HomeMy WebLinkAbout912 MACKENZIE PL - Building PermitsL
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PH0IECT pOUHESS: 9 S Z MACF(EN Z I E PL
OWNEfl'SNRME: BOWEN FREDERZCR L TR
' nooness: 1109 �ALVADOR ST
COSTA MESA,CA 92626
RHCHIENCINEEfl: S 4 9 2 6 4 6 HEG.NO.:
aooness:
UNIT:
uxir:
°E"MiT'EE: GREATER PACIFIC ROOFING ( 714 ) 836-1966
aoosess: 1016 E. FIRST' ST'
SANTA ANA CA 92701
LICENSEO LONTNACTOB UECUNATION: I hereUy alfirm t�a� I am licensetl untler pmvisions oi C�apter 9 �commencinp with Section
70110) ot Drvision 3 0l Ihe Business an0 Pmlessions Code, an0 my license is in full foae antl ellecl.
cirruc.:056858 arnTeuc.:621368 cuss
oaie: _J� —13 —9 Z Signaiure: _ —
WOPREBS' COMPENSATION UECIANIITION: I �ereUy aftirm Iha� I ve a cenilica�e ol consen� la s binsure or a teniliWle o� Workers'
ComOensalion Insurance. or a cetlifie0 cop �hereol (Seclion 380 Lab. C)
roucvxo.:285-92UNZT�0186 eze. re: O1/O1/93
comaaxv: STATE FUND
� Ceriilietl coOY is �ereDy fumis�eG. � Cetlifie0 coOY �s filee w h Ihe ci�y BuilOing �' sion.
�ate: � n—I 3— 1� ApDticam:
E%EMDTIONfflOMWOflREPS'COMPENSRTIONOE�TION: Qhisse nnee0n�t0ecompleteailihepermit' foronehunUre0�5tW�oNess�.
I cenily Ihat in ine oedarmance ol ine work tor wA' Ihis DQ/mit is i ee, 1 shatl not employ any Derson in any manner so as to eecome
sublecl lo Ihe Workers' Compensa�ion Laws oi alilomia.
Daie: Signature:
NOTICE: II. afier making ihis Ceclaraiion, yrou shoul0 betome suGlett ro IAe WOAerY Compenution Dwvisions ol Ihe Labor
Code. you musl fanhvnin compty wilh such pmvisions or tks permit sAdll Ue UeemeO revoke0.
CONSTflI1CTI0N LENDING AGENCY: I hereby aflirm thal ihere is a consirutlion lenaing a0enry lor Ihe perbrmance ol I�e work �or
w�icll Inis permil is issueE (Seclion 3W7. Civ. C�.
LENUEP:
RDOflESS:
OWNEfl BUILDER OECIABRTION: I �ereCy allirm Ihat I am exe pt imm the Contratlors' State License Law far t�e Iallowin0 reason
(Section 703f.5 Busine55 ana Pmfessional Catle: Any city of caunry wtlich reQuires a Dermit to consiruct, alter, impmve, demolis0. or
r¢pair any SlmtWre. pri0r lo i�s issuanCe. aI50 require5 lhe applitan� �or SUch per Io lil¢ a SiA�ed Sla�emen� Ihdi he/Sh¢ rs IittnSeU
pursuam lo Ihe pmvisions oi ine Coniramors' State License Law (Chapter 9(comm inp vnt� Section 7000) ol Diuision 3 of i�e Business
anE P�O�¢SSions COUe) orlhditce/She is ¢xemp���er¢Imm anA �he ha56 IOrih¢ IlegeC exem0�ion. Any violation ol Section 7037.5 by
any applicani for a Dermit m�lec�s ��e apPlicam ro a civil penally of no� mor t�an five hundreE ddlars (5500�.
I. as owner ol the proOenY or rtty employees xit� wages a lheir wle wmpen5ation, will Ea the woM. anE Ihe
❑ slmcWre is nol imen0etl or ollere0 for sale �Section 70aa, Business nd Professional Caee: TAe Contractors' Slate License Law
Goes not aDVN�o an owner of a D�openy wtp builGs orimpmve hereon, an0 who Ooes such work himseli/Aerseltor tAroup�
Ais or Oer awn employees. D�oviOeU Ihat suc� impmvemenis a nol imentleA or ollerea lor sale. If, tawever the UuildinA or
impmvement is SoIU wil�in one year of completion. ��e owner ill have i�e hur0en of pwving �e/s�e tlitl not Ouild or impmve
lor Ihe Durpose ol Sale�.
