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Home My WebLink About2440 BRITTANY WOODS LN - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Viciniry: Parcel Nunmber: P,pplicant. Address: ELECTRICAL PERMIT 2440 BRITTANY WOODS LN 43913214 HOWARD PHILLIPS "' Phone: 714-54G1653 Zip: Owner.; ' ALBANO, JAIME M Address , 2440 BRIT.fANY WOODS ", - � � Phone: COSTA MESA; CA � Zip: 92627 Contractor: DEPENDABLE GRAHAM AIR CONDITIONING - Address: 2952 CENTURY PL � • " , Phone: 714-546-1653 COSTA�MESA, CA � . Zip: 92626 � � ' License: 472690 SCOPE OF PERMIT INSTALL NEW A/C UNIT AND REPLACE EXISTING�FURNACE ELECTRICAL TO.INCLUDE: 1 MOTOR TO 1 HP ` ISSUED BY: Status: ISSUED Applied: 05/12I2004 Issued: 05/12/2004 ," - "- - : -FEE SUMMARY. ., - , Quantity � - , Quantity ISSUE FEE Temp service test ., Res: a/c package � New Res (1-2 units) � New Res (3+units) � Pool / Spa . -, Lighting FixLs �` Recept OuUefs -, sw�cone5 Non Res Appl � Res Appl Service to 200a �� Service to 1000a � Service over t000a � Motars to thp Motors to tOhp Motors to SOhp Motors l0 100hp Molors over t00hp Communication drops Sub panel to 200a $23.50 $0.00 ' $0.00 $0.00 0 �' $0.00 0 •� '�A�$0.00 0 .. ` � � $0.00 . 0 . � $0.00' �- •"0 - So.00 0 .� $0.00 � - � 0 � � � $0.00 . 0 ' $0.00 �� 0 - � �- $0.00 0 � .�. $0.00 � .p - - .. -- � $4J5 � ' 1 - , ' . �. �'$0.00 �-_ p, �. $0.00 � � 0 � - � $0.00 '' o� - - $0.00 � 0 -� . - ao.00 o � 30.00 0 Temp Disf System / Lighting Busway /100 h . Standing Section ^Misc Electncal Equipment Transformers up to 1 kva/kw ...............:up to 10 kva/kw .................uP to 50�kva/kw �; . .:...............up to 100 kva/kw ..................over 100 kva/kw � Low Voltage Equipment , Low Volt Wiring System I Ckt ' Misc.'Contluit � . � Misc. Conductor � � - �Ciras ( gen or ride) � Circus (mech ride or lights) Christmas Tree Stand , .Fireworks Stand - ��Other Electncal Fee � Investigation Fee-�' Plan Check Fee $0.00 0 ' $0.00 0 $0.00 0 $0.00 0 $0.00 . 0 $0.00 '. 0 $0.00 0 so.00 0 $0.00 0 $0.00 " 0 $0.00 0 � $0.00 i 0 $0.00- � 0 �, $0.00 ��=0' $0.00 �'0 $0.00 0 $0.00 0 $0.00 so.00 $0.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become voitl if work is not commenced within 180 days, or if work is suspended or ebandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2666d6 (N00) , WORKERS'COMPENSAnON DECLARAnON: ' � I hereby a�rm untler penalty oi perjury one oi ihe tollowing declarations: ❑ I have and will maintain e ceNficate of consent to self-Insure for workeB' compensatlon, es proNdad far by seciion 3700 of the Lebor Cotle, br Ihe pedormance of Ihe wark tor w�ich this permli Is issuetl. � I have antl will maintain workers' compensetion insuranca, es required by secllon 3700 oi the lahor CoOe, for t�e peAoimence oi the woAc for which this pertnit is Issued. My work/ers' campensallon Inssu're�nc�e wrrier entl policy number ere: -Z� � 1 Carrier. J i%�� /��1� r� POIIcyNumher ��^ J (lhis secfion need no( be complefed il fbe pe�mit 75 ve/ued at one hundred tlollars ($100) or /ess.J ❑ I certity Ihat in the pedormence i the wark tor which Ihis pertnit is issued, I shall not employ eny person in eny menner so as to become suC�ect to Ihe workers' compensation laws ol Celifom' , and epree t t II I sM d become suh�ect to Ihe workers' compensation provisions ol Section 3700 01 Ihe Lebor Code, I shall fonhwlth comply with these provision5 C/ ApplicantSigneture: �� Dete: � lZ—L / WMNING: FAILURE TO SECURE WOfiKERS' COMPENSATION COVEMOE IS UNUWFUL AND SWLLL SUBIECT AN EMPLOVER TO CHIMINAL PENALTIES rWD GVIL FlNES UP TOIXJE HUNDRED THOUSAND DOLLFRE (5100,000). IN ADDITION TO THE COST OF COMPENSATION, OAMAGES AS PROVIDED FOR IN SECfION 3]OB OF THE LPBOR CODE, IMEREST, MID ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirtn that I am torce ene ettecL Llc. a Cantractofs Signature: � with Sectlon 7000) ol Dlvislon 3 at the Business entl Professions COGe, and my license is in tull _ Clau a � 20 _ Dere: � /Z"'�+t.// E CONSTRUC710N LENDING AGENCY: ❑ I �ereby eHirtn ihat there Is e constructlon lending egency lor Ihe peAormance of ihe work lor which this permit is issued. (Sec. 3097, Civil Cotle). Lenders Neme: Lentlets Atltlress: Signeture: Date: OWNEq-BUILDER DECLARATIONS: I hereby eflirm Ihe� untler Denelty of per�ury thet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW lor iha tollowing reason (Sec. 7031.5, Buslneu entl Protesslons Code: Any ciry or counry which requires e pertnit to consiruct, elter, improve, tlemolish, or re0alr eny structure, prlor to its iuuence, also requires the epplicant tor such pertnit to flle e signed stetement thet he or she Is Ilcensetl pursuent ta tha provisions ol the Contractors Llcense Lew (Chepter 9(commencing with Section 7000) af Dlvislon 3 oi the Business end Professlons Coae) or thet he or she is exempt therefrom end the basis for iho alleped exemption. Any violetlon of Section 7031.5 by eny applicent for e permlt subjects ihe applicent co a civll penalty of not more ihan ilve hundred dollers ($500).): ❑ I, es owner ol the propeny, or my employees with weges es thelr sole compensatlon, WILL 00 THE WORK, end the structure Is not Intended or ottered for sale (Sec. 7044, Business and Professlons Cade: The Coniractors Licensa Law does not apply to en owner of propeny who 6uilds or Improves thereon, antl who does such work himself or herself or through his or her own employees, provitled that such Improvemenis ere not Intentletl or oHered for sale. It, however, the building or improvement Is sold within one year of completion, the owner-bullder will have the burden ol proving thet he or she did not build or Improve for purpose of sale.). � ❑ I, as owner ot ihe property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consirutt the pro�ect (Sec. 7044, Business antl Pmfesslons Cotle: The conirectors Llcense lew tloes not epply to en owner of propetly who 6ullds or impmves thereon, end who contracts for such project wit� e cantrector(s) license Dursuent to the Contractors License Lews.). ❑ I em e:empt under sac. Business and Professions Cotle for this reason: Signeture: Date: Owner ID verified by tlrivers Ilcense. ❑ Ves ❑ No Drivers License No. Expires: Venticetion of Ownershlp Dy (type of dxument, i.e. - properry tax blll or deed): DIVISION OF INDUS7RIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certily that na excevetion tive (5) or more fee� in depih Into which e person is requiretl to tlescentl, wlll be made In connec�lon wllh work euthorized by Ihis permit, and thet no building simcNre, swHolding, felsework, or demolition or dismentling �hereot, will be more �han thirty-slx (36) leet high. (Chap. 32, Grp 2, Ari 2, Sec. 341, Title B, Califomle Administrative Cotle). ❑ As owner-builder, I will not employ enyone to tlo work which wauld require e pertnit fmm the