HomeMy WebLinkAbout3121 MONROE WAY - Building PermitsPFOJECT AODPfSS: 3 1 2 1 MONROE wY
owNexsName: STEFFENSEN PHILLIP R
aonxess: STEFFENSEN� BEVERLY A
� 3121 MONRO� WAY
COSTA MESA,CA 92626
.+NNCNIENGINEEF: 9 6 6— 8 4 3 8 qEG.NO.:
� ADOXESS:
uNiT:
UNIT:
PEpminEF' AERO-THERM CONSTRUCTION (714)646-3953
aooRess: z 8 g L I LAC LN
C M CA.92�27
UCENSEO CONippCTOX O�CCAilATION: I �ere0y al -'I�ai I am IicenSeA untler pmvisions of hapter 9(commencing wilh Seclion
7000) ai �rvision 3 of �he Business antl Pmfessio otle, and my license is in �ull lorce antl eflecl.
ci,r uc.: p 4 9 5 srare uc.: 9 3 3 2 ���� �cu�s,s�:/[��'j" 9����, µc /
Date: � '� SignaWre:—�cw-"J/^—��b" ^^—" `
WOflNEflS' COMPENSATION OECLAflFTION: ' I hereby aftirm that I have a certi�ica�e o� conseni to sell-insure or a cetlifica�e ol Workers'
Compensation Insurance. or a ceni�ietl capy thereof (Section 3804 Lab. C�. '
roucvNo.: �3WC007863-0001 EXP.UATE: O�iII'I�92
comrnNr: NATIONWID
� Ceriifietl capY is here7y lumis�ed. e�ilied caDY is �ileU wrth Ihe ciry Building Oivision. �..,j�— /
Oa�e: � � AOPlicant /�L. 'l�Cq/[�'"_"1 � �
E%EMPTION FFOM WOBKEPS' COMPENSATION UECLAPpTION: (This section neetl no� �e compleiea i� �he permii i5 �or �ne Aun�reO ($100) ONe55�.
I cetlily Ihal in the pedarmance af Ne work �or which �his permi� is i5sue0. I shall noi employ any person in any manne� so as lo become
su�ject �o tne Workers' Compensa�ion Laws of Lalilomia.
Oale'. Signature:
NOTICE: I�, atler making Ihis declaration, you shoultl �ecome suble�� �o the.WorkeR' ComDensation pmvisions of �Ae Labar
� Coae. you musi �orthwilh camply wiih such provisions or this permit shall Ue deemed revoked.
I CONSTflUCTION LENOING AGENCY: I �ereby allirm Ihal ��efe i5 a tons�mt�ion lentling agency lor �he peAormanCe ol �he wOrk �Or
i whic� I�is permil is issued (Sectian 3097, Civ. C�.
LENDEN:
aooness:
OWNEH BUILUEA DELLAflATION: 1 here�y afiirm t�at I am exemp� �mm the Cantracror5' S�ate License Law for I�e following rea5on
(Seciion 7031.5 Business antl Professional Code: Any ci�y of counly which requires a permit �o consimc�, alter, impmve, tlemolish, or
repair any simcture. prior to its issuance. also reQuires the apvlicant for such permit to lile a signed stalemen� ihal he/she is licensee
pursuant to ihe provisions ol ihe Contractors' State License Law (Chapter 9(cammencing vnln Section 7000) oi Oivision 3 ai tne Business
ana Pm�essions Catle) ar Iha1 he/she�is exempt �herefmm antl the basis �or �he allegetl eremp�ion Any viola�ion o� Sec�ion 7031.5 by
any applicaN �o� a permil sublecls �he apPlican� �a a civil penal�y ot no� more ��an �ive hundre0 Aollars (5500).
