HomeMy WebLinkAbout366 GRENOBLE LN - Building Permits(714) 754-5273 • Fan (714) 754-4856 • www.ci.costa-mesa.BUILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 366 GRENOBLE LN
Suite:
Vicinity: GARAGE ONLY
Parcel Number: 43914128
Applicant: HANSEN, DUKE
Address: 260 E. ALTON AVE
Zoning:
Phone: (714)557-7440
SANTA ANA, CA Zip: 92707
6�� � G�5 Jf��
owner: 6NG;-B EVERN'-H
Address 366 GRENOBLE LN
COSTA MESA, CA
Contracror: ROSS 8 BARROWS INC.
Address: 260 E. ALTON AVE
SANTA ANA, CA
Zip: 92707
Arch :
Address:
Phone:
Zip: 92627
Phone: (714)557-7440
License: 327802
Eng:
Address:
Phone:
Status: ISSUED
Applied: O6I262001
Issued: O6/26I2001
ISSUED BY:
Phone:
Zip: License: License:
SCOPE OF PERMIT
REROOF GARAGE AREA OF EXISTING CONDOMINIUM FOR "BACKBAY GARDENS HOA" (4 SQ). TEAR OFF & INSTALL NEW
BUILT-UP ROOF SYSTEM.
Plan Check: $0.00
Permit: $57.05
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $57.55
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0.0
PARKING Existina: o
NOTES:
Rear 0- 0
Rear 0- 0
Required: 0
FEE SUMMARY
PLANNING 8 ZONING
Left 0- 0
Left 0- 0
Pr000sed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
$1,550.00
$1,550.00
NO710E: 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, 1241-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or ii work is suspended or abandoned
for a period of 1 BO days. • '
INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred inapeetlona and final approval must be obtained. Failure lo obtain insDections and final approval will result in the expiration of ihis permit.
FOR INSPECTIONS CALL: (714) 7545626
zmaaa �aroo�
WORKERS' COMPENSA710N DECLARATION:
I hereDy aNirtn under penalry of perjury one of ihe following dedaretlons:
❑ I have antl wlll mainlain e certificate ot wnsent to self-Insure lor workers' compensatlon, es provitletl for by section 3700 of the Lebor Cotle, for the pertortnence of Ihe
work Por which this pertnit is iuued.
entl wlll
n insurance, es required by sectlon 3700 of the Labor Code, for the pertortnance of the work for which Ihis pertnit Is Issued.
antl pallcy number ere: �,�/(�/ �,�7�7
� Policy Numbar: � L/T.�� `� " " ��
� velued et one huntlred dollers ($700) or less.) --� --'
❑ 1 cerlify t�at In ihe parformance of the work for which thfs permit is issue4 I shall nof employ any person In eny manner so as to become subject [o the workers'
compensetlon lews ot Califomia, end egree that Il l should become sub�ect to tha workers' compensatlon provislons of Section 3700 of the Labor Coae, I shall forihwith
�'—compry wm masa � s�+s. /
ApplicantSigneWre:� .��� �� i �—�_��� Dete: _� `Z A "O/
s
WARNINO: FAILURE TO SEGIFE WORKERS' Q7MPENSATION WVEWIOE IS UNIAWFUL AND SHALI SUBJECT AN EMPLOYER TO CRIMINAL PENA�TIES AND GVIL FlNES UP TOONE HUNDRED
THOUSAN� DOLLAFE (S10D,000). IN ADORION TO TME COST OF COMPENSATION, DAMr1GES AS PROVIDED FOR IN SELTION 3]OB OF TME LABOR CODE, IMEREST, AND ATTORNEI"S FEES.
LICENSED CONTRACTOAS DECLARATION:
I hereby eflirm ihat I am IlGensed�under pmvisic
�o«a e�d ana�i. u�. « 327 ��
CONSTRUCTION LENDING AGENCY:
9(commencing wit� Section 7000) of DlWsion 3 ot t�e eusiness
❑ I hereby ettirm that there is a consiruction lending agency for the pedormence of the work for which this permit is issuetl. (Sec. 3097, Civii Catle).
