HomeMy WebLinkAbout886 CAPITAL ST - Building PermitsI�
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PNOJECT p0UHE5S:
OWNEWSNAME_ ' 8gb CAPITAL ST
aoowess:LJIGMORE, 'PIMOTHY F
WIGMORE EL,IZABETH A
` R86 CAPYTOL ST
COSTA MESA,CA 92627
ANCHIENGINEEF: flEG.NO.:
pDDflESS:
UNIT:
uNiT:
PEHMITTEE:
aooeess: T i 8 ft 6 hCAP I TAOA E ( 714 ) 6 31— 4 3 9 6
LICENSEO CONTFFCTOH9ECLAHATION: I hereby aflirm �hat I am licensed wderpoviso ��Ch D er 9(commencing wilh Section
7000) oi Division 3 o� the Business antl Pmfessmns Cotle. ana my license is in NII force antl e�fect.
CITY LIC.: STpTE LIC.: CU1SS:
�ate: Signa�ure:
WOflKEflS' WMPENSPTION UECIABATION: I hereby aliirm Nat I �ave a cenificale o� consen� Io seli�insure or a ceni�icaie of Workers'
Compensation Insurance. ar a certifietl copY �hereof �Seciion 3800. La�. C�.
POLICY NO.: E%P. OFTE:
COMPANY:
❑ Cerlilied copY is here�y �urnished. ❑ Certilietl copy is filed wilh ��e city Builtling �ivision.
Jale: AODlican�:
' E%fMPiION FROM WOflNEPS' COMPENSATION OECIAflATION: �This seqion need not �e compleletl il �he permi� is for ane huntlretl ($10�) or less).
I cer�tly Iha� in I�e pedormance o� the work lor which this permit,iy issue4l shall n� mplay any person in any manner so as to become
sub'Ieci lo the Workors' Compensalion Lews oi Califomia. �.
Date: ������� Signature: I���
NOTICE: Ii, afler making �his tleclaration. you should become sublec� m �he rkers' Compensa�ion pmvisions af �he La6or
Code. you muSl Iorthwilh compty wiih such pmvisions or this permit shall OeemeO revoketl.
CONSTNUC7ION LENUING AGENCY: I here�y alfirm ihat ihere is a consimction lentling agenry tor the DeAormance ot ihe work lor
wnic� Ihis permit is issue0 (Section 3097. Civ. C�.
LENDEfl:
FO�NE55:
OWNEfl BUILDEN OECIAHRTION: I hereGy affirm Ihat I am exempt fmm the Conlractors' State License law for the lollowing reason
(Seclion 703L5 6usiness antl Professional Code: Any ciry of county w�ich requiBs a permit Io con5tmci, alter, improve, tlemolish, or
repair any s�mcWre, pnor to its issuance, also requires �he applicant tor sucA permi� �o file a signetl sta�emen� �ha� helshe is licensetl
pursuam �o Ihe provisions ai �he Comractors' S�a�e License Law (Chapter 9(commencing wi�h Section 7W0) of Divlsion 3 of tha Businass
antl Pmlessions Cotle) or tha� helshe is exempl lherefrom antl I�e basis far Ihe alleged exemp�ion. Any violation o� Seclion 7031.5 by
any applicani �ar a permit sublec�s Ihe apPlican� �o a avil penalry o� no� more �han live huntlretl dollaB ($500�.
� I, as owner ol Ihe propetly or my employees with wage5 as Iheir sole compensa�ion, will do the wark, and the
simcture is na� inlende0 or o��ered �or sale (Section 7044, Busmess and Pmlessional Cotle'. T�e Contracmrs' S�ale License Law
does no� appry to an owner ol a pmperly who hui105 or impmves I�ereon, anJ who does such work himsel�/hersell or t�mug�
his Or �er own employee5, pmvia¢a Nai SUC� improvemenis are no� in�enJea or oftere0 for 5ale. I�, however �he bUilding Or
impmvemen� is sold wiihin one year ol completion, �he owner will have ihe burEen o� pmving he/she Aitl no� Uui10 or im0�ove
lorine purpose al sa@�.
