HomeMy WebLinkAbout905 TANANA PL - Building PermitsOJECiA008ESS: �y`O� �H.�\I�hA Pi
OWNEP'SNPME: f�A^�'�Oti� D��G•as �
aooeess: o`,OS "t1NANA PL
COS'iA M�SA,CA 92626
540—�'127
AflCHIENGINEEfl:
RODflE55:
PEG.NO.:
UNIT:
UNIT:
PEPMITTEE:DOUG.AS WA'�'SOaU (%14��J9�—.J%i%
nnoness: g0� THNANA PLAG^
COS';A M�:SA CA 92626
LICENSEO CONTNRCiOB oECUPR7lON: I nereGy atlirm �I�a� I am Iicertse0 untler o�ovisians of Chapter 9lwmmencing with Section
1000) ot Drvision 7 ollne 9usiness antl Prolessions COae. anG my license is in IUA lorce an0 eilect.
CITY IIC.: STRTE LIC.: MSS:
Oa�e: SignaWre:
WOflKEflS' COMPENSATION OECIAMiION: I �ereGy atlum Ilut I hdve a cenilitdte of mnsent to selfinsure or a cenifitate of Warkers'
Compensation Inswance, or a cetliliee cooY �nere0f �SecGon 3800, LaU. C).
POLICY NO : E%P. O�TF:
COMPRNY:
❑ CendieE w0Y �s here0y Wmishetl. ❑ Certiti¢G copy is ftled with Ne tlry Buil�ing �ivivon.
Dale: Applicant:
E%EMPf10N FNOM WOPKFflS' LOMPENSITION OELUIIA710N: (iti55ecLon nuG nW Ee mmqe;eG it Vrt paml a ta ane MiMreO (5700) ar less�.
I t¢tliiy Ihai in I�e p¢dormante 01 f�e work for whk� I�is p¢rmii is iSsueG. 15Aa0 noi em0�oy any person in any manner so as �o b¢wme
su��ttt to tne wa�keri tompensation Laws ot Califomu.
�aie'. SignaNre:
NOTICE: Ii, after maki(ry Ih5 Ce[Iaraiion, you 5MN0 Cecome subjeci to Ue Workers' Campen5aiion O�ons ol Ihe Labor
CoCe. yrou musl ton�wii� compty wi1� sut� O��s�ons or thi5 permit s�all Ee deemed revoketl.
CONSTflOCTION LENUING PGENCY: I �ert0y aHirm ItWI ��ea is a caRtruCtion IenOing aqenty for Ihe DeAormante al [he work lor
wnicn inis permit is issueJ ISeciion 3097. Civ. CI.
LENOEX:
ADOflE55:
OWNEfl BUIIDEB OECUN�ITION: I �ereby allirm ttut I am e.emD� <<om t�e Convacmrs Slaie Lkense Law for ihe iWlowinq reason
�Seciion 7pJL5 Business anU Pro�es5ional COEe: My cily ol COuniy whic� re0uites a permii �o COn5imcl, al@r, improve, demalis�, or
rzpau any sirutture. Onor to i6 issuance. al5o repl[tes ine appficdnt for wt0 Oermit to Iile a si0ne0 statement thal he/sne $ licensea
pursuam io I�e o�ovisions ol I�e Contractors' State License Law (Clwpter 9(wmmencinp vnt� Section 7000) oi Division 3 0l tAe Business
an0 PrO�¢SSions Coaq or I�al �eR�e 5 e+empl I�¢r¢IrOm anG I�e Oasis lar IOe allege0 exemp�ion. Any vplatbn o� S¢clion 7031.5 Gy
any a00�iWn1 lor a permii wCjecls IM appliCant to a civJ pmdlty ol nut more itWn live �untlre0 Gollars (SSOU).
1, as owner al i�e D�ocehY or my em loyees wit� waqes az Iheir sde wmpensa�ion, vNl Go the work, anA �he
O si��<w,� �s �o� ��m�aae o� oa:�ea i� �ie �gec�ron 70aa. Busineu an0 Pmlessional CoOe: T�e Lon[raciors' State License Law
Ooes not apD�Y �a an owner al a pmperty wM balds o� improv¢5 ��er¢on, anE wtp tices such wark himselUhersell or f�mu0�
�is o� Aer own employees, proviC¢G Ina1 such im0�avements are nol imenGeG or oflereG Por saie. II, however Ihe 6uil0in0 or
imDmvemem is sol0 �nlhin one year ot completian, I�e owner will have t�e GurEen ol O�ovinA he/s�e EiJ not build or impmve
lor Ine pur0ose ol salei.
I, as owner oi tne pmDeny. am exclusively romracting witn Iicense0 cantractars to canstmc� �he prole�� (Section 7044, Business
❑ an0 Professiws COGe: T�e Contracto6 Siate License Law Upes m� apDN �o an wmer nl Droperry wtq Wilas ar improves ��erean
antl wno ronlmtls lor sucn pmie�is witn a coniractorls) license vursuant to ine Contractors' State License Law�. I am aware
I�al D��� o� I�ei� Wo�kBr'S Compensa�ion insurance SIwuIG G¢ prOvi0e0 to mC.
