HomeMy WebLinkAbout3034 FERNHEATH LN - Building Permits-1
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� oeess: 3034 FERNHEATH LN
�. uw. sxame: RAYNSFORD RONALD O
aooness: 3034 FERN{iEATH LN
COSTA MESA,CA 92626
549-0120
AXCH/ENGINEEH: flEG.NO.:
AO�flE$S:
UNIT:
UNIT:
PEHMITTEE: (,OVER RIGHT ROOFING ( 719 ) 832-0113
RDOflESS: 1[� 2( 2 ALLMAN PL
S.A, CA 92705
LICENSEO GONTBACTOP oECIAPATIQN: I hereby afiirm �ha� I am licensetl under pmvisions ol Chap�er 9(commencing with Sec�ion
7�00) ol Div�sion 3 af I�e Business antl Pmtessions Cotle, antl my license is in �ull �orce an0 elteci.
cirru�c.: /Q60868 srnTeuc.:615852 cuss: C-39
Oa�e: �—'(—'�1_�4N SignaNre: �
W08REB5' COMPENSPTION DECUIHATION: I hereby aftirm ihat I have a cert a f consent to sell�insure or a certificale ot WOBers'
Campensalion Ins ranc or a certilietl copy thereof (Section 3800. Lab. CI.
roucvNa.:1�16�3561-93 E%P.UATE: OB/OL/94
comraxv:STATE FUND
❑ Cerlihetl/q opy i hereby fUmishetl. � Certihetl copy is file0 wilh Ihe city Builaing �ivi5ion.
Daie'. Z/ y�� y Applicam�.
E%EMPTION FPOM WOflHEFS'COMPENSATION OECIAflATION: (Thisseclion nee ICe ca IereOil�he permilistorone �undreU�8100�arless�.
I cetlity �hal in ihe pedormance ai Ihe work �or which this permil is issuetl, hall no m01oy any person in any manner so as �o become
subject lo Ihe Workers' Compensation Laws ol Califomia.
Dale: SignaNre:
NOTICE: II, after making Ihis Ueclaralion, you shoultl Uecome su�lec� �o ��e Workers' Compensation pmvisions o� the Labo�
Code. you musi �orthwilh comply with suc� Dmuisions or �his Oermi� shall Ce tleeme0 revoke0.
CONSTflUCTION LENOING PCENCY: I hereby aftirm I�a� Nere is a conslmction lenaing agency for the pedormance of the wark tor
which Ihis permi� is issued (Sec�ion 3097, Civ. C�.
LENOEfl:
ROOPESS:
OWNEB BWLOEN OELLPNATION: I hereby ailirm ihat 1 am exempi fmm Ihe Coniractors' Slate License Law br the tollowinA �eason
(Settion 7031.5 Business antl Pmlessional Cotle'. Any ci�y ol counry w�ich requires a permi� to canstmci, al�er, impmve, tlemolis�, or
repair any slmtlure. prior lo ils issuance, also repuires Ne applicant for such permi� ro �ile a 5ignetl 5tatemeni �ha� he/She is licensed
pursuam to Ihe Omvisions ol ihe Comractors' State License Law �Chapter 9(commencing with Sectian 7000) oi Oivision 3 oi the Business
ana Pwiessions Cade� or �ha� he/she is exempt Ihere�mm anA Ihe hasis br ��e alleged exemD�ion. Any violation ot Section 7031.5 6y
any applicantlor a Oe�mit su�lecis �he apDlicanl ro a civil penal�y of noi more t�an �ive hunOred Oollars (f500�.
I, as owner of t�e pmpeny or my employees with wages as t�eir sole compensa�ion, will do ihe work, an0 ihe
❑ slmcture is no1 intenUetl ar otiereU for sale (Section 7044, Business ana Professianal Code: TAe Coniractors' S[a[e License Law
Ooes not apply to an owner of a pmpehy who 6uiltl5 or impmves thereon, antl w�o tloes such work himsel�/hersel� or �hmugh
his or her own emDloyees. P�ovidetl �hat such improvements are not in�eneetl or aflered for sate. If, �owever Ihe huilding or
im0�ovement is soltl wi�hin one year o� completion, ihe awner will have Ihe �urtlen of pmving he/she aitl nat builtl or impmve
, for Ihe puroose af sale�.
I, as owner oi Ihe pmpeny, am exclusively coniracting wiih licensetl conlraclors to conslmct the prolec� (Section 7044, Business
❑ and Pmtessions COtl¢: i�e ConiraCtOrs' S�ate LicenSe Law Ooes no� apply to an owner o� properry wh0 huilds Of imD�Oves �h¢reon
antl who conirac�sfor such prolects wi�h a contractor(s�license pursuant�o Ihe ConVactors' S�ate License Law),I am aware
��at pmoi oi I�eir Warker'S Compensa�ion insurance shoultl be pmvidetl �o me.
