HomeMy WebLinkAbout486 TRAVERSE DR - Building Permitsi
Pfl0.1ECT ROOflE$5:
OWNEP'$NAME: 486 TRAVERSE DR
t AOCAESS: CRANK GREGORY J
486 T�tAVERSE DR
COSTA HESA,CA 92626
pFLNIENGINEEB: z 4 S— S 1 9�± pEG.NO.:
nooness:
uNR:
uxit:
PEXMITTEE:
aooxess: NOCK PLUMHING ( 714 ) 895-1246
q1T16��170�n�SEABOARD CIR ('� qp p
LICENSEO CONTBACiOP'OELL'ARRt10N" I nere�y alfirm that I am �icensed un0er�tuvisio%sUl�h3o�r 9(commencing witn Section
7000) o� Divisian 3 of the Business antl Prolessions Cotle. antl my license is in lull force an0 e�fec�.
CITY LIC.: STpTE UC.: ///��� CLRSS:
Q �,8� 5119%1 � o- C-36
Date: Signamre: _ •�,—�
WOXKEHS'COMPENSFTIONDECLAPATION: I�erebya��irm�hall aveacenilicateolconsemmsell-insureoracenificateafworkers'
Compensalion Insurance. or a cerii�ied coDY Ihereof (Sec�ion 3800, Lab. C�.
eoucrno.: 116799290 E%P.DFTE: O3IOLI92
LOMPANY: n p
❑ Ceniliea cST'fiT(�y� iumisnea. Gk Cenilieu copy a rie�h lhe ci�y Builtling Oivision.
, �a�e: 1� `n— \,,-- NPVlitan�:�_'
I E%EMPTIONFBaMWOHKEBS'COMPENSATIONOECLANRTION: Q�iSseCtionneeanotGecomplele4illhepermili5�aronehun4reE�5100�ar1e55�.
I[eNty Ihat in I�e pedormance of Ihe work for which tAis permit is is5ue0, I shall no� employ any person in any manner so as �o become
su�lecl lo I�e Workers' Gompensation LawS ot Lalitomia.
Da�e: Siqnamre:
NOTICE:II. afler maWng t�is declaration, you should Cecome subjtti Io Ihe Workers' Compensa�ion provision5 oi lhe Labor
Catle, you musl fonhwilh tomvly vnih such Wovisions ar ihis oermit shall be Oeemea rewkeE.
CONSTPUCTION LENOING PGENCY: I hereby allirm that ��ere is a consimclion lentling aAency for the pedormance oi ihe work lor
whic� IhiS permil is i=5uetl �Setiion 3097. Civ. C�.
LENOEH:
POOflESS:
OWNEfl BUILOEB UECLAPATION: I �ere�y atlirm �Aal I am exemp� Irom the Camraclars' Slaie License Law for �he following reason
�Section 70.71.5 Business ana Pmfessional Cotle: Any ci�y oi counry wAic� reQuires a Dermil to tansVUCI, alier, impmve, aemolish, or
repair any simctwe. D�ior Io ils issuance. also repuirts IAe apDlican� lor suc� permit Io lile a 5igne0 sia�emenl that he/s�e b Iicense0
pursuantla��e provisions olt�e ConVaqors' Stale License Law�Ctu0�er9�commen[inp with $eciion 70fI0�o�0ivision 3 ofihe Business
an0 Pmlessions Lode) o���a� he/ihe is exempl I�erelmm an0 Ihe Dasis lor I�e alle0ea evemption. Any violation a� Section 7031.5 by
any aDPlicant lor a permit suGle��s the aDPlicani Ia a civil penal�y o� noi mort IAan five �untlreU tlollars �5500�.
I, as owner of I�e pmDetly or my employees with wages as Iheir sole compensalion, will tlo �he work, and �he
❑ simclure is not mten0etl or oflereJ for sale (SecUon 7044, Business anE Pmlessional Code: The Cantracrors' Slate License Law
aoes nol aOPly (o an owner ol a pmpeny who Uuiltls or impwves ineteon, and wAo does sucA work himself/herself ar thmugh
his or her own emD�oyees, pmvitleG �hat suc� imD�ovemenis are not inlentletl or oBeretl far sale. Ii, however Ihe builtling or
improvement is sala wilhin one year ol wmDletian. ihe owner will have I�e �urtlen ol proving he/she did not bui10 ar imD�o�e
lor Ihe purpose oI sale�. .
