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Home My WebLink About895 SENATE ST - Building Permits(714) 754-5273 • Fau (714) 754-4856 • www.ci.coste-mesa.ca.us 77 FAIR DFiNE, GOSTA MESA, GA 926'L6 Job Address: 895 SENATE ST Suite No Viciniry: Parcel Number: 42238603 Applicant Address: Owner: Address: DARUNG MUMFORD- DAVILA, RAMONA 895 SENATE ST � COSTA MESA, CA Contractor: COASTAIRE Address: 2295 S GRAND AV SANTA ANA, CA 70KBTU FAU CHANGE-OUT ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair / All CoolingMeat Inst / Rep. Recess Wall Htr Refri9 Sys <700 k BTU Refrig Sys >100 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan I Single Dud Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < t0000cfm AirHandlers> 10000cfm FloorFurnace Floor or Suspend Heater $23.50 $14.80 $0.00 50.00 $0.00 50.00 50.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantiry t � 0 0 0 0 0 0 ' 0 0 0 0 0 0 0 0 0 0 0; 0 MECHANICAL PERMIT ISSUED BY: Phone: 949-279-4172 Zip: Phone: Zip: 92627 Phone: 949-279-5575 Zip: 92705 License:355425 SCOPE OF PERMIT FEE SUMMARY Repair I Alt Absorbtion Unit Repair! Alt Refrigeration Unit Ventillation System Evaporative Cooler Commercia l Incine rator Domestic Incinerator Comoressors / Absomtion Svstems Upto3hp/100kBTU 3 To 15 hp I 500 k BTU 15 To 30 hp I 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU soi�ers Up l0 3 hp 3To15hp 15 to 30 hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee TOTAL CALCULATED FEES COMMENTS I SPECIAL CONDITIONS Status: ISSUED Applied: 07/18/2006 Issued: 07/18/2006 Quanlity 50.00 0 $0.00 0 50.00 0 50.00 0 $0.00 0 50.00 0 $0.00 0 so.00 0 $0.00 0 50.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 50.00 $0.00 E38.30 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regula�ions. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned for a periotl of 180 days. INSPECTIONS: In order for the work authorized under thls permlt to be considered legal, such work must comply vnth all applicable codes, and all requlred Inapeetlons and finel epprovel must be oblained. Failure to oblain inspec�ions and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2448d8 (fl/W) WORKERS' COMPENSATION DECLARATION: � � - I hereby ettirtn Vnder penalry of perjury one oi the lollowing tleclaretions: ❑ I have and will maintein a certificate of consent to self-Insure tor workers' compensation, es provitled lor by sectlon 3700 oi the LaDor Code, for the performance oi tha work for which this permit is issuetl. - have and wlll maintain workers' compensation Insurance, es require0 by section 3700 0l the Lebor Cotle, tor Ne pertort�ence of the work for which Ihis pertnit is issued. My wor ers' compensation Insurance carrier antl policy number ere: /� / Carner. �{�}"�� t tJ� / PolicyNumber. _�/n�l�%Ty (This section neetl not be campleted it fhe permit is velued al one hundred dollers ($100) or IessJ ❑ I cenity Ihat in the peAormance of ihe work lor which this permit is issued I shall not employ any person In eny manner so es to become suDiect to the workers' compensa�lon laws of Calitorn nC egree that ii I should bacome sub�ect to the worker� pensation provislons ol Saction 3700 of the Lebor Cotle, I shall torthwith comply with these provisia p ! _� Applicant SignaWre: