HomeMy WebLinkAbout2011 IRVINE AVE - Building Permits Is
15837 • FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT c
P. O. BOX SIT COSTA MESA. CALIFORNIA NOV 10189'
FINANCE DEPT,
For Applicant to Fill In,Completely APPLICATIOtPilpplapE®8tA MESA
TYPE OR PRINT w BUILDING
ADDRESSBUILDING „7 0 i/ _z-g,„.,A.E /FYF .
COSTA MESA
. CALIFORNIA For Office Use Only
OWNER?BATT / 4 de-5 I REC PT No. I /P IT i 3
I'
MAIL R IVE 0Y DATE RECEIVED DATE IISSS1VUED
ADDRESS 20 52. NEu/PORT �VD . K.
7 I //-/0-C � I T 6/
CITY as-r-14 rn_54 N0501//-6 an BUILDING //(�
�`T ADDRESS r O yYY�(7<E/ ia-e-.,
ARCT
1 ORCENGE EER..re/RCIL,ei-D,- Nair
COSTA MESA. CALIFORNIA (( �'1/
ADDRESS ✓]n I ai99T Nair• 6,3•4 - FIRE '�7/
/ /- �l ZONE PE GROUP /-�({/1
CONTRACTO(t �O�SEFQT rp/� S�vw�e'� APPROVED 'JI�f
ay, .
J BY DATE /� /
ADDRESS 20/x,52 4.e.„,,„2. B€-" " TONING x
CITY a5 e IFFEM/T ION / PLANS r �BUE OF NEW
/ I PLANS {� BUILDING
NJ
STATE TEL ''// �•� }^ .F-� // .-+ ( �vL1,
LIC.NO. q NO./VI(- 6^rZ$"Z DEE,e'PTI ONO I� I �J ..0 43 .uJFEc.AL \ ,
OF LOT ,2,51 A ItQ I No. OF BLOCS. 7/1 1 y/� 2 �'i �)/� Qr 1•Jpf
NOW ON LOT p a.NO. / V —l 0 2-- 3 610W S u Et..
USE OF YARDS EVES
.EXISTING BLDG. ' ' APPROVED j ALLOWED
SETBACK LINE FROM (CENTER LINE ST.I 1 n�NrA/lt
CENTER OF STREET REAR YARD FRONT SD T'Z VI) C F" IN.
SIDE YARD I LEFT I RIGHT R.SIDE ) FT. IN.
DESCRIPTION OF WORK i •
L.SIDE 6 FT. IN.
X
NEW I II ALTERATION I II ADDITION Ir
REAR S FT. IN.
REPAIR II MOVING I II DEMOLISH I AAPPROVE. is, U-t .- 11 SATE `/��' C
BUILDING p I NO. �.�
SIZE /3-DO ROOMSS 7 STORIES / �V/(,./
EXTERIOR
WALL Si•'�� I ROOF c r
COVERIN4-G
COVERING OLy
USE OF BUILDING AN• • •RK TO BE PERFORMED QlX ry
_. ... . 7--L • -_.._. . • ....:_. e -I-- W) ' 49 n .CSb.A-.'✓y� -
C:t-Qa `
IP Sji rslru '
)
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION I • 2� 4 '
THE A SUNT SHOWN UNDER VALUATION IS F THE
AND STATE THAT THE AB CORRECT AND AGREE TO CON- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY 9 AND STATE WS REGULATING
BUILDING CONSTRU VALUATION Q
SIGNATURE OFO', PERMIT FEE $ c)
PERMITTEE 15 p -- IIS16s q'( PLAN CHECK $ / 0
AUTHORIZED AGENT �� rc
. - TOTAL FEE - . u
r
•
23i2s FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT OCT 22 1964
P.O.BOX 317 COSTA MESA,CALIFORNIA FINANCE DEPT.
CITY OF COSTA MESA
For Applicant to.Fill In Completely APPLI ATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING �J1,/,.-.6- .x- For Office Use Only
ADDRESS &9// ,/C g
RECEIPT NO. PERMIT NO.
COSTA MESA. CALIFORNIA 3/2-4.
