HomeMy WebLinkAbout1885 PARKVIEW CIR - Building Permits•
F , CITY OF COSTA MESA % : •'1
o F BUILDING DIVISION
t 77 FAIR DRIVE, COSTA MESA, CA 92626 • (714) 754-5273 • Fax (714) 7544856 • www.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL: (714) 754-5626
PERMIT NUMBER: M07-00564
PERMIT TYPE
JOB ADDRESS:
Vicinity:
SQ. FT: 0
MECH
1885 PARKVIEW CI CM
SCOPE OF WORK: REPLACE FARCE AIR UNIT < 100K BTU
OWNER:
WEBER, WAYNE R
PHONE:
949-764-0100
APPLICANT:
WEBER, WAYNE R
PHONE:
949.764-0100
CONTRACTOR: OWNER -BUILDER
Address: Unit: PHONE:
City/State: ZipCode:
MECHANICAL PERMIT FEE SUMMARY
MECH ITEM FEE:
$38.30
PLAN CHECK FEE:
$0.00
INVESTIGATION FEE:
$0.00
REINSPECTION FEE:
$0.00
TOTAL FEES: $38.30
STATUS: ISSUED
DATE ISSUED: 12/1112007
ISSUED BY: CAC
Suite/Unit:
RRIP 3
Address:
1885 PARKVIEW CIR Unit:
City/State/Zip:
COSTA MESA, CA
Address:
1885 PARKVIEW CIR Unit:
City/State/zZip:
COSTA MESA, CA
License No. 000000
CELL:
NOTICE: 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, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE r. INSPECTION TYPE DATE INTITIAL CODE r INSPECTION TYPE 2.1E AINI
1616 Fixed System Final Fire Prevention 206 Final Mechanical Fdy-i�l
1266 Pool Spa Final 208 Final Plumbing
200 Final Re -Roof 210 Final ElectriWl
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
WORKERS' COMPENSATION RECLARATION: O
1 hereby affirm under pe=nalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -Insure for workrs'
compensation, as provided for by section 3700 of the Labor Code, for he
performance of the work for which this permit is issued.
❑ I have and will maintain workers' compensation insurance, as required by
section 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation Insurance carrier and policy
number are:
Carrier:
(This seCion national be romplefetl0lheperma u valued al ane hundred tla9am ($10(l) w IessJ
Policy Number:
❑ I certify that in the performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to become subject
to the workers' compensation laws of California, and agree that if I should
become subject to the workers' compensation provisions of Section 3700 of
the Labor Code, I shall forthwith comply with these provisions.
Applicant's Signature Date:
WARNING:; FAILURE TO SECURE WORKERS';COMPENSATIONjCOVERAGE
IS UNLAWFUL AND SHALL 1 SUBJECT AN :.EMPLOYER TO- CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES,
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing
with Section 7000) of Division 3 of the Business and Professions Code, and
my license is in full force and effect.
Lic. If Class #
Contractor s Signature
Dale
CONSTRUCTION LENDING AGENCY:
❑ 1 hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lenders Address:
Date
OWNER -BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5,
Business and Professions Code: Any city or county which requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its
issuance, also requires the applicant for such permit to file a signed statement
that he or she is licensed pursuant to the provisions of the Contractors
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he or she is exempt therefrom and
the basis for the alleged exemption. Any violation of Section 7031.5 by any
pli nt for a permit subjects the applicant to a civil penalty of not more than
fiv hundred dollars ($500).):
I, as owner of the property, or my employees with wages as their sole
compensation, WILL DO THE WORK, and the structure is not intended or
offered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply to an owner of property who builds or improves
thereon, and who does such work himself or herself or through his or her own
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of
completion, the owner -builder will have the burden of proving that he or she
did not build or improve for purpose of sale.).
I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
Z)LI ENSED CONTRACTORS to construct the project (Sec. 7044, Business and
Professions Code: The contractors License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for such project with
a contractor(s) license pursuant to the Contractors License Laws.).
❑ I am exempt under sec.
