HomeMy WebLinkAbout2090 FLAMINGO DR - Building Permitss
(714) 754-5273 • Faz (714) 754•4858 • www.ci.costa•mesa.ce.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Job nddress: 2090 FLAMINGO DR
Suite:
Vicinity:
Parcel Number: 13954117
Applicant EVE, DARYL
Address: 5751 WALNUTAVE
UNIT 2
IRVINE. CA
Owner: HALL, BECKY
Address 2090 FLAMINGO DR
COSTA MESA, CA
Contractor. SUNDANCE ROOFING CO
Address: 5151 WALNUT AVE
UNIT 2
IRVINE, CA
Zip: 92604
Arth :
Address:
Phone:
Zoning: R1 Rt
Phone: (949)653-5722
Zip: 92604
Phone:
Zip: 92626-4722 .
Phone: (949)653-5722
License: 718369
Eng:
Address:
ISSUED 8
Status: ISSUED
Applied: 09/15/2004
Issued: 09/15/2004
Phone:
Zip: License: - License: �
SCOPE OF PERMIT
REROOF: T/O EXISTING WOOD ROOF, INSTALL OSB PLYWOOD, 2 PLY 30# ASTM 36" FELT & 30 SQR'S OF EAGLELITE TILE-ICBO#4660
(72#) ' ,
Plan Check: $90.51
Permit: $13925
SMIP Res: $0.70
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $230.46
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0- 0
PARKING Existin : , 0
FEE SUMMARY
PLANNING & ZONING
� Rear 0-.0 Lek 0-0
Rear 0- 0 Lett 0- 0
Reouired: 0 Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Riqht 0- 0
S�,000.00
57,000.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requlrements under California statutes and related
regulations. (Ord. No. 92•28, § 1, 12-21-92)
EXPIRA710N: Thls permlt shall automatically expire and become vold if work Is not commenced within 1 BO days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order (or the work authorizetl under ihis permit to be considered legal, such work must comply with all applicable codes, and all
requlred inapactlona and Iinal epproval must be oblained. Fallure to obtain inspections and final approval will result in the expiretion ot ihis permit.
FOR INSPECTIONS CALL: (714) 754-5626
:wo+o �aw�
WORKER�' LOMPEIISATON DECLARATON: - ' . � +
I herebgaflirtn.untler penelry of perjury one of the tollowing dederetions: ' _ � '
❑�I have nd wlll malntein e certifiwte of cousem to self-Insure tor workers' cnmpensation, as provided tor 6y sectiom3700 of.the Labor Catle, tor the peAormence ot the
wo � or hich t�is permit' tl. , .
I ve and 'll maintain orkers' nsation insurance, requiretl tlon 3700 oi Ne La e, for the pertortnance e work for w his pertnit Js Issued.
— y_workers' mpe tion Insuranc arrier entl polic mber ere: �
Cc . _ ___.— — __ _ . ___ '— _' '_,po er.- -- _ � �._
��s section need nof be cample ' hontlr d dollars ($ f ar less.) V -' �
' fcenify tha� � e d rman tor whi this pe it is iss q shall not employ eny person in any manner so as t bewme ject to the workers'
i compensa' n laws o lif i, a tl aq that ii oula be ome s �ecl�to the workers' compensation provislons of Sacti 3700 of a Le r Code, I shall totlhwith
comply wi these pro 'o .
�Appl cant Signat e: Date:
i
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVE IS UNLAWFUL AND SHAl1 SUflIEGT AN EMPLOYER TO CiiIMINAL PENALilES AND pVIL FINES UP TOONE HUNDRED
T}KK15ANDDOLLARE�St00,000),INADDfT10NTOTHECOSTOFCO NSATION,OAMAGESASPROVIOEDWRINSECTION310GOFTHELABORCOOE,1lJrEREST,ANDATTORNEY'SFEES.
LICENSED CONTRACTORS DECLARATION:
m ihat I am licens�e �j d r �o'' o^f Chapter 9(commencing with Section 7000) of Division 3 at the B
ect. Llc. #��1�J ��/ . C ' CIa55 M
Signature: �. � �Date:�
Code, and my license is in lull
CONSTRUCTON LENDING AGENCY:
❑ I hereby aNirm that ihere is a consiruction lending agency lor the peAormance ol ihe work for which this permit is issuetl. (Sec. 3097, Civil Cotle).