Lentler's Neme: Lender's Address:
Signature:
OWNER-BUILDER DECLN�ATONS:
Date:
id my licen5e is in full
v
I hereby flHirtn that under penalry oi perjury that I am EXEMPT FROM THE CON7FiACTORS LICENSE LAW lor the tollowing reeson (Sec. 7031.5, Business antl Pratesslons
Cotla: My ciry or county whic� raquires e pertnit ta construct, elter, improve, demolish, or repair eny slrucWre, pnor to iis Issuance, also reduires the applicant tor such pertni�
to file a signetl statement t�et he or she Is Iicensed pursuent ro ihe pmvisions of the Contradors License Law (Chepter 9(commencing wit� SecUon 7000) of DlNsion 3 of the
Business end Professions Cotle) ar t�at he or she is e:empt therelrom entl the �asis for Ihe ellegetl ezemption. Any violation at Sedion 7031.5 by any applicenl for e permll
sublects Ihe applicant to e civil penalry oi not more then live hundred dollars (5500).):
❑ I, as owner ol Iha property, or my employees with wages es their sole compensation, WILI DO7HE WOAK, antl t�a structure is not intendetl or otteretl for sele (Sec.
7044, Business and P�ofessions Code: Tha Contractors License Law Coes not apply to an owner of property who builds or improves thereon, and who tloes such work
himselt or hersetl or �hrough his or her own employees, Providetl that such Improvements are not Intendetl or oflerad for sale. I(, however, iha building or improvement is
soltl within one year oi completion, Ihe owner-builder will have the burden of proving Ihat �e or she did not bulld or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELV CONTRACTING WI7H LICENSED CONTRACTORS to construct ihe project (Sec. 7044, Business and Pwtesslons
Cade: The conirecto�s Ucense Lew tloes not epply to an owner of property who bullds or Impwves Ihereon, and who contwcis for such projecf wil� a contrector(s)
license pursuent to Ihe Contractors License Lews.).
❑ I am e:empt under sec. eusiness and Professions Code for this reeson:
Signature: Date:
Owner ID verified by drivers license. ❑ Ves ❑ No DriveYs Licensa No. Expires:
Vedlication ot Ownership by (rype of document, i.e. - pmperty �ax bill or deed):
DIYISION OF INDUSTRIA� SAFETY PERMR CERTFICATION:
❑ I hereby certity t�at qa excavation five (5) or more teet in depth into which a person is required Io tlescend, will be matle in connectio� wilh work euthodzed by this
permil, and that no buil0ing slrucWre, scaHoltling, felsework, or demolilion or tlismantling ihereof, will be more ihan thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, Califomia Atlminisirative Code).
❑ A5 owner-builtler, I Will not employ enyone to do work w�ich would raquire a pertnit from �he Division ol Indusirial Se�ery, as notetl ebove, unless such person �as e
pertnit to do such wo�k Irom tha division.
Signature: Date:
Division ot Industnal Sefery Pertnit Number:
CERTIFICA7E OF COMPU�CE AND AUTTIORIZATION OF ENTRY: I certify under penalry of perjury Ihat I heve reatl ihis epplication and stata Ihat the informelion given is
correct. I egree to compy with ell state laws and clry ordinances relating to builUing consiruction, antl euthotlze representatives of the Gry of Casta Mesa to enter upon Ihe
above-tlescribed property tor inspection purposes. I agree not to occupy or allow occupancy of eny 6uiltling authorized by ihis permit until tinal inspeciion.
