The URL can be used to link to this page

Home My WebLink About3380 SUMMERSET CIR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us Job Address: Suite No Vicinity: Parcel Nunmber: , ELECTRICAL PERMIT ti ti:' ` � �.. � .: . T ,: ", 3380 SUMMERSET CI � �' �,�'�N�I� 41208310 ,4pp�icant: KUHN, DAVID N Address: 3380 SUMMERSET CIR- COSTA MESA, CA ' � a r.� ••— .. i- Phone� 774-5457959 p: 92626 Owner: -, KUHN, DAVID N�AND CINDA K Address 3380 SUMMERSET CIR - � � " COSTA MESA, CA Contracror. O W N E R-B U I LD E R � Address:'.1; ;,��-�'; - Phone: Zip: 92626 �� ,,� . Y � � ' , �. � , j r � ��',E__ Phone: . , , , . . 2ip: , � � License: 000000 77 FAIR DRIVE, COSTA MESA, CA 92626 . .. Status:• ISSUED Applied: OS/21/2004 Issued: OS/21/2004 SCOFE OF PERMIT , , CONSTRUCT 1343 SF ADDITION TO AN EXISTING2-STORY,SFD: FIRST FLOOR: 865 SF ADDITION TO INCLUDE EXPANSION�OF THE EXISTING FAMILY�ROOM, KITCHEN WITH NEW NOOK AND PANTRY, DINING ROOM, ENTRY, BEDROOM #1; WITH NEW CONSTRUCTION OF A STORAGE AREA. SECOND . � .� FLOOR ADDITION: 518 SF FOR NEW CONSTRUCTION OF OPEN OFFICE/STUDY, LAUNDRY ROOM, 2 � WALK-IN CLOSETS, AND A STORAGE ROOM. 2 BALCONIES WILL BE ADDED TO TOTAL 66 SF: A" GARAGE EXPANSION 70.ACCOMODATE A 50 SF STORAGE AREA. REMODEL OF THE EXISTING, ' RESIDENCE WILL ALSO BE PART-OF THIS PROJECT. REF.: 803-00584 � �'ELECTRICAL TO INCLUDE: 40 LIGHT FIXTURES, 25 OUTLETS, 10 SWITCHES,.AND 1 SERVICE TO . � 200 AMPS . ' -� - � �- . y� FEE SUMMARY � ' .Quantity . "� - , Quantity , ,� ISSUE FEE. $23.50 - � � �� - - , ��- � Temp Dist System / Ligfiting ' �$0.00 0 � � - Temp service test $0.00 - 8usway /100 ft , - $0.00 , � 0 . Res. a/c package -' $0.00 . � � Sfanding Section ' $0.00 ' 0� � - New Res (1-2 unils) � $0.00 � 0 , � . . � - , MisaElectrical Equipmenl � . � � $0.00 � , 0 . � � New Res (3+units) � � �, � $0.00 � 0 _ � Transformers up to.t kva/kw � . $0�00 0 � Pool / Spa � . $0.00 � ' 0 - - - ........:.......up to 1trkJa/kw � � $0.00 0� � � Lighting Fixis � � � $36.60 �40 • � ........ :.......up l0 50-kva/kw � ' $0.00 ' 0 ' Recept OuUets \ $25.65 25� ' � � . . . .................up to 100 kva/kw $0.00 ', '0 Switches $11.00 �10 , ..............:...over 100 kva/kw . $0.00 - 0 Non Res Appl $0.00 � , 0 . � Low Volfage Equipment �$0.00 0 Res Appl $0.00 ,� 0- �" Cow Volt Wiring System /�Ckt � $0.00 0 Service to 200a $30.50 �1- , . - , Misa Contluit; : ' - � � $0.00 0 , Service to 1000a $0.00 0 �- � � - Misc: Conductor - $0.00 0 Service over 1000a $0.00 0 Circus ( gen or ride) $0.00 0 ✓ �, 7' ,% - � .. lr- . .. NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspendad or abandoned for a period of 1 BO days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and� II; required Inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permitl'r FOR INSPECTIONS CALL: (714) 7545626 � 264616 (6I00� WORKERS'COMPENSATION DECLARATON: , I �ereby attirtn under penalry of perjury one of the following declarations: ❑ I heve antl will melntain a ceniticate of consent to self�lnsure tor workers' compensetlon, as providad for by section 3700 ot the Labor Code, for the pedortnence ot ihe work tor which this permit is issuetl. ❑ I have end will maintain workers' compensation insurence, as required by section 3700 oi the Labor Code, tor ihe pedortnance of Ihe work for which this pertnit Is Issuetl. My workers' wmpensation Insurance cartier and policy number are: Garrier: Policy Numher: (Th/s secfion need not be complefed ll the permi( is veluetl at one hundred dollars ($100) ar /ess.) - '�'—I'certify thet in the pertormance oi the work for which this permitjs Issued, I shall not employ any person in any manner so es to 6ecome subject to the workers' �compensetion laws of e fornla, end agree thet If I should b e6me ubject to ihe workers' compensetlon provisions of Section 3700 of tha Lebor Code, I shell tonhwi�h comply with the5e pr �s' . � � A �f �ficaniSig—ature�� N�Y/ � Date:�_ s/L/ /0�!' WAqMNG: FNLURE TO �C E WORKERS' COMPENSATION COVERAGE IS UNUWFUL AN� SHALL SUBIECT AN EMPLOVER TOCRIMI PENALT S PND GVIL FlNES UP TOONE HUNDRED TqUSAN� DOLLARE (E10�.000). IN ADDRION TO THE CQST OF COMPENSATIqJ, DAMAGES AS PROVIDED FO(i IN SECTION 3]O60F THE LABOq CODE, INTEREST, AND ATTORNEI^S FEES. LICENSED CONTRACTORS DECLARATION: I hereby attirm that I em licensed under pmvisions ot Chapter 9(commencing with Section 7000) ot Division 3 of the Business end Professions Code, entl my license is in full