HomeMy WebLinkAbout3387 WISTERIA CIR - Building Permits�
JECTRODflE55: 33S% WISTERIA CI
�WNEP'$ NAME: HEIMAN, NANCY
aooRess: 3387 WISTERIA CIR
COSTA MESA,CA
966-1338
FPCHIENGINEEfl:
RDOflESS:
UNIT:
92626
flEG.NO.:
UNIT:
PEFMITTEE: CAL PAC ROOFING ( 714 ) 583-0884
aooxess: gz7z JERONIMO
IRVINE CA 92718
LICENSEU CONTBALTOB OECUf1ATI0N: I �ereUy alfirm ihat I am Iicense0 untler provis s ol Chapter 9(cammencing with Section
7q10� ol OiviSfon 3 0l the Bu5ine55 aiW Pro�ession5 CaAe. y liCenSe � II lOrce a 4 elleCi.
c�rr uc.: 4 2 3 arnre uc.: 512 8 6 ss: '
�Wie: Signature: . _
WOHNEflS' COMPENSATION OECIAPAT10N: I AereDy alfirm th �ave a ce iW o� consenl b sel4insure or a cetlilicate o� Workers'
Compensaiion Ipsyryn�g„p��cp�tijjeyt,ppy Ihereol �Seclion 38 . �� '� O S I9 2
POLICY NO.: �� 1 WI.Y L V/ Lt1 E%P. OATE:
comrnxr: SUPERIOR NATL. /�
❑ Cenified copy is here0y lurnis�etl. � Certilied coOY 6 Q witA ih c fy 9ui inA 0'sion.
$ele: I_� o/ I �' AODlican�:
E%EMPTION FqOM WOBKEP$' fAMPENSATION DECIAflPTION: �T�i55ection ne¢ ot � co Dleicd itihe permit is lorone hunAred (31W� or less�.
I cerlily Iha� in Ihe perbrmance oi �he work lor which t�is permit is issued. I s II I e ploy any person in any manner So as t0 beCome
su�lecl lo ihe Wo�kers' Como�s2�ion Laws oi California.
Oale: Signaiure:
NOTICE: I�, alter making IhiS declaraiion, you should become suble�� �o the Workers' Compensation pmvisions of Ihe laCor
CaEe. you mu5i tori�w�t� tomD�Y �^�� Suth provi5ion5 or Ihis permil stwll Ee G¢¢me0 revokeE.
CONSTflUCTION LEN�ING AGENCY: I here0y a��irm t�ai there is a con5tmciion IenAinp aAency for Ihe pedormance of Ihe work �or
w�ic� ihis �ermit is i=sue4 �Section 3097. Civ. q.
LENOEN:
AO�flES$:
OWNEP BUILOEH DECIABpTION: I hereby ailirm Ihal I am e�empt �mm the ConVactors' State License Law �or Ihe �ollowing reason
(Sectian 7031.5 Business ana Pmfessional Code: Any ciiy of caunty which requires a Oermil lo cons�Ncl, alleL imD�o�e, tlemolish, or
repair any StmcWre. prior Io iis issuance, also �equires t�e applicant for SucA permil lo lile a signetl statemenl t�at �e/she is licensea
pursuam m �he pmvisions ot t�e Coniracmrs' Siaie License Law (Chapter 9(commencing wilh Section 7000) of Division 3 ot t�e Business
anE Pmlessions Cqtle) or I�at he/she is e�emp� I�erelrom and ��e basis lor �he alle9eU exemption. Any viola�ion o� Sectian 7031.5 6y
any appliWnt tor a permit suGjecis lhe ap0licant to a dvil penalty ol not more ihan live hundreA tlollaR (5500�.
I. as owner af Ihe propeny or my emyloyees with wages as their sole comoensation, will �o ihe work, anA Ihe
❑ slrucmre is not intenOeE or ollereE lor ul¢ (Section 70aa. Buvness ana Pmlessianal Code: T�e Conlracmrs State License Law
Ooes noi aDOty to an own¢r 01 a pmp¢riy who CuilGs or impmv¢5 Ihereon, ana who tlaes suc� wark �imsel�/h¢rsel� or t�mug0
his or �er own emDloyees, Omvitlea ��ai such impmvemen[s ar¢ no� inlentleC or OflereC IOr sale. II, �owever the builaing or
im0�ovemenl is 5a10 vnihin one year o� compietian, �he owner vrill have ��e Ourtlen o� pmvinp he/s�e tlitl na� Ouiltl or impmve
for ine ourpOse ol 5dIe1.
