HomeMy WebLinkAbout2792 MENDOZA DR - Building Permitsv
Aov�icant to fill in all spaees exceo� ��ose within heavy borOer Ilnes ane sign all appropriate tleclarations.
�F COSTA MESA CONSTRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO`
roject Address ���/.,2 /7:E,cl DO�<1 � J� •
. ApplicanYs Mailing Address m�
Owner's Name• �7.' � ,� �A� nQ -� Phone �/-701 i�
Address -17 /� �f%E���T y^
Arch/Eng. License No.
Address
Contractor'sNameS�%��2�'� �F�� �Phone�%7 f�+��
Address (mailingl GB Sdp � Lj �.(/L� S�' ��'�/� .
City License No. 3 O G�! QN/G�
LICENSED CONTRACTOR OECLARATION
1 hereby affirm that I am licensetl untle� pro��sions oi Charte� 9(commencing
with section ]000) of Dlvision 3 of the BJsiness antl Profe55ion5 Cotle, antl
my license is in�full force antl eHect. . �8�
License 1� C- icen N
Datt�'�xi c'n ae `�dA'
WORKERS' COMPENSATION DECLARATION '
1 hereby aftirm that 1 nave a certiticate oi consent to selbinsure or a<ertilicate
�i Workers' Compensation Insurance, or a certitietl copy thpreof (Section
00. Lab. �y) p I ,�/
q� O
�licy No. �}':77 {y�� �C �ompaPY �iuKry
eCertifietl mpy is nereby furnishetl. r
Certiti coy y is filetl with the city B}i �Itl�in�g D" aio
�ate� �-L1 -�k % qpplicant ( f���' � —1
EXEMPTION FROM WORKERS' COMPEN5ATION DEC ARATIC ON
(This zetlion neetl noi be completetl if the permit is to� one hundretl ($100) or
less).
I certity that in the pertormance of the wo�K for whic s permit is issuetl, I
shall not employ any person in any m nfier so as e u�o the
Worke�CprAp��7tion Laws of Ca' ia.
Date/ J f 1y' / Signature '
NOTICE:dt, after making this�tleclaration, you Shoultl b come sublect to th¢
Workers' Compenwtion O�ovision5 of th¢ 4abor Code, you must forthwi[h
wmply with suth provisions o�' tnis pefmit shall be tleemetl revoketl.
CONSTRUCTION IENDING HGENCV
I hereby affirm that there is a construction le�tling a9ency for the performance
ot the wo�k for which [his permit is issuetl ($ection 30W Civ. CJ
Lentler's Name
�
Lentler'S Atltl�ess
OWNER BUILOER �ECLARATION
I hereby affirm that Iram exempt trom the Contractor'S LlcenSe Law for the
following reason (Section 7031.5 Bu5ine55 antl Professional Cotle: Any city or
county which requires a pe�mit io consttuct, afte�; impiove, tlemolish o� �epair
any struc�ure, priar to-il5 i55uance, also �equires the applicant tor such permi[
to (ile a signetl statem¢nt [hat he/she is licensetl pursuant to Ihe provisions of
the Contractor's License Law (ChaOte� 9(commenang witM1 Section �000) of
�Division 3' of Yhe Business antl �Professions Cotle) or that�he/she is exempt
�herefrom antl the basis for Ihe alleged exemption. Any violation of Section
i31.5 by any applicanf tor a permit subjects tne appllcant to a civil
oalty of not more thamtive hundretl tlollars ($500).
� I, as owner ot the property or my eri�P�oYees with wages as their soie
compen5a[ion, will tlo the wo�k, antl the 5[futture i5 not intentletl o� oft¢�etl
for sale ($ection ]044, Business antl Professional Cotle: The Contractor'S
License t,aw tloes not apply to an owner of a P�operty who builtls or improves
thereon, antl who tloes such work himselt/herself or through his or her own
employee5, provitletl thdt Such improvemen<s are not intentletl o� ofteretl for
sale. It, however, the Cuiltling or improvem¢nt is soltl within one year of com-
pletion, the owner will have the burden Of Vroving he/she tlitl not builtl or im-
p� ve for the purpose of sale).
