HomeMy WebLinkAbout355 21ST ST - Building PermitsJob Address:
Suite No
Vicinity:
Parcel Nunmber:
Applicant:
Address:
355 22ND ST
GARAGE
42617119
KIECH, JAMES H
355 E 22ND ST
COSTA MESA, CA
Ownec KIEGH, JAMES H'
Address 3S5 E 22ND ST �-
� COSTA MESA, CA
Contracror: � OWNER-BUILDER
Address:
ISSUE FEE
Temp service test
Res. a/c package
New.Res (1-2 unils)
New Res (3+units)
Pool / Spa
Lighting FiMs
Recept Outlets
Switches
Non Res Appl
Res Appl
Service to 200a�
Service to 1000a
Service over 1000a
Motors to 1 hp
Motors to 10hp
Motors to SOhp ,
Motors to 100hp
Motors over 100hp
Communication drops
Sub panel to 200a
Pole Light Pkg
Sign Circuits
Temp Pwr Pole
Intermed Pole
Phone: 949-646-6007
Zip 92627
ISSUED BY:
Status: ISSUED
Applied: 12/112006
Issued: 72/112006
�j
� - Phone: 949-646-6 � 07
" Zip: 92627
�
Phone: �
Zip:
License: 000000
SCOPE OF PERMIT
ELECTRICAL PERMIT TO ADD A 280SF 1 CAR GARAGE TO AN (E) 2 CAR GARAGE (THERE WILL BE
AN OPENING BETNEEN THE EXISTING GARAGE COMMON WALL AND NEW GARAGE) FOR A SFD.
REF#: BO6-02078
WORK TO INCLUDE: 1 LIGHT FIXT AND 1 GARAGE DOOR OPENER.
$23.50
$0.00
$0.00
50.00
so.00
$0.00
$2.20
$0.00
$0.00
�� $0.00
$0.00
$0.00
$0.00
50.00
$0.00
$0.00..
$0.00 .'
50.00
50.00
50.00
$0.00
50.00
$0.00
$0.00
$0.00
Quantlty
0
0
0
2
0
0
0
0
0
0
0
0
0�
0
0'
0
0
0
0
0
0
0
FEESUMMARY
Temp Dist System / Lighting
Busway/100ft
Standing Section
Misc EleIXrical Equipment
Transformers up to 1 kva/kw
................up to 10 kva/kw
.................up to 50 kva/kw
� .................up to 100 kva/kw
..................over 100 kvalkw
Low Voltage Equipment
Low Volt Wiring System / Ckt
Misa Conduit - �
Misc. Condudor
Circus ( gen or ride)
Circus (mech ride or lights)
Christmas Tree Stand
Fireworks Stand � -
Other Electrical Fee
Investigation Fee
Plan Check Fee
Reinspection Fee
Quantity
$0.00 0
$0.00 0
50.00 0
$0.00 0
so.00 0
$0.00 0
50.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 ' 0
$0.00
$0.00
50.00
$0.00
TOTAL CALCULATED FEES E25.70
NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requirements under California
regulations. (Ord. No. 9248, § 7, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is sus{
for a period of 7B0 days. �/
related
orabandoned
INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inapeetlona and final epprovel must be obtained. Failure to obtain inspections and final approval will resuli in ihe expiration oi this permit.
FOR INSPECTIONS CALL: (71q) 7545626
2a4Bd6 (8�W)
WORKERS' COMPENSA710N DECLARATION:
I hereby attirtn untler penalry of porjury ona ot Ihe tollowing dedarations:
❑ I have and will maintain e certilicate ol consent to sell-Insure lor workers' compensation, as provide0 tor by section 3700 al the Lebor Code, for the peAormance of the
work tor which this pertnit is Lssuetl.
❑ I heve arW will meintain wwkets' cortpentetion InSUrentB, as requiretl by settion 3700 of N8 Lebor Coda, lor �he pertormance ol lhe work for whith fhis pertrtit i5 i5sued.
My workers' compensation Insurance carrler and policy number ere:
Carrier: Palicy Number:
(This section need not be camp/e(ed i! Ne pertnit is velued et one hwMred dollers (S f00) or less.)
t.. _ .
