HomeMy WebLinkAbout2523 ANDOVER PL - Building Permits/
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PflOJEL�F�DNES$: Z S Z 3 ANDOVER PL
c•Nxea•s r+ame: SANDSTROM KENNETH G TR
,,.'� nooness: 2523 ANDOf7EA PL
COSTA MESA,CA 92626
FflCH/ENGINEEH:
ROOflESS:
PENMITfEE: ACADEMY ROOFING
aoosess: 1833 E 17TH ST
SANTA ANA
UCENSEO CONTRRCTOP OEClAPA710N: I hereby attirm tha .
70W) of Div,sion 3 ollhe Business and Pmiessions Cotle, a tl n
ciTr uc.: 4 S 51 s,nre uc.: 5 3 3 7 6
Da�e: SignaNre:
WOHNEBS' C MPENSRTION OEClAB/1TI0N: I here�y af
Compensa�ion Q� c li e con t ereo� (Seciion 381
POLICYNO.: ���"����—P"� P.I
comrnNr: GOLD EN ,�(
� Cem�ietl �oPy is�hereby �umishetl. L'7 Certified c DY i fi
UNIT:
flEG.NO.:
UNIT:
(714)973-1261
308
CA 92701
ae0 untler pmvisions ot Chap�er 9(commencing wi�� Sec�ion
se is in full torce anU etfect.
cuss: C-39
a certificate of consen� m self-insure or a certificaie ai Workers'
�'8/01/94
with the ciry Building �ivision.
Date: G � Applican :
E%EMPTION F OM WO IKEfl$' COMPENSATION OECUMT .� This section neetl not be campleted il fhe permtt is for one hundred (5100) or less�.
I certify tha� in �he petlormance o� �he work tor whic is permil is issuetl, I shall not employ any Derson in any manner so as to become
subleci to t�e Workers' Compensation Laws of California.
Oate'. Signalure:
NOTICE: If, aiter making this tleclaration, you should become su�lect to the WOBers' Compensation O�ovisions af ihe La�or
Cotle, you musl foMwith compry wilh such pmvisions or this Dermi� s�all be tleemed revoked.
CONSTflUCTION LENUING FGENCY: I here6y affirm t�at ihere is a constmction lentling agency for t�e peAormance ot the work far
which this permiiis issuetl (Section 3097, Civ_ C).
lENOEN:
aooness:
OWNEP BUILDEH oECLAHAT10N: I hereby affirm that I am exempt imm ihe Coniractor5' State License Law (or the (ollowing reason
(Seclion 7031.5 Business and Pmfessional Cotle; Any ciry of counry which requires a permil to consimct, alter, impmve, demolish, or
repair any stmclure, prior to ils issuance. also requires ihe applicant tor such permit to file a signed statement ihat he/she is licensetl
pursuam m �he provisions o� Ihe Comraclors' Sla�e License Law �Chapter 9(cammencing wiih Sec�ion 7000) o� Division 3 0� ��e Business
antl Pmfessions Code) or (hat he/she is exempt therefmm and the basis for lhe allegetl exemptian. Any violation of Section 7031.5 6y
any applicant lor a permit suble<�s Ihe ap0lican� �o a civil penalty of no� more Nan five buntlretl dollars ($500�.
I. as owner of the pmpeny or my employees with wages as their sole compensation, will Oo the work, anA the
❑ stmcture is not intentletl or offere0 fnr sale �Section 7044, Business and Pmfessianal CoAe: The Coniractors' State License Law
tloes no� appry ro an owner of a pmperty who builds ar impmves [�ereon, and who does such work himselt/hersel� or through
his or her own employees. pmvided �hai such impmvemen�s are no� imentletl or oflered �or sale. I[ howevet the builtling or
, impmvemen� is sold within one year ot completion, the owner will have Ihe burtlen o� proving he/she Oid no� bui10 or impmve
�or t�e purpose of sale�.
