HomeMy WebLinkAbout241 TULANE RD - Building Permits 51p F 9 . CITY OF COSTA MESA •
BUILDING DIVISION
>.--„a '� DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
0.Oita I PERMIT
%+.e,mc P01-00179
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
PLUMBING PERMIT
Job Address: 241 TULANE RD Status: ISSUED
Suite No Applied: 04/02/2001
Issued: 04/02/2001
Vicinity:
- 4,Z_____
Parcel Nunmber: 14146102 , , ISSUED BY:
•
Applicant: GLOVER, LORIE • '
Address: 2737 S CRODDY STE D
Phone: (714)241-1414 • -
SANTA ANA,CA Zip: 92704 - - • v
Owner: DAUGHERTY; ELVIN L
Address 241 TULANE RD ,
Phone: - - `
COSTA MESA,CA Zip: ,92626 \
i \ ��
'. Contractor: COAST ROOTER PLUMING HEATING &AIR CONDITIONING' j, ')
a � i
Address: 2737 S CRODDY STEED , -
Phone: (714)241-1414 �r - -
SANTA ANA,CA Zip: 92704 � •p i r/ia , '
License: 529127 5 IDVA r.." I� '
•
j
Arch / Eng .- .. - ,L ` - - - 0 •• '' • �_'..il ��
% - - 7 -- I'�
Address. ) ', =1 , v
.- . Phone .
r/};?; 4-----\-- 1 i ,
License � // -1 '1 /
• c
ii /
• SCOPE OF PERMIT- ' : /�'��-/ ///41i
. ` , 1 WATER HEATER CHANGE-OUT ��� �.,•�.,�
2/,,,, '2-, / /,�E/
'trFEE SUMMARY 'c' :/A" 1 � i /
''< AMT: '`QTY -y /,/, N `' /(/AMT QTY
ISSUE FEE , $23.50 (Laundry Tub/Washer $0.00 "0 ; -- Sump Pump v -/)' $0.00 0
Backflow irrigations $6.00, '--0 7 -, landscape Irrigation S,, $0.00 , :0 Swimming Pool �r'f$0.00 0
Backflow Preventer. (,$0 00� 0 �P Trep' .,Ao o o$0 00J .0 �Trap,Pnmer/' v / $0.00 0
Bathtub \ \:,:\ $0 00/, ,0 Pressure Regulator,;. O .$0.00 0 Unnal��A C" �/ $0.00 0
Clarifier System <, $0.00 // 0 �Proce`ss'Piping(per 10 K)°, x16607-fa 'Vacuum-Brkr Bkflow(4-4) $0.00 0
Connect(Ice,Soda etc) /7$0 00 2\0 Receptors' - /10.00. -0 c\Vacuum`Brkr,Bkflow(5+) $0.00 0
Dental Units $0.00 '0 ,."-.Septic Tank - $060., .0 -. ` Wash Basin? % $0.00 0
Dishwasher $0.00 0Sewer 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 -1 , _ Sewer Private.Line, \ '$0.00-- -0 i-WateiCloset(Toilet) $0.00 0
Drain, Roof $0.00 0 _ Shower $0.00- _ 0. /j,--,- 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
Gas(1-4 outlets) $0.00 0 Sink,kitchen $0.00 0 Water Softener $0.00 0
Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 0 OTHER $0.00
Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION $0.00
Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00
Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0
Interceptors(Sand Auto) $0.00 0
TOTAL CALCULATED FEES: $35.80
COMMENTS/SPECIAL CONDITIONS
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)
DECLARATIONS
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
0 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.
j'j7 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'co+ ensation Ins nce carrie and policy number are:
Carrier c1n'' to Policy Number: I(rQ I (0 a3O—O)
(This section need not be completed if the permit i valued at one hundred dollars($100)or less.)
❑ I certify 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'
compensation laws of Califomia,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 provision
Applicant Signature: /_� Date: Li- a
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOL ARE($100,000),IN ADDITION 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 aryl Professions Code,and my license is In full
force end effect.Lic.k S t 'y 7 Class It �-,j 4)
Contractor's Signature:/��' Date: LI— a--O
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).
