HomeMy WebLinkAbout999 CHEYENNE ST - Building Permits--�
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OJECTPDOHESS 999 CHEYnNN� ST
OWNEfl'S NAME: S 1 ACEY ROB ERT li
aooeess:99g CH�YENNt ST
` COSTA MeSA,CA 92626
AFCHIENGINEEF:
AOUflESS:
xEG.NO.:
UNIT:
UNIT:
PEflMITTEE:D1ANi STACEY (714)549-9947
nooeess: 999 CHEYEuNE ST
C.M, CA 92627
LICENSEO CONTBFCTOF UECLABATION: I hereby afhrm Ihal I am licensed untler pmvisions oi ChaD�er 9(commencing wiih Sec�ion
7�00) of �imsion 3 of the Business antl Pmiessions CoOe. an0 my license is in �ullforce and eHeci.
CITY UC.: STqTE LIC.: CLASS:
� �aie'. ' Signalure�
{WOFKEP$' COMPENSRTION OECLAFATION: I hereDy aflirm ��a� I have a ce�ifica�e ol consent �o selbinsure or a ce�ifica�e of Workers'
Compensaiion Insurance. or a certified coDY Ihereol (Seclion 3800. Lab. C).
POLICY NO.: E%P. ORTE:
ICOMPIINY:
❑ Cehihetl copy is �erehy fumished. ❑ Cetlilie0 coOY is filetl wi�h the ciry Building Oivision.
Daie Applicant:
E%EMPTION FflOM WOBREBS' COMPENSATION �ECLABRTION: (This section neetl nal be completetl it the permil is �ar one hunAreO (5100) or less�.
I certify thal in Ihe pedormance ol lhe work for whicA Ihis permil is issued. I s�all no� employ any person in any manner so a5 io become
Subleci lo I�e WorkqeK Compensation Laws ot Califomia , JJ �p�//
Date: ���• (3 Signalure' .«<w C7) ..�U4te...
NOTICE: II, ailer making ��is tleclaration, you shauld become 5u61eci �o Ihe Workers' ompensa�ion pmvisions ol Ihe Labor
Code. you mus� �oNlwith campty with wch pmvisions ar Ihis permit shall be deeme revaked.
CONSTflUCTION LENUING AGEN6Y: I here�y a��irm Nai t�ere is a conslmction lentling agency �or Ihe pedormance oi Ihe work lor
which Ihis perm7i ls 7ssuW (Sectian 3W7, Ci¢ C),
LENOEfl:
AUGHESS:
OWNEfl BUILDER UECLRflATION: I hereby allirm ihat I am eKempt �mm ��e ContractorY State License Law lor �Ae �ollawing reason
(Section 7031.5 9usine55 and Pm�essional Cotle: Any ciry oi coun�y which requires a permit Io consimct, alter, impmve, demolis�, or
repair any stmcture. prior Io ils issuance. a�so re0uires Ihe applicani for such Dermii Io lile a sfgned s�alement Ihal he/she is licen5ea
pursuant m IAe pmvisions a� Ihe ConVapors' 9aie License Law (Chapter 9(commencing with Section 7000) of Division 3 of �he Business
an0 Pmfessions Code) or �hat he/she is edemp� ihere�mm ana Ihe basis �or Ihe alleged exemp�ion. Nny uiolation ol Section 7031.5 6y
any aOPlican� lor a permi� su�lects ��e applican� ro a civil penalry ol noi more t�an five �undretl tlollars ($500).
I. as owner ol I�e pmperty or my employees wi1M1 wages as ��eir sole compensation, will tlo t�e woB, an0 �he
.p simcture is no� inlenUed or ofleretl �or sale (Seciion 704a, Busine55 anU Pmfessional Cotle: The ConVac�ors' State License Law
tloes not aOPly to an owner of a prope�y w�o builds or impmves Ihereon, an0 w�o Ooes such work �imsel�/hersetl or Ihmugh
�is or her own employees, pmvitletl iha� such improvements are nat intended or oifere0 for sale. Ii, however ��e �uilding or
improvemen� is 5010 within one year oi completion, t�e owner will have �he burAen ol pmving he/she Oid no� Duila or impwve
for Ine ourpose ol salel.
