HomeMy WebLinkAbout1896 PARKVIEW CIR - Building Permitsr.
MF CITY OF COSTA MESA
4t, 9 BUILDING DIVISION
y,.,,,. ,4r DEVELOPMENT SERVICES DEPARTMENT P RMIT NUMBER
:1 ��`fa 1 PERMIT
B00-01307
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 1896 PARKVIEW CI Status: ISSUED
Suite: Applied: 08/28/2000
Vicinity: HOUSE&GARAGE Issued: 08/28/2000
Parcel Number: 42431130 Zoning:
Applicant: LEE ROOFING OF COSTA MESA ISSUED BY: S-21
Address: 1653 SUPERIOR AV
Phone: (949)642-7222
COSTA MESA,CA Zip: 92627
Owner: VELIE, GRANT P TR
Address 1896 PARKVIEW CIR
Phone:
COSTA MESA,CA Zip: 92627
•
Contractor: LEE ROOFING OF COSTA MESA
Address: 1653 SUPERIOR AV
Phone: (949)642-7222
COSTA MESA,CA
Zip: 92627 License: 349686
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
REROOF-T/O, INSTALL 1/2"OSB BOARD, 1 LAYER OF 30#FELT AND 30 YEAR COMPOSITION SHINGLES,AND NEW
TORCH DOWN BUILT UP ROOF OVER FLAT AREA. -
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $4,800.00
Permit: $111.25 Claim Valuation: $4,800.00
SMIP Res: $0.50
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
Total: $111.75
PLANNING & ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 Required: 0 Proposed: 0
NOTES:
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: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
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.
FOR INSPECTIONS CALL: (714)754-5626
2446-46(WOO)
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.
IJA 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 wLgrkers'co mpensati surenya carrier and policy number are:
Cartier: 7 /K� . Policy Number:
(This section need not be completed/I the permit Is valued at one hundred dollars($100)or less.)
❑ I certify that in the perform ante 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'
compe ifomia,and r that if I should become subject to the workers'compensation provisions of Sectio 700 of the Labor Code,I shall forthwith
oomph,/with these p ions. /
Applicant Signature: 6LeGtiivl Date: O G VL
WARNING:FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMI PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($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 ' :nsed und:r provi 'ons of Chapter 9(commencing with Section 7000)of Division 3 of the Buses a fessions Code,and my license Is In full
force and effect.Li. L-.
Class
_ a -
Contractor's Signature: _MM/. Date:
CONSTRUCTION LENDING AGENCY:
❑ 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:
Signature: 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 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 contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt Under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers 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,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Cale).
❑ 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.
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? 0 Yes 0 No
(Section 25505 of the California Health and Safety 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 0 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 1:3 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?MPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application appermit for such construction or modification
from the South Coast Air Duality Management District or from any other air pollution control district or agency? PI Yes LJ No
(Section 65850.2 of the California Govemment 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? 0 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 Califomia Health and Safety Cale Section 42303 been made? 0 Yes 0 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.
��jo// ature Of Legal Owner(s) 5/ �// to
/..A a /� n UX
And/Or Authorized Applicant Date
ODE I, IN5PEC110NTYPE PATE INTITULS coon INSPECTION TYPE DAIF. Nl1IDAL5
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 7- /C to 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
s
M q CITY OF COSTA MESA
BUILDING DIVISION
PER T NUMBER
1-' ! DEVELOPMENT SERVICES DEPARTMENT
�•y PERMIT
""`° B00-01000
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 1896 PARKVIEW CI Status: ISSUED
Suite: Applied: 07/03/2000
Vicinity: FRONT YARD Issued: 07/03/2000
Parcel Number: 42431130 Zoning:
ISSUED BY:
Applicant: VELIE, TANGIE
Address: 1896 PARKVIEW CIR
Phone: (949)646-1969
COSTA MESA,CA Zip: 92627
Owner: VELIE, GRANT P TR
Address 1896 PARKVIEW CIR
Phone: (949)646-1969
COSTA MESA,CA Zip: 92627
Contractor: OWNER-BUILDER
Address:
Phone:
Zip: License: 0
• Arch : - Eng: -
• Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
CONSTRUCT 24 LINEAL FT OF NEW 6 FOOT HIGH BLOCK WALL 10 FEET FROM FRONT PROPERTY LINE.
