HomeMy WebLinkAbout2332 Ticonderoga Way - Building Permits *pi CITY OF COSTA MESA
•
BUILDING DIVISION
I . 1 ,.,•,.%J ......1� ,1 DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
F t
• PERMIT rtra
`• s B04 2 5
(714)754-5273 • Fax(714)754-4856 • www.cl.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 2332 TICONDEROGA WY Status: ISSUED
Suite: Applied: 12/06/2004
Vicinity: Issued: 12/06/2004
Parcel Number 41916357 Zoning:
Applicant: SPITTLER, RUSSELL ISSUED BY:
Address: 2332 TICONDEROGA WY
Phone:
COSTA MESA,CA Zip: 92626
Owner: SPITTLER, RUSSELL AND ROBERTA
Address 2332 TICONDEROGA WY
Phone:
COSTA MESA,CA Zip: 92626
Contractor:
Address:
Phone:
Zip: License:
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
CHANGE OUT 2 WINDOWS IN BEDROOMS, 1 IN THE KITCHEN AND 1 IN THE LIVING ROOM. HEADERS WILL REMAIN THE SAME. REPLACE
WITH DUAL PANE,VINYL AND MEET 1997 U.B.C. EGRESS REQUIREMENTS.
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $3,200.00
Permit: $97.25 Claim Valuation: $3,200.00
SMIP Res: $0.50
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
Total: $97.75
• 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
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
fora 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
2446-46(6/00)
DECLARATIONS
WORKERS'COMPENSATION DECLARATION: •
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and 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:
Carrier: Policy Number:
(This section need not be completed If the permit is valued at one hundred dollars($100)or less.)
rI CeAify 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'
coTnpensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these previsions.
Appji Sig Wre:_ 1.7, air. it-/4
WARM G A ECURE WORKERS' ENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLO CRIAAINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THO LAKE($103000),IN ADDITION TOTHE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37060F THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Lic.a Class n
Contractors Signature: 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.(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 Ucense 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(5500).):
❑ 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.). •
-(22,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
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 end Professions Code for this reason:
( lanature: �w..✓i029 n�S�w.C�l�n. _ Date: 41 -(4 fOC/
ner ID verified by drivers lic6hse. ❑Yes 0 No (( DrrW rr'ss Limners xplres; S
r� Off'
Verification of Ownership by(type of document,i.e.-property tax bill or dAHFJ) y
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet 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-six(36)feet high.(Chap.3.2,Grp 2,Art 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 has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
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? 0 Yes 0 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 California Health and Safety Code been fully complied with? 0 Yes ❑No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a permit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? DI Yes ID No
(Section 65850.2 of the California 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 Quality 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
8 (If yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty 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 ins.ection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
A /, f
62/4440212I. r ww_^'�frT"T'� I (G/b
alre104,i:egal.Owher(s)--P' calDatel.