Lenders 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 o1 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($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by'drivers license. 0 Yes 0 No Drivers License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
OH-
DIVISION OF INDUSTRIAL SAF.ETY$PERMIT CERTIFICATION:
l TTG
❑ 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 str t7re;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:
I 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 Califomia 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 ❑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 Califomia 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? ❑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 epermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes U 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 ❑No
(If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia 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? ❑Yes ❑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 inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
ignature Of Legal Owner(s) Date
y.a-6 )
nd/Or Authorized Applicant Date
CODE r INSPECTION TYPE PASE' UnITIALS CODEC INSPECTIONTYPt P_AIE INTTMLS
1616 Fixed System Final Fire Prevention _ 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing 3-3l Ott df�
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
ms
.ADDRESS Of NIKONS: 241 TULANE RD OMT: CITY OF COSTA MESA — BUILDING PERMIT
WINE"NAME IF"eel' DAUGHERTY, PHYLL IS PERM NO: B 079870
ADDRESS 241 TULANE RD
PERMIT NO: B 079870 PLAN CHECK NO: N GOVT: N SUPP : M
COSTA MESA 92626 434-7803
MPL.MAIUNO ADDRESS CONSTRUCTION TYPE: V—N PERMIT TYPE: STR — PURPOSE: OTH
ARCHITECT OR ENGINEER: MHO.: JOB DESCRIPTION : T/OFF & REROOF WITH COMP SQ FT: 2, 690
ARCK OR ENG.'S ADDRESS: UNIT:
CLAIM VALUE: 2, 690 . 00 CALC—VALUE: 2, 690 . 00 GROUP OCC: R-3 /
CONTRACTORSNANE: ACE ROOFING ( 714 ) 680-6100
CQfTRACTORSMNLNO 1442 S EUCLID ST COMMENTS: RESIDENTIAL REROOF
ADDREss: FULLERTON CA ucio.: 679543 ****************************************************+E*****N**** ****+E****+E+E****
92632 WIT: Z ONING R EQU IR EMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I licensed under provisions of Chapter S SETBACKS
(commencing with Section 7000)of Div:ion 3 d the Business and Professions Code, my r:.. ..is in full force and effect
CITY UC.NO.: 064 1p ylc.cusS: C 39 uC.NO.: 67 :•.44 EXP : 00/00 MAIN BUILDING ACCESSORY BUILDING '---
C g ( FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Dere: � p/ Contractor: IL�7 �x LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT ' IN
WNER BUILDER° CLARAITION:1 hereby alarm under penalty d perjury thin[?;' Imre the r4f«e License Law for the
al
Immo reason(Section7031s Runless and Professions Code:Any city or•. , rah inquires a perms to construct,alter,improve, PARKING REQ: PROV: PARCEL: 14146102 ZNE: REF NO:
mof:h.or repair any structure,prier to its issuance,alsorms requires the applicant for such peto fib a signed statement that he or she
licensed pursuant to the povidone d the Contractors License Law[Chapter 9(commencing with w
n saof n 7000) Divisiona 3 the PLANNING NOT E S'>
Business and Professions Code]or Ihal he or she is exempt therefrom and the basis for the alleged exemption.My violation of Set >, ,
7031.5 by any applicant for a perms subjects the applicant to a civil penalty dor mons than firs hundred dollars 155001). ihfEjEiElEiEiE1ElE1EiEa(-IE1E.1E-0EiEiE3EiE1E1EiE-0E-0E1EiE-0EIEiEiElEiFiE1E1EiE1E1E1E1E�E3Eif-1E3f1EiEiflF3kiEiE3E3f1E�(-iE1E�kiEiE1f1E1Eaf-1E1EiE_1E1EiEff7Eff*1E3f-!E
❑ Las°pen«athe pmromormyemploreeewehwages asthersole compensaupn,wldothe work,and the eawure:wmtended D E V E' L O P M E N T SERVICES R E U I R E M E N' .T S
«offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of popery Q
who budds or improves thereon,and who does such work himself or hersel or through his or her own employees,provided that such /
improvements are not intended o offered for sale.a.however,the building or improvement is within one yew of completion,the ZONING APPROVED' BY DATE: .,
owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale).
o I,as owneroftheproperly.am exclusively contracting with license:I contractors to construd the project(Sedion 7044.Business end BUILDING APPROVED BY : DATE:
Professions Code:The Contractors License Law does not appy to an owner of properly who builds or improves thereon and who
contracts for such projects with a hontradorls)licensed pursuant to the Connecta'license Law).
