HomeMy WebLinkAbout3137 BOSTON WAY - Building Permits� �i�co.
COSTA MESA BUILDING-SAFEfY DEPARTMEM'
P. O. BO% 917 COBTA MEBA� CALIFORNIA
For Applicanf to Fill In Completely
TYPE OR PRINT
BUILDINO
AD�RESS ' 1 B4$ tQZ'j
. . COSTA MESA, CALIFORN
OWNER
.MAIL �.._�_ ` __ � ..
0 �e �N'�EN �o C. - H111er
�,TY Fountain
STATE 1
LIG. NO. 21 4
SIZE i� .
FEE RECEIVE�
JAN 1 7 1984
FINAPJCE DEPT.�
APPtTCATfON'FOR' PEtlhITT
BUILDING
For Office Use Only
er
NO�E5ZOO7 BY D/
ZONING
ZON NO.OF � Ue80P
� PUN9 '� / OILO�I
- .. LROAL J�' �J- , ,
9ETBACK LINE FROM �
CENTER OF BTREET O REAR
61�EYARDI LEFT ' ' I R16HT
` DESCRIPTION OF WORK
ROOF
I HEqEBY ACKNOWLEDOE THAT I HAVB RPAD TXIB �PPLICATION
Arv� STwTE THwT qqECT ANO AOqEH TO COM.
PLY WITH hLL Y OP C A 8TRT8 L�W9 R80ULATINO
BUILOIN6CON qULTI N. 1
� AUTHORIZEDAGENT
VAR�S APPROYFD
MAIM BUILDING
;OM C/L BTREET )
VAR. SC
TXE /�MOUNT
PIIRP08E OF
$ op
ZO SpD
owre �ae
.inri i s
SHALL BE LE65 THAN
(U.B.C.REQUIREMENTI
YARD9APPROVED
AGCESSOAYHUIL�ING
/ FT.
�ifi: —
DATE
- Y-/.J 6 � .% �
UNDfiR VALUFTION IB FOp T{�E F
IBH�NO N PERMIT'FEE ON4Y. �
� � OO �
PERMIT FEE $ j
p 0o m
�PLANCNEGK $ �k/ _
�
a
� n �d LL
ADUFFSSOFBUIlpNO: 313 % bU$TON WY uNT:
°""Eas"""Ei`aa"": Gt�LDEMbERG, LIVIU FLUOD: X 4b
"D°"��' GOLLEM&ERG, HAVA
3137 BUSTt�N WAY'
�w�.�uuxo�ooxEss: L�STA MESIa,CA 9262b
IAPCNRECTONFNtlNEFA: '
usx. on ��s �ooxess:
uc. no.:
uHr:
mNm.crarsru�: CALTON ROOFING ( 714 ) 599-8862
CWINACTOR'SYYlWO 3125 MC KINLEY WY
A0°"�' CUSTA MESA CA 1CN°' S87709
92626 uhr:
LICENSED COMflRCTOHS DECLAFATION: I �eroby eRkm urMm pene�y d parjury that I em Icanaed uMer proviebro of Chepx 9
(mmme�wi�q wdh Sxtion ]OW) d Diviahn 3 d Un Budreea erd Pmlendma Code. uM my limnx ie in lup lace end ofled.
C. NO.: 11Q CLASS: 11C NO �
051149 C 39 8�7(�l/� E' /97
me: �U" ^�7 com..e«: ./-2(�,U
OW N BUILOEN OECIARATION: I hereEy elfi'm uMar perely W parjury �hat I am ezemq fmm Iha WMreqas Liceree Lew la Iha
win0 re�n (Sepion )031.5 Busnms enE Proleseiore Code: Arc/ ciy a county whiM iequ'vea e pa�mil lo owhuct. ellet. imyow.
demd'sh, or repei eiry eVuclure, prior b ns'ssuewa, e6o reyuirea the epplimnt Iw euch pamA b fib e egrroE atebment Ihet M a eM
is IicenseC Oursuenl lo Ihe pamiona d Iha Conveewa Limnsa Lew �Chepler B(cammantlnp with Satlon ]OW) W Divuion 3 d �M
Buaineae eM Adms'ana Coda� rn �he� ha a ehe ia eaemp iherehom eM the beae Iw iM dbpad uemqion. My violalon o/ Sadion
]031.5 by eny epplireni for e permit eubpds �M epplicant to e dvil pmelly d na mora thenlwa lwndied ddWa �5500��.
