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Home My WebLink About834 DARRELL ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mes��DING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 834 DARRELL ST Suite: Vicinity: REAR OF PROPERTY Primary Occ: R-3 Dwellings/ Cong Res <10 Type of Construction: V-N Parcel Number: 42236216 Zoning: Applicant: LALIBERTE, JAMES Address: 834 DARRELL ST COSTA MESA, CA Owner: LALIBERTE, JAMES Address 834 DARRELL ST . . COSTA MESA, CA - . Contractor: OWNER-BUILDER . Address: � ' ' . Zip: nrch : TONY BANZUEL Address: 3405 RIDGEWAY RD ORANGE,CA Zip: 92867 Stalus: ISSUED Applied: 01/24/2006 Issued: 04/O6/2006 Phone: 949-722-7561 ISSUED BY: Zip: 92627 '�a Phone: 949-722-7561 - y�� zP: szs2� Oq T k F. �� A � Phone: � � � ' License: 000000 . ) Eng: LANGSTON AND ASSOCIATES Address: 834 DARRELL ST Phone: 714-273-6608 CELL Phone: 949-722-7561 � COSTA MESA, CA License: C11901 � 92627 License: C29373 SCOPE OF PERMIT � ADD 686 SF TO EXISTING SINGLE-STORY S.F.D. WORK TO INCLUDE: NEW MASTER BEDROOM/BATH, WALK IN CLOSET; INSTALL NEW SKYLI( SOLAR TUBE; ADD 18" TO RIGHT SIDE OF EXISTING BEDROOMS #2 AND #3; AND ADD FIREPLACE(UL#127) TO MASTER SUITE. ALTERATION i EXISTING SFD TO INCLUDE REMOVING EXISTING BATHTUB TO CREATE NEW HALLWAY; INSTALLING 2 SOLAR TUBE SKYLIGHTS; AND RELO( EXISTING ELECTRICAL SERVICE. CONVERT EXISTING 3 BEDROOM, 2 BATH S.F.D. TO A 4 BEDROOM, 3 BATH S.F.D. PLANNING: � LOT SIZE = 6,000 SQ. FT. RESIDENCE & GARAGE = 2,104 SQ. Ff. � _„ � DRIVEWAY=560SQ.FT. — ---- � - ----- LOT COVERAGE = 2,664 SQ. FT. (44°/ ) � OPEN SPACE = 3,336 SQ. FT. (56%) REAR YARD AREA = 1,200 SQ. Ff. REAR YARD COVERAGE = 212 SQ. Ff. (18%) Plan Check: Permit: SMIP Res: SMIP Com: Ofher: Inspection:, Total SETBACKS $504.89 � $776.75 $6.84 ' ''� $0.00 $0.00 $0.00 $1,288.48 � . . FEE'SUMMARY PLANNING & ZONING Calc Valuation: Claim Valuation: $66,386.40 so.00 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 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 raquired inspaetlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSAnON DECLARAnON: � I hereby attirm undar penalry of perjury one of ihe following declarations: ❑ I have and will maintain a certiticata of consent to self-Insure tor workere' crompensallon, as provided for by section 3700 of Ihe Labor Coda, tor tha pertormance of Ihe work tor w�ich ihis permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by section 3700 ot the Lahor Code, for the perfortnance of ihe work for which this permit is iuued. My workers' compensation Insurance carrier and policy number are: Carrier. Policy Numbar: (This section need not be completed i! fhe permit is veluetl at one hundred dollars (5100) or /ess.J �� cehity that in the pertormance oi ihe work for�uhich this pertnit is issueQ I shall noi employ eny person in any manner so as to �ecome subject to Ihe workers' i ..ompensation laws of lifawi tl egree thA if.l ould become subject to Ihe workers' compensation provisions of Sectio 3700 of tha Labor Code, I shell forthwith comply with thes rovisions. ! /� AppliceM5lgnaWre: ~ . . rDate: ��`� ( Qk, WARNING-FAILURE TO SE E MPENSAiION COVERAGE IS UNLAWFUL AN� SHALL SUflIECT AN EMPLOYER TO CRIMINAL'PENALTIES AND GVIL FlNES UP TOONE HUNDRED TI%JUSAND DOLLARE (5100.000), IN ADDfrIqJ TO THE COST OF COMPENSATION, DAMAGES PS PROVIDED FOR IN SECTION 3]O60F THE LABOF CODE, ItJrEREST, AND ATTORNEI^5 FEES. LICENSED CONTRACTORS DECLARA710N: � 1 hereby affirm Ihat I am licensed under provisions of Chapler 9(commencing with Seclion 7000) ot Division 3 of the Business and Professions Cotle, and my license is in tull force antl eHecL Lic. x qass N Coniractor's SignaWre: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby aMirtn ihat Ihera is a consiruction lentling agency for the Oe�ormance ot t�e work for which this permit is issuetl. (Sec. 3097, Civil Cotle). Lender's Name: Lenders Adtlress: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby ettirm that untler penalry ot perjury ihat I am EXEMPT FROM 7HE CONTRAC70R5lICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions Cotle: Any ciry or couniy whic� requires e permit ro constmct, alter, improve, tlemolish, or repair any simcture, prior to its issuance, also requires the applicant tor such permic to file a signed siatement ihat he or sha is licensed pursuant b the provisions of the Contraciors Licensa Law (Chapter 9(commencing with Section 7000) of Division 3 0l the Business antl Professions Code) or that he or she is e:empi therefrom and the basis for the allegetl e:emption. Any violation oi Sedion 7031.5 Dy any applicant tor a permil subjecis the applicant to a civil penalty of not more than five hundred dollars (5500).): I„as