SEC[V BY DATIVIECElyED DAT ISSU D
OWNER "3e i c,e /67 bon-water /Ozzfor
BUILDING 20// , l Rut Al/=
MAIL n p �/ AB DU l /
FIRE
ADDRESS 2G+// //� Y�iYE' /f Y� ,,,,,,p
TEL. ZONE TYPE GROUP �Q /' �"
CITY �ST �f��ES�S/�. NO. sr. /
OR ENGINEER�/ARCHITECT /7 �,-T/,Y ;VOL../ b// 7'? BTAPPROV HD 'JlJyw�(1./I./ ATE L (79
ADDRESS y�S'3 COLD infra? Orr. ('i�Lrl`tING "—tit'
'
ZO NO.Or USE Or NEW.h( J li4_�
CONTRACTOR S^/�� ' I PUNK �I BUILDINGismr �YI4v
.7..v.0
LEGAL /7�,A,--1- g I Kl
ADDRESS /HZ:, /%Nl�d SE ST. DESCRIPTION rJo� I
S/l� K#z-i -- 67 i /F // SP --- .3 O.
A.P.NO.
NO
CITY �nT '' p Jq� RAVE
LIC.TN O. ur'� 'OP NO. .?Jb_ -le y 30'r TO SIDE G REAR p.L.
SHALL BE LESS THAN
EAVES
SIZE —1X /30 I NO.OP SLOGS. ALLOWED (U.S.C.REQUIREMENT)
OF LOT NOW ON IAT
SE OF YARDS APPROVED YARDS APPROVED
U
USEOF GBLDG. �Es' MAIN BUILDING ACCESSORY BUILDING
- . (FROM C/LSTREET)
SETBACK LINE FROM 7�0.r FRONT a (jr r Fr.
CENTER OFSTREET - REAR YARD
R
SIDE YARDI LEFT r I RIGHT g 7 .J / R.SIDE 33IFT, FT.
DESCRIPTION OF WORK L.SIDE cm FT.. FT.
NEW I- ALTERATION ADDITION I REAR FT. FT.
- 7I DISTANCE BET. BET.MAIN Q
B
MAIN LDQS. ACCESS.BLDGS.
REPAIR MOVING DEMOLISH
BUILDING NO.OP VAR.# DATE
SIZE !3 ((/7 ROOMS ) STORIES / C.U.P.# APPROVED
EXTERIOR WA ROOF /'^ AP VH
COVERING �CC tQ I COVERING ` e,n,1/ ' 9YLP 1) DATE /� --.2-,--6,y
USE OF BUILDING AND WORK TO BE PERFORMED
\ .00 u. 1Z\ 2 7h c4/ 4d1G,&moi. ,l n A �
.2/ o
SQ.FT.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE S
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. 0
PLY WITH ALL CITY ORDINANCES ANDS T[LAW REGULATING VALUATION 0 d - oU m
BUILDING CONSTRU
. i PERMIT FEE $ /a(/
SIGNATURE OF / G
PERMITTER G 0G N
$� rrr--777� J E X/ Q
AUTHORIZED AGENT $
at /g L
TOTAL FEE
oC1 2 2 1964
OWNER BUCKLEY, DR. C. E. DATE •
.S. JOB ADDRESS 2011 Irvine Ave. BUILDING PERMIT NO. 23126 .
GENERAL CONTRACTOR Frank Niesner VALUE $ 2,210.00 Add Rec.
> AP No.115-302-3d LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORKRm. to Res.
INSPECTIONS Signature DATE GROUP I TYPE V ZONE R1
Soil SUBCONTRACTOR PERMITS ISSUED
Gas DATE NUMBER
Water
Rough Com. Refrig: 0 Air Cond. 0
Rough Heating
Rough Plumbing
Miscellaneous
Prop. Swr. Line 0 House Con. 0 St. Swr. 0
Sprinkling System
Construction Pole
Underground 0 Power f]
Rough Wiring Ad fI /17/ -y„1Ly��...G-��.✓ f/4.2/6 Y .23 k 7 d'
Trenches El Forms �, Steel Reinf. 0 R t ,g G /
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing /14.." it 44
Frame and Flashing ellig //�9�y
Lathing — In ei Out it ;rt l r .4,/
Plaster, brown coat �I " IT- % -b
Refrig. 0 Air Con. IX Final ' ' lz-/S-• 7
Heating, Final
Plumbing Fixtures, Final
APR 1 0362 •
OWNER FORBES, ROBERT - DATE 11-27-61
JOB ADDRESS 2011 Irvine Avenue BUILDING PERMIT NO.15837
GENERAL CONTRACTOR Owner VALUE $ 16,9115.00 '
AP No.118_307_1 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Res w/att gar.
