HomeMy WebLinkAbout3440 PLUMERIA PL - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, GA 92626
BUILDING PERMIT
,lobAddress: 3440 PLUMERIAPL
Suite:
Vicinity: ROOF
Parcel Number: 41217810
Applicant: BODLE, JAMES P
Address: 3440 PLUMERIA PL
COSTA MESA, CA �
Owner: BODLE, JAMES P
Address , 3440 PLUMERIA PL
COSTA MESA, CA
Contractor: OW N ER-BU ILDER
Address:
Zip:
Arch :
Address:
Zoning: R1 R1
Phone: 714-890-9850
� Zip: 92626
Phone:
Zip: 92626 '
Phone:
License: . 0
Eng:
' Address: �
Status: ISSUED
Applied: 04/24/2002
Issued: 04/24/2002
ISSUED BY: �
. � Phone: � . Phone:
Zip: License: License:
�
SCOPE OF PERMIT _
TEAR OFF AND RESHEET ROOF WITH ELK 40 YR COMP ROOFING: 2700 S.F. INCLUDES ATTACHED GARAGE.
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
$0.00
$139.25
$0.70
$0.00
$0.00
$0.00
$139.95
SETBACKS
MAIN STRUCTURE Front 0- 0- Rear 0- 0
ACCESSORY Front 0- 0 Rear 0- 0
PARKING Exisfin : 0 Required: 0
NOTES:
FEE SUMMARY
Calc Valuation:
Claim Valuation:
PLANNING & ZONING
Left 0- 0 Right � 0- 0
Lek 0- 0 Right 0- 0
Proposed: 0
$7,000.00
s�,000.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiraments under California statutes and related
regulations. (Ord. No. 9248, § 1, 7241-92)
EXPIRATION: This permit shall automatically expire antl become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order tor Ihe work authorized under Ihis permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inapeetlons end flnal epproval must be obtained. Failure to obtain inspections and final approval will resul� in the expiration of ihis pertnit.
FOR INSPECTIONS CALL: (714) 7545626
tyeaae �s�oo�
WORKERS' COMPENSATION DECLARATION:
I hereby affirtn untler penalry of perjury one oi the following tleclarations:
❑ I heve entl will maintain a cerliticate oi consenl lo self-Insure for workers' compensation, es provided for by section 3700 ot Ihe Lebor Code, tor Ihe perfortnance of the
work tor which this permil Is issued.
❑ I hava entl will maintein workers' canpensation insurance, es requirad by section 3700 of t�a LaUor Code, tor the perfortnance of the work tor whicti Nis pertnit is issue7.
My workers' wmpensation Insurance wrner and policy number ere:
Cerrier: Policy Number:
(Tbls section need no( be comp/efed i! the permit is velued ef one hundred dollars ($ f 00) or less.)
� I certily that in the pertormance of the work for which ihis pertnit is issued, I shell not employ eny person in eny menner so as to become su�iect to ihe workers'
v compensation'^�• fC Ii
WARNING FAILURE
hKKISAND pOLLAF
s o al omia, end egree ihei i� I shoultl become sub�ect to ihe workers compensation prowswns ol Se M1on 3700 of Ihe Lebor Code, I shall fotlhwl�h
rovi lons. II 1
1�3t9;7 't `i�-� ���Z
RE WORKERS' COMPENSNTIdJ COVERAGE IS UNUWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND GVIL FINES OP TOONE HUNDRED
), IN ADORION TO THE CQST OF COMPENSATION, DAN.AGES AS PROVIDED FOR IN SECTION 37060F THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby effirm ihat I am licensetl under provisions of Chapter 9(commencing with Section 7000) ol Division 3 of the Business and Professions Code, end my license is in full
force end eHect. Lic. M Class q
Contractofs Slgnature: Date:
CONSTRUCTION LENDING AGENCV:
❑ I hereby eHirtn that ihere is e construction lending agency tor the pedormance of the work tor which this permit is iuued. (Sec. 3097, Civil Gode).