� i am e+emot untler Section: k� 7 � G G e. s v. C.
lor oIhis �rea/son: A� ', '+�1QRiC BY �V:�VGR
�aic: —[ , VD � � � Owner:,
I Eo �ere�y ceriily IAaI I am aware o� anE unEers�anE ��e �epuiremen�s 01 Ca
25534 and t�at I or any lulure �uildinp occu0ant wilVwill noi (circle one) neeG
permil lo� cW9mclion or m00diWtion trom the Air uaLiy Managemenl Oi5
�nese Oro/v�isions V �
'baiE. —/ " � � Nppb[ani: _
I hCreOy tetldy Ihal I �ave rCaA I�is ap0litation anA S�ale �ha� �he abo• inlOr
or4manCesanOSla�elaw5relaling�o�uilQingtonS�mCli0nan0�ere0ya Ilroriie
properly brinsoec�ion purpases
�aie: q!V O V �� Signalure: _�jL
—Driver's License or Sociai Security •: �, �_
Pink—Revenue; Goitlenroa—Assessar
,..
�
CITY OF COSiA MESA — BJILDING P:iHN!"; ?t:�iN. f�0; B 0�9iu�
PERMIT NO: B 059852 F�LAN CdECR NO; N GnVT; N SUP �; �V
CO,USTRJCTION TYPt: V—N PERMIT TYP�: S'I'R PJ�PUSr;: A,,;
JOB DESCHIPYION ; T/OFF REROOF W/HAttDZSHAKF. ICH011492`� SQ FT; 3,OOD
CLAIM VALUE: 3,000,00 CALC—V�t: 3,000 00 (;�:OUP OCC; tt-3 /
CUMN,ENTS: SMORE I)hTECTOti R��L�RED �� � �
?f�1F�ik�kifi:#iE-Ift#ieihiEiE#i(iFdE�lM7i�i(�IE�1(Y. #IEK�IF#ki(%�iF#ifNk�7tiEiE�X�kK1FNifkM#�9f%iE%%if%::::#Kil1F�;,Xi.#fF#:'%;:�t::
Z O N i N G R�: Q 0 I k[: N, �' U T S
sETaAcxs
------------ NiAIN BUILll1NG ---------- ---------- ACCESSORY L)GIi.DING - - - --
FRNT: FT 1N REAR: FT IN FRNT; FT IN REAR; b': �;e
LEFT: FT IN RGHT: F'i IN LEFT: F1' IN RGHT: NT IN
PARKING REO• PROV: PARCEL: 4180�2i5 'LNE: R�:F' UO:
PiANNING NG'f'ES>
i
+�*�##*+�+t,�*x�xrrtrtrrr��*��t�x*�r�+ru#�***##�rrxux***#�#*�*�eu*�*��t#tr*��###*�r�.�x��tt�x*tt*
D E V t i. O P M E N T S E R V T C c S R E Q v I R E:: E ti,i_S
,.a�_
20NING APPROVED BY Di1TE;
BUILDZ:�G APPROVEil BY : vATE; �1
APPi,iCATION 'SSUED i3Y; ` DATc;; L Ir�2�
iF#?E###NiFfi�#iElkif##ikif�l(####if1e3F�iF�xiFiFxxiF'u?r�7f3'EfTirTr�ft�. - t�'�'a�ir�'ex�A1.i'.�#Y�KCS:".:lt#+rx�rxxxs.x�s:r#:�
ifiE�kiE1f#3f#fFif#iE1E1FifIFiEifiEikK�:E#iE3Flf#if#ikfEikiE1E###if##14##fEiF#ifRfF#ih#i(14###�7E###K �It##!E#lE3E#?E#;:#�A��3r
LEGALI2A'I;ON;N F E E S U M M A A Y STdUCTuHA:, 5�GMr.,�.';Y
BLDG P:!T PLUN,BINC, ELECTRI� 'M�CHANIC FI�it SMIP/RES Crti,J_.e^v
PERMIT 59,00 � �„ 50
PLAN _ ' % �• Si;iP/VOti-}lr:S
ISSUE E'EE
BUILDING—DIV—> PERMIT ISSU� FLAN—CHKCK. 1'OTAt, PAID D'uI'-.
