HomeMy WebLinkAbout2519 FORDHAM DR - Building Permits��
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PHOiEt7 ppOPESS: ` 5 1 9 FORDHAM DR
owntesHnme: RENELLA LUIGI
`� nooness: 2519 FO{tDHAM DR
� COSTA MESA,CA
� �AflCNIENGMEEfl:
�ti . A�ONESS:
I1NIT:
92626
flEG.NO.:
UNIT:
PE"minEE: PETERSON ROOFING ( 714 ) 979-7111
aooncss: 3�0GT06p. E�]NTERPRZSE (, j�
LICENSEO CONTNNCTOIf diCUAATION:��e~renby aflirm I�al I am bcensed unAe DA isio9n5 o1�C�pTer 9(commencing with Sec�ian
7000) af Orvision 3 0l I�e Business antl Pmtessions Code, an0 my license is in �ull fome antl effec�.
CITY LIC.: STFTE LIC.: CIA55:
045445 60787(2?� �`�9.,�j�
oaie: —/ r — zi —9/ signamre:. '�/��.��r/ / ✓' + —
WOHNENS' GOMPENSATION DECIAflRTION: I �ere�y allir �al naveA a ceitilicaie o� consent m selbinsure or a cenificate ot woMers'
Compensatian Insurance. or a certilied copy thereof �Section 3800, Lab. C).
POLICY NO.: L O 2 S 3 S S E%P. OpTE: O i I O � I 9 Z
comvaNv: STATE FUNI�,
] Cenified copy is hereby �umished. ljt Cetlilie0 CaDY i5 tile with lhe ci�y Buildi g Divi ' n.
Oa�e'. � I— ZZ �� 1 Applica ' � ��
E%EMPTIONFPOMWOflREflS'COMPENSATIONUEC RTIO. (T sseciwnneetlna�becomDlele4ifihepermitis�oronehuntlre�(5100)orless�.
I cerlily Ihat in I�e pedormance of Ihe work �or whi 1 per it is issued, I shall no� employ any person in any mann¢r s0 as fo Oecome
sublec� �o Ihe Nlorkers' Compensal�on Laws oi Cali omia.
�ate: Signalure:
NOTICE: Ii, alier making ihis declara�ion, you 5�oW4 become subjec� �a ��e Workers' Compensa�ion provisions oi �he La�ar
.Cotle, you musl �arl�wilh camply wi�h such pmvisions or ��is permi� shall be Oeemed revoked.
CONSTXOCTION LENUING AGENCY: I hereby a�firm �hal lhere is a cons�mciion lending agency for the pertormance o� the wark for
which �his permit Is issuetl l5ec�ion 3097. Civ. C�.
LENDEP:
11�OPESS:
OWNEB BUILUEfl DELLAflRTION: I here�y afiirm ��a� I am exempt tmm �he Conlracmrs' Sta�e license Law br Ihe following reason
(Section 703L5 Business antl Pm�essianal Code: Any cily oi counly which requires a permil Io constmc�, alle�, impmve, tlemolish, or
repair any slmciure. prior to ils issuance. also repuires ��e applicant �ar such pe�mi� �o file a signetl s�a�ement iha� helshe is licensed
pursuani lo the pmvisions o� I�e Camracmrs' S�a�e License Law �Chapier 9(commencing wilh Sec�ion 7000) ol �ivision 3 of Ihe Business
antl Pm�essians Cotle) or Iha� he/s�e is exemp� Iherelrom and Ihe basis �or �he alleA¢0 exemp�ion. Any violation o� Sec�ian 7031.5 by
anV applicant lor a Dermit SuUle��S ��e applicant �o a civil penalry of nat more ��an five hunOreO OOIIaB ($500�.
