HomeMy WebLinkAbout267 NASSAU RD - Building PermitsPHOJECT AOOHESS: Z 6% NAS SAU IZD �Nlk
OWNEP'$ NAME: THRASHER, DAiE A TR
aooness:7.67 NASSAU RD
COSTA N,ESA,CA 92626
�`�� (714)549-4136
AflCH/ENGINEEH: HEG.NO.:
POOflESS: IINIT:
` PEHMITTEE:RORERT ELI�IOTT CQNTRACTOR (714)545-9292
aooncss:13722 RIDGECREST CIR
TIJSTIN ' CA 9268U
LICENSED CONTNACTOP OECUIBATION: I lieie�y allirm I�at I am license� under pmvisions of Chapter 9(commencing wi�� Seclion
7000) oi �ivision 3 0l t�e Business antl Pmiessions Cotle, antl my license is in (ull foae anG etteci.
c�rr uc.: sTn,e uc_51156�9J� �g9 ��
�� �ate: ��!�%3 SignaWre:�i����%��'/�
WOflREBS'COMPENSA710NOECLABATION: IhereUya irm�natlAaveacenilica�eoiconsenitoseu�insureoracenilicateaiWorkers'
Campensalion Insurance. or a cenitie0 copy tnereoi �Seclion J800. Lae. CI.
PoLICY NO.: E%P. ORTE:
COMPRNY:
❑ Ce0�7iea COpy is he/eDy IWnisl�etl. ❑ Cen�betl wpy is lilea wdin the iiry euildinp Diwsion.
Da�e: AODlicant:
EI(EMPTION FBOM WONNEPS'COMPENSATION OECIAflATION: Qhi55eclion need nol�ecomplete0ifthe permitislorone hundred(3100�oNess�.
I ceriily I�a� in Ihe petlormance of Ihe work �or which t�is permil is isSu tl, I s�y�I/I n/J /� em0�l�oy an,y //p�/ej/$on in any manner so as lo hecome
subject Io I�e orkers' Compensation Laws ol Calilomia. /)/`/ Jf� l�%/ /it!�" -�/
Oale.-{�- Signature' - F
I�i1 4
NOiIL . II, aRer making IhiS Oeclaralion, you shou Uecome SUGIetl �o Ihe Workers' Compensation Dmvisions ol ��e LaEor
Code. you mu9 Ionhwitn camDly wilh such provisions or Ihis permit shall be Oeemee revokea.
CONSTBOCTION 1EN01NG PGENLY: I �ereby allirm �ha� I�e�e is d constmction lending agency for ��e DeMormance ol ��e work �or
whicA �nis Oermit is issue0 �Sec�ion 3097. Civ. C�.
IENDEN:
nooeess:
CI1'Y OF COSTA MESA — HUILDING PERMIT rn n�; n voa���
F'ERMIT NO: B 061345 PLAN CHECR NO; N u i; rv aurr: rv
CONSTRUCTION TYPE; 5—N PERMIT T'YPE: STR PORPOSE; ALT
JOB DESCRZPTION, : REROOF SFD 6 ATT GARAGE W/ COMPO SQ FT; 6,407
CLAIM VALUE; 6,407,00 CALC—VALUE; 6,407,00 GkOUP UCC; R-3 /M-1
COMMENTS: SMORE DETECTORS RE(�UIRED PER THE 1991ED. OF THE UBC.
�t*�**�r*x�r�x+r**�rt�x�*x�**�r*#� �r*****���*xx�x�*x�r*��**u***��t�*��xuxxx��*u�*x*�cx**�*
Z O N I N GS ERTEBQAUCIKRSE M E N T S
------------ MAIN BUILDING ---------- --------- ACCESSORY 9UILDING ---------
FRNT; FT IN REAR: FT IN FkNT: FT IN REAR: FT IN
LEFT: FT IN kGHT; FT IN LEFT; FT IN RGHT; FT iN
PARitING REp • PROV; PARCEL; 14144216 ZNE; REF NO:
PLANNING N(51'ES>
>
iE iF rt 3E if i(� IF ik 3f if if it if iE iE j! 1E iE 3t iF �lE if if iP iE 1E k�IE i! iE it ik ih iF k it iE iF iE # 1F i(� iE it ff if N� if 1F if iE fE jt tF i6 it ie ie iFiE �f N� 1E M�lf It 3E N� 3E,i(��fe IE i(� 36 iE if ih 3t ic
D F' V E' L' O P M E N T S E H V I C E S R E Q U I R E M E- N•'t S
��
`LONING APPROVED'�BY DATE:'-'
HOILDING APPROVED BY ; DATE; 1'�
� 1 .
