HomeMy WebLinkAbout220 PAULINE PL - Building PermitsPfl0.1M-�RODNESS: ?�LO PAUi.INE PL
owr�x•s xarne: HARGETT LERA
aooeess: 220 PAU{,INE PI�
COSTA MESA,CA
548-6063
ANCN/ENGINEEH:
ROONE55:
UNIT:
92627
HEG.NO.:
UNIT:
PEPMITTEE: I�ERA HARGETTA ( 714 ) 548-6063
aoosess: 220 PAULINE PLACE
C05TA MESA CA 42627
LICENSED WNTqqCTOB OECIABpT10N: I hereoy aifirm ihat I am Iicense0 untler pmvisians of ChaO�e� 9(�ommencinA w��� Seclion
]OW) ol Division 3 0l ��e Business antl Professions COGe. antl my license is in IUII fo¢e ana eifect.
CITY LIC.: STRTE LIC.: C1A55:
�ale: SignaWre:
WOXKEPS' COMPENSRTION OECIAflATION: I here�y afiirm ihat I have a cenificale ol consent to sell-insure or a cenilicale ol Workers'
Compensalion Insurance. or a certtlietl coOY �hereol (Seciion 3800. Lab. C).
POIICY NO.: E%P. URTf:
tc,arnvnxr:
LJ CetlifieG topy is �ertby Iumishe0. ❑ CenilieG capY � IileE wit� t�e tity BuildinB Oivision.
Oa�e: ApDlitant:
FXEMPTION fflOM WOBNEBS' COMPENSRTION OECUPATION: (ihis section nee0 not Ue compkteA il Ue permi� is for one hunOreU (5100� ar less�.
I tetlity I�ai in I�e petlarmante o� t�e work lor wAit� �hi5 Oermi� i[ iSSue�. I 5hall no� employ any p¢rson in any manner So a5 Io became
subjttt to ��e WorkeR' ComOensation laws of Calilomia. // �� �
r
�: �=7 — 92 Signawre ��yY— l�� G'�
NO710E: Ii, alter making �his declaration, you should hecome su01�� �o tA Work Compen ation provisions of iAe La6or
Cotle. you musl tarltrxii� camply wiih Su[h pmvisions or ihis p¢rmii SAall 6e Aeemetl revoketl.
CONSTPOCTION LENOINC RGENCY: 1 hereby a��irm I�ai ��efe is a ronSiNciion IenainA aAency for �Ae pedormance ol Ihe wark �of
which Ihis oermil is issued (Section 3W7. Civ. C).
LENOEfl:
aooeess:
OWNFB BUILOEP DECLABRTION: I �ereEy affirm t�at I am exempt Imm i�e Coniraaors' State License Law br t�e followinA reason
�Seclion 7p31.5 Bu5ine55 antl Pmlessional Cotle: Any city ol county w�ic� �eduires a permit IO [onsiruci, alie�, improve, demolish, or
r¢pair any slmcWre, D�ior la ils issuance. also 2puire5 i�e aDPlicant for Such permil lo lile a SiAnetl SWtement IAai �e/she i51iun5e0
Dursuan�tothe provisions oi�Ae Cantractors' $late License Law�C�a0�er9�commencing wit� Section 7000�of0ivision 3 oil�e Busin¢55
ana Pmfessions Code) or Ihat hels�e is exempt Ih¢reimm ana lh¢ ba5i5 tor Ihe allege0 exemD�ion. Any violation ot Seclion 7031.5 by
any aD0lican� for a permi� SuDleciS t�e aDPlicant �o a civil penaliy ol not more lhan live huntlr¢C Eollars ($SIXI).
I, as awner ol tAe OmDerty or my employees wit� wages as tAeir mle compenuqon, will Ao lhe wad, an0 Ihe
❑ simcture a noi intenGed or affereA lor sale (Secibn 70a4, Business anE Pmiessional CoOe: 7�e Contracmrs' Sute License Law
Oo¢5 not appN �o an Owner ol a pmDerty wlw builas ar im0��'es �herzon, and who Oou wc� work himsel�/Aersel� or t�mup�
his or �er Ovm employee5, pmWtleG I�al SutA im0�ov¢m¢nis ar¢ n0i ini¢nUOJ or olfereA for sale. tl, however ItM EuilGing or
improvemem is w10 vnthin one year of compietian. the owner vnll �ave t�e GurGen ol Dmving Ae/she tlitl na� Oui10 or impmve
lor ine ourpose ol salel.
