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Home My WebLink About882 SENATE ST - Building Permits(7i4) 754-52�3 • Fax (7�4) 754-4856 • www.ci.costa-mesa.ca�fJ�LDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 882 SENATE ST Suile: Viciniry: RESIDENCE AND ATTACHED GARAGE Primary Occ: R-3 Dwellingsl Cong Res <10 Type of Construdion: V-N Parcel Number: 42239211 Zoning: npplicant: POTTS, JOSEPH MICHAEL Address: 882 SENATE STREET COSTA MESA, CA owner. POTTS, JOSEP,H�MICHAEL Address 882 SENATE STREET � COSTA MESA, CA / Contractor:� OWNER-BUILDER Address: Zip: Arch : Address: Phone: Zip: License: Phone: 949-903-8987 CELL ISSUED BY: Zip: 92627 Phone: Zip: 92627 Phone: License: 000000 Eng: Address: Status: ISSUED Applied: 09/74/2006 Issued: 09/14/2006 ,Phone: License: SCOPE OF PERMIT REROOF RESIDENCE AND ATTACHED GARAGE: T/0 EXISTING ROCK , REPAIR/REPLACE SHTG AS MEEDED. 2 LAYERS 15# FELT, APPLY "30- YEAR COMP SHINGLES." PITCH 2:12 1400 SQ FT FEE SUMMARY Plan Check: $90.51 Permit: $139.25 SMIP Res: $0.65 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $230.41 PLANNING & ZONING SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Ezistina: o . , Rear 0-0 Rear 0- 0 � "Re uired: 0 Calc Valuation: $e,soo.00 Claim Valuation: $s,soo.00 Left 0- 0 Right 0- 0 Left 0-0 Right 0-0 Pr000sed: 0 '� � NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become voitl II work is not commenced within 180 days, or if work is suspended or abandoned tor a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, end ell required Inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545826 2a&a8 (6U0) WORKERS'COMPENSAnON DECLARAnON: I hereby eXirm under penelry of perjury one oi iha following tlecleratlons: ❑ 1 have end wlll meintain e certificate of consent to sell-Insure lor workers' compensation, as provided tor by section 3700 0l tha LeDor Code, tor the pertortnance oi Ihe work for which ihis permit is issuetl. ❑ I have end will meintain workers' compensation insurence, as requiretl by sectlon 3700 of che Lffiwr Coda, for the performance ot ihe work for which this pertnit Is Issued. My workars' compensatlon Insurance carriar end pollcy number ere: Cartier: Policy Number: (�Th//s se�fion need nof be com0/eted i/ the permitls velued af one hun0ietl dallers ($f 00) or less.) ,y'�I certily Ihet in the pedortnenca t the work foi w�ich �his permit is issued, I shall not employ eny person in any manner so as to bewme su6jeq to Ihe workers' compensetlon law of Califomi entl agree ih H sh uIC becomgypG�ec[ to the workers' compensation provisions oi Sectlon 3700 ot the Lebor Cotle, I shell Iorthwit� tomptywiththe% ovisions. �} �/ APallcenfslpnetu`reC�� toat-1 / ^ �`/- - vC WARNINO: FNLURE TO SEC E WORK S' COMPENSATION COVERAGE IS UMAWFUL M'D SFNLL SUBIECT AN EMPLpYER TO CRIMINAL PENALTIES AND CML FlNES UP TO ONE MUNDRED TTqUSAND DOILARE (5100, ), IN ADDfiIIXJ TO THE COST OF COMPEN5AT10N, DAMAGES AS PROVIDED FOR IN SECfION 3'!OB OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. '�, LICENSED CONTRACTORS DECLARATION: I hereDy eNirtn thet I em licensetl untler provisions oi Chapter 9(commencing with Section 7000) oi Division 3 0l Ihe Business and Professions Code, antl my Ilcense Is in full force end eftect Uc. a Class a Gontrector's Signatura: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirtn ihat Ihere is