HomeMy WebLinkAbout3058 CLUB HOUSE RD - Building Permits�ooness or em�ara: � v 7
ONNERSNAYEIFIWOWN: F IRS
wonEss: CLAI
3RE1
!161 SAN JOAQU
1PPL.M/J4NG AD�FESS:
u�cxrtEcr on wax�w:
AXCX.ON FNC.'S LWME55:
USE RD ur�r:
CO TR FOR
INS TRUST
4
ILLS RDNEWPORT HEACH,CA 9266(
ue. xo.:
UNT:
c�m�cTarsru�; NOCK PLUMBING ( 714 ) 895-1296
����yu� 11610 SEABOARD CIR
,�oq� STANTON CA �.�, 707775
90680 uNr:
LICENSED COMPRCTOfl3 OECLAXATION: I Mraby eflirm uMer panely d pxryry Mel I am Icamed uMer poviriona al Cheplm 9
(mmma��q rmh Sxtion )000 d Divuan 3 W Me Busineea eM PMeaaan Cade, eM m liisnaa ie in lull lace eM eflecY.
cmuc.No.:0503 � �p.cuss: C-36 uc.No.eI 7�\5 EXP: 02/97
o�a: cw,��a�: / 1 e �
OW NEP BUILDEN D LAPATION: I Mreby elfirm uMm penelly d perlNry �het I am aump Irom tM Cemredwa licwe lew lor Ne
rarowiq .mw� (seaion �oa� s&,emeas ene amtesao�s coda: nm uv d�nq wnich reeweee e peimn �o emsvwY. en«. imwwe.
damd'sh, a repei eny elructure, pna �o ils esuarim, ebo requi�es tM epplirant fa wch permn to file e apmd eletameM Net M a eM
b licaued punuenl lo Ihe proviaiona M tM Conveaae Lioenae Lew �Cheqer 9(mm morq with Sadon )000) d piucion 3 d the
Businesc eM Prdeabm Coda� ar tliel M or eM1e ia exemp ihaehom eM iM bazis fa Ne ellepaE uemqion. My violelion o/ Sedion
]W 1.5 by eiry eppli�znl la a permA abjme the epplicem to e cnl perelry d ml mae �hen Iwe huMed ddkn �5500��.
� 1. sv owiar d tM propehY or mY empbyean wih wagea m ihei eob mmpensetbn. will do Iha wok, end iM nVuclure b mt inteiMed
a oflered lor eeb (���^^ ]�. Busiriees enC Proieasione COEe: The Comredaa Lioanae Lewdme nw epplyio en ownar oi pmpeity
who Wilda w mpwea therean. ark wlw doee euch wok Mmeall a heneP a Nraqh hb a Mr own empbyme. proviEeC ihet euc�
improvemmle are ra imended a dlered lor eab. tl, however, tM Wikiiq a imqavemeM ie aold wilhin one ymr d mmpletbn, Na
mr�buiker Miil hew �M b�Nm d proving M or ehe Eid na build or imprwe fa �ha puryoee d eela�.
� I. m owmr d tM prapeny. am mdusively conveaiq wnh Fceneed wnveclon b contlrud iM qqed ISerlion 10a4. Buainma eM
PMeasione Gode: TM COMredaa Licerisa Lew doee � epply to en awmr W qoperly who buiNa a imqwm �hamon uM x1w
convecla M wch prapCs xilh e mnlradorte� Icensed W�eueM Io tM Conlretlon lioenfa lew).
❑ i,m ,=,mq �„eu s�v�oo: e. a v.c.. ro� me �:
Deie: O�mer
� eo nereby canM �d I am ew..e w md uneeisiaiw me reQuiiemems a celiomu Heenn ene smery caee seaia,. zssos. xssx+. ena
zssaa, �a mm i«enr ruiure wibim �� �n i wai �a (d��e �al �eed �o candv w�n ae�e .tme aodm ud �na reawrem.�v i«
epeimniormnaVuciunwmodifiwionhanlMAi�ly anepameMDislntl.RmiAemieloonst�utlioneppk�el'vmereeRemqimmlhene
provisbns. .
�I �me: Md'c+m:
WOPKEP'S COYPplSATION DECLAH�TION: I hereby elfirm unEer penelly d perjwy me d Ne Idbwi�p Cetlualiom:
� I heve e'M wi0 meinten a cenifepe W mnsenl to sallirtwre M vwMen' compenution, ee pwNed fa by Serdan �100 d tM leEor
Ci0(�B.iIX��1B pBf�OTILICB O� M1! NIXk�Of W�YC�11�19 plflllll 19 9tUBd. �
�] i n�.od �;� mdm� .on�� �vM.��, �s�,�,�. � ha��.ea nv sae�� aroo a m. �.ee, ceee. ra ma w�«� d m.
