HomeMy WebLinkAbout983 HARTFORD WAY - Building PermitsPBOJECT FOUPESS: 9$ 3 HAR T FORD WY
OWNEWSNPME: �yR.NO STE�'EN C
: p00NE55: 9 R 3 AA'�TFORU NAY
COSiA �ESA,CA 92626
AflCN/ENGINEEN: '� A 6� S 7 E` S flEG.NO.:
aoosess:
UNIT:
uxiT:
PEBMITTEE: S':£VEN EP.iNO (714)546-6748
p�OPE55: y'
98�3j HARTFORD WAY
LICENSEO LONTBACTOH OECSIAHATIONM�$eh a�firm I�al I am licensetl untler p wisio s of� �p%r 9(cammencing wiU Sedion
7000� nl �rvisian 3 of I�e 6usiness antl Pmlessions Code, anU my license is in full lorce antl eftect.
ciTr uc.: sTnTe uc.: cuss:
�ate: Signaiure:
WOflKEflS' COMPENSATION OECIAflATION: 1 hereby alfirm Ihal I �ave a ce�ilica�e of mnsent Io selbinsure or a ce�ilica�e af Workers'
ComOensalion Inmmnce, or a cenilietl copy inereot (Section 3800, La�. CI.
POLICY NO.: E%P. ORTE:
LOMPANY:
❑ Ceniliea coOY is Aereby furnis�eQ ❑ Cenifiea copY a IileE vni� the ciry BuilAing Division.
Oate: ApPli[ani:
E%EMPTIONFNOMWOflHEHS'fAMPENSATIONUECIAP,ITION: (i�i55ec1ionneeanolbecom01ete0i�thepermi�i5loranehunOre0�511p)orle55).
I cetlily I�al in Ihe pedormance o� ihe work lar w0ich Ihis Dermil is issued I s�all nol emplay any person in any manner so as to Oecome
su�lecl lo I�e Workers' Compensa�ion Laws o� Calibmia.
Oaie: Signamre:
NOTICE: il. aller making ihis Oeclara�ion. you s�ou10 become su01e�� �o I�e Workers' Campensation Dmvisions o� �Ae LaCor
CoUe. you mus� tonhwil� comply with 5uc0 pmvisions or Ihis permit shail h¢ E¢emeA revoke0.
CONSTPUCTION LENOING RGENCY: 1 hereGy a�firm ihal ihere is a cansVuction lentling agency �or Ihe pedormance al t�e wark lor
w�icA ihis permil is issue0 (Section 3097. Civ. C�.
LEN�Efl:
AU�NESS:
OWNEP BUIlOEP UECLABATION: I hereby allirm ihal I am exempl Imm Ihe Coniraclors S�ate License law br �he �allowinp reason
(Sectian 7031.5 Business an0 Pmlessional Cotle: Any cily oi county w�ic� reQuires a Oermit m constmct, alter, imD�o�e. demolish, or
reoair any ANtture. ptior la its issuance. al5o reQuires ihe applicant far such Dermit lo lile a signetl statemenl tnal h¢/she is licensetl
Oursuantlolhe O�ovisions al��e Coniractors'Slate License Law�C�a0�e�9(commentin9 ��h Section 7000)ofDivision 3 ollhe Buvness
an0 Pmlessions CoCe� ar Ihal �elshe is eeempt t�ere�mm anC Ihe Ua5i5 lar Ihe allege0 exemption. Fny vialation 0� Settion 7031.5 Oy
any applicant �or a Oermii su0le��s I�e applirant Io a civB penatiy ol rro� more Ihan live �untlred dollars (55110�.
I. as awner ol the pwpeny or my empl0yees with waqes as ineir sole compen5ation, vnll Oo �ne wark, antl the
❑ simcmre is nm inlenCea or offerea br sale (Secuon 70a4, 9usmess an0 Prolessional Code: The Contractori Sute License Law
Coes not apply m an axner ol a D�openy wM builds or impmves 1�ereon, antl w�o tloes such wnrk himseti/�erseii or ihmug�
�is or ner own employees. pwvi0etl ihat such impmvemems aa not intenOeA or ottered for sale. II, �owever the builJing ar
im0�ovemenl is sold wilhin one year ol com0letion, ihe owner will have IAe Durden of pmving �e/she tlid no� Cuiltl or improve
lor I�e purpose of sale�. -
I, as owner of ��e pr�pe�y, am eMclusively coniracting with licensetl coniractors �o constmct the pmlect (Section 70d4, Business
❑ and PmIe55ion5 CoOe: The COnlratlors' Sla�e LicenSe Law OoeS n01 aDPly lo an owner 0� pmperty who builOs or impmv¢S ihereon
antl who conVac�s �or such pmlec�s wilh a canVacmqs)license Dursuan� �o I�e ConVactors' S�a�e L¢ense Law�. I am aware
Ihai pmol ol their Worker'S Compensa�ion insurance shoula be pmvi0ed Io me.
