HomeMy WebLinkAbout384 FLOWER ST - Building Permits�
JECTFDOPE55: 38Q FLOWER ST
OWNEfl'SNpME: DELLE RICHARD D
aooeess: 384 F�.OWER ST
� COSTA MESA,CA
AHCHIENGINEEfl:
ADONESS:
UNIT:
92626
xEc.No.:
UNIT:
PEflMITTEE: ATKINS ROOFING ( 714 ) 898-1169
nooeess: 7111 GARDEN GROVE HLVD.
GARDEN GROVE CA 92641
LICENSED CONTBALiOP OECIABATION: I here0y af�irm I�a11 am licens¢a unUe� D�ovisions a� Ctup�er 9(commencing unlh Seclion
70110� of �rvision 3 0l ihe Business and Protessions CAtle. antl my license is in lull lotce an0 eflect.
ciTruc.:037677 srareuc.:361441 cu�ss: C39
Oate: Sipnalure:
WOBKENS' COMPENSATION OECLAflAiION: I nert0y aliirm �nat I nave a cenihcate of consent to sell-insure or a cenilicate o1 workers'
Compensation s cgQ{ cer re cooY �nemoi (Sedian J800. La�. 1
POLICY ND.: ��� V J� E%P. DRTE: 2� O 1� 9 z
comraNr: STATE FUND
� rJ Cendiea copy is nereby IumisAeA. LS cen�iiea couy is �i wli� Ihe ciiy BuilOinB Divisi n.
Jate: � / / / � r ( poPlieant:
E%EMPTIONFNOMWOflKEflS'LOMPENSATIONOECLApAT10N. hi55eCli nee0no�becom01ele0ilthepermi�i510ron¢�unOre0�5100)orless�.
I certity ihal in Ihe Oe�armance ul Ne wark lor w�ich t�is permil is is e4 I shall nni ¢m01oy any per5an in any manner so as �o become
sub�ec� m t�e WoekerY Compen5aiion Laws o� Calilornia.
�ate: SignaNre:
NOTILE: II. aiter making t�is aeclaration, yoy shoNU 6ecome su0lec� ta ��e Workers' Compensation pmvisions of the Labor
Cotle. you must lorlhwil� comply with suth p�ovisions or �M1iS Dermit shall be AEemed revokeU.
CONSTBUCTION LENOING FGENCY: I here�y allirm ihat ihere is a con5imction Ienaing agency for the De�ormance oi Ihe work for
w�ich Ihis permii is i55ue0 (Section 3WZ Civ. C�.
� CIT'Y OF COSTA MESA — HUILDING PERMIT PERM NO; B 05519
PERMIT NO: H 055190 PLAN CHECK NO: N GOVT; N SUPP; N
CONSTRUCTION TY E; V—N PERMIT TYPE; STR PURPOSE: ALT
SOB DESCRIPT ON ; T/OFF RESHT, REROOF W/COMP6 BUILT UP SQ FT; 3,100
CLAIM VALUE: 3,100.00 CALC—VALUE: 3,100,00 GROUP OCC: R-3 /
COMMENTS: SMOKE DE'TECTOR RE�UIRED
****��*�x**�****+��+�*****x�e* ***��r�*****�****�t*�t�t�*x�+r���**��r�t****�t*�t�*+e�t****�t�r�t�r
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 S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUZLDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN
PARRING REQ• PROV; PARCEL: 14169130 ZNE: REF NO:
PLANNING NfST'ES>
>
if iE iE iF iF 3f if iF 1F iF iE iE If if 1E iE 3F 3E i! If aE 1k If iF iE 3f 3F �IF iE iE If iE iF �F af iF 3f if ik iF k iF if 1F if iE ik iE fF ik k iE iF iE jf 1F 1E �F iF 1F If �lf ak iFiF af ** iE iE iE 1F iF if 1E 1F If iF If
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;
BUILDING APPROVED BY :
M:Z7
