HomeMy WebLinkAbout3060 CLUB HOUSE RD - Building Permits°�
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Pfl0.1ECTADOHESS: 3OGO CLUB HOUSE RD
OWNEH'SNAME: KRAUS, HENRY E
i nooness: 3060 CLUBHOUSE RD
COSTA MESA,CA 92626
UNIT:
NfltH/ENGINEEX: flEG.NO.:
ROUflESS: IINIT:
PEqminEE: PETERSON ROOFING ( 719 ) 979-7111
aooaEss: 3006 ENTERPRISE
COSTA MESA CA 92628
IICENSEO CONTBACTOfl UECLRflATION: I here�y aifirm Ihat I am licensea un0er O�ovisions o� Chapter 9(cammencing with Sec�ion
7000� ul Oiv�o$ �o'��I�eAusiness antl Pw�e�siw�s-Cetl�aqU my license is in IWLlorc¢ 3ptl efleci.
CITY UC.: �j y� STATE LIC.: V/ O L C�55: l. } 7
Date: � Ct �Y Signalure: �� `�
WOBREBS' COMPENSATION DECIAPATION: I hereby atiirm�fiat I have a certificale of consent m sell�insure or a cenilicate oi Workers'
Comoensatlon {y���y� �c�jt��covv tnereoi (Section 3soo. �an. p.3 /'l O/ 9 5
roucv xo.: REPUB L I C E%P. OATE:
COMPANY:
.] Certtlietl capy is hereby fumi5he0. Cerlihetl copy is �ilea wi�� Ihe city Building Division.
Oate:.� C./ �y Ppplicant: �� -�.-�
E%EMPTIONFqOMWOBREFS'COMPENSATION�fCIABpTION: �is5ectionneetlnotbewmple�eJit�he0ermiti5foranehuntlreE�5100�or1e55�.
I ceriify Ihal in �he pehormance of �he work for which t�is Oermit is issued. I shall noi employ any person in any manner so as lo become
5u��ecl to ihe Workers ComDensation Laws ol Califomia.
Dale: Signature:
NO710E: II, after making Ihis tleclaration. you shoul� become subjett to t�e Workers' Compensation Drovisions of Ihe Labor
Cotle. you must �orihwilh compty wiih such Omvisions or this permi� shall be tleemed revoke0-
CONSTflUCTION LENOING AGENCY: I hereby a�firm �hat �here is a consimction lentling agency lor Ihe pedarmance oi Ihe work for
whicn Ihis permit is lssued �Section 3097, Civ. C).
LENDEfl:
anoness:
OWNEP BOILOEH OECLABAiION: I hereby aifirm Ihat I am exempl Imm ��e CanVac�ors' State License Law for t�e bllowmg reason
(Seciion 7031.5 8usine55 anU Pwlessional Cotle: Any cily ol counry which requires a permil �o cons�mci, aller, impmve. aemolis�, or
repair any slmciure, prior lo its issuance. also reQuires the applicant for such permi� to file a 5igneA slalement ihat he/she is licensetl
pursuanl lo I�e pwvisions o� Ihe Coniractors State License Law (Chapler 9(commencing wi�� Seclian 7000) oi Uivision 3 0l t�e Business
antl Pmlessions Code) or Ihai ne/she is exempl �herelrom antl ��e basis lor Ihe alleged exemption. Nny uiola�ion ol Section 7Q31.5 6y
any applicanilor a permit subjecis ihe appllcan�to a civil penal�y oi no� more than hve huntlred tlollars (5500�.
I, as owner o( ihe propeny or my employees wit� wages as t�eir sole compensalion, will do the work, antl the
❑ slmcWre is noi inlende0 or oflereU br sale �Sec�ian 7044. Business antl Pmfessional Caae: The ConVaciors' Sla[e License Law
' tloes nai apP�Y �o an owner of a pmpehy w�a �uiltls ar impmves Ihereon, and who tloes such woB himsel�/herself ar thmugh
his or her own employees, pmviAeO Ihal such impmvemenis are nai in�en4eA or oHereO for sale. If, however �he builtling or
improvemen� is soltl wi��in one year oi comple�ion, ihe owner will have Ihe 6urden of proving �e/she �id no� �uiltl or improve
lorlhe purpose ol sale�.
I. as owner oi I�e pmperlY. am exclusively coniracting wiih licensed conirac�ors to cons�mct the pmlect (Sec�ion 7044, Business
❑ and Pmiessions Coae'. T�e ConVactors' State License Law tloes nol appty �o an owner ot pmperty wha �uilds or impmves �hereon
antl who canirac�s for such pmlects wrth a conVactoqs) license pursuantio IAe ConVactors' S�a�e License Law�. I am aware
Ihal pmol of Iheir Worker's Comp¢nsation insurance shoultl be pmvided to me.
� I am exempt untler Sec�ion'. B. 8 P. C.
lor ihis reason'.
