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Home My WebLink About961 MAGELLAN ST - Building PermitsCITY OF COSTA MESA t�,0�'TpMFy'q BUILDING DIVISION j�� 77 FAIR DRIVE. COSTA MESA. CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • w�wcci.costa-mesa.ca.us � FOR INSPECTIONS CALL: (714) 754-5626 °'"�^""Ofi PERMIT NUMBER. E11-00171 PERMIT TYPE ELEC STATUS: ISSUED APN: 14133402 DATE ISSUED: 07/20/2011 ISSUED BY: RMD JOB ADDRESS: 0('"9�1�MAGEL''LQN ST'GM� vicinity: Suite/Unit: SCOPE OF WORK: ELECTRICAL PERMIT TO UPGRADE SERVICE PANEL TO 200A IN CONJUNCTION WITH A BATHROOM REMODEL. OWNER: CRANE, HILDA 5 TR PHONE: APPLICANT: KAHANA, ARIEL PHONE: 818-602-2827 CONTRACTOR: WORLDWIDE CONSTRUCTION INC Address: 19327 VENTURA BL Unit: SUITE A City/Stale: TARZANA, CA ZipCode: 91356 ELECTRICAL PERMIT FEES Electrical Plan Check Fee: $0.00 Electricat Permit Fee: $54.00 Reinspection Fee $0.00 TOTAL FEES $54.00 Address: 27185 HOWARD ST Unit: Ciry/State/Zip: SUN CITY, CA Address: Unit: City/SlatelzZip: License No. 891643 PHONE: 888-709-2424 CELL: NOTICE: The work auihorizetl by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations, (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work auihonzed 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 ro obtain inspections and final approval will result in the expiration of this permit. C OE t. INSPECiIONTYPE DATE IN1111RL5 CODER INSGEGiIONTYPE DA7E INTIiIRLS 7676 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 20B Final Plumbing ' zoo Final Re-Roof 210 Final Electriral X 7- a� 11 � 201 Final Block/Retaining Wall 272 Final Fire Prevention 202 Finai Pactory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Si�e 204 Final Demolition �50 Final Building�Occupancy � WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalry of perjury one o( lhe following declarations: ❑ I have and will maintain a ceAificate o( consent to self-Insure for vrorkers' compensation, as proviaed for by section 3700 of ihe Labor Cotle, for the peAormance of Ihe work for which this permi[ is issued. ' ❑ I have and will maintain v.orkers' compensation insurance, as required by section 3700 0! the Labor Code, tor t�e peAortnance of the wnrk fw which this permit is issued. My workers' compensation Insurance carrier and policy number are: Garrier=� �^(�i�P. �Gh ' � (Tnissertianneedmtbemmpetedatne��1'tonenundretlrollars(St00)wless) P.olic'y�Numbec p � n/. U _� �c.l /� �� ❑ I certify Ihat in the peAormance of the work for which lhis permit is issuetl, I shall not employ any person in any manner so as to become subject to ihe workers' compensation laws o! Califomia,'and agree that if I should become subject ro the vrorkers' compensation provisions of Section 3700 of the Labor Code 1 shall (onhwith comply with Ihese provisions. A ,i MSffig �I��--� WARNI�R SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I herehy aKrm that I am licensed under provisions of Chap�er 9(cOmmencing with Section 7000) of Division 3 of the Business and Professions Cotle, and my license is in full orce and eflect. L�#'-- GI`ass #— 2b ontractor's nawre Oal C�i �_ �- CONSTRUC710N LENDI GENCY: ❑ I hereby affirtn ihat there is a consiruction lending agency tor the peAormance of the work for which this pertnit is issued. (Sec. 3W7, Civil Code). Lender's Name: Lender's Address: Daie OWNER-BUILDER DECLARATIONS: I hereby aHirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 703L5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any