HomeMy WebLinkAbout346 FLOWER ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.���SLDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 346 FLOWERST
Suite:
Vicinity:
Parcel Number. 11725412
Zoning:
Applicant: ELLIOTT, ALBERT CARLTON
Address: 4702 NEWPTUNE ST -
Phone: 949-645-4743
NEWPORT BEACH, CA . Zip: 92663
Owner: ELLIOTT, ALBERT CARLTON
Address JR
NEWPORT BEACH, CA Phone:
4702 NEPTUNE ST Zip: 92663
Contrector:
Address:
Zip:
Arch :
Address:
Zip:
Phone:
License: � -
Eng:
Address:
Phone:
License:
� � ' .' ' SCOPE OF PERM
RE-ROOF DWELLING AND DETACHED GARAGE�WITH 20 YEAR�COMP.�N�
FEE SUMMARY
Plan Check: $0.00 , _.___ _ __ _ _.
Fermit: $69.25 •
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00 -
ISSUED BY:
Status: ISSUED
Applied: 05/29/2001
Issued: OS/29/2001
Phone:
License:
-W SHEATHING PROPOSED.
- .Calc Valuation:
� - ClaimValuation: �� �
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Total: $69.75 ' - ;; " ' " .
< , ,-+'- .-,�� ' �
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- i
' i � \" � PLANNING & ZONING � "'r ' �% � i%
SETBACKS.�. �/ i� �V � ,' /� % /� /,, .
. � �'
�� ` �.
MAINSTRUCTURE Front 0-0 , , Rear �0-0 Left �0=0 � . �� Righl , 0 0;-� '� ,�
- - ` . .-`� ;,� �,..
ACCESSORY Front 0-0 `. ' Rear 0-0 Left 0-0 .� � Right,�•�0�0 , �
� , . � " . . 1 . ,
,�
PARKING Existin : 0'` . Required: , o Proposed: o ,
NOTES:
�s2;000.00�
$z,000.00
,
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned
for a period ot 180 days.
INSPECTIONS: In order for the work authorized under this permit �o be considered legal, such work must comply with all applicable codes, and all
requlred inapections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2CC6-4fi(N00)
WORKERS'COMPENSAnON DECLARAnON:
1 hereby eflirtn under penalry of perjury ana at the fallowing daclarations: .
❑� , I heve antl will meintain a certificate oi conseN to setl-Insure tor workers' compensation, as providatl for by section 3700 of the Labor Code, tor the pedormance of ihe
work for which IhiS permit i5 issuetl.
� I have arM will meintain workers' compensetion insurance, as required 6y section 3700 ot the Labor Code, Por the perfortnance ot Ihe work br which this pertnit is Issued.
My workers' compensa[ion Insurance wrrler and pollcy number ere: _
Cartier:
(This sectlon neetl nof
etone
or less.)
PoliCy iJumber: _
� I certity that in the peAormence of the work for which this permit is issued, I shall not employ eny person in eny manner so as to become sublect to Ihe workers'
compensation laws of Califomla, antl agree Ihat it I shoultl me subject to Ihe workere' compansation provisions at Section 3700 of Ihe Lebor Cotle, I shell fort�wiih
comply vrith these pr ' 'en . ������////// /�
AppliwntSlgnaWre: � Date: ��—I �/�� �
WARNINO: FAILUFE TO SECURE WORKERS' COMPENSATION COVE GE IS U� AND SHNLL SU&IECT AN EMPLOYER TO CRIMINAL PE TIES ANDCIVIL FlNES UP TOONE HUNDRED
iNOUSAND OOLLARE (E100.000). IN ADDITION TO TNE COST OF COMPENSATIIXJ, DMAAGES AS PflOVIDED FOR IN SECTION 3]O6 OF THE LABOR CODE. IMEREST, AND AiTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
1 hereby ettirtn that I em licensed under provlslons of Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business antl Professions Code, end my license is in full
farce end eflect Lia a Class a
Contracror's Signeture: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby a�rtn that Ihere is a construciion lending agency for ihe pertortnance of the work tor which Ihis pertnit is issuetl. (Sec. 3097, Civil Code).
