HomeMy WebLinkAbout262 BRENTWOOD PL - Building PermitsI��
PHOJEC�ADONESS: '2(�'z` gRENTWOOD PL
OWNEAa(VRME: SIId�W�CN�SKI J.��=$
,� aooness: Z�z 3Rt�TGTOOD PL
COSTA MESA.CA 92627
FPCHIENGINEEP:
noosess:
HEG.NO.:
UNIT:
uNir:
renmineE: FERRARA ROOFING ( 714 ) 642-8233
aooness: 3013 GARFIELD
COSTA N.ESA CA 92626
IILENSE� CONTXpLTOP DECtl�PATION: I herehy a�tirm Iha� I am licensed un0er provisions ol C�ap�er 9(commencing wi�h Seciion
7000� oi �rvision 3 al �he Business antl Pro�essions Code, and my license is in lull force and etlea.
aTruc.:-��5798 sTaTeuc.:3427 �n r.uss:C—�-�_{�
oa�e: �!�_�—� SignaNre: _ ��'�\�
WOBNEd COMPENSATION DECLANATION: I hn�¢by a��irm �hai I have a cerii ical ol consent lo selbinsure or a certi�ica�e of Workers'
Campens ion Insurance. or a cerlilieU copy ihereo� (Section 3800. Lab. C�.
POLICY NO.: E%P. OATE:
COMPPNY:
❑ C¢rliiietl copy i5 �¢reby �urnished 0 Certi�ietl copy is file0 with the ciry Building Division.
�ale: APplicanP.
E%EMPTION FROM WONREPS'COMPENSN710N �ECLpqqTION: (Thissectian neea nolbe complete0 tlihe permrtisforone huntlrea�$1W)orless�.
I certify Ihal in t�e pedormance of the work �or which �his permit is issued. I shall noi emp erson in any manner so as to become
subiec� lo Ih Warkers' Compensalion Laws ol Calitar�;,
�ale: Signamr ' —> �
NOTI Ii, af�er making I�is tleclaralion, you should 6ecome sublec� ta �h or Compensa�ion pmvisions o� �he La�ar
Code. you must fotlhwi�h comply wi�h such pmvisions or ihls permit shal Aeemetl revoked.
CONSTHUCTION LEN�ING ACENCY: I hereby a�firm �hai �here is a cons�mcti lending aAencV �or �he Dedormance ot �he wark lor
w�ic� �his permil is issuetl (Seclion 3097. Civ. C�.
LENOEfl:
AOOXESS:
OWNEB BUILOEF OECNPFTION: I hereby aHirm thal I am exemp� imm the Coniractors' Siale License Law lor �Ae �allowing reason
(Sec�ion 7037.5 Business ana Pmfessional Cotle: qny city ol county which requires a Dermii lo con5tmci, aller, improve, demolish, or
repair any slmc�ure, prior lo ils issuance, also requires ��e applican� for such permi� lo �ile a signetl stalemen� Ihai he/she is licensed
, pursuam m Ine piovisions al lhe Coniracmrs' Slaie License Law (Chap�er 9(commencinq wn� Semion 7000) ol �ivision 3 0l ��e Business
an0 Professions CoOe� or Ihal he/she is eKempt ihere�mm and I�e basis �or the aileged exemplion. Any violati0n of Section 703L5 �y
any aOVI¢ani far a permil sublecls ihe applicant �a a civil penalry o� no� more ��an live huntlrea tlollars (5500�.
I, as owner ol Ihe ptoDeny o� my emDloyees with wages as their saie Gomvensation, will do ine work, and ihe
❑ simaure is nol imenEeO or ollered lor sale (Seaion 7044, Busmess and Pmiessional Cotle: The ConlraClors' S�aie License Law
�oes noi apDly lo an owner ol a propetly wM builas ar impmves ��ereon. an0 who Ooes such work himself/Aerselt or Ihmugh
his or her own employees. pmvi4e0 �hat SucA impmvements are no� inienaed or olleretl lor sale. II. however �he builaing or
impmvemenl is soltl wil�in one year ol completion. �he owner vnll have �he burden ol proving he/she tlid nol 6uiltl or improve
lot ine purpose of salel.
I. as owner af �he O�oDeriy, am eKCNsively �ontrac�ing with IicenSeA contracbrs �o cons�mc� Ihe pmjeci (Section 7044, Business
❑ anU Pro�essions CoOe: T�e ConVac�ors' $�a�e License Law tloes no� apDly lo an owner ol pmperiy who bUiltls or improves �hereon
antl who conirac�s lor such pmlecis wi�h a contractor(s) license pursuan� lo Ihe Conirac�ors' Slaie Li�¢nse Law). I am aware
Ihal pmof oi Iheir Worker'S Compen5a�i0n insurance shoWd be pmvided��o me.
