HomeMy WebLinkAbout1946 PELICAN PL - Building Permits -�"1,�,' CITY OF COSTA MESA al
<, ° BU •
ILDING DIVISION
t ,,,,,, ..i; DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
�1• pc4 I PERMIT
bo` ss4. P01-00536
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
PLUMBING PERMIT
Job Address: 1946 PELICAN PL Status: ISSUED
Suite No Applied: 09/06/2001
Issued: 09/06/2001
Vicinity:
ISSUED BY: (l V •
Parcel Nunmber: 13947219
Applicant: NOCK, RON ' '
Address: '
Phone: 714-895-1246 '
Zip:
Owner:, JOHNSON, HOWARD B
9 a
Address 12703 BARRETT LN sil °a ,'f•••• •
Phone: i a :" . I 1
SANTA ANA,CA Zip: 92705 tagi
Contractor: NOCK PLUMBING
Address: 11612 KNOTT ST
Phone: (714)895-1246
GARDEN GROVE,CA Zip: 92841
License: 707775
•
Arch / Eng : , ,
Address:
• Phone: •
Zip:
License:
SCOPE OF PERMIT
WATER HEATER CHANGE OUT.
FEE SUMMARY
AMT QTY AMT QTY AMT QTY
ISSUE FEE $23.50 Laundry Tub I Washer $0.00 0 Sump Pump $0.00 0
Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0
Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0
Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0
Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0
Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0
Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0
Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0
Drain,Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0
Drain,Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0
Drain, Roof $0.00 0 Shower $0.00 0 Water Heater/vent $12.30 1
Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0
Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0
Gas Earthquake Valve $0.00 0 Sink, Floor $0.00 0 Water:Service $0.00 0
Gas(1-4 outlets) $0.00 0 Sink,kitchen $0.00 0 Water Softener $0.00 0
Gas(Over 4 outlets) $0.00 0 Sink, service/mop $0.00 0 OTHER $0.00
Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION $0.00
Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00
Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0
Interceptors(Sand Auto) $0.00 0
TOTAL CALCULATED FEES: $35.80
COMMENTS /SPECIAL CONDITIONS
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
2446-48(6/00)
•
DECLARATIONS f"1 ( f `{
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
ork 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'Tration Insuran carrier and policy number are:
Carrier � � � Policy Number: 40 Cd 93806
(This section need not be completed if 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• rail• la,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor e,I shall forthwith
comply with these Dr. 'sten:. 7 /!?� C
Applicant Signature: � Date: !r)x:�
WARNING:FAILURE TO SECURE W It•KERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL 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.MID ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed und: •royj Ions of Chapbr4(commencing with Section 7000)of Division 3 of the Business and�rofesjlon�5 Code,and my license is in full
force and effect.LIc.# 7? S Class#
C� J C—�
Contractors Signature: Date: j /O • o /
� 1 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.(Sec.3097,Civil Code).
Lender's Name: Lenders 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 Ucense 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 fore penM'
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 driver's license. 0 Yes ❑No Drivers 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 then thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder, I wilt 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 ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required.has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes ❑No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application aEermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? U Yes LI No
(Section 65850.2 of the California Government Code requires that the requested Information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes ❑No
(If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 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 COMPUANCE 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.
at
And/Or Authorized Applleent� Date
V
CODE t INSPECTION TYPE DATE IMMMIAlS CODE! INSPECTION TYPE IATA ItirMALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
✓j5'' 7-ODD 5Y
ADDRESS 0FWILDING: 1946 PELICAN PL Will: CITY OF COSTA MESA - BUILDING PERMIT
OI JERSKuIEIppIONN: DUKE GALLAGHER FLOOD: AE-46 PERM NO: B 084271
cm' 1946 PELICAN PL
COSTA MESA,CA 92626 PERMIT NO: B 084271 PLAN CHECK NO: 03332-97 S GOVT: N SUPP: N
CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: ALT
1 ARCHITECT ORENGREER: IUC10.: JOB DESCRIPTION INSTALL SKYLIGHT ICBG #4063 SQ FT: 1 , 000
ARCH OR DWI ADDRESS: WMT:
CLAIM VALUE: 1 , 000 . 00 CALC-VALUE: 1 , 000 . 00 GROUP OCC: R-3 /U-1
°°HimADT°RS"A' SOUTH COAST SKYLIGHTS ( 714 ) 378-1099
CONTRACTORSNMLP 9457 CORMORANT CIRCLE COMMENTS : ONE SKYLIGHT
ADDRES& FOUNTAIN VALLEY CA UC,P : 574454 ************************************************ Eat*******+t*************x-*******
92708 Ve ZON ING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby Slim under penalty d perjury that I am harmed under cronies of Chapters SETBACK S
(commencing with Section 7000)of Division 3 d the Budnen and Professions Code.... , license', lug Mice and effect.
