HomeMy WebLinkAbout2849 VELASCO LN - Building Permits ADDRESS OFBMLMNO: 2849 VELASCO LN OMT: CITY OF COSTA MESA - BUILDING—PERMIT
I
OWNERS NAME IF KNOWN: PURCELL, JOSEPH M PERM NO: B 075267
ADDRESS: 2849 VELASCO LN
COSTA MESA,CA 92626 PERMIT NO: B 075267 PLAN CHECK NO: N GOVT: N SUPP : N
. 540-7597
'4MAMBO CONSTRUCTION TYPE: V-N PERMIT TYPE: SIR PURPOSE: OTH
ARCHITECT ORDORM: UC.NO.: JOB DESCRIPTION : T/OFF 6 REROOF W/COMP SHINGLES SQ FT: 5, 500
ARCH.OR ENG.'S ADDRESS: UNIT:
CLAIM VALUE: 5, 500 . 00 CALC-VALUE: 5, 500 . 00 GROUP OCC: R-3 /M-1
CONTRACTOR'S NAME: LEE ROOFING OF COSTA MESA ( 714 ) 642-7223
CONTRACTORSMMLRl0 1653 SUPERIOR COMMENTS: SMOKE DETECTOR REQ'D PER 91 UBC, REROOF 2900SF RESIDENCE
ADDRESS: COSTA MESA CA UC.ND.: 349686 ***********************************SE**+E***SE*+E* ****+E+EBrSE**********+E** *K*Sc*x*K**
92627 UMT: ZONI NG R EQU IR EME N SMOKE DETECTOR
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am tcensed under provisions of Chapter 9 SETBACKS ^r
(commencing with Section 7000)d Division 3 of the Business and Professions Code.and my license is in lull force and enact. IW�IC'V
CITY UC.No.: 028751 uc.cuss: C-39 uc.No.: 349686 . EXP: 03/96 MAIN BUILDING ACCESSORY
,sq FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Date: 1 do 'Q� contrectoc_L Cl ✓LG� LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penally of perjury that I am exempt from the Co ractore License Law for the
following reason(Section 7031.5 Business and Professions Code:Any city or county which requires ape' to COONIU .alter.improve, PARKING REQ: PROV: PARCEL : 14158204 ZNE: REF NO:
' smash.or repair any structure.prim totpermit sissuance.alsorequirestheapplicantforsuchpetofilasignedstatementlhatheorshe PLANNING NOTES>
licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code]or that he or she is exempt therefrom end the basis for the alleged exemption.My violation of Section >
7031.5 by any applicant for a permit subjects the applicant to a colt penalty of not more than five hundred dollars[WOOD. *******************************************************************************
❑ I,as owner of the Dropeny on my employees with wages as their sole compensation.will do the work.and the structure le not intended D E V E ''L OP MEN T SERVICES REQUIR E M E N T S
or offered for sale(Section 7044,Business end Professions Code:The Contractors License Law does not applyto an owner of property
who bulla or improves thereon,and who does such work IkmsaH a herself or through his or her own employees,provided that such
improvements are not intended or offered for sale.If.however,the building Of improvement is sold within one year of completion,the ZONING APPROVED 'B Y DATE: :s
owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale).
❑ I,as owner of the propetly,em eadush'ety contradisg with licensed contractors to construct the project(Section 7044.Business and BUILDING APPROVED BY : DATE:
Professions Code:The Contractors License Law does not appy to an owner of properly who builds or improves thereon and who
contracts for such projects with a contactor(s)licensed pursuant to the Contractors License Law). I
❑ I am exempt under Section: B.aP.C..for this reason: APPLICATION ISSUED BY: DATE.*
ATE: `t_IZa L
********-******4E***-***********************tE** ***-**-*tE*********-******.****iF* ***-
Date: Owner: LEGALIZATION:N' F E E SUMMARY STRUCTURAL SEGMENT:Y
I do hereby sanity that I am aware of and understand the requirements of California Heath end Safety Code Sections 25505,25533.end
25534,and that l or any future building occupant will/Will nol(circle one)need to complywth said state codes and the requirements foi BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a permit for construction or modification from the Air agement District.Residential conslmction applicationsare exempt from these
provisions. PERMIT 81 . 00 . 55
Date: Appbcant PLAN SMIP/NON RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty el perjury one el the following declarations: ISSUE FEE
❑ I have and veil maintain a certificate of consent to self-insure for workers'compensation.=provided for by Section 3700 of the Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Cosa or mepeifoma performance nnwdanmiapemtmieeaed. TOTALS----> 81 . 55 0 . 00 0 . 00 81 . 55 81 . 55 . 00
❑ I have and veil maintain workers'compensation insurance,as required by Section 3700 of the Labor Cole,for the performance of the
work for which this permit is issued.My workers'compensation insurance carrier end policy number are:
Carrier: ATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 81 . 55 OVER/SHORT: . 00
Policy Number: 1300948-94 06/30 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need not be completed I the penal is for one hundred dollars/$lo0)or less.) 81 . 00 . 55
•
❑ I certify that in the performance of the work for which this permit is isa shall sot employ any person in any manner so as to
become subject to the workers compensation lava of California, d , that K I should become subject to the workers' *******************************************************************************
compensation provision of Section 3700 of the Labor Code . py with those provisions.
