HomeMy WebLinkAbout1175 GLENEAGLES TERR - Building PermitsARCHITECT:
,
License No. <.
Phone
1266
CITY OF COSTA MESA 0
ENGINEER:
BUILDING DIVISION
to 77 FAIR DRIVE, COSTA MESA, CA 92626 • (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us
J•`�.A fi.
FOR INSPECTIONS CALL: (714) 754-5626
Final Factory Fire Place
PERMIT NUMBER: ' BX07-00308
PERMIT TYPE B_MISC
STATUS: ISSUED
APN: 42233112
DATEISSUED: 12/14/2007
Zoning:
ISSUED BY: BJK
JOB ADDRESS: 1175 GLENEAGLES
TR.CM'-:= " -, Suite/Unit:
Vicinity: GAZEBO
Primary Occ., - Const Type :??
SO. FT: 95 -
-Valuation: $5,400.00 -
SCOPE OF WORK: INSTALL 95SF�PREFABRICATED GAZEBO AT THE REAR OF EXISTING SFD.
REF: C07-2096
-
_
- „$0.54
H
OWNER: ZAPPA, ERMINE A'TR -:_r6„ Address:: 1175 GLENEAGLES TER
City/State: COSTA MESA; �`;-, r•�- %
11 Zip Code: 92627-4049
Phone:
$O.00TOTAL FEES
APPLICANT: FACCHINA DANTE+-
_ Address: P O BOX 2387
City/State: MISSION, VIEJO CA ': ;"-.
-_�",-Zip Code: -92690,
Phone: 949-429-5553
CONTRACTOR: PRESTIGE MASONRY-
- License No. 768162
Address: PO.BOX2387 ',r.
_
City/State: MISSION VIEJO, CA -
-- - , -. •'
`�
Zip Code: 92690, -:.
Phone ". 949429-5553 Cell:
ARCHITECT:
,
License No. <.
Phone
1266
Pool Spa Final
ENGINEER:
-',,'It`-
- License No.
Phone
202
Final Factory Fire Place
203
r �
'
Final Demolition
FEE SUMMARY
Building PIan.Cfiteck
_ ' ;$81.41
Building Permit:
$125:25
Electrical Permit.,, 1
$27.90 -
SMIP Residential
_
- „$0.54
SMIP Commercial
- `$0.00 -
$O.00TOTAL FEES
$235:10
Unit
W]
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
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.
CODE M.
INSPECTION TYPE
1616
Fixed System Final Fire Prevention
1266
Pool Spa Final
200
Final Re -Roof
201
Final Block/Retaining Wall
202
Final Factory Fire Place
203
Final Sign
204
Final Demolition
DATE INTITIALS CODE INSPECTION TYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
DATE INTITIALS
U: r
I It
•
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:
Owner ID verified by dri.
Drivers License No.
rJ
❑ Yes ❑ 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
s. ��y this permit, and that no building structure, scaffolding, falsework, a demolition
Carries -( fr`f "^' or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp
(This section neetreer ae mmpleleddaree peerrimd a valued atone hundred dolam(5100)or less) 2 Art 2, Sec.341 Title 8, California Administrative Code).
Policy Number: 4 iJ� -✓ !
❑ 1 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 California, and agree that if I should
become su��IIact to the workeff��' compensation provisions of Section 3700 of
the Labor Qrjde, bshalj (prtlyFiiJh comay with theme, provisions.
Applicants Signature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST 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. L'
Lic. #1V Class #
Contra or'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 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 contractot license pursuant to the Contractors License Laws.).
❑ . I am exempt under sec.
Business and Professions Code for this reason:
❑ 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.
Applicant's Signature
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? ❑ 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? ❑ Yes ❑ No
(Section 25533 of the Califomia 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 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 ❑ 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 ❑ 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 ❑ 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.
