HomeMy WebLinkAbout271 CAMELLIA LN - Building PermitswonEssavew�ara c i
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MCNRECT OP FINiNFER:
MCH OP ENd'S AOqiE53:
I�f:l
uNr. CITY GF COSTA MESA — BUILDING PEAMIT
PERMIT NO; P 085220 PLAN CHECIt NO: N
CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU
L1G N0:
UNf:
caemacrarswu� NOCK PLUMBING (?141895-1246
CO�APACTORSYYI➢!0 11612 KNOTT ST
�� GARDEN GROVE 92B41 CA ucw.: 707�17
uNr:
110EN5EU COMflsA�CTOPS DECLRflATION: I Mreby aFim ,u�Max panely d pa��ry tlal I em licensetl under pravio�ne dq,Cheqm 9
��ma�re..na7�3��a�u�cuss:&C��36r��a�c �%%Y%�n�EX�P� VL/98
CRY I� NO.: I�C'NO`�� � �
/� O /G �' `
,: ����:
0 IIILDEF DECIAFaT10N: I hmeby elfiim urder panely d parjury �het I em axemq /mn �ha Conlrxtas Liceme Lew la Iha
�awvnre ree.m (seebn �os� s eus:rese e�d a.waeslone coae: nnv cir a ooumr wnie� rewuae e romie �o muwn. ener.'unwm+.
�emdivh, a ropei eny eM1ud�re, prior io in osuenca, alao reQwrm �he eppl'renl la wch permil to fib e dpmd ebtemeM thet M a oM
Icanaed W�+� to iM Proruione d Na Coniredora Li�mea Lew IChepter 9(�mmendrp xilh Sedion ]000) d Di�rsian 9 W �M
�9urneas enE Prolessions Code� a �hel M a ehe e examq ihnelmm enE the buia ta ths dbped ezemqion. Nry violmion d Sedion
]03t.5 by ary epplirant I« e permil subjeds �he epplcent �o e anl penelly d nd mae ihen irve huMnE EWWa �SSOOp.
❑ I,avownerdtMpeopanyormyempbyaeewlhwepeaas�ha'eedammpa'umion,WldolMwak,eMtheavueture'vratieusMW
« Wered lor seb (�� 10a4. Buarev arM Pea/aesiona Cade: The Gontrepan lioenee Lew Eaee mt epply loen owrord papMy
wM WiM a improvea ihereon, end Mw Eoes suM w�ak IYmaell a MnM a Mraph hu or her wm ompbyeas, pwided �het wch
impmvamems are mt inbMed or dlered la seb. M. Iawavar.IM WikinO a'vnpavement a eatl wuhin pie yaar M cpnpletun. tM
narbuiker will heve IM WrEm d po+irq he or eM d'd � build w improve la iM WT�s d eeb).
❑ I. m ownar d iha MWaM. em uCusrvaN ewNredYq wilh licemed eonheclas io canmrud Ne pqea (Smun 1M�. Buaiiwe anE
Pmfeaiaru Cade: The Comrmon Lironx Lew daee nd epply �o en ownar d piopMy v.1w Wilda a imqovee thereon end wM
wnlrecb M sWi prqMa Mh e mnireaor�e) IcenseE punuaM to iM Convmwa Limnse Law).
� I am axemq uMa SxMbn: B. E P.C.,1« thu �eeeon:
Dme: Owner:
i eo n,reny �an�h ina i� a.� a�d Md.B�d,a ma ,.a���m.�g d c�ao� �an.�d smmr code see�. usos, zssaa. �e
2553C. eed Mel I a enY �uro buikirp oaupenl will / wYl nM (timb ma) �� lo eanply vM� feN e�ets mEee eM tM requiramems tar
e Da�mn IwmaVuctian a modifiraiionhwnthe Rr�anepemeM Dimnd. Residentid oon�rudun eVD�iaroan vemP�ham Nwe
w�,.
