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Home My WebLink About469 ABBIE WAY - Building Permits., s i (714) 754-5273 • Fax (714) 754-4856 • www.c�.costa-mesa.cgpjILDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 469 ABB�E,� . R R � ' •� Status: ISSUED Suite: � Applied: 09/08/2004 Vicinity: Issued: 09/02/2005 Primary Occ: R3 Dwellings/ Cong Res <10 Type of Construclion: V-N Parcel Number: 11737224 Zoning: Applicant SUHLER, PAUL Address: 469 ABBIE WY Phone: 949-548-7021 ISSUED BY: COSTA MESA, CA , •,-„ �� , , Zlp: - 92627_3162 � %� ri.- owner. SUHLER, PA�� _ EXTENSION Address 469 ABBIE WY. �, • . ' �. ,;: ,� . .=. P��- ALLO EI) COSTA'MESA,'CA i - 928 ' � - '-i , � `' � � . _ � - � , . Contracror. - :�OWNER-BUILDER. ��' O� � ' ,PER � Add�ess: � � � � -:.> ; , :� '�.EXPI RES !� b � '� � '� �: � Phone: . - � , ,, - �„ . �' ,'ii ,�/ . Zip: C; .'�� 'Cicense: 000000 - � , � , �j;, Arch : � . . '�' Eng: SHUCRI YAGHI '=, Address: - - ';Address: 112 E CHAPMAN AV ' � , . � � � Phone: ' ' �.:/; -. . - . SUITE #D �Phone: 794-997-9120 . . i . -�"�. ;' . � ORANGE, � " , � Zip: �� . , �'- -:License: - "- ' ' � � 92866: �� . � , License: 43205 SCOPE OF PERMIT ADD 1696 SF TO EXISTING 2-STORY�SFD;'ADD 656 SF NEW ATTACHED GARAGE; ADD 263 SF BALCONIES (2) TO 2ND FLOOR; AND, ADD 119 SF ROOF OVER NEW FRONT BALCONY. ALSO INCLUDES DEMOLITION AND RECONSTRUCTION OF 148 SF ON EAST SIDE OF (E) SFD. WORK TOINCLUDE: �- „--�-.., - -, y,-, -� -_ - CONVERT EXISTING 2 BEDROOMS'AND BATN�ON 1ST, FLOOR INTO A�BEDROOM SUITE. ADD A 1/2 BATH TO 1ST FLOOR, ADD 2 BEDROOM SUITES AND BALCONIES TO EXISTING 2ND.FLOOR. ' ' " � - � � "' - "-" ` � ' �-� . � � � �. , _, CONVERT 4 BEDROOM, 3 BATH S.F.D. TO A 5 BEDROOM, 5 1/2 BATH SFD. PLNG. - ZA-03-63 - . _ .'� _ ' " . . � Plan Check: Permit: . SMIP Res: ' SMIP Com: � ` �Other: Inspection: Total: � $1,028.14 �$1;581.75 $20.41 �, `$0.00 $0 00,; ' $� �� .r � �, �� ; �� ' rl� _ $2,630.30 �� ;:,; �,_ '_ � . FEE SUMMARY CalcValuation:, �,;,� 3zoa,mz.oa Claim Valuation:i,� , $o.00 ,;ry ".' ., � ;; , ,. - ` � . �- �� . ' . . S%� , i , � . �x i�, � � ` �� - PLANNING & ZONING_ % " - SETBACKS �'�'�, _ � `, , MAINSTRUGTURE Pront'�20-.9� - �,-��Rear 35-,4 Left . �5•0- - ' Right'�5-0;;� .� i ��1,�:. '� ` " �_ ; � -ti,-. . - r�,l�>` �,��6: � ACCESSORY Front 0- 0�" �?�`- Reai 0- 0� �-' Left �� 0- 0� . Righ(-: � 0= 0� . - � � . . ... .. .. - - � PARKING Existinq: 0 Reauired: , 4 Pr000sed:, . 4" 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: 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 ihe work aNhorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspeetiona and finel approval must be obtained. Failure to obtain inspections end final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 + zas�ae �sroo) WORKEHS' COMPENSAnON DECLAFiAnON: "� � ' I hereby eHirtn unde� penalty of perjury ane of the following declarations: ❑ I have and will meintaln e cenificete of cansent to self-Insure for workers' compensetlon, es provided for by sedlon 3700 of the Lebor Code, for the pertortnence of the work for which this pertnit is issued. ' < ❑ I heve end will mein�ein workers' campenselion Insurance, as required by sectlon 3700 of ihe Lebor Code, for the performence of the work tor which this pertnit is issued. My workers' compensatlon Insurance cerrier end policy number ere: Carrier nof be of tMe work for which , end egree thgt If I si hKK1SAND DOLIARE ($100,000), IN ADDRION TO iHE Policy Number: ired dollers ($100) or less.) Is luuetl, I ahell not employ eny parson In eny manner ao es to become subject to the workers' ne sub�ect to the workers' campensetlan provisions of Sectlon 3700 of the Lebor Code, I shell forthwith t � •ee:.,< <j�2%2�a�- IINLAW D SHALL SUB.IECT AN EM�CRIMINAL PENALTIES AND G�VI� FlNES UP TO ONE Hl1NDRED DN, OFM��'PROVIDED FOR IN SECiION 3%O60F7HE LqBOR CODE, IMEREST, pN0 ATTORNEVS FEES. LICENSED CONTRACTORS DECLARA710N: I hereby eHirtn Ihat I am licensetl under plovisions of Chapter 9(cammencing with Section 7000) of Divislon 3 af the Businass end Professions Code, end my license is in full force end efiect. Lic. a Cless a Ca�trecroYs Slgneture: Dete: CONSTRUCTION LENDING AGENCY: ❑ I hereby eHirm that there is a cansttYction lending agency,for ihe pertormance of ihe work for which ihis pertnit is issued. (Sec. 3097, Civil Code). � Lendefa Name: . k. r e. , LantleYs Atltlreu: Signature:' ' §� �> �'� Date: ' OWNER-BUILDER DECLARATIONS: . � �� 1 � Y� I hereby eHi�m that under penalry of peijury thal I em EXEMPT FROM TXE CONSqACTOHS LICENSE LAW tor ihe foNowing reasan (Sec. 7031.5, Business end Protessions Code: My ciry or counry which requires.e permrt to construct, alter, Improde ;demolish, or wpeir eny structure, prior to its issuance, elso requlres Ne epplicent for such permit to Tle e signetl stetement ihet he or she is Iicensed pursuant to ihe pravisions ol ihe Coniractors License Law (Chepter 9(commencing with SeCdon 7000) of Divi,5lon 3 ot ihe Business end Professions Code) or thet Me or she is exempt therefrom end the basis tor [he elleged exemption. Any Woletion of Section 7031.5 by any applicent for e permit s jecGs Ne applicant to a civil penalry of �ot more then flve huntlretl tlollars ($500).): I, as owner of the properry, or my employees wRh weges es their sole compensafion, WILL DO 7HE WORK, and the structure is not intended ar offered br sela (Sec. 7044, Business and Pro�essions Code: The Coniractars License Lew does not apply to en owner of property who builds or improves thereon, end who does such work himself or herself or through his or her own employaes, providetl thet such Improvements are not Intended or otfered for sale. If, however, the building or Improvement is sold within one year of completion, tne owner-builder wlll have lhe burden of proNng that he or she did not build or Imprpve for purpose of sale.). ' ❑ I, as owner of ihe property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business and PrWesslons Code: The cantrectors Llcense Lew tloes�not apply to en owner of proparty who builds or Impmves thereon, and who conirects tor such project wl(h e contractor(s) license pursuant to the Coniractors 4lcense Lews.). 1 am exempt u �r Business and Profgsslons Code for �his reason: ; `�f'/o � . D ' Z Z � ner ID verified by driver's Ilcense. �Yes ❑ No icen �-No. �)� ERphey;. ,1 f 7C�r1 VerificeUon of Ownership by (rype ot tlocWnen�, i.e. - properry tex hill or dee . DIVISION OF INDUSTfiIAL SAFETY PEHMIT CERTIFICATION: ❑ I hereby certify ihef no excavatton !(ve (5) or more feet in deplh inta which a person is required to tlescend, will be made in connection with work aulhoAzed by this pertnit, end that no building structure, scalfolding, falsework, or demolition or dismantling ihereof, will 6e more than thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Califomie Adminis�relive Cade). ❑ As owner-builtler, I will not employ anyone to do wark which would require e permit from the Divislon of Industriel Sefery, as noted ebove, unless such person hes e pertnit to do sUch work from lhe division. SignaWre: Da1e: Division of Indusiriel Sefery Pertnit Number: CERTIFlCATE OF COMPLJANCE IWD AUfFiORIZATON OF ENTRV: 1 certify under penelty of per�ury that I heve read ihis epplication end stete ihet the informetion qiven Is cortect. I egree to comply with all stete lews end city ordinances releting to buildinp conslructlon, end authorize representetives of Ihe Ciry of Coste Mese to enter upon tha above-descnbed prppe or spe 'o�n pmPoses. I egree not to occupy or ellow occupancy of eny building authorized by this pertnit until fnal inspeclion. �_ �� --- q/2 �Q � � i—�miuo�;aa�l8)';�.n,.v�. � oai��<;.� AnNOr Autho�zed Applicant Date CODE �. INSVECTIONTYPE 1816 Fixed System Final Fire Preventlon' 7266 Pool Spe Finel 200 Final Re-Roof 201 , Final BIacWRelalning Wall 202 Final FeCtory Fire Place 203 Finel Sign 200 � Flqal DemoNtbn PAg 1t�96S LOOEI 1tl3PECTIONTYPE 206 Finel Mechenical 208 Flnel Plumbing 210 Finel Electricel 272 Finel Fire Preventlon 220 Flnal Planning Approvel 222 Final Slte 250 Finel BuildlnyOccupency (914) 754-5273 • Fau (714) 754-4856 • www.ci.costa-mesa.��sCTRICAL PERMIT » FAIR DRIVE, COSTA MESA, CA 92826 Job Address�. 469 ABBIE WY Suite No Viciniry: Parcel Nunmber: 11737224 npplicant: SUHLER, PAUL Address: 469 ABBIE WY COSTA MESA, CA Owner. SUH Address 469 A FEE New Res; (1=2 unds) m "• ��$0:00 New Res (3+unds) '�` � g $0 00 pool/Spa a�„ $000 1.ighling Fixts � �' $62 1'S Recepl Outlets` � �$�6.75 ,�jWI�Ch05 '� „��;�: $46.82 Non Res Appl -� _ `" $0'00 +�+ <, Res Appl ��-,,, $74.25 5ervicelo1000a �`� � $0;00 5ervice over 1000a ,%^°;tp $0:00 Motors to 1hp �d'�Por $4:75 Molors to 10hp "" , $0.00 Motors to 50hp '$0.00 Motors to 100hp $0:00 Motors over t00hp $0.00 Communication drops $13.20 Sub panel to 200a $61.00 Pole Light Pkg $0.00 Sign Circuits $0.00 Temp Pwr Pole $0.00 Inlermed Pole $0.00 Phone: 949-548-7021 Phone Zip . � k , License �OOi .�z � I SCOPE OF = TO EXISTING ' a . ...a�ar.. .. . .. . ,,, . ,,,, , ... ,.. �, FEE SUMMARY 4' r, e intiry � .,r _ �, �:, _ �_ � Temp Dist System / L gFiting' �� Buswa`y/100ftg' Standing-Section 0 Misc ElectricaLEquipment 0 Transformers up to 1 kva/kw 0 . up to 10 kva/kw 75 � : up to 50 kvalkw 95 .� „ �.s �' � �" up l0.]00 kva/kw 54 ....�.8�"`, ;��" '� ..��`over�,100kva/kw �1 � ; � � ,•;.,; �:.; �"p � �i,' �` � -*z' ¢-%- �; � � ..,., b __. ^y � C Status: I SSU ED Applied: 11/21/2005 Issued: 11/21/2005 ISSUED BY: �'✓ $0.00 $0.00 $0.00 TOTAL CALCULATED FEES $447.92 �� u» � ',`• 4 z.�Ea�.,, � -rt 0 yr+�0 a c �� 0 �.: i .e;'r p u ��; , �; v; P Q•, �E �G f°"N'.: � °:y`i �<:�.. � ",f�� v✓ WF� � �' z � L �N � NOTICE: The work authorized by this permit shall comply wlth all applicable handicap access requirements under California st tutes and related regulations. (Ord. No. 92�28, § 1, 12-21•92) EXPIRATI�N: This permit shall aulomatically ezpire and become void if woAc is rwt commencad withln 180 days, or if work i uspended or abandoned for a period of 180 days. INSPECTIONS: In ortler tor ihe work authorlZed under this permit to be considered legal, such wo�k must comply with all eppliceble codes, and all requlred Inapeetlona end }Inal approval must be obtained. Failure to obtain inspections and final epprovel will result in the explretion of ihis permit. FOF± INSPEC710NS CALL: (714) 7545628 2446d6 (8N0) WORKERS'COMPENSAnON DECLAHAnON: . I hereby eHirm under penelry of parjury one of the followinq declaretions: �� ' �� ❑� I have entl will maintain e cartificete of consent to self-Insure for workers' compensetion, as provided for by section 3700 of Iha Lebor Code, for the peAormance of the work for whiCh thi5 permit IS IssUetl. .. . ❑ I �ave antl wlll maintain woAcers' compensetion insurance, as required by section 3700 of the Lebor Code, for the perfortnence of the work for which this pertnit is Issued. My workers' compensation Insurence cerrier and policy number ere: Cartier: Policy Numbar: ' (This secHon need not be completed it tbe permit !s velued at one hundred dollars ($f00) or Iess.J �„l,c¢Ftify thet In the peAormance of the work for which this pormit is issuetl, I shell not employ eny person in any menner so es to becoma subject ro the workers' ��- cortlpensetlon laws o��a, a� a ree thet if I should bacome su6ject to the workers' compensatlon proNsions o1 Sectlon 3700 of the Lebor Code, I shell foAhwith comply with ihese pr � 21 /I mv, 2��c� ��;s�.��: � < < �W.fEWNBIFNLURETOSECUREWO RS'COMPENSATIONCOVERAOEISUNLAWFULPNDSNALLSU&IEGTANEMPLOYERTOCRIMINALPENALTIESANDCIVILFlNESUPTOONEHUNDREO THOUSAND OOLLARE (5100,000), IN A�DRION TO THE COST OF COMPENSATIIXJ, DAMAGES AS PFOVIDED FOR IN SECTION 370fi OF THE LABOR CADE. INfEREST, AND ATTOqNE1"5 FEES. LICENSED CONTRACTORS DECLARATION: I hereby eHirm thet I em Ilcensed under provisions ot Chepter 9(commencing with Section 7000) of Divislon 3 ot the Business and Professions Code, end my license Is in full force an0 ettect. Lic. k Clau q ' Contrecror's Signeture: Date: CONSTRUCTION LENDING AGENCY: � . ❑ I hereby aftirm that there is a conslruction lending agency for the performence of the work for which ihi9 permit is issued. (Sec. 3097, Civil Code). Lenders Neme: � Lender's Address: _ . Signeture: Date: OWNER-BUILDER DE.CLTffRAT1PNS I hereby eNirm that undei penelryp},''�r ury thet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reeson (Sec. 7031.5, Business entl Professians Code: Any city or county which r9�Lires a permil �o construct, aller, improve, demolish, or repair any siructure, pnor to its issuance, also requires the epplicent for such pertnit ro file a slgneG statement ihat he�or she is IlcenseO pursuaN ro the provisions of ihe Contredors License Lew (Chepter 9(commencing with SecUon 7000) of Dlvlsion 3 oi Me Businass and ProFessions Code)�or that he�oiish@,is axempt therefrom and the basis for the alleged exemptlon. Any violation of Section 7031.5 by any eppliceN for a permN subjeds ihe applicent to e civil penelry otnW mo7e'ihen five hundred dollers ($500).): � as awner of ihe himself or herself or ihrougB his or her own e sold within one year of comple�ion, ihe ownei t„�3 owner of ihe property, am EXCLUSIVEI Code: The contractors Llce�se Lew does not license pursuant ta ihe Cont�actars Licanse l by dnvers Iicense. ❑ Yes ❑ No � as lheir sole compensation, WILL DO THE WORK, end the structure is not intanded or oHered for sale (Sec. License Lew does not epply to en owner of property who builds or improves ihereon, and who does such work >rovidetl thet such improvements ere not Intended or oNeretl for sale. If, however, the 6uilding or improvement Is have the burden of proving ihat he or she did not build or improve for purpose of sele.). � 1CTING WITN LICENSED CONTRACTORS lo conslruct Ihe project (Sec. 7044, Business and Professions �.owner af properry who builds or Improves thereon, and who coNracts for such project with a contrector(s) Business and Professions Code for ihis reason: Venfication of Ownerehip by (type of documen6 I.e. - property lax bill or DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑: I hereby certify ihat no exca�etion five (5) or more feet In depth into which e person is required to descend, wlll be made in connection with work euthorizetl by ihis �pertnit, end that no building'structure, scaflolding, falsework, or demolition or dismantling thereof, will be more then Ihirry-siz (36) feet hiqh. (Chap. 32, Carp 2, Art 2, Sec. �341,-Title B,.California Adminl3tretive Cotle). r. ❑ As ownar-builder, I will not employ anyone �o do work which woultl require a pertnit from Ihe Division ot Indus�rial Sefary, es noted ebove, unless such person hes e � permit to do such work tiom the division. Signature: Division ot Industrial Safery Permit Number: Date: CERTIFICATE OF COMPLIANCE AND AUiHORIZA710N OF ENTRY: I cenity under penalry of perjury thet I heve read this epplicalion and state that Ihe information given is conect. I agree to comply with ell stete lews end ciry ordinances releting to building constructlon, and authorize representatives of ihe Ciry of Coste Mese to enter upon Ihe above-descnbedy��/ t/o'r �i sp�ction purposes. I egree not ta occupy ar ellow occupency of eny building authorized by this permit until fnal inspection. �y� � l!/� 2 / /�e+✓, 200� rs Ofkegayowner(s) �_ ;,2te�:,- - �i.r-",.�+°� � � a . Antl/Or Authonxetl Applicant Date COUE I. INSPECTIONTYPE 1676 Fixed System Final Fire Prevention 1266 Pool Spe Finel 200 Final Re-Roof 201 Flnel BIocWRetalning Wa�� 202 203 Final Factory Fire Place Final Sign pRTE INTRULS CODEy INSPEC110NTYiE 206 Final Mechanicel 208 Finel Plumbing 210 Finel Eledncal 212 Flnel Flre PreveNion 220 � Finel Plenning Appro�al , . 222 Flnal Site 204 Finel Demoiition ,_ . , ;250. Final Building/Occupency � (714) 754•5273 • F� (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 469 ABBIE WY Suite No Vicinity: Parcel Number: 11737224 Applicant: SUHLER, PAl1L Address: 469 ABBIE WY COSTAMESA CA �a�a ��'��' rs'g;�-'� r�.. owner. SUHLER;<PAUL Address 469;ABBIE � -�"� � �� . >,',i� ',�...,:�� . , _ 5 f'�m� �2 �r Inst FAU'<�00 k BTU '3'�!' Inst FAU��>100 k BTU �� Repair GAIt Coolmg/Heaf Inst / Rep: Recess Wall H Refrig Sys.<700 k BTU'�:i. Refrig Sys�?100 k BTU��_ Gas Piping , �;.r� �'��°A'; ,: FactoryFireplaoe �•v MECHANICAL PERMIT EY��j{ ��IaN Status ISSUED 11 Applled: 11/21i2005 A � � .(��,n Issued: 11/21/2005 ( Zip: 92627-3162 Phone.;.,•,.{ Zip. � � License 000000 - ',° . .... �`.:,•>.- .. 2 INST FAU LESS THAN 100 K BTU, 2 REFIG SYST I HOOD� W/MECH�EXHAUST -3�VENT-FAN/S WGCED k � 5 � :a� �= ':F.EE.SUMMARY - -�...",.�� : Quantity �� ,a.<��,,,'��..,,, .. , ��^Repair/,AltAbsorbtic 0 D 2 0 t 0 Incinerator to3hp/100k8TU o15hp/500kBTU BY: �J �:;; 0 Nood w/Mech.Exhaust +' • g96:65 1 €� �t �� s:�'�.;,15 TD 30�,hp / 1,000 k BTU $0 00.'y 0 VAV Box -�: � �� .,4$0.00 0 . �.� � 30�To 50�hp / 1 750 k BTU; �r ��' � $0.,00 0 Vent Fan / Single�Duct � fF $21;��75 3�;�, ? : a, �Over 50 hp ! Over 1 750 BTU�'� $0;00 0 APPliance < <,�" $21.30 2 � � .�'�„ v-'�" �Bailsrs % �.��' �� ..�?" Fire Dampers y3,"'` � �.; $0.00 � 0 u�`: �°µ � `e:��'� � �;Up to 3 hp.Ya •;� $.e� „"' �.��f• $° .$0.00 0 Smoke Dampers a , � �$D,00 0 •�. ��,� ��. ,�� yk3 To 15 hp ' � �' , ` � � $0.00 0 InstorRelocateApplVent�'x p;:$0.00��0�� ?,�'� ��,•15to30hp�'a,q. � •'� ' _,�,Z6�`� $0.00 0 Air Handlers < 10000cfm "`� �a �$0.00 0 „ w.� - `" � �;,30 to 50 hp"' �� h �`".� $0.00 0 Air Handlers > 10000c(m P $O.00�,s 0� �� .,� � Over 50 hp F_; x ;- : $0.00 0 FloorFumace �,�T,$0,00 "�0 '��" OtherMeohanicalFee �� FloororSuspendHeater $0.00,� 0 �,y ;InvestigaUon'Fee 4;�r • $0.00 `� . �; ,, „ ,.,,n-_;, , , ��' ,�"��.PIan:Check"�Fee ,� $0.00 ��"� � � � � ""` �Reinspechon-Fee �� $0.00 :��_ � � • .� ; ; . ;-{ ,�;' '� -" � � ?'