HomeMy WebLinkAbout3125 VAN BUREN AVE - Building Permits�noaessaew�ouio: 3125 VAN BUREN AV'
w�Rs""�EiFi°aw": SIMONDS, ROBERT LEE
�o�%SIMONDS, JACQUELINE ROSS
.,. 3125 VAN HUREN AVE
•' COSTA MESA,CA 92626
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dHCHRECT Ofl FNdNEEX:
WCN.OR ENQ'S IWflE55: '
UNT:
FLOOD: X 46
uc. ra.:
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conm�cTarsw�wE: SNI� ROOFING ( 714 ) 536-1816
caxrx�croes�uimo 7262 YELLOWTAIL DR
�ooxess: H, B. CA uc. r+o.: 6 4 8 3 3 7
92648 uxr:
LICENSED COMPRCTOPS DECL�NATION: I heeaby eflim under peneXy o/ parjury Net I em IcanseE under D�W�a��s a Cheqer e
(mmmencinq wil� lion J000 oi Diviaion 3 oi the Buaineea eM Pm(aeeions COEe, eM my Lmnee ia in lull lacs enE eXea.
c c.r+o.: Ea�,�� uccuss:C_39 uc.eo.: 648337 _EXP: ��'l'1�
o�,: — 9—g �o��� .�N�- fLaariT-v
W N UILDEN DECLAflRTION: I hereby elfirm uMx perely W perN�Y �� I em eromq Imm IM Contmtlore Lironee law fa iM
t wmp reason (�� )�t.5 Busirefa eM Protessions COEe: Rtry ety a muMy xfiidi epuiree e pe�mn lo eoneNx.t. a11x, impwe.
�'�mdoh, w ropei ury ei�unure, piar lo ila bwerwe, elso raQuiree �M applimnt Ia wch pem�il lo fib e eqME nmamenl thai M a eM
iw,�„d w��i �o ma wa+�,. a ina com�eaon uo�� �w jCMNe� 9(oommentiM v.il� Setlion ]OW) d Oi.�eion 3 d ihe
.ismv enE Rdmeione Cotlel a 11� he «aha is examq thaelram eM tha beaw la Ma dbped memqion. My violmion W Seaion
103t.5 W eny eppliwu la e permn euEjxJa iM epplceM lo e wd pmely d na maa then Iwe hurdred daAue �5500�.
� I.mowrerMlhaVaroMaim'emvM�erAhwPo�aviheiademmGavation.wJldoNexvA.udiMswctureeMin�eMad
nofleteCbtfeb�SeclpnJ061.Buvrofsvd PMassonsCotla:TheConlredmlirortvelewEmanoteW�YloenoMnerdpropary
wM WiCa a inpovee IMreon. vd nfio doec autli xqk h'vnsell a hener a Mrpph ho a her oxn employwn, pwideC IM� euch
impewemeMa ere nol imeMed «dlered ta seb. X. however. the buitliiq «inpo.aneM w edd wnhm ms yev d ewnpbtion. IM
o.,�ar�daid« win ne�e ine wreen a o��ro ne o, ab ed �a wva «�mw� �« me w�o�e a miel.
❑ 6 m owne, a inn wowm..m exauzwN oomraa�o wnn rwemee canvena. m mmnw ine wded �swon rou. e�ninas.�e
Pmfeavma Coda: TM Lanireaon License Lew Coea nd apqy b en owner d piopeny r.M builia a impwo Oiraon vM x1a
eonirena lar auW prapds wiN e mmemohe) Icerwed W�� to tM Camroqps Lianae lew).