FEE SUMMARY
Plan Check: $15.28 Calc Valuation: $480.00
Permit: $23.50 Claim Valuation: $o.00
SMIP Res: $0.00
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $38.78
PLANNING &ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0
ACCESSORY Front 10-0 Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 Required: 0 Proposed: 0
NOTES:
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: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
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.
FOR INSPECTIONS CALL: (714)754-5626
4DECL4RATIONS 1
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
O 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 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: Policy Number:
(This section need not be completed It the permit Is valued at one hundred dollars($100)or less.)
❑ 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 Signature: Date:
WARNING:FAILURE 70 SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE(S100,000),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.# Class#
Contractor's Signature: Date:
CONSTRUCTION LENDING AGENCY:
❑ 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:
Signature: 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 applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
O I,as owner of the properly,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.).
g, 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 contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt sec. Business and Professions Code for this reason: �+ q
Signature: ct Q� Date:
Expires: 1 ^ts'0 It.
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
O 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,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title B,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.
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? 0 Yes 0 No
(Section 25505 of the California Health and Safety 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? 0 Yes 0 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 Califomia 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 aaermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Li Yes jg 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? In Yes 0 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? 0 Yes ❑No
B (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 �Inspectionpurposes.ae.cHsBIIaa1grr)eee n tq to occupy or allow occupancy of any building authorized by this permit final inspection.
Sign re Of Legal Owner(s) 1/•t•Q_• r� Al Date O
And/Or Authorized Applicant Date
CODE r $ISPECTXIN TYPE D.ATF ItlTiTLALs CODES INSPECT ONTYPE INIlTULS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof �.___�/ �� IIII210 Final Electrical
201 Final Block/Retaining Wall ✓ rd) 212 Final Fire Prevention
202 Final Factory Fire Place J 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
2446-46
•
•
•TH1S SKETCH 1S FOR INFORMATIONAL PURPOSES •SOLID WALLS/FENCES BETWEEN 2'-6'&6'IN HEIGHT SHALL
ONLY. APPLICANT IS RESPONSIBLE FOR PROVIDING BE SE 1 BACK AT LEAST 10' FROM FRONT PROPERTY LIVE.
AN ACCURATE REPRESP.NTADON OF THEA PROPERTY
IN CASE THE SHAPE AND SIZE DO NOT CORRESPOND •SOLID WALLS/FENCES SHALL NOT EXCEED 2'6'IN HEIGHT
- WITH THE INFORMATION PROVIDED ON This SHEET. WITHIN 1U OF THE FRONT PROPERTY LINE(NOT CURB LINE).
•
•VERIFY DISTANCE FROM CURB TO PROPER Y LINE
AND SHOW ON PLAN. VERIFICATION FROM THE CITY'S
ENGINEERING DIVSION IS REQUIRED. CALL(714)754-5343
Di VISION OIL. BUILDINLi SAFETY POR INFORMATION. • '
CITY OF COSTA MESA
APPROVED
By 'Mt'101 Dale -----
t,,yy= L
1th set of plan and specifi alien MUST be kept on this job at all times and it is unla ul tc I' V I L •
:rct;r any°hang soradere non meo:Bhoutwritten_pgmtsionfmmthe Division nJ 'IAbvAt DIT S- 3EL fl3 F, C-O ECTIOt1S oHA.L
s;nd lafely,Cily f Costa Me a.