I�.Ftertify Ihei in Ihe peAormance at the work lor which lhi5 pertnit is issueQ I shall noI employ eny pareon in any manner so es lo bocome subjact to Ihe worker5'
�� campensation laws ol Calitomia, end egree that tl I shwlU become subject Io the workers' compensation pmWsions Ot Setlion 3700 at t�e Labor CaEe, I 5hail forthwith
�ply wi�h the5e provisions
� ;��- -�-..-� ' 'ale^i / � — / /— O 6
nabuwmsiqnewre: .ro---� ,[/, //
WARMNG: FNLURE TO SEC� WORKEC RS' COMPENS�TION COVEMGE IS UNLFWFUL AND SMALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CML FlNES UP TO IXJE MUNDRED
THOUSAND DOILARE (5100,fIQOR IN MMTqN TO THE CO6T OF COMPENSATIIXJ.OAAUGES �S PtiWIOED FOR IN SECTION 3]OB OF THE UBOR COOE.IMEREST, PNO AiTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby eMirtn that I em licensetl untler provisions of Chepter 9(commencing with Section 7000) of DMsion 3 of the Buslness antl Protesslons Cotle, end my license Is in full
forca and afled. Lic, a Cless a
Comreciofs Signeture: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby eHirtn thel there is e consiructlon lentling egency br ihe DeAormance of the work for which ihis permil is issued. (Sec. 3097, Civil Code).
Lentler's Name: Lentlefs Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby attirm that under penulty ol perjury Ihet I am EXEMPT FROM THE CONTRAC70RS LICENSE LAW for ihe following reeson (Sec. 7031.5, Business entl Professions
Code: Any ciry or counry which requires e permit to construct, elter, improvo, demolish, or repair any siructure, pnor lo its issuance, elso requires tha epplicant br such pertnit
b tile a signed stetement ihat he or s�e Is Ilcensad pursuent Io che O�ahsions ot ihe Contractore l.icense Lew (Chapter 9(wmmencing with SBCIIon 7000) oi D'Msion 3 of Ihe
Bu5ine55 and Professions Cotle) or NBI he Or 5he is exempt therelram end the 6asis lor t�e elleged exemption. Any violaiion of Sectian 7031.5 hy any epplicant lor e parmit
subjects�the applicent to a Gvil penelty ol nat mare than live hundred dollars (5500).):
� 1 as owner ot the properry, or my employees with wages as their sde compensation, WILL DO T11E WORK, and Ihe structure I5 not inten0atl or ofleretl lor sale (Sac.
7044, Business entl Professions Cotla: The Contractors License Lew tloes not apply Io an owner ot property who builds or improves thereon, antl who does suU work
himself or herself or through his or her own employees, provided that such improvemenis are not intended or oMered for sale. It, howaver, the builtling or improvement is
soltl wiihin one year of campletion, Ihe owner-builder will have Iha burtlen of proving ihat he or s�e did not build or improve for purpose ol sale.).
❑ I, as owner ol lhe property, am E7(CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to con5truct ihe project (Set. 7044, Business antl Professions
Cotle: The contractors License Law tloes no� appty m an owner of OroPeny who builtls or improves thareon, antl who contracis tor such pmject wIN a contractoQs)
license pursuam Io Ihe COntwdors Licensa Laws.).
❑ I am e:empt untlje �ec. /� usiness and Prolessions Cotle for this reason:
FSi� ture:' /L2✓"���—�f . p� ' — — O G
�Owner ID venfie y dnvers license. ❑ Vas ❑ No DriveEYLicensa No. /
�res- v—/R �
Verification af Ownership by (type of documem, i.e. - property tax bill or tleed):
DIVISION OF INDUSTRIAL SAFETY PERMR CERT7FICATON:
❑ I hereby certiy that no excavation live (5) or more �eet in Oepth into which e person is raquired to descend, will be meda in connection with work euthonzed by this
permit, antl t�et no building st�udure, staXolding, lelsework, or tlemolilion or dismantling ihereol, will be more I�an thiny-six (36) leat hiqh. (Chap. 3.2, Grp 2, An 2, Sec.
