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Home My WebLink About492 STURGEON DR - Building Permits(714) 754-5273 • Feu (714) 7b4-4856 • www.ci.costa-mesa.ce.us 77 FAIF DRIVE, GUS I A MtJA, GA `J1ti2ti Job Address: 492 STURGEON DR Suite No Vicinity: Parcel Nunmber: 41863211 Applicant: NOCK PLUMBING Address: 71612 KNOTT ST SUI7E 217 GARDEN GROVE, CA Owner: SHENG, LING K Address 492 STURGEON DR COSTA MESA, CA Contractor. NOCK PLUMBWG Address: 11612 KNOT"f ST SUI7E 217 Arch / Eng : Address: ISSUE FEE BackFlow irrigatlon BackFlow Preventer Bathtub Clarifer System Connect Qce,Soda,etc) DenWl Units Dishwasher Drain, Floor Drain, Rainwater D2in, Roof Drinking FounWin Expansion Tank Gas Earthquake Valve GARDEN GROVE, CA WA7ER HEATER CHANGE OUT. AMT $23.50 so.ao $0.00 $0.00 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 so.00 g0.00 $0.00 PLUMBING PERMIT Phone: (714) 895-1246 Zlp: 92841 Phone: 949-798-8230 Zip: 92626 Phone: (714) 89St246 Zip: 92841 License: 707775 Phone: Zip: License: SCOPE OF PERMIT FEE SUMMARY �TY AMT Laundry Tub I Washer $0.00 0 LandscapelrtigaUon $0.00 0 P-Trap $0.00 0 Pressure Regulator $0.00 0 Process Piping (per 10 ft) $0.00 0 Receptors $0.00 0 Septic Tank $0.00 0 Sewer Cap for Demo $0.00 0 Sewer Connect $0.00 0 Sewer Private Line $0.00 0 Shower $0.00 0 Sink, bar $0.00 0 Sink, commercial $0.00 0 Sink, Floor $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Status: ISSUED Applied: 02/02/2004 Issued: 02/02/2004 ISSUED BY: I SumpPump Swimming Pool Trap Primer Unnal Vacuum Brkr Bktlow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Sel Wasle and Vent System Water Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service AMT 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $12.30 so.00 50.00 30.00 �TY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 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, g 1, 1247-g2) E%PIRATION: This permit shall automaticalty explre and become vold it work is not commenced within 1 BO days, or if work is suspended or abandoned tor a period of 180 days. INSPECTIONS: In order for the work authorized under this permi� to be considered legal, such work must comply with all applicable codes, and all required Inepeetione and final epproval must be obtained. Failure to obtain Inspections and final approval will result in the expiretion of this permit. fOR INSPECTIONS CALL: (714) 7545626 2ue-ae �eroo� WORKERS' COMPENSAnON DECLAFiAnON: I hereby ettirm under penalry ol perjury one ol the lollowing tledarauons: ❑ I have entl will maintain a cenilicate ot consent to sell-Insure tor workers' compensetion, as provided tor by section 3700 0l tha Lebor Cotle, for Ne pertortnence ot the �work for which Ihis pertnit is Issuetl. /I heve entl will meintain workers' compensatlon insurance, as reduired by sectlon 3700 of the LeDor Code, lor the performance ot Ihe work lor which Ihis pertnit Lq IsweE. My workers' compensation Insurence carrier antl poiicy num6er are: Cerrier: Policy NumCer. (This secrion need wt be completed I! Me permit Is valued et one huMred dWlers (S 100) ar /ess.) ❑ I cenily ihat in the pedormence ol he work for which t c permit is issuetl, I shall not employ eny parson in eny manner so es to bocome sublect to the workers' compensetion lews of Calllomle nC e e that it I sh uld becoma sub�oct m the workers' compensation provisions ol Se��tttlon 3700yyy Ihe Labor Cotle, I sha0 