� I am exemp� untler Seclion'. B. 8 P. C.
lor inis reason�.
Oa1e'. Owner:
I do here�y cenify �hat I am aware oi ana untlerslantl �he requiremems o� Cali�omia Heal�� and Safeiy Code Sec�ions 25505, 25533, and
25534 antl I�at I or any Iuiure bNlding occupanl Willlwill not (circle one) neetl �o comply wilh saiU s�a�e todes and �he requirements for a
permit lor conslmciion or modilica�ion Imm �he Air �ualiiy Managemenl �isiric�. Besitlen�ial cons�mc�ion applica�ions are exemp� Irom
�hese provisions.
Daie'. QOPlicant
I hereby cer�ilyihal I �ave reatlihis apDlication aptl slaie tha� I�e a�ove informaiion is correct. I
artlinances antl sta�e laws ielating �o �uilding con5imc�mn antl hereby aNhorize repiesen�atives oi II
propetly loi ir(,Oeclion purposes. _
Siqnalure:
wii� allcity and
oriver�s �ic{nse m Socia� Seaniy x: ��
i6a�-46 White—Builtling: Gieen—Cotle EnlorcemenL Ganary—Apphcanl; Plnk—Revenoe: GolCanroE—Asseswr
CITY OF COSTA N!ESA — BtiILD�NG PER,vZT I P=R :� h�; 8 U6:903I
PERMST NQ: B U61903 PLAN CHECA NO: N GOVT: N SUPP; ti
CONSTkUCTION TYPE: 5—N PERMIT TYP�: STR PUR:�OSH: A�T
S03 DESCRIPTIUN : R�Rt10^ WZTH CC�MPOSITION SHZNGLrS SQ FT: 2,900
CLAIk VALUE; 2,900.00 CALC—VALUE: 2,900.00 GROUP OCC; R-3 /Yi-1
COMMENTS: SMORE DE:ECTORS RE�liIRED PER �FIE 1991 =DITION OF THE UBC.
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Z� N s N �S ERTEHQAJCIxR�E M E N= S SMOKE DETEC�OR
�------------ MAIN BUILDING ---------- --------- ACCESSORY BJIiR ���d��Q—
sRNT: FT ZN REAR; FT IN FRNT: FT II� REA.R: f'T iN
LEFT: FT ZN RGHT: FT IN LEFT: FT _ti RGHT: F': Iti
PARKING REQ: PROV: PARCEL: 93933308 2NE: REi NO:
PLANNING NdTES>
� : .
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U E V E L O P M E N T S E R V I C E S R E Q J I R E M E N T�•S
ZONING APPROVEU HY DATE; :�'�
BUYLDING APPROVED BY : /�� DATE: %�
APPi,ICAT�ON ISSUED BY• � ����1—�'� DAT�': �, 2
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LE.GALIZATION:tC F E E S li N N A R Y STRIICTJRAi,�SEGMEN.T:Y
HLDG PkT P"sUMBING ELECTRIC MECHANIC FIRE SN.IP/RES GRAD_NG
PERMI? 59.00 .50
SN.IP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PiAN—CHECK
TOTALS----> 54.50 0.00 0.00
R_VE,vUE DIVISSON TOTAiS--> COi,iECTED;
B�DG PM1 PLUMBZ�G ELECTRIC MECHANiC
59.G0
TOTAi PAID D'JF
SS.50 59.50 .00
�9.50 UVER/SHOkT: ,00
FIRE SM.ZP/TCYT GRADING PLAN—CHECR
,50
iEiEiE�1E�lF�7EiEi4�1EiF?E?f�lf3flf###3f#lf3F�##iE##ififiF#�X�ff1f##iE#iE?E�kiF#iEiEif#fE3E#Y.�iGif#if jb#########3P####�Yt(�#:43F3Eir'k
I N D I �' I D G A I, F E E B R E A K D O W u
TYPE dTY D E S C R I P T I O'N 4TNZT COST �O�Ai COS;
SPR 2900 REROOP $Y VALUE RESIDENTIAL ,UOZONE 1,00 2,900.00
END OF FEES
�!f Q413X033—prj138034 T�T 54.50
6RTE: 04/27/93 TIME: 14:Z4
�Y
C�.`NSTRUCT�ON ARD PLANNtNG
.APPROVALS Permii�,-
�. TemGorary Elearical $ernca o� Poie
2. $o�f Pipe-tJ�drgrnd.
_�
y� ect-�cai Cord., t:.• ,�,v U�d grr.d.
