HomeMy WebLinkAbout2338 Ticonderoga Way - Building Permits A PROJECT ADDRESS: 2338 TICONDEROGA WY UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 069478
OWNER'S NAME: LANDIS SHIRLEY R
ADDRESS: 1099 EL CAMINO DR PERMIT NO: B 069478 PLAN CHECK NO: N GOVT: N SUPP: N
r •M COSTA MESA,CA 92626
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION ; T/O RESTH S REROOF W/COMP 6 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 ****+e*********rsrsrsr�Esr***�E*ir******it�Eir�r*******�r**ir*ek�r** *****r�r** ******Brar*******
LICENSED CONTRACTOR DECLARATION: I hereby affirm That I am licensed under provisions of Chapter 9(commencing with Section Z ON INC REQUIREMENTS
70001 of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS
CITYuc.: 059377 STATE LIC.: 402536 c:Ass: C-39 EXP ; 10 95
oate._IO(%�� Signature:_ _ _ MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation) unggeoca died copy thereof(Section 38 D0,Lab. C.I. LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: 00`26 EXP.GATE: 5/19/95
COMPANY: AIG ,--vv PARKING REQ; PROV: PARCEL: 41916360 ZNE: REF NO;
El Certified copy is hereby furnished. LT Certified co i filed with the city Building Division. PLANNING NOTES>
Date: i,Of O`O'"L!/l Applicant: *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred($100)or less). DEVELOPMENT SERVICES R E Q U I R E M E Ne.T S
I certify that in the performance of the work for which this permit is issued.I shalt not employ any person in any manner so as to become
subject to the Workers'Compensation Laws of California, ZONING APPROVED BY
DATE: f"`
Date: Signature:
NOTICE:If.alter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY ; DATE: ,fl
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 this permit is issued(Section 3097,Civ.Cl. **************************** * *********************************** *
LENDER: **************************** *************************************************
ADDRESS: LEGALIZATION:N E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: My 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
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN SM I P/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
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. 00 0 . 00 54 , 50 54 . 50 . 00
does not apply to an owner of a properly 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
ofldsale,.n one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMI P/TOT GRADING PLAN—CHECK
I,as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 54 . 00 , 5O
❑ 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 projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware *******************************************************************************
that proof of their Worker's Compensation insurance should be provided to me. IND I V IDUAL F E E BREAKDOWN
❑ I am exempt under Section: B.&P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: owner SFR 2508 REROOF BY VALUE RESIDENTIAL NOZONE 1 , 002, 508 , 00
I do hereby certify that I am aware of and understand the requirements al California Health and Safety Code Sections 25505.25533,and END OF F EES
25534 and that I or any future building occupant willwill not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Duality 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 state taws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned O 1 00170477-00170478 T L]T 54.50
property for inspection purposes. (LATE:
(/,��yQ 10/ 8/94 TIME: 12:18
Date: 1Ol 1 J4 Signature:
Driver's License ot Social Security n:
1641-46 Whim—Building:Green—Code Enforcement:Canary—Applicant;Pink—Revenue:Goldenrod—Assessor
as
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. a' 1 53. Steel Reinforcement
,, 3.••E1 ctrical Cond,thiirUtilityLUndrgrnd - 54. Forms
?}.`Electrical ConduittUndrgrnd. 55. Electrical Bonding
• 5.-Steel Reinforcement 56. Rough Plumbing & Pressure Test _
-6-:Electrical UFERa-Grnd. . 57. APPROVAL TO COVER-GUNITE
�r : Footings 5 t. -I 58. Electrical Conduit-Undrgrnd. -
'1: .-Foundation 59. Gas Pipe, 0 Undrgrnd., Test
`. 9.7rWater Pipe-Undcgrnd. 60. Backwash Lines,P-Trap,0 Undrgrnd.
-10. Structural Floor System 61. APPROVAL TO DECK
11. Pioperty 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 --• C' 65. Electrical-Final
15. Rough Electrica'1-Conduit, 66. Solar System-Final
16. Rough Electric Wiring n 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
• I
20 lough Factory Fireplace at,:; <--1 -, J r r APPROVALS i, :Permit # - ••
21 2Duct's,inlStta ctute , ; ; ~ • 4: ,j 't : '-370. drndergilound Hydro .