Lendefs Name: Lenders Address:
SignaNre: Date:
OWNER-BUILDER DECLARATONS:
I here6y effirtn that under penelry ot perjury ihat I em E%EMPT FROM 7HE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business entl Protessions
Cotle: Any ciry or counry which requires a permit to wnsiruc�, alter, improve, demolish, or repair eny structure, prior to its issuance, elso requires iha epplicant for such permlt
to file e signed statement that he or she is Iicensed Dursuant to the pmNsions of ihe Comractors License Law (Chapter 9(commencing with Sectlon 7000) oi Dldsion 3 of the
Business end Professions Code) or that he or she is exempt therefrom and ihe Gasis for the elleged exemption. Any violation of Section 7031.5 6y any applicant lor a permit
�s the ep0licant to a civil penalry oi not more than five hundred dollare ($500).):
I, as owner of Ne property, or my employees with wages as their sole compensation, WILL DO TME WORK, and the strucWre is not intentletl or otteretl for sale (Sec.
7044, Business antl Protessions Cotle: iTe Contractors License Law tloes not apply lo an ownar ot properry who builds or improves thereon, and who does such work
himself or hersefl or through his or her own employees, provitled that such improvements are not intenCed or oflerad tor sale. It, however, the building or impmvement is
sold within one year of completion, ihe owner-builtler will �ave the Durden of proving that ha or she ditl not build or improve for purpose of sale.).
❑ I, as owner ot �ha property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct tha project (Sec. 7044, Business and Prolessions
Code: The contractors License Law tloes not apply to en owner of property who bWltls or Improves Ihereon, and who coniracts tor such project with e contrector(s)
license pursuant to the Contrectors License i s.).
❑ I exe Business antl Professions Cotle for this reason:
Signature� Date:
Owner ID veritied by drivefs license. ❑ Ves ❑ No Drivers License No. Expir s:
Venfiwtion oi Ownership by (type at document, i.e. - pwperry tax bill or deetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTFICATION:
❑ I hereby certity Ihat no excavetion fiva (5) or more feet in dapth into which a person is required to dascend, will be made in connection with work euthonzed by this
permit, and that no building siructure, scaHolding, falsework, or demolition or dismantling t�ereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, 7tle 8, Celilomia Adminisiretive Code).
❑ As ownervbuilder, I will not employ enyone to do work which would require e permit from ihe Division of IntlusMal Sefety, as noted above, unless such parson has e
pertnit to do such work from the division.
SignaNre: Date:
Division oi Industrial Sefety Permii Number:
CERTIFlCA7E OF COMPLIANCE AND AUTHOR¢A710N OF ENTRY: I cenity under penalty of perjury Ihat I have read this application and stata Ihat the infortnation given is
correct. I egree to compl with all state laws and � y inances relating ro building consimction, antl au�honze representatives oi ihe Ciry of Costa Mesa to enter upon the
bove-de '4 fo ins ectio n es. agre not to occupy or ellow occupancy of any building authorized by this er t until finel'nspection.
- �a�/�o/
SignaWre Ot Lagal Owne (s) Date
AnNOr Authonzed Applicant
COUE �, INSPELTONTYYE
1616 Fized Sysiem Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Rool
201 Final BIocWRetaining Well
202
203
Final Factory Fire Place
Final Sign
204 Final Demolition
Q� IHi1TIAL5
6 z& o ��
CODE� INSPEC710NTYPE
206 Final Mechanical
208 Final Plumhing
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Builtling/Occupancy
Qdg INTITIALS
�
•�
Applicant to fill in all spates except thoie within
CiTYOFCOSTAnnESA CONSTRUCTIONPERMIT
.�.ProlectAddress ���, ��/���/� S% �
A,�•,nt'sMailingAddreSs �77% Grih%�T...��>� �6��
�i: �l
Owner's Name � `v' � �+�+ ��+�• � Phona o�-7-G�/�
pi
Address
Aroh/Eng. License No.
