HomeMy WebLinkAbout852 LOMA CIR - Building PermitsPpOWNEfl 5 NAME: �, $�� LUMA CI
nooxEss: niINT ALBERT C
85Z LOMA�CIR
COSTA MESA,CA,
APCNIENGINEEH: � 7 1 4� 5 4 5— 4$ 9 3
AOOflESS:
92626
flEG.NO.:
uxiT:
PERMIT tJO: b
CITY OF COSTA MESA - BUILDING PERMIT
099610 ' Pi.AN CHECR- NO: N
CONSTRUCTIt?N TYPE: 5-N . PF.RMIT TYPE: STR
uxiT: JOB DESCRIPTION : kESHEATA & REROOF�(COMP SAINGLES)
PEFMITTEE:ALDERT C. HUNT (719)545-4893
NDDflESS: [j J% LOMA C I .
COSTA MESA CA 92626
LICENSED CONTqqCTOfl DECIAflAT10N: I hereby atlirm lhat I am Iicense0 under pravisions o� ChaDter 9(commencing wi�h Section
7000� oi Oiv��sion 3 0� Ihe Business and Pmtessions Cotle, antl my license is in lull brce an0 etlecL •
CITY LIC.: STATE LIC.: CIASS:
Date: Signature�.
WOBRENS' COMPENSATION OECLPNATION: I hereby aflirm Ihat I have a certitica�e ol consent Io self-insure ar a cetlilica�e of WorkeK
'ompen5aiion Insurance. or a cetlilie0 copy �hereo� (Seaion 3800, Lab. C�. ,
lO�ICY NO.: E%P. OATE:
COMPANY:
❑ Ceriifietl coOY is hereby fumishetl. ❑ CertifieU copy is filed wilh ihe ciry Building Oivision. ,
Oatel Applicanc
E%EMPTIONFNOMWOFKEBS'COMPENSATIONUECLAflRTION: QhiSsec�ionneetlno�becompRtedi�IhepermitisforonehunUre0�5100�or1e55).
1 ceriily Ihai in Ne petlormance al Ihe work for which �his permi� is issuetl. I shall not employ any Oe�son in any manner sa as �o become
sublecl �o the Workers' Compen5aiion Laws oI Caffomia.
Oa�e: Signature'.
NOTICE: Ii. a�ter making this tleclaralion, you shoultl become sublecl to the Workers' Campensa�ion provisions ot t�e Labor
Cotle, you must lorlhwit� comply wilh such provisions or ��is permi� s�all be deemeU revokeA.
CONSTPUCTION LENOING RGENCY: I hereby affirm �ha� �here i5 a ton5imtlion lentling agenty tor ��e per�ormance o� the woB �or
whic� Ihis permi� is i=.suetl (Sec�ion 3097. Civ. C�.
LENOEN:
ADOPESS:
OWNEfl BUILOEN DECUflFTION: I hereby alfirm t�a�'I am exemp� imm the Contractors' S�a�e License Law lor �he �ollowing reason
�Seclion 703t.5 Business and Pmfessional Cotle: Any city ol county which requires a Oermit to consiNct, alter; impmve, demolish, or
repair any slmcWre. prior �o its issuance. also reQuues the applican� lor such permit to tile a signetl's�a�ement Ihat he/she is licensetl
pursuant m the provisions ol ihe Comracmrs' State License Law (Chap�er 9(commencing wilh Section 7000) af Division 3 0l �he Business .
an0 Pmlessions Coae) or that he/she is e�emp� therelwm and Ihe basis �or Ihe allegetl exemption. AnV �iola�ion o� Seciion 703L5 by
any applicant�or a permit sublects Ihe applicani to a civil penatly af not more (han �ive huntlretl dollars (5500).
� I, as owner oi ihe pmperiy or my employees wi�h wages as Iheir sole compensation, will tlo the work, antl the
s�rucWre is nat imende0 or oiteretl tor sale (Section 7044, Business anU Pm�essional Cotle: The Conirac�ors' S�a�e License Law
does nol apply lo an owner of a pmpeny who builds or improves Nereon, antl who does such work himselflherself or UrouAh
�is or her own employecs, pmvitletl mat such impmvemen�s are not imentlea or oflered lor sale. If, Aowever the builAing or
impro�emenl is sola wilAin one year oi compleiion. Ihe owner will have Ne buraen o� pmving �e/she did not builA or impmve
lor ine Durpose o1 sale).
