HomeMy WebLinkAbout1164 GLENEAGLES TERR - Building Permits 4,51MFq CITY OF COSTA MESA
°Ap BUILDING DIVISION
t' '-•"'i' ' DEVELOPMENT SERVICES DEPARTMENT
J• grigh _ PERMITP UMBER
99-00048
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
ELECTRICAL PERMIT
Job Address: 1164 GLENEAGLES TR Status: ISSUED
• Suite No Applied: 01/25/1999
Vicinity: Issued: 01/25/1999
Parcel Nunmber: 42233103
Applicant: PRO BUILDERS EXPRESS •
Address: 16002 RED COACH LN
Phone: 562-947-4335
WHITTIER,CA Zip: 90604
Owner: RENNER, RYAN
•
Address 1164 GLENEAGLES TR
Phone: 949-642-6996 -
'CV.CA 92626 Zip: 92659
Contractor:- PRO BUILDERS EXPRESS
Address: 16002 RED COACH LN _
Phone:. 562-947-4335 .
WHITTIER,CA Zip: 90604
License: 737610 .
SCOPE OF PERMIT
9 LIGHTS, 10 OUTLETS&4 SWITCHES, REF B99-121.
FEE SUMMARY • .
Quantity Quantity
ISSUE FEE - $22.00 - _Temp Dist System/Lighting , $0.00 0
Temp service test $0.00 _ Busway/100 ft $0.00 0
Res.a/c package $0.00 Standing Section $0.00 0 '
New Res(1-2 units) $0.00 0 Misc Electrical Equipment $0.00 0
New Res(3+units) $0.00 0 Transformers up to 1 kva/kw $0.00 0 •
Pool/Spa $0.00 0 up to 10 kva/kw $0.00 0
Lighting Fixts $9.00 9 up to 50 kva/kw $0.00 0
Recept Outlets $10.00 10 up to 100 kva/kw $0.00 0
Switches $4.00 4 • over 100 kva/kw $0.00 0
Non Res Appl $0.00 0 Low Voltage Equipment $0.00 0
Res Appl $0.00 0 Low Volt Wiring System/Ckt $0.00 0
Service to 200a $0.00 0 - Misc.Conduit $0.00 0
Service to 1000a $0.00 0 Misc.Conductor $0.00 0
Service over 1000a $0.00 0 - - Circus(gen or ride) - $0.00 0
Motors to 1 hp $0.00 0 Circus(mech ride or lights) $0.00 0
Motors to 10hp $0.00 0Christmas Tree Stand $0.00 0
Motors to 50hp $0.00 0 Fireworks Stand $0.00 0
Motors to 100hp $0.00 0 Other Electrical Fee $0.00
Motors over 100hp $0.00' 0
Communication drops ,$0.00 0 Investigation Fee $0.00
Sub panel to 200a $0.00 0 Plan Check-Fee $0.00
Pole Light Pkg $0.00 0 Reinspection Fee $0.00
Sign Circuits $0.00 0 •
Temp Pwr Pole $0.00 0 TOTAL CALCULATED FEES $45.00
Intermed Pole $0.00 0
EXPIRATION: 'This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
fora period of 180 days. .
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this perm
FOR INSPECTIONS CALL: (714)754-5626 /F/
DECLARATIONS
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have aed will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
12' I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'compensation Insurance carrier and policy number are: /.
Cartier: Va7� .c id° Policy Number: (4771
(This section need not be completed if the permit is valued at one hundred dollars($100)or less.)
rtify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of Californi. - d agree •. I I shg4ld become subject to the workers'compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with these pr• 2-5- 9' 9
Applicant Signature'- ser � Date:
WARNING:FAILURE TO S • RE •RKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE(S •1,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed unser provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business a "rofessions Code,and my license is in full
force and effect.Lic.# / a Class# t/
Contractor's Signature: � _ Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civ,l penalty of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.if,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or Improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions
Code: The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. ❑Yes ❑No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth Into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3,2,Grp 2,Art 2,Sec.
341,Title 8.California Administrative Code).
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes ❑No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes ❑No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes ❑No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Cale).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agencis required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 es 0 No
8 (If'yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: _ Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
• Le al • .- Date
A: •r Auth•~!Aalili!/- Dat
CODE L INSPECTION TYPE DATE ItilMAsS CODE/ INSPFCTMNTYPF RATE I102:13A1.5
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final _ 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical Ar
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site _
204 Final Demolition 250 Final Building/Occupancy
2446-46
4(� t, CITY OF COSTA MESA
F• `I BUILDING DIVISION � )
DEVELOPMENT SERVICES DEPARTMENT /�li�
PERMIT PER IT�v1NUMBER
00° P99-00088
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
PLUMBING PERMIT
•
Job Address: 1164 GLENEAGLES TR Status: ISSUED
Suite No Applied: 02/10/1999
Issued: 02/10/1999
Vicinity:
Parcel Nunmber: 42233103
Applicant: RUIZ, MANNY
Address:
Phone:
Zip: .
