HomeMy WebLinkAbout335 BOWLING GREEN DR - Building PermitsJob Address: 335 BOWLING GREEN DR
SWte No
Vicinity:
Parcel Nunmber: 14138303
npplicant: LITTLEFIELD, SCOTT
Address: 24707 SAN FERNANDO RD - � " - �. . - , - .. ' � � .
.-� ,,i.�-"- �-
. : �J,, � . Phone: 888-611-4328 - --
SANTA CLARITA, CA� �_ - , � �� � � Zip: 91321 � .
owner: MORITZ, LEE GENE TR - -.�
Address s 335BOWLINGGREENDR':�- _'-�,.- - --. � �� ,
„ , � � � - � . . Pfione: - ..
�,; �, COSTA MESA; CA,,--;���-�.-� Zip: 92626-6106
^�
i ' �'
Cantractor: AFFORDABLE WATER HEATERS AND PLUMBING
� Addressi 24707 SAN�FERNANDO RD �
" � . . � Phone: f�661-259-7131
SANTACLARITA,CA � 2ip: 91321
� . , . - � . '�License: � 627368 " �
� - - " SCOPE OF PERMIT
WATER HEATER CHANGE OUT
Status: ISSUED
Applied: 03/13/2007
Issued: 03/13/2007
�/ �
/1
ISSUED BY: .�� � �-%��
� �� �� �
; . �
- � ,. � , � � �.
, FEE SUMMARY � ,
AMT �,� . �:• -� . �. . _ . . _ �.'AMT � �,� -. � AMT QTY
ISSUEFEE $23.50 LaundryTub/.Washer'_ _,��$0.00.',�"0._ _„' �SumpPump , � i $0.00 �0
BackFlow irrigation $0.00 0 � Landscape Irrigation - � $0.00 0 � - - Swimming Pool � .'. $0.00 0
BackOow Preventer $0.00 0� P-Trep $0.00 0� � Trap Primer � . $0.00 �0�
Bathtub $0.00 0 Pressure Regulator $0;00 ,0 _ Urinal f_, r $0.00 0
Clarifier Syslem $0.00 0 � � �� . Process�Piping-(per,10 ft) �� ,$0.00 � :��0 � ;' �-� Vacuum Brkr Bkflow(1-4) ;_ �$0.00 "0
Conned pce,Soda,etc) $0.00 0 �- - ----Receptors = _ - - � � $0.00 i �0� � -- � `, Vacuum Brkr Bkflow(5+) � _ $0.00 � ; � 0
DentalUnits $0.00 0 � �� � SepticTank ��' � � --$0.00 - 0' - � ---'� WashBasin ",� ' $0.00, �� 0
Dishwasher � $0.00 0 SewerCapforDemo $0.00 � 0 � WashBasinSef%;' - ���$0.00��� �0
Drein, Floor $0.00 0 Sewer Connect �$0.00, - 0 � Waste and Vent §ystem � $0.00 0
Drain, Rainwater . $0.00 0� Sewer Private Line .` $0.00 �.' 0 Water Closet (Toileq $0.00 ' 0
Drain,Roof $0.00 0 Shower $0.00 0 WaterHeater/vent., �$12.30. 1
DrinkingFountain ,' $0.00 0 Sink, bar . . $0.00 0 Water Piping (Inst or Rep.) -$0.00� 0
Expansion Tank $0.00 0 Sink, commercial � ���: $0.00 0 Water Re-pipe . -� $0:00 0
GasEaAhquakeValve $0.00 0 Sink,�Floor � � ` � �•$0.00,.- 0 WaterService � : $0.00 0
Gas (1-0 outlets) $0.00 � 0 . Sink;�kitchen $0.00 �,,�;0. _,. �.. _ Watei $oftener . ,-� , $0.00 0
Gas(Over4outlets) $0.00 ' �0 �-"�:.� 'Sink,service/mop �� � �$0.00� -� 0 �; ��'�:ti��: OTHER� � _ ,� $0.00
Gas Repipe 50.00 . 0 Spa (private)�. � . � $0.00 0 ' VIOLATION, , �- � �$0.00
Gas Service � � `. � $0.00 ' 0 Spa (putilic),' � '/ $0.00 = 0 - °PL�AN.CHECK . - f $0.00
Interceptors (Grease, Oilj � $0.00 0 � _ '- � � _ � ' " � '�'�REINSPECTION ; ��� % $0.00 0
Interceptors (Sand Auto ) $0.00 � �0� , . . � - • ' � .� �� � - � � % �
. - � `�, . � - � TOTAL-CAL�CULATED�FEES: $35.80
- , , _, - - . _. .� . - _� � ,,
� COMMENTS / SPECIAL,CONDI'f'IONS
_ , � .
� � � . . „ '
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia statutes and related
regulations. (Ord. No. 9248, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
tor a period of 780 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspectlona and final epproval must be obtained. Failure to obtain inspections and (inal approval will result in the ezpiration of this permit.
FOR INSPECTIONS CALL: (774) 7545626
xaasas �wool
WORKERS'COMPENSAnON DECLARAnON: - '
I hereby aHirm untler penalry of perjury one of the tollowing declarations: .