stmcNre, prior to its issuanc8, also requires the applicant for such permit ro fle a signetl statement that he or she is licensetl pursuanl to the provisions of the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 5 of Ihe Business and Pm/essions Code) or that he or she is exempt therefrom antl the basis (or [he alleged exemplion. Any violation of Section 7037.5 by any appliwnt for a permit subjects the applicant to a civil penalry of not more than five hundred dollars (5500).): ❑ I, as owner o( the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and che structure is not intended or offered (or sale (Sec. 7044, Business and Professions Code: The CoMracrors License Law does not apply �o an owner of propefty 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 imended or oflered for sale. I(, however, the building or improvement is sold wilhin one year of completion, the owner-builder vnll have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as ovmer of lhe property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business and Professions Code: The contractors License Law dces not apply to an ovmer of property who builds or impmves thereon, and who contracts for such projecl with a contractor(s) license pureuant to the Contrectors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signawre oa�e JOSJ-+6�3I09) Owner ID verifed 6y drivei � ncense. ❑ Ves ❑ No Driver's License No. Expires: Verification of�Ownership by (rype of tlocument, i.e. - propeny tax bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby ceAify lhat no excavation frve (5) or more feet in depth iNo which a person is required to descend, will be made in connection with v.ork authorized by this pertnil, and that no buildinq struclure, scaFfdding, (alsexork, or tlemolition or dismantling �hereof, will be more Ihan thirty-six (96) fee[ high. (Chap. 32, Gry 2. !vl 2. Sec. 341. Title 8. Cali(omia Administrative Cotle�. ❑ As owner-builtler, I will not employ anyone to do work which would require a permit (rom the Division of Industrial Salery, as noted above, unless such person has a permit to do such vrork from the division. AOP��'s Signature Date Division o! Indus�rial Sa/ery Permit Number: HAZARDOUS MA7ERIALS ANO EMISSIONS CER7IFICATION: 1. Will Ihe applicant or present or fu[ure building occupant need to file and certify a Business Plan for emergency response to release or lhrearened release of a hazardous material? ❑ Yes ❑ No (Seclion 25505 0( ihe California Health and Safe�y Code requires, with some exceptions, thal a Business Plan be liled wilh the Costa Mesa Fire Department by every business which has at any one time during a reportetl year a quantity of hazardous ma�erials equal to or greater lhan a weigh� of 500 Oountls, or a volume ot 55 gallons. or 200 cubic feet of wmpressed gas at stantlard temperature and pressure). 2. Does or vnll Ihe applicant or present or future builtling occupanf neea to file a registration form (or awlely hazartlous materials? ❑ Yes ❑ No (Section 25533 0! the Califomia Health and Safety Cotle, wilh some exceptions, requires registration wiih the Costa Mesa Fire Department by each husiness which at any one time has on hantl a quaniity o( acutely hazardous malerials equal to or greater than a weigh� of 500 pountls, or a volume of 55 gallons, or 200 cubic (eet of compressed gas at standard temperaNre antl pressure). 