INSPECTIONS Signature DATE GROUP I & j TYPE V ZONE R-1
Soil 51.7-42..e., PERMITS ISSUED
Gas SUBCONTRACTOR
Water ",f _ _ - DATE NUMBER
Rough Com. Refrig. ❑ Air Cond. 0 -
Rough Heating ,lLf/_ Z/3Zi1�.Gy "� " �� /oS� ✓
�Ga�Qxe�es..kst
Rough Plumbingg I w 377?
Miscellaneous
!'�• ' /' ¢ �;—• ��'- �t-''� =V="_ .Ja�� _ /I
Prop.Swr.Line p.lfouse Con. B'St.Swr. 0 �r �(�f 6 2 S o6-z-c-v� y ,(9G 4(14
Sprinkling System
Construction Pole
Underground 0 Power El 0,-.2.0-C 1 S/7 Li 6,
Rough Wiring y/2J6 /-/6 CL. _ `�
y.
Trenches gl Forms � Steel Reinf. ❑ '¢� a-2e-
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing ..-P -G [
Frame and'Flashing c-..- Z — Is - C. Y 0
Lathing — In ®' Out WI' **-2( 2-''''K
Plaster, brown coat mfr .{r + t, +„,,_
kefrig. 0 ,Air Cond. 0 Final
Heating, Final /64•/3 4/4,0-6'2'
Plumbing Fixtures,eFinal /� /26-4 Pr
Final Gas Test �% jj
Electric Fixtures, incl ( ,%/�Jry��'� �, 1 , ,_ 1 n
Building, Final gat,
•) 1 el.t,.- 1 l \', I. ti
OCCUPANCY o
roam RIIA.SM — ).S) 178_5 1
,
4 4 . Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
. •
vis . PEMVIIT NO__ TRACT NO LOT Na, uN-n-No. . s
• CITY OF cosTA MESA' CONSTRUCTION PERMIT . 53 — /EY /et/ 11 — 0.141 • •
• • .
, • 3556 5/31 /85 - - ; - •
. Project Address
' 2-0 le 112-via.::e Peve- 9.2072, IL
. . TYPE OF CONSTRUCTION NEW Li ADD H ALTERATION H REPAIR • . '
; Appl icant's Mailing-Address ic26144 gs.,GsAile-flas-k.Ps.,‘, 4•91-E. ,
0A.P.CONVERSION CI'DEMOLISH D OT ER I a • A # Ve9 / 5s) 35 . ,
Owner's Name. An e ...Snii,ADIC:X.; Phone 442.-42g-244 6'44, Go --02 . i Zone•p- t
r DESCRIPTIQN OF WORK/USE OF BLDG. 04i 10114-0Cie---Ls.Th4
Address 2-011, I Rue/...s. AVE: -5 2. ' $L-C2CY:- it uiALL 1 ' 4tA4 _„ S Main Buil ' (?) Accessory Building:
,E 1 Z
Arch/Eng. - t•--,C)ha= License No. TYPE OF PERMIT LI GRADING El FOUNDATION W.:STRUCTURAL T Front.2 8:2.2 .
_
.Address •/ A El TENANT El ELECTRICAL El PLUMBING 111 MECHANICAL
B Rear /• ..... 056 ON
I
Contractor's Nam i-elgi_kerage.621./A__LnASIC _Phone
t Z:Z lcig7 El OTHER A • •
. PROJECT DESCRIPTION SQ. FT. "
OCCUPANCY • C Right a, 4ficii,e. .
. N
•
Address(mailing) 1094( SO•taille-Fia-m P.L.• Sc 4sinic °Italie) K G
CONSTRUCTION TYPE ' VALUATION$ .5-* 22S S Left p L . P53 •
City License No -40 Ars 2.... . . I . c . / • R
. ZONE GRADING CU.yos. , . ACRES' .
Ping. Ref.#blob 15 p.,_, ,on te,cifar glartiptol_. • ),06 T E
4 i
. -LICENScD CONTRACTOR DECLARATION - .
I hereby affirm that barn licensed under provisions of Charter 9 (commencing I / Q
Remarks: , Planning Notes: c2 / -
'with section 7000) of Division 3 of the Business and Professions Code, and ' (..1-zeLta .1/4-ern_ in Lirt-m
•my license is in full rce anc!effect.
