Loading...
HomeMy WebLinkAbout1911 KAUAI DR - Building Permits I.. , �' r 4011 F CITY OF COSTA MESA 4BUILDING DIVISION - ° DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER 1. y .r PERMIT %oft Ne B04-00993 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1911 KAUAI DR Status: ISSUED Suite: Applied: 06/01/2004 Vicinity: Issued: 06/01/2004 Parcel Number 13951301 Zoning: R1 R1 / Applicant: BRUCE, JOHN ISSUED BY: Address: 3210 DAKOTA Phone: 714 557-7594 COSTA MESA,CA 92626 Zip: 92626 Owner: IRELAND, GERALD Address 1911 KAUAI PL • Phone: COSTA MESA,CA Zip: 92626 Contractor: Address: Phone: Zip: License: Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT • PLASTER/STUCCO AROUND GARAGE DOOR ONLY. FEE SUMMARY Plan Check: $0.00 Calc Valuation: 5600.00 Permit: $26.55 - Claim Valuation: $600.00 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 • Total: $27.05 PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left .0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No.92-28,§ 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-46(6/00) DECLARATIONS • - • , WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit Is Issued. ❑ I have and will maintain workers compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued. My workers compensation Insurance carrier and policy number are: Cartier: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ 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,and agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(5100,0001,IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is In full force and effect.Lic.# Class# Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for 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 Division 3 of the Business end Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any 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($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her Own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). • ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license purl t to the Contractor 'cense Laws.). ❑ I am exe under . ' Business and Professions Code for this reason: Allor Signature' .! �litDate: 5///05/ Owner ID °rifled by driver's license. 0 Yes 0 No Driver's License No. Expires: Verificat n of Ownership by(type of document.i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person Is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses Which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application a permit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? U Yes No (Section 65850.2 of the California Government Code requires that the requested Information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described propert • I•:*action purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. ire• .z-I j ner(s) ///ODatgz al A CTL. A end/• Au orized Applicant Date •• INSPECTIONTYPE DATE •tllr•R SODS r INSPECTION TYPE IIrITIf. WTTRALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy 6/i7/0 r, u PP DECLARATION OF AUTHORITY Bldg. Permit# Dow)) FOR AGENTS OF PROPERTY OWNER This Permit# • TO APPLY FOR PERMITS • • Street Address: A I .7-Trek AP Number: 1. I (we), A — - A` C Y/"' / Tr n of , declare that�� Owner bf Title of the above referenced real property, andel that I (we)hereby authorize: Name: - /// `C,c ��,., t Telephone Number: 171.9-.5-1/211-69 �y r Street Addres s: ����.. i 'L II ,4/./_Z-0,4/./_,4/./_Z-0_,C-.0/. [ City: YlC�It _ a4_. State: Zip: 92,(p to obtain permits in my behalf,as owner/builder,for V b ([lj 11 • t ( 196/6 6 -- at the above referenced property. 2. Should any person become an employee engaged in the improvement of the property, I (we) shall immediately provide Worker's Compensation Insurance coverage and cause a certificate of that coverage to be filed with the Building Division of the City of Costa Mesa, as required by State of California laws. 3. As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other person, company or corporation. 4. I agree to indemnify and hold the City of Costa Mesa and its employees or officers harmless from any claim resulting in damage or personal injury to myself or any other parties as a result of work authorized by the permits from the City of Costa Mesa. 5. I declare under the penalty of perjury that the foregoing is true and correct. Executed this day of 20 , at , California. P7Print Name: XT�T /// , h Signature: _ ' iJ., / ', �i Date: / \ r,/AI Note: This authorization does not grant authorization to perform the work as owner, it solely provides for limited power of attorney to secure this permit in any behalf. 0779-46(rev.11/00) a F 9 CITY OF COSTA MESA BUILDING DIVISION 4,.,,,. `rDEVELOPMENT SERVICES DEPARTMENT PERMI BER rt rigli PERMIT *tbi,ros B04-01111 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1911 KAUAI DR Status: ISSUED Suite: Applied: 06/16/2004 Vicinity: REAR OF PROPERTY Issued: 06/16/2004 Parcel Number: 13951301 Zoning: R1 R1 Applicant: JOHN TERRY BRUCE ISSUED BY: Address: 3210 DAKOTA AV Phone: 714-557-7594 COSTA MESA,CA Zip: 92626 Owner: IRELAND, GERALD Address 1911 KAUAI PL Phone: COSTA MESA,CA Zip: 92626 Contractor: Address: Phone: Zip: License: Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT 270 SQUARE FOOT PATIO COVER ATTACHED TO EXISTING HOUSE. FEE SUMMARY Plan Check: $72.31 Calc Valuation: $4,352.40 Permit: $111.25 Claim Valuation: $0.