owner of the property, or my employeas with wages as lheir sole compensation, WILL DO THE WORK, antl the s�mcture is not intendetl or ofleretl for sale (Sec. —'7044, Business antl Professions Cotle: The Contrectors License Law does not apply to an owner ot propeny who builds or improves Ihereon, and who does such work himself or herseli or lhrough his or her own employees, provitletl that such improvements ere not intentlad or oflered for sele. If, however, ihe builtling or improvemenl is sold within one year ot completioq the ownao-�uiltler will have ihe burden of proving ihat he or she ditl not build or improve tor purpose of sale.). ❑ I, as owner of the property. am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the prqect (Sec. 7044, Business and Professions Code: The contractors License Law tloes not apply to an owner of propeny who builds or Improves ihereon, and who contrects for suc� project with a contrac[oqs) license pursuant to the Coniractors Liceqs�e Laws.). ❑- I am exe under sec. 8ignalura;� Owner'ID ver ied by driver's I Venfication of Business and Professions Code for ihis reason: ie. �j�Y�s ❑No DdversCicerisa'No. of document, i.e. - pwperty tax bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CER7IFICATION: ❑ I hereby ceniy ihat no excavation five (5) or more feet in depth imo which a person is required to descend, will be made in conneciion with work authorized by this permit, and ihat no building structure, scattolding, talsework, or demolition or dismantling thereof, will be more ihan thirty-sia (36) feet high. (Chap. 32, Grp 2, Ar12, Sec. 341, Ttle 8, Calibrnia Atlminisirativa Cotle). ❑ As owner-builder, I will not employ anyone ro do work which would require a permit from ihe Division of Industnal Safery, as noted ebove, unless suc� person has e permit to do such work from the division. SignaWre: Date: Division of Industrial Safe�y Permit Number. CERTFICA7E OF COMPLIANCE AND AUTHORIZATON OF ENTAV: I certify under penalty of perjury �ha� I have read ihis epplication and state ihat �he information given is correct I agr o-comp�y with all staD a qd city ordinances relating to building constmction, and authonze representatives of the City of Costa Mesa to enter upon t�e above- nbed propertyla 'nspection sds. I egree noi to occupy or allow occupancy of any building authonzed by ihis pgrm'� ntilji� inspection. 4 �o / L � � n fCegalOwner(s)--"��. Date� And/Or Amhorized Applicant Data COUE �. INSPECTIONTYPE 1616 Fizetl System Final Pire Prevemion 7266 Pool Spa Final , 200 Final Re-Roof 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition D1TE . �NiRIRLS COpE� INSiECTIONTYPE 206 Final Mechanical 208 210 212 220 Final Plumbing Final ElecMcal Final Fire Preven�ion Final Planning Approval 222 Final Site 250 ' FinalBuilding/Occupanry p�TE IMRIAlS (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 834 DARRELL ST Suite: Vicinity: ROOF Parcel Number: 42236216 Zoning: Applicant: RASOA, ODILLE Address: 939 SERRA WAY ., � ,, - �Phone: (714)434-2525 COSTA MESA, CA �� . �. Zip: 92626 Owner. LACIBERTE, JAMES Address , 834 DARRELL'ST - � " � - � � � � . � . - �Phone: :� COSTA MESA, CA Zip: 92627 Coniractor: #1 BEST ROOFING COMPANY Address: 939 SERRA WAY " - Phone: (714)434-2525 ' COSTA MESA, CA � Zip: . 92626 � License: 722805 Arch•: - ' " - . Address: " � " � � - � � � . Phone: Zip: License: }. ' REMOVE EXISTING COMP ROOF. APPLY 25 YR EI Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: "7otal: .. $0.00 $8325 $0.50 $0.00 $0.00 $0.00 $83:75 ��.._ - ' SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING existin : 0 NOTES: Rear 0- 0 Rear 0- 0 Required: 0 Slatus: ISSUED Applied: 03/11/2002 Issued: 03/11/2002 ISSUED BY: �l�` � �� ' ' �` . � � : � � '. � . Eng: .. , ' -, Address . . . . , � - � � . , � . Phone: , � . �� License: ,KMI I. _ ._ . 1800 SF (WITH ATTACHED GARAGE)� � � FEE SUMMARY Calc Valuation: _ � Claim Valuation: ;, - �sz,�oo.00 s2;�oo.00' i � . _. , PLANNING & ZONING � % '. � � � %�- �; Left 0- 0 Left 0- 0 Proposed: 0 . .: -�..,, -.