LENDEX: if� 3F iE�f 1E 1E If ah 1F iE if fF iF iF fE iE �)E if if if ik iF iE if iF )f iE �k * if iF �E if if
aoonEss: LEGALIZATION;N F E E
OWNEN BUILOEP OECIANnTION: I nereby alfirm �hat I am exempl Imm ihe Comracmrs S�a�e License Law br the followinA �eason H LDG PMT PLUMB T NG ELE
(Sec�ion 7031.5 9usiness ana Pmlessional Cade: pny cily o� coumy whic� reQuires a permil lo wns�mct, al�er, impmve, tlemolish, or PERM Z T 6 3, 00
reoair any Slmt�ure, prio� lo ils issuan[e, al5o re�Vir¢5 Ihe aOPlitanl br Such De�mii Io lile a SigneO S�a�emeni �hat he/she i5 liC¢nsetl
pwsuanuo I�e D�ovisions o� �he Comracbr5' Slaie �icense Law �C�aO�er 9(commencinA `M�h Section 7000� o� Oivision 3 of Ihe Business pLAN
an0 Pwl¢Ssions Cotle) Or I�ai Ae/She i5 exempt Iqer¢Imm an0 Ihe Ua5i5 �or Ihe alleged eKempii0n. Any viola�ion ol S¢CiiOn 7031.5 by
n oo ISSUE FEE
DATE:
DATE ; ������
if*aEiE�F�EifiE�EiE �F3F
if if iE iF iE iF iF if if �E 3f �F if iE jf iE iE �f fE iE 3E aE iF �f #F aE �f if af iE iE iE �f if iE Y.� �F �E �lf aE iF 1E
S U M M A R Y STRUCTURAL SEGMENT;Y
IC MECHANIC FIRE�' SMIP/RES GRAUING
;.�j �
SMIP/NON—RES
any appbcant br a permit Sublecis Ih¢ apDl¢anito a crv�l penalty ol noi more t�an hve hunOreO Oo ars �55 ). -- ..
i, as owner oi me nropeny or my em ioyees witn wayes as their soie comPensation, win do me work, ana ine BDILDING—DIV—> PERMIT ISSUE PLAN—CHECK � TOTAL PAID..��' DUE
❑ s�mcture is no� imendee or ollereU ror sa�a �gec�ion 70a4, eusiness anA Pmlessiona� Code�. The Convac�ors' State License Law T�TALS----> 6 3, 50 �. � � �. � 0 6 3. 50 6 3:;5 0� . 0 0
i Goes nol apply Io an ownei of a pmperiy who �uiltls or im0�oves ihereon, an0 who tloes suc� work himself/herself or ihmugh '' ' •./
! nis or her own emDloyees, provitlea inal such improvemems are not intenAea or alferee lor sale. Ii, however �ne euiming or REVENUE D I V IS ION TOTALS--> COLLECTED • 6 3. S 0 OVER /SAORT��" � �
impmvement is 5old wi�hin one year ol cOmpletion. Ihe owner will have t�e Uurtlen ol pmving he/s0e Aid no� builtl or impmve BLDG PMT PLTJMB ING ELECTRIC MECHANIC FIRE $MIP /T�'1' GRAD I.N(�i PLAN—CHECK
for t�e purpase ot sale),
I, as owner ol �Ae pmperry, am exclusivelp conlracting wilh licensetl contractor5lo cons�mc� Ihe pmlec� (Sedion 7044, Business 6 3, 00 rj 0 - ' �
❑ an0 Pm�e55ion5 Cotle: ihe COnlrac�ors' S�aie Litense Law do¢5 nal apply �o an ownerot Dropetly w�o builAs or impmves ��ereon
antl who conirac�s lo� Suc� D�olecls wilA a contrac�ar(s) license Dursuan� lo I�e Conlrac�ors' State License Law�. I am aware
��al pmol ol Iheir Worker'S ComDensalion insurance 5�ou10 �e Omvitletl la me.
� I am e�empl untler Setlion', B. 8 P. C.
for this reason:
�I
• �`.