TOTALS----> 54,50 0.00 •0;:U0 54,50 56.'.,0 .00
1" :
REVENUE DIVIS�ON TOTALS--> COLi�CTF.D•'. 54.�0 OVr.R/Sr:Od'": 00
BLDG PMT PLUMBING tLECTRIC M�:CHANIC • NIRE SMZP/YOT GRADiNG PLAN—Cdr.CK
54,�0 ,J�
iE?fil�iE%�iEiEiflk###�NlEM##fFiE###1tiEih##fE!!�##iE1F?kk#itk#ifikil�itffih9E#Ikih#�Fffft#K#ttk`%#iF��lk###i(tF%Y.#?Ft:uK ::.#Y
1 N D I V I D U A L k' „k'. � B R E tl K D O W V
TYF�E QTY D E S C R Z P T I O N� i1NIT COST 't'OiiHL COa':
SFR 3000
R�.ROOr' HY VAI,U�: RESIDEN'�IAL NO'LONE :, 00
END OH' FE�S
9
3.000.00
' CONSTRUCTION AND PLANNING POOL & SPA
Date I�spector Date Inspector
APPROVALS Permit # APPROVALS Permit #
�� 1. Temporary Electriwl Service or Pole � 52. Pool & Equipment Location �", - �.,
2. Soil Pipe�Undrqrnd. 53. Steel Reinforcement ,, • '
3. Electrical Conduit Utility-Undrgrnd. 54. Forms �
4. Electrical Cond�+i�Undrgrnd. � 55. Electrical Bonding �� � f f�
5. Steel Reinforcement 56. Rough Piumbing & Pressure Test ; '
6. Electrical UFER Gmd. 57. APPROVAI TO COVER�GU��ITE
7. Footings 58. Eiectrical Conduit•Undrgrnd.
8. Foundation 59. Gas Pipe, O U�drgrnd., Test ,�•
9. Wa[er Pipe-Undrgrnd. 60. Backwazh 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 �
_ , -r:
73. Roof Drains 64. Plumbing SVstem � Final .. .
.'
74. Rough Plumbing 65. Electrical�Final � �`
i
15. Rough Elecirical�Conduit 66. Solar System-Final `� � '.
76. Rough Electric Wiring 67. Fencing & Access Approval R ti
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING '
18. Rough Electrical�T Bar Ceiling 69. POOI/SPA SYSTEMS FINAL
19. Rou9h Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Dutts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil
23. Gas Pipe�Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O 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
t i
29. Insulation ' 78. FIRE PREV. FINAL
30. Drywall Nailing � � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION .�r
�
32. Electrical Power Meter-Final ; i � 80. FOOD CERTIFICATE ISSUED !'� ..
i.�.
33. Final Electric �� i , •- i Notes: ((/LO/Q� � �,� _�� `
���r.
34. Final Heating�&:Air Conditioning t
35. Final Gas Pipc-Test i � Lt/ (�
36. Hood or Cano�Sv 1 _ � �� �3 - - - C�I �
<
37. Final Factory Preplace � �
38. Final Plumbing? � ,
39. Water Service-F�nal ' �
i
40. Gaz Service-Final � ,
41. Solar pomestic-''Final �
42. Backflow Prev�er �
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING (//,��3,
/i
48. FINAL PI.ANNING (
49. Electric Release to Edison �
i
50. Gas Release to Southern California Gas Co �'
51. CERTIFICATE OF OCCUPANCY
No. Date
. ����g
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill In Campletely
TYPE OR PRINT
ADDRE'8D 90 Tanana Place
COSTA ME3A. CALIFORNIA
7lL.
l:1
oF i.or 60 x l00 "no°i °on `'°°'' 0
USE OP
E%ISTINO BLDO. r
clN�T¢N OP YThetTr � 4� � RGR YMD' �
8ID6YARDI L�PT � RIOFIT �
DESCRIPTION OF WORtC
NEW I X II1tTf��TIffNI I�NI'1�TINM
$.l MOOM9 V QTONitI 1
hed
1 H6R6BY AGRNOWL[D06 TIIAT 1 MA1R II6AD TMIB MPLIGTIOH
AND BT�TH THAT TX6 AGOV6 1� CONP6R�AND /�aRE[ TO COM•
PLY WITH ALL CITY OpDINANCfO ANO RAT[ L11WY R[OUtATIXO
sUILO1N0 CONBTRURION. !^✓
61aNATUREOP � I� .� _ . . �
PHRMITTi�' �-� �^^-aa...�
AVTH011IZiD AQ[NT
PAID # *�* ��
FEI3 17-67cMSAbO 71 G i9.G0
APPLICATION POR PERMIT
BUILDINf3 .
Fo► Offlce Usa Only
ZONING
NO.O� YitOIN[W
�LANt � lUILDIflY
L[OAL
�. NO.
f6: NO[AV60V[11HANO8HALLBBLlBBTMAN
' TO SIG[ A RiAR P. L
�E8
_OW[D -<U.B.C.REQUINHMENTI
YARDBAPPROV6D YARDSAPPROVHD
MAIN BUILDIN6 ACCEiHORY BUILDIN6
tOMC/ STJtQIT)
)NT ��FT. PT.
�� — _
VAR. �j
��10 � ea. Rr.
n�i wrounr eH6
�YRPOO[ OP CD1
VALUATION
:�� �5"y
DATH
a
m
�
�i � �
0
UNDHP VALU�TION IB !OR TIIC j
IBHINO A P6RMIT �68 ONLY. �3
�/ 6 � �
PERMIT FEH $ �
�3- �
C�j
TOTALFE! S /7