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Home My WebLink About1441 DEAUVILLE PL - Building Permits(714) 754-5273 • Fax (714) 754-4856 . www.ci.costa-mesa.gIHLDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 1441 DEAUVILLE PL Suite: Vicinity: FRENCH QUARTERS 1441 THRU 1447 DEAUVILLE Primary Occ: R-1 Hotels/Apts/Res >10 Occ Type of Construction: V -N Parcel Number: TPN98079 Zoning: Applicant: PEARSON, VESS Address: P O BOX 3908 SEAL BEACH, CA Owner: FRENCH QUARTERS HOA Address 2020 E FIRST ST - Permit:. SUITE 500 SMIP Res: SANTA ANA, CA - - Contractor: , G M ROOFING COMPANY Address: P O BOX 3908 Inspection: SEAL BEACH, CA Zip: 90740; - Arch Address: Phone: - Zip: License: Phone: 562-429-7663 ISSUED BY: Zip: 90740 - Phone: 714-285-2626X211 Zip: 92705 Phone: 562-429-7663 License: 472566 Status: ISSUED Applied: 05/22/2006 Issued: 05/22/2006 Eng: Address: Phone: License: SCOPE OF PERMIT REROOF.CONDO COMPLEX 1441 THROUGH 1477 DEAUVILLE PLACE AT FRENCH QUARTERS: T/O EXISTING ROCK ROOF, REPAIR/REPLACE SHTG AS NEEDED, 2 LAYERS 16# FELT, INSTALL GAF 40 COMP SHINGLES PER MFGR'S SPECS. PITCHED ROOF ONLY. 33 SQUARES Plan Check: $0.00 Permit:. $181.25 SMIP Res: $0.95 „SMTP Com: -, $0.00 Other: $0.00 Inspection: $0.00 Total: i $182.20 SETBACKS MAIN STRUCTURE Front 0- 0�, , �'� Rear ACCESSORY' Front. 0.0 -�� ,Rear PARKING - Existin : 0 Required: 0-0 0-0 FEE SUMMARY Calc Valuation: Claim Valuation: PLANNING &ZONING Left 0-0 Right. 0.0 r ' Left 0-0 'Right 0-0 0 " - Proposed: 0 $9,525.00 $9,525.00 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 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 244LLCU (WW) DECLARATiONS 1) WORKERS' COMPENSATION DECLARATION: I 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 ,_,/ work for which this permit Is issued. Ga 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: Cartier: S-W�- rl1N h Policy Number: (( (o Z— Z!.>0 V (This section need not be completed i/ the permit is valued at one hundred dollars ($100) or less.) ❑ 1 certify that in the performance o1 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 theseovl ons. Applicant Signature: 7z-- Date: S—Z'L—U (o WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FINES UP TO ONE HUNDRED THOUSAND OOLLARE ($100,ODDL 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 that I am licensed underprovisions of 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. x 'L- la G Class q C-101 Contractor's Signature: : .n .vt_+._ Date: 5 —2a —O L 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: Lender's 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 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 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 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 Onver's 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, 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 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 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 Califomia 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 the applicant 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. 4 If an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No ._........................................................................... .............................................................................................................................................. ....................................................................................................................................... -....................... 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this a plication a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? U Yes U 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 pan of the fadliry 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 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 of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No ..................._.........._............_............._................._............................................... .................... ............................................................. .................................................. .......................... .................. _...... ............... ................................. .............. ...... 8 (If yes , anech 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. Signature Of Legal Owners) Date And/Or Authorized Applicant Date CODE., INSPECTION TYPINTmALS CODEC INSPECTION TYPE Qs11i INTMAL9 1616 Fixed System Final Fire Prevention - 206 Final Mechanical 1266 Pool Spa Final / 208 Final Plumbing 200 Final Re-Roof 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 (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.cfWILDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Jab Address: 1441 DEAUVILLE PL Suite: Vicinity: DETACHED GARAGES Primary Doc: U Parcel Number: TPN98079 Applicant: VES PEARSON Address: P O BOX 3908 SEAL BEACH, CA Type of Construction: V -N Zoning: Phone: 562429-7663 _---Zip:-90740 -- Status: ISSUED Applied: 08/02/2006 Issued: 08/03/2006 ISSUED BY: Owner: FRENCH QUARTERS -HOA Address 2020 E FIRST'STiG''� SUITE.500/J ` t, P,hone:� .7141285-2626X211` SAITAIANA;'CA�Zip:�J 927051- ntractor:/�M OOFINGCOMPANY1� 4ddresO'/ O'BOX 3908 `j Phone: 562-429-7663 ��IX SEAL0BEACH�CA P. 90740/l /%� License: 472566 Eng: ;s: \.