Sign 1,re of gal eqs) Dale
Signature Date ate D 7
305736(W07) Tsl /�/AAA///lll/// �7l /
p frdldr Authanzild Applicant Data
CITY OF COSTA MESA
P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92628-1200
DEVELOPMENT SERVICES DEPARTMENT
j
New State Law:
Swimming Pool Safety Act of 2006 (Assembly Bill 2977)
Effective January 1, 2007
California Health and Safety Code Section 115928 "(d) Whenever a building permit is issued
for the remodel or modification of a sinele familv home with an existing swimmin¢ pool,
toddler pool, or spa, the permit shall require that the suction outlet of the existing swimming
pool, toddler pool, or spa be upgraded so as to be equipped with an anti -entrapment cover
meeting the current standards of the American Society for Testing and Materials (ASTM) or
the American Society of Mechanical Engineers (ASME)."
GAU)
Number
Le S TF
Permit Applicant or Contractor's Affidavit (Please check appropriate box):
(54 '(L(.'7-7
❑ There is an existing swimming pool, spa, or toddler pool on this property. I will
install an anti -entrapment device that conforms to this law, and I understand that the
installation of this device is required prior to final building inspection approval.
There is no swimming pool, spa, or toddler pool on this property.
--jf't0rLr-_-3;I, F14 CC&- ) 0--401-
Name (please/print) ��J D 1 /
Si nature/Da
Building Division (714) 754-5273 • Code Enforcement (714) 754-5623 • Planning Division (714) 754-5245
FAX(714)754-4856 • TDD(714)754-5244 • v@hV.ci,cosla-mesa.ca.us
(714) 754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.c$WILDING PERMIT
.lob Address:
1175 GLENEAGLES TR
CONSUMER SERVICES
Suite:
15201 PIPELINE LN
Vicinity:
Permit:
HUNTINGTON BEACH, CA
.
Primary Occ:
R3
Type of Construction: V -N
Parcel Number:
42233112
Zoning:
Applicant:
JONO WIHONGI
Address:
15201 PIPELINE LN
$0.00
UNIT A
Phone: 714-379-8522
$0.00
HUNTINGTON BEACH, CA
_ Zip: 92649
Owner:
ZAPPA, ERMINEATR
Address
1175 GLENEAGLES TER ,
.�
Arch :
Address:
Zip:
Phone:
License: .- —
Phone:
COSTA MESA, CA
Contractor:
CONSUMER SERVICES
Address:
15201 PIPELINE LN
UNITA
Permit:
HUNTINGTON BEACH, CA
.
Zip:
92649
Arch :
Address:
Zip:
Phone:
License: .- —
Phone:
' Zip:
92627=4049,
Phone:
714-379-8522
License: 676090
Eng:
Address:
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 08/30/2006
Issued: 08/30/2006
ISSUED BY:
Phone:
License:
SCOPE OF PERMIT
TEAR OFF WOOD SHINGLES INSTALL 1/2" CDX. DEPNDING ON THE ROOF SLOPE:
1- 2:12 TO LESS THAN 4:12 INSTALL 2:15LB FELT _
2- LARGER THAN 4:12 INSTALL 1-15 FELT
INSTALL 50 YEAR COMP. SHINGLES - -
:E: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
'ions. (Ord. No. 92-28, § 1, 12-21-92) ,
ATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
,riod of 180 days. '
:TIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
d Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of thisper
,PECTIONS CALL: (714) 7545626
xll
FEE SUMMARY
Plan Check:
$0.00
Calc Valuation: $10,500.00
Permit:
$195.25
Claim Valuation: `, $10,500.00
SMIP Res:
$1.05
SMIP Com:
$0.00
Other:
$0.00
Inspection:
$0.00
Total:
$196.30
PLANNING & ZONING
SETBACKS
MAIN STRUCTURE
Front 0-0
Rear 0-0 Left 0-0
Right 0-0
ACCESSORY
Front 0-0
Rear 0-0. Left 0-0
Right 0-0 ,
PARKING
Existing: 0
Required: '0 -' .. - Proposed: 0
:E: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
'ions. (Ord. No. 92-28, § 1, 12-21-92) ,
ATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
,riod of 180 days. '
:TIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
d Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of thisper
,PECTIONS CALL: (714) 7545626
xll
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
or which this permit is issued.
I have nd will maintain workers' compensation Insurance, as required by section 3700 of the Labor Code,,f r the the work for which this permit Is issued.
�. My w ars' compensation Insuranc mer and policy number are:
Carrier, — licy Number:
(Thi action need not be completed it the permit Is valued atone hundred dollars ($100) or less.)