I, as owner a� �he pmpeny, am exclusively conlmcting wi�h licensetl conVac�ors Io cons�mc[ the Dmleci �Seclion 7044, Business
❑ antl Professions Code: T�e CanVaclors Sia�e License Law Ooes not apPly m an ownero� pmpetly who builas or impmves ��ereon
and w�o conirac�s lor such pmlecls wi�h a coNractor(s)license pursuan� to �he Contrac�ors' Sta�e License Law�.l am aware
�ha� proo� of iheii WOBer'S Campensatian in5urance should be pmvitleU ta me.
� I am exempt untler $ection: B. 8 P. C.
,/br t�is reason /� .,Q
Oate:`�"�"�'�-3 Owner04��4�'�-6).. G.�.
I tlo here�y cetlify that I am aware ol and untlerstand Ihe requiremen�s of Calilomia Heal�h anU Safery Code Sec�lon 5505, 25533, antl
25534 antl ihat I ar any INure building occupani willlwill not (circle one) neetl lo comply wilh saitl s�a�e codes and �he requiremen�s lor a
permi� for consimction or mOtli�ication �mm Ne Air Ouality Managemen� Oisiricl. Hesitlen�ial constmclion applicalion5 are exempi lmm
. Inese pmvisions.
Oate Appiicam:
I hereby certify Iha� I have reatl Ihis applica�ion and s�a�e tha� ihe above intormation is correcl. I agree b comply wilh all city antl counry
oitlinances and sla�elawsrelatingto bwltlmg consimction an0 �ereby authorize representalives o��his cirylo enleruponlhe ahove�meniionetl
pmperry for inspection pmnoses.
/
oate: ��'�� Signature: �' ��,
miver's License or Social Secunty
16aL46 W�iite—euiltlinq: Green—Cotle Enbrcement; Canary—ApPlicanC Pink—Revenue: Goltlenmd—Assessor
C=TY �F COSTA MESA — BliIiDING FER\ PERM N�; H 0618$4
PERMZT NO: 3 061889 Pi,AN CHECK NO; N GOVT: t� SUPP: N
CONSTRUCTiON TYPE: PHRMIT TYPE: S'PR PURP05E: O?H
JOB LIESCRSPTION : T/OFF SHEATH REROOF W/CC1MP SHINGLES SQ FT: 2,000
CLAI,M VALDE: 2,000,00 CALC—�'ALUE: 2,0OO.OU GROJP OCC; R-3 /M-1
COMM?NTS: REROOF 15005F RESIDENCE 6 GARAGE W/COMP SHINGLES
1E3EIEY.-ififif3r+ffEfE�E�?Ejf�lEiF7F�YEiEit�if�lifiElEiFiEifjfifiEikifiE�lFiEif�iEifiEiEif-1EiF�lEiEifi4?Eif'16iEfEi(�iFiEtE1E+`i43EY . .iRu u� +�.. xr-+k1. ss
Z O N I h G R E Q U I R E M E N T���������C���
s�T�Acxs C('� �R� j�
------------ MAIN BUIlDING ---------- --------- ACCESSQRY 3��.}��$�''—°"�+¢---
FRI3T: FT ;N REAR: FT IN FRNT: FT IN REAR; FT IN
LEFT: FT IN RGHT: FT IN LEr^T; FT IN RGHT: FT IN
PARKING REQ• PROV: PARCEi.: 19172929 ZNE; RSF NO;
PLANNING N6TE5>,
�� � �ti..•
3E iE �F jE if iE iE �1F If iF if 3E iElE iE'L� 1E if-iF iE iE?E iE �h �f ji 9E if iP 1E iE if �E 3E iE iE �lE # iE 1E �K� iE iE # iE if iE it iE If iE if iE 3k K if iE iE 3F?E jF iE �E+f iE iE iE if'lE,if i( iE iE iE iF iE iE �IF iE
D E V,E; L O P M E N T S E� V I C E S R E Q U S R E M c"N �: S
.i..