e construction lending egency for ihe pertormence of the work for which �his Dermit Is issued. (Sec. 3097, Civil Cotle). Lender's Name: LenOer's Address: SigneNre: Dete: OWNER-BUILDER DECLARATIONS: I hereby eflirtn ihat unCer penalry of perjury Ihet I em E%EMPT FROM 7HE CONTRACTORS LICENSE LAW lor the following reeson (Sec. 7031.5, eusiness and Proteulons Cotle: Any ciry or counry which requires e Dertnit to construcl, elter, improve, tlemUish, or repair any siructure, pnor to its issuance, also requires the applicant tor such permit to flle e signed stetement t�e� he or she is licensetl Oursuent to the proNsions of the Contracbrs Llcense Lew (Chepter 9(commencing with Sectlon 7000) 01 Dlvision 3 ai the Business end Pmlessions Code) or that he or she Is exempt therefrom end the besis for tha alleged exemption. Any violation af Section 7031.5 by any epplicent for e pertnit sub ihe applicant to e civil penalry c� not more than five huntlretl tlWlars ($500)J: � �I, as owner ot the property, or my employees wlth we9es es ihelr sole compensation, WILL DO THE WORK, entl Ihe s�ructure Is not intended or ofleretl lor sale (Sec. 7044, Business end Professions Code: The Contractors License law dces not apply to an owner of property who builds or improves ihereon, and who tloes such work himseN or herseN or through his or her own employees, provided ihet such improvements are not Imended or oMered lor sale. If, however, ihe 6uilding or Improvement is sald withln ane year of completian, Ihe owner�6uilder will heve t�e burden of praving that he or she did not builtl or improve for Durpwa of sale.). • ❑ I, es owner ot ihe property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business end Prolessions Cotle: The contractors License Law does no� apply to an ownar ol property who huilds or Improves thereon, and who coniracts tor such project wl�h e comractor(s) license clusuaN to t�e Contractors License Law5.1. lam Ownar ID ven Verlflce�lon of Business antl Prot855ions Code far this ree5on: ls license. ❑ Ves ❑ No Dy (type of document, i.e. - properry la: bill or tleetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTFICA710N: Dete: _ — —O �/ � � Expires:"�- 6 ^ lJ Q, ❑ I hereby certify Ihat no excevation five (5) or more leet in tlepth into which e person is raquire0 �o descend, will 6e made in connection with work aulhorizetl by ihis pertnit, end ihat no building siructure, swHolding, telsework, or demolition or dismantling iheraot, will be more ihan thirty-six (36) leet high. (Chap. 32, Grp 2, Ar12, Sac. 341, T1Ile 8, Calilomia Atlministrative Cotle). ❑ A5 owner-builtler, I will not employ anyone to tlo work which would require a permii from the Divisian of Intlustriel Sefery, as noted above, unless such person has e permit to do such work tram the division. Signatwa: Date: Division ol Industnal Safery Pertnit Number: CERTIflC TE OF COMPLIANCE AND AUTHORVATION OF ENTAV: I certily under penalty of perjury that I �ave reatl t�is epplication and state tha� �he iniormation given is correct. I ree b c npy wi�h state laws entl clry ortlinances releting to building consiruction, end euthodze representalives ot the Ciry of Costa Mesa to enter upon the ebove-de ribed prc eRy tor in p ction u ose ee not to occupy or ollow occupency ol any building euthorized by this permit until fnel inspection. o/ ' /y-o � Signature Of Legel Ownor(s) _'�; � Data"— AnNOr Authodzed Applicanl Date COOE I. INSPECTIONTYFE 7616 Flaed System Final Fire Preven�ion 1266 Pool Spe Finel 200 Finel Re-Rool 201 Final BIocWRetelning Wall 202 Final Feclory Fire Place 203 Final Sign 204 Finel Demolitlon . 