HomeMy WebLinkAbout925 CAPITAL ST - Building PermitsCITY OF COSTA MESA ~'
BUILDING DIVISION
F77 FAIR DRIVE, COSTA MESA, CA 92626 • (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us
�. FOR INSPECTIONS CALL: (714) 754-5626
PERMIT NUMBER: BC10-00252
PERMIT TYPE: B_COMBO STATUS: ISSUED
Sub Type: RES—ALT DATE ISSUED: 0711512010
ISSUED BY: RMD
JOB ADDRESS: 1z,925, APITAL-ST-CM— Suite/Unit:
APN: 42238408 Zoning: ,
Vicinity: Primary Occ:
Const Type: V -B SQ. FT: 344 Valuation: $31,785.60
SCOPE OF WORK: CONVERT REAR BEDROOM TO A MASTER BEDROOM AND BATHROOM BY ADDING 344 SF. RELOCATE
PATIO COVER AND CONVERT EXSITING CLOSET TO A LAUNDRY ROOM. 1 REPAIR ALT DUCT, 1 FACTORY FIREPLACE, 2
VENT FANS, 9 LIGHTS, 16 OUTLETS, 7 SWITCHES, 2 MOTORS < 1HP,1 BATHTUB, 1 FLOOR DRAIN, 1 GAS OUTLET(1+4), 1
SHOWER, 1
BAR SINK, 1 TOILET, 1 WATER HEATER, 1 WASH BASIN.
OWNER: DENTON, PAUL C
Phone: 714.376-6600
APPLICANT:
DENTON, PAUL C
Phone:
714.376-6600
CONTRACTOR OWNER -BUILDER
Phone:
Cell:
ARCHITECT:
GARY MAXWELL
ENGINEER:
COMBINATION PERMIT FEE SUMMARY
Building Plan Check:
Building Fees:
Electrical Fees:
Mechanical Fees:
Plumbing Fees:
SMIP Residential:
SMIP Commercial:
Bldg Std Admin Fund
TOTAL FEES:
Address: 925 CAPITAL ST
City/State/Zip: COSTA MESA, CA
Address:
City/State/zZip:
Address: Unit:
City/State:
License No.C13785
License No.
$300.59
$462.45
$68.20
$69.15
$98.25
$3.18
$0.00
$2.00
$1,003.82
License No. 000000
Unit:
Unit: :
ZipCode
PHONE:949-632-6018
PHONE:
-Refer to No recelpts for all foes paid for project
HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010 - PER CMMC Sec. 13-279
Monday thru Friday -7:00 am thm 7:00 pm. Saturdays. 9:00 am thm 6:00 pm. Prohibited all hours - Sundays and the following Federal holidays:
New Years Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day and Christmas Day
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply Wth all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE 1. 015PECTION TYPE DATE 1"RALS CODE I INSPECTION TYPE DATE INTIiUL
1616 Fitted System Final Fire Prevention 206 Final Mechanical /0• Ll- 10 HM bq 0u/I"
0
�
1266 Pool Spa Final 208 Final Plumbing 0 f•1�7ptyv
200 Final Re Roof 210 Final Electrical %� (8.4• ID
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy J( _10 it • 10 H M
WORKERS' COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent l0 self -Insure for workers
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by
section 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation Insurance carrier and policy
number are:
Carrier:
(This serfon need her es meplered fine pemWa vatued at one by ied cocirs(Sloe) or less)
Policy Number:
t_cehify that in the performance of the work for which this permit is
sued, I shall not empl any person in any manner so as to become subject
to the coo pen tion laws of California, and agr a that if shoultl
be a bject to a rkers' compensation provisions f Secti n 3700 of
th Labor ode, I sjra to with comply with these pro ' S. j� U
l\ ` L ` r
nes Signature I IDete_'�
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS 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 Code, and
my license is in full force and effect.
Lic. # Class #
connector's Signature
Date
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. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Address:
Date
OWNER -BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5,
Business and Professions Code: Any city or 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 or she is licensed pursuant to the provisions of the Contractors
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he or 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 (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply to an owner of property who builds or improves
thereon, and who does such work himself or 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 -builder will have the burden of proving that he or she
not build or improve for purpose of sale.).