I. as awner ol t�e pmDeny. am exclusively contracting with ensetl coNracrors lo cons�ruc� ��e pmlec� (Sec�ion 7044, Business
❑ anG PmleSsions CoOe: T�e Comractors' State license Law aes not appty to an ovmer of DmpeM � bml0s or improveSlAereon
an0 w�o coniracls' br sucA prolecis with a conlractor(s) 'cense pursuant in Ihe Conlraclor5' Slale License Law�. I am aware
Ihal D�oo� oi IAeir Warker'S Campensa�ion insuran[e shoul0 be D�oviUeO �o me.
� I am exemD� untler Sec�ion: B. 8 P. C.
lor Ihis ieason:
Date: Ownec
I do hereAy certity Iha� I am aware o� ana untlersland Ihe requiremenis ol C
255Ja and �M1ai I or any IWure UuilAing acupant will/will nm �circle on nee
permit lor constmction or mo�ilication Imm �Ae Air Ouahty Manage nt Di
��ese O�ovisions.
Date: � Q �� AOPbcanc
I hereby t¢tlilyl�ai I�avereatl�his applicalion an0 51ate�ha� Ihe ve inh
orainancet an0 slate laws ielatinp �o OuilEing constmclion ana her
pmpetly 1Im inspetlion purp4oses.
Dale: `� �� ^ { � Signawre: _
�oriver's ucense o� sociai secu�iiy r:
16<ba6 WM1�ta—BuiWing: Green—Cotle Entorcemenl: ary—AODIi�
Ith antl Salery Cotle ctions 25505, 25533, an0
with saitl slate c e ane the requiremenisfor a
=niialp,opyrqctp a plications are exempi Iwm
all ciiy and county
e abOve�meniioned
Pink—Revenue; GoltlenraE—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 059479
PERMIT NO: B 059479 PLAN CHECK NO; N GOVT; N SUPP; N
CONSiRUCTION TYPE: V—N PERMIT TYPE; STR PURPOS�,; ALT
JOB DESCRIPTION : T/O RESHT REROOF W/COMP SQ FT: 5,130
CLAIM VALUE: 5,130.00 CALC—VALUE: 5,130.00 GROUP OCC: R-3 /
COMMENTS: SMOKE DET. RE�
*��-�r*�*x����c��***��**** K�ux*�t�r*+�x�xx+��*x*****�t*�z*�r��xx���x�t�-x��x*xx�*��x�x�exx*-x�*
Z O N Z N G R E Q[J I R E M E N 1' S
S E T H A C K S
------------ MAZN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT; FT IN RcAR; FT IN
LEFT; FT IN RGHT: FT IN LEFT; eT IN RGHT: FT IN
PARKING REp • PROV; PARCEL: 41805231 2NE; REF NO;
PLANNING Ni7TE5;>,
> .
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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 APPROVEIS, BY DATE;
BOILDING APPRQGED BY ; DATE; �
APPLICATION ISSJJED HY• � DATE• �F�,D—I3�92
iFiElEiEiEkikiEikiEififiEi6dFiFifiFiEifkit7FiF3F3FiF3Fif�'/��ris�F �E eiFi�—iF�t3F3F�iF�+}Tti�,%�r�t��fFiEiEitiFiFiE�iEif.iE � .�re� o-ir r�r ikif
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LEGALIZATZON:N F E E S U M M A R Y ..&•TRUCTURAir SEGMENT';Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE ^ SMIP/RES.� GRADING
PERMIT 81.00 51,
PLAN ,� S,NIP/NON—.RES
ISSUE FEE ' -�
BUILDING—DIV—> PEAMZT ISSUE PLAN—CFiEC3( TOT;4L � PAID � DUE
TOTALS----> 81.51 0.00 0.00 B1.51 ✓r 81,51/", ,00
REVENUE DIVISION TOTALS--> COLLECTED; 81,51 OVER✓SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GkADING PLAN—CHECK
81.00 ,5],� /
1liE iF iF i! iEif if iE if iE ih iFiE iE 9f 1E if # iE iE iF iE �If iflf if iE IE 1E if if iE iE if �IE if iE ff iE if if� iF i(� if iE �lE if �lF 3E if iF iE-0E 3F �IE ih �lE iE }F #%iE iF i! �l(- iElf if iE��1F 3E ik iE iE iE # iE i't
I N D I V I D U A L F E E B R E A K D U�W N ��
T'YPE QTY D E S C R I P T I O N UNIT�OST' ' TOTAL COST
SFR 5130 REROOF HY VALUE RESIDENTIAL N020NE i„00 5,130,00
END OF FEES �4� %
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CONSTRUCTION AND PLANNING _ POC. ,x SPA