I. as owner ol Ihe pmpeny, am exclusively contracting with Iicense0 coniramors to consimct the pmlect (Section 70a4, Business
❑ antl P�o�essions Cotle: The Conlractors' S�ate License Law tloes not apply lo an ownerol pmperty who builtls or impmves Ihereon
and who conlrads �or such prolec�s wi�A a canlrac�or(s) license pursuam to Ihe Conirac�ors' S�a�e License Law�. I am aware
Ihal O�oo� ol Iheir Worker'S Compensa�ion insurance shoultl be pmvitle0 �o me.
� 1 am exempt unaer Sec�ion: B. 8 P. C.
�or Ihis re an:
�aie: _��� {„/ Own c
I tlo nere�y cendy ihat I am aware ol ana untlerstana ihe requiremems ol Calilornia Mealih antl Safery CoOe Sections 25505, 533, and
25534 antl IN� I or any INure builtling occu0ant wilVwill no� (circle one) need to omply wi�h said s�a�e cotles and �he requirements lor a
permit far conslmciion or mo0i�ication Imm IhE Air OualitY Managemeni Dis c1 Reside I consimction applicatio are eKempt irom
�II¢SC PtOVi5i0115. �� � ^ �j ^ �-
Daie: �v NPPIit�
I hereby cerufytha� I have reatl Ihls application antl statelh�
or0inance5 ana slatelawsrelating�o bwl0ing con5imclion antl
pmpeny �ar insp ctian purp ses
Oale: lO 2 �� Signature:G
�river's Li[mse or Social Searity a_ �-�
is correcL I agree �o comply wi�h all ciiy antl
�lalive,yo�this cilyio enleru0onlhe above�m<
tfi4na6 Wh��e—Bviltling; Green—Cotle Enlorcemenl: Canary—Ap0lican�; Pink—Revenue: Goltlenroa—Assessor
CLAIM VALUE: 4,000.00 CALC-VALUE: _ 4,000.00
PERM NO: B 04961
GOVT:`N SUPP:.N
' PURPOSE: ALT
SQ FT: 4,000
GROUP OCC: R-3 /M-1
CUMMENTS: SMOKE UETECTOR(S) REQUIREU IN HOME. �
**+�*�r*����****+�*�*+�***�****�**�x�********���*���**�**��*'x�***�r�������x����*�****
Z O N Z N G R E Q U'I R E M E N T 5
s E T a A c x s
------------ MAIN bUILDZNG ---------- ---�---- ACCESSORY BUILDING -------'--
FANT: FT IN REAR: FT . IN FRNT�: � FT ZN REAR: FT ID1
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT � IN
PARKING REQ• PROV: PARCEL: 19133207 ZNE: REF NO:
PLANNING NbTES>
� _
if iE 1E if if aE 1f jE if iE �1E jE iE af iE jf iF aE 1E if iF iE iE if ff iE iE iE iE jE 1E iE K �E iE df iF 1E 1f ?f iE 3k-1f � if iE iE?F iE jE ff jf if iE jE 3f � lE if �f ik �k if jE fE # if 3f �f �%�1F if ?E iE # ii d'r if
D E V E�L O P M E N T S E R V I C E S R E Q U I R E M E N-T.-S
20NING APPROVED BY DATE:
BUILDING APPROVED BY : DATE:
APPLICATION ISSUED HY: DATE• �i � O
iE�lEi6jfii�lf�lE�fiFfEiEiF7EifiElE1E'iPiEifiEif fff iE # r i i E E , if7E�lf�E�lEiE�lEjf'lE%; �e�lE
1EifitifjEjEiEifiFiEiEiFiEifjEjEaf3f3Ei(�iEiEiFiEiEiiiEifififiEiEifi it3EiEiF if� lfiFlEiEafifitiEiEiEjEiE�iEiEifaf*iEif?ejEiEk%3E*iEif3idfieiiiEiE
LEGALI2ATIOU:N F E E S U M A R Y STRUCTURP.i, SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 63:00 SO
SMIP/NON-REs'
PLAN
ISSUE fiEE
BUILDING-DIV-> PERMIT I5SUE PLAN-CHECX
