HomeMy WebLinkAbout1819 ALASKA AVE - Building Permits CITY OF COSTA MESA •
`q-a% BUILDING DIVISION -`
DEVELOPMENT SERVICES DEPARTMENT CA
PERMIT PERMIT NUMBER
P99-00053
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
PLUMBING PERMIT
Job Address: 1819 ALASKA AV Status: ISSUED
Suite No Applied: 02/02/1999
Issued: 02/03/1999
Vicinity:
Parcel Nunmber: 13958142
Applicant NOCK, RON
Address: 11612 KNOTT ST
Phone: 714 895-1246
GARDEN GROVE,CA Zip: 92841
Owner HANSEN, PATRICIA A
Address 1819 ALASKA AVE
Phone:
COSTA MESA,CA Zip: 92626
Contractor: NOCK PLUMBING
Address: 11612 KNOTT ST
Phone: 714 895-1246
GARDEN GROVE,CA Zip: 92841
License: 707775
Arch/Eng:
Address:
Phone:
Zip:
License:
SCOPE OF PERMIT
DISWASHER.
FEE SUMMARY
AMT QTY AMT QTY AMT QTY
ISSUE FEE $22.00 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0
Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0
Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0
Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0
Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0
Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0
Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0
Dishwasher $8.75 1 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0
Drain, Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0
Drain, Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0
Drain, Roof $0.00 0 Shower $0.00 0 Water Heater/vent $0.00 0
Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Ins(or Rep.) $0.00 0
Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0
Gas Earthquake Valve $0.00 0 Sink,Floor $0.00 0 Water Service $0.00 0
Gas(1-4 outlets) $0.00 0 Sink,kitchen $0.00 0 Water Softener $0.00 0
Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 0 OTHER $0.00
Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION $0.00
Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00
Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0
Interceptors(Sand Auto) $0.00 0
TOTAL CALCULATED FEES: $30.75
COMMENTS I SPECIAL CONDITIONS
•
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 •
WORKERS'COMPENSATION DECLARAT A:
I hereby affirm under penalty of perjury one of the following declarations:
O 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.
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 permit is issued.
My workers'compensation�� �Insurance carrier and policy number are: 7 Q 3 '(-
/,
Cartier: �CJL./)pn) r / �- Policy Number N�"''T ( `
(This section 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 as to become subject to the workers'
compensation laws of California,and agree that It I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provisions,
Applicant Signature: - Date: Z — —5
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES 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 CODE.INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Ch site (l ening with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Lic.N 7c) 7 / Class
Contractor's Signature: �i�'��—r Date:
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).
Lender's 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,es 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 are 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, as 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. ❑Yes ❑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,California 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:
I 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? 0 Yes ❑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 end pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑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 end 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? ❑Yes ❑No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes ❑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? ❑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 ❑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 stale 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 this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of 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 authorized by this permit until final inspection.
Si nature Of Legal Owner(s).—L___ Date
And/Or Au orized Applicant Date
CODE C INSPECTION TYPE DATE ItfJALS COOF4 INSPECTION TYPE DATE INIMALE
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing 3 —I — /p
9
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
2446-46
1"PROJEL4 ADDRESS: 1819 ALASKA AV UNIT: CITY OF COSTA MESA BUILDING PERMIT PERM NO: B 048267 '
OWNER'S NAME: HANSEN
ADDRESS: SANE PERMIT NO: B 048267 PLAN CHECK NO: N GOVT: N SUPP : N
CONSTRUCTION TYPE; V-N PERMIT TYPE: STA PURPOSE: ALT
ARCH/ENGINEER: 545-0897 REG.NO.:
JOB DESCRIPTION : REROOF AS PER NER #423 SQ FT: 3, 675
ADDRESS: UNIT:
CLAIM VALUE: 3, 675 . 00 CALC-VALUE: 3, 675 . 00 GROUP OCC: R-3 /
