The URL can be used to link to this page

Home My WebLink About158 BUOY ST - Building Permits +� �'r CITY OF COSTA MESA F y!�1 � I BUILDING DIVISION PERMIT NUMBER DEVELOPMENT SERVICES DEPARTMENT PERMIT � "*•mmo ✓B99-00650 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 158 BUOY ST Status: ISSUED Suite: Applied: 05/11/1999 Vicinity: WALL BETWEEN 152& 158 BUOY&REAR 152. Issued: 05/11/1999 Parcel Nunmber: 42619302 Zoning: Applicant: GOMEZ, DIANE ISSUED BY: Address: 158 BUOY ST • - - "Phone: 949-631-2879 COSTA MESA,CA Zip: 92627 Owner: GOMEZ, AARON • Address 158 BUOY ST . - Phone: - - COSTA MESA,CA Zip: 92627 Contractor: Address: - Phone: Zip: License:. Arch : - Eng: • Address: - Address: - Phone: Phone: Zip License: Zip: License: SCOPE OF PERMIT 6'HIGH BLOCK WALL(56')SHARED WITH 152 BUOY AND 32'ALONG REAR OF 152 BUOY.(26 FOOT FRONT SETBACK.) • FEE SUMMARY ', Plan Check: $0.00 • Calc Valuation: $4,300.00 Permit: $99.75 Claim Valuation: $4,300.00 SMIP Res: $0.00 1 SMIP Com: $0.00 - Other $0.00 - - • Inspection: $0.00 • Total: $99.75 • F PLANNING &ZONING SETBACKS •MAIN STRUCTURE Front 0-0 Rear 0-0 "Left 0-0 Right 0-0 ACCESSORY Front 26-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: • . • • 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, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 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 Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 C 1 ! , • DECLARATIONS fl fl WORKERS'COMPENSATION DECLARATION: • I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued. ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Cade,for the performance of the work for which this permit is issued. My workers'compensation Insurance carder and policy number are: Carrier: • Policy Number: (This section need not be completed if the permit Is valued at one hundred dollars($100)or less.) ❑ 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 subject to the workers' compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDmON TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.9 Class it Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: • I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit su jects the applicant to a civil penalty of not more than five hundred dollars($500).): I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or 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-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt un ecr/ Business and Professions Code for this reason: Signature: --\M Cr'-- �_ Date: (. / t I i '1 L'/ Owner ID verified by drivers license. ❑Yes 0 No Drivers License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet In depth into which a person Is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). _ --._..-_.._..._ _....._..._._.—.__ _ 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes ❑No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 0 No (Section 65850.2 of the Calif omia Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes ❑No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: • CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct.I agree to comply with all state laws a��'c�f'ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-descdhedproo er�y-hr•lnspection puree . a not to occupy or allow occupancy of any building authorized by this permit untll final inspection. ��--- - al S I j Date 5 Signature Of Legal Owner(s) Dt And/Or Authorized Applicant Date CODE 4 INSPECTION TYPE • PAH itmTAI. LODE4 INSPECTION TYPE PATI INIIIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof �� 210 Final Electrical 201 Final Block/Retaining Wall PIP/et et / 4' 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition _ ,250 Final Building/Occupancy 2446-46 . R Ogg.