HomeMy WebLinkAbout3368 NEVADA AVE - Building Permits1
PPOJECT NOURESS: j 3( 8 A:EVAI)A AV
OWNEF'SNAME: ]'jISHOP� EU11f'1 �
nooRess: 3368 NE�JADA AC�E
CQSSA NESP.,CA
5�9-9701
AHCH/ENGINEEfl:
ADOpESS:
uxit:
926?6
NEG.NO.:
UNIT:
PENMITTEE: �i��J].:�] $IS�`y(JP ( 714 ) 549�-9701
aooness: 336A NEV.�A AV
C,�, CA 92626
LICENSEO CONTflFCTOB OECNNATION: I hereDy affirm that I am licensetl untler provisans at Chap[er 9(commenting wi�h Section
7000� oi �rvisian 3 0� Ihe 8usine55 an0 Pmtessions Code. antl my license is in full �orce antl e��ec�.
CITY UC.: STATE LIC.: ClA$S:
Da�e' Signature:
WOFKEflS' COMPENSPTION OECLABATION: I hereby aflirm ihat I have a ce�itica�e of consen� to selhinsure or a certifica�e o� Workers'
Compensation Insurance, or a ceniiled copy thereo� (Section 3800. La6- C)-
POLICY NO.: E%P. UIITE:
COMPRNY:
� Ce�Ihed copY is hereby tumishetl. ❑ CeNfled copy is �iletl wi�h Ihe clry Bulltling Divisian.
Oate. Applican�:
E%EMPTION FBOM WOflNEflS' COMPENSFTION UECIABpTION: (This 5ec�ion neetl not be campleted il lhe permit is for one huntlretl ($700) or less)
I certify �ha� in Ihe pedormance oi Ihe work for which ��is permit is issuetl, I ahall no� emDloy any person in any manner so as �o become
sublect Io Ihe Workers' Compensatmn Laws o� California.
Date: SignaNre'.
NOTICE: Ii. alter making �his declaralion, you shoultl become sublect �o the Warkers' Compensa�ion pmvisions of Ihe Labor
Code. you must �arthwith comply wi�h such pmvisions or this permit shall be �eemetl revokea.
CONSTBUCTION LENUING pGENCY: I hereby aflirm �ha� Ihere is a constmction lending agency for �he pedormance oi �he work �or
whlch Ihls permit is issuetl (Sec�ion 30W. Civ. C)
LENDEN:
aooness:
OWNEB BUILUEfl OECIANATION: I hereby aifirm Ihat I am exemp� �mm Ihe Conlrac�ors' S�a�e License Law for Ihe following reason
(Seciion 7031.5 Business antl Pmfessional Code: Any ciry oi counry which requires a permit �o coretmct, al�er, impmve, demolish, or
repair any s�mciure, prior to i�s issuance, also requires ihe applicant �or such permrt to tile a signed s�a�emen� �hat he/she is licensetl
pursuani to the pmvisans of �ne Con�ractors' Sta�e l.icense Law (Chapter 9(commencing with Sectlon 7000) o� Oivisian 3 af �he Buslness
antl Pmtessions Code) or �ha� helshe is exempi Iherefrom ana �he basis fo� �he allegetl exemp�ion Any violation oi Set�ion 7031.5 by
nny applican� for a permit sublec�s [he applican� to a crvil penalty o� no� more than �ive �undred dollars ($500).
I, as owner o� Ihe pmpeny or my employees wi�h wages as their sole compensation, will tlo the wark, and [he
� slmclure is no� imen0etl or oflered for sale (Section 70aa, Business ane Pm�essional Code: The ConVac�ors' State License Law
Ooes nol apply lo an owner o� a pmpetly w�o builtls or impmves �hereon, and who tloes such wo�k himself/herself or thmugh
his or her own employees, pmvidetl �ha� such impmvemen�s are not mtentletl�or o��ered to� sale. I( however the 6uildir.g or
improvement is sold wi�hin one year oi comple�ion. �he awner will have �he burtlen of pmving he/she Oid noi build or impmve
lor the purpase ol sale�.
I. as owner of Ihe propeny, am exclusively canVac�ing wiih licensed contrac�ars to consVuct �he pmle�� (Sec�ion 7044, Business
❑ antl Pm�essians Cotle: The Conlrac�ors' S�a�e License Law Ooes not apply �o an owner of pmpehy who builtls or impmves �hereon
an0 who comracts �or such pmlec�s wilh a conVacmr(s) license pursuam to the Contractors' Sta�e License Law). I am aware
Iha� proof o� I�eir Worker's Compensa�ion insurance shauld he pmvide0 b me.
