HomeMy WebLinkAbout594 GRAND HAVEN CIR - Building PermitsPPOJECT ADUPESS: j y 4 GRAND HAVEN C I
OWNEfl'SNpME:JOHNSTON, JAMES M
nooeess:JOHNSTON JULIE M
594 GRANfi HAVEN CIR
CO5TA MESAFCA 92526
PBCNIENGINEEH: �� 1 q� 9 J%—O ] S% qEC.NO.:
AUOflESS:
UNIT:
ZgP
UNIT:
PEHMITTEE: SMOTHERMON F200F1:NG CO ( 714 ) 997-0255
aooRess: 568 5. GARDNER STREET
�f��t�C'�. CA 92f��6
� LICENSEO CONTNpCTO RATION: I hereby attirm ��at I am Iicen5e0 uneer pmvisions o apter 9(cammencing with Sec�ion
70�0) ai Oivlsion 3 of the Business and Pmfessians COtle, antl my license is in full �orce and eifec�.
CITY LIC.: STATE LIC.: CLASS: -
033863 308614 C )
�' Daie'. � � �% � % � Signa�urn: � . _ _
WOBRENS' LOMVENSRDUN DECLAMTION: 1 nereby alfirm tl�a[ I have a c tli0cate o) conseni �o self-lnsure or a cetlifiwt¢ of Workers'
Compen5aiion Insurance. or a cenitied copY �hereo� �S¢ction 3800, La6. C�.
roucvr+o.:0427911-92 E%P.DpTE:O9/OI�93
COMPANY:STATE FUND
❑ Cenihee capy is hereby furnishetl. � Ceriified copy is �iled wi�h the ciry BuilOing �ivision. ,
Date'. `� � 7 � T � Applican� /� �
EXEMPTION FAOM WOBREXS' COMPENSATION OECIABATION: (This secimn neetl not he compleletl if �he permi� is lor ane hunarea ($100) or less).
I CErtify ��at in Ihe p¢I(Ofmance at Ihe wOrk tOf whlcll �his permi� i5155uetl, I shall n0� ¢mplay any pefso0 in dny mannef 50 d5 �D b¢COm¢
sublectlo Ihe Workers' Compensa�ion Laws of California.
�ate: Signa�ur¢:
NOTICE: Ii, al�er making this tleclaration, you s�aultl become subjec� ta �he Workers' Compensa�ion provisions o� the Labor
Cotle. you must fotlhwiih compry with such pmvi;ions or Ihis permit shall he deeme0 revaked.
CONSTHUCTION LENOING PGENCY: I hereby aflirm lhat Ihere is a consiNction lentling agency tor the peharmance of Ihe work tor
whic� I�is permit is i=.suetl (Section 3�97. Civ. C�.
LENOEH:
ADOflE55:
OWNEB 601LOEN OECLl�NATION: I hereby affirm Iha� I am exemp� �mm �he Contrac�ors' State License Law for �he �ollowing reason
(Sec�ion 7031.5 Busness antl Pmfessional Catle: Any �iry o� coun�y which reqmres a permi� to cons�mct, al�er, impmve, demolish, or
repair any s(mcture. prior to its issuance, also reqmreg the applicant �or such pe�mi� �o �ile a signetl s�a�emen� �hat he/she is licensed
pursuant to the pmvisians of the ConVactors' S�a�e License Law (Chap�er 9(commencing wi�h Sec�ion 7000) o� Oivision 3 of �he Busness
antl Pmfessions Cotle) ar �hai �e/she is exempt thereUam and Ihe �asis tor the allege0 exemption. Any viola�ion o� Sec�ian 7037.5 6y
any applicant for a permit su61ec�5 the applicant �o a civil penalry ot no� more ihan five huntlred dallars ($500).
I, as awner ot the property or my employees with wages as �heir sole compensation, will tlo �he work, antl the
❑ s�mcture is nai imendea or ofieretl for sale (Seqion 7044, Business ana Pm�essional Coae' The Comracmrs' S�a�e License Law
tloes no� apply to an owner of a pmperty who builds or impmves �hereoq ana wha tloes such work himselflhersel� o� Ihwugh
�is or her own employees, pmvide0 �hat such improvemen�s are no� in�entlea or oflered �or sale. It, howeuer [he builtling or
impmvemen� is soltl within one year of complxtiaq the owner will have �he bur0en af pmving helshe OiA no� builtl ar impmve
�or ��e purpose oi sale).
