, service/mop' �`-'- �$0.00 0 Spa (privafe) , $0.00 0 Spa (public) $0.00 0 COMMENTS I SPECIAL CONDITIONS %' ''. Wate} Neater / vent Nlater Piping Qns[ or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION $0.00 '' $0.00 i' $0.00 ,� i0.00 30.00 i0.00 $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: SY9.65 6 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 n NOTICE: The work authorizad by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 9246, § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become void if work is no4commenced within 180 days, or it work is suspended or abandoned for a period of 180 days. INSPEC710NS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all raqulred inepectione and final epproval must be obtained. Failure to obtain inspections and (inal approval will result in lhe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSAnON DECLARATON: � � I hereby attirm under penalry oi perjury one oi the following tleclarations: � � ❑� 1 have and will maintain a ceniticata of consent m seli-Insure for workers' compensation, as provitletl tor by section 3700 ot ihe Labor Code, for the pertormance of the ,.., /work for which ihis permit is issued. . � . �. ,� , � have an0 will maintain workers' compensation insurance, as required by section 3700 of ihe Lahor Cotle, for the pertormance ol the work for which Ihis permit is issued. --�Mv workars' compensatiqU�sorans� wrner nd policy number are: . � 7[.: �:� %Po�i�YN�mbei: --•�n w va 2��Ts�-23��v permit is velued af one hundred dollers ($100) or less.) L_- - ❑ I cenity ihat in the peAormance of the work for which this permit is issued, I shall not employ any person in eny manner so as lo become subject to the workers' compensation laws of Califomia, and egree Ihet if I should become subject to the workere' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply h �'1 Applicant�Signature:---- _ ` Date: _ �'n[ � —C.2.) '�WARNINCirFAILUHETO SECURE. WOFKERS' COMPENSATION CAVERAGE IS UNLAW FUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TMOUSAND DOLLARE ($100,000), IN A�DITION TO THE WST OF CAMPENSATIIXJ, �AMAGES AS PROVIDED FOF IN SECTION 3]O60F THE LABOR CODE, INrEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm ihal.l am_licenys ,d under rovisions of Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business an Projgssions Cotle, antl my license is in full �orce antl eHect� Lic. N 7`�. S �/i �� H i Gass�� '"S:o CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirm that there is a consiruction lending agency for ihe performance oi the work tor which ihis pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: � SignaNre: Da�e: OWNER•BUILDER DECLARATIONS: � I hereby affirm ihat under penalry ot perjury Ihat I am EXEMPT FROM TME CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any ciry or counry which requires a permit to construct, alter, improve, demolish, or repair any siructure, prior to its issuance, also requires ihe applicant for such permit to file a signed stetement that he or she is licensad pursuant to the provisions of ihe Coniractors License Law (Chapter 9(commencing with Saction 7000) of Division 3 of Ihe Business and Professions Code) or ihat he or she is ezempt iheretrom antl the basis for the allegetl exemption. Any violation of Section 7031.5 by any appiicant for a permit sublecis the applicant to e civil penalty ol not more ihan five hundred dollars ($500).�: ❑ I, as ownar of Ihe property, or my employees with wages as iheir sole compensetion, WILL DO THE WORK, and tha sWCWre is not intendetl or oNered for sale (Sec. 7044, Business antl Protessions Cotle: The Contractors License Law does not apply to an owner of pmperty w�o builds or impmves thereon, and who tloes such work himsalf or herself or through his or her own employees, provided ihat such improvemenis are not intendad or oHered for sale. If, however. ihe builtling or improvemant is sold within one year of completion, the owner-builder will have �he burden of proving Ihat he or sha did not build or improve for purpose of sale.). ❑ I, as owner ot ihe property, am E%CLUSIVELV CONTRACTING WITM LICENSED CONTRACTORS lo consiruct ihe proiecl (Sec. 7044, Business and Protessions Code: The contractors License Law does not apply to an owner of propeM who bulltls or improves �hereon, and who contracis for such project with a contractor(s) license pursuant to ihe Coniractors License Laws.). ❑ I am exempt under sea Business end Professions Code for this reason: Signeture: Date: Owner ID veritied by driver's license. ❑ Ves ❑ No Dnvers License No. Expires: Ventication of Ownership by (type of document, i.e. - property tau Dill �or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby cetlify Ihat no ezcavation tive (5) or more feet in tlepih into which a person is required to descend, will be made in connection with work authorized by ihis permit, and that no building simcture, scattolding, falsework, or tlemolition or tlismantling thereof, will be more than thirry-six (36) feet high (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Califomia Atlministretive Code). , ❑ As ownervbuiltler, I will not employ anyone to do work which would require a permi� from tha Division of Intlustrial Satery, as notetl above, unless such person has a permit to da such work from ihe division. � Signature: Date: Division oi Intlustrial Satery Permit Number: CERTIFICATE OF COMPLIANCE AND AUTHORIZATON OF ENTRV: I certi(y under penalty of perjury ihat I have read ihis application and stata that ihe information given,is mrrect. I agree to comply with all state laws and ciry ordinances relating �o builtling constmction, end eNhorize representativas of the Ciry ot Costa Mesa to enter upon ihe above-descnbed property tor inspection purposes. I e9ree not to occupy or allow cccupancy of any 6uilding authorized by t�is permit until final inspection. QOOE�. INSVECTIONTYPE ' 1616 Flzetl Sysiem Final Fire Prevention 1266 200 Pool Spa Final Final Re-Roof � 201 Final Blak/Re�aining Wall � 202 Final Feclory Fire Place 203 Final Sign 204 Final Demolition 2aa6<6 , j�jfi . . INTRIALS . —� `L � c� U COOE1 INSPECTIONTYFE - 206 Final Mechanical 208 Final Plumbing 210 Final Electncal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy QR� INTRAL ��L � �o� F 4 � 0 > _ r J �y� �ye' .iaroamco ��ia��sa-s2�s • Fax(714)754-4856 Job Address: Suite No Vicinity: 919 DARRELL ST REAR OF HOUSE Parcel Nunmber: 42235310 CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT ELECTRICAL PERMIT � NUMBER E99-01016 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: I SS U E D Applied: 10/28/1999 Issued: 10/28/1999 Applicant JOE GRECO _ - -- - Address: 2312 ANTA ANA #L _ - - �' � � � � "f � ''� = ,-, "._ _ __• - � . � ".� .' .. � �Phone: 949-6313238 , COSTAMESA,CA� '1�� Zip: 92627� � - � _- ,�i�'�i" � 1 � �'� , � :l� , _ . �� /i/"/�� . ' a " � � .�� ownec 'ALLISON, STEWART-A TR � � - ' � � =c� ' � , ., Address i��919�DARRELLST � � � '-�� i // �/ � "/i i r � �,i��/ V/� c-.r' � Phone: � ,�: ' - �_� �� i.� COSTA MESA; CA Zip: 92627 ,- , ��\ , vi �, A!/��t-�/ -, i" -. ; . / - � : ii. �'�. �ii� � C_. . .�y/ ,'� � � ` . �, �Contractor� ,',�;i Address: i '( �; ' �.. 1 , ,'; t": ' C � ' �,��i �, _ � ", ^ ,i �r, �� ii�{, � - .f<< VIRE ELECTRIC •% NTA ANA #L Phon'e:?�949-6313238 � .... � \ MESA,CA Zip:,_92627_, I � " � r r� ��nse: 573707 �:'� � � ,�\a1a �: - - � '` r /r. r - - _ . . �: ��-�; .- - . � t .,...,..,�%` ,. . - . SCOPE OF PERMIT � '� �� ,R � UPGRADE EXISTING50 AMP ELECTRICAL SERVICE TO NEW 200 AMP ELECTRICAL METER. �� 1 � .. � - �." �--. �.,.f� _� -�- , r p ^'- c, , - - . �- �., , • . Y � i , ' -- �. _ .._, .... � ' - - --FEE SUMMARY. � h �r', � - -� � - 4, _ . . ' ' �; \` QuantitY „�., . N`. i � `�ISSUE FEE . �,;:; ,�-� $23.50 . ! � � '�.i��(t-��.. �, r, Temp,Dist�System % Lighting,,, � L,Tempservice�te;t„ , $0.00 - _ _ - � - �� Busway/100�ft� � - --• , ��Res� a/c acka e'•, - - - - - � - p g ,�� $0.00 � --� � � - =� Standing Section' New Res�(1=2 units) �,, , 50.00 0 Misc Electrical Equipment New Res�(3+units) �. �'�� . $0.00 � 0 Transformers up to 1 kva/kw Pool�/,Spa �� `\,w $0.00 " 0 ...............:up to-10 kva/kw . . Lighting'Fixts�, �� '�\,V�,� $0.00 � 0 p � � ....0 �to 50 kva/kw , ' -_- ............. ReceptOutlets,,.�� '. �`'�"„ $0.00 �. 0 ' � ..:..............upto700kva/kw Switcfies-:� '� � ��.��:` � �$0.00 , �'� 0 .,y,•, _ S, - `...:Ir.........over 100 kva/kw � \, Non Res�Appl � $0.00 0 '�'� �..' Low-Voltage Equipment Res Appl "`� ^�� $0 00 0 - ,, � � � Low�Volt Wiring System / Ckt Service to 200a� '� � $30 50� r 1 �; ' t � r.� � Misc. Conduit' �- Service to 1000a , �' $0.00� ` 0+�- - - � c � Misa Conductor �`• �+., • Service over 1000a�� ,- . $0.00= 0-_, -Cirws"( gen or ride) �� Motors to 1 hp �,` .: � � � 50.00 : <0.�� 'Circus (mech ride or lights) - Motors to 10hp -; � � " $OAO. �� 0 ��-� '. � � � Christmas Tree Stantl Motors to SOhp `�� -�> ��" $0.00 �', ' . 0 - � � Fireworks'Stand Motors to 100hp �, $0:00 . , � , 0 • � - Other Electrical Fee , Motars over 100hp �'. �$0.00 � r 0 , . Communication drops �'� $0.00. 0 � ... . � - Investigation Fee . , Sub panel to 200a $0.00 -� 0' - !. Plan Check Fee Pole Light Pkg $0,00 � - .- 0 � � . . ��.�Reinspection Fee � Sign Circuits $0.00 " ��,0 � � - . - - - Temp Pwr Pole $0.00 0 - - � ' + ;-' �TOTAL�CALCULATED FEES Intermed Pole $0.00 0 - - - ' - COMMENTS / SPECIAL CONDITIONS Quantity $0.00 0 $0.00 0 $0.00 0 � $0.00 0 $0.00 0 $0.00 0 1 $0.00 -0 • $0.00 .