I, as owner ol Ihe pmpeny. am exclusively coniracting with Iicense0 contraclors to consimcl the D�olect (Section 7044. Business
❑ an� Pmlessions CaGe: T�e Canlraclor5' State License Law does not aDON �o an owner ot Dmperty who UuilAs or impmves thereon
antl who conira[Is lar suc� pmlecl5 vnlh a conVactor�5)licen5e pursuantto Ihe Canira[tars' S�aie �icense Law�. I am awart
��at pmoi ol theu Worker'S Compensa�ion insurance s�oultl be pmvidetl ro me.
� I am exempi untler Section�. B. 8 P. C.
lor Ihis reason:
Dale: Owner.
I ao hereby cemly inai I am aware of anA unaerstana tne reQuiremenis ol California Health antl Safery Cotle Sections 25505, 25533, antl
2553d antl tha� I or any �uWre Guiltling occupant will/will nal (circle one) neea �o comDly with said state coaes and �he �equiremenis �or a
p¢rmil lor wnsimclion or modilicalion Imm Ihe Air Oualiiy Managemeni Di5Vic1. R¢SiOenlial conSlmction appiications are eKemO� <<om
Ihese pf0Vi5iDn5.
Oale: /10D���anC _
I�ereOy cerlily I�al Ihave read I�is applicalion and slale Iha� R
ortlinances antl 5talelawSrelaiingto GmlOing cans�mclion ar�d�ei
pmpetly lor inspecuon pwOoses. �
Date: �U_��� SignaWre: ]G1e
oriver's License or Soclal Security x:
I agree�a comply wi�� allci�y an0 counly
IluS city la en�¢r upon �he above-m¢ntionea
I6at�e6 W�i�e—Builtling: Green—Cotle EnlorcemenC Canary—Applicanl; Pink—Ravenue: GOltlenroC—Assessor
_..
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: 3 05921
PERMZT NO: H 059212 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT
JOB DESCRIPTION : T/OFF RESHT REROOFW/ COMP SQ FT: 3,500
CLAIM VALUE: 3,500,00 CALC—VALUE: 3,500,00 GROUP OCC: R-3 /
COMMENTS: T/OFF RESHT REROOF W/ COMP
�lE iF �N�iE if iE �lE iE iE iE ik jFiE fE iF if �1F �iF �)f if �lE if �f �lE iE iE�IE iE iF iFif �Xr �7F if jF if if �lE iE ik if� iF�1f 1h �leif �)f iE iE if iE iE iF �lE #�lE �lf if �ff iE if iF iE iE-IE �1� �)f aF iE �lE if if iE iE if dE # df iE
Z l� N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAZN 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 REp• PROV: PARCEL: 41218240 ZNE: REF NO:
PLANNING N15TES>
%
1F iE iF ik iE * IE if ik iE 3f 3f # i(� iF ic iE if if iE aE if IE 1E 1E if iE iF �1F 1FiF if 3F if if if I6 if if iE iF iF If iE if if iF iE If iE if ie if iF iF if 1E �f ff �t i4 jf !E �f �E �F if �E if iE iF iE iF iF �F if k iE �
D E V E,L O P M E N T S E R V I C E S R n Q U T R E M E N„lT S
ZONING APPROVED BY DATE; �
BUILDING APPROVED BY :
APPLICATION ISSUE � '`�
iE iE if iE if iF if if 1E iF iF iE jf ikk�F�f iE if iE k k
M iE If IFiF iF iE iE 1E i4 iF if iEiE iE 9F if IE iE 1E iF iF iF iE iE �E jE IFaE ii� if �E iE jF iF iE IF �f
LEGALIZATION:N F E E
BLDG PMT PLUMBING ELF,CT IC
PERMIT 63,OU
PLAN
ISSUE FF'E
BUiLDING—DIV—>
TOTALS---->
PERMZT ZSSUE
63.50 0.00
REVENUE DIVISION TOTALS-->
HLDG PMT PLUMHING ELECTR
63.00
DATE:
, : �
DATE�r'�%I� I
ie iF 3! ie ik ik aE if iFiE iE iE 3F ik iE iE iE IF jF iP iF �lE iF iE R 3F iFjf iEi� iF 3F iE 3F iE if )f iE iE jE
