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HomeMy WebLinkAbout1862 PAROS CIR - Building PermitsPROJECT ADDRESS: 1862 PAROS CI UNIT: OWNER'S NAME: CARLSON CARL S TR ADDRESS: 1862 PAAOS CIR COSTA MESA,CA 92626 ARCNIENGINEER: ESI/FME STRUCTURAL ENG REGAo.: S2NJ5 ADDRESS: 1921 E CARNEGIE AV 3—J PERMITTEE: SANTA ANA CA 92705 ADDRESS: A.C.1. (714)667-7922 1727 N BUSH ST SANTA ANA CA 92711 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 fcommencing with Section 7000) of Division 3 of the Business and Prolessions Code. and my Iic is in full force an 1 t. CITY LIC.: 0 2 08 44STATE LIC.: 3 8 4 9 0 6 LASS:B 3 Date: _I Signature: — 'C/ - WORKERS' COMPENSATION DECLARATION: I hereby affirm that l have a Theater of consent to self -i r a cenilicale of Workers' Compensation Insurance. or a cerulied copy thereof (5etti0 3800. Lao I. POLICYNO.: 1042985-93 EXP.DAT. 07/01/9 COMPANY: STATE FUND Certified copy is hereby furnished. [jd Certified copy it lined vii city Building Division. yd �> C J Date: � — 3� / I • Applicant: f � r-� EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: Qhis section rte not be completed r the is for one huntlrlb 00) or less). I certify that in the performance of the work for which this permit is issuer ll not employ a erson in any maim a as 10 become subject to the WorkersCompensation Laws of California. Date: Signature: NOTICE: If, atter making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Cotle, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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 (Section 3097. Civ. C). ENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason (Section 7031,5 Business and Professional Code, Any city of 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 tile a signed statement that he/she is licensed pursuant to the provisions of the Contractors Stale License Law (Chapter 9 (commencing with Section 7001) of Division 3 of the Business and Professions Code) or that he/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 live hundred dollars (S500). I, as owner of the property of my emIntoes with wages as their sole compensation, vall do the work, and the Elstructure is not intended or offered for sale (Section 7044, Business and Professional Cade: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such wort himself/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 will have the burden of proving he/she did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business Eland Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon and who contracts lot such projects with a Contraclar(s) license pursuant to the Contractors' State License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. 8 P. C. Ipr this reason: Date: Owner I do hereby cendy that I am aware of and understand the requirements of California Nealth and Safety Code Sections 25505, 25533, and 25534 and that I or any future building occupant will/will not (circle one) need to comply with said stale codes and the requirements for a permit for construction or modification from the Air Duality Management District. Residential construction applications are exempt from these provisions. Dale. Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and slate awsrelanng to building construction ani representatives of this city to enter upon the above mentioned property for inspection purposes. Date: / `� �41 Signature: Driver's License or Social Security x.: 1641-46 White—Buifdmp: Green—Godo Enforcement; Canary—Applicant mk—Revenue: Goldenrotl—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 06553 PERMIT NO: B 065531 PLAN CHECK NO: 00011-94 S GOVT; N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: REP JOB DESCRIPTION : SLAB SETTLEMENT REPAIR SQ FT: 30,000 CLAIM VALUE: 30,000.00 CALL—VALUE: 30,000.00 GROUP OCC: R-3 / COMMENTS: REPAIR SLAB