` APPROVALS Psrmit# Date Inspector pppROVALS Permit# Oatc Inspector
1. Temporary Eleciriral Szrvicror Pole � 52. Pool & Equipment Location ",
2. Soil Pipe•Undrgrnd. � - 53. Steel Reinforcement � �
3. Electrical Conduit UtilitY•Undrgrnd. 54. Forms �
4. Elettrical Conduit-Undrgmd. 55. Electrical Bonding , �
5. Steel Reinforcement 56. Rough Piumbing & Pressure Test
6. Elecvical UFER G�nd. 57. APPROVAL TO COVER-GUNITE
7. Foocings 58. Etectrical ConduirUndrgmd.
S. Foundation 59. Gas Pipe, � Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash l.ines, P�Trap, O Undrgmd. -- ` i� �'
10. Structurai Floor SYstem •+� 61. APPROVAL TO DECK � .
11. Property Sewer Line & Housp�Connection � 62. Baekwash & Receptor�Final �; �`�
12. Sewer Cap � ---� 63. Heater & Vent-Final •
73. Roof Drains " ' 64. Plumbing System - Final � ' '
74. Rough P�umbing . 65. Electrical-Final - � -
15. Rough Electrical-Conduit , ' 66. Solar System-Final '
i 6. Rough Electric Wi�ing • i 67. Pencing & Access Approval '
77. Rough Wiring Sign . 68. APPROVED FOR PLASTERING
18. Rough Electrical-7 Bar Ceiling 69. POOL/SPA SYSTEMS FINA�
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace ' APPROVALS Permit #
21. Ducts, in Structur¢ � 70. Underground Hydro
22. Ducts, Ventilating ' , 71. Product Piping OGas OOiI
23. Gas Pipe�Rough & Test � 72, Underground F1ush
24. Roof Framing � 73. Undergmd. Storaga Tank � Gas ❑ Oil
25. Roof Sheathing �Y„qZ �G �/ 74. ,Overhead Hydro
26. T�Bar Ceiling (StrUcturaq & Monocoat 75. DrY Chemical
Z7. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding ' � 77. FIXED SYSTEM FINAL
29. Insulation � � 76. FIRE PREV. FINAL
30. Drywall Nailing � � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat � 79. FINAL INSPECTION
32. Electrical Power MeterFinal � ;� 80. F000 CERTIFICATE ISSUED
33. Final Electric ` � ! � ' Notes:
34. Final Heating & Air Conditioning �
35. Final Gas Pipe-Test j j.' �
36. Hood or Canopy � � �
37. Final Factory FirePlace I
38. Final Plumbing � � �
�
39. Water Service�Fingl I
I
40. Gas Service•Final �
�
41. Solar pomestic-Final ' � I �
42. Backflow Preventer � , ;
43. Backflow Irrigation /Q ��U��JZ � 3�,"�(�C �_ m�
L ! G �,_!
44. Landscape Irrigation System �"„�
[!/�"ti
45. Sound Attenua[ion
46. Handicap Reg�lations �/
47. FINAL STRUCTURE & BUILDING �/,�/0� I - s�� L,� yG E���Q
-1-�- ' ' a�C.�/ �%`--
48. FINAL PLANNING �I
49. Electric Retease to Edison ,���
50. Gas Release to Southern California Gas Co �; I
51. CERTIFICATE OF OCCUPANCY
No. Date �
: . . ���i��
COSTA MESA BUILDING-SAFETY DEPARTMEM
P.O. BOX 7200 COSTA MESA, CALIFONNIA 9]dffi
For Appl7caM ro PlII In Completoly
TYPE OR PRINT
ADOResa° 912 I+'fackenzie P]ace
COSTA MESA, CqLIFORNIA
OWNER U• S. Financial
MAIL 1355 Front St•
ADOR89i
eirr San Diego Cavl��i £. No 231.a-"I
ARCHITECT A S. .Tb'b�I.XCsk T6L L C
aH��3A �—
FEB 17-67�a5A00 �26# -•***94.50
APPLICATION FOR PERMR � '
BUILDIN(i
For ONIm Use Only
11[C[III' NO. Pl.RMIT NO.
T _/ �/� /_ 7 . /U_su- ep�
/
OR ENGINE6R NO.
ZONINf3
�ooaess O1 Liard Place Costa Mesa
zo Ho.o� ucaorniw �
�uni euuo�xo -
CONTRAGTOR V71S R, CYL'[L1C1
L[OAL
wn �eas 29 O-A Randoloh Ave. DiICRIRION
eirr Costa Mesa Cali£• � P' N�� �
STATH T6L. 80'r TO BIU[ 4 RBAR PMAL.NO SHALL �8 LH86 THAN
uc. No. 234399 N 544-0960
61Z8 Mo.O��LDos. ALLOWQD (U.B.G.P60UINBMENT).
oF�or 60 x l00 �owa� �
YAROBAPPROVHD YARDSMPROVE�
USEOP MAIN BUILDINO ACCES80RY BUILOINO
EXI8TIN0 BLOO.
.fPROMC/ R[LT)
c¢TewcK un� �rto■ � 1. t rRONT PT. iT.
