HomeMy WebLinkAbout3146 KILLYBROOKE LN - Building Permits • 'F CITY OF COSTA MESA t • y
9
4 BUILDING DIVISION
o•r,_ I DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
• renter
PERMIT
"°Poenw )1303-00447
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 3146 KILLYBROOKE LN Status: ISSUED
Suite: Applied: 03/19/2003
Vicinity: SIDE PROPERTY LINE Issued: 03/19/2003
Parcel Number: 14102220 Zoning: R1 R1
Applicant: ORTIZ, GWENDOLYN ISSUED BY:
Address: 3146 KILLYBROOKE LN
Phone: 714-557-9862
COSTA MESA,CA Zip: 92626
Owner: ORTIZ, GWENDOLYN
Address 3146 KILLYBROOKE LN
Phone:
COSTA MESA,CA Zip: 92626
Contractor: OWNER-BUILDER
Address:
Phone:
Zip: License: 000000
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
CONSTRUCT 74 L,F.X 6'HIGH WITH 2 RETURNS ON SIDE YARD.ONE RETURN IS 7 L.F.X 6'HIGH AND THE SECOND RETURN IN 4.5 L.F.X
6'HIGH PER CITY STANDARDS.
FEE SUMMARY
Plan Check: $39.07 Calc Valuation: 51,700.00
Permit: $60.10 Claim Valuation: $0.00
SMIP Res: $0.50
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
Total: $99.67
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
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(6/001 ��
DECLARATIONS l ) I� N)
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
O 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 th4
work for which this permit Is Issued.
O 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 carder and policy number are:
Carrier: Policy Number:
(/This section need not be completed it 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) p /-, , _
Applicant Signature: //S/i7 r/4,�('v /). r4 / ( .��2. i Date: _"S �1 9 4-1 =>
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 DOILARE(5100,000),IH ADDrmON TO THE COBE OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATTORNEYS 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.tJc.# Class#
Contractor's Signature: Date:
CONSTRUCTION LENDING AGENCY:
o I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,CMI 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 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 properly,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
,�c, 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.). •
1 „_. I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sac.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 •er sec. Business and Professions Code for this reason:
Signature: --)44 Date: 3//9/L S
•
Owner ID verified by drivers license. ,? Yes 0 No / Driver's License No. • - Expires: /I/O
Verification of Ownership by(type of doc merit,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,Califomla 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 Califomla 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,ore 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 Califomla 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 greeter 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 Califomia 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 end 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 application a ermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 0 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? ❑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 Califomla Health and Safety Code Section 42303 been made? 0 Yes 0 No
B (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-- ribed property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
Gc e.<_44 t, J i 0'.44.-( -9/l > /c-:, 3
(/ !¢nature Of Legal Owner(s)✓ Date
And/Or Authorized Applicant Date
CODE r INSPECTIONTYPE 267E INTI1ALE CODE( INSPECTION TYPE gla =A44
• 1616 Fixed System Final Fire Prevention 206 Final Mechanical
r 1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Root 210 Final Electrical
L
201 Final Block/Retaining Wall •-7"Q1 tr 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval •
203 Final Sign 222 Final Site
1 204 Final Demolition • • 250 . Final Building/Occupancy
* M
•THIS SKETCH IS FOR INFORMATIONAL PURPOSES •SOLID WALLS/FENCES BETWEEN re&6'N HEIGHT SHALL
ONLY. APPLICANT IS RESPONSIBLE FOR PROVIDING BE SETBACK AT LEAST 10' FROM FRONT PROPERTY LINE.
AN ACCURATE RE FR.ESIINTATION OF THEIR PROPERTY
IN CASE THE SHAPE AND SIZE DO NOT CORRESPOND •SOL.tD WALLS/FENCES SHALL NOT®CCS Y 6•IN HEIGHT
WITH THE INFORMATION PROVIDED ON THIS SHEET. WTTEIIN 10'OF THE FRONT PROPERTY LINE(NOT CURB LINE).