22. Ducts, Vent tating-> I d - • 4 C71. ProducEP_ping 01Gs 0Oi1
23• Gas PipaRo Jgh Sliest • 1.
° rs2, r; yiX2. Underground Flaks
24.a?ogt Framing n?r l : '•r' O = ! ;73:CUndergrnd:Storaga7Tank 0 Gas 0 Oil
25. Rooms Shg"athing ;� l 4!*`t •7�° (oA . 74:�Oyerhead Hydro"-!"- '
26.4T-Bar Ceiling (Structural) &�_tilonocoat t t �� n t ± 75."-"Dry Chemical 7 + I !'
e t7 = , r Y Ill 27.•,Frame and Flashing ''- i -•, ,L,k , 76.�Dry StandWpe .....i: y
-28.' Lading_& Siding-r :-i • • •_ .•r + 77:^FIXEDSYSTEMEMAL
29. Insulation _ ; " f, c 78:-,FIRE PREY. FINN_ . •> -r
in •
;30. Drywall:Alai)ng .r:* I . n HEALTH DEPT,REQUIREMENT
_31. Plaster Brown Co4tA :• „ . - i it; ; •79:-FINAL INSPECTION , - -
�32.cElectricad;Poiver trje`ter,FinaI' - ` Y 'u I IF } -80.-'FOOD CERTIFICATE ISSUED
(� '
I 33.=`Final Electrc 't i' ` *Notes: !;"
1 4 •Y hi 1 4 ' I 0, k I ,'I' s - '?t
;,34.,Finag&t HeatinAir;Cdnclitioning _ Is - - -, ,. - -
35.nFinaf Gar Pipe-Test' b z - f I '• • ,+' - r,
. .. ' .. v -r h ') r_ . .
a _ - - I rt i t'l,. • . r.
.36.'Hoodor,CanoPY ;- �t • I ( !s
a •n r
'37. .FinSl1Fdttory Fireplace ' "-r v v ,r; i it �' }
.34 : i • i -r
39. Water Setvice.Final•, . '>> - it i ' ,.1 t.;r • r ''1
-
1 40. GasService-Final -` in ,p• '.7 ,,, t It . `;7 n.-'1 i
x41. Solar Domestic-Final . •- t it • `I .•
-42.-Backflow Prevenrer i ' ' I• ` '••. :Ta • i '_
43. Backflow Irrigations 'c' ... _ * . '.�
44. Landscape Ir4igatioA System ;i 0.,•� , rn -1 rr. : •;• ;l ,, r i; _.
45. Sound Attenuation+ -.nr,- e '� t ` i c•- Cr
. . - . . ., 4 q ,r nt .- Ca.-.t.
_ • c-' 4•
46.`Handicap.Regulations ` • ; '`' `•- tt: `t - ' „vI
•47. FINAL STRUCTURE & BUILDING 1 `" '1
,.- I z,.:, , i . . .0 L. -
48. FIN,gLPLANNING; I _,E, i 1• , i ,- -
.49.,Electric Release to Edison ' I , . i' •' 1 '
r
'S0..Gas Relej'se to Southern California,Gas Co r (, ,; . _�r,;
.51. CERTIFICATE OFbCCUPANCY' - - _
No. Date
goy
ADDRESS OF BUILDING: 2338 TICONDEROGA WY UMT: CITY OF COSTA MESA - BUILDING PERMIT
of ayentoMEIFI(NayH:JERRELS, ROOSEVELT P PERM NO: B 082142
ADDRESs:JERRELS, SHIRLEY R
2338 TICONDEROGA WAY PERMIT NO: B 082142 PLAN CHECK NO: N - GOVT: N SUPP; N
COSTA MESA, CA 92626
R APPL.Malik%ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: ALT
ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : INSTALL UNDER THE WINDOW A/C UNIT SQ FT: 200
ARCM.OR ENG.'S ADDRESS: UNIT:
CLAIM VALUE: 200 . 00 CALC-VALUE: 200 , 00 GROUP OCC: R-1 /
CONTRACTORS NAME:
CONTRACTOITSMMUNG COMMENTS : NO OTHER WORK AUTHORIZED BY THIS PERMIT
ADDRESS: LUG NO.: ************************4********4*******4******4**************4***************
uMT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury that I am licensed under provisions of Chapter S SETBACKS
(commencing with Section 7000)of Division 3 d the Business and Professions Code.end my license S in lull force and effect.