.�io,..n�a,m��o�uro��e.ur.��,C°�i��'�„�°��"�e°°iwv��mc«�a: EXPIRES
c�.:
Pdic/ Number: Q 9� 0 1� 9%
iis senian neaE irof 6e comWeMJ L Ihe Gs^�if ia M wre h�nCred ddlers (J1P01 ar bn.)
�] I cMAy Ihe� in iM peAormvice W IM w«k for whch thie pem�G u I ml emdA' e�Y pa� in arry men�r m o ta
bacwne wbl� to iM ��Ikere' compemelion kwa d Celdom' . aM ep t ' I ahauk bxome aubjeif to iM Mwken'
companseiian prwision M Sedion 3] 0 d the Lebor Cade. I f I 1 x'rh py wn Moee pmvniona
De�a: AppliceM: �
Wamlrp: Fallvn ro sxuro workxi rompawtlon mvsraps l� �n/ewN( enJ sNll ud/�cf an smploysr ro erlMnl penaltlu anL
elHl llina up ro ons h,ntlretl Hau�antl do/Mn (StOq000), M sEtlltlon N Ms eosf ol rompw�wfbn, demsy+� �s provltlM brin
Sxtlon 3)06 e/ tln Lebor COde, Infe�uf, entl etrornsy i/su.
CONSTIiUCTION LENDINO AGENCY: I hereby elfirm uMu paneliy o/ perNrv �� �hem ie a wn�ruaion kMirq egercy in tlx
plAIXT9Me OI IhB xvM b! Whirlh Ihu W�Y i! o&1Bd (fiei.'lIM'!09]. Cn. C).
LENDEN'S NAYE:
LENUEH'S ADOflES3:
i centtr �nm i ne�e rem m� mWkm� e�a ame mm me eew. mi�m� m�w,od. i airee m�dr wnn vi cnv.�d aw�n «e�nenn.
eM aime lawa reletn8 �o buiking consVudion erM hareEy eulhorixe �apresenlatives d Ihis aly b enlar upon tM ebove-menlbneC poperly
'°"n9pBd1Onp1fpDSBS'RON NOCK
/) nni N�� Dme: �
� Slpneture al enVnppirenUConirei]or
(5151-0fi.WP) While-BuiWiq 8 Se1My: GreerFle; Cenery-AppGranl; Rnk-Revanue; Cioldenmd-Asaeaw
CITY OF COSTA MESA — BUILDING PERMIT
PERMZT NO: P 081748 PLAN CHECK NO; N
CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU
JOB DESCRIPTION : DISHWASHER CHANGE OUT
CLAIM VALUE: CALC—VALUE:
PERM NO: P 081748
GOVT: N SUPP: N
PURPOSE: OTH
SQ FT:
GROUP OCC: R-3 /
COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT
�**�*x�x����x�*�***+�+�****�**���r� �*x�**� **�***+r**x x�**��e*�*x�x�+�� *x *x�*�r���+�+��*+r� *x�**� � *
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT• FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
—�EF2r FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
I�ARKING REQ: PROV: PARCEL: 13951516 ZNE: REF NO;
PLANNING NOTES>
i ♦" 1
**'� �-i� �t f� �t i� �t �t ie'x'+t x' �f x"�t af �%'�t'x' i%x' * x' i%* x' �t i%'� af a%* i�' a%'x' *�' if * i�' i�' * �t i%ie it' x' �' f%x� �t �t �-i� it �-�t i%�t f� it'�t i� ie if x' �t if if'K' af ie x' �r * it
D E V E L O P M E N T S E R V I C E S`�• R E(J U I R E M E N T S
I' �.
ZONING APPROVED BY . �:� DATE:
BUILDING APPROVED BY :
APPLICATION ISSUED
iFiriEitiritieititiEx ****�ritieif
LEGALIZATION:N
BLDG PMT
IPERMIT
F E E S U M M A R Y
PLUMBING ELECTRIC MECHANIC
8,%5
258 ,
PLAN !L
ISSUE FEE 22.00 ,��
BUILDING—DIV—> PERMIT ISSUE PLAN�CHECK
TOTALS----> 8.75 22.00 �%' � 0.00
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
30.75
_ DATE:
DATE; 2�Z.�J�%/
lFiFiF+�+� x� * ie if i� it * iE�i��F* *
STRUCTURAL SEGMENT:N
FIRE SMIP/RES GRADING
F�^ISMi7�iI�� i�
TOTAL PAID DUE
30.75 30.75 .00
30,75 OVER/SHORT: ,00
FIRE SMIP/TOT GRADING PLAN—CHECK
1E iflF �lf 1F 1E 1E if iF 1k 1E if if iE 1f 1E 1f-%1f 1f'16 iE 1F 1E iE �E iE 1E 1E 1E �f iE 1E 1E 1f� 1ElE.1f ff 1E 1E 1E f! 1E iE 1E 1E 1E 1F if 1E 1f !E 1F ik 1f 1E 1f 1F iE 1Elf 1E iElf iE ik fE 1ElE 1E iE 1E 1E iE 1ElE iF 1E
I N D I V I D U A�.�:!F E E B R E A K D O W N
�;i
, QTY D E S C R I P T I O'N`' UNIT COST TOTAL COST
PLU 1 DISHWASHER ~% ', 8.75 8.75
ENDr OF FEES , ��
/�s��� ` :r.. � . - _ �, j�► D s,,
:...._ ��aa
�` / �„y F�B 26 1997
CfTY Of COSTA MESA
CONSTRUCTION ANDPLANNING P��� �A
APPROVALS Peimit # - � Dete inspector qppROVALS Permit # Date Inspector I
i. Temporery Electrical Service or Pole � . , 52. Pool & Eguipment Location
2. Soil Pipe•Undrgrnd. - - t 53. Steel Reinforcemenv
i
`' 3,;.Electrical Conduii�U.tility-Undrgmd. � �_ . � � 54. Forms - ' . . ' �
r 4�-Etectrica� Cond'uit�Undrgrnd. � 55. Electrical Bondin9 ,� t � -,
. 5. Seeel Re�nforcemenF' j � ' ' 56. Rough Piumbin9 & PressLre Test � .