Da�e: 7—I b'� l0 WARNING: FAI�UPE TO SECUR ORKERS' COMPENSATION COVERAGE I$ UNL4WFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AN� CIVIL FINES UP TOONE HUNDRED THOUSAND OOLLARE (5100,000�, IN ADDITIdJ TO THE COST OF CAMPENSATION, OAMAGES AS PROVI�ED FOR IN SECTION 3]060F THE LABOR CODE, IfJrEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I I hereby aHirm Inat I am licensed under provisions of Chapler 9(commencing with Section 7000) ot Division 3 0l ihe Business antl Professions Code, antl my licanse Is in full force antl effecL Lic. N.�i �.'r� �-%Z� � Cless p �- Z!7 � Contractor's Signatur�ii��— J. Date: �-/�l • o(o CONSTRUCTION LENDING AGENCY: ❑ I hereby aflirm ihat ihere is a constmction lending agency for the pedormance of ihe work for which ihis permit is issuad. (Sec. 3097, Civil Code1. LendeYs Name: Lantler's Adtlress: SignaNre: Date: OWNER-BUILDER DECLARATIONS: I hereby aflirtn tpat under penalry of perjury Ihet I em E%EMP7 FROM THE CONTRAC70RS UCENSE LAW lor Ihe following reason (Sec. 7031.5, Business end Professions Code: Any ciry or county w�ich requires a permit to construct, eltar, improve, tlemolish, or repair eny strucWre, prior to its issuance, also requires tha epplicant for such permit to tile a signetl stetement thet he or she is Ilcensed pursuant to �he provisions ol the Contrecrore License Lew (Chepter 9(commencing with Sectlan 7000) ot Divislon 3 of the Business and P�olessions Code) or that he or she is exempt therefrom end tha Oasis tor the alleged axemption. Any violation of Section 7031.5 hy any epplicent lor a permit suhjects t�e appUcartt to a civil penalty of not mo�e t�an tive hundred tlWlars ($SUO).): ❑ I, es ownef a� the pmperry, or my employees wi�h weges as �helr sole compensatlon, WILL DO THE WORK, end the siructure is not intenUed or oHaretl for sola (Sec. 7044, Business and Professions Code: The Contractors License Law tloes not apply �o an owner of property who builds or improves thereon, and who tloes such work himself ar herself ar thmugh his or her own employees, pmvided thet such improvements ere not intended or ottered lor sale. tl, however, Ihe huilding or improvement is sold within ona year of completioq the owner-builtler will have Ne hurden ol proving that he or she ditl not build or improve for purpose of sele.). ' ❑ I, as owne� of the properry, em EXCLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS to construct the project (Sec. 70G4, Business antl Professions Cotle: The contraaors License Lew does not epply to en owner of property who builtls or improves thereon, end who conirects for such pwject with a comractor(s) license pursuant to the Conirectors License Laws.). ❑ I em exemp� under sec. Business and Professions Cotle for this reason: Signature: Date: Owner ID venfied by dnver s license. ❑ Ves ❑ No Driver's Licenso No. Ventication ot Ownership by (rype ol dceumeni, i.e. � propeny tax bill or tleed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: Expires: ❑ I hereby ce�ify ihat no excava�ion five (5) or more feet in depth into which e parson is requiretl to Oescend, will be matle in connection with work authodzed by t�is permit, and Iha� no building structure, scattolding, falsewoB, or demolition or dismantling ihereof, will be more