Business and Professions Code for this reason:
Signature — Date
3057-46 (3/0]
5 -verified byer's'WFW.CKYes ElNo
License No. , ,
by (type of documSnL' e. - pr tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ 1 hereby certify that no excavation five (5) or more feet in depth into which a
person is required to descend, will be made in connection with work authorized
by this permit, and that no building structure, scaffolding, falsework, or demolition
or dismantling thereof, will be more than thirty-six (36) feel high. (Chap. 3.2, Grp
2, Art 2, Sec, 341, Title 8, California Administrative Code).
❑ As owner -builder, I will not employ anyone to do work which would
require a permit from the Division of Industrial Safety, as noted above, unless
such person has a permit to do such work from the division.
Apphunta Signature
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future building occupant need to file and
certify a Business Plan for emergency response to release or threatened
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of the California Health and Safely Code requires, with some
exceptions, that a Business Plan be filed with the Costa Mesa Fire
Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
at standard temperature and pressure).
2. Does or will the applicant or present or future building occupant need to file
a registration form for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the California Health and Safety Code. with some
exceptions, requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
hazardous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feel of compressed gas at standard
temperature and pressure).
3. Does or will the applicant or present or future building occupant need to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 of the California Health and Safety Code provides that the
Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
4. If an RMPP is presently required, has Section 25534 of the California
Health and Safely Code been fully complied with? ❑ Yes ❑ No
5. Does or will the applicant or present or future building occupant require for
the work which is the subject of this application a permit for such construction
or modification from the South Coast Air Quality Management District or from
any other air pollution control district or agency? ❑ Yes ❑ No
(Section 65850.2 of the California Government Code requires that the requested
information be furnished on applications for non-residential building permits).
6. Will any part of the facility to be constructed under this permit be within
1000 feet from the outer boundaries of a school? ❑ Yes ❑ No
(If 'yes", the facility must meet the requirement of Sections 25534 and 42303
of the California Health and Safety Code).
7. If a permit from the South Coast Air Quality Management District or other
air pollution control district or agency is required for the work which is the
subject of this application, have all of the disclosures prescribed by California
Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
8. (If 'yes", attach certificate of compliance from the appropriate air pollution
control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
information given above is correct. I agree to comply with all stale laws and
city ordinances regarding Hazardous Materials and Emissions.
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury that I have read this application and state that
the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this pr:fmit until final inspection.
S o Le 60. r — fl
And/or Authorized Applicant Date
CITY OF COSTA MESA
BUILDING DIVISION
Ft 77 FAIR DRIVE, COSTA MESA, CA 92626 • (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL: (714) 754.5626
PERMIT NUMBER: P09-00096
PERMIT TYPE PLUM STATUS: ISSUED '
APN: 42431134 DATE ISSUED: 08/13/2009
ISSUED BY: RMD
JOB ADDRESS: 1885 PARKVIEW CI CM Suite/Unit:
Vicinity: GARAGE
SCOPE OF WORK: PLUMBING PERMIT FOR A WATER HEATER CHANGE OUT, SAME LOCATION (GARAGE) FOR A SFD.
OWNER:
WEBER, WAYNE R
Address:
1885 PARKVIEW CIR
PHONE:
City/State/Zip:
COSTA MESA, CA
APPLICANT:
ELLIS, JOE
Address:
PHONE:
310.838-0408 X120
City/State/zZip:
CONTRACTOR: ORANGE CO SVS INC
DBA GEORGE BRAZIL PLU
License No. 679898
Address:
3801 LENAWEE AVE
'
PHONE: 310-838 0408 X120
City/State:
CULVER CITY, CA
_,
ZipCode: 90232
- CELL: `
C
ARCHITECT:
License No.
PHONE:
ENGINEER:
License No.