I,as owneroflhe D�opetlY.am excWsivel9 con�rac�ing wil�licensetl con�rac�arsto cons�mctlhe projec��5ec�ion 7044, Business
❑ anA Pm�essions Cotle: Th¢ CAntrac�or5' Slale Litense Law Uoes no� ap01y �o an owner o� D�operly wh0 huii05 of improves ��ereon
antl w�o contracts for such pmjecls wit� a cantractor�s� license pursuan� to Ihe ConVac�or5' Slate License Law�. I am aware
t�at pmol of Iheir Worker'S Compensation in5urance sAould Ue D�ovitle0 to me. .
� I am eKempi under Seciion: B. 8 P. C.
br Ihis reason:
�a�e: Qwner.
I Oo hereGy cenity I�at 1 am awart ol and unAersland t0e re0virements ol Calilomia Heall� an0 Safery Cotle Sections 25505, 25533, and
25534 arW Inai I or any IuWre Ouilamg occupant wilUwill not (circle one) nee0 to comply vnt� saia state CaEes and ihe reQuiremenis far a
permil loi con5imtlian or mo4ilicaiion irom Ihe Aii Oualiiy ManaAem¢ni Di9ricL HesiOenlialwnsimclion ap0lica�ions are exem0� ��am
Ih¢Se prOvi5i0n5.
Oate: Fpplicanl:
I p¢r¢Dy <¢pily I�ai I have rea0lhi5 applicati0n anA Slaie Ihai I�e aUOve in�ormalion is COrreti. I a ree lo [Omply with all tily an0 toUn�y
or0inances ana s�aie laws relaiing Io bmltling cons�mtlion antl �ere wnorrze reD�esemaiives of S ity Ia enter upon �he aGwcmenlione0
pmperty br inSDec�ion pwpases.
Date: �_� Signalure:
Onver's License o� Social Secunry +:
164��afi Whiie—Builamg: Green—Code Enlorcemenl: Canary—Applicanl: Pink—Revenue: Goltlenrotl—Assessar
Y
CITY OF COSTA MESA — BUZLDING PERMIT
PERMIT NO: P 053745 PLAN CHECK NO:
CONSTRUCTION TYPE: V—N . PERMIT TYPE: PLU
,TOB DESCRIPTION : CHANGE OUT DISHWASHER
N
PERM NO: P 05379
GOVT: N SUPP; N
PURPOSE: OTH
SQ FT;
CLAIM VALUE: CALC—VALUE; GROUP OCC: R-3 /
COMMENTS• SMOKE DETECTOR RE�UIRED IN THE HOME
**�r+�*�r**i��*x���r�r+r*x�**�r**�r�r�r� �**�r�e��e***�r+r*�+��r****�e*�r*�e�r�r*�r�r*�e�r�r*�r*�r�r***�r�r+r�e�r*�*�r
Z O N I N G` R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN_
PARRING REQ• PROV; PARCEL; 91803116 2NE: REF NO:
PLANNING N151'ES>
i
****�r**�e*�t+t�t�**�t�i�**�**�t�t*�t�t�r***�t�t*�t�t*x��r**�***;e*�****�**�e�e*�t�t�t*+�*�t�t+t�t�r�t�t�t*�t�t�r�r�r
D E V E L O P M E N T S E R V I C E S• R E Q U I R E M E N T S
ZONING APPROVED HY � DATE:
BUILDING APPROVED BY : DATE;
APPLICATION ISSUED BY: DATE: ��������,�
k�fM�fMlFitififillElEitiFiElE1FIfIkifIE1E FiFiFiFiF�i'iF�IF141fifkiFifiFifiFiF Ikk
�EiflFifk1E1F1fiFififlfifiEiflEiElfMiE�klEiEiEififiFkkMiFklfiFkifiFk iEif MkitiflEk�EififlfitiFififlEiFifiEiliEkftiF�EiEiFif�fitlElfkiFiEM�f
LEGALZZATION:N F E E S U M A R Y STRUCTURAL SEGMENT;N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADZNG
PERMIT ZZSi SMIP/NON—RES
PLAN
ISSUE FEE. 3,00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 2.00 3.00 0.00 5.00 5,00 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 5.00 OVER/SHORT; ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GAADING PLAN—CHECK
5,00
if if k if 1E �k k iE )f 1E if if ff �E iF i! If iF k k M �E iE iF if!! k 3f �E iF if If iF iF IF iF 1f 3f ik �f IF M k 3F ikif 1f if ak if if if M if if 1f iE fk if if iF 3k iF M if if 1F 3E iF iF ik iF if iF M iF iE iF if
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
PLU• 1 DISHWASHER 2.00 2.00
END OF FEES
'a� Qallil»''�_'! ;l.:' ( _ , �.�,�
CpiE: b"._ . '�i�,�. .. .._
�,�
c'ONSTRUCTION AND PLANNING4� POOL & SPA
APPROVALS Permit # Date Inspector p�ppROVALS Permit # Date Inspector
1. Temporary Electrical Servi �or Pole `v � _ 52. Pool & Equipment Location � �
2. Soil Pipe-Undrgrnd. w r�Q 53. Steel Reinforcement
����tri� Conduit�,7j�ity-U%Urgrnd.� �n 54. Forms
•cR�Elegtrical Condu i3lndrgrnd. _; 55. Electrical Bonding
�����I R�inforcem;er'�S •� r 56. Rough Plumbing & Pressure Test -
� q�eytrical UFE y nd. � 57. APPROVAL TO COVER-GUNITE --
t
<V: PLQings .'SQ �+ 58. Electrical Conduit-Undrgmd. -
:. �, .-.
