HomeMy WebLinkAbout472 LENWOOD CIR - Building Permits�
�
I �
PP0.IELTA�OXESS: q'7z LENWOOD CI
OWNEH'SNAME: MARTIN, PATRICIA
aooxess: P O. HOX 7533
JACKSON, WY 83001
AflCHIENGINEEB:
ROOPESS:
flEG.NO.:
UNIT:
reammee: ROBERT'S CONSTRUCTION (714)537-7200
aoneess: Z1781 CARDINAL CR
GARDEN GROVE CA 92643
LIGENSEO LONTRAGTOH OELUIBATION: I �ere0y alhrm that I am licensetl untlEr pmvisions of C�ap�er 9(commencing with 5¢ciion
7000� o� Div;sion 3 0l the Business and Pmiessions Code. an0 my license is in lull force ana ellect.
ciTruc.: 02Q507 srnreuc.:38999� cuss: p
oate: � Signamre:
WOBKEHS' CO PEN$ TION OECIABATION: I herehy a��irm Ih hav erii�itale 0 ConSent Ia Selbinsure or a t¢rtitita�e of Warkers'
Compensation Inwmnce or a cenifietl copy ihereol (Sectio 00. L C).
roucrNo.: �66893-93 xP.oaTE: 08/O1/94
^omvaev: STATE FUND
] Cetli�ied copy is here�y �umis�etl. [� Ce�ilieU coOY is f wi he ciry Buildin .
Daie: �/ % ^ �� HpplicanL
EREMPTION FflOM WOflREflS' COMPEN511TION OECLANRTION: (T ' edm tl nat �e campletea i� �he permi� is lor ane hunUreO (5100) or less�.
I cetlily tha� in �he perlormance ol I�e work tor which ��is per is issued. I shall no� employ any Derson in any manner so as to become
subjecl lo ihe Workers' Cqmpensalion Laws ol Cali�omia. .
Daie: SignaWre:
NOTICE: IL alter making ihis Oeclara�ion, you shoultl become sublect m ihe Workers' ComOensalion pmvisions of �he LaOor
Code. Vou mus� fonhwi�h comply wi�h suc� pmvisions or t�is permi� shall he,4eemeA revoketl.
CONSTNUCTION LENOING pGENCY: I hereby a��irm Iha� there is a wns�mc�ion lentling agency �or the pedormance ot the work fo�
w�ich ihis permil is issuetl (Seclion 3097. Civ. C�. ,
LENDEH:
AOUBESS:
OWNEP BUILOEN OECLAflRTION: I here6y alfirm Ihat I am exempl imm t�e Coniracmrs' State License Law lor ihe tollovnng reasan
(Seclion 7031.5 Business an0 Pmlessional Cotle: Any ciry o� county which repuires a Oermi� Io consimc4 alter, impmve, demolish. or
repair any stmc�ure. prior lo i�s issuance, also requires ��e applicant �or such permit m �ile a sipnetl slatemem that helshe is licensetl
pursuantlo�he pmvisions oflhe Coniraclors' S�ate License Law(ChaD�er 9�commencing wi�h Sec�ion 7000)ot�ivisian 3 o�the Business
ano Pmlessions Cotle) or Ihal �elshe is exempt �herefrom antl ��e �asis �ar Ihe alleged exemplion. Any violation of $eclion 7031.5 by
any aD0lican� for a Dermit suble��s Ihe aOPliwnl �o a civil penalry oi not more ��an five hunOretl aollars ($500�.
I. as owner ol the pmpeny or my employees wiN wages as Iheir sole compensa�ion, will tlo Ne work, ana lhe
❑ simcWre is nal imentlea or oiferetl for sale (Section 7044, Business and Pmiessional COAe: The Coniractors' State License Law
tloes nol applV Io an owner of a properlY who builds orimprovesihereon, and who tloes such wofk himSelVherself or�hrough
his or her own employees, provi0ed thal such imDmvements are not intentled or ottered for sale. If, however the builtling or
impmvement is solA wilhin one year of comDletion. ihe owner will have t�e 6ur0en of pmving he/she did noi Dui10 or im0�ove
lor ihe Durpose of sale�.
