HomeMy WebLinkAbout3062 CLUB HOUSE RD - Building Permits!�
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noonEss: 3062 CLUB HOUSE RD
i'SNAME: �E CUBELLIS, AATHUR H TR
aooeess: 4 3 3 M ST
HALHOA,CA 92661
AflCHIENGINEEB:
aooxess:
flEG.NO.:
uxiT:
uxir:
PEflMITTEE:
nooness: PETERSON ROOFING ("714)979-7111
('(3�0q06n MENTqEjyRPRISE ('p, 7 q
LICENSEO CONTHACi01f0EC(AAAYIOM'�2F2�y affirm I�a� I am licen5etl untlefptOvi5i09n5'O��pt2r 9(commencing with Section
7�00) o� Division 3 ollhe Business antl Pm�essions Code, antl my license is in lullforce an0 ef�ecl.
CITY LIC.: STBTE LIC.: LASS:
095445 607872 —
Dale: �— �� !�� Si9naNre: �
WOBKEB$' COMPENSATION DECNBATION: I hereby aifirm ��ai I � ¢ a certi�i[ate o� Co�S¢n� (O S¢I6in50�¢ 0� a C¢rtilicale 0� WO�k¢�5'
Compensation Insurance. or a cendie0 coDY �hereof (Seclion 3800. Lab. C�.
roucrxo.: NC3501565 E%P.ORTE: O3IZOI9S
COMPpNY: RF.PU�;.I�
❑ Certilietl capV is here y umis etl. � Certified tOpy "is� f�ileU wi�� �he cily Buildin
Oate�J—v��7 ADPlicant: �
E%EMPTIONFBOMWOflNEPS'COMPENSATIONOECLAPATION: (Thi55eclmnneetlna�becomple�etlil�heperrrt�i5laronehw4retl�5100�arless).
I certity �hai in Ihe pedormance of I�e work for whic� Ihis permii is issuetl, I shall no� employ any person in any manner 5o as Io become
5u�leci lo I�e Workers' Compensalion Laws ol Cali�ornia.
Date: SignaWre:
NOTICE: If. alter making this tledaralion, you should become subjec� �o Ihe Workers' Compensa�ion pwvisions ot �he Lahor
Code, you mus� foh�wi�h comply wi�� such pmvisions or this permi� shall be tleemed �evoke0.
CONSTBUCTION LENOINC RGENCY: I hereby athrm that ihere is a constmction lentling agency for ihe pedormance ol ine work for
which Ihis permi� is issuetl (Seclion 3097. Civ. C�.
LENOEN:
AOONESS:
OWNEP BUILOEP OECIAflATION: I here6y allirm t�at I am exempt tmm Ihe Conirac�ors' Staie license Law for Ihe �ollowing reason
(Section 7031.5 Business anU Pwlessional Cotle'. Any ciiy ol counly w�ich requlres a permi� ta conSlmci, alter, impmve, tlemolish, ar
repau any s�mc�ure. prio� lo its issuance, also requires Ihe aOP�icant far such permi� �o �ile a signed statemen� Ihat he/she is Iicense0
pursuan� �oihe pmvisions ollhe Coniractors' S1aie License Law�Chapler9(commencing wi�h Sec�ion 7000�of Division 3 o�the 9usiness
antl Pmlessions Code� or Iha� �els�e is evempi Ihereimm antl �he �asis for Ihe allegetl eKemption. Any violation o� Seciion 7031.5 by
any applican� �ar a permil sublecis Ihe applican� Io a civil penalty o� no� more ��an five huntlretl tlollars ($500�.
