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Home My WebLink About840 SAINT CLAIR ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 MECHANICAL PERMIT ,lob Address: 840 SAINT CLAIR ST Suite No Vicinity: Parcel Number: 14754609 Applicant Address: Ownei: Address: CLARK, BILL 6852 CARNELIAN ST ALTA LOMA, CA HEMPSTEAD, WALTER ALLEN 840 ST CLAIR ST COSTA MESA; CA Contrecror. SOCO AIR CONDITIONING Address: 6892 CARNELIAN ALTA LOMA, CA ISSUED BY: Phone: 909-944-1340 Zip: 91701 Phone: Zip: 92626-5704 _Phone: (909)944-1340 Zip: 91701 License: 333239 SCOPE OF PERMIT CHANGE OUT FAU. NO 07HER WORK AU7HORIZED 8Y THlS PERMIT. ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair / Alt Cooling/Heat Inst / Rep. Recess Wali HV Refrig Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping Factory Fireplace � Hood w/Mech Exhaust � VAV Box Vent Pan / Single Duct Appliance Fire Dampers ' Smoke Dampers � Inst or Relocate Appl Vent Air Handlers < 10000cfm � Air Handlers > 10000cfm Floor Furnace Floor or Suspend Heatpr $23.50 $14.80 $0.00 $0.00 $0.00 50.00 50.00 $0.00 $0.00 $0.00 $0.00 so.00 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 �uantity FEE SUMMARY Repair / Alt Absorbtion Unit Repair I Alt Refngeration Unit Venlillation System Evaporative Cooler Commercial I ncinerator Domestic Incinerator Compressors / Absorption Systems Upto3hp/100kBTU 3 To 15 hp / 500 k BTU . 15To30hpl1,OOOkBTU - 30 To 50 hp /.1,750 k BTU " Over 50 hp / Over,1,750�BTU Boilers Upto3hp 3To15hp 15to30hp 30 to 50 hp Over 50 hp Olher Mechanical Fee Invesligalion Fee � Plan Check Fee Reinspection Fee Status: ISSUED Applied: 03/08/2002 Issued: 03/08/2002 Quantity $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 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 50.00 $0.00 $0.00 TOTAL CALCULATED FEES $38.30 COMMENTS / SPECIAL CONDITIONS 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-g2) EXPIRATION: This permit shall automatically ezplre and become void if work is not commenced within 180 days, or if work is suspended or abandoned lor a period of 180 days. INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inspeetiona and finel epproval must be obtained. Failure to obtain inspections antl final approval will result in the expiration ol this pertnit. POR INSPECTIONS CALL; (714) 754-5626 saaesa �a�oo� WORKERS'COMPENSAnON DECLARAnON: � I hereby attirm under penalry ot perjury one of the following tleclarations: - I h e antl will maintain e cenificate of consem to selbinsure for work rs' compensation, es provided for hy sectlon 3700 0l the Lebor Code, for the padormence of ihe k for which this permit is iss etl. I have antl will aintain wo ers' ompe ationins`�ce, es requin d y section 3700 of the Labor Cotle, for the peAortnance ol Ihe woB lor� h ihis pertnl�is Issued. My workers' Co�pensa� u ri t and pol' number a ia' �n Cerner. �. � � PoliCy Number. �� i' � � (This section need nof 6! completed i(he�d at one hundre�allers (3100) or Iess.J ❑ I certify Ihai in ihe performance of Ihe work for which this permit is issued, I shall not employ eny person in any manner so es o become subject to the workers' compensation laws of Calitomia, end agrae thet If I should becp me sub�ect to the workers' compensation provislons ol Sectio� 3700� t gLabor Code, I shall forthwith comply with these O�ovisio s., // � y? i� � . K Applicant SiqneWre: �� Di. .