1. as awner ol Ihe OmOehy or my employees with wages as their sole compensa�ioq will tlo ��e work, antl the
❑ simcWre is no� imentled or oflere0lor saie �Seclion 7044, 9usiness and Pmlessional Code: The Con�rac�ors' S�a�e License Law
does no� apPly Io an owner ot a pmpetly who Uui105 or improves ��ereon, antl who tloes such work himseli/herself or �hrough
�is or her own employees. pmvi0ed Ihat suc� impmvemenis are no� in�entletl or oflered tor sale. If, however Ihe DuilOing or
impmvement is sold wit�in one year ol compleiion. �he owner will have Ihe burEen at pmving he/she Oitl not builtl or improve
for tne purpose af sale).
a I, as owner o� ��e propeny, am excWsivety con�rac�inA w��h Iicen5e0 conlractors �o conslmc� �he pmlec� (Seclion 7044, Business
antl Pmiessions Code: The CanVac�ors' State License Law does no� aDPly lo an owne� of property who builtls or impmves �hereon
antl wha coniracls for such pmjecis with a conlracbr(5) license pursuanl �o Ihe Contracto�s Sla�e�License Law). I am aware
iha� proo� o� iheir Worker'S Compensa�ion insurance shoultl be pmvitletl to me. -
� I am exempl untler Section�. B. B P. C.
for ihis reason:
Oaie. Owne[
I tlo hereby ceNty ihal I am aware o� and un0er5�anU the repuiremenls oi Cali�amia Healih antl Sa�ery CoOe Sec�ions 2550.5. 25533, and
25530 and Ihat I or any iNure builtling occupan� will/will no� (circle ane) need lo comDlY wilh saitl state coaes antl Ihe requiremen�s for a
permii �or consimction or moUi�ita�ian �mm ��e Air Ouab�y Manaqement DisVict. Re5i0en�ial constmction applications are exemp� �mm
Ihese pmvisions.
�a�e: Npplicant:
I here�y certify Ihal I have rea0 �his apPlication and 51aie I�at �he above informalion is correcL I agree �o comply wi�� all city antl counry
or0inance5antl5�a�elaw5relalinglobmldingconSlmdionantlherebyaNhanzerepresentaiive5 ilhis - toenterupon��eabove-menlioned
pfOp¢f\y �0! ip5p¢CIi011 O�f005¢5. �
Oate ! � " � — v, Signa
Drivefs Gcense or Social Secunly k: '
16AL4fi Whne—Builtling', Green—Cotle Enlorcemen�', Canary—Applicanf. Pink—Revenue'. Goldenmtl—Assessor
CITY OF COSTA MESA — BUILDING PERMZT PERM NO: B. 05524�
PERMIT NO: B 055242 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE; V—N PERMIT TYPE; STR PURPOSE: ALT
JOB DESCRIPTION ; T/OFF RESAT REROOF WI COMP SQ FT: 4,250
CLAIM VALUE; 4,250.00 CALC—VALUE; 4,250,00 GROUP OCC: R-3 /
COMMENTS: SMOKE DETECTOR REC�UIRED IN THE HOME
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Z O N I N G R E Q U I R E M E N T S
S E T B A C K 5
------------ MAIt� BUILDING ----------. --------- ACCESSORY BUTLDING ---------
FRNT; FT IN REAR: rT IN FRNT: FT IN RHAR; FT ZN
LEFT; FT IN RGHT: FT IN LEFT: FT ZN RGHT: r1 IN
PARKING REQ• � PROV; PARCEL; 42629110 ZNE; REF NO;
PLANNING Ni5TE5> -
.i
*����******�*�*������,�****�+�*�*+�+�**��*****�*+�****�r���**�**�****�*��r*��**��*****
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;BY DATE:
BUZLDING APPROVED BY ; DATE:
APPLICATION 15SUED BY: —' ``Z DATE: 1��� �
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1EiFiFiFk�lFiFjFiFifiEif�fififiFif�E�EiF3f�E iE1EiFiEfElE3fiE 3Faf3EiFlEifiFiFifdE3fiElE�fiEiE?EififiE�lE3EiE3EjEjfaE3E#�FaEiF3f�E3E�F#EiEiF1E*
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
,
� BLDG PMT PLUMBING ELE RIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 72.00 . ,50
� r� SMIP/NON—AES
PLAN �" � t
ISSUE FEE '`�.w�- f
BUILDING—DIV—> PERMIT ISSUE PLAN'-CHECK TOTAL PATD DUE
TOTALS----> 72,50 0.00 "� 0.00 72,50 �72.50 ,00
•/ .
