HomeMy WebLinkAbout991 HARTFORD WAY - Building Permits�
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PHOJECT RODHESS: 9 9 Z H�T t 0�2� �jY �
OWNEfl'SNRME:�;GJYEI�i� YifiP, `.�i'
aooeess: UG:IYEi� AMY L 2
� 9 91 HAit � FORD WAY
COS:A MESA,CA 92626
751-2621
AflCHIENGINEEP: � flEG.NO.:
AUOPE55: UNIT:
PENMITTEE:BEEMAN CONSTRL'CTZON ( 714 ) 650-4474
nooecss:2i661 BROOKHURST ST
H,3, CA 92646
LICENSED CONTPPCTOP OECLABATION: I hereby aifirm that I am licensed unEer pmvisions o� Chapter 91�ommencing with Sec�ion
70001 0l Orvision 3 0� Ihe Business and Pmfessions Code, and my license is in �ull lorce an0 elletl.
CITY LIC.:O SISr S B H STFTE LIC.:j 1 tf O O� CIASS: B ��w,..a.��
Date:.�� l ' �� SignaWre:_`�_�:� ��•�"}
WOflNENS' COMPENSATION OECNPATION: I hereby alfirm that I have a cehilicaie o� consent Ia sell-insure or a certibcate ol Workers'
Compensaiion Insurance, or a ceriifiea copy Ihereof (Section 3800. LaG. C�.
POLICY NO.: EXP. OATE:
COMPANY:
❑ Cerlilied copy is hereby Wmishea. ❑ Cehifiea copy is filed wi�� the ciry Building Division.
Date: ApDlicanC
E%EMPTION FRUM WOBREBS' COMPENSATION OELLHFATION: Qhis settion need nol �e cOmple�e0 ii �he permil i51ar one hunOrea (5700) ar 1¢Ss�.
I cetlify ��at in Ihe petlormance ol the woB for which ihis permit is issued I shall not employ any person in any manner so as to become
sublect Io Ihe Worker5' Compensaiian Laws ot Cali�omia. ^�
l` //
oate: , '� `� " � � SignaNre �L�' ��ti
NOTICE: Ii. aft¢r makmg this declara�ion. you should become su�lec lo the Workers' Compensa�ion pmvisions of the Labor
Co�e. you musi fonhwiih comply wi�h such pmvisions ar this permil shall be deemed revoked.
CONSTPUCTION LENOING ACENCY: I hereby aflirm Ihai �here is a canstmc�ion lentling agency lor Ihe pedormance oi the work lor
whlch �hls permit is 1=suetl (Section 3097. Civ. C)-
LENOEN:
RUOPESS:
OWNEH BWLDEH OECLI�NATION: I �ereby aHirm that I am e�emp� irom Ihe Coniractors' Sta�e License Law for �he �ollowing reason
(Seclion 703L5 Business antl Pmfessional Code: Nny ciry o� coun�y whic� requires a permil �o constmcl. alter, impmve, tlemolish, or
re0air any StmcWre. prior ta its issuance. also reqwres ihe apDlicani lor such permi� lo �ile a signed sta�emenl Ihal he/she is licensetl
pursuantloihe provisions aithe Contraciors' Sta�e License Law(Chap�er9(commencing wilh $eclion 7000�of Division 3 olihe Business
and Pwiessions Cotle) or Ihal he/she is exemp� �hereimm ane t�e basis tor �he alleped exemp�ion. Any violation o� Seciion 7031.5 �y
any applicanifor a permil sublec�s the applican� to a civil penalry oi noi more ��an �ive huntlreE aollars (4500).
