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HomeMy WebLinkAbout2812 SERANG PL - Building Permits - !EU 'S NAME: 2812 SERANG PL UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 047549 OWNER'S NAME: STIELBERGER j ADDRESS: SAME AS, ABOVE PERMIT NO: B 047549 PLAN CHECK NO: N GOVT: N SUPP ; N CONSTRUCTION TYPE: PERMIT TYPE: SIR PURPOSE: ALT ARCH/ENGINEER: 714/589-0300 REG.NO.: ADDRESS: UNIT: JOB DESCRIPTION : REROOF/PLYWOOD/FELT & FIBERGLASS COMP. SQ FT: 4 , 500 • PERMITTEE: CLAIM VALUE: 4 , 500 . 00 CALC-VALUE: 4, 500 . 00 GROUP OCC : R-3 / ADDREss: ROYAL ROOFING ( 714 ) 551-2558 p676�7p8GA7UBURN COURT COMMENTS: QIt OELViARATIOlf:'� CA 9250 7 *******************+ *�H*+rx� ***�r*it****�r*****�E*�E******* **+r�r�r�r�r�kit�E****�F*�r+r*****+ESE* LICENSED CONTRACT ereby affirm that I am licensed under provisions o C ap er 9(commencing with Section ZONING R E U I R E M E N T S 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. S E T BQA C K $ CITY LIC.: 8 STATE IA.:4 3 2 3 5 2 CUs ' _ Date: M� 9 © Signature: I� MAII BRIARING - • ACCESSORY EAILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have rtificate of consents elf-insure ora certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance,or a certified copy thereof(Section 3800.La ). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN nu"-' 1099567-89 EP.DAT: 12/01f ,COMPANY: STATE FUND�7 PARKING REQ• PROV: PARCEL: 13933301 ZNE: REF NO: 7 Certified copy is hereby furnished. 7C Certified copy is file th ' Building Division. PLANNING NOTES> G-�.—2 J �z y ) —a Date: ✓ O-- I `�0Applicant: 'c/I >************************************************M****************************** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This seat need not be comelet.. f Me •rmit is for one hundred($100)or less). D E V E L O P M E N T SERVICES R E Q U I R E M E N ,T•'5 I certify that in the performance of the work for which this permit is issued.I shall not emplo any p:son in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BY • DATE: • Date: ' Signature: NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY ; • DATE: �- Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. 1 CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for AP P L I CAT ION ISSUED BY: DATE: ! 71.31 fb which this permit is issued(Section 3097.Civ.C). *,lE********.N.*.**.x..x.*.***.***.N.*.*,**************# ,fiEiE********************************* LENDER: ******************************************************************************* ADDRESS: i. LEGALIZATION:N F E E S UcM M •A 'R Y STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC • MECHANIC r FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or r• , repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed PERMIT 72 . 00 50. pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business • SMIP/NON—RES and Professions Code)or that he/she Is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN v 7 r. any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE l, I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV-> PERMIT ISSUE PLAN—CHECK" '• TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 72 . 50 0 . 0 0 '0'.:00 272 . 50 72 5 0 .00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through `i his or her own employees, provided that such improvements are not intended or offered for sale.If.however the building or 9 improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: y J.' *72 .50, OVER/SHORT: . 00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC• MECHANIC' FIRE •SMIP/TOT GRADING PLAN-CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 72 . 00 ,.- . 50 ❑ and Professions Cade: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon - ..,2 and whoontrzcts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware *..N.