HomeMy WebLinkAbout1613 PONDEROSA ST - Building Permits ADDR;SS OF BUILDING: 1613 PONDEROSA ST UMT: CITY OF COSTA MESA ,- BUILDING PERMIT
OWNER'S NAME IF KNOWN: FUNK, MICHAEL M PERM NO: B 074444
ADDRESS: MILLER, TERESA A
1613 PONDEROSA ST PERMIT NO: B 074444 PLAN CHECK NO: N GOVT: N SUPP: N
=OSTA MESA CA 92626549-3492
APPL.MMUM ADDRESS: 60 S . PACIFIC CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: OTH
TUSTIN 92680
ARCHITECT ORENMNEER: UC.NO.: JOB DESCRIPTION : T/OFF RESHEATH & REROOF W/COMP. SHINGLES SQ FT: 3, 500
ARCH OR ENG.'S ADDRESS: WIT:
CLAIM VALUE: 3 , 500 . 00 CALC-VALUE: 3, 500 . 00 GROUP OCC: R-3 /M-1
CONTRACTORS NAME
CpRRACIORSMMUNG COMMENTS: SMOKE DEDETECTORS ARE REQUIRED IN EVERY BEDROOM & HALLWAY
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ADDRESS: UC.NO.: *******fE***1EiFif16lE9Eif3ElEiElEihiE1E#3f1FN-lfifiE iElElEiEifiElElEfEfFiEiEaElf#1ElE1fiE***IElE?E1ffF1E1E1EiflEfE***1E3fi ***rail
WMT: ZONING REQUIREMENTS
UCENS ED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 • SETBACKS
(mmmeruing with Section 7000)01 Divvun 3 d the Business and Professions Code,and my license is in full tome and effect.
CITY UC.NO.: UC.CLASS: UC.NO.: EXP : MAIN BUILDING ACCESSORY BUILDING
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Dae: Contractor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penally of perjury that I am exempt lam the Contractors License Law for the
realm PARKING REQ: PROV: PARCEL: 13931203 ZNE: REF NO:
demolish,or repak any structure.pular b its issuance,So requites the applicant for such permit to file a signed statement that he or she
S licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the PLANNING NOTES>,
Business and Professions Code)or that he or she S exempt therefrom and the basis tor the alleged exemption.Any violation of Section �>
7031.5byenyappicant for a Penin salads Use applicant to a civil penally o4 not mon thanbn hundred ddMn(S500j. aEiE3(-IE*IEiElEifiElE9E1F1F3F1EfEfEiEiflE3Eif)fiflflflEiEHE1Eif HfiflElElEiEiEiE1f1E1E3E1E1E1E3E1EifiElE3EiEiElE****1EiE****iEifiEiEifjE#HEjFfE***
Cl I.as owner el the proper*ermyeMMoreeswshwages asthisole mmpensaon.witdothe wM,an!the stuturesnot mleded D E V E,L O P M E N T SERVICES R V I C E S R E U I R E M E N .T' S
or offered for sale(Section 7044,Business and Professions Cade:The Contractors License Law does not apply to an boner d property Q
who beide or inproes thereon.end who does such work himself or herself or through his or her awn employees.provided that such
improvements •net intended or offered for sale.If.however,the buSlirg or improvement a sold within one yearcompletion,the ZONING APPROVED BY DATE: ,are d
ownerbuiler will have rpd the burden d proving he or she did not build or improve for the puose sole).
•
❑ I,as owner of the properly.an exclusively contracting with licensed contractors to construct the project(Section 7044,Business and
Professions not Profes Code:The Ceras License Law does appy to an owred m
r propy*ha hadand a or improves thereon who BUILDING APPROVED BY : DATE :.' /'
contracts for tr th projects with a Mntrada(s)licensed pursuant to the Litenae . / [+
0 Ianexempt uderSection: B.a P.C.,form �y]CJ//fey/ � APPLICATION ISSUED BY: (iP DATE: �•,� i lr
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�F Owner: s�'r� 'V _ iF aE iE iE iE iE aE iE ifONiFISiE iE#E iE iE dE lE iE -lr .. i ***DiETE: * *** -7**
( ) LEGALIZATION:N F E E S U M M A R Y STRUCTURE SEGMENT: Y
I hereby candy that I ern aware of end understand the requirements of California Haab and Safety Code Sections 25505.25533.and
534.and that I a any future building occupant will/will not(circle one)need b comply with said date codes and the requirements lar ' y h
a permit for mmbuctioncc mdm
ifiionham the Ai ainyy anagemar Didd.dResidential oondW
nionappialkos are exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 63 . 00t . 50
Date: Applicant: SMIP/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby alfa under penally ol perjury one of the following declarations: PLAN n'
❑ I have asoil maintain a certificate d consent to self-insure for workers'compensation.as provided for by Section 3700 d the Labor ISSUE FEE
d
Code,l«the performance oflheworklorwr<hthinpermit is issued.
BUILDING DIC > PERMIT ISSUE PLAN, CHECK TOTAL PAID DUE
❑ I have amaintain workers'compensation nlensation insurance.as required by Section 3700 the Labor Code.for the performance of the TOTALS 63 . 50 0 , 00 i 0 . 00 63 , 50 63 . 50 , 00
d soil
work for which this penult s issued.My workers'compensation insurance caner end policy number ere:
Carrier: REVENUE DIVISION TOTALS--> COLLECTED.: 63 . 50 OVER/SHORT: . 00
Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need not be completed I the permit is for one hundred dollars(5100)or less.) 63 . 00 .. - . 50
❑ I certiy 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, and agree that'd I should become subject to the workers' *3E**3e*****IE{EIE*{E*************3FE************iE{E***lf.7E{E{E{E{E{E{(.4E{E.MiEi+9e**.IE.1E.9E3F.1f.1E**4E.)E*%****
compensation provisions of Section 3700 d the Labor Code.I shall forthwith comply with those provisions. I N D I V I D U A L . ' F E E BREAKDOWN
Data Applicant:
Warning:Failure to secure workers'compensation coverage is unlawful,end shall subject en employer to crndnal penalties end TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up to one hundred thousand dollars 0I04000),In addition to the coal o/compensation,damages as provided for in
Section 3706 of the Labor ca interest,and attorney'.tees.
