HomeMy WebLinkAbout2795 MENDOZA DR - Building Permits/
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PN0.IECTPODflESS: 2795 MENDOZA DR
OWNEH'SNAME: HITCHCOCK, MELVIN L
nooness: HITCHCOCK PATRICIA
2795 MENDbZA DR
COSTA MESA,CA
APCHIENGINEEfl:
FOUHE55:
uxir:
A
92626
XEG.NO.:
UNIT:
'E"MinEE: pATRICIA HITCHCOCK ( 714 ) 966-0909
aooness: z�g5 MEND02A DR
C M CA 92626
LICENSEO CONTBpCTOB OEClA11ATI0N: I hereby aflirm Ihat I am licensetl mCer pmvisions o1 Chapter 9(commencing witA Sec�ion
7000� o� �rvision 3 0� ihe Business anE Pmtessions Code, antl my license is in full force an0 eHec�.
CITY LIG: STATE IIC.: CLASS:
�a�e: Signature:
WOBNEBS' COMPENSRTION OECIANFTION: I here0y aHirm tAai I have a cehificate of consent to ulbinsure or a cetlificate ol Workers'
Compensa�ion Insurance. or a certilietl copy �hereo� (Section 3800, Lab. C�.
POUCY NO.: EXP. DFTE:
LOMPANY:
❑ Ceniliea copY is �ereby �umishetl. ❑ Cenifiea copy is liled with the ciry BuilOinA Division.
,a�e: ApPlicanP.
E%EMPTION FflOM WOPKEflS' fAMPENS11TI0N DECLAP,ITIDN: Qhis secuon nee0 not be comple�e0 il �he permt is for one huMre� (5100) or less).
I certily that in ��e peAormance of Ihe work for which Ihis permi� is i55ue4. I shall no� employ any person in any manner so a5 io �ecome
Subleci ro Ihe Wqorkersq' Compensation Laws o� Calilomi��// . \ i L1 .�� �
Oate: ��`— `� Signa�ure: f G`�-1- `(�l O✓ �� l'�l.�C'�CIi
NOTICE: If. alter making t�is tleclaralion, you shauld hecome suhlect to tAe Worker5' Compensation provisions of ihe Labor
Code. you mu51 forihwrth comply wi�h such pmvisians or Ihis Dermi� shall be deemetl reuoketl.
CONSTHULTION LENOING FGENCY: I hereby alfirm Ihat there is a consimction lentling agency for ihe pedormance of ihe work For
whicn Ihis permit is issuetl (Seclion 3097. Civ. C).
LENOEN:
FOOflESS:
OWNEN 6UILOEX DECLABATIDN: I �ere�y aflum �hat I am exem0� �mm Ne Con�mctors' State LicenSe Law �a� Ihe tollawing reason
(Section 7031.5 Business an0 Pmfessional Code: Any ci�y of counry which r¢quires a permil �o consimct, alter, impmve, tlemolish, or
repau any slNc�ure. prior to its issuance. also requires Ihe applicant for such Dermi� �o lile a signetl sta[ement Iha� helshe is licensed
pursuan� Io Ihe pmvisions ol the ConVac�ors' State License Law (Chapter 9(commencing wiih Sec�ion 7000) oi Oivision 3 of Ihe Business
anG Pmfessions Cotle) or Ihal he/she is exemp� Ihereimm antl Ihe basis Por ��e allege0 exemption. Fny Mola�ion ol Sec�ion 7031.5 by
any applicanl �or a permit sublec�s ihe applican� lo a civil penal�y ol nol mare than live �unaretl dollars (5500).
�I, as owner al Ihe pmperty or my employees wilh wages as Iheir sole compensation, will tlo �he work, ana �he
s�mcWre is nol inlentled or oflere0 for sale (Sectian 7044, Business and Pm�euional CaOe: The Conirac�ors' S�a�e License Law
tlaes not apply �o an owner ol a pmperiy who 6uilds or improves lhereon, antl who Aoes suc� urork �imSelVherself or ihmugh
hIs or her own employees. provided �hai such impmvemen�s are nof inten�etl or oflerea �or sale. If, however Ihe builtling or
improvement is sold withm one year oi completion, Ihe owner will have �he burtlen of pmving he/she OiU not Dui10 or improve
for Ihe purpose of salel.
