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Home My WebLink About3469 SAN MARINO CIR - Building PermitsAoolicant to fill in all soacez e ene Ihnan wienin nnaw �ortler Ilnea antl a all a .iate Eeclaralionz CITYOF COSTA MESA CONSTRUCTION.PERMIT . PERMIT NO. C TRACT NO. LOT NO. UNIT NO. - , �c�L_( � SR„� wJ�/ND �� p � , 5989 10/27/86 5 00 TL Project Address (jl - / . � ApplicanYs Mailing Address _7�J �OdV s • � � TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR � ✓��i _� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER p.p, # � ZOne Owner's Name ��=�-c�SAu ��—Phone,.�� DESCRIPTION OP WORK/USE OF BLDG. � , Address 3 vb 5 qi//f�/^/O (�/,�.L.L� � S Main Building: Accessory Building: Arch/Eng. License No. 7�/G TVPE OF PERMIT GRAOIrvG FOUNDATION STRUCTURAL T Front Z ❑ TENANT ❑ ELECTRICAL � PLVMBING ❑ MECHANICAL O Address _ �� B Rear . N �� OTHER %� � Contractor's Nam �- Phone � PRaECT DESCRIPTION Sq. FT. OCCUPANCV C Right N Addre55�mailing) �" CONSTRUCTIONTVPE VALUATION$ S Left G CiryLicenseNo �p�i 7 ZONE GRA�INGCU.VOS. ACRES p UCENSED CONTRACTOR DECLARATION Ping. Ref. # Parking Req./Provid¢A E I hereby af�irm that I am Iicensetl untler provisions of Charter 9(commencing Remarks: . Planning Notes: � � with section ]000� of DivlSion 3 of [�e Business antl Professlons Goae, antl M my license is in tuu force antl eite<L u 3�G� . S License CIp ss - Lic nse No. Date ��0�/�3��i 519 < < � - - PLUMBING FEES � WORKERS' COMPENSATION DECLARATION Bar Sink Showers I hereby atfirm that 1 have a certificate of consent ro selNnsure or a certiflcate E LECTRICAL FEES of Workers' Compensation Insuranc¢, or a certlfietl mpy th/ereof (Sectlon BackflowPreventer ServiteSink 3800, Lab. CJ� 5 GL�Z%� •��.��L� }F�'ejH�R �lummaticWasher• Transformer ❑ 15-50�KW P licy No. Company ackflow Irrigation $¢w¢r Ca ❑ 50+ KW � Certifietl copy is nereGy furnishetl. P Construction Pole Sub. LJ Certitied copy is f eq with tlte city Buil ' g �Ivlsl a Bathmbs Sewer Connection Cooking Unit Merer ❑up to 100 amps Dafe �� • 17- � L qpplicant • EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Clarifief5 Solar ColleCtOrS Dishwasher Meter ❑ovef 100 amps (Tnis section neetl not be COmpletetl il th¢ permit I5 !or one huntlretl ($100) or � iezs). Dishwdsher Solar Piping ' Oryere ❑Gas ❑Electric Suh Panel I certi(y that in ihe P¢rformdnce Of Ibe work to� which this perm�t is issuetl, I snall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Workers' Compensation Laws of Calllornia. - • MOLO�5O0-1 HP �1:5-8 Date Si9nature Floor Drains Swimming Pool w/Spa F.A.U. NOTICE: If,after making this Geclaration, you shoultl become tubject to the Inc.Solar 09-15 HP �16-15+ Workel5' Compensation provisions ol the L2boI Cotl¢, y0u must fortllwith FIOOf SinkS UIin31 FixtulES comO�Y �+'��h Su[h p�ovisions o� lhis Oe�mit shall be tleemetl �evok¢tl. MiC/Owdv¢ CONSTRUCTION LENDING AGENCV (�i85$¢Nice DUtlfti Wdl¢�CIOSCL DeviceBoxes 1 bereby aftirm that there is a construction lentlin9 agency tor tha pertorman<e Pole Light of the wo�k to� which ihis permit is�;lssuetl ($ection 3097�'Civ. CJ IOl2�C¢pt0�5 Wd[¢�HEdT¢f �Utl¢t5 Lentler's Name - Range �entler's Atltlress Kitchen Sink Water Service OWNER BUILDER DECLARATION Switch25 Sign 1 hereby afflrm that I am exempt frOm lbe ConVaGtor'S Lic¢nse l.aW fo� lha LdvdtO�i¢5 A�tO-WaSh Garba ¢ Di5 Osal followin9 reason (Seclion ]031.5 Buslness antl Pro(essional Coae: Any <ity