� 6•. Electrical UFER Grnd. ... - �57. APPROVALTO COVER�GUNfTE= �
7.��Footing5 �� Y •' � � `58._ Electrical Conduit-Undrgmd. � �
_�
F 8. Foundat�on `' _ - _ � 59. Gas Pipe, C7 Undrgrnd., Test �
_ - _ •
� � 9. Water PiPe-Undrgmd.'" _ � . - . 60. Backwa5h-Lines�,�P-Trop, �7 Undrgmd. . '
�.
10. Str�ctural Floor SYstem 6t. APPROVAL T.O.DECK _ �
^i 1. Property Sewer Line & House Connection �- _ 62. Back�vash & Re;ceptor-Finai . � . I
12. Seyver Csp • � � • 63. Heater & VenrFinal� � � �
i -
13. Roof Drains 64. Plumbing System - Final � � .
14. Rough Plumbing _ � . , � '65. ElectricabFinai � �
15. Rough EVectricabConduit - ,1 - 66. Solar SY;tem-Final .� �
76. Rough �lectric Wiring _ I 67�. Fencing & Access Approval _ .
17. Rough Wiring Sign - I� � 68: APPROVED FOP PLASTERING -
78. Ro�gh Electric3l-T Bar Ceiling I. .� � '69. POOLlSPA SYSTEMS�FINAL
19. Rough Neating & Air Conditionin9 FIRE DEPT. REQUIREMENT �
- - _ r � tc . . .
20. �Rough �actory Fireplace � r - _ . � APPROVALS 4 Permit ,$ _� �
21. Ducts, in�Structure _ � - A , �- � � 70-Underground HYdro '.
22. Ducts, Ventitaxing� • - y_ � �= F''�� �i, Produ'cc=Plpin9'Q;Gas .00iI
23: Gas�Pipe;.Rough & Test _ - , ,`-,,. :. 72, Undergrou�d Flush � _
24t Roof. Framing ' .r � '- '- 73. Undergrnd. Storai;e Tank O Gas L:; Oil
25. Roof Sh?athing ,_ � �- , �' �` =,', ' 74. Overhead Hvd�o� «
26. T-Bar Ce�ling (Structural} & Monocoat � � 75. Dry Chemical�:; x � ' H
27rFrameandFlashing` - -�;a 76. DrySteFldpipe=,s=. , ' ? �-
28. Lathing�&Siding.. - � .� • . • r 77. fIXED'SYST�fv1•F�INAL `�
,.
29. Insulatipn - ,-' i 78. FIRE.PREV. F1NAL �^ s �
30. Drywall'Nailing . - a� •� -� � •�NEALTHDERT-liEQUIREMENT
�i', K
37. Piaster 6rown Coat; . � � ; 79.'FINAL �NSPECTION ; �
32: Electrical Power Meter�Final � : 80. FOOD CERTIFICATE ISSUED
- - �-+ . �
33:'Final Electric ' ` � � � ' T � "
. . _ Notes:.(j..��-C���--���%2-`' '{ ---�
� Z- -
- 34. Final Heati�g•& AirrConditioning. � �, ' r - _�
• ^ = �%� ��_.�z_- -,- -
35. Finai Gas Pi(�e�Test� ' ' -- � '� -
, i _ . .
� 36. Hooci or CanoPY � �� :; . - 5 _ . _ � ..
Y
37. �Flnal Factory Pireptace _ - ' ° � � �� ~ '
c.. . . .. --- -
3$. Pinal Plumbing ,_ �� � �n' _ - .