❑ 1 cert) 'M performance of the work for which thispeSrtn' Is issued, I shell not employ any person in any manner so as to become subject to the workers'
es tion Is of Califomia, and agree th I'h dW becdne subject to the workers' rrompensatlo i Sec 370 of the Labor Code, I shall lonhwith
ply with these routs' ns. _
I' nt Signature: Date:
W NO: FAIL 5 WORKERS' COMPENSATIIXJ COV EIS UNLAWFUL AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PE TIES AND CML FINES UP TO ONE HUNDRED
11018 E (st, I. IN ADDITION TO THE COSI OF P SATION, DAMAGES AS PROVIDED FOR IN SECPON 90a OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
❑ I hereby affirm
Lender's Name: _
Signature:
DECLARATION:
of
pQG AGENCY:
there is a construction lending
Section 7000) of Division
for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code).
Lender's Address:
Date:
license Is In full
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 permil
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 00 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 we. 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.).
❑ 1 am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by diners license. ❑ Yes ❑ No Drivers 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, talsework, 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:
Division of Industrial Safety Permit Number:
Date:
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? ❑ 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).
..........._........................................._.............................................._......................................................................s......................................................................................................................._......................................._...........................
Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑Yes ❑ No
(Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mese 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).
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)?
an RMPP is
l of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire
an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
................................._................................................................................................ _........................................................................................... ..__......................................................................._.......................
has Section 25534 of the California Health and
ant or future builtline occupant require for the v..,.. control district,
i ...,, ..,..,I ..... ... ........ r.,........, .. ...,..,., o,.,,.,
or from any other air pollution control district or egencyl � Yes ffNo
Squires that the requested Information be furnished on applications for non-residential bL
........................_.... __._................................................................. -........................................... _......................................
i the South Coast Air Quality Management Distdr
:tion 65850.2 of the Califomia Government Code
..... ................................... .-.__............... .............................
..........
any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No
,es", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
...:...._....._............................._.......................................................__................................................_.......................................................... ict............._... c -y-.......
e caroti from the South Coast Air Oescri Management District or other air Pollution control 303 been
or agency is
Iplicatlon, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? [
consirucuon or
work which is the
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all slate laws and city ordinanc
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHOR17AT10N OF ENTRY: I certify under penalty of perjury that I have read this application and stale that the information give
correct. I agree to co ply with all stat cos an ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upor
above-described pJ�p rty for inspec' pure , l agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
Signature Of Legal wner(s)
Or onz d Ap t
T ��T
c
CODE t.
1616
INSPECTION TYPE
Fixed System Final Fire Prevention
INTMAL$
CODE (
2D5
INSPECTION TYPE
Final Mechanical
1266
Pool Spa Final
0�
206
Final Plumbing
200
Final Re -Roof
210
Final Electrical
201
Final Block/Relaining Well
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
Er
V,
4,.VIV,
Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations.
r CITY'OF'COSTA-MESA --1 '
PERMIT No.— - -
-TRACT NO. -- LOT'N :'I- BLDG. NO.
�
- 2OBB '- - - 233,
CONSTRUCTION PERMIT
— %
70 !
TYPE OF CONSTRUCTION f'. " �' �
-El-NEW ,,,, . ..
- LkADD- - ❑ALTERATION' - "
-��R EPAI'R_�,CONV ERSION .-❑DEMOLISH_
'.I �IOTHER" `-
+' l
_
I 'r.,l 4'• • -•..n l/l ,:.J'"
A88 1 2/22/82
_ - • _ -. __•f,_ _
- -• -' - `
-'--ZONING'REGULAT_IONS
f Project Address _ ,e - .-
- _ ' Phone`'YO/O
[ .,-,c
I Address- ��JS-GLE:4G<e=5 /<� - - - - - --
hArch/Engr'�4CAC'I'
OO I L�-^ --License No.-. _. __
I'
DESCRIPTION OF WORK, �/L
-_ -. _. .-- ... _.
