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Home My WebLink About664 ROSS ST - Building Permits IN PROJECT ADDRESS: 664 ROSS ST y� UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 068247 OWNER'S NAME MUTT, PHILLIP Wil ADDRESS: MUTT JADEE PERMIT NO: P 068247 - PLAN CHECK NO: N GOVT: N SUPP: N 664 ROSS ST COSTA MESA,CA 92626 CONSTRUCTION TYPE; PERMIT TYPE; PLU PURPOSE: OTH ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION .; PLUMBING _REPAIRS SQ FT; ADDRESS: UNIT: CLAIM VALUE: CALC—VALUE; GROUP OCC: R-3 / PERMITTEE: ISAACS PLUMBING ( 714 ) 258-0603 ADDRESS: 1910 E EDINGER COMMENTS: NO STRUCTURAL WORK INVOLVED SANTA ANA CA 92705 ****+r+r*+r+r+E*+r+E**************************+r+r********Fr+r*****Fr*****FE*Frrx***+rar***ar*Fr* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z. ONING REQUIREMENTS 70001 of Division 3 of the Business and Professions Cade.and my license is in lull force and effect. SETBACKS C030556 STATE UC.: 429549 ss 10/94 Date:_ ='L$ 9Y signature: r_ _ MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I h e a ce 'heath of consent t -insure or a certificate of Workers' FRNT; 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.: BWC226816 EXP.DATE: 08/25/9 COMPANY: HIGHLANDS INS, _ PARKING REQ; PAOV; PARCEL; _42223211 ZNE: REF NO: ❑ Cenified copy is hereby furnished. ER Certified copy is ' . ,, he city Buildi it Division./ PLANNING NOTES> 7- 2? "9� > Date: Applicant: a . , .ii///. i *******i!*_***1!**************iE****************************iE if****************i!*iF** EXEMPTION FROM WORKERS'COMPE SATION DECLARATION: (This recti, need nal be completed if the per s for one Cuhu red($100)or less). D E V E L •O _ELM E N T S E R V_ I C E S R E Q U I 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 per - in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BY . DATE: Date: Signature: NOTICE:If,after making this declaration.you should become subject to the Workers' Comrensation provisions of the Labor BUILDING APPROVED BY ; . DATE; Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. ] / CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY. DATE. 1 �(5 1+ which this permit is issued(Section 3097.Civ.C). ****************************************** 1 ***********************iiiE iiiFFF*** ****** LENDER: ******************************************************************************* ADDRESS: LEGALIZATION;N F E E S .0 M M A R Y STRUCTURAL SEGMENT;N 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 54 . 00 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 2 5 pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SM I P/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). _ ISSUE FEE 20.00 I. as owner of the properly 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----> . 54 , 00 20 . 00 0 , 00 74 .00 74 .00 . 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. II, however the building or improvement purpose oa soldwithinBLDGPMTPLUMBING ELECTRICMECHANIC FIRESMIP/TOT GRADING hin one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION —_ COLLECTED; 74 . 00 OVER/SHORT S for thePLAN—CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 74 . 00 ❑ 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 contractar(s)license pursuant to the Contractors'State License Law).I am aware *****************************{(.************************************************* that proof of their Worker's Compensation insurance should be provided to me. I N D - I V I D U A L F E E BREAKDOWN ❑ I am exempt under Section: B.