GOOE t. INSVECTIONTYPE
1616 Fixed System Final Fire Prevention
1266 Pool Spa Finel
200 Flnel Re�Root
201 Flnal BIacWRetaining Wall
202
203
Final Fectory Fire Place
Final Sign
204 Final Demolition
o�re INTRIALg
� ��` '— +ic--a
CODE� �xsaecnoNTrve
20fi Final Mechanlcal
208 Final Plumbing
210 Final Electdcel
212 Finel Fire Prevention
220 Final Planning Approvel
222 Final Site
250 Final Builtling/Occupancy
P97E 1tillUe6$
AOP���ant to fill in all spaces except those within heavy borOer lines antl sign a11 appropriate tleclarations.
•GSTY OF COSTA MESA ' � P MIT NO. TRACT NO. LOT NO. BLOG. .
� • CONSTRUCTION PERMIT - —. � Q � � '
Project Address � � /� � �"`� ��+
ApplicanYs Mailing Address /" C% O%C �� 3S� L• M' 41C.2�
Owner's Name RP_�f.h%V iQ1^M C7LFoNA -phone'����a_`L7
Address �� � � �N� ��� �—�
Arch/Eng. ' License No.'
Address
Cont�actor'sNam st�Phone'63�'d��y
Addiesslmailin9) p� ���3SS C�t• 9zCz�
City Lic>nse No. Q � ��� �
'LICENSED CONTRACTOR DECLARATION
I,hereby affirm that I am litensetl untle� provi5ions of �Charter'9 (commencin9 •
with_section 7000) ot Divislon 3 of the Busine5z antl Protesslons Cotle, antl
my license is in full f rce nd ffect.
LicenseCl s — icenseNo�i� y�339vi.
Da[e'�� � Signature � � - /-�/'L"�""� .
'YORKERS' COMPENSATION DECLARATION
iereby affirm tnai 1 nave a certiticate of mnsent to selt-insure or a certifiwte
i Workers' Compensatlon Insurance, or a certifietl copy [hereot (Section
3800, Lab. C.) �
Policy No. Company
�Certitietl copy is hereby fuenishetl. �
Certified copy is filetl with [he city Builtling Divisian.
Date APplicant
E%EMPTION FROM WORKERS' COMPENSATION DECLARATION -�
(This sectiOn neetl not be completetl if the permit I5 for one huntlretl (5300) or
Rss)"
1 certi�y thatljn the pe�to�mance of thC work fo�'which this pe�m�t is i55uetl, I
shall not employ any person in any ma ner so as to become subject to the .
Workers' C m e t'on l.aws of Califo a.
Date 5 �Si9nature f � �'�
NOTICE: f; after makin9 �his tleclaration, you shoultl become subject to the
Workers' Compensation provi5ion5 of the Labo� Cotle, y0u must forthwlt❑
comply with such provisions or this permit'shall be tleemeE revoketl.
CONSTf3UCTION LENDING AGENCV '
I hereby affirm that there is a construction lentling agency for the performance
ot the work tor which this permit is issuetl (Section��309] Civ. C.)
Lentler's Name
LPntlef's Htltlre55
OWNER BUILDER DECLARATION ' �
�I hereby af(irm that I am ezempt trom the G6nVactor's License Law for fhe
lollowing reason (Section 703L5 Business antl Pwfesstonal Cotle: Any city or �
county whicM1 �equires a pe�mit to conStruCt, alter, Imp�ove, tlemolish o� repdir .
'any structure, prior to its issuance, also requires ihe appiicant for such permit
[o tile a signetl statement that heJshe is licensetl pursuant f0 the p�ovisions ot
-`--,Contracior's License Law (Chapter 9(commencing with Section 7000) oi
;,�,"J`Sion 3 of the Busine55 antl Protessions Cotle) or that he/she is exempt
,i�%,'�?from antl the ba5i5 for the alle9etl exemption. Any'vlolation ot SectiOn
:'.&i1.5 by, any applicant tor a permit� subjects the applicant to 'a civil
���nalty of not more than five hundretl tlollars ($500).