Oc'h
___-.. ___-._-.,ZONE-Q,I_
''
^'• W. -.•C' ''
_ _,�OB�PLNG7REF., 'QJi SGB'_
f
f
Address-'. O! -/I/ (sT/�s/lY '/]L"V/�_ .--. ______
'Contractor- - ' hone - - -
' _ i/s
_ _ _ _ __
TYP -OF PERMIT,
v r
iTtADING �� U 'ION - STRUCTU RA- •-
❑-TENANT�E'ECC"iRTCA� RLUIdISING - MECHANICAL
B .___ __ _ - T gg�UJILDING _
._SETBACK C ST. P DPE RTY. LINE'
+51D TVARD- - O! - - - -- -
EF 't I •f
S5IDE VA
rtRIGHT
;-Address------ - "' '-' F -' -- -- - -- -'
LICENSED -CONTRACTOR DECLARATION___ ,_-'_:,_ __�'
I hereb affirm that I am licensetl hntler Charter 9r(com-
y provisions of
mencing with -section-7000) -of jDlvision- 3 of -the-Business-'antl.
/ ��-r., a�-, i
❑ OTHERl' - L
'
Professions Code, and my license is In full force and effect.
-
• 1 r -_ - - 'I
_
rF EAR'YARD (TO P/L)-
"-
• _ _ r'?
--"'- Tom- -'� - •' - --
• PROJECT.-
License Class LicenseNo. ' •_
Date '--'-"...-�__ Signature "�"'- _.-. _-. r•i _-,`.'~ '•'Tji
{__ti.:
� r. „•� G I _ t• -" '-'
SQ: FT:
-OCCUPANCY.
'-'----'•'-
"'PKG. SPACE -REQ.`---` - - -" ;PROVIDED.: �. ,."— ` ,
_ _ -
'STREET WIDTH "' ----'pARK;FEE,$`, -'.r'
WORKERS' -COMPENSATION DECLARATION .. __ __ _.1A
`; ONSfT�t.CTION TYPE
.r.
-APPROVED
I hereby affirm that I have a certificate of consent to self -Insure Ora
C)OQ,-••�
ZONE
ZONING
bertifiwte-of Workers' -Compensation Insurance, -or -a certified .dopy.VAL'UATION.Z
thereof (Section 3800, Lab. C.). !
s _ f + "
' PECIAL CONDITIONS:
,GRADING CU: YDS. ACRES
rtified copy is,hereby iurnishe'd._..-_ __ _- -_,.''•�
L REMARKS.:!
I
:rtified copy Is filed with the city Building Division.
_
-- _ _ ___
_ _ - -" -' '---"-
i^•''3
EnEMPTION'FROM WORKERS' COMPENSATION 'DECLARATION
-- --- i' -- ----
--}— -
(This. section, need not be completed if the,permit is for one hundred
_ _ _ - I
�_
I (ygi!Iv�.;;j ,''yt-r .lot,,;;,
($100 or less). 1 , 1
_
- o ' __- �_ __._.._4-_
..
-�_
I cert�fy-that in the performance of the work for which this permit I5
isbueC, I shall not employ any in any mariner so -as -to become
--- CHECK- -
PLUMBINGTI�:
�---'-- -'
`
-"- - - -
person
r=
q 4�; _PLAN
-"'
;ELECTRICAL:- PL`AN'CHECK , ---
'
subject to,theWorkers_Compensatio'1. Laws of California. -____
Date ��s.{.'•�.r-�- �g15ignature LE' '^"" G �'-
BATHTUBS`--"'-' .SHOWERS
"�j- -
-1 ,
NOTICE: If afI , making this declaration, you sho I mefb e, subject
to-
the Workers' Compensation the
- TOILETS p -lt ,•/ (_URINALS '-- -
— - - -`
JGENERATO R---- 0-1 KW_ 110'KW-
TRANSFORMER
provisions of Labor Code, you must
forthwith comply with such provisions or this permit shall be deemed
LAVATORIES ` DOUBLE LAYS--"
f- --
a 1')
,APPLIANCE- --- 10-50 KW_50+ KW V - --
revoketl.-„,;�_-__ .- - L_. _
CONSTRUCTION LENDING AGENCY-•_--------'--^
-KIT..SINKS --- --- OISHWASHERS-'-^�--`--`-
f
-'MOTORS--
j --0-1 HP -_1-30 HP _n
I hereby affirm that there is a construction lending agency for the per-
'formance
SERVICE SINKS+ - SUMPS'-----
r�•-«}+ -��
- -
If '-if;d'.r•f7
-.ZINC.. SOLAR) _..30-50 HP_. -50 +_HP.- _
- r -