PERMITTEE: ULTRA LITE ROOFING ( 714 ) 895-4521
ADDRESS: 13301 ANAWOOD WY COMMENTS : REROOF W/ GERARD NER #423
WESTMINISTER CA 92683 #***********#**** #>F######*##>F##***********# #eE*x#*####* *****##>F**##+e***** #*#
UCENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON ING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETH ACKS
CITY055 4 (`3 2 STATE UC.:5392 3"1 CLASS: C n 9 A
S; MAIN BUILDING ACCESSORY BUILDING
Date: gnature:
WORKERS'COMPENSATION DECLARATION: (hereby affirm ihatlhaveacertilicata of consent sen-in reoaceNfiwte of workers' FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance,or a certified copy thereof(Section 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
c$OUCY NO.: EXP.DATE:
COMPANY: PARKING REQ: PROV; PARCEL : 13958142 ZNE: REF NO:
❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES>
>. •
Date: Applicant: *###*****?:?F*****###**###****#*#***###*3F*!F?E#**#***#*#*##########***#*****#****##
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). D EV -EL OP M ENT SERVICES REQUIREMENTS
I certify that in the performance of the work for which this permit is issY1edr�shall not employ any Person Ip a manner so as to become •
-
• suDlecl to the Workers'Compensationp� Laws of California. ^ ZONING APPROVED BY DATE:
.� Date: ZH - JO Signature:
NOTICE:If,atter making this declaration,you should become subject to the Workers'Compensa n pro'sions of the Labor BUILDING APPROVED BY . DATE: '.-
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y• -0 -7 ' Z4•?Q DATE: !Tl• 7--C1'90
which this permit is issued(Section 3097,Civ.C). #*****#*******************VWr. _.,.vr*s *********************3'r****#******WWFWW? 004”**
UNDER: ***#********* **********#*****#* .****************************#****Be*6E******#***
ADDRESS: LEGALIZATION;N F E SUMMARY STRUCTURAL SEGMENT :Y
OWNER BUILDER DECLARATION: Ihereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 63 . 00 . 50
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed SMIP/NON-RE S
pursuant to the provisions of the Contractors'State 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 PLAN
any applicant far a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
1 tructure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 63 . 50 0 . 00 0 . 00 63 . 50 63 . 50 . 00
i 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 employees,provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTAL S--> COLLECTED : 63 . 50 OVER/SHORT • U
forthepose
improvement
sold ane year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 63 . 00 •
. 50
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon '
and who contracts for such projects with a contractor(s)license pursuant to the Contractors State License Law).l am aware *.e**#*##*#***********#*#*****#******##*******###*****#***##****#***************
that proof of their Worker's Compensation Insurance should be provided to me. INDIVIDUAL; F E E BREAKDOWN
❑ I am exempt under Section: B.&P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date OwnerSFR 3675 REROOF BYCTOR VALUE RESIDENIAL NOZONE 1 . 00 3, 675 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and that I or any future building occupant wilUwill not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from
these provisions.
SMOKE
Date: Applicant: OKE DETE .
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county a..� v '
ordinances and state laws relating to building construction and hereby aut die representatives of this c' enter upon the above-mentioned REn 1I P•�E a•e .
property for inspection purposes. r (.11 �••� Aliefl'1
—_ Date: J -2-if�0 Signature: c 01 00066011-00066012 TOT 63.50
Driver's License or Social Security x: (- DATE: 07/24/90 TIME: 16:00
1641-46 White-Building;Green-Code Enforcement;Canary-Applicant;Pink-Revenue;Goldenrod-Assessor
CONSTRUCTION AND PLANNINGt F & SPA
APPROVALS Permit# 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-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. •
55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical OF ER Grnd. 57. APPROVAL TOCOVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation i 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. • 60. Backwash Lines, P-Trap, O 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 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 7/41/
//F//- ,/ 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 7/ 1 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat /b 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
31. Plaster Brown Coatfj' 79. FINAL INSPECTION
32. Electrical Power Meter-Final / j 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: 87--?-161- cam_ p�
34. Final Heating & Air Conditioning 6/1;,.e�'
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
a FINAL STRUCTURE & BUILDING 11-9-929Bub[.