"I..as owner of the property, am EXCLUSIVELY CONTRACTING WITH
ENSED CONTRACTORS to construct the project (Sec. 7044, Business and
Professions Code: The contractors License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for such project with
a contractors) license pursuant to the Contractors License Laws.).
❑ I am exempt under sec.
nsCode
1,,ness
) �fo-r this reason:
D�a
(17
(�
Owner ID verified by driver�nse. Yes ❑ No
D 'ver r: E serNo. Fxpi. G IS 13
Verification of Ownership by (type of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five (5) or more feet in depth into which a
person is required to descend, will be made in connection with work authorized
by this permit, and that no building structure, scaffolding, falsework, a demolition
or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp
2, Art 2. Sec. 341, Title 8, Califomia Administrative Code).
❑ As owner -builder, I will not employ anyone to do work which would
require a permit from the Division of Industrial Safety, as noted above, unless
such person has a permit to do such work from the division.
Applicant's Signature Date
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future building occupant need to file and
certify a Business Plan for emergency response to release or threatened
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of the California Health and Safety Code requires, with some
exceptions, that a Business Plan be filed with the Costa Mesa Fire
Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
at standard temperature and pressure).
2. Does or will the applicant or present or future building occupant need to file
a registration form for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the California Health and Safety Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
hazardous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
temperature and pressure).
3. Does or will the applicant or present or future building occupant need to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 of the California Health and Safety Code provides that the
Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
4. If an RMPP is presently required, has Section 25534 of the California
Health and Safety Code been fully complied with? ❑ Yes ❑ No
5. Does or will the applicant or present or future building occupant require for
the work which is the subject of this application a permit for such construction
or modification from the South Coast Air Quality Management District or from
any other air pollution control district or agency? ❑ Yes ❑ No
(Section 65850.2 of the California Government Code requires that the requested
information be furnished on applications for non-residential building permits).
6. Will any part of the facility to be constructed under this permit be within
1000 feet from the outer boundaries of a school? []Yes ❑ No
(If 'yes", the facility must meet the requirement of Sections 25534 and 42303
of the California Health and Safety Code).
7. If a permit from the South Coast Air Quality Management District or other
air pollution control district or agency is required for the work which is the
subject of this application, have all of the disclosures prescribed by California
Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
8. (If yes", attach certificate of compliance from the appropriate air pollution
control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
information given above is correct. 1 agree to comply with all state laws and
city ordinances regarding Hazardous Materials and Emissions.
Signature Date
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: 1
certify under penalty of perjury that I have read this application and state that
the information 'wen is corec . I agree to comply with all state laws and city
ordinances r ating ili ing construction, and authori repres natives of
e City sta Mes tofiter upon the above -de cribed roperty for
inspection pu o es. 1 ogre nto occupy or allow occu ancy of ny building
authorized b p r . unt l inspection. f r'
gnat0le oLCug 1
And/or Authorized Applicant
South," t Inspection and Tc#ng, Inc.
441 Commerc: Way, La Habra, CA 90631
(562) 941-2990 • (71� 526-8441 • Fax (562) 946-0026
REGISTERED INSPECTORS'S DAILY REPORT
SWIT Job No.
Die
4 -1Z -+I)
TYPE OF ❑ Reinforced Concrete ❑ Stroctural Steel Assembly ❑ Quality Control
INSPECTION ❑ Post Tensioned Concrete ❑ Fire Proofing ❑ Other
REQUIRED ❑ Reinforced Masonry ❑ Asphalt
City
Job Address / ^ t \ 47
Job Nome `
Permit N0.
Issued By
,Type of Struct6re !
' 1' s
Architect
Material Description (type. grad(rsource)
Engineer
+T -�
Contractor
Inspect r(s) Name /,
n
Subcontractor ,
�
a TESTS PERFORMED
TYPE OF SAMPLE
SLUMP
QUANTITY IN SET
ADDITIONAL REMARKS ON SAMPLES
INSPECTION SUMMARY — LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS; PROGRESS, REMARKS, ETC.