*.**.H.*.*.**.*.*..**.*.*.***.* * *.** *.** *.*.**.*.*.*.*.*i.***..** .N.*.*.**.***.****,**,***,**,*,*****,*,*,***,**, that prooff , •,of their Worker's Compensation insurance should be provided to me. I N 0 D II V D UU A LF -'Ei E �*13 •R E A IC D O W N ❑ 1 am exempt under Section: B.8 P.C. f for this reason: TYPE QTY DESCRIPTIO.,N • / �. ', UNIT COST TOTAL COST Date: • owner._. SFR 4500 REROOF BY VALUE RESIDENIAL-• NOZONE 1 . 00 4 , 500 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and , 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a - END OF/FEES.), permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from these provisions. _ / 11 • / I:' �• ;," , Date: Applicant: ' I hereby certify that I have read this application and state that the above inrmation is correct.I agree to comply with all city and county , ordinances and state laws ting to building construction and hereby au rite epreseAtANSes of this city to enter upon the above-mentioned '1 t ' or impecyoq our off( ��•J�� \ _ oat . GJU Signature: 01 00062070-O0062071 TOT 72.50. Driver's License or Social Security#: / DATE: 05/30/90 TIME: 16:15 1641-46 White—Building;Green—Code Enforcement;Canary—Ap I. ant;Pink—Revenue;Goldenrod—Assessor 1 - S CONSTRUCTION AND PLANNING POO 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-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. . 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System - 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap - •,• 63. Heater & Vent-Final 13. 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. as Pipe-Rough & Test , - ' .72. Underground Flush = - 24. Roof Fra ing _ 73. •Undergrnd-Storage:Tank OGas 0 Oil 25. Roof-Sheathing ' 6140 -- : 74. Overhead Hydro 26. T-Bar•Ceiljng (Structural) & Monocoat - • . 75. ;Dry Chemical - 1 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 1 31. Plaster Brown Coat .- s ' 79. FINAL INSPECTION '32. -Electrical Power Meter-Final • ' X80. -FOOD CERTIFIC1 E ISS j a .3 ..FinaLElect g r L9J .. ,.Notes: / 344. Final:Heating& Air Conditioning - `- s. 35. Final Gas-Pipe-Test - 'r '-1 i 36. Hood'or Canopy - - 37. Final Factory Fireplace. -. ., • ' 0 es, G r - .38. Final Plumbing - r , -- _ C�/ 39- Water Service•Final - - s 1 40. Gas Service-Final E t - , - 41. Solar Domestic-Final • - .. - • ,- 42. Backflow Preventer - :" 43. Backflow Irrigation - 44. Landscape Irrigation System -_ • , - - 45. Sound Attenuation - - . . • 46. Handicap Regulations 9/00 / - - 47. FINAL STRUCTURE & BUILDING 9/ 0 „ /i5• v_b__ 48. FINAL PLANNING / ,/. - 49. Electric Release to Edison . - _ , 50. Gas Release to Southern California Gas Co ' - _ 51. CERTIFICATE OF OCCUPANCY No. Date PROJECT ADDRESS: 2812 SERANG PL UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: IB 047586 OWNER'S NAME: STIELBERGER ADDRESS: SAME AS ABOVE PERMIT NO: IB 047586 PLAN CHECK NO: N GOVT: N SUPP: Y • CONSTRUCTION TYPE: 5—N PERMIT TYPE: OTH SIR PURPOSE: OTH 714/589-0300 ARCIUENGINEER: REG.NO.: JOB DESCRIPTION : REROOF/PLYWOOD/FELT & FIBERGLASS COMP . SQ FT: ADDRESS: UNIT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / PERMITTEE: ROYAL ROOFING (714 ) 551-2558 ADDRESS: C678 AUBURN COURT COMMENTS ; RE: B47549 PRIMARY BLDGPERMIT. RIVERSIDE CA 92506 ** *** *** *********** *+ **************************"* �r LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS VDETECTOR 7000)of Division 3 of the Business and Professions Code,and my license Is In full force and effect. SETH ACK S CITY LIC.: 046668 STATE VC.:432352 cuss: C-3 QUIRED Date:_(_...L{- _d Signature: 4,./4/ MAIN BUILDING ACCESSORY BU L FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN ' KERS'COMPENSATION DECLARATION: I hereby affirm that I ve a certificate of consent to self-insure or a certificate of Workers' LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN pensation IQs c ifie copy thereof(Section 3800,Lab. ). NLICY ND.: .I.u b /—6 EXP.DATE: 2/01 /9 0 I COMPANY: STATE FUND PARKING REQ PROV: PARCEL ; 13933301 ZNE: REF NO: ❑ Certified copy is hereby furnished. 