HomeMy WebLinkAbout1213 DORSET LN - Building PermitsPROJECT ADDRESS:1 T1=.; DORSET LN
UNIT: \
OWNER'S NAME: \
ADDRESS: CORREAL MARIA ISABEL Z
1213 DO.'�2SET LN
COSTA MESA,CA 92626
ARCHJENGINEER: 5 4 0- 7 6 3 3 REG.NO.:
ADDRESS: UNIT:
PERMITTEE:
ADDRESS
.MARIA C_ORREAL (714)540-7633
1213 DORSET LN
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed untl r pprrovisio of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions. Code, and my license is in full force and effect.
CITY LIC.: STATE LIC.: a CLASS:
Date: Signature`
WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self insure or a certificate of Workers'
Compensation Insurance, or a certified copy thereof (Section 3800, Lab. C).
POLICY ND.: EXP. DATE:
COMPANY:
Certified copy is hereby furnished. ❑ Certifiedtcopy is filed with the city Building Division.
Date. Applicant's
i
EXEMPTION FROMthe
WORKERS' COMPENSATION DECLARATION:! mil(This section need not be camp ea if the 00 is for rs 1W1 or less).
XWily that in the performance 01 the work for which this permil i5 issued. Shall nal a ploy any person in manner 50 to become
bri to the Workers' Compensation Laws of Chitprnia'
Dale: ` 7 -9 � \JSigmdure: C —
NOTICE: If, after making this declaration. you should; become subje Uo the Workers' Compensation provisions of the Labor
Codeyou must forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirmihat there is a construction lending agency for the performance of the work for
which In is permit is issued (Section 3097, Civ. C).
LENDER: {/
ADDRESS:
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the fallowing reason
(Section 7031.5 Business and Professional Code: Any city of 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 polisher is licensed
pursuant to the provisions of the ContractorsSlate License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code) or that helshe is exempt therefrom and the basis for the alleged exemption Any violation of Section 7031.5 by
any applicant for a permit 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 (Section 7044, Business and Professional Code: The Contractors' State License Law
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 will have the burden of proving he/she did not build or improve
lot the purpose of sale).
1. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business
❑ and Professions Code'. The Contractors' State License Law does not apply to an portion of property who builds or improves thereon
and who contracts lot such projects with a contractors) license pursuant to the Contractors' State License Law). I am aware
that proof of their Worker's Compensation insurance should be provided to me.
I am exempt under Section: B. 8 P. C. for this reason: BP7044
r ALT ''T'7RK BY OWNER -_a3
Date: `� �'•!!2Owne'
160 hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and
25534 and that I or any future building occupant will/will not (circle one) need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Quality Management District. Residential construction applications are exempt from
these provisions.
Dale'. Applicant:
Hereby certify that I have read this application and stale Thal the above i1 armalio-9Carrect. agree to comply with all city and county
ordinances and slate laws relating to building construction and hereby authorize rep entatives oft is cit the above mentioned
pr erty for iuspeclion purposes.
Date: � —7— / 3. SlgnaWre:
Driver's License or Social Security b:
164146 While—Building'. Green—Code Enforcement: Canary—Applicant, Pink—Revenue: Goldenrod—Assessor
COMMENTS: CITY STD BLOCK WALL
####### IN, *le. je#,###################iE######?:##?!. Y.####xY.'##7(%#
Z O N I N G S E T B A C K S R E Q U I R E M E N T S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING---------
FRNT: FT IN REAR: FT IN FRNT: 40 FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REpp: PROV• PARCEL: 14115403 ZNE: R1 REF NO:
PLANNING NOTES> 77 LF 6' HIGH BLOCK WALL TO BE CONSTRUCTED BETWEEN TWO
> EX. SPD. SMALL RETURN W/ GATES BETWEEN THE 2 SFD AS �ELL.
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 DATE:
BUILDING APPROVED BY DATE: i
APPLICATION ISSUED BY:
LEGALIZATION:N F E E S
DATE:
M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTIVE MECHANIC FIRE SMIP/RES GRADING
PERMIT 39.0050
>" SMIP/NON-RFS
PLAN 25.35 ;?a
ISSUE FEE:
BUILDING -DIV-> PERMIT ISSUE i;izAN.-ChECK TOTAL PAID DUE
TOTALS ---- > 39.50 0.00 25.35 64,85 64.85 .00
REVENUE DIVISION TOTALS--> COI `EG ED: 69,85 OVER/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECH NIC FIRE SMTP/TOT GRADING PLAN -CHECK
39,00 .50 25.35
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 Ii0,N UNIT COST TOTAL COST
'Ip,
SFR 81 RES -CONCRETE BLOCK UALL / FT. 20,00 1,620.00
i,END OF FEES
r,
01 00138712-00138714 TI] T
DATE: 05/07/93 TIRE: 09:39
CITY OF
COSTA MESA -
BU_LDING PERMIT
PERM NO:
B 062062
PERN.IT'NO; 3 062062
PLAN CHECK
NO; 01575-93 S
GOVT:
N SUPP: N
CONSTRUCTION TYPE: V -N
PERMIT
TYPE: STR
PURPOSE: OTH
JOB DESCRIPTION : CITY STD
BLOCK WALL
SQ FT:
81
CLAIM VALUE:
CALC-VALUE:
1,620.00
GROUP OCC:
M-1 /
COMMENTS: CITY STD BLOCK WALL
####### IN, *le. je#,###################iE######?:##?!. Y.####xY.'##7(%#
Z O N I N G S E T B A C K S R E Q U I R E M E N T S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING---------
FRNT: FT IN REAR: FT IN FRNT: 40 FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REpp: PROV• PARCEL: 14115403 ZNE: R1 REF NO:
PLANNING NOTES> 77 LF 6' HIGH BLOCK WALL TO BE CONSTRUCTED BETWEEN TWO
> EX. SPD. SMALL RETURN W/ GATES BETWEEN THE 2 SFD AS �ELL.