t�en ihirty-six (36) feet high. (Chap. 32, Grp 2, An 2, Sec. 341, Tiile B� Calitornla Adminisire�ive Cotle). [] As owneo-Wilder, I will not employ anyone to do work which would cequire e permit trom the Division o1 Intlustrial Satety, as notatl abwe, unlass such person has e permit to tlo such work from the tlivis�on. Signamre: Data: Division of Inausirial Safery Pertni� Number: CERTIFlCATE Oi COMPLIANCE AND AIffHOFiIZAT10N OF ENTRV: I certity under penalry of perjury that I have reatl this flpplication antl state that ihe information given is correct I agree IO comply with all stete laws end ciry ortlinances relaiing to building conscruction, antl authorize represematives of the Ciry ot Costa Mesa to enier upon Ihe above-described p�operty tor insDec�ion purpases. I agree not to occupy or ellow occupancy oi any building authonzed by this permit until finel inspectio�. A � SignaWreOfLegelOwner(s) cooe �, mseecn4x�e€ enu u�s 1fi16 Fixed SyStem Final Fire PrBvention 1266 200 201 202 203 204 Pool Spa Final Finel Re-Roof Final Blo�k�Retaining Wall Final Fadory Fire Place Final Sign Final Del�alition Da�e �'/�-d� � Date COOE� INSPECTIONTYPE 206 Final Mechanical 200 Finel Plumbinq 210 Final Electncal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Finel Building/Occupancy -lti-O6 I L (714) 754-5273 • Fa�c (714) 754•4856 • www.ci.costa-mesa.��LDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job nddress: 895 SENATE ST Suite: Vicinity: ROOF . Primary Occ: R-3 Dwellings/ Cong Res <10 Type of Construction: V-N Parcel Number: 42238603 Zoning: Applicant: ELIAS DAVILA Address: 19651 EDUCATION LN. Phone: 774-968-6135 ISSUED BY: Status: ISSUED Applietl: O6/23/2006 Issued: O6/23/2006 HUNTINGTON BEACH, CA . - - -Zip: _ 92646 _ � � �-. �. ; . c..� :,_. _-, . Ownar: DAVILA, RAMONA��%�� _ -� � " � . ,' �'�_ Address 895 SENATE STl � - �.! � � , , j � � .�� ,.%�, - -' , ' - Phone: �� '� � �>=A�� ., � COSTA MESA, CA � 2ip 1 92627' I� �� /� ' � � i , . - _ _ � � \ � � � i / i � � \ Comractor '�E,DROOFINGSYSTEMSCO� _'�� ` � ��; � \ �� Address /19651 EDUCATION LN��- �, � -�, � �, � c_\�. I � / , �� , ; � / V � %i%/ ; � ` Phone 714 968-6135 ��;a � � � ��. A /, ! " . HUNTINGTON-BEACH,CA -�� j��,A � , Z p: 92646 �� F� License: 672009 ' �Q�V i � A: -� � > .\ Arch��: � � , �; ��% : `-� Eng: A`��`V� � ,� \ � � �. ' � � Address:�. �� ';��' Address: � �`z� � ��`� � ,�' `," Phone: ' � �� _ � Phone.' \ \ 'i � !, 'i` . � �ro _ ,i� _ -A � � �� , ' / � „/'/' , " � , A � " ' � �. A� ,Zi , " � License: � �-' f � �� -• � ,. Ucense:_ �� ' r P' � i:' � c.�!�.- . .� � _ '� � i��. „ �' ' �\iA � � - , � c:� < < _ ' U _- - SCOPE OF�PERMIT_ !�� _ t �; � � i �TEAR OFF EXISTING ROOF. INSTALL.1� LAYER OF 30# FELT, 40 YEAR ASPHALT SHINGLES, PRESIDENTIAL AND REPAIR/REPLACE r SHEATHING AS NEEDED: 26 SQUARES WCLUDES ATTACHED GARAGE - � . - �� . � � .� \� -�> � � t� ' . � � _ FEE SUMMARY , �� , � � - PlanCheck: � $0.00 i� �'��"•j � �j ;"" - � �''�"�" �" �:;�'�:'�CalcValuation: � sa,eeo.00 Permit: $111.25 "��- -- -- `��t- ��_ •- ��'�• -° � ' �-' �L!Cleim Valuation: � � � Sa,aso.00 � SMIP Res: $0.50 � - � .-c� � �' ; �� SMIP Com �� $0.00 � �� Other. .. $0.00 f✓�� , �,� ��V��,I, u�� V� ", ` ' I�nspection. , � $0.00 .. � ; ' , , i� - _ , � � � �� ` � _. � . / _ � � �; Total: �� $11175 � S- _ �i � � ; _ _ � '� J � �,', �, PLANNING & ZONING �� „ i ,� � 3ETBA'CKS � .V ,'. � ,�.