Dete: �oo�' ��:
WOflKEp'S COMPENS�TION DECLARATION: I MnEy etfirtn undar penMy M parryrv ���he Idlawiiq dedve�iwp:
❑ � neva e�w wi1 meime:i a cenrcme d m�.em �o.dr;nwre m..orken como«ieetion. m o�orieee r« M Seaion aloo a tne lenar
coee. �« ine v�ormenoe m ue x«k �w wNcn �nu o�e ie ia.ued.
�] I Mw eM wil meinlein waMen' compenaeton iruuruxa. m�apuirad by $epbn 3)00 ot �ha Lebor Cotls. br tM peAormence W IM
wak �« whkh mia qrmu is iseued. My wakeis'�yq���ure�ac�aoe pdi�y number ero: EXP I RES �
Pd Number: L L 09/01l98
' lmrs �nrm �e.e �w na c�dared r rM o�a is ro. me nune�ee em�e�s Isiaul w�,.�
/� i'mnry mm in me oe�orme�ce a me wan� �w �.�non �nis o�+n n ewee, i.nen m.mpw �r w�+ �.m m.��e..o o io
�om �ubjed ia tM workere' eanpeeuetion lewe d Calilanie. end epree ihet iF-I�ehouk beeome euEjwf b IM xoMn'
o� wo���yrs«rqp3�oo w ina �u« ca>, i anmi mnryr� �wr �� ��p» w��+.. �
W/TI : FINYT M l/CI�/IWO/k�l/1'roI11pNY1t1011 CW///pI IlW1�IW/Yl� III(/!�1lldl�/CE N MIpIOJM f0 CI�II�M�/JM/rop III�
clhl up ro m� huitlrM tlwus�rM tloll�n (SfOq00p), M xpltlon ro tli� cwl ol ronpxwfbri, tlamepo �+provlCW br In
on 3105 0l fhs le6or Coh, IMen�t, enL attomey'� Iw.
LONSiHUCTON LENDINO AOENCY: I Mroby atfi�m uMer peneMy d perjury thm tMn u e mnst�utlbn bMiep s�emry M Ihe
�no�� a ma .oa ro, wn�m �w vmm� +• n•�d (saaoo aow. cw. c).
LENDEfl'S NpME:
LENUER'S10DHE%:
1 cehiN �� I �eve reeE Ihis epdbe�im eM mme Ihel Ne eDova Inimnetion ie oorted. I pree io wmpN �h ell ary enE caumy ad'u�mac
eM ateie lewa mlmme ta buildine conmritlbn and heraM eulhorae reG�ntmivee d inu irly lo emer uG� the abwa.rteMioned O�DaM
r°' �"s°°"'°" v°`°°'°'. RON NOCK
�m �) . o�,: l `l i
S�IBne�um W Owmn anUA YranVC� nlre r
(5151-96.WP) WhnsBuild'uq 8 Sefety: �raeMFle; Cenery-AppFrsni; Rnk-Heven�e; OOIEenroo-Nnamr
JOB DESCRIPTION : DZSHWASHER CHANGE OUT
CLAIM VALUE: CALC—VALUE:
�7-ono
PERM NO: P Ofi522
GOVT; N SOFP: N
PC1RPOuE.: G'TH
SQ FT; .
