HomeMy WebLinkAbout2186 BOSQUE SPRINGS - Building Permits���G
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!� COSTA MESA BUILDINGSAFETY DEPARTMENT APPLICATION F��TRIf�'�1'�i�, PE&�11'� � 6.8
/ P.O.BOX1200 COSTAMESA,CALIFORNIA92626
�� RECEIVEDBV PERMIT
For Applicant ro Fill in Completely — Use Ink Only
BUILDING A.P.NO./�5 = �'3— �.
ADDRESS
OWNER OR ADDRESS�
TENANT M.D. Janes C�.� II1C.
UNIT OR
ADDRE55 2950 Ali'W'dy Ave. , D-9 SPACENO.
TR.NO. LOT BLK.
c�rY Costa �Iesa 92626 No�979-337 � �S � e�
NEW, ADD ALTER REPAIR MOVING DEMOLISH
CANSTRUCfION N/A
LENDER
BfiANCH y�
OwNE .�.
ADDFESS
ARCHITECT TEL US LUE3�/� _
ORENGINEER Sam ieY'i I1 N,549-252
A�DRESS�L%9�L�L JIS Park, Irvine 92714 ZONE v TVPE GROUP
APPROVED
CONTRACTOR Owner BV DATE
ADDRESS
TE L.
CITV NO.
F STATE CITV APPROVEDSETBACKS
LIC. NO. LIC. NO.
� 512E NO.OFBLDGS. (/� (FROMC/LSTREET)
a. OF LOT I Treg . NOW ON LOT Y' FROM FT.
a VSE OF /�
-,�. EXI5TING BLDG. Y' FT.
y
FSeparate permits are required for L. SIDE Fr.
� electric, plumbing and heating work. REAR � FT.
�,W. USE OF BUIIDING AND WORK TO BE PERFORMED PLANNING ACTION
a
� �pp DATE
¢ ( m'nium iL ����/ �/�� �ROVED //���'�
� Attached Garages, qPP� � ' O e�S''79
� t10LD FOR SPECIAL REQUIREMENT�
v�
QI heraby acknowletlBa 2hat I hava raetl this application and staxa �
y� Shat the above informa2ion is correcS antl agree to comply with ,.
0. all laws regulatlng builtlinB conRruction, end 1 shall nox employ ;
Z any person in violation of the wo�kman's compensation laws ot m
5 che State of California. . �
3 I hereby certify ffiat I am propetly licensetl as a mntreMor under SQ. FT. n
the State of California Business and Proteuions Cotle, Division 3, THE AMOVNT SHOWN UNDER VALUATION IS FOR 6
Chaptar 9, antl Ua such Iicensea are In tull force antl effect, or I THE PUFPOSE OF ESTABUSHING A PEFMIT FEE ONLY: �
am exempt from a provisians of the Stata of California Business VALUATION q
antl Professions CC� e, Divi�jpn 3, Chapter 9. PERMIT FEE S � ,�
Signature ot / /� PIAN CHEGK 5�/ �� a
Parmittae /. g ��' �l_l� TAX - " E /S � F
or � `7 u
Authorized Ag Oa� �
TOTAL PAI D §3 � �
TL �.
Tl �
I �
PflOJECTADOHESS: Z1B5 B�SQUE SF�RINGS
owNeesxame: STt�VALL, CLYDE E
aooeess: �CHARD, ROBIN LINDSAY
2186 BOS�? UE SPRINGS
COSTA MESA,CA 92627
645-7731
AflCH/ENGINEEH:
XEG.NO.:
uxiT:
A�OflESS: UNIT:
PeRminEE: GENERAL INSTALLATION ( 213 ) 753-2541
aoonEss: 6558 WEST HLVD
L.A. CA 90043
LICENSED CONTflACTOB OELLAflATION: I hereby a�lirm Iha� I am licensetl unaer pmvisions of ChaO�er 9(commencing with Section
7000) of DiNsian 3 oi I�e Business and Pmtessions Co08. antl my license is in � �orce anU eltec�.
