HomeMy WebLinkAbout2049 MEADOW VIEW LN - Building PermitsCITY OF COSTA MESA
BUILDING p/VIS/ON
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
.
PERMIT NUMBER �/
/99-00728
(714) 754-5273 • Fax (714) 754-0856 77 FAIR DRIVE. COSTA MESA, CA 92626
BUILDING PERMIT
JobAddress: ZO4J MEADOW VIEW LN � Status: �SSUED
Suite: Applied: 05/24/1999
Vicinity: Issued: O5/24/1999
Parcel Nunmber: 42201341 Zoning:
App�icant: KLAKOVICH, DAVID ISSUEDBv:
Address:
r j
, � � Phone: (949)707-2360� �
� -. Z�P� , . �
ownec SEA BLUFF�CANYON CILL � ' ` � '
Address i ��%%�, . ' . � � ' , _
��J� _ . Phooe� (949)631-9086 -- � ��,� ��1A
;
J
' j�
f `�
�i�
^\.
�
l
� �i
, ,�
��
,,`-" , <./
` �: �,TotaL•' $175:85 � j : i ;
�
��:;, ` , . .r �;'% . ''.'�
����� '�i ; � ,A,: � , '.:= "PLANNING�&ZONING �. :,,., • -�=i ` � / i�
��� �� i i ��� / . ' ' ' ' i . ��� /
SETBACKS� %. `'. � , '_ �✓�, i�"%
��_� � ; . �.'" � ;,,i�
� /
MAIN STRUCTURE�Front 0- 0 � _ Rear , 0- 0 - � , , " Left 0- 0 � - Right 0- 0 ; ; � "- �
'.�A " i . - - ' �•- . �' � _ . ' � , ',�� ...
�
ACCESSORY �Front�� 0-0- Rear 0-0 - Left 0-0 Right� � 0-0 �
. i '
PARKING Existinq: � -0� `Required: - 0 � Proposed: 0 • �
� - , .
NOTES: -� - � � ,-� �-����
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12•21•92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or ii work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred inepeetlona and tinel approvel must be obteined. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545826
IKERS'COMPENSAnON DECLARAnON: � ' � . `�
aby aHirm untler penelry of perjury one of lhe lollowing dedaratlons: .; � ��. . , .
I have and will main[ain a certificate of consent to setl-Insure br workers' compensation, es provitled For Dy sectlon 3700 oi t�a Labor Cotle, for the pertormance of Ihe
work tor which this parmit is issued. ' �
�I have antl will maintain workers' compensatlon insurance, as required 6y seMion 3700 oF the Labor Code, tor the peAortnance ot Ne work tor which this pertnit is issuetl.
My workers�mDens�tion Insurence^cerder and p�icy number are:
Carrier
(This se
oNess:)
Policy Numher:
❑ I certity that in Ihe pertormance ol the work tor w�ic� thi ermit is issued, I shall not employ eny person in eny manner so as to become subject to Ihe workers'
wmpensation laws of Califomia agree thet it I shou � ecome subjea m the workers' compensation provisions of Section 3700 oF ihe Labor Code, I shall fotlhwith
comply with ihese pmvisi ns �
ApplicantSignature: � '� Date:
WARNING: FAILURE t0 SEWRE WORKERS' COMPENSATION COVERAGE IS UNLAWPUL AND SHALL SUBIEGT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FWES UP TOONE HUNDRED
THWSAND DOLLARE (5100,000), IN ADOITION TO THE COST OF COMPENSATIIXJ, DAMAGES AS PROVIDED FOR IN SECTION 3]O6 OF THE L4BOR CODE, INTEREST, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aflirm ihat 1 am licensed untler provisions of Chapter 9(cnmmencing with Section 7000) of Division 3 of the Buslness and Professions Code, and my license is in tull
torce end eHecL Lic. N Class a C�
Contrectofs Signawre: �j . � —� Date: L\ —2��
CONSTRUC710N LENDING AGENCV:
❑ I hereby aNirm that there is a wnsWction lentling agency tor the performance of ihe work tor w�ich t�is permit is issuetl. (Sec. 3097, Civil Code).
