HomeMy WebLinkAbout934 DOGWOOD ST - Building PermitsPflOJEtT RDOflESS: 9 3 q DOGWOOD ST
owxce�seame: DINSDALE COLENE R
aoosess: g34 DOGWIJOD ST
COSTA MESA,CA 92627
^ AflLN/ENGINEEB:
ROOflE55:
flEG.NO.:
UNIT:
UNIT:
PE"miTTEE: FARTHING DEVELOPMENT, INC. ( 714 ) 673-1212
NODflESS: 9O9 DOGWOOD
CUSTA MESA CA 92627
LICENSEU CONTflACTOB OECNNATION: I hereby a�firm thai I am licensetl untler Dmvisions oi ChaD�e� 9lcammencing with $ection
7000) ol Divrsion 3 0l the Business an0 Pmlessions Cotle. and my license is in �un lo¢e antl eilem.
cirruc.:048111 srareuc.:560875 cu�ss:
�ale'. �(Z(_S Signa�ure�. — _ �
WOflNEflS' COMPENSRiION 0� IITION: I hereby atlirm inat I nave a cenilicate of consen Ibinsure or a cenihcate ot Workers'
Compensaiion Insmance. or a renified copy I�ereof (Section 3800, Lab. C�.
POLICYNO.: i1S2297-91 EXP.OAiE: O3�OLI92
comvnNr: STATE FUND
, '� CeNb¢0 COpy i5 her¢by lumished. � Certi�ietl Capy is tiled wiih �he City BUiltlin �ivision.
Date: / 0 ^ � �—^ �/ Applicanl: A�
E%EMPTIONfBOMWONHEflS'COMPENSATIONOECUflRTION: QN55ectionneeGnolGemmpleteOilNepumi1i51orone�uMretl�511p�wless�.
I[e�ily Ihat in the Oedormance oI t�e work far whicn t�is permii is issuetl. I shall not employ any perwn in any manner so as to Uecome
suo�ecl lo ine vJorkeR' Compensation laws ol CaOfomia.
Oaie: Signarore: -
NOTICE:II. afle� making I�is declaration, you shoul0 become suDlect m l�e Woders' Compensation prOvi5ion5 ot1Ae La�or
COde. you must Iori�wilh tompiy wil� suCA pmvi5ion5 or t�is permil 5hall be 0¢emed revoketl.
CONSTBUCiION LENOINC �GENCY: I hereby affirm tnat there is a constmction IenUing apency lor the peAormance ol Ihe work 1ar
w�icn I�is permil is issue0 (Seclion JW7. Civ. C�.
lENOEX:
aooeess:
OWNEfl BUILOEH OECIAXATION: I �ere�y alfirm t�at I am exempi irom ��e Contractors' Staie Lirense Law fol lhe lollowinp reason
�Seclion 703t.5 Business antl Pmiessional Cotle: Any city oi caunty which reQuires a Dermit to constmcC alter, improve, demolish, or
repair any slmclure, prior ta its issuance. also repulres Ihe applicant lor such permi� to file a signea stalement Inat he/she is licensea
pmsuant la Ihe umvi5ion5 0l Ihe Comramors' Sla�e License Law (Chap�er 9(commencinp wi�h Sec�ion 7000) o� Divisian 3 oi �he Business
an0 Pmf¢SSionS Code) Or I�al �e/she is e�¢mpi t�ereimm anA I�e �a5i5 lor I�e allege0 eK¢mplion. Any viola�ion 01 Settion 7031.5 hy
any apphcant lor a permil suble��s Ihe applicant lo a civil penalry o� no� more �han live hundretl tlollars (E500).
I, as owner ol Ihe propeny or my employees wilh wages as Iheir sole compensation, will ao IAe work, and tAe
❑ simcture is not inten0ed or offere0lor saie (Section 7044, Business an0 Pmlessional Cotle�, T�e Coniractors' State License Law
Ooes not apply to an awner of a pm0eny wfw builAs or impmves ihereon, and who Uoes sucA work �imsell/�erselt or ihmugh
his or �er own employees. pmviae0 ihat suc� impmvements are not inten4eE or oll¢red lar sate. If. however Ihe buil0inp or
impmvemeni is 5010 within one year 01 tomple�ion. Ihe owner will have lhe UUrden o� pmving �e/She OiU noi 6wld or improve
for Ine ouroose ol sale).
I, as owner ol the D�oOetly. am excWsively comraciing wiih licensetl Contraclors Io consimct �Ae D�ole�� (Section 7044, Business
❑ an0 Profe55im5 COAe: T�e Cantrat�ors' Siate Li[enu Law tices not appry to an owner af pmperry who EmICs ar improves lhereon
and wno Comratls �or suc� Omle��s wi�� a contracmqs) license pursuant to I�e Contracmrs' Siale License Law�. I am aware
� Ihal prool ol I�eir Worker's Compensa�ion insurance ShoWU be pmvidetl lo me.