61
39. Water S¢rvice-Final° � � , � "'
40. Gas Serv�ce�Final ' _. - . ' _ - _ ,
41. Solar pomesticFinal _ � ,
� - �� - - -
42. BackFlow Preventer� �- � i, :- - _ � -
43. Backflow ��rigation• t� � � , � - `� � �� `;'
• + �
44. LandscaPe Irrigation System_ . � _ _ .- , �-� ,7
45. Sound Atterivation -� - - �� - -- ` _ � r '
� _.. . '� _ - C/i ':-,'�i
' 46. HandicaP Regulations ,. ' � . r . �� , " "�
_ _ r.'
47. FINAI STRUCTURE $ BUILDING _ - . � � {5�` � �
- L
48. FINAL PLAI�NING � " �_ �`�
_ „ '�x,.
49.-�Electrie Release to Ediso� • � " ' ,S
. - . �,.�T,-S7`
-50.. Gas Release to Southern California Gas Cv '- � " - . � . '
51. CERTIFICATE OF QCCUPANCY - ,. � .
No. Date
�
7
�
PHO�CTAOOn�Ss: 3058 CLUH HOUSE RD
OWNEH'SNAME: COLLINS CLAIRE D
aooness: 3058 CLfJH HOUSE RD
COSTA MESA,CA 92626
AHLMIENGMEEB:
A�OHE55:
HEG.NO.:
UNIT:
UNIT:
PERmiTTEE: pETERSON ROOFING ( 714 ) 979-7111
nooeess: 3006 ENTERPRISE
COSTA MESA CA 92F�28
IICEN5E0 CONTflACTOfl OECLAflRTION: I nereby af�irm �ha� I am licensetl untler provisions o� naD�er 9(commencing with Sec�ion
7000) ol �rvsion 3 at I�e Business an� Pmiessions Code. antl my license is in �ull �orce antl etlect.
ciTv uc.: 0 5 4 9 5 STATE LIC.: 6 �-� g 7 z � Cuss.��`__��
ii
�a�e:'�' — Signa�ure: �ll�ti/li�
WOHMENS' COMPENSATION OECIABATION: I �ereby a�firm IhaF1'have a cetliticale ol consent Io sel4insure or a certilicate ol Workers'
Campensalion Insurance, or a cenJied copY �hereol (Seciion 3800. Lab. C).
ooucvxo.: NC3501565 E%P.ORTE: O3IZO�9S
•omraxv: REFUbLIC
.� Ceriilied copy is hereby fumisAea. � Cetli�ied coDY /is''f)iled with �he - uiWiag-0iv' ion.
�ate:�� O � � Fpplicant:� `-'�� - � �
E%EMPTIONFBOMWONKEBS'fAMPEN5ATI0NDECNPRTION: ( sectionneetlnotbecompleteUilthepermitisforonehunOre0�St00�orless).
I cetlily Ihat in Ihe petlormance ol Ihe work for w�ich �his permit is issuetl. I shall nol employ any person in any manner so as �o become
su��ecl to the Workers' Compensa�ion Laws of Califomia.
� �ate: SignaWre:
NOTICE: II. aller making Ihis Aeclaralion, you shoultl become subleci Io �he WorkeK Compensation provisions o� Ihe Labor
Cotle. you mus� lotl�wilh comply wi�h such pmvisions or �his Dermii shall be Oeemetl revokee.
CONSTBUCTION LENOING AGENCV: I here6y afiirm ��a� Ihere is a cons�mc�ion lending agency for �he Deriormance ol ihe woB lor
which ��is permi� is i=.suetl (Section 3097. Crv. C).
LENDEfl:
ADOPESS:
OWNEfl BUILDEB OECIABGTION: I hereby aflirm �ha� I am eKempt Imm �Ae Contractors' Siate License Law for the following reason
(Sectian 7031.5 8usiness antl Pmlessional Code: Any ciiy oi counry which requires a permit Io cons�mc�, aller, improve, Oemolish, or
reoair any slmciure, Orior to i1s issuance, also requires ��e applicani for suc� Oermii lo fiie a signetl stalemen� �ha� hels�e is licensetl
pursuam m the pwvisions ol t�e CanVacmrs' Sia�e License Law (Chapter 9(commencing wilh Seclian 7000) ol Division 3 oi ��e Business
antl Pmlessions Cotle� or �hal he/she Is exemp� �herelmm and Ihe hasis �or the alleged evempbon. Any vioiation ol Section 7031.5 by
any applicant for a permit SU61eti5 �he applitan� ta a civil penaliy o� not mOre �han live hUnOred tlollar5 ($500�.
I, as owner of �he pmpehy or my employees with wages as Iheir sole compensa�ion, will do �he woB, antl the �
❑ s�mmure is nol in�en0e0 ar oilere0 for sale (Section 70a4. Business and Pmlessional Cotle: The Conirac�ors' State License Law
tloes nal aDOty Io an owner oi a pmpe�y who �uiltls or improves thereon, and wha does such wark himseli/he�self or thmugh
his or her own employees. pmvided Iha� such imD�ovemenls are no� in�entletl or oflered �or sale. If, howeve� �he building o�
impmvemen� is saltl wit�in one year of complelion, Ihe owner will have the burtlen ol pmving he/she did nol build o� impmve
�or the purpose o� sale).
