HomeMy WebLinkAbout1653 TEXAS CIR - Building Permits •
CITY OF COSTA MESA
49 BUILDING DIVISION
ers
F rrlin,all DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
PERMIT
``once so 602-01329
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 1653 TEXAS CI Status: ISSUED
Suite: Applied: 08/21/2002
Vicinity: Issued: 08/21/2002
Parcel Number: 13907335 Zoning:
Applicant: CHARLIE JONES ISSUED BY: SA_
Address:
Phone: 909-739-7663
Zip:
Owner: DOERING, HOWARD W TR
Address 20231 KAYNE ST
Phone:
CORONA,CA Zip: 92881-4428
Contractor: THE ROOF STORE
Address: 1222 MAGNOLIA AVE#105-219
Phone: (909)739-7663
CORONA,CA
Zip: 92881 License: 760394
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
T/OFF AND REROOF 1250SF RESIDENCE W/COMP SHINGLES.
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: 52,200.00
Permit: $83.25 Claim Valuation: $2,200.00
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
•
Total: $83.75
PLANNING & ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 Required: 0 Proposed: 0
NOTES:
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§ 1, 12.21.92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
244646(6/00)
DECMI'I fl TIONS
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations: ,
❑ I have end will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit Is issued.
❑ I have and will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Is issued.
My workers'compensation Insurance carrier and policy number are: ��C__�O�
Carder: 5 Tdc r--e, Fm-4,4.,L Policy Number: arc
-796_3
section need not be completed it the permit is valued of one hundred dollars($1 )or less.)
❑ 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 and agr that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provid s ,J ^
Applicant Signature: ?/"L/I � / Date: 8--P/b-_
-41 WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,0011),IN ADDRION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I em IIsed under provisions of Chapter 9(commenting with Seaton 7 )of Division 3 of the Business a d Professions Code,and my license is In full
force and effect.tic.4 �4 O 7? Class 0 � t..7 //L .
-9. Contractor's Signature: �C) 9 -.—...---- _/ Date: Q"-a/-O )— t)P. 3-31-O?
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is Issued.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,Improve,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)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not Intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or Improves thereon,and who does such work
himself or 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-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feel in depth Into which a person Is required to descend,will be made In connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-slx(36)feet high.(Chap.3.2,Grp 2,An 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person hes e
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No -
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑Ves ❑No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 if an RMPP is presently required,has Section 25534 of the Celifomia Health and Safety Code been fully compiled with? ❑Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application appermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? D Yes ❑No
(Section 65850.2 of the Califomla Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Qualit Management District or other air pollution control district or agency is required for the work which Is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
B (If'yes,attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penally of perjury the information given above Is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct.I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
ch ' ^ ignature Of Legal Owner(s) Dat
And/Or Authorized App ice Date
CODEI INSPECTION TYPE MI MALS COOP! INSPECTIONTYPE 21L lI{1mAl$
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final Pin
j� 208 Final Plumbing
200 Final Re-Roof 0 B_Z 7 `& (ice^ 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Flre Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
CITY OF -OSTA MESA PROPERTY DETAIL REPORT .
1653 Texas Cir
Costa Mesa, CA 92626-2238
Owner: Doering Howard W Phone:
Resident: Phone:
Site Address: 1653 Texas Cir Tax Address: 20231 Kayne St
City/Zip: Costa Mesa/92626-2238 City/Zip: Corona/92881-4428
Parcel Id: 139-073-35 Own. Occ.: Yes
Location: Costa Mesa City School District: Newport-Mesa Unified
Neighborhood: Unknown Census Tract: 063805
Wealth Code: 8.0 Year Listed:
Legal Desc.: N Tr 6613 Lot 10
Zoning: Unknown
Subdivision: Unknown
Usage: 001: Single Family Residential
Style: Unknown
Construction: Unknown
Year Built: 1971 Ttl. Rooms: 7 Blktop Paving: Unk.
Stories: 1 Bsmt.Type: Unknown Coned Paving: Unk.
Bdrms: 3 Bsmt. Fin.: Unknown Carport: No
Baths: 2 Full Gar. Type: Attached Garage Deck: Unk.