INCLUDES INFORMATION ABOUT- AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT. NO'S OF
TEST SAMPLES TAKEN: STRUCT. CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED, ETC.
n., ti rr v (�1 sio"c4 /�-C(� 1� \J r 1 o,ti %11°
L� at -i ►D �I(�
a n Li 1 r.. t !)S 4 T! �, n r a�
C,l n (t-, �, �V F �„8,� / 1^t 51 V,,, nom, , FPO\ ✓, L �� �. ��
,non
r�
If
CERTIFICATION OF COMPLIANCE
I HEREBY CERTIFY THAT I HAVE OBSERVED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED
WORK UNLESS OTHERWISE NOTED. I HdFOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS,
SPUIFICATIONS, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS.
pp Al'
C'~ SIGNATURE OF �REGISTERED SPECTOR aJL'r,T (�l c Lr-- , �i T C l
,SPECIALTY No. AGENCY
CONTINUED ON NEXT PAGE I—I PAGE OF
TIME IN I TIME OUT I REG. HOURS I O.T. HOURS I CYLINDERS
I
Approved
Project
WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK- - INSPECTOR'S COPY, GOLDENROD - JOB SITE COPY
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations
CITY OF COSTA MEA CONS UCTIO PERMIT •�
Project Address 9Z S /7�L s'T
����` j!{� j(/E
Applicant's Mailing ddress 7
Owner's N/a/r�:eij�/�!%��5`%/� hone7 y
Address //�� z1"z �z • T�Q CA
PERMI NO.
'-P 1762,
TRACT NO.
LOT NO.
UNIT NO.
648I 4I20I97 Spon i
'
TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER
s- U,64 E �p f/ OK -
DES[ IPTION OF WORK/USE OF B DG. f
t E.
A.P. #
Zone
S
Main Building:
Accessory Building:
Arch/Eng. License No.
Address
TYPE OF PERMIT GRADING FOUNDATION ❑ STRUCTURAL
❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL
❑ OTHER
PROJECT DESCRIPTION Sp. FT. OCCUPANCY 3
CONSTRUCTION TYPE VALUATION $
ZONE GRADINGCU.YDS. ACRE$Ping.
T
Front
B
A
Rear
IG
+f�7
Contractor's Nam O Vim% x✓ Phone7" / �/
Address (mailing)
City License No.
LICENSED CONTRAC OR DECLARATION
1 hereby affirm that I am licensed under provisions of Charter 9 (commencing
with section 7000) of Division 3 of the Business and Professions Code, and
my license is in fu orc effect.
License Ia Nic No�
K
Right
-
S
Left
R¢f. #
Parking Req./Provided
Remarks: O Q rl'&ae�X
"`�1
Planning Notes:
O
M
. �� e^ V ` C� (
S
PLUMBING FEES
Date 5'9 to e
Bar Sink
Showers
c
ELECTRICAL FEES
WORKERS' COMPENSATION DECLAR ION
1 hereby affirm that I have a certificate of consent to self -insure or a certificate
of Workers' Compensation Insurance, or a certified copy thereof (Section
3800, Lab. C.)
Backflow Preventer
Service Sink
Automatic Washer
Transformer ❑ 15-50 KW
Backf low Irrigation
Sewer Ca p
Policy No. Company
BCertified copy is hereby furnished.
Construction POIe Sub.
❑ 50+KW
Bathtubs
Sewer Connection
Cooking Unit
Meter, ❑up to 100 amps
Certified copy is filed with the city Building Division.
Date Applicant
EXEMPTION FROM WORKERS' COMPENSATION ECLARATION
(This section need not be completed if the permit is f one hundred ($100) or
less).
I certify th in the performance of the wor for w c this pe m t is issued,
shall not ploy an erson in any man as bec 1 subject to the
Worker rtseA n ws of Californi
Clarifiers
Solar Collectors
Dishwasher
Meter Dover 100 amps
Dishwasher Solar Piping
Dryers ❑Gas ❑Electric
Sub Panel
Drinking Fountains Solar Tank
Fan
Motors 00-1 ❑1 % - 8
Floor Drains
Swimming Pool w/Spa
F.A,U.
Inc.S01 9-15 HP 016-15+
Date GCJ Signa[Ure
NOTICE: If, after making this declaration, yo ould become subject to the
Workers' Compensation provisio Us of the Labor Code, you must forthwith
comply with such provisions Or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there i5 a construction lending agency for the performance
of the work for which this permit is issued (Section 3097 Civ. C.)