Division af Industrial Sefery, as notetl ebove, unless such person has e permit to do such work trom the division. SlgnaNre: Date: Division of Intlustnal Sefary Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZATON OF EMRV: I certity under penelry of perjury Ihet I have reatl �his application end stata ihet ihe information given is correct. I egree to comply with ell state laws and ciry ordinences relating ro bullding constructlon, and euthodze representatives ot the Ciry ol Casta Mesa to enier upon the above-0escnbed property for ir}�pection purposes. I agleS�ot �o occupy or ellow occupancy oi eny building aut�orized by Ihis pertnit until final irepection. [+. R�'�C6i9td1[d 7�7�i 1616' Fixetl Syslem Finel Fire Preventlon 1266 Pool Spa Final � 200 Final Re-Root 201 Final BIaWRetaining Well 202 Final Fectory Fira Plece 203 Final Sign 204 Final Demolition �g �$ � ate � � � Date COOE� INSYECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Flnal Elecirical 212 Final Fire Preventian 220 Finel Planning Approval 222 Finel Site 250 FinalBuilding/Oaupency PAIE L�LS (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 MECHANICAL PERMIT Job Address: 2440 BRITTANY WOODS LN Suite No Vicinity: Parcel Number: 43913214 Appliwnt: HOWARD PHILLIPS Address: Phone: 774-546-1653 Zip: Owner: ALBANO, JAIME M' Address: 2440 BRITTANY WOODS � Phone: � - COSTA MESA, CA Zip: 92627 Contractor. DEPENDABLE GRAHAM AIR CONDITIONING Address: 2952 CENTURY PL - . COSTA MESA, CA � Fhone: 714-546-1653 � Zip: 92626 License: 472690 Status: ISSUED Applied: OS/12/2004 Issued: OS/12/2004 ISSUED BY: SCOPE OF PERMIT INSTALL NEW NC UNIT AND REPLACE EXISTING FURNACE � ..� -• -_ - ' . . . . MECHANICAL TO INCLUDE: 1 INST FAU < 100K BTU AND 1 COMPRESSOR UP TO 3 HP/100K BTU ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repai�l.Alt Cooling/Heat Inst / Rep. Recess Wall HU Re6ig Sys,<100 k BTU � � � Refig Sys >'100 k BTU � . Gas Piping � , , Factory Fireplace . Hood wlMech Exhausl VAV Box Vent Fan / Single Duct � Appliance � � Fire Dampers `- � ' Smoke Dampers � �� , Inst or Relocate Appl Vent Air Handlers < 10000cim Air Handlers > 10000dm Floor Fumace Floor or Suspend Heater FEE SUMMARY ' Quantity`' � ---�- -' - . - � Quantity $23.50 �� Repair / Alt Absorbtion Unit � 50.00 0 $14.80 1 Repair/AltRefrigeralionUnit � 50.00 0 $0.00 0 Ventillation System -� ,� $0.00 0 $0.00 0 Evaporative Cooler , ,50.00 0 $0.00 0 . Commercial Incinerator $0.00 0 $0.00 0 � -" �'Domesticlncinerator � $0.00 0 50.00 0 Compressors I Absomtion Systems " $0.00 0 - , ' . Up to 3 hp / 100 k BTU � ' � . $0.00 .$0.00 0 '. 3 To 15 hp / 500 k BTU - - $0.00 50.00 0 � � 15 To 30 hp / �,000 k BTU � 50.00 $0.00 0 � - 30 To 50 hp / 1,750 k BTU �. , $0.00 $0.00 0. � � Over 50 hp / Over 1,750 BTU � $0.00 $0.00 0 -- � Bailers ' � - � � � $0.00 . 0 - . . . - . Up to 3 hp- � - , : � �` � ,� . � ,$1470 30.00 �0 � _ 3To15hp . � � -= �,�� $0.00 $0.00 :0 . - " . 