I, as owner ol lhe propetly, am exclusively conirac�ing with IicenSeA Conlracloro to conSVutl f�e pmlec� (Sec�ion 7044, Business
❑ antl ProlesSions COGe: The ConUaclors' Sla�e License Law does nol apOty to an owner o� pmperiy wha builOs or imOmves �hereon
antl who conlracis far such pmiecis with a conirador(s) license pursuant lo ihe Conlradors' State License Law). I am aware
Nat Dmol ol Ihei� Worker's Compen5ation insurance shoula �e proviaeA to me.
� � am exempi uneer Seaian: BP704 4 B. 8 P. C.
mr mis reason: ALL WORK BY OWNER
9elel � � � Owner,
I tlo �ereby cenily Ihat I am aware of an0 un0ers�ana ihe reQuiremen�s ol Calilomia Heal�� antl Salery Cade, ctions 25 O5, 25533, and
25594 an0lhai I or any IUWre building occupanl wilVwill no� (circie one) neeU lo comply with SaiA Slaie w 5 an� Ihe fequiremen�s lar a
permil lor con9mc�ion or mo0ilication iwm �he Air �ualiry M agemeni Oislrici. NevGential con5imction applications are exempt �mm
t�ese p�ovisions.
Aii¢: � � � � � �^ APDlicanl'
I �ereUy [eriity I�al I have �ea4 ihi5 application an0 siale hai Ihe ahove inlo�mation is co t. I agree m comvry vntA all city an .coumy
ordinancesantl5talelawsrelalinglobuilAingconsimclionanOhere�yaWhorizere0�esentali o�l�isciryloen�eruponthe meniioned
o�ooerty lor insoeclion pWposes.
�e:����!_�Si9na�ure: `�
orivers�icensea�Soc�aisecwiya:
i6at�a6 W�ite—Bwl�inp: Grean—Code EnlorcemenL Canary—q0olicant; Pink—Revanuc Goltlenrotl—Assx�sor
CITY OF COSTA MESA — HUILDING PERMIT t N; �
PERMIT NO: B 056883 PLAN CHECR NO: 01265-92 S . .
CONSTRUCTION TYPE; V—N PERMIT TYPE: STR P[JRPOSE: ALT
JOB DESCRIPTION ; 2505Q FT SOLID PAT20 COVER SQ FT: 250
CLAIM VALUE: 1,500.00 CALC—VALUE: 3,450.U0 GROUP OCC: R-3 /
COMMENTS• COMPLY W/SFT SETHACK FROM PROPERTY LINE p�g �g o
�t� x tr�t****�x ****�r*x *� **�r�t******�r****�+r********���x ****�r�t*��IVI�f�L*����fl
Z O N I N GS ERTEBQAUCIKRSE M E N T
REQUIRED
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT; FT IN REAR• T
LEF'f; FT IN RGHT: FT IN LEFT: FT IN RcxrSURVE�zOF L(�� LINE
PARKING RE(� • PROV: PARCEL: 42614111 ZNE: R1 REF rF�?Y BE REQUIRED
PLANNING NiST'ES> SETHACK EXISTING PATIO COVER SFT, FROM SIDE PROP, LINE.
> INCLUDING POST.
