HomeMy WebLinkAbout2957 JACARANDA AVE - Building PermitsP�Voiicant to fill ln au soaces exceD< <�ose witnin heavy borEer linas anA sign all appropriale Oeclantions. u790 3/Ub/�� �Ja -',�j
CITY OF COSTA MESA�,CONSTRUCTION PERMIT PERMIT NO. � TRACT NO. LOT NO. UNIT NU.
� . Project Address 2957 Jacan�ada
� Applicant'S Mdiling Add�E55 126 Co�rcial Way, C.M. TYPE OF CONSTRUC710N NEW ADO ALTERATION REPAIR
� 546-2046 � CONVERSION ❑ DEMOLISH ❑ OTHER �q,p,# Zone
Owner's Name HOFIdYC]� HOUSOri Phonp DESCRIPTION OF WORK/USE OF BLDG.
Addreu 2g57 Jacaratida, COSta 1�'�Sd � `�1 `.J2�— Re-roofin ravel u�c roof. 5 Main Building: Accessory Building:
E Z
Arch/Eng. LicenseNo. TVPEOFPERMIT GRaOirvG FOUNDATIOni $TRUCTURAL T Front � p
Address ❑ TENANT ❑ EIECTRICAL ❑ PLUMBING ❑ MECHANICAL 8 R¢af N
� Contracror's Nama Crarilc Bros. Roofuig phone $ 9 ❑�OTHER ,�•,��,1, !C •A Ri9ht N
/'Y� Address (mailingl 126 Commrcial, �.`OSt.d 1"12^.�d 92627 PF70JECT DESCRIPTION 5�. FT. / OCCUaAtaCv�! , G
W CONSTRUCTIONTYPE YPR_ VALUATIONS ��nR�_nn S Lefl
City License nlo. 005993 ZONE GRADING CU. VDS. ACRE$ R
i LICENSED CONTRHCTOR DECLARATION P��9. Ref. # Pe�king R¢q./P�OvidCd E
( I herlby allirm that I am Ilcunsetl untle� p�ovlslons ot Cha�ter 9(commencin9 Remarks: • Pl2nning NOL¢S: M
^ wit� section ]000) of Division 3 0l tho Busine5s antl ProtoSsionS Cotla, antl
1� my license Is in (ull,`fo��ana ertect. t}OS677 S
� Lic¢n5e CIaSs Llc ns N.
�ate_T'47YCI7 n..�. §�ELre � PLUMBING FEES
WORKERS' COMPErvSATION DECLARATION Bef Sink ShOwers �
1 hereby a�tirm Ihat I have a'rert0lwte ot consent to solf-in ure or a cartiilcate ELECTRICAL FEES
ot Workers' Compensation Insurance, or a certl/ietl coOY �hereot (Sectlon BacktlowPreventer ServiceSink ' -
3800, �ao Automatic Washer Trans(ormer ❑ 15�50 KW
Policy No�1�2 Company H�� Ba[kflowlrrigati0n SewerCa ❑ 50+KW
❑ Certifiea copy is nereby furnishetl. . P CAnstruction Pole Sub. ._
}(1 CertifiytlsQ is filetl with tne city uiltli�9 pyyision. Bathtu6s $ewer Connection �king Unit Meter �up to 100 amps
Date �/4/i� ApO���ant �YdIll{ k$ros. Roofincr Co.
