HomeMy WebLinkAbout2928 JAVA RD - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
,lob Address: 2928 JAVA RD
Suile:
Vicinity: ROOF
Parcel Number: 13925111
Applicant: CHRIS DEMESEY
Address: 6154 OCASA DR
MIRA LOMA, CA
Owner: WEISMAN, CHRISTOPHER A
Address P O BOX 2252
NEWPORT BEACH, CA
Convactor. ROOFING BY DESIGN INC
Address: 6154 OCASA DR
MIRA LOMA, CA
Zip: 91752
Arch :
Address:
Zoning: R1 R1
Phone: 951-681-0367
Zip: 91752
Phone:
Zip: 92659-1252
Phane: 951-687-0367
License: 823060
Eng:
Address:
Phone:
Status: ISSUED
Applied: 01/26/2005
Issued: 01/26/2005
ISSUED BY:
Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF. INSTALL 30# FELT, REPAIR/REPLACE SHEATFIING AS NEEDED, AND 50 YEAR COMPOSITION SHINGLES. 2,000
S.F. FOR S.F.D. ONLY.
Plan Check: $0.00
Permit: $18125
SMIP R@s: $0.95
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $182.20
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0- 0
PARKING Existinq: o
Rear 0- 0
Rear 0- 0
Re uired: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
ss,soo.00
Ss,soo.00
NOTICE: 7he work authorized by this permit shall comply with a!! applicable handicap access requiremenis under Calitom�a statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: Thls permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: Ih order for the work authorized under ihis permit to be considered legal, such work must comply with all appllcable codes, antl all
required Inapectiona end final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit,
FOR INSPECTIONS CALL: (774) 7545626
2446-08 (N00)
WORKERS'COMPENSAnON DECLAAAnON:
I heraby eMirm under penelty ol perjury one of Ihe following declarations:
❑ I have enC will melntein e cetlilicete oi consent to setl-Insure for workers' compensetion, as pmdded Por by section 3700 0l iha Labor Code, lar t�e pertortnence oi the
work lor which this permii is issuetl. ,
0�;� ,� ave flnC will maintaln workers' compensation Insu2nce, as required by section 3700 of Ihe Labor Code, br ihe peMortnance ot the work for whiU Ihis pertnit is Issued.
�'My workers' compensatlon Insurence carner and policy num6er ara:
ca���-!n �r.v�ol p,o�i`c'yN'— u'mb r� 0026��7`2GYJ�{
�(This secN need no! be canp/eted /l e Oermit is velued et one huntlred dallers ($100) or /essJ ��
I certily that in t�e peRortnance of the work for which t�is pertnit is issued, I shall not employ eny person in eny manner so as to become sub�ect to lhe workers'
compensation lews ol Celii i nd egree thet ii I should become sublect to the workers' compensation provisions oi Section 3700 oi ihe Lebor Code, I shell lorihwith
comply with these pro '
-T--�-' -.- : t
�Apptt�Sn� 9�gnewre: ° . � <�.ifJJ / oa�—"���r � ��L� s
�Bl�FAkt7RE'TO-SECURE WORKERS' COtdPEN TI CAVERAGE IS UNUWFUL AND SHALL SUBJECr rW EM �PLY�OY��RiO`ORI f3AL ENALTIES AND CIVIL FINES UP TOONE HUNDPEO
TFi0U5AND DOLLARE (5100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOP IN SECTIIXJ 31080F THE LABOR CODE, IfJrEREST, AND ATTORNEY'S FEES.
LICENSED CONTRAC70RS DECLARATION:
provisions of Chepter 9(commencing with Sectlon 7000) of Division
CONSTRUCTION LENDING AGENCY:
and Professions Cade, end my license Is in tull
❑ I hereby affirtn that thera is a construction lending agenty for the peAormance ol the work for which this permit is issued. (Sec. 3097, Civil Cotle).
