HomeMy WebLinkAbout2516 BOWDOIN PL - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
JobAddress: 25iB BOWDOIN PL
Suite:
Vicinity: RESIDENCE AND ATTACHED GARAGE
Parcel Number: 14141221
Appiicant: HAN, AUSTIN
Address: 1022 W ORANGETHORPE
FULLERTON,CA�: � '
Owner: HOLEVAS, KARLO TR '
Address ,21742 SEASIDE LN � -
i��i i.. , ' � . -
, , HUNTINGTON BEACH,,CA - - �
Contreotor. �-ACE�ROOFING SYSTEMS CO
. Address: 1022 W ORANGETHORPE
� FULLERTON,CA
Zip:,, 92638'
Arch :
Address:
Zip:
� Phone:
� � � ,- License:
REROOF RESIDENCE AND ATTACHED GARAGE: T/O E:
APPLY "30-YEAR COMP SHINGLES." 1800 SQ FT -
Plan Check: $0.00
Permit: $9725
SMIP Res: $0.50
SMIP Com: $0.00
Other: '' $0.00
Inspection: $0.00
� Total: � $97:75
Zoning:
Phone: (7�4)871-9923
Zip: 92838 '
Phone:
Zip: 92646-8232
Phone: p14) 871-9923
Status: ISSUED
Applied: OS/24/2004
Issued: 05/24/2004
ISSUED BY:
, . _ .
�-
:� .
�A
, -' , . �'�..
License:- 679543
� Eng:
� � Address:
� Phone: , , _ '
Llcense: �
iPE OF PERMIT
COMP ROOF, REPAIR/REPLACE SFiTG AS NEEDED, 2 LAYER 15# FELT;
_ FEE SUMMARY �
___�__ ". _-. _ _ _' _ _ - Calc Valuation:
� Claim Valuation: , "
SETBACKS� �_:` � � -,
MAIN STRUCTURE� Front �" 0- 0
ACCESSORY Front - �0- 0
PARKING Existinq: o
. <;
� --
� � PLANNING&ZONWG � � � .`
. v l _ _ � J'. � . . � .
� Rear _ 0-�0 "�-,- -� ;Left 0 0 -�- " - `� Right � 0- 0, � ��
i
. Rear�. 0.0 Left 0,0- .� �; Right 0-0 ; j
- Re uired: 0 - Proposed:�� _0� ; � �
$3,890.00,
$3',890.00
i
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-27-92)
EXPIRATION: 7his permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abantloned
'or a period of 180 days. _ ._ _
NSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
equfretl inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit.
'OR INSPECTIONS CALL: (714) 7545626
w6>6�&00)
WORKERS'COMPENSATON DECLARAnON: �
I hereby aHirtn under penalry of perjury one ot t�e following tleclarations:
❑ 1 have end will main�ain a certificete of consent to self-Insure for workers' compensation, as pmvided for Dy section 3700 of the Labor Cotle, tor the peAortnence of the
�work tor which t�is"pertnit is issued.
pJ � I have antl will maintain workers' com ensation insurance, as required by section 3700 ot ihe Labor Cotle, tor Ne perfortnance oi the work for which ihis pertnit is issued.
My workers' comp tlon Ins an /c'arrier and policy number are: f
Cartier: �� � / PolicyNumbec������1 �
(Ihis secnon need n t e comp/ ed!! the permit is velued et one huntlred dallers ($100) or Iess.J
❑ I cenity that in Ihe performanca ot the work for which this permit Is issue0, I s�all not employ any person in any manner so as to become subject to the workers'
compensallon laws of Califomia, , agree ihet it I should become subject ro the workers' compensation provisions of Sectlon 37,0� e ab� ode, I shall tonhwith
comply wlth �hese provisions. ( � �
Applicent Signature: Date: � �
WAFNING: FAILURE TO SECURE WORKE S CAMP NSATIIXJ COVERAG IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES D CIVIL FlNES UP TO IXJE HUNDRED
THOUSANDDOLLAFE�5100.00OI.INADDITIOI TOTHECOSTOFCAMPENSATION,DAMAGESASPROVIDEDFORIN$ECTION3]OBOFTHELABORCADE,INTEREST,ANDATTORNEY'$FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirm that I am licensed undar provisi
force antl ettect. Lic. M_�
CantractoYs Signa[urei
(commancing with Section 7000) ot Division 3 of the Business and Professionsfyode, enC my license is in full
Giass # �3 �i
Dala: 'l / . � _ �/�
CONSTRUCTION LENDING AGENCY: `i
� I hereby aNirtn ihat there is e construction lending agency tor the peAortnance ot the work for which this permit is issued. (SeC. 3097, Civil Code).
