HomeMy WebLinkAbout1937 PELICAN PL - Building Permits 4_ -t
PROJECT ADDRESS: 1937 PEL;CAN PL UNIT:
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 05734;
OWNER'S NAME: KAPSON MELVIN H
ADDRESS: 1937 PELICAN PL PERMIT NO; B 057347 PLAN CHECK NO; N GOVT: N SUPP : N
COSTA MESA,CA 92626
CONSTRUCTION TYPE: V• 1 PERMIT TYPE: SIR PURPOSE: ALT
540-8887
ARCNIENCINEER: REG.NO.: JOB DESCRIPTION : T/OFF REROOOF W / SHAKE& CAP SHT SQ FT: 7, 700
ADDRESS: UNIT:
CLAIM VALUE: 7, 700 . 00 CALC—VALUE: 7, 700 . 00 GROUP OCC; R-3 /M-1
PERMITTEE: C'HAMPION ROOFS ( 714 ) 898-8600
ADDRESS: 3257 VERDUGO COMMENTS: T/OFF REROOF W/ SHAKE &CAP SHT
LOS ANGELES CA 90065 +c*te+! xx**#a!xxx (***x*TE**LEGE****x***TE***x****r.xx ****xr.-x**kEx*****>E*I *x****4;44*arx:;xx
LICENSED CONTRACTOR DECLARATION: I hereby allirm that I am licensed under provisions of Chapter 9(commencing with Section rL ONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS
CITY LIc�4 2 7 2 5 STATE UC.:4 2 9 4 81 CLASS: C-39
-- Date:J ,42725
C`/ y1 signature: "M CCIP C(JaA MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby elfin that I have acenificateol consent to sell-insure or a certificate of Workers' FRNT: FT IN REAR; FT IN FRNT; FT IN REAR: FT IN
Compensation Insurance.ora certified copy thereof(Section 3800.Lab.C). LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN
POlacr NO.: 1 2 5 0 2 9 7-92 EXP.DATE: 05/01 /93
COMPANY: STATE FUND PARKING REQ: PROV; PARCEL; 13948170 ZNE; REF NO:
J Certified copy is hereby lumished. ® Certified copy is filed with the city Building Division. PLANNING NGTES>
I �. Cacti, >
Date: (VS lc/2 Applicant: . l
.s (9� l... G.a **#lEif*ie*#?flFselfiEi!3EIF#t**if1E*****i!***********#ii*itx*************if•*#?F*i6#x**##*3F3E#*X:>rxxif
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the penin s fa one hundred(5700)or less). DEVELOPMENT SERVICES R E Q U I R E M E N .T S
I cenily Out 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. ZONING APPROVED BY - DATE:
Date: Signature:
NOTICE:If.after making this declaration,you should become 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. t _
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY••C _— _ Y ---Fg„- DATE: COS/3 `J' Z
which this permit is issued(Section 3097.CM.C). *************,***)i**** •'s:ii:$s•whin—•'x .**.**********k**n*1e*******i.****#irk**ii*fr***
LENDER: ***********************************YR************ii*****************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT;Y
OWNER BUILDER DECLARATION: I hereby allirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING EL' 91de 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 9 9 . 0 0 ") 17
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 1 SMIP/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 .� r
any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars($500). ISSUE FEE
I. as owner al the properly 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————> 99 . 77 0 . 00 0 . 00 99 . 77 99 . 77 . 00
does not apply to an owner of a properly who builds or improves thereon,and who does such work himself/herself or through t•
imprroveor menis sold within provided
ofat such competion he owner ements will e have tht e burden of ed or red for sale.II,poving he/she did not build or limprove REVENUE DIVISION TOTALS--> COLLECTED: 99 . 77 OVER/SHORT- 00
for the purpose al sale). BLDG99 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
❑ and Professions Code: The Contractors'Sete License Law does not apply to an owner of property who builds or improves thereon '-
andwhocontracis for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware ****************3E*IF***********i4***4********Xi***************i4************'*****if*
That proof of their Worker's Compensation insurance should be provided to me. I N D I V I P U A' L' ' F E E BREAKDOWN
o I am exempt under Section: B.&P.C. /r
toe this reason: TYPE QTY D E S C ' I P T I 0 N• UNIT COST TOTAL COST
Date: Owner SFR 7700 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 7, 700 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and that I or any future building occupant willwil not(circle one)need to comply with said slate codes and the requirements for a i0
permit for construction or modification Iron the Air Duality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that I have read this application and stale that the above information is correct.I agree to comply with all city and county r
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. /n
Date: 5 //a/ v 2 Signature: �N\ L Co&co .4 :.172. -- . —
Drivers License or Social Security a: •
1641-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue;Goldenrod—Assessor
CONSTRUCTION AND PLANNING POL -v SPA
APPROVALS Permit# Date Inspector APPROVALS Permit #_ Date Inspector
A
, 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
ilii 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 UF ER 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, 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
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing (�,\'i\' 'az,. .