I, as owner of Ihe pmpetly or my employees wi�h wages as ��eir sole comDensa�ion, will tlo ��e work. and Ihe
❑ stmcmre is noi imentletl or o��eretl for sale (Sec�ian 7044. Business antl Pw�essional Code: T�e Conlractors' Staie License Law
tloes not apPty Io an owner o� a pmperty who builtls or impmves Ihereon, ane who does such wo�k himseli/�ersel� or thmugh
his or her ov+n employees. pwvitled tha� such im0�ovements are no� intentletl or oifered lor sale. If, however the �uilaing or
impwvemenl is sold within one year ol completion, Ihe owner will have Ihe burtlen o� pmving �e/she �id noi builtl or improve
lor �he purpose ot sale�_
I, as owne� ol lhe pmpetly, am exclusively contracting wiih licensetl comracmrs lo conslmci �he D�ole�� (Section 7044, Business
❑ and Pmlessions Gotle: i�e Contraclors' State License Law Ooes no� ap01y lo an owner a� DmDeM who bui105 ar impmves lhereon
antl who coniracls �ar such pmlects wilh a conVactoqs)license pursuant to ihe Contraclors' Staie License Law�.l am aware
�hai prool o� their Worker's Compensalion insurance shoWA De pwvitled lo me.
� I am exemp� under Sec�ion: 8. 8 P. C.
lor ihis reasort 4
Daie: ' �' Ownec
i �o here�y cerltly Ihai t am aware o� antl unders�antl ihe equiremeNs al Califomia Heallh and Saleiy Cotle Seclions 25505, 25533, an0
25534 and Ihal l or any fuWre building occupani wilVvnll no� (circle one) neetl lo compty wiih saia state mdes and IAe requiremenis br a
permil lor conslmclion or moddica�ion �mm ihe Air Oualiry Managemenl DisVicl. FeSitlenlial conslmction applications are exemp� imm
�hese provisions.
�ate: Applican�:
I here�y cer�Aytha� I have reatl ihis apPlica�ion antl state�hal Ihe a6ove in�ormalionis correcl. IaB�ee�o comply wiih allci�y antl counly
ortlinances antl slaie laws relating lo bwltlmg constmc�ion antl hereby aN�orire representa�ives of Ihis ciiy lo enter upon ��e a�ove�mentioned
pmperry for Inspeclian purposes �
�ale' :� " � ' / 7 Signa�ure: � i� � r
onverS Cmense or Socia� Securiry a_
16aL46 Whnc—Builtling', Green—Cotle Enlomemenf. Canary—Appllcant: Pink—Revenue�, Goltlenmtl—Assessor
CITY OF COSTA M.ESA - BUILDING PERN.IT P�R,� NO; 3 062013
PERMIT NO: b 062013 PLAN CfiECK NO; N GOVT; :V SCPP; ti
CdNSTRUCiION TYPE: PERMIT TYPE; STR PUftPOSE: �TH
JOB DESrRIPTIUN . T/O�F, SHtATA 6 REROOF W/COMP SriINGLE3 S�t F"t'; 5,000
CLA�.vi VALUE; S,OOQ.00 CALC-VAL'JE: 5,000,00 GRUuP OCC; 3-3 /X-1
COMMBNTS: REROOF 2600SF RESID 6 GARAGE W/COMP SHINGiES �,�.��� DETEC�iOR
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Z O N I N GS E�TE'��AUCIHRSE H E N T S /� ^
