HomeMy WebLinkAbout939 JOANN ST - Building Permits.
( t^ CITY OF COSTA MESA _
� BUILDING DIVISION
� � DEVELOPMEN7 SERVICES DEPARTMENT aas_nnaa�
�• � PERMIT PERMIT NUMBER
��
(714)754-5273 • Fax(714)754-4856 gUILDINGPERMIT ��FAIRORIVE,COSTAMESA,CA92626
Jobnddress: 939 JOANN ST
Suite:
Vicinity:
Parcel Nunmber: 42235206
Applicant: NORRIS, HOPE
Address:
Owner: JEFFERS, DAVID T TR
Address %CFG INV INC
FOUNTAIN VALLEY,CA
17220 NEWHOPE ST #224
Contracror. THE ROOF DEPOT
Address: 650 NORTH ROSE DR
203
PLACENTIA CA
Arch / Eng :
Address:
Status: ISSUED
Applied: 05/14I7998
Issued: 05/14n998
Zoning:
Plione:
Zip:
Phone:
Zip: 92708
Phone: 992-2976
Zip: 92870
License: 701742
Phone:
Zip:
License:
SCOPE OF PERMIT
T/OFF COMP 8 BUR & REROOF WICOMP. SHINGLES. APPLY 2#15LBS ON THE 3:12 SECTION 8 30LBS ON THE 4:12
SECTION
FEE SUMMARY
Plan Check: $0.00
Permit: $87.25
Other: $0.00
Inspection: $0.00
Total: $87.75
� PLANNING & ZONING
SETBACKS
MAIN STRUCTURE Front
ACCESSORY Front
0- 0 Rear 0. 0
0- 0 Rear 0- 0
PARKING Existin : 0
NOTES:
Re uired: 0
Calc Valuation: so.00
Claimed Valuation: s3,�85.00
Left 0• 0 Right
Left 0- 0 Right
Proposed: 0
0- 0
EXPIRATION: This permit shall automatically expire and become void ii work is not commenced within 180 days, or it work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under thls permit to be considered legal, such work must comply with all applicable codes, and all
required Inapectlone end finel approval must be obtained. Failure to obtain Inspectlons and tinal epproval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5828
.
WORKERS' COMPENSATION UECLARATION: '
I hereby elfirm under penelry of perjury one of the tollowing declaratlons:
❑ I heve entl will malntain a certificete at consent to sell-Insure for workers' compensetlon, as proNtletl for Dy secllon 3700 01 tha LeDor Code, lor tne pertortnance of the
�work far which this pertnit is issued.
I heve ena will meintein workers' compenselion insurer�ce, es required Oy section 3700 of ihe Lebor Cotle, foi �he peAortnance ot t�e work for which Ihis pemtit I5 lqwetl.
My wo e' compensetlon Insurance certier entl poliry number ere: p
cema�: ��l�� (�� PoIlcyNumDer. r��(j�9 I�/�
(Th/s sectlon neetl not be comp/eted tl Ne penni! Is ve/uetl et one huntlred tlollers (8100) or less.)
❑ I certity that in Ne peAor ence ol ihe work tor which t�is parmit is Issue4 I shall not employ eny person in eny menner so es to become sub�ect to the workers'
compensetlon laws of C lif , Gree that iltl become sub�ect to Ihe workers' compensetlon proNsions af S ctlon 700 of Ihe Lebor Cotle, I s�all larthwith
comPly with ihese Pro . I��S�\\ �� -� I L��!
A�pNcant Signeture: —�7�� J Dete: � �� ��
WARNINO: FAILURE TO SECURE OPO�GERS' COMPENSA IS UNLAWFUL AND SHALL SUBJECT M! EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO ONE HUNDRED
TFIIXISAND DOLLARE (f100,000�.IN ADOfT10N TO THE COST OF COMPENS�TION, DMMOES IS PROVIDE� FOii IN SECfION 37080F THE LABOR ODDE, IMERESf, FND ATTORNEVS FEES.
LICENSED CON7RACTORS DELLAHATION:
I hereby eflirm thet I em Ilcensed unde�jqvislons oi Chepter 9(wmmencing wlih Sectlon 7000) of Divislon 3 of Ihe 8usine e P�jofessions CoCe, end my Ilcense Is In full
force end ettect. Lic. # 7�d p��i� d— Cless a ��`{ /
Contractofs Signeture: �(,�,( Date: �i /
CONSiRtl6T10N LENDING AGENCY:
❑ I hereby aflirtn ihat there is a canstructlan lendinp apency lor t�e peAormance of ihe work for which thls pertnit is luuetl. (Sec. 3097, Clvll Cotlo).