REVENUE D'IVISION TOTALS--> COLLECTED: 72,50 OVER/SHORT; ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING�PLAN—CAECK
�%2. �� - . , , �'J� •
'i .
if if �lE iE �E lF iE iF a't if iE if if 1E if k 1F iF 3f if If )f iE �f ik ff if if iE iE iF 3F �k iF iF if iF if iE iF 1F i4 �t if 1f iF 1F iF iF 3E�F 1f )E�E iFlE iE jF �k iE iF if iF �lt 1E iF IE iF iP iF 3E #` iF i(� if iF N� if it
I N D I V Z D U A'L '-F E E B R E A K D O W N
:t
TYPE QTY D E S C R I P T I,O N„ UNIT COST TUTAL COST
._ � q
SFR 4250 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 9,250,00
END.OF FEES
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'r,40'J�TRU��ION AND PLANNING � � PO(. . SPA
1.�� , � Date Inspector � Date Inspector
.� APPROVALS Permit # APPROVALS Permit #
1. Temporary Elec[rical Service o� Pole . 52. Pool & Equipmen[ Lowtion •
2. Soil Pipe�Undrgrnd. ��� L 53. Steel Reinforcement �
. 3� Electrical Conduit llttlity-Undrgmd:` `" � 54. Forms - �
.. d.,EleCtrical Conduit-Undrgrnd.' ' : } 55..Electrical Bonding � �
•� 5`Steel Reinforcement', • =, 56. Rough Plumbing & Pressure Test
�6-. Electrical UFER-Grnd. u . 57. APPROVALTO COVEF�Gl1NITE '
�7.'Footings �� � �' S8. �Eiectrical Conduit-Undrgrnd. �-
8. Foundation - -� 59. Gas Pipe, O Undrgrnd., Test �
9. Water Pipe-Undrgrnd. •� � ' 60. Backwash Lines, P-Trap, O Undrgrnd. �
�
10. Structural Floor System � 61. APPROVAL TO DECK
11. Property Sewer Line& Hoetse Connection , 62. Backwash & Receptor�Final i'
12. Seyer CaP ,�. � � , ' .
63. Heater & Vent-Final
73. RoofOrains , � "/' 64. PlumbingSYstem-Pinal �';,;.
14. Rough Plumbing - 65. Electrical�Finat '. . ;
15. Rough ElectricaL-Conduit � 66. Solar System-Final
16. 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 Faitor� Fi�eplace , ��� : _�x + AppROVALS'-' � �Permit # '�
r.
21.'�ucts, in,Svucture,•" .. ., ''• �� � "� w �� � � " � � `
�� , 70. Un'dergrourid NYtico
22. Ducts, Ventilating.� • ' "� '� =+? 77, producDPiping d'G5s ❑Oil
23. Gas;Pipe!Rough&�1":est ; r ' .� •. 72.�Underground�Flu:4h=�, ,., " ��
: •;.
24. Roo�:Framinq� r � � � � •• x �• �^ �' * - =�3.W7nder9rnd:Storage�ank OGas y�Op'
. = � rc -. �: .
25. Roo�Sheathing ; ; '� : �( � � ^ �j., �� �74.;Q¢erhead Nydro _ �-� .
26. T Bar,Ceiling �Structurap & Monocoat . ��� :. ts�a - 75. Dry Chemical :�_^ _ - �'
27.'Prameand FI shirLq�. ''�' ` ; ' •t � 76.-D� Stand � ' >:. ' • � ``'
.�. •-�".u: : 3' Y wt -. Y PiPe � .
�28.�Lathing�Siding . _�t'- a : �; • 77.!"FIXEDSYSTEM��[NAL'� ��
�tl"•
�29. Insulatio'n � ' - �c �� �� `,: ` " j r. i 78.y'FIRE.PREV. FIN�AL . -� i. �.