•VERIFY DISTANCE FROM CURB TO PROPERTY LINE
AND SHOW ON PLAN. VERIFICATION FROM THE GAYS
ENGINEERING DTV5ION IS REQUIRED. CALL(714)7$4-5343
AOR INFORMATION.
•
PPROVED ricci
OF COSTA- -
PLANNING DIVISION
LIJECT TO BLDG. DEPT. REG.
•
ADDOAi6p�ELETIONS, ROCCMQ
PR� ITI0RRECTIONS SHALL BE ;
AFP FT) BY THE PLANNING DIV.
41
BY:_ /jai DATE: 3/ 4 s' \
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wjdgWvnitten permission tram Ire Division o,Dudd'x og
BLOCK wA Ibis
aset of plans and specifications MUST�kept on this job al all limas eld A is unla
e
�q ,Tpe�i Fae ,1 �I� NGaMIT
the stamping o,o s plan"
of the violation of any presisions ci any C ')of Costa Mesa Ordinance andlor to
imitation and be 03e SI and obu since. /
02)These snot and enrmit andll sinus e UDC§ (� 1
xrodc is not commenced and maintained active per
r
PLANNING DIVI;Igi .
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
PERMIT NO. TRACT NO. LOT NO. UNIT NO. 0490 9/ 19/85 15050 IL
CITY OF COSTA MESA CONSTRUCTION PERMIT JOB #10246 Q-
Project Address '1146 KILLYBROOKE, COSTA MESA -�6Yb •
,�jApplicant's Mailing Address 1441 S. ANAHEIM BL, ANA 928JA•7E
5 TYPE OF CONSTRUCTION RA NEW IflADD Li ALTERATION LI REPAIR
Owner's Name SAM ORPIT Phone 557-9862 ❑ CONVERSION •❑ DEMOLISH ❑ OTHER - A.P.# Zone
DESCRIPTION OF WORK/USE OF BLDG.' Replacement of existing
Address - A • • II AC dOSA GI.. S ul - • • • r'l1L laic , •_ _z _ : _ '.. . l.,, '.-. - - S Main Building: Accessory Building: Z
Arch/Eng. License No. TYPE OF PERMIT�- • GRADING U FOUNDATION. STRUCTURAL T Front - O
Address ❑ TENANT Pa YS ELECTRICAL ❑ PLUMBING /izU MECHANICAL B Rear - N '
Contractor's Name KTNNE'Y AIR COND. Phone 772-1441 , ❑ OTHER A I
1100' Single C Right N
Address(mailing) 1441 S. ANAHEIM BLVD., ANAHEIM 92805 PROJECT DESCRIPTION SQ. FT. OCCUPANCY K — • _ G
CON ST RUCTION TYPE VALUATIONS S Left R
City License No. 006215 ZONE GRADING CU.YDS. ACRES Ping. Ref.# r g rovided E
LICENSED CONTRACTOR DECLARATION RECEIVED(+r'7/�D Crf1 ( �8 0
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: 1K,CCG V JLI M
with section 7000) of Division 3 of the Business and Professions Code,and
my license Is in full force and effect. • • T
License Class C-Lb thruway, ns 4 9 58 S
Date 9-3-85 Signature �J-1A.(„�L71 PLUMBING FEES _
WORKERS'COMPENSATION DECKINNEyiNAIR CONDITIONING Bar Sink Showers ELECTRICAL FEES
hereby affirm that I have a certificate of consent to self-insure or a certificate
I Workers' Compensation Insurance, or a certified copy thereof (Section
3800, Lab. C.) Backflow Preventer Service Sink Automatic Washer Transformer 0 15-50 KW
I I
Policy No. #024300353 Company INACompanyIrrigation Sewer Cap U Construction Pole Sub. 0 50+KW
Certified copy is hereby furnished: •
Certified copy filed with the city Bpi • I o Bathtubs Sewer Connection Cooking Unit Meter Cup to 100 amps
Date y--7-05 Applicant ,�'FI•, .edit
•l.;siNM !'\-�s - •
EXEMPTION FROM WORKERS'CO I Clarifiers Solar Collectors Dishwasher Meter ❑over 100 amps
(This section need not be completed if the permit.is for one hundred ($100) or -
less). Dishwasher Solar Piping r Dryers ❑Gas ❑Electric Sub Panel
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 Drinking Fountains Solar Tank „ Fan 1 Motors 00-1 HP?+�1% 3HP81. 00
• Workers' Compensation Laws of California. -_
. Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 HP ❑16-15+
'NOTICE:If,after making this declaration,you should become subject to the ,
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures
-comply with such provisions or this permit shall be deemed revoked. - Microwave CONSTRUCTION LENDING AGENCY • Gas Service Outlets Water Closet . Device Boxes .,
Pole Light
I hereby affirm that there is a construction lending agency for the performance •
of the work tor,which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Range
Lender's Name •
Lender's Address Kitchen Sink Water Service " - • Switches Sign •
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
Garbage Disposal ;Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays - • , Generator 00-5 KW:15-15 KW Trash Compactor