� .f/ Date: . �J WAflNINGFAILIIRETOSEC REWORKERS'COMPE ATIONCOVERAGEISUNIAWFULlWDSHALLSUBJECTANEMPLOYERTOCRIMINALPENALTIESANDCIVILFWESUPTOdJEMUNDRED TFIOUSAND DOLURE �5100,000). IN ADDITION TO THE COST OF CAMPENSATIIXJ, DANAGES AS PROVIOED FOR IN SECTION 3]Ofi OF TME L480R CODE, IMEREST, AN� AiTORNEV'S FEES. LICENSED CONTRACTORS DECLARA710N: I hereby aHirm that I em torce antl ettacL Lic. M Contractots Signawra: with Section 7000) of Division 3 of the Business and - . _ . Class a CONSTRUCTION LENDING AGENCY: ❑ I hereby aRirm �hat there is a consimction lending egency for iha peAormence of ihe work for which ihis permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender'S AtldreSs: Signature: � Date: OWNER-BUILDER DECLARATIONS: Is in full I hereby atfirm that under penalty of perjury thet I am EXEMPT FROM TME CONTRACTORS LICENSE LAW for Ihe lollowing reeson (Sec. 7031.5, Business entl Protessions Cotle: Any city or county which requires e permit lo constmct, elter, improve, demolish, or repeir eny stmcWre, prior to its issuance, elso raquires tha epplicant for such permil ta tile e signe0 statement that �e or she is licensetl pursuent to the pmvisions of Ihe Contractore License Lew (Chepter B(commencing with Sectlon 7000) oi Dlvlsion 3 af Ihe Business and Protessions Code) ar thet he or she is axempt thereirom end the hasis tor the elleged exemption. Any violatlon of Sectlon 7031.5 by eny epplicent tor a pertnit subjects the applicant to a civil penalry of not more than live hundred dollars ($500).): ❑ I, as owner ot the pmperty, or my employees with wages as their sole compensation, WILL DO THE WORK, end the structure Is nol intentletl or otteretl for sele (Sec. � 7044, Business and Professions Code: The CoNractors License Law does not apply to an owner of property who builtls or impmves Iheraon, and who does such work himselt or herself or through his or her own employees, provided Ihat such improvements are not Intended or oflered lor sale. If, �owever, the building or Improvement Is soltl within one year of completioq the owner-builder will heve the burden ol proving ihat he or she did not build or improve for purpose oi sale.). ❑ I, as owner of the property, am E%CLUSIVELV CONTRACTING WITH LICENSEO CONTRACTORS to constmct the pmject (Sec. 7044, Business antl Professions Code: The con[raaors License Law does not apply lo en owner oi propeny who builtls or Improves thereon, end who comracts tor such projact with a contracror(s) license pursuant to the Contractors License Wws.). ❑ I am evempt un0er sec. Business end Prolessions Code for this reason: Signature: Dete: Owner ID venfied by driver5 liCen58. ❑ Ves ❑ No Drivar's License No. Venficalion of Ownership by (type ot documenl, i.e. - property tex bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Ezpires: ❑ I �ereby cenify that no escavation tive (5) or more leet in depth into which a person is required Io descend, will be made in connection with work authodzed by this pertniL and that no building structure, scattolding, lalsework, or demolition or dismantling ihereof, will be more ihan thirry-six (36) leet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Calilornie Administrative Code). ❑ As owner-builder, I will not emplay enyona to do work which woultl require e pertnit from the Division ot Industriel Sefery, es noted ahove, unless such person �es e pertnit to do such wark trom �he division. SignaNre: Date: Division of Industrial Safery Permit NumOec CERTFlCA7E OF COMPLJANCE AND AU7HORVA710N OF ENTAY: I certily untler penalty ol perjury that I have reatl 1�is application end sfate ihat the inlormetlon given is correct. 1 agree ro comply with all s:ate laws end ciry ordinances relating to building coreWction, end authorize representatives oi iha Ciry oi Costa Mesa to enter upon the ebova-described properry tor inspection purpases. 