�.. +� TOTAL CALCULATED FEES 5142.55 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized Dy ihis permit shall comply with all applicable handicap access requiremenis under California statutes a related regulatiorts. (OM. No. 92-28, § t, 12-2t-92) � EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspende r abandoned for a period of 180 days. INSPECTIONS: In order tor the work authodzed under this permit to be considered legal, such work must comply with aII applicable codes, and ell requlred Inspections and final epprovel musl be obtained. Failure to obtain Inspections and final approval will result In the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2as+e �eroo� WOflKERS'COMPENSAnON DECLAHA�ON: ' I hereby eflirto undei penelty of perjury one af the following decleretions: � '� �� ❑ I have and will maintain a certificale of consent to self-Insure for workers' compensation, as provitled for by section 3700 of ihe Lebor Code, for the pertortnance ot the work for which Ihis pertnit is luuetl. . �', ❑ I �ave antl will maintain workers' compensatlon insurance, es reQulred by secllon 3700 af the Lebor Code, for the performence of the work for which Nis permit is issued. My workers' compensetlon Insurence cerrier and policy number ere: Cerrier: Policy Number: (Thls secHon need not 6e completed il the pB�mit is valued at ane huntlred tlollers ($f 00) or less.) �I cetlify �hat in �he pedartnanee of the Wo�k far which ihis pertnit is issued, 1 shell not employ eny peraon'in eny menner so es to become subjecl to ihe workers' compensation lews oi Califo e, end eg�ee that If I should 6ecome suD�act to ihe workers' compensatlon provislons of Sectlon 3700 of the Lebo� Code, I shall forihwNh comply with ihese prohsi � r �/�� I Applicen�Signeture: �/ �`� � Dete: '4� ^�d✓ 2�� WARNING: FAILURE TO SECURE ORKERS' C M ENSATION COVERAGE IS UNLAWFUL AND SW1LL SUBJECT AN EMPIAVER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED iFqUSPNO WLLARE (5100,OW), W ADOITION TO T�'{E WST OF COAIPENSATION, DAMAGES AS PROVIOED FOR W SECTION 37W �F THE LABOR W�E, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTHACTORS DECLARATION: . • � I hereby aHirm that I am Ilcensed under pmvislons of Chepter 9(cammencing:with Section 7000) of Division 3 of ihe Business end Professions Cotle, end my Iicense is In full force end eHect Lic. M Class s ` ContredoYs SlgnaWre: � Date: CONSTRUCTION LENDING AGENCV:' � ,. . � ❑ I hereby effirtn that there is a construction lentling agency for the performence of the work for which ihis pertnit is issued. (Sec. 3097, Civil Code). Lendefs Name: Lenders Adtlress: ' SignaNre: � Date: OWNER-BUILDER DECLAFiATIONS: ' I hereby affirtn ihet under penalty oF perjury Inet I em E7(EMPT FflOM 7HE CONTRACTORS LICENSE LAW for the following reeson (Sec. 7031.5, Business entl Professlons Code: Any ciry or counry which requires e permit to construct, elter, improve, demolish, or repair eny structure, prior to Its issuance, also requires the epplicant for such pertnit to file e signed statement thet he or she Is IlCensed pursuant ta the provislons of lhe Contrectors License law (Chap�er 9(commencing with Sectlon 7000) of Divisian 3 of Ihe Business end Professions Code) or Met he or she Is exempt theretrom antl the basls irn the alfeged exemptfon. Any violarion N Seclion 7031.5 by eny epplicent for a pertnit su �ects the applic9�t,to e civll penelty of not more then five hundred dallare ($500).): I, as o o tie proparty, or my emplPyees with wag 95 t Ir soie compensation, WILL DO THE WORK, entl the strucNre Is not.intended or oBered tor sele (Sec. 7044, ' nd Professlons Cod�qThe`.fffintracto,�ice� Lew does not apply to en owner of property who builds or improves thereon, and who does such wark himself o7he or ihrou�j his or h�'66wn�%ployees, pmvided that such Improvemenis ere not Intendetl or oXered Por sale. If, however, ihe building or impmvement is sold within on ar of collfjiletion, ihe owner-bullder will have the burden of proving that he or she did not build or improve tor purpose o( sale.). � ❑ I, es owner.ot tha property, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct tha project (Sec. 7044, Business and Professions Code: Tie contrectors License Lew does not apply to an owner of properry who bulids or Improves thereon, and who contracts tor such proJect wi[h e contractor(s) license pursuen� to �he Contradors license Laws.). ❑ I em exem,� nder sec. Business and Professions Code for this reeson: Signature: �,7/ Q�%��— Date: ?I 1�l��✓ 2 D�S� Owner ID venfied 6y dnvers license. ❑ Ves 0 No Drlvefs License No. � Expires: �� Venfcation of Ownership by (type of document, i.e. - properry tax blll or Ceetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify thet na excavetian five (5) or more teet in depih into which e person Is requlred to descend, will ba mede in cannectlon with work euthorized by this permit, and that no building siructure, sceflolding, falsework, or tlemolition or dismantling thereW, will be more then thiAy-six (36) feet high. (Chap. 32, Gry 2, Art 2. Sec. � 341, Title 8, Celifomia Administrative Code). ❑ As owner-builder, I will not employ anyone to da wark which would requlre a permit iram the Division of IndusMal Sefery, es noted above, unless such pereon has e permit lo do such work trom the division. Signeture: Date: Division of Industrial Sefery Pertnit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupent need to file end certify e Business Plfln for emergency response [o releasa or threatenad release of a haiardous meteriel7 ❑ Yes ❑ No (Section 25505 of the Celifomia Health anC Safery Code requires, with some eaceptions, that e Business Plen be Tiled with the Costa Mesa Fire Depanment by every business which hes et any one time dunng e reponed yeer e quantiry of hazardous materials equal to or greater than e welght of 500 pounds, or a volume of 55 gellons, or 200 cubic feet of compressad gas at s�andard temperature and prassure). ��ture buildin occu ant need to file e re Is�ration fortn tor ecut I h �� ........................................................................................... ............................................... ........... ......... ......... .. 2 Does or will the applicant or present or fu g p g e y azerdous materials7 ❑ Yes ❑ No (Section 25533 of the Callfomla Health entl Se(ery Cotle, with some exceptlons, requlres registretion with the Costa Mesa Fira Depertment by each business which at any one time hes on hand e quentiry of acutely hezardous meterials equal ta or greater than e welght of 500 pounds, or e volume af 55 gellons, or 200 cubic feet of compressed ges at stendard tempere�ur0 end pressure). ....................................................................................................................................................................................................................................................................................................................................................................................... 3 Does or will the applicant or present or fUture builtling occupant need to prepare en RMPP (Risk Menagement and Prevention Program for acutely haza�dous materiels)? ❑ Yes ❑ No (Sectlon 25534 of the California Health �ntl Seret Departmen� of fln RMPP by businesses Which are ..................................................................................................................... 4 If en RMPP is presently required, has Section 255 ...................................................................................................................... 5 Does or wlll ihe eoolitanl or oresent or future 6uil chat ihe Coste Mesa Fire Department may require the preparetlon; certificetlon end tiling with the Fire ter acutely hezardous materiels with ihe Fire Depertmenl. .............................................................................................................................................................................................................................. ile Heaith end Satety Code been tully complied with7 ❑ Yes ❑ No .............................................................................................................................................................................................................................. quire for the work which Is the subject of this a plicetion e ertnil tor such consiructian or modificetion from Ihe South Coast Air Queliry Menag9ment Disttict or from eny other air D011ution conirol district or egenc�/t � Yes LJ No (Sectlon 658502 of the Califomia Govemmen� Cotle requlres Ihat ihe requested information be fumished on applications for non-residentiel builtling pertnits). .................................................................................................................................................................................................................................................................................................................................:........................................:........... 6 Will eny part of the faciliry to be construc�etl untler Ihis permil be within 1000 feet from the ouler bountlaries of e school7 ❑ Yes ❑ No (If "yes", the feciliry must meet the requirBment oF Sections 25534 end 42303 of the Califomia Heelih and Safery Code). ...................................................................................................................................................................................................................................................................................................................................................................................... 7 If e permit from the South Coast Air Oualiry Manegement Disirict ar other eir pollulion wntrol disMct oi egency is requiretl For ihe work which Is Ihe subject af this epplicetion, have all of ihe dlsclosures prescribetl by Cellfornia Health end Sefery Code Section 42303 been metlel ❑ Yes ❑ No ....................................................................................................................................................................................................................................................................................................................................................................................... 8 (If'yes", anach certificate of compllance irom the eppropriate elr pollutlon control oHicer). CERTIFICATE OF COMPLIANCE: I cerfify ihat under penalry of perjury the Information given ebove is correct. I egree to comply with all stete lews end city ordinances regarding Hezardous Materials and Emissions. SigneWre: Date: CERTIFlCATE OP COMPLIANCE AND AIJTNOBIZATON OF ENTRV: I catlity under penalty ot perjury thet I have read this application and stata thet the inbrmation given is conect. I egree to comply with all state laws end ciry ardinances relaling to building construdion, end authorize representetives of the Ciry of Coste Mesa to enter upon the ebove-� p e r inspe ion purposes. egree not to occupy or ellow occupency of eny building authodzed by this perm% until final inspection. ! � �Z / /1��v 2 46T- nature Of Legal Owner(s) Date And/Or Authorized Applicent COOE �. INSPEC710NTYPE 1616 Fixetl System Final Fire Preventian 1266 Pool Spa Final 200 Final Re-Roof � 201 FIna181ocIJRetaining Wall 202 Finel Fectory Fire Placa . 203 Final Sign 204 Final Demolition .. � IMRIALS CQUEt INSPECTIONTYVE � 20fi Final Methanlcal 208 Final Plumbing 210 Finel Eleciricel 212 Finel Fire Preventlon 220 Final Planning Approval 222 Final Site 250 . Final Bullding�Occupancy ➢AiE I[�ELS (714) 754-5273 • Fax (714) 7543856 • www.ct.costa-mesa.��MBING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 469 ABBIE WY �� j�� Suite No �L�� Vicinity: PER ParcelNunmber: 11737224 EXpIRES �/ � o� Applicant: SUHLER, PAUL Address: 469 ABBIE WY ISSUED BY: Status: ISSUED Applied: 11/21I2005 Issued: 11/21/2005 Phone: �949-548-7021 �;- ... ��...:, s -�,.. _ COSTA MESA, CA 5y Zip 92627 3162 ;_,� .�.- . � r e', Owner. SUHLER;`PAUL , s��,-- , ` ,� Address 469ABBIE�WY - _� . � . � .. �� , � ` � � � _ Phone 949;548 7021 ; � �1COSTA�MESA?�CA'�� r�^°.��" "-Z�p 926273762 r�=�. � ' ' , - gs "' ,,.�. � . < - i , : � .= " contractor� OWNER=BUILDER �,� `�_"'` Address � � � > a ' Phone ' ; � :�� t ' Zip � x �� z � '='�ij' ,� � License 000000.. . . ' s �` ... ��. �� '' � � �� e � _.�_ �, � � � QA� �, . . .� ' PLUMBING P,ERMIT FOR ADDITION OF 1696 SF TO EXISTING 2-STORY�SFD:�. �.�."�- ; .a � . ,-; `< . ;.REF#:804-0�1566 _� - �- ,�'�`�� ° �1: a��"K�. ,. � y . � .Y.'2y . . . .. .. ,. , a. . , �e � � °� WORK TO INLCUDE: 2�BATHTUBS, 1. DISHWASHER; 1 GA9 (OVER 4 OUTLET61, 2 CAUN ,d�TUBIWASHER, 3 SHOWERS, 1 BAR SINK-, 1 KIT,C �P ; ; -SYSTEM;�.4 WATER�CCOSET (T014ET), 9 WATER �`AND t'WATER SOFTENER. �,� . M , ,, ,�;, � .., .�'�' AMT .:;`.^^QTY� , ...., _ . . ... AMT � � � �' � ISSUE FEE � �$23:50 Laundry Tub / Washer $19.60 ' 2 • Backflow irrigation . ,$0:00 0. Landscape Irrigation $0.00 . 0 BacktlowPreventer �,t $0;00,.,, 0 � P-Trap � $000 ��.: .0 Bathtub �?-,'` ^;, $19;60'� 2 ��-; PressureRegulator . $0.00 0 Clarifer System ^�'�".�• �$0.00 O--F Process Piping{per 10;8)-• $0.00 0 Connect(Ice,Soda,etc) $000". D s Receptors �-� - $0'00 0 DentalUnits � � ,.-�4;$000,,'�0 � SepticTank,ytit �',� $000 ;-,0 Dishwasher I' $9 80 � �� .t •,t •.Sewer Cap"tor Demo� '� ,s $0 00 1 .� 0 i:� Drain,Floor $0.00, °0-�-� �t� �.Sev✓erConnect y.�.'�`.� $0.00 �� 0 . Drain, Rainwaler ' ' $0:00` 0 � � � Sewer Private Line '^`-', $0.00 0 �� Drain, Roof - $0.00 � 0 -�� ., Shower , _ ; $2940 -•` 3 � <�' -;d Drinking Fountam ��r, ��, $0.00 ,��"0 "�;�Sink bar �'�,-,�-� �)` �,$g 80��1 �,�� Expansion Tank `' �$0;00' 0 �. , Sink, commeraal '�' ,� �« $000.�,0 „ " Gas Earthquake Valve -$0.00, �0 '-,-" + �: •Sink, Floor�'' , ;,`�'� `� :$0:00"" 0 �. . Gas(14oullets) $0.00„,� 0 �., ''-Sink,kitchen $,9,80_;�,1 � ` Gas(Over4oullets) $1.10<.. -+�1 ��'�Sink�,sarvice/mop .y =. _ $0.00�•��w'0 .��. Gas Repipe $0.00 � -'0 � °`Spa (private) `'' � � $0.00 =�; 0 Gas Service $0.00 0 �.��Spa (public)�° ,x `a 80.00`" 0 '"$��' Interceptors (Grease, Oil) $0.00 0 � - „ � � �� " � Interceptors (Sand Auto ) $0.00 0 �' �; r �, ��'',; �° �`'��` TOTAL CALCULATED FEES: $262.30 1 �,, DRY tin�"vFur�' ,TER PIPING�B �y ,�''`� ` 3`f �. ; {' `"i ," i - ; .� ':,'��. -. y'^! d� �„,�,�'"' AMT��. Sump Pump � , $0.00 Swimming Pool ' � p � $0.00 Trap Primer $0.00 ��Urinal ' . � � $0:00 Vacuum Bikr Bktlow(7-4) .$0.00 Vacuum,BrkrBkflow(5+) ;",-$0.00 N/ash'Basin . ' $58.80 Wash Basin Set'" - '�� $0.00 Waste and Vent System � $9.80 WalerCloset(Toilet)" $3920 Water Heater / vant . � � $12.30 Water Piping (Insl�oi RepJ $9.80 Waler Re-pipe .,-` $0.00 WaterService' $0.00 Water Softener $9.80 OTFIER�` $0.00 VIOLATION $0.00 PLAN CHECK $0.00 REINSPECTION $0.00 rnnnnncurc i coGriei rnuninnuc � 0 0 0 0 0 0 6 0 1 4 1 1 0 0 1 C NOTICE: The work authorized by this permit shall comply wlth all applicable hendicap eccess requirements under Califomia staW� and related regulations. (Ord. No. 92-28, § 1, 1241-92) ,�` EXPIRATION: Thls permit shall aulomatically ezplre and becoma void if work is not commenced withln 180 days, or If work I�Gspernled or abandoned for a period of 180 days. ` INSPECTIONS: In order for the work authorized under this permit to be considered legal, euch work must comply with ell applicable codes, and all required Inspectlona and flnal epprovel must be oblained. Failure to obtain inspections end flnal epproval will result In the expiration of thla pertnit. FOR INSPECTIONS CALL: (714) 754-5826 20.1&{E (8/00) WORKERS' COMPENSATION pECLARATION: . I hereby attirm under penalry af perJury one of the following dedarations: '- � • ❑ t have antl will maintain a certl9cate ot consent to selbinwte'tor workers'. compe�uUan, es provided for by seclbn 37W ot the Lebor Code, for iha pOAotme�a ot the work for which this permit is issued. . " . ❑ I have and will maintain workers' campensaGon Insurance, es reQulred by section 3700 of the Lebor Code, for Ne pertormence of the work for whlch Nis pertnit Is iswed. My workers' compensellon Insurence ceMer end pollcy num6er ere: Gertier. Policy Number. (Thls sectlon need nof be complefed i� the permlt is velued ef one hundred dollers ($100) or less.) � I certity thet in Ihe pedortnence W the work for whlch this pertnit is luuetl. I shall not employ eny person in any menner so as to become subject to the workers' compensation lews of Callfaml a eg that f I shouW became wh�ect to the woAcers' compensatlon provisbns of Sectton 3700 ot tt�e Labor Code, I ahell torthwtN compry with these proNsi 1 ppplicenlSigneture: � Dete: 2� ll�d4. ��l' WARNINO: FAIW RE TO SECURE WORKERS' COMPENSATION COVERAOE IS UNLAWFUL AND $W1LL SUBIECT AN EMPLOVER TO CFiIMINAL PENALTIES ANO qVIL FlNE$ UP TO ONE HUNDRED THOUSAND DOLLARE (5100.000), IN ADDITION TO THE C0.ST OF COMPENSAT70N, DAMAGES AS GROVIDED FOR IN SECf10N 37060F THE LABOR GODE, INfEFE5T, AND ATTORNEI"S FEES. LICENSEU CONTRACTORS DECLAqAT10N: � ' I hareby eXirm Nat I am IicenseC under provislons of Ghapter 9(commencing with Sectlon 7000) of Division 3 of the Buslness end Professions Cotle, end my Ilcense is in full force entl eflect. Llc. M � � Class M Cantrecrors SigneWre: Date: CONSTRUGTION LENDING AGENCY: p I hereby eflirm that there Is e construction lentling egency for the pertormence of the work for which this permit is IssueA. (Sec. 3097, Civil Cotle). Lentlers Neme: Lenders Atldress: Si9nature: Date: ON�NER-BUILDER DECLARATIONS: I hereby eftirtn lhet under penalty of perjury thet I am E%EMPT FROM TFiE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business end Professions Code: Any ciry,or �ounry which requires e permit to construq, alter, improve, demdish, or repelr eny structure, pnor to Its issuance, elso requires the epplicant for such pertnit f0 ��e a signed'statement that he or she is Iicensed pureuflnt b the proWstons ot lhe ContraMas Ucense Lew {Chepter 9(commencing with Sectfon 7000) of DNision 3 ot the Business end Professions Code) or that he or she is ezempt therefrom end the basis for Ihe alleged ezemptlon. Any vloletion of Sectlon 7031.5 6y eny epplicent fo� e permit su ects the applic�ewnt to a civll penalty of not more then five huntlred dollars ($500).): I, es owner btuhe properry, or my errmployees with weges as Ihelr sole compensation, WILL DO TFiE WORK, antl the structure Is not Intendetl or oHered for sale (Sec. 7044, Business and Professfons Cade: The Conttactors License law does not apply to an owner of propafty who builds or improves ihareon, entl wfio Coes such work himselt or herself or t6rough his or he�yown employees, pravided thet such Improvements ere not Intended or oNered for sale. If, however, tha builtling or Improvement is sold within one year o1 completion, the o�wr;n'er-builtlei wiil heve the burden of proving ihet he or she did not build or improve for puryose of sele.). • [] I, es owner of the property, em EXCLUSyrELY CONTRAC7ING WITX LICENSED CONTRACTORS to construct the proJect (Sec. 7044, Business antl Professions Code: The contrectors Lkense Law does not ap�ly to�en owner ot propeity wtro bullCs w Improvas thereon, antl who contrads tor such proJact with e contrador(s) license purs/� en� to �he Contredors License Lews.)'