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Home My WebLink About626 SHASTA LN - Building PermitsI CITY OF COSTA MESA 4; � BUILDING DIVISION 4- •a nt DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER l;t is PERMIT v P06-00649 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.c��UMBING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 226 SHERWOOD PL . Status: ISSUED Suite No Applied: 08/10/2006 Issued: 08/11/2006 Vicinity: Parcel Nunmber: 42620236 • Applicant: PAULEY, SHANNON ISSUED BY: Address: 17390 MT CLIFFWOOD - ---- - -- - ,� Phone: ''714,241-1414 , FOUNTIAN VALLEY;CA 22 --.. - -,-Zip: 92708 - Owner: PATTERSON'PHILALAN , '. - 7 ��v Address 226 SHERWOOD PL --/�i _-: - - _ , -_ _ ,�� '/� � \ A _ = Phone- 949-650=4260, -.„.-= \� v ,A, ) n ' ' COSTA MESA'CA <i Zip: 92627 ':.....,..';"..:•-•,. .-_--:-.."<",, \� //' �v/ "•- im' ` \�\ j Contractor: COAST:ROOTER PLUMBING HTG AND AC '„Address: T,CLIFFWOOD i1,, r _1. � 17390 Mbi/` r �� ' .y v �\\,-` Phone: 714-241-1414 •;�• '- /I , �' FOUNTAIN VALLEY I Zip:',, 92708 ,/,,,,,w 1�V -- , •License:-..1-529127,^ - - �\ ,' ,rl._ %r, 1 /I/l/.4 ; ,rte , - SCOPE OF PERMIT • - v `,� i \ \ �2,WATER HEATER-CHANGE OUT,NO CHANGE IN LOCATION. - • ,� :h/: - o.- C v ') " �'‘./' 2 FEE SUMMARY \ V AMT QTY - - -__ _ ---_ .AMT QTY. AMT .OTY • i J ; ISSUE FEE '.'1- - $2350 '%i/"r;Tr/ Laundry Tuli/Washerrr�J;1�10.00� .40 ]r� "\\Sump Pump : % -$0.00 \0 Backflow irrigation $0.00 0 -" Landscape lnigation 1`./P-$0.60..' 0 1 "-`�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 t n ..Process Piping(per 10 ft), $0.00 r7,0 Vacuum Brkr Bkflow(1-4) '"" $0.00 - 0 Connect(Ice,Soda,etc) $0.00 0 - Receptors:% ' -', -' ' .•.;$0.06-//b 1'x„ '%c. , Vacuum Brkr Bkflov+(5+) , '$0.00 0 Dental Units I $0.00 0 1:. - - "Septic Tank-'" - - "$OAO/ 0 - Wash Basin ,; . - -$0:00 0 Dishwasher. ". •' ' $0.00 0 , -7-- 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 ;R Drainoof,, \ \ \'\��$0.00 0 � Shower ,}<$O 00- /,_0 . Water Heater/vent / - ' - .$12.30 ,' 1 Drinking'Fo'untain; \ \\ .$0.00 0 Sink,bar _^ $0.00 0 Water Piping'(Inst or Rep.)• $0.00, 0 \ Expansion Tank' / ` $0.00 0, Sink,commercial?i -:.c $0.00 0 Water Re-pipe' ,: $0.00 0 Gas Earthquake Valve \$0.00 0: Sink,Floorl.",,'; ' ''50.00 0 Water Service • / .$0.00 0 Gas(1-4 outlets) $0.000 Sink-kitchen $6.00; 0 Water Softener , $0.00 0 Gas(Over 4 outlets)' j $0.00 ,-,.7 0 .... .,. f.Smk service/mop $0.00 / to _OTHER/ �' $0.00 C� Gas Repipe $000\l\0 "-'�' "'rSpa(private) " $000 '"'0'-,''''''77-7-., VIOLATION _ „ /$0.00 Gas Service v $0 00 '-'0.1 Spa(public) - $0 00 0 .5-,PLAN CHECK // ' ; $0.00 Interceptors(Grease,0102:$0.00-,„ '0 N/. --,_ y- ;:" REINSPECTION $0.00 0 Interceptors(Sand-Auto) c$0.00-, .",0 N-A ,- -N\.,i:'\\ N c„":,,..,,"ti' <'" "< - TOTAL CALCULATED FEES: $35.80 VC'� ..(--ili' CCOMMENTS I SPECIAL-CONDITIONS v/- (:---/�/ • 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(6/00) 1' DECLARATIONS 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. y'I 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. "My workers' pe pe ationurance airier and poiley number are: /t Cerner:—'! ( / L� / L Policy Number: 0(7 ` COO 40 (This section rrrkkkAAAUUU no11 be complete f the permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the performance of the work for which •s permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califo''d agree that if . Id beco�a subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply,with these provision Applicant / _ Date:�� // WARNING:FAILURE TO SECU ERS'COMPENSATION er •EIS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100400),IN ADDITION TO THE COST OF PENSATION,DAMAGES AS PROVIDED FOR IN SEC110N Side OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I,hereby afflrm.thatiam kens n er ov'si s Chapter 9(commencing with Section 7000)of Divisiofi 3'of the'Business ar rofes3jonss Code,and my license is In full force and efrs Signaturei: � - L..Dale: ---� /" Class Contractors Signature: Dale: "/ ['e- 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). Lenders 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 License 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 to a 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 Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. 