HomeMy WebLinkAbout2343 Ticonderoga Way - Building Permits ADDRESS Of MALIKMO: 2343 TICONDEROGA WY. UNIT: CITY OF COSTA MESA — BUILDING PERMIT
aNNER5 NAYEIP IDA)WN: MADDOX, CLIFFORD R PERM NO; B 07259E
AoDRES& MADDOXANNE MARIE
2343 TICONDEROGA WY PERMIT NO: B 072596 PLAN CHECK NO; N GOVT : N SUPP : N
COSTA MESA,CA 92626
APDL.MAILING*OGRESS: CONSTRUCTION TYPE; PERMIT TYPE; STR PURPOSE: OTH
ARCHITECT OR ENGENER: 1lC,NO.: JOB DESCRIPTION ; T/OFF, SHEATH D REROOF W/COMP SHINGLES SQ FT; 2 , 924
ARMOR ERG'S ADDRESS: UM:
CLAIM VALUE; 2, 924 . 00 CALC—VALUE: 2, 924 . 00 GROUP OCC : R-3 /
CONTRACTORS NAPE: STOUT ROOFING INC ( 310 )923-6775
CONTRACTORS SWUNGP 0 BOX 4309 COMMENTS : SMOKE DETECTORS ARE REQUIRED PER 91 UBC
ADDRESS: DOWNEY CA uc.NO.: 402536 *#x+ru-*a:>+ca-****** a+r•+r****R;c,:�E+cser+:K-* :+F- +-*,r;:a**44,-********+1-+a-K-*s,:.1~,c*-Ic*,:+caca+:+c�c**+44.-** :a
90241 0MT: Z ONING REQUIREMENTS
UCENSED CONTRACTORS DECLARATION:I hereby affirm under penalty 'ury than am tensed under provisions of Chapter SETBACKS
(commenting with Section 7000j of Dnision 3 of the Business and Proles& Cand my licensee a in lull bt�rrra gg777aeeee effect.
Crfyuc.NO.: 059377 u s: C 39 uc.Np 4025)6 E ��� 10%95 MAIN BUILDING ACCESSORY BUILDING
2 / FRNT; FT IN REAR; FT IN FRNT; FT IN REAR; FT IN
Date. ,�3�-9s con0ect«x kegLEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I an,exempt from the Contractors Lice,-Law for the PARKING REQ: PROV; PARCEL; 41916402 ZNE: REF NO:following reason(Section 7031.5 Business and Professions Code:Any city o s county which requires a permit to coni eller.improve,
demolish.« el repany structure.prior a its issuance,also requires the applicant for such permit to file a signed slat- ',mat he or she PLANNING NOTES> -
is tensed pursuantth
to e provisions ol the Contractors License Law[Chapter 8(commencing wish Section 7000)of Division 3 d the j -
Business and Professions Code]or that he or she is exempt therefrom end the basis for the alleged exemptbm.Any violation d Section
7031.5 by any applicant tor a perunisubMcts the applicant to a civil penalty o nal more than luta hundred dolars(SM001). ********************i+'+E+f+f*tf*****iF*******+*********x**********:f*a:4*********44****
❑ Las owner of the property or my employees with wages as their sob compensation,will do the work,and the structure is not imended DEVELOPMENT SERVICES REQUIREMENTS
or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does not apply to en owner of property
we who bulls or iii proves thereon.end who does such wok himself or hersel or through he or her own employees.provided that such
improvements ere nal intended o offered for sae.I.however.the building Cf mpovrnern i sold within one year o completion.the ZONING APPROVED BY DATE:
owner-builder will have the burden of proving he or the did not build or improve for the purpose of sale).
❑ vn0°iowner
a Ctowwe:Tha°1O the et stkesinshy ruce Law°dooees its t aiof anOO ow°ne41°r a°pro° the
buuild°t sss«ImprOves 44, .1eonon a°and wand BUILDING APPROVED BY ; DATE: . -
contracts for such projects with a contractor(s)licensed influent to the Contractors License Law).
