HomeMy WebLinkAbout1169 BOISE WAY - Building Permits PROJECT ADDRESS: 1169 BOISE WY UNIT' CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 062454
' OWNER'S NAME:STEVENS JOHN H
ADDRESS: 1169 BOISE WAY PERMIT NO: B 062454 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA,CA 92626
CONSTRUCTION TYPE; 5—N PERMIT TYPE: STR PURPOSE: ALT
979-9168
ARCHIENGINEER: REG.NO.: JOB DESCRIPTION : T/O EXIST 6 REROOF W/CAL SHAKE SQ FT; 11 , 975
ADDRESS: UNIT:
CLAIM VALUE; 11,975 . 00 CALC—VALUE: 11 ,975. 00 GROUP OCC: R-3 /M-1
•
PERMITTEE'PERFECT COVER ROOFING ( 714 )434-1566
ADDRESS: 3303 HARBOR BL D-5 COMMENTS: SMOKE DETECTORS REQUIRED PER 91 UBC REROOF 32005 rR �6 �y
COSTA MESA CA 92626 �E�r*****+E*+r****�E�r�E�E�E****�E+E�E�r�r*Rr�E�E�E�E�P�E�P********ir�E; ****�E****** ' * f °L VEGIOR
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
7000(of Division 3 0l the Business and Professions Code, and 'cense is in full force and effect. SETBACKS FiEM
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CITY LIC.:054 55 STATELIC_622516 Cuss:C-�
Date: / CSignature:_ MAIN BUILDING ACCESSORY BUILDING
WORKER OMMENSATION
DECLARATION: I hereby affi I at l have aceritic e of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
POLICYD0.:1263623-92 EXP. DATE: 07/01 /93
COMPANY:STATE FUND PARKING REQ: PROV: PARCEL: 14169149 ZNE: REF NO:
❑ Certified copy is hereby furnished. J Certified copy is fil . the city B Min ivision. PLANNING NOTES> _ .
1� >-,—
Date' APPlicant: iiir FJ( **************4****************************************************************
EXEMP ION FROM WORKERS'COMPENSATION DECLARATION: ( FS section need n e completed if the permit is for one hundred($100)or less). D E V,E•L O P M E N T SERVICES REQUIREMENTS
I certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become
subject to the Workers'Compensation Laws of California. ZONING APPROVED.BY DATE;
Date' Signature:
NOTICE:If,alter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE;
Code.you must torlhwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: hereby affirm that there is a construction lending agency for the performance of the work for ADPL KATION ISSUED BY• 5 DATE; 3 1
which this permit is issued(Section 3097.Civ.C). ***.{P**.*.*******.*******{P**************.7E****.IF *.*****.******.***{p******.*.)i. *** * ****
LENDER: *******************************************************************************
ADDRESS: I LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason • BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 135. 00 1 20
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 al the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business -. ft SMIP/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN / I^,r
•
any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars($500). ISSUE FEE t _r
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN:—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 136 . 20 0. 00 (/.- "/ 0. 00 136. 20 136. 20 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his ro herm owntisemployees. providedear of
mph ion.the owner ms are notthede offeredofprfor she/. a id not band oipREVENUE DIVISION TOTALS--> COLLECTED: 13 6. 20 OVER/SHORT• 00
his or hof smp vyees,pre year th t such limp oveentwillehave intended the burden fffor
he/she ho not build or improvegor
for the purpose of sale) BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 135. 00 .ti 1 1 . 20
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon I / `f
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware **********************************,**{ ******************************************
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAI L;F E E BREAKDOWN
o I am exempt under Section: B.&P.C. l 4
for this reason: TYPE QTY D E S C R T__P r=-.O N UNIT COST TOTAL COST
Date: Owner SPR 11975 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 11 , 975 . 00
I do hereby certify tnat I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and •Fi END OF FEES
25534 and that I at any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a e e.
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from " — !'' '
these provisions, I r
EXPIRED
Date: Applicant:
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county �y Piste IR$pQ�iEpOS
ordinancesperty and state laws reposes la building construction and hereby thorize representatives of this by upon the above-mentioned /A'
properly Ipr inspection purposes. Oett
Sige,___ . ,S''
y Date: oSignature: 01 00140350-0 40351 TOT 136.20
Driver's License ar Social Security+: gg T DATE: 06/03/93 ME: 10:19
&i.
