HomeMy WebLinkAbout225 AMHERST PL - Building Permits�
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PNOJECT AOOflESS:
\OWNEF'S NAME: 22 J AMHERST PL
, noonEss: Z?STA�IHERSTRPL
COSTA MESA, CA 92626
AflCHIENGINEEB:
aoox[ss:
HEG.NO.:
UNIT:
uxiT:
PEHMITfEE:
aoonEss: ADAMS ROOFING ( 714 ) 965-0245
�+�1q9T257� AMNAcHnEZM AV /�n q�7 q7 B-2
UCENSEO CONTflRCTBR'DELLARATIONtEI'tRFeDy a��irm Ihai I am licensetl unQerpNvisb�h �Chapier 91�ommencing wi�� Senion
7000) oi �ivision 3 ai Ihe Business antl Pmiessions Cotle. and my license is in full lorce antl eflect.
cirruc.: 4 f,zz sTaTEiic.524341 � SC-39
�a�e'. Signaiure: � __
WOPNENS' C P IS oN oECLABA710N: I hereDy aflirm thal I have a cehilicate of consenl to self-insure or a certihcate of WOBers'
Compensa�ion Insurance. or a cer�ilietl copy Ihereol (Section 3800. Lab. C)
POLICY NO.: EXP. DATE:
COMPANY:
� Cetlified capy is hereby fumishetl. ❑ Ceni�ietl caDY is liletl wi�� the ciry Building Division.
Dale: NpphcanC
E%EMPTIONFAOMWOBREBS'WMPENSATIDNOECNMTION: �Thi55ec�ionnee4nolbecompleie4ifihepermitisforonehundred(5100)orless).
1 cetlity Ihat in Ihe peAormance ol Ihe work lor which this permi� is� I Shal� no�;mpl0y any person in any manner 5o as �o betome
sublect Io the Workers' Compensaiion Laws ol Cali�omia. /
i/ L
Oa�e: SignaWre: �i�b����
NOTICF.I. atter making I�is Oeclaraiion, you shoul0 become SuDle�� �o t�e Workers' ComDensalion pmvisions of the Labor
Code. you must fotlhwi�h comply wilh such pmvisions or Ihis permit SAall Ge tl¢emea revoked.
CONSTflUCTION LENOING pGENCY: I herehy alfirm ��at ��ere is a consVuclion lentling agency �or the pertormance af Ihe woB lor
which Ihis permit is i=sued (Seciion 3W7. Civ. C).
LENDEfl:
POUPE55:
OWNEfl BUILDEfl OECIANATION: I hereby aitirm Ihat I am exempt imm the Conimctors' Slate License Law far ihe fallawing reason
(Seqion 703L5 Business and Pmlessional Code: Nny ciry at coun�y which requires a permii �o constmct, al�e�, improve, demolish, or
repair any stmcWre, prior lo i�s issuance. also requires ��e applican� �or such permii Io lile a signetl s�a�emen[ that he/she is licensed
Dursuam �o ��e pmvisions of Ihe Con(ractoK Sta�e License Law (Chap�er 9(commencing with Seclion 7000) of Division 3 ot �Ae 6usiness
and Pmfessions CoOe� or ��at �e/s�e is exemD� Iherelmm antl �he basis tor Ihe allegeU exemplion. Any viola�ion o� Section 703L5 by
any apPlican� tor a permit sublecis Ihe aDPlicani to a civil penalry o� noi more Ihan live hundretl Oollars ($500�.
I. as owner ai ihe pmpeny or my employees with wages as iheir sole compensa�ion, will tlo ihe work, an0 tAe
❑ SINCWf¢i5 �OIi0I200C0 OfO��EfEtl IOfSdIQ ($QC�iO� 7044, BI15111¢55 211d Pf0�C55i00dICOdC: ThE C011IIdLtOfS' $Idf¢ LIC¢IISC LdW
does not appty Io an owner ol a pmperly who builds or impmves Ihereon, antl who Aaes such work himseli/hersetl or t�mugh
his ar her own employees, pmvitletl iha� such impmvements are not intena¢a or oHeretl tor sale. If, Iwwever �he builaing or
impmvemen� is sold wilhin one y¢ar ol comple�ioq the owner will �ave ��e bur0en o� D�oving helshe Oitl nol build or impmve
lor ��e purpose of sale�.