►' IND IV IDUAL F E E BR EAKDOWN
Date: I I ' a0 •95 Applicant: ♦ dl V-Q-A._
Warning:Felureto secure workers'conpensarIon coverage Is unlawful,end shall subject an employe,to criminal pene/dee and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up to one hundred thousand dollars(SIOD,DUO),In addition to the cost of compensation,damages as provided for In
Section 3705 of the Labor Cods Intelsat and attorney's lees. SFR 5500 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 5, 500 . 00
CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there ie a construction lending agency for the END OF FEES
performance of the work/a which this permit is issued(Section 3097,Civ.C),
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have reed this application end state that the above information is correct.I agree to compy with all dry and county ordinances
and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned propend
for inspection purpo^ses. DAWN SHAVER
/
� -_c�i(/)-E,.-.1. Print Name
D
m.: II'o� 'gs O1 00194:1:7 0619/,254 T`' .51
SbgnetundOwner/Agent1AppkmnttConir°ua DATE: 1'rf'f" Oc T!':7:
(515l'4e.WP) White-BulWig&Safety:Careen-File Canary-Apple/int;Pink-Revenue;Goldenrod-Assessor
CONSTRUCTION AND PLANNING POO. .. SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location.
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5, Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. •
57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation - 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. , 60. Backwash Lines,P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO OECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater& Vent-Final •
13. Roof Drains - 64. Plumbing System - Final t
14. Rough Plumbing . - 65. Electrical-Final -
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19, Rough Heating & Air Conditioning . FIRE DEPT, REQUIREMENT
20. Rough Factory Fireplace - APPROVALS Permit#
21. Ducts, in Structure •' - ' 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping OGas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Rush
•
24. Roof Framing T
�-//JJ73. Undergrnd.Storageank 0 Gas ❑Oil
25. Roof Sheathing Ef/r/1i r, 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 7 %J 75.-Dry Chemical
27. Frame and Flashing • - 76. Dry Standpipe• .
28. Lathing&Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing •
HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat • 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric _ Notes:
34. Final Heating& Air Conditioning .
35. Final Gas Pipe-Test •
36. Hood or Canopy
37. Final Factory Fireplace -
38. Final Plumbing
39. Water Service-Final -
40. Gas Service-Final
41. Solar Domestic-Final -
42. Backflow Preventer •
43. Backflow Irrigation
44. Landscape Irrigation System`.•' -
45. Sound Attenuation t . •
46. HandicapSiegulations•-
47. FINAL STRUCTURE& BUILDING /l Zg19-6G4/V
-t.
48. FINAL PLANNING . -
49. Electric Release to Edison -
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No Date
•
`I Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations.
'CITale COSTA MESA ' PERMIT NO. -TRACT NO. LOT NO. BLDG.NO. - '
ctNSTRU,CTION PERMIT
8 .3 76 42i,(- 131
Project Address [L!'' �� �ra �� TYPE OF CONSTRUCTION 0671_ 7/23!81 73992 '11-
.
