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HomeMy WebLinkAbout158 CECIL PL - Building Permits CITY OF COSTA MESA 111 � ',� : B ILDING DIVISION i i en•'•, 77 FAIR DRIVE,COSTA MES• • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us �, � .r VVVO ___ PECTIONS CALL:(714)754-5626 . *Nvecse4- $ ,� PERMIT NUMBER: BC08-00281 PERMIT TYPE: B_COMB* `,L STATUS: ISSUED Sub Type: SFD_NEW Q�� \�' DATE ISSUED: 10/14/2008 4' - f , ,..-7:' _ ISSUED BY: \ r JOB ADDRESS: 158 CECILQC - '` -• Suite/Unit • •- APN: 42606322 Vicinity: • :`f 4 PnmaryOcc R3 ,cam„ Const Type: V-B ' SQ FT„ 2377 -" :Valuation: $61,000.00 • SCOPE OF WORK: INSTALL":NEW PRE-MANUFACTURED HOME 2,377 SQ,FT. (3 BEDROOM-2 BATH)WITH ATTACHED PRE-MANUFACTURED GARAGE-528 SQ.FT:i ` ELECT, IN GARAGE:4 LIGHTS, 6 OUTLETS/RECEPT, &3 SWITCHES. 1 GARAGE DOOR OPENER. . . ": - REF: BC08-00244, DR 08:04 , DEMO OF 2 HOUSES AND DETACHED GARAGE FRONT HOUSE IS 744 SF REAR HOUSE IS 550 SFAND DETACHED,-,,- GARAGE 360 SF W ITH ELECTRICAL,SEWER AND GAS CAP • ` -"'Jti}b 1 , OWNER: RENCK, BARBARA Address ' - ,Unit: Phone: 949 642-9180 _ City/State/Zip: APPLICANT: WEISE,MATHEW - Address. - ' Unit: :' . ' Phone: 951 5667976; , !: - - City/State/zZip: - CONTRACTOR: WEISE CONSTRUCTION& DEVELOPMENT INC " License No. ' 877158 : ' Phone: (951)5667976"`i.- `•'" - T Address: 27871 GRAND AVENUEUniti- Cell: City/State: SUN CITY,CA ZipCode 92585 ' ARCHITECT: License Na _; - _ - PHONE: ENGINEER ,p;,, 'License No., -. '� - , .• ,:-::PHONE: , , COMBINATION PERMIT FEE SUMMARY' - Building Plan Check: _:.$468.49 • ' '. '' Building Fees: '$720.75 ,_ _ ..: ,_ . ,4 • • . Electrical Fees: $42.55 - - _ - Mechanical Fees: $0.00 Plumbing Fees: $0,00 • • ?1. ;, : SMIP Residential: $6.10 • • „ SMIP Commercial: $0.00 - TOTAL FEES: $1,237.89 ” **Refer to fee receipts for all fees paid for project ' NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§1,12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODE$. IN$PECDON TYPE DATE INTRIALS CODER INSPECTION TYPE • i INTTA 1616 Fixed System Final Fire Prevention 206 Final Mechanical .1� (1 sit 6- Idi G 1266 Pool Spa Final 208 Final Plumbing LFII Olt £ 200 Final Re-Roof 210 Final Electrical ' ©0A IM A 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site �t� - ' � 204 Final Demolition 250 Final Building/Occupancy Aria I I �' ` 0 WOFIkERS'COMPENSATION DECLARATION ,Owner la verified driicense. ❑Yes ❑No e I hereby affirm under penalty of perjury one of the following declarations: .Drivers License No. Expires: • 0 I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of.the Labor Code, for the • performance of the work for which this permit Is Issued. I have and will maintain workers'compensation Insurance, as required by ' ion 3700 of the Labor Code,for the performance of the work for which this DIVISION • OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: , permit is issued. My workers' compensation Insurance canier and policy 0 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 5 _ _� at..-.10 by this permit,and that no building structure,scaffolding,falsework,or demolition on •.not ee m'pletedllhe parnura valued et nuntlrttlao9ars(5100)a less/ or dismantling thereof,will be more than thirty-six(36)(eel high.(Chap.3.2.Grp 2,Art 2,Sec.341,Title 8,California AdminishatNe Code). •.licy Num.- : 1 6 3 441 6- - to a 8 ❑ As owner-builder, I will not employ anyone to do work which would 0 certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued,I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California. and agree that if I should become subject to the workers'compensation provisions of Section 3700 of Applicant's Signature Date the Lab•r Code,I s h comply with these provisions. / 1!Oo 8 Division of Industrial Safety Permit Number: pplicant's • ature Dar' HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes ❑No ($100,000), IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons.or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Sect. 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file m I- in full force and effect. a registration form for acutely hazardous materials? ❑Yes ❑No 41-7 i b' ass# a (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by '- /0 •/1' OA each business which at any one time has on hand a quantity of acutely .ct•' • ature DaCS 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? ❑Yes IENo Lender's Address: (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. Signature - Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes ❑No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits). 