o I am exempt under Section: B.ARC..krthis reason: APPLICATION ISSUED BY: . DATE: IO 2
*********************************************** * *************** **** **
Dale: Owner -- _ - -- - - - LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT:Y
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and
25534,and shat lar any future building oavpmt will/moil not(circle one)need to campy with mid elate cedes and the requirements lel BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a permitter mnewaian or modification from the Ai oaityty Tenagement District.Residential m
nanidbmw ion applcatexempt from these
Provisions. PERMIT 74 . 75 . 50
Date: Applicant: S M I P/NON—RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: ISSUE FEE
o Ihave and wilmaintain aeon/Rode aconsent meen;nsurefor workers'compensation,asprovdedfobySecion3700oftheLabor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code.for the perlormvesdthe work for which this permit tsissued. TOTALS----> 75 . 25 0 . 00 0 . 00 75 . 25 75 . 25 . 00
T I have and wit maintain workers'compensation insurance,as required by Swan 3700 of the Labor Code.for the performance of the
• work for which this permit is issued.My workers'compensation insurance,anier and policy number are:
Carder STATE FUND EXPIRES REVENUE DIVISION TOTALS > COLLECTED: 75 . 25 OVER/SHORT: . 00
Policy Number: 785-96[I0001124 01 /01 /97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This section need not be completed iI the pens is for one hundred dollars ret.0. less.) 74 . 75 . 50
o I certify that in the•.desmons°of the work for which this permit is les /�L • w . any perem in any manner so as to
become subject t. the • .,.s' •• penmtion laws of California. and ., 9 should become subject to the workers' **************************************************************************4T****
mmpensati p. o/ '••3700 of the Labor Code,I shall/ash. , .• pry 4 i...:. provisions,
�" i ! r INDIVIDUAL F E E BREAKDOWN
Date: L Applicant: 4
ii
Warning:Callum ma um wolfram'compensation coverage l.unlawful,and • Isubject an employer tocriminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
clvil fines up to one hundred thousand dollars($104000),In addition to the cost of compensation,damages as provided for In
Section3706 of Me Labor Code,interest,end attorney's fess. SFR 2690 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 . 2 ; 690 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the END •OF FEES
performance of the wok for which this permit is issued(Section 3097,CO.C),
LENDER'S NAME: •
LENDER'S ADDRESS:
I certify that I have readfhis application and stale that the above information is coned.I agree to comply with all city and county ordinances
and state laws relating ,busd1,g construction end hereby authorize representatives a this city to enter upon the above-mentioned property
to inspection purpose!. A I S T I N ,HAN
P /N e lei/Q)
/,e-0
Date:•
01 00216705-00216706 TOT
edoww v pplmn Ca"teras` 75e24
DATE: 10/09/95 TIME: 12:44
(5151-40.WP) White-Buildig&Soley:Green-Ale:Canary-Applicant;Pink-Revenue;Goldenrod-Assessor
CONSTRUCTION AND PLANNING PC 'Si SPA
APPROVALS Permit # - D• ate InspeMor APPROVALS Permit # - Date Inspe�Ctor
• 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location • •
2. SoilPipe-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. Foundation - - 59. Gas Pipe, 0 Undrgrnd.,Test '
E9. Water Pipe-Undrgrnd. - - 60. Backwash Lines,P-Trap;0 Undrgrnd.
•
10. Structural Floor System 61. APPROVAL TO DECK 1
•
11. Property Sewer Line & House-Connection 62. Backwash & Receptor-Final _;
12. Sewer Cap . 63. Heater & Vent-Final '
13. Roof Drains64. Plumbing System - Final
14. Rough Plumbing65. Electrical-Final
15. Rough Electrical-Conduit .' 7 . . 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.O•Gas OOil
23. Gas Pipe_Rough & Test _ - ' , 72. Underground Flush
24. Roof.Framing - - .' 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 691- 41b 67/4L 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat - - • 75. Dry Chemical -
27. Frame and Flashing • - 76. Dry Stanapipe
28. Lathing& Siding ' - - 77. FIXED SYSTEM.FINAL
29. Insulation ' - 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. Tinal Factory Fireplace -
38. Final Plumbing -
39. Water Service-Final _ .:
.