I, as owner of the pmperty, am eMCWsively coniracting with IicenseU coniractors lo consimct ihe v�oiect (Section 7044, Business
❑ and Prolessions Coae: T�e Comractors' S�a�e License Law does nai apDly �o an owner of property who builtls or impmves Ihereon
antl who coniracts for such pmjec�s wiih a conVactoqs)license pursuanlio Ihe Contrac�ors' Sia�e License Law�.l am aware
�hal pmai ol Iheir Worker'S Compensation insurance shoultl be pmvitletl �a me.
� I am v,xempt un�er Sec�ion: B. 8 P. C.
for inis reason:
Daie: Owner
I do �ereby cetlify Ihal I am aware ol and unaerslantl Ihe requirements ol Cali�omia Heal�� and Safery CoOe Sections 25505, 25533, an0
2553a antl ��ai I or any iNure builtlmg occupant willlwill not (circle one) need Io comply wi�h saitl stale coaes and Ihe requiremen�s lor a
permi� tor cons�mc�ion or mo0ilication Imm Ihe Aii Ouabry Management Di5lrici. Fe5i0ential con5lmciion appliw�ions are exempl Imm
ihese pmvisions.
�ale: ADOlicanl:
I hereby ceNty �hai I have read Ihis applicaiion ana s�a�e Iha� Ihe above information is correcL I agree to comply wiN all ciiy and counry
ardinanws antl stalelawsrelalingto butlding consimction antl here�y aNhorire reD�esenlaly�es o�ihis ciryto enieruponthe abave�menlione0
pmperly lannsp cimn Ourpases. �
iJ_..N
Daie:� Signa�ure: PK(7/
Driver's License oi Soaal Securily p: ��.� �
164i-a6 W�i�e—Builtlmg: Green—Gode EnlorcemenL Canary—Applicanf, Pink—Revenue: Goltlenwtl—Assessor
CITY OF C05TA MESA — BUILDING PERMIT PERM NO; B 061:87
PERMIT NO; B 061187 PLAN CHECK NO; N GOVT; N SUPP; N
CONSTRUCTION TYPE; 5—N PERMI'f TYPE: STR PURPOSE; OTH
JOB DESCRIPTION ; T/OFF REROOF W/COMP SHTNGI�ES SQ FT; 2,950
CLAIM VALUE: 2,950,00 CALC—VALUE: 2,950,00 GROUP OCC; R-3 /M-1
COMMENTS• SMOKE DETECTORS REf�I]IRED PER 1941 UHC REROOF 2500SF RESID � GARA
����*,�����*��#*�,���,��*��,�*�* ����,�������,�����*����,�*.�.�.��������C`�*(�'1'��7`�R
Z O N I N G R E Q i1 Z R E M E N T S
SETBA�KS REQ UIRED__
------------ MAIN BUILDING ---------- --------- ACCESSORY HUZLDING ------
FRNT; FT IN REAR: FT IN FRNT: FT IN REAR; FT IN
LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; rT IN
PARKING REO• PROV; PARCEL: 00000000 ZNE: REF NO;
PLANNING NZSTES>
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1E i! iF �lk iE �)f iF iF iE ik iE lF i(� ikif i(� iE iF iE 1f �)E �lE If 3F * �E iF�IF 3E �E i(� iE iE if iF 3! if �!E �lE iE �IF �7F �!f �lE 1E 3E �)h �lE i(� i(� N� 1E iE i(� iE jf # 3E 3f i(� iE if iE iE if %� IE-1E 3k 3EiF i(� 3f� �lE �F �)f # �E if
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�'f S
ZONING APPROVED BY DATE: �
BUILDING APPROVED BY ; DATE;