131 Certified copy is filed with the city Building Di 0m. PLANNING NOTES> 'J ( p >. Date: 6 —/ `Qe, Applicant: ikikititiklfififik3EifiFifiFik lklEikiE1F'lFifikiFiF#tttFitiFiliEiFiEiElEiElEiEitikiFltikifMitit3FlEiFiFlEiekitikiFiFieiFlEiEiFiFiFitiEMitik.iF#il#itiFiFM EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (this sect sed not be completed if the permit is for one humored(5100)or less). D E V E.-,L O P M E N T SERVICES REQUIREMENTS- I certify that in the performance of the work for which this permit is iss ed.I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE: Date: Signature' BUILDING APPROVED BY ��E'`� DATE: NOTICE:II,after making this declaration,you should become subject to the Workers'Compensation Provisions of the Labor Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. / .y CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: DATE• (o ../ which this permit is issued(Section 3i97,Civ.C). *****)+W*********it***3F**** it lF iF iF iF iF tF'lF** ** eftaF*** 1FiE#***SEiEiEiEiFititiFiFiFiF****#it*** LENDER: *****lt**3Ele**if************3E3E3*****3f*******3*W***4 1F*3t**Mitis************ie3F*it****3Fi*Eft ADDRESS: LEGALIZATION;N F E E S U• M M A R Y STRUCTURAL SEGMENT:Y . r OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC 4MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 30 . 00 repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed SMTP/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by ' -y applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE I. as owner of the property or my employees with wages as their sole comcensauon, will rip the work, and cite BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE t.Li structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS————> 30 . 00 0 • 0 0 0, 00 3 0 ,0 0 30 . 00 . 0 0 does not apply to an owner of a property who builds or improves thereon,and who does such work himseff/herself or through his or her own employees.provided that such improvements are not Intended or offered for sale.If.however the building or REVENUE DIVISION TOTALS--> COLLECTED• 30 .00 OVER/SHORT: . 00 improvement la sold within one year of completion,the owner will have the burden of proving he/she did not build or improve fororthe purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 30 ' 00 ^' ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects kith a contractor(s)license pursuant to the Contractors'State License Law).l am aware ilk'kit3t'MiEiLlEitltit'kit'k'k'kik'Itil'it'kiL'it*it4til'4til'il'4t3EitiFi('il'a('itiFlt'N'itik'AikitiEitit****#itN'ititititititititit#itit7tititititltitititit that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.8 P.C. forthisreason: TYPE QTY DESCRIPTION /7 UNIT COST TOTAL COST l'j I Date: OwnerINS 1 BUILDING RE—INSPECTION 'FEE / 30 .00 30 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from I these provisions. / / Date: Applicant: j ,.L ' I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county 1, ordinances and state laws relating to building construction and hereby] rime representatives of ' to enter upon the above-mentioned / property for inspection/�purposes. // ' Date: 6' '——/ —10 Signature: 1 w Driver's License or Social Security 4: 01 0006231;-00062314 TOT 30.00 164148 White—Building;Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor DATE: 06/04/90 TIME: 11:30 CONSTRUCTION AND PLANAOOL & 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 B.--Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE • 7. Footings - 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test - 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System . • 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final , 13. 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' 11. Product-Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test72. Underground Flush 24.. Roof Framing _. .,73. Undergrnd.Storage Tank bGas 0Oil 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 7 1 - ' ; 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 - ,. 1 - - 38. Final Plumbing �� . • i - 39. Water Service-Final , .7. `� , - 40. Gas Service-Final • -- ' 41. Solar Domestic-Final - - . - - 42. Backflow Preventer' i. ' . 43. Backflow Irrigation -- is • 44. -Landscape Irrigation System - , _ , 45.-Sound Attenuation .- . - - 46. Handicap Regulations - _ - 47. FINAL STRUCTURE&BUILDING . o w 48. FINAL PLANNING I' - -49...Electric Release to Edison . . 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date ' PROJECT ADDRESS!' 2812 SERANG PL UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 053782 OWNERei NAME. SPIELBERGER, LOUIS ADDRESS: SPEILBERGER, LOUIS PERMIT NO: E 053782 PLAN CHECK NO: N GOVT: N SUPP: N 2812 SERANG PL COSTA MESA,CA 92626 CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: OTH 751-5102 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : ADD ELECTRIC WIRING TO GARAGE SQ FT: ADDRESS: UNIT: CLAIM VALUE: 350. 00 CALC—VALUE: GROUP OCC: R-3 / PERMITTEE: LOUIS SPIELBERGER ( 714 ) 751-5102 ADDRESS: 2812 SERANG PLACE COMMENTS: SMOKE DETECTOR REQUIRED IN THE HOME COSTA MESA CA 92626 *************************** ************************** Pyr************RE*********+t LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect, SETBACKS CITY LIC.: STATE LIC.: CLASS: ' Date: Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance,or a certified copy thereof(Section 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP. DATE: COMPANY: PARKING REQ: PROV: PARCEL: 13933301 ZNE: REF NO: • 'J Certified copy is hereby furnished. C Certified copy is tiled with the city Building Division, PLANNING NOTES> Date: Applicant: ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). DEVELOPMENT S .E :R V I C E S REQUIREMENTS 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. ZONING APPROVED BY -'f:=' DATE: Date: Signature: NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : `t DATE: Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. / CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: a DATE: * 7 which his iEiDINGAGENCY 3097.hereby C). ***********{(.ISSUE******.**.* * * iF** ************************** ***** *,***. LENDER:' **************************************** ************************************* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC • FIRE SMIP/RES • GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 35 75 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed }} pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 7 0% SMI P/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 1500 00 I. as owner of the property or my employees with wages as their sole compensation. will do the work, and the BUILDING—DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 35. 75 15. 0 0 0. 0 0 • 50. 7 5 50. 7 5 . 00 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 employees,provided that such improvements are not intended or offered for sale.If,however the building or improvement is sold within one year of completionthe owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED• 50. 75 OVER/SHORT. 00 ,tar the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 50 . 75 ❑ and Professions Code: The Contractors'State License Law does not apply loan owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware ***.*.*****.**.**.****.*.*.*.