Lendefs Name: Lender's Atltlress: �
Signature:
OWNER-BUILDER DECLARATONS:
Date:
I hereby aHirtn that undar penalty of perjury ihat I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Protessions
Code: My ciry or counry which requires a permit to construct, alter, improve, demolish, or repair eny structure, pnor to its issuance, also requires tha eppliwnt for such permit
to tile a signed statement that he or she is licensed pursuant ro t�e pmvisions of the Comrecrors License Law (Chapter 9(commencing with Section 7000) of Dlvisian 3 of the
Business antl Professions Code) or thet he or sha is e:empt iherefrom an0 the basis tor Ihe alleged exemption. Any violelion ol Section 7031.5 by any epplicant for e permit
subiects the applicant to e civil penalry of not more than five hundred dollers ($500).):
❑ 1, as owner of the property, or my employees with wages as their sole compensation, WILL DO TTiE WORK, antl �he structure is not intentled or olfered tor sala (Sec.
7044, Business and Professions Code: The Contractors License Lew does not apply lo an owner of properry who builds or improves iheraon, and who does such work
himselt or herself or �hrough his or her own employees, provided ihat such improvements are noi intended or offered for sale. It, ho�xever, Ihe building or improvement is
soltl within one year of completion, tha owner�Guilder will heve Ihe burdan ot proving that he or she did not build or improve for purpose ol sale.). �
❑ I, as owner oi the property, am EXCLUSIVELY CONTRACTING WITH UCENSED CONTRACTORS to construct the projed (Sec. 70dd, Business an0 Professions
Code: The contractors License Law does not epply to an owner ol property who builtls or impmves thereon, and who contracm tor such pmject with a contrector(s)
license pursuant to the Contractors License lews.).
❑ I am exempt untler sec. Business and Professions Code for ihis reason:
SignaWre: Date:
Owner ID veritied by dnveYs license. ❑ Yes ❑ No Drivers License No.
Venfication ol Ownership by (rype oi tlocumem, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
Expires:
� I hereby cenify thai no e:cavation five (5) or more feet in depth into which e person is raquiretl to tlescend, will be made in connection wi�h work authorized by Ihis
pertnit, and Ihat no Duiltling s�ructure, scaflolding, falsework, or demolition or dismantling Ihereof, will �e more �han thirry-six (36) feet high. (Chap. 32, Gry 2, Ar12, Sec.
347, Tule B, Califomia Atlministrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit trom Ihe Division ol Indusirial Safery, as noted above, unless such pereon hes a
pertnit to do such work from iha division.
Signature: Date:
Divisian of Industrial Safery Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUTHORIZATON OF ENTRV: I certity under penalry of perjury that I �ave reatl this epplication and siate ihat the infortnatlon given is
correct. I agree �o comply with ell state laws e 'ry ordinances relating to building construction, antl aut�orize represemetives ot ihe Ciry ot Costa Mesa to enter upon the
ebove-de 'bed�pre or insp i pury es. reg not to occupy or allow occupancy of any building authorized by this permit until finel inspection.
)
�, ignat re Of al O er(s) /� te
♦ ` -
� An r Auth d pp icam \ Dale
COUE I, INSPECTIONTYPE
1616 Fized System Final Fire Pravention
1266 Pool Spa Final
200 Final Re-fiooi
201 Final8lock/Retaininq Wall
202 Final Factory Fire Placa
203 Final Sign
204 Final Demolilion
QejE INTITI�LS
�t•'�I / � ii...
�• i I
COOE I INSPECTION TYPE
206 Final Mechanical
208 Finel Plumbing
210 Finel Electncal
212 Finel Fire Preventlon
220 Final Planning Approval
222 FinalSite
250 ' Final Building/Occupancy
D7•�T�Ril�il.i6j
'Q,r��I.
