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Home My WebLink About250 BAY ST - Building PermitsJ ,� CITY OF COSTA MESA ! BI/ILpING DIYISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www ci.costa-mesa.ca.us . FOR INSPECTIONS CALL: (714) 754-5628 � ' ' PERMIT NUMBER: P07-00432 PERMIT TYPE PLUM ��i y" � �p �� STATUS: ISSUED l�' � DATE ISSUED: 06/26/2007 . - A.�, ' - - I$SUED BY: SOK � � �1>�., �t'� � t t..._ JOB ADD,RESS: 250 E BAY ST CM•, i ." ..; .„ Suite/Unit ., �� Vicinity: �'�� . � � ' � . ' � , •! ; _ . '� .�. , �', SCOPE OF WORK: INSTACG 1 OUTLET; 8 RAINWATER DRAINS AND 1 WATER CINE.FOR FOUNTAIN AND LANDSCAPWG WORK. � ' _ . � � • . . �F'�. •'F��' � , a..yap ;t, � , , , r . . .. .. . . '.�� r . _ . . .� .. -. .. � z � � ' .' '� . . �' . OwNER: GLEASON,'�WIILIAM JR`ANDIMC CARTHY�SHEILA �• Addressi '� �� 250 E BAY STREET � ' PHONE: ' � � � ' . Ciry/State/Zip: ��COSTAMESA,�CA , ' . APPLICANT: EDDIE GUERRERO ,- . , � . Address: 2901 W COAST HWY :SUITE 200 PHONE: 949-258-4366�� . " Ciry/State/zZip: �NEWPORT BEACH, CA CONTRACTOR: OWNER-BUILDER�, � - .y" '�� . -_. � - . . '� License No. �000000 . . .. Address: . , " � . PHONE: � � Ciry/State: , . " , , ZipCode:; - _ _ � "- ' , .. CELI.: � - . � , � . -,.. ,�y . - - . • .', ' ' _ PLUMBING PERMIT FEE'SUMMARY' ' PLAN CHECK FEE• '' $0 00 ` ' _ --� ' - .�,�� .... .. . . PERMIT FEE:. $111.70 ' ' '�•,`' - ' " ' . . ,. • . TOTAL FEES: $111.70 ':-.,:, ,, �� ; �� _•: : . . . ..-� .. _ �., . , , - . - . - � .. ,� -� c' �. :,.. . , NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28. § 1. 12-21-92) . • � � , EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 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 musl be obtained. Failure to obtain inspections and final approval will result in the ezpiration ot this permit. 4pDEt, INSiEL710NTYPE 1616 Fized System Final Fire Prevention 1266 Pool Spa Final - 200 Final Re-RooP 201 Final BIak/Retaining W all . 202 Final Factory Fire Place 203 Final Sign 204 Final Demalition Q�� N A CODE/ ZOB 208 210 INSiEC710NTYPE Final MethaniWl Final Plumbing Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 FinalSite 250 Final Building/Occupanty Q1g IN R r i /' i i: ::!' WORKERS' COMPENSATION DECLARATION: �. ,. 1 hereby a(frtn under penalty of perjury one ot the (oiw.nng declarations: ❑ I have antl will maintain a cerlifcale of consent to self-Insure (or vrorkers' compensation, as providetl for by section 3700 0( the Labor Code, for the perfortnance of the work (or which this permil is issued. � ❑ I have antl will maintain v.orkers' compensation insurance, as required by section 3700 of ihe Labor Code, for lhe pedormance of the nork for which this pertnit is issued. My workers' compensation Insurance wrner and policy number are: Cartier. (inis seaion neatl iror ee mmperee4me peimrt is value0 af rne nuntlie0 donars (S�00J a less 1 Policy Number: ❑ I certify that in the peRortnance of the work tor which this permil is issued, I shall no[ employ any person in any manner so as to become subject lo the workers' compensation laws of Cali(omia, and agree that if I should become subject lo Ihe workers' compensation provisions ot Section 3700 of the Labor Code, I shall forthwith comply with these provisions. A�o��'s SignaWre oate WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CAVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrtn that I am licensed unCer provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code. and my license is in full force antl eNect. Lia # qass # Gonvador's SignaWre Date CONSTRUCTION LENDING AGENCY: ❑ I hereby affmn that ttiere is a construction lentling agency for the perfortnance ot the v.ork (or Wiich Ws pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: SignaWre Oa�e OWNER-BUILDER DECLARATIONS: I hereby aKrtn that under penalty of perjury that I am E%EMPT FROM THE CONTRAC70R5 LICENSE LAW for the followin9 reason (Sec. 7031.5. Business and Professions Cotle: Any city or counry which requires a permit lo consWct, alter, improve, tlemolish, or repair any strucWre, 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 (Chapler 9(commencing wilh Section 7000) of Division 3 0( lha Business antl Professions Code) or thal he or she is ezempl therefrom and the basis for the alleged eaemption. Any violation of Saction 7037.5 by any applicant for a permit subjects the applicant to a civil penalry of not more lhan fve hundred dollars ($500).): ❑ I, as ovmer of the property, or my employees with wages as thair sole compensation, WILL DO THE WORK, antl the structure is nol intended or oHered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an ownar of property who builds or improves thereon, and who does such wvrk himself or herself or through his or her own employees, provided that such improvements are not intended or oHeretl for sale. If, however, the building or improvemenl is sold within one year of completioq the ownervbuilder will have ihe burden,of proving that �he or she. did not build or improve for purpose of sale.