or 9 P Standing Sections county which requires a permit ro construct, alter, ImDrove, tlemolisti or repair P-Trap Laundry Trays . Generator �0.5 KW 05-15 KW ' any structu�e, priOr to Its Issuance, al5o reqWres the applicant for such pe�mlt T�ash COmpaCtO� to tile a Si9netl statem¢nt tha[ he/sne Is IicenSetl pursuant to the p�ovi5ion5 of ROOf D�dinS tM1e Contraclor's Litens¢ taw (Chapter 9(Commencing with SeCtlOn 7000) oi Division 3 of the Business ana Profe55ions Cotle) or that he/she is ezempt . Iheretrom and (he basis for the alle9etl exemption. Any viola[ion of $ec[Ion ]031.5 by any applicant for a permit subjeUs the applicant to a civil �enalty of not more than five huntlretl tlollar5 (E500). I, as owner ot the property or my employees with wages as [neir sole Reinspectian Fee $15 Issue Fae $ 3 compensatlon, will tlo Ihe wo�k, antl the structure i5 not int¢ntletl o� offeretl ReinS ectiOn Fee for sale (Settion 7044, Business antl Protessionai Cotle: Tha Contractor's MECHANICAL FEES ' P $�5 Issue Fee $ 3 License Ldw doe5 mt apply [o an own¢r Ot a properry who builtls o� imp�ova5 thereon, antl who tloes sucn work himself/nerseli or tnrou9h his or her own DEVELOPMENT SERVICES REQUIREMENTS: employeez, proviOetl that such improvemen[5 are not inlentletl or Offere0 fo� BOiI¢� HOOd O� Typ¢ I ❑ sale. It, however, t�e builtlin9 or improvement is soltl wlthin ona y¢ar of com- CanOpy Type I I ❑ Zoning Approved 6y Date Oletion, tite owner will have tne burtlen of proving h¢/She tlitl noi bulltl o� Im- DUC[ - Und2f GrouOd prove for the purpose of sale). Building Approved By Data ❑ I, as owner Of the O�operty, am exclu5ivety cont�acting wlth II[¢nsetl con- OUCt -$tfuCtu/el Refrigeration System Applicdti00 ISSUBd By Ddt Vactors to const�uct the project (Sectlon 7044, Busin855 antl PlOI255I005 COEB: The ContrattOr'S License Law tloes no[ apply to an owner ot property wbo Duct � Ventilating ❑0.100,000 BTU ❑1�,�0� BTU � builtls or imoroves thereon, ana who contracts �or such projects with a con- SUMMARV OF PEES tractor�sl iicense purzuant to the ContractorY Licenze Law). I am aware that Exhaust System � Multiple ❑ System Repair/Alteration BUILDING PERMIT $ SMIP $ proof of their WorkeYs CompensaHon insurance snoultl be provitletl to me. PLAN CHECK $ PERMIT ❑ 1 am exempt untler Section e. & P. C. �or mis reason FirepUFact. BIL ICBO # Fire Dampers ISSUANCE $ PLUMBING $�� Date. Owner Heating Sysrem & Ducting egisters PLAN CHECK 25% S- ENERGV P.C. $.. I hereby certity that i have read thls application antl state that tne above ❑Q700,000 BTU �t00,0008T ELECTRICAL $ GRADING $ intormation Is correct. I agree to comply with all city antl county ortlinances ana state iaws relacing to builtling conseruction, antl hereby aulhorize repro- PLAN CHECK _50% $ MICROFILM $� sentatives of this city to enter upon the above-mentionetl Pt pert tor inspection purposes.` n , fjl �� p MECHANICAL $ � Signature 7CwiWiv� t. wf.C�� oate ��5 �G TOTALFEE $ orivers' License or 55 � _� . � - Reinspection Fee $15 Ittue Fee $ 3 PLAN CHECK 25% $ CmY Utlb�-4o, rev. iv/ow wm[e - nuupmg; Lanary - qppllCdO[; VIOH - HCCOUn[Ing; liola9nloa - H55es501 CONSTRUCTION AND PLANNING POOL & SPA . APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector 1. Temporary Electrical Service or 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. Steel Reinforcement 56. Rough Plumbing & Pressure Test �� 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE - 7. Footings 58. Electrical Conduit-Undrgrnd. S. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap,-O Undrgmd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Proper[y Sewer Line & House Connection 62. 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 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 liydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing , 73. Undergmd. Storoge Tank O Gas � 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 37. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED -• 33. Final ElecVic Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test , 36. Hood or Canopy 37. Final Factory Fireplace � 38. Final Plumbing � �.�..� �jf � 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation �Q��( �� 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations , 47. FI'NALSTRUCTURE&BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 57. CERTIFICATE OF OCCUPANCY � No. ' Date 0 l��G��Te �� rr�uce �!�� 5�,.: t-,rf,Na �'`�' p M�'� �, �'A. ()I'-"''` �"� ' � �% y � ��5'r �? htiE',A ! �c� o?��s� Skylight Specialties INSTALL?.TiON 8 5A�E5 66C vJEST 17T4 5T. �i37 COSia htESa., CnLtFORNtA 92527 ��ta> aas-aecs -.� ._-... f—�-�-,� ---- - ' - -- �. . � �� . ��} ( `��t' --- �, —� - - �� ` �;�PP�Oii�[� � ��C ty of Costa Mesa Building Dspt � , BY � DATE 1�� 19 t O ��, I TH�SE PLF�,NS MUST BE ON J09 AT ALL TIMES Ad • "-NO_CF1At;�rS V�11iN0UT PFlOR APPROVAL OF Di ; � � ��-1 �3 0 8� � �'tiF I,`;£U.'vP:.^.E GR G NiiNG OF A PER.AIT OR APPRO`iAL ' f °L?NS:�.nD SP."C:FICATIONS SHALL NOT BE CONSTRUED �O E � 'eRSiiT FOF, Cq API APPROVAL OF, ANY VIOLAiIGN O° 4NY �� i �HE PROVt: IO�S OF THIS CO�F. NO PGRMIT PRESU41NG TO GP �� Uik�RITY'i0 VIOLATE OR CAIJCEL THE PFOVISIONS OF l} �' •; � FiICHITAIRHORIZfi5�5 .4WfUl � TViE IS°UANCh UF � P�.N ��_civ;cr.: or:G sr+n�� or . F � ��.{ r�tcf:ca��ear�Eo� arcac , .i P;ncJ5 A:^'J �>YCI IrlrqT C:;a�; Ci`Ei',:TiGr. � � u.C, (l �t :,,_+a os � �,s : ;� c:, ( ;TY � C��r P.�o N�� ,j �-z�� =��{� �� o,�. � tCU �{?S'�tJ�;t3 bI-J �.11 C'OCr.��2.5 , �ry��.1i ll��t�' SnAF7'• U�w� r��c� i� y a�T- CF1�rNg l�v-P�- ��,�' -�� =�r w�(I � � SQ'',,-i �j.. f O CvJ��t.$� . , : ., GR a;;•r uPou i�+�-ro I,tF Sr� �f, ; i�� ZL�.�r'b �b1,T�� A�lT{_' — d'%'.s.i%� i��+„ ;'/ � C �� Z�O`�/ ��I�- �� P yj►L „ ADDITI NS, I gE pP ROVi 2 �' � ONS,�OR CORRECTIONS SHALL THE PLANNING DEPARTMENT j c(�# �1c 38(0� AP�P(ROVED GT�f�f pP (C STA MESA PYAN O DEPT. Wulcr ro Noo. oE►r, ee9. ..�. `�.+�.�, ��i,, � �, w�cra ar n�ua ; . . _ ,. . . - . ��•�e.. ' ' _. .. . .. .. � . � .. f~. . Pfl0.1ECT 11DONF38: 3 Q 6 y SAN MAR INO C I '�'JIVMSfl'£47RME: �R WHITE �OOHFSS: SAME e - i AXCMIEXGINEEN: 5 4 S— 1 5 8 9 �DOPESB: HEa.NO.: UNIT: uxn: r�pMmEE' SY.YLIGHT SPECIALTIES ( 714 ) 645-8645 aooxess: 660 W 17TH ST 37 CM CA 92627 11LENSEO COMMCTOR OELUMTION: I Aereby atlirm tlut I am IicenuG u�Mer proNsims ai Clupter 9(wmmenqnp wit� Section 7000) ol ONision 3 of tAa Business and Prolessions CoOe, and i enu is In lull �I�jca�an0 ettect. cin uc.: � z � 5}9 +g�� srnTe uc:% 3 9 5 5 51 c�ussJ:��/j� . Oate: h�/fi_!_.