3. Does or will �he applicant or present or IuWre building occupant need �o prepare an RMPP (Risk Management and Prevention Program for acutely hazardous matenals)? ❑ Ves ❑ No (Section 25534 of the California Heallh and Sa(ery Cotle provides that the Costa Mesa Fire Department may require the preparation, certifiwtion antl fling with the Fire Depariment of an RMPP by businesses which are required to register aculely hazardous matenals with the Fire Department. 4. If an RMPP is presently required, has Section 25534 of the California Health antl Safely Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or future building occupanl require for the vrork which is ihe subject of this application a permit for such constmction or modi(cation lrom Ihe South Coasl Air Quality Management District or Irom any o�her air pollution conirol districl or agency? ❑ Yes ❑ No (Sectbn 658502 of ihe Califomia Govemment Code requires ihat the requested infortnation be (umishe0 on applications for non-residential building pertnits). 6. Will any part of the facility to be constructed under this pertnit be within 1000 (eet trom Ihe outer boundaries o! a school? ❑ Yes ❑ No (If'yes", the lacility must meet the requirement of Sections 25534 and 42303 of the Calitomia Health and Safery Code�. 7. If a permit Gom the South Coast Air Qualiry Management District or other air polWtion coMrol district or agency is required for the work which is the subject o( lhis application, have all ol the disclosures prescribed by Califomia Health ana Salety Code Section 42303 been matle? ❑ Yes ❑ No 8. Qf "yes", attach certificate o( compliance from the appmpnate air pollWion control oKcer). CERTIFICATE OF COMPLIANCE: I cenify that under penalry of perjury the information given above is correct. I aqree to comply with all state lavrs and cily ordinances regartling Hazardous Matenals antl Emissions. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I cenify under penalty of perjury that I have reatl lhis application antl state that the information given is correcL I agree to comply with all state laws and city ordinances relating to building consiruc�ion, and authorize represeNatives of Ihe Ciry o! Costa Mesa to enter upon the above�escribed property !or inspection purposes. I agree not ro occupy or allow occupancy of any builaing authorizetl by this permit until fnal inspec�ion. Sig t oi Legal Ovmeqs) Oaie 0 IOrAWbOt� 1 (�Dd�l. � — p�a� �sa•sz�s • Fa: (»a� �sa-aass Job Address: Suite No Vicinity: Parcel Nunmber: Applicant: Address: CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT PLUMBING PERMIT 961 MAGELLAN ST ENTIRE RESIDENCE FROM THE METER GCfKkLS�Yi LALIBERTE, ROLAND 2804 HONLULU AV VERDUGO CITY, CA Owner: CRANE, HILDA S TR Address 27785 HOWARD ST SUN CITY, CA Contractor: MASTERSERV INC Address: 2804 HONLULU AV VERDUGO CITY, CA ArchlEng: Address: Phone: 818-957-8985 Zip: 91046 Phone: Zip: 92586 Phone: 81 &957-8985 Zip: 91046 License: 580017 Phone: Zip: License: PERMIT NUMBER ✓ P99-00278 T7 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 05/13/1999 Issued: 05113/1999 SCOPE OF PERMIT COPPER REPIPE OF ENTIRE RESIDENCE FROM THE METER 8 WATER HEATER CHANGE-OUT. ISSUE FEE Back(low irrigalion BackBow Preventer Bathtub Clarifier System Connect (Ice,Soda,etc) Dental Units Dishwasher Drein, Floor Drain, Rainwater Drein, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-0 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT $22.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY AMT Laundry Tub / Washer $0.00 Landscape Irrigation $0.