SETTLEMENT AS PER SOILS 6 STRUTURAL ENGINNERS REPORT iefefe**fe**fefefeieifNit**feiefefefEfe*fefefeft**fe**ieM***iE***fefe*iE*if iefE*1F*iFiE♦EfE*ff**feiefeiefe it*fEfefe***fefEfEfeM Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL: 13942115 ZNE: R1 REF NO: PLANNING N TES> > a fE♦E 1t iF*fFff 4lk*kff*fF M lE fe kfk 4lf fE fFfefe*k kfF*fe**fe*fefE fFfE fE kfF ie fete ft*kk*fe it fe iE fe fe fete fe iefE*ie *ie fe ie**it ie *fe ft fe ie ie** 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 ZONING APPROVED BY DATE: V" BUILDING APPROVED BY DATE: APPLICATION ISSUED BY: DATE: It ft kif fl fe fe fE ff fe*MfE kfe fe if frit if if fe fe it fe iEfe**fe fe fe it* fefefefefeitititfefefEfefe**fife***fefefEfEfe**itfefefefefefefe*ie*it**rfeit*fefeftfefefe**fEfefefeiFie*it**feitfefefefefefe*fefEftfffefefe LEGALIZATIl F E E S U M M A R Y STRUCTURAL SEGMENT:Y 1_11 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE ', SMIP/RES GRADING PERMIT 284,50 3.00 SMIP/NON—RES PLAN 184,93 ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 287,50 0,00 184,93 472,43 472.43 .00 REVENUE DIVISION TOTALS--> COLLECTED: 472,43 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE' SMIP/TOT GRADING PLAN—CHECK 284.50 3,00, 184,93 fefFff ff fe fE fefefefefefefefelt*R*%kif it fe iE kfife it itit ft it ft fefeftfe fete*+t ft fe fe fe*ft fE ie iE*r+E*****fe ie fe fe fe fefefe kft *fe fe fe fek *fete ft* I N D I V I D U A L -, F E E B R E A K D OW N TYPE QTY D E S C R I P T I O N, UNIT COST TOTAL COST SFR 30000 STRUCTURAL BY VALUE PER $1,00 1,00' 30,000,00 END OF FEES 1 t 1 • n 01 00153Q9iL00153043 'fila l 12.=:1 0.•'+TE: 01,03!44 TIiiE: 13:23 CONSTRUCTION AND PLANNING APPROVALS Permit<;` 1. Temporary Electncai Sir-; c? or Pole 2. Soli Pipe-Undrgrnd. 3'..Cls_tricaLk,:ondurl Ut lit'y-Undrgrmd. Si Fl,'rtrica:-Coadvtt •lSBdr�•nd. a'E{ry Rrl ii+riGCB rnent, & SPA - _- Date I Inspector I APPROVALS Permit 6. -kd trici! irER G,nd - I "E' Footings - r -E, 'ou^da•ron- 5l_CZh-�V%0-2+-`-qL'i tQW 10. St-c'.urat FICC' Syster- lt't Prove-rJ Szv'.er tine R .I:_•e Connection 12. Soi,er Cap 13. Root Ura ns 14 Rough P,umo.nq 15 Rough Electricai-Cordalt 16, Rough E1PCtric Wirino 17, Rauyh 115ri^g Sign 18. Rough Elact.icalT Bar Celllrg 10. i1 .„qh Heating & A, Cir d-t.ontng 52. Pool & Equ.pmert Lucat c- 53. Steel Reinforcement 54. Forms 55 Electrical Bord�rg 56, Rough Plumb.rg & Test 57. APPROVAL TO COVEH-GUNITE T---- , - - -- Date Inspec!]• i I 68. APPROVED FOR PLASTERING 69. POOLISPASySTLMSFINAL - -it--�I - �-- - F19E DEPT. FtEQU19EP;:E:•:T 2C. Ro..ghF n� -, as :I : -•ate-�A"ROV::T^J" F'�nl.t -_ ' 21.;.L u:.::.1 Stn+et,.0:, .. __'.' :Irl -,. • 30. i:aCer3•o: '1S, '.v'.,, ' ucP'?«p:na_ Pec Ro h 8-'i --�- -` I' asfi u� e.t ;1 - _ �. r 12. Undergro'unci Flu;r 24 hoof: F-raimn:; - r ^ �3.'Undorgrlc`Sir:rar,,•T,,nk �! Gas JK n. _ 7.S ;loot Sh.iitltmH '743Q,.e•heaC HVc _ --+_-- -- *-, i1 .t .I, ----.----- r2C PJ'mw Ce. l,ng Sr. o'.. nl &+f rst�Ecoat ? fl T- t9 vi5 C••Y Che.' r27 F,r re e.rd Ftysh'�n . xr =- ut. 76. Gly Standr• o!' d 29. t'tl 7 n; S.rg r 77 - � PiXED SV'- T 7INAI I~ 79. 't u • �'^ tr,-i_yslL %S FiRE PREV. '`I AV-. `_ __ _-..c�tltn 1- -Y'� I __?•-�,� t-- `-EALTI iUi-PT. RrQJIRE•,-,-- Z. n :"^t - . I ��s a �.r' a-- -• : -;+'-4.',,., :;tPoe'ri.n;'t7 -00. `GODCEi i.' 'F , i l•ChC Notus: 34 F nal F'q.atlnpg. A, r:ant+; cn'+x}; -- I _ _ .�4"0'-A_'(•�"_-,`___�l . 3�. F'nH C.n Pif*zj Tea- - '1 = od x`37_ -•F r�t�,�•, F ;.� _. _._._:�i Lt3'F ..al?um.bu -FI Srrvice)�/� u°. SLrt:r "F.n.' ��<c�I_i�Q'_ _ .;omc:. t. Dara • I !I � _ -_+ 43. 0�'�I: Cc v.• Irri�atlp:. •_ .� .. LL--[ y_- � /j__ _ �'�. _� I Unn L..ndocaP° Irpgat p9 Svsamtq I �".S ; .0 ! At',Z't'at II• .•;, c-. ,• ti , t 47. 1- JAL ST RL'CT'JHL &: F'J(L7":G 48.rf-IiVALr"LAN'v rjr ( - „• cit � .