HomeMy WebLinkAbout2758 MALLARD DR - Building Permits_. �
.PHOJECTy00NESS: Z�ISS MALi.,ARD UR
�� OWNEH'SNAME: 1V1ARY�ER1 � t>.c.�R�i� %1
aooeess: ��KERT, MARLA R
2758 MAiLRRD DR
COSTA NESA,CA
556-8588
FflLNIENGINEEF:
AOOHESS:
92676
NEG.NO.:
u"'T:' CITY OF COSTA MESA — BUILDING PERMIT P;:RM NO: B 05235.
PERP,IT NO: S 052353 PLAN CHEC:IC NO: 02017-91 S GOVT: N SUPP: N
CONST'RUCTZON TYPE: Pc.RMIT TYPE: STR PURPOSE: OTH
UNIT:
PEflMITTEE: SKYLIGHT SPECIALTIES ( 714 ) 645-8645
aooness: 660 W 17TH ST 37
CM CA 9262"7
LICENSEO CONTFACTOP �ECLpBATION: I here6y af�irm iha� I am licensetl untler pmvisions ai Chapter 9(commencing wi�h Sec�ion
7000) ol Orvision 3 ai the Business antl Prniessinns Cotle, antl my I¢ense is in Wll�orce and eHecl.
cirvu/c.: 027g1g sTareuc.:39555 ss:
�ate: 6�'�._.., oy � � Signawre:
WOPNEflS' COMPENSATION DECIANATION: I hereoy affirm ihat I have a ce ' cate ot consent to self-insure or a cenificate of Workers'
Compensalion Insurance. or a retlilied copy Ihereof (Section 3800, Lab. C).
PoucrNo.: 0638415-91 E%P.URTE: O4�OLI9L
, comvnxv: ST'ATE FUNDm
� � Cerlilied copy is hereby fumiSheA. yy Cetli�ietl c py is ( tl wi�h lhe ciry uilding Division.
�a�e: �'1 /�= �� APPbtanC �
E%EMPTION FHOM WUflHENS' COMPENSATIDN OECLAflpTION: (This sec�ian n¢¢ not be tompl¢Ied ilthe permi� i5 for one hunAreO (d100) Or less�.
I cerlily Ihal in Ihe Dedormance oi Ne work lor which this permii is issuetl, I shall not employ any person in any manner so as �o became
sublecl Io Ihe Workers' Compensa�ion Laws of Califomia
�a�e: SignaWre:
NOTICE: Ii, afier making this declaration, you ShoNd become sublect �o ihe Workers' Compensation pmvisions oi ��e Labor
Coae, you musl �arthwilh comDly wilh suc� pmvisions or this permil shall be tleemed revoked.
CONSTFOCTION LENOING RGENCY: 1 hereUy afiirm Ihat there is a consimction lentling agency �ar Ihe Oedormance ol �he work tor
wAich Ihis permii is issued (Semion 3097. Civ. C�. -
LENDEfl:
aooeess:
OWNEB BUILOEP OECLAflFTION: I �ere�y a��irm Iha� I am exempt �mm ��e Contrac�ors' S�a�e License Law �or �he �ollawing reason
�Sec�ion 7031.5 Business antl Pmlessional COAe: Any city ot counry whic� reQuires a permit �o cons�mc6 alter, impmve, Demolish, ar
repair any simclure. prior lo its issuance. also requires ihe a0�licant for such permit to file a signetl statement ihat he/she is licensetl
pursuam m Ihe pmvisons o� Ihe Contraciors' Slaie License Law (Chap�er 9(commencing wi�� Sec�ion 7000) o� �ivision 3 ol ��e Business
an0 Prolessions Code) or Iha� he/she is e�emD� ��erefmm and Ihe basis lor Ihe allegeA exemp�ion. Any violalion ol Sec�ion 703L5 by
any ap0lican� lor a permit subjects Ihe aOVlicani ro a civil penalry o� noi more �han live huntlred dollars (5500).
I, as awner of �he pmpetly or my employees with wages as thei� sole compensa�ion, vnll Oo Ihe work, anA �he
❑ s�mcWre is not intendetl or offeretl for sale (Section 7044, Business and Pmfessional Cotle: Tlle Contractors' State License Law
tloes nol appty ta an owner ol a propeny who huilOs or improves ��ereon. and who Ooes such work himselOhersel� or Ihrough
his or her own employees, provitled Iha� such improvemen(s are not intentled or oflerea for sale. II, however the �uil0ing or
impmvemeni is sold wi�hin one year ol completion, �he owner will have the hurden ot proving he/she tlitl na� build or improve
4 lor ihe purpose of sale�.
I, as owner ot Ihe propetly, am exclusively coniracting wi�h licensed conlractors ta conslmct �he pmlect (Section 7044, Business
❑ antl Pm�essions CoOe: The Conlraclors' Sla�e License Law does nol apply to an owner o� pmperty who buil�s or improves �hereon
anC who tontracts for Suth pwletts wi�h a Conlracmqs) litense pUrsuanl �O lhe Contracrors' State Litense Law�. I am aware
I�a� proof o� their Worker'S ComOensa�ion insurance 5houlA be pmvided �o me.
