HomeMy WebLinkAbout2840 MONTEREY AVE - Building PermitsPF0.1ECiNDOPE55: Z844 hIODITEREY %i�%
OWNER'S NIIME: KOLLAR, FRANK D TR
aooncss: Zg40 MONTEREY AVE
CO5TA MESA,CA 92626
(714)549-2704
FfiCHIENGINEEfl: NEG.NO.:
P�OHESS:
UNIT:
UNIT:
PEHMITiEE: A—AMES PLUMHING 6 HEATING ( 714 ) 530-2440
nooaess: 10422 TRASK AVENUE
GARDEN GROVE CA 92642
LICENSEU CONTFACTOB UECLAflRTION: I �ereby aifirm Iha� I am licensetl under pmvisions oi ChaD�er 9(commencing wiih Sec�ion
�000) u� �imsion 3 olihe Business and Pmlessions Code, antl my license is in lull brce and eilem.
ciTvuc.:006664 STATELIC.:2SO3Oi cu�ss:C-36
Da�e. (A — �7— }b Signature: � �
WOXKEHS' COMPENSATION �ECLANATION: I hereby aHirm �hal l have a cerlitica�e ol consent �o sell-insure or a cerlificaie oI WorkeK
Compensalion Insurance, or a certilied copY �hereol (Section 3800, Lab. C)
eoucvNo.:73WC007134004 E%P.OIITE: O3IOZI91
comrnxr: N AT I ONW I D E
❑ Cenifiea cooY is hereby lumishetl. � CetlilieA coDY is filetl with ihe ciry Building Division.
Oate: �` � 7' � 6 qpplicani: ���/'`— ��
E%EMPTION FBOM WUflHEBS' WMFENSATION OEQFflPTION: (This sec�ion need no� be comple�etl itihe permi� is for one hundreA ($100) or less).
I certifY �ha� in Ne pedormance of Ihe work �or which ihis Oermi� is issuetl. I shall no� employ any person in any manner sa as �o become
sublect lo I�e Workers' Compensalion Laws oi Calitomia.
�a�e: Signaiure:
NOTICE II. a��er making this declaration, you 5hou10 become subject ro the Workers' Compensation pwvisions o� Ihe labor
Cotle. you mus� forthwi�� comply wilh such provisions or �his permi� shall be deemed revoke0.
CONSTPUCTION LENOING AGENCY: I hereby alfirm tha� there is a constmc�ian lentling agency for �he perlormance ol �he work tar
which Ihis pe�mii is issued (Senian 3097. Civ, C�,
LENDEfl:
ROOPESS:
OWNEP BWLOEB UECLAHRTION: /therehy aflirm ��a� I am exempi Imm the CaNracmrs' State License Law �or �he lollowing reason
(Sec�ian 7031.5 Business an0 Pr6essional CoDe: Any ciry of county w�ich re0uires a permi� m constmci, alter, improve, demolish, or
repair any SVucWre, prior ta iis issuance. also requires lhe applicant �or such pe�mil to file a signetl Sla�ement thai he/she is Iicensed
pursuam �o Ihe provisions oi i�e Comracmrs' Siate License Law (C�apier 9(wmmencing wi�h Sec�ion 7000) ol Division 3 0� �he Business
and Pmlessions Code) or Ihat ne/she is exempt thereimm an0 I�e Oasis for ihe alleged exemption. Any vioiation of Seqion 70315 by
any apPlicant Por a permit su�lecis Ihe applicant lo a civil penalry of not more than tive �undre0 dollars ($500�.
I. as owner al �he pmpetly or my employees wi�h wages as �heir sole compensa�ion, will do the work, antl �he
❑ simcWre is not intenUea or ofiered for sale �Sec�ion 7044, Busmess and Pmfessional CoOe: The Coniractors' Staie License Law
Ooes noi apply lo an owner of a pmDerty who 6uilds or impmves therean, and who does suc� work himsel�/hersell or ��wug�
his or ner own employees. pmvitle0 that such impmvemenis are not imenEetl or oflered lor sale. Ii, however ihe huiltlinq or
improvemenl is sol� within one year o� completion, �he owner will have the burtlen o� pmving he/she did noi Uuiltl or impmve
lor t�e purpose al sale), .
I, as ownerof �he pmper�y, am exclu5ively con�rading wiih licensed contraclors to conslmc� the D�olec� (Sec�ion 7044, Business
❑ and Professions Cotle: T�e Contractors' Sla�e License Law tloes nol appry to an owner o� pmperty who builOs or impmves thereon
and who tonirads for Suth pm�etts with a Conlracior(S�license pursuant�o Ihe Contractors' Siale LiCense Law�.i am aware
tha� pmoi ai iheir Workefs Compensalion insurance 5hout0 Ge pmvi0e0 lo me.
