HomeMy WebLinkAbout1003 NANCY LN - Building PermitsN0Rc5s OF AMLOIMO: 1003 NANCY LN UNT:
MER4N1E1FIGOwN. WILLIAM THOMAS S
ADORESS, SANDRA MUZYKA
ra 1005 NA CY LN
(APPL. MAILING AODRE39:
M.1104
UNT:
c«mucTarswMEISLAND PACIFIC ROOFING (714)637-2493
CONTRACTORSMNLa017762 CAMERON ST
ADDRm. H. B. CA mw-. 631472
92647 uw: 2
LICENSED CONTRACTORS DECLARATION: I Mreby Nim skin panty of perpoy than I son licensed under provisions of Chewer 9
(commencirp win Sedan 7000) of Division 3 of 011 Sussman; N Potassium Code. and on, laevo is in hA bncs and Rep.
crryuc.No.:�uc.eLAss:C 39 ue.No.: 314,&
14EXP; 09/98
Date: Cavapor.p{%'/
OWNER BUILDER DE 11;TION: I hereby shim under propy, of Parlort, than
Irarn onarno"ththe Cparepm license Law for 044
Idkhwip reason (Section 70315 Susawas Ad Professions Code: Any cry a oouay Mie regrmem a panyl to construct. slow, kn{aaw,
dem.i.h. r rapes any eimtlurq poor 6 as ismaece, aim nguiras IM RPOiund for arch Permit to fide a signed satemaU that M or am
is licensrl pusuant to the provisions of 0n Contrapm License Lew (Chapter o (comme"iry with Section 7000) of Division 3 of IM
Boemea ars, Prdeaaons Code) or that M or she is exempr thrNum and the bob for the alleged snamption. Any violation of Section
7031.5 bya y applicant Ir a perm, abject, N. applic d to a civil Penalty of not mm Nan Iwe handed done" IA5(OD.
❑ I, m owsar of the popertor W woplo nes wkh wage. as Nei mob umpe smcn, w9 do Ne work. Ad Ns swctwe is not iuvded
or ollesd for sale (Section 7044. Business end Prdeamorm& Code: TM Contractors Lksse Law doe not appy to an owner of property
who builds or minions thereon. and who does such wo,k Noah or herself or through his or has own employees, povkiad tMt wch
Imprwerne"s an, no amended or aflrwi fir est. 9. Mwwer. the Wdsng or knpmwnad is saki within one yen d compkaion. the
owmraudder will have the burden d poeirq M or ski cid no Wdki r improv for tM purpua of ads).
❑ I, as ower of tM property, am exclupwy craractng w,h kcensed opnbadaro 0 construct Ne pojed (Sadon 7044. Busurase and
Professions Code: TM Cwrersm Lamm Lew Boas not apply to an owner of property who Wigs or koprovas tMsan and who
crarads In, orN pmad, wCh a comrsor(s) GxruW Paso" W Ne Coos Liowa law).
❑ I ano eaemP1 under Section: B. A P.C., for this meson:
Dos: Owssc.
1 do haaby ce,* Nat I ao a.. d and adermsrd the "gdmmWs of CaMonda IbeMh and Many Cods Stations 25505. 25533, srhd
25536, and that I or any mus Wnldng noo.,.m will / wD not (drab res) need to comply win acid roe codas end IM rogdremenb for
epenn, Irmut"cMnrmodLmiontranlMAi�im:Eiy iariegmad 0iprip. PaddwblmMrWion eppiMioroan exemia tom lhme
Delo: Applicant:
WORKER'S COMPENSATION DECLARATION: I hang with undr penalty of p.rj vy us of iM (.Nowt, dsdmaMrs:
❑ I hove aM wi1 mermen a unitises d unmet Ip msipinshns br wakes' mnDenmAior. as provided Ir by Section 3700 of the Lehor
Code, for IM parlonnsras of the Monk or which this perm, is h aced.