❑ I heve end will meintain e certificate of consent ta setl-Insure for workers' compensetlon, es Drovitled for by section 3700 af Ihe Lebor Code, tor the performence ot the
work tor which this permit is issuetl. �
I have ena will meimain workere' compensation insu�ance, as required by sec[ion 3700 of the Lebor Code, for t�e pertortnance of Ihe work for which ihis pertnit Is issuetl.
�--�My workers' compenselian I surance cerrier and policy number are: � /�� rf �
"C e ��G ���''�"� Policy.Number. � b�6 Q!� -
'(lhis section need not be comp/eted i( fhe pemrit is velued ef one hundred dollers ($100) or less.) -:_ �1
❑ I certity that in the pertormence of the work for which Ihis pertnil is issued, 1 shall not employ any person In any manner so as to become subject to ihe workers'
compensation lews of Califomia, en0 agree that Ii I should become subject to Ihe workers' compensetion provisions of Section 3700 of the Laboi Code, I shall fotlhwith
comply with these pravisiens. )
Applicant SigneW�re: /� �.�'-� � r--Date: �� I 3� 0�%
i � - -" �-+
WARNINO: FAILURE TO SEC E WORKERS' CAMPENSATION COVEPAGE IS UNLAWFUL AND SHALL SUBIECr.AN EMPLOYER TO CRIMINAL PENALTIES ANO CIVIL FINES UP TO ONE HUNDRED
:TNOUSANO DOLLARE ($100,000), IN AODITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTIpJ 37060F THE LABOR CODE, IMEREST, ANO ATTOFNEV'S FEES.
LICENSED CONTRACTORS DECLARATON:
I hereby aHirm Ihat I em licensed under provisions of Chapter 9(commenr.ing with Section 7000) of Division 3 of.ihe Business and Professions Cotle, and my license is In tull
torce and eNecL'Cic. # CClass a � 3 6
ComrectorsSignaWre: i�JZT/' Date: 3—�T-07
`/ Y ♦
CONSTHUCTION LENDING AGENCY: -�-J
❑� I hereby aHirtn that there is a consiruction lending a9ency tor Ihe Dertormance of ihe work tor which ihis permit is issued. (Sec. 3097, Civil Cotle).
Lender's Name: Lender's Address:
Signalure:
OWNER-BUILDER DECLARATIONS:
Date:
I hereby aHirm Ihat untler penelty of per�ury that I am E%EMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business end Professions
Code: Any city or counry which requires e permit to construct, elter, improve, demolish, or repair any siructure, prior to its issuance, also requires ihe applicant tor such pertnit
to file e signed statement that ha or she is licensed purouant to ihe provisions of the Contractors License Ww (Chepter 9(commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that ha or she is e:empt iherefiom and ihe basis for the allegatl exemption. Any violetion of Section 7031.5 by any epplicant for e pertnit
subjects the applicanl to a civil penalry ot not more ihen five hundred tlollars ($500).): �
❑ I, as owner oi Ihe properry, or my employees with wages es iheir sole compensation, WILL DO THE WORK, and Ihe structure is not intended or ottered ior sale (Sec.
7044, Business and Protessions Code: The Contractors Licanse Law does not apply to an owne� ot property who builtls or improves ihereon, and who does such work
himsetl or herself or Ihrough his or her own employees, provitletl ihat such improvements ere not intendetl or oHered for sale. If, however, the building or Improvement is
sold within ona year of completioq the owner-builder will have the burden of proving ihat he or she did not build or improve for purpose of sale.). •
❑ I, as owner of t�e propeny, am E%CWSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business end Professions
Code: The comrectors Llcense Lew tloes not apply to en owner of propeny who builds or Improves ihereon, end who contrects for such pmject with a comractor(s)
license pursuant to tha Contractors License Laws.).
❑ I em ezempt under sec. Business antl Protessions Code tor ihis reason:
SignaWre: Date:
Owner ID verified by drivers licanse. ❑ Ves 0 No Dnvefs License No.
Venfication of Ownership by (rype of tlocument, i.e. - property tax 6ill or tleed):
DIVISION OF INDUS7FIAL SAFETV PERMITCERTIFICATION:
Expiras:
❑ I hereby certify that no excavation five (5) or more feet in tlep�h into which a person is required to tlescentl, will be made in connection with work euthonzed by this
permit, and tha� no builtling simcNre, scaflolding, falsework, or tlemolition or dismantling thereof, will be more ihen ihirry-siz (36) feet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Tule B, Califomia Atlministrativa Cotle).
❑ As ownervhuilder, I will not employ anyone to do work which would reQuire a pertnit from the Division of Intlusiriel Sefery, es noted above, unless such person has e
permi� lo do suCh work trom the diNsion. �
Signelure: Date:
Division of Intlusirial Safery Pertnit Number:
CERTFICATE OF COMPLIANCE AND AIJfHORIZA710N OF ENiRY: I certity under penalty of perjury that I heve read this application and state that ihe iniormation qiven is
correct I agree to wmply with all s�ate laws end city ordinences relating to building cons�ruction, and authorize representaiives oi ihe City at Costa Mesa to enter upon ihe
above-described property for inspection purposes. I egree not to occupy or allow occupancy of eny building authonzed by this permit until (nal inspection.