' 8'. �oundation �� �� . 59. Gas Pipe, O Undrgmd., Test y
R9 Water Pipe�Undrgnnd. 60. Backwash �ines, P-Trap, O Undrgrnd. <
10. Structural Floor System 4 61. APPROVAL TO DECK
11. Prpperty Sewer Line{& House Conne9tion 62. Backwash & Receptor-Final
�Z.Se�e�CaP .L � ! 63.Heater&Vent-Finai
13. Roof Drains !o � • 64. Plumbing System - Final
74. Rough Plumbing � - , 65. Electrical�Final
15. Rough Electrica�onduit 66. Solar System-Final
i6. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Si§n . 68. APPROVED FOR PLASTERING
18. Rough ElectricaKT Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning ' FIRE DEPT. REQUIREMENT
20. t�iou� Fy¢toiy Fi�place i i.K;�, rt'�: r -�j :rx x�PPROVA�o�ermft # * ��^
S -t �r '�'.i v� rt.. x t �- � �
21. VUC1�7 if4$tf tU�* I::;-� �y- v ., � -Ip �•. 5...^�s�� � x iT]
!L � i.,x � ,� * .i C Hf :c �.0. .q'der9rP}l�P'I'Y� o .� .
22. �Duct9, Ve�tilating-r.: � qS �* S i(x a c 7. Product[Pi �rig 0� O'Oil
r
23. r8as Plpe�ou� &'7.'�st � � z~ = J` ', '�/2. Under round� Flu i� F '�
r. � I [� 5 x, O• :T � 9 � � � „
24. �Yoo Framing: Fi� �. . �•I r� D � J�� :� �3.'1tlndergrncPStora ank � Gas O OiF
"� '� 1'� Iy 1
25. Ro �'{Sh' 'thing �` � �',� * �^ ;? � �'?� �` 5j4.q, verhead F`� dro �'� �
� -} � lTt'� 2 i v t j �... .�. CY Y
26. �,1r8aryCeiling (Strgciural) &�oqocoat �r � w C!�7* Y' 75.CDry Chemical '7 ?� i+ O C
27. ara,mtie ar� Flashiir�x ���� :+� r, r�» x �- Y ~ O3: .r y: t� N
76.• Dr Stand�lep� - �;v .� ;L
� � * r-I[8t.. -r' . .. • � • . .. V
�28.`l.athyng� Sidingr..� i; •�;�y�� u; a� S �•x x 77.� FIXED SNS�EMP.ifu?1L" S
..
�29. Insulati �� '�� � s .. .. > a'." I �� � 78.�IRE PREV. Fll�q� �, � �
SM..`s .. �.� � i ` �
i' 0. Drywall.fyailing ;:�� . � ,�s. x: r+ �cr, liEALT r.QEPTxR�Ql1FREMENT
,31. Plaster 6rbwn,Coei* � i « y � � �-
� x � :' . w ��79."�NAL9�f�P�CTI(�,V * r ;r
;��2.;�Iectrica�Po er �e'ie�final � �� . ,, � ��. �, y ,80.pF00D CEF�iTIFIe�{E ISSI��D `~
v3."' in�TEle"ri �� �T' , � J t:.t �/w v�c�o�; e' �� s
E. ti:a rr I c�' b i �'k c 7 7L*] x� rj rr,
4. in Hea in AiF o itio� i'q r: z :` "' � ��f �', , �{.