1 egree not to acupy or allow occupancy at eny building authonzed by t�is pertnit until tinel inspection. ,/ „/� S�g at 9al Ow//g s) p� (1�� .G! y� � lJ , �AnNOr Authonzed Applicant Date GOOE �. INSVECTONTYPE 1616 Fisetl System Final Fire Preventlon 1266 Pool Spa Finel 200 Final Re-Rooi 201 Final Blwk/Retaining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition Q� �L$ COOE I INSPECTION TYPE 206 Final Mechanical 200 Final Plumbing 210 Finel Elecirical 212 Final Fire Preventlon 220 Final Planning Approval 222 Final Site 250 Final Buildinq/Occupency pAg Iti�dl5 3�1�-0� Qn/ �oon�ssavauuaxc: 840 SAINT CLAIR ST o�xr,ensx.aeicaa�vx: HEMPSTEAD WALTER A �noness:840 ST CL�IR ST COSTA M$SA,CA 92626 wtt. Wuu+o wo�ss ApCNITECTOP EHfiNFFA: 1FCN.OP ENO.'S �WflE53: uc xo: uxr: CITY OF COSTA MESA - HUILDING PERMIT PEkMIT NO: P O8G776 PLAN CHEC}C NO: N CONSTRUCTZON TYPE: V-N PERMIT TYPE: PLU UNT: car+m�crarsxu� NOCK PLUMBZNG (714)895-1246 CONfP1CTOX4YNIW� 1 1 6 1 2 KNOTT S T .no�ss:GARDEN GROVE CA ucno_ 707775 92891 uxr: 17 UCENSEU COMRRCTOFS OECLAHATION: I M�eby ellim uMs paiely d per'ryry Nm I mn IiceneeE uMs povidone d Cheqm B (mmmmtlrp xilh Sectbn ]000) d Oneun 3 d Ne Bu�m xM P�almaom CoEe. end my 4aue u in hA brce end e/led. cmuc.No.:050386 uc.cuss:C-36 uc.No.: 7Q- 7�5 EJ}/f.Fj: 02/98 D e' ��(�_ CmvaCor. / �J��—�C— WN BUILDEF DECLANITION: I hseby etfrtn untler perely d pee�vy �hel I am axemq from iM Conveuon lieenae law Iw Ne 1 n9 rmsm (�� ]W i.5 Bus'vroas end Adaasion+ Cade: My cty a mun7 �� Wiree e permG lo mnal�u[I. e11er. imprave. a�iemoluh, or repei any svueture: pria lo b iaaxa. ebo reqwem ihe appl'wsN la mrh peeml lo Ae a eqred eu�emem thm M a aM 'Se �immed w�m w ine wow"vu a me c«vreeaa l;mme lew ICMqm s(mmmendro ..nn seaion �000) d orvuo, a d iro Bi�smo ud Praleaixn CaEe� a ihat b n eM o ezemq Ihaehan ud ihe bave fa tlr dkpad s�ampin. MY videton af Sedion J0�1.5 by anY aDV��I ta e parmu subpUs 1he eppfratl to e mil panelly d ml mae Ihen Me huMretl Edk�a �5500�. � I.mowrerdiMpopenYamY�WM�x'tnwe�e+mtheisdemmV��.wiIlEONewak.eMtlwavudwe6rwiweedeE n MmeC In aeb (Sec�bn lML.Bisrea eM PNeavons Cade: The CwYreCac limnae lewdoes nd eW�Y loan owiwrd Ma%M wno bulds a'vnpwes tMreon, vd who does aucn r.ak h'vnaen a hersM a Urouph ne a har ovm amqoYaac, prnked tAm auch impovemenle ve m� inieMetl a dlereE fa sab. tl, lnwwer, iM Wnitlmp a mpwanaq c edd xnhin ma yeer W canple�ion. Ne owMr-0utlder xi0 Mve iM buNen d V��V M or aM did nd bdE or'unP�� tor iM W�G�e d edsl. ❑ �. m o,m., w ins aAoan.,m aNmwN m+�.e:n .wi c�,.ee cawd.,d. m conmw, n» o� (s.aion ra.. 9�.i�..�e rw.�on. coee: ne wu.mon �ican» �.. aoe. �a mWr m en owr, a ww�r wno wua. «'unpw« m«.o� .na .no CMIlOCb �M YM�I P��`J= W11119 m1Yf0flOf�9) �M'MISOd W�oYB1V 10 ��10 COfllfB[�p! �IIH111B �BW�. � I an uemP� ��Mr Section: B. 8 P.C.. br Nu �mm: De�e: � i eo nxeM cenM mm i em e.ere w m,e wasiem u» �m:��m d cwam. H..en e�e sero�v code seeiav zssos. zssu. e�e 255�1. vd Net I a eM Mura buildinC � will / wll rM (ack ans) neaU W canNY wYh eeid nma mda ud tM n9u'vemeMe br epamnlaooneWnbnamod�ianhanlM�i ue�arapemenlD'mtrid.RmiCemieloonprWioneppiretiaauaeasmqlmmtheee Dale: �VW�� WOHREfl'S COMPFlI4AT10M OECLARATION: I MreW alfvm uMx penelly G pejury oro d tha lolbwmp dedermbm: � I heve eM xi0 meieuen e eMJieYa d mmeru to �atli'uun M wkaa' mipenWion. o pwided la by Setlion 3)00 d the labor Ci0'�!. �Of ��18 �MIIBM< G� 11M MIXk /IX Whlt�l nll] plITII Y�WIMd. � C] � nev. d,e wi� meia.n womm�' mmo�o� �rou,erce... roc�u.e M s«rion a]ao a u,. lm« cme. �« �n. w�«m.m. a �n. lr work Im xAiM i�ie 0�� n mued. MY rorlm'e' ewnPonemion imuiancs urrim eM VdwY mimEer ers: c�.