� I am exempt uneer Sec�ion. B. 8 P. C. .
lor Ihis reason
Oa�e: Owner.
I Oo here�y ceNiy Ihat I am aware of and un0erslantl I�e requiremenls ol Calibmia HealtA and Safety Cade Sections 25505, 25533, and
2553a an4 iha� I or any iNure 6uilding occupan� willlwill not (circle one) neetl to compiy wit� saitl sta�e cotles and the requiremen�s for a
permit for cansimction or matlificalion Iwm ��e Nir Oualiry Management �isVicL Resitlential cons�mc�ion applica�ions are exempl fwm
Ihese pmvisions.
Oate: Np0licant:
I here�y cetlily Ihal I have reatl t�is a001ica�ion antl slale Ihai �he a�ove in�orma��on is wrrecL I agree ro compty x1ih all ci�y antl coun�y
artlinances and sla�elawsrelalinglo builtling conslmction and hereby authorize representaiives olthk cily�o enleruponthe above-men�ioned
pmperty far inspeclian puprposes.
�ale:`D'��I'7�J SignaWre: ��
oriver's urense or Sociai 5ecwny a�
�6at�C6 Wbite—Builtling, Green—Code Enlorcemenf, Canary—Applicam; Rnk—Revenue', GalEenrotl—Assessor
CITY OF COSTA M�SA —$UILDING PEkMIT
PEkMIT NO: P 099513 PLAN CHECK NO: N
CONSTAUCTION TYPE; 5—N PERMIT TYPE: PLU
JOB DESCRIPTION : INSTALL 50 GAL. GAS WATER HnATER
CLAIM VALUE:
CALC—VALUE:
PERM NO: P 049513
GOVT: N SUPP: N
PURPOSE: OTH
SQ FT;
GROUP OCC: R-3 /
COMMENTS; *
***��*�*��*x��*��*���********��r�**x��***�*�**�*��x�********�+�******���r��******+�**
Z O N I N G R E Q U I R E M E N T S
a E T B A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT:, FT ,IN RGHT; FT IN LEFT: FT IN RGAT; FT IN
PARKING REQ: PROV: PARCEL: 19t61352 7.NE; REF NO:
PLANNING NOTES>
i
�F dElE dE fE iE iE iE iE 1E �E 3E iE jE 1f i! iE iF i! fF j! �lE �E iE iE dE �E iE jE jE �)E iE if iFjE iE if iF iE 1E �E iE 1f dklF dE 3F 3f �E if iE ik iElf jE ik jE iE �t �E if if iE iF i!!f k�� �� !f k!t ik iF iE jE 1E 3f 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
r��%\��1R��������ii���� ��
DATE:
HUILDING APPROVED HY : DATE:
APPLICATION ISSUED bY: B'La�az.� DATE: l�
*�**��*������***�«***,�*��� ��s�t � �tk;a� F��t�-�c�3����,�x��*****�+���FR��
iFiFifiEiEiFifiFi(�iFififiFiFiEiEiflf�lFifdfiFiEifiEiFiE�lEiFiFiFjfiEfEiEaEiEiEKii9 Eififl f3fiEiE�FjfiEjE�lElEikiEiFifiEifiFit3E#��1fif7fifiFiFiEiFiF�1F�lE
LEGALIZATION:N F E E S U M M A R Y STRUCTORAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT ' 2.00
25Y SMIP/NON—RES
PLAN
ISSUE FEE 3.00
&UILDING—DIV—> PERMIT ISSUE PI,AN—CHECK TOTAL PAID DUE
TOTALS----> 2.00 3.00 0.00 5.00 5.00 .00
REVENUE DIVISZON TOTALS--> COLLECTED: 5.00 QVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECiiANIC FIRE SMIP/TOT GRADING PI,AN—CHECK
5.��
if iE iE iE iE iE if if iF af iE ik if iE �E jE iE iE iE 1E iF iE if iE iF if iklf if ik k it if iE if iE ik 1E iE if iF dE 1t �! iE i! %iE jf IP if 1f �If� iF �E ik j! ff iE �E iE af 9E iE 3E if k�#�% k ik iE ik if 3! iE jE 3E
,I N D I V I D U A L F E E B R E A X D O W N
TYPE QTY
PLU 1
��Z7������������\�i
,WATER HEATER AND/OR VENT
END OF FEES
UNIT COST TOTAL COST
2.00 2.00
Of. OD07?274—q0072274 T�� T. S,��i
OATE: 10f1]I9U iI�t£: i's:�3
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector
1. Temporary Electrica� Service or Pole . � 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. ,� �' 53. Steel Reinforcement �
3. Electrical Conduit Utility-Und�grnd.. � ' 54. Forms .
4. Electrical Conduit�Undrgrnd. '; 55. Electrical Bonding
-�5. Steel Reinforcement � 56. Rough Plumbing & Pressure Test
6.�ElectricalUFERGrnii. 57. APPROVALTOCOVER-GUNITE
., 7. Footings �, ' 58. Electrical Conduit-Undrgrnd.