Address
� /� �, .CyG-rlf2/C� Phone��
Contrector's Name ,p
Addresslmailin9l �7�7—LCt���*'�� L"��Sr� "�,��
City License No. !� � 7%/ G �
LICENSEO CONTRACTOR DECLARATION
1 hereby affirm that'I am licensetl untler provisions of Charter 9(commencinq
with section ]000) ot Division 3 of fhe Busine55 antl Prote55ions Cotle, antl
my license is in tull force antl e(fect. p
Lic¢nse Class �' e��U Lic¢ �.^-�� 7�-�
Date � `_ �- � Signature
WORKEi35' COMPENSATION DECLAR ION
' hfreby affirm [hat I have a certifitate oi ton5ent t0 self-in5u�¢ or a c¢rti(iCate
Workers' Compenwtion Insurance, or a certifietl copy thereot (Section
00, Lab. C �3�.
Policy No. � ��'9/'Ii/'H��rCompany /'�� � �J�
�Certifietl caOY is hereby fumishetl. �
Oa(eert'ifjp;f copy is ji.le,p wint PPnCacity BU Itl�r✓/ /_
l� / �IS( /.I
EXEMPTION FROM WORKERS' CO NSATION C�ECLARATION
(TM1is section neetl not be completetl if t permit'is for one huntlretl ($300) or
less).
I tertify'that in the perfo�mance of the work (o� witich this pe�m�t i5 issuetl, I
shall not employ any pe�son in any mannet so as to become subject to the
Workers' Compensation Laws of California.
Date Si9nature
NOTICE: If, atter makin9 this tleclaratlon, you shoultl become subject to the
Workers' Compensation provisions o( the Labor Cotle, you must torthwith
comply 'with such provisions or this permit shall be deemetl revoketl.
CONSTRUCTION.LENDING AGENCV '
I nereby affirm that there is a construction lentling agency for the performance
of th¢ work fOr whith [his permit i5 issuetl (Section 309] Civ. CJ
Lentler's Name
Lentler'S Atltlress �
OWNER BUILDER OECLARATION '
I hereby affirm ihat 1 am exempt trom the Contractor's Lic¢nse Law for the
followin9 reason (Section 703L5 Business antl Professional Cotle: Any city or
wunly which reqWres a permit to construct, alter, improve, tlemoli5h or reDair
any sVucWre, prior to its issuance, also requires the applicant for such permit
�to file a signetl statement that he/sne is licensetl pu�suant to Ihe p�ovision5 oT
the Contractor's License Law (Chapter,9 (commencing with Section 7000) ot
Oivision 3 ot the Business antl Professions Cotle) or that he/she is exempt
le�e(rom antl the basis for [he allegetl ezCmp[ion. Any viOlation ot Section
031.5 by any applican[ fo� a permit subjects the applicant to, d civil ;
penalty of not more than five huntlretl tlollars (y500).• -
❑ I, as owner ot the property or my employee5 with wages as thelr sole
�mmpensation, will tla the work, antl the structure is not Intentletl o��o(teretl �
tor sale (Section 7044, BuSiness antl Professional Cotle: The Contractor'S
License Law tloas not apply to�an owner of a properfy who builtls or improves
lhereon, antl wM10 tloez sucn work himself/herself or throu9h his or h¢r own
employees, provitletl tha[ such improvements are not intentletl or otferetl tor �
sale. H, however, [he bulltlin9 or imp�ovement i5 soltl within one yea� of cOm-
pletion, the owner will nave the burtlen of proving he/she tlitl not builtl or im-
prove tor the purpose of sale). '
❑ 1, as owner of the proPerty, am exclusively contractin9 with licensetl con-
tractors to construct the project (Section �044, Business antl Professions Cotle:
_The ConVacrorY �icense Law tloes not appry to an owner of property who
builtls or lmproves tM1erean. antl who conVacts for Such oroiect5 with a ron-
tractor(s} LcenSe pursuan[ m[ne,Contractor�s License Law�. I am aware thac
proof of their Worker's Compensation insurance shoultl ba provitletl to me.
