HomeMy WebLinkAbout2677 CLUB MESA PL - Building Permits. '
JobAddress: 2677 CLUB MESA DR
Suite:
Vicinity:
Primary Occ: R3 Type of Construction: V-N
Parcel Number: 43921330 Zoning:
npp�icam: KELLY CHAPPUE
Address: 126 COMMERCIAL Wl'
COSTA MESA, CA
Owner: WILLIAMSON, MARY LOUISE
Address 2677 CLUB MESA
COSTA MESA, CA
Coniractor.
Address:
Zip:
Arch :
Address:
Zip:
Phone: 949-548-5569
2ip: 92627
Phone: 949-548-6426
Zip: 92627
ISSUED BY:
Status: ISSUED
Applied: 12/01/2006
Issued: 12/Ot/2006
G L R ENTERPRISES INC--DBA CRANK BROTHERS ROOFIN
126 COMMERCIAL WY �+�
Phone: 94 -' 9�5�69 ���� � ,�
COSTA MESA, CA � `'� '�
92627 License: 379 � U � �J
Eng:
Address:
Phone:
License:
SCOPE OF PERMIT
TEAR OFF BUR AS PER CONTRACTOR EDDIE THE SLOPE IS 3:12.
INSTALL 2-15 LB FELT AND 30 YEAR COMP. SHINGLES.
PLEASE VERIFY SLOPE
FEE SUMMARY
Plan Check: $0.00
Permit: $111.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: �,0.00
Total: $111.75
PLANNING & ZONING
SETBACKS
MAINSTRUCTUR� Front 0-0
ACCESSORY Front 0-0
PARKING ' Existin : 0
Calc Valuation:
Claim Valuation
Rear 0- 0 Left 0- 0 Right 0• 0
Rear 0- 0 Left 0- 0 Right 0- 0
Required: 0 Pr000sed: 0
Phone:
License:
sa,so�.00
54,807.00
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 aulhorized under this permit to be considered legal, such work must comply with all applicable codes, and ell
required Inapeetiona and final epproval must be oblained. Fallure to obtain inspections antl final approval will result in the expiration of this permit.
FOR INSPECTIONS CqLL: (714) 7545626
2aae�a8 (flro0)
WORKERS' COMPENSATION DECLARATION: �
I hereby eXirtn under penalry o1 per�ury one o1 the following declaratlons:
❑ I h end will melnteln e certlllcate ai consent to setl-Insure for workers' compensation, es proWdetl for by sectlon 3700 of the Lebor Coda, for Ne pertortnence of t�e
rk lor which t�is pertnit Is issued.
antl will maintain workers' compensetlon insurance, as requiretl by sectim 3700 oi Ne Lsbor Code, for the peAormance of Ihe work for w�ich this permit is issued.
My w �rc;compe�setion,lns�anca carrier end policy number ere: ��i�� _�/ ��
Cerrier: ���� �.� oli N ( l!J
ection need nof be comp/eted I! the permit is veluetl at one huntlred doller5 ($100) or less.)
❑ I certily that in the pertormance ot the work fOr whiCh this pertnit is issued, I shall nOt employ eny person in eny menner so es to betome 5ublect ta the workers'
compensation laws of Celifornia, en e e that If I shoul ecome subject b t�e workers' compensation provislons oi Section 700 of the Labor Cotla, I sha0 forthwith
compl s. � � ���� /���
Appli ' naNre: . Date: �
W : FAILURE TO WORNERS' COM NSATION COVERAGE IS N WFUL AND SHALL SUBIEGT AN EMPL CRIMINAL PENALTIES PND IL FlNES UP TO ONE HUNDRED
THIXI (5100,000),INADOITIONTOTHECOSTOFCOMPENSATION,DAMAGESASPiIOVIDEDFORINSECfION3'IOBOFTHEIABORCOOE,INTEREST,ANDATTORNEY'SFEES.
'ORS DECLARATION:
Iicensed under provLsions ot C�apter 9(commencinq with Section 7000) of Divis' 3 of the Busineu enC Proteuions Catla, and my license is in full
CONSTRUCTION LENDING AGENCV:
❑ I �ereDy aNirtn that ihere is a consiruction lending agency for the pedormance ol the work for which this pertnit is issued. (Sec. 3097, Civil Code).
