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HomeMy WebLinkAbout2863 ELLESMERE AVE - Building Permits. PHOJECT pOUPESS: 2 8 6 j ELL ESMERE AV OWNEH'SNPME: STEPUTIS DUANE M aooeess: 2863 ELL�SMERE AVE COSTA MESA,CA 92626 546-8739 FflCHIENGINEEN: HEG.NO.: UNIT: RUONESS: UNIT: PEflMITTEE: DUANE STEPTIS ( 714 ) 546-8739 nooness: 2863 ELLESMERE C.M. CA 92626 LICENSED CONTBpCTOfl OECLANATION: I hereby affirm �hal t am licensed un0er D�ovisions ot Chapter 9(commencinp wi�h Section 7000� ol �ivision 3 ol I�e Business antl Pm�essions Code, antl my license is in Wllforce antl eBect. CITY LIL.: STATE IIC.: CIASS: Date: Signa�ure: . WOPREPS' COMPENSATION DECU1NpT10N: I hereby allirm Ihat I have a ceniticate of consent lo self-insure or a cenificate of workers' Compensalion Insurance. or a cenilied copy Ihereot (Seclion 3800, lab. C1. POLICY NO.: E%P. URTE: COMPANY: ❑ Cerlilie0 copY is �ereby fumished. ❑ Cerli�ieA topy is �ile0 wi�h IAe Cily BuilOing �ivisfon. oate: Aoo��cant E%EMPIIONFNOMWOfl8EN5'COMPENSATIONOECNBRTION: (This5ec6onneeAnolbecompletetlil�hepermitisioronehunArea�5100�or1e55�, I ceriily �hal in ��e pedormance of ��e work lor w�ich ��is permil is issued. I shall not employ any Derson in any manner so as �o become su�lect lo ��e Workert' Compensaiion Laws o� Calitomia. Date: SiBnamre: NOTItE: I�, ailei making Ihis aeclaralion, you 50oulA become subjec� Io the Workers' Campensation pmvisions oi lhe Labor CaEe. you must fort�with com0ly wi�h such pmvisions or t�is permi� shall Ue Aeemetl revaketl. CONSTBOLTION LENOINC PGENCY: I her¢by aihrm t�al Ihere i5 a ton5imc�ion IenAing aAency for �he pertormance o� Ihe work la� w�ich Ihis permil is i5sue0 �Section 3097. Civ. C�. LENOEN: aoosess: OWNEN BUIWEfl OELLABRTION: I Ilereby a��um �ha� I am exempi Imm �he Conlratlors' Siate License Law lor lhe folloxing reason (Seclion 70.31.5 Business anA Pwiessional Code: Any cily ol wunry whith reQuires a Oermi� to constmct, alter, impmve, tlemalish, or reDair any simclure. prior lo ils issuance. also reduires ine applicant for such ve�mit to file a signed statement ihat helshe is licensed pursuam m ihe pmvisions of lhe ConVatrori Stale License law (Chapter 9(commencing wi�� Sectwn 7000� ol Divivon 3 0l lhe Buvness ana Pmlessions fAae) ai that he/she is exempl �herefmm and Ihe basis far ine allege0 exemption. My violation of Section 7031.5 �y any appiicanifor a Dermit suoiecis ine applitant to a ciril Denalty of not more ihan five huntlre0 tlouars (3500). �,y� I. as owner ol I�e pmDeny or my employees wi�h wages as I�eir sole compensation, mll tlo t�e woM, and �he L^J stmtlure is not intenUed or ollerea lor sale (Section 70C4, BuSinesS an0 Pmfessional Cotle: i�e Contratlors' Slaie LicenSe Law Ooes nol aDDly �o an owner ol a Ompehy who buii05 or impwves �her¢on, an0 who does such work himselV�ersel� or Ihrough �is or Oer own emplayees. Orovitle0 lha� suc� impmvemenis are not intenEed or ottereU lor ule. II, �owever Ihe buil0ing or impiovemeni is sala witNn one year al complelion. the owner will have �he burden oi pmvinp he/she tlia noi buila or impmve lot ��e purpOse ol sale�. 