HomeMy WebLinkAbout1225 LAS ARENAS WAY - Building Permits ADDRESS OFBUILMNO: 1225 LAS ARENAS WY WMT: CITY OF COSTA MESA - BUILDING PERMIT
OWNERS NAME IF KNOWN: SEA BLUFF HOMEOWNERS ASSO PERM NO: b vbDysl
ADDRESS: 12 2 5 LAS ARENAS WY
COSTA MESA, CA 92627 PERMIT NO: B 085931 PLAN CHECK NO: N GOVT: N SUPP: N
631-8566
APPL.MAJLIC ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: SIR PURPOSE: REP
ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : REPLACE DRY ROT DAMAGED JOISTS ( 10 ) SQ FT : 1 , 200
ARCH.OR Mt ADDRESS: WIT:
CLAIM VALUE: 1 , 200 . 00 CALC-VALUE: 1 , 200 . 00 GROUP OCC: R-1 /
ccdmACTces NAME: MACK CONSTRUCTION ( 714 ) 568-7744
comucronnum 1357 FREMONT ST COMMENTS : RESIDENTIAL REPAIRS TO EXTERIOR DECK
op SS: ANAHEIM CA mem, 659507 ieii;i;:+f;';e;i#isisir;:vr;r;:isisinti:inti:inns;';ri:;r#ifitiiri;:iiirieir�rir�e****iewiriryii:ie;e;rir*3r;eviwwsi»iri:arieir7e#Ri+Fseiiir:esr
92804 UNIT: Z O N I N G _R E Q U I R E M E N T S
UCEN ONTRACTORS DECLARATION:I hereby aT under penal),d• , licensed u . . . 7 of Chapter 9 S [' 1 B A L K S
`monmanning with Section 7000)of Division 3 d the Business and Professions,...,,•,.my license is in f force eaect.
CRY uc.NO:058300 UC.CLASS: B LK. "•.: : 507 700/00 MAIN BUILDING ACCESSORY BUILDING
c FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Dale: //-Z�o — / 7 Contractor: ./ LEFT: FT IN RGKT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I sun exempt from the Cont License Law for the
following reason(Section 7031.5 Busies and Professions code:Any ay or county which requires a Perri*to mruuua,after,imyove. PARKING REQ: PROV: PARCEL: 42434102 Z N E: REF NO:
demolish.or repel any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she PARKING NGT E S> -
is licensed pursuant to the provisions of the Contractors License Law)Chapter 9(commencing with Section 7000)of Division 3 of the 1�•,
Business and Professions Cadel or that he or she is exempt therefrom and the basis for the alleged exemption.M y violation of Section > L • -
7031.5 by any applicant for a permit subjects the to advg penalty of not more than five hundred dollars 15500D. i<iii ii•iiiEiiii'iiiiiiiiii/Eiiiiiiiiiiiiiiii'iisiiesiiiieiiieitiiiiiiiiieiiie'iiiiitit*'ii'/t*iiit'liiiii'ititieitiiiiiiiiiiiiieiiiiiiiiiiiiiiiiit'lt'itiiitri'riiiifit
❑ I.as owner dthe property or my employees with wages as their sole compensation,will do the work,and the structure's not intended DEVELOex 'M E N T SERVICES R E Q U I R E M E N T) S
or offered for sale(Section 7044,Business and Professions Cab:The Contractors License Law does not apply to en owner of property !I^
who bolds or improves thereon,end who does such work Smelt or herself or through he or her own employees.provided that such
owimprovements we not intededadered for sale.If.however.the building or inpreversee is sob n whhinayear a completion,the ZONING APPROVED BY /: DATE: t�
ner-builder will have the burden of proving he or she did not build or improve for the purpose of sale). A 11 (/� ,�) 97
❑ I,as owner of the propdy.am exclusively oontradig with licensed contractors 10 a MITUd the protea(Section 7044.Business and BUILDING APPROVED BY- : V'•�v I DATE: ft JLGO —
P ntractom Coda:The Contractors license Law does not appy to an owner of proven),who builds a improvee thereon and who
omen for such projects with a contractor(s)licensed outwit to the Contractors License Law). fj //��
❑ lemexempt under Section: B.APC.,for thireason: APPLICATION ISSUED BM: DATE: ir--z-6- '(7
ii ii ii se iiiiiiiiiriiiviiiiiiiEieiiie yr at et se at x'It It we n x x et xxxxxx le T le le s,le le x st 7t x Itir w wsrsese7,ii vi it ii ii it it ii ii ii se x+e is x re lra,n xi**
Date:
Owner LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
I do hereby certify that I ant aware of and understand the requirements of Caliomia Health and Safety Code Sections 25505,25533,and
25534,and that I o any INure building occupant will/will not(circleran)need to comply wkh eald mete codes and IM requirements for
aperm*for castntimn r modification/ran the Ai aunty Management Ojeda Reedemal mmMIMM eppirahosare exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 90 . 65 . 50
Dale: Applicant: SMIP/NON-RES
PLAN FEE
COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one d the following deaarelbns: ISSUE FEE
o Ihave and veil maintain acedifaateof consent loself-insure for workers'cane°n°onion,as provided for bySeaion3700dthe Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code.la the performance of the work for which this perm*is issued.