tort�with comply with ihese provislons. �/ �� 1�� Applitent Signa�ure: Dale: _ I I WARNING: FAIWHE TO SECUFE WO (ERS' C MPEI SATION C EMOE IS UNUWFUL ANO SMALL SUBJECT AN EMPLOYER TO CRIM�INAL PENALTIES � CML NES UP TO ONE HUNDRED THOUSAND DOLLARE (5100.OW), IN A�i01Ti0N TO THE COST OF PENSATION, DAMAGES AS PROVIDED FOR IN SECfION 3�090F THE IABOR CODE, IMEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATON: I hereby aHirm thet I em Ilcensetl und pro slans al Ch ter B(wmmencing with Sec�lon 7000) ot Dlvision 3 of ihe Business entl Prolessions Cotle, entl my license Is In tull fOrCB entl BflBCL LIC. p Cless k Gontractor's Slgnature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby aflirtn Ihat ihere is e ConStruCtion lenaing agency lor the peAormance at the work lor which ihis pertnit is issueA. (Sec. 3097, Civil Coae). Lentlefs Neme: Lentler'S Address: Signeture: OWNER-BUILDER OECLARATIONS: Date: I hereby etfirtn thet under penalry ot per�ury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Buslneu end Prolessions Cotle: Any city or county which requlres e pertnit to conswct. alter, improve, tlemolish, or repair eny structure, prlor to its Issuence, elso raqulres t�e epplicenl br such pertnil to tile e signetl statement t�et �e or ahe Is Iicensetl pursuant to the pmNslons of the Contrectors License Lew (Chapter 9(commencing with Section 7000) oi Divislon 3 of Ihe Businoss and Profeuions Code) or Ihet he or s�e is exempt t�eretrom and the basis tor the ellegeA e:emption. Any violetion al Sectlon 7031.5 by any applicam far e pertnit sub�ects lhe epplicant to e civil penalry ol not mora than frve huntlretl tlollars (5500).): ❑ I, es ownar ol t�e pmperry, or my employees with wages es their sole compenution, WILL DO THE WORK, antl the strucWre is not inientletl or oHered far sale (Sec. 7044, Business and Professions Cotle: iTie Contrac�ors License Lew does nm appty to en owner ot property who builds or improves Ihereon, an0 w�o tloes such woM himself or herself or through his or her own employees, provided that such improvements are not Intentled or oHered br sale. It, however, the building or improvement is solC within one year of completion, lhe owner�builder vrill have �he burdan of proving that �e or s�e did not build or improve tor purpose of sale.). ' ❑ 1, as owner ot the D�aPerty, am E%CLUSIVELV CONTRACTNG WITH UGENSED CONTRACTORS Io consirucl Ihe project (Sec. 7044, Business antl Pmfessions Code: The contrectors License Law tloes not apply ta an owner of pmperty who builds or improves t�ereon, and who contracts for such project with e contractor(5) license pursuanl to lhe Conirectors LiCense LawsJ. ❑ I em axempt untler sac. SignaWre: Owner ID verified by tlrivers licensa. ❑ Yes ❑ No Business and Pmfessians Cotle tor tNs reason: VenficaHon af Ownership by (type ol tlocument, i.e. - O�aPerry tes bill or deed): Dnvefs LicenSe No. Date: E:plres: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTFICATON: ❑ I hereby cenify Ihat no excavetlon Ilva (5) w more faet in tlepth Into which e person Is requiretl to descend, will be made in connectlon with work euNOAzed by thls permit, antl Ihat no bullding strucwre, scaHolding, falsework, or demolition or tlismantling thereot, will be more than thirry-slx (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Celifarnia Adminisirative Catla). ❑ As owner-bulider, I will not employ enyone to do work