KC . 3e7- <RC ;.5- .
F /0/ T
•••- ra- . _
S
, .
Ln 'License Class LImeLen_q±ifin
Date ‘i-SS- Signature
WORKERS',COMPENSATION DEC I N .8-•-•
i • Bar Sink • . PLUMBING
Showers • •
• FEES . la401174eirl-/CAlialt
. • C:" • /
„ prnperAl
I hereby affirm that I have a certificate of c ent to self-Insure or a certificate • . ELECTRICAL 1 t'miss
ksb .of Workers' Compensation' Insuranc certified copy thereof (Section . ,
Backflow Preventer Service Sink Automatic Washer . Transformer.0 15-50 KW . -- _
3800, Lab
Policy No. ,Q,s.g r-rits- ti ,
mpany • grATE-- PoiolS , Backflow Irrigation i . Sewer Cap' ' .
•
. 4 Construction Pole Sub. • 0 50+ KW
iit,Certified copfis hereby furni . . , •
Cer$L.tiedaopy is Ted with cityrBuilching DiviManso_ Bathtubs Sewer Connection ' , . Cooking Unit Meter pup to 100 amps •
,
it Date 0' --.5j 1-'5? N Applicant' •••-) .
EXEMPTION FROM WORKERS'COMPENSATION ECLARATION t •
• (This section need not be completed if the permit is or one hundred ($100) or
r•--....
less).
I certify that in the performance of the work f which this permit Is issued, I Clarifiers
Dishwasher • • Solar Collectors
' Solar Piping
i ' Solar Tank t 4 , - Dishwasher •
Dryers 0Gas 0Electric •
FFa.An.U. . Meter [Dover 100 amps '
Sub Panel •
shall not employ any,person In any manner o as to become subject to the Drinking Fountains
1
Workers' Compensation Laws'of California • , Motors 00-1 HP 011A-8
.
.Date ' Signature Floor Drains • Swimming Pool w/Spa .- r
'NOTICE: If,after making this declara ' n,you should become subject to the ' Inc.Solar LJ9-15 HP 016-15+
. Workers' Compensation provisions the Labor Code, you must forthwith Floor Sinks .. Urinal ' Fixtures • - Microwave - •- - - -' -
'
comply with such provisions or this permit shall be deemed revoked. -
CONSTRUCTION LENDING AGENCY • . .
• • Gas Service Outlets , Water Closet . Device Boxes •
. i hereby affirm that there is a construction lending agency for the performance . Pole Light
• of the workfor which this permit is issued (Section 3097 Civ. C.). •
. Interceptors • Water Heater -- • Outlets• • Range •
Lender's 'Name ' PDOB•.)- -
Lender's.Address Kitchen Sink' • Water Service • Switches
OWNER BUILDER DECLARATION Sign .
I hereby affirm that I am exempt from the Contractor's License Law for the _ Laiatories - - ; .. - Auto-Wash . • - .
• Garbage Disposal :Standing Sections •
following reason (Section 7031.5 Business and Professiona Code: Any city or
county which requires a permit to construct,alter,Impro ' demolish or repair P-Trap Laundry Trays . .
• . . ' •
any structure, prior to Its issuance, also requires the ap• 'cant for such permit Generator 00-5 KW 05-15 KW Trash Compactor '
to file a signed statement that he/She is licensed ours nt to the provisions of Roof Drains
-the Contractor's License Law(Chapter 9 (commencl with Section 7000) of . - ' . . .
• Division 3 of the Business and Professions Code) r that he/she is exempt ,
therefrom and the basisbor the alleged exemptio,..Any violation of Section • . • .
, •
-
' 7031.5 by any applicant for a permit subjec the applicant to a civil
waits/of not more than five'hundred dollars(S;00). •.
