HomeMy WebLinkAbout953 BEGONIA AVE - Building PermitsPR0.IECT RODflESS: 9 S 3 B EGON IA AV
-�fiNNEP'SW1ME: HARLE PETER
-� p�ONESS: P � Bb}{ 15092
SANTA ANA,CA
559-5391
ANCHIENGINEEN:
AOOXESS:
UNIT:
92705
HEG.NO.:
I1NIT:
PEflMITTEE: CAANK HROTHERS AOOFING ( 719 ) 548-5569
aooness: 126 COMMERCIAI, WAY
COSTA MESA CA 9262
LICENSEU CONTBACTON OECIAMT10N: I here�y aifirm t I am 6censetl untler provisions ter 9(commencing with Section
7000� o� Oiv,sion 3 0l ��e Business ana Pmfessians Cotle, n y license is in �ull �orce c�.
CITYLI�: 0 993 srnTe��c.:40867 cuss: �
\ —
Oale / � SignaWre:
WOflREPS' COMPENSRTION OECIABpT10N: I �ere�y ir at I have a cenificate af consent to sen�insure or a cenilicate of Workers'
ComOensalion Ins ranc Q,r a c$tlified coDY �hereol ecC 38W, La6. ).
POLICY NO.: 2� S� L 4 i Z E%P. OFTE: 1� O S I 9 3
cornrner: STATE FUND
❑ Certi( tl copy is hereby lurnishetl. � CertilieA copy i ith �he y��y�1�y Building Oivision. �
�tJale: � � APPlican��/ -� �
�
EXEMPTION iPaM WOHKENS' COMPENSIITION DECIABRTION: �Thi55ec�ion neee na� be complele0 ii the permi� i5 forone huMrLd ($100� or less�.
I cerlity Iha� m �he pedormance o� I�e work lor whic� Ihis permil is issued, I s�all not employ any person in any manner so a5 io 6ecome
sub�ec� to I�e Workers' ComOensa�ion Laws ol Calilomia.
�ate: Signa�ure:
NOTICE: Ii. atter making this tleclaration, you should become subiect to ihe Workers' Compensation provisions ot ihe Labor
Cotle. you musl fotlhwiih comply wilh such provisions or t�is permii Shall 6e tleemeA revoke0.
CONSTBUCTION LENOING RGENCY: I �ereby a��irm ihat Ihere is a cons�mc�ion lentling agency for �he performance o� �he work for
which I�is permit is issuetl (Seciion 3W7. Civ. C�.
IENUEN:
noosess:
OWNEB BUILOEB �ECLABRTION: I hereby a��irm ��ai I am exempt imm I�e Contractors' State License Law tor �he followinA �eason
�Sec�ion 703L5 Business antl Pmfessional CoOe: Any cily of county which reQuires a permi� lo consVuct, alter, impmve, Oemalish, or
repair any s�mclure. D�ior �o ils issuance. aiso reQuires �he applicani �or such permil Io file a signetl statement t�at he/she is licensetl
pUrSuant �o Ihe pmvisions of ��e Comracmrs' Slale LicenSe Law (Chap�er 9(COmmenCing wi�h Sec�ion 7000) of Division 3 oi �he Busine55
ana Pmiessions CoOe) or I�a� hehhe is exemD� lhereimm antl ihe basis �or Ihe allegea exemption. Nny violation o� Section 7031.5 �y
any applicanifor a permil su�le��s �he aOPlicant�o a cinl penalty ol no[ more �han �ive hundreA dollars ($500�.
I. as owner oi Ihe pmpeny or my employees wi�� wages as their sole compensation, will do �he work, and �he
❑ slmcWre is nai in�en0e0 or oHered lor sale (Sec�ion 7044. Business antl Pw�essional Cotle: The Coniractors' S�ate Lic¢n5e Law
does no� apDN �o an owner o� a pmperty who �uilds or impmves Nereon, and who Ooes such work himself/hersell or �M1mugh
�is or her own employees. O�ovitletl that suc� improvements are noi in�en0e0 a� offeretl fo� sale. If, however ��e builtling or
impmvement is so10 within one year of comp�¢tion. t�e owner wi0 have �he burden oi pmving he/she did not build or impmve
lor ihe Durpose ol sale�.
I, as owner o� the pmpeny, am eKclusively contraciing wilh licensetl contraclors �o construd fhe prole�� (Sec�ion 7044, Business
❑ antl Pmlessians Coae: The Comracmrs' State License Law does not aDPy to an owner o1 property who builOs or improves thereon
antl wno comrams for such pmiects with a contractm�s) license pursuant m the Comracmrs' Staie License Law�. I am aware
thal D�ool of Iheir Worker'S Compensalion insurance shoultl be pmvitletl to me.