1. as owner o� ihe pmpeny. am exclusivey coniracting vn�� licensed conl2ciors lo constmtl Ihe Dmleci (Sec�ion 7044, Busine5s ❑ anU Prolessians Cod¢: T�e CqnVatlors' Slale Litense Law Eoes noi apply lo an Owner o� pmperty wlw 6uild5 or impmv¢5lher¢On ana who conlracts lor suc� pmjects wit� a mniracior(sl license pursuanl lo Ihe Coniractor5' Siate Li[ense Law). I am aware �hal pmof ot I�eir WOBer'S Compensa�ion insurance 5hou10 �e O��eed �o me. � I am e�em0� unAer Section: 8. 8 P. C. lar �Ms reason: — �/ / — Date: ��l � �'+ : 'J / I tlo �ere�y cehily t�al I am aware ol and un0ers�antl th¢ requiremen�s of CaOfor a Healih and Safety Catle Sections 25505, 25533, an8 2557C an0 Ihal I or any tutme building octupanl wilVwiil not �ci¢le one� need lo comply wi�h saie state catles and lhe reQuvemenls �or a Oermii br conslruciian ar mo0ilicatian imm Ihe Air Oualiiy Managemem UsMct. flesiAential cons(mction applicaiions are exemp� �mm mese pmvisions. Oale: APPlicam: I hereDy cei�ily Ihal I hale reao Ihis aDPlicaY n an0 5�aie t�a1 the above in�ortna�ian is wrrecL I agree Io comply wilh ail OfGindOtC5dptl5id�CldwSt¢Wfi�910�Uiltll� canstmctionantlher yaul�orizerepresentalrvesolthiscirytoenreruponlhe; pmper�y lor inspection purposes. Oare �1� � _ Slgnaiure an0 CITY OF COSTA MESA — BOILDING FERMIT PERMIT NO: EP 050920 PLAN CHECK NO: N CONSTRUCTION TYPE; PERMIT TYPE: ELE PLU JOB DESCRIPTION ; FINALIZE PERMITS 41164 6 70149 FOR SP CLAIM VALUE; CALC—VALUE; •��• � �• ,�, � � � + � • \ •• a • i SQ FT; GROUP OCC; / COMMENTS: X *�x����r��*+�***�r�r�r*��****�xx*�t**�r+�**x�**�t+r****�**x **xx��+�**�r*�*******x***x **�r*�r�** Z O N I N GS ERTEBQAUCIKASE M E N T S ------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REA}t: FT IN LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN PARRING REQ• PROV; FARCEL: 13933503 7.NE; REF NO; PLANNING NOTES> i xx**xx**�*x*�****x�*�-x�r�x ***+�***�r+�+�**�rx*�**� x x�rx*�x�x�***� ��*u�*x**� x x*#� x#***�*** 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 20NING APPROVED HY DATE: BUILDING APPROVED BY : D:STE: APPLICATION ISSUED BY; � %t DATE: ,��F��� iEiEifiEiElE1ElEifiFiElEfFifiEklkiEiE7E1Elf iElFiFlfiEkiElElElf i � iEiE 1E iE if 1E iE ik 7E �k if 1E iE ff !E fE ff IE 1ElElElE 1E 1E 1ElE fFlF iE 1f iF iE iF iF 1E 1E )E 1E if if iE 1t iE iF 1E if if iflE �f iE iE ff �f !E fElFiElf !f if if if �f 3ElE iE 1E iE if iE if iE if iElFlFif iE iE iE LEGALIZATION:N F E E S U M M A R Y STRUCTUAAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 2 00 11,00 '15E SOR SMIP/NON—RES PLAN ISSUE FEE 3,00 15.00 " BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 13.00 18.00 0,00 31.00 31.