HomeMy WebLinkAbout380 20TH ST - Building PermitsPX0.IECT AUONESS: 3 8 O E 2 0 TH ST� .
awr+ea•snnMc: GIDDINGS, MICHI�EL' G
nooeEss: GIDDINGS PHYLLIS A
2430 VAS§AR PL
COSTA MESA,CA 92626
546-5913
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PEHMITTEF: PHYLLIS GIDDINGS ( 714 ) 546-5913
AODPESS: 2430 VASSAR PL
COSTA MESA CA 92626 '
LICENSED CON�XpCTOfl �ECIAflATION: I �ere�y affirm �hat I am lic¢nsetl untler pmvisions o� C�ap�er 9(commencing with Section
7000� af Oiv�sion 3 0l t�e Business ana Pmlessions Code, anU my license is in lull force an0 e�fect.
CITY LIC.: ST�TE LIC.: C1A55:
�ate: Signaiurt:
WOflNEflS' COMPENSATION OECLABRTION: 1 hereby affirm t�ai I �ave a tetlilica�e oi consen� to sell-insure or a ceni�iWtt o� Workers'
Compensation Insurance, af a ttrtilied copy ther¢of (Sec�ion 3800, La�. C�.
POLICV NO.: E%P. OATE:
COMPANY:
❑ Ce�ilie0 coOY is here�y lumishetl. ❑ Cenilietl copy is IileO wit� Ihe city BuilOinp Division.
Daie: NpPlicant:
EXEMVTIONFBOMWOflNENS'LOMPENSI�TIONOECUflATION: (T�isseclianneeanolbecompleteOiflhepermitistaronehunOre4�$100)orless�.
I ce a� in Ihe pedormance of �he work lor which �his mit is issl¢4; I'Shall no� employ any persan in )ny anner so as lo hecome
Su �eii �o Worke^s' Compensatioy�y� ol 9ali�or ia. JO� Q ^� // pD �
oaie. _Q Lq � Si nawre� � � ��1�{„�py,
NOTICE: If, alter making �Ais eclaralion. you shoulA become b ecl to ihe Workers' Compensa�ion rov6ion f Ihe La6or
COtle. rou must lonhwitn comply wilA sucn Dmvisions or ihis permil snall be AeemeO revoketl.
CONSTBUCTION LENOING RGENCY: 1 �ere�y affirm ihat there is a constmciion IenAinA agency for ihe DeAormance ol ihe work for
wNc� I�is permi� is issuea (Seciion 3097. Gv. C�.
LENOEfl:
ROOflESS:
�WNEP BUILOEB oECLRflPTION: I herehy affirm ihat I am evempt irom Ihe Coniractors' State License Law for Ihe followinp reason
�Sec�ion 703L5 Business antl Pmlessional Cotle: Any ciry ot rounry which repuires a permii to constmct, alt¢r, imD�Ove, E¢m01i5h, or
repair any simcture. priar lo its issuance. also requires Ihe appliCant lor suc� permil la lile a signetl statement ihat h¢/she is licen5¢tl
pursuant w �he O�ovisions ol t�e Comractors' S�ale License Law (Chapler 9(commencing wii� Section 7000) ot 0ivision 3 ot I�e Business
antl Pmlessions Code) or �hal he/she is exempl Iherefrom antl �he basis lor ��e allegetl exemp�ion. Fny violation of Section 7031.5 by
any aDPlican� lor a permil subjec�s ��e aD�licani �o a civil penal�y ol no� more Ihan five hundretl dollars ($500).
I, as awner of Ine Orooeny or my employees wih waAes as tAeir sale Wmpensation, will eo �ne work, antl the
❑ stmcwre is not inlenAetl ar oifereu far sale (SetOon 704E, Busine55 an0 Pro�e55ional fqde: Th¢ ConVactars' $�a�e Lit¢nse Law
does nol appty Io an owner al a prOperty w0o builds or impmves lhereon, ana who does such work him5eli/herseli or Ihmugh
his or her own ¢mDloyBes. O�a�itleG �ha� 5uth impmvement5 are noi inlen4eE ar OflereO for 5ate. Ii. �awever t�e �uilAing ar
impmv¢meni is SOIE vnthin ont year ot cample�ion, t�e Owntr will have I�e Eurd¢n oi provinq Ae/5he Aitl noi Eui10 or imprrn¢
lor ine purpose ol salel.
I, as owner ol I�e D�operty, am exclusively coniracling wilh licensed conlrac�ors lo constmc� ihe pwie�� (Seclion 7604, Business
❑ and Prol¢55ion5 CaOe: The CqnUa[�ors' State Licenu law Eoes not appty �o an owner o1 pmpetly who bmMs ar improves Ihereon
antl w�0 COntratl5 �Or Sut� pmletls with a cantfador�5�lit¢n5e pUrsuan� to Ihe ConVattors' Sta�e Litense Law�. I am awaf¢
Ihal prool ol lheir Work¢i 5 Compensa[i0n insurante S�ou10 be O�wided Io me.