any structure, prior to Its issuance,also requires the applicant for such permit -
to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains
the Contractor's License Law(Chapter 9 (commencing with Section 7000) of -
'Division 3 of the Business and Professions Code) or that he/she is exempt
herefrom and the basis for the alleged exemption. Any violation of Section . •
:031.5 by any 'applicant for a .permit subjects the applicant to a civil .
penalty of not more than five hundred dollars ($500).
LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3
compensation, will do the work,and the structure is not intended or offered — Reinspection Fee 1 $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES
License Law does not apply to an owner of a property who builds or improves
thereon, and who does such work himself/herself or through his or her own TypeDEVELOPMENT SERVICES REQUIREMENTS:
Boiler Hood or
employees, provided that such improvements are not intended or offered for I 0 Zoning Approved By Date
sale. If, however, the building or improvement is sold within one year of com- ' Canopy Type II 0
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By _ @ Date
prove for the purpose of sale). [{ G' �,
0 I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By , (/ef I - -Date
tractors to construct the project (Section 7044,Business and Professions Code: s—
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 1 INO.100,000 BTU ❑100,000 BTU 4.30 SUMMARY OF FEES
builds or Improves thereon, and who contracts for such projects with a con-
tractor(s) license pursuanif to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $
proof of their Worker's Compensation Insurance should be provided to me. PLAN CHECK $ PERMIT -Emil Cr--
O (am exempt under Sectiori B.& P.C.for this reason Firepl/Fact.BIt. ICBO# Fire Dampers
—
PLUMBING $ ISSUANCE $
Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ _ • '
I hereby.'certify that I ,have read this'application and state that the above 1 I7�0-100,000 BTU 0100,000 BT -• /1/ 50 GRADING $
information is correct. I agree to comply w h .11 city and county ordinances ' "4• �0 ELECTRICAL $ t.
and state laws relating to b •Iding constru 1. , and hereby authorize repro- ICROFILM $sentatives of this city to enter upon .ove-mentioned property for PLAN CHECK 50% $
Inspection •u p.5-s rar�ost,11.1111 1 1' =K C MECHANICAL $ �l (ft°
Signature 4(6 ViIt�lS�v -_v`1jate 9-3_85 OTAL FEE $ 15 50
Drivers' License or SS#
• • ,. Reinspection Fee I $15 ' Issue Fee $ 3 PLAN CHECK 25% $
•
CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor - -
•• CONSTRUCTION AND PLANNING - POI., & SPA
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool.& Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical 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. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System - 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection •
62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
. 21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank ❑Gas ❑Oil •
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing& Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. 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 �l) � j�J Ge2 Notes:
34. Final Heating & Air Conditioning f,lllV dAr OF.-035. Final Gas Pipe-Test l�
36. Hood or Canopy
37. Final Factory Fireplace ,,,
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final -
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation ,
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. _ Date - . i
J TYPICAL JOIST ANCHOR
PATIO COVER DETAIL 6/1 /87 p
�L.2 - fwn
:YdJ�L�SIZE ATE—\----------.-SPAN
TAM 1121110
® NI .'�i,3"
OVERHANG RAFTS' + ® j 44
_
` I e
yt
FOR DRAIN i °
OPED t 7� � o
STATE LENGTHPAN
MAXIMUM /7 CONTINUOUS
3/gx5Lags 32%Blocking . LEDGER F
�I 1.. °A MAXIMUM—•^ Predrill Ledger 4 T Predrill Existing 'y3Deep
JOIST HANGER
ILEA hd(34.�� or other approved methods
of support a tie. NOTE USE REVERSE SIDE FOR PLOT PLAN.