PHONE:
PLUMBING PERMIT FEE SUMMARY
PLAN CHECK FEE: $0.00
PERMIT FEE: $35.80
TOTAL FEES: $35.80
NOTICE: 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, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE N. INSPECTION TYPE DATE INTITIALS CODE INSPECTION TYPE DATE INPTIALS
1016 Fixed System Final Fire Prevention 206 Final Mechanical ,Y/) ,
1266 Pool Spa Final 208 Final Plumbing
200 Final Re -Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
WORKERS' COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -Insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
ction 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation Insurance carrier and policy
number are:
,.-.,_. SCA 4.2 /C �T
Carrier:lw,
r
(this section need Trot he mmpleled Afh//e/�py�er��mJJ� u va/luetl el on vntlred collars (5100) a less.)
Policy Number: Igo (VYrb�
❑ I certify that in the performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to become subject
to the workers' compensation laws of CAIiIii and agree that if I should
become subject to he work p satin provisions of Section 3700 of
the Labor Code 1 o with esa provisions. Q�
-l3
APPhcant's I
ignature L1Date ,
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing
with Section 7000) of Division 3 of the Business and Professions Code, and
my license isLiy f�ul%l f/obi eVs�n N�p/(j/� f��—.<•,,
Lice#"+-•JB / —1 A .,W I Class
LCoantilict6is Signature y i ---Date-%
❑ I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued. (Sec. 3097, Civil Code),
Lender's Name:
Lender's Address:
OWNER -BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5,
Business and Professions Code: Any city or county which requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its
issuance, also requires the applicant for such permit to file a signed statement
that he or she is licensed pursuant to the provisions of the Contractors
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he or she is exempt therefrom and
the basis for the alleged exemption. Any violation of Section 7031.5 by any
applicant for a permit subjects the applicant to a civil penalty of not more than
five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their sole
compensation, WILL DO THE WORK, and the structure is not intended or
offered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply to an owner of property who builds or improves
thereon, and who does such work himself or herself or through his or her own
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of
completion, the owner -builder will have the burden of proving that he or she
did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and
Professions Code: The contractors License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for such project with
a contractors) license pursuant to the Contractors License Laws.).
❑ I am exempt under sec.
Business and Professions Code for this reason:
305746 (z/07)
Owner ID verified by driver's license. ❑ Yes ❑ No
Driver's License No.
Expires:
Verification of Ownership by (type of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five (5) or more feet in depth into which a
person is required to descend, will be made in connection with work authorized
by this permit, and that no building structure, scaffolding, falsework, m demolition
or dismantling thereof, wit be more than thirty-six (36) feet high. (Chap. 3.2, Grp
2, An 2, Sec. 341, Title 8, California Administrative Code).
❑ As owner -builder, I will not employ anyone to do work which would
require a permit from the Division of Industrial Safety, as noted above, unless
such person has a permit to do such work from the division.
Applicant's Signature Date
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future building occupant need to file and
certify a Business Plan for emergency response to release or threatened
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of the California Health and Safely Code requires, with some
exceptions, that a Business Plan be filed with the Costa Mesa Fire
Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
at standard temperature and pressure).
2. Does or will the applicant or present or future building occupant need to file
a registration form for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the California Health and Safety Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
hazardous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
temperature and pressure).
3. Does or will the applicant or present or future building occupant need to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 of the California Health and Safety Code provides that the
Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
4. If an RMPP is presently required, has Section 25534 of the California
Health and Safety Code been fully complied with? ❑ Yes ❑ No
5. Does or will the applicant or present or future building occupant require for
the work which is the subject of this application a permit for such construction
or modification from the South Coast Air Quality Management District or from
any other air pollution control district or agency? ❑ Yes ❑ No
(Section 65850.2 of the California Government Code requires that the requested
information be furnished on applications for non-residential building permits).
6. Will any part of the facility to be constructed under this permit be within
1000 feet from the outer boundaries of a school? ❑ Yes ❑ No
(If "yes", the facility must meet the requirement of Sections 25534 and 42303
of the California Health and Safely Code),
7. If a permit from the South Coast Air Quality Management District or other
air pollution control district or agency is required for the work which is the
subject of this application, have all of the disclosures prescribed by California
Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
8. (If "yes", attach certificate of compliance from the appropriate air pollution
control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
information given above is correct. I agree to comply with all state laws and
city ordinances regarding Hazardous Materials and Emissions.