r�c cF �: S 9-. �� P_9.s , � . i�, _4 r i� �s n:x � s �
35.tP.inat�Ga's�PipeiTeSl�r. �i `f � � i � -• N; .t ' [` ^ i+7S * t=' C
!rl k r'.a �[ .-� /� !r R � U i71 -: :1. 'r'
x� ( '• � y '1 � fe�. [N I�j • M i;�
i..�6."No6� or CanoPY J:* O r.r'_: . t;: �, ��r v_ S: � [lo sa V•
��7.�in3T�Factory Fire�i"gace' , i S�r w �: th ' ' ;•. < s ; 3 = i�
r �� o a � ti. �r ,; =Y n7
�38. Fina,}.Plumbing y ��„ � .. .. .� ,l:�4 I ( �� � y. �' � y r ry� -
C39. WatOi Service-Final* � � i �c � � � ' :r. ~. Cl ;r. R �r,
. S. I %[L I � .k X: � �J '�
�0. Gas Service�Final y�� �.r�„ s *�„ � j y �_ �„� o:� *�
341. Solar pomesticFinai S � •• c.^. ! w r .to �-+ x
+ 1 y� ��r O C x• p
FA2. �ackflow Preventer* ` �� � a � � '� �` ��i � "` S
'�r x C� • ;� H :x V �
. .., � . ' .
43. Backflow Irrf�itionx- .['SS �x x ' a:I� :« C �+
+ � � �+� x: 'u i .. :'1
U;rF, :i T n •- t's :r ,+� ;� •
�;44. Landsca6� Ir4Qatio;� System����-; �� .� t,� � �� �,� �; � �� �� ;�n � n1 �
.., . ' .. .
%A5.�ound Atterffiation� Vu.'F �� v� s_ E= '-� Y. � �-+ G'n= �:� F
r� v r �rt� �' �-. 7 7 �L --�C
,.��-R6.=Handicap,'RegulatioY�1s . 1� � ." .t �n . . . �, x r i i -� �• Y
� .R" . H G :1� •:A 'v '.0 C� S 70 ••�S 4
47.�EIN6.LSTRl�1,CTURE&BUIfiDING �- � �'�x'- iv Y � a
T i� i .. i� �x x i C :t: F..
.x
48.�INAL PLANNW(3', i(-F v� N i j ���r. r[n tn �y �' [-`��
::A9.�flecqic Release to �Edison i :r � ' µ a. > u; � 'i � �+
� _ . :. n, .1 .r.
;'�50.SGas�Release to Sout�ern Calif qrnia Gas Co ; � '��.h; :;' s r_. ct i + p •
.� 1. CEl�71F�CATE OF+OCCUPANCYa x»� .n, tao 7c ��. � o
No. Date
�� JOB ADDRESS Traverse Dr. BUILDING PERMIT N0.
P�nr
6 INS
� soii
GAS
JtKAL C.UN I KAI.I UMr"•Vwner niui'. DESCRIPTION of WORK t+uu ncu�a�.. �
No. 1-031-1 LOT TRACT FIRE ZONE VALUE � •
ROUGH PLUMBING
PROP. SWR. LINE Q HOUSE CON.
SPRINKLING SVSTEM
ROUGM HEATING AND AIR CONDITIONIN(
TEMPORARV SERVICE OR POLE
UNOERGROUNO I I POWER I�
REINF.
FLOOR SVSTEM
-BON� BEAM U STEEL REINFORCE
SHEATHING -
FqAME ANO FLASHING
LATHING - IN
PLASTER,BROWN A
STRUCTURqL,:INAL
HEATING. VENT., REFI
EIECTRIC, FINAL
6lIIL�ING, FINAL
SUBCONTRACTOR
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38207
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BUILDING (�a6 /^A/Il./��'�- �'!
ADDRESS / o �
�
OWNER /� G �ES PR�o�Jea2
MAIL ' / '/'n�+� ��
ADDRE55/' Co iic��c
CITV
LOS�YS � .S•�D — NOL .�Y/'/'
CONSTRUCTION p / �
BRANCH
ADDRESS
ARCHITECT
ADDRESS
CONTRACTOR
ADDRESS
CITY
STATE
LIC. NO.
SIZE
OF LOT
VSE OF
E%ISfING BLOG.
SIZEOF /Q
WALL
NO. OF
ROOMS
ROOF
COVERI
K TO BE
TEL.
TEL.
NO.
