HomeMy WebLinkAbout2172 CHARLE ST - Building Permits Appli Gant to fill in all spaces within heavy border lines and sign all appropriate declarations.
-CITY-OF COSTA.MESA PERMIT NO. - TRACT (4D. LOT NO. - ' BLDG.NO. -• - - -
�,
CONSTRUCTION PERMITL ` ' 116.443 ' 3728/63 '
5.00 TL
Project Address .2172 Cherie --- - - - TYPE OF ONSTRUCTION -- — — •
Owner Mr. Hecker - Phone 675a.04;40 NEW ADD ❑ ALTERATION -
Address 226 Via-Ithica ❑ REPAIR r� CONVERSION ❑DEMOLISH I
ZONING REGULATIONS .
Arch/Eng: License No. ❑ OTHER Replacement of Water A.P.
Address DESCRIPTION OF WORK
Heater ZONE PLNG. REF.
Contractor A-aures Plumbing-HeatinWone 530-244 OTYPE OF PERMIT -- • - 'BUILDING To BUILDING
"IN AddressSETBACK C/LST. PROPERTY-LINE
1 10422 Trask Ave.AeGarden- 0GRADING --0 FOUNDATION 0-STRUCTURAL SIDET YARD - -- _ _ .. _ - -.
-LICENSED-CONTRACTOR DECLARATION. - ❑ TENANT- ❑-ELECTRICAL OPLUMBING ❑MECHANICAL SIEDFE YARD _ -
(l II hereby affirm that I am licensed -under ns of Chart-r 9 corn- RIGHT " -- ' - • ` _ -
r/) mencing with section 7000) of Div f the B -Ine- and - 0 OTHER:'
Professions Code, and my license II force and. 'effect. REAR YARD(TO P/L)-'
Lice e I • - • - _� se"N��: 1 - PROJECT DESCRIPTION _ 1 -
rq-Gtsp.: �i _ - -,PKG.SPAC E'REq] - - _PROVIDED
,Date 1Vtl _ Slgnat ur• './'✓����� ESQ. FT. y •
.WORKERS'COMPENSATION.'•ECLAR• N - . _ OCCUPANCY CONSTRUCTION TYPE STREET'WIDTH-- PARK FEES - - -
•I hereby affirm that I have a certificate consent • self-insure ora
ZONE ZONING APPROVED BY•- - -I DATE
'certificate-of Workers' Compensation -surance, or a certified copy -'VALUATION - -
tnereof( 83, 1Vb'`•)• Fremont GRADING CU.YDS. ACRES SPECIAL CONDITIONS: -" "- - • ,
a�
'1sE ,Icy No. Co mPanY - _ ` _ .. _ • - - _ - _
"'certifietl copy is;hereby.furnished. - - _ _ 1,_ . REMARKS: ••. _ • _ _ _ _ - " -,
, Certified copy is filed with the city Building Division. - - - -J - - --- • - -- - -
EXEMPTION FROM-WORKERS' COMPENSATION DECLARATION - - - - - - - " . __ - - - ' - '• •Ie' .
•
(This section need not be completed if.the permit is for one hundred - -
'($100) or less). - _ ---• . . .__ . . " _ _ _. . _
I Certify that in the performance of the work for which this permit Is
-Issued, I shall not employ any person in any manner so as to become PLUMBING - -PLAN CHECK - I -- ELECTRICAL - - PLAN CHECK - •- - -
-subject to.the Workers'Compensation.Laws of California._ _ UWk LLIN(. GARMUL
Date I BATHTUBS .-'- - SHOWERS' - -'! - - '- - -- - - -
signature • SQ FT SO FT I
,NOTICE: If after making this declaration, you should become-subject.. TOILETS - I, ,,• . URINALS--- -- _-1.. - - GENERATOR- .- 0-1-KW�1-1O KW - -- - -
•
to the Workers' Compensation provisions of the Labor Cotle;you'inust - TRANSFORMER r 1
.'forthwith comply with such provislon? or this permit shall be deemed LAVATORIES DOUBLE L-AVS - - --• -- — - ?APPLIANCE- - 10-50 KW 50+ KW __ .._.