__l Sipnature: ��✓ � � WORKEBS' COMPENSATION OEClAN1TI0N: 1 hereDy aff�hat I have a cetlih [e oi consent ro ul4insure ar a cehitiw[a of Workers' Compensation Insurance, or a certitieA coDY ��ereol (5ection 3800, Lab. C). roucr no.: 0 6 3 8 915 exr. o�re: n q/ 01 / 91 LOMPRNY: STATE FUND ❑ Ceriified copY is �ereby lurnis�etl. C`� CertifieC coDY is �i4B I tAe ciry uildinq �ivision. Date: ��i7_� � Applicant: �� I E%EMVfION FBOM W08KEB3' COMPENSATIOX OECIANAiION� RAis Section ne be completetl H ihe permi� is lor one �unOreO (E700) or lew�. I certity t�at in the pedormance ol Ihe work for w�ich this permit is issued I shall not employ any person in any manner so as to becama subject Io the WaMers' Campensation Laws oi Calilamia. Oate: Sipnature: NOTICE: II, atler makinp this Aeclaratlon, you s�aNA hecame su6lect to the Workers' Compensation pmvislons of the La6or Code, you musl fonAwlt� comDly wil� such D�ov6ions ar INs permit shall Ue OeemeE rewkeE. fANBiqUCTION LFNDINO �GENCY: I Aeaby alfirm t�at t�ea is a cans[ruction IenEinO a0ency lor ttre pertormance oi t�e woM for whicn this Dermit is iSsueE (Section 3097, Civ. C). LENUEfl: ROOHESS: OWNEfl BUILDEP OECUMTIOX: I �ere0y allirm tAat I am exem0� �rom tAa Contractors' State License Law for IAe follawin9 reasan (Secuon 7031.5 Buvness an0 Pro7esUonal Cotle: My ury oi counry wNc� repuires a permit to conswp. alhr, imprwe, Oemoltth, or repair airy struciura. D�or to its issuance, also repuires t�e apDucant for such pemtil ro file a siAneC statement Wt �Nsha's Ikense0 pursuam to Ne D�ovisbns ol the Contrzctan' State �lunse Law (CIUD�er 9(commenqnp wit� Secuon 7000) al ONision 3 0l Ne Business � an0 Pmlessions CoOe) ar IAat M/she is axempt t�erelmm an0 t�e Oasis for tAe allege0 exemption. My Nolation of Section 7031.5 Oy any aDM�� ar a Dermit suEl�s the applicam ro a civil Denatty ol wt more than Me nuntlre0 aollars (5500). I, as wmer oi t�a propeM w my employees vnt� wayes as their wle mmpensatlon, wiA do tAe work, anC the ❑ swpure is no� inten0ed or ottereU lar ule (Secuon 70a4, Bus�ness anE Professional Cotle: TAe Contactars' Sute License law Eces nol apDly to an owner of a Dmperry wAo OuilOs or imD�aves tAereon, an0 who tloes suc� xroM1 himself/Aersell or t�rouqh his or Aer ovm empbyees, WotiUeO Wt suc� imprmemen6 are not int¢ndM or ofieretl lar sale. It, however t�a builtlinp or imD«�nt rs soW vnWn one year af camD��ion, t�e axner will twve Ihe hurEen of proNnq �e/sAe Eid not CUJE or Improve far the ourpose ol ule�. I, as avmer al t�e DroDerry, am eKclusively comracOnO ��h licensed contractors to canstmct Ine proiect (Section 704a, Business ❑ anE Prolesvms CaOe: The Cantactors' state Ucefae Law Uces not apDN �o an owner af Draperty wM EmIEs or imD� Uereon uN x1n coninets lor we� Omjecis ciN a coniracmr(s�license pursuani ro the Contracrors' State License Law),I am aware Ihat prool of Neir Worker's ComDens:Fion insumnce sAONA �e D�oviOed to me. . � I am exempt unUer Section: B. 8 P. C. lof IhiS r0250n: �ai9: Owller: I Aa hereby certity tAat I am aware oi antl undarotantl the reQuiraments ai Califomia Healt� and Safery Cotle Sections 25505, 25533, anG 2553e ana Ihat 1 or any fuWre EuilElnq acupant wilUvnll not (circle ane) neeE to camDM �� sziC state co0es antl t�e repuirements far a permit lor constructian ar mo0ificatian Irom tAe Air�ualiry Manapement Uisinct. Resitlential construction appliutions ara exempt Imm these D�ovisions. Date: Rpplicant: 1 �ere�y certity t�at I have rea0 ihis aDPlicalian and stata ihat t�e aEove intarmatia 's coract. I aArea ro comDly with all ciry aM�unry or0inances an0 state Wws relatlnp to EuilEinp constructlon and her A utMdxe re nGWes of Mis ciry to enter uDon the above�me iane0 D�oDeM �or inspettlon