� I am exempt unCer Section: B. 8 P. C.
lor Ihis reason:
Dale: Ownec
I Do hereby cenify �hat I am aware oi and un0erstantl the requiremems oi Calibmia Heallh and Safety Cotle Sections 25505, 25533, and
2553a antl ihat I or any fuWre builamg accupani will/will no� (circle one) nee0lo comOry wi�h said s�ate codes an0 ihe requiremen�s for a
permit �or conslmc�ion or modification Imm Ihe Air Ouality Managemenl DiSVici. fle5i0ential cons�mdion applica�ions are exem0� «om
inese pmvisions.
Date'. Np0licani: _
I hereby cetlilythat I haverea01hi5 applicalion antl s�aie�hat
oramanres antl slate laws ielating to buiitling con5lmciion and
praperly lai inspec�ion purposes.
�a�e: � �T—'f � ' Signature:
oriver's �icense or Socia� Security a: ��]
inlormalion is correct. I agree�o comply wi�h all ciry an0 county
�niereOrvSen�a�ivesoi�hi5 ci�yto enterupon�he above-men�ioned
16ava6 White—Bmltling: Green—Cotle EnbrcemenP, Canary—Appllcam: Pink—Revenue; Goltlenrotl—Assessor
JOB DESCRIPTION : 2 SKYLIGHTS/ ICBO �#2969 SQ FT: 2,900
CLAIM VALUE; 1,275.00 CALC—VAi,UE: 1,275,00 GROliP OCC: R-3 /
COMMiNTS: INSTALL 2 SRYLIGHTS/ ICHO 92469
�N- ic k ii iE �lh iF � If * iE iE lE �%� %� iF lF jF it 3'r 3F 3F 3f �F 3F 3E it iF tE 1E iF 1E aF �F iF 3e it� �F 7F dF ie iE K jF 3F k'� 1F dE if 3t� 3E iE�l'r it 1E iE ff If ?4 rt�E � if ii �%�f �rt N� je �76 jE i"r iE iE 3f � 3�'� 1f 3f
7, O N I N G R E� U l R E M E N T S
S E T H A C K S
----------- MAIN BUILDING ---------- -------- ACCESSORY buILDING ---------
FRNT: FT IN RcAR• FT IN FRNT: FT Tn' REAR; FT IN
LErT; FT ZN RGH'I'; FT ZN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV; PARCEL: 13954206 ZNE: R1 REF NO:
PLANNING NUTESy ADD iW0 NEW SKYLITES, ONLX.
� .
jf iF 7F M� K� it 3E �1(-�1e )f k-� 3F af 3f �k �1(� iF IE,iF 3(� ih it� �lF k iF �lf 1F ii iF ie k fF �iF ie �1F 3f iF iE lE k 3f iE if �1F ih iF 1e �k if 1E �k i't ii� ic 34 if 3F iE if 3E jE iE 3E �le ih 3F lf 1k.iE !i�'r. R ii� H� k iF �lE iE
D E V E L O P M E N T S' E R V I C E 5 R E Q U I R E Nt E N T S
ZONING APPROVnD BY' = • �'7 � ��� � UATE: ��
BUILDING APPROVED HY : DATE:
APPLICATION ISSUED •BY: DATE: � E �Q� I
ihifiFlfif�%�EiF1E1f1E3EiFi(�iEiEiEi43E-lEifi't . . .. �� , r �r r . i6iFiFiFii•ifiE741F�F��C"�"�t�'-£i!�if�
�Eifif%ii*lfifiEi'tlEjF?FiFk3Fit�1E�E�FR3EiE3E�EiEjE3(�*IFiF�Fififi6iE�Ei E3EiFiEiF�EiEif3Fif3f3E-IeiFie�Rifie3EiEiF3f3F1EX�3'r�3FiF1f�R3fajfi4?fif3EiE3E
LEGALIZA'PION:N F E E U M M A R Y STRUCTURALySEGMENT':Y
HLDG F'MT PL'UMBING E:LE.fR1C MECHANIC FIRE SNIP/RES GRADING
PERMZT 31.00 .SU�
PLAN 20.15 SNIP/NON^iRES
ISSUE FEE
BUILDING—DIV—i PEKMII ISSU P'LAN—CHECK TOTAL PAIA Di7E:
TOTALS----> 31.50 0.00 20,15 51,65 51.65 .OU
REVENUE DIVISION TOTALS--> COLLECTED: S]..65 OVER/SHORT: .OU
HLllG PMT PLUMBiNG e.LECTRIC MECHANIC rIRE S�IP/TOT GRADINc� PLAN—CHECK
31,OU ,50 " �0.15
3E �F iE if 3E �iE iE �F ik �)f?E �f iE iE iF �R %� ib jE 3f 3E iE 3E 3E 3F 1E iE Y 3't IF �k �7(� j't if iE �E *�t� 3E iF 3E IF 3f jF i't ii� 3e iE 3c iE # 3i if if iE iE IF 3E if 1't 3E iF�kk �E N� 3E �lf #'� 1E 1E �E 3E 3f� ie 3f iF 3c iF 3f
I N D I V I D U A L F E E B R c A K D O W N .
