HomeMy WebLinkAbout3005 CLUB HOUSE CIR - Building Permits/
""°' """°`°" 3005 CLUB HOUSE CI
OWNEH'SNAME: DUNCAN PAULETTE
aooness: 3005 C�,UB AOUSE CIR
COSTA MESA,CA 92626
ABCHIENGINEEF:
ROOHESS:
NEG.NO.:
UNIT:
UNIT:
vesmirrEe: pETER50N ROOFING ( 714 ) 979-7111
aooREss: �006 ENTERPRISE
COSTA MESA CA 92628
LILENSE� CONTBACTON OECIABATION: I �ereby aflirm Ihat I am licensed un0er pmvisions o� Chap�er 9(commencing wi�h Section
7000) ot �ivision 3 0� Ihe Business and Pro�essions Cotle, and my license is in full �orce and eiteci.
cirrucy045945 STATELIC.:60-78-�Z cuss: C-39
Uare: S' 8' 7 y Signaiure: fj.s� �'—"��
WOHREHS' COMPENSATION OECIABATION: I hereby atlirm Ihal ave a cetlificale o� consenl �o selhinsure or a cetli�icate oi Workers'
ComDensatmn Insurance, or a cer�ified coDY ��ereot (Sec�ion 3804 Lab. C).
roucvxo.: NC3501565 E%P.ORTE: O3/?O/9S
comraNr: REPUBLIC
❑ Cetlifietl copY is here�y lurnishetl. (.� Cetli�ietl copy �i5 IiiejA vnlh t�e ci�y BuilOing Oivision.
Oate: S �' / y Ap0licanC �,a—e�s �p . _ _ _ _ _ _ _ _
E%EMPTION FPOM WOHKEPS' COMPENSRTION DECLAHPTION: (i ' clian neetl n�I be tompl¢Ied i� I�e permii is for one huntlre0 �$100) or less�,
I cenily Iha� in ihe petlormance ot t�e work lor which this permit is issuetl. I shall not employ any person in any manner so as �o become
Subleci �o Ihe Workers' Compensaiion Laws oi Calilomia.
�ale: SignaNre:
NOTICE: II, atler making Ihis tleclaralion, you shoultl Oecome sublect �o the Workers' Campensaiion pmvisions oi Ihe Labor
Code. yau must fotlhwilh comply wi�h such promsions or ��is permii shall he deemetl revoketl.
CONSTPOCTIDN LENOING FGENCY: I hereby alfirm �hai Ihere is a consimc�ian lentling agency tor ihe pedormance oi Ihe work for
whlch Ihls permi� is issuetl (Section 3097, Clv. C).
LENOEP:
ADOflESS:
OWNEP BUILDEfl OECLABATION: I here�y a�hrm �ha� I am exemp� imm Ihe ContmdorY State License Law tor �he �allawing reason
�Seciion 7031.5 Business antl Pmtessional Code: Any ci�y of couniy whic� repuires a permi� �o constmci. al�er. impmve. aemolish, or
repair any 51mcNre, prior to ils issuance. also requires ��e applican� tor such permii lo lile a sfgned statemenl thal he/she is licensed
pursuanno Ihe pmvisions ol ihe Coniraaors' Slate License Law (Chap�er 9(cammencing with Section 7000) ot Division 3 oi ihe Business
an0 Pmiessions CoOe) or ��al he/s�e is exemp� �Aeretmm antl Ihe basis for the alle9ed exemp�ion. Fny viola�ion o� Section 7031.5 6y
any apphcan� lor a permit subjecis I�e apPlicantlo a civil penaliy oi not more ihan five Aunaretl tlollars ($500�.
I, as owner of Ihe pmpetly or my employees wi�h wages as their sole compensation, will do �he work, anA Ihe
❑ simcture is noi intentletl or o�lered lor sale (Sec�ion 7044. Business and Prolessional Cotle: The Contractors' Slate License Law
tloes noi apDly lo an owner ol a pmpetly who builds or impmves thereon, and who Does such work himSelOhersetl or t�mugh
his or her own emDloyees. pmvidea �hat such impmvements are no� in�en0e0 ar ofiered for sale. I�, �owever ��e builtling or
� improvemeni is 5010 within one year o� comple�ion, t�e owner wi0 have Ihe bur0en o� pmving he/she ditl not buila or impmve
�Or I�e purpOSe 01 Shc¢�.