EXEMPTION FROM WORKERS' COMPErvSAT10N DECLARATION Clefifiefs Solar Collectors Dishwasher MelCr �over 100 amps
(Thissectlon need not be completetl il Ine permit is (or one huntlretl (5100) or
Iess). Dishwasher Solar Pipin9 Dryers ❑Gas ❑Electric Sub Panel -
I certify thal In lhe per�OrmanCO Oi lhC work �o� which this pe�m�t Is Issuotl I "-
shall not employ any person In any manner so as ta become sub�ect to ti�e Drinking Fountains Solar Tank Fan Motors �0.1 HP Q 1 h� 8
Workers' Compensatlon LawS of CalitOrnia. ,
Oate Si9nature FlOor Drains Swimming Pool w/Spa F,A.U. Inc.Solar �9�15 HP �i6-15+
�NOTICE: It, afle� making this tlaClaralion, you shOultl become sub�ecl to tha
Workers' Compensation provisions o/ tne Labor Cotlo, you must forthwith Floor $ink5 Urinat
complY K'��h such provisions or lhi5 permil Shall bo tl¢ematl revokeU. Fixtu�¢5 � MiCrowdvC
CONSTRUCTION LENDING AGENCV � Gp5$¢rviC¢ OutICtS Wdl¢�CIOs¢� DCvic¢BOxCs
1 n¢reby atiirm tnat tnaro is a construction lentling agency for t�e perlormance Pole Light
of lhe work for which [his permR Is Issuetl (Secllon 309] Civ. C.) �nt¢rC¢ptOrS Wdt¢r H¢dt¢r Outl¢ti
Lentler's Name Range
Lenaer's Aatlress Ki�chen Sink Water Service Switches Sign '
OWNER BUILDEH �ECLARATION
I hereby afflrT t�at I am exempt hOm Ihe ContraGlOr's Llc¢nse Law IOr the Lavatories
.., following reason (SecUon ]031.5 Business antl Profasslonal Cotlo: Any ciry or Auto�Wash Gar6age Disposal ! Standing Sections
county wnlclt requires a permlt to con5lruct, al[er, Im0/ove, tlemollsn o� �apair P—T�a
any structure, prior to its issuance, also requires tha applicant for suth pormlt P Laundry Trays Generator 00.5 KW 05�15 KW Trash Compactor
t0 file a signetl slatement that he/she is Iicen58tl.pursUant [o th8 prOvlSlons o1 ROO} Dldifl5
the Contractor's License Law (Cnapler 9(commencing wilh Seclion ]000) ot
Division 3 oi the Busine5s antl ProteSsionS Cotle) or tha[ he/itte is exempl
tnerefrom ana the ba5is to� [he alleqetl exemplion. Any violation of Sectlon . '
7031.5 Dy any applican[ tor a permit subjec[s ttle appliCant to a civil
�enalty of not more than five huntlretl tlollars (y500). - '
I, as owner ot the properry or my employees witn wages az their sole Reinspection Fee $15 laue Fee g 3
com0en5atiOn, will tlo Ihe work, antl the structure I5 nol IntenCetl o� oHeretl R@in5pection F@B $15 ISSUe Fea $ 3
tor wie (Soction 7044, Business antl Pro�essional Cotle: The Contractor's MECHANICAL FEES
�icense Law tlOes not app1Y to an owner of a property who builtls or improve5
tpereon, antl who aoes such work himself/herseu or inrouqn nls or her own - DEVELOPMENT $ERVICES REQUIREMENTS:
employees, provitlea ihat suth imorovements aro not Intentletl or onarea Ior Boiler Hood or Type I ❑ �
sale. I(, however, the builtling or improvement is sold within ono year of com- Canopy Type I I ❑ �Zoning Approved By Date
pletioq Ihe owner will have the bu�tl¢n ot provin9 hC/Sh¢ tl10 not builtl Or im- Dutt - Under Ground BUilding Approved By Data
prOveforthe purpOsu of sale�.
0 1, as owner o/ the property, am exclusively contracting wim Iicensea con- Duct � Structural Refrigeration System Application Issued By � Dot
tractors to conslruct lne project (Sectlon 7044, Business antl Profes5ion5 Cotle: - '
The Contractor's License I�w does not appry to an own¢r oi property wno Duct - Ven�ilating ❑4100,000 BTU ❑100,000 BTU ' SUMMARV F FEES
builtls or Imp�ova5 the�eOn, antl who cont�a<t5 lor SUch pro�ecls witit a con-
tracmr(sl license oursuant to ine Contractor's Liconse Law�. I am aware that BUILDING PERMIT $ 2%•� $MIP • $ '�7 Q
proot o( thev Worker's Componsation Insurance shoultl be provltlotl lo me. Exhaust System ❑ Multiple ❑ Sysiem Repair/Alteretion
PLAN CHECK $ PERMIT
❑ I am exempt untler Sectlon B. 6 P. C. for this reazon Firepl/FacL BIt. ICBO # Fire Dampers PLUMBING $ ISSUANCE $
PLAN CHECK 25% $ ENERGV P.C. $
Datc Owner Heating $ystem & Ducting Registers � �
I hereby certily lhat I nave reatl this application ana stale thal thn above ❑0.100,000 BTU �100,0008T ELECTRICAI. GRADING $
Intormation is co�rect. I agree to comply wlth all clty antl county ortlinanws $
antl state lawz relating to builtling W 5 pCtion antl h¢reDy autM1orlxo reprc- $ - MICROFILM $
Sentatives of t city to enter up n tR b ve-mantlonca property ior PLAN CHECK 50%
inSpectlon0urp / MECHANICAL $ Z%.S�
Signature L�M Date TOTAL FEE $
Drivers' Lice r 55 � — — �7RS Rainspection Fea $75 laua Fee $ 3 PLAN CHECK 25% $
C�aF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting: Goltl¢nrotl - Assessor
��
- CONSTRUCTION AND PLANNING POOL & S°A �
• qPPROVALS Permit # Date Inspector AppROVALS Permit # Date Insp?r.ror
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2, $oil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Condui[ Utili[y�Undrgmd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
_6. Electrical UFER Grnd. • 57. APPROVAL TO COVER-GUNITE '