-006C0 • •THIS SKETCH IS FOR INFORMATIONAL PURPOSES •SOLID WALLS/FENCES BETWEEN 2'-6'&6'N HEIGHT SHALL ONLY. APPLICANT IS RESPONSIBLE FOR PROVIDING BE SETBACK AT LEAST 10' FROM FRONT PROPERTY LINE. AN ACCURATE REPRESENTATION OF THEIR PROPERTY N CASE THE SHAPE AND SIZE DO NOT CORRESPOND •SOLID WALLS/FENCESSHALL NOT®e®2'6'IN HEIGHT' WITH THE INFORMATION PROVIDED ON THIS SHEEP. WITHIN 10'OF THE FRONT PROPERTY LINE(NOT CURB LINE). AAPPROVED j'p�, •VERIFY DISTANCE FROM CURB TO PROPERTY LINE @' E AND SHOW ON PLAN. VERIFICATION FROM THE CITYS CITY OFCOSTA MESA EN40PipisJ 'S LrTs"34I INFO RKS PLANNING DIV. FORT4DNOFCOSTAMESA SUBJECT TO BLDG. DEPT. REG. APPROVE D By 9 0265Zaate -5--// 9 f BY/CCF' TE 5 (/ Q� This set of plans and spedfimliens Mi l Ga kept muds job at sane it is unla I tr. make any changes o;alteration o^same citi.o a wrelen parmissbnfrom Ohgbn of Bull - - - - and Sft, I . 9Mesa - - The sic rgofthis plan and smiticaticsNNALL NOT behedlr tett beanNov ret J. of the vls lion of any pEwsiens of any City of Costa M Isa tdin ce ardlor Stets i s R • These p.a s aro permit mall a.yire b,IGrda:icn and bea ne II and id F the build' 'er REaDEMCE v tfcirrx ti.talc.-c: a,dr.St:au per UBCj3(310 bin 80e B Cf B511211 r1 1 *06 - K- 3 21.-5 • II • I I I I 1 1 II' 6 1 . II i C a a a RESIDENCE Sil RESIDENCE RESIDENCE RESIDENCE I ia i_II�E� 1 it W . I•{ w Is z ij! IS w r 1 s'• 2:1; IV SDI pica ...c; gT 13.40c •K. i . // 1S2—kj50 gtioy STREET f BLOCK WALL LAYOUT FOR BUILDING PERMIT J �n..Q. »mei PLANNING DIVISION rn1,ca?-'wb`au4 ciy964S 1 bf7 1F19 •1 TYPICAL 611 CONCRETE BLOCK FENCE . 111.1.1.11111a Cement Coping`With 1-al i11 -- ■, l-- jj .jt Channel Block With 1�3l8 66B' GENERAL- NOTES Horizontal Top Of all Fences ;� '� � �- MORTAR: One Part Plastic Cement, and • Three Parts Sand - For Fences 5'o-, Less 0 One Part Cement Three and _ I GROUT: One Half Parts Sand Vert.Bars 3/B"¢at-4' 0"O.0:' d _ -�_ - COPING. One Part Cement, Three • m ;i Q z 'I �. Parts Sand I ,.. .- I F For Fences Higher Thin 5' CONCRETE: Wel I Mind 1:2-1/2: 3-1/2 WhereeSteel ars /Occurs 32" O.C. _ w ' w - " It_�' Max of 7- 1/2 Gal;ens of Fill Cells Solid With Grout.... '(�!�e�11 > Water Per Sack of Cement ReinforcingSteel Shall IY■I '� ��. GROUT MAY BE POURED FROM THE TOP Conform to Sec.A15-39 II'Yeee Yeee w O -- _ OF THE FENCE IN CELLS WHERE STEEL '' OCCURS. A.S.T.M. ;II� Z 'i , �1� CELLS AND AREAS OF HORIZONTAL REIN All Steel to be Lapped I w VI La_ _ FORCEMENT SHALL BE CLEAR.CLEAN& 24"or to Code FREE OF ALL MORTAR DEBRIS.ETC. Ill Ell Mir NATURAL GRADE _ .. III- .s,wVti ;Nras'I Fl v 1In S 'A: -,./n,.WQ- ' Pru;," -01 ' v gel • • TWO 3/B"4 BARS - D - 0 • CONTINUOUS.TOP &BOTTOM .•- I-HWIDTH' IN TO 16. 0 C MAX II SEE-CHART 1-1O4117..STEEL MUST BE TIED IN BELOW: - OC PTII LF EARTHTCOTH PLACE AT TIME OF TRENCH ' - 1/3 THE HEIGTH OF FENCE INSPECTION. BrLOW BOTTOM OF FOOTING IO" J2.. SCALE: 1/2 11 '.' FOOTING REQUIREMENTS CHART WALL HEIGHT 6 ` 5 4' 3' I WIDTH- r; - - '14" . 14 12". . 12" THICKNESS - " ,10" . IO" 8" 8 " DEPTH-OF EARTHTOOTH^ '_ 24 . 20" _. . . . 16" 12" SPACING OF EARTHTOOTH ) l2' 14' . 16' 16' •-• i: C-7.- H • - BUILDING DIVISION R ' lrf) • I4S ` l 112 CITY OF COSTA MESA ;`;1 BUILDING DIVISION t '•" ..