CRY UC.NO.: UC.CLASS: UC.NO.: EXP : MAIN BUILDING ACCESSORY BUILDING
FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
Date: Contractor. LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penahy of perjury that I am exempt from the Contractors License Law for the
following reason(Section 7031.5 Business and Professions Cede:Any cityo county which requires a panne to corsets,alter,improve, PARKING REp PROV; PARCEL : 41916360 ZNE: REF NO:
demolish,or repair any structure,prior to es issuance.also requires the applicant for such permit to file a signed statement that he or she PLANNING N6T E$>
is licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commendng with Section 7000)of Division 3 of the
Business and Professions Code]or that he or she is exempt therehom and the basis for the alleged exemption.My violation dda
Sen > : •
7031.5 by any applicant for a permit aubpcts the applicant to a dvil penalty of not more than five hundred dollars 1$50011. *{E*********3********3*3****3******************************************3**333****3
)3 I.es owner of the property or my employees with wages as their sole compensation,will dothe work,and the stmctureisnot intended DEVELOPMENT SERVICES R E Q U I R E M E N_(T.'S
or offered for sale(Section 7044,Business and Professions Code:The Contrectos
License Law does not apply to an Opener of property
who bulds 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.R.however,the building or'anpre+emem S sold within one year of completion,the ZONING APPROVED BY DATE: •
owner builder will have the burden of proving he or she did not build or improve foe the purpose of sale).
❑ I,as owner of the property,em exclusively contracting with licensed contractors to construct the project(Section 7044.Business and BUILDING APPROVED BY : DATE:/ I ''
Professions Code:The Contractors License Law does not apply to an owner of property with builds or improves thereon and who
contracts for such projects with a comrmor(s)licensed pursuant to I traders ••nse La
exemptB.aP.c.,rorthd'iAPPLICATION ISSUED BY, DATE: �'
at 0 pti 9of r owe: L U.
J LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
ereby dify that I awareand understand the requireme of California Health end Safety/ode Seniors 25505,25533,and
25534,end that I or any future building occupant will/wit not(d one)need to comply with said �e codes and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a permit forconswcion ormadscation from the Ai Ouafty Management[Jidda Residential const •/appfus tioare exempt from these
provisions. PERMIT 21 . 00 . 50
Dale: Applicant: SMIP/NON-RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty el perjury one of the following declarations: ISSUE FEE
❑ I have and wil maiMain a certificate of consent lo seAf-insure tor workers'compensation as provided for bY Section 3703 Of the 1-eM, BUILDING-DIv-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code.for the performance dthe work for which this permit ieissued.
TOTALS----> 21 . 50 0 , 00 0 , 00 21 . 50 21 . 50 . 00
❑ 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 carver and policy number are:
Carrier; REVENUE DIVISION TOTALS--> COLLECTED: 21 . 50 OVER/SHORT: . 00
Policy Number. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need not be completed I the permh is for one hundred dollars/51001 or lay.) 21 . 00 . 50
o I certify that in the performance of the work for which this perms S issued,I shall not employ any person in any manner so as to
become subied to the workers'compensation laws of California. and agree that if I could beco a subjed to the wa cam' *******4**4***********************Mie***Mee*Mee***********************************
compensation provisions of Section 3100 of the Labor Code.I shall forthwith comply with those provisions. INDIVIDUAL F E E BREAKDOWN
Date: Applicant: _
Warning:FeRute m secure workers'compensation coverages unlawful,end shall subject an employer to almlnal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up to one hundred thousand dollars(5104000),in addition to the cost of compensation,damages as provided for In
Section 3706 of the Labor Cod,interest.and attomey's/ww SFR 200 ALTER BY VALUE RESIDENTIAL NOZONE 1 , 00 200 , 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there is a construction lending agency for the END OF FEES
performance of the work for which this permit S issued(Section 3097,CS.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read this application and stale that the shore information is corm.I agree to comply with all city end county ordinances
and state laws relating to building construction and hereby authorize representatives ofthis dry to enter upon the above-mentioned property
«ice perpoeaa.ROOSSilib LT JERRELS-rink 03-24-1997/09:41 AM/$21.50
RCTII:01-0003838
1' Si1 " PERMIT:082142
Si:natun, • s�!li,le.�r.plcant/Contmct«
•
(5151-46 W P) White-Buifi g•/:&y:Green-Ale;Gamey-Applicant;Pink-Revenue;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 UF ER 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, 0 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.