________ 0 il�V�i��O 0�� . ..
------------ MAIN HU�LDING ---------- - ACCESSORY BUILDING """"""
FRNT: FT iN REAR: FT IN FRNT: FT IN REAR: FT IN
�EFT: FT IN RGHT: FT IN LEFT; FT IN RGHT; F: IN
PARftING RE�• PROV: PARCEL: 14105254 ZzVE: REF NO:
PLANNZNG ti TESi
.� n I /
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U E V�":. O P Ni E N T S E R V I C E S R E Q U I R E P�i E N-P S
ZONZNG APPROVEJ.rBY DATE: �'
BUZLDING APPROVED BY : DATE� I-
APPLICATiON iS�UED BY; �^T— DATE:
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i,£GALIZATION:N F E E 5 U M M A ft Y STRUCTUR�;"SEGMBNT:Y
�,,
BLDG PMP PLIIMBING ELECTRIC �NECHANIC FIRE SMIP/RES GRADING
AFRMTT 7? 00 5Q
PLAN
ZSSUE FEE
BUILDING-DIV-> PERMZT ISSUE PLAN-CHECK
TOTALS----> 72.50 0.00 0.00
SMIP/IJON-RES
.{
TOTAL PAIU � DCiE
72,50 72.50 `• .00
. i
REVENiJE DIVISZON TOTALS--> COLLECTEDc 72,50 OVER/SHORT: .00
BiDG PMT PLUMBING ELECTRIC MECHA:�VSC FIRE SMIP/TOT GRADING �LA`-CdECK
72.00 .50 �
'I
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I N D i V I D U A L F E E B R E A K D O W N
� '
3.YPE QTY D E S C R I P T I O N UNIT COST TO':A� COST
SFR 5000 REROOF BY VALUE RESIUcNTIAL NOZONE 1.00 �; 5,000.00
END OF FEcS
�'
01 OD133441-00188442 T U T 72.`0
6ATE= OS/04/93 TIflE: 10:01
Y
COIdSTRUC710fd AND PLANNlNG
APPROVALS Permitm
7. Temporary Eiectncal $er;ice or Po�e
2. So4 PiPe-Undrgrnd.
3. Electrirai Condu�t Utii�ty-Und�gmd.
4. ElBctrical COnduiT�Undrg�nd.
5. Steel Reintorcement
6. Eleciric2l UFER Gr�d
�. Footings
$. Foundation " '.
9. 6Vater Pipe-Undrgrnd. -
70. Structurai Floor System ��
it. ProPer[Y SevJer Line & HouseConnectian
72. Serrer CaP ~
13. Root Dra�ns _
14. Rough Plumbing
15. Rough EleCtricai-Condu�t
16'.Rough EleCtric 4Virin9
17. �ough Wiring Sign
i8. Rough EleGtrica6T Bar ��I�eg
19. Rough Heating & A�r Co�d�, o�ing
20. Rough Fac2ory Plreplac=
21. Ducts, in Struciure
22. DuMs, Vent:iai�ng
23. Gas Pipe-Ro�gh & Test
24. Roof Fram�ng
25. floot Sheath�ng
26. T�Bar Celting SStructuratl & ',:o-.wcaat
27. Frameand Flashing
28. izthing & S.d�ny -
29. Insulat�on
30. Dry:vaii �a���ng
31. Plaster 3rot'm Coat -
32. E�ettr�cal Fo�.er 0.9e:=_r�F��al _
33. Ficel E�ecv�c
34. Flna! Heaung & A�r Co-�d�tlo�.ina
`S5. Pina: Ges Pipe�Test
36. Hood or Canopy '
37. F�nai Factory Fven�ac^
38. Finai Plumbing
39. tVater Serviee-Pina�
40. Gas Service-Fina!
41. Salar pomesrc-Fir.ai
42. Backfiow prevenier
43. Backflow irrigaYion
44. �andscape lrriqauen Svste„-.