�!.ctrlc Release io Edlson� - 'r { �G G2s,k_,ease to Southe•n California Gas Co 5i. CE iIFICATE OF OCCUPA'\ICY' No, ---- D;,te ----I _ L - r 58. Electrical Concupt Urdlgrnd �- 59. Gas Pipe, ❑ UrCrnr,Id , Test I 60. B, Ck•.v zsh L 1-. P ran _ _cir,. _d 61. APPROVAL TC UFCK : 62. 3:p:caysh:x Roc.,, c. 63. Heater & Venl-F,rc! I - 64, PlUmbing System r; I 65. Electrical -F.`131 `J 66. Solar System -Fin., 67. Fencing & Acc:as App, o,.il 68. APPROVED FOR PLASTERING 69. POOLISPASySTLMSFINAL - -it--�I - �-- - F19E DEPT. FtEQU19EP;:E:•:T 2C. Ro..ghF n� -, as :I : -•ate-�A"ROV::T^J" F'�nl.t -_ ' 21.;.L u:.::.1 Stn+et,.0:, .. __'.' :Irl -,. • 30. i:aCer3•o: '1S, '.v'.,, ' ucP'?«p:na_ Pec Ro h 8-'i --�- -` I' asfi u� e.t ;1 - _ �. r 12. Undergro'unci Flu;r 24 hoof: F-raimn:; - r ^ �3.'Undorgrlc`Sir:rar,,•T,,nk �! Gas JK n. _ 7.S ;loot Sh.iitltmH '743Q,.e•heaC HVc _ --+_-- -- *-, i1 .t .I, ----.----- r2C PJ'mw Ce. l,ng Sr. o'.. nl &+f rst�Ecoat ? fl T- t9 vi5 C••Y Che.' r27 F,r re e.rd Ftysh'�n . xr =- ut. 76. Gly Standr• o!' d 29. t'tl 7 n; S.rg r 77 - � PiXED SV'- T 7INAI I~ 79. 't u • �'^ tr,-i_yslL %S FiRE PREV. '`I AV-. `_ __ _-..c�tltn 1- -Y'� I __?•-�,� t-- `-EALTI iUi-PT. RrQJIRE•,-,-- Z. n :"^t - . I ��s a �.r' a-- -• : -;+'-4.',,., :;tPoe'ri.n;'t7 -00. `GODCEi i.' 'F , i l•ChC Notus: 34 F nal F'q.atlnpg. A, r:ant+; cn'+x}; -- I _ _ .�4"0'-A_'(•�"_-,`___�l . 3�. F'nH C.n Pif*zj Tea- - '1 = od x`37_ -•F r�t�,�•, F ;.� _. _._._:�i Lt3'F ..al?um.bu -FI Srrvice)�/� u°. SLrt:r "F.n.' ��<c�I_i�Q'_ _ .;omc:. t. Dara • I !I � _ -_+ 43. 0�'�I: Cc v.• Irri�atlp:. •_ .� .. LL--[ y_- � /j__ _ �'�. _� I Unn L..ndocaP° Irpgat p9 Svsamtq I �".S ; .0 ! At',Z't'at II• .•;, c-. ,• ti , t 47. 1- JAL ST RL'CT'JHL &: F'J(L7":G 48.rf-IiVALr"LAN'v rjr ( - „• cit � .�!.ctrlc Release io Edlson� - 'r { �G G2s,k_,ease to Southe•n California Gas Co 5i. CE iIFICATE OF OCCUPA'\ICY' No, ---- D;,te ----I _ L - CARL S. CARLSON 1862 PAROS CIRCLE, COSTA MESA Conclusion: October 3rd, 1993. ESI / FME Job No. 993-6010. From the above stated findings, we recommend the removal and replacement of the ENTRY, LIVING ROOM, KITCHEN, DINING ROOM, NOOK and about half of the DEN. This removal may be limited to slab areas 12—inches away from interior and exterior walls as follows : 1. Score the concrete slab 11/2" deep about 12—inches away from interior and exterior walls (so as not to cut the existing welded—wire mesh) . 2. Cut the slab 12" away from the score line. 3. Break and remove the center of the slab . 4. Remove the sand and the visqueen membrane. 5. Remove the saturated soil and replace with sand (2 to 4 inches thick) 6. Replace the 6—mil visqueen overlaid with 1—inch of sand. 7. Install # 3 bars at 18" o. c. each way at the center depth of a 4" slab . 8. Pour a new concrete slab (f'c = 2000. psi) 9. Allow the new slab to *cure' for 28—days prior to installing the new tile floor at the ENTRY. Closure: The field conditions and opinions reported herein are based on observable conditions at the site. The subject property was not fully inspected. A limited investigation was performed to determine the cause or limits of conditions reported . Hidden and / or latent structural deficiencies may exist w ' covered. during our investigation. The information contained in this repot was pre i \! ❑-' the evalu' tion of insurance coverage issues pertains g to the-rerftr d'b9irti �—© City of Costa Mesa Building Dept. By r, -. E S I / F M E THESE P1 A,','-, MUST PF C,,!;.;; Structural ineers NO CHANCES vv� r,,,L,r �:. ;,1 :((r THE ,SSt,r;u!,E R ('. r . r'� 1 •� ' I PLANS MIU SPCC%F ICATIO'PERLIII M\lr,:w ! OP OR AN A p iNE PROVi510NS 04 THIS!