HomeMy WebLinkAbout3071 FERNHEATH LN - Building PermitsPXOJECT AUORESS: 3 O�I S FERNH EATH LN G� � uNiT:
own[eswame: 3071IFERNH�ATHRLNERITE L FLOOD: X 96
AOONESS: COSTA MESA,CA 92627
NNCHIENGINEEN:
PEG.NO.:
ADOflE55: UNIT:
PEflMITTEE: PACIFIC COAST APPL INSTAL ( 310 ) 329-8476
aooeess: 139 WEST VICTORIA ST
GARDENA CA 90248
LICENSEO CONTflACTOH OECLAflATION: I hereby allirm ��at I am licensed under pmvisions o� Chap�er 9lcommencing wit� Seciion
7000) ol �i � i e Business antl Pmi s n tl. ntl m license is in i II tor e nd eifecl.
i�gC�°�il `����$� Y � • : 09/95
CI C.: STpTE LIC.: i� �f^��
ate: � '2 Signa�ure: _ _ �� �
W EflS' C PENS ION OECIAflNTION: I here�y aflirm i�a� I have a terti�iCaie ot tonsen[ l0 Setl�insure or a tertilitale o� Workers'
mpensaiion]�yr�ic$ &8 CPr�ie9 Fy� thereo� ISection 3800, lao.618 / O 1/ 9 5
eoucrxo.:GOLDEN EAGLE E%P.OATE:
COMPANY: }(
� tilied copy is hereby �umished. LJ Cetli�ietl copy i5liied wM1� e ly BUAdin rv
te' / � Applicani: ���
EMPTIO FflUM WOB8EP5' COMPENSPTION �ECIAflAiION: Qhis settion n¢¢� na� be compleied it lhe permi� is lar ane �unUreA ($100) Or less�.
1 cetlity I�at in Ihe oedormance ot �he work br which Ihis permil is issuetl. I s�all no� employ any person in any manner so as to �ecome
sub�ect lo Ihe Workers' Compensation laws ol Califomia.
�ate: Signature:
NOTICE: II. aller making Ihis aeclara�ion. you should become subject lo the Workers' Compensation pmvisions of �he Labor
CoOe. you mus� tort�with comply with such provisions or this permil shall Ge deeme0 revoked.
� CONSTBUCTION LENOING RGENCY: I here�y at�irm Ihat there is a Cons�mCtion lentling agenCy fof Ihe petlormance of �he work lOr
�I which Ihis permit �5 i=_suea (Sec�ion 3097. Civ. C).
LENOEF:
A�ONESS:
OWNEB BWLOEfl OECLANATION: I hereby aHirm Nat I am exemp� imm ��e Contracmrs' S�a�e License law for �he �ollowinA �eason
(Sec�ion 703i5 Business ana Pmlessional Cotle: Any ci�y ol coumy whic� repuires a Oe�mit �o wnstmc�, alter, impmve. demolish, or
repair any stmc�ure, prior Io its issuance. also reQuires the applican� lor such permi� �o lile a signed slatemen� Ihat he/she is licensed
pursuani lo Ihe promsions o1 the Comrac�ors' Siate License Law (Chap�er 9(commencinp with Section 7000) ol Division 3 of �he Business
antl Pmiessions Cade) or I�ai he/she is exemp� �here�mm antl Ihe Aasis for the alleged exemD�ion. Fny violation oi Sec�ion 703L5 by
any applicanl �or a Dermit su�lect5 �he applicaN to a civil penalry af no� more t�an five �undretl Oallars (E500�.
I. as owner ot Ihe pmperiy o� my employees wilh wages as �heir sole compensalion, will do �he wotk, and �he
❑ slmcWre is not inten0etl or altere0 for sale (Section 70aa. Business antl Professional CoOe: T�e Contractors' Slaie License Law
Uoes nal apPty to an owner o� a pmpeny w�o builtls or impmves �hereon, antl who does sucA work himsell/�ersel� or �hraugh
�is or her own employees, pmvitletl Ihai such impmvemen�s are not inientled or ottered far sale, If, however Ihe 6uil0ing or
impmvemeni is sold withm one year a� comDletion, the owner will have ihe burden ot pmving he/s�e tlitl no� bui10 or imD�ove
lor Ihe purpose o� sale�.
