HomeMy WebLinkAbout3366 WISTERIA CIR - Building Permits�
PflOJECT,RDONE55:
' ow�tLksxnMe: 3366 WIS:ERiA CI
RODflE55: Oi�ZVER� DAVID M
OLIVER� ELLIE M
3366 WISTERIA CIR
COSTA N:ESA,CA
ancxiexcixees: 6 41— 9 0 8 4
aooness:
UNIT:
92626
PEG.NO.:
uxiT:
PEHMITTEE:
nooeess: PERFECT COVER ROOFING ( 714 ) R91 —3590
8441 CARNEGIE
rarrTu-�STFp f'H� Q
LILENSED CONTN�CTOR OECUIBATION: 1 hereGyalfirm Ilu1 I am Iicense0 unGerprPuision D' pi r 9(commencinp wil� Section
7000� ol Oivisi0n 7 0l tne Busineu an0 Prolessi0ns CaGe. anG rtry lirenu rs in INI twce aiM effe[I.
CITY Ut.: � STATE IIC.: LlASS:
n�ya0��� q 62i�� y
jLllz� J ' ' / ' � Si9natwe: �
WOBKEflS'COMPENSATIONUECLAMTION: I�ertDyal�irmltwil acenificateafconsentmselbinsureoraceRilicatealWorkers'
Compensation insurance. or a ceniliea cooY ��emol (Section 3800. La�. C).
POLILY NU.: E%P. OFTE:
COMPANY:
Q Certilietl wpY is hereDy Iumishe0. ❑ CeNlied copy is file0 wit� the ciry BuilUing DNision.
Oate: ApW�m:
EIIEMPTION fHOM WOXIIEI7S' COMPENSRi70N OfCtAliRT10N: (ilit 5e�tion nreO mt 0e cwn�e0 ii Ne partil ¢ for me MmtlrtU (5100) a 1e55�.
I cenily tlut in ihe perfarrtunce of ihe wOM1 lot wNch iNs p¢rrtut is i55ue0, I Shau not emp any verson in atry manner W az to became
su�le[t lo Itl¢ Work¢rs' ComDenSaqiion LawS ol CdIifOM�a. J /'
na�.� �rg � ^ / � SignaWre\ .i /C.C�� '
NOTICE:II. alter maUng t�is tleUaration, yau slioulG Oeco � suEject m t�e Waf�ers Compensation provisions of ihe La�ar
Coae, you must �art�vnlA [omply vnln 5ut� D�Ovi5ion5 or IOis Oemtil Shall Ee CeemM fevoke0.
CONSTflUC110N LENOING RGENCY: I �ereGy aflirm t�al t�ere i5 a conStmCiion IenGinp dp¢nCy �or t�e peAorman[e ol Ih¢ work lor
whitll I�is permii i5 i5su¢tl (SetliOn 3097. Civ. C�.
LENOEP:
RODHFSS:
OWNEN BWLOEB OECLAN�TION: I IrereEy alfirm tlut I am e.em0� ��om �M Contraclars' Stale lkense Law for I�e lollowinp reason
�Senqn 7Q77.5 6uvness an0 Pmfessioial CoOe: My diy of counry wAiUi rep�nra a permlt to consiruct, alter, improve. Eemolish, or
Rpair any slmcWre. Orior lo iu �ssuance. al5o repuires ine aoW�Ent lor sucn oermil to lile a sipne0 statemenllhat nNsne is licensetl
pursuant io ine pmvaions ol tne tomractors State lkenu Law (Ctupter 91�mmaxirp witn Sectron 7000) of Onision 3 al tAe Business
an0 ProtesvOnS Coae) or Itwi MJsire 6 ealmpi t�eretrom an0 Ihe Dask lar Il�e allepe0 eRemp�ion. My vpWtion al Se[lion 7031.5 by
any applicanl lor a Dermil suhjec6 Ne ippliWnt �o a ciWl penalty of not rtwre Ihan five �unCreG OdWrs (5500�.