Owner 3-7 eGes:iv Phone-//j: y "7 0 NEW DD 0 ALTERATION - -
/Address 224/9 �5t,42. •co G i77 --T 0 REPAIR 0 CONVERSION ❑DEMOLISH
ZONING REGULATIONS
•Arch/Eng. ,"k/vend//o,J -'License Noc2p 2.r 0 OTHER ,•� /3740
�1 �J�
Address - �' �/r�. DESCRIPTIo/N OF WORK /1'4�/I7 /'37 0 LS,U6CA-P'* 14-I — c D.-—04
"nay.? '9 • _ ‘7:-//UGlt /CBo lige2J//3� ZONE LI PLNG. REF.-4h
Contractorzetl v� � 4��/9 Phone g�c�7j TYPE OF PERMIT BUILDIN - TO BUILDING an/
Address `ez / � SETBACK CIL ST. PROPERTY LINE
/Son Ql2Va.- AL6),-1s -s� N 0 GRADING . .❑ FOUNDATION STRUCTURAL SIDE YARD / s
LLICENSED CONTRACTOR DECLARATION - /" 0 TENANT 0 ELECTRICAL ❑PLUMBING ❑MECHANICAL SIDE YARD FT (a - -
I hereby affirm that I am licensed under provisions of Charter 9 (com- RIGHT ,5
mencing'with section 7000) of Division 3 of the' Business and 0 OTHER - - / /
Professions Code, and my license is in full force and effect. r REAR YARD (TO P/L) ` a con
PROJECT DESCRIPTION
License .ss -+•�+ ���'JJ•II%�*��! nse No��a••�� �////�� • PKG.SPACE REQ. �— PROVIDED —r •
Date -- -/ Signztur/% T- ai ./'7n1— EIrs T' - - -
WOR ERS'Ce MPENSATION DEC/ARATION / / OCCUPANCY C NSTRUCTION TYPE
STREET WIDTH , f) PARK FEE$
I hereby affirm that I have a certi icate of consen /'. self-incur r a ZONING APPROVED BV /�•I/� DATE
certificate of Workers' Compensation Insurance, r a certified copy - VALUATIONS ZONE ,//-'� '7"�--� '
thereof(Sect' n 00, Lab. C.). •f•+ •fir GRADING CU.YDS. • ACRES ,SPECIAL CONDITIONS: 777
'icy NCR 1-T ,I '741 company Ln//./ •�1/3'l TOO . - . - _
I edified copy is hereby furnished. - - -REMARKS: .. - '� '
;earned copy is filed with the city Building Division. - / '
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION $t'0 - (ova - '
(This section need-not be completed if the - �^ /1�'t!�/L7 � _
p permit is for one.hundretl P- - /
($100) or less). • -. - . . .
I certify that in the performance-of any cp rs the workyfor which this bis
issued, I shall not employ any ation in any manner is as to-become PLUMBING .. PLAN CHECK ELECTRICAL - PLAN CHECK
--
subject to the Workers'Compensation Laws of California. - uwELLINO - GARAGE
Date Signature BATHTUBS SHOWERS _ SO.FT. SQ FT - -
NOTICE: If after making this declaration, you should become subject - TOILETS 'URINALS GENERATOR-- '0.1-RW_1-10 KW - --
to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER
forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS - - APPLIANCE 10-50 KW_SO+KW - -
revoked. - - .- • - -
CONSTRUCTION LENDING AGENCY KIT.SINKS - DISHWASHERS - MOTORS ' - 0-1 HP 1-10 HP --- -
-
I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS r• - SUMPS (INC.SOLAR) 10-50 HP 50 +HP
formance of the work for which this permit is issued (Section 3097 - -
Civ. C.). - - - •
FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES - -- '
Lender's Name _ - .
Lender's Address DRINKING FOUNTAINS - - GAS TUBE SIGNS - -
OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS POLE LIGHTS - - - - ' - '
I hereby affirm that I am exempt from the Contractor's License Law for
the following reason (Section 7031.5'Business and Professions Code: SWIMMING POOL P TRAP LUNSI HULl IUN .
Any city or county which requires a permit to construct, alter, POLES METERED SUB
improve, demolish or repair any structure, prior to its issuance,also re- WATER SERVICE ALTERATION PANELS MAIN SUB - '
quires the applicant for such permit to file_a signed statement that he ., .
