HomeMy WebLinkAbout3050 CLUB HOUSE RD - Building Permits�
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OJELTAD�NESS: 3OSO CLUB HOUSE RD
OWNEX'S NAME: VYN BARBARA W TR
NODPESS: 1aSb ELHA CIR
COSTA MESA,CA 92626
AflCHIENGINEEH:
A�OHE55:
HEG.NO.:
UNIT:
UNIT:
PE"miT'EE. PETERSON ROOFING ( 714 ) 979-7111
aooness: 3�0G06A ENTEJyAPRISE 9 9p
LILENSEO CONTBACTOF�D-ECCA�/YIONM�esreby a�hrm ��a� I am licensetl under pi0isio�n5'bl�Hap[�r 9(commencing wi�h Section
70001 oi Division 3 ol �he Business anU Pmlessions Coee, ane my license is in lull force and effecL
ciTvuc.: 09594� STFTELIC.:607872 ciass: C-3
Oate:�� $ignaWre'. _ _ _ _ -
WOBREBS' COMPENSA ION OECIANATION: I hereby aifirm that I e a cetldica�e ol consent lo setl�inwre or a ce�ilicale of Workers'
Compensalion Insurance. or a cer�ifie� copy Ihereoi (Sec�ian 3800. Lab. C�.
roucvNo.: NC3501565 EXP.OATE: O3�2UI9J
camrndv: REPUHLIC
� Cetlilietl copy is here�y fumished. � Cetlilied copy is liletl with ihe ci�y Builtling Oivision.
�ate: .� � O � � Ap0licant: �
E%FMPTION FflOM WOBNEBS' COMPENSFTION UECLAPpTION: (This�section neetl na� be complele0 il t�e permit is �or one huntlretl (910�) or less�.
I certily Ihal in the pedormance al Ihe work for which this permit is issued. I shall na� employ any Oerson in any manner so as �o Uecome
5u01eci io Ihe Workea' Compensation Laws o� Calilamia.
Dale: Signaiure:
NOTICE: I1, aller making IhiS detlaration, you Should DeCome 5uble�� �o ��e Workers' Compensali0n pwvisions Of fhe La�or
Code. you musf fotlhwilh compty with such provisions or this permii shall �e tleemetl revoked.
CONSTPUCTION LENOING AGENCY: I hereby a�hrm that Ihere i5 a cons�mclion 1¢nding agency lor Ihe pedormance o� the work for
which Ihis permil is i55ue0 (Sec�ion 3097. Civ. C).
LENOEfl:
POOHESS:
OWNEP BUILOEN OECLl�BATION: I hereby aflirm thal I am e�emp� irom Ihe ConVac�ors' Staie License Law lor �Ae bllowing reason
(Section 7031.5 Business and Pmfessional CoOe-. Any ciry ol coumy which requires a permi� to cons�mc4 alter, impmve, demolish, or
repair any simclure. prior lo its issuance. also repuires the apD�icant for such permil to file a signeA statement Ihat helsne is licensed
pursuan� ta the pmvisians oi Ihe Cantraclors' Slate License Law (Chap�er 9(cammencing wi�� Seciion 7000) ol Division 3 0l ��e Business
and Pmfessions Cotle) or Ihal he/s�e is exempt therefmm and �he hasis br Ihe allege� exemplian. Any violation of Sec�ion 70.31.5 by
any applicant for a permil subjecis ine applicanl to a civil penally of not more ihan five hunored dollars (55001.
I, as owner of I�e pmpeny ar my employees wilh wages as their sole compensation, will do the woB, antl ihe
❑ simcmre is noi in�entlea or ofleretl �or sale (Seclion 7044. Business antl Pmtessional Cade: The Con�roc�ors' S�ate license Law
DoeS no� applY Io an owner ol a property who builtls ar impmves lhereon, and who does such work Aimsel�/herself or thmugh
his or ner own employees. pmvitled ihal such impmvemems are not in�ende0 or ofleretl for sale. If, however Ihe 6uilding or
impmvement 4 solA within one year of completion. Ihe owner wi0 have ihe AurOen of proving helshe tlid not �uild or impmve
lorlhe purpose ol sale).
I, as owner o� ��e pmpetly, am exclusively contrac�ing wiih licensetl conVac�ors 10 consimc� the pmlec� (Sec�ian 7044. Business
❑ antl Pmfessions CoUe: The ConlracloK Sta�e License Law does not aDPty lo an owner of pro0erty who �uilds or impmve5 ��ereon
d�d whd COf1�fdt15 �0� SOCh PfOjCt15 wi�ll d COIIIfdt�01(S) IIL¢f152 p11f511d01 IO �hQ COOlfdtlOfS' $�i�C LICEIISE LdW�. I dlll dWdf¢
�hai pmof ol �heir Warker's Compensalion insurance shoultl �e pmvitled Io me.