Lender's Name
Floor Sinks
Urinal
Fixtures Ure$
M Owave
Gas Service Outlets Water Closet
Device Boxes
Pole Light
Interceptors Water Heater
Outlets
Range
Kitchen Sink
Water Service
SwitchesSign
Lender's Address
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the
following reason (Section 7031.5 Business and Professional Code: Any city or
Lavatories
Auto -Wash
Garbage Disposal
Standing Sections
P—Trap
Laundry Trays
Y V
Generator ❑o- W ❑5-15 KW Trash Compactor
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 Contractor's 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
FL]railty of not more than five hundred dollars ($500).
1, as owner of the properly 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 Contractor's
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 awn
that such improvements imroveare not intended or offered for
employees, ho ever, the
sale. If, however, tM1e building or improvement is sold within one year of co m-
pletion, the owner will have the burden of proving he/she did not build or im-
Prove for the purpose of sale).
❑ 1, as owner of the property, am exclusively contracting with licensed con-
Roof Drains (f
ReinspeMlOn Fee
$15 Issue Fee $ 3
Reinspection Fee $15 Issue Fee $ 3
MECHANICAL FEES
Boiler
Hood or Type ❑
Canopy Type II ElZoning
DEVELOPMENT SERVICES
Approved By
Building Approved y
Application WtiOn Issued By
REQUIREMENTS:
Date
_Date
r' ! sn��Dam—g�
Duct - Under Ground
Duct -Structural
Refrigeration System
tractors to construct the project (Section 7044, Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who
builds or improves thereon, and who contracts for such projects with a con-
tractors license pursuant to the Contractor's License Law). I am aware that
proof oY their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section B. & P. O. for this reason
❑ 00,
0-1000 100,000 BTU
Duct - Ventilating
BUILDING PERMIT
PLAN CHECK
PLUMBING
&A'w*LAN CHECK 25%
ELECTRICAL
PLAN CHECK 50%
MECHANICAL
PLAN CHECK 25%
I "
$UMMARV OF FEE r
$ $MIP $
$ ,�' PERMIT
$ ��= ISSUANCE $
$ ENERGY P.C. $
$ GRADING $
$ MICROFILM $
(%'®
$ TOTAL FEE $ ��'"^
$
Exhaust System ❑ Multiple ❑
Sys - Repair/Alteration
Firepl/Fact. Bit. ICBG #
Fire Dampers
Date owner
1 hereby certify that I have read this application and state that the abovePR
information is correct. I agr to comply with all city and county ordinances
and state laws relati g to b� i ding con [ruction, antl hereby au "ze repre-
sentatives of this ole tq the above-mentioned p'r^ f(a��
inspection our €s �N ZJ7
Signature ale
Drivers' License or S5
Heating System & Ducting
,000 BTU 0,000 BT
Registers
Mion Fee T$15 Issue Fee $ 3
CMF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting;
Goldenrod - Assessor
CONSTRUCTION AND PLANNING
APPROVALS Permit Date
Inspector
POOL PA
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
5. Steel Reinforcement
56. Rough Plumbing & Pressure Test
6. Electrical LIFER Grind.
57. APPROVAL TO COVER-GUNITE
7. Footings
58. Electrical Conduit-Undrgrnd,
8. Foundatior)
59. Gas Pipe, ❑ Undrgrnd., Test
9. Water Pipe-Undrgrnd.
60. Backwash Lines, P-Trap, ❑ 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 ❑Gas El Oil
23. Gas Pipe-Rough & Test
72. Underground Flush
24. Roof Framing
73. Undergrnd. Storage Tank ❑Gas ❑Oil
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 PREV. FINAL
30. Drywall Nailing
HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat
79. FINAL INSPECTION ,
32. Electrical Power Meter-Final
80. FOOD CERTIFICATE ISSUED-
33. Final Electric
Notes:-
34. Final Heating & Air Conditioning
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. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
s
COSTA MESA BUILDING DEPARTMENT
P. 0. BOX 317
COSTA MESA CALIFORNIA
C.L. OF STREET
____iPROP LINE
10 FT. FOR 60 FT. STREET-
1
TREET
J
U
ST
MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES ------
MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES
61701LI r EE REGOV ED
.���
FOR APPLICANPI�(� W_W,.,.. ? nn
BUILDING
Owner
Mail Address
City ff,a4&a., 664-1 Ph. NoI ? F77
– – – – – –– r ----–--––-----
Contractor
---–--–––
Contractor_ O Ahlf Y .Ci, c n Ph. No.