I, as awner ol the pmperty. am exclusively contracting with licensetl conlrac�or5 to con5imct tAe pmleci (Seclion 7044, Business
❑ and Protessians Cotle'. The Contrac�ors' Stale License Law tloes no� apply Io an awner o� pmperiy who builds or impmve5 ihereon
antl who contracts lor such pmlec�s wilh a conVactor(5� license pursuant �o Ihe Contractors' Staie License Law�. I am aware
ihal pwo� o� Iheir Worker's Compensaiion insurance 5hou10 be provitletl to me.
� I am exempl untler Section: B. 8 P. C.
br ihis reason:
Oaie: Owner
I do �ereoy cenify Iha� I ain eware ol antl untlerstanOlhc repuirements of Califomia Health antl Salery CoOe Seclions 25505, 25533, antl
25534 antl Iha� I or any Iuiure building occupani will/will nat (circle one) nee0lo comply wi�h SaiA slate cotles antl the requirements �or a
permit for conslmciion or modification Imm ihe Air Ouality Managemenl DisVicL Fe5i0eniial con5imc�ion applications are e�emp� fmm
Inese o�ovisions.
Oaie'. Applicanl'.
I here�y cer�ilythal I have reatl Ihis applicalion an0 slate Ihal the a0ove in�ormation is carrecL lagree lo comply wiih allcily anA coun�y
or�inances and 5tatelawsrelaiing�o butltling consimclion antl hereby aNhorizerepresen�atives o��his ciry�a enter uponthe above-mentionea
pmpeiry fo� ins�pe/clion purpases.
\ , Daie: � O J� �"/ Signalure: � �
7
Driver's License or Social Security p:
164L46 W�ne—Boiitling; Green—Cotle EnlorcemenC Canary—App6canl: Pink—Revenue; Goltlenroa—Asseswr
CITY OF C:OSTA MESA — BUILDING PERMIT
PERMIT NO; B 067105 PLAN CHECK NO: N
CONSTRUCTION TYPE: V-5
PERMIT TYPE: STR
PERM NO: $ 067105
GOVT: N SUPP; N
PURPOSE; OTH
JOB DESCRIPTION : REMOVE BUR 6 REPLACE W/BUR SQ FT: 2,091
CLAIM C1ALUE: 2,091.00 CALC—VALUE; 2,091,00 GROUP OCC: R-3 /
COMMENTS: SMOKE DETECTORS REQUIRED PER 91 UHC
iF iE iE * iF iE it at it �N-3E iF �F #�lf iE 3F at jE aF iE 3F �f iE i6 ic * i(� fE �E iF 3E 3E iE iE �F iF iE if iE �f iF it ic� jE iF if if iF iE iE iF �E 3E iE iE iE �lf iE �E * x ic� �fE ih �lf- iE if 1E iE * iE iE iE at aE iE iE iF
Z O N I N G R E Q U I R E M E N T S
S E T H A C K S
------------ MAIN HOILDING ---------- --------- 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: 13951543 ZNE: REF NO:
PLANNING N6TES'> ,•
�
if if iE M fE 1f iE !F 1E iElF iE iF 1k fE iE if iE iE iE iE iE fE fE if 1E iE if iE �E ik iF if iE iE if fE 1f fE 1E iE if 1f #f iE iE if 1E k if 1f if fF iE iF 1F iE k iE iF ik iE �E 1E 1E iF 1k 1E aE:fE �F iE 3E 1E iE aE ik if iE
D E V SY,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
n
ZONING APPRO��ED BY , DATE: !'