ZONING APPROVED BY DATE: �•r`
BJSLD_NG APPROVED BY :' DATE,; '
� . ;:,
APPLICATION ISSTJED BY• � UATE: . .'����
�fiFiEifiEiEiEiElFiEiE�lF:l�ifiEiFlFih#1EiE'Tti�F3fi�F1�F3ff�F3F3F�iT�iFit3F7'FiF3FiF�11��.:xitlt3FiT�iFi�F'SF3Ftti-FiF3FiFiE1Qi(•iE#EiE�lFiEiE3F;- r.-ititfhxx�f'itiEif
if 1F �iE iE 1E iF i' iE 1E iE iE # ifAF iE fE'!E if iE fF if if 1E?E iE iF iF iE iE fE �lf it )f if �1E-1ElE if iElE 1E i(�!f iE iE �1F if iE!(��1f� 1F fflF i! if iF 1E �lf 1E if ?E it iE if'1E !f- iE � ih iE 1E 3(� iE 3F iF %iE iE i£
LEGALIZATION:N F E E S iI M M A R Y STRUCTURAL�SEGMENT;Y
� ��
BLDG PMT PLUMBING EiECTRIC MECHANIC FIRE SM3P/RES GRADING
PERMIT 45.00 ,50
SMI Y /PIONTRES
PLAN +
ISSUE: FEE = i
BliILDING—DIV—> PERMIT ISSlir PLAN—CHECK TOTAi, PA=t7 ',� DUE
lOTAL..Ci----> 45.50 0.00 Q,00 95.50 95,50 .;i ,00
%
REVEitiU= UIVZSION TOTALS--> COLLECTED: 45,50 OVER/SHORT: ' h ,0.0
BLDG PMi P�JMBING E�ECTR_C MECHANIC FIRE SMSP/TOT GRADING PLAN—CHECFt
4r"J.00 ,JO
r/'
?f 3E 3f ii iE �1E � iE if if �lE if iE if iE i6 �tE # it it iE ic iE iE iEiE iE k�lE it iE i4 �It iF-lE ib it aE it iE #�lf iE �lE+f 3f 3t iF±E iE jE iF aE iE it i(- iE iE jE #! 9t iE iE?t iE if ?f iE iF�F �1f if x� fE ih if iE �1E 3E
� N D I V i D U A i F E E H R E A K D O W N f
/
iYPE QTY D E S C R I P T I O N UNiT COST ��`.:TOTAL CQST
SFk 2000 REROOF BY VALUE RcSIDE1vTIAL N020NE
END OP FEES
1.00 2,000.00
c'
���1,
01 4fl13??11-00137912 T C�T 45.`D
OA7E: 04/26/93 TItIE: 10:57
�TRUCTION AND PLANNING
APPROVALS Permit #
t. Temporary Electrical Service or Pole
2. Soil Pipe�Undrgmd. '
3. Electricai Conduit Utility�Undrgrnd.
4. Electrical Conduit�Undrgrnd. ,
5. Steel Re�nforcemenc �
6. Electrical UFER Grnd.
7. Footing5
8. Foundation �
9. Water Pipe•Undrgrnd.
70. Structural Floor System
1 t. Property Sewer Li�e & Nouse Connection
12. Sewer Cap
13. Roof Drains
14. Rough Plumbing
75. Rough Electrical•Conrluit
i6. RoughElectricWifi�g
77. Rough Wiring Siyn
18. Rough Elecvical-T Bar Ceiling
79,� Rough Heating & Air Conditianing'
