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ADDRESS OPBwLONG: 1701 ORCAS DA wNT: t�6 CITY OF COSTA MESA — BUILDING PERMIT ' �� � -COCI
OWJiERSNAMEgID1OWN:READ, RUSSELL JAMES TR PERM NO: B 087688
ADORES& 1701 ORCAS DR
COSTA MESA, CA 92626 PERMIT NO: B 087688 PLAN CHECK NO: N GOVT : N SUPP : N
YhPPL.ammo ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
ARCHITECT OR ENGINEER: UC.NO: JOB DESCRIPTION : T/OFF ROCK ROOF & REROOF W/20YR COMP . SQ FT: 3,400
ARM OR ENO'S ADDRESS: LINT:
CLAIM VALUE: 3, 400 . 00 CALC—VALUE: 3, 400 . 00 GROUP OCC : R-3 /
coN1RAOTORsNAME:COVER RIGHT ROOFING ( 714 ) 832-0113
CCNTRACrarsMMJI14262 ALLEMAN PL COMMENTS : X
ADDRES&SANTA ANA CA uC.NO.: 615852 *********it*+r****+Eatir*******it*,ESE**it********jt**jci(***+E*RE*****Rr*a!SERE**at**it**atat*RE***BE*
92705 LINT: Z ON ING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affkm under penally of perjury that I em licensed under provisions of Chapter 9 .S E TB ACK S
(commencing with Section]000)of Division 3 of the Business end Professions Code,and my license is in full force and effect.
C C.NO.:060868 uc.cuss: C 39 cNO ,15852 EXP: 00/00 MAIN BUILDING ACCESSORY BUILDING
/ N/13 54 C FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
°at°°' Contractor LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
O NER BUILDER DECLARATION:I hereby affirm under penally d perju I mpt from IM Contractors License Law IC.me
reasonrpl
PARKING REQ: PROV: PARCEL : 13918205 ZNE: REF NO:
demolish,or repair any structure:prior to its issuance,also requires the epplicant for such permit to fileat a signed statement che or she •
is licensed pursuant to the provwtes of the Contractors License Law(Chapter 9(commencing with Section 7030)of Divisions of the PLANNING NOTES>
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.MY violation of Section >• n
71131.5 by any applicant(or a permit wbpasthe applicant tors civil penalty drat more than five hundred detrain(550011. **************.ss***********************************3E**3E*************3t**********
❑ I.as owner of the Propenyor my empbyeea with wages as their sole compensation.will do the work,and the structure is not intended DEV V E. t O P MEN N T SERVICES R V I C E S R E Q U I R E M E ii..11 T S
or offered for sale(Section 7044,Business and Professions Cab:The Contractors License law does not appy to an ownerof popery Q •Y
who bolds or inproves thereon,end who does such work himself or herself or through he or her own emploees,
yprovided that such
improvements are not intended or offered for sale.wneLI,however,the building or improvement is sold within one year d completion. ZONING APPROVED BY DATE•
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or-0iikbr will have the burden of proving he or the did not build at improve Ip the purpose of sale).