341, Title B, Califomia Atlministretiva Cotle).
❑ As owner-builtler, I will not employ enyone lo tla work w�ich would require e permit Imm the �ivision of Indusinel Selery, es notetl ebovo, unless such person has e
pertnit to tlo such work Irom Ihe tlivision.
Signature: Data:
Division oi Intlusinal Salety Permil Number.
CER7IFlCATE OF COMPLIMICE fWD AUTliORIIATON OF ENTAY: I cenity under penalry ol perjury that I have reatl this epplication and siate that the informa�ion given is
correcL I agree to compry with all state laws antl ciry ortlinances releting to building construction, end authonze representatives ol t�e City ot Costa Mesa to enter upon Ihe
abova-descti6ed pr rty lor in5qection pu �s. I ag�ocCuOY ar ellow otcupenCy of eny building authonzed by ihis permit until finel inspection.
f! /2 //—O�
SlgnaWreOlLegalOwner(s) � Date
AnNOr Authorizotl Applicanl Date
400E 1, INSPECTIONTYPE
1616 Fixetl System Final Fire Prevemion
1266 Pool Spe Final
200 Final Re-Rool
201 Finel elocWReteining Wall
202 Final Faciory Fira Place
203 Final Sign
204 FinelOemdi�ion
Qe¢, ��y f�QQ�,1 INSPECTIONTYiE
206 Finel Mechanical
208 Final Plumbing
210 Pinel Electrical
212 Finel Fire Preven�ion
220 Final Planning Approval
222 Final Site
250 Final Building/Occupenry
�
�1 •
v��
I�LS
JobAddress: $55 22NDST
Suite:
Vicinity: ATTACHED TO EXISTING GARAGE
Primary Occ: R3 Type of Construdion: V-N
Parcel Number: 42617119 Zoning:
Applicant: KIECH, JAMES H
Address: 355 E 22ND ST
COSTq MESA, CA
owner: KIECH, JAMES H.
Address 355 E 22ND�ST - �� �
COSTq�MESA, CA
� , �
Contraaor �'�OWNER-BUILDER::�=;� �
Address: �� , �
�.� i ��
Address: 2517 S
SANTA ANA, CA
Zip: '92704 �, . "
ST
� Phone: 714-545-8646
� � -License: C5012
Phone: 949-646-6007
Zip: 92627
ISSUED BY:
Status: ISSUED
Applied: 92/11/2006
Issued: 12/11R006
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Address:
Phone:
License:
� SCOPE OF PERMIT
ADD A 280SF 1 CAR GAFtqGE TO_AN (E) 2 CAR GAR4GE (THERE WILL BE AN OPENING BETLVEEN THE EXISTING GARAGE COMMON WALI
AND NEW GARAGE) FOR q SFD. `� -' ,
Plan Check: $90.51
Permit: $139.25
SMIP Res: ' $Q.68
SMIP Com: $0.00
Other: $0.00
Inspection: $p.00
- � - :
FEE SUMMARY
Calc Valuation: $e,soa.00
Claim Valuation: $o.00
Total: •$230.44
PLANNWG & ZONING
SETBACKS �` �� -, � .
MAINSTRUCTURE �Front 21-0 ; Rear �0-0 Left 8-0 �Right 0-0
ACCESSORY Front �, 0- 0_. Rear 0- 0 Left, 0- 0 Right 0- 0
�
. - ��'.�. � � � . ' ,
P/�fi�(�i�G � �- Ezistina: :' 0� �-.R auired: 0 ' " - Pr000sed: 0 - "
�-. .� , . - ; - __ .
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 7, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspe�ded or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred inspeetlone and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS,CALL: (71q) 7545626
zaaaas (r✓oo)
WORKEflS' COMPENSATION DECLARATION:
I herehy aRirm untler penalty oi perjVry one ot the Following declaralions:
❑ I have and will maintain a cetlifirate of consent to self-Insure br workers' compensation, as providetl tor by section 3700 of �he Labor Cotle, for �he pertormance of ihe
work fOr which this permit is is5uetl.
❑ 1 have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Cotle, for the pedormance of the work Por which Ihis pertnit is issuetl.