� I am exempt untler Sec�ion'. B. 8 P. C.
lor Ihis reason:
Oate: Ownec
I tla here�y certity ihai I am aware oi ane unaerstan� �he requirements of Califomia Heal�� and Satery Coae Sections 25505, 25533, an0
2553d an0 �hat I or any fu�ure builtling occupant will/will noI (circle one) neetl �o comply wiU saitl s�ate coUes antl �he repuirements tor a
permit for cons�mction or motlihcation Irom Ihe Nir �uaiiry Managemem �isiricl. ReSiAential constmction applicalions are exempt irom
Ihese provisions.
�ale- ADPlicanl:
I hereby certity Ihal I �ave read ��is applicaiion and stale Iha� Ihe aboveinlorma�ion is correcL lagree lo mmpty wit� allci�y an0 counry
ordinances antl staielawsrelaiing�o buildmg conslmciion antl hereby authorize represen�alives af�his ciryto enier upon�he a�ove-men�ionetl
pfOpEflY �Of IO"��1QC�1011 PIIfPO5C5.
Da1e: ��5/r y SignaNre �
Oriver'S Licensa nr Sncial5ecwitv a� �
1641-46 Whne—euiltlmg; Green—Cotle Enlorcement; Canary—Applicant Pink—Revenue; GOldenroE—Assessor
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO; H 065994 PLAN CHECK NO: N
CONSTRUCTION TYPE; V—N PERMIT TYPE: STR PURPOSE; OTH
SOB DESCRIPTIOP7 : T/O SHEATH 5 REROOF W/COMP SAINGLES SQ FT: 4,956.
CLASM VALUE: 9,950.00 CALC—VALUE: 4,950.00 GROUP OCC: R-3 /M�1
COMMENTS: SMOKE DETECTORS REQUIRED PER 91 OBC, REROOF 1900SF RESIDENCE �
1f1E1EiEiElEiE�E�Eiki4iE�FififlEiklf%9E1f1FiE*iE�1FlfiEiEiFiFikifjEiE3ElfiE�FiE1f1EiE9fifiFifik%ififiEifif9fiE�1E1E�%�fiEiFiF9FlFdEiF9fjfifff �iFiFlEifi(�
Z O N I N GS ERTEBQAUCIKRSE ���� D�TECTO�
------------ MAIN HUILDING ---------- --------- ACC�t�}��RJG ---------
FRNT; FT IN REAR: FT IN FRNT; FT �r• AR; FT ZN
LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING RE • PROV: PAR�EL: 14115701 ZNE; REF NO:
PLANNING N TES>
>
*at*�e*et**�t�t�r�x�+tat�r��*�ritx�t*�rit�rx�x��r**x�itat�t*��r**it*itit�r*it�r��*�xitx*x�ritx***�rar���*�tet*�r*�t**>t
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
PERM NO: B 065994 �
GOVT; N SUPP: N
20NING APPROVED BY ,
DATE:
BUILDING APPROVEP BY ; DATE; '�
APPLICATION ISSUED BY: DATE: ' 4 Cl �.�
itiEitiEiEiflkikiEifiEifiEiFififiEifitiEiE�t�Fifi�TE*iEiEiE �EiFjfiEif iEifiFiEitiF�lEiE iE�F�Ei�EiE�if#iEiEiEifiEikiPifiFi! ifitiE iE ifk
1E if iE iE iF jE �f k iE 1F jE if iE iF iF if iE �E iE iE iF �E iE 1E �E 1E �E iE iE if iF 1E fE * 1! 1Elf if if if iE iE iE 1E iE dE iElf iF * 1F iF iE iFlf iF jF ik iE jf �lh iE jk iE ik iF iE iE jf dE iE iE 1E it fF �E iE iE if
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 72.00 50
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT IS5UE PLAN—CHECK
TOTALS----> 72.50 0.00 0.00
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
%2.��
SMIP/NON—RES
TOTAL PAID DUE
72.50 72,50 ,00
72.50 OVER/SHORT: ,00
FIRE SMIP/TOT GRADING PLAN—CHECK
.50
!f 1E if it 1E if ik iE if if if if jF if iE if iElf 41E iE iE k iE iE iP iF ik iF if iE iElf �Elf jE i! �Yrlf iE 1E if ff �E jf if iE �E 1f �E if iF iF if �f if �E fE iE 1F if iE 1E iE iE �E iE iE if iE iE 1E iF iE jE if iE iE if
I N D I V I D U A L F E E B R E A iC D O W N
TYPE QTY D E S C A I P T I O N UNIT COST TOTAL COST
SFR 4950 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 4,950,00
END OF FEES
D1 ODS�.`,17�-0�3;$178 T C�T 72,50
DATEs 02/09/9# iIt1E: 11:Q5
��CONSTRUCTION AND PLANNING P��� 'PA
APPROVAIS Permii# Date i�spector AppROVALS Permit# Date Inspector
1. Temporary Etectncal Service or Pote 52. Poo1 & Equipment Location
2 Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electricai Conduit Utility-Undrgrnd. 54. Fo�ms
4. Elecvical Conduit-Uncirgmd. 55. clectricai Bonding
5. Steel Reinforcemant 56. Rough Piumhing & Przssure Tzst