.
Owner RENNER;RYAN -
Address" ,1164 GLENEAGLES TR _
-
Phone: 949-642-6996
C.M.CA 92626 Zip: 92659
Contractor: PRO BUILDERS EXPRESS
Address: 16002,RED COACH LN .
Phone.' 562-947-4335 `
WHITTIER,CA _ Zip: 90604
License: 737610 '
Arch/Eng:
' Address: .
Phone:
Zip: ‘
License: '
SCOPE OF PERMIT "
PLUMBING PERMIT-FOR EXISTING REMODEL REF:B99-00121 -INSTALLATION OF A NEW SINK IN
THE KITCHEN AND CONNECT COLD WATER FOR ICE MAKER.
FEE SUMMARY -
AMT QTY AMT QTY AMT QTY
ISSUE FEE $22.00 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0
Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00" 0
Backflow Preventer $0.00 0 P-Trap - - $0.00 0 Trap Primer . i $0.00 0
Bathtub $0.00 .0 Pressure Regulator $0.00 0 Urinal $0.00 0
Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) " $0.00 0
Connect(Ice,Soda,etc) $8.75 1 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0
Dental Units $0.00 0 Septic Tank - $0.00 0 Wash Basin $0.00 0
Dishwasher $0.00 0 Sewer Captor Demo $0.00 0 Wash Basin Set $0.00 0
Drain,Floor $0.00 0 Sewer Connect - ' ' ' $0.00 0 Waste and Vent System $0.00 0
Drain, Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0
Drain, Roof $0.00 0 Shower $0.00 0 Water Heater/vent $0.00 0
Drinking Fountain $0.00 0 . Sink, bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0
Expansion Tank $0.00 0 Sink, commercial $0.00 0 Water Re-pipe $0.00 0
Gas Earthquake Valve $0.00 0 Sink, Floor . $0.00 0 Water Service $0.00 0
Gas(1-4 outlets) $0.00 0 Sink,kitchen $8.75 1 Water Softener $0.00 0
Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 0 OTHER $0.00
Gas Repipe $0.00 0 Spa(private) . $0.00 0 VIOLATION $0.00
Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00
Interceptors(Grease, Oil) $0.00 0 REINSPECTION $0.00 0
Interceptors(Sand Auto) $0.00 0
TOTAL CALCULATED FEES: $39.50
•
COMMENTS/SPECIAL CONDITIONS
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
O
DECLARATIONS
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'compensation Insurance carrier and policy number are:
Carrier: Policy Number:
(This section need not be completed/1 the permit is valued at one hundred dollars($100)or less.)
❑ I certify that in the performance f the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of Celifo and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these pr e /�
Applicant Signa ur ry Da
WARNING:FAILU TO SEC RE WORKERS'COMPEN COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN ADDITION TO THE cT OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST.AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect��.Lsi�� k Class#
Contractor's Slgnarure. w t--"*".O -'9Q
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation.WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I, as owner'of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions
Code: The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. ❑Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feat In depth Into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safely Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the Califomia Health and Safely Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application appermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes LJ No
(Section 65850.2 of the California Government Code requires that the requested information be fumished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes ❑No
8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is
correct.I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
'fA!�/ nature Qf Legal Owner(s) Er z �0, ..DOeir
And/Or thorized Applicant Date
CODE. IHSPECTIONIYPE 11AIE =ALS CODER 1NSPECTMN TYPF DATE g1�� LS
1616 Fixed System Final Fire Prevention _ 206 Final Mechanical /l
1266 Pool Spa Final 208 Final Plumbing Nat I 1!///
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall _ 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site _
204 Final Demolition 250 Final Building/Occupancy
2446-46
MF CITY OF COSTA MESA
>4u, `1 BUILDING DIVISION
F' �' ' DEVELOPMENT SERVICES DEPARTMENT
PERMIT PER T NUMBER
`°°° '� 99-00121
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
•
BUILDING PERMIT
Job Address: 1164 GLENEAGLES TR Status: ISSUED
Suite: Applied: 01/25/1999
Vicinity: Issued: 01/25/1999
Parcel Nunmber: 42233103 Zoning:
Applicant: RUIZ, MANNY
Address: 16002 RED COACH LN
Phone: 562-947-4335
WHITTIER,CA en��. moi. Zip: 90604
1J=N
Owner:
Address . PO BOX 1446
Phone: •