And/Or Authorized Applicant Date
CODE c WSPECTION TYPE PAll (MALE CODE r INSPECTION TYPE DISE INIMMA
1616 Fixed System Final Fire Prevention _ 206 Final Mechanical
1266 Pool Spa Final _ 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall _ 212 Final Fire Prevention
202 Final Factory Fire Place _ • 220 Final Planning Approval
203 Final Sign _ 222 Final Site
204 Final Demolition • _ 250 'Final Building/Occupancy 4 O. ,'`!Y(ii.
. Alternate Materials, City of Costa Mesa
Development Services Department
Alternate Design Building and Safety Division
77 Fair Drive, P.O. Box 1200
and Methods of Construction : Costa Mesa, California 92626-1200
' (714)754-5273 Fax (714) 754-4856 i
Under the authority of Section 104.2.8 of 2001 CA Building Code,2001 CA Plumbing Code,2001 Mechanical Code and 2001 CA Electrical
Code,the undersigned request approval of alternate materials and methods of construction for:
Project Name: 'R V SSe{ 17 5P(71-eer2 (f'1Tdsar fmr dQ&tce) Date: lea% 2.9 1 2.0153
-
Project Address: 2.332 Yccnote roi Q Ula LA Costa._/UPr2 92Co 2..4
Building Permit/Plan Check Number: Do14- 02045
Code Requirement(Specify Code Edition and Section): TAY' Ga-C,a 310.4- or 1,..e_1,..e_ n acre"[ I,`conet.let
2,t,iet-,n Code. lite- vmcoc i.M u.-t -P,VA-:s i_ecQ .. _iii I40-.e, k-t- a o ve `ei Ki_sit
ACOr _all esn ewtevSeatf ieire5S escape WiuttAcc.c3 lS
"
Alternate Proposed: s H Ce 0 L, -etc 5 L IA a.at• i '+ t i_4t Lrt 1 Cite
SA( kelec'314'F n 4S 49
Justification of Equivalency between code provision and alternate`' design method ,(AAttach copies 1of/any reference,ftest reports, expert
opinions, etc.) l)o 4[1 ,,,t4-;c74 S lb a(st;i, !c 1s Iirtic c,-..e ,` kin cket ..-tie' (vi
tr.at1 frt. C-tt a c vt..c 0-PA S itis cc' J-e- TG • Je a V ny)-Cel,c�r'l�/v..0i taa_Aa -
e t• cY 5c , at(ac4ea r_--f-t_ Jr)4'v-o--, MyLit'ceUc, {-t04 •
Requested By: R^''A4te
ARCHITECT OR ENGINEER(SIGN) CONTRACTOR(SIGN) BUILDING OW R(
R.vsscll I). Sp/'t-[ler
ARCHITECT OR ENGINEER(PRINT) CONTRACTOR(PRINT) BUILDING OW R(PRINT)
ARCHITECT OR ENGINEERS LICENSE NUMBER CONTRACTORS LICENSE NUMBER
Staff and Outside Plan Use Only
Consultant Plan Checker: Date:
Firm: Phone:
Address:
Staff Plan Checker: Date:
0 Recommended
Reason:
❑ Not Recommended ,
Buil Ing Official/Fire Marshal Only
Approved Res n: atilt 11J47_ 4J` "" tri t�}eYl.zc� 5i ( 1i1LP i' liru025 KciCCSly
❑ Denied W tv1Or2 re_c.e- EcAtQ ire(t 1liVeatati, ,LJSt ACC' or-3/4 '; wa i �f -
❑ See Attachment `£t 4Lfi�,,:pe 11- 15 {flD��Hr hed la prci ifioy— i pso✓ I c
Q 7i r e ;n cws Evie JerncL�i I
Building OfficiaC 14.4) . .1;%'irLU2 t« Date: /44/0 C
Fire Marshal (if applicable): Date:
2160-46 rev.2/03
January 18, 2005
To Whom It May Concern:
During my 5 years on the Monticello board scores of homeowners have replaced their old
glass paned, metal framed, windows with vinyl paned & framed ones. This process has
greatly improved the overall aesthetic of our community. As an association, we have an
architectural review committee that determines if the windows meet our standards as to
regularity and appearance.
We do indeed know that any new windows (i.e., those windows ensconced where
previously there weren't any) require a city permit, and we require that our members
procure those before we ourselves approve them. However, for the record, in this same
period we have had no single homeowner approach us concerning the demands or
policies of the city concerning replacing old glass windows with vinyl ones.
Sincerely,
Edmund 4 ybarczyk
Board President
Monticello Homeowner's Association
Costa Mesa
(714) 641-7030
PCM Pcvm7F crrAyr-
itjr.! MANACPMENT
January 18, 2005
Russ Spittler
2332 Ticonderoga
Costa Mesa, CA 92626
RB: Monticello HOA •
Structural Changes Due to Window Replacement
Dear Homeowner:
The Monticello Board of Directors wishes me to inform you that in the past five years,
the Board has not been informed of ANY resident being required to make structural
changes when changing out a standard wood-cased, glass paned window with the new
vinyl-cased, glass windows.
•
The association does not allow such structural changes since these are not single-family
homes but PUD's. Furthermore, the association's CC &R's state that structural changes
of this nature shall be restricted due to the potential for improper weatherproofing and
possible damage in the future.