o Ihave aImainioncompensation4 workers'compensation insurance.as required by Section 3700the Labor Code.fur r the performance the TOTALS--- > 46 . 75 G. GG G . GG 4G. 75 46 . 75 GG
and MI
work for which this permit is issued.My workers compensation insurance rattier and policy number are:
Carrier: REVENUE DIVISION TOTALS--> COLLECTED: 40 . 75 OVER/SHORT : . 00
Policy Number BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need not be completed I the permd is for one hundred dollars St less.) 40. 25 . 50
c I certify that in the performance of the work for which this permit is in hall • .. pe.•u n any manner so as to
become subject to the workers'cornPersaion laws of California, res that if 1 d �.. .. sublea to the wakem' iii**4iii iii iiiiiiiiiiiiii iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii itiiiiiiiiiiiiii*iiifiiiiiiii*r******iiiriiiiiiiiiiiiii ii*yidiiiiiifieiiiiii
compen previsions of Sedan 3700 d the Labor Cab comply t 'A: �.
/�-2,6 A7 . � INDIVIDUAL F E E BREAKDOWN
Dao: Applbanl:
Warning:Failure to flows workers'compensation coverage/i unlawful,and shall subject an remota to criminal penalties end TYPE QTY U t. S L IK i. Y 1 1 0 N UNIT COST TOTAL COS T
civil fines up to one hundred thousand dollen 0100,000A In addition to the coal of coupe sation,damages as provided for in
Section 3706 of the Labor Code,intense,and attorney's fees. SFR 1200 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 1 , 200 , 00
CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there i constructiona lending agency for the END OF FEES
performance of the work for which this permit is issued(Section 3097,CS.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I - -..d this application end state that the above information is 001700.I agree to 00011717 with all ply and county ordinances
and stale b re.'0 to building construction and hereby authorize representatives of this sky to enter upon the above-mentioned property
for inspect• r
a A.Cil 11-26-1997/09:36 Afl/$40.75
at
���' �pr '
//�J�iV t• •
Dale: I/-210—Ql y RCPTfl:Cil-2931
F'ERIt1IT :@8�f931
Signature of Owner/Age A.picanUContractor
(5151-s6.WP) White-Buidig&Safety;Green-Rte:Canary-Appicanl:Pink-Revenue:Goldenrod-Asmv
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 •
-it 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, 0 Undrgrnd.
