HomeMy WebLinkAbout3148 BERMUDA DR - Building Permits��
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PflOJECT ROOHESS: j S i B B EftNUnA DR
OWNEfl'SNAME:pERi� AV1
aooness:�ERI, ROBERTA T
3148 BERMDDA AR
COSTA NESA,CA
RNCNIENGINEEH:
noosess:
UNIT:
9262Ei
aec.xo.:
uNiT:
PE"minEE: GXCF.I� ROOFING ( 71 4) 965-031 4
aooaess: y�31 LITCHFIELD DR
HUN'('INGTON BEP.CH A 92646
LICENSEU CONTHNCTOfl DECUIBATION: I hereby allirm ��al I a i nSeA u er pmv ns of C�apter 9(commencing wi�� Sec�ion
]000) ol f�lvision 3 0l Ihe Businass antl Protessions Cptla, antl y li nse is tull t and eflect.
cirvuc.:047 24 STRTELIC.:� j2 J j� c s:C- 39
Oate: �— Signature: _
WOBREHS' COMPENSR710N OECLAPATION: I hereby aifirm al I � e a t �ica consen[ Sell-insure or a t¢tlilitaie o7 WOBers'
ComOensalion Insurance. or a cetlilietl copy thereof (Secii 3800. La .
voucvxo.:izq19fl3-93 E%P.OATE: �Oa '94
COMPANY:STATE FUND
❑ Cenifiee covY �s AereOy furnishea. 0 Ce�ilietl cao s file ith e� uilding ision.
Date: �' � � / � Npplica :
' E%EMPTION FBOM WOPKEflS' COMPENSATION OECIA his c�i nee0 nai be completetl' e permi� is lar one hundrea (4100� or less�.
I ceriify ��at in ihe petlormance ol lhe work tor whi t�is � rmii is issued, I s�all no� employ any person in any manner so as b become
su�leci lo Ihe Workers' Compensation Laws of Cahfo a.
�ate: ' Signalure:
NOTICE: IL alter making �his Ueclara�ion, you should 6ecome subjec� �o Ihe Workers' Compensa�ion pmvisians at �he Labar
Code. You musi fotlhwiih compry with such pmvisions or lhis permi� shall be tleemetl revaked.
CONSTBUCTION LENDING AGENCY: I hereby affirm thai ��ere is a con5imc�ion lending agency �or ��e perbrmance al �he wark tor
whicM1 �his permii is issued (Sec�ion 3097, Civ. C�.
IENOEP:
ADDflE55:
�WNEfl BUILOEB DECIABATION: I �ere�y aflirm Ihat I am e�em0� �mm ��e Coniractors' State License Law lor �he lollowing reason
(Seciion 7031.5 Business ana Protessional CoOe: Any ci�y ol counly which reQuires a permit �o cons�mc�, alter, improve. tlemolish, or
repair any simclure. Orior lo its issuance. also repuire5 Ihe apD�icanl for such permit to file a signetl s�atemen� t�al �GS�e is Iicen5e0
pursuam �o I�e pmvisions oi Ihe Contractors' Sta�e License Law (Chap�er 9(commencing with Section 7000) ol �ivision 3 of t�e Business
antl Pmlessions Cotle) or ihat he/she is exemp� Ihereiwm antl t�e �asis lor the allegee exemplion. Any violalion oi Seciion 7031.5 by
any applican� for a permi� subjec�s Ne applicant to a civil penalty o� nol more �han five hun4re0 tlollars (5500�.
, as owner oi �he pmperty or my employees wiih wages as Iheii sole compensation, will do t�e work, and Ihe
❑ simc�ureis nolin�ende0 orofieretlfarsale�Section 70a4. Busmess antl P�ofe55ionalCotle'. The ConVactors' Sta�e License Law
tloes nol apDly Io an owner ol a properly who builas or impmves �hereon, and who Ooes such work �imSelVherseli or �hrough
his ar her own employees, pmvided �ha� such improvemenis are no� in�ended or oflere0 for sale. If, however Ihe buil0ing or
impmvemenl is soltl within one year of completioq ihe owner will have the burden o� pmving helshe Ji� not 6ui14 or improve
lor Ihe purpose ol sale).