Landers Neme: Lenders Address:
Signeture:
OWNER-BUILDER DECLARATIONS:
Date:
I hereby eMirtn that under penalry ot perjury Ihat 1 am EXEMP7 FROM TME CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business entl Professlons
Code: Any ciry or counry which requires a permit to consiruct, alter, improve, tlemolish, or repair any structure, pnor m its issuance, also requires the epplicant for such permit
lo file e signetl statement t�el he or she I5 Ilcensed pursuanl to ihe proWSions of the Contrectors License Law (Chepter 9(commencing with Sectlon 7000) of DlWsion 3 01 the
Business end Professions Code) or thel he or she is exempt therefrom entl tha hesis lor the alleged e:emption. Any violation of Section 7031.5 by any applicant for a pertnit
subjects the epplicant to a civil penelry M no1 more Ihan five hundred dollars (3500)J:
❑ I, es ov.ner ot Iha properry, ar my employees with weges as their sole compensation, WILL DO THE WORK, entl the s�ructure Is not intendetl or otteretl for sale (Sec.
7044, Business and Professions Code: The Contractors License Lew does not apply to an owner of properry who builtls or improves Ihereon, antl w�o aoes such work
himself or herself or thmugh his or her own employees, provided ihat such improvements are not intended or oHeretl for sale. If, however, ihe builtling or improvemem Is
sold within one year oi comple�ion, the ownerbuilder will have the burden of proving that he or she did not build or improve for purpose of sele.).
❑ I, es owner of lhe property, em E%CLUSIVELV CONTRACTING WITM LICENSED CONTRACTORS to construct the pro�ect (Sac. 7044, Business antl Professions
Coda: The coniractors License Lew does not eppry to an owner ol property who builds or Improves Ihereon, antl who contraas lor such project with e comractor(s)
license pursuant to the Contractore License Laws.).
❑ I em exempt untler sec. Business antl Professions Cotle for Ihis raason:
Slgnamre: Date:
Owner ID ventied by tlnvefs license. ❑ Ves ❑ No Ddvefs License No. Expires:
Verilicatlon of Ownership by (type ot tlocument, i.e. - pmperry tan bill or tleetl):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATON:
❑ I hereby certify that no exwvatlon Ilve (5) or more feet in depth Into which e person is required to descend, will �e made in connection with work authorized by this
permit, entl ihat no builtling siructure, swHolding, talsework, or demolition or tlismantling ihereof, will be more Ihan thirty-six (36) leet high. (Chap. 32. Grp 2, Art 2, Sec.
341, Tlile 8, Califomia Administrative Code).
❑ As owner-builtler, I will not employ anyone to tlo work which would require a permit trom the Division of Indusirial Salety, es notetl ebove, unless such parson has a
permit to do such work from ihe division.
Signature: Oate:
Division of Indusirial Safery Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUTHORQATION OF ENTRY: I cenity under penelry of peryury that I have rea0 this application antl state t�at ihe infortnation given is
correct I egrea to wmply with ell steta laws end ciry ortllnances relating to building cons(rudion, end euthonze representatives oi the Ciry of Costa Mesa to enter upon the
ebove-described property for inspection purposes. I e9ree not to occupy or allow occupency ot any building authorized by this permit until final inspection.
COpE�, INSPECTIONTYPE
1616 Fixetl System Final Fire Preventlon
1268
200
201
202
203
204
Pool Spa Finel
Finel Ra-Roof
Final BIocWRetaining Wall
Finel Fectory Fire Place
Finel Sign
Final Demolition
1 �- 1
Date
COpE1 INSPELTIONTYPE p� �
206 Final Mechenicel
208 Final Plumbing
210 Final Electrical
212 Finel Fire Preventlon
220 Final Planning Approval
222 Final Site
250 Final Building/Occupanq
(�ia) �sa-sz�s • Feu (�ia) �sa-aass
�
CITY OF COSTA MESA
BUILDING DIV/SION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
PLUMBING PERMIT
Job Address:
Suite No
2677 CLUB MESA DR
Vicinity: IN GARAGE
Parcel Nunmber: 43921930
Applicant: GLOVER, LORIE
Address: 2737 S. CRODDY
SUITE D
SANTA ANA CA
owner: WILLIAMSON, MARY LOUISE
Address 2677 CLUB MESA _
COSTA MESA, CA
Phone: 714 241-1474
Zip: 92704
Phone'.
