HomeMy WebLinkAbout414 BERNARD ST - Building Permits0
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PN0.IECTRDDHE55: 414 aERNARD $T
owNeesnamE: MABERRY, WiNDEL-� L TR
nooAess: q q z gROADWAY ST
COSTA MESA,CA 92627
AHCHIENGINEEN: 6 4 G— 1 1 O S REG.NO.:
noonEss:
UNIT:
uxiT:
' PENMITTEE: CRANK BROTHERS ( 714 ) 548-5569
aooness: 1'l6 CO,'�INERCIAL WAY
C.M CA 92627
LICENSE� CONTflRCTOfl OECIAAATION: I here0y atlirm 1� I am Iicense0 unAer O�ovisions of C�apter 9 men � ith Seciion
7000� ol Oivision 3 0l iAe Business arM Pmfeuions CoOe, tl license is in full lorce an0 eflect. �
ciTruc.: 00 993 STATELIC.:4OS6-� cuss: C3
-oate: ' � siqnature: � —
'� WOflNEPS' COMPENSATION OECIABATIUN: I here t I have a ceNlicate of co ent t sel4 sure or a certi icale al Workers'
Compensalion Inmrance. or a cenilietl copY ��ere (5 �ion 3800. LaU. q.
aoucrNo.: 285-91UNIT0 �i E%P.ORTE: OLIOSI9Z
COMPANY: STATE FUND
`7 Certitietl COpY i5 hereby Iumished. C}� Cetli�ied tOpy i I it� ��e aiy uJding Oivision. �
� � F�S �C �.
�aie: � � � � � AppliWnt: ��
E%EMPTION FpOM WOXKEPS' LOMPENSATION DECUMTION: (itis seciion nttG roi 6e complele0 if Ne perrttl 6 fa ace �uMreC �5700) or less�.
I cetlity lhai in �he perfOrman[e o� I�e wor4lor which ��is p¢rmii i5 issued, I sAall nol employ any person in any manner s0 a5lo beCOme
su�lect lo I�e Workers' CAmDensation LavS of Calitomia.
Da�e: SignaWre:
NOTILE: If, atle� making t�is Declaration. you shoul0 Oecome suEjxt m the Workers' ComOensalion pmvisions ol the Labor
Cotle. yoU mUSi Iort�vni� mmply wii� Sut� pmhvon5 Or tNs p¢rmii shall �e deeme0 revoke0.
CONSTflI1CTI0N LENOING pCENCY: I here�y atfirm �Aai t�ere is a conitNtlion lendinq a0ency fof ihe petlormance of lhe woB br
wAich I�¢ Dermil is issuetl (SecliOn 3W7. Civ. C�.
LENOEfl:
R�ONE55:
OWNFfl BUILDEN OECUMTION: 1 �ereEy affirm tlWt I am eeempl imm i�e fAniractors' State License Law lor I�e lollawing reason
(Section 7031.5 Business anE Pmlessional Cotle: Fny city ol wunry which requres a permii to canslruci, alter, improve, UemoliSR or
reoair any slmcture: prior to iB iuuance. als0 repuires Ine aODtiWnt lar wcn p¢rmit to lile a SipneE sUtement ihat npJshe is licensetl
pursuanno IAe provisfons ol I�e Contractars' State License Law (Lhap�er 9(commencing wit� Section 7000) ol Divislon 7 of i�e Business
antl Pwfessions Code� or ihat �e/s�e is e.empt t�ereimm anJ tne bavs lar ��e allepe0 exemption. Any nolation ol Section 7031.5 by
any aOVlicant lor a De�mil su0jects tAe aODlitanl to a civil penalty ol not mora than live AundreE dollars �5500).
I. as owner al ihe pwpeny or my em loyees with wapes as �neir 501e compen5ation, wlll ao Ihe work, antl Ihe
❑ stmcmre is not inrenaea ar onere0lar sale (�cuon 70aa. Business anA Professional CaOe: TAe Contracmrs' State License Law
tloes no� appty to an owne� of a D�oOerly wlp GuilEs or im0�wes tAereon. and w1ro tloes such work �imself/�erself or tllmu0h
�is ar her own employ¢es. pmvNeO l�a� SUc� imprOvements are noi inlen0etl Of oll¢retl fOr sale. If, how¢v¢r I�e Ouilaing of
impwvement is Sda xitNn one year ol wrtqletion, ine Owner vrill tWve tne EurOen of prowi0 he/She OiG not euila or impmve
tor the puroose ol Sale).