Signature Date
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury that I have read this application and state that
the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection.
Si eof al e Date
Andl, Alth=W AGphcanl `,Dale ,
CITY OF COSTA MESA REQU.`,T FOR OCCUPANCY
TRACT NO, DATE % _I
LOT NO.
ADDRESS
The developer of the above entitled tract desires to sell the
above set forth lot prior to the time that the tract has been
completed and its streets accepted by the city of Costa Mesa .
The undersigned, by exe ting this agreement, acknowledges
that (he-she-they)(was or were advised
that this tract has not been given final inspection nor has
it been accepted by the City of Costa Mesa as having complied
with the conditions of approval which were imposed by the city
at the time the final tract map was approved.
The city assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by
surety bond.
The undersigned agrees to indemnify and hold the city harmless
from any claim resulting in damage or personal injury to the
undersigned by reason of the.aforenentioned uncompleted condition.
M
A
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.DDREssaBUILDING: H 815-
AIQ RP'1411 �}
ONNERS NAYEIT KNOWN:
ADURFSs: 1885 PARKVIEW CIR
CQSTAZ9MESA,CA 92627
APPL:IWUNG ADDREM 92 59 9
ARCIIE OR EN NIM
IIC NO,
CHAT: CITY OF COSTA MESA - BUILDING PERMIT
PERMIT NO: B 083185 PLAN CHECK NO: N
CONSTRUCTION TYPE: V -N PERMIT TYPE: STR
uw:
coarmarTm Imo E: ACE ROOFING (714)680-6100
COI(MACT0RSMNl1N0 1442 S EUCLID ST
AoaEsa FULLERTON CA =w_- 679543
92632 UNIT:
LICENSED CONTRACTORS DECLARATION: I helmby Mint under perlMy, of perjay Om I em picarrvod uMer W.W. of Chapter P
(coram mon,; elh Section ]000) of Division 9 of Ne Buwrss and Praleedma . and'ey Owrw b b M1A kaa eM etlect.
C"LIC. NO.:0 46 0 LIC.CIa4s: C 39 'TUC. I7 543 EXP: 09/97
Dad.: Corm i
OWNER BUILDER C RTI N: hereby aHrm urdm peraly door I q /nmf are Liwwe lee lar me
lalkmlp reason (Suction ]041.5 8wbew erld PM=d Code: Ary oay a cam raavirw a n to mmtray Mer, imgoye.
demdbh, or repel my mmctae, pd. to u bauarce, Cabo rwubw IM eppkW 1. ouch pants to fb A s0wol elmement that M a she
f oomi plwuent to IM prw'mma of Ns Comrmas Lice. Lee (Chepler S (rmmmanmq elh Section ]000) of Dinsian 9 of the
lueiwvo end Prdeubna Code) a Ihm M a aha is ..of Ihwehan and IM M,b lor Ne Mepecl eaemgion. My ybbtien of Semon
]091.5 by my eppli ent la a parent w*m IM applicant to a cW palely of rM man 1hm INe hundred clo0are (5.5001).
❑ I, to ovmer of the gopeM or my ampbysw MIC wepw n Nei sole aompewminn, eib de tM work, And Ne Mmctun b not intended
or Mend la set (Section 7044, (Iutimas and Pmlwsione Cada: Tfe Commoon Normae law does not apply tom oenerof woPoty
wM Wilds or mproyef thereon, ant •int does such, wank linlwd no henM or throu ah hb or no own employees, prwlded Cho such
improyernwta are nco illerded or dbnd la vole. D. Ime.. me buiklilp or inprwmnam b met within one Year of completion. Ou
0wner4uitler ell heye 11,o MNen of prorinp M to she did not bold or improye la IM mfose of cab).
❑ I, n owwr of me oopoW, on aacheelf cammdip wlh 4nnW cmawYaa b awamuct IM po*cl (Section 70N. Buemws Cab
Prolemow Cab: TM Commolon Lienee law clow rat apply to Ae owner of pupa" eito boo or unprwes thereon and who
comncb la a ich pnjeda with a co ceda(e) Hawed Comment ro IM Co macton Licenes Lew).