�f Irgr �rAddress, Phone: / J V I} t /Zip: (% J License. �y 1 jj't%i r r •o!u -`` SCOPE OF PERMIT=- ItTEAR OFF EXISTING ROOF. INSTALL'2 LAYERS OF 15# ASTM FELT, GAF 40 YEAR, LAMINATED COMPOSITION'S ' }REPAIR/REPLI ' - SHEATHING AS NEEDED. 24 SQUARES FOR DETACHED GARAGES 1441 THRU11447 DEAUVII =a FEE'SUMMARY� = -` Plan Check f $0.00 �7��7 I; 77y 7! Calc Valuation: BPermit y', ($111.25 -- — —_-- -- -Claim Valuation MIN esu $0.50 SMIP-COnU�k) $0.00 Other., $0.00 ��. Inspection: . n ° $0.00 t Total: � $111.75 ,'"'0 { v� Front 0-,0 Rear , 0 0`'�'v o Left 0 _�._ Right 0=0�� Front 0-0 /n � 8 tRear 0-0- ' Left `0 0 -�`�'. "Right O 0 -�-' EXI_stina;� 0 �`Recmred ,0� Proposed' "0 ` LI��1 i -� - 2- r,� /,+ NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically 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 2446.46 (e/oo) DECLARATIONS WORKERS' COMPENSATION DECLARATION: I 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 work for which this pennit is Issued. 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. --'Myworkerrs' , mp�ensation urance /carrier and policy number are: cacdar; .� 11'1 IT' i�Y�NuRion .section'need not be completed if the permit is valued atone hundred dollars ($100) or less.) ❑ 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 alit la, 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 si0 s. 1A_p�p—NnntlS.gnature:--�- w-. e� Date: gi ` /,)4. F-ILURETO SECURE WORKERSCOMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL k6l'TITIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOU ARE (sl OD,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECT61`3706-6F THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: "�ereby;effkm;thatl am fidense n�d,@r rovisiZ ofrChapter 9 (commencing with Section 7000) of Division 3 of the Business an Professions Code, and my license Is In full fPepd,etfecM-LiC'N"'7%-1 S /.. (O . . Cla�ss_k_ COoractor's�Slgnature: - l/>ti_ r` Bete.-� 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. (Sac. 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 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 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 o1 the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professlons 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 drivers license. ❑ Yes ❑ No Drivers License No. Expires: Verification of Ownership by (type of document, i.e. - property tax bill or dead): 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, Art 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 pernit 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 at 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? ❑Ves ❑ No (Section 25533 of the California Health and Safety Code, with some excetions, 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 equarto 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 the applicant or present or future building ocoupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No SSection 25534 of the Califomia Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire apartment of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. ....._..........._.......................................................................................................................................-....................................................................................................................................................................................................................... 4 If en RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑Ves ❑ No .............. ... ....... ........... ............ _.........._._..._.._....................... ___.__............................................................................................... .........—....................................__...............__.....____........__......._..............__........�..... 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this a plication a pemit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency! 1l Yes U No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). ......................................................................._...................................................................................................................................................................................................._.... .............—......_............_........._.............._...........