LJ I, as.owner of the oroperry or my employees with wages as meir sole
. mmpensation, will tlo che work, antl the'structure is mt intentletl or oifered
', Jor sale (Section �044, Business antl Professional Code: The Contrac[or's
License Law tloes not apply to an,owner of a property� who builtls or improves
�thereon, antl who does such work himself/he�self or through his or her ow�
�employees, provitletl [hat such improvements are not inYentletl or ofteretl f0/
�sale. It, however, the builtlin9 or improvement is sold within one year of com-
,pletion, the owne� will'have the burtlan ot proving he/she tlitl nOt builtl or irn-
.� rove for the purpose of sale).
I, as owner of the property, am exUusively contracting with licensetl con- �
.tractors to construct the project (Seciion 7044, Business antl Professions Cotle:
Tne Contractor's� License Law tloes not apply to an owner of property who
builtls or iTproves thereon, antl who contracts to� such projeGts with a cOn-
tracto�(s) license pursuant to the ConVactor'S License L.aw).
❑ i am exempt under Section B. & P. C. for this reason
Date Owner�
I hereby certify that I have reatl thls apPlication antl state tliat the above
information is correct. fagree [o compty with all city antl county ortlinances
and state laws relating ta builtling construction, antl hereby authorize repre-
sentatives ot this city to enter upon the above-mentionetl pro erty for
in5pection pu ses. � Date �� Z
Si9nature
TYPE OF CONSTRUCTION LI NEW • LJ ADD LI ALTERATION LJYREPAI R
❑ CONVERSION ❑ DEMOLISH ❑ OTHER � A.P. # �
DESCRIPTIONOFWORK CA-OA-¢h L-/�.h Y��FJIGY4
�—� S Main Builc
TVPE OF PERMIT ❑ GRAOING�/ FD UNDATION ❑ STRUCTURAL T Front'
❑ TENANT ❑ ELECTRICAL L7 PLUMBING ❑ MECHANICAL 6 Rear
❑ �OTHER - ' A
C Right
PROJECT DESCRIPTION 5p. Fr. OCCUaarvCv K
CONSTRUCTIONTYPE VALUATION$ S Left
20NE GRA�INGCU.V�S. .ACRES P�ng.Ref.# '
Remarks: ' ' Parking Req./P
Sink r
Irrigation
Drinking Fou
Floor Drains
Floor Sinks
Gas Service
Interceptors
Kitchen Sink
Lavatories
Roof Drains
Outlets
Reinspection Fee $25
Boiler
Duct - Under Ground ,
Duct - Structural
Duct - Veniilating
Exhaust System ❑ Multiple ❑
Firepl/Fact. Blt. ICBO #
Heating System & Ducting
❑4100,000 BTU 0700,000BT
orivers''License or�55 � I I Reinspec[ian Fee I $25
CMF 0865-46 rev. 7/83 White - Bul Itling; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor
Use of e
FEES Planning
Service Sink
Sewer Cap .
� Sewer Connection
Solar Collectors '
Solar Piping, �
Solar Tank
Swimmin9 Pool w/Spa
Urinal
'Water Closet'
; � Water Heater ���
Water Service - �
' . Issue Fee $ 3
iANICAL ' ' FEE
Hood or Type I ❑ .
Canopy , Type 11 ❑ .
Refrigeration System
❑aioo,000eTu ❑ioo,000aru
System Repair/Alteration ,
�
Issue Fee $ 3
9:�'. ��/�: /v.' .
Zone '
Accessory Building:
- ' I
Park. Fees $ � .
� ' _ ELECTRICAL -
Automatic Washer'� � �Transformer ❑ 15-50 KW �
..'__'_.._'.__,._._:.. . ❑50+KW �
70? - T,
Cooliin9 Unit " Meter LJup to 700 amps
Dishwasher � y;�� � Meter �over100amps
Dryers �Gas� OElectric SubPanel '
Fan Motors � 0-1 HP 01'/: - 8
F.A.U. Inc.Solar �9-15 HP �16-15+ '
Fixtures 'Microwave � .
