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Home My WebLink About905 HELENA CIR - Building PermitsPXOJECTFOOHESS: 9OS HELENA CI owxeR•sxame: GROTY, JOAN W � aooeess: GROTY, CRZSTY �•1 1116 SAN JOSE AVE COSTA MESApCA FflCMIENGINEEH: � 71 q� 5 9 9— 3 L 8 � nooe[ss: UNIT: 92626 flEG.NO.: uxiT: PEHMITTEE: CELOSEAL ROOFING ( 714 ) 998-2990 FODflE55: Z 3 Z S N. BATAV IA LICENSEO CONTHACTOfl OEcuApTioN: i ne�eoy am�m ma� i am rcensea �nae p�o �s�os oi�n6oi5e� e �comme�c��g wnn seci�o� 7000) ol �rvision 3 0l I�e Business ana Pmfessions Code. and my license is in lull lorce and effect. CITY LIC.: STATE LIC.: C1A55: 0 530�(�I� 263519�-39�j � Dale', � Signature: _ . �Q}- WOBKEBS' MPE SATIfh10�ClAflATION: I her¢�y aRirm th �ave a cer�i ol consent �o selbinsure or a certificale o� Workers' Compensalion Insurance. or a cerlifietl coOY �hereo� (Seciion 3800. Lab. C). roucvNo.: qg3582-93 E%P.ORTE: OGIOSI94 comeaNr: STATE FUN� ] Cetlihetl copy is hereby �umished. Cerlifie0 copY � IileO wilh Me city BuilUing Division. � �are: ApplicanC EXEMPTION F OM WO NEBS' fAMPEN5FTI0N UECLFflATION: ( is sec�ion nee0 not be mpleteE i� the perml is �or ane hunarea (5100) or less). I cetli�y IDat in I�e petlormance ol Ihe work lor which Ihis permit is issueq I SAall no� employ any person in any manner so a5 io become � subjecl Io �he Workers' Compensa�ion Laws of Calilomia. i Oa�e' Signalure: NOTICE: II, aiter making �his declara�ion. yau should become sublecl Io Ihe Workers' Compensation pmvisions ot �he Labor Code. you must �orlhwith camply wit� such pmvisions or this Oermi� shall be tleemetl revaked. CONSTflUCTION LENOING AGENCY: I hereby a��irm Iha� Ihere i5 a conslmction IenOing agency �or �he pertormance o� Ihe work for which Ihis permn is i=suetl (Sec�ian 3097. Civ. C). LENOEP: FOOflESS: OWNEH BUILOEfl OECIAflRTION: 1 hereby a�firm�am exempi irom �he ConVactors' State License Law �or lhe �ollowing reason (Seciion 7031.5 Business anU Pro�essional CoUe: Any chy of coun�y which requires a permi� lo constmct, atler, improve, Oemolish, or repair any 51mcNre, prior to iis i55uance. also requires ��e apDlicanl for suc� permit ta �ile a signea s[alement �hat he/she is licensed pursuani to Ihe pmvisions oi Ihe ConVac�ors' Sta�e License Law (Chap�er 9 �commencing wi�h Sec�ian 7000) oi Oivision 3 al �Ae Business ane Prolessions Cotle) or �ha� he/she is e�emp� �herefmm ana t�e �asis for 1he alleged exemption. Any violalion ol Section 7031.5 Uy any applicant �ar a permii subjects �he apDlican� to a civil penalty o� no� more t�an �ive hunOreU dollars (5500). I, as owner of Ine pmperty or my employees wilh wages as iheir sole compensation, will Oo the work, antl Ihe ❑ slmcWre is nol in�entlea or oltere0 for sale (Section 7044, Business and Pmfessional Cotle: The ConVac�ors S�a�e License Law does noi ap01y lo an owner o� a pmpeny who 6uilas or imDmves thereon, antl who tloes suc� work �imselVherseli or thmugh