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Home My WebLink About1431 DEAUVILLE PL - Building PermitsJob Address: 1431 DEAUVILLE PL Status: ISSUED Suite: Applied: 05/22/2006 Vicinity: FRENCH QUARTERS 1431 THRU 1437 DEAUVILLE Issued: 05/22/2006 Primary Occ: R-1 Hotels/Apts/Res >10 0cc Type of Construction: V -N Parcel Number: TPN98079 Zoning: Applicant: PEARSON, VESS - Eng: Address: Address: P 0 BOX 3908 y Phone: Phone: . Phone: 562429-7663 ISSUED BY: SEAL BEACH, CA Zip: 90740 17 Owner: FRENCH QUARTERS HOA -� Address 2020 E FIRST ST DEAUVILLE PLACE AT FRENCH QUARTERS: T/O EXISTING ROCK ROOF, REPAIR/REPLACE 'SHTG AS NEEDED, 2 LAYERS 15# FELT, INSTALL GAF 40 COMP SHINGLES PER MFGR'S SPECS. PITCHED ROOF ONLY. 32 SQUARES SUITE 500 ' Phone: 714-285-2626 X211 ' SANTA ANA, CA Zip: 92705 Contractor: .G M ROOFING COMPANY Permit:''. $181.25 Address: P O BOX 3908 $0.93 u SMIP Com:, ',.. , $0.00 Phone: 562-429-7663 $0.00 SEAL BEACH, CA Inspection: $0.00 Zip:' 90740-'. ? License: 472566 PLANNING & ZONING ' ' Arch - Eng: Address: - - Address: y Phone: Phone: Zip:,,License: - , , - License: - -� SCOPE OF PERMIT REROOF CONDO COMPLEX 1431 THROUGH 1437 DEAUVILLE PLACE AT FRENCH QUARTERS: T/O EXISTING ROCK ROOF, REPAIR/REPLACE 'SHTG AS NEEDED, 2 LAYERS 15# FELT, INSTALL GAF 40 COMP SHINGLES PER MFGR'S SPECS. PITCHED ROOF ONLY. 32 SQUARES y .. _ - FEE SUMMARY - Plan Check: $0.00 Calc Valuation: $9,300.00 Permit:''. $181.25 Claim Valuation: $9,300.00 �- SMIP Res:`'` $0.93 u SMIP Com:, ',.. , $0.00 .' Other: $0.00 Inspection: $0.00 total: ' . $182.18 PLANNING & ZONING ' SETBACKS MAIN STRUCTURE Front , 0- 0� t'"' -Rear- '0_0 Left Or 0 Right ; "0= 0 - ACCESSORY',; Front/ �0-0 ��-,Rear 0-0 Left 0=0 Right - 0-0 ' PARKING,'E ixsting: i0 Reaui ed:- ;0 Proposed: -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, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned 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 Inspections 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 244646 (6/00) DECLARATIONS WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. LETD I have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. My workers' compensation Insurance carrier and policy number are: ,ryr� camie—_7— �`��= F)A/ti PolicyNumber. OQUI 6 2- yL-DD� (This sectfon need not be completed i/ the permit is valued at one hundred dollars ($100) or less.) v ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these pro to s. Applicant Signature: ,^ 4 - /i ni WARNINGT FAILURE TO SECURE WORKERS' WMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CAVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE ($100.000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37M OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions o Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Lic. k, y.� ti. �- (D Class _ �...'� cl r Contractor's Signal rlT 1 Pym; •, — Date —'6.6— r'? 6 CONSTRUCTION LENDING AGENCY: ❑ 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the fallowing reason (Sec. 7031.5, Business and Professions Cade: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the 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 EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ 1 am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑ Yes ❑ No Driver's License No. Expires: Verification of Ownership by (type of document, I.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, California Administrative Cade). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a is oiled year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). ............................................. _.................................................... _.... ___._.._................................................................................................... _................................................... _..................... ................................................................................. ... 2 Does or will the applicant or present or future building occupant need to file a registration torte for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). .............. .......... ..................... _................................................................................................................................................................................................. 3..__Does_o.r.w.i.l.l_the.a_p_p_li_c.a.nt ........... or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. ........