Device Boxes Pole Light
Outlets . � � Range �
Switches Sign �
Garbage Disposal'. ' Standing�Sections
Generamr �0.5 KW �5�15 KW 7rash Compactor . '
O
N
I
N
G
R
E
�
U
R
E
N
E
N
T
I Reinspection Fee ' I$25 � luue Fee I $ 3 I
PUBLIC SERVICES REQUIREMENTS: '
Zoning Approved By Date
Application Approved By ' Date
Appliwtion Issued By � �! � Date__!��
� SUMMARV OF FEES .
BUILDING PERMIT � $ SMIP $ �
PLAN CHECK �$ PERMIT �
PLUMBING , � $ D � �SSUANCE $ ,
PLAN CHECK $ ENERGY P.C. $
ELECTRICAL $ GRADING $ �
PLAN CHECK $ MICROFILM , $ �
MECHANICAL $ TOTALFEE $ 7. D(�
PLAN CHECK $
..
G�. CONSTRUCTION ANDPLANNING � . �' �� � - ?OC SPA
' Date, ��Inspector' • � Date� Inspector
APPROVALS�' Permit#', , . �;APPROVALS Permit# -
,��1. Temporary Electrical Service�or Pole ' � � 52. Pool & Equipment Location
i •
� �2.� Soil�Pipe:Undrgmd�. � � � �� � � . 53..Steel Reinforcement . ' - , ��
-:3.� Electrical ConduiYUtility-Undrgrnd. � ' ' • 54. Forms_ � �
4.•Electrical;Conduit-Undrgrnd. . ' 55. Electrical Bonding ,�.
�
5,� Steel ReinforcemenY • � � � - ' ' 56. Rough Plumbing & Pressure Test � - �
r �
"6.Y�Electc;cal"UFER.Grnd. , � . . 57. �APPROVAL TO COVER-GUNITE �.
7.� Footings " �. . 58. Electrical Conduit-Undrgrnd.
8. Foundation ,_ • '_ _ 59. Gas Pipe, O Undrgmd., Test .
9. _Water Pipe-Undrgr'nd. : �-f 60. Backwash Lines, P-Trap, O Undrgrnd. '
101 Structural Floor,System -- , ;.� 61. APPROVAL TO DECK �� .
11. Property Sewer Line & House Connection � 62.-.BackwasFi�& Receptor-Final
, .
12, Sewe�'Cap � � . � . � � � 63.��Heater & Vent-Final �
13. Roof Drains � , "' , 64. Plumbing System - Final - � Y�
14. Rough Plumbing " 65. �Electrical-Final � �
15: RougFi Electrical�Conduit� "�� ' 66. Solar System-Final " • ' �
: 16. Rough Electric Wiring ' � -' � � � 67. �Fencing & Access Approval
17. Rough Wi�ing Sign � � � 68. APPROVED FOR PLASTERING �
'18. Rough Electrical-T Bar Ceiling , ' � 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning �. . � FIRE DEPT. REQUIREMENT �
20. Rough Factory Fireplace ' APPROVALS Permit #
21. Ducts, in Structure ' � � � �' 70. Underground Hydro
22. Ducts, Ventilating _ � ' 71. Product Piping O Gas •� Oil
.. 23, Gas��Pi,pe-Rough & Test ' , 72..Underg'round Flush �
24. Roof: Framing ' '. " � � 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing �.- � � 74.-Overhead Hydro � - �
26. T-Bar�Ceiling (Structural) & Monocoat � . - 75. Dry Chertiical
27. Frame and Flashing � ' � , 76.-Dry Standpipe ',
28. Lathing&Siding� � ' � 77..-FIXED.SYSTEMFINAL
�
29: Insulation - � � 78. FIREPREV. FINAL
30. Drywall Nailing � ' HEALTH DEPT. REQUIREMENT '
31. Plaster Brown Coat � �� . 79. FINAL'INSPECTION �
� 32. Elect�ical Power Meter-Finai . � ' 80. FOOD CERTIFICATE ISSUED
33. Final Electric , � , . ' � � ' � Notes: �
34. Fina( Heating & Air Conditioning � _
35. Final Gas Pipe-Test , _ � ,
�
36. Hood or Canopy ' ' - � ' . �
37. Final Factory Fireplace � '
38. F.inal Plumbing' ' � , � . w�9�� L�. � . � �
39. Water Service-Final � ' .
40. Gas Service-Final ' � �, �
41. SolarpomesticFinal . _ • ,� ' . ,. ,
�
42. Backflow Preventer • �
43. Backflow Irrigation � - _ . ,
44. .Landscape Irrigation System ' � . .