11. � i / .:!r/7 / . � I i� . , COOE 1 INSPECTION TVFE 206 Finel Mechenical 208 Finel Plumbing 210 Final Eleciriwl 212 Finel Fire Prevention 220 Finel Planning Appro�al 222 Final Site 250 FinalBuiltlingiOccupency Q�IE I[�LS O:iEtTRD7flE55: 88Z SENATE ST owxfasllnme: pOTTS JOSEPH MICHAEL aoosess: 882 S�NATE ST COSTA MESA,CA 92627 645-5090 AflCH1ENGINEEfl: AEG.NO.: RUGHE$$: UNIT: UNIT: � PEXMITTtE: pQTTS ( 714 ) 645-5090 nooness: 882 SENATE CM CA 92627 UGENSEO CONTBRCTOX UECLAFATION: I hereGy atlirm Ihai I am licensee mNer O��SionS o� CtuO�er 9(commencing vni� S¢clion 7000) of Div:sron 7 0l �h¢ Buvness aM Pmfessions CoEe. anE my lirense is In IWI 1o¢e an0 eHecl. GTY LIC.: STRTE LIC.: CLASS: Oaie: Signawre: WOflREBS' COmPENSATION OECLAilATION: 1 hereby atlirm itwt I nave a ceniliWte of consenl to self-insure or a cenilitale of Workers' Camp¢n5dlion Insurance. or a CeNiieG coOY ��ereof �Section 78110. LaO. q. POLICV NO.: E%P. ORTE: ^.OMPANY: CeNIieO copy is hereGy Iurni5�e0. O Cenified ropy a 1de0 wit� t�e dry BuilEing OWi4on. Daie: AOO�KanC E%EMPTION FPOM WONKEHS' LOMPENSRTION OECLAN.IPON: (ilis section nee0 not be canpk;e0 if pie pcm161a wce �unGrM (570D) or kss�. I cetlify ��at in ��e pertorma�e oi the vrork lor wNch t�is permi� is SsuM. I sliall nol ¢mploy any p¢rson in any manner so as to Eecame suble�� Ia I�e Workers' Gompensati0n Laws oi Calitomia. Date: SignaWre: NOTICE: II, atter making INs aeUaraiion, y0U Sh0u10 CeCome Su�jett Io ihe Workers' Campensa�ion pmv¢ions ol the La�ar CoOe. you mu9 �otl�vnID mmpty vni� such provisions Or this pumii s�all Ce CeemeO revok¢G. CONSTflUtTION LENOING RGENLY: 1 tiereby affirm Itut Uere rs a consimction lentlinq aqenty lar t�e petlormairce of itle wark for wnic� Inis permit is issue0 (Seclion 3097, Civ. C�. LENDEN: nooness: OWNEN BUIWEB OECIANAT10N: I hereGy allirm I�ai I am exemp� �mm ��e Coniractors' Slale License Law �or ��e lollowing reason �Sec�ion 7037.5 9usiness arW Pmlessional CW e: My dty al county wNc� reQuirzs a perrtnt to wnstmct, alter, imD�ove, Oertwlis�, or iepmr any simcWre. Orio� lo its issuance. also reQuires Ihe apo�iwnt lo� sucn permit to lile a sipneA statemen11ha1 ne/she is lirensea pursuam Io Ihe pmvi5ions of I�e Canlracmrs' State Licenu Law (Cnapter 9(commenpnq wil� Stttion 7000) a� �Nisian 3 0� I�e Business ana Pro�essions CoOe) or Ihal he/s�e is e+empl inertirom an0 i�e Oa95 for I�e allepea exemplion. Any uiolatian of Section 7037.5 Ey any applicant for a Dermit subjetls t�e applitdnl to a timril penalty of not mort IAan live huMreO Oollars (5500�. I. as owner of ine propeny or my emybyees vnin wages as tneir sole campensation, will Oo Ina wod. anC me ❑ slmnure is noi inten0e4 or ol�er¢E lOr sale (Secoon 70a4, Business an0 Protessional Coae: TAe Contractors' Slate License Law does nol appN �o an awnei ol a properiy wtq DuilGs ar imD�'es thereon, an0 wlq EOeS sut� wOrk Ilimself/herull or t�rough �is or her own employ¢es, provi0etl ��at Suc� impmvemeNs are noI intenUee or ollereE �or sale. II, �owever IAe UuildinA or im0�ovement it SOIE wiillin one year al completion. Il�e