Lendefs Name: Lentlers AtlAress:
SignaNre:
OWNER•BUILDER DECLARATIONS:
Dete:
I hereby eHirm that under penalry of pe7ury t�ai l em El(EMPT FROM THE CONTRACTORS LICENSE LAW tor t�e fdlowing reeson (Sec. 7031.5, euslness and Professions
Cotle: Any ciry or counly which requlres e pertnit to consiruct, elter, Improve, Cemolish, or repair eny structure, pnar Io its issuence, elso requires the eppllcant for such pertnit
to file e slgnetl stetemem ihet he or she Is Iicensetl pursuant ro Ihe proNsions ol Ihe Contradors Llcense Lew (C�apter 9(commendnp wiih Sectlon 7000) ot DMsion 3 W the
Business and Protessions Cotlej or Ihat �e ar she Is exempt Iherefrom and ihe basis for Ne elleged exemptlon. My vloletion o1 Section 7031.5 by any epplkant for e pertnil
subjects tlie epplican� to e dNl penalry of not more Ihan five hundre0 ddlars ($500).):
❑ I, as owner o11he property, or my employees with weges es thair sde compensellon, WILL DO THE WORK, antl t�e siructure is not Intended w oHeretl tor sale (Sec.
7044, Business entl Profeuions Code: Tha Coniractors LJcense lew does not apply to fln owner of praperry who bulltls or Improves thereon, end who tloes such work
himsefl or herself or through his or her own employees, proviCetl that such Imprwemenis ere nat IntentleA or oflereC for sale. If, however, the bulitllnq or Improvemem is
soltl wlthin one year of wmpletion, the owner-builder will have Ue Durden ot provinp Na� he or she ditl not build ar Improve for purpose oi sale.).
❑ 1, es owner oi Ihe Droperty, am EXCLUSIVELY CONTRAC7ING WrtH LICENSED CON7RACTORS to conSWct Ihe pmjecl (Sec. 7044, Business end Professions
Code: The coniractors License Law does not eppy to an owner af property wha builAs or improves thereon, enC who contrflcts tor such proJecl wIN a contreMor(s)
license pursuant to ihe Contrectors License Lews.). �
❑ 1 am exempt under sec. Business and Professions Code lor this reeson:
SignaNre: Date:
Owner ID verifetl by drmrers license. � Yes ❑ No Drivefs License No. E:pires:
VeAflwtion oi Ownership by (rype oi docvment, l.e. - properry te�c �III or daed):
DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION:
❑ 1 hereby ceNiy Ihat no excaveUon five (5) or more feet In depth into whlch e person Is requlrotl to descend, wlll be mede in connectlon with wark euthodzoE by this
pertnit, en0 thet no building structure, scaftdCing, talsework, or demditlon or tlismantlinp thereof, wlll be more then Ihlrty-slx (38J leet high. (Chap. 32, Grp 2, M 2, Sec.
341, TILe 8, Celifomle AdminlsVeWe Cotle).
❑ Ae owner-Duiltler, I will not employ anyane to do work whicli woultl requlre e permit trom Ihe DMsian at IndusMal Sefery, es notetl ebove, unless such person tias a
permit lo tlo 5uch work tmm Ihe tlidsion.
Signeture: Deta:
Division of Indusidal Sefery Pertnit Number.
CEHTiFlCATE OF COMPLIANCE AND AUIHOfiVJ1TI0N OF EHTRY: I ceNty under penalty ot perjury that I heve reed IhLq epplication entl steie ihat the Intortneiion given Is
conecc I egree to compty wlth all stete laws antl ciry ordinances ralating to building construction, end authodze represeNatives o1 the Ciry ot Caste Mesa to enter upon the
ebove-0escrlCad properry for inspection puryoses. I egree not to accupy or allow occupency ol eny bulltlinp aut�oAzetl Dy this permit until tinal inspection.
