HomeMy WebLinkAbout3003 CLUB HOUSE CIR - Building Permits�' I
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PH01CTADOflESS: 3003 CI.UB HOUSE'CI
�"'OWNEfl'SNAME: GROVE, SULIE DE RUSHA
aooncss: 3003 CLUB HOUSE CIR
COSTA MESA,CA 92626
ABCHIENGINEEfl:
AOUflESS:
HEG.NO.:
uNir: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: b 06710'
PERMIT NO: B 067103 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE; V-5 PERMIT TYPE: STR PURPOSE: OTH
UNIT:
PE"minEE' pETERSON ROOFING ( 719 ) 979-7111
aooxess: 3006 ENTERPRISE
COSTA MESA CA.9262$
LICENSEO LONTBACTOB OECIABATION: I here�y a��irm �ha� I am licensetl untler promsions of Chapter 9(commencing wi�h Section
7000) of �ivisian 3 ai �he Business antl Professians Cotle, an0 my license is in full lorce and eifeci.
cirruc.:095995 STATELIC.:6O'J872 SS.—'_
oale'.s'�' `7y Signa�ure:�— _l -
WOPKEFS' COMPENSPTION UE� CLAPATION: I hereby aflirm I have a cetlifica�e of con5eni m sel4insure or a cenilicate oi Workers'
Compensalion Insurance, or a certi�ied copy Ihereof (Section 3800. La6. C).
roucrNo.:NC3501565 ExP.opTE: 03/20/95
comraxr: REPUHLIC
❑ Cehified copy is hereby lumis�ed. [� Certiliea copY is liletl wiN �he ci�y Bwl � n.
Oale' �� V � y Applican�'. �1� ' �.��d�
E%EMPiIONFNOMWOXREHS'COMPENSPTIDNOECLABATION: Qhi55e nneednot�ecomple�e4i�thepermi�i5�oronehundre4�5100)orless�.
I cerlrty Ihal m Ihe petlarmance of Ihe work tar which Ihis Dermit is issued, I shall not employ any D¢«n in any manner so as �o �ecome
sublec� la I�e Workers' Compensation Laws of Cali�ornia.
Date: Signamre:
NOTICE: II, aller making Ihis declaration, you s�ould �ecome sublec� to the WOBers' Compensalion pmvisians oi the Labor
CoOe. you musl lo�hwi�h comply wiih such provisions or I�is permi� shall be tleemed revaked.
CONSTflUCTION LENOING AGENCY: i hereby al�irm thai ��ere is a cons�mc�ion lending agency lor Ihe pedormance oi [he work for
which �his permil is issued (Sectian 3097, Civ. C�.
LENUEH:
AOONE55:
OWNEN BUILOEN OECIABATION: I hereby allirm Ihat I am exempt imm the Contractors' State LicenSe Law Por Ihe following reason
(Section 7031.5 Business and Pmlessional Cotle: Fny ci�y oi counry which requires a Dermi� to construct, alier, impmve. demolis�. or
re0air any 51mcWre. prior �o ils issuance, also reQuires Ihe aDPlicani br such permi� �o �ile a signed 5tatemeni Ihal he/s�e is licensetl
pursuam to Ine pmvisons of Ihe Comracmrs' Sla�e L¢ense Law (Cnap�er 9(commencing wit� Sec�ion 7000) ol Division 3 ot Ihe Business
antl Pmlessions Cotle� or Ihai he/she is exemp� �here�mm and the basis lor ��e allegetl eremD�ion. Any violation o� Section 7031.5 by
any applicanifor a permii suble��s Ihe apPlicanl to a civil penal�y ol nol mare �han five huntlretl Aollars (5500�.
I, as owner oi �he proDeriy or my employees with wages as Iheir sole compensation, will Do ��e work, an0 the
❑ s�mcmre is nm imenAea or offereU br sale (Section 7044, Business an0 Prolessional Cotle: Tne Contracmrs' State License Law
tloes not apply �o an owner of a Dmpe�y who bwltls or impmves �hereon, and who tloes such work himself/herselt or Ihmugh
�is or Aer own employees, pmviUeO �hal such impmvements are no� in�ended or oHered lor sale. II, however ��e building or
impmvement is sold vnihin one year ol completion. �he owner will have Ihe bur0en oi Droving he/she ditl no� builtl or impmve
br ihe purpose ol sale�.
I, as owner of �he pmOehY. am e�clusively canVac�ing with licensed contractors �o coretmct �he prole�� (Section 7044, Business
❑ and Pmlessions Code: The ConUactors' Sla�e License Law does noi apDly �o an owner oi pmpeny w�o builtls or impmves Ihereon
antl who conlracis �or such prolects wilh a conlraclor(s) license pursuani �o �he Conlractor5' Slaie License Law�. I am aware
that pmoi of Iheir Worker'S Compensa�ion insurance shoWd �e pmvided to me.
� I am exempt untler Section: B, 8 P. C.
