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1189 BOISE WAY - Building Permits
PROJECT ADDRESS: ' UNIT: .;Yd1NER'S NAME: 1189 BOISE WY CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 064435 ADDRESS: WEBER, PAUL DAVID t WEBER, ELAINE L PERMIT NO; B 064435 PLAN CHECK NO: N GOVT; N SUPP: N 1189 BOISE WAY COSTA MESA,CA 92626 CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH ARCH/ENGINEER: 241-0928 REG.ND.: ADDRESS: UNIT: JOB DESCRIPTION : T/O, INSTALL 1 /2" SHEATH & COMP . SHING SQ FT: 4, 000 PERMITTEE: CLAIM VALUE: 4 , 000 . 00 CALC—VALUE: 4, 000 . 00 GROUP OCC: R-3 / ADDRESS: PAUL WEBER ( 714 ) 241-0928 1189 BOISE WAY COMMENTS : SMOKE DETECTORS ARE REQUIRED AS PER U.B .C . 1991 C�S�TAI MESA CA. .92k26 kr** tit*prat+ +QBE*�EBt** +t*** •****ataEaBi **g***�68t8Erte6ar****+t+te 4*4******aL****kE**Br***s ****Bt*** LICENSED CONTRACTOR D C RAT DN: ere y alum that am licensed ei unser provisions of harmer 9(commencing with section Z O N I N G R E U I R E M E N T S 7000)of Division 3 of the Business and Professions Code,and my license is in lull force and effect. S E T BQA C K S CITY LIC.: STATE LIC.: CLAS rDate: 4,-07 Signator: ` MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate 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 POLICY NO.: EXP. DATE: COMPANY; PARKING REQ: PROV: PARCEL : 14169146 ZNE: REF NO: 0 Certified copy is hereby furnished. 0 Genii copy is filed with the city Building Division. PLANNING N TES)! -•> / Date: Applicant: ***************************************************************************** iy EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). D E V E—'L OPMENT SERVICES REQUIREMENT S • 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 r /)— subject to the Workers'Compensation Laws of California. Date: Signature: ZONING APPROVED• BY DATE: f,i NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY �____ lit Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. . DATE: -_ LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for .r 4p,- CONSTRUCTION 3which this permit is issued(Section 3097, Civ.C). APPLICATION ISSUED BY : DATE; *#LENDER: ** ADDRESS: 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 FIRESMTP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or i repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed PERMIT 63 . 00 . 5 0, pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SM I P/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 '' any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE /11. I, as owner of the properly or my employees with wages as their sole compensation, will do the work, and the BUILDING—DICT-> PERMIT ISSUE PLAN-CHECK TOTAL PAID ri DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code, The Contractors'State License Law TOTALS————> 63 . 50 0 . 00 0 . 00 63 . 50 63 . 50 . 00 does not apply to an owner of a properly who builds or improves thereon,and who does such work himself/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 will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS——> COLLECTED : 63 . 50 OVER/SHORT: . 00 for thepurposeolsale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING<PLAN—CHECK I.as owner of the properly.am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 6 3 . 0 O ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves(hereon S O rr'— 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. am exempt under section: Bp 7 044 B.a P.C. I N D I V I D U A L F E E B R E A K D O W N -11 for this reason: O NER BUILDER �� � TYPE QTY DESCRIPTIO N UNIT COST /TOTAL COST �- Dale': /0//7/ 0 Owner I do hereby certify that l am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and SFR 4000 REROOF BY VALUE RESIDENTIAL NOZONE 1 , 00 4, 000 . 