HomeMy WebLinkAbout2404 NIAGARA WAY - Building Permits•'moRrssevem�ar�c: zq04 NIAGARA WY
°w"E"'s"""E'°'Q'°"": KHOURY, JERRY B
LODflESk 2 q 0 4 N I AGARA WAY
COSTA MESA,CA
MPL.Y/JIP10 /�DDNESS
ANClIRECT OX ENf�lEFA:
�PCN.OH ENG.'4 MDPE53:
��T�� S'fOUT ROOFING INC
cwmacroirsr,mwo P O BOX 4309
mo�u DOWNEY
90241
uxr:
92626
ucxo:
IINT:
(310)923-6775
Cj, ucxa 402536
UM:
I LICENSEO COMNACTOFS OEC Wfl�TION: I Meeby dl'em uMx psrWy d perjury �hei l em liunead uMer proviebn� d Gheqor B
(wmme��q hilh Saction )000) d Divieion 3 d IM BudMn erd Prolaveiona Cade, end my licanro is in lull lacs d aHsp.
cmuc.r+o.: 93y7 uc.cus C 39 �� 402 36 E) : 10 95
� J I _. O _
ome: ca,uwa: ��r�—�
'/NEP BUIL�ER DECLAN�7�ON: I hereby elfirm unEer parWy W perjury ihm I em ezemq tmm IM Cantreqon Lke s law lor ths
ow'ap raevon (Seqion �031.5 Busmeee end PMeaeione CoEe: Pny cily a munty which requiree a permil lo mnew , eller, improva,
molieh, or ropei eny etmnure, prior io ne uwenro, aleo reQuiros Ihe epplicenl lor euch peimn io file e eipned elebment ihe� M or eM
ia licenseC punueni m ihe pa�aims d IM Conimdon Licaroe lew �Chepter 9(mmma�iip wilh Sedion ]000) d D'veion 3 al ihe
8usifrea vM P�demions Ccdel a Ihel M at nhe ie exemq ltwtefiom arM tM bvis fa 1M elbped exem}%on. My va'afun M$eqim
)W 1.5 by enY eVW�t Iw e permil wbjed� IM epplicam io e avil penelry d nd mwe �hen Ixe hunEreA ddlees �3500�1.
❑ 1. ea owrrer d �M papenY a�^Y �DMeea �u�h wepee m �hx sde mnpenvtion. will �o IM wM. erd �M vinMum w rwl inleMeE
«ortmee�w.e�e Is«�io� �ou. eueinen.a,d aid...ion. coee: m. comreao9 uwn.. �.. do.. �a eovN�o en owrw,a p,openy
who Wld� w inprowv i�ereon, aM wlw doee cuch wak himaeM a hereetl n thraupl� he or her own empbyeae, pm+ideE Ihei wch
impmvemants are mi imerMed «aHamd lor ade. X, however, the Wikirp a inqwmmam ie eoM xilhin me ymr ol mmdeiion, �M1e
awrer-0uiNer xill heva Ihe WMen d provirp �e or ehe dk mt Wild a impova lor iM puryme d eab).
❑ �. m owro, a �ne o�ovam..m e.d�wlr �o-.a�o �u, uomsae conveno9 m c�w u» wd� (seaiu, ro... a,.m..,�a
Prdessbm Cade: TM G«uredae L'cxw law Eoee nd ePG�i �o en owner d PW�Y who huJtla a'unD�'�a �Ae�eon end wM10
cawects ror vtl� 0�9�� wh e mm�Me) licenad puauvu m �Ae C«ur+a«s liceroe lewl.
❑ I am a�emp under SxtN�: B. 8 P.C.. br Nu reeaon:
Data: Ovmr:
I do hereby een�N � I em ewere d end uMasieM the rpuiremenn d Cellomu Heetlh enE Sdery Code Sepipn Y5505. 2553]. eed
255�a. eM Ow I a erry Mure builtlinp ooaryut xiB I wil rwl (acb aro) ^� b canply wih said ams mMe eM tM rpw�amrW br
e oartnalaouuvuefa�«moddrel'mham�twlv�ere�emdu OiAia. Reudsaal a�WWeutl'nn eDG�'am us manq Imm Naae
a��.
o�e: �owKem:
WONKEH'S COMPENSATION DECL,�flRION: I MreEy etfi�m uMer penally d perjury «n d iM Idlaxi�q Eetluetions:
❑ Ihe`aardMlmeimenettnMictledooruenlioe�tl.inwnforworken'canpanaetion.mpwWeElarbySenimJ)ODd�MleEar
coda. �« ine o�o�k. d uw � �« w�n inm o� m m.�e.