I, as owner af Ihe pmpehy. am exclusively con�racting wrth licensed con�rac�ars to cons�mct �he pwlec� (Sec�ian 7044, Business
❑ and Pmfessions Cotle'. The Con�raclors' S�ate �icense Law does not apply �o an owner o� pmDehY w�o builtls or impmves Ihereon
antl who contmcls for suc� pmjec�5 wi�� a conVactoqs�license pursuan� to �he Contractars' State License Law�. I am aware
thai pmai oi �heir Worker s Campensa�ion insurance shoul� be pmvided �o me.
� I am exempt under Sec�ion: B. 8 P. C.
lor �his reason:
Oa1e: Ownec
tlo hereby cer�ity Iha� I am aware ol ana untlerstan� �he requirements of Cah�amia Health and Sa�ery Code Sec�ions 25505, 25633, and
25534 and Ihat I or any WWre bulltling occupanl willlwi�l nal (clrcle one) need to comply with saitl state codes antl �he reQulremanis �ar a
perml� �ar conslmclion or moeificatloo from �he Nlr �uallty Management Di51dcL Fesidentlal mnstmc�ion applicatlons arE exempt tmm
Ihese pmvisions.
Oaie'. APPlicanP.
I hereby cer�ify Iha� I have reatl this app6ca�ion and s�a�e Iha� �he above Iniormatlon is correcL I agree lo comply with all ciry antl coun�y
oNlnances antl s�a�e laws relating �o �uilding constmc�iory antl herebyauthonze represen�afive5 of this ciry ro e �pon �he abova-mantlanetl
pmperty for inspeciion purposes- �
Da�e'. ^+ �7 — � 3 SignaWrp- �
Oriver's License or Social Securiiy a:
1fi41�46 Wlnte—Butltling, Green—Cotle Enlorcement Canary—Applsan�; Plnk—Revenue; Goltlenwtl—Assessor
CITY OF COSTA MESA — Bt)TLDING FERMIT F.+ERM NO: A 062934
PERMIT NO; H 062934 PLAN CHECR NO: N GOV'P: N SUPP; N
CONSTRUCTION TYPE; S—N PERMIT TYPE; STR PURPOSE; ALT
JOB DESCRIPTION ; T/O SHAI{ES,RESHEATH 1/2"CDX,REROOF CONPO SQ FT; 4,700
CLAIM VALUE; 4,700.00 CALC—VALUE: 9,700.00 GRQUP OCC; R-3 /M-1
COMMENTS; APPLY NEW "GAFWOODLINE" 25YR, OVER 1/2" CDX PLYWOOD SHEATHING
lE iE f!� if ik iE 3E iE iF if if �lE iE if -)E iF if 1F iE 1ElE �E'lE iE 3E iF iE !f 1E lF iE if iE if iF iFlE �lE 1! iE 3E if iF �lE if iE iE iE If iE if Jh !E iE 3F 1E iE % 7h ff�lF ih iF f(- iF iE iE iE if iE iF # iF # 1f %� #!(� iF
2 O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSOR•Y $UZLDING --------
FRNT; FT IN REAR: FT IN FftNT:� . FT i IN REAR: FT IN
LEFT; FT IN RGHT; FT IN T,EPT'; FT . IN RGHT; FT IN
PARKING REQ• PROV; PARCEL: 41804111 2NE; REF NO;
PLANNING N(STES>
;>, _ ,
**�r***�*��e���r*�*,��rx x ***��***�r*�r*��r�****x�r�x,�«��� x����.*�c,e�� x-*���x ��c��*�����*�*�**
D E V E L O P M E N T S E R V I C E 5 k E Q U I R E M E N T S
20NING APPROVEU'BY - DATE;
r = •
BUILDING APPROVED BY ; , DATE;
� �
APPLICATION ISSUED HY: . > -' ._ DATE;
k'lEa%iEifaE3Ei(ifiE�IF1FiEiE3E3EiEiE1EiE3i'iE Fi �x-�i;�rr7i'x'iEiEiia%xiEi%aE "E t "t iI'if
1EiEiE1F�K�1Ei(-iEiflElF7E3E!!!FlE3FiEiE�IfIFiF�Ifi(�3f-3EifiEiElE�lElEif7E1EiE1EiEiEiEiEiF3P9E' EiFlPiElE#if--%�iP�3FiEiEiEDfif�if3f�i(�1E3Ek��3FiEiF3E3E1E#i4#iE3FiE
LEGALIZATION:N F c E S U M,M A k Y STRUCTURAL SEGMENT:Y
�;
BLDG PMT I�LUMHING ELECTRIC' kECHANTC FIRE SMIP/RE5 GkAD LUG
PERMIT 72,00 F1 50
SMIP/NON—RES
