HomeMy WebLinkAbout2758 DESOTO AVE - Building PermitsreaecT aoosess: 2 � 5 8 DESOTO AV
.,awxensName: MILLER GLEN L
' 1looness: z�58 D� SOTO AVE
COSTA MESA,CA
549-2186
ANCM/ENGINEEfl:
FDOflESS:
UNIT:
92626
NEG.NO.:
UNIT:
PFFlMITTEE: ROOFING SPECIALTIES ( 714 ) 540-0147
AOOflE55: '�'� S 1 MAR I SA
GARDEN GROVE CA 92691
LICENSEO LONTflRLTOP OEUAPATION: I hereGy allirm t�at I am Iicense0 un0er o�m'isions of ChaUler 9 �cammencing wit� Section
1000� ol Divisiun 9 0� Ine Business an0 Pm�essons Coee. anE my license is in tull lorce and effecL C7�� i/�K/
��T/`'�'�'' 018401 sTnreuc.:362397 cwss: C39
�E3fe: �_ SignaW���
WOBREflS'COM ENS TIONOECLABATION: I�ereE ailhavi cemhcateoiconsemtosell-insureoracenilicateafworkers'
Comvensation Inmrance. or a certifieU cooY ��e�eol (Section 3800. Lab. q.
voucreo.: 285-92UNIT130 E%P.OATE: OiIOSI93
coMraxr: STATE FUND
❑ Cenilie0 coOY is �ere0y furnished. C}Z CertifieU copy �rs IileE i'� itre ciry BuilEinq Uvision.
�� Z�Z/9 L �p� ,�� rru/.�, nr/ o���
e: r
E%EMYf10N FflOM WOflNEPS' C�OECUNL T�is section not Ge compk�eE il �he permit is lor one huMrW (5100� or kss�.
I certity Iha� in iM1e Dedormance ol lhe wOrk lor w�ich Ihis ermit is i55ueA, I shall not employ any Derson in any manner so as �o become
suqect �o �ne workeri Compensatian Laws ol Calilomia.
Oate: Sipnature:
NOTILE: II. after making iAis aeclaration, you s�ould Uecome suGl�� �o �he Warkers' Compenution provisions ol the Lahar
COEe, you musi fonhwil� compty wit� SucA D�ovisions or t�is permit sAall 6e Ueemed revoketl.
' CONSTBUC710N IEN�ING RGENCY: I �ereby allirm t�at t�ere is a consimction lenaing agency lor t�e perlormance oi ihe wark for
wnicn ihis permii is issuen �Section 3097. Civ. C�.
�exoex:
aounEss:
OWNEP BWLDEP OECIAMTION: I �ereEy allirm l�al I am exempi imm the Coniraclors' Slate License Law lar the lollowing reason
(Seciion 7031,5 Business and Pmfessional Cotle: Nny city oi counry which re0uire5 a permil �o cons�mc�, alter, improve, dematish, or
repair any slmcture. prior to its issuance. also reauires Ine applicant lor sucn D¢rmil ta lile a signed stalement ihat ne/she is licensed
pursuam m i�e Dmvisions ol tne Coniracbrs' S�a�e License Law (Chapter 9(commencinp with Section 7000) ol Division 3 of tAe Business
anU Prolessions CoOe) or Iha� he/she is exempt Iherelrom and @e �asis for ��e a11eAe4 e�emD�ion. Pny violation ol Sec�ion 7031.5 hy
any aODlicanl �or a permil Su�jeClS i�e aD0litani �o a Civil penalry oi nol more lhan �ive AunOreO Oollars (5500).
I, as owner ol Ihe pmpeny or my employees wilh wa0es as tAeir sole compensatian, will Oo the work, and tlle
❑ simclure is nol imentled or ollered lor sale (SecUon 7044, Business anU Pmiessional Code: The Contrac�ors' S�a�e License Law
Ooes nol apv�Y lo an owner of a Dropeny who Ouiltls orimproves thereon, antl who tloes sucn wark him5eltlherself or Inrougn
his or �er own emplayee5. pmviGed Ih3t such improvemenis are not inlentle0 or olleretl �or sale. I�, hawever lhe builtling or
impmvemen� is saltl wil�in one year o� complelion, ��e owner will have ��e 6urAen o� proving he/she Aid no� �uiltl or improve
lor ihe Durpose ol Salel.
I, as ownerol Ibe O�oDehY. am eaclusively conlrac�ing with licensetl conVac�ors �o cons�mc� �he pmlecl (Sec�ion 7044, Business
❑ antl Pwlessions Code: T�e Con�ratlors' S�ate License Law tices not apON �o an owner of Dropetly wlw builds or impmves Iherean
and w�o toniracls �or su[h pmle��s wi�A a conlraclor�s) license pursuant Io Ihe Coniraclors' State License Law). I am aware
Ihal proof al I�cir WOMei s Campensalion insurance shoWd be pmvitled to me.