�: GOLDEN EAGLE EXPIRES � PoliryNumber: �1W(' 479�440J 09/O1/98 (ihis eettion iwM nd M canplereE / 1M pmm! u br ms huMied ddkn �Siro/ a bse.l ❑ I mhF/ Nel in tM VMartanca d �Ir wwk lor yfiich Ilw M�e b imntl. 1 Nell m� amPN M' Va� in enY menmr eo s� 10 beeoma wbl� lo iM v.oMne' mmpenaeiim lew+ d CelJamu, anE yree Nel J 1 Mouk bewms abjeq io iM xveken' panalion P'woiona d Seqion 3]00 d �M LeEw Code. � 4WI�Ipghxilh mmpltiti�h Noee� et :cam � � �� min0� FeNun ro ucun woiken'rompwuetlon rov�rap� l� unMMul, �ne N�II rD/�cl en wnyrloy.r to cNiNnsl p�nUtl�� n0 c/vll fln�� ,.y ro ar �1nLrM fho�aiid do/Yn (SiPqPDJA a��n ro M cwf ol ronpw�utbM1 tlainpu �� povMM br /n Sxtlon �]P6 0l llr� l�boiCods. /ntwsat �nd ettunNl' �!wa CONSTRUCTION LENDINO POENCY: I Mreby dfirm uMer penely d perj ry ihm �hera o e oon¢��mn bMiep �eMy Im �M �no�� a me � m, wn� �w w�� a:�e �sea� am�. c:. cl. LENDEN'S N�ME: �I LENDEWS �DDRESS: I eanily ilw I here eaed Nn eppliwian enE 9eb thm tlw eGav'vJamalion e mrt�a. I epne to eompy with ell ay erM eouruy ordinvae� eM alete lew9 mle�iq io Wikip wnstruaion eM hmebY eWwue iepaeeniaiivee d ihro cryto mler upan tM ebove.meniioneC pmpeM iorm.v��on purposae. RON NOCK oma y� 15151-ie WP) Whne-BuJdnp 8$tlaly: G�een-FJe: Cenery-AppiraN: Pink-Rarwun:Odde'wb-Auassar - �00 � PERM NO: P 086776 GOVT: N SUPP: N PURPOSE: OTH JUB DESCRIPTIUN : INSTALL DISHWASHER SQ FT: CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 / COMMENTS: NO OTHER WORK ASSOCIATED WITH THIS PERMIT **+�+r**��***�********��**��*+�***+t**+t,�**�***�*��*�*�*******�*�***�+�+a*+t*��x*+t*�� Z O N I N G R E Q U I k E M E N T S S E T H A C H S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ------- FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT ZN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKZNG REQ: PROV: PARCEL: 14154609 ZNE: REF NO: PLANNING NOTES> � � iE i!' jE jE'IE 1f jE''1F iE 1E fE 1F �E �(' �P iE 3E # 3E iE j("]f !f'lElf 1f # jE'1E iE iE iE iE !E iE i4 iE 3E iE if iE iE iE if 3E'1f iF'kdE IE fF'lE'1F �(-if ik iF iE')f iE iE jE iE ik �1E iE �1F if iE �E fF �E jf-iE iE-)E �E iE 1E D E V E L O P M E N T S E R V I C E 5�.--R E Q U I R E M E N T S ZONING APPROVED BY I� DATE: FfUILDZNG APPROVED BY : •,. DATE: APPLICATION ISSUED BY: DATE: ��***��**��*,��*** � ,�,�**��*�� *�� n LEGALIZATION;N F E E S U M M A R Y STRUCTURAL S GMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 8.75 25Y SMIP/NON-AES F'LAN ISSUE FEE 22.00 BUILDZNG-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 8.'75 22.00 0.00 �10,75 30.75 .00 REVENUE DIVISION TOTALS--> COLLECTED: 30.75 OVER/SHORT: .00 BLDG PMT PLUMBZNG ELECTRIC MECAANIC FIRE SMIP/TOT GRADING PLAN-CHECit 30.75 iE iE iE if if 3E 1E iE iF iE 1E iElk 1F iF ik iE iE iE if iE iE 1E if iE il' iF iE iE �E 1E �k �Yklk ii �E �F i6 dE �E 151F k 3E ik *�1h iE iE iE iE 1f 3i if !F if �k jE �E if �E iE iE iE iE iE iE ff iE iE if 1E 3E if iE iE �1E 3F 1E I N D I V I D U A L F E E B R E A R D O W N 3`YFE.� QTY D E S C R I P T I O N UNIT COST TOTAL COST PLU 1 DZSHWASHER 8.75 8,75 END OF FEES 82-82-1998/89:14 NM/f38.75 RCPTY:BI-B819B69 PERMITe986776 CONSTRUCTION AND PLANNING �� & SPA APPROVALS Permit � Date Inspector APPROVALS Permit # Date inspector 1. Temporary Elecirical ServiceorPole 52. Pool & Equipment Locatiod. 2. Soil Pipe-Undrgmd. �, 53. Steel Reinforcement , 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrqrnd. 55. Electrical Bonding � � 5. Steel Reinforcement 56. Rough Plum6ing & Pretsure Test 6. Electrical UPER Grnd. 57. APPROVAL TO COVER�GUNITE � 7. Footings 58. Elactrical Conduit�Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test � 9. Water Pipe�Undrgrnd. 