TYPE Q"tY D E S C R I P T I O N UNIT COST TUTAL COST
SFR 17.75 ALTER BY VALUE RESZDENTIAL N020NE 1,U0 ,. 1,?75.00
, END OF FEES F
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CONSTFiUCTION AND PLANNING FOO. : PA �
^ APPROVALS Permit # Date Inspeetor AppROVALS Permit # Date Inspector
i. TemDorary Electrical Service or Pole 52. Pool & Equipment Location '
2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement
3. Electricel Conduit Utility�Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reintarcement 56. Rough Plumbing & Pressure Test
6. �Electric8l UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footing5 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, O 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 & VenbFinal
13. Roof Drains 64. Plumbing SYstem - Final
14. Rough Plumbing 65. Electrical�Final
15. Rough Electrical�Condu�t 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 Struc[ure 70. Underground Hydro
22. Ducis, Ventilating 75. Product Piping O Gas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush -
24. Roof Framing 73. Undergrnd: Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro . -�
26. T-Bar C¢���ng (Structural) & Monocoat , � 75. Dry Chemical
27. Frame and Flashing '('�-�..G�� 76. �Dry Standpipe .
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulatipn ' " 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
37. Plaster Brown Coat � 79. FINAI INSPECTION
32. Electricel Power Meter�Final ' 80. FOOD CERTIFICATE ISSUED
.33. Final Electric ' Notes: ' , ':`'',
34. Final H¢ating & Air Conditioning I � , �
35. Final Gas Pipe�Test � , ' ` �
36. Hood or Canopy i '
37. Final Factory Fireplace �
38. Final Plumbing
39. Water Service-Final . -
40. Gas Service-Final � �� '
41. Solar DOmestic-Final .
42. Backflow Preventer
43. Backflow Irrigation
44. LandscaPe Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING �� �',q��_ $'�, �� ��_ �l
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co . � -
51. CERTIF�CATE OF OCCUPANCY
No. Date
� �H�_l�r(c.l Rl.�l(�(t.IVC
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c�-S;A r-�rS;� c�
('1� r �56-�.��C
����°���'�=�
l �� `
,� _rmit # l� � � -'
THIS NUNBER MUST A,COMPANY
ALLINSPECTION REQUESTS
City of Costa t�?�sG c�ui4ding Dept.
�v ,�%- --� n:; rE D 6/ G�s �1 �
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THESE Pi_A!��S MUS� .;E OW :iOB t;T r1LL TINiES A4AKE
Np CHANGcS `hJIT'; U7 PRIOR A��=RQVAL OF LEPT.
ii r �sur�i� �� cr�ria � �r- a r i r� �Pa�c �n�oF
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idiiNGP„7'Y 7C'r VIOLATc C:i C'.D�IC.�L'.tE �RO�iS`[:NS OF TtiIS
GC:i>e Si-iAi.L FiI- `JALlD cXCci�'l Ft �O',AN 65 TNc l`iCRN Ofl �JSE
WHIL'}{ IT..U7HOS+.IZcfb IS LA�'J'rUL 4
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734-5626
or
754-5627
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APPI�O�D
CITY OF C057A l�§FSA
PLANNlrJG ! rT.
auerec� ro ecoc;. o��;. aeo.
iY_ (3�.... DATE_ �o le 4 /
oi�etroe or �UI3NIN6
�d � � Sk�[;�, _ `J'
N� w l?�� G.�-1 rrr�����. S
Z�6 (,va�o CU�!�
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0.1ECTAUOflESS: i75R MALLARD UR
owxen�s eame: MARKERT, GEORGE W
nooness: ap���T MARLA R
7.%58 MAi�LARD DR
COSTA MESA,CA 92626
556-8588
RHCHIENGINEEH: HEG.NO.:
ROONE$$:
UNIT:
UNIT:
PEPMITTEE: TOM BYER ROUFING SEFtVICE l 71.4 ) 894-9618
aooeEss: 15641 PRODIICP I,ANE A-12
HUNTINGTON �EACH CA 92657
LICENSEO LONTFlACTOfl DECNNATION: I herehy allirm that I am licensetl untler pmvisions ol C�apter 9(commencing with Section
1000) oi Dimei n 3 o�ihe Business an0 Pro�essions Code, antl my li nse I5 in full�arce and eflecL "
�aT�r ut,: � I. ^ STRTE LIC.: S% S O O c ss: C 3 9
6 Signature: _�_
WOPKE ' COMP NSpTION OECLAflATION: I hereby affirm Iha� I ha a dica�e al conseni �o self-insure or a cehi�icale of Workers'
Compensanon Insurance. or a ceniliea copY �hereof (Seciion 3800. Lab. C�.
POLICYNO.: 28J-9IUNITOOO�S E%P.OpTE: OSIO.ZI9�
, comrnxr: STATE FUND
� Cenified 6py Is her �tlV �umished. � Cenilied copy is illetl wi�� �he ciry Build� g �Ivlsian.
