HomeMy WebLinkAbout303 FLOWER ST - Building Permits8940
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 317 COSTA MESA, CALIFORNIA
FOR OPL/CANT TO f/LL /N COMPLETELY
TYPE OR PRINT
BUILDING _
ADDRESS Q /,O W
COSTA MESA, CALIFORNIA
APR —6-SSPVeosHEsY 372n *"*18.00
APPLICATION FOR PERMIT
BUILDING
FOR Off/CE USF ONLY
RECEIPT NO. I /IPIAZ NOO.
E�D/
RECEIVED SY DATE RECEIV/AATT/E�ITISSUE[
ARCHITECT LIC.
OR ENGINEER '— NO. COSTA MESA, CALIFORNIA
.....e«< FIRE type group "
LEGAL
I LOT
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NO. OF
UBe OF NI
DEac RIPn ON NO. ✓`-
BLOCK
BUILDING
RAC
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A.P. NO.
SIZE
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A ,��—
NO. OF BLOCS.
USE OF
LINE FROM ,,((
IF STREET O3 u' REAR YAFF
RD I LEFT _ I RIGHT A
DESCRIPTION OF WORK
%� I I GI TFRATIf�N I I Gf1flIT1
COVERINGWA..�T uG I ROOF
COVERING
USE OF BUILDING AND WORK TO BE PER OR
I HERESY ACKNOWLEDGE THAT I HAVE REAP THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM-
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONBTRU CTI N.
SIGNATURE OF
PERMITTEE!
AUTHORIZED AGENT
APPROVED
REAR
THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
VALUATION
PERMIT FEE S
$ _) 0? 97 PLAN CHECK $
TOTAL FEE S Ldp
m
ZONING
ZON(E11/
NO. OF
UBe OF NI
I lY"
PLANSI(
BUILDING
APPROVED
I�
BY
DATE
REAR
THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
VALUATION
PERMIT FEE S
$ _) 0? 97 PLAN CHECK $
TOTAL FEE S Ldp
m
-7
HT ADDRESS: 303 FLOWER ST - KNIT:
ER s NAME: GRANT & JEAN BURNS
ADDRESS: 303 FLOWER ST.
COSTA MESA
ARCH/ENGINEER: REG.NO.:
ADDRESS: UNIT:
PERMITTEE: GRANT & -JEAN BURNS (714)642-5240
ADDRESS: 303 FLOWER ST
COSTA MESA CA 92627
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am fcensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professima Code. end my foerse is in full force and effect.
CITY LIC.: STATE LIC.: CLASS:
Date: Signature:
WORKERS' COMPENSATION DECLARATION: I hereaffirm that I have a certificate of consent to selNnsure or a cerdOcate of Workers
Compensation Insurance, m a certrfied copy ttrereolIsecchion 3800, Lab. Q.
POLICY NO.: EXP. DATE:
WANT:
Certified copy Is hereby furnished. ❑ CerOfied copy is filed with the city Building Division.
Date: Applicant:
EKEMPRON PROM WORKERS' COMPENSATION DECLARATION: (This section need rot be completed it the pem0a is fume hundred ($100) Or lass).
I certify that in the performance of the work fpr which this permit is awed, I stall Out employ any person in any manner w as to became
subject to the W ricers Compensadm laws of California
one::/ n
Date: 1 Sipnalurc: �-•G-L.M.�•.'LLL•C/, 9/�G.l�lti�-...ani. _.
NOTICE: If, atter making this declaration. you should become subject to the Workers' Compensation provisions of the Labor
Code, you must forthwith campy with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affu n that drere is a construction pending agency for the performance of the work for
which this permit is issued (Section 3097, Civ. Q.
LENDER:
ADDRESS: - -
OWNER BUILDER DECLARATION: I hereby affum that I am exempt from the Contractors' State License Law for the following reason
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish. or
repair any structure, prior to its Issuance, also requires Oe applicant Ica such permit to fie a signed statement that he/she Is licensed
Pursuant to the provisi m of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code) or that relate is exempt therefrom and the basis for the alleged exemption. Any 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 (3580)., .