PL� � � /
ISSUE FEfi �
BUILDING—DIV—> PEkMIT ISSUE PLAN—CHEQH TOTAL FAID DUE
TOTALS----> 72.50 0.00 „ 0..00 72.50 72,50 . 0
REVENUE DZVISION TOTALS--> COLLECTED• 7?,SO OVER/SHORT; 00
BLDG PMT PLUMBING ELECTRIC MECI3ANIC , FIRE SMIP/'tUT GRAllING PLAN—CHECK
%2.0� '�, . . .`J�
�lF iF iE 3E iF iE iE �E iF if if if iE 3E iF ik if jE if iF IE iF iE iF iE iE i(� iE if if if ik if �F iF iF iE iF if # iE iE if� iF iF if iE 1P1E �lE%ih %� lE iFiE iE if iE if !f jf iE iklf lE �F dE iF ih iF�E iE iF �lE #�)f 3E if
"` I N D I V I D U A L F' E: E.� B R E A K U O W N
TYPE QT.Y D E S C R I P T I O N '= UNIT COST TOTAL COST
SFR 47� REROOF BY VALUE RES DENTI�AL��N020NE 1.00 4,700.00
E� OF FEES ,,
-" ExP�REa I
��'. ��►+A�Ot@ ift = �' �
/� �/�f �ctions '
, � 'V � /J/li— �,+$ --•,l_,� i� �
4 �` �r '
��: . �.
�i �0142423—�pi42424 T L7 T 72.50
DRTE: Qi/G7/93 TIClE: 15:f3
�
��-�� � .. . � P� _ � & SPA --�--�
± C6NSTRUGTiON AND PLANNING
� APPROVALS ParmiY# Date � lnspectar APPROVALS Pennit# Date tnspector i
�
t. Temporary Efectrica3 5ervice or Pole � 52. Paol & Equipment Location � �
2. So71 Pipe-Undrgrnd, � 53. S?eei ReinforcemenY �
3. Eleetricai Conduit Uti!ity�UndrgCnd. ' - 54.-�orms � :
4. E?ectricai Ganduit�Undrgrnd. � � � 55. ElecYrical 3onding � �
� .I
5. Steel iieinfe�cement j 5B. ftougfi Piumbing & Pressure TesE _�
6. Eiectrical U�ER Gr�nd - � 57. APPRQVIIL TO COVER-GUN17E (
7. Fontings . 5$. Electrioal Conduit�Undrgrnd.
$. Foundation . � " ' � 58. Gas PiRe, O Uncirgrnd., 7est
9. W'ater Pipe•Undrgrrd. � � 60. Backwash Lines, P-Trao, i� Undrgmd,
� iQ. 5trucz�rai Pinor System � 61. APPROVAI. TQ DECK �
Y � i
, 7 7. ProPQrty Sewer Line & Hous'e Con�eci�on ." � 62. Sackwash & Receutar-Finai � 3
j i2. Sev-rer Cap 63, Heater & Veni�Fnal �� -
�
13. Roof Drains . , 64. 4"tumbing Syetem - Fina! �
l�. Rou���Piumbing . ; 65.-ElecYrical�Finai
15. Raugh EleGtrica�-Conduit � 66. Salar System-rinai
j? 6. ftough E�eGtric Wiring � ! 67. Pencin & Access A i � �
� g ppravai 'r
j 17. ftough+."JiringSign 68. APPAOVEDF�R?LASTERiNG �
18, ftough �IeGtrica;-T Bar Ceiling j 69, p00L/SPA SYSTEh�i5 �INAl�
t
19. Rough Neating � Air Conditianing . FiRE DEPT. REQUIREMENT +
20. ftough Factory Firepiace � APPfl4,VALS Permit=� . 3 �
�
2t. Ducts, in Structure } 70. Undrrc�round Hyd,o ' 4
22. Ducts, Venrlatin9 � . j. it. Procluct Piping C7 Gos Q Oii �
�� �� ��
23. Gas Aipe�Raugh & Tesc � 72. Undergrou��d' Flilsh •
24. Roof �ram�n� � � 73. Undergrnd.S!orageTank `�Gas uC'iil
25. Roaf Sheaihin � 74. Dverhead H dre �
� ��i��g� /� y �
2&. T-Ber Geit;.�i� 4Sttur,tur�q & P�t�e.nocoai . � 75. 4ry CheinSca4 ���� �
�
27. Frame and �leshing . 76. Dry Standpipe ' � �
28. Lathing & Siding . . ' � �� �
i i � 77. FIXED SYSTE1fi FI;vA� '�� �
29. Insulatian � , � � T$. FIRE PREV. FINAL � �. . �
�0. Orywali Nailing j ;_ I � HEALTH DEP7. REQtifREMENY -. ��
- i ------ � --- -----j
31. Piaster Brosvn Co�t � . j � ,: 79. FiNAL INSI'ECTtON C � �
9
I �
� 32. Electricai Pow�r Meter�Final � � � 80. �OOp CERTiFICATE iSSUED _� ��.�.