owner wiA hdve t�e OurCen ol prOvinp �e/5iit GiC noi EuJO or improve lor ine purpase al sale�. I, as owner of I�e pro0eny, am eKclusively comrac�ing vni� IicenseE tomraclors Io conslmci Iha pwlec� (Section 7044, Business ❑ an0 Pmlessians CaAe: The Contraziors' State Lke�ae Law Oces not appty to an owner ol D�opert9wM buAds or imOroves t�ereon antl w�a conlracls �or suc� Omle��s wil� a mNracmr�s) license Dwsuant �o I�e Camracmrs' Sta�e Lmense Law�. I am aware Ihat proo� o� ��eir Worker's CamOensalion insurance slwuld �e 0��4� to rtre. � I am exempt under Section: B P%O 4 4 B. d P. C. ro�imsreason: LQ WORK BY OWNER M �ale'. � � ! / � Qwnet: " ' I tla �ere�y cenily Ihat I am aware ol an0 un0erstan0 Ne �e0uiremems ol Califomia He anU S Iy Coae Sections 25505. 25533, antl 255J4 ana inat I o� any Imure Duiltlmg accupant wiNwiil not (circle we) neeG io com0 �� 4 ate co0es anOlhe repuirements lor a perm�l lor conslmclion or motlilication Imm �he Nir Ouahty Managemenl Oi5lrici. fle5i :n�ial [onslmclion a001ica�ion5 are exempt Imm Ihese provisions. Date: ADP�icanc I hereby cerUly I�ai I have rea� �his applicaiion ana 5�aie l�ai I�e above information is cOrretl. I agre¢ lo ComON �t� all [iry anJ [ounly ordinances ana Stalelawsrelatinglo building con9mction aM her Eyaulhorize represenlalive/yN�y �is. �ci-ly�io en-ie�r upon�he above�mentionetl pmperiy lor mspec��ion/ pur0oLse(5. \`^'__� �a�e�, l— —C � 1 � Signature: _ ' ` Driver's Lmense or Sociai Secunry x: Appl¢an�: Pink—Revanue; GotOonma—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: E 053712 PLAN CHECK NO; N CONSTAUCTION TYPE: V—N PERMIT TYPE: ELE JOB DESCRIPTION : SERVICE UPGRADE CLAIM VALUE: CALC—VALUE: PERM NO; E 0 GOVT: N SUPP; N PURPOSE: OTH SQ FT; GROUP OCC: R-3 / COMMENTS: SERVICE UPGRADE ***��t**�tr****�t*�x *�r**�ex �r*�r�r**�t�t+�**�ex x �t+t***�r*�t�x�*�t�t*�r*x��r+t*�r**�t*�t�****�r*�r�r*�e�e**�e* Z O N I N GS ERTEH�AUCIKRSE M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT ZN FRNT; FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV; PARCEL: 42239211 2NE: REF NO: PLANNING N(31'ES> 1 k IE if iF iF IF iF iF M iF iF iF k if if If 3f 3k iE iF iF IE IE it If iE iE 1E if 1F If if 3f *�t if if if IF ik if iF M k If iE iE �E iE �F 1E �f if k 3E M iF iF�E±f iF k iF iE �E if iE iF iF iF iF if iF if iF If iF iE�f 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 ZONING APPROVED BY �' DATE; BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: DATE: OF'�� 1FiE�fififfElf3fiFiFifMlfkMiEiFMiFkMk ifiFifkiffFifkMlE7Fi if1F iEiflfifiFiFlfiEiEiflfiF�fMiflklkMlElflfMlfiffFlfiflfMlkilklE�E1F1f1Eff tltMlEiflflllfM�fMItiFlt�ffEifiFlEififMif3kifiFiFififiFifififikiFiFiFifikiF LEGALIZATION;N F E E U M M A R Y STRUCTURAL SEGMENT:N PERMIT HLDG PMT PLUMBING ELEC SO MECHANIC FIRE SMIP/RES GRADING SOt SMIP/NON—RES PLAN ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 18.50 15.0 0.00 33,50 33.50 .00 REVENUE DIVISION TOTALS--> COLLECTED; 33.50 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 33.50 ifkkiFMlElE�ElfltififlFlE�l�fkMkMiFkifiEifkifiEkkitiFM3FIfiFltkk�MlFlfiflfififk�f�tk3tiFiFiFkififkMiFifkiFklfMiEititMMiFMlkiF3Fif kit I N D I V I D U A L F E E B R E A K D O W N TYPE ELE QTY D E S C R I P T I O N UNIT COST TOTAL COST 1 SERVICES BELOW 600 V 6 BELOW 201 AMP 18.50 18.50 END OF FEES � �'. O l'7, 33 � /rJ �� il '.l:l�''�!.-�. 