HomeMy WebLinkAbout1017 NANCY LN - Building PermitsgMl� 1017 NANCY LN
�F@lOWh WILLIAM THOMAS
ADDRm 1017 NANCY LN
C.M. CA 92626
all IOR. MAILING ADDRESS
ARCRITECT OR ENGINEER:
ARCH. OR ENO•S ADORESS:
cOhTluawswm ISLAND PACIFIC ROOFING
cOalmaowsmm= 17762 CAMERON ST
ADDRESS H . B . CA
92647
UMT, CITY OF' COSTA MESA — BUILDING PERMI/9
"PERMNO. 087001
PERMIT NO: B 087001 PLAN CHECK NO: N GOVT: N SUPP: N
UC. N0:
UNIT:
(714)637-2493
Lew, 631472
uw.. 2
LICENSED CONTRACTORS DECLARATION: I hereby affirm uMer panty of perjury t kansed uncles Pa sat. d Chapter S
(oomm eels, with Section 7000) d Division 3 d the Businan aM Probsdes my Iicame u b fun lace test affect.
uc.No.:p=,7 9 uc.CLAss:C 3g uc.No.: 3147 XP: 09/98
p
Datp: D conaeaa:
ER BU( DER 0 CLARATION: 1 lam by affhe under penalty of rNry that I am tum a Cann sm Lioama Lew for Ne
lalbwnD racoon ISedion )0315 Busiwsa test PMeesiaw Code: Arty ciY a oornlY wlridv nqu'vee a perm) to mnbuct. eller. improv.
'.mdbh, a repel , t et provinces
rovi Prior to th Components
nts . ms (Class d9 ( arch Paten to fib a o. 7 oO) .4 C that 3 ol aM
licensed ptss,uam to the ode) or that
t Ow Coe m axe pt t1ho Lew (CMgw bass. (o for the ft wkh Sampo n. An d DEveion 3 ec ion
duamen and Prdesebm Code) a the1 M a the c xemq thwehwn seed the ala tlrs afiapcd exemption. Airy vidatun of Section
7031.5 by any applicant for a parted subjects the applixaM to a dvd Penalty of nor mon than live humped dollen 15500D.
❑ I. as ownar of the property w my employees vvkh weyes an their sole mmpnumion, will can Ne work, arst the aeuctwe is not haeMed
a offend ter seas(s .7Oxl, BUNnaaa and Pnbasions Code: The Cadrtlm License Law does not appy to an owner of propenY
erho bolds a xa,mhee Iherae, and ads, dose suN work hinseff or herseE o Nraph he or hes own empbyeea. ptorided IM such
'ungaanema we not imeMad a offend to sele. S, hmamm,, the bumm, es knPaanem is sell within ane year of canpblion. Na
owrwduldw will Mom the hurdm of Por1m0 he ar he did nil build a'pnwove for iM pupone d tab).
❑ 1. as ower d the Pop". am soduaivdy mtredip w4h fican»d mnvectm to construct the Omiect (saeun TOM. Brnnma and
Prdwions Code: TM COMmctm Liwrue Lew dors not apply to an owner of propeny who dtilda or imgoves iharson a l who
contracts for su h Pajects wih a marma(sl liemaad puwuant to the Carlwlm Liname
❑ I a t exempt under Section: B. A P.C., for this ream:
Dale: Oamar:
I do Mmby amity that I am aware of and uMentsM IM reawramads of California Neabh wed solely Cade sections 25505, 2558.3, and
25531, and that I a any Mum buiidinp ne upant Mil wN no (dmle one) need to comply wdh said state nodes ad IM requirements to
epwme la cautmclionomolifination more the Aku3T�ty enapeearn 0ietdd. Manamid construction appletdiam an ezemq item these
proh.bns.