which would require a pertnit Irom Ihe Divislon ol Indusirial Selety, es noted above, unless such person hes e permit m do such work Iwm �he division. Signeturo: Date: Division at Industrial Salery Pertnit Number: CERTIFICATE OF COMPLIANCE AND AllTHORIZA710N P ENTRV: I cehily under penalty ot perjury �ha� I have read this applice�ion end state Ihat the inlortnation gNen is correct. I egree to comply with all state laws entl ciry o nances relaUng to huilding construction, end euthodze representetives at the Ciry of Cosie Mese to enter upon Ihe ebovo-Cescribad properry lor irhspection pu�oses. I e na1 to occupy or ellow occupency of eny builtling au�horized by this permit until final inspection. GODE �, INSFECTONTYPE � Q�¢ 1616 Fixetl System Final Flre Preventlon 1268 200 Pool Spa Finel Finel Re-Rooi 207 Flnel BIocWReteining W ell 202 Flnel Factory Fire Place 203 Finel Sign 20a Finel Demolitlon �: : / 1 � i, : �� COOEa INSPECTIONTYPE 206 Finel Mechanicel 208 Flnel Plumbing 210 Flnel Electncal 212 Finel Fire Preventlon 220 Finel Planning Approval 222 Finel Slte 250 Finel Building/Occupency �.17��CIYu/]!' �-�l _Q'i � (714)754-5273 • Fex(714)754-4856 �. CITY OF COSTA MESA BUILD/NG DIV/SION DEVELOPMENT.SERVICES DEPARTMENT PERMIT Job Address: 492 STURGEON DR Suite: Vicini[y: HOUS� ONLY! Parcel Number: 41803211 Appliwnk FRRANK MANGISI Address: 16702 MT BAXTER FOUN7AIN VALLEY, CA Owner: SHENG, LING K Address 492 STURGEON DR COSTq MESA, CA Comractor. CONSUMER SERVICES Address: 16702 MT BAXTER Arch : Address: FOUN7AIN VALLEY, CA Zip: 92708 Phone: BUILDING PERMIT Zoning: R'I R1 I Phone: (714) 839-4549 Zip: 92708 Phone: Zip: 92626 Phone: (714)839-4549 License: 676090 Eng: Address: PERMIT NUMBER 699-02011 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 12I28/1999 Issued: 72/28/1999 Phone: Zip: License: License: SCOPE OF PERMIT REROOF - T/O, INSTALL 7/16" OSB BOARD, 1 LAYER OF 3Q# FELT AND 40 YEAR OWENS CORNING COMPOSITION SHINGLE ROOF. Plan Check: $0.00 Permit: $97.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Ezistina: o Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0-0 Right 0- 0 sn,000.ao sa,00a.00 NOTICE: The work euthorizetl by this permit shall comply with all applicable handicap access requirements under Californie statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-g2) EXPIRATION: This permit shall automatically expire and become void if work is not commenced wi�hin 1 BO'days, or if work is suspended or abandoned for a poriod of 180 days. � INSPECTIONS: In order for the work authorized under this permit to ba considered legal, such work must comply with all applicable codes, and all requlred Inapectione end flnal approval must be obtained. Failure �o ob�ein inspections and final approval will result in ihe axpiration of this permit. FOR INSPECTIONS CALL: (71q) 7545626 t �� WORKERS' COMPENSATION UECLARATION: I hereby aflirm untler penalty of perjury one o� �ha tollowing tledaraiions: ❑ I heve and will maintain a certificate of consanl to selt-Insure for workers' compensation, es provided for by section 3700 of the Labor Cotle, for the pertormance of the �ork for which ihis permit is issued. ' have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Cotle, for ihe peAortnance of ihe work for which this pertnit is issued. My workers' compens,1a�io�n Insurance carriar antl policy number are: Cerrier. C,�n�fFM-M�`-� PolicyNumber. 