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 31.00 OVER/SHORT: ,00 BLDG PMT PLUMSI00 ELE26R�IC� MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK if �E if if �! iE iE %if 1f iE if iE if �f iE if �F if iE fE iE iE if k ik fElk iE iE iE iF if iE i! k iElE iE iE ik iE !E if iE if fE rt iE iE if iE iE fF iE iP 1E 1! iE iE iF iE iE-7f iElE if iE iE iF iE if iE iF aE iE iE iE if I N D I V I D U A L F E E B R E A R D O W N �TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE, i MISC APPAFtAT S NOT LISTED REQ PERMIT 11.00 11.00 PLU;{ 1 SWIMMING A001� 2, 00 2, 00 1 't END OF FEES EXPIRED Incomplete tnspectiens \\ l �ate � _ � Sig Q �' A � -- � —_ 01 QOD74S99—UCQUGG01 � .r.+ i ;'a.i,� ORTE: 0✓05/,1 TIISE� O5:_+3 CONSTRUCTION AND PLANNING 'POOL & SPA APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Poot & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. E�ectrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit•Undrgrnd. 55. Electcical 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, O Undrgrnd., Test � 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor�Final 72. Sewer Cap 63. Heater & Vent-Final �- 73. Roof Droins 64. Plumbing System - Final 74. Rough Plumbing 65. Electrical�Final 15. Rough Electriwl�Conduit 66. Solar SYstem-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 77. Rough Wiring Si9� 68. APPROVED FOR PLASTERING � 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 79. 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 ��Gas QOiI 23..�Gas Pipe�Rough & Test , � r 72. Underground Flusli i � 24. Roof Framing � ��� •• � ;�� 73. Undergmd. Storage`Tank O Gas ❑ Oil 25. Roof Sheathing .� , �, � ' � � .74, �Overhead Nydro � � . � 26. T-Bar Ceiling (Structurall & Monocoat 75:.Dry Chemical '' � 27..Frame and Flashing ',, ' 7fi. Dry Standpipe ' 28. Lathing & Siding � • . . •�i ••i� ; 77.' FIXED $YSTEM FINAN - 29. Insulation . � . � i (� 78. FIRE PREV. FINAL •30. Drywall Nailing ' 1 � I I' * '� - •�HEALTH DEPT. REQUIREMENT 31. Plaster Brown CAat ' I I i, , 79�.' PINAL' INSPECTION, . ' 32. Electrical Power Meter-PinaV � � I � �� � 80. FOOD CERTIFICATE ISSUED - 33. Final Electric � � � � ( � �', � 'Notes: , , , . � � 34. Final Heating & Air Conditioning , � � � . • • � . � � I 35. Firial Gas Pipe�7esP � i � .� . , r 36. Hood or Canopy • � � , �� 37t Pinal Factory Fireplace � I � � , 38. Final Plumbing � � • I � ,-�� • . - 39. Water Service�Finah � i I � '� - � 40. Ga's Service-Final � f }. . �, - i 41. Solar pomestic•Final � � I � '' �, . 42. Backflow Preventer � � I � . . ' 43. Backflow Irrigation E X P I R E D� . 