_ 6 '�CP���
Project ................................. REROOF WITH TEAR-OFF �
Address ............................... 2090 FLAMINGO DRIVE 1�
COSfA MESA, CA. �
Owner .................................MR./MRS. HUDDY ./
(714) 403-4747 . �' '
Roof material ....................... LIGHT WEIGHT TILE
�
I.C.B.O. Number .................. 4660
Number of squares ...............30.5 SQUARES MORE OR LESS
Tile weight ...........................7.2 POUNDS PER SQUAREFOOT
Manufacturer .......................EAGLE ROOFING PRODUCTS
Plans prepared by ...............
DESIGN � DRAFI'ING SERVICES
1932 HAMPSHIRE ROAD, TUSTIN, CA,
(714) 731-2665
Field En�neer ...................... ED YANDOC
(714) 731-2665
Office Engineer .................... SHUCRI "CHUCK" YAGHI, P.E.
LIC. NO.0 43205, EXP.3/31/2006
112 E. CHAPMAN AVE., SUITE D
ORANGE, CA 92866
CONTACT: (714) 731-2665
Roofing contractor...•4�,��"'
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' � a�� .................
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SUNDANCE ROOFING
5151 W�NUT AVENUE NO.
OFFICE; (949) 422-1458 CELL
;1'HE-FOLLf�CI�"i�WAS PREPARED FOR THE ABOVE PROJECT.
;fHE E�J��a'cf�C�SROOF MATERIAL IS WOOD SHAKE ON A
CO�JVETi9'I(� �PRAMING OVER SHIP SHEATHING AND
d}IILL''`B���Z�CED WITH TILE OVER NEW 7/16" OSB
��l OD SHEATHING WITH MINIMUM 30 POND
�I�SbEI�LAYMENT FELT INSTALLED PER
`IVIAN�JFACTURERS SPECIFICATIONS AND PRE-
`APPROVED ICBO REPORT. CALCS WERE BASED ON
MANUFACTURE'S STANDARD OVERLAP. (NO
STAGGEKING�.
THE EXISTING ROOF FRAMING IS ADEQUATE TO
SUPPORT NEW ROOF LOAD IN GENERAL EXCEPT FOR
FEW ROOF MEMBERS REQUIRING TO BE BEEFED IIP.
SEE PLAN AND REFER TO CALC PAGES FOR
JUSTIFICATIONS.
EXISTING ROOF FRAMINC� PLAN
x�:
LEGEND:
//ve+o�s cciu�
� arr,.c�v ro i.waz-
SIDE OF R.4Ff625
OD�DiES L.4LG
• R6$3BY.E NA'�i
—� IDAD 864R1N6 VIN.LS
---- FION—L.OM BEARIFI6 YINLL
ROiOF LII�
3l32'-1'-0°
NOTES:
I. 01lLY GRITILPL ROOF FEP�S ARE R6�BIG� IN GALLS.
]. NORMAL DB3.EGTON E�STS IN LONG SPAN RAFi�
3. R�ORT TO 7}� B161t8$i. YU7HIN 24 HpA2�i ING011fa157B1GY
(IF ANY) PRtOR TO LOADINB T}g TILE FOR IFR�IA7E ALT10N
ROOF FRAMIN6 PLAN FOR:
BICL ! HEIDI LAN6WAY
2090 FLAMIN60 DRIVE
C.05TA MESA, GA.
(714) 403-4141
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5'/STE%1 S'C�F3 ONPC� �X/5 i�NC� —
��C/STiNC� /�'i//u/i`% ��CEs e<,
.' ��./G d it/AiL i4S $9tlWN :L3/�CEO . %v ViG
8
. ��
__.. Bf3�1.C%N�... /.�E%�I %LS " . .
_ sc�t t c=. . . : . Nn.vE
.,
:,or ic,k��r;c: /07�(o R�Se�f w= 2�.o ast x
T:.le 200� 7.2 osi
<oo\f �h�atc::�-, 1.5 ps� M= 1/8 X vrl"2
`i" / ' 1 L
�K_�i �.�:C:::..,li�.:l': 0��� nCJl
ROC£ R3"ii=2r3 1.7 �SS � '
� ;'--,..:T,...._.;:�9i>.: 0.�1 psf Sreq'd =
CQLGS
...00' �" . ��v 1� i 1 - . _ •. .