Lenders Name: " . _ _ _ Lendels Adtlress: _ _
Signetura:
Date:
OWNER-BUILDER OECLARATIONS:
I hereby attirm Ihei under penalty of perjury Ihet I am EXEMPT fROM THE CONTRACTORS LICENSE LAW tor Ihe following reason (Sec. 7031.5, Business and Professions
Code: Any city or counry which repuires a permlt to consWct, alter, improve, tlemolish, or repair any structure, prior to its issuance, elso requires ihe applicant tor such permit
to file e signed statement Ihat he or she is Ilcensetl pursuant to ihe provisions ot ihe Contrectors License Lew (Chapter 9(commencing with Section 7000) of Division 3 of Ihe
Business end Professions Gotle) or that he or she is exempt therefwm end Ihe besis for Ihe elleged exemption. Any violation o� Sectlon 7031.5 by any applicent for a pertnit
subjects the epplicflm to e civil penalry of not more Ihan five hundretl dollers ($500).):
❑ I, as owner of ihe property, or my employees with wages es iheir sole compensatlon, WILL DO 7}1E WORK, and the siructure Is not intendetl or oHeretl tor sale (Sec.
7044, Business end Professions Code: The Gontractors License Law tloes not apply to an owner ot properry who builds or improves thereon, antl who tloes such work
hlmself or herself or ihrough his or her own employees, provided that such improvements are not intended or ottered for sale. If, however, the bullding or improvement is
sold within ona year of completion, ihe owner-buildar will have tha burden of proving ihat he or she did not build or improve for purpose of sale.�. �
❑ I, as owner of the property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Protessions
Cotle: The contractors Licensa Lew does not apply to an owner oi propeny who builds or improves thereon, and who coniracts for such proled with a contractor(s)
license pursuan� to ihe Coniractors License Laws.).
❑ I am exempt under sec.
Signature:
Owner ID verified by tlriver's license. ❑ Ves ❑ No
Business and Protessions Code for ihis reason:
Verification of Ownership by (rype of tlaument, i.e. - properry tex blll or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICA710N:
Driver'S LiCenSe No.
Date:
Expiras:
❑ I hereby certify that no excavation tive (5) or more feet in depih into which a person Is requlred to descend, will be made in connection with work authorizetl by Ihis
permi�, and lhat no building sirucNre, swNolding, falsework, or demolition or dismantling ihereof, will be more Ihan Ihirty-six (38) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Ttle e, Calitomia Administrative Cotle).
❑ As ownerDuilder, I will not employ anyone to do work which would require e permit irom ihe Division of Indusinal Setery, as noted ebove, unless such person has e
pertnit to do such work trom Ihe division.
Signature: Date:
Division ot Indusirial Sefary Parmit Number:
CERTIFlCATE OF COMPLIANCE AND AUTHORVATION OF ENTAY: I certify under penalry of Oerjury that I have read this application end state that the infortnation given is
corcect. I agree to comply with all stete laws and cily ordinances rela�ing �o builtling consiruction, and authorize representatives of the Ciy of Costa Mesa to anter upon the
ebove-descnbed property for inspection purposes. I agrea not to occupy or allow occupancy of any building authorized 6y this permit un�il finel inspection.
