HomeMy WebLinkAbout2174 MAPLE ST - Building Permits ADDRESSOF BUILDING: 2174 MAPLE SY- ` - we, CITY OF COSTA MESA - BUILDING PERMIT
ay,EWSKAMEIFOcO'N: DONAGU PROP . SERVICES INC PERM NO: P 072091
• ADORE55: 19671 BEACH BLVD . #101
H. B . , CA 92648 PERMIT NO: P 072091 PLAN CHECK NO: N GOVT: N SUPP : N
APPL.MAIUNG ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE : REP
ARCHITECT OR ENGINEER: uG NO.: JOB DESCRIPTION : REPAIRS TO INCLUDE UNIT 2176 MAPLE ST SQ FT :
ARCH.OR ENG.'S ADDRESS: WIT:
CLAIM VALUE: 200 . 00 CALC-VALUE: GROUP OCC : R-3 /
CONTRACTOR'S NAME:
CONTBACTOWS MAIM] COMMENTS : REPAIRS PER HCS 17920 . 3 , U. H.C . SEC . 1001 (B ) 6 UPC SEC . 319
ADDRESS: L/C NO.: **************4444********1444****************************************44*********4449*
UMT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter B SETBACKS
(commencing with Section 7000)of Division 3 of the Business end Professions Code,end my license is in full force and effect.
CITY LIC.NO.: UC.CLASS: UC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING
FRNT; FT IN REAR; FT IN FRNT; FT IN REAR: FT IN
,Date: _ Contractor. LEFT; FT IN RGHT: FT IN LEFT: FT IN ROUT: FT IN
'+WNEP BUILDER DECLARATION:I hereby affirm under penalty of perjury that I em exempt from the Contractors License Law for the
,wing reason(Section 7031.5 Business and Professions Code:Any oily or county whist requires a panne to construct,eller,improve, PARKING REQ; PROV:or repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he or she PARCEL ; 42220204 Z N E: REF NO;
licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)of D'velon 3 of the PLANNING NOTES>
Business end Professions Code]or that he or she is exempt therefrom and the basis for the alleged exemption.MY violation of Section >
7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars[S5001). *******************************************1414******34 44 1**********4 1444 i4 i4 44*********14
❑ I,as owner d the property or my employees with wages as their sole compensation,WII do the yak,and the structure is not intended DEVELOPMENT V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply loan owner of property Q
who bolds or improves thereon. such and who does suwork Nmself or herself or through his or her own employes,provided that such
improvements are not intended or offered for ele.t,however,the building or improvement is sold within one year of completion, ZONING APPROVED BY DATE;
owner-builder will have the burden d proving he or she did not build or improve for the purpose of sale). •
❑ I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business end
Professions Code:The Contractors License law does not apply to an owner of property who builds a improves thereon and who BUILDING APPROVED BY : DATE:
contracts for such projects with a contracta(e)licensed pursuant to the Contra: Liceree Lew). r ^
Pi am exempt under Sectio .IPC-.tot this re n: ;.'I1;:,E�t APPLICATION ISSUED BY: `/�'� DATE:
/ yr-�.P} y /99S Gyner: `/ y ,_/� _ *******14;4*******************************.'x*********4**********14**** * * - * J**
a36C�a LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGIENT;N
• certify that I am awae d and undenland the rebuirements d Ce a to Heal h end Solely Coda Sections 25505,25533,and
25534,and that I or any lotuses building occupant will/will not(circle one)need to comply wlh said state codes and the requirements for
apermit foconstructionr or modifiartionfromtheAx7F�r�aegemenladd.Residentiedoamwa eoplmaaare exempt from these PERMIT BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions.
Date: Mdcant: 2 5% SMIP/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: PLAN
ISSUE FEE 20 , 00
❑ Ihave and wilmaintain acertificate dconsent toself-insure for wafters'compenmion.asprwldedfor bySection 3700of the Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code,for the pedama ewnewadlorwchma
apmaa.atred. TOTALS----> 28 . 00 20 . 00 - 0 . 00 48 . 00 48 . 00 , 00
o I have end will maintain workers'compensation insurance as required by Salon 3700 of the Labor Code,for the pedormarca of the
work for whim this permit is issued.My workers'compensation insurance carrier end polry number are:
Canter: REVENUE DIVISION TOTALS--> COLLECTED ; r 48 . 00 OVER/SHORT; 00
Policy Number. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This aectcn need nor be completed if the Fermi is for one hundred dollars(51001 or less) 48 . 00
❑ I certify that in the performance of the work for which this permit is issued,I shell not employ any person in an manner so as to
coeseothe suckers'�Wws col Caldomia and ag � become subject to the workers' *******************************************************************************
compensation Wers'andheLabor Code. forthwith compwth those p
INDIVIDUAL, F E E BREAKDOWN
Date: Applicant: ,.
