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Home My WebLink About1095 SEA TERRACE LN - Building Permits CITY OF COSTA MESA s BUILDING DIVISION F y•. , ,. DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER O IMO PERMIT . PO4-00650 (714)754-5273 • Fax(714)754-4856 • www,ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 1095 SEA TERRACE LN Status: ISSUED Suite No Applied: 09/24/2004 Issued: 09/24/2004 Vicinity: • ISSUED BY: Parcel Nunmber: 42201320 Applicant: KEVIN SZABO Address: 17390 MT CLIFFWOOD Phone: (714)241-1414 ?sip �tl) FOUNTAIN VALLEY Zip: 92708 IS lki sl Owner: GOODMAN, MARC ogtt Address 1124 GLENEAGLES TER Phone: COSTA MESA,CA Zip: 92627 Contractor: COAST ROOTER PLUMBING HTG &NC Address: 17390 MT CLIFFWOOD • Phone: (714)241-1414 FOUNTAIN VALLEY Zip: 92708 License: 529127 . Arch / Eng : Address: • Phone: Zip: • - - License: • SCOPE OF PERMIT WATER HEATER CHANGE OUT FEE SUMMARY AMT QTY "AMT QTY AMT QTY ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0 Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0 Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0 Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0 Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0 Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0 Drain, Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0 Drain,Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0 Drain,Roof $0.00 0 Shower $0.00 0 Water Heater/vent $12.30 1 Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink,Floor $0.00 0 Water Service $0.00 0 • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void If work is not commenced within 180 days,or If work Is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain Inspections and final approval will result In the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446.46(6100) . , WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued. '� j have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued. 14workers'compensation Insurance carrier and policy number are: s A'T-E 1 ,ti(1 P NcyNum er: \,/n ssc- ZOOS Order( � � hesectlon need not be completed/f the permit is valued at one hundred dollars($100)or less.) 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,end agree thgt if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith with these provisions. ? _` 1-7-1-1-04 Iicant Signature: I . ate: .) ARNNG//FAILURE TO SECURE WORKER COMPENSATION COVERAGE IS UNLAWFUL AND SHAM.SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED USAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I herthat I am licensed under provisionsV..)/...4---- of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full ,force d e t.Lic.a C ZC1 1 2--1 - Clas e. Co 0. tractor's Signature: 1'j��- ll-?-'-1-oil CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: • I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county 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 or she Is licensed pursuant to the provisions of the Contractors Ucense Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or 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 toe civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or 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-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). • ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License taws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. 0 Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every - business which has at any one time during a reported year a quantity of hazardous materials equal to or greater then a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feel of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any 1 one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP Is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If'yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. ' nature Of egal Owner(s) Date 9 ' 2-4-I-04 A' Ayth5rized Applicant .Bata./- MS DE I INSPECTION TYPE ` PATE RITUALS gOOF( INSPECTION TYPE `' MU REELS 1616 Fixed System Final Fire Prevention 206 Final Mechanical n/ 1266 Pool Spa Final 208 Final Plumbing 1'.