*,*.**.*,*,*,*,****,**,*,*,*,*.*,*.*.*.*.,**.**.**,*,N,*,*,*,*,*,**,**,*,**,**,***,*,******,**,*,*, that proof of their Worker's Compensation insurance should be provided to me. u I am exempt under Section:B P 7044 B.8 P.C. I N D I V I D U A L F E E BREAKDOWN for this reason: ALL WORK BY OWNERA /�� . TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST -•-rot: / - /k2 • Q i Owner:(}(�Y/' E .!d I do hereby cerlily that I am aware of and understand the requirements of California Health and Satet Code Sections 2550 25533,and ELE 8 FIXTURES LIGHTING 1 ST 2 O EA. . 75 6 . O O 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a ELE 7 RECEPT/OCJTLET 1 ST 2 O EA. . 75 5 2 5 permit for construction or modification from the Air Duality Management District.Residential onstruction applications are exempt from ELE 7 RECEPT/SWITCH 1 ST 20 EA. . 75 5. 25 these provisions. ,{f coo ELE 1 • SUB—PANEL 11 . 00 11 . 00 /_ /0_ @ 1 (// ELE 1 MOTOR/POWR APPARATUS 1 . 1 — 10.0 HP 7. 50 7. 50 Applicant: ELE 1 POLE/PLATFORM MOUNT LIGHT FIXT. EA. . 75 . 75 D I hereby certify that I have read this application and state that the above information is carr d.I agree to comply Ih all city and county END OF FEES ordinances and state laws relating to building construction and hereby authorize representativi f this city to enter upon the above-mentioned property far inspection purposes. q-JD -/_i Signature'. �—""J`/ 4 `/ // ''[.---• Driver's License or Social Security a: Canary-Applicant:Pink-Revenue;Goldenrod-Assessor - ' T - 1 ! CONSTRUCTION AND PLANNING POO ;PA 1, I i? „ APPROVALS Permit# Date Inspector APPROVALS Permit # Data Inspector s1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 7 2. Soil Pipe-Undrgrnd.^ 53. Steel Reinforcement '.4 ' --cr. r-.. x3.tElectttical Condmt,-yioility-Undrgrnd. • 54. Forms 4 1 r.'$,'Elea[ical Conduit-Usidrgrnd. 55. Electrical Bonding {?8; tae(•2einforce4jipyrl 56. Rough Plumbing & Pressure Tgi;'tY •t.S' Eitctrical UFEMoljti, 57. APPROVAL TO COVER-GUkr* r 7' Foo'ngsr 58. Electrical Conduit-Undrgrnd. '33 1- Cr_- rr 8{i-Foundation 59. Gas Pipe, 0 Undrgrnd., Test - 91'Water Pipe-Uncia Fcid. 60. Backwash Lines, P-Trap, 0 Undi rnd. n 10. Structural Floor System 61. APPROVAL TO DECK `" 11. Property Sewer Line& House Connection 62. Backwash & Receptor-Final ' 12. Sevier Cap 63. Heater & Vent-Final • • le r 13. Roof Drains 64. Plumbing System - Final • 14. Rough Plumbirjg 't 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 Electrichl-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL c . 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT -... . - _ u•+'.•i'--' •Z: J - ;'7Ri:n P:.'"p 20.'*Rough Factory F replace I t+•{! "-t . > w o'* ,APPRO.VACS�iDCTermit # -s- 3. " '•' - 'l' c >:• I Srr £'<a -v .5 ,--' Cra v .`l r:] <:U,- .- ?k _ r! t:.:. r.(It,: i H I !--': Ta: * -t ,J -1r .. `;'J.-_< .a . ,;,1 - 21.'-Duets, inStryctutt, I •- •• -.-4','S.- S _:,- x �0. Uridergigtipd.Hyd-o : -. .P.: 22. Ducts, Ventilating+a 1 -S * S et a r% 1. Product%Pi irig D'G8s OrOil i t .t n rix x e( mr , i v: 23.`{'ias PipetRough &Vest i .,:5 l+l � ,z 6* ;J2, Undergrounc( FlushC v o.,. vi 3, S + `. .-' . ? 24.-+Rook Framing' i:> 11.--I- ••,-• '- p itc * * X73 Ullndergrnd StorageS7fank C Gas 0 Oil:- 25. Roof,Sheathing ,'Z,4. C ti ' t,. II C nj .. '-74'Overhead Hydro :F .44 26.�T-Bar Ceiling (Structural) &;Monocoat ti - a _ tR 'x 75.-n ry Chemical ! .. ''tr:,>;faz:.r 27.`Frame a 1d Flashirigx DST x a . ; 76,E-Dry Stand- e s. .S' :n >:r:'•n; 7 Rp V7 -. HCr191 i r 28' LattingrtSiding--r >c -q-rr: W. a ra' 77rrFIXEDSYSTEM:FINAL' -.[- ='C./� '29. Insulation " .Y,x ` •• - > * trt 1. �x z '2l :u .J[+)C•! •< g •• rx 1 ty , 78:;FIRE PREY. FItJl�I; u, � y: tr30. Drywall:Nailmg t+5* I -:: 4 HEALTHOEPTIREQUIREMENT •_31. Plaster Biown,Coa-js , i trtr W ` x tr79`'FINAL INgQCTIQQ is c :7Tt-s T•? fF� 32_-Electrical Power MeterFinal : a ,1 i - x :r80.t=FOOD CERTIFICATE ISSUED .