�r�r�r+�*��r*�r*****��*���e**�r��*�r*�r*x��*��+�w*�r�t�t**+t��***x�r��**���r*�**�r******�t�r*���*�*x
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 ��C� �^ DATE; �7 Z-
BUILDING APPROVED BY ; �DM-`� DATE• �i' % �2
APPLICATION ISSUED BY;
M!f iE )E )E iE ik iE iE iE ik iE 1F 1E iE iF iF if iE if 1E IE
ifif�Fititik3Eif3fikikiEifiEkiFftiFiflflEiEitiEk�lElFlM1iEiEiEfEiEiF�tlF�kiEiFifil. i(..kik3flEif
LEGALZZATZON:N F E E S U M M A Ft Y
BLDG PMT PLUMHING ELECTRIC MECHANIC
PERMIT 63.00
PLAN 40,95
DATE:
iFiF iF?i �FiE iE if iE if it �F 1E iF 1EiF:G�(�fi' �F�F7FiF lE 3f
N� iM1 jF 3f 3F itiF iE ik if k�)k IF iF # 3F'if iF 3k �t iF 1E 3E iE iF �E if•
STRUCTURAL SEGMENT;Y
FZRE SMIP/RES GRADING
,5�
SMIP/NON—RES
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECIC TOTAL PAID DUE
TOTALS----> 63.50 0.00 40,95 109,95 104,95 .00
REVENUE DIVZSION TOTALS--> COLLECTED: 104,45 OVER/SHORT; ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING FLAN—CHECR
63.00 ,50 90.95
IE iE iE iF iE iE iE 3E iF 1F iE 3f 1F if iE iE 3F iE iE ik if iE iE �f iF if iE iklf iE iF iE if if if 1f if �E iE 1f ik �lE if iE ak iF 1k iE iE if iE �E iE if aF 1f if iF if 1E �f 1F ik 1f 1f iF iF af If iE iF if if iF iF if iE 1E if�
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 2S0 RES—FA'PIO COVER—POST & SOLID ROOF 13,80 3,450,00
END OF FEES
07 7ali�: �' r�;1• __, . - -- -
or,�rr: c„c _ � . _. . • -
' !
CONSTRUCTION AND PLANNING "' P�� � SPA G � j
Date .'Inspeetor Date Inspector
�`� qPPROVAIS Permit# APPROVA4�S Permit#
1. Temporary Electrical Service or Pole 52. Pool & Equipment Locatlon '_ � �
i
2. Soil Pipe•Undrgrnd. 53. Steel Reinforcement -- ,
3. ElectricaY Conduit Utility-Undrgrnd. _-� 54. Forms � � �
4. Electrical ConduibUndrgrnd. 55. Electrital Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVEq-GUNISE
7. Footings -� 58. Electrica� Conduit-Undrgrnd. �
8. Foundation j � 59. Gas Pipe, O Undrgrnd., Test ' `"� �
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, � Undrgrnd. � �.
10. Suuctural Floor SYstem 61. APPROVAL TO DECK � ., �
11. Property Sewer Line & House Connection 62. Backwash & ReceptorFinal �• -�
�
12. Sewer Cap •! 63. Heater & Vent-Final ' ' `
,
13. Roof Drains � 64. Plumbing System � Final _} � t.� ,� f
14, floughPlumbing 65. ElecVical�Final - , ' 1�`•
15. Fough Electrica�-Conduit 66. Solar System�Final
16. Rough Electric Wiring 67. Fencing & Access ApP�oval
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical�T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Dutts, in Structure 70. Underground Hydro
22. Ducts, Ventilating • 71. Product Piping �Gas �Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Root Framing 73: Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceilin9 (Structuraq & Monocoat. 75. Dry Chemical
27. F�ame and Flashing 76. Dry Standpipe
28. Lathing & Siding � 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. DfY�vall Nailing � HEAL7H DEPT. REQUIREMENT
,. '
31. Plaster Brown Coat �.,� � 79. FINAL INSPECTION
32. Electrical Power Meter�Pinal '�. �; � 80_ F000 CERTIPICATE ISSUEO
33. Final Electric �-, Notes:
34. Final Heating & Air Conditioning _�
35. Final Gas Pipe-Test ,� .; .
�
36. HOod or Canopy
37. Final Factory Fireplace
38. Final Plumbing � "
39. Water Service�Final �
40. Gas Service-Final �
� 41, Solar pomestic•Final -
42. Backflow Preventer �
43. Backflow Irrigation � �
44. LBndscape Irriqation System ,
45. Sound Attenuation
46. Handicap Regulations - .
� 47. FINALSTRUCTURE & BUILDING `r
(v`(;'`tL. ��v�
48. FINAI.PLANNING � /�' �_ :-
49. Electric Release to Edison .- - � �'
. . /"; . �
50. Gas Release to Southern California�GasCo � �� � � ,
51. CERTIFICATE OF OCCUPANCY "!
No. Date
� -.
NOTE� SHOW AND DIMENSION PROPOSED
PA710 COVER AND YARD AREAS
E ,T�_ �
ADDITIOhI ; D�L ?l7�::,, OP, CORRECTIONS SHALL
BE APPR v-G � Y TiiE ?i.4(�i(VIVG DfFARTMENT
.1/Y I ��'��' I� _ rr
�r ��' . ���. � V „ .i+�✓
� i t OF COSTA M65P�
PLAN ING D�f•
�,uaietf rq ow0. Ds�T.
