HomeMy WebLinkAbout2166 Kristin Ln - Building Permits ATh1111.0FBwLWIG: 2166 KRISTIN LN UMT: CITY OF COSTA MESA - BUILDING PERMIT
m'JNERSNAMEIFQC*?l: EVERGREEN PL HOMEOWNERS PERM NO: B 071737
ADDRESS 2166 KRISTIN LA -
COSTA MESA,CA 92626 PERMIT NO: B 071737 PLAN CHECK NO: N GOVT; N SUPP : N
AP DL.MAIuNG ADDRESS CONSTRUCTION TYPE: V-N PERMIT TYPE; STR PURPOSE: REP
ARCHITECT OR ENGINEER: LIC NO.: JOB DESCRIPTION , T/O 1 /2 ROOF, REROOF W COMP SHINGLES SQ FT; 3, 628
ARCH.OR ENG.'S ADDRESS: UHT:
CLAIM VALUE; 3, 628 . 00 CALC-VALUE; 3, 628 .00 GROUP OCC: R-3 /M-1
CONTRACTOPSNAME: PERFORMANCE ROOFING CO. ( 714 ) 645-2382
CONTRACTORS MAILING 2476 NEWPORT EL COMMENTS : ADDRESS INCLUDES 2168 KRISTIN LN, SMOKE DETECTORS REQ PER 91UBC
ADDRESS COSTA MESA CA mac, 661267 ***r*vE******* -******+F****+r**RE*********VE*r**+k -*rvr**r«-*+F************+F**TE**+E*vF*+F**
92627 UNE 1 /2 Z ON ING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby Slim under penalty of perjury man I am licensed under provisions of Chapter 9 SE TB ACK S
(cemmendng with Section 7000)d Division 3 d the Business and Profession,Code,and my license is in full force end effect.
CRYLIC,NO.: 57 23 uacusst C-39 LIC.N 66}2/ EXP: 12/95 MAIN BUILDING ACCESSORY BUILDING
meetly FRNT; FT IN REAR; FT IN FRNT: FT IN REAR: FT IN
Dere: 3 C►S Contractor: FRNT;LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
sly
OWNER BUIL ER D LARATION:I hereby affirm under pe of prjrryam that I exempt JrirlH
1 n' C«dradon LicenseLioe Lew for the
followingd
g reason(sein7031.5 Business and Professions Code:Any ply Cr
ycounty which requ ,..apenag to construct.alter.improve, PARKING REQ: PROV: PARCEL; 93132403 ZNE: REF NO:
demolish,or repair any structure.poor to En
s issuance.also requires the applicant for such remit to fib a signed statement that he or she
PLANNING NOTES>
is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commenting with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt thdehom and the basis lot the alleged exemption.Any violation of Sedan >
7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than fbe hundred dollars WOOD. *******************************************************************************
0 I.as owner o the progeny or my employees with wages as their sole compensation.will do the work,and the stab-tura is rd intended DEVELOPMENT V E L O P M E N T S E R V I C E S R E U I R EMENTS
or offered for sale(Section 7044.Business and Professions Code:The Conbedors License Law does not apply to en owner of properly Q
who buids or improves thereon.endho wdoes such work limsetf or herald or through his or her own emptsuch Jorses.provided that su
improvements are not blended or offered for sale.II.however.the building or inprovement is sold within one year of completion.the ZONING APPROVED B •
Y
v DATE: r
owner builder will have the burden of proving he or she did not build or improve for the purpose of sale).