Zip: 92627
Contractor: COAST ROOTER PLUMBING HEATING & A�R COND
Address: 2737 S. CRODDY �
SUITE D Phone: 714 241-1414
SANTA ANA CA �� ' Zip: 92704 �
- � License: 529727
ArchlEng:
Address:
WATER HEATER CHANGEOUT.
ISSUE FEE
8ackflow irrigation
BackFlow Preventer
Bathtub
Clarifier System
Connect (Ice,Soda,etc)
Dental Units
Dishwasher
Drain, Floor
Drain, Rainwater
Drain, Roof
Drinking Fountain
Expansion Tank
Gas Earthquake Valve
Gas (1-0 outlets)
Gas (Over 4 outlets)
Gas Repipe
Gas Service
Interceptors (Grease, Oil)
Interceptors (Sand Auto )
AMT
$22.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
QTY
Phone:
Zip:
License:
SCOPE OF PERMIT
FEE SUMMARY
AMT
Laundry Tub / Washer $0.00
Landscape Irrigation $0.00
p-Trap $0.00
Pressure Regulator $0.00
Process Piping (per 10 ft) $0.00
Receptors $0.00
Septic Tank - $0.00
Sewer Cap for Demo $0.00
Sewer Connect $0.00
Sewer Private Line . $0.00
Shower $0.00
Sink, bar $0.00
Sink, commercial - $0.00
Sink, Floor $0.00
Sink, kitchen $0.00
Sink, service/mop $0.00
Spa (private) $0.00
Spa (public) . $0.00
QTY
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
COMMENTS / SPECIAL CONDITIONS
7
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 07/26/1999
Issued: 07/26/1999
ISSUED BY:
SumpPump
Swimming Pool
Trap Primer
Urinal
Vacuum Brkr Bkflow(i-4)
Vacuum Brkr Bkflow(5+)
Wash Basin
Wash Basin Set
Waste and Vent System
Water Closet (Toilet)
Waler Heater / vent
Water Piping (Inst or Rep.)
Water Re-pipe
Water Service
Water Softener
OTHER
VIOLATION
PLAN CHECK
REINSPECTION
AMT
$0.00
$0.00
50.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$11.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL CALCULATED FEES: $33.00
QTY
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
NO710E: 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, 72-21-92)
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 ot 180 days. .
INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codas, and all �
requlred Inapectlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (774) 7545626 I
WORKERS' COMPENSATION DECLARATI�N: �
I here6y attirm under penalry of perjury one of Ihe following tleclaretions: �
❑ I have entl will maintain a certlficate of consent to self-Insure for workers' compensation, es provitled tor by section 3700 of Ihe Lebor Cotle, for ihe pertormence of ihe
work for which this permit is issuetl.
�I have and will maintain workers' compensation insurance, as required by section 3700 ot the Labor Code, for the pedortnance of ihe work tor which this permit is issued.
My wo rs' co pen tion Ins�ran�ca carrier and policy number are: p pp,�p
Garrier �� ��'I�ik`-'� PolicyNumber. �O I�.1 p p lT�
(Thls section need nat be completed I/ the pe it is valuetl at one huntlred dollers ($100) or less.)
❑ I certify that in tha pertormance of Ihe work for which this permit is issueQ I shall not employ any person in any manner so as to becoma subject to the workers'
compensation laws of Celifomia, and agree ihat if I shoultl becoma subject to ihe workers' compensation provisions of Section 3700 of the Labor Cotle, I shall forthwith
comply with ihese provisions.
Appiicant Signature: Date:
WARNING: FAILURE TO SECURE WORKERS' WMPENSATION WVERAGE IS UNLAWFUL AND SHALL SUflIEGT AN EMMOVER TO CRIMINAL PENALTIE$ AND CIVIL FINES UP TOONE HUNDRED
THOUSAND DOLLARE ($100,000), IN ADDITION TO THE COST OF CAMGENSATION, OAMAGES AS PROVI OE� FOR IN SECTION 3]Ofi OF THE LABOR CODE, INTEREST, ANO ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I here6y aHirm that I am lice un er provisions of Chapter 9(commencing with Section 7000) of Oivision 3 of the Busin ss and Professions Code, an0 my license is in full
forca and eHect Lic # ��i �� _. Cless a � 3(O
Coniractols Signature: y� � — Date: �d �o � �
CONSTRUCTION LENDING AGENCY:
❑ I hereby attirm ihat there is a consiructian lendinq agency for the performance ot the work tor which this permit is issuetl. (Sec. 3097, Civil Code).