force entl eHect. Lic. a Class e Contwctors Signature: Date: CONSTRUC710N LENDING AGENCV: ' ❑ I hereby aHirtn that fhere is a conSlruction lending egency for ihe performance of the work tor which ihis permit is issued. (Sec. 3097, Civil Code). Lentlefs Name: Lender's Atltlress: - Slgneture: Date: OWNER-BUILDER DECLARATIONS: I hereby ettirtn Ihet under penalry oi perjury that I am EXEMP7 FROM 7HE CONTRACTORS LICENSE LAW tor the tollowing reason (Sec. 7031.5, Business entl Professions Code: Any ciry or county which requires a pertnit lo construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the appliwnt tor such pertnit to tile a signad statemem that he or she Is licensed pursuam to the provisions oi the Contredors License Lew (Chapter 9(commencing with Section 7000) of DlWsion 3 of t�e Business and Profeulons Cotle) or ihet he or she is ezempt tharefrom and ihe basis for Ihe ellegetl exemption. Any violation of Section 7031.5 by eny applicent far a pertnit sublecis ihe epplicant to a civil penelty of not more then tive hundred dollars ($500).): ❑ I, es owner oi the property, or my employees with wages as their sola compensation, WILL DO THE WORK, and the siructura is not intended or oHeretl tor sale (Sec. 7044, Business end Profeuions Code: The Coniractors License Law does not apply to en ownar of proparry who builds or improves thereon, end who aoes such work himself or hereelt or ihrough his or her own emDloyees, provided ihet such improvemenis are not intanded or oHeretl for sele. H, however, Ihe building or improvement is sold within one year ot wmpletion, Ihe ownar-Duiltler will have ihe burden of proving that he or she did not build or impmve lor purpose of sale.). � ❑ I, as owner of the property, am E%CLUSNELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 70G4, Business and Pmtessions Cotle: The conlreciors LicenSe Lew does not epply to an owner oi propahy who Dullds or improves thereon, and who conirac�s for such pmjeci with e conirector(s) � Iicense,D9jsuant to ihe Contrectors License Laws.). Owner 16 veTetl by tlrivefs license.- Vedficetion oi Ownership by (typa at d Business and Professions Code tor this reason: Ves ❑ i.e. - properry tax bill or Aeetl): DIVISION OF INDUSTRIAL SAFETV P�RMIT CERTIFICATION: Expires: ❑ I hareby certify that no eacavation five (5) or more feet in tlepth inro which a person is required to descentl, will be made in connaction with work authonzed by this pertnit, and that no buildinq siructure, scaHolding, falsework, or demolition or dismantling thereof, will be more ihan t�irry-six (36) feet high. (Chap. 32, Grp 2, Ar12, Sec. 341, Tlle 8, Celifomia Adminisiretive Cotle). ❑ As owner-builder, I wiil not employ enyone to do work which would require a pertnit from the DiviSion of Industrial Salery, as noled ebove, unle55 such person has e pertnit to da such work hom the tlivision. SignaWre: Date: Division of Industnal Safery Pertnit Number: CERTIFlCATE OF COMPL NCE AND AUTNORVATION OF ENTAV: I cenify under penalry ot perjury ihat I have read this epplication and state that the infortnetion given is correct. 1 agree to compI v ith all siate laws and ciry ordina9tes relating to building construction, and authorize representatives of ihe Ciry oi Costa Mesa to enter upon the ebove-descnbed pro 6 f r inspection p ases a ee 6t t py or allow occupancy of eny building authonzed by this permi ntil (in�nspection. 'Signatur OtLegalOwner(s) � - � LD t��\ .—.--..-....`— _ AnNOr Authonzed Appliwnt Date COUE �. INSPECTIONTYPE 1616 Fixetl System Final Fire Preventlon 1266 Pool Spe Final 200 Finel Re-Root 201 Finel BIocWRetaining Well � 203 204 Final Factory Fire Place t Final Sign Final Demolition P�L IN�A S COpEt INSPECTIONTYPE 206 Final Mechenical 200 Finel Plumhing 270 Final Elecincal 212 Final Fire Preveniion 220 Final Planning Approvel 222 Final Site 250 Final BuiltlincyOccupancy DpTE iIAUYLl4 David Kuhn 3380 Summerset Circle Costa Mesa, Ca 92626 714 319-7575 o � � July 17 ,2007 City of Costa Mesa Building Department P.O. Box 1200 77 Fair Drive Costa Mesa, Ca 92626-1200 Attn: Ed Petros, Senior Building Department Inspector Electrical Permit # E 04 -00590 Dear Mr Petros, In reference to the above electrical permit, my permit was pulled before the 2005 title 24 changes that mandated changes to. the present electrical code. (Meeting with Randy Buck at the building department) While I have totally changed out my kitchen and