HomeMy WebLinkAbout994 HARTFORD WAY - Building Permits�
rac�crnooxess: 99� HARTFORD WY
OWNEH'SNFME: FLIQUL DONALD P
aooncss: g94 HAtiiTFORD WAY
CUSTA MESA,CA 92fi26
FHCN/ENGINEEfl: S 4 S' 6 S S 1 pEG.NO.:
AOOflE55:
uxit:
UNIT:
PEXMITTEE: nnNAI.D PLI�L7E ( 714 ) 545-6A51
aooness: 994 HART ORD WAY
COSTA MESA CA 92626
LICENSEO CONTBACTOB DELLAFlA710N: I �erehy allirm that I am licensetl under pmvisions of C�aO�e� 9(commencing with Section
7000� ol �ivisian J ol t�e Business antl Pmlessions COAe. and mv license is in lull b¢e anA elfect. '
CITY UC.: STATE LIC.: CN55:
�ale'. SignaWre:
WOflNEflS' COMPENSATION DECIANATION: I hereby aflirm Ihal l �ave a certificate ot consen� to sel4insure or a cehificate o� Workers'
Comoensalion Insurance, or a ceriilied copy Iheieol (Section 3800. LaE. C�.
POLICV NO.: E%P. ORTE:
COMPANY:
� Cenilied topY is h¢re�y lumi5hetl. ❑ Certiiied Copy is IileA wi�h Ihe tiry Building Oivision.
Dale: Ap0licant.
E%EMPTIUNFBOMWOPREflS'COMPENSRTIONUfCIABATION: Qhis5eclionneetlno�becompleteEillhepermilisforonehunUreC�S100�orless).
I cetlity Ihat in ��e pedormanre oi Ihe work lor whic0 ihi5 permil is issuetl, I SAall no� employ any peroon in any manner so as Io 6ecame
suqect lo ine Workers' Compen5dtion Laws ol Califomia.
oate: SiqnaWre:
NOTICE: II, aller making Ihis tletlaralion. yau shoultl betame subleci Io �he Workers' Compensatian pmvisions o� Ihe Labor
CaUe. you musl fonhvnlh comply witll sucn o�ovisions or Ihis permit shall Ue tleemetl revoketl.
LONSTflIltT10N LENDING pGENCY: I hereEy allirm Ihai lhere is a constmclion IenAing agency lor t�e perlormance ol I�¢ wnrk for
w�ic� I�is Oermii is issuetl (Section 3097. Civ. C�.
LENUEfl:
ADDflESS:
OWNEB BUIlOEB DELUfiFTION: 1 �ereGy aflirm t�at I am exem0� ��om ihe Coniractors' Sta�e License Law for the idlowinA �easan
(Seclion 703L5 Business an0 Pro�eSsional CoOe: Any city of county which repuires a permit �o mns�mct, alier, improve, tlemolisR or
repair any simclure, priar lo ils issuance. also requires I�e applicanl lor such permil to file a signetl statement Ihal Ae/5Ae is licensetl
pursuam to the provisions o� �Ae Commcmrs' Sla�e License law (C�ap�er 9(commencing wit� Seclion 7000) of Division 3 0l ��e Business
ana Pml¢ssions Cotl¢) or I�al he/s�e is eMempl IAerelmm antl I�e Dasis for t�e alleged exemD��on. Any violalion oi Seclion 7031.5 by
any aOPlicant for a Oermil su61e��5 t�e applicant Io a civil p¢nalry a� not more Itwn five �unGr¢G dollars (5500�.
I, as owner oi me pmoenv or my employees wilh waAes as ��eir sole compensa�ion, will Oo Ihe work, antl the
❑ slmciure is nol inlen0e0 or o�leretl lor Sale (5¢c0on 704A. Busine55 anA PrO�essional Code: ihe Contratlors' Slafe LiCense Law
tloes no� apply lo an owner ol a pmpeny who Ouilds or impmves tltereo4 and who does such wo�k himself/hersetl or thmuBh
�is or �er Own ¢m0loyee5. prOvideA I�al Suth impmv¢ments are not inlen�e0 or ollereA lor Sale. Ii, �Owever �he �uilding or
imOmvement is sold wilhin one year ol comple�ion, ��e owner will have Ihe hurJen ol pmving he/she Aitl no� build or impmve
� lor i�e purpose of sale�.