Heating: Unknown Gar. -Cars: Patio: Unk.
Cooling: Unknown Gar. Sqft: Pole Barn: Unk.
Irr. Lot: Unknown Roof Mater.: Unknown Pool: No
Terrain: Unknown Roof Style: Unknown Fireplace:
Water: Unknown Attic Type: Unknown Gas: Unk.
Sewer: Unknown Condition: Unknown Electric: Unk.
Sqft 1st: Lot Dim: Units:
Sqft 2nd: Lot Size: .149 acres
Sqft Bsmt: Lot Sqft: 6490.44 sq. feet
Sqft Total: 1770
Market Value: $66,708 Gross Tax Semi Ann.: $462.64
Assessed Land: $17,781 HB920 Credit Semi.:
Assessed Bldg: $48,927 RB Credit Semi Ann.:
Assessed Total: $66,708 RBA Credit Semi.:
Percent Improved: 73% Homestead Exemption:
Delinquent Taxes: Spec.Assmt. Semi.:
Tax Semi Ann.: $462.64
Sale Date: Oct-04-1990 Mortgage Date:
Sale Amt.: Mortgage Amt.:
Deed Type: Other Mortgage Type:
Volume& Page: Volume& Page:
Seller: Lender:
Title Company: Unknown Mortgage Term:
Multi-Parcel: No Mortgage Rate:
The information is deemed reliable but is not guaranteed. 2002-2003 Tax Year Copyright 2003 Haines Printed Aug-19-03
SOUTH ORANGE CA
PRO:CT ADDRESS: UNIT:
OWNER'S NAME: 1653 TEXAS CI CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 070928
•
ADDRESS: DOERING HOWARD I^1 TR
1653 TEXAS CIR PERMIT NO: B 070928 PLAN CHECK NO: N GOVT: N SUPP : N
COSTA MESA,CA 92626
CONSTRUCTION TYPE; 5—N PERMIT TYPE: STR PURPOSE; ALT
ARCH/ENGINEER: 597-2899 REG.NO.:
ADDRESS: UNIT: JOB DESCRIPTION : T/OFF RESTH & REROOF W/HOT MOP SQ FT; 1 , 024
PERMITTEE: CLAIM VALUE: 1 , 024 . 00 CALC—VALUE: 1 , 024 . 00 GROUP OCC; R-3 /
ADDRESS: PERFECT COVER ROOFING (714 ) 434-1566
((�((3'�33'0T jn3 HARBOR BL ((`�jj�� qq 776 D-5 COMMENTS: SMOKE DETECTORS REQUIRED PER 91UBC
oR DECLFRAT q'TI22$ ET prb g9c9 Vr ififififlfi ***lflf'M'1Ellifif****1FiEiflf***)f#lfifiEiEiFjElflEafll4llf+fM***lEififlflf***1r-ififlfiEM'3E�67E?E***I ***********
LICENSED CONTRACT 10 y affirm that I am licensed antl vrs nd e a er 9(commencing with Section
7000)0l Division 3 of the Business and Professions Code.and my license is in lull tome and effect. Z ON ING REQUIREMENTS
CITY LI .: STATE LIC.: CLASS: SETH ACK S
040 5 622516 B EXP : 08/95
e. _ _ CI. , signature: _� _ MAIN BUILDING ACCESSORY BUILDING
ERS'COMPENSATION DECLARATION: thereby affirm that I have a certificate of consent to self-iinsure 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.: 1263623-94 EAP.DATE: 07/01 /95
COMPANY, STATE FUND PARKING REQ• PROV; PARCEL ; 13907335 ZNE: REF NO:
❑ Certified copy is hereby furmshe - liJ Certified copy is filed with the city Building Division. PLANNING NOTES>
L. LJ Applicant: Il *******************************************************************************
ION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hu ($100)or less). DEVELOPMENT SERVICES R E Q U I R E M E N 'T S
edify 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.
