HomeMy WebLinkAbout2556 GREENBRIAR LN - Building Permits�–
PP0.IELTROOflE55: '1aSE) GREENBRIAR LN
OWNEN'SNRME: TONG, GREGORY KEITH
aooness: 2556 GREEiVBRIAR LN
, COSTA ME$A,CA 92626
i� AflCH/ENGINEEfl: � 7 1 4� Z 4 O— S O% 4 pEG.NO.:
� nooeess:
UNIT:
uxiT:
PEBMITTEE: BILL ViASIS ( 714 ) 240-8074
AOOflE55: 313(� E. A7ZNE
LAGUNA NIGUEL CA 92607
LICENSED CONTNRCiOfl UECLRflATION: I here�y allirm Ihal I am licensetl untler provisions o� ChaO�er 9(commencing wit� $ection
7000� of Oivision 3 0l the Busine5s antl Pmlessions Cotle. antl my license is in lull �orce antl e��ec�.
urruc.:05S984 STRTEIIC.:fj1A37'I cuss: g
Dale: SignaWre:
WONNEBS' COmPENSATION OECLAflATION: I hereUy allirm inat I have a ce�iliWte of coni¢nt to sell-insure or a ceriifitate al warkers'
Comoensation Insurance. or a cenifiea copy inereol (Section 3800. lab. C).
POLICY NO.: El(P. �ATE:
COMPRNY:
❑ Ceniliea copy is hereUy Iumishe0. ❑ Cerlilied copy is IileG with tAe city BuilJing Oivision.
Oate: Ap0licanl:
EXEMPf10N FBOM WOHKEflS' fAMPEN5qTI0N OECNMTIaN: (TAis sation neeA not Ue camplele� if Ne permt is for o� �unOrea (5100) ar less�.
I cerlily �hat in ihe pedormance af I�e vrork br w�ic� I�is Oermit is iuue0, I shall nol ¢m01oy any person in any manner w as Io become
SUEI���=e WorkeyComyp�n5�on Laws o� Calilornu. J`/-/i _ /�j�
Oate: �� r Signature: 5��
NOTICE: If. atler making IhiS Ceclaraiion, you s�oultl Decome sublec� �o ihe Workef5' ComDensa�ion provisions of Ihe La�of
Cotle. you must fonhwi�n comply witn such pmvisions or Ihis permit shall be UeemeO revoketl.
CONSTPUCTION LENOING RGENCY: 1 her¢by aflirm t�ai Iher¢ i5 a ConSimC�ion IenAing ag¢ncy �or ��e peAormanCe ol Ihe wOrk lor
w�ic� Ihis permil is issuetl (Section 3097. Civ. C�.
lENOEfl:
AOUNE$$:
OwNEB BUILOEB DECLAB�7ION: I hereGy aflirm thai I am exempt Imm the Comracmrs' State License Law for t�e following reasan
(Seclion 703t5 Business anU Pmlessional CoOe: Any ciry al caunly w�ich requires a Oermil �o tons(mci, al�er, impmve, �emolis�, ar
repair any SlmcWre, prior lo Its issuance, also requires �he applican� for such permil lo lile a signed slatemeni Ihai he/she is licensetl
pursuam to ihe pmvisions of Ine Cantraclors' S�ate License Law (C�apter 9(commencinp with Section 7000) of Division 3 0l �he Business
anC Pm�es9ons CoGe) ar that ne/s�e is exempi Iheretmm ana ihe hasis far t�e allepeA eaemD��on. Any violation ol Section 7031.5 by
any appliCan� for a permi� SuUjeCiSlhe apDlican� to a tivil penalry Of no� mOre Ihan Iive �UntlreO tl011ar5 (E500�.
I. as owner al tAe prooe�Y o� my employees wi�h wages as ineir sole compen5ation, wiil tlo the work, an0 �ne
❑ simcture 6 nolintenAeU oroHere0far5ale�5ettion 7044, Business anE ProfeSSianalCotle: The fAnVactais' State Lit¢nse Law
aoes not aOPW �o an awner of a proDeny w�o �uil�s or improves t�ereon, antl w�w Oce5 such woA himsell/hersell ar tMaupA
his or her Own empl0yee5, pmvide0 Iha� Suc� imDmvemen�5 are no� in�¢nUetl of 011ere0 �or 5ale. II, hOwevef Ihe buil�inA or
. impmvement is soiG wiNin ane year af completion, the awner will have the Ourden af OmNng �e/she diA not bui10 or imOmve
for ine ourpose al Sale).
I, as owner of Ihe DroDe��Y� am eKclusively coniracting with licensed coniracPors to conslNct ihe pmlect 4Section 7040, Business
❑ ana Pmfessions CoOe: TAe Conlraclors' State License Law Ooes not ap01y to an owner of Dropeny who bwlUs ar imDroves ihereon
antl w�o comracis lor suc� pmlei�s with a camractoqs) license pursuant ta IAe Contractors' State License Law�. I am aware
t�at pmol o� I�eir Warker's Compen5ation insurance shoulA be DroviDed lo me.
