HomeMy WebLinkAbout1223 LAS ARENAS WAY - Building Permits ammanumm 1223 LAS ARENAS WY LINT: CITY OF COSTA MESA — BUILDING PERMIT
OWNERS NAME IF IDIOWN:SEABLUFFS ASSOC. PERM NO: B 077440
ADORESS:S AME
PERMIT NO: B 077440 PLAN CHECK NO: N GOVT: N SUPP : N
APPL.SWUNG ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: REP
ARCHITECT OR ENGINEER: MC.NO.: JOB DESCRIPTION : REPAIR DRYROTT SQ FT: 685
ARCH.OR ENG'S ADDRESS: UHT:
CLAIM VALUE: 685 . 00 CALC—VALUE: 685 . 00 GROUP OCC: U-1 /
CONTBACTOWSNAME:MACK CONSTRUCTION ( 714 ) 568-7744
mancrowslaww 1357 FREMONT ST REPLACECOMMENTS : DAMAGED D *** * *
ADORESs:ANAHEIM CA uc.a.: 659507 ********** * *** E******* *** **** E*** ** t******* ** ** + E** S*it** t** t+ **** t
92804 UNIT: Z ONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 S E T B A C K S
(commenting with Section 7000)of Divisum 3 of the Business and Professions Code,and my license is in lull force end effect.
CITY LIC.NO.058300 LID.µAA;S:B LIC.N S�XP : 03/96 MAIN BUILDING ACCESSORY BUILDING
�y``S/� �1 N FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Dale: X30 Contractor:
Q�L�-'� LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
NER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the
following reason(Secton7031.5 Business and Professions Code:Any city«county whim requires a permit to construct,alter,improve, PARKING RE(}{7 ,;PROV: PARCEL: 93633025 ZNE: REF NO:
demolish,or repai any structure.prior to its issuance.also requires the applicant for such permit to Be a signed statement that he or she PLANNING N V T E S>
is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Divsion 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.My 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 l$5001). ********************6********************************************************-***
❑ I,as owner of the«open or my employees wih wages as Mu,sole compensation,will do the work,and the structures not intended D E V E L O P. M E N T SERVICES REQUIREMENT S
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of properly
who builds or improves thereon.and who does such work wheel or herself or through his or her own employees.provided that such I,
improvements are not intended or offered for sale.n,however,the building or'improvement is sold within one year of completion,the ZONING APPROVED B Y DATE:
owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale).
❑ I,as owner of the properly.am esdusively contracting with licensed contractors to construct the project(Section 7044,Business and BUILDING APPROVED BY .- DATE:
Professions Code:The Contractors License Law does not appy to an owner of Property who trios or improves thereon and who
contracts for such projects with a mntredor(s)licensed Pursuant to the Contractors License Law).
❑ I am exempt under Section: B.a P.C..for this reason: APPLICATION ISSUED B,Y: DATE:
*******************36******************* *3E **********3E********* **
Date: 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 Safely Code Sections 25505,25533,and
25534,and that I or any Mure building occupant will/wilt not(aims one)need to comply with said state codes and the requirements(or BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
e permit for construction or modificationfromthe Ar Duabty Management District.Residential construction applications WV exempt from them PERMIT 26 . 50 . 50
provisions.