�,� � <-��-.,� �r� � � MAIN STRUCTURE Froni�-0-0 ' Rear 0 0; � Left, 0 0 Right 0�0�� -�� ACCESSORY ' �Front �0.�0A� �'"' � `.�Rear � 0-�0' "� '��Lefl �0 0� �'�` -� Right � 0 0� . �� -, � i; �� . .. ' � � ' - : /�� % � '� PARKING - � �Exislin 0 � � Reauired: 0 � � �Pr000sed: 0 , -�'� .�` �'-. � �' C� ;/ � ;\\ , / j \ ` \: . /; ; / l\�� / ;, �� A; i � � � _. — — ^�� :� V �'� � � � � ' � �� /� // �� 1� _ ., �,�`� • �� _ , � " � , . ,. _ , _ _ ;�;. - _ - � ;.i" _ "� I NOTICE: The work authorized by this parmit shall comply with all applicable handicap access requirements under Califomia statutes and related '� regulations. (Ord. No. 92-28, § 7, 72-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not crommenced within 180 days, or it work is suspended or abandoned for a period ot 180 days. INSPECT10N5: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, end all raquired Inspectiona end finel epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration ol this permit. FOR INSPECTIONS CALL: (714) 754-5626 zue-as �e�no� WORKERS' COMPENSATION DECLARA710N: � , � I hereby eflirm under penalty of perjury one oi ihe tollawing declaratlons: � ❑ I heve end will maintein a certificate ot consent to seli-Insure for workers' compensetion, es provided for by section 3700 oi Ihe Labor Code, tor the peAormanca of the work for which this permit is Issued. �—'1 heve and wlll maintain workers' compensalion insurance, es requiretl by seIXion 3700 0l the LaOor Cotle, lor Ne pertortnance of the work for which this pertnll is issueC. --M'y workers' compensatlon Insurance mer and policy number ere: 1� t� Cartler.� ��%F�% z= �Ni'�i Policy Number: �� T,S�� % 6 (ftis sectbn need not be �mp/eteC i! the pertnif is valued a! one huntlreU dW/ers (5100) or leu.) �--- ❑ I certity Ihat in ihe peAortnance o1 Ihe work for which this permit is issued, I shall not employ eny person in eny manner so as � become su6jecl b lhe workers' compensatlon laws ot Caltlomle, end egree Ihat if I should Decome subject ro Ihe workers' compensetlon provisions of Sec i n 700 of Ihe Labor Cotle, 1 shell lonhwith comply with these pro s. Applicen�Siqnature: � �� // _ �-Deter - — �� v � , WAqNWOrFAILURE TO SECURE WORKERS' CO�dPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT M1 EMPLOYEFTO CRIMINAI� NALTIES AND GVIL FlNES OP TOONE HUNDRED T:qUSAND DOLLARE �5100,000), IN AODITION TO THE COST OF COMPENSFTION, OAMAGES AS PROVIDED FOR IN SECiION 3�060F iME LABOR CODE, IMEREST, AND ATTORNEY'S FEES. IICENSED CONTRACTORS DECLAFiATION: eHirtn that I�am licensed CONSTRUCTION LENOING AGENCV: er 9(commencing with Section 7000) ot Division 3 of ihe Business anq�Pro(essions Cotle, end my license is in lull , .