his ar her own employees pmvided �hat suc� impmvemenis are no� intentled or otfere0 lor sale. It, however Ihe building or impmvement is soltl wM1hin one year o� completian. �he owner will have �he hurden oi Omving �elshe Oid not build ar impmue lor Ihe purpa5e ot sale) I, as owner o� Ihe propehy. am excWsively contraciing wilh Iicense0 contrac�ors b constmc� �he pmjec� �Sec�ion 7044, Business ❑ and Pmlessions CoOe: The Contrac�ors' State License law aoe5 not apOty Io an owner oi pmpeey who builtls or impmves �hereon and who conlracls for such D�oiecls wiih a coniractor(s) license vursuant to ihe Coniractor5' Stale License Law�. I am aware Ihal pmo� ot Iheir Worker'S ComDenSaiion Insurance shaultl be pmvitletl �o me. � I am exemp� un0er Seaion: B. 8 P. C. for Ihis reason'. Oa�e Ownec I tlo hereby cehity ihat I am aware of anA under5tan0 �he requiremen�s ol Califomia Health antl Sa�ery Cotle Sections 25505, 25539, antl 25534 ana Ihat I or any IUWre builtling occupani willlwAl nol (circle one) neeo to comply wiih saitl slale coaes antl ihe reQuiremenls for a permi� lor consimdion or motli�icatian fmm the Nir �uahry Managemen� OistricL Resitlenlial conslmction applica�ions are exempi �rnm Ihese pmvision5. Oate- Applicant: I hereby cetlify ihat I have read Ihis apPlication antl slale Ihat Ihe above inlormalion is corBcl. I agree lo comply wi�h all city and counly artlinances and staielawsrelalingto bwl0ing can5tmciion ana r by aN�orizerepresen�a�ives oflhis cityto en�erupon e above�mentianea pmperry far ins ec�ian purposes. Oate: �� SignaWre'. OriverS License or Social Sewrity p: � � � 164i-a6 W�i�e—Bmltling; Green—Cotle EnbrwmenL Canary—Applicant; Pink—pevenue; Goltlenrod—Assessor / CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: B 064498 PLAN CHECK NO: N CONSTRUCTION TYPE; 5—N PERMIT TYPE: STR JOB DESCRIPTION : T/O SFiAKES,RESHEATHl/2"CDX,REROOF W/COMP PERM NO: B 064498 GOVT: N SUPP: N PURPOSE: ALT SQ FT: 4,500 CLAIM VALUE: 4,500.00 CALC—VALUE; 4,500.00 GROUP OCC: R-3 /M-1 COMMENTS: SMOKE DETECTORS REQOIRED PER THE 1991 EDITION OF THE UHC ��.��*�*��*��,��,��*�**�*�.��,��***,��,��*�� *��*****��`�If��*��i"OR Z O N I N G R E Q U I R E M E N T S SETBA��:S REQUIRED ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN LEFT: FT IN AGHT: FT IN LEFT; FT IN RGHT: FT IN PARKING REQ: PROV; PARCEL: 41809209 2NE: REF'-'NO: �'— ---" PLANNING NOTES> 'r. %>r ��r�**�r�r*�r�r*+r*�r*�r�**�r�r**********�*��*�*��r**+��***+r��r*+�***�*+r��#**x�'��**�*� � D E V jL' O P M E N T 5 E R V I C E 5 R E Q U I R E M E N':T S ZONING APPROVED BY DATE: �� HUILDING APPROVED BY ; DATE: ��' iT:l:lif��/r��il.l dE if ik iE iE if if iE if ff jE if iE fE iE if if 1E iE LEGALIZATION:N BLDG PMT PERMIT 72.00 PLAN ISSUE FEE DATE; iE3FiF'3F �F iF� h E $flF TF i 7FiF . 