Signature Of Legal O ner(s) Date
---.... cc�s-� 3—� 3 -o �—,
And/OrAuth 'Applicant ^ — ` Date
CODE t. INSPECTIONTYPE ,
7616 Fixetl System Final Fire Prevention
1266 Pool Spa Finel
200 Final R8-R0o1
201 Finel Block/Retaining Wall
202 Final Factory Fire Place
203 Finel Sign
204 Final Demolilian
�j� IN
CODE� INSPELTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electrical
212 Finel Fire Prevention
220 Final Planning Approval
222
250
Final Site
Final BuiltlincyOccupancy
uerF uuma�i
-3�07 �
PflOJEC1P00flESS: 33J EOWLING GREEN DR
OWi�EH�NAME: MORITZ LEE G
; Aoos[ss: 335 BOiJLING GREEN DR
t COSTA MESA,CA °2626
PFCHIENGINEEB:
AUOFESS:
FlEG.NO.:
UNIT:
UNIT:
PEflMITTEE: LEE ROOFING (714)642-7223
nooxEss: 1653 SUPERIOR
COSTA MESA CA 92627
LICENSEU CONTNpCTOq DECLABATION: I hereby affirm Iha� I am licensetl untler provisions of Chapter 9(cammencing with Section
70001 of Orvision 3 0� ihe Business and Professions Code. antl my license is in �ull lorce and eftect.
a 0287 1 sTpTEuc.:3496RF u�s 39
ate. a�y`"J� Signature:�
WO flS' GOMP SATIUN OECLABATION: I hereby a�firm �ha� IA ve a cetlifica�e oi consent to selGinsure or a ceRificaie o� Workers'
pensation Insurance, or a cer�ifieA copy ihereo� (Sec�ion 3806, Lab. C�.
�Poucrxo.: 1300948-99 E%P.OATE: 06�3OI9S
COMPANY: STATE FUND
❑ Certdied coDY is hereby fumishe0. � Ce�ilied copy is tiletl wii(h'�the ciry Builtling Division.
��ate NpDlicanL �F "L d[f4 A iL3
E PTION HOM1 WOBNEBS'LOMPENSATIONOECIAflRTION: Qhi55ec1ionneeAno� ecompl il�hepermilis�aronehuntlretl�5100�orless).
cetlity ihat in Ihe pedormance af �he work for w�ic� Ihis Oermii is issuetl, I 5hail no� em0loy any person in any manner 5o a5 io become
subleq to Ne VJorkers' Compensalion Laws ol Calibmia.
�aie: SignaWre'.
NOTICE: If, al�er making �his tleclaration, you shoultl become subled m the Workers' Compensa�ion pmvisions o� the Labar
COde. you mus� forthwith tompty with Such pmvisions ar t�is permii 5hall 6e deeme0 revoked.
CON5T8UCTION LENOING AGENCY: I hereby allirm ihat there is a canstmction lentling agency for the Oedarmance af t�e work tor
which ihis Dermit is i=sue0 �Seciion 3U97, Civ. C).
LENOEP:
nooness: m
PERMIT Nc�: B
CITY OF COSTA MESA — BUILDIDIG FERWIT
067986 PLAN CHECK NO: N
PERM NO; B D67486
GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT
JOB DESCRIPTION : T/OFF AOCK ROOF & REROOF W/COMP. SQ FT: 5,000
CLAIM VALUE: 5,060,00 CALC—VALUE; 5,000.00 GP.OUP OCC: R-3 /
COb]MENTS: SMOKE DETECTOR REQUIRED PRIOR TO A FINAL
**+��r�**+�*�x��*****���t*;�****��c+�*+�*****�*********+t���****�x�**�+�*u**x***�:+�**<*+�**�
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 BUILDING ---------- --------- ACCESSORY BUILDIP7G ---------
FRNT; FT IN REAP.: FT IN FRNT: FT IPJ P,EAR: FT IN
LEFT: FT IN RC.HT; FT ZN LEFT: FT IN RGHT; FT IN
PARKING REQ: PROL': PARCEL: 14138303 ZNE: REF NO:
PLANNING NOTES>
.> .