� I am exempi under Sec�iore 8. 8 P. C.
for this reason:
Date: Owner
I do �ereby certify Ihat I am aware o� antl untlerstantl Ihe requiremems oi Cali�omia Health antl Saiety Coae Semions 25505, 25533, and
2553d and Ihal I or any Wlure buil0ing occupan� will/will not (circle one) neee �o compty with saitl s�a�e cotles antl Ihe requirements br a
permi� �ar conslmclion or moddica�ion imm �he Air Oualily Management �i5Vic1, qesitlenlial cons�mction appl¢aiians are exempt fmm
ihese pmvisions.
Oale'. ADPlicanl'.
I heteby cerlilylhai I have reatl Ihis applica�ion antl Slaie 1 Ihe abOve in�ormaiion i5 CorretL I
ordinances antl statelawsrelalingto building cons�mclion hereby authorizerepresenia�ives o
properiy orin5peciion purposes �j
�ale: "� V � C_.��� Si
ori r's license or Social 5ecuri�y a: -
wi�� all ciry an0 counry
on Ihe above-mentionetl
164LG6 Wh��e-Bmldmg: Gieen-Epae tnbrcemenl: Canary-Applicanl; Pink-Revenue; GolOenmtl-Assessor
CITY OF COSTA MESA — BUZLDING PERMIT
PERMIT NO: B 060292 PLAN CHECK NO: N
CONSTRUCTION TYPE; V—N PEAMIT TYPE: STR
JOB DESCRIPTION : REROOF O/1 LAYER W/FIBERGLASS SHINGLES
PERM NO; B 06029
GOVT; N SUPP; N
PURPOSE: ALT
SQ FT; 3,000
CLAIM VALUE: 3,000.00 CALC—VALUE: 3,000.00 GROUP OCC; R-3 /
COMMENTS; SMOKE DETECTOR AE�UIRED PRIOR TO FINAL
�+t�t�**�t*��r�r�r�t�r�t*�t�t**�t�r�tx�r*� �r�t�t*�t�t*�t*�t�r�t�r�t*�t�t�t�r�r�t�t�r**x��t*�t�t�r+t*�r�t*�t+t�t�t*�r*�r�r�r****�r
Z O N I N G R E Q U I R E M E N T S
ssTBAcxs
------------ 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
PARRING RE • PROV; PARCEL; 91217402 2NE: REF NO;
PLANNING N TES>
i
�r�t«�t*�r****�t*,r,r�r*�r�t*�r**�r�r�t�t*�t�r�r****�t�r,r*�t�r�r*�r�r�r�**�***�*****�rx�*�t*�t***�t****��****+t
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 HY DATE; •-�:�:`
y
BUILDING APPROVED BY : DATE:
APPLICATION ISSUED BY• DATE: Ia ''IO �Y
iEitiE1E16iElElEiEiElEiEiEiEM�itffiElE�!lEiE3f'lFiE3FiF T � �'iFiF F;�iFiF7FaF'aF�FiE�EiEifiEiFiEiFitx��7FiFifik
1flEifiE�t�Elfif�FiElf�FiFltifiEik�E�E�IEiEiE�E�E1EiE1EiFiElEiflflFiFifiEiFiFiEiE F1FlkikikifAfifi(�iE1k�k1Ei6ik�E�E�f�EiEiEifiFi4iEiFiEfF�Eik�ltiEifif�lflliEiF
LEGALIZATION:N F E E S U M M A�R Y STRUCTURAL SEGMENT;Y ,
�j '.
BLDG PMT PLUMHING ELEGTRICr"�MECHANIC FIRE SMIP/RES GRADING
PERMIT 54,00 � ,°;�-:�� 50
i �. SMIP/NON—RES
ISSUE FEE ��' '
BUILDING—DIV—> PERMIT ISSUE "PLAN-CHECK TOTAL PAID DUE
TOTALS----> 54.50 0.00 '�::-r; 40�.00 54.50 54.50 .00
REVENUE DIVISION TOTALS--> COLLECTfiD`: 54.50 OVER/SHORT; ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
54.00 . � ,50
�f 1k �E 1F 1f 3kif ikiF 1E �E iE if �E 3f it if IElFif �f Mi! iF if iE iE ik iF it it iE iF ik 1E if if fFik �k'�tlE iFif �t 1E iklF iE IF iE iF 3f �f iE �E iF �k iEiE iF it k if it iE it if �E iE 3F �E �E iE ik iF iF iF iF
I N D I V I D U A L F1E 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
SFR 3000 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 3,000,00
END OF FEES
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�ONSTRUCTION AND PLANNING� ' POOI & ,..., - � � �
� � � � �- ' Date Inspector Date Inspector
APPROVALS Permit'# - � APPROVALS Permit # , i
, � `� : �
.t , i
,. -Temporary Eleccrical Serv�c�e or Poi�... . . . 52. Pool & Equipment�Location
2: Soil Pipe-Undr md.^ 4-' - �-C �� ` �� 53. Steel Reinforcement �
�, .