� � n... end w� meime� woMen� canv�� ��,�.., �amr.e M senion 3�ao a u» �ee« cme. b me ronvme„w a in.
work Ia wliitli Mia pe,m�� ie inued. My wake�e cpnpenulion insurerice ramer e�d pofxy numbar ve:
c,�;e�: STATE EXPIRES
Po�kp rv�mto�: 10 / 19 / 9 5
(This sMion neeC na be cmmp�ered I t�s pemi,f ie br one hunEreE dollem (StW/ a bss )
❑ I canh �hd in �ha pMo�er�ce d ihe w«k 1« whch iM1ie permn i , I ehell iwl empby ury pe�son i y menner eo m to
becwre w4ea Io Iha wrkae' comW�aetian lewa a celilam' . Wne �hm ' I elauM 'M io � wwV<n'
wmro��g/�(pm�.s d s.a/i?a, �)ao ine leno, coe.. � � � n mm � un.e o�
Dme: ` — �� `/ � Aod'eem:
��
Wam/n0� Fallun ro�ecun woM�ri comperuetlon eoverepe /s ✓nkwlul, entlWll wb/xl en �mploysr to eNM p�nalHes and
c/Hl fiips up ro ww hu�Jrd f�uvM tlollan lSfIX{OWI. M erMltlon ro M� cwf o/ compenutbR tlemsp�i pvWtletl br In
Sxtlm J105 0l Ne I.eEor Cods. /nMut. �nJ �ttomW i/eea.
CONSTHIMTION LENdNG �GENCY: I hneby � uMer peialy d peipvy �hat �hre u e wnaUUCion brd'uq p�e�xry br Na
wn��, a me ..«x i« wnd, iw ro�� o�w.e cs«ao� aw�. c:. cl.
LENpEfl'S NANE:
LENDEF'S ADDHESS:
1 ceMy thm I Aew natl Nis eppfration W qele �MI Ne ebove iNmrotbn b carea. l aproe Io compy wn� N tity ud ooumY adirorcee
eM SW B 10wf �lIBIM b buiA1%q W�Mf Wim azd AMWY aNhMc<�epeaen�9�irof G �h3 MYb m�w uD� IM B60.<.TMIVMMd pap0rly
���°�"���ARLENE HURFOR,Y�'
(5151�d6.WP)
oe�e:
Whne-�ilEip 8 Sefery; proerFle; Cerery-AppFranl: Pink-Revenue; Gddenroa-Asemaor
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: B 073626 PLAN CHECK NO:
PERM NO: B 073626
GOVT: N SUPP: N
CONSTRUCTION TYPE: VN PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION : T/OFF, SHEATH 6 REROOF W/ COMP SHINGLES{ SQ FT; 2,999
CLAIM VALUE: 2,999.00 CALC—VALUE: 2,999.00 GROUP OCC: R-3 /
COMMENTS: SMOKE DETECTORS ARE RE�UIRED PER 91 UBC
�*�+�***��**x��*�******�+�+r+�***�r��* **�*x���+�x��x�x�***��x�r**��*�***�*x*�x��**x��x�*�+�*+��r
Z O N I N GS ERTEB�AUCIKRSE M E N T 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 RE�• PROV: PARCEL: 41916582 ZNE: REF NO:
PLANNING N 1'ES> %
i�
161E 1E 1E 1E 1E 1E IE fE 1E 1E 1k 1E 1f 1E if if� 1E IF 1E It 1E 14 iE �E 1E 1E iE 1E iE iElf �E 1E If 1E 1E k 1f� iE iE iE IE 1E 1E 1E 1E if IE 7f iE 9h 1E 1E 1f 161F If 1E iI� 1E 1E 1E 1E 1E iF 1f �k IE iF 1E iE iF iE 1E 1k iE 1t 1t
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� HY DATE: �S�
BUILDING APPROVED BY : DATE: �
APPLICATION ISSUED BY: DATE: � �
x���***�r�ritit*�r*x�*xit*rt*�x� �*****�rtx�at J rae
LEGALIZATION;N F E• S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIPlR£S GRADING
PERMIT 54.00 .50
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 54.50 0.00 0.00 54.50 54.50 .00
REVENUE DIVISION TOTALS--> COLLECTED; 54.50 OVER/SHORT: .00
HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
54.00 ,50
�tE 1f 3E 1E iE 1E if �E 16 if iI� 1E if fF iE 1E 1E �E iE iE iE ik 1f ib iF 181F 1E if IF 1E �E iE iE 1E 1f 1E 1E 1E i! 1f i41E 14 iE 1E iE 1E IF i61f if �f if �E IE �IE iEiE 1E �E if if� iE iE 161E 1E ih'Ik ik If 7k 1E 1k 3f if 1E 1k
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 5 C R I P T I O N UNIT COST TOTAL COST
SFR 2999 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 2,999.00
END OF FEES
'J2 �OiII76?4—u018?6�
DAiE° OE/04/4S TI[
CONSTRUCTION AND PIANNING.
