HomeMy WebLinkAbout1134 MISSION DR - Building Permitsml
ADDRESS OP BUILDING: 1134 MISSION D$: UNT:
OWNEITSNAMEIFIGKMOl:SHORE, DAVID
ADOREss: SHORE, FLORENCE
6 BARRIER REEF DR
:ORONA DEL MAR,CA 92625546-5429
AFM. MMUNG ADDRESS:
A HHTECT OR ENGNMR: UC. NO.:
ARCO OR ENG.'S ADDRESS: UNIT:
CWMACToISUWE'PRECISION CONSTRUCTION (714)540-8577
cowmAc7olrsuuuNG 1115 EL CAMINO DR
ADDRESS: COSTA MESA CA Law, 658880
92626 UNIT:
LICENSED CONTRACTORS DECLARATION: 1 hereby affirm under penalty d perjury Mat I am licensed under proaiaiane d Cheger 9
(.mmendrq with Section 7000) of De Bion 3 d Me Busirem end Professions Code, end my license is in h0 force aro fed.
CITY LIC. No//.:059380 LIC. CLASS: C-39 LIC.NO.:658880 XP: 04/96
Y.
Dams: —3—cm Cormedar:
OWNER BUILDER DECLARATION: I hereby affirm under penalty of Perjury MQ I em wr mpt Irons IM Comredon Licenes law No the
following reason (Sadim 7031.5 Buakses and Professions Code: Any city or actuary which requira, a aemnh to construct, eller, improve.
demolvh, or repel any structure, prior to he swerae, deo requiem the applicant Ins each pelma to No a signed statement that he or and
he Reread Wrmanl to the Pweixn of the Cmtredas License Law ]Chapter 9 (cornmenciN with Section 7000) of DMe'mn 3 of IM
Butenam and Prolemions Cade] or that M or she is a,empt Meehan and the Mete la Me dbged exemption. Any violation of Section
031.5 by any applicant for a Parma wtoac s the Whoa, l to a aril penalty of not more Ihan No hundred dollars ]5590]).
s,] I, as owner of the Property or my employsa, with withers m Mei sale compenamion, will W the work, and the ewdure a not intended
or offered for sale (Semon 7044, Business and Professions Code: The Contredors License Law does not exactly to an owners property
who Wide a mprovee thereon, and who does such work Nma,ff or herself or thraugh he a her own emplwass, provided Chat such
impovemerm are not intended or offered No d, however. IM building or hnprwwnad is sod within me year of mmplerlon, the
owrerddder "I Now 1M IwNen of Paving M or sM did mf loud or improv for (M pum.e of see).
1, as owner of the property. we exclusively mntrmng with Ii.nsaA conire<tas 10continual Me project (Sedan WDta, Rmirre and
Prolmsiona Code: The Caeredos License low does not appy to d p
an owner operyeb Mica wh tmwa, Meteor, and web
contrern for and projects with a aorureda(sl licensed pursuant to the Cmuadore License law).
❑ I am .pt underSedion: B. A P.C., for this neem:
Data: Owner:
I W hereby cantly Mel I am aware of and understand the requirements of CaNcone Health and Safety Code Sections 25.505, 25533, end
25534, and that I or any future Hiding ocdmaru will / wil not (are mmi
ce) reed 0 comply with mid "a coda, end the requirement for
.,sera lorors
cbucti at a modifimionhan IMAk�anagament Guano. Residential mrmnedion.DVFalio s are memq from tit.
pNHMm.
Date: Applicant:
WORKER'S COMPENSATION DECLARATION: I thereby a1Nm under penally of psqu y ms of Me lolbwitq dederedas:
1 Mvs end wit erharna ice of the to for
wis m a,ff ownth br wuad. cormMmation, m pwidad b by Seam 3WM0 d IM labor
Gads. lar 1M pMamerpe d Me work for which the perms b bund.