LenCels Name: Lentlers Atltlress:
Signeturo: � Date:
�� OWNER-BUILDER DECLARATIONS:
I hereby eNirm ihat under penelry ot perjury tha� I am EXEMPT FROM T1E CON7RACTORS LICENSE LAW tor �he following reason (SecJ031.5, Business entl Professlons
Cotle: Any ciry or counry which requires a pertnit to wns�ruct, elter, impmve, tlemolish, or repair any structure, pnor to its issuance. also requires tha ep0�icant for such permit
b tile a signetl statement �hat he or she ISlicensed pursuem to Ihe provisions of Ihe Contrectors License Law (Chapter 9(commencing with SecUon 7000) ot Division 3 ot ihe
Business entl Pmfessions Coda) or that he or she is exempt therefrom and the besis tor the elleged e:emption. Any violation of Section 7031.5 hy eny applicant tor a pertnit
subjects the epplicant to a civil penalry of not more �hen live huntlred tlollers (5500)J:
❑ I, as owner ot t�e proparty, or my employees with wages as their sole compensation, WILL DO THE WORK, antl the structure is not intentletl or oMered for sale (Sec.
7044, Business and Protessions Code: The Contracbrs License Law dces not apply to an owner of pmperry who builds or impmves thereon, anC who does such work
himsell or herself or through his or her own employees, provitletl t�at such improvements are not intended or oHereO for sale. If, however, the buliding or improvement is
sold within one year ot completioq the owner-builder will have the Durden of Droving ihat he or she did not build o� improve for purpose of sele.).
❑ I, as owner of the proparty, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business end Professions
Code: The coNrectors Llcense Law does not epply to en owner of propeny who 6ullds or Improves thereon, antl who contracis for such prolect with a contrector(s)
license rsuant to ihe Contrectors License Laws.).
{�I em exe t untler sec. Business end Professions Code for this reason:
��IgnaWre �� 2 42
Owner ID ve �' by ddvefs license. Yes ❑ No �Drivere�kicense�No. $' CExpires:� +�6 —/5 ��
Verlfication ol ership by (rype oi dau e t, i.e. - property taz 6ill or tleed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CER7IFICA710N:
❑ I hereby certify thai no excave�ion five (5) or more leet in tlepth into which e person Is requiretl to descend, wlll be made in connection with work euthonzetl by ihis
permit, and ihat no buileing sirucNra, swNolding, falsework, or demolition or tlismantling thereol, will be more than ihlrry-six (36) feet higR (Chap. 32, Gry 2, Ari 2, Sec.
341, TiOe e, Califomia Adminisirative Cotle).
❑ As owner-builder, I will not employ anyone to tlo work whlch would requira a pertnit irom the Division ol Industrial Sefery, as notetl above, unless such person has e
pertnit to do such work Irom �he division.
Signature: Date:
Division of Intlus�rial Salery Permi� Number:
CER7IFlCATE F COMPUANCE AND AllT}iORIZA710N OF EMRV: I cenity under penelty of perjury ihat I have read this epplication and steta ihat ihe infortnetion given is
correct. I egr e o comply wilh all stete laws antl ciry ordinances relating to building construction, antl authonze representatives of the Ciry of Costa Mesa to enter upon Ihe
ebove-descn pro erty for insp tion rpose e ree not to ocwpy or atlow occupancy ot any building authorized by ihis permit ntil tinel'nspection.
�• - - . '.� C'Z c{.� p Z
`SgneWre�OYL"egal Owner(s) Date
AnNOr Authonzed Applicant Date
COOE t. INSVECTIONTYPE
i676 � Fixad System Final Fire Prevention
1268 Pool Spa Final
200 Final Re-Root
201 FInaI BIocWFetaining Wall
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition
PAIE INiIiIFLS
CODE� INSPELTIONTYVE
20fi Final Mechenical
• 208 Final Plumbing
��/�O� �GJ�{ p�0 FinalEleCtncel
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupency
OAg UilIDE64
June 25, 1976
. �
� a oratoraes �,�� ;�,«Eiz� �,z c�r<<��,,,.«:. �,_�.
�O BO:�: aJ . 3:i0 �.i��0:• •:�P` ..C::G BE^.Ct� CALIE 90A01 .,?�'7� <7� i?55 . 2 3� o3a73co . OIa) y_g.ya?2
o:evC— Ocr CES
dN[� +N+� �5�� ��+De��: .