� 0� $0.00 0 � $0.00',' " 0 �,�$0.00, 0 � $0.00 0 $0.00 0 $0.00' 0� 50.00 0 $0.00 0 $0:00 0,' $0.00 $0.00 / $0.00 $0.00 554.00 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 1 BO days, or if work is suspended or abandoned for a period ot 180 days. •� .� . INSPEC710NS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all '� required Inspecliona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiretion of this permit. FOR INSPECTIONS CALL: (714) 7545626 _ , . WORKERS'COMPENSAnON DECLARAnON: . I hereby atiirm untler penalty of perjury one ot the lollowing tleclarations: ' . ❑ I heve antl will maintain a cenificate of consent to self-Insure tor workere' compensation, as provitled for by section 3700 oi ihe Labor Cotle, for the parformance oi iha work tor which this permit is issued. - ❑ I have and will maintain workare' compensation insurance, as requi�ed by section 3700 of the Labor Code, for tha pedortnance of Ihe work for which ihis permit is issued. My workers' compansation Insurance carner and policy number are: Cerrier: � Policy Number: �(T �s secrion neetl nat be complered i! fhe permit is valued et one hundred dollars ($700J or less J � I certify ihat in the performance of ihe work for which this permii is issued, 1 shall not employ any person in any manner so as to become subject to the workers' "compensation laws of California, and egree that if I shoultl become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall fonhwith comply with ihese provisions. /,,L/.�, �L7 �7y/+ �ApplicantSignaNra�� f / X/ ,' Date: '✓O'�U!` / WARNING FAILURE TO SEC WORKERS' COMPENSAiION COVERAGE IS UNL4WFUL AND SHALL SU&IECT AN EMPLOYER TO IMINAL PENALTIES AND QVIL FINES UP TO ONE HUNDRED TMOUSANDDOlL4RE($1 ,OW),INAODITIONTOTHECOSTOFCOMFENSATION,DAMAGESASPROVIDEDFORINSECTION3I060FTHELABORCODE,IDIrEREST,ANDATTORNEY'SFEES. LICENSED CONTRACTORS DECIARATION: I here6y aftirm that I am.licensedy n� pmvisi Cha ter ommencing with Section 7000) of �ivision 3 of ihe Business and ofessions Cotle, and my licanse is in full force and ettect. Lic q ��/ �� / � �Class # �� Con�rector's Signature� / ' Date: a� � r �� CONSTRUCTION LENDING AGENCV: ❑ I here6y attirm ihat there is a construction lentling agency for Ihe pertormance of ihe work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lenders Address: Signature: OWNER-BUILDER DECLARATIONS: Date: I hereby aHirm ihat under penalty of perjury that I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business and Professions Code: Any ciry or counry which requires a permit to consimct, alter, improve, demolish, or repair any sirucNre, prior to its issuance, also requires the applicant tor such permit to tila e signed statement that he or she is licensed pursuaN to the provisions of the Coniractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of ihe Business and Professions Code) or thet he or she is exempt Iherefrom and ihe basis for the allegetl exemption. Any violation oi Section 7031.5 by any applicam for a permit sublects the applicant to a civil penalry of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employaes with wages as their sole compensation, WILL DO THE WORK, end the slmcture is not intended or ofleretl for sale (Sec. 7044, eusiness and Professions Code: The Contractors License Law tloes not apply to en owner of property who builtls or improves ihereon, antl who does such work himself or herseN or through his or her own employees, providetl thai such improvements are not intended or oflered for sale. If, however, the building or imprevement is sold within one year of completion, ihe owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am E%CLUSIVELV CONTqACTING WITH UCENSED CONTRACTORS b constmct the project (Sec. 7044, Business and Pmfessions Code: The contracbrs License Law dces not apply to an owner ot propetly who builds or improves thereon, and who coniracts for such pmject with a contrador(5) licanse pursuant to the Comractors License Lews.j. ❑ I am exempt under sec. Business antl Protessions Code tor ihis reason: Signature: Date: Owner ID verified by drivers license. ❑ Ves ❑ No Drivers License No. Verification of Ownership by (type ot tlocument, i.e. - property tax bill or daetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Expires: ❑ I hereby cenify ihat no ezcavation tive (5) or more teet in depih into which a person is required to descend, will be matle in connection with work authorized by ihis permit, antl ihat no building s�rucWre, scattoltling, falsework, or demolition or dismamling thereoi, wiil Ge more than ihirty-six (36) faet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Ttle B, California Administretive Code). ❑ As owner-builder, I will not employ anyone �o do work which woultl require a permit from the Division of Indusirial Safery, as notetl above, unless such person has a pertni� to do such work irom ihe division. Signature: � Date: Division of Industrial Safery Permit Number: CERTIFICATE OF COMPLIANCE AND AUTHORVA710N OF ENTRY: I cenify under penally of perjury ihat I have reatl ihis applica�ion and state that the information given is correct I agree �o comply with all state laws and city ordinances reiating to building construction, and authorize representatives of ihe City of Costa Mesa to enter upon ihe above-descrihed property for inspedion purposes. I agree not to occupy or allow occupancy of any building authorized by this permit uNil final inspection. COpE y, INSPECTIONTVPE pAj� INTRIALS 1616 Fixetl System Final Fire Prevention 7266 Pool Spa Final - . 200 201 202 203 Final Re-Roof Final Block/Retaining Wall Final Fectory Fire Place Final Sign 204 Final Demolition 24A6-66 COOEX INSPECTIONflPE 206 Final Mechanical � 208 Final Plum6ing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning'Approval 222 Final Site � � 250 Final Building/Occupancy j1ATg INTRIALS / IPqOJECT FDOflESS: � OWNEfl'S NRME: .; nooRess:� AflCHIENGINEEB„ FDDPE55: PENMITfEE: IIDDPESS:�" UNIT: �N.M,. .. . _ . '. . _ ' 92627 � ':" PEG.NO.: CIg2SO �lINO. REAL . . "�T _ . CA 92677 .�_ a. ..:.. _,� 3 .COMPANY , , ,.,( 714 ) 996 5708 TRANO. CA 92672 `". "" ��CENSEO CONTBACTOP UECU1PI1710N: I hereby aliirm IhAt'I am licensed untler provisions ol Chapter 9(commencing wi�� $ec�ion 7000� ol �ivision 3 of Ihe Busmess antl Pmlessions Co�e;-and my IicenSe�iS m �ull lorce antl el�ecL — ^^^�� I wrr uc.: sraTe uc.: 6 6 0 0 4 4`' cuss: g Date: ' _Signature: - . s. .. WOflREflS' COMPENSpTION UECLABFTION: I �ereby alfirm Ihal I �ave a cetli�ica�e of consen� to sel4insure or a cerii�icate of Workeis 'Compensation Insurance. or a centlietl copY ��ereof (Section 380�. LaD. C�. POLICY NO.: ' E%P• ORTE: i COMPANV: " ❑ Cerlitie0 copy is Aereby Wmishe0 �� Cerlified,copy iStrleO w7U the clty Bulltling Division. yl �.� . Date: � ADPlicant� -� - E%EMPTIONFBOMWOPIIEBS'CDMPENSRTIONOECIAPPTION: (T�issedionneeUnotbecompleteDitihepermitisforonehunOre0�81W)arless� I cetlity lha� in ihe peAo�mance of �he work tor wh¢h Ihis permif is i5sue4 I shall not employ any person in any manner so as to become su�le�� o ihe orkers Compensa�ion Laws of Calitomia�/� Oate: ��'7'� � � Signamre;:S L � . Catle. y0u mu5i lotlhwi�h tomply � LONSTPUCTION LENOING RGENCV: I which Ihis permi� is i5suetl (Section 30! LENOEN: aooaess: ou shoulE Gecuine suUjed Io �he Workers' Compe�on pmvisions of �11ZaUor i pmvislons or this Dermi� shall �e tleemea revaked. . afiirm �ha't �here�is a canstmction IenOing agency for Ihe pedormance o� Ihe work �or" CI i" �' . I'' OWNEB BUILOEH OECIABATION: I �ere6y allirm �hat I am exempt iwm �he Contraciors' State License Law �or lhe follovnng reason (Seclian 7031.5 Businen ana Pro�essional Cotle: Any ci�y ol counry which requires a permit m constmc�, alter, improve, tlemolish, or repair any siructure, prior to its issuance, alm reauires ihe applicant far such permit to file a sipnetl statement that ne/she is IicenseA pursuant lo �he provisions of Ihe ConVatlors' S�a�e License Law (Chap�er 9(commencing wiN Sec�ion 7000) ot Division 3 of Ihe Business , ane Pmlessions CoDe) or Iha� he/she is e�empl Ihere�mm antl �he hasis for Ihe alleged eKemp[ion. Fny violation o� 5¢c�i0n 7031.5 hy any apphcan� �or a Oe�mil 5u01e��5 ihe applicant �o a civil penalry o� noi more t�an live huntlretl tlollars (5500�. i, as owner of Ihe propertY or my employees with wages as IAeir sole compensation,� will tlo the' work,.'anA ihe ❑ stmqure is nol intendetl ar olleretl for sale (Section 7044, Business anA Pmiessional Cotle: The Contractors' State License Law . tloes not aODly to an owner of a pmperty who builOs or impmves thereon, and who daes such work himself/herselt or ihwug� � his or her own emDloyees, pmvidea Ihai suc� impmvemenis are not intentletl or oflered lor sale. A, however �he builtling or impmvement is sold wiihin one year ol comple�ion. Ihe owner vnll have ��e burtlen o� pmving he/she Oia nol build or impmve �or �he purpase o� sale�. , '. I. as owner of Ihe propeRy. am exclusively contrac�ing wi�h Iicen5e0 conVactors to con5lmci the prole�� (Seation 7044, Business ❑ antl Professions Cotle: The Contracbrs' State License Law Ooes not apD�Y to an owner of pra0erty who builtls or improves �h¢reon � antl w�o coniracls for such pmlecls with a contractoqs) license pursuantlo Ihe Contractors' S�a�e license law�. I am aware � �hal pmof af �heir WOBer's Compensa�ion insurance 5hould he pmvided �o me. , � • , �. I am e�empt untler Section: B. 8 P. C. m� in�s �ea �� ate: Ownec I Co �ereby certify Iha� I am ware of an0 untlerSlanA Ihe reQuirements ot Caliiomia, ea Ih and Safeiy Code Seciions 255G , a 3, and 25534 antl Ihal I or any lulure huilaing occu0anl will/will na� (circle one) neetl �o comply wi�h saitl 5�aie cotles antl [he requiremenis ior a permii for conslmc�ion or modilica�ion irom �he Air Ouali�y Managemenl OistricL Fesitlential cons�mc�ion applications are eKempi �mm �Aese pmvisions. ' �ale. qpplicanl: I hereby cer�ity thal I have reatl ihi5 applicatian antl Sta�e �hat 1�¢ abOve informali0n is tOrreC�. I agree Io Compty wi�� ail tiry antl wUnry ortlinances antl sia�e laws relaiing �o �uilUing cons�mclion antl hereby author¢e represen�alives o� this ciry �o enter upon ��e above-men�ione0 pmperry �or ins0 ��ion purposes. ^I � . , Daie: Signamre'. C,[� od�ers Lice�se or Sodai Seadiy a� � �� 164L46 White—Builtling; Green-Cotle�Enbrcemem: Canary—Applicant; Pink—Revenue; Galdenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM'NO: B 06353 PERMIT NOd' B 063537"" . PLAN' CHECK N0:' 02764-93 'A''' ''" GOVT:'"N SUPPd N CONSTRUCTION TYPE:"'" " '""" `PERMIT'TYPE"e'STR'"" " '''" PURPOSE: ADD . JOB DESCRIPTION ;'267SF AESID'ADD','RELOCATfi"NASHER%DRYER 'SQ FT:_ 1,267' CLAIM VALUE: ' •'�20; 000': 00" 'CAI:C—VALUE: `" 20, 758. 