� Right �0- 0 � - � , Right , 0- 0 '/ NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become void if work is�not commenced-within 180 days, or it work is suspended or abandoned for a penod of 180 days. � � • INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 2aas-as (�oo) WORKERS'COMPENSAnON DECLAFIAnON: . . - I hereby aflirm untler penalry oi perjury one of the following declerations: . . ❑ I h ve end will maintain a certiticata of consent to setl-Insure tor workers' compensation, es providad for by section 3700 ot the Labor Code, for ihe pertortnance of the ork tor which thi3 permit is issued. f have and will mainW in workers' compensation insurance, as requiretl by section 3700 ot ihe Labor Code, tor ihe pedortnance of ihe work for which this permit is issued. r+�"My wo is�'{c-om�j e,nsation Insurance carner and policy mber re: /� �S"mei:� ��U.l \" hv�„ XU �L�MA_QQ,h!' o �� olicy.N__ .u"'Ymbe��3K' S �, �-1 �-1 _ c7 is sectlon need not be com ted il the Oermit is velued et one hundred dollars ($100) or /ess.J ❑ I certity that in Ihe peAormance of ihe work for which Ihis pertnit is issuetl, I shall not employ any person in any manner so as to becoma subject to ihe workers' compensation laws of Califomia, antl agree Ihat it I should become subject to ihe workers' compensation provisions oi Section 3700 oi Ihe Lebor Code, I shall forthwlt� comply,with:lhese ions. z plic'�`�antSignatu�e:� ��./ _ ete.�`- J — � � —�Z WARNING: FAIWRE TO SECUPE WORKERS' COMPENSATION CAVERAGE IS UNLAWFUL AND SMPLL SUBIECT AN EMPLOYER TO CFlIMINAL PENALTIES AND CNIL FlNES UP TOONE HUNDRED THOUSAND DOILARE (5100,000�, IN ADDRION TO THE CQST OF COMPENSATIIXJ, DAMAGES AS PROVIDED FOR IN SECiION 3106 OF TME LABOR CODE, IMEREST, AND ATiORNE1^S FEES. LICENSED CONTRACTORS DECLARATON: 1 hereby aHirm Ihat I em lice�der�ro�vi�ns of Chapter 9(commencing with Section 7000) oi Oivision 3 of Ihe Business and Professions Code, end my license is in full SFce;andelfect>Lic.ya,--� a !q,: eS-� �onvect6rsSigneture:� iF711 p31e:�: �'l— 1 1 —02_— CONSTRUC710N LENOING AGENCV: ❑ I hereby attirtn Ihat there is a construction lending agency for the pertormance of the work tor which this pertnit is issued. (Sec. 3097, Civil Code). Lentlefs Name: Lendets Address: Signawre: � Date: OWNER-BUILDER DECLARA710NS: I hereby aNirtn thet under penalry of perjury that I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, eusiness end Protessions Code: Any ciry or county which requires a permit to consimcL alter, improve, demolish, or repair any stmcture, pnor to iis issuanca, also requires ihe applicant for such pertnit ro lile a signed statement that he or she is licensetl pursuent to ihe provisions of the Contractors License Law (Chapter 9(commencing with Section 7000) oi Divislon 3 ot Ihe Business antl Protessions Code) or thet he or she is exempt iherefrom and the basis for ihe alleged enemption. Any violation of Saction 7031.5 hy eny applicent for e pertnit sublects Ihe epplicant ro e clvil penalty ot not more Ihan five huntlretl tlollars ($500).): ❑ I, as owner of the propeny, or my employees with weges es their sole compensation, WILL DO THE WORK, and the swcWre Is not intended or oHeretl tor sale (Sec. 7044, Business and Protessions Gode: The Comractors License Law does not apply to an owner of properry who builds or improves ihereon, and who does such work himseli or herself or thmugh his or her own employees, provided that such improvemenis ere not intendad or oHeretl tor sale. If, however, the builtling or improvement is sold within one year oi completion, ihe owner-builder will have the burden ot proving Ihat ha or she did not builtl or improve for purpose ol sale.). ❑ I, as owner ol lhe pmperry, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct lhe project (Sec. 7044, Business and Professions Code: Tha contreciors License Ww does not apply to an owner of pmperty who builtls or Impmves ihereon, antl who wntracts for such projact with a contracror(s) license pursuant to ihe Contractors License Laws.). ❑ I em e:empt under 58a BuSiness and Professions Cotle for this reason: Signa�ure: Date: Owner ID venfied by driver5license. ❑ Ve5 ❑ NO Drivers License No. Verification of Ownership by (rype of documen4 i.e. - pmperry tex bill or tleetl): Expires: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cenity that no excavation five (5) or more feet in tlepth into which e person is requiretl to tlescend, will be mede in connection with work authonzetl by Ihis permit, antl that no 6uilding structura, scattolding, falsework, or demolition or dismantling Ihereoi, will be more ihan thirry-six (36) feet high. (Chap. 32, Gry 2, Ar12, Sec. 341, Title 8, California Administrative Code). ❑ A5 owner-builtler, I will not employ anyone to tlo work which would require a permit from the Division oi Indusirial Sefery, as noted ebove, unless such person hes a pertnit to da such work irom ihe division. Signature: Date: DiviSion of InduS�rial SBfety Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZATION OF EN7RY: I cenify under penalry of perjury Ihat I have read this apDlication end state that ihe informetion given is correcL I egree to comply with all s,ate laws and city ortlinances relating to building constmction, antl authorize representatives ol the Ciry of Costa Mesa to enter upon Ihe ebove-described property for inspection purposes. I eqree not to occupy or