Dale: Owner
I do here�y cenity �hat I am aware ol antl unOerslanU Ihe requiremems o� Calilomia Healih an0 Sa�e�y Code Seclions 25505. 25533. and
2553G an� thal I ar any lulu�e �uiltling occupan� will/will not (circle one) need lo complY w��h sai0 stale coDes antl Ihe requirements tor a
permil �or consimction or motlifica�ion �mm I�e Nu Ouality Managemenl DiSUicL Besitlen�ial constmction applicalions are exempl �rom
IhPSC p�Ovi5i0n5.
Date: ApDlicanC
I hereby cerlitytha� I have reatl I�is apPlicalion antl sta�e Iha� I�e aboveinformation is correcL I agree�o comply wi�h all city antl county
ortlinances antl siate laws relating lo �wl0mg conslruclion antl here�y aNhorize represenlatives of Ihis ci�y lo enier upon �he above-meniioned
pm0eny lar inspeciion purpo5es.
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16aL4fi Wtule—euiltling: Green—Cooe EnlorcemenL Canary—Applicanl: Pink—Revenue; Goltlenrotl—Assessor
'
CITY OF C�,�PA MESA — HUILDING PERMIT .
PERMIT NO; B 067082 PLAN CHECK NO: N : i ; �
CONSTRUCTION TYPE: V-5 PERMIT TYPE: STR PURPOSE; OTH
JOB DESCRIPTION ; REMOVE BUR & REPLACE W/BUR SQ FT: 1,786
CLAIM VALUE; 1,786.00 CALC—VALUE: 1,786.00 GROUP OCC: R-3 /
COMMENTS: SMOKE DETECTORS REQUIRED PER 91 UBC
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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
LEFT: FT IN RGHT: FT ZN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL; 13951514 ZNE: REF NO:
PLANNING NOTES>
� ,ry
if if iE 1E iE 1E iE ik iE iE ff iE �E iE k if 1E iE ff fE iF 1E ik iE iF if iF # iF fE if fE iE iE iF if ff ff !E iE it iE 1E iE iE 4 iEiE jf iE iE iE ik iE iE iE iE iE if if 1E iF ik iF if iE 1E at �E iE if 3E iE jE iE if i! if iE
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
ZONZNG APPROVED HY DATE:
BUILDING APPROVED BY : DATE; '
APPLICATION ISSUED HY; DATE: ��
iFaFitlEi6itififiEiFiElFikiEiEifiEitiEiEiEit iFiEiFlEiEiFjFif�-1tiE iElf
�E iF iE iE iE jE 1E iF iE iE iE iE it iE iE iE iE iE fE iE iE if jt iE if 1E if ik if if if i! iE if iE iE iE it if if iE iE if iE if iE iE iE iF M iE iE iE iF iE if 1E iE iE if iE 9E 1E if iE iE if it jf'iE iE jE iE aE iE if iF if iF
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 41.00 ' ,50
PLAN .� SMIP/NON—RES
ISSUE FEE •" '
BUILDING—DIV—> PERMIT ISSUE 'PLAN�;CAECK TOTAL PAID DUE
TOTALS----> 41.50 0,00 • 0,00 91.50 41.50 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 41.50 OVER/SHORT: .00
BLDG PMT PL(IMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
41.00 r `i ,50
i:
if 1E iE iE iE iE k 1E iE * if 1E if i6 ik % iE iE iE if iE 7F iF iE iE iF iE if iE if iE iE fE if 1E if jf.iE �E if iF if iE �E if iE iElElf aE iE 1E %iE k 1f iE k iE iF if iE if iE fE jt jE if iE iE iE ik 1F if iE jf 1f iF iE
I N D 2 V I D U A L :' Ff 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 VALUE RESIDENTIAL NOZONE 1.00 1,7F36.00
END OF FEES
J1 0016�J217-00160218 Tt1 T 41.50
OATE: OS/10/94 7ItIE: 25:23
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,'`, , CONSTRUCTION AND PLANNING
-.. APPROVALS Permit #
"��t. Temporary E�ectrical Serviceor Poie
'� 2. .`sCil Pir2e-Undrgrnd. � .
' 3. Electrical Conduit Utilrty•Undrgrnd.' ���.
4, Electrica� CortduibUndrgrnd. �'�..
5. �Steel Reinforcement
6. Electrical UF£R Grnd.
� 7: Footings
$. Foundation ' �
�
9. Water Pipe-Undrgrnd.
10. Structural �Ioor System . -
11 . Property SewBr Line�& hous�e'Connection
12. Sewer Cap . �
13. Roof Dtains '
ih. Rou9h Plumbing
75_ Rough Electrical�Conduit
16. Rough Eiectric Wiring
17. Rough Wiring Sign
18. Rough Electrical-T Bat Ceiling
19. Rough Heating & Air Conditioning
20. ftoughFactoryFi�eplace . .
21. Du�ts, In Structure .
22. pucts, `Jentilating
23�. �ias Pipe-Rough & Test ,
24: Robf Framing � •
'. � 25.,:.Roof SLieathing � � •� .