15 to 30 hp �, , , � � $0.00 $0.00 0 � �,' � � ' , � 30 t0 50 hp � � ` $D.00 $0.00 0 � . - , . Over 50 hp ��, ' , $0.00 $0.00- 0 ' , , Other Mechanical Fee - $0.00" 0 "� - � �� Investigation Fee �� $0.00 . _ ' � � . . , , Plan CheckFee - $0.00 - - Reinspection Fee $0.00 11 � � � u 1 0 0 0 0 NOTICE: The work authorized by this parmit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRA710N: 7his permit shall automatically expire and become void if work Is not commenced within 180 days, or it work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, end all � required Inspectiona and final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2d4646(&00) i WORKERS'COMPENSATON DECLARAnON: � ' I hereby eHirm under penelty oi perjury one of Ihe following declaratlons: ❑ I have end wlll mainteln a cerlificete of consent to selbinsure tor workers' compensetlon, es pmvitletl for �y seclion 3700 ot the LeDor Code, lor the pertormance of the work for which Ihis permit is issued. � I have antl wlll malntain vrorkers' compensation Insurance, es requlretl by sectlon 3700 of the Lebor Code, for Ihe peAortnanca oi the work for which Ihis Dertnit Is Issued. My workers' pensation Insurency6.Ge,rner end policy number ere: / Carrier. �� K/L�� Policy NumCer: (� �' NX, ?i (Tl�is sectfon need nof be complefed il the permlt /s velued et one hundred tlollers ($f 00) or /ess.) ' ' ' ❑ I certity Ihet in t�e pertormance the work for which th's permit Is Issued, I shall not employ eny person in any manner so es to 6ecome sub�ect to the workere' compensetlon laws oi Celifomi , end egree �4 t if I ild becoma sublect to ihe workers' compensation provisions ol Sectlon 3700 0l the Lebor Cotle, I shall forihwlth comply wit� these provlslon . ( , ✓ Appllcant Signature: Dete: S� 2�� / WARNINO: FAILURE TO SECURE W KERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHr1LL SUBJEGT AN EMPLOVER TO CHIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED TiKK1SAND WLLARE (5100,0OO�.IN ADDITION TO THE COST OF COMPENSATIIXJ, DAMAGES AS PROVIDED FOR IN SECiION 31O60F TME LABOR CODE, IMEREST, AND ATTORNEV'S FEES. LICENSEO CONTRACTORS DECLARATION: I hereby ettirm that I am licansetl nder pro�risions oi Chapter 9(wmmencing wit� Sectlon 7000) ot Division 3 01 ihe Business ar�Q Pr�. of�es� ns Code, end my license is in full torce antl eflect. Llc. a D Cless q C_ ContredolsSignewre: � i..i 6p,�a Data: •�-/2^O`� CONS7RUCTION LENDING AGENCY: ❑ I herehy aflirtn that there is e constructlon Iending agency tor the performance of Ihe work for whic� this pertnit is Issued. (Sec. 3097, Civil Code). Lender'S Neme: SigneturB: _ OWNER-BUILDER DECLARATIONS: Lentler's Adtlress: Data: I hereby afllrtn t�el under penelry ol perjury Ihal I em EXEMPT FROM TTiE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business and ProFessions Code: Any clry or counry whic� requlres e permit lo wnstmcL alter, Improve, demolish, or repeir eny slmcture, prior to its issuance, elso raquires lhe epplicanl tor such permit ro Ole e signed statement thet he or she Is Iicensed pursuent to the provlslons ot the Contrecbrs Ucense Lsw (Chapter B(commendng with Sectlon 7000) ot DiWsion 3 ot iha Business end Profeulons Cotle) or Ihat he or she Is exempt Iherefrom and Ihe basis for Iha ellaged e:emption. Any vloletion o1 Sectlon 7031.5 by eny epplicent for e pertnit subjects Ihe epplicent to e civil penelry of not more then five huntlretl tlollare ($500).): ❑ I, es owner ot the properry, or my employees with wages as their sole wmpensation, WILL DO THE WORK, antl the swcWre is no� Intended or otteretl tor sale (Sec. 7044, Business and Professions Code: The Contractors LJcense Lew does not eppty to an owner ot properry who builtls or Improves thereon, end who does such work hlmselt or herselt or through his or her own employees, provided that such improvemenis ere not Intended or oHered for sele. If, however, ihe