NEWPORT BEACH,CA Zip: 92659
Contractor: PRO BUILDERS EXPRESS •
Address: 16002 RED COACH LN -
. Phone: 562-947-4335
-
WHITTIER,CA
Zip: 90604 License: 737610
Arch : Eng: MAREK P. CHLUDZINSKI
Address: Address: 16009 REDCOACH LN
- Phone: _ Phone: 562-947-4335
WHITTIER,CA
. Zip: - License: 90062 License: 27570
SCOPE OF PERMIT . •
REMODEL TO KITCHEN/LIVING ROOMS. REMOVE PORTION OF COMMON WALL AND REPLACE W/POSTS&HEADER. -
FEE SUMMARY
Plan Check: ' $113.59Calc Valuation: sil,000.00
Permit: $174.75 • Claim Valuation: , $11,000.00
SMIP Res: $1.10
SMIP Corn: $0.00
• Other: $0.00 ,
Inspection: $0.00
Total: $289.44 •
•
PLANNING &ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 . Left . 0-0 i Right 4 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 Required: 0 Proposed: 0
NOTES: •
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754.5626fe
•
�/,
DECLARATIONS
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty o1 perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to sell-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
for which this permit is issued.
I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My w ers'compensationpeurance carrier and policy number are: ) p
Carrier: '/
-' 47/5 ' 1A/Q `9 Policy Number: /I 7/ / - 4948
(This section need not be completed if the permit is valued et one hundred dollars($100)or loss.)
❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of Californ'a,and agree t tit I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these o 'o
Applicant Signature: r Date: z C-cfr 9
WARNING:FAILURE TO SECU E WORKERS'COMPENSA ON COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000).IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37060E THE LABOR CODE.INTEREST.AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Busina§s�nd Professions Code,and my license is in full
force and effect.Lic.fl -7 76/27 Class 11 C�
Contractor's Signature: r�. Date:
•
CONSTRUCTION LENDING AGENCY: CCC
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued.(Sec.3097,CMI Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Cale:Any city or county which requires a permit to construct,alter,Improve,demolish,or repair any structure,prior to its Issuance,also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not Intended or offered for sale(Sec.
7044.Business and Professions Code:The Contractors License Law does not apply to en owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or Improvement Is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions
Code:The contractors License Law does not apply to an owner of properly who builds or improves thereon, and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ -I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2.Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the Califomia Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes ❑No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a permit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 0 No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No
(If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which Is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes 0 No
8 (If yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: _ Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described properly for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
Signatu eget s1 / Dat� 9
g
d/Or Authorized Applican Date
GggE_E, INSPECTION TYPE g9IE U1TID9L5 COME/ INSPFCTInN TYPF MTh EMU
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign222 Final Site �
204 Final Demolition 250 Final Building/Occupancy
2446-46
MFS
CITY OF COSTA MESA
' EW
,`Mt, BUILDING DIVISION
I. •" ' ;; ' DEVELOPMENT SERVICES DEPARTMENT
t,,. n„ �,> . PERMIT PER NMIT JMBER,•.)
tePotrro se M99-00022 c.
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
MECHANICAL PERMIT
Job Address: 1164 GLENEAGLES TR Status: ISSUED
Suite No Applied: 01/25/1999
•
Issued: 01/25/1999
Vicinity:
Parcel Nunmber: 42233103
Applicant PRO BUILDERS EXPRESS •
Address: 16002 RED COACH LN •
•
Phone: 562-947-4335
WHITTIER,CA Zip: 90604
Owner: RENNER, RYAN
Address: 1164 GLENEAGLES TR
• Phone: 949-642-6996 '
', C.M.CA 92626 Zip: 92659
Contractor PRO BUILDERS EXPRESS ,
Address: 16002 RED COACH LN •
-
Phone::- 562-947-4335
WHITTIER,CA Zip: - 90604
' License: 737610
Arch/Eng: -
Address: •
Phone: - - .
• Zip:
License:
• SCOPE OF PERMIT
. KITCHEN HOOD, REF B99-121.
