HomeMy WebLinkAbout2745 MENDOZA DR - Building Permits�
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PflOJECTAUDPE55: 2'�9S MENDOZA PFi
OWNEP'SNFME:SAMSEL, MARILYN M
aooeess:z�45 MEiVDOZA DR
COSTA MESA,CA
AflCH/ENGINEEN:
ADONESS:
UNIT:
92626
NEG.NO.:
UNIT:
PEflMITTEE:MOARIS CONSTRJCTION ( 714 ) 572-8714
nooeess: z138 TYNES DRIVE
PLACENTIA CA 9267Q
LICENSED CONTBFCTOfl OECLAflFTION: I hereby alhrm Iha� I am licensetl untler pmvisions oi C�ap�er 9(cammencing wit� Sec�ion
7000� ol Division 3 0l the Business antl Pmlessions Code, antl my license is in �ull�orce ana eflect.
cirr uc.:C,S� ,��q 5/�STRTE LIC,180570 cuss� `
9
I�� oate: _ 3 5 Signature: �
WOflNEflS' L MPENSATION OECLAPATION: I �ere�y aflirm Ihat I have cenificale ol consent to self-insure or a certi�icale o� WOBers'
�'� Compensaiion Insurance, or a certifietl copY Ihereoi (Seciion 3804 Lab C�
'roucvxo.:pWC207904-00 E%P.DPTE:SO�SLI93
I comraxr:GOLDEN EAGLE
}Q Cetlilietl pY is hereby �umi5he0- ❑ C¢hitietl copy is filed with Ihe ciiy BuilOing �iN52q. n_ �
� v � �
�ate'. �� p001¢ant:
I �
E%EMPTION FflOM WOflNEflS' COMPENSATION OECIAflpTION: (TI's sec�ion neetl not be campleted it Ihe De�mit is for one hunOreO (5100) or less�.
I cerlily Ihal in the pedormance ol lhe work for w�ich t�is permii is issuetl, I shall no� employ any person in any manner so as to �ecame
su61e�� �o Ihe Workers' ComDensatlon Laws of Califomla-
�ale: SignaWre:
NOTICE: II, alter makmg Ihis aeclara�ion, you shoultl become suhle�� to �he WOBers' Compen5ation pmvisions of the LaDor
Cotle. you musl totlhwilh comply wilh such pmvisions or Ihis permi� shall be deemetl revoke0.
CONSTBUCTION LENOING RGENCY: I hereDy ailirm iha� there is a constmction Ientling agency lor �he pedormance ot the work for
which �his permi� is issueJ �Seciion 3097. Crv. C�.
LENOEP:
FODPE55:
�
OWNEfl BUIlOEfl OECLRflPTION: I here6y allirm Ihal l am exempl imm t�e Comracmrs' Stale License Law br [he following reason
(Seclion 703L5 Busmess antl Pro�essianal Catle: Any ciry ol counly which repuires a permit lo conslmc�, alter, improve. tlemolish, or
repaii any Slmciure, prior Io iis issuance, also repuires Ihe applicant br such permii Io �ile a signed s�atemen� �ha� he/she is IicenseJ
pursuant lo the pmvisions of the Coniractars' S�a�e License law (ChaD�er 9(commencmg wit� Sec�mn 7000) ol �ivision 3 oi the Business
an0 Pmiessions COAe) or Nal hehhe is exemp� therefmm and �he basis lor Ihe alleged ezemplion. Nny violaiion o� Sec�ian 7031.5 hy
any applican� lor a permii su0le��s lhe apPlican� �o a civil penalry ol noi more �Aan �ive huntlre0 Oollars ($500).
I. as owner of t�e propeny or my employees with wages as Iheir sole compensation. will do ihe work, an0 ihe
❑ siruc�ure is nolintentletl orolierea�orsale (Section 7044. Buvness ana PmleSsionalCoOe- The Conlraciors' Sta�e License Law
Ooes no� apply �o an owner ot a pmpeny who builes oi impioves ��ereon, ana who does such work himsel�l�ersel� or through
his or her own employees. D�oviOetl iha� such impmvemen�s are nol in�entleA ar ofleretl for sale. II, however Ihe builaing or
� impmvemen� is soltl wiNin one year ol compleiion. Ihe owner will have Ihe burtlen o� pmving helshe OiA nol builtl or impmve
lor ��e purpose oi sale).
1. as ownei ol ��e pmpeny. am exclusiveiy canVacling with licensea conVactors to constmcl ��e pmlem �Seclion 7044, Business
❑ and Pmlessions Cotle'. The Contractors' S�ate License law tloes not apply io an owner oi propeny who huilds or impmves t�ereon
antl who coniracis lor suc� pmlects wilh a coniracloqs�license pur5uani Io Ihe ConVaciors' Slate License Law�.l am aware
t�ai pmof oi their WOBer's Compensalion insurance ShoWd �e pmvitletl to me_
� I am exempt under Sec�ion: B. 8 P. C.
for Ihis reason:
Oaie: Ownec
I tlo �ereby cetlity �hat I am aware o� and untlersiand �he requiremenls of Calibmia Health and Safery COOe Sedion5 25505, 25533, antl
25534 ana IAai I oranyluture butlding ocwpant wtll/wtll not(circle one) neetl Io comply wiih saitl state mtles antl�he requirementslor a
permi� loi cons�mction or motltlicalion imm Ihe Air Ouaiity Managemen� Oislrici Be5i0en�ial constmc�ion applications are exem0� ��om
Inese pmvisioni
Da�e'. ApplicanP.
