HomeMy WebLinkAbout796 WESLEYAN BAY - Building Permits�
PPOJECT AOOHESS: % 9 6 WESL EYAN HAY uNiT:
OWNEfl'SNAME: PAT BEAVER
aooAEss: 796 LdESLEYAN HAY
COSTA MESA
CA 92626
(714)660-0777
RNCHIENGMEEB: KRAMER 6 AS SOC BEG.NO.: S Z 3 O 9
nooe[ss: 3002 DOW ALLENNE uxiT: 136
S.A. CA 92705
aesmmee: PENTRIDGE COVE HOMEOWNERS (719)660-0777
AOOPESS: jOOS DAIMLER ST
SANTA ANA CA 92705
UCENSEO CONTBRCTOP OECIABATION: 1 �¢re0y al�irm Ilui I am licensed untler pmdsions at Clupter 9lcommencing wi�� SectiOn
7000) ol Uivison 3 0l �he Busineu and Pmlessfons COGe, an0 rtry license is in full force an0 etleci.
CITY LIC.: STATE IIC.: CIASS:
Oaie: Signature:
wOXREBS' COMPENSATION DEClABR7lON: I hereey alfirm tAat I nave a cenilicate ot wnsent m sell-insure or a certificate ol workers'
Compensation IpSurdnce9or,a cGpifl}O1cp0Y ��reol (Seclion 3800. La6. Cl.
eoucr no.: S TATE FARM E%P. ORTE: V 1 I S S I 9 4
LOMPANY: ,-+,
❑ Certi�ied capY is he e�y lurnishetl. LJ' Certifie0 OY �� 'letl wii� ihe ciry Buil ' A '�is n.
Oate: � ApDlicant:
ENEMPTION FBOM WOflKEBS' COMVENSATION OECIAPpTI�N: �is s¢Ction n¢¢0 no� e Compl¢tetl il lhe p¢rmil is �Or one hunp e(5100) or less�.
I cerlily �Iiai in ihe per�ormance of �he work lor which t�is pe ii is issued. I shal no� em0loy any person in any mannp� as �0 6ecome
su�ject �o ��e Workers ComDensalion Laws al Calitomia.
Da1e: Sipnarore:
NOTICE: il, alier making t�is tleclaration, you shoultl become su�lect io ihe Workers' Compensation provisions oi ihe Labor
CoUe. you musi �orihwith compry wiih such Omvisions or t�is permii s�all be Oeemetl revokeC.
LONSTflUCTION LEN�ING AGENCY: I �ere0y aifirm Iha� Ihere i5 a COnSVUCtiOn Ienain0 aAency fol Ihe OeMormante ot th¢ wOrk br
w�ic� Ihis permil is issuetl (Section 3097. Civ. C�.
LENDEP:
nooeess:
OWNEN BUILDEB OECIABRTION: I her¢by afiirm I�al I am exemp� imm I�e Coniraciors' S�a�e License Law tor I�e tollowin0 r¢a5on
(Section 703f.5 Business an0 Pmiessional Cotle: Any city ol caunty which aQuires a permit m constmct, aiter, imprwe, Aemalis4 ar
repaie any simclure. prio� to its issuance. al5o reduires t�e aDO���ant lor suc� permit to lile a signe0 statement ihat �elshe is IittnS¢G
Oursuant to lhe pmNsions oi Ihe Canlracmrs' State Lic¢nse Law (C�apter 9(cammencinp with Sectian 7000) of �ivision 3 oi t�e Bus�ness
ana Pmlessions Cotle) or ihal Ae/she is evempt I�ereimm anA Ihe Casis �Or I�e alleged exemp�ion. Fny violation 01 Stttian 7Q3L5 hy
any apDlicanl for a permit suoiecis ihe aoDlicant lo a civil penalty of not mare tlian five nuntlred Oollars (35001.
I, as awner ai t�e Ompeny ar my emyloyees wiih waqes as tAeir sole compensation, vnll Go the vrork, anA tAe
❑ slmcWre is no� intenUeO or oiferea for sale (Section 7044, Business ana Pmfessional Code: T�e Contractors Sute �icense Law
Ooes noi apply b an owner o� a pmDerty w�o builtls or improves lhereon, ane w�o Ooes suc� wo�k himsel�/hersell ar I�mug�
his or her own employees. pmvide0 tha� such improvemenls are nol intentletl or o��eretl lo� sale. It, however lhe OuilEinq or
impmvement is saltl wi�hin ane year ai com0lelion, I�e owner will �ave ��e EurGen of pmving �e/she Oi0 no� bui10 or improve
lor ine DurOose of sale�.