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 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes ❑No applicant for a permit subjects the applicant to a civil penalty of not more than (If'yes",the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec. 7044,Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes ❑No :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 8. (If yes",attach certificate of compliance from the appropriate air pollution sale. If, however, the building or improvement is sold within one year of control officer). . - completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify-that under penalty of perjury the did not build or improve for-purpose of sale.). information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions: ' ❑ ' 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 Signature Date', • property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND 'AUTHORIZATION 'OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application andstate that ❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: . the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow eccupancy'of any building authorized by this permit until final inspection. Signature of Legal Owner(s) Date Signature Date 3057.46 13/07) --••••„._ And/or zeG Ap�'Cpiirar� rale7 IIIII • , CITY OF COSTA MESA r' 11kBUILDING DIVISION F° r✓a;4.) 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 4. FOR INSPECTIONS CALL: (714)754-5626 e PERMIT NUMBER: BC08-00244 • PERMIT TYPE: B_COMBO STATUS: ISSUED Sub Type: DEMO_ALL _ DATE ISSUED: 05129/2008 :,ISSUED BY: RMD JOB ADDRESS: 158 CECIL PL CM Suite/Unit . ; APN: 42606322 Vicinity: > ;.. - PrimaryOcc R-3 • .. Const Type: V-B . L SO,FT. 1654 ', , Valuation: . $23,500.00 SCOPE OF WORK: DEMO 0E2-DETACHED HOUSES AND A DETACHED GARAGE. FRONT HOUSE 744 SF, DETACHED REAR HOUSE IS 550 SF AND DETACHED GARAGE 360 SF WITH ELECTRICAL, SEWER AND GAS CAP: ALL'DEMO TO BE DONE CONCURRETLY. " , i , • OWNER: RENCK, DONALD J ' A '-ii, - ' ' ,:Address:-•.158 CECIL PLi;- ., ', Unit: Phone: • "City/State/Zip: COSTA MESA,CA x'^,' • APPLICANT: SEIB, KEVIN Address: 22701 LAKEWAY DR . '- ' - ' , Unit: :UNIT 488 Phone: 951-858-4473 . . • : City/State/zZip:,'DIAMOND BAR,,CA CONTRACTOR: SEIB CONSTRUCTION. License No: 891787 . Phone: ' 951-8584473' - - - Address: .22701 LAKEWAY DRUnit: - ' UNIT 488 Cell: --.City/SfateL DIAMOND BAR,,CA 9 '-`ZipCgde 91765 • l - - r .- - ARCHITECT: •` _ License No. - - PHONE:• ENGINEER: l i License No .. - �,;-,PHONE: COMBINTATION PERMIT FEE'SUMMARY..' Building Plan Check: Building Fees; $377.25 Electrical Fees: $59.90, . Mechanical Fees: - : � ' '1, ; $0.00 -- - - ��_'- Plumbing Fees: • SMIP Residential: -a$0.00 SMIP Commercial: _ • TOTAL FEES: $745.06 • **Refer to fee receipts for all fees paid for project . • 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: 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 must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. CODER INSPECIONTYPt an INIIALS CODEC INSPECTION TYPE Mg INITDALS 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 4'2N f)9 tlV Pia&t2-) 250 Final Building/Occupancy Pt WORKERS'COMPENSATION DECLARATIO Owner ID verified by dri se. ❑Yes ❑No • I hereby affirm under penalty of perjury one of th wing declarations:r - Driver's License No. Expires: ❑ I have and will maintain a certificate of consent to self-Insure for workers',, Verification of Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit 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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: , permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a number are: person is required to descend,will be made in connection with work authorized LI--Carrier: rtLQir I_- F.411,-d\ by this permit,and that no building structure,scaffolding,falsework,a demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (This season need no,be tom eted lm avalued at we hun dollars($100)orless.) 