APPLICATION ISSUED BY• DATEi G/ � 3
iF�r�r�tx��titirftxit*iti�frit�tt#f�** ,�� � r� ,c � ee ��� r x F��#�itit���x�x-*�x�,.�x,r x�r #�
!ElEihiFlFifiEififltiEilfkjtiFiE�IF1E1ElE�Eif#iF'lElklt%�ikiEiflEikfFik�EiflElFltlElFilK �1ElFlEltiElf'X� 7fiE�lE±EiEiEi4lEih#fFi(�ifi(�1MElFiF)FiPlEiE1EiFltit
LEGALIZATION;N F E E S U M M A R Y STRUCTOR;4L1SEGMENT;Y
OWNEBBUILOERUECIAHnTION: iherebyaflirmtnatlame�emp�tromineConiracmrs'SiateLicenselawiortnetollowingreason BLDG PMT PLUMBIDIG ELECTRIC MECHANIC FIHE ShIZP/FiES GRADING
�Seciion 7031.5 9usiness ana Profesuonal CoOe: Any ciry ol county which repuires a permi� m conslmci, alier, imOrove, tlemolish, or P ERM I T 9 �, 0 Q 6 S
repai� any slmclure, O�ior to its issuance. also repuires t�e apD�icanl br such permil to file a 5igneE statemenl lhal he/s�e is IicenseC ' S(�(I ��[�]Qj�]—fYES
pursuani lo ihe pmvisions ol Ihe ConVac�ors' Slate License law (Chap�¢r 9(commencing wiih Seciion 7000) ol �ivision 3 of Ihe Business pLAN -` �
anU Pmlessions Cade) or I�al ne/she is exempt t�erefrom antl I�e basis lor ihe allegetl exem0�ion. Fny violalion of Section 7031.5 by j$$U� r E�+ . ��
any aDPlicanl br a permit subjec�s t�e applicant Io a civil Oenally o� noi more �han five hunEred Aollars (5500). .
BUILDING—DIV—> PERMIT ISSUE P'L�AN-CHEC1{ TOTAL PAID • DUE
i, as owner ai �he ompeny or my empmyees witn waqes as their soie compensation, will tlo Ine work, and the T�TALS'----> 90 , 64 0. 00 .. ...0 . 00 � 90 , 64 90 , fi4 � , ��
❑ slmcWre is noi imendetl or ofiere0 br sale (Section 70a4, eusiness an0 Protessional Cotle: Tne Coniracmrs' Siate License Law
does nol ap01y Io an Owner ol a pmpetly who buil�s Or imO�Oves IAereon, antl w�o doe5 SUt� work �im5eli/hersell or Ihmugh
�is or her own employees, pmvideU Ihai suc� impmvements are noi inlendeU or oflered lor sale. II, Aoweve� ��e buil0ing or REV$NUE D I V I S I�I�I TOTALS--> COLLECTED ; 90 , 6 4 OVER /SHORT • � � �
impmvememissoltlwithinoneyearofcompletion,iheawnerwillhaveihehumenoforovinghe/sneCianatUuilOorimprove gLDG PMT PLUMBING ELECTkIC MECiiANIC FIRE $MIP/TOT GRADIN�� PLAN—CHECH
ior me numase oi saiel. 9 O. O O � , 6 9
I, as owner oi tAe pm0erty, am exclusively contraciing wiih Ii�en5e0 contrac�ors to [an5tmc� �he prole�� ISection 70Ed, Business �
❑ antlPro�essimsCoOe: TheContracmrs'StaleLkenseLaw00unolapDlyloanovmero�proDe�y��uiltlsorimprovesihereon ***�,*,�,�,*,*,**,*,*,�**�,*„�**,**,�,�*,*„K,**,.x..K,+f+k,�K�*�„IF*i(,N,if,lEil,i(,*ifi(„!E%3f,�(,%%,%K,#K,i(,3(,if,*,x,�(�iF3F#1�,3(„x,�i,3i-�F%*�)f*ii