U M M A R Y STRUCTURAL�SEGMENT:Y
MECHANIC FIRE SMIP/RES: GRADING
50
SMIP/NON-RES '
�;
�:�
—CHECK TOTAL PAID �' DUE
0.00 63.50 63.50 :� �00
TED; 63.50 OVER/SHORT: ,00'
ANIC FIRE SMIP/TO�T GRADTNG.rPLAN—CA�CK
kiEiElhiEififiFififlFlFiEiEiFiefFlEif��EfF�flEiEffiFlFiFIFiE if�*IFIFiF�fiFiFlelFiflEIfIF1E1F3E1FIfiffflFiEi(�afifiE�IfiFlfiEafiElf�iFiE3ElElfiEi'rlEiFIfIF3F�iflf
I N D I V Z D A L F E E B R E A K D O W N •r ;'.
TYPE QTY D E S C R I P I O N UNIT COST TOTAL COST
w
SFR 3500 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 3,500.-00
END OF FEES
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� CONSTRUCTION AND PLANNING POOL & SPA �
APPROVALS Permit # Date Inspector p�ppROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe•Undrgrnd. . .. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrqrnd. 54. Forms
4�. Electrical Conduit�Undrgrnd. � • 55. Electrical Bonding
5. Steel Reinforcement ` � 56. Rough Plumbing & Pressure Test
6.,ElectricalUFERGrnd. 57. APPROVALTOCOVER�GUNITE
7. Footings � 58. Electrical Conduit-Undrgrnd.
8. Foundation � ' 59. Gas Pipe, � Undrgrnd., Test
9.'Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd. '
10. Structural Floor System ' . 61. APPROVAL TO DECK
11. Property Sewer Line & Hquse Connection 62. Backwash & Receptor�Final
12. Sewer Cap , 63. Heater & Vent-Final
13. Roof Drains � 64. P�umbing System - Final
14. Rough Plumbing 65. Electrical-Final
75. Rough Eleccrical�Conduit 66. Solar SYstem-Final
- 16. Rough Electric Wiring 67. Fencing & Access AnProval
17. Rough Wiring Sign 68. APPROVED FOF PLASTERING
18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
�
20. Rough F.actory Fireplace � � APPROVALS .Permit#
�.�
21. Ducts, in Structu{S . ,� 70. Underground Hydro � �
22. Ducts, Ventilating � "��' ' 71. ProducE Pipin9 06as ❑Oil
23. Gas Pipe-Rough & Test ' � � 72, Underground Flush .
24.• Roof Framing �� � 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing � � � `�:,Z � ( ��� ' 74, Overhead Hydro
.
26.- T-Bar Ceiling (Str,uctural) & Monocoat ' � 75. Dry Chemical
27. Frame and Flashing ' � . ' 76. Dry Standpipe .' '
28. Lathing & Siding . _ _ ' � • 77. FIXED SYSTEIVI FINAL � �
29. Insulati0n ' � ' 78., FIRE PREV. PINAL .
, � �
30. Drywall Nailing = � HEAL'fH DEPT. REQUIREMENT
- 31. Plaster 8rown CoaY `� 79. FINAL INSPECTIQN "- � ,
-32. Electrical Power Metet�Final' I� .� 80.� FOOD CERTIFICATE ISSUED
33. Final Electric ' ' ' ' � Notes: ' ^
34. Final Heating& O.ic Conditioning�, ' � . ` � . . _
35. Final Gas Pipe�Test � � • �• '
,
36. Hood or Canopy . . . - � - � . * ,
37. Final Factory Firepiace • � � , _
38. Final Plumbing . � - " - ' � _
. 39. Water Service•Final ' •
.� 40. Gas Service�Final � , , _' �, ; . . � , �
41. SolarpomesticFinel� . ' -t
42. Backflow Preventer � � ' ' �.
; _
43. Backflow Irrigation • - . � � -
• 44. Landscape Irrigation SYsten? '' . , �, , � � -�
45.�Sound Attenuation � - � � � ' � �
�.
