HomeMy WebLinkAbout3112 TRINITY DR - Building PermitsPROJECT ADDRESS: 3112 TRINITY DR
OWNER'S NAME: FENTON, ROSE M
ADDRESS: WRATE LOTTIE B
3112 TRINITY DR
COSTA MESA,CA
ARCHIENGINEER:
ADDRESS:
UNIT:
92626
REG.NO.:
UNIT:
PERMITTEE: ATKINS ROOFING (714)898-1169
ADDRESS: 7111 GARDEN GROVE BLVD.
GARDEN GROVE CA 92641
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code. and my license is in full farce and effect.
CITY uc.:037677 STATE LIC.:361441 CLASS: C39
Date: Signature:
WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure or a certificate of Workers'
Compensation Insurance, or a certified copy thereof (Section 3800. Lab. C).
POLICYNO.:732692-91 EXP. DATE: 02/01/92
COMPANY: STATE FUND
❑ Certified copy is hereby tarnished. IN Certified copyis fit with the city Building Division.
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Dale. / / Q Applicant: �
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: hijas section hard not be completed if the permit is for one hundred ($1 DD) 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 WorkersCompensation Laws of California.
Date'. Signature.
NOTICE: IL after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor
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
which this permit is issued (Section 3097. Civ. C),
LENDER:
ADDRESS:
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason
(Section 7031.5 Business and Professional Code'. Any city of 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/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
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 penally of not more than live hundred dollars (5500).
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the
Elstructure is not intended or offered for sale (Section 7044, Business and Professional Code: The. Contractors' State License Law
does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through
his or her awn employees. provided that such improvements are not intended or offered for sale. It, however the building or
improvement is sold within one year of completion, the owner will have the burden of proving hall did not build or improve
for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business
❑ 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 contractors) license pursuant to the Contractors' State License Law). I am aware
that proof of their Worker s Compensation insurance should be provided to me.
❑ I am exempt under Section: B. 8 P. C.
for this reason:
nmo
Owner:
I do hereby set that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and
25534 and that I or any future building occupant will/will not (circle one) need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Ouality 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 lava relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned
property for iinnsp/ection purposes.
Date: { /�9 Signature:
Driver's License or Social Security e:
,r�� 46 White—Budding, Green—Code Enforcement: Canary—Applleant: Pmk—Revenue: Goldenrod—Assessor
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CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 05519
PERMIT NO: B 055191 PLAN CHECK NO: N GOVT; N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: SIR PURPOSE: ALT
JOB DESCRIPTION REROOF W/COMP 0/ WOOD SHINGLES SQ FT: 4,138'
CLAIM VALUE; 4,138.00 CALC—VALUE: 4,138.00 GROUP OCC: R-3 /
COMMENTS: SMOKE DETECTOR REQUIRED
iF iE iE 9F***iF iE iE iE BE dE iE iE*xiE aE 1E+E1EBE 1FdE 9E iH iEiE 9E iEiE iE if iEBf iE iE iEiEif dEiEfF iE 9E*iE iEiE if ifBE 9t. iE iE BEiE 9El6-0EdE.�iE 4E #E iF Bf dE 9E lE if ifiE iEi: iE*'
Z O N I N GS ERTEBQAUCIKRSE M E N T 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 RIGHT: FT IN
PARKING RECD• PROV: PARCEL: 14169130 ZNE; REF NO;
PLANNING N TES>
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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 BY
BUILDING APPROVED BY
APPLICATION ISSUED BY:
DATE;
DATE;
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LEGALIZATION:N F E EU M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELEC RIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 72.00 50
SMIP/'NON—RES
PLAN y•.
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL `'PAI'D DUE
TOTALS ---- > 72.50 0,00 0.00 72.50 72:.50 00
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REVENUE DIVISION TOTALS--> COLLECTED; 72.50 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT 'GR'ADING PLAN—CHECK
72.00 .50
iE SF * it iF * iF ik 9f if iF 1E BE iF * iEif iE 1E iE * f6 iF iF aE 36 ff iE 3E IE iE iE SE Be iE IE If iF aE 3f• iFaf k iE iE 9E ie iE iF iE * iE iP iE if * iE it iF iF iP 9f SE iF dF iE.iE TE ie 3e of IF 3E * k aP iE iE iE
I N D I V I D U A L F E E B R E A K D O W.......
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 4138 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 4,138.00
END OF FEES
EXPIRED
Incomplete Inspections
Date Sig Jj
01 u1G271:-
1,7
'S
D6fTE. 11 •
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CONSTRUCTION AND PLANNING
POOL & SPA
APPROVALS Permit 4#
Date
Inspector
APPROVALS Permit#
Date
Inspeci667
1. Temporary Electrical Servi4e or Pole
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52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd._ t
53. Steel Reinforcement
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"3. "Electrical Conduit7Utility-Undrgm4'..•`
54. Forms
• A.:'Electhcal CondGit-Undrgrnd. •-
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55. Electrical Bonding
', 5' Steel:ReinforcementZ,
56. Rough Plumbing & Pressure Test
EIle ctricalOFER�Gr,d. rc
57. APPROVAL TO COVER-GUNITE
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c J7. 960'tings sal'
58. Electrical Conduit-Undrgrnd.
_ B.eFo`undation
59. Gas Pipe, O Undrgrnd.,-Test
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9. Water Pipe-Undrgrnd.