Lendar's Neme: Lendefs Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby aHirm ihat under penalry ot perjury ihet I am EXEMPT FROM THE CON7RACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business and Professlons
Code: Any ciry or county which requires a permit to consimct, alter, improve, demolish, or repair any strucNre, pnor to iis issuance, also requires Ihe applicant for such permit
to tile a signed sta�ement ihat he or she is licensed pursuaN to ihe provisions of the Con�rectors Llcense Lew (Chapter 9(commencing wlih Section 7000) of Division 3 ot ihe
Business and Professions Cotle) or thet he or she is exempi therefrom end ihe 6asis tor the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
sublects the applicent to e civil penalry of not more than five huntlretl tlollars ($500).):
❑ I, as owner of the property, or my employees with wages as lheir sole compensetion, WILL DO THE WORK, end the stmcture is not intendad or oHered for sale (Sec.
7044, Business and Professions Code: The Contractors License Lew tloes not epply to an owner of properry who builds or improves thereon, and who tloes such work
himself or herself or ihrough his or her own employees, provided that such improvements are not intended or oHered tor sale. If, however, the huiltling or improvement is
sold wi�hin one year ot completioq the ownervbuilder will have the burden ot proving that he or she did not build or improve for purpose of sale.).
❑ I, as owner of lhe property, am El(CLUSIVELY CONTRACTNG WiTH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Protessions
Code: The contrectors License Law does not apply to an owner of properry who builtls or improves �hereon, and who contracts for such project with a contractor(s)
license pursuant to the Contractore License Laws.).
❑ I am exempt under sec.
Signature:
Owner ID verified by driver's licanse. ❑ Ves ❑ No
Business antl Professions Code br ihis reason:
Venfication of Ownership by (type of document, i.e. - propehy �an bill or tleed):
Driver'S LicenSe No.
Dete:
Expires:
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certity ihat no excavation five (5) or more fee� in depth into which a person is raquiretl to tlescend, will be made in connection with work authorizetl by ihis
pertnit, and that no building siructure, scaHolding, falsework, or demolition or tlismantling �hereof, will be more ihan thirty-siz (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, Califomie Atlminisirative Code).
❑ As owner-builder, I will not employ anyone to tlo work which woultl require a permit irom ihe Division of Intlustnal Safery, as noted above, unless such person has a
permit to do such work irom the division.
Signawre: Date:
Division of Indusinal Safery Permit Numher:
CEfiTIFICATE OF COMPLIANCE AND AUTHORIZATION OF EMAY: I cenify under penalty of perjury that I have read ihis application and state Ihat ihe information given is
correcL I agree to comply with ell state lews and ciry ordinances relating to building wnstmction, and authorize representatives ot ihe Ciry of Costa Mesa to anter upon ihe
ebove-descnbetl property for insDection purposes. I agree not to occupy or allow occupancy of any �uilding authorized by ihis pertnit until Ilnal inspection.
ign3wre Ot Legal Owner(s) � Date
� -a2 �-,21°
And/Or Authorizad Applicant Date
CO�E 1. INSGECTIONTYPE 49IE INTRIRLS
1616 Fixetl System Final Fire Prevention
7266 Pool Spa Final
200 Finel Re-Root
201 Final Block/Retaininq Well
202 Finel Factory Flre Place
203 Flnel Sign
204 Final Demalition
2b66d6
COOE� INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electncal
212 Finel Fire Prevention
220 Final Plenning Approval
222 Final Sita
250 Final Building�Occupancy
PASE - INT1iIRLS
� �Ad � u� •
COUNI'Y OF ORANGE
BUII.DING DEPT.
636 No. Bcoadway
Santa Ana, California
Phane: KI 2b211
Application For Building Permit
AND FOR A
Certificate of Use and Occupancy
]. OWNER'S NAME....-----.......DIKE..&_Ci}L�:CE.f111L�-----------.....
MAILING ADDRESS.........._ l�th...&_If�.YZI�IE__......._..
Name ..R.ZTfFwX...F�..I+I.�''Y.A��I''.o�..�Yt..OR....Cn...
(Architect or Engineer}
Addre==_---810 COAST.HW7[..-------------_._._..
Ciry .....__NE4dP9I.i1'..:1F.QC1{------------,--_---_...._.--------------
S[ate
Lic. No....-------__........----`-...----- Phon�EA....S�a�
Permit No..._.?..../...���
Datc..DEClid�II�-.1D�..1$51--------�--------------..