CITV
LIC. NO.
INO. O LBF�D(' .
NOW ON LOT
I hereby acknowledge that I have reatl this application antl stata
thet the above intormation is correct antl aBrea to comply with
all lews re8�latlnB building construction, enG I shall not amploy
eny Oerson in violation of the workman's compensation laws ot
xhe Sta[e of CaliforNa.
I hereby certify xhat I am properly licensetl ez a controcror untler
Ma Sta[e of California Businass antl Profeszions Cotle, Divisicn 3,
Chapter 9, antl that such licensas ara in tull torca antl eftoc[, or I
am eaempt from tlie provisions of the State ot Californla Business
antl Professions Cncie, Division 3, Chapter 9.
Sipnature of _
Parmlttee /�
Au[h izetl Apent
��Faz�-��,�"„—�"OOioo�� ,f:��;.�5Z50
TION FOR BUILDING PERMIT
DATE RECENED ne-rc iccii
BUILDING
ADDRESS
FIRE
ZONE
APPRO V E
)NF,�, � NO.OF USE OF NEW����
� �L PLAN$ 2 BUILDING
VARDSAPPROVED VAROSAPPROVED
MAIN BUILDING ACCESSORV BUILDI�
ROM GL STREET)
1 � '7 y
t FT. � FT
L. SIDE Z� FT. � FT.
REAR L� FT. FT.
DISTANCE BET. BET. MAIN & �
MAIN BLOGS. ACC65. BLDGS.
C URP #� 7 - APPROVED 3—� p'
APPROVED 2 _ � �
J
STATE
s
i �
m
SQ. FT, o
THE AMOUNTSHOWN VNDER VALUATION IS FOR �
THE PURPO6E OF ESTABLISHING A PERMIT FEE ONLV: m
¢
VALUATION m
,� �7 PEqMIT FEE $ � �
/�..// U �� � m
$ / IO� PLAN CHECK § E
( 1 � u
TOTAI FEE $ �
�
% -
COSTA MESA BUILDING-SAFETI' DEPARTMENr
P.O. BOX 1200 COSTA MESA. CALIFORNIA 92620
For App►(cant fo Fill In Completoly
TYPE OR PRINT
BUIlDINO �Q 1 1% A 7 I7 C�
wooeeea o I<—r' ��`--�
COSTA MESA, GALIFORNIA
� ARCHITECT
T[L
STATH T6L
LIC. NO. Z N �--
s�ze >• l��'1 3• H.�Y c.cr.toa.,
OF LOT Now ON
EXIST NO BLDO'O' �a S
BETGACK LIN[ II10Y 7 �
c2nTsn o� �TR[R R[AR Y D `�
BIDBYARDI L[F7 11�GFR
DESCRlPTION OF WORK
NEW T811ATI N ADDITI N
REPAIR M IH 6M LLB
BUILDINO I'S� O NO.OP
SIZE ROOMg RI
EXTERIOR WA�C ppOR
COVERINO COVeqINO
UY80F LDIN6Af� OR TOB P[RFORMtD
� i
, \ � �
1 N6R8OY ACRMOW{
AND 8T�T8 TXAT T
PLY WITX �LLCITY
BUILOINO CONBTRUI
61GNATURB Or
P6RM11T8F��
AYTHORIZ[D AO�
I � MAV[ D TNI/ M�LICATION
It CORR[ �AND AORB[ M COM•
y1D • IAWY 11[OYLI1TINa
� �
�C27=67"��°OB 92a• +**•90.00
APPLICA710N FOR PERMR
BUILDIN(i
for Offlce Um Only
��
ZONING
NO.O� Ui[OIN[W
ILAH� � OYILDINO 8tt g
L�y s� ��s�9b
141-031-16
/6 OV[RHANO BNALL BH LEBB TNAN
YARDB MPROV HD
MAIN BUILDINO
0
DIQTANC[ ![T.
MAIN BLD61.
VM. iR
YARDB MPROYfiO
AGCESSORY BUILDINO
BRT. MAIN Q
ACCEBC. BLI
DAT!
HOLD FOR �E�CIAL R[QU:-.'r:-�-�: �
/�l �
V V BO. F�. ii
0
iX6 I�YOUMT ONOWN YNp6R VALU�TON 19 FOq T18 j
�YR]OO6 OI CDil1BL16HIN0 l� PBRMIT /8H ONLY. S
VALUATION ?�
� PERMIT FEH O p
/���� .� 3 �
a /��� w
TOTAL FEH S �V �_