HomeMy WebLinkAbout3120 MONROE WAY - Building Permits\
—. �
ow. a�oRess: 3120 MONROE WY
OWNEN'SNAME: $ROWN DORIS V
aooxess: 3120 �70NROE WAY
COSTA MESA,CA
APCMIENGINEEH:
AOOXESS:
uxir:
92626
PEG.NO.:
IINIT:
resmiTTee: MESA PACIFIC ROOFING ( 714 ) 645-7552
aooness: 1127 BAKER ST
COSTA MESA CA 92626
LICENSE� CONiflFCTOB DECLABATION: I hereby aflirm �hai I am licensetl unCar provisions oi Chap�er 9(commencing with Sec�ion
7000) o� Oiv�sion 3 atihe Business antl Prolessions Cotle. antl my license is in lullforce antl eflecl ,
cirvuc.:03072 srnreuc.:4307/ S cuss: 3_—�
Oafe'. ' SignaWre:�A'1p�Z��G�� �l'7r�.
WOHNE ' COM NSATION OECLAPAiION: I �ereb �i�m Ndt I h a C rti6Cd� � C sem o sell-insure or a certiticale of Workers'
Compensalion s a r.q� etll� co t�ereol Section 9800. a�.
POLICYNO.: ���`�4�—r� PY E%P.OPTF. 7�OLI9Z
COMPRNY: STATE FUND,y . ^ � . .
^ Cenifietl copy is �ereby fumished. L'S Certified apy is fi e�h 1ie ciry Building Oivi -
__�a: � ADDlicanP. � �—
E%EMPT FAOM OflREflS'COMVENSRTIONOECLPPAT . (Thi5seclioni�eAq�ACcampetetli�@e0ermiiisloronehuntlree($100)orkss�.
I cetlify Ihat in Ihe pedormance oi �he wark for which 1 5 permit is issuetl, I sh`afl nol employ any person in any manner so as to become
sublecl to Ihe Workers' Compensaiion Laws ol Cah�amia.
Date: Signa�ure:
NOTICE: IL ati¢r making t�is tleclara�ion, you ShoUla betome Subjett �o Ihe WoMers' Compensation pmvisions of t�e LaOor
Cotle, you mus� �otlhwilh compty wiN such provisions or �his permit shall 6e tleemed revoke0.
CONSTPUCTION LENOING IIGENCY: I hereey aifirm tnat ihere is a constmction IenOing agency for ihe pedormance of ihe work Por
whlcn ihis permit is issue0 (Secilon 3W7, Crv. C).
LENOEP:
nooeess:
OWNEfl BUILDEfl OECLANATION: I hereby afiirm �hat I am exempt Imm ihe Comrac�ors_Sia�e License Law lor the I011owing reason
�Seclion 703L5 Business an0 Pmfessional Catle: Any ciry ol cowry which reQuires a De�mit lo cansimd, alier, impmve, demolish, or
reoair any simclure. Orior to ils issuance. also reQuires Ihe applicant br such permit to lile a signed sta[emeni Iha� helshe is licensetl
pursuam to Ihe pmvisions ol Ihe Contractors' State License Law (Chapter 9(commencing with Section 7000) oi �ivision 3 oi the Business
an0 Prbfessions Code� or I�ai helshe is exempl there�mm and the bas6 for the allegetl exemp�ion Any viola�ion ol Sedion 7031.5 hy
any applicant for a oermit subiecis ihe aDPlicant lo a civil penalty ot not more ihan five hundred dollars (5500).