�` �„� ❑ I am exe��er . '� •. BUsiness end Professions Code for this reeson: SigneWre: �/ ��' Date: �O Owner �o veneed by nvers I�cense: ,❑ ves ❑ No odvers ucense No. �` Exptres: Vadllcation of Ownership by (type af document, i.e. - property ta� blll or deed): _ . DI��SION Of INDUSTFiIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cenify that no excevetion five (5) or mora feet in tleplh Into which e person is requlred to descend, will ba mada in connection with work euthorizetl by Ihis pertnit, and thet no builtlinq structure, scalloltlinq, falsework, or demolition or dismantling thereof, will be more than Mlrty-six (38) faet high. (Chap. 32, Grp 2, Ar12, Sec. 341, Title 8, Celliornla Adminlsireiive Code). ❑ As owner-bullder, I will not employ enyone to do work which woultl require e pertnit fram Ihe Division of Industdal Satery, es noted ebove, unleu such person hes a pertnit ro d0 such work from the division. Signature: Date: Di�sion of Indus�riel Sefery Pertnit Number: CEflTiFlCATE OF COMPLIANCE AND AUTHOROATION OF ENfAY; I certify under penalty of perJury that I have read this epplication and stata Ihet the informetion given is corred. I eg to omply with ell state laws end ciry ardlnances relaling to bulltling construction, end authodze representelives of the City of Coste Mesa to emer upon the eb0�e- e ope r i pecti b'ses. I egree not to occupy ar ellow occupency of eny building euthonzed by this permit until final inspectlon. _ '2�11/�11 , 2�??;Er Signature OI Legal Ow�rer(s) Date Antl/Or Authodzetl Applicant j�QpF,_(. INSPECf10N TYPE 1616 Flxed System Final Fire Prevention 1266 Pool Spa Finel 200 Final Re-Roof 201 Finel BIacWRetaining Well 202 Flnel Feclory FYra Pfaca 203 Flnal Sign 204 Flnal DemoliUon „ , � It�� GOOEI INSVECTONTYPE 208 Final Mechaniwl 208 Finel Plumbing 210 Final ElecMcal 212 Finel Fire Prevention 220 Final Plenning Approvel 222 FinfllSlte ,.250 Final Builtling/Occupency �g � 13 February 2006 Mr. Ed Petros Chief of Inspections Building Division City of Costa Mesa P.o. BoX i2oo � „ Costa Mesa, CA 92626-1200 Re: Request for elttension of first inspection Dear Mr. Petros: Linda Maher Paul Suhler P. O. Box 15293 Newport Beach, CA 92659 maher@pobox.com suhler@ieee.org (949)548-7021 �laf°�� - a � � �� ,la i I�S� o�- o/.�/ 7 � � �� a�6 6� ✓ POS -008'�,� As owner-builders, we are planning the construction of an addition to our house at 469 Abbie Way under activity number B04-01566. We pulled our first permit (PSO4-00717) on 2 September 2005. However, the start of construcdon has been delayed beyond the usual 180-day period for the following reasons: • Delays in retaining subcontractors, due to the lazge amount of construction in the area. (We have finally located some.) • The contractors recommended waiting until after the rainy season, which runs through March. • Chronic illness of a member of our family, requiring frequent trips out of town for weeks at a time. We therefore must apply for a 180-day extension to the usual deadline for the first inspection. While we aze planning to begin work the first week of April, it is possible that it will be delayed, hence the request for the maximum 180-day extension. Please treat the information about the faznily member's illness and our iravel as confidential and do not discuss it with anyone who does not have a need to know. If you have any questions, you can reach me at my office, 714-641-2485. Thanlc you very much for your time. Youts truly, �� - Paul Suhler .� � I : I :'_� : a (71A) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mes��TRICAL PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: Parcel Nunmber: Applicant: Address: 469 ABBIE WY GARDEN AREA IN REAR YARD 11737224 MAHER, LINDA 469 ABBIE WY COSTA MESA, CA Owner. SUHLER; PAUL� . Address 469 ABBIE WY ,COSTA MESA, CA ' Contractor: OW NER-BUILDER Address: Phone: 949-548-7021 Zip 92627-3162 Phone: 949-548-7021 Zip: 926273162 Phone: Zip: License: 000000 ISSUED BY: SCOPE OF PERMIT �� ELECTRICAL PERMIT TO CONNECT 2 LAMP POSTS IN THE GARDEN (LAMP POSTS 6 FT OR UNDER). 2 LIGHTS FIXTURES NO OTHER WORK AUTHORIZED WITH THIS PERMIT. ISSUE FEE - - ,Temp service lest - Res. a/c package New Res (1-2 units) New Res (3+units) , Pool I Spa , , LigNting Fixts Recept Outlels Switches Non Res Appl , Res Appl Service to 200a . `, SeNice f0 t000a Service over t 000a Motors to 1 hp . � Motors to 70hp � Motors l0 50hp , Motors to 100hp Motors over 100fip Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole Quantity $23.50 $0.00 � $0.00 $0.00 0 $0.00 0 $0.00 0 $2.20 2 $0.00 0 $0.00 0 $0.00 0 so.00; , -�o=��:. $0.00 0 $0.00 � ,� >�A - $0.00 , "�`,p�'.. $0:00 -�,. �0� $0.00 0 $0.00 0 $0.00 0 .... $0.00 - 0 . $0.00 0 $0.00 � '0 $0.00 0 so.00 0 $�.00 0 $0.00 0 FEE SUMMARY ' - - ' �Temp Dist System 7 Lighting � BuswayltODft Standing Section Misc Electrical Equipment Transformers up to 1 kva/kw ....:...........up to 10 kva/kw .................up l0 50 kva/kw �- � .............:...up to 100 kva/kw � ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckf'. �� Misc. CondUit Misc. Condudor -- � Ciras ( gen or ride) Circus (mech ride or lighls)� � Christmas Tree Stand- Fireworks Stand , , Other Eledrical Fee Investigation Fee Plan Check Fee Reinspeclion Fee Status: ISSUED Applied: 08/28/2006 Issued: 08/28/2006 Quantiry $0.00 0 $0.00 0 $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 so:oo 0 $0.00 0 ' $0.00 � 0 $0.00 ' 0 , $0.00 $0.00 $0.00 $0.00 TOTAL CALCUTATED FEES 525.70 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulatlons. (Ortl. No. 92-28, § 1, t2-21-92) EXpIRATION: 7his permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a p'eriod of 180 days. � INSPECTIONS: In order for the work authorized under this permit to be consldered legal, such vrork must comply with all epplicable codes, and all requlrad inapeeriona and Nnal apprwal must be obtained. Fallure to obtain inspedfons and final approval will resuN in the axpiratfon of this permit. FOp INSPECTIONS CALL: (714) 7545626 zaaae (erool WORKERS'COMPENSATIONDECLARATON: ` I hereby aHirm under'penalry of peryury one of the folloi ❑' I have and will'melntain a certificate o� consent h work for which this permit is issuetl. ❑ I heve end will malntain workers' compensatlon In: My workers' compensation Insurence carner and dedarations: ure for workers' compensetion, es'provided for by section 3700 of Ihe Lebor Cotle, for ihe performance of �he as required by section 3700 of Ihe Labor Cotle, for the pertortnance ot the work for which �his pertnit is issued. � umbar ere: . ,� _ Cerrier: Policy Number: (Thls sectlon need nof be completetl if the permlt /s velued et one hundred dollers ($f00) or less.) �I certify thel in the performance of lhe work for which this permit Is issued, I shell not employ any person in any menner so es to become subject to the workers': � compensetion laws oi C�ie, en�ea t et if I should become subjecl to the workers' compensatlon provisions of Section 700 of the LaDor Cotle, I shall forthwith � comply with Ihase prov / �+ Applican4Signature:_ !� � / Date:, � 0 2�/G� � WARNING: FAILURE TO SECURE WORKEFS' COMPENSATION COVERAOE IS UNUWFUL AND SHALL SUBJECT AN EMPLOVER TO CFiIhllNAL PENALTIES AND CIVIL FlNES UP TO ONE NUNDRED THOUSAND DOLLAflE (§100,000), IN ADDRION TO TNE COST OF COMPENSATION, DAM4GES AS PFOVIDED FOR IN SEClION 3]W OF THE LABOP CODE, INiEFEST, AND ATTORNEI"5 FEES. � UCENSEDCONTRACTORSDECLARATION: . I hereby aHirm that I am licensetl untler provislons of Chapter 9(commencing with Section 7000J of Divislon 3 ot the Business end Professions Code, and my license Is In full force and aftect. Lic. u ' Cless q Contradofs SigneWre: Dete: CONSTRUCTION LENDING AGENCY: ❑ I hereby aflirm that there is a construdian lending agency for Ihe performence of the work tor which this permit is Issuetl. (Sec. 3097, Civil Code). Lentlers Name: Lender's Address: SignaNre: Date: GP7:��31qt�1�7� 77�d7I_�r��T�7:L•�A 1 hereby atfirtn ihal under penalty ot perjury Ihat I em EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for the following reeson (Sec. 7031.5, Business antl Professions Code: Any ciry or counry which requires e permit to consWct, alter, improve, demolish, or repair any strucWra, pnor to its issuence, also requires the applicant tor such pefmi[ �o file a signed statament that he or she is licensetl pursuflnt to ihe provlsions of Ihe Coniractors License Law (Chapter 9(commencing with Section 7000) of Dlvlsion 3 of the Business and Professions Code) or thet he or sha is ezempt therefrom and the basis for the alleged ezemptlon. Any vloletion of Section 7031.5 by any epplicent for e permit subjects tha applicant to a civil penalry of not more than five hundred dollars ($500).): �7 es owner of the property, or my employees with wages as their sole compensatlon, WILL DO THE WORK, and the structure is not intentled or olfared for sale (Sec. 7044, 8usiness and Protessions Cotle: The Contractors License Lew does not apply to en owner af properry who 6uilds or improves thereon, end who tloes such work himself or hereelf or through his or her own employees, providetl thet such Improvements are not intendetl or oHaretl tor sele. If, however, ihe building or improvement is soltl within ona year of completion, the owner-builder will have the burden of proving that he or she tlid not 6uild or improve tor purpose of sele.). ❑ I, as owner of the proDerty, am E7(CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS �o construct the projecl (Sec. 7044, Business end P�ofessions Cotle: The contrectors Llcense Lew does not appty to an owner of property who builtls or Improves Ihereon, and who contrects far such project with a contractor(s) license pursuayt to � Contractor�j.{cense Laws.). � ❑ lem by driver's license. ❑ Yes ❑ No Business and P�ofessions Code tor this reason: Verification ot Ownership by (type of dacument, i.e. - property tez bill or tleetl): �Ez� DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATION: ❑ I hereby cenify that no excavetion five (5) or more feet in depth into which a person Is required to descend, will be mede in connectlon with work euthorized by this permit, and ihet no building sirudure, scaftolding, falsework, or demolNion or tlismantling thereof, will be more ihen thirry-sia (38) feet high. (Chep. 3.2, Gry 2, Art 2, Sec. 341, Title 8, Califomia Administrative Code). ❑ As owner-builder, I will not employ enyona to do work which would require e permit from Ihe Divlsion of Industnal Satety, as notetl ebove, unless such person hes e parmit to tlo such work trom [he division. Signa�ure: Date: Division of Industnal Safery Permit Numbar: CER7IFICA7E OF COMPLIANCE AND AUIHORVATION OF ENfAY: I certiy under penelry of perjury that I have read ihis application antl state Ihat the infortnation given is correct I egree lo copppmply with all state lews tl city ordinances relating to building construction, and aulhodze representatives oi Ihe Ciry of Coste Mese to enter upon the ebove-descnbh pro� tar Inspe i� urpo es I egree not to accupy ar allow accupency of any building eulhorized by t�is,per�un � final inspeclion. r7 � /� cC Sign ure' Legel Owner(s) _M Date �_._,.'_ __' And/Or Authonzed Applicant Date GOUEI, INSPECTIONTYPE 1616 Fixetl System Final Fire Prevention 1266 Pool Spa Finel 200 Final Re-Raof ' 201 Finel BIocWRetaining Well 202 Final Factory Fire Place 203 Final Sign 204 Finel Domolltlon CODE� INSPELTIONTYPE 206 208 Final Mechanical , . Final Plumbing 210 �Finel Elecirical � 212 Finel Fire Preventian 220 Final Planning Approval , 222 Final Site 250 . Finel Bulltling/Occupancy ueg. u�i 7 : � (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DR{VE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Vici�ity: Parcel Nunmber: 469 ABBIE WY REAR OF PROPERTY 11737224 .4pp�icant: MAHER, LINDA Address: 469 ABBIE WY 'Phone: 949-548-7021 COSTA MESA; CA� Zip: 926273162 Owner.' , SUHLER, PAUL AND, MAHER, LINDA ,� ; Addr�ss- ��469ABBIE'WY " � , � n" �, � � � - Phone: 949-548-7021 � COSTA'MESA, CA . -' Zip: 926273162 Status: ISSUED Applied: OS/21/2002 Issued: OSl21/2002 ISSUED BY: - �� Contracror. OWNER-BUILDER - Address: y . , ' . .. .' . � . . .. �t. . . , : .' •. i . ; .> �.. . . �Phone: .. i4 _ . Zip: ' � . - ' � _ . ' � License: 0 � - SCOPE OF PERMIT • LAY CABLE IN TRENCH FOR FUTURE WORK.�REAR OFPROPERTY. � ISSUE FEE Temp servics test Res. a/c package New Res (1-2 units) New Res (3+unit5) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appf Res Appl Service to 200a , � Service to 1000a Service over 1000a- Motors to thp Motors to 10hp Motors to SOhp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200s Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $O.OQ $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity u 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ' p , 0 ., 0 0 0 0 `� ti .. � . FEE SUMMARY - - � - � � - - Quantity '� . Temp Dist Systein /'Lighting $0.00 0 �� Busway /100 ft � $0.00 0 � � Standing'Section $0.00 0- Misc Electrical Equipment $0.00 0 " , Transformers up to 1 kva/kw $0.00 0 , - . ................up to 10 kva/kw $0.00 , 0 - � . �- � ..........:....:.up to 50 kva/kw $0.00 � .' 0 .................up to�100 kva/kw $0.00 ; , � 0 . ..................over 100-kva/kw�. -,: - , $0.00 : 0 Low Voltage Equipment� � � , $0:00� 0 Low Volt Wiring System / Ckt � $0.00 : 0 Misc. Conduit - $1820 � � �T Misc. Conductor $0.00 0 Circus ( gen or ride) � $0.00 0 �Circus (mech ride or lights) $0.00 0 Christmas Tree Stand $0.00 0 Fireworks Sfand $0.00 " 0 Other Electrical Fee ; $0:00� Investigation Fee � $0.00 �Plan Check Fee� �. $0.00 Reinspection Fee $0.00 TOTAL CALCULATED FEES $41.70 COMMENTS I SPECIAL CONDITIONS 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 tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inspectlons and ttnal approval musl be obtained. Failura to obtain inspections and tinal approval will result in ihe expiretion of this permit. FOR INSPECTIONS CALL: (714) 7545626 , 2aas-as (�oo� WORKERS' COMPENSATION DECLARATION: . ' � . I hereby eflirm under penalty of perjury tlne of the following declarations: ❑ I heve end will maintein e certificate of consent to self-Insure tor workers' compansation, es provided for by section 3700 of Ihe Lebor Coda, for ihe performence of the work for which �his pertni� is issued. . � ❑ I have and will maintein workers' compensation insurence, es requlretl by seclion 3700 of Ihe Lebor Cade, for the perfortnance oi the work for which this pertnit is issued. My workere' compensation Insurehce carrler and policy numher are: Carner: Policy Number: (Thi ection need not be completetl i� tpe permlt Is valued et one hundred dollars ($100) or less.) - / �[] I.tertify ihat in the perfortn ce of Ihe work For which thi9 permit is issued, I shall not employ eny person in any manner so es to become su6ject to the workere' compensation lews of C mla, end egree , at IjkShould become suh�ect to ihe workers' compensation provislons of Sa ion 3700 of Ihe Labor Code, I shell forlhwith co� with.� e prov' ns. 1 /J / Ap�pHC�entSlgneture: t:,. �/— /1�••_. �p�t� S 2/(OL WARNING: FIULURE TO SECURE WORKERS' ��NSATION COVERA�E IS UNLAWFUL ANU SHALL SU�ECT AN EMPLOVER TO CRIMINAL PENAlTIES AND GVIL FlNES UP TO ONE HUNDRED THOUSAND OOLLAflE ($100,000), IN ADDITION TO THE COST OF COMPENSAiIIXJ, DAMAGES AS PROVIDED fOR IN SECfION 3]O6 OF THE LABOR COOE, INiEflE57. ANDATTORNEI"S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eifirm ihet I am licensed under provisions ot Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, end my license is in full force end eftect. Lic. e qass # Contractor's Signeture: Deie: CONSTAUCTION LENDING AGENCY: • ❑ I hereby aHirm ihat there is e construction lending agency for the performance of ihe work for which this pertnit is issued. (Sec. 3097, Civil Cotle). Lenders Name: Lentler's Adtlress: Signature: Date; OWNER-BUILDER DECLARATIONS: I hereby aHlrtn thei under penelry of peryury Ihet 1 em EXEMP7 FROM 7}iE CONTRACTORS LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, Business entl Pro(essions Code: Any city or counry which requires a permit to construct, elter, improve, demolish, or repair any strudure, prior to its Issuance, also requires the epplicant for such pertnit to Hle e signetl statement that he or she Is Iicensed pursuent to the provlslons W the Contrectors License Lew (CheDter 9(commencing with Sedion 7000) of DlNsion 3 of Iha Businass end Professlons Code) or thet he or sha is exempt therefrom end ihe besls for the alleged ezemptlon. Any violation of Sadion 7031.5 by any epplicant tor a pertnit subJects the epplicant to a civll penalty ot �ot more than flve hundred dollers ($500).): ❑ I, es owner of the property, or my employees with wages es thelr sole compensation, WILL DO 7HE WORK, and the structure is not Intended or oHeretl for sale (Sec. 7044, Business and Professions Code: The Contrectors License Lew does not apply to en owner of properry who builds or improves thereon, and who does such work himself or herself ar ihrough his o� her own employees, providad thet such improvements ere not intended or otFered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will heve the burdan of proving that he or she did not 6uild or improve tor purpose of sale.). ❑ I, as owner of the proper�y, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRAC70RS to construct the projec� (Sec. 7044, Business entl Professions Cotle: TOe conirectors License LeW tloes not eppty to en owner of property who bullds or Improves thereon, and who conirects for such pralect wlth e coNractor(s) �icrense pursu to the Conirectors �ce e Lews.). .'Hm ex m rydar/Sac. � Business and Professions Code for this reeson: c;�an,.e� 7� :n 7 S o. .r7 Ownar ID ventled by drivers license. �� Yes ❑ No Venficatian of Ownership by (type of docu�ent, i.e. - property tex bill or tleed): DIVISION OF INDUSTRIAL SAFETY ❑ I hereby ceeify thet na axcevation flve (5) or more feet in depih into which a person is required to dascend, wlll be mede in connection with work authorized by this permit, antl that no buildinq structure, scallolding, falsework, or demolition or dismantling thereoi, will 6e more ihen thirty-siz (36) feet high. (Chap. 32, Grp 2, An 2, Sec. . 