I, as owner o� I�e propetly ar my employees with wages as �heir sole compensa�ion, will do ��e work, ana the
❑ StmcWre is not in�endetl or o��eretl �ar sale (Sec�ian 7044, eusmess ana Pmfessianal CoOe: The ConVac�ors' S�aie License Law
Does nol aOPly to an owner of a propeny who builtls or imDmves Ihereon, antl who does such work himself/herself or Ihrough
his or her own employees. D�oviOetl Ihat such impmvements are nol inlen0e4 or ofleretl �or sale. II, however Ihe builtling or
impmvemeni is soltl wilhin one year ot completion, the owner will have IAe burden ol pmving �e/she did not 6uild o� impmve
lor Ihe purpose o� sale�.
I, as owner ol Ihe pmperly, am eKclusively con(rac�ing wit� IicroseE conlraclars to cons�mct the pmlec� (Sec�ion 7044, Business
❑ antl Pmiessions Coae�. Tlie Gonirac�ors' Slate License Law aoes noi appty Io an owner ot property w�o builAs or improves ��ereon
antl who tomracts for such pmlects with a comractoqs) license pursuam �o tne ConVactors' S�ate License Law�. I am aware
Ihal prooi ol �heir Worker's Compensa�ion insurance shoultl be pmvided lo me.
� I am exemo� untler Section B. 8 P. C.
lor �his reason'.
Dale'. Ownec
I do hereby certi�y ihal I am aware oi antl un0erstan0 �he repuirements ai Caliiomia Heallh antl Sa�ery Coae Sections 25505, 25533, antl
25534 and that I or any luture �uil�ing occupant wllllwtll nal (circle one) need to comply with saitl state coaes and �he reQuiremen�s lor a
permil lor cons�mc�ion or motlilica�ion Irom �he Au Ouahty Management �istricl. Residential cons�mction applicalions are exempt hom
I�QSC PfOV1510115.
Oaie: ApPlicam:
I hereby cer�ily �ha� I have reaa I�is applica�ion antl 51aie��a� Ihe a�ave inlormatmn is carrect. I agree �o comply with allcily antl counry
orOmances antl sia�e laws relating Io builtling cons�mclion and hereby aulhorize represenla�ives af �his ciry �o en�er upon the above-mentioneA
pmpe�iy fo� mspeciion purposes.
Date � o—�y SignaWre��
�river's License or Social Secun�y
1641-a6 Whiie—Builtling; Green—Cotle EnlorcemenC Canary—ApplicanC Pinh—Revenue: Goltlenrotl—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO• B 067081
PERMIT NO: B 067081 PLAN CFiECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—S PERMIT TYPE: STR PURPOSE: OTH
JOH DESCRIPTION : REMOVE BUR 6 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 UBC
1FitilitilitiE�FiFif�EffkifiElEiElfiEltitifiEiflkYriEiE itifiEiEjflElf�EiEiEiFitifiElEiElfiEiEifiEiE1E1EltiFiflFiEiE�E�EjFlfiEiE?kffiliEjE�f�kiElEfEiEififlE
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 BUILdING ---------
F'F2NT: 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: PftOV: PARCEL: 13951514 ZNE: REF NO:
PLANNING NOTES> •✓
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D E V E L O P A1 E N T S E R V I C E S R E Q 0 I R E M E N';T S
ZONING APPROVED BY DATE:
BUILDING APPROVED BY ; DATE: �'�
APPLICATION ISSUED HY; � DATE: � �+ �
ifiEiliEifjEiPlFiEiEiE1E3EiF�F3kiFiFiFiEiEil;f;Eili�3�F�F�F3F�F�E3F�F�f�3F���3F �it�FEV����F7ZiE�F�EiEiEiE�EiEiEiE1EiF iEif itiE
ik iE it iE iE iE iP it if ik iE iE iE iF iE iE iE iE if aE iF f! iE iE iE iE if iE iE iE 3E iF it iF it iE if iE iP if if if aE 9E iF 1E iF if K�E iE �1(� * ik iE iE aE iF iE iP iE iE if iE 1E iE if iE iE iE iE iE if iE iF 9t iF if if
LEGALIZATION;N F E E 'S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 41.00 . - ,50
PLAN �:�f' SMIP /NON—RES
ISSUE FEE �
BUILDING—DIV—> PERMIT ISSUE PL`AN:-CHECK TOTAL PAID DUE
TOTALS ---> 91.50 0.00 .r" O.QO 41.50 41,50 ,00
REVENUE ➢IVISION TOTALS--> COLLECTED; 41.50 OVER/SHORT: .00
BLD41P00 PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT� GRADING PLAN—CHECK
i+
1E 1E ik jF �E i! �f fP 1E iE �E iF if iE if iE 1E iE �E iE if iE iE if 3F iF i! iE i61k iE iE iF 1E iF ff'�E iE iE iE iE if 1f iE 9E if iE iE if M 7f iE iE 1E iE iE iE if iE iElE 3ElE iE iE 1E ih iF jt iF iE iE 3E iF iE iE iE 3E iE
I N D I V I D U A' L' `.-'F E E H 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 1,786,00
END�OF FEES
t+ .