I, as owner ot �he pmDeny, am exclusively conlrac�ing with licensetl conVacmrs lo cons�mci IAe prole�� (Sec�ion 7094, Business
LJ and Prolessions Coae: The ConVacmrs' Slaie LiCense Law OoeS nal aDPiy �o an Owner o� pmperiy who Duiltls of impmves ��¢reon
antl who con�rac�s �or suc� pwlec�s wi�� a contractoqs)license pursuan�to Ihe Contracbrs' Siate License Law),I am awa�e
Ihai pmol ol �heir Worker'S Compensation insurance should be pmvideA to me.
� I am exempi under Seciion: B_ 8 P. C.
for Nis reason'.
(� C s� /�, %���..�� �
�ate: U ' I ' � 1 pwner�� � "� • <���"�'�
I Oo hereby cetlity ��at I am aware o� antl un0er5lanU Ihe reQuiremen�s ai Caiilomia Healih antl Satery CoOe Seciions 2550.5, 25533, antl
2553G antl Ihal I ar any INure builaing occupant will/will not (circle one� neea b comply wiih saia s�ate cotles and Ihe requiremen151or a
permil �or consimction or motlificalion �mm the Air Ouality Managemen� OisVict. Residen�ial cons�mction applica�ions are exemD� �rom
Ihese provisions.
Dale: Applitanl:
I hereby cer�ily Ihal I have read �his applica�ion and s�a�e �hat �he above information is cortecL I agree to comply wilh all ciry antl counly
ortlinances antl s�ate laws relaling to builtling consimclion ana hereDy aWhorixe represen�atives o� ��is ciry Ia enter upon the above�mentionetl
pmperiy br insDec�ian purpases �� r. �
�ate: �'�- C�� Signature' TC.UJ�l-G �`% `-� 1(`���G� �
Onver's Lirense or Social Securi�y a:
16aL46 Wbile-Builtling: Green-Code Eniorcemen�; Canary-Apphcam; Pink-Revenue; Goltlenm�-Assessor
CITY OF COSTA MESA - BUILDING PERMIT
PERMIT NO: B 063424 PLAN CHECH NO: N
CONSTRUCTION TYPE: PERMIT TYPE: STR
JOB DESCRiPTION : T/OFF SHEATH REROOF W/COMP SHINGLES
CLAIM VALUE:
3,000.00 CAi.C-Vr�,UE:
PERM NO: B 0634z'
GOVT; N SUPP: A1
PUHPOSE: OTH
SQ FT;
3,000.00 GROUP OCC; R-3
3,000
/M-i
COMMENTS; REROOF 26505F RESID 6 GARAGE W/COMP SHINGi,ES
if �f iF if 3F iE # iE iF iE?E �IE lf iE 1f if k 1E iE if if iE iElf 1E iF �lk-lE if iE �E �! iF it it iF iE if iE if �F ik iE If iFiF if k 1f if�i(-if !f �lE if iE �1F if fE k iF1f iE-1f iE iF iE fE lE it iE # if iE M �F iE if aE
ZONZNc �EQUIREMENT�MOKEDETECTOR
5 E T B A C K S p� 'pc
------------ MAIN BUZLDING ---------- --------- ACCESSORY BCfii��� �1-� R---
FRNT: rT ZN REAR; FT IN FRNT: FT ZN REAR: FT iN
LEFT: FT IN RGHT; FT IN LEFT; FT ZN RGHT; FT IN
PARICING REQ: PROV: PARCEL: 19162611 ZNE: REF NO:
PLANNING N4TE5> �-'
„ �, - %�
*��*****x��**,x���rx***�*�*�******��r��+r*****�r��*�*�rx*�r***�r�r*�r#�r*�***�t��r��r�r**tr*�r�r+e
D E V FYL O P M E N T S E R V I C E S R E Q U I R E M E�T 5
ZONING APPROVED BY DATE:
BUIiDING APPR�r'ED BY ; DATE: !'
APPiICATION ISSUED BY• DATE: *� L �
iE iE'K'jf if 3E jf i% if iE ifif if iE')% if iF 1%ifii"li'i�".`� *;t'lF�f lF �t %'!�'� it �* ��i�F il-�h' ��il'�'lF��iFik'Y ififiEi% ih'I('if if lF� 'ltif lt '1�"1E
�EiElFiflfiEiEififlEifikiflE3EiFlfiE3fiEik3k1fif16�EiEiEiElflfiFiFiEifiEiEiEff9EfE1(�lEillEiF3FifiEifkil�lEi4iF3ElE1EiEjfiEiEiEifi(�il�iE1E1f1EiFiPlEi6jfiEifiEik .