5.. •..>C. ...annl .� ]�.SSo n _ ...
�i.,. Sli ?o.s i j• � . � . . ' ca .. - x l ele ))2e
:�.,; , �
Examinatio�: SC76-2046
COMPRESSION TESTS ON GUNITE CYLINDERS
Mr. Errol F. Heesch
12921 Aspenwood Lane
Garden Grove, California 926q0
PROJECi I• HERNANDEZ POOL
ADDRE55 3440 Plumeria Place, Costa Mesa
SAMPLE FROM Cunite Swicr�ing POOl
♦o�wnECi
LVGINEfo
MIX
DATE CAST
DATE TESSED
CYLINDER NO.
COMPRESSION
TOTAI IOAD, LBS.
POUNDS VER 50. IN.
SIZE:
COMPIIANCE
CYIINDERS
4-1/2 t0 1
6-18-76
6-25-76
COH10.RCiOP
California Poo1s
fueconroac�oa
Grove Gunite Co.
SPECIFIED
STRENGTH
CYLINDER 512E
6-25-76
1 11
�-Day 'j-Day
62,000 66,500
2,580 2,352 .
$-3/4�� X 12-1/2" 6^ X 12-1/2"
�-day test complies Nith specifications.
M�DE er
Steve
D15�p11UtION
E. F. Heesch - 2
Grove Gunite Co.
-6og_ta Mesa Bldg. Dept.
DFllvfoED EY
E. Heesch
2,000 psi
6-25-76
iV "HOLD"
111 V "HOLD"
VI "HOLD"
�-Day
72�5�0
2,565
6" x 12-3/4"
MECFIVED ON
6-21-76
// .
�—�?1--�%---_
�.� � ..�. . �� .. .. .� . <<� .. .�. ,u . �. .�., . .. �.. ..� ,ow � . �. �. � o.� o ..,� , ���...,.o„ �a ..
o. . ., .. ..� ... .. .�.. n..r.� .�: ��ti. .. o ..� .�...��. ... ........ . u� �c� n� •ou iv•sf .� oevc .noo,wsr..�a
t
CITY OF COSTA MESA REQUEST FOR OCCL..,NCY
�Z ���.
TRACT N0. �%SS / DATE /�'L/� [//J '� �
IAT N0. I7i �
n�DxEss � 5��1 D ,��,r,r,M,�.r,cl� J'�.(�Gaf''�- ,
The developer of the above entitled tract desires to sell the above set
forth lot prior to the time that the tract has been completed and its streeta
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledgea that
(he-she-they) ,,� (was or were) �'�l/v advised that this tract has
not been given final inspection nor has it been accepted by the City of Costa Mesa
as having complied with the condltions of approval which were imposed by the City
at the time the final tract map was approved.
The City assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the City harmless from
any claim resulting in damage or personal injury to the undersigned by reason
of the aforementioned uncompleted conditi
. RECEIVED
CITY OF COSTA 41ESA
p, .��•ir�r �.-�-
D E C? 8 1973
AM PM
7i8i9�l0i11i12i1i2i3i4iSi6
£!
�
BY �—r� ( ��r�- �� �-ll�i�!-�i •��
Developer and/or authorized
representa[ive
� ///;7
�.BY :�i"�,-/_LL�fi� C� / Jc-=�i-� . .
L€nder '
' . � '�t _ ��"'" iry-•� 1.1�:.:. '
t.li � `
� ' . Ti����'�i. � . :Y,' , • .
.�S�S�O/'.(uin�,2>.v D"L � Building
.- , Address
1 f%.tiv�hND�_ Owner
�p,E,/r. ��(� � Contractor'
��eu�Pa2T �t AGi/ Address
Permit Date
��fa04�/ Number�-S/-7E, Issued
CITY COSTA MESA
DEPARTMENT
OF
BUILDING SAFETY
Registered Deputy Building Inspector
Certificate of Compliance
(v - lc�''' 7 (o
Date of this Certifica[e
To [he Director of Building Safety:
I hereby certify that the following portions of work on the buildings
a[ the above address which required continuous inspec[ion and which I was
employed [o inspece, were inspected by me and comply with the provisions
of the Building Code applicable thereto. .