60. Backwash Lines, P -Trap, O Undrgrnd.
10. Structural Floor System •�.
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61. APPROVAL TO DECK
11. Properly Sewer L the & HnLse Connection
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62.. Backwash & Receptor -Final
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12. Seger Cap
63. Heater &Vent -Final
13. Roof Drains _
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64. Plumbing System% Final
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14. Rough Plumbing J 7
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65. Electrical -Final
15. Rough Electrical -Conduit
66. Solar System -Final
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116. Rough Electric:�Jiring
67. Fencing & Access Approval
17. Rough Wiring Sign
68. APPROVED FOR PLASTERING
18. Rough Electrit�-T Bar Ceiling
69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning
' ' FIRE'DEPT. REQUIREMENT
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TAPPROVALS!•=,Permit +__L
20;rRo9h Fctocy Fireplace I � ' 'e .-
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21,.':Due�s,in�Stryctu5e:, ., .�
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;70. UndergraundHyc�ro
22. Ducts, Ventilati%-,Y 0 S:
N 4 R'+"
-77, Product' Piping O Gas O`Oil •�
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23.-GasPipe hough &'est
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_72. Underground Flus.Fr,.'" .'.
24rRo6f Framing j` Y ' . ^LT
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573;rUndergrn9t Storage --;T k't7 Gas ❑ 011
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25. 9 Ro$f Slieathin ;` 'l
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•74. -Overhead Hydro -•26:
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T -Bar Ceiling (Structural) &`G1onoocoat
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75Y,Dry Chemical '1 z
27-FraTeand FJashingq
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76:�D^iy Stand IPe
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-28. Lathing-& Siding`. n -.- ,:: <LQ
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77:' FIXED SY57EM.FdNAL'
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'29. Insulation
78sFIREPREY.FINAL>
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.30. Drywall:Nailtng
(. °
y HEALTH DEPT.e REQUIREMENT i
_ 31. Plaster Brown Coax;
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.79 FINAL IfqSBECTIQN `'
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32. -Electrics Power Meter -Final;
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-80:•r-FOOD CERTIFICATE ISSUED'
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33.SFi411 Ele�tricy '
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`'Notes:
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'.!34. -Final Heating;& Air-condition 9
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`35'1,Final
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- �`•
G 3 Pipe -Test' - •�
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t� 4 - , - =t�% __
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y36. Hood or-, Canopy �s „r _ -
.37�:Final
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Factory Fireplace^
_38. Final Plumbing r^J
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.39. Water Service=Final•
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'}40. Gas Service-Final1Z
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541. Solar Domestic -Final's
42 -Backflow Preventers
43. Backflow Irrj�atiom ::`y
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�44. Landscape IFication System,,
.,44. r,,.
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EXPI;R.E
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Fncompiete-Inspeet0R&
45._Sound Atter nation
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',46. -Handicap Regulations
47.-�FINAL STRUCTURE&BUILDING)
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48``FINAL PLANNING "
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::49.;E1e`ctric Release to Edison i
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50._Gas,Release to Soufhern California Gas Co'
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' 51 'CERTIFICATE OF.000UPANCY
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No. Date
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 317 COSTA MESA. CALIFORNIA
fOR ADPL/CANT TO F/ll /N COMPLETELY
TYPE OR PRINT
BUILDING
ADDRESS 112 TR INITYDR IVE
COSTA MESA, CALIFORNIA
FEE RECEIVED
v JAN 10 1961
FINANCE DEPT,
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
FOR Off/CE USE ONLY
RECEIPT NO,
PERMIT
OWNER KWK C
I
f� LO.
r,
MAIL'
REOEIV D T DATE RESEIVE DATE ISSUED.
ADDRESS PLACENTIA AVENUE
IOR
-�[•--�, Jarijl 1961
TEL
CITY NEWPORT BEACH CALIF N& 6- 22
BUILDING
ADDRESS
ARCHITECT LIC.
COSTA MESA, CALIFORNIA
ENGINEER NO.
FIRE
^x
/
ADDRESS
ZONE
TYPE GROUP x
STATE /
CONTRACTOR K.W..KOLL LIC. NO. 61t
APPROVEDBY
DATE
ADDRESS1555 PLACENTIA NEWPORT ACH
ZONING
LEGAL
ILOT5
6
ZONE
OF
OF NEW
DESCRIPTION
NO.
BLOCK
TRACT
R-1
INO.
PLANS 2
L
IUSE
BWLDINGW ail ar.
YY
A.P. NO. none
APPROVED
BY W.L.D. DATE 1-6-61
SIZE
6DXioo
NO. OF BLDGS.
YARDS
"VEVE
OF LOT
NOW ON LOT
REQUIRED
ALLOWED
USE OF
(CENTER LINE ST.)/
EXISTING BLDG.