new bathroom to comply, did not rough for said changes to the exterior lights on the house and I am not going change out the system due to the complexity involved. I am using fluorescents extensively in the home to control my energy costs. Sin rely, � David Kuhn I,� (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 3380 SUMMERSET CI Suite No Vicinity: Parcel Nunmber: 41208310 PLUMBING PERMIT � �..I-. �-�• �� '4 `,�. .. -. �. �e !a/ � ,� �`,I�:� �:1' i�� '�': � � . I.i/'/ (/�� - � - Applicant: DAVID KHUN `—'� ;�,� (��n _ i �;f� Address: rr To � Phone: 949-64 - 17 , . - . Zip: . � .. Owner. KUHN, DAVID N AND LINDA K ' Address 3380 SUMMERSET CIR �� Phone: . COSTA MESA, CA Zip: 92626 �� P � Contractor: � ' - n1 � Address: ." E �" J, Phone: - Zip: \ � License: V Arch / Eng : Address: , _ - Phone: , Zip: _ __ .License: � � SCOPE OF PERMIT INSTALL 1 EARTHQUAKE GAS VALVE, 1GAS OULETS, 1LAUNDRY TUB, 1SEWER CONNECT,�iSHOWER, '- ' . 1SINK, 1KITCHEN SINK, 1WASH BASIN, 1WATER CLOSET, 1WATER HEATER, 1WATER PIPING; ; . ' , � , � 'I WATER SOFTNER FOR RESIDENTIAL ADDITION,.RE:B03-00584. , �.,`� ,. � ;; � i, � .� . -. . �, w _„ ^ .. .... : �. . ,7i. , 12/08/04 REVISED: ADD 1 FLOOR DRAIN, 1`LAUNDRY TUB; 1 BAR SINK, 3 WASH BASINS; AND 1 ' �'�`' �� WATERCLOSET. . ` "' � . ,�, � �� ' � �FEE SUMMARY � � � AMT _ (�TY � � AMT QTY ,` � �. � . � .,- � ' ' AMT QTY ISSUEFEE �`� _$2350 ." � � �LaundryTub/WasheF � $19.80_� 2 - Sump`Pump� � -� �� $0.00 0 BackFlow irrigation $0.00 ' 0 Landscape Irrigation $0.00 �� 0 - � Swimminq Pool� -- $0.00 0 Backflow Preventer �$0.00 � 0 � P-Trep � $0.00 - 0 Trap Primer $0.00 0 Balhtub �$0.00 0 Pressure Regulator $0.00 , 0 Urinal � $0.00 0 Clarifier System $0.00 0 Process Piping (per 10 k) $0.00 0 ' Vacuum Brkr BkFlow(1-4) $0.00 0 Connect Qce,Soda,etc) $0.00 �. 0� Receprors. $0.00 0 - Vacuum Brkr BkOow(S+j g0.00 0 Dental Units $0.00 0 - � �Septic Tank ' . �$0.00 0 � � � Wash Basin $3920 4 Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0�� . � Wash Basin Set $0.00 0 Drain, Floor $9.80 1 Sewer Connect - .- $24.65 1 � Waste and Vent System $0.00 0 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire antl become void it work is not commenced within 180 days, or if work is suspended or,abandoned for a period of 180 days. � INSPECTIONS: In order for the work authorized under lhis permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspeetlons and finel approvel must be obtained. Failure to obtain inspections and final approval will result in the,eViration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2446G6 (6/00) . . _.- - � - - - _ . _ . WORKERS'GOMPENSATION DECLARATION: • ' . . . I hereby aRirm unCer penalry of perjury one ot the following declarations: ' � ' ►�� . -'� � ❑ 1 have end will maintain e certificete of consent to self-Insure for workers' compensatlon, as pravided tor by seciian 3700 of the Lebor Coda, tor the pertortnence of the work tor which lhis pertnil is issuetl. ❑ I hava end will malntain workers' compensailon insurance, fls required by sectlon 3700 ot ihe Lebor Code, for the perfortnance of Ihe work for which this pertnit Is Issued. My warkers' wmpensation Insurence cerder and policy number ere: Carrier: Policy Number: (Thfs sectlon need not be comp/eted /l fhe peimlt /s valued ef one huntlretl tlollars ($f 00J or Iess.J �rtity that in the peA ance of tha work for which this pertnit is issued, I shall noi employ any person In any menner so as to become subject to ihe workers' ��- coP mpen e tl`n I� itomia, and gree that il I �ecome sub�act to the workers' compensation pmvisions o� ction �i the Lebor Cotle, I s�all torthw0h comply wiih ihese � ovi ons. �*-�� \ / plk t�sre' _� a'.'e'e.i::�_� �L ARNING: FAILURE SE E WORKERS' COfdPENSATIpJ G1�VERAGE IS UNLAWFUL AND SHALL SUBJECT PN EMPLOYER TO CRIMINAL PE TIES D GVIL FWES l/P TO ONE HUNORED TiOUSANO DOLLARE (5100,000), IN ADDRION TO THE CQST OF �MPENSATION, DAMAGES AS PROVIDEO WR IN SECTION 3]O60F THE IABOR CODE, INTEREST, AND FTTORNEV'S FEES. LICENSED CONTRACTORS DECLARA710N: I hereby attirm ihat I am licensetl under provisions of Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business and Professions Code, end my license is in tull force end ettect. Lic. p Class # GontractoYs Signature: Date: CONSTRUCTION LENDING AGENCY: � ❑ I hereby attirtn that ihere is a wnsWction lentling agency tor ihe peAormance of Ihe work br which ihis pertnit is issuetl. (Sec. 