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 ft) $0.00 Receptors $0.00 Septic Tank $0.00 Sewer Cap for Demo $0.00 Sewer Connect $0.00 Sewer Private Line $0.00 Shower $0.00 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen $0.00 Sink, service/mop $0.00 Spa (private) - $0.00 Spa (public) $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMENTS / SPECIAL CONDITIONS SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(14) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION TOTAL CALCULATED FEES: AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $11.00 $0.00 $875 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $41.75 QTY 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 NOTICE: The work authorized by this permit shall comply with all applirable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire end become void if work is not commenced within 780 days, or if wo/k is suspended or abandoned for a period of 180 deys. 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 Inapectlone and finel epproval must be obtained. Failure to obtain inspections and final approval will result in Ihe expiretion ot this permit. FOR INSPECTIONS CALL: (714) 7545628 WORKERS'COMPENSAnON DECLARAnON: � ' I hereby eHirtn under penalry of perjury ane of tha tollowing dedarations: � ' ❑ I heve entl will maintein a certlflcate ot consent lo selt-Insure tor workers' compensation, es Drovidetl tor by sectlon 3700 of the Lebor Code, for Ne pertormance of the rk for which ihis permil Is issuetl. I have and will mainteln workers' compensation insurence, es required by section 3700 ot the Lebor Code, for Ihe peAortnance of Me work for whic� Ihls pertnit Is iuued. My workers' compensetion Insurance certier end policy number are: Cerrier. � Policy Num6er: (lhis secNon need not be comp/efed if fhe permit is velued et one huntlretl dollers ($100) or /ess.) ❑ I cenity Ihet in ihe pertormance of ihe work for which this pertnit is issued, I shell not employ any person in any manner so as to become sub�ect to the workers' compensation laws oi Calilomla, end agree that if I should become suDjact to ihe workers' compensation pmvislons ol Sectlon 3700 of Ihe Lebor CoCe, I shall torthwith comply with these provisigps. �� A Ilcant Si nature: ��x� Date: S— /3 -�'77 PP 9 Z�_ WARNING: FAIWRE TO SECURE WORKERS' C0f�1PENSATON COVEMGE IS UNUWFUL nND SHRLL SUBIECT PN EMPLOVER TO CRIMINAL PENALTIES �D dVIL FlNES UP TOONE HUNDRED T/IOUSFND DOLLARE (5100,000), IN ADDfTION TO THE WST OF COMPENSATION, DAMAGES AS PROVIOED FOR IN SECTION 3)Ofi OF THE LABOR WDE, IMERESi, ANO ATTORNEY'S FEES. LICENSED CONTRACTORS DECLAHATION: I hereby eflirtn ihat I em licensetl under provislons oi Chapter 9(commencing with Sectlon 7000) oi Division 3 oi the Business entl Professions Coda, antl my Ilcense is in full force and eflecL Lic. R Clau A Conirectols Slgnature: �j� Date: . T— / �-5'Q CONS7RUC710N LENDING AGENCV: ❑ I hereby aMrm Ihat Ihere is a construqion lentling egency lor the peAormance oi �he work ior which this permit is issuetl. (Sec. 3097, Civil COAe). Lender's Neme: Lenders Address: Signeture: Dete: OWNER-BUILDER DECLARATIONS: I hereby ettirm Ihat untler penalry ot perjury Ihat I am E%EMPT FHOM THE CONTRACTORS LICENSE LAW for the tollowing reeson (Sec. 7031.5, Business entl Professions Code: Any ciry or wunry which requires a pertnit to consWct, alter, impmve, demolish, or repair eny structure, pnor ta its issuence, elso requires