40. Gas Service-Final " -
~41. Solar Domestic-Final . . -
-
42. Backflow Preventers , -
•
43. Backflow Irrigation -
44. Landscape Irrigation System - - - '
r- -
45. Sound Attenuation - . -
46. Handicap Regulations -.
47. FINAL STRUCTURE & BUILDING l `l2:Llb /{� -'
48. FINAL PLANNING Aye-
v� '
49. Electric Release to Edison - - -
•50..Gas Release to Southern California Gas Co - _ •
51. CERTIFICATE OF OCCUPANCY
No Date -
0— _ __ .. -
la .
PBOIECTADORESS: ' 241 TULANE RD /SD UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 048136
OWNER'S NAME: MARY SINGLETON - •
• AooREss: 241 'TULANE PERMIT NO: B 048136 PLAN CHECK NO: 04844-90 S GOVT : N. SUPP : N
• CONSTRUCTION TYPE : V—N PERMIT TYPE: STA PURPOSE: OTH
- 751-3340 - '
'ARCHIENGINEER: REG.NO.: JOB DESCRIPTION. : STD PATIO COVER - SQ FT:. 328
•
ADDRESS: • UNIT: - .
CLAIM VALUE: CALC—VALUE: 4 •
, 526 . 40 GROUP OCC ; R 3 /
PERMITTEE: MARY SINGLETON ( 714 ) 751-3340
•
•
ADDRESS: '" 241 TULANE COMMENTS : LEGALIZE PATIO COVER - . •
'p - CM . - CA 92626 +ek"ic"k*x*+e-k*">F"k**ick "kkt*"ick x"k-k*******"kx**"k"k*k -k"k*k*7rx"k "aex***kx*kk*"k"k**"k**"kkkk*k"kx •
•
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z O N I N G REQUIREMENTS
70001 of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS
•
•
CITY UC.: . STATE UC.: CLASS: '
MAIN BUILDING ------- ACCESSORY BUILDING
Date: - Signature: FRNT: FT IN REAR: 20 • FT IN FRNT: FT - IN REAR: FT IN
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self"insure or acertificate of Workers' LEFT: 24 FT 7 IN RGHT: 5 FT IN LEFT: FT IN RGHT: FT IN
Compensation Insurance,or a certified copy thereof(Section 3800,Lab.C).
"LICY NO.: EXP.DATE: '
MANY: • PARKING REQ,: PROV: PARCEL : 14146102 ZNE: R1 REF NO
J Certified copy ishereby furnished. 0 cedifiedcopy istileevdmthe ciryBuilding DNision. PLANNING NOTES> LEGALIZE COMBINATION OPEN/SOLID PATIO COVER ATTACHED:
TO THE
> REAR OF AN EXISTING SINGLE FAMILY RESIDENCE.
• ******************************************************************3k*3*'*********
Date: Applicant: DEVELOPMENT SERVICES R E
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5100)or less). Q U I R E M E N' Z';�S
I certify that in the performance of the work for which this'ermit is issued,I shall not'u,, anyders 444.ma r so as to become ,Z,
subject to the Workers'Compensation Laws of California. `w: ZONING APPROVED BY DATE;
`'i .
Date: �� IJ��D Signature: \ \ _ .�. L- �� r•i
•
NOTICE:If,after making this declaration,you should become subject to t rs'Comport 'rovision' if the Labor BUILDING APPROVED BY _ DATE: . .
Code,you must forthwith comply with such provisions or this permit she ed revoked. �� /
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y; DATE; '�;• �3- 9b
which this permit is issued(Section 3097,Civ.C). *********************' 7--M— *** *'**' ************'k********k**")t'rc*73£3t**9FiFTE3F..*
LENDER: ***de***********************k***, ,.-rt******, ***:k*********************-A**+ *********
ADDRESS: - LEGALIZATION:Y F E E .S ', M M A R Y STRUCTURAL,1EGMENT:Y
I -
OWNER BUILDER DECLARATION: I hereby affirm that lam exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING EL ECTRI ' MECHANIC FIRE SMIP/RES 4 GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 144 . 00
j, 50
repair any structure,prior to its issuance,also requires the applicant for such Dermic to file a signed statement that he/she is licensed • , in SMIP/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 93 . 60 :). '
and Professions Code)Or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by I SS SS UE FEE (, .yT,
any applicant for a permitsubjectsthe applicant to a civil penalty of not more than five hundred dollars(5500). .BUILDING—DIV—> PERMIT 'ISSUE PIAN 4CHECK • TOTAL PAID
I. as owner of the property or my employees with wages as their sole compensation, wit do the work, and the _ 144 , 50 D00
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS--—— —> 0 , 00 A6 , 80 191 , 30 19 1 3 0 , 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through `' ('t
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 : G• 191 , 30 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 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
' for the purpose of sale). • - 14400 � i . 50 4 6 . 8 0
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business
❑ and Professions Code: The Contractors': tate License Law does not apply to an owner of properly who builds or improves thereon ,k*,k*ii**,t*;k******^*****, ***********�e#**+F*i!***************•**1f*****ii•**************
and who contracts for such projects cjth a contractor(s)license pursuant to the Contractors'State License Law).I am aware ,.