❑ I am eeanof under Section: S. A P.C.. for the rwa0n:
PERM NO: B 08318
GOVT: N SUPP; N
PURPOSE: OTH
JOB DESCRIPTION T/OFF SHEATH 1400SF & REROOF W/COMP SQ FT; 3,990
CLAIM VALUE: 3,990,00 CALC-VALUE: 3,990.00 GROUP OCC: R-3 /
COMMENTS: T/OFF REROOF 600SF W/BUILT-UP, SMOKE DETECTORS REQ PER 94UBC
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MAIN BUILDING --
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FRN-; FT INFT FT
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LEFT: FT IN RIGHT: FT IN LEFT: FT LAINA RIGHT: FT IN
PARKING REQ: PROV: PARCEL: 42431134 ZNE: REF NO:
PLANNING NOTES>
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ZONING APPROVED/ BY DATE;
BUILDING APPROVED BY : DATE:
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Dme: Comm. LEGALIZATION•;N F E E S U M M A R Y
1 b hereby candy tlW I am ewero d end IV Wrawd N. rponmarw d Cel/arie IbMh mtl Sefery Code Ssgbm 25505. T5544, and
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BLDG PMT PLUMBING ELECTRIC MECHANIC
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pra+rio^a PERMIT 87.25
Dena: Apgrem:
WORKER'S COMPENSATION DECLARATION: I Mroby mNm under paWy d Papry coo, of Na kDoeini; bderatbm:
❑ hay, endm me'vaen o of the to oi r1. to aMinwoe Ic wool. compmwmbn. n gwidad M by Semen 9]DO d IM labor
Coda, la IM pMammca d the work la whidl Nb pamN b bsusd.
I l 1 hew mrd w maim iter, n• Commerce. w n0orecl by Srlion STOO of the Labor Code. ler IM Padormenoe of the
i� wok to ofi Nis pamn is e.ued. My wvYan' oanpelaaion imumca rin'r vd pdry number era:
Center: STATE FUND EXPIRES
Poli Number: - 01 / 01 / 9 8
(Thi„eaian wed mI w parwdd r tlIA pent! b M or. huMred d00en �Slopj les, )
❑ 1 wnry OIm b du pad d IM ewrk M wNFN Ifo panto b bene, I mnplol erne b cry meow w w t0
bacaw w ''eq to amor�akaa� mmpenwion le'w d Cefdariw, ant epr I slAjea to IM xakma'
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Sectlo a 91!16 01 fM LAbm Cob, Infant Atd oDomgl les
CONSTTIUCDON LENDING AGENCY: I homey efmn order perWly d peritoy Chad then, b e amwudicn 61,61 perry M ftwa.. d IM work M Mich Ihb pwme b bmeol (Section DIA]. Cir. C).
LENDER'S NAME:
LENDER'S ADDRESS:
I candy Cites hens nod Oct, wgiwi0n and C me Nm Chateboye information bnelpw rmect.I to canply with M city end county Commerce,
end elms an. n���Ltt,A toImcor0 canavudM Card Mraby CementitenPmmlMy+s d this cey to enter open 1M stays- Med Po'Por7
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(51514(1 W P)
5 Safety: Green -Fla: Cenmy-Apploma: %nk-Rwenw: GomCmnd-A+aesaor
PLAN
ISSUE FEE
DATE:
dt k it k it it k k F?�if dE
STRUCTURAL SEGMENT:Y
FIRE SMIP/RES GRADING
50
SMIP/NON-RES
BUILDING -DIV->
PERMIT
ISSUE
PLAN -CHECK
TOTAL PAID
DUE
TOTALS ---- >
87.75
0.00
0.00
87,75 87.75
,00
REVENUE DIVISION TOTALS-->
COLLECTED:
87.75 OVER/SHORT:
,00
BLDG PMT
PLUMBING ELECTRIC
MECHANIC
FIRE SMIP/TOT GRADING
PLAN -CHECK
87,25
.50
k kk kiE it kit dt it kdtkkkit it k k kik iE iEkitk
kit ikk#it
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kk it kikkkitk kkk kk kitkkit k k#k#kitkit k kit>t>E
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
UNIT COST
TOTAL COST
SFR 3990
REROOF BY
VALUE
RESIDENTIAL
NOZONE 1,00
3,990.00
END OF FEES
Cao-8�-1997/11:4; fL;/iBi. i�
PERMIT--0A316,p
CONSTRUCTION AND PLANNING
APPROVALS Permit # Date
Inspector
POO IPA
APPROVALS Permit #
Date
Inspector
1, Temporary 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. Electrical Bonding