1641.46 White—Building:Green—Code Enforcement:Canary—Applicant;Pink—Revenue:Goldenrod—Assessor
t .
i ✓•
CONSTRUCTION AND PLANNING
r,../OL & SPA
APPROVALS Permit _ Date Inspector APPROVALS Permit# Date Inspector
!1
1. Temporary Electrical Servjc-or Pole.,: v.. 52. Pool & Equipment Location
4...- ' „�-. ,j
2. Soil Pipe-Undra;ndc '' : ' v 53. Steel Reinforcement
3-•-Etectrreal Cond1ira-Ufitity•Undrgrnd4 .. 54. Forms
r - - •'.-•.oma . .. .- y.;
r'14t,,61ictritpl Con4vitUhdrgrnd. . •-
55. Electrical Bonding
G
c,
5rrSieel Reinforcemctr �,- +- - 56. Rough Plumbing & Pressure Test n
It
- • •r ;
•-'V. 'Electrical OF Ea.-Ord. `' 57. APPROVAL TO COVER-GUNITE c
•'.Rings r 58. Electrical Conduit-Undrgrnd. at J
_
181. Foundation S`+ ` 59. Gas Pipe, 0 Undrgrnd.,Test . '0'c
9. Water Pipe-Undrgrnd. • . . !,• • 60. Backwash Lines, P-Trap, 0 Undrgrnd.
I
10. Styuctural Flo*System f 61. APPROVAL TO DECK i
11. Property Sewer Lir?& House Conrjction '} 62. Backwash & Receptor-Final
12. Sewer Cap ^ q.� tt i ,' `,In- 63. Heater & Vent-Final
13. Roof Drains .� �; - 64. Plumbing System - Final 'i'•t
n
14. Rough Plumbing 7 65. Electrical-Final • 1
,
15. Rough Electri( 6Conduit 66. Solar System-Final •
16. Rough ElectriGViring 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 •rte' x r7 s <. * _2 t FI tt I T. g-EQUIR%MENT _.0 I ,(
20.rRor h 2ct F(' Ia e ', ;; a: a ^ rr* x .-.441-t- :� :.: j; tr '
4S1 c C r 4x( a S H x x eAPPR,vVAi_5,;.:{�Pet:7) t# ' t.,
21.-Duets, i!Str$ctUte* 1 - •••• 1.'5 ?r S O :-.5 " ''' a
'rt S`. i S� * C:.' r; CI* * R10. JltderglroF-it H ro x
!}1 ^l I as .1, "" •.T,.K }: Tc ' Qrt
22.-0ucis, VFntt�atirtgj I a x ¢ a _w „ ‘.71. Product:f fling al 6frs C>Oi1 " _
23.•Gas-Pipe-:Rot,tjh & Test I !a5 k t-7_C*' t'72. Unded Flcrt '' E^• ' -.
0 rr T r'4.1I -r tr Cr, x 1-r r t
• < y `. rgroHh2 l -'v -I x .. ,
24$rRoa'f Fr`atning C I r-c_ ..T 7' •. .S.:?.. :- iir -J3TUndergrny Storagi.TjnkIDGas 0C}1
25. Roo` Sheathing , >/� , * 74�"OuerheaHydro ';
2e.,Y B3} Ceiling (Stf+p Lural) ex-t5r coat �/a x 759•Q;y Chencal ,"
27.LFranieand Flashing;g -_jxr LI- y mM a 76. Dry StanCfpe EF r ~ if 0 • _-
28. Last in¢1 Budin * t vX^ 0 ': "" 77y FIXED 2&TEh $ INAtrg - n 'r
rt-
>29. Insulation • "J" s ' x I r I< x 78i-FIRE PREY, FINXL ^' > r, >I
x S x .- _.-_+r . -14.