❑ Iamexempt under Section: B.BP.C..for this reason: APPLICATION ISSUED BY: DATE:
*x************.********-sea*******x**x*vex** *xx*tic****vex***x*********** -
* &*xl **
Dep owmac LEGALIZATION;N F E E S MMARY STRUCTURAL SEGMENT :Y
I do hereby certify that I am aware of and understand the requirements of California Health end Safety Code Sections 25505.25533,and
25534,and that l or any future buildingocapant will/will not(erre one)need to comply with said state codes and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a permit to construction«modification from the Aa uakty anagement District.Residential construction appkati«s v°exempt from than PERMIT 54 , 00 50
provisions.
Dais: Applicant: PLAN SMIP;NON—RE5
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury one of the following declarations: ISSUE FEE
❑ 1hmandMEmamei,°.Mfraudmumtto°•tlirsureforworkers'compensation,nero eldf«bYSetion3700dNalabor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Cede for Owperformance ofthe work Ica lid
which i®d
u .jaC
TOTALS > 54 . 50 0 . 00
0 • 00 54 , 50 54 . 50 00
I have and will maintae workers'compensation insurance,as required by Section 3700 of the Labor Code.kr the performance of the
work ler wNdm me Penrod a Sued.My
workers•comperaation bwaanu urrir and policy number aro:
Carder: JLlLLt ru: u EXPIRES REVENUE DIVISION TOTALS > COLLECTED• 54 . 50 OVER/SHORT; 00
Polity Number. - ,-. � .�„„,,,„, , 10/19/95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
54 , 00
(This section need not be completed/the petrol is for one hundred • et less.) v 50
❑ become sub**in the pedomence of the wont for which this permit I shall rid employld 7mry manner so a t' ***********r#*****-k******+f**x*4*****#x*********x**x xx***+E**+t*xis-**a+,****x*�!**+.f*
hecerne subject t m.warfaY n3700o the aces Code, .res 8,skald • tot I N D I 1, I D U A L F E BREAKDOWN
cem0ensafion provisions d Section 3700 of the Labor I /� ,l o/ with those /�
Date: Apdcant: ♦S. / -eir
Warning:Fallon to secure worxieompansstlon coverage Is unlawful,and shall subject an employer toed nal pens u pumand TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil lines ter to one hundred thousand dollen(510e000),m addition to the cost of compensation, as provided for In
Section37DeoftheLaborCodeInl«eagandatromey''sfees. SFR 2924 REROOF BY VALUE RESIDENTIAL NOZONE 1 , 00 2 , 924 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there is a connnudion lending agency for the END OF FEES
performance of the work for which the permit is issued(Section 3097.Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read this application end pale that the above information is correct.I agree to comply with all city end cattily ordinances
and state laws relating to buiklig construction end hereby authorize representatives of this city to enter upon the above-mentioned properly
tori d10np1pOeeL F RLENE BURFORD
”"
J ,5�3/ 01 00183125-00183126 TOT 54.51
Dat• DATE: 05/31/95 TIME: 11:40
SignaturedDwvw iamw polowll«4nd«
/
(5151-40.WP) White-Buldig 8 Safety:Green-Fe:Canary-AppErda:Pink-Revenue:Goldenrod-Assessor
CONSTRUCTION AND PLANNING ' 'POOL & SPA
Date Inspector Date Inspector
APPROVALS Permit# - _ APPROVALS Permit #
• I
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 I
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 1
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,i7 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
_ 1
18. Rough Electrical-T Bar Ceiling 69. POO USPA 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 ❑Gas Q Oil
25. Roof Sheathing ‘0.0 'TS 6w4' 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
38. Final Plumbing
39. Water Service--Final _ ..
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING /�_b44- _
48. FINAL PLANNING
49. Electric Release to Edison •
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
V,VflJZu. OHM V10'111 DVSLU11VU UVAritaI mnir. y 1) U1
JOB ADDRESS 2343 Ticonderoga Way BUILDING PERMIT NO. 27529
GENERAL CONTRACTOR Same as above DESCRIPTION OF WORK RPsi denee W/Att, GnrngP
AP No. 930-03-86 IAT 86 TRACT 5160 FIRE ZONE VALUE $13,240.00 -
INSPECTIONS Signature Date GROUP I & J TYPE V ZONE R-1
Soil (y- Ak .1�� PERMITS ISSUED
Gas SUBCONTRACTOR I Date I Number I Signature
Water .tt�_ lt-7.o'c'7 /AIL_ �0 7 1umbi /g��
Rough Plumbing ,t2 -G7/q!!.(i-e ��/ iA07-//-d7 k+ .