I. as owner of Ine propeny ar my employees with wages as their sole compensation, will ao the work, antl tAe
❑ stmcture is no1 intentled or oileretl for sale (Section 7044, Business and Pmlessianal Cotle:. The Coniractors' State License Law
tloes nal apply �o an owner of a pmDetly who 6uiltl5 or improves �hereon, antl who does such woik himself/heaelf or ihrough
his or her own employees, provitletl Ihal Sut� impmvemen�s are nOt in�entled or offered �or Sale. I1, howevef �Ae UuilOing or
improvement is 5010 within one year of completion, Ihe owner will have Ihe bur0en oi proving �¢/she did not UuilA or imD�ove
lor ��e pm0ose 01 Sale) '
I, as owner of �he pmperty. am exclusively contrac�ing with licensed contrac�ors to conslmcl the D�olec� �Secfion 7044, Business
❑ antl Pmfessians Cotle'. The Coniractors' State License Law does not appty to an owner o� proDehY who builtls or impmves ��ereon
antl who coniracis �or suc� pmlecis with a contraclor�s�license pur5uani �o t�e Contractors' Sia�e License Law�.i am aware
Inat pmaf ol iheir Wo�ker's Compensation insurance shoultl be provide0 to me. •
� I am eMempi under Secuon: - B. 8 P. G.
lor ��is reason: � -
oate ownec
I tlo here�y ceni�y Ihat I am aware oi antl untlers�antl the requiremenis ol Califomia HeaIN antl Satery Cotle Sec�ions 25505, 25533, and
2553C and �nat I or any IUWre builtling occupanl will/will not (circle one) neetl �o comDly wiih saitl state co�es antl �he repuirements lor a
Oennil for conslmc�ion or modilication �rom the Air Oualily Managemenl Distric�. Resitlen�ial constmction apDlications are exemp� imm
IhPS¢ provisions. ,
Dale: ApplicanP. '
I hereby ceitAyl�at I have readlhis applicalion antl sta�e Ihat I�y ve information is correcl. I agree Io OW wi�h allcity antl couniy
ordinances antl slaie laws relating to UuilOing conslm n and ere uthoriie re0resen�ativesd Ihi e� upOn Ihe above-mentionetl
pm0etly �or mspection urposes- / / �
Date'. 51 . �
od'ver ucense or Socia� 5ecuriry x:
16aL46 Whi�e—Builtling: Green—Co�e Enlorcemem;�Canary—ApplicanC Pink—Revenue:
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: B 054220 PLAN CHECK NO; N
CONSTRUCTION TYPE: 5—N PERMIT TYPE; STR
PERM NO; B
GOVT; N S PP: N
PUFtPOSE: ALT
JOB DESCRIPTION : RESHEATH & REROOF/1/2"CDX & FIBERGLASS SQ FT: 3,600
CLAIM VALUE; 3,600,00 CALC—VALUE; 3;600,00 GROUP OCC: R-3 /M-1
COhUlENTS: SMOKE DETECTOR(S) RE�UIRED IN HOME. �
*�r**x�**********�*************� ******�+�***r***�***+�****+��r*******�********+��c*�*�
Z O N I N GS ERTEB�AUCIKRSE M E N T.S
------------ MAZN 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
PARKING REQ• PROV: PARCEL; 14165269 ZNE; REF NO; .
PLANNING NZSTES>
%
ik M iE iF if if �k �k �k�k If !F k!F k 1! k k iF k 3F IF k if if 3F iF iF if iF iF iE iF M ff M!f k!t 3E iE k!F if iF k�E iF IE iF iF k 1f if �k�Elf if k if iFiF iE �E IF iF if if IfjF ik iF iF IE iF iF lf if �F
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 Nr^T S
ZONING APPROVED BY DATE: *
�Y.