� �., u _ . (L 'S'("''/ /� � I here6y aflirtn that ihere Is e constructian lending egency for Ihe peAormance of the work br which this pertnit is issuetl. (Sec. 3097, Civil Code). Lendefs Neme: Lentler's Adtlress: Signawre: Date: OWNER-BUILDER DECLARATONS: I hereby effirtn Ihat under penelry ol pe�ury Ihat I am EXEMPT FROM THE COMAACTORS LICENSE LAW far the tollowing reason (Sec. 7031.5, Business entl Professians Code: Any ciry or counry which requires e permit to construct, elter, improve, demolish, or repair eny siructure, pnor to its issuance, elso requires the epplicant tor such permit to lile e signed stetement Ihet he or she Is licensed pursuent lo the pravisions oi ihe Contractors License Law (Chapter 9(commencinq with Section 7000) of DlNsion 3 of the Business end Professions Code) or t�et he or she is exempt therelrom and tha besis for the alleged exemption. Any violatlon o� Section 7031.5 by any epplicent for e Oertnit subjects the epplicant to a civll penelty ol not more ihan live huntlretl tlollers ($500).): � I, es owner of ihe property, ar my emplayees with weges es t�eir sole compensetion, WILL DO THE WORK, end the siructure Is not intentletl ar aHered for sale (Sec. 7044, Business and Professlons Code: The Contractors License Lew tloes not apply to an owner of property who bullds or improves thereon, and who does such work himself or herselt or ihrough hls or her own employees, provided thai such improvements are noi intended or oflered tor sele. If, however, ihe 6uilding or improveman� is sold within one year ot completion, the owner-builder will have the burden of proving ihat he or she tlitl not build or improve for purpose ot sale.). ❑ I, as owner oi the praperty, em EXGLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct ihe project (Sec. 7044, Business and Prolessions Cotle: Tha con[ractors llcense Lew does not eppty to an owner ol property who bulltls or Improves Ihereon, antl who wntracis lor such projec� with a contractor(s) licen5e pur5uant �o Ihe Contracbrs License Laws.). ❑ I em exempt under sec. Business and Professions Cade for this reason: Signeture: Date: Owner ID verified by drivers license. ❑ Ves ❑ No Dnver's License No. Verification ol Ownership by (rype ol document, i.e. - property tez bill or tleed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATON: Expires: ❑ I hereby cenify ihat no ezcavation five (5) or mora teet in deplh into which a person Is requlrad to descend, will be mede In connection with work authorized by thls pertnil, antl that no building siructure, scaffoltling, talsework, or tlemolition or dismantling thereof, will be more than Ihirty-sia (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle B, Califomia Atlministrative Code). ❑ As owner-builder, I will not amplay anyone to do work which would require e partnit tmm the Division of IntlusMel Sefery, es noted above, unless such person �as a permit to tlo suc� work irom the division. Signalure: Da�e: Division of Industnal Safery Permil Number: CERTflCATE OF COMPIJANCE AND AUiHORVATION OF ENTRY: I certify under penelry ot perjury ihat I have reatl ihis epD�iwtlon antl state t�et ihe Information given is corract. I egrea to comO�Y'Nith all state lews end clry ordimnces relaling m builtling constructlon, end euthorize representatives ol ihe Clty of Caste Mesa to ente� upon the ebove-describetl pmperty for inspection Durposes. I agree not to occupy or allow occupancy ot eny building authorizetl by ihis permit mtil final inspection. �. Sign ture Of Legal Qw er(s/ n ) _ � _ D� 3—�/ '� � �Z (i�'�/-L� CA _ � � ; AnNOr Authonzetl pplicaN � _ Date COOE I. INSPECTIONTYVE 1616 Fixetl System Final Flre Prevention 1266 Pool Spe Final 200 Final Re-Rool 201 FIneI