,la I� ! _..., � I���:
21•4�
o�Csroe °v u�° ---=-:� Li f.l E I
�k� � � � �'D Mu'� /� �
220 �IvL�t�'LS ,l� ��•
,�,�,� � --
s� ` SURVEY OF LOT LI�TREET perinit �#��
MAY BE REQUIRED THIS NUMBER MUST
�KE DETECTC`•R�1..OT PLA c-riorv F
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'���l�1j,����R00F�.SHEAT ING...
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�.fi�.,—X�-� -'RAF.TERS � ��.�"�¢,...
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� �i;iLSb`"!�F1ER REOUIP.iNG' r...` �
'1�:2T+� AND �PECIFIChTFOR:GP,OST�-Z;BE�IMNI
JMC Gt%'ic7Alln;•1S yEi1. �GONNECTiION.I �REV
�IAiIC^ti' �Jr fiil$ G CAfiRIED ON'iHEAEU�DEi
CODE OR OF !WY OTHER pf7DINAl
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26 GA. G. I. FLASHING �
WOOD FLOOR
CONSTR TI6N`—�-
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201M.ROOF CONNECTION
DETAILS
CONT.
LEDGE
CONT.
LEDGE
SOLID BLOCK
I/2�� DIA. X 5�� LAG SCR.
AT 32�� O.C.
DETAIL I
CR 9 CL ��TECO°
GRIPS OR JOIST
HANGER
3Ig° DIA. X 5�� LAG SCR.
ar �g" o.c.
DETAIL 2
IOIe:sOR LIGHT WEIGHT ROOFS
ONLY CONNECTION DETAILS
X FACIA-MIN.REO.
RAFTER
APPROVED METPL
HANGER
DETAIL 3
D�[oPr�rr
s�cEs n��r�rrr
BUILDIT�IG SAFETY DIVISION
OWNER:
ADDRESS� —
CONTRACTOR�
ADDRESS�
RAFTERS
CARPORT, PORCH OR PATIO
NOT SUPPORTING CEILING
SIZF SPACING SPAN
2"x4': 12"O.C. 9'-6"
16" 8'-0"
24" 6'-6"
32�� 6�_a��
48" 5'-0"
2"x6" 12" 16'-6"
16" 14'-6"
24" 12'-0"
32" 10'-6"
48" .8'-0"
2"x6" 24" 15'-6"
32" 13'-6"
48" 11'-6"
4"x6" 24" 17'-0"
32" 15'-0"
36" 14'-0"
4"x8" 24" 21'-0"
32" 19'-0"
36" 18'-0"
48" 16'-0"
4"x10" 32" 22'-0"
36" 21'-0"
48" 20'-0"
72" 17'-0"
PATIO COVER
TYF PLANS
DATE :
PHONE �
LIC. N0.
PHONE�
RAFTERS APPROVED FOR
LIGHT WEZGHT ROOF COVER OF gUILDING PERMIT
LATH, FIBERGLASS, ALUM. By Date_
SIZE SPACING SPAN
2"x4" 16"O.C. 9'-6"
24�� 8 � _p��
32" 6'-6"
48" 5'-6"
2"x6" 16" 16'-6"
24" 14'-6"
32" 12'-0"
48" 10'-0"
2"x8" 24" 19'-0"
32" 15'-6"
48" 13'-6"
HEADERS
LIGHT WEIGHT ROOF ONLY
SIZE POST SPACING
4x4 6'-0"
4x6 9'-0"
4x8 12'-0"
4x10 15'-0"
CARPORT, PORCH OR PATIO
SIZE POST SPACING
4x4. 5'-0"
4x6 8'-0"
4x8 10'-0"
4x10 12'-6"
GEHERAL NOTES:
1. These plans must be
kept on the job at
all time during
construction.
2. All fFaming [o be
Douglas Fir NB �
grade minimum.
3.. Raf[ers may no[
attach to facia ex-
cept for 107�yroofs
as shown on details;
20Ibsroofs must use
a continuous ledger
attached as shown
on details dkl�+ir`2.
4. Light weight roofs
may attach to facia
for 14' span max.,
spans over 14 must
use a continuous
ledger as shown in
detail 113.