� Iti
JOH DESCRIPTION ; REMOVE BUR 6 REPLACE W/BUR SQ FT: 2,091
CLAIM VALUE: 2,091,00 CALC—VALUE: 2,091.00 GROUP OCC: R-3 /
COMMENTS: SMOKE DETECTORS REQUIRED PER 91 UHC
s�-**ar*+t****��-�***�*****�r�-�+�-****�c-********+c-*i�*�r�x-*�*�xrt****�r*x�***���r*******�-�u�*�*�r*
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 HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FANT: FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ� PROV; PARCEL; 13951544 ZNE: REF NO: II
PLANNING NaTES�> .r'N
� �
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D E V Ei�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 II
ZONING APPROVED BY DATE; :="
BUILDING APPROVED BY : DATE; �'7
APPLICATION ISSUED HY: �' DATE; �;`lL.`1;
iFiE�)f�E%1FiE1klfifiEiEiEiEif7FiRiEffiEiE3E 1E iF if iFifiEiE�.'-iE�IEfEiEiE F E i iE 1fiE
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LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING I
PERMIT 54.00 50
SMIP/NON—RES
PLAN
I5SUE FEE
BUILDZNG—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 54,50 0.00 0.00 54.50 54.50 .00 ,
REVENUE PIVISION TOTALS--> COLLECTED: 54.50 OVER/SHORT: ,00 �
HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
54.�� ,5�
iE if !E 9E IE if if if 1f iE iR k iE 1f if fElE 1E iE iE 1E 1E fE fE iF if iF 9E iE iE fE 7F 1E if iE 1E 1F iE 1E ik jF iE iE �E iE %1E jE 1k if iE 1f dk iF iF if 1E �f #f 1R 1E iE iF if iE * iE jf 1E iF 1f aF iE 9f �E iF 1E if if
I N D I V I D D A L E E E H R E A K D O W N
ar isreasoa TYPE
Da�e'. Owner
I aa hereby cenily Ihai I am aware al antl untlers�and �he reQuiremen�s o� Califomia Healih antl Sa�ery CoOe Sections 25505, 25533, and S FR
2553a anA ihat I or any fuwre building occupant willlwill no� (ci¢le one) neeA to comply with saitl state cotles and I�e reQuirements lor a
permil for consimclion or motlihcaiion imm Ihe Air Ouabty Managemen� Disiric�. Nesidential conslmction applicalions are exemp� imm
t�ese pmvisions.
�ale: Applicant:
I hereby cerufy �ha� I have reatl �hls application and sla�e �hai Ihe above mlormation is correct. I agrea to comply with all ciry ana couniy
ordinances ann slaielawsrelalingto butlding conslmction ana �ereby authorizerepreseniatives olthis ciry�o enterupon�he above-menlioned
ptOp¢IIY �Of i05pCtIlOn O�tp0525.
Da�e' �� � Signature'��+✓� �+wv
onver�s license oi Social Securily p.- �� �—� ��
i6aba6 Wbite—Bulltling�, Green—Cotle Enbrcemen�; Canary—ApPlicanC Pink—Revenoe', Goltlenrotl—Assessor
QTY
2091
D E S C R I P T I O N
REROOF BY VALUE RESIDENTIAL NOZONE
END OF FEES
UNIT COST TOTAL COST
1.00 2,091,00
O1 Q016t7243—Q01602i4 T O T `4.J0
DATE: 03/10/94 TIEIE��IS�32
CONSTRUCTION AND PLANNING PG�_ & SPA -
� APPROVA�S Permif # - Date Inspector APPROVALS Permit # Date inspector
� �_
7. Temporary Electrical Service br Pcle 52. Pooi & Equipment Location
�
2. Soil Pipe-Undrgrnd. . "' S3. SFeel Reinforcement �
3. Electrirai Conduit UtilitY�Undrgmd. - 54.� Forms -
4. Electrical Conduit-Undrgrnd. � �� 55. E�ectrical Banding � '
5. Steel Reinforceme�t . 56. Rough Plumbing & Pressure Test '
�
.•6. Eiectrical UFER Grnd. 57. APPROVFlI TO COVER�GUNITE ( �
7. Footings '- � 58. Electrical Conduit�UndromU. i �
�8. Poundation • 59. Gas Pipe, O U�clrgrnd., TeSt
9. Water P1pe-Undrgmd. � � 60. Backwash Lines, P-Trap, G Undrgrnd. �
10. Structurat Ploor SYstem ` 61. APPROVAL TO DECK -
11. Property Sewer Une & House Co�nection . 62. Backwa>h & Receytor-Final ' I
12. Sewer Cap ' 63. Heater & Vent-Finai
73. Roof Drains � � 64. Plumbing System - Final
1A. Rough P�umbing, � 65. Electrical-Finai
15. Rough Electrical-Condu�t 66. Solar System-Final
--- ----J
- 16. Rough Electric W�ring 67. Fencing & Access ApProval �
77. Raugh Wiring Sign - 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POqLlSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioni�g FIR�bEPT. REQUIREMENT �
20. Rouqh Factory Fireplace � APPROVAIS- Permit �''r �
21. Ducts, in Structute ... . - 70. Underground Hydro �
22. Ducts, Ventilating � _ � 71. Product Pipin� C; Gas ❑ Oil i
23. Gas Pipe�Rough & 7est • 72. Underground Flush � �
24. Roof Framing 73.'Under�rnd.StorayeTank GGas ❑Oil
25. f;oof Sheathing � rj'-2`j-RK �e�/�! 7A, �OverNead Hydro '
26. T�Bar Ceding (Structurall & Monocoat 75. �Dry Chem�al � " �
27. Frame and Flashing , . . -, 76. bry Stand�ipe
28. Lathing ffi Siding � -- 77. - FIXED SYSTEM FINAL I
29, tnsulation � 76. r{RE PREV. FINAi 1
30. Drywall Nailing - � HEAITH �EPT. REQUIREMENT I
--�
31. Plaster8row�Coat � � ' �� 7g, fINAlIN5PECT10N j
32. flectrical Power Meter�Final �� • .80. F000 CERTIFICATE ISSUED �
33. Finai Electric � Notes:
34. Fina� Heating & A�r Conditioning ' � �
35. Finaf Gas Pipe-Test � � , � �
,
36. Hood or Canopy _ _ . . - � � �
3Z Final Pactory Pirepiace ' '
- - +
38. Final Plumbing � � • � �
�
39. �Vater Service�Final .