BIocWRetaining Well �02 Finel Fac�ory Fire Place \ Finel Sign Finfll Demolition Q�¢ INTRIALS % �L � CODE� INSPECTIONTYPE 206 Final Mechanical 200 Final Plumbing 210 Finel Electrical 212 Flnel Fire Prevenllon 220 Finel Planning Approvel 222 Final Site 250 Final Building/Oaupancy o�re It�4i Applicant to fill in all s0aces except those within heavy boraer lines ana sign all approvriate tleclarations. CITY OF COSTA MESA��ON$ RUCLON PERINIIT_ � l•;e�� 5 tc�7�. >ClJ� ApplicanYs Mailing Address ' "�/1Y�� Owner's Name � � Phone Address � � ' � Arch/Eng. , License No. Address � ' Contracror's Nam hone Addreu (mailing) City Licensa IVo 'O /a��%� LICENSEO CONTRHCTOR DECIARATION � I hereby affirm that I am�licensetl untle� proyision5 ot,Charte� 9(comm¢ncin9 with section 7000) ot �ivlslon 3 of the Business antl Professions Cotle, antl my license is in full force antlieftecL � � � ❑cense Class � L' se No te Signafure I ^ RKEi35' GOMPENSATION DECLARATION v . dereby affirm ihat 1 have a certificate ai consent to selLinsure or a certifl e• ot Workers' Compensation Insurance, or a certifietl copy thereof (Sec 1 n �� 3800, Lab.� n. Policy No. �ompapy � Certifietl copy is hereby furnishetl. • . O Certi py is tiletl with the city Builtliryg D isi � ate ��`71'T Applicani �� EXEMPTION FROM WORKERS' COMPENSqTION DEGLARATION (Tnls section neetl not be completetl if the permlt Is (or one huntlred (Sl or � less) I certiry that in the performance of the work for� hich this perm�t is issuetl, I shall no[ employ any person in any manneY so 5 to become subject to the Workers' Compensafion Ldws of Calitomia., . Date Si9nature `NOTICE: If, after makin9 this tleclaration, yn snoultl become subject to ihe Wo�ke�s' Compen5ation p�ovi5ion5 of the bo� Cotle, you must torthwith compty with sucn provisions or this p mit shall be.tleemetl revoketl. CONSTRUCTION LENDING AGENCV � I hereby zffirm tM1at there iz a construction lentling a9ency for the performance , of the wo�k for whicM1 this permit is issuetl (Section 309'/ Civ. C.) Lentler's, Name l.entleYs Aatlress OWNER BUIL�ER DECLARATION � I hereDy affirmrthat I am exempt fmm tbe Contracto�4 LicenSe Law tor the following reasan (Secfion 7031.5 Business antl Pr tessional Cotle: Any city or county which requires a permit to consbuct alt improve, tlemolish or repair *,.�;ile�a�z 9ne�tl�statemen[ th t�he/she�Is li ep� tl phu�su nit to therprov Sioos of -��"9'�'Contractor's License Law (Ghapter 9(co encing witn Section ]000) oP' ' �%"�"iision 3 of the Business antl Professions Cotle) or that M1e/she is exempt ; � f�ierefrom antl the basi5 tOr tbe 511e9etl e mption. Any violation af $ection 7031'.5 '.by any applicant tor' a permit sUbjects the applicant to .a civll �enalty of not more than hve huntlretl tl lars ($500). � LJ I, as owner of the, omperry or m employees with wages as tneir sole rGon'ipensailon, will do the wo�k, antl e�structu�e is not intentletl oroff¢�etl tor sale (Se[tion �7044, Business an Protessional Cotle: The Coniractor'S Li<ense Law tloes not apply [o an owner of A pro0erty who builtls or improves thereon, antl who tloes such work himselt/herselt or throu9h his or her own employees, provitletl [hat such improvements are not intentletl or otferetl for 5ale. If, however, the builtling or