I, as owner ol Rle Dmpeny ar my emq oyea with waqes as theit 501e wmpert5d�qn, wi11 Oo ihe Wark, an0 ihe
❑ stmcture is noi intenEed or olleree lar sale (Section 70d4. Buvneu an0 Pmleuional Caae: The Coniractors' State License Law
aoes nm aoa�y �o an owner of a oropeny wtro euilas or imprmes inereon, ana wM eoes sucn work nimsell/hersell or tnmugn
�is or �er own empl0yees, proviE¢t Ihdl 5ut� improvemeni5 are noi inlenG2G or oller¢0 tor Sale. II, howevet 1�e Guildinp ar
impmvement is salE within on¢ y¢ar 01 complelion, �he own¢r will luve Ihe burEen o� pmvinp he/she tlitl nol 6uiltl m impwve
lor It1e purpose ol sale).
I, as owner oi ��e D�a�etly, am eKtlusively comractinq vnt� licensed conttacmrs io consimct IAe D�olect (Section 7044, Business
❑ anG Pwfessims CoEe: The Camranors S�ate Licerise Law Gces �rot appy to an wmer ot pmperry wlo CuAds or improves iheieon
an0 wlp cmirans �or wc� O�olete wii� a tontnctoqz� ticense pursuam Io t�e ContractWS' State �Kense �awl. I am aware
Ihal Dmol oi I�¢i� Worker'S fqmpenuiqn in5urance SMultl Oe pmvi0e0 to me.
� I am eyempt unEer Section: B. d P. C.
lar I�is reasOn:
Oaie: Owner.
I tlo here0y cenily i�at I am aware ol and unaersianU ihe reQuiremems of Calilomia Healt� and Salery Code Sections 25505, 25533, ana
2553A and I�at I or any Wture Uuilding occupanl wilVvnA not (tirde ane) neeG lo comply wilh SaiA slate codes an0 ��e reQuiremenis for a
Dermit lor consiruclion or modiliCdlion imm t�e Au uali�y Management D6irk1, fle9tlenlul constNction apDlications are exempt Imm
�hese DroviSions.
Date: APOlicam:
I heieUy cetlity Ihal I have reaa this apO�Kation ana Slate I�at I�e aGwe in�ormation is corrttL I apr¢e to compN ��� all ci�y an0 couniy
OIEiNtICCS dfb Sldi! WwS�tIdIYIG�O OUilOi�Q EMSINCIIOIIdMIMfPby dYilq!¢CfCpfCS¢IIld�ivp5 WINS PIyIO CIIIC(IIpOfIIhE dhOVE-RM(IibllEd
properly torinsoecibn ourpox¢s. Q� �
bZR� � �3 �^ /unamre' „��'_�L��
Driver's License o� Saciai Secunty x: _
1641�a6 WN�v—Builtling; Green—Code Enlorcemenl: Canary—Applicant: Pink—Revenue; GokenroA—Assessoe
r
CITY OF CO5TA MESA — BUILDING PERMIT PERM NO; H 05841'_
PERMIT NO: A OSB415 PLAN CHECK NO: N GOVT; N SUI�P: N
CONSTROCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: AL"
JOB DESCRIPTION : T/OFF RES:iT. REROOF W/COMP SQ F?: 4,800
CLAIM VALUE: 4,8U0,00 CALC—VALUE: 4,840,OU GROUP OCC: R-3 /
CUMP4ENTS: SMOKE DETECTOR RE�UIRED iN THE HOME
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Z O N I N G R E Q U I r� E M E N T S
sETHAcxs
------------ MAZN Bi3ILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT 1'iV REAR; FT IN FRNT; rT IN REAR; FT IN
LEFT; FT IN RGHT: FT TN LEFT: FT IN RGHT: FT IN
PARKZNG kE • PROV: PARCEL; 91218246 7.tJE; REF NO;
PLANNING N 'CES>
> '
�f * k 3E if �E �li 1E 3F iF iE If iF if �f-!h iE iE if i4 iE �lF %iF iE iE iF�E iE �1f �1FiF iE If�ik iE i'r iE iF 1E iE �lE�ff iF ff k i6?f 1!� �k ik iE fE if If iF IE R� i(� Y� iF if 1E iFiF if #�1;1f #� iE � ic # iE ie 1!-iE
D F. 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„i S
?.ONING APPROVED BY DATE; 1
BUILDING APPkOVED BY ; DATE; �' _
APPLICATION SSSUED BY; � � DATn: :.=�3 �—� �
Ifi('1f�1EiEif'lf1('Y��!'N'1E1F1EifkifieiFlE#1fi�'iil�it"� . . : 'n... ?f•iE1FIF#iftif}k .Y�±e#i('
it if if le if fE i'r iE if iE # IF iF ie if 1t 1F Ih * iE iF iF iEiF i! iEiF� 3F iF i41t* iE if x 3F if iE 3i� if �)F�if # iE 3f �lf iF R�f� X• 141�• N� Y�if� �k� le �7'r-If iF 3F �)f iE i(� if jf iF f �F if k iti k iE ih i!� iF i!� iF
LEGALI7ATION:N F E E S U M M A R Y STkUCTURAL SEGMENT:Y
BLGG PMT PLUMHING ELECTRIC MECHANIC FIRE SNIP/RES GRADING
PERMIT 72,00 � SO
Pi..AN SMIP /NON—RBS
ISSUE FEE
BUILDING—DIV—> PERMIT ZSSUE P[,AN—CHECR TOTAL PAID DUE
TOTALS----> 72,50 0.00 0,00 77.,50 '72.50 .00
REVENUE DIVISiON TOTALS--> COL�ECTED: 72.50 OVER/SHORT• 00
BLDG PMT PLUMBING ELECTRIC MECHANZC FIRE SMIP/TOT GRADING PLAN—C3ECiC
72,00 . .50
IFiE iE iF iE ic # If # 3F # if 7E iE iE �li iF R ii iF 1f iF iE i(- iF iF � 1%iF 1F %iF iFiFiE �f if IE iF iE �F ih if ii� Y� jE if if ff if 7E R iE If iF Y. iM1 if Y.� iF IF �IE !E i't 3k iF )E 7f it ik iE iE iF iF �iF iE 3F iF
I N D Z V I D U A.L F E E B R E A R D O W N
TYPE QTY D E 3 C R I P T I Q N UNIT COST TOTAL COS?
SFR 4800 REROOF BY VALUE R�IDENTIAL N070NE 1.00 4,800,00
END OF FEES
�
` CONSTRUCTION AND PLANI�� I G- , POOL PA
tAPPROVALS Permit # Date Inspector AppROVALS Permi[ # Dace Inspector
i. Temporary Electrtcal Service or Pole 52. Pool & Equipment Location �
2. Soil Pipe•Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility•Undrgrnd. 54. Forms
4. E�ectrica� ConduibUndrgrnd. � 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Tes[ '
6. Elettrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE �
7. Footings � 58. Electrical Conduit-Undrgrnd.
8. Fou�dation 59. Gas Pipe, � Undrgrnd., Test �
9. Water Pipe-Undrgrnd. ' 60. Backwash Lines, P�Trap, O Undrgrnd.
70. Structural Floor System � 61. APPROVAL TO DECK �
it. Property $ewer Line & HouseConnection 62. Backwash & Receptor�Final •
12. Sewer Cap 63. Heater & Vent•Final
73. Root Drains 64. Plumbing System � Final .
14. Rough P�umbing 65. Electrical�Final �
15. Rough Electrical•Conduit 66. Solar System-Finai
76. Rough Electric Wiring 67. Fencing & Access Approvai
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electricai-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Cond�tioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Dutts,in Structure 70. Underground Hydro
22. Ducts, Ventilating 77. Product Piping O Gaz ❑ Oil
23. Gas Pipe�Rough & Test 72. Underground Flush
24. floof Framing 73. Under9rnd. Storage Tank � Gas ❑ Oil
25. Roof Sheathing �/9 74. Overhead Hydro
26. T-Bar Ceiling ($tructural) & Monocoat tYt 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lzthing & 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 CERTIFI�ATE ISSUED
33. Final Electric Notes: � _ 11 /„ y`- �� �'�
aFG.� �
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 pomestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irriqation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING Q_9Z G w�'
[� !
48. fINAI P�ANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CEiiTIPICATE OF OCCUPANCY
No. Da[e
CI1 JF COSTA KESA REQUEST FOR OCCUr�,JCY
�
TRACT N0.