�
ciTvuc.: 006453 sTnreuc.:151839, �Qc s: 36
Uate: _�/� � � SignaNr�;��f� _ _ �
WOflNEFS' COMPENSATI N OECLAHATION: 1 hereby alfirm Ihai I �ave a cenilicaie of consem �a sel4insure or a cenilicaie o� Workers'
Compensaiiony�w�n�e� `er�(�eQ �p py�qe{¢o)�($¢ction 3800. Lab.
POLICY NO.: ! J W l. 1� � O 7 b 7— V V V 4 E%P. UPTE: 4/ O 1/ 9 9
COMPANY: NM I C ,.i,
, ❑ CerlitieA copy is hereby �umished. L'� Certifiea cJPY is i�d�� �he ci�y B iltling �ivision.
// i
I�ate: — � � ApplicanL.[[(�<.����'� •
E%EMP71 FROM WOBHEflS' LOMPENSPTION DECLANATION: (i�is section neeA not be campletetl ii Ihe permil is lor one huntlreA (5100) or leu�,
I cetlify iha� in ihe petlormance of Ihe work for w�ich Ihis permit is issuetl, I shall not employ any persan in any manner so as �o become
su�lect Io Ihe Workers' Compensation Laws o� Cab�ornia.
Da�e: Signature:
NOTICE: It. after making this tleclaration. you should become sublecl �o the Worke�s' Compensation pmvisions of tAe Labo�
Code. you mus� Iari�with compry wiih such D�ovisions or �his permit shall be tleemed revoked.
CONSTBUCTION LEN�ING AGENCY: 1 �ereDy af�irm t�a� lhere is a COnSfmClion IenOing agenty lor Ihe petlOrmante o� Ihe woM1 �or
w�ich �his permil is issuetl (Section 3097, Civ. C�.
LENOEfl:
A�OflE55:
OWNEB BWIOEq DECIAHPTION: I hereby aifirm tha� I am exempt imm ihe Coniracmrs' State License Law for ihe lollowing reason
(Section 7031.5 Business antl Pmlessional Code: Any ciiy o� counry which requires a permi� to constmc6 alter, impmve, tlemolish, or
reOalr any Simtlure. pfior �o i15 issuante. also repulre5 ine applitani for such permil Io �ile a Signea Slalemeni Ihat he/S�e i51iC¢nsetl
pursuam �o Ihe pmvisions o� �he Comracmrs' Sta�e Licensi �aw (Chapter 9(commencing wi�h Seclion 7000) of Oivision 3 oi �he Busine55
antl Pmiessions Cotle) or Ihat helshe is exempt iherefwm antl the basis for tne allegetl eeemption. Any violation oi Section 7031.5 by
any apPlicant br a permit su�lec�s Ihe applican� �o a civil penalry of no� more than �ive hunOreO dallars ($500�.
I. as owner of the propeny or my employees with wages as iheir sole compensation, will Uo ihe work, and ihe
❑ stmcture is no1 inten0etl o� offere0 tor sale (Section 704d, Business ana Pm�essional CaAe: T�e Con�rac�ors' Slale License Law
tloes no� apply Io an owner of a D�oDetly who builds orimpmves �herean, and who does such work himself/Aersetl or��rough
his or her own employees. O�ovi0e0 Ihat such imPmvemenis are not intended or oflered for sale. If, however �Ae huiltling or
impmvement is soltl wiihin one year oi comple�i0n, �he owner will have �he �urden of pmving he/she did no� build or imD�ove
�or Ihe purpose of sale�.
I, as owner oi t�e pmperty. am exclusively contratting wi[h Iicense0 contmcrors to consimct t�e Dmle�� (Sectian 7044, Business
❑ and Pw�e55ion5 COde: The Conlratbr5' $Iai¢ LicEnse Law tloes noi apply �o an owner o� DmpeRy who builUs of impmve5 ihereon
antl wh0 COniraC�s for Such pmle��s wit� a conVactor(S�license purSUan�io Ihe Con[rac�ors' Staie LiCenSe LaW�. I am dwafe
Ihai D�oot of �Aeir Worker'S Compensa�ion inSurJnce shoultl be pmvfdetl to me.
� I am exempl under Sec�ion: B. 8 P- C.
lor Inis reason'.