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $184.06 PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 32-0 Left 7-0 Right 14-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work Is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-46(6/00) r DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit Is issued. ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued. My workers'compensation Insurance carrier and policy number are: Carrier: Policy Number: (Thissection ecf/on need not be completed it •:rmit is valued at one. .dred dollars($100)or less.) i ti j]/Icenify that in the performa the w" for whi • .: it !:'ed,I shall not employ any person in any manner so est come su act to the workers' _%compensation laws of Cal a,ase that' LL b=•.'': subject to the workers'compensation provisions of Sectio 3700 of the bor Code,I shall forthwith comp) with these pr. / Applicant SIgnetiirei /<<✓/ �ft� (Date:_ lY,, /6 _ O WARNING:,FAILURE TO SERE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL Su: - AN EMPLDYER.TO CRIMI PENALTIES ND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(s1/.000).IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FO .SECTION 3709 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.a Class e Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to lite 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 DWision 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any 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($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or Improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). • ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. 0 Yes 0 No Drivers License No. Expires: Verification of Ownership by(type of document,i.e.-properly tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341.Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of industrial Safety Permit Number. HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be tiled with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes ❑No (Section 25533 of the California Health end Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this eppplication apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? u Yes LI No (Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescnbed by California Health and Safety Code Section 42303 been made? 0 Yes ❑No 8 (lf'yes',attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws end city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property foection purposes.I agree to occupy or allow occupancy of any building authorized by this permit until final inspection. Dat: /�i� s Le . '? T•' .plv ,s �( cater ;ODE r . ' _I.NTYPE PATE Ri1aaL$ CODES IffSPECRONTYPE PATE JNTrtUL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing _ 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site / /� 204 Final Demolition 250 Final BuildingiOccupancy 6-i7-O9' F DECLARATION OF AUTHORITY Bldg. Permit tt 4 0(I FOR AGENTS OF PROPERTY OWNER TO APPLY FOR PERMITS This Permit# • Street Address: A.S 60�-e.i ".,r, _ C AP Number: if 1. I (we), L ' 17- ' Gn40/ , declare that I am the Owner of Title of the above referenced real prophryy, and that I (we)hereby authorize: Name: .....-10 Fi4) ( v t v`- ( Telephone Number: I) / 9 - 5-5 / 5....5. 4- / Street Address: -,:;31 0 j7#\ 110 / 14 / Cityi "() �� 1 lea>1`1-- State: 0 t4 zip:9P2 6 In to obtain permits in my behalf,as owner/builder,for ad i d Ai/t3 r at the above referenced property. 2. Should any person become an employee engaged in the improvement of the property, I (we)shall immediately provide Worker's Compensation Insurance coverage and cause a certificate of that coverage to be filed with the Building Division of the City of Costa Mesa, as required by State of California laws. 3. As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other person, company or corporation. 4. I agree to indemnify and hold the City of Costa Mesa and its employees or officers harmless from any claim resulting in damage or personal injury to myself or any other parties as a result of work authorized by the permits from the City of Costa Mesa. 5. I declare under the penalty of perju t the foregoing is true and correct. Executed this -//. day of ' 20 0V ,at VV/ Cc_ , California. / Print Name: /c r Yr/ '//• ---/---re-lit /• � / rr`6i1 ly Signature: a \% -1'...4-: / - , , / —a Date: t iWS Note: This authorization does not grant authorization to perform the work as owner, it solely provides for limited power of attomey to secure this permit in any behalf. • 077946(rev.11/00) I • r �: e> 4 e 7 e � awn =_ air. BUILDING PLAN REQUIREMENTS .4L"49.1 FOR ATTACHED PATIO COVERS (Note: Detached patio covers require an engineered design.) Q2 P.L. Feet 9> El Pon N' a N r r mf i5&.1,-,!