that proof of their Worker's Compensttlon insurance should be provided to me. I N D I V I D U A L ' F E E. BREAKDOWN '
I am exempt under Section:B P 704 4 B.'S P.C. IPI.
for chi reason: ALLI
WORK BY OWNS TYPE QTY DESCRIPTION '-
� UNIT COST TOTAL COST
�• Date: �t.3/411, b Owner. \ 1��= SFR 328RES—PATIO COVER—POST. & SOLID ROOF 13 . 80 4 , 526 , 40
I do hereby certify that I am aware of and understand the requirements of California Health an a ide Section 2 I.,25533,and EIC) OF FEES F'
25534 and that I or any future building occupant will/will not(circle one)need to comp! with codes and t -req 'rements for a - (. r/
Permit for construction or modification from therm*Management Distd si en const pplication .e exempt from • 7• ,
theseprovislo . - „..
/ ,`;%
I hereby certify that I havereadthis application and state hat the above i ton Is correct.I a. . comply with all city and county ,
i.
ordinances and state laws relating to building construction and hereby authoriz esentatives of this enter upon the above-mentioned •
property for inspection purposes: " J ,
—Otte: Signature: 01 00065251-00065253 0
Drivers License or Social secunty4: DATE: 07/13/90 TIME: 10:49 19I.3i
1841-46 White—Building;Green—Code Enforcement Canary—Applicant:Pink—Revenue:Goldenrod—Assessor - -
/ -
1 r
CONSTRUCTION AND PLANNING - POuL & SPA -
Date Inspector Date Inspector
APPROVALS Permit# - APPROVALS Permit # _ -
•
~ 1. Temporary Electrical Service or Pole - q p •
52. Pool & E ui ment-Location t
I r`
i 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
I 7: Footings . • 58. Electrical Conduit-Undrgrnd.
8. Foundation - - 59. Gas Pipe, ❑'Undrgmd.,Test - t
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 \ I 62. Backwash & Receptor-Final \ + .
12. Sewer Cap - 63. Heater & Vent:Final i'
4 t r
13. Roof Drains - - - 64.-Plumbing System - Final T.
14. Rough Plumbing `•, ; 1 65. Electrical-Final -
15. Rough Electrical-Conduit - , 66. Solar System-Final i
-16. Rough Electric Wiring - ,I 67. Fencing & Access APProval 1
•
17. Rough Wiring Sign • 68. APPROVED-FOR PLASTERING ,,.:1 .
Rough Electrical-T Bar Ceiling r. - 69. POOUSPASYSTEMS 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. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding I , 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing ( ,t ' HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat -: 79. FINAL INSPECTION
32. Electrical Power Meter-Final , II !• 80. FOOD CERTIFICATE ISSUED
33. Final Electric li Notes: Af�447
�n '..
34. Final Heating & Air Conditioning / . "v
35. Final Gas Pipe-Test ' ''v
36. Hood or Canopy : '2/ Ste, J- -V. • % 7 C 0 6
37. Final Factory Fireplace r
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 d�(/f//�a� �1�
48. FINAL PLANNING ( /(
49. Electric Release to Edison '•/
50. Gas Release to Southern California Gas Co J./
.
51. CERTIFICATE OF OCCUPANCY _
No. Date
APP PLQVF L-
NOTE: SHOW AND DIMENSION. PROPOSED
PATIO COVER AND YARD AREAS City of Costa Mesa Building Dept.