Lendefs Name: LentleYs Adtlress:
Signature:
Date:
OWNER-BUILDER DECLARATIONS:
I hereby eflirm ihat untler penalty oi perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business enA Protessions
Cotle: Any ciry or counry which requires e permit to construct, alter, improve, demolish, or repair any siructure, pnor to its issuance, also requires t�e apDlicam br such permit
to file a signea statement thec he ar she Is licensed pursuem to Ihe pmvisions of the Camrectors License Lew (Chepter 9(commencing with Sectlon 7000) of DlNsion 3 ot the
Business antl Prolessions Code) or that he or she is exempt thereirom and the basis for the elleged ezemption. Any violation of Section 7031.5 by any applicam lor e permit
subjects ihe epplicant to a civll penelry ol not more than five hundred tlollars ($500).);
❑ I, as owner of Ihe property, or my employees with wages as their sole compen5e0on, WILL DO TME WORK, end the structure Is not intended or oHeretl tor sele (Sec.
7044, Business end Professions Code: The Contractors License Lew does not eOPly to an owner of property who builds or improves thereon, and who tloes such work
himself or herself or ihrough his or her own employees, providetl thet such improvemenis are not Intended or oNeretl for sele. If, howevar, ihe building or improvement is
so�d within one year of completion, ihe ownar-builder will have the burden of proving that he or she did not build or improve tor purpose ot sele.). '
❑ I, as owner of ihe property, em E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the proiect (Sec. 7044, Business and Professions
Cotle: The contrectors License Lew tloes not apply to an owner ol property who 6uiltls or Improves ihereon, and who wntracts tor such project with a contrector(s)
license Oursuant to the Comractors License LewsJ.
❑ I em exempt untler sec.
Signa�ure:
Owner ID venfied by driver's Iltense. ❑ Yes ❑ No
Business and Professions Code for this reason:
Venfication of Ownership by (rype of daumeni, i.e. - properry tan bill or deetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
Driver's Licanse No.
Date:
Ezpires:
❑ I hereby certify I�eI no excavation five (5) or more feet in depih into which e person is required Io descend, wlll be made in connection with work euthonze0 by Ihis
permit, entl t�at no building swcture, swHolding, talsework, or demolition or tlismantling thereof, will ba more than thirry-six (36) feet high. (Chep. 32, Gry 2, Ar12, Sec.
341, Ttla B, Calitomia AdminislreWe Code).
❑ As owner-builtler, I will not employ anyone to do work which would require a Oermit from the Division of Industnal Satery, as noted above, unless such person hes e
permit Io da such wark Irom the tlivision.
SignaNre: Date:
Division of Indusinal Salery Permit Num�er:
CERTIFlCATE OF COMPLIANCE AND AUTHORIZATON OF ENfAV: I cenity untler penalry oi perjury that I have read this application and state that the intortnation given is
correci. I agree to comply with all stete laws end ciry ortlinances relating �o building consiruc�ion, and euthorize representatives of Ihe City of Coste Mesa �o en�er upon �he
ebove�described property lor inspection puryoses. I egree not to occupy or allow occupency of eny building authorized by ihis permit until tinal inspection.
CODE �" ir+svernoxTrre
1616 Fized System Final Fire Prevention
7266 Pool Spa Finel
200 Finel Re-Roof
201 Final Block/Retaining Wall
202 Finel Factory Fire Place
203 Finel Sign
204 Final Demolition
Owner(s)
�
FI'7'1��CFi9�3II7:iNl�
206 Final Mec�anical
n, `'L/ 20B Final Plumbing
� �� 210 Final Elec�ricel
P 212 Final Fire Preveniion
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
��:n�i;nw.��y
� �
. .
", -;.
H. V. LAWMASTER 8 CO INC.
7940 MAIN STREET — STANTON, CALIFORNIA ga��XX�HIlAIf�$X��B
69CtA5-403AAAL-002
828-8040
Field Data on Test Specimens Core Concrete Gunite Gro�t/Mortar_
Project R, D. Miller Pool Permit No. 31110
Project
Lxation 2928 Java Rd. Costa Mesa,Calif.
Contractor Anthony Pools Architect
Location in Struct�re Engineer
Date Mo�lded 12/2/69 No of Specimens 6
Slump Specimens Marked
Specified Sirengih at �R days �IlIl.Q_P.5.1. Mix Designation 4'� to 1
Age to be tested_�days__ZB__days days days
READY MIX PLANT AGGREGATE SOURCE
Weather Condition 1 Yd.
Cemenf Monolith Type II Cement, Ibs.
Admix Sand
Specimens made by #4
Data by #3
Delivered by #2
Date Delivered #
REMARKS.-�������� /'� �� Water, Gals.