3f iE it iF iE iF �E iE iF if ak iE iFiE if if k�f i! if iF �E 1E if iF iE iF iF iE fE iF fE �k jF i! iE iE ik iE f! k iF k dklf if if 3E IE iF iE #�F if iF 1E 1f if iE �FaF iE iE �E iE iE iF �E if iE 1f iE iE 3F iF aF iE ff k
I N D I V I D 0 A L F E E B R E A K D O W.N'
TYPE QTY D E S C R I P T Z O N UNIT COST' •,' � TOTAi COST
Date: Ownec I SFR
I �o �ere6y cenily Ihat 1 am awdre ol anG unaerslanU I�e reduiremenis ot Cahfomia Healt� antl Satety Cade Seclions 25505, 25533, antl
25534 antl Ihai I or any lulure building ottupanl w{IVwill noi (tircle one� nee010 tompty vnl� Said Slale totl¢5 antl the repuirem¢nls lOr a
permii for consimclion ar moUilicaiion imm I�e ir7� Ouality ManaBement OiStricl. Fesiaemial conslmction aDUlica�ions are eKempi imm
Ihese provisions,
Oaie: APolicanl: .
I hereby cer�ify I�a� I �ave reatl Nis applicaiion antl slate
ordinances a� slale laws relaling io UuilOmg consiruclion a
pfOp¢f�y �Of,nS ¢LliOfl D�� OS¢5.
ltl/
I%
Oate' / � � / Sippam�e:.
ome� s �icense a� sacai seamy .:
I agree to CamOH'Mlh all cily antl counry
i�isy}9toenteruponthe a�ove�mentionetl
I6ot 06 WMe—Botlaing: Green—CODe Enlo��ement: Canary—Applicanl; Pink—Revenue: GOIEenroE—Assessor
3100 REROOF HY VALUE �t$SIDENTIAL NOZONE 1,00
� END OF FEES
i
: XPIR::U
i�complete Inspections I
Oate ..� —� Sig ��— � �v
• ��
„r:
3,100,00
CONSTRUCTION AND PLANNING POOL PA
I
APRI`iOVALS Permit# Date Inspector qppROVALS Permit# Date Inspector
7. Temporary Electrical Service or Pole � 52. Pool & Equipment Location t''
�.
2. Soil Pipe�Undrgrnd. t .� 53. Steel Reinforcement ����
�3. Etectrical Conduit lhility=Undrgrnd. � 54. Forms '�L^
4.�Electrical Conduit-Undrgmd. . - 55. Electrical Bonding �
` 5:-St'eel Reinforcement 56. Rough Plumbing & Pressure Test .
z,6:_ Electrical UFEA �Lnd. �c 57. APPROVAL TO COVER�GUNITE �
7.'Footings -' � 58. Electrical Conduit�Undrgrnd.
S
�' S. Foundation ;: , 59. Gas Pipe, O Undrgrnd., Test �. t�
9. Water Pipe�Undrgind. 60. Backwash Lines, P�Trap, O Undrgrnd.
10. Structural Floor SYstem ,� 61. APPROVAL TO DECK
/
71. Rr.operty Sewer Li�e & House Conrcection � 62. Backwash & Receptor-Final .
-�
12. $E�+er Cap 4 �- ' ;�;%' 63. Heater & Vent-Final �%
13. Roof Drains ._ ' ,"� � 64. Plumbing System - Final � i�
14. Rough Plumbing , - 65. Electrical�Final .
75. Rough Electrical-Conduit 66. Solar SYstem�Final
16. Rough Electria�Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough ElectricSl�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
� -
20.�.Rough Factory F.lreplace ' 1. F- r „? t:•�!1PPROVALS'�Permit#
,., i
21 }DuCfs, in Structufe, . . � " � - ' �� r70. Unde�ground Hkdro � `
22. Ducts, Ventiteti�g - < � � �z -71. ProducFPuping OGas OOiI
'. ..; ` ' ` ° '72. Underground FIOsd,. �� . �' �;
23-Gas Pipe-Rough &'Test � „ , -
24.,-Rotif Framing � . � : ' • "73: Undergrnd�.StorageTank�-OGasYOOiI `"
25. Ronf Sheathing Y � �� �' `` ,- ' �' 7q; pverhead Hydrb- '�� � .
26. T-Bar Ceiling (Structural) �Monocoat :� e , 75.-Dry Chemical � �- �_ � -
�
27: ��Frame and FlasYiing; ' A � _ _ , 76.'Dry Standqipe �'„ ' ' ` �'`� � '
n
' 28u La4hing,& Siding -. �, •.. 77Tr FIXED SYSTEM F.INAL �� �ti
.