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 DATE:
BUILDING APPROVED BY DATE: i
APPLICATION ISSUED BY:
LEGALIZATION:N F E E S
DATE:
M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTIVE MECHANIC FIRE SMIP/RES GRADING
PERMIT 39.0050
>" SMIP/NON-RFS
PLAN 25.35 ;?a
ISSUE FEE:
BUILDING -DIV-> PERMIT ISSUE i;izAN.-ChECK TOTAL PAID DUE
TOTALS ---- > 39.50 0.00 25.35 64,85 64.85 .00
REVENUE DIVISION TOTALS--> COI `EG ED: 69,85 OVER/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECH NIC FIRE SMTP/TOT GRADING PLAN -CHECK
39,00 .50 25.35
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 Ii0,N UNIT COST TOTAL COST
'Ip,
SFR 81 RES -CONCRETE BLOCK UALL / FT. 20,00 1,620.00
i,END OF FEES
r,
01 00138712-00138714 TI] T
DATE: 05/07/93 TIRE: 09:39
,46
^
CONSTRUCTION AND PLANNING
-
APPROVALS Permit #
pspector
ate
In
POO, " SPA
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.
J
55.
Electrical Bonding
5.
Steel Reinforcement
56.
Rough Plumbing & Pressure Test
r
6.
7.
Electrical LIFER Grnd.
Footings Y,.m �/y
iii
/Z`3
_66G
57.
58.
59.
APPROVAL TO COVER-GUNITE
Electrical Conduit-Undrgrnd.
Gas Pipe, 0 Undrgrnd., Test
/�
8. Foundation
9.
Water Pipe-Undrgrnd.
60.
Backwash Lines, P -Trap, L: 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
1
15.
Rough Electrical -Conduit
66.
Solar System -Final
16.
Rough Electric Wiring
67.
Fencing & Access Approval
17,
gough Wiring Sign
68.
APPROVED FOR PLASTERING
,
18.
Rough Electrical -T Bar Ceiling
69.
POOL/SPA SYSTEMS. FINAL
19.
Rough Heating & Air Conditioning
FIRE DEPT. REOUIREMENT
APPROVALS Permit it
20. Rough Factory Fireplace
21.
Ducts, in Structure
70-
Underground Hydro
22.
Ducts, Ventilating
71.
Product Piping OGas OOil
i
23.
Gas Pipe -Rough & Test
72.
Underground Flush
24.
Roof Framing
73.
Undergrnd. Storage Tank OGas OOil
25.
Roof Sheathing
74,
Overhead Hydro
26.
T -Bar Ceiling (Structural) & Monoeoat
75.
Dry Chemical
27.
Frame and Flashing
76.
Dry Standpipe
28.
Lathing &Siding
77.
FIXED SYSTEMA FINAL
29.
Insulation
78.
FIRE PREV, FINAL
30.
Drywall Nailing
HEALTH DEPT. REQUIREMENT
31.
Plaster Brown Coat
79.
FINAL INSPECTION
32.
33.
34.
35.
36.
Electrical Power Meter -Final
Final Electric
Final Heating & Air Condtioning
Final Gas Pipe -Test
Hood or Canopy
j
80. FOOD CERTIFICATE ISSUED
Notes: NO( ize
_ '"'`"'(('//moi//''
S/
�
37.
Final Factory Fireplace
38.
Final Plumbing
39-
Water Service -Final
40.
Gas Service -Final
41.
Solar Domestic -Final
42.
Backflow Preventer
-� I
43.
Backflow Irrigation
44.
Landscape Irriqation System
45.
Sound Attenuation
46.
47.
Handicap Regulations
FINAL STRUCTURE & BUILDING
A
4 /
_
48. FINAL PLANNING
49. Electric Release to Edison
"
50: Gas Release to Southern California Gas Co
51.
No.
CERTIFICATE OF OCCUPANCY
Date
iJw
J
� Q
FOR INSPECTIONS
CALL
754-5626
or
754.5627
Permit •## 66 ZO Z
THIS NUMBER MUST ACCOMPANY
ALL INSPECTION REQUESTS
133a1S
r
u
s
W
O
s
i
•� 133a1s -
owo.