�A,. \ , A -e---4-- (typ.) • % Edge of —�f"'"_p SEDSTRUG�rURE1 , Tu l patio cover a i 3❑ • ' / I LLI / /sr/ gt- e1 N . DIVISION OF F LILDING SAFETY CITY O :(°(S)1`,,' PA `t souse API' < t31' LD I] ictrea a I D 'r. I ap ;is unlawful I Th' s6 f an :'i c=ti0ns MU., be ke t on this jc•e'rE imr e as fcr:; 'r -'avers on same wdhOU wrment permssr a Am• :.;r.ts�cn of Buiklinc STo'''. t7r_.•sr°" anoac,,cific.. age1LLINOTbeheFalopemitortobeanapproval y Gar ❑ s 'p�i= awswns of a g' v of Costa Mesa Ord nao.a and or State la . 2 o the vwl uon of a. pr ❑ r T en plans and[emit that expire by bmuauon and becomeJ)w days 1he within 180 of issuance. viork is not commenced and maintained active per UBC§303 j ) _ _ !lit q- «l APPROVED E CITY OF COSTA MESA PLANNING DIVSION tJC SUBJECT TO BLDG. DEPT, REG. NOTE:ADDITIONS, DELETIONS, I OR CORRECTIONSISHALL BE I - _ APPROVED BY THE PJkANNING DIV. © P.L. Owner 1-1- 4N) Stre a tBY' DATE: - A, Address /r// kaaA-I C"OSn/ Fee SN Cf/ El Sccale:P/5 "__ INSTRUCTIONS-3 COPIES MUST BE SUBMITTED ;1367Y — 0 //// Using this as an example draw your own plot plan on a separate drawing. 10 Show owner's name, project address, north arrow and scale. Q Show and dimension all property lines,easements and driveways. Q Show locations of existing and proposed structures, including all setback dimensions ® Show dimensions of proposed structure. Q Show setbacks from property lines to proposed structure. (3'-0"min.; verify if Planning Dept. requires greater setbacks) © Dimension overhangs n33-46 Rafter Header Headers) 2Rafter(s) • X I -> DETAIL OPTIONS Check the ones that apply: Lattice Cover: / )aA ❑B MC ❑D ❑E OF J// 4Solid Cover: ❑A ❑D ❑E OF -AP als"ISMIN/Wy a.i ,... - EXTERIOR WALL OF HOUSE Post Anchor Anchor Lattice Cover Solid Floor Cover Roof Covering 6'min .1- 26 Ga. Roof Sheathing 'T:•;; . Footing -Lattice FRAMING PLAN Flashing P !Z'bepth Roofing 12" Sheathing j PAD FOOTING A Lattice — 1::::://al = 750#max per post Post I=Iii ■ _ 6'min Rafter '� Header -4- v Rafter . Joist Hanger Ledgereg Hanger LedgerPost SLAB f f 2 o SLAB FOOTING• B o uo ' 2% Slab N 0 0r Slab 2% 2x6 Min 2x Joist Slope _ Slope �! Fa to Drain n to Drain Existing) a Anchors wall& 2-0' 6'-0' -Lattice Solid Roof Cover . Cover roof p - - nCSECTIONS Max Max s an -..._ . /' a sL -'t.1.. . EAVE CONNECTION C CONSTRUCTION MATERIALS 1/2'x5' Joist i ,1t3tl1V1C1 Dvl yivlA.14 ° Lag Screws SPECIFY LUMBER: [ADE-0 Redwood,c❑ emfir,i 1 .• I ®16"o.c. ...1 .1 ,...,....I :)M ii._,/,!•1 1,£(•.JL SPECIFY GRADE: .�No. 1 ❑ No. 2 CONCRETE: 2500 si min; 28'da s" I r[f: .d'i Existing Joist P . @i. . _ Y tU.TI _.lA Fox wall Hanger CONNECTIONS: ICBG approved or;equal'jy515103 AO Ledger 1. Roof covering::Ila p%if/`Lk x�t 311-1- YgiopeV05:1'211 t WALL CONNECTION D 2. Roof sheathing: Maximum spans: Lattice lattice: I x @ o.c.: 2x2-6'; 2x3-8';2x4- 10' Bolts solid: 1 ..-.CCX plywood:o74fi-=lumber -- 1"-2'.=8r; 2"-8'-0" (Rafter) II II 3. Rafters: r - x_A.-@-3C-)2.,'o.c.. ❑,Double. . Dummy Post st 4. Header: 0JQ Ila Single 0 Double .,‘,. Beyond 5. Ledger: 'L- x S (2x min) RAFTER/HEADER E 6. Fascia: x (2x6 min) • Roof Sheathing 7. Post: x�(4x4 min) Raise 1"min above slab surface • or Lattice 8. Footing: IL z x t'L 12"x12"min for up to 66 sf tributary area; 18"x18"min for 67-150 sf tributary area �� Rafter / P (Expansive"depth Ex ansive Soil Zone ) Framing —�� Anchor 9. Slab e{ "thick(Expansive Soil Zone ) Each Block INt 10. Connections: a. Joist to hanger Ledger - Metal joist Header 2 X Blocking Post Column Cap b. Joist to Header -Solid blocking with framing anchor c. Doubled joist or header to post - (2) 1/2"dia. thru bolts w/washers JOIST/HEADER F d. Joist to Fascia -Metal framing anchors each side (min. capacity=0.5"joist span*joist spacing' 15) e. Header to Post -Column Cap f. Post to Slab or Footing -Metal•Anchor/Post Base g. Roof Sheathing -8 d @ 6"o.c. Edges and 12"o.c. Field 2733-46 back 1997 UBC 4 SPAN TABLES LATTICE PATIO COVER DESIGN LOAD: 5 PSF DL + 10 PSF LL I REDUCE SPANS 20% FOR HEM-FIR OR REDWOOD RAFTER SPANS(MAX) HEADER SPANS(MAX) DF NO DF NO2 SIZE OF NO1 DF NO2 SIZE SPACING("o.c.) SIZE SPACING("o.c.) 16 24 32 36 48 60 72 16 24 32 36 48 60 72 (2)2X6 9'-6" 8'-9" 2X4 10'-0" 8'-9" 8'-0" 7'-7" 6'-10" 6-6" 6-1" 2X4 9'-9" 8'-7" T-9" 7'-6" 6'-9" 6'-3" 5'-10" (2)2X8 1Z-1" 1V-3" 2X6 15-8" 13'-8" 12'-6" 12'-0" 10'-10" 10'-1" 9'-6" 2X6 15-4" 13'-6" 12'-2" 11'-9" 10'-8" 9'-9" 8'-10" (2)2X10 14'-9" 13.-9" 2X8 - 18'-1" 16'-6" 15-9" 14'-4" 13'-2" 17-1" 2X8 - 17'-9" 16-1" 15-6" 13'-9" 12'4" 11'-3" (2)2X12 17'-1" 16'-0" 2X10 - - - 20'-0" 18'-1" 16-2" 14'-9" 2X10 - - - 19-6" 16'-10" 15-1" 13'-9" 4X6 (2)2X4 10'-0" 8'-9" 8'-0" 7'-8" 7'-0" 6-6" 6-1" (2)2X4 9'-10" 8'-7" 7'-9" 7'-6" 6-8" 6'-4" 5'-11" 4X8 13'-2" 12'-8" (2)2X6 15-9" 13'-9" 12-6" 12._0" 10._11" 10._1" 9'-6" (2)2X6 15-5" 13._6" 12._3" 11'_9" 10'-8" 9'-9" 5.11" 4X10 16_8" 15-7" (2)2X8 - 18'-1" 16-6" 15-10" 14'4" 13'-3" 12'-1" (2)2X8 - 17'-9" 16-1" 15-6" 13'-10" 12'-4" 11'-3" 4X12 19.4" 18'-1" SOLID PATIO COVER DESIGN LOAD: 10 PSF DL+ 10 PSF LL I REDUCE SPANS 20% FOR HEM-FIR OR REDWOOD RAFTER SPANS(MAX) HEADER SPANS(MAX) DF NO DF NO2 SIZE DF NO DF NO2 SIZE SPACING("o.c.) SIZE SPACING("o.c.) 16 24 32 36 48 60 72 16 24 32 36 48 60 72 (2)2X6 8'-3" 7'-8" I 2X4 9'-1" 8'-0" 7'-2" 6-10" 6'-3" 5-10" 5-6" 2X4 8'-10" . 