� I am exempi under Section: B. 8 P. C. �
�or ihis reason'.
Daie: Owner
I do hereby cenity ihal I am aware of an0 un0erstantl the requiremenis oi Caldomia HeaIN anA Satery Cotle Seciions 25505, 25533, anA
25534 antl Ihal I or any �uture building occupani will/will not (cirde one) neetl to comply with 5ai0 s�a�e cotles antl Ihe reQuiremenis for a
permil for constmctmn ar modi�icalion Imm �he Air Oualiry Managemem DislricL Residemial canstmc�ion ap0lications are exempt fmm
Ih¢SC pmvisions.
Oale'. Npplicanl:
I hereby cer�ilythal I have readthis apP�icaiion and stale Iha� Ihe abovein�ormalion is correct. I agree�o compty with allci�y an0 caunry
or�inanc¢5 antl siale laws relaiing to builemg consimc�ian and hereby au�harize repre5eniatives oi ��is city to en�er upon Ihe a6ove-meniionetl
prapetly forin5pCc1i0n purp05¢s.
�ate: � O ' / y Signalure: � �
Driver's License or Social Secunty
t641�46 W�ile-9uiltling; Green—Code Enlorremenll Canary—Applicanl: Pmk—Revenue; Galtlenmtl—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 067100
PERMIT NO: B 067100 PLAN CHECK NO: N GOC'T; N SUFP: N
CONSTRUCTION TYPE: V-5 PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION : REMOVE BOR & REPLACE W/BUR SQ FT: 1,7$6
CLAIM VALUE: 1,786.00 CALC—VALOE: 1,786.00 GROUP OCC: R-3 /
COMMENTS: SMOKE DETECTORS REC�UIRED PER 91 OBC
ikiFifif-IRiE1l1f1F�141ElEfFffiflFiEiEiEiF�IE#iEiEiEiEiEiE ifiEiEihlEiEiEiFlEiEiFififiEifififikiEil�iElFif'iifffifififif�ifififitiFiEj(-iFi4ifiFfEfEifiElEltiEiEif
Z O N I N G R E Q U 2 R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL; 13951520 ZNE; REF NO:
PLANNING NOTES> r
� •
iE iE 9E iF iE aE iE iE iE tE 1E 1E it iE if� 1E 1E 1E iE if �E iE iE iE if if #` if if-# if jf iE iE 1f iE if iE iE iE if if� at iE 1E iE if if if M* iE if if iF iE * if k iF iE 1E ff if if if if if iE.lE �IE 1E iE if iE �lf i(� iE if
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N�T S
ZONING APPROVED BY DATE: �'
BUILDZNG APPROVED BY : DATE; '�
APPLICATION ZSSUED HY: � DATE; 5-���'! G'
1FjGiFiEaEiEiFiflEifiFiEiF1Ei�1f3f3F3E�FiEif�E�F��F��R�F�Fif�F�FiF����F�E3F�f3f7F�f�F���F�F�F�$F��F�3FifiEifif9EiEiEiEiFjE�F� �'�F'�jEiE
* 9f iF iE iF iE 9E iF if iE iF �lE iE -N� #!(�!E iF iE �IE iE if iF if iE iE 1E if iE if �1E ih aE iF %�E iF 1E iE iE 1E �lE iM1 it iE iE 9k dE if if 1E iE �)E iE iF iF iE iE iE iF iE if iE if iE if iFlE iF 1E jf 9E iE iE iE �)f-9E iF jE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/AES GRADING
PERMIT 41.00 .50
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDZNG—DIC�—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 41.50 0.00 0.00 41.50 41.50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 41,50 OVER/SHORT: .00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
41.00 ,50
iElF 1E 1f if af 1F iE iE if iE if 3f if iF 1E if if 1f !F M 1F iF 1E iE iF 3E iE 1f iE if if iF ff !f iF if 1F iE 3E iE 1(' iE'It 1f if if iF if if if iE 1f if 1f iF iF if if if if if jE iE 1f if if 1E if aE �f iE iE iE iE i4 if 1f 1E
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 Z O N UNIT COST TOTAL COST
SFA 1786 P.EROOF BY VALUE RESIDENTZAL NOZONE 1.00 1,7$6.00
END OF FEES
01 ��160221—�0160222 T C►T 41.50
�ATE: OS/10/94 TIME: 15:25
_•
CONSTRUCTION AND P4ANNING
APPROVALS Permit #
i. Temporary Electrical Service or Pole
2. Soil Pipe-Undrgrnd. , � '
3. Elcctrical Condu'ti Ut�iity-Undrgmd.
4. Electrical Conduit-Undrgmd. ' �
5. Steel fteinforcemenc` .
6. Etectrical UFER Gmd.
_ 7. Footings �
$. Foundation .
