Loading...
HomeMy WebLinkAbout103 ASPEN LN - Building PermitsL Q rn rA E E COSTA MESA BUILDING -SAFETY DEPARTMENT P.O.BOX1200 COSTA MESA, CALIFORNIA 92626 7927 X0/30178 320,40 T4 7927 '10/30/78 326B00CM 7927 00004469 60 ' I A APPLICATION FOR STRUCTURAL PERMIT For Applicant,krGT# in Completely — Use Ink 0 RECEIVED BY DATE RECEIVED DATE ISSUED (- giro]/ BUILDING �� /�&PEW ADDRESS 1 �_ e -T PERMIT NO. ��(( OWNER (� 17q.2 Tj A.P. NO. MAIL BUILDING/ ♦/O5 r ADDRE 7 ADDRESS TEL. CITY NO. TRACT LOT BLOCK CONSTRUCTION NEW ADD ALT PM�KA�I IQ LENDER BRANCH OWNE ADDRESS V LUE �J ��.y �a ARCHITECT TEL. SE $ `I OR ENGINEER N FIRE ADDRESS ZONE TYPE GROUP APPROVED CONTRACTOR BY DATE ADDRESS TEL. ZONE NO. OF USE OF NEW CITY NO. PLANS BUILDING STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING SIZE NO. OF BLDGS. (FROM C/L STREET) OF LOT NOW ON LOT FRONT FT. FT. USE OF EXISTING BLDG. R. SIDE FT, FT Separate permits are required for L- SIDE FT. FT. electric, plumbing and heating work. REAR FT. FT, USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN& MAIN SLOGS. ACCESS. BLOCS. VAR.* DATE C.U.P.# APPROVED /G O� APPROVED OATP I hereby acknowledge that I have read this application and state 'n n that the above Information is correct and agree to comply with y� all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of a the State of California. I hereby certify that I am properly licensed as a contractor under SO, FT. w �v AMOUNT SHOWN UNDER VALUATION IS FOR the State of California Business and Professions Code, Division 3,THE al Chapter 9, and that such licenses are in full force and effect, or 1 THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the provisions of the State of California Business n VALUATION PERMIT FEE $ and Professions Code, Division 3, Chapter 9. PLAN CHECK $ m Signature of 0 TAX $ Permittee$ LL 2 Authorized Agent TOTAL PAID $ 121-1 PROJECT ADDRESS: 103 ASPEN LN tld� / UNIT: OWNER'S NAME: SCAGLIA,ROBERT F ADDRESS: SCAGLIA, JANICE J 103 ASPEN LN COSTA MESA,CA 92626 631-3102 ARCH/ENGINEER: REG.NO.: ADDRESS: UNIT: PERMITTEE: TOTAL COMFORT SPECIALISTS (714)974-3004 ADDRESS: 15304 N. BAT'AVIA ORANGE CA 92665 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cope, and my license is in full force and effect. CITYLIC-:-f 0449926 [,STATE LIC.: 518358 CLASS: C-20 ERP: 00/00 IC Date: / (/ / Signature:�� 1� IP fl WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure or a certificate of Workers' Compensation o a Insurance. certified copy thereof (Section 3800. Lab. HCl. POLICY NO.: vl j v v z u o Ell DATE: `� 3/ 1 3/ 95 '� COMPANY: CA COMPENSATION 3 Certified copy is hereby furnisher. © Certified copy is tiled with }the ecity Building Division. Date: ? 7 /7 / Applicant: EXEMPTNIN FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred ($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. Date: Signature: NOTICE: It. after making this declaration. you should become subject to the Workers' Compensation provisions of the Labor 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 far which this permit is issued (Section 3097, Civ, C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the fallowing reason (Section 7031.5 Business and Professional Code: Any city of 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/she is licensed 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 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 emyloy@¢s with wages as their sale compensation, will do the work, and the ❑ structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State 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 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 will have the burden of proving he/she did not build or improve for the purpose of sale). 1. as owner of the property, am exclusively contracting with licensed contractors to construct the project(Section 7044, Business ❑ 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). I am aware that proof of their Worker's Compensation insurance should be provided to me. E] I am exempt under Section: B. & P. C. for this reason: Date: Owner: I do hereby certify that I am aware of and understand the requirements at Calitompt Health and Safety Code Sections 25505, 25533, and 25534 and that I or any future building occupant will/will not (circle one) need to comply with said state codes and the requirements for a permit for construction or modification from the Au Quality Management District. Residential construction applications are exempt from these provisions. Date: Applicant: 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 ordinances and state laws relating to building Construction and hereby authorize representatives of this city to enter upon the above-mentioned property far in p/ectipon purposes. Date: [ C Signature: r—A Driver's License or Social Security a: 1641-46 White—Building: Green—Code Enforcement; Canary—Applicant: Pink—Revenue; Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: H 0651x6 PERMIT NO: M 068146 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V -N PERMIT TYPE: MEC PURPOSE: OTH JOB DESCRIPTION CHANGE OUT OF FURNANCE SQ FT: CLAIM VALUE: 2,000.00 CALC-VALUE: GROUP OCC: R-3 / COMMENTS: # Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 43917216 ZNE: REF NO: PLANNING NOTES> 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 T S ZONING APPROVED BY DATE: BUILDING APPROVED BY DATE: APPLICATION ISSUED BY: DATE: #####################ii3F�ST #'�iF 3F�T##a.�P#aR# # _## # ####-r.