My workers' compensation Insurance carrier and policy number are:
Carrier: Policy Number:
(This section need not be completed i� the permit is valued af one hundretl tlollars ($f 00) or /ess.J
1 certify that in ihe pedormancd of the work tor which ihis pertnit is issuetl, I shall not employ any person in any manner so as to become su6ject to ihe workers'
compensa�ion laws of California, and agree ihat if I shoultl become subject to Ihe workars' compansation provisions ot Section 3700 0l �ha Labor Code, I shall torthwith
comply with these provi�si} S /
APPI� i�nl S�. ///J, � 1 �/l // �'. Date�: - �?4%�2 — / � — O G
WARNING: FAIWRE TO SE E WORKERS' COMPENSATION COVEPAGE IS 11NLAWFUL AND SHALL SLIBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND GNL FlNES UP TOONE HUNDFED
THOUSAND DOLLARE ($�000�, IN AD�ITION TO THE COST OF COMPENSATION, DAMAGES AS PROVI�ED FOR IN SECTION 3]O60F THE LABOR W DE, IMEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLAAATION:
I hereby aHirm ihat I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Cotle, and my license is in full
force antl ettect. Lic. N qass k
Contractor's Signature: Date:
CONSTRUCTION LENDING AGENCV:
❑ I hereby aHirm ihat ihere is a consimction lentling agency for the pedormance oi the work for which this permit is issued. (Sec. 3097, Civil Code).
Lenders Name: LendeYs Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby aHirm thal under penalty of perjury that I am EXEMPT FROM TME CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business antl Professions
Code: Any city or county which requires a permit to consimct, alter, improve, demolish, or repair any simcture, prior to its issuance, also requires the applicant for such permit
to tile a signetl statement Ihat he or she is licensed pursuant to the provisions of the Contracrors Licanse Law (Chapter 9(commencing with Section 7000) of Division 3 oi the
Business and Professions Code) or that he or she is exempt ihereirom and the basis tor the alleged e:emption. Any violation of Section 7031.5 by any applicant for a pertnit
sublecjs.the.applicant to a civil penalty of noi more than five hundred dollars ($500).):
�.,,,.I^a4 owner oi ihe pmperty, or my employees with wages as their sole compensalion, WILL DO THE WORK, and the simcture is noi intentletl or offeretl for sale (Sec.
� 7044, Business and Professions Cotle: The Contracmrs License Law does not apply to an owner of property who builtls or improves thereon, and who does such work
himself or herself or through his or har own employees, provided that such impmvemenis are not intended or oReretl for sale. If, however, the builtling or improvement is
sold within one year of comple�ion, ihe owner-builder will have the burden of proving that he or she did not build or improva tor purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct the project (Sec. 7044, Business and Protessions
Code: The coniractors �icense Law tloes not apply to an ownar af property who builds or improves ihereon, and who conirects for such project with a coNracmr(s)
license pursuant to the ContraGtors License L ws.).
❑ I am exem t untler c. Business and
Oate:--- � —) —d G
-•--�"a � ' _
O_ wneclD verifie y driver's license. Yes ❑ No D� Cs�License No. "' Expiresi�'Z/—/ $� � O
Veritication of Ownership by (type of tlocument, i.e. - pmperty tax bill or tleetl):
DIVISION OF INDUSTRIAL SAFET' PERMIT CERTIFICATION:
❑ I here6y ceniy 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 authonzed by ihis
permit, and that no buiitling structure, scaHolding, falsework, or demolition or dismantling thereof, will be more ihan thirty-siz (36) feet high. (Chap. 32, Grp 2, Atl 2, Sec.
341, Title 8, Calitomia Adminislra�ive Code).
❑ As ownervbuiltler, I will not employ anyone to do work which would require a permit imm the Division of Industrial Safary, as noted above, unless such person has a
permit to do SUCh wOrk from �he division.