• U I, as owner of the property or ms emp •yees with wages as their sole •Reinspection Fee I $15 Ise e Fee • $ 3 • ,
compensation, will do the work, and the str ture is not intended or offered Reinspection Fee I $15 . Issue Fee $'3
for sale (Section 7044Business and Pro -sslonal Code: The Contractor's MECHANICAL t FEES
,
License Law does not apply to an owner o a property who builds or Improves _ - ••••
' thereon, and who does such work hims- f/herself or through his or her own
employees, provided that such improv- ents are not intended or offered for Boiler Hood or DEVELOPMENT SERVICES REQUIREMENTS:a-e nate
—3E85
Type I 0 .
sale. if, however, the building or Imp •vement is sold within one year of.com- Canop • it.i .5,
pletion, the owner will have the bur-en of proving he/she did not build or im- . Duct-Under GrOund
y Type II 0
@Love for the purpose of sale). • Zoning Approved By •D Building Approved BY
U I, as owner of the property •m exclusively contracting with licensed con- Duct-Structural Refriaration SystemAlication Issued By D a t e Vic
tractors to construct the proje (Section 7044,Business and Professions Code: ; • ppData,
The Contractor's License does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU ID 100,000 BTU
builds or improves•thereon and who contracts for sucn projects with a con- SUMMARY OF FEES
tractor(s) license pursuan't to the Contractor's License Law). I am aware that .St. eitgb
Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ Cg SMIP , $
1 proof of their Worker's Compensation insurance should be provided to Me.
0 I am exempt Under Section B.& P.C.for this reason Firepl/Fact.Bit. ICB0# Fire Dampers • PLAN CHECK $ 36:72- PERMIT
1 t
PLUMBING •
$ . ISSUANCE $
,
Date Owner I Heating System 8t Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000B7 .
information is correct. I agree to comply with all city and county ordinances ELECTRICAL $ GRADING $
and state laws relating to building construction, and hereby authorize repre-
' sentatives o this city to enter pon the above-mentioned property for • ' PLAN CHECK 50% $ MICROFILM: $
inspection p Nteses. I
r f . MECHANICAL $ TOTAL FEE $ 93.72.
Signature ise$X..... a-a-a -.• Date°Tit('-'8"5 .
..... Reinspection Fee $15 ' Issue Fee $ 3 PLAN CHECK 25% $
.
Drivers' L ense o SS# •• __ •
. . . . . illIM.INI=111=1MINIMMIll== sa
CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink 'Accounting; Goldenrod - Assessor
r
CONSTRUCTION AND PLANNING POOL &SPA
APPROVALS Permit# - - Date Inspector APPROVALS • Permit# Date Inspector
lb
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location • .
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement C.
t 3, Electrical Conduit Otillty-Undrgrnd: '}J • 54. Forms, •
. 4r-Electrical Conduit-Undrgrnd. 55. Electrical Bonding
lk
5,Steel,Reinforcement - {I u� ,56. Rough Plumbing & Pressure Test •..,./ ‘•` - '
orcemen
6..Electrical UF ER Grnd. . 57. APPROVAL TO COVER-GUNITE ' - .--
7. Footings `• , OAF- tic/ 58. Electrical Conduit-Undrgrnd.,- ..+
• 8. Foundation Ti 1 t . ' ' / 59. Gas Pipe, 0 Undrgrnd.,Test -
9.-Water Pipe-Undrgrnd. • - r 60. Backwash Lines, P-Trap, 0 Undrgrnd. v
10. Structural Floor System ' ;f .. 61. APPROVAL TO DECK v'
11. Property Sewer Line'& House Corinection •7 .'i - 62. Backwash'& Receptor-Final
41
12. Sewer'Cap 7_,.„, '9 _ L. 63. Heater & Vent-Final J
13. Roof.,Drains ='1 64. Plumbing System - Final
14. Ro`ug1iPlumbing`I 'n, 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
is...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, inn Structure :A 70. Underground Hydro •I
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil .
231 Gas-Pipe-Rough& Test , 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25'. Roof.Sheathing 74. Overhead Hydro
r
26. T-Bar�Ce�iling (Structural) & Monocoat 75. Dry Chemical
27; Frambiarid Flashing 76. Dry Standpipe
;28i Lathing& Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT •
3i. PlasterlBrown Coat ' ' 79. FINAL INSPECTION - . i
32. Electrical Power Meiei--Final 80. FOOD CERTIFICATE ISSUED ,
33. Final Electric Notes: r-f .-Z Var o6, _,S 6.4
c, t
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test -
36. Hood or Canopy - .
fki
37. Final Fa ory1Firkplace
l
t.