Prop. Swr. Line 0 House Con.Q- ?v-‘ 000
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning /ft p-2_C6,r7
Temporary Service or Pole
Underground 0 Power 0
Rough Wiring - / re "6i/ -617 Heating and Vent.
Trenches i� Forms Steel Reinf. f7 f1e 9 444 4_ "C"--14.1/0 "Aar
Floor System I e o z/C NIMMIll
Bond Beam 0 Steel Reinforce 0
Sheathing lw c /er 6 =
Frame and Flashing 1.14 ca- a --
Lathing—In Out A//a /i y
Plaster, Brown Coat - i !G /
Structural, Final / e_ / � ectri
Heating, Vent., Refrig. and A.C., Final ! . 2-,21"42 . 0A4 0220 90-6,.0/,76
Plumbing, Final and Gas Test 0 7 TT
Electric, Final / �• 6 ..--
Building,
Building, Final ' e--. /�
27529
SEP 13-6-765—i5k4 337* r,"*t.67.5C
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 9 ^^�!,[ �/ For Office Use Only
ADDRESS OL ` I (I( .CTI Q(./
RECEIPT NO. 1 LLJ�P;H yD�9
COSTA MESA. CALIFORNIAN
R[CEI • ■ • =[pt1,V[Diy • T[ISSUED
OWNE O .OA4rA //. % A O _ill�.Y✓o7 __(O/
a a oh�.[ L..� /( BUILDINGDRES
MAIL Ir/AL ADDRESS
ADDRESS
Z
CITY L (.l (L(,�e/,W Mir
yh''pZ// ZONE
TYPE $/ GROUP
'
APPROVED
ARCHITECT
l �14i., � BY DATE
OR ENGINEER "` 4p NO7'� - 221_
PA ZONING
/`�
ADDRESS `•'i p ( •/r\-- 64.0044..
SOX[ 3 NO.OP all OP NEW
R I PLAN)/1 BUI LDf10&✓mow
CONTRACTOR /'� LEGAL 1 - }r s/6 r fn.• _�G S' /I J
ADDRESS / •+ DESCRIPTION (�jy��V I TrC.1�}�/ 1
CITY (al a .(.A.r— A.P.NO. / 3 e-- o
NOTE: NO RAVE OVERHANG SHALL BE LESS THAN
STATE TEL. DO'TO SIDE&REAR P.L.
LIC.NO. NO.
/� EAVES
SIZE 2/ _ X '-.7 C I NO.O ON
: ALLOWED (U.S.. C.REQUIREMENT)
OF LOT (1-(1 1 NOW pN WT YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING-BW131
(FROM C/L STREET)
SETBACK LIXETtDIe FRONT On. FT•
CENTER OF STREET REAR YARD - ,
SIDE YARD LEFT RIGHT R.SIDE OFT. FT.
DESCRIPTION OP WORK L.SIDE D FT. Fr.
NEW ALTERATION ADDITION REAR 0RT. FT.
DISTANCE an. BET.MAIN 6t
REPAIR MOVING _ DEMOLISH MAIN SLOGS, ACCESS.BLOCS.
BUILDING^ r7 NO.OF (/J
VAR.* DATE
SIZE 20 / L7 ROOMS STORIES ( C.U.P.# n APPROVED
EXTERIOR VyIII ROOF ar A aYPROY[ �i�AT! / �_� P.
COVERING SJ ROVERING fz LlI •Y'�
USE OF au 1 SAN5øeA.QLu9 /7t4JJi1f
WORK TOBaPERFORMED t W
�Lt Q ,A
.-0--99 6° Y' .F7.
60j_ 0 Y
`
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SH N UNDER VALUATION IS FOR THE
AND STATE THA • E ABOVE IS CORRECT AND ACRES TO COM. PURPOSE OF ESTABLISHING A PERMIT PEE ONLY. R1
PLY WITH ALL CITY •ROMANCES AND STATE LAWS REGULATING VALUATION VI
BUILDING CONS CT •N. rU
SIGNATURE OF PERMIT FEE $ �-)
PERMITTE• /� 4 //
_...
_ s /5 .2 "O PLAN CHECK S ra�-.Td 6•
AUTHORIZED AG. / / �]�t"O
.X,..;..y:�s ,e^ .i .. -.•p.. .IC .s. ..... �_.::T-: TOTAL FEE 5