Durposes. I Date: 7��L1 � ` Sipnature� .. orNer's Licensa ar Soda� Securiry x: 1fi41�08 Whitp--Buiki�q: OrBarCoEe Enforcartronl: Cenary—Applicnnt: rmk—Hevenue; UdGanroO—Mxavor PERMIT NO: 5 CITY OF COSTA MESA - bUILDING PERMIT 048089 PLAN CHECR NO; 04II02-90 S PERM NO: B 048089 GOVT: N SUPP: N CONSTRUCTION TYPE; PERMIT TYPE: STR PURPOSE: OTH JOb DESCRZPTION ; INSTALL SKYLIGHT ICBO#2469 SQ FT: 795 CLAZM VALUE; 795.00 CALC-VALUE: 795.00 GROUP OCC: R-3 / COMMENTS: X *�-*�t***+r+t�ri�*+�*�t#**�*�t*�#�#**x-*x�*�t**+rx*x�***�r�*�r***�t**-�*�t�****�t*+t�****�t��t***-�*#�* Z O N I N G R E Q U I R E M E N T S s E T s A c x s ------------ MAIN BUILDINC ---------- --------- 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 PARKZNG REQ: PROV: PAkCEL: 41205113 ZNE: R1 REF NO: PLANNING NOTES> INSTALL SKYLIGHT IN HATHAOOM OF AN EXISTING SINGLE FAMILY > RESSDENCE. � **x��ti�*�r+r*�-�*�t**3r**�*�-***�i**�t*�t�r*�tit�t*�t��**x�+f*�r�t�r��x-***��****�-*�r�+tx�**�t*�t�t�********* 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 20NING APPROVED BY ';� ; W 1'b�L DATE: �=I_� 4[7 BUILDING APPROVED BY : DATE: ' APPLICATION ISSUED �Y: �/� DATE: � '�1"� **�tir�t+�*it��t��x�*x�:�*��##*� .. . � e�"��x�*+t�r�titn�r��t�F�'Fi i�-iF'iFi. �tit if if ik M �f �f if� iF iE iE iE it iE iF �S-if if iF iE �E 7f if �f iE iE 1FlE if !f iE iE �lf iE iElElE iE �1E if �lE �h if iE iE if !k # iE iE'h iF iE if if iE if if jElE iF 1ElE �E'!-?E?F ff if !F �E iE �IE fElF'1f iE if fE ie LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y bLDG PMT PLUMBING ELECTRIC MECHANIC PERMIT 21.00 PLAN 13.65 ISSUE FEE BUILDING-DIV-> PERMIT ZSSUE PLAN-CHECK TOTALS----> 21.50 0.00 13.65 FZRE SMIP/RES GRADING 50 SMIP/NON-RES TOTAL PAID DUE 75.15 35.15 .00 REVENUE DIVISION TOTALS--> COLLECTED: 35.15 OVER/SHORT: .00 bLDG PMT PLUMHZNG ELECTRIC MECHANZC FIRE SMIP/TOT GRADING PLAN-CHECK 21.00 .50 13.65 if iE itlF iE if jE 3k iE it iE it 1E?E iE iE jE � 3f 3Elf'.k ff iE iE iE?' it it i! if iE it iF iE?t it 1! iE iF i! it 1E ik±E if if jE?E 1E ik iE 3E jE fE iE iE i! i' 1k iF �E 1t iE �f if iE it iE dF iE iF 1E iF jf i6 iE iF iE I N D I V I D U A L F E E B R E A R D O W N TYPE QTY D E S C A I P T I O N UNIT COST TOTAL COST SFR 795 ALTF.R bY VP.LUE RESIDENTIAL NOZONE 1.00 END OF FEES 795.00 01 OOQ64978-��U149EQ T CP"� 35.15 DATE: 07/11/90 7IME: 10:D6 ,+ '' ' � . POOL & $PA CGNSTRUCTION AND PLANNING : APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector �1. Temporary Electrical Service or Pole �- 52. Pool & Equipment Location Q, Soil Pipe-Undrgmd. � 53. Steel Reinforoement 3. Electrical Conduit Utility-Undrgrnd. � 54. Forms 4. Electrical Conduit-Undrqrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7, Footings 58. Electrical Conduit-Undrgrnd. g, Foundation , 59. Gas Pipe, � Undrgmd., Test 9. Water Pipe-Undrgrnd. ' 60. Backwash Lines, P-Trap, O Undrgrnd. .' 10. Structura� Ploor Svstem � 61. APPROVAL TO DECK 11 . Property Sewer Line & House Connection �• 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & VeobFinal 13. Roof Drains 64. Plumbing SYstem � Final 74. Rough Plumbing 65. Electrical�Final 75. Rough Electrical�Conduit 66. Solar SYstem-Final 16. Rough Electric Wiring' 67. Fencing & Access ApProval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL iy, Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts,in Structure 70. Underground Hydro 22. Dutts, Ventilating 77. Product Piping O Gas ❑ Oil 23. Gas Pipe�Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T�Bar Ceiling (Structuraq & Monocoat 75. Dry Chemical z7, Frame and Flashing ��-4'O �yCv�' 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. P�Ywall 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 35. Final Gas Pipe�Test - 36. Hood or Canopy • 37. Final Factory Fireplace 38. Fi�al Plumbing 39. Water Service-Final 40. Gas Service-Flnai 47. $olar Oomestic�Final 42. 