00 25534 and that I or any future building occupant will/will not(circle one)need to comply with said slate codes and the requirements for a END OF FEES permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from /•T these provisions. el 4. .e. Dale: 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 ordinances and state laws relating to building construction and hereby rear Mat es of this city to enter upon the above-mentionedv, ,.�K t L)E•'I ECT1R property for inspecctwn purpo ss ///% �Oate: /D'pe' 3 ` ' /(Ar REQUITED 01 00145787-00148788 63.50 Signature: V k/ 1-07fE1-07f\ (DATE: 10/13/93 TIME: 14:35 Driver's License or Social Security n: 1641-46 White—Building:Green—Code Enforcement:Canary—Applicant Pink—Revenue;Goldenrod—Assessor • I) r 1 w I ' CONSTRUCTION AND PLANNING' _ POOL & SPA , APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole - 52. -Pool & Equipment Location 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement .3. Electrical Condu,t Utility-Undrgrnd. . 54. Forms- ' 4. Electtical Conduit-Undrgrrid. 55. Electrical Bonding • • 5. Steel:-Reinforcement-. 56. Rough Plumbing & Pressure Test 6. Electrical UFER'Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings . - 58. Electrical Conduit-Undrgrnd. 8. Foundation - 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap,0 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 20. Rough Factory Fireplace • - , ' - • APPROVALS Permit# 21. Duct , in Structure - 70. Underground Hydro 22. Ducts, Ventilating 4' , 71. Product Piping Cites 0 Oil 23. Gas Pipe-Rough & Test 1 - ' . 72. Underground,Flush • 24. Roof Framing - ... 73. Undergrnd:Storage Tank 3 Gas 0 Oil 25. Roof Sheathing [p.-25-j3 etJ61-- 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 PREY. FINAL • 20. Drywall Nailing I HEALTH DEPT. REQUIREMENT : i t ;"1 r -31. Plaster Brown Coat 79.-FINAL INSPECTION 32. Electrical Power Metes-Final ' 80. FOOD CERTIFICATE ISSUED �L 1 33. Final Electric ,i Notes: i'f's i't - 34. Final_Heating& Air Conditioning - CY#,_Y 35. Final Gas'Pipe-Test . � ' l. - 36. Hood or Canopy -1 ( - •- , t (c 37. Final Factory Fireplace • . ' - i 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 /f_f93 �(,r/�''• �y 4/Q� _ -_ ear •48. FINAL PLANNING - ` - �0 e 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY - No. Date OWNER NORTHGATE PARTNERSHIP DATE SEP 5 1963 JOB ADDRESS 1189 Baste Way • BUILDING PERMIT NO. 20493.. GENERAL CONTRACTOR Bonser Const. , Inc. VALUE $ 21,125.00 AP No. LOT 24 TRACT 5005 FIRE ZONE 3 DESCRIPTION OF WOlUtt Hes. W/at Gar. INSPECTIONS - Signature DATE GROUP I & J TYPE V ZONE R1 Soil PERMITS ISSUED Gas SUBCONTRACTOR DATE NUMBER Water Rough Corn. Refrig. ❑ Air Cond, 0 Rough Heating Rough Plumbing Cr,9 , (rcet,..„4c . 7- C-- 39a 9.x.. Miscellaneous Prop. Swr. Line p House Con. ❑ St. Swr. ❑ Sprinkling System Construction Pole Underground 0 Power D • Ron h Wiring • Trenches !❑ Forms ❑ Steel Reinf, 0 _ Floor System Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing Lathing— In❑ Out.0 Plaster, brown coat Refrig. ❑ Air Con. 0 Final Heating, Final Plumbing Fixtures, Final Final Gas Test • Electric Fixtures, Final _ Building, Final yet OCCUPANCY lid t-2 OCCUPANCY lA1CI�'.LGi� Form BUB—GM— -63—S-13 20493 A MESA BUILDING-SAFETY DEPARTMENT F E r ry [ Q E(1 f E P.O.BOX 317 COSTA MESA.CALIFORNIA t (�[ ( Y �j F 4 1963 For Applicant to Fill In Completely A F L C�IATTIIO�N FO�TPERMIT TYPE R PRINT'4'saps-a (� (FI �/yf{t��4y��.p.�j�E�+ BUILDING// rT /> D/`S�- 1 d y 11IIIr V1 0��+ $v1Wy ADDRESS VX 7 'l /' j RECEIPT NO. PERMIT NO. COSTA MESA, CALIFORNIA �/ RECHI B Y (/PATE HC!/I_VH �[p��(. SUED -3 / Y" O I i r . T'at, ; / 'eftl ,4 !(/ e7 -3 _ BUILDING MAIL / y ///` a ADDRESS // (LQ� ADDRESS %n? 6_d ? / 4 0RFS FIRE TEL. •S 92 ZONE r.�TYPE GROUP, O CITY fDdA"�.J"A/7/ VAS� 0' No. d /j y 2 �>� /J / f''((J ,/ 7$ r /T APPROVED��//f DATE '7 l ARCHITECT /rA/148,,,5 �, /J/1�IFir19L. /3J�m/ BY .'