7-9" 7-1" 6'-9" 6'-2" 5'•8" 5'-3" (2)2X8 10'-6" 9'-9" 2X6 14'-3" 12'-6" 11'-4" 10'-10" 9'-10" 9'-2" 8'-8" 2X6 14'-0" 12'-2" 11'-1" 10'-8" 9-6" 8'-6" 7'-8" (2)2X10 12'-9" 12'-0" 2X8 18'-9" 16'-6" 15-0" 14'-4" 12'-9" 11'-6" 10'-6" 2X8 18'-6" 16-1" 14'-8" 13'-9" 12'-0" 10'-8" 9'-9" (2)2X12 14'-9" 13'-10" 2X10 - - 19'-1" 18'-1" 15'-8" 14'-0" 12'-9" 2X10 - - 17'-10" 16'-10" 14'-7" 13'-1" 12'-0" 4X6 8'-10" 5-4" 4X4 17-1" 10'-6" 9'-7" 9'-2" 5-4" 7'-9" 7'-3" 4X4 11,_9.. 10._3., 9'-4" 9'-0" 8'-2" 7'-7" 7'-2" 4X8 11-9" 1V-0" ' 4X6 19•_0" 16-7" 15-1" 14'-6" 13'-2" 1Z-2" 11'-6" 4X6 15_7, 16-2" 14'_9" 14'_2" 12-10" 12•_0" 11'-3" 4X10 14•_4" 13•_6" 4X8 - - 19'-9" 19'-1" 17'-3" 16-1" 15'-1" 4X8 16'-1" 14'-8" 14'-1" 17-9" 11'-10" 11'-2" 4X12 15-9" 15-8" 1997 UBC 2733-46 Tables COMPLAINT INVESTIGATION Received byOVYA «/ Date '9--76•9-' 1' Made by • ' / a a i Address /7///iSr/ Ph.No.p`7�i�'67*,) l./ i . grar Ag:" t: L - -/ Address > %l " - x /JJJ1 recto _. Nature of Complaint: /_al -.v ' - Action taje - �. - fnAr t. f .40.410 //_s✓ /j1✓L .001.61.a agthnrari ragral Warr Complete: Yeo Complainant Yes By: Interviewed: No No Date: mw,- 1911 KAUAI DR User: CITY OF COSTA MESA — BUILDING PERMIT IRELAND, GERALDPERM NO: B 077650 i .DDRES&IRELAND THELMA 1 1911 KACJAI PL PERMIT NO: B 077650 PLAN CHECK NO: 01357-96 L GOVT: N SUPP: N COSTA MESA,CA 92626 APIA ILINOADORES& CONSTRUCTION TYPE: V—N' PERMIT TYPE: STR PURPOSE: ADD ARCNRECTOAENmIEER:LEONARD BEKEMEYER IX.NO: 0 JOB DESCRIPTION : ADD 28SF & REMODEL LIVING FAMILY & KITCH SQ FT: 15, 000 ARCH,OR ENO'SADORES5:21062 BROOKHURST965-7555 UMr: H. B . CA 92646 CLAIM VALUE: 15, 000 . 00 CALC—VALUE: 15, 000 . 00 GROUP OCC: R-3 / CONTRACTOWSNAI,s: UALITY FINISH CARPENTRY ( 714 )969-5815 CONTRACTOR'S MAIUNG2 0671 SANDPIPER IN COMMENTS : ADD 28SF TO FAMILY ROOM & REMODEL KITCHEN LIVING & FAMILY ROOM ADORESS:HUNTINGTON BEACH CA uC.ND.: 452173 *****it**+titAEiE+tiE*AE*iEtti ***itit****A ***et*ftfE***it*atit+Eitx*itiE*ltiEit*itxxitfEit***** tiEaE****tEit+r+E+t* 92646 UMT: Z ONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby effin,under penalty of perjury that I em licensed under provisions of Chapter 9 SETBACKS (commencing with Section 7000)of Division 3 of the Business and Professions Code,end my license ie in full force and effect CRY LIC.NO.038637 UC.CLASS:B N '452173 EX 00/00 MAIN BUILDING ACCESSORY BUILDING 5 , S_ 0( Contractor � �uc, FRNT: FT IN REAR: 30 FT IN FRNT; FT IN REAR: FT IN Date: e LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under Ponta of perjury that I am exe the Contracon License Law for the . novena reason(Section 7031.5 Business and Professions Code:Any cry«county which requires a permit to construct,akar,improve, PARKING REQ• PROV: PARCEL: 13951301 Z NE: R1 REF NO: Kash.or repai any structure,prca prior to its issuance.abs requires the applicant for such permit to bM a signed statement that he or she pursuant provinces uoenselawjCh.pter9(oommenKingwahSection7oao)ofDfrbion3ofthe PLANNING N TES> INTERIOR ALTERATION AND ADD A BAY WINDOW TO THE REAR OF AN ..0sine„and Professions Code)or that he or she S exempt therefrom and the basis for the alleged exemption.Any violation of Seton > EXISTING S FD", 7031.5 by any spoltoard fore permit subjects the applicant toe dvi penally or no more than foe hundred dollar M$500]). ******************************************************************************* ❑ I.as ovser of the propeny or my employees with wages as Mei sole compensation vrill So the work,and the stnacture a not intended DEVELOPMENT SERVICES REQUIREMENTS or offered for sale(Section 7044.Business end Professions Code:The Contractors License Law does not acolyte an owner of property who builds or inproves thereon,and who doe*such work himself or herself or through hb or her awn employees,provided that such Improvemerds alered Shred ter sale.lf,however,the building eriPreemeereSsekl wehinoesysa door Tetow 'n,lee ZONING APPROVED BY . - 22 Jyyt— DATE: SI'( 'b [91; owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale). ❑ I.„owner el the propeny.an„dusbely mmratigwM licensed eentreetanro ereeW the eeeet(Sedon Thee''sine”ed BUILDING APPROVED BY, n DATE: Professions Code:The Contractors License Law does not apply to an owner of Popery who builds or improves thereon and who • - ,.-- contracts for such projects with a contractor(e)licensed pursuant to the Contractors License Law). ❑ Iern exempt under Section: B.APC..for this reason: APPLICATION ISSUED BY: -' ” C 2DATE: ��i'3t lir Date: Owner: ******************************************iF iF iE F`IF iE ****************************** LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y I do hereby certify that I am aware of and understand the requirements of California Heath and Safety Code Sectio„25505,25533,and 25534.a panne and oter�swcuwYa nod building t�tirr: wtlr_(dndeone)need ao«ngy with said na.std„and are the emptemennf« BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING y e^WentertDiatrict.Residerabl demnecton eppicetixnero exemptfrom lhme provision'” PERMIT 224 . 