�� I am eRemq uMer Seciion: B. 8 Pt., far Nia'mwn:
� Dete: Oxner:
I do hereby <erlity IMt I em ewere d eM uMenieM tlre raquiremmn d Celyomie Heellh uM Sdary Code Sediwu Y5505. 2553�, eM
i 25531, end thm I or eny M1nure WilEiip occupen� will I wil nd (dreb me) neeA b comply wIh eeM tlele mEee eM tM iequiramend M
'� epermAtwmnavuctionwmodifiraiionhwn�MAi u�y enepemeMDistria.Peaidmtielmnat�wioneppYWioneuaeumqfmmiheea
i ww'iaiane.
oma: nvvi��c
WONKER'S CONPENSRTION DECLAX�TION: I Mreby effirtn uMer perielly d{wjury aro ol the bllowinp dative�bne:
❑ 1 heve enE wil meintein e cerlilce�e d mnaenl to aeMinsure br vroiksa' compemetion, es D��� �a by Soqion �AO d ihe lebar
Cotle, t« Ihe paAormem�w d tM xwk la whic� this pe�mil e iasueE.
❑ I M1eve ena xil meimen vroeken' mmpenaelion insureMe. m reyuirad by Saeim 3]00 d the lebor Code. lur the pMormenm d IM
wak lor which ihia peimil ie reaued. My xvken' mmpenae�ian ineurence ranier eM poliry number ere:
c�.
PolryrNumber:
rhis sedion neeE iaf 6e romd�eC /(M P�'t w br wre hwMmd Jdkrs /31P01 or ka.)
}p] 1 cerlh � in iM perlamv�ce d tln wark tor whch tM10 permil o iasuetl. I tl�l nal mmpby erry paism in enY menmr eo n �o
becmie wM� lo IM xorkns• mmM���ion lewa d Ca4lana. erd aaree Nm d I dwuM become abpd b �M worken•
penwian pwiaoro d Seaion 3]00 d IM Lebor Code. I ehdl lonhwilh comyy wilA Now pwiewm
`�m,�: 5-19-9� a,��: Jo� �N6�>�
. l am/np: Fe/Ir un ro�x�n roikwti rompn�etlon covarays /s unbwlul, urtl MNI aWhc! en r�qlqsl ro cNMml penaltla aM
Nlf
nvn nn.. w ro m. n�ner.e rroww eawn lsiu4oaoA M amiaon ro m. eo.� or rn�row•wn �� o advmsd ro. �n
Ssetlm J106 0/ M� LeOor Cotle, Infenif, enC ettomsys /en.
CONSTRUCiION LENDINO RGENCY: I hereby etfirtn uMer peneny d perjiry thm �hua u a mnatruaion 6diiq percy 1« tln
parlameze d iM wak M whitli Ihe pumi o ewed (�� �. C'v. C).
LENDEfl'S NMIE:
LENDEWS AODFES3:
i eeniy Oim I heve roed �hu eppiceibn e�d e�e Ihet Ihe ebova inlamatim n mrreef. I epiee lo eanply xi�h dl dry uM ooumy oMi�e
entl elme lewa rolelnp b build'vq consv vd hereby eNhor¢e �apaeemelivea W Ihb dty lo enlx upon �ha ebwe�meMbrietl 0�M
Iw i n pur e
�� JOE GDON
Deta: 7 / I —� /
85etey; areerFle; Cenary-AOM��: Rnk-fievenue:OOWenmA-Aveem
CITY OF COSTA MESA — BUILDING PERMIT
PERM NO: B OU1949
PERMIT NO; B 082949 PLAN CHECK NO: N GOVT: N SUPP; N
CONSTRUCTION TYPE: l'—N PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION : T/OFF RESHEATH & REROOF W/COMP. SHINGLES SQ FT: S,lUO
CLAIM VALUE: 5,100.00 CALC—VALUE: 5,700,00 GROUP OCC; R-3 /U-1
COMMENTS: SMOKE DETECTORS ARE RE�QUIRED IN EVERY HEDROOM & HALLWAY
�tit��*�*****xit�*it****at���**���*�� **���*�****��t*�***it*at*�*�**�**�at*+�***����****�
Z O N I N G R E Q U I R E M E N T S
S E T H A C K 5
---------- MAiN BOILDiNG -------- ---------- ACCESSORY HUILDING --------
FRNT: FT TN REAR: F1' IN FRN'P: FT' IN REAR: FT IN
LEF'T: F'f IN RGH'P: FT IN LEF'f: FT IN RGHT: FT IN
PARKING REQ: PROV; PARCEI,: ]4169136 ZNE: REF NO:
PLANNING NOTES> ,
. ) . . _
1EdFiE1EfFlkiFikfFfklffk1E1E1E1f1EiE1fiE1Elf1f1ElEiElEiflfiFiEiE1EfE�EfEfEiEiEiElEiEiE1FlEikiEifiElElEiEiFfEfEfEiFiElEIE3EfElFiFiEiflElElEiE�EiE�ffEfElEffiEff
D E V E L O P M E N T 5 E R V I C E S R E Q U I R E M E N•T 5
ZONING APPROVED HY DATE:
BUILDING APPROVED BY ; DATE: ��
APPLICATION ISSUED BY: DATE: .r'
if1E1F1E1f1FifiElkiE1E1E1E1EfE�E�E�EiE1EiF1F IEiEiE�Eif�E1E1E1EiE 1��
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SE MENT;Y
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 7.12.25 ,57.