= 8°� ."s0 `_�---�..._
859.30 }: li
---=---- ---- �--- ---- = 5 . 66 =�_' :
--------=--�----�------------ 1450 psi X � .'_�
Dead I:::ac 11.0 osf
Live '_ned 16. � os` S2 :{ � _ . � . ..=: > > . 66
------ ----- --------------- �
To•`..a1 �cad 27.0 os=
5 X �4.00 '; '_i..'_'_ "� X l7?_8
Deflectior:=-----------------_.__-------- = G-::�
384 X (1/7 x �.^.}"v-' X �:i.r4
1' 11.<':5` ". 1•'_'
e al.Lowab?e=--- _ -------._._._ = 0_?5" > C�.21`
180 ?3C U
�OF L.Oi=.�'�Ir3G;���CB/Q.af7�s�"w = 30.0 �si X 4.00' = 120.00 plf; 1= i3.
Tilc �.00f 7.2 psi
Ro;:i She:.`.:7it:g� 4.3 psf M= 1/8 R wl-2 = �,8C�.0's i�-1b3.
(c:) Skip ::_�eachinc 0.0 ps�
::o��f R.afters 1.5 psf 2803.03 }: 12
^ � : - ',- "Misc 1.0 psf Sreq'd = ------------------------ _ _0.56 in`�
-- - .., _._.,.._.
-------------------------- 1950 osi 5: 1.25
Bead �a�v 14.0 psf
Lic�e :.c.::d 16.0' ps� S9 X_ �i = 30.66 > 18.56
------�------------------ � OK
Totai Lo�d 30.�7 psf
:�'vP LG�!::?;,,;: � 2x8 �Ov,e.�./N,S
^'_in TCi;C:'F .Z LJS�
Roof Sheat3<i� 1.5 ps�
( E 1 S;:'_p 5:�e_ �hi.rig 0. 4 ps=
Rocf Raf;-.,;rs 1.5 �s=
_ _'__ .. _ • 0.4 ps�
_ ..,�. '24i:.�.
D�ad _�cc�:--------- 11.0 osf
Liv� ;,o.-:,d 16.4 os�
------_ J------�---- ---------
otu`1 ��ad ?7.0 , _
i�i�LG �G� � 7� S�+-��
f�a�.L S "^- �2�
,Goc�'o�., ...a > 8 ' c�ee
��.a.�o�- ..•a.'`'�.o�i"'.r�s-"`l`,e
� �v ^ ��
��`e i"i .,f
s�; izo.ao x_?.�;-•� x i�zs
Deflect_on=---------------------------- = O.SQ'
384 ;{ (1/7 :{ i�)'o X 111.15
•1' 13.E7' ., lt"
� d1104J3b12-___ _ ________.___ = 0.�1` > �.5��.
i80 18G ' GI:
w = 7.7.0 �sf X 7.58' _ �".4.��5 '..1f.; ?. _
M- I/S A Wl 2 - ��L,'.�v.��] ..-� lS•
12 ;3. 54 �: 1-
Sreq'd = ------------------------- = 9_63 i::':
1250 a�i }: '_.?�
S� � c= _.',, i4 % 9.63
OK
5 X 2G4.6E X'.��:�"� X 1'_8
Defl�ctio^=-----------------------��--- - p, �c
, 364 R (1/7 :. _��;.'.. .. u7,'c
1' 7.C,r�, ,. �_::
allowable=--- _ ---------- = 0. 4 ; " > 0. + "'
180 1�SC: �
"vF LO?� ; =1v��: Q `{X�� �'�� w = 30. ) nsf X 8. 13' :_ � _- . : �: �li; 1 = - . ,.
Ti_8 5co= 7•2 psi
P.o�f S:�ee:�':':i;c 1.3 cvsf M= 1/S X t•�l"2 = -,35_.�! �t-ibs.
_) S':�p S`:-athi._1g 0.4 psf
P,00f P.ai�.�-�_. 1.:: psi ' 1951.20 X?.�
• i;,,.. •z,-_,,; / . , _ -- ----�- _ �4.99 ; ...
