HomeMy WebLinkAbout943 GOVERNOR ST - Building Permits.�
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anaccr aooeess: 9 q 3 GOVERNOR ST
OWNEN'SNAME: GREELLY, ROBERT GORUON
aooxcss: GREzLcY FLORIS ZRENE
993 GOVaRNOR ST
COSTA MESA,CA 92627
548-9525
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PEflMITTEE: AAS ELECTRIC ( 714 ) 641-3550
ADOflESS: 131J EAST ST. ANDREWS PLACE C
SANTA ANA CA 92705
LICENSEO CONTFlALTOB OECIANATION: I ryerehy allirm Ihai I am licensetl under pmvisions ol ChaD�er 9 kommencing wilA Section
7pq) al Drvision 3 0l Ine 9usiness aM Pmtessians Code. an0 m license is in full torce ana eifecl.
cirr uc.: Q�,•��o/y STATE L1C.: Q H O Z Z�i cus 1
�+' ' � Signaiure: �
WONNENS' COMPENSATION OECLAflRTION: I �efeby a��irm �hai I have a terliiita�¢ o� cans¢ni to 5e�4in5 ce �� aie O� WorkeR'
Comoensalion {nsy�a�eO�a4cg�tijieq, cgov Ine�eal ISection 380�. Lao. f�).
POLICY NO.: Wi' U 7�14 E%P. ORiE: 1 O I O 1� 9 Z
COMPANY: r 1REMANS F,+UfND
� Ceniliea coDY is �ereby lumis�ed. LJ Cenilie0 coDY �s 1'eQ• 't� �he cily Builtling �ivi5ion.
�(./��/�� PPDlicant: �
EXEMPiIONFROMWOBKEBS'COMPENS�TIONOECIAflRTION: (ThissectionneetlnolbewmpleletliftMpermitista ehuMreO(5 orless�.
I cetlily Ihal in I�e Oatlormance ul IM1e work �or w�ich Ihis Oermii is i5sue0, I shall no� employ any DQ«n in a m 5 to become
5u01e�� �o the Wo�kers' ComDen5ali0n Laws bl Calilomia.
Oaie: Signalure:
NOTICE: II. after making Inis Ceclaration, you shoultl httome sublett �o Ihe Workers' Compensation pmvi9ons o1 ihe La�or
Cotle. you must lorinwith comply wiln spch provisions or ihis oermit sna11 he OeemeO revoketl.
CONSTflUCTION LENOING AGENCY: I hereGy affirm �twt ��ere 5 a canslmc�ion lentling agency fof the peAormance ol IAe work lor
I wnicn INs permit is i55u¢U (Section 3097. GY. C�.
LENOEP:
AOOflE$$:
OWNEB BUILOEB OELLABRTION: I �ereby difi�m i�at 1 am eKemD� �rom t�e Camractars' Slate License Law for the following reason
(Section 7031.5 Bu5ine55 anU Pmlessional Cotle: Any cily o� wunry whic� reQuires a permii lo conSVuct, al�er, impmve. Aemolish, o�
repair any simcture, prior lo ils issuance, also requires t�e apDlican� lor suc� permit to file a signed statement t�at hels�e is licensetl
pur5uanliothe pmvisions oll�e Conlraclors' otaie �icense Law�Chapter9�commencing vn�h Sec�ion 7qp�o�Division 3 o�ihe Business
' antl Pwtessions Code� oi that hels�e is exemp� �hereimm and t�e basis for t�e alleged exemption. Any violation oi Settion 7031.5 by
any applicanl lor a oermi� subjetls ine aoPliynt to a civil Denalty of nat more ihan irve hunarea Oollars (5500).
I, as owner ol ine pmDeny or my employees vnih wapes as iheir sole compensation, will do ihe work. antl ihe
❑ 51mcNre is nol intenGed orofleretl �or sale (Seclion 7M4. Bu5ine55 an0 Pw�essional COUe: Thy ConVactors' Slaie License Law
aaes noi a001y to an owner of a pmperty w�a huilds or impwves IAereon, antl w�o doe5 such work himself/herself or Ihmugh
nis ar �er own emplayees. O�ovitlee t�al sucA improvements are nolinlendetl or oflereA lor sate.lf, however ihe Euilaing or
imD�ovement is SoIG vni�in one year ot complelion, ��e owner vnll have Ihe burtlen ol pmving hGshe UiJ not build Or impmve
lor I�e purpose o� sale).