####�##### # ;iliF;:�3F�'�.1::• ar####### LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 18,00 253 SKIP/NON—RES PLAN ISSUE FEE 15,00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 18,00 15,00 0,00 33,00 33,00 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 33,00 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 33.00 ###########################################eE#################'K%a:#######i`ji,r X. I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST MEC 1 INST FORC—AIR/GRAY FURN <= 100 K BTU 9,00 9,00 MEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H 9,00 9,00 END OF FEES 01 00164356-00164356 Till 33.00 DATE: 07/19/94 TIRE: 13:19 CONSTRUCTION AND PLANNING APPROVALS Permit# Date Inspector POO, SPA APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 51 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 UFER Grnd. 57. APPROVAL TO COVER-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 -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 APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas 00il 23, Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas 000 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 PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION I 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33, Final Electric Notes: <;-_ r _ 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Testi 36. Hood or Canopy 37, Final Factory Fireplace 38. Final Plumbing ISI 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 o 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co N 51. CERTIFICATE OF OCCUPANCY No. Date PROSQCT ADDRESS: 103 ASPEN LN b %� UNIT: OWNER'S NAME: SCAGLIA, ROBERT F 7 ADDRESS: SCAGLIA, JANICE J 103 ASPEN LN COSTA MESA,CA 92626 631-3102 ARCH/ENGINEER: REG.NO.: ADDRESS: UNIT: PERMITTEE: TOTAL COMFORT SPECIALISTS (714) 974-3004 ADDRESS: 15804 N. BATAVIA ORANGE CA 92665 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Dwsion 3 of the Business and Professions Code. and my license is in full force and effect. CITY LIC.: 044492(6�� STATE LIC.: 518358 c C-20 EXP; 00/00 Date: y[/ i 7 if I Signature: �t - P l r WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure or a certificate of Workers' CompensationIJ!surance or a certified copy thereof (Section 38DO. Lab. C). POLICYNO.: rA 94300920f5 EXP. DATE: 03/13/95 COMPANY: CA COMPENSATION I Certified copy is hereby furnished. Q Certified copy is filed with the city Building Division.. Date: � / � C/ I � N Applicant ` ) � t'h.e � EXEMPTION PROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred ($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 WorkersCompensation Laws of California. Date: Signature: NOTICE: If. after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Cotle, 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 which this permit is issued (Section 3097. Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city at 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/she is licensed 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 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500). 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 (Section 7044, Business and Professional Code: The Contractors' State 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 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 will have the burden of proving he/she did not build or improve for the purpose of sale). I. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business E-1and Professions Code, The Contractors' State License Law does not apply to an owner of prop¢rry who builds or improves thereon and who contracts for such projects with a contractor(s) license pursuant to the Contractors' State, License Law),I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. 8 P. C. for this reason: Date: Owner: I do hereby certify that I am aware of and understand the requirements of California Health and 25534 and that I or any future building occupant will/will not (circle one) need to comply with s permit for construction or modification from the Air Quality Management District. Residential these provisions. Safety Code Sections 25505, 25533, and aid state codes and the requirements for a construction applications are exempt from Oates Applicant: 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 ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspeccliioon urposes. /, - Date: / L' CC Signature: — e t Driver's License or Social Security #: 1641-46 White—Building: Green—Code Enforcement; Canary—Applicant Pink—Revenue; Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: E 068145 PLAN CHECK NO: N CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE JOB DESCRIPTION : CHANGE OUT OF FURNANCE CLAIM VALUE: 2,000,00 CALC—VALUE: PERM NO: E 06814' GOVT: N SUPP: N PURPOSE: OTH SQ FT: GROUP OCC: R-3 / COMMENTS: # Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT; FT IN REAR: FT YN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN PARKING REQ; PROV: PARCEL: 43917216 ZN£: REF NO: PLANNING NOTES> 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 T S ZONING APPROVED BY DATE; BUILDING APPROVED BY ; DATE: p APPLICATION ISSUED BY; � � DATE: ######################�#fit#iti.it#fit �t#;E3i#ie.. ie it fE it����Eft �t��#;E�t��r iZ.########## ii-ir# i• . i'r 1i# LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 7.50 50& SMIP/NON—RES PLAN ISSUE FEE 15,00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 7.50 15.00 0.00 22.50 22.50 .00 REVENUE DIVISION TOTALS--> COLLECTED; 22.50 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 22,50 I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 1 MOTOR/POWR APPARATUS 1,1 — 10.0 HP 7.50 7.50 END OF FEES 5 01 00164355-00164355 TOT 22.50 DATE: 07/19/94 TIME: 13:18 CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POOL _SPA 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 S. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVALTO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59, Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, Cl 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 APPROVALS Permit # 20. Rough Factory Fireplace 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 73. Undergrnd. Storage Tank OGas OOii 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe - 2& Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY, FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 0. FOOD CERTIFICATE ISSUED 33, Final Electric 9 otes: 34. Final Heating & Air Conditioning l 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. FINAL PLANNING 49. Electrics Release to Edison 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY No. Date