HomeMy WebLinkAbout753 GRAYLING BAY - Building PermitsPflOJECiA00HE55: 7S3 GRAYLING HAY
owxee s Name: PENTRIDGE COVE 1 HOA
aoonEss:3009 DA_MLER ST
SANTA ANA
CA 92705
pHCH/ENGINEEH:
AOOflE55:
nec.xo.:
UNIT:
UNIT:
veAmiTree: PENTRIDGE COVE 1 HOA ( 800 ) 660-8099
aooeess: 3009 DAINLER ST
SANTA ANA CA 92705
LICENSEU CONTBpCTOB OECLABNTION: I hereby aHirm Iha� I am licensetl untler pmvisions of Chap�er 9(commencing with Section
7000) ol O�rsion 3 0l Ihe Business and Pmlessions Coae. antl my Iicense is in lull lorce ana elleci. �
CITY LIC.' SiFTE LIC.: CLASS:
�ale: Signature'.
wOHREflS' COMPENSR710N OECLAFaTION: I hereby afiirm Ihat I have a ceniiicate of consent to selt-insure or a cenilicate of workers'
Compensation Insurance. or a certified coDV �hereof (Section 3800. Lab. C�.
POLICY NO.: E%P. �ATE:
COMPFNY:
❑ Cetli�ietl copy is here�y fumished. ❑ Cetliiied copy is tile0 wi�h Ihe city Building Oivision.
Oate: _
E%EMPTION
Appbcant
NOTICE: II, al�er making Ihis tleclara�ion, you 5hou10 beco e si
Code. yau must farihwrth comply wit� such O�ovisions or this 4
CONSTHUCTION LENOING PGENCY: I hereby at�irm Ihat �� re is a
which Ihis permi� is i=.suea (Seclion 3097, Civ. C�.
LENOEfl:
ROUflE55:
hurMred (8100� or less�,
mnerso as to become
agency �orihe peAormance of IM4 workfor
OWNEH BUILOEfl OECLABATION: I hereby affirm Ihat I am exempt �mm the Con�roc�ors' State License Law for I�e following reason
(Seciion 7031.5 Business ane Pmfessional Cotle: Fny cily o� coun�y which reQuires a permii to con5imd, alter, impmve, tlemolish, or
repair any simclure. prior lo i1s issuance, also repuires Ihe applican� for such permit to �ile a signea sta�emen� Ihal helshe is Iicense0
pptWd0��0�IIC pfOvl5i0�5 O�IIIC C�OIfdL�OR Slate License Law(GhaO�er 9�commencing wi�h Section 7000�otDivision 3 oflhe Business
and Pmtessions Cotle) or Ihal �elshe is e�empt theretmm an0 Ihe basis for ��e allegetl exemp�ion. Any violation o� Seclion 7o31.5 by
any apDlican� lor a permi� subj¢c�s �he applican� lo a civil Denaliy of no� more Ihan �ive hundred dollars (5500�.
I, as owner oi �he pmDerly ar my employees wi�h wages as �heir sole compensation,�will do �he work, and �he
❑ slmqure i5 no� inlenAeU or olleretl �or Sale (Seciion 7004, Busme55 an0 Pro(e55i0nal Cotle: The Con�rat�orY Sla�e Litense Law
tloes nal ap01y �o an owner of a property who builtls or impmves Ihereon, antl who Ooes such work himsel�/hersel� or I�mugA
Ais or her own employees. pmvided Ihat such impmvements are not inlen0e0 or ollereU br sale. II, however th¢ builaing or
impwvement is sold within one year o� compleiion, the owner will �ave Ihe hurden oi Dmving he/she tlid no� �uiltl or impmve
for the purpose ol sale).
I, as owner of �he pmperty, am exclusively conirac�ing wiih licensetl conirac�ors �o constmcl the pmlec� �Sec�ian 7044, Business
O antl Pmlessions CaGe: i�e ConVaclors' Siate License Law does nol apply to an owner o� pmperty who huila5 or impmves thereon
antl wha coniracis lor suc� pmlecis wi�h a conlrac�aqs) license pursuant ta Ihe Contractors' State License Law m aware
ihat pmof of their Worker's Compensalion insurance s�auld he pmvide0 to me.