` F' AUIIIORIr' 'C; Vrt if 11 71iCODE SHAM R;, VAI ID 1 Xf �Ra E.2345 wrucHlraun4oHl,+::Ts1.AW:UL. THE IssuA!dcl_ C,F r, SPECII IC"T10 N % SP!AL:. N01 iTN l' I:�• I FROM 7HCREAFTFR i$,}1 -HF: SAID Pi:;i+, AND 'WECIFIC,A i'�C^.S 6UILDINO OPERATIONS IN VIOLATION OF THIS THE CITY. C'tI!,I'rl::Ii:a,aCE OF I a..11sr. JECT: z:6A�,,4>1 ChGk r 6iF-1 I r .17 (Zo�emwTE) I f T 6 IL PROJECT NO: BY: WY DATE7 a/(�tcla� SHEET NO. OF m MUTUIll dz F-CFeW54Aa 0014APpRo�f---_ city.of cost a 1 L,)e -rtw-5 ItIfo AeZZAAaT FLca" TIff, g v < LE aurTo SP FgpM SA �T S".ALL �A aulD�ltL PLANL�'4F7A El? n�' C'V Iti 610 I� � U opf7p ATIOt4eSPEC r,;M; I J PROJECT ADDRESS: 1862 PAROS CI OW NE Nam E AD: CARLSON CARL S TR a9DREss: 1862 PAAOS CIA COSTA MESA,CA 15 C 92626 UNIT: AflcH/A REEK: ESI/FME STRUCTURAL ENG REG.xo.: S2M5 ADDRESS: 1921 E CARNEGIE AV 3-1 PERMITTEE: SANTA ANA CA 92705 ADDRESS: A. C. 1. (714)667-7922 x`n11 �T7�''2�``n7n NNy ��xjjBUSH ST Qq LICENSED CONTRACTOR DEOEA 61011L-llr�eraeby album mar I am licensed under prroovisidns af7CIplr 9 (commencing with Section 70DO) of Division 3 of the Business and Professions Code. and my license i5 in full force and effect. CITY LIC.: STATE LIC.: CLASS: 0 8 j, 389906 • Date: I `I" Signature: WORKERS' COMPENSATION DECLARATION: I hereby affirm mat I nave certificate on self insure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section 3800, . q. POLICYNO.: 1042985-93 E%P.DATE: 07/01/94 COMPANY: STATE FUND Certified copy is hereby furnished. ER Certified copy is fry with the city D ing Division. �/ C/ 2 Date: ( — 31 c Applicant: r EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This sectioneed not be comp) a permit is for one hundred (11100) or less). I certify that in the performance of the work for which this permit is issu d, I shall not e y any person in any manner so as to became subject to the WorkersCompensation Laws of California. Date, Signature: NOTICE: If, alter making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Cotle, you must forthwith comply with such provisions or this permit shall be deemed revoked, i 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 (Section 3097, Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby atfirm that I am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of 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/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 and Professions Code) or Ihal he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a penmt subjects the applicant to a civil penalty of not more than five hundred dollars (11510). 1, 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 (Section 7044, Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself of 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 will have the burden of proving he/she did nor build or improve for the purpose of sale). I, as owner of the property. am exclusively contracting with licensed contractors to construct the project (Section 7044, Business ❑ and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contradicts) license pursuant to the Cent mctors' Stale License Law). I am aware Ilial proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. 8 P. C. for this reason'. Dale: Owner I do hereby cemfy that I am aware of and understand the requirements of California Health and Safety Code Sections 25505. 25533. and 25534 and that I or any future building occupant wiilllwill not (circle one) need to comply with said state codes and the requirements for a Permit lot construction or modification from the Air Duality Management District. Residential construction applications are exempt from these previsions. Date: Applicant: I hereby certify that I have read this application and state that the above information is carred. I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. Date: I _ 3-9 Signature: — / ��� �`r- �. s Driver's License or Social Security u: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 06553 PERMIT NO: P 065532 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: REP JOB DESCRIPTION : SLAB SETTLEMENT REPAIR SQ FT: CLAIM VALUE: CALL—VALUE: GROUP OCC: R-3 / COMMENTS: REPAIR PLUMBING DUE TO SLAD SETTLEMENT RE:#B65531 ******aE*�*�r�E�E+t>t*�*�r*�r�riEwir�Esr�r+t+t�r�rir�r�riEx �rx���+t+r�r*�*irit+rw�Ew�r*it�+E*it+Ex+txx *�E*�E*x x**�E�E*ir Z O N I N GS E R T E B Q A U C I K R S E M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR; FT IN FRNT: FT IN REAR; FT IN LEFT; FT IN RIGHT. FT IN LEFT: FT IN RGHT; FT IN PARKING REQ; PROV: PARCEL: 13942115 ZNE: REF NO: PLANNING NOTES> TYPE QTY D E S C R I P T I O N,-, UNIT COST > PLU 1 BATHTUB 7.00 *1E****dE**1t �E 1E 9f**♦E if It ie!!!!lF if kif et iE*iE 1E 1f**iEit iE iE*iF***iE it iE itirlh fEk*ieie if iE**iE iE*at *it it it iE It iE *3e iE it iE at*iE**1F 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 ZONING APPROVED BY DATE: BUILDING APPROVED BY : i DATE: APPLICATION ISSUED BY: DATE: L nJI iF It iE if lE iE**iF ih iN %iE iE lF 7k k iE ♦f *tt* MiE *ifM Mit iF it* iE ft M 1F M1F JE iEM*fE*4iEk MlE kfrt lE M lf♦E1E*MJFlF*Mick Mik 1k 1E44iF***4*iE k ieif***aF 1FMkiF iEM MfF*iE fF iE iE iE***kaf if *iE 1E iF *iE it iE* LEGALIZATION:N F E E S U� M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 35.00 252 SMIP/NON—RES PLAN ISSUE FEE 20.00 — BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 35.00 20.00 —.0-.00 55.00 55.00 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 55.00 OVER/SHOAT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 55.00 kM M M Mk k k k MMMMMMMM M M M MkM k MM MM MMMM Mk k kkkk M.kk k k MM MM MkkMkkkM M MMM M k M M k k k M M kM M M M M k k M k I N D I V I D U A L F4 E B R E A K D O W N r TYPE QTY D E S C R I P T I O N,-, UNIT COST TOTAL COST PLU 1 BATHTUB 7.00 7.00 PLU 1 DISHWASHER 7.00 7,00 PLU 1 SINK, KITCHEN % 7.00 7.00 PLU 1 WASH BASIN (SET) 7.00 7.00 PLU 1 WATER CLOSET (TOILET) 7.00 7.00 END. -OF FEES ��' 00153071� 001531350 `-'`.00 j l DATE: lj r � �^ _ &-- -- - i --— - _ CD45-n UCT I ON AND PLANNING PO.. SPA 1 I r„?RUVP, LS Permit 4k_ Date !nspector APPROVALS Permit it Date Inspector i. -1emporary Electrical Service or Pole- 52. Pool & Equipment Locat,on 2. Sol Pioe Undrgrnd. _ - 53, Stnel Reinforcement ~I j 4 +;i FbIk. GO^dt^' llhatYUndrgn.d,- 54. Forms__- Eec' . -1 l'd-tt nY bttiClrgr-.rl I 55. Elzctr.eal B.rndmg :r o'rmE+ ; --�- __-_- 56. Ruuyh� Plun.bing & Pressure TcstJ. -Ca_ - •,'ER J. 57. PrPRUV,/\I. TO COVER-GU:•11T; 7�,y (+A•res--, -' _ — 58. Electrical Condwt-Undrgrnd. ` -`r`— -- I— — "-• 8. Fcur•iatto+ 59. Gas P.pe, i I Undrgrnd.. Test -t— „ . .... • ? r :' w.:J-g nd. 66. Baelec,ush I 'nes, P.Trap, Onmcrrci I Svvte'l - _ 61. APPROVAL TO DECK _ -- 62. E. eke -„)C �,l Rea3y u•-Fc31 ^� 1 .. .[r Cac _ 1 63. Hester & V1nt-Firs. r .o' Jr.nr 65. Plumhrng System F,nal Tu'rg, I/ •�'/+` I� G5. E:rctrical I nal �I — ): c.ca:-Corc..-�L�� i 68 'a'S%.�.,,.: .,al e_ ng 67. F, rc •n B: f •„t; Anp•u 31 1 Y— — r„ c -g^ _ t 68. APP130V[D FC�9 PLASTERI"CC--I -- I :'cctr.ca-. T 9 a r Ce _ p G9. POOl1,o!� SYSTEi. S f- �tuA & A. r Gi-dn�anh�g � I IRE DI PT. REQUIHEMEiVI I --� -- J• F.F.mrQ Fin,„,-� '�: ^I� I A?PR Cn!AV C�- I'errC.it -- _ — - - - - -- v' 7C Ur J. m at,. r H &o r t(o rt rp• ;'?. (.-. :❑ .^�1'+?, 42. Ui,dc'. •o'/� . Fu;f-_ - - r74 },noS.F-.rm rg^ ❑ ` Y I � - ' I /3. U^.dergrnd:•Stcr&'1Tank 7 G, -•s T C 15 Rn '[ hafhi^g ` 74. O,erhrad Hyrer 1 tr. ., }v nnlStr�cr rlli $ 0.ln10coat� r Tl ~ r h '),Y 0 r, •a Y I 77. _ :`t Fra s'nr� •._ r t >.I 76. -Dry 5- ?E ..:cru Y, S:b - - aJ o -u oq , 78-it7IRE rRf,V rlNit knbng =+• -" 1 Zj - 1'Ii R.LTH DEPT,1RROU117FrJE''? _•`� ;' - ���' V - n E moat', t-79 flNrai tN-Pt•CiION �;0J .f000Cr iLFICATE ISSUE) . e .r - 1 t• 'Note:: 35 •1• n t. G ?ipt I zSt� - `_ ,,,I i %-L- 6. I+o.:G c• Canopy + rFCrto,v Frrnp.'ice 17 I%14� - r _x r+ irr ^ I v e 1145. °',. .•Iter UBt.Jr ' '- t ,. i :' l- t it .- � - •� X� , '3 f."•.'uL ST' LUCTU F BL;lC0'%G . rr. :V •L'IANNING: r �J -.. ---- ------ •r- ---- ---- --- - -, I 45.