HomeMy WebLinkAbout3040 GARFIELD AVE - Building PermitsPfl .7 p0�flE5S:
�, NEP'SNAME: jOiO GARFIELD AV
h� _, aooness: LE, BENJAMIN Q
3040 GARFIELD AVE
COSTA MESA,CA
ApCHIENGINEEN: $ 1,3 8 3 1— 3 8 1 3
RODNE55:
UNIT:
92626
NEG.NO.:
uxir:
PEflMITTEE:' '
aooxess: HENJAMIN LE (813)831-3813
9543 S MANHALTAN AVE 106
110ENSED CONTBRCTOB �EL�lpN4l10N: I hemCy a0irm Iha� I am license� unUeFpiovisio�s:O�Lliapter 9(wmmencin8 wilh Sectian
7000) ol Oivision 3 of the Business antl Pmlessions G�e. an0 my lic¢nse is in lull force antl ellect.
CITY LIC.: $TRTE LIC.: ClASS:
�ale: Signatu�e:
W9fl%EBS' COMPFNSPTION UECIAflAT10N: 1 �e�eby attirm 1ha11 have a cenificate ot consenl to sHf�i�rswe m a ceniticate o1 Wo�kns'
Compensalion Insurance. or a cetlilietl copy thereo� (Section 3800. La�. C).
POLICY NO.: E%P. OATE:
COMPANY:
❑ CerlilieA coOY is �ereby Wmis�eU. ❑ CenifieJ toDY �s filetl with tAe city Builaing Oivision.
Ja�e: Apo�icant:
EXEMPTIONFqOMWOflKEPS'COMPENSATIONDECNBATION: (ihisSeCliannee0not0ecompl¢IeOiflAepermilisforonehunArt0�510D)oriess�.
1 cehdy Ihal in Ihe OeAormance o� I�e work lor whic� �nis permi� is issued I shall noi employ any person in any manner so as to �ecome
subjetl to Ihe Workers' CA111pP053�i00 L2W5 0� Cdli�Of�id.
Oate: SiAnam�e:
NOTILE: II. ai�er making this Aeclaralion, you sh0uld hecome subleci to ihe Worker5' Compensation pmvisions oi I�e LaEor
Cade. you must fonhwiih compry with suc� pmvisions or ihis Oermit shall be AeemeO revokea.
CONSTflI1CTI0N LENOING AGENCY: 1 hereby a��irm that ihere is a con5imc�ian leneing agency �or Ihe pedormance o� Ihe work for
whicll ihis Dermil is i=sued (Seclion 3097. Civ. C�.
IENOEX:
AOUNESS:
OWNEB BIIILOEB DECL4HRTION: I herehy allirm th4t I am exempt Imm ihe Coniractors' State License Law for ihe lollowing reason
(Seclion 709L5 eusiness antl Pm�essional Code'. AnY ciry o� county which requires a permi� to consimct, alter, improve. demolis�, or
repau any simcmre. Drior �o its issuance, also re0uires ihe aD���cant 5or soch Dermil lo itle a signe0 statemem Ma� he/she is licensetl
pursuam m �he pmNsions al ihe ConiraclOrs' Stale LicEnse Law (C�apier 9(wmmenting wiih 5¢ction 70W) o� �ivision 3 0� ��e Business
antl Pwfessions CAee� or ihai he/she is ecemD� iheref�om anA ihe basis far ihe allegetl eKemption. Any violation of5ection 703L5 Gy
any applicani �or a permi� subjecis �he ap0�icanl Io a C'/�I penaliy af no1 more �han live hunAr¢U Uollars (550(I).
I. as owner ot �he pmoeny or my emVIOYees vnlh wa0es as iheir Sole comDensalion. will Ao the wofk, ane Ihe
❑ simclure is noi inten0ed or ollereA tor sale (Sectron 70Ca, Buvneu an0 Pmlessional CaOe: TAe Contrapors' Staie License Law
tloes nol aDPN �o an owner ol a pmpeny wtp hutlds or imDmves IAereon, and who does suc� xrork �imsetll�eruli or Ihmugh
his o� her own employees. D�a�dea Rut sucn impmvemenis are not inrenaed ar oifereE lor sate. Ii, however tha OuiWinp or
impmvement is so�U wi�hin one year of completion. tAe owner vnll have ihe 6urden ol provinp �e/she did not builtl or improve
lor Ihe purpose ol sale�.