.Y,//f / OR ENGINEER '� J ZONING ADDRESS /..3,y // AACA Wein Cql - _, NO.OP USE OF NEW SFp /� !!- / I PLANS a I BUILDING/ Lt &ct CONTRACTOR hJeiYS.FR Co A'STR vGT/e,Y SAC 'I CE-..r ADDRESS /5-'53 ? Zo /Le .4 .R.F-S LEGAL Let 27 T2� _So ordh ) / DESCRIPTION /,1 CITY f e lin TA,Ae / /iS 4 C/Q` A.P.NO. In NOTE: NO EAVE OVERHANG SHALL BE LESS THAN Y STATE �/ t,L/ TEL. y� / p q 30"TO SIDE @ REAR P.L. ' J LIC.NO. /I J j ND. ✓3�- (P / �L \ �// X /a a I NOW ON LOT G' EAVES SIZE NO.of SLOGS. ALLOWED (U.B.C.REQUIREMENT) OF LO USE OF YARDS APPROVED YARDS APPROVED EXISTING BLDG. /I✓e %i/� MAIN BUILDING ACCESSORY BUILDING SETBACK LINE FROM / // (FROM C/L STREET \\,:s%:\, CENTER OF STREET 3 0 REAR YARD 31/' FRONTSFT. FT./ R.SIDE SFT. FT. SIDE YARD I LEFT S I RIGHT DESCRIPTION OF WORK L.SIDE S_FT. — FT. X REAR 41:5/ FT. FT. NEW ALTERATION ADDITION l DISTANCE BET. BET.MAIN @ \ REPAIR .Y MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS. i NO.OFQ VAR.# DATE \ SBIZE DING5G N3 / ROOMS a STORIES m7 C.U.P.SC APPROVEED EXTERIOR WALL```y 6 ROOF – APPROVED V p `� . COVERING ..//'PCC, . COVERING .>,/ G' - BY .I_ -.Z / DATE J0 USE OF BUILDING AND WORK TO BE PERFORMED , / �� � 1 S7ir&d.r t4 7~► 14 Y d wired 2//y 6- Yv/A7T -,41P.d Crs / /fe v o2i.LM4de :c.w • `\ AV4,6 1,99 ,4 I r SQ.FT. - / b© c N f m I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN NDER VALUATION IS FOR THE F AND STATE THAT Tilt ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC iO yT VALUATION []� V�..A v 0 PERMITTEE SIGNATURE OF , �/fNU /✓�YA'f�.P/L�' �/ /��N PERMIT FEE $ / j m $ � PAN HECKK $ o AUTHORIZED AGENT ,j�N /Q.S a/� 446,47 E OK TOTAL' FEE $ 2( /36 FEE RECEIVED N MESA BUILDING-SAFETY DEPARTMENT OCT 7 1961 P.O.BOX 917 COSTA MESA.CALIFORNIA FIIN(A�FNC(!(E�e7D'�EPMT. For Applicant to Fill In Completely - APLICATIUNFbK'PEKMR TYPE OR PRINT - • BUILDING BUILDING . O si T�-E% For Office Use Only ADDRESS 1189Seteike •Way • RECEIPT NO. f ,0` COSTA MESA, CALIFORNIA � (c' RHCeI HD BY DATE RECHWB DATE ISSUED • OWNER Northpato, a oartnershin //`'-y`- 3 In'`�-f MAIL BUILDING // y�j/e9., /i��� ADDRESS. 1 riQ i9 Las Pk ill st." ADDRESS v// /n 's •�f Li /� FIRE V (�//l CITY Pour Vn'l 1 eyt NO. rill X799 ZONE TYPE GROUP lam; UJB APPROVED ARCHITECT OR ENGINEER C. hiller N9 KF52007 BY DATE ZONE NO.OR ZONING DF N ADDRESS Anaheim /I / �' �. I /L/ i(/ I PLANS I BUILOE,F1 SY n` - CONTRACTOR Bnnser Cnngt-." Inn. - \„ " V_ N , C. /- LEGAL I o r ` � rg C U 3 ADDRESS 1c939 1asFlores St. DESCRIPTION / -' CITY Fountain V . 11ey A.P.NO. ' fl • NOTE: NO EAVE OVERHANG SHALL BE LESS THAN LIC.NO21 501-I'9 TEL. NO.5316792 90"TO SIDE ft REAR P.L. VES SIZE ZZ��y1pp ((�� I I NO.ORBgqgqB8 ALLOWED (U.B.C.REQUIREMENT) OF LOTXY1± ].O� x60 I NOW ON 12Pone YARDSAPPROVED ' YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. none (FROM C/L Sl/ PT. T�1RE�ET) SETBACK LINE FROM n FRONT CVFT. CENTER OF STREET S I REAR TAT, .30 I SIDE YARD I LEFT 6 1 I RIGHT 5 I R.SIDE S FT. - . T. F /I DESCRIPTION OF WORK L.SIDE f; FT. FT, NEW X ALTERATION ADDITION REAR 30 FT. FT. • DISTANCE BET. BET.MAIN B REPAIR ' MOVING DEMOLISH MAIN BLDGS. ACCESS.BLOCS. VAR.# DATE BUILD) NO.OF - SIZE 59SQft ROOMS 5 STORIES 1 C.U.P.#////���� APPROVED EXTERIOR WALL ROOF APPRO 19 ry/\1' ' I lO _63 COVERING stucco COVERING shingle BY 14 I�1�V DATE USE OF BUILDING AND WORK TO BE PERFORMED ••VV single family res . W/attach garage• lQ�5 c/ •• N SQ.FT. -. I HEREBY CKNOWL'-• I HAVE - D THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE i AND STA E THAT THE IVE I- COR:EC AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O PLY WIT ALL CITY 0- ANC' A • B, TE LAWS REGULATING VALUATION p BUILDIN' CONSTRUCT •• 'SIGNATU- 1 �j1,5---.' cl PERMIT FEE $ ���' m PERMITTE A S /4/: / LA C E �9 G Z 0 AUTHORIZED AGENT d TOTAL FEE S. 7.; —