HomeMy WebLinkAbout2020 CONTINENTAL AVE - Building Permits « t CITY OF COSTA MESA
,
� 11144,, BUILDING DIVISION
ft AI• 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
�. FOR INSPECTIONS CALL: (714)754-5626
PERMIT NUMBER: BC07-00230
PERMIT TYPE: B_COMBO STATUS: ISSUED
Sub Type: RES_RRIP DATE ISSUED: 10/02/2007 �t
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ISSUED BY: ?? � y t
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JOB ADDRESS: 2020 CONTINENTAL-AV CM Suite/Unit:. - _ A,�y S-I
APN: 42250321 - Zoning:
Vicinity: FIRST FLOOR ADDITION.;,. , .•...' T - Primary Occ: 7 -
Const Type: V-N ,-` • SQ. FT: 476 • - Valuation: $43,295.88
SCOPE OF WORK: ADD 467 SF TO EXISTING-SFD.WORK INCLUDES: EXTEND MASTER BEDROOM WITH NEW CLOSET AND
MASTER BATH. EXTEND FRONT.-OF SFD,-DEMO WALL BETWEEN KITCHEN AND LIVING ROOM, RELOCATE WASHER AND
DRYER. NEW 9 SF FRONT.PORCH,
OWNER: 0 CONNOR, CIARAN R , , , Address:; 2020 CONTINENTAL AVE . ' ' • +, Unit:
Phone: -City/State/Zip: COSTA MESA,CA .
•
APPLICANT: 0 CONNOR, CIARAN . : Address: 2020 CONTINENTAL AVE Unit: :
Phone: 949-929-1491 . .City/State/zZip: COSTA MESA,CA •
CONTRACTOR: - - License No.
Phone: Address: Unit: -
•
Cell: - - City/State: - . ZipCode
ARCHITECT: License No. ' • PHONE: '
ENGINEER: OIANG XIAO'-. . - License No.C66510 - - - PHONE:949-261-7740
COMBINTATION PERMIT FEE.SUMMARY
Building Plan Check: $379.37 .
Building Fees: - ' $583.65 .
• •
Electrical Fees: $73.36 - - '
Mechanical Fees: - $47.85 • - - .
Plumbing Fees: $88:20 - •• •
SMIP Residential: -- $4.33 .
SMIP Commercial: $0.00
TOTAL FEES: $1,176.76
—Refer to fee receipts for all fees paid for project
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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODES INSPECTION TYPE DATE INTn1ALS COOPS PE DON DATE INTTA ,
/� ,,,,
1616 Fixed System Final Fire Prevention 206 incl Mechanical 1/T p�Ap /7/7 ,llM�J]
1266 Pool Spa Final 208 Final Plumbing PSA O h[i•JI/oR
200 Final Re-Roof 210 Final Electrical -Ca A49..
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign222 Final Site 4
204 Final Demolition - 250 Final Building/Occupancy l41/s/9n
1 r ` ,
WORKERS'COMPENSATION DECLARATION: Owner ID verified by drive. 4<es ❑No
I hereby affirm under penalty of perjury one of the following declarations: Drivers License No. Expires: ///r/ZOj?
0 I have and will maintain a certificate of consent to self-Insure for workers' : Verification of Ownership by(type of document,i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ I have and will maintain workers'compensation insurance, as required by
section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a
number are: person is required to descend,will be made in connection with work authorized
by this permit,and that no building structure,scaffolding,falsework,or demolition
Carrier. - or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(This seclon need not be completeddthe perm(is valued at one hundred dollars($100)or less)
2,Art 2,Sec.341,Title 8,California Administrative Code).
Poli Number:
0 As owner-builder, I will not employ anyone to do work which would
I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject'to the workers' compensation provisions of Section 3700 of
the Labor Code,I shall forthwith comply with these provisio s. Appltcam's Signature Date
✓.