0 Yes 0 No Drivers 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: I 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? ❑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 than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet 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? 0 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 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 en RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apemlit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 0 No (Section 65850.2 of the California Government Code requires that the requested information be fumished 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 ❑No (If'ryes",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? ❑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 stale 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. Signature Of Legal Owner / Date l/ O C/ t..____And/Or Authorized Applicant CODE# INSPECTION TYPE PATE INTRMLs ;ODE11 INSPECTION PIPS DATE ILLS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 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 Pla I Department "',; r.. 0i. Post Office Box 1200 4 77 Fair Drive Costa Mesa,California 92626 Igi 1 cti kw (714) 556-5245 REQUEST FOR OCCUPANCY • (Single Family Residential or Condominium Units) Tract No. ii- w` Date ?� / - 7 Lot No. AddressG A . 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, che; they) were) 12_1 -i / sed that this tract has not been given final inspec on 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. • • RECEIVED By CITY OF COSTA MESA Pur naser RAM= 77rT. I • AUG 19 1977 PM By \ , a �;7i• • AMvelrer 0(: A r• AM PM / By• . II .+n_ ,. 17731 IrvinerBlvd. Tustin, California 92680 CMF 0569-26 City of Costa Mesa Pla 1 Department agr.. ;,.;;f,t Post Office Box 1200 77 Fair Drive ( IEij fir'iA Costa(714) fvlesa, 556.5California245 92626 UU L REQUEST FOR OCCUPANCY (Single Family Residential or Condominium Units) • Tract No. �Z0— -• Date �'� / 7 Lot No. • a / Af Address 47 do (.4.46,7_,,_..) 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.thii,s agreement, acknowledges that ,� j (he, she, they) (was or were) i(/C�/!/)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. f ' ,RECEIVED By , /2 ` /411% . / Purchaser CITY OF•COSTA MESA PLANNING nEPT, 4111r SFp 21977 By it/�� Dev I 7.er a•draw, AM • fees Ape 718191101ll112i112i31415 6 17731 Irvine Blvd. Tustin, California 92680 CMF 0569-26 'P "'•'" " City of Costa Mesa Pla 9 Department • Post Office Box 1200 � ��' ' 77 Fair Drive ti 1�r.''!i 14) 556-5245fornia 92626 . RECEIVED REQUEST FOR OCCUPANCY CITY OF„ COSTA MESA , �, CO (Single Family Residential or 1977 Condominium Units) SEP n n PM AM 7►819110111112►1►2131415►6 47 Tract No. t ? V, Date t� —S�- 7/ • Lot No. /1' L Address t030 1�9k tie arced) •• 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 (fiesber they)__ (wes or were) /4_,P.0./ 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 c d' 'o ` /�� ►By A ,. By 114 Or- and • •uth 7 ? — - • R:presen Or 617 • r> By :� •T 1 / • , �7J 17731 Irvine` Blvd. • Tustin, California 92680 CM= 0569-26 City of Costa Mesa Planning Department Post Office Box 1200 77 Fair Drive !'i u11 Costa Mesa, California 92626 hi 14 t d (7141 556-5245 REQUEST FOR OCCUPANCY (Single Family Residential or Condominium Units) Tract No. /rL y`/— -Z Date Lot No. /9O Address �c502J drfzi/L_d_ Yi¢ i -P� 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) .4-- (was or were) 44749 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. r i By Purchaser f I/ By �. a �,�..