I. as owner ot tne propefty or my employees with wages as their sole compensation, will Oo the work, antl Ihe
❑ Slmtiure is n01 in(en0ed or aifere0 for saie (Secuon 7044. Busmess an0 Pmfe55ional COtle: The Coniractor5' S�a�e LiCense Law
Ooes noi apPly lo an owner o� a pwperly wha �uiltls or improves ��erean, and wha does such wo�k himSelUhersel� or thr0ugh
his or he� own em0loyee5. pmvidetl ��a� such impwvemenis are no� in�entled or oflereU �or sale. I( �owever ihe building or
improvemen� is soltl wi�hin one year o� com0le�ion, Ihe owner will have the burden of pmving he/she 4i0 no� builtl or im0�ove
�or I�e Purpose ol sale�. • '
I. as o+ner oi �he pmperty, am exclusively coniraciinp with Iicen5e0 con�ractors �o cons�mc� �he pwject (Sec�ion 7044, Business
❑ and Pro�essions CoOe: The ConVaclors' Slate License Law does noi appy to an owner of properry w�o builtls or impmves Ihemon
antl who conVac�s lor suc� pmlecis with a conVactor(s)license pursuan� �o the Con�rac�ors' S�ate License Law�.l am aware
�hai pmof oi �heir Wprker'S Compensa�ion insurance shoultl be O�ovided lo me.
� I am ezemp� untler Section�. B. 8 P. C.
lor �Ns reason:
Da�e' Ownec
I tl0 hereby ceNN ��al I am aware oi and unaerSlanJ �he requiremenl5 0l Califomia Heatlh anA Sal¢Iy CoOe SeCtionS 25505, 25533, antl
25534 and �hal I or anY �uture builtling occupant willlwtll not (circle one) neetl �a comply with saia s�a�e codes antl �he �equiremen�s �or a
permii lor con9Nc�ion or mo0ilicaiion fmm Ihe Air �uality Managemen� OiSVict. Re5i4eniial cons�mc�ion aDPlications afe exempt imm
Ihese pmvisions. -
Dale: N plicanP.
I �ereby cerlify �hal I have reatl this applica�i antl sta�e ihal lhe abave inlormation is correcl I agree Io compty wilh all ciry n0 tounry
or0inancesands�atelawsrela�ingtobuiltlin conslmclianantlhere�yau�horiterepresen�ativesofthisciry�oenlerupontheabo e-menlioned
pmnetly far insoeclion purposes.
/rl 9r �
�a1e: ��"� SignaWre: � �/�/µ'
�river s License ar Social Securiry 7
1fi41-06 Wlnle—Builtling; Green—Cotle Enfo¢emenl; Canary—Fpplicanl', Rnk—Revenue; GoltlenrOtl—qssessor
��
CITY OF COSTA MESA - BUILDING EERMIT PERM NO: B 05389 '
PERMIT NO: B U53897 PLAN CHECK NO: N GOVT: N SUPP; N
CONSTRUCTION TYPE; ' PERMIT TYpE; STR � PURPOSE; ADD
JOB DESCRIPTION ; REROOF 3200SF RESID & GARAGE W COMP SHIN SQ'FT: 7,300
CLAIM VALUE: 7,300,00 CALC-VALUE; . 7,300.00 GROUP OCC: R-3 /M-1
COMMENTS•.RESHEATH & REROOF W/CLASS "A" COMP
�r�***�r�r�t��r�e�*��*�**�r*�tir*+t�t�r�r�r�r�r*�r���t*��r*�t*�r*�t**��t��t�t�r*�r�t**�r*�r*� *x �
, ', Z O N I N GS ERTEH�AUC�KRSE M E N�OKE ����
------,-'----- MAIN BUILDING ---------- --------- ACCESSORY �H6iS�$AU'��-----
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:'13957305 ZNE;'� REF NO;
PLANNING NtlTES> � . �' .� � ' - "`
; � . : " r . ... . ,., .
if �F if if �1f if af 3k iP iE M iE aF iE'iE ik iFdF )f iF 3F IE fE �t iE �tlF 1f IF iE iE iE if iF iF iF �FiF �f jF if iE iE 3F i! iF �E 1t IE It 1E iE jE iE i! ik IE if 3E 1E it 16.3k iE iF aF �F if �E if 3F iE If jE iE if iF if 16
D E V E L O P' M E N T 5 E R V I C E S R E Q U I R E M E"N .T- S
ZONING APPROVED BY DATE: J
BUILDING APPROVED BY : DATE: •��� . �
i �,!
