HomeMy WebLinkAbout1722 LABRADOR DR - Building Permits ADDRESS OFBMLDDiC: 1722 LABRADOR DR UNIT: CITY OF COSTA MESA — BUILDING PERMIT
G ITflNIYEIFIOCm: STRAYER JOHN PERM NO: B 08457—,
/ADDRESS: 1722 LABRADOR DR
j COSTA MESA,CA 92626 PERMIT NO: B 084577 PLAN CHECK NO: N GOVT: N SUPP: N
1'APPL.MAIUNO ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
4 ARCHITECT OR ENGNEEA: UC.NO: JOB DESCRIPTION : T/OFF & REROOF W/ASHPALT SHINGLES SQ FT: 3, 200
ARCH.OR END'S ADDRESS: MT:
CLAIM VALUE: 3, 200 . 00 CALC—VALUE: 3, 200 . 00 GROUP OCC: R-3 /0-1
CONTRACTORS NAME
CONTRACTORS MMLUIO COMMENTS: REROOF 1800SF RESIDENCE W/ASPHALT SHINGLES
ADDRESS: Lit NO.: *ti*****ii****'lir******************di'****ri******ii*****************************it-****
UMT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penaby of perjury that I am licensed under provisions of Chapter 9 SETBACKS
(commencing with Section 7000)of Division 3 of the Business and Professions Code.and my license is in fun brae and effect.
CITYUC.NO.: LIC.CLASS: UC.NO.: EXP : MAIN BUILDING ACCESSORY BUILDING
Dale: Contractor: FRNT: 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 Winn under lenity of perNry that I am exempt hon the Contractors License Law 1«the
following reason(Sedmn7031.Bushes*and Prdeeein Code:Any city«county which requires apermit toonewm,ae.,improve, PARKING REQ: PROV: PARCEL : 13915215 ZNE: REF NO:
demolish, structure,or repair any structure,prior to its issuance,abo requires the applicant for such permit to flea signed statement that he Cf she
is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 d the PLANNING NOTES>
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 apermit subjects the applicant to a civil penalty d not more than live ]55
ve hundred dollars001). *******************************lir>.******jiiiiiif*iE********3 iiiifiiiEiEiiiijt***iiiiiiiiiFifiEii�F1rfir***
❑ I,ea owner of the property or my employees wkh wages as thek sole compensation.will do the work.and the elnadure is not intended DEVELOPMENT SERVICES REQUIREMENTS
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an Owner of property
who buids or improves thereon,and who does such work Nmself or hersef or through his or her own employees.provided that such
improvements
r are notburden a ofp proving eorehedidndbud«ered for sale.g however.the Ing or mproef improvement sl ywdmmpbon,tM TUNING APPROVED BY DATE:
❑ I.as 0 . of the property.am exclusively contractig with licensed contractors to construct -proem(Section 7044,Business and 7
Prof. ,.. sC••.:The Centred=License Law does not MOT to an owner dprcpeny • • gds or blames thereon end who BUILDING APPROVED BY : DATE
cont. for • . •-�i with a contractor(s)licensed pursuant Io the Contractors La .
❑ lame - t.PW L.8P.C.for this reason: APPLICATION ISSUED BY: DATE;
'e • ***viii*****liiE***kiFiiaiif****icy*n****xtr*yY****fixxri*if** • nriTnne *;i**14 *** nr*i nietr.- #ii
D. �'7 / /•. Owner: a
I do he:•y certify A: - er!•. and understand the requiremenNdCetiomlaHealth arotyCodeSedions25505.25533,and LEGALIZATION:N F E E S. U M M A R Y STRUCTURAL SEGMENT:Y
25534. . •that I or.i uric, ilding occupant will/will not(circle one)need to comply 'd state codes and the requirements for v'
ape - for construction or mod' ::ion from the Rn uO��lyManagementDiddd.Residenliel•• don applications ore exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
pfOv•ions. PERMIT 87 . 25 - . 50 •
•ale: Applicant: SMIP/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury amof the following dedune:moPLAN
o Ihmaend wilmaintananoniT�eocaaenlmeWnsurefaworkaic«npnsation.asprovoedfor bySetim3700of the Labor
ISSUE FEE
Code.forthe performance work for which this permit is issued. BUILDING PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
o Ihave and witmaint;inworkers'mnnensamnhwuamge.asrequired byS«tkn3700of the Labor Code,for the p.ronn.gedro, TOTALS > 87 . 75 0 . 00 0 . 00 87. 75 87. 75 . 00
work for which this permit o issued.My workers'compensation insurance carder end policy number we:
Caner: REVENUE DIVISION TOTALS--> COLLECTED: 87. 75 OVER/SHOFJ: . 00
Policy Number: — . . BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This section need not be completed if the permit is ler one hundred dollars(4100/or bee) 87 . 25 . 50
•
❑ I tartly that in the performance of the work for which this permit Is issued,I shall not employ any anon in any manner so as to
become sub]ed to the workers'compensation laws of Caliomia,and agree that D I should become subject to the workers' ****lir**********iif**ii***3iiit*ie**�iif*#*1rii***yi*ititifii*iiicii3i****iiiiiiiEii***ii****ii***iiic**tirii:
Sectioncompensation provisions of 3700 of the Labor Coda,I shall Mahwah comply with those provisions.