�ei---..,. _..��__.24isc. 3. 1 psf Sreq'd -------------__ .__
--------•=---._-------------- 1250 psi ?: i. "t�
Deaci _�:�.c 14.Q ps�
Live _caz 16.Q nsf
------------- ...--�-----------
Tota? Load 30.0 psf
S4 :{ �C = 49.91 > 14_.9:
4p;
5 X 293.40 }: B.C:`" �s x 1;28
Deflect�.on=----------�------------------ = Q. :
3S4 X rl/� ?> >U;"E x 23C;.84
1' 8.0�' =: 2�„
• allowabie=--- _ ------------- = 0.53" > 0.06,
18 0 i 8 i,' '�Y:
�OF LOt=��iv:;:��x/�/�L�''�� w= 30.0 gsf }: 8.13' _--_.5�� :�lf; 1= 1�...
i1.iE {;� = 7.� }�Sf_
Roof _'�:��t:-:_-:.c 1.5 psf M= 1/8 X�.=Jl'2 = �1,3G�� 8C '-.-i.�s.
(E) �::ip �;�ea".:'_:in; 0.�1 psP
Ro� `�caf;-.ars 1.5 psf 78Q� _$0 :t 1L
��iii^g/=--s�_=;:4i_:-c 3.�1 ps? Sreg'd =-------------------------- = 59.94 i:'.
---------------------------- 1250 .r,5i :� _ �_
_���
Dee:� :oai 14.D psi
I:ive so::� 16.0 ns� 54 Y, _-_ _ =G�•.91 % �9.9':
------------ ------------- . :�:.
ibt�.i -�•yc 30.p psi
- X 253.9�� X"-S.G�`= x 17�8
. Deflectior=--.-------------------------- = 0.'sl
384 X ( 1/? >: =0; --�: ;' S78.48
•1' 16_;!p' _. 1�:::
• allowabie=--- -_ ------------ _ ''_.Oi" > G.3i'
� 1$ 0 18 G ��z.
;O� LG:�.��_2;G: OG'�c/1/°u:e.cin/.B�r/,w = 30.5 psf X 11.63' _ _5^.'12 Y;.f; 1= 1�....
Yilz kn-v` 7•2 Usf
Roc� �1:2ar:�:ir:: 1.� psi M= 7./8 X col"2 = .l?,?6�.7$ =t-lbs.
(E) Skip S=,2s.=.;=i.r.g 0.+� psf
Roof n�€�e_: 2.0 psf 10762.78 Y. .�
CeiL.^.g!Zas�_.:-79i.sc 3.4 psf Sreq'd =------------...-------- -= 08.88 ir_':•
------- 1500 X �.=_
--------------------- p�i -
De�d '�oa•,-:. 14.5 psf
L���e L�.ac 16.6 psf Sti X_� _:2_.2_' > 63.8_
------------------� ---�- �
TGL`a�i. i3Oda .'��.,�i }]Si
5 X 354.72 R �5,:3`4 _, 17�8
Deflection=------------------------ = 0.�.�:'
384 X (1/? *' ':'_'?"E ;: 647.07
1' 15.:8' _. i�`•
• all.owab-e=--- _ ----------- - '-.04" > U,4Q':
i80 _8� �
,G _=.__.2,
� �
.�=�3, �°%a��_.5_ ���_L3_3_�_% - 16� 73 �
�/_.� � � ,r�q
inSu J
--- ��/^�°�s�-�"`-'- -__�. d�33. �_ �/a•S_f 7�-7� 27Ps� � 72�� .
./�'J_=.(%n.. z6,_z3_ .x_z�_5'8 f�7.2/ x 2�s� _. 5��9,.� !�#
� g
_.SREa%-=..5.,�/_.9_.u;-�`./2•, , 3
/950� X /, 2,f - 36 .�-n
/ni.�/ 6 ✓e>�s �' b�..,.
cS �5)�x6 : %���c�S`=_3J_8 �3
—S, �. , , � ,����.p „
_.LdN(� O1ST�f�u7�- Ol�/TC2. . ,jB-�� �'� .�9�"�"!�..�� _.. ____...____....
V
'� ii
�c'L %�/�c/.6rf� ..._ /�2�7y0Y). �. _ _ . USE -. �T.arfL �B.