g
STATE SIZE NO 1 RAFTER - CHART NO 2
ALL LUMBER DOUGLAS FIR FOR OPEN EGG CRATE FOR SOLID SHEATHING.
t♦ V 3/16X2"-T-STRAP ALUMINUM OR PLASTIC SHINGLES OR BUILT UP
+�\ _ CONSTRUCTION" GRADE ROOF COVERING
- ROOFING. .
1
MAXIMUM SPAN SIZE SPACING MAXIMUM SPAN
1 3 17' 0" 2x6" 12% 15' I "
_f 16' 0" 2"x 6" 1fi% 13' 3"
= POST-BEAM I 5' 0 " 2"x 6", 24% IO' II
2 CONNECTION 1 2' 0" 2"x 4" 1 2% 9' II"
- I '"" 1 1 ' 0" 2-x 4" 16% 8' B"
'', 10' O" 2x 4" 24% 7' I"
--.1 di "x 1J /A ' �/c " NOTE: FOR PROPOSED OR FUTURE ROOM,OR WHERE PATIO
.,jSHOW SIZE SHOW SPACING WALLS ARE TO BE BUILT. USE NO. 2 CHART ONLY.
l, SHOW LOCATION ON REVERSE SIDE. WIDER RAFTER SIZE MAY BE INTERPOLATED FOR
7' i � SPACING ONLY.
MTs
lip — DROP PATIO FLOOR FOR PROPOSED OR FUTE ROOM OR WHERE PATIO
n SLOPE TO DRAIN WALLS ARE TO BE BUURILT SUBMIT COMPLETE h OUSE
I. U :� . ' ... `:.:3 ' - THICK SLABS • .
'.....Y.7... . AND ADDITION PLANS
�. � PUDDLED SAND ALL s I
1i 2"
sTnwe ' I - Remove Grass And Weeds Down To Natural Grade
12' .-
CONCRETE MIX 1:3:4 MAXIMUM WATER CONTENT
POST ANCHOR >.�..'.. 7# GALLONS PER SACK CEMENT.
For Pipe Post. Embed 1_12--1 Provide 26 Ga G.I. Flashing At Wood Floor Const. COSTA MESA BUILDING DEPT.
Pipe In Footing. _
Provide Flange Or Weld Plate Screwed Or Boiled To Frame. ]] FAIR DRIVE 834-5273
FORM BU-40
C3cN� Acct) ;
(3-S CZ - �. A e ( O 2 ern-
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PLANNING DEPT. a/ �,,,<,J '
SU81ECT TO Bp, DEPT. REG. I 0
Cri—
[ifif/ DATE ._. .----•
DIRECTOR OF PIARMING
City of s % M sa Building Dept. STRUCTURAL APPROVAL O Y _S
B. IA1 31.5 , SEPARATE PERMITS ARE Rfl "'O
DAT31.519.... ...]9. ..