45. Sound Attenuation ' , � ,� , ' � �
46. Handicap Regulations � . � . � � � ' � � � ' ' . �
47. FINALSTRUCTURE&BUILDING ,
48. Special Requirements;Completed � , ' � � , � �
49. Electric Release to Edison '-� -'� - ' �
50. Gas Release to Southern California Gas Co ' � , ' � � � , ' •
51. CERTIFICATE OF OCCUPANCY � _ ' .
No. � ' Date ' ' � . , � , • .
DOYLE & SHIELDS
C :RAL CONTRACTOR
/)a ���_
Com.
Co..Inc.
�VV•
BUILDING PEAMIT NO.
VnLUE S 19. 17.69
suacoNTfuc�rox
s.� i.:�'atrocwwr-.,.....
. e����
COSTA•MESA BUILDING-SAFEfY DEPARTMENT
. P.O. BOX 9f7 COBTq MHHA. CALIFORNIA
For Applicdnt fo Fi11 In Completely
TYPE OR PRINT
BUILDING �% � 'Qj��`
ADDRESS b tJ
COSTA MESA, CALIFORNIA
crrr Y1 w e . �r, �,
ARCHITECT • /�
OR �^�GINEER 0..�1 l� �
e. �a !�/ o u l.v¢s1`
�,T� S �,.. �.
�� No./� �-as�-'�3-I No'PR Y�oao
OIF LOT 33 � s3..i 0� �„ew;„ �rs�-
USE OF —��
EXISTING BLOG.
6ETBACK 4NH FROM �
CENTER OF STREET •� � REAR YARD —J
SIDE YARDI LEFT �� RIOHT �'�
DESCRIPTION OF WORK
� e n c a W 7 aG[� c c(
o �e 5��
1 HEREBY �CKNOWLE�Ge TXAT 1 X�VE PEAD THIe APPLIC�TION
ANU 6TATE THAT THE ABOVE I8 CORFHCT ANO AORE6 TO COM-
PLY W�TH ALL CITY ORDINANCH9 AND YTAT[ L�Wi HHOt1L�TINO
BUILDIN6CON8TRUCTION. _
, AUTHORIZ6DA6HNT /�r,� ,
FE�F RECEIVED
3 1963
• fII�A�VCE DEPT.
APPLICATRSFI F�� ��� MESA
BUILDING
For ONice Use Only
I -
c.
BU IN6 r'�(/ /
AD E53 oi to (E•
FIRE
q� ZONE T'
LEOAL �
Di8CP1I�lON
A. P. NO. _�
NOTE: NO EAYE OV ER
90^ TO SIDE 8 REAR F
EAVES
� ALLOWED
YARDSAPPROVED
MAIN BIIILOING
( FROM C/L STREET)
FRONT O FT.
R. SIDE O FT.
L. SIOE O FT.
R6AR I O �,
DISTANCE BET.
MAIN BLOGS.
•� VAR.ij �
THE AMOUNT BffE
PVpPOSE OP iYs'
VALUATION
s�J,�l��
ZONING
IU6E OR
BUILDII
63
.cQ �/'a� 35�3:
SHALL BE LE55 TMAN
(U.B.C.REQUIREMENT
YARDSAPPROYED
ACCESSORY BUILOING
BET. MAIfJ Q
ACCESS. BLI
OATE
n
UNOEp VAIU�TiON 19 FOH THE
ISXINO A PERMIT FEE ONLY.
�`7(!D