' dl/1 �-
Da�e: � AOPlicant: Tr_�._�
E%EMP ONfBOM UflNEHS'COMPENSpTIONOECLAflATION: (ThiSs¢clianneeUnOtbeCOmpl¢fe4i�t�epermi�i5foronehundretl($100�ar1e55�.
I cetlii �hat m the pedormance of �he work lor whic� ��is permi� is is5ue0, I s�all no� employ any Oeaon in any manner so as to become
subiec� �o Ihe Workers' Compensation Laws ol Cali�omia.
Oate: Signalure:
NOTICE: II, af�er making Ihis Aeclaralion, you 5hou10 Uecome subject Io Ihe Wo�kers' Compensaiion pmvisions o� the Labor
Code. you musl �otl�wiih comply wi�A such pmvi5ion5 or Ihis permii shall �e 4eeme0 revoked.
CONSTHOCTION LENOING AGENCY: I �ereby al�irm Iha� �here is a con5iruclion lentling agency �or ihe peAormance ol �he work lor
which ihis permit is issued (Section 3W7. Civ. C�.
LENOEN:
aoonEss:
OWNEN BWLOEfl OECLFBATION: I hereby allirm Ihai I am exempi �mm Ihe Contraciors' S�ate License Law for the �ollowing reason
(Sec�ion 7Q31.5 Business antl Pmiessional Cotle: Any ciry oi coun�y which reQuires a Oermil �o constmci, alter, improve. demolish, ar
repai� any stmcture. prior Io ils issuance, alm �epuires ihe applicani lor such Oermit to �ile a 5igne0 statemen� �ha� he/she is licensetl
pursuan� Io IAe provi5ion5 u� Ih¢ Conlratiors' Sla�e �icense Law (Chapter 9(commencing wilh $ec�ion 7000) ot Division 3 of �Ae Business
and Pm�essions Cade� or Iha� �e/she i5 eKempl I�erelwm antl Ihe Oasis lor I�e allegea eMemO�ion. Any violation ot Sec�ion 703L5 by
any apD�iwnt lor a Dermi� subletls ihe aDDlicant to a civil penalty of not more Ihan five hunOreO tlollars ($500).
I, ai owner of ihe pwpeny or my employees wilh waBes as iheir sole comDensation, wiil Oo the work, and the
I❑ simcmre is not imenAeO or ollerea lor sale (Sec�ion 7044, Busin¢55 an0 Pmtessional Cotle: T�e Can�rac�ors' State �icen5e Law
aoes not apoly Io an owner ol a oropeny wha lIDilOs or impmves Ihereon, and who tloes such work himselVherselt or thmugh
his or her own employees, O�ovidetl �Aat such impmvemenls are nol inlended or oiferetl �or sale. If, however lhe building or
impmvement is soltl wiihin one year o� comDleiion. I�e owner will have t�e 6urAen o� pmving he/she did no� builtl or impmve
lor ihe Durpose ol sale).
I, as owner of ��e proDerty, am exclusively conVacting wi�h licensetl contractors �a cons�rucl lhe pwject (Seciion 7044, Business
❑ antl Prolessions Co�e', The Coniractors' Slaie License Law tloes not appry to an owner ot Dmperty who builtls or impmves Ihereon
antl who camracis lor such prolecis wiih a conlracmqs) license pursuan� b t�e Contrac�ors' State License Law�. I am aware
Ihal Omot af their Worker'S Compensaiion insurance ShoNU 6e O�o�itle0 �o me.
� I am exempt under Section: B. 8 P. C.
for this reason:
Date'. Owner
I tlo hereby cetlily Ihal I am aware ol an0 untlerslantl Ihe requiremenls ai Calitomia Health antl Safery Code Sections 25505, 25533, and
25534 and thal I or any INure Uulltling accupant willlwlll nal (circle one) need �o complY wi�h sald slale cotles antl �he requiremen�s for a
permil for conslmction or moaificalion Irom �he Air Oualiiy Management �i5lrici. Resitlential cons�mciion applications are exemp� �mm
ihese provisions.
�ale: ADPlitanl:
I �ereby cerlify I�ai I have reatl Ihis aDPlication antl slaie Ihai Ihe ahove in�orma�ian is correct I agree to comply with all ciry antl caunry
ordmances zna ye�e laws relying Io builtling conslmction ana �erebV aNhorirj represen�atjyes ol ihis city to en�er upon �he above-men�ionetl
slgnzwro�. �
icense Socia� Securiiy a:
W�ile—Butl�ing: Green—Cotle Enlo¢emenL Canary—ApplicanC Pink—Revenue: Goldenrod—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: H 05234
PERMIi NO: H 057.348 PLAN CHECR NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE; V—N PERMIT TYPE; STR PURPUSE: ALT
JOH DESCRIPTION : T/OFF REROOF CLASS A W/BUZiT JP SQ FT: 4,U00
CLAIM VALOE: 4,000,00 CALC—VALCiE: 9,0OO,OU GROUP OCC: R-3 /
COMMENTS: SMOKE DETECTOR(S) REC�IUZRED IN HOME.