341, Title 8, Califomia AdministratiVe Code). ❑ As owner-builder, I will not employ anyone to do work which would require e permit from the Dlvision ot Industnal Safety, es noted above, unless such person has a permit to do such work from the division. Signature: Date: Division ot Indusirial Safety Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AUTMORVATION OF EMRY: I certify under penelry of perjury that I have reatl this epplicatlon and state that the intormalion given is corred. I ag � to comply w" ell state IAws and ciry ordinances relating to building construction, and authonze representetives of the Ciry of Coste Mesa to anter upon the ebove-de ed pr � e f pection puryoses. I egree not to occupy or ellow occupancy ot eny building authorized by this/q�e rmit u il final inspection. 4- S/ G /�Q 2 �S'�gnature�Of�CagafOwner(s)'� � GOate—� And/Or AutM1orized Applicant Date COpE I• INSPECTIONTYVE � Q91E I�9L§ 7616 Fixetl System Final Fire Prevention 1266 200 201 202 203 204 Pool Spe Final Finel Re-Root Final BIocWReteining Wall Final Fectory Fire Place Finel Sign Finel Demolltion COOEI INSPECTONTYiE 206 Final Mechanical 20B Finel Plumbing 210 Finel Elacirical 272 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy �g INfITI�lS 0 (714) 754-5273 • Faz (714) 754-4856 • wv+w.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTR{CAL PERMIT Job Address: Suite No Vicinity: parcel Nunmber: 469 ABBIE WY REAR OF SFD 11737224 Applicant: SUHLER, PAUL A& MAHER, LINQA Address: 469ABBIEWAY - � � �� "- ., , �Phone: 949-548 7021 I COSTA MESA, CA� �", - Zip: 92627 ,-� ; - . ' . . - Owner:;' SOHLER, PAUL A�B� M,AHER, LINDA Address � ��469�ABBIE�WAY-`. "., � � Phone: COSTA.MESA, CA Zip: 92627 � .,_ �, Contractor: 01NNER-BUI LDER Address: � . � . �._� `. i Pfione: Zip: License: 0 status: ISSUED Applied: 10/25/2001 Issued: 10/25/2001 ISSUED BY: ' , SCOPE OF PERMIT .' UPGRADE ELEC SERVICE TO 200A IN AN�EXISTINGSFD. 1 SERVICE T0�200A. � 11/13l01: 3 RES APPL�(SURGE PROTECTIVE DEVICE, SIGNAL ATTENUATOR,�SIGNAL CUPLER), 1 , - � , SUB PANEL TO 200A. � - ISSUE FEE Temp service test Res. a/c paokage New ftes (1--2 units)- New Res (3+units) Pool1 Spa � ' Liqhting Fixts � � ' Recept Outlets' ` Switches Non Res Appl . � Res Appl Service to 200a ' Service to 1000a � SeNice over t000a Motors to 1hp Motors to 10hp Motors to 50hp Motors to t00hp Motors over 100hp Communication drops Sud panel to 200a Pole Light Pkg Sign Circuits Tertip Pwr Pole IntOrmed Pole Quantity � $23.50 $0.00 $0.00 � $0.00 0 $0.00 0 $0.00 0 . - �$0.00- i `'� " 0' . $a.00� `� o . � $0.00' � � c, A � ,' $0.00 � ,��0 ' $14.25 ' .. �3 - , $30.50 �, 1 $0:00 0 ' , �$0.00 _ %-0 $0.00 0 $0.00 0 $0.00 ' 0 $0.00 -��-0 $0.00 0 $0.00 0 $30.50 1 $0.00 0 $0.00 0 $0.00 0 $0.00 0 � , Temp Dist System / Lighting Busway/100 R � _ ' Standing Sedion Misc Electrical EquipmeM � ' � Transformers up4o 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 VOIt Wiring�SystemJ Ckt Misc. Conduit � Misc Conductor Circus ( gemor ride)� Circus (mech ride or lights) Christmas Tree Stand � " Fireworks Stand , Other.Electrical Fee '� - Imestigation Fee Plan Check Fee Reinspection Fee Quantity� ,', $0.00 0 -; $0.00 0" �$0.00 •0' ' $0.00 0 $0.00 �,' 0 $0.00 ' 0 ' $0.00 0 $0.00 0 $0,00 . 0 $0.00 ` 0 .$0.00 ' 0 � � $0.00 0 . $0.0� � $0.00 '0 $0.00 -' 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES $98.75 COMMENTS 1 SPECIAL CONDITIONS ' N0710E: The work aNhorized by ihis parmd shall comply with aff applicable handicap access requiremenls under Calitornia statutes and reVated 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 untler this permit to be considered legal, Such work must comply with all applicable codes, end all requlred Inspections end flnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOH INSPECTIONS CALL: (714) 7545626 24CWB (8/00) WORKERS' COMPENSATION DECLARATION: � _ � � � , , ; I hereby eflirm under penelry' of parjury one of Ihe tollowing declaretions: - ❑ I heve and wIll�malMain e certiflcete ot consent to self-Insure for workers' compensation, es provitled for by section 3700 0� �he Labor Code, tor the,pertormance pf the work for which this pertnit is issuetl. ❑ I have and will meintain workers' compensation insurance, as required 6y seclion 3700 ot the Lahor Code, for Ihe pertormance of Me work for which this permit is issuetl. My workers' compensetlon Insurence carder and policy number are: � Carrier: Palicy Number: (Thls secHon need not be camplefed!! Me perm/f is velued at one hunOretl tlollars ($700) or less.) ❑ I cetlify that in the pedormance of ihe work for which this permit is issued, I shall not employ eny person in any menner so es to hecome subject to the workers' compensetion laws of California, and agree that If I shoultl become sub�ect to ihe workere' compensatlon provlslons of Sectlon 3700 of the Labor Cotle, I shall forthwith compty with these provision3. Applicent SlgnaWre: Da1e: � WARNING FAILURE TO SECUflE WOqKERS' WMPENSATION CAVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE MUNDRED THOUSAND DOLLARE (5100,000), IN ApDITION TO THE COST OF COAIPENSATION, DAMAOES AS PHOVIDED FOR IN SECTION 3]O60F THE LABOR CODE, INfEREST, AND ATiORNE1"5 FEES. LICENSED CONTRACTORS DECLARATION: I hereby eHirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Divislon 3 oi the Business and Professlons Cotle, end my license Is in full force and aHect. Lic. a Class # Contrector's Signature: Date: CONSTPUCTION LENDING AG�NCV: ❑ I hereby attirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lenders Address: Signature: � Date: OWNER•BUILDER DECLARATIONS: I hereby attirm thet untler penelry ot perjury that�l am EXEMPT FROM THE CONTRACTOHS LICENSE LAW for the following reason (Sec. 7037.5, Business end Professions Code: Any ciry or counry which requires e permit to consiruct, elter, improve, demolish, or repair any sWcNre, prior to its Issuance, elso requiras ihe applicaM for such permlt to flle e signed statement ihat he or she is licensed pursuent to the proNsions of [he Contrectors License Lew (Chapter 9(commencing wilh Section 7000) of Divlslon 3 of the Business and Professlons Code) or that he or she is ezempt therefrom and ihe besis for the elleged ezemption. Any vlolation of Section 7031.5 by eny.epplicent for a perrr+. �su �ects ihe applicant to e civil pehelry of nat more Ihan five hundred dollars ($500).): 1, as owner ot the property, or my employees with weges es ihelr sole compensatlon, WILL DO THE WORK, and the structure is not intended or oftered for sele (Sec. 7044, Business and Professions Code: The Contractors Licanse Law does not apply to an owner of property who builds or improves ihereon, and who does such work himself or herself or through his or her own employees, providetl that such improvements ere not Intendetl or oHeretl for sele. If, however, the building or improvement is �sold within one year of compietion, the owner-builder will heve the burden of proving thet he or she did not build or improve for purpose ot sele.). I, as owner of ihe property, �m EXCLUSIVELV CONTRACTING WITH LICENSED CONTHACTORS to construct ihe projed (Sec. 7044, Business and Professions Code: The contractors Licensa Law tloes not eppty to en ownar oi properry who bullds or Improves ihereon, and who contracis tor such projeq with a contrector(s) license pursuent to ihe Conirectors License Lews.). ❑ lam Signature: Business and P�otassions Code for this reason: Date: Owner ID veritied by tlriver's license. �Ves ❑ No Drivefs License No. (] �% Eapires: Venficatlon of Ownership by (type of dacument, i.e. - property tax bill or deed): DIVISION OF INDUSTHIAL SAFETY pERM1T CEHTIFICATION: ❑ I hereby certity ihat no exceVation tive (5) or more feet in depih into which a person is required to descend, will ba made in connection with work euthorized by ihis permit, end ihat no building strucNre, scaHolding, falsework, or demolition or dismantling thereof, wlll be more then thirty-six (36) feet high. (Chep. 3.2, Gry 2, Art 2, Sec. 341, Title B, Califomia AdminisVetive Code). ❑� As ownervbuilder, I will not employ enyone to do work which would requlre e permit from the Divisian of Industnfll Sefetg as noted above, unleu such person hes e permit to do such work from the division. Signature: �ate: Division of Industnal Safety Permit Number: CERTIFICA7E OF COMPLIANCE AND AUiFiORQATON OF ENTRV: I cenity under penalry of perjury that I have read this application and state that tlie information given is correct. I agree to comply with all stete lews end clry ordinances releting to building construction, end authodze representatives ot Ihe Clry of Costa Mesa to enter upon the �above-describ operty tor spection purposes. I agree not to occupy or atlow occupancy of any building authorized hy this permit until final inspection. �v� �/��✓/Z �m� Signature Of Legal Owner(s) Date AnNOr Authonzed Applicant Date COpE �, INSPECTIONttPE ' p� INiRIALg 1616 Fi:ed System Finel Fire Prevention 1286 Pool Spa Final 200 Finel Re-Roof 201 Finel BIocWReteining Wall 202 Final Fectory Fire Place � 203 Final Sign 204 Final Demolition ' LODEt INSPECTIONTYPE 206 Final Mechanical 20B Finel Plum6ing 210 Final Electrical 212 Final Fire Preventlon 220 Final Planning Approval 222 Final Site . 250 Final Building/Occupancy INTIMLS (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DR�VE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Vicinity: 469 ABBIE WY REAR OF SFD Parcel Nunmber: 11737224 Applicant SUHLER, PAUL A& MAHER, LINDA Address: 469 ABBIE WAY . , , " " � � � � � . � " - .Phone: 949-548-7021 COSTA MESA;.CA � � ' Zip: 92627 � � � Owner: , SUHLER, PAUL A'& MAHER, LINDA Address.; ,469ABBIE,WAY - '.. ` � , - , Phone: � COSTA MESA, CA� Zip: 92627 . . . .,,,, .... � Contracror: OWNER-BUILDER . Address: . � . .Phone: � . -, , � i � Zip: - " ' �- " License: 0 ISSUE FEE Temp�service test Res. a/c package � New Res (1-2 units) New Res (3+units) � Pool / Spa Lighting Fizts , - Recept Outlets . Switches Non Res Appl �' Res Appl Service to 200a. Service to t000a� �` Service over 1000a Motors to 1 hp � Motors to tOhp Motors to 50hp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole Status: ISSUED Applied: 10/25/2001 Issued: 10/25/2001 ISSUED BY: � , �\ . � � .� � � , � `. i . , .`��. ' SCOPE OF PERMIT . _ UPGRADE ELECSERVICE TO 200A IN.AN EXISTINGSF.D. ,� -� . :.'... . .. .�- ..,_._�::__.�. '..- �- � FEE SUMMARY ' , � Quantity . `_ _ " � - � ,__ _ . � Quantity ; . $23.50 _ . . . ' -Temp Dist System /�Lighting � $0.00 0 �� $0.00 8usway /100 k - $0.00 0 . , $0.00 Standing Section $0.00 0 � - ., $0.00 0 Misc Electrical Equipment $0.00 0�� ' $0.00 0 Transformers up to 1 kva/kw $0.00 0� ., $0.00 0 • ,. ' ....:. �:........up to 10 kva/kw $0.00 '�0, $0.00 0 � ' � �' ..........:.....up to 50 kva/kw $0.00 . 0 � " $0.00 0 �' � .................up to.100 kva/kw $0.00' - � � 0 . � � $0.00 0 . � �' - ..................over 700 kva/kw,-. $0,00 � 0 ' . $0.00 t �^ � �-0,'� � - � Low Voltage Equipment ` . $0.00' 0 ` - ,$0.00 ;� 0. � Low Volt Wiring System / Ckt $0.00 -� 0 , ' $30.50 � �_ � t Misa Conduit ` $0.00 . 0� . $0.00 '��0 � Misc: Conductor - � $0.00 ' 0� - , $0.00 , � 0 Circus ( gen or ride) .� $0.00, ' 0,- , $0.00 0 Circus (mech ride or lights) �� $0.00 , 0 � � $0.00 . 0 � Christmas Tree Stand � � $0.00 0. � - � �-$0.00 '.� 0� � Fi,reworks Stand � $0.00 - : 0 �' $0.00 � � - 0 Other Electrical�Fee $0.00. $0.00 0 $0.00 ' ' . 0 � � � � Investigation Fee - . . � $0.00 $0.00 ' 0 - . Plan Check Fee - $0.00 $0.00 0 � - Reinspection Fee $0.00 $0.00 0 $0.00 0 TOTAL CALCU�ATED FEES $54.00 $0.00 0 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access raquiremeNs under California statutes and related regulations. (Ortl. No. 92-28, §'1, 12-21-92) EXPIRATtON: 7his permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under Ihis permit to be considared legal, such work must comply with all applicable cotles, and all requlred inspactlons and tlnal approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2aae-as �e�oo) WORKERS'�COMPENSATIONDECLARATION: �� . I here6y aHirm under penalry of perjury one of the following declarations: �' ❑ I heve antl will maintain e certificate of consent to self-Insure for workers' compensation, as provided for by sec�ion 3700 of [he Labor Code, for �he perfortnance of ihe work for which ihis pertnit is issuetl. . � ❑ I have end will mtintain workers' compensetion insurence, as requlred by section 3700 of the Labor Code, for the pedormance oi the work for which ihis'pertnit is Issued. My workers' compensatlon Insurence wrrler entl policy number ere: . � Cerner. Palicy Numbec (Tiils sectlon.need not be completetlll the permit is velued at one hundred dollars ($100) or less.) . . . . . , ❑ I certify that in the peAormerice o� the work for which this pertnit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensetlon laws of Celifornia, entl egree ihat It I should become suh�ect to the workers' compensatlon provisions ol Sectlon 3700 of ihe Lebor Code, I shell forthwlth comply with these pro�risians. Applicent Signeture: Date: WARNING FAIWRE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO ONE HUNDRED TFpUSAND DOLLARE ($100,000), IN ADDITION TO TNE COST OF COMPENSATION, DAMAGES AS PfiOVIDED FOR IN SECTIIXJ 3�Ofi OF THE LABOR CODE, INIEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: � I hereby aHirm that I em licensed under provisions of Chapter 9(commencing with Sectlon 7000) of Divislon 3 ot the Business end Professions Cotle, end my license is in full force end eftect. Llc. M Class # Contracrors SigneNra: Dete: CONSTRUCTION LENDING AGENCY: ❑ I here6y ettirm tha[ there Is e construction lending agency for the pertormance oi the work tor which this permit is issued. (Sec. 3097, Civil Cotle). Lender's Name: Lender's Address: Si9nature: Date: OWNER-BUILDER DECLARATIONS: � I hereby atfirtn that under penalry of perjury that I em E%EMPT FROM THE CONTRAC70R5 LICENSE LAW for the fallowing reason (Sec. 7031.5, Business end Prafesslons Code: Any ciry or county which requires e pertnit to construd, alter, improve, demolish, or repair any sWCWre, pdor to its issuance, also requires the applicant for such permlt to file e signed stetement thet he or she Is Iicensed pursuent ro the provlslons of the Contracrors License Lew (Chepter 9(commencing with Sedlon 7000) at Division 3 0( the Busineu and Professions Code) or that he or she Is exempt therefrom and the basis for the alleged exemption. Any violetion of Section 7031.5 by any applicant for e pema. subjects the applicent to e civil penelTy of not more than five hundred dollars ($500).): ❑ I, as owner of the properry, or my employees with weges es their sole compensetion, WILL DO 7HE WORK, and the structure is not intended or oHeretl for sale (Sec. 7044, Business end Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves ihereon, end who Ooes such work himself or hersalf or through his or her own employees, provitled that such Improvements ere not intended or oHered tor sele. If, however, ihe builtling or improveman[ is �sold within one year of comple�ion, the owner-huilder will have iha burden of proving that he or she did not 6uild or improve tor purpose of sale.). I, es owner of the praperty, am EXCLUSIVELY CONTHACTING WITH LICENSED CONTIiACTORS to construct Iha project (Sec. 7044, Business and Professions Cade: The conirectors License Lew daas not apply ta en awner of praperty who builds or improves ihereon, end who contrects for such proJect with a contrector(s) license pursuant to the Contractors License Laws.). ❑ I em exe n r se . Businass end Professions Code for ihis reason; Signeture: oate: �/ Z Z m o/ Owner ID verified by drivers license. + Yes ❑ No Dnver's Licensa No. � Expires: 2IX7 Verificetion of Ownership by (rype of doc ment, I.e. - properry tex bill or tleed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cenify that no excavetlon five (5) or more feet In depth imo which e person Is requiretl ro descend, will be made In connectlon with work euthodzed by this permit, and that no building siructure, sceNolding, felsework, or demolition or dismantling ihereof, will be more than thirty-six (36) feat high. (Chap. 32, Grp 2, Art 2, Sec. 341, lltle 8, Celifomia Administrative Code). � ❑ As owner-builder, I will no� employ anyone to do work whlth would'require a pertnit from ihe Division of Intlusidal Setety, es nated�above, unless such person hes e permit to do such work tram the division. Signature: Division of Industrial Safery Permit Number: 4 5 Date: ARDOUS MATERIALS AND EMISSIONS CEH7IFICA710N: � Will the applicant or present or future building occupant need to file end certiy a Buslness Plan for emergency response to release or threatened �eleese of e hazerdous metedal? ❑ Yes ❑ No � (Section 25505 of Ihe Californie Health and Satery Code requires, with some exceptions, Ihat e Businass Plan be filed wi�h �he Costa Mesa Pire Department� by every business which hes et eny one time during a reported year a quantiry of hazardous meterials equal to or greater than a weighl of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressetl ges at standard temperature and pressure). ........................................................................................................................................................................................................................................................................................... ....................... ....:.............................................. Does or will the applicant or present or future building occupant need to file e registration tortn for ecutaly hazardous materiels7 ❑ Yes ❑ No (Section 25533 of the Californla Heelth end Safery Cotle, with some exceptlons, requires registretion with the Casta Mese Fire Department by each Dusiness which et eny one time hes on hentl e quantiry of acutely hazerdous meterlals equel to or