�. �� I as ovmer of the property, am EXCIUSIVELY CONTRAC7ING WITH fi'ICENSED CONTRACTORS to constmct Ihe project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property who huilds or improves thereon, antl who contracts for such project with a contracta(s) license pursuant to Ihe Contractas License Laws.). Owner ID verifed by drivei ;e. ❑ Yes ❑ No / t� a d. nver'saLicense.No. / e. - prop� tax bill or tleed): . DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ' ❑ I hereby certdy Ihat no ezcavation frve (5) or mwe feet in depth into which a person is required to tlescentl, will be matle in conneclion with v.ork authorizetl by this permit, and that no building sltucWre, scaftdding, false�wrk, or demolilion or dismantling thereo(, will be more than ihirty-s� (36) feet high. (Chap. 3.2, Grp 2, An 2, Sec. 341, Trtle 8, Califomia Atlminist2Me Code). ❑ As owner-builtler, I will not employ anyone to do wvrk which vroultl require a permit from the Division of Industrial Safery, as noted above, unless such person has a permit to do such work from Ihe tlivision. Appliwnl'S SignaWre Division,ot Industrial Safety Pertnil Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or tuture building occupant neetl to file antl certify a Business Plan for emergency response to release or Ihreatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of ihe Califomia Health antl Safery Cotle 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 ot 500 pounds, or a voluma of 55 gallons, or 200 cubic leet of compressed gas at standard temperature and pressure). 2. Does or will the applicant or present or future building occupant need ro file a registration lorm for acutely hazardous matenalsl ❑ Yes ❑ No (Section 25533 of the Califomia Health and Satety Cotle, with some exceptions, requires regisiration with the Cosla Mesa Fire DepanmeN by each business which at any one time has on hantl a quantiry of acutely hazardous materials equal lo or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressetl gas at slandartl IemperaWre and pressure). 3. Does or will the applicant or present or future building occupam neetl to prepare an RMPP (Risk Management antl Prevention Program for acutely hazardous matenals)7 ❑ Ves ❑ No (Seclion 25534 of the Califomia Health and Safery Code provides that the Cos1a Mesa Fire Departmenl may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register aately hazarclous materials with the Fire Department. 4. I( an RMPP is presently required, has Sec[ion 25534 0! the California Health and Safery Coae been fully complied wilh? ❑ Ves ❑ No 5. Does or will the applicant or present or fuWre building occupaN require for the vrork v+hich is the subject of this application a permit for such construction or modification from the South Coasl Air Duality Management District or Irom any other air pollution control dislrict or agency7 ❑ Yes ❑ No (Section 65850.2 of Ihe Califomia Govemment Code requires that the requested infortnation b0 fumished on applitatbns ta non-residential builtling pertnits). 6. Will any part of the faciliry to be constructetl untler this permit be within 1000 feet (rom the outer boundaries of a school7 ❑ Yes ❑ No Qf'j�es", the facility must meet the repuirement o� Sections 25534 and 42303 of Ihe California Health and Safety Code�. 7. If a pertnit lrom the South Coast Air Quality Management Distnct or other air pollution control tlisirict or agency is required for the work v+hich is the subject of this application, have all of the tlisclosures prescribetl by Calitornia Health and Safety Cotle Section 42303 been made? ❑ Yes ❑ No, 8. Q('yes",�attach�certificale of compliance from the appropriate air pollution control oKcer). � ' CERTIFICATE OF COMPLIANCE: I certity Ihat under penally of perjury. Ihe informalion given above is correcL I agree to comply wilh all sta[e laws and city ordinances regarding Hazardous Matenals and Emissions. ' � � SignaWre Dale CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I . , certify under penalty of perjury that I have read ihis application and state that ❑ I am exempt under sec. the information given is correct I agree to comply with all state laws antl city ordinances relating to building construction, and aWhonze representatives of Business and Pmfessions Code for this reason: lhe Ciry of Costa Mesa to enter upon the above-described property tor , inspection purposes. I a9ree not to occupy or allow occupancy of any builtling aWhorizetl by this permit until Mal inspection. . � `V �i��%7 SiB�aWreolLe YOwn2r(s) Dale /� �59nafure"� � Dafe :: � _ _" ' ��,(y�� 305]-a6(3/0)) � --� - _ A ,q_ut�pnze0 Appliwnt — �51e`� , �� CITY OF COSTA MESA � BY/LOING DIV►S/ON 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754•5273 • Fax (714) 754-4856 • wwYv.ci.costa-mesa.ca.us JOB ADDRESS Vicinity: . FOR INSPECTIONS CALL: (714) 754-5626 EXpi�� PERMIT NUMBER: E07-00631 ELEC .l,'�� '` STATUS: pj�'iE --,-. DATE.ISSUED: 250 E BAY SCOPE OF WORK: iNS7nLL P07-00432 .. +X ' ' ; ' r ISSUED_BY: `, y , M' ` 4� Swte/Unit' _ �!e:: ,x i 2AINWATER DRAINS AND 1 WATER LINE-FORFOUNTAIN ISSUED 06126/2007 SOK 1 LANDSCAPING WORK. REF.: 1 r p C��^ �.il� 4 1�� 'lf� �./i � f .�il:� r� u j OWNER: � GLEASON,ANILLIAM JR�AND MC��CARTHY SHEILA <Address: 2¢0 E BAY STREET Umt: -.: PHONE: �`�' ` - �'" � �r � `+ '�_ , : ��,City/5tate/Zip:,. - COSTA MESA CA ' �� ` APPLICANT: EDDIE GUERRERO �'.; Address. �2901 W COASTIHWY UnitSUITE 200 PHONE: 949-258-4366 �� , N� =. -- � , City/Stale/zZip: NEWPORT BEACH, CA ��'�� + � ar CONTRACTOR OWN�ER BUILDER r � f c�' -_LicenseNo:- �000000 ��; �� Address: Unit-'.� � , PHO�NE � '" ' �' . �y Ciry/State: � '�I`� ��" ZipCode CELL � r� t�ut - ` . - .. . ;`:'Y . i . _ _ � .. . ' .__ . _ r . , -'S°yr � `.'� �'1,!� i� ..' . ,.