Ihe epplicent for such permit to lile a signetl statement ihet he or she is licensed pursuant to the provislons W the Comractors LJcense Lew (Chepier 9(commancing with Section 7000) 01 Division 3 ot tha Business and Professions Code) or that ha or she is exempt Iherefrom and tha basis far the ellepetl e:emption. Any violetion of Section 7031.5 by any applicant for a permit sub�ects the applicant to e ciWl penalry o1 not more than five �undred dollars ($500).): ❑ I, es owner of the properry, or my employees wit� weges es iheir sole crompensetion, WILL UO THE WOfiK, entl the siructure is not intendetl or otteretl for sale (Sec. 7044, Business antl Professlans Catle: The Contrectors License lew does not apply to an owner oi property who bullds or improves ihereon, entl w�o tloes such work himself or hereelf or ihrough his or her own employees, provided thet such improvements ere not intended or oNeretl for sale. Ii, hawever, Iha huilding or improvement is sold within one year of complelion, the owneo-builder will heve fhe burdan ot proving thet �e or she did not build or improve for purpose of sale.). ❑ I, es owner oi the pmperty, am EXLLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to conswct the pro�act (Sec. 7044, Business entl Pmfessions Code: The contractors License Lew does not epply to en owner of property who bullds or Improves thereon, end who contrecis tor such project with e contractor(s) license pursuan� to Ihe Contractors License Lews.). ❑ I am exempt under 5ec. Signeture: Owner ID veritietl by anvefs license. ❑ Ves ❑ No Business and Pwfessions Code for ihis reason: Verification of Ownership by (rype ot document, i.e. - pmperty tex blll or deatl): Dnvers Licensa No. Date: Eaplres: DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hareby certily tha� no ezcevetion tive (5) or more feel In de0�h into which a person Is reduired to descend, will ba mede in connection wlth work authonzetl by this permit, end that no huiltling strucWre, scaflolding, felsework, or demolition or dismentling thereof, wlll be more than Ihirry-six (36) feet hlgh. (Chep. 32, Gry 2, Art 2, Sec. 341, Titla 8, Califomia AdminlstretNe Code). � As owner-builder, I wlll not employ anyone to do work which would require a pertnit irom ihe Division of Indusirlal Safery, as noted ebove, unless such person has a permit to Oo such work from iha tlivision. Signeture: Dete: Division ol Indusirial Safery Pertnit Number: CERTIFlCA7E OF COMPLIANCE AND AUTHORIIATON OF EMRY: I cartify under penelty ot perfury ihat I have read this application and state that Ihe infortnation given is correct. I egree to comply with all stete laws antl ciry ordinances relating to bullding constmction, antl euthorize representetives of ihe Clry of Costa Mese to enter upon the ebove-described properry for inspectlon puryoses. I egree not to acupy or allow wcupancy of any building aut�orizetl by Ihis pertnit until iinel inspection. � /�l7�newre Legal er��`� �^13et4, Y/ / � � � And/OrAutho ed Applicant Date COOE 1. INSPECTION TYVE 1616 Fi:ed System Finel Fire Prevention 1266 Pool Spa Final 200 Final Re-Root 201 Final BIocWRetaining Well 202 Final Factory Fire Place � . 203 Finel Sign 204 Final Demoli6an . � .. 