LEGALIZATION:N F E E S U M M A R Y STRUCTURAI, SEGM�,NT:Y
BLDG PMi PLUMHING ELECTRIC MECHANIC FIRE SMSP/kES GRADING
PERMIT 59,00 50
SMIP/NON,-RES
PLAN %'
ISSUE FEE "��
BUILDING-UIV-> PERMI� I55UE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 54.50 0.00 0.00 59,50 54.50 .00
REVENUE DIVI5ION TOTALS--> COLLECTED• 54.50 OVER/SHORT•: !�'. 00
BLD54P00 PLUMBING ELECTRZC MECHANIC FIRE 5MIP/TOO GRADING�LAN-CHECK
1E �E 1f jF iF 7E if 1E 1E iE iE iE �E iE 3F iP 1E iE 3F �ElE if iE iE )f ik iE if iElf 1E iE iE iE 1f �E 1E iP if iE iF 3FiF iE if iE �f 1E if if IE if iE iE 3F iE fF 9E fE if lE i: iE 36 iF �1(� iE if k iF �IE # dM1 �E 1F iE k iE if
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 �TOTAI, COST
SFR 3000 REROOF BY VALUE RELNDEOFZFEESN020Nc 1.00 %i. 3,OOQ.00
IX
�
Oi Q0144570-00144571 T O�T 54.50
DATE: fi8/�9/i3 TI11E: 13:`b
�
CONt RUCYION AND PLANNING' POOL F q� � _
Date Inspector Date Inspector
APPROVALS Permit,# � _ APPROVALS Permit #
� 1..Temporary�Electrical Service or Pole - � 52. Pool & Equipment Location " -
2. �Soil Pipe•Undrgrnd. � 53. Steel Reinforcement � �
3. Electricai Conduit Uti{ity-Undrgrnd. ' 54..Forms � "
4. Electrical Conduit-Undrgrnd. - � 55. Electrital Bonding � '
5. Steel Reinforcement . 56. Rough Plumbing & Pressure Test �
6. Eiectrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electricai Conduit-Undrgrnd. .
8. Fo�ndation � 59. Gas Pipe, O Undrgrnd., Test '
9.. Water Pipe-Undrgmd. 60. Backwash Lines, P�Trap, O Undrgrnd.
10. Sttuctural Floor System 61. APPROVALTO�DECK .
11. Property Sewer Line & House Connection � 62. Backwash & Receptor�Pinal � ,'
12. Sewer Cap . 63. Heater & Vent�Final � �
13. Roof Drains 64. Plumbing System - Flnal - ' "
14. Rough Plumping � 65. Eleciricai�Final � �-
,
75. Rough Electrica6Conduit � 66. Solar System-Finai -
16. Rough Elect��c Wiring 67. Fenting & Access Approval � -
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING � _
18. RoughE�ectrical-TBarCeiling � 69. POOLISPASYSTEMSFINAI.
19. Aough Heating & Air Conditioning FIRE DEPT. REQUIREMEN7
20. Rough Factory Fireplace � , � � � � � � APPROVALS� �Permit #
21. Ducts,in Structure � , �. 70. Underground Hydro .
22. Ducts, Ventilating . � �77. Product Piping �Gas �Oil
23. Gas Pipe-Rough &"Test . ' � '72, Underground,Flush � , ' '
24. Roof Framing�� . � 73. Undergrnd.Storage�Tank�Gas ❑Oil
25. floof Sheathing ��1�k? � 74. Overhead Hydro
26. T-Bar Ceiling (Structura1l & Monocoat 75. Dry Chemical •
27. Frame and Flashing ' 76. � Dry Standpipe
28. Lathin9&S�ding� � •• 77.� FIXEDSYSTEMFINAL �
29. Insulation �'� � � � j 78. fIRE PREV. FINAL
�
.30. Orywall Nailing � � � HEAITH DEPT. REQUIREMENT
31. Plaster Brown Coat ' � I 79.' FINAL INSPECTION �' �
32. Electrical PoWer Meter-final �� � I �� 80. FOOD CERTIFICATE ISSUED
33. Final Electric � � � Notes: ' �'
34. Final Heating & Air Conditioning , { � , ,�
35. Pinal Gas Pipe-Test • � � � � �
i -
36. Hood or CanopY . � I j � � ,
i
37. Final Factory Fireplace � ' �
38. Final Plumb�ng � . � �
39. Water Service�Final � �'�
� 1'
40. Gas Service�F�nal � � ' '
41. Solar pomestic-Final �
42. Backflow Preventer ' I �
43. Backflow Irrigation ;;; _
44; Landscape Irrigation �stem . -
�� .