+ I - cc9 r 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place • 220 Final Planning Approval 203 Final Sign 222 Final Site ) 204 Final Demolition • - 250 Final Building/Occupancy + CITY OF COSTA MESA 3UILDINGSAFETY DEPARTMENT POST IN CONSPICUOUS PLACE ON THE JOB • DATE ISSUED .. • • MAR 1 D f A.P. NO. • BLOCK • Ls i NEW ADD ALTER REPAIR MOVING DEMOLISH OWNER i USE ,'• Yes gatt Garner t. FIRE ZONE TYPE GROUP ' is IPDS-YD V T & .T SETBACKS Front Yd 3'k':Side Yd. R _2 L_ _ORear 8'2" I Side Yd. R L Rear • .BUILDING INSPECTION RECORD TO KEEP BUILDING PERMITS VALID, WORK MUST BE COM- . MENCED WITHIN 60 DAYS WITH ROUTINE INSPECTIONS AT • LEAST EACH 120 DAYS THEREAFTER UNTIL COMPLETED. • , STRUCT RAL pq�./��= . DATE ' Trenches :1 Forms !1 Cr -� rnagrann Floor System _ ��f-f��`/I�la�� Steel Reinf re `f�� . S - Sheathing ►�ppI� Icyj�!, ! Frame and Flashing .r�/II�,��r//�JJ -,['r M f Insulation • Lathing a_/ �r0//Y�� 4W Drya 1 NnSina ikfre `p� '�/J - - Nom�. Plaster,Brown Coat FacZa ain I if. Sound Attenuation HandicapRegulation ---------- �- 1 r FINAL alfrail 'jt.IO.71 •j • PLUMBING I, - Soil -Pr =MS j' Underground Water MUM ��// j� Rough Plumbing VMS - Prop.Sewer Line and House Conni • . N�`�}j�'�� P Street Sewer Conn• . Wan - J'�� Water ServiceKOWA p' GasSprinklingSystem � Gas Testst /ralla��j _� FINAL dirarird HEATING, AIR-COND.AND REFRIGERATION Refr. Lines,Pressure Test r --_. ar Ducts, Underground 0 {1 Ai-7 A✓ Ducts,in Structure 1cS/ PL li T i • - Ducts, Ventilating 7}74) /--a�pp'r� cugh Itea:ing L ..:aG , - . L ., i. �c f " r- ?y 1 I ^ FINAL 'iiteI 'i4-7/ ELECTPi"OA.'_ Temporary Service or Pole I —• f • Underground 7---A-q? ,' -a! 11 Power Meter Rough Wiring c4 �t9 0,5-7Q FINAL !0O' 7 4,tJ)j Do not occupy this project until final inspection has been made and occupancy has be p d • 1 Building Final //` 4 i .7 Special Requirements `r Occupancy NoTI'3E 24-hr. notification required when ;he job is ready for inspection. You ' must furnish PERMIT NUMBER and the JOB ADDRESS FOR EACH RESPECTIVE INSPECTION. CALL 556-5273. . • APPROVED PLANS SHALL,BE ON JOB AT ALL TIMES CMF 0559-46 CI'T'Y OF COSTA MESA BUILo1 'Sa WARTMENT F.JT IN CONSPICUOUS PLACE) .1{61.°11)/( ON THE JOB • DATE ISSUED ... . MAR Ie _- A.P. NO. litEM BLOCK 0 i , NEW ADD ALTER REPAIR MOVING DEMOLISH l S • . i SETBACKS Front Yd 3'ji"Side Yd.R _2' L;9Aear 8'2" Side Yd.R L Rear 1 BUILDING INSPECTION RECORD iTO KEEP BUILDING PERMITS VALID, WORK MUST BE COM- MENCED WITHIN 60 DAYS WITH ROUTINE INSPECTIONS AT • LEAST EACH 120 DAYS THEREAFTER UNTIL COMPLETED. TRUCT RAL aa.��R�MA DATE Trenches U Forms !I SIi1.0" �2�� / Floor System Steel Reinf. marearr( }m:'1 Sheathing e0�1jfl:•�—+�+'�_•' Frame and Flashing , PIIII ��,i�*�- i • ' Insulation 1 2 .,+�L'18j� Lathing a__'a 1 I Dry Wall Nailing fr`��fj /l// Plaster,Brown Coat I%'f�/ ,_./// PMFM Sound Attenuation ' { Handicap Regulation FINAL I We�� I ..5*-1/49 7e PLUMBING p� �� Soil Fr �w�d��i,ssi��/l/�r 7L��'TI{iia�: r Underground Water [f��I►IGL•'Gr�[,�o7r Rough Plumbing F'��j+.��'�W�l� /y� Prop.Sewer Line and House Conn P�71'i'%/.��7.� Street Sewer Conn. ��•d��//�;� Water Service _•,.MO 1 Sprinkling System 1,,__ /��"��'�,� Gas Test C6JIdttaI� IIAWA FINAL Wall r •jf-ft HEATING, AIR-COND.AND REFRIGERATION Refr. Lines,Pressure Test �--} ----- Ducts, Underground A ' ' /.T PR Ducts,in Structure ✓ ''' rt ISJ, . . ,er Ducts,Ventilating ii- Rough Heating and Air-Cond ih all _ Z FINAL 4/ .r-9-7? ' ELECTRICAL ,'.! Temporary Service or Pole --- a Underground /G-!!,7 Power Meter ^ . ,j/V/} Rough Wiring A1 10-S' - ; ' FINAL 100,20 421-77 • Do not occupy this project until final inspection has -.,;' .•- been made and occupancy has be approved • Building Final h77,'O 4,--_ yk.. 7 9,44 / A ZS-7 Special Requirements 1!J6/ Occupancy NOTICE 24-hr. notification required when the job is ready for inspection. You must furnish PERMIT NUMBER and the JOB ADDRESS FOR EACH RESPECTIVE INSPECTION. CALL 556-5273. APPROVED PLANS SHALLaE ON JOB AT ALL TIMES CMP fcga-Ac mamma CITY or C'JSTA 1.=sA x.