2,Art 2.Sec.341.Title 8,California Administrative Code). Policy Number: (r71 6(lll(3 ❑ As owner-builder, I will not employ anyone to do work which would O I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued,I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should become subject to theers'compensation provisions of Section 3700 of Applicant's Signature Date the Labor •de,I sh- I.,•�with comply with these_provision S 29 O Division of Industrial Safety Permit Number: .. .nt'a Signature Oat HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No ($100,000). IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST.AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes ❑No Lic.it `Y/ 71 -7 Class# (Section 25533 of the California Health and Safety Code, with some - c�0 ,6 exceptions, requires registration with the Costa Mesa Fire Department by r each business which at any one time has on hand a quantity of acutely "'Contractors Signature - Date 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there'is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,CMI Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? ❑Yes 0 No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: 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. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes ❑No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested 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 information be furnished on applications fa non-residential building permits). Business and Professions Code)or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by Califomia License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑No thereon,and who does such work himself or herself or through his or her own 8. (If"yes",attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered fdr sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she, . CERTIFICATE OF COMPLIANCE: l certify that under penalty of perjury the did not build or improve for purpose of sale.). - information given above'is correct. I agree'to comply with all state laws and - ''city ordinances regarding Hazardous Materials and Emissions. ❑ 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 . Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: 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. Sgn. . - •t Le. �s Date" Signature t Date. - Cr V//1" ' 3057-48(3107) Andlor Authorized Applicant '-ate • . ' CITY OF COSTA MESA . BUILDING DIVISION :� %,8 DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER 4I ,s ®0 PERMIT ^mss# P03-00531 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 ' • • PLUMBING PERMIT Job Address: 158 CECIL PL Status: ISSUED • Suite No Applied: 08/15/2003 Issued: ,008/15//2003 Vicinity: CS ,�„ Parcel Nunmber: 42606322 - - - - ISSUED BY: :-.:1 "//`/-�- Applicant: RENCK, DONALD J. Address: 158 CECIL PL''- - - - „71,-- Phone:. 949-646-8493 n - - • COSTA-MESA,CAA = Zip: 92627 - - 1. , - N • Owner::RENCK, DONALD J - . �. . Address '-158 CECIL PLS. , 7 , - A Phone: ,' 10 _ ,� - COSTA'MESA,CA Zip: 92627 ��' � aq Contractor: ;OWNER-BUILDER A , ' Address: / - _ -D Phone: _ - Zip: License: 000000 ' Arch / Eng: _ Address: - - . • , , Phone: . . - r , . _:Zip: "- ,. ' License: • , SCOPE OF PERMIT-'-- . - ' \,- ., • REPAIR SEWER LINE ON PRIVATE PROPERTY. - " ' 'FEE'SUMMARY V` - AMT QTY ' - AMT MTV . AMT QTY ISSUE FEE\--_\\ .$23.50 .Laundry Tub/Washer $0.00. ' 0 ',.-r-,:Is-. Sump Pump • - $0.00 0 Backflow irrigation $0.00 - 0 .. Landscape Irrigation $0.00 0 Swimming Pool , ;$0.00 0 Backflow Preventer, $0.00 v-0 "P-Trap -. $0.00 0 Trap Primer ' $0.00 0 Bathtub v $0.00 0 - - Pressure Regulator $0.00 0 - Urinal - / $0.00 0 Clarifier System ,\N-\ $0.00- ' 0- - Process Piping(per 10 ft)- $0.00 -0 - Vacuum Brkr Bkflow(1-4) $0.00 0 Connect(Ice,Soda,etc)' ' $0.00 - 0 -Receptors' ' - .$0:00 " O. • Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units \ $0.00'-. '0 , -/- Septic Tank _ $0.00. 0 -� �Wash Basin / $0.00 0 Dishwasher N$0.00', 0 - :Sewer Cap for Demo $0.00 - 0 S ' 'Wash Basin et $0.00 0 Drain,Floor $0.00 .. 0 Sewer Connect -, "$0.00 0 Waste and Vent System $0.00 0 Drain, Rainwater $0.00�- 0• ` Sewer Private Line ' . - $24.65 _-'1 . ' - Water Closet(Toilet) $0.00 0 Drain, Roof $0.00 '0, -.Shower - y' ' $0.00 0 - N - Water Heater/vent $0.00 0 Drinking Fountain $0.00 0 -� _ - Sink;bar $0.00 - 0,%1 `-- ----Water Piping(Inst or Rep.) $0.00 , 0 Expansion Tank $0.00 0 --Sink,commercial - , ;50.00 0 - Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink,Floor ----- - - - - S0.00 0 Water Service $0.00 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)754-5626 2448.48(8/ ) F DECLARATIONS WORKERS'COMPENSATION DECLARATION: Y I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to sett-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. ❑ 