•" ..," ' DEVELOPMENT SERVICES DEPARTMENT J • � PERMIT PERMI NU ER `lbaenm P98-00662 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT • Job Address: 158 BUOY ST Status: ISSUED Suite No Applied: 08/24/1998 Issued: 08/24/1998 Vicinity: Parcel Nunmb'er: 42619302 Applicant LALIBERTE, ROLAND - - _ _ Address: ,- „ _C- - - 2 >P Phone: 818-957-8985 p ,/ ` i 4, E?, AA \� Owner. GO -• ,- AARON i �' ' ��'‘, Address IGOMEZ DIANEM ��/�� fit/,t,iii Asir .N'''':. v iA \\ COSTA MESA,CA Phone: '''''V,-,-,\;,' -�' C A�� i A / /A\•. ( ,% 158 BUOY ST' Z. Zip: 92627 ,� �� - 7/72.7! Contractor ' MASTERSERV INC ''\\K\ . t.,. U-, i - Ci Address: _2804 HONLULU AV l� i - .� . - phone:, ra VERDUGO CITY, CA 4,... ''- Zip ,91048 ti 1. 1 ' - 7.j [I: '--License.'560017 . ts:\..4 N Arch/Eng: - Phone ,- -�r . \ \ ' . Address V 4 . • 1, ,', '. _ Zip -.� - � � o , :j C - license = 44; 1.. . >. , J , r ~ _,r,SCOPEOF:PERMIT* l-` .1 -• _ 'WATER RE-PIPE, 1 WATER.HEATER ANDA WATER SERVICE TOSFD.- - • ,'7, \ • - x / / /L ' `' FEE SUMMARY=j V Vit, A -AMT QTY MT '-QTY (1/ ` AMT QTY . ISSUE FEE" $22.00 Laundry Tub/Washer ,. $0.00 0 Sump Pump'; ` ' ' :$0.00 0 Backflow irrigation $000. 0 ' Landscape Irrigation r,.:;„ $0.00 0 Swimming;Pool ' $0.00 0 Backflow Preventer , $0.00- 0 P-Trap r- 4 :--- DECLARATIONS U ( WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ❑ I have and will maintain w ers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for high this permit is issued. My workers' r coip^ens do Insur carrier and policy number are: /� Carrier V V ` Policy Number. A p1;section need not be comp ate if the permit is valued et one hundred dollars($100)or less.) // I certify that in the porta nce of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree that If I s ould come subject to the workers'compensation provisions of Sect on 3700 of the Labor Code,I shall forthwith comply with these provlsla `� / ry/ Applicant Signature: - Date: D Ci 7// 6/!1 WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(510op00),IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am license under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Pr fessions Code,and my license is in full rceont end rs Sig Lic.tu q 4� Ct L a Class Ii C�yJ Cif c^' ontractors Signature: fGane ^/-a1� A "^T� Date: 6 Lfr/ OV 1 CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: . I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,Improve,demolish,or repair any structure,prior to its Issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she Is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors license Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or 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-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044, Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: • Date: . Owner ID verified by driver's license. ❑Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a,permit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes Li No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). ' 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described properly for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. ...sic cif ignature f Le IO ner(s q j Niata.,� And/Or Authorized Applicant / (/l/ /%/D/atEee DnDF I INSPFCTIne TYPE DATE IM IMS DODF I INSPFCTION TYPE DAIS INTIDAL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical p �1 p 1266 Pool Spa Final 208 Final Plumbing I- -1 R 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall _ 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition • 250 Final Building/Occupancy 2446-46 ADDRESS OF BUILDING: 1 .59 BUOY ST WIT: CITY OF COSTA MESA -- BUILDING PERMIT rtxrf rev: ., uy1J7J OWNER'S NAME IF KNOWN: GOMEZ , AARON :::: GOMEZ , DIANE MPERMIT NO: B071393FLAP] CHECK NO: N Lnvvl : r4 Burr : (N"� 18 BUOY ST OSTA P., A92627631 2979 CONSTRUCTION TYPE: V-14PERMIT TYPE: STA PLTRPOSE : ALT APPL.MAILING JOB DESCRIPTION T/OFF & RESHEATH 5 REROOF W/COMP SQ FT : 6, 087 ARCNRECT OR ENGINEER: UC.NO.: ARCH.OR END'S ADDRESS: WIT: CLAIM VALUE: 6, 087 , 00 CALC-VALUE: 6, 087 , 00 GROUP OCC : R-3 / CONTRACTOR'S NAME: CRANK BROS ROOFING CO ( 714 ) 548-5569 COMMENTS: SMOKE DETECTORS ARE REQUIRED O CTRACTOR'SMMUNG 126 COMMERCIAL WAY *+****4*vr*ua«*xwr*+.+L*****4*#+cu*4** ******4p***+F41+I44**** 4*4*$**;r•*4******dc+r.;:*4*****4x ADDRESS: COSTA MESA CA uc.NO.: 409677 ZONING REQUIREMENTS 92627 OMT: S E T B A C K S LICENSED CONTRACTORS DECLARATION:I hereby affirm under pen:3 of perjury that 1 em licensed under provisions of Chapter 9 (commenting with Section 7000)d DMsion 3 of the Business and Prof. •ns Code,and my license'-' fun force and erred. MAIN BUILDING ACCESSORY BUILDING cRYUO.NO.: n059g3 LIC.CLASS; C39 UsyO.: 40867 E P ; 06/95 FRNT: FT IN REAR : FT IN FRNT: FT IN REAR: ET IN LEFT: FT IN RGHT ; FT IN LEFT: FT IN RGH_ , FT IN Dane J � Connector: _%% _ �. T //// IIOWNER BUILDER DECLARATION:I hereby affirm under••. -perjury that Ism exempt the Contractors License Lew la the PARKING REQ• PROV; PARCEL ; 42619302 ZNE: REF NO; \\\\\\folowng mason(Section 7031.5 Business and Prdessi• • sty city a county which requires a permit to constNcl,alter,improve. PLANNING NOTES> demolish.or repair any structure,peer to its'issuance,• • -s the applicant for such permit to file a signed statement that he or she is licensed pursuant l0 the provisions of the Contreao. •- se Law(Chapter 9(commenting with Sedan 7000)d DNuion 3 of the Business and Professions Coda]or that he or she ise .. :therefrom and the basis for the allegedexemptcn.AnYv'oletion d Seaton ************3 *********.f{***_*.*****N.***44****µ********y.***************y.**********,M 7031.5 by any applicant fora permit subjects the applicant to a evil penalty d n 155 not more than fine hundred dolle00]). ❑ I,as owner of the property or my employees with wages as thek sole compensation,will do the work,and the structure S not intended DEVELOPMENT S E R V I .C E S P. E Q U I R E M E N;'T S or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does rot apply to en owner of property who builds or improves thereon,and who does such work Nmsei or herself or through his or her own employees,provided that such ZONING APPROVED BY DATE: ' improvements ere net intended or offered for sale.If,however,the building or improvement is soil within one year of completion,the ownenbuiler will have the burden of proving he or she did not build or improve for the purpose of sale). ' El I,as owner of the properly,am exdumey contracting with licensed contractors to construct the project(Section 7041,Business and BUILDING APPROVED BY DATE; Professions Code:The Conlradors License Law does not apply to an owner of property who builds or improves thereon end who / • A contracts for such projects with a con-pectoris)licensed pursuant to the Contractors License Law). APPLICATION I S S.0 ED :B Y : (/(v'- DATE: r ❑ l am exempt under Section: B.5 P.C.,for this reason: **************1F***4444**************4**** *1144****+f***41****44******41* _ U*44 • • ** Date: Owner *************4,*********************4*******4444****4444*****414*******4*{:34'******4444** I do hereby certify that I em aware d and understand the requirements of Cdfomie Neath and Safety Code Sections 25505.25533.end LEGALIZAT IOP7 ; P7 F E E SUMMARYSTRUCTURAL SEGMENT :Y 25534,and that I or any future building ocwpa t will/will not(arcs one)need to comply with said date codes and the requirements for a permit for construction or modification from the Airy anagement poria.Residentialmnstmabn appicatione areesemp from these BLDG PMT PLUMBING ELECTRIC MECHANIC - FIRE SMIP /RES GRADING ' provision' PERMIT 90 . 00 , 61 Date: Applicant: SMIP/NON-RES • WORKER'S COMPENSATION DECLARATION:I hereby affirm under penapy of injury one of the following declarations: PLAN, ❑ I have and wii maintain a certMced ce te nsent to self-insure ler workers'compensation, provided la by Section 3700 d the labor ISSUE FEE / Code.for theperfomarnceofteworkforwhichthispermitisissued. BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE I have andsoil maintain r worked'compensation insurance.as required by Section 3700 of the Labor Code.for the performance d the TOTALS----> 90 . 61 0 . 00 0 . 00 90 . 61 90 . 61 . 00 O nark for which this permit is issued.MY workers'compensation insurence Carder and policy number are: carder STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 90 . 61 OVER/SHORT : . 00 Petry Numbs: 78`+-9',TINITTv'I4 01 /01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK •, (chis section need not be completed r the permi is for one hundred dollars(SIX)or less.) 90 . 00 61 ❑ I cent'that in the performance of the soak for with this permit - issued,I shell not employ in any manner so as to become to the workers'compensation taws of Cal ,ant agree.that ffl subject to the workers' *********4444****4444*a **********4444**4444***********4444**************44 41********4***4444* om� provisions of Section 3700 the Labor CodeI- : forthwith comply wit rovuions. Dale: =�I Applicant: 4 INDIVIDUAL FEE BREAKDOWN Warning:Faure to secure metiers'compensation cov. • •nlawM,and shell subtract an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil fines up to one hundred thousand dollars(5104•r• addition to the cost of compensation damages as provided for in Section 37Dsofthe Labor code,Interest,and attorney SFR 6087 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 6, 087 . 00 CONSTRUCTION LENDING AGENCY:I hereby affirm under penally of perjury that there is a conerud'on lending agency for the END OF FEES performance of the work for which the permit is issued(Section 3097.CN.C). LENDER'S NAME: LENDER'S ADDRESS: Ice two fy la have read the appication ant slatethat the above info motion eooned.I agree to comply with all city and county ordinances end ate leas relelhg to building cermanudbn and hereby authorize representatives of this thy to enter upon the abuve•mentioned property tori pecllon i Tl/!I�i ��2 01 00177774-00177775 TfBT 90.61 r---5.---75 DATE: 03/08/95 TInE: 09;14 /A_ -4-wallsignature of / • Dae. 7 (5151-45.W P) White-Buidig&Seery:Green-Rb:Ca nary-Appicanl:Pink-Revenue:Goldenrod-Assessor . L-y - CONSTRUCTION AND PLANNING - POOL & SPA - APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location( I 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement • 3. Electrical Conduit Utility-Undrgtnd. - 54. Forms • i • 4. Electrical Conduit-Undrgrnd. • 55. Electrical Bonding • 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE !r. 7. Footings • 7 - 58. Electrical Conduit=Undrgrnd. 