. �
30. Drywall Nailing • � � �• MEALTH DEPT:�REQUIREMENT
� �,
•.31. Plaster Biown.Coa(".. .� r j ; ; 79.`fINAL IPISPECTION ` - - ,
32. �Electrica4Power Mete['Final r•' � �+ -�'80. FOOD CERTIFICATE IS5{JED � _,�..-
33.'��inaj,Electric' : � �L � �� �� ` `No4es� ��// � - �. �C "�
� 34. Final Heating & Air,ConditiOni�g., . .. y' � �} :.* / ,r ( � �Ky.� ,
��
35. �inal Gas'•Pipe�Tes"t' _ ' - ' ; � , � •�` "`a' � - . 't
. . ' �. i . . .; � �,
36. Hood�or Canopy ;, • • • � - i� , >- _ ,-�� � � ..r,�-
� :. � . �: � ; M,.s - -
�37.�Final'Fac�oryFireplace �` � �.: - ;�
, .. .. ... � . .r �
38. Final7Plumbin9 . . i � • !- ; �
39. Water� Service�Final � , � �- y , � � - � y • �" ' =
i
',4,0. Gas Service�Final � .� ,� , �, - , ,� � �� _ ��•; ' "
.41. Solar pomesticFinai c_ � ' •• � _ � i• • �
� r:, � _ _
. : i ': • `• . .
42. Backflow Preventer; � ;; . . n. �, �� _ .
43. Backflow Irrigationr 'r � �� ' - - • `
i •
44. Landscape Irripatioo System, V z�. . ;., �^ . �� -
'45. Sound Attenuation� � �' % � � ' "'� '
- s .� .n . .. -
.46. �HandicaP Requlations ' - �� � '` � _ - �� - ,
47. FINAL STRUCTURE & BUILDING . t��� ^� � �
� 2 �1�> � . .
48. fINAL PLANNINGR " � � �" ' - ' " �. .
,� �. ..� �
:49. Electric Release to Edison � f �"'! �� `' c� �� �- .
' �r
50. Gas Release to Sout�ier� Califomia Ga: Co � ! ! � . �� '
. -�� < -+ �
51. CERTIFICATEOFbCCUPANCY' -'. ; ,�� ; � ,
No. Date
OWNER Costa Mesa LSt8t2S -� DATE �-12-�6
JOB ADDRESS 2519 Fordham Drive BUILDING PERMIT NO. 2677
GENERAL CONTRACTOR Roven-Spiegel Co VALUE $ 11fZOO.00 -
� 77 a�ocK TRACT 2750 Single Res w/att gar
GROUP I& J TVPE V ZONE � FIRE DISTRICT 2699
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
DATE NUMBER
FootingTrench �� � 3��-.�'> '
Foundation Forms and Grade to Garaae .�6 9�/iF -[�c
to
Plumbing, Rough Complete /y/ C] � �//9/S'6 ///�G!_2....n�i /�'axJf-.r Y-�-X -Jl� (o o<O .2, '�
TemporaryPole ✓� �; /- � ��) en �„� �Ji� , �
-�U 4'/- 3a - c/ 02 9.� b
Wiring,Rough �!T/ �D'/ SG %//r��GeP/L�i--<_ (�.ne./. /�'// 'S �o R.�.9% —
Heatinq, Rough �"VL N_ S /�%� `? �.(r�l�.t i.� ��e li'', �G�-� /_. f'iT �
S'-,57
sc.
L •g, In OutJ( ���/C
F. :ring �/�G
Plumbing, Final, Fixtures Complete�}'�L� �
Plumbing, Fin�al Gas Test � /� }ryt [JS
Wiring, Final FEb
Occupancy FEB 2
FORM 210 3M 10-•v5
• Costa Mesa Building Department '
.- "' 111 EAST 20th STREET �
� CDSTA MESA�.CALIFORNIA
� FOR APPLICANT TO FILL IN
Costa Mesa, California
c"� sg s .' -C�!/C/ '7/j?�F1
Owner �%� /L{ C «/�" `/�r7%��F �
Mail /J ✓J � � l7G�,
Address � E'✓�� /
� . �G1�� z � Tel.
Cky �� � �'b N0. ���Jt�%
ArchitectOr � Lic.
Enaineer �'Gi��%L �f/�. Ne.
' APPLICATION �'OR d.'ERMIT
,��� BUILD�LNG '�
�OR O�FICE USE ONLY
Receipt No. Permit No.
o?� %�
Received by Date Redd. Date Issued
�v� !� ��2 -1 � 4�-/?'-.1`G
Neares[
Cif055 $i.