• FEE SUMMARY
Quantity Quantity
• ISSUE FEE $22.00 Repair/Alt Absorbtion Unit $0.00 0
Inst FAU<100 k BTU $0.00 Repair/Alt Refrigeration Unit $0.00 0
Inst FAU>100 k BTU $0.00 Ventillation System . $0.00 0
Repair/Alt Cooling/Heat $0.00 0 • Evaporative Cooler $0.00 0
Inst/Rep.Recess Wall Htr $0.00 0 Commercial Incinerator - $0.00 0
Refrig Sys<100 k BTU .. $0.00 0 , _Domestic Incinerator $0.00 0
Refrig Sys>100 k BTU $0.00 0Compressors/Absorption Systems
Gas Piping $0.00 0 Up to 3 hp/100 k BTU $0.00 0
Factory Fireplace $0.00 0 3 To 15 hp/500 k BTU • $0.00 0
Hood w/Mech Exhaust $9.50, 1 15 To 30 hp/1,000 k BTU $0.00 0
VAV Box $0.00 0 30 To 50 hp/1,750 k BTU $0.00 0
Vent Fan/Single Duct $0.00 0 Over 50 hp/Over 1,750 BTU $0.00 0
Appliance $0.00 0Boilers '
Fire Dampers $0.00 0 Up to 3 hp $0.00 0
Smoke Dampers $0.00 0 3 To 15 hp $0.00 0
Inst or Relocate Appl Vent $0.00 0 ' 15 to 30 hp $0.00 0
Air Handlers< 10000cfm $0.00 0 30 to 50 hp $0.00 0
Air Handlers> 10000cfm $0.00 0 Over 50 hp $0.00 0
Floor Furnace $0.00 0 Other Mechanical Fee
Floor or Suspend Heater $0.00 0 - Investigation Fee $0.00
Plan Check Fee $0.00
Reinspection Fee $0.00
•
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days. .
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
0 I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
9/ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'corn enation Insurance carrier end policy number are: ,1 ,z . Q
Cartier:4,a1t Pv^-L0 Policy Number: /477 v! / / '
(This section need not be completed if the permit is valued at one hundred dollars($100)or less.)
❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of Califo le,a ree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these pra� f q 4°.Applicant Signature: Date: /z S—T
WARNING:FAILURE TO SECURE WORKERS'COMP 4SATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL IES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100.030),IN ADDrTION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SEC110N 3706 OF THE LABOR CODE,INTEREST.AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provi ions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Plofessions Code,and my license is in full
force and effect.Lic.# w — Class# h'S
Contractor's Signature: ' �1"' _S Date: S V r
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,Improve,demolish,or repair any structure,prior to its Issuance,also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not Intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or Improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I, as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions
Code: The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
•
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend, will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes ❑No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the Califomia Health and Safety Code been fully complied with? 0 Yes ❑No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application appermit for such construction or modification
from the South Coast Air(Duality Management District or from any other air pollution control district or agency? 0 Yes ❑No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air(Duality Management District or other air pollution control district or agency Is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 es 0 No
8 (If'yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: _ Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
SI. ature • egal 0,401,4>Z. Date j
n:Or Authorize•Applicant Date
rime# INSPECTIONTYPE Qeg ItmaIS CODE( INSPFrTION TYPE .
1616 Fixed System Final Fire Prevention 206 Final Mechanical 3/375,5, 1.4,
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site _
204 Final Demolition 250 Final Building/Occupancy
2446.46
,P OJEK' DRESS: 1164 GLENEAGLES TR UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 066214
-AWNER'S NAME: STEVERSON, GRACE
ADDRESS: 1164 GLENEAGLES TER PERMIT NO: B 066214 PLAN CHECK NO: N GOVT; N SUPP: N
COSTA MESA, CA 92627
CONSTRUCTION TYPE: V-5 PERMIT TYPE: STR PURPOSE: ALT
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/O,RESHEATH 1 /2"CDX, APPLY 40YR COMP SH SQ FT: 6, 375
ADDRESS: UNIT:
CLAIM VALUE: 6, 375 . 00 CALC-VALUE: 6, 375 . 00 GROUP OCC: B-2 /
PERMITTEE: COUNTRYMAN ' S CONSTRUCTION ( 714 ) 768-2952
ADDRESS: 24581 VIA SAN FERNANDO COMMENTS: SMOKE DETECTORS REQUIRED PER THE 1991 EDITION OF THE UBC
MISSION VIEJO CA 92692 **********************************************>ESE******************************x
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON I N G REQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and O'cense is in full force and effect. S E T B AC K S
W54°
sTAEIA.:626343 -� sig. MAIN BUILDING ACCESSORY BUILDING
MPENSATION DECLARATION: Ihereby affirm that I have ertificate of consent .self-insure or a certificate of Workers' FRNT; FT IN P.EAR ; FT IN FRNT: FT IN REAR: FT IN
Compensation Insuranci,or a certified copy thereof(Section 3800, ,.C). LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
POLICY NO.: 1 1016 i-93 EXP. DATE: 1 0/0 1 /94
COMPANY: STATE FUND PARKING REQ; PROV: PARCEL: 42233103 ZNE: REF NO:
'7 Certified Certified copy is hereby furnished. d Certified copy. �i :A,g Division. PLANNING NOTES>'
—�r /g / •
Appllca' tib ailipa. Cr *******************************************************************************
'-EX(PTION FROM WORKERS'COMPENSATION DECLARATION: (This se ,n need not be co r feted if the permit is for one hundred($tpl)or less). D EVEL OP MEN T SERV ICES R EQU IR EM EN TS
I certify that in the performance of the work for which this permit is issued,I shall note ploy any person in any manner so as to become
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE: •
Date: Signature: -_
NOTICE: If,after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY ; DATE:
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction tending agency for the performance of the work for APPLICATION ISSUED BY ; re
which this permit is issued(Section 3097,Civ.C). *************************************. * ****D**.K.** * .* *�, **y
LENDER: ***********************************************************************# *******
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 90 . 00 • 64
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business • SMIP/NON-RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID . DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 90 . 64 0 • 00 0 , 00 90 . 64 90 . 64 • 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own employees,provided that such improvements are not intended or offered for sale. If.however the building or REVENUE DIVISION TOTAL S--> COLLECTED : 90 . 64 OVER/SHORT
imlorpthe purpose sold
withine. one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 90 . 00
64
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware ***************************************************************************.*,***
that proof of their Worker's Compensation insurance should be provided to me. IND I V IDUAL F E E BR E AK DOWN
❑ I am exempt under Section: B.8 P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner: SFR 6375 REROOF BY VALUE RESIDENTIAL NOZONE 1 .00 6, 375 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from
these provisions.
w;3RE UtTECTOR
Date: Applicant.
I hereby certify That I have read this application and state that the above information is correct.I agree to comply with all city and county /�1'ELQW IRE®
ordinances and state laws relating to building construction and her orize representat ' of this city to enter upon the above-mentioned C
pro y for inspection purposes. -
,IAN,j� 01 00156153-00156154 TOT 90.64
. /< �"�� signaler- . A. DATE: 02/28/94 TIME: 09:I0
Driver's License or Social Security 4:
1641-46 White-Building;Green-Code Enforcement:Canary-Applicant;Pink-Revenue:Goldenrod-Assessor - ______ _.- -- — - - - - -- - ---
•
w`CONSTRUCTION AND PLANNING POO, SPA
Date Inspector Date Inspector
APPROVALS Permit # - APPROVALS Permit #
1. Temporary Electrical Service-or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd, • 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. • 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System ' 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection . 62. Backwash & Receptor•Final •
12. Sewer Cap _i 63. Heater & Vent-Final . .
13. Roof Drainsr, •) 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
•
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 Factory Fireplace APPROVALS Permit #
21. Ducts,in Structure 70, Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
- r
23. Gas Pipe-Rough& Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 3:-3_11i64„4 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 fiat
29. Insulation 78. FIRE PREY. FINAL '
30. Drywall Nailing HEALTH DEPT. REQUIREMENT 7
31. Plaster Brown Coat 79. FINAL INSPECTION ; /-1
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
- I
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
.c t
42. Backflow Preventer n.+
.a
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation .
- u
46. Handicap Regulations
47; FINAL STRUCTURE & BUILDING 'Z_�q'(/ �G><� 1-
48.
`T
48. FINAL. PLANNING ! _ ",
49. Electric Release to Edison - t
50. Gas Release to Southern California Gas Co _
51. CERTIFICATE OF OCCUPANCY
No. Date -'
..
e.J 9 - v e x
% d
April lg 1970
• e.
4 '
Edwin' Steckley '_` , '
1164 Gleneagles•Terrace . ,
:Costa•Mesa, California -Califi ,
Dear Sir:
•A building Permit--has been; issued•to':Bo •
swimming'pool on your propert Y s4to.construct a'private
y ,
• In order. that .Your pool will, e .a safe-one and for:the `
you of your responsibility regard these requirements of Costa' Mesa,
the ' e advising
Municipal Code, wreferec$i 810
e " you to S
7, a copy Of which is attached. '
This letter is d d to you in order. that`
ordiaThia and n make a -You will be-aware of our
u:plete; safety check of your pool 'area. '
Sincerely'youz
•
RICNAItD D. "RANHART
RDH:cb •' Building safety Director , ''
r.:
- — - v
IPa
February 5, 1969
Mr. Howard C. Caffrey
Deputy Building Official
Mechanical Systems
City of Costa Mesa
P.O . Box 1200
Costa Mesa , California
Dear Mr. Caffrey:
This letter is to advise you that no swimming
pool has been installed at 1164 Gleneagles
Terrace, Costa Mesa , and that we have no in-
tention
of having one at this time.