BUILDING APPROUED BY ; DATE:
�
APPLICATION ISSUED BY; DATE; ���
ifiEifiEikiEfflEiFiE9FlfjFiE;iEiflEiElfihiEif iflEififiEitiEjEjEiE��Sc �EiE
if iE if 1F �E �E 1E if iF f: ff if if fE iE iE %3f 1E if if if 1E 1E * fE 1f if iE iE iE �N-if if ik iE iElE f49E 1E if fE if jf if iE iE iE ff 3E j! �F fE fF iE if it jf iE iE 9E tE iE iE if ik iF if iFlF iE jE If iF 1F if if iE
LEGALIZATION;N F E E S U M M A R Y STROCTURAL SEGMENT:Y
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 54.00 ,5p
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE FLAN—CHECK TOTAL PAID DUE
TOTALS----> 59.50 0.00 0,00 59,50 54,50 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 54,50 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
59,00 ,5p
i! iE iF ff iE �f jE iE 1E fE iF 1E iF iF iE if 1E iE *!F 1k iE iE iE if i:3f if iE iE jFlF iE iE �)E 1E iF If if 9E 1f iF ik if %!f 1E iE 3E if iE If if if iE fE iE iE 3E if 1f 9E iE 1E * iF if 9f if iE fE iE it iF jE if ik iF iF
I N D I V I D O A L F E E B R E A K D O W N
TYPE QTY D E S C R Z P T I O N UNIT COST TOTAL COST
SFR 2091 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 2,041.00
END OF FEES
CS 00160263—�D160264 T4 T 54,54
opTEe OS/10/94 TIME: iS:38
(� CONSTRUCTION ANO PLANNING POOL rA ��
APPROVALS Permit � Date Inspecto� qpRROVALS Permit # Date Inspector
1
1. Temporary Electrical Service qr Pole 52. Pool & Equipment Location
� 2. Soil Pipe-Undrgrnd. � . . 53. Steel Rei�forcement
3. Electricai Conduit Uiility�Undrgrnd. � 54. Forms
4. Electrical Conduit-Uqdrgrnd. 55. Electrical Bonding
5. Steei Reinforceme'nx - 56. Rough Plumbing & Pressure Test �
6. Electricai UFEft Grnd. �. 57. APPROVFlLTO COVER�GUNITE
7. Footings . 58, Electrical Conduit�Undrgrnd.
8. Foundation � 5$. Gas Pipe, O Undrgrnd., Test
9. Water Pipe�Undrgrnd. • • � 60. Backwash L�nEs, P-Trap, G� Undrgrnd.
10. Structural Floor System � 61. APPROVAL TO DECK �
17. Property Sewer Line & House�Connection 62. Backwash & ReceAtor-Finai
12. Sewer Cap , . 63. Heater & VenbFi�al 1
�,
13. Roof Drains ' •� 64, Plumbing System �- Finai � �
74. Rough Plumbing { � 65. Electricai-Fina� .
75. Ro�gh ElectriGal-Conduit 66. Soiar System-Pina; �
i 6. Rough Electric Wiring 67. Fencine� & Access Approvai
77. flough Wiring Sign 68. APPROVED FOR PLASTERING -
18. Rough Electrica�•T Bar Ceilin9 69. POOL/SPA SYSTEtv7S PINAI �
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20, �Wough Factory Firepiace :.�� �APPROVACS• ' Permit #' I
� i
21. Ducts, in StruCture � ' � - ��70. Underground�Hydro I
22. Ducts, Ventilating .71. Product Piping CGas �70i1
23. Gas Pipe�Rough & Test - � _ 72, Undergrounti Flush .
24. Roof Framing 73. Undergrnd-. Storage.Tank G Gas O Oil �
25. Roof Sheathing � � Z,$-q y ��.i� 74. Overhead Hydro - �
_�
26. T-Bar CeiVing (Strucwral} &�M1or.ocoat - _ �5.� Dry Chemicai }
27. Frame aad Flashipg . 76. bry Standpipe .- ' �
I
28. Lathing & Siding � -� • • 77. PIXED SYSTEM FINRL �
29. Insuiation � � 78.-�IRE PREV. FININ_ .
30. Drywali Nailin9 ' � HEAI.TH DEPT: REQUIREMENT
31. PlasterBrownCoat 79, fINALINSPECTION
32. Eiectrical Power Meter�Final $0. FOOD CERTIFICATE ISSUED -{j
33. Pinal EIACtric . Notes: . I
34. Final Heating & Air Conditioning � I
35. Finat Gas Pipe-Test , � j
36. Hood or CanoPY ' _ - �^ __`-_I
37. Final Factory FireD�ace ' • ' __ i
38. Final Plumbing - ' � i
39. �Vater Service�Final
4D. Gas Service�Final ' .
41. Solar pomesticFinai _ ,
42. Backflow Preventer ' _ ,,��n
� ,.
43. Backflow Irzigation • - .
44. landscape Irri9ation System � . . -
45. Sound Attenuation � � . - �
i
46. Handicap Regu�ations . � . j
�
47. FINAL STRUCTURE & BUILDING s���yc� �w�!
48. FINAL PLANNING . -, .
49. Electric Release to Edison �
50. Gas Release to Southern Ca�ifornia Gas Co � . ,
51. CERTIPICATE OF QCCUPANCY �
No. Date
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,�pp,9 , �
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�� 3035
�� 3039 ' � acv. �� � o oi
i •�REV.I �'' .l.:;
,L ► REV.1�'• � 1 �����! �
7 CASA aONITA 32�33 � M : m
� �yfl 3l c>,— �'
2a ' 29 � m �
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��1 � P�'�. o` � S �� ' ` � m
30�� 'io 4 � � � � `�Ot�i�c. \Z ��.,- - " • �
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F'i: Mil' � . � \'v �.