Signature: Date:
Division ot Indusirial Safety Permit Num6er:
CERTFICATE OF COMPLIANCE AND AIfT}IORIZA710N OF ENTRY: I certify under penalty of perjury Ihat I have read ihis application and state that ihe information given is
correct. I agree to comply with all stete laws antl city ordinances relating to building wnstmction, and authorize representatives ot ihe City of Costa Mesa to enter upon ihe
above-described�pyr aeny for inspectlon purposes. I agree not to occupy or allow occupancy of any building euthorized by ihis permit until final inspedion.
�L� ,c%----/�.�:�`� � � .�_: _� �. . i a �i�,E,_c
tSig atu�e�Of Legal'Owdar(s) Date-..�.-
AnNOr Authorized Applicant Daie
CODE � INSYECTIONTYPE
1616 Fixetl System Final Fire Pre�ention
1266 Pool Spa Final
200 Final Pe-Rooi
201 Final Block/Retaining Wall
202 Final Factory Fire Place
203 Final Sign
204 Final Demoli�ion
g[_jj INTRIALS
COOEN INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
pAT[ INTRIALS
�
PNOJECT RDONE55: 3 S S 2 2 i�D Jr 1
OWNElIS NAME: JOHN O� CONNOR
aooeess: p0 BOX 19 9 2
,� NB CA 92663
642-3912
AflCHIENGINEEN:
ROOflE$$:
flEC.NO.:
UNIT:
UNIT:
PEflMITiEE:RQSS 6 HARROWS INC. ( �14 ) 557-7440
aoosess �60 E. ALTON AV ---
SANTA ANA CA 92707
LIC NSEO CONTBqLTOP OECIAflATION: I hereby alfirm �hai I am Iicen5e0 under provisions ol C�aO�er 9(commencinB wi�h Section
] � ol Division 3 0l Ihe Business an0 Prolessions CoOe, and my license is in tull force and ellect.
cinuc.:070q�4 sr�827802 cuss:C-39 �
Da�e: � SignaWre: _ . _ . _ _ _
WOBKEBS' COMPENSAY�ON DEClABA710N: I here0y aHirm inat I have a cenilicate of consent to selbinsure ar a cenificale ol Workers'
Compensation Insurance, or a certifie0 copy Ihereo� (Section 3800. La�. C)
raucrNo.:606531-92 exv.oaTe:07/01/93
�CO PANY:SIATE FUND
enifiea [opy is he�e�y lurnishetl. � C¢rtitie0 coDY �s liletl vnin tAe city BuilAing Oivision. �
.,a�e: 7�6�— �3 noorcam: ��
ESEMPTIONFR�MWOBHEAS'COMPENSATIONOEClAflA710N: �T�issectiannee0no�becomDleie ihepermAisioronehunGreG(5100�oHess�.
I ceritly I�ai in ��e petlarmance ot the work lor wAich (his permii is issuea. I shall not employ any person in any manner so a510 became
sublect lo �he Workers' Cumpensation Laws o� Calilomia.
Oate'. Signamre:
NOTICE: II, afler making inis aeclaration. you snoula betome suoject to tne Worker5' CAmpensalion pmvisions of Ihe Labor
CO�e. you musl Iorihwii� tomD�Y �^�h SUC� pmvisions or I�is permil Shall be A¢eme0 revokeA.
CORSTBUCTION LENOING RGENLV: I �ereGy atlirm tAat there is a constmction IenJing agency for t�e Petlormance al ��e waA lar
whicrt tnis oermit is issueA (Sec�ion 3W7. Gv. C�.
LENOEfl:
aooecss:
OWNEfl BUILOEB UECLP.HpTION: I �ereDy allirm Ihal I am exempt Imm I�e Cantracbrs' S�ate License Law for ��e followinq reason
(Seqion 7031.5 Business and Pro�essional Code'. Any cily o� counly whic� reQUlres a Dermil Io con5imct, al�er, impmve, tlemolish, or
repair any s�mcWre. prio� lo ils iuuance, also re0uires the applicanl lor such permit to lile a siBnetl siatemenl thai �e/she is licensed
pwsuam io Ine Dmvisions oi t�e Camractors' Slaie License Law IChapier 9(commenunp vnth Seciion 7000) of Division 3 of I�e Business
an0 Pmlessions Cotle) ol ��al �e/she is exempi �Aerelmm ana Ihe Oasis �or I�e allegeA exemplion. Rny violatian of Sec�ion 70.31.5 6y
any a001icanl lor a permit subjecis ��e ap0licanl �o a tivil pen3lty ol not more lhan live hun�ad dollarz �5500).