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
ADDRESSOFBDILDINO: 1819 ALASKA AV UMT: CITY OF COSTA MESA - BUILDING PERMIT
ONNER'SNAIIEI mmmHANSEN PATRICIA A FLOOD : AE-37 PERM NO: E 081328
ADORESs:1819 ALASKA AVE
COSTA MESA,CA . 92626 PERMIT NO: E 081328 PLAN CHECK NO: N GOVT: N SUPP: N
545-0897
AWL.MAIIING ADDRESS CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE PURPOSE : ALT
ARCHITECT ORENSINEER: UC.NO.: JOB DESCRIPTION : ELECTRICAL FOR SPA SQ FT:
ARCH OR ENG.'S ADDRESS: WIT:
CLAIM VALUE: CALC-VALUE: GROUP OCC : R-3 /
CONTRACTORSCTOR'SNAME: COMMENTS : DISCONNECT/MOTOR/CONDUIT/CONDUCTORS
CONDUCTOR'S
*******************************************************************************
ADDRESS: UC.NO.: ZONING REQUIREMENTS
WIT: SETBACKS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I an licensed under provisions of Chapter 9
(commenting with Section 7000)of Division 3 d the Business end Professions Code,and my license is in lull and effect.
CITY LIC.No.: LIG.CLASS: LIC.NO.: E MAIN BUILDING ACCESSORY BUILDING
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Date: Contractor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby elfin under penalty of perjury that h em exempt from the Contractors License Law for the PARKING REQ: P RO V: PARCEL: 13958142 Z N E: REF NO:
foloion
wkg reason(Section 7031.5 Sunless and Professions Code:Any city r county which requires a pencd,e to c«retrualter.improve.
demolish,or repair any stricture,prior Io is° r
suge.also requires the applicant tor such permit to file a signedstatement statement that he or she PLANNING NOTES>
M licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Divcian 3 of the >
Business and Professions Code'or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section
7031.5byany applicant for a permit subjects the applicant to a civil penalty of not more than fee hundred dollars 135001). *******************************************************************************
❑ Las owner o thelxopenyor my employees with wages as their sols compensation,will do the work.and the sticture indinterded DEVELOPMENT SERVICES REQUIREMENTS
or offered for sale(Section 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 he or her own employees,provided that such
m
improveents are not intended or offered for sale.B,however.the building or improvement is sold within one year of completion,the ZONING APPROVED BY DATE:
x owner-builder will have the burden el proving he or she did not build or improve for the purpose a see).
❑ I,as owner of the property,em exclusively contracting with licensed contractors to construct the project(Section 7044,Business and BUILDING APPROVED BY : DATE:
Professions Code:The Contractors License Law does not appy to an owner of property who builds or improves thereon and who
contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law). APPLICATION ISSUED BY: DATE: I- 271-`-97
o I ern exempt under Section: B.A P.C.. o U' sstE ssEE
Date: /^024' 96 Owners -LGi ze invo-a*-/ LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: N
I do hereby cents that I an aware of and understand the requirements of California Health and Safety Code Sections 25505.25533.and
25534,and that I or any future building occupant will/wit not(circle one)need to comply with sod state codes and the requiniments for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a permit for construction or modification from the A' uu ly Management District.Residential construction eppicati ns are exempt from these PERMIT 4 3 , 50
provisions.
Dale: Applicant: PLAN 50% SMIP/NON RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: ISSUE FEE 22 . 00
❑ Ihave and wiimaintanacerNicateoconsent tosetinwnfor workrs'compensation.as provided for dio
by Section BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
rm
Code.for the cedanced thework for which which this pra issued. TOTALS----> 43 . 50 22 . 00 0 . 00 65 . 50 65 . 50 . 00
❑ I have end eel maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,for the performance of the
work for which this permltie issued.My wrkers'mmpenselion insurance carrierand policy number are: REVENUE DIVISION TOTALS--> COLLECTED : 65 . 50 OVER/SHORT: . 00
Carder:
Policy Number. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
X0(This section need n« n
be completed d the ped is or one hundred dollars($1001 or lay.) 65 . 50