60. Backwash Lines, P-Trap, Q Undrgrnd. 10. Structural Ploor Svstem � 67. APPROVAL TO DECK � 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final � 12. Sewer Cap � 63. Heater & Vent�Final ' 13. Roof Drains 64. Plumbing Svstem , Final 14. Rou9h Plumbing 'h 65. ElectricabFinal 15. Rough Electrical-Conduit • 66. Solar SYstem-Final ' 76. Rough Electric Wiring 67. Fencing & Access AnProval � 17. fiough Wiring $ign ` 68. APPROVED FOR PLASTERING 18. Rough Electrica6T Bar Ceiling 69. POOI/SPA SYSTE64S FINAL 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oi1 23. Gas Pipe•Rough & Test 72. Underground Flush 24. Roof Framing 73. Underyrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structuratl & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 60. FOOD CEFTIPICATE ISSUED � 33. Final Electric. Notes: 34. Final Heating & Air Conditioning � 35. Final Gas Pipe•Test 36. Hood or Canopy 37. Final Factory Fireplace 3$. Final Plumbing (��] � � 39. Water Service-Final -. 40. Gas Service•Final 41. Solar pomestic-Finai 42. Backflow Preventer � 43. Backflow Irrigation ' . . 44. l.andscape Irriqation System 45. Sound Attenuation . , . , � 46. Handicap Regulations � • � 47. FINA� STRUCTURE & BUILDING � 48. FINAL PLANNING � .. 49. Eleceric Release to Edison , �. 50. Gas Release to Southem California GasCo _ �� r � l 51. CERTIFICATE OF OCCUPANCY ' ' No. Date �I EctqooRess: 840 SAIN1' CLAIR ST o•'�exsNamE: HEMPSTEAD WALTER A aoosess � 4 0 ST CL�:IR S T COSTA MESA,CA 92626 APCN/ENGINEEB: S 4 S— O 3% 9 qEC.NO.: FOOPESS: UNIT: UNIT: venmirree: WESTERN SIERRA ROOFING ( 714 ) 7.55-2761 aooeess: 1541 PSTRESY LOOP '� �I�T�� CA . 9 2 6�8 0 LICENSEO CONTHRCTO E 0: I nere�y alfirm tnat 1 am licensea un0er Omvisions o� hapier 9(commencing wilh Sec�ion 7000� ol OiNsion 3 ol Ihe Business and Pmlessions Code. an0 my license is in full�orce anC eHect. ciTvuc.:0746`8 STPTELIC.:Saz417 /7Cuss: C-39 �• Signawre`�cva !� WOflREflS' OMPEI SATION OECLAflPTION: I �er¢by a ir�f m that I hav tetlilitale ol con5enl Io Sell-insure or a cerliti[aie oi Workers' Compensalian Insurance, ar a cerolied copY ��ereoi �Section 3800. Lab. C�. POLICYNO.:OSWCPLZO%ZD EXP.UATE: O4�OSIgZ omraer: Si7P. NATL J C¢rtdied copy is here�y IumisAe�. C� CetlilieE cOpy is �ile0' �e cily Building Divisi . en�e� �,% L�l 3� APPOcani' E%EMPTION FFOM WOflKEflS' COMPENSIITION OEClABATION: (7Tis secWn �. eJ not b¢ com01ete0 if ihe ce�� is �orone huntlre0 �5700) or less). I certily Ihai in �he peAormance al the work fo� whic� this permit is issue�. I s�all not employ any person in any manner so as �o become su�le�� o Ne Workers' Compensation Laws oi Calilomia. Daie: Signalure: NOTICE: 11, aller making ihis declaration. you should betome su�lett to the Worker5' ComDe��ion pmvisions af ihe Labor Coee. you mustlonhvnth comply vnlh such provi5ions or tNs perrtu� shall be AeemeO revake0. CONSTBOCTION tEN01NG RGENCY: I AertDy aifirm ��a� there is a canstmc�ion lenaing agency for Ihe perlormance o� [he work lor which Ihis permii is issuetl (Sectian 3097. Gv. C�. LENUEfl: aooness: OWNEN BUILOEH OECIAflATION: I hereby allirm I�ai I am exemp� �mm IAe Coniractors' State License Law for �Ae following reasan (Section 7031.5 Business antl Pmlessional Code: Any city oi couniy which reQuires a permit ro consimcl, al�er. impmve, demolisA, or I�epair any slmcture. prior to ils issuanc¢. also reQuires Ihe aOPlicanl lor such permii Ia file a signetl s�a�ement Ihal he/she is licensetl pursuam to ine provismns ol lne ConVaclars' State Licens¢ Law (CnaD�e� 9(commencing