HomeMy WebLinkAbout3027 LANGS BAY - Building Permits PROJECT ADDRESS: 3027 LANGS BAY UNIT' CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 060579
OWNER'S NAME: NANCY BLANKENBURG
ADDRESS: 3009 DAIMLER ST PERMIT NO: B 060579 PLAN CHECK NO: N GOVT; N SUPP: N
SANTA ANA
CA 92701 CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: REP
• ARCH/ENGINEER: (714 )660-0777 660-0777 EXT. 239 REG.NO.: JOB DESCRIPTION : REPLACE DRY ROTTED MEMBERS ON STAIRWAYS SQ FT: 2, 500
5 ADDRESS: UNIT:
PERMITTEE: CLAIM VALUE: 2, 500 . 00 CALC—VALUE: 2, 500 . 00 GROUP OCC; R-1 /
NANCY BLANKENBURG ( 714 )660-0777
ADDRESS:TTEE
3009 DAIMLER ST COMMENTS• SMOKE DETECTORS REQUIRED PER THE 1991 UBC IN EACH DWELLING•
+E
SANTA ANA CA 92701 ***** *****+E**************** ********* PTE+tx*****************Sr*******************
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS
CITY LIC.: STATE LIC.: CLASS:
Dale: Signature: MAIN BUILDING . ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby anirm that have a certificate of consent to sell-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.C). LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: EXP.DATE:
COMPANY: PARKING REQ: PROV: PARCEL; 93768064 ZNE: REF NO;
._] Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES>
>
Date: Applicant: *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). DEVELOPMENT SERVICES REQUIREMENTS
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. /+vZONING APPROVED BY DATE:
if"-- Date: w1)0 it)/€93 p
3 Signature: ✓-0 •
NOTICE:If.alter making this declaration,you should become subject to the Workers'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 for the performance of the work for APPLICATION ISSUED BY: . ** 4� DATE: / S'
which this permit is issued(Section 3097.Civ.C). ***************************STT���FiE** *** ***** it iF iF *************{f **
LENDER: ********************************************** *******************************
ADDRESS: LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT: Y
OWNER BUILDER DECLARATION: thereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct.alter.improve,demolish,or PERMIT 54 . 00 . 50
repair 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 the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SMIP/NON—RES
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 civil penalty of not more than five hundred dollars(5500). ISSUE FEE
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—D IV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
T(] structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'Stale License Law TOTALS----> 54 . 50 0. 00 0. 00 54 . 50 54 . 50 . 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 oftered 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: 54 . 50 OVER/SHORT: . 00
for the purpose of sale)_ 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 54 . 00 . 50
❑ 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 a contractor(s)license pursuant to theContractors'State License Law).1 am aware *****.*****.**.*.*..yH*.yH***.*****. ******,yH***,**,N,**.****,****.***.*.**.***.**,**.***,****,***,**,*,****,
that proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B.8 P.C. INDIVIDUAL F E E BREAKDOWN
for this reason: TYPE {;_ QTY DESCRIPTIO N UNIT COST TOTAL COST
f- Dale: J^(�� O /Q9.3 ��Owner: t •
SFR ! '`; H 2500 ALTER BY VALUE'. RESIDENTIAL NOZONE 1 . 00 2, 500 . 00
I do hereby certify that I am aware of and understand the requirements of California Flealth and Safety Code Sections 25505.25533,and
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a �•t., END OF FEES
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from i '
these provisions. E X P I R E D ,
Date: Applicant: ! Pte a ISn$pe;;ti
I hereby certify That I have read this application and stale that the above intormation is correct.I agree to comply with all city and county �'•�R Qts
ordinances and stele onlaws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned
property-f-o7r-inspection purposes.
/I din
Date: V y/)- er /�/3 Signature: 4-A's' {; ^�
Driver's License or Social Security I: .gYV.
1641.46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor ','J
CONSTRUCTION AND PLANNING PL & SPA
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
I
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location I
?. SoiIPipe-Undrgrnd-,. 53. Steel Reinforcement
C
8.-,E1ectrical Condtsitutility•Undrgrnd. 54. Forms
-• 4. Eleetrical Conduit-Undrgrnd. 55. Electrical Bonding •
:: 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test .-
•;} 6. ,flecttical UF ER Grnd. 57. APPROVAL TO COVER•GUNITE
T
.,,'l, Footings 58. Electrical Conduit-Undrgrnd.