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. Policy Number: (This section need not be completed if the pemm/t Is valued at one hundred dollars($100)or less.) I 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 Ifo a,a gree that I I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these p Applicant Signature: .4/ Date: �' 7 C Z WARNING:FAILURE TO SECURE W RS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOUARE($100.0066, ADOmON TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license Is in full force end effect.IJc.a Class It Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I 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 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 i9 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 be 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 properly 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.). ' ❑ 1,as owner of the proderty.em 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.). • I am exempt uny. ' .'( � Business and Professions Code for this reason: Sig ature: /✓//��Qd--//@@�4� ..�`.. / Expires: '/O—Z-c'� Verification of Ownership by(type of daaJnebi•I.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation live(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,fatsework,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 permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: I 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 materiel? 0 Yes 0 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? 0 Yes 0 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 D❑oeYs or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? es 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? 0 Yes 0 No pant._equire for h construction 5 Does or will theoast Air or present a emefuturn buildingsoccupant at other atog work which the or age of this ID a0 Nnit for such or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? application Yes LI 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 0 No (If yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). __...._._..._......_. Alr 7 If a permit from the South Coast Air prescribed edManagement District or other airpollution control district3 or agency H 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? 0 Yes 0 No 8 (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 at 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 for insztion purposes.I agree not to occupy or allow occupancy of any building authorized by this permit untiyl,f�/inga•l inspection: /`1 .� MI/- n 03 Signature Of Legal Owner(s) Date And/Or Authorized Applicant Date BODE I, INSPECTION TYPE • PATE BRIDALS CODE I ItISPEC110N TYPE PATE PALS 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 158 CECIL PLCITY OF COSTA MESA — BUILDING PERMIT PERM NO. D 063981 PROJECT ADDRESS: RENCK DONALD J UNIT' I OWNER'S NAME: 158 CECIL PL PERMIT NO: B 063989 PLAN CHECK NO: N GOVT. N SUPP. N J ' a99REss: COSTA MESA,CA 92627 _ CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ALT I. 1 •• JOB DESCRIPTION : REROOF W/ASPHALT SHINGLES SQ FT: 700 ARCH/ENGINEER: REG.NO.: ADDRESS: UNIT: CLAIM VALUE: 700. 00 CALC—VALUE: 700.00 GR OCC: R— DONALD RENCK (714 ) 646-8493 PERMITTEE: 158 CECIL PL COMMENTS: REROOF 700SF BACK UNIT W/ASPH SHING, ACTUAL ADDRES 158-1 /2 CECI ADDRESS: COSTA MESA CA 92627 **********************************************fl***$*****4 4JEr *********r **** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONINGS ER TEBQA C I KR SEM ENT S 7000)of Oivision 3 of the Business and Professions Code.and my license is in full force and effect. ,1 CITYLIC.: STATELIC.: CLASS: MAIN BUILDING ACCESSORY BUILDING Date: Signature: FRNT: FT IN REAR:"- FT IN FRNT: FT IN REAR: FT IN WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN Compensation Insurance,or a certified copy thereof(Section 3800.Lab.C). POLICY NO.: EXP.DATE: PARKING REQ: PROV: PARCEL: 42606322 ZNE: REF NO: COMPANY: PLANNING NOTES> Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. > Date: Applicant D E V E L P M E N T SERVICES REQUIREMENTS/; EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (Tis section need ret be completed if the pant is fa one hundred(5100)or less). - I certify that in the performance of the work for which this permit is issued.I shag not employ any person in any manner so as to become ZONING APPROVED BY DATE: _ ) subject to the Workers'Compensation Laws of California. .