'I � I am exem0� under Section: 8. 8 P. C.
loi Ihis reason:
Oate Ownec
I Eo �ere�y certify �tu� I am aware ol an0 unEerslantl Ihe repuirements o� Cahlomu M¢alih anE Satery COEe $e[tion5 25505. 25533, an0
25574 ane ��al I or any lumre Ouilamg occu0ant wiil/will not (circle ane) neeA to compty vni� said stale codes antl Ihe requiremenls lor a
pe�mil lar con9mction or moGdi[ation imm I�e Air �ualiiy Managemen� Oislrici. F¢sitlential coniVuction aOUlicalion5 are exemp� �mm
Ihese pmvi5ion5.
Oate: ADO�icam:
I �ereGy cetli�y Ihai I have mad I�is applicalian and s�ale tha�i�e aboveintormalion i5 correcl. lagree Io comply with allcity antl counry
orOmance5anU5talelawsrelalmgloDuilAingcon9mclionarMherebyaulfqr¢eieprese f e5ol1hi5ci�yl0en�eruponihea�ove-meniioned
pmpmty lar inspeciian pur0ases.
�alc: _��+2=�! SignaWre' �
Driver's L¢ense oi Soriai Secudiy �:
16<ba6 Whpe—Bwltling; Green—Code Enforcemenl: Canary—Applicam; Pink—Revenue; Goltlenrod—Nssessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 05445
PERMIT NO: B 059455 PLAN CHECK NO: N GOVT; N SUPP: N
CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: ALT
JOH DESCRIPTION ; RE—ROOF W/ASPHALT COMPOSITION SHINGLES SQ FT: 1,000
CLAIM VALUE: 1,000.00 CALC—VALUE: 1,000,00 GROUP OCC: M-1 /
COMMENTS: SMOKE DETECTOR(S) RE(�UIRED IN HOME,
���������,�*���**���*����*�*��� ��*�*�**���***���*�*����*���1�9'��'D��fi�R
Z O N I N G R E Q U I R E M E N T S
S E T B A �" S RF�C�UIRED
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILD N---------
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 REQ• PROV: PARCEL; 92252126 ZNE; REF NO; �
PLANNING NtSTES>
%
if iE k iF if if ik if iE iE if if af �E iF i! )f af 1f k If if 1k if iF if 1E iE if iF iE iE iF iE iE if �E �lE if 1f iE 1k if iF iP if iE 1F if 1p if if iE iF if iE IE iF if if 1E iF iF If iE af �E iEif iF iE if iE iE iF iE iE af iF
D E V E L O P M E N T S E R V I C E S R E Q U Z R E M E N�=T S
o•�.
ZONING APPROVED HY DATE;
BUILDING APPROVED BY ; DATE;
APPLICATION ISSUED BY; , DATE: .�%l'�J�9i
if if iE iF IE if iE 3t iE IF IE 3f iE iFlE if iE iF 3E 3f iF 3E 1i' IF iE iE if'K' 3f'1F �E 3E iF iF 1E if if i��E if 9h j�.iR iF if if iE jE if 1E IE'Y if if 1E iF3f IE
LEGALI2ATION:N F E E S U M M A R Y
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE
iE iF�E iF �E {F iE If �f i}'if iE IE af iE iE �f iF iE iE
STRUCTURP.L SEGMENT-; Y
SM2�P/RES GRADING
PERMIT 25.00 '' ,50 .
PL� SMIP/NON—RES r.�
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> Z5,50 0.00 0.00 25.50 25.50 ;00
i
REVENUE DIVSSION TOTALS--> COLLECTED: 25,50 OVER/SHORT; ,00
BLDa5P00 pLUMBING ELECTRIC MECHANIC FIRE SMIP/1'0o GRADING PLAN—CHECK
iF M k if if 1F iE if If iE if iF iE if if �f iE iE if if If if if if if iE 1f iEiE iE iF IE iE iE if iE if if if 1E if IF iE iE 1E �k aE if jf if 3f if iF iFiE iE if if aE iF 3F �f �1F iE iE iE iF if if iE k!! k iF if 1E �74 �f iF
I N D I V I D U A L F E E B R E A K D O W N "
f�ii'i]s
SFR
QTY
1���
I���.^S�:iiilii�i.l
REROOF BY VALUE RESIDENTIAL NOZONE
END OF FEES
UNIT COST
1.00
TOTAL COST
1����,00
ei l":o9d;S'—a�2a'i,�3 c .}__
�d?c� il'i:E:u1 i:i:: JY:.`
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CONSTRUCI�ON AND PLANNING POOL ,PA