iE fE 1f iE # iE?' if if # if ihlt-i� * 1F?E i: if �k if it iF+f ?F iE !E if iE jE 3E if !E i(-�lE if if iE it if iF iE±F �lE K iF 14 3E �f �IE it if i(� iE iE iE #'- iE if il-iE iF iF iE fi� 1t ic if ticl� iE iE iE ar-±E �IF #-�1E iE
D E C' E. L O P M E N T S E R V I C E S R E Q U I R E P5 E N T S
ZONING APPROVEP BY __:,__�r e_s�T_EC�TUK DATE:
BUILDIA7G APPROC'ED BY ; J���`""' �_ r��_� DATE: �//�/ _�
APPLICATION ISSUED HY: DATE: b/ Z/ t�
�)f'if 1k if')E iE iE iE iE'lE iF iE if iE if iE * iE 1f')E iE 1h�iFSF ��' E t'' C 'F i4 iF af if ?E 1F'� if 1E?f�i`e/rF�e ic �iZi('-1F
� iE iE 9K iE iE i' 1F iE if 1E iE if if iE jf iE 1F �f iE iE af fR iE �E iE iF iF iE M 9f 9f if �lE 9E iE iE iF if iF aE iF if af aF'T.1F>E � 9E iE if if if iE � if iE x i: iE iE if iE iE iP jf -1E 3E j� * �f iP � iE � 14 iP 3!-
LEGALIZATION:N F E E S 0 M M A R Y STP.IICTUP.AL SEGMENT:Y
OWNEflBUIlOEflOECLFHATION: Ihere6yafiirmlhallamexempl�romtheConiracbrs'SIa�eLicenseLaw�orthe�ollowingreason BLDG PMT FLUMHING ELECTP.IC MECHAh1ZC FIRE $MIP/FZES CiP.ADING
(Sec�ion 7031.5 Business antl Pwfessional Cotle: Any ciry o� county whic� reqwres a Dermi� to cons�mct, al�er, improve. tlemolish, or p ERM I T % z, � Q , 5 Q
repair any slmciure. Drior Io i�s issuance. also requires �he applicani for such permil to �ile a signetl s�a�emeni �ha� he/she is Iicen5e0 SM I P/ NON—RES
pursuant to Ihe pmvisions a� the Comracmrs' Sia�e License Law (C�apter 9(commencinA wi�� $ection 70W) of Oivision 3 of Ihe Business
and Pmfessians Code) or thal he/sne is exempl Iherelrom an0 Ihe basis for �he allegetl exemp�ion. Any viola�ion of Sec�ion 7031.5 by P LAN
any applican� lor a permi� su61ec�5 ��e applican� Io a civil penalry of not more than �ive hundred dollars (5500). j$$[JE FEE
i. as owner o� ine ompeny or my empioyees wiih wages as tneir saie compensation, will ao me work, antl me BUILLIING—DIL�—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ stmcture is nol intendee or oaere0 far sale Isecuon 70aa, Business an0 Pmfessionat Cotle: The Comracmrs State License Law TOTAL S----> 7 2, 5 0 0. 0 0 Q, 0 Q 7 2, 5 0 % 2. S � . 0 0
does no� apply �o an owner o� a pmpeny who builds or improves Ihereon, and who tloes such work himself/hersel� or ihmugh
his or her own employees. pmvitletl that such impmvements are not intentled or ofiered for sale. Ii, however the building or
improvement is soltl within one year o� compleiion, �he owner will have �he burden ot proving he/she tlid not builtl or impmve REV ENUE D IL,TIS ION TOTAL$--> COLLECTED : 7 2. 50 O�'ER: SHORT : , � �
mrineourPoseorsaieJ. BLL�G PMT PLUMBING ELECTRIC MECHANIC FIRE SMIF/TOT GRADING PLAN—CHECK
I, as owner ol Ihe pmperiy. am ¢xclusively conirac�ing wiih Iicense0 contrac�ars lo constmct the pmlect (Section 704A, Business 7�. � � , 5 �
❑ antl Pmlessi0n5 Code: T�e COnVati0r5' S�aie License Law Ooes no� apply �o an owner ol property w�o bwlds nr impmves the�ean
antlwAocomradsforsuchprolectswiNacomracmr(s)Iicensepursuan�toNeContrac�ori $�diELILCtISELdW),Idrt12Wd!¢ *j(�*{fi(�filfih?I�iF1EiEiffFik')E�itiE��7kiF#'�jFiE#jfli�lfiEiflEi(�1Fi1��1FiE'f.N-ififiE�f!fiL;ejF1f�1E�)F1f!(�i(�iEjf{E'k{E{Fi(�iEiEjL*jfiFt#jFiE{Fy�jl�i�-*}j(-**
mat prooi o� meir Worker's Compensaoon msurance should be pmvitle0 �o me. j N D I V I D U A L F E E B R E A K U O W N
� I am exempt untler Section: 8. 8 P. C.
mr mis reasore T Y P E
Da�e: Ownec $ FR
I Uo hereby cenify that I am aware oi antl untlerstand ihe requiremenis of California Healt� and Safery CoOe Sections 25505, 25533, and
2553< antl t�at I or any fuWre Duiltling accupanl will/will no� (circle ane) neea ta comply wi�h said sta�e cotles antl ihe requi�emen�s �or a
permit torconslruction or motlifica�ion hom the Air �uality Managemenl �i5inc�. flesitlential con5[mciion aOD�ication5 are exem0� «om
Ih¢5¢ provisi0n5.
Oa�e: NpplicanC
I �ere�y cerlilylhat I have reatl Ihis applica�ian antl s�aie Ihai Ihe above in�ormalion is correcL I agree�o comply wi�h all ci�y and coun�y
ortlinances antl s�ate laws relaiing �o builtling conslmction antl hereby authorize repres �ives o� �his ciry ro en�er upon �he ahove-men�ioned
p� for inspection pu�pases. _ � /
�ver's l�ense�6r Sociai Secmity p: —
�6ai�a5 Wnne—Bulitling, Green—Cotle Enlorcement:
Pmk—Revenue', Galtlenmtl—Assessor
QTY
SQ00
P E S C R I P T I O N
REROOF BY VALUE RESIDENTIAL N020N£
END OF FEES
UNIT Ct�ST TOTAL COST
1.00 5,000.00
�1 001;1803-00]6lE04 T�] T 72.;4
DATE: DS/07/94 TICiE: D4:12
1 -
. � PC,.. � & SPA
C�NSTRUCTION AND PLANNING -
�� r'LPPROVALS Permit#'r � Oate tnspecior pppROVALS Permit # Date Inspector
.