Permit •## 66 ZO Z
THIS NUMBER MUST ACCOMPANY
ALL INSPECTION REQUESTS
133a1S
r
u
s
W
O
s
i
•� 133a1s -
Cement Coping Optional
Channel Block With 1-3%695
Horizontal Top of all
Fences
For Fences 5' or Less
Vert. Bars 3/8"0 at 4'.0" O.C.
For Fences Higher Than 5'
Vert. Bars 3/8"95 at 32" O.C.
Fill Cells Solid With Grout
Where Steel Occurs
Reinforcing Steel Shall
Conform to Sec.A-15-39
A.S.T.M.
All Steel to be Lapped
24" or to Code
NATURALGRADE
TWO 3/8"0 BARS '
CONTINUOUS TOP
& BOTTOM
HarAZSTEEL MUST BE TIED IN
PLACE AT TIME OF TRENCH
INSPECTION,
TYPICAL 6" CONCRETE BLOCK FENCE
V_-
O
[ --WIDTH
e' SEE CHl
r BELOW
I...
GROUT MAYBE POURED FROM THE TOP
OF THE FENCE IN CELLS WHERE STEEL
OCCURS.
CELLS AND AREAS OF HORIZONTAL REIN-
FORCEMENT SHALL BE CLEAR, CLEAN &
FREE OF ALL MORTAR DEBRIS, ETC.
H OF EARTHTCOTH
1/3 THE HEIGTH OF FENCE
BLOW BOTTOM OF FOOTING.
-T w, SCALE: I/2p= I
FOOTING REQUIREMENTS CHART I
WALL HEIGHT 6' 5 4' 3'
WIDTH . . . . . . . . . . . .
. .14" . . . . .
. . .1412".
12"
THICKNESS . . . . .. . .
. .10'.
.. .10"
.'. 8.1
8,.
DEPTH OF EARTHTOOTH ...
2411
21Y
16"
UENERAL- NOTES
SPACING OF EARTHTOOTH.
. 12'
.14'
. . . . . 16'.
16'
MORTAR: One Part Plastic Cement, and
Three Parts Sand
Cr
GROUT: One Port Cement Three and
One Half Parts Stand
=
'Parts
w
COPING: One Part Cement, Three
Sand
CONCRETE: Well Mixed 1:2-1/2:3-1/2
Max. of 7-1/2 Gallons of
tr
z
Water Per Sack of Cement
V_-
O
[ --WIDTH
e' SEE CHl
r BELOW
I...
GROUT MAYBE POURED FROM THE TOP
OF THE FENCE IN CELLS WHERE STEEL
OCCURS.
CELLS AND AREAS OF HORIZONTAL REIN-
FORCEMENT SHALL BE CLEAR, CLEAN &
FREE OF ALL MORTAR DEBRIS, ETC.
H OF EARTHTCOTH
1/3 THE HEIGTH OF FENCE
BLOW BOTTOM OF FOOTING.
-T w, SCALE: I/2p= I
FOOTING REQUIREMENTS CHART I
WALL HEIGHT 6' 5 4' 3'
WIDTH . . . . . . . . . . . .
. .14" . . . . .
. . .1412".
12"
THICKNESS . . . . .. . .
. .10'.
.. .10"
.'. 8.1
8,.
DEPTH OF EARTHTOOTH ...
2411
21Y
16"
12„
SPACING OF EARTHTOOTH.
. 12'
.14'
. . . . . 16'.
16'
City of Costa Mesa, California
Building Department
NOV. A2
N
a�
-J
PARTY WALL AGREEMENT
THIS AGREEMENT, made and entered into this 'S 4 WTH day of
~^0444. Y, by and between 1 S� $ L.L Lo _ R4LF L
hereinafter referred to as "LANDOWNER," and 1-- CL=—L t L t Ahw H C o G'p V;a 10
hereinafter referred to as "ADJACENT PROPERTY OWNER"
It is hereby agreed that a party wall will be constructed on the property line
between t
P
Properties)
Gdo"STiak, "OCGsa
in the City of Costa Mesa, County of Orange, State of California, as per map recorded
in Book Page of Miscellaneous Maps, in the office of the County Recorder
of said County. The party wall shall be permitted to encroach
IN WITNESS WHEREOF, the parties have entered into this Agreement the day and
year first above written.
LANDOWNER
ADJACENT PROPERTY
1 5�"►•8� t_ to Tt1Zw0^4 ✓/ t c 1
Name (Typed or Printed) Name (Typed or Printed)
1 2 1 3 1p 401pb 7
(Address) (Address)
NOTARIZATION REQUIRED
1906-46
M,/ commtsslan Ezplre.
�(�/ September 27. 1796
CERTIFICATE OF ACKNOWLEDGMENT
r�
State of California On �2�/id a21 before me,
(dat
ss.