COUE t. INSPECiIONTYiE
1616 Fixed System Final Fire Preven�ion
1266 Pool Spa Final
200 Finel Re-Root
201 Final BIocWRetaining Well
202 Final Factory Fire Place
203 Finel Sign
204 Finel Demolition
pRTE ixmu�s
�i �
COpE� INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final EleC�ncal
212 Final Fire Prevention
220 Final Planning Approval
222 Final Sita
250 Finel Building/Occupency
��
t
r
... . . Applicant to fill in all svaces ezcect tnose witnin heavy bortler, lines anE sign all appropriate tleclarations.
;ITY OF COST A CONSTRUCTION PERMIT . P MIT NQ. `� �TRACT NO. � LOT NO. j 'UNIT N6. , � ,
M J i
Preject n'ddress �� ,B 0W DO J N � 1��•' L S ' � !
�. ��i
Applicant'sMailin,g/Address�_ S���✓1^�C�S� � T//WG TYPEOFCONSTRUCTION NEW ,ADD ALTERATION REPAIR
Ownef'SName 6�Q�L�OC ' l/C�I�Si/� S'bZ-s/zl �CONVERSION ❑DEMOLISH_❑_07HER _ � _ AP# . __
- Phone p DESCRIPTION W K/USE F BLDG.� � ' -
Address ' �l �yZ �PA' S�O� (�¢..! � J`F p� ��-�� � ' � � I S Main Build
Arcfi/Eng. /���! License No. TYPE OF PERMIT � GR ING ❑ FOUIVDATIOfJ -. STRUCTURAI_ � ,T Front
Addre55 . � � � . .❑ TENANT� O ELECT CAL ❑ PLUMBING O MECHANICAL � B Rear
Contractor'srvame %�Uv�1C�aS � ���Ji phoneS��s�y�! �'OTHER _ i _ _ _ _ � __ _ P.
PROJECT DESCRIPTION � 5Q. FT. ���� j oCCUaArvcv i C Right
4ddiesslmailingl ��%a S• �4�'�+'`�-✓M✓ L'.v.�f� S�i• . • K
' � � �,d� � CONSTRUCTIONTVPE ' � VALUATION $ S i� �%�J :g Left
City LicenSe No. � ZONE � " � GRADING CU. VDS. ACRES Pln 'Ref. #
LICENSED CONTRACTOR DECLARATION � ' 9� �
I hereby afflrm that I am licensetl untler provisions of Charter 9(commencing Remarkz: �, � ' ' .Planning Notes'.
with'section ��Q�� 01 DIVI5100 3 of ttie Business antl Grofessions Cotle, antl -
ny license is in fuil torp� tl g� flEct,/ � � pQ "� � ' ' � � -- -
Licens Qass 37�riL(9Y �icense1No. C�.7 / ' �
]ate�"���Signature •� '
NORKERS' COMPENSATION DECLARA ' � Ba� Sink '
hereby atfi�m that I nave a certiticat¢ of consent selt-insure or a certificate
f Workeis' Compensation Insurance, or a certifietl copy thereof (Sectlon Backflow Preventer �
3800, Lab. CJ � -
iic rvoo�3 Zal9"$! com an -s�� �✓"�
�Y P Y � Backflow Irrigation
Certifietl mpy is hereby furnisnetl. ' �
Ce�tifietl c pyy etl�witM1 the city ui tling Divisio . � BathtUbs
7ate 7��f'n� Applicant� .
=XEMPTIONFROMWORKERS'COMPENSA O D GLFRATION Clarifiers �� -
'7hissection neetl not be <ompletetl i! the p¢r it i5 f ane huntlretl ($100) or _
ess). � Dishwdsher � - ' �
certity that in tM1e pertormance ot the wo�k fo� wM1ich this perm�t is i55uetl, I � - .