� I am exempt unaer Section: B. 8 P. C.
lor I��easo� />
� / �/
Dat¢: � Qwn :
I tlo nereby cenify Ihat I am aware ol antl untlerstand ihe requiremenls of C omiz Health a ety Cotle Sections 25505. 25533
25534 antl ihat I or any fuiure building occupant will/will no� (circle one� nee to compty wit s d Slate co0es antl the reQuiremen � a
permil lor conslmclion or moadication irom I�e Air Oualily Managemen� �i ricl. Resitlenf onslmc�ian applica�ians are exe mm
I�eSe pmvisions.
Date: ApPlicanl:t �_
I here�y wrlily ihatl have readlhis aDPlicaiion antl s�at��
ortlmances ana statelawsrela�ingio butlding conslmciion, i
pmpetly foi inspection Durposes.
Oaie'. �� ���� SignaWre'
Driver's License ar Sacial Seari�y
t6a1�a6 Whiie—Bmltling; Green—Cotle Enlorcemenl:
�ove inlorma�ion
aul�o�i¢e�ep�¢SE
all
Goltlenmtl—Assessor
CITY Or COSTA MESA — BUILDING PERMZT PERM UO: B�� 061824
r
PERMIT NO: B 061829 PLAN CHECH NO; N GOVT; N SUPP; N
CONSTRUCTION TYPE; 5—N PERMIT TYPE: STR PURFOSE: REP
JOB DESCRIPTION : REPAIR DEFiECTING Fi00R SYSTEM SQ FT: 6,000
CLAIM VAL"JE: 6,000.00 CALC—VALUE: 6,000,00 GROUP OCC: R-1 /
COMMENTS: THIS REPAIR PERIKIT FNCLUDES 755 GRAYLiNG BAY AL50 pET��T��
�ex***tr���r��r*�x�r#*x�x*x�***+t#x�****�t±�******�r�+r*���rit�t**�ttx��r*x*� �. t� � »xx�: �* �
Z O N I N GS £RTEaQAUCIxRSE M E N T S SIVIQ�
REQUIRED
----------�— MAIN BUILDING ---------- --------- ACCc^SSORY BUILDING ---------
FRIdT: T IN REAk; FT IN FANi: FT ZN REAR; FT IN
LEFT: FT IN RGAT: FT IN LEFT: FT IN RGHT; FT IN
PA.RF{ING REO• PROV: PARCEL: 93768081 2NE; REF NO:
PLANNING N(3T'ES>
7 : �
# 3f %� iE 3e iE if iF �E iE iE iE �3E iE iF 3F iEiE ih �f iE iE if iP }E iE iE if 1E iE If if if iF iE if IE iE if fF 1f iE �!E iE iE iE iE iE if i(� iP 1E iE if if iE !F iE # iE iE 1E �1E iE iE #�1F iE iE iE iF,��lf�iE # 1f # ie if �1E
D E V E L O P M E N T S E R V I C E S R F Q U I R E M E N T"S;'
� %•!