*����*���c*x����***���**�+���*�* �**�x�***�*�x*�*��***+�****x**�*���***�*�*�*�K�*�
2 O N I N G R E Q U Y R E M E N T S
S E T H A C FC S
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRN'C: FT' IN REAR; FT IN FRNT: rT IN REAR: Fi IN
LEF'f: FT IN RGHT: FT , IN LEFT: FT IN RGHT: 'rT IN
PARKIN(3 REQ• PROV: PARCEL: 139�4205 2NE: REF NO:
PLANNIIVG Nt3TES>
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�F iE 1f IE aE iE iE if %� i(� �lE iE N� 3f if 1f� 3(� ih 1E iE if iE 3E 3f ie iE i�- iE if iE iF �F N� iE 3E�1E K� 3F-%if iF if iF lE #� iE-k iE iF i'r 3F �E M� %� iF if 3f ip IF 1f iE 9f iE K� ?e )f fi H-.3E If..% if 3F if if i(� 3F �IE #
D E V E-•L O P M£ N T S E R V Z C E S R E Q U I R E M E N.T 5
ZONING APPROVED BY ' DATE;
HUILDING APPROi/ED BY : DATE: �
APPLICATION ISSUED BY: �. DATE: '"� «'" 1(
ifiEaf3EiEiEiFiFlfi(�7FihiFiE�iF%�IE�FkiEM-M•iFiFiFlFTFii�'R�'R�fe�F�fiFTFi'r -if3F3Fit�lFfrTf7Fii�F3fi'riFfriF£Y�iEjF3f3EiF3h3f�irif�'K�36
1E3FiFlEifjf�EiE1FiElfiEiEifif%%�X�iEiflbieleiEiE3ElfiFlElEiFi�iEiFif�7EiFi'r�lE iEiFiElEiE3F1i3ii(3EififafiF�F)Fi't!'e3i�iEiEiFif�3k�7fiFd'eiblF3fki'tiFlFiEifif3ti
L'r;GALIZATION;N F E E 5 U M M A R Y S1'RUCiURAL SEGMENT:Y
HLDG PMT PLUMBING x'LECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 63.00 SMIP/NON RES
PLAN r'
7.SSUE FEE '
Y:
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECH TOTAL PAIU DOE
TOTALS----> 63.50 0.00 0.00 63.50 63.50 .00
REVEIJUE DIVISION TOTALS--> COLLECTED: 63,50 OVER/SHORT: .OU
BLDG PMT PLUMBING ELECTRIC MECHANIC FIAE SMIP/TOT GRADING'PLAN—CHECK
63,00 .50 �
1.
aE iF iE 3f �(� iE 3f 3E if iE # if 3k!(� iE if ik if IE �� 3f N� iF 3f 3f )F iE �1E iE iE df 3f iE if if iF j!� if 3f if 1F 343E 3F i4 iE aF if iF IE IF iE 3E iF iE �)F if if 3P �f if i61F iE if lE ie'�3k �f� * iF )f iF 3F IP 3f �E 3E
I N D I V Z D U A L t E E B R E A K D 0 W N �
TYPE QTY D E S C R I P T I 0 N ONIT COST TOTt�.L COST
l
SFR 9000 REROOF BY VALUE RESTDENIAL NOZONE 1.00 4,UOO.QO
END OF FEES
.
!
a: oao�vzoa-aeoes�o� -��:�-,
DATE� G6/iD/Rl TiI;E: 0?�:iS
i�s sa
� Y CONSTRUCTION ANDPLANNING ` POG SPA . �
APPROVALS Permit # - .Date Inspector AppqOVALS Permit # Date Inspector
i. Temporary Electrical Service or Pole ' 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcemen[
3. Electrical Conduit Utility-Undigmd. � " 54. Forms �
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Ptumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation � . 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. - _ 60. Backwash Lines, P-Trap, O Undrgrnd. -
70. Structural Floor System ` • ' • 61. APPROVAL TO DECK �
17. Property Sewer Line & House Connection _ 62. Backwash & Receptor-Final �
12. Sewer Cap � 63. Heater & Vent-Final /
13. Roof Drains � 64. Plumbing SYstem - FinaV •
74. 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. Rou�h 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 OGas ❑Oil
23. Gas Pipe-Rough & Test " 72. Underground Flush . '
24. Root Framing � 73. Undergrnd.Storage Tank � Gas ❑ Oil •
25. Roof Sheathing �-u^-`� �[y�,y 74, Overhead NYdro
26. T�Bar Ceiling (Structurall & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & 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 CERTIFICATE ISSUED
i
33. Final Electric I �'� ( Notes: - _
34. Final Heating & Air Conditioning � � � � . .
� 1: .
35. Final Gas Pipe-Tes[ ' � !'� `i � '
36. Hood or CanopY , �
37. Final FactorY Fireplace
38. Final Plumbing � � �
39. Water Service�Final . '
40. Gas Service-Final
�41. Solar pomesticFinal .