I. as owner of Ihe pmpehy. am exclusivelp coniracting with licensetl contractors to consiruct Ihe pwlect (Section 7044, 8usiness
❑ an0 Professions CoOe'. The Commclors' State License Law does not appty ro an owner of D�oPerty who 6uilOs or impwves ihereon
and who tOn�raCtS lor such pmleCts wi�A a tonlrati0r�5) lit¢nse pursuant lo Ihe Conirac�OrS' S�ate LicenSe Law). I am'aware
Ihat pmol ol their WoBer'S Compensa�ion insurance 5hou10 be providetl �o me.
� I am exempi untler Seclion. B. 8 P. C.
for I�is reason:
Oate: Owner
I Do �ere�y cenity thai I am aware o� and underslantl �he requiremenis oi Califamia Healih antl Salety Cotle Sections 25505, 25533, antl
25534 antl Ihai I or any �ulure building occupant will/will not (circle one) neetl lo comply wilh SaiA sta�e cotles antl Ihe repwrements tor a
permit lor consimclion or modilica�ion irom Ihe Air �ualily Management DisVic�. Revdential con5iroc�ion applications are exemp� irom
Nese prowsons.
�ale: ADPlicanP.,
I here0y ceriify Ihatl have reatl �his applicalian and slate
ortlinances and 5taielawsrelalinglo builtling conslruclion�
pmper�y for inspeclion purposes.
oaie:JJ O � �f �� Signawre:
�nver's License oi Sociai Securiry ✓:
inbrmalion is correct. I agree to compty with all city and county
uize�epres ta���=�mt�sciry�aenteruponlhea0ove-mentioned
�64ba6 Whne—Bmltlmg� Green—Cotle EnlorremenP, Canary—Ap011canL Pink—Fevenue: Goltlenroe—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 06708
PERMIT NO: B 067083 PLAN CHECK NO: N GOVT: N SUPP; N
CONSTRUCTION TYPE: V-5 PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION ; REMOVE HOR S REPLACE W/BUR SQ FT: 1,786
CLAIM VALUE: 1,786.00 CALC—VALOE: 1,786.00 GROUP OCC; R-3 /
COMMENTS: SMOKE DETECTORS RE�UIRED PER 91 UHC
*�rx*�r*�xxx*x�***��r��r�r**�r*+�*+� �*�r***�**�r***�r***+��x�t*+r*t�***�r*+�****�x�**x*�*�**��+�
Z O N I N G R E Q U I R E M E N T S
_ S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT; FT IN REAR: FT IN FANT; FT IN REAR; FT IN
LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
FARKING REp • PROV; PARCEL: 13951514 ZNE: REF NO;
PLANNING Nc3'I'ES> �,
�
,�,�*�***,�,�,�**�,�***�*��,�*,�,�*,�*�,�*,�*�****,�*�***,�**�**�***�*�****�***�,�,����***�**�*
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; ,%
BUILDING APPROVED HY : DATE: �•
APPLICATION ISSUED BY: DATE: � �cl �G�
ifiEiEififiFiEaFiE1ElEifiEiEiEiEdEjE3fikiEjE iEitiEifik9fiEiEaf3F aE
iF aE iE if if iE iE iE iE iE iE iE aE iE iE dE if �F �E iE iE 9f iE iE iF iE ik dE iF dE iElE if iE iE iR {F jf iF iE iE 9f iE iE iF if iE iE fF iE 9E 1E 1E ik iE iE if 3f if 1E iE iE if iF iE if 3E iE 1f if if if jE iF K�F jE �E jE
LEGALIZATION;N F E E 'S U M M A R Y STAUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 41.00 .50
�y : SMIP/NON—RES
PLAN ��
ISSUE FEE I''
HUILDING—DIV—> PERMIT ISSUE PI;AN=CHECK TOTAL PAID DUE
TOTALS----> 41.50 0,00 i:� 0.00 41.50 41.50 ,00
REVENUE DIVISION TOTALS--> COLL'ECTED: 41.50 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECAANIC FIRE SMIP/TOT GRADING PLAN—CHECK
41.00 'f' .50
i
iE it iE if iE iE it iE iE iE it iE 1E 1E it iE fE iE iE jf iE if iF iE iE iE it iE if iE if iE iE iE iE iE�il�)E if iE 1E iE iE iE iE iE iE i(-�E iE iE iE fE iE �E 9E iE if if ik iF 1E iE 1� iE ik k 1E iF iE i6 iF iE iE iF iF iE iE iE
—•- �^ 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 1786 REROOF bY C�ALUE RESIDENTIAL NOZONE 1.00 1,786.00