,+� I, as owner oi �he pm0er�y, am exclusively canlrac�ing with licensed conVac�ors �o consimd t�e prolecl (Sec�ion 7044, Business
U antl Prolessions Coae: The Coniraclors' S�ate license Law does not apply to an owner of pmpenp w�o bwltls or impmves Ihereon
antl w�o contracis br such pmlecis with a conlracbr(s� lice ursuam m Ne Conlractars' Stale License Law). I am aware
Ihai proo� o� their WOBer's ComOensalian insurante S�oultl provi4eG fo me.
� I am exempt un0er Seclion: B. 8 P. C,
lor I�is reason
Oate:� L� Owner: � �
I do here�y cenily Ihal I am aware a� antl un4er5lanU Ine reQuirements ol alilomia Healm anJ afery Cotle Sec�ions 2550.5 533, anE
2557a anC that I or any �umre Ouilding occuoam wilVvnll not (circle one� n O lo compty with sbitl s�ate cOdes anG I�e �edui ents lor a
permit for con9mc�ion ar motliliwtion imm ihe Air Ouah�y ManaOemenl'U51rici. fle5ideniial con5imclion appl�Wli0n5 ar¢ Ceempi �mm
Inese provisions. �
Da�e: Ppplkant:
I �¢teDy cer1Ay I�ai I have reaU �his aOP�ita�i0n antl �aie Ihai I� GOve in�armalion is t rRti agree, o tamp atl Ci�y anG COunry
or0inances anC s lela relatingio Ouiltling consimtlio 0 y aN�orixerepresen this ci Ia ente Do Ihe abave�mentioneA
oropeny br in ec�io puropases.
Oale: f C J Signalure:
� ori�ers ucense or Sociai Securiiy n:
i6abe6 wmte—Buiiaing; Green—CoOe
Pink—Ravenue:
CITY OF COSTA MESA — HUILDING PERMIT PERM NO: B 064821
PERMIT NO: B 064821 PLAN CHECK NO: 03890-93 L GOVT: N SUPP: N
CONSTRUCTIC�N TYPE; PEAMIT TYPE; STR PURPOSE: REP
JOB DESCRIPTION ; REPAZR SHEARWALL NAILING 6 CANTLVR FLOOR SQ FT; 1,250
CLAIM VALUE; 2,500.00 CALC—VALUE: 2,500.00 GROUP OCC: R-3 /
COMMENTS: STRUCTURAL REPAIRS
�r�*�r****xt�r�r*+r�t**��r*�r*�r�r�t+r*�r��r�r**�r***+t��-+r***�e**+t�r***�***�i��r�r******�r*+t***�rir+f�r+t**
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY HUILDING ---------
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 RE�• PROV: PARCEL: 93768029 2NE; R3 REF NO:
PLANNING N TES> INTEAIOR SHEAR WALL 6 CANTILEVER FLOOR REPAIR.
) �.
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D E V E L O P•M E N T S E R V I C E S A E Q U I R E M E N T S
ZONING AFPROVED BY ' DATE: /- O
BUILPINC APPRQVED BY ; KFl-� LIATE: I� Z�i._( i3
APPLICATION ISSUEP HY:
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LEGALIZATION:N F E E S U M M A R Y STP.UCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANZC FIRE SMIP/RES GRALIING
PERMIT 54.00 ,50
SMIP/NON—RES
PLAN 35.10
ISSUE FEE
BUILDING—DZV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 54.50 0.00 35.10 89.60 89.60 .00
REVENUE DIVISION TOTALS--> COLLECTED: 69.45 OVER/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FZRE SMIP/TOT GRADING PLAN—CHECK
54.00 .50 19.95
iE if i! iF if ik iE if iE if iE i! i4 iE 1E if fE 1E 1E if it 1E 1E 1t if il� ff �)t it ik ik ik if 4 jE �lE 1E iE i! if 1k if if !k if if i! iP ft ih 7F #` it if fF if if iE iElE iE iE �If if iE # if �]F if If iE i! i! iE * iF iF �1F it
I N D I V I D U A L F E E H R E A K D O W N
TYPE QTY D E S C A I P T I O N UNIT COST TOTAL COST
SFR 2500 STRUCTURAL BY VALUE PER 51.00 1.00 2,500,00
END OF �EES
EXl'I pED,
DATE• N �t r6
, �
oi o�sso�: �-nozsozs� To� ��.�-
C,A7E: il%��/7'+ Ti4�t: 1::5>
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit# Date Inspector APpAOVALS Permit� Date Inspector