APPROVALS Permit # Date Inspector
t. Temporary Electrical Service or Pole
2. Soil Pipe•Undrgrnd.
�-'4c' Elec[rical Condw��Ubifrgrnd.
. ,5_SteelReinfprcementl
T.�
_6.�Electrical UFER'Gcnd. +
: 71�FAotings � �
BaFoundation �� � c.
3%'Water Pipe-Undr.grnd. `, �
10. Structural Floor Svstem
11 . Property Sewer Line & House Connection
12. Sewer Cap '
13. Roof DrainS
14. Rough Plumbing� ,,, .
15. Rough Electrical�Cortduit s
<
16. Rough Eiectric Wirirjg _
17. Rough Wiring 5ign ` , '
18. Rough ElectriraLT Bar Cefling'
19. Rough HeaUng & Air Condi:ioni6g
20. RougF� Factory.Firg,place ��T' �" `
,- �.
21. OLcts, in $tructure; - , . . �� .
22. Dutts; Vent�la`tjng��' , � �`
23. Gas P�pe�Elough & Test � �- r�y
24. R"oofFraming.: • =`' '••' _
�
25. Root Sheathing , , ' �; ZZ-'L
26. T•Bar�Ceiling (Struetural) & Nkrn�,Rcoat *
27. Prameand,Flashing„ - -
- 28. Lathing & Sidng - ` � '" <- _ ^� �
> T
"29. Insulation �. �,:� J �_ `...
30. Drywail t�ailing �* r �
�� 37. Plas[er BfBWri,-Coal�'. - - - �
� 32. Electrical�owet MecerFina! • � �
,
33. FInal;Electric: ��. � _
� 34. Final,'!-leating & A'v.6ondaionirtg" *�
.
35. Kinal Gas.PiPe?�est � .t� . �
_ `
-. 36. Hootbor CanoPY �'- - - �- •
� _ T
' 37. F[nal;Factory Firep�ace ._ �_ _ i � '
� 38. Final PIuBb�ng - � ' '
� 39. Water Serv�ce�Final �. .; �J _
. 40. Gas Service-Final �. . - - <_ � ?7
� �
' 41. Solar porqestic Final, -- ' � ��
42. Backflow-Preventer ;• _
43. BackflowTrrig2tion �. �,-- ,
��
d4. L.andscape�lrrlgationSYstem ^'-t^ '
���
45. �ound ALIen(iation � ' T -' � " �
. .. c
46. Handicap'Regulations � x '
47. F'INg�STftUGTURE&BUILDWG `` G�
48. FINALPLANNING�. -- 'u
- s
49. Electrie ReleasE to Edison '
50. f�ys Release to Southern California-Gas Co �
51. CER3IFICATE OF OCCUPANCY •
N0. Date
F & SPA
APPROVALS Permit #
52. Pool & Equipmeni Location ,
53. Steet 4einforcement
54. Forms
55. Electricai Bond(ng
56. Rough Plumbing & Pressure Test
57. APPROVAL TO COVER�GUNiTE
56. Electricai Cond'uj�Vndrgrnd.
59. Gas Pipe, O Undrgrnd., Test
�,; � -
60. Backwash Lines, PTrap, CQ U�idrgrnd.
61. APPROVAL TO DfCK '
62. Backwash & Receptor�Final �
63, Heater & Vent-Final
64. Plumbing System � Final
65. Electrical�Final
66. Solar SYstem�Fi,�n,al .
67. Fencing & Acce;s Approval �, � �
68. APPROVED FQR%-P�AS7ERING
T
69. POOL;SPASYST�MSFINAL
FIRE DEPT. REQUIREMENT
� �; :�APPRbVAL$?� Pe%�nit# ' � :
- `�'' = 70. �t9ndergroar5d F{,�dro
S �� 'Ji. ProducLBlpingL_1',Gas C�JOiI
. :.�. ... - - -
¢ G= • 72. Unde'rgr6ntl Flush� .. • .