2A4&48 COOE 1 INSPECTION TYFE 208 Final Mechanical 208 Final Plumbinp 210 Final Electrical 212 Final Fire Preventlon 220 Final Planning AOprovel 222 Final Site 250 Final Building/Occupani P�, IHfffULS o •• �1 �� cxmecreooxess: 961 h1AGELLADI ST owxea�sxeMe: RICHARD CRANE aooxess: SANE AS ABUVE 719/545-9920 RflGUENGMFEB: NEO.NO.: uxn: 0 �OOHESS: UNR: PEflMITTEE: CRiZG COMMERCIAL�WAYNG ( 714 ) 548-5569 nooeess: C.M. CA 92627 LILENSED fANTNACTOB OEClAMT10N: I �ereDy aflirm Ihat I am IicenSeC unEer prmticioni ol Ctupter 9(commmcinp xit� SecGon 700�) ol Oivision 3 oi t�a 6usine55 antl Pralessians Cotle my license is in full torce ettect. cirru 005993 S�T��uc.:4086i7 �u�,r�' Oate:_��C� SiOnature� WOflNENS' COMPENSIITION OECIAMTION: I h y rm tha� I �ave a certificate oi consent ta setbinsure or��cc'/// rtilicate ol WoMers' ComDensation Inswancm ot a c rtiOeU copy tAe ot cnon 3800, Lah. C) // <�.,..<-,9� �1/01/91 �/ vaucr xo.: exr. o�rz: �rnvexr: STATE ,,{ Ce/rtif)ieE copy/ is� �erehy fumiSheE. L] Certitie7 copY i' vAt� t iry 9uilUinA Divislon. •. Oa�e:! � /�/ �"' ADDlicani- �� . F%FMPTION FBOM WOBNEflB' COMVEXSRTIOX DECUMTION: (ihis secuon neetl nat 6e completeA il the Dermil is for one huMraA (5100) or less). I certity that in the perlormanca ol the work lar whic� this permit is issued, I sAall not emDloy any parson in any manner so as ta Oewme suClect to Ihe Worker5' ComO�nsation Laws ol Calilomia. Oate: Sipnawa: NOTICE: If, atler makinp t�is EecWration, you sliould hecome suDl�� o the Workers Compe�sauon D�� a� ��e LaCor CoAe, you must loM1hvnt� comDN ��h suc� pronsbns or this permit sAall be EeemeO revokM. CONSTPUCfiON 1FN01N0 RGENCY: I hereEy aRvm tha� I�ere is a construction Ientlin0 apency tor t�e pedormance al Ihe woM lor which Ihis Oermii is isSUBE (Seclion 3097, Gv. C). LENOER: �DONESB: OWNEP BIIRDEP OELlAN11TI0N: I �eahy aflirm IMt I am exempt irom Ne ConVactars State License Law iw tAa fo0o-xinp reason (Secqon 7031.5 Business anE Professional COEe: My dry af counry whic� requires a permit ro construd, alter, imD�we, Oertwlish. or il i n I m nt that he/she is IiunseE reDair any sWctua, D�a� �o iLs issuance, also requires t�e appfcant tor such DermH to i e a sq eE sta e e pursuant m the Drovisions ol I�e Contractors' State Licenu Law (ChaD�er 9(commencinA'�'�� ction 7000) of Oivision 3 0l tAe Business anU Protessions Cada) or that Ae/sAe is exempt themlrom an0 the basis for lhe allepeE exemption. My vialatian ol Seclion 7037.5 hy any aDDliwnt br a parmit SuEl��s ihe aDD�icant Io a ciWl penalry of not more than frve hunOreE Aollars (SSW�. I, as owner ol tAe D�opeM o� my employees wit� wa0� az their sole wmpensatlan, will Oo t�e woA, anE Ihe � stmcW2 is no� inttndeE ar ottere0 for s�la (Seclion 7044, Business antl Prafessional CoCe: T�e Contracton State Liunse law Eoes nol apDN �o an ovm¢r of a OroDeM w� �uilOs or impmves t�ereon, anU who Oces such woM �imsell/herult ar t�roup� his or Aer awn employees, prodEed that suc� imprmements are not intentled or atlered far sale. If, �owever tAe huilUinq ar im0�ovement is solU vnt�in ona year of completion, Ihe owner will have the burAen ol provin0 he/s�e Oi0 not EuilO or ImOrove for the�puryose of sale). I, as owner of Ihe property, am evclusivety contracting with Iicense0 coniractors to constmct iha Drole�t (Sectlan 70A4, Businass ❑ an0 Prolesslons Catle: Tt�e Contractors' Stata license Law does not apPy ta an awner ol properry wtro hwl0s ai imDraves thereon anE who contracts lor suc� pmjects rytA a con(ractar(s) license Dursuant ro t�e Caniractars' State License Law�. l am awara tAat prool al t�eir Workr's Campensiflon msurance s1wu10 Ge pmviAetl to me. � I am exempl un0er Seclion: 8. d P. C. tor Nis aazon: Date: Ownec