is licensed pursuant to the provisions of the Contractor's License Law GAS SERVICE OUTLETS •- SERVICE' - AMP
(Chapter 9 (commencing with Section 7000) of Division 3 of the -
Business and Professions Code) or that he is exempt therefrom and the WATER HEATERS BTU OUTPUT -- . '"- - - -
for the alleged exemption. Any violation of section 7031.5 by
pplicant for a permit -subjects the applicant to a civil penalty SEWER CONNECTIONS
tmore than five hundred dollars ($500). -'
as owner of the property, or my employees with wages as their SOLAR TANK - COLLECTORS
sole compensation, will do the work, and the structure is not intended
or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. - ISSUE FEE -_ ' -
Contractor's License Law does not apply to an owner of a property _ -' /
who builds or improves thereon, and who does such work himself or ISSUE FEE - APPLICATION APPROVED BY /�� - DATE?2_3-15/
through his own employees, provided that such improvements are not
intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK SUMMARY OF FEES
is sold within one year of completion,the owner will have.the burden
of proving he did not build or improve for the purpose of sale). BUILDING - ��./ �-+� , �j�
am exclusivelycontractingwith HEATING SYSTEM 0-100,000 BTU PERMIT $ 44.5o SMIP ' -$ f 50
0 I, as owner of the property, AND DUCTING n�
licensed contractors to construct the project (Section 7044, Business 100,000 +BTU PLAN CHECK $ DA'YR PERMIT
and Professions Code: The Contractor's License Law does not apply to - - ISSUANCE--$•
an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $
tracts from such projects with a contractor(s) licesned pursuant to SYSTEM - -` - GRADING $ '
the Contractor's License Law). 100,000+BTU \,, ,, PLAN CHECK $ '
❑ I am exempt under Section - - - B.& P.C.for this • ' $
BOILERS BTU ELECTRICAL $ -
reason - . - MICROFILM $
Date - Owner SYSTEM REPAIR,ALTERATION -PLAN CHECK $ - TOTAL FEE$'
I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE MECHANICAL $ -
A
information is correct. I agree to complywith all cityand countyPLAN CHECK LESSANE P
9t $ VANCE PC $_
representativespreand std laws relating to ter,construction e hereby authorize
ze
•f t I. citytorenter, p/ =bove mention
property / i - e a. purpo C,
Signatunr, Z R� itsaa 6a a FINAL FEE, $ '�• /As
Drivers'Lice a, or SS TP >� / ISSUE FEE - • _ .
CMF 0865-46 -White-Building; Canary-Applica t;Pink-Accounting;Goldenrod-Assessor
CONSTRUCTION AND PLANNING l• `\- - POOL&SPA _ - t� a
APPROVALS Permit# Date Inspector APPROVALS ',v Permit# Date Inspector
1. Temporary Electrical Service or Pole 43. Pool &Equipment Location -
2. Soil Pipe-Undrgrn 44. Steel Reinforcement - - - - -
- 3. _ Electrical Conduit Utility_Undrgrn- I : - - 45. Forms - • .
' 4. Electrical Conduit-Undrgrn - _ 46.• Electrical Bonding --
5. ' SteeTReinforce Citi; 47. Rough.Plumbing& Pressure Test - t .
6. Electrical UFER Grn - 48. APPROVAL TO COVER-GUNITE - - - ' - • _ . -
7. Footings49. Electrical Conduit-Undrgrn •• -
8. Foundation \ - - 50. Gas-Pipe, ❑ Undrgrn,Test .
9. -Water Pipe-Undrgrn - 51. Backwash Lines, P-Trap,.5 Undrgrn - - -
10. Structural Floor.System ` a,_ 52. APPROVAL TO DECK •
11.. PropertySewei'Line &.House Connection _ 53. Backwash & Receptor-Final S • • •
.12. Street Sewer Connection 54. Heater &Vent-Final -- - . - - •
13. Rough Plumbing 55 Plumhina Svctpm -Final ` • - - " - ' "
14. Rough Electric-Conduit -- - 56. Electrical-Final
15. Rough Electiic-Wiring - - - - - 57. Solar System-Final •
16. Rough Heating & Air Conditioning - b8. Fencing &Access Approval
17. Ducts, in Structure . _ . - 59. APPROVED FOR PLASTERING ' -
18. Ducts, Ventilating • -
19. Gas Pipe-Rough &Test - _ 60. POOL/SPA SYSTEMS FINAL '
20. Roof- Framing '
21. Roof Sheathing •
NOTES: '
22. Frame and Flashing . - ..
23. Insulation -- . . - - _
24. -Lathing &Siding - - - -
25. Drywall Nailing - • _ - - -
26. Plaster Brown Coat
,- 27; Electrical Power Meter-Final •
28. Final Electric -
29. Final Heating & Air Conditioning g
30. Final Gas Pipe-Test ,
' 31. Final Plumbing -
32. Water Service-Final '
33. 'Gas-Service-Final - - _
34. Solar Domestic-Final - '
35. Landscape Sprinkling System
36. Sound Attenuation . - - - .
37. Handicap Regulations •
38. FINAL STRUCTURE & BUILDING 19 yli '
39. Special Requirements Completed
40. Electric Release to Edison .
41. Gas Release to Southern California Gas Co.
42. CERTIFICATE OF OCCUPANCY .
No Date -
PACIFIC INSTALLERS, INC.
7541 Anthony Avenue
Garden Grove, California 92641
P. 0. Box 728
Westminster, Calif. 92683
Date /0A/73
Director
Dept. of Building�// and Safety / ' / [�
City of do .4j� Z.efoa . Permit No. (47`��7
Type of Permit '�C,�-gid
Dated /0 - -7 3
Dear Sir:
Please be advised that as of /0/vim73 our work on above-
named permit has been cancelled, and as of that date we would like the permit
cancelled; so that our responsibility for any
work accomplished at: c9 7 q
yee //1.40 for customer: `q�q
( . /�4(4/ l. will be ended.