TOTALS----> 63.50 0.00 0.00
REVENOE DIVISION TOTALS--> COLLECTED:
bLDG E'MT PLUMBING ELECTRIC MECHANIC
G3.00
TQTAL PAID ' �'. DUE
63.50 63.50 �, .00
63.50 OVER/SHORT: .00
FIRE SMIP/TOT GRADTNG .F�I�AN-CHECF:
.50
�f iE jf iF iE �E if iE i'r jE 1E iE iE iE 1i �E ik i!?k iE fE iE iE ik �E iE �)E �1F iE 1F �)k iE iF iE iE if iE iF i4 -1k jf if �E jE lE 1E iE af if iE �lf iE 9E iE if if jF iE �)f � if �f §F jE iE iE �f If %jE # iE iE �F iF ik dF iE a4
Z N D I V I D U A L F E E B R E A K D O W N J�:
TYPE QTY D E S C R I P T I O N iJNIT COST ;tOTAL COST
SFR 4000 REROOF bY VALUE RESIDENIAL NOZONE 1.00 • 4,000.00
END OF FEES
1
oz 000��;Q�-ooa�7;as-���ra�-�r
CAT'�: i0/2�t90 ??11E: �i•6:01
;, , .
,,
53.SG
�
CONSTRUCTION AND�PLANNIN� - AL & SPA �
APPROVAL$ PermiY# Date Inspector AppROVALS Permit # � Date Inspector
1. Temporary Electrical $ervice or Pole 52. Pool & Equipment Location .� � �
i r
2. Soil Pipe�Undrgrnd. � 53. Steel Reinforcemen[ ' � -
3. Electriwl Conduit Utility�Undrgrnd. - 54. Forms � • •
4. Electrical Conduit�Undrgrnd. . 55. Electrical Bonding ��
�5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test
6. Electrical UFER G:nd. 57. APPROVAL TO�COVER�GUNITE
7.� Footings -� 58. Electrical Conduit-Undrgrnd. .',7 �
8. Foundation 59. Gas Pipe, O Undrgrnd., Test ,,, � '
9. Water Pipe�Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. �
� I, r
. , �
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 f :
'
14. Rough Plumbing 65. Electrical-Final ' � �'
15. Rough Electrical-Conduit 66. Solar, SYstem=Final ,
16. Rough Electric Wiring 67. Fencing & Access ApProval , �
:
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING - �
, 18. Rough Electrical�T Bar,Ceiling 69. POOL/SPA SYSTEMS FINAL . �
19. Rough Heating & Aii Conditioning ' FIRE DEPT. REQUIREMENT � �
n : �
i `
20. Rough Factory Fireplace , ' � ' , ' APPROVALS.; �'•Permit # i
.y � � ,;
21. Dutts, in Structure � � •. •• �_ . • � � i 70. Undergro�nd,Hydro � �
22. Ducts, Ventilatin9 ;! i ' ��� ` 77. Product Pipirig O Gas ❑ Oil
23. Gas Pipe�Pough & Test �.. � . ', � �� 72, Underground Flush � �
24.' Roof Framing• X'�� •�� ��,_� �_ •..� ', y� 73."Undergrnd. Storage,Tank O Gas ❑ Oil
25. Roof�Sheathing ',;; 0,2.�q� 6(✓� , 74. �Overhead Hydro .
26. T-Bar, Ceiling (Structural) & Monocoat � ' ' "� ' 75.', Dry Chemical ' � � -' �
27. Frame and Flashinq�A `� , � , , ; � 76. Dry Standpipe ; � .{. " � � ��
28. Lathing & Siding� � * �'� ' 1 "*: �' ` : �� � ! 77, FIXED SYSTEM�FINAL� r
�� ,.� r . . . � .,� i � . , - � „�� � y '' �„
29. Insulation . . . � I, 76= FIRE PREV. FINAL +: !�:
30. Drywall Nailiug ! f, �;+ HEALTH DEPT' REQUIREMENT
, 31. Plaster Brown Coa`c � . ' � � �,79. FINAL INSPECTION � ' ,
� � � ' ��� + � SO..�FOOD CERTIFICATE ISSUED
• 32. Electrical Power Meter,Final � ,�.