7. FOotings 58. Elecirical Conduit-Undrgrnd.
8. FOundation 59. Gas Pipe, O Undrgrnd., Test '
9. Wster Pipe-Undrgrnd. � 60. Backwash Lines, P�Trap, � Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer �ine & House Connectlo� 62. Sackwash & Receptor-Finat
12. Sewer Cap 63. Heater & Vent-Final
13. ROof Drains 64. Plumbing Sys[em - Final
14. Rough Plumbing 65. Elecuical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
i6. ROugh Electric Wiring 67. Fencing & Access Approval �
17. �Rough Wiring Sign ' 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL �
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rouyh Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. DUcts, Ventilating 71. Product Piping � Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergmd. Storage Tank O Gas ❑ Oil
25. Roof Sheathin9 74. Overhead Hydro
26. T-6ar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Fr2me and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAI
29. Insulation 78. FIRE PREV. FINAL
30. Drvwall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power MeterFinal 80. fOOD CERTIFICATE ISSUEO
33. Final Electric Notes:
34. Final Heating & 'onditioning ' ' ' �
35. Final Gas Pipe-Test
36. Hood or CanopY
37. Final Fac[ory Fireplace . �
3S. Final Plumbing
39. Water Servlce-Final � '
40. Gas Service-Final '
41. Solar pomestic-Final _ .
42. Backflow Preventer
43. BaCkflow Irrigation
44. Landscape Irrigation SYstem � � � �
45. Sound Attenuation •
1
46. Handicap Regulations �
47. FINALSTRUCTURE&BUILDING' /
48. Special Requirements Completed �� �
49. Electric Release to Edison , - ,
50. Gas Release to Southern California Gas Co
51. CERTIF,ICATE OF OCCUPANCY � .
Nn. Date ' � �
�OWNER
�' JOB AC
� GENER
� AP No.
INSPE(
�sm�
GAS
W ATER
PROP. SWR. LINE U NOUSE CON. U
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGN HEATING AND AIR CONOITIONING
TEMPORARY SERVICE OR POLE
UN�ERGROUND � POWER �
ROUGH WIRING
TRENCHES ❑ FORMS � STEEL REINF.
FLOOR SVSTEM
BONO BEAM ❑ STEEL REINFORCE �J
SHEATHING
FRAME ANd FLASHING
LATHING � IN n I
PLASTER, pROWN COAT
STRUCTl1RqL, FINAL
HEATING. VENT., REFRI
ELECTRIC, FINAL
BUILOING. FINAL
venue
FIRE
DATE
BUILDING PERMII
SUBCONTRACTOR
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P_O. eOX 1200 COSTA MESA. CALIFORN�A 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely qEc veo e DATE RECEIVED
QT DATE ISSUED
ADORESS j� �/ �� S_� � 's_f��K'M �J��(�
OWNER ii � � i^ �✓ /, � A.P. NO. —� PE�{/ f�`-7
MAIL BUILDING � `
AODRESS G d �+DORESS �_)
TEL TRACT LOT BLOCK
CITV s' NOS�6
ODNSTFVCTION —�_
LENOER �/
il
BRANCH � .
^—� OWNEi±
AD�RESS �/� — `J'-` VALU �/ h
ARCHITECT 7EL. f/WW'^ M/W S`J�Iw•
OR ENGINEER �
FIRE
ADORESS � ZONE TYPE GROUP
/ APPROVED J
CONTRACTOR �% j� aj,�/( B�' OATE..7^ �
ADDRESS ZON NO.OF USE OF
TEL, p�qry� BUILDIN
CITY NO.