ADO�icant to fill in all spaces except t�ose within heavy Dortler Iines antl sign all approD�iate aeclarations.
CITY OF COSTA MESA CONSTRUCTION PfE�RMIT
Project Address ��o ] l,•
ApplicanCs MailinoAddrrcc /J � �(�/1� r
Owner's Name .� ^,f Phone�.L�'_ e
Address 'hL (� �J
Arch/Eng. License No.
Address
Convactor's Name ione y � �
Address (ma fng) +�' n - ,� /
City Licen N _� �.��
LICENSED CONTRACTOR DECLARNTION
I bereby af/irm that I am licensed unticr provi9on5 of Chartcr 9(commoncing
with sectlon 7000) ot DiviSiOn 3 Of the Buslness antl Professlons Cotlo, antl
my licenze is in /i I r e antl e((ecL �/n��.a. �
LlcnnseClaSs_ �}�j� ��j j�•ic/p/T� s t/l A
Date�'�1 Slgnat 'lllL/_I..f1.t= J
WORKERS'COM ENSATION DECLARATION �
I hereDy afiirm that I have a certlticato ol mnsent to self-insure or a certiBcate
i Workets' Compe/n5ation InSUrdnGa, Or a cert�ii�e(tl,� Co/py� the�reot (SaCtion
POOC�Y No.��_�N������ ComPanY �G//.�"' ` ��--�---��-'+--���-
�e4�rti'i�eQtl C�oPy is'eetlbwithrtho Citl)�/v�����)���1/�y I)� n / - /
Date / �S� Applicanf/✓��"��/
E%EMGTION FROM WORKERS' COMPENSATION DECLARATION
(ThisSeclion pBetl not De completetl If the pe�mit is for one huntl�ed (5300) o�
less).
I cmlity that In the perlo�mance of tbe wo�k for WhiGh thi5 pe�m�t is ISSuetl, I
shall not employ any p¢rson In any manne� so as to become subjet[ to the
Workers' Compensatlon �aws of Callfornia.
Date Signature
NOTICE: H, after making this declaration, you sh0ultl become subject to the
Workers' Compensatlon provisions of "the Labor Cotle, you must forthwith
cOmply witb such prOvizions or this perTlt SM1all b¢ tleemetl rovoketl.
CONSTRUCTION LENDING AGENCV !
I hereby ai(Irm thal there is a mnst�uctlon lentling 99ency fo� [he Oerfo�mance
ol the work br wnich tnis permit is issuetl (Section 3097-'Civ. CJ
Lentler's Name �
Lantler's Atlaress ,
OWNERBUILOEH UECLARATION
I hereby atfirm that I am ezempt from the Contr�ctor'S License Law tor thC
tollowing reason (Sectlon 7031.5 Business antl Professional Code: Any city or
counly which requires a p¢rmit to consVuct, alter� �mprove, tlemolish o� repair
any structurq prlor to its issuance, also requires tne applicant tor such permit
to tile a si9netl Stalement that he/she I5 licensetl pur5udn[ [o [he Orovlsions ot
the Conlractor's License Law (ChaO�er 9(commencing wi[n Seclion��000) ol
Division 3 of lhe Business antl Proles5ion5 Cotlel or tM1a[ ne/she rs exempl
'here/rom antl llte baSis fOr the allegetl exCmptlon. Any violation of Section
'031.5 by any applicant for a p¢rmit subject5 the applicant ro a tivil
�enalty of not more than five huntlretl tlollars ($500�.
I, as owner of tne property or my employees with wages as their sole
mmpeniation, wlll do the work, antl the Slructur0 Is not intendetl or offinetl
for sale (Seclion 7044, BuSiness antl Professlonal Cotle: The Contractor'S
License Law tloes not apply to an owner of a property who builtls or improves
lher¢On, antl who tloes such work himselt/nersell or through his o� he� own
¢mployees, provitletl tnat zuCh improvemen[5 are nOt Intentletl or off¢r¢tl (or
sale. H, however, tne builaing or improvement Is so�tl within one year o/ com-
plation, the owner wlll have the burtlen of proving hC/she tlitl nol bulltl or Im-
p�ova fOr [ha purpo5a o1 sale).