GROUP OCC: R-3 i
COMMENTS: NO OTHEIi WORK ASSOCIATED WITH 2HI5 PERMIT
**�r�c�c�r�r�r******��a�*�**�c�c***�cx �*��***�r*�c*�*rcr��zxx�r�*��*r��c�c�r**��c+�**�*****��a�**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 BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT TN FRNT: FT IN AEAR: FT IN
LEFT: FT IN AGHT: FT IN LEFT: FT IN AGHT: FT IN
PARKING REQ: PRUV: PAACEL: 42615205 ZNE: REF NO:
PLANNING NOTES>
�
if 1f iF'1f±k 1f if iF fFiF M 9! i!!f iF �F �k iF i! if i!'1f iFlf M if ik k ik 3f iki! iF if if if if i! iF i! k iF iF IFiF M ik if if k iEil� if i! it ik'k �if 3F 3F 3FiF iF iF'1F iF if 1F iF'1F iF if M 1F i! iF iF iF'ri�
D E V E L O P M E N T S E R V I C E S R E Q U T R E M E N`l S
ZONING APPROVED BY
HUILDING APPROVED BY
LEGALIZATION;N F E E 6 U�! H A R Y
BLDG PMT PLUMHZNG ELECTRIC MECHANIC
PERMIT 8,75
25Y
PLAN
ISSUE FEE 22,00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 8.75 22.00 0,00
REVEiJUE DIVISION TOTALS--> COLLECTED:
BLDG PNT PLUMBING ELECTRIC MECHANZC
30,75
_ LATE:
LATE; c
�F�F�;� � �rD * * * � �t�* i�
STRUCTURAL SEi;MEN'T;N
FIRE SMIP/R�:S GRADING
SMIF+/NON—RES
TOTAL FAIL DUE
30,75 30.75 ,00
30,75 OVER/SHORT; .00
FIRE SMTP/TOT GRALING PLAN—CHECFi
iFiF±F iF iF if k 3f iFM iF if if 3F iF �FiF iF it if iF �t if 3F iF iF iF if it iF iF iF iF iF if iF iF iF iF iE iF iF if iF if if iF iF ik #iF iF if iFiF iE iF iE iE 3F iF iF 3P9F iE 9E iF iE iFit if iF ik iF ii 9i iF ak iF
I N D I V I D U A L F E E H R E A K D G W N
T` QTY L E S C R I P T I O N UNZ'P COST 'TUTAL CUST
PLU 1 DISHWASHER 8,75 8.75
END OF FEES
EX.�o ���
DATE�—�'�
18-16-1997/82:81 DM/f30.75
RCPTN:81—B813978
PERMIT:085220
CONSTRUCTION AND PCANNING - ", POOL e SBA -
°� ' Date Inspector Y� �� Date Inspector
APPROVALS Permit# ~APPROVALS Permit-�k ,
t. Temporary E�ectrical Service or Pole �' � 52: Pool & Equipmeni Locatlon � _
2. Soil Pipe�Undrgind. '� 53. Steel Reinforcement� � .. ,
:�:: � ,
�r;3. €lectrical Condpit+ ilitY-Undrgrnd.. 54. Forms � , �j
� _� 4� Eiearical Con�SiT��ridrgrnd. � . - 55. Electrical �Bonding - .r � .
, •��.:�teel Reinforavjje,rit � ' - -56. RougFi Plumbin9 & Pressura Test� � �� . �
�. �'=Electrical UFC�`B'r:nd. � • . � 57. APPROVAL TO COVER�GUNtTE
:n t, i-��
� 'y �+„ �l - 'c �,
, :�;j�,�ootings ; i,� . � 58. Electrical Con ;�-Undrgmd. � �
i .
��� foundarion �- '� �a - 59. Gas Pipe, O Updrgrnd.; Test
�r ,n.
9. Water Pipe-Undrgrndw �, . 60. Backv�ash Line ;��Trap, G Undrgrnd. .
10. Structural Floor System •_ � � 61. APPROVAL T�9%+�ECK • � �
� 11. Property Sewer Lin,�& Hou�Connection� - � 62. Backwash &-Rqr',.�,e'ptor-Final � - �
12. Sewer Cap j� �� .� 63. Heater & Vent-Final . �
73. Roo( Drains . `'' ' 64. Plumbing SYstem � Finaf �
14. Rough Plumbing .;r, � _ = � �65. Electrical-Final � � . '
75. RoughElec(ri�i-C6Aduii�'�T� -. _ � � 66. Solar�Svstem-F�r�l � •
16. Rough Electric'{Nirlfig� �,� �� � 67, Fencing & Accxss✓-Approval�. ' . � �
77. Rough Wiring Sgn �� J�� .- �;6$, APPftOVED F�'R PLASTERING ' � '
18. Rough Electric`}�-T Bar Ceiling � � " ' �- � ' -69. POOLISPA SYSc�A�9S FINAL � ` � ' �
` 19. ftou9h Neating ffi Ai'r�ConditSoning ` � � - ' � - �- `'k`Y �" -�-'FrRE�EPT.�REQU4R��tVIE�1T �� � � �
20!� o h F ct � ^�place 1'�1�, �t'7 w �� :J ." F�*7 API�O � P mit � '" •y I
� � � `� �. i s;,� ..�: r s �.� T.� .� �b��. ,� #�-i-�-
21. ucis, ir[Scr�cu-e � 1 r•• HS K S�7 r+ K;� 70 �Undc�74�F�Ghd ��vdro k
22. Au , V.�nt� ti " � ��:5 :F ;S 7.K vi �*' � �T1�F i-,
.S � � � ,� �:M. i �� :K h y i, ^.r �y 71. Prodq�tf�i�ing LLyGas :t� 0il
23 �.va5-8ip o�h & jest i �r.S �K ;:; �¢ �� K i� 72. Undergt�im�h 'r t�
�.