!revoked. .__ . -
- "' - -' - -"
-CONSTRUCTION LENDING AGENCY KIT.SINKS ^ ' -'DISHWASHERS--- i -- zMOTORS. -0-1�HP__1-10 HP� •- �� - -
_
I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS -. - •• SUMPS- --- -- - . (INC..SOLAR) ._10-50-HP 50 + 11P 'I'
,form nce of the work for which this permit is issued (Section 3097 -- - • - -
Clv. - - - _. . - _ - - -'
'Lender-s N_a • - FLOOR SINKSFLOOR DRYiIN3-' 'FIXTURES • --OUTLETS- SWITCHES:.-
' "^ - .- --'- --DRINKING-FOUNTAINS--1, -' -.-r -• - GAS TUBE SIGNSLentler's Address -- - - - -- '
'OWNER BUILDER DECLARATION ---- _' - - - POLE-LIGHTS I
I hereby affirm that I am'exempt from the Contract is License Law for INTERCEPTORS -'CLARIFIERS - - - --
'the following reason (Section-7031,5 Business an Professions Code:. -SWIMMING-POOL• •- -P-TRAP- _ _ __ c.UNJI t[UI.IIUN '
Any' city or county which requires a permit to construct, alter, - - '- {�" - :POLES-"" METERED 'SUB- - -
IImprove, demolish or repair any structure;prior to its issuance,-also re- "WATER SERVICE - - ALTERATION -- - - 'PANELS - - - MAIN -- SUB- - '
,quires the apaicant for such permit to file a Signed statement that he - - -
is-licensed'pursuant to the provisions of the Contractor's License Law- -GAS SERVICE ' — 'OUTLETS -
(Chapter 9 (commencing with Section 7000) of Division 3 of the
'Business and Professions-Code) or that he is'exempt therefrom and the -WATER-HEATERS - -BTU OUTPUT- - - - • - •-
basis for the alleged exemption. Any violation of Section 7031.5 by - _ - - t
.•:^y'applicant for a -permit-subjects. the applicant to-a-civil penalty 'SEWER-CONNECTIONS -• -' - --
-1ot more than five hundred dollars ($500). '--' - - - - - - --- i
PO, as owner of the property, or my employees with Wages as-their "-SOLAR TANK---"-- COLLECTORS- • • '�, 'V-• t - - -- -- -. _ . - ,_.
k'e.compensation,.will do,the work, and the structure is not intended
or offered for sale. (Section 7044, Business and Professions-Code: The -SOLAR PIPING SVS.- - - "-" - --- ISSUE FEE --• - - -. •
;Contracto Cs .License taw does not apply to an owner of a property (•,�}}},,,.n
'who builds or improves thereon, and who does such work himself or" 'ISSUE FEE . -' - V- -' - ' - I - 3,00- 'APPLICATION APPROVED BY.-BY-L7- _ _ -. .DAT
'through his own.employees, provided that such improvements are not 16./
intended or offered for sale. 1f, however, the building or'im provement MECHANICAL PLAN CHECK t - -
Is sold within.one-year of completion, the owner will have the burden SUMMARY OF.FEES
'of proving he did not build or improve for the purpose ofsale):' - - - -- ---- ._ _ _ _u , __ _ s�
❑ I,- as--owner-of-the-property, am exclusively contracting-with HEATING SYSTEM 0-100,000 BTU I PERMIT $ SMIP., J $
licensed contractors to costruct the Project (Section 7044, Business -AND DUCTING - -- ' • • - - - _
100,000 + BTU PLAN CHECK $ • PERMIT ;,
'and Professions Code:-The Contractor's License Law does not epply.to _ _ - • I ISSUANCE $
an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU . PLUMBING $ 00- •
tracts from such projects-with-a-contractof(5) licesned pursuant to. .-SYSTEM - - _ - GRADING, $ ,
the Contractor's License Law). 100,000 + BTU T ' -- PLAN CHECK $ _
El am exempt underSection- " -- - - B.& P.C.for this BOILERS BTU ELECTRICAL $ - - -- - 8 -
'rea5on - - - - --- - - ., - PLAN CHECK -$ • _ _MICROFILM $_ 5.00.
SYSTEM REPAIR,ALTERATION
Date Owner TOTAL FEE$
l hereby certify - '-ye read thi .a•piication and state that the above EXHAUST SYSTEM MULTIPLE - - ' '-MECHANICAL $ - - - .. . . _.