The Board of Directors has allowed homeowners to "swap out"wood-cased windows for
vinyl-cased windows with the understanding that the stucco will not be harmed in
anyway during the replacement,therefore no structural changes will be made.
If you should have further questions regarding this matter, please direct them in writing
to the Monticello Board of Directors in care of PCM.
Sincerely,
On Behalf of the Board of Directors
James Younis
Community Manager
JY/am
c. Monticello Board of Directors
23726 Birtcher Drive,Luke Forest,CA 92630 • Phone 949.76S.'7261 • www.pcmintetnet.com
ZOOIFiDd 6ZLC6S8666 XVd CS:TT and. SO/8T/TO
p f CITY OF COSTA MESA
a� 9 BUILDING DIVISION _
Y • , • . x DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
FI •
I ,
• PERMIT
jec""o^"m° s VP04-00420
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
PLUMBING PERMIT
Job Address: 2332 TICONDEROGA WY Status: ISSUED
Suite No Applied: 06/14/2004
Issued: 06/14/2004
Vicinity:
ISSUED BY:
Parcel Nunmber: 41916357
Applicant: WILBER, STEPHEN
Address: 2332 TICONDEROGA WY
Phone: 714-436-1675
COSTA MESA,CA Zip: 92626
' Owner: WILBER, STEPHEN
Address 2332 TICONDEROGA WY
Phone: 714-436-1675
COSTA MESA,CA Zip: 92626
Contractor: OWNER-BUILDER
Address:
Phone:
Zip:
License: 000000
Arch / Eng:
Address:
-
Phone:
Zip:
License:
SCOPE OF PERMIT
CHANGE OUT WATER HEATER
. FEE SUMMARY
AMT QTY AMT QTY AMT QTY
ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0
Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0
Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0
Bathtub $0.00 0 .Pressure Regulator $0.00 0 Urinal $0.00 0
Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0
Connect(Ice,Soda,ets) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0
Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0
Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0
Drain, Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0
Drain, Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0
Drain, Roof $0.00 0 Shower $0.00 0 Water Heater/vent $12.30 1
Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0
Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0 /
Gas Earthquake Valve $0.00 0 Sink, Floor $0.00 0 Water Service $0.00 0
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
2446-46(6/00)
IONS
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to sell-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.
O 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 compe0sation Insurance carrier and policy number are:
Cartier: Policy Number:
(This section need not be completed if the permit is valued at one hundred dollars($100)or less.)
I'certify that in the perform ce of/he 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 orn ;end agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with the ons
1rAppllcalifSignature: 1 / 1 fDeiatto 4L6
WFRMNG:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMI PETIES AND GVIL FINES UP TO ONE HUNDRED
THOUSAND DOU.ARE(5/00,000),IN ADDMON 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 am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Lie.# Class#
Contractor's Signature: Date:
CONSTRUCTION LENDING AGENCY:
O 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 toe civil penalty of not more than five hundred dollars(5500).):
❑ 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
hi self 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
old 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 pursua tot Contractors License Laws.).
❑ I am nd sec Business and Professions Code for this reason:
f Stgnatuie ` / 41:Liaate: 61/#0;
��// ,J
‘.Owner-IPveriffed by drivers license. ❑Yes 0 No f D'nver's License No. / (Expires: (7�O/
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 feet 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-six(36)feet high.(Chap.3.2,Grp 2,Art 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 has a
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 ❑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? 0 Yes 0 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 enn RMPP
Iss presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes ❑No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this.a..ppplication akermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes L-I No
(Section 65850.2 of the California 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? ❑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 Quality 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
8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials end Emissions.
Signature: Date:
CERTIFICATE OF COM-LI' CE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and stale that the Information given is
correct. T:e o co• ply w h all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
abet rib:.pr.tarty fo ins.ection purposes.I agree not to occupy or allow occupancy of any building authorized by thi pe it u II final
inspection.