//ioJ,//* i-9. -r Division of Industrial Safety Permit Number:
.7,e-7,7 s-Sgnawre D le �� HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes 0 No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST,AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons,or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes ❑No
Lic.# Class# (Section 25533 of the California Health and Safety Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
Contractors Signature Date • hazardous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
CONSTRUCTION LENDING AGENCY: temperature and pressure).
0 I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Ovil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? 0 Yes 0 No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: _ Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia Govemment Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be fumished on applications for non-residential building permits).
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes",the facility must meet the requirement of Sections 25534 and 42303
five ndred dollars($500).):
five the California Health and Safety Code).
I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec. 7044, Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes ❑ No
thereon,and who does such work himself or herself or through his or her own 8 (If"yes", attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty,of perjury the
did not build or improve for purpose of sale.). ' information given above is correct. I agree to comply with all state'laws and
0 I, as owner'of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044, Business and
Professions Code: The contractors License Law does•not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
ID I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
au y this ermit until final inspection.
��) -11194427-----
'�egal Ovmer(s) 11:240E—
Date
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And/or Authorized AOprcant Date
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F�o�p"MFs9 CITY OF COSTA MESA
p�7j !�), P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92628-1200
•
4> { n:or;e f,A•
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V DEVELOPMENT SERVICES DEPARTMENT
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New State Law:
Swimming Pool Safety Act of 2006 (Assembly Bill 2977)
Effective January 1, 2007
California Health and Safety Code Section 115928 "(d) Whenever a building permit is issued
for the remodel or modification of a single family home with an existing swimming pool,
toddler pool, or spa, the permit shall require that the suction outlet of the existing swimming
• pool, toddler pool, or spa be upgraded so as to be equipped with an anti-entrapment cover
meeting the current standards of the American Society for Testing and Materials (ASTM) or
the American Society of Mechanical Engineers (ASME)."
TO7.O � 4�4 y,1 / e
Address/Permit Number
Permit Applicant or Contractor's Affidavit (Please check appropriate box):
n There is an existing swimming pool, spa, or toddler pool on this property. I will
install an anti-entrapment device that conforms to this law, and I understand that the
installation of this device is required prior to final building inspection approval.
There is no swimming pool, spa, or toddler pool on this property-
ant") C760480'
Name (please print)
Si natUr4pate G` V
Building Division(714)754-5273 • Code Enforcement(714)754-5623 • Planning Division(714)754-5245
FAX(714)754-4856 • TDD(714)754-5244 • vnvw.ci.costa-mesa.ca.us
4`501 MF 9 CITY OF COSTA MESA
BUILDING DIVISION
>r ", DEVELOPMENT SERVICES DEPARTMENT PE IT NUMBER
t. 1 w.wsa r
PRMIT 05-01423
ito„ osano
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.SSUILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 2020 CONTINENTAL AV Status: ISSUED
Suite: Applied: 08/25/2005
Vicinity: ROOF Issued: 08/25/2005
Primary Occ: R3 •Type of Construction: V-N
Parcel Number: 42250321 Zoning:
Applicant: TROY ALEXSON
Address: 1653 SUPERIOR AVE do n/1
Phone: (949)642-7222 ISSUED BY: //-K��
COSTA MESA,CA Zip: 92627
Owner JOHNSON, BRUCE T '-
Address 2020 CONTINENTAL AVE.
--'- Phone:
COSTA MESA,CA .- : Zip: 92627 . -
Contractor LEE'ROOFING,OF COSTA MESA - - -
Address: - 1653 SUPERIOR AVE - - -
Phone: (949)642-7222- • - .,:. •a,
COSTA MESA,CA '
Zip: 92627 License: 349686
Arch : - _ Eng: t
Address: _ - F Address:
• Phone: - r '�•' Phone:
Zip: License: ;License:
- - - - - - s
SCOPE OF PERMIT
T/O EXISTING COMP SHINGLES,INSTALL 30#FELT UNDERLAYMENT AND 20 YEAR 3 TAB CLASS,HA"COMP'SHINGLES ON ATTACHED HOUSE
AND GARAGE APPROX 1;700 SQUARE FEET. _�g" s' ,
S t4s
FEE SUMMARY , ,
Plan Check $0 00 tr" •- Calc Valuations , • - $4 200.00
-' Permit '''$111 25 r� 4 " "" - Claim Valuation $4,20000
SMTP Res: $p:50
'SMIP_Com. `$000 •(1',X,',, • _
Other. $0.00 , - '
Inspections ' $0.00
Total: $111.75"- ' ---
"-PLANNING & ZONING -
SETBACKS
f
MAIN STRUCTURE Front 0-0 ' ..,•Rear-v 0-0 Left . . 0 0 _Right . 0-0
,.