!information - 1" a• VANESS EAPC ,
e o omply with air city and county ' PLAN CHECK '$ - VANCE $_ - -
repres ordinances • aws r acts tconstruction,and hereby authoriz i •
.represent of this •t enter upon the aha¢} n . . •� -
•propert jar-a•- on _ _ _�,J.( .-- - _ FINAL FEE $ 5.00
•Signal / tr SS - ' '`
- -- • -
CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor
4.4
4.
CONSTRUCTION AND PLANNING POOL&SPA '
APPROVALS Permit# Date Inspector •APPROVALS Permit# y • r, Date; Inspector
1. Temporary Electrical Service or Pole 43. Pool & Equipment Location
21 Soil Pipe-Undrgrn - 44. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrn "' • -' • 45. Forms
4. Electrical Conduit-Undrgrn 46. Electrical Bonding
S. Steel Reinforce 47. Rough Plumbing& Pressure'Test - ' • ' • -
6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE "
•
7. Footings 49. Electrical Conduit-Undrgrn
8. Foundation • 50. Gas Pipe, ❑Undrgrn,Test
9. Water Pipe-Undrgrn _ 51. Backwash Lines, P-Trap,'❑Undrgrn - • -
10. Structural Floor System 52. APPROVAL TO DECK -
11. Property Sewer Line & House Connection 53. Backwash & Receptor-Final
12. Street Sewer Connection 54. Heater & Vent-Final
13. Rough Plumbing 55 Plumbing System - Final
14. Rough Electric-Conduit 56. Electrical-Final
15. Rough Electric-Wiring - 57. Solar System-Final
16. Rough Heating& Air Conditioning 58. Fencing.&Access Approval
17. Ducts, in Structure • 59. APPROVED FOR PLASTERING
18. Ducts, Ventilating
19. Gas Pipe-Rough &Test S0. POOL/SPA SYSTEMS FINAL
20. Roof Framing
21. Roof Sheathing
22: Frame and Flashing NOTES:
23. Insulation
24. Lathing &Siding
25. Drywall Nailing
26. Plaster Brown Coat -
27. Electrical Power Meter-Final
28. Final Electric -
29. Final Heating & Air Conditioning
30. Final Gas Pipe-Test ,/ •
31. Final Plumbing sirc/yy d-'zq'
32. Water Service-Final •
33.' Gas Service-Final - - • •
-
34. Solar Domestic-Final _ •
-
35. Landscape Sprinkling System •
36:'-Sound Attenuation
37. Handicap Regulations -
38. FINAL STRUCTURE & BUILDING
39. . Special Requirements Completed
40. Electric Release to Edison -
41. Gas Release to Southern California Gas Co.
42. CERTIFICATE OF OCCUPANCY _ .
No Date - - '
'I . Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations.
, CITY OF-COSTA MESA PERyryT NO - TRACT NO. LOT NO. i BLDG-NO. •303[5' I /1 7/d? JeV, 11
CONSTRUCTION PERMIT / O 5 1
7 `
Project Address 21/2 Charle 113 Costa Mesa TYPE OF CONSTRUCTION '
Owner Mr. Heckler _- 6
Phone /7-04"24 ❑ NEW 0 ADD 0 ALTERATION -
Address226 Via. Ithica Newport Beach Lido Isle❑ REPAIR 0 CONVERSION ❑DEMOLISH `li3 ZONING REGULATIONS
Arch/Eng. - License No. 0 OTHER ' _ ' _
Address i DESCRIPTION OF WORK R laecment of Water , A P •
Contractor A-ames Plumbing-Heating730-244C Heater Plumbing C-33o — ZONE PLNG. REF. .