�� 13;0
pATLb7 '
aY - �E••JLS ON . V RSRJiS`!D"•",KE
� _ � TV'.E.,-. Pi pf.S I FUS� Et lnd :..,+;Rlfi lE. �+
r �Eh T.
^el I WI F.C�
I pMOR r�S'PR0\1 L F
.4, Set-BneIS �a \ NO CW f ACE OH GRANTI OF A Pfa"�TC
r,-^ ovAL OF
y .. y - �O \1 �`R��FCS 'CA 4 k��S H,EATHIN��� i �1f CC)BE-
r y M' r11 r n udi
r I ii., yij� o PCHMI, n '..rt c NOP 2F,AITP . ;, iNIS
4 °" 'O iUi. A ( r *��. n^ , 'I- r I , ovOR U`F
U I - '-0= •I AJ' \ AU,HG°7i 1F °1f;I� Fr� ,,,", „O;E RHANG- 1
Z Cp7E f +AL r ..
IV V CH TY(,,SI'
R- (� I 1I �ptrp I. Te. Pb�' `"=XA RAFTERS
5 i moo fel Y ' "T facts \ ATi O,f'iN Cif ” - c.c� I ' { ; , "_.uy t
O Cr: I �"� `�7 I U SH L r Pn_!t- '�1�- ,i e. it" ,1
L .V7• 10
SPEC i, E 't rv.n irlr ( iH t D Yi �c
1 FHO!.f THFF�.,+,ANO neOJ O,. h..
x � g N \ oJ.iJ pLc;;El ANJ SFECIFIC"A'il E' nEUKi[Fl of
r N] - LO CFi;HATIGN_5�•:::+X.'• QE ER OFOINFt :;E
7 \ RC::
p C! • F- rd v'rJLl��iO;i OF Tri15 CODE �R OY Parr
T-STRAP EA. SIDE
rn up Z \ 1 a'��hY. _ _ FOR-RO&T--BEAM -
0 \ L_�---- TCONNECT ION. o :O
� \ - a FW- 'U
,Hr K Z R
7 \ m N F o Z
LU
I I ' CO \ Q _ 4 co Q
J LL 1
F \ N
N V - et
R
W O _ 0 ,_ 1. ---i-ti -
U N Z U W
\ DROP PATIO w J LL
\ FLOOR 2' z i X OJ Z
ids ga39ii Z m
es 4
P gyp? a
, �n� H"��I' NOTE \ SLOPE TO DRAIN ABOVE St= • '
( 'L.: G
—/CITY OF COSTA MESA ADDITIONS, DELETIO,
S, OR CORRECTION ; SHALL .�Iq
p TO 4 DEP-TS. I BE APPRO!�ED BY TF E PLANNING-DEPAI TMENT IJc'26 GA. G. I. FLASHING _�I
y r �7.pa ,_r `�� rGI� �_--- I WOOD CONSTRUCTION PIERS 12" Star-Jr - J o
V rr D ►F a
mor __ --
Erz
STREET SIDE ELEVATION LL
24/ / antiSkeit.
PLOT PLAN CONSTRUCTION DETAILS
2Oa .ROOF CONNECTION DEVEL,oPrlNT PATIO COVER
DETAILS SERVICES DEPARWENT
• BUILDING SAFETY DIVISION T Y P. PLANS
CONT, SOLID BLOCK -
LEDGER
RAFTER OWNER: DATE :
ADDRESS: PHONE:
I/2" DIA. X 5" LAG SCR. CONTRACTOR: LIC. NO.
AT 32" O.C. ADDRESS: PHONE:
DETAIL I RAFTERSRAFTERS
IIICARPORT, PORCH OR PATIO LIGHT WEIGHT ROOF COVER OF APPROVED FOR
NOT SUPPORTING CEILING LATH, IBERGLASS, ALUM. BUILDING PERMIT
By Date
SIZE SPACING SPAN SIZE SPACING SPAN
CR a CL "TECO" 2"x4" 12"O.C. 9' -6" 2"x4" 16"O.C. 9'-6"
GRIPS OR JOIST 16" 8' -0" 24" 8'-0" 1 FNERAL NOTES:
HANGER 24" 6' -6" 32" 6'-6" 1. These plans must be
CONT. kept on the job at
LEDGER 32" 6' -0" 48" 5'-6"
'�1 48" 5' -0" 2"x6" 16" 16'-6" all time during
2"x6" 12" 16'-6" 24" 14'-6" construction.