I, as Owner of IM property or coy emyloyees .with wales as their sole compensation, will do the work. and the
❑ structure a not intended or offered for sale (Section 7044, Business and Professional Code: The Cont actor' State License Law
does not appy to an owner of a property who builds or Improves thereon, and who aces such work himself/herself or through
his Or her own employees, provided that such Improvements are not intended or Offered for sale. If, however the building or
improvement Is sold within one year of completion, the paper wig have the burden of proving he/she did not build or improve
for the purpose of sme). '
1, as owner OI the Droperrtryy am exclusively contracting with licensed contractors to construct the project (Secdon 7044, Business
and Professions Code: TM Contractors State License Law does not appy to an owner of properrtyry who bmlds or imprwas thereon
and who contracts for such projects with a cormactm(s) license pursuant to the Contnctors'.State License Law). I am aware
that proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B. 8 P. C.
for this mason: 2
Date; Owner: At,,nLi 4 A A .6..4
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25585, 25533, and
25534 and that I or any future building Occupant will/will not (circle me) need to campy with said state codes and the requirements for a
permit for construction Or modification from the Air Duality Management District. Residential construction applications are exempt from
these provisions.
Date: Apiolirart:
I hereby Certify that I have read this application and state that the above information is correct. I agree to comply with all city and county
ordinances and state laws re sting to building comimctim and hereby authorim representatives of this city to enter upon the above-mentioned
Property for inspectim mpo5es. -y/—
Date: Sigmture: A_,Let /1
Driver's License or Social Security N:
164148 White-Buildim: Green—Code Enforcement; Canary—ADpllcant Pink—Revenue; Goldenrod—Assessor
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: M 044789 PLAN CHECK NO: N
CONSTRUCTION TYPE: PERMIT.TYPE: MEC
JOB DESCRIPTION HEATING SYSTEM
PERM_ NO: M 044789
GOVT: N SUPP: N
SQ FT:
PURPOSE: NEW
CLAIM VALUE: CALC—VALUE: GROUP OCC: /
COMMENTS:
Z 0 N I N G R E Q'U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING --------•-- --------- ACCESSORY BUILDING---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN .LEFT: FT IN RGHT: FT IN
• I
PARKING REQUIRED: PARKING PROVIDED: PARCEL: 11725323 ZONE;
PLANNING N TES>
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•D' E V E L O P M E N T S E RV I C E S R E Q U I R E M E N T S
ZONING APPROVED BY DATE:
BUILDING APPROVED BY ; DATE:
APPLICATION ISSUED BY: DATE:
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LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT -.N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 9.00
252 SMIP/NON—RES
PLAN
ISSUE FEE 15.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----.>.. 9.00 15.00 0.00 24.00 24.00 .00
REVENUE DIVISION TOTALS--> COLLECTED: 24.00 OVER/SHORT: •00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK
24.00 ,
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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
MEC 1 INST'ALI. FORC/AIR FURN <= 100 K BTU/H 9.00 9.00
END OF FEES
' CONSTRUCTION AND PLANNING
APPROVALS Per #
Date
-
Inspector
POO. .iPA "
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
Electrical UFER Grnd.',
-
57. APPROVAL TO COVER-GUNITE
7. Footings
58. Electrical Conduit-Undrgrnd.
_
8. Foundation
59. Gas Pipe, ❑ 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 t
14. Rough Plumbing
65. Electrical -Final
15. Rough Electrical -Conduit
66. Solar System -Final j
1
16. Rough Electric Wiring
67. Fencing & Access Approval
17. Rough Wiring Sign
68. APPROVED. FOR PLASTERING i
18. Rough Electrical -T Bar Ceiling
-
69. POOL/SPA SYSTEMS FINAL �-
19. Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
20: Rough Factory Fireplace
21. Ducts, in Structure -
- •
70. Underground Hydro
22. Ducts, Ventilating
-
71. Product Piping 0Gas 0Oil
23. Gas Pipe -Rough & Test
72. Underground Flush '
24: Roof Framing
73. Undergrnd. Storage Tank O Gas O Oil
25. Roof Sheathing
74. Overhead Hydro'
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
32. Electrical Power Meter -Final
80.' FOOD CERTIFICATE ISSUED
33. Final Electric -
Notes: - -
34. Final Heating.& Air Conditioning
1_1 '
171_14
zlcb�i
_
35. Final Gas Pipe -Test
'
36. Hood or Canopy
_
37. Final Factory Fireplace
y
38. Final Plumbing
39. Water Service -Final
40. Gas Service -Final r
41. Solar Domestic -Final
- -
42. Backflow Preventer
43. Backflow Irrigation
Landscape Irrigation System
'
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
�.•.