1... �.7Mr r _� ' . .rir�l�. Q>.u.��`., �..n:: I.�:�'� �r, CONSTRUCTION AND PLANNING ' POC . SPA APPROVALS Permit# Date Inspector qppROVALS Permit# , Date Inspector 'v1. Temporery Elec[rical Service or Pole 52. Pool & Equipment Location -^ r 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement , .. Y'r3��'�I�tr[�I Co�duit.l�ility-Undrgrnd. 54. Forms . ..:47;E�rp[rical Cond`pi[rUndrgrnd. 55. Electrical Bonding ' ^�5.��e1 F�in(orcem�t 56. Rough Plumbing & Pressure Te�t; � �� :.N«,, n �' 2 ��n�ttrital UFER' rnd. , 57. APPROVAL TO COVER�GUIG7'�E � h77'^Go tings �n 58. Electrical Conduit-Undrgrnd. a ��$, Foundation 59. Gas Pipe, O Undrgrnd., Test - -H�' 91 Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, � Undhgrnd. ' i(�; Structurel Floor System 61. APPROVAL TO DECK �'�` 11. Property Sewer Lin�& House Connection 62. Backwash & Receptor-Final � ^ 12. SFwer Cap y 63. Heater & Vent-Final � 13. Roof Drains �0 64. Plumbing System - Final `� ;�-�� i ' 14. Rough Plumbin,� � 65. Electrical-Final �. ,-" 15. Rough Electri -Conduit 66. Solar System-Final 16. Rough EleclricaNiring 67. Fencing & Access ApProval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING • 18. Rough Electrio�l�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 79. Rough Heating & Air Cqnditioning FIRE DEPT. REQUIREMENT ' ' - m V i1lP.-+ 9: -- " :� 20t*fio� h F�ciory F,Itoplace � c: r _�_ r p� CT. ». r11PPR�VItt�v^:�CPer,mit #� �- �J r•+ at r� .ax 1 t n�.�c-. ^, :r �rr Z� �U41S� Ii3�SL tCL�T� : [-F^ S.S 'K N '7 '�'!: .R = S. .S'�':� » * l�i i .� FS! :. i .. .. . -� x S J :-� � ,r 70. underyApP , HyS�ro . 22� DuCts, ��cntqating•w 'JS � � S d* * r77. ProducL�Ri ih9 �1(�s QOiI 23.r_-�,,ai Pip�Roi�h &' est ; �l * n �T � y � �72. Under ro�inii FI�7 � �` � ,- �C t^'S �.. v' Q J� 9� W.. � 24;,RoQtFraming ,•= � ��-.F -= r> � s t: 73WUndergrn2l-.StorageTank�'JGas`�Oi1 25. Rogj Slteathing �," � '� ,:� "' L � N,; �'7q�,OverheadYlydrd;' T 26UT�Be� Ceiling (Stiys[uraq c4r�)onecoat � tL C :hY' �- 75TDry Chemical - <- 7 N 27�fr�me a d Flash" � � ' *� ^ `r y" w ` ~ � � ' J �� •� ,� �� c z a � r r:. a 76: Dry Scan��e � ca r � ' 8."'la in�� Sidiniy;.`� cc =�i;': .i; � S. ••'� �r 77'T FIXED SfSTEN1EINAb� � � f1 .. . ... �'29. Insutatio� d'`" �,�" " � ' �� i 7 �FIRE PREV. FI L ,} � � i-r s m �� . NFi x� o Q t�•30. Drywal� Nailing " x .:- �..� �kI�ALT . EP7. R,EQWIRSMENT n31. Plaster oa+� Coa� ' ; r,z, � , � �# y r79rFINAL I�jPECTf,�1hY ��% e' � ' -i� �- `'�32�Electri Po�yer Met��Finali "' �� I�% � !� n80�FOOD CER`fIF�$ftT-�E 196�ED� v 33.`:�Fin`AI Electr� * r • J � �T1 (' �. y. r,N�� - y�- fi o � ` x tR 7" �-+'7 '7t� *'^ C� �nj34,�Firy� Heating & Ai�.Co(�ditiqriyig� K .� a a•tv •:S � jx s S L� `35s*7Firia9 Gas Pi�S�•TestK ,.,� _ ' i � M' :�ow on t�75 x h- O . ^ R �-. i ' # :Y . x<� C7H �'. lP(�' �36�Ho�d or CanoPY ..x. �.� ; �r•7 n. :r. ^ � .:� � s na � i `ir -'37CFin51 Factory Pire�laCe � S!'�' �� 'x C] � s _ :'� � ^s�^ .e. i c-'- � :k .P :u tt �x M ,_38. Fi al Plumbin x � � �� '� ' ,�� R 9 + cu . a 4. a: S i-. .r tx t�39. Waier Service-Finat� � � '- R I � w C'� �;:7 q�C r r - v �c � :k :a ¢ '�40. Gas Service-Final � 1 � '` �' T � ' �lT!T' S X.1„ :Y ..ti' N�7 X"' J 541. Solar pomesticFin61S :�� •• x •='+ � a �Gz+ ^� * w . . .. �: �7o c^ a r p '"42cSBatkflow Prevente� � n' :�. `~' � � � :� '� � t-� N 7 � I * c: >� �q .. ... . . 