HomeMy WebLinkAbout3009 CLUB HOUSE CIR - Building PermitsT
PflOJEC'. AOOPE55: 3 O O 9 CLUB HOUS E C I
OWNEN'SNAME: POFF DONALD O TA
ADONE55: P � ��X -�T6
HELENDALE,CA 92342
ANCN/ENGINEEfl:
ROOFE55:
flEG.NO.:
UNIT:
UNIT:
venminee: pETERSON ROOFING ( 719 ) 979-7111
noosess: 3006 ENTERPRZSE
COSTA MESA CA 92628
LILENSEO CONTXALTON OEGUIHNTION: I �ere�y a��irm �ba� I am licensea un0er pmvisons ot C�apter 9lcommencing with Sec�ion
7000� ol �ivision 3 0l Ihe Business antl Pmlessians Cotle, an0 my license is in full farce and eifeci.
cirvuc.: 045445 srnreuc.:607872 ciass: C-39
Da�e: " Signature: _' � �7���$a
WOPREBS' COMPEN�TION: I hereby ai6rm tha ave a cetli�ica�e o� consent to seli-inmre or a certi�icate ot Workers'
Compensanon Insurance, or a cenified coDY �hereoi (Seclion 9804 Lab. C�.
roucrxo.: NC3501565 EXP.ORTE: O3/ZO/9S
•comraNr: REPUBLIC
] Certitied copy is here6y furnished. }� Certifietl copY is IileO wiih lhe ci�y Builtling �ivisian.
�aie�. �'�7 r� Y Applicanc w�.�0
E%EMPTION FpOM WOBRENS' COMPENSAiION DELLAHATION: (This s an nee0 nol be comple�etl i� �h¢ perm� i5 for one hunOreA �5100) or 1e55�.
I cenify Ihat in ine DeAormance ot Ihe work lor which ihis Dermi� is issuetl. I shall not employ any person in any manner so as to �ecome
5u01ec1io the Workers' Compensation Laws of Calibmia.
�aie: SgnaWre:
NOTICE: Ii. alter making this tleclaraiion, you 5houlA become sublect �o Ihe Workers' Compensa�ion pmvisions o� the La�ar
Code. you must forlhwii� comDty wil� such O�oviswns or ��is permi� shall Ue Oeemed revoke0.
CONSTBOCTION LENOING PGENCY: I �ereDy atfirm Ihal there is a mnslmc�ion lending agency lor Ihe Oe�ormance o� Ihe work lor
whicn this permit is issuee �Section 3097. Civ. C�.
LENOEH:
AODFESS:
OWNEP BUILDEB OECLABATION: I �ereby a�hrm �hal I am exemp� imm the Contracbrs' Slate License Law �or lhe lollowing reason
(Section 7031.5 Business antl Professional COAe: Any ciry oi counry w�ich re0uire5 a permi� to con5imct. atler, improve, Oemolish. or
repair any slmciure. prior lo ils issuance. also requires Ihe aDPlicani for suc� p¢rmi� �o �ile a signetl s�a�ement Iha� �e/she is licensed
pur5uamtoihe pmvisions ollhe Coniractors' State License Law�Chapter9�commencing wi�� Sec�ion 7000) ofOrvision 3 ot��e Business
antl Pmlessions Cotle) or Ihai he/she is exempi �herelmm and Ihe basis tar Ihe allegetl exemption. Any viola�ion of Sec�ion 7031.5 by
any apD�ican� for a permi� 5u61ecis the applicant to a civil penalry o� no� mare �han five huntlred dollars ($500)
I, as owner of ihe DroDetly or my employees with wages as Iheir sole compensation, will tlo ihe work, antl Ihe
❑ s�mciure is nol in�en0e0 or oifered lor sale (Seclion 70a4, Busmess antl Pmfessional Cotle: T�e Con�ractors' S�a�e license Law
tloes na� apD�Y �o an owner at a pmDeny who 6uilds or improves Ihereon, antl who tloes such work himsell/herseli or �hmugh
his or her awn employees, pmvitle0 �hat 5uch imD�ovemen�s are noi in�entled or Of�eretl �or Sale. I�, however �he building or
impwvement is sold within one year o� compleiion. Ihe owner will have I�e burden o� pmving he/she ditl noi build or impmve
IOf �h0 pI1fP05¢ 0� Shc¢).
