HomeMy WebLinkAbout379 BROADWAY - Building Permits�
nooxessoremiou�c: 379 BROADWAY
avxercsNnueiFiwown:ALBRIGHT, JACQUELINE
,�oo�ss:379 BROADWAY
COSTA MESA,CA 92627
645-3008
1PPL. MAl11NG /i0DRE55:
AIICXRECT OH ENCiNFFA:
u�cx ox exc.�s �ooxess:
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caxmncronsxu�:ROOFING HY MIKE ( 714 ) 892-1449
cwm�croxs�u�wc 5242 PRINCTON AVE
�ooecss:W.M. CA uc.r�o.: 427062
92683-2753 �,n:
LICENSED COMNRCTOPS oECU1XRTION: I Mreby dlim urM« panely d pajury ihei l em Icenaetl uMx prwidons d CMqx 9
(mmmenanp wiih Seclion )000) oi Oivisun 3 a/ the Businesa end Prolesaions CoEe, eM my licenx ia in full larce vM e/iect.
cmuc.r+o.q/60486 uc.cuss:C-39 uc.No.:927062 CP: 06/96
� Dete: 7 ���' � �/(� ConVedor�� ��
OW NEF BUILDER OECIARATION: I hereby elfirm under panely d parN�Y �� �� examp Irum iM Contreeas licerue law la tha
fallowinp reeeon (Sea'ion 10�1.5 Buainesa end Professione Code: Rny ciy w munly which repuiree e pe�mH lo consVun, ellm, impove,
demolsh, « npe'r any s�mnure, peior lo ns eeueiwa, ebo repuirm iM epplirant for sueh peimn m file e a0�ed staiemen� �he� he or ehe
is licenaed punuenl �o �M ywivms d Ne Conlredme liceme lew ICheqx 9(�marK'vp xiih Sequn ]000) d Div'sion � d ihe
Buainesa enE Profeaeiona Code� or �lat M a ehe ia exemq �Mrelrom enE ihe Eeaia for ihe elleged eaemqon. My violetion d Sedion
]W 1.5 by eny epWiranl for a permil wbjees �M epDlceni to e wil penelry of M mom Ihen 1'rve huntlred Eollen �E500��.
� I.aaawrerdiMproparlY�mYa^GMbs�hwepeamiheiadewmpanulion.willJo�hexork.eMlMstruclure6�inte'MeE
w oHered lor ula (Seciion 100O3 Buaness vM Prolesabns Code: The Contreaon Liwnaa lewdoea nm epply to en owmr ol ryoperry
wno b�ua � mv�was ua�..�d .ro doa. a�n.� mm�n o, n,B,p «m�wen nA «n„ ow� amoiw�, o�aaa inm s��n
improvemmm ara not imeMeE a dlered la seb. X. Iwwever, tM buiNirp «inprovamenl o eoN xilhin ore yeer d campbtion. IM
owner-0uiNer will heve tM burden d provinB he or eM1e dk M Wiltl w improve la �M WT�e d sab�.
� I. aa amrer d iM propa�y. em e�duaiveN �Iraclip wilM1 IicenseE conVedon to wnmrua iM v�M� (Seaion ]OId. Buoinme vM
Prdesaons COCa: TM Gonireaa+ lieense law Eom ml epply to en ow�wr W peopany who buiNs a impv.•ee iheraon vd who
conlrecls Iw wch prol�s �h e caNrenor(e) Icenaed pursuent m ihe Conlrepon Licema Lew).
� I em exempt uMer Seciion: B. b PA., la �he remon:
Dele: Ownar
I do hereby ceNy thet I em awere N eM uManiuM tM reyuimneMs d GalCanie Heallh eM Salety COEe Setlions 25505, 25S'f3. eM
2553a, eM iha I a eny Mun buildiiq omryent will / wil nM (d�cb one) need io canply wih aeid aata mdea eM tM fequimmend for
epertnXiorconatiuctionwmaCifce�ionhwniheAir ue�y enapemem0idnq.RaeiEeMielmnatrudioneppicelioneareexemptiromlheee
a�.
oae: nvWcem:
WOPNEF'S COMPEN5ITION OECLARATION: I Mreby alfi�m unEx penelly d parjury ar d tlw Idbxirp Aederatioro:
� I heve end wil meinten e cenifcele d coneam m seX�insuro la waMan compenaetion, e+prwided lar by Seeion 3lW d iM Lebor
Code, f« tM perlormenca o( �M xoik for which ihie peimil ie isaueE.