I am exemp� under Sec�ion: B& P. C. �
❑ t
�or �his reason: ' ^ q
Oaie: �A�/�� � " � � Owner. /� {� — —,%�
I do hereby ceNty ihal I am aware ai and unders�an� ihe reQuiremems of California Heal�h antl Sa�e�y Code Sec�ians 25505, 25533, antl
25534 and lhat I or any fuNre bulltling occupan� willlwill nol (circle one) need ta comply wlth Sald Stale codes and �he reqmrements �or a
permit far conslmciion ar modifiCa�ion ir�m �he Air �uali�y Management OiStncL Re5i0enlial COn5lmt�ion applicalions are exemp� irom
Ihese provi5ion5.
�ale'. ApplicanP.
I hereby certify �hal I have read Ihis applicaiion nd s�ate �ha� �he above information is correc�. I agree to compty wi�h all ci�y ana counly
ortlinancesantlslalelawsrela�Inglobuildlnqc slmc�ianantlherebyauthonzerepresenta�ivesat�hiscity�oen�erupontheabovamentio�
pmperly tor inspecuon purpases.
oa,e%�1�(— s�9�aw�e —�.._.
onver's ucense or Social Securiry
i641-46 Wbue—Bmltlmg: Green—Cotle Enlorcemenf, Canary—Applicanq Pink—Revenue; Goltlenrotl—Assessor
:�
CITY Or COSTA MESA - BCIILDING FERMZT PERN NO; B 05483`_
PER,i�iIT NO; Fi 054835 PLAN CHECK NO; N GOV"l; N SJPP; h
CONSTRUCTION TYPE: PERMIT TYPE: STR PTJRPOSE: OT'H
JOB DH5CRIPiIQN : TEAR-QFF, ZNSULATE, RESHEA�H & REROOF S(� FT: B4OOU
CLAIM VALUE: 8,000.00 CALC-VALUE: B4OUO,OU GAOUP OCC: R-3 /M-1
COMMENTS: REROOF RESiD F GARAC'�E W/CAL SHA3CE ROO�'TN �{�y q� +� )
��r*�*�c**�cxx*±�*x***��d;��+��?�u-�x*u�c�*��*�+���c**x*�******�u�����" �f'5�����! �J�"1
2 O N I N G R F' i7 I R E M E N T a.�
----5 E-T B A C R S
------------ MAIN BliTLDING - - - ---------� ArCESSORY 3���" ���� ---
FRNT: FT iN �EAR; FT IN FRNT: FT IN REAR: cT iid
LEFT: F'i' IN RGH't: FT IN LEFT: FT iN RGiiT: eT IN
PARKING RHU• PROV; FARCEL: 1395'1110 ZNE; REF NO:
PI�ANNING NtSTES>
i
iF'i. iE iF # 3C # if iE �F #6 dk `�F if 3F #` )f iE iE iF iE if # i� 3E 3EiE iE iF # i't iP 36 �36 iF �1f iE �E �3E 1F iF if k iF iE �7(� # iE 1E 4E if if ii� li-iE iE Ic 3i-!E 3f lEdE �f 1F �13f if iF.%F �E iP 7F if �7F iE iF ie iE iE
D E V E; L O P M fi-.N T S E R V I C E 5 R E Q U I R E M E N i T S
7.ONING APPROVED dY AATE: `,
BUILDING AFPROCrED BY : DATE: !�,
i
APPL3CATTON TSSIJc:D HY: -` DATE• ��
#F3(�1E-%�3F3EiE3f�lE#iFi'r�leiFiP�EiFiE3FiFlt�)f?F3FiFiF3fiF3FlF7FiF3C3E3t�e3F iF� 3F;r%3FTi87Fit�iF?F�iei%3F�1f�ii�iFii�36#3E3FiFiF �e1E
iE �)f �lE if jF 3E-1P iE iE 9E �IF 3F 3FiF if jF i't * IE 3E 3F iF i(� If iE # iE li if 3f i(� dE # dE 3c # 3(-jf �lf iE if 3E �k i63f iF i't iF f't 1f iE %� ii� #�f iF iE if 1F ii� iF # 1't ii� �lf 3f if �7F aE # iF-1F iF i( 3F-1f� Y� iE �!'