� I. as ownero�the properlp, am exclusively can��acting wi��licensetl contractorsto wnslructlhe Drolect($ection 70AE, Business
❑ anG Prolessions Cotle: The Caniractors' Slaie License Law dces noi appry to an owner o� propetly who builtls or imDmve51Ae2on
j( an0 w�o conlracts lor suc� pmjeci5 wi�h a camractoqs�licenu Dursuani to ihe Contrac�ors' State License Law�.l am aware
��� 0��� of Iheir Worker 5 Compen5aiqn insurance stqul0 Ge O�oviOetl Io me.
� I am eremD� unaer Setiion: B. 8 P. C.
lor AI�i�s,reasan
�oaie: b��/� �/ ry� Owner
I tlo �ereGy cetlily a[ I am aw re of antl unG¢rslantl I�e requir¢menis al Cali�omia Heallh antl $a�e�y CaOe Sec�ions 25505, 255J3, and
25534 ana I�a� I or any IUWre buil0ing occupanl will/will no� �circle one) neeA �a comply wiih said 51aie cotles antl the re0uiremeni5 for a
permil br con5imction or motlilication Imm Ihe Air OValiry ManaAemenl DiSVicL ReSiUen�ial cons�mctian apP�ications are exempi �mm
�he5e D�ovi5ion5.
Daie: ApD�itanf.
1 �ereEy c¢hily I�a� I have rea0 i�i5 applkalion anU 51a�e �hai ��e a0ove iniarma�ion i5 cOrreci. I aqree Io mmpty vn�h aA tiiy anE COuniy
ortlmances an0 siate laws rela�inp to Uuilaing conslNction and hereEy au�lroriie re0�euntaiive5 of Ittis cily Io enier upon �he aOWe�meniionetl
pmpetly lor inspecli n purpo es. �)1�4f� !� �' •� Lf
�Oate: S:L Signalurd: �
omer's Licens oi Soclal Security x: � (
i5n�_us While—Buildinq:
GolJonrotl—Assessor
CSTY OF COSTA MESA — BUILDING PERMIT p�arn Nn. a ntia�7a
PERMIT NO: H 059624 PLAN CHECK NO; N GOVT: N SUPP: N
CONSTRUCTION TYPE; V—N PERMIT TYPE; STR PURPOSE: OTH
JOB DESCRIPTION ; T/OFF RESHT, REAOOF W/COMP SQ FT; 2,800
CLAIM VALUE: 2,800,00 CALC—VALUE; 2,800.00 GROUP OCC: R-3 /
COMMENTS• SMOKE DETECTOR RE�UIRED IN THE HOME
��*�e�r**���****x���r�r��**xx-�� �x�*x-**��*��x�x�r#*xx*�r+r�*�*x*�*�x�*##�xx�r*ce*��#�#ceu�
Z O N I N G R E Q U I R E M E N T S
S E T B A C H S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDZNG ---------
FRNT; FT IN REAR: FT IN FRNT: FT iN REAR; FT' IN
LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN
PARKING REQ• PROV: PARCEL; 14113302 2A]E: Rr:F NO;�
PLANNING NtSTESs' .,•
> .
iE 1E iE iE ih �1f� fk fE 1k df iE iE itlfiE.iE 1E ## 1k if iE if 3E ih iE �E iE iE iF #!E iE iE ik itlf # iF ih # iFiF iElE7F# if fE # il� # iE 1F iF iF iF N� iE IF ## lE if 1f iF iE iF�t # iE iF # 3E ## if� if
D E V L.`� L O P M E N T S E R V I C E S R E Q U I R E M E N��''I' S
ZONING APPROVEL� BY DATE; :��
BUILDING APPROVED BY : DATE: �r
APPiICATION I$yUED BY• DATE: �L
iFiEifiEiFiFfE�E1E3EifiFikiHtififiFiF#�EiE �ir iE it �t it R�Rtt ##lEiEiF#iE#### x�tr 1t Rttir#iF
iFiEiFiEjE#iFifiE3fiEiEifiEiEiE#iEiEiF#iE##IE#iE######i4iflEjEiEiliEiE#iE3E##iflEik#it#iE#3F##ltik3FjflFif###if# IF##iE#i'rfE�Y�#3E
LEGALIZATION:N F E E S[7 M M A R Y STROC�'URAL SEGMENT;Y
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 54,00 . 50
PLAN 5MT�P/NON—RES
ISSUE FEE '
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL p,�RID DOE
TOTALS----> 54.50 0,00 0,00 54.50 5g,�50 ,00
REVENUBLDGVPMT PLUMBING ELECTRIC�MECHAN�IC� FIRE4�SMIF�/TOT/sGRAD1NG PLAN—CHECK
59 , 00 , 50 !`�
1E iF fEit if iF iE it 1E iE if IE it iE iE iE iE 1t if # ih iF # iE iE iE 1(� iE IF it # iE iE iE 1E it if if ## if it # iE iE iE if ff fE # 1F if 1FlF �If 1E ik �1F # iF iE ## iE^'�' ik # iF if 1E iE # IE # if iF �f iE 1E
I N D I V I D U A L F E E B R E A R D O W N���
TYPE QTY D E S C R I P T I O N UNIT COST /,• TOT'AL COST
SFR 2800 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 t 2,800,00
END OF FEES
!'