6I ILR�00 I bb�F (This section need no( be comp/eted it the Oermir is valued et one huntlred dollars ($100) ar IessJ ❑ I certify Ihat in Ihe peAormance of the work for which this permit is issued, I shell not employ any person In any menner so as to become subject to the workers' compensation laws of Califorp ia, antl agree thet if I shoultl become suhject to the workers' compensetion provisions of Section 3700 of the LeDor Cotle, I sha0 forthwith comply with these provisio',,�_rL� ��p� � Applicanl Signeture: �I A� /"'"^^S+�VI Date: � Z 2� IQl � WARNING: FAILURE TO SECURE WO ERS' WMPENSATION GE IS UNLAWFIIL AND SHALL SUBIECT AN EMPLOYEP TO CRIMINAL PE ilE$ NO CIVIL FlNE$ UP TO ONE HUNDRED THOUSAND OOLLARE (5100.000). IN AOOITION TO THE WST OF COMPENSATIIXJ, DMMGES MS PROVIDED FOR IN SECTION 3]O6 OF THE 1A00R CAOE, IMEREST, ANO ATiORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirtn the� I am forca and effect. Lic. a_ Contractor's Signeiure: of Chapter 9(commencing with Section 7000) of Division 3 of ihe Buslness entl Professions Code, antl my license is In full class a"(�. L 3� n Da�e: ` � I 2�i�%/ �v1 � CONSTRUCTION LENDING AGENCV: ❑ I hereby atlirm thei there is a conswction lending egency tor t�e pertormance ot the work tor which this permit is issued. (Sec. 3097, Civil Code). Lender's Neme: Signature: _ OWNER•BUILDER OECLARA710NS: Lendefs Addreu: Date: I hereby attirm �hat under penalty of perjury that I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for ihe Following reason (Sec. 7031.5, Business antl Professions Code: Any city or county which reQuires a pertnii �o construct, alter, improve, tlemolish, or repair any s�mclure, prior to ils issuance, also requires the applicant For such permit to tile a signed statement that he or she is licensetl pursuant ro the provisions of ihe Conirecbrs License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Pmfessions Code) or ihat he or she is exempt therefrom and Ihe basis for iha alleged eaemption. Any violation of Section 7037.5 6y eny ap0�icant for a pertnit sublects ihe applicant to a civil penalry of not more t�an five huntlretl dollars ($500)J: ❑ I, as owner of Ihe O�oPerty, or my emDloyees with wage5 a5 their sole compensation, WILL DO THE WORK, end ihe Stmcture is not intended or oHeretl tor sale (Sec. 7044, Business and Protessions Code: The Contractors License Law tloes not apply to en owner oi property who builtls or improves thereon, and who does such work himself or herself or thmugh his or her own employees, Provided that such improvements are not intended or oRered for sale. If, however, Ihe builtling or improvement is sold within one year of completion, ihe owneo-6uilder will have the burtlen of proving that he or she ditl not builtl or impmve tor purpose of sale.). ❑ I, as owner of Ihe property, am EXCLUSIVELV CONTRAC7ING WITN LICENSED CONTRACTORS to constmct the projea (Sec. 7044, Business and Pmfessions Gode: The contrectors License Law does not appty to an owner oi property who builds or impmves thereon, and who contracis for such pmject with a coniractor(s) license pursuant to the Contractors License laws.). ❑ I am exempt under sec. Business and Pmfessions Cotle for this reason: Signature: Date: Owner ID verifietl by tlnver's license. ❑ Ves ❑ No Dnvefs License No. Expires: Venfication of Ownership by (rype of documen�, i.e. - propeny tax bill or deed): DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATON: ❑ I hare6y cenity thai no excavation tiva (5) or more feet in depth into which a person is required to descend, will be mede in connection with work authonzetl by ihis permit, antl Ihat no building siructure, scattoltling, lelsework, or demolition or dismantling ihereoi, will be more ihan thirry-six (36) leet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, Califomia Atlministretive Code). ❑ As ownerv6uilder, I will not employ anyone to do work which woultl requlre a permit from t�e Division of Industrial Safety, as notetl above, unleu such person has a permit to da such work trom Ihe division. Signature: Date: Division af IndusMel Safeiy Permit Num6er ICERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTAY: I certify under penalry of perjury that I have reatl ihis application and state that the information given is I correct. I egree to comply with all state laws and city ordinances relating to building consimclion, end authorize representatives oi ihe City of Costa Mesa to enter upon the above�described property for inspection purposes. I agree noi to occupY or allow occupancy oi eny building authorized by ihis permit until linal inspection. COQE �. INSGECTIONTYPE 1616 Fixed System Final Fira Preveniion 1266 Pool Spa Final 200 Final Re-Roof 201 Final BIocWReteining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition 24a6-a8 Owner(s) Date �— 1 L��l i Applicant �e ILAj$ INTITIALS COpE I INSPECTION TYPE 20fi Final Mechanical 208 Finel Plumbing 210 Finel Elecirical 212 Finel Fire Prevemion 220 FinalPlanning Approval 222 finel Site 250 Final Builtling/Occupancy PpI€ INiR1ALS � UJECTAOOPESS: Q91 STURGEON DR OWNEN'SNAME: SHENG LING K nooxess: 99z S�1'URGEON DR COSTA MESA,CA 979-8208 RflCN1ENGINEEP: AOONE55: UNIT: 92626 flEG.NO.: UNIT: PEHMITTEE: CI'IAMPION ROOFING (213)259-0451 nooxess: 3257 VERD[IGO L.A. CA 90065 UCENSEO CONTNRCTOB OECLAflRiION: I nere0y a��irm l�ai I am licensed wGer D«sion5 ol CAapler 9(commencing wiih Sec�ion 7000� ol Oivsion 3 of Ihe Busineu aib Pmlessions CAGe. ana rtry license is in full lorce anG efltti. cirruc.: 042^�7�25 srnreuc.:42948j� „��ss: C-39 �iele-y/7}_Py=� � Signaiure: _�� wONREPS' 60MPENSpTION DECIAflATION: I hereDy aflirm Ihai 1 �av¢ a Cerli�iWte ol rAnSeni Io Sel4insure Or a tetli�iCaie al WOBers' Compensalion Insura9�ce o�],cgrtil ed c,Q0y ��ereof (Section 380�. Lab POLICYNO.: WPV6ltf1�—V9 E%P.ORTE: G�OZI92 comraxr: PACIFIC INS CO ❑ Cerlili¢tl toOJY is �¢reCy �umis�e0. � Cetli�ieG capy i5 IileO w/lh� �.gjary Buii ng Division. �—/�7t� (� AP�licanl ' 1 "� ENEMPTION FflOM WOHIIEPS' COMPENSITION OECUMTION: (T�'�secwn nee0 not Ge comqettd it Ve pertrvi a tor one huMreO (4100) m less�. I cetlity t�a� in Ne peAormance o� �he work for w�ic� lhis permii is itsuetl. I 5ha0 noi employ any De«n in any manner so as �0 6ecome SUGI¢cl �o �he Workers' Compensalion Laws ol Calilomu. �ale: Signa�ure: NOtItE: It, afler making tnis aetlaralion, you snoule eecame suUject to tne waAers' Campensation prwisions of ihe LaOor Cotle. you musl farihvni� tamply wiih Suth provi5ions ar I�iS p¢rmi� S�all Ge Aeemed reroke0. CONSTHULTION LENOING AGENCY: I AereUy af�irm I�al��er¢ o a consiruction lenaing agency for Ihe petlormance o�ihe work for whicn tnis ve�mn is issuetl (Section 3W7. Civ. C1. LENOEfl: aooness: OWNEfl BUILOEfl OECLABRTION: 1 �ereDy aflirm Ihat I am e�¢mD� ��am I�e Comratmrs' Siate License