❑ I, as owner ot the pro0erty, am oxclusively contracting with Ilcensetl con-
tractorsto conStruC[ lhe project (Section 7044, Business dntl Professlons Cotle:
. Tho Contractor's License Law tloes nol appry to an owner of proper[y who
builtls o� improves lnereon, antl wM10 contracts fOr Such p�ojects wlth a con-
Vactor(s) license pursuant to tne Contractor's Liconse Law). I am awara that
proot O( Iheir Wo�ker'S Compensallon Insurance snoultl be provltle0 to ma:
❑�I am exempl untler $ection B. b P. C. ror this reason
Date Owner
I hereby certi/y thal I M1ave reatl [his appl
Information is correcL I agree to comply wi
antl state laws rela[ing to builtling conStruC
sentatives of tnis citv to enternuoon the
Siqnature �[�_([,( �
Drivers' Licensc or 55 �
P Z9 6 2 0 __.. .._.
TVPE OFCONSTRUCTION NEW ADD ALTERATION REPP.IR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER q p#
DESCRIPTION OF WORK/USE OF BLDG. �
5 Main Building:
TVPEOFPERMIT GRADING OVNDATION STRVCTVRAL T FrOnt
❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL B Rear
❑ OTHER C Right
PROJECT DESCRIPTION 5a. FT. oCCUPANCV K
CONSTRUCTIONTVPE VALUATION$ S Left
ZONE GRADING CU. VDS. ACRE$ ping. Ref. #
Remarks: Planning Notes:
Sink
Preventer
Irriga[ion
Drinking FOuntains
Floor Drains
Floor $inks �
Gas Service
I merceptors
Kitchen Sink
Lavatories
P—Trap
Roof Drains
ReinspeMion Fee
$15
Boiler
Duct - Under Ground
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple ❑
Firepl/Fact. Blt. ICBO #
Heating System & Oucting
❑0-100,000 BTU 0100,000$�P
CMF OB65-46, rev. 10/84 White - Bulltling; Canary � APPllcant; Pink - Accoun[ing; Goltlanrotl - Assessor
$15
Showers
Servite Sink
Sewer Cap.'
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank
Swimming Po01 w/Spa
Urinal
Water Closet
Water Heater
Water Service
A uto-W ash
Issue Fee
iANICAL
Hoodor Typel '❑
Canopy Type I I ❑
Refrigeration System
❑0-100,OOOBTU ❑1
Sys[em Rep Iterati
Fir ampers
Registers
Issue Fee
FEES
$ 3
$ 3
Auromatic Washer �
Cans[ruction Pole Sub.
Cooking Unit �
Dishwasher
Dryers ❑Gas ❑Elec
Fan
F.A.U.
Fixtures
Device Boxes
Outlen
Switches
Garbage Dis sal
�CcS =!' /
Zone
Accessory Building:
Z
O
N
I
� N
G
R
Parking Req./Provided E
Q
M
T
S
ELECTRICAL
Transformer ❑ 15-50 KW
❑ 50+KW
KW �5-15 KW
Merer LJup to 100 p
Meter ❑over 0 amps
Su6 Pa
M9tors�0-1 HP�1'h-8
T
IncSolar 09-15 HP �76-15+
Microwave
Pole Light
Range
Sign
Standing Sections
Trash Compactor
FEES
I Reinspection Fee �$15 I I Issue Fee I $ 3 I
DEVELOPMENT SERVICES REQUIREMENTS:
Zoning Appraved By Date
Building Approved BY ��Date�__/._ � Z
�Application luued By Date � •� U �
SUMMAHV OF FEES
BUILDING PERM17 $ SMIP $
PLAN CHECK $ PERMIT
PLUMBING $ .i--�0 ISSUANCE $
PLAN CHECK 25% $ ENERGV P.C. $
ELECTRICAL $ GRADING $
PLAN CHECK 50°,6 $ MICROFILM $
MECHANICAL � $ TOTAL FEE $ ti�0�
PLAN CHECK 25% $ '
CONSTRUCTION AND�PLANNING POOL & SPA
APPROVALS Permit# Date Inspector p�ppROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Elec[rical Conduit Utility-Undrgrnd. 54. Forms "�
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding ""