❑ I caddy that in the performance of the work for which this pent a issued,I shall not employ any person in any manna so as to
become subied to the v rias'crnpensaton laws of CNtorn end wee 0,0 ff I should becrne subject to the memo,. *******************************************************************************
compensation provisions of Section 3700 o the Labor Code.I shall' h comply with' hose p// . I N D I V I D U A L F E E B R E A K D O W N
Dela: /— z — 96 Applicant:' �Z�C�(/, i:.)'�7]/
Warning:Failure to secure workers'compensation compensation coverage Is unlawful,and shall san employer to criminal penaltiesand TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up to one hundred thousand dollars(SI00,000),In addition to the cost of compensation,damages as provided ler In
Section37ceofMeLaborCode,Interest,andaltorneysiw. ELE 1 MOTOR/POWR APPARATUS 1 . 1 - 10 .0 HP 11 . 00 11 . 00
CONSTRUCTION LENDING AGENCY:I hereby affirm under penally of perjury Dud there is a construction lending ager y for the ELE 1 MISC APPARATUS NOT LISTED REQ PERMIT 16 . 25 16 . 25
performance of the work for whidh the permit rcissued(Section 3097,Civ.C). ELE 1 MISC CONDUIT NOT LISTED REQ PERMIT 16 . 25 16 . 25
LENDER'S NAME: - END OF FEES
LENDER'S ADDRESS:
I certify that I have read this application and state that the above information is correct.I agree to comply with all city end county ordinances
and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property
1«insPedionprnwse5PATRICIA HANSEN
60
'/f� Pion em / /— EXPir{ED BI-24-1997/84:151-8001060
/f/ /q,� PERMIT:081328
�.� Date: a4�-9G
Signature of OwnerfAgent/Appican/Conirectr 1 -t2--616 t2-/oj1�J L7
DATE
' )5151-46.WP) White-Building A Safety:Green-FIs:Canary-Applicant Pink-Revenue:Goldenrod-Assessor
" CONSTRUCTION AND PLANNING f . & SPA
APPROVALS Permit# 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-Undrgrnd. • 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding -
5.1Steel Reinforcement 56. Rough Plumbing & Pressure Test --
-
-. fi. .Electrical UF ER Grnd. 57- APPROVAL TOCOVER-GUNITE
- 7.-Footings 58. Electrical Conduit-Undrgrnd.
' •8. Foundation , 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-Fin& •
12.-Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final •
C14. 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 _ FIREDEPT. REQUIREMENT .
20. Rough Factory Fireplace c - .. . ' APPROVALS.-- Permit# --
21.-Ducts, iri-Structute` • ' - - x '. ' 70,= Underground Hydro '
22.-.Ducts, Ventilating . �,. • 71. Product Piping 0 Gas 0 Oil
23.'Gas Pipe-Rough& ^
Test _ r _ - - 72. Underground Flush - -
24, Roof Framing " . - c : 7-3. Undergrnd,Storage Tank 0 Gas 0 Oil
25._Roof Sheathing - : `: ' -- - 14. Overhead Hydro
26._T-Bar Ceiling {Structural) &-Monocoat ., - _ 75. Dry Chemical _ - - -
27. Frame and Flashing . "- _ � - 76. Dry Standpipe, r- J _• Lilla
28. Lathing Siding„ " 77. FIXED SYSTEM FINAL -
_ C _
29. insulation F78. FIRE PREY. FINAL ; _ -
30. Drywall,Nailing - , . •, , r r � -IiEALTH--DEPT. REQUIREMENT
31. Plaster Brown Coat' - ` -_ - 79. FINAL-INSPECTION INSPECTION ' _ a'
32._Electrical Power,Neter-Final' s ' $b. FOOD CERTIFICATE ISSUED - .
33..-Final Electric Notes: . - _ _
34,..-Final Heating-& Ai�.Conditioning _ . - -.
35. Final Gas Pipe-Test. T. -• -•
36.-Hood or Canopy: 1 - - z -- - - -
37,-Final Factory Fireplace:: .r- --
3$. Final Plumbing I' i y t. r .. - • - -_
39. Water Service-Final -- - - - - _ _
40. Gas Service-Final - _ . _ - -` ,
41. Solar Domestic-Final- t,i . ,. .
42. Backflow Preventer' . . _
43. Backflow Irrigation, , - -
44. Landscape Irrigation System -. - -
.
•
45. Sound Attenuation - - -
'46. Handicap Regulations : • .
47. FINAL STRUCTURE & BUILDING
-
48. FINAL PLANNING -• _
49.-Electric Release to Edison , '
50. Gas Release to Southern California Gas Co -- - -
51. CERTIFICATE OF OCCUPANCY -
No Date
VITINER
RMES
JOB ADDRESS :i$D A P rt,-rlc j8i7Qf .r.q e . BUILDING PERMIT NO. 30097
GENERAL CONTRACTOR Owner-Builder DESCRIPTION of WORK Residence wAtt. Garage
AP No. LOT 16 TRACT 6693 FIRE ZONE VALUE $29,803.00
INSPECTIONS Signa re Ogre GROUP I & J TYPE V ZONE R-1 _
SOIL C47(4 SUBCONTRACTOR PERMITS ISSILD _ _
GAS 7-24Date Number Signature
WATER u�_ci�f/6,f /1, - 4 - 'lambing '
ROUGH PLUMBING l` oi . . fes! /- Q-77^ 3-4/n„,---
PROP.
