HomeMy WebLinkAbout1589 WINTERGREEN PL - Building Permits •
RESS OF BUILDING: 1589 WINTERGREEN PL UMT: CITY OF COSTA MESA - BUILDING PERMIT
i- -UWNERSNAME IFIITKIWN: ELKOTN, NABIL OMAR PERM NO: B 073715
ADDRESS: ELKOTN, MAHA A
8312 FURMAN AVE PERMIT NO: B 073715 PLAN CHECK NO: N GOVT: N SUPP: N
WESTMINSTER,CA 92683
APPL.MAILING ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: OTH
ARCHITECT ORENNNEER: UC.NO.: JOB DESCRIPTION : T/OFF EXIST CAP SHEET ROOF/REROOF SQ FT: 4, 765
ARCH.OR ENG.'S ADDRESS: UHT:
CLAIM VALUE: 4, 765 . 00 CALC-VALUE: 4 , 765 . 00 GROUP OCC: R-3 /M-1
CONRIACTORSNAME: FAIRWAY ROOFING, INC. ( 714 ) 454-9228
CONTRACTORS MMUNG 26002 MARGUERITE PARKWAY COMMENTS: SMOKE DETECTOR REQUIRED PER 1991 UBC
Looms: MISSION VIEJO CA613697 tERE****aE****+E****iF+E*SE+EiE�E**aPat�ER *****�PRE�E*RESEiEiERE�E REaE#RERE*+ERE****xRERER9iE*�ESER9*iERESEREREet*>ERE*+ESE
92692 �� gNr. 244 ZONING REQUIREMENTS
SETBACKS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under pereky of perjury that I am licensed under provisions of Chapter 9
(commendng with Section 7000)of DiWbn 3 of the Business and Professions Cod ,and my license is in lull force and effect.
CITY LIC.NO.: uC.CLASS: C39 uc.NO.: 3 7 EXP: MAIN BUILDING ACCESSORY BUILDING
/i _ 9_ 9'c FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
> Dae. t'S r -• LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury t I ant exempt from the Contractors License Law for the
following reason(Section 7031.5 Business and Professions Code:Any ciy a county whits requires a permit to constmd.Offer,improve, PARKING REQ: P RO V: PARCEL: 13956126 Z NE: REF NO:
'emoloh,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement That he or she PLANNING NOTES>`
licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commenting with Section 7000)of Division 3 of the
ainess and Professions Coder or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section >„
7031.5 by any applicant fora permit subjects the applicant lo a civil penalty of not more than fNe hundred dollars[1500]). ***************{E***********************************************{E*{E{E{(*{(.**..K.**{(..)(-**
❑ I,as owner of the property or my employees with wages es their sole compensation,will do IM work.and the structure a net intended D EVELOPMENT SERVICES REQUIREMENTS
or offered for sale(Section 7044,Business and Professions Cale:The Contractors License Law does not apply o
to en Clymer of property 'J,
who Wads or improves thereon, who o does such work himsel or hersel or through his or her own employees,provided that such
improvements are not intended or offered for sale.R.however,the building or improvement is sold within one year of completion,the ZONING APPROVED' BY DATE: 1,
owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale).
