HomeMy WebLinkAbout3146 KILLARNEY LN - Building Permits •
CITY OF COSTA MESA
ca. BUILDING DIVISIONr
I.e.
DEVELOPMENT SERVICES DEPARTMENT PERM NUMBER
q', ni'e PERMIT
••o,mm 99-01242
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
• BUILDING PERMIT
Job Address: 3146 KILLARNEY LN Status: ISSUED
Suite: Applied: 08/09/1999
Vicinity: HOUSE&GARAGE Issued: 08/09/1999
Parcel Nunmber: 14163204 Zoning: R1 R1
Applicant: CALAVITTA, SAMUEL J. & MONICA A. ISSUED BY: &72)
Address: 3146 KILLARNEY LN - -
Phone: • -
COSTA MESA,CA Zip: 92626
Owner: CALAVITTA, SAMUEL'J. & MONICA A.
Address 3146 KILLARNEY LN - "
- Phone: • . - - - - _
COSTA MESA;CA' - - Zip: 92626 - - --
Contractor: - \/ ,,„;,.2: ,-2 -
/Address: i �\;
!�
Phone:-
License: -
Arch : Eng: •
Address: �, - " - Address:- ,
Phone: Phone:
• Zip: i - / License: License:
` SCOPE OF PERMIT
REROOF-J/O, INSTALL 1/2"OSB BOARD, 1 LAYER OF 30#FELT,NEW 30 YEAR COMPOSITION SHINGLE ROOF. •
FEE SUMMARY -
Plan Check: - $0.00 _ _ , "/ Calc Valuation: $5,000.00
Permit: $111.25Claim Valuation: $5,000.00
SMIP Res: $0.50
SMIP Corn: $0.00
Other $0.00 -
Inspection: $0.00 . - _ t
Total: $111.75
•
PLANNING &ZONING
SETBACKS -
MAIN STRUCTURE Front 0-0 . Rear . 0-0 Left 0-0 . - Right 0-0
ACCESSORY Front- 0-6 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
fora 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
DECLARATIONS e
WORKERS'COMPENSATION DECLARATION: 1
I hereby affirm under penalty of perjury one of the following declarations:
a 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.
a 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:
(This section need not be completed I/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, 1 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 RUES UP TO ONE HUNDRED
THOUSAND DOL/ARE(6100,000).1N ADOmON TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
1 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 tuU
force and effect.Lic.a Class A
Contractors 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 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 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 properly who builds or improves thereon, and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exam. nder se . Business- Business and Professions Code for this reason:
.Ie!
Signature: ._. " rrCB Date: e!9/f�'
Owner• • :d by driver' ' - - - 0 Yes 0 No Drivers License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ 1 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 0 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 ❑No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this Li a plication aggermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes ID No
(Section 65850.2 of the California Government Code requires that the requested Information be furnished on applications for non-residential building permits).
8 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? ❑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 taws an•. ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
ab• .. •... :roe/ fo ' pection ..... . 'tree •t to occupy or allow occupancy of any building authorized by this permit until final inspection.
`••• / Ir r
Ar/1
Si. atur: •I Legal Owner(s) Date
And/Or Authorized Applicant Date
yOPE_I. INSPECTION TYPE PATE MAI you t INSPECTION TYPE PAM trruLi
1618 Fixed System Final Fire Prevention 208 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing _
200 Final Re-Roof 1.1Z"g% 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
244646
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STRUCTURAL APPROVAL ONLY1 i v 4 �+ nj '
SEPARATE PERMITS1ARE REQUIRED { .1 j ,,� 1
FOR ELECTRICAL; PLUMBING, II x
HEATING, VENTILATING AND I - J
REFRIGERATION WORK . , I _ --. -L'-- —\
�y Ln
THIS NUI',13'R 1,;281" ACCOiir.NY ' N`.\ � I 1 �_� `I ;
ALL INSPECTION REQUESTS ; , Ia, IN, \,;*\ ; - .