greater than e welght of 500 pounds, or e volume ot 55 gallons, or 200 cubic feet of compressed ges et stendard tempereture and pressure). .............................................................................................................................................................................................................................................................................................................................................................................. Does or will the applicent or present or futura building occupant need to prepare an RMPP (Risk Management end Prevention Program tor acutely hazertlous matenals)7 ❑ Yes ❑ No (Section 25534 ot ihe Californie Health end,Safery Code provides that the Costa Mesa Fire Department may require the preperation, cerlitication end filing with the Fire Depertmant of en RMPP by businesses which are requlred ta register acutely hezertlous ma[erlals with the Fire Depariment. If �en �RMPP is oresentiv required,�hss Section 25534�of the Culifornie Heaith and Safery Code been fully complied �with? �� Yes ��0 IVo�� Does or will Ihe applicant or present or tutUre builtling occupent require tor ihe work which is ihe su6ject of thise� plicatbn a germit br such construction or modification from ihe South Coest Air Ouality Management Dlstdct or from any other elr poIIN{on control distdct or egenc�/7 u Ves LJ No (Secfion 658502 of Ihe Califomia Govemment Code requires that the requesretl informetion be fumishetl on applicatlons for noo-residentiel building pertnits). Will any pert of the faciliry lo �6e constructed undar this permit be within 1000 feet from the outer boundaries of a school7 ❑ Yes ❑ No Qf "yes", the facility must meet the requirement of Sections 25534 end 42303 of the Celifomia Health antl Sefety Cotle). � ................................................................................................................................................................................................................................................................................................................................:.............................................. If e yertnit irom the South Coast Air �uality Management District or othe� eir pollution control tlisirict or egency is reGulred for ihe work which is the suDject of Ihis epplication, have ell of ihe Olsclosures prescribed by Gallfornle Health entl Safety Code Section 42303 been made7 ❑ Ves ❑ No .............................................................................................................................................................................................................................................................................................................................................................................. (If'yes", atlach certificate of compllance from the appropnate air pollution control oflicer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury ihe intormation given above is corred. I agree to comply with all state lews and city ordinances regarding Hazardous Matenels and Emissions. Signature: Dete: CERTIFICATE OF COMPLIANCE AND AllTNORI7ATON OF ENTRY: I certify under penalry of perjury that I have read this epplicatlon and state that the infortnation given is cortect. I egr e to comply wyith ell state lews and ciry ordinences relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the eb�es �op fo inspeaion puryoses. I agree not to occupy or ellow occupency of any building authorized by this permit until final inspection., , i ( e7 2 �o� SignaWre Of Legal Owner(s) Data � AndiOr Authorizetl ApPlicant n � Date FOUEI, INSPECTIONTYPE 1616 Fixed System Final 1266 Pool Spe Final 200 Final Re-Roof 201 Fina181ocWRetainli 202 Final Fadory Fire F 203 Final Sign 204 Final'Demolition rnr�r.��__�� M�OB �Pfnal Plumbing � 210 Final EI ' al 212 Final FI e re 220 Final PI in 222 I 250 Final B I ing/C PAIE �96$ .I . ' ' -...__ . ,�n-, I (714) 754•5273 • Farz (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 4fi9 ABBIE WY Suite: Vicinity: Parce� Numbec 11737224 ,4pp�icant: UNKNOWN Address: Zoning: Phone: Zip: Owner: SUHLEI2, PAUL A& MAHER, LINDA Address , 469 ABBIE WAY� . , - - , . � ' � � Phone: ,- COSTA MESA, CA .�' Zip: 92627 Contractor: Address: � i � Z�p;'� � Arch : Address: ,� Zip: " . ��`Pfione: � . ' Libense: Status: ISSUED Applied: 04/13/2001 Issued: 04/13/2001 ISSUED BY: �/Ol� �' _. � �i� \ , � _ . � . \ Phone:" License: ' - � , E�9, � � � Address: " � �: � � ::a\ `� \ _ \ ` .. ' � ,Phone: � � License: . _ . . . . .,..... � ..� � ��.�� , , CONSTRUCT 40 LINEAL FEET OFBL=OCK WALL 6 FEET IN HEIGHT ON-SIDE P L<<10•FOOTjSETBACK FROM FRONT�� _ � ,' � �, PROPERTY LINE (FIRST�10 FEET WILL BE WROUGHT IRON FENCE SIX FEET IN HEIGHn. � -� � ' t�- . . i�-� � � _ ' 'f'. : . � ' � � FEE SUMMARY %` � �.r' j �,'; ; �- � J �, ��,.PIan-Check ��,� �$25.19 „ � " %' _.'.CalcValuation �,{�'% .- g�000.00� � �� Permit ``, $38.75 � '' �� ClaimValuation �',rj( �� go:oo �� SMIP Res, � , $0.50 �`� %�',' � ` �� SMIP,Gom �, � $0.00 � �' _ ��; " ) " � �� yjJ, t � Other: � $0.00 - � i'�� ' �� ,In.spection:-� \$0.00 ,� n" "� !/` �,. .'j/ ;' j',, „^is-. ,;:�rf ��; � i :��. . � /'�s r� /r�� TotaL � �$64 44 ' . s - rt, '"' � z� -�.:.M. �%/i , . /� \ . . . . " - /i � J�. �. `. ♦ 1C.� s- ' ' �'''" � ' 'l ' . ' � �. �.��i �� n�� \.\ � �% � �Ji `'�\�\\ � ` •.,[� � -. � �' � ; �_ � �; SETBACKS�'- ��, : � � � �- MAIN STRUCTURE �Front 0 Of .',' �Rear ' 0--0 � ' ACCESSORY Front,_0-�0 \ �_i�-Rear -0�0- PARKING Existina: 0`�` > Re uired: �0� NOTES: aNNING 8 ZONING �r�j /;��. � ,:e : /' \\ � ; � , �� , Left 0 `0: � Right `0- 0' , � `r' � ��`-`� /j� ��Left .0.�0, �'� �� Right" �0,0'" • "� � . ��, _ . � -��'�,� / . �� ` �,Pr000sed: -'-0 = ��-'� � _ ,�,_ _ t _'.. . - : , NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutas antl related regulations. (Ord. Na. 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 ortler for the work authorizetl untler this permit to be consitleretl legal, Such work must comply with all applicable codes, and all req�ired inspect{ons end final epprovel must be obteined. Failure to obtain inspections and final approval will result in the ezpiratbn. of this permit. FOR INSPECTIONS CALL: (714) 7545626 2448d8IH/00) WORKERS' COMPENSATION DECLARATION: - , ` � + , " , I hereby aMrm under penalry of perjury one of ihe following declerations: ❑ I have and wilFmeintain e canificate ot consent to setl-Insure for workers' compensatlon, es provided fdr by section 3700 of Ne Labor Code, t« the paAormence of ihe work for which [his permit is issued. ❑ I have and will maintain workers' compensaGon insurance. as �equired by sectlon 3700 of the Labor Code, for the performance of the work for which this pertnil is issued. My workers' compensetlon Insurance carrier and policy number ere: Carrier. " Policy Number. (This section neetl not be completetl il the permit is valued et one huntlred dollars ($100) or less.) ❑ I certily ihat in the perlormance of ihe work for which ihis permit is i<sued, I shell not employ eny person in any manner so as to become subject to ihe workers' compansatlon laws of Calitornie, and agree ihat IF I should become subJact to the workers' compensation provisio�s of Section 3700 oi ihe Labor Code, I shell forthwlth comply with ihese pravisions. Applicant Signature: Date: WARNING: FAILUHE TO SECURE WORKERS' COMPENSATION CQVERAGE IS UNLAWFUL AND SHALL SUBIE4T AN EMPLOVER TO CRIMINA� PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLUIRE ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]fI60F THE LABOR CODE, INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eHirm that I em licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of ihe Business antl Professions Code, end my license is in full force and eflecl Lic. u Cless M Contractors Signeture: Oa[e: CONSTflUCTON LENDING AGENCY: ❑ I hereby aHirm that there is a consWction lending agency tor the peAormance of the work for which this permit is issuetl. (Sec. 3097, Civil Code). Lender's Name: Lender's Adtlress: SignaWre: Date: OWNER-BUILDER DECLARATIONS: I hereby eNirm that under penelry of per�ury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions Code: Any ciry or county which requires e permit to constmct, elter, improve, demolish, or repair eny stmcture, prior to its issuanca, also requires the applicant for such permit to file e signetl statement thet he or she is licensed pureuent to ihe provisions of the Contractors License Law (Chapte� 9(commencing with Sectlon 7000) of Divislon 3 of the Business and Professions Cotle) or thet he or she is exempt iherefrom antl the hesis for ihe elleged exemption. Any violatlon of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalry of not more then five hundred dollars ($500).): ❑ I, es owner of the properry, or my employees with wages as their sole compensation, WILL DO 7HE WORK, entl tHe structure Is not Intended or oHered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builtls or improves thereon, and who does such work himself or herself or ihrough his or her own employees, provided that such improvemenis are not Intended or oHered tor snle. If, however, the building or improvement is /// sold within one year of completion, the ownerbuilder will have tha 6urden of proving that he or she did not build or improve tor purpose of sale.). �I, as owner of lt�e property, am EXCLUSIVELV CONTBACTING WITM LICENSED CONTRACTORS lo construct the project (Sec. 7044, Business antl Pmfessions Code: The contractore License Lew does not apply to en owner of property who bulltls or Improves thareon, end who coniracis for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑.FamA�Sempl und�r sec. _ . _ Business and Professions Code for ihis reason: . /i'�� _.. arified by drivefs licen . ❑ No D s Lice e No. of Ownershlp by (type of docu ent, i.a. - property �az biil Or tleetl): � DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: , ❑ I hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be made in connection with work authorized by this pertniL and that no building sWCNre, scaHolding, falsework, or demolition or tlismantling thereot, will be more than thirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 345, Title 8, Celifomia Administrative Cotle). ❑ As owner-bulltler, I will not employ enyona to do work which would require e parmit from the Division of Industrial Safery, as�noted ebove, unless such person hes e parmit to do such work from Ihe tlivision. Signature: �ate: Division of Industrial Safery Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: ' 1 Will the epplicant or present or future building occupant need to file end cerlify e Business Plan for emergency response to release or ihreetened release of e hazerdous metariel? ❑ Yes ❑ No (Section 25505 W the Celifornia Health and Safety Code requires, with some exceptions, that a Business Plan be �iled with the Costa Mese Fire DeDartment�6y avery business which has at any one time dunng a reported year a quanhty of hezerdous materials equal to or greater than a weight of 500 pounds, or a voluma o155 gallons, or 200 cubic feet of compressed ges at standard tempereture and pressure). �� a licant or resent or fuNre builtlin occu �ant need to file a re istration form for aatel �hazardou metenals? Yes �� ......................................... ....................... .... 2 Dces or will the pp p g p g y s ❑ ❑ No (Section 25533 of Ihe Californla Health and Safery Cotle, with some ezceptions, requires registration with the Costa Mesa Fire Departmen[ by each 6usiness which at any one time has on hand a quantiry of ecutely hazardous meterials equal to or greater then e weight of 500 pounds, or a volume of 55 gellons, or 200 cubic feet of compressetl ges at stantlartl temperature end pressure). ............................................................................................................................................................................................................................................................................................................................................:............................................... 3 Does or will the applicant or present or tuture building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materiels)7 ❑ Yes ❑ No (Section 25534 ot ihe California Health and Safery Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Depertment of an RMPP by businesses which are required to register aculely hazardous materlals with ihe Fire Depahment. ....................................................................................................................................................................................................................................................................................... ................................................................................................ 4 I� an RMPP is presently required, has Sedion 25534 of the Calibmie Heellh anU Safery Code been fully complietl with4 ❑ Yes ❑ No ......................................................................................................................................................_.................................................................................................................................................................................................................................._ 5 Does or will the applicent or preseni or tuture building occupant require for the work which is �he sub�ect of Ihis ,a�pplication a Permi� for such construction or moditicalion irom ihe South Coest Air Oualiry Management District or from any other air poliution control tlistrict or agency7 LJ Yes LJ No (Section 658502 o� ihe California Govemment Coda requires thet Ihe requested infortnaiion be fumished on applications for nomresitlential building parmits). .......................................................................................................................................................................................................................................:................................................ ....................... ................................................................... 6 Will eny part ot ihe faciliry to be consiructed under this permit 6e within 1000 teet from Ihe outer boundenes of e school? ❑ Yes ❑ No (H'yes", ihe faciliry must meet Ihe requirement of Sections 25534 antl 42303 oi the Celitornia Health and Safety Code). ........................................................................................................................................................................................................................................................................................................................................................................................... 7 If a permit fmm ihe South Coast Air �ualiry Menagement District or other elr pollution conirol disirict or egency is requiretl for ihe work which is the subiect of this application, have ell ot ihe disclosures prescribed by Californle Health and Safety Code Section 42303 bsen mada7 ❑ Yes ❑ No ............................................................................................................................................................._............................................................................................................................................................................................................................. 8 (If'yes", attach certificata of compiiance from the eppropriate air pollution con�rol oificer). GERTIFICATE OF COMPLIANCE: I certify that under penalty ot perjury the information given above is correct. I agree to comply with all stete laws and city ordinances regartling Hazardous Materials and Emissions. SignaNre: Da�e: CERTFICATE OF COMPLIANCE AND AllT}IORIZATION.OF ENTRY: I cetlify under penalry of perjury that I have read this application and state that the info�mation given is correct. I egree to comply with all state lews and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to emer upon Ihe � above- sc bed pe or mspec' puryo I agree not to occupy or allow ocapancy of any building euthorized y this permit umil tinal inspection. �..�-� � �r�3%d, �-�- Signature f Legal er(s) And/Or Authodzed Applicant Date �� COpEY. INSPECTIONTYPE Q�[' IlljR�S�^� �F� INSPECTIONTYVE �� ryTRIpL3 1616 Fizetl System Final Fire Prevention 206 Final Mechanical . � 1266 Pool Spa Final ��j� 208 Final Plum6ing ' 200 Finel Re-Roof , '_ �� (� Z10 Finel Elecirical 201 Finel BIocWReteining Well 212 Finel Flre Prevention 202 Final Factory fire Place 220 Final Plenning Approval 203 Flnel Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupency . s �� ..:. piVi510N OF BliiLDING SAFE'1'r CITY OF COSTA MESA APPROVED }i �'� �re � � �� "t:is set oi pienns and specifi�alionne MUST be kept on tlds pb et ell times and 8 is unlavrtm �.. � :.�.keanyd�es a�teratbnon seme wilhoutwrklenpemassioniiwnihe ONisionof Buildir:'� r�d Safety, CNy of Coste Mesa. hs stamping ofthispten end spec�r�tions SHALINOTbe hekltoperm�orto he an apPmv�: of ihe violatbn of any provisions of any Ciry af Costa Mese OMir�nce andfor State lav,. �he�a Flars a�M pam�� shall e�ire by HmAalion end become null e�d void il the building r, unrk ie nn� rnrt!mert�l �^a m,wa:,d! •�+w,, :v>. ��tr. cvn �n� w�thh t80 deys ol i�suano. � �'u tb � N Hoase K� G�(j�o�� Wall `1 "'� �Ok9 i � Z �, �,rmu9% x�� -z� �� o'taHy — ? `�------ �_ �l GS �}��fe W a[ 130�- ooS-� ��.�� U i Y('� COSTA MESA PLANNING DIV. SUBJECT TO BLDG. DEPT. REG. � �� BY A� DaTE �%s/C u�„�y Pf r, �fr e� t �I 6 9 A� b 6�� ✓ct y ---�.. P�m��zs�si �✓d�l (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.BUILDING PERMIT n FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 469 ABBIE WY Suite: Vicinity: Parcel Number: 11737224 Applicant: SUHLER,LINDA Address: Zoning: Phone: 949-5487021 Zip: owner: SUHLER, PAUL A 8 MAHER, LINDA Address 469 ABBIE WAY , COSTA MESA, CA Contrector: Address: Zip: Arch : Address: Zip: Phone: Zip: 92627 , Phone: • � License: � � - ' � .. . . .� Eng: . . . Address: , , Phone: License: , CONSTRUCT 6-FOOT HIGH�BLOCK WALL ON SIDE i DPE OF.?ERMIT.