❑ La°owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and BUILDING APPROVED BY : DATE:
Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon and who
contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law). B (3
❑ IBmexempt under Section: B.AP.C.,famisreason: APPLICATION ISSUED BY: i DATE: 0 l
************************************************ * *************** **
Date: OwnerLEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT:Y
I do hereby certify that I ern aware of and understand the requirements of California Health and Safely Code Sections 25505,25533.and
25534,and dial or any lours building pompom%Ml/wit not(drete she)need to campy with said stale codes and the requirements for BLDG PMT PLUMBING ELECTRIC , MECHANIC FIRE SMIP/RES. GRADING
e permit forconstnctian or modRcaionfrom the Ai u y anagement District.Residential construction eppications are exempt from these
provisions. PERMIT 72 . 00 r , . 50
Date, Applicant: - S M I P/NON-RES
PLAN r
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following dadarMions: ISSUE FEE
❑ Ihave and eii maintain a certificate of consent to sefiinsure for workers'compensation,asprovided for by Section 3700 of the Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code,for the performance dthe work for wNah this permit is issued. TOTALS----> 72 . 50 0 . 00 ' 010,0 72 . 50 72 . 50 . 00
rl I have end will maintain workers'compensation insurance,as required by Sehiat 3700 of the Labor Code,for the performance of the
}C in work for which this permit Is issued.My workers'compensation insurance carrier end policy number are: ,
Canon: STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED ' 72 . 50 OVER/SHORT: 00
Policy Number: 1241252-`J5 03/01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC ',# FIRE SMIP/TOT GRADING PLAN-CHECK
.his section need not be completed if the permit is for one hundred Bolan($I00/or less.) 72 . 00 . 50
1 cert' that in the ormence of the work for which this rmil is issued,I shall not em in
❑ become subject to the workers'compensation laws of California. end agree that,,t,,h//at if l should become subject rlo he workers' *************************************$*****************************************
compeennnss�ation prov�i°/lone of Section 3700 of the Labor Code, shell lodhw'Ih co jhpy moi°ions. I N D I V I D U A L ' F E E B R E A K D O W N
Dare: a — / -97- Applicant: t
warning:Failure to secure workers'compensation coverage s un shell subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N - •
UNIT COST TOTAL COST
civil lines up to one hundred thousand dollar($104000),In addldon to the coat of compensation damages as provided for In
Section 3706 of the Labor Code Interest,and attomey'sfees. SFR 4765 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 4, 765 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there is a conetndion lending agency for the END OF2 FEES
performance of the work for which this permit is issued(Section 3097,Civ.C).
LENDER'S NAME: '
•
LENDER'S ADDRESS: •
0100138001-00188002 TWIT 72.50
Icediy that have read this application and date that the above information is mnact.I agree to comply with all city and county ordinances DATE: 03/09/95 TIME: 13:03
and slate laws atng to buildup construction and hereby authorize representatives of this ally to enter upon the above-mentioned propertySang
for inspection purposes. JOSE SANTANA
.. ,F Print Nemo _ —
Date: •-? G'�J{
7— signature d OwnsnXbenVApplicanUConr,¢ta
(515t-46.WP) White-Building A Safely;Green-File;Canary-Applicanp Pink-Revenue;Goldenrod-Assessor
CONSTRUCTION AND PLANNING POOL ..;PA
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 -.Utility54. Forms
�14. Electrical Condult-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 1
6. Electrical UF ER Grad. 57. APPROVAL TO COVER-GUNITE
7. Footings - - i 58. Electrical ConduitrUndrgrnd. •
_
8. Foundation - 59. Gas Pipe, 0 Undrgrnd.,Test '
9. Water Pipe-Undrgrnd. 60. Backwash Lines;P-Trap, 0 Uchdrgrnd.
10. Structural Floor System - 61. APPROVAL •• f
. f
11. Property Sewer Line & House Conriection 62. Backwash& Receptor-Final 1
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 ElectricWiring 67. Fencing & Access-Approval f
17. Rough Wiring Sign -- 68. APPROVED Fit/TR-PLASTERING
18. Rough Electrical,T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning V _ FIRE,DEPT. REQUIREMENT
20. Rough Factory Fireplace c - •. . APPROVALS Permit # • •
21. Ducts, inStructure ' " - - _ 70.-TJnderground Hydro
22. Ducts, Ventilating = r t,; -- - . . 71. Product Piping l-Gas O Oil -
23. Gas Pipe_Rough & Test - r r, . 72. Underground Flush.
24. Roof Framing: - 73; Undergrnd.Storage-Tank 0 Gas 0 Oil
25. Roof-Sheathing -'t ¢¢':,/0- ' 74.-Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat [ _LG _ --r. 76. Dry Chemical r- �
27. Frame and Flashing _ - r - > 76. Dry StardJpipe' ' _
- 28. Lathing &Siding - - x ' .. .• - 77; FIXED;SYSTEM -FINAL
29. Insulation _ I : 78, FIRE PREY. FINIAL y '
t V
30. Drywall Nailing - : � iHEALT'i DEPT. REQUIREMENT
31. Plaster Brown-Coat - - A • ' 79. FINAL INSPECTION
32. Electricat.Pow&r Meter•F,ioal , -4 '. 80. FOOD CERTIFICATE ISSUED c
- -_
_ 33. -Finale Electric,• - t Notes:
34. Final-Heating & Air-Conditionircg- ' t - S.--11-45------
' - -- /.e_ /, 5:15 ..
d . &4 ` .