wilA Seclion 7�00� of Division 3 0l IAe Business antl Pmlessions Code� or Iha� �e/s�e is exemD� ��eretmm anG Ihe Oa5i5 fo� Ihe allege0 e�emption. Any violalion o� Sec�ion 7031.5 by any applicanlior a permi� su�lecls tne aDDlican� to a civil penaliy al no� more ihan Irve OunareA Ooliars �5500). I, as owner ol the DmDeny or my employees wi�h waAes as t�eir sole com0ensation, will tla ihe work, an0 t�e ❑ s�mmure is not inlentlea or ollereU for sale (Section 70aa. Business an0 Pwfessional Code: The Conimctors' State License Law eoes not apply lo an owner oi a pmpeny wtlo Uuiltls or impmves Nereon. anU who eoes such work himselllhersell or �hmugh Ais or her awn employees, pmviaeE I�ai sucn imD�wemenis are nai inlen4eA or of�eretl �or sale. 1�, however �he builtling Or improvemem is solA wit�in one year ol comDleiion. ihe owner will have tAe burtlen al O�ovinp �e/s�e OiA not builtl ar improve lor �Ae purpose af 5ale�. I, as own¢r ol lhe pwp¢ny. am erclu9veiy conirac�ing wittl Iicense0 contractors to con5imc� Ihe D�ole�� ISection 70aa. Business ❑ antl Pmlesvons CoOe: T�e Contractors' Siale License Law Oces noi aODly lo an owner ot pmperty who �uil�s or impmves Ihereon and w�o conVacls lor such pmlecl5 wil� a conlractoqs)license OurSuanilo Ihe Coniraciors' Slaie License Law),I am aware t�al prool ol ��eir Workei s ComDensation insurante s�oNU Oe pmvi�eU to me. � 1 am eKempl un0er Seciion: 8. 8 P. C. far Ihis reason: �ate: 0«ner. I do here0y cetlity Iha� I am aware ol antl unaerstantl Ihe repuiremen�s ol Calilornia Healfh and Salery Code $ec�ions 2550.5. 25533, antl 2553C and that I ar any luture Guitding acupanl vnlUwill not (tlrcle one) neeE to comply with 5ai0 state codes and the repuiremenis for a permit lor conslmciion or motliliwlion imm Ihe Au Oualiiy Management Oisirict. flev4eniial cons�mction applica�ions ar¢ exemp� Imm Ihese pmvisions. Oa�e: Applicanl: � I h¢�¢�y CCtlily��al I �av¢ t¢atl IhiS applitdti0n antl S�a�e thdl Ih¢ d�Ov¢i alionis corr¢ci. lagre o comp}• vith all city an0 couniy ortlinanw5antl51atelaw5relalingtobuiltlingcon5tmclionanOherebyau r re0res¢ntalivesot��i iry�a MFuDoniheabove�men�ianetl � proper�y lor mspec/`ion purposes. �. �a�e. �,[_,7J��__ Signatur ' �.. . J �river's License or Social Seanty a: ,' t6a1-46 W�ite—Builaing: Green—Coae EnlorcemenL Canary—ApPlican�; Pink—Revenue: Goldenmtl—Assessor CITY OF COSTA MESA — HUILDING PERNIT PERM NO: B 05548 PERMIT NO: H 055989 PLAN CHECK NO: N GOVT: N ST7PP; N CONSTRUC'CION TYPE: V—N PERMIT TYFE: STR PURPOSE: ALT' JOB DESCRIPTION : REROOF W/SIERRA TILE ICBOJt4361 SQ rT: 6,000 CLASM VALUE; 6,000.00 CALC—VALUE; 6,OUO.UU GROUF OCC: R-3 / COMMEN'I'S: RL•ROOF OVER 1 I�AYER OF SHAICE 3f �IE iC� 9f iF �� iF � ik K IE �E a(� �% IE �if -k iF �E 3E K�% IE �6 �lF �f jF�iF iF iE �1(-# iE �E ie �N-�lf N�1E dFif d(� if �)f �%iF iF iE df aE •��7F iF�7E af �1E �Y �M �� 3E �K iF aE �f aE �K iF �N-dE �%� iE �� %�%� aF �lf iE dE i4 7. O N I N G R E Q iJ I R E M E N T S S E T H A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR: FT IN FRNT; FT IN REAR: Fi IN LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKItdG REG• PROV; PARCEL; 14154609 ZNE; REF NO: PLAIvNING NdTES> > . �(� i!� 9Fae i(- ii� aE IE 7f iE if ib �iF IE iE if 3e if #� iF 3E if iF i(� iF iF #F iP 3f iF iF a4 aF i4 if iF if iE �lf d(� )f iF ih iE lE,t' iE iF jF iF iF 3F ii� iE iF �N� 3F # iF �(� iE 3f fF if jF R* iF iF 1E i(� if �F aE iE �� aE lf iE D E V E L O P M E N T S E R V I C E S R E Q U S R E M E N•T S ZONING APPRDVED HY DATE; BUILDING APP.ROVEll BY : AATE: APPLICATION.'ISSUED BY: DATE: •�'Z'�3"Q� iEiFiEiF3'rIr9E3FikiEiEiEifif�ifiFffil�#iFiFiF iGib r �11 �iFiEifiEielfl'tiEiEiEi��3Fi'tif iEiEiFi!