75 1 . 50 Dae: Applicant: SMIP/NON RES PLAN 146 . 09 WORKER'S COMPENSATION DECLARATION:Ihe hereby affirm under penally of peraey one of the fdtowing declarations: ISSUE FEE o num and mlmaintain acandireteoconeenitosetrmunfor worken'oomp.m. on,asprovde tidforSadie"by BUILD ING—DIV—> PERMIT ISSUE PLAN=CHECK TOTAL PAID DUE Code,for the pedormance of «k thewf« mi* which genial i,issued. TOTALS----> 226 . 25 0 . 00 1.46 . 09 372 . 34 372 . 34 . 00 o I have and wit maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,for the performance of the work for which this permit S sued.My workers'compensation insurance Carrier and policy number are: Cada: REVENUE DIVISION TOTALS--> COLLECTED: 226 . 25 OVER/SHORT: . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I,,,,s section need not be completed/the pent is for one hundred dollars(3100/or less) 224 . 75 1 . 50 o I coney 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. and agree that e I should become subject to the workers' **************************************'***************************************** compensation provisions of Section 3700 of the Labor Code I lonhvmh comply with prow J Dae: S- 13 -- Ci C( ApplicanaL I N D I V I D U A L F E E B R E A K D O W N Warning:Failure to secure workers'conpauatlon coverage Is un/awNr and she a loci n employer to criminal pensld„and TYPE QTY DESCRIPTIO N.;n UNIT COST TOTAL COST civil fines las to one hundred thousand do/In ologoOo,In addition to the coat o compensation.damages as podded for/n Ssctlon 9706 o1 the Labor Cob,lMwesL and attorney's iaea SFR 15000 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 15, 000 . 00 CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a consmMion lending agency for Na END 'OF FEES Performance of the work for which this pent S issued(Sedan 3097,Civ.C), LENDER'S NAME: LENDER'S ADDRESS: I certify that l have read this application and cele that the above information is coned,I agree to comply with all cityand county ordinances ' and state laws:elating to building construction and hereby authorize representatives of this thy to enter upon the above-mentioned properly for inspeconwrPosea.GARY NESKE � i N� I Nana ■ Dae: 5`-13, I Sicm_ Oener/AgentAppkcanvc« Contre - - (5151d6.WP) v1ci Buitdig&Safety:Green-Fie:Canary-Applicant:Pink-Revenue:Goldenrod-Assessor 5TRUCTION AND PLANNING POO' - SPA .1..n/ALS Permit# Date Inspector APPROVALS F....nit # Date Inspector . I emporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. _ 53. Steel Reinforcement _r"_ lectrica l.Co{uluitl � ty-Untligrnd. 54. Forms _ L.144..Electrical,Conduit-Undrgrnd. nce 55. Electrical Bonding -S14 i Reinforcement,: (/( F/q� (i56. Rough Plumbing & Pressure Test C r5 , 6. ...: lectricaFU_FER-Gmd. 57. APPROVAL TO COVER-GUNITE Fi Ptiotingsrt' •-^•=t -57a-7 74 /I58. Electrical Conduit-Undrgrnd. _-_,_. 8.-Foundation • ,U• 59. Gas Pipe, 0 Undrgrnd.,Test - ' 9. Water Pipejndrrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor;System _, 61. APPROVAL TO DECK e_ 11. Property Sewer-Eine-& House.Connection 62. Backwash & Receptor-Final 12. Set'er Cap ' a '" 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& Ai; Conditionipgo _r? 4. o a' FIRE D5PT.i EQUIREMEN 20. 'Rough Faitory Fireplace * -+ C. . 4kAPPItOVALS`-`- Peimit# 21. Qucts,in:Strdeturr, •' i.,--- r C, iti F'; ,... 70. .1lnderground Hydro 22. Ducts, Ventilating Y•." - 't - . �* 4. 71. Produc;Piping QGas Q Oil _ _ 23. Gas Pipe- ough &,JTgst _ r• - w S -- 72. Underground Hush• .t � t't - T _ _ 24. Roof•Framing - '4 . r . 73 Undergrnd.Stant Tank'0Gas ❑Oil 25. Roof_Sheathing , T. Y �' 74. vephead Hydro'• r - 26. T-Bar Ceiling (Structural) & Menacoat = ":a; C > T �M 75�'Dry Chemical = �• r 27. Frame add Flashi ig* - t-- .61 tr-Y6 ke /�_ 76. Dry Standpipe • _ < r, r.: r•. zO l Vim' 14 28. Lathing&Siding . - j-o�Y6,(g' 77; FIXED SYSTEA?F!NAL • 29. Insulatioq. _' = _ i 7$?, FIRE PREV. FINAL : _ L.! .. 30. Drywall Nailing ' S HEALTH DEPT. REQUIREMENT ~ (!-i/O� l '!"!/(/ it r` - r' 31. Plaster Brawr{CoaU - •I'_'. ` t • (* r' 79. FINAL INSPECTION r 7, F + t,� - r 4:32. Electricahpower M8ter:Final r t' ,Y 80' FOOD CE_RTIFIC_ATE IS931ED- R '33.r. Cina't lectric ` -^I - _ $^ I -_ Nptes: * r 34. FinatHeating$t Ajr Gonditionir g _ i * r_ -L 9/_-_ Ne _a_/�ta E`er` 35. Final Gas:Pipe-Test...* = .. a :_ '_ 1' 36. FJoodior panopy =;z b - M - w. '- L. r-- c' . _ .+ . r. - �ti- 37. Final'Factory FirepI ce ru 41 : v 44 TI .c0. 1 - - -38. tinalPlumbiog . c c 4. 4 c, 39. Water Service-Final' S: • �' : i i• =' r...., -.r .� - x:40. Gds Service-Fidel :t ' . * * L. , * :, _ < -' . = * 7, - lar Do -41. So €ttestlb-Finale -a r I r. r• - • �. 42. Backflov._ revente`r* ~ r' -,' - `Y ,:r, _. '- -, 43. Backflow Irrigation. i. . .