-� . . ' _ ._" ' ' ,�; ELECTRICAL PERMIT FEES ,� ° `� Electrical Plan Check Fee ,' $0 00 Electrical Permit Fee: - �c�$29 60 ' �� , _ �� Reinspection Fee $0 00 , _•:, " < TOTAL FEES ` ` ��:_ � $24.60" u '" } . ��Ry ��r�:- ' ' . ' <`t a [ � ' wi. � � � 'a� ; r,. i�� , t ;: F . „°' � 4, 'L' � i ,� ..,�,4„ � � � , 4 � > � r � "'»K ,ti `� .. - NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under �Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) . - � EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. ' � INSPECTIONS:. In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all requirad InspecHons and final approval must be oblained. Failure to obtain inspections and fnal appioval will result in the expiration o� this permit. COpE t, INSPECTION TYPE � 1816 � Fized System Final Fira Prevention 1266 Pool Spa Final � 200 Final Re-Roo( " 201 ' 'Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition QRTE IN L CQOEt INSPECTIONTYPE 206 Final Mechaniwl 208 Final Plumbing 210 Final Electrical 272 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Oaupancy D�TF INTITIRLS WORKERS' COMPENSATION DECLARATIO� I hereby aKrtn under penalty of perjury one of th ovring declarations: ❑ I have and will maintain a certificate of consent ro self-Irisure for workers' compensa[ion, as provided (or by section 3700 of Ihe Labor Code, for Ihe peAormance o( the work tor which this'permi[ is issued. ' � ❑ I have and will maintain workers' compensation insurance, as required by section 3700 of Ihe Labor Code, !or the pedortnance o! ihe vrork for which this permit is issued. My vrorkers' compensation Insurance carrier and policy number are: Carrier (This secfqn need no( be romdeled dthe peimrt is valued af one huntl�etl tlollars (5100) a IessJ Policy Number: ❑ I certify that in [he performance of the work for which Ihis permit is issued, I shall not employ any person in any manner so as to become subject to the vrorkers' compensalion laws of California, and agree that if I should become subject to the vrorkers' compensation provisions o� Section 3700 of the Labor Code, I shall forthwith comply with these provisions. ApP��nl's SignaWre Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATI'ORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am licensed under provisions of Chapter 9(commencing with Seclion 7000) of Division 3 of the Business antl Professions Cotle, and my license is in full force and effect. Lic. # Class # Conlractor's SgnaWre CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrtn that ihere is a construction lending agency for the peAormance of the work fa which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Dale OWNER-BUIIDER DECLARATIONS: I hereby aKrtn that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the follovnng reason (Sec. 7031.5, Business and Professions Cotle: Any ciry or counry which requires a permit m construct, alter, improve, demolish, or repair any structure, pnor to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant ro the provisions of [he Contractors License Law (Chapter 9(commencing with Section 7000) o( Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and lhe basis for lhe alleged exemption. Any violation of Section 7031.5 by any applicaN for a permit subjects the applicaN [o a civil penalty of not more ihan frve hundred dollars ($500�.): ❑ 1, as owner of the property, or my employees with wages as their sole compensation, WIL1. DO 7HE WORK, and the struclure is not intended or ottered 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 vrork himself or herself or through �is or her own employees,�provided ihat such�improvements are not intended or oHered for sale. If, however, the building or improvement is sold within ona year of completioq the ovmer-builder will have the burden of proving Ihat he or she ditl not build or improve tor purpose of sale.). �� as owner of the property, am EXCLUSIVELY. CON7RAC71NG WI7H N�SED CONTRACTORS to construct the project (Sec. 7044, Business and Pmfessions Code: 7he contractors License Law dces not appry to an owner of property who builds or improves thereoq and who contracts for such project vnth a contrac[or(s) license pursuant lo the Contractas License Laws.). � � Ovmer ID venfed by dri se. ❑ Yes ❑ No �Brivers Licen� se N��.� i.e. - property tax bill or deetl): DIVISION O:INDUSTRIAL SAFETY PERMIT CERTIFICATION: - ❑ I hereby certrfy iha[ no excavation Frve (5) or more feel in deplh into wfiich a person is required [o descend, will be matle in connection vrith vrork authorized by ihis permit, and that no building sWcture, scaffdding, falsework, a demolition or dismantling lhereof, will be more ihan thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sea 341, Title 8, Califomia Administrative Code). ❑ As� owner-builder, I will not employ anyone to do work which vrould require a permit from the Division of Industrial Safety, as noted above, unless suc� person has a permit lo do such vrork from Ihe division. Applicanl's SignaWre Date Division ot Industrial Safely Permit Number: � HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will Ihe applicant or present or future building occupant need to (le and certify a Business Plan for emergency response to release or [hreatenetl release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health and Satery Code requires, with some exceptions, that a Business Plan be fled with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazartlous 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 regisiration form for awtely hazardous materials? ❑ Yes ❑ No (Section 25533 of the Cali�omia Health and Safety Code, with some excep[ions, requires regis[ralion vrith the Cos[a Mesa Fire Department by eacn business which al any one time has on hand a quantity of acutely hazartlous 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 [he applicant or pre5ent or future building occupant need to prepare an RMPP (Risk Management and Prevention Progrem for acutely hazartlous matenals)? ❑ Yes ❑ No (Seclion 25534 of the California Health antl Safety Code provides ihat the Costa Mesa Fire Department may require the preparation, certification and filing with [ha fire Department o! an RMPP by businesses wl�ich are required to register acutely hazardous materials with the Fire Depaement. 