FRONT
FF. IN.
SETBACK LINE FROM
t 231
CENTER OF STREET 55 REAR YARD
R. SIDE
FT. IN.
t
(LEFT t (RIGHT
l' -
SIDE YARD 5
L. SIDE
FT. IN.
DESCRIPTION OF WORK
REAR
FT. IN.
NEW IX ALTERATION ADDITION
'
REPAIR I MOVING I DEMOLISH
BUILDING NO.OF
SIZE SF ROOMS STORIES
...
EXTERIOR 'SLi
ROOF COMyo.OSITION
ICOVERING
COVERING uLCO
JHINGLES
USE OF BUILDING AND WORK TO BE PERFORMED
a
SINGLE FAMILY RESENCE AND
ATTACHED GARAGE PLAN No. 3 -DR
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
qNO STATE THAT THE ABOVE IS CORRECT AGR TO CO.-
THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
PLY WITH ALL CITY ORDINANCESAND STY �LgWS E ULATING
PURPOSE OF
ESTABLISHING q PE." FEE oH"
BUILDING CONSTRUCT(
VALUATION
SIGNATURE OF /
PERMIT FEE $ � S�
PERMITTEE
!��/''7
/ ` ��l PLAN CHECK $
•%
$
AUTHORIZED AGENT
LX
TOTAL FEE 5 t e S
�`jOWNER WRATE, EDWIN R. DATE 6-5-69
,�1JOB ADDRESS '1112 Trinitv Drive BUILDING PERMIT NO. 30372
AP No. 141-071-04 LOT 56 TRACT 4041 FIRE ZONE VALUE$ 150.00
INSPECTIONS Si nature
Date
GROUP T TYPE
ZONE
solL
SUBCONTRACTOR
PERMITS ISSUED
GAS
Date Number Si nature
WATER
Plumbing
ROUGH PLUMBING
PROP. SWR. LINE ❑ HOUSE CON.
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER ❑
ROUGH WIRING
Heating and Vent.
TRENCHES ❑ FORMS ❑ STEEL REINF.
FLOOR SYSTEM
BOND BEAM STEEL REINFORCE
SHEATHING
FRAME AND FLASHING
LATHING — IN OUT
PLASTER, BROWN COAT
STRUCTURAL, FINAL
El tri
HEATING, VENT., REFRIG. AND A.C. FINAL
PLUMBING, FINAL AND GAS TEST
ELECTRIC, FINAL
BUILDING, FINAL ov"'��
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30372
"'0 00 v 5.00
Ju'.-4-69cnsnGO 323 *�*�*
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O.BOX1200 COSTA MESA, CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RE CEI EO BY
I CIA 'REC'IVED
lrOO
DATE ISSUED
(O "z// &
BUILDING 3/XZ
ADDRESS
/
P RMI�NO.
OWNERA.P.
NO.
•}
MAIL
BUILDING'
ADDRESS
ADDRESS z
i
CITY TENO L {
[JT,/
TRACT
LOT
BLOCK
CONSTRUCTION
NEW IADDIALTE
EPAIR
LENDER P
BRANCH
OWNER
ADDRESS
VALUE
S- $
ARCHITECT���_' TEL.
OR ENGINEER NO.
FIRE
ADDRESS -
ZONE TYPE GROUP
APPROVED /_
CONTRACTOR 0-4--
BY DATE ((j
ADDRESS
TEL
ZON
NO. OF
USE OF NEW
CITY NO. `�—
PLANS
BUILDING
STATE CITY
YARDS APPROVED
YARDS APPROVED
LIC. NO. LIC. NO.
MAIN BUILDING
ACCESSORY BUILDING
SIZE NO OF BLOCS .
(FROM C/L ST I
OF LOT /;_, J !i NOW ON LOT
FRONT
FT.
USE OF
EXISTING BLDG.
R. SIDE FT. 7
FT
SIZE OFNO. / OF _
ry�
i
NEW BLDG. 6 ROOMS STORIES
L. SIDE e�- FT.
FT.
EXTERIOR WALLROOF
COVERING �—
COVERING
REAR FT.
FT.
USE OF BUILDING AND WORK TO BE PERFORMED
DISTANCE B T.
BET. MAIN &
MAIN SLOGS.
ACCESS. BLDG$.
1
VAR.#'
DATE
I�
C.U.P.#
APPROVED
APPROVED
DATE Jhl—
I hereby acknowledge that I have read this application and state
that the above information is correct and agree to comply with
all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of
the State of California.
I hereby certify that 1 am properly licensed as a contractor under
SO. FT.
THE AMOUNT SHOWN UNDER VALUATION IS FOR
the State of California Business and Professions Code, Divisicn 3,
Chapter 9, and that such licenses are in full force and effect, or I
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the provisions of the State of California Business
and Professions Cotle, Division 3, Chapter 9.
VALUATION
i
`�
PERMIT FEE $ V !
Signature of
m0
-01
Permittee ////(2 /
l r
$/ ZZ
PLAN CHECK $
t
Authorized Agent
TOTAL FEE $