'I, as owner of tM1e property, am ezcluslVely contracLng witn Ilcensetl con-
t actors td wnstruct the praject (Settion 70�M14. Business antl Professions Cotle:
The Contractor'S License Law tloes not apPly to an owner of property who
builtls or improves thereon, anil who cont�acts fo� such projecls with a con-
t�actor(5) i�cense"pvrsuant to the ConLactor'S License Law). I am aware [hat
proof of their Worket'S Compens�ayti�on�}n�s}+ran[e shoultl be provitletl to me.
❑ I am exertipt untler Seciion—iY �— �. & P. C. Jor Ihis reason
Date - � - � /�-d � " Owner
I heretiy certify that I have read
intormation is correct. I aaree to <
� ta eEi[er�.
��tate that the above
tl munty ordinances
eby au[horiie rep�e-
iOnetl property tor
_�%'��!
%� 2�1 �f-Z�S � � � ' �
TYPEOFCONSTRUCTION NEW �A�D ALTERATION REPAIR
❑ CONVERSION ❑•DEMOLISH ❑ OTzE2BO � S/.(J �C
DESCRIP�T1 ON OF WORK/US E OF BLDG.
FA/11/L�J:Dtl9ELL/Uy �kJo,CK S �
TVPE OF PERMIT GRADING FOUNDATION STRUCTURAL
❑ TENANT ❑ El_ECTRICAL ❑ PLUMBING ❑ MECHANICAL
❑ OTHER
PROJECTDESCRIPTION Sa.FT.�ocCVCANCv
CONSTRUCTIONTVPE�F.�OBrL%!1 VALUATION$ Sln �S�
ZONE 'GRADING CU.VDS. ACRES �
Remarks: � � ' .
3ar Sink
3ackfiow Preventer
3ackflow Irrigation
3athtubs
Clarifiers
Dishwash¢r .
7rinking Fountains
Floor'Drains �
Floor Sinks
GasService Outlets
Interceptors �
Kitchen Sink '
Lavatories �
P-Trap
Roof Dr ns '
Reinspection Fee � $15
Boiler
Duct-UnderGround
Duct-SVuctural �
Duct - Ven��lating �
Exhaust System ❑ Multiple ❑
Firepl/Fact Blt. ICBO #
Heating System & Ductin '
❑P100,000 BTU O1� ,OOOBT
LSi9na[ure Ge�ti � Dale I I P
Orivers' License or 55 � Heins ection Fee
CMF 0865-46, rev. 10/84 White - Bulltling; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor
$15
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors .
Solar Piping
Solar Tank �
Swimm�'�ool w/Spa
WateqCloset
Water Heater
Water Service'
A uto; W ash
WundryTrays
FEES
A.P. #
S Main Buildin9: '
E
T Front
B Rear
A
C RighY
K
g Left
Ping. Ref. #
Planning Notes:
� � Automatic WasheY
� ' Cdnstruction PoleSub. _
- Cooking Unit
� . Dishwasher '
- Dr'yers ❑Gas ❑Electric
Fan
F.A.U.
Fixtures
Device Boxes
O utlets
Switches - �
Garbage Dispoul
Generator (]0�5 KW S-'
Issue Fee I $ 3 I
IANICAL FEES
Hood ar TYPeI ❑
Canopy TYPe I I ❑
ie j geration System
7o-i oo,000 eT u' O � oo,000 eTu
System Repair/Alteration ' I I
!FireDampers -
Iwue Fee � �$ 3
Fee
DEVELOPMENTSER
Zonin9 APProved BY-
Building Approved By
��='= 7/=?/_7
l3
Zone
Accessory Building:
Parking Req./Provided
EI:ECTRICAL �
- Transformer ❑ 15-50 KW
� ❑,50+KW� �
� Meter ❑up m 100 amps
. Meter ❑over 100 amps
Sub Panel '
Motors �0-1 HP O1 %� 8 .