CRT LIDi Nag 62470 UC.CRASS: B LIC.NO.: .1.v./.14401 EXP : 00/00 MAIN BUILDING ACCESSORY BUILDING
Date. —," '-77 eon— /I ` FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
0 R BUILDER DECLARATION:I hereby elfnn under penalty d t I em exempt Iron the CONredora Lice se Law for the
• reason(Section 7031.5 Business and Professions Code:My Sy or county which requires a permit to constrict abet.improve,
demolish,or repair any stuture_prior m Esbauance.abo reguireslhe appfiref tor such permit to files signed statement thelhe orad PARKING REQ: i; PROV.;i PARCEL: 13947219 ZNE: REF NO:
s licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 d the PLANNING NOTES> •
Business d Professions Code)or that he or she S exempt therefrom and the basis for the alleged exemption.My violationd SectionSection > i -- ' , '
a
7031,5 by any sppbren,for a permit subjects the applicant toe SWI penally of nm more than five hundred dohs 15500)). e
*******************3f****`lE********************if**********************7F iF*********
❑ Lesowner the eowny«my employees
with wages their sole compensation,willdothe end the Sto,aM intended nded
wo offered (Section 7044.BusinessdProfessions
r wmCee: Cantrawamuices Lew
does neapply to rwneroh
D E V E L O ,r1M E!' N T SER VICES R E Q U I R E M E N,
T S
who ald.ntioand who does
uckwoknorheregloroghfmtiherowiemployees. othat such
ertitededsfigr .I however.
improvement ewithin
one
y" icomplelm,the ''
ao neeMa«wil he burden dpranhheorsheed bbuilordWppme for the purposes ) ZONING APPROVED BY :
• DATE:
❑ Las owner of the property,ern exclusively contracting with licensed contractors to construct the poled(Section 7044,Boniness ed • .4;
Professionsy topCode:The Contractors License Law does not appan owd VOMIT operty who builds or improve,thereon and who BUILDING APPROVED B Y• : n. DATE: ,���',[:Ly�(/[/lrSJX(/�9/ 7
cemrxe rot such projects: a muradwr(e)licensed A P jor this
to the Contractors Lona Law). •
, t'h iF iF iF iF'1E if 1F if if
❑ IamesamptaMe,Saan: B.avc.. « nereason: APPLICATION ISSUED ..BY: 'i DATE:
Date: Omer. ******************df*********** ** *************************** * ***
I do hereby candy that I em aware el and understand the requirements el California Health arid Se
SafetyCodedims25505.25533.ane LEGALZZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
25534,end that I or any future building odwpam will/will not(circle one)need to amply with said state codes and the requirements for
a permit fomnevwon or modilrelbnhomthAi a6 ananypnew District Residential construction occlusions are exempt/mn awes BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
prONBans. PERMIT 34 . 75 . 50
Dale: Applicant SM I P/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm wider penally of perjury one of the following decimation: PLAN 22 . 59
❑ I haveand eel meimei,a coati Rate of consent to sellinsure for worker'compensation.as provided for by Section 3700 d the Labor ISSUE FEE
Code.for the pedmmd
performance wkl«whichthiswemmbissued. BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ Ihave e Imeintaiewmra
n •menpenamaninsurance,esrequiedbySedoi37D°dmeLabor Code.adomaem
for the TOTALS----> 35 . 25 0 . 00 22 . 59 57. 84 57 . 84 . 00
X work for which this permit is issued.My woken'compensation insurance carrier and pity number we:
Carder CIITIFOTzKITA rnMP EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 57. 84 OVER/SHORT: . 00
Policy Number: W971151021 01 /01 /98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need not be compete,d the pemt is M one Mndied dollars MOO]or len.) 34 . 75 . 50 22 . 59
❑ I candy that in the pedormence of the work for which this permit is issued.I 'person in any manner so as to
become subjed to the mmwoneslron wmvoiwnxodrken seri.?ofthe labor Code,ion Sws of l alorthwngh• r I� _•�. ..,nmMd to the workers' *******************************************************************************
�L`
' JI Applicant: I Srpatio"
INDIVIDUAL F E E BREAKDOWN
mble:Faure to secure workers'compensation coverage is un n subject an snip. to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST
TOTAL COST
civil fines rpt to one hundred thousand dollars(5104000),
M addition • •7 cost of compensation,tinges ser provided for In
Section 37°solmm
eLorCods,lntat
Interest, attorneys SFR 1000 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 1 , 000 . 00
• CONSTRUCTION LENDING AGENCY:I hereby affirm under penally of perjury that there re a construction lending agency for the END OF FEES
pedormanoe of the work for which this peri is issued(Section 3097,Civ.C).