__._. e 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 (it'yee, the facility must most 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? ❑Ves ❑ No ....._....._......__..ttach .... rtific........_... mpli._._.......rom t __.............................................1'of............................ _—___..............................._�............. __......._............_...........__........._.........._.........._. 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 cored. 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. Signatu f Legal Owner(s) Date _. T11 6�. ,AWwAric/OrAuthorized Applicant Dala,yF.- CODE I. INSPECTION TYPE 2AU INTMALS CODE# INSPECTION TYPE gag INTITALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1288 Pool Spa Final, 208 Final Plumbing 200 Final Re-Root � ® 210 Final Electrical 201 Final Block/Retaining Well 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 M Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA C NgTRUCTION PERMIT PERpOyTNO._ _ TRACT NO. LOT NO. UNIT NO. Project Address "1441 DE,AWiLE PLACE Applicant's Mailing Address Owner's Name HORAT.EK Phone 556-2358 Address 1441 DEAUVILLE PLACE Arch/Eng. License No. Address — - Contractor's Name AMERICAN HOME SERVICESPhone 8911280 Address (mailing) 9 1462 - City License No. ) - LICENSED CONTRACTOR DECLARATION v I hereby affirm that I am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of t Business, and Professions Code, and my license is in full fe Lcwd effect. License Cl ss 1. JJO se (Date 471'L8-9— 8 Signature If WORKERS' COMPENSATION DECLARATIO ereby affirm that I have a certificate of cons t to self -insure or a certificate Workers' Compensatiog Insurance, or a certified copy thereof (Section J0, Lab. C.) � us labmiand Ins. Policy No: nY - ❑ Certified copy is hereby furnished. , certified coy is filed with the city Building Division. Date 4/1 /8 —Applicant AMER- HOME'SERV TCES' EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Thisseclion need not be completed if the permit is for one hundred ($100) or less). I certify that in the performance of the work for which this permit is iss uetl shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Signature NOTICE: If, after -making this declaration, you should.become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY -y I hereby affirm that there is a construction lending agency for the performances of the work for which this permit is issued (Section 3097 Civ. C.)" Lender's Name _ Lender's Address OWNER BUILDER DECLARATION I hereby affirm that I am exempt from 'the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct, alter, improve, demolish or repair 1 any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section'r7000) of 'vision 3 of the Business and Professions Code) or that he/she is exempt refrom,and the basis for the alleged exemption. Any violation of Section 11.5 by any applicant for a permit subjects the applicant to a civil . _nolty of not more than five hundred dollars ($500). ❑ 1, as owner of the property or my employees with wages as their sole I compensation, will do the work, and the structure is not intended or offered for sale (Section 7044, .Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/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 com- pletion; the owner will have the burden of proving he/she did not build or im- prove for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed con- tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a con- ) . tractor(s license pursuant to the Contractor's License Law). I am aware that Proof oftheir Worker's Compensation insurance should be provided to me. ❑ 1 am exempt under Section B. & P. C. for this reason Date Owner _ hereby certify that 1 have read this ' information is correct.'I agree to comp and state law lating to buiI,_4ng con sentatives 0 "i cit /,to enn�f r per In Inspection r Signature — [ Drivers' License or SKY IF 0865-46, rev -10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor '.ation and state that the above l all city and county ordinances on, and hereby authorize rears - above -mentioned property for Data 4/1/89 TYPE OF CONSTRUCTION LJ NEW LJ ADD Xyl ALTERATION LJ REPAIR Showers ' ❑ ❑ ❑ Backflow Preveni - CONVERSION DEMOLISH OTHER A. P. Zone DESCRIPTION OF WORK/USE OF BLDG. Sewer Cap " Sub Panel " . - I S Main Building: Accessory Building'. Clarifiers Solar Collectors " Microwave TYPE OF PERMIT GRADINGFOUNDATION El STRUCTURAL T Front ' ❑ TENANT ❑ ELECTRICAL IM ��rrpp,�PLUMBING F-1MECHANICALR Solar Tank Sign - ❑ OTHER A Rear ; Floor Sinks C Right _ PROJECT DESCRIPTION SQ. FT: OCCUPANCY KLeft $ CONSTRUCTION TYPE VALUATION$ $ I ZONE 'GRADING CU.YDS. ACRES prig. Ref. # Parking Req./Provided Remarks;';) Planning Notes: FEES Bar Sink Showers ' Transformer ❑ 15-50 KW ❑ 50 + KW Backflow Preveni - Service Sink Dishwasher Backflow Irrigation Sewer Cap " Sub Panel " . - Bathtubs Sewer Connection F.A.U. Clarifiers Solar Collectors " Microwave Dishwasher Solar Piping Outlets