�� BE APPBCYED BY THE PLANNING DS,'VISION
':-e Mamping of is plan an.sped °atir.�s S�?/_L NUIb`he!dlo permit or to bE an ap va' g
of th;violation f any provi ions f aFP City 1 Costa Mesa Ordinance andkr Sta ;mv
s; ;Fire ang.
d permit shal expiry by initatic 1 and beconsxir id void if His building CF RESpERCE
'• ^^',need and, ,in!a�:e•+-6.rr� ;igc r}303 fdl•r,?hin 180 days at i;suancr. - ', ...••.—:11
APPROVED q4
- - -- -t71 OF COSTA MESA •
PLANN NG DIV.
SUBJECT TO BLDG. DEPT.
7 3 !2.00
. 0 Ufa - O/ 000
K 1
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RESDENCE RESOENCE CRESCENDI RESDENCE ,
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BLOCK WALL LAYOUT FOR BUILDING PERMIT
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PLANNING DIVISION , _- fi
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I �I J ., r
Applicant to-fill in all spaces except those within heavy border lines and sign all appropriate declarations. I 3661 3/12/87 5.00 TI
•
CITY OF COSTA MESA
// CONSTRUCTION PERMIT , lar41°41 �c 73 TRACT NO. LOT NO. UNIT N6. . • - ,
• Project Address Lo / Ip 7 4R/,t Uvit,' C'Rc/e I - '
Applicant's Mailing Address SAM E ' ' - TYPE OF CONSTRUCTION U NEW ❑ ADD U ALTERATION U REPAIR f
/�(7/•.E Phone /P it-/7CSr El CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# . Zone
Address 1C/ •
Owner's Namee, DESCRIPTION OF WORK/USE OF BLDG.
169G 'On View . c.,;(1 - S Main Building: Accessory Building: -
E Z
Arch/Eng. License No.' - TYPE'OF PERMIT Li GRADING�01 FOUNDATION ❑ STRUCTURAL • T Front ON
Address ' ❑ TENANT ❑ ELECTRICAL II PLUMBING ❑ MECHANICAL B Rear •
N
- /1/4 '
4 X7 c;Ai / SBin c
,r_ r '❑ OTHER A I
Contractor's Name S 4% "1/c.•.•b/w"-- Phone 77-s`in7 C Right N
Address(mailing)-, 77.1 deliA �/'aat 9''/d V /71r..i T6.,( 7eccr PROJECT DESCRIPTION'S SQ. FT. ,OCCUPANCY K Left G
City License No. 0/-C- 76 CONST RUCTION TYPE VALUATION$ S
ZONE GRADING CU.YDS. ACRES E
IN LICENSED CONTRACTOR DECLARATION _ Ping. Ref.# Parking Req./Provided Q
ti
I hereby affirm that_Iam licensed under provisions of Charter 9 (commencing Remarks: - Planning Notes: _ M
•
/�
with section 7000) of Division 3 of the Business and Professions Code, and
9my license,is in full force a[n�� &07-. /(/ �:�IVED MAR U 181 T
and effect.
INN‘ T License Class C —J License No. � /Y • S
'� Dated-al-if Signature '�.�-- ��' PLUMBING • FEES
WORKERS' COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES
n `ereby affirm that I have a certificate of consent to self-Insure or a certificate
Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink I
,00, Lab. C.) / / Automatic Washer • Transformer 0 15-50 KW
Policy No. 10/Z) ? Company (d!+'E_' i�"J`i•F Backflow •Irri anon Sewer Cap - 0 50+ KW
77 9 • Construction Pole Sub.