�i nev. ene w��.� ..o�n.• canw�m�a, mw„„�. e. �.c���.d W seaia, 3>ao a me �w« coa.. ror me ro�«maMe a in.
wwk lor which ihia pa�mn in iaued. My wakera' mm saiion ineurence mmer arM pd' y number ere:
c�a.: ST4TE FUND EXPIRES
PwryN�mna,: - O1 /O1 /97
(This aecfion neeL irot 6e cwnobted A tha parml is iw one hunCroJ dollers (Sf00) or bse.J
� I eenN Ihet in IM perlmianes d iM wwk br xfich ihu pe�mn is iesueE. 1 e1Wl m� ampby erry peiwn in eery menMr w n io
becwna subjea to Ihe xwkere' wmpenaetbn kvn o/ Celibmie, end epree Ihel X I ahwk acome wDjed �o �M v.wken
compensetbn pmvisiona M Sedion �]00 0l the lebor Cods, 1 ahell /onhwilh mmp�y wilh iho roviaiona.
� �/J
oma: y—Z'Z��� Mdc.�t: �//
Wem/np: F�llun ro�xuro workx�' con�v�rwtlon cwsrap� h unMMvl, an0 �IWI �u6Ject en m�pley�r ro cNMn�IOM�ross �nG
c/vll nnu ap ro on. ninarM Hwus�nd talMn lS�oqoaoA �n eddltbn ro M. cwt or ronperwr/on d+�p� .. Pm✓�tlN ror In
Sectlon 3lPB ol Ms Le6o� COW, lnNresf, en0 artomsy'a lsu.
CONSTRUCTION LENDINO �GENCY: I hereby elfiim uMer panelry W perjury thei �Mm is a coe�rwlbn bMirp epenry br the
paAwmeMe d iM xork Iw MfiiM t�e parmi ia eaed (Sed'nn 309]. CH. C).
LENDEN'S NAME:
�ENDEN'S 4DDNE54:
I cetliH ��el I heve reed �his ep0lketion end mele ihet Ihe ebove inlormetion ia corteq. I npiee lo compty xdh ell dry enE caunry adinerime
uM atme leMe rNelnp b Wikinp mnnruction entl Mreby eu�Mr¢e repreaenlalivee d ihia ay to enter upon tM ebove�menlioned prtpery
��`���0"'p�°��°�"'MIKE �[iANSON
Pnm t
— � Dele�. Z Z�
Sqnelure d Owrer/RBeM/AppbranVCon�reaa
Whna-BuiMvq d Se1Ny: Grem-Fle; Cenery-Applrani; Pink-Revenue: CaolEenmd-Asmawr
CITY OF COSTA MESA - HUILDING PERMIT
RM NO: B 077298
PERMIT NO: B 077298 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V-N 'PERMIT TYPE: STR PURPOSE: OTH
SOB DESCRIPTION : T/OFF & REROOF W/SAAKE SQ FT: 5,900
CLAZM VALUE: 5,900.00 CALC-VALUE; 5,900,00 GROUP OCC: R-3 /U-1
COMMENTS: REROOF 1800SF RESIDENCE
*at**-x�*�t�*******�tatat**at�t*���t**it�-**x�**-x�t*�t-***+�-x�**at-x�**at*******+F�-+t*-��t�it*at**�-+�-itit*��x-**
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 HUILDING ---------- --------- ACCESSORY HUILDING ---------
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 REQ: PROV; PARCEL: 11729217 ZNE: REF NO:
PLANNING NOTES>
i
'lE �E 1E �E 1E 1E'IE �E 1E 1E 1E �E 1E IElE 1E iE iE iE 1f ik 1f !f l61E if 1f� i(� if iElklf iE 3E iE 3E 3E 3E fE 1E k�E 1E iE 1E iE if jF 1f 1k 1f iE �E iE IE 3E iE iE iE iE if if� 1f 3E 1E iE iE 1E iE iE if if iE 1E iE �E iElE 1E
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 HY: �' DATE: �� �
ififiEiEfE1E1E3EiflEiEif7E�EifiE1ElfiEiEifiEiF�F7F�F3F��F�T�iFiF��Fi�iFi��{F3f�SF�� SF�{F�����*{EIEIEIE3Eif1E1EiF ��Eih3E
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL�SEGMENT:Y
t
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 112.25 ,59
SMIP/NON-RES
PLAN
ISSUE FEE
BUILDING-DZV-> PERMIT ISSUE PLAN-CHECK
TOTALS----> 112.84 0.00 0.00
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
112.25
TOTAL PAID DUE
112.84 112.84 ,00
112.84 OVER/SHORT: ,00
FIRE SMIP/TOT GRADING PLAN-CHECK
.59
iElf 1E iE i4 jf 1ElE iE 1E �E 3E iE fE fF if 1E iElE iE if iE 3E 1E iE if if fI� iE �E iElE fE 1E �ElElE �E iE iE iF ff !f iF 1F iF 1k if IE 3E 1E 1E 9E fElE �E iE 1f if If iElF ik 1E iF if !E �E fE 1E'� 3E 1E iE iElk iE iE fE
I N D I V I D U A L F E E B R E A K D 0 W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 5900 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 5,.900.00
END OF FEES - - . _ _ .