1, as owner of �he property, am exclusively conVacting wi�h licensetl conVaciors �o cans�mc� �he prolec� (Seclion 7044, Business
❑ and Pmlessions CoOe: The Coniracrors' State License Law tloes not appry m an owner oi pmDe�Y who butlAs or imD�oves ihereon
ana who comracts for such prolects with a coniractoqs� license pursuant to the ConiracmrY State License Law),I am aware
tha� pmol oi Iheir Worker'S Compensation insurance shoWG be pmvitled lo me.
� I am eremD� unaer Seclion: 0. 8 P. C.
for ihis reason:
oate: Owner
I tlo �ere�y ce�ily Ihal I am aware ol and un0er5�anU ��e requiremems o� Cali�omia Health and Safery CoOe Sec�ions 2550.5, 25533, and
2553A antl Iha� I or any IUWre building occupan� willlwill no� �circle one) neetl to comDly wii� saitl siate cotles antl the requiremenis �or a
permil for canslmc�ion or mo0ilicalion Imm �he Fir Duahry Managemeni DiSVict. fle5i0ential cons(mc�ion apD�ications are exemD� �mm
I�ese pmvisions.
Uale: Npplitan�:
I here0y [ertity �hal I have read lhis applicaiion ana slate iha� the above in�orma�ion is correcL I agree b comply wi�h all ciry antl county
or0inancesand5ia�elawsrelating�obuiltlmgcanslmctionaneherebya 'erepresenlalives ' IoenteruDonlhea6ove-mentioned
properry Ior inspecii0n purposes.
�ate:.�^'�7—� Signalure.
oriuer's'License or Sociai Securi�y a: .
16aLa6 WM1ite—Bulltlinq: Green—Cotle Eniorcem ; Canary—Appllcanf. Pmk—qevenue; Goltlenmtl—Assessor
CITY ��F COSTA MESA — RUILDING PERMIT PERM NO: B 06393i
PERMIT NO; B 063932 PLAN CHECK NO: N GUVT: N SUPP: N
CONSTRUCTSON TYPE: S—N PERMIT TYPE: STR PURPOSE: REP
JOB DESCR_PTION : iEGALISE REROOFZNG, T/OFF SAEATH REROOF SQ FT: 6,000
CLAIM VALUE: 6,000,00 CALC—VALUE: 6,000.00 GROUP OCC: R-3 /M-1
COMMENTS: LEGALIZE REROOFSNG OF 3000SF RESID 6 GARAGE W/COMP SHINGLES
�r*�*�t*�*�i�***�r�r�r+��r�t�t*�rxu�r**�r*�r**;�*�r�r�;r*�r***�r*�r�u,�*��u�r�u+��*+r � x
Z U N I N GS �RTEBQAUCIKR JE M E N�������EC�OR
------------ MAIN BUILDING ---------- -------- ACCES�oRYh�Q�1t,RED___
� u1:..LJ.� ta —
FRNT: Fi IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN R�Hi; FT IN LEFT; FT IN RGHT; FT IN
PARRING RE • PkOV: PARCEL: 42515225 ZNE: REF NO;
PLANNING N T'ES> ��
1
1E 1ElE 1E 1E if 3f if iE if �lE-k 1f iE �1(� ik if !f if iE 3E iE iElE iE if 1E iE 3E iE if 1E # iE 1E iE if iE iE 1E iE �lt 1(� iE iE itlE i(� if iF �lE 1f iE 1E fE if 1F it iEiE # if if iE iE 1k # 1E'1F# iFi(�!f iE iE%iE if f4
D E V E L O P M£ N T S E R V I C E 5 R E Q U i R E M E N aT S
20NING PPROVED BY DATE; ='
BU�� 1NG APPROVED BY ; DATE: r;�
A�LICA?_TON ISSUED BY• DATE; SL l —3
iFiF iEiElEiEiEiEiElEiffEiEifiE#iEiFiEiE3E3Fitnxi'xitiF�FitiFlCiFiFiFiFiF�riFlr � iF�e�ritTex�iFiF�F�riri'e�tiEiEiF*ik�1EiE3E!lif�3F3FiEiE
iE iEiElEiEiE1EfE�EiEilif3EififiEitiE�fiE3ElFifiF9filiF-lkifdfiEiEiE3ElEifiE�fififiFik3Ei(�iEjEifiEiE3flEiPiF�F1E1EiEifiE3f�FiE�E�1E9E1EiflE-lEitiElP%-X��FitiEif
L�.�'..GALIZATION:Y F E E S�U M M A R Y STRUCTURA�. SEGMENT:Y
HLDG PMT PLUMBZNG ELECTRIG MECHANIC FIRE SMIP/RESr GRADING
PERMST 162.00 '" 66,
,� SM3P/NON—RES
PLAN 4
ISSUE FEE �" �
BOZi,DING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID !� DUE
TOTALS----> 162.60 0.00 , 0.00 162.60 162.60 : ,00
� .