Q I am evempl unaer Sec�ion: B. 8 P. C.
�'i nisreason: bP7044 y��
oniei / 8 "27LLyYjORFC BY OWown�Yl`� �////f/lif/Y4%
I tlo Aereby cehily Ihat I am aware of antl unaerstantl ihe requiremenis ol Calilomia Healih and Satery CoCe $ections 25505, 25533, ana
25534 analhat I or anyfuture �uilaing occuoanlwiluwill noticircle one�neealo comply witn sai0 state coees anA ihe reauirementslor a
Oermil loi conslmciion or motltlira�ion imm ��e Aii Ouab�y Manag menl OislricL Resi�ential cons�mclion aDDlica�ions are exemD� ��om
IhCse piowS�Ons. r� (/n �7���, , ��� l
Oaie: �'2 7�9 / AOO�ican V YL 1 ' /, // (/!�t/!�-�+
_�
I �ereby cerlifV I�at I have reaa �his applicalion and slale Ihai Ihe aGove inlormalion i5 carrecL I agree to comDN ��� all ciiy and caunry
oraman[e5 an0 Slale IavS relaung lo builtling comtmclion an0 tlere�y aultwnte reDresenla�ive5 Of tNs tiry to ¢nier upon I�¢ aGwe�menliOneC
OropetlV/�oi insoection purposes. �{ �
Oa1e: O ' Z.� ^ / � Signalurp� �/����'///�/� �'
�nvCf'S Lit2�5C 0� $Otidl $¢LOd�y N:
t6<La6 Wtwe—Builamq, Green—Cotle Ento¢emenl'. Canary—AppllwnP, Pink—Fevenue; Goltlanrotl—Assessor
CITY OF CUSTA N.ESA – BUILDING P�RMIT PERM NO: 3 D53593
PERN,IT NO: B 053533 PLAN CHECK iVO: N GOVT; N SUPP: N
CONS;RUCTIOI� iYPE: V–N PERN,i; TYPE: STR PURPOS�: AL'C
TOB DESCr�IPTiON : T/OFF �ESHT, REROOF W/ COMP S�,i cT; �',SUO
CLAIN. VAi.,liE: 4,500,00 CALC–VALUE; 9,�00,00 G�OuP OCC; R-3 /
CON.M.�'.�ITS: SP^.OKE DETECTOR RE�iUIRED IN THE HOME
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Z O N;�+ G R E Q U I R E;u E N T S
S E i B A C K S
------------ MAIN BUII,DING ---------- --------- ACCESSORY Bi77LDING ------- —
FRNT: FT IN RcAR: FT 1N FRN1; rT IN REA�; FT I13
LErT: FT TN RG:IT; FT IN LEFT; FT IN RGHT: rT _Tiv
PARKING R:. PROV; PARCEi; 14105256 ZNE; REF NO:
PLANNING N T'ES>
• i �7 ..
i"r i� iF if iE 341f iE # iE 3E iF 3i� ih 3E iF iE w 1E iF R 3f if R iE #�7E iE iE 3f # i%# iE 3'r � iE iE if � ie iF # 3f }=i'r if ic;'r iE iF iE i' #+:� �i� iE �7f k ie i(� 1'r 9E #%# 1F iME�i k i61f 3'r-Y'r ir iF ) it
D E V�' L O P M n N T S E A V I C E S R c Q ii I R E N: E N;, T S
ZONING AF�PROVED BY DATE; '
3UILDING APPROVED BY : �j� DATE: �,
APPLICATION IS$UED BY • / �'( '�����11�� DA^'n • �"� �l .
ifif�Eifdi3!�iEifi(-3Fif�Kific9EN�iF3E?Eif3EiE - . . -. xx�'n�iE}'.iE#s:.3e}:i(�iE�':�'�Y�#
�k %• �k if # R%�ih �1F # iE iF fF #)f k� !c iE iE *%� 4E 3E iF �1E 1E 1i 3f iF i4 # i4 IF t. 1f �)f iC� * iF x n� # k iF �li �k �lf iE� i'r 1F iE 3F 1f iF H�� 7F il� fE# ac iE ###f i: #� if iF# aF iE �i� f�� 3f il #�?F tt i.