antl who contracts lor such pmlects wil� a conlraciar(5) licpnse pursuant �o ihe Contractors' Slale Lcense Law�. I am aware
Ihat pmol ol ��eir Worker's Compensation insurance s�ould De D�oviOetl to me. I N D I V I A U A 1.- � F. E E B R E A R 1� O W P1 ',
� 1 am exemp� unCer Section: B. 8 P. C. ( •'
ro�misreason; TYPE QTY D E S C R I P T I,O N, UNIT COST ��'TOTAL C05T
oa�e: Ownec
I eo nereDy cenily Ihat I am aware ol antl untlerstana tne repuiremen�s oi Calilomia Heallh antl Safety Cotle Seclions 25505, 25533, an0
2553d and I�al I pr any IuWre �uilAing occu0an� willlwill not (circle one) neetl lo compty wilh 5ai0 s�ate cotles ana Ibe reQuirements lor a
permil lor conslmclion ar motlilication fmm ��e Air Ovalily Managemenl Dislricl. fle5iden�ial constmclion applications are exemD� �rom
Ihese provisions
�a�e: pOPlicam:
I h¢reby cenily ihat I have read Ihis aOPlication ana slale I�ai �he a�pve in�armalion is correcL I agree �o comply wil� all ciry anA county
ordinances an0 slatelawsrelatingio Guilaing constmciion and here6y auUwrizerepresenlatives olthlscitylo enterupon�he abov¢-mentioned
D�oPetly lor ins ction ourooses. /i / /�L��
, `��ene
Oaie:/ Signamre: W
o�i�ers �icense oi sociai sec��iiy +: �
i6at-a6 Wnne-8uil0ing; Green—COCe Enlorcemenl; Canary�qpp�icanL Pink—Revenue; Goltlonro0—Agsessor
SFR 6407 REROOF HY VALUE: RESIDENTIAL NOZONE 1,00 6,40"1,00
END OF FEES .
�/ ;
0
CONSTRUCTION AND PLANN4NG
qPPROVALS Permit �1r`
1, Temporary Electrical Service or Pole
2. Soil Pipe-Undrgrnd.
3. ElecVicai Conduit UtdrtY-Undrgmd.
4. Elecirical Conduit�Undrgrnd.
5. Steel Reinforcement
6. Electrical UFEfl Grnd.
7. Footings
8, Foundation
9. Water Pipe•Untlrgrnd.
10. Structural Floor Svstem f -"
17. Property Sewer Line & House Connection
12. Sewer Cap
13. Roof Drains �
14, Rough Piumbing
15, Rough Electriwl-Condurt
16. Ro�gh Electrit Wiring
17, Rough Wiring Sign
18. Rouyh Electrical-T Bar Ceiling
19. Rough Heating & Air Conditioning
20. Ro�gh Factory Fireplace
21, Ducts, in St�ucture
22. Ducts, Ventilating
23. Gas Pipe�Rough & Tes[
24. Roof Framing
25. Roof Sheathing
26. T-Bar Celing (Siructural) & Monocoat
27, Frame and Flashing
28. Lathing & Siding
29. Insula[ion
30. Drywall Nailing
37. P'aster Brown Coat
32. Eiectncal Power Meterfinal
33. F�nal Electric
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 pomestic-final
42. Backfiow Prevente�
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound A[tenuation
46. Handicap Regulations
47, FINAL STRUCTURE & BUILDING
48. FINAL PI.ANNING
4g, Electric Release to Edison
50. Gas Retease to Southem California Gas Q
51. CERTIFICATE OF OCCUPANCY
Date
Date
.