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> ]'12.'76 0.00 0.00
REVENUE DIVISION TOTALS--> COLLECTED;
BLDG PMT PLUMBING ELECTRIC MECHANIC
112.25
TOTAL PAID DUE
112,76 112.76 ,00
112.76 OVER/SHORT: ,�0
FIRE SMIP/TOT GRADING PLAN—CHECK
_51
�E 3ElElE iE iE iE aE iF 1f if iE iE iE 1E ft fE if iE iE 9E iE jE 1E �)E 1E �)E �E iE �)E 3E IE �E �E dF iE 3E 3F if if ik 1E 3E IE jElElElE �E 1E 1E fE 1f 1E fE jE �E 1E iE 1E if jE iE 1E iF If 1ElE 3E �E iE fE iE iElE �f iE !E 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 I O N UNIT COST TOTAL COST
SFR 5100 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 5,100.00
END OF FEES
05-19-1997/pa:3E A7/f112.76
F°EF2NiZftCPT08c�949
��
- CQNSTRUCT�ON AND PLANNING, POO 'PA
AF`r'ROVALS Permit # � Date �Inspector AppAOVALS Permit # ' Date inspector
.
i. Temporory Electrical Service or Pole 52. Pooi & Equipment Location �
2. Soil Pipe-U�drgrnd. 53. Steel Rei�forcement -
3. Electrical Condwt UtilitY�Undrgrnd. 54. Forms �
4. Eiectrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Ste=1 Reinforcement 56. Rough Ptumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAI TO COVER�GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 17 Undrgrnd., Test �
9. Water Pipe-Undr9rnd. . 60. Backwash Lines, P-Trap, � Undrgrnd. �'
10. Structural Ploor Svstem 67. APPROVAL T6 DECK
it. Property Sewer Line & House Connection � 62. Backwash & Receptor-Final
72. $ewer Cap 63. Heater & Vent�Finai
7 3. Roof Drains 64. Plumbi�g SYstem - Final .
t4. iiough P�umbing - 65. Electrical-Fihat
75. Rough Electrical-Conduit . � 66. Sofar System-Final �
16. Rough Electric Wiring 67. Fencing & Access Approval
77. Rough Wiring Sign ' 68. APPROVED FOR PLASTERING
18. Rough Electrical�T Bar Ceilin� 69. POOLISPA SYSTEMS FINAL
79. Rough N2ating & Air Conditioning FIftE DEPT. REQUIREMENT
20. Rough Factory Firepiace - APPROVALS Permit #
21. Ducts, in Structure � 70. Underground Nydro
22. Ducis, Ventilating � 77. Product Piping v Gas C OiI
23. Gas Pipe-Rough & Tesi 72, Undergrovnd flush �
24. Roof Framing ///� 73. Under9rnd. Storage 7ank `� Gas ❑ Oil
25. Roof Sheathing f�j�Y/ 74. Overhead Hydro
l
26. T-Bar Ceiling (Structural) & Monocoat 75�. Dry Chemica�
27. Frame and Flashing 76. Dry Standpipe -
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAI
30. Drywail Naili�g HEAITN DEPT. REQUIREMENT
31. Plaster 6rown Coat 79. FINAL INSPECTION
32 E(ectrical Power MeterFinal BQ. F60D CERTIFICATE iSSUED
33. Finai Electric Notes:
34. Final Heati�g & Air Conditioning -
35. �Final Gas Pipe-Test -
36. Nood or Canopy - �
37. Final FactorY Fireplace
38. Pinal Piumbing -
39. Water Service-Final
40. Gas Sarvice-Final �
41. Solar pomesticFinal
42. Backflow Preventer
43. Backfiow trrigation �
A4. Landscape Irrigation System
45. Sound Atte�uation
46. Handicap flegulations
47. FINAL STRUCTURE & BUILDING �/�S?�' -
0�
48. FINAI PLANNING -
49. Electrie Release to Ediso� --•
50. Gas Reteaee to Southarn California Gas Co --
51. CERTIFICATEOFOCCUPANCY
No. Date
,_ �07�2
. ,. , �
w�OSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BO%91] C09TA M6HA. CALIFORNIA
For Appllcanf fo Fill In Complately
TYPE OR PRINT
BUILDINO
ADDi2E89 � R
COSTA MESA. CALIFORNIA
� MAIL
ores St.