Owe: Applicant:
WORKER'S COMPENSATION DECLARATION: I Mnby affirm under perully of pwluy one of the lolbwirs, dederatbna:
❑ I Mn sed wit meimen a cenf N
ws al oomenl to is hsame b a is waken• compenaatcn, m Povsted M M section 3700 d IM labs
Cade, for IM Ixlamerce d ftok la wNch this booed.
❑ I haw and dl m n, en workers• aomMy worts noomptar mon imu by savor and othe Lebon Code. br the pwMmerm d 1M
wok to whidv eua perms b meuel. MY waken' nomDenaatian inwrarce carrier end pofiry number era:
ca
Percy Numb.
stolon rwsd hat be eemplweC d IM peemT o fs, ars hunCmd da0em 15100/ or less.)
I eweh drat n Na perlamwce d Ne wgrk br wfi'rJr th'w pemN 6 ®usd. eM0 nil wnplty eery ante s wry to IM ax ea Io
becarlr to tM workers' nonpensation tswe d Celilpmie, and eprae ,I ahouM becmw tolled to IM wnrkana'
d ion 3700 d IM talo Cods, I mah oat Urine
a: G APPliceru:
nI: F.O n Max wprkwa' ecapwu fie, eavxapa h whd, and ahtll sM!,j.I ", loyx to afmh el Panels, and
clv/l fines up n one hudrad theuawtd dollen (SIOR SODA N Itlpn b tlw epal o/compsamsedom denxpsa as prpvMM le, In
Sxtlm 3705 of dee Labor Cods Inransl, and affomey i fossa.
CONSTRUCTION LENDING AGENCY: I ham urdw penally
aby affirm d pwjaMl y ithen b mdasN
a oonwn Lamm, agency for a
p.d..d IM wok for whch the perm is based (Seam 3097, Civ. C).
LENDER'S NAME:
LENDER'S ADDRESS:
I candy that I hom nad Ihb application and wale that IM above information is epnect. I epee to comply with 9 dry a l county ordinances,
and wale hose musing to huiMsq carmralion ant hereby authorize repremvewm of this dry 10 ever upon IM abova-mentioned prop"
lamapadmnp"rwosaFRANK MIRANDA
Dere:
Sgnetun red
(5151-b.WP) Whhe-BwNip A Solwy: Orem-Fb: Cenwy-APPEUM: Pink -Revenue; Gddwuod-A�ssar
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION 1 LAYER COMP. OVER EXIST. 1 LAYUER COMP. SQ FT: 4,500
CLAIM VALUE: 4,500.00 CALC—VALUE: 4,500.00 GROUP OCC: R-3 /U-1
COMMENTS: X
Z 0 N I N GS ERTEHQAUCIKRSE M E N T S
------------
MAIN
BUILDING ----------
---------
ACCESSORY
BUILDING---------
VT4L�_
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:
93530021
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
BUILDING APPROVED BY
APPLICATION ISSUED BY:
LEGALIZATION:N F E E S U M M A R Y
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 99.75
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS ---- > 100.25 0.00 0.00
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
99.75
DATE:
DATE; _
DATE: �NEVtly
(j(fj
STRUCTURAL l5E
FIRE SMIP/RES GRADING
.50
—'SMIP/NON—RES
TOTAL PAID DUE
100.25 /"'100.25 .00
100.25 OVER/SHORT: .00
FIRE SMIP/TOT %,GRADING PLAN—CHECK
.50,:Y
I N D I V I D U A L F E E B R E A K D 0,W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 4500 REROOF BY VALUE RESIDENTIAL NOZONE 1.0"0 4,500.00