❑ Certified copy is hereby furnished. -
�] Certified copy is filed with the city Buil ' 9 Division, Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
Date 3-2)-6-7 . Applicant -7- ..92,9-----
EXEMPTION-FROM WORKERS'COMPENSATION D CLARAEQ,��TION • Clarifiers - - Solar Collectors • . • Dishwasher Meter Dover 100 amps -
(This section need not be completed if the permit is for one hundred($100)or �'7
less). / Dishwasher Solar Piping (X Oa Dryers ❑Gas ❑Electric Sub Panel
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 Drinking Fountains Solar Tank - Fan Motors 00.1 HP 1/-8
Workers' Compensation Laws of California.. -
Inc.Date Signature Floor Drains Swimming Pool w/Spa F.A.U. ' Solar-D9-15 HP 016-15+
'NOTICE: If,after making this declaration, you should become subject to the ,
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures Microwave -
comply with such provisions or this permit shall be deemed revoked. • _
CONSTRUCTION LENDING AGENCY .
• Gas Service Outlets Water Closet Device Boxes '
I hereby affirm that there is a construction lending agency for the performance - - • 'Pole Light
of the work 'for which this permit is issued (Section 3097 Civ. C.) Interceptors ..; Water Heater - Outlets R
Lender's Name ' g
an e •
'
Lender's Address - Kitchen Sink -. Water Service _ Switches Sign ,
OWNER BUILDER DECLARATION - '
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Disposal• ;Standing Sections
Garbage •
following reason (Section 7031.5 Business and Professional Coda: Any city or •
county which requires a permit to construct,alter,Improve,demolish or.repair P-Trap Laundry Trays Generator 00-5 KW ❑5-15 KW
any structure, prior to its issuance, also requires the applicant for such permit _ Trash Cofnpactor
to file a signed statement that he/she is licensed.p ursuant to the provisions of Roof Drains -
the Contractor's License Law (Chapter 9(commencing with Section 7000)'of - •-
'livision 3 of the Business and Professions Code) 'or that he/she'is exempt •
lerefrom and the basis for the alleged exemption. Any violation of Section - -
•
031.5 by' any applicant for a permit subjects- the applicant to a civil . - '
penalty of not more than five hundred dollars($500). I - $ 3 ,
t: I, as owner of the property or my employees with wages as their sole ' Reinspection Fee ! $15 Issue Fee '
compensation, will do the work, and the structure is not intended or offered Reinspection Fee I $15 ,Issue Fee $ 3
,
for sale (Section 7044, Business and Professional Code: The Contractor's . MECHANICAL FEES - _
License Law does not apply to an owner of a property who builds or Improves - -�� - ' ' .
thereon, and who does such work himself/herself or through his or her owngoiter Hood or T 'yp e 0 •
DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such Improvements are not-intended or offered:for - ;
sale. If, however, the building or improvement is sold within one year of com- Canopy Type I I ❑ ; - Zoning Approved By Date
pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under GroundBuilding Approved By Date
prove for the purpose of sale).
CI I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System • Application Issued.By Oat= it
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of-property who Duct-Ventilating - - 00-100,000 BTU 0100,000 BTU SUMMARY OF FEES '
builds or improves thereon, and who contracts for such projects with a con- _
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration BUILDING PERMIT $ .•. SMIP $ '
proof of their Worker's Compensation insurance should be provided to me. - PLAN CHECK § / PERMIT
❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBO# Fire Dampers PLUMBING • $ �l c ISSUANCE ' $ '
Date owner Heating System&Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ '
I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BT ELECTRICAL $ GRADING $
information is correct. I agree to comply with all city and county ordinances
and state laws relating to building construction, and hereby authorize repre- - PLAN CHECK 50% $ MICROFILM $ '
sentatives of this city to enter upon the above-mentioned property for
TOTAL FEE $
inspection re purposgS�O Date -41 g7 I MECHANICAL $ 0 O
Signature ��//�s.-�� ��Drivers' License or S5# Reinspection Fee $15 • Issue Fee $ 3 i PLAN CHECK 25% $ ,
CMF 0865.46,rev.10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor
• CONSTRUCTION AND PLANNING POOL PA
APPROVALS Permit Date Inspector 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 r