^29. Insulation �- ^ •- "' �' '' ' F- ' 7�i FIRE PREV. FIN/aL �' �;,
T.. � i
�� 30. Drywall:Nailmg r . � � �-� ' � � � HEALTH DEPT,. REQUIR�MENT
� 31. Piaster Brown Coay ' � �' 79� FINAL INSPECTIQN � • �
. �
.32�.-�Electrical Po�er'Meter-Final ' � . � . . : 80.. FOOD CERTIFICATE ISSUED �
�33:.Final Electric � - '"r ' �� '""No1es: 'i � _ �; .l .,? '
�34 �Firi:�l Heating & F,ir.Conditi0n�ng� � t l' � , . 'P ' � ` , '�' - - `?•
- ,' ^ 'l __."--�-_
35.� Firial Gas Pipe�Test, _ � � x ,. ' � ' .� ._• - .:7
,J�36:''Hood or.CanoPY . ' i � + .- ' ' '� �. .. .,� _
� 37_,Findl Factory Fireplace � '� ' ' ' - -
_ �
.�38. Pipal Plumbing ., ` ,,. � .. . . . ,� , � �� ' . .
�
^39. Water Service-Fina4 � � . +� � . � . - �
t
40. GasService�Final ; �,; _ � _ � ;� ' - ,_� .; '� �
>•41. Solar pomescicFinal� • _ , � n s,•v �_ � r
42:`Backflow Preventez - ,� ` � i i; y, - `� ,
43. Backflow Irugation !: -' � � �• - '� � �� �
.
�
44. Landsc�pe IrtigatiQn System� ��' � , � � E X�P i R L � � �
> 45.�Sound Attenuation - � � � � � ' � It1COrt1 I�te If1Sp� 10
- v
;46:-Handicap Regulations ; , �; � " � ; ; �� ,j v S�'
'�47.,FINAL STRIICTURE & BUFLDING �� � � • • _ ; � '
i
..48.'PINALPIANNING ''.����� ; u � � �; ; 4! ;; - . ' . i�
49;,Electric Release to'.Edison � � �� . . � � J - �
(" '
•50. Gas Rele.ase to Southem California Gas Co ' . f; : � -,� ; ' � ;
� 51. CERTIFICATE OF OCCUPANCY ' - � "
_, . , , _ 's
No. Date
a
�
�
G�aham Brothers, Inc.
Heating, Air Conditioning and Ventilating
SEPTEMBER 10,1979
City of Costa Mesa
uuii::it.b .. �.:.`.^i_�
PO BOX 1ZOO
Costa Mesa, CA. 92626
TO WHOM IT MAY CONCERN:
C-20 248604
2952Cf.NTURYPLACE
COSTA MESA, CA. 92626
546-1653
The proposed installation for which permit �k 016841 was secured has been
cancelled. A total permit fee of $8.00 was submitted by our office.
At this time I should like to request a refund for same. Thank you for
your attention to this request.
Sincerely yours,
GRAHAM BROS, INC.
����, /� � �
L/
Kat leen Wood
Accouriting
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�'COSTA MESA BUILDING-SAFETV DEPARTMENT APPLICATION hUK3STRUCNRALPERINI�T�"�� T�
Y.O. 60X 120U GOSTA MESA, GALIFORNIA 926"l6
RE BV ' PERMIT
For Applicant to Fill in Co pletely — Use Ink Only No ;�
BUILDING �� q.P. NO.
ADDRESS `
BVII.DING 7 f.t
OWNER OR A�_ �, � AODRE55 �� T •
TENANT •hK(
UNIT OR
MAILING SPACE NO.
ADORE55
TR.NO. LOT BLK.