Lender's Name: Lentler's Atltlress:
Signature: Da�e:
OWNER•BUILDER DECLARATIONS:
I hereby atlirm that untler penalry oi perjury that I em EXEMP7 FROM TME CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Buslness and Professions
Code: Any ciry or counry which requires a permit b wnstruct, alter, improve, tlemolish, or repair any swcture, pnor to its issuance, elso requires the applicant for such permil
to tile a signed statement that he or sha is licersed pursuant to Ihe D�a`�sions of Ihe Conirectors License Law (Chapter 9(commancing wlih Section 7000) of Division 3 of ihe
eusiness and Professlons Code) or that he or she Is exempt therefrom end the basis tor ihe elleged exemption. Any violation oi Section 7037.5 by eny epplicent far a pertnit
subjects Ihe applicant to e civil penalry of not more than tiva hundred dollers ($500).):
❑ I, as owner oi Ihe propetly, or my employees with wages as iheir sole compensation, WILL DO THE WORK, and ihe slrucNre is not intended or ottered for sele (Sec.
7044, Business antl Professions Code: The Contractors License Law does not apply to an owner of properry who builtls or improves thereon, and who does such work
himself or herself or through his or her own employees, provided that such improvements are not intended or ottered tor sale. It, however, the bullding or improvement is
sold wit�in one year of completion, the owner-builder will have Ihe burden of proving that he or she did not builtl or improve for purpase oi sele.).
❑ I, as ownar ot the property, am EXCLUSIVELV CON7RAC71NG WITH LICENSED CONTRACTORS to consiruct ihe proled (Sec. 7044, Business end Protessions
Code: The coniractors License Lew tloes not apply to en owner of properry who builds or improves ihereon. antl who contracts tor such project with e coniractor(s)
license pursuant to Ihe Contractors License Laws.).
❑ I am exempt untler sec. Business and Protessions Cotle for this reason:
SigneNre: Date:
Owner ID veritietl by drivefs liCenSe. ❑ Ves ❑ No Driver's License No.
Veritication of Ownership by (type ot document, i.e. - property tau bill or deetl):
Expires:
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excevation five (5) or more teet in aepth into which a person is required to descend, will be made in connection wlih work authonzed by this
pertnit, end ihat no builtling structure, scettolding, Falsework, or tlemolition or tlismantling thereot, will be more than ihirty-six (36) leet high. (Chap. 3.2, Grp 2, ArI 2, Sec.
341, Title 8, Califomia Administretive Cotle).
❑ As owner-builtlar, I will not employ enyone to do woAc w�ich would require a pertnit from ihe Division ol Indusiriel Safery, as noted above, unless such person has a
permit to tlo such work irom Ihe tlivision.
Signeture: Date:
Division of Industrial Safey Permit Number:
CERTIFICATE OF COMPLIANCE AND AllTHORIZATION OF ENTRV: I certity under penalty ot perjury that I have reatl ihls application and stele thet t�e infortnetion given is
correcL I agree to comply with ell state laws and ciry ordinances relating to building consiruction, and authorize representatives oi the Ciry of Costa Mesa to enter upon the
above-tlescribed D�operry tor inspection purposes. I agree not to occupy or allow occupancy of any building euthonzed by Ihis pertnit until flnal inspection.
COOE 1.
1616
1266
200
201
202
203
206
244fi-46
igneWre Of Legel Owner(s) Date
�S"2 S` �
/ An`dl0 uthonzedApplicent Date
Fixetl System Final Fire Prevention
Pool Spa Final
Final Re-Roof �
Finel Block/Relaining Wall
Final Fectory Fire Place
Final Sign
Final Demolition
� BAIE� . INTIfIRLS
� �
COOEf INSGECTONTVPE
206 Final Mechanicel �
208 Final Plumbing
210 � Final Electncal
212 Final Fire Prevention
220
222
250
Final Planning Approvel
Finel Site
Final BuiltlinglOccupency
QAIE INTRIRLS
CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT N0. SM 121
LOT N0. 6-3
ADDRESS 2049 Meadow View Lane
DATE i�ruy 2i/%�5
-�-
The developer of the above entitled tract desires to sell the above set forth
lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
_, The undersigned, by executing this agreement, acknowledges that (he-she-they)
(was or were) advised that this tract has
not been given final inspection nor has it been accepted by the City o£ Costa
Mesa as having complied with the conditions of approval which were imposed by
the city at the time the final tract map was approved.
The city assumes no liability for the enforcement of the conditions necessary
for approval other than those conditions protected by surety bond.
The undersigned agrees to.indemnify and hold the c'ity harmless from any claim.
resulting in damage or personal injury to the undersigned by reason of'the
aforementioned uncospleted condition. The undersigned acknowledges that this
agreement is made solely for the.benefit of the city and does not inure to
the benefit of the undersigned or any of them.
APPR� �
CITy OF COSiA MESq
P�NNING DEPT.
3481ECi ip BLD6. DEPi. REG.