improvemEnt I55oltl within one Year of com- pletion, the owner will have tne burtlen oi proving he/she tlitl not builtl or im- �ove far the purpose of saleJ. � LI I, as owner of the property, am exclusively contracting with licensetl <on- . tractors to construct the project (Section ]044, Business antl Professioris Cotle: The ConVactor's License Law tloes not appry to an owner of property who builtls or improves thereon, antl who mntracts for sucn orojects witn a con^ tractor(sV license pursuant to the,Contractor's Lirense Law). I am aware th�E% pwof o1 theit Worker's COTpensation inSUrance Shoultl be provitl�etl [Yme. ❑ I am exemp[ untler Section � _ — B. & G 'thii reason Da[e O�+�er� 1 hereby certify that I have reatl�this ap lication antl state that tne above information is wrrecL I agree to comply �vitn all city an0 county ortlinances antl state laws relating to builtlin9 consiruYtion, antl h �eby authorize rep�e- 5¢Ofdtiv¢5 Of thi5 Ity f0 ¢Otel p S�1N�b v-�tionetl '=opiJty or inspection purp s - ! '[ Signature ' Date �� Drivers'��i � S � CMF 0865-46, /ev. 10/84 WM1ite - Builtling; Cdnary - Applicant; Pink - ACCOuntin TYPE OF CONS7RUC ❑ CONVERSION OF DEMOLISH LJ OTHE IK/USE OF BLDGl� J GRA�ING LJ �OUN LECTRICAL ❑ PLUMB ❑ OTHER � PROJECT DESCRIPTION Scl. 'ONc TRUCTION'TVPE, Sink <flow Preventer <flow Irrigation ltUhs , Drinking Fountains Floor Drains Floor Sinks Gas Service Interceptors� Kitchen Sink Lavatories . P—Trap � ' Outlets GRADING CU.YDS. Reinspaction_Fee '� �I '. $15 ler � :t= Untler Ground � :t - Sttuctural Exhaust System ❑ Multiple Firepl/Facc Blt. ICBO # Heating System & Ducting ❑0.100,000 BTU �100,000 � Reinspectian Fee $15 Goltlenrotl - A55essor o� `� ALTERATION REPAIR � RALxC TION $ �C_JC� � — 'ACRES Service Sink - Sewer Cap . Sewer Connection Solar Collecmrs � Solar Piping Solar Tank � Swimming Pool w/Spa Urinal Water Closet � � Water Heater , � /� Water Service Auto-Wash . laue Fee AtP. # �� '— 5 Main Building: E T Front A Rear � C Right g Left � Ping. Ref. # Pianning Notes: 'J� 8348 8/09/�5 S-�� Zone ' ' Accessory Building: � , / � Parking Req./Provided FEES � � / Automatic Washer ' � Construction Pole ub. ' Cooking Unit / � " Dishwasher Dry1 Gas ❑Electric , g3 Hoodor Typel� ❑ Canopy Typell ❑ . Refrigeration System � ❑0-700�OOOBTU ❑100,000 Fire D TPC�S ' � X ' �� Registers incomp e e i Oate ��------ i Issue Fee $ 3 Fan, F.A.U. Fixtures Device Boxes Outlets Swi[ches Garbage Disposal Genereror �0-5 ELECTRICAL • � Transformer ❑ 15�50 KW ❑ 50+KW Meter ❑up to 700 amps Meter ❑overt00amps Sub Panel • Motors �0-1 HP 01 % -.8 Inc.Solar �9,75.HP �16-15+ 75 KW � Reinspaction Fee I $75 �DEVELOPMENT SERVICES REQJ Zoning Approved By— Y�Yry � Building Approved By —Jdo Pole Light Range ._, � ' ; Standing_Sectioni Trasli Compactorl � �. - R. Issue Fee � �"�. 5fia53 TL FEES $ 3 Z O N I N G R E Q M T S SUMMARV OF FEES � UILDING PERMIT $ � ,� .. jd SMIP $ ^ � i PLAN CHECK $ � 25 •� � PERMIT � PLUMBING $ ��SSUANCE $ ' PLAN CHECK 25% $ '/ ENERGV P.C. S ELECTRICAL $ ._F��J GRADING $ y PLAN CHECK 50% $�S D � i�-�•' N1�CROF1 LM �$ � � MECHANICAL $ � TOTA� FEE ' $ AN CHECK 25%. $ .4 ' " ' -_\�� , � , � '�ONSTRUCTION AND.PLANN Wl �� - & SPA � ' APPROVALS Permit# Date Irispector qPPROVALS� Permit# Date Inspector - - i Temporary Electrical Service or Pole � �� 52. Pool &'Equipment Location " � 2. Soil Pipe-Undrgrnd.