HomeMy WebLinkAbout2149 ORANGE AVE - Building Permits�
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PflOJECT ROUXESS: Z S 4 S ORANGE Pati
OWNEH'SNqME: �tETER CAMPBELL
AODNESS: $�E
.�
pHCH/ENGINEEN: 6 4 6— z a 7 5
nooeess:
sEc.No.:
UNIT: ASH
uxiT:
PEflMITTEE: PETER CAMPBELL ( 714 ) 646-2875
aooness: Z149 ORANGE AV -
C,M. CA 92626
LICENSEO CONTHRCTOB OECIAPAT10N: I nereby aflirm Ihal I am licenred unaer pmvlsions o� C�ipter 9(commencing with Sec�ion
7000) ol �ivision 3 of I�e Business antl Prolessions Code, an0 my license is in full �arce and effect. �
CITY LIC.: STATE LIC.: CLA55: �
Da�e- Signamre:
WONKEflS' LOMPENSRTION �ECIANRTION: I hereby alfirm Ihat I nave a cetlilicate ot consent to selFinsure or a certiticate ot Workers'
Compensaiian Insurance. or a certifietl copy ��ereo� (Section 3800, Lah. C). '
POLILY NO.: E%P. DPTE:
COMPRNY:
� Ce�ifie0 copY is herebV �umished. ❑ CenifieA coDY is IileO wi�� �he ciry euiltling �ivision.
Dale: Ap0licant:
E7(EMYrION FBOM WOBREPS' COMPFNSRTION DECIANATION: (This section need no� he comple�eA il the permit isforone hundred (5100) oNess�.
I certily tha� in the petlormance o� Ihe wark for w�ic� Ihis per ' is i55ued. I 5hall no� employ any person in any manner so as to �ecome
subleci lo the orkers' (�mpensation laws o� Calilomia. ��- ` ^ ^
oaie 6 � / Z Si9naiure: L3 C/�_��.
NOTI : If, after making ��is Ueclaration, you should �ecome sublect to ihe Workers' Compen tion pmvisions of t�e Labor
' Cotle. you mus� fotlhwiih comply with such pmvisions or this De�mi� shall 6e tleemetl revoked.
CONSTBUCTION IENDING RGENCV: 1 Aereby allirm ihat ihere is a constmction IenOing agency lor Ihe performance ol ihe work for
wh¢h IM5 Dermi� is issuetl (Section 3097, Crv. C).
LENOEH:
AOOFE55:
CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 05783
PERMIT NO: B 057839 PLAN CHECK NO; N GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION ; REROOF 3100SF RESID W/COMPOSITION SHINGL SQ FT: 2,500
CLAIM VALUE: 2,500.00 CALC—VALUE; 2,500,00 GROUP OCC: R=3 /
COMMENTS; TEAR—OFF & REROOF 2 UNIT APARTMENT
�r�r***��r�r*�r***�r�r******��x**�*����r*�*+r*�r�r�***x*+r�r*�t*�t****�t**�r�r�**�r**�r****�**��r*�r* .