I, as owner of �he pmperty, am exclusively contracting with licensed contrac�ors �o cons�mc� the projec� (Section 7�44, Business
❑ and Pmfessions CoOe: 7he Contractors' State License Law tloes not apply to an owner o/ Droperry who �wltls or impmves ihereon
and who contrac�s �or such pmlects with a conVactor(s) license pursuant to Ihe Contractors' Sta�e License Law). I am aware
�hat pmo� o� their Warker's Compensa�ion insumnce shoultl be pmvitletl �a me.
� I am exemD� untler Section: B. 8 P. C.
�or �his rea5on:
Date: Ownec
I tlo hereby certiry tnat I am aware of an0 unUerstantl ihe requirements oi California Health and Safery Code Sections 25505. 25533, antl
25534 and Ihat I or any �Nure huilaing occupant will/will nol (circle one� nee0 to tomply wi�h Saitl 5tate tOtles and the requirements �of a
permit for constmciion or motli�ica�ion �mm �he NIr �uaiily Management Ois�nc�. Fesi�ential canslmclbn appNcalions are z�empt imm
these provi5lan5.
�a�e' Npplicanl:
I here6y certity �hat I have read �his applicaiion antl s�at
ortlinances an Slaiel srelatingto building consimctian
pmperry for nspecti n pur0oses.
Da�e: Signa�ur
�river's License or Social Securiry q:
above informa�ion is correcL I agree m compty wi�h all ciry and county
ry authorize representatives of this ciry ro emer uDon Ihe a6ove-mentionetl
tfi41-46 Whi1e—Bu�lding; Green—Cotle Enlorcem , Canary—Applicant: Pink—Revenue; Goldenroe—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 06415
PERMIT NO: H 064152 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: STR � PURPOSE: ALT
JOB DESCRIPTION ; T/OF£ REROOF W/COMP SFIINGLES SQ FT: 4,400
CLAIM VALUE: 4,400.00 CALC—VALUE: 4,400.00 GROUP OCC: R-3 /M-1:. .
COMMEN'fS: REROOF 4100SF RESIDENCE 6 GARAGE WICOMP SHINGLES'�
itittt�t�t��tit�t�***�f��*�r*�r�i�*iric��r�r*�r�t**+t*i�it+��t*+r�tit�t�t*�r**�t***�t**�t*�tit+t+t�ly�� ****x��rr**
Z O N I N GS—ERTEBQAUCIKRSE M E N T S'. ��aT�f, �.;��7-ECTOR
. �.. �.�
------------ MAIN BUILDING ------ --- --------- ACCESSORY�'`"St-YZLB;P���f—� �
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; . ` FT� �„��'17
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PARKING AEQ: PROV: PARCEL: 14141226 2NE: REF NO: �'.,;,,r,;,
PLANNING NOTES>
.�
iE iE it iE iF iF 1E iE iElF iF iF if 1E iE iE 1F iF M if if ik if ih k if 1f ik iE iE iE fE if IE iE iE it it 1E iE it iE IE iE if iE iF M 1E iF i! if if ik if it 1E iF iE if iE fE iE iE if 1F 3f if 1E if if if iE if if 9E iflk iE
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 1' S
ZONING APPROVED BY DATE;
BUILDING APPROVED BY : DATE:
APPLICATION ISSUED BY: DATE: 2— j
�+r��rx�**�r�r*�r�r*�**�r***�r* +�x�***�*x�*����+F�
iElk iE �t iE i! iF iE iF if if iE 4 iE iE if 1F �! if �k iE iE if 1E iFlF iE iF Iflf %1f if if iF iE fE if iF iF if 1E �t iF it iF 1F 1E it ik 1f iF iF iF jF 1F fE 1k 1E iE iE iE iF iF iF iE iE iF �1F iF if iE aE �f 1! %if iF ik
LEGALIZATION:N F E E S U M M A R Y STRUCTORAL SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES � GRADING
PERMIT 72.00 50
SMIP/NON-RES
PLAN .