REVENUE DIVISION TOiALS--> COiLECTED: 162,60 OVER/SHOkT; ,00
Bi.D62P00 PLUMB�NG ELECTRIC MECHANIC FZRE SMIP/TOT� GRAnING PLAN—CHECK
.�i
if 3f 1E if iE iE if !E �E iE iF 3f iE iE lk �IE iF if iEiE iE if if if iE 3E if iE k �e 3E 3F iE aE j! �E aF 3F if 3F 3ElE 3E 1f �f 3F 1E 3F *-If iE if iE iE �f IE 1(� iE if 1E iE If iF 1f if 1f ik ib if if iE if iE iFlF iP iE iE 7k
Z N D I V I D li A'�L F''E E B R E A K D O W N /��
TYPE Q3Y D E S C R I P T I Q�N UNIT COST �SOTAL COST
SFR 6000 REROOF BY VALUE RES%iDENTIAL NOZCINE 1,00 ,,; 6,000.00
,' ,&NP OF FEES �
� "• � i
. . 1 ��J� � `�� �
. �.• , i� AUUQ � 1J�JJ !' .
C�TY e, � . :.�. . '�
i,
� : ,!
CONSTRUCTION AND�PLANNING �� PC s SPA
-APPROVALS PermiC# Date -Inspector qppROVAIS Permit# Date I�spector
- r
-}._7emporary Elecirical Service or Po4e �52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. � - _ 53. Steel Reinforcement -
'� '
3. Electrical Conduit UtilitY-Undrgmd. 54. Forms
4. ElectriCal Conduit�Undrgrnd. � 55. Electrical Bonding �
5. Steel ReinSorcement . 56. Rougfi PVumbing & Pressure Test
6. Electrical UFEF Grnd_ � 57. APPROVAL TO COVER-GUNITE
' 7. Footings , , _ 58. Electrical Conduii-Undrgrnd.
B: Fo�ndation ;� � 59. Gas Pipe, � Undrgrnd., Test . � -
9. Water PiPe-Undrgrnd. � • 60. Backwash Lines, P-Trap, � Undrgrnd.
10. Structural Floor System � - � 61. APPROVAI TO DECK �
17. ProperiY Sewer Line & Hou;e Connection � 62. Backwash & ReceptorFinai �
12. Sewer CaP . � , 63. Heater•8i Vent-Finai '
13. Aoof Drains . �� ` 64. Plumbing System - f inaV �
14. Rough Plumbirig ' � 65. Electrical-Final �
75. Rough Electrical-Conduit 66. Solar System-Final
- 76. Rough Electric Wiring � 67. Fencing & Access Approval
' 77.�Rough Wiring Sign � ' 68. APPflOVED FOR PLASTERING
78. Rough Eleciricai-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning " FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace � � APPROVALS �.� Permit #
�..
21. DuMs, in Structure �, '. � � 70. Underground Hydro
22. Dutts, Ventilatin9 • 71. Product Piping O Gas ❑ Oii
23. Gas PiOe-Rough & Test .; 72, Underground:Flush �
24. Roof Framing � � . ' 73. Undergrnd. Storage Tank � Gas ❑ Oil
25. floof�Sheathing - ' � � ' � 74, Overhead Hydro ' '
26. T�Bar Geiling (Structural) & Monocoai 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe . -
28. Lathing�& Siding � � � � � 77. � FIXED SYSTEM FINAL
�
�
29. InsulaTion ' '" � " i j 78. FIRE PREV. FINAI •
„30. Drywall Nailing - � ', � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat :' 79, FINAL INSPECTION