City_ Lic._No._State _Li_c. – No. _ _ _ _ _
Size of Lot
Setbacks: C/L Street Rear �2 /
p
Side Yard - Right Left —
I hereby acknowledge that I have read this application and state
that the above is correct and agree to comply with all City Ord-
inances and State Laws regulating building construction.
FOR OFFICE USE ONLY
Permit NoL or.
Received by
1 SO FT
VALUATION
Permit Fee $
r9 -o
$ 02 6 •
Plan Check $
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la t
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PROP LI�E�,t
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C.L. OF STREET
J
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ST
MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES ------
MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES
61701LI r EE REGOV ED
.���
FOR APPLICANPI�(� W_W,.,.. ? nn
BUILDING
Owner
Mail Address
City ff,a4&a., 664-1 Ph. NoI ? F77
– – – – – –– r ----–--––-----
Contractor
---–--–––
Contractor_ O Ahlf Y .Ci, c n Ph. No.
City_ Lic._No._State _Li_c. – No. _ _ _ _ _
Size of Lot
Setbacks: C/L Street Rear �2 /
p
Side Yard - Right Left —
I hereby acknowledge that I have read this application and state
that the above is correct and agree to comply with all City Ord-
inances and State Laws regulating building construction.
FOR OFFICE USE ONLY
Permit NoL or.
Received by
Date Received Date Issues
VALUATION
Permit Fee $
r9 -o
$ 02 6 •
Plan Check $
TOTAL FEE
USE REVERSE SIDE FOR DETAILS
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COSTA MESA BUILDING DEPARTMENTP 0. BOX 317
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COSTA MESA CALIFORNIA SEE NLED
C.L. OF STREET FINAN ,E DE
- _ CITY OF :OSTA I,EM
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JiPROP. LINE
10 FT. FOR 60 FT. STREET
f OF COSTA MESA
LANINING DEPT.
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PROP LINE LL
C.L. OF STRE
10'
FTI
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60
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MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES ------
MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES
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FOR APPPIWANT TO F�IL–L�IIN
BUILDING ADDRESS / 25
Owner0tl11'Aly t NAr6L 1,,) L�o�����
Mail Addresc'�s�4��/AL ST/�L ST .
City (-asTn M�S.4 _ _ _ _ ,Ph. No. L, R 9797_
Contractor a W Ni<2 T k;l D Ph. No.
City_ Lic._No. _ _ _ _ _ _ _Sta_te_Li_c. No - _ _
Size of Lot t10 3'1!10,2 . 5– AP No. T 3 4 7/2A C% 3/�S
Setbacks: C/L Street Rear —
Side Yard - Right O Left a
Type of Fence Z%Q f K Lr ss %N7c ccs .c �/ ✓n RL�i/
I hereby acknowledge that I have read this application and state
that the above is correct and agree to comply with all City Ord-
inances and State Laws regulating building construction.
FOR OFFICE USE ONLY
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Permit No.
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C.L. OF STRE
10'
FTI
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60
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MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES ------
MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES
i I 6819
FOR APPPIWANT TO F�IL–L�IIN
BUILDING ADDRESS / 25
Owner0tl11'Aly t NAr6L 1,,) L�o�����
Mail Addresc'�s�4��/AL ST/�L ST .
City (-asTn M�S.4 _ _ _ _ ,Ph. No. L, R 9797_
Contractor a W Ni<2 T k;l D Ph. No.
City_ Lic._No. _ _ _ _ _ _ _Sta_te_Li_c. No - _ _
Size of Lot t10 3'1!10,2 . 5– AP No. T 3 4 7/2A C% 3/�S
Setbacks: C/L Street Rear —
Side Yard - Right O Left a
Type of Fence Z%Q f K Lr ss %N7c ccs .c �/ ✓n RL�i/
I hereby acknowledge that I have read this application and state
that the above is correct and agree to comply with all City Ord-
inances and State Laws regulating building construction.
FOR OFFICE USE ONLY
Permit No.
&d,79
Received by
Date Received
Date Issued
7�
VALUATION
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Permit Fee
$
po
$_ p� y.