LEGALIZATION:N F E E S U Ne �i :, R Y Si'ftUC'I'UAAL SEG,�icNT:Y
BLDG PMT FLUMBING ELECTRI� MECHANIC cIRE SMSP/RES G�FSDING
PBRMIT 99.U0 ,F30
SMIP!NQf�-R�S� •
t t�AN
T.i5UF_ FEE
BUILDING-DIV-> PERMIT aSSUE FLAN-CHECK TOT'AL PAID '- DUE
TOTALS----> 4�.80 0,00 0.00 99.8U 99.$p .UO
REVENUE D'IVZSLON TOTALS--Y COLLECTED; 99,90 OVER/5HURT; ,00
BLDG PNT PL'u"'MBTNG �LECTRIC T;ECHANIC FiRa SNIP/'POT Gi2AI7I?�G PLAN=CHr:CK
99.00 .80 -
i�- dE iF if iE iE 3E?f 3E IP 9(-�JE 3(-3F 1E iE iE iE iE 9f iE if .t'-3E #� i'r 9F iE 3h �l(�-lF k�iF �lE 9E �(� �IEiF jF if if iE jF �f �%3f if �IE;F it 36 �Je %� iP#F iF 3i��lE 3E ie �IF # k ii� 3f?E �7e � i(� �lf #F'r. iFif++(� d't 3E �'!f
S N D i V I D U A I� F' E E H R E A t: D O W N '',
TYPE Q'lY D r, 5 C R:E P T T O N UNIT COST TOTAL� COST
E',FR SQ00 REROOF BY VAL6: RE5iDENTIAli NOZUiVE 1.00 $,OG0,00
END Or rEES '
ul 001v'-+��-'.r.iC�t�:�� ' i;.
L'P;7r': li/(�1'�; i'i'i:: li:21
�
CONSTRUCTION ANDPLANNING P��� PA
APPROVALS Permit# Date Inspector AppROVALS Permi*#� Date Inspector
t. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Und�grnd. 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 UFER Grnd. 57. APPROVALTO COVER�GUNITE
7. Footings 58. Eiectrical Conduit-Undrgrnd.
� 8. Foundation , 59. Gas Pipe, O Undrgrnd., Test i-
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�Finai '
12. Sewer Cap 63. Heater & Vent�Final �
7 3. Roof Dreins 64. Plumbing System - Finai .
14. Rough Plumbing - 65. Electrical-Final
15. Rough Electrical�Conduit 66. Solar System-Fi�al - ' �
16. Rough Electric Wiring 67. Fencing & Access Approval �
17. Reugh 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 �
20. Rough FactorY Fireplace APPROVAIS Permit #
�
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating • � 77. Product Piping O'Gas ❑ Oil
23: Gas Pipe�Rough & Test 72. Underground Fiush
�� 24. Roof Framing - 73. Undergmd. Storage Tank O Gas ❑ Oil
25. floof Sheathi�g /` 1� f�(,v[� 74. Qverhead Hydro
a (!'
26. T-Bar Ceiling ISvucturaq & Monocoat 75: Dry Chemical
27. Frame and Fleshing 76. Dry Standpipe
28. Lathing & Siding . - 77. FIXED SYSTEM FINAL
29. Insulation //�(o� �p(�� 78. FIRE PREV. FINAL
�
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat � 79. FINAL INSPECTION
32. Electrical Power Meter�Pina4 � � 80. FOOD CERTIFICATE ISSUED
33. Final Electric � � Notes:
34. Final Heating & Air Conditioning . ,
35. Final Gas Pipe-Test �
36. Hood or CanoPV� • • .
37. Final Factory Fireplacc '
38. Final Plumbing
39. Water Service-Final �
40. Gas Service-Final ` , " �
41. Solar pomestic-Final
42. Backflow Preventer �
43. Backflow Irrigation - �
44. Landscape Irriqation System . �
45. Sound Attenuatiori
46. Handicap Regulations ' � �
47. FINA� STRUCTURE & BUl�DING !2-(�� 6Gv
48. FINAL PI_ANNIN�i .
49. �EleMric Release to Edison � /l � GJ /� C`�,�/J Q �
a L ( � 6t. �
50. Gas Release to Southem Califurnia Gas Co ' ��
51. CERTIFICA7E OF OCCUPANCY
No. Date
CITY OF COSTA MESA
BUILDING DIVISION
OWNER-BUILDER VERIFICATION
A city or counry, which is required to give notice pursuan[ to Section 19830, shall attach to such
notice, and, as a condition precedent to issuing a building permit, require tha completion and requira the
return of, an owner-builder verification.
Attention Property Owner:
An 'owner-builder' building permit has been applied for in your name and bearing your signature:
Please complete and return this information in the envelope provided at your earliest opportunity
to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued
until this verification is received.
1. I personally plan to provide the m r labor and materials for construction of the pro-
posed property improvement. Yes ❑ No
2. I(have/have not),/�y� signed an application for a building permit for the
proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction:
Name _
Address
Phone (
City
Contractor's Lic. No..
4. I plan to provide portions ot the work, but I have hired the following person to coordinate,
supervise and provide the major work:
Name —
Address
Phone (
City
Contractor's Lic. No..