BY�
DIRE��"" DATE,.�� �9 `
� OF PLANNINp F�
sY�f/��L� . - .
Purchaser
J.H.�6�2J' DRY NY ��
llY /�
� Developer d/or authori
represe tive
BY GREAT WESTERN
� �.� �� ��� �
8484 WiLSH1RE BOULEVARD
BEVERLY .HILLS;�CALIF. 90211
ca�yea}
c
� � ' 4
� � � � � CITY OF L''JSTA MESA
BUI�JINGSAFETY DEPARTMENT
POST IN � CONSPICUOUS PLACE
ON THE )08
. �.
1
� ': �� < :
.. _.� r,p :
, .; f ' '
ii � �
L. �� f, ,
. a: �'- _
.:+'�
,j t .
:;�� .,
., ,_
:�.-� _
.;'�..� � A.P. NO. � . . .
,;; .
r 4 .::
"�'� ; .BUILDING ADDRESS
i; :, - 204 M28dOV
�J:.�� '.7RACT �
�`•1 _., � '
1�18
�1
�iu �� NEW A�D
f�j.
�,_.,� , X
��'. 'OWNER .
�'� . . :vr-c:' !: ns.. i.ov
DA7EISSUEDp
_ _7V
PERM4��59 ��
ALTER REPAIR� MOVING I DEMOLISH
��
�
F.?:+- ,USE . . . � ' ..
�� '
`�: n� F,IRE ZONE �; ' TVPE GROUP � �
�`� �. • ' � ' � , ' .
��;'' PDR-MD .; c:,- - -n rr�t�P:i>i&I' .
> �:��"x, ' . . .. . .
��.` .' _..' '. SETBACKS ' . .
e: y,
€�`� ��_ Front Yd 8�' Side Yd. R_� L 2� Rear 2��+��
?�.,��.: ' . .. . . - � _
?.� .. Side Yd. R L Rear
! :�: ;,r.- . . , . .
�*: "> ` ' - BUILDING INSPECTION RECORD
??��`:� TO KEEP BUILDING P3'?MITS VALID, WORK MUST BE COM- �'
-� � MENCED WITHIN 60 DAYS WITH ROUTINE INSPECTIONS.AT �� �
,j';�,..,', LEASTEACH120DAVS'fHEREAFTERUNTI�COMPLETED.;��.. . �.. -
;!i , �
STRUCTURAL INSP. DATE
i� . � _
���.', 'l Trenches . Forms -'-"„--...""- b� -1 � . .
r�: w . � �
... eq`. .. FloorSYs[em"'"""'"""'_""_"""""' �' ,
UM � . . """"""" `' . f,
�` ;;,. Steel Reinf.""""""" _ "�r �.
� � '. Sheathin � � � � � : . -��
-'f� e""""""""""""""" �
: . . . . ': . ,.
- Freme end Fleshin � " - 1 '
U. . 9"""""""""""' %
i`y;
� ii.,. ifxulation.""�_...."'-'-,-'-"--'_-"' "� - _•
, •,.
iC: �. �_Shi.^.e"""""""'""�"""'"'""""' iZ �%
��. ' � , , i
�`�r .DryWallNailing" .....:................. �1 , ��//•7 , .
yw
�'`,�. Plaster,BrownCoat.."""""""-'-"- ' -/�' .
t� � $ound Attenuation"""""""""""' ���-^` -
- "���-� HandicapRegulation----------- ' �
i"""""'
.. � � � . FINAL i". Y.� S/u•�%'..
,.
PLUMBING
, ., ,
' � ----- � ��� �
.: Soil �--�=-----••--------•------ � 6-` �-f".•' -.
;..��: • Underqtound Water :""""""""""' � -�� � `
.-. . . . � • .
. � `;i ' .RouBh Plumbin9 �-✓5 -/� � �
:.' """""""""""' , . .
,. ' -
. ..-Y Prop.SewerLineandHouseConn.-.-------- ' �J�Q�� ' � a
;-�i.�-.. StreetSewerConn.-••--"---•-.- '.J 1a-'Y!.-%.='' �:I � �..
""""' I '
'�� � WaterService -.._._.'_""""""""' %'�we _e�'"�) .. •=i�% � f '.
� •,.
- ' Sprinkling5ystem --------� � �� �
""' _"""'
` >>_ Gas Test � . `t� . �Z - . '
� '•"""""""""""__"' ./ ��)�) �
FINAL �s�riiYY/ S-.J�%� . .