ZONING APPROVED BY D'ATE: ��
BiIILDING APPROVED BY : '' _ DATE; 2�.� � �
APPLICATION ISSUED BY: ` DATE: Y,'Zorc^-�
iEitiEiFiFiEifiFiEififiiirititiEiEjFiEiE�lfif� � r rirftiex � a h. e x. .,.�;�tirf �KiE-7Ex-ititiEiEitiF�FiF )E:E
1E iE 4 iE'IE'lE iF if'�'IF'IE iE+f if iF # iE iF-1E if IE'lE if 1E #'IE 1f il' iF if iE �f i43F 3E?E iE ih'1E'i it 1f'3E if N"1� M �F'7f iF 14 If iElf'1F-M� IE # 3f iE �1E `JI'# iE #'IE iF iE iE if �!F 1F # iE iF If jE 3F
LEGALI2ATION:N F E E S U M M A R Y STRUC'I'URAL S$GMENT:Y
BLDG PMT PLUMBING ELECTR?C MECHANIC FIRE SMIP/RES GRAI�3NG
PERMST 81.OU ,60
SMIPlNON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DGE
iOTALS----> 81,60 0.00 0,00 81,60 81,60 ,00
REL�ENUE DIL�ISIOti TOTALS--> COiLECTED: 81.60 OVER/SHORT• 00
BLD81�00 PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT� GRADING PLAN—CHECK
iE 1E �1F iE iE iF iE 3E �7F iE 3f iE if iE 3F 3f 3F 3E if if �)f 1E iE iF 1f if fF# iE 1F 1E iF IE iP fE * iE iE ik'14 ie if iE iE iE if if iF 3(� # iF iE �E iE �7E iE # iE iE 3F iE �lE iF iE if �3f �E #� 3f� iE i(• iF iE # iF-lE iE if �iE
I N D i V I D U A L F E E B R E A K D O W N
�PE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 6000 ALTER HY VALUE RESIDENTIAL NOZONE 1.OU 6,000,00
END OF FEES
01 �0137593—�D137594 T Ll T &1.60
ORTE: 04/21/93 TIME: 16:06
�
� CONSTRUCTION AND PLAhNi�1G '
I APPROVALS Permit,$
i7, Tempora�y Electncal Service or Pole
f ?. £oil Pipe-Undrgcnd.
� 3. Elcctrical ConduiT Ut�liTy�UndrgmU.
i 4. E�ectriCdl COndu4•Un(Irgrnd
5 51 �e� Re;nto�CemEnt
�I 6 E ectr,ez' GFER Gmd. _
� �. Footiros
IB oF und�tion
� 9. V:'eter PIpe�Undrgmd.
; 70. 5t�uctu�ai Floor System
17, Pr<�pe�iy Sev;er Line & Hous?ConneCtion
; 12. Sea•er Cap
, 13 R �f prains
~4. Rcunti Piumbing
f-
�I 15 Ro�g• Eiectnrai-Condurt
h--- ---
, I6. ftough ElectricVJiring
�---
� 17. Rough Wiring Siyn
78. Rough E�eCtrical�T Bar Ceilmg
19 Rc�yh !-!c�ting & A�r Conditroniny
2C. F_�.;n F;.Cory F;rePlaCe
21 DuCts, in ytr4cture
22. Dur.ts, VenUlatiny
� 23. �as P�pe�:7o�qh Fii Test
� ?_4. Rnof Frami�g
� 25 Rooi Sh-�*hing
�- '__-
2L. �L ir Celling (Strucwral) €� ,,:o^ocoat
I 2r. '= :r.�e ard F',ashing � -
� -.