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID J.'� DUE
TOTALS----> 72.50 0,00 0.00 72.50 72.50 .00
AEVENUE DIVISION TOTALS--> COLLECTED: 72.50 OVER/SHOAT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GAADING PLAN—CHECK
% 2. Q � . 5 � . ,
jf 1E iE iE i! 1F i! iE iE i! iE if !f iE if iF iE if iF aE it iF if if 1E jf 1f iE iF if if 3f iF iE i! iE iE if iF �f if iE iE i! iE iE ff 1f if iF �E if 3E iF if fE iF if if iF 1f 1E 9F iF jF it iF iF iF iF M if M iF if iF iF iF iF
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 COST
SFR 4400 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 4,400,00
END OF FEES
/:
�
\
�? QQ147599—OQ147?OQ Tf_►T i2.5Q
DATE� 04/27/93 TII"E: 10:1D
. ; . '
f�ONSTRUC710N AND PLANN4NG POOc:Si SPA
�.t APPROVALS Permit #- � �Date Inspector APPROVALS Permit # Date inspector
1. Temporary Electrical Servsce or Po�e�� ,' 52. Pool & Equipment Location '
2. So7! P'�pe-Undrgmd. - .r "' 53. Stezl ReinfqrCement .
-�i_„ �, r. .
;�:- �
��jec2rlea� Con'L4u'�t Utility�Undrgrnd.�y 54. Forms -
��
•�:'K. Eiectncal Conttuit�Undrgmd. - 55. EIecU'ical Bnnd�n�
'- S
�, ,`'�.rl`.,�eel Reinto�cem''eq7 - 56, Rouyh Plumbing & Pressure Test _
4>�xcr. i:al UPER Grnd. �- 57. APPROVAL 70 COVER GUNITE =,1
";�n�F�ooUnys � �' ;� - 58. Electrical Conduit�Un�rgrntl. y
�:•�oundaUon ;, J .- 59. Gas Ripe,� U�drgrnd., 7est �
��9. Water Pipe�Untlrgrnd. 60. Backwash Linos, P•Trap, O Undrgrnd.
J0. Structure� Faor System �� 61. APPROVAL TU DECK
N. l'�noperty Sewer Lime & HouseCcinrsEction
, ,� � 62. Backwash � ReceWtorFinal
12. �wer Cap � - 63. Heater & VenhFinal
13. Roaf Dra�ns � � ' 64. Piumbing System - final
14. Rough Plumbii,9 '� 65. Electrical-Final
` 75. Ro�gh Electrical•Conduit 66. Solar System Pinal
r16. Rough Electric�Wiring 67. Fencing & Aceess ApProval
77. Rough WiringSign 68. APPROVEO FOR PLASTERING
18. Rough Electric�6T Bar Cei6n9 69. POOLISPA SYSTEMS FINAL
19. Rouyh Heating & Air Conditioning FIRE DEPT. REQUIREMENT
- _ �;7 _ �,
20,.'. Ra?gh�,FactaYy Fkr�piace � ^'vi •Z � : � � APPRqVM"� aGPe�mit # : T_
> -f 7 a�,,l H"-.
21�.Ducts,�Stgucttiie , ; :. ,�? � � ••� '70. �ndergr611r,� Fl�tlro
F9 - -
22. Ousts,'VenCiating'r ,�:' _ '.^�` � "71. Produc���Ipjn�L']�as C70i1
�
2�;:Gas PiqG-Raugh& �fest � �� . ,- - . ? .,72, Undergraprtd Flu��i�._
24. Rcof Framing _�:% . . ••i� . ^ z' _.� "7 ='Undergrrid.StoIT�T�nk,"OGas ❑�31
25. �Ocjf Stiaathing �, . ;� ''� �� qj G t�{� 7q; 9verhead Hydro
2B:�T-6ar Ceiling (Structuraq &'Sv}o�ocoat �� ,� ,� l� ' � )� �ry Chemjcal ' - -
�•
27.' Frame apd Flashing . .. ; �„_ � i ' �n� . � ._ �
,;, r, r�> 76. ISry StandRipe ;
-.28.'t,aihin6�&Siding��_ . _;�y'�: x ��`. �� x* 77?'FIXED�TE�v7FINA�
" 29. Insulati0n ' ' {' '
x .. . � , b $ 78,� FIRE PREV. FI�iMAL , : , �
_ -i-�'-----
� 30. Drywad"NatGng^"- � �. w •� NIEALTM:DEPF. REQUIR MENT
_�_
-; 31. Pl3ster`�ro1vn Coat .- I L, .{. ,.79�- FINAL I,N"�ECT�N r'� '' �
� 32. Electrical Power M9ted-Finat 1 i �, � Fr �,. g0,� FOOD CERTIFIGA E ISS D-��
, ..