00 " GROUP OCC.: R 3' �/ , ' COMMENTS• EXTEND FAMILY `ROOM' DINING ROOM ' '— " " ""' ' """"' [►'�j r' � a:.�+ � '-�� lfk�fitfkMMMkkifltk�kiFlFkMitifltltMiklfkiFif�kifitifikMitltltfflFMifififlflflFiflfifMlEkiflfklFfFlkif��lfiFlfkiplif iFit '," v" '�' `' "'� "' � Z O N I N G 'R E`Q U I R E M..E N�T� S EQUIIR�. ,_ .w ..,«, � �. . .�, .�S �E,fT..B A.C.K S . - � - --..R • .. . . . . "{: nn. Yr . 1 . 1'.. � .- ' - . � -r . ._ . . a . — — MAIN BUILDING -- --- ' —'=--- ACCESSORY BUILDING — — ,___ , �� "� FRNT s� FT , . IN' REAA , 23; FT .•, IN ,FRNT: , FT: IN , REAR. '• FT IN LfiFT _.� ;S� FT J. ,,, IN'RGHT ,z ; FT, �IN,�; ,-,LEFT: "FT" ,a� IN„"RGHT:,',, ' , FT' IN ' 'PARKING;REQ � 'PAOV � "'� `,- PARCEL: '92235310 ZNE• R1` '3REF"'NO "' ',� ; PLANNING NOTES_>, 267 SQ FT � ADDITION OF FAMILY.ROOM, AND DINING ROOM EXTENSION „ `.>. G";..0 � r_ • � fv"i'' %? :. . . . ***;�t*�t�t�tr�t�t�t�t��t�t�t�t*'****�t�t*x�t*�t*��t�r***�t*�tx�t**�t****�e�r�t�e�t*�r�t+t*x�t*�t*�tx*�t�k***�t�t**�t�e D E,�V ��E�L O jP; fN E�„N � T� S E•�R V I C E S�, R� E Q U I R; E M E N✓T S :' o..:-. �v.a...,....... �_ � .I' ...r._. ..... � ,.._..y. .1* r .-..._� ..., y_7 • .. .L. . .. ....... 1 . . . . ._ .. .._ :%, Lt � .,. . .. _ '"`' ,._.a � { ZONING APPROVED BY�'`,: r`�'. .�'��' `,:�• ' %�"`' ' ' DATEo '"� / -' .:�V.� .. ... . . .. _ t .. . � ..r .. �., r. BUILDING `APPROVED ,BY <e�' � -S ` , ' � iF� ' . '" „ �r� . .' DATEd` `rg l � �'"' ' :, � n �`J .. , ,•r { i':.�., - - .`-� ? ` . � < ' APPLICATION ISSUED .BY,;» �''� ` � 7 � � DATE;" '' '�"% �'/�� " ff�kif�flf�fftff,kMfklf�F�A1f1f1k1fM:iflt.k � �.. .., klFlflf1t1t1fiElf�f iFlf . . . . . � . , . ... . . . � itk�t�lFlfltifif,ltififiFifiFlfiFlF'itMkiFifkMlkltMifMifkiFitlFiEKfFfElFifklfkMkifif �tMMMMiF�F1F1E1FMkKiEkKkiFiEMiElFitiFif3F�f{f�Fit ,.. ; LEGAI;IZATION N,: � ��','"_ ,,," ';�� F �E "E' S= U M .M "A"R' Y ' " " STRUCTURAL"SEGMENT:Y � �� ,� ;,w..,_ ,.� . _. � ..,. � r. , ,. , N _ �__ _ , . , ; . - . � ` � HLDG PMT- PLUMBING:'.HLECTRIC'� MECHANIC' FIAE SMIP/R S?,, GRADING � PER!lIT., .' '.F,y�21r6 OO�L:3c� .. . ...,.�,. ..,1�. ,. ..;,. ;� _. .. Z.OBh ,. . c ` a.i :a,�.z:.,,... ,.;, t;,� ... ,......: ._.ir: h.. _ ...: �: _ .� .�� . . SNIP/NON. RES PLAN 35;'10` , Fy,, , _ �T , ISSUE FEE , . � . " ' � " .. �,BUILDING—DIV `>`�- PERMIT �"` ISSUE PLAN=CHECKcf' � " �TOTAL PAID � DUE TOTALS,�;—; > x,, :.: . 21:8.,08 �,.� 0.00., �, ., ?- 35,.10_'�, 253, 18 . 253. 18 .. 00 . . _ Y "F).• _ .f� � � T .�_ �''' ... . : "�RE�►ENUE`DIVISION TOTALS '>'"� COLLECTEDb Z18':08` OVER/SHORT'; C"J� .00 .'BLDG.PMT,PLUMBING ELECTRIC NECFIANIC "xFIRE SMIP/TOT GRADING PLAN—CHECK ,a�' �� n21,6.;;00 . � y_. ,.. _ . �, �. �.,,:; . -"" � _ .. __ , . 2. OB ' l','. " ." .a . - '.'�. '� . - .s�- .. '� .v ` - '. . ._ _ ..� ' . .x ., . .: . . if iF�k.�kit itif 1f if IflFif iF MiFit�f it 1f'ltif M1f 1t if �F3F �t 1f �tlFMfk 1F 1FikiFif�lf �t 1F'ik �f if iFiF k if if it if �f if k�F*if if k 1EiFif it iklflk IFMlflf iF 1F il3k itM 1f iF fF ,•_�.°�.:1:��..:i?;,:.. �..,,,;.I_�.N D I V I_ D,U A L� "�F &,E'�,-`-�--, B_R E A R...D_Q.!'T N.. �i.._ , "TYPE. . Z:� ,,; � QTY "D' E S` C R'I `P T I O Ni . - ' UNIT'-COST "` TOTAL COST � (� SBRw, """ �'267 r " DWE—TYPE V=NOOD `FRAMfi1 ` � � =GOOD "` 79 , 00 ' " `" �' ". 19 758 , 00 - �SFR , :1000,, ,1ALTER;;BY VALUE.,.,RESIDENTIAL. NOZONE, „ , _1,00. �i41;000,00 " ENDjOF�, FEES ' .. , ......i�........_..k�..� .�i. -.. . .i:..'. :'..�t...�.r�w�'-' .�...i' � - .._.��a.._ .....�........._.�.u.- ..... � ' ._.a. 1, e. /�.�`,. _ _., .�.1 . . � ..--.-^_.. . ' . /�'f' C.(y . . , . . . ' ' !j � ,..._' `�� /y I �� LL� 01 Q014a169-00145170 T�]T 218.tlS i _ _ � DAiE: tlu113!4's TIHE: 1b:39 — _ � CITY OF COSTA MESA BUILDING DIVISION CERTIFICATION OF SKYLIGHT INSTALLATION Permit No. � �ilo� /� Property P.ddress I�� '�j ��1 �l C.m. e� . qar�-? Owne� S 1 �l.t��t/J ��NC►/ ��r� Contractor State Contractor License Number �(O 00 7� Classification ',� I her y certify that I have installed, or caused to be installed, an approved listed skylight I.C.B.O. # � 3 on the roof of above subject address. That I have re-fabricated the roof to the standards of the industry and in accordance with Chapter 32, 34, 52 Appendix 32, and Section 1704 of the latest adopted edition of the Uniform Building Code as amended in Section 5-17 Title 5 Costa Mesa Municipal Code, and the installation instructions of the manufacturec The integrity of the area worked on is as good or better than the rest of the existing roof. ❑ I further certify that I am the owner of the property. (Owner-Builder permittee only). ❑ I further certify that I am: � Owner of sole proprietorship company ❑ Full partner of the compariy ❑ Limited partner of the company ❑ Officer of the corporation I certify that.as an authorized officer or agent of the company or corporation, I am empowered to make this certification, which shall be binding on all successors or assigns of the company or corporation. I shall deliver a copy of this Certification to the above listed owner, after submittal of form to the Building Division for acceptance. Received by Building Division. By: 6 wlf lZ-2� 93 - Initial Date 1029�46 Whi�e-City; Canary�pwner, Plnk-Conlractor �1�� v,-Ci7��(o C�r"!�_� mpany or Corporata Name _ 3►d2S� U�19� SaVa2<J ,�d,ass _ � ^ _ , �, � ` —_ S e or typed name r �i .c i c-•; �y�J�iL �fn�>.J C�y of Costa Mesa California 92628-1200 P.O.Box 1200 Insulation Certificate �9 ��2c�s � - n Number antl Streat � V/�I v ��CG: l2 —2-7— � � �w ___ � Permit Number � �� J , ' Counry Subdivision . Lot Number Description of Installation ROOF ',�I Material __C `�� Brand Name Thickness (inches) Thermal Resistance (R-Value) EXTERIOR WALL Material '�� —_� Thickness (inches) �,c,� Ji'C�G� CEILING � �� Batt or Blanket Type � Thickness (inches) _�� Loose Fill Type Contractor's minimum installed weight/ftz_ Ib. Brand Name �� Thermal Resistance (R-Value) -�— / � Brand Name LaJ�vi/�� Thermal Resistance (R-Value) �� Brand Name Minimum thickness inches Manufacturer's installed weight per square foot to achieve Thermal Resistance (R-Value) RAISED FLOOR ,� I Jj�� Material ��7 Thickness (inches) SLAB FLOOR ,� � Material _� v Thickness (inches) Width (inches) _ Brand Name Thermal Resistance (R-Value) Brand Name Thermal Resistance (R-Value) FOUNDATION WALL /�� /� Material � " ' " Brand Name Thickness (inches) Thermal Resistance (R-Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in T.i[le 24 of the Calitornia Adminstrative Code. /� � � ener Coniractor (�r) " . / .a �� SignaWre and Title Sub-Contratior (InSulation Ins�aller) Signature and Tiile 190]-d6 ��aoYy LicenSe Number � -��- q3. Date License Number Date ^PPOJECT pUOPESS: 9 1 9 DARRELL ST,-; � OWNEfl'S NPME: p�,LISON STEWART ` aooee'ss: p�,EXAND�R � � . ' ALLISON JO=ANN,;M� 919 'DAR{tELL ST COSTA MESA CA � FflCHIENGINEEN: JOHN GOODF{tEY � aooncss: . n'r- c rr rnuTun i PEflMITTEE: ADONESS: uxir: . �92627 _ ' NEG.NO.:' CS 1 �, � � . . : �x�t: � CA 92672 " ANY` .(714)996,-5708 CA'"92672— ' : . ` � untler provisions ol C�apter 9(commencing wilA Sec�ion 70W� o� �ivlsion 3 of the Business'and Pmie55ion5�Cotle, and my liiense'is in tull lorce'anJ'effec�r "' ' '• �' ' ciTvuc.: srareuc.:660044 cuss: H •' ` Daie: :SiBnamre: ' � � � - � � - . WOBKEflS' COMPENSRTION OECLABATION: I �ereEy atfirm I�at I have a certificate a� consent to self-insure or a cenificaie of Workers ComDensalion Insurance. or a certified coDY �hereol (Section 3800. lab. C�. , � POLICY NO.: � E%P. OATE: � ' � COMPANY: � ' • , ' � ❑ Cerii�ied copy is hereby fumishetl. ❑' Cetlilietl copy is �ile0 with �he tity Builtling Oi�ision. Oa�e: � Applicanl: ' "1`r �41.� E%EMPTIONiBOMWOflKEPS'COMPENSRTIONOECIAHATION: (Thissectionneetlnotbecample�eOi�Ihepermi�isforonehuntlretl�8100�orless) I certify ihal in ��e pedormance ai ��e work lor w�ich t�is per Mi�$ue0, I shal o� employ any person in any mannervso as Io become subleci la �he orkers' Co Densalion Laws oi Calitomi�, /� . �1.