HomeMy WebLinkAbout2412 NIAGARA WAY - Building Permits.�oncssaem�ar�c: zq12 NIAGARA WY
"""E"s"�"E"'wa�'": CLAUSEN, O WILLIAM
"�"Eu CLAUSEN, KAREN J
16362 UNDERHILL LN
�vr�. �uuuxc �ooness:
HUNTINGTON BEACH,CA 92647
AfICXRECTON�NFEA:
urcx. on �c.•s �oonEss:
uc. ra.:
uxT:
UNT:
��+��*�g�E STOUT ROOFING INC (310)923-6775
canx�cToxswuuwc p O B OX 4 3 0 9
�ooness: DOWNEY CA uc.xo: 902536
90241 urr:
�ICENSED CONTFACTOP4 DECL�BATION: I hareDy eflirm unEer peneXy 1 pe�ury ihd I em 1lceneeC uMer qwivi na d CM1epler e
�mmmentl�p wilh Seclion )000) M Diviaion 3 d Na Budnms enE Prdm ' e oda, end my licenea is in tull brta eHed.
cmuc.r+o.: OS 77 uc.cu}s�s: C 39 uc 402 � 6 E} 10/
oa�e: �" .7 co�vaa«: � �
OWNEfl BUILDEp DECIAPATION: I hmeEy eifirm uMer penelly d perN�Y �� � em uemq Irom Ihe Contredon Licem w lor Hp
Idlowinp resmn (Setlion ]031.5 Bwi�eae end PMeeniona Gode: Any cIy a caunry whieh �puiree e permil to mmtru�M, m, impove,
Eamolish, or mpen eny sVocWm, prior m ne enuence, eleo repuiree �ha epplirant br auch permn to file a aipned e�e�amen ihet ha or ahe
ia liceneed Wnuent lo Ihe provisions d Iha Convenora Licanee Lew �Chepler 9(rommancirp with Sedpn ]000) d 0'veian 3 M Ihe
Businav enE Prdessions Coda� or �hei ha a she is exemq thaehwn end Ihe basis fa ihe elbpeA e�emqion. My vide�ion W Seclion
)bJt.S W any+ppliunt fa e parmn subjeas �he epplicanl lo e tivil paneXy d epl more Ihen Me huMreC ddlan �5500�).
❑ I, es ox+rer o11M1e qopeny ar my empbyees wih weges es iheir eole mmpenealion, will Eo ihe vrork, end the ei�ucture e rwi in�enCed
w aHered br eeb (Seclion ]oaa, Buainew end Pmfesaions CaCe: The Conlrenors License Lew doea not eppryto en ownera properry
wno b�u. «�p�a. me,aon. d,e.no eoaa aucn � timmn w ne�en a m,�n ne «ne. o.m emqo�eec. �dee mm.�n
��mam. �a ��me�eae «on,ree ia aw. rc. ro.�,. me w�n�m «mw�am �, ada .nn�� o� v� a oomde��. ine
owrwrbuiNer will heve IM Wrden d pravi�p M or aM Eid nd WiN or improve iw IM WN�e d aeb).
� 1, es owner M the propeM� am eadueively canireninB ��h licensed conlreclon lo cons�rud Ma pml� (Sedion >W4. Buainma eM
Protessions COEe: The Conirapon L'renae lew daea�wteppty b en ownerd propeny xfio buiMe aimpweslhereon enC who
coninna la w h prqeda wnh a ooruredor�a) IcenseE W9�t to the Canlratlon license Lew).
� I em eeamq uMer Seclion: B. E P.C.,1« Ihia reemn:
Deta: Ownac
� eo narenv �n�N u� i�..�e d�d ��rs�,e � rea���a�m w c�eomb �nn �e sar<y coea s«a� nws, zssaa, �d
zssae, �e md i or enr nnu,. w�m��q �o�� �ii � wai �m Id2b o�wl �eee io �mvh wnn .�a mme ooaes e�e me reamremenis r«
epermilimmnsi�uciionarmodifi�ionhomtMFi u�eLi�apememDistna.Reeidentialmnsliuqonepplcatiauerae�amqtromthese
provisiona.