4 E'ec!�:cai Condu.t�Und�g"'d.
_�
5. Scee: Re�ntercemen�
6. E�ettr.cal UFER Grr,d
7. Footings
8. Foundatian - -
9. CJater Pipe-Undrgmd,
I
Date Inspector
i. _ -
10. St�ucturai Fioor SYstem
1 i. Prap�rty Sev.er Line 8� Hovse Conncctmr � =`
I
12. Sc:��er Cap =- ��
73. Roof Dra�.ns
--- -- �- • '�•
14. P.p�.:gh Pium� r�
75. Rovg�+ Eiectnc:,��Cand...'. - --- - J--�
i6. Rouyn EI?[t::c�:J�ring �
i-----
77. Rough tVin�g Sign
1A. Rough E1eGl�ical-T 8,�r Ce���^q
19. Rouah Neati�9 & An Cu�.d�t�oning �
20. Rough i=acmry Flrep�ace
21. DuMs, in St�uc[crc -
POU � !L SPA
APPROVALS Pcrmit tik-
52. Poo: t'a [q��4�r�:nt Loca! o�
53. Ste;:f Hen,�a;cer,r,it
Date Inspect,r
54. Po� �,. -- - � ---- �� - - -
55. Elect,ic-,I 3ar d�i u---- � -�--- --
- - -- � - - .-^
i
5u. Rocji: umh rl h� °r;<-.ir;: T.�i; � �
i --+
57. APPFOVPL I!1 C;�': EP r� �.' -t �
-- -------'--'---i----- -
58. E�.ecii�Cdl!.'u�n,'U'i und�-�r.::. � I .
-____ _.'___ _. _-____+__,__, `_-_ '-
58. Gas Pipe, �' UrUig�nd , T�st � I
'- _'_ _- ' ___-___�-.1.r _'_ _
60. Raelc�vash L�nes, P-rrap. C, L'...d'9� i�o. � I �
1____ _'
61. F.FFROVAI TO UC CK ` �.
------ v �--L---- �
62. Batk�.,�;:� & H:,c:;�c,�- F� �a� I �.
--- --- ----� i ' - .
63. Ha&ter �: Yc�•, - --;� -�- ---� - -
G(,.P�J�-u'i.nj5�� •m i 1 -r-_-_�__._ '.
- -- ------- � ------- ---
6S. �:ectricah� ^i� � � ,
6fi. Sale Sv� •^if r� �-----I�---_. '_ ._
G7. Frnr.in� & />cc�si An��,,o.�� ---� -� - -
- --- ---r-- -� -
G8 o.P?kCVi-_0 �0.� '�_i�if�"'':'C..
------- ------------J---- - - -
G9. P'JOL'S°:5\'S`c'�'SF,'Jiil ' �
-- ----------- �---- ;
FIfiF DEf T. FE�JiRE':��� 'T �
APPR�VA.�_5 Pr•����,� ,:_ _ ' �
-------------- I �-- �
70. Undur[�ro.;n� I-ly,.�o - -` -
� 22. Dur.s.\`enUl=hng -- � 71. RcduCFP^.r.'_1G.;s___ `���____'_ .�'-�
i --�--- - i- � �
73. G�>°•oe�4e.._hc.�jes; ___-� 12. Urcl��Qio���F'�..��� i
a _ -_--______.r_.-. '-_______ -- _ ..____ _ - _ . - - .___ _____ -- .
I �d Fcoi c, .^ __-� __ __ I --� ._� �i -/3- Ur,ncrp�r .� . �_ ." �_ __V _. _ J_ I_ _. _ .
>j. �a.` S�ra;h �.q i I,I. C�.e; .,.,. � i� . .
� �
_-
_ - - -__ _.___-__ i'-_ _�-___ _ __- ._. _ . _ __ _ ___ _ _-_ ____
' 2E ��3a- Ce � nn .5; -.u_i.. �.. . �'c,-.t � L 73 C� ..!,cr•, c;. �
i
' 27. F ne ard F'ash -.r _ . _ . _ _ _ _-- i 'F. _Cr;_c._ __- _ _ _ _ _ _- __ ,. _ _ , _
--- ____.'__ ____L- - . _��___ _-- _____--___yi.._..____ �
'-'6 :�:`in^y�:$�!^� -__-__-I I ' � %7 F'XcD`��'_ .__��`.4l �, _-___.
7.9. Insula!,on __ _ -______. __ i�. V�IRE'rPF�1'. 1=i'.:t'�. ___i_ __ __ __ �.
I 30. Dr,�;:all n�2: ,n9 - ------- _ � I - _ riFP,ITH_D[PI. REGL�Ifi_-''l=,v' - - -
� 31 ?laster Bromn CAat ---- ---- - - � 7� F INq l � . .� -C � �,` � .- � - -. :
- . _ - , _ _ ___ _ _ . . . _ _.
�i 32 E'.ecv�cal Po er ",9stri F��,.ai ------..._ r'_ � 30_ FOOD CI��TIF.L'!.l! !�SUED-- -� -- - L .