SFR 3500 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 3, 500 , 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there is a construction lending agency for the END'-OF. FEES
performance of the work for which thin permit is issued(Section 3097,Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS: SMOKE DETECTOR
I certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances REQUIRED
and state laws relating to building construction and hereby authorize representatives of this city to enter upon the abave.mentsned properly
for inspection purposes.
A,J—FFLORES /� 01 101�1oi3-]u141474 T:Z E
I '� !�.9/��+ G—' ' 5' " cart: IC "5i,5 TPr: +0:(i
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—moi at. . •"4"..P' a p':.-.cant/Contractor
•se(5t51-4O.WP) White-Build g&Soley;Green-Fie;Canary-Applicant;Pink-Revenue;Goldenrod-Assessor
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 UFER 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, ❑ 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
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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 ❑Gas ❑Oil
25. Roof Sheathing /i " l�S 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. REQUIREMENrC
31. Plaster Brown Coat 79. FINAL INSPECTION
2
a
,e„. .
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED .,, I ri
33. Final Electric Notes:
34. Final Heating & Air Conditioning - 4,c,? K
re� _/ 1
35. Final Gas Pipe-Test a�� _ • 47
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
47. FINAL STRUCTURE& BUILDING /Oh sr
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
Micheal M. Funk
555-68-8939
1613 Ponderosa St, •
Costa Mesa, Ca. 92626
714-549-3492
To The City of Costa Mesa:
I am write to set in motion the re-roofing of my house at 1613 Ponderosa St. I here by request that
Steve Flores act in lieu of my presence for the purpose of obtaining a Owner-Builder permit from the City Of
Costa Mesa.
inc '
MICHAEL M.t K
btLIW _:ttt14161;) AND SWOiiaN
TO BEFORE ME CHIS SALLY E.ARMSTRONG
Sect(
/- ' Cr COMM. #1023177 W
DAY OF 8-' Z9 �U U t` `M�.� NOTARY PUBLIC-CALIFORNIA H
-- CO q ORANGE COUNTY -
�h//7 v) v v My Comm.vv Exvpiresv Apv v o l20,1®®®
NOTARY PUBLIC v
10754 FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT 6-J //- 547-1-9
P.O.BOX 317 COSTA MESA. CALIFORNIA FINANCE DEPT.
fOR APPLICANT TO FILL IN COMPLETELY - APPLIQ, ie:hiICBSl3k M 8hMIT
TYPE OR PRINT BUILDING
BUILDING
ADDRESS 1613 Ponderosa
COSTA MESA. CALIFORNIA fOR Off/CE USE ONLY
y I RECEIPT NO. ^PU 67 54
OWNER Hnightwell Land Comoan "1!
ADDRESS 419 E. 17th Street REGEIYCD�T DATEI R�61VED_ I DATE ISSUED
CITY Costa Mesa, Calif. TNO.LI 81159 BDD UILDADDRESS
ARCHITECT Carlson & LIC.
OR ENGINEER mid Azehrnnle NO.
COSTA MESA. CALIFORNIA
Garden Grove FIRE 9 DLO._
ADDRESS nn ZONE TYPE GROUP Qp'-
Dike & Colegrove, Inc. STATE167293 APPROVED
CONTRACTOR LIC.NO. BY DATE
ADDRESS 419 E. 17th St. , Costa Mesa • ZONING
LEGAL I LOT 77 I 134$7 SONE I ( I PO.OFLANS I USE DI NEW
DESCRIPTION NO. BLOCK TRACT IN4L
BUILDING
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' A.P.NO. APPROVED ///} �}1
BY L 7 p DATE ) I~3 )
SIZE
LOT 751 x 1001 I NO.OP BLDOaL ne YARDS .�{�/J�
NOW ON LOT REQUIRED ALLOWED
USE OF (CENTER LINE ST.) /�
EXISTING BLDG. None - FRONT 53 FT. IN.
SETBACK LINE FROM L�
CENTER OF STREET 551 REAR YARD 271 R.SIDE 15 FT. IN.
SIDE YARD I LEFT 101 I RIGHT 51 L.SIDE I FT. IN.
DESCRIPTION OF WORK
REAR 9 ? FT. IN.
NEW I Xl II ALTERATION I II ADDITION I .
REPAIR I II MOVING I II DEMOLISH I
=DING
1601 NO.OF
ROOMS 6 STORIES 1
EXTERIOR WALL} ROOF
COVERING 'VuCCO (COVERING Shake Ara r
USE OF BUILDING AND WORK TO BE PERFORMED
Single family residence with AP,/
attached garage
flan X 750 FR
I HEREBY ACKNOWLEDGE THAT I NAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OP ESTABLISHING A PERMIT FEE ONLY.
BUILDING CONSTRUCTION. VALUATION
SIGNATURE OF /� PERMIT FEE $ 36.00
SERM T �c vv Z� 36
$ 1
(
16,4„ . PLAN CHECK $ 10.00
Dike & C egrove, Inc. � 54.00
AUTHORIZED AGENT IFIAMC r .� TOTAL FEE $