TE L.
GTV NO.
CANSTRUCTION NEW ADD LTER REPAIR MOVING DEMOLISH
LENDER
BRANCM
OWNER
ADDRE55 VALUE
ARCHITECT TEL. USE E
OR ENGINEER //
ADORESS ZONE , PE r GROVP �
APPROVED /� �
CONTRACTOR BV DATE
AODRESS rs , � �
TEL.
CITV NO.
STATE CITV APPROVEDSETBACKS
LIC. NO. LIC. NO.
SIZE NO.OF BLIX'�S. (FROM C/LSTREET)
OF LOT NOW ON LOT RONT FT.
USE OF
ewsriNc e�oc.
Separate permits are required for L SIDE Fr.
electric, piumbing and heating work.
REAR FT.
USE OF BUILDING AND WORK TO BE PERFORMED PLP.NNING ACTION
�� DATE
APPROVED
APPROVED
I hareby acknowletlge that I heve reed ihis applicetion antl stata
that the ebove Intormetion is eorreci antl aprea to comply with
ell laws reBuloting builtlin8 construcNon, antl I shall not employ
eny parson in v(olntlon of t�a workmen'a compnnzallon lews ot
tha Stata of Colitornie.
I haroby carN(y Met I am properly Iicansatl es e conttactor untlar SQ. FT.
the Stete of Calitornie Business antl Professtons Coda, Division 3, THE AMOUNT SHOWN VNDER VALUATION IS FOR
Chepter 9, entl that zueh lieenses ere in tull force antl effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV:
am exempt from tha proviaionc ot the Stam of Callfornie Businen VALUATION
entl Profecslons CotleiDi 7alon 3, Chepier 9. PERMIT FEE S OO
$ipneiura o PLAN CHECK y �.
Permittee 5 TA7( S `
or
AuthorizatlRBent D / TOTALPiiID b
r�
m
7
m
e
4
n
0
f
U
' �- � 17635
�OSTA MESA BUILDING-SAFETY DEPARTMENT
P. O• BO% 917 C06TA MEHA. CALIRORNIA
For Appl)canf fo Fill In Compleiely
TYPE OR PRtNT
ADD E'6S � S FL L✓ T
COSTA MESh CALIFORNIA
OWNER OBt T L S
ADDRESS 8 �L OGf/� T
cm Cd TR �S No:L��795
ARCENGIN�ER!/ERN TiPBFC/rE�o No0/f3J93a
ADDRE6S 2�!J CO{�ST �J:�✓� COigOyA O Et .
rrnuroerreR�oonr�vFs- C'� P[.4TT
F E RE�tivtu
AUG 3 t962
FINANCE DEPT.
CITY Of COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only� �� ;�S'
RBCEIVT NO. PlRM1� T�Np./
l�
VEO BY DATH R8C61VED DATE IBSU6D
� a � �P -.3 _� v � � _3 -�- y
S �� A � \'�X�C''LI.''C�Li'�
GOSTA MESA. CALIFORNIA
�_�.� TYP-E �� GROUP, ��/' ��
��" /_/ )7 � _.__Y/2//_ �
L C NO. I O/ �NO. L/ V V J 6 �Ea�L ��
DEeCRIPTlO
BIZE NO. OP B4D08. /
OF LOT I� Now oH LOT p, p, NO. � D
USE OF YARDS EVES
EXI6TING LDG S• APPROVED ALLOWEO
BLTBAGK LINB PROM � � ICENTEN LINC BT.1
ClNTgp pp diAe¢i �� REAR YAR� IV FRONT O FT. � IN.
� n .
SIDE YARD I LEFT z ` I RIGHT / 3 R. SIDE ..FT. � IN.
DESCRIPTION OF WORK �. S�oE ' y: �v�N.
�V I IIALTERATION I IIADOITION I X qEAR F7. . IN.
REPAIR I IIMOVING I IIDEMOLI6H I BYPROVED /`
DAT
BUILDING ZD� NO. OF
SIZE ROOMS � ST�RIES
EXTERIORWALL „IROOF y�Q�.