BUILDING APPROVED BY : ' DATE;
APPLICATION ISSUED BY
�f fF Ik it Itlf �f k k �E k!k if if.k k ik �k if �! k
if if 1k 3k k IF iF 3t iE iE iFlf k�f if ik iklk if if k
LEGALIZATION;N
IEiFifitiFMifIFIFlfif3f3f�E�E�If lfiElF�F�flkitiFifif3Fif
F E E S M M A A Y
DATE
�iFiFiFiF�F�F*�F
kiFiE3f#{E*{f*
SEGMENT;Y
BLDG PMT PLUMBING ELECT C MECHANIC FIRE , SMIP/RESr":GRADING
PERMIT 63.00 .50 '�
SMIP/NON—RES
ISSUE FEE �
BUILDING—DIV—> PERMIT IS§UE LAN—CHECK TOTAL PAID ��� ;
TOTALS----> 63.50 0.00' 0.00 63.50 63.50 ,.�� D00 •
REVENUE DIVISION TOTALS--> COLLECTED: 63.50 OVER/SHORT; =��. .�0 ',
HLDG PMT PLUMHING ELECTRIC MECAANIC EIRE SMIP/TOT GRADING PLAN—CHECK
63.00 .50 "'
;- ,.,
� %/^;'�
3f if �t if if iF iFlt iF iF k ik iF ik iF af iF if iF if iF �t k±F �Flt ik �!!F �f if itlE iF if if i! 1F iF 1F 1F iE �flf ik if �Fif k IF 3kiF jf fE �F 1f if iFiE �F �f if iE �k IE if iF if �f aF ik �fi�f iE�3f �f iE if �f
, . I N D I V I D U A L F E E B R E A K D O W N � F;> �'-,
TYPE QTY D E S C R I P T I O N UNIT COST i`r'TOTAL�;COST
SFR 3600 REROOF BY VALUE RESIDENTIAL N020NE 1,00 � 3�,60Q.:00
END OF FEES
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�t 0009sa�.-ooe9se4s �i=a��� -" s-„=�
DA'iE' ZO/f3�Iy1 TTIM1E: 13=i3
CONSTRUCTION AND PLANNING � POOL " �PA �
P .# Date �Inspector AppROVALS P t# Date inspector
O APPROVALS erm�t ern��
�' 1. Temporary Electrical SerSFi e�or Pole . � 52. Pool & Equipment Location
w rc:u
2. Soil Pipe-Undrgrnd. � � j� � 53. Steel Reinforcement .
�
:;��j¢ctrical Con�d'��t'�i�hy�t:lndrgm�7��'' 54. Forms
� L: -. ,. t
c��. 6fectrical Cond`uiUl¢Pdrgrnd. a,�� � � 55. Electrical Bonding
- jLS�gel Reinforc� �� r�� - �� � 56. Rough Plumbing & Pressure Test "
r.
��nb,`���ectrical UFE,f�t_�t,�d. i;; 57. APPROVAL TO COVER�GUNITE
:T'C7. R"otings ^ . % 58. Electrical Conduit-Undrgrnd.
�• �
y'"�`�oundation n�� -�� '�- . 59. Gas Pipe, O Undrgrnd:, Test '
9. Water Pipe-UrdStgrnd. , . 60. Backwash �ines, P-Trap, O Undrgmd.
��
10. Struttural Floer System � � j� , 61. APPROVAL TO DECK
11. Rioperty Sewer Lir,� & Hpyse Conflection �. 62. Backwash & Receptor�Final
12. S�lver Cap y, '" - J � 63. Heater & VenbFinal
� 13. Roof Drains ra �� ' � 64. Plumbing System - Final
14. Rough Plumb"M�12 `� 65. Electrical�Final
15. Rough Electri�d�-Conduit 66. Solar SYstem-Final -
16. Rough Electri�iring 67. Fencing & Access ApProval
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
�
v � O "'�tPF u. X N N
20,:;Ro�jh f�ctoiY �l�place i ic;r, ��-! W O �'* �,,APPR�VlkL'Spp Panmit #* '+� t^
�-:� � i� x � x iA � n.