Lab. No,
Date of Test
Spetimen Dimensions
Area
Ultimate Load
Lbs. per sq. in,
H/D Corrected
9569 9579
� Day Test
FOR LABORATORY USE ONLY
I9571 9572
12/9 12/9
6.OSX 5.81X 6.01X
12.25 12.7
28.75 26.52 28.37
Test
RCET6207 .�'ti�.,_�;,..._.. � .. .�_.
_Yd. Batch
200 eke
50 tone
573 9574
Day Tesf Day Test
pq}� CEIVED
G�AFETYUEP�
EC 12 1969
nn �ti..
��'s8i9� �ll�12�1�2i3's�j5j8
Mr. R. P. Mills
2928 Java Road
Costa Mesa, California
�
. .
-; � _ -
November 18, 1969
Dear Mr. Milis:
A buildin� permit has been issued o Anthony Pools to construct a
private awimming pool on your property.
In order that.your poo will be a safe one and for the purpose oP
advising you of your respon bility regarding the requlrements of the
Costa Mesa Municipal Code, we efer you to Section 8107, a copy oF
which is attached.
This letter ia eted to you in order that you will be aware of
our ordinances and c ke a complete.safety check oP your pool area.
3lncerely youra,
RICHARD HANHART
Building Safety Director
RH:dh
� OWNER
�J JOB AC
`�GEN ER
AP No.
�INSPEC
SOIL
GAS
WATER
Rl111f.H
JYXIliRLIXIa JT�
MISCELLANEOUS
Mr• & Mrs. Paul
DATE 11-22-67
JSvB KO&a BUILDING Y
� Owner-Bldr. DESCRIPTION of WORK Res •w
LOT TRACT FIRE ZONE VALUE $ 2
ROIIGH HEATING AN� AIR CONOITIONING
TEMPORARV SERVICE OR POLE
UN�ERGROUNO � POWER �
ROUGH WIRING
TRENCHES m FORMS Q STEEL REINF.
FLOOft SYSTEM
BONO BEAM ❑ STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING - IN 1
PLASTER, BROWN COAT
LLGI.IMII.� YINPL
BIIILOING, FINAL
SU6CONTRACTOR
' � L78�4
COSfA MESA BUILDINCrSAFE?Y DEPARTMEHR
� P.O. BOX 12M COSTA MESA. CALIFORNIA 920T0
For ApppmM fo F(11 In ComplNdy
TYPE OR PRINT
CPSTA MESA.
OF LOT 1/� ( � ��'�" 2' NO'
U920P '
E%18T1NO BL�9.
BRCACKLINtIROY JQ(O~ R6AN
CBNTER O� BTRBR J
// I(
Yln yAR LL'FT � tl RIOXT
pESCRIPTION OF WORK
1 M6R6oY ACRNOWL�DI
AND er•n rx�T na �
PLY WITM ALL CITY OR
CYILOINO COHHTPYCTIC
HIONATUR! OP
PeRM1TTe
d
AUTHORIZ[D A�M
PRID � ��{�
ilOY �O'E77�HSAOO ase 124.50
A►PLICATION FOR PERMIT
BUILDINO
for ONlco Uw Only
•aenrt Mo. �inN,r o.
nic�rvio�r o�,7�nienv�c w��uen
� � � ��
eu��oino a9a� c;�a.u�, �
wooncoa
FIR6 -FG I �
ZONS TYP 6ROUP
MPROV6D
er� owTe ��z-G
ZONING
=�H� y� � Na. �. �.� a. h. 2p/ .
/ \ �ueu suno�xa �
D[CCR��TON T_� � � � O �
A.P.NO. yJ —o�s —�
NOTH: NO GV! OV6RMAN0 9NALL �H LlHB THAN
YARDO MPROVCD
MAIN BUILDIN�
1 I'�, (FROMC/LYTN[[T)
PR NT
/ // � ��
11. i1D
�
L BID PT.
TIIAT.t MI�V6 RtAD YM�/ A��I.�GTON
�Y[ �6 GORR6G1' AXO AOM6i TO COY-
VANC4 AryD RAT[ tAY/� 11[OUtATINO
:� �/�Z �i�7
�
DISTANGS �CT.
MAIN BLpOD.