�QyFy INSiECTONTYPE
1616 Flxed System Finel Flre Preventlon
1268 Pool Spa Final
200 Flnel Re-Raot
201 FIneI BIacWRetelning Well
202 Finel Fectory Fire Plece
203 Finel Slgn
204 Flnel Demolltlon
zmsre
�g �� SQpfj INSVECTIONTYPE
208 Flnel Mechenical
208 Flnel Plumbing
210 Final Electrlcal
212 Finel Fire Prevenlion
220 Final Plenning Approvel
222 Finel Site
250 Finnl Bullding/OccuOancy
� /
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Gdg It�llS
�
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ApPlitanl ta (ill in all spaces excepl tnose wit�in heavy �ortler lines antl sign an ao�roortate tleclarations.
CIT-Y�OP COSTA M SA CONSTRUCTION PERMIT PERNIYJ N0� �� TRACT N'� LOT N� UNIT NO.
K Tj
�. ProjectAddress .�9 �Toann CDS�Q �%%SR V oc g/
ApplicanYs Mailing7�Address � o. 0ox av�e C. ��. 9aGa8 TYPE OF CONSTRUCTION rvEw aDo ALTERATION REPAIR -
�NI/7/� r Te�erS � PhonCSS1-OY30 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A P �, /� _
Owncr's Name - � DESCRIPTION OF WORK/USE OF BLDG.
Address
ArchlEng. - LicenSe No.
Address �
Contractor's Nam r ��Y Phone
Addresslma'I' gl�
City Licen N �
LICENSED CONTRACTOR-DECLARFTION
1 hereby affirm that 1 am licensetl untler provisions of Charter 9(commencing
with section ]000) of Division 3 of the Business antl G�ofessions Cotle, antl
my litense is in tuH torte anC ettect.
LI<ense Class Litense No.
Date ' Si9nahre
WORKERS' COMPENSATION DECLARATION
iereby affirm that I have a certificate of conzent to selbinsure or a certificate
Workers' Compensation Insu�ance; o/ a certi(ietl copy thereo( ($ection ,
�800, Lab. C.)
Policy No. ComPany
eCertifietl Copy is hereby fumishetl.
Certifietl copy is fiietl wlth the city Bu�ltling Division.
Oate APPlicani
EXEMPTION FROM WORKERS' COMP6NSATION DECLARATION
(This section neetl not be completetl i( the Permit is tor one nuntlretl �g100) or
iess).
I cerfify that in tite Oe/to�mance of the Work (or wb ��IS Oe�m�t I5 is5ue0, 1
shall not e lo any oerson in any ma er so�as co � subject to the
Wo�k rs' n �aws Of Cali or
Date S�9nature � '
'NOT CE� t, ter makin9 this tleclaratlon. You s u q e subject to the
Wo�ker5' COmp¢n5a[ion provislons ot [he Labo� G'tleJ u must forthwltM1
comply wilh suc� p�ovi5ion5 or this P¢rmit sball be tleemetl �evok¢tl.
CONSTRUCTION LENDING AGENCY
I neraby afflrm that there is a constructloq lentling a9ency for the pertormance
of lM1¢ work tor whicn this perml[ is �issuetl (Sectlon 3097 Clv. CJ
�eneer4 Name
Lenticr's HtlEress
OWNER BUILOEN �ECLARATION
I berebv affirm that I am exempt irom the Contractor's Licanse Law for tne
foliowinq reason (Sec[ion 7031.5 BusineSs antl Professional Cotle: Any <i[y or
couniy which requlres a permit [o construct, alter, improve, Cemolfsh or repair
any structure, prior to Its issuance, also fequlres the applicant for such permit
m ana tne basiz tor tne aue9ea uxemNuon. ny v�o auo� ��.
by any applicant tOr a pe�mR subjeCtS the applicant to a
of no[ more than /ive nuntlretl tlollars (5500).
owner ot the praperly' ' ^ ' � '""' �
!eliwq will tlo the work, antl Ih6 5[�ucture'i5 oot inlentl¢tl Or ol
License Law aoes not ap01y to an owner or a properry wno ouuas or improves
lnereon, antl who tloei such w0/k blmse�Vherselt or tM1rough M1I5 or M1pr own
employaes, proviCetl lha[ SUCh imOroverr�¢nts arB nOt intentled o� offered for
sale. If, nowever, tne builtling or improvement is soltl wilnin ona year of mm-
pletlon, thu owner will have the burtlan Oi proving he/she tlitl not builtl or Im-
p�OVG to� the putpose o/ sale).