&P.C. for this reason: TYPE . __QTY _DESCRIPTION r UNIT COST TOTAL COST Date: Owner: PLU 1 . BATHTUB 7 .00 7. 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and PLU 1 DISHWASHER 25534 and that I or any future building occupant wilVwill not(circle one)need to comply with said state codes and the requirements for a 7.00 7• 00 permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from PLU 1 SINK, KITCHEN 7 . 00 7. 00 mese provisions. PLU 2 _WASH BASIN / 7 . 00 14 . 00 PLU 2 WATER CLOSET (TOILET) 7 .00 14 .00 Dale: Applicant: PLU . 1 GAS PIPING SYS OF 1 OF 4 OUTLETS 5 .00 5 , 00 I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county END FEES ordinances and state laws relating to building construction an , rize re resents' sal this cit enter upon the above-mentioned prapert inspect ion uryte 01 00164870-00164870 TOT 74.00 en Date._ Signature: DATE: 07/28/94 TINE: 12:02 Driver's License or Social Security Canary—Applicant:Pink—Rev e:Goldenrod—Assessor CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Serv'zv or Pole, 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. c 1n 53. Steel Reinforcement �� caical Condfility•Cihdrgrnc �,' `, ;, - 54. Forms 7_ ..4i' ` tical Condcdrgrnd. gip' 55. Electrical Bonding 6 v 43 c;i Reinforce?mrr, ••,.. 56. Rou h Plumbin & Pressure Test 9 9 �b ,ycd:ical UFErnd. N 57. APPROVAL TO COVERGUNITE G, :v.7t FooC 4r ' ,u 58. Electrical Conduit-Undrgrnd. 3 n r nI Foundation Q1 59. Gas Pipe,0 Undrgrnd.,Test 4.-`' Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. - Structural Floor System . 61. APPROVAL TO DECK 11. Pro QBrty Sewer Line& House Con6ction 62. Backwash & Receptor-Final E -� 12. SeW i Capro a. - a 63. Heater & Vent.Final 3 13. Roof Drains v 1 64. Plumbing System - Final 14. Rough Plumbing "' 7 65. Electrical-Final 15. Rough Electric`-Conduit ._ 66. Solar System•Final 16. Rough Electric...c g a 67. Fencing & Access Approval 17. Rough Wiring San 68. APPROVED FOR PLASTERING -Li- 1,8. 18. Rough Electric83T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT • -n-0 , , -r- i n"-1-e•.. t C' 7rHmi� �_ * t•• cr• C'0_c 20.mZotcit Patton Fp*lace i cm 4'7 * (J c4.PPROWA1:91.^J'ermit# a >1 't"77'7`7 'C al ,s r* 1 `4.174 Igg r[ ' T ‹ .,r * Cr' T.: 00-DC 21. uCtj, i iiitutfl i• F F N S * S 0. 4.'tderg4rlV'Ja7HyS'+"o * 22. Duct, Valltipt%t I OS * 4 S <F > r:11. Product -ing le As 0 ail • 23.'3�•asH,Pe��hot i &"Best I •a1S i� '' r ax X , 90 i �7 * .t0., 2. Under bbd Flusff� Z'. Sn T t,it • - &rV > n 24.ccFioci Franming. O I , . ••F-.EC' "f* 4 S'3.a :Undergrnc?Storax; ank CJ ❑Ott' "'M"" " 25. Ro rt'ShQthin t''" 7E i.: _K :'1 m O fV* .7 v r•i-- * S B v * O > :a* x S/4,;•,Overhead Hydro" * 26. Bi;ryCeiling (Sttr.Zurall &iksc>,Ieroat ._ 73 � :n* * �. .. ._4 :� 27.`•Prameannr Flashi( >7 * * 76. Ir uM IL " SIX i-•03 c _ ..* .7x_ X � >, x* * y Stan P.. :-.m.r. * •T=?1 t iw 77.C'FIXED SN&f. EMTRi P\L* b:' >29. Insulatiq 3 4' S I gri 76. E P�EV. FIN day < > F OS • Pit)ding 'Jt..--;4,, S J ..a .) c^✓0. Drywall Ping t..--; * I # * ri •:n *EA LIN:DEPT.M4E01AREMEIrh m E-- - rni nmr, 1 A; to E.-A)1. Plaster B4wn,Coat.x S n'c' r i t,79.cfit-WA Pk CTI* t a S .-.ti f42.:nlectricaI'owyr jeL.c.final r *. :u * E60.r5OOD CERTIFICASE IS9UED E-I0 --e G "N-- _ i' a s `x 3 x tC -, r,r1 oRs: __ m 33.$in. E1 r1S >r d, 4; r: m x h s '7 O ?1 m I 4.;,- inalHeatin4 Ry; onFlitioylrs r, * CC .