allow xcupancy of any builtling authodzed by Ihis permit until finel inspection. �ature Of Legal Owner(s) D e a,a� i �— I �—�Z COUE �. INSPECTONTYVE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Finel Re-Root 201 Finel8lock/Retaining Wall 202 Final Fectory Fire Place 203 Finel Sign 204 Final DemoliGon . ee� � r! —Oz �— COUE� INSPEC110NTYPE 206 Final Mechanical 208 Final Plum6ing 210 Final ElecMwl 212 Final Fire Prevention 220 . Final Planning Approval 222 Final Site 250 Final BuiltlinryOccupancy �g � ; clrv oF.cOSTn M�SA NSTR �TIOI�I PERMIT +,- ' Project Address L' • �' - � ApplicanYsMailingAddress � I� `� Owner,'s Name ` � � Phone Atldress � � n ' , Arch/Eng.! - License No. � 7� Address j - + ' - ' ' - ! ' Contractor's Name ' ' Phon V 1 � Addresslmailing) _ �b ` � � Ciry.License No. { � LICENSED CONTRACTOR DECLARATION � , r . ' � ' I.hereby af/irm that I.am licensetl'untler provisions ot charter 9(commencin9 . with Section ]000) ot Division 3 of the' Business antl Professions Cotle, a tl �� my Iicense'c`in full torSe,ar�}gHect. ' - �y//v�""� � .\ . . c L.-Z� _ '.�,r:..sA�e�,.Y `IG�C'C 7 \ I � ?„�_��ORKERS' GOMPENSATION DECLARATION � " ' � w� hereby affirm that I have a certiticate of consent to self-insure or a tertiticate '�f_Workers' Compensztion_Insurance,`or.a certifietl.copy.th �eof (Section . 3800, Lab.. i ^7 ^�/ � - � Policy No�� /_J^ Company � �. Certitietl copY is he�eby furnishetl. : , ,- � � ,(�.Certific'nJ�7�}�. y-�'�5�.f/��ed� with the city B i '�Ko . Date-��c�-J-„'�'-� APPlicant - EXEMPTION FROM WORKERS' COM ENSA ON DECCARATION (Thissection neetl not be completed it the permit is tor�one huntlretl ($100) or less) � I certify that in the pertormance ot the work for which this perm�t is issuetl, I shall'not employ any person in any manner so,as to become subject to tbe , Workers'�CompensationlLaws ot CaliforniaJ � Date Si9nature , NOTICE: If, after making this tleclaration, you shoultl become subject to the Workers' Compensation provisions of the-�abor�Cotle, You�must torthwith comply Iwith such ,p�ovisions„o� tM1is pe�mit �shall be tleemetl tevoketl. CONSTRUCTION-LENDING AGENCV'� ' ' ' I hereby atfirm tM1at there is a construction lentling agency tor the performance . of the work for which �thi permit is i%suetl.(Section 30W Civ. C.) Lender'S� Name- - " -� � Lentler'sfAdtlress � ��-� - OWNER BUILDER DECCARATION ' � ' I hereby afii�m that I am exempt f�om the Contractor's License Law fo� the � tollowing �ea5on (Section ]031.5 Business antl�Professional Cotle: Any city or county which requires a permit to construct, alter,.improve, demolish or repair any structure, p�io� to it5'i55uance, also �equires the applicant for such pe�mit b file a signetl statement that he/she is licensetl pursuant to the provisions of ie Contractor's License Law (Chapter 9(commencing with Section 7000) of ivision 3�ot the Business antl Profession5 Cotle) m that he/SM1e,is exempt nere(rom•antl the basis for the allegetl ezemption. Anyviolation ot Section ]03L5 by; any' applicant Por, a permit. subjects.the'"aOPlicant'� t0 a civil ,�endtty ofnot more than five huntlretl tlollars.($500). - ': - � LJ I, as' owner oi the property:or`my�'employees witri wa9es as their sole mmpensation, will tlo the work, antl the'-sVucture is not intentletl or ofieretl tor sale (Section J044, Business antl Professional Code: The Contractor's License l2w tloes not apply to an owner bf a property who builtls or improves � thereon; antl'who�tloes such work himselt/herzelt�or through his or her own employees, piovitletl that such:lmprovements are riot'intentletl'or ofteretl tor Shce. I(, Ihowever, the buil0ing or imp�ovement i5 saltl within one yea� of com- pletion,:the owne� will have�the burtlen of p�oving�M1e/she tlitl not build or im- � �rove torthe;purpose ot sale). � - ` � ' I, as owner of the p�operty, am exclusivety contracting with licensetl wn- tractorsto mvstruct the project (Section ]044, Business antl Professions Cotle: .The Contractor's License Law does not apply to an.owner of property who builtls or improves thereon, antl .who contracts for such projects with a con- tractor(s} license pursuant�to the-Contractor's License Law). I am aware that proof oi their Worker'S Compensation insurance shoultl be provitletl to` me.� ❑ 1 am exempt uritler Section , . _ B. & P. C. for this reason Date Owner � I hereby certity that I have reatl this application antl state that the'above iniormation is correct. I agree to comply with all city antl county ortlinances antl state laws relatinC to builtlino ronsVuction_ and herebv authorize reore- :ant to fili in all spacez eacept those within heavy-JbrUo..lines an0 si9n all apPrapriate Oeclarations. PERMIT NO. � � � TRACT NO.�.