20. Rough Factory Fireplace
21. Oucts,in Structure
22. Ducts, VgntilatiAg, . ,
23. Gas Pipe-Ro�gh & Test
24. Roof Framing
25. Roof Sheaihing �
26. T�Bar Ceiling (Strucwrall & Monocoat
27. Frame and Flashing
28. Laihing $ Siding
29. Insulation .
30. Drywail Nailin9 .
37. Plaster Brown Coat
32. Electrical Power Meter-Fi�al
33. Final Electric �
34. Final HeaUng & Air Condi;ioning
35. Final Ges Pipe�Test
36. Hood or Canopy
37. Finai Factory Firep�ace
38. Final Plumbing
39. Water Service-Fina�
40. Gas Service•Final
41. Solar pomestic-Final
42. Backflow Preventer
43. Backf�ow Irrigation �
44. Landscape irrigation System
45. Sound Attenuation'.
R6. Na�dicap Regulations � ,
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to �dison '
50. Gas Release to Southem Califomia Gas Q
Date
Date
0
x
� 00 L & SPA
�nspector APPROVALS Permit #
52.-Pool & Equipment Location - �
- 53. Steel Reinforcement
54. Forms
55. Elearical9anding
56. Rough Plumbing & Pressure Test
57. APPROVA� TO COIJER�GU�ITE
58. Electrical Conduit•Undrgmd.
59. Gas Pipe, O Un�Jrgrrid., Test
60. 8ackwash Lines, P-Trap, Ci Undrgrnd.
67. APPROVALTODECK
62. Backwash & ReceptorFinai
� . 63. Heater & Vent-Final
GA. Plumbing SYstem - Pinai
65. Electrical�Final ' -
86. Solar System-Finai �
67. Fencing & Access Approval '
68. APPRdVED FOR PLAS7ERiNG
69. POOLISPASYSTEAdSFINAL
FtRE DEPT. REQUIREMENT
APPROVALS Permit fi'r
A
�
Date � Inspector
70. Underground Hydro
71. Producx Pipu�9 O G�s ❑ Oii
72. Undergrounel Flush '
73. Undergrnd. Stora9e Tank Q Gas ❑ dil
74. Overhead HVdro �
75. �ry Chernicai
76. Dry Standp�pe
77. FIXED SYSTEM FINAL ,
78. FIRE PREV. FINAL
HEALTH DEPT. REQUIREMENT
79. FINAL INSPECTION �
B0. FOOD C.ERTlFtCATE ISSUED
Notes:
�
����s
COSTA MESA BUIIDING-SAfETY DEPARTMENT
P.O. BO% iZ00 � COSTA MESA, CALIFORNIA BM36
For AppllcanP to Flll In Compl tely '
� � TYPE OR PRINT
ILDIN
]RESi
" COSTA MESA, CALIFORNIA
� MAIL
TQL
6TAT6 ' T6L. r' aM�o
LIC. NO. NO. 74 �.+�
size NO. 0I �LDW.
OFLOT � t NOW N C
USE OR
EXI6TIN6 BLD6.
B6TeACK L�M[ P110Y
ceNTBR oF sTR[aT O� RiAR Y D 31 �
BIOB YARD L81T . � � R16l7T t
DESCRIPTION-OF WORK -
e
Pn7n
`;[??_5-G7ciisnu� 683" ={��:':4).G1
APPLICATION FOR PERMR
BUILDIN(i
For Offlca Use Only
ZONING
:o Ho. or u.[ o� n Y9 I
, �un�� em�o�n
uo�� ^y'
ouert�mo ^/ <
A. P. NO. /'r VI,N'VL.�'
NOT6: NOHAV60ViRNAN08HALLBELE88THAN
80' TO HID6 4 RBAR P. L
envea
ALLOWBU fU..B..C..PE0U1R6MENT'.
YARDBMPROVHD YARDeMPROVHD
MAIN BUILDING ACCECSORY BUILDINO
NO. OF 1 VAR. �
ROOMH 6 RaRl�l 1 Q ll. P.
a
Lot 13 - B P]an
I HlRCBY ACKNOWL600[ THAT 1 NAVB RGD TXIB APPLICATION
ANp BTAT6 THAT TN8 ABOV[ 1� COpRBCT�l1ND AOR86 TO COM•
PLv WITx ALL CITY OqDJNA�lG�O AND RATt N1Wt RWYLIITINO
BUILOINO CONBTRUCT{ylll/ _ / h
� wurnoRrze�wo�nr
THH AMOUM BHO\/
•URPOlB OP 'fBTA
VALUATION ,
s �D� � 9%�—
0
BHT. MAIN R
ACCE88.BL1
OATE
'Y / /' ( ! ' / IL
/ �
�
I p - `�
�
0
UNOHH VALUATON IS FOR TH6 j
IBHINO A PEPM�i FE8 ONLY. i7
/ �
PERMIT FEE $ G 6'J � p
G
J�3 — w
Ic�, �i
TOTAL FEE S