38. Final Plumbing .ri '
39. Water Service-Finch,
40. Gas SArvice-Final -
. I
41. Solar.Domestic-Final ;} r_1-
42. Backflow Preventer -'I., ! ,.., .
43. Backflow Irrigation • - 'r - '
r
44. ,Landscape Irrigation System!•.' - - -
45. Sound Attenuation _ •
46. Handicap Regulations 4 '.% . -
.47. FINAL STRUCTURE &'B.UIL.DIN.G /64.2-43.....-
•'48. Special Requirements Completed
49. Electric Release to Edison:- r '
50. Gas Release to Southern California Gas Co
_ 51`. CERTIFICATE OF OCCUPANCY
,.. .. . -.• -'' ,
No.a Date I: ,. -1
-
ADDRESS OF BUILDING: 2011 IRVINE AV UNIT:
CITY OF COSTA MESA - BUILDING PERMIT
CWNERsUWE intNov'N: STAN ICKI JOSEPH LOUIS TR PERM NO; B 081148
A ADDRESS: 2011 IRVINE AVE
t
/ COSTA MESA,CA 92626 PERMIT NO: B.
081148 !ULAN CHECK NO; N GOVT: N SUPP: N
AM..MARDID ADDRESS: CONSTRUCTION TYPE; V-N PERMIT TYPE: STR PURPOSE: OTH
ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : T/OFF 6 REROOF W/BUR 6 COMP . SQ FT: 4, 980
LACK OR EIG.'S ADDRESS: WIT:
CLAIM VALUE: 4, 980 . 00 CALC-VALUE; 4 ,980 . 00 GROUP OCC: R-3 /
commACTarsNAIC PETRONELLA ROOFING ( 714 ) 548-1645
CaNTRACTORSMARam 2626 NEWPORT COMMENTS: REROOF W-BUR OVER FALT AREA & COMP. OVER PITCHED AREA
ADDRESS COSTA MESA CA MHO.: 00460707 **BRB(•******+E+EBE+ ***BE**BEu•x**********BEBR*iL•if*BEB ***itx•x**** ***+E**+E*Bri ********BEaE*******
92627 ufn 201 Z ONING REQUIREMENTS
UCENSED CONTRACTORS DECLARATION:I hereby shim under penalty of perryry that I em licensed under provisions of Chapter 9 SETBACKS
(mnm...- .*eh Section 7000)of Division 3 d the Business end Proles:. . end my license is in full law end effect.
C ' ':032605 uc.cuss: C 39 uc.No.:� 07 EXP: 07/97 MAIN BUILDING ACCESSORY BUILDING
/� -1 FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
C..---
i LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
0 NER BUILDER DECLARATION:I hereby affirm under. : of penury I'. I em exempt from the Contractors License Law to the
f•lowing reason(Swan 7O315 Buena and Professions.ode:Any city or my wind requires a permit to construct,seer,improve. PARKING REQ: PROV: PARCEL: 42625235 Z NE: REF NO:
demolish,or repair any structure.feria to is issuance,also .uses the app'. for such point to file a signed statement that he or she
N licensed pursuant to the province's a the Contractors . Law(C ..erg(commencing with Region 7000)d Division 3 d Ile PLANNING NOTES>
Guineas and Profession Code]or than he or the is exempt shone and basis for the alleged exemption.My violation of Section >.
7031.5 by any applicant for a permitablws the applicant lo a-" .. . . ' d 'Ih
reman five hundred dollenPOD)). *************BL*.*****************************************************sh *********
o Lasowner of the property err my employees with wages as :.compensation,will do the wen•and the structure is nes intended D E V E1L OPMENT SERVICES R E Q U I R E M E N 'T S
or offered for (Section sale 7044. Professionsress and Professions Code:The Contractors LicenseRP*doesnot epto an owner of propory
who bolds or inproes thereon,and who does such work himself or heraea or t raol+his or her own employees.provided Ma such J.r;
improvemenlu ate not intended orcitered for sale.If.however.the building Or improvement is sold within One year d completion,the ZONING APPROVED •By DATE: L-
owrer-0rulder will have the burden of proving he or she didnot build or improve for the purpose of sale).
❑ I.as`vat's"prWarty.em mrthaell oavrwng with fvned Cana"'to cwauq the
Pt9w Math"']Ores.&rebus ad '2
Professions Code:The Capron'License Law doss not appy to an awe of property who bwee a anpra/es thereon and who BUILDING APPROVED BY •: DATE:
commas for midi projects with a contractor(s)licensed pursuant to the Contractors License Law). • --_
❑ lamexempt under Section: B.AP.C..for this reason: APPLICATION ISSUED BY: DATE: .