4. If an RMPP is presently required, has Section 25534 ot the California Health and Sa(ely Code been fully complied with7 ❑ Yes ❑ No 5. Does or will the applican[ or present or fuWre building occupant require for the work which is Ihe subject of this application a permit for such con5truction or modifwtion (rom lhe South Coast Air Quality Management DisVic� or from any other air pollution conUol disMct or agency? ❑ Yes ❑ No (Sectbn 65850.2 of the Califomia Govemment Code requires that the requestetl infortnation be fumishetl on applications for rqn-resitlential building pertnils). 6. Will any part of the facility to be constructed under [his permit be vnthin 1000 feet from Ihe outer boundaries of a school? ❑ Ves ❑ No (If'yes", the (acility must meet the requirement of Sections 25534 anC 42303 of the California Health and Satety Code). 7. If a permit from the Sou[h Coast Air Quality Management DisMct or olher air polWtion control dishict or agency is required for the vrork which is the subject of this applica[ion, have all of the tlisclosures prescnbed by Califomia Health antl Safety Code Section 42303 been made? ❑ Ves ❑ No 8. (If "yes", attach certificate of compliance from Ihe appropnate air pollution control oflicer). . ' . , CERTIFICATE OF COMPLIANCE: I,certify ihat under penalry of perjury the information given above is covect I agree to comply with all state laws and ' city ordinances regardinq Hazardous Materials and Emissions. , SignaWre � Dale . . CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury Ihat I have read this application and state that ❑ I am exempt under sec. the information given is covecl I agree to comply with all state'lavrs and ciry . . � . ordinances relating to building consiruction, and authorize representatives of Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-descnbed property for - - � inspec[ion purposes. I agree not to occupy or allow occupancy of any building - authorizetl Dy this permit until final inspection. lD'—G�D�07 SignaWreWL eqs) Date Si9naWre '"S � . � 1 . 7/� T ��_ G� o ]051<6(3/0]) -- v `��— � oJ/o�AWM1onzeEApP�icanl '..'Date . �4��- �.L.' ''' ' � 9 (714) 754-5273 • Fex (714) 754-4856 . www.ci.costa-mesa.�yliLDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 250 E BAY $T Suite: Vicinity: ROOF PrimaryOcc: R-3 Dwellingg/CongRes<70 Typeo(Constructian: V-N Parcei Number: 42621301 Zoning: Appiicane CARLOS ZAMORA Address: Phone: 818-735-7876 Zip: Owner: GLEASON, WILLIAM JR AND MC CARTHY SHEILA Address 250 E BAY STREET � COSTA MESq, CA Contractor: FONTAINE WEATHERPROOFING IN Address: 23482 PERALTA SUITE F LAGUNA HILLS, CA Zip: 92653 - Arch : Address: Zip: Phone: License: Phone: Zip: 92627-2130 C Phone: 949-598-8360 License�. 875099 , Eng: Address: � � - StaNs: ISSUED Applied: 05/30/2007 Issued: OS/30/2007 / �/ . �►�I� Phone: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INS7ALL 2 LAYERS OF 15# FELT, 3.5:12 PITCH, 30 YEAR COMPOSITION SHINGLES, REPAIR/REPLACE SHEATHING AS NEEDED. 2,400 S.F. � ' FEE SUMMARY Plan Check: �0.00 Permit: $97.25 SMIP Res: $0.50 SMIP Com: 50.00 Other: $0.00 I ns pectian: 30.00 +� Calc Valuation: Claim Valuation: Total: $97.75 ' PLANNING & ZONING SETBACKS . _ , ._,, MAIN STRUCTURE' Front -�0- 0 Rear .0- 0 Left . 0- 0� �. �.,Right, � 0-,0 � ACCESSORY Front � 0- 0.. Rear 0- 0. Left 0- 0 � Right 0- 0 PARKING Existina: �_ 0, � �Reauired: 0 , Pr000sed: 0 � . . , 54,000.00 $a,000.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access raquirements under Califomla statutes and related regulatlons. (Ord. No. 92-28, § 1, 12-21-g2) EXPIRATION: This permit shall automatically expire and become void if work is not commenced wlthin 180 days, or if work is suspended or abandoned for a period of 7B0 days. '� '� � INSPECTIONS: in order for the work aWhorized under this pertnit to be considered lagal, such work must comply wlth all applieable eodes, and all required Inspeetlona end final eppr4val must be obtained. Failure to obtain inspections and final approval will result In the expiration of ihls pertnit. FOfl INSPECTIONS CALL: (7/4) 7545626 2aae�ae lerool �� WORKERS' GOMPENSA710N DECLARATION: I hereby ettirm untler penelry of per�ury one of Ue tdlowing dedarations: ❑ I heve and will maintain e ceNficate ot consem m sell-Insure for workers' compensetlon, es provided for by sectlon 3700 at t�e Lebor Code, for Ihe pedortnance af the � rk br which Ihis pertnit is IssueA. I meintaln workers' compensalbn insurance, es required by section 3700 oi the Lehor CaOe, tor the peAortnanca oi Ihe work for which Ihis pertnit Is Issued. wmpensetlon Insurence/� rrler and pdicy numbar ere: � � ✓'^ �(' POIIcyNumber '29 S"Z'I`E� not be comple(ed ll the pertnif !s va/ued et one hwrtlred dd/ers ($100) or less.) ❑ I certlty Ihat in iha peAortnance of Ne work lor which Ihls pertnit I5 issued, I s�all not employ eny person In eny manner so es to become wb�ect to Ne workers' compensation laws ol C omla, en gree Ihat 11 I s�oultl become wb�ect to the workers' compensetlon provislons of Sectlon 3700 ot Ne Labor Code, I shell torthwith wmply with these pr wi n��cam sro�amre: �— �oa�a: - , �. 