LENDER'S NAME
LENDER'S ADDRESS:
b I certify that l have read this application: •.ate that the above'nI. . is correct.l agree to comply with all city ed county ordinances
and stale laws relating to building con'ru• • ed here' ee - .
• . .ntetivee d this oilyupe
to enter n the abasmenlioned property
d ire - ,
I«inspection po ..purse "' v
/ t0> •
'
08-18-1997/01:54 PM/$57.84
n
KPT :01-0010917le. FERMIT :684271AWASOMra vmn —�/-27 - .rur` e � .•aAppecan e;tractor
•(5151-06 WP) White-Building A Safety;Green-Mk;Canary-Appicanl:Pink-Revenue:Goldenrod-Assessor
•
.a
CONSTRUCTION AND PLANNING POG .4 SPA
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 .
5. Steel Reinforcement 56. Rough Plumbing& Pressure Test
6., Electrical OF ER Grnd. 57. APPROVAL TO COVER•GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59: Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. - 60. Backwash Lines,P-Trap, a 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 I - 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 0Oil
23. Gas Pipe-Rough & Tgst72. Underground Flush - •
24. Roof Framing _ 73i Undergrnd•Storage Tank.0 Gas 0 Oil
25. Roof Sheathing 1 74. Overhead Hydro,
26. T-Bar Ceiling (Structural) & Monocoat .. 75. Dry Chemical
27. Frame and Flashing8-/ 76. Dry Standpipe -
a_az�
28. Lathing & Siding . - 77. FIXED SYSTEM FINAL
29. Insulation 1 - - Bjfq -q7 Gam. 78. FIRE PREY. FINAL
30. Drywall Nailing _1 7 HEALTH DEPT. REQUIREMENT
31. Plaster Brqwn Coat 79. FINAL INSPECTION
32. Electrical Power MeterFinal 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: • ,1
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test . , - MI0
36. Hood or Canopy X gi -
. 37. Final Factory Fireplace rI
38. Final Plumbing
39. Water Service•Final • - - - -
40. Gas Service-Final U
41. Solar Domestic-Final • . - -
42. Backflow Preventer
-43. Backflow Irrigation
41. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations .
47. FINAL STRUCTURE & BUILDING /o/z "
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co •
51'. CERTIFICATE OF OCCUPANCY _
No. Date
DIVISION OF BUILDING SAFETY
CITY OF COSTA MESA baign
APPROVED
B' oatet
This set of pans and spcdititons MUST bo kept on Ots job et el C-a and
IS unlawful to it.X3 any charsla Cr etorati3n On Barna ram:mitten
p;r!±c:cn Com the Cki sten cf Cu:[n3 end Sealy,City of Cc t fico a
Tho ctarepn9 of tab plan and cecc=='ons SHALL NOT be he!d to parcel or
to to an approval of tho v defian c1 any Fav'ision3 of any City of C0313 Mar:
C tnao ane/cr Etat:law.
T ywo pans and pe.T.:t shall expire by f n it tion and becomerr al ann vet
i! tui'::ng or work b not commented and maintained activo per
!'a"3(d)vi thin 130 C.ays of issuance.
c ' -
0
8" DAYLITE TUBE
30" X 46" SKYLIGHT
8" DAYLITE TUBE
DRIVEWAY 1946 PELICAN PL.