44'. Landscape Irripation System � � �� � f1COfTlP1 tQ If15P0C 10115 45. Sound Attenuation , Vate �( � • �f $I �46. .Handicap Regulations ' • 47. FINAL STRUCTURE & BUILDING � � � I I � . 48. FINALPLANNING � . ' � i 49. �Elearic Release to Edison I I� � , 50. Gas Release to 5outhem California Gas Co � ` . � � i. . 51. CERTIFICATE OF OCCUPANCY No. Date . �y- �5��2 � COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 317 C08TA MEBA• CAL�FORNIA For Applicanf fo Fill In Complefely TYPE OR PRINT ADDRE83 E LFs� E/r� l � � COSTA MESA CALIFORNIA OWNER Pacesetter Jt. Venture MAIL 1 53 Minorca . _. ADDRE65 CITV COS'fi8 MBSB TEL. 1 NO. ARCHITECf TEI.. Mesa Verde Builders Inc �,,.., CostB Mesa BTATE TEL. LIC. NO. �1�jL� NO. TS� q_iliQs .&.QZE.,r 7500 S4.Ft. I,�,�;.,o�ue�.nae. p 88TBACK LINB PROM SO CBNTER OP 8TR66T SIOE YARD LEFT �j DESCRIPTION ZWO WALL' Standard I HHHEBY ACKI ANO BTATB TH PLV WITN ALL BUILDINO CON. AUTHORIZED CO IROOF COVERIN ' WORK TO BE � residence No. 800 C I TXAT 1 HAVB ! JOVE 18 CbPR�G �� ���-� J J L 311961 �� �FINANCE DEPt. �� CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Offiee Use Only ReG81� �� 1I��1br'an R[C61 D BY DA P6C IV DATB IB8Ut0� ;�, � �'%-��°�x.f � BUILDING � AD�RE6S COSTA MESA. CALIFORNIA APPROVED ZONING ZONE NO. OP �J U68 OP NHWJ R�( I PI.ANB (,,., BUILDINO �Q. LEOAL / ! � �oOv� DCBCPIPT�ON Y% A. P. NO. ��� YARDS EVES 2EAR YARD 42•4g FRONTR uNe BT.] SC IGHT R. SIDE � WORK L. SIOE S II ADDITION I REAR J 2' y B IIDEMOLISH I qyPROVED ��� STORIES 1 avva�a�.u�.0 g..a..g.. ..�iv �y.c �. TMIB MPLJGTION }HE �MOUNT BXOWN UNDHH VALUATION l0 FON TH! > AG 8 TO LOM- pUliP09E OP EBTA0L19HIN� A PBRMIT P68 ONLY. a GULATINO � VALUATION OO/ PEFMIT FHE $ � � ' g //� �'�/' /` PLAN CHECK $ � /''J`� TOTAL PHE � i`S G '� �`� � �t a - r" � COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 7200 COSTA MESA� CALIFORNIA 928T0 For Applicanf ro F711 In Completr/y TYPE OR PRINT ooA°��'�(� F�LLCSI'�I.ER�F COSTA MESA. CALIFORNIA L t �poM DESCRIPTION OF WORK 1 HWCGY ACKNOWLCOO[ TMAT.1 MI1V6 RND YHI� A��LIGTON wNO eiwT[ THAT iN6 AGOV[,la CORp[CT ANG AGR6[ M COY. PLY WITN ALL CITY OROINANC�i �yD RAi{ lAW/ p[OYUITINY sU1LCIN0 CON6TqyCTiO 8I6NATUR� OR , P6RMIlT6�,� AUTHORIZ[D A6lN7 � rnto . ;:,:t;t� �� JUiI 15-67�MS,�001203'� Z LCG APPLICATION FOR PERMR OUILDIN6 for Office Ure Only nccairrno. I �2e�//-/ / o� y ✓ K � /i1�+R I���/a7 %n � �Guso —�5 :G ZONING no. or usa or N ►ux� � suac�xo �(/r � %/\ ��O O /3q_ 1�s' (/�- YARDD MPROV ED MAIN BUILDIN6 fi VAR. �L BHALL BH Ll68 THAN fU.B.C.RBQUIRlMSNTI YAROBAPPROVHD ACC6HSORYBUILDIN6 DAT6 v� a W � 3��84.�. � TM8 AMOUNT �NOWN Uf{O!R VALUATION 19 FOR ii1Q .�i ►YRPoB[ OF [fiAlU9HIN0 A PLRMIT I48 ONLY. � YALUATlON �i p /^, PERMIT FE6 IO � E \ f � G/� w° TOTIi FEE � / �