Oate. Owner.
I tlo hereby ceNty �hat I am aware ol and understantl �he requiremenis o� Califomia,Health an0 Safety Code Sections 25505, 25533, and
2553C antl I�a� I or any iWure bwlding ocCupant willlw �ill not (tirtle on¢� need lo Comply vn�h SaiA S�aie wdes antl lhe requiamen�5 br a
permil lor consimction or modi�ication Imm tlte Air Oualily Managemeni Oisiric�. flesiaeniial cons�mciion aDDlications are exemp� �mm
these provisions.
oaie: AvpiicanC
I nereby tetlify Ihal I have reaA IhiS aDDliwtion and Siate Iha� the ahOve iniormaiion is correcL I agree �o comply wi�h all ciiy and Counry
ortlinancesan45�atelaw5relaling�obuilaingconSlmclionantlhere0ya�horizerepresenlai soflAisciry�oen�erupon�heabove�menlioned
pio0erly lorinspetlion purpo5e5. � �� �
/ Q/ f' —r,� �
Oate / !' � — L � $ignature: � q
oriver's License or Socia� Securi�y p:
t64i�a6 White—Builtling: Green—Cotle EnbrcemenL Canary—ApplicanL Pink—Revenue; Goldenrotl—Assessor
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: P 064755 PLAN CHECY. NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU
PERM 230: P 054755
GOC'T: N SUPP: N
PURPOSE: OTH
JOH DESCRIPTION : WATER HEATER REPLACEMENT S� £T:
CLAIM VALUE: CALC—VALUE; GROUP OCC: R-3 /
COMMENTS: NO OTHER FIORK AUTHORI2ED HY THIS PERMIT
***�*�c*�*�**��*�*��******�*��+�**��r**� �***�,��*�*�**x��*****���c*�*�*�c�r*�*r��c�**+�*�c
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 BUILL�ING ---------- ---------.ACCESSORY SUILDING ---------
FRNT; FT IN REAR: FT IN FRNT; ,:FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT: FT IN RGAT; FT IN
PARKING RE�• PROV: PARCEL: 93786018.ZNE; REF NO:
PLANNING N TES> . .
� : . ...,
if if -T' iE fE �IF if 1E iE iE iP iE �)f iE if �IE if iE �f 1'F iE # iE iE 1E iE if iE iE iE jf �A 1E iE iE iE it±f iE iE fE jE 1f !f if.iE iE it fE.if iF iE iE dE iE �f iR jE iF:f if iE i4 if iF 9E ic #' 1E iE i4?E # ih ib iE iE 3f if
D E V E L Q P h1 E N T S E R C� I C E,•S -��R.' E Q U I R E M E N T S
!
ZONING APPROVED BY - DATE:
HUILDING APPROVED BY : � DATE:
APPLICATION ISSUED BY; � PATE: �� �
�rit�ri��rx�x�iEx��ar**�kititit*itx��rit�r�ei�3FifTFif"�f'3FiF��riFiF+t�iFTr* �3FiF'�F3F�F�F3F�"iF*�'i�*****iF�r�c-et�r I f ��x�+t*
if iE 1E jf if iE iF iE �E 1E if iE iE iF iE iE iE iE iE iE ik �Y 3E jE 9f iF if iF iE aE iE if if iE fE if if iE iE iE 7f iE iE if if if if iF 1E �if 1E iE iE iE 9E if if ?E 9E iE �lE fF iF iE iF if if it if iE iE if iE IF it iE iE if if
LEGALIZATION;N F E E S U M M A A Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT
7,00
25�
SMIP/NON—RES
PLAN
ISSUE FEE 20.00
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 7,00 20,00 O,flO 27.00 27,00 ,00
REVENUE DIVISION TOTALS--> COLL'ECTED: 27,00 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECAANIC FIItE SMIP/TOT GRADING PLAN—CHECK
2%,0�
jF iE iE iP iF if 9E if iE if if i! it 1f if 1E iF iE if iElE iE ik iE iE if if ##f iE iE if iF if iE iE if iE iE iE if iE iE iE 1f # aE iE if iE iE iE?F iE iF iE 1f �f if iR if 1F 1E iE if 1E if k iF iE iF iF if iE iE aE 1f 3F iE
I N P I V I D U A I; F E E H R E A K D O W N
TYPE QTY P E S C R I P T I O N UNIT CO5T TOTAL COST
�
PLU 1 Y�A TER HEATER AND/Ok VENT 7,00 7.00
y` END OF F�pES
F' • y
EXPIRED
ir.orT}plat@ �ns�ctioric
L70a9� �
gE
F , j
o. aoi=ai%z-u�i:�;Ji42 _!'L�i 27.0,,
"�iE: 17.iC�r!95 1?�[E: ?i:2S
�J
CONSTRUCTION AND PLANNING POOL & SPti
APPROVALS Permit # Oate Inspector APPROVALS Permit # Date Inspector I
i. Temporary Electrical Service,dr Pole � 52. Pooi & Equipment l.ocation '