❑ I, as owner of the property, am exclUsively contracting with licensetl con-
IIdCI015 t0 COOSI(UCI ShC pIOj2CI ($CCllOfl %044. BII51l1C55 dlltl PlOiE5510O5 COdC:
The Contra<tor's License Law tloes not apply to an owner of Oroperty who
builtls or improves thereon, antl who cantracis for zuch projects wlth a con- '
traCtor(SI Ilcense pursuant to the Cont�actor'S LlGenze Law�. I am aware that
oroot o/ lheir Worker'S Compen5alion inzuran �ce�houltl be provitl¢tl to me.
❑'I am ezemot untler Section t-- B. & P C. (or Ihis reasoo
Date
1 hereb(� qirtify that I have reatl this aPPliCati
inforrt�5tion is correct. 1 agree to comply with x
antl state laws relating to b 4 in9 consVuction,
sentatives of s city t r on tne ab�
inspectio_qpu 5 5.
Signat �re��
DriversYLitense or 55 � '
CMf 0865-46, rev. 30/84 white - Bulltling; Canary
TYPE OF PERMIT LJ GRA�ING
❑ TENANT ❑ ELECTRICAL
❑ OTHER
VROJECT DESCRIPTION Sc�. FT.�
I FOVND(�TION IZ�STRUCTURAL
PLUMBING ❑ MECHANICAL
CONSTRUCTIONTVPE �'��'n LO✓GI' VALUA
ZONE GRADING GU. VDS. _
Remarks: � �� „
Sink
Preventer
�loor Drains
PloorSinks '
�a5 $efViCe OUilelS
Incerceptors
Kitchen Sink
Lavatories
P-Trap
Roof Drains
Reinspection fea . $15
Boiler
Duct - Under Ground
Ouct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple ❑
Firepl/Fact. Blt. ICBO #
Heating System & Ducting
❑0-700,000 BTU 0100,OOOBTi
Reinspection Fee � $15
Pink - Accauntin9: Goltlenrotl - Aszessor
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Y�/3LCf CIOSCL
Watec Heater
Water Service
Auto-Wash
Issue Fee
Hood or Typel. ❑
Canopy Typell ❑
Fefrigeration System
❑aioo,000sru ❑ioo,000
System RepaidAlteration
Fire Dampers
Registers
Issue Fee
S,
E
T Front
B Rear S/ �
A
� C Right �_
'. Gi7 g Left �-
Ping. Ref. # .
Planning Notes: �
—Z
FEES '
Q�01 B/05�86
�`.,
r�
L� `- o
— ��O Accessory Building:
O
ir
//
Parking Req./Provided
Automatic Washer
Construction Pole Sub.
Cooking Unit
Dishwasher '
Fan
F.A.U.
Fixtures
Device Boxes
Outlets
u
ZOne
ELECTRICAI
Transformer ❑ 15-50 KW
❑ 50+KW
r
Meter ❑up to 100 amps
- Meter ❑ove�100amps -
Sub Panel �
Motors �0.1 HP �i h- 8
Inc.Solar 09-15 HP �16-15+
Microwave �-
Pole Lighl -
awrtcnes Si9n
Garbage Disposal ' Standing Sections
Generator �0-5 KW �5�15 KW 7rash Compacwr
29.38 TL
FEES
Z
O
N
I
N
G
R
E
Q
M
T
S
$� ReinsPection Fee $15 Issue Fee ' $ 3
FEES "
DEVELOPMENTSERVICESREQUIR MENTS: �
Zoning APProved BV L M� �L Dat -�
Building Approved By te
ApPlication luued By Date
_ SUM/ � I . G �EES . S�
� (�B�,BUILDING PERMIT $ SMIP 3
PLAN CHECK ' $ ,�Q PERMIT
PLUMBING $ ISSUANCE $
�PLAN CHECK 25%. $ ENERGV P.C. S
'�� ELECTRICAL S GRADING • S
, PLANCHECK 50°� $ MICFOFILM 5 �Q �('�`
MECHANICAL $ ' TOTAL FEE ' 3 _Qi-LS2tj_
$ 3 PLAN CHECK 25%. $ ,"
CONSTRUCTION AND PLANNING POO, SPA�
� APPROVALS Permit# Date Inspector p�ppROVALS 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-Undrgmd.
