HomeMy WebLinkAbout1958 MAPLE AVE - Building Permits ADDRESS of BMtgNO: __1_I_b-!`SAPLL AV uMT: CITY OF COSTA MESA - BUILDING PERMIT
OWNER'S NAME IF KNOWN: 11tNLK1XS VN, !:L PERM NO: B 0315978
ADDRESS: 19515 MAPLE AV
COSTA MESA,CA 7LbLb PERMIT NO: B 085976 PLAN CHECK NO: N GOVT : N SUPP: N
951-4889
APPL WOUND ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: SIR PURPOSE: OTE
ARCHITECT OR ENJEER: NC JOB DESCRIPTION : 1/OFF h REROOF COMP. SHINlGL ES SQ FT: 1 , 230
�‘ ARCH.OR ENG.'S ADDRESS: WIT: CLAIM VALUE: 1 , 230 . 00 CALC-VALUE: 1 , 250. 00 GROUP OCC: R-3 /
ROOFING . _ . 9 - - 1-
weaTRACTOR'SNAIa: `°'U``-�82 Cic CI l / 141yb�-1 /4� COMMENTS;'i H13TL GTON BEA_H52 * . REROOF 7U USt RESIDENCE W/LU Y
�.;.� CQORACttIR'S YMIafo HUNT INIalUN tlGHt1Y CA ]24]41 id ii sr is is ii ii icxx7i;r icirxw wiii%i icx is sit 7rx xis it is irr:>:r.irxxiixir xono ri%id-r.r:r.xirirkr.iriri<id is ib irid it irir is i[i:ir/roc ir is it ixxi<i<
ADDRESS: 92646 DC.No.: Z ONING REQUIREMENTS
01rt: SETBACKS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penaly of perjury that I am licensed under proyniom of Chapter 9
(commencing wi0 f�og]72 d Division 3 d the Etsinm5494 Prdeaawm cyd$ b�nseai end epeg.i 97 MAIN BUILDING ACCESSORY BUILDING
CITY LIC.NO.: / M.Cuss: LIC.NO.: / J FRNT: FT IN REAR: FT IN FRNT: FT IN HEAR: FT IN
Data: �2/1/cJ � Contractor: LEFT: FT IN RGHT: FT IN LEFT ; FT IN RGHT: FT IN
OWNER BUILOER DECLARATION:I hereby Wm.under penally o perjury That I am exempt from the Contractors License Lew la the PARKING REQ; __ PRO V: PARCEL: 00422533 Z N E: REF N O:
y following reason(Section 7031.5 Business end Professions Code:Any city or county which requires a permit to cogwheel,aker,improve, PLANNING 1 N G KO 1 ES>
demolish.or repair any structure,prior to its issuance,also requires the applicant dor such permit to file a signed statement that he or she
is licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)of Dbaion 3 of the
Business end Professions Cada or that he or she is exam thereham and the basis lar the alleged exam an. vidatlon d Sedan ................. ...................... ........................... . .
I pt pt' Airy 347433 ie><ir ie ie ie ie ie ie>r>r rex iexie ic>r ii if ii i,iE is i7 iiii is i2 if iE>r iexxxxxxxxxxxxx xxxxxxiexxxxxxxx xx xxxxie ie is ix ie rex ii ie
7031.5 by any applicant for a permit subjects the applicant to a civil penalty dd ltmore than Me hundred dollars POOL LI E V E 'L O P M E N T SERVICES R E - U 1•
R E M E N 1 S
❑ I,as owner of the properly or my employees with wages as the,sole compensation,will do the work,and the structure is not intended
or offered for sale(Section 7044,Business end Professions Code:The Contractors License Law does not apply to en bwmer Of property ,:
who builds or Worms!thereon.end who does such work himself or herself or through he or her own employees,provided that such ZONING AP PRO V EDi-B Y LATE: -
improvements are not intended or offered for sale.f,however,the building or improvement is sold within one year of completion,the
owner-builder will have the burden of proving he or she did not build or improve for the purposed sale).