r �
t - ' �X k�
r
f'
�{� �t�$ j._.z.' :�..�%X":. . . t�.
i.•�it'� 1 , . • � �j` , ,-
%`. �� Q
� O'L/
CONSTRUCTION ANDPLANNING POOL A � �
���APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
,
t. Temporary Electrical Service or Pole 52. Pooi & Equipment Location �
2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement �
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical ConduiFUndrgrnd. 55. EleCtrical Bonding .
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test �• .
6. Electrica� UFER Gmd. 57. APPROVAL TO COVER�GUNtTE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test �
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, C Undrgrnd. '
10. Structural Floor System 67. APPROVAL TO DECK
11. PropertY Sewer line & House Conneccion 62. Backwash & Receptor�Final
12. Sewer Cap 63. Hea[er & Vent-Final
13. Roof Drains 64. Plumbing System � Final
74. Rovgh Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
i 6. Rough Eleetric Wiring 67. Fencing & Access ApP�oval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough EleCtrical�T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts,in Structure 76. Underground Hydro
22. Ducts, Ventilating 71. Product Piping OGas ❑Oil
23. Gas Pipe•Rough & Test , 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ Oil
25. Root Sheathing ��,.�� �..� 74, Overhead Hydro
26. T�Bar Ceiling (Structurall & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding � 77. FIXED SYSTEM FINAL
29. Insulation i � � 78. FIRE PREV. FINAL
�
30. Drywall Nailing - �! HEALTH DEPT. REQUIREMEN7
31. Piaster Brown Coat � i�� 79, PiNAL INSPECTION
32. Electrical Power MeterFinal I 80. FOOD CERTIFICATE ISSUED
33. Final Electric � � � Notes:
34. Final Heating & Air Conditioning I ;
35. Final Gas Pipe-Test '� I
36. Hood or Canopy �
i
37. Final Factory Fireplace I� I
38. Final Plum6ing � I I _
39. Water Service-Pinal � �
40. Gas Servica-Final I �
41. Solar pomestioFinal I �
42. Backflow P�eventer � �
I
43. Backflow Irrigation
44. LandScape ��riqation SYsiem
45. Sound Attenuation �Q ,., 27�Z� s�,�� �� L/
bccrv.
46. Handiwp Regulations ��
47. FINALS7RUCTURE&BUILOING ( �30�9�„Gwr
48. FINALP�ANNING '
49. Electric Release to Edison � ' '
i
50. Gas Release to Southern California Gas Co , �
51. CERTIFICATEOFOCCUPANCY
No. Date
.r�'7,,,�n, y_ 's' ."
i5 f+r !',-�'.'1 S'r5,r f:'.��..,
� ,�� ��a:'D,ECLAI
�. ✓II.SV�1�.Y�Z�.
i.,, i ki�-t_ _'Q�.�i:v
.;��?c';�<; F,QR-AGE
� � � ��u t �
,� x `
� �
�+'�� �,".P i ,,'` r'
a� `y�f -id�ryr'�,M^i
�/d` y iJf� 35 "d . ,.
�, �.,� ,
� i � �r: � .v -+'
�""� 1 �.(WeJ
t;y�rr=•�i::.�. �. .;. .� :.
� � >°,`�`�s,,� �of,fhe
� �. -
.i , •�. �°ya � �:.r, :
< �y,,; , ,� r-. , __ .a. . _
�,`�I:.:.t�il�rw��� �^!
�1::, � �
r�r ,'
' •y}11��;�,M .
1
�.�. x;�: . . . . .
Sy��I,,. . • .
ATION OF 'JTHORITY
'`5:'�,' .. . �
iTS OF:PROPERTY OWNER
�EOR PERMITS I
't '��� �,Ld �-.