I, az owner ol Ihe D�oOehY. am ¢KUu9vely fAniraClinq wil� IicenseE tonVaclor5 io ton9mt� �he pmjeCl ($eClion 7044, Bu5ine55
❑ anE Pml¢ssions CaUe: T�e Coniractws' State Liceine Law Uces mt aOdY �a an wmer o1 pmperryvAro GudEs or im0«s tnereon
antl who cOntratl5 �or Sut� D�Oletis wi�� a rAnirattot(5) li[eMe Ou¢uani �o I�e fAnlrat�Ors' Slate LitenSe Law�. I am aware
��at pr0of ol I�eir Worker's Compenuiqn insurante SMUIG De OmvbeE m me.
� I am exempt unEBr 5¢qion: B. d P. C.
lor IhiS r¢a5on:
Da�e: O+mer.
I eo nere�y cenify inat I am aware ot and understana ine repuirements ai Calilamu Healtn ana Satery COGe Sections 25505, 25533, anA
2553C antl I�at I or any Wtur¢ GuilGmg Occupant wilWriA not (Grtle one) neeU Io comON ��h sai0 sla�e cada anU ��e r¢Quiremenis �or a
p¢rmil tor conslmclion or mo0i�i[ation tmm Ihe Fn Oualily ManagBmeni DiStri[t. flev0eniial cons�mclion aDDlica�ions are exemD� ��om
Nese pmvisions.
�ale: Fpplicant
I h¢reUy wrtily Iha� I �ave rea0 lhis ap0����ion antl Siale
ordiiuntes antl s�atelawSreldtingl0 GudEing Con5lruciion:
ptOp¢r �1 inSD¢CIiOn pu(OOS¢5.
i ��
Da�e� Signamr �
�river's License or Soml 5ecurity r:
', Canary—Applicanl; Pink—Revenue: GOldenro0—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 05311
PERMIT NO: H 053117 PLAN CHECH NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT
TOB DESCRIPTION �' OVER EXISTING WOOD 5HINGLES W/20 YEAR SQ FT: 2,381
CLAIM VALUE: 2,381,00 CALC—VALUE: 2,381.00 GROUP OCC: R-3 /
COMMENTS: SMOKE DETECTOR RE�UIRED IN THE HOME
��******+�**+�**+�*�x*****��*� �*+�+c�x*+�+c*��*�***x**����*x****►��********�x*x�**�x*
Z O N Z N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN H[iILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT It�l REAR: FT IN
LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN
PARKING REQ• PROV; PARCEL: 41920212 2NE: REF NO:
PLANNING Nt5'1'ES>
>
3E 3E iF iE iF iE 1F iE if it iF 3E 1E 1F af �F it- iF 1E N�iF tE iE iE 3F �f iE it ff *�t iE iE if iF 3f iE iF af 1f iEiE iE iE if iF iE iE iE 3E iF if it # 1E aF if ih 3FiF 1F iF iE ih �E � K if iE N;fE � fF af 3F iF iE if 3f
D E V E L O P M E N T S E R V Z C E S R E Q U I R E M E Nc.T S
ZONZNG APPROVED HY DATE: '
BUILDING APPROVED BY : DATE: '
APPLICATION ISSUED BY: �h?` DATE; ���
iF 1f Ik 1F ihlF iF iE iE!'t iE iF iE 1E iE iE 1E iF 3F if if �i�ifiETFTF�F�F3i-iF'iF'iF1Fif�F7F�iF3FiF7F iF'iFTEiFit7F iF%'iF'%irif if iF i@ ii� 1f if iF 1E iF if IF iE
iEiEiEiEiFiF�Eif1ElEiFiEiFaF#EiEifiEiFiEiFlE1EiFIF1E7FiFiEiEiEifkiFi(�IEifiF iffFiElFfFiFlfiEiFifiFiElflfiflFlkii*ikiFifi(�i(�1FiFiFiFifleiFififleiilEiEiYiEiE
LEGALIZATION;N F E E S U M M A R Y STr�UCTURAL SEGMENT;Y
BLllG FMT PLUMBING ELECTRIC MECAANIC FIRE SMIP/RES GRADING
PERMIT 54.00 50
SMIP/NON—RES
PI,AN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID Dl7E
TOTALS----> 54,50 0.00 0.00 54,50 59.50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 54.50 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADTNG PLAN—CHECK
54.00 .50
if if iE iF it If IE iE iE iF iE i� if iF IE 3f if if !f if iE if iE iF if iF iE iE 3f iE if if iE k if 4 if if M� N� K i(� X� if K 1f k 1i iF iF iF iP iF iF if iE iF ih iF if if ib�)F iF jF iE �f If iF iE IF ie )f 3E i(• iE ie iF 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
SFR 23E31
D E S C R I P T I O N t]NIT COST
REROOF HY VALUE RESIDENIAL NOZONE 1,00
END OF FEES
TOTAL COST
�,381,OU �
��.�. CULn�:'S�,/' � 'UiLDY.S . +_. T
U:'���.: J-j��J/ai l:yr 1:.�.�
CONSTRUCTION ANDPLANNING POOI PA
APPROVALS Permit # Date Inspector pppROVALS Permit # Date Inspector
1. Temporary Elec[rical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. � - 53. Steel Reinforcement '
3. Electri�al Conduit Utility-Undr9rnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reintorcement 56. Rough Plumbing & Pressure Test
6. Eiectrical UFER G�nd. 57. APPRQVAL TQ COVER�GUNITE
i
7, Footings � 58. Electrical Cqnduit•Undrgrnd.