�j •• �.� `'/a"-9!3 signature: 49; 6.r..�tt BUILDING APPROVED BY : DATE: r_ •'S Date: { NOTICE.II.alter making this declaration,you should becom object o the Workers'Compensation provisions of the Labor p r Q Code.you must forthwith comply with such provisions ort permit shall be deemed revoked. APPLICATION ISSUED BY: DATE: "= -h 1 I 1 3 CONSTRUCTION LENDING AGENCY: I hereby allirm that there is a construction lending agency for the performance of the work for ******************************* **************************** * * *Kitt. which thispermd is issued(Section 3097.Cm.Q. *********************************************************************.********** LENDER: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y ADDRESS: •.T r .4. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RESN GRADING OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason PERMIT 19 .00 , (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alterimprove.demolish,or 50 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed SMIP/NON' , RES', pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by ISSUE FEE any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID A DUE I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the TOTALS----> 19 . 50 0 .00 0 .00 19 . 50 19 . 50 ° . 00 ❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law does not apply to an owner al a property who builds or improves thereon,and who does such work himself/herself or through REVENUE DIVISION TOTALS--> COLLECTED: 19 . 50 OVER/SHORT: 00 • his or her own employees.provided that such improvements are not intended or offered for sale.Il.however the building or / improvement is sold within one year 01 completion.the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK for the purpose of sale). 19 .00 . 50 I.as owner of the property,am enclusive(vy contracting with licensed contractors to construct the project(Section 7044.Business ❑ and Professions Code: The Contractor State License Law does not apply to an owner of property who builds or improves thereon ******************************************************************************* and who contracts for such projects J*'th a contractors)license pursuant to the Contractors'State License Law).I am aware I ND I V ID UAL F EE B R EAK DOW N X that proof of their Worker's envIPP75O07 ir15urance should be provided to me. ❑ I am exempt under SAtitCFBYVOWNE P.D. TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST for this reason: ,,.9 Date:-7 1c" qi owner: 4399 �/JP(vG L SFR 700 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 700.00 I do hereby certify that I am aware of and understand the requirements of Californi ealthnd Safety Code Sections 25505,25533.and r, END OF EES 25534 and that I or any future building occupant will/will not(circle one)need to comply with said stale codes and the requirements for a t. permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from v. these provisions. EXPIRED (late: Applicant: Irlcomp}�te Inspectwne I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county YJ� ordinances and stale laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned _ property for inspection purposes. 9 0110 ���C_� 01 00146972-00146973 T 5]T 19.50 Date: q-ii-9 / ��� ! DATE: 09/15/93 TIME: 11:37 Driver's License or Social Security e: 5: 1 164146 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue;Goldenrod—Assessor J • J -` • O CONSTRUCTION AND PLANNING P t. '' SPA . . A$PROVALS Permit Date Inspector APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Locat:on - 2.0Soil Pipe-Unddrgrnd. 53. Steel Reinforcement I -S-4. 1llectnral Couc4aialtI lily-Undrgrnd. i, 54. Forms IC.;'Q.*lectrieal Cosign :Undrg•nd. I 55. Electrical Bonding ri c -3 t nr;�'. tee' Reinfo{ .tit 56. Rough Plumbing& Pressure • <°1i t I c i_ �7 1u riG- i _. t- "�6.. lectricv UFS`.Ae•rd. 57. APPROVAL TO COVER-Grf(1TE I p 1-3.x:,.C+ • p'-' _ - •_..:.•-- --____I--________.{6_- ,31 .jFootings c-ic 58. Electrical Conduit•Urdrgrrd. to +__i .p8. Foundation _7 59. Gas Pipu, 0 Undrgrrd.,Test •'' I 'mss 9. Water Pipe-Undrgrnd. 'r I 60. Backwash Lines, P-Trcp, Undrgtnd 10. Structurtl Floor System -' - 61. APPROVAL TO DECK • + , _ 11:-Property Sewer Elite & House Connection 62. Backwash & Receptor•Finel ` j 12 $ewer Cap •cu S. _t 13. Roof Drains r0 64. Plumbing System - Final - I I i Rough Plum-------741_4. " 65. Electrical-Final • 4 15 Rough Electrical-Conduit 66. Solar System•Final - ' I _16. Rough Elect;ftc Wiring 67. Fencing & Access Anproval o a} 17. Rough Wiriru,Sign 68. APPROVED FOR PLASTERING - I 18. Rough ElectAtal-T Bar Ceil.ng 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 9+-i -firtl-t' i ?