� : LOT NO. � UNIT NO. ' P - D� �- . � � . , . � , ,., ' ,, . TYPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR ' �,❑ CONVERSION '� DEMOLISH ❑ OTH R ' Ap �#. ' ' . DESCRIPTIONOF,WORK/USEOFBLDG � � � - - / c /// S Main Building: b.,, � 6 E TVPE�OFPERMIT OGRaoirvc FOUIVDATION 0•STRUCTURAL T Front � ❑ T,ENANT �0 ELECTRICAL�PLUNIBING ❑ MECHANICAL ' B Redr ' '.O��OTHER ' � _ . � r �'-' - . ' , ' {' A PROJECT DESCRIPTION 5c1. FT. r� � -' 'occuPANCv � C�Right K Left CONSTRUCTIONTVPE VALUATION$ $' ZONE - � GRADING CU, VDS. ACRES p��y, Ref. # - Remarks: ' � �-� � ' � 1 Planning�Notes: ii .. 1 � � ' i , ' � Bar Sink Backflow Preventer - -- Backflow Irri9ation ' ' eathtubs � � Clarifiers I 0 rinking Fountains � OOf �f81f15 oor Sinks ' ' � as Service , Outlets :� tercepmrs . ' itchen Sink _ _ . Showers Se�vice Sink �- Sewer Cannection Solar Collectors Solar Piping Solar Tank � Swimming Pool w/Spa Urinal - - � - � �. Water Closet . Water Heater � Water Service ' Lavatories � ' ' �� P-Trap . ' - � � - . Roof'Drains �- � � - � c ; � ' c _ � �.� . Reinspection�Fee� � � $15 � ,i Issue Fee ' Boiler . Duct'- Under Ground ., Duct-Strucmral . , Duct - Ventilating � Exhaust SYstem ❑ Multiple ❑ FirepUFacL BIt. ICBO # Heating System & Ducting � . ❑0-100,OOOBTU 0100,OOOBT' oection pur s � � �j � : 'ure �; ' Dat / ' �' i 55 qk � /� ' �_ F7einspection Fee ��' �rev.4/84 White-Builtling;Canary�App cant;Pink-Accounting;Goltlenrotl-Assessor \ $15 Hootlor Typel' � Canopy: Typell ❑ � 4 Ref�igeration System � *, ❑0-700,OOOBTU ❑100,OOOBT System Repair/Alteretion � laue Fee C 0 � � � Conscruction Pale Su6. Cooking Unit � <- � Dishwasher � Dryers ❑Gas; �Electric � Fan F.A.U. Fixtures - -� - - Device Boxes � ' Outlets Switches Garbage Disposal Generator 065 KW �5-75 KW : �9934: GY07/84 i . � ' Accessory Bwlding. e Zone Parking Req./Provided ' ' 1 :. ' i :� 1 . 0 � ❑ 50+KW Meter ❑�up ro 100 amps Meter ❑over 100 amps'� Sub Panel � ' Motors �0-7 HP �1 % -I$ InaSolar;�9-75 HP �16- Microwave - - �� Pole Light � ' Range in9 Sections Compactor $'3 I � I � Reinspection Fee $15 � Issue Fee FEES DEVELOPMENTSERVICESREQUIREMENTS: � I Zoning APProved BY . Building Approved By (� Applicafion Issued By � ,�(�,. �'� � $ 3 ' 5•OIJ TI.- Z ! ' , O N , ' I � N � ; G R E. . Q ' M , _ T � S. . I FEES � _ ..' i 0 $ � � SUMMARV OF FEES , BUILDINGPERMIT' $ SMIP � � $ PLAN CHECK $- � � PERMIT - ; PLUMBING. ,r-� $ S� � �SSUANCE $ � PLANCHECK 25%. $ � ENERGV:P.C.( $ � ELECTFiICAL $ - GRADING � $ PLANCHECK ,50% $ � ' �MICROFILM $ MECHANICAL; $ ' �TOTALFEE $ �SiDZJ PLAN CHECK ,25% $ ` � . � - � ' " CONSTRUCTION AND PLANNING . " APPROVALS Permit # � 7. Temporar,y Electrical Service or Pole' .. 2. Soil Pipe;Undrgrnd. - � � � - � 3. Eleciri,cal�Conduit'Utility-Undrgrnd. � '4. Electrical�Conduit;Undrgrnd. ' _ r5. Steel'Reinforcement'. ' - - ,� 6.�Ele�ctrical UFER Grnd. , ' �� 7: Footings; � 'E,1 - ' - 8. Foundation . , ' � � � � .' �' - � � 9. Water Aipe-Undrgrnd, � - � � 10: Structural Floor System . 1 i. Propeity Sewer Line & House�Connection 12. Sewer'Cap , . . . I 13. Roof Drains j ' , ' 14. Rough Plumbing � � � ' - 15. ,Rough Electriral-Cortduit - � 16. Rough Electric Wiring ' � 17: Rough Wiring Sign ' . � 18.'�Rough ElectricabT�Bar Ceiling ' � • 19. Rough Heating & Air Conditioning 20. Rough Factory Fireplace �� 21. Ducts, in Siructure . 22 �Ducts, Ventilating _ _ . � 23. Gas Pipe-Rough & Test ,' , 24. Roof Framing i /�� 25. Roof Sheathing � � . 26.-T-Bar Ceiling'1Structural) & Monocoat � 27. Frameand Flashing � ' 28. Lathing & Siding r . ' 29. Insulafion � ' � ' � � . � 30.,Drywall Nailiny • � ' . �31. Plaster Brown �oat 32. Electrical Power Meter-Final � ' 33. Final Electric 34. Final Heating & Air-Conditioning 35. Final Gas Pipe-TesY - . � 36. Hood or Canopy � � . 37. Final Factory Fireplace 38. Final Plumbing � .39. Water Service-Fina! � , - 40. Gas Service-Final . � ' 41. Solar pomestic-Final . ' , 42. Backflow Preventer � 43. Backflow Irrigation � 44. ,Landscape Irrigation System' ' , 45. Sound Atienuaiion , 46. Handicap Regulations � 47. FINAL STRUCTURE & BUILDING 48. Special Requirpments Completed � 49. Electric Release to.Edison , ' - 50. Gas Release to Southern California Gas Q 51. CERTIFICATE OF.00CUPANCY No. ' Date Date �Inspector� f i• " � ,' i � % 1 ' _ ; n . - P(. A SPA . . APPROVALS .Permit# , Date �52._ Pool & Equipment Location - 53. Steel Reinforcement � , � _ 54. Fo�ms � ' . � � � 55. Electrical Bonding . - 56. ftouyh Plumbing & Pressure Test 57. APPROVAL TO COVER-GUNITE 58. Electrical Conduit-Undrgrnd. � 59. Gas Pipe, O Undrgrnii., Test � 60..Backwash Lines, P-Trap, 0 Undrgrnd. - 61. APPROVAL TO DECK. : � - 62.