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Home My WebLink About621 RHINE LN - Building Permits 42526 '1!� ?0.76 '.:1001527" ***523.P2 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only /J� � ', / �s� D ,G / RECEIVED BY D�E)3E. I1$ D TE 1$OSI-EDfo ABDIDRE\SSai 4 f.4. 42PIOW A�PthAl`.' LAI A �i 7v/ aQ a!J OWNER�J&L ie° ifreifid ES-8IOrviw A.P.NO. 7' ,d-o, —o P . I-* ADDRESS 74"0 At L�O48oEA BUILDING /2 /' 623 (ta2Sle ac�P . MAIL / ADDRESS(ps-/Q /J CITY G.s�j� ��Q�� NO.ITRACTQ24/ 1 LOT [. BLOCK LENDERSCTION i ci p NEW ADD ALTER (REPAIR MOVING DFMS1115H (/ C O ter BRANCH fit/MU / C OWNER lief net- ADDRESS ...gist? T VALUE //7do0 ARCHITECT TEL. V��I� lo DD S OR ENGINEER N FIRE ADDRESS / �./ ZONE /�//7/TTYYYPPPEE^V GROVP� C.Y G� ial2Cn APPROVED I�`' _ 1L .-L�-7� CONTRACTOR r(7� / '[� BY DATE ADDRESS TEL. "k!f. IN�.OF C. USE OF NEWg VI.1IT CITY NO. -�'Y PLANS Ci BUILDING Cola,P. # STATE J� CITY YARDS APPROVED YARDS APPROVED 5 LIC. NO. 274795" LIC. NO. MAIN BUILDING ACCESSORY BUILDING W SIZE IND. S. (FROM C/L STREET) W12. OF LOT NOW OF ONSLOGLOT FRONT`JJetT. FT. Q USE OF cn EXISTING BLDG. , R.SIDE 'LAM FT, cm 5 Separate permits are required for L.SIDE {' FT. FT. c electric,plumbing and heating work. REAR FT. FT. GLI USE OF BUILDING AND WORK TO BE PERFORMED F DISTANCE BET. BET.MAIN& CMAIN BLDGS. ACCESS. BLDGS. .4v/Jnr//�y- VAR.# 71-77 DATE Q el/ / ��B C.U.P.# APPROVED � APPROVED >0 —13Y J DATF W. / )•?M ce 1IOLD FO'�R ECL\L REQ! ILt LL) ii-� . nk ! P. iD I hereby acknowledge that I have reed this application end state N. N ft4 that the above Information is correct end agree to comply with m S all laws regulating building construction, and I shall not employ Z any person In violation of the workman's compensation laws of F. ILI the State of California. I hereby certify that I am properly licensed as a contractor under SQ. FT. Si the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the provisions of the State of California Business y VALUATION PERMIT FEE and Professions Code,Divislo 3,Chapter 9. en $ ��s a ut Signature of // /.�j�^ (/� /� PLAN CHECK $.201. /� o Permittee LD t t ze2- lJ Le $ //�00 �) TA% $ Q•`a u. U Authorized Agent ` // TOTAL PAID $5.230 1 • PROJECT ADDRESS: 621 RHINE LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 063362 OWNER'S NAME: BROOKVIEW CONDOS ADDREss:HOMEOWNERS ASSOCIATI N PERMIT NO: B 063362 PLAN CHECK NO; N GOVT: N SUPP; N 630 PAULARINO • COSTA MESA CA CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT ARCH/ENGINEER: 587-0399 REG.NO.: ADDRESS UNIT JOB DESCRIPTION : T/OFF RESHT REROOF W/TIMBERLINE 30YR COM SQ FT: 8, 645 CLAIM VALUE: 8, 645 . 00 CALC—VALUE: 8, 645 . 00 GROUP OCC; R-3 / PERMITTEE: MESA ROOFING ( 714 ) 548-3012 ADDREss: 843 W 17TH * ****T* #*RM * **#**# ** ** ****CM CA 92627 * % *# %* #* ##**1 #**1 ***# * * ############******* *#########*# LICENSED CONTRACTORof DECLARATION:d I hereby allirm that 1 am licensed under provisionsonca Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in lull force and effect SETH ACKS CITY LIC.:03563 563 STATE LIC.:5641 7l N. /tlal¢_S Co— 1 signawr / / row MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FR NT: FT IN REAR: FT IN FRNT; FT IN REAR; FT IN • Compensation Insurance,or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.:PWC 24167500 EXP.DATE: 07/0i /94 COMPANY:GOLDEN EAGkE PARKING REQ• PROV: PARCEL: 93405113 ZNE: REF NO: ;Q Certified copy is hereby furnished. Certified copy •• i1y Building Division. PLANNING NOTES> /� 03 f� > —Bale: 8V / Applicant' — -� ################iL####)E#############%######iF#-%###############1E######%!....- ###### EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if Ore permit is for one hundred($100)or fess). DEVELOPMENT SERVICES R E Q U II R E M E N .T' S I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE: • Dale: Signature: NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE; r Code.you must Ionhwith comply with such provisions or this permit shall be deemed revoked. �.�/�/J /�� 1-25--7-3,, CONSTRUCTION LENDING AGENCY: I hereby al that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY• /7/`` ei• DATE; p 5-7 which this permit is issued(Section 3097,Civ.C). ####***#####*******###*#***## *****4E •#n x •#############***x#xuF## LENDER: #######*****#*#*#*****#!E***#*#*#*#####*#*# • -******#**#*#*#**#%##%%-*#***#**##%# ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURA); SEGMENT: Y • OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 108 , 00 . 