County of _ personally appeared
�
ppfsafially known lia me (or proved to me on the basis of satisfactory
JUDITH L. BOY[)
evidence) to be the person(s) whose name(s) Ware subscribed to the within
COMM. 0-774282
Notary Public-caittaNa instrument and acknowledged to me that he4he/they executed the same in
ORANGE COUNTY hifi,<iff/their authorized capacity(ies), and that by hisAwdtheir signature(s)
' SSeMY ptemberl27Et� on the instrument the person(s), or the entity upon behalf of which the
person(s) acted, executed the instrument.
.....«........
. Notary Pudla-C W"G
DJE:T ADDRESS:
OW 1213 DORSET•LN
OWN' "S S NAME: MAR I CORREAL
ADDRESS: 1213 DORSET LANE
COSTA MESA
ARCHIENGINEER: 540-7633
ADDRESS:
REG.NO.:
UNIT:
UNIT:
PERMITTEE: CAI, CASA ROOFING CO. (714)999-7024
ADDRESS: 27692 FALKIRK
MISSION VIEJO CA 92691
LICENSED CONTRACTOR DECLARATION: 1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.
CITY 564442 STATE uc.:409357T^.�' NSS' C 3 9
ale: `"�'g— S4— Signature:
WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have/( certificate of consent to self insure or a certificate of Workers'
Compensation Insurance, or a certified copy thereof (Section 3000, Lab. C).
POLICY 1 1137169-92 1 DATE: 0 5/ 01 / 9 3
COMPANY: STATE FUND
El Damned copy is hereby furnished. 1 I� Certified copy is filed with the city
/yBBuilding Division.
Applicant:
EXEMPTION that
FROM WORKERS' COMPENSATION the work
OECURAthisp (This esti need not be not employ if thenyp permit is for onehundred(as to
rlesse
certify that in the performance of the work loo which this permit is issued. shall not employ any person in any manner so as to become
subject to the WorkersCompensation Laws of California.
Date: Signature:
NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor
Code. you must forthwith comply with such provisions or this permit shall be deemed revoked.
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 (Section 3097, Civ. C).
LENDER:
ADDRESS:
OWNER BUILDER DECLARATION: I hereby affirm that) am exempt from the Contractors' State License Law for the following reason
(Section 7031.5 Business and Professional Code: Any city of 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/she is licensed
pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty oI not more than five hundred dollars (5500).
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the
El structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State License Law
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 will have the burden of proving he/she did not build or improve
for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business
L1 and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractogs) license pursuant to the Contractors' State License Law). I am aware
that proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B. S P. C.
for this reason:
Date'. _ _. Owner
I do hereby cemly that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and
25534 and that I or any future building occupant will/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
these provisions.
Date: Applicant:
I hereby 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 and state laws relating to building construction and hereb rhorge representatives of this city to enter upon the above mentioned
property for inspection purposes.
,,.,/ Co Signature: ., i
Driver's License or Social Security a:
164146 White—Building: Green—Code Enforcement: Canary—Applicant; Pink—Revenue; Golden rad—Assessor
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: B 057953 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR
JOB DESCRIPTION : T/OFF RESHT. REROOF W/CLASS A SHINGLES
PERM NO; B 05795_
GOVT: N SUPP: N
PURPOSE: ALT
SQ FT: 4,000
CLAIM VALUE: 4,000.00 CALC—VALUE: 4,000.00 GROUP OCC: R-3 /
COMMENTS: SMOKE DETECTOR REQUIRED IN THE HOME
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Z O N I N G S E T B A C K S k E Q U I R E M E N T S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING---------
FRNT; FT IN REAR: FT IN, FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING RE • PROV: PARCEL: 14115403 ZNE: REF NO:
PLANNING N TES>
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D E V B,L O P M E N T S E R V I C E S R E Q U I R E M E NIYT S
y
ZONING APPROVED BY DATE: (x'.
BUILDING APPROVED BY : DATE:
APPLICATION ISSUED BY: DATE: Z L
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LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
v
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 63,00 .50 11
PLAN SMIP/NON—RES•
ISSUE •,
E FEE '1
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS ---- > 63.,50 0.00 0.00 63,50 63.50 .00
REVENUE DIVISION TOTALS--> COLLECTED; 63,50 OVER/SHORT: x,:00
BLDG P00 PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOOT GRADING PLAN—CHECK
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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 4000 REROOF BY VALUE RESIDENTIAL NOZONE
END OF FEES
1.00 4,000.00
!Li
4,
DATE= ^6/2919$ T7it: _.
CONSTRUCTION AND PLANNING_ i
-. Date
APPROVALS Permit # -
Inspector
POOL A
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- St6el Reinforcement
56. Rough Plumbing & Pressure Test
6. Electrical LIFER Grnd.
57. APPROVAL TO COVER-GUNITE
71 Footings
58. Electrical Conduit•Undrgrnd.
B. Foundation
59, Gas Pipe, O 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
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. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning
- FIRE DEPT. REQUIREMENT '
A
'''Permit #
20. Rough Factory Fireplace -
-
- :.APPROVALS
21. Ducts, in Structure
_'' ?