I, as owner ol Ihe pmpetly. am erclusively contrac�ing wilh licensed can(ractors to con5imct �he pmletl (Sec�ion 7044, Business
❑ antl Pmlessions Cotle: The Camracm�s' Siate License law Ooes noi aDON �o an ovmer o� DmDeM who Euilds or improves �hereon
an0 who coniracts lot such prqet�s Vnt� a contrac�or�s)license pursuan� lo the Contractor5' S�ale License Law�. lam aware
I�al proof o� ��eir Worker'S ComOenSatian insurance shoultl Ee pmviQeO �o me.
� I am evemp� under Seclion: B. 8 P. C.
m� ma �ea:o�:
Date: Ownec
1 �o �ereby cerlily Ihal I am aware of and untl¢�slana ��e requiremems oi Califomia Health and Sa�ery CoOe Sec�ions 25505, 25533, an0
2553a antl I�ai I or any fulure bwlding occupant willlwill not (circle ane�,neetl to comply with said state cotles and Ihe reQuirements for a
permil lor conslmciion or moditicalion irom the Air Dualiiy Management �iSUict. Fesidential constmction applicalions are exemp� imm
Ihese pmvision5.
Date: ppplican�:.
I h¢re�y ceriily Ihal I hdvC r¢d��hi5 aD0liCaiion and Sial¢
oitlinances antl sla�e laws relating to �uiltling cOn5lNt�ion E
pmpeiiy b� in pection Gpurposes.
–ba� �� �( `� SignaWre:
�river'S License or Social Securily x_ ��
iniormalion is corBcl. I agree �o comply with all ci�y anA couniy
>rize representatives ol lhis city to enter upon �he above-mentioned
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164La6 Whne—Bwlamg; Green—Cotle ���orcemenl', Canary—ApplicanL Plnk—Revenue; Goltlenrotl—Assessor
CITY OF COSTA MESA — BC7SLDING PERMIT PERM NO; E 059933
PERyIT t�0: E 059933 PLAN CHECK NO; N GOVi: Y SUPP: N
CONSTRUCTION TYPE; V—N PERMIT TYPE: ELE PURPOSE: OTH
JOB DESCRIPTION ; SERVICE CHANGE 6 CONNECTION SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
COMMENTS: '�*# CITY PRO�ECT NO, 91-07 ��'�
1F �k if %�� iF iE if �k �k # ii �* iE ii 3E 3E �lf �lE ii� �Y, if �r af iF s k iE �if if iF �)f iE # 1E if �lf ic if i( iE �lf jf �I(� dE #�)F �%jf ii 3E iE � iE �3E iE �ii� iE if 3E �lE 9c ikdF �1F �� �IE �Y. iE 3E iE �n If 3E �lE iE •� �1E
Z O N I N G R E{� U I R E M E N T S
S E T B A C K S
------------ MAiN BUZLDING ---------- --------- ACCESSORY BUZLDING ---------
FRNT: FT TN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGAT: FT IN LnFT; FT IN RGHT; FT IN
PARRING REp � PROV: PARCEL; 42242409 ZNE; REF NO:
PLANNING NC�'I'ES>
i
# iE iF iE #!E 3F iE lE iE �E #�1F if �If iE 3E 3F fF R# 1ElR 3F iF 1F #F # fE # k 1f # if iE ik # iF � 3e # if if ii� IE iF !f� 1f if R 1f IF iF iE 3F iF if iE IF x iE iF iF i't #P iE 1F iFie 1E ii iE M- 7F Ih � if if iF
D E V E L O P M E N T 8 B R V I C E S R E Q U I R E M E N T S
20NING APPROVED bY DATE;
BiiILDI13G APPROVED BY ; DATE: C�
APPLICATION ISSUED HY: � DATE; �l—I� (•
IEIFiFiE')E'IFIE'N'#ihiEiL�('iEii'iEiF'1F'IEiI'If'If�iF3a' Kr.0 h' n. h 1F�EihIEiFiEiXi'riI'iE' f<. ](-'I%3I'
3E iE ie if if if iF jf iF iF 1E iE 1E i'r if ff if ic iE aE 1e M� iF 1f If i(-if iF 1F jbihlf'�E 1F9f if #'� iE�1F 3f %iF if iE 1F # if iE iE iF i( if 3E # ie If 3i �F ii� ai iF # it iE 1F 3F �7F if fF ii� if ic # if 1E 1E iE fE i4
LEGALIZATZON:N F E E S TJ M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING EL�ECTRZC ,�IECAANIC FIRc SM1P/RES GRAllING
PERM3T 18.50
50$ SMZP/NQN—RES
PLAN
ISSUE FEE 15.00
BUILDING—DIC'—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 0,00 O.UO 0.00 0.00 ,00 ,00
REVENUE DIVISION TUTALS--> COLLECTED: ,00 OVER/S30RT: 00
BLDG PMT PLUMBZNG ELECTRIC ,yECHANIC FIRE SMIP/TOT GRADING PLAN—CHECI(
