HomeMy WebLinkAbout314 CAMPBELL LN - Building Permitsy � .
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COSTA MESA BUILDING-SAFET PARTMENT 31'y ��PI��
P.O. BOX 1200 COSTA MESA, CALI ORNIA 92626
APPLICATlON FOR STRUCTIJRAL PERMIT
For Applicant to Fill in Completely — Use Ink Only
/� RECENED BV DATE RECENE� D�/A�7TIE,ISSUED/�
BUIIDING�I^� ��J ('�(.MA�i)�Y_i �nn ; �L�Qr D
ADDRESS� V
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OWNER Mariners $d'
MAIL
ADDRESS 1515 Westc
CITV Newport Beach
CON5TRUCTION
LENDER $dIIIQ d
BRANCH
ADDR ESS
ARCHITECT
OR ENGMEER Rc�V u; +
ADDRESS 77q 1 G7�. '
CONTfiACTOR WOodtY
ADORESS IAGS na�...,
As
TEL.
No. 642-4000
TEL.
cirr Costa Mesa N�� 646—:
STATE CITV
uc. No. 336725 uc. No.146i
SIZE Np.OF BLIXaS.
OF LOT {%dTlOUS NOW ON l0T
USE OF
EXISTING BLOG.
SeFarate permits are required for
electric, plumbing and heating work.
Vfl1l.3 � Y
= 6232 s4, ft.
Gar_ = 168D sa. ft
ADIDRE S �O � �
TRACT ZO14H
H FIRE
ZONE T E GROUP
APPROVED �
BV DATE I b./
20NE NO.Of USE OF NEW '
Z PIMLS�Z.- BUILDING �
i
VARDSAPPROVED VARDSAPPROVEO
MAIN BUILDIN6 ACCESSORV BUILDI
(FROMC/LSTREETp) �
RONi FT.�J FT.
� i a
I haraby eeknowleEpe that 1 have r�E this apPlieAtion antl state
that t�e ebove informatlon is correct antl aqree to comply wiM
all laws regulaiing builtling construction, antl I shell not employ
any perspn in violation of Me workman's compensation laws of
Me State of Californle.
I hareby certify that I am properly Iicensetl as a contractor untler
the Stete of Californte Business antl Protessions Cotle, Oivision 3,
Chapter 9, antl thai such licanses are in full force and effect, or I
am ezempt fro e (ovisions o the State alifornia Business
and Profession otl �pivision hapier 9.
Sipnaiure of �
Perm(ttee � �
Authotized Apent
OLSfANCE sET.
MAIN BLOCaS.
VAR. # �/
C.U.P. #"� �—%7 �.% 2
APPROVE�j�I/d �•
�vri�,
BEf. MAIN &
ACC�, BLD
DAIE
APPROVED i
IATETlO� � �
re���,, ; ..
THE AMOUNT SHOWN UNDER VALUATION IS FOR
TNE PURPOSE OF ESiAeLISHING A PEFiMIT FEE ONLV:
VALUATION PERMIT FEE E
� PLAN CHECK E 2
$ /�/) � TAX S
'� TOTALPAID S /��� /1, /
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COSTA MESA BUILDINGSAFETY DEPARTMENT ' '' ' ' : .
P.O. BO% 1200 CpSTA MESA, CALIFORNIA 92828 i! .. :. : . ,
APPLJCA770N FOR SfRUCNRAL PERMIT
For Applicant to F�11 in Compktely — Use ItJc Ody qECE1VED BV DATE RECEIVED
BUILDING
ADORESS
t .
PERMI7 NO.
OWNER A.P. NO.
MAIL ���
ADDRESS ADDREBS
TEL. TRAC7 �OT BLOCK
CI7V NO.
00/�6iRULTON
LENDER
BRANCH
OWNE
ADORESS
ARCH ITECT TE L. ��
E
RIRE
ADORESS � 20NE rv
AI►ROVBD
CONTRACTOR DATE
ADDRESS
TEL. ZONE N0.0F USE OF NEW
qTY NO. �� ���'
STATE CITY YARDS AVPNOVED YAROS APIROVED
LIC. NO. LIC. NO. MAIN BUILDINO ACCESSONY BUILDINO
SI2E pp � g�p� (FNOM 4L STREET)
OF LOT pqW ON LOT F
USE OF
E%ISTING BLO0.
Separate pertoiu aze required for
ekctric, plumbing and heaUng work. q�Aq FT. iT.