� � � Date: � �� SignaWre� �r n NOTICE: f afler m ing Ihis tleclara�ion, you shoultl"Dec ie sublec� to �he Workers' Compensa�ion visions.o��he La6or Cotle. yau mus� lart�wi�� camply with suc� pmvisions or �his permi� shall be deeme0 �evoke0 � .; ^ CONSTPUCTION LENOING AGENCY[ I �ere0y alfirm ��a� Ihere is a conslmcbon lentling agency �or �Ae pedormancebt �he work �or � w�ich Ihis permit is i55ueU (Sedion 3097, Civ. C�. , �"j,r. LENDEN: AO�flESS: - ' - ' ' ' ' ' ' OwNEP BUILOEfl OECl�1FA710N: I hereby attirm ihat I am exempt irom the Coniractors' State License Law for tne following reason �Seciion 7031.5 Business antl Pmfessional Cotle. Nny ciry oi coumy which requires a permit m consimci, alter, impmve, tlemolish, or re0au any simcture. Drior �o its issuance. also repuires �he applicant �or SucA permii �o file a signe0 5latemeni tha� helshe is lice�sed' pursuanl lo I�e pmvisions ol t�e Coniraclors' Slaie License Law (ChaD�er 9(commencing wiih Section 7000) ol �ivision 3 of Ihe Business anG Pmiessions Code) or t�at �e/s�e is exemOt t�erefmm ane the basis for Ihe allege0 exemption Any violation ol Section 7031.5 by any applicani lor a Dermi� subjec�s the aDPlicant�o a civil Oenalry of not mofe �han five hunGr¢d dollars (5500). I. as owner of' ihe pwpeny or my employees wilh wages as IAei� sole tompensation, will Oo �he work, antl ihe ❑ s�mcwre is no� imende0 or oifered for sale (Section 7044, Business anU Pmlessional Cotle: The Contracims' State License Law , does not aDP�Y �o an owner,ot a pmperty who Gui105 or impmves thereon, antl who tloes such work himsel�/Aerseli or lhrouA� Ais or her own employees, pmvitletl �hat such improvements are not inlen0ea o� ottered for sale. It, however Ihe builAing or ' impmvemen� is solA wilhin one year a� complelioq �he owner vnll have IAe 6urUen of Droving he/she dia no� Dui10 or imD�ove lor �he purpose al sale). ' '�� I, as owner ol �he pmpetly, am exUusively canUac�ing with licensetl conVac�ors �o consimct the D�olec� �Sec�ion 7044, BusineSs ❑ antl Protessions Cotle� The Coniractors' S�ate License Law Ooes no� apO�Y io an owner oi pmpeM �o builOs or impmves t�ereon antl who conVac�s lor such pmlecls wi�h a contracloqs)license Dursuan� to the ConVactorS' Siale License Law),I am aware ��at pmol ol ��eir Worker's Compensa�ion insurance shoWd be pmvi0ea to me. , � I am exemp� untler Section: � � B. 8 P: C. �' for �his reason: �ate: �� I7 I�.� Own r ' . I tlo nere�y cenity Inat am aware af and un0ers1an01he requiremems of California Healtn ana Safery Coa�$a a�5'ZS'D5:2959D-�u� 25534 ana Iha� I or any �uture �uiltling occupant will/will nol (circle one) neea lo comply wi�h said sla�e c6�5 antl t�e requiremenis �or a permil br constmction ar motlifica�ion �mm I�e Air Oualily Managemen� Oislrict. flesi0ential conslmction apDlica�ions are exempt �mm,- Ihese pmvisions. . oaie: � Applicanc I hereby ceriity ihal I have reatl �his application ana s�a�e �hal lhe a�ove inlorma�ion ordinances antl sta�e laws rela�ing to Ouilding con5imclion antl hereby aNhor¢e represi pmperty for i pec�ion purposes. � Oate: Signature: orrver's License or socia se��v p: � ct. I agree lo comply wilh all ciiy an0 county ol lhis ciry to enter upon Ihe ahove-menlione0 164La6 Whi�e—Bmltlma: Green—Cope Enlorcement: Canary-Aoolicanl; Pink—Revenue: GOIEenro�—Assessor �. . CITY OF•COSTA MESA — HUILDING PERMIT PfiRMIT NO:'E� "063538"" ' PLAN CHECK NO: '�. N CONSTRUCTION"TYPE;�" ' : PERMIT'TYPEi ELE JOB DESCRIPTION`"`::�267SF'RESID ADD; RELOCATE WASHERYDRYER CLAIH VALUE; ` ,`` . 'CALC—VALUE: ,--.:. PERM NO; E 06353 - ' GOVT: N ;SUP,P: N . "' PURPOSE: " OTH � SQ FT:; ' . GROUP' OCC�6 R-3 / *O�l+Ee**�ir******D**�*****��r*D*****+e*��***�e**�r�r******+�r�r*�e**�*�e�+��r*�r�e*�r�r�r�rx�r*� �,. .. ,..� ..°...`. � 2 O N, I'N G R E` Q U I'.R'E"M E'-N �T_S .__' . . ., �. , ...,.�...�.i,.._:�.'. �S;,E;T+�B A C.:K'S�. ,.... ..... . _ �_ , _ MAIN BUILDING -- — --=— ACCESSORY BUILDING — — �_� FRNT ' , ET �;,,, IN : REAR ; j. FT „ IN f., FRN? •. � FT ,. IN :REAR; FT IN "'- LEFT•"'v. . 'FT `"' :'IN'`RGHT; ". FT'� . IN. , LEFT ..a .FT... ..e.. IN,iRGHT x,. FT. ; .,:.IN . ...... �. __ _ . .. . . ,x. �». ' -. . • � .t.., . :-.. � l . .. � - . ,- � . ` PARKING' REQ � '" PROV ' " "'PARCEL '9223531'0"ZNE: ' REF' NOe""" ` '" "` "'—` PLANNING, NOTES>, n� _ ..,„. ,, _._r .. ..... ...,_� . _ . `. » .. . .... _ . . . _ . _. . .w... . _ . ..x. _ . „�..��, D�.E�, V�E;.L O P, M ZONING� APPROVED�` BY '''`' HUILDING"APPROVED"BY : E N, T' ;,�. Sy_E�fR.� V I• C E S :.�z , :.. . . . . _x c�- _ . _ .. .... _.. _ _ .ra. . .. . . � �IA . . . . .. F IflFlf 1t1f fFff �F �F1f k IflklF 1flf 1t �klFlklf if 1flF�f �f f!!f iF 1h R, ,S � Q U I, R.. E,,, M, E,; N T S , " . \.. .._ DATE; ... ._.., \ . .. ....;' DATE: - . ',,. . .' �:�e«�e**�*ir* � � �e�e flFlfkltlFlfiflFffiklklfikM,IfiFlflklFiFff1Flf�tiklFiflklFM � LEGALIZATION ;N,; ;_a _ ,:' , `;`.F.E%'E_, S�';U' M."N'r;A''R Y , ;�':� "'STRUCTURAL SEGMENTeN `�" 'HI;DG` PMT� PLUMBING� ELECTRIC MECHANIC FIRE :"SMIP7RE5'�" GRAD'ING �� ,PfiRMIT ' ' . �::..,,,. � 9 00 - . , , ,:,.�.,, _ r;�r, �02 .. ._.._... � � . ' SHIPYNON=AES _ PLAN�.;. .., _ �� _ - t � _ q 1 �.; , . __ .W ., __ .,, �. :._ , , ISSUE EEE „ - �15. 00 ', �, HUII:DING—DIV ,> ::'. ,PERMIT ,.;�;ISSUE. PLAN-CH f TOTAL ~ PAID DUE TOTALS=� -> 9':00 , 1'S 00"'.,/'j�'`"' 0. 29,00 29.00 ..00, � r..... i� A .bi�.....- �.�......... � `+��1 .,.�., � ' . �.. . . . , . . ,...:. . ._ .... . ' . " ' iAa . . .... . . . REVENU& DIVISION TOTALS=—>'� COI:LECTED•— —'`14,00" OVER7SHORT:' '�-"' '00' y•;,;;..,,.,s;.,,BLDG; PNT„ PLUNBING,,ELECTRIC MECHANI�„ _ FIRE . SHIP,/TOT .,GRADING,. PLAN-CHECA; - � . ' _ .. �.. ' d . Z4,. Q�,, � _ • r .�..... . .t :. , . • ..., i . . ' .. . ... . . i . . I , r, ' M!lifMifffMiFkkkiFltlFkklFlFlfklkffkffM�kitiFMiflt1k1f1tifitifififM1f1t1fltiElf�Flk�tlf�fititkifitiFitMMiFlkiFlFlFiFiflFMiFit�Ffflt�flkiFiffk- `�° ''�' �" � I�N D!,I„-V. I� D U„A L F E_E_,, H.R E A�H D,O W N ' �.-.4...�xD' .L`t{.'Jtir.�4 �Mi1rw.L.ve.ne..>,.... . .. . . . , . . .. _.. . . - - -. . . . ' . TYPE , , QTY , ';' D'"E "S C R "I `P T 'I ;O N"' `"� " ' '" "` '' ` " 'UNIT COST �� TOTAL COST L— .. " i . � �.a[ �.'i � . . T � EI:E' . '� 3 FIXTUR&S "' LIGHTING "'1 ST 20 EA: . 75 '" '" 2, 25 :ELE • 6 RECEPT/OUTLET itr,l ST 20 „ EA, ,75 ,, 9.50 ELE ... .' r 3 , . RECEPT7SWITCH - "" +' '.,;1 "ST 20 `"` EA; 75 „ .. ,_. _ . .' .END;OF FEES', — . ... . .•,. :.. .. � .,. . . . -. ' .d... .. _ . . ... � . . . _ .. ... . _ .._. . .. � . , . � . . . . � � _. �y� . . ..i ,.... - • ' . � � � .. . ,% ' . , , � ' ' `l ;'f . , ��, oi ooia.si��-aai4si7z TI�T ?4.00 � , , �ATE: OE118/93 �TIME: i5:20 J- - � � � . � i . . ( f r� -� � PG� _ & SPA - '.,"- -' CONSTRUCTION AND PLANNING`' „ � ' . "" . '; u ' � � ' ' ��' " � ' � - � ^ „ Date Inspector � � � - � �" - . �ate '" Inspectore � : ' APP.ROVAIS Permit�#" - - r- � ^ . AP.RROVALS Permit# � - - ' ' / :i- - ' '1 ' i - i �' ,1 <�Temporary Electrical Service or Pole '_ = . � _'52.,�Poof& Equipmeni�,L'ocatiori� ' , � ' - } � ' �� . T 2. �Soil Pipe-Undrgrnd. - , . ,, - . � '" � - - � � L�'� . � � 53.�Steel:Reinforcement� ,. y,��(t�'�7.(�31�o,�y�If�U�ili'ty-Undrg nd. � '"� �Y- 54. �Forms`" .� .. � � - � vi; le�iea @dwt Wndr9rnd. ��t _ � �. _ =.j��. � 55. E,lectrical Bonding; - _ - `J L) .�� ` - ��,�e��'�f"o�e?�� - , - , tl" ' . 56. Rough.P.lum6ing & Pressure-Test - - � � � ` n � �6 t,6je�giEa�i•U_�� Z'ir�ndt r`Oa c " . _ 57.tAPPROVALTOCOVER-GUNITE • , ' = K� = - '"�F7 F-0 t� �!T1�CC' _ _ �, ��''. ". 58.� Electrical Conduit-Undrgrnd. �� _ ,,�� Fp��itlatio�, `�� - , _ �( -. �,� _ - 59. Gas Pipe�, ��.Undrgrnd:,�I'est s _ •'-�� ,t-�- - . , _ . , . , : ' , ,^ - 9. V�"YerPipe3'Jn rnd: � ' '.;t ��' __ . 60.��Backwash Lines,,P�Trapi�'OtUndrgrnd. . � �� ,' '� + . 10. Structural �f�oo'rFlSys�em - � � � ; - 61. �ARPROVAL'TO OECK � � �' � ` � 2 �' -%'t i � 71. Pro ecty Se ine�,& Ho�e ConneMion , � - � � � ' �� ✓ � � �, P 1tei� _ 62. Backwash &��Receptor�Final �' � _ 12. Sewcr;Cap y � - _ r 63. Hester-& Vent-Final .c - �� - ,n ; �.: , - , _... : �_ �-:., 73. Roof Drains.� :� �, " " , " 64. -Plumbing System � Final � ;'� � 14. Rough Plum6ii4� v° : - ' � ^ - 65. • Electrical-Finai � ' �/ � , f � " 15. Rough ctric.�.-Condu�t ; ' �'j� = 66.-Solar System•Final � � -4 j �� . � % �; � �16. Rough ElectricWViring . �: Cj' 87� ��`�-z ` • - , - � . � � I� �� ' i 67.; F.encing & Access App`roval � �t 17. Rough Wfiring Sign .: .� �� -- 68. APPROVED FOR�PLASTERING i _ � i � 18. Rough ElectricaT�T Bar`-Ceiling ,. �.- 69. �FOOUSPA.SYSTEMS FINAL �!� �t i 19. Rough�Heating & Air Conditioning ` " � - � ' - - FIRE DEPT. REQUIREMENT` ` ' � t�^7-C� .r-rt � - 7 T tr'�+m[-� 20.C�Eio�h F�ctor,y F�nplace i xcr; �2y � p p p��' M�APPR@NRCB�DCPermit # � y�� : c- `rt � s� i e' r N '�iY. SNH<. > s 7' � �' n � c � � i: i i� F X S �F �-. J '7 * .F �g 'S �'7 -r x :*1 21. u i.v_tr tu :.. i.. .. .-'S i S'� �+x �+ a10. 4W''der9F9g^�jFiy:�fO .k 22. DuZ[s, �enti}atingi. r i r�S M S Q� � 1, ProducPP ih9 �s d'Oil � 23.'�asFPip�io�h Si"�.est � mS � tT� C�¢ Ox r��72. Underg��iqc� Fl�j Y � F r � 24.r,flo�Fr@sning• ;!r i FF ••F r> O tr' x A� 3�Undergrn�Storr 17fank d7Gas ❑Oit� . H 25. Rors� Sli'thing �'^-� S_ N * t*± :*7 O N� �k qG'OverheadXiydro�� 7� � 5�+: K v�# O Nkx t� O. � 26.- �8,ag Ceiling (S[ruGFurai) &d,yjonocoat �. ;o t7 !�71 P 75QOry Chemical `y � �-+ O [r'� 27l�rame and Fiash'�s 'D * � �` �` 76.`-bry Stand �� ` S tn xn w ca �x RG ttr' T CJ�c> �i� FW .s Fh7�'s] �8.°�itfiin9� Siding-�j} r� y�� t� i g ••� a 77L*F1XED 9+4�3'E14b�NAL* �F. �: r*f . a � i x N�J V ' �29. insulation x*� 5w 7 �. - .* 78�FIREPREV.FIN/}L �> � � �. 0. Drywail� ailing ns x �'�,,,�x �� NfiALT EPT*f�S-EQIJlRE9�P}T �.. . . � ;-.[�,.+___s-•.��r � 31. Piaster Blj�w Coafx � ,.r . * � * 79��INAL I �'�ECTI� � d '� �F'� I ,4 i �.E. g .y� .-M � �- .-.a-�'"S?-FT -� r�2.--Electrica�Power�ai�qFinali xni . *�$0_-�OOD TIFI�,�cTi51SsUE0 �. I I --`.'---F--.S�sr.-k -� in`an'f� El�ciriy' c �; � in� Hq�tingSy& �rt_ o�itiq ine'rG2�9PipE-Test* _m �6.'�Floo� or�anopY`�: �` i ,:.y a "J-3 -�87.CFin3GFa�tory FirRpyate,.i, i ts-�� w -C,..38. Fin�I;P10''�mbing ��N i •... w f4 19 Nater SeLvice�Finalx � i G rr r-�+ s � � f F" ("�.< -✓. 9�R�� M � S � � �1 t � t_40. Gas Servfe- ina, ,.