CeNi611 oI cT11[R � . RGR Y D µ1.5
BIDBYARDI LRFT 6� RIOlfT 7� R.GIDL rT. P'f.
DESCRIPTION OF WORK �. oi R*• P*•
NEW X T[RATI ADDITI N RGR ✓ PT. �T. ,
DIYTANC[!R. BHT. MAIN Q
RHPAIR MO IN M � �a
MAIN BLD • ACCEBi. B1D08.
BUILDINO Sf NO.pr 6 1 V�'* DATB
61ZE �9 ROOMB 111 G. U. P. APPROVHD
PJ(TERIOR WALL WOOCI— RQpr SHAKE�SHINGLE AppROV[D
COVHRINO ld5-G8T' COygRINO �7 � DATE
Y9H OF EUILDIt1Y ANG WORK TO �6 P�RrORM[D a
Sin le Famil.y Dvrelling Ylith Attached w
Gara e �
� 5 /5� �. �. � 6 � �
I X6116BY ACKMOWLLD06 TNAT I N11y[ R�AD TMI� APPLIWTION TNR AYOUMT OM UNO[R VALUATON IB IOR T)f6 j
ANo eT�TB TXAT TN6 ApOV[ 1� CppR6R'AND I�ORB{ M CON. ��MPO![ Ot ts1'�OLIOHINO A P6PMIT PB8 ONLY. j
PLY WITN ALL CITY OqO1NANGi� N�O RAT[ {AWY R[OULATIXO y�UAT10N � �
GUILO)NO COHBTAYLTlO!!. f
PERMIT FEE
61GNATUR80P s/�/J r�� F
PERMIT'TH i ✓ � �/.SD w'
AUTHOIIIZiD AO[NT �
TOTAL FE8 / S
42341�
COSTA MESA BUILDING-SAFETY DEPARTMEN
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
ADIDRESS ���� M/7(�X�N/(/� P�
OWNER�>M /�� MAc'Do,uA�o
ADDRESS �/� /�/A(���N��� P/� •
/� TEL.
arv! "nSTd YLI�SR� No. 5�//1-5
BRANCH
ADDRESS
APCHITECT
TEL.
RE
�
f
OWNER A
FIRE
PAI�
�JI ?2-76c��^ 002440'� *TM*�:11i.5�
['OR STRUCTURAL PERMIT
OATEREC�IVED nerciccimr
��
VALUE
I:L51�Y
BLOCK
APPROVED / np
CONTRACTOR G 1e ti�ER BV C. OATE �LL�
ADDRESS E I �IS
TEL. Z E� 1 NO.OF USE O
CITV NO. P�� Z BUILDIN '
F STATE CITV �'ARDSAPPROVED VARDSAPPROVEC
� UC. NO. UC. NO. MAIN BUILDING ACCESSOflV BVILD�
{y S12E NO.OF BLOGS. (FROM STFEET)
�. OF LOT NOW ON LOT OfYT FT. FT.
a VSE OF �
� EXISTING BLDG. SI T FT.
y
FSeparate permits are required for �. sioe T. FT.
elec[ric, plumbing and heating work. �
� REAR T. FT.
�.., VSE OF BUILOING AND WORK TO BE PEHFORMED DISTANCE BET. BET. MAIN &
0 EGAt�i'zE MAIN BLOGS. ACCEffi, gLDGS.
'� J= FE S A D)G '�A—i (i CU lE C URP.qW AwRoveo
� r _ /� � /ZZ� �
r
.�
C
m
� I heroby aeknowlad0e Nat I heva raetl this aOPlieetion nntl rtero
�
y� thot the ebove informetlon la corract entl aprao [o comply wlth
a all lewa re9�latlnp builtlinp conrtructlon, antl 1 shall not employ
Wany perwn In vlolotion Of Ma workmon'� [ompenmNOn lewf of
x Me Smm of Celifornla. /
3 I �e�aby cartlfy i�at I em p�op0�ly IlcenmE aa e cantrectOr untlar SQ. FT.
tho Steta oi Cellfo�nla Bu�(nou ontl Profeuions Cotlo, Olviilon 3, THE AMOUNT SHOWN D VALUATION IS
Chaptar 9, antl tnat ��eh Ileanws aro In full forca antl attact, or 1 THE PURPOSE OF ESfAB PERMIT FEE O
am exampt from tha prOvitlon6 of the S[ate of Cellfornla BuslnatY VAIUATION PE MIT FEE S
end Professlons Cotlo, Divlalon 3, Cheptar 9.
SI netura oj' //� ///� �J PLAN CHECK E
PermlKae ��/l�st� ( if.'• `.�/ O//� . $��Q TAX b L
AuthorizeOApont TOTALPAID E '
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