10. Structural Floor System .•j 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 t,
19. Rough Heating & Air Conditioning i - FIRE DEPT. REQUIREMENT •
20. _Rough Factory Fireplace APPROVALS - Permit# '
21. Ducts, in;StrUcture - 70. Underground Hydro
22. Ducts, Ventilating - � ' ' 71. Product Piping 0Gas ❑Oil
23. !Gas Pipe-Rough 8 test ,.. - 72. Underground Flush
24. Roof Framing �' -. 73. Undergrnd.Storage,Tank 0 Gas 0 Oil
25. Roof Sheathing G - - 74. Overhead Hydro
26..T-Bar Ceiling (Structural) & Monocoat - 75. Dry Chemical
27. Frame and Flashing . /L_`_ 17 464-* 76. Dry Standpipe -
28. Lathing& Siding' - o 77. FIXED SYSTEM FINAL
29. Insulation y . - .. ( I. 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 - Notes:
34..Fina1 Heating& Air.Conditioning �
35. Final Gas'Pipe-Test •
36. Hood or Canopy - - -
37. 'Final Factory Fireplace -3• 8. Final Plumbing
39. Water Service-Final •
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer .
43. Backflow Irrigation
'44. Landscape Irrigation System . r - -
45. Sound Attenuation
.46. Handicap Regulations -. -
47. FINAL STRUCTURE & BUILDINGa ry,47 .
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co •
51. CERTIFICATE OF OCCUPANCY
No. Date
a
t /200- /,--/C0 C,As 4:gC/)(44S /
PflOJECT AOOflESS: �� LAS ARENAS WY W7 UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 069212
OWNER'S NAME: SEA BLUFF HOMEOWNERS ASSO
ADDRESS: 1225 LAS ARENAS WY PERMIT NO: B 012 PLAN CHECK NO; N GOVT; N SUPP : N
COSTA MESA, CA 92627
CONSTRUCTION TYPE692; 5
—IN
PERMIT TYPE: SIR PURPOSE: ALT
ARCHIENGINEER: 631-8566 REG.NO.: JOBDESCRIPTION ; REROOF W/COMP SHINGLES
ADDRESS: UNIT: SQ FT; 8, 670
CLAIM VALUE; 8 , 670 . 00 CALL—VALUE; 8, 670 . 00 GROUP OCC ; R-1 /
PERMITTEE: WILLIAM H. LAVEY & ASSO. ( 714 ) 951-5205
ADDRESS: 1240 S WRIGHT STREET COMMENTS ; EACH APT , UNIT SHALL COMPLY W/91 UBC FOR SMOKE DET,
SANTA ANA CA 92705 +rfrxir#*-**#fir*###�t#*#tE##�F�E**#�E*#dE*�FTtt�-art;#*fr�E*acac-#�F�F�E#srx***F;-�:#*> ..
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R EQUIREMENT S SMOKE"DETECTOR
7000)of Division 3 01 the Business and Professions Code.and my license is in lull force and effect. ^1 '
SETBACKS REQUIRED
CITY uc.: 037560 srATEuc.:4U923 • cuss: C 3' EXP: 02/94
Date:._J( )to )99 Signature: i t L..... MAIN BUILDING ACCESSORY BU.LLLI.m.,
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificat'of consent to self-insure or a certificate of Workers' FRNT; FT IN REAR; FT IN FRNT; FT IN REAR; FT IN
Compensation Insurance,or a certified copy thereof(Section 3800.Lab.Cr, LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN
POLICY NO.: 3906405 EXP.DATE: 07/01 /95
COMPANY:REPUBLIC INDEM PARKING REQ• PROV; PARCEL; 42434102 ZNE ; REF NO:
❑ Certified copy is hereby furnished. 2 Certified copy is fir dd with thecityBuilding Division. PLANNING NOTES>
Date: I li kb I(Iu4 Applicant: it L. \ Tv.r-} \-1. ********#*iE************************************E**if*#**+***ic*#**#yF**?cr**x*****i•.
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). D EVELOP MEN T SERV ICES R EQUIR EME WT S
I cedify that in the performance of the work for which this permit is issued.I shall not emplo any person in any manner so as to become
subject to the)Work`rs Compensation Laws of California.uA e . X ( ZONING APPROVED BY •
,
/ C� • DATE:
) Date'. LL 1-1 Signature'. . U•L
NOTICE:X11.after making this declaration,you should become subject to the Workels'Compensation provisions of the Labor BUILDING APPROVED BY ; •
DATE
) Code.you must forthwith comply with such provisions or this permit shall be deemed revoked.
. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency
ifor the performance�rf — of the work for APPLICATION ISSUED BY.:_ Cb l I O (C( i
which this permit is LENDER:issuetl(Section 3097.Civ.Cl.�e�0U— /v1U2j /O(U // /olUY�y /O/Ur ************#***#********************************************D********#********
ADDRESS: REROOF 10000SF APARTMENT ./o-/c9/ /d' / Y /A/G° LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT;Y
Lr�s �1/LAS .
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SM I P/RES GRADING
(Section 7031.5 Business and Professional Code: Any city 0f county which requires a permit to construct,alter,improve,demolish,or PERMIT 1 0 8 . 4
repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 8 7
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SM I P/NON—R ES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN - .
any applicant for a permit subjects the applicant to a civit penalty of not more than five hundred dollars(5500). ISSUE FEE .
I. as owner of the property or my employees with wages as Meir sole compensation, will do me work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS——--> 108 . 87 0 . 00 0 , 00 108 , 87 108 . 87 . 00
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 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 will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS——> COLLECTED : 108 . 87 OVER/SHORT; . 00
for the purpose etsale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 108 , 00 ,'8 7
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon .
and who contracts for such projects with acontractor(s)license pursuant to the Contractors'State License Law).l am aware *****#***#***1'i*******#*************#*#*#*************#**#**!(***********1i**#i?*ti*
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
o I am exempt under Section: B.8 P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner: •
SFR 8670 REROOF BY VALUE RESIDENTIAL NOZONE ' 1 , 00 8 , 670 . 00
I do hereby certify that I am aware o1 and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and that or any future building occupant will/will not(circle ane)need to comply with said state codes and the requirements for a •
permit for construction or modification from the Air Duabty Management District.Residential construction applications are exempt from
these provisions. yiJnan,,‘.
•
Date: Applicant: 1
Cni
I hereby certify that I have read this application and slate that the above information is correct.I agree t0 comply with all city and county OCTr
ordinances and slate laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned Ci i $ ) '
property for inspection purposes \�•— I EJv7 ii
Date: ID /lh I9 l( Signature: A� L' t 1' OP* 051
Driver's License 0r Social Security t: COSTA-
1641-46 White—Building;Green—Code Enforcement:Canary—Applicant;Pink—Revenue;Goldenrod—Assessor •
a
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
000,, 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 I
i ^
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P'Trap,❑ Undrgrnd.
10. Structural Floor System • 61. APPROVAL TO DECK •
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap i 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 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 Notes:
34. Final Heating& Air Conditioning !J C.f1t -7
35. Final Gas Pipe-Test /Q� - A'n �, • aA
36. Hood or Canopy leigs j_�Y7 •1 I, -
37. Final Factory Fireplace !/}� /g/// to
38. Final Plumbing y(%J� J
39. Water Service-Final
40. Gas Service-Final ;' � r, ;:
41. Solar Domestic-Final `-
42. Backflow Preventer
43. Backflow Irrigation k,, p, it 4Y3
• _.
44. Landscape Irrigation_itstem 1,t Z'^
45. Sound Attenuation -- ° ^
46. HandicapRagulation- »' •
47. FINAL STRUCTURE 818.bILDING /2__/e_095-6c4L..
I
48. FINAL PLANNING ; 1 ` v
49. Electric Release to Edison(r-
50. Gas Release to Southbrn California Gas Co '
51. CERTIFICATE OF QCCUPANCY
No. .Date
3 October 1995
MEMORANDUM FOR RECORD
TO: City of Costa Mesa
Building Division
P. O. Box 1200
Costa Mesa, California, 92628 - 1200
ATTENTION: Karen Collins,Permit Processing Specialist
FROM: Russ Fisher, Vice President, Sea Bluffs Home Owners Association
SUBJECT: Roofing Permit Correction and Extensions
REFERENCE: Notice of Permit Expiration dated 13 September 1995 and Phone Conversations
with Karen Collins
Two building permits, B-69212 and B- 69213,were drawn on the Association's behalf by William H.
Lavey and Associates in order to re-roof two out of the three buildings in our complex. Neither permit
has received a Final Inspection. A verbal request for extension to 31 December 1995 was granted by
Ms. Collins so that the Association will have time to meet smoke detector installation requirements.