8: Foundation , 59. Ga: Pipe, � Undrgrnd., Test ', �
9.'Water Pipe-Undrgmd. • i 60. Backwash Lines, P�Trap, O Undrgmd.
10. St�uctural Floor System - 61. APPROVAL TO DECK
17. Property Sewer Line & House•Connection � 62. Backwash & Receptor-Final •
72. Sewer Cap -. : � -: 63. Heater & Vent-Final �
13. Roof Drains -� 64. Plumbing System � Final ._
'�
14. Rough Plumbi g '� '� 65. Electrical-Final �'
15. Rough Eiectrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electriral:T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREIVIENT
. . � , . �
20., Rough Facto[y Ficeplace : �'" yFr � ' ;�; �� �APPRO.VALS,'.: Permit # ,
21. Ducts, in Struc[ure � � • - _ � - ' ' 70. Underground`Hydro
22. Ducts,VentilaIing.' . ; �, '�� � .77. Produc{�PipingOGes ❑�Oil
23. Gas Pipe-.Rough & Test � .. �,,; � a- pz, Underground Flush��
24. Roof Framing' � " ' �� .. t;�;73. Undergmd,. Storage Tank O Gas ❑ Oil
25. Roof.Sheathing �� -. � �� +�.� 7q; Overhead Hydro
26. T-Bar Ceiling (Structurall &�Monocoat '• �� y� � 75.. Dry Chemical � ;. - r
27. �Frame aad Flashing, � � ,., • ' `� . `•� ' -�, ': . . �
, r�_ 76. Dry Standpipe ,•�:��� e ,�
28. Lathing'&Siding i -� '�'`F� � " "i "� 77�,��FIXEDSYSTEM�F�INAL' �
29. Insulation � -. � �. i � 7$; �FIRE PREV. FINAL � � �� ��
"30.DrywallNailing �, ;�1;�� , - HEALTH'DEPT^REQUIREMENT
� 31. Plaster Brown,Coat � � � a � ' � i� ; J9. �FI�NAL INSPECTION , �
� 32. ElectricafPower Meter-Final� ''�' � ��'-N A 80. FOOD CERTIFICATE ISSUED '
33. Finzl, Electric, � �,; � � r � � � !�y� i ��Notes: � � j; �� , � , ',ir
t
34.t Final Heating & AirAConditioning. � : � � �� - � -. . � � � � >' '
.�i .i i i. .,
�
35.�FinalGas.Pipe-Test� �.' ' . �. � � � 11" � �' ' � �
�.36.�Hood or Canopy � : � i ' � : '�'�� � i ' �� '
- r �-i i r�
37. �Final;Factory Fireplace� ;, - � � (��j ���, ` � � � ,
�
•�38. Final�Plumbing � i _ � � � � ,• � . �+ .
39. Wate�Service�Final� , ' �!' , � ' "� � ' . ' �
� i .� �
`40. GasService-Final • , rn•��� � r ��+ i � �� . � •
�41. Solar pomestio-Final - `, " . - � ', I' � , , i. ,
� -
42.' Backflow Preventer� � . - I �i r ��t . � - .
n �
43. Backflow Irrigation� �. . , ✓ i , - � ;
� , '
.44. Landscape Irrigation Systemr� i �_ �� ' �i � " �� '!� • . -
';rr
� 45.' Sound Attenuation , ` � � ' ' ' �t �- • ' . �
. . .. , �n � ,�� - . .