3097, Civil Code). Lendefs Name: Lender's Address: Signeture: Dete: OWNER-BUILDER DECLARATIONS: I hereby a%irm ihat untler penalry oi perjury thet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe tollowing reeson (Sec. 7031.5, Business end Protessions Code: Any ciry or counry which requires a permit to construct, alter, improve, demolish, or repair any sWcture, pnor to its issuance, also requires the epplicant tor such pertnit to file a signetl statement t�et he or she is licensed pursuant ro the provisions of Ihe Contrecrore Licensa Law (Chapter 9(commencing with Section 7000) of Divislon 3 oi t�e Business and Protessions Coda) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation oi Section 7031.5 6y any epplicant tor e permit subjects ihe applicant to a civil penalty of not more than five huntlred dollars ($500).): ❑ I, as owner of the properry, or my employees with weges as Iheir sole compensa�ion, WILL DO THE WORK, and the structure Is not intentletl or oNered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of pmperry who builtls or improves thereon, antl who tloes such work �imself or herselt or through his or her own employees, provided that such improvements are not intendeA or oHeretl for sale. II, however, t�e builtling or improvement Is sold within one year ot completion, the owner-builder will have ihe burden of proving t�at he or she did not builtl or improve for purpose of sale.). � ❑ I, as owner of the properry, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to wnstruct the project (Sec. 7044, Business end Professions Code: The coniractors License Lew does not apply to an owner oi property who builds or improves Ihereon, end who contracts tor such project with e contrector(s) _Jicense,ou[6Lant to t�e Contrectors License Laws.l. Business and Protessions Code tor ihis reason: by drivefs IicensA. ❑ Yes Vetlfication ai Ownership by (rypa oi document, i.e. - properry tau bill DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hareby certity ihat no excavation five (5) or more �eat in depth into which e person Is required to tlescend, will be mede in connection with work euthorizea by ihis permit, and that no building structure, scattolding, falsework, or demolition or dismantling ihereof, will ba more ihan �hirty-six (38) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, 7tle 8, Calilomia Atlministretive Catle). ❑ As owner-builtler, I will not employ anyone to do work which would require e permit from the Division of Industdal Sefety, as noted ebove, unless such person has a permit to tlo such work.irom ihe division. Signawre: Date: Division oi Intlustrial Setety Permit Number: CERTIFlCATE OF CO ANCE AND AU7HORVATON OF ENTAV: I certi(y under penelry of perjury that I have read Ihis applicetion end stete ihat the intormation givan is correcL I agree to�0� w�lh all stare laws and ciry rGinances relating to bulitling construction, end authodze representatives of t�a Ciry of Costa Mesa ta enter upon t�e ebove-described (ope for insp cti n purp s. I �re t to occupy or allow occupency of eny building authorized by this permit until f L��peD n / ) 'Sign N�� . ... OW�erL]�_ oI t�': �. i� ' AnNOr AuthOnzed CODE �. �Nsvernaxrrve 1616 Fixed System Final Fire Prevention 1266 Pool Spa Finel 200 Final Re-Rooi 201 Finel8lacWRetaining Well 202 Final Factory Fire Place 203 Finel Sign 2 Final Demolition � eooe� ixsvecnonTrve 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Finel Fire Preven�lon 220 Final Planning Approval'� 222 Final Site 250 Final Building/Occ�pency • '7•17-07 � (714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 PLUMBING PERMIT Job Address: 3380 SUMMERSET CI Suite No Status: ISSUED Applied: 06/09/2003 Issued: O6/09/2003 Vicinity: Parcel Nunmber: 412083�0 .- �_ �, -_ ISSUED BY: JY':C -"��, . _ - - � . . � -- Applicant: DAVID KHUN 1�-�,� � � � Address: ' ; � �- , - � . _ � �� . . � , ' r � "� � � Phone: 949-645-1717 .' `. � ' - � �. , �„ . . � �; -" ZiP:. . _ - " . . '�� •-A / � �j ,. _ � . . � - � , �\ % . � Ownec�" KUHN, DA�CID N AND LINDA K Address �3380 SUMMERSET CIR � ' .. i / �'� . - � � Phane: � i. � i - � COSTA�MESq, CA Zip: �92626 � Contractor: � � � � Address: � � � � i Arch / Eng : Address: Phone: Zip: License: � .. -_., . . 1� . ^ -_� , , , - . , . , , - Phone: _ • . , �. . " " ' ZiP:' , . , . . . '. - . . ' . �..--- - Licensei - , � - � ' . ' � � � SCOPE OF PERMIT , , ` �� . �INSTALL 1 EARTHQUAKE GAS VALVE, 1GAS OULETS,-1LAUNDRY TUB, 1SEWER CONNECT; 1SHOWER; -� �1'�\,� ,' .