• •- ING 30" x46 " SKYLIGHT ��• �►"`'�
/i '`V
`,�,,GALVINIZED STEP OR TILE PAN FLASHING
7' CURB ',—�
�i �,i, HEADERS i�_ \ \
��1 °, 7x " WOOD CARR 1@"DRYWALL
N1111111
\4%
\/ u
�:, I/ CUT THREE 2 X 6" DOUBLE HEAD
'�I INSTALL TECO CLIPS AT ALL INTERSECTING POINTS ��
GALVINIZED BOTTOM FLASHING L J L J L J
r \ / 7 ROOF RAFTERS _ _ - ` \`
i � � •
J �\ /7 L \ X / CEI ING JOIST / '
N \ r SPACE SHEETING I
NIIIIII% ik`110
J / \ L
CUT TWO 2" X 6" RAFTERS DOUBLE HEAD AND
-1 DOUBLE/ N r r J r J r RAFTERS 24NO.Cr 'ON Cr BLA:.DD.+IQ SAFETY
J L/ J L
CITY OF COSTA MESA
APPROVED
By Etta
T^.5 co ci p(zrs Lied cp'_`ctaf r.3 MUST b.)iz-`cn i:;:
p Li C:i Com,.
-- sten
pc rzctf.c.. tre tho r . . ..:vThg_:.,r..=""' C.:4 Gt C3::3 M:::
t 4'.
1 -800-440-9999 FAX 714-378-0990 -:::prong t' f'en end ca of any pro t-SHALLof aT ho nat a ,.!=
n(u: .;_;tro�tl ci L:d r,Ot_'cl of any p�,d�ona of oaf City at Como L'.
GALLAGHE ::::,,trio cn:I;.r St:e L':,.
Name : -_, :_rssat
G P= :tall c:pire by L.mi•.aiion rna b;Come r_!I cm!'.:6
1946 PELICAN PL. � Jb 1..! rv} Il not ccmrnencodand mair.�;nea:x"voperUL
Job Address P.O. BOX 9200-296 DAZE-' t `th�irx c;5 atrsoance.
• City Zip COSTA MESA SOUTH FOUNTAIN VALLEY, CA 92728
Phone 714-546-3160 COAST ST. LIC. # 574454 I.C.B.O. # 4063 LA. RR. 24785-T
SKYLIGHTS
ADDRESS OF BUILDING 1946 PELICAN PL LINT: CITY OF COSTA MESA - BUILDING PERMIT
OktERSNAMEIFMJO'NN: RUDD, DOROTHY J FLOOD : AE-46 PERM NO: B 08461/
ADDRESS: 1946 PELICAN PL
f COSTA MESA,CA 92626 PERMIT NO: B\ 084614 PLAN CHECK NO: N GOVT: N SUPP : N
546-3160
•
ApPL.MAILDID ADDRESS: CONSTRUCTION ' YPE: V-N PERMIT TYPE: STR PURPOSE: OTH
(ARCNDECT OREN3DIEER: uc.NO.: JOB DESCRIPTIO : T/O SHEATH C. REROOF W/COMP SHINGLES SQ FT: 7, 426
ARM OR MG'S ADDRESS: LINT:
CLAIM VALUE: 7, 426 . 00 CALC-VALUE: 7, 426 . 00 GROUP OCC: R-3 /U-1
CoNmACTarsHAME A PLUS ROOFING ( 714 ) 754-1000
CONmACTORSMMLDC 11237 SLATER AV COMMENTS : REROOF 000SF RESIDENCE W/
COMP, SMOKE DETECTORS REQ PER 94UBC
nm9FOUNTAIN VALLEY CA ucND_ 675241 ******4***xxxx***- "*****iFFiivixxxsel.*** fitEfixiiEiie.iFx 'it NDItTE
oft
92708 LINT: Z ONING REQUIR EMEN ' OK
LICENSED CONTRACTORS DECLARATION:I hereby diem under penaly • Nat I am ander d Chapter e SETBACKS rr••1a Ems'�//��\ ,^�E
(commencing with Section 7000)of Division 3 d the Business and Proles' and my o a MI and affect. RE04�,IRE[� ..;o
CITY UC.NO.: 0r08 7 uc.cuss: C 39 LIC : 6752 P 8 MAIN BU DING ACC ESS,SQRY 6
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Data: 7 el q .9- cowman LEFT: FT IN RGHT FT IN LEFT: FT IN RGHT: FT IN
fofow BUIL ERO uRAnoN:IherWyelfiwunder penaly parjrythenerrorexempt fromtMCorerectanliceneeLaw for the PARKING REQ: PROV: PARCEL : 13947219 ZNE: REF NO:
foliwig reason(Section 7001.5 Business and Professions M city a county which requires a permit to a see t alter.'rnor ice,
oicenh.or repair any structure.prior bits issuance.also mon the applicant for such permit to file a signed 0)04 m that he or sheh
PLANNING NOTES>
t licensed pursuant to the provisions d the Contractors License Law(Chaplet 9(commencing in with Section 70 g0)d Dbision S d an _
Business and Prdessm f Code)or the he a she is exempt therefrom and the bare for the alleged exemption.My violation of Section •> •
7031.5 by anY applicant for a vamp PAWS.the apptiam to a dice penaby dm more Nen fere hundred dollen lSSOOD. *************10.********** fie***iElfdEie#ic3FlEiciiiE1FYE*1riEdElclEifiFlEiE3EiEiE3fxlEiEiEiE3EiEiEiilf*****?Ej'iE***ie
❑ I•as ownrd the prwenyamyemplo/eeewith wages as their sole compensation,will 6a the work.and the structure is nes intended D E V E'L O P M E N T SERVICES REQUIREMENUTS