'iFiFi �F�F K if iR �1G fF af iF iF iF iF��µ'�7�3iF iEiElEifiEiE�lfifififilif�7fifiEifiEiM1iEiEififfFifi faF9EiEiFlEiRiE1E14iEiFifiFdFlFif�%ifififiFiififiFiE�4iF�If�fiE F E E S U M M A R Y STRUCTURAL'SEGMENT:Y PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING 5 0'! SMIP/NON'-RES � fl � HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID ,,;` DUE TOTALS ---> 72.50 0.00 0.00 72.50 72.50 '. .00 Yi REVENUE DIVISION TOTALS--> COLLECTED: 72,50 OVER/SHORT: .00 BLDG PMT PLOMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING P,LAN—CHECK 72.00 .50 �7 iE if it if iE iE %i! iE 1f if if �f if iE iE if ik jf if jf it iE it iE 1f iE i! fElE 1f !f 1E 1E 1E 14 aE if ?F iF iE iE iF 1E iE iE iE iE jf iE jE 1E if % iF 1E M iE iF iE iElE 1f if iF iF if 9E ifjE �?} jE iE fE iE iE iE iE if I N D I V I D U A L F E,E H R E A K D O W N j,� TYPE SFR QTY 4500 D E S C R I P T I O N REROOF BY VALUE RESIDENTIAL NOZONE END OF FEES UNIT COST �OTAL COST .L 1.00 � 4,500.00 1 7 /1�,� � /i ai aoi4v�ez-caiq�a63 T�l Y 7?.sa UATEs 10/13/93 tI17E: 23:2e � ' , 1 � Poc sPA ' l\NSTRUCTION AND PLANNING � � � APF�ROVALS Permit# Date Inspector Date Inspector APPROVAIS Permit # 1. Temporary Electrica� Service`or1'ole � 52. Pool & Equipment Location � 2. Soil Pipe-Undrgrnd. �0 - . 53. Steel Reinforcement '" �� 3. Electriwl Conduit Utility�Un�grnd. 54. Forms - '�� 4. Electricat Conduii-Undrgrnd. • 55. Electrical Bonding v .5, Steel Reinforcement 56. Rough Plumbing & Pressure Test 6: Electrical UfER Grnd. - � 57. APPROVAL TO COVER-GUNITE 7. Footings , 58. Electrical Conduit-Undrgmd. ,--� B. Foundation i, ''�"` 59. Gas Pipe, O Undrgrnd., Test --��'�� 9. Water Pipe•Undrgrnd. �, j' Y 60. Backwash Lines, P-Trap, O Undrgrnd. , 1 10. Strucmral Floor System `� '1 61. APPROVAL�TO OECK ' � 1 i. Properry Sewer Line & House•i',ts'nnection .� �, 62. Backwash & ReceptorPinal �� 12. Sewer Cap ' 63. Heater & Vent-Final "" t_ 73. floof Drains V� i '-�, { 64. Plumbing Syscem - f�nal - �`I� 14. Rough Ptumbing �` 65. Electricai-final � 15. Rough Electrical•Conduit �... }.'� 66. So�ar System-Finai �" . 16. Rough Electric Wiring .; ~ 11 67. Fencing & Access APprova! ' I 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical�T Bar Ceiling 69. POOUSPA SYSTEhAS FINAL 79. Rou9h Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace � APPROVALS ' Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 77. Product PiR�ng O Gas � Oil 23. Gas Pipe�Rough & Test � 72. Underground Fluth . . 24. Roof Framing � • 73.'Undergmd: Storage Tank � Gas J Oil 25. Roof Sheathinq !O //,p,fJ� � 74. Overhead Flydro . !- - 26. T-Bar Ceiling (Structura4� & Monocoat �� 75. Dry Chemicai 27. Frame and Flashing � _ � � � 76. Dry Standpipe . . 28. Lathing & Siding � ^ 77. �FIXED SYSTEM FINAI' 29. Insulation � ' 78. FIRE PREV. FINAi 30. Orywall Nailin9 ' �; HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat . 79. FINAL INSPECTION . 