24.^-Hoei Fr�ininq ��k � r�l� � .E' :' �� � �� �S �{ Under Y d.St4 "�eTan� OGas J�il
H •�T) K ;> X H.K .. `�' 9 � 1�� 4`
25. Rog� Sh�ething �:.-r �_ ✓ .r �� '- ,j N:�= � 7d. Overhead Hycfin �«
26.�f�83t Ceiling fStfUctural) &� coat � '9 '= !��k Dr Ch icai �y '�` "'' �� �7
x� 1s"� x o r �.r �• v e�n' N� x �..
27 ;,�rame as±d Flash;gg� r� ^x :K f^ 'N ib�e 76. Dry Stafictpipe��x7�� ��. � t�
�_._ a �- �.i �r �
26.�Laf6ing�4 Sidin'k k r� "'1 « � k:E ,..'= -}7} FIXEO YST�P�Ft N° C
�.1 �7!^!-, :K k "�' � t�l.,,.tt �.�ti �"1 N
29. Insulati�3 i S.. .. 1� .x a �.� :> �;n
_ c-(� �S: _� 7�. FIRE�PREV. F� L
' 30. Orywall��ailinc `��' � 'k R ^ �'� •��MEAL't�i DEP'P'i9t"dUIREMENT
� : i.• :K k ,S4-ttl qN:.� �, a
' 'k f5 F M (
31. Plaster �ro�vniCq:;�K S �!r;r .� n,r 7�. FINAL;t�tSPEC ON .t J
... _.: �^..
32!%Electric�Pd�er MeRz7F�nal� ��'v '_' •n &¢. FOOD CERTIF?�'CATE �S,�iJE�D
� . i:
�,.�' r� i rJ �� � �7' •: t*; K i�1 ;' " .
33:�in� El�tri6, .k �*7 . 2 .r Y. ��otes: y +71r, �x ^7 Q M
� 34,"Fin� Heatin�& AirSComeitidn$1¢ i, ��k � � �R :S �lf" �r :S i7
�'� t "+ h N I F+� K
35��inaiGa�Pip��Te�t�:�r �; k,� ��.�� '�:� �N K ;i.,
' - a � -�1 , i3
36. Nood or Canopy:x c : ; �` • r = a .k •� � � ;E .s_ ,�:� :� i^ •
�.. k ' r�T :�l 4' In :C�] K �Ti i'!
{ 37.'�in� Factor Fir �' � �'� '� '�' � I ( �� . ' �
d. Y �P�ace:,C 1�;-� k � R :r N
i. . . . � � '-^ ' - _
a 38. Finet Plumbing m�.� ��t.t � _ �r � � (". •� c � :; ,r .
� � i- iti iz .x
39. Wat"el Service-Fi I� ° ��° +- K � �J�r �e �s. .
�.K E 1 .A 9-. � K::� p r
�-� 40. Gas Service�Finaf x i.-, �+r�r ;g .i n7 �: �7 ��r V .• .~
.,�� il�� � ,.n "
41. Sotar OomestiaFin215 ��' " '�'� r ^:� �' "
K I� R y t IT• HRJ T .Y .'C �J
♦ i'� 1�
42."Backfiow Preventer�. �; �x t �� '>;- f'7 i�
in �'1
� -�43. Backflow irr43ationK �S;S � • �k ��� .r. �_ � :a� ,
,r .r. ,: 'K .V i �-�
� .;q4. Landscaebe IrJ�iGatio� Systertc7�r;,j !� .f ,r, i_ n •.��K r„ �u �J �.;, :< � cv �v ,
- ' ' ...._ �. p i , -,�r c !-, .