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 ----=---
FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PARFCING REQ• PROV: PARCEL: 42613211 ZNE; REF NO;
PLANNING NfSTES>
;
k 1F �E iF iF iF if iF 1F if iEik if iE,iFif iF if ik if iFlk iF k iE iFiE 1E if i!!E iilE k�f iE �1F iE if iE iE iE 1E if iE 1F iE iE 1E ik iF iE ik 16 af iF iE iE 1t iE iP iF 1F it iFif IE iE if'iE iF ik iF iE If 1E if 1E if
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
20NING APPROVED HY DATE; �vi
BUILDING
BY :
DATE;
it iF ik jE iE iF if 1E k iF iEik iE if iE iE iE iE if i! if If i! ik IFiE 1f iF k!f iF iF if iE iE �f k iE iE iF ik if ik 1F iF 1f iF it k 1f if �f k if iE 1F if iflE iF iE 1f k iF iE #� iF *iE iE iE iE 3E if 3f iE iE iE jF
LEGALI2ATION:N F E E S U M M A R Y STRUCTURAL SEGMENT.:Y
owxeqeu��oexo¢cu�nnnoN: �hereeyaiti�minatiamexemPitrominecamracrors'state�icense�aw�onheto�mwingreason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRl{DING
(Section 7a31.5 Business anA Professional Cotle: Any city o� couniy which repuires a permit lo con5[mci, alter, improve, tlemolish, or pERM I T 5 9, � � 5 � •
repair any slmcNre. prior Io ils issuance, alm require5 �he apDlitan� �or suc� permil [o file a 5igned Stafement lha� he/she is liCensetl �.q
pursuanl �a I�e pmvrsions oi I�e ConVaciors' S�a�e License Law (ChaD�er 9(commencing with Sec�ion 7000) ot Division 3 oi the Business SM I P/NON—R ES
antl Professions Cotle) or that he/s�e is eKemD� Iherefrom antl �he �asis for �he alleged eremption Any violation o� Seclion 7031.5 by PLAN
any apPlicant lor a permii sublects ihe applicant lo a civil penalry ai noi mo�e ��an �ive �untlred dollars (E500�. TSSUE FEE � •
i, as owner o� ihe DmDeny or my emplayees with wages as ineir soie compensation, will Uo ine wone, ana tne BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TO�'AL PAID �DUE
C� struc�ure is no� imenUed or oueree mr sa�e ISec�ion 70aa. Business anA Pro�essional Code: The Contracmrs' S�a�e License �aw TOTAL$ ----> 5 4. 5 � �, 0 � �. � � 5 4. 50 5 4, S � �; � �
tloes not applyto an owner o( a propeny w�o �uilEs orim0�oves t�ereon, antl who tloes suth work himself/herself or I�roup� , ��
Ais or her own employees, provi0etl that such impmvemenis are not in(entled or offeretl lor sale. I�, however �he �uiltling or
impmvemen� is so10 wi�hin one year o� comple�ion, ��e owner vnll have lhe bur0en ol proving he/s�e tlid not huilA or impmve REVENUE D I V I S ZON TOTAL S--> COLL ECTED : 5 4. 50 OVER /$HORZ' : � Q
io�meP�iooseoisaie�. HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I. as owner o� ��e pmperty, am exclusively comraciing with Iicense0 con�rac�ors �o cons�mc� �he pmlect (Section 7044. Business 5 4. 0 0 . 50 ^ p
❑ antl Pm�essions Cotle: The Contractors' State License Law aoes not apply to an owner of pmperry wAo hwl0s ar improves thereon � �
anOw�oConlratislorSUthprole��5withaton�fat�or(5)licensepursuan�IolheCOntfat�ors'SfaieLicenSeLaw�.Iamawafe �.�..N..K,{fa(.{f.�{(.{(.{Ej(..K.�(.{f{(.{{..�{t{E{f{p.7p.k.x.{(.{{.{(.�(.j(.{(.{(.�-{(-*.K.*{(..)(.{E{p{(�{t{(..)(.j(.a{.{(.{E{(.�(..)p*{(.�(.*{(.j(.*{(.*{E*{(.**{(�*{E{E�EiEiEiFi(�.*.�..�
mat orooi o� their Woraer's Compensa6on insurance snowe be o�omaea to me. I N D I V I D U 71 L F E E B R E A K D O W N �
� I am exemp� uneer Section: B. 8 P. C.
mrmisre on:n � �\J—.y/�� /^� I\ TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
.oate: ��/`��� � Owner: Y `�`CL� �-�"""`1J��.\ ` •
� SFR 2500 REROOF HY VALUE RESIDENTIAL NOZONE 1.00 2,500.�00
I do here�y cetlity I�at I am aware o� antl untl¢rstan0 ��e requiremenis oi Calibmia Healih antl $ately CoOe $ections 2550.5, 25533, an0 �
25534 and Iha� I or any future huilding occupani wtlllwill nol (circle one) need Io comply with SaiU s�a�e cotles anA Ihe reQuiremen�s for a
permit lor con5imction ar mo0ilicalion tmmi�e Air Oualiiy Managemen� Oistricl. Fesitlenlial cons�mction applicaiions are exempt �wm
Ihese pmvisions.