I, as owner ol l�e properiy, am exclusively con�racting wiih licensed coNfactors to conS�Nct Ihe pmlect (Seclion 7044, 0usine55
❑ anA Pmfessions CoOe: T�e Con�raclors' Siale License Law Ooes no� aDPly �o an owner ot pmPeny who hmlAs or impmues I�ereon
antl w�o coniracls lar such O�olecls wii� a contractoqs) license pursuan� lo �he Coniractors' $tate License Law�. 1 am aware
inat pmol ol Ineir Worket's Compensation insurance shouitl be pmviaetl to me-
f: J I am eKemO� under Sectinn'. H P-1 o�� B. 8 P. C.
't' lor Ihis reasore �
� ALL WORK BY OWNER
oate: � �� Uvner:
I 00 �CiCDy cerliiy I�al I am awar¢ 01 an0 untler5ian4 �he requiremen�s ot Cali�omia HeaVh and Sa�¢ty fAOe $¢ciion 25505, 25533, antl
2559a ana Ihal I or any lulure builaing accupant will/will not (cirGle one) need lo comply with said state codes anA IAe requirements lor a
p¢rmil lor cOnSimtlion or m04ilita�i0n Imm Ihe Air Oualiry Manag¢ment Disl� tial ConSlmtiion aD0litation5 are eeemD� ��Om
I�eu provisians. (� J/
' oate: � �� / / Apolicanl: /// ✓��7 ��G����
I �ereby cetldy thai l Aave rea0 �hi5 aDO�italian ana Slate �I�ai t�e abave in�Ormaiion is mrretl. l agr¢e io C Oty with all city antl counly
or0inances antl state IawS relaiing ta ouilAing conslNclion an0 �eteGy authorize repre5entatives af �NS dty to enler upon Ihe above�mentionCd
pmpeily la� in5peciron Dur0o5¢5. p
/ �.0 ���
�bdle: _�(p=�_�_ Signalure: �— �
Onver's License or SaGal ��uriiy r:
�641-46 W�ile—Bmltlinq'. Grean—Coae Enlorcemenl: Canary—Applicam; Pink—Revenue: Goldenroa—Assessor
CITY OF COSTA ME:SA — HUILD3NG PcRMIT PERN I30; B U5323`
PERMIT NO: B 053239 PLAN CAECK NO: N GOVT; N SUPP: N
CONSTRUCTION TYPE: V—h PERMIT TYPE: STR PliRPOSE: ALT
JOH DESCRIPTIOI� : T/OFF RE5HT. REROOF W/COMP. SQ FT: 5,000
CLAIM VAI,(iE: S,UOO.OU CALC--VALUE; 5,000,00 GROUP OCC: d-3 /
COM.MENTS: SMOKE DETECTOR RE�UIRED IN THE HONE
IEiE#it1P1E�(-�H�It�1Eif%lFiiiF*#FiflfaElfif��l'r�)f�if� #df�iEi4dfiE*kii�itli��Kii�iF9E1Eii��Ei�FitiFiPifiFjf3EiE�)f}ii4�3E�ifiFi(�i4i41b1i�3EiEiF3fiflEiFiEdf*3fihif
Z O N I N G R E Q U I R c M E N T S
S E T B A C K S
-•----------- MAIN BilILDING ---------- --------- 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
PARKIIJG RE4; PROV; PARCEL: 14105258 ZNE; REF NO:
PLANNING NG1cS>
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D E V E L O P M E N T S E R V I C E S R E Q U Z R E M E N-,'f • S
ZONING APPROVED HY , DATE:
BUILDING APPRQVED 3Y :
APPLICATION ISS�JED BY• �
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iF �eif IF iF ik jF 3E 1E iF if if if df 3f �F if iF ie �f IF aE fE iE ff 14 #E!f IE 3f K iF fE IF
LEGALIZATION:N F E E
DATE; �(�
DATE; �`���/ �
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S U M M A R Y STRUCTTIAAi SEGMENT': Y
BLDG PN.T PT,UMBIUG ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 72,00 .50
SMIP/NON—RES
PI.AN '
ISSUE FEE
HUILDZNG—DIV—> PERMIT ISSUE PLAN—CHECR TOTAL PAID Di7E
TOTAL5----> 72.50 0.00 , U,00 72,50 '72.50 .OU
REVENUE DIVISION TOTALS--> COLLECTED; 72.50 OVER/SHORT; ,00
BLUG PMT F�LUMBING ELECTRIC ME�HANIC FIRE SMIP/TOT GftADThG PLAN—CHECK