-- { I •mo;; .� I' �, `� s i
FU. r...44:......,...'443 1: -,_:_• ❑s ARE TO k c; I: N O 4, 11
BE EIYIPLOiED, ViE �v.kEST THAT THE � �I,I If
STATE OF CALIFOI''JIA DIVISION OF I =
INDUSTRIAL-SAFETY-88E CONSULTED FOR I \.. 1;; N —1i b
ADDITIONAL REQUIREMENTS. !; \\ : '7 �" w lQ iI;; i
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D In 3 II I I
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it1 f -„
City of C M M so BuildiD DD/eeppt.7 I { f I'
/c//�/// `L < 1I its ; N. r ,.
BY r�_W.—..._..._..._DA E. St ' I ; 1 + .
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THESE PLANS MUST BE ON JOB AT AL6,ttM `�. ??
MAKE NO CHANGES WITHOUT PRIOR APPROVAL } �'+ '\\ - -a" t I
-0P-DEPT. -..-- __._.--_ , +;f,i I. k • • , .K \
THE ISSUANCE OR GRANTING OF A PERMIT OR APPROVAL ;
OF PLAYS AND SPECIFICATIONS SH'LL NOT BE CONSTRUED I '• .
TO BE A PERLIIT FOR, OR .'C APP.".O:AL OF, ANY VIOLATION 4\ '; I
-
. OE_ANY_OE ILL.FROVISIO,.S 3F i1IS CODE. NO PERMIT PRET ,'• �'I
SUMING TO GIVE AkHORITf TO VIOLATE OR CANCEL THE \Ii 1;f
PROVISIONS OF THIl CODE ThALL BE VALID, EXCEPT IN so �+ \
FAR AS THE WORK DR USE T7S10H IT AUTHORIZES IS LAWFUL' �
; iI
THE ISSUANC OF A PERMIT RASED UPON PLANS AND i ( ax 9.9 %&
—=TECIElLATIDNS=SIM L NOT PREVENT THE BUILDING OFFICIAL V
FROM THEREAFTER EQUIRING THE CORRECTION OF ERRORS \ji _
IN SAID PLANS AND SPECIFICATIONS OR FROM PREVENTING
BUILDING OPERATION; BEING CARRIED OR THEREUNDER WHEN I
IN VIOLATION OF THI CODE OR OF ANY OTHER ORDINANCE. '
OF THE CITY. 1 f
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PLAttiNG DEPT.
WM=W Baa.a ass.
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o�eaaR or wms0wns
OWNER HARBOR HALL OF FAME HOMES INC. DATE NOV 2 9 1962
JOB ADDRESS 311t6 Killarney Lane BUILDING PERMIT NO. 181714
GENERAL CONTRACTOR Lifetime Residential Bldg. Corp. VALUE $ I(,b15•UO
AP No. LOT 145 TRACT 11356 FIRE ZONE DESCRIPTION OF WORK Res/Att.Gar.
INSPECTIONS Signature DATE GROUP I&J TYPE V ZONE R-1
Soil /2_/if PERMITS ISSUED _
SUBCONTRACTOR
Gas
Cht
4/ 49.S DATE NUMBER
Water V / may^ - --
Rough Corn. Refrig. 0 Air Cond. 0 •
Rough Heating _ L/ /a?-aft-1103 // ' d
Rough PlumbingLy4$ �[.e
Mis ellaneous r� 2_4 - J/ac_Co3 7a/-5
Prop.Swr.Line�(House Con. 0 St.Swr. ❑ e c. 7 _ 7— a Ip
Sprinkling System Zuni,/ a`�en�_t .f rttw2 -d�eL�7 f -41.,... � 3yr,- j /`
/C/ !/-[S/ YJ `.1 Y CI%ij• , -[dam 3 3�5�'l
Construction Pole a
Underground 0 Power 0 ,M_
Rpugh Wiring _ 7-iff-YLPZ -C.�y
eG /-/?- 63 /9i ii!
