HomeMy WebLinkAbout1930 MONROVIA AVE - Building Permits ea
CITY OF COSTA MESA
r I
r BUILDING DIVISION
F y� '; a.
77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.cus
u FOR INSPECTIONS CALL: (714)754-5626
PERMIT NUMBER: ✓X08-00028
PERMIT TYPE B_MISC STATUS: ISSUED
APN: 42251317 DATE ISSUED: 01/25/2008
Zoning: , ISSUED BY: BJK
JOB ADDRESS: 1930 MONROVIA AV CM " Suite/Unit:
Vicinity: Pnmary Occ Const Type :??
SQ. FT: 0 - • -Valuation: -- , $3,000.00
SCOPE OF WORK:
REPLACE A KITCHEN OUTSWINGDOOR;WITH.F,IBERGLASS DOOR. REPLACE AN:EXISTING WINDOW WITH A FIBERGLASS
FRENCH DOOR(NO HEADER CHANGES);IN THEBEDROOM OF A 1-STORY SFD. NO OTHER°WORK AUTHORIZED WITH THIS
PERMIT. ELEC: 1 LIGHT, 1 OUTLET, 1 SWITCH
OWNER: HARKER,SUSAN M i. • F:i Address:: 1930 MONROVIA_;, Unit
City/State: COSTA MESA, CA`-' "; Zip•Code: . 92627
Phone: 949-548-2939 , ) _
APPLICANT: JANOSIK STEVE
; '•-_i , Address:—1621 E ST ANDREW PL. Unit;
City/State: SANTA ANA :'`w
CA ' Zip Code 92705 .,
Phone: 714-259-5120 -
CONTRACTOR: DIAL ONE WINDOW,REPLACEMENT SPECIALISTS - ' License No. 1 523043
Address: 1621'EST-ANDREWPL- - Unit:
City/State: SANTA ANA, CA' •
ZipCode: 92705. " -' - - - :- Phone. 1 714-259-5120 - ' - .Cell:
ARCHITECT: - 7 License No.
Phone , - -
ENGINEER: : I - - License No.
Phone -
' FEE SUMMARY , , THIS
Building Plan Check ,-_ :$0.00 -
Building Permit ' 1$83:25' ,;,lit
Electrical Permit • _.$26.80 -
SMIP Residential $0.00
SMIP Commercial --
$0.00TOTAL FEES ' -$110.05- --
Unt:
nit:
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28, § 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODER. INSPECTION TYPE DATE INTITIALS CODER INSPECTION TYPE DATE ' IN1111ALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing �f.;?
?�(y
200 Final Re-Root 210 Final Electrical J /—`•O ea)
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval .
203 Final Sign 222 Final Site �6 Q
204 Final Demolition 250 Final Building/Occupancy 3-tit3 ac
i
WORKERS'COMPENSATION DECLARATION: Owner ID verified by drive ❑Yes ❑No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. _ _ Expires:
❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I have and will maintain workers'compensation insurance,as required by
section 3700 of the Labor Code,for the perfomtance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a
number are: person is required to descend,will be made in connection with work authorized
SE� r(�? / I by this permit,and that no building structure,scaffdding,falsework,or demolition
Cartier: riofR ! eTdTT' ` or dismantling thereof,will be more than thirty-six(36)feel high.(Chap.3.2,Grp
(This section need robe cvmpler (thepermRis valued al one hundred dollars(5100)or less) 2 Art 2,Sec. 341 Title 6,California Administrative Code).
Policy Number: L? g /t� r7 86'F-�
❑ As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to the workers'compensation provisions of Section 3700 of
Applicant's Signature Date
the Labor ode,I shall forthwith comply with these provisions.
=l) • ' x //'+ ", a Q Division of Industrial Safety Permit Number:
Appiiranfs .ture Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes ❑ No
($100,000), IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. a registration form for acutely hazardous materials? ❑Yes ❑No
Lic.# Sa 36)9-3 Class# e (Section 25533 of the California Health and Safety Code, with some
r- exceptions, requires registration with the Costa Mesa Fire Department by
ra0P6Z ( - 5'C 06 each business which at any one time has on hand a quantity of acutely
Contracto s S� nature Date hazardous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097.Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? ❑Yes ❑ No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes 0 No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes ❑No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be fumished on applications for non-residential building permits).
