HomeMy WebLinkAbout2534 GREENBRIAR LN - Building PermitsPH0.IECTRODflE55: Z•�3q GREE:NBRIAR LN
OWNEN'SNRME: NUELCA, FELiPE O
ADOHESS: VUELCA FRISCILI.A A
��... 2534 Gr�EEN�3RIAH i.N
�OSTA N,ESA,CA 92626
7.418445
ANLNIENGINEEH: flEG.NO.:
RDOflESS:
uxiT:
UNIT:
PEflMITTEE: HT.GH TECK ROOFING ( 714 ) 283—A509
aooxess: Z 6 2"/ N, BOUBON
ORANGE CA 97.665
IICENSEU CONTBRCTOP DECUBATION: I �er¢Dy ailirm ��al I am licensetl unCer D�ovi5ion5 ot Chapler 9 kommencing wilA Section
7000) ol OiWSion 3 0l I�e Busineu an0 Pro�¢SYMS CoOe, an0 rtry bttllse �s in IW lorm and eflect.
I- CITY UC.: n Q STRTE IIC.: ( O S S O cuss: C j i
Da�e: ��� V _ • � SignaWre�_ —0���
WOflNEPS' COMPENSpTION OELLAM710N: I nereoy allirm �nat I nave a cenilicate ol consent to sel4insure or a Cenilicate a1 workers'
Compensation Insurance. a� a cenilied coDY �nereof (��� �. Lao. q.
POLICV NO.: E%P. ORTE:
COMPANY:
� Cenilietl copy a �ereCy tumishe0. ❑ CenilieA copy a IiIM witA ihe tiry BuilUing Division.
Oate: ApplicanC
E%EMP�IONFflOMWOPIIEN$'WMPENSATIONOFCUflATION: (itl55eciianire¢EroIOeCompleteEilNepcm161IXaneMiMrM�51W�Orlar�.
I tetliiy IIWI in Ihe pedorman[e a� t�e work tN w�k� �N5 p¢rmii is 65ued. 15hdll n�0y any person in any mannef Sa a510 OeCome
suElecl lo I�e Work¢Qrg Compert5ation Laws of LaGfomi�
Daie: /�' V � � � Signatu¢ �Q— '
NOTICE: It. atter maiung INS OecWratian, you StpuW OCCOme suDjett Ihe Workers fAmpensdt�on prm�sions�
Cotle. you must fonliwi�n compry wiln sutn o�ovision5 or tlli5 permit Sliall Oe Ceemea Rvok¢d.
C06STflUCT10N 1FN01NG RGENCY: I �ereGy aHirm Ilui lhere 6 a COnSirutlpn IeMi�q i9��Y �or t�e pCdormdnte ol �he wOrk lor
whic� Inis permit i5 iSsuM (Sec�ion 3097. Civ. C�.
IENDEB:
ROONESS:
OWNEN BUILUEN DECIAMTION: I her¢Oy aflirm Itut I am eeem0� ��am iM Coniracmr5' S�ate Lkense �aw for ��e lollovnnq reasan
(Sttlion 7IXi1.5 BuSiness anC ProteSSioNI COGe: My city ot fAunty wliith rEUuirM a ce�mi1 to COriStNtt. diter. impfove. aem0lish, or
reoait any simclure. prio� lo ils issuance, also roauires tne aoo�iWnt lor sutn permit to file a sipneA statemenl Ina� ne/sna is Iicense0
pursuam �o tne vrovisiars al tne Cantractors' State Liceme L�w IGnaptei 9(commmunp with SecGon 7000� of Oivision 3 0l �ne Busineu
antl Pm�esvons Cotle� w tlul lle/SOe is evempl I�eRirom anG t�e Edsk fo� Ihe alleqeG eyem0��on. My vioWlion ol Seclion 7031.5 �y
any applicani lor a permit suGjttls I�e aOD��ni lo a tivB Denaliy ol noi mOre Itun IivC tlimtlreE OdWrs (5500�.
I. as ownet of t�e O�oDerty ar rtry emyIOyClS wit� wapes as t�eii SOIe fAmpensdtion, vnT Uo Itk wOrk, anC the
❑ stmcWre is nol inlenCed or oller¢E for sale (Sec�bn 70aa, Business an0 Pmlessional CoUe: TAe Canlraclors' Stale License Law
00¢5 noi apply Io an owner o� i prOpHty wln �mlds or impmv05 IMr¢on, antl wl�o Uce5 SUUi wOrk �im5¢IOAefull of Ihmup�
�is or �er own emDloyees, proviEeO tlut sucfl imD�wemenlslare nol inten�ea or alhretl far Sale. II, �ow¢ver tAe builAinp or
illlpfOVEfI1Efl1 6 SOIA W11�N OIIE yEdl 01 COIIIPIQIbO. I:IE Owlltf WIO IWV! I118 GUfOlO 01 0«�0 �=%Sh2 E10 f10I OYIIE W If11PfW0
lor Ine purv�se o� sdle�.