3 � _o-� WARNIN(i� FAILURE TO SECURE WORKERS OOMPENSATION COVEMOE IS UM.AWFVL AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES PND CML FlNES UP TO ONE HUNDPED T/IOUSAND DOLURE (5100,OOD), IN ADDITIIXJ TO THE ODST OF CpAPENSATION, DAMAGES l5 PROVIDED FOH IN SECLION 9]OB OF TNE LABOR COOE, IMEREST, M!D ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: t �ereby eflirtn th� m Ilcen�qtl�nd�rovisi�c farce entl eXecL Uc. N'-. rl Contrector's Slgnature:� of C�eO�ar 8(commendng wlth Sedlon 7000) af DlWsion 3 oi lho Buslness entl Protessions Cade, entl my Iicense Is in full CONSTRUCTON LENDING AGENCV: ❑ I hereby eflirtn thet there is e construcpon lentlinp eqency for lhe peAortnanca ol the work lor which this permit Is Issued. (Sec. 3097, Civll Cotle). Lentlers Name: Lentler's AtlAress: Signeture: Dete: OWNER•BUILDER DECLARATIONS: I �ereby eNirtn that untler penalry ol perJury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe tollowing reason (Sec. 7031.5, Buslness enC Professions CoCe: Any ciry or counry whic� requlres e pertnit to construct, elter, improve, tlemdish, or repelr eny struqure, pnor to Its Issuance, also reqWres �he eppliwN for such pertnit to lile e slBneA statement thet he or she I5 iicensed Oursuent to the prwisbns oi ihe Contractora LJcensa Lew (Chepter 9(commendng with Section 7000) ol DMsion 3 of Ne Business end Professions Cade) or thet he or she is eaempt therelrom and the basis lor Ihe ellegea ezemption. Any violatlon of Sedian 7031.5 by eny epplkant for e permfl sub�ects t�e epplicent to e cMl penalry of not more than fWe hundred dollars (5500).): ❑ I, es owner of the properry, or my employees wit� weges es their sole compensetion, WILL DO THE WORK, and Ihe strucWre is not intended or otteretl lor sele (Sec. 7044, Business and Prolessions Code: The Coniractors LJcense Law does not appty to an owner oi property who builds or improves Ihereon, entl who does such work himsetl or hersetl or Ihraugh his or her own employees, provitled ihat such improvements ere not intended or ofleretl lor sele. If, �owever, the bullding ar Imprrnement Is sold within one year o1 completiw, the or.nervbuilder will heve t�e burden ot pmving �het he or she did not bulltl or Improve for purpose ot sele.�. ' ❑ I, as owner ol the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS b construct the project (Sec. 7044, Business and Professions Code: The coniractors Llcense Law Aoes rwt appy to en owner ol praperty who bulltls or impmves thareon, and who contrects tor such pro�ect with e contrflcior(s) license pursuant to the Contractws License Laws.). ❑ I em exempt undar sec. Business and Professions Cade for this reason: Signature: Date: Owner ID verified by tlnver'e license. ❑ Ves ❑ No Dnvefs LICen9a No. Expires: Vedficetion ol Owners�ip Dy (rype of daumenL i.e. - property tac blll or tleetl): DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATION: ❑ I �ereby certily t�at no excavetion Me (5) or more teet in tlepth into which e person Is requiretl to tlescend, wlll be matle in wnnection with work euthonzed by Nis permll, and Ihat no bullding siructure, scaNdding, lalsework, or demditlon or dismentlinp Ihereot, will be ^iore than tMrty-six (38) feet high. (Chep. 32, Gry 2, A� 2, Sec. 341, Title e, Calitomia Adminisiretive Cade). ❑ As owner-builder, I will not employ enyane to do work which woultl require e pertnil from Ihe Division ol Induslriel Selery, es notad above, unless such person has e pertnit to tlo such work Irom ihe CiviSion. Signeture: Date: Dlvislon of Industrial Sefery Permlt Number: CERTIFlCATE OF COMPIJANCE AND Al7iHOHIZ4710N OF ENTHY: I certity under penalry of perjury that I have read ihis epplication and state that ihe Infortnation given is correcL I egree to comply wlth ell state laws end clry ordlnances relating to 6uIl01ng wnsiructlon, and authorize representaUves ol the Ciry ol Caata Mesa to enter upon Iha ebova-descn6ed properly lor Inspection purposes. I egreo noi to occupy or allaw accupency ol eny bullding aulhorized by this permit until finel inspecUon. �� INSVECTIONTYVE 1618 FIaeG System Flnal Fire Pravention 1266 Pool Spe Finel 200 Finel Re-Roof 201 FIneI BIocWReteining Well 202 Finel FectOry Fire Place 203 Finel Sign 204 Final �emolitlon ves um�iets � COOE 1 INSVECTION TYPE 206 Final Mechanicel 20B Finel Plumbing 210 Flnel Elecirical 212 Flnal Flre Preventlon 220 Final Plenning ApprOval 222 Final Site 250 �Finel Bulldinp/Occupency Dete S 3 v- �2 �g 0 � , , ,. � � d - . f" (77a) 754•5273 • Fax (714) 75a-a856 • www.ci.costa-mesa.c�ILDING PtKMI I 77 hAIM Uh11Vt, GUSIA MtSA, GA B2tiZ6 Job Address: 250 E BAY ST Suite: Vicinity: WINDOWS AND DOORS Primary Occ: R-3 Dwellings/ Cong Res <70 Parcel Number: 42621301 Applicant: MC CARTHY SHEILA Address: 250 E BAY STREET COSTA MESA, CA Type of Construclion: V-N Zoning: Phone: 949-645-4363 ISSUED BY: , Zip: 9262Z-2130 Status: ISSUED Applied: 11/152006 Issued: 11I15/2006 �. <� �' � - — _ _ - Owner. GLEASON,-WILLIAM JR AND MC CARTHY SHEILA =_ Address 250 E BAY STREET= -" � � - % . '� �\ . i _ ,/ ,.. , . Phone: : - � � i � - �� \ ) j �. � � , � A . , , , ' �''�/ , �-� �Y COSTA MESA, CA - _, � Zip: ' 92627-2130 � :i i� . . , ' . � - ' . \�� i. / � � oontracror: OWNER=BUILDER ;" � � \'�� .'�+ � Address:- . - .' � �� , , . � � � Phone: �' , . _ .