� )eveloper • TAu horize• Represe ati ply [1>net:, t - ,. , . .a • 1rI1 IRVINE BOULEVARD, SUITE 210 CMF 0569-26 TUSTIN, CALIFORNIA 92680 PROJE6 ALS: 8 626 SHASTA LN UNIT: , CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 063346 t . 'OWNER'S NAME: BROOKVIEW CONDOS ADDRESS: HOMEOWNERS ASSOCIATION PERMIT NO.: B 063346 PLAN CHECK NO: N GOVT; N SUPP; N J 630 PAULARINO COSTA MESA CA CONSTRUCTION TYPE: V—N PERMIT TYPE: STA PURPOSE: ALT • ARCH/ENGINEER: 587-0399 gEG.NO.: T ADDRESS: UNIT: JOB DESCRIPTION : T/OFF RESHT REROOF W/TIMBERLINE. 30YR COM SQ FT: 8, 645 PERMITTEE: CLAIM VALUE: 8, 645 . 00 CALC—VALUE: 8, 645. 00 GROUP OCC: R-3 / ADDRESS:MESA ROOFING ( 714 ) 548-3012 843 W 17TH C*# ** **** * x***D* * * *** ****CM CA 92627 E *** is * * **k***4*8 **k0 *** ** # ******# *** **** K *******# LICENSED CONTRACTOR DECLARATION: I hereby afore(hall am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 70001 of Division 3 of the Business and Professions Code. and my license is in full force and effect. SETBACKS CITY e 3&-83 CLASS:STATE LIc.:564151 cLa ' ' ate:___ Signature:_ J re: 4P-r MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consen 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.:PWC 24167500 EXP.DATE: 07/01 /94 •COMPANY:GOLDEN EAGLE PARKING REQ: PROV; PARCEL: 93405187 'ZNE: REF NO: Cl7 Certified copy is hereby furnished. ❑ Cemfied co) lea with the ci •..,� h,. PLANNING NUTES> ate: e-6 93 Applica•_ 4.0-_„„„...., *********#*#*************#*#1k**** *I"x** !t**###**###************** E#*"*******# EXEMPTION FROM WORKERS'COMPENSATION DECLARATION; (This section need not be completed if the permit is for one hundred($100)or less). D E V 'E'.L O P M E N T S t B V?X,. C E S REQUIR F. M E N -T S 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 As ';t, �2 C.-- subject to the Workers'Compensation Laws of California. ZONING APPROVED BY `� r; 7_ �... DATE; Date: Signature: ..-• (/ NOTICE:IF after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING AP PROVED BY : \ i DATE: —. Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. 1 ! dee. �„r. '�,� V ,�/ q CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY• //i�I'� Lee I •-- DATE: 4J'/5 which this permit is issued(Section 3097.Civ.C). **************i(.******* • 3-- #**W. . .,*,t+_ :it lt-it it it It it-Pt--m-it It- •*#*#)****** • it it it** LENDER: #**##****#*#**************#******# '.***************************************** ADDRESS: LEGALIZATION:N FEE S'U M M A R Y STRUCTURAL SEGMENT: Y OWNER BUILDER DECLARATION: thereby affirm that l 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 108 , 00 . 86 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 01 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 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS————> 108 . 86 0 . 00 0 . 00 108 . 86 108 , 86 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees,provided that such improvements are not intended or offered for sale. If.however the building or improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS——> COLLECTED: 108 . 86 OVER/SHORT: . 00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 108 . 00 . 86 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to theContractors'State License Law).l am aware ****,***,*,*,*#*******'************************************************************* that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B.&P.C. INDIVIDUAL F E E BREAKDOWN for reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: t L$ I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and SFR 8645 REROOF BY VALUE ; iES IDENT I AL N07..ONE 1 . 