9naheim
Founts�in V�lley
� BETBACI( LINB PHOM
sin 1�
I HENEDY /
ANO 8T/�T6
PLY WITH I
BOILDINO C
NO.O�
DESCRIPTION OF WORK
WORK
_,,
ga r �ige
� AUTHORIZEDAaENT
�
FEE RECEIVED
ocT � igsa
FINANCE DEPT.
AG%iiE.AFOCASFf� 4�R
BUILDIN6
For Offlco Usa Only
ar
ZONING
�o. a� � �e:
tuna eui�
YARDBAPPROVED
MAIN BUILDINO
!OM C/L 6TREET)
..vr f %'1 �. �
DISTANCE BHT.
MAIN BLDG9.
VAR. JC
BHALL B8 LE88 TMAN
fU.B.C.REQUIREMBNT
VARD9APPROVED
ACCE890RY BUILDIN6
DATE
_ �-- G
�yy �
so. �r. �
TX�B AppLIGT�ON TN8 AMOUNT BHOWN UNOBH V�LUATION 19 POH THH F
IO AOqBE TO COM. PIIRP09E OP H6TABLIBHINO A PBRMIT PEH ONLY. 0
uwe ReouuT�Na ypLUATION �J m
PERMITREB $ /� � �
�
m
$ 07�? 7Gs = � � — o
TOTALFEE /0�
3,j4r�`f �c�
AP
I
SIMONDS, ROBERT L.
House
'LONE
DATE I GROUP
DESCRIPTION OF WORK
TYPE III ZONE
SUBCONTRACTOR
AUG
, 22848
' �COSTd MESA BUILDING-SAFEfY DEPARTMENT
P. O. BO% 917 C08TA M6HA. CALIFORNIA
For Appllcant to F111 In Completely
TYPE OR PRINT
eui�oiNa .3 % Z s GA/ /3�liQFA/ OE
ADDRE69
GOSTA MESA. CALIFORNIA
■ MAIL
S .c �—�
�9w NF/Z
S�I" `
SaG��
■ BETBA<K LINE FROM
/
�
LlOAL
FEE RECEIVED
FANA�CE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
f0f ONiC9 UDB Of1IY
IONINCi
Ho. or uae or new
PLANB !� OUILDINO
NOTE: NO EAV E OVERHANO BHALL BE LE83 THAN
90' TO SIDE 8 REAii P. L.
Irvo.o�e�eae. / ALLOWEO ' fU.B.C.RE0UIREMENT
NOW ON LOT
YARDSAPPROVED YARDBAPPROVED
MAIN BUILDINa ACCESSORY BUILDIN6
EFT ,S / I RIOHT
DESCRIPTION OF WORK
E%TERIOR WALL
COVERING
USE OF BUILDIN
I1 HHHCBY �CKNOWLHDOB TXAT 1 MAVB qBAO T1118 �PPLIGT�ON
�N� BTRTB THAT TH8 ABOVe IB COHqBCT �NO A6pHH TO COM-
PLY WITH �LL CITY OpO�N�NCHB ANO BT�Te L�WB R80ULATINO
BUILOINOCONBTqUR1��9 / �
� AUTHORIZED A6ENT
VAR. $
BET. MAI
ACCE68.