� • . . � -. -_ t"
1 _
M
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit # �ate i�spector qppROVALS Permit # Date Inspector
t. 7emporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soii Pipe-Undrqrnd. 53. Steel Reinfo�cement
3. Electrical Conduit UtiliiY-Undrgrnd. � 54. Forms
4. Electricai Conduit�Undrgrnd. , 55. Electrical Bondiny
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
�� Electrica� UFER Gmd. � 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
9. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Rpe�Undrgrnd. ' 60. Backwash Lines, P-Trap, O Undrgrnd.
70. Structural Floor Svstem . 67. APPROVAL TO DECK
1 t. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
�2. Sewe� CaP ' 63. Heater & Vent-final
13. Roof Dr�ins � 64. Plumbing System - Finai '
14� Rough Piumbing - 65. Etectr(cat-Final .
15. Rou9h Etectrica6Conduit 66. Solar System-Final �
16. Rou9h Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough E(ectrical�T 8ar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Cor.ditioning FIRE DEPT. REQUIREMENT
2Q. Rou9h FactorY Fireplace RPPROVALS- Permit #-
21. Ducts, in Strudure 70. Underground Hydro
22. Ducts, Ventilating 77. Product Piping � Gas u Oil
23. Gas Pipe-Rough & Test 72. Underground Ftush
24. floof Framing � 73. Undergmd.StorageTankOGas ❑Oil
25. Roof Sheathin9 �?.1��%j �G�,(,� 74. Overhead Hydro
26. T-Bar Ce�4in9 (Structuraq & Monocoat 75. Dry Chemicai
27. Frame and F{ashing 76. Dry Standpipe
2$. Lathing & Siding 77. FIXED SYSTEM FInAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing - NEALTH DEP7. REQUIREMENT
37. Plaster Brown Coat 79. PINAL INSPECTION -
32. Electrical Pow2r Meter�Finai 80. F000 CERTIFICATE ISSUED
33. Finai Electric � Notes:
34. Final Heaiing & Air Conditioni�g � i
35. Finai Gas Pipe-Test .
36. Hood or Canopy ,
37. Fina� FaCtory Firepiace .
38. Final Plumbing -
39. Water Service•Pinal - �
40. Gas Service�Finei
41. Sola� DomesticFinal
42. Backflow P�eventer
43. Backflow Irrigation
44. Landscape lrrigation System �
45. Sound Attenuation
46. Handicap Reguiations
47. FINAL STRUCTURE & BUILDING �'��, _- l .
48. FINAL PLANNING ,
49. Electric Release to Edison '
50. Gas Release to Southern California Gas Co �
57. CERTIFICATE OF OCCUPANGY
No Date
October 5, 1970
TO WHOM IT MAY CONCERN: ��
The residence locate at 379 Broadway.within the City
of Costa Mesa is a habi ble house and appears to have
been built in conformance with codes.
�.
FRANK J. HRUZA
Building Safety Supervisor
FJH:dh
oWNER MOLER. B'.�
JOB ADDRESS '�79 $ro
DATE
PERMIT NO.
GENERAL CONTRACTOR Q�lel'-B1dT. DESCRIPTION OF WORK Add ClOSEt 'k0 res.
AP No.117-29?-77 LOT TRACT FIRE ZONE VALUE S 100.00
INSPECTIONS
TYPE
SUBCONTRACTOR
. �26833
'COSTA MESA BUILDING-SAFEIY DEPARTMEM
P.O. BOX 1200 COSTA MESA� CALIFORNIA 9Z620
HAR 29-67�MSn�O 963 �*** `„2.C