building or improvement is sold within one year of comple�ion, the owner-builder will heve iha burden of proving thet he or she did not huild or improve for purpose of sele.). ' � I, es owner at the pmpeAy, am EXCLUSIVELV CONTRACTINO WITH LICENSED CONTRACTORS to wnswct the pmject (Sec. 7044, Business and Professims Cotle: The comractors License Law tloes not eppty to en owner of property who bulltls or imprwes thereon, entl who comrects tor such pro�ect with e contrador(s) licanse pureuent to the Comractors License Laws.). ❑ I em exempt untler sec. Busineu end Professions Code 1or ihis reason: SlgneWre: Date: Owner ID verifled by tlriver's Iicense. ❑ Yes ❑ No Driver5 License No. Verifiwtion of Ownerehip by (rype oi tlocumem, i.e. - property tax bill or tleetl): Expires� DIVISION OF INDUSTRIAL SAFETY VERMIT CER7IFICA710N: ❑ I hereby certlfy ihet no excevetion five (5) or more feet In depih into whlch e person is required to descend, will be made in connection with work authodzed by this permit, end thet no builtling strudure, scattolding, falsework, or demolillon or dismantling thereof, will be more than thlrty-slx (36) feet high. (C�ep. 32, Grp 2, Art 2, Sec. 341, T1tle B, Celibmie Atlministretive Code). ❑ As owner-bullder, I will not employ anyone to do work which would raqulre e permic from the Division ol Industriel Safety, es notetl above, unless such person hes a permit to tlo such work fmm the division. Signeture: Date: Divisian of Indusirial Safery Pefmit Number: CER7IFlCATE OF COMPLI CE AND Al7T}IORIZA710N OF ENTRY: I certify under penalry of perjury �hat I have reatl this application and state that the infortnation given is correct. I egree to comply ith all state lews and city ortlinances relating to bulltling conslrucilon, and euthodze rep�esentatives ot Ne Clry of Costa Mesa ro enter upon the ebove-described properry or inspection purposes. jqgree not to occupy or allow occupency ot eny building aut�odzed by this permit unfil linel inspection. COpE1, INSPECTIONTYPE 1618 Fixetl System Finel Fire Prevention 1266 Pool Spe Final 200 Finel Re-Foof 201 Flnal BIxWRetaining Wall 202 Final Fectory Fire Place 203 Finel Slgn 204 Finel Demolition QdIE It�d48 <- !Z- o y" oate cooe� iNsreenonnve 206 Final Mechanical 208 Final Plumbing 210 Final ElecMwl 212 Final Fire Preventlon 220 Final Planning Approval 222 Final Site 250 FlnalBuilding/Occupency / ,��L �— ^� ., (714) 754-5273 • Fa�c (714) 754-4856 CITY OF COSTA MESA � BI/ILDING DIYISION DEVELOPMENT SERVICES DEPARTMENT PERMIT BUILDING PERMIT .lob nddress: 2440 BRITfANY WOODS LN Suite: Vicinity: UNITS 2440 THRU 2444 Parcel Number: 43913214 Zoning: Appliwnt: COOTER, LYLE Address: 23015 DEL LqGO LAGUNA HILIS CA Owner: BRITTANY WOODS HOA Address 2440 BRITTANY WOODS Phone: (714)583-1858 Zip: 92653 Phone: (949) 583-1858 COSTA MESA, CA Zip: 92627 Contrador: PRO-TECN WEATHERPROOFING Address: 23075 DELLqGO Arch : Address: 2ip: LAGUNA HILLS CA Zip: 92653 Phone: License: Phone: (714)583-1858 License: 620476 Eng: Address: PERMIT NUMBER � I 699-01738 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 1012717999 Issued: 10/2711999 Phone: License: SCOPE OF PERMIT REROOF EXISTING 3-UNIT CONDOMINIUM BUILDING ( 41 SQ). REROOF OVER EXISTING LAYER OF SHAKES WITH "STONE-COATED STEEL METRO SHAKE" (ICBO #ER5218) - 1.4 LBS. SUBJECT TO PRE-ROOF INSPECTION. 