HomeMy WebLinkAbout2655 CLUB MESA PL - Building PermitsCOUNTY OF ORANGE
BUILDING UEPT.
636 No. B�oadway
Sanw Ana� Califomia
Phone: KI 2.6211
J
Application for Building Permit
AND FOR A
CertiFicate of Use and Occupancy
Permit No..]_.�//1..�_._...
Dace...DECEt1HF.d' i..10...1451 ..........................
l. OWNER'S NAME........._...DI:CE..Fi..CrlI.�f�.OV.E ........................... � ............................ ........ PHONE:---BEA.....7225.....----
MAILING ADDRESS_........15.th.-.&_IA.1[IIIE.iTS._---......._ .............._-----.................. CITY...NL•'WF'.QB.T._HEACH�...C.�I..........
Name
oz Engincer)
Address..._..81U�Cf1NS^1...li41y.... � ........................ .............
Cicy .......... �7�kJ, ^,Ft-T--'�(�.GI+� - Gh1zIF ..............
State
Lic No....._.-'---"-- ..................... Phone...BFA....S�
. Namc ......DII.CIa..�..�(�LFC.�tUV :............... ...............
� (Cantractor)
,�aar�55 ...i�xn...&..Ift.Y.xYJ.F..$T.• ................ .-........
Ci�y ..._HIE4.�F'�RT._HEhCi?s-LA1�dL� .............---- - ---................._.
Statc
Lic. No..125202 .................._........ Phone.SEA._?225.........-------
PROPOSED USE :............t3EEID,T.i!C�..&..ATTACi_ER..ful&L1GE..__.------,s,t111.
� -
'!. IOB LOCATION-----.----265`J..._.._------ .............gI,iiS=�Sft °dr�CE �---------..................COSTA_Lt�Sll,...CALIE._...................
(House No.) (Name of Sveet) (Town or School District)
3. LEGAL DESCRIPTION: Lot.----11-- ..............................---131ock ...-----------,----..........._._.._..---. Tract...1419...--.--------...---...---
(Metes and $ounds Description—Use reverse side o( form)
4. CORNER LOT ( ) INTERIOR LOT ( S) THROUGH LOT ( ) SLOPE OF LOT ( )
i. SIZE OF BLDG.:..2Q. x-�6 - AREA: ..4�0. --- ........SIZE OF LOT:_ �i0.. g__ 120- ........AREA: -7200....._........ -
C,. HEIGHT (hF BLDG.:.........._-15} ......................CEILING HGIGHT:.....��l+n..---.----_-.------NO. OF STORILS.......1.......--.--._-__.-
7. NO. FAMILIES ...............QP]E....------------Sizc Rf Smalle=_c Bedroom:....10-�-�i°.-_X--4�-�°-..--_ Size of Kitchen---_1Q_X._15...........---.
/�
S. EXTEIiIOR WALL CONSTRUCTION:FRAi•Ls.&.�T.IIC�O..........INTEKIOR WALL COVERING.....p�.STF�i ..
(Framc, Smcco, EttJ (Plas[erDrywall, EtcJ
9. SETBACKS: Froni Yard From Cencer Line of Street-----..50.!......__......._..--,--------- ..........................................._-----------............-
Nr,�rest Sidc Yard....S...�....._.....Rear Yard........4R�..._....Distancc in Feet Betwecn 131dgs. on Same Lot......NG�AB ............................
10. A COMPLETE PLOT YLA2Q IS REQUIRED, SHOVJING ALL STRUCTURES AND USE OF EACH.
ll. For
Accessory
Bldgs. and
Similar
Structures:
(a) Footing: Width---.'---....,..�°:--I..�.{........Depth in Ground........uf.° ...............Width of
(b) Size of Studs:........z..7�../i,.......Spacing ..............�.�.°...---:'CC Material of
(c) Size of Floor Joi�ts:.......�8._fi........ - .........Spacing.. -- -� -..1G." .................:'CC
d SiieofRafters:..........-'---.2..i�...�.-----------........5 acin Za" ................:'CC
i ) P 8......_ _. -
6"
]2. VALUATION OF PROFaSED WORK: ]nduding a!I labor, pJumbing, eletvic:el wiring, hcating, fire sprinkler�, painting and
' scwagc disposal 5..70Q0..00 .............................
13. I HEREBY CERTIFY THAT TO THE BEST OF MY KIQOWLEDGE AND BELIEF THE INFORMATIOI� 1N THIS
APPLICATION IS CORRECT AA'D THAT THE CONSTRUCTION WORK WILL COA'FORM TO ALL LAWS OF
THE COUiQTY OF ORANGE AI�'D THE STATE OF CALIFORNIA AYPLICABLE THERETO.