27. Frame and Flashing - - - _ • 76. Dry Standpipe
28. Lathing & Siding .. - - 77, FIXED-SYSTEM'FINAL
29. Insulation - I 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 . --
Y
40. Gas Service-Final • • •
-
41. Solar Domestic-Final - - - -
42. Backflow Preventer _ - •
43. Backflow Irrigation • - -
44. Landscape Irrigation System __ -
45. Sound Attenuation- - - - -
46. Handicap'Regulations _ r - -
L
47. FINAL STRUCTURE & BUILDING 9�07 � -
48. FINAL PLANNING • _ -
49. Electric Release to Edison - a -
50. Gas Release to Southern California Gas Co 1 _
51. CERTIFICATE OF OCCUPANCY
No. Date
I '
1151;;N
Adair
Total Property Management
December 3 , 1996
Roosevelt Jerrels
2338 Ticonderoga Way
Costa Mesa, CA 92626
Re: Architectural Request
Dear Mr. Jerrels:
The Board and architectural committee have reviewed your
architectural request to install a room air conditioner in the 2nd
level bedroom per your plans.
Please be advised the City of Costa Mesa may require a building
permit for this installation. It is your responsibility to check
with the City and if a permit is required for the work, provide the
association with a copy of the permit along with the final
inspection report.
Should you have any further questions regarding this matter, please
feel free to contact either myself or the architectural committee.
Sincerely,
MONTICE ,• COMM ?ITY ASSOCIATION
• /r
:y Karen Gilb:rt
Associatio• Executive
cc: Board • Directors
Architectural Committee
member
C M
fkmber
"'°"'•"Z"n' 2 Corporate Park, Suite 200 • Irvine,California 92606-5128 • (714)261-8282 • FAX(714)261-6958 or(714)261-7202 a
MONTICELLO COMMUNITY ASSOCIATION
ARCHITECTURAL APPROVAL REQUEST -'
Name Roosevelt P . Jerrels Date
Property Address 2338 Ticonderoga Way Lot# 82
Phone(Home) ( 714) 241-8394 (Business) Same
Proposed Improvement Room Air Conditioner in 2nd level bedroom.
see attached sketchfor details .
Starting Date Completion Date
NEIGHBOR ADVISEMENT (Adjacent Neighbors) NO OBJECTION OBJECT
023Szio
E,EN �onlDo/V TicoNps 'Cc'6A
Name Address
Signature — — -- — /
i:V/17 ' WF2. .S ,t eer A4 . ✓
Name �9 ddress 2o � ( T to actCCto7 &.
-Ula ,, ' / Y 2-Mie7 olrlei q(/�
Signature 4eleU3
NOTE: Neighbor objections do not in themselves cause denial. The Architectura:
Committee will contact neighbors to determine their objections and thei]
appropriateness.
THREE COPIES OF THE FOLLOWING INFORMATION SHOULD BE ATTACHED:
1. Description of improvement
2 . Location of improvement and residence on a plot with dimensions to fence lin(
and identify any existing improvement
3. Elevations of proposed improvement relating to existing dwelling
4 . Materials and colors to be used
5. All dimensions of improvement (scale plans not required)
6. Copy of City Permit if required for improvement
Reg4aat: miss-ng any of the above information, or if information is unclear, wil:
be returned without processing.