Trenches Er Forms Q— Steel Reinf. 0 IYFR/,�t /01....)--,if.t. _
Floor System fe /.z.-,_ P2--
Bond
�Bond Beam 0 Steel Reinforce 0 _
Sheathing /- (i ,s
Frameame and Flashing }^/1 F- 3
l�
Lathing — In Out 0-- , / 2 -27- '�C9
Plaster, brown coat if
t/-9-63
Refrig. ❑ Air Cond. 0 Final
Heating, Final _ / S +r—G-03
Plumbing Fixtures, Final [�L�
Final Gas Test/y— '��1�C'r-'63
Electric Fixtures, Final nC" . ,,-30-CZ
Building, Final 44-9-5 L 26-C-3
OCCUPANCY 1
FORM 9114.GM - 7.61 18l7µ
crl — 9650
.- R �� FEE RECEIVED
"STA1 MESA BUILDING-SAFETY DEPARTMENT Lot 45, Trac``��t./!J1'3 NA 'RDPI'A982
P. O. BOX 917 COSTA MESA. CALIFORNIA J1 CITY OFOCOSTACMESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
/TYPE OR PRINT / BUILDING
=ail 3/V(p it;//Q/H t Ry Lc//,
COSTA MESA. CALIFORNIA For Office Use Only
OWNER Harbor Hall of Fame Homes Inc. I RECEIPT NO. I T NO.
P(WINO.
MAIL P.O. Box 2066 RECEI //••BY DATE. RECEIVED DATE ISSUED'
ADDRESS ii I I// /- G-3f A' 111 .1 .1 19s;
cnx Santa Ana 'XI BUILDING
UDRE
ARCHITCT TEL.
OR ENGINEER Jamison NO. 544-0. COSTA MESA. CALIFORNIA'
ADDRESS 225 "D" St. Tustin ZONE TYPE GROUP IST
FIRE
t//�.
ll
CONTRACTOR Lifetime Residential Bldg Co 'PPPROVED
- - - -- - BY DATE
ADDRESS 2131 So. Artesia St. ZONING
Sant@ Ana ZONEVk ! I NPLO.O / USE OF NEW r-1---'2-17.--/-
CITY
i
—�L-VY�"
CITY IBUILDING <C —,
STATE
208676 TEL. KI 9-2204 CNO. LEGAL ESCRIPTION.I� LI S; r$•• g3 /-
SIZE 60008NO. OF BLDGS.0
OF LOT I NOW ON LOT A.P.NO. Y 6°
USE OF None YARDS EVES
EXISTING BLDG. APPROVED ALLOWED
SETBACK LINE FROM [0. 31 00 (CENTER LINE ST.)
CENTER OP STREET J REAR YARD • T FRONT . 7Z FT. IN.
SIDE YARD I LEFT 5.5• I RIGHT 5' R.SIDE FT. -^ IN.
DESCRIPTION OF WORK L.SIDE /( FT. — N.
NEW I i II ALTERATION I II ADDITION I REAR 3 / FT. IN.
REPAIR I II MOVING I I DEMOLISH I APPROVED /Qtr,-P DATE /0-?"J--L -
BUILDING 1644 NO. OF 2 �L1"�
SIZE LIROOMS 9 STORIES
COVEREXTERIOR ING WALL PlasteiCOVOERING Shake
USE OF BUILDING AND WORK TO BE PERFORMED
Single residence
lei "
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHO ' UNDER VALUATION IS FOR THE
AND STATE THAT THE AB E IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT PEE ONLY.