InaSolar 09-15 HP �i6-15+
Z
O
N
I
N
G
R
E
Q
M
T
S
FEES
�Vole Light .
Range
Sign
Standing Sections
5 KW Trash Compacmr
$15 Issue Fee $ 3
VICES RE�UIREMENTS:
� SUMMARV OF FEES
BUILDING PERMIT $ , ��� SMIP '
PLAN CHECK �$� � PERMIT
PLUMBING $ ISSUANCE
PLAN CHECK � 25% $- ENERGV P.C.
ELECTRICAL $ GRADING
PLAN CHECK 50% $ , � � MICROFILM,
MECHANICAL $ � � TOTAL FEE
PLAN CHECK 25% $ �� . '
$ • S �
)NSTRUCTION AND PLANNING .
iPROVALS Permit #
femporary Electrical Service or Pole
�
Soil Pipe-Undrgrnd.
�Elecirical Conduit Utility-Und�gmd.
IElectrical Conduit-Undrgrnd.
ISteel Reinforcement ,
I Electrical UFER Grnd.
� Footings -
i
� Foundation ,
i
�. Water Pipe-Undrgrnd. � .
i
I. Structural Floor System
I. Praperty Sewer Line & House Connection
I
2. Sewer Cap
I
3. Roof Drains
�4. Rough Plumbing
�5. Rough Electrical-Conduit
I6. Rough Electric Wiring � -
i
17. Rough Wiring Sign '
i
�18. Rough Electrical-T Bar Ceiling
I19. Rough Heating & Air Conditioning
I20. Rough Factory Fireplace
I21. Ducts, in Structure
I22. Ducts, Ventilating
23: Gas Pipe-Rough & Test
24. Roof Framing �
25. Roof Sheathing ,
26. T-Bar Ceiling (Structural) & Monocoat
27. Frame and Flashing
28. Lathing & Siding �
29. Insulation
30. Drywall Nailing
31. Plaster Brown Coat
32. Electrical Power Meter-Final
33. Final Electric
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test .
36. Hood or Canopy
37. Final Factory Fireplace
38�:"Final Plumbing -
39% Water Service-Final
:
40. Gas Service-Final �
l41. Solar pomestic-Final �
i �
t'42. Backflow Preventer .
'43. Backflow�lrrigation �
.44. landscape Irrigation System
�45� Sound Attenuation
46: Handicap Regulations
47. FINAL'S'fRUCTURE&BUILDING
� �
48. Special'Requirements Completed ,
49..Electric Release to Edison
i
50. Gas Release to Southern California Gas Q
51. CERTIFICATEOFOCCUPANCY
No. � Date _ _
, . _
Date
POO L & SPA
Inspector qppROVALS Pe�mit#
52. Pool & Equipment Location
53. Steel Reinforcement �
54. Forms � .
55. Electrical Bonding
56. Rough Plumbing & Pressure Test
57. APPROVAL TO COVER-GUNITE
58. Electrical Conduit-Undrgrnd.
59. Gas Pipe, � Undrgrnd., Test
60. Backwash Lines, P-Trap, O Undrgrnd.
61. APPROVALTODECK .
62. Backwash & Receptor-Final
63. Heater & Vent-Final
64. Plumbing System - Final
65. Electrical-Final
66. Solar SYstem-Final
67. Fencing 8i Access Approval
68. APPROVED FOR PLASTERING
69. POOL/SPASYSTEMSFINAL ,
FIRE DEPT. REQUIREMENT �
APPROVALS Permit # _
70. Undergrouhd Hydro
71. Product Piping O Gas ❑ Oil
72. Underground Flush �
73. Undergrnd. Storage Tank O Gas ❑ Oil
74: Overhead Hydro .