I, as owner ol ��e orooeny or my employees wiln wages as iheir sole compensation, will ao ihe woB, ane ihe
❑ vmclure is not in�en0e0 or ollereU for sale (Semian 7044, Busmess antl Prolessional Code: The Contracmrs' Slale License Law
aaes not apPly t0 an owner ol a Dmpeny who euiles or improves ihereon, and who aoes sutn work himselflherself or inrougA
his or Am own employees, pmviaeE Iha� such improvemenis are nol inlenAed or o�lerea lor sale. I( however Ihe 6uil0ing or
_ impmuement is 9old wilhin one year ol comple�ion, ihe owner will have �he huraen o� pmving he/s�e Oid not 6uiltl or impmve
�,kti'lor ine purpose o� saiel.
"I. as owner ol lhe P�opetly, am evclusively conlracting wii� licensed mntraztors la conslrucl lhe Dmleci (Section 7044, 9usine55
❑ anE Pwlessqns G�e: t�e Camractars' Slate License Law dces not appty m an ovmer of pmce�y who Wdds or impmves ��erean
an� w�o [onirads br such piojects wilh a conlractoq5) IirenSe pursuan� �o I�e Conlra[�ors' Slate Litense Law). I am aware
��al pmol ol Ihei� Worker'S Compensalion insurance s�oultl be pmvitled to me.
� I am e�em0� under Secuon: B. 8 P. C.
br Ihis rCaSon:
Date'. Oa'nec
1 tlo here6y <enity tnat I am awa�e at ana uaae�sta� tRe repWrements of Califarnia Hea0.R a�W Salery Cade Sections 25505, 25533, a�
2553a antl ��ai I or any fUWre Uuilaing otcupanl mNvnll no� (cirUe one) neeG �a compN wiih SaiA slate mGes antl the r¢Quiremen�s for a
permil lorconslmction o� moailica�ion Imm I�e Au Oualily Management Districl. Residenlial consiruction apDlicalions are erempi tmm
NESP pfOvi5i0�5.
�ale: Npplitani:
I ere0y cerUfYlhat ihavi�ead ��is apP�icaiion an0 s�ate tha� ihe aboveinlormation is ronect.lagreeio comply wil� all[ity antl wun�y
rdmances dna stale laws relaiing lo building conslmciion antl he�eby aWhorize represenlatives of Ihis ciiy Io enter upon ihe above�men�ioned
pro0e�y Im inspeclion purpo5es. �
Oaie: � �_� SignaWre: ��_� ��
Oriver's License m Social Security a:
i6<i�n6 Whne—Bmlding: Green—Cotle EnlorcemenC Canary—AOOlicanl; Pink—qevenue; Goltlenrotl—Assessar
CITY OF COSTA N.ESA — BJIi,DING PcrZMIT PERM NC1: H 0618�7
PERMIT NO: B 061857 PLAN CF.ECR NO: N GOVT; N SUPP; N
CONSTRUCiION TYPE: PERMZT TYPE: STR PJRPOSE; AL:
JOB DESCRIPTION : T/OFF RESiiT.REROOF W/ CONP SQ FT: 8,520
CLAIM �TALUE: 8,520.00 CALC—VAi,UE: 6,520.00 GROUP DCC: R-3 /
COMMENTS: SMOKE DEiECTORS RE�UIRED
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Z O N I N G R E Q II I R E M E N T 5
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCE550RY BOILnIVG ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: F: ;N
iEFT: PT IN RGHT: FT ZN LEFT: FT IN RGHT: FT IN
PARKING RE • PROV; PARCEL: 42419107 ZNE: RPF NO:
PLAhNING 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 Z R E M E N T S
ZONING APPROVED BY DATE:
BUILDING APPROVED BY : DATE:
APPLICATION ISSUED BY: DATE:
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LEGALIZATION;N F E E S U. M A R Y STRUCTU�AL SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 108.00 ,g5
PLAN SYIP/NOy—RES
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN CHECI{ TOTAL PAID DUE
TOTALS----> 108.85 0.00 0.00 108.85 108.85 .00
REVENUE DIVISION TOTALS--> COLLECTED; 308,85 OVER/SHORT; ----.00
BLDOSP00 PLUMBING EiECTRIC MECHANIC FIRE SMIP/T85 GRADING PLAi6=CHECR
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S N D Z V I D U A L F E E B R E A R D 0 W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
�
SFR 85'�b REROOr BY VAiUE RESIbENTIAL NOZONE 1.00
' EN�1 OF FEES
� Ev�tR�O
Incompietz u,-�..�tions
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01 D0137773-00137774 T O T 1Q3.3`
DATE: 04/22/93 TIt1E: 1�:32
� CONSTRUCTION AND PLA�NING
I �'.'PROVALS Permit-'.+.