I tlo nereGy unity lhat I am aware ol ana unaerstanA the reQuirements ol Califomu Healt� antl Salery COEe Sections 25505, 25533, anU 25534 ana tlut I or any luture ouilEinp occupant willNnll not (circle one) need ro comDN �� iU state cotles anOlne repuirzments for a ce�� or wnsvuction or rtw0ilicalion trom ihe Nr aliry Manapement Disirict. NesiGentlal wnstmction appliwtions are exemD� <<om Ueu prw¢wns. Da�e: ApDlicanC I �ereby ceNry that I �ave rea0 this aDD��ion anU stati ordinancu anC state Wvrs relatlnp to OUJEinO �swctlon praperty lor inspecUon Puryoses. Uah: r /� + D SipnaWr � omrers u«� o� socw sa�nn «: - 18n�ae W�i�e—BUIIEInp; Graen—Cotle E�i eme ¢ all ciry anJ counry eaDovo-mentionetl Cenary—Applicant; Pink—Ravenue; GolEenrotl—Assasaor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 049046 PERMIT NO: B 049046 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE; PERMIT TYP£: STR PURPOSE; ALT JOB DESCRIPTION : REROOF/WITH 300# CLASS A FIBER.SHINGLES SQ FT: 6,879 CLAZM VALUE: G,879.00 CALC—VALUE: 6,879.00 GROUP OCC: R-3 /� COMMENTS; SMOKE DETECTOR REQUIRED *#��x*#**#��*�##x#***�*�##***��*#�-*�***�*#*�*�#*#��r�*:�*##��#*##*�#�#****tt#�� Z O N I N G R E Q U I R E M E N T 5 S E T B A C K S ------------ MAIN bUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR; FT IN FRNT; FT IN REAR; FT IN LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN PARKING REQ• PROV; PARCEL: 14169224 ZNE: REF NO: PLANNING N6'I'ES> i *��***�**�*��#**�*��**�*��****�***+�*��*��**�**�*�x**�,«***��*�*****�*� 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 ZONING APPROVED BY DATE: HUILDING APPROVED BY ; DATE: APPLICATION ZSSUED BY; � DATE: ��f/�(� ifiFif'lfifiEiE3fil�iklEifififiEjkiEifiFiflkif jfiflElki{'ififif�EjE�Fn-� R-�f�Frt3t1c-�c1f'1h if If ik if iE iF iE ikiF # it it it if� �)k 3F iE iE if iE it it it jf iF it iE i@ if # if iE iE iF ik iE iF iF iF it iF it iF if 1F jE #�F 3E �IE ik # M ib iE iE iE # if if ik i(� # jf iE # iE iE �IE jE iF 3E iF ii iE iE 3t iE �lE LEGALZ2ATIUN:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC .PiRE SMZP/RES GRAL�ING PERMIT 90,00 - .50 � SMIP/NON-RES PLAN ISSUE FEE BUZLDING-DIV-> PERMIT ISSUE PLAN-CHECK �TOTAL" PAID DUE TOTALS----> 90,50 0,00 0,00 / 90;•50 90.50 . ,00 /' REVENUE DIVISION TOTALS--> COLLECTED; 9. � VER/SHORT: 00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECH 90.GU ,,50 iF it 1f if if if iF iF iE i6 iP iF 3k iF iF * ik it ik i6 jF ik i! if 9E ik iE if IE 1E �F iE iE iE iE iE iE it jF if 3F iE iE it 1E iE if iF jflf jk 3E �f af M if^)t iE iF ik if dt �E iF jF * ik iE �E dE iE iE �1E iE �F i4 if iF �E I N D I V I D U A L F E E B R E A H'b O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 6879 REROOF BY VALUE RESIDENIAL NOZONE ! 1.00 6,879,00 END OF FEES . , ! .. 1� �a�� \ � 0! Q(iL'84E?2—O�D.9823 "�io"� SD.50 OATE: 09/18/90 TItiE: 12:�f / 1/ � � ` - ' CONSTRUCTION AND PLANNING P(. d SPA � „ Date Inspector Date Inspeotor APPROVALS Permit # APPROVALS Permit # 1, Temporary Electrical Service or Pole �� 52, Pool & Equipment Location � 2. Soil PiOe-Undrgrnd. ' . 53. Steel Reinforcement �� 3. Electrical Condui[ Utility�Undrgmd. 54. Forms i 4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding . 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrital UFER Grnd. " 57. APPROVAL TO COVER�GUNITE 7. Footings , -' 58. Electrical Conduit�Undrgrnd. . 