.. �� - 'i� � �rR;
1�,'���Efcctr;rca� Cond�7+t_Cjei�ity-Gndrgrnd_� •r� 54. Forms . '
a�.4'.�lectrtc8l Cond'UftTLlodrgrnd: '✓� '' - � 55. Electrical Booding '.
�,:,5.'��el �einforceuienf`{ ^ =;� ' 56. Rough Plumbing & Pressure Test ,V, �
C!6.'.Electrica� UFEfl Gaad. - ' 57. APPROVAL TO COVER-GUNITE �' '`�
c-.., �.-
, 'y�j�,`�ootings rc �T . � - . _ � 58. Electrical Conduit-Undrgmd. ;+ � '
::; 8. Foandation ��, � . . 59. Gas Pipe, � Undrgrnd., Test . -��
` 9. Water Pipe-UnQt9�d� � � �� 60. Backwash Lines, P�Trap, O Undrgmd. • L
<
10. Structural FIooF$ystem � �-, - � � 61. APPROVALTO DECK
11. Paoperty Sewea'�ine1& HaGse.Connection ,',f � ,� 62. Backwash & Receptor-Finai '
✓ 4'. f
12. S~' er C3P °/ " . • .
iQ^' . e� � 63. Heater & Vent-Final
73. Roof Drains *o; ` 64. Plumbing SYstem - Final .
14. ftough Plumbip'g �" „� �' i 65. E�ectrical�Finai
15. Rough Electricai-Conduit ' 66. Solar SYstem-Finai -
��
16. Rough Electric�Jiring " , � 67. Fe�cing & Access Approval
77. Rough Wiring Sign �„ 68. APPROVED POR P�ASTERING
18. Rough Eiectric�-T Bar Ceiling 69. POOUSPA SYS7EMS FINAL �
19. Rough Neating & Air Conditioning ' FIRE DEPT. REQUIREMENT ''
- -- - - :'7 7' t7��-+ri+:-� G t i^ N
20I'Rou'�h E�ctdri/ F�?eplace �= tT: S"_ >' O.� v�s �:�PPR6VA'�,F',S=atPer�3it #* " r'
a 'w^ 7 S_.Y. I S� '�".' x S F-i b^! >.. 4'. tU.ir-� � K -TT •:C
� 1 cr. :, � -' � ^_r:: ,. . J. -: i .� tq
21.2'Du s, infStructu�,bx i•. •• ,y� -: S G��.� r-:70. Uader9round;Hy�ro .t
22.`DucTs, VentiTating�Y � i,:S �« � S Gx i-.�� p�oduc' �pi Gr«as � ii
�.1 F.r.� ::.t �c~.�� �.
23.��a;,P�P:��Fo�h 8i�E5t � T'. .k tr ��.v �.� '.• :, i � �-; x ���
� i �:,5 - rr � Cx +; H72. UndergioGl�� Flu`5dij,� � E-- c
..••.� _ -
24;.tAoof Ft,�ming ��.�. ��F - * � G� � Hh rt S73aUnder9rn?:Stora,'cj'�Tf`nk �Gas O6A
25. Rogf,Sh?ething ,V^,�x K ��. * �`' r ��; �w ~jqr"-�p.Ye�head�lydro�Fo .'�c
26: T�Bar Ceiling (Stmatural� &,:6Aonecoat *� a7 G1 M±� x�. 75QDry Chemical �'� �" H -- �
n ��_ . i^� �..r x m
27.;'W�ra� e a�nd F�ashfr��, �c _ a' ';c ,;�. c'' n� ^5_ � S `n cc
� �:... ; c^ y mx a. 76: �y StandPi�.e s:.� O
•� - i � . ry:. . • ., r T .. ' . .�.-. �� -.- -
�28. LaNling.:& Siding�.i: r� ^ t� r� ;£ ••?: * 77�'FIXED 9YSTEN}!F;1NALi �(, t"
• -� x> p �; .. . � x n >: x � ._. ., , K a
�29. Insulation ', . � .. x I <+,; 78�-FIREPREV.PINAL x> >
�?30. Orywa14;,Naitiag ;+��i,� � `� � � • x +-� HEALTH�DEPT*fkEQINRFaVIENT
�31. Plaster B"ro��n�Coat� S i y,., ,� �,� n.�79��FINAL INSP�CTI6N '� a.�
N32_TElectricalPower[vleter,:Final� �� �� ,. ' e:c�$O.rF000CERTIFI�CdiYEISSUED^ � _.s-..