o 1,es owner d the popery,am exclusively contreaig with&tensed cpaxwa to aonstrud the project(Section 7044,Business and
Professionsnot Code:The Contractors License Law does appy to en owner of property who bolds or improves thereon and who BUILDING APPROVED BY : DATE /
contract for such projects with a contractors)licensed pursuant to the Contrectps License Law). /J4
o lamexempt urderSeav �-i: B.AP.C..forthisreason: APPLICATION ISSUED BY: �� ` DATE: 'Ra
D
**************i******************************** .** ****************
Date: ON°Bf LEGALIZATION:N F E E SUMMARY STRUCTURAL SnGMENT:Y
I do hereby certify that I am aware of and understand the requirements of California health and Safety Code Sections 25505,25533,and
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25531,and that I or any future building occupant will I eat not(circle one)need to comply ash said slate codes end the requirements for
e permit for construction o modification theAk OuaMyManagement Diaries.Residential canarafion applwbnsMe exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 87 . 25 . 50
Date: Applicant: SMIP/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm der penalty of perjury one one the following dedankns: PLAN
ISSUE FEE
❑ IhaveeMhMIamines,acertificate oconsent toself-insure for workers'mnpnlion,eProvided for bySection 3700althelabv BUILDING—DIV—> PERMIT ISSUE PIAN-CHECK TOTAL PAID DUE
Coda. mM
c ..forlhep.dahaedwon the wfp
whichthis permit is issued. TOTALS----> 87 . 75 0 . 00 " : 0 . 00 87 . 75 87 . 75 . 00
j❑ and have til=total workers'compensation insurance,as required by Section 3700 of the Labor Code,la ma the performance of the
work for wi idh this permit is issued.My workers'compensation insurance carrier and policy numbs we:
Caner: GOLDEN EAGLE EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 87 .75 OVER/SHORT: . 00
Policy Number: NWC42188 /()1 01 /01 /99 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This section need not be completed V the wet is the one hundred dollars 1s1031 or lest.) 87 . 25 .. • . 50
❑ I eerily that in the performance of the work for with this permit is issued,I shallany
not employ person in any manner so as to
become subject to the workers'compensation laws d Cal amia,and gree that i I shouldbecome bece athe 1�
subject to workers' ************************************* *****************************************
compere/lion provisions da
Section 3700 d the Labor shag y with those provisions.
1
4 1 13 J 607.
APPecat: INDIVIDUAL F E E BR E AKD OWN
' Wsmkg:Faeun to Mate worsen compensation coverage Iawlbwfw,and shall subject an employarW criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil Dies up to one hundred thousand dollars(slalom.in addition to rhe cost of conpesaterA damages as provided for In
Section 3706 of to Labor Code Interest,andetbmees lees SFR 3400 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 3, 400 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there is a conalnWiun lending agency for the END OF FEES
performance of the work for wldch the permit a awed(Section 3097.Civ.C).
y LENDER'S NAME: /� w
LENDER'S ADDRESS:esAxT Md E'J./` K w2\ 11`a$ .
certify that l have read fhb d ale t e above int at \e wit agree to campy with aA dy ant county ordinates l;
and state lawn relating la W' construction and hereby authorize representatives of this city to enter upon the above-mentioned properly
for inspection pepesee S , w�✓ . . 04-13-1998/03:09 PH/$87.75
kCPT8:01-00223;0
Print Name A}/ 1 Q 0` •
I�xERM=T:087688
��J Das: 1 13 / 1
SgnPoune of Owner/Agent/Applicant/Contractor
(5151 deWP) White-Building&Safety:Green-Rte:Canary-Applicant Pink-Revenue:Goldenrod-Assessor
...-"CONSTRUCTION AND PLANNIN-T POOL& SPA
APPROVALS D. Inspector APPROVALS Permit # - - Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit • • 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding •
s
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER • 57. APPROVAL TO COVER-GUNITE 1
7. Footings 58. Electrical Conduit-Undrgrnd. .
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test t
9. Water • 60. Backwash Lines, P-Trap, 0 Undrgrnd. _
10. Structural Floor System I - 61. APPROVAL TO DECK - '>
11. Property Sevver Line & House • • 62. Backwash & Receptor-Final r '
12. Sewer CaP 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System • Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING .
Ceiling18. Rough Electrical•T Bar 69. POOL/SPA SYSTEMS FINAL Conditioning
19. Rough Heating & Air FIRE DEPT. REQUIREMENT
• APPROVALS Permit #
21. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Ro& Sheathing 140.9 74. Overhead Hydro
75. Dry Chemical
27. Frame • Flashing 76. Dry Standpipe
28. Lathing& Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
• Drywall NailMg HEALTH DEPT. REQUIREMENT
31. Plaster BrOVVI1 Coat 79. FINAL INSPECTION
32. Electrical Power 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes 'P - _ -.-
34. Final Heating& Air Conditioning .
Ilien
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 Domestic-Final
42. Backflow Preventer
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43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation .
46. Handicap Regulations i
Calmer47. FINAL STRUCTURE & BUILDING ill i :�
48. FINAL PLANNING (� � - -•
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co -
51. CERTIFICATE OF OCCUPANCY �.-
No Date
I .
. - - 8194 ,° i� - It.rt 9 LY
•COSTA MESA BUILDING DEPARTMENT �EC 9 1958 C
P.O.BOX 317 FINANCE DEPT.