3-UNIT CONDOMINIUM 8UILDING: INCLUbES UNITS 2440, 2442, & 2444 BRlTTANY WOODS LN. FEE SUMMARY Plan Check: $0.00 Permit: $195.25 SMIP Res: $1.10 SMIP Com: $0.00 Other. $0.00 Inspection: $0.00 Total: $196.35 SETBACKS MAIN STRUCTURE Front 0. 0 ACCESSORY Front 0. 0 PARKING Existinq: o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 PLANNING 8 ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0-0 Righl 0- 0 St t,000.00 87 �,000.00 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap eccess requirements under California statutes and related regulations. (Ord. No. 92•28, § 1, 12-21-g2) EXPIRATION: This permit shall eutomatically expire and become void if work is not commenced within 180 days, oi if work is suspended or abandoned for e period of 180 days. , • , INSPECTIONS: In orcler for the work euthorized under this permit to be considered legal, such work must comply with ell applicable codes, and all requlred Inapectione end Ilnal epproyel must be obtained. Failure to obtain inspections end tinal approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 754.5626 WORKERS' COMPENSATION DECI.ARATON: I hereby aflirtn untler penalry ot perjury one ot Ihe lollowing tleclarations: ❑ I heve and will maintain a certificate ot consent to self-Insure for workers' compensation, es provi�etl for by section 3700 of the Wbor Cotle, for the pertormance of tha work for which this permit is issued. � I hava and will. maintain workers' compensatlon insu2nce, as required by seMion 3700 ot the Labor Cotle, for ihe peAormance ot Ihe work for which Ihis pertnii Is issued. My workers' compensation In.srran�cp carrier and policy number are: %J Carrier. �JI L�C-J�--N � V Pollcy Numhec �FG� Oq L}6 S n% (This section need nof e completed i! (he permit Is ve/ued ef one huntlred Callers (5700) or less.) ❑ I certify that in the pertortnance f the work tor which thls permit is issuad, I shall not employ any person in any manner so as ro become subject to t�e workars' compensation laws of Califomia, nd agree that if 1 should becrome sub�ect b the workers' compensetion pravislons of Section 3700 of the Lebor Code, I shall fonhwith comply with t�ese pmvisions. �d �� / AppllcenlSignaWre: Date: � �� WARNING: FAILUFE TO SECURE WO ERS' COMPENSATION COVEPAGE IS IINLAWFUL AND $HALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVI INES UP TOONE HUNDRED THOUSAND DOLLARE (5100,000), IN ADDfiIIXJ TO THE COST OF COMPENSATION, OPM4GE5 AS PROVI�ED FOR IN SECTION 3]O60F THE LABOR CODE, INTEREST, AND ATiORNEY'S FEES. LICENSED CONTRACTORS DECLAFiATION: I hereby aHirm that I em licensetl undar provisii torce antl ettect. Lic. N� ContrectoYs Signature: Chapter 9(commancing wlth Section 7000) ol Division 3 ot ihe Business and Pmfesslons Code, entl my license Is In full Class x _ _ _ _ (� ?9 De�e: �_y Z CONSTRUCTION LEN�ING AGENCV: ❑ I here6y attirtn thet there is a conswction lending egency lor the peAormence of the work br which ihis permit is issuetl. (Sec. 3097, Cidl Code). Lenders Neme: Lendefs Address: Signature: Date: OWNER-BUILUER DECLARATIONS: I hereby ettirm ihat un0er penalry ot Derjury ihat I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for t�e following reason (Sec. 7031.5, Buslness and Pmtessions Code: Any city or county which requires a permit to construct, aiter, Improve, demolish, or repair eny structure, pnor to its issuance, also requires the applicant for such pertnit to tile a signed statemem that ha or she is licensetl pursuant to