I, as ownerofthe pmperty,am exclusively contrading wi��licensed conVaciors�a constmclihe pmjecl�Section 7044, Business
❑ and Pmlessions CoOe: The Conirac�ors S�ale License law tloes not apply m an owner o� pmpeny who 6uilds or improveSlhereon
antl who conVactS for such pmle��s wiih a coniraclor(5� license pursuan� to ihe Contrac�ors' State License Law),I am aware
that pmol ol �heir Worker s Compensa�ion insurance s�ou10 be provitleE �o mc.
� I am exempl unaer Sectmn: B. 8 P. C.
for �his reason:
Oa�e: Owner
I tlo hereby certily Inat I am aware ol antl unAerstantl the requirements ot Califamia Heallh ana Safety CoOe Sections 255Q5, 25533, ana
25534 and thai I o� any luture builtling occupanl will/will nol (circle one) need to comOty with sald state codes and Ihe reQuirements for a
permil Im cons�mc�ion or motldicatmn Irom Ihe Air Oualiry Managemen� Oisiricl. Resiaential consimc�ion applicalions are exemp� �mm
Ihese pmvisions.
Oate: ADPiicant:
I �ere�y cetlity ��at I have reaa Ihis aOPlication antl sla�e Iha� Ihe a�ove inlormaiion is correct. 1 a9�ee to comply wit� all ciry an0 counry
ortlinances ane Slaleiaws relalingto building con5lmclion an0 hereby aulhorizerepresenla�ives oi�his ciryio enter uDonihe above�mentioned
pmperry �or inspeciion purposes. L//f�e��
Daie'. ���—��'_J_ Signalure:_� �
Oriver's License or Social Security
Applicanl: Plnk—Revenue; Goltlenrotl—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 067107
PERMIT NO: H 067107 PLAN CHECK NO; N GOVT: N SUPP; N
CONSTRUCTION TYPE: V-5 PERMIT TYPE: STR PURPOSE; OTH
JOB 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 REQUIREU PER 91 UBC
i�*x-�t***+t***ic�i[�r-x�*********�x-***x�***�-�**+�acaE+E+�*****�*x�*r�*�**�*�***********+r�+E****x-er�x-
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 BUILDING ----------
FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN
--------- ACCES50RY BUILDING ---------
FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN
PARKING REQ: PROV; PARCEL; 13951541 ZNE; REF NO:
PLANNING NOTES> ,,V.
:? ' i
iE jF iE if iE iE it �lf iE iF k it iE �)E i6 iE iE if iE iE iE if it if iF i! iF ik iE 1E 1E iE 1E if it {E if iE iE iE iE it iE 1E fE iE �1F iF iE iE jf iE iE if if iF if if iE iE iF jc �E iE iE if iE if if �f iElf !E iE iE 3t iF iE 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
/.