75. Dry Chemical - , �.
76. Dry Standpipe . •�.t~
` n
77. FIXED SYSTEM FINAL
78. FIRE PREV. FINAL �r
HEALTH DEPT. REQUIREMENT
79. FINAL INSPECTION
80. �FOOD CERTIFICATE ISSUED
Notes:
r
, �- �
1 � G •r �
�. s . '�'.� i..
• ' /
� : � C, y .
f, <
. �/
✓ V � "r
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Date � Inspector
v
L
�
.�
SPEED LETTER
In the interest of speed and economy, we are
replying to your request / inquiry:
2�1L
❑ With marginal notes/commenu. ��' ��za
❑ In note form, as follows: 16, Decembes ' 92
llear f4rS. Jenkins: I went out and took a look
at�your ence s morning, Because it is cvnod
& no higher than G' in height (t�erefore, no
building pernut is required and because it is
aLmst u�ossible to detennine the exact age of
the fence and since it starts at a 2'6" height
at property line, gradually working up to a 6'
height, ence can rP�*+��n as it exists without
a Vari
With the attached information. �p�R�
If you need additional information, please call .
Phone: (714) 7545153
4.�-��i:��.� G Faz: p14) 556•7508
� ' �+.� E
: �
�• " � a WILLA BOUWENSKILLE
�� �' SENIOR VLANNER '
CITY OF COSTA MESA, GLIFORNIA
77 FAIR DRIVE • VOST OFFICE BO% /300 • 97628-1200
$ — Y100M1
r
rebuilt, please call the City first for current
re4wx'e�rnsits so you can be sure you conform with
Code. I have enclosed a copy of the existin4 .
r�I�'ements far your inform3tion.
Please call me (my card is attached) if you have
anY 4�stions.
Tharilcs for calling me - Have a pp�, �pp�, Holiday.
�
I
�
d�y6�°Y S
GCTIONS
JENICINS, MARLEN K.
Forms L7 Stee] Reinf.
JUL 3 1964
ZONE 3 DLSCRIPTION OF WORK
DATE IGROUP I TYPE
SUBCONTRACTOR � DATE
i �
...• : 2254�
� "
COSTA MESA BUILDING-SAFEfY DEPARTMENT
� P.O. BOX 7Y00 C08TA ME6A. CALIFORNIA Y26Y6
� For Appl7canP ro FIII In Completely
TYPE OR PRINT
ADDRE'35 Z J� ��IV O
COSTA MESA, CALIFORNIA
. Cas TA l�'IESA No S�
41TEC1' _�„ T!L'
161NE8R NO.. �
OPGQ -�
�5 T� ME5 .4
. . _ _ � �T,6I.' {�SiL �
�J
G6TeACN LIX6IROY �
C6Niert oP aTrt[aT RGR YMO —
� � /
SIOQ YARD L[FT . RIQM'
DESCRIPTION OF WORK
� 6ZE�INO/.f/OX�3NO.Ow �f
R�OMB L�
I H6P60Y ACKNOWL6DOR TMAi t XAVB RHAD TXIB APPtICAT10N
AND 6TI1T8 iHAT TX6 AGOVB 1� CORRHCT�AND AORC6 M COK.
PLY WITH ALL CITY OROINANCiY AND iT LAWY R60U1 TINO
GUILOINOGO L7�ON.