I, as owner of I�e pmperly, am exclusvely coniracling wilh licensed contractors to constmc� the prolec� ($ection 7044, Business
❑ and Pmlessions Code: The Contracbrs' $�a�e License Law Does not appty to an awner of property w�o bui105 or improves �hereon
antl w�o [oniratls �or such pmlecls with a contracior(s� license pursuant to ihe ConlraclorY Sia�e License Law). I am aware
t�al pmo� o� Iheir Worker's Compensa�ion insumnce s�oultl be pwviaetl �o me.
� I am exem0� untler $ection: 8. 8 P. C.
lor Inis reason:
oate: ownec
I do �ereby rerlily �hal I am aware of and untlerslantl Ihe requiremenis oi California Healih antl Sa�ety Cotle Sec�ians 25505, 25533, and
25534 anA Ihat I or any lulure builtlmg occupant willlwill not (circle one) neetl to comply with said sta�e cotles antl I�e requi�emen�s for a
permil for consimction or motli�ication imm �he Air �ualiiy Managemenl OisVicL Pesitlen�ial conslmciion apDlica�ions are exempl Irom
�hese pmvisions
Daie: ApplicanP. _
I here�y ceriify Ihal I have reatl ��is apPlicaiion antl sia�e Iha�
ordmances and slate laws relaling lo builtlmq cons�mclion an0 h
pmpeiry loi inspec�ion pwposes.
Daie'. �� �9� Signa�ure'_
�river's License ar Social Securily x: � � _� �
I agree lo comply with all city and counry
lys ciry to enter upon ��e above-menlioned
I60t�46 Whpe—Builtling; Green—Cotle Enbrcement; Canary—Applicant: Pink—Revenue: Goleenraa—Assessor
,
CITY OF COSTA ME5A - BUII.PING PERMIT' PERM NO: b 063335
PERMIT NO; B. 063336 PLAN CHECK NO; N GOVT; N S[TPP; N
CONSTRUCTION TYPE; S-N PERMIT TYPE; STR PURPOSE; ALT
JOB DESCRIPTION ; T/O 2 LAYERS GRAVEL/APPLY 3UYR COMPO SQ FT: 4,000
CLAIM VALUE: 4,000,00 CALC-VALUE; 4,000.00 GROUP OCC; R-3 /M-1
COMMENTS: TWO LAYERS 15LH. FELT 6 DOUBLE COVERAGE PER APPEN�,�CA ��� D�"'r�����
%if3EifitiFrtiEiPiElfitiFiEiEiEit*3k3FafltiPftf(1f/fifiEiEx�fFiFiPiEiEiEK�ifit3f3f�kiE3Fit�FiEx�ifiFiFitif-x-itiFlEif {�x ��3f R F x�. 3fi�
Z O N I N GS ERTEBQAUCIKRSE N: E N T S ���
REC�U6F�ED
------------ MAIN BOILDING --- ------ --------- ACCBSSORY BUZLDING ---------
FRNT; FT IN REAR; FT IN rRNT; FT IN REAR; fiT IN
LEFT; FT IN RGHT; FT IN LEFT; FT IN kGHT; FT IN
PARKING REQ• PkOV; PARCEL: 13913307 ZNE; REf' NO;
PLANNING NC)'I'ES> •
��: ,...
�7F lE !E iE 1E!!� iE X� 1f if ic 1E iE iE iF iE iE it ik iE �t if itlf iFlF lFlf 1(� if lE 3E iF-1F if �7E ik iF iE if if iE iE lE %� 1E ih if IE 1(� 3f�%1E 3FlF %fElf 1E iE iE IF iE iF X� �lt iFlh 7(-1E�ie 1E.d(�!E iF N� %� N�?f
D E V E" ,L O P M E N T S E R V I C E S k E Q U I R E M E N"P' S
- 't
ZONING APPROVED,•BY DATE; -
i
HTJILDING APPkO.V;ED BY ; DATE; .�-. -.