45. Sound Attenuation
46. Har,dicap Regulations _
47. FINAL STRUC7URE & BI:ILD��'G �
4&. FINA�PLAN�ING . �
49. Electric Release to Edison
54. Gas Release to Soutfiern Caliiosn{a Gas Q
51. GERTIFtCATE OF OCCUFANCY
No. Date
POOL & SPA
Date lnspector RppROVALS Permit =F
52. Pool & Equ;pment l.ocat�on
53. Steel Relnforcement
54. Form:
55. E12ctrical Bonding
i
56. Rough Plumbirg & P�essure Test
57. APPROVAL TO COVER�GUN��'F
58. Electrital Corduit�Und�g�ntl. ,
59. Gas P�pe, C UrU�gr.�,d., � e*.[
t
6C. 6ac:�tivash Ur.es, P�Trap, L' C�.d�q�rC
67. APPR6VAl TO DECK
62. Backr.ash t3� Reca��t ^�Fi:.:.!
63. Hezter & Venl�F:na'�.
G4. Piumbfng System � F��.ai
65. E!ectrical�F�nal �
�
��j
i
Date InspectQr ,
1
�_ � __a
� ' i
i �
_- - i
66. Sola� Systzm-fina! � �
---�--- � -- -
67. Fencing & Accees Appru.al ; �
68. A'PROVED FOR PLAS7ERI��;G i i
i
69. POO VS°.> SYST. c��1S FINf.�
FIRE DEPT. REQUIRE�;E;JT ! I �
APPROVALS Permit -tr _ I �
7Q. :;naPrg�o�nd Hy.:�� � I
-.�J -- -J
77. Product P•pinc is ^ Oi! �
!� r
j.� .:. ____ _
72. Undergr0ui'�d fi�s'�. ' �
73. Ur.dergmJ.Sto•�5�. `..�,:c �: Ga�- _� J'� , ,
74 O�r.rheaJ Hva�n -- ---' --- -- -- -
i
75 C�Y Chemica� rI ' �
7G. Ury S:ar.dC.ue ---- -i - � � ---� - - - - -
-. -- -�-- - -
77. FIXcD SY�7c'r� FINAI-- - -
- I--- -
� JE. FIRE PREV. Fi�,:.L j
-�---��- - - �
I- HEAITH DEPi . REOUIRE.".ictv7 _
---� -
'.� FI�:AL il�'�'tCT10k � i
- �--- ------ - -- --- =- - -
LRO FOUDCER�',Fi�;--E'�S�JCD-----I'--_- .
- �_ _ .
_ �ut�s: --------- - - ---- - - - '
- -� ---- ------ -- -- - �
S..re.�- D
� ---,. .: - �
_�
i
- -�
�ot � � 2 JUH 24-68�001984# *t**99.00
COSTA MESA BUILDING-SAFETY DEPARTMEPR •
P.O. BOX 7200 COSTA MESA� CALIFORNIA 92l2!
For ApplleaM fo F711 In Completdy ArPLICATION FOR PERMR
TYPE OR PRINT BUILDIN6
�ui�oiNa �'C,� � �� For Offlc� Us�, Only
'AODR6YY - -
..�.,.� �a. ��4
� COSTA MESA. CA ORNIA
nic wr ni�v(/sp� wn reeueo
OWNL�R //yy / �
MAIL � OUILDINO 4 � „//
ADDR 355 Front Street ADOR i oz���
T�= ZON6 �� TYP / OROUP
c�n San Dme o Calif. r,o.234791
APPROV6D
OREN6� eN eR S a C)a�"546561 ar� owre
ZONINfi
ADDREYY =p�^ I Mo.OI u�[o�NM '
� ��.2 e���o�xa
CONTRA R Ci
"°"` L �� r % �3 `F
woori 2949 Randol h AVe. �•�R�man
cirv Costa Mesa Calif. 92626 A.P.NO.
N0T8: NO EAVB OVERHANO BNALL E! Ll88 TMAN
6TATH TQL 80• TO 81D6 0 REAR . L
uc. No. 9 N. d- 9
EAVES
OF LOT O' ZJ ' NOW oN lo�� Q ALLOWHD (U. B. C. REQUIPHMBNTI
YAHDfMPROV[D YARD9APPROVHD
U8E OP MAIN BUILDINO ACCHII80RV BUILDINO
EXI6TINO BLD6.
( FROM GL liR[[T )
6RBACK LIH6 PpOq � �} I � M '� � A.
CCNTlR OP 9TR66T �D 11GR yM ^��
n / �
Y1D 7AR LCwT / RIQFIT S �.� ID PT.