APPLICATION ISSUED BY: - DATEi ' C�i
*�r***�+�*****�*��**�r***��������������r� �***x�***+��r *
3Elf!l3tiE1E1FiF1EiEiliFiEitlE�Ek�f�k�FifiFlElElEiEiklFiEiEiljEaE�F3E�f�f�E3FiEk�t�F1E�f1Eik�tif*�1F�E�EIE1EiEiflF�EikiE±kiFiF3Fif�9ElF3EiklElEjEiFiFiFiE iE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL-SEGMENT;Y
.r __
BLDG PMT PLUMBING ELECTRIC MECAANIC FIRE SMIP/RES GRAD.ING „
PERMIT 99.00 7.3
SMIP/NON-RES
PLAN
ISSUE FEE
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECR TOTAL PAID .DUE ,
TOTALS----> 99.73 O.UO 0.00 99.73 99.73 '.00 '
REVENUE DIVISION TOTALS--> COLLECTED; 99,73 OVER/SHORT: 00 r,�
BLD99PM�T� PLUMBING ELECTRIC MECAANZC FIRE SMIP/T03 GRADING PLAN-CH�CR
It
iFiEiEiFlFiEik3EiElEiE�fiE±fiEiElEiFlFiEifiFiFlEiEiEiEifiFifiEiEiEiFiFiEiFiE1EiElfififiEiFikiFiP3FiEiFiE1E1E1fiEiFiEifiEiklElFiEaFfElEiFiffF3Fif3f7fiF{E.iF�IEiE �..
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R Z P T I O N UNIT COST TOTAL COST.'
i
SFR 7300 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 7,300:00'
END OF FEES ,r., �,��
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�1 0004727Q-OQD972�1 '� i��i �9,7� .:
OATE- Q4l17;42 TIME: lti;gg -�
C�RNC"ZON AND PLANNING POOI ,PA -
APPROVALS Permit # Date Inspector APpROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole ,S . 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. ..^ : rS:L �' 53.-Steei Reinforcement .
�
'�3�'_E�ectrical Conduit�Utiiity-Und{grod.;� � 54. Porms .
-4a�Electr,ical Condujt;A)ndrgrnd. � s� 55. Electrical Bonding "
' S? $Ieel'Reinforceni'ent � ""J 56. Rough Plumbing & Pressure Test "^
r:N;...aa:..: ��, • � r - -
� �' � � `' `` `� 57. APPROVAL TO COVER�GUNITE
�c6.,�Electrical UFEf}^�Gtnd. ��, , � � �
?'7: Foot7ngs ;� W "� 58. Eiectrical Conduit-Undrgmd. '
: 7 �.'