APPLICATION ISSUED HY• � • r(�lYe+-� DATE: "7 �
ikiE3E1I"1FIfifN-14ik1fifihlklfr*'JFif1E'K�iElEifiFiFiF'. �iF �3F.r.... �Tr1�Fie1Ti�A�iFTt RI.�iF3F'reitfF'SF�itli'if-i6lfiFiFiE'11��±f �k'x5hk�ft'1!'%' 1%'Y
if iE iE iE iE 3E iE IE 1!� iE if jF iFlkM if iE M� k%� if iE iF ik k iE iE iE iE if iE ih 3F �)h K- iE i! 1F �lE ik i(� �N� �Ik iE 1E ih %` k lF iE �f 3E 1(� iP lt fE 1f # 1ElE iE'k iF �F%'i. %iE ii- IE ff iF �E if� k# i( iE
LEGALIZATION;N F E E S U M M A R Y 5TRUCTURAL SEGNENT;Y
HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE '�5MIP/RES (�RADING
PERMIT 63.00 ,SQ
: • SMIP/NON-RES
PLAN
ISSL7E F'EE
BUILDING-DIV-> PERMI'T ISSUE PLAN-CHECK
TO'PALS----> 63,50 0,00 O.UO
n
TOTAL • PAID DUE
63,50 ��' 63,50 ,00
REVENUE DIVISIUU T'UTALS--> CGI,LECTED; 63,50 �VEH/SHUR1'; ,OU
BLDG PMT PLUMBING EZECTRTC MrCHANIC FIRE SMTP/TO'P'�GRAUING PL'AN-CBECK
63,00 ,50'%
1E 1E iF if iE lf rt 7f ff if 3E if k itiE 3F it iE iE'1E 1f� �N� iF iF 1t iE i(� %� #%iF iE',f iE if-iE iF %� k If !l' 3t if �lElE 1f if i!� #E iF )f'lE !F iE # iE f(� 1E lE 1f if fE iE 7E if iE if-!f 3E 1P iF It If i(� 9f� i!� iF i6 iE
I N D I V I D U A L F E E B ft E A H D O;W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 4000 REROOF 8Y VALUH RESIDEN7'IA1� NOZONE 1,�00 4,000,00
END OF FEE.�7 _
1
�
. ✓
01 001442?3-Q0144224 T�] T
GATE: DR.�C4/93 TIitE: 14:??
63.50
�� : .
CONSTRUCTION AND PLANNING : - Fv�L & SPA �
APPROVALS Fermii # ' 'Date Inspector � pppROVALS Permit # Date Inspector
7. Temporary ElectFical Service:or Pole - 52. Pool & Equipment location �
r
2. Soil Pipe�Undrgrnd. , � 53. Steel Reinforcement .-
3. Electrical Conduit Utiiity•Undrgrnd. 54: Forms � :�.
4. Electrical Conduit-Undrgrnd:' S5. Electrical Bonding "
5. Steel Reinforcemeni . 56. Rough Plumbing & Pressure Test �
6. Electrical UfER Gmd. � � 57. APPROVAL TO COVER-GUN�TE
7. Footings :� ��� 58. Etectrical Conduh�Undrgrnd. f
8. Foundation ' 59. Gas Pipe, � Undrgrnd., Test •
9. Water Pipe-Undrgrnd;�-' � : j�- 60. Backwash Lines, P�Trap, �? Undrgmd. '
10, Structurai Ploor SYstem. �-, �� � ,. 61. APPROVAI. TO DECK `'�
it. Property Sewer Line'�& Hous�-Cpnnectiari � g2, Backwash & Receptor�Pinal � �
12. SewerCap � i; � f-�� 63. Heaier & Vent•Final y' �
�
13. Roof Dra�ns - , ti 64. Pium6ing System � Final �"
14. Rough Piumbing • �� 65. ElectricabFinal t^
15. Ro�gh Electrica6Conduit 66. Salar SYstem�Final -
. f
16. Rough Electric W�ring 67. Pencing & Access ApProvaf (
17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL �
19. Rough Heating & Air Conditioning FtRE DEPT. REQUIREMENT �
�
20. flough Factory Fireplace APPROVALS" Permit # �.