Very truly yours,
For: Pacific Installers, Inc.
7541 Anthony Avenue
Garden Grove, California
State Lic. # c2//79
/
City Lic. #
P.I. 264 Rev. 1/71 •
7nORE5soFBUIL0tNO: 2849 VELASCO LN ups CITY OF COSTA MESA — BUILDING PERMIT
OWNtksNAMEIEKNOWN:PURCELL, JOSEPH M PERM NO: M 077289
ADDRESS:2849 VELASCO LN
COSTA MESA, CA 92626 PERMIT NO: M 077289 PLAN CHECK NO: N GOVT: N SUPP : N
540-7597
APPL.MAIUNG ADDRESS CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: 0TH
ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : REPLACE FAU, INSTALL NEW A/C UNIT SQ FT:
ARCH.OR ENG.'S ADDRESS: UNT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
coNTRACTOR'sNAKeCRYSTAL AIR ( 714 ) 634-2593
cxrtRAc7og11801 MAC STREET
* ****** * rt * C * * * ****** *
AODRES;GARDEN GROVE CA Uc�; 655036 * ** i * *x**iE * ** * ** * ts ******** FS ******xsHS * E*****sSSS **x*****
92641
plat; ZONING REQUIREMENTS
UCENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 5 SETBACK S
(commencing with Section 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect.
cmuc.No.042006 uc.cuss:20 EXP: 12 /95 MAIN BUILDING ACCESSORY BUILDING
(�_2.t cit FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Date: Contractor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under panel)'of perNry that I em exempt from the Contractors License Law for the
following reason(Section 7031.5 Business and Professions Code:Any city or county whit,requires a permit t0 onnstnd,atter,improve, PARKING REQ: PROV: PARCEL: 14158204 Z N E: REF NO:
smolish,a repair any structure,prior to its issuance.abo requires the applicant for such permit to file a signed statement that he Of she PLANNING NOTES>
licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section >
7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($5001). *******************************************************************************
ElI,as owner o the property or my employees with wages as their sole compensation,will do the work and the structure is not intended DEVEL OPMENT SER VICES R EQUIREMEN TS
or offered for sale(Section 7044,Business end Profession,Code:The Contractors License Law does not apply to an owner of properly
who bolds or improves thereon,and who does such work himself or hent or through his or her own employees,provided that such
improvements are not intended or offered for sale.If,however,the building or improvement ie sod within one yearn completion,the ZONING APPROVED BY DATE:
ownenbuilder will have the burden of proving he on she did not build Or improve for the purpose of sale).
❑ I,as ownerothepropeM.amexclusivetycontractigwithlicerrsedcontractorstoconswcttheproject(Section7044,Businessard BUILDING APPROVED BY : DATE:
Professions Code:The Contractors License Law does not apply to an owner of progeny who buikle or improves thereon end who
contracts for such projects with a comrarsor(s)licensed pursuant to the Contractors License Law). r3�, I/��
❑ I am exempt under Section: B.AP,O,for this reason: APPLICATION ISSUED BY: (� DATE: v_l'L
******************************************** ******************** **
Date: owner LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N
I do hereby certify that I em aware of and understand the requirements of California Health end Safety Code Sections 25505,25533,and
25534,and tbatl«any Mur,Wilding ocwpem wig/wig no(drd.one)needto comply with sad state cods and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a permit for construction or modificationfromtheAi Dually Management Diana,Residential construction appiceti«n are exempt from these PERMIT 18 . 00
provisions.