8ackflow Preventer 43. Backflow Irrigation 44. Landscape Irripation Svstem 45. 5ound Attenuation 46. Nandicap Regulations 47, FINAL STRUCTURE & BUILDING �w 48. FINAL PLANN�NG - 49. Electric Release to Edison �' 50.• Gas Release to Southern California Gas Co 51. CERTIFICATE OP OCCUPANCY No. - Date vxaecTaoosess: 3969 SAN MARINO CI owxea�sxua¢: L.A, WHITE auoness: 3469 SAN MARINO CI . COSAMESA CA 92626 � t71S)545-1589 � �HCNIENGINFEH: nooness: flEG.NO.: UMIT: uxrt: • PEru+m�E: LEE ROOFING (714)642-7223 �oopEss: 1653 SUPERIOR CM CA 92627 11LENSEO CONfMCTOB OECUMTION: I �ereGy attirm Itat I am IicenseE '' ns al CtuD�er 9(cammentin0 �� cGw 7000) ol D'Msion 3 al tAe Business anC Protesslons Cotle. an0 n tull tar anG ell cm uc.: 0 2 8 7 51 ST�TE LIC.: 3�S 4: o b cuss: C— 3° Date: _%�7—QO— Siqnature: WONKEf1S' COMPENSRTION OFCIAMTION: I hereCy affirm that I tuve a ceNf' e of consem to ull-insuro ar a certificate a1 Warkers' ', ComPensation 95u[ap 7 q bcErt7,eA cppy theaol (5eqion 3800. La6.0 b/� �/ 9 1 roucr xo.: 4 V V 1 G 23 J 9 �p, pp�; cornraxr: USFGG CO. ❑ Cenine0 capy is hereby mmisnea. � Ceninee lhe ciry BuilEing Di '' Date: 7— � 7 — �� Applicanc F%EMPTION FBOM WOBI(EBS' COMPEN&1TION DECUIWTION: (IhiS section nee0 e wmple�e0 il Ihe parmii is lor one hunAreJ (5100) or lest). 1 terlity I�ai in Ihe DehatmanCO Of tAe wofk lar whiC� IAIS De�mit is issue0, all noI ¢mplay any persOn in any manner w a5 ia OeCom¢ suDl�� o t�e WaAcers' ComDensation laws ot Calllomia. �Oate: SipnaWre: NOTICE: Ii, ailer maklnp tAis declaation, you shoultl hecoma subjeci to tAe Workers ComDenution Drovisions of the Labor CoOe, yhu must forthwith comply with suc� O�ovislans ar ihis permR shall �e tleeme0 revokeU. fANSiR11CTI0N 1FN01N01GENCY: I Aerebj atlirm tAat there is a consWciion lendinp apency for the Dertormance al t�e woA lor whicA this permA is iStueE (Section 3097, Civ. C�. LENOEH: pODPESS: OWXEB BUILOEB DECIAMTION: I hea�y aHirm t�at I am exempt tmm t�a Contracmrs' State License Law lar Ihe followinp reason (Section 7031.5 Business an0 Pmlessional Code: Any ciry ol counry w�icA reQuires a permfl ro constmct, alter, ImD�ove, Aemolish, or repair any stmcWre, prior to its issuance, also raqulres tAe appllcant far sucn permit to file a si0netl statement tAa[ he/sAe is licensed pursuant ro t�e pmvisions of tAe Coniracrors' State Ucense Law (Chaphr 9(commencinA �� Section 7000) of �ivision 3 of ihe 9usiness an0 Protessions Code) or t�at he/s�e is exempt tAemlrom an0 I�e basis tor t�e allepeA exemption. My NolaUon of Section 7031.5 by any appliunt lor a Dermit su�iects tAe appliwm ro a cNil penatry af not moro ttan INe hunOrztl tlollars (5500). I, as owner al Ihe propetly or my employees wit� wapes as their sole compenulion, will Eo ihe woB, anU Ihe ❑ stmcWre a nat Intentletl ar ollera0lor sale (Sectian 70A4, Busmess an0 Pmlessianal CaUe: T�e Conhactors' State License Law tloes not appty ro an owner al a D�oDerty wAo Gu1105 or improvu [hereon, and who Oces