32. Electrica4 Power MeterFinal � 80. FOOD CERTIFICATE ISSUED � 33. Final Electric . � ��-�, Notes: ., 34. Final'Heating & Air Conditioning � � ' . � � 35. Final Gas Pipe-Test � ' ' ' . i 36. Hood or Canopy � �' ! • • 37. Final Factory Fiieplace � � � � . , � i � 38. Final Plumbing � ;�� 39. Water Service�FinZl � . ' 40. Gas Service�final . -� , . 47. Solar pomestic-Final � �. � 42. Backflow Preventer '� � � 43. Backflow Irrigation ' - . � � f. � t y 44. Landscape IrripationA„ystem . � , . .- 45. Sound Attenuationr'! ' • . . � "- 46. HandicapRegulatio�;� �.�=: . � 47. FINAL STRUCTUf�E & �UILOING `�_Z��7 ��r S�� `_ � � L. `/�,�_ G � o� 6L- [¢,w� 48. FINAL P�ANNING."; � � � �' 49. Electric Release to E3isod•{- �T 50. Gas Release to SouthePp �S�fom�a Gas Co y,! - - . 51. CERTIFICATE OF OCCUPANCY . No. i Date City of Costa Mesa Plar Department Port Office Box 1200 77 Fair Drive I�j Costa Mesa, California 92626 � � ��9� i (714) 5565245 � REQUESTFOR OCCUPANCY Tract No. 9�� Lot No. � Address (Singie Family Residential or Condominium Units) Date 45` � � y � � « . The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that (he, she, they)� �. (was or were) /�_�s..e.�advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the City at the time the final tract map was approved. The City assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the City harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. � � .�u� a-2__ GMF p569-26 �, V By U X/'.�,; � Purchaser By � D' Deve oper and/or Authorized Representative i BY �� Le��2./ �� OwNER g�JCCOLA C0. DATE 11-1ft-7� JOB ADDRESS 905 Helena Circl e BUILDING PERMIT N0. i.�n�-, ING HOUSE MISCELLANEOUS o\ ROUGH HERTING AN� AIR CONOITION VEMPORARV SENVICE ON POLE UNOERGROlINO � POWEN � ROUGM WIRING - TRENCNES FORMS STEEI FLOOR SVSTEM FRAME ANO FLASMI LOT�ING — IN [4�' f ER. BPOWN C WS BWLOING. F�NAL VALUE SUBCONTR�CTOR `t .��,-i 1 �i .J V :_. �J �� OT BOJC� 200 CiOSDT'A M SAFCAII ORNAIA 9 626 T Far Applicant to Fiil in Comple[ely — Use Ink Only BUILDING D ADDRESS OWNEF \,� ,( ) MAIL �I C7./, '�� ADDRESS i��l �• u��\ �r ) TEL.:/� pp CITY NO. J'-IC�O (J BFANCH ADDRESS ARCHITECT TE '�:Gf PAI�� iri:s: � o 't,�.-iEC:" t11� i � 3�J � 2�f_.u: APPLICATION FOR STRUCTURAL PERMIT PECEIVEDBV DATERECEIVED neTcicc�mn BUIIDING ADDRESS I�P�S �_J o FIRE ADDFESS,�4 � � N) p, 20NE TVPE• GFOUP ` J� APPROVED CONTRACTOF� �� JiJ BV DATE ADDPESS � TEL. z0 NO.OF USE OF NEW CITV NO. P�� BUILDING u% H STATE r ♦n� � CITY �'AROSAPPpOVED VARDSAPPROVED LIC. NO. I�lV �Z �/ LIC. NO. MAIN BUILDING ACCESSORV BUILDING � SIZE NO.OFBLDGS. (FROMC/LS E 4 OF LOT NOW ON LOT RONT FT a USE OF � EXISTING B�DG. F . FT. � �� FSeparate permits are required for L. SIDE �/FT. FT. � electric, plumbing and heating work. AEAR F �/ Fr. [..� USE OF BUILO�NG AND WOflK TO BE PERFORMED DISTANCE BET. BET. MAIN & QQ - MAIN BIOGS. ACCE55, BLOGS. r• VAR..$ DATE aC.U.P.