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 i HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat • 79. FINAL INSPECTION ,'
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED _ I1
33. Final Electric Notes: .21772...._,/J� ...
34. Final Heating& Air Conditioning A/C �-----�//� OG
35. Final Gas Pipe-Test - / v
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backf low Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE&BUILDING _tt IRV Per
48. FINAL PLANNING
. 49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
PROJECT ADDRESS: 1937 PELICAN PL 0NIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: P 065218
OWNER'S NAME: KAPSON, MELVIN H
ADDRESS: 1937 PELICAN PL PERMIT NO: P 065218 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA,CA 92626
CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE; OTH
540-8887 REG.NO.:
ARCH/ENGINEER: JOB DESCRIPTION : REPLACE ELECTRIC RANGE TO GAS SQ FT:
ADDRESS: UNIT:
CLAIM VALUE: CALL-VALUE; GROUP OCC: R-3 /
PERMITTEE: KENNIHAN PLUMBING ( 714 ) 548-0229
ADDRESS: 418 TUSTIN AV COMMENTS : NO 'BLDG. ' PERMIT INVOLVED .
NEWPORT BEACH CA 92663 ######**4***######+r# #####*######***4* F*###*#************************##*##cr*###
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z 0 N ING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code,and my license is in lull force and erect.
SETBACKS
CITY LIC.: 054980 STATE UC.:61958 LASS: C
Date:_/Z.— 7 s to _ Signature:— _ _ ��� MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I herebyall that l have a certificate of consent to sell-insure or a certificate of Workers' FRNT; FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
POLICY NO.: EXP.DATE:
COMPANY: PARKING REQ; PROV: PARCEL : 13948170 ZNE: REF NO:
] Certified copy is hereby furnished. 0 Certified copy is rued with the city Building Division. PLANNING NOTES>
>
Date: Applicant: ****************#*********#****#*#*********************************************
EXEMPTION FROM WORKERS'COMPENSATION DECURATION: (This section need not be competedil the permit is for one hundred(MO)or less). DEVELOPMENT SERVICES REQUIREMENTS
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. ZONING APPROVED B Y •
II Date: /-4- "7 - 53 Signature: DATE:
NOTICE:If.alter making this declaration,you should me 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. ,
•
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY; '( c--Ve1/4- DATE: 12 J 4. l 0. 5
which this permit is issued(Section 3097.Civ.C). #****rF7F#*
LENDER: *******************************************************************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that l 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: My city of county which requires a permit to construct.alter,improve,demolish,or PERMIT 5,00
repair any structure.prior to its issuance.also requires the applicant for such permit to Zile a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'Stale License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 25% SMIP/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 live hundred dollars($500). ISSUE FEE 20 . 00
I. as owner of the property or my employees with wages as their sole compensation, wit 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----> 5 . 00 20 . 00 0 . 00 25 . 00 25 . 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
his or her own employees.provided that such improvements are not intended or offered for sale.II.however the building or
improvement is sold within one year al completion,the owner wit have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED : 25 , 00 OVER/SHORT: . 00
mr the purposeof 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 25 . 00
❑ and Professions Code: The Contractors'State License Law does not appty to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware **##*****************************************************3E***************#*#***
that proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B.&P.C. INDIVIDUAL FEE BREAKDOWN
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner: PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 5 . 00 5 .00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and that I or any future building occupant will/willnot(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from theAu�uably 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 above information is correct.I agree to comply with all ci y and county
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the a mentioned
property for inspection purposes.
01 00111641-00151341 TOT 25.00Date: 14 — 7— Signature: p; , /
Driver's License or Social Security a:
164646 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
_
CONSTRUCTION AND PLANNING PO(. .. SPA i
APPROVALS Permitr Date Inspector APPROVALS Permit Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
i
2. Sol Pipe•Undrgrnd. 53. Steel Reinforcement I
3. E':ctrr.' Cordwt Utiity-U'ndrgr rd. 54. Forms
4 Elect ire! Ccndu:t-Undrgr*d. 55. Electrical Bonding j
5. Sti_•-Ru niorc.rnent I _ 56. Rough Plumbing & Pressure Test I� l+
3. ECC.11eu. i.FERGrnd. 57. APPROVAL TOCOVE H,GUNITE
-iL
~7. ruot.nns 58. Electrical Conduct-Urdr grnd. '
8. Foundution 59. Gas Pipe, 0 Undrgrnd., Test -_-_ J _
9. Watnr Pipe-Undrgrnd. 60. Backwash Linos, P•Trap, El Undrprrd - i J
I10. Strueturl Fluor System 61. APPROVAL TO DECK I
11. Propi:rty Si Y.- Lint & Hoa:c Connrction I 62. Backwash & Receptor-Final
12. Si tar Crp� =1- _, j
� 63. Heater & Vent-Final i
1
13. Rai,* Drirs 64. Plumbing System - F 0.21
14. RLunh r'lumbmn -� -_I
65. Electrics LFinal
15 Roiigl EizcIr'ca--Cordua 66. Solar System-Final - ---
. 16. Rough Electric Wiring I 67. Fencing & Access Anuroval i
17. Ro..gh Wring Sign 68. APPROVED FOR PLASTERING I
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL { --I
19.