� � am ezemo� unUer Semion: B P% O 4 4 B. b P. C.
, for �his �eason: J� WORK BY OWN R /� .
�,d• //
—@alv: -_��"' i �% — 4�L� Owne VL /
I Oo hereby cenity Iha� I am aware ol antl untlerstand �he requiremems ol Calilomia H Ith and Safery Cotle Sections 25505, 255 , antl
255JE and Ihai I or any future 4uil0ing oCcuOan� wilVwill no� (circle one) neeA 10 camply vrith 5ai0 s�a�e todes an0lhe repuiremen�s lor a
permii lor cOn5lrutlion Or moOiliCaiiOn Imm the Air �ualiry Managemeni Di51nCi. fleSiUenlial Cons�mtlion apPlitalion5 aa ¢Kempl �mm
Ihese O�ovisi0n5.
Oaie: ADOlicant:
InereDy cerlilyllWl Ihavereadl�is aDDlicaiian ana sla�e�hail�e above inlormalionis carrttL I agreeio comply vni� alltiiy anG tounry
ortlinancesanaslalelawsrelalingloGuiltlingconsiruc erebyau��oneerepre5enlativeSallhisciryloen�erupan��ea�ove�men�ione0
prap¢tly lorinspeclion Ourposes. ///� /] �a'/'��� �• — •
oa�e: ��' � Z Signat 1/� / Cl/[IA�JI.[/1'�F�IA]
ori�ers ucense o� sociai Secu�iiy x:
t641�G6 W�iie—Builaino: Green—Cotle EnlarcemenL Canary—Aoolicanll Pink—Revenue: Goltlenratl—Assessor
CITY OF COSTA MESA — BUILDING PERMIT ;
PERMIT NO: B 058621 PLAN CHECK NO; N , :
CONSTRUCTION TYPE; V—N PERMIT TYPE; STR PURPOSE; ALT
JOH DESCRIPTION ; T/OFF RERSHT. REROOF W/COMP SQ FT; 5,200
CLAZM VALUE: 5,200.00 CALC—VALUE: 5,200,00 GROUP OCC; R-3 /
COMMENTS; DUPLEX W/ATTACH GARAGE
+�+�******��**� *���x�**+�*******�r�r*********��r�r*+�***�*�*****�r�r� x x�*x�*���+�***�x **+�*�r**
Z O N I N GS ERTEB�AUCIKRSE M E N T S
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN
LEFT: FT IN RGHT: FT IN LEF1': FT IN RGHT: FT IN
PARKING REQ• PAOV; PARCEL: 42623115 ZNE: REF NO:
PLANNING NOTES>
i
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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 APPROV&D BY , DATE: _
BUILDING APPROUED BY : DATE: �
APPLICATION ISSUED BY; - TE: ��7���—
IF�k k it If �flE k ik �f k ik iE iE k* k iF �F�f iF ik iE if k!F!F it if iF k k�'iF7F3Fik �f
iEltif�fiE�EfE�E1f1f1E1E1EN9EiF1F�FiElffEiffkiFif�fifiFikMilifiEifiE�E3tiEifif iFkiFMltiflFif kiEikifltifkiflE�EikifiFiFlflfiEiElElfiFififkikiElE
LEGALIZATION;N F E E S U M Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES� GRADING
PERMIT 81,00 ,5Z
PL� SMIP/NON;RES
ISSUE FEE �'
BUZLDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 81,52 0,00 0,00 81,52 81,52 �� ,00
/',
REVENUE DIVISION TOTALS--> COLLECTED; 81,52 OVER/SHORT; 00
BLDG PMT PLUMBING ELECTAIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECR
81,�� �r]2 /.
iE if if IF if ikff !F 1ElF Iflf �Fif iF iE if iF�f iE iF iE iF iF 1F k iF if k iF 1E 1f if if iE iE iE if k �f 1E �f fflE k iFiF if k iF iF iE 3F 1E 1f IE 3F if iE iF 3F iElk iE iE iE�f iF k iF iF iF if iE 1F if �f 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 Z O N UNIT COST TOTAL COST
SFR 5200 AEROOF BY VALUE RESIDENTIAL NOZONE 1,00 ' S,200.00
END OF FEES '
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CONSTRUCTION ANDPLANNING P��� PA .