�A`. C �� A� , • /: � . - Zip: �� ' %� License: 000000 \ `. � � . � � ; � � � ` � Arch : � � �. S ' ;� � E�g: ` ' ; . � � ;, Address: , � � � Address: . . ��,. '�� " ' � . � � Phone: �� - , - , � ��.�Phone: � � ' , , , �- ' � . . � . � - Zip: � . .6icense: �' � , . License: - ' � � ... " - SCOPE OF PERMIT � � CHANGE-OUT OF 3 WINDOW AND 7 DOORS IN AN EXISTING SFD; LIKE-FOR-LIKE WINDOWS AND DOORS. �� . � �. . NO OHTER WORK-AUTHORIZED WITH THIS PERMIT. '� ' _ - - - . - - - . _ �' , ' � „ ,; FEE'SUMMARY '�" .._-- . _ __ __ , Plan Check: $0.00 Calc Valuation: Sis,000.00 Permit: $265.25 ` Claim Valuation: sie,000.00 SMIP Res: $1.60 , _ � , " - , ; � , � � � SMIP Com: - $0.00 � _ . -�_ - "_ ' � � ' � ' - � Other. $0.00 - - � � - - �j/'��' - -- i � - � Inspection: $0.00 �i i ;,� r'-. ` r t.. , o � , ' � Total: � 5266.85 � - -_� � � � � ' � r� , ' ; y,: ' PLANNING & ZONING SETBACKS � � � - �- ��'�� MAIN STRUCTURE � Front ' 0- 0 � -. �Rear 0- 0 �Lefl � 0- 0 � ' •- � '`'�Right �: �0-� 0 • � .' �� i ACCESSORY Fron� 0- 0- , Rear 0-0 Left 0. 0 Right -' 0-A= � - �� -. . , . , - , - . i - r . -" . . _ , . � . .:� . , , ��_ PARKINC3 � ��Exisfina:�� 0 � . -Reawred., ;0, �� Pr000sed: � �-0- /� jn��"/ i� �� •�� _ -_ _�_ - - _- . ,'� / . / , . ,' _ .. - . - - , i � \ _ ; . �-_ _�,� 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 parmit shall automatically expire and become void if work is not commenced within 180 days, or If work is suspanded or abandoned for a period of 180 days. �• INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapeeliona end (inal approvel must be obtained. Failure to obtain inspections and final approval will result in the expiratlon of this permit. FOR INSPECTIONS CALL: (714) 7545826 � �. . .. - zaae�ae �avol . � . WORKERS'COMPENSAnON DECLARAnON: � � � hereby emrm under penelry ot per�ury one of the followinq deGaretlons: . ❑ I heve entl will melnteln e certllicete of eonsent to setl-Insure lor workers' compensation, es provltletl for by sectian 3700 of ihe Lebor Cade, for Ne pertarmance of the work for whfch Ihis pertnll is IssueA. ❑ I have and vnll maintein wwkers' canpensetirn insurence. as reQuired by section 3700 of the Lebor Catle, for the pertortnance of the work for which Ihis permit is iswed. My workers' compensatlon Insurance cartlar en0 policy number ere: Cartier: Policy Number. (T�is sec0on need nof be wmpleted i/ the permit Is valuetl el one hundied dollers ($100) or less.) �I certity t�et in Ihe portor ar �e of the work br which Ihls pertnit is issued, 1 ahall not employ eny parson in any manner so as to become sublect to the workers' crompensatlon laws oi C itamie, pntl egree et I I should 6ecome subJect to the workere' compansation provisions of Secllon 3700 of Ihe La6or Code, I shall torthwith comDly wllh ihese provi, o. `� �'/,�J ,/ AppliCen�Signature: � �' Date: / /V Y ��0� WARNINO: FAILURE TO $ECURE WORKERS' COMPENSATIqJ COV GE IS UNIAWFUL ANO SHALL SUBJECT AN EMPLOVER TO CRI IW1L PENALTIES AND GVIL FlNES UP TOONE HUNDRED TIqUSANDDOLLAR��5100.000),INADDITIIXJTOTHECOSTOF PENSATIqJ,�AMA0ESA5PROVIDEOFORINSEGTION3l060FTMELABORCODE,INfEREST,ANDATTORNEY'SFEES. LICENSED CONTRACTORS DECLARATION: I heraby aHirm thet I am Ilcensed under provlsions ot Chapter 9(commencing with Section 7000) ot Division 3 oi Ihe Business entl Professions Code, end my license I5 In tull torce and eHect. Lic. q Class e Contrectofs SignaNre: Data: CONSTRUCTION LENDING AGENCY: ❑ I �ereby ettirm that ihere Is a consiruction lentling egency for iha peAortnance of the work for which this pertnit is issued. (Sec. 3097, Civil CaOe). Lentlels Name: LenOers Address: SigneWre: Date: OWNER-BUILDER DECLARATIONS: I hereby eftlrtn thet untler penalry oi parjury Ihaf I em EXEMP7 FROM 7HE CONTRACTOHS LICENSE LAW br the following reason (Sec. 7031.5, Business entl Pmtessions Cotla: Any city or counry which requires e permit lo construcL elter, improve, tlemolish, or reDair eny strucWre, prior to iis issuance, also requires the epplicant for such pertnll to file e signetl statement that he or she I5 Iicensed pureuant to the proNsions oi Ihe Contractors License Ww (Chepter 9(commencing with Section 7000) ot Dlvision 3 of Ihe Business end Profe55ion5 Code) Or lhe� he or she I5 Bxemp� tharefrom end t�e besis for ihe allegBd exemption. Any violaiion of Section 7031.5 by eny epplicent for e pertnit s jects t�e epplicent Io a ciWl penelry M nat more than five huntlretl tlollers (5500).): � I, as owner of Ihe property, or my employees with weges as Ihelr sole compensa�ion, WILL DO THE WORK, end the strucWre is not intended or ottered tor sale (Sec. 7044, Business and Professions Code: The Contrectors Licensa law tloes not apply to an owner of property who builtls or improves ihereon, antl who tloes such work himself or hereelf or through hIs or her own employaes, pmNded that such improvements ere not intended or otteretl for sale. If, however, ihe builtling or improvement Is sold within one year of completion, Ihe owner-bulitler will have ihe burden oi proving that he or she tlid not build or improve tor purpose of sale.). ❑ I, a5 owner of the properry, em E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTOHS to conslruct ihe project (Sec. 7044, Business end Profes5ions Code: The wntrectors lJcense Lew tloes noI appty co en owner at pmperty w�o bulltls or Improves thereon, and who contracts tor such projecl with e contrector(s) licensa pursuan he Contractore License Laws.). ❑ I am exempt tl ec. Busineu antl Professions Code lor this reason: Signature: � ExpireS: _-�' Verification of Ownership 6y (type oi tlaument, i.e property