APPLICATION ISSOED BY; �-� 1,� DATE• �; l��
1E!lifiEiEiFiFiEi4iEiEiElEifif3(�fE1E�lf(�iFiFiF7SlFiF3FiFif3F'iF3F�f7FiFif3F3FfF3F�iFif �Fif'i�iF'R�3iiFTFlF 1EiEiE�hiEi�FiFiEj(-iE ik?(�
iF iE It iE x� jF iE iE ik iE iElE k iE iE k iE IE iE 16 it jt it if iE IE IE if ikif k�lf iE iE iE �lE if it iE iFit iE �x�ih iE it� iE iE M� it i(�!F iE iE'k ft X� ft # N� x� -0h iF �f if iF 3E ihiP�iF iE iE iE iE x� iE iF K�?f
LEGALI2ATION;N F E E S U M�M A R Y ST'RIICTURAL„SEGMENT;Y
BLDG PMT PLUMBING ELECTRSC M$CHANIC FIRE SMIP/RE$. GRADING
PERMIT 54.00 � • ,50
PLAN �. 'J( '! SMIP/NON—RES
ISSUE FEE
BUILDING—DIV—> PERKiIT ISSUE PLAN-CHECK TOTAL PAID DUE
T01'ALS----> 54.50 0.00 �-'0!00 54,50 54.50 ,00
REVENUE DIVISZON TOT'ALS--> COLL�ECTED: '' S4.50 OVER/SHORT; ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TO'T GRADING PLAN—CHECK
54.00 ,50
ik if if iE ik i(� 3E if if 1F iE iF �x� iF K- iE iE 3F iE iE iF 3ElF iE iE )F 3F iF jf iE if �lE iF iE if 1f if iE 3f 3f 3F jE iE if 1E 3F iE 3k iF3(� jE If IE �1E if 9E 3E iE-lE jF iF iE iE 3E 3F iF lf if 3F if iE iE iE iE iE?E 1F 1E %
I N D I V I D U A L' F E E' „H R E A K D O W N
TYPE QTY D E S C R I P T I O'N UNIT COST TOTAL CdST
'P
SF'R 2950 REROOF HY VALUE RESIDENTIAL NOZONE 1.00 2,950,00
END OF FEES.
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i-- � " -
I CONSTRUCTION ANDPIANNiNG
APPROVALS Permit #
7. Temporary Electncal Service or Po1e
2. Soii Pipe-Undrgrnd.
3. Electrical Conduit Utility�Undrgrnd.
4. Electricai Conduit-Undrgrnd.
5. Stee! Rei�forcement
6. Electricai UFER Grnd.
' 7. Fooungs
i -
i8. Foundation
9. VJater Pipe-Undrgrnd.
I 10. Structural Floor System '
, i t. Property Sewer Line & House Connection
72 Sewer Cap
73. Roof Drains
74. flough Plumbing
15. Rou9h Electricai-Conduit
i6. Rough Electric Wiring
' 77. Rough Wiring Sign
18. Rough Efectricai-T $ar CeJ�ng
19. Rough Heating & Air Conditioning
20. Rough Factory Fireplace
21. Ducts, in Structure
22. Ducts, Vantilating
23. Gas Pipe-Rough & Test
24. Roof Framin9
25. Roof Sheathing
26. T-Bar Ceiling (Structuraq & Monocuat
27. Frame and Flashin9
28. Lathmg & Siciing ^-
29. Insulatior��
30. Drym�all Nailing
31. Piaster Brown Coat
32. Electncal Power Meter-F�nal
33. Final Electric
34. Finai Heating & Air Conditioning
35. Finai Gae Pipe-Test
36. Hood or Canopy
37. Final FactorY F��ePlace
38. Final Piumbing
39. Water Service�Final
40. Gas Service-Pinal
r41. Solar pomestic-Fi�al
42. Backtlow Preventer
43. 8ackfiow irrigation: �
44. Landscape irrigatiort'$ystem
45. Sound Attenuation � `""
46. Handicap Regulatiaris� �
.'�
47. PINAL STRUCTURE & BU��LDWG
48. FINAL PLANNING '
^ �.