- G - 4r 'aa s i * F + � _ C 44. Foandscape-Irnpation-System : '- a: q; -31.0 .....i rr ^ r -• 45. Sound Attenuation * - '• •• . 7. T. r'->: r . - •S • L C 46. Handicap•Regtilatiojis `;.: x - - me r;3 47. FINAL STRUCTURE & BUILDING 7,-2_-1(O - r a 48. RINALPLANNINp'. -t- h ' y 1 :71 r' • 49. Electric Release to Edison l r r : s� * * _ 50. Gas Releafe to Southern Califoraia6as Co ' . - - •� .% 51. CERTIFICATE OF OCCUPANCY - �• ~ No Date 1 iii ADDRESS OFBUBWI9: 1911 KAUAI . DR OMT . _. ._ _. CITY OF COSTA .MESA — BUILDING PERMIT oWNEWSNAMElvraa%tIRELAND, GERALD PERM NO: E 077651 ADDRESs:IRELAND, THELMA 1911 KAUAI PL PERMIT NO: E 077651 PLAN CHECK NO: N GOVT: N SUPP : N COSTA MESA,CA 92626 Pi .MAILING ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: ELEPURPOSE: ADD ARCHITECT ORENGNEER:LEONARD BEKEMEYER uc.NO.: 0 JOB DESCRIPTION : ADD 28SF & REMODEL LIVING FAMILY & KITCH SQ FT: ARCH.011 ENG.'S ADDRESS:21062 BROOKHURST965-7555 UMT: H.B . CA 92646 CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / CONTRACTOR'S NAME:QUALITY FINISH CARPENTRY ( 714 ) 969-5815 CaNIRACTORS MAILING 20671 SANDPIPER LN COMMENTS : ADD 28SF TO FAM ROOM, REMODEL KITCHEN, LIVING & FAM ROOM, #677650 AooREss:HUNTINGTON BEACH CA uc.No.: 452173 atat****xRE****it ****Rsir*at**+e*****it**iE*******at RN***xxis*ir**atit*Rs*****sr)tit****ir**at*RE*at** 92646 UNT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury that I am licensed under provisions el Chapter 9 SETBACKS (commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in lull force and effect. CmuC.No.038637 uc.cuss:H O. 452173 EXP- 00/00 MAIN BUILDING ACCESSORY BUILDING 7\ Date: 5^ ` S^ c\CP Contractor: , 11oVle-QFRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN- LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penaly of perjury that I am a from the Contractors License Law for the following reason(Section 7031.5 Business and Professions Code:Any city Of county which requires a pane le construct,eller,improve. PARKING REQ: P ROV: PARCEL: 13951301 Z N E: REF NO: demolish,or repair any structure.prior to its issuance.also requires the applicant for such permit to fib a signed slalemeM that he or she PLANNING NOTES> a licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)of Division 3 of the Business and 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 advil penalty dnot more than fine hundred dollen[S5001). ******************************************************************************* ❑ I.as owner of theproperty or myemployees with wages as their sole compensation,will mme work,and the structure is not intended DEVELOPMENT SERVICES REQUIREMENTS or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does not apply lo an owner of property who heads or improves thereon,end who does such work himself or herself Cc through he«her own employees.provided that such improvements are not intended or offered for sale.If,however.the building or improvement a sold within one yearn completion,the ZONING APPROVED BY DATE: owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale). ❑ I.as owner of the property,am exdwivey conceding with licensed contractors to conslrud the project(Section 7094,Business and BUILDING APPROVED BY : DATE: Professions Code:The Contractors License Law does not apply to an owner of properly who builds or improves thereon and who contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law). ❑ I am exempt under Section: B.&P.C.,forthis reason: APPLICATION ISSUED BY: DATE: ��✓ **********************************************' * ****************** * ******** DatOwner w LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: N I do hereby certify that I am aware of and understand the requirements of Cellomia Health and Safety Code Sections 25505,25533,and 25539,and thou fisc any future buildup occupant will/will not(circle one)needto campy with said erste mdse and the requirements for - BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING a permit f«construction or modi&ationfrom the Ar Gunny Managemen District.Residential construction applicatiorsare exempt from these Provisions. PERMIT _ 9 . 00 Dae: Applicant: 50% SMIP/NON—RES PLAN WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: ISSUE FEE 15 . 00 ❑ I have and ail maintee a certificate of consent to self-insure for workers'COMpenSatiOn,OS provided for by Section 3TDoathe Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Code,for the pedormanoem «td« ts the wen for permit is Issued. TOTALS----> 9 . 00 15 . 00 0 .00 24 . 00 24 . 00 . 00 0 I have end will msinteis workers'compensation insurance,as required by Section 3700 of the Labor Code,for the performance of the work for wndthis permit .homed.Myworkers'pmpensmmia«mcarrier arampdrnamb«ae: cold.: REVENUE DIVISION TOTALS--> COLLECTED: 24 .00 OVER/SHORT: . 00 _ Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC .FIRE SMIP/TOT GRADING PLAN—CHECK (This section need not be completed u the permit is for one hundred dollars(Slap(or lass) 24 . 