I hereby certityihal I have reaa I�is apPlicalion antl slale Iha� Ihe a�ave inlormaiion i5 correci. I agreeio comply wi�h alla�y and counry
or�inances and stale laws relating lo budemg mnsimc�ian and hereby aNhori:e representaiives o� ihis ciry �o en�er upon �he above-men�ioned
pmperly lor insp tlion rpases. �
�ate: Signalure: / 7 �
oriver's License or Social ecuri�y a: _`_-_ _--
CITY UF COSTA MESA — BOILPING PEHMIT F'EkM NU; & Obi716
PERMIT NO: B 061716 PLAN CHECK NO: N GOVT: N SUFF': N
COUSTRUCTION TYPE: V—N PERMIT TYPE; STR PURPOSE: �?LT
JU3 DESCflIPTION : T/OrF 5HEATH REROOF W/COMP SAINGLES SO FT: 5,500
CLAIM VALUE: S,SOO.GO CALC—VALliE; 5,500,00 GROUP OCC: R-3 /A".-1
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Z O N I N G$ ERTEBQAUCIxRSE M E IJ T S �EQUIREG
------------ yAIN BUILDING ---------- --------- ACCESSORY R�ILDING ---------
FRNT: FT Ih REAR• £T IN FRNT; FT IN REAR: FT �N
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING P.E � PROV; PARCEi; 14168207 ZNE: REF NO:
PLANNZNG N TES>
i
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D E V E L O P M E N T S E R V Z C E S R E Q U I R E M E N T S
ZON�NG APPROVED BY , DATE:
BUIi,DING APPROVED BY : D'ATE;
APPLICATION ISSUED HY: ' Di1TE: I�3�C(.�
iFlEiEIEiEiE7ficlfiEif�7FlEitiE�ifklE�IFiEiE-IE x x � lElE�lEiFiFiE?PiEif7E � it :]t �1FiE
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iEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLPG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRA,p_NG
PERMIT 81,00 "' SS
PLA13 r �. SMIP/NON—RES
ISSi3E FEE • �
BJILDING—DIV—> PERMIT ZSSOE PLAN—CHECK T01'AL PAID u_ DUE
TOTALS----> 81.55 0.00 .� c� 0.00 81.55 81.55 I .00
` ij
REVENUE UZViSION TOTALS--> COI;I,ECTED: 81.55 OVER/SHORT: � 00
BLUG PMT PLUMBING EL£CTRZC M£CHANiC FIRE SMIP/TOT GRADING PL�1—CHECK
&1,00 n " .55 - ��
1 �
3E iE if !E-k iE 3f 3E 3E �lE iE �1E?i� iE �lf if iF iE if iE iE i(-it �f iElF 3E if iE iE iE 1t if if iE IE 1�F.jE if iE iF K� i6 i6 iE iE iE iE if iE iF if if iE �1(� �)f iE iF if iE i(� it iE it iP iF iE �It iE # iE iF iE i!� X�1F 1F iE?!
I N D I V I D'J A L�"; F E E B R E A K D O W N
�� 1
TYPE QTY D E S C, R I F T I'O N UNZT COST T01'AL COST
SFR 5500 REROOF'HY VALUE RESIDENTIAL NO`LONE 1.00 t�;50D.00
END, OF FEES
� ' !
�1 '� .n. . ....��.