I. as ownerot Ihe proDeriy, am exclusively conlracting with licensed conlraclor5 io conslmc� �he pwle�� (Section 7044, Business
❑ and Gm�essions CoOe: The Coniractors' Slale License Law tloes no� apply to an owner o� pmDe�y who builtls or improves lhereon
and wno contracis for such proiecis wi�h a conlractoqs)license pursuam to ihe Coniracmrs' State License Law6 � am aware
Ihal prool oi �heu Warker'S Compensatian insurance 5hou10 be pmvitletl lo me.
� I am exempl untler Section: B. 8 P. C. /-�
for ihis reason: � � � �
�/ / �/
Oale'. � �/u �� Owner', �% �f O -
I Oo hereby certdy Ihal I am aware o� and untlerslan0 ihe requiremen�s al Cah�omia Healih a afery Code Sectians 25505, 25533, and
25534 ana Ihai I or any W�ure building ocapanl will/will not (circle one) neeU Io comply wi�� itl sia�e coAes an0 �he requiremenl5lor a
permit lor conslmciion or modi�ica�ion Imm Ihe Nv Oualiry Management Dislrict. FeSiAeniial consimc�ion apPlica�ions are exempi �mm
IIICSE p�Ovi5i005.
�a�e: AOP�icanL
I hereby ceriitytha� I have reatl t�is apPlication antl 5taie Ihal�he aboveinbrmaiion is correcl. I agree �o comply with all city antl counly
ortlinancesanestatelavurelaiingto�uiltlingconsimclionandhe�aWhorizerepresen - 5qllhisciryioenterupon�heahove�menlioned
pmpetly Ipr insp¢LIiOn pu�pases. �
�ate: 7 �� � � / � Signalure: ���� �
�river 5 Lmense or Social Secunly ar ��
I6aL46 Wnite—Butldinq; Green—Cotle EntorcemenL Canary—Applicant: Plnk—Revenue: Goltlenmtl—Assessor
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT N0; H 061422 PLAN CHECR NO; N
CONSTRUCTION TYPE; PERMIT TYPE: STR
JOB DESCRZPTION : REkOOF W/COMP SHINGLES OVER EXISTING
PEkM NO; B Oii1422
GOVT; N SUPP; i�
PURPOSE; OTFI
SQ FT; ��''1, 200
CLAIM VALUE; 1,200,00 CALC—VALUE; 1,200.00 GROUP OCC; R=3 /M-2
COMMENTS; REROOF 1200SF kESID & GAkAGE W/COMP SHINGLES �
*��*�x***x��e*x�****�***�***+t*x*xx*#*x�#Q�***��r+ra���x����e�x�r*x p ���C 1
Z O N I N GS EkT�B AUCIKkSE M E N'T S �C o�
------------ MAIN BUILDING ---------- --------- ACCESSORY FiUiL'Ui1GG"I���--
FkNT: FT IN kEAH; FT IN FRNT; FT IN REAR: FT Ly
LEFT: FT IN RGHT; FT IN LEFT; FT IN kGHT; F'T I�
PAit3tIivG REQ• PROV: PARCEL: 42239113 ZNE; REr NO;
PLANNING NZ5TE5>
> : �
**���*�*****x��***���r�r*x��r��r�r��*��*�*x�r�tx��cxx�**�*�xx*x��r****�xx�*�c-�*�e.�•*�c�cx*x �x��r
D E V E L O P M E: N T S E R V I C E S R E Q U I k E M E� N�T S
7.UNING APPROVED BY DATE; '��.'