2. Soil Pipe�Undrgmd. � '- � 53. Steel Reinforcement .
3. Electrica� Conduit Utility-Uridrgrnd. ' 54. Forms
4. Electrical Conduit-Undrgrnd. .55. Electrical Bonding
5. Steel Reinforcemen2 56. Rough Plumbing & Pressure Tzst
6. Eiectrica� UFER Gmd. 57. APPflOVAI TO COVER�GUNITE i
7. Footings 58. Electrical Conduit�Undrgrnd.
8. Foundation � 59. Gas Pipe, � Undrgmd., Tesc ,-
9. Water Pipe-Undrgmd. , ( 60. Backwash Lines, P�Trap, u Undrgmd.
10. Structur8� Floor System ��� - � 61. APPROVAI. TO DECK .
17. Property Sewer Line & Mouse-Conneclion� , 62. Backwash & Receptor�Final .'�
12. Sewer CeP �, . 63. Heater & Vent�Final '
13. Roof Dra�ns � 64. Plumbing System - Finai '
14. Aough Pt�mbing 65. Elactrical-Pinat
15. Rouyh Electricai�Condult 66. Solar Syetem�Final
16. Rough E�ectric Wiring 67. Pencing & Access Approval
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electricai-T Bar Ceiling 69. POOI(SPP. SYSTE4iS FtNAI.
19. Rough Neating & Air Conditioning � FIRE DEPT. REQUIREMENT
20. Rough Pactory Fireplace APPROVAIS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Oucts, Ventilaung 17. Product Ptpi�9 Ci Gas ❑ Oii
23. Gas Pipe-Rough & Tes. 72. Under9round Flush
24. Roof Praming 73. Undergmd.SiorageTank OGas ❑Oi!
25. Roof Sheathing 74. Overhead HY��'o
26. T�Bar Ce���ng fStrucxurali & �4onocoat � 75. Dry Chemical
27. Frame and Flashing 76. Ory Standpipe , �;�
28. Lathing & Siding 77. FIXED SYSTEM FINAL
f.
x }
29. Insuiation - 78. FIRE PREV. FINAL .� �
- �
30. Drywall Nailing �HEALTH DEPT. REQUIREMENT�., _W '
37. Piaster Brown Coat , 79. FINAL INSPECTION ' �
32. Electrical Powar Meter�Final 80. FOOD CERTIFICATE ISSUED -�' �,
•.r ,
33. Finai Eisctric Notes: t�.� 7 t �
/R'�c_�70_�2S�LY � /��P.ar_�✓'. _
34. Final Heating & Air Conditioning . � �' a
_ ..��
35. Final Gas Pipe�Test �•
e
36. Hood or Canopy �'
37. Final Factory Fireplace � . '
3H. Final Plumbing � te � C�10lis �
r
39. Water Service-Finai "�
-I
40. Gas Service-Pinal �
47. Solar pomesticFinai
42. Backflow Preventer � �
43. Backflow Irrigation �
44. �andscaPe irrigation Sys.em � � - �
45. Sound Attenuation
i
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING '
48. FINALPLANNING ' _
49. Electric Release to Edison .
50. Gas Release to Southern California Gas Co
51. CERTIF�CATE OF QCCUPANCY
No. Dace