I
SIGNATURH OP
PERMITT6
wuTnonizeo �oenr ' �
FEE RECEIVED
JllL 31��9
fINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMR
BUILDING
for Offlm Use Only
11[Cll'T HO. PHP�<% p�
S %
ZONING
[ NO.O! YYtO�NI
i � �uru Y euuo�Ho
YARDS MPROV6D
MAIN BUILDINO
v�w. i�
SHALL B8 LE88 THAN
YARDSAPPROVHD
ACCEDSORY BIIILOINO
OATE
ar "_' __ � s ' b
a
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.�
D ec. Rr. �
e
TX8 AMOUNT BNOWN UNDHP VALYATON 19 POR TXB j
rYRP09H OP HHTABLI6XIN0 A PlRMIT F86 ONLY. a
VALUATION � V O �
� PERMIT FEE p
O � O [n
�za
�O �
TOTALFE6 $ �
INS
sou
GAS
ER �
ADDRESS
DATE
BUILDING PERMIT N0. •
o. LOT TRACT FIRE ZONE VALUE:
ECTIONS Signature Date GROUP .T TYPE
W AT ER
PROP. SWR. LINE U HOUSE CON.
SPRINKLING SYSTEM
MISCELLANEOUS
UN�ERGROUNO U POWER U
ROUGH WIRING
TRENCHES FORMS � STEEL REINF.
FLOOR SVSTEM
BOND BEAM ❑ STEEL REINFORCE �
SHEATHING
FRAME AN� FLASHING
LATHING - IN n OUT
P 4R, BROWN COAT
5 fURqL, FINAL
PLUMBING, FINAL AN� GAS TEST
ELECTRIC, FINAL
BUIL�ING, FINAI
SUBCONTRACTOR
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� 31325
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
ea�o .� ir�,t:t
1P.N 26-7Gcnsr,a0 7b9 19.50
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Complefely
FECE VED BV DATE RECEIVED DATE ISSUED
BUILDING /J' �(�L� e /� - � /+�� ��/O
ADORESS d // �
�� -G� �-aa P MIT N .
OWNER II L/�Ij� Gj✓/J�/ �J�S A.P. NO. /
MAIL ADORE S� � 7 p�
ADDRESS 5.��%��- � �/
CITV
i. O.S/A /'/fa: Sg7 NOL �Qr�dc� , TRACT (�(� lOT � BLOCK
CANSTRUCTION �y d/j/` W AD A R P , .
LEN�EFi //
BRANCH ' / � �
OWNER
ADDRESS ' ( • VALUE
ARCHITECT /Ays J �. TELy�� ,//a S $ /�� �
OR ENGWEER F !J � �
/� ,b /� FIRE
ADDRESS � ' /�/'Nl� �v'�:JC �.EJvP, ZONE TVPE GROUP
CONTRACTOR � ��, ByPROVED � DATE/-�G�-/
iJPJS-/ c:2
ADDRESS - �� �/j Lt�/�
CITV /�v,y /� - NOL Z'9�y�' ZONE NO.OF USE OF NE���=
, Q�� PLAN$ p� BUILDINC�f
STATE CITY �'ARDSAPPROVED ARDSAPPROVED
LIC. NOy� 9 Z LI0. NO. � Z. �l MMA�IN BUILD�IN7G ACCESSORY BVILDING
SIZE ��] �� G NOW ON LO S (F�F OtONT �S�F ., FT.
OF LOT oC �
USE OF � ^� i �
EXISTING BLDG. S i q/ �i 9n+. � ✓�o!'�"` S F PT.
SIZE OF NO. OF
NEW BLDG.� � �� � ROOMS I STORIES � L. SIDE FT. FT.
EXTERIOR WALL ROOF
COVERING COVERING Gv ��✓4i6• REAR FT. FT.
VSE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN &
MAIN BLDGS. ACCESS. BLIX'aS.
� VAR. # DATE
s������ Jif/ �,/la C.U.P.� APGROVED
APPROVED
6-
I hereby acknowledBe that I have reatl this application antl siate
ihat the ebave information is correct antl a8ree to comply wiih
all lews regulating buildin8 �onsvuction, and I shell not ¢mploy '
any person in violation ot the workman's compansation lews of
the State ot California.