9. Water Pipe�Und�gmd. � �
� 10. Structural Floor System .
11. Property Sewer Line & House Connection
�;--
12. Sewer Cap �
13. Roof Drains ' �
14. Rough Plumbinq.
I15. Rou9h Electrical•Conduit�-�-
� i6. RoughElectricWiring
77. Rougb 4Niring Sign
18. Rongh ElectricaLT Bar Ceil+ng
79. Rou9h Hearng & Air Conditioning
20. Rough Facmry Fireplace .
25. Ducts, in Structure, �
22. Ducts, Ventilating , '
� 23. Gas Pipe-Rough & Test _� _
24. Roof Framing � •
25. Roof Sheathing �
26. T-Bar Ccliing 4Structuraq & Monocoat
27. Frame and Flashinq "
28. Lething & Siding �.
29. Insulation �-
30. Drywall Nailiny
37. Plaster Bro�vn Coat
32. Electncal Powzr Meter-Fina!
33. Final Elearic . •
34. Final Hexting & Ai� Conditioning
35. Final Gas Pipe-Test �
36. Hood or Canopy �
37. Final FacTory Firepiace
38. Final PWmhing
39. Water Service�Final
a0. Gas Service-Fina!
41. Solar pomestic-Final ' �
42. Backflow Preventer
43. Backflow Irrigation �
A4. Landzcape Irzlgauon Sysrem
45. Sound Attenuation •
46. Handicap Regulations
' 47. FWAL STRUCTURE & 9UICDING ,
48. FINAL PLANNING �
� A9. Electric Release to Edison �
50. Gas Release to Southern California Gas Q
�51. CERTIFICATE OF OCCUPANCY
Date
O
e
0
P0� S SPA
Inspector RPPROVAIS Pennit #
� 52. Pooi & Equipment Location
- 53. Steei Reinforcemeiit
54. Forms
55. Electricai HonUinc�
� 56. Rough Plumbing & Pressute Test
57. APPR4VAL TQ COVER-GUNITE
58. � Electrical Conduit: Undrgrnd.
59. Gas Pipe, O Undrgrnd., Test
60. Backwash Lines, P-Trap, L� Undrgrnd.
� 61. APPROVAL TQ DECK
62. Backwash & ReceptorFinal
63. Heater & Vent-Final
64. Plumbing Systehi � Final
65. Elactrical-Final .
66. Solar Svstem-Final
6Z Fencing & Access Appraval
68. APPROVED FOR PLASTERING
69. POOL/SPR SYSTEMS F1NAL
FIRE DEPT. REQUlREMENT
APPROVALS � 9ermit #
Date � inspector
70. Underground Hydro
'71. ProductPipinyC7Gas ❑bil
� � 72. Undzrgiovnd Fiush
73. Undergrnd.,Storage 7ank Q Gas ❑ Oil
74. Overhead Hydro
' 75. Ory Chemicai
� �6. Dry Standpipe �
� 77. FIXED SYSTEM FINAL
' . 78. FIRE PREV. FINAL .
� HEALTH DEPT. REQUfREMENT
__ 79. FINA� INSPECTION (
� BQ. F000 CERTIFICATE ISSUED
Notes: .
T/-qY I � ``�
u
Date � � � ,
s
0
�1�
�
� \ � '�' 3�, �\
� 9 �
o `i ,�5� � . �, �
��3 PE�. �\
G � . ,. �u�i �� ;
�� 3p35
�� 3039 � ' �, 0.EV. � " a. � m
i �.REV.1 ' .: �
♦ �
1�l ' pEV.I' � 1 1 ������� ' '
`� .,., gON1iA 32�,�� 1 � � m
CASAo 3► -;- �,
2'' 29 ' M m ^
S. — — - —
a � W �
`' O�� ` ` PE�. �• - � �'S ' � a m
S Q— ' `
3°�'� \ ° � \ OS F�'��� �2 ` u~�', ". �
. � �, � �
�/� � GPg 9�� `° � i Poo� � o
. � . „\f �� Q � � m
o � � 9 v` 1 H- ` �i
�n � Q. - �u�
� 1 _V �
—_ " P�: M� \ ,...