De�a: Appi'ram:
W OPKEN'S COMPENSATION DECLPPPTION: I hereEy eifirm uMer penehy M perjury om W �he /ollowi�p Jaderetons:
❑ I heve end xil manten e canifceie d mnsant lo neX-insure lor xaken' wmPo�seiion. e+ WwideE la by Seeim 3)OD d ths lebor
Cade. la tM pMmnv�ce d Me v.wk tm wirc� Iho permil is isued.
n I have eM vAA meintem vrorkert mmpemeton ireurence. u req�irad by Seqion �100 d I�e lebor Cada. br tha perbrmaze d tM
7� woM1 for which ihis parmit is issued. My w«kers mmpeneeiion insurence ramer eM pdiq number ere:
c�a,: STATE EXPIRES
aa�. n�mn«: 10 / 19 / 9 5
�m�:.an;an na.d �w ne comnb�ad a me a�a;e ro, �e nune�ee ediars (siool o, rus.�
❑ i cenM �nm in me aenom,e�ca a ine .a� io� �.nKn m�a re�n u aeu . i sne�i na .mpw eny oereo� m m��a� a m
Dete: �vt� �/ �^�LeborlCade, I om �' ree �' h�k becane b iM xo
Weminp: Fellun ro sxuro wortsri rnmpsnaetlon rovsrepe b unbwlul, enLiMll wD/Ict �n employw ro ctlMrv/ p /tl�� entl
c/vll Ilips i.p ro on� hintlrM �Iwuund Ao/Nn (SIOO,OOOA In �Wltlon ro fh� cwt vl compsrwtbn, Mm�p� u v/tlM br /n
SxHon J106 0l Me Lffior Cotle, Infensq and ettornsyl leaa.
CONSTNUCTON LENWNO AGENCY: I Mreby eHirm uMer penelry oi perlury �hat �here is a mnslmaion bndi�p egericy la the
periormanm d �ha �oM for which �ha paimi is'ssued (Sed'wn 309]. Gv. G).
LEN�Efl'S NN.IE:
lENOEF'S ADOFESS:
I ceniy ihet I heva reed thia epdK�� ���e thet Iha ebova inlammion ia cortea. I eprea �o comply xilh ell ay eM muMy oMinences
Bl14 91B�BI8WSIBI01019�0 bUl{jYl'd CM311Iqp110M�IBlB�'6VI11pfRB10p185B11�B11VBe O�Ih6C1YIOB11�BfU�11�fIBBb'JIBYIIBfI�[NIBj OfOpBlty
�����9'��v����%D�.RLENE BURFORD //
=- s�-9
(S15t<fi.WP� W�ne-BuiNvq 8 Saley; Greer�Fle; Genery-Ilppirant: Pink-Rarenue; GokenroC-0.sxamr
! CITY OF COSTA MESA - BUILDING PERMIT
' PERM NO: B 073630
PERMIT NO: B 073630 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: VN PERMIT TYPE: STR PURPOSE; OTH
JOB DESCRIPTION : T/OFF, SHEATH & 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
+tit���r�x���r�**x�*�r*x�x����*��+tx�*�t�t�it �t*��**+t**�t****+�*�tx�*+�*�t�t+���t+�+��tx���*��t*�tx�**x��x�*
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 ---------
FbtNT: 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(j: PROV; PARCEL: 41916578 ZNE: REF NO;
PLANNING NOTES> !`
.� ',i
i
'lE iE 1i 1E'lE'If 1ElE iFlE 1E 1E 1! 1f if iF iE 1F iE 1E iE 1E iE 1E 1E IE 3E 1E * 1E fE fE 1E iE iE ff 1E 1E iF 1E �E if iE 3E 1E i(� 1E iF iE 1E i4lEiE If 1E 1E 1EiE 1E 1E 1E 1E 1F 1E iE 1E 1F 1E iE.3E 1E 1E iE i� fF 1E 3E iE iE
D E V E; L O P M E N T S E R V I C E S R E Q U T A E M E N�T' S
ZONING APPROVED BY DATE: n.