ACCESSORY .Front's 0-0. ‘Rear,A,,,0-0 s Left 0 0 Right 0704
PARKING Existinq. 0 z .- Required 0 ' Proposed .y" 0==
y - t ,t,
i,
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 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections 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)754-5626
2446-46(6/00)
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued. )
❑ I have and will maintain workers'co nation insurance,as required by section 373 of the Lathor Code,for the performance of the work for which this permit is issued.
My wgrkars'cpmpensatlgp4nsuran carrier and policy number are:
Carrier�iA/,('-,.z•-!(`o PolicyNumber:
(This sectio need not be completed if the permit is valued at one hundred dollars($100)or less.)
❑ I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so a to become subject to the workers'
compensation laws of C lifomia,and:•no at If I should become subject to the workers'compensation provisions of Sec on 3700 of he Labor Code,I shall forthwith
comply with t
Applicant Signature: ie.....r Date: Szs_ o
WARNING:FAILURE TO SECUR R ERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMI PENAL S AND CIVIL RNES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CO E,INTEREST,AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
• I herebyaffirm that I am tic:. ed de (commencing7000) ...,-...ns
C ! -_ � p•vi ions of Chapter 9 with Section of Division 3 of the eusin ntl - Code,and my license is In full
force and effect. I . 6 .1 re --
Contractor's
Class#
Contractors Signature: •,Irr WIT, ar
Date: s
• ���
Ain
CONSTRUCTION LENDING AGENCY:
o I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lenders Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements ere not intended or offered for sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). •
❑ I,es owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made In connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,Califomia Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number: •
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? ElYes 0 No -
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application apgermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes 0 No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes 0 No
8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read thi application an state that the information given is
co : t. I agree to comply with all state laws and city ordinances relating to building construction,and authorize represer olives of the Ity of Costa Mesa to enter upon the
above-:'-: . .roperty f jiri.p�io• a• •=5-• .I agree not to occupy or allow occupancy of any building authoriz by its per n ayspeelion.
ADate
/ ul
/And/Or Authorized Applicant Date
CODE# INSPECTION TYPE g1yg, INTTNALS ODE( INSPECTION TYPE ME 1NTRIAL2
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final , �yTAA._ 208 Final Plumbing
200 Final Re-Roof �' 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
. Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
•
CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. (i994 2/10/80 33080 TL
• LL E 3-1/5-a
Project Address 2 O) O Ca �4p,
Applicant's Mailing Address ly , Se( s11v4 STe. / qrd! TYPE OF CONSTRUCTION U NEW U ADD LI ALTERATION U REPAIR
Owner's Name V're, i ts�`-'' " Phone ❑ CONVERSION 1111 DEMOLISH ❑ A.P.THER # 1 Zone
s/-('7 DESCRIPTION OF WORK/USE OF BLDG. •
Address 2G2 0 h'1' ,.e ..i-c /s` ` ._}v . S Main Building: Accessory Building:
E Z
Arch/Eng. Licen No. SO\04 TYPE OF PERMIT LJ GRADING LJ FOUNDATION U STRUCTURAL T Front O
rrtt PA-4 ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B N
Address Si b No/ess fits. ♦Cw - El Rear
Contractor's Nam - s Phone (,1l-ostJ ❑ OTHER A
ll �j PROJECT DESCRIPTION SO. FT. OCCUPANCY
C Right G
Address(mailing) J qt\• `eSI! - 7 r« K Left R
,_`�r IS CON ST RUCTION TYPE VALUATION$ S
—City License No. -7 -1 ZONE GRADING CU.YDS. ACRES _ Ping. Ref.# Parking Req./Provided E
LICENSED CONTRACTOR DECLARATION a
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: M
with section 7000) of Division 3 of the Business and Professions Code, and T
my license is in full force d effect. $
License Class 1�— ceras 0.
