HomeMy WebLinkAbout3057 JAVA RD - Building PermitsI PBOJECT POOflESS: 3 O S I JAVA RD
owNen•s Name VAN AUSDELN HOWARD C 3RD
noosess: p O BOX Z 2 5{3
COSTA MESA,CA 92626
NFCHIENGINEEfl:
PDOHE55:
flEG.NO.:
UNIT:
UNIT:
PEflMITTEE: COASTAL ROOFING ( 714 ) 538-3968
�� aooeess: 4S8 CHRISTINE
ORANGE CA 92669
UCENSE� CONTHpCTOH oECIANATION: I hereby allirm tha� I am license� under O�ovisions o� ChaO�er 9(commencing wii� $eciion
7000� ol �iv�sion 3 oi Ihe Business an� Pmfessions Code, an0 my license is in tull torce an0 efiect.
ciTruc.: 054535 qSTRTELIC.:)fj'7524 F�pyas: C—._ g
�ate: —GO � 2' �� Lr Signature: _ �����'(/�—�/'
WOBNEHS' COMPENSATION OECLAHATION: I herehy aflirm a� I h vg�s �pfi�icate 0� ton5ent �o sel4insure or a te�itiCa�e o� Workers'
Compensalion Insurance, ar a cenitied copY I�ereol (Sec�ion BW LaG C)
POLICY NO.: E%P. TE:
COMPANY:
� Ce�ihetl copy is hereby Wmishetl. ❑ Cetlified copy is �iled wi�h I�e ci�y Builtling �ivision.
Dale: App�icani: '
E%EMPTIONFflOMWOBREPS'COMPENSPTIONOECIABATION: (T�isseclionnee0notbecamplete4i��heDermili5foranehunere0(5100)oNess�.
I certily ��a� in Ihe peAarmance ol Ihe work tor which Ihis permi� is icsueq I hal no� employ any person in any manner so as �o become
Subleci lo t�e Workers' Compensation Laws o� Calitomia.
Date: LLD" %' �'� p� Signaiure:
NOTICE: II. alter making Ihis declaralion, you 5hou10 bec e bje t e Workers' Compensa on pmvisions o� �he Labor
Code. you must fonhwiih comply wit� such pmvisions or his em� s all be tleemed revoke0.
CONSTflUCTION LENOING ACENCY: I �ere�y aHirm Iha1 ihere i a cons�mciion lentling agency for the pedormance of �he work lor
wnicn Ihis permil is i=.suetl (Section 3097. Civ. q.
LENUEN:
AODPESS:
OWNEfl BUILUEN OECIANNTION: I hereby af�irm Iha� I am exempl fmm �he Contrac�ors' S�a�e License Law �or the following reason
(S¢tlion 7031.5 Bu5ine55 antl PrO�essional CoOe Any ciry oi coun�y which reQuires a permit �o conslmct, al�er, improve, demolish, or
repai� any stmcture. prior to ils issuance. alm requires �he aOP�icant �or such perrtu� �o lile a signetl 5�atemeni Ihai he/s�e is licensetl
pursuam m t�e pmvisions of t�e Contracmrs' Slate License Law (CAaO�e� 91�ommencing with Section 7000) of �ivision 3 of t�e Business
an0 Pmfessans Cotle) or Ihai helshe is exempt thereimm antl �he basis �or �he allegetl exemp�ian Any viola�ion ol Section 7031.5 �y
any aDDllcan� �or a permii subjec�s Ihe applicant �o a civll penalry of no� mo�e �han ilve hundred dollers ($500�.
I, as owner ol ihe OmDe�Y or my employees wilh wages as their sole compensation, will tlo ine work, and ihe
❑ simcWre is not imenUeA or ofieretl for sale (Secnon 7044, 6usiness antl Pmfeuional Cotle: The Contractors' State License Law
tloes no� apply ta an owner of a pwperly who builds or impwves �hereon, anU who Ooes such work himself/herself or thmugh
his or her own employees, provi4e0 �hat such impmvemen�s are not imende0 or oifered lor sale. I�, however �he builtling or
improvemenl is sold wit�in one year of completion. Ihe owner will have ihe bur0en of pmving helshe Jid not builtl or improve
for ihe Du�pose ol sale).