• x 51'"45 c rS ^^, 2 ply y��C dj r C -x , 0 " a 7' x f r n7 .. i I , K'[6`A LL 35.tFin:Gas Piot-rifest > u= '7 1_/n /�b "'74, * .�j"l /{ no 7.r:4/1C0 36. too, or Canopy * -,G I ' r - * n , a no * 'r rS7.`EinifFactory FirepV5d&x, li FF n m f* * `_ n as C7! ;38. FinePlumbing * , .. .. . HCL• , I _4 * m ;., . �' I ', r•. _ _x____________t 39. Wat2ilService'Final - I .,, x ;1 7 * x m X0. Gas Service•Final - x m .?mtr' . # m • -- 1 . ill. Solar Domestic-Finale S .1 - Co - r •r1 T •1 o s - 0 E32. ' ackflow Preventer v ,a :• r >E_ •o q "1 " c, I ,y r J. ;. r 43. Backf low Irri tion ` 2. * '^E" * 0 ;��'� ' > * • o: * is 0:6'. z T � 14 y G u._rv...,ro h4. Landscape lrt'gatiorl-Systemb, • :7 ti• x to xS -• * to 000000 C:• O, 'x .1 < G r ' S. •- i' r S t-, H5. Sound Attencation* �xi-i 7. ;;h YF* 4 n ,=a * s * 6. Tandica�'1t e4ttIatior'}s ry o c x S Co C' L. S s S ' I' . z m O .- 47. ±IN£r.L STRUCTURE & BUICOING * x ., '7 CUs 4 F I • *_ * F 48. jlN PLAI1i(IING ; i -•t- r ti ; m to _ -•t t- ` Y .4 4ect 9. 'lrjc Release to Edison 1 + MN S_ r "'• 5p, Gas &lease to Southern Califprrda,GasCoIBM .-, :� • or) O --.........-•-•-a • 1. CER-IFICATE OF •CCUPA C x > s n * F 000000 No. Date • PROJECT ADDRESS: 664 ROSS ST UNIT: CITY OF COSTA MESA - BUIL1)ING PERI:IT PERM NO: B 06621:- OWNER'S NAME: MUTT, PHILLIP DAVID ADDRESS: MUTT, JADEE PER:4IT NO: B 068218 ILAN CHEC:1 NO: N GOVT: N SUPP; Y 664 ROSS ST COSTA MESA,CA 92626 CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: REP ARCH/ENGINEER: WEBER ENGINEERING REG.NO.: C30987 JOB DESCRIPTION : REPAIR DISTRESSED SLAB IN HALLWAY SQ FT : 3, 000 ADDRESS: P .O. BOX 2713 UNIT: CYPRESS CA 90630 CLAIM VALUE: 3, 000 . 00 CALC—VALUE: 3, 000 . 00 GROUP OCC: R-- 3 / PERMITTEE: EMERCON, INC. ( 714 ) 630-9615 ADDRESS: 1211 N BARSTEN WY COMMENTS: SUPPLEMENT TO B-66801 ANAHEIM CA 92806 Kirt'+K#wttisxie* k..#ir+sirir,:•iE###ie*##w #xi:itisia#z-ik) ei;i;T;441:**##iiia;**•#4(###i-#i. 4,44:•4. 4 :. 4x-e'4-lb4iv1.s:4 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R EQUIR EMEN TS 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACES LIC.: STATE LIC.: 52590-. O F EX P- r'Date• 10"Z4. 9y Signature:_ _ e_ MAIN BUILDING --' ACCESSORY BUILDING ---- -- - -- W KERS'COMPENSATION DECLARATION: I hereby that l have a cenificate o sent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT; FT IN REAR; FT �N mpensation+Insueance.ora.cenilied copy thereon( on 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN POLICY NO.: WLF1`1 / 3G EXP.DATE: L)1 /11/95 COMPANY: cITAT ION INS PARKING REQ• PROV; PARCEL : 42223211 ZNE; REF NO: mined copy is hereby furnished. Li Certified copy lied with the city ull ' Division PLANNING NOT ES -, . p� E0. X•#ii###irK####irX:ir########i*4434. r.#it•i;•#i4—X•#A*32**#x•#Jx-i; ir###r.######1;•101###x i; •i:A-LT it** -R•5 is#:'i: 'Date: 7"11,6 `Y Applicant. `D(EMPTION FROM WORKERS'COMPENSATION DECLARATIO section need not be complete a permit is for one hundred(5t00)or less). 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 I9 E P1�`T S I certify that in the performance of the work for which this ' it 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: Date: Signature: BUILDING APPROVED BY NOTICE:If.after making this declaration.you should become subject to the Workers'Compensation provisions at the Labor DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. DATE:CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction tending agency Ior the penormance of the work or APPLICATION ISSUED B Y; 41 which this permit is issued(Section 3097.Civ.C). K-#K Y'K i'X'%#-###K###ii#####it##k X ,•r•x s:is it ifz Y.