END OF FEES
h
82-18-1998/18:53 AN/6180.25
R04:81-8819778
e�ee>t
NSTRUCTION AND PLANNING
ODate
IRP
PPROVALS Permit #
Inspector
POO- f SPA
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
S. Steel Reinforcement
56. Rough Plumbing & Pressure Test
6. Electrical LIFER Grnd.
57. APPROVAL TO COVE R-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
i 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 0 Gas 0 Oil,
23. Gas Pipe -Rough & Test
72. Underground Flush
24. Roof Framing
73. Undergrnd. Storage Tank 0Gas 0Oil
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
40. Gas Service -Final
41. Solar Domestic -Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
Z
_ t�
45. Sound Attenuation
46, Handicap Regulations
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
A
l
\r
OWNER BALALI$ & PIGNERIATEA-26-77 --
JOB ADDRESS 1013, 1015, 1017 Nana ;LaL BUILDING PERMIT NO. 43578
115-023-03 LOT TRACT 9691 FIRE ZONE VALUE$ian"Pnn"m -
INSPECTIONS et al
Si nature
Date
TYPE V
GROUP
ZONE
SOIL
_of
SUBCONTRACTOR
GAS 7. n
Data
Humber Si natwe
w. TER
Plu m6
ROUGH PLUMBING
�-
PROP. SWR. LINE I] HOUSE CON. L_j
SPRINKLING SYSTEM
-
'On
f�-
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND POWER
1q,(•.
'(.• %�%
ROUGH WIRING
Heaton and
V M.
TRENCHES &ed FORMS STEEL REINF. %
FLOOR SYSTEM
BOND BEAMr7 STEEL REINFORCE
SHEATHING
7
FRAME AND FLASHING
LATHING — IN a OUT -/.. 11•1
PLASTER. BROWN COAT
STRUCTURAL, FINAL
HEATING. VENT., REFRIG. AND A.C., FINAL
Q-
PLUMBING. FINAL AND GAS TEST
O•
-
Q
ELECTRIC, FINAL
• i
BUILDING. FINAL
%
SPECIAL REQUIREMENTS
4357
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
ADIDRESS /0/1 -/o/j-
-/df7
pfy&' LA'1✓6
OWNER�A/,C7N
that the above Information is correct and agree to Comply with
fH
MAIL
ADORESSS Z�ad, r
�s�r U,4zd.-s
o/�"✓d'
CITY NrsW/r'lLT
/5)r*r I'{
,/
T" 7J'Z�70
CONSTRUCTION
LENDER
D
e
BRANCH
the State of California.�S
_ �J
U SO. FT.
ADDRESS
EADDRESS&/3,
/{
ARCHITECT
ORENGINEERJ
TEL.
6( ' 4 /bile N 9GT-2492
ADDRESS g5-��/
/L/<t"E,r/
O,Q.
CONTRACTOR
am exempt from th rovisions of the State of California Business
ADDRESS
v
CITY
VALUATION
TEL.
NO.
STATE
LIC. NO.
CITY
LIC. NO.
SIZE
OF LOT
m
^
NO. OF BLOCS.
I NOW ON LOT
Separate permits are required for
electric, plumbing and heating work.
APPIV9&T)ON FOR STRUCTURAL PERMIT
ZONE / r 4YdE � GROUP 11.0 L7
APPROVED 11011t __ & 7
NE NO. OF USE OF N
PLAINS BUILDING
YARDS APPROVED YARDS APPROVED
MAIN BUILDING ACCESSORY BUILDING
(FROM C/L STFEET) / I
DISTANCE BET. BET, MAIN &
(/ti/% (iOh/Y%O I�f LCJLQ/71g✓i MAIN SLOGS. ACCESS BLOCS
VAR. sF—, ir" _ ./. DATE A ---s
12111111115/�
J
I hereby acknowledge that I have read this application and state
DATE RECEIVED
DATE ISSUED
x'
n
that the above Information is correct and agree to Comply with
RMIT NO.
pP
3 1 ',�_
Oil laws regulating building construction, and I shall not employ
' '•
� � ..
any person in violation of the workman's compensation laws of
D
e
the State of California.�S
_ �J
U SO. FT.
EADDRESS&/3,
/{
LOT
BLOCK
THE AMOUNT SHOWN UNDER VALUATION IS FOR
R'
Chapter 9, and that such licenses are In full force and effect, or I
THE PURPLE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from th rovisions of the State of California Business
v
and Professions Cc a Division 3, Cha ter 9.