I( 30. Drywalk3Jaihng :r` ,y 1 . F• r_* ;: '3EALTHrPEPt REQUIREMENT
31. Plaster Blo'et Caine S I rrCr- x x -79, FINAL II ECTICbN
`L-+-'': •--? - .. - ,T•'=--rte - - x_
' 32; Electric TPoserr$06 nal' z v * x T60.&000 CERTIFICATE It(kED
33,j1-irtaf E trite K ,7 r r. x T -t _ nNottes. Swcc.. r et •��M/+•
.'-34F_Firx`al HeatinT& irtt;Q9Gditidn+Fa?• rr' -` 1' { V x Ci- -
-r ' x It -7 _.__,. x T JL
35 -Final GO Pilie-Teista Cs -- - -4 1'r '".r - o . i.•(
_.,K - .' f -r.• __.r..-a._ tr2._._....'t x71 .:-..1-
, • --i
46. Hood or:Canopy, e..= t !.r"2 .- x n .v, * v no * <"--- 7.' r, , >: -4 1 'r .•1 ;c :.. "'_ >'."Tl Li +c r.; _ 1
37.:Final FagtoryaFinilacez I * ,; x
:_.1 r'.. I C) 7 'V r..-
38. Final PIUmbing "r• :0 I I +: * S •r
'39, Water Servicc;FIMC 1 " 't' "` "'trr ; '' s
.x x I ':- r S
•40. Gas Service-Finae* :n -it';',.-r S xIrl 5T O•o ,..,N "
_ -r .0 r.--.'- Ir.! KLi _ • C.'t „ C
r , .. c
41. Solar Domes�c-Final O[';71.f. * to cr * x ., •
.-,:I:
42.�Backflow Preventers r ^� I K S :.,i-- • ts 7. T-+ r
• w r c S x V x '.r r --' .7 L1
43. Backflow Ir6atWn, >; ., ,s x L a'. n • --
_� Y
144, Landscatie Ittigat4on System-atilt) X * T - c7 '�- * e 7: sr:. -x C' C
0 a r.'-r' rrt a 4' : t:'x •t r,;, Y_ .<. cu.: � 1' F. • j -
r' ,i ._tz F- c < 7_ - '-, :-- .. 0 r. ._ Cr'"' X'3
45�Sound �ttenLat, - . .. : _r .'1 Cr r * - ' • : y
_46...Handicap Regulations • o cr
c. - K eg •s- :...-ca JS
_ memo 0 x
--=147."FId� L STR}CT, IrE & ILDING x> � ' 1 •Y) I
48:FINALPLANNING. i " "1 ' c: 7; ti i; ‘; L I't
1 1 },
49.:-Electric Relrv3se tq Edison' 1, x I` '' z x •t, * : •>-
J
50.,Gas_Release to Southern California Gas Co .' I i_)v_ - C ' x
-s - i_-�:: C 0
51. CERTIFICATE OF-OCCUPANCY .: i. 0 ,:C
No. Date .
OWNER BUDGE, COPE DATE JUL 1 5 195k
JOB ADDRESS 1169 Boise Way BUILDING PERMIT NO. 22602- - -
GENERAL CONTRACTOR Owner-Builder VALUE $ 105.00
AP No. LOT 21 TRACT 5005 FIRE ZONE 3 DESCRIPTION OF WORICOmo.BlockWall
• INSPECTIONS _ Signature DATE GROUP J TYPE III ZONE R1
Soil - —. PERMITS ISSUED
Gas SUBCONTRACTOR DATE NUMBER
Water
Rough Corn. Refrig. 0 Air Cond. 0
Rough Heating
Rough Plumbing
Miscellaneous
Prop. Swr. Line 0 House Con. ❑ St. Swr. ❑ - _ _
Sprinkling System
Construction Pole
Underground 0 Power 0 _
Rough Wiring "�
Trenches 0 Forms a ryY13Steel Reinf. ❑ ��4–(p�
Floor System �[
" 'Bond Beam ❑ Steel Reinforce ❑
1\10Sheathing
a„Frame and Flashing
^'Lathing — In 0 Out 0
�7Plaster, brown coat
" Refrig. ❑ Air Con. ❑ Final
N.{ Heating, Final
A Plumbing Fixtures, Final
Final Gas Test
Electric Fixtures, Final
3 Building, Final 6,0 •
OCCUPANCY ,
Form B1.74-5M-3-63—S-B P
ooAno
_ ��►_ 22602 FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT J U L('(15 11�96p4
P.O. BOX 1200' COSTA' MESA, CALIFORNIA 92828 - FINANCE ✓E T.
CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
Bu1LDINa C. p Sof / For OHlco Use Only
ADDRESS I/ C. ! cc (/1/"j y
RECEIPT NO. F MjT NO. _
- COSTA MESA. CALIFORNIA O�o[ (QO r'
/+ �j / �PIZ I DDSY DATE RECEIVED DATE D'/
OWNER C._og c LJIi,i7e / 7�"4...e.„:„...-
��� 7-i '`
p /� BUILDING//6 L i4 /",_,`L_ ...���jjj ''',
MA -REST // _ /AA Soli' Y Lo2 Jf ADDRESSFIRE
/��c�/ .
CITY a$LO {!C 5' NO. s� ZONE - TYP I <ROOP �/
ARCHITECT TEL APPROVED
DATE
OR ENGINEER NO. By
ZONING
ADDRESS .--___- Z l♦1 I NO.OF USE OF NEW �JL
i �(" ( I PNN: I- BUILDING dr_
CONTRACTOR OLL.,'Al FF -91-d/../.h V` ) �, I • �r-�h/(,b
//�� f LEGAL L' O r a l • . -�RJ o.i
ADDRESS /10 91' /•mac',e Lv 7. V DESCRIPTION
CITY
Cosh /ref a / A.P.NO.
NOTE;STATE TEL 30"TO SOI E R REAR P.LEAVE NG SHALL BE LESS THAN
LIC.NO. y NO.