USE OF BUILDINO AND WORK TO BE PERFORMED p�,y�E BET� BET MNN a
N 8LOO6.
VNt f DATE
� C,Ul.t AP►ROVED
AI9110VED
I Mr�bY xknowlwq tlut I ��v� r�etl tl�h �p011enlon �ntl �on
that the eDou� IMorm�tlon I� cOAat� �n� qIN to COmP1Y wh11
WI lawa rpuletlnp bullClny wn.vuction. �n0 1�1u11 nm anpbY
�nV Wrun in violnion of e�e workm�n's eomp�n�eHon 1� M
tM SLu of C�IHornk.
I Mraby crcHy Met 1 un pro0aly Ilc�nrd r a conVactw urMn 8�' FT'
M� SLa M Cellfpnk Bu�Inau aM Giotmlon� CoA�, Dlri�lon 7, TME AMOUNT SNOWN UNDER VALUATION IS FOR
Cn�pur 8, �nd tnat wc� Ilan�e� u� In full fwc� �nA �ihc�, a 1 7/1E PUNPO6E OF 64TABL6MINO A iEiNWI PEE ONLY:
em ��empt from M� provlWn� ol M� Ste» of CslifOml� Budn�a VALUATION � MIT FEE �
�nd PrM�ulont Cotl�, OHhlon 9, C��pnr 9.
Sipnetun of � PLAN CMECK •
P�rmlttae i TAX i
Authori:tl Ap�nt TOTAL VAID {
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�non�ssaew�uw: 314 CAMPBELL LN
owNEasn""EiFq+""": ALLEN, DZCK P TR
�°�K 1847 PORT ABBEY PL
NEWPORT BEACH,CA 92660
AFiL. YNIRIG I�ODPE54:
AIiCXRECT OX FNtlNEEN: 11C. NO.:
JMH.OP ENG.'S /iWPE55:
UNT:
UNT:
cartn�cTarsruxe: ENTERPRZSE ELECTRIC (714)993-2330
carn�croxs�uimo 4201 E LA PALMA
o�ss ANAHEIM CA uaao.: 368033
92807 uxr:
UCENSED 0 NACTORS OECLANATON: I henW diim under pa�uly M pmjury Ihtl I un licaneed under pmuiaru d Cheqx D
(oommend 0 Ih Seclion ]OW) d Gviaion � W ihe Budmae eM PrNeeeian Cods, eM my licarue n in lull brca eM efled.
c z�75(, uy.cyss:�=1p uc.No.: 368033 EXP: 07/96
comreew:
0 NEP UEN DEC ATION: here tlfirm unEar panely d parWrv �hm I em ammq Irom iM Comredm Lkame Law /or iM
� � 1�1un 1031.5 Buansne end PMeeebne Cade: Am/ cry a oounry wAich npuirp a pe�mu �o ewnVucl. eka. Impow.
Mmols r rayei ury etrvnuro, prkx ro Aa eweMs, deo iepuim �he eppli�znt ta euch parmil to fib a eipnad Nalemam tM M ar ehe
licensed ounuani m the yoviviana d the ConVedon Limnee Lew �Chepter 8(mmme�np xdh Saabn )0pp) M Divqion 3 N iM
.minem eM Prdeaiona Cade� or Ihel he or �he ie uemq thxelrom end iha ba�ie tor Ne NlepeE eaemqian. My vbletion d SarJion
]ro1.5 by eny epp4un� fw a permG wbpea tAe eppli aru to e tivil peneAy d�M mas �hen IHs hundfed ddlen �5500�).
� I, es owmr d iM propeM m my empbyaee vAh wepea ea �hai eob mmpenae�ion, will Eo ihe v.ork. eM Ne atiuctun b iwl inieMeE
or oNered br aele (Seclbn )01<. Buainem vM Prolessione CoCa: T�e Contreaae liceme Lew doea ria epplyto en ownerd pmpary
who Wids ar inD�ea �hereon. uM Mu doea euch wwk IimmX or hanetl w Mraqh he a her own empbiem, pwidetl IhN ac�
improvemdW ere nd iniaMed o Wxed la ub. II. however. �he buJEirp a inpwemxq u�dtl wnhin aw Y� d mmqNion. Ihe
owrier�builder Mill heve �M WNm d pwieq M w ehe dk np puilC a impraro lar IM WR�e d aeb).