such work Nmsell/herselt or throug� his or her own emDloyees, O�ovitletl (Aat suc� ImD�'emen6 are not intenUed or a11emE far sale. If, tqwever Ne Eu00inq or � imOrwement is sol0 within ana year af camDletbn. tAe owner vnll fwve I�e Eurden ol D�ah�A hrlshe tliO nat buil0 or improve '� for tAe purpose al ule). I, az owner ol t�e O�aDerty� am eKclusivery comractlnA wilh licensetl comractors to canstruct ihe project (Section 704A, Business ❑ antl Prafessions Coae: The ConVactors' SWte License Law Uces not appN to an owner al DropeM �� ar improves Nereon anU who contacis Iw such pmjecis qN a contactor�s) license Dursuant Io Ihe Convactors' State �cense Law). I am aware that Droof of ineir Worker's Compens.t:on msuantt SMuIE Ee D�eO to me. � 1 am e•emD� unAer Section: B. E P. C. for this reason: Date: Mmer: I Uo hereby cenity tAat I am aware of an0 un0erstanA Ihe repuiamenis of Calilamia Mealt� anE Safery COAe Sectlons 25505. 25533, anA 25534 anU Itut I or any IUNm huilElnp occupant wlll/vAll not (circle one) neeU to comDM �� saiG state codes and t�e requirements for a permit tor conswctian or mo0ification imm t�e Nr aliry Manapement District. HesiGentlal construction appliwnons are exemD� �mm Neu Dmv¢ians. Dale: �1pPGt3ni: I nereby certiry Nat I Aave reaC tnis apD��tion anE stata t�at the aGove intor 'r.eonect. I aprea ro comDN �h all ciry an0 counry ordinarces an0 sUie laws relatinp to DuiWinp wnstructlan anA lierp,pyaa! reurrtatives ot i dry Io emer upon the ahovamentione0 praperry larinspec�on purposes. / .G� Date: 7�(% Sipnatu � �nver's �icense ar socim Secunry x: 166146 WhitB—BulMinp; Groan—CoOa EnbrcamanC Cenary—Applicam; Plnk—Revenue; GOIEenroC—lwessor CITY OF COSTA MESA — bUILDING PERMIT PERM NO: B 098175 PERMIT NO: B 04II175 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: 5—N nERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTION : REROOF BUZLT UP (HOT ROOF) SQ FT: 2,500 CLAIM VALUE: 2,�00.00 CALC—VALUE; 2,500.00 GROUP OCC: R-3 / COMMENTS: SMOKE DETECTOR(S) REQUIRED IN HOME. *�r***x�*�x*�*x�r*x��*�r*�#*****��x*****�****��***�**�*�+�#**�**�***�*#��+�*�*�*�**� Z O N I N G R E Q U I R E M E N T S S E T F3 A C K 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: 41205113 ZNE: REF NO: PLANNING NOTES> > it*af*+�***x�itat��e�**x***ie�e��r�itat**�r****at**�tit�ie**at*it**xx*��e*it�*��itxat*at�if�txAtat+�*�*ie�r� D E V E L O P M E N T S E R V Z C E S R E Q U I R E M E N,3';S I 20NING APPROVED BY DATE: bUILDING APPROC�ED BY ; DATE: � APPLICATION ISSUED bY: ' � DATE: 7'{% PCJ iEiEjE#iElfjfili4iE11�iFif?f�)EiEfE'.EiE±Eiflf��iFiF��iF.. �R�if �i.e .�iiF3FiFir�iFiEiEMlfiEiFiEifiFif3Ei�iFiFiF3��;F3FiEj(- iFjF16#iflflElfiEif3fitlEN�lf)fifi(iFdldt'ItiPiEiflf7ffEifiEfE�f?tif�ltlFlfifiEifiElEfE1F7k " F3tlkifitlEififlflf#i4#lkiklElEiEif�lEiflEitiE-0fil��FiEiElfi4iE# LEGALIZATZON:Y F E E S U M M n R Y STRUCTUAAL SEGMENT:Y HLDG PMT PLOMHING ELECTRIC MECHANIC PERMIT 108.00 PLAN " ISSUE FEE - BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTALS----> 108.50 0.00 0.00 REVENUE DZVISION TOTALS--> COLItECTED: BLDG P�iT PLUMBING ELECTRIC MECHANIC 1U8.00 FIRE SMIP/RSS� GRADING SMIP/NON—RES TOTAL PAID DUE 100.50 108.50 .00 108.50 OVER/SHORT: .00 FIRE SN,IP/TOT GAADING PLAN—CHECK .50 i!