y8" � yndation � S �� , � 59. Gas Pipe, O Undrgrnd., Test - �
�
9.'Water Pipe-UndFyrnd. , � � 60. Backwash Lines, P-Trap, O Undrgmd. �
10 '$tructural Floo� Svstem � a, 61.� APPROVAL TO DECK
71.� Froptrty Sewer�tine$ House Connection � � 62. Backwash & Receptor•Final
- �. i
12. Sewe� Cap ' �' � 63. Heater & Vent-Final
73. Roof Drains �c � ' � � 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 �i,gn 68. APPROVED FOR PLASTERING
76. Rough Electric3y-T Bar Ceiling 69. POOL(SPA SYSTEMS FINAL
' 79.'Rough Heating & Air Conditioning' ' FIRE DEPT. REQUIREMENT '"'
� - T' -•.�..- '%: a '-• '.J
20.�.$ough Fy'ctory FiPeplace i �C!n r� � �� _ _ �*:r -. ;APPRO,VA'tS_... :Permit # �+ Y ��
ri' - y� m U.'.S rs <. �..��....-i� 7 l
M1' i v D 1 T.S 'k ` v� .R . 2'C�'--•L '�i =: 1)
21, bucts, in`Structure* „„ ;., :.. �� "v, v yj0. 6"�ndergrouad,Hydro r
22. Ducts, Venti�ating_�y i :J.� = S ti�'� i. �, product�'P�ing QCVas �Oil
23. �6as�Pipe=rFouQh &'T�st � "' �` y r 'J�` �' � jZ, Under round FluiFh, x r' "
i.��^ �s..r. j' �' C:. �: � 9 � y ,F
24. Roof Framing• ,�,Y � � . -•�� a. a %,.'i :s' ''��-�+. �w ,>73.�Undergrnd?Storarg,e�ank �Gas OOiI
-r
' �5. Roof'ShEething r� �� :� � .� �4:�p.yerhead �fydro•-' ' q'
y ` K"` `�.I 1w�� � -
26. �'F'�Bar'Ceiling (Struciural) & Qlonocoat � >.',.f a+ G =. ^ 75l='Dry Chemical _ F' -. b �s;
27.�FrameandFlashingi- ?? • =` - �-� "� 76r�DfyStand�i�e '-''' �� "� `=
�� ca. ..f _l::lr: - I} .Uv -. -.lA
u•
e� ,'.28.�Lathingi$iSiding.�:i.: �_�.y�� �� r`.- • ••a+. 77.^FIXEDSYS�TEM:FINAL�•J � '-�
^ ..� ..�
� '29� Insula�tiqn �;. •=+ `� .... - t f; •`� � � " : 78�,FIRE PREV. FINAI :� � v; �.
��30. Drywall:Nailing �rz A �� ' -i �� �� ' �r�? MEALTH�DEPT.�s REQUIREMENT
�
=_31. Plaster 8[own,Coa ' ' ' ; ` � � " " 79:^'fINAL INSPECTI � N i� �- ^
3 I ��. � .. 4.
. � . -� � , ��:,- -�
I ;�32.CElectricel Power RAEser,Final i' ' a;u � � E:. +� :BO.,rFOOD CERTIFI�ATE ISSUED ��
33. Final.EleCtric� ti�'� �` �' "� � � � � "NoCes: '•�• '� h
s � > nJr a: c I h� + -' .•�» '•T:'
� ; 34.-Fina�?Heating & Air:Condition'rng� +�^ �.., u� F , � i t � " � � � J _ :•
, - � i },' n: 5 t` i: i : C
� 35. -Final Gas PipA'-Te"st �' �'-ti' � j.: ti � f j �' -.• . � �"� "` �'" .�O �
� ,�. , � � s �_ ;:o Oi... x .�
.,36.'Nood or�Cano �.�. ' �-' . � r- :� ��� . . . :` `•'' .-+� . .
PY,��!' ltr :�.-' .'C. t k r -�. [�O r .Li�-
_37.•Final�Factory Firep(ace~ � - =' f '='' � `� , i �" �� ~�^ .
is a � : CJ
* i . �p'i � � '1 � : ' ,t .f .�
��38. Final,Pluinbing ` � , � . i � � * uf G .