•#44.14?;is,44:177 iE#x e#is i *ii#4,-*iE K Y# 41*.r{; 'T! 74.4 I T ;' LENDER: *t 3341. 1:K####ti##K#ir###K#####Xie#W*##it##K#31411;*#Kit##K###Ki:ia#K:.•X**3?Y•X ,, j.%j.%4,-;:-, • :•.,44 is , ADDRESS: REPAIR AS PER ENGINEER LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: Y 6 GEOTECHNICAL REPORT 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 SNIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter.improve,demolish,or PERMIT 54 . 00 repair any structure.prior to its issuance.also requires the applicant nor such permit to file a signed statement that he/she is licensed 'J 0 pursuant to the provisions oche Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 301 the Business PLAN SPIIP/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE I. as owner of the property or my em7Dloyees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sate(Section 7044.Business and Professional Code: The Contractors'State License Law TOTAL S————> 54 , 50 0 . 00 " 0 . 00 54 . 50 54 . 50 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTAL S--> COLLECTED : 54 . 50 OVER/SHORT: . 00 for theepurposeof sold le). one year of comptelian,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMTP/TOT GRADING PLAN—CHECK mr the purpose of sale). 54 . 00 '• I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business . 50 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware Y'##K#r##X•#i6##ir#ir#ir#i'i@###it####K######15######K###xit##K#$###ir#3.' #1 ##i1K#4'i Y.i,rXis is kif:, that proof of their Worker's Compensation insurance should be provided to me. IND I V IDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.E.P.C. lor this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: SFR 3000 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 • Ido hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES 3, 000 , 00 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 permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from these provisions. • • • Dale: Applicant. I hereby certify That I have read this application and slate that the above information is correct.I agree to comply with all city and county i ordinances and stale laws relating to building construction and hereby authorize representalrves of this city t0 enter upon the above-mentioned property for inspection purposes. Date: 7-- 24 '9'V Signature: 01 00164711-00164712 TOT 54.50 er's License or Social Security e: DATE: 07/26/94 TIME: 13:30 1641-46 Whoe—Building:Green—Godo Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor CONSTRUCTION AND PLANNING POOL & 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 �7 3. Electrical Conduit Utility•UnfUgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd.'. 55. Electrical Bonding . 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. / 8. Foundation C "Y� •) 59. Gas Pipe, 0 Undrgrnd.,Test ' 2/ 9. Water Pipe-Undrgrnd. .'I i 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor System /,` 61. APPROVAL TO DECK 11. Property Sewer Line & Housiconnection-' 62. Backwash & Receptor-Final £.. 12. Sewer Cap 63. Heater & Vent-Final . 