86 repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is Licensed pursuant to the provisions of the Contractors'Stale License Law(Chapter 9(commencing with Section 7000)al Division 3 of the Business SMIP/NON—RES and Professions Code)or That he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 108 . 86 0 . 00 0 . 00 108 . 86 108 , 86 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees.provided that such improvements are not intended or offered for sale.If,however the building or improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS——> COLLECTED• 108 , 86 OVER/SHORT: , 00 forthepurposeofsale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 108 . 00 • 86 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware #%,%,*******###***#######)t#%N##*#####IE*#*##%,!f###*##*########K-#*####-#1l###*######## that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B.a P.C. INDIVIDUAL F E E BREAKDOWN for this reason: TYPE QTY DESCRIPTION UNIT COST TOTAL COST Date: Owner: I do hereby certify that 1 am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and SFR 8645 R EROOF BY VALUE RESIDENTIAL NO Z ONE 1 . 00 8, 645 , 0 0 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: 1 hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and slate laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. eate:-R 6 /3 Signatun' ' /� _�w� 01 00144431-00144432 TOT 10$.$6 Driver's License or Social Security WE: 07/06/93 TATE: 1.5:00 te4t'46 White—Building;Green—Code Enforcement:Canary—AppbcanC Pink—Revenue:Goldenrod—Assessor i CONSTRUCTION AND PLANNING POOL & SPA ! Date Inspector Date Inspector APPROVALS Permit ;11- f 1. Temporary Electrical Service or Pole 52. Pool & Equipment Locator 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement • 3 Electrical Conduit Un'gy Undrgrnd. 54. Forms 2 i 4. Electrical CondurtUndrnrnd, 55 Electrical Bordrng FF 5. St__ Reinforcement i 56. RougS l'lumhirg a• P-rssure Test I I 6 E: ctr'cal UFER Grrd ' 57. APPROVAL 10 COI./FP GU-• i'E -1-- 7 Footings 58. Electrical Cordut Jrd±nrno. 8. Foundation _ -� 59. Gas Pipe, :7 Urdigrnd.,Test l 9. Water Pipe-Undrgrnd. 60. Backwash I.:nrs, P•Trap, IT L'ndrgrna _ I 10. Structural Floor System I, {I 61. APPROVAL TO DECK 11, Property Sewer Line & Pride Connection-I- -- i 52. Back:-sn L', 'rice: -F. F-! - -- I - 12. Sew Cap 63. Huate. & Vent-F•nc'. I --_.i 13 Roof Drams 64. Plumbing System Fatal 14 Ro.:g'b Piumbing • 65. Electrical-Final I ---- _- 15 Rough 6ectncai-C7rtlua �1 --- 66. Solar System•F;n,16. Rough Electric Wiring 67. Fencing & Accrss Anprovjl I 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ce'lirq 69. POOL/SPA SYSTEMS FINAL 19 Rou0 Heating& A.; Ccrd.toning FIRE DEFT. R:DUIREfl':ENT -'--�- 20. Roi.gn Facto-y F-ep .p.:;, -( __ APPROVALS rmii 21. D..cts, in Structure 70. Underground lis.. 0 - -- I - - 22. Ducts, Ventilating 71. Product P•mmn ;I C ac L Oil 23. Gas Pipe-Rough & Test 72. Underground Elie." -� 24 Roof Framing --- 73. Urdernrnri.SZ'r:,• `, nk 7G7.s P. J., r- ----- 7E ucei Sheathing I 14. C.t'hca,. -Ivr 2...-___ _ --- _-.--..-_{ t-- 2E. -r-3ar Ceding lst-'. ct..-a' & orac;:t 75 Cly Chere.cc i 21. Form and F'ashn -- --- -- ��- - - - - - --i - g 76. Dry Stan:, ut. 28. Lathing& Siding ! 77j , FIXED SVSTL?r r INAL I 29. Insulation I 78. FIRE PREY, FP:As I 3 D.y.-, i 3R a !.n g I I HEALTH DEPT. REQUIREMENT --1-- - -- C7., I 32, Eltctr;cal Poe er -.:evr-F,ra' I 1=--' + 60. FOOD CELT.' -E 'S ,i'D �-- 33. Fina! Electric Notes: -- - -- --- --- --- 34. Fnal Heating & An Corrtior..cg __- 35. Final Gas Pipe-Test i I-- .- _ _ - _ _ I 33. Hood or Canopy 37. F, EI Factory pir..Pisca ---- ----- -- -- -- - -- - -- -- - - - - --- I-- -- -- - 39. Final Plumbing < -�- (I 39. linter Service-Final I I 40. Gas Service-F,oal -- -- I ' ------ -- - - _ 1 41. Solar Domestic-Finel . I I 42. Backflow Preventer 43. Backflow Irrigation • 44. L indscape Irrigation Syst.'m 4E. Sount Attenuatior I 4C handicap Regulate-la ./ ' • 4/. FINAL STRUCTURE & BUILDING 74: -/Jy r Ji 48. FINAL PLANNING ' 49. Electric Release to Edison - ii ij 50. Gas Release to Southern California Gas Co i51. CERTIFICATE OF OCCUPANCY No. Date I - L