•
5. Steel Reinforcement-.- - 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, D Undrgrnd.
10. Structural Floor System t 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer.0a p 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
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas ❑Oil
23. Gas Pipe-Rough.&Test 72. Underground Flush •
24. Roof Framing 73. Undergrnd.Storage Tank D Gas D 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 PREY. 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 9.12-u7 LEO
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
{
42. Backflow Preventer
43. Backf low Irrigation 1.11
44. Landscape Irrigation System (fl
45. Sound Attenuation
46. Handicap Regulations ;Y
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison P5,
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date _
PROJECT ADDRESS: 1893 PARKVIEW CI UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 063874
OWNER'S NAME: SARKISIAN G SCOTT
ADDRESS: 1603 SUPERIOR AVE PERMIT NO: P 063874 PLAN CHECK NO: N GOVT; N SUPP: N
COSTA MESA,CA 92627
CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: ALT
548-8700
ARCM/ENGINEER: EDMUND FOERSTEL .5 ASSOC REG.ND.: S9s7 JOB DESCRIPTION : OPEN 7 ' X4 ' WINDOW IN 2ND FL MASTER BEDRO SQ FT:
ADDRESS: 17231 E RAILROAD ST T:
PERMInEE: CITY OF INDUSTRY CA 91744 CLAIM VALUE: CALL—VALUE: GROUP OCC: R-3 /
ADDRESS: RENAISSANCE DRS & WINDOWS (714 ) 380-9550
130 N. GILBERTST ********Be*B• REB********E *************O ******************4***4*B**8****x•******�t*******
FULLERTON CA 9 .63
000)LICENSED CONTRACTOR DECLARATION:uadhereby anode that am licensed under pr. 1 e G•:iter 9(commencing with Section Z O N I N G R E Q U I R E M E N T $
70001 of Division 3 of the and Professions Code,and my license sin full b •• d e I. S E T B A C K S
CITY LIC.: --_ STATE 1-'C"4 ig O SS: :O,
Date:_ / 7_� L/� — Sign. SIV MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DE LARATION: I hereb•—••" that I,. a. n ate of consent to self-insure era certificate of Wor ers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance,or a certified copy thereof(Section 38': .b I. LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: PC 3900231 EXP. ' E; 07/31 94/
COMPANY; REPUBLIC INDEMN PARKING REQQ• PROV: PARCEL: 42431132 ZNE: REF NO:
0 Genii' •co. is herby furnished. IX Certified Copy is 1 oAosion. PLANNING NOTES>
_ > 7
Date: — 1 Apple ✓
:. • —«r *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DEQ• ON: (Th Ii. m .not be completed if the cermet is for one hundred(S100)or less). D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
I certify that in the performance of the work for • ich this per issue•,I shall not employ any person in any manner so as to become
subject to the Workers'Compensation Laws of calitornia. ZONING APPROVED BY e r` DATE:
•
Date: Signature:
NOTICE:II.after making this declaration.you shout. .ecome subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY . _ DATE:
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. C� I
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y. Y�(j"� 'i DATE• ` 8 1
which this permit is issued(Section 3097,Civ.C). **.*.***.****.****.*******{p***********************ii#FF iii!!k ************************ **k iF **
LENDER: **********************************************1f *******************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 1 4 . 0 0
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 25% SM I P/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(S500). ISSUE FEE 20,00
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS————> 14 . 00 20. 00 0 . 00 34 . 00 34 . 00 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
ownhisorisemployees,thin provided that the nte are not intended hedeoof pfor she/e. II.e howeverild building REVENUE DIVISION TOTALS--> COLLECTED: 34 . 00 OVER/SHORT' . 00
hisimprovementor er sold weone year oth t such limp theownerimprovements
will have the burden of provingdateshe did not the or improveor
for the purposeot sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 34 . 00
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).lam aware *******************************************************************************
that proof of their Worker's Compensation insurance should be provided to me, I N D I V I D U A L F E E B R E A K D O W N
❑ I am exempt under Section: B.8 P.C.