THESE PLANS MUST BE ON JOB AT ALL TIME.) FOR ELECTRICAL, P '.' I
MAKE NO CHANGES WITHOUT PRIOR APPROVAL HEATING, 1'E"e11LPT 'C ^ . 3
OF DEPT. REFRIGERATION WORK 4'
THE ISSUANCE OR GRANTING OF A PERMIT OR APPROVAL �S�////����// __ N 'r•�1'.
OF PLANS AND SPECIFICATIONS SHALL F701 BE CONSTRUED "�jp �- lL1��L� r, r-
TO BE A PERMIT FOR, OR A . APPROVAL OF, ANY VIOLATION I 7 to kJ f a' A
OF ANY OF THE PROVISIONS OF THIS CODE. NO PERMIT PRE THIS ,IU'I 'I � .•! . I" 61?•flI
SLIMING TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF THIS CODE SHALL BE VALID, EXCEPT IN SO ALL INSPECTION REQ I_STS
FAR AS THE WORK OR USE WHICH IT AUTHORIZES IS LAWFUL. "'-._ Z a
THE ISSUANCE OF A PERMIT BASED UPON PLANS AND FC. ,LB.t.J. ..iiG [ PE.Su,.S ARE TO et
SPECIFICATIONS SHALL NOT PREVENT THE BUILDING OFFICIAL BE L /IPLO'i L;], WE S.i..,,4 5i TH„T THE
�,TE
FROM THEREAFTER REQUIRING THE CORRECTION OF ERRORS ST, OF C. LIFIJ .SBA DL IiS!ON OF ' ,1.G
IN SAID PLANS AND SPECIFICATIONS OR FROM PREVENTING IiLSTIAI S`FLTY BE CJi4SJLTEO FOR
BUILDING OPERATIONS BEING CARRIED ON THEREUNDER WHEN ADDIFIONAL REQUIREMENTS.
IN VIOLATION OF THIS CODE OR OF ANY OTHER ORDINANCE • ------ • -
OF THE CITY. __-_. __._____
owNER HARBOR HALL OF FAME HOMES, INC. DATE DEC 1 1 196?
JOB ADDRESS 3146 Killybrooke Lane BUILDING PERMIT NO. r
GENERAL CONTRACTOR Lifetime Res.Bldg. Corp. 177075.oO eC� , ,
VALUE $
AP No. LOT33 TRACT 4.355 FIRE ZONE DESCRIPTION OF WORK Res.watt.Gar
INSPECTIONS Signature DATE GROUP I & J TYPE V ZONE RI.
Soil a, l PERMITS ISSUEL
Gas ), 3 SUBCONTRACTOR DATE NUMBER
Water 1.1---ie/1.-(3
Rough Com. Relrig. 0 Air Cond. 0
Rough Heating tv 3 fa-63 , _ _ _ - 2 2e-d 3 —yj4—
Rough Plumbing b,� 3 yn.cj /Y . (fit %/
Miscellaneous / .'_-- • /22 �_ 373y ` A
Prop.Swr.Line ❑ House Con. �I St.Swr. 0 / y/(� �Y '���,1„ „ a jG G? -.5;2(��-W,t/- '/
Sprinkling System /v"/�
ConstructionWA Pole /
Underground 0 Power 07v`/
(Rough Wiring "/Ct -3 r 7,FSCC/ r;te,x-ACmac 3-, 43 / r
Trenches gr Forms B Steel Reinf. 0 e /n+-26_ .
Floor System /? al /-/T -6
Bond Beam 0 Steel Reinforce 0
Sheathing :",j" )-Jti 43
Frame and Flashing .'-Iy 3-w-C'S
Lathing — In Er Out Ir. er‘• t q_&-S)
Plaster, brown coat /{ f-#69
Refrig. 0 Air Cond. 0 Final
Heating, Final /1/ 5 ,-24/ 3
Plumbing Fixtures, FinalelEry0 -G3
i <4- _ _., _c n
f 18415 FE ... rRECE1��lCD u
COSTA MESA BUILDING-SAFETY DEPARTMENT Lot 33, Tract 435MF$l&A I30-C
P. O. BOX 917 COSTA MESA. CALIFORNIA (a�'lf�NA!NC[[ DEPl ,
For Applicant to Fill In Completely ' APPLICArIbPYFFCoR'PERMfP
TYPE OR PRINT 1'' . '.