of the work for which this permit is issued (Section 3097
Lender'sName
FLOOR SINKS-'"'--'FLOOR-DRAINS""
IFIXTVRES"-OVTL-ETS'(-�'SWITCHES± - ----
'.Lender's Address - _-- -
-DRINKING'FOUNTAINS-'it-^--'-'-"+""-f--
--
�GAS-TVBE-SIGNS------- --- --- -----
OWNER -BUILDER DECLARATION - -
I hereby affirm that 1 am exempt from the Contractor's License Law for
--INTERCEPTORS--- CLARIFIERS--`--""""'
-
"jPOLE-L-IGHTS-'--------�^-----� - - _ -- -�
the fol lowi ng -reason -(Section -7031:5 Business -and Professions Code:-
-,SYVIMMING-POOL"-" '-P'TRAP-'--^^•-^
--F--- - -
i ----- -r -
.POLES- - SUe-'�••�'
Any city or county which requires a permit to construct, alter,
improve,demolish-or•repair-any-structure,-prior to its -issuance, also -re- -
-WATER-SERVICE--' -"'A CTIERATION --"-1-
-”
PANELS '----- N- - - ---
quires the ap, lirant for such permit to file a signed statement that he
-
- -
GASSERVICE'___ OUTL`ETS-'---
'-"
) .'SERVICE- c•-, •-AMP- - -_ --_-
is-Iicensed•pursuant-to�the-provisions of the Contractor's -License Law-
!(Chapter 9 (commencing with Section 7000) of Division 3 of the
Business -and -Professions Code) -or -that he is exempt therefrom and the
-WATER HEATERS'-'-• _-BTU OUTPUT---
be for the alleged exemption. Any violation of Section 7031.5 by
ar '.;, alica nt-for-a-permit-subjects-the applicant to -a -civil penalty
^ SEWER'CONNECTIONS' '^-""""----
o .Wore than five hundred dollars ($500).
'�•
"SOL-AR'TANK" ----- COLLECTORS --"'7"-'-•
G " ;- owner of the_property,"ormy'employees with"wages as their-
sole -Compensation, will do the work, and the structure is not intendedn
or offered for sale. (Sectio7044, Business antl-Professions Code: The-
"`SO CAR -PIPING -SVS'-- - "-i; - ""
-"'1" -'
i�^t'. c.,.-- :iia• _ ' "- '-r- -I
Contraclor's_Urense Law does not apply-wto an owner of a property
who builds or improves thereon, and who does-esork himself or
- -ISSUE FEE'"" --"' --''I-'--•"-" ----
-s-
JAPPLICATI -AP RO BY --DATE,
through his -own employees, provided that such improvements are not
- -MECHANICAL PLAN CHECK
(
-' -'
{ SUMMARY OF FEES
Intended or offered for sale. If, however, the building or improvement -
Is sold within one year of completion, the owner will have the burden
of proving he did not build or improve for-toe'purpose of -sale):'
HEATING SYSTEM 0100,000 BTU
7 - •BUI LOI NG-----I(�Q,
- PERMIT SMIPz $,
-owner -of-the,.propert am -exclusive) contracting -with-
Yr ti 9 -with_
licensed contractors to construct the project (Section 7044, Business
_
.-AND'DUCT]NG--- --_.•--
16 -0,60 -00 -FU
{-
- - -
$ T
--"`--'-- tri/ -2]L 1
antl-Professions-Cotle: The-Contractor-'S_License Law-tlges.nol apply.to_
PLAN CHECK E T (,PERMIT, . O y_ ) 1
)
tr owner of property who builds or improves thereon, and who con-
tracts -from -such- _pursuant_to
_
REFRIGERATION 0-100,000 BTU
)!-
__
_ __ISSUANCE. $
lPLUM BINGE _
IY $ i
`�_G RADI NG" $''}-h 1
renects.with.a-contractor(s)._licesned
the Contractor's. Li cense Law). Q
,.SYSTEM --- --- --��..