16" 14'-6" 32". 12' -0" 2. All framing to be
AT DIA. 24" 12'-0" 48" 10, -0" Douglas Fir N92 .
• .C.. LAG SCR. 32" . 8'-6" 2"x8" 24"
19'-0' -0" 32" 15'-6"" grade minimum.
48" , 8
AT �y " o. 3.. Rafters may not
DETAIL 2 2"xB" 24" 15' -6"• 48" - 13'-6" --•-- - . attach to facia ex-
32" 13'-6" 7 ; . .•sept for_ 10]Iuroofs,
48" 11' -6" ' . as shown on' details;
,Oii .OR LIGHT WEIGHT ROOFS 4"x6" 24" 17,-0" HEADERS i 201Wroofs must use:
ONLY CONNECTION DETAILS 32" 15'-0" a continuous ledger
LIGHT WEIGHT ROOF ONLY
36" 14' -0" attached as shown
2" X FACIA-MIN. REO. 4"x8" 24" 21' -0" SIZE POST SPACING - ' on details #1,14-2.i32" 19' -0" 4x4 6'-0" 4. Light weight. roofs;
36" 18' -0" 4x6 9' -0" " """ may' attach"'ro--fac'ia
jilt „ ,
48” 16'-0" 4x8 12'-0 , ,,,. ._-,„-„for;�.14- span„m`ax. ,
�
RAFTER 4"x10" 32" 22'-0"
4x10 15' -0" spans over 14' must
4 at 36" 21'-0" CARPORT, PORCH OR PATIO use a continuous
ledger as shown in
APPROVED METAL 48" 20'-0" SIZE POST SPACING detail #3.HANGER 72" 17' -0" 4x4 5' -0"
4x6 . 8'-0"
�c DETAIL 3 4x8 . 10'-0"
• 4x10 12' -6" DOS bi Io
E�9,8 ,I CL RCCEIVEL
COSTA MESA BUILDING DEPARTMENT CeI12-/5.1 v0.-
P 0 BOX 317
COSTA MESA, CALIFORNIA FINANCE DEPT.
nirs (`C enQ'Tn MESS
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
BUILDING 241 Tulane Road BUILDING
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. PE R,I1T�Mj.�..
OWNER Amherst Development Co.
(V.."`..,xP•,djl''v(
RECEIVED BY PATE RECEIVED D E
MAIL 419 E. 17th St'.
ADDRESS a -- JJI 95�
/�/ � --//�J X
CITY Costa Mesa TND`. Li 81159 ADDRESS
ARCHITECT Carlson & Middlebrookc.
OR ENGINEER NOCOSTA MESA. CALIFORNIA
.
FIRE
ADDRESS Garden Grove ZONE
Dike & Colegrove, Inc. CITY LIC. 7333 ZONE �I I PLOFNS TYPE / GROUP I,
CONTRACTOR NO. (�// �"/T//
', E. 17th St. , Costa Mesa TEL. Li 81159 APPROVED
ADDRESS NO. BY DATE
LEGAL128 CORRECTIONS
LEGAL
NOT BLOCK TRACT 2955
•
A.P.NO.
I
SIZE 69 x 99No.of BL OT none
OF LOT NOw oN LOT
USE OF none y
EXISTING BLDG. L
SETBACK LINE FROM 50l 201
CENTER OF STREET REAR YARD
$� /••
SIDE YARD RIGHT 5' LEFT 8'
DESCRIPTION OF WORK,
NEW X ALTERATION ADDITION
REPAIR MOVING DEMOLISH
BIZE
BUILDING 12220sq ft NROOMS 51STORIES 1
EXTERIOR
COVERING WALL Stucco COVERING COIRp
USE OF NEW Single familyresidence
BUILDING g
garage attached
Plan 72081
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND -
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES AND STAT WS REGULATING BUILDING CONSTRUC-
TION. VALUATION
SIGNATUREOF PERMIT FEE S 26.00
PERMITTE <� /G��.
10,702.00 PLAN CHECK $ 13.00
Dike & Colegrove, Inc. $
AUTHORIZED AGENT `"`TOTAL FEE s 39.00 1