' .. -. � MIADIMO .� . q� ' u o
� � • � . 7` . . nl
� W �:fi,�� � 4t .So � (� 86 0�-
^^ � -
-. c, . i — -
� � e O . • . . ,: � . m. o
� � I 14 15 I6 , 17 � IB , 19 20 21 22. , 23 , 24 � 25 � 26 , 27 _ �_
— -'�+ ' , � CASA DEL AMIGOS :. I � � N a �
> � _
,0 4 �..� � m . �.,
� y � : _ ,
__ __ _
�
y , -- --
-- cY --
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o, � . __--i.... � � i .. , M > �.,
� � y G � B I B NEV.I G NEV. I B XEV. I B I G �. 0�. I B NEV.I C�REV. I 6 NEV. B I � � '_' J �
' —�- 3062 3060 3058 3056 3054 3052 3050 3042 3040 3038 3036 3034 3032 3030 a „' '�
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Y .
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,.; , ,.
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� H 0 U S E ' I R 0 A D
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� 6�� ___ _ _------ - -- -- �
-- :..� � _ l
_____, _ _ _ __
� �c 1 I� �'/'�/�\ ,
� '1'I„ ��y �\ � � ���\/
�N�NiIIIWI� IOY�M NIYu � II�������II \� "
W�u��
2850 MESA VERDE DRIVE • COSTA MESA, CALIFORNIA • TELEPHONE: 549-0395
��C�QS �¢��¢,�IlVeS'�111eZ1i �A��
August 31, 1965
Costa Mesa Building Safety Department
Costa Mesa City Hall
P.O. Box 1200
Costa Mesa, California
Dear Sir:
In as much as certain V.C. Sewer lateral has been in-
stalled under a roofed area where iron pipe is normally
required, in consideration of an approval by the City
of Costa Mesa, we hereby release the City of Costa Mesa
from any and all responsibility or liability resulting
from any failure in the V.C. lateral between lots 20,
3050 Club House Road and lot 21 at 3042 Club House Road.
in Tract # 4660.
WRG: ly
Very truly yours,
ME S��L
/ �
Walter R. Gayner
C0.
��.
ssP x nsas
�h' ot Casta Mesa
Buitding Dept.
�\
�
: ��5 a �
'COSTA MESA BUILDING-SAFEtY DEPARTMENT .
P.O. BO%817 COBTA M66A. CANFORNIA
For AppllcanT to Fill In Complately
TYPE OR PRINT
�COSTA MESA, CALIFORNIA �
OWNER Mesa Verde Dev.Co.
MAIL 2850�Mesa Verde Dr: �
ADDREBS
CITY Costa Mesa NEpr%'49�:
�ARGHITECT E. KaltenbBCh re�.5�F7�
ORENGINE6R NO.
ADDRE68 1ES23 E. 17th St. � S.A•
CONTRACTOR �'S31Be as Owner -
ADDRESS
STATE 1g1322 TE�. 5490395
LIC.'NO. NO.
SIZE '26 X 7� - NO. OF BLDOB. Q
OF LOT I NOW ON LAT
USEOF ����'�__�_
EXISTING BLD6.
6ETBACK L�NB FROM " ' .
DESCRIPTION OF WORK
X II w.rvew��r�ul II wnn
NO. OP
S'tUCCO ROOMS STORI88 2
WALS'riUCCO I ROOce�un'BU11t.Il�1 .
. Ff�`����(;VED
FINANCE DEPT.
APPL ICA7�ON'FOA"PERM�I'�
BUILDING
For Office Use Only
I rt¢cE��r xo. 1-�swmu r�o
er
�eoe�
V
�61�65
I & J.
ZONING
NO.O� USEOPNC •
�LAN9 r] lYILO�NO �aZ.�e
G
Lot 20 Tr..4660
none
�E OVERHANG SHALL BE LE53 THAN
YARD9APPROVED I YARDSAPPROVED
MAINBUILOIN6 ACCESSORYBUILDING
R.81D6 � FT.
Q
L.81D6 �.
REAR D Ff.
DISTANCE BEf.
MAIN BLOG9.
VAR. SR 317
a v o 3F
DATE u-16-64
APPROVED
'1_� c_rr—
Res.�r/att.Gar. ��N G . See permit on Lolt 1 for conditi
1513 $a: �r. J �
� HEREBY ACKNOWLE00H TNAT i NAV6 RWD iH�e APPLICATION TMH AMOUNT 6HOWI1 UNDEP VAIUATION IS FOR THE
AND STATE THAT THE ABOVH IB COqpECT ANO AOqE8�T0 COM. � PUflP09H OP E9T/�BLISXIN6 A PQRMIT FEE ONLY.
PLY W�TH wll KIT�pRO1NANG88 AND 8TAT6 LAWB R66ULATINO ypLUATION . I ��J r
BUILOIN� CON�1'FO<�ION. _
� . AUTHORIZED A6ENT
S �0�%G--
r
�
�
or
Steel
)ESCRLPTION OF WORK RES.W
FIRE 'LONE VALUE $ 2�
I & J TYrE V
SUBCONTRACTOR
Vent.