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HomeMy WebLinkAbout2334 Ticonderoga Way - Building Permits �ROJECT AODNESS: 2334 TICONDEROGA WY UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO; B 069473 • OWNER'S NAME: BANKA, ROBERT ADDRESS: 3114 YUKON AVENUE PERMIT NO: B 069473 PLAN CHECK NO: N GOVT: N SUPP: N ti COSTA MESA,CA 92626 CONSTRUCTION TYPE: V-N PERMIT TYPE; STR PURPOSE: ALT ARCNIENGINEER: REG.NO.: JOB DESCRIPTION ; T/O RESTH 6 REROOF W/COMP 6 HOT MOP SQ FT: 2, 508 ADDRESS: UNIT: CLAIM VALUE; 2, 508 , 00 CALL-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 **********�F********************Br********************�F******4***r#+F**;,r*******BF*** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON ING REQUIREMENTS 7000)0l Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACK S CITY LIC.: 05937 STATE LID.: 402536 CLASS: C-39 EX?: 10/95 Dale: ).921______ Signature, I� MAIN BUILDING ACCESSORY BUILDING WORKERS' OMPENSATIONDECLARATION: IherebyaffirmthatIhaveacenificateofconsenttoself-insureoracertificateofWorkers' FRNT; FT IN REAR; FT IN FRNT; FT IN REAR; FT IN Compensation lrgsuRrice,2oLa4eeified copy thereof(Section 3800,Lab.CbS/19/95 LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN POLICY NO.: d 2 tl EXP.DATE: COMPANY: AIG PARKING REQ• PROV; PARCEL; 41916358 ZNE: REF NO; o Certified copy is hereby furnished. EX Certified copy is filed with the city Building Division. PLANNING N T ES> > 1 1K7/LL [ Date: y1)IrI u�'f Applicant: ********************************************************************.*********** EXEMPTION FR M WORKS S'COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred($100)or less). DEVELOPMENT SERVICES R EQU IR EMEN TS I certify that in the performance of the work for which this permit is issued.1 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:N.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. • CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction fending agency for the performance of the work for APPLICATION ISSUED B Y; ' IA •• DATE: to whicmilispermitisissmliseclion3097.Civ.Cl- *************************** ***************************************** ** **** 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 G4MT BLDPMT PLMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of countywhich requires a permit to construct,alter,improve,demolish,or PERMIT . 50 ' repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed ( pursuant to the provisions of the Contractors'Slate License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN SMIP/NON-RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 703t5 by 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 property 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----> 54 , 50 0 ,0 0 0 . 00 5 4 , 50 54 , 50 00 does not apply to an owner of a property who builds or improves thereon.and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED• 54 . 