I, as owner o� the pmpetly, am exclusivety contracting wi�h licensetl conUac�ors b constmct the pmlect (Sec�ion 7044, Business
❑ antl Pwlessions Coee'. The Contrac�ors' S�ate License Law tloes no� apply Io an owner ot pmperty who builtls or impraves thereon
and who comracts lor suc� pmjecis with a coniracroqs) license pursuant to IAe Conlractors' Siate License Law�. I am aware
Ihai proof ol their Workefs Compensation insurance 5hou10 be pwvitletl ta me.
� I am exempi untler Sec�ion: B. 8 P. C.
lor ihis reason�.
Dale: Qwnec
I tlo hereby cendy Iha� I am aware of ana untlerstand Ihe requiremems o� Cahfomia Healih and Sa�ety Cotle Sec�ions 25505, 25533, antl
2553d antl �hai I or any fuiUre bwlding ocCupan� will/will noi (Circle On¢) need to tomply with Said Stale Cotles antl the repuiremeni5 for a
permit lor cons�mciion or motlilication �rom ��e Nir Oualily Managemeni Oistricl. Residenlial consimction apD���ations are e�emp� 7mm
ihese pmvisions.
�ate: Applicanl:
I hereby certify �hal I have read this apphcalion antl sta�e Iha� Ihe above intormation is correcL I agree ro comply wi�h all city antl counry
or�mancesandsla�elawsrelalingta�uiltlingconstrudionanOherebyaN�orizer esentative�enteruPon�hea6ove-men�ionee
0 Periy brinspeciion purposes. �
ai� � 9 � SignaWr
river License m Social Securiiy M:
i64t�G6 Wbite—Builtling; Green—Cotle Enlorcemenq Canary—Appiicant: Pink—qevenue; Goltlenrod—Assessor
CITY OF COSTA MESA — HUILDING PERMIT ,
PERMIT NO; P. 070557 PLAN CHECK NO; N , ,
CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: OTH
JOB DESCRIPTION ; C/O DISHWASHER SQ FT:
CLAIM VALUE; CALC—VALUE; GROUP OCC: /
COMMENTS: X
*irit***x�*�r****�r*�r********+t*+t****�t*x�*fr*********�t+r*****x�********�r*****�t***�r*+t*****
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN AEAR; FT IN FRNT: FT IN REAR; FT IN
LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN
PAAKING REQ: PROV: PARCEL: 14104313 ZNE: REF NO:
PLANNING NOTES>
i
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D E V E L O P M E N T S E R V I C E S. R E Q 0 I R E M E N T S
ZONING APPROVED BY ,
DATE:
bUILDING APPROVED BY ; DATE;
APPLICATION ISSUED BY; /'/%�� i DATE: Z�
MMifit1E1E1E1fifjfiElfaE1f1f1F1f1t1fitiE3FiFMififlflfjEifiElflf 1f iEififitlfff3Ei4iFiFif IEiFiFiE1FMiFiFjFMiFifiElEifM iF14 1Flfifif�E �F
iFflilitfflfifitlEakiflfifikififiEihitifiFkltifiEk4iEiEMlfiEikitifMiFiElEiFiFifiliflllPiffFiflFiEiFltfFiflfififlfMiEifitlFifikikifff iEitifiEif it1tM
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 7.00
252 , SMIP/NON—RES
PLAN
ISSUE FEE 20,00 -
BIIILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAZD DUE
TOTALS----> 7.00 20.00 - 0,00 27,00 27,00 ,00
REVENUE DIVISION TOTALS--> COLLECTED; 27.00 OVER/SHORT; 00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
2%,��
if �! 3! M ff 1F it if if if if 1f af 1F If iE ik M if if �! M 1E ik if it i! f! iE M M if if if if if if 1f if iF iE if 1f ff if iF if if IF iE iF it iF if i! iF if if it af 9F K if iF M it 1E iF if iF if if iE iF iFlf if 3f iE
I N D I V I D U 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
PLU 1 DISHWASHER 7,00 7,00
END OF FEES
.