BUILDING BUILDING .--__ F;
ADDRESS -3/�6 K'/� ban �a.,�.
COSTA MESA. CALIFORNIA For Office Use Only
ReG81Pi NO. T I� 5
TF
OWNER Harbor Hall of Fame Homes. Inc. •%7A''111 `/
MAIL RECEIVED BY I DATE RECEIV 0 DATE ISSUED
ADDRESSP.O. Box 2066 - LI.,,..,� a (..--7 - . DEC 1 1 1962
CITY Santa Ana NO[CI 9-220 ADD ESS
ARCHITECT TEL.
OR ENGINEER Jamison ND. 544-00 • COSTA MESA. CALIFORNIA
-1//,
ADDRESS 225 ."D" St., Tustin FIRE ZONE TYPE y/ GROUP IY-
CONTRACTOR Lifetime Residential Bldg Co ", APPROVED
BY DATE
ADDRESS 2131 So. Artesia ZONING
ZONE ' NO.OF .�jJ USE OF NEWTi.9 it.As
CITY Santa Ana R- , I PLANS L I BUILDING 1✓4.1/FGF
L C.`NO. 208676 TEL
RI 9-2204 LEGAL / 7.0 {�3 r
DESCRIPTION LO 33
SIZEM, NO. OF BISIGS.O
OF LOT 6000 NOW ON LOT A.P.NO. _
USE OF YARDS EVES
EXISTING BLDG None _ APPROVED ALLOWED
SCENTERKOF SE TREETM 54' REAR YARD 321611 (CENTER LINE ST.)NT .t' FT. IN.
SIDE YARD I LEFT 51 I RIGHT 51 - R.SIDE .5 FT. —
IN.
DESCRIPTION OF WORK —
L.SIDE 'S FT. ' IN.
NEW I X. II ALTERATION I II ADDITION I REAR 3 Z //'FT. �" IN.
REPAIR I II MOVING I II DEMOLISH I BYPROVED . /�N�;� DATE I04_/4"E
SIZE
1600 ROOMS NO. OF 9 STORIES 1 4MV"
EXTERIOR WALJ,.., ROOF
COVERING �laster I COVERING Shake
USE OF BUILDING AND WORK TO BE PERFORMED
Singl- :lily -siden
cieltat - So
_a — 9 A' 9 _ DBS
I HEREBY ACKNOWLEDGE ' AT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNC
AND STATE THAT THE A'• E IS CORRECT AND AGREE TO COM- VALUATION IS FOR THE
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLV WITH ALL CITY NCES AND . ATE LAWS --GULATING
BUILDING CONSTRU �• / ' VALUATION
SIGNATURE 0 PERMIT FEE $
PERMITTE =��:. - r �' $ �y D��' o
j PLAN CHECK $ a��Q
/ L E
AUTHORIZED AGENT TOTAL FEE - 9 - J 2s i
OWNER ORTIZ, Sam ' DATE 3-25-77
JOB ADDRESS 3146 Killybrook Lane BUILDING PERMIT NO. 43723
/ GENERAL CONTRACTOR Jack Sullivan Constrc.
L DESCRIPTION of WORK Patio Cover.