8 Foundation . 59. Gas Pipe, O Undrgrnd., Test
�•
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P•Trap, O Undrgrnd. �
10. Structural Floor System � 67. 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
74. flough Plumbing ' 65. E�ectrical-Final ,
15. Rough Electrical-Conduit 66. Soiar System•Final
16. Rough Electric Wiring , 67. Fencing & Access ApProval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrica'I�T Bar Ceilin9 69. POOUSPA SYSTEMS FIfVAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit # �
21. �Ducts, in Structure 70. Underground Hydro �
22. Ducts, Ventilating 77. Product�Piping OGas OOiI
23. Gas Pipe-Rough & Test � 72. Underground Flush '
24. Roof Framing 73. Undergrnd.SlorageTank �Gas dOil
25. Roof Sheathing ' � 74. Overhead Nydro
26. T•Bar Ceiling (Structural) & Monocoat �� 75. Dry Chemical .
27. Frame and Flashing � 76. Dry Standpipe - �
28. Lathing & Siding � 77. FIXED SYSTEM FINAL
29. Insulation 78, FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat � 79. FINAL INSPECTION
o,�
32. Electrical Power Meter-final t� 80. FOOD CERTIFICATE ISSUED
33. Final Electric "= Notes:
�34. Final Heating & Rir Conditioning ' . , , -
35. Finai Gas Pipe-Test � • .
36. Hood or Canopy ' , �
37. Final Factory Fireplace
" 38. Final Plumbing
39. Water Service-Final � �
40. Gas Service-Final
41. Solar pomestic-Final , -
42. Backflow Preventer
_ 4y�. Backflow Irrigation -
44. Landscape �rrigation System
• 45. Sound Attenuation .
46. Handiwn Regulations " �
47. FINAL STRUCTURE & BUILDING �n i
-1 � •
48. FINAL PLANNING �
49. Electric Release ta Edison '�'� '
i
50. Gas Release to Southern California Gas Co �
i
51. CERTIFICATE OP OCCUPANCY
NO Date
A�� g 1969
OWNER
JOB ADDRESS
BUILDING PERMIT NO.
1y-22
o Cover
INSPECTIONS I DATE � GROUP I TYPE V ZONE
SUBCONTRACTOR � _ __ PERMITSISSUED__
OCCUPANCY
Form 210--SM-11-59 5-B P , 118�.
, 1.�.�3� .
COSTA tvtsSA BUILDING•SAFETY DEPARTMENT
P. O. BOX 817 COBTA MHBA. CALIRORNIA
For Applicanf fo Fill In Complefely
TYPE OR PRINT
BUILDING J h •�
AD�RE65 � !/
COSTA MESA, CALIFORNIA
�
7EL./�
NO. �•/ (
TEL.
BUILDING
�EE REGEIVED
�-a�-�� �`�.
FINANCE DEPT.
CITY OF COSTA MES@
APPLICATION FOR PERMIT
Buaui��
For Offiee Use Only
R6C81Pi NO, PHRMIT NI
A MESA. CALIFORNIA
� P�"
Z N INO. OP
PLAN9
TEL. LHOAL IB__. �
NO. OP BLDOB.
8[TBACK LIN6 PPOM
CENiaR OP BTRaBi REAR YARI
61DE YARD ILEFT IRIGHT
DESCRIPTION OF WORK
I% X � ROOMS ST RIES .
:RIORWALL IROOF IJM�N�/Q'rC
!RING COVERING
OF BUILDING AND WORK TO BE PERFORMED
—=-� '�=
=D
une ar.�
fh
ATE � ?' Y �j�
ING
U86 OP NHW
BUILDINO
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1 H8p¢BY ACKNOWLED08 THAT I HAV6 RBAD TH�9 MPLIWTION THe AMOUNT BHOWN UNOBp VALUATION 18 FOR TMC
ANO 9TATH THAT TH8 /�BOV6 18 GORRECT ANC AOREH TO COM- pUftPOBH OP EBTABLIBXING A P¢RMIT FHE ONLY.
PLY WITH ALL CITY OftDINANCE9 M1D BTATH LAW6 L�TINO
9UILDINo CON9iRu oN. VALUA ON ��
SIGNATURE OF � O U PERMIT FEE $ �
PERMI7TE ���111
S � �D� PLAN CHECK $
AUTHORIZED AGENT �•
TOTAL FEE �