Date: Applicant: SMIP/NON—RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: ISSUE FEE
❑ Ihave and wilmaintain acertificate oconsent oseff-insure for workers'compensation.as provided for bySecton3700of the Labor BUILD ING—DIv—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
c°eefonnepedomacewmewokf«whohhispemgieimued. TOTALS----> 27 . 00 0 , 00 0 . 00 27 , 00 27 , 00 . 00
❑ I have and will maintain woken'compensation insurance.as required by Sedan 3700 of the Labor Code.for the performance of the
work insurance m en endpdovnumberae: REVENUE DIVISION TOTALS--> COLLECTED : 27 . 00 OVER/SHORT: , 00
Carrier:
Policy Number. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This section need not be co npleted I the permit is for one hundred dollars 15100lor less) 26 . 50 . 50
s\ certify thatinthte peworm,'comenklorww#,,0) permit is s :.get . employ any bcagge inymannertmesto *******************************************************************************
become subject to the woken'mance of the work
compensation lows Catifoms ••I shall t id become subject nyto swo as s.to
^sof Section 3700/ of the Labor Code,I hwith acro.:with t mvisime INDIVIDUAL F E E BR E AKDOWN
lip —3 V _ei r(' Applicant,
ming:Failure to secure workers'compsnsedon coverage is unlawful,end shall nb/ect en employer to criminal penalties andTYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil tines up to one hundred thousand dollars(5100000),In addition to the cost of compensation,damages odded for In '
Section3706ofineLaborCode,Interest,andattorey'sfees. u pSFR 685 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 685 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there is a construction lending agency for the END OF FEES
performance of the work for which this permit is issued(Section 3097.Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I ha : .ad this application and male that the above information is correct.I agree to comply with all city and county ordinances
and state laws .at •to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property
f«inspedi°°•r- 5ERICK MACK
_Aga
pir t Name ��-//- (j _�
n .I� Dater 1 �..,7� (g _ _ - _ ,_
Signe/we of Owes-r/AgenVA•.'. . _ - _
(5151'46 WP) White-Buildig 8 Safety:Green-Fle: anary-Appicant:Pink-Revenue;Goldenrod-Assessor
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
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 OF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation - 59. Gas Pipe, 0 Undrgrnd.,Test
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 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final •
13. Roof Drains - 64. Plumbing System - Final -
14. Rough Plumbing 65. Electrical-Final
15, Rough Electrical-Conduit - 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 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 9-10,96 6(,,,/ 76. Dry Standpipe
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. Final Factory Fireplace
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
FINAL STRUCUCTURE& BUILDING 94/r6
e•"97S--
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No, Date
( ADDRESSOFBMLGINO: 1223 LAS ARENAS WY LINT: CITY OF COSTA MESA — BUILDING PERMIT
aNNEfrsNAME IFIwavN:SEABLUFFS ASSOC. PERM NO: B 077440
ADDREss:SAME
- PERMIT NO: B 077440 PLAN CHECK NO: N GOVT: N SUPP: N
APPL.MAILING ADORESS: wCONSTRUCTION TYPE: PERMIT .TYPE: STA PURPOSE: REP
ARCHITECT OR ENGINEER: I UC,NO.: JOB DESCRIPTION : REPAIR DRYROTT SQ FT: 685
ARCH.OR ENG.'S ADDRESS: LINT: CLAIM VALUE: 685 . 00 CALC—VALUE: 685 .00 GROUP OCC: U-1 /
CCW1IACTOWSNAME:MACK CONSTRUCTION ( 714 ) 568-7744
carnis ToaS MAILING 1357 FREMONT ST COMMENTS: REPLACE WATER DAMAGED 4X12 HEDERS 816 W/SAME SIZE
ADOREss:ANAHEIM CAuCNO.: 659507 #****+r:E****+Ex+E*+r+ESE+LeErESErE*****#*:E**r ****#*+E+E+ ***+r*+HxrE+E:Ex>E********:r*********rE****:E
92804 UHT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penaly d perjury that I am licensed under prove ons of Chapter 9 $ E T B A C K $
(commencing with Section 7000)of Division 3 d the Business end Professions Code,and my license a in full force and effect.
/ CITYLIC.NO. 8300 uc.ctass:B uc. S EXP: 03/96 MAIN BUILDING ACCESSORY BUILDING
CFRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Dat>� ' 3`7 �{� Contractor: iVY !! LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
ITER BUILDER DECLARATION:I hereby elfinn under penaly of perjury that I sm exempt from the Contractors License Law for the •
wing reason(Section 7031.5 Business and Professors code:Any W or county which requires a permit to oaratme.akar.improve. PARKING RE PROV: PARCEL: 93633025 Z NE: REF NO:
mash,or repair any structure.prior toes issuance.also requires the applicant for Mich Perna to De a erased statement that he a she PLANNING NOTES>
n licensed pursuant to the provisions of the Contractors License Law[Chapter 9(ommendrq with Section 7000)of Division 3 of the > •
Business and Professions Code)or thin he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section
7031.5 by any applicant for a permit subjects the applicant to a civil pendryd not more than live hundred dollarslS503j). *******************************************************************************
❑ I.as owner d the property or my employees with wages as their sole compensation.will do the work,end the structure is not intended DEVELOPMENT SERVICES REQUIREMENTS •
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an Owner of property
who buids or improves thereon,and who does such work himself or horsed or through his or her own employees,provided that such
improvements are not intended or offered for sate.If.however.the building or inprovemem is year d co •
sold within one mpletion.the ZONING APPROVED BY a DATE:
ownerbuider wit have the burden of proving he or she did not build or improve for the purpose of sale), r,
❑ I.asovmardthe property.emexdleisenselradagwith aplyto ontredaefoconstruwhepojimp(Section]Whereonnessand BUILDING APPROVED BY . : DATE; Cy— �V
Professions Code:The Contractors Lven�Law doss not apply b an owner d property who builds or improves thereon end who
. contracts for such projects with a contrasor(s)licensed pursuant to the Contractors License Law).