PHONE:..IISIb.�-7�25 -- - -
CITYNE4fY. f]RT.. HEACH........
Namc ....DIK�..&..CaQLwC$QYE---'-....... -- ........... .
(Contractor}
Address ..15th...&..IRVINE..3T_------.........._..._--......_..--------
Cicy ......IdF,I�PJRT..B�AGH�--CAL7E-- .................... ...
State
Lic. No......125202.......-------'------ Phone....BI''.A...'l22'"1-------....
PROPOSED USE:..---..........AESIDEHGE.&.ATTACHRD..GAHA�F........---��p...
?. iOB LOCATION...........267-7---------------------------CLUB._1SESA__PIr�CE.�.........__.
(Housc No.) (Name of Strcet)
3. LEGAL DESCRIPTION: Lot...1.`y------ .............. ...Block ....---.----------.-
(Metes and Bounds Desuiption—Use reverse side o( 4orm)
a. CORNER LOT ( ) INTERIOR LOT ( X ) THROUGH LOT (
......--.--- COSTa.. htESA,...CALIF..---------.-----
(Tawn or Sthool District)
Tract......�9.......
) SLOYE OF LOT ( )
i. SIZE OF BLDG.:-----�.4..IC..��---------.AREA:....4.`.�Q-------------------SIZE OF L07':-GQ--X--�O-------------AREA:......T.Z�O............---..
G. HEIGHT OF BLDG .:...........15-�--_.._.........-----_CEILING HEIGHT:..._S1Q.^.---_-----.---.--_NO. OF STORIES------�.--__..----_.--------
i. NO. FAM]LIES...._--........QNE.........--_-._Si>_c of Smallest Bedroom:..1QS4�-G°-----------------_.. Si:e of Kitchen----.�Q_.X,�S._.._------....
S. EXTERIOR WALL CONSTRUCTION:.FA.AhIE..�'c_.HTU.GC�.........INTERIOR VJALL COVERING._.__.EIaASTF�.R .....................
(Frame, Stucco, Etc) (PlasrervDrywatl, Etc.)
9. SETBACKS: Front 7'ard From Center Line of Sveet._.._..
Nearest Side Yard......Jr.� .............Rcar Yard.....4Q.�.........__Distancc in Fcet Between Bldgs. on Same Lot......NUldE
................
10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH.
11. For (a) Footing: Width----,--�r...�L�..-.-----.Depth in Ground-------.11i.'.'---------------WidchofWall......6"....----.--.----
Accessory
Bldgs. and b Sizc of Smds:......�s..�i........_..S acin �,E?."......."CC Material of Floor...._.....WOOD
Similar � � � P g�����"""""'"""
-------------------------
Strucmre=.:
(c) Size of Floor Ioists:------�..X-E�--'--. Spacing....__._lE?n-----------------------�CC
(d) Size of Rafrer=_-------------_._�.-X- 6----------.----.Spacing
"CC
]?. VALUATION OF PROFOSED WORK: Induding all labor, plumbing, elecvical wiring, heating, fire spr�nklrrq pninitO� and
sewage disposal 5...2QQQ.QQ........ _ ....... ...
13. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS
APPLICATION IS CORRECT AND THAT THE CONSTRUCTTON WORK WILL CONFORM TO ALL LAWS OF
THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICAf3LE THERETO.
Plans Filed:-----..... / L� �/ ^/
Bldg. Permit
Plan Check
Total • -
Receipt No.
Paid to •
5 M-8-51
Signed
�
FOR DEPARTMENTAL USE ONLY
FEES: E K�G BY
l. �.... GROUP----. -- APPLICATION _.'--__f �41EALTH.._ ....................._-
� - - � �'
- .....
S_.......� _._ TYPE --- - r""'/ � ......_ /i FIRE
- ZONING ............. -- -
b.......0 . � ..... DIST. MARSHAL.......- - -� - ..
-
G ^ 9 PLANS AND
�. - f" MAP--- -- - - -- ...... J_....... SPEC'5 ........................_!/ STATE.. -........................
'---'- '--- ..
............ .. ... 1 / / SHEET NO. ..................
1L��I�t� CORRECTIONS ENGINEER
....................- - .....- .......... VERIFIED........................ CAL.....................--......__.....
DATE.....- - r_Ff...a...?..1951 .... --.... -
PERMIT ISSUED BY: �'
J4_ COUNTY QWLDING
�� INSP�CIOR
��