00 $, 645 , 00 25534 and that I or any future building occupant will/will not(circle one)need to comply with said stale codes and the requirements for a it END OF FEES permit for construction Or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. 1 - Date; Applicant: - - • 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 v . ' ordinances and state laws relating to building construction and hereb aur.' • . - 'natives of this oil to enter upon the above-mentioned . properly for inspection purposes. • :% Late: S-6�-3Signal ' _ . _ 01 00144407-00144408 TOT 108.86 Driver's License or Social Security • + DATE: 07/06/93 TIME: 14:52 164t.46 White—Building;Green—Cade Entorcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor r CONSTRUCTION AND PLANNING - PO. & SPA -I APPROVALS Permit, Date Inspector APPROVALS Permit# Date Inspector 9 1, Temporary Electrical Service or Pole 52. Pool & Equipment Location i .. I 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 UF ER Grnd 57. APPROVAL TO COVER-GULI1TE 7. Footings 58. Electrical Conduit•Und•g:nu ( I 8. Foundation 59. Gas Pipe, 0 Untiigrnd.. Test 9. Water Pipe-Undrgrnd. I 60. Backwash Lines, P-Trap, l^i Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection :.62. Backwash & RecePmfinal 12. Sewer Cap • 63. Heater & Vent-Final 13. Root Drains 64. Plumbing System Final --1 14. Rough Plumbing 65. ElectricalFinal 15. Rough Electrical-Conduit • 66. Solar System-Final _ IIIIIII - II 16. Rough Electric Wiring 67. Fencing & Access Anp'oval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERINGI , • 18. Rough Electrical-7 Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating 84 Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit #_ I 21. Ducts, in Structure 70, Underground Hydro 22. Ducts. Ventilating 71. Product ?.ping :I Gas SOi' 23. Gas Pipe-Rough & Test 72. Underground Flush r 24. Roof Framing 73. Undernrnd.Storage Tank 0I Gas ..UJ a _-. . 25. Roof Sheathing 74. Overhead Hv'Jrr, ^r' 0273 , _ 26. T•Bar Ceding (Structural) & Monocoat 75. Dry Chemical r, s 27. Frame and Flashing 76. Dry Standc.pe 28. Lathing& Siding 77. FIXED SYSTEM FINAL •'t -r` 'IP 29. Insulation 78. FIRE PREY. FINAL .; 30. Drywall Nailing HEALTH DEPT. REQUIREMENT24 '. 31. Piaster Brown Coat a _ 79. FINAL INSfECTICN ' 32. Electrical Power Meter Final ' I�: 7'. 80. FOOD CERTIFICATE ISSUED Ii .j f r^ 33. Final Electric 1- - ,T . - Notes: - __ 34. F'nci Heating & Art Conditioning t . f 1 s f t f - 35. Final Gas Pipe-Test ? - • -1- 36. Hood or Canopy r r 1. 1 37. Final Factory Fireplace •38, Final Plumbing -11. `' \. ---� 39. Water Service-Final I --1 40. Gas Service-Final 41. Solar Domestic-Final I 1 i 42. Backf low Preventer I 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations r _ 47. FINAL STRUCTURE & BUILDING /S4r qu'__ - 48. FINAL PLANNING , 6 l i• I i 49. Electric Release to Edison -•,• 01 50. Gas Release to Southern California Gas Co i 51. CERTIFICATE OF OCCUPANCY I No. Date I Ise-. CITY OF COSTA MESA _�, _6= CALIFORNIA 92628.1200 P.O. BOX 1200 `, �-% tai 1 ii •• i� DEVELOPMENT SERVICES DEPARTMENT J NWOPRro` • October 17 , 1994 Dear Costa Mesa Property Owner: In reviewing past permits, we find that work has been done on your property located at 626 Shasta Lane, Permit No. B63346, for a roofing permit. The permit is valid for 180 days from issuance or your last inspection, per Section 303 (d) of the 1991 Uniform Building Code. Should we not hear from you within 10 days, your permit will expire as stated herein and additional fees will be required to finalize the permit. Failure to final a Building Permit could possibly impact the future sale of your property. To activate the above permit, please follow these steps: 1. Telephone (714) 754-5626 or 754-5627 . 2 . Request an inspection; state address, permit number, and type of inspection. 