� � S�m s x M I i Z r t �47. Solar DamesticFiiaelS C� �• � � � � ' m � L-� :�i x y .F H rA2.`�ackflov�Preveriter,��.� ..� „ „ � � - ✓ • 43, Backflow Irr�iqation= �SS � «x �. x : . ;i44'. Landscape Irzigatiap SYsterrs�. �n � x�;. b � d;� � n; y �45'.CAound Qtte4T�atior+�. �-+'�F- tT' ' E (-' H* � r+ %-� w �+ . Y' tf 7' : .�� '.. ... ' . :!: C 6`Handicap,�"',R�jLlatiq�is F, ;Sj „� �� Y, x S �47�.�It�Q.L STRt�CTURE & BU3�.DING * �� '� _ � N S x' .l� i 48 �IL PLANNIN ~ � m;r z :. x t; N� � i c-�:.. x n� '/ k#:ri [r, 9 leeiric Release to�.Edison � � 1 t y g �� ;30;�'ias�Aelease to Sou�hem Cali�q,r��ia Gas Co x U`� �` � s � q�t� CEE�TIFICATE 0�OCCUP ,hl£Y x: *:x S n No._ Date 1 \ � g� �' S x ic M K �- a H K OJ --S u[*1 ?< x n � �?t �T ON i �-=-e H X � «x � i ic �:•. x,. p :�8-^- aC F+ > C� / X Y �� .� �-�' PJ'JiJ om x o ••• �--- �---� •�::, � > F ;vou �. r� ; PflOJECTp00flE$$: ' r uxit: `�, NESA — BUILDING PERMIT , ALLISON STEWAR�' • . .._ ,.,:... ... . a� .� 4 . � 919 DARRfiLL ST CITY OF COSTA owxex�srvnme: p�EXAND�R "'�"' PERMIT NO• P"r 0635:41' "'"`" ` PLAN" CHECK" NO: -'-' N" 6� A�" c^^^; " noosess: AI.LISON JO—ANN M . _. . . .., _. - � ' • " . : 919 DAR�tELL ST � ' ' ` ' ' ` CONSTRUCTION TYPE � " " � ' PERMIT" TYPE:" PLU "' "' ` "' " '"'" ' . PURPOSE: OTH COSTA MESA CA .` ' ..92627 � ,. ` !!,. . � , • nxcx�exc�xeFe: JOHN GOODF{iEY' �.� "' .. , qEcxo.: C16210 ` JOB DESCRIPTION 267SF RESID �ADD, REI;OCATE WASHER/DRYER " SQ" FT: 107 S EL CAMINO REAL _,, ,,, .. „ . , ,y, aooxess: ., ' ,. uxir.. �_ � - . , , l.. ,: ,L., .. . , • SAN CLEMENTE - CA-92672' CLAIN"VALUE �"' , "CALC=VALUE;"' GROUP`OCC; R-3 / PEBMITTEE: COAST BUILDING �COMPANY ' . ,. ( 714 ) 496-5708 .. . . - ' °. � .. . . ' ; . .r ,. . ---.._ ., _ -, '� ,�. .,, ,-�- . aooeess: 31251 VIA SONORA `.,,, - "..__ �. COMMENTS: EXTEND FAMILY� ROOM 'DINING"ROOM "/' RE: B63537 ' _APISTRANO , CA 92672 ,r. : __ . *+r�r*��ir�e*�e*�r�r*�r�r*�r+r+e**+e+r+e�r**�r+��r*�e��r�*�r�r+e+r�r�e�rie�e�r*�r*+e�rx**+e�e�r�r**�r��r�r**�r*�r�***�r**�r* IICENSEO CONTflRCTOB UECIABATION'�1 her¢�y v ^ rv A �i Z � N SAN JUAN ;aflirm I�a� I am licensea uuAer D�ovisions o� C�apier 9 (commencing with Section ' ' ' " � "' i'' ' � • t �� , ' ' - ' E �� N . T S . ; ' '- I N G' �R E Q U I.R E M 7000� ol Div��slon 3 of Ihe Business antl PwleSeiqnsLo0e4zytl my license is in fulLiorce and eflecL - � � . '.i. _. a r ._ i- S T H' A K C K ,,' , - E S" CITYLIC.: ' STIITELIC OOUV 9 CLASS: � , � - - �— MAIN BUILDI�NG - --- r' � � --- ACCESSORY HUILDING --------- "' "� ' FRNT H FT IN REAR FT IN ,FRNT -,, FT IN R E A R:. F T I N . �ate: Signature: , � WOBxexS'COMPENSA710NDEC�xnnax. �herebyattirm�ha��haveaceni�icateatconsentmseu-insureoracertitica�eo�workers � l+�'�''T_ ,�„ ,,;, .F,T„ IN�RGHT -, y✓< . ;FT,,,,, � _11`�, �. �,y'L�'F'1', �;y ; FT � � "IN,,,'RGHT:` :'a: FT' .IN"� ComOensa�ion Insurance, or a certified copy �hereo� (Section 3800. Lab. C). �T� �� ; " � ' , �. � . aoucv xo.: exr. onre: PARKING "REQ " ' ; �PROV ""' ` PARCEL'e"42235310' 2NE: " REF NO':' ' � - comraNr: PLANN I NG, , N(7TE5 > ❑ Certi�ied coOY is hereDy Wmished. ❑ Cehifie0 coDY is �iled wilA (he ciiy 9uiltling �ivision. �/ ' � ^ �-- - �� .. �•+, , _� _+.: , . ..,,t. .. . ., . .. ._ .!.-<a _ ...e. '_.a . .. .. . • � �f . �ifiFMMkkkltifMMkkitlt�fitltfF�fM�flkikitiF�F1F�F1t�t1f1kft1f1f1tikkiF!lM�kfFikklfffMlfiFfFM�fkitiFififiFlFfF1fMM1FiklFltlk�kltlfitiFltlfitlf wie: nPai�=a�� li+�,.' �`D„iE.V;E,',L��O„P M:_E;N_T,��,iS:,,ErR V_I,�„C,E S. ,,R: E"Q.0 I R,E:M.E.N.TvS ✓J• L 1�.... IJuF A:i . . . . . . _ , .. .. _ EREMPTIONFHOMWONHEBS'COMPENSF710NDECLAPF710N��This ' ednatbecomplete4ifihepermitisioronehunOreO(51W)arless�. � i�'UF . �.�- t � ' , - ' �i�'� '� I cenify mat in Ihe peAormance oi ihe work lor wnich this oer - is issue0, s ploy any per5on i� y manner so as �o become �� ZON ING AP,PROVfiD BY ' � ' '� '' ' ' '� �—� '�'DATE p'� � � � , � _ � Subleci Io I�e W kers' Comp nsalion �aws of Califomia. � � f - . . , � . . /.� . .. . . .. . . . . . . . -:1r1 ....�a � � . ., . . ' _. , Date: �! si9�aw�e: . .'.BUI�LDING�APPROV&D �BY� ; - .'•`.'. ' : `- _ �.. � , .� . • '.'. . .. ...... .DATE: . . . NOTICE: If. atler making �Ais tleclaralion, you should Uecome uble�� a �he Workers' Compensalion pmvisio of �Ae LaUor '� CoOe. yoU musl �ohhwith comply wi�h SUth D�a`^Si0n5 or Ihis p¢rmi� shall be Oeemed revoketl. •�' CONSTflUCTION LENUING AGENCY: I hereby alfirm �hai Ihere is a constmc�ion lentling agency for Ihe pedormance ot �he wod which this permil is i=sued (Semion 3097, Civ. C�. . �� LENDEB: � aooRess: '. , , OWNEfl BUILOEB OECLABATION: I herehy allirm Iha� I am exemp� imm �Ae Caniractors' State License Law �or �he follovnng reazon (Section 7031.5 Business an0 Pmtessional Cotle'. Any ciry oi coun�y w�ich repuires a permii to cons�mct, al�er, impmve, tlemolish ar repair �any simc�ure, prior to ils issuance, also iequires �he applican� �or such permit to file a signetl slaiemenl that he/she is licensetl purSUam to ��e provisions ol �he Cantrat�Ors' S�ale License Law (ChaD�e� 9(commencing wilA Set�iOn 7000) of Oivision 3 0� Ihe Busine55 . antl Pmiessions CoOe) or I�at he/s�e is exempl therefmm antl �he basis br �he allegetl eKemption. Any violaiion ai Sec�ion 703L5 by ' any aDPliCani lOr a Dermil Sublec�s Ihe appliCani �o a tivil penalry oi nOt mOre ihan �ive hunOfeO.tlollal5 (5500). I, as owner �ol ihe pmperly or my employees wi�h wages as Iheir sole compensa�ion, will tlo �he work, and �he, '❑ stmcwre is nol inlentletl or oifere0 far sale (Secuon 7044. Business anC Protessional CoOe: The CanVaclors' S�a�e Lic¢nse Law' � . Daes not apply to an owner ol a OmDe�Y who bmlds or impmves ihereon, antl w�o aoes such work himsell/herself or ihmugh . his ar her own employees, provide0 Ihat such impravemenis are no� in�endetl or o��erea �or sale. I�, Aoweve� Ue Duiltling or impmvemen� is soltl within one year of complelion. �he owner will have Ihe burden of pmving he/she did no� 6ui10 or improve' for Ihe Durpose ol sale). . � I, as owner o� the pmperty, am exclusively contrac�ing wi[h Iicense0 conlracmrs m cans�mm Ihe project (Seclion 7044, Business ❑ antl Pmlessions Code: The Conlrac�ors' Stale License Law daes no� apply Io an owner of pmpetly who 6uilds or improves �hereon and who tOn�rads br SUth pmlec�s wi�h a tonlrattoqs�licen5e pur5uani �o �he COnirac�ors' Sta�e Licenie Law�. I am awar¢ ' �hat D�ool ol �Aeir Worker'S Compensalion insurance ShoWC Ee pmvided lo me. . . I� �� ' I am exemD� unUer Seciionl B, 8 P. C. ' � to� ��is ason: � r� Oale: � Ownec I tlo hereby ceni y tha� I am aware ol anU understand Ihe requiremems o� Calitomia Healt� antl Sa�ery Code ' S05, 25533, antl 2553A an0 Iha� I or any luture building occupanl will/will not (circle one) neetl lo comply wi�h SaiA 5�aie cotles antl lhe reqw n�s br a permil lor consiruction or mo0ilicalion �mm t�e Air Quality Managemenl OisMci. flesitlen�ial constmction applicaiions are eKempt �wm � Ih¢S¢ pfOvi5i0n5. - . Oale: ADDlicam: I hereDy ceriity ihal I have rea01hi5 applicalian ana 5�aie Ihal lhe above informaiion is correc�. I agree to compty wiih all ciry and counry . ordinancesantlSlalelaw5relaling�obuildingconslmc�ionantlhere�VaN :w resentalivesof�hiscilyioemerupon�heabave-mentioned pmpetly �or ins eclian purposes. oaie: ' — Drivei's License or Sociai Securi�y x: • t641-46 Whne—Builtling; Green—Cotle EnlorcemenC Canary—Applmanl; Pink—Revenue: � . .4.."�� o-� 0 .. MitirRiFMiFiFitMiFiFiFitiFilifiFiFAiFNiFlFiFitiFiFiFifiFlfMNiFiFMMiFiFiFiFMiFiFlHfitMiFiFMkMlfMkifltltMlfltMffM�l�fkitMififfF�fflfM�fit i;LEGAI:.IZATION.N.. ,� , ,, _. �_ F.E E . S.0 y.;;N .A.:.R y, , , , . .. _ . , •_, ��;,, ,,,STRUCTURAL �SE,GMENT:N. � 1 BLDG PMT PLUMBING ELECTRIC 'MECHANIC "' FIRE ' SMIP./RES "'GRADING "�. PERMIT .,_:�, ;...z, :,:... . .1,9 ,00.�,,__ _ _�. �,.,_a._. ,,� ;�...v .� . i � .',, . . �.:''� .;�e•. .._._. �.�w L, ;�+_.:5,:... �St�:b. . i.!' , SMIP-/NON.,RES aiiw i:,, .. .�. .� ,... , . .�: .:.. . _ _ � : , � ;-� . ISSUE FEE r � `� ..20,00 "� � ' " 4sBUILDING=DIV ,>,;�� uPfiRM�IT�,,,, , ISSUE PLAN-CHECR TOTAL PAQD� � DUE TOTALS -- > ,19:.00 20;00 . 0.00 39,00 39;:00' .00 r_: � _. .. i . . ,,. , . ,.��` . .' . , _, t _ , i . _ . ,. . �REVENUE DIVISION TOTALS--i'� COLLECTED: 39:'00 OVER/SHORT:`''' ' ,'00'` ' _ .,�BLDG,.P4IT,PLUMBING ELECTRIC MECHANIC .. FIRE SMIP:/TOT. .GRADING,PLAN—CHECK . � .., , _ 39:00 ' .._ . .. _ r.. _. . . .. . �� --.. � . l. .. /�'..,. .. : � . ; � . ,� .. . iFMMff ikMfFklFffltfFMMlf 1tkk�tiflf kkfF.if if kiflkiFif iFiF�FiF�iFk1tM�FkiFif Mifif if �fM1f if itifltlFiFkitltM�MlFititiFif kif�t�klf 3kMiFMlk�f 1Fif v, ti,. a_..,_:.•_ ..n..;. -I ..N., D., I U,= I D U A L� yF� : E E ,. B_ R E_ A K D, O W, N. _. __ .. .. , TYPE ,QTY �"' D E S C R"I'P'T �I�O N� `'�'' "" UNIT "COST "' TOTAL COST "PI:U � � " 'rl � " LAUNDAY TUH"OR' WASHER � � ` ' ' 7; 00 � T: 00 " ' PLU' s,�l, ,,,.;.GAS PIPING'SYS' OF�y 1 TO 4 OUTLETS ', 5,00 ' S.00 ; PLU "` �1,,,._ ,,REPAIR/ALTER.DRAINAGE7VENT :PIPING " 7;00 ` " ` `" "'7,.00,' , .... .,... . . _ .` . . r .� .. . .. , . _. ' . , . END OF FfiES' . .,_...... ,.. . �' ..._... _�. � ...� � a. .�... .. _ m...._...:.a .y.,. ..- .._ .,.. W .� i.... ._ _....:rs ...,,.. _ . .ic...i..w _�ti ... «. ... �. ,.. . .' ' ' _�l,. v.. . „,. ;... ' .. - V ' . � � , � ' � , ; �/9 � , n1 "0145Y?3—OQ14S1?3 T117 . s"9,l70, 1%� QA?E' �3%1S(9v TIf1E� lE:il / . -. . � . _ . . � I � i % ` : [ � CONSTRUCTION ANDfPL'ANNING �� ' a W - ` P��x` SPA ^ � � ? � q � ' ' ' ' � _ _ Date �_ �Inspector - � � -� ' ' - � � - �' Date , 4nspector � . � �APPROVALS Permit;#" -' �; � � APPROVALS Permit# - -- - � - `� .1 TTemporary�Electrical S2rvice or Pole � - ^ ' �� .' Y, �52. jPool &�Eguipment Loca{ion' � ' =J ' '"" -? � i- - - " - ' - - - -. ' - � � 2.'SoilPipe'lJndrgrnd. �_ _ - �� - " ��53.'Steel-Reinforcement: � - - � ` � ' 6-+2a+S-i � � - - _ _ - - ,�1r�yg`2�;�I,�r��SJtititY�Undrgmd. . 