��hall not employ any pe�son in any manner So as to become suoiect to tne ' Drinking Fountains
Norkers' Compensation Laws of Cali(omia. -
Ja[e Signa[ure ' � � Floo� Drains � '
VOTICE: If,after making this declaration,-you shoultl become subject to the �-
Norkers' Compensa[ion provisions of tbe Labor;COtle, you must fo�thwiih FIOOf$inks
;omply wilh such provisions or thi5 pe�mit shall . bE tleemetl revoketl. �
=ONSTRUCTION LENDING AGENCV GasSeNiCe , Outlets �
her¢Gy affirm that tM1e�e is a consVuc[ion lentling agency foi the performan<e
�f the work . tor w�ch this permlt. is is5uetl (Section 3097 Civ. G.) '
�ntler's Name T�/ �nte�cepto�s
entler'sAtltlress�/���-� ' -- KitchenSink -
OWNER BUIL�ER ECLARATION
I hereby affirm that�l am exempt from Ihe Contractor's License Law for tne Lavatories ,
foilowing�reason (Section ]031.5 Businessantl Professional Cotle: Any city or _
county which requires a perrnit to consVuct; alter, improve, tlemolish or repair P-T�dp '
any structure, p�Io� to Its issuance, also requires Ihe appli<an[ for Such permit
to file a signetl statement that he/she is licensetl pursuant to the provisions of RoOi D�ains � �
the.Contractor'S License Law (Chapter 9(commencing witM1 Section ]000) ot
�(�ivi5ion 3 ot the Business antl Professions`Cotle) o� that he/she�is exempf , •
��hErefrom antl the ba5is for the allegetl ezemption. Any violation of Sec[ion �
'.�031.5� by any applicant for a permit subjects the applicant to a civil
eenalty ot no[ more than five huntlretl tlollars ($500). ' '
LJ I, as owne� ot Ihe property or my emplOyees with wages,as their Sole Fieinipection Fe0 $15
compensation will tlo-tM1e work, antl the structu�e is not intentletl or offeretl
for sale (Section. �044, Business antl Professional Cotle: The Contractor's _ .
LicenSe Law tloes not apply to an owner Of a property who builtls o� improves
thereon, antl wM10 tloe5 such work himself/herself or tM1rough hls or he� own ,
employees, prOvitletl that such imp�ovements are no[ intentletl or otferetl fOr Boiler � �
sal¢.� It; howeve�, the builtling or improvement is soltl witM1in one year ot com- � �
pletion, [he owner wiil have lhe bu�tlen of proving hE/she tlitl no[ builtl or im- DuCt - UOd2� Grou�d
prOve fo�the purpose of sale): ��
❑ I, as owner of [he�property, am exclusively contracting with licensetl con- Duct-Structural
Vactorsto construct the projecf(Section ]044, Business antl Professions Cotle: ,
The Cont�actor's. License Law tloes not apply to an owner ot prope�ty.who Duct- Ventilating
builtls or' improves thereon, antl who contracts for such projects with a. wn- �
tractor(s), iicense pursuant�to the Contractor's License Law). I�am aware�that � Exhaust System-❑ - Multiple ❑
proof of their� Wo�keYz, Compensation insu�ance sM1oultl be providetl to mev �
❑ I am exempt untlef $ection , - _ e. &.P. Ci tor thi5 reason Firepl/FdCt. Blt. ICBO # i
Date � Oviner ' `' ' ' � _ Heating System & Ducting
I nereby certify that,l nave.reatl this.application antl state that.the above ❑0-100;0008TU �.t00,000BT1
information is'correcL I agree wmply_with allicity antl county ortlinances-
antl state.laws relating'to bui tl� 9 construction, and hereby authorize re re-� _ �•
Sentatrves ot t is city toGe te upon Ihe above-mentionetl_ property _' ' � . 1�-
inspe<tion p se . '
Siqnature: � - 'Date-�' � � � � �• � -
.Drivers' License or 5 �� — •Remspection Fee � �' $15
;� 0865-4fi, rev. 10/B4 White - 8uiltlinq; Canary - APPlicant; Pink - Accounting; Goltlenrotl - Assessor
Showers
Service Sink � �
. Sewer Cap -
Sewer Connection
Solar Collectors� -
�. Solar Pipin9 �
Solar Tank„
Swimming Pool w/Sp
Uririal
' l�`/2LC! CI052t
Water Heater
Water Service �
'"e
� FEES. � � ' � '
Automatic Washer -„ �
' � v Construction Pole Sub. ,
Cooking Uni[ , ,
. Dishwasher
_ � - Dryers ❑Gas ��Elecvic
�
�
�
� F.A.U.� . .
