HomeMy WebLinkAbout2033 MANDARIN DR - Building Permits PROJECT ADDRESS: 2033 MANDARIN DR UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 058948
OWNER'S NAME: BOHMAN THOMAS 'JEROME TR
ADDuuss: 2033 MANDARIN DR PERMIT NO: B 058948 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA,CA 92626 CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: ALT
( 714 ) 546-7671 NI CEMUOct"
' lARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : REROOF SFD W/ATTACHED GARAGE ICBO4t4312 SQ FT: 4 , 300
ADDRESS: UNIT:
CLAIM VALUE; 4 , 300 . 00 CALC—VALUE: 4, 300 . 00 GROUP OCC; R-3 /
PERMITTEE: BRANNON' S ROOFING ( 714 ) 567-3454
ADDRESS: 15161 LAFAYETTE STREET COMMENTS: SMOKE DETECTOR(S) REQUIRED PER UBC1991ED
WESTMINSTER CA 92683 ****************+6***x****** **#******a6**+E*** *******a6*******+E********** T6*;6x***
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
70110)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS
cITYuc. 05!�654 STATEuc.;609940 cuss: C39
Date: T-9�- Signature: �Z� MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: thereby affirm that)have acenifitate of consent l0 self.insure oracertificale of Workers' FRNT: FT IN REAR : FT IN FRNT: FT IN REAR: FT IN
Compensation 1psp(app5A§cARllied copy thereof(Section 3800,Lab.Rya /01 /93 LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
POLICY NO.: 11 LL LL//tltl 9 l�SS EXP.DATE:
COMPANY: STATE FUND„.,{ PARKING REQ: PROV: PARCEL: 13953137 ZNE: REF NO:
r] Certified copy is hereby furnished. L9 Certified copy is filed with the city Building Division. PLANNING NOTES>
9-/9.� ' > ._. ..
Dale: APPlicant. ************************************************d(********************.**********
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). DEVELOPMENT SERVICES R E Q U I R E M E N 01 S
I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY . DATE:
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Date: Signature: I
NOTICE:If.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED $Y DATE
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction tending agency for the performance of the work for APPLICATION ISSUED B Y: DATE: Z
I
which this permit is issued(Section 3097.Civ.C). ************************** ** - t* * * *************** **
UNDER: ****************************************** ** *********************Ik4E*********
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT;Y
OWNER BUILDER DECLARATION: I hereby atlirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES. GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 72 . 00 • 50. '
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed • SMIP/NONrRES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN
and Professions Code)or that he/she is¢zealot therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by r
any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars($510). ISSUE FEE
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN,=CHECK TOTAL PAID DUE
❑ structure is not intended or offered forsale(Section7044,BusinessandProfessionalCode: The Contractors'State License Law TOTALS----> 72 . 50 0. 00 - 0. 00 72 . 50 72. 50 _ 00
does not apply to an owner of a properly who builds or improves thereon,and who does such work himself/herself or through
his or her own employees.provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED: 72. 50 OVER/SHORT• 00
improvementrp is sf sale).is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve
orthe enBLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
i
I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 72 . 00
. 50
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon 2 r - �.
and who contracts or such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware ******************************************************************************X(-
that proof of their Worker's Compensation insurance should be provided to me. I N D I V I D U A_L F E E BREAKDOWN
❑ I am exempt under Section: B.E.P.C.
•
tor this reason: TYPE QTY DESCRIPTIO NUNIT COST TOTAL COST
Date: Owner. SFR 4300 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 4 , 300 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533.and END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
Permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from ( t / p
these provisions. C - .MWOOt0 P � Q r .rC&Q 93/2.
Date: Applicant:
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned 1 ” "
propertyfor
_
or inssp/ejlion
}purposes.
/
Date: / / /OrpSignature': •.... _
Driver's License or Social Security a:
164646 White—Building:Green—Code Enforcement:canary—Applicant:Pink—Revenue:Goldenrod—Assessor •\
/'
CONSTRolCTION•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 Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical OF 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, O 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 O Gas DOil
23. Gas Pipe-Rough& Test 72. Underground Flush .
24. Roof Framing - •73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat - 75. Dry Chemical
27. Frame and Flashing _ 76. Dry Standpipe
28. Lathing & SidingI - 77,' FIXED SYSTEM FINAL
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29. Insulation I 78. FIRE PREV. FINAL
30. Drywall Nailing I HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat I - � 79. FINAL INSPECTION
32. Electrical Power Meter-Final I -! • 80. FOOD C RTIFICATE ISSUED
33. Final Electric }. Notes: lf Tyyy'
`� `dam
34, Final Heating& Air Conditioning I
(FM:it
35. Final Gas Pipe-Test
36. Hood or Canopy - I I /.
37. Final Factory Fireplace '
38. Final Plumbing •
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
I
42. Backflow Preventer 5 I i
43. Backflow Irrigation -
r
44. Landscape Irrigation System - -
45. Sound Attenuation ,
46. Handicap Regulations
47. .FINALSTRUCTURE & BUILDING 9 /5�L�Cv4tr 4 e2P
___ Y
48. FINAL PLANNING 'L
49. Electric Release to Edison •
50. Gas Release to Southern California Gas Co I I I -
51. CERTIFICATE OF OCCUPANCY
No. Date
'aVIMELO. MDR VLfLL .DUlLUL'itb, 111U. nnir4 `i AV"Of
JOB ADDRESS 2033 Mandarin Drive BUILDING PERMIT NO. 26927
GENERAL CONTRACTOR Mesa Verde Bldrs. DESCRIPTION OF WORK Residence W/Att. Gar.