ZONING APPROVED BY DATE;
Date: Signature:
NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY •
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. DATE:
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for
which this permit is issued(Section 3097,Civ.Cl. APPLICATION ISSUED BY; � DATE; u." 4 C
*************************************** ******************** **
LENDER:
ADDRESS: **********************************************************at***4fat**************aE
AL
LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish.or BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SHIP/RES GRADING
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed PERMIT 27 , 00 , 50
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business
SHIP/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($500). ISSUE FEE
I. as owner of the properly or my employees with wages as their sole compensation, will do the 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————> 27 . 50 0 . 00 0 . 00 27 . 50 27 . 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 offered for sale. If.however the building or
improvement is sold within one year of completion,the owner wit have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED : 27 . 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 properly.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business • 27 . 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 protects with a contractor(s)license pursuant to the Contractors'State License Law).fam aware
that proof of their Worker's Compensation insurance should be provided to me. *******************************************************************************
❑ I am exempt under Section: 8. a P. C. INDIVIDUAL F E E BREAKDOWN
for this reason' TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner:
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and SFR 1024 REROOF BY VALUE RESIDENTIAL NOZONE 1 , 00 1 , 024 , 00
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 END OF FEES
permit far construction or modification from the Air Quality Management District.Residential construction applications are exempt from
these previsions.
Date: Applicant:
I hereby certify that I have read this application and slate that the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned
property for inspection purposes.
/ �, S Signature: 0100175/30/90175775 TOT 27.50
� / DATE; 01/30/95 rtmE: 14:54
s License or Social Security
Applicant;Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNING POOL to
APPROVALS Permit# . Date Inspector APPROVALS Permit# Date inspeetot
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
9. Water Pipe-Undrgrnd. I 60. Backwash Lines, P-Trap, ❑ Undrgrnd.
10. Structural Floor System I 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection : 62. Backwash & Receptor-Final
� I
12. Sewer Cap I 63. Heater & Vent-Final
13. Roof Drains I 64. Plumbing System - Final
14. Rough Plumbing I 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 Hvdro
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 .
35. Final Gas Pipe-Test, '
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer '
' I
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation •
46. Handicap Regulations .�•
47. FINAL STRUCTURE& BUILDING 2-3_15- 6,1/24 - •
-
48. FINAL PLANNING -
49. Electric Release to Edison -
50. Gas Release to Southern California Gas Co •
51. CERTIFICATE OF OCCUPANCY .
No. Date
tanco development corporation
July 5, 1972
Mr. D. Grant Martyn
1657 Texas Circle
Costa Mesa, California
Dear Mr. Martyn:
Due to the fact that your home was originally a model,
the driveway was poured in a non-continuous pour.
Because of this fact, the City of Costa Mesa has required
us to submit a letter signed by the owner which would
release them of any responsibility relating to the
non-continuous concrete driveway. This must be done
by our office before the City will allow us to final
this tract.
Therefore, we would appreciate your signing this letter
at the place designated for your name at the bottom of
this letter. Your signature will relieve the City of
the above mentioned responsibility. If you have any
questions, please do not hesitate to call.
Sincerely yours,
TANGO DEVELOPME CORPORATION
W. Curtis Cover
WCC: jm
rlau IAcc ± Cylo.A.,th
D. Grant Martyn
Witnessed by:
P.O.BOX 10133 • 1104 EAST 17TH STREET • SANTA ANA,CALIFORNIA 92711 • (714) 547-9673 J
Clif OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT NO. 41,A7 _3 DATE - Z--
LOT NO. / ))
ADDRESS /(S3 / ex c s 6'2/r-‘ c(e C-M
The developer of the above entitled tract desires to sell the above set
forth lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledges that
(he-she-they) (was or were) advised that this tract has
not been given final inspection nor has it been accepted by the City of Costa Mesa
as having complied with the conditions of approval which were imposed by the City
at the time the final tract map was approved.
The City assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the City harmless from
any claim resulting in damage or personal injury to the undersigned by reason
of the aforementioned uncompleted condition.
BY lGt�/
&P-' r
Purchaser
szsr /
//
RECEIVED B Pr.Developer and/o aQ ..rized
CITY OF COSTA MESA representativ:
PI INNING DEPT.