� 7. Temporary Electrical Service or Pote 52. Pool & Equ:pment Location
2. $pii Pipe�Undrgmd. 53. Steei Reiniorcement �
;
3. Electrical Conduit U[ility-Undrgrnd. � 54. Forms
4. Electrical Condu(t�Undrg:nd. 55. Eiectrica( Bonding �
5. Steei Reinforcement 56. Hough Ptum6ing & Pressure l"est
6. E�ectrical UFER Grnd. 57. APPflOVAL TO COVcR-GUNITE
7. Footings 58. Electricai Ccnciuit�Undrgrnd. ' �
8. Foundacion ' 59. Gas Pipe, C Undrgrnd., Tese �
9. Water Pipe-Undrgrnd. 60. Eackwash Lir.es, PTrap, C1 Ur,drgmd.
70. Structural Floor System ,, 61. APPROVAL TO DECK �
1 �. PrOPerty Sewer Line & House Connection , ` 62. Backwash & ReceptorFinal
12. Sewer Cap � .,< � 63. Heater & Vent�Final
13. Roof Dreins - 64. Plumbi�g System - Finai '
74. Rough Plumbin9 � 65. Electrica6Fir,al
15. Rough Eiectrical-Condu;t 66. Soiar System-Final
16. Rough Electric Wiring 67. Fencin9 & Rccess AnVrovai
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Cei�ing 69. POOL/SPA SYS7EP,15 FINAL
19. Rough Heating & Air Conditioning FIRE DEPT, NEQUIREMENT
20. Rou9h Factory Fireplace APPROVALS Permit �
27. Duc.s, in Structure 70. Under9round Hydro
22. Ducts, Ventilating 71. Pcaduct Pipiag C7Gaz �011
23. Gas Plpe�ftough & Test 72. Underground Fiush
24. Roof Framing 73. Undergrnd. Stora9e 7ank � Gas � Oil
25. floQz Sheathing („J�y�f1� �,C 74. Overhead F?vdro
7 /�"
26. 7-Bar Ceiling IStructuralY & Monocoat 75. Dry Chemical '
27. Frame and Flashing 76. Dry Standp;oe
28. Lathing & Siding 77. FIXED SYSTEM FI�VAL '
29. InSulation 78. FIRE PREV. FINAL ��
30. Drysvall Nailing HEALTH DEPT. REQUIREMENT �
�- -31. Plaster Brown Coat .- �9. PINAL INSPECTION �
31 2. Elactrical Po�ro�zr MeterPinal (f � 80. FOOD CERiIF�CATc iSSUED
33. Fina� Electric • '� `A•= -, Notes:
34. Fir+a! Heating & Air Conditioning �
!'•
35. Final Gas PiDe-Test (-f _.f
36. Hood or CanopY �,
37. Final Factory �ireplace .� ' �-�� ---- -�---
38. Final Plumbing � '
r`
39. Water Service-Pinat ��-` `
40. Gas Service-Final
41. Soiar pomestirFinal
42, BaCkflow Preventer �
43. Backflow Irrigation .
44. �andscape Irriqation System � �
45. Sound Attenuation
46. HandicapRegulations - �-
47. FINAL STRUC7URE & BUILDING �.LjC,c ��
� 48. FINAL PLANNING , �
49. Electric Release to Edison �
50. Gas Retease to Southern Catitornia Gas Cn '
51�. CERTIFICATE OF QCCUPANCY
No. Date
PflOJECTFU�flESS: 33S BOWLING GREEN DR
OWNEfl'SNRME: MORITZ LEE G
aooRess: 335 HO{M1TLING GREEN DR
COSTA MESA,CA 92626
AHCHIENGINEEH:
pooness:
flEG.NO.:
UNIT:
uxir:
PEflMITTEE: NOCK PLUMHING (719)t�95-1246
nooxess: 11510 SEAHOARD CIR
- STANTON CA 90680
LICENSEO CONTpACTOB OECLABA710N: I herehy a�firm that I am licensetl under pmvisions ot ChaD�er 9(commencing wi�h Sec[ion
]000� ul �iv��sian 3 0l Ine Business an0 Pmlessions Cutle, and my license is in WII �arce antl eliect.
ciTvuc.: 05038 srnreuc.:511971 ciass: C-36�EX�2/95
IDaie: � � SignaNre �
WOHREflS' COMPENSpTION OECLAPATION: I here6y aifirm Ihat I have a cenitica�e of consen� �o sel4insure or a cehificate oi Workers'
I' Compensation Insurance or a cerafietl copy ihereof (Section 3800, Lab C.
�voucveo.: 116"7992-94 EXP.011TE: �3/OlI9S
comraxv: STATE
❑ Certifietl co y is hereby lumished. Q Cetlified copy is hle �he ci�y Buil � Division.
oate'. � � L Applicant: ��y �
E%EMPTION FHOM WOPREflS' COMPENSFTION DECLABATION: Qhis sec�ion neetl noI be cample�ea if the permit is �or one hundrea (51W) or less�.