(j" r
�1 ��f602iS-0016U22U -r a T 4i.so
DATE� osil0/9< TIME: 15:34
�� CONSTRUCTION ANDPIANNING
APPROVALS Permit# � tiate
1. Temporary Electricai Service or Pole -
2. Sod Pipe-Undrgrnd. � .�
3. Electrical Conduit Utility-Undrgrnd.
4. Electrical Conduit�Undrgmd.
5. Steel Reinforcement
6. Electrical UFER Grnd. _
7.-Footinys - -
$. Foundation �, �
9. Water Pipe-Undrgmd. . �
I 10. Structural Floor System �
1� 1. Property Sewer line & Nouse Connection ,
12. Sewer Cap
13. floof Drains � � �
14. Rough Plumbing �
� 15. Rough Eiectricai•Conduit '
� i6. RoughElectricWiring
I
77. Rough tViring Sign
18. Rough Electrical-T 8ar Ceiling
79. Rough Neating & Air Co�ditioni�g
20. Fough Factory� Fireplace "
21. Ducts, in Structure � � �
22. Ducts, Ventilating ..
23. Gas Pipe�RougF & Yest .
24. Roof Framing ' �
25. Roof Sheathing . �
26. 7-Bar Ceiling (Structurail & Monoeoat _
27. Freme and F�ashing' .
28. Latk�ng & Siding ' -
29. InsWation , � �. � �
3�. Drywall Nailinq
31 . Plaster 8r0�vn �Coat
32. Electncal Power Meter-Final
33. Final Elecfric �
34. Final Heating & Air Condrti0ning
35. Final Gas Pipe�Test ,' ,
35. Hood or Canopy
37. Finai Factory Fireplace ,
38. Final Plumbing
39. Water•Serwce�Finai
40. Gas Service-Final � .
41. Solar pomestic-Final
42. Backflow Prevenier
43. Backflow Irrigation
44. landscape Irripatio� System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BU�LDING s��_