'70. Under ground Hydro ,E r
22. Ducts, Ventilating
--
71. Product Piping 07G5s O'_Oil
23. Gas Pipe -Rough & Test
,-
-
'32. Underground Flu3h= -
24. Roof, Framing
-73. Undergrnd. Storage -Tank EI Gas ❑ Oil
25. Roof Sheathing ' 7�/�qL
ctj -
74•rOverhead Hydro -"
26. !-Bar Ceiling (Structural) & Monocoat_
-
75. 'Dry Chemical
27. Frame and Flashing_ ,
76.' Dry Standpipe `
28. Lathing & Siding
77. FIXED SYSTEM -FINAL=
29. Insulation
7& :FIRE PREV. FINAL u
30. Drywall Nailing
-
HEALTH DEPT; -REQUIREMENT
31. Plaster Brown Coat
I`
79.' FINAL INSPECTION .
32. Electrical Power Meter -Final .
.80. FOOD CERTIFICATE ISSUED
33. Final Electric
Notes:
34, Final Heating& Air Conditioning:
f ,
35. Final Gas Pipe -Test
36.'Hood or-Cano Py
37. Final Factory Fireplace •-
-
38. Final Plumbing
t
39. Water Service -Final
40. Gas Service -Final
41. Solar Domestic -Final
-
42. Backflow Preventer
- -
i
43. Backflow Irrigation
44. Landscape Irrigation System..
45. Sound Attenuation
c
46. Handicap Regulations
-
47. F-INAL,STRUCTURE & BUILDING
to
-
4W FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
-
`�- crZ - S�"-.,���
51. CERTIFICATE OF OCCUPANCY
No. Date
0
Applicant to fill in all spacesexceptthose within heavy border lines and sign all appropriate declarations. -
CITY OF COSTA MESA, NSTR CTI,ON PERMIT PERMIT NU. --TRACT1N0. y' ,LOT NO. UNIT NO. - -
g
Prolect.Address ' o
Applicant's Mai lin Address' '-0- - , '
Owner's Name = ?,\'6• cn E-'-
Address eC, -
Arch/Eng. License No.' ?
Arddress
ContractoYs Name
44 ]]f ��- �,I-Vhone'/t
Address (mailing) !)IC L Sc; e 1 r1T Aft .AnciYQL gx
City License No.
LICENSED CONTRACTOR; DECLAR TION
I hereby affirm that I am licensetl untl r provisions of Charter 9 (commencing
with section 700 0) of Division 3 of e B in s - d Professions Code, and
my license is in f II fQ rCe an d`,�ff_¢ i
Licen I -1i. `-• I s r
Date' - Signature' G - 1
WORKERS' COMPENSATION O LARAT N
'. hereby affirm that I have a cert; Icate'of consent to self -insure or a certificate
-•3:.1 Workers' Compensation Insurance; o a cert; f ied-copy thereof- (Section
%00, Lab. q1�w'+: r I
Policy No, r1 �7f y Ce any '
ry'rIl Certified copy is hereby turn is he
tq Ceyyifip r[ copyj5 tifp1 with the cit Itlin f�si n. . _
EXEMPTION FROM WORKERS' COMPENSATIOV OECLARATION-
(Thissection need not be completed iY the permit,; for one hundred ($loo)
less).
1 certify that in the performance of the work for which this permit is is d, I
shall not employ any person in any manner so as to become su toe to.the
Workers' Compensation Laws of California. ,
Date Signature 1
NOTICE: If, after making this declaration, you should becom subject to the '
Workers' Compensation provisions of the Labor Code, yo must forthwith -
comply with such provisions or -this permit shall b deemed revoked.
CONSTRUCTION LENDING -AGENCY '„ '
1 hereby affirm that there is a construction lending age • y for the performance
of the work for -which this permit is issued ection 3097 Civ. C.)
Lender's Name _
Lender's Address
OWNER BUILDER DECLARATION I -
I hereby affirm that I am exempt from the ontractor's License Law for the ,
fa/he
wing reason (Section 703 - 5 Busine5 ntl Professional Code: -Any city or
coty which requires a permit const ct; alter, improve, demolish or repair'
antructure, prior to its a e, als requires the applicant for such permit
'tole a signetl'statement- a e/she s licensed pursuant to the provisions of
thontractor's License (Chap r. (commencing with Section 7000) of
'Diion 3 of the Business and P f i ns Cotle) or that he/she is exempt
lf rom and the basis for the lege tion. Any violation of Section
0.5 by any applicant for' per objects the applican['to -a civil
lelty of not more than five ntlretl Dila s($500). : I
_❑ as owner of the pro erty or my employees with wages as their sole
coensation, will do the ork, and the structure is not Intended or offered
foale (Section 7044, usiness and Professional Code: The Contractor'sLise. Law does not plyJo an owner of a property who builds or improves
thon, and who do such work himself/herself or;through his or her own
emloyees, provide hat such improvements are not intended or offered for
saIf,'howe ver, a building or•improvement is sold within one year of com-
plon, the own will have the burden of proving he/she did not build orIm-
pre for the p pose of sale).D,•as, own of the property, am exUusibely contracting with licensed con-
trorsto nstruct the project (Section 7044, Business and Professions Code:
ThCont ctor's License -Law does -not apply to an owner of property who
bus o improves thereon, and'_who' contracts for such projects with a con-tror ) license pursuant to the Contractor's License Law). I am aware that
prf of their Worker's Compensation insurance should be provided to, me.