HUILDZNG APPkOVED BY ; DpTE;
li
APPLICATION ISSUED BY• DATE• �P>�
3f iE �]E iE iE if ik k 3E ik lE iE iE rt% IF 3F l! iE iE 3E rtiF iFTtlF it'X�i ii•�F7F �Tc�SFTt�F7F3F iFiFli'fFTr iF iF� ic3FiF3F iFRiF,F iE 3E �lE %�lE x- �F-YF iF fE it � x it, �-n� 3E #
iE iE iE iE iE iE IF !E k iE it iE if i(� 3f �f� �F �3P fE N- k%� iE i( N� 1f ik k� i(� iF K� iE 16 iE iE �( iE iF 3E%iE �(-if 3E iE iE 3E 3E )f iE iF �X� % k if if IF IF ff i@ iE *-M� �%iE iF i(- iF i(� jF ii� #F it #�%� %� iE jh ?E
LEGALI'LATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
BLDr PMT PLUMBING ELEC"PRZC MECHANIC FIRE SMIF�/RES GRADIiVG
PERMIT 29,00 � �'� 50
SMIP/NON—kE5
PLAN
rssuF FEE
BUILDING—DIV—>
TOTALS---->
PERMZT I55UE PLAN—CH$CK TOTAL PAID DUE
29,50 0',00 =: 0,00 29,50 ?.9.50 ,00
ikEVENUE DIVISION TOTALS--> COLd;ECTED.; 29,50 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
29,00 .50
itlFif-1f jF iElf 1E 1E lE if If 1h iE �%ik%iF 1ElE iE iE ih!(� 16 if -1( iF JF iE if i(� If 3f if 3Eih iE iE ik if %� i(� iE if if �iF%%iFiE iE iE iE X� �f iF �E lE 1(� if iE 1E 3f jF �!E iP if iF if )f iF 3F K� if -1f %� ii� �lE
2 N D I V I D U A i F E E H R E A K D O W N
TYPE �iTY L� E S C_ R I P 2' I d N • UNIT C�ST TOTAI� iOST
SFR 17.00 REROOF BY VALUE RESIDE:NTIAL Nf�ZUNE 1.00 1,?_00,00
END OF FEE.S'
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CONSTRUCTION ANDPLANNING
APPROVALS Permit #
1. Temporory Electrical Service or Pole
2. Soil Pipe•Undrgrnd. �
3, ElecVical Conduit Utility•Undr9rnd.
4. Etectrical Conduit-Undr9md. .
5. Steel Reinfo�cement
6. Electrical UFER Grnd.
7. Footings
8. Foundation �
9. Water Pipe-Undrgmd.
10. Structural Floor SYstem
11. Property Sewer Line & House Connection
12. Sewer Cap
73. Roof Drains
!4. Rough Plumbing
15. Rough Electrical-Conduit
76. Rough Electric Wiring
77. Rough Wiring Sign
18. Rough Elettrical�T Bar Ceiling
79. Rough Heating & Air Conditioning
20. Rough Factory Fireplace
21. Ducts, in Structure
22. Ducts, Ventilating
23. Gas Pipe•Rough & Test
24. Roof Framing
25. Roof Sheathing -
26. T-Bar Ceiling (Structureq & Monocoat
27. Frame and Flashing
28. Lathing & Siding
29. Insulation
30. Drywall Nailing
37. Plaster Brown Coat
32. Electrical Power MeterFlnal
33. Final Electric
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or CanopY
37. Final Factory fireplace
38. Final Plumbing
39. 4Vater Service�Final
4Q. Ga: Service-Final
41. Solar pomestic-Final
42. Backf4ow Preventer
43. Backflow Irrigation
44. Landscape Irrigation SYstem
A5. Sound Attenuation '
46. Handicap RegulaCions
47. FINAL STRUCTURE & BUPLDING
48. FINALPLANNING " �
49. Electric Release to Edison *j �
50. Gas Release to Southem California Gas G
51. CERTIFICATE OF O�CUPANCY
Jo. Oate ___ _.____
POOI �A
Dace Inspector APPROVALS Permit #
52. �Pooi & Epuipment Location
� 53.,Steel Reinforcement '
54. Forms �
� 55. Electrical Bonding �
56. Rough Plumbing & Pressure Test
57. APPROVALTOCOVER�GUNITE
58. Electrical Conduit�Undrgrnd.
" 59. Gas Pipe, O Undrgrnd., Test
6Q. 8ackwash Lines,P-Trap, O Undrgrnd.
61. APPROVAL TO DECK � .
� � 62. Backwash & Receptor-Finat '
63. Heater & Vent-Final �'
6A. Plumbing System - Fina! - �
65. Electrical-Final '
66. Solar System-Final
67. Fencing & Access ApProvai
68. APPROVEO FOR PLASTERING
69. POOL/SPASYSTEMSFI�AL
FIRF��DEPT.REQU�REMENT
APPROVALS Permit#
: .1
Date Inspector
l
70. Underground Hydro
71. Product Piping O Gas OOii
72. Underground Flush
73. Undergmd. Storaye Tank O Gas ❑ Oil
7A. Overhead Hydro
75. Dry Chemical
76. Dry Standpipe
77. FIXED SYSTEM FINAL
78. FIRE PREV. FINAL
HEALTH DEPT. REQUIREMENT
79. FINAL INSPECTION
80. FOOD CERTIFICATE ISSUED
Notes: w o�/1�`/ �� /�f/9%av t"`- 9
r'
S�GENERAL CONTRACTOR
�AP No.115-5 —�
INSPECTIONS
Service or
DESCRIPTION'
BUILDING PF.RMIT NO.