� �� 1SINK,IKITCHENSINK,IWASHBASIN,.IWATER_CLOSET,IWATERHEATER,IWATERPIPING,� �� ' ' . ��' � 1 WATER SOFTNER FOR RESIDENTIAbADDITION, RE:B03-005&4. �' - i � � _. t i�:< F- ' /i ��.� n ' _. . � � �� _- � FEE SUMMARY _ � � � � .. .. � - . V `� � �AMT � ��QTY -.. >> - . • ' _ AMT � (.�TY' . , � . _ : ,�AMT ISSUE FEE � � �$23:50 , � - -- Laundry Tub / Washer ' $9.80 � 1 - Sump Pump � � = $0.00 BackFlow irrigation` � � � $0.00 . , 0 � � � � Landscape Irrigation $0.00 0 Swimming Pool , $0.00 BackFlow Preventei� � � $0.00 - 0 � � P-Trap � $0.00 0 " Trap�P.dmer �� $0.00 Bathtub `� ,, : $0.00 ' 0 , Pressure Regulator � , $0.00� . �0 � Urinal'. ' $0.00 Clarifier System \$0:00 -�0-, � Process Piping (per 10 H) $0.00 0 � Vacuum Brkr Bkflow(7-4) $0.00 Connect (Ice,Soda,etc) � $0.00' 0� � � � Receptors . $0.00 " � �0 � � Vacuum Brkr BkFlow(5+� $0.00 Dental Units $0:00, , '0 `� , Septic Tank � � � $0.00 0 Wash Basin $9.80 Dishwasher $0.00 � 0 . � Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 Drain, Floor $0.00 �0� , � Sewer Connect � $24.65 1 '�- Waste and Vent System $0.00 Drain, Rainwater $0.00 0 - "Sewer Private Line $0.00 .- -0 � Water Closet (Toilet) $9.80 Drain, Roof $0.00 0 �Shower � � � $9.80 . T Water Heater / vent $12.30 Drinking Fountain $0.00 0 Sink, bar - - $9.80 1 Waler Piping (Inst or Rep.) $9.80 QTY 0 0 0 0 0 0 1 0 0 1 1 1 NO710E: 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 vold 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 consideretl legal, such work must comply with all applicable codes, and all requlred Inspectlons and finel approVal must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of lhis permit. FOR INSPECTIONS CALL: (714) 75M5626 i 2W&C6(8/00) WORKERS'COMPENSAnON DECLARATON: I hereby ettirm unde� penalry of perjury one of tha following declarations: � ❑ 1 have antl will mainlain e certificate of consent to self-Insure for workers' compensation, es provitled tor by section 3700 ot the Labor Cotle, tor the peAormance of tha wark for which this permit is issuetl. ❑ I �ave entl will maintain workers' compensation Insurance, as required by section 3700 of tha Lebor Code, br tha pertortnance oi the work tor which Nis pertnit is issuetl. My workers' compensatlOn InSurence cerdar antl policy number are: Carrier: Policy Numbar: (This secUon need nof be comp/efed i/ the permit is veluetl et one huntlred dallers ($100) or less.) ❑ I certify thet in the pertortnance ot the work for which this permit is issueQ I shall not employ eny person in any manner so as to hecome subject to the workers' compensetlon lews oi Celitomie, end agree thet if I should becoma sublect to Ihe workers' compensatlon pravisians ot Section 3700 of Ihe Lebar Cotle, I shall Iorthwilh comply with ihese provisions. Applicem Signeture: Data: WARNINO: FAILURE TO SECURE WORKERS' COMPENSATIIXJ COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CFIMINAL PENALTIES AND qvlL FMES UP TOONE HUNDRED THOUSAND DOl1ARE (5100,000), IN ADDRIIXJ TO TME COST OF COf.1PENSATIIXJ, DAMAGES AS PROVIDED FOR IN SECTION 3]O6 pF THE LABOR COOE, INTEREST, AND ATTORNEVS FEES. LICENSED CON7RACTORS DECLARATION: I hereby aflirm Ihat I am licensetl under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Prolessions Coda, entl my license is in full force ena eMect. Lic. q class A ConiractoYs Signature: Date: CONSTRUCTION LENOING AGENCY: � I hereby aHirtn that there is a construction lentling aqency for ihe DeAormance of ihe work tor which Ihis pertnit is issued. (Sec. 3097, Civil Gotle). Lenders Name: Lenders Address: Signawre: Date: OWNER-BUILUER DECLARATIONS: I hereby attirtn Ihat unOer penelry oi perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, Busineu entl Professions Code: Any ciry or counry which requires a permit lo construcl, elter, improve, demolish, or repair eny siructure, prior to its issuance, also requires lhe applicant for such permit to file a signed statement ihet he or she is licensetl pursuant to the provisions of the Contractors License Lew (Chepter 9(commencing with Section 7000) of Division 3 oi the Busineu and Profeuions Cotle) or Ihat he or she is exempt therefrom and the basis tor the elleged exemption. Any violetlon of Section 7037.5 by any epplicant tor a pertnit subjects the eDD�icant to a civil penalry of not more Ihen frve hundretl tlollars ($500).): ❑ I, as owner of the