I. aS awnef a� �he pmp¢riy, amlxGuSiv¢Iy wm�acunp wim license7 mntractors to wnsimct tAe O�aiect �Section 70a4, Business
❑ an0 Professions CaOe: T�e Comractors Suh License Law Gces mt appy to an o�mu of propeny wlq ENIES or imDrwes tlrereon
antl who Coniratl5 lor Sut� pmjeCts vni� a ronVaCior�s) IitBns¢ purSuani Io Ihe CAnIr3t1or5' Slaic l¢en52 Law�. I am aware
�hdl P�001 0� lllEif WOAli 5 �AmpCf15dib11 Y611li1iC0 5110UIE DE 0«4=� �0 mC.
� 1 am exem0� wOer $ection: B. 8 P. C.
lor Inis reason:
Oate: Ormer.
I Oo nereUy ceNty I�at I am aware ol antl unGerstand I�e reQuirements of Calilomia HealtA anJ Salely CAae Seciions 25505. 25539, and
2557A ana tnat I or any lulute eVileing ottupant wiNwi�l rqt (cirde one) nee0 to compry witn Saia state tO�eS antl ine reauiremenis lor a
Deimit lor conslmclion or moEilicati0n Imm Ihe Air Ouahly Manap¢meni Oislritl. Ne5i0enUal wns�mclion applicalions are evempl �mm
mese pmvisions.
Oale: pPO�kant:
I hereDy cetlity I�al I �ave Ba0 Ihis appliCa�ion anG Slat¢ ihai I�e a0ove inlorrtWiion is coffet�. I aqree to comply wilh all city anE county
�Oinances anA Siale Iaws reWling l0 builtling mnSVu[Iion an0 her¢by aulfqriie reptMe 'aiives OI I�iS tiiy lo en�er upOn Ihe above�meniion¢d
pmpehy Ior inspetlion Wryoses. �/j��
oaie: /d — �' q L SignaWre —� `— �
.
Driver's License or Social Securiry x:
t64L46 White—Buil�ing: Green—COde Eniorcemenl: Canary—Ap0licanl; ink—Revenue; GolOenroO—Asses50r
CITY DF COSTA N;ESA — BUILDING PERMIi' PtriN. NU: B 0�9929
PERMI'T NO: B 059929 PLAN CHECR NU; N GUV'i'; N SL'PY: N
CONSTRiICTION TYPE: 5—N PERMiT TYPE; STR PURPOSt:; ALT
JOB ilESCRIPTION : RE—ROOF 7.S YR. COMP/30 IH ASTM SQ F'i; 4,490
CLAIM VALUE; 4,490.00 CALC—VALUE; 9,490,00 GROGP OCC; R-3 /M—�
COMMENTS; PERMZ; �NCLUDES DETACHED CARAGE
N�ifiEiF%�?!if%�1F�1f kiEi(�iPifiFiE#lkiE#ifiE#if#iE#!E#F3EiflkikdE#iE*1FiE1EY�#iEfliF#lflf###lF3klEi(�#iF##%#i'efiM�#if##j(tl####GiF##
Z O N I N G R n Q U I R E M E N'i S
S E T B A C K S
------------ MAIN BUZLDING ---------- --------- ACCESSORY BUILUiNG -------N—
FRNT; FT IN kEAR; FT IN FRt�T; c'P IN REAt2; FT i
LEFT; FT IN RGHT; FT IN LEFT: FT I�l RGHT; FT IN
PARHING RE • PROV; PARCEL; 14137325 ZNE: REF NO;
PLANNING N TES>
> .
!t ii� i(� iE ff �1F !h 1F ## iE iF iE if� iE±E if ii� �E iE iE 3F%iF# if iE 1! #'lE iE if if ib iE iE fF 3i� iE iE iE # iE fk 3E iF iE if iE'k fE iE # i!� fE 3f 3E if iE # i(� if ik 3E il� iE i( iF3:4 f!� iE !'t N# i4 3E #:} iE
D E V E L O P M� N T S E R V I C E S R E Q U I R E M E�N�2 5
%
7,ONING APPROVED HY DATE; '.-.