Signed:. --- -- !��^.`t:..0. _� .�. ��-� ---�- --- ... - -
' � � .. (O er)
Plans Filcd:.___...�. r!1L,� -�
...� ....................-- --
� BY � .................... 1-�� CI.�. .............-�---.......... ... .................. -
(Au horized Agent)
FOR DEPARTMENTAL USE ONLY
Bldg. Pcrmit
Plan Check
Total - •
Receipt No.
Paid to •
Date ...........
DAT
5 M-9-51
GROUP ........ ..... .
TYPE........... 1 ............
........,
............
DIST. +
MAP.......� ... - ... •
SHEET NO........_5 ..............
PERMIT
�I3E�II3�p BY
AYPLICATION�( � ----. / I�j-IEALTH.--.---.--_ ................
ZONING ..................... � FIRE
PLANS AND MARSHAL .........................
SPEC'5 ......................v STATE................................
CORRECTIONS EI`'GINEER
VERIFIED ................. - CAL............._.............. ---
�^� (�(1�1/�r�!(� COUP1iYQU1LDING
BY: lJiJ. �' :l "-� 1?!S?cC'Oft
PNOJECT ADOflFSS: 2 E S S C LU 8 MES A D R
OWNEN'S NAME: TOD P AD I A
nooRess: Z655 CLOB MESA DR
+ 642-3374
IINIT:
APCNIENGINEEH: flFG.NO.:
A�OflE55: UNIT:
PENMITTEE: CAL—BRITT ROOF'1NG ( 714 ) 721-1328
nooeess: 3535 E COAST HWY 360
CORONA DEL MAR CA 92625
LICENSED CONTNACTOB �ECUNATION: I MRW aHirm itut I am Iit2n5e0 uMer Orovi5ion5 0� Clwoter 9l�ommenpng wii� SetliOn
70001 0� Drvision 7 0l 1he 9u5iness an0 Proles5i0n5 Cotle. anC my license �s in full �orce antl efl¢cl.
c�c.:052804 sTqTEu�_b33719 />/,c C39 EXP: 03/95
_(2,- t 5 - �r �{ 9� � ��
ale Signaiure: �1�
WOBRENS'COMPENSATIONOECIABRT10N: I�¢rB�yaltirml�allluv¢attNbWle Iconsemmself-insureoracenilicateaiWorkers'
Camoensation Insurance. or a certilieE tApy Inereol (SetliOn 3800, laG. C1.
POLICY ND.: E%P. �RTE:
LOMPRNY:
❑ CenifreC wpy is �ereGy fumis�e0. ❑ CertilieG capy 6 filed wiN l�e ciry BuJding DNiSian.
oale: AOPlicant:
E%EMPfION FBOM WOPNEBS' COMPENSATION DELLAflPTION: (ihis Seclron netd ipi be compleietl ii U¢ permil is tor one hunaretl (510�) or 1¢55�.
t cerlily Ihal in I�e DerlOrmante oi t�e wOrk 10� w�it� I�¢ permi uCG. I 5 II not emD�oy any person in any manner so as to become
lo U/e �oB�ers' COmOensa on L s oi Cali�omia. I'
Gate: _ � �—` � s� � — Si9nawra: ��/ '
TICE: II, aliei making I�is ECtlarali0n, yoV S�Oula �etOme Subjed lo I�e � orkers' Compensation provisions of ihe Labor
Ge. you must �orlhwit� Compty wilh suc� pmvi5ion5 or ��is p¢rmit 5ha11 h Aeem¢tl revoked.
CONSTHUCTION LEN�ING AGENCY: I �ereby atlirm Iha� I�ere is a tonSVutlion IendinB agenCy tor �he pedormance 0� Ihe work lOr
w�ic� Nis permil is i55uetl (S¢ction 3097, Civ. C�.
LENOEfl:
aooxess:
OWNEB BWLOEB DECLABR7ION: I ner¢by aHirm ttwt I am eKemD� «am tne Contractors' Siate License Law for the followinA reasan
(Section 703L5 Business antl Pmhssional Cotle: Any uty al wuniy wNch repuims a permit to constmct, atter, impmve. Cemolish, or
repair any slmclure, priat lo its issuance. also reQuires I�e aODlicant lor such permil to file a sipnetl statement t�at Ile/she is litensetl
pursuam to t�e o�ovisions al ��e Conlraciors' Siate License Lm �LluOter 9(wmmencinq vrit� SecGon 7000) of OWision 3 of iAe Business
and Pmlessions Code� or t�at ne/s�e is eaempt t�erelrom ana ine �asis for t�e alteAea e�emption. Any Nolation oi Section 7031.5 Gy
any ao4l¢anl lor a permil suoiEtis Ine apD�Kant lo a Civil Denatly of not mora tllan live AUMRO aollaK (5500�.