I, as owner ai Ihe propeny, am exclusively conirading with licensetl contractors to constmcl �he pmjec� (Seciion 7044, Business
❑ and Pmlessions Code: The Conirac�ors' S�ate License Law does not apply �o an owner ot pmDeny who bui105 or im0�oves lhereon
and who contracls lar such prolec�s wiih a conlracior�s) license Dursuan�to the ConVactors' Siate License Law�. I am aware
Ihat proo� of their WOBer'S Compensa�ion insurance shoultl be pmvide0 b me.
� I am exemp� untler Sec�ion' 8. 8 P. C.
��. lor Ihis reason: . _
Date: Ownec
I �o hereby ceN�y Iha� I am aware ol antl untlerstana Ihe requirements af Cali�omia Heal�h an0 Sa�ery Code Sec�ions 25505, 25533, antl
255JG an4 ihal I or any fuiure bmiding occupan� wilVwill not (circle one) neeU �o comply wi�h saiA state cotles and Ihe reQuiremenis lor a
permii for consimc�ion or motldica�ion imm �he Air Oualiry Management �iSlricL Resitlential can5tmc�ion ap0�ications are eKemp� imm
IhCSe pfavi5i0n5.
�aie: Applicant:
I �ereby cenAy ihat I have rea0 �his applicaiion ana slale Iha� Ihe above inbrmation is correcL I agree to comply wi�� all city antl county
arNnances anA Sldie laws relaling lo butlaing conslmction antl herehy authorize represenialives of �his cityta enter upon �he above-mentionetl
propeny forinspeclion purposes.
�ale:.���'�' �� (i� — Signaiure: _
onvor's Lmense or Sociai Secumy x:
t6at�u6 WM1ne—Builtling: Green—CoOe Entorcemen�; Canary—Applicanl; Pink—Revenue; Goltlenrotl—Fssessor
CITY OF COSTA NESA — HDILDING PERMIT
PERN,IT NO: B 054630 PLAN CHECK NO: N
CONSTRiICTION TYFE: 5—N PERMIT TYPE: STR
JOH DESCRIPTION : RE—SHEATH 6 RE—ROOF/ "HARDISHAKE"
PERM NO: H U5463
GOVT: N SUPP: N
PURPOSE: ALT
SQ FT: 12,000
CLAIM VALUE: CALC—VALUE: 12,000.00 GROUP OCC: R-3 /M-1
COMMENTS: SMOKE DETECTOR(S) REQUIRED IN HOME. �{�.��^ ,��.�y
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Z O N I N G R E Q U T R E M E N T S�
S E T B A C K S ���a p����
------------ MAIN BUILDING ---------- --------- ACCESSORY HIIILDING�---------
FRNT: FT IN REAR• FT IN FRNT: FT IN REAR: FT IN
LEFT; FT ZN RGHT: FT IN LEFT; FT IN RGNT; rT IN
PARKING REQ• PROV: PARCEL; 13924201 ZNE: REF NO:
PLANNING N(5"fES>
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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 I R E M E N'T S
ZONING APPROVED.HY DATE;
BUILDING APPROVED BY ; DATE;
.3 ,
APPLICATION ISSUED BY: DATE; ic� �-/ '"
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LEGALIZATZON:N F E E S U M M A R Y STRUCTURAL SEGM�Ni:Y
':n
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIF/RES GRAllTNG
PERMIT 135.00 1,20
PLAN SMZP /NON—RES• .:'
ISSUE FEE
BUILDING—DIV—> PERMZT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 136.20 0,00 0,00 135.20 136.20 ",00
REVENUE DIVISION iOTALS--> COLLECTED: 136,20 OVER/SHORT: .00
BLDG PM1 PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADSNG PLAN—CIiECK
135.00 1.20
iE iE iE iF iF �E IE iF jE iE if 3E iF IE iF if iE 1f iE 1F IE iF if if iE iE iE iP IE 1F 3f iF �t iE iE i� if 3E iF it )f If aE 3E It jE 3f 3E iE �E �E iF 3F if iF?f ii� 3E �F?f if 3f IF iE if IE iF � iE lF if if iF 3F.�(� ap iE 7F 3F
I N D I V i D U A L F E E H R E A K D O W N
TYPE OTY D E S C.R I P T I O N UNTT COST TOTAL COST
SFR 12000 REROOF BY VALUE RESIDEIVTIAL NOZONE 1,00 12,0OO.OU
Ei3D OF FEES
% y�'��
_ /3 D
3 �8
s
=�'ii�- -�-��;—.._ ' -
Ci i�l�l:i'':_v—.. .:'�.��: r�'
CONSTRJCTIO(v AND PLANNING P��� PA
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
l
1. Temporary Electrical Service oi Pole � 52. Pool & Equipment location �
i�
2. Soil Pipe-Undrgrnd. ' c 53. Steel Reinforcement ,
3.-Electrical Conduit U4ility-Ur�d grnd. 54. Forms „�
4..Electrical Conduit�Undrgrnd.�r ' 55. Electrical Bonding �
5'.'Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrital UFER Grnd. . 57. APPROVAlTO COVER�GUNITE ,
7: Footings 58. Electrical Conduit-Undrgrnd.