❑ I. m ovmer d iha o�PanY ar my employeea wF� weyes av iMi sde compenaetim. wJl do ihe wk, eed Ne nruciuro e�'vneMed
a olleredia eeb (Section ]Oa4. Bvsriev vd Pmimaorn Code: ThaConlredae License LewAoes �wlapp�ylo en ownar al pmpeily
who Wilas w'vnprovee thareon, end Mw Aoee auch Moik Mmaell or heneM or Nraqh he n her own empbysee, prwided thn euch
imparemenb are nol imeMed a dlxaE la seb. Il, lawever, iM buiNieq a'vnporamem ia sald wi�hin ar yev d mmWa�un, IM
owner-buiHar will heve Ihe WMen W povieq he « eha dN rwt Wild w improve la iM W�posa d eeb).
❑ I. m ownm W iM DmDaM. em axtluenNY conirediW wilh IioenmE contrectas �o cannrue �M MGea (Seeon ]014. Buaira++ad
Prwessims coae: rne com�mon uoa,se �a. eom na apWr �o en owiw a wwMr .N,o wua. « �mwwd �na.on .�e .no
mntrena for euch projeds wilh e mntredar�s) Icansed pursueni io the Conlredon Licenae lewl.
❑ I em eaemp oMer Sectian: B. 8 P.C., br ihia reeson:
Deta: Owmr:
1 Eo hareby cenAy thm I em eware d eM �MenteM Ihe raquiremenla d Cellomie Haehh enE Selery Cade Setliona?5505, 25539, eM
25SM. eM iM1et 1 a vry Mure buiWieq amipant will / wll m� (tirek me) rrd to eampF/ wih eaid qeta wdes end ihe myummanb br
apaemnlormnsvuetionamodiFcelionhamtheA'��iy enepemmtDiatrid.ReeiEentielomAiudioneppleelianenexamqiromiheee
pp/ISIOf19. _
Dale: Appliram:
WOFKEF'S COMPENSRTION UKL�NRTION: I Mraby eifiem uMer penelly o1 peijury one d the blbrrirp Aetlaretuns:
❑ �neveenexi�meim.nec.nA�meaowmmmaeltinx,rer«wakaa'camo�u�,e.a��«Msemmamod�n.labor
cem, ia m, wno�a a m. wax �« wmm� m�a o�n �a �.��sa.
❑ inewenaw��mai�.�w.�•�ro�on�osureMe.m�ea���aMs«aimaiaodme�.no.cod..ro,mew�«me�w.am.
��' wark fa which thia peimX is iasued. MY ��� �mpen�etion imurence raniar end polv.y number are:
��^� SSATEn �T��T� fiXFZRES
Pd�YNumbar �8�-9��i��i8�� 171��1�98
�m;: senion neee nor ee comoror.d r ma ro�x rs ro. orro n�neree ed�ers Is�oo� w ka.l
❑ I canify Ihel in Ne peAormeMe W Ihe work br wM1ch ihia parmit ia bsuetl. 1 slWl ml amploy erry pemn m enY memx eo m lo
baeare wM� to iM xwFees• eanpenwbn levn a calilanu, vM Wree Net B I e wbjep m �M warkeis'
cmpensetion pmrisiona M Setlion 3)OU ol ihe lebor Code. I Mell i y oon`py wil� .��
il/ A
ete: Applcenl: l� `
W In0' FaNun ro�xuro woMr�'COmpmustlOn roYerp� I! unkwlN, Ind JIWI rbNcf N w�nploysr f0 ulMnl paWtlN bW
n nns. w ro w,s nunand momne ew�an (StaqaooA ����� ro ns co.r o� romow,rron �m.w u povmae ror �n
SeeHon 9)flfi ol Ms Labor Lotlr, In(ussS entl ettomey'a hu.
CONST(iUCiION LENDINO AGENCY: I Mreby ��m uMx peneXy d pmW'Y �� �� a e constrvdion ImNnp penry br tlro
�,n�� w�n� � i� wn�m ma v�+ 9 09YBE (SBEIOII'�091. CN. CJ.
LENOEP'S NMIE:
LENDER'S ��ORE55: '
I cenity ihet I heve roed Ihis epqica�ian end pete Ihal ihe ebove inipmelbn u oorratl. l epiee b campty vrilh aY ary enE couMy adi�e
arM ela�e bvn rtlaliq lo buildvq eonstrut8on eed heraby eullariie 2peeentalivea d �hia eily lo enter upon tha ebwe�mentoned propeily
lor insoedion ourw�s.