• � .c i13leasn to Ed�sor -- -- _ -_------_ _ I . Gas 7,:eia-ce to Soutl3 rr. Callfo•o a Gas Co . t I' S1 aliT F'CATE 0.' OCCUPANCY < — - -- -- Dutc —�- --.. - --- --- - N'0 -I E Keri ADDRESS: 1862 PAROS CI UNIT: OWNERS NAME: CARLSON CARL S ADDRESS: 1862 PAROS CIR COSTA MESA,CA 92626 AflCHIENGINEER: 546-5633 flEG.NO.: ADDRESS: UNIT: PERMITTEE: PEEBLES ROOFING COMPANY (714)998-3112 ADDRESS: 1650 N GLASSELL ST F ORANGE CA 92667 LICENSED CONTRACTOR OELIARATION: hereby aflirm that I am licensed under provisions o Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profession Code. and m Ii is in full tone eft. clrr LIC.: 043121 STATE LIC.: cuss: _ g Date: Slgnatur WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure or a cerlificale al Workers' Compensation Insurance. or a certified copy thereof (Section 3000, Lab, C). POLICYNO.: 1209055-91 EXP.DATE: 07/01/92 COMPANY: STATE Certified copy is hereby furnished. IXdeo eft, s "Buildmg. Date: ? `� plica t' a EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This station need not be completed it the permt is for one hundred (5700) 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 WorkersCompensation Laws of California. Date: Signature: NOTICE: If, after making this declaration. you should became subject to the Workers Compensation provisions of the Labor Code. you must forthwith comply with such provisions of this permit shall be deemed revoked. 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 (Section 3097. Civ. Cl. LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Processional Code: Any city Of wenly which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to is 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' Slate License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/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 properly at my employees with wages as their sale compensation, will do the work, and the ❑ structure is not intended or altered for sale (Section 7044, Business and Professional Code: The Contractors' State 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 own employees, provided that such improvements are not intended or offered for sale. It, however the building or improvement is sold within one year of Completion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). L as owner of the property, am exclusive)yy contracting with licensed contractors to construct the project (Section 7144, Business ❑ and Professions Code: The Contractors' Shde License Law does not apply to an owner of property Via builds or improves thereon and who contracts for such projects with a comment license pursuant to the Contractors' Slate License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. & P. C. for this reason: Date: Owner'. I do hereby certify that I am aware of and understand the requirements of Call rma Health and Safety Sections 25505, 25533, and 25534 and that I or any loans building occupant will/will not (circle one) ne 0 comply with said st des and the requ ments for a permit for construction or modification from the Air Duality Manageme . Residential con u on app' lions ar exempt from these provisions. / -_ Date: Ahnlicanl: mac! - Z "— -- " hereby [etlily that I have read this applicatio /and slate Thal/the ab einformalion is correct. gfe�lo compl with all and ordinances and slate laws relating to bmldmgc struch. and ize representatives isc to ente port the. a -me property lot inspection purposes. Date', ��— � C� Signato Driver's License or Social Security a: 164146 White—Building', Green—Code Enlorcemem: Canary—Applicant: Pink—Revenue; Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 053855 PERMIT NO; B 053855 PLAN CHECK NO: N GOVT; N SUPP: N -ONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE; ALT JOB DESCRIPTION ; REROOF 2000SF RESID & GARAGE W/ASPH SHIN SQ FT; 3,400 -LAIM VALUE; 3,400.00 CALL—VALUE; 3,400,00 GROUP OCC; R-3 /M-1 =OMMENTS: X rBL�L�**�PRrft;E;E;B*;ritfr��r**;t*;r�PSl*�riE;t*;rit�itit*it**it;P;r;E*�rftSr*;PStft*;t�tit;rSE� F�*'��E�F�';E:° Z O N I N GS E R T E B Q A U C I K R S E M E N T ,I p REQ ------------ MAIN BUILDING ---------- --------- ACCESSTRY"BUI �r-- --- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RIGHT: FT IN PARKING REQ: PROV:. PARCEL: 14119127 ZNE; REF NO: PLANNING NOTES> IE*B!