�
��� ����
�
CITY OF COSTA MESA
BUILDING DIVISION
OWNER-BUILDER VERIFICATION
A city or county, which is required to give notice pursuant to Section 19830, shall attach to such
notice, and, as a condition precedent to issuing a building permit, require the completion and require the
return of, an owner-builder verification.
Attention Property Owner:
An 'owner-builder' building permit has been applied for in your name and bearing your signature.
Please complete and return this information in the envelope provided at your earliest opportunity
to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued
until this verification is received.
1. I personally plan to provide the major labor and materials for construction of the pro-
posed property improvement. � Yes ❑ No
2. I(have/have not) � signed an application for a building permit for the
proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction:
Name
Address City
Phone ( ) Contractor's Lic. No..
4. I plan to provide portions of the work, but I have hired the following person to coordinate,
supervise and provide the major work:
f� - �FT'iT-�
Address City
Phone ( ) Contractor's Lic. No..
5. I will provide some of the work but I have contracted (hired) the following persons to pro-
vide the work indicated: �
Name Address Phone Type of Work
I hereby aHirm that I have received a copy of the information set forth in Section 19830 of the State
ot California Health and Safety Code and have completed the above information to the best of my per-
sonal knowledge, ' complian e with this State law. t� p�I
Signed: a� Date: / — � — / nf
Name: � �r 0. 0.. C
( r �ed or Typed)
C.D.L. N or S.S. # ��
754-5273
�ecr aooeess: z z 0 PAJL i NE PL
v�sxarne: ��GETT i.cRA
. nooxess: Zz0 PAiI�, � NE PL
COSTA MESA,CA
�AflCH/ENGINEEP: 5 4 8— 6 n 6 3
aooeess:
.
9262'7
uNiT:
NEG.NO.:
uxrt:
PEHMITTEE: CRANH BROTHERS ROOFING ( 71 A) 548-5559
aooness: 126 COMMERCIAL WAY
COSTA MESA CA 97� 7
LICENSED CONTBRCTOB OECLANATION: I hereby allirm �� am litensed untler pmvi5i ol pter 9( mmenCing wilh SeClion
]000) ol Orvision 3 0l Ihe Bus�ness an0 Prolessians Catle. my license is in lull for an0 ect.
c�,ruc.:005993 srareuc.:40867 �ss: �
.ggp!%� —��i "� Z $ignaNre' . _
WOBKEPS' COMPENSATION OECLANRTION: I her affi Ihat I �ave a certilicate of consenl la selbinsure ar a certiliwte ol Workers'
Compensaiion Insurance. ar a cenifiea copy tner i ISe ion 38 U. Lab. C�.
POLICYNO.: �85zz�#9[ E%P RTE: OS IOS IQ..
cornvnxr:STATE FUND �K
❑ Cerlihetl copY is hereUy WmisAed [Y� Cenifie0 copy i IileO vnt� the ciiy Bui� son. �
'� /d—�2 �tds
-�4Sr._ Ap0licant�
E%EMPTION FHOM WOPREPS' COMPENSA710N oECIA ION: �This 5¢ciion nee0 nol be campleleG i� Ihe permii is �ar mle AunOretl (5100) of less�.
I cetlity Ihai in IM1e pedormante o� Ne work lor whi ihis ermil is i5sued, 1 shall noi employ any person in any manner so as to become
subject to ine workers' CAmpensalion LawS ol C'lo a.
Oate: SignaWre:
NOTICE: If, a�ter making Ihis declaration, you s�ould become subject to I�e Workers' Compen5ation pmvisions ol Ihe LaLor
Cotle, you musl �otlhwi�h comply wiih such provisions or�his permit shall be deemed revokeJ.