I cetlify NaI in �he pedormance ai �he work for which ihis permit is issued, I shall no� employ any person in any manner so as to become
sublec� lo ihe Workers' Compensation Laws ot Cali�omia.
Oate: Signa�ure:
� NOTICE: II, ailer making this tleclara�ion, you shaultl 6ecome sublect �o Ihe Wo�ke�s' Compensation provisions of �he Labor
COUe. you mus� �onhwith comply with such pmvision5 or Ihis Dermii shall be Oeemetl revoked.
CONSTflUCTION LENUING NGENCY: I hereby a�hrm tha� there is a constmction lentling agency for the peAormance oi the work tor
which �his permil is issuetl (Section 3097. Civ. C).
LENOEfl:
FDOPESS:
OWNEF BUILOEN DECLABpTION: I hereby affirm ihat I am exempt irom the Contractors' Sta[e License Law for ihe following reason
(Section 703L5 Business antl Pmiessional Cotle: Any ciry of coun�y which requires a permit lo cons�mct, alter, improve, tlemolish, or
repair any 5imciure. prior to its issuance. alsa repuires ihe applicant �or such permit �o tile a signed s�a�emen� Ihat helshe is licensed
pursuam �o Ihe pmvisions of Ihe CONractors' S�a�e License Law (ChaD�er 9(commencing with Section 7000) of �ivision 3 0� Ihe Business
antl Pmlession5 Cotle) or Ihal he/she is exemp� therefmm antl the �asis for �he alleged exemption. Any violation o� Seciion 7031.5 by
any applican� �or a permit sublects �he applican� �o a civil penalry o� no� more Ihan five huntl�e0 tlolla�s ($500).
I, as owner ol Ihe propetly or my employees wiih wages as �heir sole compensa�ion, will tlo ihe work, antl the
❑ simctureis notinlentletl orofieretl forsale(Section 7044, Busmess and PmfessianalCode: The Coniractors' State License Law
Ooes not apply to an owner of a pmpeny who butltls or improves ihereon, antl who tloes such work himseli/hersel( or thmugh
his or her own employees, pmvided Ihat such impmvements are not inten0ed or offeretl for sale. If, however ihe builaing or
impmvemeni is sald wi�hin one year of wmpletion, �he owner will have �he 6urtlen of pwving he/s�e tlid no� build or impmve
�or Ihe purpase a� sale�.
I, as owner of �he pwpetly, am excWsivery cantrac�ing wi�h licensed conVac�or5 io cons�mc� Ihe pmlect (Sec�ian 7044. Business
❑ and Pmtessions CoOe. The Conirac�ors' State License Law tloes not apply m an owner of pmperty who huilds or improves �hereon
and who coNracts for such pmlecls wi�h a controcioqs) license pursuant ta �he ConVactors' S�ate License Law�. I am aware
��al pma� of Iheir Worker's Compensa�ion insurance shoul0 be provide0 m me.
� I am exempt unUer Section'. B. 8 P. C.
for this reason:
Oaie: Owner:
I do hereby cerlify Iha� I am aware of antl untlerstantl �he reduirements of Cali�omia Heal�h an0 Safe�y Code Sections 25505, 25533, antl
25534 antl thai I or any WNre building occupant willlwlll nol (circle one) need to comply wlth saltl sta�e codes and �he requirements for a
permit lor cons�mc�ion or motlihcation �mm the Air �ualiry Managemen� DiS��icL Re5i0en�ial construc[ion applica�ions are exemp� twm
thESC O�Ovi5i0�5.
Dale'. ApPlicant.
I here0y cer�ify �hai I have read Ihis applica�ion antl s�ate tha� ihe a�ave information is correcL I agree lo compty with all ciry antl counry
ortlinances antl stale laws relating Ia builtling cons�mction antl her Ihoriie representatives of this ciry ro enter upon the above-men�ionetl
property �or'mspet�Ion purp es. /
�ate: SignaNre'. _. �
Driver's �icense or Soaal Securny a:
164L46 W11ile-6utltlingl Gr¢¢n—COtl¢ En�orcemen�; Canary—Applican�; Pink—RevBnuB; GOItlBnrOtl—ASSBSSor
CITY OF COSTA MESA — HUILDING PERMIT PERM NO; P 069870
PERMIT NO: P 068870 PLAN CHECK NO: N GOVT; N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH
JOB DESCRIPTION : DISHWASHER REPAIR—C/O SQ FT;
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
COMMENTS: NO OTHER WpRK AUTHORIZED BY THIS PERMIT
*x*+��*****�***********�r***********�****+�**********�r+�*�*��**�c**�c �c�r*�******+�*****
Z O N I N G A E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
PARKING REQ: PROt�: PARCEL: 14138303 ZNE: REF NO;
PLANNING NOTES>
)
�iE �E 3F iE �IE �E 1h iE iE �E )f 1E jElF if fElf if if 1f 1E iE �)E iE i! iE 1f i! iE iF # iE iE iF iE iE 1E iF iE iF if if if� if if ih 9ElE N- iF fE iF �lE �f �lE iF iE iF 1E 1E 1E iF if �1F 9F �F dF 3E if iE �lE jE iE iE iE iE iF �IE iE
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�
ZONING APPROVEP BY �' DATE;
BUILDING APPROVED HY ; �r'I DATE;
APPLICATION ISSUED HY; - . � `"� DATE: �
!FlE�1EiF9EfEjEfEiElfil�fEiFiF1FiE1EiEiEiEiE�1E F!E E.1E �- -i i E1E E F�k3k! F3E t E iE i�if9fifiE E!E !E!Elf7ElEfFiEiE3E9t iE �� 3EiF
lfjEiE1ElEiEjElEiElEiE9E9F�IEjFiEiFiEiff6lfiEiEjfiEiEifiE E�lflEiE9FiEiPiFiFlEdEififiE9EiEjEiE#iEifdEiE�1lifjfifiElfitiFlEiF*iElEifjEifN-ifiE�eifib',�lE�flEiFlF
LEGALIZATZON:N F E E ;S U M M A R Y STRUCTURAL SEGMENT;N
HLDG PMT PLUMHI � ELECTRIC MECHANIC FIRE SMIF/RES GRADING
PERMIT 7,00 _.