MIKE CAkTG,N+ �
(slsi-afiwp) wnBe-Bui�auq a Sdeiy;
Dete: /YJ � � / / —
Pink-Rerenue: Oddmro�Aveeamr
CITY OF COSTA MESA - HUILLING PERMIT
PERMIT NO: B 08503b PLAN CHECK NO: N
PERM NG: B 085036
GOVT: N SUPP: N
CONSTRUCTION TYYE: V-N PERMIT TYPE: STR PURPOSE: REP
JOB DESCRIPTIUN ; T/O SHAKE INSTALL 1/2" PLWD AND COMP SHN SQ FT: 5;200
CLAIM VALUE: 5,200.00 CALC-VALUE; 5,20G.0� GROUP OCC: R-3 /U-1
COMMENTS; SMOKE DETECTORS ARE REQUZRED IN EVRY BEEUROOM & HALLWFiY
;�;��;r*�******��**��;r�**��*�r**��****�***�**;�;�*�*�c�x ***�;�*;��*;�*;�****�*�r�*��x*z�;rri�
Z t� N I N G R E Q U Z R E M E N T S
S E T b A C K S
------------ MAIN HUILLING ---------- --------- ACCESSORi' HUILDING ---------
FRNT; FT IN REAR: FT IN FRNT: FT IN kEAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: " PROV: PARCEL: 14169123 ZNE: REF NO:_,.-:
PLANNING NOTESi s�
�i t
* 1F �' J�' li"� �')Y'� i!'�'!f'iF 1E'1t * iF'lE 1F'l�"!f'Jf'K' *** iF �t'lE'K"�')f"� iE 3f lF * ii'K"1l' fE *'� *'K' �i'K"l�' 1�' �' �"){' �"lf if ff 1i �-1F lF �{' 1f'%�' lF'If �' l�' lf jf'K"lf 1f lf'�'K' %t x lf'�
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
Zt�NING APPROVED .BY U�TE: ���'
f,� .
HUILDING APPROUiEU BY : DATE: ��'
APPLICATION ISSUED BY: UATE: ��.. -
iE�1EiFiFiF9EiF1EiF1EiE'K'iE'1EiEiEYE'lEififiF�le �[ s � f i�f tE 1E' ifiFiEiEiFiEiriEih�lf YE xif
LEGALIZATION;N F E E S U M A R Y STRUCTIIRAli�SEGMENT;Y
HLDG PMT PLUMBING ELECTRIC MECHANZC FIRE SMIP/RES GRAUING
PERMIT 112.25 52
SMIP/NUN-RES
PLAN
ISSUE FEE
BUILDING-DIV-> PERMIT ISSUE I�LAN-CHECK TGTAL PAID DUE
TOTALS----> 112.77 0.00 0.00 112.77 112.77 �GO
REVENUE LIVISION TOTALS--> COLLECTED: 112.77 OVER/SHORT: ,"v0
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
112.25 .52 ,
iF aE 3F if'1E iF'ir iE �1E 3E iE'1F �E iF iE iE if if iF �E iE'1E ie jE 3E iE iE iE �E �E iE')E iE iF iE iE iP if'1f iE 9f'7f iE 3E 3E 3E iE iF if iF iE iF iF iE 3E if iF iF ie ie �t iF iF iF iF ie iE iE iE iE iE'1E tiF iE if if �f if ae
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 5 C R I P T I O N UNIT COST ,TOTAL COST
SFR 5200- REROOF BY VALUE RESIDENTIAL NOZONE 1.00 5,2�O.G0
END OF FEES
ie-eb-i�iiae:sa avii�z.��
�cvru:ei-eela�
PERPf I T e 985836
/'
�
CONSTHUCTION AND PLANNING . � � , . POOL v _� A ' .
Date Inspector ' - ' � " Date Inspector
APPROVALS Permit # � � �' APPROVALS Permit # •
t. TemporaiY-Electrical Service or Pole 52. Pool & Equipment Location, � �
2. Soil Pipe�Undrgrnd. - ', � 53. Steel Reinforcement , �
3. Electrical Conduit Utility-Undrgrnd. � � �54. Forms � -. ` � '
' -.4. Elecirical Condui4-Undrgrnd. �. - 55. Electrical Bonding ' . '
.SrSteel Reinforcemeni . , , ' � 56. Rough Plumbing & Pressure Test • '
"6" Electricai UFER_Gr.nd. � • _ 57. AP?ROVAL 70 COVER•GUNITE �-
" 7. Footings . " 58. Electrical Conduit-Undrgrnd. �• "
8.� Foundation � T� � � �� , � . . 59. Gas Pipe,`� Undrgmd., Test i' �
.� .