)p I have and wil maintain workers' comp erre ion Imuran., m required by Section 3700 d the labor Code, fP the Podanna,ce, d the
7C' work IP which Me prmh o'ssued. My waken' compempion Insurance carrier and policy numbr we:
Comer: STATE FUND EXPIRES
Policy Number: — 08/01/96
,his section seed sat be canpmedY Our psora is lm ms hundred dollen 151001 or bat.)
j I coaly that in tM pwformenee d IM wo for which this permh a bued. I e M employ pry prion In eery manner n m to
b.. sebjed to the waren' .mpersmion town of Cdifomis, end ft. that it 1 Nand become subject to Ms worlsn'
com.mmim prmisious of Section 37M of IM Labs Code. I shell IaMWah ply with Ihcaa acwhoo e.
Dn.: 6 -3 _14 Applicant:
Warning: Failure b ..cure woman' cornpans.0on coverage b un/awNl, and.hall.ublwt en.nrp/oYn to cdmllM/ p.naMa. and
Soo tlwmo 3706 of
MP.ea Lobna, Code
lanahsak and at(b5 nnoya fears. b M. P.f ol.nmeru.fbn, Wm.p. a, provdsd br In
CONSTRUCTION LENDING AGENCY: I hereby alffm under penalty of perjury that there is a construction enditp agent, br Me
parormanca of the work Nor which this perch is bund (Sedan 309W. Civ. C).
LENDER'S NAME:
LENDER'S ADDRESS:
I cantly that I heat rend Ws appl'n:aMn and date that Me w we tdormstion is cared. I gree to comply with an city and county adterr®
and side lawn mlWq to W iduq mnprlldlon and hereby aphorae repeeentmivea of the city to enter upon IM ebwsmentioned properly,
fa inspection purPosee. CLIFF VON TING
P
% y � Date: Ft "J'I�'
qn re d Own.l.gwd.ppcwuC.nlrWor
,_) (51514eWP) Whore -Building A $defy; Grow,Rle: Cemry-Applcod: Pe,k-Re.nue: Ooodo rad -Assessor
CITY OF COSTA MESA — BUILDING PERMIT Alp
ERM NO: B 077973
PERMIT NO: B 077973 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION : T/O COMP 6 REROOF W/COMP SHINGLES SQ FT: 4,080
CLAIM VALUE: 4,080.00 CALC—VALUE: 4,080.00 GROUP OCC: R-3 /
COMMENTS: REROOF 2500SF RESIDENCE W/COMP
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 RGHT: FT IN
PARKING REQ: PROV: PARCEL: 14156232 ZNE: REF NO:
PLANNING NOTES>
>
D E V E L 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 ISSUED BY:DATE: qG
3
**********************TFifiFTFW*-*±F*-47fTF3FiF�7FiF*ft*#3rft TF3FTe3fTF***********I
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 99.7550
PLAN
SMIP/NON—RES
'
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS ---- > 100.25 0.00 0.00 100.25 100.25 .00
REVENUE DIVISION TOTALS--> COLLECTED: 100.25 OVER/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
99.75 .50
*******************************************************************************
I N D I V I D U A I; 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 4080 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 4,080.00
END OF FEES
r
CONSTRUCTION AND PLANNING
APPROVALS Permit#
Date
Inspector
POOL &
APPROVALS Permit #
Date
Inspector
1. Temporary Electrical Service or Pole
52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd.
53. Steel Reinforcement
3, Electrical Conduit Utility-Undrgrnd,
54. Forms
4, Electrical Conduit-Undrgrnd.
55. Electrical Bonding
5, Steel Reinforcement
56. Rough Plumbing & Pressure Test
6, Electrical UFER Grnd.