Dem:
Osman LEGALIZATION;N F E E SUMMARY STRUCTURAL EGMENT: Y
I do hereby certify that I am emus of and understand the requirement.of California Health and Safety Code Sections 25.505.25533.end .�
25534.and that I or any ha'building occupant will/wit not(circle one)need to comply with said state code*and the requirements for
apermufaam
anrLa
onmodificationfroueAiorakyManagemetDarie.Resbenuleconstruction evened
from BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
laaviaions. PERMIT 99 . 75 • 50:; 4
Applicant: PLAN n SMIP./IJON.-.RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm order penalty d pecan,one of the Allowing declarations: ISSUE FEE /i-.
❑ 1 have and WI maintain a certificate al consent lo Be-ins=foor workers'compensation.es provided for eySection 32rodthe Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL •
PAID ` e r DUE
Code,for the sodomite's.of the work fon which this permit is Sued.
❑ Ihave aadailme'utainworkers'compesationnw ana
surnl . repedbySwion3700011heLa performanceerCode.fortheo
te TOTALS----> 100 . 25 0 . 00 0 .00 100. 25 100';25 ! 00
work for which this permit is issued.My work''compensation insurance artier end poke number are: i t
Cartier: REVENUE DIVISION TOTALS--> COLLECTED : 100 . 25 OVER/SHORT; .4/ .-- . 00
Policy Number. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT.•. GRADING •ELAN-CHECK
•
qts section need redbecanPlpadl aterm
e plubaun
e hundred dollar 01001 olea.l 99 . 75 . 50 .i --)
-•�:
I coolly that in the pedne
onnas d the work for which this permit le.'..,...I shall not employ any person nmanner n any mso to 4
•become subject Io the workers'compensation lawn 01 C"'le. ..rap that B I should become suhied to IM Ankara. *********************************************************************'t1E*********
compensation prose 3700 d the Lagar Cede.I J I. . h comply with those provisions. I N D I V I D U A L F E E B R E A K D O',W N " {.
lip : 1— ��— \ 1 App! :. . - ._.� -. 412 .r:
--
ming:Fauns b secure wodtwi wmpesetlOn •• Is un/wti,t •shall&Wyatt an employer b criminal penalties end TYPE QTY DESCRIPTION UNIT COST:�- TOTAL COST
civil Ones tq to one hundred thet add&on($504... In addition . the cost of competaation,rpm es provded for In '
Section 3nosofMLabor Cod.Imesstedstbmsye - SFR 4980 REROOF BY VALUE RESIDENTIAL NOZONE 1; 00rf - �f 4;.980 .00
CONSTRUCTION LENDING AGENCY:I hereby affirm uncle penally of perjury that there is a construction larding agency ler the END OF FEES C,
pwormenoeathe work for whirl,this panne vlensed(s"on .• .CA.C).
LENDER'S NAME: / !,
LENDER'S ADDRESS: Cy.Yb�e^s� c'••..i
I certify that I have read this application and pate that the above information is coped.I agree to comply with at Sy and county ordinances i
cid state laws tdating to Naito Wmtumw and hereby authorize representatives of this dry to enter upon the above-mentioned property ' r:
taimpaden`•.- JAN 13199J�1r��ova :•
LOID WATTS Gf0
. Print Name
13—g� CIT_I•OF COSTA MESA '
Signature de . "•;!STI poi-. Data: 1(St Stile Whae-Sueding A Salary;Green-Fre:Carany-Appicem:Pink-Revenue;GoMwod-Assessor
CONSTRUCTION AND PLANNING POOL & SPA
r.1PPROVALS Permit# Date Inspector - APPROVALS Permit# Date Inspector
• 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location •
2. $oil•Pipe•Undrgrnd. ' u - 53. Steel Reinforcement - '
ra•„
,F,3- jtectrical Conduit utility-Ungrnd.' . 54. Forms -
:-;