Phone - BUILDING To gl�IL.pING - -
TVPE OF PERMIT !SETBACK C/L ST. PROPERTY LINE
, ' Address 10422i Trask Ave. Garden Grove • .. . - 0 GRADING 0 FOUNDATION- 0 STRUCTURAL SIDE YARD
LICENSED CONTRACTOR DECLARATION 0 TENANT 0 ELECTRICAL it PLUMBING ❑MECHANICAL LEFTSIDEYARD
I hereby affirm th;.t I am licensed under pro Islons of C art•r 9 (corn- - RIGHT
mencing with section 7000) of ,Divis • of .the B -Mess and 0 OTHER
Professions &otl and my license ull e ttect: REAR YARD(TO P/L)
1,-�6' !' 1 6/ PROJECT DESCRIPTION
License Class - /` Llcens ��� -- - PKG.SPACE REQ. PROVIDED,
Date1-11-B3 - Signature 4r— - � SQ. FT. -• - ,I • •
WORKERS'COMPENSATION D c ARA f N - OCCUPANCY_CONSTRUCTION TYPE • STREET WIDTH PARK FEE $ - -
I hereby affirm that I have a ce 'ifi•.te • consent to self-Insure ora VALUATION ZONE ZONING APPROVED,BY DATE
'certificate of��QQ LWorkers' Compensation Insurance, or a certified copy - - " SPECIAL CONDITIONS: •__
Poli y N(o is" " 4 C co mpany Fremont GRADING CU.YDS. _ ACRES ,
7 Certified copy Is hereby furnished. - REMARKS:
1 Certified copy is filed with the city Building Division. - - _ •
_XEMPTION FROM•WORKERS' COMPENSATION DECLARATION -- • -- - - - -
(This section need not be completed if the permit is for one hundred -
($100) Or lessl- - - -- - - - - - - - '
I certify that In the performance of the work for which this permit Is - -
issued, I shall not employ-any person In any-manner so as to-become PLUMBING - PLAN CHECK' - ELECTRICAL • -'PLAN CHECK . '
subject to the Workers'Compensation Laws of California.- .UW GLLINIa ._ VHHAGL
Date Signature • BATHTUBS ' SHOWERS' '- 'SQ FT 50 FT
NOTICE: If after making this declaration, you should become subject TOILETS, _ URINALS - -• - "GENERATOR 0-1 KW 1:10 KW -
to the Workers' Compensation provisions of the Labor Code,you must - TRANSFORMER
.forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS - - 'APPLIANCE • 10-50 KW-50+-KW -
revoked. ) - -
CONSTRUCTION LENDING AG ENCU - KIT.SINKS DISHWASHERS - -- MOTORS • 0-1 HP_1-10 HP-- •• - -
I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS - SUMPS -- - _ .,(INC.SOLAR) 10-50 HP 50 + HP .
formance of the work for which this permit is issued (Section 3097 - -
- ' 'FLOOR SINKS - -FLOOR'DRAINS' - - — FIXTURES OUTLETS SWITCHES -'
Lender's NamC
Lender's Address - .- -- - DRINKING FOUNTAINS - - ' - GAS TUBE SIGNS - - -
'OWNER BUILDER DECLARATION 'INTERCEPTORS CLARIFIERS-' - - - POLE LIGHTS - - -
I hereby affirm that I am exempt from the Contractor's License Law for
the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL P TRAP -- -_ .. LOINS HUL I SUN
-
Any city or county which requires a permit to construct, alter, 'POLES METERED -SUB
improve, demolish or repair-any structure, prior to its issuance,also re- , WATER SERVICE' - ALTERATION - PANELS MAIN ''-' -SUB- '
quires the apllicant for such permit to file a signed statement that he - - •
is licensed pursuant-to-the provisions of the Contractor's License Law GAS SERVICE - - OUTLETS - - SERV ICE - ' - AMP - -- • -
(Chapter 9 (commencing with Section 7000) of Division 3 of the - ,
'Business and Professions Code) or that-he is exempt therefrom and the WATER HEATERS - --BTU OUTPUT • • -
basis for the alleged exemption. Any violation of Section 7031.5 by '$2. 00 - -
any applicant for a permit subjects the applicant to a civil penalty- -SEWER CONNECTIONS -- - - - , - - - • - - - - . . -
not more than five hundred dollars ($500). , .