1 / 13. Roof Drains ,f 64. Plumbing System- Final 14. Rough Plumbing 65. Electrical-Final • 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiringt 9 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough& Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 7-2:7,_y,{�, k - be 35. Final Gas Pipe-Test [/ 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING ( .qq [L' 48. FINAL PLANNING ` '1 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date PROJECT ADDRESS: 664 ROSS ST UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 066801 OWNER'S NAME: MUTT, PHILLIP DAVID ADDRESS: MUTT JADEE PERMIT NO: B 066801 PLAN CHECK NO: 01321-94 L GOVT; N SUPP: N 664 ROSS ST COSTA MESA, CA 92626 CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: REP ARCH/ENGINEER: WEBER ENGINEERING REG.ND.: C30987 JOB DESCRIPTION : REPAIR DISTRESSED FOOTING & SLAB SQ FT: 35, 000 ADDRESS: P .O.BOX 2 713 UNIT: CYPRESS CA 90630 CLAIM VALUE: 35, 000 . 00 CALC-VALUE; 35, 000 . 00 GROUP OCC: R-3 / PERMITTEE: EMERCON, INC. ( 714 ) 630-9615 ADDRESS: 1211 N BARSTEN WY COMMENTS: REPAIR WALLS AS NEEDED ANAHEIM CA 92806 ***«+k******+e*BETE+Ex**********+E***********+ESE*************************x***********+E LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON ING R EQU IR EMEN TS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. S ET BACK S CITY LIC/:/ STATE LIC.: 525903 CLAS B �te:_7 -73- fq Signature:_ / /w. iMAer— MAIN BUILDING ACCESSORY BUILDING ORKEfl$' DECLARATION: hereby affirm that have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT I N REAR: FT I N FRNT: FT I N REAR: FT I N WCompensa'on COMPENSATION h BION: Iereofyafliron3800. Lab. LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: •• �� `' EXP. DATE: 1 /1 1 /9 5 COMPANY: CITATION INS�yPARKING REQ• PROV: PARCEL; 42223211 ZNE: R1 REF NO; El Certified copy is hereby furnisshheed. 'L'1 Certified copy is ' d •h the ' Building�.IDi/vyio�n. � ,� ��,� PLANNING NOTES> RESTORATION OF FOUNDATION AREA DUE TO TREE ROOT DAMAGE I7 — /3 — 7 Applicant: / i444. .4.1 ******************************************************************************* / MON FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). DEVELOPMENT SERV ICES R E Q U I R E M E N- T S 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 BY4DATE: • Cc: Date: • Signature: BUILDING APPROVED BY • �L� ode.NOTICE:If.aftermaking this declaration.witi•s you should seoome subjectemis the Workers'mempensation provisions of the Labor DATE: �� Code.you must forthwith comply wilh�such provislgns or this permit snail be deemed revoked. n CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: DATE- Vin iPiE • which this permit is issued(Section 3097s:Civ.C1. ' • **************************************if•1Far*********************.x. - - •• LENDER: ************************************************************************* s**** ADDRESS: REPAIR AS PER ENGINEER LEGALIZATION: N F E E SUMMARY STRUCTURAL SEG. ENT:Y & GEOTECHNICAL REPORT . OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason PERMIT BLDG? MT PLUMBING ELECTRIC MECHANIC -FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of count which requires a permit to construct,alter,improve,demolish,or repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 3,50 pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN2 0 6 , 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 ' 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 TOTALSS ----> 320 . 50 0 . 00 206 . 05 526 . 55 526 . 55 . 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 REVENUE DIVISION TOTALS--> COLLECTED : 526 . 55 OVER/SHORT: . 00 improvement of salol.is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve for the purpose 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 317 0 0 3 . 