EXF�iF3cD
i��.�ompieha lris�ections
ff ')8tC — . — Sigr OI_OO1S7143-nntazf«— +---- -' �
_' ._ �— _
__ �
CONSTRUCTION AND PLANNING
APPROVAl.S Permit # Date
t. Temporary Elect[ical Service or �oie
2. Soil Pipe-Undrgmd.
3. Electrical Conduit Utility-Undrgmd. �
4. Eiectrical Conduit�Undrgrnd.
5. Steel Reinforcement
6. Electrical UFER Grnd.
7. Footings
8. Foundatio� ,
9. Water Pipe�Undrgrnd. •
10. Structural Floor System �
17. Property 5ewer Line & House Connectian
12. Sewer Cap �
13. Roof Drains , , � �
14. Rough Plumbing _
15. Rough Electrical-Conduit
16. Rough Electric Wiring
17. Rough Wi��ng Sign
18. Rough Electricai-T Bar Ceiling
79. Rough Heating & Air Conditioning
20. Rough Factory Fireplace '
21. Ducts, in Strucmre
22. Ducu, Venti�ating ,
23. Gas Pipe•Rough & 7esc
24. Roof Framing
25. floof Sheathing
26. T-Bar Ceiling (Structura1l & Monocoax
27. Frame and Flashing
28. Lathing & Siding �
29. Insulation
30. Drywail Nailing
37. Plaster Brown Coat. .
32. Electricai ?ower MAter-Final
33. Final Eleciric
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 ServiGe�Fina�
41. Solar OomesticFinal
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irriqacion System
45. Sound A�tenuauon
46. Handicap Regulations -
a7. FrNaL STRUC'FURE & BUILDING
48. FINALPLANNING
49. Electric Release to Edison
50. Gas Release to Southe�n California Gas Cn
51. CERTIFICATE OF OCCUPANCY
Date
POOL ,,PA
Inspector APPROVAIS Permit # Date
- 52. Pool & Equipment location �
53. Steef Reinforcement
54. Forms
55. Electrical8onding
56. Rough Plumbing & Pressure Test
57. APPROVAL TO COVER�GUNITE
56. Electrical Conduit-Undrgrnd.
59. Gas Pipe, O Undrgrnd., Test
60. Backwash Lines,P-Trap. Q Undrgrnd. �
61. APPAOVAITODECK
62. Backwash & Receptor�Final
63. Heater & Vent-Final
64. Plum6ing SYstem - Final
65. E�ectrical-Finai
66. Sofa. System-Final
67. Fencing & Access AnP��val
68. APPROVED FOR PLASTERING
69. POOUSPASYSTENiSFINAL
' FIRE DEPT. REQUIREMENT
APPROVALS Permit #
70. Underground Hydro
71. Product Pipin9 G'Gas d0il
72. Underground Flush
73. Undergrnd. Storage Tank � Gas ❑ Oil
74. Overhead Hydro
75. D�y Chemical
7fi. Dry Standpipe
� 77. FIXED SYSTEM FINAL ..
78. FIRE PREV. FINA�
� HEALTH DEPT. REQUIREMENT
79. FINAL INSPEC7ION
� : 80. FOOD CERTIFICATE ISSUED
� . � Notes: AJo GrPDD�v' ,�Je dQa GeKm-
�l-/ af-?'3� .vo o..�
0
(�compiete �nspectiens
0
Inspector'
0
. .. . I 9486
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 91'f C09TA MCBA, CALIFONNIA �
For Applicant to Fill In Complefely
TYP� OR PRINT
HUILDINO 2745 Mendoza Drive
ADDRE59
� COSTA M�SA. CALIFORNIA
OWNER M8CC0 RE3�C)7 CO•
A�DRESS 3800 E.C�ast Highway
�„�. Corona del Mar;Calif. No'OR 34220
ORENIGEN ERM�CCO RCSLCy CO• NpVR 34220
ADDRHSS Bgme as above -
CONTRACTOR� M�CCQ Realty CG.
.,,,,e�ea same as above
�S,`�TNo. 207343-A-SBl No • oR 34220
SIZE � �- " I NO.OFBLDOe
OF LOT 70 x 93 xow on wr non
USEOF IIOI�Q '
EXISTIN6 BLD6.
BETBACK LIN[ PROM 50 � � 31 � 6"
CENTER OP BTREiT RfiAR YARD
I 8� I $,
SIDEYARD LEFT RI6HT
DESCRIPTION OF WORK
_.�.., � X ��.._e_._.__.� �� •--•-•--. �
� gjZ��NQ54'x41'6" ROOMS 7 SfQR1H8AZ
EXTERIOR WAI�.tUCCO I ROOF Ch�i�� n �
Sin le Fam.Res. W/Att. Gara e
PIAN NO"SOOeB
I NEREBY ACKXOWLHOO[ THAT I HAV[ HEAD TXIB APPLICATION
•NO 6TATE iHAT iH6 ABOMS �y CORflBCT ANO AOpEG TO COM�
PLY WITX ALL CITY OROINAryC6B ANOp YpTA�T��[TL{�)W9 R[OULATINO
BUILOINOCON9TftUCTION.wy�CCO L\��^•••11 CO♦
�"Yf
SIGNATUREOF ' '
��;� ��.CEIU�D
MAY 2 2 1963
fiNn�vr,F nFPT.
APPLICAT�O�N FOR,PERMIT
BUILDING����� �NESR
' For Office Use Only
I' 11ECEIIf NO. I PERMIT NO.
�Y
ZONING
no. or uae
��' ��ene � euu
r,e„ Lot 18 - Tr+
NOTE: NO
YARDSAPPROVED
MAIN BUILbIN6
BHALL BE LE59 THAN
YARDSAPPROVED
ACCE990RYBUILDIN6
DI6TANCHBHT. . BET.'MAINa
MAIN BLDGB. ' ACCE55. BLDaB,
VAR. iC DATE
C.U.P. APPROVED
APPROV� . W��m naT� ,� ��V —G 7
wv
WG1L1Yb—LLVV �.c. �ar-�,� �.r.
sa: F-r.
THF AMOUNT BHOWN I1NO8R VALUATION 19 FOfl THE
PIIRPOSH Op gBTABLI6NIN0 /� PEftMIT FEE ONLY.
�/J/ s 23 925.00 L E K '.5 v
AUTHORIZEDA6ENTBy�.1�" <" /ZC.C�.(_t5�� ' . G�
■ TOTAL REE 4 �I�i I �