� •y �
33..Final,Electric ' �� �.� _ � �, � 4%`� '� �Notes: � � � � . ;, ,�
�.34. Final Heating & Air�Conditioning_ � � � ' � ._ .3, i • � .: � a ,.,, � .
� 35. Final GAs'Pipe�Test' � ; q` ��' . , ' �"
r • i .p . :��+ a �,'
36.�Hoodor�Canopyr', ", , ' , ''�1'_� .� . .. , j � j�,
t �,i � ; � �,+ ,i
37.'Final�FactoryFireplace. ���� , ' ,��'�' �� ' ''�
� � ,i c i.'. �.�
38. Fina6Plumbing ��� � �� �� , r � ' i ' �/�� • � i �
, �.: -
39. Watei Sewice�Final � . ' �- ' ,` ' , . `• t � -
� � � . y�. �� �
40. Gas Service-Final � , ,�; ' • � , � �
i
.41. Solar pomesticFinal � � � � � �L'� � ' �
"1 I " 'i . ' 1 •
42. Backflow Preventer' � . � � ,� , . � . �
_.43. Backflow Irrigation' ' •_ � ,
44'. Landscape Irrigation SYstem : , �. i ,�i .+ 1 . ; � , ' 1 ^i „
'45. Sound Attenuation� � ' � ' ' ' �'"` �
i i �
'46. Handicap,Regulations � � � . �"-� '
47�. FINALSTRUCTURE&BUILDING p � � `�- �
.,� � � � �
48.FINALPLANNING •. ,� , � i
49. Electric Release to Edison � �'� � , +
�/� + r s
.50. Gas Release to Soufhem California Gas Co ; " :� � ; ' � , . - ' �
, .
51. CERTIFICATE OF:OCCUPANCY , • .
No. Date
�.
`�i�.:�����
COSTA MESA BUI4DINGSAFETY DEPARTMENT .
P. O. HOX 9f7 COBTA MEBA. CALIRORNIA
For Applieanf to Fill In Complefely
TYpE OR PRINT �
aooRe�ss 852 Lome Circle
COSTA MESA CALIFORNIA
■ 87ZE
�=�.� �E��il�,.-,: Nf
DEC 9 196G
to�-�s�, P��a�iyy�Uf ca D�mEs�
APPLiCATION FOR PERMIT
BUILDING .
For Office Use Only -
flECE1PT NO. qlqMJT�NO.i_
^ - PlCEIV�D !Y I DA �RECEIVlDC I ���T
/�.. 7 G
i�- �
ADDRES6 852 T.OIDS Circle �
nn �tnnn - C05TA MESA. CALIFORNIA
Gd
380o E, coa8c xignway ZONING
�� � . ZONH D_1 I NO. OF n I UB! OP NEW/ att
y� PLANB G BUILD�NO
OA�O_ <'Q� I. TEL. . LEOAL ��,[� � _ -�J �' ']� qeJy
� BCTB/�CK YNE FROM
■ BUIL�ING
NO. OF T1D68. �{ -
NOW ON LOT V A p N�
YAROS
APPROVED
_ __ ,9n � (CENT6R LIN[ BTJ
� I RIGHT S'
ON OF WORK
ROOF
COVERI�
K TO BE
.(INEREBV�KNOWLEDOE THAT 1 HAVE HEAD TH19 APPLIGTION
G(ND eTA iHAT THE ABOVe 19 CORflECT A AGHEB TO COM•
PLY WIiX ALL CITY OPD �CEB ANO BTATE WB H66VLATIN6
BUIIDING CONBTRU 10 -
SIGNATURE OF % � �
PERMITTE — o '
AUTHORIZED AGENT
APPROVED
TXC AMOUM BHOWN UN�ER VALUATION �S POR TX¢
PUFP08E OP EBTABLI9HING A PERMIT F6¢ ONLV.