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation. WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑ No
thereon,and who does such work himself or herself or through his or her own
8. (If'yes",attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044, Business and
Professions Code: The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection.
tur of Legal p(u�ner(s) Date
Signature • Date SiuD� l Ycani I— le
8.-
3057-46(3/0]) n or Authonzed(�/pl'flccant Date
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,51y t_ CITY OF COSTA MESA
pe BUILDING DIVISION
F ,., ,, DEVELOPMENT SERVICES DEPARTMENT PE MIT NUMBER
PERMIT E07-00466
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesaELECTRICAL PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 1930 MONROVIA AV Status: ISSUED
Suite No Applied: 05/10/2007
Vicinity: REAR OF HOUSE Issued: 05/10/2007
Parcel Nunmber: 42251317
Applicant: BEEBE, GARY • .
Address: 2921 E RUTH PL
- Phone:J14-639-9361-- - ISSUED BY:
• ORANGE,CA _ .2 -/,.. -,,--,- Zip_ 92689 -__ _
/"iHi� l . \ A�
Owner HARKER,SUSAN M • + y ' N.
Address 1930 MONROVIA \ ) ,- -_ - t / . - / "----:;-c---:-
/,-
�G/ ( \ ' et 1:-.-1:1;>C Phone 949-5482939 -� ` NN' �c\- -
/
/ , COSTAME8A,.CA ��:' 2 - Zip 92627 - �y�✓�\ / `'.
i� _ � �
/ r � , 7 '---
..„:'.4i-, t , \.;,,„,,A
Contractor: BEEBE.ELECTRIC INC .:,,:,, / \
.' Address: 292fE'RUTH"PL ACA \' \�
t / J i!l j,/,',22,/ Phone:'714-639-9361 ���} 7t V A� •`\
,N r •,cl
ORANGE,CA Zip: 92689
_ ' License 746679
. /, . ; ..'7 ,- _SCOPE OFPERMIT ri ` . • t
UPGRADE SERVICE TO 200A,SAME LOCATION(REAR OF HOUSE)'FOR A SFD v 't 'N -
1>V -- - y, ?V' ' 1- i - 'y
\ WORK TO INCLUDE:1 SERVICE TO 200A i �A� )tl I 1
- ' ,FEE SUMMARY --- , ' i
Quantity .� 1_ ' n Ili :.1 ii/`2, 2_ , i Quantity 1, I ',
' ISSUE FEE • $23.50 .- - • - 1 - " - - Temp.Dist System/Lighting:- $0.00 0 i ,/ = J
'Temp service test $0.00 \ _ Busway/100 ft `'7/ / $0.00 0 I I',..,',/, ; :, I ' 1,
J Res:a/c package' $0.00 Standing Section'N/,1 $0.00 0 1 ; j ' '
New.Res(1-2 units) $0.00 ' 0�- '144.12.i13� '-✓ �Misc Electrical Egwpment-NA $0.00 0 lit �� -/ i tki II
New Res(3+units) $0.00 i -0 " -- Transformers:up tot kva/kw'1. $0.00 0 f ?j ' 14 r
Pool I Spa - • $0.00 m 0 " • i- - cup to 10 kva/kw-`- $0.00 0 - /
Lighting Fills7. \, $0.00 i 0 dip to 50 kva/kw i $0.00 0,21/7?// ` /�1'
Recept Outlets $0.00 ,ii 0 1 uptO 100 kva/kw $0.00 c-,),<;// 1
Switches $0.00 0 ` =over 100 kva/kw $0.00 0 ' j---, ,/ /n
Non Res`Appl, - v, -� , $0.00 0 Low Voltage Equipment $0.00 0 / ,5
Res Appl , , �' $0.00 , 0 b . Low Volt Wiring System/Ckt '$0.00 ,r'0/ / J j
Service to 200e �,- $30.50 1 ' �, i-Misc Conduit '$0.00W,?/0 / /t�i/
Service to,t000a A",$0.00 : 0 •. , Misc.Conductor• $0.00 0 /)/
Service over 1000a . , ,$0 00 0 . Circus(gen or rile),.,-i,,,,, $0.00 - 0, // i
Motors to lh'p' ✓ $0.00;- !"'=' 0h ::Circus(mech ride or lights)/" $0.00'. 07-, /J /
Motors to 10hp '. ,$0.00: ` 0 "Christmas Tree Stand ,./?$0.00,-----.. 0 � 'i//
Motors to 50hp - $0.00 .'.0 ,. , ,Fireworks Stand° ,-.4:17.--$0.00 ,0 /i,'/'
Motors to 100hp v v $0.00, - :•',.,01...-, Other Electrical Fee ' ..,.25,-.------'11--- $0.00 .5-2,2 i'.;
Motors over 100hp ',� v $0.00 ..'o /-'.-'. .,`� 2 ---!/-',-2-- \\‘''.71; ) 4-
Communication drops *, `'. $0.00 0'� .Investigation,Fee: - n \---1$0.00-/ 9
Sub panel to 200a $0.00' // 0; - - Plan Check Fee \\ x$0.00 ./2,5'/
Pole Light Pkg ;-$0;00N. ,'..,13--i
.,0'/� - , Reinspection-Fee; : , \ \x;"$0.00%- /
Sign Circuits - N$0.00_ ' 0 V - I; `2, v i�_,_,__ - '�,, `. ; ,---„',,f21//
Temp Pwr Pole $0.00, 0-- . ' ' /TOTAL CALCULATED FEES---$54.00v
Interred Pole $0.00 • _-;o _ - 2 t.,\_\1,c "- `G'
COMMENTS/SPECIAL-CONDITIONS
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No.92-28,§ 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