QI,as owner of the properly,anon excttuiwy contracting with licensed contractors a construct the project(Sedan 7044.Business and BUILDING APPROVED BY : '
Professionm
Code:The Contractors License Law does not apply to an owner of propy who builds or improves thereon and whoDATE: j
amexefor ptudsproction:ects aromad«e)Igensespursuant
isreasConmw«aueneLaw. APPLICATION ISSUED BY: DATE: 4 (31'kr
Q tem exempt order section: B.SP.D.,f«mn reason: ****************************************** * *********************** DIF*******
D01e: lawmen LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT;Y
I do hereby certify that I am aware of aid understand the requirements of California Heath and Safety Code Sections 25505,Pecs%and
M34. that l«any future building occupant will/w0 rct(circle one)need mcomply with said slate codes and the requirements ler BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES , GRADING
a permit forconstrogion or modification from the Ai uakkty anagement Dimrid.Residential construction appttetamare exempt from these PERMIT 63 , 00
provisions. . 50'.,
Date: Applicant:
PLAN SMIP/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby alfa under penalty of privy One of the lobw4g dectendb s: ISSUE FEE
CI I have and wil mannan acerlifkate of consent toselinsure ler workers'compensation.es provided for by Section 3700 o the Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID - - DUE
Code.tor Mmwamwork rk l«wlicn this prmeis®use. TOTALS----> 63 , 50 0 , 00 0 , 00 63 . 50 63 . 50 . 00
ci I have and wit maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,forthe e performance of the
work for which this°nter:blued.Mvw«e: ta� inetp rlermdpouYnumeeme:
Carrier EXPIRES REVENUE DIVISION TOTALS--> COLLECTED ; 63 , 50 OVER/SHORT: . 00 Polity Number. L33466-6-95 01 /01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
rihis seaion need no(be completed I the panne is for one hundred days 111001 or less.) 63 , 00 , 50
o I candy that in the performance of the work for which this permit is issued,I that not employ any p«mn n any manor.o es to
become x'l' toathe
edkers:can�WWtio Laves of CaCamlmile,f own
Dl became suged to the workers' *******************************************************************************
ycompenon pf; IND I V IDUAL F E E BR E AK D O 41 N
On: I/,j� Applicant: _
Warning:Failure N secure evokers'copensedon eovrapa is unlawN(and shy subject m$ Yet to criminal penalties end TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
Sellmwrpm the eberrCoteoItanddatir attorneys
st001 b1 add/umnthe cost of damages espnvAlW for In SFR 3628 REROOF BY VALUE RESIDENTIAL NOZONE 1 , 00 3, 628 .00
Section 3]060/tle Labor COW,Intern!,anda(SIO4 a/w.
CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there is a construction lending perry for the END OF FEES
performance of the work for which this permit is issued(Section 3097,Ch.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read this apgkation and date that the above information is conn*.I agree to comply with ell only and county«dioceses
pro state laws((stasis;to.buildig construction and hereby authorize representatives of this thy to enter upon the above-mentioned lvoprty
1«In�yds' qu
i A /a- Gwz 01 0017915` JD1791`6 TOT 63.50
Pdm Name /3/u
DATE: 04/03/95 TIfDE: 11:18(( Dme:
Sgrtmu /int Nam pplcenUConlrad«
(5151<e.WP) White-Buddkg&SSW.Drees-File;Cerery-Apptum:Pink-Revenue;Goldenrod-Assessor
I
CONSTRUCTION AND PLANNING POOL & SPA
Date Inspector Date . Inspector
I
APPROVALS Permit# APPROVALS Permit #
1. Temporary Electrical Service or Pile 52. Pool & Equipment Location • i '
2. Soil Pipe•Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
•
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding f..
,-5. Steel Reinforcement 56. Rough Plumbing & Pressure Test I
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
. 7: Footings 58. Electrical Conduit-Undrgrnd.
• 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. '1 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 I '
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-I Bar Ceiling 69. POOL/SPA SYSTEMS F MAL
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& Test72. Underground Flush'24. Roof Framing " - . 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing _(hi - /6--v74•.-Overhead Hydrb
•
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 CERTIFICATE ISSUED
33. Final Electric . .. Notes: - .
34. Final Heating & Air-Conditioning. - • '
35. Final Gas Pipe:Test .. $ - .
36. Hood or Canopy I - •
37. Final Factory Fireplace - - . .
38. Final Plumbing - ' ' , -
39. Wate'r Service:Final . . I'
40. Gas Service-Final - . ' i
41. Solar Domestic-Final • , ,
42. Backflow Preventer .
43. Backflow Irrigation ,
44. Landscape Irrigation System ^ • • - ' _
45. Sound Attenuation_
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING l/, ND, e/
48. FINAL PLANNING - shift?• � -
49. Electric Release to Edison - -
50. Gas Release to Southern California Gas Co • - •
51. CERTIFICATE OF OCCUPANCY
No. Date
4/e P p 9792 6/06/79 89.15 TV
• COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION;FORlTRUCTURAL PERMIT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
. RECEIVED BY PERMIT '
For Applicant to Fill in Completely — Use Ink Only N9 4 8 1 8 5
BUILDING A.P.NO.itiq-ow_G/
ADDRESS
BUILDI !
c UTWNER ORiww ADDRESS
TENANT n AZnr�LA �/✓k/. CYP' UNITOR
ADE3417/ , / SPACE NO.
ADDRESS .4 /4,O// 1L
TR.NO. LOT BLK.
,r TEL.
CITY NJ,V,/ o1c./ exqe4 NO. 1571-2292.> NEW ADD ALTER REPAIR MOVING DEMOLISH
CONSTRUCTION F
LENDER tort/Ty y'1`ro1RAc g L 7/max/`.