1. TemRo'ary Elettr�al Ssr: c� or Pole
2. Soil Pipe�Undrg�nd, � ?
3 E�ec!r-c�� C�nd�:! �Th!y�Vnd.grnd.
4. Eiecincal Condu�t�Und�cr�•d.
5. Steel Re�nforcemen�
�� C-lectr,cai UFEq GrnA
1. Foot�rg,
8, Fou^uat�o�
9. :'iater Rpe�Unurgrr,U,
10. Structural Floor SYstem
17. Property Sevier Lma R� lao�icz Conrection
72. Se.ver Cap
73. Roof �ra��ns
14 Ro�g�� Piumb�r.3 -- ; I�.
� ---d _
Date
0
-__ -FOOL PA �-- T _. .-___ -
i
Inspeciur qQpROVALS Pcn^�t �? I Date ; in.oect�• �
-- 52. Pcol F: Eq'. ���^+e^.t L:.c�t o�, �� � I
---- I� __ -'�-_�
53. Steel f-teinlurce^�u��t .
- -- ---� -----1---- I.--.'- ._•
_ 54. Form: _ ___ __ __ _'.___1- _'.
55. E'ecvical �nrd �5 ' �
---- 56. Rougii Pi�.,,b�ng & P�, ss.u:: Tast i- � �
--- ---- - --- -�- �
57. APPFlOVAi_ TO CO�iCk�GUf�I�TF � �
---- ------- --�---�- - -i
-- �n6. E��.�ctr�u�.r����_�..� �,-�n�. . �
---- - - --- - - - : - ' I
�i �5J. GasP.pe. : U�...q� i._�.. . �
-- - i 60.� Bac!�c:.;sh I. r«:, P - :r. ! � �..�,- -- , --,I - - - --
61. APPROVhL TO DECK I � � I
----------� ----�'-- --- -
62. B:cx...sh :; Rece;.• FI :'
-- 63. Hoatei & �Irni.rirc,- --- -----i �- --�-- � -�
-- -- - *- -r a - ,
G4. PlumbingS;stem F���a' � ,
--- - ---- - - -- - -- I -- -'
G5. Elect�ical F ^a� � � � ��-
15. Rcu�n -Lcct��ca�.Cony�,.t ,-- I I-- - � 66. S��a; Sti_.:rT�_F..u- --- -- --- - - � .- -
', 16. Aough ElcCrc!:�rirg �--J - T- -
� 67. Ferc'n7 & 4c�_,n ��i�:. c. .
77. Rou9h`V�nr95tgn �- - �_--- g$. APPROV�UFOR''��S-��ENiNG -`-� --�� �-- -'
�---' ---- - - --
18. Rough Elcet�ic:+I�T gar Ce���rg � G9. POOL!SPA SYSTc''S FIiJAL I �Y
- '-- � - - --- - - - -
1�, Hou�h Neat�ng & A�r Cu�d�t�en���g I I p�flE �FPT. AEGl1i7ER��ENT � ''
7fi. flo�9��' Faeta��; F'rzu.ace -- -� --- - i�4PPROV/-\_S � ermr� -------�
I I
r 21. D�Cs, �� Sv�_cture --- --t-T-_ i 70. Undr.�i3-c_ ��. H�;,.�u _ - --- -- �� �_� - i _ ,
L
22. OJcls. V.ntii in^.� � I 77. Protiut' � p-^.� '. G. ,.-' � � , �__
�--- - -�^--�- ----- -- ------- - - -- --- . .
