HomeMy WebLinkAbout1110 MISSION DR - Building PermitsADDRESS OF BMLDING: 1110 MISSION DR UNIT:
oHNERSNAYEIE $YOYIN: WESLEY HEUSSER
ADDRM: 1110 MISSION DR
C.M. CA 92626A 90014
546-1672
APP[. WILING AODRE54:
ARCNITECT OR ENfRGER: UC NO,:
ARCIL OR ENG.'S ADDRESS: UNT:
CONTRACTORS NAME:
COMACTORSMNI$IG
ADDRESS: UC NO.:
UNIT:
LICENSED C0W RACTORS DECLARATION: I Ms0y afR lade, penalty Of perjury Met I rem Iioa.W under prmitons of Chewer 9
Immmatldnp •ah $ration 7000) of Division 3 of the Bush. and Praises!. Cats, end my Emnee o! 1.11 form and Mea.
CfY LIC. NO, LIC. CLASS: LIC. NO.: EXP:
Done: c«maaar:
OWNER BUILDER DECLARATION: I hereby affirm under penalty of perjury that I alit "emq Mm IM Contract. Liosnee Lew f« IM
following reason (Sedan 7031.5 Russ news and Professions Code: Any city or couny which re,ulme, a permit to mnahuct Ohm, improve,
demolish, or repair erw structure, prior to is osuanm, aeo reyuima the applicant for inch permil to file a signed statement this he or ell
I. f need pursuant m the provoona d IM Conlractors Lim se Lew [Chapter 9 (commencing with Section 7000) of Diveion 3 OF the
umu" erd Rdesei«u Code[ or the( he «aha is exempt therehan and the Mae for the doped examgion. My videtion OF Section
191.5 by My appleenl for a permh subjects IM apploam to a dvil penalty of not more then fere hundred dollen [SSOOD.
.Cl I, m ow.r of the pmmny or my employess Mh wa sit; ea liner woo mmperuetion, will do the wok. ell IM sttuclu s a WinteMed
X' orm mdforsees(Se,tion 7044, Business all Professions Code: The Contradora Lime Law does not appy to en comer of properly
who Wide or in«ovee thereon. end who done nM, work himseh «herself or through his or her own ampk0aee, provided tMt such
improymments, we not
owmrrLu'dier wig have thenlan d pomp M w site dd not Wild « im,mnn 1. [hheemis s t Of sa)hin arta year of completion, IM
❑ I. as oemm d the praperty son udusiv* mnthedi g w t, licelsed. inapt. to m etrud Me project (Saxon 7044, Rinse and
Profesiom Code: The Centradors, License Lew dos not sooty to en ow.r of property silo bdlde or improv" (hereon end who
.mach, for six), projects wsh a rommctoRe) Bossed p rmm, to the Cirossm Lime Lew).
tester Somal:
e: "em B. A P.G../ba�y
/1 Owmr:N
cantly Mel I am sIL wam d and uMenb,d Me nnd,wenN d cam.Neehh sn tl Easy Code Sedim 25505. 25533, aid
25534. W Mat I or only haus W iclbp omen. will / we not (drab a") need to comply wih "o ems rad" sent! the rspdsmarRs for
e penin to..Malan 0, node anion h. Me "'Mry w-mmp"as Didda. Resides ml. W M ion appf rdios en ..no horn these
Dere: Apdmms:
WORKER'S COMPENSATION DECLARATION: I herety affirm oder peruhy of perpey one of Ms follows, ddmmio.:
❑ thew am Nme'vselamrboma daamuto setltintes or wakes'cotrWeramign,m prwtdad l«byDamm 5700dIM Leber
Cods, lor tM padomiems d Ma oak 1« wlidi lino De,rnsi a assert.
❑ IMfendoil mafmOmwork.'co Mysmwons'Mmim.sssionin,edbySection0 n0l 0144 Lab«Code. btM Wdo,merice dtM
wok 1« whicM1 thio perish is assert. MY workan' mmpsnaman .errs. miter erd po0cy numt,er are:
Carver:
Posy Number.
de section need me M conpleled f the perm$ is or ora hundred dollers (Stool «les.(
J I many that in the Mdorment, of IM wok for which this Mmh is isuad, I Moll w wploy My person in arty manner so as to
became subject to the worMrs' mmpenamion ows OF California, and agree [het 0 1 should become abject to IM wakes'
mnmessr. Pro+islm Of Section 57M of its Leber Code, I dull forthwith comply with Base provisions,
Done: APpti;anL
Weming: Fellun ro secus wodren',onpertsegon —sheri7s h un/ewful, sort slWl subyrpl sit smploysr fp crlmlnel Psnslhss serf
dull H. W o ons hundrsd (Mused "Ism ($1000004 M eddl0on As Ms rest Of mmPMOO1104 dsnns9es As pnvdM for In
Section 9705 of Me Lebo, Cods, Interest end sfomsy's fes.
CONSTRUCTION LENDING AGENCY: I hereby affirm under p .try of perjury thin Ihere is e oo.twion Wing aYs,ay M tM
W o mems, or the oak or whits the psonk is issued (Section 3097, CN. Ci.