..L ��
� 33. Final Eizctrio � �>.i Notes:�dof SIL�G. ��� %�2/'-4� i
34. rinal Heating & Afr Condi�Yioning � ' � � ��% �
35. Final Gas Pipe�7`esc �� � , � �f/'o 6�r�-�- ��iK �C � ��i�� --±
- . i /� / �----------�J
36. Nood or C2noRY � � . I, �� �/ /"�Xo�`r1 _ S�-lo�� �e/`�'---„ �
: 37. Plnal Factery �ireplace .i --!i
' v 7�G7ff� �- --�
38. Fi�ai Plumb(ng � � i „!-'� -- ��I���-------�1
39. NJater Servioe�Finai ' � � ��
, , ----- ----- --------�
40. Gas Service-Finai k P
� � R�pi
41. Soiar bomestic-Final �� /,�\ , t _ � � ..
_ f�� I
�12. Backfilow Preventes � r . % � �
! 43. 8ackflow trrigation ��' ��
A4. Landscape Irrlgatton System
� ..� �.� ���
45. 5aund Attenuatior. � ,
46. HandicaP Hegvla.ior.s , � �Y�- i
i
A7. FINAL 57RUC7tIRE & BUIL.DiNG � .� ' � S
48. �iNALPEANNiNG : ��� . �
i:
A9. Electric ftelease za Edison i .
50. Gas Release to Southern Ca{�fornia Gas Ca ' ' �
51. CERTlFICATE OF qCCUPANCY � � �
No. Qate
Ell3
or
llATE
70N OF WORK �
SUBCONTftACTOR
' 2420 I Paa�e� . ! l.
GOSTA MESA BUILDING-SAFEfY DEPARTMENT
P. O. BOX 9f7 COSTA M69A, CALIPORNIA
For Applicant to Pill In Completely �
TYPE OR PRINT
DRESS `J / �1Q/OGV �
COSTA MESA, CALIFORNIA .
Te�.L( g
NO.
TEL.
NO. I
� D f L
CONTRACTOR :i�%'�%��%rC^
ADORE69
CITY
STATE TEL. -
LIG. NO. NO.
OFLOT I.i x 1�y I Now01
USE OF
EXISTIN6 BLDO.
BETBACK LINE FRON �+ Q gEAR YAF
CErvTEP OF9TFEET •.J
SIDEYARDI LEFT " I R16HT
DESCRIPTION OF WORK
LeOAL
�� � �� e�sra M
MAY 24 1965
� ��CA„�TIVN ,�I�
BUILDING—�"—�
For Office Use Only
11[C[IIT NO. P
ZONING
No.O� � u88
Pl.AN9 BUII
I —D G ( .- �,
O V ERHANO 6HALL BE LE95 THAN
EAVES
ALLOWED
YARDSAPPROVED
MAIN BUILDING
I DISTANCE
MAIN BLD
VAR. SC
� C. lJ. P.31
1 HEHEBY ACKNOWL8D0H THAT t HAVB PBAO TH19 APPLIGTION
ANO BTATE TH�T THE� ABOVE 19 CORRHCT AN� AOqEH TO COM.
PLY WITH ALl CITT OHOINANC88 I1NO 8 TH �B R80U NQ
BIIILUINOCONBTPU �ON.
SIGNATURE OF J �
PERMIiTE /� •� _
ALITHORIZEDAGENT,�/y� �'/_'. / /�
YARDSAPPROVED
ACCESSORYBUILOING
DATE
��
m
/ �� `j so. Fr. Q $SOv a "^
THE AMOIINT 9XOWN UNDHR V�LUATION 19 FOR THe F
PURP088 OF BBTABLI9HIN0 A PERMIT FE8 ONLY. 0
VALUATION pU r.m0 �
PERMITFEB S �3 j
$� �' � C� LAN C C �� � O
.J „
TOTAL FEE $ ' ��