END OF FEES
9
OS 00160265—DDIbD166 T O T 41.50
DATE: OS/10/94 TItlE: 15:38
CONSTRUCTION AND PLANNING
^ APPROVALS Permit# �� �Date
� t..Temporary Electrical Servit2 or Pole -
2. Soil Pipe-Undrgrnd. � �
3. Electricaf Conduit Utility�Undrgrnd.
4. Electrical Conduit-Undrgrnd.
5, Steel Reinforcement
6. Ettctrical UFER Grnd.
7. Footings .
� 8. Foundatio❑ . �
, 9. Water Pipe-Undrgmd. � �
10. Structural Floor System , �
7 7. Property Sewer Line &�House �Connection �
/2. Sewer CaP •
13. Roof Draint '
14. Rough Plumbing
15. Rouyh Elecirical•Conduit '
76. Rough Eleclric Wiring
77. Rough Wi�ing Sign
18. Rough Electrica6T Bar Ceiling
19. Rough HeSting & Air Conditioning
20. Rough FaGtor� Fireplace � �
21. Ducts,'r� 52ructure .�
22. Ducts, Ventilating
23. Gas Pipe�Rough & Tesc
24. Roof Praming --- - - - -
25. Root She2thing
26. T•Bar Cedin9 lStructuraq & Monocoat
27. Frame and Flashing. �
28. Lathing & Siding � '
29. Insulation - . � �...�..
30. Drywall Nailing '
37. Plaster Brown Coat
32. �Electncal Power MBter-Finai �
33. Finai Eleckric
34. Final Heating & Aic Conditioning
35. 'rinai Gas P�Pe�Test
�36. Hood or Canopy
37. Finat Factorv Pireplace ' ,
38. Finai Plumbing
39. Water Service�Final
�0. Gas Service-Final -
47. Solar pomestioFinal
42. Backflow Preventer
43. 8ackflow Irrigation ��
44. Landscapz �rrigation System ' .
45. So�nd Atcen�ation � �
46. Handicap Reg.ulation5
47. FINALS7RUCTURE & BUIIDWG
48 FINALPLANNING
0.9. Electric Release to Edison
50. Gas Release to Southem California Gas
51. CERTIFICATE OF OCCUPANCY
Date
inspector
3(-9�( � F
P� _ & SPA
APPROVAIS Permit # Oate I�spector
52. Pooi & Equipment l.ocation
53. Steel Reinforcement
54. Forms
55. Electrical8ondin9
56. Rough Plumbing & Pressure Test
57. APPROVAl70 COVER�GUNITE
58. Electrical ConduibUndrgrnd.
59. Gas Pipe, Q Undrgrnd., Test
60. Backwash Lines, P-Trap, � Undrgrnd.
61. APPROVAL TO DECK
62. Backwash & Rece�tor�Final
63. Heater & Vent-Final
64. Plum6in9 System � Final
65. Electricai-Final
66. Solar System�Pinai
67. Fencing & Accese Approval
68. APPROVED FOR PLASTERItVG
69. POOL/S'ASYSTEPASPINAL
FIRE DEPT. REQUIREMEiVT �
. i
APPROVALS Permit �"'r
70. Underyraund Hydro
71. Product Pip;�9 O�Gas U Oil
72. Underground Flush �'
73.'Undergmd. Storage Tank O Gas ❑ Oii
74. Overhead HYdro
75. Dry Chemical
76. Dry Standpipe
77. FIXED SYSTEM FINAL
78. FIRE PREV. FINAL �
NEALTH pEPT. REQUIREMENT
79. FINAL INSPECTION T �
80. FOODCERTIfICATEISSUED
, Notes: �^ i „�? _/. I�"
0
. �-.
L U B
�.�'� y 3017 ��5 ,�.. ,; �
. �� 3039 � ,, Pcv. � � � � Q . �+ o
1 �
�..... 1 ♦ REV. 1 .
� �
.�� ., �.,.� ' PEV.Ii . `.:;� . :���) ' .
CASA gONItA j2�33 � M a m
(` 9�`� \ � "�� ' � 3� 3�' — - — _� .
CJ 'ypp9 ' 0 26 ' 29 ' � m . . ,_'o.,
O �i 3 '�g1 �\ e �\ �; — — —
� T'� P�'�� � . . . u ..r�.
�`� \ c �3 � � � a m
,�SS � 4 PfJ� `� \ �7 r . Q_ ' u
905� � o � �(�.�� �2 � y � �
` pS �� �, • �
° '�� P���o �
` � P00� W
GP�' 9 ? j � c
g , �(— Q W �,
� . , (r� ' y --T r4i
w 1� Q . �
` ` r�2i MiT W�DIMO I . �� �
� u' o
I �fi,... �1,�� - � (� �6.0�, _ �,
. � - --
�
I 14 15 16 , 17 � IB � 19 20 21 22. . 23 � 24 � 25 � 26 � 27 m_ m
' , � CASA DEL AMIGOS I � v "� � _. I ¢ m
• - I _
m.