VM• $
YAROBAPPROV6D
AGC6880RY BUILDINO
OATH
t10LD FO'.�� S?�:IAL REOU?1:L• ��r.� c m
� � �P�4 w �
.r�j e'r d.r'a'.c'sr;n. `�
so. rr. �
TI1[ /�YOYNT �MOWN UN06R VALUATION 19 /OR TN8 �
NRI06f OI �iTApL16NIN0 A Pl0.YIT IL6 ONLY. �
LUATION a
^ ^ PBRMIT FH8 �. �
J/�./JII�Oi PLANCHECK E 7"!• �_ W
OWNER MILLS.
\ JOB ADDRESS 29
No.
\Q GAS
LOT
PROP. SWR. LINE � HOUS��CON. U
SPRINKLING SYSTEM
MISCELLAN ��+�j
ROUGH HEATING ANO AIR CON�
TEMPORARV SERVICE OR POLE
UNOERGROUNO � POWER �
ROtIGH WIRING
TRENCHES � FORMS ❑ STEEL REINF.
FLOOR SVSTEM
BONO BEAM STEF�I REINFORCE �/
SyQCr n,L(f'
FTiAME AND-FLASHING � -�
LATHING - IN OUT
PL6 F�9AT �
STqUCTURAL, FINAL
HEATING, VENT., REFR�IG. A-�ND A.C.-,p��FINAL
PLUMBING, FINAL qNOwy�g�N.y •�i �
ELECTRIC, FINAL
BUILOING, FINAL
F
DATE 11-17-69
BUILDING PERMIT N0.
�
SUBCONTRACTOR
2 .
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_ 311
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA. CALIFOHNIA 92626
YOV 17-69PAi�di1 674� ****34.50
CNSA
APPLICATION FOR BUILDING PERMIT
For Applicant to Fi!l in Completely
REC D iE ji�¢E� DAT ISS D
BVILDING �1(��f �y ��,� _�
ADOflESS G/G� Java
PERMIT NO.
OWNER R� P. I�ZZZS A.P.NO. ��
MAIL BUILDING 292$ Java � C, M.
ADOFESS same ADDRESS
TEL. 7RACT � d LOT BLOCK
CITV NO.
CANSTRUCTION W AOD A R P
LENDER v
d
BRANCH
OWNER R� P. I"I�.1�S Q �
AOORESS
ARCHITECT TEL srrim pool VAW$ �6�
ORENGINEER C�. ACIai11S N S Z21O
FIRE
ADDRESS ZONE TVPE GROUP
CONTRACTOR Anthon POOZS BYPROVED �/�� DATE // —��
ADDRESS U ]_ �''uestoue �il�%Cl.
TEL. 20N NO.OF USE OF NEW
��T� S011th G3 �2 NO. S�J3221O — P�� r� BUILDING
STATE CITV VARDS APPROVED �'ARDSAPPROVED
LIC. NO. 1 Ol LIC. NO. MAIN BUILDING ACCESSORY BUILDING
SIZE NO.OF BLD('aS. (FROM C/L STREET)
OF LOT NOW ON l0T FRONT FT. � D FT.
USE OF
EXISTINGBLDG. I�eSSdGCICe and garage F. FT
NEW BLDG. vOO � ROOMS STORIES L. SIDE FT. O FT.
EXTEFIOR WALL - ROOF
COVEFING COVERING REAF FT. FT.
USE OF BUILDING AND WOFK TO BE PERFORMED DISTANCE BET. BET. MAIN &
MAIN BLOGS, qCCE55. BLDGS.
rivate swimming pool in rear CURP.qW qPPFlOVED
of single family dc�relling... APPROVED /
e
I hereby acknowlatlge that I heve read this application antl state
that the above informatlon is correct antl agree to comply with
all lews reguletln8 buildinB constt�ction, entl I shall not employ
any person in violation of the workman's compensation laws af
the State of Celitornie.
� hereby cerNty that I am properly licensetl as a conhactor untler SQ. FT.
the State of California Business and Professions Cotla, Divislcn 3, THE AMOUNT SHOWN UNDER VALUA710N IS FOR
Chapter 9, and [ha[ sueh licenses are in full fo�te and etfect, or I THE PVRPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the provisions of [he State of California Business VALUATION
antl Professions Cotle, Divizion 3, Chapter 9. d 3.. %%�
PERMIT FEE $
Signature of I / 00
Permlttee OOl �Y1 LLO�A� §30D�� P�qN CHECK $ /// ��
J
Auffiorizatl ABant � y�0
TOTAI FEE $
OWNER M
yOB ADDRESS
GENERAL C01
AP No. 7 49_
GAS
WaTER
CON.