I
1. Temporary Electrical Service or Pole 52. Pool & Equipmenc Location
2. Soii Pipe�Undrgrnd. 53. Steel Reintorcement
3. Electriral Conduit Uti�ity-Undrgrnd. 54. Forms
4. Electrical Conduit�Undrgrnd. 55. Electricai Bonding
5. Scee! Reinforc¢menc 56. Rough Plumbing & Pressure Test
6. Electr�cal UFER Grnd. 57. APPROVALTO COVER-GUNlTE �
7. Foot�ngs 58. Electncai Conduit�Unrkgmd.
S. Foundation 59. Gas P�pe, � Undrgm,tl„ Test I
9. Water Pipe-Undrgrnd. 60. Backwash Lines. P-Trap, � Undrgrnd.
70. Structurel Flonr System 61. APPROVAL TO DECK
7 t. Property Sewer line & House Connectio� 62. Backwash & Recepcor-Final
72. Sewer Cap . 63. Heater & Vent�Final
73. Roof Drains 64. Plumhing System - Finai
74. Rough P�umbing 65. Electrical�Final
15. flough Electrical-Conduft 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wirin9 5�9� 68. APPROVEO FOR P�ASTERING
18. Rough Electrical�T Bar Celting 69. POOL/SPA SYSTEMS FINAL
/9. Rouafi Heating & Air Conditioning PIRE DEPT. REQUIREMENT
20. Rouyh Factory Fireplace APPROVALS Permit #
21. Dutts, in Structure 70. Underground HYdro I
22. Ducts, Ventilating 71. Produci Piping C Gas � Od
23. Gas Pipe�Rough & Test 72. UndergrounA Flush
24. Roof �raming 73. Undergrnd.StorageTank C'.iGas ❑0��
25. Roof Sheathing 74. Overhead Flydro . i
26. T�Bar Ceiling �Structural) & Monocoat 75. Ory Chemicat `': �'
/ , <
27. Frame and F:ashing )[�y �� � 76. Dry Standpipe �_ .-• � j
�70� ,
28. Lathing& Siding 77. FIXED SYS7EM FINAL �,' i--i
29. Insuiztion 78. FIRE PREV. FINAL _ ="�� `
30. Drywall Nailing HEALTH DEPT. REQUIREMENT �' .� ��`
31. Plasrer Brown Coat 79. FINAL INSPECTION ;
32. Electricat Powsr Meter-Final 80. FOOD CERTIFICATE ISSUED r�
33. Fina� Elec:ric Notes: �6yf5✓//1� Wi�'�i �/• C L�,r-�
34. fina( Heating & Air Conditioning ' ��
- / Z-7 - 9 9
35. Final Gas PiOe-Test _ �
c�
36. Nood or Canopy �( � R 9'�° ` _
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar pomesticFinal
42, Backfiow Prevsnter
43. Backilow Irrigation
44. Landscape irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FfNAt STRUCTURE & BUILDING -'
48. FINALPLANNING �, _�
49. Electric Release to Edison , __
50. Gas Release to Southern California Gas Co •
51. CERTIfICATE OF OCCUPANCY "� ~
No. Date
Oy�o6��
. . . ��.�1!//'e/a B.1 fJ �O 02 O�j O(�� OB� /� - /p
�� COSTA MESA BI� �ING-SAFETY DEQART�ENf APP! TION F9R�'fRl3'`1tl�L PERMIT���.97 T�
, P.O. BOX 1200 'A MESA, CALIFORNIA 92626
� � a� P��7�oD N° �
For Applicant to Fill in Completely - Use Ink Only
ADDRE55 `�Z A. . NO. �"'I�Q� I�� O��"} �� IZ)
BUILOING Ie ��M;ra 8
OWNER OR AODRE55 LJ1
TENANT M.D. anes CO. ISlC. UNITOR ��
MHILING SPACE NO.
nooaess p950 Airwa Ave. D-9
TR.�Oo J � / LOT BLK.
ciTv Costa Mesa No� 979-3376 �����
��R�� NEW ADD LTER REPAiR MOVING DEMOIISH
LENDEH o aelected
BRANCH N A
OWNER
ADDRESS VALUE
ARCMITECT TEL. VSE S
OR ENGINEER —
�
ADDRESS B 20NE � TVPE V GROVi /� �
APPROVED
CONTRACTOF BV DATE
ADORESS e
TEL. �
CITV e NO.