50 206 • 05 ❑ 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 ***************************************************************.***,y.*.*.**.**.*.****.*. that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL FEE • B R E A K D O W N am exempt under Section: B.8 P.C. jt for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST • Date: Owner: SFR 35000STRUCTURAL BY VALUE PER $1 , 00 1 .0035, 000 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and END OF FEES 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 permit for construction or modification from the Air Ouality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: r I hereby certify that I have read this application and state that the above information is correct.I agree to comply with alt city and county . ordinances and state lawsurto building construction an2bythorizeresen talives of this city to enter upon the above-mentioned oily for/inspection/ purposes. ` 7 -/.3- 71 Signature: O �iCt 74'x'_ O1 00153833 00153390 TEST 526.55 Driver's License or Social Security x: DATE: D4/14/94 TIME: 16:11 1641-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor CONSTRUCTION AND PLANNING Date Inspector I POOL & SPA Date Inspector APPROVALS Permit# APPROVALS Permit + 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location I 2. Soil Pipe.Undrgrnd. 53. Steel Reinforcement :3._Electricdt Conduit'Utility-Undrgrnd. 54. Forms 4. Electrical Conduit--Undrgrnd. 55. Electrical Bondingt 5. Steel Reinforcement G-`E,.Gif 6/_ v 56. Rough Plumbing & Pressure Test • 6._ Electrical UFER Grnd. `*� 57. APPROVAL TO COVER-GUNITE J/- 7. Footings,:_ 6` Id-iii �(fj(, 58. Electrical Conduit-Undrgrnd. • 8. Foundation 57e / ,04,, e f4 .1g tlpQ�� 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. / T .60. Backwash Lines, P-Trap, 0 Undrgrnd. 1i 10. Structural Floor System - ._ 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 162. Backwash & Receptor-Final 12. Sewer Cap - 63. Heater & Vent-Final - ! 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing - - 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric=Wiring 67. Fencing & Access Approval Wiringn t 17. Roughfi Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 9 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT I 1 •20..i;Rough Factory Fireplace _ - APPROVALS Permit# 21.'Ducts,in.Structur,e. - `ro 1 '70, Underground Hyd 22. Ducts, Ventilating • _ 71. Product Piping LTGas 0 Oil 23. Gas_Pipe-Rough & Test _ . - 72. Underground Flusli . 24. Roof Framing - - , _ .. 173. Undergrnd'.Storage-Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26.•T-Bar Ceiling (Structural) & Monocoat ' . .. 75. Dry Chemical ' 27._Frame and Flashing �,, - 76: Dry Standpipe 28. 'Lathing-8r Siding s y. •,',7-'/ .f7 &4✓10- 77.-. FIXED SYSTEM FINAL . 29. Insulation . � 78. FIRE PREY. FINAL i "30. Drywall Nailing j HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat' 79. FINAL INSPECTION 32. Electrical Power Mete7;Final - , 80. FOOD CERTIFICATE ISSUED - 33. Final Electric , F p - 1- p l� ( l � i. 34. Final Heating AirConditioning- ' 35. Final Gas Pipe-Test '36. Hood or Canopy - • - .-' • 7-Z$'-?. c _ /a..,oit,c i. �-�L. 37. Final Factory Fireplace - - • _ P� -/_'1_/�_ .. �'� 38. Final Plumbing �"r'�f� 39. Water Service-Final . 