law for ihe following reason (Secuon 703t.5 Business and Proteuional CUEe: My uty of muniy whicl� requires a permil �o wnswc�, atler. imD�ave, tlemolish, or ieoai� any strucmre. D�io� ia �ts issuance. atso repuires ��e apqirant lor wcli permit �o lite a igne0 sWtement that �e/she is Iicense0 pursuam �o ��e pmvisions ol ine Coniracrors' State License Law (CAapter 9(wmmendnp with Section 70W) oi Oivisian 3 of the Business antl Prolessions Codel or Ilu� he/she 5 exemD� �neret(wn antl ine easis Ior the alleged exemption. Any violation of Section 7031.5 hy any applicant lor a Oe�mil subjects ine dpolitant lo a civii penally of nat more Ihan five tlunareA tlollars (�`�1. I, as owner ol ��e propltly ar my emyloyees xilA wape5 d5 lhGr Sde compensation, wi0 Eo �he xrork, antl ine ❑ stmcmre is not intenCeO or ollered lor sale (Sectron 70aa. Busineu an0 Proleuiorul CoAe: The Coniractors' State License Law dces nol apply to an owner ol a prapeny who builOs or imv�oves IAereon, an0 who aoes sucn woA himselilnerself or thmuAh �is or her own emDloyees, provi4e0 Ilwi 5ut� improvemenis art noi in�ende0 or Olfer¢4 lar Sale. II, �Ow¢v¢r t�E Euiitling or imo�ovement is sol� minin one year ol completion, Ihe owner will tWve Ihe euraen ol pmving ne/she dia nat buila or impmve Ior �na purpOsa ol sale). 1, as owner ol the propetly. am eKUuvv¢Ip comracung vnth licensea contractors Io construc� the D�olect (Section 7044, Business ❑ ane Pmiecsions Code: TAe Contraziors' Slale L'¢eise Law Eces not a00N lo an ovmer o� Dmperry who Dm105 or improves ��ereon and who coniratls lor suc� prol��s vni� a conira[Im�S) LCenSe Oursuant to t�e Conlraclors' S�ate License Law1. I am aware Ihal Oroo� ol iheir WOrker'S Campen5aiion irtwtante 51puIG Oe 0«tletl t0 me. � I am ezempl untler $e[lion: B. 8 P. C. lo� t�i3 reason: oa�e: O«ner. I tlo nere0y cenily lnai 1 am aware ol and unAerstane tne requirements of CaAlomu MeaIN antl Safery CaOe Satwns 25505. 25533. an0 25534 a� ttial I ar any lulure �vil�ing octupant vnlVwill nol (utde One) nee0lo mmpty wit� Said state Caaes and Ihe repuirements lor a Oermi� br [onslmCiion or mpdilitdli0n �rom I�e Air OuaLiy Managemeni OiSVitl. FevEentul cOnsimtti0n appliCaliUnS ate exemD� ��Om tnese pmvisions. �ale: FpDlitanl: I hereUy certily Ihal I luve rea0 �N5 a0��an anC 5�aie Ihai Ihe above intormatian is wrrecL I agree lo complY vn�h ali ciry ana coun�y ortlmances an0 sta�e laws relating to GWJing conswclion aM �ert0y auttnnze reyesenuG 5 of Ws dry to enter upon Ihe above-mentionetl O�OpE(�y IOf in�Sp]C,C�i011 DU�pO5P5. ,1]��/7'�� Sig(uwre:� .��--tsoria�sec�orv�: �'� —"� �pli[dnC Pink—Rev¢nue: Gdd2nead—Asse550r CITY OF COSTA MESA — BUZLDING PERMIT PERM Nq: B 05411 PERMIT NO: H 059118 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTION : T/OFF REROOF W/PLY S GRAVEL SQ FT: 2,SOU CLAIM VALUE: 2,500.00 CALC—VALUE; 2,SU0.00 GROUP OCC: R-3 / COMMENTS: SMOKE DETECTOR REQUIRED *��*****�a�*�x***�t � �t********+��x�*��*�+t***� ��*��**�+�x��e�tx�**+�x+t**x**�c*#� ��+��*�+��*�* Z O N I N GS ERTEBQAUCIKRSE M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR; FT IN FRNT: FT IN REAR; FT IN LEFT: FT ZN RGHT: FT ZN LEFT: FT ZN RGHT: FT IN PARKING REQ• PROV: PARCEL: 41803211 ZNE; REF NO: PLANNING N(5TE5> i ��«**+r�*�*��*�*��****�*�*��***��,�*�«��*�*��*��*�c��*�**��*******,��"��*�*+�** D E V E L O P M E N T S E R V I C E S R E Q U I R E M E�N,T S i ZONING APPROVED BY DATE: " BDILDING APPRUVED BY : DATE: r�� APPLiCATION ISSUED BY: DATE; �`�� t******��*�r��r*�*�**�� `. r*x�+r*�r*��r��*�t 1EiFlEitiEjFiEiFlEiPilifffitkiEikififkiFiFkfEiElfifiEiEiflfikiFiEffiEiFaEitiEiFiEiEiEi(7F1fif1ElffEifiFl4iFik1FlflEififiPifielElFi6 ��iE'�1fIF1ElEifiEiEiFirif LEGALZZATION:N F E E S U M M A R Y STRUCT[1RAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 59,00 ,50. SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMZT ISSUE PLAN—CHECR TOTAL PAID.