LENDER'S NAPE:
LENDER'S ADDRESS:
I cenify thin I hen retl Me eppis all ion end eine iMt the aboe idommon is comma.I ague to comply sAh m dry end o mnty od'nenree
allaraeIes reletig to Milli, conevuaon ell hereby au rr repsonimhea of this sty to enter upon the eb«e mentioned moety
for impodon W,Poss.
WESLEY HEUSSER
Prsu Name
�C .Ip,r/ Dee:
W
ipru d edAgmsvA rector
(5151J5.WP) Whime-WMng & Safety; Gsen-Fo; Ca a"ppimtu; Rok-Rsenus; Ooldervod-Msaw
CITY OF COSTA MESA - BUILDING PERMIT
PERM NO: B089787
PERMIT NO: B 084787 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V -N PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION : T/OFF RESHEATH & REROOF W/COMP. SHINGLES SQ FT: 3,000
CLAIM VALUE: 3,000.00 CALC-VALUE: 3,000.00 GROUP OCC: R-3 /
COMMENTS: SMOKE DETECTORS REQUIRED IN EVERY BEDROOM & HALLWAY
44 4 4 444444444444 44 44 4 4 444 4 4 44 4 4 444 44444 4 4 4 444 4 4444141('444444 444 4 4 444 4 44444 4444 4 44
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT; FT IN LEFT: FT IN RIGHT: FT IN
PARKING REQ• PROV: PARCEL: 14156237 ZNE: REF NO:.--
PLANNING NOTES>*,
J.
444444141E 44141E 44iF44444444414141444444444444444444444444441414444444444444444,iE444444444
D E V ESL O P M E N T S E R V I C E S R E Q U I R E M E N'T S
ZONING APPROVED. -BY DATE:
BUILDING APPROVED BY ; DATE:
APPLICATION ieISSUED BY: DATE:
YYYYYYYYYYYYY'Y Y Y YYYY Y YY Y YY YYYYY
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SIEGMENt:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 74.75 50
SMIP/NON-RES
PLAN
ISSUE FEE
BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE
TOTALS ---- > 75.25 0.00 0.00 75.25 75.25 .00
REVENUE DIVISION TOTALS--> COLLECTED: 75.25 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK
74,75 .50
4444444444444444444444444444444444444444444444444444444444444444444444444444444
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 TOTAL COST
SFR 3000 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 3,000,00
END OF FEES
C9-19-1991/J4a3 F;;/i7a.2J
"ERM
CONSTRUCTION AND PLANNING
,
POOL . A
A!PROVALS Permit # Date
Inspector
APPROVALS Permit #
Date
Inspector
1. Temporary Electrical Service or Pole
52. Pool & Equipment Location
'
i
2. Soil Pipe-Undrgrnd.
53. Steel Reinforcement
.,;3= Eiectrical Conduit Utility-Undrgrnd.
-
• 54. Forms
y4. El2gtrical Conduit-Undrgrnd.
55. Electrical Bonding
' 5,i Steel Reinforcement
56. Rough Plumbing & Pressure Test
Electrical UFER Grnd.
57. APPROVAL TO COVER•GUNITE
p77_5 Footings
58. Electrical Conduit-Undrgrnd.
-''$P,,'Foundation
59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd.
60, Backwash Lines, P-Trap, 0 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 n
65. Electrical-Final
15. Rough Elect(ica l-Conduit r- _
66. Solar System-Final
16. Rough Electric Wiring
67. Fencing & Access Approval
'
17. Rough Wiring Sign
68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling
69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning
FARE DEPT..REQUIREMENTjr
-
Permit # = m
20. ;Rough F�4to5 Fi'`dlacer1APPF'OVQ.(;.t,
-
21. Duets- in"StruTturo i, •• •• -
'�?
i 5
'_ •-i r
_
�*+_ -� r
70..'lndergroolnd Hydro
r-' 1
,.
Y
r
22. D_uctd' Vehtilaiing`;;';, ijC
i
+ �.;
71. Product Piping 0fias Cil Oil
23. Utas PipeAougfi & Test
h
" ,
172• Undergr-'rid F,Itkit' -
1 h, IT
11
.D
IT c
1 > L. 1 S
1.•. F 1 heti .••
24. RoofSFraming" _ r
'j, h
>
rr, K
t� ,.,, ":73a
-�
L' f T ,
• Undergmd.Stota99Tank!:0Gas 0011
25. Roof.$henthing iP; 1: gin,
�'ZyZ�%
• 4
�^�
lGwfT
74? head H dr _ k
ver y (-.r
26. T-SPICeiling (StruSt�ral) & Mo"0 oat
''
''I t
75•;pry Chemical `
„ [t
t. ,^
_
- a
_.p Y r*t
27. 'Frans and Flashirt;g.K :5177
i r
r ;z-r
76. Dry StanWipe k
28. Lath`ng F4�Sidij g'�.4 •^ y L '�
y"y
7T FIXED SYS`TE,tyN, INAI� T
29. Insulation j f J > ••
''
7 FIRE PREY. FliprL
30. Drywall (� iling 'ref :,LNEALTIDEPT."fEQUIR�MENT
31. Plaster Brown-Coan , S I re
c
1 ll_
" 79. FINAL I�r9SPECTION t v _
R
�y
". 32. M�t�r��al !
k ?