torthisreason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner; PLU 2 REPAIR/ALTER DRAINAGE/VENT PIPING 7. 00 14 . 00
I do hereby certify that I am aware of and understand the requirements of Catitornia Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and that I or any future building occupant wilewill not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Ouality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that I have read this application and state that the abo information i otrect.�r 'e to comply with all city and county '
ordinances and state laws relating to building construction and hereby L• rere• atIV ." is cry to enter upon the ab ove-mentioned
pmpen iron p se
Date: U [ ignamre �/k.s 01 00146554-00146554 TOT 34.00
[ VDATE: 09/08/93 TIZ1E: 14:28
Drivers License or Social Security a: "
1641-46 White—Building;Green—Code Enforcement:'unary—Applicant;Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNING POOL ,. SPA
l Date Inspector ' • Date Inspector
APPROVALS Permit q- APPROVALS Permit
I 1. Temporary Electrical Service or Pole 52. Pool'& Equ pment Location
2. Soil Pipe•Undrgrnd. 53. Steel Reinforcement
3. E'actr.c:. Conduit L't.lity•Undrgrnd. I 54. Forms
I • 4 r- -ct: c;' Conourt.Urdrgrnd 155. Electrical Sanding
, 5 Sim p_ i +orcgrr.e-t � � 56. Rough Plumbing & Pressure Test
I u E. -ctnca L°ER Grnd. 57. APPROVAL TO COVFR•GUNITE
I 7 Footing: .. 58. Electrical Conduit-Undrgrno. I {
B •.'-oucdatiort • ^ , .
59. Gas Pipe, 0 Undrgrnd.,Test
i '9. '....tar P p; 4Jndrgrna. 60. Backwash Lines. P Tree, Undrorrd
I 10. Structural Floor System - 61. APPROVAL TO DECK
11, P,ape•t' Sewer Line & Hmra.Connect on I 62. Backwash & Recaptor-Final
L_-_T _
12. S "..,:r Cap
63. -_i
Heater & V.rnt-F.nel
I-73. nnnt Drams , 64. Plumbing System • Final
(---'4. Ra in i pvmbi"g 65. Electrical-Final I
15 N.,.:3h e.ectr.cal-Co ndurt _-- 66. Solar System-Final I -
IC. 9e,,;,h ectric 17irini 67. Fencing & Access Approval
:7. Fu„gn :'.ring S:gr. • 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL '
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
2^ ,f 2 , r. 4c:ory Ftcan ace I " .t ' 'APPROVALS : Perri-lit a ++I
21 0.-elsr.'Structura i�^- }
22. C..ct,, 1!cntiipttnl, '
� r � 71. Product P;tt, iy ::Gas :i3Oit I
23.-Gds Pipc-Rough & Test i a I 72. Underground Flush
24. Rout Framing ' ' - '. 73. _Undergrndl.Storapu tank r Gas .7 Oil
25. rot 5muth:nq 74. O•.ernead Hydro �- -- I- Y-
VVV
2E r an, ci ' ng IStvucturai & h.onercoat 75. Dry Chem c.:' - -)
�7. Re d Flashing - l -
• - --_- 76. Drat Stands oe - --
`-
ir
28. Lathing&I Siding tI 77.' FIXED SYSTEM FINAL
_
29. Insula: on • - .. I I I 'I 78. FIRE PREV. FINAL - •
3,1. D'y,:a . \ailing . HEALTH DEPT. REQUiHE nE?IT
31. Paster ;.00^,Co,.t . I � -I -I 79. FINAL lf:'SPEC?:0;< _I-- ---
32 El,ctric.a'Poster rvitter•Forall - -I ' B0. 'FOOD CERTIrICATF ISSUED _ ,_,--- -- _
33. Final Electric , ,, ; J---�T�-� Notes: �- _
r •
34. Final Hccting & At Conditioning
r
35. Final Gas Pipe Test I _ � - -
36. Hood or Canopy -
37..Final Factory Fireplace _ , ear- -` - ---
38. Final Plumbing
39. 17ater Service-Final 1'
