HomeMy WebLinkAbout3023 CLUB HOUSE CIR - Building Permits�
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PflOJECTF00HESS: 302.3 CLUB HOUSE CI
owxeesenme: LINDSEY COMPTON Z TR
aooRess: 3023 CL�IHHOUSE CIR
COSTA MESA,CA 92626
AflCHIENGINEEN:
ROOXESS:
NEG.NO.:
UNIT:
UNIT:
PEflm'nEE: pETERSON ROOFING ( 714 ) 979-71 i 1
aooxess: 3006 ENTERPRISE
COSTA MESA CA 9252&
LICENSEO CONTBACTOfl OECLAflPiION: I here�y atlirm Ihai I am licensetl untler provisions o� ChaD�er 9(commencinq with Sec�ion
7000) ol Oiv��sion 3 oi Ihe Business antl Pmlessons Cotle. ana my license is in full brce antl e�lect.
ciTruc.:095995 sraTeuc.:607872
�ate: ��` � —� .�— Signa�ure: _
WOHREBS' COMPENSATION UECIANATION: I M1ereby a�lirm that have a cerliticale o� consenl to selt-Insure or a cetlitica�e ot Workers'
Compensation Insurance or a cetlifietl copY �hereo� (Seciion 3800, Lab. C�. �
voucveo.:NC3501565 E%P.�pTE: U3IZOI9�
omenNr: REPUBLIC
, Certilietl capy is he�rIeby lumishea. [j3 Cetlifietl copy is �iled with the ciry BuilAing Oivision.
�ate: `� —�' � ` APDlicani
�� jr
E%EMPTION FBOM WOHNEflS' COMPENSATION OECIABATION: QhiYseciion neeA n�l be tompleietl if I�e permil is tarane hunUfed (S1q1) or less�.
I cenity �ha� in the peAormance o� Ihe wark �ar whic� IhiS permi� is issuetl, I s�all no� employ any person in any manner so as �o become
subiecl to the Workers' Compensation Laws ol Califomia.
Oaie: Signamre:
NOTICE: II, af�er making this tleclaration, you s�oultl become su61ec1 �o Ihe Workers' Compensa�ion pmvisions oi the La6or
CoOe, you mus� forlhwith camply with suc� pmvisions or I�is permrt shall be deeme0 revokeA.
CONSTPUCTION 1EN01NG AGENCY: I hereby a�lirm Ihai there is a constmction lentling agency br ihe pedarmance oi lhe work fo�
which Ihis,permil is issuetl (Section 3097, Civ. C�.
lENOEfl:
FDOflE55:
OWNEN BUILOEN �ECIABATION: I hereby aftirm that I am exempi Imm ��e Con(raclors' Sia�e License Law Por Ihe tollowing reason
(Sec�ion 7031.5 Business and Protessional Co�e: Nny ary o� countY which reQuireS a pe�mil �o consimc�, alter, impmve, tlemolish, or
repair any S�mcWre, prior lo �ls issuance, also repuires Ihe applican� for such permit �o tile a 5igned s�atemen� Ihai he/she is licensed
pursuant lo Ihe pmvisions of Ihe Conlractors' State License Law (Chao�er 9(commencing wilh Seclion 7000) al Division 3 oi the Business
antl Pwiessions Code) or that helshe is eKempi Ihereimm anA the basis lor Ihe allege0 exemption. Nny violation al Section 7031.5 by
any applicaN br a permi� subjec�s Ihe applicanl �o a civil penalry o� nat more ��an live hunOreO tlollars (5500�.
I. as owner ot �he pmpetly or my employees with wages as Iheir sole compensation, will do Ihe work, antl the
❑ struaure is not intendetl oroltered br 5ale (Section 70aa, Bu5ine55 and Professional Cotle: Th¢ ConVaciors' Slaie LiCense Law
tlaes not apPly �o an owner oi a pmpe�y wha builtls or impmve5lM1ereon, antl who tloes such work �imSelVhersel� or thmugA
his ar Aer own employee5. Omvi0e0 thal such impravements are nat inten0etl or offere0 for sale. II, however the �uilding or
impmvemenl is soltl wi�hin one year ol complelion. �he owner will have Ihe hurtlen of proving he/she tlid not buila or impmve
�Of ihp DurpOse o� sale�.