VALUE
SUBCONTRACTOR
- 2�_t 29
r�
COSTA MESA BUILDING-SAFETY DEPARTMEM
P.O. BOX 7200 COSTA ME9A� CALIFORNIA BZ820
For AppUmM fo F711 In ComploHly.
TYPE OR PRINT
su��iNa .
ADDREBY
COSTA MESA. CALIFORNIA
i . _ . I �
6 y�
LIC.TNO. 2 � %d N L ��M�
.s.�Ze..r / i' ✓ /n 9 ..r I �°:..°^ °.�°
ie�
�r O R6AR
i
6R RIOFiT
DESCWPf10N OF WORK
N5
F n L id,E C6
��
I HHR6lY ACKNOWLiOOi TXAT.I N�Y6 PG YHIO A�'I.IGTON
ANo BTAT6 TXAT iN[ ABOV�.19 CORq6CY AND AOR66 YO COtl-
PLY WITX ALL CITY ORDIfUNCC! AyD �TAii L�1M� IILYY�ATIXO
GUILOINO COHBTpUCT������
BIONATUR! OP �
PfiRM17T8�
wurHORizecwoirti ,.
x Vf.10 i} iti: `'' ::
7u��s-�-6��,�,5�00 025 99.0�
ArPLICATION FOR PERMfT
BUILDINa
for Offln Us� Only
R[C[I'-NO. �1
�Y DAT[11[C[IV[D W
er�••,,•_� %�" %�O`� owTe C� 1 - /o /
ZONING c r
O~ ✓� ,I H►LAN) � OUILDINO�/ �-'�
/� \ /�
L[OAL � A... ` (/�� �� �'u��
D[YCPIRION !l � �/" / BJLrr�
A. P. NO. �/�J � S� �,'— I /
N0T8: NOEAVEOVERNANOBHALL�8L688THAN
HO• TO HID6 Q RPJ1R p. 4
6AVB8
ALLOWBD �U.B.C.RBQUIRlM6NT7
YARDBAPPROVED VARD9APPROVHO
MAIN BUILDING ACCE880XY BUILDINO
VAR. # Y �+� I DAT6
o- •• , a
w
�
/S/� e,. �.. SoSG4 r� �
iX[ I140UM �MOWt� UMO6R VALUATION �8 POR THi �
PI1RPo8[ O� Yi11GLIGHINO A PPJiMIT P68 ONLY. �
VALUATION
PERMIT FE6 s ��� b � �
E
s �,p�,r�ji „ 33�_0o w
707itl.PEE � OD
OWNER ��T,p ,� ROBEH`L'
1.OB ADDRE55 886 Cau�
GENERAL CONTRACTOR �mi
AP No. 115-56�19 LOT�po
INSPECTIONS
SOIL
GAS
W ATER
FOUGH PLUMBING
PROP. SWR. LINE Q HOUSE CON.
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORPRV SERVICE OR POLE
UNOERGROUN� � POWER �
ROUGH WIRING
TRENCHES � FORMS � STEEL RE
FLOOR SVSTEM
BOND BEAM [� STEEL REINFOF�E [
SHEATHING
FRAME AN� FLASMING
LATHING - IN n OUT ❑
PLASTER, BROWN COAT
STRUCTURAL, FINAL
NEATING, VENT.� REFRIG. ANO A.P. FII
PLUMBING, FINAL AND GAS TEST ��
ELECTRIC, FINAL
DATE 4_u_(g _
BUILDING PERMIT N0. 2 1
K o�....v ia.,��
SUBCONTRACTOR
_ : 28441
COSTA MESA BUILDING-SAFETY DEPARTMEM
P.O. BOX 1200 COSTA MESA� CALIFORNIA 9202!