❑.,I am exempt under Section , B. & P. C. for this reason
Date Owner
I hereby certity that I have reatl this appliwtion antl state that the'above
information is correct. I a9ree to compty with all tlty antl county ortlinances
antl state laws relating to builtlin9 construction, and hereby authorize repre-
sentatives of this city [o entar upon the above-mentionetl property tor
inspection pu�po5e5.
Signd[ure Date . � -
Drivers' License or 5 �
OorEer lines anG si9n ali appropriate tleclarations.
LO7 NO. UNIT NO.
E 3S/'7o � '
TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR
❑ CONVERSION ❑.DEMOLISH ❑ OTHER
DESCRIPTION OF WORK/USE OF BLDG. .F SI�a�-��-!
TVPE OF PERMIT LJ GRADING LJ FOUNDATION LJ STRUCTVRAL
❑ TENANT �ELECTRICAL ❑ PLUMBING ❑ MECHANICA�
❑'�OTHER _ � '
PROJECT DESCRIPTION SQ.FT. � - OCCUPANCV
COfV STRUCTION TYPE VALUATION $ _
ZONE GRAOING CU. VOS. AGRES_
Remarks:
Bar Sink
Preventer
Irrigation
king Fountains
ir Drains
ir Sinks
Service . Outlets
Kitchen Sink
Lavatories
P-Trap
Roof Dreins
Reinspection. Fee � $15
Boiler
Duc[ - Under Ground
Duct - Structural
Duct � Ventilating
Exhaust System ❑ Multiple
Firepl/Fact. Blt. iCBO �k
Heating Syscem & Ducting
❑0-100,000 BTU 0100,000
Reinspection Fee � $15
0865-46, rev. 5/88 White - Builtling; Canary - Applicant; Pink - Accountin9; Goltlenrotl - Assessor
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collec[ors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
� Water Service
Auto-Wash -
laue Fee.
Hood or Type I. ❑
Canopy Type I I ❑
Refrigeration System
Oo-�oo,000eru �ioo,000
System Repair/Alteration
Fire Dampers
Registers
laue Fee
FEES
l/
� .t
: Y,
A.P. #
S Mai� n.Building.
E
T Front
6 Rear
Q'
C Pight
gLeft
Ping. Ref. #
Plawrino Notes:
, .. . -_
zo�e
Accessory Building:
Z
O
N
1
� N
G
R
Parking Req./Provided � E
. �
ELECTRICAL - .
Automatic Washer Transtormer O 15-50 KW
Construction Pole Sub. ❑ 50+ KW
Cooking Unit Meter�up to 100 amps
Dishwasher � Meter ❑over100amps
Dryers ❑Gas ❑Electric Sub Panel
Fan Motors �0-1 HP 01 h- 8
F.A.U. � -- -� - Inc.Solar 09-15 HP �16-15+
Fixtures Microwave .
1
Device Boxes Pole Light '
Outlets ' � Range '
Switches Si9n
Garbage Disposal Standing Sections
Generetor �0-5 KW �5-75 KW Trash Compacmr �.
Fee �$15 � � Issue Fee
� 3 DEVELOPMENTSERVICESREQUIREMENTS:
Zoning Approved By
FEES BuildinB Approved By �
Applintion Issued By
$ 3
FEES
SUMMARY OF FEES '
BUILDINGPERMIT $' SMIP $
PLAN CHECK $ PERMIT
PLUMBING . $ ��UANCE $
PLAN CHECK 25% $ ENERGV P.C. $
ELECTRICAL $ �� GRADING $
PLAN CHECK 50% $ MICROFI�M . $
MECHANICAL $ 'TOTALFEE $ 33.SD
PLAN CHECK 25% $ � '
01 LOCl3�c;?—pt701383i T�Ca�" .33.5J
oar�: osi��iau TtrF- ±i:��
�' `� :. \ `�\, ��,.
r .
i' CO STRUCTION AND PLANNING '' � POO� dPA
"'A;�ji OVALS Permit # Date Inspector p�ppROVALS Permit # Date Inspector
� �.