48. FINAL PLANNING
•Edison
49. Electric Release to
�l
50. Gas Release to Southern California Gas Co
,51. CERTIFICATE OF OCCUPANCY
No. Date
PROJECT ADDRESS: 303 FLOWER ST
LUNER'S NAME: BURNS GRANT W
ADDRESS: 303 FLOWER ST
COSTA MESA,CA
i
ARCH/ENGINEER:
ADDRESS:
UNIT:
92627
REG.NO.:
UNIT:
PERMITTEE: FERRARA ROOFING (714)642-8233
ADDRESS: 3013 GARFIELD
COSTA MESA CA 92626
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code. and my license is in full force and effect.
CITY LIC.: 01q6 78 STATE LIC.: 3 4 2 7 LAss — 3 9
Date: i �Signature:_
WORKERS' COMPENSATION DECLARATION: IhereoyaffirmtIbay a certificate of co nut to self -insure or a certificate of Workers'
Compensation Insurance. or a certified copy thereat (Section 3800. La . q.
POLICYNO.: 1263678-92 EXP. DATE: 07/01/93
COMPANY: STATE FUND
❑ Certified copy is hereby furnished. ® Gertdied con.
Date. �SZ Applicant: -V
til 't lho ury Buidmp Uvisc
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (itis s f n rte not be wl; kted i t mit B fa one hwodred ($100) a less).
I certify that in the performance of the work (or which this permit is ed. I shall not employ any person in any manner so as to became
subject to the Workers' Compensation Laws of California.
Date: Signature:
NOTICE: 11. atter making this declaration, you should become subject to the Workers' Compensation provisions of the Labor
Code. you must forthwith comply with such provisions or this permit shag be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is e construction lending agency for the performance of the work for
which this permit is issued (Section 3097. Civ. Q.
LENDER:
ADDRESS:
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' Sate License Law for the following reason
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to conslmct, alter, improve, demolish, or
repair any structure. phor to its issuance. also requires the applicant fa such permit to file a signed statement that he/she is licensed
pursuant to the provisions at the Contractors' Slate License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code( at that he/she is exempt therefrom and the basis lot the alleged exemption. Any violation a1 Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
h as owner of the property or my empployees with wages as their sole compensation, win do the work. and the
❑ structure b not intended at offered If sale (Section 7044, Buyness and Professional Code: The Contractors' Slate License Law
does not apply to an owner of a property win builds or improves thereon, and who does such work himself/herself or through
his or her own employees. provided that such improvements are not intended or offered for sale. II, however the building or
improvement is SORA Witten one year of completion. the owner will have the burden of proving he/she did not build or improve
for the purpose at sale).
I, as owner of the pmpeny. am exclusively contracting with licensed contractors to construct the project (Section 7044, Business
❑
and Profession Code: The Comma' State Licawe Law does not apply to an o er of property who builds a Improves thereon
and who contracts for such projects with a contracto(s) license pursuant to the Contractors State License Law(. I am aware
that proal of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B. It P. C,
for this reason:
Date: Avner.