- _ST Fc'3 OCCurA' ' /' TRACT N0. /OO( g DATE chi ---r7 LOT NO. -I • • ADDRESS IOQS Sc'Pc � Ct2 c (✓ The developer of the above entitled tract desires to sell the above set forth • lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that (he-she-they) (was or -.Jere) advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were impcsed by the city at the tine the final tract nap was approved. The city assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify end hold the city harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. BY '-- RECEIVED Purchaser CITY OF COSTA .tESA BY PLANNING oEPT. Developer and/or authorized MM' ,t 1�; ., representative AM '71819I101111121112131415PM6 A BY Lender • \A • • /y� CITY UN CULL, t4E A IthuUEL2L' 1.1d: fiCCUI.1�71(:Y TRACT NO. ICOIB DATE IAT NO. a'/ ADDRESS jr-'45- c)4i arri t ) , The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that (he-she-they) (was or were) advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the city at the time the final tract map was approved. The city assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the city harmless from any claim resulting in damage or personal injury to the undersigned by reason of the • aforementioned uncompleted condition.' The undersigned acknowledges that this agreement is made solely for the benefit of the city and does not inure to the benefit of the undersigned or any of them. • BY PJu. .a ' ,RY ' 0 PA Y' BY / • //` 1< Developer a40 or authorised representat'we GREAT WESTERN BY I , , , i'9 ILSHIRE BOULEVAR6 BLVERLY HILLS, CALIF. 80211 J_ inc4 4W.lYlYYL • "—• I . Post Office Box 1200 lin�—�1 77 Fair Drive brimrr6� Costa Mesa, California 92626 '�;1,ll�h (7141 5565245 REQUEST FOR OCCUPANCY (Single Family Residential or Condominium Units) • Tract No. 7e./E% / Date gt--?a — 7� Lot No. -F c� Address _ �rr �-c-o/ d /27 The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and. its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that (he, she hey (was oC advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the City at the time the final tract map was approved. • The City assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. • The undersigned agrees to indemnify and hold the City harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. sy R E C E I V E D Purchase r CITY OF COSTI MES4 / / -i By ; AUG 2 r; 1978 Dev. •.er and/or •utho ed Represe ative APJ 719:90310111.211213141516 (213141516 By Lender Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA C_OWTRUCTION PERMIT ,/ PERMTRACT NO. LOT NO. UNIT NO. Project Address 0 . ? T2�.�i /9 e�[ �/�/ ,: .161-5-- rr II 13p90 5/1 0/'-7 F er'� TL Applicant's Mailing Address / TYPE OF CONSTRUCTION U NEW u ADD ❑ ALTERATION U REPAIR • �� 1.�� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER `• .�/ / /%� )r r XV A.P.# Zone Owner'sddresName J. •5 =P� ltra��6e6r• / DESCRIPTION OF WORK/USE OF BLDG. Address f. S Main Building: Accessory Building: Arch/Eng. License No. TYPE OF PERMIT El GRADING LI FOUNDATION El STRUCTURAL E Front ZO Address IIITENANT ElELECTRICAL CIPLUMBING ElMECHANICAL B Rear N ./ /� 35i ❑ OTHER A I Contractor's Nam- i /� Phon PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N Address lmailingl 4 "(p,�� r r y-`r�® CONSTRUCTION TYPE VALUATION$ K Left G City License No. / / ZONE "GRADING CU.YDS. ACRESR LICENSED CONTRACTOR DECLARATION Ping. Ref.4 Parking Req./Provided E D I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: with section 7000) of Division 3 of the Business and Professions Code,and �If10T — M Amy license is in full to i a=• ct. / /� RECEIVED VI Al 'Jt7/ S 'License las -- LI en • r (�J Date 227/ Signature I � - -�� PLUMBING FEES \ WORKERS'COMPENSATION D t RATION Bar Sink Showers 1 I hereby affirm that I have a certif ate of consent to self-insure or a certificate ELECTRICAL FEES of Workers' ompensation Insurance, or a certi .d copy,thereof (Section Backflow Preventer Service Sink 3800, Lab. ! /1 c-, -'// Automatic Washer Transformer 0 15.50 KW Policy No. (�� 9 Company / Backflow Irrigation Sewer Cap0 50+ KW Construction Pole Sub. 8 Certified copy is hereby furnis Cer11(leq�opy t's�ti�ed with the su' •'vis •n. Bathtubs Sewer Connection Cooking Unit Meter Duo to 100 amps Date •S 7/ 7l'/ Applicant �Ai A v EXEMPTION FROM WORKERS'CO • PENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed • the permit Is for one hundred ($100) or less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel 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 