_ , .._._i . _ , � , , __,. � . ,. � — � > .�,
G � B I B XEV_I.L REV. I B NEY.I B I C G. B.. I e PEv.It;HEV. I 6 XEV. B ..0 a '_' J ^�
3062 _ 3060 3053 3056 3054 3052 3050 . 3042 3040 3038 303fi 3034 3032 3030 v „� g
� m
, b
. . ,
,,
- , ;, : . ,
,
� HOUSE ' ROAD
I
5, � . . 1
16 �� ; .
�:�__ ,.� _ ._ ._ _ l __-_
JOB ADDF
GENERAL
Forms
DESCRI�PTION OF WOR]
Date GROUPl � � TYPE
�q�� SUBCONTF?.ACTOR
PERMIT N0.
�[ ,�� � ?
COSTA MESA BUILDINGSAFEfY DEPARTMENT
P.O. 60X 91] C08T4 MEHA. CAIIFORNIA
For Applicant ro F311 In Completely
TYPE OR pRINT
JILDIN6 �058 C1ub.House Road
J�RESS
COSTA MESA, CALIFORNIA
NNER Mesa Verde Dev.Co.'
��� 2850 Mesa Verde Dr.
)DRELS
.�. Costa Mesa No 549039
iFN'r1EN ER E. �Kaltenbach � �T,�`542804
STATE
LIC. NO
SIZE
OF LOT
lISE OF
Same as Owner
ZV132'�. . TEL.
NO.
�5 X-7o----
No.OP
DESCRIPTION OF WORK
X �� ___— _ � ��
BUILDIN6 ]�3� NO.OR 5
SIZE ROOMB
EXTERIOR WALL I HOOF
COVERING - COVERINO
U9E OF BU I Iq�NC AND WORK TO BE P6F
Res.w/att.Gar.
J
FEE RECEIVED
" FEB �� 1y65
FINANCE DEPL
CITY OF COSTA MESA
APPLICATION FOR PERMR
BUILDING
Fo� Office Use Only
I q6cllPlNO. �I P!P � �
..
APPROVED
R�'+`
�eo��
V
oe're iseueo
�e 4 1965
I & J
ZONING
RL. lUILDI�NO` $Y' L
� A�C
Lot 16 Tr, 4660
none .
NOTE: NO EAVE OVERHAN6 BHALL BE LESS THAN
90" TO SIDE 8 REAR p
EAVE9
ALLOWED
YARD9APPROVED
' MAIN BUILOING
( FROM C/L STREE'H—
R. SID �
L.81DB �
REAR v
DISTANCE BE'
MAIN BLD68.
2 VAR.SC .. .Z'
� HEqEBT ACKNOWLEOOH TXAT � NAVB qBAO THIH APPLICATION
wN0 6TATE '[ THE ABOVB �9 CORPECT ANO AOREE TO COM.
PLY WITX L C11�yy qDINANCHB ANp BTATB UWB RiOULATING
BWLDINOC NBTqtLET10N. �
■ AUTHORIZfiO A6ENT
YAftDSAPPROVED
ACCESSORYBUILO(NG
DATE �_lL c�
APPROVED V�V
o�Te .�C �] '6.�
See permit on �,ot 1 for conditi s
125osQ. �.. s 46o m
TX8 �MOUNT eHOWH UNOER VALUATION 19 FOq THE �
PUPPOSE OF 88TABLIBXINO A PEqMIT FEE ONLY. �
VALUATION �j n
PERMITFEE� E S / � j
s�� 05/— � �� O o
.,, _ _ _ �
�
�
W ATER
ROUGH HEATING
LUNS. F. R. DATE 1/�5�43
3058 Clubhouse Dr. BUILDING PERMIT N0.
�CTOR Standard Amer. Bldrs. DESCRIPTION of WORK Room Extensi<
-Ol LOT TRACT FIRE ZONE VALUE $ 2,500.0(
Si narure Date GROUP I TYPE V Z
SUBCONTRACTOR PER
Da�e
Plumbin
HOUSE CON. �
\IR CONOITIONING
OR POLE
POWER n
ROUGH WIRING
TRENCHES � FORMS � STEEL REINF.
FLOOR SVSTEM
90ND BEAM � STEEL REINFORCE �
SHEATHING
FRAME ANO FLAcSTHING
�ATNING - IN pU OUT
PLASTER. BROWN C�—
_, FINHL
=NT., REFRIG. ANO A.C., FINAL
FINAL ANO GAS TEST n
�. -'_.---.�--��-
� . 'PAIUn� 699�� •`�:.;,�39.5C
3597 ! �n�, , s-,���a��.�� �� _
COSTA MESA BUILDING-SAFETY DEPARTMENT - .