� i am eKemD� un0er Seaion: B. 8 P. C.
lor Ihis reason:
Date: Owner.
I do here�y cenity that I am aware ol an0 untlerstane the requiremenis of Califomia Health and Satery Cotle Sections 2550.5. 25533, antl
2553a ana tnai I or any iWure builainp occupant wiIV=11 not (circle onq n¢eU io comply vnt� sai0 state coaes anA ihe requiremenis for a
permil lor con5imclion ar mo4ilica�ion Imm �he Air Oualiry Managemen� Dislrict. Re5i0ential consimction applications are exempt �mm
inese pmvisions.
Oate'. Fp0licanl:
I hereUy t¢r�ity I�a� I �ave reatl Ihis applitaiion an0 S�ate ihat Ihe aCOve inlormaiion is tOrreci. I aAr¢e �o tomply with all ciry
ar�mancesan09a�elawsrelalinplohuildingcanslmctionantliterebyau erepresen�ativesolihisciryloenleruQBMhCE
properiy far ins0e[�lon pur0oses. O�'�
Driver's �icense or Sociai Securi�y x:
t6at�a6 �M1'��le—BwlEina�. Green—COEe Enlo¢ement: Canarv—AodicanL Pink—Revenue; GolOenro4—Assesmr
CZTY OF COSTA MESA — BUILDING P£RMIT PERM NO: B 05802
PERMIT NO: B 058024 PLAN CHECR NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMZT TYFE: STR PURPOSE: ALT
JOB DESCRIPTION : T/O RESHT REROOF W/TIMBERLINE SQ F'P; 4,200
CLAZM VALUE: 4,200,00 CALC—VALUE: 4,200,00 GROUP OCC: R-3 /
COMMENTS; SMOKE DETECTOR RE�UIRED IN THE HOME
ififiElElf�E3E3F�EitiEifiFiEff3E�ElEifiFl4kififififiF �flfifiElFifiEiFiFififiFaE�k3flF�E�FififiEiliEikiE3FiFifkjhiFaFk3EiEiEK*iFiE1f1E 3fiFiF3EiEififiF
Z O N I N G R E Q U I R E M E N T S
ssTHAcxs
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR; FT IN FRNT: FT IN REAR; FT IN �
LEFT: FT IN FtGHT: FT IN LEFT; FT IN RGHT: FT TN
PARKING REp• PROV: PARCEL: 14164103 7.NE; REF NO;
PLANNING NtSTES>
> �
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D E V E L O P M E N T S E R V Z C E S R E Q U I R E M E N�T S
ZONING APPROVED BY DATE;
BUILDING APPROVED BY ; . A�_ � DATE:
APPLICATION ISSUED BY:�������� �/
iF iE iF iE iE iE �E �E it iE it if if �E iE if if 1k rt iE if iF
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LEGALIZATION:N F E E S U M M A R Y
HLDG PMT PLUMHING ELECTRIC MECHANIC
PERMIT 72.00
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 72.50 0.00 0.00
kEVENUE DIVISION TOTALS--> COLLECTED;
BLDG PMT PLUMBING ELECTRIC MECHANIC
%2,��
DATE • ����
�F�Fi�*+r**+�***��r �t+�
�r***�t*�r** x *�***��**�t�**** ��r
STRUCTURAL SEGMENT;Y
FIRE SMIP/RES GRADING
SMIP/NON—RES �
TOTAL PAID _� DUE
72,50 72.50 ,00
72,50 OVER/SHORT; ,00
FIRE SMIP/TOO GRADING PLAN—CHECK
if k�E k 3E �F iE if if iE if iE )E iE if iF if iE 3E iE 1f 1E iE !P 3f iE iE iF 1E iF *�1F 1f if 1E # iF if iE iF �F ik iE fF if iE iF ikiF 1f # 3E M� iF iE ik iF if aF #� if af aF fF if �F It #k if iF i! 3f iF 1l iE 1E ik iF 1f
I N D I V I D[7 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 4200 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 4,2Q0.00
END OF FEES
�. �L.rii�7 – _/�.
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J"��': �'�i/�.. , � .� i ..