COSTA MESA. CALIFORNIA
CIN OF COSTA MESA
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
BUILDINGao
BUILDING
ADDRESS 1701 0r4as Dr.
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. PERMIT�
OWNER Mesa Verde Estates s,�/
MAIL �I RECEIVED,," BY DATE RECEIVED, DATE ISSUED
ADDRESS 1701 Gisler St. v(_ )01 t)--1-5 b /�'- 9-5 .87
TEL. BUILDING
CITY Costa Mesa NO.Ki 5_1791 ADDRESS
OARCHENGITECINEER T J.R.Shel leY LIC.
NO. C-2170 COSTA MESA. CALIFORNIA
R
FIRE
ADDRESS Long Beach Ge 9-0908 ZONE
ZONE NO.OF TYP GROUP
CITy LIC. PLANS ! `7T �`
CONTRACTOR L.G.Robinson NO. 1123 A 1
ADDRESS I70IGisler TNO. KI 5-1751ABYPROVED
DATE
LEGA` CORRECTIONS
DESCRIPTION NO. 59 BLOCK TRACT 3115
A.P.NO.
SIZE X 70 100 NO.OF BLOCS.
OF LOT NOW ON LOT none
USE OF Cr
EXISTING BLDG.
SETBACK LINE FROM _
CENTER OF STREET 501+ REAR YAARpRD 201+
SIDE YARD RIGHT 5t+ LEFT �y/+ .
DESCRIPTION OF WORK
NEW x ALTERATION I ADDITION
REPAIR ' MOVING _ DEMOLISH
BUILDING 5/S-0 0 NO.OF
tFV S
SIZE 1578 Sq.FMS 7 STORIES I
EXTERIOR WALL ROOF
COVERING Stucco COVERIN Aha I t & Rock
1' ELDINGEW
IBUResidence & Attached Garage
I HEREBY ACKNOWLEDGE THAT I HAVE REAL, THI AP (CATION AND
I STATE THAT THE ABOVE IS CORREC, AND AGREE, O C MPIY WITH ALL
CITY ORDINANCES AND S ATE WS REGULAG B DING CONBTRUC-
TIOrv. VALUATION /' (1�
SIGNATURE OF �TPERMIT FEE S `yJ,
PERMITTEE p�-I"4' / P-741-,--2-1--, / -C)
111 Oro PLAN CHECK S / J. .
S is lo6 - , -
AUTHORIZED AGENT TOTAL FEE $ J S.�il oil
`e N
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OWNER MESA VERDE ESTATES DATE 12-9-58 _
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JOB ADDRESS 1701 erDn Urc-as Un BUILDING PERMIT NO. 8194
GENERAL CONTRACTOR L. U. Robinson VALUE $ 15,662.00
AP. No. LOT 59 TRACT 3115 FIRE ZONE DESCRIPTION OF WORK Res & Att/Par
GROUP I & J TYPE V ZONE Al PLAN NO. 81•
PERMITS ISSUED
INSPECTIONS DATE
DATE NUMBER
Trenches [/Forms /i Steel . y-,L•-6.
Floor System •
Steel Reinforce Chimney Re-Rod taMININI�
Bond Beam
Frame and Flashing tIQ�1g1`
Lathing, In Out Alrarean(9.-
Plaster, brown coat •'u
Underground soil`f W/G Pipe Test 'ac7
Top Out 7-21-- �/ r
Furnace � � �i��� 3 /t�/r
Gas Vents
Rough Plumbing A. / --/Q- r zszrassits
Cesspool Septic Tank Why
Prop. Swr. •c Horl'a'on. St. Swr. nitair �� _
Sprinkling System
�� � `Y,
Heating Final •-1,n_ 9
PlumbinI Fixtures, Final . - ,_An - p✓
Final Gas Test Jr' I r-TOst t IM 1
Construction Sole . i ali
Underground Power y �� ��
Rough Wiring y7�.��,�Tr�i erMal ,>taEV1fla`� - Ir
Fixtures, Final ��JJ
OCCUPANCY - -(_ ,f 45• lfe
Form 210-5M-1-57 • ' • '