Oate'. NpplicanC
I hereby ceriify �hal I have reaUlhis application antl state t�at�he above inlorma�ion is correct lagree�o comply with all ciiy and coun�y
ordinance5 and s�ate laws rela�ing to EuilOing conSlmclion an0 �ere�y aultanze reD�esenta�ives ot IAis ciry lo enier upon lhe above�men�ionetl
.pmperry lor ins eciion purposes / I 1
oate. f� �eV `�A'i'�'�-+! �i Y
V � Sgna�ure'. �
Driveis License or Social Searey q:
Aoolicanl; Pink—Revenue; Goltlenrod—Assessor
END OF FEES
/�
I:l Qii�l��"f'Q�L1��t5 �n,�.�� ./
DATE: 0��l19/9� T?f�F^ �.;.�: �':
i
,�;
�� - � ,
� . POO. � SPA •
CG'.JSTRUCTION AND PIANNING' � .
APPROVALS Permit # _ Date Inspector APpROVALS Permit # Date Inspector �
i. Temporary.Electriwl Service or Poie -52. Pool & EquipmeM location -
2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement '
3..ElectriWl ConduiYUtiliry-Undrgmd. - 54. Forms � '
4. ElectriGal Conduit�Undrgrnd. � 55. Electrical Bonding � "
' 5. Steel Rein4orcement � . 56. Rough Plumbing & Pressure Test - '
�''6. Electrical UFEP Grnd. � 57. APPROVAI TO COVER�GUNITE ,
' 7. Footings � 58. Electrical Conduit-Undrgrnd.
-'8: Foundetion 59. Gas Pipe, O Undrgrnd., Test "
9. Water Pipe-Undrgmd. 66. Backwash Lines, P�Trap, � Undrgmd.
10. Structural Floor System � 61. APPROVAI TO DECK
11. PropertY Sewer Line & House Connec[ion 62. Backwash & Receptor�Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains � 64. Plumbing SVstem � Final
14. Rough Plumbing ' 65. Electrical-Final
15. Rough ElectricaJ-Condu�t 66. Solar System-Final
76. Rough Eleciric Wiring 67. Fencing & Access Approval
17, Rough Wiring Sign 68. �APPROVEO FOR P�ASTERING
18. Rough Electrical�T Bar Ceiling 69. POOI/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT
i • .�
20. Rough Factory FUeplace . . .- = � . APPROVACS "Permit #
i "
2L'Ducts,�nStructure�; `� 1 _ ' ' � '
- � 70. Underground Nydro
22. Ducts, Ventilating � • ^ � � ' . - �.71, product Piping �"Gas ❑'Oil
23. Gas`Pipe-Rough & Test ' _ i - ,, -' ' 7p, Underground Flush � ' .
24. Roof. Framing - � '- - l-r `� <,73. JUndergmd. Storage Tank � Gas ❑ Oil
25. Roof 5heathing . ' ''� Zi( � .� � ��74.;Overhead Ftydro� '" �,
26. T-Bar Ceiling (Structural) & Monocoat - 75.�.Dry Chemical � i-
27. Frame and Flashing ,_ � r , �' 76. Dry Sta�dpipe � � .
�28. �Lathin9 & Siding •_ . � „r�i�, , 5 '
77. FIXED SYSTEM FINAL
�
29. Insulat�on � , - � " ' ' � .. 78. `FIRE PREV. FINAL >
�30. Drywa�l Nailing : . � � � � •� � HEALTH DEPT. REQUIREMENT
.31. Plaster Brown Co'at' � 79. FINAL INSPECTION - _
-32. Electrical Power MeterFinal ' '- � ' 50.. FO00 CERTIFICATE ISSUED
33. FinatElectric - � ' �Notes: � ' , .
34. Final Neating & Air'Conditioning, ` . ; ; _ � 4 -.
35. Final Gas Pipe-Testx � � " � � " .
.