Dam exempt under Section B. & P. C. for this reason
Signatu
Drivers'
CMF 0865
TYPE OF CONSTRUCTION El NEW LJ ADD
, ElCONVERSION 1-1DEMOLISH 1PO ER
DESCRIPTION /USE OF BLDG.VV(/1C,,
• to, / 1 M
Elof RATION LJ REPAIR-
-
`,' V7A-/ID 2OU i'
- -
- Accessory Building:
A.P. # -
-
S
Main Building:
TYPE OF PERMIT GRADING LJ FOUN DATIONSTRUCTURAL
❑ TENANT ❑ELECTRICAL:❑ PLUMBING MECHANICAL _
❑ OTHER -
E
T
B
'A
Front
Rear -
PROJECT DESCRIPTION 5Q. FT. - oCCUPANCv = I
CONSTRUCTION;TYPE VALUATION$
. ZONE I GRADING CU.YDS. 'ACRES
K
sS
Right
Left
Ping. Ref.#
Remarks: r
I
Planning Notes:
-
E
PLUMBING
O
M
.FEES
I
Bar Sink 1
Backflow Preventer
Backflow Irrigation
Bathtubs
Clarifiers -
Dishwasher '
Drinking Fountains
Floor Drains L
Floor Sinks
Gas Service -Outlets --
k V- ' . . -
P -Trap
Roof Drains -
' r
= Reinspection: Fee
Boller
Duct- Under Ground ,
%1
Duct - Ventilating --'
Exhaust System ED Multiple ElFirepl/Fact. Bit. ICBGi
�Heating System & Ducting
�((
yx0:100,000 BTU El100,000 BTI
r the ab
✓,i cites h -u,(i �rinee pro�p(ertjy(
I Da
55 9
$15 ,
: or.F Reinspection Fee
10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor
Showers
Service' Si nk.
Sewer Cap
Sewer Connectiori
Solar Collectors - -
Solar Piping'
Solar Tank
Swimming Pool W/Spa,
Urinal
Water Closet '
Water Heater -
■g
Water Service -'
Auto -Wash -
Laundry Trays: .
■ Issue Fee
0
a
Hood or Type I ❑ _
Canopy Type I1 ❑ -
Refrigeration System -
00-100,000 BTU ❑100,000 BTU
System Repair/Alteration
Fire Dampers
Registers i
Issue Fee
Construction Pole Si
Cooking Unit. I
Dishwasher --
Dryers ❑Gas ❑E
F.A.U.
Fixtures)
1. Device Boxes
Outlets
Switches
- Garbage Disp
Generator ❑
3778 : -8/F,9/B7 - 7. OCT
;- ' Zone -
- Accessory Building:
- -
$.3
'
- Reinspection Fee
Z
.r
N
r PLUMBING $ ISSUANCE $
N
G
R
• Parking Req/Provided
-
E
O
M
-• MECHANICAL $ TOTAL FEE $
T
S
$ 3
ELECTRICAL
FEES
' Transformer ❑ 15-50 KW
❑ 50+KW
Meter ❑up to 100 amps
- - - •Meter ❑over 100 amps
ctric Sub Panel '
Motors DO -1 HP 011/1-8
Inc. Solar ❑9-15 HP 016-15+
Microwave
Pole Light '
Range
Sign '
Standing Sections
KW 05-15 KW ' ; Trash Compactor
$15 - I , . I Issue Fee
REQUIREMENTS:
-'
- -SUMMARY OF FEES
BUILDING'PERMIT I $ ' SMIP. $
$.3
'
- Reinspection Fee
FEES
.r
DEVELOPMENT SER%
Zoning Approved By—
t Approved B 9 pp yed By '.
uildin
Application Issued By-'
r PLUMBING $ ISSUANCE $
$15 - I , . I Issue Fee
REQUIREMENTS:
-'
- -SUMMARY OF FEES
BUILDING'PERMIT I $ ' SMIP. $
' PLAN CHECK $ ( PERMIT
r PLUMBING $ ISSUANCE $
PLAN CHECK .25%I $ ENERGY P.C. $ '
ELECTRICAL $ GRADING $
PLAN CHECK i50%! $ MICROFILM $
'
-• MECHANICAL $ TOTAL FEE $
$ 3
PLAN CHECK ,25% $
CONSTRUCTION AND PLANNING
APPROVALS Permit # Date -
Inspector
POOL JA
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-Undgrnd.