50 OVER/SHORT: 00 improvement se of sale/.is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve Lororthe purpose 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 Professions Code: The projects with License Law does not apply to an owner of property who builds or improves thereon ******************************************************************************* and who for such projects with a contractor(s)w eseaplypursuant the of props State License Law).I am aware that proof of their Worker's Compensation insurance should be provided to me. IND I V IDUAL F E E BREAKDOWN 0 I am exempt under Section: B.8 P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: SFR 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 Mune building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from these provisions. Date: 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 slate laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. Dale: )0 0 signature 01 00170481 001704$2 TOT 54.50 Driver's License or S tial Security K: DATE: !0/2S/94 TIKE: ]2:19 164646 White—Building:Green—Code Enforcement:Canary—Applicant;Pink—Revenue:Goldenrod—Assessor CONSTRUCTION AND PLANNING POL . SPA APPROVALS Permit Date Inspector APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. s 53. Steel Reinforcement 3:_Elbctrical Cond.Gft'U•tility•Undrgrnd9 54. Forms `.. 4.'tlectricai Conduitil�'pdrgrnd. 55. Electrical Bonding -• 5:Steel Reinforce Wont 56. Rough Plumbing & Pressure Test 6• UFOElectrical UFGrnd. 57. APPROVAL TO COVER-GUNITE .' ._+ . Footings .. 58. Electrical Conduit-Undrgrnd. -- 8. foundation ' 59. Gas Pipe,0 Undrgrnd.,Test < 9. Water Pipe-Undtgrnd. 60. Backwash Lines, P-Trap, 0 UndrgrnC. '• 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 I) ,. 13. Roof Drains .i -n 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 S4gn it 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20:,fough Factory Fireplace , ,t: , j C4 74 r rAPPROVFt6.S: .,Permit # • 21;Duc1,in.Strictujg, ..-3 .i; C70. Onderrg7our>44 Hynro r 22.Du6ts, Ventilating. : - C. 4 r 71, Producf9l�•ling EtIGas l2Od 23... -Pipe- $' Rough Test •. -a ,p `' , ; 72. Undergioup4l FlusfT; 24.-,Rolf Framing ri; ' • • L73:':Undergrnd'.Storao_e'Tank fl Gas 0 Oil 25. Roo' Sheathing �--t1"t_/ % 29: -•74,roverhead Hydro r" ` �• r 26.;T-Bar Ceiling (Structural) &,Monocoat r 7 pr r * 751:Dry Chemical ' t • 27. -Frame and FlashiLit, _ 'T.! ' t 76:"Dry Stand i ,;, : ; • Qe , , ' _28.' Lathing& Siding, : ., + y..: z r* "C. ••� - ' 4 77: 'FIXED SYSTENMFINAU' • - 29. insulatigft 4:t. ' `-' '• " r '" i I I•* : 78.-3FIRE PREY. FINAL ? - -. ' � •' I f . . L HEALTH,DEPTs REQUIREMENT r30. DrywallNaitin9 • c 31. Plaster Brown Coat' ' . • I t„ i I �� x•79.FINAL INSPECTID'.N - _i -.32.rElectricat Power M9r-Final- •,F, . .a I •'It te .80.-tFOOD CERTIFICATE ISSUED _33._Final Ele'ctrid 7 _• r" t "" I t ` 'Notes: - -3 , , , 'j, I, ,34. Final Heating& Air,Conditioning_,' u ,y i I Ft : -. 35.•.__Final Gas Pipe-TeSt- •' -II - C' t ; .r; • n- ,36. Hood or, CanoPY t o i r . t I I• r :- i z pr C ' . _ _ t - ' 37. Final Factory Fireplat2 '38. Final Plumbing 'i+ - „ . I Ir s 1 4 -- ".39. Water Service-Final* iI c i 1 S' • : X40. Gas Service-Final:: ,, I h j':_ It "' t.81. Solar Domestic-Final _ I I r '-i •42.---Backflow Preventers ] '' I; ' '� . 43. Backflow Irrigation x - : • , • - : r • ,44. Landscape Irrigation System..,41,4;:.; . , - - ,s •: i 'r f - t-45..Sound Attenilatibnv i i. r-: r -r -46. Handicap Regulatjons .i ` :_. r .47._INAL STRUCTURE & BUILDING �l-/' -f t, i •-i 48._XINALPLANNING: t r- i I •'. • -,, -'' _ , ..49. Electric Release to Edison i I r - 50.