�
OS �6174201—C�174301 T O 7
oa�E: i2i2viek T?tlEc o9:22
7�.��
CONSTRUCTION AN6 PLANNING �. POOL �PA
APPROVALS Permit #` - t Date Inspector qppROVAIS Permit # Date inspec2or
i. Temporary Electrfwl Sery�ice or P¢!e� . 52. Pooi & Equipment L.ocat�on � i
2. Soil Pipe�Undr4rn�. � . „�1 53. Steel Reintorcemenx •
-�+ , i c.�i�=
��� j3".E�ectrical Condu�t�Jtility�Undrgrg�_; 54. Forms
;�i. fslectrical Cortd«e�VJndrgrnd. -��: 55. Electrical Bonding
iP �
�."��'.,'i3�ee! Reinforccqiertt :� i X 56. Rough Plumhing & Pressure Tzst
:"�ci�Electrical UPE�R-�Gmd, 'a � 57. APPfiOVA� TO COVER�GUN�TE � �
";�J'�F,notings "� y � 58, Eiectricai Conduit�Undrgmd.
.: , �. i .. � �:
..:�. Foundation � , - 59. Gas Pipe, O Undrgrnd., Tes[ � !
�-3=�Nlater Pi e-UnB,lrnd. • ' �"'�
P �.�. 60. Backwash Lines, P-Trap, � Undrgmd.
�,30. Strucmral Floo� Svstem � � 67. APPROVAL TO DECK
t0. Broperty SewBr tine & Hduse Concrection 62. Baekwash & Receptor�Final
t1. S�wer Cap ; �. -� �" .t 63. Heater & Vent-Finai ' �
13. iioof Drains �' i? � � 64, Plumbing Sysiem - Final
F�3. Rough P�umbY�g � :. . 65. Electrical-Fina!
S$. Rough Electrical�Condult. 6fi. Solar System-Final
t6. Rough Electriy�Vdiring �! 67. Fencing & Access Approval
}J. Rough Wiring.Sign � 68. APPROVED FOR PIASTEflING
78. Rough Electr� I-T Bar Ceiling 69. POOUSPA SYSTEh-iS FINAL
19. Rough Heating & Afr Condiuoning PIRE DEPT. REQUIREMENT
"' ' C ' - t] f-+ [:: a ._.
2Q?+Rcwgh�Factdry �ii�ePlace � "�' �'7 # � y ` * ,* `, �APP�bV�C�S-�':� Pe�mit # �.�-�_
` H L • , ` �
21��D4ucs,in S�uct�r9 i�... _ s _ -+* 70.'UndercJto'�witl hi3idro '
'�:�---�;� �� � -. ,.
22, Du,t��ts.'venf�'atin�• ' ' •= : .. . .
.� n.., -� , �. _ 77. ProduC;t��qing���Gas I�OiI
23::�i�<.,Pioe��Ra:gh &yTest � , �i; �,� �� � 72, UndergroSind F�luth + i-�
24�T Ro�f �ramirig :..� � � `. '. -. � = O -- � " =' 7�� Uncleryrrrd. Stor:�g�Tank;O Gas ❑��ii (
F .T1 s : -� 'A -. � i
25. Rti�i S�taeathtng � • G �l �+ � 7d7 Overhead�Hydr� � I
26rT��nr Ceiling tSvdctusatl Bc:Mtfil�coat ' �' :? "';� • 75:. Dr Che, icai T��� `"� ��� C' �
v i r'r �� �,t x Y Rl .. 7 .F
27.;�Framea d Fiashing "'" ," �, � �:.: , '"' �' ,.�.;�, � _. „ .-,
.� , D ::; �; 7fi. Ory Stan pipe :-� :.� t :C
-�28. Lathing�&Sidin9' .. `,7`�': �: � z "� "�� Y 77,;� FIXEDS}`.��TE.�j1:FtNA�� ri ti
"29. insulaµpn f " - • •• •. k •�• 1 1 � � 7$ FIRE RREV. FI'NX3L . . �, :!
130. Dry�vaW�Nailing t� i y �__ � ��' ` "'''�� �' �WEALTN'OEPT.'REQUIREMENT
i I �:! t �::� (J C 7i C1
.r � ir �: to Ci.T I �-
�31. Plaster�ro��n Goa� _ ��,•i,. � � • 79` F�INAL I�SRECTEpN
. ., ., , fi�a---;- � _, _
y32:'Elecv�etll Po6✓er hl�terFlnal `"% � '*�7801y FOOD CERTIF�'{6ATE I�SUED
_33�Fi��� Electr;� � :�; . � � � I �; � • t Na(es. � , ` � �
[�i � � �-�? =' L S _.• `� �`L/Y1tZ_ C���L _
,i34 ;Fi�ai Heati�� & Ai� Cofiditi0r.9rig � � -� � * � T `' -`:r * - ��
r x n -i Y �r^ v f 1 .-i I F G'
,� o, :1 . � � /�+ . t� � .:;.> , . .,
35� �Final Gas Pipe�7es= .-,, .. , �,� � - ' {, , i:`� -�,� t .