2446-46(6/00)
DECLARATIONS
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations: .
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which thispermit is issued.
❑_.I have and will main ' ork rs'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
f - ,My workers'com ti s ce currier a, /policy number are: K q q `,
Carder:_ _ o ?.I vicy.N mbe. 2�C...'— (JQ2. I �`t_oJ
\(This section need n t be completed i the permit is valued at one hundred dollars($100)or less.)
❑ I certify that in the performan the work for which this•permit is issued,I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of Cali la,and agree that If.I hould come sub' ct to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provi
Applicant Sig,tura: Gt/11/ NJ/ Date:-- .c>51.--4a 6.007—
WARNING:'FAILURE TO SECU WORKERS' PENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN ADDITI TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am license Jr pr visioAS of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professi ns Code,and my license is in full
force-and effect:Lic.N /flyT,Cr 77 Class N fl—/er
Contractor'tSIgnature: 174 Date:— -l� ,1j Z e,-.,
CONSTRUCTION LENDING AGENCY:
-�/
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: Lenders Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS: •
1 hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penally of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). '
❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. 0 Yes 0 No Drivers License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: -
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,Califomia Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safely Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the Califomia Health and Safety Code been fully complied with? ❑Yes ❑No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 0 No
(Section 65850.2 of the Califomia Govemment Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(It yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescnbed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
8 (If yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penally of perjury the information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for ins action purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
nature Of Legal ner Dale
�,f/Lr < �-- - 4.S Jct—,Z069-
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An&Or thorized Applicant - - ---- -- " - roate--
CODE 0 INSPECTION TYPE PAL 1/J7MM-a CODEC INSPECTION TYPE DATTE ICAlel
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing ��
200 Final Re-Roof 210 Final Electrical - , ✓ i1
V '7 7 r
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy •
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ADDRESS OF WILDING: 1930 MONROVIA AV LINT: CITY OF COSTA MESA - BUILDING PERMIT '
OWNERS NAME KNOA1tSOLOMON, RUTH A PERM NO: B 082112
ADDRPsi 1930 MONROVIA
COSTA MESA, CA 92627 PERMIT NO: B 082112 PLAN CHECK NO: N GOVT: N SUPP : N
APPL.IWIUNO AOORE55: CONSTRUCTION TYPE: 5-N PERMIT TYPE: STR PURPOSE : OTH
ARCHITECT OR ENGINEER: LK.Nu.: JOB DESCRIPTION : T/OFF & REROOF W/COMP SHINGLES SQ FT : 2, 000
ARCH.OR ENG.'S ADDRESS: WIT:
CLAIM VALUE: 2 , 000 . 00 CALC-VALUE: 2, 000 . 00 GROUP UCC : R-3 /
OONWACTarSNAME: HAMMOND ASSOCIATED SERVIC ( 714 ) 731-7044
CONTRACTORS MMUNO 1342 MAUNA LOA COMMENTS : REROOF 1600SF RESIDENCE W/COMP
ADDemTUSTIN CA uc.ND.: 700185 *SE****itx-*if*tE**tT*SESL**********SL***SEarxx**xit*SE**x*K-SE***********SE** ***SEx** -********
92680 UM: ZONING REQUIREMENTS
UCENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 SETBACKS
(commencing with Section 7030)d Division 3 of the Business and Professions Code.end my license is in full force end effect.