� iF if iE!E �IE iE i! j! it� jF iE iE iF iE 1f iF ih it?k dk 1F if if iFit )f iE iE iE if iE �k iF�t�if if'lE iE �lE if M# if iE iF �E iE iE iE if if if iE iE 1F iF iE iE iE iF iE i! iE iF if itlf if if 1F ik jf iE i' iE iE iF iF I N D I V I D U A L' F E E b R E A K D 0 W N TYPE QTY D E S C R I P T I.0�,'N UNIT COST TOTAL COST SFR 2500 REROOF BY VALUE RESIDENIAL NOZUNE 1.00 2,500.00 END OF FEES .a. .,�5 �; . r� O1000d5547-0006-5.;4E '8'UT 10E.50 DpTE: 07:17/9D TIitE: 13:22 CONSTRUC71tSN AND PLANNING POOL & SPA , APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location �� 2. Soil Pipe•Undrgrnd. " ',' 53. Steel Reinforcement '� 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. •� � 55. Electricai Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6� Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE . 7. Footings � . 58. Electrical Conduit-Undrgrnd. � � 8. Foundation � � � 59. Gas Pipe, � Undrgrnd., Test 9. Water Pipe-U�drgrnd. �' � 60. Backwash Lines, P�Trap, � Undrgmd. � �, 10. Structural Floor System � � � 61. APPROVAL TO DECK � � ' 11. Property Sewer Line &� House Connecti�on 62. Backwash & Receptor-Final ' 12. Sewer Cap � 63. Hea[er & V¢nt�Final , 73. Roof Drains ,, F 64. Plumbing SYstem � Final 14. Rough Plumbing � � 65. Electrical-Final � 15. Rough Electrical-Conduif ' � 66. Solar System-Final 16. Rough Electric Wiring � 67. Fencing & Access Approval 17. Rough Wiring Sign ' � 68. APPROVED FOR PLASTERING � 18. Rough Electrical-T Bar Ceiling 69. POOIfSPA SYSTEMS FtNAL 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.ProductPipingOGas OOiI 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas Q Oil 25. Roof Sheathing ��74. Overhead Hydro 26. T-Bar Ceiling IStrucWral) & 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 �� • 80. FOOD CERTIFICATE ISSUED 33. Final ElectriC �� Notes: O� SH-iy Q�. _ 34. Final Heating & Air Cond'rtioning 6w�% 35. Final Gas Pipe�Test � 36. Hood or Canopy _ 37. Final Factory Fireplace ' 38. Final Plumbin9 ' � 39. Water Service-Final � 40. Gas Service�Final 41. Solar pomestic-Final 42. Backflow Pre�enter ' 43. Backflow Irrigation 44. Landscape Irriqation System 45. Sound Attenuation 46. Handicap Re9ulations 7. FINAL STRUCTURE & BUILDING '7,��_ 0 6W�Z 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to $outhern California Gas Co ' 51. CERTIFICATE OF OCCUPANCY No. - Date 29538 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 GOSTA MESA, CALIFORNIA 83626 For Appl7canf fo Fill In Completaly TYPE OR PRINT JRE68 3469 San Marino Circle COSTA MESA, CALIFORNIA Nee 7-laltzer F.nterorises-Costa Mesa E. 6I2E No. ot �LDo�. O OF LOT NOW ON WT USEOP E%IBTINQ BLOO. YLTOACK LIN[ 1110Y C8NT8n OP YT11[[T RGR Y � 1� � HIDQYAflOI LiRT � RIOlfT LS� DESCRIPTION OR WORK BUILDINO NO.OP S¢E ROOMB R 11IL COVERIN6WALL StUCCO COVERINO WOOd shing UY8 OF DUILDINQ AMO WORK TO D6 PBR�ORM[D & Attached Gara e Plan 402ER - Lot 13 1 H6PHBY ACRNOWtIIOO6 TNAT 1 M�VI 118A0 TXIO A�PLIGTIOH ANO 6TAT8 TNAT Tf16 AGOV6 I/ CORR[R�ANO I�OR6[ TO COM. PLY WITH ALL CITY ORDJNANCY AND RATi LI1W� R[OULIITINO BUILOINO CONBTRYRION. BIGNATURC OP PERMITTB AUTHORIZiD AO[ � ll{H-7-6 P�5°00 768� ��99.� APPLICATION POR PERMIT BUILDIN(i For Offlce Use Only 11tC[Irf NO. PEpMIT NO. er FIRB� p � � ZON � TYP6 OR< APPROV[D BY DATE ZONING ZON[ NO. O� UY[ OI N[W .., �ue� ,, euao�no. NOTl: N06AVlOViRHAN08HALLBEL888THAN YARDS MPROVHO MAIN BUILDINO vwR. 4t TX8 AMOUNT ONPyI rYRP08H O! [8F6 VALUATION $�� 3�� a � � YARC9APPROVHD ACGE980RY BUILDINO nwre . � . ., a w � 3 � 0 vwwwnoH �e rort n�¢ i A PENMIi 186 ONLY. � � 6� - � IT FE8 $ p 0 3/.� ` W _FE8 $ / �