9: Water Pipe�Undrgrnd. �` � . 60. Backwash Lines;�PTrap, G� Undrgrnd. - i'
+ 10. Structural Floor System �� .' � 67. APPROVAL TO�DECK' + .
, 11. Property Sewer Line & 4ouseEonnect�on �' � '" 62, Backwash &.Receptor�Final• �
12. Sewer Cap � _ . i 63. Heater & Vent-Final • � - �
13. Foof Drains - !• � , � � 64. Plumbing System -iFinai . � � ; '
14. fiough Plumbing - � � . 65. Electrical-Final ' ` ,
�
75. Rough Electrical�Conduit � : , . '66. Solar Syetem-Finai �; ' " � � �
16. Rough Electric Wiring. � � ' _ . � � 67: � Fencing & Access �ApP�ovall . � � �
17. Rough Wiring Sign � - � � � 68.�APPROVED fOR PLASTEftWG . - '
T8. Rough Electrical-T Bar Ceiling -� - 69. POOUSPA SYSTEM5FINAL 'I
`- "' 19.'Rough HBating'&'Air Contli{ioning- � ' - "- ��" " ' - ' FIREbEPT. R�dUIFjENIENT � � �
„�
20. Rou h Fa tor - Fire 1ace � ' ; - �' �r �� ' ' " Y
g p Y' .p, � . APPiiOVAGS Permit# '
21. Ducts, in'Scructure + � � � - ' - � ' � � 70. Underground Hydro ;.
22. Ducts, Ventilating � � . ' � r - -'t . 71. ProductPiping C�Gas �Oil
23. Gas Pipe-Rough & Test � � �� - _ � � 7p. Undergrourid Flush " ' _
24. Roof Framing, . � �" " . ' ';. ,,,; �;73� Undergrrid.Stordg@Tenk.OGas OOiI
25. RoofSheathing ,� ��p G! ���.r � 7q; Overhead Hydrb .
a'�-6 � -
26. T-Bar,Ceiling (StruetGrai) & Monocoac ' ' � ' - .
;� �� j t� 75�. Dry Chemital ._ .
27, frame and Plashing� : - � � � . . " � 76. Dry StanBpipe � �
26. Lathing &•Siding ' � � 'J � � - ' , '���_ 7J�. FIXED SYSTER9��INAI� w �
29. Insulation: �� � - • . : r 7g' FIRE PREV. FINAI. - ' ' '
�� 30. Dryt.vall Nailing � � _ ' ` � ;F. -' 'HEALTH�DEPT. REQUIREMENT
,
� 37. Plaster Brown�Coat +. � . -• ; � • - 79, FINAL I.NS?ECTION � :
t
f 32. E�ectrical Power tvietAr�Final �- � `�� 80y FOOD CERTIF�ATE ISSUED . ,
• 33. Final>rElec`t�ic_ - . � , � i � F: N6tes: ' �� r .. . ' �
34. F±naFNeating'& Aii;Gondrtianing " ' � 'F: t - ' - - .. - .
,; { -
35. Finai Gas ?�Pe'Test � - � ' � . �� „ ';;,: ,�' � - .
' 36. HoodorCanopy . • � ' Ik�. - - ' =,i:
- - - � , .
-� I � . �- ,: f , i� -
37. Final Eactory Fireplace � . . , � � � . •�4 ' _ .�
38. Final Plumbin9 ` � � ' '- - ---
" i � --
39. Water`Serv ce:FinaL; : ' , � ;�, � ' _ , " . '
. 40. Gas Service-Final �:, � � - � . � . �r ; .�'i� " .
�47. Solar pomestiaPinal, � '� ' - " ° �� � �
, � r .
42. Backflow'Preventec * . . r • �� �
+ , - �� r_ -
--43. Backflow Irrigation - ; �• . ; �" �;, " � � •
r
4g. Landscape IrriGation•System '�' - = � - � , � - �
a• f
� ' � '. �
45. Sound Attenuation � -. '_. � , ' ;7 �,, ., .` . . ,, � � �
46. Handicap Regulations � " • � . ' ' - � � � � r� ;q
, '
47� FINl�LSTRUCTURE&BUILDING u�i' � ` w c�
�p-1B�7 �e : �
48. FINAL PLANNING - . '' � ' "".'R1��
�i
49. Electric Release to Edison _ ' � - ' ' '''1':G�
s c� �
50; Gat Rele3te to Southem California Gas Co - '_ _ ;!p; �
,� r,�
__51. CERTIFICATE OF OCCUPANCY � . ` __ ., tv
No. Date- `c �