�1
BOILDING APPROVED BY
APPLICATION ISSUED B
iF'IF 1E iE iE iE iE ii'IE �IE 1E 1E 1f 1E iE 1E 1f iE iE 16
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES 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/SAORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIAE SMZP/TOT GRADING PLAN-CHECK
54.00 ,50
1f 1E 1E iE 1E'lE 1E iF iE iF iF 1E 1E 1E 1E 1E 1F 1f 1E iE �1FlF if iF 1E 7f 1E 1F 1E 1E 1E 1E 1E 1E 1E 1E 1E 1Elf 1E 1E 1! 1E iElE 1E iE iE iE 1EfE iE 1E iF 1E 1Elf 1E iE 1f iF 1f 1E 1E 1E iE iE iE 1f iE fE If IF iflE iE iE iE 1E
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 I O N UNIT COST TOTAL COST
SFR 2999 REROOF BY VALUE RESIDENTIAL NOZONE
END OF FEES
1,00 2,999.00
01 0018'652-00187653 TL7 T $4,;Q
D4?E� a8lr4:�5 TIflE: 09:04
1 CONSTRUCTIpN ANO PLANNING POOL & SPA
APPROVALS Permit# Date Inspector qPPROVAL$ Permit# Date Inspector�
L'
1. Temporary Elearica) Service or Pole 52. Pool & Equipment Location
2. Soil Pipe�Undrgrnd. L' ^ 53. Steel Reinforcement - ' �
.-3-.'�estrical ConduiR Uti{ity-U��grnd. � 54. Forms
�A�6lectrical Cond�iT�Undrgrnd. • � 55. Electrical Bonding ' -
-:�„^ T+
_.`5::Siee! Reinforcement� 56. Rough Plumbing & Pressure Test �
� 6. Electrical UF£fl=GZnd. �� 57. APPROVAI TO COVER�GUNVTE "
^ .0
ZS„= �optings � � '' 56. Electricai Cond'y_,if�'Undrgmd. •
3--�:: Foilndation �� .. � 59. Gas Pipe, O Undrgrnd., Test �
7_9'Wate� Pipe-Undr@'f�ci. �� • 60. Backwash Lines, PcTrap, C3'Undrgrnd. '
9b. Str.uctural Fioor System 61. APPROVAL TO F2ECK- -
7 t. Pr6perty Se�.ver Line & HousejConnection 62. Backwash & ReceRtor-Final .
12. Sewer Cap `' ' 63. Heater & Vent-Final -
13. Rooi Drains 64. Plumbing System � Finai ,
14. Rough Plumbiog_, �. , 65. Electrical-Final -
15. flou9h Electricat•Cor�uit �^- 66. Sotar System-Fina"f.
76. Rough Electric �Jirin9� � . �- 67. Fencing & Acce Approval
17. Rough Wiring Sign � i- 66. APPROVED F(�R-PLASTERING
18. Rough ElectricaLT 8ar Celiing" 69. POOUSPA SYS��-`MS FINAL
19. Rough Heating & Air ConditionYng' FIRE DEPT. REQUIREMENT �
_ - ,...� - -•.� ^ �� x �.
20. Rbugh Factory,Fire.'iface '�-,�"'�-,' �_ � ,' _' r" : �APPROVA�L�3' '� Pet{nit # �. '' -
c S: v .; x <.,. �. - F �--"'-
21. D�ucfs, in;$tru�ure=, •�� �,.. �� S ��* '� 70. tindergroufi7l Fi�dro
22. Ductf, Ve�tilM7ng,Ly �r "- �; � �,r .' 71. ProducL Wping'J.Gas C�OiI
23. Gas Ptlpe•`@ou� & Tast � ;:� _ � -, � .� ' . � 72, Undergrollnd FFustt'�- � - -
24. Roof-`Framinq •• � � - ' ' � - ?' � � � ; �3:; Undergrnd. Smrage Tank � Gas ❑ Oil -
25. Roof;$he�thing �-� ^ g...�Z��'� �✓�,;s � � 7M�Overhead HYdrd �^ ��
26. F-BaT'Leilin9 (Struc.urall & Moh at X � � - �y 75:'-,D'ry Chetnical �� �` "' - '
27. F ame an5�, Fiashi � '� - ` `� `- ' "
� ^� � ^ S =. � , 76� Dry StarY�xipe �:
� 28. Lathing &Sidinq � x � ��'-=� � � 5 .. ,.•;K 77� FIXED SY�TEh1=FINA� � ' . .
� 29. Insulation. �: =,;T ` ,�+ � ,- ��� �. 78:, FIRE PREV. FI(VA� x ^ �' �
' 30. DryevallNailing '''' ' � S ;H,EALTFfDEPT.�REQUiR�MENT
- 31. Plaster BrowmCoat�; -Y � - - � ~ � �M ;-79:� FINAL INSPECTfflN �: �-
� 32. E�ecvicaCRowSr Mezer�Final ' "' �� i '� �84'�FOOD CERTIFILATE 1$S ED �
.:
-.33. �fn2L.Eleciric^ .''_,'� �y i :Z � � � . No(es: - ^� t �- ;;
134. FinaLHeating$ Air;Eonditionir�j� ^ ��� � , x .: ' ' � - "
-.v� n r x'� x, -���-'. -
35. EinaiGasxPipe�Test_; • ' •' ,�;., -w� ='-"' � .
- 36. Hood or CanoPY - T ^- c * � . ' .� F ^ _ � _ _-
i .T. 'k % T Z•^
f'
� 37. Fjnat FaC�ory FireRlace 5� -. x^' 'i ��
- 3&. FinatPlu'mbing - N �- ' � � - _ '
f �) .