54 Forms l . - ". ' . ; , � ' ,�� JG'� C�L�cailPti��ui�.hlndr9md. � r r , " . 55 .Electrica[ Bonding"� ' v � � - �! : a SUG �5�.'b'�c��Yi�'�L�C�rc7r,e�t ^� - _ •.,_s= , 56. Rou9h�Plumbing�&Pressure:Test . '. 's ':�--"m--�1 �- - � ` �•.q, . a�N �bk}:tS�se � �EER �rynd.� �c �• � - . - 57. APPROVAL TO COVER�GUNITE _ _�, � ,:,�+ jq._r�:•-i-��p3�- _ , .. �'titn7. FooG'ntrtnr�r,Gr . o , s ;. - - ` ' - z ��`�Q� � � 58 �Electric�l Conduit-Undrgrnd. �?�`�• .r�undat n SC� . �' . -. ` f J ,(: r � � 59 Gas P�pe`, O.Undrgmd �, Test �' � �� i ; 9. 1nlater PiQ�-U�rgrSd. ' _ ; � � � ��,.. - 60. Backwash Lines, P-Trap,� Undrgmd. ' ' _ /� � _� ; 10. Svuctura'(jFlcy�r Svstem� �;, 61. =APPBOVAL TO DECK.� ;_ % y7 �„ r;� ; ' 1 t. ProP�tY�g2�'Dc L'� & �{ouse Connection �� . �� ' � -� ' -r r" - - _ �� i ° . � ; 62. `Backwash & Receptor�Finai-. ' ;� f, _ j ; . 12. Sew�PCap� y -� �� _. +� 63..Heater"&�Vent-Finai ' ' �''�� . ; �`�� p 13. Roof Dr,ain� r� ' ' �-' � r`, _ 64. �Plumbing SYSYem - Pinal� _ �% �: _ - ' " �� . � -- _ _ : . �' � ' , � - • 14. Rough Plu�g �^ � Q q� j�%� 65. �Electrical�Final = - f �' � � Y��L _i�s�'/ " . . _ ; _. ; ' _ . 15. Rough.�lectr;�a6Cond'urt ' � = '= � ^ � '- ' ! ' � + � . . ; {- . 66. Solar System`:final , � � ., y, c16. Roughr�lectr�Wiring �. - ' 67.,Fencing & Access App�oyal �,_j.,. � `�� C 17. Fioughr+lUiring�Sign ; - ;1 �.: 68.,APPROVEDFORPLASTERING ' 18. Rough Electn'xeal�T Bar Ceiling� ' _ ' 69. bP00LISPA SYSTEMS FINAI � - �= �� 19:"Rough-Weating'& Air Cunditioning � ' f7j � �j" - ' � FIRE DEPT'REQUIREMENT � - � -t`l--F>-Pt-r3f--�-tr'�3-7tr'- �� a u��mc. x x. E- r.��r . 26� RC�,ygFryactory�iFePlaGe i xM �2'i O tr'r': r- �APPROVAfS70 Pertrnit#�c v"y"y �' I f AJNL+ ]C -�i � � � � � �" F .Z S �-� "1:e. # dS � n7 � M 2 D is uct�A' �.... ��S S' �..�x k� 70. n er�grfyl Fktdro s 22. D31cts,!BYerR4lattr�9lc i !�S � M�_ H� < 71. ProdJet i�ing!T� as �Oil 23� G� Pi�-R�gh'B�Test j MS .l?rl�', y� 72. Unde�ey� d F.��n, +� F ��/ � 2Qr.Rffiif - m•+�q X�' i FE-� ••F- > O -�+. 732 UndergrAd.Stdrat�Tan�OGas 0�9iN � __ -�25. R�f �eathing��. E N !*1 [�: Nx x �^ �H * �� y � ` r�,�x 7 Overhea�Hydr x 2 T ar Ceiling iStryctura�) $Mwocoat to ��' trf� x 7g� Dry Chemicai 'i �� O"�q -' 2➢� Frame and Flas � * x pEw < S .q o.v a �n �x� OtKt� � o' mac x 75.' DrY Sta�BSpec..tt'a• .R S '� 2� Lathir�& Sidlrt~g. rn *��G� x 2 ••x # 7Rr: FIXED�9�LS7E'1+5�iVA� �ci-� r�s 5••..• y 'T� k ��-FIRE.,f'.iREV. FiN�1L >-, ��.5� � 29. Insulanon � � M x�` 7 � ~ i 30. Drywa,k�Nailing,�'j�x �� c�x r+ •cn •�kALT, DEPa7�wREfl{JIfAEMfrdVT �' 31. Plaste � ro^�n C6�E , i r, � k*, 7��4-'T`JA't L��ISt,PECI`•.I,bN Y G � Q j x i"r�F -s x r. x 3� Eiectritt�l Ag�t we�Te�r�F�il '� `R_: .� 86y FOOD C TI e TE Lfi UE15 � 3 F al EAec �ic r;� ~ T M s': .. *. nflkeS: .�-�1�� -i'�/��,/ �C ��Vf- 11-tH ' 7. a �Y... �% '_- f�� (E�_!�r��.��%� � .� 34. F�al FJeatu�p & �dit�o��q n * x s n5 � s�z [nC7 3Cs7 Ffrcal �s � ^y � # n n t*IS x t*� >C RIUe�'Y29t r g r-rc � r+ �% t x .�o �J�-+ x �-.!r„+ � � * � � - . ..c . x i. � 36Y'. H d CanoPYx ❑ � e�"7 e� �' C1 „/, �'x E C10 x FT -��,-~� S;>' :n M a� C1 X �Ci7 � � 37? FR43i I�ctory Firt�ta�e � � w '�} k..y _ � -,J�N Cr, � G I•• •• U Sl, �. # x � . '� 38• F�qal P�um6ing ..y nj w � n-x S t+ x'�.,^ F+�-+ t 39. Nfa7er 3ervice-Fixmai� � � ' x x C� wt�7 �� MCJ , - a� r �. 40. Gas Se�ice-Fi * � - �t � �� .. �u • �. [•. � • f' �,K !*f St*'M 5 , c�; �� Orv o!t; !� #-! • 41. Solar Qpmestica6ipaS Cl •• � pc } � S� � t x � !, . . t ' 4a'i''. Backfl�w Prevent�f�"' �� ' x x jj �!• C � .- 43. Backflow Fctigatian� xSS �� ' xH Y O :-vt� �� _ /}, Y ' t X: . / %k n _ ' i 44. Landsc3pe�rigaCypn Syster�y��',� x rr p �+ d< � n� �. n; xr �c " N o00 .� � �� ._ 4 � Sound Att2nuatian �'SF :T� � 2 [-�M �< r+ F-+ �a� �:S x ^ . r i t �A s' 'T 7 f' 7 'd ' .. .. . O S ." tT� .. ..fi x; i i �-+O ••r: x ,� � � 4F'i,.', Handi�Np R�9ulai�ns - _; �� ; �r � x S ^Jo S r � 4� F AL ST6dJCTialRE & B �ILDING � - x` :� S V Y � � i x � � � 'r I C x x 4� F�AL PL`A'NNII�G i ri-� * :U ! . � . !T7 � F ' i 43�+ E(ectric Re)ease ta Edison � -- , a. � � t * '7 � � � Y u^' Y. I- '� �- k C7 'Jii �i. 1 L.��J'= 5g Ges Release to $o�thern C.�li�qr�r ia Gas Co - f ,,. y., �, c, o.,� � ,_� ... , 51t CERTtFICATE OCCU ,atV Y ,: "' * v �-� ;ro a F- o00 � _., .. . . . No. Date PHO��r,ipODPE55: 91(� DARRELL ST `I uxiT: � OWNEfl'SNAME: ALLISON STEWART aooness: ALEXAND�R ALLISON JO—ANN M 919 DAR{tELL ST •• PHCNIENGINEEH: COSTA MESA CA � 9 Z 6 2 � qEG.NO.: nooeess: JOHN GOODF{iEY C1 �10 107 S EL CAMINO REAL PEBMITTEE: SAN CLEMENTE CA 92672 ' � nooeess:.COAST BUILDING COMPANY (719)496—$708 31251 VIA SONORA ��1 ��TAN �APIS'�RANO CA 92f�72 LICENSEO CONTPACTO NflA I N: I here y af�irm Ihat am licensed unUer O�ovisions oi �aD�er 9 kommencing with Sec�ion 7000� o� Divisioy.3 I Ih Business and Pmfessions Cotle. antl my license is in lull force and ef�ect. ciTvuc.: � srnreuc.:66004� �/�"B le: � � SignaWre. _��_ wOBKEflSLOMP SATIONDELLAPF710N: Iherebyaflirmihatlhaveacenificateoiconsenttase-insureorarertilicateotworkers' Cam0en5alion Insurance. or a certi�ied capy Ihereol (Section 3800, lab. C). POLICY NO.: EXP. ORTE: ICOMPANY: ❑ Ce�ilietl cOpY i5 �ereUy IumiShe�. ❑ Cenifie0 copy is �iletl wilA Ihe ciry Builtling Division. Dale: FpPlicanC E%EMPTION FPOM WOflNEBS' fAMPEN$IITION OECUflNTION: (This sec�ion neeA no� be com0iet¢�1 il �h¢ permii is for one �unOreO �51 W) ar less). I cerlify Ihai in Ihe pedormance oi the work �or which Ihis permit is issueA. I shall not employ any person in any manner so as to become subiec� t� e Workers' ComOensa�ion Laws oi Calitornia. � J — / te: � SignaNre. � f �NOTICE: If. af r making ihis declaralion, you should Decome sublect Io the Worker5' Compens � 6i0n5.o� Ihe Labor Cotle. you mu5i lohhwith comD�Y with such pmvisions or t�is permit shall be Oeemetl revoketl. CONSiflUCTION LENOING AGENCV: I M1ereOy �afiirm �hai Ihere is a cons�mction lenaing aAency br �Ae pedormance o� �he work for which Ihis permit is issuetl (Seclion 3097, Civ. C). ' , � LENOEfl: � � ' ADOflE55: � � � , ,• , OWNEP BUILOEfl �ECLAflFTION: I hereby affirm Nal I am exempt fmm Ihe ConVacmrs' S�aie License Law lor �Ae �allawing reason (Seclion 7031.5 Business ana Pmtessional Cotle'. � Fny ciry ot counry which requires a permi� �o constmc�, al�er, impmve, demolish, or reDair any s�mclure. prior lo iis issuance. also requires Ihe applicant �or such permi[ ro �ile a signetl siatemen� ihal he/she is licensed pursuam m Ihe pmvisions ol lhe Comrac�ors' Slate License Law (Chapter 9(commencing wi�� Sec�ion 7000) o� Division 3 of ��e Business . anU Pmfessions Code) or thai he/s�e is exempt therefrom and �he basis br ihe allegetl exemplion. Any viola�ion o� Sec�ian 7037.5 hy' any ap0licant lor a permi� subleats ��e apDlicant to a civil�penalry ol not more Ihan �ive huntlre0 Oolla�s (E500�. � I. as ow�ner of I�e propeny or my employees with wages as their sole compensation, wilt do ihe work, anA ihe ❑ stmcwre is not inten�etl or oBeretl for sale �Section 70a4, Business and Professional CoAe: The Contractars' Siate license Law . Ooes noi apply lo an owner of a propehy who bui105 or impmve5lher¢on, antl wh0 Ooes SUth w0ln him5el�/hefsell or ��wugh his or her own employees. provitled ihat such impmvemenis are not intendea or ofleretl for sale. If, however the huiltling or im0�ovemen� is sald wilhin one year oi comple�ion. �he owner wiil have �he Durden oi proving he/she Eitl nol hui10 or impmve � tor Ihe puroose of sale�. - , I.as ownerol�Ae DroOeny.am evcWsivery conVaciing withlicenseA conVac�ors�o constmctihe pmjecl(Seciion 7044, Business ❑ an0 Pwle55ions CoOe' The ConVactors' S�a�e License Law tloes no� ap01y �o an awner ol properry who hmlds or impmves therean an0 who conVatls �or 5uch D�ojecls with a conVacior(s�license pursuani lo Ihe ConVac�ors' $Iaie'L¢en5e Law). I am awafe Ihat D�ool ol Iheii Worker's ComDensa�ion insurance shoul0 be pmvitled lo me. ' � I am eKemO� untler Section: B. 8 P. C. lor this reason: . - Oa1e: Owner I tlo hereGy cenity inai I am aware o� antl understan0lhe requiremems o� Califomia Healih anA Sately Code Sections 25505, 25533, antl 25534 and �nat I or any iwure �ui�tling ocapant wi��/will nm (circle one) neeC to comply wi�h saia state coaes and ihe requirements for a permit for consiruciion or modilication tmm the Fir Oualiry Management ��stnc�. FesiUential consVuction applica�ions are exemp� imm Ihese provisions. ' �ale: Applitani. I �ereby cerlily Ihal I have reatl ��is app6ca�ian antl s�a�e �ha� �he a6ove in�ormalion is correcL I aA�ee to comply wi�h all ciry and counry ordinances antl stale laws relaling �o building cons�mction and here�y authorize represenla�ives ol �his city Io en�er upon Ihe abave-mentionea pmperly lor inspeclion �urpo5e5. , /7 .�J , /// � "9�e: 3 SiqnaWre: (�� ' ' Oriver's L¢ense or Social Securi�y a: —� � �� 16aLa6 WM1ite—Bmltling; Green—Cotle EnforcemenC Canary—Appllcan�; Plnk—Revenue: GoltlenroE—Assessor CITY OF COSTA MESA.— BUILDING PERMIT PERM NO: B 06372 ' PERMIT NO:`B 063722 PLAN CHECK NO: N GOVT: N SUPP; N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE:=ALT JOB DESCRIPTION : T/OFF REROOF W/COMP., ,.. SQ FT: 1;000 � CLAIM �IALUE:' 1,000.00 CALC—VALUE; 1,000,00 GROUP OCC: R-3 / , COMMENTS:'REROOF REMANDER' OF THE"EXISTING REF:B63537- "` **********�r�**********�r*�r�r+�******+��r�**�***�r********+�*x�*�r**��r****�*x***�r*��r�*** . 