-%� �� ,� 67 FEETI�N'LENGTH.'= ' �-�' Status: ISSUED Applied: 07/03l2001 Issued: 07I03/2001 ISSUED BY: ��` Phone: License: i " � � FEE SUMMARY �� , � j.: Plan Check: . '$41.05 _ � _ — -- - - - 4��" ' •' ,Calc Valuation $�,�zo.00 � Permit' '� �� $63.15 � — � � r ,i — � � -��Claim Valuation: ��`�a � � $o.00 SMIP Re's: �� $0.50 �� -/ �;; �:' ,' SMIP Com:� ��ti � $0.00 �� ;. _;� �,,�� . ( ° Other.�� $0.00 � �� '—" � �il� � � � Inspectwn. $0.00 �� ' �^ . ,��.':i �„ ; i � �- �, , ; Total: $104.70�• �. �i �?. . �'' � , � i _ . , ' ., t ''�'">•.r) :�%l , . , .� V ' , . � . , . ' - i' � - .' � � % PLA � �� SETBACKS �� iff �s .;� R � � ' MAIN STRUCTURE Front 0-0 ; f��, Rear . 0--0 � �, ACCESSORY Front . 0--0 ��`� ',!,, Rear -0- 0. PARKING Ezistinq: '�Q� :=�-_.Required: �o NOTES: � � '� . JNING`& ZONING � r/ , , � ,/Fi ; �� '. .. . , � ��/i' '��,��i' '/ � , _ �/./ .r � � � / %, .Left �0-0 ��"� � Right 0 �0,' �' � / � ,\ ,. . , Left 0-�0 '. �;ly Right �� 0 0'y� �� „ .., `-:.,�� _�/i'�"i, � Proposed:t` .0 �� -�t,:I -' .. , ,. .. .;� . - ;,: i "�"" �.. . NOTICE: The work authorized by ihis 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 it work is not commenced within 180 days, or it work is suspended or abandoned ' for a period of 180 days. INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inspectlons 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) 7545628 2aas-ae ls�oo� WORKERS' COMPENSATION DECLAFiATION: ,,,, . „ --o I hereby affirm under penalry ot perjury one of tha following declaratlons: ' ❑ I heve entl will melntaln e cerliticate of consent to self-Insure for workers' compansa��on, es provided for by seqion 3700 of the Lebor Cotla, for the perfortnance of ihe work for which this permit Is issuetl. . . � ❑ I have end will meintain workers' compensetion insurance, as requireA by sectlon 3700 of the Labor Code, for the peAormance of the work for which thi; pertnft is Luued. My workers' compensatlon Insurence cartier antl policy number are: -- Carcier: Policy Number _� (This secfion need np� be complefed'Afhe permif !s velued at one hundred dollers ($700) or less.) ❑ I certify ihat In ihe pertormance of the work for which this permit is issued, I shell not employ eny person In eny manner so es,to become subject to ihe workero' compensa�lon lews oi Califomla, end egree thet It I shoultl become sub�ect to �ha workers' compensetion provlslons ot Section 3700 of iha Lahor Cotle, I shall forihwlth comply wlth Ihgse provisions. Applicent Signetura: Dete: WqpNING: FAILURE TO SECURE WORKERS' WMPENSATION COVERr1GE IS UNIAW FUL AND SHALL SU6IEGT AN EMPLOVER 70 CRIMINAL PENALTIES AND CIVIL FlNES UP TO ONE HUNDRED THOUSAND DOLI.ARE ($�pp,pp0), IN ADDITION TO TNE COST OF COMPENSATION, �AMAOES AS PROVIDED WR IN SECfIqJ 3'708 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby effirtn that I am licensed under provisions ot Chapter 9(commencing with Section 7000) ot DlNsion 3 oi the Business and Professlons Code, end my Iicense is In tull force and eNect. Lic. s Cless u Contradofs Signature: Dete: CONSTHUCTION LpNDING AGENCY: ❑ I hereby aHirtn ihet there is e consiruction lentling agency for the pertortnance oF the work for which ihis permit is issued. (Sec. 3097, Civil Code). Lendefs Neme: Lender's Atldress: ' Signeture: Dete: OWNER-BUILDER bECLARATIONS: I hereby aflirm that 4nder penelry of perJury that I em E%EMVT FflOM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business entl Professlons Code: Any ciry ar counry which requires e pertnit to construcl, alter, improve, demolish, or repair eny structure, pnor to its issuance, also requires the epplicant for such pertnit to tile e signed stetement that he or she Is Iicensed pursuent to the provislons of the Contredors License Lew (Chepter 9(commencing with Section 7000) of Division 3 of the Business end Profegslons Cotla) or thet he or she Is exempt 1he�efrom end the besis for the elleged exemption. Any violatlon of Section 7031.5 by any epplicant for e pertnit subjects the epplica�t to e civil penalry of not more than five hundred dollars ($500).): ❑ I, es owner of the property, or my employees with wages es their sole compensalion, WILL DO THE WORK, antl the structure Is not intendetl or otteretl for sele (Sec. 7044, Business and Professions Code: The Contractors License Lew does not apply to en owner of properry who builds or improves thereon, and who does such work himself or herself or ihrough his or her own employees, provided thel such improvements are not intendad or oNered for sale. If, however, the bulitling or Improvement is sold within ona year of completion, the owner-bullder will heve the burden ot proving thet he or she did not build or improve for purpose of sale,). ❑ I, as owner ot the property, am EXCLU&VELY CON7RACTING WITH LICENSEO CONTRACTORS to construct tbe project (Sec. 7044, Business and Professions Coda: The con�ractors License law does not epply to an owner of property who bulltls or Improves �hereon, end who coniracts for such project with a coniractor(s) license pursuent to the Contractors License Lews.). ❑ I am exempt under sec. Signature: - Owner ID verifiad by tlrlver's Ilcense. ❑ Yes ❑ No Business and Professions Code for ihis reason: Verificetion of Ov+nership by (type of document, i.e. - property tez bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICA710N: Drlver's License No. Date: Ezpires: ❑ I hereby certity thet no excavetion five (5) or more teet in depth into which a person Is required to descend, will be mede in connection with work euthorized by this permit, and that no building struclure, scaflolding, falsework, or demolltion or dismantling thereof, will be more than thirty-siz (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, C�lifornla Administretive Cade). ❑ As owner-builtler, I will not employ enyone to do work which would require a permit irom the Division of Intlustriel Safety, es noted ebove, unless such person has a permit to do such work from the divislon. Signature: Date: Division of Indusirial Sefery Permit Number: CERTIFICATE OF COMPLIANCE AND AUfFiORiZATION OF ENTRY: I cenity under penalry of perjury that I heve read this application and state that the information given is conect. I agree to comply with ell stete laws end clry ordinances releting to builc�ing construdioq end euthorize representatives of Ihe City of Costa Mesa to enter upon the ebove-described properry for inspection puryases. I egree not to occupy or ellow xcupancy of any building authorized by Ihis permit uMil finel inspection. Signeture Ot Legal Owner(s) Date And/Or Authorized Applicant COOE M, INSPECTIONHDE 1676 Fizetl Sysigm Final Fire Preventlon 1268 200 201 202 Pool Spa Final Finel Re-Rpp� Flnel Block/Reteining Well Finel Factqry Fire Place , 203 Finel Sign 204 Final Dem �_� .111:_ w /�/ ..1�.�, Y{�' .1�:�,+'� CO�E 1 INSPECTIDN TYPE 206 Final Mechanical 208 Final Plumbing 210 Finel Elactricel 212 Final Flre PrevenNon 220 Final Planning Approval 222 250 Final Site Final Building/Occupancy QBjj INTRIRLS Cement Copin9 �P��onal — Channel Bbck N1�th 1-3lBaj Horiaontal Top ol all Fences For Fencef 5' o� Less Vert. Bars 3/8" 41 at 4' �0" O.C. For Fences Higher Than 5' Vert. Ban 3/8"� at 32" O.C. � Fill Cells Solid With Grout Where Steel Ot�urs Remlmciny Steel Shall Lonform 10 Se<.A�15�39 A.S. T. M. All Steel to be Lapped 24" or to Codt NATURALGRADE iwA �/B"d enq5 CON7INUOUS TOP TYPICAL � �°� D al4 �' x z �a 6�� CONCRETE BLOCK . FENCE GENERAL- NOTES MORTAR; pna Parf Plosfic Cement, and rn.ee Parts sane GROUT: One Part Cemenf TMee an0 One Holf Parts S�and COPiNG: One Part Cemen�, Three Paris Sond CONCRETE: Weil Mixed 1:2-I/2:3-I/2 Mo� of 7- I/2 Gal;ens of Water Per Saik of Cemem GROUT MAY BE POURED FPOM TNE TOP OF THE FENCE IN CELlS WMEHE STEEL OCCURS. CELLS AND AREASOi HOH120NTAl REIN FORCEMENT SHALL BE CLEAR, CLEAN 6 FREE Oi ALL MORTAR DEBNIS, ETC. UIV SION OF BiJILDING SAFETY CITY OF COSiA MESA _ ,� APPROVED � r -� l� j �_� ,�,._ n��e 6 B0T 70M � � µ' � pT H � T e � e' o c n� a x�' n!s t A pl ar�� sdecBications MUST be kept on this job at all times and il is unlavdu! ic. � , see CNAqT ` �iare @n es�raNerationonsamewdtaulwrittenpertnissionfrwntheDiuisionofBuild'u�. � BELOW NOQ�ZSTEELMUSTBETIEOIN � •:1�StBi�CII Of 06I2Y/S�Jfl.C� C4RTHT(;OTH YLACE AT TIMEOF TRENCH I I � � �/3 THE HEIGTN O� �ENCE INSPECTION. o L�, � L �thosf �nP 90 1hi�planan� f�t;��,YOM!� b k r„�p�h;Mu{�.,rmilortobeenapprova. �.. cl ths vio� o�ny previ�ions c a:�,. C�t� er .^..�sc; P.1esa �rdir�l,hce and/or State if�; �Q'�„I �O' � �f06^�:1an, � ;milshallexpire��,;;�ri�'�iiro:�-nc��kEii15��?J1��iI�,bU��dII1Q� �i:]�i11::1`!L:�(p�.....:i:....:._.....""'. " " .. ' '�'�f^�'t:r..�.�i12Ufig`jiv(195U2:^.1, fOOTING REQUIREMENTS CHART WIOTH THICKNES$ OEPiH OF EARTHTOOTM SPACING OF EARTHTOOTH IO" 24" 12' 14" 10" 20" 14' BUILDING DIVISION 8" 16�� 16' 12" 8" 12" 16' •. THLS SKEfQ�i LS FOR INFORMAT10NA4 PURP06ES ONLY. APPLICANCLSR6PONSfBLEFORPROVIDWG AN ACCURATE RiYRFSINfAT10N OF 7}4Lt PROPFRTY AI GSE 1t� SHAPE AND SIZE DO NOT CORRESPC)ND WRIi TIiE INFORMA770N PROVIDID ON 7'ffl59�'Ff. i i I i C I aw C i� � ME4DENCE I . I � �._..... \ �_ NC90ENfE .. ! • SO[1D WALIS/FENC�S BEIWEF7V 2'6' k b' PI FffICFIT 4iALC BE SEIBAIX AT 1FASI 10' FROM FRON[ PROPERYY LINE. • SOLID WALIS(F1Nff5 SHALL NOi IDCC}ID 2' 6• IN i�]QiT Wlli@I IU OF 1HE FROM PROPFRTY IAfE �107' CURB I.WE). • VFRhY DSI'ANCi FAOM CURB TO PROPERIY UNE AND 910W ON PIAN. VERD�IG110N FROM 77� (TIYS ENGIIJFFItIIJC DN6[ON 6 REQUQtED• GU.L (714) 754�.5749 ADR INPDRMATION. �a[ritt i i i i � � i i L s � €� RE4DEMCE i ...'""'"""""'"_ � _" _ � n � STREET�i -� - ----�- - -- . , . . � ,}; '. , BLOCK WALL LAYOUT FOR BUILDING PERMIT , - :�� , ; ..f , A � ,. . -, . � � PLANNIN� dIVIS10N " _ �;,� �j� � �� Proposed Wall � % `/�r�H- g�'iK �r��r� /�o �- n /oz f 1�PiO�D CITY OF COSTA � PLANNING DI . SUBJECT TO BLDG. D PT. REG. Proposed Block Wall 469 Abbie Way Costa Mesa, CA 7 3 �/ se 8 Existing Wall � Utility . . Pole r . ' .._ r (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 469 ABBIE WY Suite No Vicinity: WEST SIDE YARD AREA Parcel Nunmber: 11737224 -/ Applicant: MAHER, LINDA � � ; Address: 469 ABBIE WY' . i ,i � � � COSTA-MESA, CA-, ' � � ; �, � Owner.� � SUHLER,'pAUL � nadress � �ass a,eeie.wiv`- = : ' COSTA"MESA, CA ,`Coptractor. 1. � Address: � � Arch / Eng : Address: r oj� � �- OWNER-BUILDER • . � .. PLUMBING PERMIT Status: ISSUED Applied: 03/29/2002 ' Issued: 03/29/2002 .- - --- ISSUEDBY: _:� i. � � � , `. Phone: � 94354&7021 '� , . _ l _ � .� � - Zip:"92627-3162��i j �\-�__\ > _ _ � `•�` � . , . . . .ti ` �1�\ / A,�� .�', � �, %/� `�`�' `., � , ; ��` � ' i �� :��. Phone: ��•� � :��. �� . Zip:''92627-3162 �-��-�� /% �. �`��,�.. ' �� . _ - - _�' �:�, =�,i � ��, _. , � .1 _ . , c. � ' �` � � � �� •��'. ,- , � �� . _ , , � `.;. , . � �_-" .... � � . � �' , � � � i,. Phone: ' �'�i` t �� ' 1 :� � . .. - Zip: � � �� '� . , , , ��A �. {t �� , � � � License: 0 �� - . � � '� ` � � . - .. . . . .. _ ��y`: . --1 ,. .' . � _ . �-- �. _, ',i� , - - ,�` �- _. � , � ' Phone: ; . , ; � - Zip �, _ . - , i• 'i y _. � � . , _ .. --- -'^ - , - -_=>- . _- ;i. -� -. � -� � License: � ' --- - � . - � � SCOPE OF PERMIT�� . � %-'' � � PLUMBING pERMIT TO RELOCATE WATER LINE TO MAIN SHUT-OFF. 1 WATER PIPING (INSYOR! ��, . . � REP). NO O7HER WORK WITH THIS PERMITr..,,. , .,-_, �„ ,` - - . , ," 4/Z02: t BACKFLOW IRRIGATION, t_LANDSCAPE�IRRIGATION. . . ,. -`= � � .,__. . . � . ISSUE FEE .�� BackFlow irrigatiod' Backflow Preventer, - ' Bathtub Clarifier System Connect Qce,Soda,etc) Dental Unils Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (7-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service fnterceptors (Grease, Oil Interceptors (Sand Auto �.':.. �=",..�.,x'�� FEESUMMARY ;,.;% j/,i I; AMT ��-QTY � � � � - - � AMT �QTY- � � '/AMT = $23.50 , � Laundry Tub / Washer "- ` $0.00 0 -Sump,Rump� �. ' � � � $0.00 ,$9.80 ,', 0 ,"� '� Landscape Irrigation � � $�14.80 '� 1 " ' �Swimining Pool �' � $0.00 ' $0.00" -1� ' ; � .-P-TreP,. " ' - $0.00 0- " - . Trap Prirrier� . ��„ � $0.00 � �$0.00 ��, 0 . � Pressure Regulato[- - -- $0:00- � 0 �� -. � Urinal;'.,' ; ,�•=' / $0.00 -� $0;00 � = 0, - - ` Process Pipfng (per 10 ft)- $0.00 - � 0 , , Vacuum Brkr Bkflow(1-4) $0.00 �-$0:00��. 0�,. �� „ � Receptors $0.00 �,;0-� ` � ;Vacuum.Brk'uBkFlow(5+) $0.00 $0:00 �-��0 � • - SepticTank '� � - �, � $0.00 - 0�, � Wash�.8asiri $0.00 $0.00�� - _ 0 � � � . ` �� Sewer Cap for Derrto '- � $0.00 = ;0 � .-�: Wash-Basin Set $0.00 $0.00 b � � �. �� Sewer Connect _ �',. , -. � $0.00 � 0 _- %�' Waste and Vent System $0.00 $0.00 0 - `"Sewer Private Line $0.00 �: �;Or.�>� -�` � Water Closet (ToileQ $0.00 $0.00 0 l�Showe�� '� < � '>-$0:00=' 0�-' WaterHeaterlvent $0.00 $0.00 0 Sink, bar "-- - �$O.Od 0 Water Piping (Inst or Rep.) $9.80 $0.00 0 Sink, commercial $0.00 0 Water Re-pipe $0.00 $0.00 0 Sink, Floor $0.00 0 Water Service $0.00 $0.00 0 Sink, kitchen $0.00 0 Water Softener $0.00 $0.00 0 Sink, service/mop $0.00 0 OTHER $0.00 $0.00 0 Spa (private) $0.00 0 VIOLATION $0.00 $0.00 0 Spa (public) $0.00 0 PLAN CHECK $0.00 ) $O.OQ �'.;0 REINSPECTION � $0.00 1'$0.00 � 0 � � ' - � TOTAL CALCULATED FEES: 557.90 QTY 0 0 0 0 0 0 0 0 0 0 0 1 0 0 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 permif 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 tha work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspectlona antl flnal eppfoval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit. POR INSPECTIONS CALL: (714) 7545626 2446d8 (8�W) WORKERS' COMPENSATION DECLAHATION: — ! � I heretiy affiim under penelry oi perjury one of the following declaretions: ' ❑ I heve end wB4 meintain a certitica[e ot consent to seN-Insure far workers' compensation, es provided for by sec�ion 3700 of the Lebar Code, for ihe pertortnance af the work for whicli this permit is issued. ❑ I have and will malnlain workers' compensation insurance, es requiretl by section 3700 ot the Labor Code, for Ihe perfortnence of the work for which ihis permit is issued. My woAcers' compensatlon Insurance carrier and policy number ere: '� n� Cerrier: Policy Number: (This section need nof be completed iI the permR rs velued a! are huntlred dollars ($100) or Iess.J ❑� I certity thet in ihe peAormance of tha work for which Ihis permit is issued, I shall not employ any person In eny manner so as to become subject to ihe workers' compensation lews of California, end egree ihet If I shoultl become sub�ect to the workers' compensation provisions ot Section 3700 of ihe Lebor Code, I shall forihwith comply with ihesa provisions. � Applicant Slgneture: Date: WARNINO: FAILURE TO SECURE WORKERS' COMPENSATION COVERAQE IS UNLAWFUL AND SNALL SUfl1ECT AN EMPIOVER TO CflIMINAL PENALTIES AND CIVIL FlNES UP TO ONE HUNORED T}IOUSAN� �OI.I.ARE ($100,000�, IN ADDITION TO THE WST OF COMPENSATIIXJ, DAMAGES AS PROVIDED FOR IN SECTION 3]W OF THE LABOfl CODE, IMEflEST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eflirm ihat I am licensed under provisions of Chapter 9(commencing with Sec�ion 7000) ot Division 3 of the Business and Professions Cotle, entl my license Is in full force end effect. Lic. # Ciass # Contrador's Signeture: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby attirm that there is a conslmction lending egency for the pedormance of the work for which this permit is issued (Sec. 3097, Civil Code). Lenda/s Neme: Lentlers Address: Signelure: � Date: OWNER•BUILDER DECLAFiATIONS: I hereby aKirm thet under penelry of perjury that I am EXEMP7 FROM THE CON7RACTORS LICENSE LAW for ihe following reeson (Sec. 7031.5, Business entl Professlons Code: Any ciry or county which requires a permit to constmct, elter, Improve, demolish, or repeir any strucmre, prior to I!s issuence, elso requires the epplicant for such permit to flle a signed statement ihat he or she is Ilcensed pursuant to ihe provisions of the Contractors License Lew (Chepter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and ihe basis tor ihe elleged exemption. Any vlolation of Section 7031.5 by eny epplicent fo� a pertnit sub' ts the applicant to a civil penalry ot not more than five hundred dolleis ($500).): - I, as owner of the property, or my employees with wages es their sole compensation, WILL DO THE WORK, and the structure Is not intentletl or offeretl for sele (Sec. 7044, Business and Professions Code: The Contradors License Law does not apply to an owner of propeny who builds or improves ihereon, and who does such work himself or herself o� through his or her own employees, provided thet such Improvemenls ere not Intended or otfered for sale. If, however, the building or improvement is sold within one year of completion, tha owner-builder will have lhe burden of proving that he ar she did not build or improve for purpose oi sale.). ❑ I, as owner of ihe property, am E7(CLUSIVELV CONTRACTING WITM LICENSED CONTRACTORS to construct ihe project (Sec. 7044, Business and Protessions Cade: The contractors Licensa Lew daes not apply to an owner ol pmperty who builds or Improves ihereon, and who contracts for such project with e coNredor(s) license pursugryt to the Contrectors J,i�ense Lews.). . ❑ I am exem,p�'(nder sec. Business and Professions Code for ihis reason: Owner ID veritied by dnver's license. ❑ Yes ❑ No Vadfication ot Ownership by (rype of dceument, i.e. - pmperty tex bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify ihet no excevetion five (5) or mo�e feet in dapth into which e person is required to descend, wlll ba made in connedion with work authonzed by this pertnit, and that no building structure, sceHolding, talsework, or demolition or tlismantling thereof, will be more ihan thirty-six (36) feet high. (Chep. 32, Grp 2, An 2, Sec. 341, Ttle 8, Califomia Atlministrative Code). � As owner-builder, I will not employ anyone �o do work whlch would require a permit iram Ihe Divisian ot Indusirial Safery, as noted ebove, unless such person hes a permit to do such work !mm Ihe div�sion. Signature: Dale: Division of Industnal Safery Permi� Number: CERTIFlCATE OF COMPLIANCE AND AUTXOHIZATION OF ENfRY: I certify under penalry ot perjury ihat I have read this epplication end state thet the infortnation given is correct. I agr fo comply with ell s;ate lews a ciry ordinances reletlng ro bullding construction, antl euthonze representatives ot the Ciry oi Costa Mesa to enter upon the above-des� d propeAy for ins e n p oses. I egree not to occupy or allow xcupancy of any building authorized by ihis pefmit,until fi el inspection. �".: �_ �% �i�%z Si n tureOELegal.Owner(s) � 21e��-, Q,��..,....,.,,.