AP No. LOT 90 TRACT 6237 FIRE ZONE VALUE $32,495.00
I' `ECTIONS I Signature Date GROUP I gG ,J TYPE V ZONE R-1
. ,5=2-6'] PERMITS ISSUED
Gas —1 SUBCONTRACTOR I Date Number Signature
Water a, JF-6 7 _ Pl mbing
Rough Plumbing _ , hjfl 71. i- Farr-, .J
R
Prop. Swr. Line y7 ouse Con.- ', /� Org fMira ' i/ , , fi :
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning f?Ci 7-4-67
Temporary Service or Pole
Underground 0 Power 0
Rough Wiring 7,--5-2-q1 Heating d Vint. ,
� ppp
Trenches i® Forms p Steel Reinl. El I p0" s -3 - A/¢,(!mt 1, f/Pi 4--g-k7 -76
Floor System Xql/ S-iG- 67 Irl p
Bond Beam 0 Steel Reinforce 0
Sheathing itd319 F-22-(.J
Frame and Flashing /f9. 7-7-4,7
Lathing — In l Out ® tza 7.-it-67
Plaster, Brown Coat 07,611- 6.-2-- c7
St* dural, Final 5E1�e_trm
I ag, Vent., Refrig. and A.C., F. /4L t 2(1---,--"a" &d 60 Gt:5t 7'a
Panning,, Finalal and Gas Test 17 7r ,Ek fp,,/7
Electric, ,,,,j�,p`!/ 9-el- td7
Building, Final 94n-IG7
' 2S927
COSTA MESA BUILDING-SAFETY DEPARTMENT APR ZS 67LNPai0
P.O.BOX 917 COSTA MESA,CALIFORNIA S7007255 *** 1147.C(
\ 1
For Applicant to Fill In Completely APPLICATION FOR PERMIT
Lot 50 TYPE OR PRINTTraCt 6237 BUILDING
ADDRE For Office Use Only
ADDRESSS 2`^)2)-3 4/��y1,1Qti,A , a
RECEIPT NO. ,�'
fe +" W
COSTA MESA. CALIFORNIA 'G
3 RECODgY D;r7_/t 7 D''-�/MMes V dpBU 1derS1Inc,
OWNER esaxNatrxnn3;XRa. z
BUILDING
MAIL ESS 2850 Mesa Verde Drive ADDRESS
CDDR
549- FIRE
CITY Costa Mesa TEL 0395 ZONE TYPE V GROUP k...1) lib
ARCHITECT TEL. 547 APPROVED BY DATE
OR ENGINEER Kaltenbach NO. 8046
ZONING
etc SS 82 7th St . Santa Ana
1V1e5. , - ' i - : 1 0 -r - - z"/ I NO.or I BUIL57USE OF W[r!.�<- Gl//
y�y[..vv��c�iip ) .,=^^- PUN BUIL9
CONTRACTOR 'YCtfilird )(IDOL
/((
DESCRIPTIONBSCRO 5D - 37
ADDRESS 2850 Mesa Verde Drive `
A.P.NO.
CITY Costa Mesa
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STuc.NO. 187318 NATE TEL o' 549-0395 90' TOSIDE @ REAR P.L.
EAVES
OFF OT (o/ /�
3 V `QS I NOW ON LOT 0 ALLOWED (U.B.C.REQUIREMENT)
OF L
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
(FROM C//LSTREET)
SETBACK LINE FROM FRONT ,5.2... FT. FT.
CENTER OF STREET REAR YARD
•
SIDE YARD LEFT I RIGHT R.SIDE
•-S
FT. FT.
DESCRIPTION OF WORK L.SIDE 5 FT. FT.
NEW X ALTERATION ADDITION REAR .2)0—,
I DISTANCE BET. BET.MAIN&
REPAi., MOVING DEMOLISH MAIN BLDQS. ACCESS.SLOGS.
VAR.# DATE
BUILDING NO.OF
SIZE ROOMS STORIES C.U.P.# /� APPROVED
EXTERIOR WAL I ROOF Shake APPROVEi�(s(, ). �- �y /
COVERING tUCCQ COVERING Sh i T lP BY l J p/L(i/[iX� DATE���.J f07
USE OF BUILDING AND WORK TO BE PERFORMED
New Residence P 67
a/n/r 4 Ya76Q.Fr. "Gy/ N
It
1 MER88Y ACKNOWLEDGE THA 1 NAVE REA HIE APPLICATION THE AMOUNT SHOWN DER VALUATION IS FOR THE 3
AND STATE THAT THE ABOVE IH COggECT/ ND AOpEB TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY, O
PLY WITH ALL CITY ORDINANCES AND STA E LAWS REGULATING VALUATION
BUILDING CONSTRUCTION. 0 1 / PERMIT FEE $ ��l n
SIGNATURE OF `' \// l;�rw O
PERMITTEE Y YV I/'"'�I $ 3 a, yes PLAN CHECK $ �� p
AUTHORIZED AGENT _ 4
TOTAL FEE $ /97