� Backwash & Receptor-Final � � -63. Heater & Vent-Final � , 64. Plumbing System - Final - � 65. Electrical-Final � � "66. Solar System-Final � - - - 67. Fencing & Access Approval' �, � 68. APPROVED FOR PLASTERING 69. POOL/SPASYSTEMS�FINAL � FIRE DEPT. REQUIREMENT ' APPROVALS Permit,# � 70. Underground Hydro , � ' .71. ProductPiping�Gas ❑Oil . '. 72.. Undergraund Flush . �73. Undergrnd. Storage Tank O Gas ❑ Oil . 74. Overhead Hydro � � 75. Dry Chemical � _ � 76. Dry Standpipe • ' . ' . � 77. FIXED,SYSTEM FINAL 78. FIRE PREV. FINAL ' HEALTH DEPT.REQUIREMENT 79. FINAL INSPECTION � 80.. FOOD CERTIFICATE ISSUED . Notes: � Inspector� �� m� �� . . . . . -,-��i . ... . .. . . Applicant to tlll in all sDaces except those within heavy oortler lines antl si9n ail avPropriate tleclarations. � . CITY�OF'COSTAMESA - " � -- - ' -' , "-"-- PER TNO � TRACT��NO.'- -LOTNU.- -'BLD . . -' - ' i -� - -' - '-�' " -'-' �' -� - � CONSTRUCT,ION PERMIT .. , , �- , � • • t ' , , . ; � :. � • • � V ' 32G4 I /27/84 , •I 6.5D : T�, Pro ect A'ddress , D a r r e � -- , � : . • � ' . ' .. .. . . ' . ~• .' ' �. , Y � ' � ' . . � `� . � - t ` , J ' TYPEOFCONSTR TION, NEW ADD ALTERATION� 'REPAIR� Applicant's Mailing Address � S 24'�I i T e(I f O f C� 41y:, �� Y�. L . ; • `❑ �ONVERSION � ❑ DEMOLISH ❑ OTHER- � ' ' � � �' � � •. � � � � . . � ,. .. e _ . A.P. # � " � ; Zone, 'S ... � Owner'sName� ' Donald Bei--L�ulelt Phone -64S-J��L � DESCR�PTIONOFWORK� � . . . , - ._ S Main Building: � ' Accessory Building: - - 2 � Address, ' S a nt E ' ' -; .' - � . - . . � , - E � � . r � ' �- � : � � - ' � - � � i _ TVPE OF P.ERMIT � GRADING FOUNDATION STRUCTV RAL' � ��- T FronY . . : � N . AfCh/Eog.., ' _ , _ � License No. � ❑ TENANT C�ELECT,RICAL C�PLUMBING ❑ MECHANICAL { _ 1 �. � B Reaf - � - � ' _ � � � N Address ' ' �- � �oTHER • ' : %� :. ' , _ . _� • ContFactor'sName �Si�nrn Phone859-,7'44o PROJECT.DESCRIPTION� Sq.F7. - 'OCCUCArvCv - ' C Right � -� . : _ _ �G � � Addresslmailing) y-� '�c�� r �CONSTRWCTIONTVPE ' 'VALUATION$ ,S Left = ! � `. � ; :. � ;' ' E ' /� .. ��-� .D �[ 1�++� f� �-- i PIn9. Ref. # ` , . . Park.Fees $ , _ U ' ZONE � GRADINGCU.YDS. � iACRGS � 1 - 1 Q � City License Na. '< : ti LICENSED CONTRACTOR DECLARATION , ' Remarks: � ? - � ' ' . - ^ Perking Req./Provided " � . I � \ 1 berebyai(irm thdt I am IicenSetl untl rovision5 Of,Chdrter.9 (commencinq _ , , , , . p � witn section 7000) ot Division 3 of e Bu ine s antl- o�essions Cotle, antl ' � � � � � , , , , Use of Building: .� � . i �. ' � ; ' :j E� my-Iicense�is in full (orf a �}'effect. ' � License Class J� �'T ceqap 3 4 J 6 H 5' y PLUMBING ' FEES Planning Notes: � '�� M� I I � . . `. . . • ' • � ' - , � � ' ' . :. . E � y;NORKERS'COMPENSNTIONrDECLARATION ( , garSink ShoWeR . � i � T` ��hereby a(firm that I have a c¢rtificate of consent to It-insure �r a ceYUticate ' � c ::f Workers'� Co pen5a ion Insurance,'or' a certliletl� th eof �(Section �+ Backflow�Preventer . r��_ �_ Service Sink __ ' L__ � � '� S � ' "seoo,�ac�g.�3Tj99�939 Marylan Cas. � � Backflowlrrigation SewerCap - j � ELECTRICAL � ` FEES - Policy No. • � � Co pan . , ' . - - ' � Cerhfietl copy Is hereby fumishetl. i ' • ' �. Bathtubs , � ; Sewer Connection� ; �Automatic Washer � � }Transformer ❑ 75;50 KW � ertifietl i I tl with the city m i , � � 1 ' ' � " � � Construction PoleSub. , Date � f°P�3��+ Applican[ � � , Cla�ifiers r � � -�� SolarCollectors � . � 50�+KW , � -EXEMPTION FROM�WORKERS' GOMPENSATION�DECLA N - - - t Di3fiwasher � �SOlar Piping�� - ,� � Cookin �Uoit ' '. - ' :Meter �U to 100am s - ' " (Thissection neetl not be mmpletetl if the permit is for one h tlre 100) or � � � 7 9 � P a P 1¢55) . � . . . . - • 1 g - . I certiry.that!in the periormance of the work tonwhich thii rmit is�i uetl, I Drinking Fountairis . . Solar Tank ' � i - ✓ � DisNwasher e ' ' �� ; Meter ❑over 700 amps � � shall not employ any person in any mdnner So'd5 to becom Subjec to�the' ; � , � ' ' ' ' ' � � ' Workers' Compensation Laws oi Califomla. . 1 � � � ' Floor Dreins' , � Swimming Pool w/Spa � ' Dryers ❑Gas' �Electric Sub Panel ' " � Date Signature ' � - �/ � NOTICE:If,aRer making this tleclaration, you shoultl become subject to the ; ROorSinks . � � Urinal . � Fan• ' : Moto�s -1 HP �1'/z-8 / Workers' -Compensdtion' provi5ion5 of She Labor Cotle, you must "fortnwfth` - '- " . ' ' ' - ' - - - comply with� such provisions or .this qpermit' Shall ,be deemetl rewtcetl, '- Gas Service� : �Outlets' . �Water Closet � � F.A.U. , • - Ina Solar 09-15 HP 01�6-151 � CONSTRUCTION'L'ENDING+AGENCV - • . ' � �. - - � - � 1 hereby aHirm that there is a'construction lentling aqency for the performance Interce tors � Water Heater � Fixtures � � � � ' ot the work :for which.this permit'is�issuetl .