VALUATION
PERMIT FEE E
VALUE
�J
Y+
5
ZONE / r 4YdE � GROUP 11.0 L7
APPROVED 11011t __ & 7
NE NO. OF USE OF N
PLAINS BUILDING
YARDS APPROVED YARDS APPROVED
MAIN BUILDING ACCESSORY BUILDING
(FROM C/L STFEET) / I
DISTANCE BET. BET, MAIN &
(/ti/% (iOh/Y%O I�f LCJLQ/71g✓i MAIN SLOGS. ACCESS BLOCS
VAR. sF—, ir" _ ./. DATE A ---s
12111111115/�
J
I hereby acknowledge that I have read this application and state
x'
n
that the above Information is correct and agree to Comply with
�vF`
as
Oil laws regulating building construction, and I shall not employ
' '•
� � ..
any person in violation of the workman's compensation laws of
the State of California.�S
_ �J
U SO. FT.
I hereby certify that I am properly licensed as a contractor under
/{
the State of California Business and Professions Code, Division 3,
THE AMOUNT SHOWN UNDER VALUATION IS FOR
m
Chapter 9, and that such licenses are In full force and effect, or I
THE PURPLE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from th rovisions of the State of California Business
v
and Professions Cc a Division 3, Cha ter 9.
VALUATION
PERMIT FEE E
J+
�J
Y+
PLAN CHECK E I /
m
^
Signature of
✓
0
Permittee
S
a
����
TAX E
U
Authoriz d Agent
TOTAL PAID E -i/ C
57,1COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely, — Use Ink Only
BUILDING
ADDRESS /D/J —/II^ /
S[/'
CY 41
OWNER ALH I IS 1
Q1114
/7_1 &L- / /L
MAIL
ADDRESS
BUILDING
ADD RESS/0���^IS
CITY
TEL.
NO.
CONSTRUCTION
LENOER
BLOCK
BRANCH
ADD
ADDRESS
P R
ARCHITECT
OR ENGINEER
TEL.
N
ADDRESS
APPROVED
CONTRACTOR
ADDRESS
CITY
TEL.
NO.
STATE
LIC. NO.
CITY
LIC. NO.
SIZE
OF LOT
I NO. OF BLDGS.
NOW ON LOT
A011.19ATIJON FOR STRUCTURAL PERMIT
RtiE
I DATE RECEIVED
D E ISS E
A.P. NO.
'PERMIT NO.
BUILDING
ADD RESS/0���^IS
/✓G
TRACT
LOT
BLOCK
NEW
ADD
ALTER
P R
M
C.U.P.*
APPROVED
OWNER
1C,
r VALUE
USE U S
FIRE
ROVED
ONE
DS
NEW
REAR FT.
P AN
I
YARDS
BUILDING
APPROVED
r
YARDS APPROVED
MAIN BUILDING
ACCESSORY BUILDING
Separate permits are required for
L. SIDE FT.
FT.
REAR FT.
FT.
electric, plumbing and heating work.
USE OF BUILDING AND WORK TO BE PERFORMED
DISTANCE BET.
BET. MAIN &
MAIN BLOCS.
ACCESS. SLOW.
VAR,*
DATE
C.U.P.*
APPROVED
I hereby acknowledge that I have read this application and state
that the above information Is correct any agree to comply with
all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of
the State of California.
I hereby certify that I am properly licensed as a contractor under
the State of California Business and Professions Code, Division 3,
Chapter 9, and that such licenses are In full force and effect, or I
am exempt from the provisions of the State of California Business
and Professions Code, Division 3, Chapter 9.
Signature of
Permittee
Authorized Agent
THE AMOUNT SHOWN UNDER VALUATION IS FOR
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
VALUATION PERMIT FEE E G
PLAN CHECK $
SYS TAX E
TOTAL PAID b