32. Electriral Power Meter-Final i � � 80. FOOD CERTIFICATE ISSUED
33. Fin�i �lectric " � ' .i �� Notes:UO �� �,(y�rL �f�Q/��
34. Final Heatiny & Air Conditioning ' i � � ,
i
35. Finai�Gas Pipe-Test � � �� �,�� � ._ K� / � �,r
� ' vti
36. Hood or Canopy , � I_y �
37. Final �aCtory Fireplace � ` .
38. Final Plumbing . '
39. Water Service-Final � I ' � �
� i �
40. Gas Service-Final � '
41. So1ar pomesticFinai �
� � I
42. Backf�ow Preventer � � ' � � ' .
i
�'
43. Backtlow Irrigation �
44. Landstape Irriqation,System- _ ,
45. Sound Attenuation � ���� ' � �
46. HandiGaP Regulatio-r�`.�':, ,� � � � " �
47. FINA6 STRUCTURE•& Bt�?(LDING ,��s�3 ��;r�.� ���.,,r C{ �,��(g�l�C.�
46. FINA4 PLANNING�; ;.:_t � �
-.�
49. Electric Release to Cdison ,- � . .
50. Gas R¢lease to Soutjfefn Califomia.Gas Co � �' � , .
51. CERTIFICATE OF OCCUPANCY
No. Date
OWNER K. kT IiOT.L ('(1NS`� , f'(1 TN(' �IATE �_�'-K% �
JOB ADDRESS �'7Q Lenwood �-'�"`��nla fQ.DING PERRSIT NO. K��Q
GENERAL CONTRACTOR Ga,�e VAL[lE $ 12.9C�O.00 �
AP. No. LOT 1(1 TRACT31'j'] FIRE ZONE DESCRIPTION OP WORK RaG �ai't var _
GROUP T R. .T 7'YPE V ZONE �I. PLAN NO. r.,�.,
INSPECTIONS � DATE I SUBCONTRACTOR
BER
Gas Test
I Costa Mesa Bnilding De�eartment APPLICATION FOR PERMIT
�;, P.o.soX��� 5z�2 B�'''�LDING '
/ - COSTA MESA, ( ORNIA
FOR Or r`ICE USE ONLY
FOR APPLICANT TO P`ILL IN Receipt No. Permit No.
B"��°�"9 5260
Address '�?_ I,emaood Circle •
Costa Mesa, California Received by Date Rec'd. Date Issued
Nearest �"r'`�7 lIN R 1q!
Cross St. TllS$lri Building �
Add ress
OwnerR. 41, Iioll Const_vction Co., Inc. CostalVIesa,California
Mail
Address �z6 P:ei��ort BZVC�. � Nearest
Tel. Cross St.
City Ne O�'t �C3Cr1 ric11. No. HL15i�:11 Zon I No. of I Type r/ Group
Arohitector :115 D Lic. Plans //
Engineer ?uildz & 1. Ot8 No. App �e
Address 2p25 Net•roor�, Cotai�esa
c�t�
Contractor Oi•mer No.
Address S8-^��
Legal Lot
Descriotion No. �-�+ Block
Size of Lot 1Q9,$9 X�
4se of
Existing Bldg.
Setback Line from � �
Building
Use of New
I heretly ac4
and state th�
with all Ci1
building con
Signatureof
Permittee —
,Now on Lot I�?one
No.of I No.of
F�amilies Rooms
Rear Va�rd '%.
SideVard qj(�r
IF WORH
X � Alteration I ( Addition �
I Moving I I Demolfsh I
No. of
.'f'p- ' Rooms 5 Stories 1
Roof
�amA �4� S},t'Ic�9�e��^9 Sh�:es
;�l,r Fap+; ly Dwelling
�wledge that I have read this ?
the above is correMa�t�1 agree
Ordinaaces and Stafe' Laws �
Date
CORRECTIONS
0
APPROVALS
Foundation Location I Inspector
Forms, Materials,
Lath.
Valuatlon Pe�mit Fee $ 3d •– Masonry Reinforced
lG��/� Plan Check $ S�— gond Beam
$ / �� / 7v � Total
Fee $ S� � I FINAL
FORM 204 10�95 O. P. & 5.
D,ate
_� I
2
D
r
� ,
. ( � '.
� � �
I! � Street ` I
PLOT PLAN :
Show locatlon and distaneee irom . •�
_.
property Iine and between buildinga.
ti
ti
N
_�
:1(
-o
�
w