� APPROVALS Permit # - __ Date . Inspector APpROVALS Permit # Date In:pector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location � �
2. Soil Pipe�Undrgmd. 53. Steel Reinforcement ' -�
3..Elear`�cal Conduit.Uiility-Undrgmd. 54. Forms I�,, �
�� 4, �Electrical Conduit•Uhdrgrnd. 55. Electrital Bonding - � _
' 5:. SCeet Reinforce'mFnt _ 56. Rough Piumbing & Pressure Test' L
: 6. Electrical UFfik�G�nd. 57. APPROVA� TO COVER�GUC�1�E ��
� 3: �o6�ings � 58. Electrical Cqnduit�Undrgrnd. '^ -
��,8• Foundation ` � 59. Gas Pipe, � Undrgmd., Test - �- �
�'9. Water Pipe-Undrgmd. .� ;�� 60. Backwash Lines, P-Trap, O Unck�grnd.
70. Structural Floor Sysiem 61. APPROVAL TO DECK 'z .. .
i t. Property Sewer Line & House Connection 62. Backwash & Peceptor-Final . .
12. Sewer Cap � 63. Hea[er & Vent�Final -
13. Roof Drains 64. Plumbing System � Final �s
��14. Rough PlumbiPg t 65. ElectricabFinal � - "
15. Rough ElectricaJ-Conduit 66. Solar System-Final ,
M
16. Rough ElettricWiring � 67. Fencing & Access Approval ' .
��,77. Rough Wiring Sign 68. APPflOVED FOR PLASTERING '
18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
� c ir,.�c•- _t
20.�Rough Eactory Flreplace � - - = � * O � 7x :< q4ppROVA�liS �'?Perlriit �h ' `-
t - ' � r i; � n :. � - C" '
21,_DuG�ts, in Sir�cttu'e,� � , , ,:y ,; ,� - �„�, > -'70. Undergroyn Hyslro ' �
22. DuCts, Uentitating - G S ,� �r � ¢�� '.71. Product�P(ping OC�as OOiI
23� Gas Pipe�Rough &'�"es[ r � � :,� � _ . 72, Undergiound F4usfi �•. -� `' ,�'
24. Ropf Praming . - ^-- % _ f� -' >73_Undergmd.SmrageTank'�Gas ❑0?I
25. Roqf $heathing _ ;� r `�Z`� G r� '��j� '7q,:Overhead Hydro " '�
L
26. T-Bar Ceiling (St�ucturel) &_Monocoat - :r �, = 75: DrY Chemical � = S
r
27?Frame and Flashi�� � _ , ; x 76.'D"ry Stand�lipe � � ' ' -
V
V Y -' . �
28. Lathing-& Siding ,._ - : � •: S 77. PIXED SYSTEM 61NAL' �
� r
�'29. Insulation ' _ ' '� , � � � 78,= FIRE PREV. FINAL � �
.r30. Drywall�Nailing _ � - HEALTH DEPT. REQUIREMENT
��31. Plaster Brown Coat� ` " �` �` .79.` PINAL II�tSeECT10N ` � ' _
+< r .
� 32,. Electrical Po�ver'MeteT�Finai .. • 80.. FO00 CERTIFICRTE ISSUED �
`33._Fin�l Electr� � , � ` Notes: _ � � "
<
�;-34; Firial Heating & AiG ConditionioQ - < � � � = ,- ; _ , -
C4
35'.�Final Gas Pipe-Test' ` - i � � � `' � { -� �
< -
.36 � Hond or'.Canopy � � .- _ - ' � - `� � . ' .r .-
r
37.�Final Factory Fire�lacea -''� ' " T' � >* j
-38. Final Plumbin9 K � . .. . .-. � � �, > � �� _ -
.��39. WaiEr Service�FinaF' � �- ��" '� ' '* -' '
.
.40. Gas Service-Final -;' � r r r � z . �< ` ; + ��[u � �
� 41. Solar pome:ticFirrel= ^ � • _ � •
� I .x
.r . I - _ � - .
"42.'Backflow Preventer � �r y F . �
43. Backflow Irrigation � ' . - � �� + -- _ � �
r
_ �� w � i
, 44. LandscaPe Irxigation Sys[em; � � :- ~ z� - * � ,� - 'r ^ - ' � �
� r.45.:.Sound Attenuation � - T �'i - - � � � - • : ?
- .y �r� � ♦ - ' '
;46. Handicaa Re�gulatiqns � . •. � ; .:� . ..'� , " i '-, � ' -•
.� ��
47..FINAL STRUCTURE & BU3LDING r 3 c� 9� � t� ,..� -.;5/�� _ AE%��6��
./
- - � r. � �x - .
48.'FINAL PLRNNING _ ' ; � s . � �• .S „ '
49-ElectricReleaseto•Edison � �� •; f { f �-
�50..GastRele3se to SouFhem Californ�a Gas Co . � � �, � ` " , r.',`. �, - ' ".
51. CERTIFICATEOF�OCCUPANCY . �' .- -` , • -
No Date