1) Concrete
3) Welding 5) Special Cases
2) Masonry , 4) Reinforced Gypsum
Swimming Pool Size�6 �X�.2 Guni[e l� Hand Pack
Sacks Cement J�oi Tons of Sand /yl�a
Approximate Y. of water in aggregate_ ,5'%D �
This report covers work completed during week ending �p —/�/' '%ip �
� . � Nazne EzlzuG � %fC�srf/ � I
�, , ��J� /�J
Address,alJ,�/ /ySVc"7�W�7J���' (7�
r--� '
Laboratozy /u�/y�iVlo Telephone � �37"b/�o�SJ •
Fo rm aU 6' CO2f1 d�d 6(� -� �.
��. . . . '' - ,
OWNER
ESS 3440 Plumeria Place_'___
GAS
WATER
HOUGH PLUMBING
PROP. $WR. LINE OlISE CON.
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEF7�NG AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNOERGRO4ND � POWER �
ROUGN WIR�NG
TRENCHES FORMS STEEL RE
FLOOR SVSTEM
BOND BEFM n STEEI REINFORCE �
SHEATHING
FRAME ANq FLASHING
LATHING - IN OUT
PLASTER, BROWN COAT
STRUCTURqL, FINAL
HEATING, VENT., REFRIG. ANO A.C., FI
PLUMBING, FINAL AND GAS TEST �J/
ELECTRIC, PINAL
BUIL�ING, FINRL
DATE
BUILDING
SUBCONTRACTOR
Il
� � � � � -3� 9G�.��..�
3b�.�3 • �t�-7.�A;�OQ er,t�• .,:.���i.i7.�15
_ �,;�
COSTA MESA BUILDING-SAFETY DEPARTMENT
SOLAR P•�• BOX 1200 COSTA MESA, CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
ForApplicanttoFi//inComp/etely qECEIVE av DATERECEIVED
/ �� —�O✓ _ D T I55 V E
BVILDING �/O� �/
ADDRESS
PE IT
OWNER ��in Southern California A'P'N�' —
MAII BUILD�NG � ���
ADDRESS
ADDRESS 16255 Ventura Blvd.
CITY Encino, California No�� 986-889
CONS�RUC7�pN Iyrwin Southern Californi�
LENDER
BRANCN 16255 Ventura Blvd.
ADDRESS Encino, California
ARCHIT�CT _ . _ _ . . _ TEL. „�„ , , �
nooRess 9100 Wilshire Blvd., Bev, Hills
CONTRqCTOFi Iarwin Southern Calif�rnia
ADORESS 16255 Ventura Blvd.
ciTv Encino, California aio� 986-889
uc No. 191311 LICVNO. B-1
O'F LOT 6O X LOO I NOW ON LO 5 �
VSE OF
EXISTINf3 BLOG.
SIZE OF 1740 NO. OF
NEW BL�, ROOMS STORIES 1
EXTERIOR WALL StllCCO ROOF WOOd shin 12
COVERING COVERING P
USE OF BUIIDING AND WOFK TO BE PERFORMED
Construction Single Family Residence
TRACT]SS%—B LOTI.ZO
w qoo a
OWNER G.O�G��N S C�L
�.. _ _ � VALUE
FIRE
ZONE
APPROVE
BY
ZONE _ NO.OF
PLAN$
VAROS APPROVE
MAIN BUILDING
(FROM C/L STqEET)
DISTANCE BET.
MAIN BLOGS.
V AR. qW
FIQLD FOR
I hereby acknowletlpe thet I have reetl this application and state
that the above info�mation is cor�ect antl agree to comply wlth
all laws regulati�g builtling construction, antl I shall not employ
any person in violation ot the workman's comp¢nsation laws Of
the State of California.
I hereby certity ffiat I am properly licenutl as a conirecior untler SQ. FT.
the State of Calitornia Business and Professions Cotle, Olvlsion 3, THE AMOVNT SH
Chapter g, antl that such licanses ere in tull farce end effect, or 1 THE PURPOSE OF i
am exempt from Me provisions ot the State of California Business VALUATION
and Protessions Code, Division 3, Chapter 9.