40. Gas Service•Final - �l.qL/ 47i �( J /ph p,�e p "/ .41. Solar Domestic-Final <a07-�C _ v `L- �"c'cr^'q�C_� 42. Backflow Preventer - I 43. Backflow Irrigation - 44. Landscape Irrigation System.. . . :45. Sound Attenuation - . 46. Handicap.Regulations - . - - 47. FINAL STRUCTURE & BUILDING g //LM / - w • 48. FINAL PLANNING 1111 49. Electric Release to Edison - -! .50. Gas Release to Southern California Gas Co -. 51. CERTIFICATE OF OCCUPANCY - No. Date . 1 OWNER HARBOR ESTATES ,../ DATE 7-12-55 e JOB ADDRESS 664 Ross St BUILDING PERMIT NO. 1506 GENERAL CONTRACTOR Dike & Colegrove VALUE $ 8,000.00 LOT 85 BLOCK TRACT 1986 Residence Plan 12A GROUP I TYPE V ZONE 1114 FIRE DISTRICT 1526 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR ,(� DATE NUMBER 4r erc Footing Trench 7-.t2ts Foundation Forms and Grade to Garage Rough Framing Plumbing,Rough to Slab y'_ yzaa— Plumbing,Rough Complete 75 t (� . \ 4_2.3_.6 ? cgX7i Temporary Pole /J M. c� Wiring, Rough M. b n .m , or - 1-..27/— ..3/ 'f/`/y/ Heating,Rough . Heating, Final lir/ " – f / aa q-Z _.(, 1._. Q1__ Sewer, House � Sewer,St. ,- -e-n (./ez: Dn., 7—/t-s6 27 .Septic Tank or Cesspool ,[ �_/ Lathing, In Out7t red C _ ` Plastering ,• rp /o - Niumbing,Final,Fixtures Corm eta/ 61/Plumbing, Final GasTest/j �e/� a / .....__I 11111M- / Man �j( 45 Wiring, Final • D 2e 'r era"- _ Occupancy r7' '‘. - fit /— J Form 210 C-111500 1-55 ' Costa Mesa Building Department t/1 S2APPLICATION FOR PERMIT 111 EAST 20th STREET tt�) R /°� COSTA MESA, CALIFORNIA ----- r-U I_L D ,I�.I�_V_-___ _�- 4 • FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY_ Receipt No. PermitNo. Building i Address 6611 1701s Street /S Q' Costa Mesa, California R7ed by Date Rec'dt.�/ Date Issued Nearest r' 7-42- v l^i.2-i.2 cross st. 19th Street Buildin - Address i ' Owner Harbor Estates Costa Mesa, California Mail Address 419 East 17th Street Nearest i . Tel. Cross St. I City Costa Mesa NO. LI 8-1159 Zone No.or Type ' / I Group Architect or Lic. II Plans (� Engineer Carlson & M ddlebrcttk Approved , by ! Date ' Address Garden Grove i CORRECTIONS City Contractor Dike & Colegrove No. uc. 1901 Address 419 East 17th Street Legal I Lot - t4,;,; : Description I No. 85 I Block I Tract 1986 (Attach Metes and Bounds) _ .�- No.of Bldgs. - ..� J'. 1 7 "C.,'S5 Size of Lot 60X110 I Now on Lot none _ _ - . - _ - _ _ _ -_- -- .. . Use of I No.of I No.of 1. r,"' 73 Existing Bldg. none Families Rooms ((�� T�/ (�{ Tp--p-p�(�� ,n Setback Line from Rear Yard 601 - 1/C1-i--OV•`l7VJ'hF1�iYl l-Sr� - ._ Center of Street 501 Side Yard 51 p DESCRIPTION OF WORK r New I X I Alteration I I Addition I " S " Repair I I Moving I I Demolish 44 Building No.Of Size 984 sq. ft. Rooms 52 Stories 1 Exterior Wall I Roof Covering .tucaoI Covering Co±ap• APPROVALS Ilse of New Foundation Location Inspector Date Building Plan No. 1.2A Forms, Materials, Single family residence Under-Pinning Frame: Fire Stops, Bracing, Bolts I hereby acknowledge that I have read this Application Lath. Int. and state that the above is correct and agree to comply Lath. Ext. with all City Ordinances and State Laws regulating building construction. Signature of Plaster, Int. Permittee Di ka & Col v Plaster,Ext. (p Authorized Agt. C ,L./0, o CJ(X Masonry Reinforced _ Valuation Permit Fee $ voo. c o Plan Check $ a, o 0IBond Beam $ 8,000.00 Total Fee $ O O 3 ' FINAL I Worm 204 c-R IM 12-53 c Y Jc ` umsra JUL i?5SPeaL124o *: t }23.00a i . • . . . Street ' . PLOT PLAN - - t • Show location and distances from . property line and between buildings. • ., �. ' L.