.... . -
-27. CondtitU Tdrgrnd. . 55. Electrical Bonding . . ,
._;•Steel Reinforcer ,entz 56. Rough Plumbing & Pressure Test a
.>, t- ,
$&(Electrical UFER=C.�sird. i 57. APPROVAL TO COVER-GUNITE -
'_.")j Footings ca 58.- Electrical Conduit-Undrgrnd. +
. . r& Foundation ^
; Cc, c 59. Gas Pipe, 0 Undrgrnd., Test
=9. Water Pipe•Undtgrnd.i. 60. Backwash Lines,P-Trap,0 Updrgrnd,
L ,
10. Structural Floor System 61. APPROVAL TO DECK.
til. Property Sewer Line-. Housetonnection 62. Backwash & Receptor-Final
12. Sewer Cap " o ,
F - 63. Heater& Vent•Final
13. Roof Drains _ ` 64. Plumbing System - Final •
14. Rough Plumbing 65. Electrical-Final •
15. Rough Electrical-Conduit r 66. Solar System-Final
•
16. Rough Electric Wiring, - ' 67. Fencing & Access Approval
17. Rough Wiring Sign o a 68. APPROVED FOR PLASTERING
18. Rough Electrica%,I Bar CeilinW - - 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating& Air Conditioning - FIRE DEPT. REQUIREMENT
r-r s rrr on'le r• T Lac H * - ri
20. `.,.. _, F to,`-, FIS yI!,lace APPR. .:... 1- Permit#
21. Ducts, in'Strtatura±x •• •• :iv' r.. S 0 -,,_*-4,.!, "1_4 70.`Underrgiotlt l tjydro
22. Ducts• , Ventilatin 3* r C t*. C • S i-.* < 71. Product RigingTf'- as 0OiI
r. • ... A. v' rt-rV t.r I .J .. (-723. Gas Pipe oug7, & T.est - _ * n o m Ffg 0* - 72. Undergraund C-' * F '=+
24. Mtoof-Frafhintt r` • • - _ * = *O ;t 73 Under rd.Stoi rf an1(.O Gas O'Oil
zit rn lc
25. Roos Sh u'thin `e.;.. 7- q� W 4 icOverhead H drp
eA 9 l~17- G� y t
r
G
26.'PBaa ++Ceiling (Str jc ra1) & l9(�$boat x o
j vlt 71Epry Cherraical E.._:-..?; * " C I j
rame arid Flashi I ; m * w H,3 Ili`...a I 4.. a ...1m
27. ,f ngv : Zz _ .r• c to r 0
> to* 76. DryStantpipeE-
+,w s - G...
-' 28. Lathing& Si3j'nyr _ g tt v al �* ZI " -,• t 7 F
29. Insulation _• * t� S * S I i 78: FIRE PREY. FINE L * > >'
30. Drywall ailing 9 :r 1 r" '"HEAL1 DEPT.'-BEDUINMENT
G . * I tic s c�
31. Plaster Bcowq-Coat; 5 rrr • M I 4• r 7o. FINAL tNSPECTcION rL. G
C .:: r I. -.. I , , _ ..
•' 32. clectricaCPower Ntet�EP-Ftipal ' * ni I j µ " 8c FOOD CERTI€FATE ISSUED, M
Pr'. I Q T. r X r i 11: r, t-; '77.4 r, '-1
• 33. Final-Electric_. i;�* t:; •:.,,- z j Notes: ^tr; z r Uri
- 34.tFinatHebtinq& Arc Coneitioriii t r 1 I.- z Z S Ci7 _ VC
•L i H r Is tr 'tI I :V ^. I t•-'.; a:
35.Final Ga Pipe;Test c aw .. ,.., I * - w`. -H * r-,C
36. Hootl,or Ca noPY 0-. r'�= - y. ,-, 1 t* Z no * ¢ie
.Z m ?: r 1 S tr .. :•: r! I z t c. t•.
37. `F.inal'Faotory Fireplace s_ u. x _ 1: _a+
r „
' 38. Final=Plumbing 2y - * ^ I I 'r. :-+ -
39. Water ServiceyFinat ; r r" t Z 1 ' t� r
C.
- om * M S
- -
q 40. Gas Service-Final t~x r: G:-'? S c: ?I bo sv
- x r =.-. .r I e- • tU z x< <
41. Solar Domes@rt•Fi tg. s fr.,: '• ;, I lyx•, _ f,
.4- zr r :z
rV
42.aackflaw Prevents; r - I 1 Ir V. • t. C
r & x rI. r'1 rte,-, x H -
43. Backflow Irri atioox > .: z e ;, I ( x }-
r44. Landscape lrSgatiortSystemCzt c a ^ C' d p,t. T c-, ca ` .,.-•,-::71 x r' ¢ n
- �. y. r --- r, rr Y. r 4; 'r:* 3 5 Z C :