Neither of the above permits correctly identifys the living units where work was performed. Please
correct the project addressess on both permits. One permit covers re-roofing on the north structure
comprising unit numbers: 1200, 1202, 1204, 1206, 1210, 1212, 1214,and 1216. The other permit's
project addressess should cover re-roofing on the south structure comprising unit numbers: 1201,
1203, 1205, 1207, 1209, 1211, 1213, 1215, 1217.
•
This request will be hand-carried to your Building Division by a representative of our contractor,
William H. Lavey and Associates, who will request a third permit to cover re-roofing the bluff
structure comprising unit numbers: 1219, 1221, 1223, 1225, 1224, 1222, 1218, 1220. MI project
addressess are located on Las Arenas Way,a private street.
We expect to meet Final Inspection requirements on the third permit by 31 December 1995.
Thank you for your attention to this matter. For the Sea Bluffs Homeowner's Association:
H. R. Fisher, Vice President 3 October 1995
Copies to: Association Directors(Fisher, Finney, and Testa), Villageway Management: Attention: Toni
De Julio,William H. Lavey and Associates, Attention: David Montross
ADDRESS Of BUILDING: 1225 LAS ARENAS WY UHT; CITY OF COSTA MESA - BUILDING PERMIT
OMNER�,ItAAIE IF KNOWN: SEA BLUFF HOMEOWNERS ASSO PERM NO: B 07156‘J
ADDREss, 1225 LAS ARENAS WY
• COSTA MESA, CA 92627 PERMIT NO: B 074569 PLAN CHECK NO: N GOVT: N SUPP : N
631-8566
APPL.MAILING ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE : OTH
ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : T/OFF AND REROOF 112 SQUARES COMP SHINGL SQ FT: 17, 500
ARCH.OR ENG.'S ADDRESS: WMT:
CLAIM VALUE: 17, 250 . 00 CALL-VALUE: 17, 500 .00 GROUP OCC: R-1 /
CONTRACTORS NAME: WILLIAM H. LAVEY & ASSO. ( 714 ) 951-5205
CONTRACTOR'SMAIUNG 1240 S WRIGHT STREET COMMENTS : EACH APT . UNIT SHALL COMPLY W/91 UBC FOR SMOKE DET.
ADDRESS: SANTA ANA CA ucxo_ 409233 ****?E*********+E+E****+F**+E**$.***********ae****->E*******)gran************i;****.>E->F****#.N.
92705 WNT: Z ONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty el perjury that I am licensed under provisions of Chapter 9 SETBACKS
(commencing with Section 7000)of Division 3 of the Business and Professions Code,end my license is in full force and effect.
CITY LIC.NO.: 03756') ucCuSS: C-39 uc 409233 09 /95 MAIN BUILDING ACCESSORY BUILDING
Date: �u (13 145 co..., Alt)
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 penalty of perjury that I am exempt from th ontrad«s license Lew for the
following reason(Section 7031.5 Business and Professions Code:Any city or county which requires a permit to cosec.alter,improve. PARKING REQ: , P R O V: PARCEL: 42434102 2 4 3 4 1 0 2 Z N E : REF NO:
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)d Division 3 d ilea 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 a permit subjects the applicant to a dvil penalty of not more then five hundred dollen($500)). *******.96*9*********.96.M.****.M.)E46*4****9***9****************6*************.3E*********
❑ I.as owner of the properly or my empmyees*eh wages as their sole compensation.win do the work,and the structure is not intended D E V E L OP MEN T SER VICES R E Q U I R E M E N T S
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply loan owner of properly
who bolds or improves thereon.and who does such work himself or banal or providedthrough his or her own employees. that such
improvements are not intended or offered for sale.M,however,the building or improvement is sold within one year of completion,the ZONING APPROVE BY DATE:
owner-boilder will have the burden of proving he or she did not build or improve for the purpose of sale).