Drinking Fountains Solar Tank Fan Motors ❑0-1 HP 01% 8 Workers' Compensation Laws of California. Oate Signature Floor Drains Swimming Pool w/Spa F.A.U. NOTICE:If,after making this declaration, you should become subject to the Inc.Solar ❑9.15 HP 018-15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures comply with such provisions or this permit shall be deemed revoked. _ _ Microwave . CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes Pole Light I hereby affirm that there is a construction lending agency for the performance 9 of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater — Outlets Ran e Lender's Name 9 Lender's Address Kitchen Sink Water Service OWNER BUILDER DECLARATION Switches Sign I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal allowing.reason (Section 7031.5 Business and Professional Code: Any city or 9 P Standing Sections runty which requires a permit to construct,alter,Improve,demolish or repair P—Trap Laundry Trays Generator ❑0-5 KW ❑5-15 KW Ay structure, prior to its Issuance, also requires the applicant for such permit Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains 9 the Contractor's License Law(Chapter (commencing with Section 7000)of . Division 3 of the Business 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). LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 compensation, will do the work,and the structure Is not intended or offered - Reinspection Fee f $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL 1 FEES . License Law 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 DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II ❑ Zoning Approved By Date pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date prove for the purpose of sale). . ❑ I,as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By flat tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU SUMMARY OF FEES builds or improves thereon,and who contracts for such projects with a con- - tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ ra•7YERMIT ❑ I am exempt under Section B. & P.C.for this reason Firepl/Fact.Bit. ICBG 4 Fire Dampers PLUMBING $ J(._4EISUANCE $ + 411401 Date Owner Heating System& Ducting Registers - PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read t is application and state that the above 0o-100,000 BTU 0100,000 BT ELECTRICALGRADING $ Information is correct. I agree to ply with all city and county ordinances $ and s . - aws relating to b ildi••.construction, and hereby authorize repre- PLAN CHECK 50% MICROFILM $ SentoaVes H this city to -n J upon the a•Ove-mentioned erty f r $ Inspec Ion •d et 1, `//1 Signat - •art �L/ i �L Reinspection Fee I $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46.rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; 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 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-Undrgfnd. 8. Foundation - 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60.-Backwash Lines, P-Trapp d Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECKI, 11. Property 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# _ 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 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 & 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: (.g.gg, camas ks P 20.3 Vpt Loco. 34. Final Heating & Air Conditioning 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 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY • No. Date OWNER TEE GREGORY CO. DATE 3-3.713 JOB ADDRESS 1095. Y:I Sea Terrace BUILDING PERMIT NO. 45392 GENERAL CONTRACTOR Same DESCRIPTION of WORK Resaw/att. Garage AP No. LOT 37 TRACT 10018 FIRE ZONE VALUES 33,600. INSPECTIONS Signa Data TYPE V GROUP I & .T ZONE PDR-MD SOIL SUBCONTRACTOR PERMITS ISSUD GAS Data I Number I Signature WATER ��'/// PI b _ ROUGH PLUMBING /�, 7 PROP. SWR. LINE n HOUSE CON. 0 / .� S ��try I 7� • SPRINKLING SYSTEM r r I t i.wn�C e.3- 7- 75 MISCELLANEOUS t ROUGH HEATING AND AIR CONDITIONING • TEMPORARY SERVICE OR,POLE UNDERGROUND fl POWER 0 ROUGH WIRINGr, ) H tin n ant /'. //JJ / ��,/// TRENCHES a FORMS U STEEL RE INF. U �/- fi!