tex bill or deed): DIVISION OF INDUSTRIAL SAFETV �ERMIT CERTIFICATION: ❑ I hereby certify thet no excavelion 11ve (5) or more feet in depih Into which a person is required to tlescentl, will be made in conneMion with work aut�orized by this pertnit, and that no builtling siruclure, sceMoltling, felsework, or tlemolition or dismaniling thereof, will 6e more than thirty-six (36) feet high. (Chap. 32, G�p 2, Ar12, Sec. 341, lltle B, Celitornla Atlminislraliva Code). ❑ As owner-builder, I will not employ anyone to do work which would require a pertnit irom the Division ot Indusirial Selery, as notetl ebove, unless such parson hes e permit to tlo such work irom the division. SlgnaWre: Date: Division of Industrial Safery Partnit Number: CERTIFlCATE COMPLIANCE AND AUfHORVATION OF ENTRY: I certity untler Denalry oi perjury ihat I have read this appliwtion entl state that Ihe iniormation given is correct. 1 agre comp with all s te� pla�ws end �Gry ordinances releting to building consiructlon, antl euthonze representatives oi tha Ciy of Coste Mesa to enter upon the eDove-da pro or i p on/ 1` ' 1 ree not to occuPY or ellow occuPancy oi eny building authonz b�y I/his pertnit until Mel insPection. � %� U �S ZO��O Sioneture Ot Leoal ner(sl Date COOE �• MSVECfIONTYPE 1616 Fixetl System Final Fire Prevention 1286 Pool Spa Finel 200 Finel Re-Root 201 FIneI BIocWRetelning Well 202 Final Fectory Fire Place 203 Final Sign 204 Final Demolilion PAg Q�EIi COpEt INSPECiIONTYPE � 206 Final Mechanical 20B 210 212 2P0 Finel Plumbing Final Elecincal Final Fire Preventlon Final Planning Approval 222 Fnal Site 250 � Final Builtling/Occupanry �4.rt� �� ICifu�9 ;�� `7�� non[ssaeutmxc �SO E HAY ST u"T: a"'E"s"""E'F'Q'°�`'": LAURENT MAFtY �"� 250 E 5�Y ST COSTA MESA,CA 92627 �cvi. Y.na,o �uox�s� 64'1-9984 ANCNRKT Ofl F!lf�NEEA: IIL. N0.: /iRCll 011 ElA'S ADDRFS4: UM: �� GALKOS CONSTRUCTION (714)373-8545 ca+m�croxs�uiu+a 5412 BOLSA AV �� HUNTINGTON $EACH CA � � 492715 92649 �� G LICENSED COHfRRCTOH4 DECLAP�TION: 1 hereby p�lim iuMx penelly d perjur/ Net I mn fcanseE under prwieim� d CMqx 9 (emunenui0 wC� Section ]OW) d D'rvuion � d IM BuvMn uM Prtfineom Cods. W mY Nowus u m Iu0 Mw mW MW. tmuc.No.:043224( uc.cuss: H uc.No.: 49�715 .v- : 00/00 Dtla: � �� 1 / Cuvepr, OWNEX BUILUEF OECLAH1710N: I haeby tlfi�m uMq py�yy d pe�ury el I em exem mm IM CmVtlon Liomss Law Ip tlr IaOowiq �seaan (Setlian ]W IS &niwa eM Pralsafu�s Coda: MV dY w wuNY w�irA nVww e V�u to mnuw. etlro. inpw+. demdo�. a rapei ary ewryva. p'w b b"svu�as. dy �p� iM eppNmm ta v�N pmW to Ns e ep�rd Mxnxi thtl M a de u IiceneW pumieM �o �he qa`eioro d tla Comiaqa� liceme law �CMqa B(odvnerciry wYh Satlion 1000) d Oiveian � d IM Buzma ud Ndueiom Codel a �M M n Ne ie mamq �naehan eM �M bmi� la tlw dbwd aaanqion. AM'vidmion d SW ion ]0�1.5 by mry eppYuM 1> a permY nAjeGs IM eppleeru b e dW paneCy W m� mps Wn /va IuvWtl EOAv� �5500�. ❑ i.mo.�ainswowa«mv«�o�a�..••+n•w�,..ins:.w��..,aeom.wo�x.�ame.we�n:oaw.�e a oflered/a seb (Section t0u. Bmmu enC Prdesppis Code: TMCoM�edae Licerus lew does nd xpplyto an oxtarM qopeiry who ddM a inpww ihxam. enE Mo doss �ud� xak IimWt a haeM a Wou� Ae a her own emM�++s. D� tIW wch imG�'w�am re na iivadsd a a11seE la Ws. tl. howevar. Na ddd'uq a inP��am e mIJ wilhm an�Y� d mMbun. ihe owmr-0uiker xill Aeve �M buMen d P��O M or Me Eid nal WWd a bnpw+lar IM WT�e d edel. ❑ �..a mNw a �n. nw.m..m..emwlr �mreeip .vh luwwa mwmon m mmwe u�e w9� (swun lo«. aain...na Prdaaffiom Code: TM Cau'adan L'cams leM 4u �w eOMY m en orrtrr d pW�Y Mn dWd� a'vnpw'm Ilwson end Wn conVecv 1« wMi pqeqe wu� a mv�atla(e) lironyd p�nuun to �ha Ca4rapas Liwn�e lawl. � 1 em exemq wdar Sanbn: B. 8 P.C.. la IMe �mam: i m n.�nr �v uw i�.�.,r. a w�w«.w,a m.,.P,�.m a c.ua,:. w.nn w swn coa. sw�. uws. zssa�. w 25531. uM Uet I a eny hawe ddi6^G ^�^�. vnll / wiA rwl (mcb one) nseG ro camdY wt� uid pa�s codn md �hs royuinm«ro b aVermnlamMiudionamoddmionhan�M�r�Y enpanem0inrin.RuldemialmnprutlioneppfutiorowmamdM1anihwa pwiaone. om.: noqs�c WOFKEF'S COMFENS�TION OECL�R�TON: I MroEy d(� uMx pwhy d parjury ane d IM IdbMnp Edvtliom: CITY OF COSTA MESA - BUILDING PERt9IT PERM NO: H 083626 PERMIT NO: H 083626 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: OTH SOB DESCRIPTION : T/O REPL. SHEATH AS NEEDED REROOF W/COMP SQ FT: 9,500 CLAZM VALUE: 3,875.00 CALC-VALUE: 3,875.00 GROUP OCC; R-3 / COMMENTS: REROOF 25005F W/COMP SHINGLES **�t�Mx�*�cjt�*�r*�***�t**�*x�n�rx�**x**�*a�**�t�t****�r**x*,��a�*��t****�*x**;e�t��r*��rv� ��x�*�* 'L O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING --------- --------- ACCESSORY BUILDING --------- FRNT; FT ZtJ REAR: FT IN FRNT: FT IN REAR; FT IN LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN PARKING REQ: PROV: PARCEL: 92621301 ZNE: REF N0: PLANNING NOTES> i�' ?E jE iE 3c iE iF iF 3f iE jE jE if iE �1Fi� iE iE if iF if i! it it jE jF �1f 3E iE ik iE iE iE iF if if jE 9E 3f iE 3E f! �1E �f if � iE if iE if jF iE jF jE 3f iE iE iE?f iE 3f �F 3E �1E 3E jE iE jE jE 3E :� �)?f jE dE jf if aE jE 3f D E V E�,'I, O P M E N T S E R V I C E S R E Q U I R E N E N T S ZONING APPROVEII•BY DATE: BUILDING APPRC}UED BY ; DATE: _ ' APPLICATION I•55UED HY: � DATE: �3��I ifiEjfiElE�Ik*iljkiEiEiEit'iflEif3fiklEiFiEif�SF3i�3f�F�iFi�fi�f3F��iF�F�3F3F�if3l� �F3Fif�if�iFiFibdf�fiEif�iF3EiEii�iEiEiF i i F �l'rif LEGALIZATION:N F E E 5 U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 87.25 ,SU SMIP/NON-RES PLA61 ❑ in.,�.w»n�m..�.�«ur�.a�i�o..n.�,.ro��..w�ro.�+m�,..a«+��aMs.e�a�aoam.