"j' , I �G-. •�'$ ]t Fi ": ""_.k T: s'���./� ) F G]
21�,.;D�js,'�c Sty�uct�Pr` .. .. HS "� S Hy. r•� 70. �nder�� y� F�dro *
22. Dutls, �enAiatip9� I .^S * � �Ca� �x . 7�. �produ�P�p5ng Q'Fias CQOiI
r-. r� '- � r� �
2�Ga's'PipeRo`ji 9h ffi�est "��.. * '�% :"'.f x� 'T� x. Os w
.- �; �n_. � ta y * :w ' 72. Underg o�rjd F�s�,v w �, .�
�,• �• � � � �. � . . � �,+.� . � .� ,� �
24wRqgfFFaming �'x �:-.!- ••H r? C %w 7�+UndergrrSb.Sto Tanki�OGas ❑t�il
.,
25. Rq�'F S�athin9��% S: �� �%`.�L �� ��% � 7�Averheac�Hydrtv.`"o �
��
7' , ' � V
26�:;T- r Ceiling (S�,nicturel) &�-Tvlacaocoat m t=;�� x 75- Dry Chemical >+ � C7 t�
r^
27S^Frame �nd ��as �iri� � � * ` � �* � 76'; Yjry Sta `�'{�e O�' a: 5 h1 t� �
� F w t: �
�r ' .x »:n G' a� �+a: H t ;�
:2� La�in9;� Siding.r. ;�. y�x q �� •.x � 7k^ FIXED S?F3T2M'L�INAk �
_ ' ��
- �29. Insulati9n o `s* .� � .: .. > x cr, � � X ,� . ^. i••• x � � •, tx�
„A ' .� I *. 78�,. FIRE PREV. FI,N�jL a � a Y
:•30. Orywa a�n9�-L-i. � :k � I ��: t-�-�. FkIEALYfFF,DEP.:.�REpQUIF�MENT
�31. Plaster 6}oHt{� .�•- � rr r I y x' 7� FINAL Ij��ECT�ON �'� U' ',�
f^ t � -J' T,
v 32=.Electrigalj Pe en�e�e�{-Final ' r x p; � ��, r 80q FOOD C�i�flF�t('{ATE ISSGE[3 �
_33=�Fir±el ctric ��". � � l,- ." M � � � t N�es: �c �-:� 1� (tl
r- irx i s x:c �;in k�-� � Nt*+
n K^ �' � Fn tT, �• � x - � lq: + �-�
�,34F,Fi�I F�atiat� &X',� �bfWiti�r� �� s �. . v� � S C`x S GG
.. . . . . . �' i,
35(nFiiixl Gas PI[k-�'sF � - % � ! � fl- .'1 [rs -s [^ :SO
•••O ON � .�pr
�- ' ^ � * � . a�. �r± . . . � m r�
p38'.`Hc�icls;CanoP�K,^. �m�-7 -, �C! � ..f: a, ;tc x �;r
137pFiAgl F�ctory Ftf2'¢IeCe : S"^ .' tT' � -. � � _= � . y; � ~U
�38. Final P�mbin9 �x �x�i� i•.. � n" r 7, s i�.� k t�
O
^„39. Warer vicrFinal �� a• x: I .. .r �'i .ot�7 x'K O
�. � .r. r i. � :It S
740. Gas Se ce� inal :r: � t. ~ .. 7. E"a • r^
n `� c� x tn zn-:r s R�n ( , o:�• �uro �
,� _.- g ..
'41. Solar DpJne9ioFinaU Cl .. x a I ( �` x y,� '� �`
U � :r
^42=�Backflo.{� PreventE� F' �� '" a i I K 7' H
x r.k C� �{.�-. . � G S
43. Backflow Irstgatio�+ � ��SS � T. k� �� tC[-a � O � -+
^ "" i x C�
. '� �.. ' � �' r ' W y .- O
"�44. Landsca�e �rigati�n System,i_�� � y_ �h � L.� ,_ • . �,� N
;�() w N o
� 5 _ _
�.45JSound C.ttEDUetiO� i-iOCF- O` < S t-- t�xc x : � ,.; ;-; � :_ itiQ »: : •
i. �r rn r«.. s�. 7' �.: :+-
�46.`;Randicap fie�gulatrbns L: j � :n •• •-`K c � � •;r-� ••.-, :i:
�* -R ' .0 •S Go S .r.
��47�FI�AL STFD{JCTI�RE & BI�LDING ��../ � 1 � ��� �: � ��
4Q�F��ALPLkYVNIN.�, �,F, s:n� � 1 w:, 0;.,� �S � i- ��
. ; � "
43•�Elea,tric%ielease tq�Edison � :i: t �; :e ;; � �i + �� r� /� �
-r , �GG
$ � }':�:,' Q G;i C1 C
�� 50 _Ga ReQase 4o Soi�ihem Ca6folria Gas Co .� � I �
S �( ,S+ 'k E' H CJ • GRI - V
'51. C TIFICATEOF�OCCUP}� .; - ,rw. [; t*ic x �. C- ..