CONSTflUCTION LENOING RGENCY: I hereby allirm Ihat �here is a con5�mtli0n lentling agenty lor �he perlOrmante 01 I�e work for
whic� I�is permii i5 iSsueA (Setiion 31197. Civ. C�. '
IENDEN:
noosess: •
OWNEP BUILDEB OECLABATION: I her¢by aflirm Ilui I am exempi �mm IAe CanlratlorS' State License Law far t�e tollowinA �eawn
(Sec�ion 7031.5 Busine5s anE Pmlessional COAe: Any ciry ol county which repuires a permii �a conitmc�, alier, improve, Oemolish, nr
repair any simcture. D�ior ta its issuance. also repuires Ine applicant for sucA permil to lile a siAneO statement ihat APJshe 6 licensetl
pursuam to the provisions oi the Coniracmrs' Sia�e License Law (Chapter 9lcommencing with Section 7000) ol Division 3 of tne Business
an0 Pmlesions CaOe) ar Ihat �e/s�e is exempl t�erelrom an0 t�e Gasis for t�e allege0 erem0��on. My vialali0n ol 5¢ction 703L5 by
any aODlicant for a permil subjttts t�e appliWnl ta a civil Denalty of nat more ihan five �undre0 Uallars (5500).
I, as owner ol the pmpeny or my employees witA wages as itleir sole comDensation, will Oo ihe woA, antl ihe
❑ simcWre is nol in�enaea or olleretl lor sale (Secnon 704a, Business an0 Pmfeuional COAe: The Coniracrors' State License Law
does not aD��Y to an awner ol a D�oDeny who builtls or impmves ihereon, and who does such work himsetl/Aerseli or thmugh
�i5 or her Own ¢mpl0y¢es, O�OviAetl Iha� 5uth improvemen(5 are nOt inl¢ntletl or o��¢r¢0 fOr Sale. 11, however I�! Guiltling or
improvement is solA wilhin one year ol complelion, ihe owner wiil have t�e burden ol Droving �e/She Oitl not bui10 or impmve
lor �he purpose o� sale�.
� I, as ownerollhe pmDe��Y. am e�clusively con�rac�ing wil�licensetl conlrac�ors�o conslructihe pmlect (Section 7044, Business
❑ and Pm�essions CoOe: The ConlraC�ofs' S�a�e Litense law tl0es n0� apply lo an own¢r 01 propetly who Gmltls or impmves [hereon
anC who tamracis �or suc0 D�ojecis wiN a coniracloqs�license pursuantio ��e Conirac�ors' Sta�e License Law)!I am aware
Iha� pma� o� Ih¢ir Worker'S Com0en5alion in5uranCe ShOultl be pwvitletl lo m¢.
i� I am exemp� unAer Sectian: B. a P. C. '
lor Ihis reason: �
Date: Owner:
I Oo nere�y cenily inai I am aware ol anA unAers�anA Ihe requirements of Calilomia Healih anA Salery Catle Sections 25505, 25533, ana
2553d ana I�at I or any NWre building occupanl will/vnll not (circle one) nee0lo comply wiN saia sta�e coaes an0 the reQuiremen�s for a
permii for con5lmciion oi moAifica�ion imm Ihe Air Oualiry Management Oistrict. flesitlential consVuclion apDlications are exemp[ tmm
NMe pmvisions.
Oaie: Applicant: _
I �ereby cer�ity�Aa� I have reaG t�is appli[alion antl slate�hat
ordinances and staielaws�elalingto Cuil�ing constmclion an0 h
pmp0rty lor inspeclion purposes.
�a1e'�O �` � Signature
Oriver's License or Social Securily M: ��
160t�A6 WhRe—Bviltling�, Greon—Code E ement; Canary—ApplicanL Gink—Revanoo;