25� SMIP/NON—RES
PLAN '
ISSUE FEE 20.00 —
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 7,00 20.00 0,00 27,00 27,Q0 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 27,00 /OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE 5MIP/TOT GRADING PLAN—CHECK
2 % , 0 �
iE'�E iE iE iF iE iE iE iE jF iE iF iE it'lE iE if iF iE iE iE it iE if �A if iE iE if iE iE iE iF ie� iE �lE iP.iF iElE i4 iE iE it iE iE iF k iE iE iE iF iE it iE it iE if iE iE iE iF iE iE �lY iE it �1! i4 if it if� iE iE if it i(� if iE
I N D I V I D U A L ,F E E B R E A K D O W N
TYPE QTY
PLU 1
D E S C R I P T I O N
DISHWASHER
END.riOF FEES
�/�
UNIT COST TOTAL COST
7.00 7,00
V
D1 �JO?67?35-1�01677sS T C17 27.OQ
DA.TE: 09/la/94 TINE: t0.'0:,
CONSTRUCTION AND PLANNING r_..L & SPA •
qPPROVALS Permit # Date Inspector APPROVAIS Permit # Date Inspecror
' L Temporary Electrical Service or Pole - 52. Pool & Equipment Location �
2. Soil Pipe�Undrgrnd. 53. Steel fleinforcement
3. Electrical Conduit Utility�Undrgrnd. � 54. Forms
4. Elearical Condurt-Undrgmel. � 55. Electrical Bonding
5. S�ee! Reinforcemen[ 56. Rout�h Pium�ing & Nressure Test , �
6. �iectr�tai UFER Grnd. 57. APPROVFlL TO COVER�GUNIT[ '
7. Footings 58. Electricai Conduit•Undrgrnd. � �
8. .Foundation ' 59. Gas Pipe, O Undre�md., Test � � li
. 9. Niater PIpe�Undrgmd. � 60. Backwash Lines, P�Trap, C Undryrnd.
10. Struct�ral Floor SYsiem 61. APPROVAL TO DECK
i t. Property Sewer Line & House Connection , 62. Backwash & Receptor�Final ��
72. Sewer Cap _ 63. Heater & VencFinal I
73. Roof Drains � 64. Piumbing System - final �
t4. Ro�gh Plumbinq 65. Electrica6Final I
15. Rough Electrical-Conduit � 66. Solar SYstem-Final
16. Rough Electric Wiring 67. Fencin9 & Access Approval
tl. Rough Wiring Siyn � 88. APPROVED FOR QLASTER4NG
18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Roogh Neating & Air Conditioning PIRE DEPT, HEQUIREMENT
t
20. ftough Factory Fireplace � � � ��; � APPROVAIS � Permit #
21. Ducts, in Structure � � • 70. Under9round Hydro
22. Ducts, Ventilating � 71. Product Piping O Gas D Oil
23. Gas Pipe�Rough & Tesi - 72. Underground Flush �
24, Roof Framing _ � � 73. Underyrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing . , . 74, Overhead Hydro
26. T�Bar Ceiling (Structuraq & Monocoat 75. Dry Chemical �
27. Frame and Flashing - � . 76. Dry Standpipe I
28. Lathing & Siding . . � . � - 77. FIXED SYSTEM FINAL
� � 78. �FIRE PflEV. PINA� �
29. I��sulation �
30. D�Y�vall Nailing � �-,-. � HEALTH DEPT. REQUIREMENT
37. Plaster Brown Coat � 79. FINAL INSPECTION
32. Electrical Power MeterFinal .� 80. FOOD CERTIFICATE ISSUED
33. Finai Elec:ric � Notes:
34. Final Heating & Air Conditioning • µ�.-
� lD^li��°1.1. �i.x Z
35. F�nal Gas Pipe•Test � � �
i
36. Hood or Canopv ' � ' � • �
37. Final Factory Pireplace � -
38. final Plumbing 0 �
39, Water Service�Final .