8. Foundation 59. Gas Pipe, O Undrgrnd.,,Test
9. Water Pipe-Undrgrnd. ' 60. Backwash Lines, P-Trap, � 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
14. Rough Plumbing 65. Electrical-Final .
15. Rough Electrical-Conduit 66. Solar System-Final
76. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOI/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
27. Ducts, in Structure 70. Underground Hydro
� 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing� � � 73. Undergrnd.StorageTank �Gas ❑Oil
25. Roof Sheathing ' 7,4. Overhead Hydro
26. T-Bar CeilinglStructural)'& Monocoat 75. Dry Chemical � �
27. Frame and Flashing 76. Dry Standpipe •
28. Lathing & Siding 77. FIXED SYSTEM FINA�
29. Insulation ' 78. FIRE�PREV:'FINAL
30. Drywall Nailing . � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL IIVSPECTION
32. Electrical Power Meter-Final 80. FOOD CERT.IFICATE ISSUED
33. Final Electric Notes: .� 27 g�
34. Final Heating & Air Conditioning 8-
35. Final 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
!1 :
43. Backflow Irrigation
44. Landscape Irrigation System �
45. Sound Attenuation
46. Handicap Regulations
� 47. FINAL STRUCTURE & BUILDING �� 30 �O v�"C
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
� 51. CERTIFICATE OF OCCUPANCY
No. Date
�'
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NOTE: SHOW AND DIMENSION PROPOSED
PATIO COVER AMD YARD AREAS
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City �o£/,Cos a Mesa Building Dept.
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' THESE PLAP�S t.�UST EE OPJ JOB AT ALL TIM"c5
NAKE NO CHAt: ES WlTti0U7 PRIOR APPROVAL
OF DEPT.
THE ISSUF.::CE OR ;B'r.NiC;� OF A PER"AIi OR APPROVAL
� OF PLpftS f;i.D S?CC;i CATICNS 51;,',LL NCi GE CO�ASTRUED
'0 BE A FCn9!IT fOR, )R i�Fl I:i ^RD'L1L pf, ANY VIOLFTION
I OF FNY OF TIIE �RCP:E C>;3 C: iN:S COCB. !10 PCRJ117 PRE-
SUMI�'G TO CIVE f'^ " ' " ' '�iei�;��
FROVISICNS OF T415 LJCE SNdL: Ec VAL10. EXCEPi IN SD
� fAR AS THE K'02K OR USE R'iilCil li AUTdORIZCS IS LA'NFL'L.
� Tp
THE I:SL'NNCE GF A PiR;iJi 6nSED CPC:S'Lf7f1�R�� E T
� SPECIPICiSIGiiS SHALL fuGi PREVC.'7 THE BL9:G:!] pf:ICLiL
lROh1 THEf;L6F1CR RE;013I\G iH� C:3RE;TI',:I C: C.;.iO..�
IN SAID F'LAAS F.�� ;,,;;CiiICAT:f":^ r� r� � nvc��-•i-�•�•
For Ins�ec�i
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APPROVED
CITY OF COSTA h7cSA
PLANNING DEPARTMENT
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ONSTRUCTION DETAILS
2Q ROOF CONNECTION D�orr�rr PATIO COVER
DETAILS - � : g�av�c�s nEp�,
� BUIID]T1G SAFEPY DNiSTON T Y P. P L A N S
CONT ' SOLID BLOCK
LEDGER
RAFT fR OWNER: ��Is.� �.Q � `����'-'P�F�2Q DATE : � �4 h'�
ADDRESS: q��1 `�oa-NtJ . ��e-M�.a�- PHONE� ����-7
,iz" DIA. X 5�• �ac scR. CONTRACTOR: �++�ner LIC. N0.
AT s2" o.c. ADDRESS: PHONE� S'��- �`t3o
DETAIL I RAFTERS RAFTERS AppROVED FOR
CARPORT, PORCH OR PATIO LIGNT WEIGHf ROOF COVER OF $UILDINC PERMIT
NOT SUPPORTING CEILING LATH, FIBERGLASS. ALUM. By Da[e
SIZF. SPACING SPAN SIZE SPACING SPAN
Ca 8 C�"TECo" 2"x4" 12"O.C. 9'-6" 2"x4" 16"O.C. 9'-6"
GRIPS OR JOIST 16" 8�-0" 24" g��Q�� �+�ERAI' NOTES:
CONT. �aMGER p4" 6'-6" 32" 6'-6" 1. These plana must be
32" 6'-0" 48" 5'-6" kept on the job at
�EDGER • �_ �� ,� ,� „ ,_ „ all time durirtg
RqpTe 48 5 0 2 x6 16 16 6
R
2"xb" 12" 16'-b" 24" 14'-6" �onstruction.