45. Sound Attenuation -: � (j� • '
46. Handicap Regulations'�! � � � t . � � . � � .
�
47. F/NALSTf7UCTURE.$c�8 E�D1NG % l,��� �[v £'yy,�� / �Q Q�� /'. !Q�""�
�..1 i KQ.7 � Y�'��C/
48. FINALPLANNING �^ ��- � r--�I , .
49. Electric Release to Edlon j?'. �� ,
50. Gas Release to $outh fn Cefifomia Gas Co � j' ,�-i_ . .
51. CERTIFICATE OF OCCUPANCY • ;
No. � Date
CITY OF COSTA MESA ` ,
BUILDING DIVISION
OWNER-BUILDER VERIFICATION
A city or county, which is required to give notice pursuant to Section 19830, shail attach to such
notice, and, 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 unhecessary 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 iabor and materials for construction of the pro-
posed property improvement. �,Yes ❑ No
2. I(have/have not) l,�p,v� signed an app�ication for a building permit for the
proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction:
Name
Address
Phone (
Ciry
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 (
City
Coniractor's Lic. No. _
5. I will provide some of the work but I have contracted (hired) the following persons to pro-
vide 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 19830 of the State
of California Health and Safety Code and have completed the above information to the best of my per-
sonal knowledqe, in compliance with this �State law.
Signed: •�c��v..��_a� Cl - ��l`�,�CX�G� Date: �h — GI—� �i
Name: �F�T2\C\}� A, N�-�C��CC�G�
(Printed or Typed)
c.�.�. a o� s.s. a
754-5273
: � � 19497
WSTA MESA BUILDING-SAFETY DEPARTMENT
P. O: BOX O1] CO6TA ME6A, CALIFORNIA
., Fo► Applicanf to Fill In Completely
� � TYPE OR PRINT
Bt11LDINa Q795 Mendoza Avenue �
AODRES8
`. ' COSTA MESA, CALIFORNIA �
ADDR6SH 3800 E..Coast Highway-
��n, Corona del Mar, Calif. Na•OR 342
ORENGIN66R �CCO Realty Co. No•OR 342
k,�'�,$$ same ae, above
CONTRA T �CCO RESLC CO•
.______ 98IDn 88 Bb�VE
uc No.207343-A-SBl NE�� OR 34220
SIZE �S, X lOS, I H��OPaLDa�
OF LOT NOW oM Wi
USE OF
EXISTING BLDG. IlOIIC
e¢rewcK uni �rtotn 50 � ' ��
C6NTEROR➢TRiR REARYARD
910B VAR� I L6FT 9, RIOHT ' 1�,
DESCRIPTION OF WORK
.._... � x �� -�-----•--.� �� ---�-�--�
1611
PIAN NO-500-BR �
1 HEREBY ACKNOWLBDOQ TXAT 1 XAV6 READ THI6 /�PPLICATION
AND 6TAT8,THAT TNd ABOV6 I8 CORRSCT AND AOqEB TO COM-
PLY WITH ALL CITY ORDINAXC[! AND aDTAT[ IAWY q[OULATIHG
BUILDINOCONBTRUCI'IOfi. �CCO Rl]AL� CO
91�NATURE OR
" i{ f,'� " %`1� �' � 1
I�L L. ��i_1/l..i`l`+...SJ
�� ;dAY � 2 1983
FiN;�,l\CE DEPT.
CITY Of COSTA iNESA
APPLICATION FOR PERMR
BUILDING
For Office Use Only
I qeCB�PT NO. I P$qyl'pryl{.�
q6C[IV OY
ZONING
NO. OP O6[ OF
•LANe CYILDII
L60AL
�re�s�e�63
0
NOTE: NO EAVE OVERHAN6 SHALL BE LESS THAN
80" TO SI�H Q RHAR P. L.
EAVES
ALLOWED fU.B.C.REQUIREMENT
YARDSAPPROVED VARDSAPPROVEO
MAIN BUILDINO ACCESSORY BUILDIIi6
( FROM C/L STREET)
oisrwncs�sr. I BET.'
MAIN BLD6 . AGGE
VAR. # DATE
wellin�-2266 S.F. Gar-460 S.F.
c. Fr.
TXE AMOUNT BXOWN YNOlR VAWATION 19 FOft THE
GURPOSi OF GBTABLI6HIN0 A PERMIT PEE ONLY.
s 23,925.00
z
0
4