or offered for sale(Section 7044 Business and Prdeseions Code:The Contractors License Law does not apply Coen ownerof property
who bolds or improves thereon.end who does such work himself or hared or through his or her own employees,provided that such S.--
improvements
.•improvemrb are not intended aoffered to sale.II.however.Ihe building ainpovmmS sold within one year dxompbtbn,the ZONING APPROVED- BY DATE: 11-'"
owner-builder will have the burden d poring he or she did nes build or improve for the purp®e d sale). " .
❑ 1,asownerof the pmpeny,amexdieivdy contracting with licensed contractors to construct the project(Section 704.Business and BUILDING APPROVED BY : DATE: n
Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon and who A
contracts for withprojects with a contractions)licensed pursuant to the Contractors License Law).
❑ Itun exempt under section: B.&P.C..for this reason: APPLICATION ISSUED BY: DATE:
Date: Owner LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: Y
I do hereby certify that I am aware of end understand the requirements of California Neagh and Safety Code Sections 25505,pMn3,and
25530,andthe la anyhaure building occupant will/Ml not(dmb one)need to comply with said pee codeerd the requirements ler BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a penna forcnaBuction or modificationfomthe Ar se Cialy Management District.Residential construction appirelin en exemptmm these PERMIT 137 . 25 . 74
provisions.
Data: ApplicantSMIP/NON-RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: ISSUE FEE
❑ Ihave and will maintain acertificate dmworkers'compensan.=prov'
nenttosee-insureforwork ' tiidedforbySedbd
Section BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
°ede.fathe p."°n°performance for which m "bIssued. TOTALS----> 137. 99 0 . 00 0 . 00 137 . 99 137 . 99 . 00
.Q I have and will maintain workers'compensation insurance.as required by Section 3700 of the Labor Code,for the performance d the
•• work for which this pennlieinued.Myworkad5,mpenw t�U'NLer and pdaynumber are:
EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 137. 99 OVER/SHORT: . 00
Panrr: - - - 01 /01 /98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
Polity Number: LOJ-J /VIV111VOV
Thio section need no da completed f the permit is for aro hundred dollars($I00)or Are.) 137 . 25 . 74
❑ I certify that in the nerfornanced the work for which this permit ts'' Iehall not em•• . .. • in- men .. ,, to xx *xx *x*xxxx > * xxxxxxtx *xxxx*
become subject to l workers'compensation laws of Cddorn' I _ ' ... ..*. ...•:ice .. ......****itis*************** :*******' *************4*****........ .. ... .. ...
cornmearioj n) of Section 3700 d the Labor Code.I .• �whn ofco m well tom.. • . -N+�I• to the \ INDIVIDUAL F E E BREAKDOWN
Date: 7/1 C 7 Applicant:
Warning:Fags b *cure workers'conpans*don coverage is wM,and rah subject an employer to criminal penalties and TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
civil fines act to one hundred thousand dollars Moron M ••Won to M*coat of compensation,de:MW as provided ler In
Section 3706 of Ms Labor Code,Interval,andtlturnWS Ws. SFR 7426 REROOF BY VALUE RESIDENTIAL NOZONE 1 :00 7, 426 . 00
CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that then is a construction lending agency for the END OF FEES t
performance of the work for which the perml is issued(Section 3097.Ce.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read this application and time that the above information ill cared.I agree to comply with all dry and county adkme ces
t and state Taws rotating to building construction and hereby authorize representatives of the city to enter upon the above-mentioned property
JAS• 4 ..)MIT/.