ihe pmvisions of Ihe Contractors License Law (C�apter 9(commencing with Section 7000) of Division 3 ot ihe Business and Professions Code) or that he or she is e:empt therefrom and the besis for ihe allaged ezemption. Any violation of Section 7037.5 by any applicant for a pertnit sub�ecis the applicant to e civil penalty of not more ihan five huntlretl tlollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole crompensetion, WILL DO THE WORK, and the structure is not intended or oRered lor sale (Sec. 7044, Business and Professions Code: The Contradors LitenSe Lew d085 not appty to an owner of property who builtls or improves thereon, end who tloes such work himselt or herself or through his or her own employees, providetl that such improvements are not intended or oRered foi sale. If, howaver, the bullding or imprevement is sold within one year of completion, Ihe owner-builder will heve �he burden of proving ihat he or she ditl not build or Improve for purpose of sale.). ❑ I, as owner oi the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the projec[ (Sec. 7044, Business antl Professions Cotle: The contrac;ors License Law does not appy to an owner of propeny who builds or improves t�ereon, and who crontracts tor such projaq with a coniractor(s) license pursuant b the Conirac�ors License Laws.). . ❑ I am exempt under sec. Business antl ProteSsions Code fOr Ihis reasan: Signe�ure: Date: Owner ID verified by tlriver's license. ❑ Ves ❑ No Drivefs License No. Expires: Verification o1 Ownership by (rype of dxument, i.e. - pmperty tax bill or tleetl): DIVISION OF INDUSTHIAL SAFETV PERMIT CERTIFICATION: ❑ 1 hereby cenlly lhet no excavatlon tive (5) or more teet in aepl� into which e person is requlretl to tlescentl, wlll be made in connectlon with work auihonzed by this permit, and Ihat no building structure, scaffoltling, talsework, or tlemolition or tlismantlinq t�ereof, wlll 6e more ihan Ihlrry-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Califamia Administrative Code). ❑ As owner-builder, I wlll not employ anyone to do work which would require a pertnit from iha Division of Intlustrial Safery, as notetl above, unless such person has a permii to do such work from the division. Signeture: Date: Dlvislon of Industnel Sefery Permit Number. CERTIFICA7E OP COMPLIANCE AND AUTHORVATION OF ENTRV: I certity under penalry of perjury that I have read this application and state ihat ihe intormation given is correcl. I agrea b comply with all stete laws and city ordinances relating Io builtling construc�ion, and authorize represantaWes ot Ihe Ciry of Costa Mesa to anter upon the e6ove-described propeny for inspection purposes. I a9ree not to occupy or allow occupancy of eny building euthorizetl by this permit until final inspection. Signamre OI Legal Owner(s) Datq' �/� /Q �1Q9 AnNOr liorized Applicent ate GOOE �. INSVECTIONTYiE 1676 Fixed System Final Fire Prevention 1266 200 201 202 203 Pool Spe Final Final Re-Rool Final Block/Reteining Well Final Fectory Fire Place Final Sign 204 Final Demolition 2646a6 D� INiIiIpLS • 6�51 � LODE� INSPELTIONTYVE 206 Finel Mechanical 20B Final Plumbing 210 Finel Electricel 212 Finel Fire Prevenlion 220 Final PlenninB Approval 222 Finel Site 250 Finel Builaing/Occupancy PSg INTITIA�S � .' ` ,' BLDG'# , ; 7 DEC —7-77rnteOO 375+� *** 197.