300,000+BTU
_ _
.PLAN CHECK 5--^ jf, ,� -
Q"I"amexempt'under Section-"-'--8:&-P:C.-forthis"
-BOILERS BTU—
- '-
t -'-'--" - -`$' r
ELECTRICAL"$
reason- ---Gu-N-y/`j
_
SYSTEM REPAIR,
j'-
_
.R; MICROFILMi$
'PLAN -CHECK $- ----- I -- - - - -- '- !
' �<oL
Date �J.lL1L Owner �,�.:,� J, _ _ _
ALTERATJON
EX HAVST SYSTEM MULTIPLE
t
f
, _ hs7�f`-1 [TOTAL^ FEE $,"')i Nle I
MECHANICAL--$ - - - -- - - -•-
11, uc) :-'a`l,;.,�.J rl-, LESS AD- ' ]•. -t,
.
certifyihat I have read this application a at teat the above
information
Information `is'ddrrecL'I'"agree-correct.with all city -and county
and state laws relating to construction, hereby
477C C
t
PLAN CHECK--$------- --- VANCE'PC' $- -
ordinances and authorize
representatives'-of'this"clty to enter upon the "
v
- -
l• 7 ;,�
above-mentioned
property IF inspection purp s.
�� ��-�^ -Date l p`L-
- -Jr
l
f
t
i
I F FEE ,S L 1
Signature^n- ---'
_' __ ._
;
_. .. __ _ FINAL
- 1
-._ ISSUE FEE.. _..__.._1L.-..
CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor
TI
14740
MESA SA BUILDING"SAFETY DEPARTMENT
P. O. BOX 917 COSTA MESA. CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
BUILDING 7S
ADDRESS
Jai, I
COSTA MESA, CALIF NIA
FEE REC�IVED
�Vj.; ,�231So
Pr
FINANCE DEPT.
�TY OF COSTA MESA
APPLICA ON FOR PERMIT
BUILDING
For Office Use Only
PERM L'Np�
RECEIPT NO. 1yE
OWNER TARTAN HOMES INC.,
�V
MAILRECRI
7844 E• -Rosecrans,
D BY
:r7 HIVHD I ISSUED
ADDRESS
jj.DATH
UE 6-1261
Paramount • Callsteif. TUE
IN
BUILDING
CITY
AR Cliff aTE 3-1221
COSTA
MESA. CALIFORNIA
ENGINEER ssociates
DDRESS 9025k E Florence Ave -Downey
FIRE
ZONE
TYPE GROUP
CONTRACTOR Macco COL oration
APPROVED
BY
DATE
ADDREss38OO E. Coast 1 hW8
ZONING P
Corona del Mar, California.ZZ,
ZO
O. O
I
UHE OF NEW
CITY
—
PNLAN.P
Bo,LD,N�
VfA
�IC.No. 98808 -SB -1 NEO. OR 3-4220
LEGAL Lot 25 Of Tract No. 3470
DESCRIPTION
SIZE I NO. OF BLDG..
_ _
OF LOT Now ON Loi
A. P. NO.
USE OF
YARDS
EVES
EXISTING BLDG `
APPROVED
ALLO ED
SETBACK LINE PROM
(CENTER LINE ST.)
CENTER OF STREET REAR YARD
FRONT
FT.'/'
SIDE YARD I LEFT
I RIGHT
R. SIDEl
FT. IN.
DESCRIPTION OF WORK
0 �
L. BIDE
FT. en Ln✓
I X. II ALTERATION I II ADDITION I
REAR
FT. IN.
II I I
APPROVED
n_. AIR MOVING DEMOLISH
I DATE i
BUILDING NO. OF
SIZE ROOMS STORIES
EXTERIOR WALL ROOF
(COVERING
COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
Res. W/Att. Gar•
Plan #618C - R - 1,600
" G - 436
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
THE AMOUNT SHOWN UNDER VALUATION IB FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM-
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND .TATE LAWS REGULATING
BUILDING CONSTRUCTION.
VALUATION
SIGNATURE OF/t
PERMIT FEE s
PERMITTE
s17,959.00
37,se
PLAN CHECK S 18.50
AUTHORIZED AGENT
55.50
TOTAL FEE s