No. Date
CITY OF COSTA MESA
BUILDING DIVISION
ROOF COVERING CERTIFICATION
Permit No. I`, S�I ZZ(�i
Property Address 'O %
Owner v�`/"�S 1?�I�'d!(��
Contractor
�
State Contractor License Number ��/i %5�5 Classification �—�3'�
I hereby certity that I have installed, or caused to be installed, a minimum Class C roof covering at the
above address in conformance with Chapter 32, and Section 1704 of the latest adopted edition of the Uniform Building
Code, as amended in Section 5-17 Title 5 Costa Mesa Municipal Code, and the installation instructions of [he
manufactuter.
❑ I further certify that I am the owner of the property. (Owner-Builder permittee only).
+� I further certify that I am:
�Owner of sole proprietorship company
❑ Full partner of the company
❑ Limited partner of the company
❑ Officer of the corporation
I certify that as an authorized officer or agent of the company or corporation, I am empowered to make
this certification, which shall be binding on all successors or assigns of the company or corporation.
I shall deliver a copy of this Certification to the above listed owner, after submittal of form to the Building
Division for acceptance.
Received by Building Division
Rv�
0980-16 W�i�aBuiltling Div.; Canary-CqMractor; Pink-0wner
_�FSGt c�7T/Ce �CY'J�<
Company or Corporate Name
//���i ��' �•
�
r
CITY OF WSTA MESA PLANNI. ilEPARTMENT
A. P. No. 141-652-69
Bldg. Permit No. .�0-30
r,i_ -e-�o°�,`00� s�o �:�k*,�
�m;a 25,G0
PARK AND RECREATIONAL FEES - Apartment Developments
Fee Payment Receipt
Project Address 3120 Monroe Wdy
Owner's Name MP. P. HedP1CS
Bachelor or 1- Bedroom Units
2 - Bedroom Units
3 - Bedroom Units
4 - Bedroom Units
5 - or more Units
Total number of Dwelling Units 1
@ S25.00 = $25.00
@ $40.00 =
@ $55.00 =
@ $70.00 =
@ S�seoo = $p5_00
Total Fee
Planning Department Approval Date ]-7-7Q Park Area No. �_
gy WLD:am Applicant's Signature j����,/�G�
PAI4 ,�*�„k�,
CITY OF COSTA MESA PLANNII�_ ilEPARTMENT J111 -8'��cnsa�� 560 u �_
� A. P. No. 141-�5`L-�9 �
Bldg. Permit No. 3��.��
PARK AND RECREATIONAL FEES - Apartment Developments G t � Q�����3
Project Address
Owner's Name
312Q i4miroe
:�r. P. }'�•drics
Fee Payment Receipt
Bachelor or 1- Bedroom Units 1 @$25.00 =�7_5.C;!
2 - Bedroom Units
3 - Bedroom Units
4 - Bedroom Units
@ $40.00 =
@ $55.00 =
@ $70.00 =
5- or more Units @$75.00 = �75.00
Total Fee
Total ninnber of Ihaelling Units �
Planning Department Approval Date �-%-70 Park Area No. 74
By WLD:dm Applicant's Signature (//q�-r�l..,[)/i�lie�
OWNER HEDRICS P. DATE 7_g_70
JOB ADDRESS 3120 Monroe Wav BUILDING PERMIT N0. 32030
AL?,�=�No 141-652-69 LOT 16 TRACT
'`�'^`�:`':�";'bCTIONS $i natu
s'�i;��"�.:.:
GAS
W ATER
ROUGN PLUMBING
PFOP. SWR. LINE � HOUSE CON. ❑
SPRINKLING SVSTEM
MISCELLANEOl15
ROlIGH HEATING AND AIR CON�ITIONING
TEMPORARV SERVICE OR POLE
UN�ERGROUND � POWER �
ROUGH WIRING
TRENCHES FORMS � STEEL REINF.