with all
CITY OF CUSTA MESA — BUlLDING PEkMIT PERN: NO: B 05651�
PERMIT NO: B OSG514 PLAN CHECK tJO: N GOVT: N SUFP: N
CONSTROCTION TYPE: V—N PERMZT TYPE; STR PORPOSE: A�T
JOH DESCRIPTION : T/UFF REROOF W/FIBERGi,A55 SHINGLES SQ rT: 3,410
CLAIM VALUE: 3,410,00 CALC—VALUE; 3,410,00 GROUP OCC; R-3 /
COMMENTS: SMOKE DETECTOR RE�UIkED SN THE HOME
Sf3f�iflFN�%��lElf•lFiFiFiE##K�kk3E3f1fiF3fiE�lE�i�3i��i� iFii�r:iFiFiE�Y3fdi�i/�X�iEk3i�3F1FiF##i'r3eii�ii�ii�lEif#li##1eiE1F�i�#1'r�JFli�i'r};i(•iF#ii��jFkkA'if#
Z O N I N G Ft E Q U I R E M E N i S
S E T B A C K S
------------ MAIN BliILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT ZN RGHT; FT IN LEFT: FT IN RGHT: FT IN
PARKING RE • FROV; pARCEL; 42619111 ZNE: REF NO:
PLANNZI�G N Y'ES> '
>
if iE if ic iE iE i## if iE iE ## f(� le?E 1"r ie �e fF 3F 3f ii fE ie # iE ## iF 3(� ## iE ##�f i'r # ic if iF 3E iE ii�±t lf 1f �f iE iE iE 3e 3e iE ii� �1F �E # ii ii� iE iE 3f- 3e i'r ii��i'ii� �lt iE if if� lf lE # 3F #
D E V E L O P,�1 E N T S E R V Z C E S R E Q U I R E P�i E N"�' S
ZONING APPROV�3D BY DATE: '
BUILDING APPkOV£D BY : DATE:
, . . �_
APPLICATION ISSUED BY;������ DATE: ���%O 'g �
iEiFif3E�EiE3E#kiFiEiefF#ff�ltiiE3E3eiF#3c .'�I iF'ir'iFfF�7v e.••r• . ..- . �#)e#iE�1Fit1'rifif3ks..,�'i'i6irlcTrri'%n�#iE
1%#'tf iE # je ii� k iF �F if ii� �1F �(- IF jE {E �k if �# lF ih 16 N� iE iF iF # iF # iElf if �!F �lE iE if-?F �%i� .. .. . af #�F ik?f iF if� 1F K• # i�'n� �fE #.` 1F ii� if� k�a� iF iE IF 3k iE 3E # 3(� ih 3F i(� # ii ���f
LEGALIZATION:N F' E E 5 U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FZRE S�ZP/RES GRADT_h�G
PERMIT 63.00 ,50
SMIP/NON—RES
�'LAN
ISSUE FEE
BUI'LAING—DIV—> FERMIT ISSUE PLAN—CHECK TpTAL PAID DUE
TOTALS----> 63.50 0,00 0,00 63.50 63.SU ,00
REVENUE DIVISION TOTALS--> COLLECTED; 63,50 OVER/SHORT: ,00
BLDG FMT PLUMBING ELECTRIC NECHANIC FIRE SMIP/TOT GRADING PLAN—CHECR
63,00 ,5p
IE �lE 7f �k i4 iE iF 3f IE ii� #�k #�!e ii� iE 1E iE iF iE M�-1F k iFjE �IE if� iE• iE iE if iE iE if� #�k' �lEiE # lE%iE 3F ib le # ii� li # 1E 3E if iF 3E iE jf lEiF?F i(� iFY- iE if iF iE if # iF if aF if fi� # iF # IE 3f �Y:
I N D Z V I D Q A L F E E B R E A IC D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 3410 REROOF BY VALUE RESIDE23TIAL N020NE 1,00 3,410,00
' END OF FEES
�i Q�1 jl�n*_ul'yt�: �" _
['�f i �' i�iTi i� � . �.!': ' . _.
:
�NSTRUCTION AND PLAP(NING
APPROVALS Permit #
-�= -
1. Temporary Electrical Service or Pole
2. Soil Pipe�Undrgrnd.
3. Electrical Conduit Utility-Undrgrnd.
4. Elecirical ConduibUndrgrnd.
5. Steel Reinforcement
6. Electrical UFER Grnd.
7. Footings
8. Foundation -
9. Water Pipe-Undrgrnd. .
10. Structural Floor System
11 . Property Sewer Line & Hous6 Connection
72. Sewer Cap •
13. Roof Drains � ' �
�q, Rough Piumbing
15. Rough Electricai-Conduit
76. RoughElectricWiring _
17. Rough Wiring Sign "
.