.: � w�niMa � � .� .
'' � �11.50 � ' � $6.��
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1 1 1 I l
l 14 15 I6 I�IB � 19 � 20 r 21 22 . 23 � 24 � 25 i 26 27
' , � � � CASA DEL AMIG S ; " I
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C � B I B REv.I.G PEV. I B FE¢I B I G. G. B�. I B PEV.IG,FEV. I 5 NEV. B ..G
3062 3060 3058 3056 3054 3052 3050 . 3042 3040 3038 3036 3034 3032 3031
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' ,,COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 97] C08TA M68A� CALIFORNIA
I '!
For Applicant ►o Fill.ln Completely
TYPE OR PRINT .
woo Ees° 00 Club House Circle
COSTA MESA, CAUFORNIA
OWNER Mesa Ve2'de Dev.Cp.
AD RE98 28 0 Mesa Verde uy�.
��.�, Costa Mesa _ •No �549-03�
^RCH�^EC��p E. Kaltenbach �. ;E�•547804�
FFE RECEIVED
FINANCE DEPT. ,
CITY OF COSTA MESA
APPLICATION FOR PERMR
BUILDING
For Ofiice Use Only .
PHCHIPT NO. `� S'[�,I�
�� U
V pBY DATBRlCHIVHD. DATE159O@D
� � �5—( MAR 4 1965
N6
59
TYPE v GROUP I& J
✓ED
DATE
ADDRH98 - � ----"" "'-"' - -
� A. P. NO. n��
CITV . . . .. .
STATE -' 181322 TEL, NOTE: NO EAVE OVERHANG 6HALL BE LESS THAN
LIC.NO. N . 90"TO81DE9REARP.L.
SIZE ' 2C X'�O '- ' I NO.OFlLW6Q ALLOWED (U. B. 0. REQUIREMENT)
' OF LOT � ryOW ON LOT '
YARDBAPPROVED YARDSAPPROVED
USEOF � ' MAIN BUILDIN6 ACCESSORV BUILDIN6
EXISTIN6 BLO6. "
(FROMGLSTRBET ` .
BET6ACK LIN6 FROM � � ' FRONT o�� FT. �� �
CENiER Op BTPEiT REAR YARD
R. HI�E a FT, FI',
SIDHVARDI LHRT RIQHT
DESCRIPTION OF WORK �. s�oe � Fr. �'.
� � a •E.
NEW X ALTfiRATIQN ADDITION REAR FT. FT• „
- ' -� D18TANCfi BET. BET. MAIN d '
MAIPo BLD 8. ACCESS. BLD69.
REPAIR OVIN6 DEMO ISH
BUILDIN6 ].500 NO.OP 6 2 VAR.ii �/ DATE /'.
SIZE ROOMS g� RIfiB C. U. P..{i' 3�-1' APPPOVHD 11-16-V'+
EXTERIOR WALL St.ILLCCO I ROOF R�l11tUP ' B�,PROV � DATE o� "�'�+ �7 �
COVERING COVERIN6�"`
USfi OF BUI DIIVB I�ID WORKTO B HRFORMfiD '
Res.w att Gar.� Pl.� ' HULD FOR SPEC A REQUIREMFNT9
� see permit on Lo 1 for conditions
1513 eQ. �. a 440 0
I HEFEBY �CKNOWLEDOE TXAT 1 X�VB REAO TH18 APPLIC�TION TXE AMOUNT 9HOWN UNOEP VALUATION IB FOR TXE i
•NO BTATB THAT THE ABOVH 19 CORHECT AND AGREB TO COM. PUflP058 OF H9TABLI6MIN0 A PERMIT FEE ONLY, �
PLY WITH OROINANC86 AND BTAT6I.AWG q60UUTINO ypLUAT10N - m �
BmLo�No orveT ci�oN. ��M� , _ _� ' . pERMIT FEE $ ��i �— �
SIGNATUR � � �
PERMITfE . S�� ��C /, C � O
AUTHORIZHD A6fiNT . � ! (�(' LL
• TOTAL FEE $ 7 % -�
ADDRESS
House
BUILDING
IPTION OF WOAK Re:
SONE VALUE $
)UP i$uJ TYPE j�
SUBCONTRACTOR I—