-
57. APPROVAL TO COVER-GUNITE
'
7. Footings
58. Electrical Conduit-Undrgrnd.
8, 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 - -
65. Electrical -Final
15. Rough Electrical -Conduit
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
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
20. Rough Factory Fireplace '-
21. Ducts, in Structure
-
70. Underground Hydro
22. Ducts, Ventilating
71. Product Piping 0Gas 0Oil _
23. Gas Pipe -Rough & Test
72. Underground Flush
24, Roof Framing
1 -
73. Undergrnd. Storage Tank OGas 0Oil
74. Overhead Hydro
25. Hoof Sheathing
/�
i
26. T -Bar Ceiling (Structural) & Monocoat
'
75. Dry Chemical
27. Frame and Flashing
76. Dry Standpipe
28. Lathing & Siding
77. FIXED SYSTEM FINAL
29. Insulation
78. FIRE PREY. FINAL
30. Drywall Nailing
_ HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat . -
79. FINAL INSPECTION
32. Electrical Power Meter -Final
33. Final Electric
34. Final Heating & Air Conditioning
80. FOOD CERTIFICATE ISSUED
Notes:Ej�
(/
35. Final Gas Pipe -Test
'
36. Hood or Canopy
-
37. Final Factory Fireplace
38. Final Plumbing
-
39. Water Service -Final
40. Gas Service -Final
-
41, Solar Domestic -Final
-
42. Backflow Preventer
43, Backflow Irrigation -
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
f
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
1-5343FEE RECEIVED
Lot 32, Tract 4204, Plan 1-C SEP 11tM
COSTA MESA BUILDING -SAFETY DEPARTMENT �✓ FINANCE DEPT.
P. O. BOX 817 COSTA MESA. CALIFORNIA CITY OF COSTA MESA
For Applicant to Fill In CompletelyI APPLICATION FOR PERMIT
TYPE OR PRINT
BUILDING
COSTA MESA CALIFORNIA For Office Use Only
RECEIPT NO. J iE �V8
�L
OWNER
Rece,+v/gD BY Or REGEIYSD/ I S�En IHS
AMAIL DDRESS 3800 E. Coast
��/ (/ I: -CC
TEL.
Corona del 1`�ar, CalifNO.
BUILDING
ADDRESS
JCITY
ARCHITECT TEL.
COSTA MESA. CALIFORNIA
OR ENGINEER P NO.
FIRE
ADDRESS
ZONE TYPE GROUP
CONTRACTOR C
APPROVED Ll
BY DATE
E
ZONING
ADDRESS SO a
rona del Mar California
ZOtJL]` 1
I %
I NO. OP .1U8H
DUNE
OF NEW L"L
BUILDING �"..
TEL
8808
"GAL LEGAL .�-,
�NO.OF
-SB -1
DescRlPTlox
BLDGS.2O
r��m
NOW ON LOT
A, p, NO.
BLDG. none
YARDS EVES
APPROVED ALLOWED
E FRr [
SETBACxSTREETM 5OIVII
LCBNTHR YNB eT.lFRONT
REAR YARD 1
J FT.IN.
ILEFT 71
I 61
^-
RIGHT
R. SIDE FT. IN.
DESCRIPTION OF WORK
—
L. SIDE 7 FT. IN.
I II I
ZC
NEW Iu ALTERATION ADDITION
REAR FT. IN.
NY
I I I I
APPROVED �(/
�/ 6 (
REPAIR II MOVING DEMOLISH
DATE
BUILDING NO. OF
L9 Ix5o,611
SIZE ODMS 6 STORIES
EXTERIOR WALLS UCCO I ROOF
COVERING COVERING
Living area 1281 C; F
USE OF BUILDING AND WORK TO BE PERFOR
Garage area hh5 S
w/attached garage
Covered Porch 25 S F
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
THE AMOUNT SHOWN UNDER VALUATION IB FOR THE
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COM.
PURPOSE OF. ESTABLISHING A PERMIT FEE ONLY.
FLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
VALUATION
PERMIT FEE S 34)_
BUILDING CONSTRUCTION.
SIGNATURE OFar Development Co.
/7—
PERMI7TE
14 103.GG
�
By
�+,7
$
PLAN CHECK $
51.00
AUTHORIZED AGEjj�����
TOTAL FEE