BUILDING APPAOVED &Y : � DATE;,'l0.— $ — �
APPLICATION ZSSUED BY; UATE•� U�,^ � L—
#ifikiEif�ikiEiF�lk#�iEiEiF�titiEiF*ifiEitiE it , ....x it Ik3f�(�##!(��E3h#IE xle#
M If if ie if �I(� if �lE K� # fk iE iE 1E # if it ih if� iE ## K� ###�If iE ## iE i!� iE 1f iE if 3F if it iE?E 3E ## 3F iE iF if 1E if 1F 3e �f if !E �h # iE �E iE # iF ft # 1k # i�' �(-#Jf it #'.F ii K� # iE # Sh
LEGALI2ATION;N F E E S U M M A R Y STRUCT[JRAi,�SEGMEN:;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC F�iRE. SMIP/RES GRADING
PERMIT 72,00 . -: 50
;" SMLP/NON—RES
PI.AN ' � -
ISSOE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK T'OTAL — PAID AUE
TOTAI,S----> 72.50 0,00 0.00 '12,50 ' 72,50 ,00
REVENUE DIVISION TOTALS--> COLLECTED; 72,50 OVER'/SHOR1:.• 00
BLDG PMT' PLUMBING ELECTRIC MECHANIC FIRE SMIp/TOZ'. GRADI�SG PLAIh—CHECK
7 2, Q � '�, 5 �
,%
if 1f 1k �16 if iE i( lF It iF �f 1t lE �%iF fE # iE if iF if ih iF tE fE iE iE k if ik i(� 3f iE iE x� !f 3f fblk IE 1E iF 1f �E ie 1E �IF fE iE if iF iE iF iE iF ih # if )f.#.# # ik N��74i�� iE iE 3f M� iE !F!F IElF if iE fe
I N D I V I D U A L F E E B R E A K D O`W N�^
TYPE QTY D E S C R I P T I O N IINIT COST TOTAL COST
/
SFR 4490 REROOF BY VALUE RESIDENTIAL N020NE /,1^,00 ;' 4,490,00
END OF FEES � .
31 � 3l y'3
�
>
C NSTRUCTION AND PLANNING P001 ',PA � �
AP��OVALS Permit # Date Inspector pppROVALS Permit # Date Inspector
1. Teri�porary Electrical Service or Pole 52. Pool & Equipment �ocation
2, Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. EleGtrical Conduit Utility-Undrgrnd. 54. Forms '
4. Electrical Conduit•Undrgrnd. 55. Electrical Bonding
5. Stee� Reinforcement 56. Rough Plumbing & Pressure Test
6• Electrical UFER Gmd. 57. APPROVAL TO COVER�GUNITE
7. Foot�ngs 58. Electrical Conduit•Undrgrnd.
8. Fo��dation � 59. Gas Pipe, O Undrgrnd., Test .
9. N'ater Pipe-Undrgrnd. � 60. Backwash Lines, P�Trap, O Undrgrnd. �
10. Scructural Floor SYstem " 61. APPROVAL TO DECK
11. Property Sewer Line & House Co�nection 62. Backwash & Receptor�Final �
�2. SeWe� CaP � 63. Heater & Vent•Final -
13. Roof Drains 64. Plum6ing SYstem - Final �
74. Rough Plumbing 65. Electrical�Final
75. flough Electrical•Conduic . 66. Solar System-Final �
i 6. Rough Efearic Wiring ' 67. Fencing & Access ApProval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
78. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINA�
19. Rcugh Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Outts, Ventilating 77. Product Piping O Gas � Oi�
23. Gas PiPe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Under9rnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T�Ba� Ceiling (Structurall & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
� 28. Lathing & Siding i 77. FIXED SYSTEM FINAL
29. Insulation . � 78. FIRE PREV. FINAL
30. Drywall Nailing i � HEALTH DEPT. REQUIREMENT
37. Plaster Brown Coat �' �! � 79, FINAL INSPECTION
i
32. Electrical Power Meter-Final '' �; 80. FOOD CERTIFICATE ISSUED
33. final Electric . Notes: '
34. Final Heating & Air Conditioning •• ,
35. Fina� Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plum6ing
39. Water Service-Finat
40. Gas Service•Final
41. Solar pomestic-Final �
42. Backflow Preventer ' Q/ Q 0� S' (�� (� `�� /�%,
43. Backflow Irrigation /�ry /�� � / �y /� S� � (K �
��GIMWT L
44. Landscape Irripation Sysiem
45. Sound Attenuation � �
46. Handicap Regulations C, �O�C-- O�(9" N
47. FINAL STRUCTURE & BUILDING �/16�y3.. - '
48. FINAL PLANNING
49. Elec[ric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY ' i ;
No. Date
.'
COSTA MESA BUILDING DEPARTMENT
_^^y P. 0.' BOX _ 317^^...
MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES------
MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES
I 53'76 I
FOR APPLICANT TO FILL IN
�
BUILDING ADDRESS �3�- �4 � ✓ �'�''
f� �_� ,w/ �// :
IVED
:P��
. �4,
MESA
.�'..,',^ �
Mail Address6�t��-�+�+ �4 •^�
City �9-6�C� ��'C.SG]_ ph. No. j3 �2
Contractor � �J Ph. No
Address
City Lic. No. State Lic. No.
Size of LotfoyNl�� AP No. �� 3--S�S��"�r'� G�
Seibacks: C/L Street .��7 �" Rear p _
Side Yard - Righ�7t � D� LefL
Type oE Fence�_� 9
I hereby ac wledge that I have read this application and state
that the above is correct and agree to comply with all City Ord-
inances and State Laws regulating building construction.
Signature ,�j � �
of Permittee �ii � �/v' �� �,�/�j1� _
s
FOR OFFICE USE ONLY
VALUATION
�'�
� � ,��
Permit Fee
Plan Check
TOTAL FEE
USE REVERSE SIDE FOR DETAILS
S3/
>ate Issued
�-�7-5�
�� �
$�� : o a
$ �
, o 0
�
t4
�
_'S i"..
OWNER COLLEGE PARK-00. DATE $_�_56 -
JOBADDRES3 253lt Greenbriar 1+3r18 BUILDINGPERMITNO. #3(�$()
1 ERALCONTRqCTOR Hyrbor C0179t. CO� VAWE $ 1j.ZOO.00
LOT %� BLOCK TRACT '2727 Residence w det. �ar,
pGROUP. I Rc J TVPE U ZONE RI1 FIRE DISTRICT 3SOJ
PERMITS ISSUED
INSPECTIONS ' D;T� SUBCONTRACTOR
DATE I NUMBER
Formsahd Gradeto
Plumbing, Rough to &lab ��y v`� 5 "'""
�� - ��
Plumbing, Rough Complete �nn. P�i itls' �L ,G,YI. .,_ G.rr_��J .P
Pole
Wi
Heating.F��ai 1M.L5 3-�2-5'� k�, r�G�,1 —�:-.�-v_ ie-���5"ti 7� 3y —
F r, Flouse �' Sewer, St.��n C� � �, .�,c..,t� �n� 9-/ �/ - S � Si�a�..5 —
S. .c Tank or Cesspool —//�
Lathina. In Out � [�/Y . .
Plastering iLp{�,
Plum6ing, Fin�al, Fixtures Complete GS ��i'.S � •
Plumbing, Fin,al GasTest �P S 'l� y�i /�ii �'�I �
S � •�
Wiring, Final _ MAR 2 �957 �� B��"
Occupancy, MpR 2 l 1y�f vl'.�
FOFM 310 3M 10�•v5
. �'tv�sza iriesa �smimng Lepartmenz ` `���
' r�. 111 EAST 20th STREE7 �
., = � COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN
Building
Addresa 2534 Greenbriar Lane
Costa Mesa, C&I1f017ll8� Re
Owner
Mail
Address
ractor HaTb Or Const . C pe.' ����3761
"ess aflme
.egal I Lot I
:ription No. %� Block I Tract2%
ach Metes and Bounda)
No. of Bldga
of Lot 64 X l�� I Nowon Lot
CenterotStreet��� 56
DESCRIPTION
New I 7C I AIleration
Repair I I�Mo���g
Building No.a
Size 1379 Raon
erior Wall I I
ering 1
Use of New
a��ia��u Residence 8c
No.of No.of
Families Roome
Rear Yard
�emolish
I hereby aclmowledge that I have read this Application
and state thak the above is correct and agree to comply
with all City Ordinances and State Iaws regulating
building construction.
Signatureo�arbor Construction Co.
Permittee
Authorized Agt.
Valwation Permit Fee $ p2 �—
Pian Check $ / l� —
�1 � 200. Total �
Fee $
FORM 204 S-SP 2M 8-S
,'YAdUA'1'iVl� i' Vis� rr.atinxa�.
BUILDiNG '
g'OR OFd�'ICE iJSE ONLY
Receipt No. Permit No.
3 5�e'G
ed 6y Date Rec'd. Date luuet
�.O I.o. g.( � A�� 1�'s l
Costa Mesa, California
Typa
CORRECTIONS
APPROVALS
�Foundaiion Location Inspecto�
Forms, Materials,
Under-Pinning
Frame: Fire Stops,
Bracing, Bolts
Lath.lnt.