- APPROVALS Permit # Date Inspector p�ppROVALS Permit # Date inspector
i. Temporary Electrical Service or Pole • 52. Pool & Equipmeni Location
2: Soil Pipe�Undrgrnd. - 53. Steel Reinfoicement
3. Electrical Conduit Utility-Undrgrnd.., �' 54. Forms
. 4. ,Electrical Conduit�Undrqrnd. , 55. Electrica� Bonding �
5. S[eel ReinforcemenL 56. Rough Plumbing & Pressu�e Test
, 6. JElectrical UFER Grnd. •� 57. APPROVAL TO COVER�GUNITE
_ 7; Footings - � 58. Electrical Conduit�Undrgrnd. •
m -
8. Foundation ' 59. Gas Pipe, O L)ndrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O. Undrgrnd.
10. Structural Flooi SYstem �� 67. APPROVAL TO DECK
11. Property Sewer Une & House Connection 62. Backwash & Receptor�Final
12. Sewer Cap ' 63. Heater & Vent-Final
73. Roof Drains 64. Plumbing SYstem - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
i 6. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
78. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIfiEMENT
20.'Rough Facto.ry Fireplace � � � • +APPROVACS� Permit # '°
,
21.�DuCts, in Structure �. .� . ' , � � � 570. Underground Hydro � �
22. Ducts,Ventilating �- ,� ' �71. Product•PipingOGas OOiI
23. Gas Pipe=Rough & Test � ' L : 72. Underground Flusti � , �'
24. Roof Framing - • . ' � J3."�Undergrnd: Storage Tank O Gas ❑ Oil
25. Roof Sheathing , ' ,. 74`pverhead Hydro� ,
26. T-Bar Ceiling (St�uctural) & Monocoat ' - -� � 75.- Dry Chemical r ' �'
27: Frame and Flashing , ' 76. Dry Standpipe ' ' '';
� 28. Lathing & Siding . � • � 77.. FIXED SYSTEM�FINAL �
n
' 29. Insulation " � �� ' ' � � 78.; FIRE PR£V. FINAL , ���
• 30. Drywall�Nailing -�` • "./; HEALTH DEPT. REQUIREMENT
_37. PlasterB�ownCo�t ` i 79.�FINALINSFECTI(Q.N -
32. Electrical Power MeterFinal . �; . SO.�FOOD CERTIFICATE ISSUED
, 33. Final Eleciric '` � � , � ' No4es: - �-' ' . �
� 34. Final Heating & Air Conditioning - � � � � - � - . , -
35.'Final Gas Pipe-Tsst ' � �' �" " � � -
�_
36. Hobd orCanoPY= � • �,' � - ' � + �
� 37.-Final Factory Fiie�ilace ' � „ � - , '.
-38. Final Plumbing �- ' , _ '
..39. Water Service�FinaP ' - � •' " - - � +
, �
�, 40. Gas $ervice�F.inal . . � � , . - . ._�; � , �
�41. Solar pomestic�Final ., . ' � -* � �
_ i
42.'Backflow Preventer �� �`. r ' . � , � - �
43. Backflow Irrigation_ � � t ' _ '
44. Landscape Irrigatiort:System 1 ' , � � � � . ',' ' � � ._
-45.'Sound Attenuatiori �' . � � . � -. , t .
a
=46. Handicap Re9ulaci6ns; - - � � "- � .
��
47.�cFINALSTRUCTURE&�BU�LDING � � �.
48. FINAL P�ANNING' r _ `� � � '
. 49.��Electric Release to�Edison_; � '
� �
50., Gas Release to SOuthem;California Gas Co , )��� (, �; ` a �-_ '-�, ,�y,.`�� G
51. CERTIFICATEOFOCCUPANCY , , , , b . �
No. Date �
CITY OF COSTA MESA PLANNING DEPARTMENT ��� 18'��cnsqOO 469Ro r**�
A. P. No. 1��-441-25 25.��
T
Bldg. Permit No. , .�S
PARK AND RECREATIONAL FEES - Apartment Developments
Fee Payment Receipt
Project Address 931 ^0;:.00d S.r•,CC
Owner's Name �0� R. !�itss:t01::
Bachelor or 1- Bedroom Units 1 @$25.00 =+cs.i:
2 - Bedroom Units @ $40.00 =
3 - Bedroom Units @ $55.00 =
4 - Bedroom Units @ $70.00 =
5 - or more Units @ $75.00 = ;i:5,'D
Total Fee
Total number of Dwelling Units
Planning Department Approval Date
� ;
i
1-•1':_7�
By �'��'��' Applicant's Signature�
Park Area No. ��'
>
CITY OF COSTA MESA PLANNING DEPARTMENT
A. P. No. ���-'��-2:
dldg. Permit No. ,,,J ��
Project Address
�aN ie-�i�„SA00 469R� • 25.00
ta�,;
PARK AND RECREATIONAL FEES - Apartment Developments
Fee Payment Receipt
�.=:� ��L �tr� :.