42. Backflow Pre�enter ,
43. Backflow Irrigation
44. Landscape Irripation System
45. Sound Attenuation '
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING � �( �� .�' �� _ �
48. FINAL PLANNING ;� -
49. Electric Release to Edison '
n
50. Gas Release to Southem Califomia Gas Co , ,
51. CERTIFICATE OF OCCUPANCY
IVo. Date
Pp0.1ECTA0�BE55: 2�]SS MALLARD DR
OWNEP'S NAME: MARKERT, GEORGE W
aooxess: MARKERT MARLA R
2758 MALLARD DR
COSTA MESA,CA 92626
RPCN/ENGINEEX:
RO�flESS:
flEG.NO.:
uNir: CITY OF COSTA MESA — BUILDING �ERMIT �K ; ]tl
PERMIT NO; P 058905 PLAN CHECK NO; N , S ,
CONSTRUCTION TYPE; V—N PERMZT TYPfi; PLU PURPOSE; OTH
UNIT:
PEflMITTEE: GREEN' S PLUMBING ( 714 ) 968-9757
ADOflESS: I9S32 TRENTON LANE
HTB CA 92646
❑CENSEU CONTNACTOB OECLANATION: I here�y a��irm ��a� I am Iicense0 wder pmvisions ol Chapler 9(commencing wi�� Sec�ion
7000� ot Division 3 of Ihe Business an0 Professions Cotle. ana my license is in �ull �ome an0 effec�.
ciTvuc. 5 Y T uc.:539008_ � cy�ss: C36
at � gnature: � � L
WOflKEflS' LOMPENSpTf N OECLABATION: I Aereby a��irm Ihal I h�ve a certilicate oi cOnseni 10 selbinsure or a c¢rtilicale o� Woders'
Compensalion Insurance, or a cerli�ietl coDY ��e�eof (Section 3800. Lab. C).
POLILY NO.: E%P. �ATE:
COMPRNY:
❑ Cerli�ieA Capy i5 heBby �umi5�e0. ❑ C¢rlifietl copy is filetl with ihe ciry BuilOinA Oivision.
:e: ApPlicant:
E%EMPTION FPOM WOflKEflS' fAMPENSATION OFCLAMTION: �This seqion neeE not D comDk�� if 0e rmit is for one hunOre� (E100) or less�.
I certity ��at in ��e edormance o� the woM tor which t�is Oermit is is;cea. I ial o� empl an son in any manner so as �o become
sub�ec� �o Ihe er ' ompensa�ion Laws ol Cali�omia.
Oate' Z� SignaWre: �
NOTI E: If, atter making tAis declara�ion, you 5houlA Uecome su�l �� e Workers' Compensa�ion pmvisions o� �Ae Labor
COde. yoU mus� Iorthwii� Comply with Such O�Ovi5i0n5 or thi5 permi� Shall be tleeme0 revOkeO.
CONSTBIICTION LENOING AGENCY: I here6y altirm ihat ihere is q conslmction lentling agency lor t�e Derformance ol t�e work for
w�ich Ihis De�mit is issuetl (Section 3097, Civ. C�.
LENDEH:
aooness:
OWNEH BUILDEB OECLAHpTIDN: I here�y aifirm �hal I am exemp� irom ��e Comrac�ors' Slale License Law lor f�e following reason
�Seclion 7031.5 Business an0 Pwlessional Code'. Any ci�y oi county which requires a De�mi� Io conslmc�, alter, improve, tlemoliSR or
repair any S�mt�ure. pnar ro i�s issuance, also reqUir¢s Ihe aDPliCan� �Or SUt� permit Io �il¢ a SigneO Stalemen� �ha� �e/she is licensed
pursuant Io the pmvisions of �he Comractors' Sia�e License law (Chapler 9(commencing wi�� Sec�ion 7000) of Division 3 of Ihe Business
antl Pmfessions Cotle) or inat he/she is e�emp� therefmm and ihe Uasis for �he allegetl exemption. pny violation of Section 7031.5 6y
any apDlicant for a permit suhlecis I�e applicant �o a civil penalty of not more ihan five hunOreO Oollars ($500�.
❑ I. as owner of the proDehy dr my empIOYees with waAes as Iheir sole compensation, will do Ihe work, and ihe
simcmre is nal inlenaetl or ofiere0 for sale �Section 7044, Business anU Pwlessional Code: ihe Coniractors' State License Law
tloes no� apply �o an owner o� a pmpeny who builOs or imp�oues Ihereon, an0 who tloes such work himsel�/herself or �hmugh
his or her own employees, pmvitled Ihat such improvemen�s are no� in�en0ed or offeretl �or sale. It, however the huil0ing or
improvemen� is sold wilhin one year ol compleiion. Ihe owner will have Ihe bur0en ol Droving he/she aid no� huild or impmve
lor the purpose of sale�.