2 O N I N G R E Q U I R E M E N T S ' � S E T B A C K S � •• • ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING,--------- ' FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT:. FT IN . PARKING REQ• ' PROV; PARCEL: 92235310 2NE: REF NO; PLANNING. NaTES,>, _ . . � , i �k 3E�E if dF if �E iE iF k if iF k 3E iE if if if iF dE iEiE if if iF if ik iF 1kiE 1E 1E �F �k 3E 1E 3f if iE if iF1FiF iE iFiE iE if if �FlE iF 1E kiE 1f iFlF iE if ik iE iE �E 1F iE if if iE�iEiE iEiE iF 3E iE iE iE 1f D E V E L O P M'E N T S E R V I C E S R E Q D I R E M E N�T S� ZONING APPROVED BY DATE; ��r BUILDING APPROVED BY : DATE: (F� �p APPLICATION ISSUED BY: � DATE: :�-�� 7 iF1flEitifikiEiEif�EaEiEiEitiE�klFitik�Eil1E �fiFiFlFifiEiEiEiffF if�! � iFif iF if 1E ik �E 1E �E if it if if if�ikik k 1E k �E if �!!f it 1f �flE �t if iE iE if iEif 1E �E �E �E 1E �EaE 3E 3E �E 3k iFiF if �f 3f if if �EiEiE if if k 3t ik iE 1Elt1ElE �F iE iE iE if.iE iE iE iE iE 3F if ik iF LEGALIZATION:,N ' F E E S U M M A R Y STRUCTURAL SEGMENT:Y � ' BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES'J� GRADING � PERMIT ; 25,00 ` � � � SO.i' ` PLAN �� ' ; , , � SMIP/NON�:RES : " . ' ISSUE FEE � � BUILDING—DIV—> PERMIT ISSUE PLAN—CHECR TOTAL PAID �• DUE TOTALS----> 25.50 0:00 0.00 25:50 25.50 '`� �,00 REVENUE DIVISION TOTALS--> COLLECTED: 25,50 OVER/SHORT• i+ � 00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADINGLP,LAN—CHECK _ 2 5. 0 Q , S � j X� , 3f3FiEiE3E1E3E.ifififlE3E�FififiFikiflEififif�fifkkififif�ElEiFiFiFiF�EiEifdF�fikiEikiFiEiFfElEkiFiFlfiEkitififiE�liE�EififiE�EiF1EiF'lEiF'il3E�ElFifiFifiEif � I N D I V I D U A L F E E B R E A K D O W N , � TYPE QTY D E S C R I P T I O N UNIT COST "TOTAL COST /�y SFR' 1000 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 1_000_00 • END OF FEES e F -� 7 rt• �' H � O1 UU14592E-0014:,92r� T�1 1 CATE: 02/30/S's 7I14E: 09:28 :S.iO �.. f .�-w� ` I { i i i rJOL &�SPA� �� - � ' ^ : CONSTRUCTION AND'PLANNING '"� - '- ' ^ - ' � , . m � - � ' � � = - "- ` �'� Date ��Inspector ' ` ' � "" "� � �,Oate- - _Inspector,: i�IkAPPROVALS Permi;;# °- -- ��. �g 4 APPROVAIS Permit# - i u �- n� � i -- - ' vk ` 1.;aTemporary;Elect�ical Servic@�r Pole � . �,� �� 52 -Pool &�Eqwpinent'Location' �� - , i�� ` � - y - - •,•• r ,�- •t :^ u i � � . :.• . , : . . L" � 2.' Soil Pipe�Undrgrnd; .: -,..,�y` � r.:'' � . . 53.'Steel Reinforcement� �� - , � �-'r ; ' .... �. � - � - 3.= Eie trical Condwt Ut�titY Undrgintl. - �' ,� �� 54. Forms�' - � •v �, 4. - � � r., � ��4�.: Nectrjcel� nduit�Undrg"rrid. i: - � ' > �' 55. Electrical Bonding" __ ' - � C`-5'= Sieel�fiei�foi�erY�er1`c - _ � - ' � = 56. Rough Paumbing &� Pressure Test ' : = - -c . � ��c:;:. _ .. ': � ,� _ - �,r.. . _ - �� . _' , � . :,,l- �6;�Etecicical�UEER;GPnd>; �,.;�� ' 57.'APPROVALTO'COVE-R-GUNITE i .: # ��Ze. Footings.oi�iT-��• - -- ' 58 �Electrical ConduiFUndrgrnd. . s .- �' �':' u'�Itf C. - �,8� Fdu�idation:i `��i:_ - i'"', :- . ' �:�� .- 59. Gas Pipe, O'Ondrgrnd:, Test , - _ , J ry _ -� � i1.'- - i - :� - ' i `_ .� ' - ,-__ ; � �• � � 9. W�Cer Pipe�Undrgmdr - �,� _,� �� . � 60.-6ackwash Lines, P�Trap,�a Undrgmd. � ��70. Structurel F.loo�-BYsTem � i � �. "i } �, 61 RPFROVAL TO DECK , . , j /� 17. Proper,ty Sew�r Lina�& HouserConnection ; ; 62 Baokwash &. Receptor Pinal �� •. 72. Sewer'C2P a�.. i _ � . . �- -° � � 63..Heater & Ven6Final � ' 13. Roof Drains T %i�',' ; � ` 64.:PIum6ing Sy,stem - Final'� _ � �' i �� 14. Rough PlumHing� " ��: - �: P - 65. =Electrical-Finaf � - . A , � _ 15. Rough Ele,ctricaLCond'uit �'` ' _ - , " r ` -c . � , , '. >• �, 66 Solar SVstem+Final • (, ti � r, `?76• Rough ElectricNWiring. � � t R � 67 Fencing & Access Appinval � �� 5 r . " - . � :- . -- - � 77. Rough Wiring Si�n � - • � 68. -APPROVED FOR-PLAS.TERING � 18. Rough ElectricaPT BarCeiling ; . . 69. �POOL/SPA��SY,�$TEMS.FINA� �� -'19. Rough�Neating &�Air Conditioning-" - � - � ' " FIRE DEPT. REQUIREMENT � - " � � . . . . . . . �-1 C U+�� u� {-. 7C r (-� n) 20. �Rough Fe)ctorN Fiteplace i 7[,=, Z"7 . U� tYa' � A+PPRONAL'SU:.�iBermit # '- ��' r ; s c.;. :r i-, �Y•.i.:e n X �sN�-it. - .v 2 i , � �:a� 1 i-h� R:� .� F.i 'y �-;:..� �- 21. tDucF_s, irt$tr�tU�� f � .. .. ._;� i � �y �� .; , nf,0. Un[fergr�d-Hy�o �c M � :..... � . ... '- .. . 22. Ducts�, Ventilating-� i t:�S �� .'S `n a�• i, product'Pipin� O�Gay OOII 23. �,6,asW(pe�i}o�igh &Tesc � .= �` iT �-:• � C� 'r�i� i ri�; .� ,� ..., � r. .� i �,.5 �-;h ^ y O t. r f,2. UndergroundiFluSt�e�;,� * ;;� 24.rfloo�;Framing. r,z� i:�('� ^;L •3'r� O 7' 'ta�73.�Undergmd'Storage!Tartk�Gas�00i1� i .-, ..i>•�, 25. Rod�She�thing Ga_ '� `-'�� :;}� -�J �Wj _., r'74. Ovgrhead Hydro ~'�"� R C� 26.rT�Bai;Ceiling (SUucturai} & Monocoat �n O �> r 75. D^y Chemical �"� *�� ' 27. �Frame and Flashin � 'z`' � ^ ' , �z+ .X �x i• *"-+ : ,`: * S '-n x 9' 76. D�' Stand' i e ,� � ...� c-. >. x J:Cc:� .� �r :q � a Y R I?. � ri � , . � '�' . .?.;• t-i(r,cp! O' '.� . . _� .. � , �28."Lathing�Sid.ing,;,,i��; �-1.�,., ?�. �-�; ��: 77.hFIXEDSYSTEM'FINALkI �� C �., -� ci T^;c ri >-� ..-.. ,-� i: t9 r � �� :,I., . . U, =29. Insulatidn r; �. `. , ,t * i 78.yFIRE PREV. FINAL-, - � �: �30. Drywall Naili g p�. �� Y� o- HEALTH�.qEP7:�WEQUlREMENT r ��1. Plaster BiOwn Cu t' � h`' - . .M ' 79.'FINAL INS�.�CT10�(�I �`. �.J `'` `' f� l ��. ,S i tn,T i: i k? h' .�.. 3.: '� :l p �:� S sc i F"p. .a,: K x ��:� 1-� _ ' L . �.�2.i61ecL�ical Power �tert Final � .-�� I ~ Y�t r80. �F,000 CERTIFIQY?ri{E ISSUED 33. •F.inal"EleCtric' `n P. -- i C '� L0 I li �: {rNotes: � �yE '` ` �`' z e� :� o :<.e Y•� I et; �. r:a •y J�q +- `7 U :?�TY ' n ti r�r r �_�-ir-: .=, r,. a1: : v �� t`1� , a. '- J s34.,Final=Hea[ing.& Aiy Co�ditioriin9h' tl K'� 71 .� t�'C • ..�'_' *JC1 ...� 35. eFina��Gas Pipe�7estl'� �- ' � ? .�� • t� �� °!` a. r' �O .. �' l�T•,' .. H ! . 7 x<7 �� t" ( ii L36.'Fioo`c��or CanoPY �# ��` ��• x• `+ a Y" ci" �c � i., a:: :i �37.�Final.Factory Fire`place• � =� '-' � '% '� # % E1 -- '� ^''� ,., . ;r �'- w < e t x ra ;} .. .. r __ - i .... .r.� x:� i H,. a -z s� - " 38. Final;Plumbing n+ � v � I L: • 5 � ='a'� C� i39. Water�Service�FinaLa� s, i o r k% Y C� •��T; =� : �:�. � �40. Gas Service-Fl,nal' �� , _ �` ~ ' , .. . ' - . ... w a:,7 Kmt�' � c:. *� � JtU '��3 k .41. Solar pomesiia�Final:.^ i ;� � .• x.�+ � A .Q ,� � }.i-; x � . s� +k k ? i� ")� tf' 'S ;Z ' � �42. �Backflow Preventer' - ', `' �` " '� v' �' ;�! � ,;u .. � j�< = c� - m Cl r-i . � . "+ Y . J.. . � _.93. Backflow Irrigat�on x �7:>'>: a a tCE-<o ^ O - - ,� .: n7 i � �'1 �44'. Landsca e Ir i ation SYstem �"� x 4 -�* �' ~ ',`-� - �F "" ` � � :i: � P� p . 7,M,(,+. �S, r,•,.y O U �.-Y i O'. iU �-.i,,, 1,. .V J. t:. l 1 ,!i . ✓M.s« ." .� _ _.-.. Y, .. ._ .. . .. . . . :45'. �$ound Attenuationx r'YH !" '� z c' :-' •�.* r �-� -, F-+ �� N. •?:a; =� � � . • ' i - .-� -� .. >. In Fi �*ti'. r F 7 U' .t. [-l� X . ' _ .., . . • _ l. `l '� Y '(� •• •.1 . �l � / i"'irJ ..�y ; � ;46� 'Handicap'Regulation`s ,4� x: :i a .x � •S Ca S � 47'. FINA�L STRUCTURE & BU6L'DING � � �/�' '� `5 . � � � l yP?"�31 �, t!" .0 �_�+•-�-G-�: �l� -�d-- 48: F;INAL PLANNING� � ".,'F'�, � �; J:%;� x ,�y .t ;� �+ ' �49�. Elect�ic Release to Edison i � � . ;' x z :5; ' "' '� �� r. • _ � r •t ,ri c; .�h � �50�'.yas�eleaseto5outtiemCalifomiaGasCo ;, I '� `' '_5,�, '' -� �'� - �� '' �� . .-, �• -vir� +_l '51. CER_IFICATE OF OCCUPA�VCY' ,;; �,�. �, t�,� x � E� o �._. .. No Date CITY OF COSTA MESA BUILDING DIVISION ROOF COVERING CERTIFICATION • � • i I . r' =;� � L� Property Address / � 9 ��%�'Z+L Owner ST��iJ.4fL.7`" AGLI �w Contractor �'�_�T' �? � i r.nir.�C Gc� State Contractor License Number ��DO � Classification —g/ I hereby certify that I have installed, or caused to be installed, a minimum Class C roof covering at the above address in conformance with Chapter 32, and Section 1704 of the latest adopted edition of the Uniform Building Code, as amended in Section 5-17 Title 5 Costa Mesa Municipal Code, and the installation instructions of the manufacturer. ❑ I further certify that I am the owner of the property. (Owner-Builder permittee only). � 1 further certify that I am: �Owner of sole proprietorship company ❑ Full partner of the company '❑ Limitetl partner of the company ❑ Officer of the corporation I certify that as an authorized officer or agent of the company or corporation, I am empowered to make this certification, which shall be binding on all successors or assigns of the company or corporation. I shall deliver a copy of this Certification to the above listed owner, after submittal of form to the Building Division for acceptance. Received by Building Division By: S�.3d y'. ��i6a� ,e 099P4fi W�itaBuilCing Div.; Canery-ConVaclor, Pink-0wnar Go��-,- 3 �, �►�, ►v L C o, �� Company or Corporate Nama ,�/ZS/ Y/14 �7r.Ja2.4 FWaress �'z6 93 �'� � Wre ate Primed or rype0 n e � �i � PflOJECT POOflE55: OWNEB'S NPME: , aooxess: IIPCH/ENGMEEB' uxiT: T. . . �. . . .,. 1d'! ., ........:. . .:c.-.