�3(�ifiFi(�ifi4jfififiFiFiFiFIf�iEifihlelFiEiEklEiE�FiFif�EiElEiFifiEiflEiEiEielFiFif iEiEiEifiFiEifii3i-li-iflFieiEihiFaEifaGiFiF1f��EiE�FiEfEiEiFfE�E3EiE LEGALIZATION;N F E E S U M M A R Y STRUCTURAL:SEGMENT:Y HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE' SMIP/RES� GRADING PERN,IT 81.00 SMIP/NON—RES, � PLAN . ISSUE FEE � � BUIL�DING—DIV—> PERMIT ISSUE PLAN—CHECK TO'fAL �� PAID DiiE TOTALS----> 81,60 0.00 0.00 81,60 81.60 •'.00 . �J REVENUE DIVISTON TOTALS--> COLLECTED: 81.60 OVER/SHORT: :. ��.00 BLDa1P00 PLUMHING ELnCTRIC MECHANIC FIRE SMIP/�'OT� GRADiNG PLAN=CHnCK k 3(� 3E iF it iE i'r iE 3F iE 3F if iE aE iF it if 3F 1E 3E %iE 7F aF 3P iF jE 3f iF 1F iF?f� iF iE 3t ii� lF iE�if iE if iF 3E iE it jF it IE if IF 3( ih ie ih iF 1Ei'r fE,3E it ie if 3E )i 3! iE ik i!� 3F i(� k if• #i if K• af iE K� iF I N D I V I U U A L F E E B R E A K D O W'N �i TYPE QTY D E S C R I P T I O N UNIT COST ��OTAL COST SFft 6000 REROOF BY VALUE RESIDENTIAL NOZONE i,UO 6,000.00 E1vD OF FEES ' ' tl ! rin�(.. � nir.� — , , . ��.'`T�-i ..... i.� I�I•_ �Y.T ' � _ � ! CONSTRUCTION AND PLAN�NING � PC & SPA bate Inspector Date Inspjector � APPROVALS Permit # �, APPROVALS Permit # 1. Temporary Electrical Service o* Pole 52. Pool & Equipment Location 2. Soil Pipe•Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility�Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding ��5. Sreel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Gmd. 57. APPROVAL TO COVER�GUNITE 7. Footings 58. Electrical Conduit�Undrgrnd. � 8. Foundation 59. Gas Pipe, O Undrgrnd., Test S. Water Pipe�Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor�Final 12. Sewer Cap , 63.'Heater & Vent-Final 13. floof Drains 64. Plumbing System � Final 14. Rough Plumbing 65. Electrical�Final 15. Rough Electrical-Conduit 66. Solar SVstem�Final 16. Rough Electric Wiring � 67. Fencing & Access Anproval 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 # 27. DuCts, in Structure 70. Underground HYdro 22.Ducts,Ventilating ' 71.ProductPipingOGas ❑Oil 23. Gas Pipe�Rough & Test 72. Underground Flush 24. Roof Freming �^Z�'�� pC✓(} 73. �Undergrnd.StorageTank dGas ❑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 & Siding 77. FIXED SYSTEM FiNAL � 29. Insulation 78. FIRE PREV. FINAL �30. Drywall Nailing HEALTH DEPT. REQUIREMENT �.31. Plaster Brown Coat �`7- 79. FINAL INSPECTION 32. Electrical Power Meter-Final � ~i 80. FOOD CERTIFICATE ISSUED 33. Final Electric � Notes: 34. Final Heating & F.ir Conditioning --^ � 35. Final Gas Pipe-Test , _ ' i 36. Hood or Canopy ,1�,' 37. Final factory Fireplace • � ,t ', 38. Final Plumbing �� _ - 39. Water Service-Final • " 40. Gas Service-Final . 41. Solar pomesticFinal - 42. BackSlow Preventer ' 43. Backflow Irrigation / ��%"� � �A� ��y, � �� vr-v....'Ci 44. Landscape Irripation System � . . �'�� 'p,� �in � � 45. $ound Attenuation � - • 46. Handicap Regulations � � ' 47. FINAL STRUCTURE & BUILDING � 7�AS (F,i�, �w,,, L � �� (�„� ! L'- . 48. FINAL PLANNING ' � 49. Elearic Release to Edison .N /z _(�� 9r� K B �. %qp ly�,,.�� 50. Gas Release to Southem California Gas Co ,' /-� _ /�_ G� „ �� ( �-� `L/^G� 51. CEATIFfCATE OF OCCUPANCY No. Date � OWNER rAF:R4 nw.t•_M6R DSVEZOPMEPFr_CQMPANY DATE JO[3 ADDRLSS Al.n R+ rint.