� I am e�empl un0er Seqion: B. 8 P. C.
�Or �his rea50n:
oa�e �—is— p2 ��e�:;��� .��
I tlo neBby Cenily tnat I am aware oi ana understan0 ihe requiremenls o1 Calilomia Healih anA $d(ery COAe Seqions 25505. 25533, ana
25534 and Ihal I or any lulure Ouilding occupan� willlwill nol (circle one) neetl to comDly wi�h saitl sta�e codes anE t�e reQuirements �or a
permii lor cons�mclian or mo0ilica�ion imm �he Air Oualiry Management DislricL Residen�ial canstmction applica�ions are e�emp� �mm
I�ese pmvisions.
Oaie: Applicant:
I here�y cetlity thai I have reaa I�iS aDO�ication antl slale ttul Ihe aCove in�orma�ion ¢ corrett I agree �o campry wit� all ciry anE caunty
ardinances arb s�a�e �aws relating �o GuiMing cons�maion antl hereby amlarRe reD�QunWtives ot lhis ciry to enter upon ttie above�meniianea
propehy torinspec�ian Durposes. y/�/ ��
Oaie:� /� �� Signature: L%_Sf/�/ ��/��
oiiver's License or Social Securi�y a:
16CLa6 Wbne—Builtlmp; Green—Cotle EnlorcemmL Canary—AoolicanL Pmk—Revenue: GdEenroO—Asartsun
CITY OF COSTA ME5A — AUILDZNG PERMIT PERM �VO; B 05737.
PERMiT NU: B 057372 FLAN CHECK NO; N GOVT; N SUPP; N
CONSTRUCTION TYPE: 5—N PERMIT TYPE; STR PURPOSE: ALT
JOH DESCRIPTION ; REHEATH 6 RERQOF WITH 'HOT MOP' SQ FT; 2,UOU
CLAIM VALUE: 2,000,00 CALC—VALTJE: 2,000,00 GROUP OCC: R-3 /M-1
COMMENTS; SMOKE DETECTOR(S) RE�UIRED IN �oME. �(y�.q� �T�TO R
u*�*�**�*�*��r�*x��*****��t�**�x xx+��c�#*�r*#***�**�t�r*�r*#�*t.*� � �r: �'xx+�
Z O N I N GS ERTEB�AUC�K�SE M E N T S REQUIRED
-----�------- MAIN BUSLDING ---------- --------- ACCESSORY BUIi,DING ---------
FRNT; FT IN REAR: FT IN FRNT: FT ZN REAR; FT ZN
LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT 1iV
PARKING REp• PROV; PARCEL; 14137906 2NE: REF NO:
PLANNING Nt5'PES>
i
fF # iE iE iE iF iE �F If if iE �R iE iE 1E iF If i(� if 3E iF if it iE ii�lE iF if IE iF?e iF iE if?E iE iE iE iE �)F iE iF 3'r iFlF iE i't iE iF if �f it�ii� if ff iE?E iF I! iFiE iF if �1e iF iEiF?E iE i6 iF fP �f-�1F � 1E ii� IE jE
D E V E L O P i�7 E N T S E R V I C E S R E Q li I R E M E N T S
20h'ING APPROVED BY DATE:
BUZLDING AFPROVED HY ; ��J� DATE-
AFPLICATION ISSUEP BY• _���F�"/ � DATE; �/ 92�
iE if- iF �k iE it if iF it �lE lf 1E iE if K 3F iF* 3F if k it�F'iF riFTFiFiF � 3F�r Tr' �A��3• i iF�F3F3E ��E iE x� 1t 3F 1F if !t 3{ iE#�'� �� tF'£1e V.�
IFifiEiEiEif'kiFii'iF'M'ifiE�FiE3('Ii'if'iFiElfiEiEiEiEiFil'iFiEifiFibiEiFiEifiFif'ifiE'IEififiEif�ii' Y jl'iF'1EiFif�%i4iFiFiF'ifY.iEiFiE1F#iF3fji'iF#ifie#Ei4ifN'�'N�
LEGALI2ATION;N _ _. __. F E E. S U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PI,UMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADZNG
PERN.IT 95.00 ,�p
SMIPlNON—RES
PLAN
ISSUE FEE
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DCJE
TOTALS----> 45.50 0,00..__��� 0,00 45.50 95,50 ,OU
REVENUE DIVISION TOTALS--> COLLECTED; 45.50 OVER/SHORT; .00
BLDG PNT PLOMBING ELECTRIC MECAANIC FIRE SN,IP/TOT GRADING PLAN—CHECK
45.00 .50
iF IE iE 3E if iF iE �E iF iF if iE il� 1(� i't iE jE iE if 1E iE 3F iE iF iE if if IF 1E!(� iE �E iE iE iE iE i't #� M if If if 1F 3't iF if iE # if� ih IF iF af iE if ic i(� * 1E-%i't iE iF if if �7F �k-!h i4 i6 fF fE M� I(� # iF 1E iF �%
I N D Z V I D 0 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 UNIT COST TOTAi, COST
SFR 2000 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 2,OOQ,00
END OF FEES
�1 afi " _ ' `. ._
(Frl�: J717J'r� �i,_ .. .