Warning:Failure to seen workers'compensation coverage Is unlawful,and shall subject an employer to sinning/Penalties and TYPE QTY D E S C R I P T I O' N UNIT COST TOTAL COST
civil Byes up to one hundred thousand dollars(S100000),in addition to tire coat of romperuet/on,damages as provided for in
section 3705 of the Labor Cods,Intense,and attorney's feet PLU 2 WATER HEATER AND/OR VENT 7 . 00 14 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the PLU 2 FIXTURE SET/'TRAP W/PIPING & BACKFLOW 7 . 00 14 . 0 0
perfonneroe of the work for whim the permit is aimed(Sada,3097,CU.C). END OF FEES
LENDER'S NAME:
LENDER'S ADDRESS: EX . I , I
I certify that I have mad this application and state that the above information is correct.I agree to comply with all dyad county ordinances `L' �
and state laws relating to building construction andd the hereby authorize representatives city to enter upon the above-mentioned popery ,11V11N//\v1
for inspection Purposes. JAMES DONAHUE
DM—-0--p
Print Name
l -/� / ,cff�y 9 i 01 00180930-00180930 TO )7s.ua
cCtsgvureWownar noAppauconveda Date OATEI 0.5/01,9. TINE: 14:18
(5151.46 WP) While-Building A Safety;Green-Ale;Canary-Applicant;Pink-Revenue;Goldenrod-Assessor
• CONSTRUCTION AND PLANNING PC & SPA
v
.APPROVALS Permit# - Date Inspector - APPROVALS Permit # Date Inspector
1
1. Temporary Electrical Service or Pole • 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 1
3. Electrical Conduit Utility-Undrgrnd. . 54. Forms '
4. Electrical Conduit-Undrgrnd. . 55. Electrical Bonding • •
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 1
6. Electrical UFER Grnd. - 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd. 1
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test I
- 9. Water Pipe-Undrgrnd. 60. Backwash Lines, PTrap, 0 Undrgrnd.
. 10. Structural Floor System i61. 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 FireplaceAPPROVALS 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 154 r'
w w
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
fill
27. Frame and Flashing 76. Dry Standpipe I
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
33. Final Electric Notes: 7_(51 ..5 C .fity-rem ., A
'T `___
34. Final Heating& Air Conditioning
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
17 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
CITY OF COSTA MESA
BUILDING DIVISION
OWNER-BUILDER VERIFICATION
A city or county, which is required to give notice pursuant to Section 19830, shall attach to such
notice,and,as a condition precedent to issuing a building permit, require the completion and require the
return of, an owner-builder verification.
Attention Property Owner:
An 'owner-builder' building permit has been applied for in your name and bearing your signature.
Please complete and return this information in the envelope provided at your earliest opportunity
to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued
until this verification is received.
1. I personally plan to provide the major-lot materials for construction of the pro-
posed property improvemeeies D No
2. I (have/h t) i6_ signed an application for a building permit for the
proposed work.
lame
3. I have contracted with the followin c�
g person (firm)to provid�the proposed construction:
Name d iCY�
Address City +44&'i'➢ .�JrGUML
Phone ( ) Contractor's Lic. No.
4. I plan to provide portions of the work,but I have hired the following person to coordinate,
supervise and provide the major work:
Name
Address_ City
Phone ( ) Contractor's Lic. No.
5. I will provide some of the work but I have contracted(hired)the following persons to pro-
vide the work indicated:
Name Address Phone Type of Work
I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State
of California Health and Safety Code and have completed the above information to the best of my per-
sonal knowledge, in mplia e w h this Statee)aw.