Sincerely,
Mr. & Mrs. Ed Steckley
1 4 Gleneagles Terrace
Costa Mesa, California
9[ECKTF.Y, E. URIc 11-14-b0
JOB ADDRESS 1164 Gleneagles Terrace BUILDING PERMIT NO. 29372
Gru RAL CONTRACTOR Anthony Pools DESCRIPTION of WORK Pvt.Swim Pool
115-613-03 LOT 34 TRACT 3470 FIRE ZONE VALUES 1,600.00
.CTIONS Signature Date GROUP J TYPE III ZONE 11-1
SOIL PERMITS ISSUED
GAS SUBCONTRACTOR
Date I Number Signature
WATER t ,��(/J�PPium�bing 2
ROUGH PLUMBING ��1ii:K4(//'ti ' `6-0-E soz4-.i+
PROP. SWR. LINE ❑ HOUSE CON. ❑ �]
SPRINKLING SYSTEM�N//e[y.r/g-ao / J2Y/4'. //-aL '(at 6":93/FMISCELLANEOUS t! /
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER
ROUGH WIRING Heating and Vent.
TRENCHES n FORMS 0 STEEL REINF.
FLOOR SYSTEM
BOND BEAM STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING — IN ❑ OUT n
PI - 'T.R, BROWN COAT
URAL, FINAL J� EI at is
HE. AG, VENT., REF RIG. AND A.C., FINAL •flil"„ � .{�-(�,� DB
PLUMBING, FINAL AND GAS TEST n R' -✓%% /
ELECTRIC, FINAL
BUILDING, FINAL
SPECIAL REQUIREMENTS
' , �h,u0 x1.97`0esToy
29372 Q ' PAID ****1
COSTA MESA BUILDING-SAFETY DEPARTMENT " b9 NOV 14 68cnsnOO 677* 3.5f
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92020 'i ✓//
For Applicant to Fill In Completely c/APPLICATION FOR PERMIT
'TYPE OR PRINT BUILDING
BUILDING For Office Use Only
ADDRESS 11-64 Gleneagles Terraci
RECEIPT NO. P RMIT NO
• COSTA MESA, CALIFORNIA. 37
RECa V •BY • TE RE RIV[q� DATE ISSUED
OWNER
E Stec kley
-/ /O
MAIL euILDINa
rs MAIL same ADORE- - • Clenea• les errace
TEL ZONE TYPE it/ GROUP FIRE •
CIN NO. ���JJJ """��, ,./
APPROVED /%�f/ � Te fi/l- I/
JIG FNQER C. Adams NO. BY % 000
5871 Firestone Blvd ZONING
ADDRESS ZONE NO.OF USEOFNEW •
PLANS• BUILDING
CONTRA TQR Anthony Pools - l= wd/^
. ADDRESS5871 Firestone Blvd `EGA`EGCNImDN •W. - 3 , k7i,. ..3970
CITY South •Gate, Cal '. A.P.No. .//(c- b 3/•-3
STATE Tit 'i NO'TO SIDE OTE: NO VE REARRHANG SHALL BE LESS THAN
Sp Lit:TO. 190179 NO. Sp 32210: �
EAVES
Y. SIZE I NO.OF SLOGS. ,j ALLOWED (U.B.C.REQUIREMENT)
OF LOT Now ON LOT
YARDS APPROVED YARDS APPROVED
USE OF a ! MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. residence and garage
• (FROM C/L STREET)
SETBACK LINE FROG '." /
• CENTER OP STREET REAR YARD • FRONT PT. /0 PT.l �l�rL
SIDE YARD I LEFT RIGHT It SID FT. •
DESCRIPTION OF WORK L.SIDE PT. ,+--f4 PT.
X ALTERATION _ ADDITION REAR PT. q FT.
DISTANCE BET. BET.MAINS '
REPAIR MOVING DEMOLISH L.
MAIN BLDG;. ACCESS.BLOBS.