.36.�Hood Or'CanoPY r ��� , . . � _ `. . . _ i
37. Fioat Fadtory Fireplace �• -� ` ' , �
.a . -
`36. Final Plumbing : ' � � : � � ' • ' -
39. Water Service-Finah� � - � " • � • _
.i l c - i
40. Gas Service•Final , ,- . .. � ' . ' '
�41. $olar pomestioFinal ' � • � _ � � •
�42. Backflow Preventer� �.. � ' � �-_ y - - , , �
43. Backflow.irrigation. �y : � . k �s � . � • . _, ,
44. Landscape Irrigation S stem a Y � ` F; � ' ...
Y �.�..' r� '�t� . . .
45. Sound Atte�yatiorr v: , . '' . µ « �'• ' . .
- :f
'46. HandicaP Regulatio�s - ; ' " '�, x „ _ ' '-� '
47.•FWA4STRUCTURE & BUICDING � L8 �� ._ •
48.,FINA4PlANNING _� ' ' ' �, ` � ,
�49. •Electric�Releate to �Edison � + - - � .� .
� 50. Gas Release to Southern Califomia Gas Co - � l� ,' -G _ �, ( f � ��2 `,,: , L�,6 ,� Q�� �
a�
51. CERTIFICATE OFxOCCUPANCY �, , _ ' , -, - � , j �
No. Date �
CITY OF COSTA MESA
BUILDING DIVISION
OWNER-BUILDER VERIFICATION
A city or county, which is required to give notice pursuant to Section 19830, shall attach to such
notice, and, as a condition precedent to issuing a building permit, require the completion and require the
return of, an owner-builder verification.
Attention Praperty 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 major labor and materials for construction of the pro-
posed property improvement. �Yes ❑ No
2. I(have/have not) lna u 2. 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 City
Phone ( ) Contractor's Lic. No..
4. I plan to provide portions of the work, but I have hired the following person to coordinate,
supervise and provide the major work:
Name
Address City
Phone ( ) Contractor's Lic. No..
5. I will provide some of the work but I have contracted (hired) the following persons to pro-
vide the work indicated: �
Name Address Phone Type of Work
I hareby 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 knawledge; i ompli/an/c,e 'with t s State aw �`(�
Signed: ��� �-�"^^�f��� Date: � ( Z
Name: �,�����. c�C�w.,JbC,�\
(P�inted or Typed)
C.D.L. # or S.S. #
754-5273
f
ve
FIAE
INSPECTIONS G._iai.,-. I DATE
SUBCONTRACTOR
OCCUPANCY
DATE
Form 210—SM-11-59 5-e P
� ii758
c - '
� ^ ��'�:�°��
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX S77 C06TA M68A. CALIFORNIA
For Applieant io Fill In Complefely
TYPE OR PRINT
COSTA MESA. CALfFORNIA
U6E OF
EXISTING BLOG.
BHTBACK LINB PROM
�EE �EC�I�`��
.�,'� 4 � 8 � (o J
FINaNce DEPT,
APPLICATION �F�OR �ERMIT��A ���9�
euaniN�
For Office Use Only
RECEIPT NO. P,CRMIT NO. i�
I � I / � � �
�VEDSl�Y q3 TE q�gCEIVEO I DLF�r�IfE�
'�- i '7`- d"-60 / j
BUILDING
ADDRESS
COSTA MESA. CALIFORNIA
FIRE
ZONE TVPE � GROUP' . �,
> no rs L� '�ONING
c� /T ' I PLAN9 � I OUILDING EW�
L/ NO' / I� �� S OJ LEGAL
DEBCFIPTION
� NO. OF BtD08. �
��� /� NOw ON �oT �QN p, p, NO.
�--- . YARDS EVES
APPROVED ALLOWED
p ' r fCENTER LINE BTJ -�
,�,J / REAR YARO�'�+ ranvr jl �U cr � /L.
DESCRIPTION OF WORK
:�y
EXTERIOR WAL IROOF �OM �G
COVERING U �� COVERIN
USE OF BUILDING ANO WORK TO BE PERFORMED
� �.� � n �v�� �T-r.