Bond Beam
Z
s
r
0
PLOT PY.AN
_ Show location and distances from
.propeMy fine and between buildings
� - '
� •� ~�
i o141—j(
IN�PECTIONS
\ soi�
i\ GRS
W ATER
ROl1GH PLUM9ING
PROP. SWR. LINE
SPRINKLING SY51
MISCELLANEOUS
ROUGM HEATING FND AIR CONOIiIONING
TEMPORARV SERVICE OR POLE
UN�ERGROlINO � POWER �
ROUGN wiRING
TRENCHES �] FOHMS STEEL RE
F100R SYSTEM
BOND BEAM [7 STEEL REINFORCE [
SNEATHING
FRAME AN� F�ASNING
LATHING - IN n OUT [�
P' TER, BROWN COAT
.TURAL FINAL
PLUMBIN0. FINA
ELECTRIC, FINAI
BUILOING. FINRI
IEFRIG. AND A.C., F
AN� GRS TEST I-i
i:mi
SUBCONTRACTOR
,• • •".,119-74�F'�OO 642" *'"�i:x9.50
.� 3925 I
COSTA MESA BUILDING-SAFETV DEPARTMENT
P.O. BOX 1200 COS7A MESA, CALIFORNIA 92626
' For Applicant ro Fill in Completely APPLlCATION FOR BUILDING PERMIT
RE IV BV D TE RECEIVE DATE ISSUI
BVII.DING � �J � �� i
ADOflESS �,7 �
OWNER A.P. NO.
-3 3-25 °
MA I L BUILDING �
ADDRESS P.ODRESS��
W W TEL. TPACT[� 2 LOT /� BLOG
a U CITV NO.
ZZ
Q CONSTRUCTION W P
O � LENDER \/
a m ��
J � BRANCH
-� �� OWNER
AODPESS
V�{LUE Qn o
ARCHITECT TEL b S
'� a OR ENGINEER �
V Q FIRE
W � ADDRESS � 20NE TVPE
d W APPROVED '
w Z CONTRACTOfi � � BY / C
JO .
mZ
J ADDRESS
w W S 0 �� �( Z NO.OF n USE O
�= CITY NQ�p P�� 4. BUILDI
Z �
O STATE CITV �'AROSAPPROVED VA
y� LIC. NO. �y� � LIC. N� � MAIN BUILDING ACC
�� SI2E NO.OF 8l� (FROM GL STR T)
OF LOT NOW ON LOT ONT FT.
USE OF ^
EXISTING BLDG. �i F/
I� 512E OF % /� NO. OF
Z NEWBLDG. /�V ROOMS STORIES L.SIDE FT�
U EXTERIOfi WALL ROOF
COVERING COVERING REAR � FT.
VSE OF BUILDING AND WORK TO BE PEFFORMEO DIS7ANCE BET. BET. A
MAIN eLOGS. ACCEE
4 , r / // C U P.a@ APPRC
�
F �„ APPROVED ��
N
Z CC-1�-�.1�-G
�
UI �oreby acknowledpe thet I have reatl Mis application and stete
� that che abova information (a carrect entl a0ree m compiy wiM
� ell laws reg�lettnp builtlin8 construc2ian, and I shall not employ
F eny person in violatian of the workman's comp¢nsation lawz ot
y Me State of Celitomle.
zI herebVi cerUty that I am properlY licensetl as a contracmr undar SQ. FT.
the 5[aie ot Celltornla Business end PYofessions Code, Oivisicn 3, THE AMOUNT SNOWN UNDER
Cnap�er 9, antl tMat such licensas ere in full tarce antl effect, or I THE PURPO6E OF FSrABLISHING
am azampt from the provisions of the State of California Business VALVATION
Ylltl PIpiB55�0l19 �.OdB� D�VI5�0�1 3� C�18pf8( 9.
PERMIT FE
Sipnetura of ��� ��/�
Permlttae $�� Y`�/ PLAN CHE(
/` ��/ �
Authorizetl Apan / (i(/i� 70TA� FEE
�
'—/G/.-
RDSAPPROVED
STATE
�
�
O
i
¢
n
J
m
`o
LL
OWNER �LLTAMSON. B.F7. . �EP 2 4
rn
DATE
V4V ••
]OB ADDRESS 2531x Greenbriar Lane BUILDING PERINIT NO. 5319
GFT9ER ONTRACTOR Q�.�ngp-$Ul1deP VALUE $ ],9�.00
. o. LOT TRACT FIRE ZONE DESCRIPTION OF WORK Fc?n�P
GROIIP TYPE ZONE PLAN NO. K77F,
INSPECTIONS DATE SUBCONTRACTOR
DATE I NUMBER
coat
Final Gas Test