�
� '
t 807 FOOD CERTIF_I�.4TE I�SYED..
,0ectricajyPow?r
X
33. FnallElectric -.
+
1 -
Notes: JT
n. -
j 34. FinaPHn,ingA At% onclnioning ; -
ti,
xo
35. Fjnal Gas Pipe Tes(., ,�" ••
�,
i !%
; D 7ti
-- 36. HooI�T-or Canopy
.37. F.inal.Faeiory FirepiaceJ;r - '�
'
I a•
r ii
38. Final'' Plumbing `�+ -'
`
!ti '
S " c •r -
n
f•-I S !
39. WateFServlce-Fina,V
+40. Gas Service-Final r 4• r*
"
It.
D-U.Y
_ 41. Solar Oon?estiie-Final :; '•
i •
r,,' r - =•
42. Backflow Prev_enter. It
V t H
43. Backflow'lrrigatiot+
44. Landscapai lrrtgation'System 'HT1� -
` •�
-' • '-
" =• � o a- ^
_ -
45. Sound Attenuation
s
46. Handicap•ReguiationLL
47. FINAL STRUCTUR� & BUILDING
_ v
y
48. FINAL PLANNING : -•-
�
'R
, 7 " '-
49. Electilc Release to Edison
50. Gas Relea9e to Southern California-Gas Co
51'. CERTIFICATE OF OCCUPANCY
R
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, shall 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 unnecessary delay in processing and issuing your building permit. No building permit will be issued
until this verification is received.
1. 1 personally plan to provide the major labor and materials for construction of the pro-
pop
roperty improvement. ElYes ❑ No
0 I ave/ ave not) signed an application for a building permit for the
pro" work.
3. 1 have contracted with the following person (firm) to provide the proposed construction:
Name
Address City
Phone ( ) Contractor's Lic. No.
4. 1 plan to provide portions of the work, but I have hired the following person to coordinate,
supervise and provide the major work:
Name
Address City
Phone ( ) Contractor's Lic. No.
5. 1 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
Q,r& Mc- coop '70 727 2 �I�E2
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 knowled , in coce ' h this State law.
Signe + C�c� Date: 4/qii
Name:�4
(Printed or Typed)
C.D.L. # or S.S. # _,
754-5273
1534S-1
COSTA MESA BUILDING -SAFETY DEPARTMENT
P. O. BOX 917 COSTA MESA. CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
BUILDING
ADDRESS 1110 Mission Drivp
COSTA MESA. CALIFORNIA
Lot 379 Tract 410ala" 3- AFSI " tSEP 1 9 D
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
RSCRIPT NO.
PIrrRMITTT t{O
OWNER Mpcp
MAIL - -
RSCBI BY DA RICIIV/UO
OCATH ISSUED
ADDRESS I
V I
SEP ii 1Rn1
TEL.
BUILDING
CITY Calif- NO.
ADDRESS
ARCHITECT TEL.
Macco Corporation OR
COSTA MESA. CALIFORNIA
OR ENGINEER NO. 3422C
ADDRESS 3800 E. Coast Highway
FIRE
ZONE TYPE V V GROUP
APPROVED
BY DATE
CONTRACTOR Cornorition
ADDRESS 3800E Coast Highway
ZONING
ZON _ I I PLANE �rBUILDINO
LEGAL ml `%
A2_O DESCRIPTION 1 r
�/
''
CITY
"TATE.TEL.
LIC. NONO. I
SIZE
NO. OP BLD68.
OF LOT
Now ON L
A. P. NO.
USE OFnone
YARDS EVES
EXISTING BLDG
APPROVED ALLOWED
SETBACK LINE FROM
1211
(CENTER LINE ST.)
/
/
CENTER OF STREET 11 REAR YARD
FRONT `% FT.
IN.
I 61 IRIGHT
`
61
SIDE YARD LEFT
R. SIDE FT.
IN.
DESCRIPTION OF WORK
G
L. SIDE v FT.
IN.
I II I II
Z
NEW ALTERATION ADDITION
REAR FT.
BYPROVED /1 DATE
P
Z IN.
REPAIR I II MOVING I (IDEMOLISH I
BUILDING NO. -OF
SIZE 1 Y521 II ROOMS STORIES
EXTERIOR WA"tUCCO ROOF COIR P
COVERING COVERING .
Garage Area
hhl S F
USE OF BUILDING AND WORK TO BE PERFORMED
w/attached garage
Covered Porch Area
29 S F
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
THE AMOUNT SHOWN UNDER VALUATION 18 FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM-
PURPOSE OF ESTABLISHING A PERMIT
FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
VALUATION
BUILDING CONSTRUCTION.
SIGNATURE OF _
PERMIT FEE
$ 3'3--
PERMITTER
/,, .
$ 15,963.00
PLAN CHECK
y A—
$
2 O
AUTHORIZED AGE '�'LL�L
TOTAL FEE
•