❑ have ad asst maissn werkra' mmi+rsdon islrtanu, n ngu'vod M sectio, 3700 d Os labor cod., br IM Dedrmanu d iM
work for which this Permit is mued. My wrkre• companuton Muranea carder and policy camber aro:
Ceder:
Policy NumMr:
(This section nae" no, M cocrP'red y the prick is for oro hroad dolens /11100) or less,/
,lJt1��l{ I cents NA in the �Momsra d tins work for which this pamhlt is *surd, 1 shell rhd am dplarhy pecans b en)' mann m as to
Mcoma abject to the workrs' unpwdion bass d California. end roe tlW ! I lhauki become aubjW to IM wakes'
umas,1r�� 0 s d 37 d tM lobar Code. I IAN' mmD wit th pro
�\Qy/e V Applead:
Wam/ng: F.11. 410 sec woAt. rorrywved n, eovra9a 1. unLflif, andalWl ste/act an ,,Phy- to enMrW pr V,r, and
clv/l Bros W as one lv t tltouastd dollen !111010001 n addi0pn to Ns cost of rompruetron, danAgma as pmHWd for In
CONSTRUCTION LENDING AGENCY: I harsh, alNm skier Pavony of Prjury that Ihaa is A mnn"don Isdivp mmcy M the
pdrmer.
of the work M which this Pevni is band (Sadon 3097, Cb. G.
LENDER'S NAME:
LENDER'S ADDRESS:
I coot, That I have sad this application And std. Ihet Ne stone Wonnapon is corned. I qpm to crnpty with a of, ark uuny oxii.
and ante lows robbhg no Wining construction a o Araby adhorce ropaaaraAiw of this pay to anter upon the etwe.mediorwd property
for ins,,ecdion Purposes
/_ t� MIRANDA
Data: r�4
(5151,aEmp) vyha B r is, A Sdsty; Gram -lite tr6y-AppireN; Pink -Promus: Goldenrod -Aa.
CITY OF COSTA MESA - BUILDING PERMIT
5
PERM NO: B 087717
PERMIT NO: B 087717 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V -N PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION REROOF W/1LAYER COMP. OVER EXISTING SQ FT: 1,400
CLAIM VALUE: 1,400,00 CALL -VALUE: 1,400.00 GROUP OCC: R-1 /U-1
COMMENTS: 1 LAYER OF COMPOSITION SHINGLE.
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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:
93530014
ZNE: REF NO:
PLANNING N TES>
>
dE*dS iE*iE*is iE*iEif♦E iE iE it*dF iF dE iF dF dF iE iE iF**iE dE iE if if sit df iE iE dl dE fit*dE***ih ilk dh**dE*k**iE
iE IF iE♦EiE**dE iE iE iF dE iF dE ilk***dE iF i6*dE
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: f'.
BUILDING APPROVED BY
DATE: '4
APPLICATION ISSUED BY:
DATE:
iF if i4****i4 g4**iE iF iE*Mif iF***if
m
if iE if df iF lFxx3i itii�iF'ie iF
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 45.75 ,50
PLAN
SMIP/NON-RES
".-
ISSUE FEE
BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE
TOTALS ---- > 46.25 0.00 0.00 46.25 46.25 .00
REVENUE DIVISION TOTALS--> COLLECTED: 46.25 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK
45.75 .50
df 1E ie ilk iF ilk iE * df iE lit df dF df if dk df iF iE ilk ilk iE ilk # dh df fit ilk iE dE fit * df df if ilk iE iE ilk df iE * di if * it dk ii_ * 1E iF iF fF * dh ilk ih IE 1E %dF di iE ilk if -]E iE dE iE iF fk dE if dE iE * iE iF 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 I10 N UNIT COST TOTAL COST
SFR 1400 REROOF BY VALUE RE91DENTIAL NOZONE 1.00 1,400.00
END OF FEES
l
L
64-15-1998110:33 AVS46.25
REP14:31-Z32244:
PERMIT:087717
I ,
CONSTRUCTION AND PLANNING
APPROVALS Permit # Date
A-6
Inspector
POO, dPA_- i
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 LIFER Grnd.