43. Backflow IrF'igatiom u.5�. '' � r �T'(-' �� C w -, . u .. ,: u � �. n r '"� . X. tT, 4. Y l. � 4 .r. - :,J � J ��44. Landsqa,pe t,�.rigatiqn Syster��r,�� t� x�n ,� ,, Or r N �Z: c::CJ w N ,. �45r'Sound Atte3uatioA �x:'• 'r �' F �� E-x * � :-. •ti �w ri;� :e ' ,_ .. .. :r. in '., .:, r t^ � • F + �46`:;;Handica Re ulati�ns r S Y [n •• ••�r.?�, i • ;v •• � �. � 9 �.. C � vc ��' �c :s Vo ; 47�FI��,L STRUCTUBE & 8 fLDING a' � �'�� '_ i�l S �� > r :�: I .♦ 1 v F 48�FI�LPLQISNIN�.� i �� : ,� �'a q �� •t � o49tr�EIGqric Reteese to;Edison ; : < : :i, � i :n : I �r�. .., - �50�Ga�Release to Soukhem Caljfolqia Gas Cn � f:. �' � � C• o r . • :51. CE�TIFICATEO>OCCUPAN'Cl` r ,', �; i� i;�� ;� < ,- „ No. Date \ Applicant to fi11 in all soaces except those witnin heavy Coraer Iines antl sign all appropriate Ceclarations. CIT'Y C�STA M�� CjCON TR UCT N PER IT ", MI�O. TRACT NO. LOT NO. UNIT NO. A.P. # Zone Project Address �_ � _ � �� Apnlicant's Mailin Ad e3s TVPE OF CONSTRUCTION NEW /�DO ALTERATION REPAIR S Main Building: Accessory Building: r E 9 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER 7 Front 0 Ow�ner'sName r Phone DESCRIPTIONOFWORK/USEOFBL�G. IA Rear N Address Arch/Eng. License No. TVPE OF PERMIT GRAoiNG FOurvDaTION $TftVCTURAL I C Righi � � N Addres5 ❑ TENANT ❑ ELECTRIC9 L� ❑ PLUMBING ❑ MECHANICAL , g L2ft G �OTHER �a.i ///i L� Ping. Ref. # Parking Req./Provided E Contractor's Nam Phone Address (mailing) PROJECT DESCRIP710N 54. FT. oCCUPANCv Planning Notes: � M CONSTRUCTION TVPE VALUATION $ T City License No. ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARqTION I hereby aftirm Ihat I am licensetl untle� p�ovi5ion5 ot Charte� 9(commenGinq Rema�ki: witb section 7000) of Division 3 of the Business antl Professions Cotle, antl my Iicense is in fuu force antl effect ELECTRICAL FEES License Class License No. oate 5iqnature PLUMBING FEES P�utomatic Washer Transformer ❑ 15-50 KW WORKERS• COMPENSATION DECLqRATION Constfuction POIe SUb. ❑ 50 + KW •reby aftirm [nat I have a certifitat¢ of con5ent to selbinsu�e o� a certitiCdtC Bar $ink $hOwCfS ✓orken' Compensation Insurance, or a certitietl cooY thereof (Section BackflOw Preventer Servite $ink Cookin9 Unit Meter ❑up to 700 amps J, Lab. G.) ' . Policy No. Company Backflow Irrigation Sewer Cap Dishwasher Meter ❑over 100 amps 8 Certifietl copy is M1ereby furnisnetl. Dryers ❑Gas ❑ElCctric Sub P2n01 Certifietl copy is filed with the city gulltling Division. Baffitubs Sewef Conn¢ctiOn Date Applicant Fan Motors �0-1 HP 01 h=8 EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Cldfifi2�5 SOId� CoIICctOIS (Thissection neetl mt be completetl if the permit is for one huntlretl (g100) or Dishwasher Solar Piping F�A�U� Inc Solar �9-15 HP �16-15+ ' less). I tertify that in the pertotmance ot [he wo�k for 'ch this pe�mk i5 i5 ¢tl, 1 Fixtuf¢5 MiG�Ow2v¢ shall no[ em0loy any pelson in any maIl ne d5 becopi subj c t the Dfinkil19 FOUnLdif15 SOId� Tdfik Worker ' C mp s' Laws of Califpr7'�3 / Dale Signature � Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE: If, a te� m kinq this tleclarat�pn, you Shoultl bewme subj¢Ct to the Worker5' CompensatiOn provisions of the LabOr Cotl , you mu5t torthwith FIOO�SinkS U�iOdl OUtlCtS Range comply with such provision5 or this permit Shall be tleemetl revoked. CONSTRUCTION LENDING AGENCY GasService �UtICtS WaterCloset �1 � $Witch25 