-1 r_ -, a51• - "1 7' 7• -i^.1 i-• QJ r 's ,h d0. FiRuc-. •.m 'C gOFaor fireplace : *'a .i rr, APR+UOW1 PP0 Rttmit,:- >•- X S. C w Stn ,:.S` s i-u e 7 'F CJ w•..1'.. -ii ;> A ^• I k~ r En-- : -, •� i^_., `• - z '7•' -'ITS-`. 0-1 it. Ljuctsc n ttcuciji:e .. .. �c r S (•y .•,z c -. 70r4.1nde,jwand Ft1dro }- 22. tt:ei Cita ,i :S ` y* * c--3 71. ProdtM€ 'i)7ing 'Gas 1r7 Oil �,,. Ctiis Pe.fgughl. Test mS ; T 04 W •-•.• 72. Undergognd k.1ie-Ah.. a r.. t_ 2.0. Ft'ilof eicanv•.ng roti a ti f Underg i d.St s a .' Gas ..A7 r .0 r n1 .- 0 Q:". r S Y r-.;-,G F 25. f of tcathin ¢ v v. D 3 xi.r I 7 .-.Overhead HVdo r ae. Ttn3ar Ceiling (Structural) S-Wenocoet co CS ?t t ;ay Dry Chemical '7 a ri CI 3:: I ` I- _.._.._ r c j 1 rl i a T _E-4...O.__A___-.CI.-_.__-- _ 111 1 Om * t I I. s A-.J n7 O •• . Jt w i -__- I . Fran. -Ind Fla EaiR .„ �t a; ,.,}9 pGQ - ., )4 ins t- i6. Dry Stc2 Ioef,t * 1 , til it)! "'MtJ .•,.T- .- --C`•"! + r?-tti --Ct - a i- 28. Lath,a.r d trg4 rn •^:GZ c •. Z ••• •11 ••.I' t• A. FIXEL7iNSTV�F INAL rt Cr' --- 1 pp I 29. Insula'. 0 r1 t C. v •. .. 7 . .71 I-_Iy- : ;r 71 .I ; -C---� tr.on , t,,. 5 ., • I 1�, . 7A. FIRE PREY. Filth t a; > i , t ---- y-rT---� 30. Drywall Ntphn3:•t .J I 7r k j •--tHEALT 9 DE:#l�.-v4EGUI2E". ENT .# ru _ _i I• Y c•_ rail-._:�._ .:__ __ _C-__-.� -4 • 31. Plast ` 81- r: a4t5 t ' n. FINAL.'^ 1,,_jPECYON n - -. - -II ' tr,4 1.--1* - 1 r-•r. - F I 32, Electatai f-tw4rrpldter Finul s Ctt 1 r t CuI Bir. FOOD CERTIFICATE ISSUED ' �' "J : t-1-4-cu-1- ♦ i �' 4--=: ---__o__- _ 4-'4 _D___ ._ _, ,"�. F^"al7iectkic 's r I In i M rtes: a, hi * 1 t.-_- a. t E= i s rr: I 4 - is X. CY ^.] '_7:1 r. '_• ,'7 :II[d .1 y IT) --„- d; Co.if r �TrtA-ZS- r ^s�'H V`._ _-:rT1-!-• -Tr • T. Pi 1A Fab*Iciica`7i9 lt1/sir Ce•nd':'6S9 It * CR tlS 4 S r-17 y ,5. FlthaI-iosPlpexti t to 1 xr n ms + ^ k -- i •--rt;t- t^ - + ,, , z, IKX i1-� •-rT-1-r.1 .______'�_'_ r - �cd-yr Canatt;. 7 i [^y n a t Zi - no t C 11 ---ctt r , .p1_.e1 I e -`73 ..ry . r_--I mi --- -- 3 '. 7a1W..actory ;`i.� ir-. ! Lk u i�: r .] -38. al Plumbing •, �:J 1 w r I it a `•'s -1 t a: 0 v. 1 1.4 x Y' r:j - 7, n_ r'y 39. i'SS'ter Service-Fritz ! ;^ y + ' n ".•1 :;L) 40. Gas Serv!c"F!r0,-,'' m I ,r; k r O0, ,,:�; a d T[" 5 1 41. Solar Donfestic-Fins '• O i ; ' ',•'t' t -> , r rrl • I I n :0 , PI o ri 43". Backflow PrevE6itir Uikj I Ip # S • .. G .-t 43. Backflow hvigN6n5S a r4 .r G ._ -• J. 44. Landt;ap: rrigatr<on System-trio z: ;v a 0 r * c; 1t X • n: o 3.47 e. 3�tc--fli- Z•F _ `• X. r, i •_ E-i -_ _-___ --i 77 49. Sound iAt",E'nuati n !-itic-. - Z :•I E-+: t .-i a' •S y - -- 4; Handtca ti's ulaxons :U . •. .. - . y-4 x�./a� • Hiti�-�- ,f in i 4rt. .T. FRNAL STA UCTeJRE & EtjILDING # , Inco.np�YO'�I rHR-1 7,1 Y r tQl FThAL PL_%Nf F4G 1 �,;.... ti S * F :4 " !i- Lfrit" I I/1 o.I$ /-t7. • I . ` ' 49. Ftict1-- Rokas•1r Edison i I I It* a c •n r 7 0 I 1r x r t t I r * , g OS ry I 50, GA? klicase to So;them C;l lsfvcnia Gat o# I i 0 i E- -1 J 1 0 tr1 # i • -y). 51. CERTIFICATE O'F OCCUPANCY t .4 + > n :+: F+ C. 0 I No. ' Date PROJECT ADDRESS: 158 CECIL PL . UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 063872 DyNER'S NAME: RENCK DONALD J' ' ADDRESS: 158 CECIL PL PERMIT NO: B 063872 PLAN CHECK NO: N GOVT: N SUPP; N '...1 COSTA MESA, CA 92627 • CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ALT / ARCHIENGINEER: REG.ND.: JOB DESCRIPTION : T/O EXIT. ROCK ROOR AND REROOF SQ FT; 1 , 580 ADDRESS: UNIT: CLAIM VALUE: 1 , 700. 00 CALC—VALUE: 1 , 580 . 00 GROUP OCC: R-3 / PERmITTEE: DONALD RENCK ( 714 )646-8493 ADDRESS: 158 CECIL PL COMMENTS: REROOF 1580SF AT FRONT HOUSE W/FIBER GLASS ASPH. SHING COSTA MESA CA 92627 �rerSP� ****4***BrSr�r�Eee�r**�E�E�P�P*�P�E�P�P�E�E�F�F�r�E�E�E�E�E*BL*********oriter*�E+t�Ex********BE************ LICENSED CONTRACTOR DECLARATION: I hereby aflirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 7000)01 Division 3 of the Business and Professions Code.and my license is in full force and ellect. SETBACKS CITY LIC.: STATE LIC.: CLASS: Date: signature: MAIN BUILDING ACCESSORY BUILDING YFRNT: IN REAR: FT IN FRNT: FT IN RE : FT IN WORKERS'COMPENSATION DECLARATION: Ihereby affirmthat Ihave acertificate olconsent toself-insure or a certilicate of Workers' LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN Compensation Insurance.or a certified copy thereof(Section 3800,Lab.C). POLICY NO.: EXP.DATE: COMPANY: PARKING REQ: PROV: PARCEL: 42606322 ZNE: REF NO: ❑ Certified copy is hereby furnished. 