"'
55: Electrical Bonding
.5. Seel Reinforcement
56. Rough Plumbing & Pressure'Test
6. Electrical -LIFER Gond.
57. APPROVAL TO COVER-GUNITE
7. Footings
58. Electrical Conduit-Undrgrnd.
B. Foundation
59. Gas Pipe, ❑ Undrgrnd., Test
9. Water Pipe-Undrgrnd.
60.. Backwash Lines, P -Trap, 0 Undrgrnd.
s• .:
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
19r Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
26: Rough Factory Fireplace
21. Ducts, in Structure
70. Underground Hydro
22. Ducts, Ventilating
71. Product Piping O Gas ❑ Oil
23. Gas Pipe -Rough & Test
72. Underground Flush
• 24. Roof,Framing -
73. Undergrnd. Storage Tank ❑ Gas 00d
25. Roof Sheathing
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:104&1.8 LIC10T' C*"
34. Final Heating & Air Conditioning
Z-yg8 C4KGE.G / P%2308 a VMC LFi,R
35. Final Gas Pipe -Test
36. Hood or Canopy
37. Final Factory Fireplace
'
36. 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
48. Special Requirements Completed
-
r
49. Electric Release to Edison
50. Gas Release toSouthern California Gas Co
) _
51. CERTIFICATE OF OCCUPANCY'
No. Date
r
UTY ®F COSTA MESA
CALIFORNIA 92626 P.O. BOX 1200
FROM THE OFFICE OF THE DEVELOPMEN"i SERVICES DEPARTMENT/
BUILDING SAFETY DIVISION
December 10, 1980
Frank and Sally Durante
2931 W. Central, Suite H
Santa Ana, California 92704
Re: Compliance Inspection 48038
Owner -Mr. -James Rosauer
1213 Dorset -Avenue
Costa Mesa, CA 92626
Dear Mr. Durante:
This is to inform you that inspection was made at -the above
referenced address on 12-10-80 and .that the patio in question
was found to meet -Uniform Building Codes and the -requirements
of the -City of Costa .Mesa.
Respectfully submitted,
L/ Robert C. Young
Deputy Structural Inspector
RCY:nih
77 FAIR DRIVE (714) 754-5273
VwNtM HUSAUEH, Jamesy. DAM.,' 1-ey-n7
JOB ADDRESS 1213 Dorset Lane BUILDING PERMIT NO. 23504
GENERAL CONTRACTOR R. M. Wi1Son DESCRIPTION OF WORK Alum. Patio Cover
AP No. 141-154-03 LOT TRACT FIRE ZONE VALUE $1 100.00
INSPECTIONS
Signature
Date
GROUP J TYPE IV ZONE R-1
Soil
SUBCONTRACTOR
PERMITS ISSUED
T
I Date Number I Signature
Plumbing
Rough Plumbing
Prop. Swr. Line i] House Con. ❑
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground ❑ Power ;p
Rough Wiring
Heating and Vent.
Trenches p Forms 0 Steel Reinf. ❑
Floor System
Bond Beam 0 Steel Reinforce ❑
Sheathing
Frame and Flashing
_
y
Lathing — In ❑ Out ❑
Plaster Brown Coat
Structural, Final
Electric
Heating, Vent., Refrig, and A.C., Final
A;;;a�bing, Final and Gas Test ❑
B�iYdfding, Final
C
Special Requirements
r 23504
STA MESA BUILDING -SAFETY DEPARTMENT
P. O. BOX 3I7 COSTA MESA, CALIFORNIA - -
For Applicant to Fill In Completely
TYPE OR PRINT
BUILDING /� O YS
ADDRESS
COSTA MESA, .CALIFORNIA
OWNER J O ESQ.
MAIL
ADDRESS N
TEL. 59
'CITY PC NO.
ARCHITECT f Z_ Olt- TEL.
EE RECEIVED
FINANCE 9DERT5 , "
UW RfAIQNJT AEPERMIT
BUILDING
For Office Use Only
RECEIPT NO. PE MND. O
�Y 9 REC�E j TE 166 D�
TYPE GROU
ADDRESS- / k'• �A/� Yr
CITY _. A.P. NO.
STATE % ss7 %/ NO. I O V 30T TO SIDE a REAR F. LNG SHALL BE LESS THAN
LIC. NO/ G'/(U'
EAVES
SIZE NO. OF SLOGS. ALLOWED (U. B. C. REQUIREMENT)
UOF SE OT 'NOW ON LOT
YARDS APPROVED YARDS APPROVED
EXISTING BLDG.
USEi MAIN BUILDING ACCESSORY BUILDING
/ '
(FROM C/L REET) �
SETBACK LINE FROM FRONT PT. j FT.
CENTER OF STREET REAR YARD
SIDEYARDI LEFT I RIGHT R.SIDE FT. FT.
DESCRIPTION OF WORK L. SIDES FT. Fr.
N' ALTERATION ADDITION REAR _ Fr. Fr.