28. La! -,�.ng fx Sid',ng
2° IcSulation
� 3U. U�v":ail r.�aihng
�---31 P' ��-e� (3�ov:n Co.:t
-----
� 39 c�r�.t�iG11 Po�'�ar "Sete� Final
3.', f� �' Elcctrlc
34. F�ial HeaLny � A;r Co�d�tion'r.g
35. Finz� Ga: Pipe�Te;t
36. Hocd or Canopy
I 37. K��ai fsctory Fireplace
38. Finai Piumbing
38. \':�te' Szrvice�f-ical
�, -00. Gas Serviee-F�nal
� 47. $oiar Oomescio-Fi�al
42. Back�iow Preventer
A3. BacfcflowlrrigaYion,
� 44. L2ndswi:e irriqation_�$.Ys;em
4�. Scu^.d Pti
40. Hand cap I
A7. FINA�ST
�
LDING
4�•INAL PI_ANNING: � . :_
4a. Electric Release t�Edisott
50. Gas Release to Sovtliem Californiz Gas Co
°_ Date
Date
tl
--POOL o �PA---
Inspector APPROVALS Permit;�
- 52. Pool & Equ;pment Locat;on -
53. Steel ReinforcamenY
54. Forms
55. Electricat Bond�ng �
_ 56. Rough Plurr�.b�ng & Pressure Test
_ � 57. APPROVAI TO COVFR�GUNI7E
56. Electr;cal Cordu't�undrgmd.
59. Gas P�Ae, O Undrgmd., Tes:
� 6Q. Backwash Lines, P�Trap, O Undrgrrd
- 6i. APPROVALTODECK �
- 62. Backsvush t4 Recepfnr�Fiiii! '
r-=-
, G3. Heater $c VenbFinal
- 64. Plur�bing Sys!Nm � Fina;
65, ElcctricabFinai _
66. Soiar SYstem�i-inai__ '
67. Fenciny & Access Af�Prooal
68. APPROVED FOR PLASI `_RIn;G
� 69. POOL/SPqSYSTEh".SFiNAL
FIRE DEPT. REQUIRF,YENI�
HPPR�VAlS Perm�t -r -
0
b
A
70. Underg�ound Hyuro
71. Product P�pi�:y C7 Gas �., Oil
72. Underground Fluch
Date �Inspector
73. Undergmd.StoraprTa�k"G��.s ,�O�i �
J4. ��unc�3tl Hycim _ �
75. �ry Cl�,emi,al ---iu �--
�
76. Dry Stand��be
- - ---- �--- --�
7Z FIXED Sv5TE�1�i �-�^.AL I I _�
78. FIRE PREV. FI\H� I �
- -1---,
HEA,LTH DEPT. REQUIRE^fiCN7 I
------- -----�
79. FiNAL iP:SF�CTir,;� I I
__ i
30. �OODCEiari�iGo7EiSSUED � � �
------- - - -� --L--- - +
Nates_ ,.._---------- --�
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L�+�Up7a B�9 3oz6 z z' 5// �6� �
�� CO oT aoxE,zoo COSDTIA M SA�CALI ORNAIA 9 sie T. �P�CAT70N F�R`�fRl�'��tA�, PERMI7683.50 TL
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For Applicant to Fill in Compietely — Use Ink Only
BUILDING
ADDfiE55 Tract 10626
T� NANT°R M.D. Janes Co. I '
ADDRESS 2950 Airwa Ave. D-
TEL.
cirv Costa Mesa No. 9
CONSTRUCTION __ .
BRANCM N/A
ADDRESS N�A
ARCHITECT Danielian & Assoc. rTio��546-36!
Oit ENGINEER
ADDRESS 3848 Campus DI.� iJ.$.
i
CONTRACTOR OWReL
ADDRESS e
TEL
CITV 8 NO. e
STATE � CITV '
LIC. NO. e LIC. NO. e
O'F LOT 550' x 334' NOW ON LO�T e
USE OF
EXISfING BLDG. N�A
Separate permits are tequired for
electric, plumbing and heating work: i.
USE OF BUILDING AND WORK TO BE PERFORMED
I hareby acknowlotlpa that I Aeve reetl Mis avClieetion antl stnce
Met the ebove Informetion is correei entl epree to comply wiM
e�l lews reBulatinp builtlinB conaYruction, entl I shall �ot employ
eny parson in violation of Ma workman's compansation lawa oT
Lh0 $1A28 Oi CeIHOIlIIB. �
I hereby cartify that 1 am praDarly Iicensetl as a conttector unCer
Ma State of Californle Businass and Professions Cotle, Division 3,
Cheptar 9, entl thet sueh licenies ere In fuil torce end Mfect, or 1
am exempt from Me rovisions of the S<ete of Celifornia Busirwu
ana Professions Cod Divi ' 3, Chapter 9.
SiOnature of '
Parmittce
o, 8
Auffiorized ABa te
4
UNIT OR
SPACE NO.
TR�tXO/ —� / LOT
� (J (O G�J
NEW ADD LTER
%
OWNER
USE
s�ZONE � TY
APPROVEO
APPROVEDSET8ACK5
(FROM C/L STREET)
PLANNING ACTION
THEAMOUNTS
THE PUFlPO6E OF
VALUATION
s C�,C(���r�
U
-�-41 Z -121-2
DEMOLI
VALVE
E
Z .
C ,p
i
V
o �
N Y\
VN UNDER VALUATION IS FOR 0
�
'ABLISHING A PERMIT FEE ONLV: m
PERMIT FEE E .
Y
PLANCHECK 5����5 O� -
TAX S 4
f
��� 9�
TOTALPAID S�¢jZj.