57. APPROVAL TO COVER-GUNITE
-
7. Footings
58. Electrical Conduit-Undrgrnd.
-
8. Foundation
59, Gas Pipe, O Undrgrnd., Test
,
9. Water Pipe-Undrgrnd.
60. Backwash Lines, P•Trap, O Undrgrnd.
•�
10. Structural Floor System
61. APPROVAL TO DECK
11. Property Sewer Line & House Connection
62. Backwash & Receptor -Final'
12. Sewer Cap
r
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. Docts, in Structure
70. Underground Hydro
22. Ducts, Ventilating
71. Product Piping OGas OOil
23. Gas Pipe -Rough & Test
72. Underground Flush
24. Roof Framing
73. Undergrnd. Storage Tank O Gas O Oil
"
25. Roof Sheathing
74. Overhead Hydro
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 PREV. FINAL
30. Drywall Nailing
HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat
79. FINAL INSPECTION
32. Electrical Power Meter -Final
80. FOOD CERTIFICATE ISSUED
33. Final Electric
Notes:
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
.t
t'
• 40. Gas Service -Final
`f
41. Solar Domestic -Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
_ 46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
7.�QiG
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
OWNER BALALIS & PIGNERI DATE 4-26-77
JOB ADDRESS 1001. 1001. 1005 Hancv Lane BUILDING PERMIT NO. 41576
GENERAL CONTRACTOR Ober-Eldr. DESCRIPTION of WORK Triplex W/garages
AP NoaTc_mz-ii LOT TRACT oi;oi FIRE ZONE VALUES ipn pnn_nn
INSPECTIONS pt Al
Si nofure Dote
TYPE v GROUP
IT g, T
ZONE _
SOIL
Z
SUBCONTRACTOR
M
GAS
Date
Number Si nofure
!'ATE R d 2
Plumb n
ROUGH PLUMBING
-Z
PROP. SWR. LINE ❑ HOUSE CON.
.'2p,'f
-f
SPRINKLING SYSTEM
MISCELLANEOUS
`
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND E3 POWER 0
ROUGH WIRING
�. • i
Neafin and Vant.
TRENCHES r FORMS Y STEEL
FLOOR SYSTEM
-7
BOND BEAM STEEL REINFORCE
SHEATHING
FRAME AND FLASHING
pt
LATHING — IN bel OUT e•VAe
PLASTER, BROWN COAT
STRUCTURAL, FINAL
N17
ElectricHEATING,
VENT., REFRIG. AND A.C.• FINALPLUMBING,
FINAL AND GAS TEST
2971
14ELECTRIC,
FINALBUILDING,
FINAL
SPECIAL REQUIREMENTS
43b
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use InOnly
BUILDING
ADDRESS �IIO3' OOSnGY Lf4V6
OWNER (, LIS 11LR/
MAIL Of- A „ CVD.
ADDRESS
TEL.
CITY lVrW Oj .4. NO.(J -Ze�
CONSTRUCnON
LENDER
BRANCH
ADDRESS
ARCHITECT A .. TEL.n/.
F.:I :.te n, ..3 -.
APPLICATION FOR STRUCTURAL PERMIT
RECEIVED BY I DATE RECEIVED D)7 ISSUEC
TRACT
OWNER
RM
LOT / I BLOCK
i
e
FIRE
ADDRESS ry Alej<"r- /t. 14 (f.
ZONE
VP GROUP
APPROVED
CONTRACTOR
BY
_
DATE
ADDRESS
ONE` A NO.OFUSE
OF N
TEL.
CITY NO.
412 L PL°'f5
BUILDING
`
L�.-
rf'.•
STATE CITY
YARDS APPROVED
YARDS APPROVED
LIC. NO. LIC. NO.
MAIN BUILDING
ACCESSORY BUILDING
W
SIZE
NO.. OF SLOGS.
(FROM C/L EET
0.
OF LOT
NOW ON LOT
ONT T.
FT.
Q
.�,
USE OF
EXISTING BLDG.
R. SIDE Cn 16
F
ti
FSeparate
permits are required for
L SIDE FT.
FT.
electric, plumbing and heating work.
G1
REAR
FT.
w
F
USE OF BUI LOING AND WORK TO,.BE P FORMED
DISTANCE BET.
BET. MAIN &
MAIN SLOGS.
ACCESS. BLOCS.
VAR. q@
DATE
QC.U.P,$�
APPROVED
APPROV
i
.1
a
w
1 hereby acknowledge that 1 have read this application and state
n
- a
that the above Information Is correct and agree to comply with
o
-TOLD F" t^..JI'L'
V1� C�
C+all
laws regulating building construction, and I shall not employ
-
1•L ��� Jl;��:•,�1�
z
any person in violation of the workman's compensation laws of
1
L
the State of California.
,
3
I hereby certify that I am properly licensed as a contractor under
SO. F
a
THE AMOUNT SHOWN UNDER VALUATION IS FOR
m_
the State of California Business and Professions Code, Division 3, l�
Chapter 9, and that such licenses are In full force and affect, of I
THE PURPOSE OF ESTABLISHING
A PERMIT FEE ONLY:
am exempt from the ovislons of the State of California Business
VALUATION
la
q
and Professions Co Ivision 3, Ch or
PERMIT FEE $
v,
tu
?
Signature of i
PLAN CHECK $
O
Permittee
S/�2�
(/,
TAX S • 4//
U
Authoriz Agent
TOTAL PAID $.%LS Y
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e