40. Gas Szrvice-Final . ' . -
41. Sofar pomestic-Final j
42. Backflow Preventer ,
43. B3ckflow Irrigation
44. Landscape Irripation System �
45. SOund Attenuation '
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDWG , ,
4$. PINAL PLANNING �� , -
49: Electric Release to Edison � .--
50. Gas Release to Sou2hem Califomia Gas Cn -
5L CERTIFICATE OF OCCUPANCY
No. Date �
��
�
0
COSTA �MESA BUILDING DEPARTMENT
P. 0. 80X 317
COSTA MESA CA�IFORNIA
C•L. OF STREET
" ��PROP.
r 10 FT. FOR 60 FT. S
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=ET �[I2 FT. 61
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FT
60 FTj S
MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES------�
MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES
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� 5831 �� �
FOR APPLICANT TO FII.L IN
BUILDING' A/DDRESS ��3S �e[�/Iiti<•'- CRdEii/ Ri l/�
Owner /7 •. 5� � ,���-�
Maii Address '
�ii�i ✓G L
City _��� ga[lIIiNG �iREcA/_ph. No.171a{��Q� _
Contractor � r
�� Ph. No. � t'.z 9�:2
Address ����� �� �-&ti^k
City Lic. No. • State Lia No.
-------,-T�d-,--------------
Size of Lot E�G' X-�� AP No. �- — �- �
SO' � . �
Setbacks:'C/L Street� Rear
// / i/
Side Yard - Right d Left (�
Type of Fence �—���T� Q���l �'
G'X �' � l �6'
I hereby acknowledge that I have read this application and state
that the above is correct and agree to comply with all City Ord-
inances and State L s regulating b ilding construction. .
Signature �,...'.�EG�" �l � ,i�i� ,
of Permittee
FOR OFFICE USE ONLY
,.5-d�o S -
Date Issued
- 30 -� / I �-1' -
VALUATION �' _
Permit Fee $
� � Plan Check $ ^'
TOTAL FEE $ '� '—
USE REVERSE SIDE FOR DETAILS
OW NER COLLEGE-PARK -- - DATE 12-28-56
JOBADDRES`3� � �-$OWZ1riF Green Drive BUILDINGPERMITNO. #(11(�O
GENERALCONTRACTOR Harbor COriSt, CO. VAWE $� ],Z.µOO.00
LOT ']1 BLOCK TRACT Q%Q(� $e5. W�Af,t, gar.
GROUP T. L�:��T TYPE V ZONE �µ FIREDISTRIGT f1QQJy
PERMITSISSUED
INSPECTIONS DATE SUBCONTRACTOR I
DATE NUMBER
Footinq Trench � ��
Foundation Forms and Grade to
Rough Framin� 8�
Plumbing, Rough to Slab
Plum6ing, Rough Complete
Temporary Pole
Wiring, Rough
S�.
Septic Tank or Cesspool
Lathing,ln Out
,Pfum6ing,Fin�al, Fixtures Com
Plumbing, Fin,al Gas Test �S
Wiring, Final _
Occupancy
iORM 210 3M 10�•v5
�
_ / r.-Je'
Josta Mesa Bnilding Department
P. O. Box 3! 7
� COSTA MESA, CALIFORNIA
�'OR t�PPLICANT TO FILL IN
Ing
:se �j3rj BOIYLING GREEN DRI V
Costa, Mesa, California
Owner COLLEGE PARK N0. 2
Mail
Address 2 � � 6 $O. MA I N ST.
Tel.
�ty $pNTA ANq, CoLIF. No. KI
rchitect or Lic.
ngineer No.
Address
City Lic
Contractor�-{ARBOR CONST.CO No. �i
Metes and Bounds)
I� No. of Bldgs
.ot 6LL X � �9 Nowon Lot
N o. of
Bldg. Families
dion � � Addition
9 I I DemolisF
No. of
Rooms Stories
Use of New
Building RESIDENCE � ATTACHED
of
APPLICATION FOR PERMIT
a�n� BUILDING '
FOR OFFICE USE ONLY
Receipt No. Permit No.
�/�O G
Received by Date Rec'd. Date Issued
— ��n 'Yn /2–.�7 <S� /� � �- S
I hemby acknowledge that I have read this Applicatlon
and state that the above is correM and agree to comply
with all City Ordinances and State Laws regulating
building construction.
Signature of
aerm�ttee HARBOR CONSTRUCTION C0.
Authorized Agt '
Valuation PermitFee $ 3U "�
Plan Check $ . /�—
s 12,400. To�i —
� Fea $ �� �
�� �o�ss o. v. a s.
Costa Mesa, California
Nearest
Cross St.
APPROVALS
Foundation Location Inspeetor
Forms, Materials,
Under-Pinning
Frame: Fire Stops, �
Bracing, Bolts
Lath.int.
Int
Ext
� Reintorced
Dafe
Date
O
r✓
�
c -,
PLOT PI.AN
Show Ixatlon and dtatances from
property tine and between builtlinpa
�xi
` . � u. . .i
1 /_ . �v.
. � . ' . . � � . . .
_ —:\
OWNER
INSPECTIONS
Forms
brown coat
- DEC 31. 195i � DA.I.E 9-30-57
DI'1V8 MAR 7.�1958 BllILDING PERMYT N(
lder VALUE $ 791.00
PIRE ZONE DESCitIPT10N OF WORK ConcPetB .
TYPE ZONE
DATE I SUBCONTRACTOR
PLAN NO.
PERMI
_J