� 33. rl�z: Eiectr�c---- ------ --- . I ��e'��,,:--OL� i o_E_o✓O[� ---
� 3ti. '^31 a�t�Unc L ��. � C^i ...;.�,... - -_
35. r �zl Cas P�pe T�--.; -- ---- ---
�--- -- - - -- -
3�. iJ_:C.1 0� i::c�P`;
� �- �.., -_ _- . '_-__'
3i. F ..y� . �..,� F..,..,,.c.
� 39. ���z� �� �,�� 3 -- -
i� 3�. 1`;o;er Se'v�re-Fii:al _. _ __�_____
� 40. Gas Servi ce � �a'
I A1. So'a� Domc;uc��=�rc� ----
C2. 8ac�<`io�v °•eventer --- ----
i
; 43. Bad�fiov+ Irn9ation -- ` --
� 44. Lar.dscoc_ I�;iqaci❑� �vstert-'^---
� -45. Sound Attenua;�o�.
' ;6. FIz�.�.dcaP 4cau nt..,�s - - ---
� -- -
f47. F:?:ALS'�'=CTUr'�L�.F.J;�_Cl�;r
- --- - --
� 48. F�Fi.�L?LAi�'�IIP!G :'
' d9. ciectri� R� e;.-z to :d�.sor.
I
50. Gas Release co SAuthe:n G.tiFo.pla Gas
�5'.. CE°TIf-ICAi� OF OCCUPA�'GY
�!o. . Date
' I
_= -----I- ---- - -- - ---- .----- - - - .
� r __ 'i _ _-__ _' - _ _ - _ ' _ . _ _ _ _ ._ . _ '_
--.i-_-�_ _ -_'_-'__ _ _ ' __-
� i
--I--- � --------�-._ .
I-- -----/ ---- - - �-
t--- -- _-- _ \ - --
I
_.+__ _ __� _ _
-1_ _-___'__________�___-_ __-___ ._._
1
i
� , ;
OWNER K(17�p G�Tj$TRi1CTTON �Q, DATE 12-20-61
JOB ADDRESS 262 Brentwood Street BUILDING PERMIT NO. 15997
GENERAL CONTRACTOR ownPr VALUE $ 1L� O�.QO
AP No.11 -1 O- LOT TRACT PIRE 7.ONE DBSCRIPTION OF WORK pgS.W�atb. �
INSPGCTIONS � Signature� DATli GROUP I&J TYPE V 7.ONE R]
�^' 'r
F, S
�
OCCUPANCY
�
SUBCONTRACTOR
.,; �-,
. ��.��:3';
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. HOX 917 COBTA M�A. CA��PORNtA
For Applicanf fo Fill In Complefely
TYPE OR PRINT
BUILDING _ _ _ ,..
0 MAIL
COSTA MESA. CALIFORNIA
TEL.
LIC.•NO. �LOO9�LH NO.
OF LOT4O.0070_��2.20 I H'ow oH wis� �
USE OF
EXISTING BLOG.
6BT9ACK LIN6 PRON
ceNTER oP BiReET 49' REAR YARD ZZ�
SIDE YARD I LEFi S� I. RIGHT S�
DESCRIPTION OF WORK
NEW I X IIALTF_RAT�oNI IIADDITIDN I
NO. OF
OF
I HEREBY ACKNOWLBDGE THAT 1 XAVQ RGD T11C APPLIGTION
AND 8TAT8 THAT TH6 AOOVE IB GORRBCT A!ID AGReE TO COM-
PLY WRH ALL CIN ORDINANCEB Qi0 AT�}AW! xeauunnc
emtotxc coNergu �ow.
SIGNATURE OF
PERMITTE
AUTHORIZE� AGENT
FEE RECEIVED
�FINANCE DEPt.
CITY OF COSTA MESA
APPLICATION FOR PERMI7
BUILDING
For Office Use Only
aeceirr Ho. v,eps�rt yo. _
COSTA MESA. CALIFORNIA I '
rvar V ran��o ��
APPROVED
ZONING
ZONE NO.OP U9E OP NHW .
� � � PU�Ne � L BUI{DINO �
"a"` 7 �7—K 3
O69CRIPTION �// �Ja
A. P. NO. I� 9_ � v� �� /�
YARDS EVES
APPROVED ALLOWED
IC[NT6R LIN6 9TJ . �
sFT. _�_
.s— —
F7.
2 ^ FT.
� na�rc �Z�G
� / �
TME AMOUNT BHOWN UNDEP VALUATION le POR THE
PURP096 OE ¢BTABLIBHIN6 A PERMIT FE6 ONLY.
VALUATION
PERMIT FEE $ � � —
� '`�
$ / � a�3 � pLAN CHECK $ / /_
TOTAL FEE � /