i, as owner of the-property, or my employees with wages as their - SOLAR TANK - - - COLLECTORS , �- - - •
a Compensation, will do the work, and the structure is not intended •' '
or offered for sale:(Section'7044, Business and Professions Code: The- SOLAR PIPING SYS.'' - - ' " - ISSUE FEE - ' • - --
Contractor's License Law does not apply to an owner of a property • $3. 00. 'qpp LIGATION •APPROVED BV -• - - ' ' DATE
who'builds or improves thereon, and Who does such work himself or ' "'ISSUE FEE - - -
through his Own employees, provided that such improvements are not
intended or offered for sale. If,-however, the building or Improvement' - MECHANICAL PLAN CHECK . . T SUMMARY OF FEES
is sold within one year of completion, the owner will have the burden l
of proving he did-not build or improve for the' purpose of-sale)' HEATING SYSTEM 0-100,000 BTU 'BUILDINGERMIT
•
❑ I, as owner of. the property, am exclusively contracting with AND-DUCTING _ $ • SMTP $
•
licensed contractors to construct the project (Section 7044, Business 100,000 + BTU PLAN CHECK $ PERMIT
and Professions Code: The Contractor's License.Law does not apply toISSUANCE 1......G"=
an owner of property who builds or improves thereon, and who con- REFRIGERATION 0.100,000 BTU PLUMBING
tracts fromsuch projects_witha contractor(s).-licesned pursuant to SYSTEM .- .- .- _ _ GRADING $
the Contractor's License Law). 100,000 +BTU PLAN CHECK $
am exempt under Section - - - . B.& P.C.forth is- BOILERS BTU -- - ELECTRICAL $ - $ ,
reason ._ MICROFILM $ • ,
SYSTEM REPAIR,ALTERATION PLAN CHECK $ -
Date Owner - TOTAL FEE $
I hereby certify the e read this ap-lic Ion and state that the above EXHAUST SYSTEM MULTIPLE
.MECHANICAL $ _ - •.
Information is • - l•agree'to .• /y with all city and county _ PLAN CHECK g 'LESS AD-
ordinan -5a relati�,}L��� co• traction,and her••y a h• rz VANCE PC $_ -'
represent t, is city-74 r the ebb n Onne - • ' '
property -• on •urp. -
FINAL FEE $ 5.00 •
SIgDriver
Silt -�� '� •
a
CMF 0865.46 White-Building;Canary-ApplicantNank-Accounting;Goldenrod-Assessor
CONSTRUCTION AND PLANNING - POOL&'SPA
APPROVALS Permit# p�'f � Date Inspector - - ••;o• Date-c - Inspector
APPROVALS Permit#
-
1. Temporary Electrical Service or Pole • • 43. Pool & Equipment Location : r , - .•2. Soil Pipe-Undrgrn 44. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrn n - - 45. Forms
4. Electrical Conduit-Undrgrn 46. Electrical Bonding r A.�
5. Steel Reinforce 47. Rough Plumbing& Pressure Test-n--r r - ^ - , , - ,- ^
6. Electrical UFER Grn - 48. APPROVAL TO COVER-GUNITE
7. Footings 49. Electrical Conduit-Undrgrn
8. Foundation 50. Gas Pipe, ❑Undrgrn,Test'" - ' - - -
9. Water Pipe-Undrgrn _ 51. Backwash Lines. P-Trap. C Undrgrn - ..
10. Structural Floor System 52. APPROVAL TO DECK • •
11. Property Sewer Line & House Connection _ 53. Backwash & Receptor-Final
12. Street Sewer Connection 54. Heater & Vent-Final
13. Rough Plumbing 55 Plumbing System - Final
14. Rough Electric-Conduit 56. Electrical-Final
15. Rough Electric-Wiring 57. Solar System-Final
16. Rough Heating & Air Conditioning b8. Fencing & Access Approval
17. Ducts, in Structure 59. APPROVED FOR PLASTERING
18. Ducts, Ventilating
19. Gas Pipe-Rough &Test - 60. POOL/SPA SYSTEMS FINAL
20. - Roof Framing - •
21. Roof Sheathing -
22. Frame and Flashing NOTES:
23. Insulation • -
24. Lathing & Siding
25. Drywall Nailing
26. Plaster Brown Coat
27. Electrical Power Meter-Final
28. Final Electric
29. Final Heating & Air Conditioning • -•
30. Final Gas Pipe-Test
31. Final Plumbing 3,46/but . 29
32. Water Service-Final
33. Gas Service-Final
34. Solar Domestic-Final
35. Landscape Sprinkling System •
367 Sound Attenuation _
37. Handicap Regulations
38. FI NAL STRUCTURE & BUILDING ..
39. Special Requirements Completed
40. Electric Release to Edison
41. Gas Release to Southern California Gas Co.
42. CERTIFICATE OF OCCUPANCY _
No Date - - .
OWNER WATSON, G. E. _ ,/ DATE 11-15-55
JOB ADDRESS 2172 Charle Dr. BUILDING PERMIT NO. 2059
GENERAL CONTRACTOR Max W. Pope VALUE $ 11,840.00
LOT 3 BLOCK TRACT 2092 Duplex–att. garage
GROUP I & J TYPE V ZONE R!, FIRE DISTRICT 208J.
• PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER
, Footing Trench f.,/�., /6 fit,'"- er
Foundation Forms and Grade to Garage
Rough Framing h&f .2.27/11C
Plumbing,Rough to Slab f` S
Plumbing,Rough Complete/ Ai
` - r a . - _ 07-/-r/„ 39 1-•' 3 e------
Temporary
Temporary Pole y
Wiring, Rough iY�&-{d / /7-S6 ' I,~ 11(j_. . fa- 3a•&S' /.Pcl 6 t
• Heating,Rough
Heatin! Fin. anal—
/�C� v/
' Sewer,.House Sewer,St. 't e! nal— 3-d-S T
Septic Tank or Cesspool
Lathing, In Outr &/n 2. a 9- J
Plastering -see'--75-'' -j. f / _-
Plumbing,Final,Fixtures Complete Ay^^,(it f.Q_f W
Plumbing,Final Gas Test l�•/�✓�4,C, 5L�-6j'6�/ ' 4
Wiring, Final ��J ` y/a•,.s/I[
Occupancy Very`-.'(!K 4-9-0 t
,n,,„,,')1 n n_14 1 cnn 1.5S
,.Costa Mesa Building Department i YLICATIUN WIC YLi'KlVlIT
. 111 EAST 20th STREET 1.2 4 BUILDING 11
COSTA MESA, CALIFORNIA
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN 1Receipt No. Permit No.
Building 0 , � .
Address ai/7c�J C,4IA RI E RI VF 1
Recei ed by Date Recd. Date Issued _
Costa Mesa, California i
Nearest �"-.O�'. 7/-/ S-S ��-/ _J-I
Cross St. VICTORIA Building(///
Address •
Owner GDF. WAT40N Costa Mesa, California
Mail
Address 1512 DOLFIN TERRACE Nearest
Tel. Cross St. '
City NFWPOR_T BEMTh No. HA„470L$. Zone it+ I No.of I Type I Grp
Architect or Lim ((t�� Plans `�/
Engineer No. Approved
by Date
Address 3 CORRECTIONS
City Llm 30j3
ContractaMAX W. POPE. INC. No.
Address isa7FlaFla9A. NEWPORT BEACH
Legal of Y6 s/
Description I L No. 3 I Block I Trac
(Attach Metes and Bounds)
IRREGULAR No.of Bldgs.
Size of Lot h000 sq. ' I Now on Lot 0 rR11 i 3--;) . 0
Use of I No.of No.ofF.;:---1 ---
{{ --�-, NN2
Existing Bldg. Families Rooms //�� I C� 1U\ if yj
Setback Line from Rear Yard 10 t • — 4: )�f, ?7 '-14. ' t1 Z
Center of Street 60' MIN. SideYard 1 - r--1 y
DESCRIPTION OF WORK 5 :' ' `" r
New I I Alteration I I Addition I f11Tyi _ • - ' i.- '
Repair I I Moving Demolish I VI L d LI • C/�1l.n(�T\I Q Rd7rctA •
• waLJI'1
Building No.of
Size I4£30 sq. t Rooms 10 Stories I
Exterior Wall I Roof
Covering gTUCcf Covering ROCK APPROVALS
Use of New Foundation at
Building 2 FAMILY DUPLEX Forms,MaterLocials,ion Inspector Date
Under-Pinning
9 ATTACHED 11x20 GARAGES Frame: Fire Stops,
Bracing,Bolts
I hereby acknowledge that I have read this Application Lath.Int.
and state that the above is correct and agree to comply Lath.Ext.
with all City Ordinances and State Laws regulating
building construction.
Signature of Plaster, Int.
Permittee MAX a POPE. I s
Plaster,Ext
Authorized Agt.
Masonry Reinforced
ValuationPermit Fee $ .'J'C. c-s+-1
a / Plan Check $ y, c a I Bond Beam
$ �/) Total $ 3 -3 ` c OFee FINAL
FARM 204 n-H 2M 5-54
•
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J _ I . - . .
d.
5
a \ 1 .c'os�n
:''iv1 ',- R.PP--, 4052ac
-. .r A
- - ._ y x.
.
. • .
- Street - - '— , en,w'.