Fixtures
Device Boxes � �
Outlets ,
" Switches . '.' ' ' '
� � Garbage Disposal .
Generaror��0-5 KW �5-15 KW
' Issue Fee $� 3
1ANICAL. .FEES
Hoodor Typel ❑ - �
-Canopy � Type I I '❑ � .
ncinye�eumioVxem �
❑0-100,000 BTU ❑700,000 BTI
'Sysrem�Repair/Alteration �
Fire Dampers -
Registeri . .
. '� � Iwue�Fee �� ' "�
,�7G= ��i+�"7
. t ,
� ` '
Accessory Building':
_ ' ' •
t
� Parking Req./Provided
'. � . .
JCA6 '
�.�io:�_ � _
. a .
� Z
i o
� N
' �
i ' N
, G
R
E
Q
M
� S
FEES �
� Transformer� � 75-50 KW �y
. � 50+KW' ,�
� Meter ❑up to 100 amps
Meter ❑over 100 amps
Sub Panel � � - " �
� - Momrs�U7,HP�i'/:-8.
IncSolar �9-1�5 HP'016-15+�,
Microwave'
Pole Light � '
Range
Sign j �� � + i
Stanifin9 Sections
TrasFi Compactor
IReinspection Fee '� $75 I I luue Fee . '
DEVELOPMENTSERVICES�REQUIREMENTS: �
Zoning Approved By ' C
Building Approved By ' [
Appliwtion Issued By ' '[
�
� � SUMMARV OF FEES-� � � ' � �
BUILDINGPERMIT $ Z�•da SMIP � .�$� .O•Sd
- PLAN CHECK �� $ PERMIT , ,
� PLUMBING � $ � ISSUANCE-�- '$.�
PtAN CHECK 25% �$- �� ENERGY P.C' $� � 1-
� ,� GRADING - I$' � -
� ELECTRICAL ,$ . '.' '
- - PLAN CHECK 50% '$ � ' MICROFILM= �$� ' � ''
�,r MECHANICAL � $ TOTALFEE-_ .$�,�
$ 3 �PLAN CHECK 25%� $ � � � � I
CONSTRUCTION AND PLANNING �
APPROVALS Permit #
1�` Temporary Electrical Service or Pole .
2. Soil Pipe-Undrgrnd.
3. Electrical Conduit Utility-Undrgrnd.
4. Electrical Conduit-Undrgrnd. .
, ,
5. Steel Reinforcement i
6. Electrical UFER Grnd.
7. Footings • ,
8. Foundation „
9. Water Pipe-Undrgrnd. ' � • � .
10. Structural Floor System �
11. Property Sewer, Line & House Connection
12. Sewer Cap '
13�. Roof Orains ' � .
14. Rough Plumbing , � ' � �
15. Rough Electrical-Conduit .
16. Rough Electric Wiring '
�17. Rough Wiring Sign "
18. Rough Electrical-T Bar Ceiling
19. Rough Heating & Air Conditioning
20. Rough Factory Fireplace
21. Ducts,in Structure �
22. Ducts, Ventila�ting
23�. Gas Pipe-Rough & Test
24. Roof Framing .
25'. Roof Sheathing
26. T-Bar Ceiling (Structural) & Monocoat
27. Frame and Flashing �
28. Lathing & Siding
29. Insulation
30�. Drywall Nailing
31 . Plaster Brown Coat . .
32. Electrical Power Meter-Final
�33. Final Electric �
34. Final Heating & Air. Conditioning
35. Final Gas Pipe-Test �
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing � , . �
39. Water Service-Final
40. Gas Service-Final � �.
41. Solar pomesticFinal �
,42. Backflow Preventer
43. Backfiow Irrigation �
44. .Landscape Irripation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Cc
Date
`
Date
G
� � , POO L & SPA � � -
Inspector, pppROVALS Permit# '
52. Pool & Equipment Location
53. Steel Reinforcement .
54. Forms � " . ' � . �� �
. � � 55. Electrical Bonding ' • .