CRY LIC.NO.: LIC.CLASS: C 39 uc.N .: 01 5 EXP : MAIN BUILDING - -- ACCESSORY BUILDING ---
Dae: ^Po 97 correct . A FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
+ lag � - LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the
folfowkg reason(Section 70.31.5Bmsass and Professions Code:Any city ormumywhich requires apermit to cOsbupt,alter,improve. PARKING REQ: PROV: PARCEL : 42251317 ZNE: REF NO:
demd'sh.or repel any structure,prior to is issuance,also requires the applicant far such permit to file a signed statement that he or she
r is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commendng with Section 7000)of Dbeion 3 of the PLANNING N TES) ' L^/
Business and Professions Code]or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section '>4 .l
7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more then fore hundred dollars(S5001). ***************'************************************************************,****
❑ I.as owner&the properly or my employees will wages as thein sole compensation,wild do the work.and the structure is not intended
or offered for sale(Section 7044.Businessm
and Professions Code:The Corados license Law does not apply to an ownerof propend D E V E!L OP MEN T SERV ICES R EQU I R E M E N T $i',
of
who bolds or improves thereon,and who does such work limited or herselfherselfor through his or her own employees.provided that such j
improvements are t intended or offered la sale.If,however,the building or improvement is sold within one year of completion,the ZONING APPROVED By :
owner builder will have the burden of proving he or she did not build or improve for the purpose d sale). ,
❑ I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business and
Professions Code:The Contractors License Law does M apply to an owner of property who builds or improves thereon and who BUILDING APPROVED BY : DATE:
contracts la such projects with a comractor(s)licensed pursuant to the Contractors License Law). . :7
. 0 l am exempt under Sector: B.s �
P.C..for this reason: APPLICATION ISSUED BY: DATE: .='�
Date: owner. ************************************************ ******#************ * ***
LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
I do hereby certify that I am aware of and understand the requirements of California Health and Soley Code Sections 25505.25533,and
25534,and that I or any future building aoctryanl will/will not(drab one)need to comply with said stale codes and the requirements for
a permit forconenumion or modification from the Ai iatly.ranegammt District.Residential construction applications ant exempt from Nese BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 62 . 25 . 50
Date: Applicant: SM I P/NON-RES
WORKERS COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: PLAN i
1:1me
ihave and roil intan a certificate of consent toseliesure for workers'compensation.as Provided for by Section 3700afthelabor IUILE FEE T_
Code,forthepedormanceoftheworkforwlichtispermit'alesued.xci BUILDING DIS > PERMIT ISSUE PLAN CHECK TOTAL PAID DUE
I have and wit maintainworkers'compensation insurance,as requiredSection . 00 3700 of the Labor Code.ler the performance of the TOTALS----> 62 , 75 0 . 00 0 . 00 62 . 75 62 . 75 work for which this permit a Issued.My workers'compensation insurance center end policy number are:
Cartier: STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 62 , 75 OVER/SHORT: .00
Policy Number: 7R5-97t1NTT01147 01 /01 /98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need not be completed(the panne is for one hundred dollars(51001 or less.) 62 , 25 . 50
❑ I certify.that in the performance of the work for which this pencil is issued,I shall • employ wry Person in any manner so es to
become subject to the workers'compensation laws of California a ..$ I . if should =bled lo the workers' *********.****************if iE**9E*************************************************.