� C+,-AA+. I3UILI GIiNERAL CON'I'RACTOR h AI? No. LOT IP"� "'ECTIONS coat OCCUPANCY VAI.Ul $ ltl�4b'(.VV i RI2G ZONE APSCRIPTION OF WORK pe5 x�att �e.I' DATE GROUP I&.T TYPE V 70NE R1 0 r ;� = 16712 r� �OSTA MESA BUILDING-SAFETY DEPARTME P. O. BOX 9f7 C08TA MEBA. CALIFORNIA For Applicanf fo Fill In Complefely TYPE OR PRINT ADO Ess HLtO St. Clair Stseet COSTA MESA CALIFORNIA OWNER Mesa Del Mar Develo ment Co. ADDRESS 3�00 E; Coast Hi�hta c�r� Corona Del I�Sar.Calif. NE��R3-lx2i ' ARGHITECT C LIC.NO. J�JI'�V-+ciB-�. NEO. OR 3-µZ�ZO nrZE nr '70�:+. S .r' • I .N,o;.,orue�.00� S6iBACK LINC FROM [ '] ceMea OP siStCEi L V� REAR YAR0. 1� SIDEYARDILEFT 7�6�� (qIGHT' S� DESCRIPTION OF WORK NEW I +�II AlTER4T��N I II AOOITION �� `��`��D11L� - Tract 1�260 MAR 7 lyti2 Plan 1t00-B FIN�iP�CE DEPT. TY OF ��APPLIC�ATION FOR PERMIT BUILDING For Office Use Only R¢C¢IPT NO. PERMIT NO. FIRE ZONE • I APPROVED er COSTA MESA. CALIFORNIA � I ZONING ZONE NO. OF USE OF NEW SiH� � 2 -� I PLAN9 � BUILDINO �I�_ . ��o�e�e,�„u Lo7�/�5' �� L/ 2 6 0 ICCNTBR LINe 0Td APPROVED �� FT. S FT. � Z I cr �0 Z-Isi�GL eZED1NG61�6+�x54�2��ROOMS d STORIES 1 ' ✓ EXTERIOR Wq S+{l�!` O RooF COVHRING . !1q S �- OVERWG GTOOC� USE OF BUILDING AND WORK TO BE PERFORMED Sine]E fami v de�elli Living area 1702 S:'. v��attached garage r.,,.a�A u )�l,� S_F_ i HEREBY ACKNOWLEDGE THAT 1 MAVE RPAD TX18 APPLIGTION THE AMOUNT BXOWN UND¢R VALUATION �O FON THC AND 9TATE THAT TH! ABOVE IB GORRBGT AND AGPEE TO LOM- pUPP09E OF ¢BTABLIBHING A PERMIT FE¢ ONLY. PLV WITH ALL GITY ORDINANc¢e .�ND eTRTE L�WB HEOIILATNG BUIISINO CONBTRUCTION. VALUATION �`/ SIGNATURE OF PERMIT FEE $ �j{ - � PERMI7TH TR�^o PPl R'(al+ TiPVf.�nTllifT3�', B -. -�/ $ 13 467�00 P�AN CHECK $ A y G2y��GL�l� ' � % , e AUTHORIZED �� r,� �� R 0 LL ^"•,•soir,nu� wewlc,n H LH1G � c� �� JOB ADDRE5S �FO St. C181T Street BUILDING PER�SIT NO. 25T�3 GENERAL CANTRACTOn Owner-Builder DESCRIPTION OF WORK patlo RE ZONE VALUE: GROUP J TYPE SUBCONTRACTOR Y F. • � 25743 --_yy_ � COSTA MESA BUILDING-SAFETY DEPARTMEM � C�1 f�f CF,sS TA iY1�SN P.O. BOX 7200 COSTA MESA� CALIFORNIA 92E20 - For Appl7mnf ro Fl1I In Complef�ly ArPII�I�XI �R �fT TYPE OR PRINT BUILDINO FOr 1 U su��oina 8 �ir Street .i ADDRHYB � I��•. , ._�[t �[er r Ho. COSTA MEBA, CALIFORNIA 92626 %'y-3 ncenv� �r DAT[ R[C[IV[D o�n iesueo ovme� tiq�lter A. & Gfa.r'orie He stead �� S 1 '�� .S 1-G, eui�o�na O �"' e" �" AOUR same 8 0 St. Clair Street ADDRGDi T��- 7 20NC TYP OROUP ��.n Costa Mesa No. 0 / ARCHITEGT � T8L BrPROVQD DATB � �� f� �. OH fiNO1NfiHR �- nOne N __� ZONING ADORHDf =p No.o/ u1[OIN / � / IV�N�� OYILDINO CONTRA R --- �.o„� il. / uacn�moN ADOR � t/ � A.P.NO. � ST�� CI'fV �-` NOTH: NO EAV! OVERNANO IIXA D6 LC88 TIiAN STATE Tm.. 90' TO BIDE a NEAR . L � LIC. NO. NO S2H � No.oletnw. ALLOWED (U.B.G.RBGVIRlM[NT> OF LOT � NaW ON LOT 1 YARDdMPROVlD YARDBAPPHOVBD E%18TIN0 BLDO. �ell�P MAIN BUILDINO ACC6880RY BUILDINO r� f FROMj'y/{i�TR[ ) B6T0ACK LIN[ IROI� 1 G X�2 R N��L•(.•C• 1T. CeNTep OP HiR[[T �: � Rtl1N Y Q�/11� �1� /�� CID YA LlRT 1-, RIOXT �J$ � R.� IO �.i/ FT. / � DESCRIPitON OF WORK L HID � rr. NLNV ALTHMTION ADDITION X p�R /� �� DIHTANC6 B6T. BLT. MAIN Q REPqIR MOVINO DQMOLI6H MAIN BLDaD. ACCE89. BLDOB. BUILDINOlo-1 �X22 � NO.Or VAR.�C DATB BIZH 2 ROOMB - 1TOR1 C, , APPROVHD BXTERIOR WALL ROOP OD0i1 egg-crate MrROV T[ �C �7 �� COVERINO o en COV8RIN0 J UDi OF oY1LDIqY AlID WORKTO Bt P[RFORM[D 0� bac an3 natio - insta].latio � of lt (I�xI�) osts 1 22-ft. lax6 beam � and 5(2x1�) rafters...arbor frame ec.rr. � 1 X[R[eV ACKNOWL[DO[ iXAT.I NAVR 11t11p }H�� M/LIGTON TM� AMOYNT OHOWN IlND6R VALUATON IB POR TN[ � AND BTATR TMAT TI[ AGOV� IB CORR[CT ANG �OP6[ 1b COY- ►URPOG� O� tlTACYCNINO A 161iYIT IH[ ONLY. � PLY WITX ALL CITY 011CIfUNCH! Af1D RAi{ tAY/� NtOYLATiNY VAL�JATION � a eu1LDIHOCOnml�umoN. . Q'{� pENMITFEH 'J � HIGNATURlO► / /j� � PHRMITTH .f � �� s �,j w AUTN0111Z[D AO[NT TOTA1 PE6 �.l rD