� 1, m owner d IM propeM. � exduaivNy mnireGYp wilh IicenaeE conVeciwn �o wnmrua iM pojen (Seqion 1014. Buainme uM
Profassms GOEe: Tln Corureeors liceme law Eo» M epply w en oxnar d propany who Wilds a impwn �Iweon aM who
wnvecta M wtl� peqeras vmh a mNredor(s) Iceroed pusueN to IM CaMrmae Liceroe law).
� I em exemp urder Section: B. 8 P.G, for Nis meaon:
Dete: Ownar.
I do hereby cMity Nel I em awara d eM uMersleM I�e requiremenn d CalRoma Vleellh eM Selary Cade Seqiona 25505, 2553J, eM
2553a, end ihm I a eny Mure Wikiiq orapent will / wdl nw (�'vck one) neeC to wmqy wYh miE etate ootlm enC IM reQuiremen� br
eparmuiwmvvuciionamodifimtianhanlheAr�ty —arepemeMD'ptrip.RetiEenialmiarwioneppfratipnenuempirantlma
a�.
oaa: Avd���
WONKEN'S COMPENSATION DECL�HATION: I Mraby al! uMx perehy d peijury one d Ne Idbx'vp Eetleraliom:
❑ I �eve vd xd meimen e cen'ilice�e d comm�t io eeH�inaure br workein' campametion, ea prmideE la Ey Seaian �)00 d t�a leEar
Cotle. lor tM perlwmerice o11M wrk In wh'rh �hia pamia u usued.
❑ i n� d,a w��m:,.,on��.• �o�m:.� me���... �am�e M see� am a in. i.e�, coe.. �, me waa� d ine
work la whitli I�ia perm� is iasued. MY �+'aken' oom0��� imurvice cenis en poliq number va:
c�a,:
Pdry Number
.ua secfion rreeC � be canpbtad / Ne pemrt u b wro hu dred oll Ool o Ma.
❑ I cenly Nm in �M peRwmence d iha w«k la which ihi mu amplay enY Ve� in vry menmr eo av lo
became wbjetl ta 1 e wo�lun' ompenselqn lexa ' E I e1puM bacome wbjetl Io iM hvM1ers
ca� ;rl� wo � y� s�ao d ine �mo. sn�i n py � uw.e .
Dete: Apqceni:
Weml�g: F�Yws sscuro waKsr�' mmpwuetlon crosnp� l� rbJect en smyloyr ro cAMns/ psne/tlu ena
c/vll flnw �p ro aro hinarsd tlwuanLCo/Mnlf1Pq000A In • roil o/compmuWn, Aem�psi �s provltlaAbr In
Sxtlon JlG6 0l fhe Lffior Catla, Infersit, end attomeY'+ �n�.
CONSTRUCTION LENDING AGENCY: I heraby etfi�m uMar pareM1y d perjiuy �Mt IMre b e mn9rudion bMvq epancy br Ne
�n«m� a ina woM i« .nd� mo w�+ a�a �saa� ws�. c�. c).
LENOER'S NAME:
LENDER'S RUDNESS:
I c�MI I heve� Ihia epplcaiion ud pma Ihet Ne aEove iMamelion e mrec. l pree to canply wnh ell ary vM mumy «dir�vicea
elexsreleim ioWikvpconstrucfnnerdMrebyeWwrrserepesanietivmd�hiatllyloen�eruponlheebove-mentianeCWopeM
w irepeUbn Nr
� JACK PIERCE
Dme: �/
Whue-BuJdiq 8 Sdqy Qreen-Fb: Gemry-Appirenl: Rnk-Ravenue: Gdden�oE-N�emar
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 074015
PERMIT NO: E 074015 PLAN CHECK NO; N GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: OTH
JOB DESCRIPTION : NEW ELECTRIC CIRCUIT FOR RANGE IN KITCHN SQ FT:
CLAIM VALUE: CALC—C'ALUE: GROUP OCC: R-3 /
COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT
�*x����**�*�*****�**x�*�*�r***�r***��+�rt�***xx�*�*����**�**���r*��r*�***�+�*****+��**��+�
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 IN FRNT; FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
PARKING REQ: PROV: PARCEL: 93913232 ZNE: REF NO:
PLANNING NOTES>
i
jF iE 1E 9E 3E iE iE iE iE If if 1E 1f 1k if if if !E if if 1E 1f iF 1E if 1E 1E iF 1E 1f 1E iE iE 1E if iE 1E 1E 1f 1E 1E iE iE if iE 1F 1E if 1E 1F iE 1E if if iE if iE if 1f iE if iE iE f(� If iE 1E iElE fE iE �)E 1f iE iE �f ff 3E 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 APPR6VED BY ,
BUILDING AFPROVED BY :
APPLICATION ISSUED BY:
iE if ih 1f iE i(� 1F 1E 1E 1E 1E iE iE If IE 1E IE 1E iE'IE 1E iE .!