ZONING APPROVED BY DATE; :�
BUILDING APPROVED BY : DATE: %�-
APPLICATION ISSUED BY: DATE: ��F���'
iFiFikiFififlEiEiEiElEiFiEj6iFifikiFiEiEiEiE. iE1lifiFiEifiEiEikif iEaE
if iE fF iE if iE iE if iE iE iF ib iF iF # iE #f iE if iF IE fE 1E iE iE iE �1E if if iE i! %iE �1E if tE 9E 1E iF fE 1f if iE iE if 1E 1f if 1E iE # ff it iE it it iE if �)(� fE �11� iF iE iE jE iE 1f� 1f 3E iE �lE 1E iE iE iE iE iF �N-iE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FZRE SMIP/RES GRADING
PERMIT 54.00 .50
SMIP/NON—RES
PLAN
ISSUE FEE
HUILDING—DIC'—> PERMIT ISSUE PLAN—CI-IECK TOTAL PAID DUE
TOTALS----> 54.50 0.00 0.00 54.50 54.50 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 54,50 OVER/SHORT: ,00
BLDG PMT PLOMBING ELECTRIC MECAANIC FIRE SMIP/TOT GRADING PLAN—CHECK
54.00 .50
if if iF iE 3f if iE 14 iE iR iF if iE if 1E iE iF iE i! if if iE 1E it iE iElf if jf if if iE iE iE if iE if it k iE iE if 1f iE iE iE iE if iE if iF iF if !t iF iF iF iE iF iE iE if 1E iF iF iE 1F 1E iE fE iE iE iE if iE if iF �f jE
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 C� N UNIT COST TOTAL COST
SFR 2091 REROOF BY VALUE RESIDENTIAL N020NE 1.00 2,091.00
ENP OF FEES
Di 0016�259—Q0160260 T O T 54.5{Y
DATE: 05/10/94 TIttE: iS:36
� . ----_
CONSTRUCTION AN� PIANNING " ' � PO ,� SPA �
'��� - �pate I�nspector Date Inspector
�, APPRQVAIS Germit � ,� APPROVALS Permit #
,}. Temporary Elecuical Service qr Pole � 52. Poof & EquiUment locatlon
2. Soil Pipe�Undrgmd. - _ 53. Steel Reinforcement
- 3. Electricai Condµ;i Utiirty-Undrgrnd. ^ 54.- Forms �
4. Electrical ConduiT�Undrgrnd. � 55. Electrical Bonding
5. Steel Reinforcement 56. Rougb Piumbing & Pressure Test
6, Eiectrical UPER C�rnd. 57. APPROVFlL TO COVER�GUNIT[ -
7. Footings . 58. Elecirical Conduit-Undrgr�d.
8. Foundation ' , 59. Gas Pipe, lQ-Undrgrnd., Test
9. Water Pipe�Undrgrnd. � � � 60. Backwash lines, P-Trap, � Undrgrnd.
�
�.
10. Structural Floor System . 61. APPROVAL TO DECK '
11. PropertySewer'Eine�& F�ousQ,Connectian.��i. �� ' 62. 6�,skwasli�& ReceptorFirai ' �
72. Sewer Cap -� � 63. Hea,er & Vent-Finai •
73. Roof �rains �;' � 64. Piumbing System - Final
14. Rough Plumbing I � 65. Electrical�Final
15. Rough Electrical-Cond�lt � � 66. Solar System-Final �
16. Rough Electric W�ring 67. Fencing & Access Approval
77. Rough Wiring Sign 68. APPflOVED FOR PLASTERING
18. Rough Electricai-T Bar Ceitin9 69. POOL/SPA SYSTEMS FINAI�
79. Rough Heating& �Air Conditioning � FIRE DEPT. REQUIREMENT
20. Rough Fattory.Fireplace ' - APPR�VACS� �� Permit #
21. Ducts, in-Structure . . .. � , � ' -y0. Undergiounc3;Hydro �
22. Ducts, Ventilating - .71. Prcduc[ Pipiny Q Gas u Oil
23. Gas Pipe-Rougfi &� 7est ' ,, , -. 72. llnder9round Flush �
24. floo� Framing ' � • �� ' 73., Undergrnd.StorageTank QGas ❑Qil
� 25. R¢of'�heathiag .� s Z3i�L( � G/� 74. OvBrhead H�tdro '
� 26. T�Bar Ceilin9 tSUactural) & Mortocoat 75, Dry Chemica� �
27. Frame and Flashing, .. .. 76.' Dry Stand'pipe , ,
�8. Lathing & 5iding . . ' . • ' • 77. FIXED SYSTE(Ui FINAL� I
� 29. Insulation . . ' � 78:=FIRE PREV. PINAL
30. Drywall Nai4ng � �� - � HEALTH pEPT. REQUIREMENT
31. Plaster B�own Coat _79. PINAL IN§P.ECTION
32. Electrical Power Meter�Finai � ' _ .8p. -FOOD CERT!�ICATE ISSUED
33. FinajElec.ric . � ' No4es: _
34. Final HeaUng & Ai Conditioning - � �
35. Finat Gas Pipe-Test � -' , � • - _ , i �
36. Hood or Canopy • 1 - ,_ �
.37. Fina1 Factorv Fireplace " � ,"•' ' , . '
38. Final Plumbing � _
39. Water Service-Final � � ��
A0. Gas Service-Final . ��, ,. . .. �
41. Solar pomesuc-�inal � " ' �
42. 8ackftow Preventer � . • �� •
43. Backflow Irrigation � :• '
A4. Landscape Irriqation Sys[em,� � - . � �
45. Sound Attenuation '- � , ' ' � .;
46. Handicap Regulations ' � , � � ��
47. FINALSTRUC7URE&BUILDING 5=j1,9c� �W� '
.,..