Ira
Ignature Of Legal Owner(s). 1 11 Date, - .-
And/Or Authorized Applicant Date
CODE I INSPECTION TYPE DEE =N.* CODEC INSPECTION TYPE PAIS INTmALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final BIocWRetalning Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
'I PROJECTADORESS: 2332 TICONDEROGA WY UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 069470
OWNER'S NAME: HUNTER, GEORGE
`. ADDRESS: HUNTER, ANNE PERMIT NO: B 069470 PLAN CHECK NO: N GOVT; N SUPP : N
L HUNTER ANN
9851 KITE DR CONSTRUCTION TYPE: V—N PERMIT TYPE: SIR PURPOSE; ALT
HUNTINGTON BEACH,CA 92646
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/O RESTH & REROOF W/COMP & HOT MOP SQ FT: 2, 508
ADDRESS: UNIT:
CLAIM VALUE: 2, 508 , 00 CALC—VALUE: 2, 508 .00 GROUP OCC; R-1 /
PERMITTEE: STOUT ROOFING, INC . ( 310 ) 923-6775
ADDRESS: 9700 WASBURN RD COMMENTS: REROOF SLOPE SIDE W/COMP FLAT SIDE BUR SMOKE DET. REQUIRED
DOWNEY CA 90241 ***x*******yH***+E****ata6******r*ar****************r*******************************
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
7000)0l Division 3 of the Business and Professions Code.and my license is in full force and effect. S E T B A C K S
CITY LIC.: 059377 STATELIC.: 402536 cLAss: C-39 EXP; 10/95
Date:_4Visignature:— •SIL _ MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMP RATION DECLARATION: thereby affir that(have a certificate of consent to self-insure or a certificate of Workers' LEFT; FT IN REAR; FT IN LEFT: FT IN REAR: FT IN
Compensation Iasurapce2t/�tified copy thereof(Section 3800. Lab.a 5/19/95
LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
POLICY NO.: .]O L[o O EXP.DATE: U
COMPANY: AIG ,.yy PARKING REQ: PROV; PARCEL; 41916357 ZNE; REF NO:
: Certified copy is hereby furnished, Ll Certified copy is filed with the city Building Division. PLANNING NOTES>
> _
//
Date'. Ib p/gicCA Applicant V I/✓L�/� *******************************************************************************
EXEMPTION FROM W WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). DEVELOPMENT SERVICES REQUIREMEN T S
I certify that in the pertormance 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: BUILDING APPROVED BY :
NOTICE:II.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor •
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: • DATE-
which
ATE;which this permit is issued(Section 3097.Civ.C). ************************** * ************************************* • **
LENDER: ************************** ***************************************************
ADDRESS: 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 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SHIP/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 SM I P/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN
and Professions Code)or that he/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). ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the TOTALS----> 54 , 50 0 , 00 0 ,00 54 . 50 54 . 50 .00
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State 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 employees, provided that such improvements are not intended or offered for sale. If,however the building or REVENUE DIVISION TOTALS--> COLLECTED• 54 . 50 OVER/SHORT; . 00
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve
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 0 0 50
❑ and PrwhocontractsThe Coprojectsrs'withState contraseLaw doespursuant torthCtfctorsrty abuilds Law)imp.ol a thereon *******************************************************************************
and Prof ssions Cs for hwith a contractor(s)nserLawidoesenotaly to the erContractors'Stateh uildseLaw). am aware
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
❑ I am exempt under Section: B.8 P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner: 8FR 2508 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 2, 508 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES
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
permit far construction or modification from the Air Quality Management District.Residential construction applications are exempt from
these provisions.
Dale: Applicant:
I hereby certify that I have read this application and state 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. 01 00170423-00170484 TTOT!2:20 54.50
y/'(� DATE: 10/25/94 IME:
Date: lO/03/ l y Signature: I
Driver's License or Social Security n:
1641-46 White—Building.Green—Code Enforcement;Canary—Applicant Pink—Revenue;Goldenrod—Assessor
01 I1/4-y
CONSTRUCTION AND PLANNING POG 4 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.,ElectricalConduit,Utility-Undrgrn4l. 54. Forms
A, Electrical Conduit-Undrgrnd. l 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test -
•.6.
Electrical UFER.Grnd. 57. APPROVAL TO COVER-GUNITE _ !