_..........._.............................._..........................._............................................................................................................fe't.........................................................................................s......................................................................................... 4 If en RMPP is presently requiretl.. has Section 25534 0r' the California Health and Safety Gode been fully complied with? ❑Yes ❑ No ..................................................................................................................... ildi........................................................................................................................................1pli...............a...................................co_..................................diff............... 5 Does or will the applicant or present or future building occupant require for the work which Is the subject c this a Dlication a ermit for such construction or modification from the South Coast Air Quality Management Distract or from any other air pollution control distract or agent}? � Yes � No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). ...._.........._.........._..........._...................................................................................................................................................................................................................................................................................................-......................................... 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No (If yes", the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code). ................................. ......................... .................................. _.............................................................................. _... _......... .... ......................................_.._.......................................... _.................... ................................ _........................... _.............. 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which Is the subject of this application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No . ........................................... _......................... ........................................ .............. .......................................................................... .............................................................................. ................................. ................. ................... ............................... ... B (If yes", attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Sig ture Qf LegaI Owner(s) Date Ar✓ Or,Authodzed'Applicant `Dotal CODE r. INSPECTIONTYPE IVACS CODE! INSPECTIONTYPIRTMALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Root 210 Final Electrical ' . 201 Final Block/Retaining Wali 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy (714) 754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.caMILDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 1431 DEAUVILLE PL Suite: Vicinity: DETACHED GARAGES Primary Occ: U Parcel Number: TPN98079 Applicant: VES PEARSON Address: P 0 BOX 3908 SEALBEACH,CA Owner: FRENCH Address 2020 E FIR: Type of Construction: V -N Zoning: Phone: 562-429-7663 Status: ISSUED Applied: 08/02/2006 Issued: 08/03/2006 ISSUED BY: 6- P L� Phone:, 714 285-2626-X21 , � Zip:*�192705�� i ,28/5-2626-;21/111 Pion i� Phone: 562-029-7663 \� \/ License: 472566 �A6cli:� �i1 Eng: v f Address: �i f ( Address: A•�l� Phone: ��/ � ,..y��"!/'%' /Zip:, i�'� -; 1 fi} License:>,� .t" e': • I �J\�! f 1`Lic`ense:_- � , J�°i—� SCOPE OF PERM IT—��-,�),{/�� t}`;tI I)TEAR OFF EXISTING,ROOF..INSTALLr,2 LAYERS OF 15# ASTM FELT, GAF 40 YEAR, LAMINATED COMPOSITION'SHINGLESAND� ' „REPAIR/REPLACE SHEATHING AS NEEDED. 24 SQUARES FOR DETACHED GARAGES 1431 THRUi1437 DEAUVILLE:PL� $0.00 111.25 — $0.50 $0.00 $0.00 $0.00 $111.75 1,/! %1jj� rL J\\ 77 1 aIc Valuation: ---------�--Clairtn -_-Claim Valuation: �* 6/ 1A �, e �O 0 ;Fr on" �.0 0 Ream,; 00`=9` „n Leff - -'O�fr. � FrOnb 0.0 ear,,. '0-Oi ��r Left 0 0 �\< Existing.' 0, ��-Reouired r 0�� ' `Proposed 0 c ✓� -�_.� "'✓-�c9�.a' Jam„ -//y � �..-.-- NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12.21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180.days, or if work is suspended or abandoned 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 inspections 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 2446-46las00l DECLARATIONS WORKERS' COMPENSATION DECLARATION: 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self-Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the for which this permit is issued. "I have aid:w@ maintain workers' compensation Insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. --My workers' wmpensaJfQn I�nsu�r�nce rier and policy number are: 1'� �7 r� 'Center:-"--� Y� T'i 1'G 1 N✓1 C. Policy,Number._4 D� t � � L 1-_ L.t/()b (Tills section need not be completed If the permit /s valued at one hundred dollars ($100) or less.) ❑ I certity that in the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Celifomle�end agrey�that If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comptywith theaeprovisiol\s. gpyliceRt6ipneture:"—f \V/~, 1 ..Date:- WARMNO: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CAVIL FINES UP TO ONE HUNDRED THOUSAND DOU ARE ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm.thafl am licensedu do provisio of hapter 9 (commencing with Section 7000) of Division 3 of the Business and P fesslgnTde, and my license Is in full force 'and f Contractors Signature CONSTRUCTION LENDING AGENCY: ❑ I hereby attire that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to Its Issuance, also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cade) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as Owner o1 the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or Improvement Is sold within one year of completion, the 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 EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such project with a contractors) license pursuant to the Contractors License Laws.). ❑ 1 am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑ Yes ❑ No Drivers License No. Expires: Verification of Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be made In connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or demolition Or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, An 2, Sec. 341, Title 8, California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building Occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas et standard temperature and pressure). .................................................................................................................................................................................................................................................____........................_...................__......_..............._............_..._.....__..........._... 2 Does or will the applicant or present or future building Occupant need to file a registration form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). .............__........................................................_......._.............................._._............................................................................................................_.._..._................................_................_........._..........................................._..................... 3 Does or will theaappplicant or present or future building Occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes 11No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. .............__........_.........................__...... requ..red,_............ectio._..........................................._.__...............n"d'................................_...._.___....c'o'.....11e'................._......................................................................................................... 4 If an RMPP is presently required, has Section 25534 of the California Health antl Safety Cotle been fully complied with? ❑Ves ❑ No 5 Does or will the applicant or present or future building occupant require for the work which is she subject ofthis a plication a ertnii for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes � No (Section 65850.2 of the California Goverment Code requires that the requested information be furnished on applications for non-residential building permits). 8 Will any pen of the Fatality to be constmcted under this permit be within 1000 feet from the outer boundaries of a school? ❑Ves ❑ No (If "yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). _.....__........_._....__......__........._............_.........._._.__........................................._......._......_.... _..__.................. ....... _.................................................... .... .................................................................................. ............ ...................... 7 If a permit from the South Coast Air Quality. Management District or other air pollution control district or agency is required for the work which is the subject of this application, have all o1 me disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No .................................................................................................._