I, as owner oi ine O�openy or rtry employees wfi� wa0es as tneir sole wmpensatlon, xitl Ea tAe vroM1, an0 Ine
❑ stmaure is nm ime�aea or ouereu tor sale ISeciion 70aa, Buvneu an0 Prolessional Cade: 7he Coniracmrs' State License Law
Ooes noi appN lo an ovmer of a Dmpeny wta CUACs or im0« ��ereon. an0 wtro Goes suc� woA himsell/�erseti or tAmuph
nis or he� Own employees, proNaed ihdt sucn impwvemen6 are not inlenUetl or ollerea lor Saie. II, however tne Ouiltlinp or
im0�ovemem rs solA wil�in one year ol wmD�etion, Ue ovmer xill twve rtre bur0en ol provin9 ��s�e Oi0 not Oui10 or improve
lor Ine Duroose al Satel.
I. as o"mer ol tlle D�openy. am eaGusivep Coniractinp with IicenSeE ConiractaR to CanslNcl ihe pmlect (SCttion 70d4. Busine55
❑ an0 Pwtessians COOC: ih¢ fAnlratlars' SWIe Lit¢�6! Law Oces nol appty IO an axner OI Omperry wtp GUAGS or imprwes lhereon
an0 w�a cwtrec�s lor 5uc� projetis wilh a contractoqs) 4ttnse Dursuani to t�e Contracrors' State License Law). I am aware
Inal D�aol al Ineir worker's Compefl5ation inwrance SMWd Ee prwi0e0 to me.
� I am exempi unAer Seamn: 8. 8 P. C.
lor mis rea5on:
Date: Owner.
I Oa nereUy cenity tlut I am aware ot an0 unOerstanG t�e r¢yuirements ai Cdlitornu Heatl� ana Safety CoGe Stttions 25505, 25593, aM
255� anE t�at I or any luture Uuildinp acupant wilUwill noi (Circle one) neeA to compty vn�� SaiG slate to0es anU the repuiremenis for a
permil lor consimction or moGdicalion �mm t�e Mt Oualiry ManaOemBn1 Oi5iricl. Fevdential construction apDlicaiions are exempt Imm
IheSe D�ovisions
Daie: Appb[anl:
I heieby terulyltul IhaveteaGl�K aDO�itdiion an0 S�alei� einlormafioni5 corrBci.lagrte�0 tOmply vnth ail ciry antl toUn�y
or0inance5antl5lalelawSrClalinplobuilOmgconS�mCiiona tl�¢rebya �orrzere0�esenativesof��iscirytoenrerupontheabove�memioned
etly lorinspection pur0oses.
�/[�f �• c
Oate � �� � � � ` —` Signature: � �+
or er's �icense or Sociai Security
itia� ati wnite—nmioing; ureen—woe enwrcamen�: �awry—rvppncani. rnin—nevnnue, vvmenrou—na�neau�
CITY OF COSTA MESA — BUILDING PERMIT .
PERMIT NO: B 070372 PLAN CHECK NO: N GOVT: N S P:
CONSTRUCTION TYPE: V PERMIT TYPE: STR PURPOSE: ALT
JOB DESCRIPTION : T/O RF.ROOF W/COMP. SHlNGLES SQ FT: 2.500
CLAIM VALUE: 2.500.00 CALC—VALUE: 2,500.00 GROUP OCC: R-1 /
CO.MMENTS: SMORE DETECTORS ARE RE(�UIRED AS PER 1991 U.B,C.