LEGALZZATION:N F E E S U M M A R Y
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 3,00
SOt
PLAN
ISSUE FEE 15.00
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 3,00 15.00 0.00
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
ifi.00
DATE:
DATE:
STRUCTURAL SEGMENT:N
FIRE SMIP/RES GRADING
SMIP/NON—RES
TOTAL PAID DUE
18.00 18.00 .00
18.00 OVER/SHORT: .00
FIRE SMIP/TOT GRADING PLAN—CHECK
it if IF iE iE if it iE iE iE iE iE iE i(� iE iE iE 1E iE iE if 1E iF iE 1F iE iP iF 1E iE iE iF 9E �k iE iE 1E iE iE �)E iElE fE IE iE iE iE iE if 1E if iE 1f if it ik if iE iE fE fE iE iF iE iE if iE iE iE IE iF if iE iE iE iE 1E 3E iE
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
ELE 1 RES APPLIANCE NOT OVER 1.0 HP 3.00 3.00
END OF FEES
ut L�D159;9� ,:uI89;9II �'i:a�' 1S.�0
JATE: 1C.31.�?S Ti�iE: IO:ib
CONSTRUCTION ANDPLANNING P��� PA
` ' Date Inspector Date Inspe�tor,
APPflOVALS Permit # APPROVALS Permit # ,Y
.
1. Temporary Electrical Service or Po(g �; 52. Pool & Equipment Location � _ j`� �
p, Soil Pipe•Undrgrnd. � 53. Steel Reinforcement j` - '
3. Electrical Conduit Utility•Undrgred.� 54. Forms �'�
4. �lectrical Conduit�Undrgrnd. 55. Electrical Bond+ng ��
5. 5teel Reinforcement � 56. Rough Pfum6ing & Pressure Test
6. �lectr�cal UFER Grnd. ='� 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electricai Co�duit�Undrgrnd.
8, Foundation 59. Gas Pipe, O Undrgrnd ; Test
9. Water Pipe-Undrgrnd. 60. Backwash lines, P�Trap, O Undcgl'nd.
t0. Structural Floor SYstem 61. APPROVAL TO DECK '�''�
11, property Sewer Line & House Connection g2, Backwash & Rece,ptor-F,inzl',
72. Sewer Cap 63. Heater & Vent-Fina1
:
13. Roof Drains 64. Plumbing System - Final �
74. Rough Plumbing 65. Eiectrical�Final '�-'
15. Rough Electrical-Conduit - 66. Solar SYstem-Final
76. Rough Electric4Vving 67. Fencing & Access Approval /� �
77, pough Wiring Sign 68. APPROVED FOR PLASTERING ��
18, Fough Eleclrical�T Bar Ceiling fig, PpOUSPA SYSTEMS FINAI
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. fiough Factory Fireplace APPROVALS Permit,-+�
21. DuCts,in Strutture 70. Underground Hydro
22. Ducts, Ventilating , 71. Product Piping O Gas ❑ Oil
23. Gas P�pe•Rough & Test 72, Underqround Fi�ish
24. Roof Framin9 � 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead HYdro
26. 7�8ar Ceiling fStrutturap & Monocoat 75. Dry Chemical
27. Frame and Flashing - 76. Dry StandpiPe
28. Lathinq & Siding 77. FIXED SYSTEM FINAL
29. Insulation 7g. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAI fNSPECTtON �
32. Electrical Power Meter-Final 80. F00� CEFTIFICATE ISSUED
33. F�nai EIecV�c � 6�s�� Notes: �
34. Final Heating & Air Conditioning
35. Final Gas Pipe�Test
36. Hood or Canopy
37. Final Factory Fireplace •
38. Final Plumbing ' �
39. Wacer Service-Final
40. Gas Service-Final
q1, $olar pomestic•Final
42. Backflow Preventer
43. Backflow Irrigation
44. La�dscape Irripation SYstem ,
45. Sound Attenuation .
46. Nandicap Regulations
47. FINAL STRUCTUFE & BUILDING
48. FINAL PLANN�NG
49. Electrie Release to Edison
50. Gas Release to Southern California Gas Co
57. CERTIFICATE OP OCCUPANCY
No. Date