00 ❑ I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner iso as to become subject to the workers'compensation laws of Card it end agree that if I Mould become.ad to the workers' ******************************************************************************* compensation provisions of Sectio,3700 of the Labor Code,I high comply with those pq��fwions. INDIVIDUAL F E E BREAKDOWN Date: 5^ ' - 'i Applicant: a Warning;pollute to secure workers'compensation coverage Is unlawful,and Mlle .l n employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil fines up to one hundred thousand dollars($104000),In addition to the coat of •T don damages as provided for In Section3706 of the Labor Code,Interest,and anomers fees. ELE 9 FIXTURES LIGHTING 1 ST 20 EA. . 75 6 . 75 • CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there is a construction lending agency for the ELE 3 R EC EPT/SWITCH 1 ST 20 EA. . 75 2 . 25 performance of the work for which the permit is issued(Section 3097,Civ.C). END OF FEES LENDER'S NAME: LENDER'S ADDRESS: I certify that I have read this application and slate that the above information is carred.I agree to comply with all city end county ordinances end state laws relating to building construction end hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. GARY NESKE t PmnfQ A.'1 tl``•�_. Date. •_ 1�•'CIP. - .. ✓�}' Owner/Agee`nt/AppplcenvConveaor (5151<S.WP) eci e-Building&Safely:Green-File:Canary-Apogeant;Pink-Revenue;Goldenrod-Assessor .CONSTRUCTION AND PLANNING - POOL . SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole. 52. Pool & Equipment Location: - 2. Soil Pipe.Undyrnd. - 53. Steel Reinforcement - 3. Eleetrica onclait,Utility-Undigrnd. 54. Forms sz -- •i4*Electrical-tonduit,Undrgrnd. 55. Electrical Bonding $,-,Steel Reiirfaicement_ 56. Rough Plumbing & Pressure Test -6- EktetricalsUFER-Grrid. 57. APPROVALTOCOVER-GUNITE c': �7-'Footings'�' `..-1c2 58. Electrical Conduit-Undrgrnd. 'Jr.;Foundation. p..mr t: 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe'Jndtyr�ad. 4- 60. Backwash Lines, P-Trap, 0 Undrgrnd. I 10. Structural Floor System a. 61. APPROVAL TO DECK I 11. Property Sewer[Line& House Connection 62. Backwash & Receptor-Final 12. SesNer Cap `- ' _ 63. Heater & Vent-Final 13. Roof Drains -- 64. Plumbing System - Final 14. Rough Plumbing. y 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' --G' C; , - ^ F1REtDEPT=REQUIREMENT - - ,JPO 'r x - 20. Rough Factor-v Fire- place - ;E ' = ' APPp.OVAL_'S' - Pelmit # - .. r.. . - `t?: ..• ::s - .+:C, - . 21. Ducts,in $trticturel r -t 0 - 70..-iJnder-q%routid HTydro 22. Ducts, Ventilating; ` - ` ` 71. ProductPiping Gas 6x-I Oil r r`= G �__ � 23. Gas iPelou h &,Tet ,. r°.0 E. 72. Underground Plush :. 24. Roof Fracping 't T r -r > " 73: Undergntd.St ii-14 Tana D Gas D Oil 25. RootSh tithing _ 4 is _r 74. Overhead Hydrs'r 26. al-Bar.Ceiling (Structural) & Monocoat 1- 0 ,- r - ` 75: Dry Chez ical I^'^ ,r �'-`; t:t Flash-- 27. Frame ant r. "- r. `'y co,it * t----71 - -,rr'•7: tr ;-max 76. Dry Stagtlpipe<:-' S CI .'o ,. ' _. .G - -7r- - 28. Lathing&Siding -* _ sr c i, - I,c• 771 FIXEDISCSTEIt1FIN&L ' r r''. , 29. Insulation, "k s C. * 7. > I . 78. FIRE PREY. FINAL " a- 30. Drywall Nailing V': - !t r-. ' I Fr S1 EALTfi-QEPT.�iEgUIRE4IENT - 31. Plaster BwrCCoat. " rr I • 'c 79. FINAL I lyarPECT4QN• .• - I- - ' • rr: --s-',1-:C . 32. `Electrical"-Pow'er Meter-Firial •' t 7., 807 FOOD CEERTIFIC�ATE P5SUED" 33. 'Final Electric` : Q.'' ' _, _. G7 73 re 111/./J,:C (Sates: rt;a' t r, . cr' "-S y 34. Final-Heating& Air.'Conditioning'• H, I. . I i* r-+oe o is 35. final Gaz;Pipe-'Test,:; ' -"• -''' 44 u , 1:- •. ^F4' % - I `: te 36. #foodorG'anoPy r.* - r cc-s i" "n �`^M - i 37. Final Factory Fireplace T._ _ v: t; j I It r' ,4: rr t' r. - • T t - " 7. 38. FinaLPlurtlbing r. •. Ir R :k - i- 39. 1. j. .; T 39. Water Service-Fina-, - .: a; I I -1. y x t*: ,r 4. 40. Gas Service-Final _., -- - r F * <( - .. .. rr _ ,* CO T -41. Solar Domestic-Final r r - til _ 42. 8ackflowtPreventer : _ - -� r to v - T 43. Backflow Irrigation, •‘ '-r;. * _ ra r I 44. ,Landscape Irngati_an-System: = : • < a;* - Z 45. Sound Attenuation{: ` •• • _ � '46. Handicap Regulatioris - • } I : <, - r, V - q • 1 47. FINAL STRUCTURE& BUILDING F k" I 48. FINAL PLANNIN6 fix ru 6t, I .49. Electric Release to=Edison ; t. :50. Gas Release to Southern California_GasCo :1 r . ,4 r 5.4.4 L.-L.1 1' '' o '' 4 C., *Jr 51. CERTIFICATE OF OCCUPANCY No. Date BUILDING PERMIT LOG ` • I EMPLOYEE: LI 1r) RC ADDRESS: /971 CflUAJ D PERMIT NUMBER: E 77631 TYPE OF PERMIT: VALUATION: SQUARE FOOTAGE: PERMIT FEES: (S-7-1-t,019 DATE: TIME IN TIME OUT ACTIVITY 6-6161 p2iEC 0,4 NEE--A Luf ,2p Oicree.57 ONLY ONE ADDRESS PER SHEET-TIME IS TO BE CACULATED TO THE NEAREST 15 MINUTES PLEASE BE AS SPECIFIC AS POSSIBLE IN RECORDING ACTIVITIES ♦ rlal° OA414M1l F '�'i sett. it' r% %t CL____ — CP • iyCl,g, i is L-...-/ O-"` trit",t• Extsitu) 3Iv �4� -to lint*, 8 11 et . . Loo pij r00 on. ' s vow sli.6 r 1•• L�� dre-�-.1 A/aw Sit 6 Z•r.d / 4 °p dvJ /6-4,44, t,r'et4d 6-t 6 4efoci-e4 StorfEA. feu gat ir1 Imo, 1--GL- -1/4 A15o did 424 i I t 16 J..