❑ Las owner of the property,ern exclusively contracting with licensed contractors to construct the project(Section 7044.Business and
Professions Code:The Contractors License Law does not apply to an owner of properly who builds or improves thereon and who BUILDING APPROVED BY . DATE:
•contracts for such projects with a contrador(s)licensed pursuant to the Contractors License Law). 1
El I am exempt under Section: B.AP.C.,for this reason: APPLICATION ISSUED BY ' DATE: /0, / t�
**************X*******************************icnx,sx **********3r*****"*iF*AC/Sc
Dat°' ° nr' LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT:Y
I do hereby canny that 1 ant aware of and understand the requirements of California Health end Safety Code Sections 25505,25533,end
25534.and thatl«any future buildingoccupant will/will not(circle one)need to comply with said state codes and theemptfinenteforse BLDG PMT PLUMBING ELECTRIC,• MECHANIC FIRE SMIP/RES GRADING
25534. Mal I or nor celiinoccupnt u�6eGrylnenagemmneinid.Raaidentidmh distatecdesand thexenplmetese
provisions. PERMIT 189 . 00
Date: Applicant: $MIP/NORES
1 . 75N
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penahy of perjury one of the following declarations: ISSUE FEE C
❑ Ihave and will maintain acendkateal consent oseM.insure for workers'compensation,es«oviedfor b/Sed'an37000othe Labor BUILDING-DIV-> PERMIT ISSUE PLAM.-CHECK TOTAL PAID DUE
Code,f«Meperformance dMework for wmohMnissued.
TOTALS----> 190 . 75 0 . 00 0 . 00 190. 75 190 . 75 . 00
I have and will maintain worker:oompensaton insurance,as required by Section 3700 of Me labor Code.ler the performance of the
work for which this permit is issued.My workers'compensation insurance caner and policy number are: I ,
Caner: RFPIIBT.TC TNDRM EXPIRES REVENUE DIVISION TOTALS--> COLLECTED'+: 190 . 75 OVER/SHORT: . 00
Policy Number: 451117) 07/01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need nor be completed y the park is/or one hundred dollars/Stet or less.) 189 . 00 1 . 75
❑ 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 d Caron agree that M 1 should become subject to the workers *************************************a**.*.**************ill************************
compensation provisionsSection 37D0 of the Labor Code. a to comply those provisions.
cINDIVIDUAL s .F%E E BREAKDOWN
Date: d 13 14Applicant: nLL � .
Warning:Failure to secure workers compensation coverage Is unlawful,and shell sub an employer o criminal penalties and TYPE QTY DESCRIPTION CJ UNIT COST TOTAL COST
civil Ones up to one hundred thousand dollen($104000),In addition to the cost of compensation,clamps as provided for In yv
Section 37o6 of me Labor cods,Interest,and euorney'a fess. SFR 17500 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 17, 500 . 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 which this permit is issued(Seaton 3097,Civ.C).
LENDER'S NAME: rLENDER'S ADDRESS: REROOF 10000SF APARTMENT
I certify that I have read the application and aline that the above information is correct.I agree to comply with all city and county ordinances '
and state laws relating to buildup construction and hereby authorize representatives of this city to enter upon the above-mentioned property SMOKE D ET E CTO R
for inspection purposes.
ERIC SNOW L 115 REQUIRED V
P nt Name
mi
i Nam:
Date: 13
Signature of Own .nllApplicant/Contrador f'
(5151'46.WP) White-Building A Safety:Green-File:Caney-Applicant;Pink-Revenue:Goldenrod-Assessor
•
•
CONSTRUCTION AND PLANNING POL & 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-UndrgYrrid. 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, i�'Unflrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Cqn1 ection 62. Backwash & Receptor-Final
12. Sewer CaP 63. Heater & Vent-Final c )
13. Roof Drains64. Plumbing System - Final •
14. Rough Plumbing " l
g 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 °-/INIC44-41 74, Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat l 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 1O.-(f ?5 - $',� -
�s+.ie
35. Final Gas Pipe-Test s / �f r( 'y t4 q r 6'i�r•-, r
36. Hood or Canopy K / T !/ w P
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 (z-(�`15-6�/�jl
48. FINAL PLANNING l l '7
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date