�,rr. _ Q^`.--:._.. ArnllOr Authonzed Appliwnt Date COOE �. INSPECTIONTYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spe Final 200 Final Re-Roof 201 Final BIocWRetaining Well 202 Final Factory Fire Place 203 Finel Siqn 204 Finel Demolition - ueg u�e�s COOEI INSPECTIONTYPE 206 � Final Mechanical 208 Finel Plumbing 210 Final Electrical 272 Final Fire Prevention 220 Final Plennin9 Approval 222 Final Site 250 . Final Building/Occupancy Qarf. u�ei$ � Y. ►. � (714) 754-5273 • F� (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 469 ABBIE WY Suite No Vicinity: WEST SIDE YARD AREA Parcel Nunmber: Applicant: Address: Owner: Aiidress ,', "Contractor Address: Arch / Eng : Address: PLUMBING PERMIT Status: ISSUED Applied: 03/29/2002 Issued: 03/29/2002 11737224 _ - '- - � `-" - -_ ISSUED BY: _ ..., ,,.-;a�'s:-�� ...,- � -_ MAHER, LINDA,,;/J�" _. �� __ - _ �__ �;-- ;:�::_ `_� i � �,( , ' � 469ABBIE"��. � � �, ' ; . . % ��t ��A<� � , �i i �r -� . Phone . _949-548 7021 , � ! � ^�,� ,��c ; , �, �' ' - � -, , ., � . COSTA MESA, CAt�' ' ' ' '"" - -Zip: 92627�3162�._ �' t.., ".' `�� -' � - � �, _ ` . � `' �'� _ .- ... �.��_ ��-�'�� V�� . . - � ! � i �'\'�' ,�SUHLER.PAUL :. � � L ' � ; �% ��A��,� � i. "i ,. �'`, `A ' ��,� �469 ABBIE.WY -; � � �� . j A � �. " Phone: � �� ,'�_ % �' ��, `.. ' COSTA'MESA, CA Zip:'�' 92627-3182 ��:' `�^�' �� .V', A . :�- � �i; - � . ��i��' 'j-\ , • .. _ - _. q. ,.� / ^c � - - �.� � �' .��1�` `ON/NER-BUILD,ER � � � . ' � :��. � , %,. . . - - .. - -•- - '- . _ � � � � ' . Phone: � - _.- Ai� .�'. ' ' � : . " ' ZiP: ' \` -, - -� - - , . License: 0 . . � . ' / " -. -- ! . - � � ` Phone: � _ ,. Zip `� ' - , �.. �. � . -�License: - . _ �j� . . _. �" �� SCOPE OF PEI • PLUMBING PERMIT TO RELOCATE WATER LINE TO I , � � REP): NO OTHER WORK WITH THIS PERMIT� ..r._ � �. ,�_ �_ ; f� ', t SHUT-OFF. 1 WATER PIPING (INST�OR, - r� � ' i , � , ,>/! I" � � ; � �; �, � -<*''.�FEE SUMMARY.'�...,, �,. ,. , � , ' - - AMT� ��: QTY--�'. , . . . " . _ � AMT„ C QTY " � ��%i ; r. � � ' AMT �' S ISSUE FEE��, =' � � $23 50 � ' � � ` Laundry Tub / Washer , •� $0.00 0 ". Sump�Pump, � �; !$0.00 8ackflow irrigation � = $0 00, �� 0 � � Landscape Irrigation � � $0.00 ' 0 � =;Swimming Pool �' � ' $0.00 BackflowPreventer_ � . -"_$0.00 . .0 � P-Trap � � �� $0:00 � '�0 �� Trap'Piirtier,',� �� $0.00 i Bathtub . $0.00 ��0- .� �Pressure Regulator�� ` $0.00 0 � ,Urinal , � � � �� ,� $0.00 Clarifer System �. �`$0.00 � 0 -. ��Process Piping (per 10 ft) $0.00. - 0 �', Vacuum.8rkr.BkFlow(1-4) $0.00 Connect pce,Soda,etc)� � '$0.00 �' � .0; " � �` Receptors , _ � .$0.00 �0 � �' Vacuuin Brkr Bkflow(5+) $0.00 Dental Units �`50.00��-. 0 _: �,'; � Septic Tank $0.00 ; � 0 .. � � �� VJash.Basin� $0.00 Dishwasher $000'�� `0. ��-, �3ewer,Capfo�Demo' $0:00��.0.;` Wash:BasinSel $0.00 Drain, Floor $0 00��-: �0' �� Sewer Connect $0.00 - �-0._ -' .-; yyaste�and Vent System $0.00 Drain,Rainwater $0.00 ��o�,, "- - SewerPrivateLine,_�:.; .-'. $0.00-- 0 --;:%`:WaterCloset(Toilet) $0.00 D2in, Roof $0.00 0 � � Shower- - $0.00 -.-,0,.'= `..- ' Water Heater / vent $0.00 Drinking Fountain $0.00 0 - �-Sink, bar -�r � �- � : �. ? �$0:00'�� - 0 ' -� Water Piping (Inst or Rep.) $9.80 Expansion Tank $0.00 0 Sink, commercial ~ -- -�- $0.00 0 Water Re-pipe $0.00 Gas Earthquake Valve $0.00 0 Sink, Floor $0.00 0 Water Service $0.00 Gas (1-0 outleLs) $0.00 0 Sink, kitchen $0.00 0 Water Sokener $0.00 Gas (Over 4 outlets) $0.00 0 Sink, service/mop $0.00 0 OTHER $0.00 Gas Repipe $0.00 0 Spa (private) $0.00 0 VIOLATION $0.00 Gas Service $0.00 0 Spa (public) $0.00 0 PLAN CHECK $0.00 Interceptors (Grease, Oil) $0.00 0 REINSPECTION $0.00 Interceptors (Sand Auto ) $0.00 0 � TOTAL CALCULATED FEES: $33.30� ` COMMENTS / SPECIAL CONDITIONS ; QTY 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 NOTICE: The work authorized by thls permit shall comply wilh all applicable handicap access requirements under Califomia statutes and related regulalions. (Ord. No. 92-28, § 1, 12-21-92) EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. . � � INSPECTIONS: In order for the work authorized under ihis permit to be consitlered legal, such work must comply with all applicable codes, and all requlred Inapeetions and flnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 ' C.GI:�.Y(1:9; WORKERS'COMPENSAnON DECLARAnON: — - � - I hereby eHirm under penalty of perjury ane of the following daclare�ions: � ❑ I heve end will.maintein e certiflcete oi consent ro setl-Insure for workers' compensation, as pmvided for by seclion 3700 of the Labor Code, for the pertormence of the work for which this permit is issued. . ❑ I hava and will maintain workers' compensa[ion insurance, es required by section 3700 of the Labor Code, for the peMormance of the work tor which this permit is issued. My workers' compensation Insurance carrier and policy number are: . Carrier: Policy Number: (This sectlon need not be completed i/ the permit is velued ef one hundred dollars ($f 00) or less.) ❑ I certify that in �he performance of the work tor which this permit is issued, I shall not employ any pereon in any manner so as to become subject to ihe workers' compensatlon laws of California, and agree that if I should become sub�ect to the workers' compensatlon provisions of Sectlon 3700 of ihe Labor Code, I shall forthwith comply with ihese provisions. Applican[ Signature: Date: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CAVEflAGE IS UNLAWFUT AND SNALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED THOUSAND DOLI.ARE ($100,000), IN A�DITION TO THE COST OF COMPENSATION, DAhU1GE5 AS PROVIDED FOR IN SECTION 3'1O60F THE LABOR CODE, IMERESi, AND ATTORNE`fS FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm that I am licensed under provisions ot Chapter 9(commencing with Seclion 7000) of Division 3 of the Business and Professions Code, and my license is in full force end eBecL Lic. a Class u ConUector's Signature: Dete: CONSTRUCTION LENDING AGENCY: ❑ I hereDy aMirm that there is a construction lending agency for the peAormance of the work for which this permi[ is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: SignaWre: � Date: OWNER-BUILDER DECLARATIONS: I hereby attirm thet untler penalry of perjury ihat I am E%EMPT FROM T}iE CONTRACTORS LICENSE LAW for the following reason (Sec. 7037.5, Business antl Profeulons Code: Any ciry or county which requires e permit to construct, elter, improve, demolish, or repeir eny sirucNre, prior to its issuence, also requlres the applicant for such permit to file a signetl statement ihat he or she is licensed pursuant to Ihe provisions of ihe Contredors License Lew (Chepter 9(commencing with Section 7000) of Division 3 of ihe Business end Professions Code) or Ihet he or she is ezempt therefrom and ihe basis for the alleged exemption. Any violation of Section 7037.5 by any applicant for e permit sub' ls the epplicen� to a civil penalry of not more Ihan tive huntlred tlollers ($500).): I, as owner of the propeny, or my employees with weges es their sole compensation, WILL DO THE WORK, antl the strudure is not intentletl or oHered for sale (Sec. 7044, Business end Professions Code: The Contractors License Law does not apply to an owner of propeny who huilds or improves thereon, and who does such work himselt or herself or through his or her own employees, providetl Ihet such Improvaments ara not Intentled or oHeretl for sele. If, however, the building or improvement is sold within one year ot complation, the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the properry, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the pro�ect (Sec. 7044, Business end Professions Code: The contractors Llcense Lew tloes not apply �o an owner of property who builds or improves thereon, and who conirects for such project with a contractor(s) licanse pursuanl to the Coniraclors,Licqnse Laws.). ❑ I am exemyi�under sec. Owner ID verifietl by dnver's license. ❑ Ves ❑ No 8usineu end Professions Code for this reason: Verification of Ownership by (type ot documen�, i.e. - property te�c bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: Driver's License No. Date: 3 0 2 � Expires: ❑ I here6y certity that no axcavetion five (5) or more feet in depih into which a person is required to descend, will be made in connection with work euthonzed by ihis permit, and that no building siructure, scaftolding, talsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 32, Gry 2, An 2, Sec. 341, Title B, Califomia Administrative Code). ❑ As owner-builtler, I will not employ anyone to do work which would require e permit irom the Division of Industrial Safery, as noted ebove, unless such person hes e permit to do such work from [he division. Signature: Dale: Division of Industrial Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORVA710N OF ENTAY: I certity under penalty of perjury that I have read this epplication and state that the informetion given is corred. I agre to comply II s;e1e lews end city ordinances releting to building conslmction, entl authotlze representatives of the Ciry oF Costa Mesa to enrer upon the ebo e-des� d pr�o ejrty f r ection purposes. I egree not to occupy or ellow occupancy ot eny building authorized by t is pe� it until finel inspection. ':.zC i� - �'!~ 3�9/0 2 Signature Of Legal Owner(s) � Dete AnNOr Authorized Applicant � Date CODE �. INSYEClIONTYVE �1618 Fixetl Systam Final Fire Prevention 1266 Pool Spa Finel 200 Final Re-Roof 207 Flnal BIocWRetainin 202 Final Factary Fire Plac 203 Final Sign 204 Finel Demolition IjOjj �$ �Qp�� INSFECTIONTYPE 206 Finel Mechanical 20 Finel Plumbi Final E ical al Fir 220 Final Planning Approvel 222 Finel Site 250 . Final Building/Oxupency . UATE � (714) 754-5273 • F� (714) 754•A856 • www.ci.costa•mesa.ca.us ELECTRICAL PERMIT Job Address: Suite No Vici�ity: 469 ABBIE WY REAR YARD Parcel Nunmber: 11737224 App�icant: SUHLER, PAUL Address: 469 ABBIE WY , � � � � � � � 77 FAIR DRIVE, GOSTA MESA, CA 92626 ISSUED BV: Status: ISSUED Applied: 01/17/2002 Issued: 01/17/2002 . Phone'. 949-548-7021 � . . COSTA MESA,,�CA;"�-" � � � Zfp: 926273182 � ` � . , - ,� -�� ; . � �z •-, � _ - � � � � owner�'; SUHLER, PAUL . � � � - ' � . � ` �� , �.� , Address `��469�ABBIE WY � � � � -� , �� \ � • , � . Phone: � . . , �, COSTA MESA,�CA�� Zip: 926273182 . , . , � . . ., . contractor. ; OWNER BUILDER Address: �. ' , : Phone: Zip: License: 000000 SCOPE OF PERMIT , " INSTAIL 3 OUTDOOR QUAD RECEPTACLES; 2- 15 AMP-,CIRCUIT BREAKERSFOR RECEPTACLE$, MISC CONDUIT, 3 SWITCHES: - ' ' � • � � - � -� - --- ' � , ISSUE fEE - � ' Temp service test - Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting�Fixts , Recept Outlets Switches Non Res Appl . Res Appl Service to 200a ` ' Service to 1000a � Service over 1000a � . Motors to 1 hp Motors to 10hp Motors to SOhp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pofe Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole FEESUMMARY � Quantity -- - - ., . - - � Quantity '� � $23.50 $0.00 $0.00 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $6.60 6 . . $3.30 +- "� 3" � $0.00�, �i 0- $0.00 0 $0.00 � . -0� . $0.00 , 0 $0.00 0 $0:00 . 0 $0.00 0 $0.00 0 $0.00 0 $0.00�-- < 0 $0.00 -�� 0 - $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 Temp DishSystem / Lighting � $0.00 0 ' Busway /100 ft $0.00 0�- � Standing�Sedion $0.00 0., Misc Electrical Equipment $36.40 2` . .�� Transformers up to 1 kva/kw $0.00 0- ..,',� . : .:.....:........up to 10 kva/kw $0.00 0 . -' ' � ..............�...up to, 50 kva/kw $0.00'� 0 . .................up to 100 kva/kw,_ $0.00 0 � � ..................over 100 kva/kw� $0.00" 0 � Low Voltage Equipment , $0.00 0 Low Volt Wiring System / Ckt - $0.00 �,.0 Misc: Conduit $18,2p � 1 Misc. Conductor � � $0.00- 0 � Circus ( gen or ride) $0.00 " 0 Circus (mech ride or lights) ��.� �$0.00 ' 0 Christmas Tree Stand - �$0.00 � � .-�0 FireworksStand � , �$0.00,-' 0 , Other Electrical Fee � �. $0.00 Investigation Fee ' - � $0.00 � � Plan Check Fee� " $0.00 Reinspedion Fee $0.00 TOTAL CALCULATED FEES E88.00 COMMENTS / SPECIAL CONDITIONS I NOTICE: The work authorized py this permit shall comply with all applicable handicap access requirements under Califomia statutes and related I regulations. (Ord. No. 92-28, § 1, 92•21-92) � EXPIRATION: This permit shall automatically expire and become vold if work Is not commenced within 180 days, or if work is suspended or abandoned for a period of 18� days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspectlona and final app�oval must be obtained. Failure to obtain inspections and final approval will result in the expiration of thls permit. FOR INSPECTIONS CALL: (714) 7545626 2446d6(W00) WORKERS' COMPENSATION DECLAFiAT10N: � " " i ' I hereby eifirm under penalty ot perjury one of the following decleretions: "� .. ❑ I have and will maintain e certificete of consent to seN-Insure for workers' compensetlon, es provided tor 6y section 3700 af the Labar Code, for ihe pertormence of the work for which this permit is Issuetl. , . � ❑ I have and will maintay� workers' compensation insurance, as required 6y section 3700 ot �he Lehor Code, tor ihe perfortnance oF ihe work for which this pertnit is issuetl. My workers' compedsatlon Insurence carner and policy numbe� are: Carrier: Policy Number (This section neetl nof be complefed i� the permif is valued et one huntlred dollars ($f00) or less.) , ❑� I certify that in the pertortnence o� ihe work tor which ihis permit is issued, I shell not employ any pareon in eny manner so as lo become su6jad to ihe workers' compensetlon lews of Califomia, end egree ihet If I should Decome subject to the workers' compensatlon provisions of Section 3700 of iha Labor Code, I shall forlhwNh comply with t�ese provisions. Applicant Signature: Date: WARNINO: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED THOUSAN� DOLLARE ($100,OW), IN ADDRION TO TNE COST OF CAMPENSATION, DAMAGES AS PROVIDED FOR IN SELTION 3]O60F THE LABOR fADE, IMEREST, AND ATTOflNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eNirm thet I em licensed undar provisions of Chapter 9(commencing with Sectlon 7000) of Division 3 of the Business end Professions Code, and my license is in full force end aXecL Lic. # Cless e Contrector's SignaWre: Dete: CONSTRUCTION LENDING AGENCV: ❑ I hereby effirtn that there is e construction lending agency for the peAortnance of the work for which ihis pertnit is Issued. (Sec. 3097, Civil Cotle). Lender's Name: LendeYs Address: Signature: OWNER•BUIL�ER DECLARATIONS: Date: I hereby aHirm thet under penalry of per�ury that I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for ihe fallowing reason (Sec. 7031.5, Business and Professlons Code: Any city or county which requires a permlt to construct, alter, improve, damolish, or repair any structure, prior to its issuance, also requires �he applicant for such pertnit ta tlle e signed statement thet he or she Is licensed pursuent [o the provislons of ihe Contrectors License Lew (Chapter 9(commencing with Section 7000) at Division 3 of the Business end Professions Code) or thet he or she is exempt therefrom and the basis tor the alleged ezemption. Any violetlon of.Sectlon )031.5 by eny applicant for a pem.i' nnns��ub�ects the epplicant to e civil penalry of not more then five hundred dollars ($500).): •ty I, es owner of the property, or my employees with weges es their sole compensetion, WILL DO THE WORK, end the siructura is not in[ended or oflered for sele (Sec. �' 7044, 8usiness and Protessions Code: The Contractors License Lew tloes not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or Ihrough his or her own amployees, provlded �het sUch improvements ere no� Intended or oflered for sale. If, however, ihe building or improvement is sold within one year of completion, the owner-builde� will have the burden of proving that he or she did not build or improve for puryose of sale.). � I, as owner of the property, em EXCLUSIVELY CONTRACTING WI7H LICENSED CONTFACTORS to construct the praject (Sec. 7044, Business and Professians Code: The contractors License Law does not apply to en owner of property who bullds or Improves lhereon, and who conlracls for such project with a contractor(s) license pureuant to the Contrectors.License Laws.). ❑ I em exempt i Signatura: � Owner ID venfled by license. ❑ Ves � No Businass and p�of65sions Code tof thls r895on' VerNication of Ownership by (type ot documenL I.e. - propetly laz bill or deetl): DIVISION OF INDUSTRIAI SAFETY PERMIT CERTIFICATION: Date: /��'��?nm/ Drivels License No. ' � Expires: 9 Z.x4 ❑ I hereby certiy that no excevation five (5) ar more feat In depth into which e person Is raqufred to descend, will be made in connectlpn with work euthonzed by this permit, and that no buildinq structure, scaflolding, falsework, or demolition or dismantling thereof, will be more than thirly-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title B, Califomie Administrative Code). ❑ As owner-builder, I will not employ enyone to do work which wouid require e permit irom the Divislon of Industriel Safety, as noted ebova, unless such person has a permit to do such work from the division. SignaNre: Date: Division of Intlustnal Safety Parmit Number. HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: ' 1 WIII the applicant or present or future bullding occupant need to file end certify e Business Plen for emergency responsa to release or threatenetl release of e hezardous materiall ❑ Yes ❑ No (Section 25505 ot Ihe Celifornia Haalih and Safety�Code requires, with some ezcepiions, �he� a Business Plen be tiled with the Coste Mesa Fire Deperiment by every business which has et any one time�dunng a reported year a quantiry of hazerUous meterials equal to or greeter than e weight of 500 pounds, or e volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). r nt or future buildln occu ant need to file e re isiretion form for ecutel hazardous materials? Ves No� ................................................................... ..... 