21. Ducts,in Structu�e 70, Ursderground Hydro �
22. Ducts, Ventilating , � . 71. Product.Piping OGas ❑Ol �
23. Gas Pipe�Rough & Test • 72. Underground Fiush �
t
24. Roof Framing 73. Undergmd. Stora9e Tank � Gas ❑ Oil
25. Roof Sheathing ��� ��w� 7A. Overhead Hydro - �
26. T�Bar Ceding (Strucwral} & Monocoat 75. Dry Chemicai i,
27. Frame and Fiashing 76. Dry Standpipe !
28. Lathing & Siding � ' 77. FIXED SYSTEM FINA�
29. Insulation � 76. FIRE PREV. FINAI �
30. Drywail Nailing ' � HEALTH DEPT. REQUIREMENT J i
i
31. Plaster Bro�vn Coat � � 79. FINAL INSPECTION �
32. Electrical Power MeterFinal � .. S0. FOOD CERTIFICATE ISSUED
33. Final Electric � • 1� , Notes:
34. Final Heating & A�r Conditioning � • �
35. Final Gas Pipe-Test �
36. Hood or Canopy I"
37. Final FactorY Fireplace ' �
' -- -
38. Final Plum6ing �'j
39. Water Service-Final . , ,
I
40. Gas Service-Pinal �
41. Solar pomesticPina� i � '
42. Backtlow Preventer . ' I
43. Backflow irrigation b _ s �J' 3_ �6 � �_ _ . .At/ �'� �
p i <i r�u.r�
44. Landscape Irrigadon SYstem r
45. Sound Attenuation
46. Handicap Regulatior.s
1 � 47. FINAL STRUCTURE & BUILDING `0��, �
48. F1NAL PLANNiNG : �
�
49. Eiectric Release to Edison �. I
50. Gas Release to Southern California Gas Co � �
51. CERTIFICATE OF OCCUPANCY .
No. Date
. "�' 358b2
' .
. Far Applicant to Fill in Completely
BUILDING �///� �EQ^�U ^
ADDFESS 7 /� / r � y�
OWNER—�/ , /{���JyG��
Z........�.._ _
a U CITV '� � NEL. �
2
Z Q COPLSTRUCTION A / / �
O N LENDEF /V �
am
J � BRANCH � '
J V1
m J ADDRESS `
J m
a OR ENGINEE (J S C" L
U Q
w K ADORESS '
aw i
J O CONTFACTOR U —
mZ 3 ' �
J� �ADDRESS
w W TEL
Z� CITV 6 /u� NO� (�
y¢ LC NO.(�' /p� � LICVNO.
7 � SIZE NO.OF BLOGS.
OF �LOT NOW ON LOT
USE OF
EXISTING BLDG.
F� 512E OF v 4�'l NO. OF
Z NEWBLDG. dU qOOMS STORIES
U EMERIOR WALL ROOF
COVERING COVERING
J USE OF BVILDING AND WORK TO BE PERFORMEO
a
a
� /Q � �� / O
r '
y
Z
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UI hereby acknowletlge thai I have reatl this applicetion and stv.te
� ffiat the above intormation is correct antl agree to comply wiffi
� all laws regulating builtling cons[ructian, and I shall not employ
� any perwn in v(olation ot trya workman's compensation laws of
y the Stata of California.
Z1 hereby certify that I am p�operly licensed as a contractor under
tha Swte of California BuSineu enA Professions Cotle, Oivisicn 3,
Chapter 9, antl that such licensas ere in full force and effect,qr I
am ex¢mpt from Me provisions of the State of Califor �a B n s
and Professtons C e, Divialon 3, Chapte �
SiO�eSV le yn /J���� �/
Permltte� �' /O '
Authorizetl AganY �p _
R
I PAIO 'j�j [
.�l'��9 -�=-�Jf�i.�'�0�� ��4�.' .:'): `( Ji% /..%0
ON FOR BUILDING PERMIT
D TE ECEIVED DATE SUI
� -�3 1,��
A.P. NO.� ,5 �—� .� � � U � I
ADDRE S �/ �TQ c�C!`-I�(%
TRACT."]�I.� LO� �
FIRE
ZONE
APPROVEO
VARDS APPROVED
VAR. alE
0.U.P. �
EGL
USEOFNEW /�lr/O
BUILDING
YARDS APPROVEO
ACCESSORV BUIIDII
��7 FT.