(Section 309] Civ. iC.) P - � �Microwave . Lentler's' Name •' � '� Kitchen Sink . -' Water Service . ' Device Boxes � ! PoleiLight j. lender's Atldress � ' •� ! T ' ' � � • ` .� , � ' OWNER BUILDER DECLARATION � • c ' ' � .� ' ' � + W`/dtOn¢5:.� �� , ' , � � �� Outl¢tS 1 • � ' R2nge ' I her¢by, afti�m �that I am�ex¢mPt from the Cont�acto�'S•Lic¢nse Law tor the - � following reason ($ection 7031.5 Business antl.Prof¢ssional Cotle: Any clty o� �� ?-Trap 1 ' . � '� . ". � Swiahes • giy� ' couniy which requires a permit to construct, alter, improve, tlemolish or repair � � ' _ .. � ' any structure, prior to its issuance, also requires the applicant.for such permit-' Roof Drairis ' - � ' - . • � Garbage Disposal � i Standing'Sections � � ' t � to tile a'signetl statement that he/she is Ilcensetl pursuant to the provisions of � � � , . � I ;pe Contractor's Litense Law (Chapter 9 (commencing with.5ection �000) of . ! - ~ � - � � . ' . - ' ;.ivision 3 of the.Business antl Professions Gotle) or that he/she-is exempt t i� Generator �0.5 KW 05-15 KW Trash Compactor +}]erefrom antl th¢ ba5is tor th¢ allegetl ezemption. Any vloldtlon�of SeCtion [� 1 i y;031.5 by'anyapplicant tor a permit subjecls_the aOP�lcant to a civil . �� f . - � - � � �enalty of not more than five huntlretl tlollars (g500�.' . � . � '�Reinspection fee: - $25, ' Issue Fee ^ �i $ 3 ' LJ 1, as owner ot the� property or�my employ¢es with wa9er as Ihelr Sole , R¢inspettiOn F¢e. $$5 ISSU2 Fe0 �$'3 compensation, will tlo.the work, antl the structure is not intentletl or offeretl ' ' � MECHANICAL �'� FEES for sale (Section 7044, Business antl Professianal Catle: The Contractor's � � .. PUBLIC SERVICES RE�UIREMENTS: � � � � � - LitenSe Law tloes not apply to an own¢r Ot a property who.builtls or improves • ' � � i � - the�eon, antl who tloes sucM1 wo�k-hiTself/herselt or throu h his or M1er own BOiI¢� . � ; HOOd O� Typ¢ I ❑ : . . � 9 - Zoning Appmved By Date employees, proviaea tnat such improvements are noLincentletl or otteretl tor . Canopy Type II ❑ � Duct - Under Ground • � � . i sale. If, however, the builtling or improvement is'sold within one year. of com- - ' Application ApproVBd By Date pletlon, the owne� will have tha bu�tlen of p�oving h¢/She tlitl not builtl o� im- � , � � - ' , ' � . erove tor the purpose ot sale). " Duct - Structural Refrigeration System ( ''� Applitation Issued By ' Data � LJ I, as owner of the prooerty, am excluzively contracting witli Iicensetl con- ❑0.100,000 BTU ❑100,000 BTU tractors to construct the project (Section 7044, Business antl Protessions Cotle: Duct - Ventilating , • ' SUMMARV OF FEES ' ' ' The� Contractor'z �Li<ensa. Law tloes not apply to amowner of property who - � � � � � � builtls or improves thereon, antl who contracts tor such projects witn a con- Exhaust System ❑ Multiple ❑ System Repair/Alteretion BUI�DING PERMIT $ ' SMIP '$� tracmr(s) license pursuant to the Conbactor.'s License Law). � � , , PLAN CHECK �$��/�{(�y�) PERMIT ❑ I am exempt untler Section e. & P. C. ror this reason � Firepl/Fact. Blt. ICBO # ' PLUMBING '$ �= ISSUANCE �$ oate ner ' � � ' Heating System & Ducting - ' 1 pyLqN CHECK � ,$ � ENERGY P.C. $ � I hereby certiry tha i-�re 0!+�tion and state that the above '� ❑6100,000 BTU 0100,0006T � . i ' ' GRADING �$ ! information is corre : I'a e w� , all dty antl�county'ortlinances "� " ' '' - ' � " ELECTRICAL � $ . antl state laws relati g� i g antl hereby authorize repre- : � PLAN CHECK t$ • ' MICROFILM ,$ Sentatives of his t e[e u tlf abo mentionetl '�P�q p (yOi �' ' � � �� inSPection PwP 5e5. \ � I� I p $ �} 1 � '� �(.� Signature _ � � 1' oate � ' . MECHANICAL � $ � TOTAL FEE '� $ ` � ' � Drivers' Li c�%��-�— Reinspec[ion Fee $25., � Issue Pae $ 3 PLAN CHECK � ,$ � ■ 'CMF 0865-46 rev. 7/83 ' White'-'Builtling; Canary -ApPlicant; Pink-Accounting; Goltlenrotl -Assessor - - - - � - . _ . _ . � . � , � • � _ . _ . . - i � ( " ' CONSTRUCTION AND PLANNING � ' � � . � � P�� -,SP'4 . . � . . i - ' . �. Da4e�� ' Inspectorv� � � ' Date Inspector � APPROVALS. :Permit #' ' - � � APPROVALS ' Permit # '�.1. Tempo�ary Electrical Ser�vice or Pole � . . . - .52.-Pool�&'Equipment Location � , • ,, � 2.� Soil Pipe-Undrgrnd. � _ � � 53. -Steel Reinforcement - � � 3J Electrical Conduit Utility-Undrgmd. �' .. �� . � 54..Forms . - � ' . ^4., Electrical Conduit-Undrgrrid. - _ � _ 55. Electrical Bonding � . 5.� Steel Reinforcement ' � - • y-, • ' , 56.. Rough Plumbing & Pressure Test - � - � 6.•�Electrical UFER Gmd.i � - - -. � - ' -57.-APPROVALTO COVER-GUNITE - r.' 7. Footings � � j�"� �� . " i� . 58.'Electrical Conduit Undrgrnd. � 8'�Foundation � ' �; ' '• _.; ' � _ - , � " 59r Gas Aipe, � Undrgmd., Test ' � , 9. Water Pipe-Undrgrnd. ; � , � ' ' - -. 