; �/- Yat /CJ GL
35. Final Gas Pipe-Test . - •• - C�/_P� -.p 'AI--
•• J- ` _ r _,i1 ' la
•
36. Hood or Canopy T - - -: sV L�9
37. F.inaiFireplace •- - -• y - Er. !_ _
38. Final Plumbing }_ 4. ✓
l 4.
39. Water Service-Final .. - la: ;, -
r ;r ..
*. 40. Gas Service-Final 71 - 2' •
_ 41. Solar Domestic•Final - -�•-. -
. 4. - .
42. Backflow Prev_enter • • - _ -
43. Backflow Irrigation - - . _ t , -
44. Landscape Irrigation System ' - ,„ �..4 ` `
45. Sound Attenuation, .. . ; •
. r-
46. Handicap-Regulations - - -.
Y9 ^
47. FINAL STRUCTURE & BUILDING (7,--20-%6t. _ F
48. FINAL PLANNING IL d� `' "
F :
49. Electric Release to Edison , t .y. '
50. Gas Release to Southern California_Gas Co ' • r:
51. CERTIFICATE OF OCCUPANCY - -
No. Date
si_ei- in
( C 318.65 av mens°Ooiian ***171.P0
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RECEIjD V DATE RECEIVED DATE ISSUED
BUILDING ADD1589 Wintergreen P1. �" 1`"� 7C 3.----. 6-7-0
P.ER T-kao
owNen Harbor Mesa Corp. A.P. NO. ..1 1 4J
MAIL BUILDING /cSU9 ""fir f,-_ A^Q//t�lJ �r
ADDRESS 15117 Ventura Blvd. Rm 6 ADDRESS U ((NNlI''�y''�
0_ U CITVSherman Oaks,Cal 91403 NOL 986-5077 TRACTS.(// 1 LOT/.S-. BLOCK
F- Z CONSTRUCTION NEW (ADD ALTER (REPAIR (MOVING DFMOLISH
0-
co
ENDER V//
J D BRANCH •
J cn _
<LU ADDRESS OWNER .p,.14 '`' VALUE `J,I
03 -I
OR ENGINEER Rappoport TEL.652-5578 USE tr Y�/� $ S Si #2,-
-i <
Eirn /J
FIRE X9 yI
WCC ADDRESS 196 N. Robertson Blvd. ZONE TYPE GROUP J
0_ (L YaCiC COflC C• APPROVED
W Z CONTRACTOR IjBY DATE
CaZ
irADDRESS 15117 Ventura Blvd. 1 QtE
W w TEL ZONE NO.OF USE OF NEW tj/
Z1- CITY Sherman Oaks,Cal 91403 NO.986-5077 L� P PLANS 2 BUILDING
O /
Ill STATE \3 CITY -• -e .
N 2 LIC. NO. 48991 LIC.NO. p�� BUILDINGMAIN s
DO SIZE
OF LOT 66.5 X 96.8 (NOW ON LOTNone ROM' /
USE OFr
EXISTING BLDG. None R.SIDE FT. LO FT.
I- S
Z NIEW BLDG.O 56 X 59 ROMS NO.OF 9 STORIES 1 L.SIDE FT.In ,
FT.
VEXTERIOR WALLStucco ROOF Rock
COVERING COVERING REAR IFS FT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
1 MAIN BLDGS. ACCESS. BLDGS.
Qa DATE
-- s4-6en-se CVRP#�F2d�-12/ APPROVED/O-y -6/
a yl
z Y.. `PiX di BY ROL,{E�q DATE 5--I S-7 0
Irl
° - ^ ., • ='=may
oI hereby acknowledge that I have read this application and state HOLD FOR SPE IAL REQUIREMENT&
that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
F any person in violation of the workman's compensation laws of
CO the State of California. h m
L64 3
? I hereby certify that I am properly licensed as a contractor under �� SO. FT. .� o
the State of California Business and Professions Code, Dlvisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: b
Er
am exempt from t provisions of the State of California Business
VALUATION ''//
and Professions C e, Division 3, Chapter PERMIT FEE $ J/ 7i as cO
N
/�
• Signature of /; �AA �%,/ s O 2 E
CO
Permittee i/ $ �j y y2, 2 PLAN CHECK $ --$7, "U E
C1 //
Authorize Agen / 7/ �0 LL
TOTAL FEE S 1