HomeMy WebLinkAbout1585 PONDEROSA ST - Building Permits PROJECT ADDRESS: 1585 PONDEROSA ST UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 07019C
OWNER'S NAME: SMOUSE, GREGORY B
ADDRESS: SMOUSE MOLLY PERMIT NO; B 070190 PLAN CHECK NO: N GOVT; N SUPP ; N
P 0 BOX 258
r. GREEN MOUNTAIN FALLS80819 CONSTRUCTION TYPE; V—N PERMIT TYPE : STR PURPOSE; ALT
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/OFF REROOF W/COMP SHINGLES S FT; 3, 900
ADDRESS: UNIT: Q
45.° / 3 ‘4 CLAIM VALUE: 3, 400 . 00 CALC VALUE: 3, 400 . 00 GROUP OCC ; R-3 /M-1
PERMITTEE: BEST ROOFING ?�^ ( 714 > ::7 :0
ADDRESS: 765 ST CLAIR E COMMENTS : REROOF 24005E RESID E GARAGE W/COMP „ SMOKE DETCa 4
COSTA MESA CA 92626 #<*****************4******4*4******u********4*4*******.**. n n n E TIM"'hrt � R
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON ING R EQU IR EMENT S � ��-' L��O-
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect.
CITY LIC.: 051718 STATE LIC.: 60332? c : C-39 EXP : 09 /95 S E T B ACK S REQUIRED
Date:./Z 249 Signature: MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I herebyaffir that I have a certificate of consent toself.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 ND.: 1 1 3 7 512—94 EXP.DATE: 06/01 /95
6/{,ro0 0 1 /9 5
mem,: STATE FUND rfs✓v PARKING REQ• PROV: PARCEL : 13931210 ZNE; REF NO:
1:1 Certified copy is hereby furnished. LI Certified copy is filed Tith the cit wilding Division. PLANNING NOTES>>
Date:/Z' 7 • I / Applicant4 ( #*#*##*##**1r.11#***#***4“######## ###****#*****##******x*4.**#*##*#*#*4*1&4*#*y:#*4#*
EXEMPTION FROM WORKERS'COMPENSATION DECORATION:((This section need not be completed it the permit is or one hundred(5100)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 BY DATE:
Date: Signature:
NOTICE:II.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. \�Q Q
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY :: [- }+ DAT•-E• 12-1's( •t,0
which this permit is issued(Section 3097.Civ.C). �F*�
LENDER: ***###*******#***•s***#****#**###*.14#**###********#*IF*#**iF#******#****Y***#**##**
AODREss: LEGALIZATION;N F E E SUMMARY STRUCTURAL S£GMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law Ior the following reason BLDG PMT PLUMBING ELECTRIC 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 63 , 00
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed - 5 Q
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SM IP/NON—RES
and Processions 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 five hundred dollars(5500). ISSUE FEE
I. as owner of the property 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——--> 63 , 50 0 . 0 0 0 . 00 6 3 . 5 0 6 3:, 5 0 . 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.If,however the building or
improvement is sold within one year of completion,the owner win have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED : 63 . 50 OVER/SHORT; 00
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRAbING PLAN—CHECK
I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 63 . 00 • 50' •
❑ and Professions Code: The Contractors'Slate License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware **.******. .**,*.H.*,*,*,**.***,*,.w,*.**,#***#4#**##******#**#*#*#*#***4.*****#*a*******##**#*#
that proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: 8.8 P.C. INDIVIDUAL F E E BREAKDOWN
for this reason: TYPE QTY DESCRIPTIO NUNIT COSTrTOTAL COST
Date: Owner: SFR 3400 REROOF BY VALUE RESIDENTIAL NOZONE 1 , 00 3 , 400 , 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 1 or any future building occupant wit/will not(circle one)need to comply with said state codes and the requirements for a
•
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
theseprovisions.