5. Steel Reinforcement
56. Rough Plumbing & Pressure Test
6. Electrical LIFER Grnd.
57. APPROVAL TO COVE R-GUNITE
7, Footings
58. Electrical Conduit-Undrgrnd.
8, Foundation
59, Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd.
60, Backwash Lines, P -Trap, 0 Undrgrnd.
10. Structural Floor System
61. APPROVAL TO DECK
11. 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. Rough Electrical -Conduit
66. Solar System -Final
16. Rough Electric Wiring
67. Fencing & Access Approval
17. Rough Wiring Sign
68, APPROVED FOR PLASTERING
18. Rough Electrical -T Bar Ceiling
69, POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
20. Rough Factory Fireplace
21. Ducts, in Structure
70. Underground Hydro
22. Ducts, Ventilating
71. Product Piping 0 Gas 0Oil
23. Gas Pipe -Rough & Test
72. Underground Flush
24. Roof Framing
25. Roof Sheathing�j�
T•Bar Ceiling (Structural) & Monocoat
`
73. Undergrnd. Storage Tank 0 Gas 0Oil
7q- Overhead Hydro26.
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
79. FINAL INSPECTION
32. Electrical Power Meter -Final
80. FOOD CERTIFICATE ISSUED
33. Final Electric
Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe -Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service -Final
40. Gas Service -Final
41. Solar Domestic -Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irriqation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
OWNER HAGAN, Carl W.
JOB ADDRESS 1885 Park
ir,._e
SCRI
DATE
BIJI, AG PERMIT NO.
AP No. 116-011-33 LOT TRACT FIRE ZONE VALUE $ 1.000.00
INSPECTIONS Si aatu re
Date
GROUP T
TYPE
ZONE
SOIL
SUBCONTRACTOR
PERMITS ISSUED
GAS
Data I Number Signature
WATER
Plumbing
ROUGH PLUMBING
PROP. SWR. LINE [_] HOUSE CDN.
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND E3 POWER
ROUGH WIRING
Hea ing and
ent.
TRENCHES Ej FORMS 0 STEEL REINF.AeZ-71Q
FLOOR SYSTEM
BOND BEAM STEEL REINFORCE
SHEATHING
FRAME AND FLASHING
LATHING — IN OUT
PLASTER, BROWN COAT
STRUCTURAL, FINAL
ti
HEATING VENT, REF RIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST
ELECTRIC, FINAL
-- -33452
i -
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BUILDINGJ'� A� j ��
ADDRESS . f/
OWNER
MAIL
ADDRESS
TEL.
CITY NO.
CONSTRUCTION
BRANCH
ADDRESS
ARCHITECT TEL.
PAID
1L. _e 71�Y5.00?_577 u*'i�lO.GC
APPLICATION FOR BUILDING PERMIT
RECVYEID BV I DATE _RECEIVEO nATF RT.
A.P, NO. //j�, �-
BUILDING
ADDRESS
TRACT
TRNE
WDDIALTER
AII II
APPROVED
), //—DATE �
CONTRACTOR
By/ •�
/
/J
ADDRESS O /
ZONE
NO. OF
USE OF N
1 /.'7 CI
PLANS O
BUILDIN
CITY NOL J ,JL
STA E CITY
[EXISTING
YARDS APPROVED
YARDS APPROVED
LIC. NO. LIC. NO.
MAIN BUILDING
ACCESSORY BUILDING
SIZE
NO. OFOBLDGS.