60.' Backwash"Lines,�P-Trap, 0 Undrgrnd.' , 10. Structural Floor System-, • . - � ._ 61.' APPROVAL.TO�DECK � 11: Property Sewer Line & House Connection ,_ .�; '� 62. Backwash & Receptor-Final � � 12: Sewer Cap � �� '' - � (, i, ' 63.� Heater & Vent-Final - , 13.' Roof Drains ' � ' • ' ' = 64. Plumbing�.System -�Final , - ' • 14. Rough Plumbing ' _ ' •` ' 65: Electrical-Final � _ 15l Rough Electrical-Conduit -" � '. � . • ," ' � 66.'Solar System-Finab � ' 16., Rough ElectrioWiring � > . , � .: �'� � •.' - . :'67". �Fencing & Access Approval , � � � 17: Rough Wir�ing Sign- '� , . ' � � � ' � 68. APPROVED FOR PLASTERING � " � `� 18I Rough Electrical-T Bar Ceiling . ' . - � � � i - � 69.`POOL/SPA SYSTEMS FINAL � � i 19: Rough Heating & Air�Conditioning � � �' FIRE DEPT. REQUIREMENT � ,_ 20: Rough Facfory Fireplace •, ,' . �� i ' APPROVALS Permit # 21. DuCts, in Structure j , ' , � 70. Underground Hydro � � 2^u Ducts, Veritilating. , , . � 77. Product Piping OGas OOiI � . , � 23. Gas Pipe-Rough & �Te"st ' � ',�� , , � 72. Underg[ound Flush . � �4. �Roof Framing �� . • - ' � 73. Undergmd. Storage Tank � Gas ❑ Oil � 25. Roof Sheathing � � , � 74.`�Overhead Hydro . � � 26. T-Bar Ceiling (Structural) & Monocoat I �' � -' . 75. Dry'Chemical� �' 27. Frame and Flashing � ' ' ' ' + 76. Dry Standpipe � , 28; Lathing & Siding - � ' � 77. FIXED SYSTEM FINAL 29: Insulation: '� � ' � � • • ` , 78. FIRE PREV. FINAL � � , 30. Drywall Nailing , ` � � . ' , ' � ' HEALTH DEPT. REQUIREMENT, � 31. Plaiter Brown Coat � ' , � ' � 79 FINAL INSPECTION .. - 32. Electrical Power MeterFinal ." ' �= �:�•� � 80. FOOD CERTIFICATE ISSlIED 33: Final Electric ' , ' � � � / j,s�d,s'� '�(„J�/) , Notes: � ' ' ' 34. Final Heating & Air Conditioning } ' � , , - � 35. Final Gas Pipe-Test - ' � � ° � � � ' - � � � . ' . � - 36. Hood or Canopy � , - ' � ' 37. Final Faaory Fireplace � ' . �, ' - � , �� + ' .. , � 38. Final Plumbing , ' , ! � ' ' � ; � � " . 39. Water Service-Final � , , ' � � i �, • � - 40. Gas Service-Final � , � • � • , . ' . . � • . 41. Solar pomesticFinal � } ' S 7�/�'1 �f�J -� - ' - - . . -- 42. Backflow Preventer � � ` ' � ' � � � � : , . i 43. Backflow Irrigation j: � . ' ' : ' . ' 44. ,Landscape �rrigation System : � • � _ :� , � � . � - � � . 45. Sound � Attenuation ' "' ' � { � � � � � � , _ , 46. Handicap Regulations r � � ' � � - � ' , � - � ' i 47. FINALSTRUCTURE&BUILDING � �. : � r . ' � ' , � � 48. Special Requirements'Completed� , � � . I ' � �' i - . � � , ' � •• - 49. Electric Releaseto Edison ' ' -� - - � - = , .- -- � � - � -� .' - , i i 50. Gas Release to�Southern California Gas Co � , ' j � � . � � ' . � . � , - � 57. CERTIF.ICATE OF, OCCUPANCY.. � . � � - � ' � ' . _ . .. -- r-' No. ' - ' ', Date ; � � % ' ' . . .. . ' . . . .. ... .. y .nF... . .v OWNER BRISTOL ESTATES-- oArE 9-5-;6 �- JOBADDRESS 83Lt_Darrell Street BUILDINGPERMITNO. �%3(lfy GENERALCONTRACTOR $. �. Hunsaker VALUE $ 8,856.�� LOT 7� BLOCK TRACT 2873 Single Res. W�Btt,. gar. GROUP 1 6c J TYPE V INSPECTIONS DATE Footing Trench 9 _�3 Foundation Forms and Grade to Garage Rough Framing � 0�' V Plumbing, Rough to Siab� ��f�5 °� i Plumbing,floughComplete(� /�yt/� 5 /;�/L��'� Temporary Pole Wiring,Rough �)�,�'/� �O-�6'-i Heating,Rough vpr,(is �a /�, Heating, Final h'i. �� )�a.�� % Sewer, House �L(< Sc Septic Tank ol esspoo Lathing,ln ( Piastering Plumbing, Finai, Fixtures Plumbing, Fin,al Gas Test Wiring, Final Occupancy FORM 210 3M �0�55 St. %Vl SUBCONTRACTOR DATE � PERMITS ISSUED Q e Costa Mesa Building Departruent � -- ' P. O. Box 3!7 � COSTA MESA, CALIFORNIA . Yr'OR APPLICANT TO FILL IN Building {/ Address 'a A,p S Costa, Mesa, California Nearest �� y�� CrossSt � i Owner �,:ar �� L .�"rT7 � Mail /� � - Address 7G�`7l �_ �,s.� �.v.as . nrcnitect or � Engineer - Address — Address Metea and of New Repair Lic. �tY No. of Bldgs � ��Oif Nowon Lot � � INo.of No.oi F,amilles I Rooma � � Rear Vard �i,�'� No. of � APPLICATION FOR PERMIT :�� B U L D N G ' 7.. FOR OFFICE USE ONLY �ate Rec'd. Date - � �S Q, � Address Costa Mesa, California Nearest Crow St. Zone �/ I No. of I Type i/ Exterior Wall Roaf Covering �CL Covering G ApPR,�V.�.S Build ngeW �� —� ,( �' � Foundation Location Inspector Forms, Materials, sv ' iii .� qr+ '� Under-Pinning " �L t �„ Frame: Fire Stops, Bracing, Bolts I hereby acknowledge that I have read this Application and state that the abme is correct and agree to comply Lath. Int. with all City Onlinances and State Iaws regulaUng building mnsti'uction. Lath. Ext. Signatureof�� -� p � �%PJ'� p�aster,lnt Permittea 7ca�Gr�U �/eA Authorized Agt.i// �+� Plaster, E�cL Valuation Permit Fee $ �— Masonry Refniorced �j � v� Plan Check $ / � 8ond Beam $ �Q � d �. Total .?� Fee $ c,).-J s FINAL 9M 204 IO�SS D. P. G 5. Date Date O � � 2 D r ��