compensation provisions d section 3730 d the tabor code`y.1 .,.e.. . with thane. . I N D I V I D U A L F E E B R E A K D O W N
9 Date: 3 r-au--97 Applicant: = L
Warning:Failure to secure workers'compensation coverage is unlawful,and shall subject an employer to criminal penalties and TYPE QTY . _ DESCR IP T, I O N UN IT
T TOTAL COST
civil Bras up fo one hundred thousand dollars(St00.000),In addition to the cost of compensation,damages as provided for In
Section 3706 of the Labor Code,Interest,and aftprmmsy'a fees. VSFR 2000 REROOF BY VALUE RESIDENTIAL NOZONE I]t11, , 000 .00
ceNSnance oft LENDING AGENCY: I hereby affirm under penahy d Pottery that there is a coneructian lending agency for the END OF FEES
performancethe work for which this permit is issued(Section 3097,Civ.C). .
' LENDER'S NAME: •
LENDER'S ADDRESS: a MAR 2 01997
1 certify that I have read this application and state that the above information it correct.I agree to comply with all city end county ordinances
and slate laws relating to building construction and hereby authorize representatives&the city to enter upon theaboa-meaioned popery • 1•ti
• for inspection purposes. CI 1.' L! L U.,I A MESA
?O ERT HAMMOND - • - _ - .. .. -_ . _ _. _
/`. Print Name
, a. 0-'1444, Date:3 e7219 97
E nature of Owner/Agent'ApplcenUcontrector
• —
•
. . ��-..'I.,qe,ie�LeVelenB:.GOMenrad-Aa9999or •
-1-::-.,... _ i
CONSTRUCTION AND PLANNING - • • -. -, -• - 1 POO. SPA
APPROVALS Permit#' - -• 'Date Inspector Date Inspector
-APPROVALS Permit #
1. Temporary Electrical Service or Pole, 52. Pool & Equipment Location - •
2. Soil Pipe•Undrgrnd. 1 - -. 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 Gd. -
rn . -57. APPROVAL TO COVER-GUNITE - •
•
- '7-. Footings • 58. Electrical Conduit-Undrgrnd. '- : - -
8. Foundation '•• - - - . 59. Gas Pipe, 0 Undrgrnd.,-Test ' 1
' 9. Water Pipe-Undrgrnd. .; 1 - 60. Backwash Lines, P-Trap,'D Undrgrnd.
. 1 _
10. Structural Floor System , 61. APPROVAL TO.DECK ^ .-
11. Property Sewer Line.& House.Connection -62. Backwash & Receptor-Ficial • -
I
12. Sewer Cap • i 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 1 .
16. Rough Electric WiringB7. Fencing& Access Approval 1 •
17. Rough 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 -- - APPROVALS- : Permit# -
21. Ducts,in.Structure' - - _ 70. Underground Hydro '
22. Ducts, Ventilating ` •'-
R. -
71. Product Piping ❑Gas 0 Oil
23..Gas Pipe-Rough & Test - - 72. Underground Flush- - : -
24. Roof Framing - - . - .: - - - . 73. Undergrnd.Storage Tank El Gas Obi!
25. Roof•Sheathing J--t /-2-- •�/ 74. 'Overhead Hydro -
26. T-Bar Ceiling (Structural) & Monocoat '�- P- , 75.-Dry Chemical -
27. Frame and Flashing - - % r;. 76. Dry Standpipe • = _.
28. Lathing& Siding . ' _ - 77. FIXED SYSTEM'FINAL-
29. Insulation - - t ,l 78: FIRE PREV. FINAL .
30. Drywall Nailing _ _ -HEALTH DEPT. REQUIREMENT
. 31. Plaster Brown Coat- - _ 79. FINAL INSPECTION
- 32. Electrical-Power Meter-Final I.