49. Electric Release t0 Ed�sbn`"1 �
50. Gas Reiease to Southem California Gas
51. CERTIFICATE OF OCCUPANCY
No. Date
Date
Inspector
POO iPA (
APPflOVALS Permit,� Date Inspector
52. Poo! & Equipment Locat�on
53. Stezl Reinforcement
54. Forms
55. Electrical Bonding
56. Rough Plumbing & Pressure Test
57. APPROVAL TO COVER�GUNITE
58. Electrical Conduit�Undr�rnd.
59. Gas Pipe, G Undrgrnd., Test
60. Backwash Lines, P-Trap, O Undrgrnd.
61. APPROVAL TO DECK
62. Backwash & ReceptorFinal
B3. Heater & Vent-Final
64. Poum6ing System - Final
65. Electrical�Final
66. Solar System-Final
67. Fencing & Access ApP�uval
68. APPROVED FOR PLASTERING
69. POOLISPASYSTEMSF�NAL
FiRE DEPT. REQUIREMENT
APPROVALS Permit #
70. Underground Hydro
77. Produci Pipin9 � Gas ❑ Oil
72. Underground Flush
73. Undergrnd. Storage Tank O Gas C Oil
74. Overhead Hydro
75. Dry Chemicai
76. Dry Standpipe
77. FIXcD SYSTEM FINAI.
78. FIRE PREV. FINAL
HEALTH DEPT. REQUIREMENT
79. FINALlNSPECTION I
80. FOOD CERTIFICATE ISSUED
Notes: �%- - - . - „ - -- - ^
COSTA
6Y3��
MESA BUILDING DEPARTMENT
a. o. eox 3 i �
COSTA MESA. CA�IFORNIA
ensra m *�.�*51.00
•,�N t 7_-SePDassa 8�°-
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
ADDRE'S5 225 Amherst Road BU I LD I NG
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
FECEIPT NO, pERMIT NO.
owNeRTrojan Dand Co.
MAIL E. 17th St• AECEIVEO BV DATE RECEIVED DnTE
ADDRES�.�-9 —�i-J JUN 13 19 8
C�$t$ Mesa TE�+1• 81159 BUILDING
CITY N AODRE55
oR N�GENEER � SOn ddl'ebrOOkN�o. COSTA MESA. CALIFORNIA
Garden Grove FIRE
AOORE55 _l- ZONE
D1RP. � CO B�POVB � ZONE NO.OF TVPE '/ GROIIP
CONTRACTOR 1 C ��T� No`: 333 """� v
�
'ADORE55�� • �$t'a "C58 TN�+1• 81159 B�PROVED OATE
�E�A� �or CORRECTIONS
DESCe�PiioN �o. 94 BLOCK rRA�T2955
A.P. NO.
SIZE �'lo X loo NO.OF a�o�s. none
OF LOT � fiOW ON LOT
use oF none
EXISTING BIDG.
SETBACK LINE FROM � t
CErvTea OF s1AEE1 � REAR YARD
5� 5�
SI�E YARD RIGHT� LEFT
DESCRIPTION OF WORK
NEW X qLTERATION ADDITION
REPAIR MOVING DEMOLISH
SIZELDING 165g SCl lt. ROOMS � STORIES �-
EXTERIOR WALL ROOF .
COVERING StiUCCO COVERING COIilA
useoFNEw Single family residence
BUILDING
garage attached
Plan No. 760
1 HEPEBY flCKNOWLE�GE TM4T I MPVE RE4D THIS FPPLICPTION AND
$TFTE THRT TXE RBOVE I$ CORRECT ANO RGREE TO COMPLY WITH hLL '
CITT OflDINRNCES FND 5 L<W EGVLA G BVILOING CONSTFUC�
i�oN. VALUATI ON /y�
SIGNATURE OF • PERMIT FEE S 3,4�y��
PERMITTEE /�/�
� � PLAN CHEGK S 17�y��
Dike & Colegrove, Inc. $ 14,056.W �,
TOTAL FEE S 51 OO
AUTHORIZE� AGENT •
OWNER TRQJAN LAND C0. � DATE 6-13-58
JOB ADDRESS 225 pmherst Road BUII.DING PERMIT NO. �94
GENERALCONTRACTOR hikn R. f:nlaarnva VALIIE S 111.056.00 -
AP. No.
FQtE ZONE
�& J TYPE V ZONE Rl PLAN NO.
Res. & at.
1...-ECTIONS I DATE I $UBCONTRACTOR I DATE PERM�TgNUM6
coat
Test