pmperty, or my employees with wa9es as thelr sole compensation, WILL DO THE WORK, entl the stmcwre Is not intentletl or oflered for sale (Sec. 7044, Business and Professions Code: The Coniraciors license Law Oces not apD�Y �a en owner of properry who builds or improves ihereon, antl who tloes such work himself or hersaN or ihrough hIs or her own employees, provided that such improvemenis are not intended or ottered for sale. If, however, ihe building or improvement is sold within one year ot completion, the owner-builder will have�the Ourtlen of proving that he or she did not build or improve tor puryose oi sele.). ' ❑ I, as owner of the pmperry, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRAC70RS to construct the prqect (Sec. 7044, Business end Professions Code: The wntrectars License Lew does not epply ro en owner oi property who builds or improves Ihereon, antl who conirects for such project with e contracror(s) licensa pursuant to ihe Coptrectors License Laws.). „ ❑ I em exempt under se �SigneWre: � / Owner ID veritietl by tlrivefs cense. ❑ Ves ❑ No —.t� Vedllcetion of Owners�ip by (type af dwument, i.e. - property taz bill or deed): Protessions Cotle for this Drivers License No. DIVISION OF INDUSTHIAL SAFE7Y PERMIT CERTIFICATION: ❑ I hereby certify ihat no axcavation five (5) or more tee� in depth into whlch a person Is required to descend, wlll be mede in connection with work euthonzed by this pertnit, and that no building slrucNre, scaffolding, talsework, or tlemolition or tlismantling ihereof, will ba more than ihirry-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, Celitomia AOministrative Cotla). � As owner-builder, I will not employ enyane to do work which would require e pertnit irom the Division of Intlustnel Setery, es noted ebova, unless such person hes e permit to do such wark Irom ihe division. Signature: Dele: Division of Industrial Safery Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AUfHORVJ1T10N OF ENTRV: I certity under penalry ot perjury ihat I have reatl this epplication antl state that the infortnetion given is correcl I agree to comply with all state laws and city ordinences relating to building construction,entl euthorize represenietives oi Ihe Clty of Goste Mesa to enter upon the flbova-described Dmpep�fAr ins0ection purposes. I egreeJr61 toycfupy or ellow occupancy �y building authonzed by Ihis pertnit until finel insyection. And/Or Authonzed Applicant CO�E 1. INSPECTIONTYPE 1616 Fizetl System Final Fire 1266 Pool SDe Final 200 Final Re-Root 201 Final BIocWRetelning W 202 Final Factory Fir� 203 Finel Sign 204 Final Demdition ' PAg IIIIIDEIi cooe� 206 F' al Mechanical Plumbing �nal Planning Approv'dl— 222 Final Site 250 Final BuilAingiOccupency PAg It�LS (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.��LDING PERMIT n FAIR DRIVE, COSTA MESA, CA 92626 Job nddress: 3380 SUMMERSET CI Suite: Vicinity: RESIDENCE Parcel Number. 41208310 Zoning: R1 R1 Applicane SELL, RON Address: 18032 LEMON _ _ . _ ' " _ . � — ,i Phone: (714)52&1758� YORBALINDA;CA�:�� Zip: 92686 %: ' Owner. KUHN; DAVID N AND LINDA K Address �3380 SUMMERSET�CIR _ � � � ii � . , "/, � COSTA MESA; CA � % ` \ �. .-=,' �� ^-�i -�"�;",.. Convactoi:� '.SELL ROOFING COMPANY �: .=Adtlress: 18032 CEMONi" i.. ' - -. YORBA LINDA , CA ' �Zip: . 92686� " i � . Arch : ' ' Address: Phone: i Phone: Zip: 92626 Phone: (714)528-1758 License: � 323842 Status: ISSUED Applied: 11/17/2003 Issued: 11/17/2003 Eng: Address`. Phone: � �Zip: � , , License: , License: -' SCOPE OF PERMIT � TEAR�OFF EXISTING SHAKE ROOF. INSTALC SHEATHING, FELT AND COVER WITH EAGLELITE TILE. ICBO 4660. , . r_ _ ' _ ...i . . . .. . _� . .�.. . _ � . FEE SUMMARY ` � Plan Check: $0.00 - Permit: $167.25 -- ' - � SMIP Res: $0.89 ' �'-SMIP Com: � � $0.00 � ` Other: '. , $0.00 � � Inspection:� ��$0.00 � � '�, �� ,: , � ,,Total: 5168.14 -' ,-` �� _ - � �a. ��' �� . � ,� � ' PLANNING & ZONING � SETBACKS � � MAIN STRUCTURE Front 0- 0 � Rear � 0- 0 \ i ACCESSORY \�Front , 0-0: �� ; � Rear � 0-0 � �' PARKING existinp:__�� 0� �' Required: - o NOTES: Calc Valuation: Claim Valuation � Left , 0- 0 Right -, 0- 0�" LeH 0- 0 , Rlght � 0� 0 � � Proposed: 0 � � i sa,soo.00 Sa,soo.