Sign I he�eby affirm [hat [here is a construction lentling a9ency to� the pertormance �� of the wo�k for which thi5 perrt�it is i55uetl (Section 309� Civ. CJ Garbage Disposal $tdndiny S¢C[iOnS Lentler's Name �nterceptors Water Heater Lentler's aatlress Kitchen Sink - Water Service Generator �65 KW �5-75 KW Trash Compactor OWNER BUILDER DECLARATION 1 bereby affirm that I am eaempt from the Gontractor's License Law for the LavatOries Auto-WaSh followinq reason (Section 7031.5 Businezs and Professional Cotle: Any city or county which requires a permit to construct, alter, imorove, tlemolish or repair P—Trap Laundry Tra'ys any st�ucture, D�ior [o its i55uance, al5o requires the applicant for Such pe�mit to file a signetl statement that he/she is licensetl pwsuant to the provisions of Roof Drains the Contractor'S License Law (Chapter 9(commencing with Section 7000) of C�.YiSion 3' of the Busine55 antl Plof�ssions COtlC) ol tha[ he/she i5 exempt RBin5p8t1i00 fe8 $15 ISSuB FBB $ 3 ?x';;;efrom antl Ihe basis for the allegetl exemption. Any violation of Section 1;�P�.�,':1.5 by any applicant fo� a peYmit Subiects th¢ appllcant to a civil ' analty ot not more than �ive huntlreq tloilars (5500). $ 3 DEVELOPMENT SERVICES REQUIREMENTS: � 1, as owner ot tne property �M with wages as their sole ReinspeC[ion Fee $15 ISSue Fee Zoning Approved By Date wmpensa[ion, will tlo the work, antl the structure is not intentletl or offeretl tor sale �Section 7044, Business antl Professional Cotle: The Contracmr's MECHANICAL fEES Building Approved By Data license Law tloes nOt apply to an owpe� ot a property who build5 Or improves thereon, antl who tloes such work h�msel!/herselt or thrOugh hi5 or her own � Appliwtion luued By - � Ddt employees, pwvitletl tnat such improvements are not intentletl or otteretl tor Boiler Hood or Type I ❑ sale. I(, however, the builtling or improvement is soltl within one year o� tom- �nopy Type 11 ❑ SUMMARV OF FEES pletion, fhe owne� will have the burC¢n of prOving he/she ditl not builtl o� Im- DUCt - UndE� Ci�OUOd prove tor the purpose of saie). BUILDING PERMIT $ SMIP $ ❑ I, as owner of the property, am exclusively contracting with licensed ton- Duct � Structurel Refrigeratfon Sys[em p�AN CHECK $ PERMIT tractors to mnst�uct Ihe project (Sectfon 7044, Business antl Prote55ion5 Cotle: The Contracmr's License law tloes not apply to an owner ot property who Duct - Ventilating ❑0-100,000 BTU ❑100,000 BTU PLUMBING $ �• d""f% �SSUANCE $ �uiltls o� improves thereon. antl wh0 cont�act5 �or such o�oiects with a r.on- . tractor(s1 license pursuanc �o me Coqtractor'S License Law). i am aware Ihai Exhaust $ystem ❑ Multiple ❑ System Repair/Alteration P�N CHECK 25% $ ENERGV P.C. $ proof o( their Worker's Compensati�n insurance shoultl be provitletl to me. ELECTRICAL $ GRADING $ ❑ 1 am exempt untler Section e. & P. C. tor this reason Firepl/FacL Blt. ICBO # Fire Dampers PLAN CHECK 50% $ MICROFI LM $ Date Owner Heating System & Ducting Registers MECHANICAL $ „S "9 I hereby certity that I have reatl this application antl state that the above ❑P700,000 BTU 0100,OOOBT TOTAL FEE $ information is correcL I a9ree to comply witn all city antl county ortlinances PLAN CHECK 25% $ antl state laws relating to builtling cOnStructiy , antl hereby duthoriie repre- sentatives of th' ci enter pon thc� a Ove-mentionetl p�operty fo� InSPection P se Ji ��13?]f .'Jr.:io.