16" 14'-6" 32"• 12'-0" Z• All ffaming to be
24" 12'-0" 48" 10'-0" Douglas Fir#Z
9�g° DIA. X 5�� LAG SCR. �� �� �� �� �� �� �� grade minimum. �
AT �(,' O.C. 32 10 6 2 x8 24 19 0 3.. Rafters may not
48" 8'-0" 32" 15'-6"
DETAIL 2 2"x8" 24" 15'-6" 48" 13'-6" attach to facia ex-
32" 13'-6" cept for 10# roofs
48" 11'-6" as shown on detail�
10� OR. LIGHT WEIGHT ROOFS 4"x6" 24" i7'-o" HEADERS 201i roofs must use
ONLY CONNECTION DETAILS 32" 15'-0" a continuous ledger
36" 14'-0" LIGHT WEIGHT ROOF ONLY attached as shown
2"x FACIA-MIN.REO. ���x8" 24" 21'-0" SIZE POST SPACING on details #1 &U2.
C 32" 19'-0" 4x4 6'-0" 4, Light veight roofs
� 36" 18'-0" 4x6 9'-0" may at�ach to facia
I 48" 16'-0" 4x8 12'-0" for 14' span max.,
RAFTER 4"x10" 32" py�-p�� 4x10 15'-0" spans over 14' must
• 36" 21'-0" use a continuous
C�IRPORT, PORCN OR PATIO ledger as shovn in
aPPaovED METAL 48" 20'-0" SIZE POST SPACING de[ails li3
HANGER 72" 17'-0" 4x4 5''0"
4x6 8'-0"
DETAIL 3 4x8 10'-0"
4x10 1 Y' -6" ¢�8S
CITY OF COSTA MESA
BUILDING DIVISION
OINNER-BUILDER VERIFICATION
A ciYy or county, which is required to give notice pursuant to Section 19830, shall attach to such
notice, antl, as a condition precedent to issuing a building permit, require the completion and require
the return of. an owner-builder verification.
Attention Property Owner:
An 'owner-builder' building permit has been applied for in your name and bearing your signature.
PleaSe complete and return this information in the envelope provided at your earliest opportunity
to avoid unnecessary delay in processing and issuing your building permit. No building permit will be
issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of the proposed
property improvement. C�7Yes ❑ No
2. I(havel�lamr�) - signed an application for a buildrng permit for the
proposed wo'rk.
3. I have contracted with the following person (firm) to provide the proposed construction:
Name —
Address City
Phone ( � Contractor's Lic. No.-
4. I plan to provide portions of the work, but I have hired the following person to coordinate,
supervise and provide the major work:
Name —
Address —
Phone ( � Contractor's Lic.
City
5 I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
Name Address Phone Type of Work
I herebY affirm that I have received a copY of the information set forth in Section 79830 of ihe
State of California Health and Safety Code and have completed the above information to the best of my
personal knowtedge, i complianc ith this State law. �
� p/
Signed: Date: S 2 Ob
Name: � Vl . ./EF Ef25
(Printed or Typed)
C.D.L. #or S.S. # � ¢
CMF 1042-86 754-5273
;
OW NER �ristol �states
4-18-56
JOBADDRESS 939 Joann AtP08't� BUILDINGPERMITNO. ..,-28�=9.,
GENERALCONTRACTOR $.1J.$�Sgj{ep VALUE $ 8�BK6.n�
LOT 1.�2 BLOCK TRACT 2873 Single Res. W�att gar
G�. ,P I Rc J TVPE V ZONE R)i FIRE DISTRICT Z875
PERMITSISSUED
INSPECTIONS � DATE � SUBCONTRACTOR DATE I NUMBER
Cn..�:nn TnnnrA /
Foundation Forms and Grade to G rage _�
Rough Framing �'� /
Piumbing, Rough to lab
Plumbing, Rough Complete - ,��' 1/�p�.�d � �' .'
Temoorerv Pole ,
�n
Heating, Rough
Heating, Final �/ y_�_p
Sewer,rHouSe .� Sewer, St.