PLY WITH ALL CITY OW NOES AND STATE LAWS REGULATING
BUILDING CONSTRUCT //(�I VALUATION _^/
SIGNATURE 0 L%;� PERMIT FEE $ / —
PERMITTEE M l V le--
g
7 /& ,( q �y
//� //✓ PLAN CHECK $ o/ G `S d B
AUTHORIZED AGENT TOTAL FEE - 0 e.5-2:) O
OWNER McCONNELL., ED DATE 9-7-77
JOB ADDRESS 3146 Killarney Lane BUILDING PERMIT NO. 44609
GENERAL CONTRACTOR Owner-Rudder DESCRIPTION of WORK Legalize Patio Cover
AP No. 141-642-04 LOT TRACT FIRE ZONE VALUE E 500.00
INSPECTIONS Signature Date r TYPE TSL GROUP 3 ZONE R-1
SOIL SUBCONTRACTOR PERMITS 1554 D
GASDI ata Number I Signature
WATER
Plumbing
ROUGH PLUMBING
PROP. SWR. LINE ❑ HOUSE CON. ❑
SPRINKLING SYSTEM
ISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING �r. n n
' TEMPORARY SERVICE OR POLE to kA MN �� Vl II
V II
UNDERGROUND 0 POWER (/,� fl 11 H 1 =i F
ROUGH WIRING I tl H.ptiny eOt! Ve{7t.'.7 AP !1 IL-,,
TRENCHES 5 FORMS Li STEEL REINF. 0 E n'/ y U u ti ----.FLOOR SYSTEM P
tBOND BEAM n STEEL REINFORCE n
SHEATHING OI(` _
FRAME AND FLASHING Uh I C --
LATHING - IN n OUT n
PLASTER, BROWN COAT
STRUCTURAL, FINAL Electric
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST n
ELECTRIC, FINAL
BUILDING, FINAL ..
PAID 270* ik�-.is tY
44;^•99 SEP 7 77rM,A00 10.
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only
50
RECEIy DATE RECEIVED D E ISSUED
ADDRESS BUILDING 3ry .L, („c(4.1Rw y ,CI./ , ' / /
�•— /� A.P.NO./�/ /o 3. -oA PERM T NO.MAIL /
OWNER rte ) �N �[l ICI �I� �'I�
ADDRESS l 4' • 1 ' �) �\ ADBUORES ES 'NG 3` �- --/
e
CITY N0.5TEL 4137)9 TRACT LOT BLOCK
CONSTRUCTION NEW ADD ALTER l REPAIR (MOVING OFMOLISH
LENDER \/
BRANCH �( /J
ADDRESS OWNE Rid /V' n/t,Je//
////�/� / VALUE „,/�
ARCHITECT TEL. FIRE "rT-llrl�jf��/J�Us/
rr
OR ENGINEER NO. l,�l U
FIRE J/j1"
ADDRESS ZONE TYPE / GROUP
APPROVED
CONTRACTOR r —. / � �I A. BY 'I DATE
ADDRESS ZrO.OF USE OF NE / J
TEL. ,!/� PLANS 2 BUILDING �I�� ,,'�/
CITY NO. C� 6�! !4'-,a-+[/e L
F' STATE CITY YARDS APPROVED YARD APPROVED
LIC. NO. LIC.NO. MAIN BUILD( G ACCESSORY BUILDING
W SIZE NO.OF BLOCS.
(FROM C/ ST
C. OF LOT NOW ON LOT FRONT T. FT.
a USE OF yy��
EXISTING BLDG. R.SIDE go T. FT.
V]
5 Separate permits are required for L.SIDE /0 FT. FT.
electric, plumbing and heating work. REARaJ" y� FT.
{r] USE OF BUILDING AND WORK TO BE PERFORMED c�L�
F DISTANCE BET. BET.MAIN&
MAIN BLOCS0 . ACCESS. BLOCS.
—
nQQQL /f ✓v V VAR.VAR.-104DATE
C.U.P.gW APPROVED
1 ROVED/ f��/J/�/- trATEg---/ —77
N.1
ILI
a..
I hereby acknowledge that I have road this application and state N
n
tz that the above Information Is correct and agree to comply with N.
4• ell laws regulating building construction, and I shall not employ as
Z any person in violation of the workman's compensation laws of m
04 the State of California. m
I hereby certify that I am properly licensed as a contractor under
SO. FT. rEa
the State of California Business end Professions Code, Division 3, THE AMOUNT SHOWN UNDER VAL A I N S FOR fg
Chapter 9, and that such licenses are In full force and effect,or 1 THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the provisions of the State of California Business 'p
VALUATION PERMIT FEE $ e•
and Professions Code, Division 3,Chapter 9. D•�V
n A nnn m
Signature of r/�/p� o���`J(yy PLAN CHECK $ o
11.
Permittee / J � v_ ///Q /7/�� $ 5lf^r TAX $ / SO u
Authorized Agent \ TOTAL PAID $ /D,, 6-0