Mail To: Total Property Management
18011 sky Park Circle, Suite L
Irvine, CA 92714
ARCHITECTURAL CONTROL COMMITTEE
APPROVED DISAPPROVED VCOPIES OF CITY PERMIT AND
rest EP a
( C[
Conditions of approval or reason for disapproval:
Date /g5/9 Signature ,�a-00Z--20. ted-- �
'gs' r 4,47n
NOTE: Architectural approval is valid up to 180 da • frog: date of approval. II
work is not completed by 180 days, plans must be resubmitted to the Architecture:
Committee for further approval. C• �
Rooss clt P. Jt„ c15 Townhome Sketch
I . g 1
1 •
4/r
1
•
ligank
2,w) �'``/�`- �`G DMSION OF BUD DTNG SAFF•TY
CITY or COSTA MESA
'
. . = - X24 APPROVED
1.1.0V�- Sk Y BY * Date C2(1 (C(
14 OF B OS p This set of plans and specifications MUST be kept on this job at all f •as
vls�d OF �llii� and ft Is unlavdul to make any changes or alteration on same without w- an
0 G�� ? ® ,,,,,, ,�,pud'•es •e cion from the Division of Building and Safety,City of Costa Mesa.
A /✓`on os400.,,,,,, • e stamping of this plan and specifications i TALL NOT be held tool
o =mit
be KeY onsam�ox cosy,vitr. to be an approval of the violation of any f r minions of any Oily o l Co
. e�Gc O„oc\est,1619;eki, 'SP1 toyd!°pe a, •sa Ordinance and/or State law. 1 -1 142
nd sP `Nr.a act -,n t ral 0 g� G .a=d�c G shc'l Q:pi p h iimR;, and become nub and w•d tl
•n15et �a '.A pv\S Un f}U"c�liCah°n5 G'.Gn``0t em` nd^.; 9e, I il, ng ordeya ofs oltccommence;'r a r ,!;tins_:GU.!i is"Jaf U. J!
andi.`s. vo tds99, 1nplanY t4a S • -- ---
Pe�\ss,°n o,\kh\SP\ar .\o\2 ° _,�'pecocrGA4r"'._ ----
Iva to be aWl PPce\1°1 :'•o1 evsettI. (k, ><�vmag0C\ed.�,7..
oc to Fanc e nc.�• '
a C
MPsaOt t).6 Pe 5” \cert
SheSe Gdnli9 of`It s o, :'— `-- '------����--
k6111\k"tie •
Ticoucoc evC W6/ t1l4TiVAV A- 401!Pee44
•• - 2ND L — —7-./5:40.1/ i`/' AOZ• &' NAmit /
fico# Ai r GorvD�T/ �'
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SLIDE Ocl r C/47'ss/S.
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5X/Sii-vr /As /e ,v
'ADDRESSOFtamiO: 2338 TICONDEROGA WY • LW: CITY OF COSTA MESA - BUILDING PERMIT
ONNERSNAME!Foam JERR ELS, ROOSEVELT P PERM NO: M 082143
amiss:JERRELS, SHIRLEY R .
2338 TICONDEROGA WAY PERMIT NO: M 082143 PLAN CHECK NO: N GOVT; N SUPP: N
COSTA MESA, CA 92626 I _ 0
APPL.MMUNO ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: MEC PURPOSE: ALT
AnCNrtECTORGONER: UC.NO.: JOB DESCRIPTION : INSTALL UNDER THE WINDOW A/C UNIT SQ FT :
ARCH OR END'S ADDRESS: UNT:
CLAIM VALUE: CALC-VALUE; GROUP OCC: R-1 /
CONTRACTORS NAME
CONTRACTORSMAUNG COMMENTS : MECH WORK FOR A/C UNIT, RE: #B82142
ADDRESS: UC.NO.: 3E 3E 3E 3E 3E 3E**3E 3E 3E**3E 3E 3f 3f 3k 3E 36 3F 3E 3E*3E 3E 3E*3h 3E 3E 3E 3k**3F 3E 3k 3E 3E 3E 3E 3E 3F 3k 3E 3E 3k*3E*3f 3f 3E#3E 3E 3E*3E 3E irk 3E 3E 3E 3h 3E 3f 3f 3E 3E 3E 3E 3f 3E 3E*3E 3f
LIMY: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury That I am licensed under provisions of Chapter 9 SETBACKS
(commenting with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force end effect.