BET. MAIN &
ACCESS. BLDGS.
DATE
APPROVED .
iHE AMOUNT SNOWN UNDER VqLUATION
��-THE PURPOSE OF E5TABLISHING A PERMIT FEE
VAIUATION (
� �G ERMIT FEE $ i
�/��� PLAN CHECK $
� TOTAL FEE $
m
�
0
�
¢
m
N
J
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LL
� OWNER [�TCHELL, J. DATE 1,4�7�
���OB ADDRE55 31 Bermuda Dr. BUILDING PERMIT N0.
�� AP No
ROUGH PLUMBING
PROP. SWft. LINE n HOUSE CON.
MISCELLANEOUS
ROUGH HEATING ANO AIR CONDITIONING
TEMPORARV SEftVICE OR POLE
UNOERGROUNO � POWER �
ROUGM WIRING
TRENCHES FORMS � STEELftEI
FLOOR SVSTEM
BONO BEAM n STEEL REINFORCE [
SMEATMING
FRAME ANO
PLASTER. B
EATING. VENT.. REFRIG. AN� A.C.. F
FIRE Z
SUBCONTRACTOR
�
� : , � :::� • , v:�'7��
--,
COSTA MESA BUILDING DEPARTMENT
P.O. BOX 31]
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
B11O1NG 314$ Bermuda Dr.
ADDRESS
COSTA MESA. CALIFORNIA
OWNER !Y
MAIL
ADDRE55
QTV
ARCHITECT
OR ENGINEER
nooaess
CONTRACTOR L• �}• R
ADORESS 1i01 G].sler
IEGAL LOT ^
DESCRIPTION NO. y
A.P. NO.
SIZE
OF LOT 1
USE OF
EXISTING BLDG.
SET6/CH LINE FROM ��� _�,
St.
�'�E �E�EI1lE�7
r�ec �> >s�a
FINF,NCE DEPT. 4'""
cirr o� cos�a r:�Fsh
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
XECEIPT NO. PF�tH�l�l� (!
Ll Z
RECENE� BT Df�TE FECEIVED DATE ISSUE�
/J2 7'h - i �-- �/ �S� %a-- y � S .�
NO. C=2�7O COSTA MESA. CALIFORNIA
Ge 9-0908 ZONE
ZONE
ITV LIC.
l No. 1],.2 � I
Tryp.� G_�lS� A�PPROVED
l�
NO.OF BLOGS.
2��
SIDE YARD RIGHT �� j, LEFT 1'�
DESCRIPTION OF WORK
NEW Y ALTERATION I AOOITION
STf�TE TMAT THE RBOVE IS
CITY ORDINPNCES 4NO ST1
TION.
SIGNATURE OF - �
PEfiMITTEE
izeo
NO. OF
ROOMS
ROOF
COVERI
� AYtg
AN� AGI
REGULIT
STORIES i
l�t � R�
PLY WITX ALL
NG CONSTFUG,
DATE
CORRECTIONS
VALUATION �
, PERMIT FEE $ �J • -
�^ ^� (,��J PLAN CHECK $ Il� �
$ ��J, � � W� ' ✓
TOTAL FEE $ � c.�� S
OWNER I`IESA VERD� ESTATES DATE 1Z-9-S�
JOB ADDRESS 3�y8 $eTTRUd3 DT`. � BllILDING PERMIT NO. #81%Iy
GENERAL CONTRACTOR L. G, HOb1ri30R __ VAL[IE $� 15,662.00
AP. No. LOT 39 TRACT 3115 FIRE ZONE DESCRIPTION OF WORK ReS. W�Sbt, gaz'.
GROUP I& J TYPE V ZONE AZ PLAN NO.
PERMIT$ ISSUED
INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER
Trcnchc.s�Forms �/$teel 2 /S
coat
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