• t7.'Footings '.i 58. Electrical Conduit-Undrgrnd.
•i; 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
•
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
„I0. 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 - y 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
P
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.i•Rough Factory Fireplace ' ••••;•••:4 d; -_ 0 ` * * ,-APPROVFYL9011Permit # n
r•.- ,. - .I- :1.-.' ' 't•
21 r-0uc s, in,Stn)ct to 't '` !� r vt
S 4.1 . .. , Wit . a --j70. UndergropJrx1 H}�cLo
22.-Ducts, Ventilating • . `L ' :u 71. Product
"', '
- rPp)ng C'G Gas ❑Oil
23:-Gas Pipe:Rough & Test i;-Jir •`, to
72- Undergr a nd Ft sii .n
. Y . I.. _ • . _
24. Roof Framing -.r. 2 4 '74:
,- _ Y S73.2:1Undergrndl. Storage_TankC Gas 0 Oil
It;
25. Roof Sheathing , -gyp-�� 644:>:a:(,,/L�'"' '.Overhead'HYdro- -
26.,T-Bar Ceiling (Structural) &_Monocoat + ' r C . ; 75;Dry Chemical •
-
27.4rameand Flashing �•,r c• _ y ..,r : 76lDry Stand�i{/e r? •L,---; „ ' `ll
28:' Lathing & Siding -:w;r: r •
,_ •• •- • 77;' FIXED SYSTEM 61NAL' "'
29. Insulation '_ " " .. i i 7&.,FIRE PREY. FINAL r, -; ,•
.30. Drywall Nailing _ 1 ( _ r______-_k1EA LTH*DEPT•. REQUIREMENT
_31. Plaster Brown Coat . : r,,r * , I; a ,,79. FINAL IIQSPJECTIbN : ' - • 1
32:-Electrical Power Mater-Final' - v � _I Y r:80.1-,FOOD CERTIFICATE ISSUED.- _ {
33: Final Electric i' :0
I ., "Noi s: `•
.. t F -1 '-i
134. Final Heating & Air'Coaditioning_ - r r i y =;-q
'35. 2Final Gas Pipe-Test' 1 J =
•.36. Hood or Canopy • .,• - 1. . ..-•
'' -„
.. 1 .. I. . - r -1141
-37.-Final Factory Fireplace ' r" - 't I ! L ' . ` t
-------
•
38. Final Plumbing j „ I 1, t.
H. •r
'39. Water Service•Final. x iI !r a t•+; r u:
40. Gas Service-Final':' - I I" ' 'r
4
. 1. Solar Domestic•Finel:-' Ct •• . _ � l�
n. ` � r -
42. Backflow Preventer' F..• '' .--4 ' ~
43. Backflow Irrigation -:•• . .') _
44. Landscape Irrigation System,, ,;,' :n -y c+ 3:1 - * r -C
. " :,j 0
.45. Sound Attenuation ^a r, ^' f I•4 . - u''�
-46. Handicap:Regulatons •• "f r, - -1,,
47. FINAL STRUCTURE & BUILDING (�/6-9fbLcj !
• - . -
•
48._FINAL PLANNING
:49. Electric Release to Edison ; I F `. , i.
'50. Gas Release to Southern Califon-1A Gas Co ` c _
51. CERTIFICATE OF OCCUPANCY .-1 ,;.::
No. Date
UWN.tiIc DAV Vis-GEL nuno.a.ng l.o. DATE I G1 UI
JOB ADDRESS 2332 Ticonderoga Way BUILDING PERMIT NO. 2731--
GENERAL CONTRACTOR San Vista Bldg. Co. DESCRIPTION OF WORK Res.w/att.gar.