SPRINNLING SYSTEM
MISCELLANEOUS
ROUGH HEATING ANO AIR CONDITIONI
UNOERGROUND � POWER �
ROUGH WINING
TRENCMES FORMS � STEEL REINF.
FLOOR SVSTEM
FRAME ANO FLASHING
LATHING — IN [� I
PLASTER, 6ROWN COAT
DATE 3-4-7
BUILDING PERM
RIPTION of WORK Patio C
ZONE VALUE E 210.0
DUP TYPE
SUBCONTRACTOR
.. � '� I �73 NA,o �
``t ' WAR -4-7Gcwsr,00 124 a,toc*�5.0�
CO5TA MESA BUILDING-SAFETY DEPARTMENT
P,p. BOX 1200 COSTA MESA, CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
AODRESS �/ � AEC E�Y D�iE _ EIVED DI�E I�ED �
BUILDING A U� �� ; �j J j
OWNEF� il� L S A.P. NO. �� ���/ /// PE S IT(b /.S
MAIL BUILDING
Z ApDqESS S = ADDRESS
d U GTY �yS J A � C Sr 1 NOL�`t /'60J' TRACT �O O LOT B�OCK
zZ
Q conisraucrioN Q �t '"�
O N LENOER ♦%
a m ��
J � BRANCH
-� N OWNER
m J ADDR�SS
m VALUE
J a OR ENI INEER -ST� a� A� TEL. S g�/�
U � N
FIRE
w� ADDRESS ZONE TVPE GROUP
WZ CONTR/+CTORSi�Tn �1�� Tt�! q'F��r BYPROVED � DATE.� 7'' D
J �
m� ADORESS 2�0�- S /%'I rq/.c� sT.
w w TEL. ZO NO.OF USE OF NEW �
Z� cirv �' r?Ni ly� /¢d//} NO.��.�DY9/ — PLANS � BUILDIN
0 STATE CITV VARDSAPPROVED VARDSAPPROV D
y fL L,�. No. / gy � 5�� LIC. NO. MAIN BUILDING ACCESSORY BUILDING
� � SIZE NO.OF BLDGS. (FROM C/LST �T)
OF LO7 NOW ON �OT � FFONT FT. FT.
USE OF
EXISTING BLOG. GS ; � T./ FT.
F' SI2E OF /. � t/ ` I_ / NO. OF
Z NEWBLPG- �� �� n ROOMS STORIES L.SIDE FT.
V EXTERIOR WALL ROOF L V, h� '%�
COVER�NG COVERING REAR FT. FT.
J USE OF BUIIDING AND W0:1K TO BE PERFORMEO DISTANCE BET. BET. MAIN &
a MAIN BLDGS. ACCESS. BLOGS.
a .r� �q �9 Q�+��
O �,V�"� LJ%Y�I-� T�i/ci{Ttj CURP.qW APVROVED
� D � � APPROVED �
N �
z '
�
UI hareby acknowl¢tlga [het 1 have reetl this apptleation entl sIDte
� that Ne ebove information is eorrect antl aprae ro comply with
� ell laws �e8uleting builtling co�struccion, antl I sholl not amploy
r ony per5on in viOlatiOn o( th¢ workmen's compensation laws ot
y the Stete ot Celitomlo. �
zI horoby cerNty that 1 em proParly licensetl as a contractor untlar SQ. FT. o
tho State of Californie Busineis entl Profassions Cotle, Dlvlsicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR �
Chnpter 9, antl [hat Such licenses ara in tull force antl BffBGt, Or I THE PURPOSE OF ESTqBLISHING A PEFMIT FEE ONLV:
em exarr�Pt trom [ha provlsiOnS Of Me $teta af Californla Businau �
untl Protea:ionxGotla, Olvislon 3, Chepier 9�. VALVATION � m
«<^' K,C PERMIT FEE 5 �
SIB�ature of '
Pormittea </ ���7 5 �/D P� PLAN CHECK § �- E
C�GI�'-C '
Autharizatl ABeni � u
TOTAL FEE $ �