COVERING �d� 47COVERWG i�
U8H OP BU�LDIN AND WORK TO BE PERFORM D '7��
' Qw.. C.�o-�
d �' og
1 HePBBY AGKNOWLEDGB TNAT I HAV2 flBAD THIB APPLIGTION n�e AMOUNT eHOWN UNO6H V/.LUATION �8 FOR TNe
AND BTATB THAT iH8 ABOVE I8 CORPECT AND AGREE TO CON-
PURP09E OF EHTABLIBHING A PERMIT FEE ONLY.
PLY WITM ALL CIT' OPDINANCE6 AND BTATe LAW6 R60ULhTINO
Bu1LDINo CON9TRu ON. VALUATION ^ �O
SIGNATURB OF PERMIT FEE S �a
PERMITTE � O� / �.{, n
S �/� �J� �" PLAN CHECK S �
�� i
AUTHORIZED AG2NT /� •� �
TdTAL PEE d
l C�STA MESA BUILDING-SAfETY DEPARTMENT
P.O. BO� 1Y00 COSTA MESA, CALIFOFiN1A 92626
For Applicent to Fi11 in Completely — Use Ink Only
AD'DRESS F34 F.LPwiCi .ri�..
OWNER OR
TENANT r Upn
MAI LI NO
ADD A E55
TEL.
CITV n..�.�� u.�.... NO. RA9_C
BRANCH
ARCHITECT
CONYfiACTOR
ADDRESS
CITV f��t
STATE
LIC. NO. .� �
SI2E
OF LOT
USE OF
L.
ciTv G7f 3
LIC. N�
NO.OF BIOGS
NOW ON LOT
Separate permits are roquired (or
electric, plumbing and heating work:
USE OF BUILDING AND WOflK TO BE PERFORMED
I heraGy ecknowlatlps thet 1 �w� rseC thli epplicatlon end ttete
Mat th� �bo�a Informetlon I� corr�ct end epr�e to comply wIM
all lew� rpuletlnp Gaildlnp conrtruetl0�, entl 1�hsll not �mploy
any parwn In vloletion of t�a workman's compenvtlon Iaw� of
Tha Sceta of Calltarnie.
I Aereby cMHy M�t I am pfopFlY IICInMtl ef � Contrxto� undM
Me Stete of Celffornle Bu�ln�u en0 Proteninn+ CoOs, Divl�lon 3,
C�eptar 9, entl thet wch Ilean�ef en M lull torca entl elfxt, or I
em exampt irOm tha prOvAb�� Of th� $tete Of CeIHorNe Bufin�p
and Profaulom Cotle, Divhlon 3 Chepmr 9.
`7 ,� �,
Slpnemn of / // [: ^ aa�.�
Permittn i%ll.I' �
or �/'.-:� �•' '�'s
Authorizetl ABent Date
«--
.. - cii=;: rl�. �! 1', � ' . ,
APPLICATION FOR STRUC7'UItAL PERMIT . .
RECEIVEDB�' PEfiMIT • �j�� / + /
/
H.P. N�. ' �
,�
BUIIDING 3£34 I'I04iex' St.
HOO RE55
UNIT OF
$PACE NO.
TR.NO. r LOT BLK.
il ,. � /�
NEW ADD LTER REPAIR MOVING DEMOLISH
OWNEq
VSE
APPROVEDSETBACKS
A.SIDE � FT. �
c �,
4. SIDE � ! FT.
REAH S � FT. G/
PLANNING ACTION
VAI.VE
S
APPFOVED : ) � �" I ..wTc / • /'
l ;. a'k. �t �. . _
P
�
i
.
S�. FT. r 'V
THE AMOUNT SHOWN UNDER VAIUATION IS FOR m ��
THE GURPDSE OF ESTABLSHING A PERMR FEE ONLV: e
VALUATION PERMIT FEE S 9�
N �m
�U/�" PLAN CHECK = � ;' ^
( " _.� -" o
s�r , /� TAx , .. ,, "f
�, G Ci , ;
U ,�
TOTALPAIO S � �� �