80. FOOD CERTIFICATE ISSUED. r
33. Final-Electric '- - c' - •' • Notes: - -
- 34. Final-Heating.& Air Conditioning ., - --
35. Final Gas Pipe-Test • • -' - I. - -
- 36. Hood or Canopy ' - . _ - ,
37. Final Factory Fireplace - r -
38. Final Plumbing - - _. - _ ;' -
39. Water Service-Final ' -- . - •e - ,
40{ Gas Service-Final ,' - I - E
41. Solar Domestic-Final • - ,- it'''. _ .
.. . ... ff
42. Backflow Preventer • ' - - -
- s
43. Backflow Irrigation - r - ' i a'
- - t _ i - - - let
44. Landscape Irrigation'System ; _ - 't _; - - ;_ (N, "'
• O
\� 7
45. Sound Attenuation ( ~, Cj
46. Handicap Regulations - r ' •- = ✓ ._r.
erl
47. FINAL STRUCTURE& BUILDING 7,. . _Q'7 act/ - - - c
48. FINAL PLANNING ' - - - 4`""2.='
49. Electric Release to Edison -
•
50. Gas Release to Southern California Gas Co - -
51. CERTIFICATE OF OCCUPANCY •• • -
No Date
ORANGE COUNTY BUILDING DEPARTMENT -APPLICATION FOR PERMIT _ .
. - - 636 North Broadway • e
SANTA ANA, CALIFORNIA • U .D NG
FOR APPLICANT TO FILL IN FOR-OFFICE USE ONLY
RECEIPT NO. PERMIT NO..
BUILDING1Frl /7 b 7
ADDRESS • •g . ,_ •
SCHOOL DIST.
OR TOWN ❑pRta MesaREC�Y DATE RECD. DATE IS UED
n�5'� _
I/
NEAREST t— ,'—✓ ) —v/ ` 7
CROSS ST. Arbor. Bt_ lV7 ( O J J
OWNER Cherokee Homes Ino. BUILDING
Do ESS ' / 30 ~ '
MAIL
ADDRESS 9363 Wilshire Blvd. SCHOOL DIST. , :
OR'TOWN Of I)
•
CITY Beverly Hills NED("R 56361 NEAREST
CROSS T.I0
ARCHITECT OR LIC. ZONE NO. OF TYPE GROUP
ENGINEER (;a{ n M(`Ke rrA nHYDr 1 /L 1 I PL/AAN/-S/a/ I T
ADDRESS 211f) E Walnut—Pasadena APPROVE
d`i ^`Z�' • �.J
CONTRACTOR
Newport Vis taw. 135882 BY' DATE
ADDRESS9363 Wilshire—Beverly Hills CORRECTIONS
LEGAL Ii
NO. I LOT
DESCRIPTION5331 BLOCK I TRACT1712
' (ATTACH METES ft BOUNDS)
NO.OF BLDGS.
I NOW ON LOT 0
SIZE OF LOT62 $ 110
USE OF I NO. OF I NO. OF
EXISTING BLDG. FAMILIES ROOMS .
SETBACK LINE FROM: REAR YARD 2 ,
CENTER OF STREET Cj(1 ft SIDE YARD 1 ri -:4, •
DESCRIPTION OF WORK o
n
NEW I XI ALTERATION 1 I ADDITION I Z
REPAIR 1 I MOVINGy
I I DEMOLISH I I, , - r
SIZEBUILNO. OF
1
DIN 034 sq.Lss�tBOOMS 5 STORIES 1
EXTERIOR WALL ROOF CjQDO '»
COVERING Stucco I COVERING gj]tngle /t /
USE OF NEW • 1�
BUILDING Residenee—Attch.Carbort
C
APPROVALS
FOUNDATION; LOCATION INSPECTOR DATE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS FORMS, MATERIALS,
UNDER-PINNING YY// 9 ' -- )12
APPLICATION AND STATE THAT THE ABOVE IS CORRECT ,7��
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FRAME: FIRE STOPS. .4 iMe. b.S3
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. BRACING. BOLTS A
'LATH. INT. ii. i$ /mars. as
SIGNATURE OF -1-5t2.) LATH. EXT. , 4 � l 9 0e�'�,
PERMITTEE NP,Wnnrti
PLASTER. INT. �/(
AUTHORIZED AG� Bit �-� PLASTER, EXT. //`1/I�$
PERMIT FEE $)}.— MASONRY REINFORCED
VALUATION $ 4830.00 PLAN CHECKS 2/
1 BOND BEAM ``JJ �} ,{
FEEAL SIli FINAL ....0,11 7 ` d" =JP
SM 3-30.53
Z W . .