26. T•Bar Ceiling (Structurall & Monocoat
27. Frameand Flashing
28. L�Ihing & Siding � '
29. Insulation ~ � �� '
�-30. Dryw-�afl Nailing
37. PlasterBrown Coat
32. Electrical Power MeterFinai
33: Fina! Etectric
34. Finai Neatin,g & Air Cpnditionir.g
35. Pinai Gas Pipe�Test
36. Hood or Canopy � -
37. Final Kactory Firepiace �
38. Final Plumbing �
39. Water Service•Final .
40,, Gas Service-F�nal �
_ ,. _
. 4T.•Solar pomesticFinaf •�
42. Backfiow Preventer
43. Backtiow Irflgation �
44. Landscape irrigation SYstem
45. Sound Attenuation
46. Handicap Regulations
47, FINAL STRUCTURE & BUILDING �
48. FINALPLANNING
49. Electric Release to Edison
50. Gas Release to Southem Cslitornia Gas Cc
51. CERTIFICATE OF OCCUPANCY
No. _ ___ _.__.. . Date --
Date i nspector
0
A
, _.�� �,. : . -
PC�& SPA
APPflOVALS Permit #
Date j Inspector'
52. Poo1 & Equipmena Location �
53. Steel Reinforcement
54. Forms
55. Electrical Bonding
56. Rough Plumbing & Pressure Tesi
57. APPROVAL TO COVER�GUNITE-
58. Electrical ConduirUndrgrnd.
59. Gas Pipe, O Undrgrnd„ Test
60. Backwash Lines, P�Trap, � Undrgmd.
61. APPROVALTODECK
62. Backwash & Receptorfinat �
63. Heater & VenFFinal -
64. Plumbing System - Final
65. Electrical-Finai
66. Sofar System-Fina!
67. Fencing & Acces, Approval -
68. APPROVED FOR PLASTERING
69. POOL/SPA SYSTEh.-1S FINAL
FIRE DEPT. REQUIREMENT
APPROVAlS Pesmit#
,.
70. Under�r0und Hydro
71. Product� i'�pin9 �O Gas � Oii
72. Underground Ffush
73. Undergrnd.Sto.ruc�c Tank O Gas C-0ii
74. Overhead„Hyc+ro
-�.
75. Dry Chemical �
76.'Dry Standpipe-
77. PIXEDSYSTEMFINAL -
78. FIRE PREV. FINAL
HEALTH DEPT. REQUIREMENT
79. FIiJAL It�l5PECTION '
8p. POOD CER71FiCATE ISSUED
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?351E
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 11] COSTA MESA. CALIFORNIA
For Applican� �o Fill In Completely
� TYPE OR PRIN7
;RE'Ss 3060 Club House Road
COSTA MESA, CALIFORNIA
NER Mesa Verde ded.Co. � " �
� 2850 Mesa Verde Dr.
)RESS
Costa Mesa r�.9 �39
Y NO.
N'GINEERE• K`31t.eII173CY1 N��542804
" 1823 E. 17th St. S.A.
)RE83
.re.,-t,.e Same as Owner
STATE 1S1"j.
LIC. NO. J�
s�zE�r 25 g 70
� 9ETBACK LINH FROM
� US60F
TBL.
DESCRIPTION OF WORK
V1���� '1 11U6MVLItll1
�32 NO.OR 5 2
ROOMe BTORI68
�St.UCCO I COV�ERINB bui.ltup
�1 HEREBY ACKNOWLEODE THAT 1 HM1VB flEAO TH18 APPLICATION
ANO 9TRT6 THAT TH8 ABOVH 18 COqqBCT .�ryp AOREE TO COM•
PLY W�TH ALl�Gl�Y OROINAXCHB M!D BTATS uW9 RHOOL�TING'
BVILOINOCO STR RbCI'ION. /l
� AUTHORIZHD A6ENT ..
FEE RECEIVED
FF�AIVCE D�T.
&ddr���,��&18S�6d�n
BUILDING
For Oiiice Use Only
V ___.._I & J
ZONING
zo a I Ho. or uec or newRes w,
R7} rune Q euaoma g�.�e
�e��� Lot 15 Tr. 4660
oeacnirrion
A. P. NO. ROT1E � .
NOTE: NO 6AVE OVERHAN6 BHALL BE LESS THAN
YARDSAPPROVED I YARDSAPPROVED
MAIN BUILOIN6 ACGESSORY BUILDING
RBAR � . F
DISTAI�ICH BET.
MAIN BLD68.
VAR..$
DATE
APPROVED 11-16-64
- _-- 9 �1 r-- L C
See permit on Lo� 1 for conditioxffi
1250 8Q. �, J 4�o m
TXE AMOUNT 9HOWN,UNDEP VALUATION I6 ROR THE F
PURPO58 OF fiHTABLI5Hlrv0 A PERMIT PEE ONLT. =
VALUATION �y m
' PERMITFEE .$ �� �
/y )[� �
S/// " �/ / " P A CHEC i�o 0
/L �. \ LL
i /
M�SA VN�1�E DEV::CO.
JOB ADDRESS
GENERAL CONTF
or
Reinf.
UATE
DESCRIPTION OF WORK HEs.W
FII?.E 'LONE vn1.uE s 17.051.0
SUBCONTftACTOR