±f 3E if ik # It iE �Y jF iF 9E �1E+F iF k 3E if iE ii- if iP iF 1F 1F 3F iF3c iF 3i�?E ?!� iE if �lE 3E IF ik?E fE It if- If 4 ii i4 u} if K- ih �F �f Y� R!i iF if If iF i(• i(� iE i4.,v,-i! i� M� iE iF IF 1'r if k iE �p jE iR if 3f
I N D I V I D U A L F E E B R E A R D O W N
TYPE QTY D E S C R 2 P T I O N UNIT COST TOTAL COST
ELE 1 SERVZCES BELOW 600 V& BELOW 201 AN,p 18,50 18.50
ENA OF FEES
. � .... . . . . ' . . i
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CONSTRUCTION AND PLANNING POOL oA
APVROVALS Permit # Date Inspector qppROVAlS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipmeni Location
2. Soil Pipe-Und�grnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding �
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE '
7. Footings 58. Electrical Conduit-Undr9rnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd.
l0. Structural Floor SYstem 61. APPROVAL TQ �ECK
1]. Property Sewer Line & House Connection 62. Backwash & Receptor�Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains . 64. Plumbing System � Final
14. Rough Plumbing 65. Electrical-Final
15. flough Electrical-CAnduit 66. Solar System•Final
16. Rough Electric Wiring 67. Fencing & Access ApP�oval
i7.: Rough Wiring Sign _ 68. APPROVED FOR PLASTERING
18� Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19' 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. Produc[ Piping OGas ❑Oil
23. Gas Pipe�Rough & Test 72. Underground 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 Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 7' . FINAL INSPECTION
32. Electrical Power Meter-final tzf _ d0. FOOD CERTIFICATE ISSUED
33. Final Electric �l �aotes:
34. Final Heating & F.ir Conditioning ' -'
'�
35. Final Gas Pipe�Test ' '
36. Hood or CanopY �
37. Final Factory FirePlace
38. Final Plumhing
39. Water Service-Final
40. Gas Service-Final
41. Solar pomestic�Final
42. Backflow Prevente� ,
43. Backflow Irriqation
44. landscape IrriGation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINALPLANNING ,
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co �
51. CERTIFICATE OF OCCUPANCY '
No. Date f
�
COSTA MESA BUILDIMG DEPARTAAENT
P. 0. BOX 317
COSTA MESA CALIFORNIA
C.L. OF STREET
_�__y�PROP. LINE_
T. FOR 60 FT. STREET
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60 FTI ST.
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MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES------
MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES
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BUILDING
Mail Address " � ✓� ' �—
City � _ _ _ _��_ Ph. No.-.Ei���_L��
Contractor /i�i'LL�-a t/�.. Ph. No.
City Lic. No. State.Lic. No.
Size of Lot ��/ / �x JO %SAP No. �/ S '� y % � �
! ��,
Setbacks: C/L Street `S� Rear
_�—
Side Yard - Righ "'—` Left �
Type of Fence �/ cf3 0 � l� /�rr ul L�/"
I hereby acknowledge 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.
FOR OFFICE USE ONLY
�i�/�'c.-� i ic. -i -� v
VALUATION
Permit Fee
$;�� � ' � Plan Check
TOTAL FEE
USE REVERSE SIDE FOR DETAILS
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2 -� —S .fS
„i''� c�'Lm'
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oWivER - GREELEY. ROBERT ^v, na'rB
]OB ADDRESS 9�13 Governor B[IILDING PERMIT NO. #8103
�G�TRAC1'OR Owner Builder VALIIE $ 350.00
AP. No. a LOT TRACT FIRE ZONE DESCRIPTION OF WORK BZOCk W8u
GROUP TYPE ZONE PLAN NO.
'ECTIONS I DATE I SUBCONTRACTOR I DATE PERMITSNUMBER
and
cout
P Gas Test
G.. �mc[iou Pt