-Gas,Release to Southern Calitoroia Gas Co . I I . . ' " , 51. CERTIFICATE OF OCCUPANCY' ,. '' s. No. Date OWNER SAN VISTA Building Co. - DATE (-21-01 JOB ADDRESS 2334 Ticonderoga Way BUILDING PERMIT NO. 27317 GENERAL CONTRACTOR San Vista Bldg. Co. DESCRIPTION OF WORK Res.watt.gar. AP No. 930-03-79 LOT 79 TRACT 5160 FIRE ZONE VALUE $ 1 y114.00 INSPECTIONS Signature Date GROUP I & J TYPE V ZONE • R-3 UG- _ ?ivPERMITS ISSUED Vas Z/-6. SUBCONTRACTOR I Date I Number { Signature Water L/4".-1/-,c s....-4-1..e, _ P/--G77 P mbing Rough Plumbing a .----9--2-/-47 tt:4 _I. ' /�' ' 7-,77/-47 -rd.947 Prop. Swr. Line ID House Con. i S('•2..-er'f' Sprinkling System- Miscellaneous Rough Healing and Air Conditioning Air0.2#G 7 Temporary Service or Pole // Underground ❑ Power 0 Rough Wiring 9t2 7 Heatin and V/at'�`/',f, Trenches 111...-'"Forms L0 Steel Reinf. r1 3 2;/ 4,7 ' ,t,-4 v . 7-//-47 .a7ft. Floor System c R- 7/ 7 Bond Beam 0' Steel Reinforce ❑ Sheathing CJ P,J Frame and Flashing h/ Lathing—Inne Out!Or.- r 01 C n Plaster, Brown Coat r e. n Structural, Final / / /2°67 . ec c, acing, Vent., Refrig. and A.C., Final ' .5 ii.--/4' G / _ ' reef;-41 & - -- .ambing, Final and Gas Test 0 Electric, Final -r,j irk 7-a r / Building. Final ' C_/�///G'- PAID 273114 JUL 25-67-00'672* ***:*:90.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING 2 3317 i & e &i For Office Us. Only ADDRE88 RECEIPT NO. PERMIT NO. CO TA MSE/SA,�,C¢A_LIFORNI lx•V UE )- (/'�4�J-CEJ RHc H,Y BAflt_�I�n� _wax eu 7• OWNER / /.a�-1 BUILDING ADDRESS , f l7n f.-(�-4A J e4O ADDRESS //A ///jjj��' //{�� TELA /JY ZONE TYPE J// GROUP�F!y J{' CITY -r<'� � NO./J 7' Id ✓ o APPROVED H TECT NO. BY DATE NGINEER NO.'S/ - Z2/ ADDRESS gOo253r� �,:L(cj9e0ee•0 ZONING T / ZONE NO.OF USE OF NEW 13-3 PUNS 2 BUILDING Sing Res. CONTRACTOR tea._,1.z. - /1 _ '..� O ' LEGAL 7? X 6-/60 ADDRESS tC2a i..ry DESCRIPTION •"') A.P.NO. 930-03-79 CITY , 2e-4.wP,- STATE TEL. SO" NO HAVE OVERHANG SHALL BE LESS THAN 8C"TO SIDE&REAR P.L. LIC.NO. NO. SIZE `, NO.OP 11121015. ALLOWED -(U.B.C.REQUIREMENT) OF LOT O /� 7d I NOW ON LOF U YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. '.. (PROM C/L STREET) SETBACK LINE FROM 0 FT. FT. CENTER OP STREET - REAR YARD SIDE YARD LEFT RISNT— R.SIDE Fr. FT. DESCRI ON OF WORK L.SIDE FT. FT. 0 ' N ALTERATION ADDITION REAR FI'. FT. DISTANCE BET. BET.MAIN& MAIN SLOGS, ACCESS.BLDGS. REPAIR MOVING - DEMOLISH BUILDING G� NO.OF VAR•# DATE SIZE Q(© /��/ ' ROOMS nom C.U.P.$ APPROVED - EXTERIOR WALL ROOF APPROVED 7-7-67 COVERING //V-0I COVERING (}^ • BY DATE USE O¢BU)ILDI a ND WORKM 0/Bq.PERhe C �A/L. ref( c_p3 V 4 so.Pr. ( //J 94/ v' 1 I HEREBY ACKNOWLEDGE THAT I NAVE READ THIS APPLICATION THE AMOUNT OHO RIDER VALUATION IS FOR THIS AND STATE THAT THE •OVE IS CORRECT AND AGREE TO COM• PURPOSE OP EST RHINO A PERMIT PEE ONLY. i5 PLY WITH ALL CITY O • NCE/AND STATE LAWS REGULATING VALUATION DD BUILDING CONSTRUCT)• w — SIGNATURE OF PERMIT FEE ca $ '_J p PERMII AUTHORIZED TE° $ ,( 0/ PLAN CHECK $ J o – 12 AUTHORIZED AGE Ay- J I TOTAL FEE $ 70 i