3 - Z .
J
d
. • C 0 •
..a • _ ¢ .% . . . .
a 7:.4 - - ._ i•
•
- i- , h.1- • ';' irk • '_ -c.,:_ - - .
•
STREET _ � --- -
. • - PLOT PLAN -
Show location-and distances from -.
property line and.between buildings. - ,
- :.ri.
.> ". - n -• .
-.. . .. . _. .. -_ - -- - 7]
.
K
SITE B30
ol`!Ro\fE ,
J.
18' 1
—12•—
KIT BED2
PR_
— -- GAR LIV /
P ENTRY
STUCCO 2
EXISTING WATER .' �-
ANAGEMENT MEMBRANE i i
:O FLASHING TUCKED UP -
HIND WATER MEMBRANE
A MINIMUM OF I' liii
BED1 1/3 'r'
ANDERSEN SEALANT—/g'
pr 'r
BACKER ROD _ ^
9M NAILING FLANGE HEKE ��� ��
ANDERSEN PATIO DOOR 1 - STORY SFD
32'
I
DOOR DETAIL --0—.--- --- MONROVIA AVE
N & Door Change Outs
ins Locations Require Tempered r,less
•
i Doors
i Windows Within 24"From Doors And<Than 60'High
1 Within 5 Feet From Pool Or Spa
lin Windows Al Shower Or Bathtub&Stair Landings
Than 60'Moue Floor
action Spas Comply With The 2001 CaL Building Code.
as Are Rated And Certified For 20 ISM Of Wind Load.
ws UBC sec.2408 For Safety Glazing.
in UBC sec.1203 For Light And Ventilation.
Mcet2005 Energy Code Requirements- SCHEDULE
'=not marethan0.67 DOOR WINDOW ROOM EXISTING SIZE NEW SIZE
et Gain Coefficient=not more than 040 1 KIT 32 X 80 WOOD DOOR 32 X 80 FIBERGLASS DOOR-TEMPERED
dams In All Bedrooms. • 2 BED1 38 X 60 VINYL WINDOW 36 X 80 FIBERGLASS DOOR-TEMPERED
ems Must Have Al Least One Window/DoorOpenthp Directly CUT-DOWN
iderior-It Must Meet The Following Criteria
r Wcdlh =20' Mln.Clear Height=24"
a=5.7 Sq.FL Max.Sill Height=44'
Name HARKER Dial One WAS
Flashing3eakout-ProvideMoistS1opAroundAllWuWovs•Doas Adress 1930 MONROVIA
AVE 1621 E.St.Andrew Place
3itdiu haneAt Other Needed Loc.Such As intersecting City,Zip COSTA MESA,92627 Santa Ana,92705
situation Surfaces,Small Ext.Shelves And At Ext Penetrations. Phone 949-722-7839 714-259-5210
Stucco Shag Comply WiM Chapter 25 UBC.Min.60-Minute:i•e. Drawn By: Steve Janosik
ir Exterior Stucco.
ryF a Door Swing Out 2 YES NO JOB:19554 mb
LEGEND:
Issuing Door Must Open Over ALanding Not More Than 1"Below XX SLIDER,SLIDER AWN AWNING WINDOW
Floor Surface XO SLIDER, FIXED DH DOUBLE HUNG
ndingMust BeAlLeast AsWide AsThe Ooor(s)And 6aend GW GARDEN WINDOW SH SINGLE HUNG
nn The TlrreshhoidThe Distance OfThe Doors OutswingingACC CST CASEMENT RBA Renewal By Andersen
PIX PICTURE WINDOW PD PATIO DOOR SLIDER
SCOPE of WORK:
it Jr REPLAXCE KIT DOOR WITH FIBERGLASS DOOR INTO EXISTING OPENING
JI REMOVE WINDOW AND CUT DOWN OPENING TO FLOOR -INSTALL NEW FIBERGLASS
4 FRENCH DOOR.REROUTE ELEC ANDINSTALL LIGHT BOX ON EXTERIOR AND SW.ON
""W INTERIOR.
Yeplacans •Sp>xdalltrtc