I, as owner ol lhe property, am exclusively contracting with licensed conlractors lo constmc� Ihe prolec� (Section 7044, Business
L� and Pm�essions Coae: T�e Contrac�ors' S�a�e License Law 40e5 nol apply �o an owner ai pmpetly who builtls or improves �hereon
and who coniracis for such proiects vith a conirac�oqs�license pursuant to ihe Coniracbrs' State License Law),I am aware
Iha� pmo� ot ��eir Worker'S Compensa�ion insurance shoultl be pmvi0ed �o me.
� I am exemp� untler Section: B. 8 P. C.
far this reason:
JOB DESCRIPTION ; WATER REPIPE SQ FT:
CLAIM VALUE: 3,700.00 CALC—VALUE; GROUP OCC: R-3 /
COMMENTS: SMOKE DETECTOR RE�iUIRED IN THE HOME
�FiElEifiEifiEiE1liEiEiEifiFiElElEiFiFiEiFiFiEiEiFjE1F iFifit3FifiFkiEifififiEiEiEititiEikitiFiFiEiEifiEiEiEiFiFiEiEikiEiE�tifiEiliEiEifikiE�FlFiEiEiEkiFjF
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
------------ MATN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN RHAR; FT ZN FRNT; FT IN REAR; FT IN
LEFT; FT IN RGHT; FT IN LEFT: FT IN kGHT; FT IN
PARKING REQ• PROV: PARCEL; 13954206 ZNE; REF NO:
PLANNING Nt3T'ES>
i
*��**�t�r��r+r*�***+��**��*����*�**�r�rx�r�r�+r�r*�r**�t+�*�r**��r�rx*��xx �**�t�t��r�t�r�***��t*�r*****
D E V E L O P M E N T S E R V I C E 5'= R E Q U I R E M£ N T S
ZONING APPROVEU BY • DATE:
BUILDING APPkOVED BY ; DATE;
APPLICATION ISSUED BY: � ' DATE; �
iEiFiE�EiEikkiEiFlEifiEiEiEiEiflEiEiEjfiEiE ikitiEiEik�lEiFiEiEiE- iFiE
if iE 3F iF �F iE iF iE if �E iE iF 3E iF iF i6iE iF if iE iE iElf 3f iEiE iE if iF iE iE ik iE iE 3F �E jk jE iE iF iF iE iF 1E iflE �E iE iF iF iF it iF iE iF if IF if if if 1E if ik iE iF iE k iE 1f iF iE iE if iE iE iF iF iE iE
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING $LECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 7 00
'15Y SMIP/NON—RES
PLAN
ISSUE FEE 20,00
BUILDING—DIV=> PERMIT ISSU& PLAN—CRECK TOTAL PAID DUE
T'OTALS----> 7,00 20,00 0,00 27,00 27,00 ,00
REVENUE DIVISZON T'OTALS--> COLLECTED; 27.00 OVER/SHORT; 00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECR
2�,00
ik iE �E if �E iE iE iE 1E iE iF 3F iFiF iF iE 1E iFiF 7f iF if if iE iE iF if if� if dE iF if iE iElE 1F iE iE iE 3F iFl6 if iE 1E it iE iE K- iF 1F if 1E if iF iE iE if ik iE 1f ik iF iE iE1F iE iE 3F �F 3F 1F iE 1E 3E �f iE IP iF
I N D I V I D U A L F E E B R E A R D O W N
TYPE QTY D E S C R I P T I O N UNIT C05T TOTAL COST
�a�e: Ownec I PLU
ao hereby cenify ihat I am aware ol and wderstantl �he requiremen�s of Cahiornia Healih anA Safely Code Sections 25505, 25533, antl
2553a an01ha1 I or any fuWre building occupant willlwill no� (circle one) nee0lo comply wilh saitl slaie cotles antl ��e requiremen�s for a
permi� tor cons�mt�ion or motli�icalion Irom Ihe Nir �uali�y Managemen� OislricL flesiJen�ial conslruction applicalions are exemptimm
Ihese pmmsions.
�ate'. ADPlicam:
I hereby certity��al I havereatl�his applicalian an0 slatelhal Ihe abp�e inlormal' is rrecL I�ye comply wiih all ciiy antl cowry
ortlinancesanOSlalelawsrelalinglobutlUingcons�mclionantlherebyaui�orizer s tiveso�'�fc nterupon�hea6ove�men�ionetl
pmperly lar inspec( pur ses.
�edle: / '� � Signamre:
Ioriver's �icense oi Sociai Securiiy a: �
16a1-a6 Wbue—Builtling; Green—Gotle Enlorcemenl: Canary-.pppl¢anC Pink—Revenue; Goltlanrotl—Assessor
1 WATER RE—PIPE
END OF FEES
7.00 7.00
O! Uu12,. :. _ ; _ ' ' '
:FTr: . �S; ;: ?'' . ...-.