iJ33.�Fin�� EIJP�ctrir5 �,r ,r, j 1 a r" •� x� TNo�tes: y�� 'fs % j� 7 1 _v/////�'��//���' �'�-
K -LI_ - `rl�l E�`�,���.Y�-"�
134.-FinaTi H�ting;& Air�;Conditionigg; !: �'� �`���,. x � ;�i ;; � , ��.
� -� . . � ,-. :. . � -� .; , `� . . � c m n�,�� /71
35.;,�FirfatGa�Pipe-Test� x % a:� �i�" t x i /� i`i ,�:S r,r C�'�V-Il"
. . � .'r. • .; .-4 t ��. ;� xi � � 2 S > � �.
F� /
G36'Hood oxCanoPYp� �� _ a x�'� I x'�: �� � i`i� "` ��- �'
� � � ��
; 87 �Final Ffe.tory Fi�epTace ��r � " ``� '` w �- n . * '7
;_ '; r aY �. r x N
`• �+I. �. �1: i , " " V A . U �. c'
38. Finai Plpinbing ;Y- �: i . : ;r 5 : �s
- :.�
�39. Wat6r Service=Final+� � ' �^ > s Y< T ('� '�[� i� =C "
J .K �F_ � ic ;Y a. S
r . .i
`.;.40. Gas ServLce-Final .� :r .,. ' ' ��c .- ;a, 1,;' �
. i �Lr . S .t :�7
>;
541. Solar pomesYic-Final,� C.� •� � i_.'`� s rc ¢�.,
!� < t i� k ;r -c S � ::
n �[ :-+ : .. "i ; .;:
� 42 ��$ackfloW PreventerK .?_� . -: y: ,� � � . x; �`.
43. Backflow Irrigation{ ,� �S.S ^ 1 � N� %r.G h C � .
,
`44: LandscaPe f7rigation Systemz,u;; „ti ��h C 7 "� x^ �� �-i '.vV o
�45.CSound Attetivatiorx ^-�'-ci- .z' � %. ^ i� --�+. x n "' �'C a �
.- �-� -,: �-+ . r n ; n ;r . r � g �" � ,:,1
�46.-�Handicap, R�gulatiq�s � ' C '`' '� :r � S •�y_ �,� s .#
. >� C ..
47 �FINAL STRL• CTURE & BUfL.DING /y -. 1?Sc'S � �
r , ,. I< t l%J �Y V r, # � T �
48 .�FiPtAI PLP;fVNIfVU" � "'� '. �: " �` :`� `, '
y ( '1 -, \ � t ' � '� �l` ♦7 -L �C �.1
;;49 ^Elec�ric�elease to Edison . � !} t � ' i: � i z: '�
r -< � rn .(` .,c
` 50..,.Gas,Release to Sout'hem Cali�o�ia Gas Co ,� I I',: I*'-' - � c r �� �
u. 4,
� 51: CEfi'TIFICATE OFjOCCUPAN Y :A "' .r w; ,� ij j� ;� j: E- �
No. Date �
—�
35a3�
4 MESA BUILOING-SAFETY DEPARTMENT
BOX 1200 COSTA MESA,CALIFORNIA 92626
For Applicant to Fill in Completely
��.o � �z a�
�Ah 25-73c��s�.00 i 21 y,r :::: r: ' I'.
APPIICATION FOR BUILDING PERMIT
RECEINED BV/ DATE.RECEIVED nnrc ic
OWNEfi A.P. NO.
MAIL BUILDING ��
ADDRESS 16255 Ventura Bivd. aooaEss
Z .
a v cirv Encino CA No� 986-8890 TRACT %7� 8
ZZ W ADD A
Q CANSTRUC710N /�
ON LENDEfl LQfWlfl �O. l.d�l�.
�� BRANCH 16255 Ventura Blvd.