BUILDING 10 p X ZV 41&3747 '.. VAR.* DATE
SIZE STORIES • C.LI.P.# APPROVED
EXTERIOR WALL ROOF APPROVED / ,/
COVERING I COVERING - ,; 4T DATE j/"I y'�b-
ussoFeulLDrneAND wrgp9rl�yatRMQD HOLD FOR SPECIAL REQTTTRFt1AFtrTc Es
N
Private swim poor- r
\ SQ.FT. -
I HEREBY A• NOWLIDOI THAT.I'NAVE READ THIS AP ON _ THE AMOUNT SHOWN UNDER VALUATION IS FOR THE O
AND STA - THAT THE ASOVE.IS CORRECT AND AO -Y• PURPOSE OF ■STABLIDXING A PERMIT FEZ ONLY.
PLY WIT ALL CITY ORDINANCES D STATE LA NO , VALUATION llell--0SUILDIN• CONSTRU� ON A' ell--0�f� �/ j PERMIT FEE
•
±' PERMITTEr J ;i 8 / ‘�e. - ._. W
a
AUTHORIZED AGENT a 0/ 1 "7 /Y /
.- . TOTAL FEE $/S
-3OWNER STECKLEY, EDWIN DATE 4-14-70
'1.irn ADDRESS 1164 Gleneagles Terrace BUILDING PERMIT NO. 31619
-S ',AL CONTRACTOR R. al P. .1 DESCRIPTION of WORK Pvt Swim Pool
115-631-03 LOT 34 TRACT 3470 FIRE ZONE VALUE $ 2.900.00
INSPECTIONS _ Signature Date GROUP I TYPE ' TT ZONE •R-1
--: „SOIL PERMITS ISSUED
GAS SUBCONTRACTOR
Date Number I Signature
WATER Plumbin
ROUGH PLUMBING e-ert/L/td 44/1/-744/1/-44/1/-710 YZ943
PROP. SWR. LINE n HOUSE CON. ❑ /` /
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND El POWER ❑
ROUGH WIRING Heating and Vent.
TRENCHES El FORMS ❑ STEEL REINF. 0-
FLOOR SYSTEM
BOND BEAM in STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING •
L G - IN n OUT n
P R, BROWN COAT
STRUCTURAL, FINAL ���/� fI 5tt[ ,/��j �(���jj
HEATING, VENT., REF RIG. AND A.C., FINAL i %f'.I L / � 7c 15(/-Jt'
PLUMBING, FINAL AND GAS TEST n t/// / /
ELECTRIC, FINAL
BUILDING. FINAL
S ! 9Paco00
APR 14 70cn830* ****311.50
sn
COSTA MESA BUILDING-SAFETY DEPARTMENT
t P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 •
APPLICATION FOR BUILDING PERMIT
For Applicant • 'd hCompletely
REC D DA R E VED D T7ISVED
BUILDING l/// // i `(� ���i -/ -�(�
ADDRESS / (fT r PL-- -1 -ei--2_... / //
OWNEReTNza/2�i C J / c....€7... A.P. NO./�� 6. [_ PEIG: In
MAIL IIVV�''''TTTT BUILDING
ADDRESS !!// c'
ADDRESS //v V etn,�i/
z
77 I
W W TEL. TRACT3I- 70 LOTS/ BLOCK
CL O CITY NO.
Z
CONSTRUCTION / NEW ADD ALTER REPAIR MOVING f7FM01 ISH
O CO1 LENDER ,iC_yip�J/ Y
m
a
J D BRANCH ,/�•
- OWNER
L ADDRESS „ ' ��Ci" OVALUE y
'ODS
_j Q ARCHITEC TEL. SEE L/ !/
N OR ENGINES '� I N
N . /
FIRE
Z Q ZONE • TYPE ///- GROUP
d w ADORES _// re JD CONTR• Te ' ♦ f APPROVED /{//DATE /y— /v
CO Z • LL����.s�� J,
7J cc ADDRE �("�� � �
W W V ew"� _ _ ZON NO.OF USE OF NE �'
Z CITY Q-(„L_(�. _(�� lir
3341'a I e- PLANS - BUILDING ,�/,. •llit tip
/
STATE � � CITY YARDS APPROVED YARDS APPROVED
co m LIC. NOr CA �N� LIC. NO. MAIN BUILDING ACCESSORY BUILDING
D SIZE NO.OF BLDGS. (FROM C/L STREET)
OF LOT I NOW ON LOT FRONT FT. //
FT.41.4-v
USE OF
EXISTING BLDG. R.SIDE FT. L_<FT.
F SIZE OF NO.OF --••�I -1
Z NEW BLDG. ROOMS STORIES L.SIDE FT. oCD FT.