1 HERBBY ACKNOWLHOOE THAT 1 HAVe p�O TH�B APPLIGTION }�{g AMOUNT BXOWN UNDEq VALUATION �9 FOR THE
AND BTATE THAT THE ABOVE 18 GORHECT AND AGREE TO COM-
PURP09E OF EBTABLI6HING A PERMIT FEE ON�Y.
v�Y wfTH ALL CfiY ORDINANCEB ANO 9TATE LAWB REOULATING
Bu1Lo�No CONeT1tUCTiON. VALUATION
�j/ C�C7
PERM^ITTEE OF L �—�NJ"� PERMI7 FEE $'JC b•
\j '7 �
�� eQ b
.� �T p+c $ /� � �9/ PLAN CHECK $ � �
AUTHORIZED AGENT / i I� � v JC,J ~� ¢
TOTAL FEE 0
LL
OWNER
JOB ADDRESS.
INSPECTIONS tr_iri,Iw I DATE
SUBCONTRACTOR
d
OCCUPANCY
DATE
Form 210-SM-71-59 5-B P � � ��Q
� �..�� ��F�;�� FEE REC�I�E�
C057A MESA BUILDINGSAFETY DEPARTMENT �� y`8' �D�
P. o. aox s,� COBTA MEBA. CALIFORNIA FINANCE DEPT.
For Applieanf fo Fill In Compleiely APPLICA I�ON �OROPERMIITESA
TYpE OR PRINT BUILDIMG
BUILDING' I Q.n A.� Il �
ADDRE68 IUi�vY'
COSTA MESA. CALIFORNIA For Offite Use Only
, /f� A� L /�.������ flECE1PT NO. I/ pCRMI`T N
OWNER � �- � C �
�
MAIL �/ n RECEIVED 0V DATE HECEIVED O TE 1 UED
ADORE6S��- � / � ew P�2r /� LVl� . Q I 1� /.� '" ��'
�J� TEL. - BUIL�ING
GITY C� ��J NO. ADDRE55 I
ARGHITECT 7E�. COSTA MESA. CALIFORN(A
OR ENGINEER NO. '
ADDRESS FIRE '
�f ZONE TYPE GROUP
CONTRACTOR RC_7 L�N� C��/S/T l(�' BYPROVED �, DATE �/'3 �U
ADDRESS 1'L�j O N�1lJ�O� I �JLV N. Z NING
C� Z � I NO.OF � I USE OF NEW
O�'rv PI,ANS 9OILOING
STATE � D G G TE`. M�` G�3 � LEOAL
LIG. NO. NO. pEBLPIPTION L �
SiZE ij 6 O�%v �� �. � 1NO. OP BIDO9. � (]
OF LOT � � �` I Now ON LOT �C p, p� NO. �O �/ L I�
UfiE OF� �1 YARDS EVES
EXIBTING BLDG. � APPROVED ALLOWED
BHTBACK LINE FROM ' p r teeniew 4Ne eiJ
ce�aTew oP BTP¢eT O REAR YARD �'� FRONT FT. IN.
SIDE YARD I LEFf �i •� / I RIGHi � R. SIOE � S/ FT. IN.
DESCRIPTIOM OF WORK � N
�. SIDE LFT.
NEW II ALTERATION I II ADOITION I y' '
REAR FT. IN.
REPAIR I IIMOV�NG I (IDEMOLISH I BYPROVED DATE ' r _)
!/
$B=LDING {�) C' ROOMS STORIES " -
v
COVERINGWALL UC-��ICOVERINGC PO�/CO
U9E OF BUILOING AND W�RK TO BE PERFORMED �
'� �� /, e
�-s � p c�v-e.e-
;
1 HEqEBY ACKNOWLCDO6 YHAT 1 HAVE RC�O THI6 APPLIGTION }HE AMOUNT BXOWN UNDER VALUNTION 16 FOR THE
AND BTATE THAT THE ABOVE I6 CORREGT pNp A6qEE TO COM- pURP08E OP EeTABLIeHING R PERMIT F6E ONLY.
PLY WITH ALL CITY ORDIX��B AND HTAiE LAWB REGUGTINO
Bu1Lo1No cONBTRUGT1oN. VALUATION
PERM177g E OF S Q� L��� ��� "r• ') � PERMIT FEE $ ��� N
� V /^ BO n
/,/J� $ � L�O�• PLAN CHECK S f O'
AUTHORIZED AGENT � / \ ,3 O • �C 0
TOTAL FEE 4