AP No. 141-022-20 LOT 33 TRACT 4355 FIRE ZONE VALUES 720.00
INSPECTIONS Signature Date JTVPE V GROUP _] ZONE R-1
Ispoa ' SUBCONTRACTOR PERMITS ISSUEDAS Data I Number Sign atura
WATER Plumbing
ROUGH PLUMBING
{{ ROP: SWR. LINE[0 HOUSE CON. D
SPRINKLING SYSTEM
fF
V1 MISCELLANEOUS \
ROUGH HEATING AND AIR CONDITIONING' E f �'���^'
TEMPORARY SERVICE OR POLE p! ..\, `, H
UNDERGROUND E POWER q 'i n a l�
ROUGH WIRING Heating and V. . `� %.� P
TRENCHES 0 FORMS O STEEL REINF. � --- .- 3
FLOOR SYSTEM I i
BOND BEAMEAM [1 STEEL REINFORCE [i DATE,r,..,
SHEATHING
��� J
FRAME AND FLASHING
LATHING — IN n OUT ri
PLASTER. BROWN COAT
STRUCTURAL. FINAL Electric
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST [l
ELECTRIC, FINAL .
BUILDING, FINAL
43723 '":1 29-7: ,`v '53? -<1.5U
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
For Applicant to Fill in Completely—Use Ink Only SION
FOR STRUCTURAL PERMIT
///` ( q'y� [, R DATE RECEIVED DOEAS U E71
ADIDRESS we"
e P /C t t L i yJ tgenJ La) 2`/j�
OWNER f re O kW- I Z A.P. NO/W---022--020 PERMIT NO.
BUILDING
MAIL
ADDRESS rrni "tel Y`_ Iq )f ADDRESS '3j YC k1t c y /j:C<zt$k 'TE4 71 "
{'
CITY c OS1 A /`7 t& 4- NOL -
T ACT I LOT �� BLOCK
CONSTRUCTIONA t " n ' NEW ADD ALTER REPAIR MOVING DEMO'LSH
LENDER Ai l!/"
BRANCH p
ADDRESS OWNER Z.'
S r l /7/� 0 rt j I �_ �(
Imo" D W U ALU$ 790 P/
ARCHITECT - TEL. USE `•(J
OR ENGINEER NO
FIRE 3—
APPROVED
�
ADDRESS Sot
ZONE VPE GROUP v
J� t�Ut rirm,1 daN`.r BY DATE
DATE /50-7;7��
CONTRACTOR J ,qe"l 5/' L
ADDRESS / UZ.'IC L. fly'-let. L Ay
TEL. Z NO.OF USE OF NFA
D
CITY � t /
t - Pi-X NO.
' PLANS�/ BUILDING/�/••{�/� ��U
H STATE CITY YARDS APPROVED YARDS APPROVED
LIC.NO. )c /4 7_7 LIC.NO. MAIN BUILDING ACCESSORY BUILDING
la
SIZE NO.OF BLDGS. / (FROM C//�_ST ETI
OF LOT (0 p I V�0 S/ NOW ON LOT 1
L FRONT a SAJET)
FT.
Q USE OF
4, EXISTING BLDG. 3I 7s-t C L-41._ p'-Q /1 /6y R.SIOF 9L//
FT. FT.
V)
Separate permits are required for L.SIDE + ) PT. FT.
electric,plumbing and heating work. �j/^t
La REAR ( SFT. FT.
fl't'.1 USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
Q /t . + ,fir _ MAIN BLDGS. ACCESS. BLDGS.
VA
Z
`/�!� A t '� C3i-I a. ,T / S`) C URP.3W /// ,r/��
APPROVED
�
RYROV ( /A��/\ p�DATE J -05-:-$
mlW
0 I hereby acknowledge that.1 have read this application and state n
X that the above Information is correct and agree to comply with. . m
G• all laws regulating building construction, and I shall not employ
Z{y any person in violation of the workman's compensation laws of -
•'C the State of California. -�
I hereby certify that I am properly licensed as a contractor under SO. FT. --' ami
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE s yOE ESTABLISHING A PERMIT FEE ONLY: n
am exempt from the provisions of the State of California Business VALUATION V PERMIT FEE $ v
and Professions Code, •Ivlslon 3,Chapter 9. / Cl
�/(� PLAN CHECK $ Cl
Signature • // •/!///L/__'J7 -{C
Permittee .. ' $ TAX $ 5 g4
U
Authorized 'gent TOTAL PAID $ 850