Date - Signature PLUMBING FEES ' -
WORKERS'COMPENSATION DECLARATION Bar-Sink Showers ELECTRICAL FEES
I hereby affirm that I have a certificate of consent to self-Insure or a certificate •
of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink
3800, Lab. C.) Automatic Washer Transformer 0 15-50 KW
Policy No. Company Backflow Irrigation Sewer Ca 050+KW
BCertified copy is hereby furnishedP _ Construction Pole Sub..
Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
ate
A
EEISI 5°EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps ZOO
(This section need not be completed if the permit Is for one hundred ($100) or
less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel
I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any ma er so as o become subject to te Drinking Fountains Solar Tank Fan Motors 00-1 HP 01%.8
Workers' Compensa�yy Laws of Californi I �- I
Date 1-- IV-T. Signature [.w» L Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP 016-15+
NOTICE: If,after making this declaration, you snould become subject to the
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks
comply with such provisions or this permit shall be deemed revoked. Urinal Fixtures Microwave
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet
I hereby affirm that there is a construction lending agency for the performance Device Boxes POI¢ Light
of the work for which this permit is issued (Section 3097 Civ. C.)
Lender's Name Interceptors Water Heater Outlets Range
. Lender's Address - Kitchen Sink Water Service Switches Sign
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays Generator ❑0-5 KW ❑5-15 KW r
any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor
to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains
the Contractor's License Law(Chapter 9 (commencing with Section 7000)of
Division 3 of the Business and Professions Code) or that he/she is exempt
therefrom and the basis for the alleged exemption. Any violation of Section
7031.5 by any applicant for a permit subjects the applicant to a civil I`r
penalty of not more than five hundred dollars ($500).
LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
compensation, will do the work, and the structure is not Intended or offered Reinspection Fee $15 Issue Fee ' - % $s
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES
License Law does not apply to an owner of a property who builds or improves
thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: '
employees, provided that such improvements are not Intended or offered for Boiler Hood Or Type I 0
sale. If, however, the building or Improvement is sold within one year of com- Canopy Type II ❑ Zoning Approved By Date
pletlon, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground
prove for the purpose of sale). Building Approved By r� Date
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By xV, '�--�/�-
Dat: (•l.
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct- Ventilating ❑0-100,000 BTU ❑100,000 BTU SUMMARY OF FEES
builds or Improves thereon,and who contracts for such projects with a con- _
tractors) license pursuant to the Contractor's License Law). I am aware that - I BUILDING PERMIT $ SMIP $
/ Exhaust System ❑ Multiple D System Repair/Alteration
proof o their Worker's Compensation Insurance should be provided to me. PLAN CHECK $ PERMIT
❑ I am exempt under Section — B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ ISSUANCE $
Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above ❑0.100,000 BTU ❑100,00087 .53, . b GRADING $
information is correct. I agree to comply with all city and county ordinances ELECTRICAL $
and state laws relating to building construction,and hereby authorize repre- MICROFILM $
sentatives of this cit o enter u on theLabdve-mentioned property for PLAN CHECK 50% $ s �O
inspection purposes. /� yp MECHANICAL $ TOTAL FEE $ /J's
Driver ure Date 1��V� Y V
Drivers' License or SS # Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
aillok
CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING PO 4 SPA
APPROVALS Permit# nr Date Inspector APPROVALS Permit# - Date Inspector
1. 'Temporary Electrical;Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrn?J. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foupdation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line &House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. 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 0 Gas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT 1 -,
31. Plaster Brown Coat 79. FINAL INSPECTION • •
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric 0V�4 act
75 ct Notes:2/�/S8 �r1'qb oft
(X ri /�
L ! l na
34. Final Heating & Air Conditioning ir(
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 Domestic-Final •
42. Backflow Preventer •
43. Backflow Irrigation
' 44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations •
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed ,
49. Electric Release to Edison '
•
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date •
OWNER V. Robert Syphert DATE 11-5-58
JOB ADDRESS 2020 Continental Avenue BUILDING PERMIT NO. 7935
GENERAL CONTRACTOR Owner : lder VALUE $ 7110.00
11. -fir LOT .7 TRACT 1712 FIRE ZONE DESCRIPTION OF WORK Enclose & add to carport
GROUP I & J TYPE V ZONE Rh PLAN NO.
INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED
DATE NUMBER
Trenches Forms Steel gr-4-6; /2 -/J
Floor System
Steel Reinforce Chimney Re-Rod _
Bond Beam &��,.� 1- - ,
Frame and Flashing !4' # p�.%B SY -
Lathing, In Out ' /4 ..
Plaster, brown coat Re e rj� _.ty_r'.a.y _;
Underground soil W/G Pipe Test'
Top Out
Furnace
Gas Vents
Rough Plumbing
Cesspool Septic Tank
Prop. Swr. Line House Con. St. Swr.
Sprinkling System
Heating Final
Plumbing Fixtures, Final
Final Gas Test •
Construction Pole • •
_
Underground Power '
Rough Wiring
Fixtures, Final
OCCUPANCY
Form 210-5M-1-57 7935
•
r • 7935 I ¢. (S-1 s-&-
COSTA
&-COSTA MESA BUILDING DEPARTMENT MANCE QEPT.
P.O.BOX 317
AL Off p@ C! A WA
COSTA MESA. CALIFORNIA M�� �F7 G Ja WA .
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
DDRESS a0 ea v, ;in �.n TA- L. '-CLL. BUILDING
AB
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
/j �j p YRECEIPT NO. PERMIT NO.
OWNER t.4 ,'7 /Nen 3/ / ile/ T . 773J
MAIL �L RECEIVED BY DFTE RyE�CEI�S�y'7 GATC ISSBEP/,
ADDRESS 4U � O ,„ 7 /vie_ \l TA L- /�-U �J �J //- -J`-`!7
TEL. BUILDING
CITY (Ca c TA }}'LF SA1 NO.AA 6'-.13Ef� ADDRESS
ARCHITECT LIC.
OR ENGINEER PetrNO. COSTA MESA. CALIFORNIA
FIRE
ADDRESS ZONE
ZON{{{yyy / PLANS TYPE GROUP
CITY NO. /Z / PLANS /�
CONTRACTOR dj,( � NO. / 1 �s Y
TEL. APq; 2
D •ADDRESS NO. BYDATE 7,LEGAL LOT /� ti%TORR ECTIONS
DESCRIPTION NO. �� 7 BLOCK TRACT /7/..
A.P. N O./ i, , -- Z
SIZE 7 I ,y y NO./OF /SLOGS. / •
OF LOT 6 / ,{ V I NOW ON LOT
USE OF JJ''''�� • /�
EXISTING BLDG. Divehi, pPP OVED
SETBACK LINE FROM `L.9' 4 4V4 YJ
CENTER OF STREET REAR YARD
CITY .a- COSTA irlL zfr
SIDE YARD RIGHT TO / LEFT 6 > PLARNIiIG DEPT.
DESCRIPTION OF WORK SUBJ.CTT LDG. DEPT- l41Efa.
F)/ p� L <<
NEW ALTERATION ADDITION ..4"...' I S DATE
REPAIR MOVING • .DEMOLISH PLAN T[CH.
BUILDING sc y // ROOMS STORIES /
S12E p
EXTERIOR WALL O '{n}L/PA ROOF 4-I- MM u l.r irl i/h .