,,
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
1. Temporery 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. Electricaf Bonding
5. Steel Reinforceme�i 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, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P�Trap, O Undrgrnd.
10. Structural Floor SyStem 61. APPROVAL TO DECK
71. Property Sewer Lin¢ & House Connection 62. Backwash & Receptor-Final � .
12. Sewer Cap 63. Heater & Vent-Final , !.
13. Roof Drains 64. Plumbing System • Final
14. Rough Plumbing 65. Eiectrical-Final -�
15. Rough Electriwl�Conduit 66. Solar System-Final
i 6. Rough Electric Wiring 67. Fencing & Access AnProval �
77. Rou9h Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electriwl-T Bar Ceiling 69. POOL/SPASYSTEMS FINAL
79. Rough Heating & A�r Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory FirePlace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping OGas OOiI
23. Gas Pipe•Rough & 7est 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structurall & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation - 78. FIRE PREV. FINAL
30. Drywali Nailing HEAITH DEPT. REQUIREMENT
37. Piaster Brown Coat � 79. FINAL INSPECTION
32. Electrical Power Meter�Final ' 80. F000 CERTIFICATE ISSUED
33. Ftnal Electric ' Notes:
34. Final Heating & Air Conditioning �__
35. Final Gas Pipe-Test ,
36. Hood or Canopy '
37. Final Factory Firep�ace
38. Final Plumbing
39. Water Service�Ffnal -
40. Gas Service�Final `
41. Solar pomestic-Finel
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irripation System
45. Sound Attenuation
46. Handicap Regu�ations
47. FINAL STRUCTURE & BUILDING � J „
48. FINALP�ANNING
49. Electric flelease to Edison
50. Gas Release to Southem California Gas Co
51. CERTIFICATE OF OCCUPANCY ,
No. _ Date
OWNER �
JOBADDRESS Z
GENERALCONTqACTOR H
�_f 8(j
GROUP I 8c J
INSPECTIONS
Footing Trench
Foundation Formsa�d Gradeto
Rough Framing
Plumbing, Rough to Slab y� �
Plumbing, Rough Complete
Temporary Pole
Wirina. Rouah
Heating, Final
Sewer, House
Se-•�c Tank or
L ig, In
Plumbing, Final, I
Plumbing, Fin�al (
Wiring, Final
Occupancy
FOflM 2�0 3M IO�+S
Sewer
Out
DATE
BUILDING PERMIT NO.
VALUE
E
� PERMITS ISSUED
SUBCONTRACTOR
_ _ _ DA7E I NUMBER
�osta Mesa Snilding Department APPIdCA'1'lUN P'UtL Y�n1ru'�
_ 111 EAST 20th STREET t;.52� B U I L D 1 N G
• _ COSTA MESA� CALIFORNIA
FOR OFb`ICE USE ONLY
. FOR APPLICANT TO FILL IN I Receipt No. Permit No.
ndar�ess ` 2556 reenbriar ane 3-s'O z'
Costa Mesa, �'ifl.11fOPIIlA� Rece�ved by Date Rec'd. Date Issued
_,_r, ,P., 9_� i UG l 41956
Owner
Architect or
:ion � No. 86
Metes and Bouni
Tel.
No.
City Lic.
o .No. 3761
No.
Setback Line from I
Center of Strcet 54 ;
DESCRIPTION OF
New I X I Alteration I
Repair I I�Moving I
Building No.of
3ize 1379 aooms
' " �.rior Wall I Roof
:ring Cove
_ _ of New
Addition
Demolish
Stories
27
Costa Mesa, California
Nearest
CORRECTIONS
APPROVALS
- - - Forms, Material:
Gara�e Under-Pinning
Frame: Fire Stops,
Bracfng, Bolts
I hereby acknowledge that I have read this Application
and state that the above is crorrect and agree to rnmply Lath. Int
with all City Ordinances and State Laws regulating
building construction. Lath. Ext
Stgnatureof
Permittee Harbor Construction L'�• p�aste�,lnt
Authorized Agt. � Plaster, Ext
Valwatlon Permit Fee $ pZ p� Masonry Reinforoe
Plan Check $ / '� Bond Beam
$1]_����. Total cL
Fee $ /� '� FINAL
RbI 204 S-BP 2M 6-55
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