0. Gas Seri ice-Final -�
41. Solar Domestic-Final l 1 $ . --_- _
42. Bickner Prevanter I I
43. Backflo✓•' Irrigation _ !
44. L-,ndswoe Irrigation System ; t . �
45. Sound Attenuation -
46.-Handicap Regulations --_- ~
LLL I I--
47. FINAL STRUCTURE & BUILDING I 1 I -
48 FINAL PLANNING I
I j
49. Electric Release to Edison I I I
50. Gas Release to Southern California Gas Co I I I •
51. CERTIFICATE OFIOCCUPANCY
No. Date
•
,772t-77MAR 26-71cnsnPAI000 696* ***144.75
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
a t—PI 0 For Applicant to Fill in Completely 3—AR • DATER CEIVED
DATE ISSUED
BUILDING -
ADDRESS 1896 Parkview Circle. ..• - • `� `��s7�
PERMITINOz)—,
OWNER Imperial Savings Fc Loan- A.P. ND. 17
I
MAIL �•!� BUILDING
Z ADDRESS 1366 Via-Lido. ADDRESS 1896 Parkview Circle
W W ' TEL.
TRACT 7043 LOT4O BLOCK
0-U CITY 1 = ••• • • NO• ., I, ,
H
C CONSTRUCTION NEW ADD ALTER REPAIR MOVING DFMOLISH
UN LENDER same---_ X
aco
J D BRANCH
J N OWNER Imperial Savings & Loan
a WADDRESS 7 •ALUE . /OGS
m Q ARCHITECT TE S /I / AP 'y/
, . S.:. (O
OR ENGINEER R Leta. • N• — • •
U U FIRE
WCC ADDRESS 2 Via-0• •rto e } • t-B • ZONE T 'E - GROUP JIM
a W
APPROVED terafffirna
LLIZ J CONTRACTOR 0- ..• • • ' • • • • BY
03 Z
¢ ADDRESS L501 Birch St•
W Liz TEL. ZONE NO.OF USE OF NEW Sgl • Fam.
O r Rl PLANS 2 BUILDING
ZI— CITY Ne as•rt_B_ . 1 NO. •iii - • •
W O STATE CITY YARDS APPROVED YARDS APPROVED
to CC LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
D U 512E ANO.OF BLDGS. (FROM C/L TREET)
OF LOT 50 X 100 I NOW ON LOT 0 FRONT sr. r FT. )f t FT.
USE OF
EXISTING BLDG. R.SIDE 4-FTFT.
1 FT.
I— SIZE OF
2 NEW BLDG. 1820 S. 1 ROOMS STORIES L.SIDE /3 FT.I- FT.
Q EXTERIOR WALL
stucco COVERING stucco COVERINGROOF $hake-COmp• REAR 3 / FT. ± FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
0-
0- � / MAIN BLDGS. ACCESS.BLDGS.
Q / d VAR.# DATE
o realdence OU.P.# APPROVED
I—
APPROVED WLD:am DATE 3-24-71
2
O .
UI hereby acknowledge that I have read this application and state
• that the above information is correct and agree to comply with
m all laws regulating building construction, and I shall not employ
F any person in violation of the workman's compensation laws of
to the State of California. /��^SQFT �/)® b
ZI hereby certify that I am properly licensed as a contractor under . . c
the State of California Business and Professions Code, Division 3, THE AMOUNT S N UNDER VALUATION IS FOR ,:Chapter 9, and that such licenses are in full force d effect,or I THE PURPOSE OF ABLISHING A PERMIT FEE ONLY: •
pi
am exempt from the provisions of the State of ifornia Busines
VALUATION m
and Professions Co•• • -on ,Chapter PERMIT FEE $ �/C/ n'
Signature of m
PermIttee / . _ .410!rile -Ai
s„/7/ AllE_Authorize•Ag ( v/J) 2
R >.�a/f/nom