STATE CITV YARDSAPPROVED VARDSAPPPOVED
LIC. NO. LIC. NO. MAIN BUILDING ACCESSOFY BUILDING
SI2E / � /� NO.OF BLOGS. (FROM C/LSTfi
OF �OT ' — NOW ON I.OT / ROM F. FT.
USE OF
EXISTING BLOG. FT.
SIZE OF ( s.� 7 NO.OF
NEWBLOG. D /. ROOMS STORIES L.SIDE FT. FT.
EXTERIOR WALL ROOF
COVERING COVER�N G( REAR FT. FT.
VSE OF BUILDING AND WORK TO BE PERFORMED DI5TANCE BET. BET. MAIN &
MAIN BLOGS. ACCESS. BLOGS.
' cave r C VRP.qy+ A{FROVED
APPROVE G�� /
�
I horeby acknowletlge that I have reatl this appiication antl stete
that the abova Intormecion Is corract entl aprae to comply wIM
all laws re0ulotinB buildin8 �onstruction, and I shali not amploy
nny person in violation ot Ma workman's tompensation laws ot
the Stata of California. �
I horaby carNfy that 1 am properly licensetl os e eontroctor untler SQ. FT.
the Slate of Celilornia Buzinass entl Profassions Catle, Dlvisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOF
Chep[ar 9, nntl t�at suc� licenws era In full force antl effect, or I THE PVRPOSE OF ESTABLSHING A PERMR FEE ONLV:
am ezampt irom Me provisions of t�a Sieta o( CalitOrnia Businezs
antl Professio oda, Dlvislon 3, Chapt VALUATION pERMR FEE S�
Slqnature ot /iC � $ �� p�qN CHECK $
Permlttee f� � 1�i
/ "
Authorizatl Apant � ��
TOTAL FEE $
_\` .�� �-� �2
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 31'1 COSTA MESA, CALIFORNIA
FOR IfPPI/CANT TO F/LL /N COMPLETEIY
rYPE OR PRINT
COS7A MESA, CALIFORNIA
OWNER Adams Acres, Inc.
Ao RE55 !+�-9 E. 17th St.
��T,, Costa_ Mesa TNo LIS7159
� raxa:�ux��
ADDRESS Ci2.Tden Grove FIRE
ZONE
CONTRACTOR & Colegrove� Ino �rNo 167293 ByPR�
ADDRE55 '+—J �• �-ff'�1 aS�i�� VOSt2. P^i�esa
LEGpL I LOT ��]/� I I GA2F. ZONE
DESCPIPTION NO. lH� BLOCK TRACT .
j5'zE 7o x
OF LOT
No. oF a�ocs.
SETBACK LINE FftOM
ceHi[n ov s'taen O� REAR YARD 45�
� 5' � 5'
SIOE YARD LEFf fiIGHT
DESCRIPTION OF WORK �
NEW I �XIIALTERATIONI IIA�DITION I
BUILOING 16�1
SIZE
AUG � 19�Q
'';li.� ��;_ �1-'�i
. .. _ ..
APPLICATION FOR PERMIT
BUILDING
FOR Off/CE USE ON[Y
I HECEIPT NO. I �PF�qMIT i O�
1 ll.{I
LJ i tAw
'IVED,BY O1TE qE EIVED OATE I68UED
� FS—� AUG i n �4
(CENTEN LINE
COSTA M�SA, CALIFORNIA
�r� � �Q
ZONING
NO. OP USE OF NEW
PLAN6 � BVILDIN6
�
��n le iar�u�y resiaence w�.tn
attached garage.
n
I NEHEBY ACNNOWLEqGE TMAT I HAVE HE/�D THI9 APPLIC/�TION THE AMOUNT SHOWN UNDER VALUATION IB FOR THE
qN� STTTE THAT THE qBOVE IS CORRECT RNO pGREE TO COM�
PLY WITH RLl CITY OR�INANCE9 AND STTTE LAWS PEGULATI G PURPOSE OF ESTRBLISNING q PEflMIT FEE ONLY.
BU�LDING CONSTFUCTION. VALUATION M
SIGNATURE OF F' PERMIT FEE s 35�w
PERMITTEE /
C � $ 15, 9z8 F'LAN CHECK $ 17� rJ0
AUTHORIZEDAGENT D1�Ce & Colegrove, IriC. TOTAL FEE S J2�5Q
V