%2,0� � ,j�
IF iE 1f 3F iM1}'. #F?E li ii� if iE� k if if � ic iE .Y� iE iF 3h 3F if� 3F if 1F iE 1F if 1F iP % iE �if Ik i'r i't iE )F 14 iE �t i� 3l�?f i'r i'r if� 1't iE it i.iF fE i't ✓ i(� ii� IF iF if� jf if 3F±� il� ic ie 14 ii� iE f't 3) K� i%-%� if if�
I N D I V I D U A L F E E H R E A K D O W N
TYPE QTY D E S C R I P'T I O N ' T3NIT COST TOTAL COST
Sr'R 5000 RcROOfi HY VALUE RESIDENIAL NOZONE
`£ND OF Fr.ES
1.00 5,000,00
09 ons9auss-�c��9ac�6 4- --
OqTL-a 03lQe!91 TIi:c: 1"•:: �
CONSTRUCTION ANDPLANNING ' POO ,PA '
� APPROVALS Permit # - Date Inspector pppROVAIS Permit # Date Inspector
1. 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-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. ElectricalUFERGrnd. 57. APPROVALTOCOVER�GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
B.:Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe�Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd,
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor�Final
12. Seyrer Cap 63. Heater & Vent-Final
73. Roof Drains � 64. Piumbing System - Final
14. Rough Plumbing 65. Electrical-Final '
15. Fough Electrical-Conduit 66. Solar System-Final �
16. Rough Electric Wiring 67. Fencing & Access Approval �
77. Rough Wiring Sign 68, qPPROVED FOR PLASTERING
18. Rough Electrical�T 8ar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in $tructure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing �Iq IC� il� 74. Overhead Hydro '
� I � c��
26. T�Bar Ceiling (SIruC[ural) & Monocoat � 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation � 76. FIRE PREV. FINAL
30. Drywall Nailing � . HEALTH DEPT. REQUIREMENT
37. Plaster Brown Coat � 79. FINAL INSPECTION
32. Electriwl Power Meter-Final � 80. FOOD CERTIFICATE ISSUE�
33. Final Electric � � -� Notes: ��/f�� V-l�
� / /� ���Y
34. Final Heating & F.ir Conditioning �
35. Final Gas Pipe-Test i,
36. Hood or Canopy �
37. Final Factory Fireplace �
38. Final Plumbing
39. Water Service�Final -
40. Gas Service-Final
41. Solar pomesticFinal
42. Backflow Preventer i , .
43. Backflow Irrigation -
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations `
47. FINAL STRUCTURE & BUILDING 9���\ �
48. PINAL PLANNING
49. Electric (;elease to Edison
50. Gas Release to Southern California Gas Co �
51. CERTIFICATEOFOCCUPANCY
No. Date
Lot s �g�30
COSTA MESA BUILDING-SAFETY DEPARTMEM
P.O. BOX 13W COSTA MESA. CALIFORNIA 92fi26
For Appllcan} to Flll In Complaroly
TYPE OR PRINT
BUILDIN6 q q�: �,�,�-- � Wc a
A��RE88
COSTA MESA. CALI RNIA
H7 MAIL
ck N�''S46-561
JtJN 24c6�0ii1980+� ****99.00
APPLICATION FOR PERMIT
BUILDINf3
For OffJce Use Only
R[CpIT NO. li
��ueo
ADDRE3S C� P1. Costa Mesa ZONING
ZOH[ NO.OR UYtO�N[W
�., � .�, 2 e���o�� :L��:.., ", �
conrnwcroe Lewis R. Schmid
"°"` Ewr 3 dZ .S 3`/' �
ADDRiiS 2949 Rdndol h AVe. ocacRimon
�
c�rr Costa Mesa, Calif. 92626 �P'~�' �-
NOTl: NO HAV6 OV[RNANO SNALL E8 L688 TNAN
ucTNo. 234399 rTiH�' 540-0960 80'T08I064HBARP.L
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SIGNAT RE � � / ���il �
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