DISTANCE BET. BET. MAIN Q
RL MOV
'ING DEMOLISH MAIN BLDGS. ACCESS. BLDGS.
BUILDING 9% Y 'y ROOMS ST RI S C.
SIZE U.P.* APPROVED
/j
EXTERIOR WALL ROOF APPROV ) _6 l
COVERING COVERING BY DATE ` -]
US BUILDING AND WORK TO BE PERFO MEl'DI.
SQ. FT.
1 HEREBY ACKNOWLBDG 1 HAVE READ TXIB APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND 6TAT 8 THAT i A60VE CORRECT ANO ABREE'TO COM. PURPOSE OF .ESTABLISHING A PERMIT FEE ONLY. D
PLY WITH ALL CI WAR AND LAWS REGULATING ypLUAT10N m
BUILDING CON U N. /1
i
SIGNATOF PERMIT FEE' S
PERMITT B
PLAN 0
AUTHORIZED AGENT LLVJJ &
OWNER L'OLLF E -M SA COMPANY DATE 10-1.1-56
JOBADDRESS 1213 Dorset Lane BUILDING PERMIT NO. #38hh
GENERAL CONTRACTOR The Hale Company VALUE $ 100248.00
188 BLOCK TRACT 2671 Single dwellingw.4tt, gar.
GROUP 1 & J TYPE V ZONE RL FIRE DISTRICT 187h
INSPECTIONS
DATE
SUBCONTRACTOR
PERMITS ISSUED
DATE
NUMBER
Footing Trench-�/�'��
/D i
o
Foundation Forms and Grade to Garaget
/D - ':
b
Rough Framing M� r!�
2-/i-�b
9 -,ee1- .�+1CCLGci(��
Plumbing, Rough to SIa6 _1YJ�_
/ ,3/ f
`�aMp,GM /'y
✓
Plumbing, Rough Complete M5
Temporary Pole
Wiring, Rough1
/Z•4�sY
��-aL-;;6
3( S�! ✓
Heating, Rough 7%i G
Heating, Final _ Mffs
5-9-57
-/' Dl� ��t•
�i� iJ-��
ewer, House Sewer, St.
_
�r
A 7,f6
Septic Tank or Cesspool
L ' - `ng, In A Out x
_
I :ring
„�L'/'� -
%
Plumbing, Final, Fixtures CompleteVY q -S
r -5? -S7
Plumbing, Final Gas Test LS"" /4Hs-9-S1-
Wiring, Final MAY
3lt3bf VL'
>
Occupancy 'E ;n:- f --
est;;. ?^I;sa:, Building DeparEmentT APPLICATION FOR PERMIT
o. Bok 31 '2R'7 B U . DING
".!CSA, CALIFORNIA
SANT TO FILL IN
'ydl.d� Ing
*ddress LaneJ
FOR OFFICE USE ONLY
Receipt No.
Permit No.
Costa Mesa, California
Received by
Date Recd.
to —/O
Date Issued _
Nearest
Cross St. Fairview Road
Building
Address
Owner College Mesa Com an
Costa Mesa, California
Mail
Address 1777 W. Lincoln Avenue
Nearest
Cross St.
Tel.
City Anaheim No.KEY 3-3161
Zone I No. of
Plans
I Type Graup
Architect or Lic,
Engineer Davis & Quigley No. C-1790
Approved
by Date
Address43 Malaga Cove PLaza,Palos Verdes
CORRECTIONS
tractor The Hale Company city Lic.
P Y No.; 3422
Address 1777 W. Lincoln Ave., Anaheim
Legal
Description
Lot
I No. 188
I Block I Traet2671
(Attach Metes and Bounds)
No. of Bldgs.
Size of Lot 68 x 117 I Now on Lot None
4se of No. of No. of
Existing Bldg. I Families I RoomsX
O
7e
Z
y
Setback Line from Rear Yard
Center of Street 50 Side Yard
DESCRIPTION OF WORK
New X I Alteration
I
I Addition
Repair I
I Moving
I
I Demolish
Building No. of
Size Rooms Stories
1.4
`erior Wall I Roof
ering Stucco Covering Shake
of New
Bui
Building
lding Single family dwelling with
APPROVALS
Foundation Location
Forms, Materials,
under -Pinning
Inspector
� Date
attached garage.
Frame: Fire Stops,
Bracing, Bolts
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to comply
with all City Ordinances and State Laws regulating]
building construction.
Signature of CbMI?
Permittee
Authorized Agt.
Lath. Int.
Lath. Ext.
Plaster, Int.
Plaster, Ext.
Valuatlon
$ 10, 248.00
Permit Fee $ 26, 00
Plan Check $ 13.00
Masonry Reinforced
Bond Beam
Total
Fee $
FINAL
FORM 204 1055 O. P.. S.
PLOT PLAN
Show location and, distances from
property line and between buildings.
1
v
c
o
�
c
L1
J
O
p,
IL
Street
PLOT PLAN
Show location and, distances from
property line and between buildings.
1