40. Gas Service-Final � . � � ' � ,
41. So�ar pomesticFinai -
42. Backtlow PTeve�Cer - � - _ .
� ..
43. Backflow Irrigatian _. , �
44. �ar,dscapeirriqationSystem � . � .'
45. Sound Attenuation - � � - ' ��
46. Handiwp Regulations - � � �� � -� ` '
47. P WAL STRUCTURE & BUILDING s=3l-1 �: �e � �
48. FINALPIANNING
49. Electric Release to Edison � .
50. Gas Release to SOuthem Califomia Gas Cn � " . ��
51. CERTIFICATE OF OCCUPANCY - ��
No. Date
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r' rr CASA $ONITA 32'j� 1 � V m
� 30 31. "W o,
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C � B I B REV.I L REV. I B XEV. I B I G G. B� I B PEV.I G,,FEV. I b NEV. B .-G' a __' �± �
3062 _ 3060 3058 3056 3054 3052 3050 3041 3040 3038 3036 3034 3032 3030 v „' "
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• ' 1�F1:;1�
COSTA MESA BUILDINGSAFETY DEPARTMENT
� P.O. BOX 377 COSTA M6qp� CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT .
COSTA MESA. CA�IFORNIA
Mesa Verde Dev.Co.
2850 Mesa Vexde Dr:
Costa Mesa ,T��`•5490395
1823 E. 17th Santa Ana
wooaEss
CONTRAGTOR Same as�Ownex
aooRess
CITY
STATE 181�lj2 TEL,
L(G. NO./ .�� NO. '
SIZE_2V � 7Q ,I NO.OFBLDO5.0
� 9ETBACK LINE FROM
DESCRIPTION OF WORK
X I I II
BUILDIN6 ],SOO NO.OF
SIZE . ROOMS
EXTERIOR WALL.,tUCCO I COVE
COVERING a
U3fi OF BUIL�INB AND WORK TO B
Res.w/att.Gar. P1:
0
�I MEREBY ACKNOWLBDai THAT i HAV6 RBAD THIB APPLICATION �
�ND STATE THAT THQ �BOV6�19 COqpECT ANO AOpEE TO COM�
PLY WITH CIT.Y OqDINANC68 ANO e}ATe LAWB R56ULATINO
BUILOINO ON TB(1CT�ON.
� AUTHORIZED AGENT
FEE RECEIVED
fEB 25 19��
�FyINnANCE DEPT.
APPLIGA11b�7'x(7R' P�lihtl7
BUILDING
For Offica Use Only
ee<eirrno. reyi
BY DAT6 R8C61VHO OATB
'� --. 1 < _% �P111D
ZONING
zo no. or UBE OF NEW eS H 8
�`-4 .u�e Z BUILDINa g�,�e
oescn�rtwH Lb't 44 Tr.� 4660
n. P. r+o. none
NOTE: NO EAVE OVERHAN6 6MALL BE LESS THAN
90' TO SIDE 8 REAR P. L. ,
EAVES
ALLOWED �U.B.C.REQUIREMENT
YAR�9APPROVED YAROSAPPROVED
MAIN BIIILDING ACGESSORY BUILDING
FRONT' C�t SFTEW \ YM � I.�.IM �. �
L.81DB �`�
REAR D
DISTANCE BE
MAIN BLDG9.
VAR..$
�ATE /I.
APPROVEO ��1���7�'
n�c.0 t-Uic arcu�� tccttuaxcmcn � a
See }�ermit on l0 1 for conditions
1513 SQ. Ff.J 44� a
THE AMOUNT BHOWN UNDER VALU�TION IB FOR TXE
PURP068 OP fiBTABL�BH�N6 A PERMIT -FEE ONLY, � F
O
VALUATION ' m
� PERMIT FEE S ` �
/� / �
$ �(/ � %b—' e c '3'— e
�
_ 4