I hereby certity ffiat I am properly Iicensetl as a contractor under SQ. FT.
the State ot California us ness antl Protessions Cotle, Division 3, THE AMOUNT SHOWN UNDEF VALUATION IS FOR
Cnepter 9, and that ch 1 censes are in full force entl effect, or I THE PURPpSE OF ESTABLISHING A PERMIT FEE ONLV:
am exempt from t Oro sions ot the St e of California Busi ss VALUATION
antl Professions C e, D' ision 3, hept 9 PERMIT FEE $ �
SIB�ature ot - � � � n O T
Permittee � $/3(i0' L� PLAN CHECK $ (,/
Auffiorizatl ABant �
TOTAL FEE $ • �O
m
N
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LL(
\
} . � ! 9499
C�STA�MESA BUILDING-SAFE(Y DEPARTMENT
-P .• P.O. BOX 91] C09TA MHBA. CALIFORNIA
For Applicanf �o Fill In Completaly
c, TYPE OR PRINT
COSTA MESA, CALIFORNIA
3800 East Coast '
na del Mar, Cali
� Macco Realtv Co
iic.'r7o.207343-A-SB1 No:' OR 342,
sae 65 x 93 - I"� ��
OF LOT - ' rvow oi
USEOF none
EXISTIN6 BLDG.
SETBACK LINB PFlOM
CENTER OF BTREE! • w�' REAR YAF
1
SIOE YARD LEtT � � RIQHT -
DESCRIPTION OF WORK
�..�..� �,... .�,�
o �. y►�.��.� J�:�
� m9AY 2 2 1953
FiNf�i�CE DEPT.
CITY OF COSTA pAESA
APPLICATION FOR PERMR
BUILDING
For Office Use Only
I nece��rno. I .rsewu+a
necnveP�r I oy�x-Recelyeo�?I �Ye �298E l$�i3
rCi LJ / ri-�
ew�oma
�ooReas
FIRE �
-3-422 ZONE T'PE GROUP
APPROV6O
.34220 BY DATE
ZONING � ,
ZON[ � I NO. OF/� I O9E OP N�
•tAN✓� OU�LGIN
o:s�airrion Lot 31 - Tract 4784 �
A. P. NO.
N07E: NO EAVE OVERHAN6 SFIALL BE LE53 THAN
- 90'�T081OE9REARP.L.
cg EAVES
>7ltOR0 A�LOWED �U.B.C.REQUIREMENT)
YARDSAPPROVE� YARDSAPPROVED
MAIN BUILDING ACCE590RYBUILDINO
f FROM C/L 8TfiEET)
33� FRONT FT.
. (� � R. 9IDS � FT. FT.
'siie: ���+'x41'1 -6" iiqoms 7 aroRiss Z
EXTERIOR WA{y ROOF � `5 � �-
COVERING JCUCCO GOVERIN6 St11R{{L0 �
U8E OF BUILDINC AND WORI( TO BE PERFORMED
Sin le fam.' res', w/att, gar.
Plan No. 500-A
I HEFEBY ACKNOWLED08 THAT 1 pAVC RBAD TNI6 APPLICATION
wNO 9TATE TNAi TN6 ABOV6 ID COflX6CT ANO AGREB TO COM.
PLY WITH �LL CITY OqO1NANC[Y AND YTAT[ LAWB R[GULATING
BUILDIN6CON6TRUCTION. � ,.,
/�
SIGNATUREOF � �
PERMITTE �J CL� ��
AUTHORIZEDA6ENT/i. �. J� / � . ._._
VAR. #
F
BET. MAIN @
ACCESS. BLJ
DATE
22 S.F. Gar. 460 S.F.
we ing sc. Fr.
THE AMOUNT BHOWN UNDEH VALl1AT10N IS FOR TH8
PUHP09E OF 88TABLI6HIN0 A PERMIT FEE ONLY.
VALUATION I�/
�PERMITFEE S ;/�
� Z3�9ZS.O0 LA C ECK � ��J
�
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