5. I will provide some of the work but I have contracted (hiredj the following persons to pro-
vide the work intlicated:
Name
Address
Phone
Type of Work
I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State
of California Health and Safety Code and have completed the above information to the best of my per-
sonal knowledge, in complian�e with this State law.
Signed: � Date: �I — I `� �
Name: U r i �
(Printed or Typed)
C.D.L. N or S.S. #
,w:.�
754-5273
OWNER APOLLO DEVELOPMENT DATE 4-20-70
10B ADDRE55 3368 Nevada Avenue BUILDING PERMIT N0. z7 �.sin
AP No. LOT TRACT FIRE ZONE VALUE
INSPECTIONS SignaS�re Date GROUP I S J TYPE
so�� �_ �3�1.
GAS %. !-%�i�� a�o...����nH�.iain
Iu1F4�
UNOERGROUN� U POWER LJ
ROUGH WIRING L� ' Heatin and �
TRENCNES � FORMS � STEEL REINF. � c/-7 J /j�f �/�
F100R SVSTEM •iy ��p yJ
BOND BEAM STEEL REINFORCE
SHEATHING 6 .e�
FRAME ANO FLASHING ` � I C
LATHING — IN OUT
PLASTER, BROWN COAT � iil,
9TROCTiIGAL, FINAL � V.
HEATING. VENT.. REFRIG. A! D A.C.. FINAL __ Q�-//7t1 „�L. J��/9/
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. eOX 1200 COSTA MESA. CALIfORN1A 92626
E
APR 22-70PaIcOO1292# *** 1 z9.0�
CY50.
APPLICATION FOR BUILDING PERMIT
Fo� Applicant to Fill in Completely
flECE D D T RECEIVED DATE ISSUED
ADIDRE55 3368 Nevada Avenue �� ad�� �j%^70 7`�
PE fifvllT ND�
OWNER Apollo Development Corporation p..P. NO. _-- . I t,:�U
MAIL ADIDREss 3368 Nevada Avenue
ADDRESS 1104 E. 17th St.
TEL. TFACT 6694 LOT 37 BLOCK
cirv Santa Ana No. 547-9673
CONSTRUCTION U, S. National Bank W Ao A P
LENDER X
BfiANCH Main Office
ADDRESS 190 S, Broadwa San Die O OWNER A o110 Develo ent Corp.
VALUE
ORENGINEER Kermit 1%OT1llS NE`675-1164 S Residence 5
FIRE
ADDRESS 3111 2nd Ave., Corona Del Mar ZONE TVPE GFOU
CONTFACTOFi !� 01�.0 Develo 0RC COL , AP7ROVED
Bv DATE
ADORESS 1104 E. 17th St. �
TEL. ZO NO.OF USE Of NEW
CITV NO. P�+� Y BUILDING
A
STATE CITV �'AROSAPPROVED VARDSAPPROVE
�ic. No. 252549 LIC. NO. LG9O MA�N BUILDING ACCESSORV BVILDING
SI2E NO.OF BLDCaS. IFROM C/L Sj.REET)
OF LOT SO X ZOO NOW ON LOT -- ROM FT. FT.
USE OF �
EXISfING BLDG. —� FT
N WBLDG. 14Z�L S,F. qpOMS 7 STORIES 1 I.SIDE O FT FT.
COVEEFl�INGAL` Plans COVERING Wood Shingle REAR FT. FT.
USE OF BVI�DING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN &
MAIN BLOGS. ACCFSS. BLDGS.
VAR. qF` DATE
Construct TlEW residence W1Ci1 C.U.P.ay+ APPROVED
attached garage. naaRoveo D
�1
I haraby acknoWlatlpa Ihet I have reatl thia epPlica[ion antl ste[e
that the abova I�formaUon is wrrect entl aprea to comply with
all laws reBulaNr�O builtlinp construction, en0 I shnll not employ
any perzon In vloletlon of t�e workmen's comPensallon lews of
Me Stata of Celi�ornla. 'r) � �` �
I hereby certify that I am properly Iicensetl as a contractor untler `� ' SQ. FT. ✓ O o
chu Stete of Californln Businass end Profesalon� Cotla, Divtsicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR �
Chaptar 9, antl that sueh Iicenses are in full torco antl affact, or I THE PURPp$E OF ESfABLiSHING A PERMIT FEE ONLY: ¢
am exempt trom the p�rQ vlaions ot Ne $mm of CnlHornia Bu�inass
ontl ProfassionaCotla/DI4lslon 3, C ap[e VA�VATION pERMff FEE 5 ��� �
7
5,a�a,�.a o, . �3 qya ` `� . v � E
Permlttea 5 PLAN CHECK 5 0
� LL
Authorizetl Apani TOTAL FEE $ i