19. Rou,.h Heating& Air Conditioning FIRE DEPT. REQUIREiviENl-
20. Rough Factory Firep'ace I APPROVALS Permit ;f
21. Ducts, n Structure I 70. Underground Hydro I I
22. Ducts, 'V.:ntilating 7 71. Product Piping 1 i Gas .L Qii
23. Gii,s P pe-7oc;h & Tes: - _ -I- - 72. Underground Flash I
24. nut! Framing I 73. Undergrnd.Storag'. Tank. Ga; G:
J _I_
-
- -I.
25. Roof ShLath:ng 74. Overhead HydroL
26. T-Bar Ceiling (Structural) & nlor.acoat •
T--- - 75. Dry Chemical -- - -- - --- --- --
r
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL r
29. Insulation 78. FIRE PREY. FINAL
30. D:ye:ail N5:117 I HEALTH DEPT REQUIRE'.:E''T I
-
31. PP,stirB:ur.vn Cott I 79. ANAL INSPECTION -- -- --_ - --- _ -- - -- ---
,'
-- -- - - - ----- -- -- ---- --- - -- - - - t -
32. Elronca' Pater Mcter•Frnal I B0. FOOD CERTIFICATE ISSUED
+---- -- ------ --1- - -1- ----
33. Final Electric Notes:
34. Final Heating& Air Conditionirg
i 35. Final Gas Pipe-Test Ig/y,p;ar ----_ - - - - - - ---- i
36. Hood or Canopy x 1
37. Final Factory Fireplace . !
38. Final Plumbing
39. Water Service-Final I
I
40. Gas Service-Final f
41. Solar Domestic-Final 1
42. Backflow Preventer '
__1
43. Backflow Irrigation
---r
44. Landscape Irrigation System
45, Sound Attenuation I
46. Handicap Regulations -----t
_ I
47. FINAL STRUCTURE & BUILDING ~
. FINAL PLANNING
L48
_
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
Lot 34 FEE RECEIVED
71853 MAfi 31 1964
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 317 COSTA MESA,CALIFORNIA ((``IIFINQQANCE DEPT.
\ For Applicant to Fill In Completely APPLTtATIbN FORTPERRMITA
TYPE OR PRINT BUILDING
BUILDING For Office Use Only
ADDRESS 1937 Pelican Place
RECEIPT NO. /.yam
COSTA MESA, CALIFORNIA _ +- L5 3j/
rtSCE1YED BY O/�TE E/7 , AFMi ruin
OWNER Pemba Subdividers, Inc. i(/� JL L 1"IK{
MAIL BUILDING
ADDRESS 2850 Mesa Verde Drive ADDRESS
FIRE
CITY Costa Mesa TEL 5490395 ZONE TYPE GROUP Si''
APPROVED
CP^";INEERE. G. Kaltenbach TEL.5478046 BY DATE
ADDRESS 1833 E. 17th St. , Santa Ana ZONING
ZONE I NO.OF I USE or NCWSZng.L• taln
CONTRACTOR ,
..O WRCY SLZ %y R-1 PLANS 2 BUILDINGw/att VT'-
1�
LEGAL
DESCRIPTION- Lot 34, Tract 5289
ADDRESS
CITY A.P.NO. none
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STCTLIIEO. 187318 TEL 30"TO SIDE Et REAR P.L.
O.
EAVES
SIZE 69447440 I NO.or BLDGB. 0 ALLOWED (U.B.C.REQUIREMENT)
OF LOT NOW ON LOT YARDS APPROVED YARDS APPROVED
EXISTINUSE OF GBLDG ?j( / , p per X 1IO S)4-/(9,°,1F7 MAIN BUILDING ACCESSORY BUILDING
(FROM C/ EET)COl..I
SETBACK LINE FROM 501 56' FRONT FT. FT.
CENTER OF STREET REAR YARD
SIDE YARD LEFT 91 I RIGHT 91 R.SIDE 7
PT. FT.
DESCRIPTION OF WORK L.SIDE 9 FT. FT.
NI ^ X ALTERATION _ ADDITION REAR FT. FT.
DISTANCE BET. BET.MAIN It
REPAIR MOVING DEMOLISH MAIN SLOGS. ACCESS.SLOGS.
BUILDING 2 556 NO.OF 8 2 VAR.P. DATE
SIZE , ROOMS STORIES
2 _ C.U.P.SF APPROVED
EXTERIOR W Siding ROOF �`fLT FI'A� APPROVIgvr i
COVERING W�a tncco I COVERING�011ing�e BY IY,\L`� DATE 70_
Lisa OFB IL INGAND WO OB ER OR ED .{�,. '
Sin g e amly w"i'Mi.attacnea garage Il�/J�
House 2, 004 sq.ft.
Garage 552 sq,ft. Plan 53-BR I. /yr11SQ.MI 5*
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT 8H0DER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. I
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION /�! 0
BUILDING CONSTRUCTION. 6
SIGNATURE OF J// PERMIT FEE $ j
PERMITTEE ;It ie A 4�i1"•" �1/ 6I_ // /��m
$ f ✓ PLAN CHECK S .3 fA�.7 0
E
AUTHORIZED AGE r E
TOTAL FEE $ jaCie a°