. HEATING, AIR•COND. AND REFRIGERATION � .� ,
��. Re}r.Lines,PressureTest ---+------------ _--;� "'"'
``.-. DuCts. Under9round-...""""""""_' . .'�_,! / -z_ 8 �'
"� Ducts, in Structure . _ _.. _ r ��ti r• "
'' """_"""_"_
� � Duc2s, Ventiiating �' `' � `�� - " �� �
"""'"""'"""""' ' . _ �
��" RoughHeatinBandAirvCond.-.----------- '- `��� �1 "�"'�
, ', � � . � � � �� FINAL �� ':J ,/� —yiJ' ' , .
t
ELECTRICA!_ � - -
"��' � TeMparary Sarviceor Pole ---- =- --
""""' '. _..._'
,y:.� .Underground """"""'_'_"'_"'_" �- - ' 0' • � .
� f ` Power Mater _ .... "' � _ "'-� �'
:o. '"""'...'""""'"' . - � .
''r .RouBh-Wiring....._.."""""""'•.... /�.'._� /GLS'�.�' .'
. , FINAL r-,s=�� �
� Do not occupy this project until final inspection has � •
been made and occupancy has baen�approved
� Buildinq Final � dlL�/iTil/ ,i �'t' 70
'- �24-hr. notification requi�ed when the job is ready for inspection. You
must fumish PERMIT NUMBER andthe JOB ADDRESS FOR EACH �
" ' RESPECT�VE INSPECTION. CALL 556-5273.. •
�� APPAOVED PLANS SHALL 8E`ON JOB AT ALL TIMES
CMF 0559�46 'rt.�.•::) �: . � :, 1.� . ' Il - ..
F.
m
�� . ��,�59 ..
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
F
�a
W
d
y
y
S
F
C
�
Q
L7
a
a
>
�
.�
z
w
o�
�
P�
z
x
3
For Applicant to FID in Completely'— Use Ink Only
BUILDING .�JN(�
AODRESS OCV`K"/
owNeathe gregory company
MAIL 318 �y air�va ave �
ADDRESS 7-b y
�,T., cost� mesa No751-3850
CANSTRUCTION
BRANCH
ADDRESS
ARCHITECT harrison lorenzi
OR ENGINEER
.,,�e«� 3187-g airway ave
CONTRACTOR � �Y`QtiC
ADDRESS 3187-� ai
CITV COSt3 mesa
�ic No285981
OIF LOT �2 ! ' x992'
USE OF
No`' 751-38
LICVNO. OOHI r
NO. OF BLOGS.
NOW ON LOT O
Separate permits are required for
electric, plumbing and heating work.
USE OF BUILDING AND WORK TO BE PERFORMED
I hereby acknowleAge that I have reetl this appllceNon antl state
that the abova Information is coY�ect and aprae to comply with
atl laws ra0ulating buildlne connYuctlon, antl I shall not emplay
any parson in vlolatlon of the wP�kman's companwtion laws of
the State ot Celifornla.
I hereby cartify that I am properlY licensatl contractor un0ar
the State of Callfornla Busines ana Protes s Code, Division 3,
Chapter� that such lic�s a In f force and eftect, or I
am exe t m tha provisi s e S te of Calitornia Businass
entl Pr fezsio s Code�B'wisl n ha r 9.
of
�989 6i30%7.8 �3.1.67 -T
�'I;XBJ• 8%30%78 881,.67CK�
APPLICATION�gBR[T�II�I�i81�NIT � Q
ECEIVED BY DATE RECEIVED DATE ISSUED
�� �oI PERMITNO.
P. NO.
JILDING
DDRESS
TRACT � nm � LOT Fii BLOCK
X � � � � �
OWNER the gregory company
usEcondo w/att gar�'^�'A'$33roO.Q(�
FIRE �„� V _.._....I�J
'PROVED
/
�E NO.OF
'� L4N5 �
VARDSAPPROVED
MAIN BUILDING
ROM GL S�EET)
DISTANCE BEf
MAIN 6LDGS.
VAR. lW
C.V.P.vE
�3pLD FOR
DATE
USE OF NEW / �
BUILDING (�qy((
VARDS APPROVED
BET. MAIN &
ACC65. BLO
DATE
'q -
THE AMOUNTSHOWN UNDER VALUATION IS FOR
THE PURPOSE OF ESTABLSHING A PERMIT FEE ON�V:
VALUATION PERMIT FEE $ '
3 O PLAN CHECK $ �
$ � do� � TAX $
. TOTALPAID E r
r
n
m
i
m
m
N
�
m
a
N
m
m
O
LL
�
U