'. .�-4�: 0,- 'G'r�-i
��,����j GA' �iZ6 ZC
Permit M
This Permit k
, , , Street Address AP Number •
�i _:; .. �. � . . -
�� �1� ��l�l h � , declare that I am the Owner of TiUe
,,. 4m.,... .
above. referenced real property, and that I(we) hereby authorize:
. ` �'�NC
� . =4? ", . ..
f.. '�'.��• ✓ 1
I,' "
. 1: .55. .. ' "
C N
i i i(��� y f i
�i�•� ,�iy*�-.',%� 1 �l:' i,
tl
_" . . " .4'.`�7 � t� Ot
f.4x.,,�;
�.,. , �
k i° n,'„i;i',�:;'
�' � `i i4:' 1
. �'�:;s..,. .
a-
State
(7/4� �Q�-6667
Telephone No.
�tain permits in my behalf, as owner/builder, for �Q.. PiO� �I °V��,/
e� ab,ove referenced property.
ild`:any: person become an employee engaged in the improvement of the property, I(we) shall im-
ately,provide Worker's Compensation Insurance coverage and cause a certificate of that coverage
filed'with the Building Division of the Ciry of Costa Mesa, as required by State of California laws.
, .�`�; ; ' � �; � . . ..
vner/bLilde� in fact, I understand and accept that my responsibilities do not transfer to any other per-
company. or corporation.
' '� tf r ` . , ,
#e�to indemnify and hold the City of Costa Mesa and its employees or officers harmless from any
Tresulting in: damage or personal injury to myself or any other parties as a result of work authorized
e permits from the City of Costa Mesa.
.r . ;,. .
clare`-under the penalty of, perjury that the foregoing is true and correct.
c�_ ty:�•°. � � � � � G�ri c�a
uted this • �� day of �C'� 19�Z , at�� S�k* ,�{�a.
,
;� .. '
_.��� h M L �l
a ��. ' .r � �.�.:� � Brintec
.'u, r^z� � �� � � .
'-"��s.. .aT('7;'.., .�— � , . . -/,
iDl 16/9 L
, 1.`;,. " - ��sC/�/1/ ��t/�{_ ATTESTATION
4
s � a
i r � y I:� _ «, � ' Signature COUNTV F � ��
3� � q
���+ e, � . On thisJ�Eay oi rrr,19Q�.� anest t�at the
A _ .. e. �� , � `, - � precoding or anzchep document is.a true, exact. compleM �
� and unalterod phobccpy msde Ey me ol �/�
,` � , NOT.E This; authorization does not grant authorization to perform the work as owner, it solely providesF�°ti�'"'
;- ,•�'�,j;3',';', � for limited.power of attorney to secure this permit in any behalf. presemeatoR�i�`•=����r�nr�c�c:ad�ao,
:'ta, : b . , 'e, _
�; ' : �,s�J/k N\�nJ L�
1 f+r 4 k�y: � � .
`,��t y.} a .. � . , 'gnd t0 e hcS; ol my knrnvletlp';, t^,zt thG �MtaCa�Ted tlaGument
r �;i- �,���;� '' i- x•. °:., „ , 4, nei!hor a publ c reecrd ner a pu'�'ic�y recorQ�.:i� COCument,
t ! - i ^ ' CoNi3C cop�35 0� e:h�ch �° �:m.^bla
� i � ` s c�? ' i,� .- . ' � . '`i� I ii6 (.'1'r' � -• y�• %•-:� rtom an olfic4 ource 'h�r Ih" r,' i:yY Pu��
4 l ° t 4�+ . . i idL,S II:.V �lL�,lc.. _✓ /��
s
qo-v51 y_ ' , r'' _ _ . �Gp' �}� C Y/
t. //
r . 1 ",: ' • . ' �G'L�71 ��"tt� y""" ��/�/� �IiFF�GI�'.:�TARYSIG>� � 7-
� . r � . . . . �..� GLG /lYf+'fl/� //Tr - � ,G/U�-7p�L`
� r :g. W79a61Pev 119p ' ' � ' . }�-/ q n
.. . �, . . .. . . ' _ �� - 02'/// `�y� �'c rLD.PP].7LL`(:.:Ll'M!FEO �./
<
W �pECTIONS
c
ZONE V
SUBCONTRACTOR
-` . i-- 25394
OOSfA MESA BUILDING-SAFEfI' DEPARfMEM
P.O. BOX 1200 GOSTA MFBA, CALIFORNIA DZ620
For AppOcaM ro Fllf In CompbNfy
TYPE OR PRINT
.uu.oiho . o�-o -� A R' icG �l�
AOORHDD
COSTA MESA. CALIFORNIA
�o �
■ STATB
NO. � 1V �'_7) O f
U o I �°W°�.: �°�.