EAVESX
OFLOT GO /6c / F NNO•OF OW ONLOGS / ALLOWED (U.B.C.REQUIREMENT)
USE OF YARDS APPROVED YARDS APPROVED
EXISTING BLDG. Re S / e-2-E c MAIN BUILDING ACCESSORY BUILDING
(FROM Cit STREET) ,; __u.afr'
SETBACK LINE FROMC'W+�
CENTER OP STREET - REAR YARDif_FRONT Fr, t�] 70 PT.
SIDE YARD LEFT I_RIGHT • R.YIDR PT. 1 '"� " PT.
DESCRIPTION OF WORK L.SIDE Fr. FT. —
NEW ALT RATION • ADDITION REAR PT. FT.
DISTANCE BIT. BET.MAINS
' REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGB.
BUILDING NO.or //� VAR.* DATE
SIZE ``/�F.�j[l- 4ROOMS 4Q STORIES/ /� C.U.P.$ APPROVEDE _.
COVERING RIOR WALL✓✓ECG IDI COVERING ..0 t'+E�(C PYROOF FROVED )R A ,�/� DATE 31 i- I ��
USE OF BUILDING AND WORK TO BE PERFORMED �Y•+' (�._✓ 111 Ei
.0,10 a it ttn// H
XIS .5-19:
D�x.c- -xan 1 .
I HEREBY ACKNOWLEDGE THAT.I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE.IS CORRECT AND AGREE TO CON. PURPOSE OF ESTABLISHING A PERMIT PEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION
BUILDING CONSTRUCTION. al`
SIGNATURE OF r PERMIT FEE S
PERMITTEE
�A^r Ape--....-
/ S/O� – PLAN CHECK $ ��j ,p—�, W
AUTHORIZED AGENT G�� �� _'l c2
r TOTAL FEE S 4
� ' FEE RECEIVED
e. 7. 20733 •
OCT 7.11963
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT
P.O.BOX 317 -COSTA MESA.CALIFORNIA .
CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
•
nnf�,J��.,<viy�, For Office Use Only
ADDRESS 1169 Re-P-
_
Wad RECEIPT NO. P�yf'�
COSTA MESA, CALIFORNIA 70733
RECEI D Br DA'[E(I 11273 DATFO.ISSU D
OWNER Northgate,a olartnershin 9�////////// ,CCIIL{/�Y/ �U,v 6J
[ BUILDING / CO9 Y pi �
AD RESS 1 5939 Las Flores St. ADDRESS / ///
FIRE ,
TEL ZONE /
TYPE ✓ GROUP �'
CITY Fountain Valley - No.5316792 •
APPROVED
ARCHITECT C. Hiller NO nm52007 BY DATE
OR ENGINEER ZONING
ADDRESS' Anaheim j j ;0c-
ZONE NO.OF , USE OF N L E �-
I PLANS l BUILDING - r-CLQ
1'
CONTRACTOR BonSPr Const. Tne r I '{� _//�)
UESCRIPTIONll j I I e—.c V 03.--
ADDRESS .
15939 LasFlores St. - 0 - •
Fountain Valley ' A.P.NO.
CITY
C. NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
TNO.215�49 TEL.
NO. 531'6792 30"TO SIDE&REAR P.L.
EAVES
SIZELO Xloo I NO.OF BLDGB. ALLOWED (U.B.C.REQUIREMENT)
OF LOT V HOW ON LOYI'IQne YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. none •
(FROM C/L STREET)
BACK FROM50,
REAR YARD I FRONT 'S FT. FT.
SET
CENTER OF STREETLINE
-----
SIDE
SIDE YARD I LEFT C I I RIGHT '5 1 R.SIDE . PT. FT.
DESCRIPTION OF WORK L.SIDE CPT. Fr.
1b S
NEW X ALTERATION ADDITION REAR Fr. - FT.
DISTANCE BET. . BET.MAIN& •
REPAIR - MOVING DEMOLISH MAIN SLOGS. ACCESS.BLDGS.
BUILDIN NO.OF VAR.# DATE '
SIZE G194.7s of t ROOMS 7 STORIES 2 C.U.P.# APPROVED
EXTERIOR WAL ROOF - APPROV /�� ��q- /a- V- G
COVERING Is to cool COVERING shingle BY 1�1V �J�""""` DATE J
USE OF BUILDING AND WORK TO BE PERFORMED BUJ
slina-le family res . w/a.ttanh O--
garage /9Y7 •
N
SQ.FT. o
I HEREBY- CKNOWLED• '� I - READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F
AND STA E THAT THE - CO-- Cr AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
PLY WIT ALL CITY G O TATE- LAWS REGULATING VALUATION
BUILDIN CONSTRU � Try m
31GNAT EO PERMIT FEE $ 7. S
PERMITT rY1rI�I�) $�2 7 s- A c EC 6' -- S
AUTHORIZED AGENT . E
TOTAL FEE $ /I°g'—
S