�� /
PROP. SWR. LINE [ 10USE CON. �� et— y -i r ..., /, T f �/.,�dj�//.t�t�G
SPRINKLING SYSTEM .Nf- - ants r• / �1S//J�/ G rte/
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING / i// `7
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER fl
ROUGH WIRING OHIO 7. $-by Heating and Ve t.
TRENCHES p FORMS g STEEL REINF. E 100 .3--3-6 ,' .�,�(y-{.�/`.-,,,r, //�nnn3- e_g _5v
FLOOR SYSTEM OW r./6 l tv%
OWNER HANSEN, Patricia DATE 5-15-73
JOB ADDRESS 1819 Alaska Avenue BUILDING PERMIT NO. 36644
GENERAL CONTRACTOR D. W. McFerran Co. DESCRIPTION of WORK Patio Cover
yAP No139-582-42 LOT TRACT FIRE ZONE VALUE S400.00
Ni;INSPECTIONS Signature Date GROUP) TYPE IV ZONE H-1
'SOIL PERMITS ISSUED
V SUBCONTRACTOR
GAS —
Date _ Number Signature
.WATER Plumbing _
ROUGH PLUMBING
V PROP. SwR. LINE Q HOUSE CON. S
=SPRINKLING SYSTEM
MISCELLANEOUS _
'ROUGH HEATING AND AIR CONDITIONING
,)TEMPORARY SERVICE OR POLE
NUNDERGROUND 5 POWER n
ROUGH WIRING Heating and Vent.
TRENCHES 5 FORMS 5 STEEL REINF. 5
FLOOR SYSTEM
BONO BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT n
PLASTER, BROWN COAT
STRUCTURAL, FINAL Electric _
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST n _
ELECTRIC, FINAL //AA S _
BUILDING, FINAL • AMS
- `i D-4R inesza 30C97 PAID
PR 24-69cr-001291* ***152.25
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Ap./,, .q�, . illjn Com.letely gECEIV oar. R c IV
BUILDING _ / i �` ;- or DATE ISSUED
ADDRESS - i { -'--. , /• -' �� ��//� S
Iq,1121�i - P9(N\Iny(1,�
OWNER Hermes D9V. Ci O. A.P. NO. UJ /
BUILDING • / ae . �ai
ADDRESS 1104 E. 17th Street ADDRESS .• saw-,----
Z 77� /
W W TEL. TRA 6 TRACT d' LOT/✓ BLOCK
0-U CITY Santa Ana NO. 547-7044
Z
CONSTRUCTION NEW App ALTER REPAIR DEMOLISH
O N LENDER United States National Bank :>.<
•
J 7 BRANCH 190 Broadway Avenue
JU OWNER y (,!]f
00 JQ W ADDRESS San Diego, California �y�y24 y� ati /y� q •
W CD IDRCHHlITECTysss K. Dorius TEL. 675-1164 USE W1 ' //fes/ di
ALU /T. OD'-�}{Q'/
O.
w C ADDRESS 2712 E. Coast Hwy. Corona DM ZONFIREE TYPE S GROUP-r C1' �
2 W
APPROVED
J Z CONTRACTOR Owner BY DATE
03 Z 14
_Ti ADDRESS cA
W W TEL. Z E NO.OF USE OF NEWTr
0 = CITY NO. � IPLANS/� BUILDING C
Z F
0 STATE CITY YARDS APPROVED YARDS APPROVE
N CC LIC. NO. 252560 LIC. NO. MAIN BUILDING ACCESSORY BUILDING
7 0 (FROM C/L STREET)
SIZE �rt NO.OF BLDGS. /
OF LOT 100 x 50 I NOW ON LOT D FRONT 3 FT. FT.FFF��� ,7
USE OF /n / 1/' y,Cyy
EXISTING BLDG. R SIDE I FT. / w "" -
I- SIZE OF NO.OF �FT. FT.