- ICC Y r _ ,.33.'1in41 Ele tris , !n I ,,C Q '!' Notes ,_ y!n k y ....),-.- •e, ,i34.,-Fina1 He4ting:& Air*Conditionigg& r, y I -.pc .r. LC •r'r. , -4: g _� 35. Final Gas Pipi-Te R m x i 't-'-\k r. coif, c.' stS *cr . [ r .^+• .. •. .� I I ! }.t.* C :Co .?:•+ ICN;: +;':;7' 't36. 17- or-CanopY;s;x ;7 1 I-r'_ •-t # r t 1 . S ?; :lJ + I !:l . t .-. ..1.. i •.,•t . . I i (.- _ t ..•.-• rot �+rlt I „ ' 37,,FinelVFa gory Firep(ace,T _ 1 F[-• o' * to I A I4 " > r x i. +r owo +- r c : y- .r :+:CO 38. Final,Plumbing ni +•.! j i _ x S 'b C, - r39. Wate Service-Final* i -' < I ! r. •. ',,t Ill * U - o ? l 7- C) a: 'I'M 01 ':i -.'40. Gas Service-Final r _r e:,tr V" 5 * t+1 I i * 4, 00 t...-:13 _A `it L.-LJ.-Lk. ,~ t41. Solar Domestic-Final c v .'?° i i 'K w * 'n 'K I 1.* * .-J”) C * ?; 42.'-Backflow Preventert i.--- i''l I ar x y,;.- 43. Backflow Irrigation', 'XSS a • y' 'C., A. 0 •-•L- �. < u; i x a i * C. ,A4. Landscape IY gatiot System ,11 LC I- I. � `-t .+. g `t c,;-u J 1a' .r 1, J , A. i2 -3 p a:� ,v vv. ,., _ -IIC:y lr .. r; - .i k ; H H TG tl'? t 45. :Sound Ii• -oatiorr to - I r :t - .. s kr! to n,x v r--. U. C `t • •. < • 1 .' ^ :i: t.. .. .. ••.,, .y. _, - .- y46.;Handicap,Regulations _ m * * C;: -C S ; ,+ 47.:FINAL STRUCTURE & BUItDING * ., I .. Z rC C .a lr. 1 „ a I 0' * H 48.''FINALPLANNING�' l• i;i, ..1-.: ;O --:,�xy ;;j '� e.49.'Electric Release to Edison i * j ' •0,-ki. x 5: LC I a '.i ,' .. .. c ' * ,:. * Io CC .1 ` • X `50..,Gas Release to Southern CaliiorniaGas Co , I � [T' ° '=' 'J : ' c ., ,--,.- y _ e: • 0:17 w :51. CERJIFICATE OF OCCUPANCY g ;_ jrnp v. o- trJoo-.1 No. Date rie- Lot 73 13988 i,, �✓ �.�p r *.� 6 tsB9�J J L. COSTA MESA BUILDING-SAFETY DEPARTMENT v FINANCE DEPT. P. O. BOX 317 COSTA MESA. CALIFORNIA CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT < BUILDING BUILDING 70-Tag /2 ADDRESS 1- 1 9G7 c7 a v rcv�••\ Ca.% • COSTA MESA. CALIFORNIA For Office Use Only Investors Marine Inc. 1 RECEIPT NO. I pERlp5As OWNER 1lJ( (1•](IV1 MAIL RECB O eY DAVE-- A RECEIVED DATE ISSUED ADDRESS 1600 W.Coast Highway "3-1i2-(�,/ HRD a Toa+ CITY Newport Beach NEo. _1655 BUILDING '1 D ADDRESS oC _�p y((�.f "�l ARCHITECT TEL. r OR ENGINEER S)y�a NO. �jSI OSTA MESA. CALIFOR IA ADDRESS FIRE ZONE -y/� ZONE TYPE GROUP �Y /- CONTRACTORMesa Verde Builders,Inc. APPROVED 1653 Minorca Drive BY DATE ADDRESS ZONING -5.. Costa Mesa Ca1Sf• ZONE NO.OP USE OF NEW IC2^-.�(Alm CITY ) i I PLANE 7/I BUILDING Sit \�� r STATE 181269 TEL. Ki 9-0395 LEGAL f .�������---4JTTT1�.�� a LIC.NO. n NO. DESCRIPTION \`r- tf 00$ jffv' 1 SIZE 701 x 941 NO. OF SLOGS. 0 OF LOT NOW ON LOT A.P.NO. USE OF YARDS EVES EXISTING BLDG. _ APPROVED ALLOWED SETBACK LINE FROM 451 251 (CENTER LINE ST.) '/� 0--c-S2--. �li. n CENTER OP STREET REAR YARD FRONT .S4 6;T. L IN. SIDE YARD I LEFT 111 I RIGHT 71 R.SIDE / FT. IN. DESCRIPTION OF WORK L.SIDE // FT. IN. \ NEW I X H ALTERATION I H ADDITION I REAR LL .5"-FT. IN. REPAIR I H MOVING I H DEMOLISH I BYPROVpD f& 1.p-� ATE3- -(/ SIZE DINtI�o sq.n. ROOMS 6 STORIES 1 III..II�I� I��) EXTERIOR WkLLsidingROOF Sha e O / COVERING & S'CUCCOCOVERING �g+e J —r fir/7� p USE OF BUILDING AND WORK TO BE PERFORME / Single family residence and garagc O ,- 4/695�p Model No. 620-CR 1 Attached garage 462 Sq.Ft. I HEREBY ACKNOWLEDGE HAT I HAVE READ THI APP *CATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT/THE AB YE IS CO AND A REE O COM• PLY WITH ALL CITM 0 ANCES AND ATE LAW ULATING , PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. BUILDING coNSTRUR VALUATION SIGNATURE OF )'f l�,,�,,\ ,I I / C (// _ PERMIT FEE $ 7 PERMITTEE I �( / 25a $ 01 /�SA / $ PLAN CHECK AUTHORIZED AGE T L�SN- TOTAL FEE