(FROM C/L STREET)
OF LOT
NOW N LOT
FRONT FT.
FT.
USE OF
BLDG.
FT
SIZE OF NO.OF
NEW BLDG. ROOMS STORIES
L. SIDE
FT.
EXTERIOR WALL
ROOF
COVERING
COVERING
REA T.
FT.
USE OF BUILDING AND WORK TO BE PERFORMED
DISTA BET.
BET. MAIN &
MAIN BLDGS.
ACCESS BLDGS.
VAR.*
DATE
C.U.P. qW
APPROVED
APPROVED
I hereby acknowledge that I have read this application and state
that th0 above information is correct and agree to Comply with
!_
all laws ragVlating building construction, and I shall not employ
any person in violation of the workman's compensation laws of
the State of California.
m
o
I herebycertify that 1 am
y Properly licansetl as a contractor under
SQ. FT,
THE AMOUNT SHOWN UNDER VALUATION IS FOR
the State of California Business and Professions Code, Division 3,
Chapter 9, and that such licenses are In full force and effect, or I
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
e
am exempt from the provisions of the State of California Business
antl Professions Code, Division 3, Chapter 9.
VALUATION
�-
�
OR
N
Signature of�
PERMIT FEE 5
m
Permittee art L/"-`/y"_c-
S //
PLAN CHECK $
E
Authorized Agent
(
0
n
TOTAL FEE $
,: t
7 __ 3
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
„}—Z(, for Applicant to Fill in Completely 1n_AT
BUILDING
OWNER
MAIL
CITY Newnf
CONSTRUCTION
BRANCH
ADDRESS
ARCHITECT TE L�., 1-70AIIN
R FGINFFR R. Le VB.nas. NE
Mi.
6-71PA10NSA00 692* ***163.50
C
APPLICATION FOR BUILDING PERMIT
R EIV D BY DATER CEIVE DATE ISSUED
3 ash-�%a
A.P. NO.
ADIDRE S 1885 Parkview Circle
TRACT 7043 1 LOT 36 BLOCK
X
al Savings & Loan
,&L _ - , VALUE A,,
APPROVED
CONTRACTOR C
BY ATE
ADDRESS 4501 B
TE
ZONE Rl
PLANS 2
BUILDING NEW
CITY Ne ort—Beach N
Res Att.Gar.
STATE CITY
YARDS APPROVED
YARDS APPROVED
LIC. NO. LIC. NO.
MAIN BUILDING
ACCESSORY BUILDING
(FROM C/L STg6ET)
SIZE NO. OF BLDGS.
OF LOT NOW ON LOT
R NT FT.
FT.
USE OF
EXISTING BLDG. --------
T
FT
SIZE OF No. OF
NEWBLDG. 2200 B ROOMS 8STORIES
L. SIDE FT. /
FT.
EXTERIOR WALL BtuccO
ROOF
r S
COVERING
COVERING Shake—co •
REAR Q FT.
FT.
USE OF BUILDING AND WORK TO BE PERFORMED
DISTANCE BET.
BET. MAIN &
MAIN BLOCS.
ACCESS. BLDGS.
VAR.*
DATE
residences
C.U.P. gW
APPROVED
APPROVED WLD:am
BY
3-24-71
DATE
I hereby acknowledge that I have reed this application and state
that the above information is correct and agree to comply with
all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of
the State of California.
m
m
I hereby certify that I am properly licensed as a contractor under
THE AMOUNTSWN UNDER VALUATION I$ FOR
the State of California Business and Professions Code, Division 3,
Chapter 9, and that such licenses are In full force and effort, or I
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
•
am exam at from t visions of the State o ffornia Business
and Profassio otla, DI is! on Chapter
VALUATION
/D
m
,
_
PERMIT FEE $
t"
Signaturof
Permltteo
2'/ coe
$ NafPLAN
m
E
o
_
CHECK $
Author Woed gont
�,
u
TOTAL FEE $