39. Wate��Seryice-Final' ` _ -� � - " ' T =-
s � • - �
'; 40. Gas Service-Finai �� -.� - - . � :: - � * T
y _
-.41. Solar �or�stic�Fina4 -` * �' � t ? � � - � y-. �
' 42. Backflow,-Preventer , �� :r i i� tr; • .F �`'
Y �. }� T. ,' ~ l' X
43. Backflowirrigation t QSS : � _ .-�� ��. _ '
4,4. Landscape IrrigatiomSystem r?:^ w r•7 ^ c Dx � a� -" � l -
.* yc� 1. ^s �5
4�. �aund ASienuation `- - - • ,. < `� .; �; ; _ ;�.`• -'� '�
A6. tiandicap�Regulations -- � � � ' •s =o " ^
- 7 :
47. FINAL STRUETURE & BUIL�ING J/�,��..Ljy �� 7 ,�`=S '•
[
48. FINAL PLANNING = - - ` �! ^ ' - " �'; �
_ .
49. Electrie Release to Edison � ' �`� � � c� , � '
_ ,� , -
50. Gas Release to Southem California-6as Co �x ' �� - �.T. - •
�- t- , - -
51. CERTIFICATE OF �CCUPANCY �� • '" � ' r;�- . " ' --
No. Date
OWNER ' $AN Vj$i'A $(JII,DjNG COMPANY DATE 6-i-64
JOB ADDRESS Q!}jQ�jiavara_�jg� BUILDING PER.MIT N0. Q'2Q�5
GENERAL CONTRACTOA cnmc VALUE $ ��_ ROS _(1O
FIRE ZONE DESCAIPTION OF WORK
� I GROUP T4. T TYPE v ZONE
SUBCONTRACTOR
� 2?_2��
COSTA MESA BUILDING-SAFETY DEPARTMEM
P. O. Bb% 91] COSiA MEBA. CALIFORNIA
For qpp�ican! �o Fill In Comple�ely
TYPE OR PRINT
BUILDIN6 - � /�
ADORESS ��
COSTA MESA, CAL ORNIA
' STATE
LIC. N
SIZE
0
i U.c�
0
:�J
l�J
EFT O I RIOHT
DESCRIPTION OF WORK
■ EXTERIOR WEn[1— I R�OF n fl i
FEE RECEIVED
�Yas �
APPLIGp�1f�PI,.N� ��j�sA
l.l ��I�I
For Office Use Only
n[c[�'r rvo. F�(Rei�ryro� �
GG��
Y O rc rtrc vco OAi618S11E0
.� /� G� JUN 1 1964 '�
ZONING
�
. . A. P. NO. I � J � � '_ �
NOTE: NOEAVEOVERHAN68NALLBELESSTMAN
7 90• TO BIDE @ REAR P. L.
DEAVES
ALLOWED fU.B.C.RE0UIREMENT:
YARDSAPPROVED YARD9APPROVED
MAIN BUfLDING ACCESSORYBUILDING
� U
I HEREBY ACKryOWLEODE TMAT 1 MAVB REAO TXIB APPL�CATION
ANO 9TATH TM{T TM[ ABOVH 18 CORpECi AND AOP!@ TO COM�
PLY WITH RLL CITY ORDINANCfiB ANU eTAT[ LAWB PBOULATINa
BUILUINO CON9 RION.
SIGNATURE OF
PERMITTE
AUTHORI2E� A6
VAR. #
THE �MOIINT BMOY
PURP09E OF 8ST/
VALUATION
$ �3,�q�'�
�.r �'
BET. MAIN R W
AGGESS. BLD08. �
DATE (�,�
APPROVED �
—/ `� �
DATE .
/ �
�
a
�ao `� � �
m
I VALURTION I6 FOq THH F�
1 A PEqMIT Ffi8 ONLY. Q
././. � 0
�
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