I N D I V I D U A Tr F E E BREAKDOWN
Dale: Applicant:
Warning:Falun m secure worker's'compensation oovarrys b unlawful,and shallsubject an employer to criminal Paealnee end TYPE QTY D E S C R I P T I ,O" N UNIT COST TOTAL COST
clod fines up to one hundred thousand dollars($104000).M addlt%on to the cost of comoereat/or;danwgea W Provided ler In
Soudan 370$of Me Labor cods,Interest,and attorneys lose. . O
SFR 3200 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 3, 200 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the END OF FEES
performance of the work for whirl,this perms is issued(Section 3097.C'v.C).
LENDERS NAME:
LENDER'S ADDRESS:
I certify that I have read this application and sale that the above infotnaton is correct.I agree to comply with all city end county ordinances
and state laws nebing to building construction end hereby authorize representatives of this city to enter upon the above-mentioned propend
for inspection purposes.
JOHN STRAYER
r 09-08-1997/08:30 A1/587.75
/ �'�� Date. 9l RCPT0:01-0311882
bait{ /AgenVAppicattontrad« F'ERIgIT: Ey$4577
151Ae.WP) White-Building 6 Safety:Green-File:Canary-Apr/kat Pink-Revenue:Goden
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-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 UF ER 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 0 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 PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final B0. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:lile, neer(zit._ 0 X'�' „
34. Final Heating & Air Conditioning rp.0,-- c435. Final Gas Pipe-Test ,'^ `i.•/' .
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 1 C
47, FINAL STRUCTURE & BUILDING251.7 ` "�4 r )
48: FINAL PLANNING L� /f
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co •
51'. CERTIFICATE OF OCCUPANCY
No. Date
i' lL: ACAJCi U CL \
8188 DEC 9 1958 u/'m-
•
COSTA MESA BUILDING DEPARTMENT FINANCE DEPT.
P.O.BOX 317 CITY OF COSTA ?MSN
COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
2LILRDEIsNsG 1722 Labrador Dr. BUILDING
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. PERMIT NJ?.
OWNER Mesa Verde Estates g7 ,
MAIL RECEIVED BY DATE RECEIVED DATE ISSUED
ADDRESS 1701 Gisler St. y)2• )ni. gt-9-c- P a---- y -S ef
CITY Costa Mesa Nati
5-1751_
ADDRESS
ARCHITECT LIC.
OR ENGINEER J.R.Shelley NOC-2170 COSTA MESA. CALIFORNIA
ADDRESS Long Beach Ge 9-0908 FIRE
ZONE
ZONE NO.OF TYPE GROUP
CONTRACTOR CITY NOO. PLANS ,�-
L.G.Robinson �23 f -- I- ,1
_ADDRESS 1701 Gisler 9$. 7o: Si 5-1751 BYPROVED DATE
LEGAL LOT CORRECTIONS 1
DESCRIPTION NO. 53 BLOCK TRACT3U5
A.P.NO. Y
SIZE /44 X^ ito /DS NO.OF BLDGS��
OF LOT 78 10 NOW ON LOTi1Vne
USE OF
EXISTING BLDG.
CENTER r.
SETBACKOF LINESTREET FROM 5GI plus REAR VARD20/ plus CO
SIDE YARD RIGHT 5ipinn LEFT 5t plus
DESCRIPTION OF WORK
NEW X ALTERATION ADDITION
REPAIR J� MOVING I'IYIII DEMOLISH
BUILDING'7d Jr NO.OF G
SIZE 1433 sq.Ft. ROOMS 6 STORIES 1
EXTERIOR WALL ROOF
COVERING SStu,.co COVERING Asphalt & Rock
USE OF NEW
BUILDING
Residence & Attached Garage
I HEREBY ACKNOWLEDGE THAT I NAVE READ THIS ARPLI TION AND
STATE THAT THE ABOVE IS CORR T AND AGREE TO/OM Y WITH ALL
CITY ORDINANCES AND 5 ATE W5EGULATING BUIL G CONSTRUC•
TION. / VALUATION �[ U�
SIGNATURE OF }-mss PERMIT FEE S A./ y
PERMITTEE 1-4-1>1 • �'Vw'ia-`-�
8 /1(j 3/9 PLAN CHECK $ )7. ..�
7 TOTAL FEES re_ T,,
AUTHORIZED AGENTLi ./