% �� / I53j FLOOR SYSTEM III--- lie 1.519T1 BONO BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING — IN n OUT in PLASTER. BROWN COAT STRUCTURAL, FINAL Electric HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL ASV BUILDING, FINAL lµ gerw2 1, " 45392 , , COSTA MESA BUILDING-SAFETY DEPARTMENT 4476 92071 TL P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely —Use Ink Only RECEIVED BY DATE RECEIVED DATE ISSUED BUILDING , 9..f 5E4 t'� ADDRESS //� /Jy'I/r�}� /q�,iy, OWNER the gregory company A.P.NO. /i5i3( t IZ ,P't TnN BUILDING ADDMAILRESS 3187-g airway ave ADDRESS/Or SFJ , �Fe2'4ct • CITY costa mesa TNE0L.,751- — 385C TRACT 10018 LOT 37 BLOCK CONSTRUCTION NEW I ADD ALTER I REPAIR (MOVING DFMOI ISH LENDER BRANCH OWNE the gregory company ADDRESSVALUE /. ��yr ARCHITECT harrison/lorenzintEL751-385 _ USE Cmz�a W/aft F,Tara�,� 33he6. 4 OR ENGINEER NO. p FIRE ADDRESS 3187-g airway ave ZONE TYPE V GROUP T&J APPROVED CONTRACTOR gregory construction cc BY DATE ADDRESS 3187-g airwa ave TEL. NO.OF USE OF EW CITY costa mesa NO• 751-384 m - lyLATS ZBUILDIN t,.-Qv .-1 STATE CITY YARDS APPROVED YARDS AP OVtitl ( gLIC.NO. 4271 x992' LIC.NO. 0 MAIN BUILDING ACCESSORY BUILDING W SIZE O. OF LOT iNNOOW.OF ON BLLOT OCS. (FROM C/y$TR EET)) [ LI FRONT 'J!� FT. `f FT. a USE OF cn.i EXISTING BLDG. R.SIOF A FT. FT. FSeparate permits are required for L.SIDE 0 FT. FT. electric,plumbing and heating work. �/ It WREAR Q FT. FT. [—, USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& OMAIN BLOCS. ACCESS. BLDGS. Q �t1111�i1f} -• / 11) C.V.P. , l AP `ptay (J ` PPR9) P/ attached garage__________Ry DAT3/ /7 owe. u HOLD FOR cprr1AI R PanvTnl•.-% I hereby acknowledge that I have read this application and state n Cis that the above information Is correct and agree to comply with - co 0m all laws regulating building construction, and I shall not employ • Z any person in violation of the workman's compensation laws of a I i„Wthe State of California. 1249 3 I hereby certify that I am properly lice sed as a rector under SO. FT. 431garage of the State of California Business and : ofes 'ons e, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR & Chapter 9, an• hat such licenses a - In%of f• - and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: I\ m am exemp rom e provi • E- o he a alifornia Business VALUATION PERMIT FEE $ ci \ ' and Profe ions Co.a,Di / hap , _ n Signature o / ' p`�_J PLAN CHECK $ 9170,5j; d s LL Permittee is �__ $ 440 TAX02. !E /.. g l§ Authorized .....eee / — �+! / , V �_ TOTAL PAID $ 9 e ,0 t is3ga I COSTA MESA BUILDING-SAFETY DEPARTMENT 39.❑o� S1� P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 7277 3/13/78 139aUDCKT{7 APPLICATION FORTSTRUC'TURTALPERMIT UDC For Applicant to Fill in Completely —Use Ink Only 72!r """"""^'u'u I n RECEIVED BY DATE RECEIVED DATE ISSUED BUILDING /O ...0c ADDRESS / PERMIT NO. OWNER `'1 t _._. ic`_.. . A.P. NO. MAIL G ADDRESS I ADDREBUILDINSS 76'nm !s/"e!! TEL. TRACT LOT BLOCK CITY NO. CONSTRUCTION NEW ADD ALTER I REPAIR I MOVING DEMOIISH LENDER BRANCH //�J�s OWNER jj et" ADDRESSITE //J��o. „s/ LU // ARCHITECT TEL. USE /l.W K`/ E • OR ENGINEER NO. FIRE ADDRESS ZONE TYPE GROUP APPROVED CONTRACTORAnt/ BV DATE - ADDRESS TEL. ZONE NO.OF USE OF NEW PLANS BUILDING CITY NO. # STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING W SIZE NO.OF BLDGS. (FROM C/L STREET) O. OF LOT NOW ON LOT FRONT FT. FT. Q USE OF 4 EXISTING BLDG. &SLDE FT. FT. rn (-1 Separate permits are required for L.SIDE FT. FT. electric,plumbing and heating work. WREAR FT. FT. [.-, USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& Q OG MAIN SLS. ACCESS BLOCS. MI VAR.#• DATE r11,0iltre r C.U.P.# APPROVED otE APPROVED r.1 _ . EtY DATE EL Pa O I hereby acknowledge that I have read this application and state in n CO that the above information is correct and agree to comply with co LL all laws regulating building construction, and I shall not employ S Z any person in violation of the workman's compensation laws of e the State of California. I hereby certify that I am properly licensed as a contractor under SQ. FT. a 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 'o VALUATIOi PERMIT FEE $ V end Professions Code, Division 3,Chapter 9. / 7 b.S n m PLAN CHECK S 'n Signature of G Permittee 2.45 TAX E a U Authorized Agent t TOTAL PAID $ /4,70/., O