•
❑ I am exempt under Section: B.a P.C.,for this reason: APPLICATION ISSUED B Y: DATE:
Dae Owner: __. - LEGALIZATION:N F E E SUMMAR Y ' STRUCTURAL SEGMENT:Y
I do hereby certify That I am aware of and understand the requirements of California Health and Safety Coda Sections 25505.25533,and
25534.and that I or any future building occupant wifi/will no(circle one)need to comply with said stale codes and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES ' GRADING
a permit for construction or modification from theAk Ouelly Management District.Residential construction appicetksn ere exempt from these PERMIT 26 . 50 50
pronaons.
Dale: Applicant: •
PLAN •
SMIP/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty a perjury one of the lapwing dedarati es: ISSUE FEE
O Ihave and win maintain acerticateof consent loself-insure for workers'compensation,as provided for by Section 3703 of the Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code,forthepudormanceoftheworkforwhichthispunaisissued. TOTALS----> 27 .00 0 . 00 0 . 00 27 .00 27 . 00 . 00
/� I have and wit maintain workers'mmpOSSSA0n insurance.as required by Section 3703 of the Labor Code,for the performance of the
11„ work for which Nie purma is Issued.Myworkare'aernpunsatbn nMirence comer ane policy number we: REVENUE DIVISION TOTALS--> COLLECTED: 27 . 00 OVER/SHORT: . 00
Comer: BLDG PMT PLUMBING ELECTRIC MECHANIFIRE SMIP/TOT GRADING PLAN—CHECK
Policy Number:
1t'' (This'action need not be completed i the permit is for one hundred dollars/a 031 or less) 26 . 50 . 50
•
• cI become that int the paead the work for which this permit is s .Is mploy any person in any manner aces to ***************************************************************************1E***
become subject to the workers'compensation laws of California erg t tl d y person in„tied any tothe woken'
DDDqqqn���Iron=visors of Secy�p/n 3700 of Labor%code,I s hwah with I INDIVIDUAL F E E BREAKDOWN
if
Cmiming:Failure to secure workers'componutlon 6;versa b unlawful,and shall wCJecr an employer to criminal penalties and TYPE QTY D E $ C A I P T I O N UNIT COST TOTAL COST
dennnea06mone hwdComouesedeawahome s)ee.. onrothe pestoy compensation,dwngesopoydMrorm SFR 685 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 685 . 00
cections)0p ofto the Labor and red thousand
usanap and a(St 0s 0)nit.
• CONSTRUCTION LENDING AGENCY: I hereby effmn under penalty of perjury that there is a construction lending agency for the END OF FEES •
performance of the work for which this pease is issued(Section 3097.Ce.C). s
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I hawyyrC the application and data the the above information is correct.I agree to comply with ell cry and county ordinances
and state laws rete'...to budding conseudion and hereby authorize representatives of this city to enter upon the above mentioned property
torinapedln. --ER K MACK -
—.E. .1.7' 4.
.n1 Name n -3v —1/�I
n
/ T 01 00205545-00205546 TOT 27.00
Signature d OwtsdAgen✓ co
AppYmltopl actor
Date DATE: 04/30/95 TIRE: 08:50
(5151-46 WPI Whae-Buidig 8 Salary;Green-Fl:(Canery-Appicanl:Pink-Revenue;Goldenrod-Assessor