I do hereby certify that I am aware of and undersund the requirements of California Health and Safety We Sections 25505. 25533, and
25534 and that I or any future building occupant wilUwill not (Circle ane) need to comply with said state codes and the requirements for a
permit for construction or modification from theAilAil Chi Managernem Distinct, ResWenlial construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all city and county
ordinances and state laws relating to budding construction and horeby authorize representatives of this city to enter upon the above-mentioned
property LLfor inspection purposes. 0 4
Date. —L ", 'I 2-' Signature: J
Drivers License or Social Security
1641-46 White—Building; Green—Code Enforcement Canary --Applicant: Pink—Revenue; Gadenrod—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 059088
PERMIT NO: B59088 PLAN CHECK NO: N GOVT; N SUPP: N
CONSTRUCTION TY3E: 5—N PERMIT TYPE: STR PURPOSE: ALT
JOB DESCRIPTION ; REROOFSFj? 6 DETACHED GARAGE(COMP SHING) SQ FT: 3,100
CLAIM VALUE: 3,100,00 CALL—VALUE: 3,100,00 GROUP OCC: R-3 /M-1
COMMENTS: SMOKE DETECTORS REQUIRED PER 1991 UBC
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Z 0 N I N GS ERTEBQAUCIKRSE M E N T S REQUIRED
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING---------
FRNT•: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PARKING RE • PROV: PARCEL: 11725323 ZNE: REF NO:
PLANNING N TES>
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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 ESN T -S
ZONING APPROVED BY DATE; _
BUILDING APPROVED BY ; DATE; ')
APPLICATION ISSUED BY: DATE: �Z
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LEGALIZATION:N F E E S U M M A R Y STRUCTURAI; SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FRE SMIP/RES GRADING
PERMIT 63.00 50
PLAN a'. SMIP/NON-RES
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS ---- > 63.50 0,00 0,00 63.50 I 63,50 .00
i
REVENUE DIVISION TOTALS--> COLLECTED: 63.50 OVER/SHORT;00
BLDG P00 PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOOT GRADING PLAN—CHECK
!•
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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 UNI��T COST TOTAL COST
SFR 3100 REROOF BY VALUE RESIDENTIAL NOZONE r 1,00 3,100,00
END OF FEES y
CONSTRUCTION AND PLANNING
e -
APPROVALS Permit #
Date
Inspector
POOL ,PA
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 UFER Grnd.
57. APPROVAL TO COVER-GUNITE
7. Footings
58. Electrical Conduit-Undrgrnd.
B. Foundation
59. Gas Pipe, 0 Undrgrnd., Test
- -
9. Water Pipe-Undrgrnd. _ _'1 _ '-
'^"'
60. Backwash Lines, P -Trap, 0 Undrgrnd.
10. Structural Floor System
61. APPROVAL TO DECK
11. Property Sewer Line & House Connection
i
62. Backwash & Receptor -Final
r�
12. Sewer Cap y
r
63. Heater & Vent -Final
13. Roof Drains rr
64. Plumbing System -Final
14. Rough Plumbing
65. Electrical -Final
15. Rough Electrical -Conduit
66. Solar System -Final
i
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
APPROVALS Permit #
20. Rough Factory Fireplace
-
21. Ducts, in.Structure
70. Underground Hydro
22. Ducts, Ventilating
71. Product Piping 0Gas 0Oil
i23. Gas Pipe -Rough & Test
72. Underground Flush
24. Roof Framing
73. Undergrnd. Storage Tank OGas 0Oil
25. Roof Sheathing
_R_7_T2_
6'14'
.74. Overhead Hydro
26. T -Bar Ceiling (Structural) & Monocoat
75. Dry Chemical -
27. Frame and Flashing
76. Dry Standpipe
28. Lathing & Siding
I
77. FIXED SYSTEM FINAL
29. Insulation
t
78. FIRE PREY. FINAL
30. Drywall Nailing
HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat
1 : I
79, FINAL INSPECTION
32. Electrical Power Meter -Final
,;
80. FOOD CERTIFICATE ISSUED
-�
33. Final Electric
I
Notes: "
34. Final Heating & Air Conditioning
`
35. Final Gas Pipe -Test
I
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service -Final
40. Gas Service -Final
l
41. Solar Domestic -Final
l
42. Backflow Preventers
43. Backflow Irrigation
44, Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulatrons 1-k
47. FINALSTRUCT,U9E�&�,BWLDING
48. FINAL PLANNIRi
49. Electric Release o`Ed
5d. Gas Release to So l) ern--alifornia Gas Co
I
51. CERTIFICATE OF -OCCUPANCY
No. n Date
..r