0 Certified copy is Med with the city Building Division. PLANNING NOTES> —! > ___ Date: Applicant: ******************************************9*********************************** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the penal 0 for one hundred(5100)or less). DEVELOPMENT S E R V I �E—S REQUIREMENTS I certify that in the perlorrnance 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 Signature- Ow‘watt ,�1 ZONING APPROVED BY c!— DATE: Date: a/_ s- 91 Signature: ,6`/ NOTICE:II.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. - CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: _ / DATE; which this permit is issued(Section 3097.Civ.C). *********************** **************************************** �++* **** LENDER: ******************************************************************************* ADDRESS: LEGALIZATION:N F E E S U M MA R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE Iv S1IP/RES GRADING OWNER BUILDER DECLARATION: hereby affirm that am exempt from the Contractors'State License Law for the dfollowingreason (Section 7031.5 Business andtoProfessional Code: My city of county which requires a permit to construct,alter.improve,demolish,or PERMIT 37. 00 ,50 repair any structure.prior to its issuance.also requires the applicant for such permit to life a signed statement that he/she is licensed — pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 301 the Business ( SM I P/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN ,' 1 any applicant tot a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE —, I. as owner of the property of my employees with wages as their sole compensation, wit) do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL r : PAID PAID DUE ❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS————> 37. 50 0. 0 0 0 . 00 3 7 . 5 0 /'3 7. 5 0 . 00 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 completion,the owner wig have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS TOTALS--> COLLECTED: 37 . 50 OVER/SHORT• . 00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 37. 00 . 5 0: 0) ' ❑ and Professions Code: The Contractors'State License Law does apply to an owner of properlywho budds or improves thereon r i and who contracts for such projects with a contractor(s)license pursuant to the Contractors'rs's Slate License Law).l am aware ***********************************************************-**** **************** that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E B R E A K D O' W'N KI lam exempt under Section:B P70 4 4 B.A P.C. ' fur this ALLBY OWNER Owner: A/ i �j TYPE QTY DESCRIPTION �'� T� �ECTI�R L COST _�) Date:_ q/ thing 3Mi</1� 3SFR 1580 REROOF B VALUE RESIDENTIAL NOZONE , 5E0 . 00 / I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and 55 '� END OF FEES 25534 and that I or any future building occupant wiNwiu not(circle one)need to comply with said state codes and the requirements for a + t permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from these provisions. EXPIRED CALL Incomplete Inspections, SMOKE DETE 75,4 5626 Dale: Applicant: /a- 1,014 ///��� i__ I hereby teddy that I have read this application and state that the above information is correct.I agree to comply with all city and county 1 a- w 1 �'I �� �� Cor ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned Date1 _ REQUIRED property for inspection purposes. G► /� �n4/�,��/,/�I {�/J/�,t,,,/,A/(^/ 01 00)4._7.:>5'.4'36t7559 TOT 37.50 �1 Date' 1^ ��13 Signature: 'Y w�„"_- ""' "frog • � r fsATct fe/no/c' TTMC• 1r•'T4 . / Driver's License or Social Security a: 1641.46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor I CONSTRU+ION AND PLANNING - POC._ . SPA I ?APPROVALS Permit# Date Inspector APPROVALS Permit i Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location _ . i 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement 3. Electrical Conduit Utdity•Undrgrnd. 54. Forms I 4. Electrical Conduit-Urdrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test I 6. Electrical UF ER Grnd 57. APPROVAL TO COVER-GU'!ITE I I 7. footings 58. Electrical Corduit-Undrgrnd. , 8, Foundation 59. Gas Pipe, U Undrgrnd..Test 1 - 9. Water Pipe-Undrgrnd. 