! i. Temporary Electrical Service or Pole '� 52. Pool & Equipment Location
e
2. Soil Pipe-Undrgrnd. i ' 53. Steel Reinforcement '
�3. Elec[rical Conduit Ut�ility-Undrg�rid7 .,�i "%'� 54. Forms
, 4.�Electiical Conduit-Undigrnd. . 55. Electrical Bonding •
5:•�Steel. �ieinforcement ' '' � 56. Rough Plumbing & Pressure Test �"�
ti. ElActr.ical UFER'Gr"nd:; � %� 57. APPROVA� TO COVER-GUNITE �, -
7.• Footings ' • ,� _ - � -' 58. Electrical Conduit-Undrgrnd. � � �
B.,Found'ation ',' �� �'.� � � 59. Gas Pipe, O Undrgmd., Test � ���
9,iWater',Pipe-Undrgrnd. +�� _ 60. Backwash Lines, P-Trap, � Undrgmd. : �
10: �6trUctural Floor System �;,.' � t ��':1 61. APPROVAL TO DECK
11. �Property Sewer Line:,& House Connection - ti- �' 62. Backwash & Receptor-Final �.
.,
12.�Sewer Cap i,. !� ,'� �� ' . 63. Heater & Vent-Final • ,
13. Roof Drains �� �' ; � � ' 64. Plumbing System - Final �
i
14. Rough Plumbing� �" 65. Electrical-Final. , � �
15. Rough Electrical-Conduit ' � 66. Solar System�Final
i6. Rough Electric Wiring 67. Fencing & Access Approval
tt�/; Rough Wiring Sign � 68. APPROVED FOR PLASTERING '
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL .
i„
19. Rough Heatin�.& Air Conditioning FIRE DEPT. REQUIREMENT -
��
20: Rough Factory Fireplace APPROVALS Permit #
212 Ducts, in Structure 70. Underground Hydro .
22.�Ducts,Ventilating . 71. ProductPiping�Gas ❑Oil ,
23.,Gas Pipe-Rough & Test 72. Underground Flush -
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil �
25. Roof Sheathing � 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame:end Flashing � 76. Dry Standpipe - _. '
28. Lathin� & Siding 77. FIXED SYSTEM FINAL
29. Insulafion � ' 78. FIRE PREV. FINAL -
30. Drywall Nailing HEALTH DEPT. REQUIREMENT i
31. Plaster'Brown Coat ' , ' . FINAL�INSPECTION
32. Electrical Power Meter-Final � FOOD CERTIFICATE ISSUED
33. Final Electric Notes: � . � ,
34. Final Heating & Air Conditioning � �
35. Final Gas Pipe-Test '
36. Hood or Canopy � � . �
37. Final Factory Fireplace � �
38. Final Plumbing � � � �
39. Water Service-Final ' �
40. Gas Service-Final � �
41. Solar pomestic-Final
42. Backflow Preventer . '�;�( r��
43. Backflow Irrigation . ' ` iti
.,
44. Landscape Irrigation System � , d'
45. Sound Attenuation � •
46. Handicap Regulations . ��' '
47. FINAL STRUCTURE & BUILDING j', ,
� 48i Special Requirements Completed ,
49. Electric Release to Edison ' •
- i..
50. Gas Release to Southern California Gas Co � �.�''� t�
51. CERTIFICATE OF OCCUPANCY � , `-%' i•" f;
No. Date � �' � � r'; �.J