� _.� �,73.. Undergrrr'd.Stocagp7'ank';OGas ❑Oil
�QW� � 74:.�Overhead�Hydr� � • �
_ Y. ^-
� �'' ` 7� Ary Chemical � ' `' ` �
'7 �' -� D
P' l y _ ..
-- 76. Dry Stars{pipe F z +•
" "` 7t� FIXED SYSTENL�INA� .
= 7$= FIRE PREV. FI�NXiL � > "-
' ` ;gi,�ALTf{�DEP�.'REQi11f�EMENT
�.-� 79� FINAL I�I�ECT}ON V J =
. ' = � 8Q; FO00 CERTIFLCATE ISSUED _
�x
� ,' T -
� " Notes: - - . _ ^: ;q
i' :.'. S � . _ � c
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� •� � � � .�: - _ i� ._
k' SC
,� � - -. .. y.. 4r
Y �I 7C� K T =G.
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. # `. _ _ .c -'' . _
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t - - .
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v�
. 4: . ; l . " c'
Date Inspector
n
�
�
2� �.�
COSTA MESA BUIL^ G-5 ETY DEPARTMEM'
P. O. BOX 91] C06TA MHBA, CALIRORN111
For Applicanf to Fill In Completaly
TYPH OR PRIN7
BUILDINO 'D �
ADDRESS
COSTA MESA, C LIFORNIA
C� . . . .� ��I�n _ /A
�
SIZE ^ -` y� NO. OR BLD08.
OF LOT O� V V NOW ON LOT
USE OF
EXISTIN6 BLDO.
BHTBACN LINC PNOM O
ceNTBP OP BTfl88T �� qEAR YARD
SIDEYARD LEFT C� I RIQHT
DESCRIPTION OF WORK
)R W ROOP �
NG �lArT COVERIN6
BUILpINf AND WOftK TO Bfi P�RFORMHO
1 NEqEBY ACKNOWLEqpg THAT 1 XAVH RHAC TMIB APPLICATION
AND 9TATE TNAT TX8 ABOVB 19 CORR6CT ANO AOp88 TO COM.
PLT WITX ALL CITY OppINANGBB ANO 6TATi LAW6 P[O�ILATINO
eu��o�Hoco HtICiION.
SIGNATURE
PERMI7TE
AUTHORIZEDA N
CITY OF COSTA MESA
FEE R CEIVED
�T 1 8 1$�{$
APPLICATI�N�FIDR+RERlNfT T•
�44UKnUfcCOSTA MESP
For Office Use On1y
I R6CCIrf NO. P6RMIT NO.
APPROVBD
ZONING ` ��
`� NO. OF Y8H OP N
I PLAN` BWLOIN
11L O n � I
CP�I�IO ��
�. No. ( �l l - � �F3 —
'E: NO EAVE OVERHANG SHALL BE LEBH THAN
TO 61DE Q REAR P. L.
ES
.OWED (U.B.C.REOUIREMENT'.
YARDSAPPROVED YARD9APPROV6D
MAINBUIL�ING ACCESSORYBUILDING
D16TANCE BET.
MAIN BLDGS.
VAR. #
� -i� /.�so. �.
TXH hMOUNT BX01
PUHP09E Op E8L
VALUATION
$13l g9�='
BET. MAIN 8 �
ACCESS. BLDOB. �
DATE
APPROVEO /
DATE /��� `� ( ,�
�
6.7
�ao ° � �
a
1 VALIlAT10N 18 POH TH8 $
1 A PERMIT F88 ONLY, p
�� 0 �
.IIT FEE S �
�
%q m �
JGHECK $ IXoC•�Q o
-U/ LL
LLFEE $ � /� �
OWNER - SAN VI9t'A BV �NG_ CAMPANY ATE 6_l_(�F �
JOB ADDRESS 21�04 Niaeara W�,y BUILDING PERMIT NO. 22Q51
INSPECTIONS
SUBCONTfiACTOR
Water