48. FINAL PLANNING
A9. Electric Reiease to Edison
5D. Gas ReVease to Southern CaGfqrnia Gas Co
51. CERTtFICATE OF OCCUPANCY
Date
POO� _ SPA
Inspector � Date Inspector
ApRROVALS Permit #
52. Pool & Equipment Location .
53. Stezi fleinforcement �
54. Forms � �
55. Electrica! Bor.ding
56. Rough Plumbi�g & Pcessure Test
57. APPRQVAITOCOVER�GUNITE
58. Electrical Conduit•Undrgrnd. �
59. Gas Pipe, rJ Undrgrnd., Tesc
60. 9ackwash Lines, P-Trap, � Undrgrnd. �
� 81. APPROVAI"TO DECK
62. Backwash & Receptor-Fina!
63. Heater & Vent-Final
64. Plumbing System - Final .
65. Electrical-Finat
' 66. Soiar System-Finai
67. Fencing & Access Approval
68. APPROVED FOR PLASTERING
69. P06L/SPA SYSTEMS FINAL
FIRE DEPT. REQUIREMENT �
' APPROVALS ' Permit # �
j0. Undergraund Hydro -
i1. Product Pipin� O Gas ❑ Oil
72. Undergrou�d Flush .
73. :lfndergrnd. Storage Tank O Gas ❑ Oil
� 74. OvPrhead Hydro - ' ` - �
_" 75. �Dry Chemical
� . 76. Dry Standpipe � �
" �, 77. FIXED SYSTEM FINAI ,
� 76. FIRE PREV. FINAt • �
� NEALTH Q�EPT. REQUIREMENT
V . 79. FINAL INSPECTiON ` � -�_�
j T 80. FO00 CERTIF(CA7E ISSUED
Notes:�� SA�a'4_ o/G. �B% i�).��e.,�4
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BUILDING
GENERAL CONTRACTOR `��e DESCRIPTION OF WORK nes. u�u� � va.i . _
AP Nn i.OT 1 TRAC7' O FIRE 'LONE VALIIE �Q,Q76..0� . _
Date I GROUP
SUBCONTRACTOR
Vent.
, �3� i f?
COSTA MESA BUILDING-SAPEfY DEPARTMENT
P.O. BO%Df] COBTA MEBA, CALIFORNIA
For Appllcant to Fill In Complefely
TYPE OR PRINT
;g 3062 Club House Road
COSTA MESA, �CALIFORNIA
Mesa Verde Dev.Co.
a9 2850 Mesa Verde Dr.
Costa Mesa No •5�+9�395
�NE6R E. Kaltenbach No'S478o46
;g 1823 E. 17th St. S.A.
acroeSame as Om1er
STATE 181322 TfiL.
LIC. NO. r]L �/ ' N .
SIZE GV X f O � I NO.OR
OF LOT � now ol
USE OF
EXISTING BLDQ��-��
BETlACK LIN[ FI10M ' ' '
cENTER OR eTR6iT REAR YAF
9IDE YARDI LEFT I R16HT
DESCRIPTION OF WORK
urw I X Il��reoer�nul .Il.�nnrrv
i5oo
C�
rtt RECEivEa
fINANCE DEPT
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
NECEIM NO.
PECHIV} D�0Y OATtRECHIV6� ��
!/� � �S �� AA�74
ZON6 . TYPE V ' GROUP I& J
wPraoveo
B7 ._ __ ____ DATE
�l} PLA BF2 ` •I••lYIL�IN6 �
� �i
oe'scnin�on LOt 14 TT. �60
w. P. no. none
NOTE: NO EAVE OVERHANG BHALL BE LE85 THAN
YARD9APPROVEO
MAIN BUILOING
!OM C/L STREET)
� VAR. SF
0
�
YARDSAPPROVED
:CE330RY BUILDIN6 ".
DATE
.000,,.,�„ 11-16-64
USHOFBUILDIF16Afi�WORKTOBEPHRRORM60 HOLD FOR SPECI '�REQUIRFMENTS�
Res.w att.Gar.
P�Q /(/ G See ermit No. 1 or conditions
1513 ec.FrJ 440 0
1 HEREBY ACKNOWLEUGH THAT 1 XAVB REAO TXIB �PPLICATION TM8 AMOUNT BHOWN UNDEP VALU�iION 18 FOq THE �
AND BTATE T THE ABOV6 IB CORqHCT �ND AOREfi TO COM. PURPO58 OR 88T/.BLIBHINO A PERMIT FEE ONLY. p
PLY WITH AL CITY� RDINANCQY ANO BTAT6 LAWB R¢OULATING yqLUATION ' /f� 0
BUILO�NO co eiR ION. ��� ' , pERMIT FEE $ G l6 � j
SIGNATUREO $ /��7� p C EC Q
PERMITTE
C� 6 :
AUTHORIZ6D AOENT . . _ _ _ � G ! u
P