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 � / �