For ApplleaM }o Ffll In ComplMoly
TYPE OR PRINT
OUILOINO
ADOREBG
COSTA MESA. CALIFORNIA
1.� � _ _L !/ l7 ! 1.
wrecH�reer
i
DESCRIPTION OF WORK
BUILDINO
�
��
775' nF �' FFarE'
1 XCR6oY ACKNOWLiDO[ TXAT.1 N�V6 11iI�D YMI� APILIGTON
ANO BTAT6 TXAT TM[ ApOV[.19 CORR6G7 ANO AOR66 YO COY-
PLY W�in ��L CIT' OROINANCi! 11ry0 �TAi[ L11MI� 11[OYL11TM0
euuoixo conernurnoq. _. . ,
� AU7MORIZ6DAO2NL
APR t,1=68P�00 673 0**�**3.00
APP,LICATION FOR PERMR
BUILDIN6
For Off(co Us� Only
11[C[IR No. I �i
ZONIN(i
A.P.NO. //S—
NOTE: NO EAVE OVERH
DO• TO 81DH 3 REAR P.
EAYEB
ALLOWHD
YARDEAPPROVEO
MAIN BUILDINO
f FROM C/L fTR6lTJ.,
�nonr d rr, r�
R.�Y�CR 7 IT.
i/
L. BIDt � FT.T /
R� I " �'"
c�srwNee e¢r.
MAIN BLDOY.
VAR.#
_�`/ � � /
0
BHALL DH Ll88 THAN
(U.B,G,REOUIREM8NT1
YARDHAPPROVBD
ACC6880RY BUILDINO
rr.
�.
S � . �
����
�.
eer. M��N e
ACCE63. BLDOB.
DATB
MPROVBD
owTe �i — I I — (o �
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ro
�.
ea. Fr. �
TX[ AXOUHT �XOW1( YND6R VALUATION 19 POR TH[ �
M1RPO6i OI �BTApLI8XIN0 A PHPMIT Pi[ ONLY. �
VALUATION p
� PBRMITFE6 �� �
D�� w°
�QWNER GURITZ. ROSERT H. DATE ii-2o-67
o. 115-564-19 LOT 5F� TRACT FF FIRE ZONE
Gn�
WATER
ROUGH PLUMBING
PROP. SWR. LINE Q HOUSE CON. [
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONI
TEMPORARY SE0.VICE OR POLE
UNDERGROUN� � POWER �
ROUGH WIRING
TRENCNES � FORMS � STEEL
FLOOR SVSTEM
BONO BEAM n STEEL REINFORC
SHEATNING
F0.AME ANO FLASHING
LATHING - IN n OUT �
PLASTER,BROWN COAT
STRUCTURAL, FINAL
H' 'G, VENT., REFRIG. ANO A.C.,
P. iNG, FINAL ANO GAS TEST C
BUILDIN� PERMIT N0.
SUBCONTRACTOR
` 278�0
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BO% iZ00 � COSTA ME6A. CALIFORNIA 92626
For Applicanf fo FIII In Completely
. TYPE OR PRINT
8�AT8
LIC. Ni
SIZE
COSTA MESA, CALIFORNIA
� .-,-� ..
TBL
NO.
DESCRIPTIOtd OF WORK
BUILDINO
SIZE
EXTERIOR WALL
COVERIN6
UBHOF UILDIFI
�w/U4
,'�'�'ivCr .rf /i�iS�
1 HEREBY ACKNOWL[00H TM I NI1V8 RGD T118 APPLIGTON
AN� 6TATH THAT TN8 ApOVB I� COpRlCT�AND AOR86 TO COM•
PLY WiTH ALL CITY OpDINANCO AND KAT6 IAWt RIOYtATIXY
BUILUINO CON9iRUGlION. / J /��
c�r•vwr.rsc..s � /l l rr-a� W .?�
� wurnorttzen wcerrr
NOY 20-67�x�00 896 �***�+3.00
APPLICATION FOR PERMIT
BUILDING
f0� Ofilce Use Only
n[cc�rt no. I n
C
ZONING
zoy[� I no. o� uca o� nsw
tK �uN� �/ OYILDINO
kE9�:,....,.. (i a R L s"t S—Zc
f `�--.�—
sHw�� ee �esa rH�H
YARDHAPPROVlD , I YARCSAPPROV6D
MAIN BUILDINO ACCH880RY BUILDIN6
i/
owre
- . �g� r ' - � • W
0y1
3
�
ea. Rr. o
TX8 ANOYNT BXOWN UNDBR VALUATON 18 POq TH8 � j
PUqP098 OP 68TABLIBXINO • PERMIi P88 ONLY. j
VALUATION �
� � � PERMIT FEE � p
3 °
� w
TOTAL FEE $ �