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
. ' PP 1 ATION FOR BUILDING PERMIT
forApplicant to Fill in Completely �� ' RE I BV DATE RECEIVED DATE ISSUED
BUILOING. L � f.� � /^/S _�
ADDRESS
� � P IT O
OWNER ' A.P. NO. �
MAIL __ ��Cr,��`� r , � �� f� BUILDING ' �y ( � �
11 ADDRESS�['�i.Cl "\l.Nver'fGCi� .
a U CITv^c ' NEL�.'� ' TRACT �6�0 l0T /� BLOCK
Z y'�'
ZQ CONSTFVCTION � . W A P .
O N LENDEF
am
J � BfiANCH � .
J � OWNER
m J ADDRESS ' VALUE �.
J m AFCHITECT ' TEL. SE $
a OR ENGINEEfi N .
V � FIRE �/�
wa ZONE T PE -�+� GFOUP �
2 ADDRESS
aw
APPROVED
w Z CONTRACTO s� BV DATE
�O
mZ
J � ADDRESS � ��
W y� ZONE Q�[ NO.OF USE OF NEW D� N�� " �V
�= CITV' , NOL (�I P�`� � BUILDING £ TE/�}S� /�/
ZH
W � STATE CITY �'ARDS APPROVEO VARDSAPPROVED
�� LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING
7� S12E p NO.OF BLDC.S. (FFOM C/L E
OF LOT Q— � NOW ON LOT FRONT T. FT.
USE OF
E%ISTING BL � S O FT FT.
F� SIZE OF � O (7 IOF ' ��
Z NEWBLDG. qOOMS STORIES L.SIDE � �FT. FT.
U EXTERIO(i ROOF �i
COVERING COVERINGv O� Q REAR FT. FT.
J E OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN &
a � MAIN BLDGS. 4CCES5. BLDGS.
a
Q � VAR. #E DATE
O C.U.P.� APPROVED
y APPROVED w�,y/ I'�IL 7 2
v il �J
O A�
UI �ereby acknowleAee that 1 have reatl this applica2ion and state
_ ffiai�the abova information is correct and aBree to comply with �'
� all laws re8ulating building construction, antl 1 shall not employ
any person in �{olation'�of the workman's compensation lawz of
y the State ot Calitornia. ' � my
z1, hereby cartify that I am property licansetl as a conttactor�untler SQ. FT. o
the State of California Business antl Professions Cotla, Divfsicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR �
Chapter 9, antl that such licenses are In full force antl effect, or I " THE PUFiPOSE OF ESTABLISHING A 7ERMIT FEE ONLV: m
am exempt frpm the provisions ot the Stata of Calitornia Business � ¢
antl Prot¢ssions Cotle, Division 3, Chapter 9. - . VAIUATION � , � N
� PERMIT FEE $ ]
SiBnatura of /J' � m
Permlttee $i' `-' �%O �� PLAN CHECK $ E
`C �
LL
Authorizetl ABent TOTAL FEE $
'C.OSTA MESA BUIL�ING—SAFETY DEPAflTMENT
P.O. BOX 1200
' Coata Mesa, Calitornia
Address �.
City � ZiF
Sfate License No Cla
�w City License No. Tel. �.
�
Q NUMBER 7"YPE OF FIXTURE OR ITEM
n
Bathtub
LauPdry Tub or Tray
> Automatic Washing Machine
} Shower
J Sink. Bar
� Sink. Kitchen
W Wnsh Basin (Lavatory)
a
� Wattr Closet (ToileQ
� Drinking Fountains
1 ._.__" n......� . s
� S�nks rlOOf "lY X \1
Sinks, Service �1� 4 J"
� Swi`nm�ng Pool
W„ Urin%+IsjL�
d " Distiwesher
� Gara6e Disposal
� Wa�e/ So�tener
^ Wate� Heacer and Vent
Gas SYstem ... Outletx .
= Roof Drains
y Water Piping Alteration
= Back�ow 1'reventer
F Lawn Sprinklers (Res or
Prnnertv Sewer... Feet
T(YI'AL FEF..
�. . t
Pf???-?I�zcUIlQ151? cl:;r:tt;:tr�\,
rnwcr No. Reco.
LOT NO.
BUILOING USE
Owner �l�
3T t � Addres,6����.�,
FEE Ci[y��
I hereby ackr
state that the
City Ordinanc[
1 cer[ify�[hafll
fication or=1 a
scribcA•a6ove.
.� _Cceclifytha[I
� t,� t\ -lndustrial Safj�l
� ���� � r feetdeepmd�7
� s ♦
` 71.769
DATEIS6U6D
1 �r1�'I i
ge�bl�a(31 ha've read this applicafion and
, is coirect and a�ee to comply wi[h all
itate'laws regulating plumbing.
�s the above valid State of CaliPornia classi-
legal owner of the residen[ial property de-
�tained eemit from Me Sta[e Division of
ava[io�.atheut6i� swimmiue 000ls. five
APPROVALS
INSPECTOX
CMF 0450-46 B:Dd• �T
-