i
� i
CONSTRUCTION AND PLANNING 1 POOL E 1 �
APPROVA�S Permit # Date Inspector qppROVALS Permit # Date Inspector
- i. TemporarY Electrical Service or Pole 52. Pool & Equipment �ocation '-
2. Soil Pipe-Undrgrnd. .! 53. Steal Reinforcement
3. 'Electrical CondUit Utility-Undtgmd. 54. Forms -"
4. Electrical Conduit•Undrgmb� 55. Electrical Bonding '
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. �Eler.trical UFER Gmd. ' 57. APPROVAL TO COVER�GUNITE
7. Footings - 58. Electrical Conduit-Undrgrnd.
8. Foundation � 59. Gas Pipe, O Undrg�nd., Test r
9. Water Pipe-Undrgmd. ���" 60. Backwash Lines, P�Trap, � Undrgmd. -
10. Structural Ploor SYstem .� '(� � 61. APPROVAL. T6 DECK �
7 t. Proi�erty Sewer Line & House Connection ' ' 62. Backwash & Receptor-Final '
72. Sewer Cap � 63. Heater & Vent�Final -
13. Roof Drains 64. Plumbing System - Final = � 1
14. Rough Plumbing � 65. Electrical-Final . �
15. Rough Electrica6Conduit 66. Soiar System-Final
16. Rough Electric Wiring 67. Fencing & Access ApProval ��
17. Rough Wiring Sjgn 68. APPROVED FOR PLASTERING �;
18. Ro�gh Electrical-T Bar Ceiling 69. POOI/SPA SYSTEMS FINAL
19. Ro�gh Hsating & Air Conditioning FIRE DEPT. REQUIREMEN?
- � ,
20. Rovgh Pactory Fireplace - APPROVALS -Permit #
21. �Ducts, in Svucture� . -.70. Underground Hydro
22. Ducts, Ventilating. . 71. Product Piping OGas ❑Oil
23. Gas Pipe-Rough & test - _ 72, Underground Pfush,
24. Roof Fram��g . � 73. Undergrnd.Stora9eTank��Gas ❑Oil
25. Roof Sheaihin9 . . � 74. Overhead Hydro
26. T�Bar Cei��nq (Structural) & Monocoat - ' 75. Dry Chemical
27. Frame and Flashing _ 76. Ory Standpipe �
28. Lathinq & Siding • � 77." FIXED SYSTEM FIfVAL
29. Insulation I 78.. FIRE PREV. FINAL
30. Drywall Nailing - • HEALTH DEPT. REQUIREMENT
� 37. Plasrer Browq Coat . 79. FINAL INSPECTION .
32. Electrical Power Meter�Final - (__�• S0. FOOD CERTIFICATE ISSUED
33. Final EleGtric , � '
� Notes:
34. Final Heating & Air Conditioning � I�� - � .
35. Finai Gas Pipe-Test ! � �
I
36. Hood or Canopy '
37. Finai Factory Fireplace , '
38. Final Plurnbing ct/I�QZ ��fi�� . -
39. Water Service�Final � i '
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. FINALSTRUCTURE&BUILDING i%'
48. FINAL PLANNING .
49. Electric Release to Edison �.'•`
50. Gas Release to Southern California Gas Co � f` (�
51. CERTIFICATE OF OCCUPANCY
No. Date
v•.a.rus PiMAH VL'IS1/L' D
JOB ADDRESS 275$ Mg7.lg
GENERAL CONTRACTOR M0s8
t"
�
L�+� 4 lY—O!
BUII.DING PERMIT
REZONE VALUE
Date GROUP TYPE
2_G7 SUBCONTRACTOR
2��2�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BO%917 COBTA ME9p, CALIFOFNIA
For �Applican� fo Fill In Completely
7t 43 TYPE OR PRINT TT2.Ct 6`Z
ILOINO /
DRESS � � �A LCi ) .
COSTA MESA, CALIFORNIA
es� �r�e�,Bu�lders Inc
'NER $X IS RXR RiC�XX�I�R� •
■ ARCHITECT
�
�_ 1 APPROVED
CITY Costa Mesa
�c No. 187318 No' 549-0395
s�ZE � y x 9 8 ��ow o� �ra� o
OF LOT
USE OF
EXISTING BLDG.
6ETBACK LIHB PROM
DESCRIPTION OF WORK
� BUILDIN6
USb OF 6UILDIN6 AND WORK TO BE
New Residence
I HEREBY ACKNOWLEOOB HAT 1 HAVEf
ANO 6TATE TXAT TH! ABOVE 18 CORRQJ
PLY WITH ALL CITY ORDINANCEB AND 9'
BUILDINO CONBTNUCTION.
SIONATURE OF �Q w �
PERMITTEE
AUTHORIZED A6ENT
PFID
AfR 25-67caisa00124E>` *��,t 15�.%5
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
I RHC[I'T NO. .
YAROSAPPROVED
MAIN BUILDIN(3
OISTANCE BET.
MAIN BLDGS.
YAR. $R
ZONING
SHALL BE LE59 TNAN
YARDSAPPROVE�
ACCESSORYBUILDING
DATE
iD TN19 APPLIC�TION TH! AMOUNT BXOWN UNDEP VALUATION IB FOR THE
•NO AOREE TO COM. PUHPOSE OF EBTABLI6HIN0 A PERMIT FEE ONLY.
'6 LAWB FiOUTATING VALUATION ��'
PERMITFEE $ �O�Ji�
8 3�J, ',�' 0 i � C i��r'