— 9Y6Y%, flEG.NO.: CS �O• . ��t ADONESS:, -' lO% S EL CAMINO REAL '`�' � , SAN CLEMENTE " "CA'92672 ` PENMITTEE: COAST BUILDING COMPANY (714)496-5708 aooacss: 31251 VIA' SONORA " "' "' `„-' SAN'JUAN'CAPISTRANO"'CA'9'2672 " ` LICENSED CONTHRCTOfl OECNPRTION: I hereby afhrm Ihal I am licensetl'untler D�uvisions oi Chapler 9(commencinA wi�� Sec�ian" 7000) at �ivision 3 0� Ihe�Businessantl Pmiessions�Coee, antl my license is in full lorce and eflect - -- � ��i � � ciTv iic.: sraTe uc.: 660044 cu�ss: g ' Da�e: ' ' Signa�ure:' , _ ` � WOBREHS'. COMPENSpTION OECIAflpTION: I hereby aflirm that I have a certilicate of consent m setl-insure or a cErtiticate of Workers Compensation Insurance. �r a cenifie0 coOY ��ereot (Section 3800. La6. C). , oOLICY NO.: EXP. ORTE: , ; . ' COMPRNY: ❑ Cetlified caDY is hereby IumiSheA. ❑, Cehi�ietl copY is (ile0 with �he city BuilEing Divisioa ' Date: PPPlicanC ESFMPTIONFBOMWOBREflS'fAMPEN5RTI0NOECLAPRTION: QhisseclionneeUnotOecomple�edi�Ihepermi�isforo�huMrea�E700�arless�., I certi�y �hai in �he Oehorman[e o� the work �or w�ith t�is permi� is i e I s�all oi ¢mploy any person in any manner 5o a5 io 6ecame 5u01eci lo �he WOBers' Compensa�ion laws ot Calitomia. � . Date: Signamre: � � — — — � NOTICE: It, af�er aking I�is declara�ion, you shoultl become Ieci �o ��e Workers' Compensa�ion D�ovisi eLabor Code. you mus� forthwith compry wi�h such provisions or �his De�mi� shall be deemetl revoked. � CONSTBOCTION LENOING AGENCY: I hereby affirm Ihat tAere is a conslmc�ion lending agency tor �he pedolmance o� �he work �or' whic� �his permii is issued (Seclion 3097. Civ. C�. ; LENOEfl: � noosess: • � OWNEP BWLOEB OECLABR710N: I hereby altirm that I am exempt imm the Coniracmrs' State License Law for the,followinA reamn �Sec�mn 7031.5 Business antl Pmlessional Cotle: Fny ciry o� counry which repuires a permif Io cnnstmct, aller, improve, tlemoliSR ar repair any slmcWre. prior Io i1s issuance. also requires I�e applicam lor 5uch permil lo tile a signed statement �hai he/she is licensetl' pursuam m ��e pmvisions of ihe Comramors' S�ale License Law (ChaD�er 9(commencing with Section 7000) ol 0ivision 3 0l ��e Business ana Pmiessions Catle) or I�at helshe is exempt therefmm antl �he Gasis �or the a�legeU exemp�ion. Fny violaiion ol Section 7031.5 by. •any apDlican� tor a permi� SUUjec�S Ihe aOPlicant �o a civil penalty o� no� more �han five �untlretl tlollars �$500). � - I, 'as owner ol ihe proDe�Y or my employees with wages� as their sole compensation, will do the .wark, and [he. ❑ s�mc�ure is not intenUetl or offere0lor sale (Sec�ion 7044. Busmess antl Pm�essional Cotle: The Conirac�ors' S�ate License Law ' tloes no� apply �o an owner o� a D�oDerty who builtls or impmves ��ereon, and who does such wo�k �imsel�/hersell or through ` his or her own employees, providea Ihat such improvemen�s are no� intentletl or o��ered for sale. If, however �he building or � � impmvemen� is soltl wi�hin one year o� complelioq �he owner will have ��e bur0en o� proving he/she Oitl no� builtl orimpwve � for the purpose ol sale�. ' , �• . . , ' I, as owner o� the pmDeny, am exclusively conVac�ing with Iicense0 canlrac�ors Io constmci Ihe D�olec� �Sec�ion 7044, Business �� ❑ an0 Pmlessions Coae: The Contraciors' State License Law Ooes not apDly to an owner oi pmpeM who builtls or impmves thereon ' � antl who coniracis lor such pmleqs wi�� a contractoqs) license pursuanl lo the Contrac�ors S�ale LiCense �aw�. I am aware �ha� pmol of Iheir Worker'S Compen5ation insurance should be pmvi4e0 lo me. � I am ¢xemp� untler Seciion: B. 8 P. C. . lor Ihis re on: /"^/ �-7 Date: ' Owner `� 1 do �ereby cenif �hal I am aware o� and untlerstantl �he requiremems o� Calitomia Heallh antl Sa�ery Catle Sec�ions 25505, 25533, and 25534 and �ha� I ar any lumre bullding ociupam willlwlll not (circle one) need to comply wi�h saitl state cotles antl ��e raquiremems tor a,. permi� tor consVuclion or moUilicalion iwm ihe Air �uali�y Managemen� Dis�ric�. flesitlential constmciion applications are exemp� Irom ; Ihese.pmvisians.' � ' ' Daie' Applicani: ' I �ereGy certity �hat I have read Ihis apDlicalion antl slate thai Ihe above inlormaiion is correcl. I agree �a comply with all ciry and counry ordinancei antl staie laws relating to builtling conslmc�mn antl hereby aulhoriie repre5enta�ive5 oi this ciiy lo enter upon Ihe aEove-menlionetl pmperly for inspection pwposes. � _ �. � Daie: Signamre: �� / — oriver's �icense or sociai securiiy A: i64�-a6 WnM1e—Boiltling; CITY OF PERMIT` NO: M "' � 063539 " " ' CONSTRUCTION TYPEe � � ` '," JOB.DESCRIPTION.':"'267SF RE CI;AIM' VALUEe " --`�"�.` . _. ._ . COSTA.MESA — BUILDING PERMIT PERM NO; M 06353 PLAN CHECK NO; .'" "'N �� GOVT:'N SUPP;'N ' ` :` � '` PERMIT' TYPE;' MEC "` . " . :' " ." - PURPOSE: OTH � ID 'ADD, RELOCATE WASHER`/DRYER CALC=VALUE: ' ' � " SQ'FT: GROUP OCC': R-3 / � *Ol�*It��rt****+e�e***��r*�*+Le***�*fe*D+Ie+Ne**�x*�*r*�r***�r***+Sr**�r�r*�r��rx�e�e�e*�r�r*��r�r*�e�r��r+��r ��" "" ' ` 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 _.. _.,.. _... __ , . . . � . . � . ' .. . . ... . . . . � .. _, . --.c — MAIN BUILDING — —= =--=----- ACCESSORY BOILDING --------- °FRNT �'; FT IN,REAR:; ,; FT IN ,, FRNT: FT IN REAR;; ; FT . IN �_, LEFTe ...��„�� FT -j'� IN,RGHT ,..;._FT ;��.., .,.._ �_.: .:.,:.FT_ .,. ,.IN RGHT:.., :. FT,' IN,�..: . ,. IN LEFT '"PARKING REQ ' " " PROV:" " "—" "PARCEL:"`"42235310" ZNE: "`' '' AEF'NO: " , ' PLANNING . N0�'ES,> �, ' .. , .n.. A . . +.'_ _� ._ ._" _ . . � '. . . .. . 4 . . . ... " . � � " ******************�f***********'*************�f*i�ii*i�ifii*i�*if*******i�*i�if*****�'ii****** � �;,' «.,D;: E$�yV "E;L`;s0: P, M E N T_,,',S „E R V..;I C. E S'r R_ E Q,U I R E,M . E N,T, S , 20NING' APPROVED HY . . ` _ � ` ' - o�.` . ' DATE: . .._ �:.'. � . : . . . .. � . . . . _. _. . _ .. HUILDING `APPROVED HY, ": " ` ' "' ' _. .. . :�. .. .. _ _..DATE: .`APPLICATION' ISSUED' BY: . � .�9�1-cS�i•-•� , ,' DATHe g / �'%3'=: LEGALI2ATION*N***************E*fi*E***S*U*N*M�R*Y*********STRUCI'[)*RAL********** _ ,__ SEGMENT6N " ' i� � ��' � � BLDG PHT PLUMBING""ELECTRIC " MECHANIC ` � 'FIRE ' SMIP/RES GRADING PERMIT . ,. , .. . -., -- - - 925t . - -"SMIP/NON—RES PLAN . ' ' , - . _, , .. .._ _ Y---- s.. . .- -�..__. .._ _.. . ,.�. .__ . ._ _. _ . ISSUE FEE 15':00 �HUILDING DIV > PERMIT l, ISSUE PLAN—CHECK _ TOTAL' PAID DUE .TOTALS,. , _. � .... , ,,. . 9.00` '; . 15.:00 ' , .. .p:00 ,. •.��.x. _24` 00 .. ., ,24 .00 _ .00 .....,. . , ... ..«,._ :,._ . . ... . �.. .. . , . � REVENU&'".DIVISION" TOTALS-->" COLI;&CTED': ' ' ' `""" ' 24:00"`OVER'%SHORT•:' ' " " "` .00' """" ;,,�,, HLDGT,PMT. PLUMHIwNG �ELEC1'RIC ,MECHANIC.� ,:FIRE,.y SMIP/TOT GRADING PLAN—CHECK �_. .. . , _ :.. .... . a _ ... . .�. ., 24.00 .:«._ .. _' . ' � .,-�._. .. ,_ . ifkkMititlflfMitMltiFiflkMiFkitiFfFftlfitMiflflflt1k1t1klt�Fltlf�titlfltititiFlFMfFlfiFiFltifiFiFkiFikk�lMM�kikik�tft�kiFiFifitiFiFklklkikiflflF . �,;`� ,;,:';�_;� ,, ', -- I,vN D:,.I V� .I D, U�A L,; Fy_E E B R, E A K D O.,W.,N . ..y ..n.. : C .... _.. .. � . �.. .�. .._ "' ... . TYPE QTY � D E'S C"R I P T I O N'" ' ' `� UNZT COST " TOTAL COST 'MEC . . "'�"" "i"1"' `�INST/RELOC� RECESSED WALL HEATER " ""' ' ' 9. 00 ' " " — ' '9.�00''' .u_ ::�-. :�,,�,,. . ._..7�. -. . ,. ; END;OF FEES, .,_ � ., . . . .�..... .,_ . ,��_ .,. ..�._ . � � . . . .. . .. . _._ .u.w� . . Wnary—ADPlicanl: Pink—Revenue', Goltlenroa—Assessor _ ...... . . +, � ai aoiasi;i-oot=si�i TOT ?€.00 DATE: U°/1�1?3 TII1E: 16�2D . . . . n. • }<1 .. . . .. . . " .� l` - ... . 1 OWNER $ristol �states � � �ArE !�-1�°�-56 - JOBADDRESS 1J DdT'T'EZ]. St "' BUILDINGPERMITNO. 28Z1 GENERA�CONTRACTOR $.V.HllriSHICOT' VALUE $ RiA��=� LOT �� BLOCK TRACT 2873 Single Res. W�att gar GROUP I& J TVPE V INSPECTIONS \ � Footing Trench —! I� ' Foundation Forms and Grade to Garage � Rough Framing �— . Plumbing,-lioug� _�� Plum6ing, Rough Complete �`.'.-�% dr - �' Temporary Pole Wiring,Rough ' '� . C,'i Lathing,ln Out Plastering Plumbing, Finai, Fixtures Coi Plumbing, Fin,al Gas Test Wiring, Final OccupanCy FORM 2�0 3M 10-•v5 SUBCONTRACTOR ri E DISTRICT 2�(y% PERMITS ISSUED DATE � NUMBER ' " Costa Mesa Bniiding Department APPLICATION FOR PERMIT - P. o. e°X 3' � 28�E:i B U i L D 1 N G ' f ' COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN _ ReceiPt r�o. vermit r� Address �1 � q � i A-2IZE.l..L. ST. � vl �a/ Costa, Mesa, California Receive Date Rec'd. Date Issui Nearest r"�L I� G� �U " I�'F �/�✓� �'/ � �cross st. � � . sui�aing Address Owner � QjS' L � `� Costa Mesa, California Mail Address (� y �. �„�Ot - (J�(�-S Nearest y� Te�. Cross St. City lFi:(iinL�_ �l�i� No.%�7-�%"�1�� Zone ,/'I No.of I Tvpef Group� Engineer Address Contractor� � AEdress �I Legal I DeSCription Size of Lot (�:C� 1C 125e of -- Existing Bldg. Setback Line from Block � � N tl New ✓ I I Alteration Repair I I Moving Building }�7 �,j, No. of Size �� (. :� Room�. Exterior Wall I R Coverino Si. V CL-G C� 1'ha� Lic. No. c��y V Addition Demolish Stories 'Pcc � �1.1) G l,l. Date CORRECTIONS " ,U�fH i�1t�JH APPROVALS ion � InSpeCto� -- ' Forms, Materials �� j�Yr�.Gj.j.Cd �./.j�y({-�?�,_ Under-Pinning �—� �—� %� Frame: Fire Stops, Bracing, Bolts I hereby acknowledge that I have read this Application and state that the above is correct and agree to comply Lath. Int. with all Clty Ordinances and State Laws regulating building construction. Lath. Ext. 3ignature of � -�-/ n/ Permittee [ J%11�YW' _ � . Plaster,lnt. Vaivation Perrr� Fee $ Z`Z_ O O �ry�r �� PlanCheck$ /�• DO $ / � �p Total Fee S 3�3 , O O cowrn zoa �o.ss o. r. a s. i O 9 G1 Z , D r PLOT PLAN 6how Iocation and distancea irom , property Itna and between buildinga . . �� i��3-:�, � � � �� _ - ;. . - _' _i��_ .?' � . 'i-i � � � COSiA ,� t�r^ii 1 S-SE��iaes `�� , k::tr::33.00 , ; ,.1 '' i , .; ::i _ ,� � - -, . i" . , ..; '� : ;'>'� _, i ` - - ` � _ . . _. i _. . . . _ i'• . , , , j._; -. , , i.. : �,\ .� � : , � _ ' \ _ `�\ �•. . ,�"�� , .t� r M1 ._ . ,1'. t� `�' . ... ` �.,\ � � __ � _. � 1 . . _ .. � 1 . ... . . � � '_., li� 1 � l -_„ - ._. .i �' �; '. , � J ,. -- ' r. : i 1 ; . , . . _ . I ` 1 1 : i.. �I � ..' �' ' � '� - ' �� ' ' - �.1��. -i; Li. .., � , , . �`�� ` - • . � , � ' . l � ```: . �� ♦ � . f `� � ��:� _ . � ..I i„ �\ i . f� . �,i /_, i � . �� 1 :_' �') _' ;`l .. , `