1.:foundation •• 59. Gas Pipe, 0 Undrgrnd-,Test
V. Water Pipe-Undrgrnd. 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
i
12. Sewer Cap 63. Heater & Vent-Final
II 13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
t
• 16. Rough ElectricAWiring 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 4. - c FIRF� DgPT. REQUIREMENT ti
20.TRoitlh Factooi Fireplace , ; 1 i - ,; ,APPRt AIS-, :i'erntit#
- - - S - -tet -� -
21. Ducts, inStrfctur . • r _ - i, F -70. Undergrobnd,Hydro u
22...DuFts, Ventiliting , _ ,r 71. Product.P,ping 0 Gas Obit
23.-Gas-Pipe-Rough & Test 4 - - ' 1 , ,72. Underground Flltsls�'-
24.`Roo`f Fralnin9 < . '73.t.Indergrnd.Storage Tapk Ll Gas 0 011
25. •Roof Sheathing r - 74rOverhead Hydro;- •
'
26:1"T-Bar Ceiling (Structural) & Mdnocoat - . 75.>Qtry Chemical x - '
274.Frame and Flashteg• ' -1-•"x 'K 76. Dry Standgipe t - -
28 Lathing Siding ' I 1 • i. .. 77. FIXED S2 EyE,F1NALL ,., {
t
N29. Insulation i.. T ' 7827FIRE PREV. FINAR. y
'30. Drywall Nailing _ II` :; HEALTE bEPT REQU1RtVIENT
,_31. Plaster BFoWJT Coat: '- ! :i (• 79. FINAL INSPECTION . , - `
V32. Electrcal Power Meter-Final i `,"- l< 180.'.FOOD CERTIFI'CF,TE ISSUED
r33. inat Electric- -.c - I I k '.. Notes: t f: 7.3.!T.
"''34:-Fine) Heating1.& AirConditiohing _ I r': = •` - S -
1..35; Final Gas Pipe-Test - -- `n... l;-- - -
36. Hooc; or'-Canopy - _ I z .F _o
,37.final,FactoryFireplace,` - I 7 . T ... -r. -�
-38. Fina' Plumbing - • i - .. - x L4. .
"39. Water Service-Final" - 1 .L' w �. •
V.Z.40. Gas Service-Final - - rI -N' '
`'41. Solar DdrneStfc-Final - -• j i t, ' - _ •
_
X42. Backflow Preventer. I I• - - - -
14 't 1
43. Backflow Irrigation. - - . - -
T44. Landscape it'rigaF;on Systems = - - = '" •
^ ` .{ �•' .r -
C r r ,Q >- -
YK .r - - A .f
• 45.:Sound Attepttatidry. ',- - ..
X46. Handicap Regulations : _• - _
., r.-...-4 . - I I 1.' - r- _
47.-cINAL STROCTUEeE & BUILDING i j t -. '' - ' _ >
48 FINAL PLANNING4k
�49.'Electric.Release to Edison I, '` > a• _
4HI to Southern California Gas Co • I 1 I < C y r •. - •
151. CERTIFICATE OF-OCCUPANCY " ^ = s r
No. Date
LIMITED STATEMENT ....- RESPONSIBILITY - Bldg. Permit # 136 O5—.71
TO WHOM IT MAY CONCERN: This Permit'k
Croyden Bay
Wesleyan Bay
Grayling Bay and Elmira Bay
Street Address AP Number
1, Nancy Blankenburq , as Ownerirriitle of the above referenced
property, do hereby authorize:
Bob Rice (714) 642-6413
Name Telephone No.
352 E. 19th Street
Street Address
•
•
Costa Mesa, Ca. 92626
City State Zip •
* •
to obtain permits in my behalf, as-ommeMbuilder, for Pentridge CoveT Hom own ra Assoc.
at the above referenced property.
Should any person become an employee engaged in the improvement of the property, I shall
immediately provide Worker's Compensation Insurance coverage and cause a certificate of that coverage
to be filed with the Building Division of the City of Costa Mesa, as required by State of California laws.
As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other per-
son, company or corporation.
I agree to indemnify and hold the City of Costa Mesa and its employees or officers harmless from any
claim resulting in damage or personal injury to myself or any other parties.
. • - * • • _ January 7 . 1993
- � Printed Natjk4z Date
r4--C¢_
aturSIGNATURE WITNESSED BY
6 J. OUELLETTE - OTARY .ON
*Account Executive JAN 7 , 1993
NOTARY PUBLIC
4;1 STAT E OF CALIF
ii=ya . County of Orange
J. OUELLETTE
0779-46 rev.6.87 •. Commission Exp.Jan. 16. 1993
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LANgS Lay 3021.2 3,26 27' 291 $7.G853 9/12/79 l2� 97 T:
• COSTA MESA BUILDING-SAFETY DEPARTMENT AFFIX ..'FOR STRUCTURAL PERMIT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 Y
I
For Applicant to Fill in Completely - Use Ink Only
8170/ P41761 N°
BUILDING
ADDRESS Tract 10626. A A.P.NO.14-011.—at 10 II t 412-121-2_
/.tel/L✓0/J7 /t / /s, st,
BUILDING c ( 1 lbaq + /j '-1S gars
OWNERORM.D. Janes CO., Inc. ADDRESS yy L t• I I�
TENANT
UNIT
MAILING 2950 Airway Ave. , D-9 SPACE N NO.