�• DOE TOTALS----> 54.50 0.00 0.00 54.50 54.50 .00 REVENUE DIVISION TOTALS--> COLLECTED: 59,50 OVER/SHORT: .00 HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING:PLAN—CHECR 59.00 ,50 � if k iF k k IE if iE iE IE �f !F iE if if if if fE �f !F 1F if !f �h k iE k k If if IF If IE iF If ik iF if if M k k if ik if if �f if Y.� iE k 1f it �f IE k ff lf 1F 1E i! if if if IF iE 1E N iE � lE iE 1E if iE ik i41k k Z N D I V I D U A L F E E B R E A FC D O W N ' i , TYPE QTY D E S C R I P T I O N UNIT COST .TOTAL COST SFR 2500 REROOF BY VALUE RESIDENTIAL N020NE 1,00 2,500,00 END OF FEES t��q-V \ \ ` tJ+ �i�:�� . . ��'F. �IS�)r,:I.: L.�' �.�. CONSTRUCTION ANDPLANNING APPROVALS Permit # pate 1. Temporary Electrical Servicenr Pole �� 2. Soil Pipe-Undrgrnd. � �} � ' 9. ElecVical Conduit Utility-Updfgrnd: ' ^ 4. Electrical Conduit=Undrgrnd. 5. Steel Reinforcement � 6. Electrical UFER Grnd. . 7. Footings 8. Foundation �� ,� 9. Wa[er Pipe-Undrgrnd. _ 70. Structural Floor System 11. P,roperty Sewer Line & House Connection �� 12. Sewer Cap - 13. Roof Drains - 14. Rough Plumbing 15. Rough Electrical-Conduit 16. Rough Electric Wiring 17. Rough Wiring Sign 18. Rough Electrical-T Bar Ceiling 79. Rough Heating & Air Conditioning 20. Rough Factory Fireplace , � 21. Ducts, in Struaure' , , ' � 22. Ducts, Ventilating ' 23'-Gas Pipe-Rough & Test ' 24. Roof Framing . - 25. Roof Sheathing _ , 26. T-Bar Ceiling (Strucwral) & Monocoat 27. Frame and Flashing 28. Lathing$ Siding _ �. � . 29. Insulation ' � ' .30. Drywall�Nailing . ' 31. Plaster Brown Coat . 32.--Electriwl Power iVleter-Final. 33. �Final Electrit ' , 34, •Final Heating & F,ir Conditioning - 35. Final Ga5 Pipe-Test - � _ , ,36. Hoo,d or Canopy . 37.'Final Factory Fireplace • 38. Final Plumbing , � � . '.39. Water Service•Final 40. Gas Service-Einal -41. Solar pomesticFinal 42. Backflow Preventer � 43. Backflow Irrigation + • .44. Landscape Irripation System ; ' i . 45. Sound Attenuation • 46. Handicap Regulations �- 47. FINAL STRUCTURE & BUPLDING 48. FINAL P�ANNING . ' 49. Electric Release to Edison � 50. Gas Release to Southern Calyfornia Gas Co Inspector a 6 PC & SPA APPROVALS Permit # Date 52. Pool & Equipment Location 53. Steel Reinforcement 54. Forms 55. Electrical Bonding 56. Fough Plumbing & Pressure Test 57. APPROVAL TO COVER•GUNITE 58. Electrical Conduit�Undrgrnd. 59. Gas Pipe, O Undrgrnd., Test 60. Backwash Lines, P�Trap, O Undrgrnd. 61. APPROVAL TO DECK 62. Backwash & Receptor•Final 63. Heater & Vent-Final 64. Plumbing System � Final 65. Electrical•Final 66. Solar SYstem-Final 67. Fencing & Access Approval 68. APPROVED FOR PLASTERING 69. POOUSPASYSTEMSFINAL FIRE DEPT. REQUIREMENT APPROVALS - Permit # 70. Underground Hydro 71. Product Pipin9 O Gas O Oil 72. Underground Flush - 73: Undergrnd. Srorage Tank a Gas � Oil 74. Overhead Hydro 75. Dry Chemical - 76. Dry $tanc{pipe • ' ' 77. FIXED SYSTEM FINAL � 78.