60. Backwash L"es, P.Trap, U Undrgrnd i - - i 10. Structural Floor System 61. APPROVAL TO DECK I 11. Property Sewer Line & House Connection 62. Backwash & Receptor•Final 1 i • 12. Sewer Cap 63. Heater & Vent-Fina' I 13. Roof Drains -- -�� G4. Plumbing System - F�^.:I 1 14. Rough Plumbing • . • 65. Electrical-Final - 15. Rough Electrical•Conduit 66. Solar System Final I - • 16. Rough E!ectric Wiring 67. Fencing & Access Approval I 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING I 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL ; --i- 19. Rough Heating& Air Co-d,t on,rg FIRE DEPT. REQUIREMENT 20. Rough Factory Fi}Cplace • , . .1 APPROVALS .. Permit n ' j I 21. Ducts,in StructureI 70. Undergtbund Hyl,,r, I. 22. Ducts, Ventilatin - t 9 • t ,' , i 71. Producj P:pi�j,g 'iG!+s _l0il ; __--- 23. Gas Pipe-Rough& Test i . • � 72, Underground F;ash I . 24.'Roof Frami g 3 73.'Undcrgrny.Sln zl;T./TA (n Gas ca/, f 25. Roof Sheathing - -71., O'.crhead Hydro i 26. T-Bar Ceiling (StructuralI & f{onoco.it • I 75. DrY Chemical 27. Frame and Flashing ,. 76. Dry Standp'pe - • ~ _ 28. Lathing& Siding - . '• "I ! 77. FIXED SYSTE:Y INAL ' 29. Insulation - ---1 78, FIRE PREY. FINAL I "30. Drywall Nailing : HEALTH DEPT. REQUIREMENT -- 31. Plaster Brown Coat. ; -- r 79. FINAL INSPECTION-- iz - _ ' � �-+- - -- - - - i -- 32: Electrical Power Meter Fera, s ___ 80.• FOOD CLRTIElCATE ISSUED __ '• 33. Final Electric ..r , ,r. I Notes: •1/4_` 34. Final Heating.&Air Cond tiomng . I • _ ' s 35, Final Gas Pipe.Test '' � J R _ - '" --_ - - 1..: ` P teteFl;1s - - - : -r• - { .36. Hood or Canopy- • i r J i r37.,Final Factory Fireplace ; G ' i , -- ---- Y ���"'444 38. Final Plumbing _ 1 +. L _ 39. Water Service-Final ' - j .40. Gas Service-.Final- I 41. Solar Domestic-Final ' r,.Y. ' 1 42, Backflow Preventer I i i+.- 43. Backflow Irrigation --_ ' t.-C3_6/- __ ® G L' •cot- , 44. Landscape Irrigation System _ - • S0 I 4-. -: '45. Sound Attenuation . %T.', ; 0 •O 11 +_fir-.i--_/ r..-f_ 46. Handicap Regulations • I - v F I --- --_. . 7 47. FINAL STRUCTURE & BUILDING . I- 48. FINAL PLANNING ". I i r 7 0c, - • _.• 49. Electric Release to EdisonI __ __ , 50, Gas Release to Southern California Gas Co I �1.1 51. CERTIFICATE OF OCCUPANCY . No. Data ORANGE COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT 636 North FO ',•. _ B l> I L D I N a (V= • to SANTA ANAA,, CALIFORNIA • - FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY ��� CeCI �' RECEIPT NO. PERMIT NO. BUILDING ADDRESS is---0 /�- ( L//7 %q SCHOOL DIST. Costa YAA e ca' RECEIVED BY �D(AATERREC'lO. -Vet ISSUED`C OR TOWN Q I I I` j{' I� CROSSSST. C&c I I q EL'In EN L w ' �^�-/fvr� `� ^"9 'J OWNER M/ iLro 4, 1 d./�Pelee.A,4-a NG ADDRESS �d i ems ,% Ca ADDRESS 4 2S dick 0 SN Ro I) SCHOOL DIST.� S� ('�/�)n `/}/ ^/ `/']p OR TOWN Co�0Ka e,1 'r a k TEL.23 O CITY NO. CROSS STT. ..S.e.....0a0 ARCHITECT OR No /yh NO. ZO � I NO. #- I TYPE I GROUP ENGINEER PLANSS (DRESS APPROVED Cia Z"--/9 b J 2 /��j LIC. Noh e BY DAT CONTRACTOR OWN,ER, LI D &N Rea CORRECTIONS ;r ADDRESS 4ZS Go f. LEGALLOT DESCRIPTION I NO. BLOCK - I T ACT LEA /iGiC�rf/�JT (ATTACH METES 8 BOUNDS) !J SIZE OF LOT 40 x /40• I NOW ON LOTNO.OF S Gam• USE OF 0^V_66♦ I NO. OF / I NO. OFA EXISTING BLDG. Gov fi�r.,.. FAMILIES ROOMS �I - SETBACK LINE FROM: 1' �X' REAR YARD Z -w CENTER OF STREET 1YYWWL.. ' SIDE YARD a Ir `" DESCRIPTION OF WORK NEW I X q. ALTERATION I I ADDITION I IZ IREPAIR I OVING I I DEMOLISH I r S ZEDING CSO . ROOMS 3 STORIESRI ' al'. '`(TERIDR WALL vl llTu4, COI )VERING COVERING S hec 6L W 141 ...SEOF NEW �u/��i�6T- aryal�;; BUILDING �}-'�'� �� � APP OVALS FOUNDATION: LOCATION t NSPECTOR DATE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS FORMS. MATERIALS, 1 •/ 0 9 e� APPLICATION AND STATE THAT THE ABOVE IS CORRECT UNDERPINNING v- —y1 c_`T 3 AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FRAME:BRACIING RE STOPS. pH° J2�`_�AND STATE LAWS REGULATING BUILDING CONSTRUCTION. �/� /� /^/ LATH. INT. SIGNATURE OF / //lA 1' . ��/ Y. A__ . LATH. EXT. 0 /2 - i -c �S PERM ITTEF / / r al ...CCC///Ill rrrCCG✓✓✓v)rrr/// • PLASTER. INT. AUTHORIZED ACT. PLASTER, EXT. PERMIT FEE 5 r MASONRY REINFORCED /^� VALUATION $ 0 C PLAN CHECK S BOND BEAM r 90 D TOTAL -- ^ / ® a FEE 5l� FINAL 1A/6 (045-.S'-/ 1 - . 1i w 2 w J Z PAIS d a. . • • . • • • • STREET• •• •- • PLOT PLAN Show location and distances from property line and between buildings. • • %SE/, - Oic;lor 17; • /i ¢ -