Owner's Name ��•" "' �-� '
Bachelor or 1- Bedroom Units 1 @$25.00 =��"i.' ��
2 - Bedroom Units @ $40.00 =
3 - Bedroom Units @ $55.00 =
4 - Bedroom Units @ $70.00 =
5- or more Units @$75.00 =""• I"
Total Fee
Total number of Dwelling Units �
Planning Department Approval Date 1-1:•%1 Park Area No. I.'
� O.�•' � � Si
By � �'• � '' Applicant's Signature�� • I�_ % . _. ,.i. �
� r �,.�,�
V
� OWNER DIN5DIQ.E, Jon R.
JOB ADDRESS 934 Dogwood Stree
�GENERAL CONTRACTOR Owner-Bldr.
P�,��5;";,,.115- 91�25 LOT TR
IN':'.�ECTIONS Si�
SOIL
GAS
W ATEA
ROUGH PLUMBING
PROP. SWR. LINE � HOUSE CON. �
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING lN0 A�R CONDITIONING
UNOERGROUND � POWER U
FOUGH WIRING
TRENCHES RMS � STEEL REINF.
FLOOR SVSTEM
BONO BEAM n STEEL FEINFORCE �]
SHEATHING /
FRqME AND FLASHIN
LATHING - I�TI-t.]T�J �
PL^'iER,
5' fUi
HEqiIHG,
PLUMBIN(
ELECTRIC
BUILOING
IAL. FINA
VENT., R
, FINAL .
FINAL
FINAL
DATE 1-15-71
BUILDING PERMI"
11[�PJ
SUBCONTRACTOR
i �
� ;�2635 JAN 18-71��,SaOO 468# **�*39.00
� COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applican[ to Fill in Completely
RECEIVED B DATE RECEIVED DATE ISSUE
BVILDING /����_ � �f �'—IS �J •�S %
ADDRESS p7� � YT
I
OWNEF � A.P. NO. �
N
MAIL � BVILDING
AODRESS �1ODRE55
Z
W W TEL. � TRACT
a U clrv S'� No. �
Z
CONSTRUC710N W P'
O N LENDER
am
J � B(7ANCH
J N OWNER
m J ADDRESS /� �/ 9
m ARCHITECT TEL. S/ P^i
J Q OR ENGINEER N /'
U Q FIRr V
W 2 ADDRESS ZONE T
a w APPROVED /
J O CONTRACTOR (�f Q�j`� B�' (
m Z l
J � ADDRESS
pw TEL. 20NE PLANS
Z 2 CITV NO. '�
H
w � STATE CITV 1'APOS APPROVED
y� LIC. NO. LIC. NO. MAIN BUILDING
_� SIZE NO.OFBLDGS. (FROMC/LST EET)
OF LOT NOW ON LOT ONT FT.
VSE OF
EXISTING BLDG. 5 F
Z NEWBLDG.�k ZA ROOMS�w%�STORIESO L SID FT.
a EXTEFIOR WA ROOF �� �S REAR FT
V COVERING LflO COVERIN
J VSE OF BUIIDING AND WORK TO BE PERFO ED DISTANCE BET.
a MAIN BLDGS.
a
Q '1 VAR. #'+
O p -� C.U.P. #'�
(n OL 1ni �ROVE
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V I here ackn letlge tha[ I hava raetl this application entl stare
� [hat che above intormation is correct antl aBrea m comply with
� all lawz regulntin8 builtlinp connruc[ion, and I s�ell not employ
F eny p¢rson in violotion of the workman's compensatlon laws ot
y tha Stam of Calitornla.
zI hereby cerUty [hot I am prO08rly Iicansetl es a contractor untler � D SQ. FT.
Ma S[ote of Califomie Businev antl Professions Cotle, Dlvislcn 3, THE AMOUNT SHO'
Chaptar 9, entl that suc� licenses nra In full force ontl affoct, or I THE PUPPp6E OF ES
am ezampt irom [hn provisionz of thn Stnm of Califpmio Bustnoss VALUATION
entl Pro sslons Code, Division J, Chaptar 9.
SIB�atura f M)
Per tee $�� � � V
,
Autho ' gent
VSE OF NI
BUILDING�
YARDS
LDING
/�
BEf. MAIN
AGCESS. Bl
DATE
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i V �UATIO IS FOR �
i A ERMIT FEE ONLV: m
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�QRANGE COUNTY BUILDING DEPARTMENT � APPLICATION FOR PERMIT �
�1 ., - 636 North Broadwar � . ■ � � �' � �
, ' • SANTA ANA, CALIFORNIA V
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