COVERING 1 COVER/tlG /IsAses70d
USE OF NEW t. 4 (-
BUILDING VI �A.(!SC. • il .0 /1-DD re /
G/FRro/Yr, to/,5e 2IRe0 rote 9/E/iipe li- o2X u —)---
El KN To aT
I HEREBY ACKNOWLEDGE T T I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC•
TION. VALUATION
�1 PERMIT FEE $ . "--
SIGNATURE
OF.2/ �/ �/7 t/ ' „ Dom/
PERMITTEE (l /-VLi//�U�{ 7/49
PLAN CHECK $ -
AUTHORIZED AGENT TOTAL FEE $ — viMir•
Ir
ORANGE COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT
/ North Broadway -
SANTA •
ANA, CALIFORNIA ' . . BUILDING
•
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
RECEIPT NO. PERMIT NO.
AD2020 Continental Ave .}� (�
ADDRESS ,7�y /11 //_/
OR O TOWNL DIST. RECEIV DATE CRRE D. DATE IS ED
OR _
NEAREST All OP ��/0 l>
Se Cii3A5). 20th Street
BUILDING
OWNER Apache Homes Inr` ADDRESS l'
/ V
C /MAIL
ADDRESS 9363 Wilshire Blvd. ORH OOL TOWN IST. ,/
AZA
{�j_ .QI
Beverly Hills NTEL CR 54:361 7'Y'1 A/,i�j' � r
CITY NO. NEAREST �� -d
ARCHITEC
it
C [] CROSS ST. (//
ENGINEER TCaln & McKerrach`wr SY 64891 ZOAl / PO. OF TYP� I G . S
PLEA N/B�
ADDRESB2110 E,Walnut—Pasadena APPROVED L'1.1dAL &--/ % C 7
C. BY ]rDJIfJ DATE .L
CONTRACTOR Newport Vista NO] 35882 CORRECTIONS
ADDRESS9363 Wilshire—Beverly Hills
LEGALLOT
DESCRIPTION I NO. EtAi BLOCK I TRACT 1712
(ATTACH METES & BOUNDS)
NO.OF SLOGS. 0
SIZE OF L0'67 t 110 NOW ON LOT
USE OF NO. OF NO. OF
EXISTING BLDG. flat
FAMILIES I ROOMSREAR YARD
SETBACK
CENTERKOFINE STREET 50 lt� SIDE YARD Ft A—
DESCRIPTION OF WORK 0
NEW I I ALTERATION I I ADDITION I r O
Z
Al
REPAIR I I MOVING I I DEMOLISH I . - r r
BUILDING NO. OF
SIZE ROOMS STORIESAI
EXTERIOR WALLI ROOF
COVERING COVERING
USE OF NEW ,
BUILDING
APPROVALS
FOUNDATION: LOCATION INSPECTOR DATE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS FORMS, MATERIALS, /✓/)'), �J-Ar- `'J
APPLICATION AND STATE THAT THE ABOVE IS CORRECT UNDER-PINNING �/N'J /J iT� ✓'1J
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FRAME:BRACING.STOPS.
BOLTS Gi .3 .3'.)
AND STATE LAWS REGULATING BUILDING CONST CTION. y
LATH. INT. 24,'(12‘)
�J A -/-� 2
SIGNATURE OF02yVv LATH. EXT. 24,'( /b .1 `C ;
PERM ITTEF [/�� � '/�/f,' �/ 6
AUTHORIZED AGJ!" ��p�`Q ^ PLASTER, EXT. _ A�- i / -.)- --..:17
((� PERMIT FEE S /n MASONRY REINFORCED
VALUATION $ PLAN CHECK $ �`
le3o BOND BEAM r �/
TOTAL f/J r1, /3 cs q
p® FEE s V FINAL _I ....3J
5M 5.90.59
•
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STREET -
PLOT PLAN
Show location and distances from
property line and between buildings.
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