23. Gas ? �c�Ac �-i� � T_ , �� 1 r T
�2. L'-o� - _ . _, ,
�3 Rco`�.d.-r,.^y --------1-'----�-----}---L��,a��-- ----- - -`L--_ - � - �� --
�, r..C.
-_ _'_ �7- -r'__ _'__ ___'_"__ _ -.__ , __.
_ i ..._ .-"_ '
I, ?5. RoDtShtethinq -- - I 74. Overh:�71!vcr� c•�
_-_- ___-�J_-_�-__ . ..
� 26. ?•Ba� Ce�imq ISvua�rai� L� �Jo�ocoax - I� -�--- -
75. I��y Ct�urr�r'�
____ _ _ -.__.___ _
i_- . _ _- -_�____I �_- --_____ __ -_. -: __ _ ��
�i 27, trame a�d F'esi��n� � �--_� I 76. L`ry SUn-�a e � 'i
� --- -�-- - -'--- � {-- i � .
2c. Latn ^^, a S ��:•,, - -- ---- � 77. F'::(:D F\ $' �: .- �-�7.r�1 � - - -� �
� ___�_� _
19. Insula:ion ~_�� 78. FIR(�PRiV.i=C�A� - --- -�-- _^L -'
'I .'1�. G'1':.�J' �C:i'�.ing � � rf'AL�:'i-i 7�P�1 f-it�l:IF`. �_.. i . '
r-_ -_ _ .'_ "- _-+__�-�-- - . _ _ _"" - ' ' _"_' . '
3` P :.i:c. P. ^. � CC:: � � � ]�. F'.'CA; ' _ . ' �
't_�-' -i - - i
�� 92. c'�ecb�c.,i p_,� -'�te� __ L- -- �-- --- � � 37. FCGJ- - --_ - --� � -- --- �- - - - --
�_
33 Final clectric r � I Notes: '
34. Fln�l Heat�nu � A�� Cor•,.�t c�� ��
-- -I--- --�--' --t--- -- ---- - - -- -- - -- - �
35. F�nat G,,s Py-e�T;,. ------ I-- j
- -
- ' --�- - - -- -- - � - - -- --
------�- -- -- ----- - . -�--- -- �
36. Ha¢:i or C..ropy
�_-__- � _' __ � .
-___ - - _ J. -'-__
37. r,nal F,:ctay P�re� �.c. - - ---- - - - - -- -
i S3. Fin31 P!Um6ing _-_�•--- _- _-_. _-�-___ _' __ _" __ ' ." '_'_' '
� :i-'. .:Ctzr $^rv.cq.p'�g� -- -- - i ----'�------ -- ----------- -- - ---- - - - �
'. _ ' _ -____ ____-_ __ ' __ __-'_ -"-_ __ _ _'_'_- _'.' �
�i�. CJS.�.E(Y�Ce F�n]1 �
41. Salar pomo:t�cF�hai --: - - - _ - -- -- -- -- - -- -_ -- -. _ _�
47_.3zo<floa•,Praveniar -- � ----- ------ -
� 43. Backflow I,���garan I '
�-'- ----- {--- --J---- ----- - - ---- - -- -----.- -
�i 44. ..nndsccCe I�:,aacc^. S•,;t -, I -
i4�. Sound Atieauatipr -- -- �--- + -- --' -� �-- -- -- - -- ----_ -
� - ------ -- . - l . - ' .
45. Ha^tl:caP Rcgu'at�C�s _ _ _I ;____ _-�__- _ _.__ _ __-__ -..
� �7. F1�4LSTRUCT�RE���J!L7'1G �- -- --E-X�PI-R-ED�--- - ----- --- �
_ �- � -� ---- incomple?e lnspectinrs -- - : -
4a. FINAL PLANUING
49. Electric Release to Ed�son
5G. Gas Reiease to Southe: n C;.liforma Gas
51. CERTIFICATE OF OCCUPANCY
`:o. Datt
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