ADDRESS
TR.NP`la 62.6LOT BLK.
CITY Costa Mesa NT
O. 979-3376
CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH
LENDER Not selected �/
BRANCH N/A /�
OWNER
ADDRESS N/A VALUE
USE $
ARCHITECT TEL
OR ENGINEER Danielian & Assoc. NO.546-3693 v
Flee— 4 M '
ADDRESS 3848 Campus Dr. , N.B. ZONE 7 TYPE V GROUP J) ,-7
APPROVED
CONTRACTOR owner BY DATE
ADDRESS e
TEL.
CITY a NO. e
it
ow STATE CITY APPROVED SETBACKS
LIC.NO. a LIC.NO. e
lal SIZE NO. BLDG .
(FROM C/L STREET)
O. OF LOT 550' x 334' INOw.OF ON LOT a FRONT FT.
•
a USE OF
4 EXISTING BLDG. N/A R.SIDE OA FT. '
4tiA -^' .
F
Separate permits are required for L.SIDE
( electric,plumbing and heating work. REAR FT.
(W., USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
Q 24 tb1 Pc,„,-) ` 74?-6'74?-6'9'A APPROVEDz.bi
/71
�J.
ROVS�IIKDATE/42 // '. x /�. JZ 4/// o/ � AB
IX
al
•
0 I hereby acknowledge that I have read this application and state c.
(Y that the above Information Is correct and agree to comply with
d all laws regulating building construction, and I shall not employ ,
Z any person in violation of the workman's compensation laws of 646
' �JL
the State of California. ��106R m \
ct 47O
I hereby certify that I em properly licensed as a contractor under ' S . FT. r
• 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 end effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e n
am exempt from t , provisions of the State of California Business \
VALUATION PERMIT FEE $
and Professions Co.e, Divi ' n 3,Chapter 9. re
Signature of
i
` // '7�-,� �` PLAN CHECK E 09 90 my�^,�pQ,�
Permittee ' S V "tu(l.U✓ TA% S /7V m� A "JAuthorized Ag- . 8/17/79 TOTAL PAID S 7 U
•
�, li •
_
CO
COSTA MESABUILDING FEYART, APPLICATION FORSTRUCTURALPERMIT �0 ; TI
P.O. MESA,
RECEIVED BY 1PERMITlii 76/
For Applicant to Fill in Completely— Use Ink Only ''!!TT!! /
BUILDINtZ /O , /) / Q_-� 3 A.P.NO.
ADDRESS (�L(O `�((,fy
BUILDING
OWNEROR ADDRESS
TENANT
OR
MAILING SPACCE NNO.
ADDRESS SPA
TR.NO. LOT BLK.
CITY A TEL.
NO.
ODNSTR 0 NEW ADD ALTER REPAIR MOVING DEMOLISH
LENDER
BRAN ay
OWNER
ADD-ESS VALUE
ARCh ITEC TEL. USE S
OR Eh GINEER NO.
ADD 55 ZONE TYPE GROUP
APP
DATE /Z z---/it`7/7'f�
CONTRACTOR BY
ie
ADDRESS
TEL.
CITY NO.
I—1
i•-• STATE CITY APPROVED SETBACKS
LIC. NO. LIC.NO.
SIZELLI NO.OF BLOCS.
(FROM C/L STREET)
Oa OF LOT I NOW ON LOT FRONT FT.
Q USE OF
cn EXISTING BLDG. R SIDE FT.
V)
FSeparate permits are required for L.SIDE FT.
C electric,plumbing and heating work. REAR FT.
F
USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
a
_c
DATE
`� APPPRR
OVED
›' APPROVED
3-, .$Y DATE
iool
IY
W
0 I hereby acknowledge that I have read this application and state 0
CC that the above Information is correct and agree to comply with —
Li all laws regulating building construction, and I shall not employ
Z any person in violation of the workmen's compensation laws of ef
S the State of California. m
I hereby certify that I am properly licensed as a contractor under SO. FT. 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 enses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE/ONLY: m
am exempt from Le prov' ions of the State of California Business VALUATION IbYs� �Q o
and Professions ••:,DI Ilion 3, Chapter 9. PERMIT FEE S ,n
— n
.PLAN CHECK S no
Signature of 0
( / L.
o
Permittee 5 TAX S
or i i U
Authorized A• n sate
TOTAL PAID 5 ' 0 AD