46. Handicap Re,gulations ' � ' " _ �
47. FINALSTRUCTURE&BUILDING f0.,j�-y GC✓�� ti:.i�e �Qt �_ m.�E---l��N�
48. FINAL PLANNING ' - ' .
49. Electric Release to Edison . . �
� 50. Gas Release to $outhem California Gas Co 0�'/` !t'�,- � L�l.�_ _ L��
51. CERTIFICATE OF OCCUPANCY �/� �'��r �"`'���I.6��`/
No: Date �'+�/
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35145
COSTA MESA BUILDING-SAFETY DEPARTMENT
ZOLA P.O.BOX1200 COSTAMESA,CALIFORNIA92626
I���
For Applicant ro Fill in Complete/y
BUILDING � Wisteria Circle
ADDRESS
OWNERLarwin Southern Calif., Inc
A[] RFSS 162JJ Ventura B1�7d.
cirv Encino, Cal if . _ N�86-889
CONSTRUCT'10
LENDER "Larwin Southern Calif.
BRANCH 16255 Ventura Blvd.
ADDRESS Enc � n
ARCHITECT Larwin TE�273-44
OR ENGINEER N
ADDRESS 9100 Wilshire,Beverly Hil
CONTRACTOR Larw].n SOuthern Cdlif.
ADDRESS 1GZSSV2RtUia BLVCl.
TEL.
c�Tv Encino NO986-
LIC. No. 191311 LICVNO. B—.1.
SI2E NO.OF B�DGS.
OF LOT ]8 X LO6 NOW ON LOT O
USE OF
E%ISTING BLOG.
SIZE OF NO.OF
NEW BLDG.1 (7 RPOMS STORIES 1
EXTERIOR WALL RPOF
COVERING StllCCO COVERINGWd.Sl'11I3 �.e
USE OF BUIL�ING AND WORK TO BE PERFORMED
Construct
I hereby acknowletlBa chet I havB reatl this aDP�ication end state
that the ebove intormetion is cor�ect and agree to comply with
ell laws regulating bulltlinp consttuctian, antl I shall not amploy
any petson in viola[iOn Of the wPrkman's comp¢nsatiOn laws of
Me Steie of California.
I hereby tertify that I am properlY licensetl as a conttecror untler
tha State ot Californ(a Basiness antl Professions Cotla, Divizicn 3,
Chapter 9, antl that such licanses are in full torce antl affect, or I
am exempt from the provlsions of the Sxate of California Business
ontl Profassions Cotle, Oivision 3, Ghapter 9.
Si6�atura o`/ ,�'��� D. DOW[1S
Permittea �,�� /
Aut�orizad Ageni
A�IG �S'7ZPAII�OOio�o•� *�*126.05
[Mia
APPLICATION FOR BUILDING PERMIT
A.P. NO. �—
BVILDING
ADDRESS � � �
TRACT� /�/
FIRE
ZONE T
APPROJ Ep
ev V�i
ZON� NO.OF
PLANS
VARDSAPPROVED
MAIN BUILOING
(FROM 5`,[L $TREET)
RONT f CJ FT.
H. SIDE /� FT.
L. SIDE � FT.
REAR IS � FT.
VAR. qW
C.U.P.qW
APPROVED
FOR
1•J
/J ^ALUS �^/�v_
Ic_ o50r.
�
GROU
J DATE ��� � /
USE OF NEW �U
BVILDING u/ A A�
ni�
VAROSAPPROVED
ACCESSORV BUILDING
�` FT.
FT.
FT.
FT.
BET. MAIN &
ACCESS. BLOGS.
DATE
APPROVED
m
e
Q. FT. o
TME AMOUNT SHOWN UNDER VALUATION IS FOR �
THE PVFiPO6E OF 6TABLISNING A PERMR FEE ONLV: m
¢
VALUATION � O� �
�a PERMIT FEE $ �
]
m
S�/ PLANCHECK $ E
O
/Ri� LL