8. Foundation 59. Gas Pipe, ❑ Undrgrnd., Test : i - 9. Water Pipe-Undrgrnd, 60. Backwash Lines;P;Trap; n Ondrgrnd. 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. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush• 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 3--[3-4,544- 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 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat • 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 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 Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 57;15 -75 46.J& 48, FINAL PLANNING 49. Electric Release to Edison - - 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY No Date OWNER SHFRWOOD FOREST DEV, DATE 3-13-57 - JOB ADDRESS 158 Buoy-Street BUILDING PERMIT NO. #4666 GENERAL CONTRACTOR Lid° Construction VALUE $ 12,304.00 LOT 7 BLOCK TRACT 3106 Res. Watt. gar. GROUP I & J TYPE V ZONE FIRE DISTRICT 4579 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER Footing Trench '3 '20 / Foundation Forms and Grade to Garage Rough Framing 1/v•. ..t'1 `S-1 Plumbing,Rough to Slab Yv.t 3:s.,177 -A it,7 a— Sevt 3— /3-5 7 `Q/ 3 o Plumbing,Rough Complete I/14. -S 4/-4-3 7 l(1 Temporary Pale Wiring, Rough /-APR 5 1957 VCR 727a-c. Yr V- . , 3-/ .S 7 ySea Heating,Rough h La S W- 4/-5> .n k., . _ I _ . _ . _- _- g .3a k/-47Heating, Final ' Atte'j S%7.0• 7 � ' wer, House fl Sewer,St. rye, /jS19.•;-.5-C7 Y°s G�ac/., & r 4J/-/3--S7 Sr 9// - Septic Tank or Cesspool Lathing, In Out a PrAlir Az Plastering ,- -- 4 f7 < / _r' - Plumbing,Final,Fixtures Complete ,5c1 SZ Plumbing, Final Gas Test itY" {QT'S cr-/7-3 )�l /lpB,i�/ - C -_ Wiring,Final .,mJaY 7 3 195f VCE C L Occupancy L -" i26s> FORM 210 3M 10-55 4579 FEE RECEIVED - . M COSTA MESA BUILDING DEPARTMENT FINANCE DEPT. P.O. BOX 317 CITY OF COSTA MESA COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT ADBUIDRESSLDING )5e) e0.oy 5 'f' BUILDING COSTA MESA./CALIFORNIA FOR OFFICE USE ONLY OWNE6II11 CC nn PD/] C t C RECEIPT NO. PER, 6166 IIE UJOAD ICES?- 1kv ay //ZZjI •l'J�G4`V��J MAIL RECEIVED BY DATE RECEIVED GATE ISSUED ADDRESSII//�,� y 11 /4q /NeoLM G ,----71---0 ,3- 6 J, MAR 1 3 195 CITY Ati/, H1/41 rEL.if BUILDING NO.A Sor�S / ADDRESS / ARCHITECTuc�y OR ENGINEERf)',pyMtAID 4EVA4AS NDa 741.7 COSTA MESA. CALIFORNIA ADDRESS 7t 41 wi IVR/rn L''2 g'tut, FIRE ZONE L I, 1 CITY LIC. ZONE NO.OF TYPE GROUP S CONTRACTOR/ i Do C Ory �,r NO.(0 2`.{V v .4 ADDRESS/2 (. j4Ny04�/ AN A, TNO.)IKJ /I•!`5 I ABVPROVED DATE I///// LEGAL LOT // CORRECTIONS DESCRIPTION NO. / BLOCK TRAC IO(p A.P.NO. OSIZEF LOT i q J, gJ NONOW. O B LOGS,LOT V 5 /I �I� OF F USE OFr • EXISTING BLDG. A / 'ISL (,11 IF 5) K LINE FROM L J t 3 , . ' 4.J T L y/ SETBAC CENTER OF STREET ( REAR YARD/ 7 - -. r S'-it- alE SIDE YARD RIGHTS/4LEFT D /'{' • I i• ,I'L' !'.P,INC, DEPT. DESCRIPTION OF WORK SUSJLC.` 10 6LUG. OCrL NEG. NEW ALTERATION ADDITIONP,AT.: PL-N1 T Oh. REPAIR MOVING DEMOLISH BUILDING G NO.OF SIZE / 1 ROOMS STORIES I EXTERIOR WAL5I.�LL ROOF �j U G/< COVERING cJTUCCO COVERING I BUILDINGEW 0(� `D ( 1,1 ill C cr ir � P\ I HEREBY ACKNOWLEDGEI THAT I HAVE REAO/THIS APPLICATION AND STATE THAT TELE,ArBOVE IS CORRECT P AND AGREE TO COMLYCWITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. �f /I/M'�,/j�".,( ' VALUATION SIGNATURE OF //l ' 4 /)lYy/^� PERMIT FEE 5 3. PERMITTEE // PLAN CHECK S /L /r_-E 1 -74: C'S(E. • 5/7-,, AUTHORIZED AGENTI { TOTAL FEE S 4Y4------- ,..A,r v