~�� C39. Wac2� Service-final+ : � � � �t. •-. � . :uV; :>: u. ^
+� > � � � � I �: :. >+ c+ �
`40. GasService-Final - ' � �" ' 1 " `' ' r
i� ..'r Q�: `::} �� r i r.: ��:u "✓✓J �
�'41. Solar pomesifcFinal �:- � � � �� .? 1 � l.. .: �r� - - '
'. i k � �_, _ :� •Z
�42.�Backflow�Preventer� � °'' i.�r� +� -' � �K �' � �! ti
�- � :'. Ci . s ^ � ;r - u � ,. . : p
43. Backflow�lrrigation*,,:s'' ��.� � �� r u;; » b.: - �
�..... a t� ,.x - �
„44. Landscape Irr�igatio�:System�m`�` - ,� �� - '� X I' " �' � ''
{7J}.J :l C:.. A F b3 :D.� t ;�: �.
:45.'.Sound Atterivation=,•� � �.•-i�.�'.-� ... _ : r� . : ^, �: ,.r,�. �i;r; . � - .
':l 1 - Rf
.t/ A. ` A' 1!f • ,., l l r. i .r
�46. Handicap,RegNlatio� ,- ^ . :=� � ^.� . _ " �'
�h: �ti �.'J l
47,�FINALSTRI�CTURE&B'Ui'LD�NG (� � ' _ �� x
:�, . �r ��_, i I G �. . .
48.:EIN'AL PLANNING},�4'- i��"�{�_i- �:, ' �. i;. � n ij s � �
�_49_�Electric Release to EdiSbn�� r � � � � ;i :� � ir ' . _ „
.f'- 1 1 n <f r>
�50. ;Gas,Rele3se io Sout�e�n Calitornia Gas Co ; i �' S; � ` - ��(,_ �.�, F `„ f, "" �-
,,51. CERTIFICATE OF'(OCCUPANCY ;; - ;_= ; _ :�� ; � �- :� �
No. Date J �O ��� �'w �j' � � � l ��C �
�
. - i s�a�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COSTA MEBA, CALIFORNIA
For Applieanf fo �ill In Completely
TYPE OR PRINT
BUILDING ___, �. AI/ � i. i
■ MAIL
■ ARCHITECT
COSTA MESA CAL{PORNIA
TEL.
NO.
TEL.
FIRE
ZONE
APPROVEO
nF/EE ���G��V�D
�f�g 1 s t963
E(�ANCE DEPT.
APPLICATIOI���OR��ERnM1T' �ESA
suaDiN�
For Offiee Use Only
DATE RECEIVEO I DATE I65UED
COSTA MESA. CALIFORNIA
ADDRESS � % (J�,p¢.LC.f �Q[�OR On.iv ZOPIING
CITY
B e.V � TI A�.�� `✓�(. O�LIL.�.CC ZONH�_ / I PLANB Z I BUILDING E�S/'j �J.
��� No. �4 r No: R-68 4o LEOAL / b1 Z Z �j� yaS 3(p
DEBCNIPTION L+ /
$RE I NO. OF BLD09.
OF LOT NOW ON LOT e o n�n
USE OF
EXIBTING BLDG.
86TBACK LINE FROM _ �
� I LEFT S I RIGHi
DESCRIPTION OF WORK
oF
— APPROVED ALLOWED '
ICBNTCR LINH 8TJ �j
� FRONT' ' �r(] FT. �—
R. SIDE S FT.
L.61DE S FT.
wrea �L.� rr 3
/ ��'°�G'�� �OG'( 3�'� �,
1 HEREBY ACKNOWLEDGE THAT i HAVE READ TXIB APPLIGTION 'Mg AMOUNT BHOWN UNOER Vw UATION 16 FOR THe
AND BTATE THAT THE ABOVE IS GORRECT AND /�6REG TO COM-
PUPPOBE OF, EBTABLISNING q pERMIT FEE ONLY.
PLY WITH ALL CIIY OROINANCEB AND 9TAT6 LAW9 RH6ULATNO
BuaolNa coNeinucTloN. VALUATION [j
BIGNATURE OF PERMIT FEE $ j/�
PERMITTE / [�./ ) ' ��
n .$(� � L�� /'' PLAN CHECK $ � D/J L
S t? o
� AUTHORIZED