car LIC.NO.: UC.CLASS: UC.NO.: EXP : -- MAIN BUILDING ACCESSORY BUILDING
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Dale: Contractor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt horn the Contractors License Law for the
following reason(Section 7oa1.5Sunless and Prote.eionaCode:Any cityor county which require*epermit toe«nwd,alter,improve, PARKING REQ; PROV: PARCr.F,L `41916360 ZNE; REF NO;
demolish,or repair any structure.prior to As issuance.also requires the applicant for such permit to file a signed statement that he or she PLANNING NOTES> - Fy
is licensed pursuant to the provisions d the Contractors License Law[Chapter 9(commencing with Section 7000)of Division 3 of the i
Business and Professions Code]or that he or she a exempt therefrom and the basis for the alleged exemption.Any violation d Section > � .`^ s
70315 by any applicant for a permit eubjeds the applicant to a civil penalty d not more then lire hundred dollars 1350011. 3E3F3E3E3E3k363k3E3E3f3E363F3F3F39#3f3E3F3E3E3E3f.3F3F;E3E 3E 3(- 3E ' - 3-E'mticift,3E 3F3k3E3F3t3F3E*3E*3E*3E3E*3E*3E3E3E****3E*3E**3E**3f
}�] I.nsered frthe property or my Boniness t mREQUIREMENTSsaleLicenseProfessions
License Law does red applyto property - d" ` 'v_
who buil°or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such E�
improvements are not intended or offered for sale.N,however,the building or inprovemem is sold within one year d completion, ZONING APPROVED �Y DATE:
owner buioer will have the burden of proving he or she did not build or improve for the purpose of We). /, 5 ��
❑ I,ea owner of the property.ant exclusively contradig with licensed contractors to construn the project(Sectith7044„Baeinenand BUILDING APPROVE , 0 SN DATE;
ContractorsProfessions Code:The License Law does not ay to an owner of property who buildsthereon
or improves end who
contracts for such projects with a contractor(s)licensed pursuant to the on License --w3. �1 / `
❑ lamexemqu Swan: B.BP.C.,for Nle �, • 'PLICATION ISSUED. BY : I �=1 -"� DATE: 2i2(`gl
/ 3E3L3f3f3E#3E3E3E3e3e3E3E3e3e3e3(-3E3e393E3E** 1V****-*3E3P3b3E3E3t•3E39393e3e 3E3E393E3e3F3e3e3e3e3E3(3e3e*** 3L * ** ***
Date: ^ Lam/J °lona' '-' LEGALIZATION:N i - '�. ,F'
` t__ E E SUMMARY STRUCTURAL SEGMENT: N
Ido hereby c that 1?ion:
understand the requirements d aliomia Health and Sal: Code , . ,25505,25533,and .-.
25534,and l«any enure building a«apem w.11wgl not(orale an need to dumpy with said state ...Twang the requirements f« BLDG PMT"PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a permit for construction or modification from the Av u�lyM nagemen ishid.Residentil conatructon app roes are exempt from these
provisions. PERMIT 13 . 2 5
Date: Applicant: 253 SMIP/NON RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of Perlin one of the following ded°ntona: ISSUE FEE 22 . 00
o Ihave and wilmaintain acertificate oconsent toselireure for waken'Compensation,as provided for by Section 37OOdthe Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code,for m.ped«marwedthe work kt :ch this permit is issued.