XPIRED
Date: EXPIRED LL, ' n /•I hereby certify Thai I have read This application and state that the above information is correct.I agree Io comply with all city and county . /' 9--€.
Vordinances and slate laws relating to building construction and hereby authorizerpresentativ of this city to enter upon theabove'mentioned DATE /CA/96 •
property los inspection purposes.
J OE 00172307-0.0172?03 TOT h3,`�
�� Date: L' S .t / Signature: DATE! �'T• 3`+i?+ HOE: 11?48
Driver's License or Social Security •
164146 White—Building:Green—Code Enforcement:Canary—Applicant;Pink—Revenue:Goldenrod—Assessor '
•
•
r•--k ..
CONSTRUCTION AND PLANNING POOL & 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, 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
j/2i__4 1e. 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 /a.-7-11(-
L 40-
__ ,x'.
44. Landscape Irrigation System kk,��� - 41-4e-CIA S.a/A-
45. Sound Attenuation -�
46. Handicap Regulations ' po7 % 921,/1-19- yy- � f . /2i/g9(/
47. FINAL STRUCTURE& BUILDING L7
46. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
10747 FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT/ �i_ �/-
P.O.BOX 317 COSTA MESA. CALIFORNIA
• FINANCE DEPT.
fOR APPLICAfiT TO fill IN COMPLETELY ? A PalarjerepSTAFKIESAPERMIT
tad TYPE OR PRINT BUILDING
ADD EIS$ 158-Poneronsa Street
COSTA MESA, CALIFORNIA .FORp OFFICE USE ONLY •
OWNER Knightwell Land Company RECEIPT NO. k ,.P R/J.f ;q.
AMAIL
DDRESS 419 E. 17th Street 4 7
RE IV BY I DATE RECEIVED DATE ISSUED
ii- 4A-57 pJov r igsq
CITY Costa Mesa, Calif. Ta.LI 81:1159 BUILDING
Carlson & ADDRESS
ORARCE IGEN EER Middlebrook{ LIC.TCT COSTA MESA, CALIFORNIA
ADDRESS Garden Grove, Calif FIRE• �/ �I
' ZONE TYPE // GROUP 9-
_
Dike & Colegrove, Inc• STATE APPROVED
CONTRACTOR Llc,No.167293 • BY DATE
ADDRESS 419 E. 17th Street, Costa Mesa ZONING
LEGAL I LOT I I 3487 ' zo.�6nF, I NO,OF v USE OF NEW
DESCRIPTION NO. 70 BLOCK TRACT IJ` '' ( I PLANS I BUILDING
A.P.NO. BYPROVED ‘,,,L, /� TE vl((/((I3'J
OF LOT 75SIZE1 X 1001 I NOW ON LOTx4one YARDS E ES
REQUIRED ALLO ED
USE OF None R (CENTER LINE ST.)
EXISTING BLDG. FRONT c72 FT, IN.
SETBACK LINE FROM
•
CENTER OF STREET 501 REAR YARD 321 R.SIDEFT. IN,
SIDE YARD I LEFT 101 I RIGHT 51 L SIDE JO FT. IN.
DESCRIPTION OF WORK �/
' REAR �O FT. IN,
NEW I X II ALTERATION I II ADDITION I
REPAIR I II MOVING I II DEMOLISH I '
SIZIE DING 1601 NO.OF
ROOMS 6 STORIES 1 L/a/- .
EXTERIOR WALLstucrn I ROOF Rock �/
COVERING COVERING R
USE ingle)Iamiiy residenceP PERFORMED
attached garage
• -n 750 BR
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION '
AND STATE,THAT THE ABOVE 15 CORRECT AND AGREE TO COM. THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY,
BUILDING CONSTRUCTION, VALUATION
S RMITU RE E OF ' / e As .,` PERMIT FEE $ 36.00
: / $ 16,424
PLAN CHECK $ 18.00
AUTHORIZED AGENT Dike & Coleprove, Inc. --sr� •_
�r_ i TOTAL FEE $ 54.00