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) � EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspended oi abandoned for a period of 180 days. � INSPEC710NS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and au requlred inepectlons 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) 7545626 2446d8 (8�00) WORKERS'COMPENSAnON DECLARAnON: � I hereby aHirtn under penelry of perjury one of the following tleclarations: � ❑ I heve end wlll maintain a cartificate of consent to self-Insure tor workers' compensetion, es provitled tor by section 3700 of the Lebor Cotle, tor t�e pertormence of Ihe wa tor which �hi5 permit i5 i5sued. ave erW will mai t'n workers' compensation insura , es requiretl by sectlon 3700 of the Lebor Code, for the pertortnance oF tha work for which this permit is issuetl. My workers' ca surence 'er and cy number ere: /O �Q � SS� Cerrier: A Policy Number: (Thls sectlon need nof be complet i/ the permit is velued at one hundred dollars ($100) or IesS) - '� ❑ I certify that in the peAortnance of the work tor which this pertnit is issued, I shell not amploy any person in any manner so es to become subject to the workers' compensatlon laws ot Califomla, an ree that It I ould becrome sublect to the workers' compensation provisions of Saction 3700 of the Lebor Code, I shall forihwith comply with Ihese provislons. Applicant Signeture: Date: � I—� ��'� �?� WARNINO: FAILURE TO SECURE WORNERS' COMPENSATION COVEMGE IS UNLAWFUL AND SHnIL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FlNES UP TO IXJE HUNDRED THIXISAND DOl1ARE (5100,0OO�.IN ADDRION TO THE COST OF COMPENSATION, DAMAGES AS PROVI�ED FOR IN SECTION 3]W OF THE LABOR CODE, IIJrEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I herehy eNirtn that I am licensed brce and ettect. Llc. » Comractors SlgnaNre: _ (wmmencing with Section 7000) of Division 3 ot the Business antl Profess" Cotle, and my license is in tull � CIa55 k � �� Date: � � i i'� �/\� CONSTRUCTION LENDING AGENCY: ❑ I hereby aNirtn Ihat thare is a constmction lentling agency tor the pertormance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lenders Name: Signeture: _ OWNER-BUILDER DECLARATIONS: Lender's Address: Date: I hereby ettirm thal under penelty oi perjury that I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following raason (Sec. 7031.5, Business entl Protesslons Code: Any ciry or wunry w�ich requires a pertnit to consiruct, alter, improve, demolish, or repair any structure, prior to its issuence, also requires tha epplicant for such permit to Ille a slgnetl statement thet he or she is licensed pursuant to ihe provisions of the Contractors License Lew (Chapter 9(commencing with Section 7000) of Divislon 3 0l the Business and Professions Code) or ihat he or she is exempt theretrom antl the Dasis tor Ihe elleged exemption. Any violetion o� Section 7031.5 by any apP�icant tor a parmit sub)ecis ihe epplicant to a civil penalry of not more than five hundred tlollars ($500).): ❑ I, as owner ol the properry, or my employees with wages as �heir sole compensation, WILL DO THE WORK, and ihe structure is not intended or oHaretl for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an ownar of property who builds or improves Ihereon, and who does such work himsell or herselt or ihrough his or her own employees, provided ihai such improvemenis are not intended or oHered for sale. If, however, Ihe 6uilding or improvament is sold within one year ol completion, the ownerbuiider will have.the burtlen of proving that he or she did not build or improve for purpose ot seleJ. � ❑ I, es Owner of the property, am E%CLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS Io construct ihe prqect (Sec. 7044, eusiness and Profeuion5 Cotle: The conirectors License Law tloes not epply to an owner oi property who builds or improves thereon, and who contracts for such project wlih e conlractor(s) license pursuant to iha Contractors License Lews.�. ❑ I am exempt under sec. Business end Professions Cotle for this reason: SiqnaWre: Date: Owner ID venfietl by dnver's license. ❑ Yes ❑ No Drivers License No. Verification oi Ownership by (rype ot document, i.a. - property tax bill or tleetl): Expires: DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION: ❑ I hereby certity ihat no excavation five (5) or more feet in depth into which e person Is required to tlescend, will be made in connection with work euthonzed by Ihis pertnit, and that no building siructure, scafloltling, talsework, or demolition or dismantling ihereof, will be more Ihan thirty-six (36) faet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title 8, Calilomia Admini5trative