DESCWPTION OF WORK �. eio rr. rr.
eunniNa no.o� ^^• ^"
81Z8 ROOMH 8TON1 C. . APPROVED
exren�oaww Ui00d noo� Shake- w.�Rovc �� y_ E
COVERIN6 OVHRINO S DATi
UHiO�GU1LDIf�YANDWORKMB�PiRFORM[D � y
Sinqle Familv D�oellina With m
Attached Garaae �
�.J %/ so. rr. a / �
1 M6RlsY ACRNOWLtDOi TI1AT.1 MI�V6 11t11p T{�I� APILIGTION
TM6 AMOUM BXO N UNOGp VALUATON IB POP TH8 �
AND 9TAT6 TMAT TXi AlOV� 19 CORR[GT ANL11O..��� AOR66 M COY. ►URPoB[ O� 6HiAGLI8HIN0 A PlqMIT FE6 ONLY.
PLY WITH wLL CITY OROINANCf� AyD A T[ YW R[OYIATINO yALUATION �
BYILOINO CON9THY ION // // s �
HIONATU � ���i � PHRMITF86 (7C0
E
PBRMITTB � �a� �� � 3 � w
AUTM011IZ[G AO[NT /� �+�
TOTALPEE �/
.
L r w .-. �'Y
� '� e7 ! ai'G! ���i`( Q� Qt43`��Ca uvd�S� �
COSTA MESA BUIIDING•SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
A L ON FOR STRUCTURAL PER IT
For Applicant to Fill in Completety — Use Ink Only '
FE 1 DATE RECEIVED - 'S
ADDRESS � (� - L(,G i � ��
� PERMIT O.
OWNER /C A.P. NO.
MA I L BUILDING
ADOflESS ' L. ADORE55 �/ �� �/` ) (�/
TEL. TRAC_• LOT BLO
CITV � �' NO.S
CONSTRUCTION W � P
LENDER
BRANCH , �
OWNER
ADDRESS � �/��y-� V UE
ARCHITECT TEL. ( �O $
OR ENGINEER N
FIRE `�'
ADDRESS ZONE T E GFOUP V
APPROVED
CONTFACTOR BV DATE
ADDRESS E I�S '�J�%p�
TEL. ZON NO.OF USE OF NEW
CITV NO.
71AN5 BUILDING
STATE CITY YARDSAPPROVED YAROSAPPqOVED
LIC. NO. LIC. NO. MAIN BUI D�,NG ACCE SORV BUILDING
SIZE NO.OFBLDGS. (FROM - S fiE T)
OF LOT NOW ON LOT ONT T FT.
USE OF F � � �
EXISTING BLDG.
Separate permits are required for � sioe FT FT.
elec[ric, ptumbing and heating work. ^� �
REAR .—L FT. FT.
USE OF BUIL�ING AND WORK TO 9E PEFGOFMED DISTANCE BET. BET. MAIN &
MAIN BLDGS. ACCESa, BLDGS.
J'� 4— i/ L � Z�= C URP, 5ti' /� APPROVED . I
G / � AVPR V t'p�� �
��_ ,�.
I hareby acknowletlpa ihat I hava �eatl thls epP��eetion and ztete
that tha above Information is correct antl aB�ee to comply with
ell laws repulaUnB building conrtructlon, entl I shall not amploy
ony parson in violatlon oi tho workrnen'c compensation laws of
the State of Callfornla.
1 hereby certify that 1 am properly licensetl as e eontractor under S�. FT.
t�e State of California Businacz and Profossions Cotla, �ivisfon 3, THE AMOUNT SHOWN D VALUATION IS FOR
Chapter 9, antl that suc� Iiconses ara In full tarca antl effect, or I TME PURP06E OF ESTA A PERMIT F E
em oxempt from the provlsions of the Steie of Californla Business
entl Profosslons COde, �Ivision 3, Chapter 9. V ALUATION PE E -
SIB�oture of � PLAN CHECK E
Parmitteo � $ ��D TAX S
�� «
AuthoAzetlAg nt , TOTALPAID $ �