BRANCH 4Jssr'GL(1'/CiJ Y
��Jr77 LAC.,OWNER fY el-LI NEI2 I
ADDRESS USE idi. /� .V.AiUE$���...��
ARCHITECT
OR ENGINEER .f S' iaiect �At NoL.4042.p Y rT-�ra j •rJ•���
ADDRESS ZONE x L TYPE ' GROUP t t:I--
/ APPROVED
CONTRACTOR MU,4 c/J 1' /C✓,,A/ BY DATE
ADDRESS SAIM C-
TEL.
CITY 5444 j NO.
STATE CITY
�5+ APPROVED SETBACKS
C LIC.NO. agoo y4 LIC.NO.
NO.OF BLDCS. (FROM C//L STREET) py[�
L SIZE OF LOT I NOW ON LOT FRONT 75FT. L,
y
�
USE OF ,�((
EXISTING BLDG. R.SIDE J FT.
V)
F Separate permits are required for L.SIDE 53F,-. .....
/
C electric,plumbing and heating work. REAR Ate/_ ig/
W
F+ USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION/-
CI
'C •
/LJ�r
G
Q 44. 174 , i � DATE
i.•••gpc APPROVED ID_,24/ ' :s
7 APPROVEy�r,. y/��
79
} _BY � DATE`�
oCW
0 I hereby acknowledge that I have read this application and state n
p( that the above Information is correct and agree to comply with
0. all laws regulating building construction, and I shall not employ
Z
any person in violation of the workman's compensation laws of
the State of California. / J/,-D g- m D
I hereby certify that I am properly licensed as a contractor under
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m 6
Chapter 9, and that such licenses are in full force and affect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: to-
am exempt from the pr sions of the State of California Business VALUATION PERMIT FEE Y
and Professions Code, ision 3,Chapter 9. $
_• y� o n
Signature of $5-070
� PLAN CHECK $ (p'71 U.
Permittee `"K l $ i//Y/ TAX $ r
E
orAuthorized Agent Date TOTAL PAID $ /J U
r
0529 8/05/79 172.00 TL
COSTA MESA BUILDING-SAFETY DEPARTMENT APPLI DON FOR STRUCTURAL PERMIT
• • P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 p
•
REC V PCO/J�RMIT ,Ta ,�.
For Applicant to Fill in Completely — Use Ink Only / I,VI �
BUILDING '1 '/ -,f A.P. NO. `f/7 OWf — O / �/0
ADDRESS �7 �� C I/ ( Carbi eI
OWNER OR �j -p q BUILDING (.4 ` 1 y'GrO-.. .
TENANT / 4c-Ac.'S t I-r@..s e,. UNIT OR
be/ ADDRESS �'r V r'Vr
MAILING qui.-�,/ SPACE NO.
ADDRESS 3-1-7( (1r 4 LIQ "//• / �a� TRND LOT BLK.
CITY N .73 9)46 9 NOL',31+ i- iCs /t
CONSTRUCTION r---( NEW ADD ALTER REPAIR MOVING DEMOLISH
LENDER FTa.�"Ci plc—
OWNER
���' `X yt �j �• /
BRANCH cJ' r' -L(r-1 &4tAL IS 4 ( rte/ ^' t /
OWNER ' C/YXJ
ADDRESS J/ ^ ['y�VALUE
ARCHITECT TEL '(// G%� USE C0N✓b C/•�jd�V17r l $
OR ENGINEERcT.5ms� nrr"R NO. '! G/ JJ _
ADDRESS / ZONE r`)" fir--
GROUP 4
�j APPROVED r - DATEX/�iy}� 9
CONTRACTORi r BY 1 V V /�
ADDRESS S,t" e
TEL.
CITY 5d Me NO.
F STATE CITY APPROVED SETBACKS
LIC. NO. 71,907 LIC.NO.
Fal SIZE NO.OF BLDGS. (FROM C/L STREET)
6- OF LOT NOW ON LOT FRONT FT.
G USE OF
I. EXISTING BLDG. _B-SIDE ES.
to
FSeparate permits are required for L.SIDE FT.
electric,plumbing and heating work. REAR FT.
IW, USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
Q
G -C DATE
n `jp N�.,ae `,p IJ S r v APPROVED
Q
7 APPROVED
). —ELY_ DATE
IY
pl
aI hereby acknowledge that I have read this application and state n
X that the above Information is correct and agree to comply with
-i all laws regulating building construction, and I shall not employ
Z any person in violation of the workman's compensation laws of
T the State of California. m
,
SO. FT.
I hereby certify that I am properly licensed as a contractor under N
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such li sos are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
am exempt from the pr• •ns of the State of California Business /VALUATION PERMIT FEE $ If /�,�
and Professions Coda, on 3,Chapter 9. �Z.^"s
PLAN CHECK E en
C
Signature of _el
Permittee7 7 $ TAX $ u
or r1 f
Authorized Agent Date -1" �p TOTAL PAID 3 7 zro U