LEGALI7.,ATION;N F E E S U N N A R Y STFtliCiURAL ScGMnNT:Y
BLDC PMT PLUMSING ELECTRIC MECHANIC ', FIRE SMIP/RES GRRUTNG
PERMIT 72.00 SO
PLAN SN IP /t�?ON–RES
ISSi7E FEE
BUiLDING–DIV–> :�:RMIT :SSJE PiAN–CHECK TOTAL PAI�D illiE
TOTALS----> '12,50 0,00 0,00 77.,50 "72.SQ ,00
RF.Vc2�jUE DIVISION TUTALS--> COLLECTED• �2,5U OVER/SHORT; UU
BLDG PM'i' PLUMB1NG ELECTRIC MECHANIC FIR:: SN.IP/TOT G�ADiNG PiAN–CHr:CFC
%?..00 . .50
ik �e ir ��(� �1F 1t !F if ±P If ii i(� K� ie If # iF 3e iE ie 1E iE 3f �: iE r# ie fE aE iE k if iE iF #h �ff i'r M� iEiE a'r a�. ii� ie iF lt iE }:�ih i�iE i�: ic k�1h?f ir �lE iE :k iE?E if 3c iE }} i�: )x )E iE ip ## 1i� #
] N D I V I D U A L F E E B R E A K D O'vd N
TYPE QTY D E S C. R I P T I O N � UNIT COS: TOTA1, COS'"
SFR 450U REROOF BY VALUE RESIDEN1iAL N020Na 1.00 4,SQO,UO
END OF rc.ES
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CONSTRUCTION AND PLANNING POOL & SPA � � I
�PPROVALS Permit # Date Inspector APpROVALS Permit # Date Inspector
t. Temporary Electrical Service or Pole 52. Pool & Equipment Location �
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement -
3. Electrical Conduit Utility-Undrgrnd. 54. Forms .
4. Electrical Conduit�Undrgmd. - 55. Electrical Bonding
5. Steel Reinforcement � 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd. �
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe�Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
70. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor�Final �
12. Sewer Cap 63. Heater & Vent�Final
73. 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
77. Rough Wiring Sign 68. APPflOVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditionin9 � FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Prod�ct Piping O Gas ❑ Oil
23. Gas Pipe-Fough & Test 72. Underground Flush
24.'Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing -,�-� �p�v 74, Overhead Hydro
26. T�Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL �
30. Drywall Nailing � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat �' 79. FINAL INSPECTION
32. Electrical Power Meter-Final ' 80. FOOD CERTIFICATE ISSUED
33. Final Electric �� Notes:
34. Pinal Heating & Air Conditioning �.'Y
35. Final Gas Pipe-Test ����
36. Hood or Canopy
37. Final FactorY Fireplace
38. Final Plumbing
39. Water Service�Final
40. GasService-Pinal ' �Z (� ��-� �
41. Solarpomestic-Final �/,�.�
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irripation System
45. Sound Attenuation
46. Handicap Regulations �'-
47. FINAL STRUCTURE & BUILDING �(?'�� 6U"+
48. FINAL PLANNING ��
49. Elearic Release to Edison •
50. Gas Release to Southern California Gas Co �
51. CERTIFICATEOFOCCUPANCY
No. Date
OWNER
�i
L
ROUGH PLUMBING
PROP. $WR. LINE n HOUSE CON.
ROUGH WIRING
TRENCHES�-� FORMS � STEEL REINF.
FLOOR SVSTEM
THING
FRAME AND FLASHING
i i
PLASTER, BROWN CDAT
HEATING, VENT., REFRIG. lN0 A.
PLUMBING, FINAL FNO GAS TEST
ELECTRIC. FINAL
oor�
DATE
VALUE
SUBCONTRACTOR
+-- �-• 30685
� COSTA MESA BUILDING-SAFETV DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
Fo/ Applicant to Fil/ in Completely
BUILDING (� (,'�
ADDRESS O X I.:.�
OWNER� `. LQ�•
MAIL Leh 1� _�r'_Al.f.
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Q CONSfflUCTION
O N LENDER
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J � BPANCH ^
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m AFCNITECT
J a OF ENGINEER
UN
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W � AODRESS
aw
W Z CONTRACTOR
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J � ADDRESS �
W W
ZF CITV �-
w � STATE
y CC LIC. NO.
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OF LOT � ('� j( ��?j I
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TEL. ��
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TEL.
NO.
CITV
LIC. NO.
INO. O�— F BIDGS.