2 NEW BLDG. 2100 sq• ROOMS 9 STORIES 2 L.SIDE
VEXTERIOR WALL ROOF Compo or I )
COVERING StUid COVERING wood REAR J FT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE ET. BET.MAIN&
d
a BLDGS.
BLDGS. ACCESS. BLD .
DATE
a0 Residence w/attached garage VAR.*
u v# V-��'ln� APPROVED s-�1-(9I'
APPROVED
co _$Y .ATE
2 -II-6 9
0
UI hereby acknowledge that I have read this application and state MOLD FOR SPECIA REQUIREMENTc
D that the above information is correct and agree to comply with MEMT�
CC all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of
V) the State of California. r vb.r B
zI hereby certify that I am properly licensed as a contractor under �/� SO. FT. N.6-01/ o
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: a
am exempt from the provisions of the State of California Business C
and Professions Co Divisio apter 9. VALUATION N
T PERMIT FEE $ /0/. 60
Signature of t���.� /t///111 �('q m
Permittee v '✓N't I'"� $ 2y 003PLAN CHECK $ `J0. 75 o
Authorized Agent C/` /J o TOTAL FEE $/5a. as u.
> .. 36644
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
Am_
f REC V BV DATE RECEIVED (3: ..t.ISSUED
BU LDI NG /0 A� , // _ o57iy�J.
ADDRESS // //,7 H' �)f`/f/ / //�Q Cp d/moi/
RT,e,el," /V.S�N �JOo7/ t/y I PERU TLN`C.Gt
OWNER A.P.NO. %
ADDRESS ,'S�fl� BUILDING /OJ/���
MAIL ADDRESS /O
Z
W W TEL.
a U CITY NO. TRACT g�j I LOT BLOCK
Z
CONSTRUCTION NEW AD fJ ALTS REPAIR MOVING nmol ISH
O I- LENDER
a co
J D BRANCH
e---"P/1-7-5e/C.---/,4 J to OWNER
4N SEA)
Q W ADDRESS / ,.fit
m•m
OR ENGINEER ITECT') �r��L,A NO/J TELL. 74758 SE Tjo LU$ DO 0 O
a W S—/7/ a, p Taff Oo ,,, (Iva ZONE TYPE P GROUP
IRE
W < ADDRES //`'tr"-`per `^'yid ���jjj {ter
JO CONTRACTORX C-44,4-.g APPROVED //�_ DATE✓ 29
03 z
W CC ADDRESS !��"� ZONE NO.OF USE OF NEW
/47702
/ �j / D
Z H CITY -l.t2,a /�(p 1 NOL 'f2Q /� PLANS / BUILDING tidy`
W-O STATE !/ CITY YARDS APPROVED YARDS APPROVED
to O LIC. NO. �7V"19(� LIC.NO. MAIN BUILDING ACCESSORY BUILDING
SIZE / NO.OF BLDGS. (FROM C/L S T EET)
OF LOT I NOW ON LOT FRONT✓/ FTge— FT.
USE OF �' o
EXISTING BLOC. �// / . 4), _R.511W /0 FT - FT.
H' SIZE OF l5/ zi NO.OF /VI NEW BLDG./ /fes( ROOMS STORIES L.SIDE/V/� FT. FT.
✓ EXTERIOR WALL I ROOF //
COVERING COVERING REAR ,/.6- FT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
d //-� ////' '�_ MAIN BLDGS. ACCESS.BLDGS.
C /I— G7/a.
X72/ / 6.. / liaa- /1i C.U.P.# APPROVED
0
p\ �/ / APPROVE /� /e✓ �7"j _
N V , _BY �� 1 DATE✓/ ✓ /J
z v
0
~.1 I hereby acknowledge that I'have read this application and state STA
C
D that the above information is correct and agree to comply with f.. /'
cc all laws regulating building construction, and I shall not employ r Lr
F any person in violation of the workman's compensation laws of
C/) the State of California. co
Z I herebycertifythat I am SO. FT. TAXo
properly licensed as a contractor under
the State of California Business and Professions,Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
CC
am exempt from the provisions of the State of'California Business
and Professions Cod Division 3,Chapter 9. VALUATION p� ry
PERMIT FEE $ oJ f G�"'CP
Signature of / G �pmPermittee (N $ ,[/�75.�� PLAN CHECK $ E
r / I/ ` oAuthorized Agent / &Lice...Ha
/tel (p.tf LL
TOTAL FEE $ O