._............................................................__._......_................___....._...._......................._......_...__............._......... __.........._.......__......................._.................... 8 (I1 yes', attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Sign re 01 Legal Owner(s) 15fa CODE 0. INSPECTION TYPE geiE INMALS CODE# MMCTION TYPE PACE ILLS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Root, �yl��Lf �L 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy ADDRESS OF BUILDING: 14EA LLE PL _ UNIT: CITY OF COSTA MESA — BUILDING PERMIT MINERS NAME IF IDIDV,N CONDIT, PATRICIA M -air FLOOD: X 46 ADDRESS: 1431 DEAUVILLE PL PERMIT NO: P 071129 PLAN CHECK NO: N COSTA MESA,CA 92626 CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU APPL."UNG ADDRESS: JOB DESCRIPTZOD] C/O DISHWASHER ARCHITECT OR ENGINEER: UC. NO.: MICH. OR ENG.'S ADDRESS: - - UNIT. CONINACTOBSNA1gE: NOCK PLUMBING (714)895-1246 CONTRACTOR'S"U1110 11610 5EA130ARD CIR ADDREW. STANTON CA ucNO., 511971 90680 UNIT LICENSED CONTRACTORS DECLARATION: I hereby after under panaky of perjury that i am Ibeneed under Provisions d Chapter 9 (commending with Erosion )000) d Divisnees ion 3 of the Busand Professore Code, end my licerree a in lull form end effect. CITY uc.No, 050386 uc,cLAss: C-36 LIC. NO.: 511 71 EXP: 02/95 Om � _/ 'i -? -<- Corm__.: 1 v 0I NEP BUILDER DECLARATION: I hareW affirm under pwary of parryry that I fon exempt Imre the Camectas Liceree sew for the 'Nbwk h recon (&anion 7031.5 &»rasa sod Pm/e. also Cada: Ath cry li county such requires a permit l dmlmtun, that, improv, contra, wt awa any structure. iris lofts fesuance, etso wee the applicant for comm permit to fib a egnw statement i that he or rhe canned W nuanl to the ode] of that t Ma She se as Liuse Lew [Cd the a (commending with Salon 70M d usieion 3 ec the Mown end Ptdesant f Code) mi that W s die a axempr Ih«ahan fort the et Was pet the sloped dreg dolga. My )Oj). ion a Senior x031.5 by any applicant for a permit wojene the applicant to a civil penalty d net more then live hundred dollen ($500(). ❑ 1. ass own of the property «my employees wish wages s their edit mmpemation, will do the work, and the stmnu set not intended w offered ler sale (Semon 70a1, Busnaas and PMassiom Code: The Conlmaom License Lew dealt rat appy to an owns of properly wW Wilde w m,.. thereon, and wine does.uch work ymest s hemaff or Ihmulh he or her over empl leen, provided Imes such impmvema es we rel intended or offered for was. N, hwmwr, the Wilding or knprovemant a sold within ons year of cemplaim. the ownenbuilds will have IM burden d Proving he or she did nn Wild or improve for the Whose of real ❑ I, as owner a the properly. fon sdrniwly contracting with timecard coatmdom to construct the project (Section 7044, Businau wd Professors Code: The Contmnse Lrsese Lew does not apply to an owner of propend who Wide s improves thereon and who contracts for ash projena with a contractor(s) Instead pursuant to the Contractors Jcwwr Lew). ❑_ I fon esbe ampl under Senn: B. A P.C., for this ream: 71j , Owner: that I am war. of std understand the requirements d California Health and safety Coda Sections 25505, 25533, and n any Mum Wilding ooarpant will I will nor (drele aro) need to comply with said "a cods end she requirements for pion«mwKwien h«ntm.ArMysil�en.pemenl Darin. RasdantidmMruaion eppimrdi«roereexempl from these Applicant: RKER'S COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one d du fdbwim; dMwetiona: ❑ I hew fort nil meimer a of the s l oorwhi to his merit for workers' cemWn.ation, s pro+rtw 1« by Semon 3100 a I W Labor .N tees, for the performance d me work 1« wmmn this permit is iaeand. I haw fort win thirster woNem' oompenworikireutancr, s roquired by Section 3700 d tM Labor Coda, b the ped«marga d tM wok for whidr the permit is ivued. MY workers' �rgpeNroe�u in r renca carder wd policy number we: EXPIRE S Ga""` 03/01/95 Policy Number: armor need net be completed y Me pam t is ler one hundred olds« (SI00/ or Ise.) dqL I ceMy that in the We. of the work for which this permit is matted. I shell nor emrr ploL�any Peon in any ms s anner to T' 'macome subject to the worker' c«nP —tion laws d California. I. ff I shod become subject to the workers' compenewion prwisrre a Section 3Y IW labor Cada. shell 1 comply with Mose oveiars. e: 2 ' LJ ApDlirart: Z� eminp: Fsllure m ucum w — [ a ...eompwrs+don eoversi a /s unlawful, and «full aftbfst for employer, to cdrdna/pe id" And civil ff.. w m oro hundred thousnd ddsra ($1010901 In add/flon As the dost of compsss0on demsges as provided ler In Section 3106 of Me Labs Code, Interest, and edomey. I. CONSTRUCTION LENDING AGENCY: I hereby m,. under penalty of perjury that there is a construction swing agency her the pedormerae of the work Iw which the prank a Insued (Section 3091. Civ. C). LENDER'S NAME: LENDER'S ADDRESS: I cantly that I have read this application And arms that the above information is cornea. I alma to campy with all city and county ordinances and stets lion Ponswto build ipp.9Onwtrudwn forth hwize repesn1eNwa d rhes sty to enlw upon the ebwa-mentionetl Property for irel tion WrWsa. \K) Pd Name iJ Dine: Signature d ApplrandConlradw (5151J6.WP) Whii"uidrg A Safety: Green -File: Canary -A unt; Pink -Revenue: Golden seas nr➢M nln_ D "7' 1 90 rnn'r•. hT cnnn, hl PURPOSE: OTH SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / COMMENTS: NO OTHER 14ORK AUTHORIZED BY THIS PERMIT Z O N I N G P. 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 PARKIN0 REQ: PROV: PARCEL: 41814636 ZNE: REF NO: PLANNING NOTES> > D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : DATE: (� p APPLICATION ISSUED BY: �/I ^� DATE: LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 7,00 25% PLAN ISSUE FEE 20,00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTALS ---- > 7,00 20.00 0.00 1 _ REVENUE DIVISION TOTALS--> COLLECTED: BLDG PMT PLUMBING ELECTRIC MECHANIC 27.00 SMIP/NON—RES TOTAL PAID DUE 27,00 27,00 .00 27.00 OVER/SHORT: .00 FIRE SMIP/TOT GRADING PLAN—CHECK 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 PLU 1 DISHWASHER. 7.00 7.00 END OF FEES 01 00176691-00176691 TIDT 27.00 DATE: 02115/95 TIME: 11:06 CONSTRUCTION AND PLANNING APPROVALS Permit 4# Date -; Inspec4of' -:_ - POc ;P2 APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53, Steel Reinforcement 3. Electrical Conduit Utility•Undrgrnd. 54. Forms ` 4. Electrical ConduitrUndrgrnd, 55. Electrical Bonding 5..Steel Reinforcement 56. Rough Plumbing & Pressure.Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd.. 8. Foundation 59. Gas Pipe, Cl Undrgrnd., 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 63. Heater & Vent -Final 13. Roof Drains -• 64. Plumbing System - Final, 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit - 66. Solar System -Final r _ 16. Rough Electric Wiring - 67. Fencing & Accesi Approval 17. Rough Wiring Sign �.' 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling -69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # ' 20. Rough Factory. Fireplace 21. Ducts, in Structure •• 70.- Underground Hydro 22. Ducts, Ventilating 71. Product -Piping '1]Gas 00il 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing - 73. Undergrnd. Storage Tank 0 Gas 00il 25. Roof Sheathing 74. Overhead Hydro 26. T•Bar Ceiling (Structural) & Monocoat - . 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing - HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32, Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy - 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System. - 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 49. FINAL PLANNING 49. Electric Release to Edison 50.. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 327 COSTA MESA, CALIFORNIA For Appli77YPE Fill In Completely R PRINT BUILDING ih'1 (/�� / •X/. //// ADDRESS COSTA MESA, CALIFORNIA MR ■ Ray Levanas TEL.OR3- NO. 32 Via Onorto. NDt Bch ADDRESS Box 2066 CITY C. NO. 208676 no 'n9-2204 OIZE F LOT 20 X 80 No, OF BLDGe. Now eu lLT (1 DG. none FROM FEE RECEIVE Lot# 64 A Plan# god I�FORCE3D ! APPLICATfOIY A ��I�A, MESA BUILDING ,For Office Use Only I RECEIPT NO. I BERMIIJIO- DATEISSUED eSIDE YARD) LEFT 0' I RIGHT Q �' DESCRIPTION OF WORK NO. OF 2 se OF aU ILUIIVG AND WORK TO BE PERFOR nstruction of "I" occupancy th "VI construction garage IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. SIGNATURE OF PERMITTE AUTHORIZED A� III DESCRIPTION r'"�. I �7\\ I K. I �L) 1)y A. P. NO."I NOTE: NO EAVE OVERHANG SHALL BE LESS THAN SO" TO SIDE a REAR P. L EAVES ALLOWED (U. B.C. REQU IREMENT YARDSAPPROVED YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING (FROM C/L STREET) _ .� IN DISTANCE BET. BET. MAIN a (� MAIN SLOGS. ACCESS. BLDG9. z VAR. DATE 1 W C.U.P. APPROVfiD APPROiVEDJ BY lM,l ] DATE d W a e q �C/� p SQ. FT. W THE AMOUNT SHOWN UNDER VALUATION IS FOR THE a. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O VALUATION yi PERMITFEE $ O m / 7-3- Z2,.,5 -6Q PLAN CHECK $ ' TOTAL FEE $