Date: Applicant: 25% SMIP/NON—RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: ISSUE FEE 15 . 00
❑ I have and will maintain a certificate of consent to seKinsUre for workern'compensation,as provided for by Section 3700 of the Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
code,f«ice pedormanaeame worklo wtedh this pennb is issued. TOTALS----> 18 . 00 15 . 00 0 . 00 33 . 00 33 . 00 .00
o I have end will maintain workers'compensation insurance as required by Section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.My workers'compensation insurance canter and policy number are:nt
ceer: MTIO?}Pr?7 REVENUE DIVISION TOTALS--> COLLECTED : 33 . 00 OVER/SHORT: . 00
policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
��(.Th-tis section need not be completed d the peer is for one hundred dollen(5100)or les.) 33 . 00
'T..1 I certify that in the pedomrence of the work for which this it ued,I shell not employ any person in any manner so as to
become subject to the workers'compensation laws a 7, I••agree that if I should become subject to the workers' *******************************************************************************
compensation proneonsas/acto 3)00athe Laborcode, sh I htvnpywishtheeswovdon. INDIVIDUAL F E E BREAKDOWN
Date: "u _2— lir Applicant:
Warning:Failure to secure workers'compesasron coverage/s unliwMl,and subject an employer toc$Msl penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up to one hundred thousand dollars($5040nnf,In addition to Me coat of computation,damagess provided for In
Secdon37oeofthe Labor Code,Interest,and ercy.omenes. MEC 1 INST FORC—AIR/GRAV FURN <= 100 K BTU 9 . 00 9 . 00
• CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there Is a construction lending agency for the MEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H 9 . 00 9 . 00
performance of the work for which this permit is issued(Seton 3097,Civ.C). END OF FEES
LENDER'S NAME:
LENDER'SposADDRESS: -a.,w �� _ '
I certify that I have read this application and stets that the above information is correct.I agree to comply with all dry and county ordinances XY
•
and state laws relating to building constution and hereby authorize reprsentativs of this dry to enter upon the eboye mentioned property
forwpecti n rweae,RALPH BELL DATE
_ ,_
Print Name DATE , L fr+i.' 4
'')4-44-
Signature
Date: /
of Owner/AganUAPPIIcanUCoplretor
(5151-4e.WP) White-Building A Safely:Green-Ale;Canary-Applicant;Pink-Revenue:oodenrobdssessor
kr
CONSTRUCTION AND PLANNING
POO_ . SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing& Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 56. Electrical Conduit-Undrgrnd.
8. Foundation - 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd, 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK • '
11. Property Sewer Line& House Connection 62. Backwash & Receptor-Final '
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical•T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts,in Structure 70. Underground Hydro
•
22. Ducts, Ventilating 71. Product Piping 0 as 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil cs-
A
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing - - 76. Dry Standpipe • I
28. Lathing& Siding 77. FIXED SYSTEM FINAL -.
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: -
34. Final Heating& Air Conditioning •
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final -
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation 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
IFADDRESSof BUILDING: 2849 VELASCO LN LIMY: CITY OF COSTA MESA — BUILDING PERMIT
OWNER'S NAME IF aawN:PURCELL JOSEPH M PERM NO: E 077290
ADDREa&2849 VEfJASCO LN
COSTA MESA,CA 92626 PERMIT NO: E 077290 PLAN CHECK NO: N GOVT: N SUPP : N
540-7597
APDL.MAKING ADDRESS: CONSTRUCTION TYPE : V—N PERMIT TYPE: ELE PURPOSE: 0TH
ARCHITECT OR ENGINEER: Lt.NO.: JOB DESCRIPTION : REPLACE FAU, INSTALL NEW A/C UNIT SQ FT:
ARCH.OR END'S ADDRESS: UM1:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
CONTRACTORSum:CRYSTAL AIR ( 714 ) 634-2593
CCNTRACTORSMAJLWG118O1 MAC STREET COMMENTS : ELECTRICAL WORK INCIDENTAL TO MECH PERMIT #M77289
ADDREss:GARDEN GROVE CA uC.ND.: 655036 **************************************+I:s(-******** *x*s(*sE+t+ESESESE -sE*stfr**s5***x*******
92641 LIMY: Z ONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby alfkm under penally of perjury that I am licensed under provisions of Chapter 9 S E TB ACK S
(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license Is in full force and effect
CITY UC.NO.042006 UC.CLASS:20 u .NmT 55036 EXP : 12/95 MAIN BUILDING ACCESSORY BUILDING
Q`, FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Dale: contractor— scontractor , .l.G? LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the
forowng reason(Section 7O31.5 Busiwasand Professions Code:Any W o countywhe.requites a permit tocomuuct.alter.improve. PARKING REG, • PROV: PARCEL: 14158204 ZNE: REF NO:
demolish.or retook any structure.prior to Ss issuance,also requires he applicant for such Parma to file a signed statement that he of she PLANNING NOTES>
is licensed pursuant to the provisions d the Contractors License Lew(Chapter 9(commencing with Section 7000)el Division 3 of the
Business and Professions Coder or That he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section >
7031.5 by any apphand for a permit°ubjeds the applicant to a civil penally of net more than live hundred dollars MON). **************************1E****************************************if*if*********
❑ 1.84 owner d the progeny Or my employees web wages ea thei sob compensator,will do the work.and the structures not"intended DEVELOPMENT SERVICES REQUIR EMENTS
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply loan owner of progeny
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 rat intended or offered for"it If,however,the building or hnpnovemat is sold within one year of completion,the ZONING APPROVED BY DATE:
ownerbui der will have the burden of proving he or she did not build or improve for the purpose of sale).