�3 � j�; cnsn COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 F � a Q rhi H 2 E� C F a G .d a > � � a w o. � G. z{� S 3 For Applicant to Fill in Completely - Use Ink Only ADDRES�C77�d I �L'Jy'Y1(J'LC7C(Ll/KLJL�uXJ� OWNER Mariners $dV1I1Q5 & Loan .�SSOC. MAIL ADDRESS 1515 Westcliff Dr. TEL. CITV Newport Beach No. 642-4000 CONSiRUCT10N BRANCH ADDRE55 AqCHITECT TEL. AR FNl]INFFR ROV Kiter NO_ � CONTFACTOR Woodtree Dev. Co. nooRess 1665 Placentia Ave. TEL. arv Costa Mesa No.646-1164 uc No. 336725 �ic�No.14664 SIZE lJdT1011S NO.OFBLDGS. OF LOT NOW ON LOT SeFarate permits are required for electric, plumbing and heating work. UILDING AND WOFK TO BE PERFORMED 1 finits — 3 = 1584 sa. ft. I hereby eeknowladBe that I have rb6d thi� epblleation antl rteta Mot the abova Information is eorrect and oprea to eomply with ell laws rapuletinp bulltlinp constructlon, antl I ahall not employ any parwn In violation ot Me workman's companmtion laws oi Me Steta ot Celifornle. I �eraby cenify i�at I am proparly IlcenseA as a contractor untlar Me Stete of California eualnev entl Profassions CoGa, Dlvislon 3, Chapier 9, end such Iicensas ere In iull force antl aftaet, or 1 am exampt f m the rovl�oa of ihe Smia o Celltornia Businaq entl Professi ns C Dlvis o�3, Chapte S10�oture of Parmlttee � •� Authorizatl Apent APPLICATION FOR STRUGTURAL PERMIT FECEIVED BV DATE FiECEIVEO D TE ISSUED �_/.�. 7! .�L I P�^^� G VARDSAPPROVED DISTANCE BET �/ / \ A �� S 'P GROUP V DATE J � USE OF NEw � BUILDING � �j/y� / VARDSAPPROVED ACCESSORV BUILDING FT. �/ F FT. � FT. `\ BEf. M1U11N & 1 ACCFSS BLDGS. �� APVROVED �J �v �/ . a:.,, _ �.� THE AMOUNTSHOWN UNDER VALUATION IS FOR TME VURPO6E OF ESTABLISHING A PERMIT FEE ONLY: VALUATION � PERMIT FEE E % PLAN CHECK S $ D�j ✓ J �� TAJ( E d lY�� TOTALPAID = � 3 n m i 0 �� M N`N m�w o� LL f U �w �� 7135 3/10/78 293000 TL, COSTA MESA BUILDINGSAFETY DEPARTMENT 7135 �iiuiin• 293o0�CKT0 P.O. BOX tY00 COSTA MESA, CALIFORNIA 94828 7 I 35 OD004451 BO � Q APPIlCA770N FOR SCRUCNRAL PERMIT For App6cent to F'�1 in Completely — Use Idc Ody qfiCE1VE0 BV DATE RECENED , BUIlDINO � ' - ADDRE55 � f ' """"""""""'—'� " PERMIT NO. OWNER A.F, NO. MAI L �� ADDRESS ADDHEBS TEL. TqpCT LOT BLOCK CITV NO. OOPbTRUCTION . _' LENDER BRANCM • OWNER ADDRESS f V E ARCHITECT 7EL. S � OR FIRH ADORESS 20NE P U APPROVED CONTRACTOR DATE ADDRESS TE� ZONE N0.0P USE OF NEW GTV NO. �� STATE CITY �AROSAVYROVBD VARDSAPPROVED LIC. NO. LIC. NO. MAIN BUILDINO NCCESSORY BUILDINO SIZE rp,ppg�p�, (FROMGISTNEET) OF LOT NOW ON lAT FT USE OF E%IS77N0 BLD6 Separate permiu are required for T electric, plumbing and heattng work. AR FT. � FT. USE OF BUILDINO AND WORK TO B8 GBFFORMED �� yyN � IN LO6S. ACC69. BLOG4 VA0. �F �47E ♦ C.U.P.t APPROVED Ai9fiOVED ' 1 �m�bY xknowl�Ep� that 1 Mw neC MI� applicatlon anA �Nt� � Mat M0 ebov� In}OrmetlOn b Comct ane eTM m tomply MM . m ell law� rpulnlnp bu�lA�ip w�swotlon, sntl 1 Mall rat anploy env M�n In vlolatlan of tne workmen'� eomp�notlon Im�n of � Ma Stet� ot CelHornla I n�raEY eMHY N�st I em propnlY IlunaO a a eormectw umla 8 ^ th� Smte of Calitwnla Bualnns end Protmbns Cotla, ON�don 3, TH@ AMOUNT BMOWN UNGBR VALUATION IS FOR jy ChaDSer 9. and tha[ �uc� Ilunm er� In }ull }orp uW a/fxt, o� 1 TNfi PUqP06H OP E9TABLISMtNO A GERMR FEE ONLY: m em �aempt from Ma Drw�+�on� e1 M�Sam ot GIHo�nis Busln�w yp��UAT10N PEpM1T FEH ! � end Proteaslons CoC�, Ohl�lon 3, CMOu� 8• ^ SlOnatun of PLAN CMHCK • a Pomhae 9 ,/� � TA% • LL /y f u AuMorl:w Apsnt � TOTAI PAIO i