PLOT PLAN
Show location and distances from ` - u•
property line and between buildings. .;,'ai.
hli
{', { 1,1
r 1
CITY OF COSTA MESA
`�5 @ BUILDING DIVISION
a,1's 13 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
• FOR INSPECTIONS CALL:(714)754-5626
,"„ PERMIT NUMBER: BC11-00006
PERMIT TYPE: B_COMBO STATUS: ISSUED
Sub Type: RES ALT DATE ISSUED: 01/04/2011
ISSUED BY: RMD
JOB ADDRESS: 2172 CHARLE DR CM Suite/Unit:
APN: 42220317 Zoning: , ,
Vicinity: GARAGE Primary Occ:
Const Type: V-B SQ. FT: 0 Valuation: $800.00
SCOPE OF WORK: DEMOLITION OF AN ILLEGAL GARAGE CONVERSION.WORK TO INCLUDE THE REMOVAL OF INTERIOR
WALLS, DRYWALL,CAP ELECTRICAL AND BRING GARAGE DOOR OPEN TO ORIGINAL FORM. NO CHANGE IN GARAGE
FOOTPRINT. REF#:C11-0005
OWNER: SANCHEZ, IGNACIO Address: 2172 CHARLES DR Unit: UNIT A
Phone: 949-612-4686 City/State/Zip: COSTA MESA,CA
APPLICANT: SANCHEZ, IGNACIO Address: 2172 CHARLES DR Unit: :UNIT A
Phone: 949-612-4686 City/State/zZip: COSTA MESA,CA
CONTRACTOR: OWNER-BUILDER License No. 000000
Phone: Address: Unit:
Cell: City/State: ZipCode
ARCHITECT: License No. PHONE:
ENGINEER: License No. PHONE:
COMBINATION PERMIT FEE SUMMARY
Building Plan Check: $0.00
Building Fees: $32.65
Electrical Fees: $41.70
Mechanical Fees: $0.00
Plumbing Fees: $0.00
SMIP Residential: $0.50
SMIP Commercial: $0.00
Bldg Std Admin Fund $1.00
TOTAL FEES: $75.85
--Refer to fee receipts for all fees paid for project
HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010 - PER CMMC Sec. 13-279
Monday thru Friday-7:00 am thru 7:00 pm. Saturdays-9:00 am thru 6:00 pm. Prohibited all hours-Sundays and the following Federal holidays:
New Years Day, Memorial Day,Independence Day,Labor Day,Thanksgiving Day and Christmas Day
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord. No.92-28,§1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE r. INSPECTION TYPE DATE INTTALS CODEC INSPECTION TYPE, OATF, INm1AL6
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 1 2•
22 Final Site
204 Final Demolition t l�0`t intrat7Y0
250 Final Building/Occupancy
WORKERS'COMPENSATION DECLARATION: Owner ID verified by driveense. TR._Y/es ❑No / /4/
I hereby affirm under penalty of perjury one of the following declarations: Qri4er's-License No. Expires: Q i, /
o I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued,
❑ I have and will maintain workers'compensation insurance,as required by DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
section 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a
number are: person is required to descend,will be made in connection with work authorized
by this permit,and that no building structure,scaffolding,falsework,or demolition
Carrier:
(This spubn need not be completed eme aermrt6 valuedm Dna hundred sonars(SI 00)or loss.) or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
2,Art 2,Sec.341,'Title 8,California Administrative Code).
Policy Number:
rJ.
0 As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued,I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to the workers'compensation provisions of Section 3700 of Applicant's Signature Date
the Lab• :yril hall forthwith comply with these provisions.
,, 1,"0 Di/a Lj //7 Division of Industrial Safety Permit Number:
-�- AppNdontYSfgnature HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST,AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. a registration form for acutely hazardous materials? ❑Yes 0 No
Lic.# Class# (Section 25533 of the California Health and Safety Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
Contractor's Signature Date hazardous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097.Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? 0 Yes 0 No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the Califomia
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve. demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia Govemment Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information •be furnished on applications for non-residential building permits).
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
=1, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation. WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by Califomia
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No
thereon,and who does such work himself or herself or through his or her own 8. (If yes", attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044,Business and
Professions Code: The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for
inspection purpose I agree not to occupy or allow occupancy of ny building
au(horiz `-' it until final inspection.
_01/4 Lit°- (s) C
sg®wr.—i // =i( lured Legal r °"
3e67d6(lro]) And/or Authorized Applicant Date