$ 7�, 0 9 9• o-a I PUN CHECK
3 OWNER HU.
�JOB ADDRE55
� GFNERAL C01
�� �.141-3
�1, ecnoNs
� SOIL
GAS
� WATER
ROUGH PLUMBIN(
LOT
SPRINKLING SVSTEM
MISCELLANEOl15
ROUGH HEATING AN� AIR CONDITIONING
UNDERGROUND U POWER
ROUGH WIRING
TRENCHES FORMS �
FLOOR SYST M
BOND BEAM � STEEL RE
SHEATHING
FRAME AND FLASHING
LATHING - IN [-J OUT �
P' "ER, BROWN COAT
fURAL, FINAL
H�.., iNG. VENT.. REFFIG. AN
rc
DATE 7-3-72
BUILDING PERMIT N0. 34911
Si na�ure Date GROUP J TYPE
SUBCONTRACTOR
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
- forApplicant ro Fill in�Completely '
BUILOING Q�'ij % .
ADDRESS Q nC_ ��omA C'i Re le
— ' : � V�i
�
. c�
ON FOR BUILDING
TE RECEIVED p
��
OWNER . A.P. NO. G � �
MAIL [� , BUILDIN p���'1
ADDRESS Q�� Lom . C'i.�c -c �+DDRESS a ��
��' 1� � ' TEI. TRACT • 5
CITV T ,o � ,q No. _S�/_S u.f9i
BRANCH
ADDPESS
ARCHITECT TEL.
CONTRACTOR ����_�'f v/C�/i'J.(„�f-
f v—_
AODRESS
TEL.
CITY NO.
STATE CITV
LIC. NO. IIC. NO.
S I Z E NO. OF BLOGS.
OF LOT I NOW ON LOT,
USE OF /
EXISTING BLDG, `�()/)') �
SIZE OF NO. OF
NEW BLOG. ROOMS STORIE;
EXTERIOR WAL� Fi00F /
COVERING COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
X
OWN
FIRE -
j::� r,�:�s.as
�. _
:'- l�ueir—.
VALUE L"'Y� j
$ � �� �
_1
' GROUP
- - -- '� � �^% 7
20NE NO.OF q USE OF NEW �/��
PLAKS /.� BUILDING F'}
VARDSAPPflOVED V P O
MAIN BUILDING ACCESSORV'BUIL
(FROM C/L ET
RONT FT.
FT
If / !/ .�}/1 '
L. SIDE T� FT. / FT.
� ' �/
REAfi FT. FT.
DISiANCE BET. BET, MAIN &
MAIN BLDGS. ACCESS. BLDGS.
VAR. # DATE
C.U.P:#` APPROVED
APPROVED /.� . / /13 ' r7� �
I hereby acknowletlge that I have read this epplication and state '�' ' �� �
that the above intormation is corract and agree to conlply witti° ���
ell laws reguleting building consttuction, antl I shall not employ; � � �, , � T�
any permn in violation of ffie workman's compensation laws a���t - '
the State of Calitomia. ' •, ' � , ':1� . �
I hereby rertify that I am properly licensetl as a cOntractor untler
`� � SQ. FT. o
Me State of California Business antl Professions Cotle, Divisicn 3, 1 THE AMOVNT SHOWN UNDER VAIUATION IS FOR
Chapter 9, and [hat such licenses are in full force and effect, or L� 'THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: m
am exempt from the provisions of Me Scata of California B�siness ¢
antl Professions Code, �visionI3, Chapter 9. , VALUATION Op— m
e _ IC�!/li / G�..( � � �/ ��,� PERMR FEE $ O-- n
SI natura ot ✓ 'y�� m
Permittae �CCV �A "�"L/ '$ / q / / � PLAN CHECK $ E
. / : � V l./ `o
Authorizetl Agent ' � � LL
� TOTAL FEE $