* .. a>
_33��Fin�l Electrig . .;� . y ' � ir + Nt�es: .-. �:� _ `
� ' . •y �' , - , 7-'r "r---C--Dj�""�! . -
:34.,Fi�l t+�,at�w9&�9ir �ondition,n9' ' � �+ s .. = n:� _ '��
-, � . �_�, `i t.. .. '
35' Fi�s�l G�s P(de�'f�S� -� � I �� : � -r ;4:^
� i� �." . � ± -Cc C•-
,3�.�HqedouCanopy�7*:.tt �. ; - ,. i � :. " � �- .--- _�
.._ . _ .�., . ; '- �.i ���n
�3i:?F�f�dl F,actory F'rre`pl�ce,., . - .� ;; �r I "' " �'. ' "
. �+ . ., ,. a,_,•r-. �• - . ----1
-�38. Firrel Plambing � x .�; �., �Y .• - .. • i
'� 39. W�f�r Service•FiNaE� i rc. t I -. ' ��. t' +
• �; � ,r, � t �
.40. Gas Servwe;Kinalr y _ � -' .� , � i i, , . -'.-�
,41. Solar ComeStio-�irtffiI�- '�� ' n U b � •
- .� .n r. � � l3 e .t- . p �
�47�Backtlow Preven�er ;; ; " � ; - �'`, , .. � �
i 61
43. Backflow IrtTgatiort '-• � *" -�� F ��
� -.. �' x . .; -
-r44, Landsc�pe �rigatiuySystenl.,��i;, �, , r, n r�y „ n• '- -
_ �
� 45'Sound Atteauatiort' � - '• ' ` r' `••* x =`' '
- .n•: , _ . � , ,
4�,.Hendic$P Re9uldtiarts �� . `j �� "a ' :i� :.
�J47. FIf9c4l STRi7CTURE & EUbLDING '2��7-q3 6r„�GL � L �I
,� � �G•--o-6� a�e�'"• o�- l'��
48'_FI�1,qLPLANNIN6 . ^� ` .��. ' .- ,
' '* - -�
_.48^ Electric Release toEdison`�- t ; � � : T + -• -
"_ 50�Ga5�Release.3D Southem Celifprr�ia Gas Co �< "" .
., -. �.
51. CEF.i71FICATEOFOCCUP,pN'CY - � ; ,
No. pate
, � "*� .
> 2?836
COSTA MESA BUILDINCrSAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA� CALIFORNIA 9262E
For Appllmnt ro FIII In Completoly
TYPE OR PRINT i
ME6A,
TeL
NO.
�� / ('d � ho,
NO�
a�oo.