��t��*�t*�****��***�tx*****���***** �*��*�t�t�***�t�t��t��f���*�t*�t*��t�t�t***�*�t�**�t�x��**�t��
Z O N I N G R E() U I R E M E N T 5
s e T B A c x s
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: F'T IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING RE(2: PROV: PARCEL: 43921334 ZNE: REF NO:
FLANNING NO'TES)
i
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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 S
ZONING APPROVED HY _ _ __ _.^____ _ DATE: „� _ _ _
BUILDTNG APPROVED BY : ___ _ DA'TE: _j�
APPLSCATION ISSUED BY: �,���� -- DATE: �L—�LI
�*xiE*it*i�7titi�i�i��E�E#iE�Ei�i�it�iF3F�FiEiFiFiiiEit�"£iE i�3E�iE�f'£3FiF�F'�F�Fi��ti�i�7��Ei�iti�ifiFiF'�i�xi���
�7EiEjfiEiEifiEifikifiEiEjEiEiEifiEjEiEiEiEiEiEiEjE�IEiEif�fiEiEiEiEjE�lf�lfiElfiEifiEiEjE�lEiEifiEiElEiEiE1EiE�����3EiE�MiEiF�lEiEjfiElfiEjEiE�lEiFiEiEiE�**� �t*
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SBGMENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADZNG
PERMIT 54.00 50
SMIP/NON—RES
PLAN
ISSUE F'�:E
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECR TOTAL PAID DUE
TOTALS----> 54,50 0.00 0.00 54.50 54,50 .00
REVENUE DIVISION TO'CALS--> COLLECTED: 54,50 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECR
54.00 .SO
iE if if if if iE iF if if if if iE k �E if if iE iE if iE if if if if if if �E jf if �E �E iE if iE jE iE iE if if iE 1f iE if if if if if if if jF iE iE iE 1f if 7f if if if if iE iE �E iE if iE iE if iE �� if iEiE if if iE �f IE if
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 2500 RF.ROOF BY VALUE RESIDENTIAL NOZONE
END OF FEES
1.0� 2.50�,�0
ai oai�aa,b-oon�4s� z+�T S<.s�n
DATE* !3/t5/94 TIhE� 03:34
COAte7RUCTION AND PLANNtNG POOI & SPA �
APPROVAIS Permit�� Date Inspector AppROVALS Permit# Date Inspector
1. Tymporary Eleuncat Serv(ce or Pote 52. Poo1 & Eq�ipment tocacion �
2, Soil Pipe�Und�grnd. 53. Steel Reinforcement
. 3. Electrical Conduk Utihry-Undrgmd. 54. Forms
4. ElActrical Conduit•Undrgrnd. 55. Electricai Bonding
5. 5teel Reinforcement 56. Rough Plumbing & Prc;sure Test '
-� 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE �
7. Footings 58. Electncal Conduit�U^�d�g�nd `
8. Fountlation _ 59. Gas Pipe, f� Undrgmu., Test j I
9. Water Pipe-Undrgrnd. . • 60. Backwash L�nes, P�Trap, � Und�yrc. �
10. Strucwral Floor System • 67. APPROVAL TO UECK �
11. Property Sewer Line & House Connectlon -- "' 62. Backwash & Receptor�F❑�al '
12. Sewer Cap , 63. Heater & Vent�Final
�-
73. Roof Drains � 64. Plumbing System - Finai
14. Rough Plumbing 65. Electrical�Final
15. Rough Electrical-Conduit � 66. Solar System�Final
16. Rough Electric Wiring 67. Fencing & Access ApProval '
77. Rough W��in9 Sign 68. APPROVED FOR PLASTERING -
18. Rough Electrical�T Bar Ceding 69. POOLlSPA SYSTE?.15 FINAL
79. Rough Heating & Air Condit�oning FIRE DEPT. REQUIREMENT . I
20. Rough,Factory Fireplace . APPROV/kLS Permit # I
27. Ducts, in St�uctvre •� - • 70. �Underground Hydro �
22. Ducts, Ventilating '� 77. Product Pipiny I� G�s ❑0�1
23..Gas.P�pe.Rough & 7esc � , • 72. Under�round F�ush
24. Roofi Framing - " • 73. U�dergrnd, Storaye T,ank � Gac � �d
25. Roof 5heathing �. `2 �G'� 74. Overhead Hydro
26. T�Bar Ceiling (Strueturaq & Monocoat - 75. Dry Chem�cal - I
27. Freme and Flashl�g � � 76. bry Standpipe
�28. Lathing & Siding- ' 77. FIXED SYSTEM FINAL
29. Insulat�on � - 7$. FIRE PREV. FINAL .
30. Drywa�� Nailing . ' HEALTH DEPT. REQUIREh1ENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Elecirical Power �,Aeter-Final 80. FOOD CERTIFiCATE iSSUED
33. Finai E�eciric - Notes:
34, Final Heating & Air Conditioning .
35: �Final Gas Pipe•Test � . ' . � �
�,36. Hood or Canopy �
37. Fina� Factory Fireplace
38. Final Plumbing .
39. Water Service-Fin81 , ' ' ' ' '
40. Gas Service-Final . � �
47. Solar pomestioFinal � � ' ' � '
42. Backflow Preventei , •
43. BatkflPw Irrigation ' � ';
44. LandsGaPe Irripation System� ,� � _. � . _ � �� ' -
.45. Sound Attenuation , -. - ', �
'46. liandicap Regulations ' . _ - -
47. FINA4 STRUCTURE & BUILDING , C[, '
v
48. FINAL PLANNING � '
49. Eiectric Release to Edison �
'50. Gas,Retease to Southem Califomia Gas Co �
,51. CERTIFICATE OF �CCUPANCY .
No. Date