IAT N0. �/-f�
�D�ss 3�.�'� wis�-�liA C'r'
DATE �� ,
The developer of the above entitled tract desires to sell the above aet
forth lot prior to the time that the tract has been completed and its etreete
accepted by the City of Costa Mesa.
The undersigned, by executing this agreemen�, acknowledges that
,
(he-she-they)�(was or were) ,�..v-e�..-` advised that this tract has
not been given final inspection nor has it been accepted by the City of Coeta Mesa
as having complied with the conditions of approval which were imposed by the City
at the time the final tract map was approved.
The City assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the City harmless from
any claim resulting in damage or personal injury to the undersigned by reaeon
of the aforementioned uncompleted condition.
—" , -i .; , : > ;...._.,...._�.�.,_`...
�R �`.C':'�:,��;l�' E;D`.: :,::
� CITY; OF.rGqsi�'r.a�sA ,*:•'`, �
��,� •r+..;� _ , ,; .
' �,t�iril� .�.:,:G�',l�l;{a,-� . . „
, A� ,• . ,.,.:,; ;>:t°''' PRB', .�
'�iai9i�'iiii�i��2i3i4i$i� �
� ',r.��, �'Q'
� �',
BY '��,,,��.�- C 1(��,�.. �
_ _____ , �
Purchaser
ax ���-rd�.L .��-�'-�L�`—..
Developer and or auchorized
representacive
BY �c.�CC'� /,c�/,l..n�rrv�
Lender „
,'
� . .. � i
OWNER
rcie
aROP. SWA. LINE �J HOUSE CON. U
SPRINKLING SVSTEM
MISC��LANEOU$
FOIIGM NEITING �NO �IR CONOITIOMING
TE'nPOR�RV SERVICE OR GOLE
UNOEqGR0UN0 � POWE0. �
ROUGN WIRING
TRENCHES [J FOAMS STEE� REINF.
FLOOq SYSTEM
BONO BEAM [, STEEL REIHFOACE ❑
SNE�7HING
FR�ME J�NO F�qSMING
L�TN�NG — �N OUT
Pl 'R. BROWN CO�T
ST. :UR4l,FINAL
HEITING, VENT., REFRIG. �NO �,C., FINA�
PIUMBING. FINAL AHO GAS iE57
ELEC7RIC, FiN�L
DATE 5-25-79
SUBCONTRACTOR
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�MESA BUILDING-SAFETY DEPARTMENT pPPLICATION F�i
O. BOX 1200 COSTA MESA, CALIFORNIA 92626 ,• •
RECEIVEDBV PERN
For Applicant to Fill in Completely — Use Ink Only
BUILDING A.P. NO. —
ADDIiESS ��G Gl��J%LQi RCL
OWNEROR '/ BVILDING 33(0%
TENANT � Nn/ETl� C�', ���I.CNL�L ADDRE55
MAILING � UNIT OR
ADDRE55 �3 �p rp �/ S'L•2/ ���`LL SPACENO.
TR.NO.�-7 LOT
TEI. /
CITV eQS%/9 �Cffl NO. �S/%IG
CONSTRUCTION NEW ADD ALTER
LENDER ✓
BRANCN
OWNER
A D DF E55 �}—
ARCHITECT TEL. USE
OR ENGINEER NO.
AD�RESS 20NE TYP
APPqOVED
CONTRACTOR BV
ADDRESS
TEL.
CITV NO.
STATE GITV APPAOVEDSETBACKS
LIC. NO. UC. NO.
SIZE /�� �K ��/ NO.OF BLDGS (FROM C/L ST T)
OF LOT I W CX/ NOW ON LOT pNT
USE OF / i
EXISTING BLOG
Separa[e permi[s are required tor L SID O� FT.
electric, plumbing and heating work. f
REAF FT. �
USE OF BUIIDING ANR WORK TO BE PERFORMED PLqNNING ACTION
�tj�gPERMIT 36.50 TL
N� �(f�
-�.