*kaF iE IP iF 9E iF**iE if 9k*9f IF if 9t iE9ENaiE 9t at St*iE 1E RE iBiE BE*it**iEiEiE iE It iE iE iE***iE*kk***kiE IP iE*IE iE9E9E if iE.iE iE*k***9E iE kiF 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 ZONING APPROVED BY DATE: BUILDING APPROVED BY ; DATE: k 9E iE1E iFit 9t NE iE* kiE **** k9f k*4r iE** MiFk 9Eit *iEiE iE***iE****** ;E9rit* * * **it 9E iF kk ***** iE iE iE kk k k klPk kit** iB*iF LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 63,00 ,50 SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 63.50 0.00 0.00 63.50 63.50 .00 REVENUE DIVISION TOTALS--> COLLECTED: 63.50 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 63.00 ,50 k****MIE iE 9E*itiek�E**iF iE if lL iNk**iF SB 1E SF if iE*iE iP*iE iE ie iE*iEiE*iE***otic iE*iExit**it tE*9t ik aE iE iE*iE**iE it*iE 9E aENe aE*9e it 9E 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 3400 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 3,400,00 END OF FEES J1 �'I)�`ii1QP—fi;fJ i i1.7 r1 r & SPA I CONSTRUCTION AND PLANNINGPG rDate 'r APPROVALS Permit # Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Serve or Pole 52. Pool & Equipment Location t1 oa Soil Pipe-Undrgrnd. 53. Steel Reinforcement qq2. Electrital Condui(,4..i .i S'rtlity-Undrgrnc T' 54. Forms J v4:L Electrical ConduliCtrdrgrnd. 55. Electrical Bonding V 5.`SiWel Reinforcer;e`nt 56. Rough Plumbing & Pressure Test > < ..§-O-•,Electrical UFEAi6rnd. - 57. APPROVAL TO COVER-GUNITE n '•7.- Footings rr- "t' �K 58. Electrical Conduit-Undrgrnd. w ' Foundation'r °' 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undigrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. .•. 10. Structural Floor System" V 61. APPROVAL TO DECK . 11. Property Sewers inp,& Hgnse Condiction 62. Backwash & Receptor-Final 12. S@wer Cap o n 63. Heater & Vent-Final 13. Roof Drains 2 - ✓ 64. Plumbing System - Final - 14. Rough Plumbirtq 1 65. Electrical-Final 15. Rough Electrica'J-Conduit 66. Solar System-Final 16. Rough ElectricaNiring 67. Fencing & Access Approval 17. Rough Wiring Sidn 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT a4PPR41VALStLUCPerxmit 20:*RolSgh E3ct6ry r3eplace v rJ + 0 W 17' ;< r 1 `Y 11J A' .T Rl�t- 21 ct t. '"5 u uiCi `� - ' '" 'M v .; >• �H ro " Uitde grtat��t .,'Duds,ii4Str: I .. �S x J .--+ a ;70. , y� 22. Ducts, VEntilating•.t. I ,?S + _ 'S -4 * •.71. ProductTPF}iing Eiloas QOil 23.4:bas PipgiRou h &" est ' `r' ' .r _7 ' 17y, Under rou`'n FIY(Yy 24nRoo Framing �. ; n . C C ^ y < 73TUndergrnd� Stcrage-Tank ©Gas „O Qfl 25. Room Sheathing N * t" ?'.y fl 74,`DC verhead•Hydro,_ 26,. -Bar Ceiling (Structural) &dy onocoat u, ' C to'r t 75R Dry Chemical : -• _. ''-c 27: Frame and Flashing" v ' y T ? 76�'D9Stand e 1 .,-?8. JLathing'� Siding » ;, 'y,'yn,;; .�, r - s: 77.; FIXED S1:S_TEMf1;1NALr V :T• >29. Insulatign " '.� t ` I r 78y3FIRE PREV. FINP,L .v .> ,..` n30. Drywall,-Nailing y I I- I_ ? x .31. Plaster B-owp,Coat4 I I v IIQ�;P>ECTI r79:-FINAL ,N _ 32.-Electrics Power MaierFinali tJ ^ + rJ I i a riB0.r,FOOD CEA'P FII FATE ISSUED' EI`tris y t" TJNdtes: ? �, h ��3.r;Fin7 r I r v .0 tr .434. Fina} HQating-& AipConditioniig; y ', r S C r t, a 35`�Final Gas Pipe-Test; C 367ft'4 or-Canopy .t I tr a. n I 'y nc yt• -37.Uinar Fd cry Fireplace -38. Final PlWpbing F n: n'., * 11 t. T �' e` -0 N -.39. Water Service-Finals I I �r v J n .c r11 40. Gas Ser4e-Final 3_41. Solar Domestic-Finales - .;.' I ftr ,r,,• -G < - i l U Ir 42 �Backflovf.Preventer V . t+J .4 43. Backflow* Irrgation- + -44. Landscalae IrG atio' S stemJ,; "': . 