' J � OWNER L'..G=
.mJ ADDRESS Encino, CA �
J m ARCHITECT �TELn A,� $ � ��
a OR ENGINE R Larwin NO. `73�`�'�
U Q FIRE
w2 ADDfiESS �%�� �I i e BI d B +1��5 Z�NE T
�' W ' APPROVED
�Q CONTFAC70R Larwin $o. Calif. B�
mZ
WW AODRESS T6255 Ventura Blvd. Zo No.oF�
� TEL. � PLAf�S
Z� cirv Eneino CA N� 986-8890
W � STATE � CITV YARDS APPROVED
N� ���. No. 1913�'� LIC. NO. B_� . MAIN BUILDING
7� SIZE y��p� NO.OF BLOGS. (FROM C�/yL STREET)
' OF LOT fpy��ly� 6O X� OO NOW ON LOT O RONT J S FT.
USE OF
EXISTING BLDG. S FT.
F SIZE OF NO. OF �
Z NEW BLOG. - � 74O ROOMS STOFIES � L.SIDE I FT.
a EXTERIOR WALL ROOF n /
� V COVERING SILCCO COVERING W� $hin I@ REAR `ID�FT.
J USE OF BU�LDING AND WOFK TO BE PERFORMED DISTANCE BET.
a MAIN BLOGS.
a
pConstruction Sin le Famil Residence ��RP #
NAPPROVE �
O HOLD FOR PE
VI hereby acknowledge that I have read this application and state
� that the above information is correct antl agree to comply with
� all laws regulatin8 building construction, antl I shall not employ
� any person in violation of the workman's compensation laws of
, N tha State of Celifomia. .
zI �ereby certify that I am properly licensetl as a mntrector untler / SQ. FT.
the State of California Businass antl Protessions Code, Dlvislon 3, THE AMOUNT SHO�
Chapter 9, and ihat s�ch licanses are in full torce and effect, or I THE PURPOSE OF ES
am exempt from the provisions of the State ot California Business VALUATION
and Professions �Code/, D�ivision 3, Chaprer 9. '
Signetura o ���� ,/�/ J ,��{ q/�/ � /� / , /
Permittee ��-��:5�//�/X----� Il� n,OWkl4 $ jn s�
�(�,�� �r
Authorized qgent V (
-%:s � %z J3
-. aen+.irr.No:
.377.i7
"Eo n//�9 6 �
�OT �HO BLOCK
.�c� .B� � .�
USE OF N
BUILDING '� �
VARDS APPROVED
BET. MAIN &
ACCESS. BLD
DATE
APPROVED
/ // -- y
O� o
UNDER VALUATION IS FOR j
SLISHING A PERMIT FEE ONLV: m
¢
:RMIT FEE $ 9� QQ �' j
AN CHECK $ 47, OO E
`o
_ /' LL
1TAL FEE $ � L":/
OWNER ZpgwlN DATE 1�����
JOB ADDRESS 953 Be�onia Ave. BUILDING PERMIT N0. 359'i5
GENERAL CONTRACTOR pwner Bldr. DESCRIPTION of WORK Res. w/a.tt. Gar_
No.
GAS
WATER
PFOP. SWR. LINE �'HOUSE CON. U✓
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGH HEATING ANO AIR CONOITIONING
TEMPORARV SERVICE OR POLE
UNOERGROUNO � POWER �
ROUGH WIRING
TRENCHES � FORMS � STEEL REINF.
FLOOR SVSTEM
BONO BEAM � STEEL REINFORCE �
SHEqTHING
FRAME AND FLASHING
I �
PLASTER, BROWN COAi
HEA7ING, VENT., REFRIG. AND A.C., F
PLUMBING, FINAL AN� GAS TEST
ELECTRIC, FINAL
BUILOING, FINAL
TRACT
SUBCONTRACTOR
��"`� � � /
CITY OF COSTA .tESA REQUEST FOR OCCUPANCY
TRACT N0. %%� �
IAT NO. � � �
ADDRESS �S � .�I� ��•t.�
DATE �����_
The developer of the above entitled tract�desires to aell the above aet
forth lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledgea that
(he-she-they)__���iwas or were) o•sr advised that this tract has
not been given final inspection nor has it been accepted by the City of Coata Mesa
as having complied with the conditions of approval which were imposed by the City
at the time the final tract map was approved.
The City assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by surety bond.
The undersigned agrees to'indemnify and hold the City harmless from
any claim resulting in damage or personal injury to the undersigned by reason
of the aforementioned uncompleted condition.
' CILY-Ofc
P�:.�n�v
.. J.U�'��
�
BY �\ :
' $Y��� / _ �
/ a 11. ����4�
Developer and or authorized
representacive
M ,/J
'i$i9il0illi12�li�t3���S1� � sx �u�eCC� �,c u� _
�I
"' Lender
� ,i
r' s`
� � �
. ,
,�. �
, �
,