� FIRE PREV. FIN/�,L • HEAL'iH.DEPT. REQUIREMENT .79. FINAL INSPECTION 80. FOOD CERTIFICATE ISSUED � Notes: • u . � + ' . . ;; - '.S,.i.� . �l.vrMlVl. � I I I. - ... Date 5 InspeCtor f : OWNER SHP;IYG, L1MG K. JOB ADDRESS 92 Stu � AP No %�lNSPE � i� SOIL �� GAS WATER ROUGH RPROP. ! �oo,u� ROUGH HEATING AN� r11R CONOITIONING TEMP00.ARy SERVICE OR POLE UN�ERGROUND � POwER � ROUGH WIRING TflENCHES � FORMS � STEEL REIN FLOOR SVSTEM BOND BEAM n STEEL REINFORCE �J SHEATHING � FRAME ANq FLASHING � LATHING � IN n OUT � PLASTER,BROWN COAT STRUCTURqL, FINAL HERTING, VENT., REFRIG. AND P.C., FINP P�UMBING, FINAL NND GAS TEST [] ELECTRIC, FINAL BUIL�ING. FINAL �%✓ I DATE 3'�w'/7 BUILDING PERMI f�T�'[�P.I�7_�� SUBCONTRACTOR Z . a U 2Q � N am J � J � m J J m Q U Q Z� d W W Z J Q m Z J � W w 0 Z� W � N � � � H z a U J a a Q 0 H N Z O F U � � H N z -�� 39744 COSTA MESA BUILDING-SAFETY DEPAf P.O. BOX 1200 COSTA MESA, CALIFORNIP � For Applicant to Fill in Completely BUILDING �, n \ .-. 1 _ __ _ ._ � _ OWNER CITV `(�S"1� �f CANSTRUCTION LENDER BFANCH ADDRESS ARCHITECT OR ENGINEEF ADDRESS CONTRACTOR ADDRESS CITV STATE �IC. NO. 512E OF LOT USE OF EXISTING BLDG. S12E OF NEW BLOG. EXTE:iIOF WALL COVEFING USE OF BUILDING AND ?1. � PAIi. b,g ':s;ir.y�: �an _ �-.5�;;�.00 �� 550 APPLICATION FOR BUILDING PERMIT BUILDING � , AODRES: TEL. � TR NO. W A OWNER� TEL. S NO FIRE 20NE _ /)��• APPROVI 1� BV TEL. Z�N NO.OF NO. PLANS CITY VARDS APPROVEO LIC. NO. MAIN BUILOING NO.OP BLDGS. (FROM GL STREET) NOW ON LOT FRONT FT. F NO. Of ROOMS STORIES L.SIDE FT. ROOF 0 DI5TANCE BET MAIN BIDGS. VAR. �I`- C.U.P.aF+ LOT/✓/11 BLOGK APP RV BET. MAIN & ACCESS.BLD DATE APPROVED I hereby acknowletlpe that I have reatl this appliceiion antl state $TATE that the above intormation is correct and agrea to comply with all laws reguletinB builtlinB construction, and I shall not employ � O � eny perzon in vlolatlon of t�e workman's compensetion laws of tha State of Californla. � I hereby certify that I am properly licansetl as a contractor untler SQ. FT. Ti1X O ihe State of California Business entl Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapier 9, antl that such licensas are in full force and effect, or 1 THE PURPC6E OF ESTABLISHING A PERMR FEE ONIV: ¢ am ezempt trom the provisions of iha Stata of Cellfornle Businecs VALUATION and Professions Code, Division 3, Chaptar 9. H PERMIT FEE $ � ] Signeiure of � � r—. m Pefmittee $ �/411i � PLAN CHECK $ E �� (f LL Authorized Apent . TOTAL FEE $ �� // v� 2�543 � COSTA MESA BUtLDING-SAFEfY DEPARTMEM P.O. BOX 72a COSTA MESA� CALIFORNIA 9Z620 For ApplimM ro F(11 In Complshly TYPE OR PRINT �onne�aa � � S�\) Q- rit � 1.1 COSTA ME6A, CALIFORNIA BUILDIN6 s�ze EXTERIOR 1 1 H[R6pY I�ND 6TAl C� J1�130-67 a0 863# ��*128.25 A►PLICATION FOR PERMR BUIIDING for ONlco U» Only euacino � `�S ZONING m xo.or uscort+tw LtJ Q ��Y . —/ �LAN� �IIILDINO � � � �o.� 9 ,Cor � � oiae.irrwH c A. P. NO. � ' N0T8: NOlAVEOVERNANOSHALLEHLC88THAN TH4 80' TO 81D8 S REAR . L N . 3 �,�ee No.ole�Da�. ALLOWBD <U.B.C.REGl11REMHNT: NOW on LOT YARDlAPPROVED YARDHAPPROVED MAINBUILDIN6 ACCHSSORYBU7LDIN0 ioY � �% Q1 R � RCAR YM `V t �rr �J eiarrr \ O D85CRIPTIOM OF WORK LC7[T ZO 1[DO[ iXAT.I MAV6 HIONATURlOF P8RMITTH AUTf10RlZ[D A6LN[ 2 ��R. � � c. . . D irrRovm ! � DAT6 W 07 � �� .% �� ea. rr. � iH[ AYOYM �MOWN UHD6q VALYATION 19 POR THH � ■URPOO[ OI �fIML1GHINO A P6pNIT !eH ONIY. � -UATION ] /y PHRMIT FH6 � '7Y Irl/iF/ LAN_GtlG�K �� w