TOTALS----> 13 . 25 22 . 00 0 . 00 35 . 25 35 . 25 . 00
❑ I have end will maintain workers'compensation insurance.as required by Section 3700 of the Labor Code,for the performance of the
work s«whhthis panier: ed.My workers' « pen.atmi . raneaaderanepaynumborae: REVENUE DIVISION TOTALS--> COLLECTED : 35 . 25 OVER/SHORT: . 00
cannier:
policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need not be completed t the permit is for one hundred dollars($500/or lass) 35 , 25
❑ 1 teddy 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
became subject to the workers'compensation laws o California, and agree that N caw m l should bosoms eublthe workers' ******************3*****3E3f**********************if-************3E3f******3E*******3P**
compensation an:anions dw
Sim o 3700 the Labor Code.I shall forthwith own*with those previsions. IND IV IDUAL F E E BREAKDOWN
•
Dem: Applicant:
Warning:Figure to secure workers'compensation coverage Is unlawful,and shall subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines W to one hundred thousand donna($004000A In addition to the cost of compensation,damages as proWded for In
Secfon3706 of the Labor Core,Interest,andartomey's feu. MEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H 13 . 25 13 . 25
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the _ ,., a.-- =�•.wzr.c,.,,e.Q,.,• END OF FEES
performance of the work for which this permit is issued(Sedion 3997.Civ.C). P '- —�-
LENDER'S NAME: '\ /
LENDERS ADDRESS: C A ? \ s i h Ipryll
I certify that I have read thisagree to comply with all thy and county ordinances
application and sate thatIse above informationames ofS
and stale laws relating to building construction end hereby authorise reyresentathee this thy winter upon the°b°ve.mentioned popery - .._.
for inspection pu`posesROOSEVELT JERRELS
83-24-1917/B9:41 M1/$35.25
/�, fir- RCPT8:81-8083831
v �1II ; /� Bad: /y DATE#@f7S►G. _ PEkMIT:082143
1 ignal 'd. vAp• , ontrador —x
(51.1-46.WP) White-Suildim °fey;Green-File:Canary-Applicant:Pink-Revenue;Goldenrod-Assessor a — j
-
• 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. Foundation59. Gas Pipe, 0 Undrgrnd.,Test •
9. Water Pipe•Undrgrnd. _ _ ' .60. Backwash Lines, P-Trap, 0 Undrgrnd. ..
10. Structural Floor System61. APPROVAL TO DECK
11. Property Sewer Line & House Connection62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64, Plumbing System - Final
14. Rough Plumbing65. 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 r - 73. Undergrnd.Storage Tank 0 Gas O Oil ',/ .-,
25. Roof'Sheathing _ • 74. Overhead Hydro _
26. T-Bar Ceiling (Structural) & Monocoat - 75. Dry Chemical _ -
27. .Frameand Flashing 76. Dry Standpipe _ I
7.
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 •... 1 <
32. Electrical Power MeterFinal . 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 _
43. Backflow Irrigation . . _ j
44. Landscape Irrigation System - 1
45. Sound Attenuation. - • -
46. Handicap Regulations •
- '
47. FINAL STRUCTURE & BUILDING - ,
48. FINAL PLANNING - - ._
'49. Electric Release to Edison -
50. Gas Release to Southern California Gas Co i • � '
51. CERTIFICATE OF OCCUPANCY -
No. Date
OWNER SAN VISTA Building Co. . DATE 7-21-67
JOB ADDRESS 2338 Ticonderoga Way BUILDING PERMIT NO. 27319
GENERAL CONTRACTOR San Vista Bldg. Co. DESCRIPTION OF WORK Res.w/att.gar.
AP No.930-Q3-81 LOT Si TRACT 5160 FIRE ZONE VALUE $ 18,114.00
INSPECT ONS Signature Date GROUP I & J TYPE V ZONE 11-3
Soil / �f'] �t PERMITS ISSUED
Gas �� �,� 4.--27-uSUBCONTRACTOR Date I Number I Signature
Waterg9iy}}$'(r t- fi •luy bing 1 ,
Rough lumbing /viskg 6 1,-./- , / _ -, /-4 O.
Prop. Swr. Line 0 House Con..(4� - _-C•
Sprinkling System
Miscellaneous / G
Rough Heating and Air Conditioning 44_ r_�-07
Temporary Service or Pole
Underground CPower i]
Rou:h Wirin• v/,• q, S Heating and Vent.