18. Rough Electrical�T Bar Ceiling
19. Rough Heating & Air Conditioning
20. Rough Factory Fireplace
27. Ducts, in Structure
22. Ducts, Ve�tilating
23. Gas Pipe�Fough & Test
24. Roof Framing
25. Roof Sheathing
26. T�Bar Ceiling (Structuraq & Monocoat
27. Frame and Flashing
28. Lathing & Siding
29. Insulation
30. Drywall Nailing
31. Plaster Brown Coat .
32. Electrical Power Meter�Final
33. Final Electric
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar pomestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irriqation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILOING
48. FINAL PLANNING
49. Elearic Release to Edison
50. Gas Release to Southern California Gas Q
Date
m
Date
PO .k SPA
Inspector AppROVALS Permit #
52. Pool & Equipment Location
53. Sieel Reinforcement
54. Forms
55. Electrical Bonding
56. Rough Plumbing & Pressure Test
57. APPROVALTOCOVER�GUNiTE
58. Electrical Conduit-Undrgrnd.
59. Gas Pipe, � Undrgrnd., Test
60. Backwash Lines, P-Trap, 0 Undrgrnd.
61. APPROVAI TO OECK
62. Backwash & Receptor•Final
63. Heater & Vent-Final
64. Plumbing System - Finai
65. Electrical�Fina�
66. Solar System-Final
67. Fencing & Access ApProval
68. APPROVED FOR PLASTERING
69. POOL/SPASYSTEMSFINAL
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
70. Underground Hydro
71. ProductPipingOGas ❑Oil
72. Underground Flush
73. Undergrnd. Storage Tank O Gas ❑ Oil
74. Overhead Hydro
75. Dry Chemical
76. Dry Standpipe
77. FIXEDSYSTEMfiNAL
78. FIRE PREV. FINAL
HEAITH DEPT. REQUIREMENT
79. FINAL INSPECTION
90. FOOD CERTIFICATE ISSUED
Notes:
Date �Inspector
� ,:- �5�:�0 •�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX'J17 COBTA MHBA. CALIFORNIA
For Applican� fo Fill In Complefely
B���o�N� z �o � r�
ADDRE63 �V I. A —
COSTA MESA. CALIFORNIA
I_.....__ .�, _�'AG� �. C�INTc,�I
� MAIL
� ARCNITECT
��n Go s r �C� �
ucTNo. l�G� �/� i+o.
8�=E qs—Y. �'a,
OF LOT
USE OF �,..0
EXIBTING BLDG.
6HTBACK LINB FliOM
TEL.
NO.
TEI..
NO. OP BID06.
DESCRIPTION OF WORK
/
ROOF �%�� a/
COVERING ti ��'
K TO BE.pERPORMED
. FEE RECEIVEU
j� SEP 1 4196f
`'FINANCE DEPr.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
RECEIGT NO. /,;lR� NO�
Y
HECEIyE[j.OY I OATF� PECEIVEO / I DlTE IBSUEE
�iL C � ^i
,/� ot
BUIL�ING .� �� y/� ` ; }� �Q
aoowvaw w ��
COSTA MESA,
FIRE
ZONH NO.OF lI6E OP NEW Jfy_ �`
:� I Purve G am�ou+a W%,i►c+_
T//�'"�
LEOAL O�' Zf3 N� ���i. I�.
OHBCN�PTION IN
A.P.NO. IIO '�' �I Z — //7
YAROS EVES
APPROVED LLOWED
IC8NT8R LINe BT.1 �
�
FRONT � C �}�����
t� 9R. SIDE 2 FT. IN.
L.SIDE � /FT. �IN.
��7 %t
APPROVED(;U�G
BY
HQLD FOR
!�'�C I
� y���
_ � � nU. s,s�w� �. d-�.
1 HEPlBY ALiWOWL6D68 TMAT I HAV6 R6AD TXIB A]PLIWTION '�Hg AMOONT BHOWN UNOEH VALUATION IB POR T
AND BTATB THAT TH6 ABOV6 IB L CT ANO A6P86 TO COM- pUPP09E OF EBTABLIBNING A PERM�T FEH ONLY.
PLY WITH 11 p�INAN B ND AT6 LAWB R80ULATINO
BWLDINo oNBTRu �N. o VALUA710N � / �
81GNATU • � /y•� = PERMIT FHE $ L
PERMI _ ,$ /�j//� pLAN CHECK $ ' •� +-
AUTHORIZED AGENT _ ___ ___ ,,, •'� % �
i
JOB ADDRESS ��p pa��� i�
GGN�RAL CONTRACTOR F
AP No. 1_18-112-9A LOT
INSPECTIONS
c —
.
C�
DATE 9-22-61
BOILDING PERn4IT NO. 1 K1J�(1
TRACT RIRG ZONE DPSCR[PTION OR WORK R8S
I Signaturd DATP GROUP j& J TYP� TJ 7.ONE
SUBCON'PRAC'fOR
,� L�7 /_ —
f�iR
6�
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