8. Foundation 59. Gas Pipe, O Undrgrnd., Test � 9. Water Pipe�Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. � 10. Structural Floor System - 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection � 62. Backwash & Receptor-Final � 12. Sewer Cap , 63. Heater & Vent�Final • 13. Roof D�ains 64. Plumbing System - Final ' 14. Rough Plumbing • � -� _ 65. Electrical-Final � 75. Rough Electriw6Conduit ' � 66. Solar System-Final �, 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical�T Bar Ceiling 69.��POOIJSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts,in Structure 70, Underground Hydro 22. Ducts, Ventilating 71. Product Pipin9 O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank C7 Gas ❑ Oil 25. Roof $heathing 74. Overhead Hydro 26. T-Bar Cei{ing 4Strucwrap & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PflEV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power MeterFinal � 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe•Test 36. Hood or Canopy ' 37. Final Fectory Fireplace 38. Final Plumbing ' 39. Water Service�Final 40. Gas Service•Final • r 41. Solar pomesticFinal � �xa� . S � c 42. BackfloN! Preventer '� � �- 43. Backflow Irrigation 2 44. LandscaPe Irriqation SYstem 45. Sound Attenuation 46. HandicaP Regulations 47. FINAL STRUCTURE & BUILDING � 48. FINAL PLANNING � � 49. Electric Release to Edison % 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date , JOB ADDftESS GENERAL CONTRACTOIt AP No. LOT INSPPCTIONS i(1 rIRE 7.ONE llATC �GROUP DAT� 3-12-62 VALUE S 1fj.1F67.00 DlSCRIPTION OR WORK TYPli V 7.ONE SUBCONTRACI'OR res w/att • � 16648 F E RECEIUED .• COSTA MESA BUILDING-SAFETY DEPARTMENT, MAR 7 1962 �t SO - Tract �260 + P. o. BOX,,, �o�„ ��A. �,,,_,Po,�,,, • FINANCE DEPT. P1an 400-c CITY OF COSTA MESA For Applieanf to Fill In Complefely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING ADDRE86 61 PYa ellan Street COSTA MESA. CALIFORNIA FO� Office US@ 011��/ � R8G81PT NO. $itn/lT p� OWNER A4esa Del riar Develooment Co, bii ii MA�� ReCeIV� !Y Ai! PEClIVED DATC 189YHD aooRess 3$�O E. Coast Aighw�qr _. �_� MpR 1� iau2 c�Tr Cos'ona Del ^5aT Calif• r�io'ORj-�220 pDORE66 uxcH�recr Cliff 0]sten L: re�. COSTA MESA. CALIFORNIA OR ENGINEER �t.... .. NO.W �I.�ZZ ADDRESS Q 1 F eV ZONE TYPE � GROUP �/ Ca�♦ pppROVED CONTRACTOR TgCC C ration BY DATE ADDRESS SOO E CO35'f. H7. t1PT ZONING CIN Coror� Del Mar V d111 � ON �-�' I PL�MB � I BU LDINO w� ��+ �� ;� No. 988o8-SE-1 NO.I'R ��ZCV L80AL Lo7- so 7R y z G a DHBCRIPTION SIZE [/ � NO. OP OLDOtl, OF LO7 00 6 _ NOw ON LOT lIOPe p, p, NO. -- USE OF T(One ' YARD6 EVES EXISTING BLDG APPROVED ALLOWED BBTBAGK LINB PROM IC6NT[N YN6 /T.) J// cexi�[ oF eixeei �6 � REAR YARD 2z ��.0�� FRONT 7 f0 FT. -�� IN. SIDE YARD I LEFT 5�� I RIGHT �' R. SIDE � PT. IN. DESCRIPTION OF WORK L. SIDE r FT. 6 �N. NEW I nALTERATIONI IIADDITION REAR Z Z FT. �Q IN. REPAIR I IIMOVING I IIDEMOLISH BYPROVED ;,J� DATE ��L� ��L wft 5 Z E'N � l>��X� � 2�t ROOMS 6 STORIES 1 EXTERIOR WALL StiUCGOI ROOF COVERING r.r _ n...< l. COVERING " C� USE OF BUIL I G A RK TO BE PERPORMED Sir_ le Pami v dVrellin ;•., a S F 3�7/att2ched garage Garage " 463 S.F, Covered Porch 63 S.F. 1 HER88Y ACKNOWL8p66 THAT 1 HAVB P6AD TMi9 APPYWTION THH AMOUNT lXOWN UNDBR VALUATION 19 POR TH6 AND 9TATC THAT THC ABOVE IB CORR¢CT AND AOR68 TO COM- pUpP09[ OP eBTASLIBMINO A PCqMIT PEE ONLY. PLY WITN ALL CIiY OHOINANG89 AND 8TAT8 LAWB R6GULATINO eulLolna coNeinucTloN. VALUATION �/y+ r1EGN1AT�E OF� TR n,t CO p PERMIT FEE $/.'//J�. � p B3r g ZI:�µU7�OO PLAN CNECK $//. lJ/l w E AUTHORIZE� � TOTAL FEE CO LL