� ISSUE FEE _ coe.,r«�n�,�e�.��wm.�i��nm�,�,,,�,nh,,,,e. BUILDING-DIV > PERMIT ISSOE PLAN-CHECK TOTAL PAID DUE ❑ ii,,,,,,,,e,„„�m,;,,.�,�„•m,,,o.�;o,,;,,,,,,,,,,,.,,,,nW„ews.dp,a�aoww,�m,cm,.m,n„n„m„�,M.aa„ . TOTALS----> 87.%5 0.00 0.00 87.75 87.75 .UU .�oix �« .nd� �h. o«mn e 4.wa. Mv.�w.� «�ceo.mion mN�.z. w�«.�a cakv wmn« ...: carde.: STATF Fn�an EXPIRES REVENUE DIVZSION TOTALS--> COLLECTED: 87.75 OVER/SHORT: ,00 va�rmme«: •�•�n_U�nnn��a4 O1/OS/98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CAECK �rn;:�r�a,�..a�aw�a�+�n.a«mr;,ro.m.w�e�eewd.ls�ool«�..1 87.25 .50 � � I mMGy �hel in Ne perlamence G �M wak la whph ��ie psimX ie heusd, I Ndl iwl empby e�ry pmn In eny menrrer eo s� 10 becanawbl��atM.wkere'mrpanutian�vndC�iromu.eM!Orw ' IJotldba.an aMa�o�hewlmn' iEfE?EiEifif�lEiFiFiE�f�EifjEik�f9ElE�lEjkititifiEikik�lElEiEifi(��1fiEifif3ElkiE�Eif�lkiEjE�lfiElEaElEifiE�EfklEif3E�lFifi3f�1E�1E�lfifiEiF�7f�fiF�1E3E9F�E3E�lE�1EjE3E�Eii�3F com0�dbn V�+siom W Sstlion 3)OD d tM lebor CoEe. I alull /orlh DN ��hor P . ome: ��% npdc.m: ,� I N D I V I D U A L F E E B R E A K D O W N Wem/np:F�Nunroreunrorkuiro�.uo��w.�.o.�.�r..�w,�y .n.nm�� er..ro�nmr�.r�roema TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST elv/I flM� up ro on� huntlM fhouuM AN/en (SIPqpOpJ, M e�]Itlan foM� ewt ol ro ru�fbrt a�W u povMW br In s«n�svosoim.i.eo.coa.,mr.�..r,.�a.rco„�.y,r«. SFR 3875 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 3.875.00 CON57AUCTION LENDINO A�ENCY: I hveW dfirm uMer panelry d perjury ihn tMn u e mntl�utlian bM'vp pw,y Ior ihe pe�lamenm d �ha wak br wnitli thu pimY u eeueE ($eppi �pp), C'v. C). LENDEN'S NAME: IENDEP'4 �DDflE59: 1 cerlM Ilim I Mw nd Nu e00�� enE qtle tAat Ns eEow iNametian b corntl. I qlM lo m^V�'vrilh ep MY eM oduYY atlmeicee uM etme lewa reMtM to butld'nG wnNueion eM her+M eWiaes �epmauetiw tl �he tiiY m ams Wm tM ebwsmWiwiad pvpsry la insVe��ion WrD�s� JIM SLAGLE � , Dme: � (S151dfi.WP) Whns-BuJdiqBSelay;OneMqy:�yiyy_�pp& y:py�k�:py�.�u�y�y END OF FEES 87-83-1997/�Tt B�-9B89b99 RERMIT:B83626 � '� � v . CONSTRUCTION AND PLANNING � POOL & SPA , APPROVALS Permit� Date �Inspectoi qppROVALS- Permit� � Date Inspecmr 7. 7emporary Electrical Service or Pole . � ' 52. Pool & Equipmeni Location . Z, Soil Pipe•Undrgrnd. . 53. Steel Reinforcement � . 3. Electric2l Conduit Utility-Undrgrnd. 54. Forms ' 4. Electrical Conduit�Undrgrnd. 55. Elettrical Bonding - � 5. Sreel Reinforcemen[ 56. Rough P�umbing & Pressure Test " 6. Electrical UFER Grnd. � 57. APPROVAL TO COVER�GUNITE • 7. Footings � - 58. Electrical Cqnduit�Undrgmd. � 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water PiPe�Undrgrnd. . 60, Backwash Lines, RTrap, O Undrgrnd. 10. Structutal Floor System � - 61. APPROVAL TO DECK j � 71. Propertv Sewer line & House Connection .� 62. Backwash & ReceptorFinal ' 12. Sewer Cap �, . 63. Heater & Vent-Final 13, floof Orains " ' � 64. Plumbing Sysiem • Final ' 14. Rough Plumbing � . - 65. Electrical�Final � � 15. Fough Electrical�Conduit ' � 66. Solar System•Final � �_ 16. Rough Elettric Wiring ' - �_ 67. Fencing & Access ApP�oval - 77. Rou9h Wiring Sign - 68. APPROVED FOR PLASTERING 18. Rough E�ectrical-T Bar Ceitfng � �- � 69. POOUSPA SYSTEMS FINAL �" '19. Rough Heating & Air Conditioning - FIRE OEPT. REQUIREMENT � 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. DuMs, Ventilating 71. Product PiPing OGas ❑�il 23. Gas Pip¢-Rough & Test - 72. Underground Flush 24. Roof Framing 73. Undergrnd. Stora9e Tank `� Gas ❑ Oii 25. Roof Sheathing % 5-g�f f�/b�- 74. Overhead Hydro �y'l 26. T-Bar Ceiling (Structural� & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Sidinq 77. FIXEO SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTN DEPT. REQUIREMENT 31. Plaster 6rown Coat 79. FINAL INSPECTION 32. Electric8l Power Meter�Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final H¢ating & Air Conditioning 35. Final G8s Pipe-Test 36. Hood or Canopy 37. Final Pactory Fireplace - 38. Final Plumbing 39. Water Service�Finai 40. Gas Service•Final 41. Solar pomestic•Final 42. Backflow Preventer . 43,. Backflow hrigation 44. LandsczPe Irriqation System � m rr 45. Sound Attenuation c- i�'i 46. Handicap Regulations y � � 47�. FINAL STRUCTURE & BUILDING �.� -� �F �� 48. FINAL PLANNiNG . � "ra� 49�. Electric Release to Edison � ��m, 50� Gas Relaase to Southern California Gas Co �'� �� vn: T 51. CERTIF�CATE Of OCCUPANCY No. Dace .J � ' �� , :' .. 61�6 COSTA MESA BUILDING DEPARTMENT P. O. BOX 31� COSTA MESA. CALIFORNIA FOR MAIL ADDRE55 CITV ARCHITECT OR ENGINE'. ADORE55 APP,�ICANT TO FILL IN ? 0 y St.raa+ COSTA MESA. CALIFORNIA LEGRL LpT OESCRIPTION NO. A.P. NO. SIZE 77 X OF LOT USE OF EXISTING BLDG. SETBACK LINE FPOM CENTEF OF $TREET TEL. NoLi LIC. NO. BLOCK �TRACT NO.OF 91OG6. MOW ON LOT REAP YARD �IVt TPttV 1'(1l�nl V- LC�1 y4- DESCRIPTION OF WORK � NEW � ALTERATION ADDITION REPAIR MOVING DEMOLISH BUILDIN NO.OF [ SIZE ROOMS O STORIES 1 E%TERIOR WALL ROOF anvcniur. $tuCCO COVERING CQI11L. . G� ��1��y�� i� -� y- �•� � �` CiTi�� APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY RECEIPT NO. PERMIT NC FECEIVEO BY O�TE RECEIVE� OATE ISSUE � oEc 1 • BUILDING ADDRE55 COSTA MESA. CALIFORNIA FIRE ZONE ION� � CORRECTIONS SiATE iX/.T iHE PBOVE IS COXFECT nND wGREE TO COMPLY WITX �LL CITY OFOINPNCE$ ANO 5 LM1WS NEGU TING 9VILOING CONSTRUC� iioN. /{�� VALUATI ON SIGNATURE OF , ///'� PERMiT FEE S 2�00 PERMITTEE � /�/� vc� ��ntu�n T,�$ 13,690�W 'y PLAN CHECK � 16�W AUTHORIZED AGENT DIL1L' KIWJ COlLL�Ii yyyC� ^ TOTAL FEE $%.��W 7 ,ir w