Signed: ,.,.,.,. ,. r-GC•t Date: / . JJ>'Y /99 S_
Name: -44-6+F>S \ /UM-
(Printed or Typed)
C.D.L. # or S.S. #
754-5273
1042-46
a
OWNER RAFFERTY, R. • DATE 5-2-58 _
JOB ADDRESS 21711 - 2176 Maple Ave. BUILDING PERMIT NO. 66812
G NERA _ ONTRACTOR Moore Homes VALUE $ I. 16 12e so
1 fro s LOT 36 TRACT FIRE Z1112rmssDESCRIPTION OF WORK Duplex with at. Garage
GROUP I TYPE V ZONE R(I PLAN NO. 668k
IN^°ECTIONS DATE SUBCONTRACTOR PERMITS ISSUED
DATE NUMBER
1.__.:hes rms Steel '5/6/4
Floor System I
Steel Reinforce Chimney Re-Rod
Bond Beam S -17-CB' i/C t---/
Frame-and Flashing as'gelp 6 'e40 'r•-'ar
Lathing, In14.. Out t, FjICia' A -x9-r
Plaster, brown coat 7 -3/-J7
Underground soil145 WIG Pipe Test /., �Glpa,-(��� Y-10-.s-L f$9'QY 4--
Top Out 1-"Sit
Furnace M/fSI6--27^6S- a-n/4i /y[ - 1,0-S2 /017a-2-'1--
Gas
01lay`Gas Vents , , J
Rough Plumbing //�/ffS 1'7 S
d- F � 7 /-
Cesspool Septic Tank
Prop. S%cLine House-Con. St.t.N'[ 7 %lc • 111' Ld 4, 210-, . 'ek Y .-- 14 Cf 1->
Sprinkling System
Heating Final $-29-511
Plumbing Fixtures, Final • PP QxR•ge
Final Gas Test LIv)p-2-941 jq
T 'ruction Pole
l aground Power �,G' /� ,//Rough Wiring "J 7 ;_L_rX 7 fe CfJ�, . •, s'3 c ?� �6 �f�/ 1/Fixtures, Final yl.r R_/Q . iS' _-OCCUPANCY L,f R.QQ.y-RForm .10-5M-1-57
6t . , �14 .°L-� .�
��
CAOSTA MESA BUILDING DEPARTMENT S��_S V
•
P.O.BOX 317 FINANCE DEPT.
COSTA MESA. CALIFORNIA CITY 07 COSTA VESA
FOR APP CANT///)))e� O FILL IN APPLICATION FOR PERMIT
BUILDING aZ / 7 � N (,' e,�..,<.- . BUILDING
ADDRESS ��'��`�q///"'lll'��_`
It a ! 76 COS11vM i CALIIFO NIA FOR OFFICE USE ONLY
REC IPT NO. R O.
OWNER
,Q . RRFFF_2 ry' I �
^ 1 ED BY CETIVED O t
ADDRESS 1.2-SR) SO //a a%) . ``��4A 3051 /S .775
7 STT
CITY SANTA AA1'� TNO. Ka. uV 6 ADDRESS
a/ / 47 /• /AP i. G/ v
ARCHITECT LIC. / 1 A� A M S A. CA LIFOFC /,
OR TICTER C. 1.'V�
FIRE
ADDRESS ZONE
CITY O. ZONE . NO.OF TV GROUP JyNS
CONTRACTOR �DOkCN' FS NO. ]I/ y
I
i /
ADDRESS /ASt.)
O
O /14 lig . NLO. KI F466
PPROV• • en 1( DATE
/C
LEGAL
DESCRIPTION LNODT. 39- BLOCK/LI;/4_1'Cb9 Fn2f,S CORRECTIONS
A.P.NO. /1S — V (
0 - q ) /1 (p q �,,
VE
/ / / NO.OF BLOBS. Hyl A PIg }y F� 031 U D
OF LOT h O - I9I HOW ON LOT V�
l
usE OF 7UPL E)l, ..IY COST:. MESA
EXISTING BLDG. FN „ N71.:( Cll
i.
SETBACK LINE FROM A C C
/ S �UBJt . 1hEiLGG. ULPT. R.G.
CENTER ofyy^^S'T''REET co yR/EAR YARD �- � C. �,¢IxJ
SIDE YAR a.hCSRIGHT I r G° LEFT /O /844.3 /
DESCRIPTION OF WORK -Of1-)
T.CH. �"I ` r1 '
NEW k ALTERATION ADDITION //
L=
I� 7_r/
REPAIR MOVING DEMOLISH
BUILDING 17 Q / Q / NO.OF ROOMS �O STORIES
EXTERIOR WALLS
ALL la c ROOF
COVERING ST�CCo COVERING 4)0 CAC
BUEL FINGEW 2. /A ' / JQP4E)C
LI/A'T G--,vAQ , .
{ HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES AND STATE S REGULATING BUILDING CONSTRUC.
TION. VALUATION
SIGNATURE OF OO PERMIT FEE b 3!7
OO
PERMITTEE )))))) ,l
5 /� /of PLAN CHECK S /A S a
AUTHORIZED AGENT
/} TOTAL FEE SSIC.3 0 ,`E