09-89-1997/12:11 PA/$137.99
r Print `y. fj g/4/ \ '
FCP114:31-L312E22
as 1 aaA Date ! I /' 7Z F'EkIiIT:084614
Signal .d Omer/ ..'" Tri'. rector
(5151-46.00 P) Whie-Budig A Safety:Green-Flo:Crory-Applicant:Pink-Revenue;Goldenrod-Assessor
C • .;
EONSTRUCTION AND PLANNING POC SPA
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
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, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd, 60. Backwash Lines,P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater &Vent-Final
13. Roof Drains - 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit •
- 66. Solar System-Final
16. Rough Electric Wiring •
. 67. Fencing & Access Approval
17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
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 °t -ii- 17 _ 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 PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32, Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating& Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation •
46. Handicap Regulations
471. FINAL STRUCTURE & BUILDING ?-e i Ewe
•
48. FINAL PLANNING • . 1 `-
49. Electric Release to Edison ,
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
Lot 57 FEE RECEIVED
! 871
•
NA331 ,1914
.,COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P.O.BOX 317 COSTA MESA,CALIFORNIA
CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
For Office Use Only,
BUILDING
ADDRESS 1946 Pelican Place �g�'''%'
RECEIPT NO. 21 V I 1 NO.
COSTA MESA. CALIFORNIA
RECfi VED BY DATE RE EIVED DATE ISSUED
OWNER Pemba Subdividers, Inc. —31—e/ APR 1 4 1964
BUILDING
MAIL 2850 Mesa Verde Drive ADDRESS
ADDRESS i 7
CITY Costa Mesa TE 5490395 ZONE TYPE ✓ GROUP CSE7
NO.
ARCHITECT E G. Kaltenbach TEL5478046 BYPROV ED DATE
OR ENGINEER NO.
ADDRESS 1833 E. 17th St. , Santa Ana - ZONING y
^.•,,.,^„ ZONE I NO.OF USE OF NEWS ingl• lain,
�+�'P'/ �I,� R_l PLANE 2 BUILDING W/ att gar•
CONTRACTOR SLl /.a att
ADDRESS LEGAL Lot 57, Tract 5289
CITY -p A.P.NO. none
187318 NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE 187318 L TEL ,,I 30'TO SIDE a REAR P.L.
EAVES
SIZE O 7.7a 7p NO.OF SLOGS.° ALLOWED (U.B.C.REQUIREMENT)
OF LOT �T ' 7 NOW ON LOT '
USE OF � �.✓r- / X��. -p'�`'� y`- iQ O 1/4I YARDS APPROVED YARDS APPROVED
EXISTINGSEFBLDG. 1,03 MAIN BUILDING ACCESSORY BUILDING '
(FROM C/L STREET)
SETBACK LINE FROM
551 391
FRONT
CENTER OF STREET REAR YARD SST. FT.
F
8' 1W R.SIDE f OFT. FT.
SIDE YARD I LEFT I RIGHT
DESCRIPTION OF WORK L.SIDE (SFT. FT.
NEW ALTERATION ADDITION REAR.3 7 FT. FT.
DISTANCE BET. BET.MAIN 8
REPAIR MOVING DEMOLISH MAIN BLD¢S. ACCESS.SLOGS.
BUILDING NO.OR VAR.# DATE
SIZE 2,419 ROOMS 7 STORIES 2 C.U.P. APPROVED
Siding Snake
E1.VERIOR WA66lt,,., ROOF APPft ��.� DATE 3-3 -
C EKING OLLotUCCO COVERING Shingle BY
USE OF BUILDING AND WORK TO BE PERFORMED
Single family with attached garage. _
House 1, 956 sq.ft. .
Garage 463 sq.ft. Plan 52-BR >d /72.�Q.Fr. di &an- o
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDIN NCES AND STATE LAWS REGULATING VALUATION q
BUILDING CONSTRUCTION FOS n
' SIGNATURE OF %/ ///]/�/ /y PERMIT FEE $ C0 n __
PERMITTEE / � ^- $ / ` /e�' PERMITLAN EEK $- .3U� 2
AUTHORIZED A6 T G 9/� E
(/V, � TOTAL FEE g