48. FINALP�ANNING '' • . , . ,
49. Electcic Release 4o Edison � � , . �
50. Gas Release to Southern California Gas Cr�
51. CERTIFICATE OF OCCUPANCY -
No. Date
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JOB ADDRESS 00 58 '12' le BUILDING PERMIT NO.
GENERAL CONTRACTOR $gme DESCRIPTION OF WORK RES.W S't't.g8:
INSPECTIONS
or
u
Date GROUP j$�J TYPI
���5 SUBCONTRACTOR
�����
COSTA MESA BUILDING-SAFEfY DEPARTMENT
' P. O. BO% 917 COSTA MC$p� CALIFORNIA
For Applicant fo Fill In Completely
TYPE OR PRINT
COSTA MESA, CALIFORNIA
Mesa Verde:Dev.Co.
2850 Mesa Verde Dr'.
�,...+., r.,...,. .
� ,".o�".'�Eu �e E. Kaltenbach
Same as ownex
6TATE 1S1322 TEL, _
LIC. NO. NO.
OF LOT G/ X I � , I NO. OP
NOW OI
USEOF��_���__y
DESCRIPTION OF WORK
x �� .� ��e.,:�;..� � �� .....
�32 Ro' Ma 5 R, g2
WALL S.tllCCO COV�ER�N6 1!U11t.U�1
ILDIfi6 AND WORK TO BE p fiRFORMHD
Res.w�att.Gar.
�1 HEREBT I
ANo BTATE
PLY WITH /
BullDlrv6 d
� AUTHORIZ6D A6fiN7
G8 THAT 1 NAV6 REAO TH18 APPL�C�TION._
•BOV6 IB CORHECT /.NU AOREB TO COM.
:DINANCEB ANO 9TAT8 L�W9.q60ULATING
f tE RECEIVED
FEB 25 1965
FINANCE DEPL
CITY Of COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
� R6CCI1✓f NO. PERMI
er
FIRE
ZONINCi
ZONB NO.OR U880FN8 eS• W i
R(y runn 2 aui�mxa garage
`°`"� rt1�. !p� 4660
DH6CqIRION LOti �1 li ♦
A. P. NO. r=One
NOTE: NO EAVE OVERHANO SHALL BE LE68 THAN
YARD9APPROVED , YARDSAPPROVED
MAIN BUILDING� ACCESSORY BUILDING
/ FROM C/L BTREET
FRONT ' FT.
R.81D � FT. � �'•
L. BIO O FT. FT.
REAR O FT. Ff.
D18TANCE BEf. BET. MAIN @
MAIN BLO 8. ACGESS. BLD69.
VAR.� ___ OATE __ _� �,�
APPROVE �l��l l _
Y DAT6 0� d J
HOLll FOR SPEC A REQUIREMENTS
=e permit Ai�.on t 1 for conditi
i25o so. �. 46o s
THB AMOUNT eHOWN UNDEP VALUATION Ie FOR THE
PORP098 OR 68TABL18HIN0 A PEqMIT FEE ONLT.
VALUATION �
- PERMITFEE
$ � OS / pLAN GHECK S�A S'