F STATE CITV APPROVEDSETBACKS
� IIC. NO. e LIC. NO. A
{y SIZE NO.OF BLDGS. (FROM C/L STREET)
C� OF LOT � X 334' NOW ON LOT e qONT
a USE OF
� EXISTING BLOG —
y
FSeparate permits are required for • �. sio T.
Q electric, plumbing and heating work. REAR FT.
� USE.OFBUICOtNG�AND WORK TO BE PERFORMED
�.-. PLANNING ACTION
Q '�
� .G L� \ i � � � / � APPROVED Z�L� � (
> _, „�Ro ,o .
� � , , 2-/`/- �
�
0 I hereby acknOwletlBO tha[ I hava reetl thit application entl Siatt �' �
y� that ibe ebove informa[ion is correci antl epree to comply wlt� �,��
�. all laws repulaNng building consvuction, and I shall not employ ; �
Z any oerson in violatian of t�e workman's companwtion lews of d
2 Me State of Califomia. Z � .: �
m
3 I heroby canify that I am properly licensetl as a coniractor untler
SQ. FT. �+ �
tha $tate Ot Calitornia 9usinass antl Protessions Catle, DivisiOn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, antl t�at such licenses ere In full torce antl eifact, or I THE PURPC6E OF ESTABLISHING A PERMIT FEE ONLV: `(',n
m eaemp[ from th' provisions ot the Steie of California Busineu v T�
VALUATION PERMIT FEE E
and Profassions Cotl , �ivjaiam 3, Cnapter 9. �
� PLAN CHECK E / 7
Sipnature of L —' / �j' /,-/ h o
Permlttee . SCGS� �•� TA% E � � �.1�
or � '
Authorizetl Ap �_ Da� A� � ��!Q TOTAL PAID S�� u
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COSTAMESABi�;�^�ilWGSAFETYDEPARTME � APPL.�ATIONFORSTRUCTURALPERAIIT
FYiCrn •
.._._....."' ...._._...........—.._.._......___.._.. RECEIVEDBY PERMIT �
For Applicant to Fill in Completely — Use Ink Only
BUILD�Ni� � q,P, NO.
ADDRESS
BUILDING
OWNEH OF ' I ADDRE55
TENANT
MAILIN VNIT OR
ADDRE SVACE NO.
TR.NO. LOT BLK.
TEL.
CITV NO.
NEW ADD ALTER REPAIR MOVING DEMOLISH
CONST ON
LENDE
BRANCH
OWNER
AODRE55 VALUE
ARCMITECT TE�. USE S
OR ENGINEER N
ADDRESS 20N TVPE G�70UP
APP �CONTRACTOR BV DATE Z ^I
ADDRESS
TEL.
CITY NO.
STATE CITY APPROVEDSETBACKS
LIC. NO. LIC. NO.
SIZE NO.OF BLOGS (FROM C/L STREET)
OF LOT NOW ON LOT RONT FT.
VSE OF
EXISTING BLDG. i
Separate permits are required for L. SIDE Fr.
electric, plumbing and heating work.
ftE�+F FT.
USE OF BUILOING ANO WORK TO 8E PERFORMED p{p,NNING P.CTION
DATE
APPROVED
APPROVED
1 �areby acknowletlpe that I heve reatl this ePPlication antl rtere i°.'
that the ebove informetion is corract antl apree to comply with
ell lews rep�leting Ouildinp construction, entl 1 shall not emploY
any person in violation of the workman's compensation laws of
Ma State of Calitomia.
m
SQ. FT. "+
I herebY cartify that I am properly Iicensetl es a contractor untler ]
t�e State ot Callfor la eusioass e�tl Professlons Coda, Division 3, THE AMOUNT SHOWN UNDER VAWATION IS FOR m
Chapter 9, and ffi wch litanses are In full force antl eftect, or 1 TME PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: �
om exempt trom a provi ons of [he Siate Of California Business o
VALVATION PERMIT FEE S 6.QD
antl PrOtassiOni ' ' n 3, ChaPter 9. i++
m
SiB^ature o PLAN CHECK b ^
0
Permittee 5 LL
or � i TAX E u
Authorizetl nt �1e TOTALPAID E/b ��