In Out
P�-"ering
F �ing, Finat, Fixtures
Plumbing, Fin.al Gas Test
Wiring, Final
Occupancy
FONM 210 3M 10-v5
-//-J6I �yiY/ �
� ii _ <-/ �1,P�o? , —
osta Mesa Bnilding Department �PPLICATION FOR PERIVIIT
_� P.O.Box3�� 28`�� BUILDING '�
COSTA MESA, CALIFORNIA
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN Receipt No. Permlt No.
6uildina A c/�� C
Addresa � 3 1 O/� �.i A) S i • � �O T/
Costa Mesa, California R cei ed Date Rec'd. qate Issued
Nearest / ,�.` A� /� - � ��� �� ��/U �`
CrossSt.�{..,Y�CcN � �/� /{()�., Building �
Address
o"'"e� � o t �S �— Costa Mesa, California
Mail n / •
Address�lOz� �. V�S IU�!�S �Q • Nearest
/� Tel. Cross St.
City S L�1 No (-%-9( $� Zone ;/. I No. of I Typc ;/ G%up /�
Archifretnr � t. r Plans �� �f
Address
Address
ry�
� z � Block
rvo. or aiags �
Size of Lot �P O x 1 � � Now on Lot
4seof _ I No.of I No.oi
Existing Bldg. Families Rooms
Setback Line from f Rear Yard Z�-
Center of Street , li Side Vard c k i
New
Size IO1
`erior Wall
erin9 ,j'Tl
use of Ne�q7
Buildin4 J I UL
I I Demolish
>f
ns � Stories
Roof ,�,
• � ` _)
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to comply
with all City Ordinances and State Laws regu]ating
building construction.
Signaiure of � '
Permfttee � /
CORRECTIONS
APPROVALS
Foundation Lxation I Inspector
Forms, Materials,
valuation Peri�ft Fee S Z Z. d� maso
�� Pian Check $ ��- � � Bond
$ �i ��� Feeal $ 33 .�a � FINI
FONM 209 10�[S D. P, G 5.
InL
Ext.
Date
O
A
�
2
D
r
PLOT PLAN
� 6how tocatlon and dlstaneea Trom
property Itne and belween bulldinpa
_�
COST�
.��,,. -,{'oaE�.. ��� ¢ � � {�".3 ��
- . , , .
9
' _ • I . l-- ' .
1 � , -
r . . . . � . � . �i
. � '
: � '
7
1��` - 28615
� � COSTA MESA BUILDING-SAFETY DEPARTMEMT
P.O. BOX 7Y00 � COSTA MESA, CALIFORNIA 92l46
For Appl7caM to Flll In Completaly
TYPE OR PRINT
eu��ou+o
ADDRESB Joann
COSTA ME3A, CALIFORNIA
■ STAT6
USE OR
E%ISTIN6 BLOO.
Y[TpAGK LIX[ IROY
NO. b�r�7v6�
c� $elly No yG 6�
:E�- G�/ .�,
TiL
NO.
I �°:.°�� Mas. 1
DESCRIPTION OF WORK
EXTERIOR WALL I
coversiNo �
U9Q OF CUILDIt1Y AND WORK
e n
bv the former o�anf
1 HERCBY ACKNOWL6D06 TM/�T I
ANO eT11TH THAT TMg ABOV6 IY
PLY WITH ALL CITY OHDIN/lAC[/
BUILOINO CONBiRYCi�ON/ /
AQQNT
�
MPLIGTON
R TO COY.
� [ouunno
/v
aar 2a-s�D9a:2oo �***••6:00
APPLICATION FOR PERMR
BUILDING
For OffJce Use Only
R[C[IIT NO. �
� 4f n ���/.. X '. t
ZONING
� � una
emi
�oa7
_cQ
YARDp APPROVHD
MAIN BUILDINO
vwn. �i
-z
..� — r� cn
tALL OB LE88 THAN
U.�B.G.�NEQUIRHM8NT1
YARDB APPPOVHD
ACCH880RY BIIILDINO
DATH
er 6( . DAT! �'7 —( ' F9 V
w
m
�
. �
ec. vr. �
0
n�e �rouen exowH uHoex vw�u�nox �e ron n�s �
�URPO88 OP 68T/.BLIBXINa A PHNMIT IH8 ONLY.
VALUATION �.n �
�/" PERMITFEB p
s
g�� � - w
TOTALFEB S � �'