' 1
�CONSTRUCTION AND PLAN�ING P��� �A '
APPROVALS Permit# ' �Date Inspector AppROVAIS Permit# Date Insp2ctor
1�Tempor�ry Electrical Service or Pole � 52. Pool & Equipment Location
2. Soil Pipe�Undrgrnd. � 53. Steel fleinforcement
3. ElectriW� Conduit Utility-Undrgrnd.. 54. Forms
4. Electrical Conduit•Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6, Electric8� UFER Gmd. 57. APPROVAI TO COVER�GUNITE
7. Footings 56. Electrical Conduit-Undrgrnd.
8. Foundat�on 59. Gas Pipe, O Undrgrnd., Tes[
9. Water Pipe�Undrgrnd. . 60. Backwash Lines, P-Trap, � Undrgrnd.
70. Structura� Floor System ' 61. APPROVAL TO DECK "
11. Property Sewer line & House Connection 62. Backwash & ReceptorFinal
12. Sewer Cap 63. Heater & Vent-Final
13. Roof OrBins 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. RoughE�ectrica{-TBarCeiVing 69. POOUSPASYSTEMSFINAL
19. Rough Neating & Air Cpnditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace _ APPROVALS Permit #
21. Dutts, in Struaure 70. Underground Hydro
22. Ducts, Ventilating � 71. Product Pfping �Gas OOiI
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing • 73. Undergrnd. Storage Tank O Gas ❑ Oii
25. Roof Sheathing --Z-�'.I� (�('�� 74,-Overhead Hydro
l�
26. T-Bar Ceiling (Struciural) & Monocoat . � 75. Dry Chemicai
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding . • � 77. FIXED SYSTEM FINA�
29. Insulatio� � ' 78.• FIRE PREV. FINAL
30. Drywall�Nailing ��,_�- HEALTHDEPT.REQUIREMENT
31. Plasier 8rown Coat �.- ;- 79. FINAL INSPECTION
32. Electrical Power Meter�Final �. � 80. FOOD CERTIFICATE ISSUED
33. Final El�ctric � Notes:
34. Final Heating & Air Conditioning , �'� �-��
35..Finai Gas Pipe-Test _ -
36. Hood or Canopy � . �
37. Final Factory Fireplace � �
38. Final Plumbing . 1 /
39. Water Service-Final � �
40. Gas Service-Final ,
41. Solar pomestic-Final
42. Backflow Preventer �
43. Backflow Irrigation
44. LandscaPe Irripation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING 7j_�U� �•��
!
48. FINAL PLANNING , �: '
49. Electric Release to Edison �"J_q �_ C�eI�P ��
� _j ^_)
50. Gas Release to Southem Califomia Gas Co � !'� �%B
5t. CERTIFICATE �F OCGUPANCY y
No Date
� • f8868
COSTA MESA BUILDING-SAFE7Y DEPARTMENT
P. O. BOX 917 C08TA M68A. CALIFORNIA
For Applieani fo Fill In Comple+ely
TYPE OR PRINT
AooRE�ss 275a De Soto Ave.
COSTA MESA. CALIFORNIA
E
� ARCHITECT
� STATE
NO. OP
FIRE
ZONE
APPROVED
L80AL
,"q-6•F�P[lcosrn,65� **�*9U:50
APPLICATION FOR PERMIT
BUILDING
For Offiee Use Only
NHC8IPT NO. �91q
V
BY � OASE PE6HIVCD _ I D�TE
COSTA MESA CALIFORNIA
ZONING
NO. OF � j I uae ov �
PlANB �� BUIID�NG
EVES
e�usnrvc. e�u� -.vvtic APPROVED
SETBACIt LINH iROM �! � REAR YARDZ[J 1_'L11 (��R uNe aT.I
cexren OF srnceT O FRONT
SIDE YARD ILEPT � IRIGNi � R.SIDE
DESCRIPTION OF WORK
NO. OF
� � �� ROOMS
yA,��.�7 llCCO I ROOF�"
cY WOOC� COVER
LDING AND WORK TO B
�
SinPle £amilv res w att ear Livin Area: 1780 S,F,
L-A Gara e Area: 1t60 S,F,
I HERCBY ACKNOWL6�G8 THAT 1 HAVB ReAD TXI6 APPLIGT�ON TH8 AMOUM 9HOWN UNDER VALUATION IB POR TX8
ANO BTAT¢ THAT THE ABOVE I6 GOPN6CT �NO A6R8E TO CON- pUliPOBE OF CBT�BLI6HIN0 ♦ PERMIT PF¢ ONLY.
PLY WITH ALL CIiY OROINANCE9 AND BTATH LAWB ReDULATINO
BUILDING CONBTRUGTION. VALUATION
SIGNATURE OF Mesa Del Mar Development �o PERMIT FEE $��i �O
PERMITfE
p''�.1'��-ll `/�///�// s 19,065��� PLAN CHECK $ �/� ��
AUTHORIZED AGENTl� .. _ ��/ �/� .//,...en� /J i�r.
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