Plan Check
$
TOTAL FEE
$
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USE REVERSE SIDE FOR DETAILS
51.'79
COSTA;MESA BUILDING DEPARTMENT
P.O. BOX 317
'COSTA MESA. CALIFORNIA
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FEE RELE6"-)
MAY 21 199C57 ��cFF�pDj
A D D 1 1ri,&-,r LLC -)KI C'I1 f•7T• PPPMIT
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BUILD
BUILDING
ADDRESS
CO TA MESA. CALIFORNIA
FOR OFFICE USE ONLY
RECEIPT NO.
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OWNER (/
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RECEIVED BY
DATE RECEIVED
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ADDRESS NO.
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LOT
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Desc
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TRACT:/%
A.P, NO.
SIZE / r �/ +� .T�
NO.OF SLOGS. J•�
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NOW ON LOT CJ
USE OF
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SETBACK LINE FROM '.{
CENTER of STREET REAR YARD .J
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SIOE YARD RIGHT LEFT
DESCRIPTION OF WORK
NEW
ALTERATION
I ADDITION
REPAIR
(DEMOLISH
/MOVING
OF '
BUILDING lozl /
RNO
OOMS
SIZE / TTT"'C STORIES
EXTERIOR WA
ROOF
COVERING �%
COVERING
USE NE i
BUILDING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES AND STATE LA 5 REGULATING BUILDING C STRUC
VALUATION
PERMIT FEE $
TION, ?
SIGNATURE OFJ'
PERMITTEE �✓u'GLQ$
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PLAN CHECK $ ".z
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AUTHORIZED AGENT V
TOTAL FEE 5 --3 415�
y MI
PERMIT TYPE: B_COMBO
Sub Type: RES -ALT
PERMIT NUMBER: BC15-00484
STATUS: FINALED
DATE ISSUED: 08/27/2015
ISSUED BY: CK
JOB ADDRESS: 925 VICTORIA ST CM Suite/Unit:
APN: 42244241 Zoning:
Vicinity: Primary Occ:
Const Type: V -B SQ. FT: 499 Valuation: $70,000.00
SCOPE OF WORK: 499 SF SECOND STORY ADDITION INCLUDING MASTER BEDROOM, WALK-IN CLOSET, STAIRWELL IN GARAGE.
MECHANICAL: REPAIR ALT COOL/HEAT, 1 VENT FAN TO SINGLE DUCT. ELECTRICAL: 15 LIGHTING FIXTURES. 7 RECEPT. 8 SWITCHES.
PLUMBING: 1 SHOWER. 1 WATER CLOSET 2 WASH BASIN. 1 WATER PIPING.
REVISED 10-30-15: ADD 200 AMP PANEL UPGRADE.
OWNER:
KUHL ELIZABETH A & JAMES M
Building Fees:
$783.75
ST
Unit:
Mechanical Fees:
$44.45
Phone:
(949) 500-4487
City/State/Zip:
COSTA MESA, CA
APPLICANT:
JASON RICHART
Bldg Std Admin Fund
$3.00
ST
Unit:
:COSTA MESA, CA
Phone:
(949) 422-9191
City/State/zZip:
A-106
CONTRACTOR: ROBERT LEYVA CONSTRUCTION CO
License No.
825124
Phone:
714-323-5820
Address:
953 UNION AVEUnit:
Cell:
City/State:
COSTA MESA, CA
ARCHITECT:
ENGINEER:
COMBINATION PERMIT FEE SUMMARY
License No.
License No.
Building Plan Check:
$127.36
Building Fees:
$783.75
Electrical Fees:
$87.00
Mechanical Fees:
$44.45
Plumbing Fees:
$72.50
SMIP Residential:
$9.10
SMIP Commercial:
$0.00
Bldg Std Admin Fund
$3.00
TOTAL FEES:
$1,127.16
"Refer to fee receipts for all fees paid for project
Address: 925 VICTORIA
Address: 1041 W. 18TH
ZipCode 92627
PHONE:
PHONE:
HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010 - PER CMMC Sec. 13-279
Monday thru Friday - 7:00 am thru 7:00 pm. Saturdays- 9:00 am thru 6:00 pm. Prohibited all hours - Sundays and the following Federal holidays:
New Years Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day and Christmas Day