2 Does or will the applicant or p ese g p g y ❑ ❑ (Section 25533 of the Califomia Health antl Satary Cede, with some exceptlons, requires registretlon with the Costa Mesa Fire Department by eech business which at any one time has on hend e quantiry of ecutely he�rdous meterlals equel to or greeter then e weight of 500 pountls, or e volume of 55 gellons, or 200 cubic feet of compressed gas at stendard temperature antl pressure). 35Or willlhB eppUCan� or prBSent of fUtUfe builtling OCCupent nee� to prepare en RMPP (RiSK Menegement antl PfeVentlon Pfogfam fof aCutely hazaftlous mateflal5)7 Y85 ❑ No �ction 25534 of the Celifomia Health and Safery Code provldes that the Costa Mesa Fire Department may require Ihe preparelion, certificetion antl filing with ihe Fire �artment of en RMPP 6y businesses which ere requiretl to register ecutely hezerdous meterlals with the Fire Department, a rceni has Sectlon 25534 5 DOBs or wlll ihe appllcent or present or tuW re bwltling occupant reqWre for the work wnlcn Is tne subJact ot Inis a pllcebon e gertOtl'tor sucn constmc0on or motllticetlon from the South Coest Air Duality Manegement Distdct or irom any other eir polWtion control disidd or egencyt � Ves LJ No (Sectlon 65850.2 of the Califomia Govemment Code requires Ihet ihe requested InPormation be furnished on eppllcatlons for nomresidemial 6uilding pertnits). ...................................................................................................................................................................................................................................................................................... ........................ ................................................................. 6 Will any part of the faciliry to be constructed untler this permit be within 1000 feet from the outer boundarles of a school? ❑ Yes ❑ No (If "yes", ihe facili�y must meet the requirement of Sectlons 25534 end 42303 ot ihe California Healih and Safety Code). ..............................................................................................................................................................:........................................................................................................................................................................................................................ 7 If a pertnit from the South Coest Air �uality Menagement District or other air pollutlon control district or egency is requlred for ihe work which Is the sub�ect of Ihls applicatlon, have all of ihe tlisclosures prescdbetl by Celifomia Heelth and Sefety Code Sectlon 42303 been matle9 ❑ Yes ❑ No 8......(If "yes". attach certificete of comPliance irom the aPPropnate air pollutlon control�oflicer) ............................................................................................................... ......................... CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the informetion given above is correct. I agree to comply with all state laws and ciry ordinances regarding Hazerdous Materials and Emissions. SignaNre: Date: CERTIFlCATE OF COMPLIANCE AND AUTHOHIZA710N OF ENTRY: I certity under penelty ot perjury that I have read this epplication entl state thet the infortnation given is conect. I agrea to comply with all state laws and ciry ordinances relating to building constructlon, end authorize representatives of the City ot Casta Mesa to enter upon the above-tlescr�ihe�d%�p p� y for' spection puryoses. I agree na to occupy or ellow occupency ot eny building authorized by this permit,tu�ntil final inspedion. _,/i �'E� � ��/ C.O!'J % SignaNre Ot Legal Owner(s) � Date AnNOr Authorizetl Applicant CO�E I, INSPECTONTVPE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Finel 200 Finel Re-Roof 201 Finel BIocWFetaining Wflll 202 Final Factory Fire Place 203 Final Slgn 204 Final Demolition j1� �J�¢ QQp�� INSPECTIONTYPE 20fi Finel Mechenical 20B Final Plumbing 210 Final Electricel 212 Finel Fire Preventlon 220 Final Planning Approval 222 Final Site 250 ' Final Building/Occupancy ��"� GtTY OF COSTA MESA CALIFORNIA 92828-1200 P.O. BO% 7200 DEVELOPMENT SERVICES DEPARTMENT Dear Costa Mesa Property Owner: L`/� �j' ��B/� li�%v7 / It has been brought to our attentj�on that your property is in possible violation regarding one of the codes listed below: UNIFORM BUILDING CODE UNIFORM PLUMBING CODE UNIFORM MECHANICAL CODE UNIFORM HOUSING CODE NATIONAL ELECTRICAL CODE COSTA MESA MUNICIPAL CODE We have tried to make contact with you at your property, but have been unsuccessful in our efforts. We would like to meet with you at your property to review the possible problem. Please contact�i9 C.� ��fcEat 754-5273 to set up a meeting. ' � Sincerely, / / i � , j `�,��%' � . _ � �. TONY C'DE BACA � Costa Mesa Building 8 Safety Asst. Developmen[ Services Directo[ Building Offieial TCAB/mo (C:PROPERTY,1) 77 FAIR DAIVE Bu�lding Division (714) 7545626 • Code EnforcemenUBusiness License (714) 754-5234 • Planning Division (714) 754-5245 FAX (714) 5567508 � Cily of Cosla Mesa Development Services REQUEST FOR COMPLAINT IHVESTIGATION 1. Complaint: . Gr�Lh,, , �-t'�Lao�:ea `l�73 � �,[)4,c.c, . �A Rss� Cl�7 /Bo� Illp'1 ITeeo �nel 3. Complaint Received By: � Date: �U - � �- �/ / 4. Describe Complain[: v�Qd �.¢ • �' • •' 5. Violation of C.M.M.C. Section(s) Qf known): 2. Complaint Location: �,+-G 9 ��-e- �,t�C2.� Icomoam�A rasl � �Na c o Ta am—I� 9 IN o r perry wner/ � N� % ��ii� �.� ,�, tnea�h,� !� � n>� �d�� ooe� 6. Describe Action Already Taken (Attach all reports, letters, notes, photos, etc.): Assigned to: ❑ Code Enforcement ❑ Planning Division . Building Division I lo-2s-� QIF I:Sl.1p For Office Use Only Case No. � q� — � ��Z— A.P. N II % J� rI �� Dare Complaint Received �0 - ��' `� � Received By: '`�'�--- Ilniliabl N PflOJECT AOOflESS: q 61�. ABB I E j"li OWNEN'S NFME: NELSON MARY G TR aooxess: q 6 9 AH � I E WAY COSTA MESA,CA 645-0963 APCH/ENGINEEN: p00flE55: UNIT: 92627 flEG.NO.: UNIT: PENMITfEE: �RIE NELSON ( 714 ) 645-0963 aooxess: 469 ABBIE WY C,M. CA 92626 LICENSEO CON7RFCTOH DECLANFTION: I hereby atfirm that I am licensed under provisions of Chapter 9(commencing wiih Section 7000) ol Division 3 0� Ihe Business and Pm�essions CoOe. antl my license is in full�orce and e�fect. CITY LIC.: STIITE LIC.: CLASS: Da�e: SignaWre'. WOflKEBS' COMPENSATION OECLABATION: I hereby aflirm Iha� I have a CCM1itiCa�e o� cOnsent tO se14in5ure or a Cehificale af Workers' Compensation Insurance. or a certified coDY ihereol (Section 3800. La6. C). P LICY NO.: EXP. OATE: COMPANY: ] Certifietl copy is hereby Iumishe0. ❑ Ceni�ied copy is filetl wiih �he ciry Builtling Division. �a�e: Applicant: E%EMPtION FBOM WOHREPS' COMPENSATION OECLAHRTION: (ThiS sedion need nol �e cOmpleled it the Defmil is forone hunOretl (E700) ar less�. I certify Iha� in ��e peAormanCe ot �he wOrk for whith �his pefmi� is i55ue4 I shall no� employ any Detson in any mannet 5o as [o beCame sublec� �o the Workers' Compensation laws o� Calitomia. Dale: SignaWre'. NO710E: If, atter making Nis tleclaration. you should Decome suhlect to [he Warkers' Compensation pmvisions at the Lahur Cotle. you mus� forthwith comply with such pmvisions or �his permit s�all he Aeemed revokea. CONSTNUCTION LENOING RGENCV: I hereby a��irm Ihat �here is a consiruc�ion lentling agency for ihe pertormance of �he work for wnich �his permii is issued (Section 309Z Civ. C�. LENDEN: FDDflESS: OWNEN BUILOEfl OECIAHATIONr I h¢reby affirm �hat I am exemp� irom the Coniracrors' State License Law tor ihe tollowing reason (Section 7031.5 6usiness and Pmtessional Code: Pny city of counry which requires a permit to constmct, alter, impmve, demolish, or repair any slmcWre, prior �o its issuance. also requires �he applicant for sucn permi� to fle a signetl sta�ement tha� he/s�e is Iicensetl pursuant�o Ihe provisions oithe Coniractors' State License Law�Chapter9(commencing with Section 7000�of0ivision 3 ofihe Business and Protessio�s Co4e) or tRat helshe is exempt lherefrom antl ihe 4asis ioi tfie alleg¢0 ezemption. Any vioiation 0� Sec�ion 7D3iS Oy any aOPlicant lor a permi� su6ject5 Ihe applicam to a civil penalry of not more Ihan five huntlretl tlo�lars (5500). i, as owner of the propeny or my employees wit� wages as Iheir sole campensation, will Oo the, work, antl ihe � simc�ure is not fntentled orolferetl �or sale (Set�ion 7044, Business antl Pro�essional Cotle: The ContfaC�orS' Sta�e LiCense Law tloes not apply to an owner of a pmperty who builas or impmves thereon, anA who Ooes such work himselt/hersell or thmugh his ar �er own employees, pmvi0e0 that such impmvemenis are no� intended or�oifered for sale. If, however the building or improvemenl is sold within one year of completion. �he owner will have ihe hurden of pmving he/she Aid not build or impmve for ihe puroose of sale). I, as owner ol Ihe pmperty, am excluSively coniraciing with licensea conVaciors to consimct �he pmlect (Sec�ion 7044, Business ❑ antl Professions Code: The Comrac�ors' State License Law tloes no�appty m an ownerotproperty who builtls orimprovesthereon antl who coniracts �or such pmlec�s with a contractor(s)license pursuaN lo �he Contactors' Sta�e License Law),I am aware tha� pmof ol Iheir Worker's Compensa�ion insurance shoultl be provitletl to me. � I am exempl under Section: B. 8 P. . br Ihis reason: y'"y��y �/ �/7 Date: � I � , Owner: " ' " J 6��e' 'r �' i " / I Ao hereby cenify Iha� I am aware o� antl untlerstantl �he requiremenis af California Health anA Sa�ery Code Seciions 25505, 25533, ana 2553A and �hat I or any fuWre huilaing occupan� will/will not (circle one) neetl to comply wi�h saitl state cotles antl �he requiremen�s for a permit �or con5imction or mo0ifica�ion imm �he Air Oualiry Management �istric�. Fe5i0ential consfmc�ion a001ica�ions are exempt �mm these pmvisions. Oa1e' ApplicanL I hereby cer�ily Ihal I have reaa Ihis application slate iha� Ihe above iniorm2tion is correcL I agree Io comply with all ciry and oreinancesandsialelawsrelatingio�mltling slmciionandherebyauthorixerepresenta(ive5af�hlscity�oen�erupon�heabove-me properry for i specfion purposes. oate: ` \� "` Signalure: �/-� n oriver's �icense or Sociai Securiry a: /'^� \�f�� ,� 164t�46 White—Building; Green—Cotle Enb¢ement; Canary—ApplicanL' Pink— evenue: 6ol enrod—Assess�� s CITY OF COSTA MESA — BIIILDING PERMIT PERM NO: IB 05508 PERMIT NO: IB 055089 PLAN CHECK NO; N GOVT; N SUPP; Y CONSTRUCTION TYPE: PERMIT TYPE: OTH STR PURPOSE: OTH JOB DESCRIPTION : COMPLIANCE INSPECTION FOR STORAGE AREA SQ FT; CLAIM VALUE; 1,000,00 CALC—VALUE; GROUF OCC; R-3 / COMMENTS: X *�r�t**+r�t****�t*�******�rir**� x *�t***�r�+t*�t�t*�t****�t*��r*�r*�r*�r�r**�t*******�******�t**+�**** Z O N I N GS ERTEB�AUCIKRSE M E N T S ------------ MAIN BUILDING ---------- —�------- ACCESSORY BUILDING --------- FRNT; FT IN REAR; FT IN FRNT; FT IN REAR; FT IN LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN PARKING RE • PROV: PARCEL: 11737224 ZNE: REF NO: PLANNING N�TES> i . �*�*�*******�***�*��*�*�******+�***�**��**��*�***�+r*�*�**��*��**�***�****�*� D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY ; DATE: APPLICATION ISSUED BY; DATE: 3� IEiFiFiE1FiF�f3kiEifiF3f�EaFiE�E3ff4if�jEifit�FiFiF'iFiF3f'iFiF�iF'iFiFiFif3FiF'iF 7F�FiF�F'iF�iFif'iFiF3FiFiF1E�1F�lFiF�E1EiElE3E i iEiF 1t if �F IF i! �t ik iE 3F if ik IE iF it ik iF �t iE 3f iF �F �E 3t �tlf �E ik �f ik If if iE �F �f �E i! jf if k iF iF it iF if !E �F 1t 3klf iF �F iF ik if dElE iE i! 1! �k �t 1F �F iF if iE 3f if iE �1f��F iF if k af �E * 3F iF LEGALI2ATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 30,00 PLAN ISSUE FEE BUILDING—DIV—> TOTALS----> SMIPfNON—RES PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE 30.00 0,00 0.00 30.00 30.00 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 30.00 OVER/SHORT; .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 30.00 iF iE iE �t iE 3E �E if iE iE if iF if iEiF iF iF iF 3F af �E 3F�E �! 3F IF iE iF if �F it iF �F iF 3E iF 1k iF if ±F �lFlF if fF iE iE �E aE iE if iE iE ik �f iF iF iE if �F �E iE iF if �lE if if IF iE If jk iF iElF iF 3E iF iF iF if I N D I V I D U A L F E E H R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST INS 1 BUILDING RE—INSPECTION FEE 30.00 30,00 END OF FEES �7 CD1:'•— ,7�::i, '` CATF: ..'°c. . 7 �._. . ��11 CONSTRUCTION AND PLANNING�- - POI. _. SPA ' APPROVALS Permit# Date Inspector APPROVALS Permit# Date 'inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe•Undrgrnd. 53. Steel Reinforcement . � i��._;Et�ctr,ical Condyit LJ�tility�Undrgrnd'. . 54. Forms � +•�.$.�.Ele,ctrical ConduitrUndrgrnd. - 55. Electrical Bonding -.., ,'; 5"TS�eel �einforce;n�nt 56. Rough Pfumbing & Pressure Test ,�� E�tEctrical UFEf#� rnd. . • 57. APPROVAL TO COVER�GUNITE '. �7:=Fo".otings �5 � , 58. Electrical Conduit-Undrgmd. "�8�. FOundation � 59. Gas Pipe, O Undrgrnd., Test � .8. Water Pipe�Undrgrnd. ' 60. Backwash Lines, P-Trap, d Undrgrnd. 1�. Strucwral Fioor System ' 61. APPROVAL TO DECK 11. P¢operty Sewer Line•& House Connection 62. Backwash & ReceptorFinal � � H. 12. Sewer Cap � 63. Heater & Vent-Final . ! .+l 73. Roof Dreins �c. . 64. Plumbing System - Final . ' . 14. Rough Plumbin§ "'� 65. Electrical-Final � 15. Rough Electriral�Conduit . 66. Solar SYstem-Final 16. Rough Etectric-Wiring � 67.. Fencing & Access Approval , ; , 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING � 18. Rough Electric3l�T Bar Ceiling 69. POOLISPA SYSTEMS FfNAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREME�NT 20.�Ro�qh �acto,ry FJreplace � �r:.yi j . r ,_, _ ;. . r'APPROVALS^�Permit # + � t .r �! .i ' n' .c�. a S � I ' 'ui ,o{ •; A - Y x t T 'S "J � �' ' � � :� 21.�DuC.Cs,in Stcuctuse,r i„„ -a -,_. �;70. Undeigfodnd H'y.dro �. 22. DUcts, Vent4�tirtg � , �� (� �, �c. � 'S � :7�, producFP�ing Q'6as O'Oil � 23�GaePipe��ftou�h &']'est� � ;;�., � ,r :, t '. ,'., 72• Underg ounb FIUsLs;�_, . 24.-Rov`lF,aming ��r, , , - " � � a �x �73xUndergrrid.Storeg�Tank�flGas,�Oil \ ry 25. Roq; Sheathing ' r '� ' �_' - �i�` y '74: Overhead�}�lydro- -`' �" + 26.,'T�Bar Cei{ing IStruct�raq B�Aonacoat x� ur `.' `:tt �.. 75�'Dry Chemical �> ��'r 27.=Frame a�d Flashin �' y' r^ '1' J" ' 76- 6'ry StaniFpSpe � s '" ti�`� c: � •�: - G � h�r x .,u • r.• ,r ;.,28''Lathin� $�din9 X.i � ��2x �s t >. . . ..A �! 77� FIXED SY�TE EINAL� �J .- >29. Insulation " �� U S"" p'`� i � A 78;' FiRE PREV. FINAL R� ,x ��30. Drywal ail�ng � �� v� `� � „ x �� NEAL�h6�EPT.. REQUIREMENT ,;31. Plaster B'iowq Coa� � ', , ., Y; � i � ; ,79�.�FINAL II�S�ECTIQN "" ' -�32._ Electricei Power M¢ter,�Finali '�� p. �: t n80t-F00D CE�R�TIFZG�TE ISSOED � �33�ir�il Erctr�, � r � � y ' j r� � ° NG�'es: � �� " - ' ' �. �34,�Fin�7 H�atirig & R,ijr.�dnditi0rti;�g' � i; �' ' � s` ;' " � •n.� ' � \' � i �r . r� � 1: t S '� �� 35�*Firial Gas PipE-Testc � ��v r ! I . .r- . (� :�� ; s� i� � •1 � :^rc ' x � ' �r " t C �� r - c .. � -L.r 1 , t.. n �n . � �; iri n-. 36. HooSJ o� Cano -i _, „ r PY :.. i7 i t^ -. � n .. r - �: [�.�. i . .+ �37��Fin21 Fa�tory Fireplac2 : 5?' .+� R7 � � �. '{� � i' -' - �, - 'h -� • f-. R� 1: :l' Y • A � 1 .. �. � M fU � � .f T `.38. Final Pli��nbing x. hi , . ,� # I « �� ' �j �,-� ,si �� ` .. , . .. � . ; , . ;;39. WaCeT Siu,vice��ina4. t , n. Y { •v x C' w?'i +'z: Y' S '. I 1 I ZI :} 1 Tr,40. GaS�Serv�ce-Final . �r �^,� [�' :i k 4�1 � � Y . ��. � � �� .i. I W" c;� t z41. Solar potnesticFinel�; - � `� � : ;.:�n � � �r x ��e� y - . � „ ; r ,� '-42=�Baekflop'y,Prevente�` f"' �.'; . y „ � , � � �-� �i .f T S �,. • l; E ' � ' . , ,,. ,-�, - �.,; - • � _ 43. Backflow Ircigation � s'5;4; x� rz x � :v C �� v X V �1 i '-"44. Landsc�pe F¢igati0n Syste ��'^ ;y ,� r- '�' � ;�� 5 �� " �i?i�:�„ 7 �> ». L: SU SU .L'.;, .] O ._ I e.45:^Sound �,ttenuatiorx ;�,�r- i:; • : � � -�.x w - � ; _ �r�= . � - + �i �n ui�c r~ r �46r-Handican Re�ulati�ns `- ' � t '- ' ' "* '� � �� 'c ''� � �47.:,fIN�QLSTfiUCTURE&BUf�LD�ING {�� j � � � �: �: � �� -�• - � w •"48;_'FIhTliL PL,AMIMlNC� . i !�� . t� :, a f ,� ?• =�n� � k� < < ; ;49,�-Elec�ric Release to,Edison � .: ! � 'W , ir "' �' . - . � .i� "50, Gas_Release to Soiifhem Cal�forinia Gas Co �`' � I'�' T' v c'L .. o. C" N A i i..- s �� . <"i7 %r • . `=51. CERTIFICATEOF�OCCUPANC'! .� ' ,; ,,, M� �' � :� No. Date a ; � • �" " xx� �coxn ' �� 9 �6�`e Gr��/ �; CO 2 000 - 5 8�_ Oocument Nurtber Clty of CoST�► /�&fp County of O?�a�vG� , Callfornla Brlef Leqol Descriptlon Lor Zy- Tn.+�r //7Y /1'1.M. 37/zL _� � CORNER TYPE COORDINATPS (OYflONAL) � N. __ '__ Covernment Corner ❑ Control ❑ 10fe �up2 tuoe� Ileander ❑ ProDerty ■ wwe7 Epocn i Rancho ❑ Other p Ebv. , verr. oorumi ncvo29 1uwe9 Oate of SurvBY Yeaa. lkNte � Yetrte InperlW �� Left os found O Found anG toqqed O Estoblished ❑ Reestablished ■ Rebutlt ❑ IGenTifkatbn and type of cnner fauqs Evfdence used to Identify a procedre useG to estaDlfsh or reestabQsh the corner: sa� P., aF z A descrlpTion of the phrskal caWitton af the aor�urent os fand arb os set ar reset: SCpv Pn a� Z, ' SURVEYORS SfATII�NT ihts Caner Record Was prepared Dy me a under my Gfrectfon h conformonce dth * tne Land survevors' Act on Te zz.vo D,ay O� Tiv�vuaRy 2ooi P1.S. or RC.E. Nwber 4/8�f COUM'Y SUBVSYOR'S SfATEMENT Tnis Corner Fecord wos recelved FEB 2 1 2001 „ Siqned Title DEPIJTY County Sarvryor'i Comment rwwio= SURVEYOR P1.5. ar R.C.E. MmCer 6B0 3 Pooe 1 of 2 � se,�i � 0� pq,� �`: � m N `. N �� /YY��VrV�u . � • •4 ♦ • l C4RNER R.�CORD C?iv t� SA vt�t1E': :.'L'�fSULT��tFS f6 � � ,;ie �bbie �rouaane � ..�__._ , Canfr of ��✓�`� ._._.. =Riit i71 Caltforn�o 9rkf iepoi Desvbf+an le7T c''�¢ �{T�r�►r_r it7� a�aA G"an.ic 37 PcE 2S _ � OORAI�R '!'YPE C�pIIPA'iIS 101t[ONAi} i--_.... --- --- Lo„envrent Cm�ner L3 Cantrat fl 2en� u+fl?TT�iuDel—� IIB�itlm' 7 �ropFRfV � EM�Pa] EoDCh� i RonthO O her D vrt. flmu�i �6vD29 e�v�'p''' � p4te of Sufvey ,..,r.11,�i,�� .er trrc+s� w+.k� Q c�aa- �•+r os ►cwa n sovw w�e r�d a ea+a�ltaneo o Ne�s+�r+.a • aeoutE+ q ldentN4aotbn anA tme at oans lovi0c fybrce vead ta 41�M.'thl ar D►arpAre mro�t +o +s�aE1tl� v n�ta01M the taner: �,�".�' 1�E1iE�t3� �'rA �t Crsrrbfkn af tM pbv�iCsi canOfb� 01 tM �onueee�t m fapf ad �a 6M er r�k �. .�6� �'`�firYlS.r^�..r�sr+� Y )_t4.�'-f1'!Tp�z . ta...�a �y rnb carner lte�a,ws oroaarsa br a� � unaer m d�r�rlon n�Morm�e. Msn t„e 1.ona s,rwrrXs' ,►c, or. �/--� o S��ee � iS. a N.sf. 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