6. fiectrlcal UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation . 59. Gas PiPe, 17 Undrgrnd., Test
9. Nlater Pipz-Undr�rnd. � 60. Backwash Lines, P•Trap, C7 Undryrnd. i I
10. Structurai Floar System . 61. APPROVAL TO DECK
11. Property Sewer Line & Heuse Connection ' $Q, gack�rvash & Recep[or�Firal
12. Sewer Cap 63. Heater & Vent�Finai
73. Roof Orains 64. Plumbing Sys[em - Final
14. Rough Piumbing 65. Electricai�Finai
15. Rough Electrical�Condurt 66. Solar System�Final
16. Rough Eiectric Wiring 67. Fencing & Access Approval
17. Rough Wiring Siyn 68. APPROVED FOR PLASTERING
78. Rough Electricai�T Bar Ceiiing 69. POOL/SPA SYSTEM1,iS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rougn Pactory Fireplace APPROVAIS Permit #
27. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventiiating 71. Product Piping OGas OOii
23. Gas Pipe�Rough & Test 72. Underground Flush
24. Roof Ffaming� 73. Undergmd.StorayeT�nkOGas ❑Oii
25. Rooi Sheathing Z/(9-�((,f �(,�,� 7q, pyerhead Hydro
26. T�Bar Geiling (Structurai) ?u fvtonocoat 75. Dry Chemicai
27. Frame and flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEh9 FINAL
29. Insulation � 78. FIRE PREV. FINAL
30. Drywail Nailing HEALTH DEPT. REQUIRE141ENT
31. Piaster Brown Coat 79. FMAL INSPECTION �
32 EkectriCal Powzr A�eter�Finai 8�. FOOD CERTIFICATE ISSUED
33. Finai Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood o� Canopy
37. Pinai faciory Fire�lace
38. Finai Plumbing
39. Water 5ervice-Final
40. Gas Service�Final �_x:.
41. Solar pomesticFinal �! •+ y� �
42. Backfitlw Preventer � ^+� , ��
43. Backfiow irrigation A �^, .
�
44. Landscape Irrigation S�te�� -
45. Sound Attenuation r"' t,�t„ ''
� �v "
46. Handicap Regulations�^� � �. � _
47. FVNALSTFiUCTURE'&•BUIIOWG Z_ly,y�u ��� �
�( I
46. FINAL PLANNING =':' � �
49. Electric Release to Edison
50. Gas Retease to Southem Cafifornia Gas Cn .
51. CERTiF4CATE OF OCCUQANCY ;
No. Date
a Mesa Bnilding Department APPLICATION FOR PERMl�
117 EAST 20fh STREET 1�94 -,B U I� L D�t N G
COSTA MESA� CALIFORNIA -" �
FOR APPLICANT TO FILL IN F'OR OF'I�'ICE USE ONLY
�; ; I Receipt No. I P rmlf No.
Building 6
Addresa �� f. ♦
Costa Mesa, California Recei e' yI,' Date Redd� qDate Issued
Wearest 1 I $EP 1� 1955 I t�e21 �'{,�
Cross St. :i8t3011 BuildingRl
Address�� p
Owner Col].ege biesa Compac�y �
Mail �� Costa Mesa, California
Address 8002 Central Ave. Nearest'�
Te�. 9-2158 Cross S '
City No. Le. Zone "' No. ot I Type ,/ Group T
Arohitector Lic. , �Plana // 1'
Engineer Ti8V1S � Qll1�1By No, C-179� bppro W% I
( Date
ndaress 43 Halaga Cove ��aza, Falos Verde � ; CORRECTIONS
Cftv Lfc. _ .
nddress ��p2 Cential A�
Legal Lot
Description I No. 1�-5 8
(Attach Metea and Bounds)
s�ze ot �ot 7339
Use oT
Existfng Bldg.
SetbackLinefrom 50�
ee..�..,.s c�.e.•
i Grove
rracc Z3
Addition
L
Repai� � ��Moving � I Demolish I
Buflding No.of
S�ze 1181 Rooms 5 Stories 1
' `erior Wall I Roof
:�ing Stueco Coverfng Shake
�se oT New
1. ll !d �I i -,.�
:�, � � I � 11
I �
� SFP ,.l �qF�i A
�
.. Z
D
��� r
�.. . C � .-_ _ .. -- �
Building Sin le fami derelli {tlt}l �Foundation Locatfon
� Forms, Materials,
Under-Pinning
Frame: Fire Stops,
Bracing, Bolts
I hemby acknowledge that I have read this Applicatton
and state that the above is correct and agree to comply Lath. Int
with all City Ordinances and State Iaws regulating
building construction. Lath. Ext
Signaturaof � .
Permittee fl,C COl * Plaster, InL
. �
Authorized AgL plaster, Ext
Vaf�ia�fg�A LA�� Permit Fee $ a— Masonry ReinTaroed
$ vi �� U Total heck $ �— Bond Beam
Fee $ �� FINAL
FORM 204 3-HP RM 8-55
VALS
Inspeeto� � Date
Show locatlon and distances irom
property line and between buildings
SCP2i-5� costrs �
PDbe.,n Rez a:�.•::.73.f�
,• .