��k��. 5 P't Signature �-�9 j- Reins ection Fee $75 laue Fee $ 3 �+ �c � Drivers'Licensear55 P a,C.� �:![�L,vl T��'it4 dC��;� OB65-46, rev. 5/98 White - Bwltljng; Canary - Applicanh Pink - Accounting: GOItl¢nrotl - Assesso� CON�TRUC710N ANDPLANNING POC SPA ' APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector 1. amporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3: Electrical Conduit Utility-Undrgrnd. 54. Forms �4'?Elect�ical Conduit-Undrgrnd. 55. Electrical Bonding � 5. Steel�Reinforcement 56. Rough Plumbing & Pressure Test � �_ i 6..'Electrical UFER Grnd. 57. APPROVALTO COVER-GUNITE , 7.�Footings � 58. Electrical ConduirUndrgrnd. � 8.' Foundation ; 59. Gas Pipe, � Undrgrnd., Test 9. Water Pipe-Undrgrnd. ' -, 60. Backwash Lines, P-Tra'p, O Undrgrnd. i 10.'Structural Floor System 67. APPROVAI 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 . . � 74. 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 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT � 20. Rough FactorY�Fireplace APPROVALS Permit # 27. Ducts, in S[rUcture � 70. Underground Hydra 22. Ducts, Ventilating 71. 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 (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: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test ,r/��( (,�p 36. Hood or Canopy 37. Final FactorY Fireplace 38. Final Plumbing p 39. Water Service�Final � . 40. Gas Service-Final . 41. Solar pomestic-Final . 42. Backflow Preventer 43. Backflow Irrigation . 44. Landscape Irtiqation System 45. Sound At[enuation + ' 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. CERTIFICA7E OF OCCUPANCY � No. Date ' � OWNER �QY HAR�Oit �UIiD�F�S JOB ADDRE55 RA� Scnat.P Rt. GENERAL CONTRACTOR $�p DA'r'6 5-?'i-5(i BL .ING PERMCI' NO�. �A(1� VALIIE AP. No. LOT 5 1'RACT 2059 PIRE ZONE DESCRIPTION OF WORR p�P� � i ng R' A�+ (' �_ GROIIP I Fr. J TYPE V ZONE Rl PLAN NO. hAf1F� INSPECTIONS coat Final Gas Tut DATE I SUBCONTRACTOR f:7�:lTiIY�� NUMBER " . " 6��s . COSTA MESA BUILDING DEPARTMENT P. O. BO% 31� COSTA MESA. CALIFORNIA BUILDING A��RE55 FOR APPLICANT TO FILL IN COSTA MESA. CALIFORNIA OR ENGINEERI! t� ADDRE55 � CONT A�DRES �% LEGAL LOT DESCRIGTION NO. A.P. NO. SIZE j /+ % OF LO�/ f�J USE OF EXISTING BLDG. SETBACK LINE FROM CENTER OF $TPEET r�� `r�ti,�.��IED � .� � - �� . FINANCE DEPT. CITY OF COSiA G"IESA APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY _ ..�_�.._.. _. __._ _"_.__ ....._ .""'— � ��-t�� 5-�3-�� S-a 3 -� d % �hi �.i , BUILDING ;�� f d r ADORE55 uC..,��, COSTA MESA, CALIFORNIA NO. Q�� FIRE ZONE ` LIC � ZONE p�sNS TYPE GROIIP NO. TEL. APPROVED NO. BY DATE BLOCK __ TRApndcS� CORRECTIONS �� ^!� NO.OF BLDGS./� v` �; O L� NOW ON �OT �.J �_ �j/, REARVARD/f(Q/'•I 3HT •� , LEFT � ' DESCRIPTION OF WORK NEW LTERATION • ADDITION REPAIR I �MOVING I IIOEMOLISH BUILDING ///�/O RO MS � STORIES SIZE l(�� 7 ? �s EXTERIO�-+�cAU.,. �. � ROOF N _ _ � _� - ,� - ��- - I NEFEBY ACNNOWLEO E THFT I HPVE READ THIS FPPLIC4TION AND MA ME /BOVE i5 COFRECT <rvD 4GREE TO COMPLV WITH nLl W �`' x Y � ='_ � CITY OF .,-TF n<ESa • v �- ua.iFc7,T0 G. DEFT. REG. ay STATE T T T v �.// n—, CITY ORO�NPN PNO ST�TE L�WS REGUtFTI 91lILDING ONSTRUC� 11^" TION. � �/ VALUATION SIGNAT � Fj � �-y PERMIT FEE $ PERMITTEE � ^� 3SV PLAN CHECK 5 �� $ �s ° AUTHORIZED AGENT � TOTAL FEE 5