r•
2�36. �Hood or CanopY � � i tn�• . ,-i � � �.� ♦ _ �'ip � + �� r.� -
� . � � >: � a r•7 .�t
x r _�'�37'r�Fin�ji Factory Fireplace;; i �;'_, ,', : n5 I ' �r � `_� ��
��i38. final Plumbing ,N i � � < i�+ r C'
. � �i"�7 a rr r
•�39. Wa"e�r Service-Fina,� _ � ' ' - 4+,,� : 0,
. � I ', �
:��
;�;40. Gas Szrvice-Final .� ,-r _ ,.r• s r� I : :y ��.�. �;>n: y
A I � R`i F+ :.) � ♦
�41. Soiar Oomestic-Firfal=� �?L .. # �n i I * +. �:i _: r � a '^
i I: �� �>
r'42:"Backflow Preventei ��; j ; �� r � ',>F '_�
t ��
43. Backflow ir�igatiorfi ��.- ; �, }.� � �:�, ' i� '.
;�44. LandScaDe krigation System. �-1 ; �S � �; � =� ' � • '% ti� %��-� ' '� �
-. .�• S. _
=�45'. �Sound Attecivation '� l: 'n f � 5: f•• - N � K ''. 4-! �I C�.� ��, `
❑� . [:� T7 t t �y _ n 1 . - ('� ?
=�.46.. Handicap Ragulatiqns .:� � ' - <r, �: �i=. _: .�
i n� %� .� t
47."'FI �P3;QL STRUCTURE & BUULDING ; �_, I� ,° � y �' �
� 1� �"� > ,; t-•
J 48.��FINAL PLANNING i %��=. - ro � I . : > � ^; '- : �
I1: 4
%49:�'Ele€tr4c Retease ta'Ed+son � 1 } ' .f' . .� -} ' '
.�
�.50._�Gas,Release to 5outhem Cal�fwnie GasCo s i '��%r - -, c� � x �� �
_ r . i r '�
.51. C RTiFICATE 060CCUP6tNCY � _�'r F - " ��to . • • -
No. Dare _
�� '7:�15
COSTA MESA BUILDING DEPARTMENT
P. O. BOX 31�
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
BUILDING 3071 Fetnheath Iane
ADDRE55
COSTA MESA. CALIFORNIA
OWNER COLLEGE MESA COMPANY
OR ENGINEER �Vgn(1�C�
noo. .1102 W, 17th
CONTRACTOR Th0 Hale
ADORE551��� W L
IEGAL LOT �L
DESCRIPTION NQ, V
an
A.P. NO.
71x99
ley No: RE 7191
„ Santa Ana
pany r� `r��o: 7350
,Anahetj�;; K� 3-3161
OCK TRACT�V/1
"°; °`, a`°`� None
USE OF
E%ISTING BLDG.
SETOFCN LINE FROM � 1
c[nren or srAecr SO REAR VARD 23
SIDE YARO � RIGHT 5.1� LEFT H�
DESCRIPTION OF WORK
NEW ALTERATION I AODITION
REP�. MOVING DEMOLISH
Bl11LDING 12ZZ —L1V. NO.OF
SIZE �� ROOMS S STORIES
COVER'INGWALL SCUCCO COV�ERING COIRPC
� � Y V �. J r. �
�� `j S'
�. , `���-�` �.� . �
<<,. ._._ . _...
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
RECEIPT NO, R.j1r�TR�S
a i3.tia
BUI IDING
ADDRE55
COSTA MESA. CALIFORNIA
FIRE
STFTE TH�t TME wBOVE IS CORNEQ �ND �GREE TO COMPLV WITN nLL
CITV OPOINnNCE6 AND ST�P�TE�" W$ REGULATING BIIILOING CONSTRUC�
rio�. . COL1.GO� MESA COPIPANY ' V�`�UATION
s 12,599
DATE
CORRECTIONS
PERMiTFEE S 30�00
PLlN CHECK $ 1S.00
TOTAL FEE 5 4S.00
"ON!