�2iA C�iReL �
e�
^�
BLK. �
REPAIR MOVING DEMOLISH "
�'
ALUE
E /
J
r7'� � � �
I hereby acknowlatlBa thet I heve reetl thia aDP���ation entl rtete °�
C
t�at ihe above Informetion is eorrect antl eprea to comply wit�
ell laws reBulatinp builtling eonrtruction, antl I shall not amploy �
any person in violetion ot the workman's eompenutlon lewa of °
tha Stete of Californla.
m
1 hareCy certify thet I am pro0erly 1(cansetl as a contrector untler SQ. FT. �
the Stata of Cnlifornie Businau entl Profosslona Cotla, Divialon 3, THE AMOVNT SHOWN UNDER VALUATION IS FOR m
Cheptar 9, antl thet such licenws ere in (ull torce antl etfect, or I THE PURP06E OF ESTABLISMING A PERMIT FEE ONLV: �
em ezempt iram i�e provisions of tha Sto2e of Callfornie Businasa VALVATION PERMIT FEE 5
antl Profassiona Cotla, Dlviiion 3, Chapter 9. �� �
.t n
Sip^etureof /(�� §�j//�V� PLANCHECK S oO a
Petmlttee �T s i�.4�f `/�/ C ' TA% E "b f
or t V
AuthorizetlApent Date TOTALPAID E�L. G"Tl
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COSTA MESA BUILDING-SAFETY DEPARTMENT
SOZC P•O. BOX 1200 COSTA MESA, CALIFORNIA 92626
Fo� Applicant to Fill in Completely
BUILDING "�i'� /' /' __. . .
OWNER Larwin S
MAIL 16z55 Ve
G f] fl R FSS
I
hUG 15-7?_PA1°C01064+� ***
cns; 14Z.Q5
FOR BUILDING PERMIT
Calif., ITl�.'. A�P�NO. �`
BUILDING �� /� /
Vd. ADDRESS (O (C
NOL��G-4�0 TRACT / �/
cirv r:ncino, (:B11T.
CONSTRUCTION
�ENDER LarwinSouthern C�
BFiANCH 16255 Ventura Blvd.
ADDRESS Encino. Calif_
ARCHITECT TEI
VR ENGINEEH N .
ADDRESS 9100 Wilshire, Beverly Hi
CONTRACTOR Larwin Southern Calif.
ADDRESS 16255 Ventura Blvd.
cirv Encino, Calif. No�986=88
uc No. 1913ll uc�No. g-1
SIZE - NO.OF BLOGS.
OF LOT 6O X LOO � NOW ON LOT (
USE OF
EXISfING eL�G.
SIZE OF NO. OF
NEW BLDG.17�#O ROOMS STORIES �
EXTERIOR WAIL ROOF
COVERING StllCCO COVERIN(��IC7, Shincrl
USE OF BUILOING AND WORK TO BE PERFORMED
Construct sinale
I hereby acknowletlge that I have reatl this application antl sta[e
that ihe above intormation is correct antl agree to comply with
all laws regulalinB building consttuciion, and 1 shall not employ
any person in violation of the workman's compensation laws of
[he State ot Calitornie.
I hereby certity that I am properly licensetl as a controctor under
tha State of California Business antl Professions Cotle, Divisicn 3,
Chapter 9, and that such licenses are in tull forca antl effect, or I
am exempt trom the Drovisions ot the State of California Business
antl Professions Cotle, �ivision 3, Chapter 9.
Signature ,�I A
Permittee� d1R/U D.Dowas
Authorizetl Agent
OWNER
FIRE
20NE NO.OF
PLANS
VARDS APPROVED
MAIN BUILOING
(FROM GL STREET)
T
DISTANCE 8ET
MAIN BIDC'�5.
VAR. �
C.U.P. #
APPFOVE� Ji
FiOLD FOR
PER
S' C NG
7 VALUE �
$
� GROUP �
ttiD�P.TE '�/-��/
USE OF NEW /jV � �
BUILDING L(/ � TTCHO
VARDS APPROVED
BET. MAIN &
THEAMOUNTSHOWN UNDER
THE PURPOSE OF ESTABLISHING
VALUATION
PERMIT fE
$ {� �Ga PLAN CHE(
d
�
� �,(/ m
� �
0
TION IS FOR �
T FEE ONLV: m
¢
� � N
/ � m
� p� u
.