VR FROY O � I� ��R
Rnsar
_— �
1 L6FT � RIOlfT
DESCRIPTION OF WORK
ALT8pAT10N ADD
MOVINO � DQM
��Z. �` �� � ROOMB .b 1
WALL �.. _ I ROOF e
PLY WITN ALL'C�TY OR
em�mHo conmau
P8IU�17T6 e Or /
AUTHORIZ[D AG�tfT
NOV 17-6Z�Asp00 859# ****31.50
11rPlICATION FOR PERMR
BUILDINfE
ior Offln UH Only
zoNiNc �
xo. o� usa or Niw
►uru �. eVuo
�
�non �'� T J� �I � � U �--
�. !�l - �-F/ L -L�
NO EAVE OVERNAN6 SXALL !H Ll88 TNAN
/ ALLOWED
YARDD MPROVlD
MAIN BUILUIN6
(FROM C/L iT [ )
y FR NT �
� L/
R. ID �
�
. BID
/ � / °'�
VAR. #
YARD9 APPROV6D
:Cfi890RY BUILDINO
�G6 DAT6 /�-2/-L
APPHOVHD
� (nJ1nn.. nrre l�'/7- �a .
70 � P[RRORM�D p,
07
�
/ 8Q. PT. �
AV{ p'M�� A! TIO TXi AMOYNi �XOWt� YNO6p VALUATION IB POR THe �
CORH A A0116[ CO MUpPOBi OM fi�AlL19MIN0 A P6PMIT P6C ONLT. �
AN N LATI VALWTION QQ Fip �
PERMITF66 S �1
E
s�Jzz� 10 o w
TOTAi.PH6
�1UWNtR SANDSTROM. 3�TINETH G. DATE 11-17-67
JOB ADDRESS pS24 pndover Place BUILDING PERMIT N0. 27$q( _
GAS
PROP. SWR. LINE U HOUSE CON. LJ
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGH HEAT{NG AN� AIR CON01T10NING
TEMPOftARV SEFVICE OR POLE
UN�EFGROUN� � POWER �
ROUGN WIRING ..� .C/O.G7J..�5�
BOND BEAh
SHEAYHING
FRAME ANO FLASHING �YI�A�� P4 �1F-
LATMING - IN n OU7 ❑
PL�'�ER, 9ROWN COAT
Sl 'URAL, FINAL
HEATING, VENT.. REFRIG. ANO A.C.,
PLUM6ING, FINAL AN� GAS TEST
ELEC7RIC, FINAL
SUBCONTRACTOR
-� ~ 385G5
COSTA MESA BUILDING-SAfETY DEPAR7MEMT
' P,O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BUILDING �^
ADDRESS �{,�V L+•
OWNER �J
MAR C). �
CITV
BRANCH
ADDRESS
CONTFACTOR (.f�
ADDRESS
CITV
STATE
�IC. NO.
SIZE
OF LOT
USE OF
EXISTING BLOG.
SI2E OF ��aa
NEW BLDG.
EXTERIOR WALL/� 1'
LDIN
TE
�— �'i({%'
TEL,
NO.
CITV
LIC. NO.
NO. OF BLpGS.
NOW ON LOT
NO. OF
ROOMS STORIE:
ROOF
COVERING �� j OC
RK TO BE PERFORME�
I heraby acknowleGge that I have reatl this application antl state
that the above intormation is correct and agree to comply with
ell laws �agulating building construction, antl I shall not employ
anY person in violation of the workman's compensation lews of
the Stere ot Calitomia. -
I hereby certify that I am properly licensetl as a contractot untle�
the State of California Business end Profassions C�de, Divisicn 3,
Chapter 9, and ther such licanses are In full forc end ettact, or I
am exempt trOm tn p vision5 O�he $tate of altforni u iness
antl Professlons C u ivision Ch r 9.
Si8^eture of �
Permittee l/
ra�� I
����:-s-����F,-��OD 3y6�� ::,����21.50
PPI IC TION FOR BUILDING PERMIT
REC I V D Y DATE RECEIVED D TE ISSy,
� i �T
v/
A.P.NO.I�� � �IZ�Z� P�[��
ADIDRIE S �S�✓ �(�yE,� /,(
TRACT�-C�V�^ LOT a I BLOC
OWNER
FIRE
20NE
APPROVE
N NO.OF USE OF N
PLANS Z BUILDING
VARDSAPPROVED VARD:
MAIN BUILDING ACCESS
�
s3.
DI5TANCE BET.
MAIN BLOGS.