❑ I,as owner of the property,em exdmvely contracting with licensed contractors to construct the project(Section 7044,Business and BUILDING APPROVED B Y
Professions Code:The Contractors License Law does nM apply to an owner of property who builds or improves thereon and who DATE:
contracts for such projects with a contrecter(s)licensed pursuant to the Contractors License Law).
❑ I am exempt under Section: B.BPG..tor this reason: APPLICATION ISSUED BY: DATE:
*********************************************** ***************** **
Date: Owner; LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT : N
I do hereby certify Mal I am aware of and understand the requirements of California Health and Safety Code Sections 25505.Peal,and
25534,and that I or any future building papal will t will not(circle ca)need to comply with said state codes and the requirements ler
e permit for construction omoddvarbn from the Ai0uatty ananegement Distrb.Resientialconstmd'oneppicallons are exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
Provisions. PERMIT 7 . 5 0
Date: Applicant: PLAN 5 0% SM I P/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby antro under pnahy o perjury one d the following ded°relioas: ISSUE FEE 15 . 00
❑ Ihave and wdmainoeinacerMicatedocnenttoself-insure lrworkers'compensaton.nprovedforySection3700oftheLabor
iidBUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code,f«wmnentthe this permit is sed. TOTALS----> 7 . 50 15 . 00 0 . 00 22 . 50 22 . 50 . 00
❑ I have and cm mainlan waders'comperaaton insurance,as required by Section 3700 of the Labor Code,for the performance of the
work for wild.this permits issued.My workers'corn nsation insurance ander and policy number are:
Carder: REVENUE DIVISION TOTALS--> COLLECTED: 22 . 50 OVER/SHORT: . 00
Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(Thu section need not be completed I the pend is for one hundred dollars RIxxj or less.) 22 . 50
X❑ I caddy that in the performance of Ihe work for which this' ed.I shall not employ any parson in any manner so as to
become°ubjed to the workers'compensation Laws o • agree Mal if I should become subject to the workars' *******************************************************************************
compensationto
provisionssfof/Seection 3700 of the Labor Cede I.l, • u 'h comply with(hose provisions. IND IVIDUAL F E E BR EAKDOWN
Date: 47:22---Try MON.,f: :\
Warning:Failure to secure workers'compensation coverage is unlawful,and spall subject an employer to criminal penelt/es end TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up toone hundred thousand dollars(5100000),M addition b the compensation,ar of compensation,damages provided for/n
Section 3706 of the Labor Code,lntere.Lend attorney's feat ELE 1 MOTOR/POWR APPARATUS 1 . 1 — 10 . 0 HP 7. 50 7 . 50
CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there is a construction lending agency for its END OF FEES
pedwmanoe of the work for which this permit S issued(Section 3097.Civ.C),
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read this application and stale that the above information is coned.I agree locomph,with all city end county ordinances EX IRED
and state Laws relating to building construction and hereby authorize representatives d this ciy to enter upon the above menti red propery
for inspection
LPH BELL T _ I /n�
PMI Name •�� /� DATE V e \ - i .� .
72._
Date: �(s/`l('!/
�/J Signature of Omar/gpenVApptiant/C°ntrodo
(5151 de.WP) While-Buildup 8 Safety:Green-rile:Canary-Apptanl:Pink-Revenue:Goldenrod-Assessor
,CONSTRUCTION AND PLANNING POOL SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TOCOVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Line$, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12, Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final •
15. Rough Electrical-Conduit 66. Solar System-Final
•
16. Rough Electric Wiring - 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning •
FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0Oil
23. Gas Pipe-Rough &Test - 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil G-
25. Roof Sheathing • 74. Overhead Hydro •
•
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical • •
27. Frame and Flashing 76. Dry Standpipe
28. Lathing& Siding 77. FIXED SYSTEM FINAL -
31
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
•
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating& Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy - a
37. Final Factory Fireplace .
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation 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
OWNER "MESA DEL MAR DEVELOPMENT COMPANY DATE 3-12-62
JOB ADDRESS 2849 Velasco Lane BUILDING PERMIT NO. 16729
GENERAL CONTRACTOR Macco Corp. VALUE $ 18}467.00
AP No. LOT 131 TRACT 11.260 FIRE ZONE DESCRIPTION OF WORK res w/att gar
r ECTIONS Signature DATE GROUP I&J TYPE V ZONE R1
Sou i Mr PERMITS ISSUED
Gas - - ao,l{ SUBCONTRACTOR DATE NUMBER
Water
Rough Corn. Refrig. 0 Air Cond. 0 j
Rough Heating /�fs' ;n2�J-(��—`_ / i,// • ).‘2_S�-5 ✓
Rough Plumbin _ (R//_ f.�7-411 if ��_ _ _;-(�� A a �/
Miscellaneous j , , - i_ (( --/y�4 /1-1-6_Y iri7 ' /._r_LQ 30 �, .. I- �'
Prop.Swr.Line C House Con. ESE Swr. ❑ - r V itRii �"G{- /4..F �C .JCt ? � • .