Costa Mesa, California
Date
'ress `/�d�(rt�2� /%L/�'i • �J�f>VT.9' %"�f/�
.. _ntrector
,�od��v /«i?%LCoN/OY%i3 G
Address .� J� lt�i� ?' ��� •�i"� ,(L y 'G�2!l-�
Legal I LaY •�� I q'
Descriotion No. / Block I Tract�/i.�r
Size of
Use of
Alteration
o.
rcepair I I Iwoving � I Demolish I
Building i�l7X / No. of �
�� � w�� Rooms Stories �
ior Wall Roof —
,ring �idciG'o coveriny — APPROVALS
Use of New
Building ��� �L(� ��/% � �' %�/' �Foundation Location Inspecto
Forms, Materials,
�i��l-L2' Under-Pinning
Frame: Fire Stops, .
Bracing, Bolts
I hereby acknowledge that I have mad this Application
and state that the above is rnrrect and agree to comply Lath. Int
with all City Ordinances and State I.aws regulating
building construction. Lath. Ext.
Signatureof � plaster, Int
Permittee �'���%%� �f� �T�T '
Authorized Agt. � ���LL��(� plaster, Ext
Valuation Pe mit Fee $ �' � Masonry Reinforced
$ � u,bQ ¢� TotalCheck $ � gond Beam
�/ � �L
Fee $ �T� —� FINAL
RM 204 S-HP 2M 6-55 �
-> ° ���:�
COSTA' MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 31] GOSTA MESA. CALIFORNIA
FOR APPUCANT T0 F/LL /N COMPLETfIY
TYPE OR PRINT
BUILDING /
ADDftESS /
COSTA MESA, CALIFORNIA
MAIL
ADDRE55 S�� �/)�( - _
i
%✓ �/ TEI.
QTV (',jJ�j[,L� �O�(jw NO.
AR� 'CT LIC.
OR .VEER NO.
ADORESS
.. � �s-J �1i _____
�eGn� I LOT �� I I M�
ocsceiPnorv NO. BLOCK TRAC
A.P. NO. � � — �CI S—� ", Y% �
.�
SIZE }//�� X / �• �-_ NO.OF BL�GS.
OF LOT [r✓ � /' / L �� NOW ON LOT
USE OF
EXISTING BLDG.
SETBACK LINE FROM /^ I
cervTew or sraEer � L� REAR YARD �,I
SI�E YARD I LEFT /�� I RIGHT ��
� DESCRIPTION OF WORK
ING NO.OF
ROOMS
IOR WALL IROOF
ING COVERIN
= BIJILDLNG ANIlWORK TO BE
�/ �LJS�%Ne y ",�oti
� - �
I NEFEBY ACKNOWLEDGE THAT� HRV REqD THIS APPLICATION
AND STATE THFT THE ABOVE I COH ECT AN� AGREE TO COM-
PLY WITH r�LL CITY C�INANCES AND STAT� �pyy5 REGULATING
BUILDING CONSTRUC�YIyN r--� _�,
�
�� RECEI�Ep
� �Ak ?4 135
FINANCE OEPT. ��=%
C11Y Of COS1A MESq .
APPLICATION FOR PERMIT
BUILDING
FOR OFf/CE USE ON[Y
I RECEIPT NO. I PE�jFM''IT/JJq.
�[ { 0 /
IVEO BY I.DATE RECEIVED I OATE ISSUED
COSTA MESA. CALIFORNIA �; .
FIRE typE �oup
ZONE
APPROVED �
BY DATE
k ZONING,
ZONE 1 NO. OF /� USE 1
I�� / I PLANS .1 . I�BWM'
/' %- ,/�
APPROVED /u � ( J . � /J"/I
(CENTEN LINE 6T.
1C11
THE AMOUNT SMOWN UNUEF VALUATION I6 FOF TNE
PUFPOSE OF ESTABLISHING A PERMIT FEE ONLY.
VALUATION
� � PERMIT FEE $ �
$ �-% O/r PLAN CHECK S
TOTAL FEE $ �. �