� �� ' 53. Steel Reinforcement i 3. Electrical Conduit Utility-Undrgrnd. � 54. Forms -- . ' � 4. Electrical Conduit-Undrgrnd. .i� . � • 55. Electrical Bonding 5. Steel Reinforcemen"t '- - . • 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, O Undrgrnd., Tesf 9. Water Pipe-Undrgrnd�. . , - 60. Backwash Lines, P-Trap, � Undrgmd. . • � �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. Roof Drains '� . '� 64. Plumbing SYstem - Final 14. Rough Plumbing. 65. Electrical-Final � 15. Rough Electrica6Conduit � � ' 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 � Gas ❑ Oil 23.�Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing - . � 73. Undergmd.StorageTank OGas ❑Oil 25.lRoof Sheathing - � 74. Overhead Hydro 26. T-Bar�Ceiling (Structural) & Monocoat 75. Dry Chemical _27. FrameandFlashing` 76. DryStandpipe � � _ 28: Lathing & Siding - 77. FIXED SYSTEM FINAL 29. Insuletion 78. FIRE PREV. FINAL � �� r .30. Drywall�Nailing - � HEALTH DEPT. REQUIREMENT `', �'+ .31. Plaster Brown Coat 79. FINAL INSPECTION �� `.' - .,. 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISS D �' '? 33. Final�Electric - 9 Notes: L� N(0� �� 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 pomestio-Final � _ . � - . 42. Backflow Preventer � , � ' • n . � 43. Backflow Irrigation ---� � '�? � 44. .Landscape Irrigation System E X P I R E D� . � 45. Sound Attenuation � - 46. Handicap Regulations ua Q - $18 47. FINA4STRUCTURE & BUILDING � � 48. Special Requirements Completed � g' 49. Electrie Release'to Edison � -- - � . ��50. Gas Release to Southern California Gas Co � � ; 51. CERTIFICATE OF OCCUPANCY _ ' , � � No. Date ' �'" � OWNER i V HTTNiAKF.R ,G SnNi DATE 5�31-57 )OB ADDRESS B95 Serlate St. BUILDING PERMIT NO. 5208 GENERALCONTRAC7'OR gamP � VALUE; �$'j5.00 AP. No. LOT �,3 TRA�T 31g5 FIRE ZONE DPSCRIPTION OF WORK Res. w�att gar. GROUP '[ & J TYPE p ZONE RLi PLAN NO. 5200 � � � � - INSPECTIONS I DATE I SUBCONTRACTOR I DATE NUMBE G O^ . � �" . � 5200 COSTA MESA BUILDING DEPARTMENT P.O. BOX 31� COSTA MESA. CALIFORNIA FOR TO FILL IN � DL COSTA MESA. CALIFORNIA OWNER !/ (�-�JJ)��..0 GL �✓� /il ADDRE5/5 �v /� L � �(Y-J QI Ls .�i! CITY lL�I�YL�IZ--� Lji�-y TNO� ARGHITECT T � ��C. OR ENGINEER NO. AODRE55 CITV n�n� �4 LEG>L ILOT `/1 OESCRIPTION NO. J J A.P. NO. � V�� SIZE n�y V / ^�� +o.oFe�ocs. � oF �or G 570 � D �• +� MOM/ ON LOT USE OF EXISTING BLDG. SETB/�CH LINE FPOM � I �I CENien O� STREEi � D REAR YARD ( A / SIDE YARD RIGHT y� LEFT � � ui�u DESCRIPTION OF WORK ALTERATION I AODITION i MOVING DEMOLISH il`�� ING ROOMS � STORIES IOR WALL 6,,{{Lr, ROOF �_ ING �4'�/+kC± COVERING ' NEW D � /n� rI_ 1 4�l'1�G iNG �y'Lq�4� /�fieieL �ri�/ n �� _•1 �l.n-L..a.JP�Q�. FEE RECEIVED MAY 21 1967 �'�. FINANCE DEPT. APPLICAT�ON�F�FZTPEFtNI IT BUILDING FOR OFFICE USE ONLY RECEIPT NO. P C ECEIVEO BY O�TE RECEIVEO ^/�q.�,fE�Y..911 �_ � / � �/ 1 IIIIYi J 1 COSTA MESA. CALIFORNIA APPROVED BV CORRECTIONS STRTE TH/�T TME /BOVE IS CORRECi sNO wGflEE TO COMPLY WITH wLL CITY OH�INGNCES ANp ST�TE L1W5 REGULFTING BUILOING <ONSTRUC- iiorv. VALUATION PERMIT FEE S SIGNATURE OF . � �' , -y.�QJ PERMITTEE / J� 7(p � PLAN CHECK $ .�! AUTHORIZED AGENT TOTAL FEE $ K