Sprinkling System rV(SII.Q) /0-)-3-6>- RCyT/iwl� /Oi-/J'-(o2 -?): I 61
Construction Pole O _j� j /7-4,--74, ,�N"
Underground ❑ Power ❑ _ y�f�-�a- \�
Rough Wiring Q. cod 7 - -21..— /} / i9 Vt
Trenches i}� Forms fr Steel Reinf. ❑ -le `� _C.:fl__.7—T67. __y
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Q �j_ _
Frame and Flashing Y 2� h—Ck'
Lathing — In C --- la
Out - Q� y/_
R:?4w>r, brown coat lIv' id 30-67-
Iiie ;3g. 0 Air Cond. 0 Final ��/�--
Heating, Final 1c//2l .
Plumbing Fixtures, Final �_[�
Final Gas Test/4 A471- la/S-12.
Electric Fixtures, FinalrtV
Building, Final *la
OCCUPANCY
FORM 0114•SM - 7-01 1 i.(M-4
t 6729 ;NCNB 7 'V
COSTA MESA BUILDING-SAFETY DEPARTMENT p++ k ,P.CE DEPTz4t 131 - Tract 4260
P. O. BOX 917 COSTA MESA. CALIFORNIA X. cIIV„ Plan boo-D
CIT" OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
ADDRESS 2849 Velasco Ione
COSTA MESA. CALIFORNIA For Office Use Only
O
OWNER Mesa Del Mar DevelopmentoCo. I RECEIPT NO. I 187ML/294
ADDRESS 3800 E. Coast Highway
RECEIVED BY ATE RECEIVED DATE ISSUED
Q/l/J� ,,,‘,_4_,me i 2 1462
CITY Corona Del Mar.Calif i+o:OR3-4220 BUILDING
AR" 'ECT C1'£f Olsten & TEL COSTA MESA. CALIFORNIA
OF 'NEER ASSOC A NO.7>1A3-1221
ADDRESS 9025? E. Florence Ave. Downey FIRE
ONETYPE \/Calif.
a 8
CONTRACTOR I$..CCO Corporation APPROVEDBY DATE
ADDRESS 3800 E. C�o�aslt�,,lHighw�- ZONING
CITY Corona pDc]. Mar,Calif.if1 1� TONT?_I I PLANO. Sr Z I BUILDING JV/Isiyd, .
L
STATE 9 B808:sB-1 Nom: OR 3-13220 LEGAL L/Z.-/Io O
DESCRIPTION `D% /.3/ f r{
SIZE I NO. OF BLDGBO ny
OF LOT 6984 S . NOW ON LOT( P A.P.NO.
USE OF YARDS EVES
EXISTING BLDG. NO re APPROVED ALLOWED
SETBACK LINE FROM „ (CENTER LINE ST.)
CENTER OF STREET 501 REAR(YARD 22110” FRONT J 0 FT. IN.
SIDE YARD I LEFT 51611 I RIGHT 51 R.SIDE '5-- FT. / IN.
DESCRIPTION OF WORK L.SIDE S FT. V N.
NI I X II ALTERATION I II ADDITION I REAR 2.. 2, FT. i O IN.
REPAIR I II MOVING I II DEMOLISH I ABYPROVED , e° RQ�• DATE z./-2.4/4"-L..
BUILDIN 11611X5412" ROOMS 6 STORIES 1 �R.
SIZE U O 7
EXTERIOR,WALLStt,� CD OO Cr),
COVER ING'J000. S MAID'S - RING 1'1c
USE OF BUILDING AND WORK TO BE PERFORMED
Sirgle family dwelling living area 1702 S.F.
w/attached garage
Garage It 163 S.F.
Covered-Porch 63 S. F.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION
SIGNATURE OFERMIT FEE $ OF/ (7.,)• (
PERMITTER MOOD 5T M-r 11P17151 nPre It Co.C ,i1 r�' N
by �•= �/ $ 18,407.00 PLAN CHECK S / (f.I�
AUTHORIZED AGENT L CCG/-A
TOTAL FEE 5 *0 0