DATE
rHe AMOUNT 9XOWN UN�HP VALYATION IB ROR TNe
PYNPO88 Op 88TApC18HIN0 A PBqMIT p88 ONLY.
VALUATION � Q�
PERMIT REE $ �
S ��'_� Tf1T�1 RFF S �
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.. _ . _ = " 1 , . ... '. ! "' "
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OWNER SIMONDS, Robert
J�l�]:�x.�i
PLUM6ING
ROOGM HE�TING �ND �IR C01
TEMPOR�RY SERVICE OR POL
UNOERGROUN� I-) POWER
N WI
LATHING - IN � OUT
P' 'ER, BROwN COAT
5 .TURAL. FIN�L
fINRL ANO GFS TEST
EIECTPIG FI
DATE
BUILDING
SUBCONTRACTOR
_ ; - 43293
� COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O, BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Comple[ely — Use Ink Only
BUILDING '�IZS AN �jV�nJ �G GoA
ADDRESS
OWNER �j� , S���NDS
MAIL
ADDFESS Z� N � UQE IIE
/� TEL. ��/
CITY (�, NO..,�yb�ZZ�
CANSTRUC�ION ,���g �s� '
LENDER
BRANCH � n
AADDRE55 �jF3S� ��T7 /.' ` '
ARCHITECT TEL.
OR ENGIN ER o wN�2 N %��
ADDFESS i�''-i✓�E /+� �!�
R
RE
BVILDING
ADDRESS
OWNER
FIRE
20NE
APPROV
i�AlL
�s�;�2-���,;S-QO 4s4�� ��:��54SG
FORSTRUCTURALPERMIT
DATE RECEIVED O TE ISSUEC
/-/2-�� % /2 --�
DATE I
SINIUNDS ONST�`O. " "
ADDflE55 �Z � (/Z�{U�UL
TEL.� / ZONE NO.OF USE OF NEW
CITV ��'�'� ' NO. �j�b��z P�" BUILDING
F STATE �j' CITV ARDSAPPROVED VARDSAPPROVED
� LI0. NO. 2ZI LI0. NO. ,�.�p� MAIN BUI�DING ACCESSORY BVILDING
W SIZE n NO.OF BLDGS. (FROM C/L STREET)
�. pF LOT �j ` NOW ON LOT , FROIVT FT.
Q �,1
� EXISTING BLDG. ����JJ�+VGE SI FT FT
h
F5eparate permits are required for �. sioe F-r.
Welectric, plumbing and heating work. REAR FT. FT.
[..i USE OF BUILDING AND WORK TO BE PERFORMED pI5TANCE BET. BET. MAIN &
Qn MAIN BLDW. ACCF�. BLOGS.
^-� �[%LCOr%CL E^IS�[S � lJ.�S' VAR.# DATE
a C.U.P.�' APPROVED
� APPROVE
} /�
..1
C
W
a
Q I heraby aCknowlatl8e thet I have reetl this appllceSion antl rtete �
y� that the eba�e informatian Is corract antl apree to comply wtih
a ell laws retlulaiinp buildinp constructlon, antl I shell not amploy �
Z uny penon in violatlon of the workman's compensetion laws of �
w the Stete of Californle. �]j -
3 I hereby certify that I am proparly Iicensetl as a contractor unCer v SQ. FT. N
the Steta of California Businass entl Professions Cotle, Divfsion 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Cheptar 9, antl thet such licensaa are In full torea antl e feet, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: e
em ezempt from� he rovlsions of the State of Cal nla Businezs .r
VALUATION PERMIT FEE S
entl Prafess�a�s�Cotla ivislon 3, Chapte 9. �'/i �n
V v �PLAN CHECK E "�
Signeture of �
� LL
Permittee 5 TAX E �
U
Authoriaetl A.6ant TOTAL PAID E �