3 . Be sure to have working smoke detector' s as required per Section 1210 (a) of the 1991 Uniform Building Code. 4 . Have an adult present at the property at the time of inspection to provide us access. Should you have any questions regarding this process, please contact me at (714) 754-5273 . Thank you for your cooperation. Sinc-rely , I, '1 ;,../ / ' landa Huapaya , 11 unit Processing Specialist • 77 FAIR DRIVE Building Division(714)754.5273 • Code Enforcement(714) 754-5623 • Planning Division(714)754-5245 FAX(714)556-7508 • TOD(714)754-5244 -'"""^ tiLLItVK LINJL'KYKtDbb '1 '•' '- CS-LU-ID JOB ADDRESS 626-632 Shasta Lane BUILDING PERMIT NO. 42517 GENERAL CONTRACTOR Owner/Bidet DESCRIPTION of WORK nit Condo AP No. 418-071-01 LOT ACT FIRE ZONE VALUE $ 156,000.00 INSPECTIONS Signature Date TYPE v GROUP T & 7 ZONE W1—CP SOIL } /1 .45-: / ,g 7.t - PERMITS ISS ED GAS SUBCONTRACTOR } e'r 6. 7. 77___ _ Date I Number Signature WATER 4 C. r fl /1 .q ;74lambing ROUGH PLUMBING � 3 ,Z /.0-/V-24. ZQ O e--- PROP. PROP. SWR. LINE Q HOUSE CON. d C$1Of '3 . !1 yob •.tl lO - /6 '(n Cr SPRINKLING SYSTEM OO'"'�� tJ I MISCELLANEOUS `q ROUGH HEATING AND AIR CONDITIONING `/S 3. 73.77 - TEMPORARY SERVICE OR POLE UNDERGROUND 0 POWER ❑ ROUGH WIRING /J5'r p '77 Heating and Vent. TRENCHES FORMS � /7't STEEL REINF., . //WA ySi 7G ' I 3o. . FLOOR SYSTEM - /(.(ti /( �frl . Pit I- 3/.77 /3S-(e/...---- BOND BEAM n STEEL REINFORCE n SHEATHING p/�� y -2 FRAME AND FLASHING - LATHING — IN ' OUT RI - r PLASTER, BROWN COAT SC..l C. 7 7 ,STRUCTURAL, FINAL _ _ - le[t iC HEATING, VENT., REFRIG. AND P.C., F NAL KN 2,'101-1 "Lay, .'. . /. . 11' I�/(f'a. PLUMBING, FINAL AND GAS TEST [ KM 2.1S•7') t I. . / , I'-9-/T. H/473 Ps...- ELECTRIC, FINAL }vQ.-Q'��- jr--Q--r 4' -r�. �1 /: • 1• . / - 7t. ' rci Ill- BUILDING, FINAL aa - aj „ 1:. ' 'V. • 11-9-74 'I/cj75! "... oc "L."— • Gl//lll I,f oma; !o 2 Y . , i °424u_ J r-g---7 • #( �j/j � 311 68e2 I . led 972,2/7 AIL i ir, 70-760 001536* ***623.07 425 13 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely—Use Ink Only Q� / '/ [.�.I //�� RECEIVED BY D.a9E RECEIVW DATE ISS ED�� BUILDING /Si Z�O bao 431 S %tssm L „A._��.6 8 ADDRESS ` G L - ��/� r, r� p/� 9 OWNER gei r2ere E�[Tl'/Pdife,c4/2/12E /E� A.P. NO. 44-67/-e/ PF.gfyl I MAIL 7(d i1[b .- LA 4672419— ADDRESSBUILDING GZ& 9tc p �fA.s�`:^/ ADDRESS TEL. TRACT DatA LOT BLOCK CITY Z.1 A, 90a3r- NO. CONSTRUCTION / / /f O NEW ADD ALTER REPAIR MOVING DFMOLISH LENDER //G/� V /L Ln BRANCH //A A/ OWNERM11 L `/` ,.sw / ADDRESS -I ' I ��J � VALUE /.rsi aoo ARCHITECT TEL. USE IV�/r 0440 $ ✓1�/ OR ENGINEER NO FIRE ZONE TYPE GROUP�t/ ADDRESS /7 / 7/ CONTRACTOR Q F[/'/"Z e/L APPROVED //i DATE r 20//f� ADDRESS ZpNF NID.OF �S USE OF NEW 4 CANT TEL. PM147,1`-`'tI0 PLANS G BUILDING CITY NO. Qs ADO (-' STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING LQ SIZE NO.OF BLDGS. (FROM C/1_STREET) L OF LOT NOW ON LOT FRONT 5J/ it FT. at / i USE OF = A EXISTING BLDG. R.SIDE n ,` FT. v) r 2 Separate permits are required for L.SIDE FT. FT. electric,plumbing and heating work. REAR FT. FT. IQ [".., USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN te Q4 MAIN BLOCS. ACCESS.BLOCS. 4)A.J/r 101.12)0 C URP 13-?iii� DATE APPROVED > APPROVED RY ti __DATFV " (9'-?Co w HOLD FOR PECIAL REQu�;.""��iiLi; pI hereby acknowledge that I have read this application and state n t4 that the above information is correct and agree to comply with m ' all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of —w.6 the State of California. oi 3 I hereby certify that I am properly licensed as a contractor under SQ. FT. N the State of California Business and Professions Coda, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR rs 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 CO p VALUATION PERMIT FEE $ 97 0 m and Professions Code, Division 3,Chapter 9. Signature of ‘1. / �( L PLAN CHECK $'?,0 / /5 G Permittee Cs. /417.2.e/2„ �/ /L 5 /�v� oo_ TAX $ iO/ D� u. Authorized Agent / i 1, U TOTAL PAID $42.31D