Al' No. 930-03-18 LOT 78 TRACT 5160 FIRE ZONE VALUE $ 13,240.00
INSPECTIONS Signature Date GROUP I & J TYPE V ZONE R-3
Soli et 7.77 PERMITS ISSUED
Gas JO p 2.2 C7 SUBCONTRACTOR I Date Number I Signature
,k ,4
Water w-A --vin c - / g1'.!•p Pl mbing
Rough Plumbing / 2:-",42-C, 6✓__ • 17:91/-/47 if,.3 n
Prop. Swr. Line 0 House Con. pj" -C --2.-1;
Sprinkling System
Miscellaneous ���
Rough Heating and Air Conditioning L glE
Temporary Service or Pole
Underground 0 Power ❑
Rough Wiring - /-• plh 7 Heating and Vents"
Trenches t- Forms 0 Steel Reinf. ( c /y/f�•�-' Y•T,* " y/�.�7 y�{,j,
Floor System e- t/7 67
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and ley--
3-Flashingt 'C )
Lathing— In p� Out e- 57/5 a1
Plaster, Brown Coat lei
6Structural, Final c ,! / 7 Fgtecin /J , _
Heating, Vent., Refrig. and A.C., Final 1/-1. --(,f�fi n , �/O�/,I ¢7/if� y-/-/,7 077p,ii,�
Plumbing, Final and Gas Test 0 t-i.t //—/
// e cl'7n
Electric, Final q��f{.� //7 G
Building, Final /y / - ,e
PAID
r�r~? : 7 JUL 25-67-001671* *?67.5C
CNSA
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 920.20
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING 2 n_ /'^ For Office Use Only
ADDRESS 2 3 3 z, Ti l-ff 4(PIL//O ' (M
J RECEIPT NO. tJ 10:1; 1 r
COSTA MESA. CALIFORNIAr 4•• , a , ,
6)044 (.4214.(.4214. REE IV ° —�/-?' � /-
OWNER 7
BUILDING
MAIL (tali ADDRESS
ADDRES
CITY (II orit 02_44.-4 No a2"1al ZONE TypeVonouat-,Per
ARCH1,:a
{' APPROVED
OR ENIGINEERTECT i(.P�I nn ,'__NO Z�nn'�J�/ BY DATE
ADDRESS 40 aS9--e•*a.---. ZONINGn L/ru. rZONING
ZONE R� iuNS 2 I BUILDING Sing Res
CONTRACTOR ICI R.1.1-LC.(
^ LEGAL 1,.. -78 '(,ts, 6
ADDRESS l I. (-E4 L.LIA � DESCRIPTION
A.P.NO. 930-03-78
CITY 0 ro1�(-.2- —
STATE TEL HOT• TO SIDE a REAR PNO[AVEC H LNO SHALL BE LESS THAN
LIC.NO. NO.
• ES
SIZEOT 1 a I No.NOW OFQN SLOGS. 0.-.
OALLOWED .(U.B.C.REQUIREMENT/
P LI.OT
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING stalk
- (FROM C/L STREET)
SETBACK LINE-EEOM FRONT 0 PT. Fr.
CENTER OP STREET REAR YARD -
BIDE YARD I LEFT I RIGHT R.SIDE 0 FT. F .
DESCRIPTION OF WORK L.SIDE 0 FT. FT.
NEW ALTERATION ADDITION I
REAR 0 PT. PT. )
DISTANCE BET. BET.MAIN e
MAIN BLDG', ACCESS.SLOGS.
REPAIR MOVING _DEMOLISH
BUILDING NO.OF /t VAR.# OATH
SIZE � "4Z 3 ROOMS 4 sr RIES I C.U.P.# APPROVED
EXTERIOR WA / ROOF APPROVED /�(ny.�/_�) 7-7-67
COVERING I��[} 1(1/7I COVERING i BY V/NGC DATE
USB OF BUILDING all CP a.
WORK TOE PRMOOA/t/ G
/ - 2)
BD.FT.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOW/'UNDER VALUATION IS FOR THE A
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CON. PURPOSE OF MT -YSHING A PERMIT FEE ONLY.
PLY WITH ALL CITY MANCE,AND STATE LAWS REGULATING ' VALUATION j/rdie PI
BUILDING CONSTRlECT10 � � /V PERMIT FEE $ A
PERMAITTEPSIGNTURE OF /L ,`.�/� �- S. E
AUTHORIZED AO $/ ,/gORIP PLAN CHECK S ‘76:
�6'
/ a T O -- TOTAL FEE $