$ 7ROVED � APPqOVED � __ i W OLD OR SPECI L RE UIRE � I hereby eeknowledqe that I heve reatl this application and stata n y� <hat the above Informatfon ia correci and eprae to comply with n m � all laws repulat��9 buildinp conrtruction, and I shall not amplay > � any person In v�o�ation of ihe workman's companaation laws ot � Me Sia<e of CellforNa. � 3 1 heraby certtfy ihat I am properly Iiconsetl es a contrac<or untlar SQ. FT. � rv the Stete o1 Cal(fornla Busi ss antl Protesstons Code, Divtsion 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, antl th¢t suc II i�ses ere In full force antl effact, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: � am exempt frOm t pr ia s Of tha State of CaINOrnia eusiness VALUAT�ON PERMIT FEE $ d and Professiona Co , D I 3, Chepter 9, in M PLAN CHECK E +� o Sipneture of � LL Parmittee $��//� /�./) ^ TAX S /v/ ��V U Authorized Oe TOTAL PAID S� �1WNER ��g�;0on� VFRNnN 'JOB ADDRESS 0 elena 'z V $''`�12AL CONTRACTOR TIPAI � ': ,. 418-092-04 LOT $ ECTIONS �So�� tA5 W �TER �IOOGN PLUMBING ROP. $WR. LINE � HOUSE CON, � �6PRINKLING SYSTEM MISCELLRNEOUS ROUGM NEPTING �NO �IF CONDITIONING TEMPOP�RY SERVICE OR POLE UN�ERGROUN� � POWER � NOUGH WIRING TRENCMES FOAMS STEEL REINF. FLOOR SVSTEM 60N� BEAM � STEEL REINFORCE ❑ SHE�tNING FRAME ANO FLRSNING L�TNING — IN � Ot1T F ?P, BFOWN COAT 5, fURAL, FIN�L HEr1TING, VENT., REFRIG. PLUMBING, FINRL RND GAS ELECTRIC, FINnL ew�oiu� riH�� C.. FINAL DATE SUBCONTRACTOR IT N0. F � W 4 Q h h T. E� G � F Q � ..i a > } .d a W a � � 0. z W 5 3 04'7Q32 �COST BOX� 200 UCOSDTIA M SAFCALI ORN�IA 9 626 T J �� For Applican[ to Fill in Completely — Use Ink Only ADIDRESS q�s j��Lgua �.Q OWNER V f D �� / �UQML�D MAIL �w r _ � t CITV CON5TRVCTION BRANCH ADDRESS CONTHACTOR ADDRESS CITV STA7E � LIC. NO. SIZE " � OF LOT � USE OF TEL. NO. TEL. TE�NO. CITY LIG. NO. �— INO. OF BLDGS. NOW ON LOT Separate permits are required for electric, plumbing and heating work. OF BUILpWG AND WORK TO BE PERFORP I hereby acknOwletlge that I have reatl this application and state that the above information is correct antl agree to comply with all laws reguiating building consttuction, and I s�all not employ any person in violation of the wo�kman's compensation laws of the State of Cdlifornia. 1 hereby ce�tify that I am properly licensetl as e conttector untler the State of California Businass antl Profess{ons Cotle, Division 3, Chapter 9, antl that such licanses are in tull force antl efteci, or 1 am ezempt from Me provlsions of the State ot Cal�itor/nia �Business antl Profession5 Code, Division 3, Chapter 9. tlf/f/"�- Sig^ature of Permfttee Authorizad ABeni � I C9TY OF COSTA iVIESA I � A.P.NO. �I� ��7'?�'(%y BUILDING 0 � ADDRESS TRACT 4�i O 3 LOT OWNER FIRE ZONE APPROVED DATE ZONE/J NO.OF USEOFNEW r?� �' /L' PLANS � BUILDING CO✓ `� VARDSAPPROVED VARDSAPPROVED MAIN BUIIDING ACCESSORY BUILDING n DISTANCE BET. . � BET. MAIN & e APPROVED � n m i m m SQ. FT. a THE AMOUNTSHOWN UNDER VA�UATION IS FOR m THE PURPOSE OF ESTABLISHING A PERMIT FEE ONIV: b VALUATION PERMIT FEE $ � a n m /) �� PLAN CHECK S a $ v/�TAX g S LL �r.,v U ' TOTALPAID $ �