Drinking Fountains Solar Tank Sign - Floor Drains Swimming Pool w/Spa Generator OO -5 KW 05-15 KW Floor Sinks Urinal Gas Service Outlets Water Closet $ Interceptors C? Water Heater $ Kitchen Sink_ I_. Water Service MECHANICAL Lavatories Auto -Wash TOTAL FEE P—Trap Laundry Trays 25% Roof Drains Reinspection Fee $15 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Bit. ICBO # Heating System & Ducting 110-100,000 BTU ❑ 100,000 BT Reinspection Fee I $15 Issue Fee $ 3 Hood or Type 1 ❑ Canopy Type I I ❑ Refrigeration System 00-100,000 BTU 0100,000BTU System Repair/Alteration Fire Dampers Registers �- 0 Issue Fee -I $ 3 ' ELECTRICAL Automatic Washer Construction Pale Sub. Transformer ❑ 15-50 KW ❑ 50 + KW Cooking Unit Meter El up to 100 amps Dishwasher Meter Dover 100 amps Dryers ❑Gas ❑Electric' Sub Panel " . - Fan Motors ❑O-1 HP 01 'f. - 8 F.A.U. Ina Solar 09-15 HP ❑16;15+ Fixtures Microwave Device Boxes Pole Light Outlets Range Switches Sign - Garbage Disposal Standing Sections Generator OO -5 KW 05-15 KW Trash Compactor FEES Z O N I N G R E O M T $ I I Reinspection Fee I $15 1 1 Issue Fee I'$ 3 1•:. 1 DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By _ ` SUMMARY OF FEES BUILDING PERMIT $ -SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE' $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50%' $ - MICROFILM $ - MECHANICAL $ TOTAL FEE $ PLAN CHECK 25% $- 01 00113-`712-0]43571;: TOT 5.013 ne TC• 04110/Oo TIME. .r.nl CONSTRUCTION ANDS PLANNING APPROVALS Permit,# Date Inspector POOL &SPA _ APPROVALS Permit # Date Inspector 1. Temporary ElectricalServiceor Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. ` 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding - 5. Steel Reinforcement 56. Rough Plumbing & Pressure* est 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Te�s1 9. Water Pipp- 'ndrgrn�' E 60. Backwash Lines, P -Trap, Undrgrnd. 10. Structural Floor System - 61. APPROVAL TO DECK t:'` 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Fittal 12. Sewer Cap 63. Heater & Vent -Final 1.7 13. Roof Drains 64. Plumbing System - Final - 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring - - - 67. Fencing & Access 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 Hydra' ' 22. Ducts, Ventilating 71. Product Piping ElGas ❑Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd, Storage Tank ❑Gas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FAXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing C HEALTH DEPT. REQUIREMENT _ 31. Plaster Brown Coat 79. FINAL INSPECTION - 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED "r 33. Final Electric 7 Notes:Q-gc( &f40'_ �60 34. Final Heating & Air Conditioning �. 35. Final Gas Pipe -Test 36. Hood or Canopy 37..Final Factory Fireplace 38: -Final Plumbing �%•u,�q (.� 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 48. Special Requirements Completed 49. Electric Release to Edison " 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY. No. Date - 1 22740 ,.. E6 E RECEIVED Lot# AUG 31964 COSTA MESA BUILDING -SAFETY DEPARTMENT plan# P.O. BOX SIT COSTA MESA, CALIFORNIA 20 FINANCE DEPT. 'to WR C For ApplicantFill In Completely TMESA APPLICA>Q TYPE OR PRINT BUILDING ( For Office Use Only BUILDING ADDRESS RECEIPT NO. 227 MO. G 'COSTA MESA, CALIFORNIA '1'TIU _ REC! E BY Q/yTEc veD ^[y1Tq 199u Fvpe� (Vy HIJU 1 O L7B OWNER O . ala MAIL BOX 2066 - _ BUILDING ADDRESS A ADDRESS FIRE / CITY Santa Ana- TEL KI —220 ZONE TYPE • GROUPt',/ ARCHITECT Ray Levanas TEL. OR3-701 APPROVED _ I BY DATE OR ENGINEER NO. - ZONING ADDRESS 3432 via Oporto. - N' Bch Lifetime Residential Bldg Cc ZD NO. O U8E OF N / . L PLA" I B°ILD. CONTRACTOR LEGAL // .�/}-- [/ BOX 2066 DESCRIPTION V ADDRESS .Santa Tina - �UJ� j - Y/ (l ^ � / CITY A. P. NO. NOTE: NO EAVE OVERHANG SHALL BE LESS THAN / LIC. E 208676 KI9-220% SO- TO SIDE 3 REAR P. L NO. EAVES SIZE 16 X HO NO. OF BLDOS. 0 ALLOWED (U. B. C. REQUIREMENT)- OF LOT NOW ON LOT YARDS APPROVED YARDS APPROVED USE OFMA EXISTING BLDG.none IN BUILDING ACCESSORY BUILDING FROM C/ REET) '(A�1 If BETewcrc LINE FROM i 21110" FRONT Ff. FT. CENTER OF STREET REAR YARD SIDE YARDI LEFT 0 I RIGHT 0 R. SIDE Fr. F. DESCRIPTION OF WORK L. SIDE FT. FT. REAR FT. C FT. NEW ALTERATION ADDITION Z DISTANCE BET. BET. MAIN 8 Uj REPAIR MOVING DEMOLISH MAIN SLOGS. ACCESS. SLOGS. BUILDING F 2 VAR ..# -� DATE SIZE 1008 ROOMS U MS -( STORIES C. U,APPROVED EXTERIOR WAL I ROOF ®ryPROVEtj y" 6 / a COVERING. , t O COVERING ROCK DATE V USE OF BUILDING AND WORK TO BE PERFORMED U.1 a Construction of "III occupanc bld with IIJtt construction garage ,C4 SO. Fr. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION THE AMOUNT SHOWN'/UNDER VALUATION IS FOR THE ` F AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.. G PLY WITH ALL CITY ORDINANCES AND STATE,LAW5 K9WULATING BUILDING CONSTRUCTION. ' O n (� VALUATION PERMIT FEE SIGNATURE OF L PLAN CH FERMITTE 67 LI) B a AUTHORIZED AGE 4 TOTAL FEE