+ 'F45.;.�'.,ound Ajte'r�ationR ';;: F. 'z� F E '� �_ ».N y � � ,"�� �F � z
_ � � �I� Q . �ti:'�,1 a
T
� =46.`�iandicap'.Regulatio{is �.'. '� �x � � �K :� �C S �7iv S �� '. � , �
- '1 !l L �a
- 47,'.31t�A� STR9CTURE & BU�DING X r � �� '� i _ " :_.
r?.
' 48'. � IN"A� PLA�f�N WG4 s •'�.+ ' s �_, .� _ � " ;.,� `
�; ..
=49'.':Eleecric Releese [o Edison t r �Ir, :-- i a -�
I F ! k � tv � tl k _
~ � r. �
',�0. �Gas_Release to 5out�ern Caliiacr�ia Gas Co K i ��a � �-� �;, • o�r s �� • ;' �,�
c r� „
�51� CEf�TIFICATE OF�OCCUPAN�CY - , �, �n,�� r ,.. .
No.- Date `� �
�
OWNER DIKE 8c COLF.GROVE � DATE 1?_�_�i5
JOBADDRESS Z%�. C2IDellla L3L10 BUILDINGPERMITNO. Z�.ZB
GENERALCONTRACTOR l�ike R- CoIP.dPova VAWE $(j�K(�n On
LOT 13 BLOCK TRACT 2[62 Residence &{%arape
GROUP I� �T TVPE V ZONE RL� FIRE DISTRICT �].�j
PERMITSISSUED
INSPECTIONS ^ '/ DATE SUBCONTRACTOR DATE I NUM6ER
/
Foundation Forms and Grade to
Wirina. Rouah ��`� /�J�.JI — JC� I i�, �..-.J.,._.e..� I i_
St.
Septic Tank or
Lathinq,ln
Final, Fixtures
Fin.al Gas Test
Z-
Occupancy G(�(jj�'j/ � _
Form'L10 GH 15001-55
.
�
�
.. rCosta Mesa Bni ding Department
� ��r�J 171 EAST 20th STREET �j
II ��= COSTA ME&A� CALIFORNIA rG
� FOR APPLICANT TO P'II.L IN �
COStB, Me$8,, C&L'fOrL18.
21st St. & Oranee Ave.
owner Dike and Cole�
Mail
nddress L19 E. 17th St
� Address GaxYlen Grove
City
� Contractor D1ke & Coleorove No.
Address L.19 E. 17th St.. Cost�
New
APPLICATION FOR P �
BU .D NG
FOR OFFICE USE ONLY
I � Receipt No. Permit No.
� /�?. J
xlved by Date Rec'd. Date Issued
�"�� -: I ��' / '_ S �� /�? -�?•'.S
Address
Costa Mesa, California
Metes and Bounds)
No. of Bldgs.
.o! $2 � X ]_� Now on Lot none
No.of No.of
Bldg. riOriO Familiesl Rooms - —
Linefrom RearYard 2 � �
T Street S0� Sidn VaM o l I 1.5
Builtling No. of
size 1151 Sq. ftAooms � Stories 1
Exterlor Wall I Rnof
I hereby acknowledge ihat I have read this Application
and state that the above is rnrrect and agree to rnmply
with all City Ordinances and State Iaws regulating
building construction.
Signatureof
Permitlee � P, a le •ove
Authorized Agt. (.� �.
Valuation Permit Fee $ �c2 • D"0 .
Plan Check $ �•�
� 8500.00 rota�
,\ Fee $ �5 i � .
\'ORbI 204 S-BP 2M 8-55 .
NAL
Date
APPROVALS
[fon Location Inspecto
s, Materials,
•-Pinning
Fire Stops,
I��