Inspector
: 1. .
u
POOL & SPA
APPROVALS Permit �
52. Pool & Equipment Location
53. Steel Reinforcement
54. Forms
55. Electrital Bonding
56. Rough Plumbing & Pressure Test
57. APPROVALTOCOVER�GUN�TE
58. Electrical Cond�it�Undrgrnd.
59. Gas Pipe, O Undrgrnd., Test
60. 8ackwash lines, P-Trap, � Undrgmd.
67. APPROVAL TO DECK
62. Back�.vash & Receptor�Fina�
63. Heater & Vent•Final
64. Plumbing SYstem � Final
65. Electrical-Final
66. Solar SYstem-Final
67. Fencing & Access Anp�uval
68. APPROVED POR PLASTERIfvG
69. POOI(SPASYSTEMSFINAL
FIRE DEPT. REQUIREMENT
APPROVALS Permit 9'-r
70. Underground Hydro
71. Product Pipin9 �Gas ❑Oil
72. Underground Flush
73. Undergmd. Storaye Tank O Gas � Oil
r
74. Overhead Hydro
75. Dry Chemical
76. Dry Standpipe
77. FIXED SYSTEM FINAL
76. FIRE PREV. FINAL
HEALTH DEPT. REQUIREMENT
79. FINAL INSPECTION
80. F000 CERTIFICATE ISSUED /�
NOLCS:,�{�') �,��n �(f/
Date � Inspector
a
• . 1
� �-_ � .' '%�3� `��
COSTA, MESA BUILDING,DEPARTMENT
P.O. BOX 31]
COSTA MESA. CALIFORNIA
BUILDING
ADDRESS
FOR APPLICANT TO FILL IN
r� rvassau noaa
COSTA MESA. CALIFORNIA
OWNER tgers Develop
MAIL 4,7,9 E. 17th St.
AD�RE55
CiTY CQ3�'.8 t"1888
ARCHITECT C$I'1BOIS �
OR ENGINEER
ADDRESS Garden Grove
--_.-------Dike &
NO.
LIC.
NO.
CITV LIC.
�ecn� _ _ILOT I I
OESCnianON NO. � BLOCK TRACT
A.P. NO.
OF LOT /O ]( yoo �O. oF aloGS.
MOW ON LOT
115E OF
E%ISTING 9LDG.
SETBSCK LINE FPOM
ceHlcn or slr+ec• SO REAR VARD ZS
SIDE YARO RIGHT S1 LEFT Jt
DESCRIPTION OF WORK
NEW g ALTERATION I ADDITION
REPAIR � I �MOVING I DEMOLISH
S�ZELDING O S•1 Y ROOMS V STORIES
E%TERIOR WALL ROOF COII1 •
coVFRINf C4nnnn COVERING P
USE OF NEW
BUILDING Single Family residence
xith attached double garage
A
�
�
. � �� {
r.A.. �Lvw. 1 L�
AUG 27 1958
Fli;�,�.'CE DEPT.
1•' nnnr� . .
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
RECEIPT NO. P[RML2 ND.r
1�VIlI
0 Vil. ♦
FECEIVlD BY [��TE PECEIVE� D�TE ISSIIED
� �� Gf0' `� O I QU
COSTA MESA. CALIFORNIA
APPFOVED
BY DFTE
CORRECTIONS
1 HEREBV wCl(NOWLE�GE TM�T 1 N�VE FE�O iH15 �vPLIC.�TIOrv .�np
STATE TNI.T TNE wBOVE IS CORRECT �ND 1GREE TO COMPLY WITX .�LL
CITY ORDIN�NCES AND TE L�W$ MEGVL G BVILOING CONSTRVC-
T�o�, i %/i/AA VALUATION
SIGNATURE OF �� PERMiT FEE S 6�00
PERMITTEE � Zg�OO
, $ 15,139��0 P�A� CHECK 5
AUTHORIZED AGENT DinO S[ C018gSOV8� Inc. TOTAL FEE S 54�00 ��