46. Handicap.Regulations �• � � c . . .
� i
47. FINAL STRUCTURE & BUILDING � � �- �' ' � - , '
; � , , � i
48.•FINALPLANNING �• ' �'� � �/-f;. ' � ' '
49.' Electric Release to Edison � � � � j.' �� , . r �
50. Gas Release to Southem California Gas Co � ��",�, , i� . . _ �
51. CERTIFICATE OFiOCCUPANCY r -
No. Date
OWNER __MESA_Dgj,_L�
JOB ADDRE55__2$�j,g
G�NGRAL CONTRACTOR
AP No. LOT
INSPECTIONS
coat
TRACT
�'o-� 5��
DAT�
,.�yiyY" " VALUT 3 20,2fi8.00
�F[RE ZONE DESCRIPTION OF WORK Re6.W�
DATE GROUP �J TYPE �/ ZON� R-1
SUI3CONTRAC7'OR
— 7.61 i Onrv�
JOB ADDRESS 2tl40 Mon�
GENERAL CONTRACTOR
AP No. LOT
INSPECTIONS
'r�nCr 4�
� Signalure
FIRE ZONE
DA7`� GROUP S
BUILDING PERMIT NO. '
VALUE � $$s.p� �
D�SCRIPTION OF 4VORK P$
TYP� q 7.ONE
SUBCONTRACTOI2
OCCUPANCY I I I � I
'ORM Bllb � 5M — 7�61 .....f�
~ � 19265
�OSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX Sf9 COBTA M66A� CALIFORNIA
For Appl)cant fo Fill In Completely
TYPE OR PRINT
BUILDIN6 ^ tr
ADDRESS o[ O � (J E
COSTA MESA, CALIF RNIA
� MAIL
� LIC.TNO.JO�.'�/,3�A—.gH^� NO.
ISIZE I NO.OPBLOOB.
BETBACK LINH FROM I �
cErvTea ov erneer sZ REAR YARO a� ,
I _/ I � A
SIDEYARD LEFT RIGHT. �
DESCRIPTION OF WORK
'I XEREBY ACNNOWLED�B THAT 1 HAVE PEAD THI9 �PPLICAT�ON
AND BTATC THAT THe ABOVE 18 CONFlECT ANU AOREE TO COM-
PLY WITM ALL CITY OHDINANCBH AN� 9TATH LAWB P60YLATINO
BUILO�NO CONBTRUGT�ON.
� AUTHORIZED A6ENT
yao-�
FEE RECEIVED
�Pfl 9 isea
nar��� nY�fo���t�E�A
For ONice Use Only
FIRE
�J ZONING
ZONB(� JI NO.OP O9HOR
n� runa � ew�nu
v•
LEOAL . . � : i o -r� .
A •
�
NOTE: NO EAVE OVERHANG 9HALL BE LE35 THAN
YARDSAPPROVED
MAIN BUILDIN6
VAR. JC
YARD9APPROVED
AGGESSORV BUILOIN6
I.13��
-�i-E3
THE �MOUNT 6HOWN UNOER VALUATION 19 POR THB
PUFP06H OP EBTABLI6HIN0 A PEPMIT FE6 ONLY.
VALUATION
� ��] PERMITFEE $
GA /%` �
$V(/ � E � _V
� :.
� ,� �8�02
�STA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 3f7 C08TA MEBA. CAL�FORNIA
For Applicanf +o Fill In Complefely
TYPE OR PRINY
BUILDING ._
ADDRE6B' O �E� -
COSTA MESA. ALIFORNIA
�el Mar,
acco Rea
$ame As
icco Real
Same As
TEL.
OF LOT 6 984 S;F;
use oF None
EXI6TING BLDG
BCTHACI( LINB FROM � A ^ �
CENTex OP s1wHHi YL
SIDE YARD I LEFT 5, 1
DESCRIPTION OF
����n� � ��
aize 61 6
EXTERIOR WqLL
ROOF
TEL.
• NO
NO. OP
yo-e nru
_'B75-R'PRcasr�;o7x +Mt*99:Q�
APPLICATION FOR PERMIT
BUILDING
t
For Office Use Only
neceivr no. veer(��q
1 C) U
aecervso rr I°�T$��/g'1 �i'.i� rS76 2 1 el'.
d!� �i
i1LDING
DRE55
COSTA MESA. CALIFORNIA
APPROVED
R�NING '
iONE� � I puNB `y I BOILO�NO �
LEGAL t� (J %/� y y�/
oexxtrr�ox
A. P. NO.
YARDS EVES
APPROVED ALLOWED
3 1 O faTRea une aiJ
RD O b FRONT y Z� FT. ^^
5'6" .�' 6
R. SIOE FT.
K L. SIDE S FT.
ION I ovwe _ ..� �
I
� r,
1 H6REBY ACKNOWL6D68 TNAT 1 HAVE REAO THIB APPLIWTION THE AMOUNT BHOWN UND¢P VA�UATION 18 POp THH
/.ND BTATE THAT TXE ABOVE IB CORRECT AND AaPEE TO COM-
PIIRPOBE OF EeTABLIBH�N6 A PEqMIT FEE ONLY.
PLY WITH ALL CITY OPDINANCEB ANO BTATH LAW9 qEOUTATINO
BUILDINO CON815ilILTON. VALUATION r
SIGNATURE OF PERMIT FEE $ � /
PERMITfE Mew Del Mar Develo ment Co. —P-6,— o
SZO�GHH.00 PLAN CHECK $ £
AUTHORIZED AGEB T�� . �� �l�4A�-�`� �� �_ D
70TAL FEE LL
N
i63