�
8. Foundation , �- -� 59. Gas Pipe, O Undrgrnd., Test .
",- - --
9. Water Pipe�Undrgrnd. j�J 60. Backwash Lines, P-Trap, O Undrgrnd. :
10. Structural Floor System �y � `� "; 61. APPROVAL TO DECK �r::�
1�1. Property Sewer Line & Hous_e_,.Connection 62. Backwash & Receptor�Final �
2
12. Sewer Cap ^ ' 63. Heater & Vent-Final
-� /
13. Roof Drains ' ��� �� 64. Plumbing Sys[em - Final , --�
14. Rough Plumbing '' , I 65. Electrical-Final i��=�
15. Rough Electrical�Conduit _ � 66. So1ar System�Final �'..
i
. 16. Rough Electric Wiring 67. Fencing & Access Approval ��
17. Rough Wiring Sign 68. APPROVED FOR PLAS7ERING �
18. Rough Electriral-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20.�RoughFzctoryFireplace .' ' - � APPROVALS �� Permit#
21: Ducts, in Structure . .� �`70. Undergrounct' HYdro �
22. Ducts, Ventilating � 77. ProductPiping OGas OOiI
23. Gas Pipe-Rough 8i Test ' . 72. Underground Flush , , �
24. Rooi Framing ' • _ 73. Undergmd: Storage Tank O Gas ❑ Oil
25. Roof Sheathing ;. _ �, , �S�f�� ��t/�� 74.=0verhead Hydro- �
26. T�Bar Ceiling (Structural) & {ylonocoat -. - � 75. Dry Chemical � • �:
27. Frame and Flashing . � 76: Dry Stand��ipe " _� � `' .
28. Lathing & Siding - � � � �• 77. FIXED SYSTEM�FINAL' �
29. Insulation _ , � , ' I� 78„ FIRE PREV. FINAL • .
30. Drywall Nailing - ,^ � HEALTH DEPT, REQUIREMENT
31. Plaster Qrown Co�,at� .. �� +�. 79. FINAL INS2ECTION -
32. Electrical Power Meter-Final� . ! � S0. FOOD CERTIFICATE ISSUED
33. Final Electric ', J/��. Notes: '
� 34 `Final Heating'& Air Conditioning � I / � j ' - • � �
35.. Final Gas Pipe-Tc�st I ,- '' • �" .
36 � Hood or Canopy - ;"- . . �
�
37�. �Final Factory Fireplace ' ' !���� ' ,
/ :'
38. Final Plumbing � � � � - - � _
: .
'39. WaterService-Final � .:'�' - �
, 40. Gas Service�Final . � .� - � - �
41. Solar pomestioFinal � � � �
42. Backflow Preventer �-
43. Backflow Irrigation - - -
44. Landscape Icrigation SYstem - � . � - • -
45..Sound Attenuatiori..�.��• � � � � •
46. Handicap Regulations ` � � � . � - ,
47. FINALSTRUC7URE&,�BUILDING �� �� �
48.'FIfVAIPLANNING . �� •
49. Electric Release to Edison . � > p_, �,3 GP'�...- �� ��, �� _
r �
♦
50. Gas Release to Southern California Gas Co j �� �. ��
- 51. CERTIFICATE OF OCCUPANCY . ;
No. � �.Date
D
�
JOB ADDRESS 3057 Jav
GENERAL CONTRACTOR
A*' No. 139'2 Z—OS. LOT
. ?ECTIONS
F
OCCUPANCY
'ORM BI14 - 5M —
W
TRACT
RIR� ZON�
DAT� GROUP I& JTYPE V
DATE 5-22-62
BUILDING P�RMIT NO. 17011
vaLUE � 30 360.00
DESCRIPTION OF WORK s Att.Gar.