Coae). ❑ As ov.ner-builder, I will not employ anyone to tlo work which would require a permit from t�e DiNsion of Industrial Safery, es noted a6ove, unless such person hes a pertnit ta do such work irom the tlivision. Signature: Dete: Division of Indusinal Safery Permit Number. CERTIFlCATE OF COMPLJANCE AND AIJTHORRATION OF EMAV: I certify under penalty of perjury that I have read this application antl s�ate that the information given is correct I agree Io comply with ell sWte lews end ciry ordinances relating to 6uiltling construction, and authodza representetives ot Ihe Ciry of Costa Mesa ro enter upon �he ebova-described properry tor ir�spegtion puryos'/�not to occupy or allow occupancy oi any buildinq authorized by ihis Dermit until finel inspection. /�� Wre LegalO si // � ' �Da}g G-' G u � , ( l �-. AndiOr Authonzetl Applicant T Dytg, COUE t. INSPECPONTYPE 1616 Fizetl System Final Fire Prevention 1286 Pool Spe Finel 200 Finel fie-Root 201 Finel BIocWRetaining W ell 202 Final Factory Flre Place ' 203 FInelSign 204 Final Demolition ' �� P6g IftIDflSS tooe� iNsveenoxnve 206 Final Mechanical 208 210 272 220 222 250 Final Plumbing Final ElecMcel Final Fire Prevention Final Planning Approval Final Site Final Building/OccuDency PAg 1�65 � ��. i;,� � � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applican[ to Fill in Completely - Use Ink Only F � a a � � � F G W F a G a a > � .a R: W a O L% a W CC' 3 OWNER MAIL CITY CONSTRUCTION BRANCH ADDRESS ARCHITECT ti 38;�5 �C2t�79 +d 352.62 TL r. 30;�'5 2/2'I /79. " . 357.62CKTQ �� 381'5 'OOQ0447513 ��,A � TION FOR STRUCTURAL PERMIT McLain Development Co. n.v. No. �i� �-D F'�-D / BUILDING 338 o aS.�,,,w 1470 Jamboree Road ADDflESS TEL. TRACT ZOZ%% L07 Newport Beach No. 640-6800 TEL. ADDRESS 3661 Spruce St., Newport Beach CONTflACTOR McLain Development Co. nooAess 1470 Jamboree Road TEL. CITY Newport Beach No. 640-6800 �ic No. 273875 uc�No. OF LOT 6O X LZO I NOW ON LOTS Separate perrttits are required for electric, plumbing and heating work. USE OF BUILDING AND WORK TO BE PERFORA Single family residence, New House I heraby aeknowledge thet I have reatl this epplication and stata thet the above Information Is corract antl agree to comply with all laws regulatlnp buildfng conrtruction, and I shall not employ any Derson in violatlon of the workman's compenmNon laws of Me State of Celltornia. I hereby cartify that 1 am properly 1(censetl as a contractor under the State of Ceufornta Business antl Protassions Cotla, Dlv(slan 3, Chapter 9, and ihat such licenses ere in full forca antl ettect, or 1 am exempi from tha provisions of ihe State ot Californie 8usine55 antl Professions Cotle, DiviSion 3, Chaptar SIB�ature of \I � f��' G� „„ /�/ Permittee /�1� � �v Auihorfzed A �nt `� OWNER FIRE ZONE NO.OF USE OF NEW °DR -M D P�� BUILDING VARDSAPPROVED VAqDSAPPROVEO MAIN BUILDING ACCESSORV BUILDING /7 DISTANCE BET. MAIN BLDGS. VAR. # C.U.P.� ZF� � APPROVED if. i FOR � FT. FT. BEf. MAIN & ACCE�. BLDGS. ¢ DATE 'J � /1PPROVED '� � % � 2 SPE IAL REOUIREMENTS � House Garage SQ.FT. THE AMOUNT SHOWN UNDER VALU THE PURPOSE OF ESTABLISHING A PERt VALUATION PERMIT FEE E PLAN CHECK $ $ �3 a� TAX $ / TOTALPAID E c N � m 2352 y 678 � TION IS FOR m �T FEE ONLY: . � a / �(� N /� � .JU m a /� CITY OF COSTA RE�UFST FI�R OCQJPANC7' TRACT NO. �G�yZ � � Ldl` NO. •�i•�. IY�TE: ,�%'�9" �7 � 7he develq�er of the ab�ve entitled tract desires to sell the above set forth lot prior to the time that the tract has been oa7Qleted and its streets accepted b� the City of Costa Mesa. By executing this agre��ent, the undersigned acknc�rledges that he/she/they rras/�.ere advised that this tract has not been given fi.nal inspection nor has it been accepted b� the City of Costa Mesa as having co�lied with the conditions of approval which were vmosed b� the City at the time the Final Tract Map was approved. The City ass�s no liability for the enforce�nent of the conditions necessary for approval other than th�e conditions protected tr� surety bond. The undersigned agrees to indenu-,ify end hold the City harmless from any claim resuiting in dam3ge or personal ,injury to the uridersigned � reason of tt�e aforementioned un�rorrpleted condition(s). �M�) ��„�� „ �tC�IVED rir.; nc , r•� •a-c^. D E C%' � 1919 authorizea representative AM PA9 qi8i9ilUilliui�i2i3i4i5i6 sY g (Signature Lender) • • ARVEY HOD� SAVINGS AND AN ASSOCIATION . � � ( ��'��I��i��l „ v U:,u 4j79