-- 11 6411 tit). /1410!_t, irt, leatel /044,6/14 i ' �. �1.r Et19 7Wo '3 14s y /5..0/} i 8 Z 9 ' % ''"''Rlat_ DOM Roo045d 4., euf3�sLt? 0006r5 e I I c 1\ kava► E 1 / 651 DATE 2 Zb—bt5 'gJOB ADDRESS 1911 Kauai Place BUILDING PERMIT NO. 28214-5 GENERAL CONTRACTOR Capitol Masonry Contr. DESCRIPTION OF WORK 2 Ret. Walls and Block Fend 4A" No. LOT 26 TRACT 63814 FIRE ZONE VALUE $ 610.00 �I. ECTIONS I Signature Date GROUP j TYPE Iii ZONE R-1 •3 Soil PERMITS ISSUED Gas SUBCONTRACTOR Date I Number I Signature C Water Plumbing Rough Plumbing Prop. Swr. Line 0 House Con. 0 Sprinkling System Miscellaneous Rough Heating and Air Conditioning Temporary Service or Pole Underground ❑ Power :p Rough.Wiring Heating and Vent. Trenches a-- Forms 0 Steel Reintr Floor System Bond Beam [] Steel Reinforce ❑ Sheathing Frame and Flashing Lathing— In ❑ Out Platter, Brown Coat F. ural, Final Electric tle..Lmg, Vent., Refrig. and A.C., Final Plumbing, Final and Gas Test 0 Electric, Final Building. Final r28245 I FEB-26 6> P00 532 * ***5.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 98628 For Applicant to FlU In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING /9j/ -��� For Office Use Only ADDRESS RECEIPT NO. 281245 COSTA MESA, CALIFORNIA 2824 ` '�y ( /� (' R[C[{V[D BY g�^62 a�T6�y-w OWNER IVA ✓E A 14 din LA/LJL�CJ� —LI/ / & MAIL /�y f BUILDING /91/ �L„ _ ADDRESS /ill lI /11V(ANJ r(. ADDRESS It,Q.2 .tt) CITY { 4 NO.5tv>J/� ZONE► [FIRE EZ /�TYPE tit ti GROUP -'CHITECT TEL DV(/,{JV,K(GrJ K[J CJ DATE risOri.diti--. 6467 'ENGINEER NO. ZONING ADDRESS E NO.OP vet or NEW /N .A� /�_ ,�/ ',./( ---( , PLAIU'�,. I BUILDING (.� L'4 CONTRACTOR /I.EI.FiLIP7 /J ✓ / / /.� / �7 y ti- ADDRESS / ADDRESS `/../70,/71/% 17_�2�Y ��l% ,. l/ _¢9CRIR10N f.--(y� �-b I /(- N 7 I Y CITY Ot4A- J�J71 a. /�KC� A.P.NO. A eNOTE: NO RAVE OVERHANG SHALL BE LESS THAN LIC..NO. -2-57) Qs N2; S'/SO 5"/v SO"TO SIDE&REAR P.L. SIZE I NO.OF BLDG.. VES ALLOWED (U..B.C_REQUIRKMENT) . OF LOT NOW ON LOT YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (PROM C/L STREET) SETBACK LINE PROM FRONT FT. CENTER OP STREET REAR YARD SIDE YARDI LEFT I RIGHT R.SIDE PT. 6 FT. I DESCRIPTION OF WORK L.SIDE PT. ------FI':— TERATI ADDITION REAR PT. OFT' / DISTANCE SET. BET.MAIN& REPAIR 1 DYING DEMOLISH MAIN BLDG,. ACCESS.BLDGH. BUILDING NO.OF VAR.OC DATE SIZEROOMS STORIES C.U.P. / �� �ATlOy�N �� a EXTERIOR WALL I ROOF APPROVED Imo(, (( COVERING COVERING By USE OF, BUILDING AND WORK TO BE PERFORMED {0 .2I/Yt 14. .. d o ' Gnu. en SQ.PT. it I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THC AMOUNT SHOWN UNDER VALUATION IS FOR THE j AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. iJ5 PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION 0 BUILDING CONSTRUCCTIIOg�/I'' /4447 n SIGNATURE OF ,(i//n /� Y PERMIT FEE $ __ p PERMITTEE //v� //N��'��L..!!! ii////lll /T/ Co S I`� ' PMN CHECK S w AUTHORIZED AG —�J-T' ... ..�. ........ ...:..t'SriWlbwr. �..... .,,..",..y+WDc° r TOTAL FEE Y` E1a�-C l.rac27 4 02 COSTA MESA. BUILDING-SAFETY DEPARTMENT BAY 25-67cn;gOO1418* ***171'S0 P.O.BOX 917 COSTA MESA,CALIFORNIA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT - BUILDING BUILDING For Office Use Only ADDRESS 1931 Kauai. C.M.Place, ,1RECEIPT NO. EfRMITNO. COSTA MESA, CALIFORNIA OT�/ 7� /''� R[ [D DATE RECEIVED DATE ISSUED OWNEclub House Road Joint Ventur 6=02247 'i-2a "G7 MAIL BUILDING ADDREss 2850 Mesa Verde Drive ADDRESS FIRE V / /�}/' TEL ZONE TYPE GROUP`P{r /J CITY Costa Mesa ND,549-039 //J ARCHITECT TE BY DATEAPPROVED l"'ENGIENEER E. G.Kaltenbach N0547-804EZONING �� -_ _ REss1823 E. 17th St Santa Ana iDN[n NO.OF _ JI USE OF NEW )/I/ (/�)„,..--PLANS .2.....t, BUILDING ui 'CONTRAQTOR Republic Homes Corp. Y o LEGAL //�� . ADDRESS 2850 Mesa Verde Drive DESCRIPTION 2,4� :rat_• 3 Q 8 CITY Costa Mesa A.P.NO. NOTE: NO EAVE OVERHANG SHALL BE LESS THAN LIC.STANO . 197838 NO'i49=0395 90'70 SIDE BREAR p.L. SIZE EAVES GF LOT 44. 72x27. 58x100 4UX.iU . IUX115.Y2XI NO.OF SLOGS. NOW ONLOT ALLOWED (U.B.C.REQUIREMENT) YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (FROM C/L STREET) SETBACK LINE FROM 50 ( FRONT S OT. FT. CENTER OF STREET J REAR YARD 16 1 SIDE YARD I LEFT 5' I RIGHT 5' R.SIDE SFT. // �,�FT.,,c� DESCRIPTION OF WORK Ge�cll XFT. N _ ALTERATION ADDITION DISTANCE BET. BET.MAIN 8 MAIN BLOCS. ACCESS.BLDGS. REPAIR MOVING • DEMOLISH BUILDIN(% NO OF DATE SIZE LOOSsQ , ftROOMS 7 STORIES 1 APPROVED EXTERIOR WALL,Wood& ROOF C COVERING Stuccol COVERING Wood / DATE J� 'aI�v/,, � USE OF BUILDING AND WORK TO BE PERFORMED HOty . ; FOR S" '.L REQUIREMENTS / /, _J .2008' el' ,ro sQ.Fr. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOW NDER VALUATION IS FOR THE F AND STATE THAT THE ABOVE Is CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALL CITY •RDINANCES AND STATE Ws REOULA• `G VALUATION BUILDING CONSTR410 PERMIT FEE $ ,373-- O SIGNATURE .71F, PERMITTE � ( � D e AUTHORIZED AG •" sF • / ' % j 7/. / Soli, �� C E �� �I0 TQTAL FEE $ /1,2 9.4.,- ;1