NOW ON LOT
AUC 25-6��01020 0*�**�
CMSA 6•Qo
APPLICATION FOR BUILDING PERMIT
RECEIV/IB 0/ ~y�A�O Dp �I.SZ �j �
' , i, _ �e // P RMIT NO
BUILDING
ADDRESS
TRP
FIRE
20NE
APPROVED
NO. OF
.� I PLANS
VAqOS APPROV EO
MAIN BUILDING
VALUE
USE OF 6W NF�l-C—
BUILDIN
VAROSAPPROVED
ACCESSORV BUILDING
. �
�
� 512E OF � O. OF �
Z NEWBLDG-. Iz FlOOMS STORIES I L.SIDE FT. FT.
V EXTERIOR WAU. ROOF p 'f
COVERING. COVERIN I' REAR d FT. FT.
J USE OF BUIIDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN &
a MAIN BLDGS. ACCF.�. BLDGS.
a
Q VAR. ,� DATE
O ' 0.U.P.9W APPROVED
F APPROVED '
y ��.�
Z
O
VI hereby acknowletlge that I have reatl this apP�ication antl state
� ihat the above i�formation is corract and aBYee to comply with
� all lews reguletl�g builtling consvuetion, and I shell not employ
F any person in v�olation of the workman's comPensation laws of
y the State of California. �
zI hereby certity that I am properly licensetl as a contractor untler SQ. FT. O
the State ot Calitornia Business entl Professions Cotla, Divisicn 3. THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chaptar 9, antl thet such licenses ere in tull forca end effon, or I THE PVRPOSE OF ESTABLISHING A PERMIT FEE ONLY: �
am azempt fram e provisions of the State of Californla Business v,� Q
VALVATION y
antl Professions o, Division 3, Chapter 9. PERMIT FEE 5 i�� �
j� !'� �
Signature ot // �`� � � �,�A� m
Permittea �y% //�� vI/1NC] $/_ Uu. PLAN CHECK $ E
Y�
J � a
Avtharizetl Agant 6 ,�� u
TOTA� FEE 5
Lot 9 28736
~ COSTA MESA BUILDINCrSAFE'fY DEPARTMENT
P.O. BOX 1200 COSTA MESA� CALIFORNIA 920Y0
For AppllmM fo FIII In ComplNoly
TYPE OR PRINT
■ui�oiNa ,7 � f Q
AOORHDY
COSTA MESA, CALIF 1RNIA
A.S.
2949 Randolph Ave.
546561
a Mesa
LIG.NO. N . J'itl—VJOV
BIZB b } xo. ar etoo�.
OPLOT /�hG . QC�/IO/ NOWONLOT Q
U9E OP
E%IBTINO BLD6.
sera�eK uns rnor ��� /
G8NT8R OP BTR[R Sec eswR vwR �.
' 6'
IIIDRYA LlRT RIQXT
DESCRIPTION OF WORK
BUILDINO
61ZE
e%TERIOR
GOVHRINO
U1Q OF DU
�1 N[RCGY ACNNOWL�OO[ TNAT.1 NAV[
/�ND 9TAT[ TN�T TN[ AOOY[,19 COMI
PLY WITN �LL"CITY ORDINANCff AJ�Di
am�oma cox�m\nurnO'��1 E��� `�y/-�
HIONATUR! Or 1! . /1
� �urxoRizeo �o�r�r
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unvw acouunxa
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A1N 24-68�s��R1986* ;*+�*99.U0
IIrPLICATION FOR PERMR
BUILDIN6
for Offic� Us� Only
R[C[II! NO. �
�
ZONING
zoNsl no. o. u.a o� w�w
� - I ruw Z sui�o�no �' �
�
""„ �-o-r 4 r � 3�/ /
nuc��mon
A. P. NO. �-
NME: NO EAV! OVHRHANO BHALL �E LlHB TNAN
90' TO 81D6 0 REAR p. L
ewves
ALLOWED fU.B.C.RlGLIINEMHNTI
YARCDMPROVFD YARDBAPPROVHD
MAIN BUILDINQ ACCH880RY BUILDINO
( FROM C/L RR6R)
.te r,r v "�- • �r. .r.
F
R.�iIO[ ' � RT. PT.
oierwnce esr. I BLT. MAIN Q
MAIN BLD09. ACCES3. BLl
VAR.� OATB
Ar�ROV �qM DATi '� T �� u
6�
{0
�
'3k �,. �.�/ yP3 �
ifll AYOUNT ONOWry UHO6R VALUATON 1! POR 1116
MIRPOG[ O! 6RTAeLIGXINO /. PIRMIT I88 ONLY. �
VAWATION � / I �
PERMIT FH8 �C �
=��>69� a3- w
/ TOTAL PHH �