FLOOR SVSTEM
BONO BEAM STEEL FEINFORCE
SHEATHING .
fRAME AN� FLASHING
LATHING — IN OUT
PLASTER, BROWN COAT
Sr--'<TURAL, FINAL
t :G, VENT., REFFIG. ,
PL�mBING, FINAL AN� GAS
ELECTRIC, FINAL
BUILDING, FINAL
F
SUBCONTRACTOR
Plum6ine
�� _ �• �. 32030
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
O-
Fo� Applicant to Fill in Completely
BVIIDING �i ^ � ,nB��o� '"��
ADORESS �i(�� /�i /Y
OWNEP �
MAIL �.� . ._ �
CITV ��` i
CONSTRUCTION
LENDER
BRANCH
ADDRESS
ARCHITECT
OR ENGINEER
ADDRE55
CONTRACTOR
ADDFESS 8
CITV �}�
STATE
LIC. NO�I
SI2E
OF LOT �
USE OF
EXISTING BLDG.
SIZE OF
NEW BLDG. �.2
EXTERIOR WALI
TE
TEL.
TEL ' '
NO.
CITV
LIC. NO./
INO. OF BLDGS.
NOW ON l0T
I ROOF (VQ"f'1 O
'G � COVERING S+7j'NG
AND WOFK TO BE PERFORMED
Ph,D �, *��,��
����- —�'�GcFisn00 559 ,� i3.50
APPLICATION FOR BUILDING PERMIT
�@IYE� BY^ DATE RECEIVED nnrv iccimn
BUILDING
ADORESS
TRF
ER
FIRE "
ZONE `
APPROVE�
� NO.OF i
PLANS �
YAROS APPROVED
MAIN BUILDING
37
SF
DISTANCE BET
MAIN BLDGS.
V AR. #
C.U,P.vk
I hereby acknowletlge that I have reatl this appliwtion and state
that the abova informai{on is correct and agree to comply with
all lawz regulating builqing ronstruction, and I shall not employ
any person in violation ot the workman's compenution laws ot
the State ot California. �^/
I hereby certify thai I am properly licensetl as a contractor under ^ SQ. F
the State of Calitornia Qusinass antl Profeszions Code, Divisicn 3, THE AMOUNT
Chapter 9, antl that such licenses are in tull force and etfect, or I THE PURPOSE C
am exempt trom the provisions ot ihe Stete ot Calitornia Business VALUATION
antl Professions Code, Ojvision 3, Chaprer 9.
Signatore ot /n � /
Pe�mirtee �G�'� �j�//� §� (U'
Auihorized Agent /
JRY
/ c
BET. MAIN &
NG
''�o'L.�� m
O
HOWN UNDER VALVATION IS FOR �
ES7ABLISHING A PERMIT FEE ONLY: d
¢
m
PERMIT FEE $ O �
J
PLA CHECK/�.$ ".•� E
/ . �l / LL
•: - I87I9
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COBTA M88A. CALIFORNIA
For Applicanf +o Fill In Compleiely
TYpE OR PRINT
BUILDING _ _ _ _ .. n M�/.
COSTA MESA. CALIFORNIA
■ MAIL
■ ARCHITECT TEL.
FIRE
�r� 1`L.VS�1�L1f
FE8 l y 19fi3
FiNAN�JE DEPT.
APPLICAT�ON FOR;�FERMITiEJA
sua�iN�
For Office Use Only
RECEIPT NO. I PPPIHi�NO
CASTA MESA,
IBSUED
1 S 14
ADDRE55 ZO N I N G
- / ZONE/J NO. OF USE OF NEWSryp'%d�
CITY BeV U �' � �+�. • O ,l '�I I PLANS � BUILDING (UIO� '
STATE � �/ TEL. n�/O /,O � ceae� Lmt �6 TiP �/s36
LIC. NO. �T'� NO. /� O � Ofi6LRIPTION
Si2E � NO. OF lLDGe.
USE OF
EXI9TING BLDG.
86T9ACH LINE FROM
DESCRIPTION OF WORK
.c.�ya
■ ExreRioR
� (CENTHP L�NE BTJ
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