9 P System,;"': >45: Sound Attenuation "n ray ' �i� •r,c e - 1 A 46. Handicap Regulati s oP t xt, o _ f S �S 47..-FINAL STRW,CTURE & BUa DING 48.11NAL PLANNING' C49. ;Electric Release to Edison I I ii•- •� ,� -50. Gas Release to Southern California Gas Co r'a C '-51. CERTIFICATEOF;OCCUPANCY ;'•' No Date UWAZA L;pxdj.7V1V, U11I(L DAB U-.3U;p + GENERAL CONTRACTOR Tahitian Pools DESCRIPTION OF WORK Pvt. POOL nom- v. T �0_h0l _l S T.nT TuerT FTRF 7nmR VATATF. s 2.700.00 L ECTIONS _ Signature Date GROUP J TYPE III ZONE R-1 Soil SUBCONTRACTOR I PERMITS ISSUED Gas Date Number I Signature Water Plumbing Rough Plumbing _ ZPLi3ro.'Y-5-kS 1:2 Prop. Swr. Line 0 House Con. 0 Sprinkling System Miscellaneous Rough Heating and Air Conditioning Temporary Underground Power :p _ l Rough Wiring - p'- s Heating and Vent. Trenches Forms M— Steel Reinf. Floor System Bond Beam 9 --- Steel Reinforce Zi- $' 7 Sheathing Frame and Flashing Lathing - In C] Out p PIP -ter, Brown Coat s oral, Final Electric Henung, Vent., Refrig. and A.C., Final • �s �H/TN E�E.C. - 5 %� Plumbing, Final and Gas Test Electric, Final (,. - Building, Final • 24502 ,COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 917 COSTA MESA, CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT BUILD. NO64 L ADDRESS E COSTA MESA. CALIFORNIA I MAIL n4 STATE / �A TEL. L '3 \ f _ . 1 LIC. NO. G -I (( NO. v d -'P SIZE OF LOT 11 ,a c?o-e 9NOWON-1 USE OF .1 EXISTING SLOG. V ��• SETBACK LINE FROM DESCRIPTION OF WORK ■ 'SIZE 4' , S j k0R�OOMMS EXTERIOR WALL I ROOF 1HEREBY ACKN OWLEDOE THAT I HAVE READ THIS APPLICATION ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTIO ` ^` SIGNATURE PERMITTEE AUTHORIZEDAGENT CITY Of CuSTA MESA AUG 3 1965 vi AM= For Office Use Only RECEIPT NO. I r FIRE I ` I PUHBF I USE ILFNOEW DI LEGAL EBCRIrtION ) // A P. NO NOTE: NO EAVE OVERHANG SHALL BE LESS THAN SO" TO SIDE IN REAR P. L. EAVES ALLOWED (U. S. C. REQUIREMENT) YARDSAPPROVED YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING, VAR. * DATE EI HOLD FOR SPEQI ItEQUIREMEN 'a r J N SQ. Fr. THE AMOUNT SHOWN UNDER VALUATION IB FOR THE F PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O VALUATION CG m N PERMIT FEE 1.2� CID m Z IF rums o O` 00 � TOTAL FEE $ E+ 1 18249 COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 917 COSTA MESA. CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT BUILDING ADORERBUILDI6 COSTA MESA. CALIFORNIA pj1eOSTp m } ""w 23-f P IIdtFzF 4ASac f A* ... __ AACOSTp -'m ha,awMtR11 APPLICATION FOR PERMIT BUILDING For Office Use Only J RECEIPT NO. PERMIT NO. OWNER ./ 7 r MAIL REQ D BY I D TE RECEIVED I D T NUY L Rw1 ADDRESS / V I�/1 ,yJi NO BUILDING CITY / Q,'3 ADDRESS < /' eNEERL, iso.' COSTA MESA. CALIFORNIA on tc • FIRE ' / ADDRESS le - ^/� /� ZONE APPROVED IS TYPE (� GROUP DATE / CONTRACTORS 8 (/ / ZONING v ADDRESSiY�:re "AL 11 CITY l� rJ .E• On — ( I PLANS 1/I BUIIDINO EW � p' I LC. NO.113;,7f NO. CATE L13/5 EEGAL SCRIPTION • 7 SIZE NO. OF BLDGS` OF LOT Now oN LOT A. P. NO. UEOF ._. YARDS EVES EXI6TING BLDG APPROVED ALLOWED SETBACK LINE FROM /, SU (CENTRR LINE ET.) CENTER OF BTREST REAR YARD 7 FRONT IN. I I SIDE YARD LEFT RIGHT / R. SIDE FT. IN. DESCRIPTION OF WORJR L. SIDE FT. IN. NE\ IX I ALTERATION I ADDIREAR T FT. IN. REPAIR I II MOVING I DEMOAPPROVEDBY TEBUILDING�j ZVISIZE NO. OF .i ROOMS SEXTERIOR WAL ROOF COVERING COVERUSE OP BUILDING AND WORK TO BE PERFORMA3IHEREBY AMOUNT SHOWN NDER VALUATION IS FOR THE ACKNOWLEDGE THAT 1 HAVE READ THISTHE AND STATE THAT THE ABOVE 18 CORRECT AND AGPURPOBE OF ESTpBLIEHING A PERMIT FEE ONLY. PLY WITH ALL CI RDNANCEB AND 8TA1E LAWeBUILDINGONRALUATIONSIGNATURE OF PERMIT FEEPERMITTE PLAN CHECK SAUTHORIZED / 3Spl� 7$�5/ �D AGENT00%% TOTAL / J