Signature of D. Downs
Permittee ��� $ 2�7��V��
Authorizetl ABent
�
DAT�J ��O '�
DATE
m
�
0
N UNDER VALUATION IS FOq �
ABLISHING A PERMIT FEE ONLV: m
¢
PERMIT FEE $ 9�+.00 j
m
PLAN CNECK $ �FJ OO E
`a
LL
TOTA� FEE s 141.00
\
C OWNER HERNANDEZ. I. DATE 6-4-76
QJOBADDRESS �440 Plnmaria Pla�p BUILDINGPERMITNO. 42094 _
.ti GENERAL CONTRACTOR California Pools DESCRIPTION of WORK pvt Swim Pool & Sos
APNo.412-178-10 LOT TRACT FIREZONE VALUE $ 000.00 f
INSPECTIONS Si �at�re Date GROUP J TYPE V ZONE R-1
Pool Location C �1S' SUBCONTRACTOR PERMITS ISSUED
Date Number Siqnat�re
Forms _. _
Main Drain _
Steel Reinforce
Elec. Bond
Approvai to Cover
Undergrou�d E�ectric _
Gas Piping Test
Filtering System Lines _
Backwash Lines and Recep.
Electrical Final
Fleater and Vent Final
Fifter System Final
Backwash and Recep. Final
c......:__ r:...i
G
�
. c� 7—�
Electric
Plum6ing
�
v 'V / -
(o S�7L
�f I)�! .
� .. :
��S&D �35� a,5( b �S/
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420..9..
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant ro Fill in Completely — Use Ink Only
OWNER I_. �I� K�A%/� N I�G
ADDRESS ���� ��IA MF'!
TEL.
cirv ���TA M �5.4 No.;
CONSTRUCiION
LENDER
BRANCH
ADDRESS
ARCHITEM TEL.
OR ENGINEER NO.
ADDRESS
��toRN1A +
SD. Hfl Z
cirv �t NL1 N r I M No. /�
STATE CITY �
UC. NO. '�� D LIC. NO. ��
SIZE ' NO.OF BLDGS.
OF LOT NOW ON LOT
USE OF
E%IS71NG BLPG.
Separate permits are required for
eltctric, ptumbing and heating work.
USE OF BVILDING AND WORK TO BE PERFORMED
A.P. NO�
BUI�DING
ADDRESS
TRP
F
PA1G
��i;t-4-76cr�z-OO 270� *�¢-54.5C
7'ION I'OR STRUCTURAL PERMIT
II/l�I��
V7/ifii
[�J
DATE � _ �1 �
NO.OF USE OF N
PLANS� BUILOING ��
YAqDSAPPROVED YARDSAPPflOVED
MAIN BUILDING ACCESSORV BUILDII
ROM GL STftEET) _ � J
OISTANCE
MAIN BLD
VAR. vIE
DATE
APPROVED
&
I hareby ack�owledBa thet I hava rantl thia epplication entl stntn
that the ebo�a InformaUon Is corract an0 aBroa to comply wlth
all laws repuletinB bulltlinp conrtruetion, and I ahall not omploy
any perwn In violatlon oi Me workman's compenfatlon lewf ot
the State of Californle.
I hereby cart�fy that I am proporly Ilcenaetl us a contractor �ntler SQ. FT.
Ma Smte of Celifornia Businan end ProfeuiOna CoGa, Divi9ion 3, THE AMOUNT SHOWN UNDER VALU
Chapter 9, and Mat such Iicenses ero In full fOrco antl affoct, or 1 THE PUFPOSE OF ESiABLISHING A VERI
am exempt from tho provialons of tha Stnro of Californio eusinesa
VALUATION PERMIT FEE E
antl Professlons Cotle, Divitlon 3, Chopter 9.
�� LAN CHECK E
Sipnature ot �DOD
Permlitae 'a� $ TAX S
Author(zatl ABant TOTA� PAI D 5
n
m
i
m
m
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LL
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