56. Rough Plumbing & Pressure Test �
57. APPROVAL TO COVER-GUNITE
58. .Electrical Conduit-Undrgrnd. � .. " .
' 59. Gas Pipe,'O Undrgrnd., Test ,
�• 60. Backwash Lines, P-Trap, O Undrgrnd:
' 61. APPROVAL TO DECK ;
62. Backwash &.Receptor-Final , �
63. Heater & Vent-Final '
_ 64. Plumbing System - Final �
65. Electrical-Final �
66. Solar System-Firial � ' �
, 67. Fencing & Access Approval' �
. 68. APPROVED FOR PLASTERING
' ! 69. POOUSPASYSTEMSFINAL
FIFiE DEPT. REQUIREMENT
APPROVALS Permit # � _
70. Underground Hydro� � �� �
� 71. Product Piping O Gas ❑ Oil
' 72. Underground Flush �
' 73. Undergrnd. Storage Tank � Gas ❑ Oil
' 74. Overhead Hydro � .
� 75. Dry Chemical
' 76. Dry Standpipe _ '.
, 77. FIXED SYSTEM FINAL
78. FIRE PREV. FINAL
� � HEALTH DEPT. REQUIREM
�79. FINALINSPECTION �
!
80. FOOD CERTIFICATE ISSUED
Notes:
s
Date Inspector
9
e.
.�
�
0
�
�e. .
., ���'7
COSTA MESA BUILDING DEPARTMENT
P.O.BOX31] '
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
.BnooaEss 2516 Aowdoi.n P]_ace.�
COSTA MESA. CALIFORNIA
owNER n
MAIL 1555 P]�entia
ADDRE55
TEL.
��T� inort Beach� Cal, No
ARCHITECT c��e LIC.
OR ENGINEER � NO.
ADDRE55 CATfIP
c�Arr��t-r��17. Const. CO. ��TY N�o 1217.
TEL.
ADORE55 NO. $$ILe
�E�a� �aT g4 z
OESCeIPnorv NO. BLOCK TRACT
A.P. NO. � . .
SIZE '� X lO'z. rvo. ov a�ocs. Q
OF LOT ' Now orv tor
USE OF
EXISTING BLDG. '
SETBACK LINE FROM . n/�
CENTER OF STFEET SO REAR YNRD /�.I
� DESCRIPTION OF WORK
NEW p ALTEFATION ADOITION
REPAIR MOVING' DEMOLISH
SU�IEDING� m� �O FOOMS 6 STORIES 1
!.a
EXTEft10R WALLiUCCO COV�ERINCYlOOd St1Y3nB
COVEqING �%�
L15E OF NEW
a,,,�o,N� residence and att. garage .
� ��EE RECtiVED
�,w
'.�� � � is5s
fIN�NCE QEPT,
(;.�(V Qr ��C7n P.,jCCq
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
RECENED OAtE ISSU
` U_ <"'r% t,� > > -
BUIl91NG
ADDRE55
COSTA MESA. CALIFORNIA
FIRE
APPROVED
BV OATE
CORRECTIONS
The Amount shown under vzluatio� is for the
I MEPEBY FCKNOWLEOGE THAT I HAVE REAO THIS APPLICaTION 4ND Du�Mse � esa us mg a perrm[ l�.v
STI�TE THAT THE FBOVE IS COHRECT AND AGREE TO COMPLY WITH ALL Y��
CITY OPDINANCE � SThTE L4W5 REGUL4TING BOILOING CONSTRV6
T���� VALIJATION . � �j
SIGNATURE OF PERMiT FEE $ JS�OO
PERMITTEE
� ' $ 15,62z�0� PLAN CHECK 'S 17�5Q
AUTHORIZED AGENT TOTAL FEE $ S2.5O
"BMi