(a.1 EXTERIOR WALL ROOF
COVERING COVERING REAR FT. /0 FT.
USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN&
0 _ �Q ' %� // -MAIN BLDGS. _ACCESS. BLOGS.
1 ^?- r VAR. DATE
O C.U.P.# APPROVED
I— APPROVED ,,// '-77
V) RY adi IA _DATE ill 0
Z
0
C~.1 I hereby acknowledge that I have read this application and state
D that the above information is correct and agree to comply with •
CC all laws regulating building construction, and I shall not employ
I— any person in violation of the workman's compensation laws of
In the State of California. • m
Z I hereby certify that I am properly licensed as a contractor under SO. FT. o
the State • :lifornia Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chaps- •, and t .t such licenses in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: a
am e empt from he provisio oft a State of California Business C
and 'rofession •ode, Divisio 3, apter 9. VALUATION.✓ N
PERMIT FEE $
Sign.tura of /.,,,,,/// oJ'Le-L� / / SO m
Fermi r- / $ .76v PLAN CHECK $ // E
n TOTAL FEE $� /moo
Authoriz-d Agent (��-- �4V `' u.
'.
Ili
I- 12712 GG ry W,ck , •
COSTA MESA BUILDING-SAFETY DEPARTMENT �',ly 6, . I'-f�.a I, Y Y"
P. O. BOX 817 COSTA MESA. CALIFORNIA •
L. I ,,:'n" 1-'37 O „f/y6o
For Applicant to Fill In Completely APPLICATION 'FOR'PERMIT
Tr 3 V7e TYPE OR PRINT/Ort .3J/ CI • ' IiSI PIIL.,-H
BUILDING
BUILDING
ADDRESS 1164 Gleneagle Terrace342
COSTA MESA. CALIFORNIA For Office Use Only
RECEIPT NO. I PERMIT NO.
OWNER Macao Corporation' �IaA
MAIL - RECEIVED� BY� DA -/RECEIVED EtISSUED,
ADDRESS 3800 E. Coast Highway Gr/ I / ^F[) US2 a 9.gcn
TEL. BUILDING
CITY Corona del Mar NO'OR 3-'122( ADDRESS
ARr -SCT - TEL. COSTA MESA. CALIFORNIA
OF NEERCPOT+� Wi SPiRan NO.OR 3-4225
FIRE r
ADDRESS - ZONEIRTYPE l/ GROUP-,V-
CONTRACTOR EiaCCo Corporation APPROVED
BY DATE
ADDRESS 3800 E. Coast Highway ZONING . 'h
•Corona del Mar ZONE{/y� 1 NO.OF .. -USE OF NEW
CITY /"\ ( I PLANS //*UILDING /k� •/ 1+,
STATE TEL b r / �� [�_ 1l/�,
LIC.NO. NO.OR 3-4220 LEGAL `' / T /Rf p >
DESCRIPTIO /J�I,VfI�+ / T/ /(J/
SIZE 1 NO. OP SLOGS.
OF LOT 60 X 100 NOW ON LOT 0 A.P.NO.
USE OF YARDS EVEs
EXISTING BLDG, APPROVED ALLOWED
SETBACK LINE FROM (CENTER LINE GT.) ��)
CENTER OP STREET REAR YARD FRONT L7 t/FT. IN.
SIDE YARD I LEFT 51011 I RIGHT 51011 R.SIDE 5/ FT. IN.
DESCRIPTION OF WORK • (/FT. IN.
L.SIDE ,F'
NE' IXX II ALTERATION I II ADDITION I REAR aU' t-,J/F�T 0 —/ IN/ T
REPAIR I MOVING DEMOLISH I APPROVED(' /• N / r DATE, ( �-I.O0
SIZE BUILDING 29 x 49 RNO. oF OOMS STORIES 1 4../.. ./V-
V- /,' Li �y�
COVERING RIOR WALL ROOF
Stucco I COVERING Cedar Shakes
USE OF BUILDING AND WORK TO BE PERFORMED •
Complete Construction •
House Sq. Ft. 1450
Garag• gq -Pt 420
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE-IS CORRECT AND AGREE TO COM- PURPOSE or ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION ////
SIGNATURE OF
,...0
PERMIT FEE $ .3r.'
PERMITTEE M' CCA Corporation C' n
la
7 �- y--� S ��L, PLAN CHECK $ // '- F
AUTHORIZED AGENT .L/K.�CN ��'�•[ J --/�� o
a r 7 TOTAL FEE $ IL