5. Steel Reinforcement 56. Rough Plumbing & Pressur y,T.est
6. Electrical UFER Grnd, 57. APPROVAL TO COVER-GUNITE
r
7. Footings - 58. Electrical Conduit-Undrgmtl.
� 8. Foundation 59. Gas Pipe, O Undrgrnd., Test,;
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, OjUrdrgrnd. �
10. Structural Floor System � 61. APPROVAL TO DECK J;j
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Fina�Y'
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains � 64. Plumbing System - Final
14. Rough Plumbing � 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
i 6. 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. Rough Factory Fireplace APPROVALS Permit # _
21. Ducts,in Structure 70. Underground Hydro
22. Ducts,Ventilating� 71. ProductPipingOGas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank 0 Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
i
31. Plaster Brown Coat 79. FINAL INSPECTION i
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED •
33. Final Electric Notes: �
34. Final Heating & Air Conditioning .
35. Final Gas Pipe-Test �
36. Hood or Canopy
37. Final Faaory Fireplace •
38. Final Plumbing ����� �7 `E�
39. Water-Service-Final � , �
40. Gas Service-Final , - � ,
41. Solar pomestic-Final
42. Backflow Preventer . '
43. Backflow Irrigation . �
44. Landscape Irrigation System � - �
'45. Sound Attenuation .
46. f-landicap Regulations ' ' � � , .
47. FINALSTRUCTURE&BUILDING
48. Special Requirements Completed '" '
49. Electric Release to Edison � . , ,. �
50. Gas Release to Southern California Gas Co ' .
51. CERTIFICATE OF OCCUPANCY
No. Date
2803I
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 917 COHTA MEBA. CALIFORNIA
� For Applicant fo Fill In Completely
Tr�9 5492 '�'PE oR PRiNT P1. 65—AR
ADDRE55 2090 Flamin o Drive
COSTA MESA, CALIFORNIA
OWNER Mesa Verde Builders
� ARCHITECT
wooResa G25bU mesa verae llT1V2
c,T,. Costa Mesa
� c No. 181269 r',E`.' 549-0395
oF�or 50x91x92x92 I r".o
USE OF
EXISTING BLD6.
8ET0ACK LINB RROM ' Ap
CENTER OF STRfitT yp � REAR
SIDEYARDI LEFT �J� I RIOHT
DESCRIPTION OF WORK
NEW X ALTERATION ADG
REPAIR MOVIN6 DEM
slieoiNo2172Sq' ,yRo°'or°as 8 i
EXTERIOR WALL W���{ ROOF
COVERING StUCCOI COVERINO
USE OF BUILOINB AND WORK TO BE PERPOR
Sine�le Familv Residenc
I1 HEREBY
ANO BiAI
PLY WITH
BUILOING
ADDRE88�
FIRE
�,t2-5s u°QO '�++3* ***135.75
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
I ftE<EIP! NO. I �IIRi����
ZONiNG
ZON6 NO.Op I UBEORNEW
Rl vune 2 euito�na W� aCt Qa'
oeF.'ncninion LOt 19� TIaCt 5492
w. v. no. none �
NOTE: NOEAVHOVERHAN68HALLBELE39THAN
90" TO 81D6 8 REAR P. L.
EAVES
ALLOWED <U.B.C.REQUIREMENTI
YARDSAPPROVED YARDSAPPROVED
MAIN BUILDING ACGESSORY BUILOIN6
( FROM C/l. $7REET1
�
�
I DI�
MAIN BLD S.
VAR. �'
2 C. 11 P �
6E TH�T 1 HAVB pBAD TXI6 �PPLICPTION
ABOV¢ 18 CORHECT AND AOqEE TO COM�
'.�INANC89 AND BTATH LAW6 R86ULATINO
W. L. D
DATE
1-3-68
a so. a
TH6 AMOUNT 8 WN IIN�EP VhLUAT10N I6 FOR TH8
PURPOSE OP EBTABLI6HING A pERMIT FE6 ONLT.
-UATION <
PERMITFEE $ �Di v O
� / v '
8 7
AUTHORIZED ABENT � / �
�
,J