VAR..iE
C.U.P. �I`-� �
APPROVED,,`L
RV W
HOLD FOR
�7
7%
,aTe (O'.�' tT
REQUIREMENTS
SHOWN UNDER V
iF ESTABLISHING A
VALVATIQN
$/���
m
e
0
I IS FOR j
= ONLV: m
� ¢
- N
7
�� m
� LL
a
OWNER S��'j'ROM� ICIIANE'1'H G.
JOBADDRE552523 Andover P1.
. kw;;
�) INs
C; soii
�' GAS
ROOGH PLUMBING
PROP. $Wft. LINE Q HOUSE CON. �
SPRINKLING SYSTEM
MISC@LLANEOUS
RO�GH HEpTING ANO AIR CONOITIONING
UNOEqGR0UN0 I I POWER
W
M
LPTMING — IN � � OUT� � /!'/T f,(-
Pi 'RER, OROWN COAT
:TURAL, FINAL
NEntING, VENT., REFRIG. ANU A.C., FINAL
ALUMBING, FINAL AN� GAS TEST ❑
ELEC7ftIC, FINAI
Riill qlNf. GINGL
�i
DATE 6-5-74
BUILDING PERMIT N0.
SUBCONTRACTOR
f �: ���-
� ��J`� t� l�� �LC�B 11 ��
COSTA MESA BUILDING DEPARTMENT �t,f� �PR � i 18�9
I ; P O. BOX 31] FINfiNCE DEPT.
• . COSTA MESA, CALIFORNIA
I FOR APPLICANT TO FILL IN APPLCCATIONS�FORCPPERMIT
Aooa°E'S5 2 2 Andover Place BUILDING
ICOSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
� RECEIPT NO. PERMIT NC
OWNER OIII 1SC•
MA1L L555 Placentia 'AEC�EW..E�O, �BV/ / (O�BTE /PECEIVEO DATE ISSUI
ADDRE55 ` v- /" / "/ � � -
TEL. r� BUILDING
CI V 8 C C� NO. j![I �} 22` AODRESS
nricHiTecT ggp�g ��c. COSTA MESA, CALIFORNIA
OR ENGINEER NO. '
� FIRE
ADDRE55 8 ZONE
�CUIVIfiPCTVM1o�� U�i7g1�• V�• CITV NIO, lu7 ZONE � PL�RN$ �n / TVPE � GFOUP�➢'
�� v v
I TEL. APPROVED � G
ADDRE55 NO, 8SII18 8� DATE
'�E��� �or r�� CORRECTIONS
oesGaivnor+ NO. BLOCK TRACT /,pg2
�
A.P. NO.
5¢E' �+a. oF e�ocs.
OF LOT Q now Orv toi O
i
USE OF
EXIST,ING BLDG.
'� SETB�CR LINE FFOM ^e�
� CENTEP OP STREET O REAR YARD G/
I `
SIDE YARD RIGHT LEFT
� I DESCRIPTION OF WORK
NEW I ALTERATION ADOITION
REPIAIRI MOVING DEMOLISH
SIZEDING 1SM�/']O ROOMS O STORIE51
1 !i 4l
1
E%TERIOR WALL a ROOF
COVERING SbUCCO COVERING hot-mopped
osEOF^NEW residence and att. garage
I � The Artrount'shown under valuation is for the
I HEftEBY'ACNNOWLEDGE THAT 1 H.�VE FEAD THIS APPUCITION ANO purpose o esta is ing a perm�t ee ony.
STRTE TNRT TNE ABOVE IS CORfiECT AND AGflEE TO COMPLY WITN ALL
C�TT OflDINRNCES D ST/TE l/.WS RFGUI/TING BUIL�ING CONSTROP
TION, I � yALUATION 39 00
SIGNATURE OF PERMIT FEE $ �
�. PERMITTEE �� nn O
� I 15,622�Vv P�AN CMECK $ 1l.50
i $
AUTHORIZED GENT TOTAL FEE $ 52� SO SM�
i I