MAY 10 1972 BY
AM Lender
71819i011it1225
I I I ' I I I i14 1 ,s 16
A
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CiTY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. -• • ,
Project Address 1653 N Texas Cr. g 3 0 IGS
-r Applicant's Mailing Address 126 Commercial, C.M. 92627 TYPE OF CONSTRUCTION LJ NEW LJ ADD 7t2d ALTERATION LI REPAIR
Ownel s Name Howard Doering Phone 557-2899 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# Zone
Address 1 53Texaa_{ ., C.M. 92626 4-pirflte$gf O IOE 05ROLGa-rY: !.h _•• . 1 a S Main Building: Accessory Building: {
E Z
AMh/Eng. License No. TYPE OF PERMIT LI GRADING ❑ FOUNDATION Ell STRUCTURAL T Front Q
Address . ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N
Contractor's Name Crank Bros_ Roofing Co Shone 548-5569 ❑ OTHER C Right N
Address(mailing) 126 Commercial, C.M. 92627 PROJECT DESCRIPTION SQ. FT. 1056 OCCUPAN Y j�T`��s�s{�p`� K G
005993 C ON ST RUCTION TYPE
residential VALUATION$ '' • S Left R
City License No. ZONE GRADING CU.YDS. ACRESping. Ref.# Parking Req./Provided E
LICENSED CONTRACTOR DECLARATION a
I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: O.•sx1 I ' � � € ov by. Planning Notes: M
with section 7000) of Division 3 of the Business and Professio7•e,a A.GTs•�eN+ /
T
my license is in full for • app Pffect. / r'il� i S
License . J� Llcens- -..
Date — � 'Signature as� �I ����- PLUMBING FEES
WOR' ER COMPE SATION D' SrATION
1 hereby affirm that I have a c•I+rllcate of consent to self-insure or a certificate Bar Sink - Showers ELECTRICAL FEES
if Workers' Compensation.. urance, or a certified copy thereof (Section Backflow Preventer Service Sink
800, Lab. C�(�[ Automatic Washer Transformer 0 15-50 KW
Policy No. J�`/_J./-L�•4t•• Company State Fund Backflow Irrigation Sewer Cap050+KW
A Certified copy Construction Pole Sub.
is hereby furnished.
CerJafjed cr is Ike 'th the city {.Ili Ision. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
Date Applicant `-"Ian 'os. Roofing Co.
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps
(This section need not be completed if the permit is for one hundred ($100) or
less). Dishwasher Solar Piping Dryers OGas ❑Electric Sub Panel
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 Drinking Fountains Solar Tank Fan Motors 00-1 HP 01%-8
Workers' Compensation Laws of California.
Date Signature Floor Drains Swimming Pool w/Spa �- F.A.U. _
NOTICE:If,after making this declaration,you should become subject to the - - Ina Solar 09-15 HP ❑16-15+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures '
comply with such provisions or this permit shall be deemed revoked. Microwave
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes
•
I hereby affirm that there is a construction lending agency for the performance Pole Light
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets
Lender's Name Range
Lender's Address Kitchen Sink Water Service Switches Sign
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays Generator ❑0-5 KW❑5-15 KW
any structure, prior to Its issuance, also requires the applicant for such permit Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains
the Contractor's License Law (Chapter 9(commencing with Section 7000)of
Division 3 of the Business and Professions Code) or that he/she is exempt - - - ' --
Therefrom and the basis for the alleged exemption. Any violation of Section
)31.5 by any applicant for a permit subjects the applicant to a civil
natty of not more than five hundred dollars($500).
❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
compensation, will do the work,and the structure is not intended or offered - Reinspection Fee I $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES
License Law 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 DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I 0
sale. If, however;the building or improvement Is sold within one year of com- Canopy Type II 0 Zoning Approved By Date
pve forr/�, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved By nA Date
Prove the purpose of sale). /
Cl1, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date YL p p a�
�
tractors to construct the project (Section 7044, Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU SUMMARY OF FEES
builds or improves thereon,and who contracts for such projects with a con-
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ it.o o SMIP $ •�
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT
❑ I am exempt under Section B. & P.C.for this reason Firepl/Fact.BIt. ICBG# Fire Dampers PLUMBING - $ ISSUANCE $
Date Owner Heating System & Ducting Registers ENERGY P.C. $
PLAN CHECK 25% $
I hereby cers fy then. I have read this y wit. '• d ate that the above 00-100,000 BTU 0100,000 BTL GRADING $
information is corn;. I agree dcomply cotwit• rty d county ordinances ELECTRICAL $
and state laws his it tot building H fru-• and erebyntion rise repre-
sentatives $ MICROFILM $
inspection
of this icy to enter u..w, e- •ention r •r• ty r PLAN CHECK 50%
inspection purpos... / / / MECHANICAL $ Sb
Signature // J Dat. �a ,' TOTAL FEE $ II J "
Drivers' Lice S I Reinspection Fee $15 Issue Fee $ 3 PLAN.CHECK 25% $
CMF 0865-46 , .10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
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
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 •
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 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 0 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 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
35. Final Gas Pipe-Test
36. Hood or Canopy
37..Final Factory Fireplace .7
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backf low Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING 9� i
Re-
48. Special Requirements Completed G
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co '
51. CERTIFICATE OF OCCUPANCY .
No. Date
33319 PAID
JUL 20-71CC75:0017 **137.7.5
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
SEGEI D/E E77 D7 TE ED
/BUILDING —/ -7ADDRESS 1653 Texas Circle
R��j ��}(]
OWNER Modular Technology, Inc.
A.P.NO. '� PE 333 t 9
MAIL BUILDING
Z LB . / 2
ADDRESS 1104 E. 17th Street ADDRESS 1653 Texas Circle .
a U CITY Santa Ana, Calif. No 547-9673 TRACT /VJ6/j LOT /0 BLOCK
Z
z Q CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMO'ISH
Z
O in •
LENDER
o- o3 X
J D BRANCH
J N OWNER Modular Technology. Inc.
< W ADDRESS
c0 J VALUE
-CO ARCHITECT TEL USE Rpcidpnrp W/nary P $14/a.
J ctOR ENGINEER Kenni t Dori us, ALA ND.644-7111
U ul Q FIRE
WCL ADDRESS 3111 2nd Ave. , Corona del Mar ZONE TYPE CROUPY/
d w APPROVED
W Z CONTRACTOR BY DATE
J0
CO
Zi W w AADDRESS TEL. ZONE NO.OF USE OF NEW Residence
Z=
ZI- CITY NO. R-1 PLANS 2 BUILDING with attached
_
W 0 STATE CITY YARDS APPROVED YARDSOafaoeeD
N CC LIC.NO. 252549 LIC.NO. 1690 MAIN BUILDING ACCESSORY BUILDING
7 SIZE Na OF BLDGS. (FROM C/L S`TREETI t
OF LOT 65 x 100 I NOW ON LOT FRONT J5 FT. r L 4.....„.......-
SI
44- FT.
USE OF // -/.
EXISTING BLDG. R.SIDE /3 FT,6 ' FT.
I- SIZE OF NO.OF ���,,��.l �
Z NEW BLDG.1305 SF ROOMS 5 STORIES 1 L.SIDE /D FT.�/� -9i"'?rte" FT.
EXTERIOR WALL ROOF �� �L,,��� •
U COVERING per Plans COVERING Wood shingles- REAR 1J FT. /�v9�,.^'.."„",rT.
-I USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
0-
0-
MAIN BLDGS. ACCESS BLOCS.
0 /
O Construct new residence with CU.P,# V ��GCF APPROVED a-7-0_6,Qp
ct attached garage. 9�I Ems, a �� DATE 7 - /`t-7/
z
0
VI hereby acknowledge that I have read this application and state
D that the above information Is correct and agree to comply with
all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of
ICE
the State of California. / f7 /� p co
o
/ /U co
z I hereby certify that I am properly licensed as a contractor under SO. FT. O
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UN l R VALUATION IS FOR
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
am exempt from the provisions of the State of California Business Q
VALUATION (
and Professions Code, Division 3,Chapter 9. 9/t J
PERMIT FEE $ N
J
Signature of
Permittee " ' 26.9 $ 1 .PLAN CHECK $ 23/5; ��~ E
Authorized Agent / / TOTAL FEE $/3 9?r LL