Trenches L Forms❑ Steel Reinf. I/t, --1/ (�7 ._. _i. . .1 • - 4 - - -
Floor System c.- X 7A7
Bond Beam 0 Steel Reinforce 0
Sheathingq
Frame and Flashin ,/ c9 - ,�_
Lathing — In Flashing-
Q" I r. /�
Plaster, Brown Coat c, //�yf I ,
Structural, Final a //rn- �Ellec"tri �/
Heating, Vent, Refrig. and A.C., Final I _ S//is---e, " -"f1ia r / 9/-6`/ a7sis?
Plumbing, Final and Gas Test 0 `///__ /
Electric, Final r /( 7 i
Building, Final Q.
2i-,-,i31 9PAID
JUL 25-67IO01671i ** ..90.CC
COSTA MESA IIUILDING-SAFETY DEPARTMENT
P.O. BOX IMO COSTA MESA, CALIFORNIA 9262t
•
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
For Office Use Only
AUIDLRDEG Z 3 3 F P Attila ra If_
RECEIPT NO. PERMIT/NO.4
COSTA /MESA. CALIFORNIAU 4• P a '/t C,
D
OWNER 0a�U U1- 4 0,44-91,144y^�I �{� (7RECUVtq'�Y _/ W 7/, [.7 0/i67
BUILDING
MAIL 2/L 1 (L)a441 Pu4, IY IMW ADDRESS!/FIRE
!/�J
ADDRESS nL
/� TED11 `', ZONE TYPE GROUP
CITY F/(TA t � NO.O32.--I ST
APPROVED
ARCHITECTO T!L/`�a7 BY DATE
OR ENGINEER( f� Rya�aw N0.7 V -IZT�
ADDRESS /•o r(-c1/<1/L. �aA420- a ZONING
///�� w'�zbne R3I Puwi 2 I SUILDI O S111g Res.
CONTRACTOR 49'CLL4a _ L/I �-'^,_y^y�
DESCRIPTION
/,* g I I/ S(6 'D
ADDRESS 0 Q,�.4-4, D[PICRImON,`
^ A.P.NO. 930-03-81
CITY , J C..L..o
NOTE: NO HAVE OVERHANG SHALL BE LESS THAN
STATE TEL SO'TO BIDE D REAR P.L
LIC.NO. NO,
r EAVES
SIZE D r�7� I NOW OF ONLOT ALLOWED _I U.B.C.REQUIREMENT)
OF LOT
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING DWG.
I FROM C/L STREET/
SETBACK UNE-PROM FRONT 0 FT. FT.
CENTER OP STREET REAR YARD
SIDE YARD LEFT I RIGHT R.SIDE 0 FT. FT.
DESCRIPTION OF WORK L.SIDE 0((PT. FT.
NEW ALTERATION ADDITION REAR 'TT. FT.
DISTANCE SET. BET.MAIN e
REPAIR �MQyINO - DEMOLISH MAIN BLOBS, ACCESS.BLDGB.
BUILDING /-7 NO.OF VAR.# DATE
SIZE � /�, C) ROOMS �i STQRI[//S Z C.U.P.# APPROVED
EXTERIOR W 1 I ROOF %(,(yiyl{jy/ IMPROVED DATE 7-7-67
COVERING I M COVERING PC♦rOL/
USE OFD ILDINe A.D WORK IR DHp ERFORMERR L—• O'
F Cull! tDLA{IPI)Mit et/ ro
__,--r-, -
I HERESY ACKNO H THAT I NAVE READ D A ES TOACIOI
PURPOSETHE AMOUNT BN UNDER VALUATION IS FOR THE j
AND CI THE A OWE IS STATE WS REE CONN. OP ESTABLISHING A PERMIT PEE ONLY. 1R
larariggEraggninti
PLY WITH AU.CI ORO NCtl AND STATE LAWS REGULATING VALUATION D co BUILDING CONSTRUSIGNATURE N //�2 PERMIT FEE $ LF'
PERMITTEE OF 'N �t s/////�
PLAN CHECK S -3v� I`
AUTHORIZED AO TOTAL FEE S 7 D