Gl BETBACR LIM6IROY
DESCRIPTION OF WORK
,1 � � +
WALL
d UYGOPOUIWIIIYAXDWORKTOB[
�
�
-� D
1 N61160Y ACKMOWL[DOi 1MAT.1 XAV6 pGD i111� A�lLIGTON
AND BTAT6 TNAT TX[ ACOYi 10 CORR[CY AND A0116[ M COY.
PLY WITX AU. CITY ORDIN11NGii AMD �T�i{ lAN1� �I[OYLATN6
eY1LCINO CONBTRUCiION. _ �
H16NATUN�Ow � �
PBRMITTB• -�'
AUTHORII[P A61Ni v1..3�L16 �
CITY OF COSTA MESA
MAR 15 1966
Ar�LICATION FOR PERM(f
�d�lIC�INO e�
R[C[IIT
ZONING
�. Ho. —�—�i�� 1�- r � i
R� NOeAV60VERNANOBMALLElL688THAN
TO HIOB e R6AR P. L
ea
.OWlD �U.B.C.RBGUIPlM[NT7
YARC�MPROVED YARDBAPPROVBD
MAIN BUILDINO ACCBYBORV BUILDINO
�
vue. ft
DATB
�- - a
m
�
2 so. vr. �
TMi AYOUNT YNOWry UNO6R VALU�TION IB IOR TN[ �
NRPOBI OI [fTAGLIGXINO A PLpMIT li6 ONLY. �
VALUATION a
PERMIT FEH p
i SC/�� O�J `— W
1
TOTRLPHE
LOT��' TRACT 42 Z
-�`v ����7�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 31] COS7A MESA. CALIFORNIA
fOR APPL/CANT TO f/[[ /N COMPLETELY
TYPE O PRINT �'� �
BUILDING
ADDRE55 � D
COSTA MESq, CALIFORNIA
ADDRESS 1 PLACENTAA AVENUE
TEL.
cirv N WPORT B AC rvo.
.ARr -ECT Lic.
OR INEER NO�`E NO.
ADDRE55
LEGAL I LOT S 9
OESCRIPTION NO.
A.P. NO.
ncZEnr (.l11 V '1!1l1�
FEE RECEIVED
�✓ s�P z� �sst'
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
�oR afficE usE oHty
HECEIPT NO. EqMI'�' NC
IL�;-��.�
IfIF� BY � D�i'E HECEIVEO _ I DATE ISSUE
COSTA MESA. CALIFORNIA
FIRE
ZONE
- - ZONING
L3 L. ZONE NO.OF ^J USE OF NEW S�'�� �^ �
TRACT R—� I P�ANS C-. I BUILDING �/�'
APPROVED� n 9�'j.( �
BV �N/t.OB DATE / �
no.or e�ocs. yqRDS EVES
9ETBACN LINE FROM
cervien or srrseei �j� � I REAR YARD j%�
SIDEYARO ILEFT ' ^� IRIGHT (�����r
DESCRIPTION OF WORK
NI I X IIALTERAYION I IIADDITION
'.FYY��
NG �
NO.OF O
'ROOMs U
EXTERIOR WALISTUCCCO I
COVERING
USE OF BUILDING AND WOI
SINGLE FAMILY RESI
GARA66
REqU1RED AL�OWED
(CENTER LINE ST.)
FRONT `� � FT.
1
I HEREBY ACKNOF/LEDGE THAT � H1VE READ THIS �PPLICATION 7HE �MOUNT 6HOWN UNOER VpLUATION IS FOP THE
ANU 6TATE THAT THE ABOVE 14 CONHECT ANO AGNEE TO COM- pUFPOSE OF ESTABLI9HIN0 p PERMIT FEE ONLY.
PLY WITH ALL GTY OPDINANCEB AN� STATE LAWS FEGULATING
Bl11LOiNG CONSTRIICTION. VALUATION
SIGNATURE OF �^^ / / /1,., /J� PERMIT FEE S ��j —
PERMITTEE � � / L� �Y� ^
$ 1{�� `� `l�',_ PLAN CHECK $ �7�, SG
/ r 1 <��
AUTHORIZED AGENT TOTAL FEE $ ���.5