SUBCONTRACTOR
ZONE R-1
il
= � i�oii
COSTA ME5A BUILDING•SAFETY DEPARTMENT
P. O. BOX 917 COBTA MEBA. CALIFORNIA
For Applieanf fo Fill In Complefely
TYPE PRINT
BUILDING �� <� � �, y�'�'
AO�RESS� / 1
COSTA MESA. CALIFORNIA
TEL.
� AR�""TECT
■ STATE
oF �or /Z Z. so y/5��/_70 � I;,°ow ori Lor�
USE OF (Z�
EXIBTING BL�G
86TBACN LINH PHOM / (� /
GCNTER OP eixeeT Sd REAR YARD `l"
SIDE YAR� I LE �� � I RIGHT �'d /
DE5CRIPTION OF WORK
'EXTERIOR WALL w� ` I ROOF
COVERING A COVE
U�tG OF BUILOING AND WORK_'[p�
1 HEREBY ACKNOW�DO¢ TNAT I HAV6 REAO THIB APPLIGTION
wNO eTAT6 TNAT TX8 ABOVe IS CORRECT ANO AGReE TO CON•
PLY WITH ALL CI OIiD�NANCEB AND eTATE REOULATING
BUILDIN6 CON U ON. � � ��
61GNATURE O
PERMI'REF �
AUTHORIZED AOENT
FEE RECEIV�n
NAY 1 01962
�fINANCE DEPT,
CITY OF COSTA M�SA
APPLICATION FOR PERMIT
BUILDIIdG
For Office Use Only
RECCIPT NO. PCHMIT NO.
� �/'/L—
er o�� neceivao o�re iesuey
I.� //Li/..'I.�—�i..�'/n/
BUILDING �� C^,�
ADDRESS J
COSTA MES . CALIFORNIA
Z NO.OF UBE OP NEW fl+ti /1e
�� / PLANB � BUILDINO W A 9Q�,
LEGAL � � / 8 '�� L �f 8 �
DHBCRIPTION q �
A. P. NO. I 3 /— �%�'� O/
YARDS EVES
APPROVED ALLOWED
(CENTBR IINE 9TJ TdY�
!
FRONT � Fi. v IN.
R. SIDE 2� FT. �— IN.
0
L. SIDE �-� FT. �� IN.
REAR ` FT. � IN.
BYPROVED . /Ll� „n DATE ���IV Z�
IQ'S FY
�
nie AMOUNT SHO
PURPOBe oF E81
$�0 ���G �
9
UNDEH VALUATION IB FOR T{I[
IBH�NG A PERMIT FEE ONIY.
cxecK s FGlo `��U
�
�
or
[N
�2 -67
DATE
OF
ZONE VALUE
:OUP J TYPE
SUBCONTRACTOR
� - 2�823�
COSTA MESA BUILDING-SAFETY DEPARTMEIYT
P.O. BOX 7POD COSTA ME8A, CALIFORNIA 8282!
For Appllmnt fo F!1! In Complefoly
TYPE OR PRINT
COSTA MESA, CALIFORNIA
•e�. 5�f
NO. �rc�iGG
�—' unl' ��
LIC.TNO. �..OS NHL S�
slze Ho. or
OFLOT NOW I
USE OP c
EXISfINa BLOO. � L
YGTlACK LIXI IM1OY
ClNTew OI �iR[R RZAR YA
� BIDRYARDI �EPT I RIOHT
DESCRIPTION OF WORK
f
'1 HEPEBY ACRNOWl6D06 TXAT 1 MAV[
/�ND BTATB THAT TM6 ApOVB 1� CORRI
PLY WITX ALL CITY OPDINANC[0 ANO 1
euan�rvo coxeraurndB
� AUTMORIZG� AGBNT
R60U{ATIXY
HAR23-67c�s�,�0 826 �**t::s:6.00
APPLICATION FOR PERMR
BUILDINQ�
for Offlce Use Only
�.[aN.
YARDH MPROVHD
MAIN BUILDINO
r�
R6AR I
DIiTAlIC[ ![T
MAIN BLOOY.
VAR. JC
aoNiNc
YUY[OIN6W
eu��olNo
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AN6 S�LL BE LE88 THA
YARDSAPPFOVHD
AGCEL80RYBUILDINO
86T. MAIN
ACCESS. B
DATH
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0
TX8 11MOUNT OMOWN UNOtR V�LUATION 18 POq Tf1C j
�YPro6[ OP �BTABLI8N�N0 A PEPMIT F8B ONLY. A
VALUATION __ �
� PERMIT FE8
7 �� _ �
s / w
TOTAI.FEE $ `