El I,as owner of the properY.emdusiveN contracting with licensed contractors to construct the project(Section 7044.Business end BUILDING APPROVED BY DATl E:
•
Professions Code:The Contractors License Law does not apply to en owner of property who builds or improves thereon end who Cr `t _ I
contracts for such projects with a contractors)licensed pursuant b the Contractors License Law). APPLICATION ISSUED B Y : �—H�F DATE: \Z f a( c1 7
. t-ww•... sssYYY ��'
❑ Ism exempt under Section: B.Sp.D.,for this reason: iF irx>rxicii it It iE is www iixxxxx xzzzxzxzzzzxxxxx xxxxxxxx xx xx sfxxxxx xxxi27r WA'xicxxiizxzxzzzxxzii*
Date: Owner: LEGALIZATION:N F E E SUMMARY STRUCTURAL- SEGMENT: Y
Ido hereby certify that I em aware d and urdesl&M the requirements o California Health and Safety Cab Sections 25505.25533,and
25534,and that l or any future building occupant win/will rnot(grde ane)need loa amply with said tate cods and the requirementsmpfros BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RDS GRADING
a permit for construction or modification from the A,Malty Management District.Residential conmvaion eppicatiom are exempt from these PERmI l 4F 3. VU . 50
provision'' SMIP%NON-RES
Dab: Applicant: (-'LAN FEE
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty o perjury one o the following test _l S S U t, EE .. i
-
❑ I have and will maintain acenlfiate d eonenn'toself-ineure for workers'compensating,.as provided for by cn3700 of the Labor BUILDING-DIVPERMIT ISSUE YLAI1 C'iSEl 1s 101AL PAID DUE
Code for the performance of the work for which tha Peisued. TOT
nni ®
ALS —> 43 . 50 0 . 00 V• .... 0 . 00 43. 50 43 . 5V . VV
7d I have and Wil mama workers'camfersation lmurence.as requi ed by Section 3703 of the Labor Code,for the performance of the
work for whir3,this permit aissued.My wa/aSoitg"elrise iniary+biarrier and poky number are: EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 43 . 50 OVER/SHORT : . 00
Carrier: 355-977iititiii ici 01 /01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIPi O1 GRADING PLAN-CHECK
• Pdny Number. 43 . 00 . 50
(This section need not be completed 1 the perm(is for one hundred dollars($1001 or less.)
❑ I cagy that in the performance o the wok la which thispermf a Sued,I shag not emplWanYpersninenYManner sosto iEiiiciiihiki,iiieieieieieieieiiiiiiiiiiiiiiiciii'iciciyi'ieiiicidiiiebeiiiei'idieid iiiiieieieieidieicicititieicieicicieirieieieieieieiririrreirieiiieieieieie
become subject to the workers'compensation laws of California. end agree d I should subject to the workers' '
compensation ions of Sedat 3700 d the Labor Cade,(shall f�orrtthwith ply with ND IV I D U A li- F E E tit R E A !S V O W N
Date /2/20 ) Apdnant:
TYPE QIY D E S C, A 1 P 1 1 u N UlV1L [.OST TOTAL [.OST
Warning:Failure to secure workers'compensation coverage Is unlawful,and shell subject en employer to criminal penalties and
p/Hl fines tmroone hundred thousand dollars($100,000),Medd/tlonrothe cost olrompsnsefloR damages eeprovided ler In BFR 1250 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 1 , 250 . 00
Section 3705 of Me Labor Cods,Interest,and ettomay s lees.
END VF FEES
CONSTRUCTION LENDING AGENCY: I hereby affirm I under penalty of d
perjury that there a a construction lending agency for the --'
performance of the work for which this permit is issued(Section 3097,civ.C). .
LENDER'S NAME:
LENDER'S ADDRESS: I,
I certify that I have reed 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 thy to enter upon the above'ment'ned properly
forinspetionpurposesADAM MORIN
12-02-1997/12:12 PH/543.50
04 / Print Name •,I- / KM:01-0016170
7neA Data: �z��� F'EkMIT:085�l7
Signature of Owner/Agent/Applicant/Contractor
(5151d6.WP) White-Building&Safety;Green-Ale;Canary-Appicank Pink-Revenue;Goldenrod-Assessor
eJ e
CONSTRUCTION AND PLANNING POG_ a SPA
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 UF 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: i 60. Backwash Lines, P-Trap, 0 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 0 Gas 0 Oil-
. 23. Gas Pipe-Rough& Test 72. Underground-Flush
24. Roof Framing .^ • " 73. Undergrnd.StorageTank 0 Gas 0 Oil
25. Roof Sheathing - /3.5. "„777•_!//� 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & 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 CERTIFICATEIFISSUED
33. Final Electric - Notes; /a •3. ! �f ',V t7 v-04 (t4eID���� C L
34, Final Heating& Air Conditioning , • ! ^ r ti
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 Domestic-Final ,
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System • -
45. Sound Attenuation •
46: Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison •
50. Gas Release to Southern California Gas Co . •
51. CERTIFICATE OF OCCUPANCY
No. Date