I, as owner oi the pmpeny. am exclusively canVaming wilh licensed conVacmrs b cons�mct ihe pmlec� (Sectian 7044, Business
❑ antl Pmtessions Coae: The Coniractors' Sta�e License Law tloes no� ap01y lo an ownerol pwperty who builtls or impmve5lAereon
and who conVacls for suc� pwlects wilh a canirac�or(5) license pursuan��o the Contrac�ors' S�ate License Law),I am aware
Ihat pmat at Iheir Worker's Compensa�ion insurance shauld �e pmvitletl lo me.
� I am exempt untler $eclion- B. 8 P. C.
for Ihis reason:
Oate: Ownec
I �o nereby certily ihat I am aware ol antl untlerstan0 Ne requirements o1 Califomia Nealin and Safe�y Cotle Sections 25505, 25533, antl
2553a antl ��a� I ar any IWure builtling occupanl willlwill not (circle one) neetl to compty with saitl state mdes and the requiremen�s for a
permii �ar conslmclion ar motlilicalion imm I�e Au Oualily Managemenl DistricL Residential constmction applica�ians are exempt imm
Ihese pmvisions.
Dale: AOPlicani:
I hereby retli�y Iha� I �ave read Ihis appilca�ian and slate that Ne abavelniormation is correcL I agree�o comply wiih all ciiy an� counly
ordinances antl 51die laws rela�ing Io bwltlmg conslmqion antl here6y aulharize represenlatives of Ihis cily lo enter upon Ihe abave�menlione0
propetly Iarinspejclion pu'rp,oses. �
�aie: � � O � � `� Signature: ��.q ( T".(�-�
�river's License or Social Security n:
AOPLcanL Pink—Revenue', Goltlenrod—Assessor
CITY OF COSTA MESA — HUILDING PERDIIT PERM NO: B 067112
PERMIT NO; H 067112 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V-5 PERMIT TYPE: STR PURPOSE; OTH
JOB DESCRIPTION : REMOVE HUR 6 REPLACE W/BUR SQ FT: 2,091
CLAIM VALUE: 2,091,00 CALC—VALCIE: 2,091.00 GROUP OCC: R-3 /
COMMENTS; SMOKE GETECTORS REQUIRED PER 91 UHC
*******��**rc�r****at***aci��x-�-***i�-**at**x�*+t�-+t�rt***��t*it�*�c**�*it-***�t*ir*r**x-�t*at*�c***�r*****
Z O N I N GS ERTEB�A�CIKRSE M E N T S
------------ MAIN HUILDIPIG ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR: FT IN FRNT; FT IN REAR; FT IN
LEFT: FT IN RGAT: FT IN LEFT: rT IN RGHT; FT IN
PARKING RE • PROV: PARCEL; 13951534 ZNE: REF NO:
PLANNING N 'I'ES>,
%
if �f if iE �f iE 1E iF iE 1f 9F k iE if if 1f ik # fE if iE if if 1E !E if 1! ik iF fF fE iE iE iE jF if iE iE fE iE 1E iE 1E ff if iE iE iE 3E 1E if 1E!F iF if 1t iE if iF k iE 1E ff iE iElf !F if if.dF if 1E iE fE 1E iE �E iE �I(�
D E V E,'L O P M E N T S E R V I C E S R E�1 U I R E M E N'�T S
ZONING APPROVED� BY DATE: `'�
BUILDING APPROVED BY ; DATE: �<'
APPLICATION ISSUED BY: � DATE: ��.: I`L
iElfibiElF�1F1Eih�lEiEfE�lEi(-fE#''iEiFiE1E*1FiE . 1EiEi6iFYkil�)EjEifiE�F� E E .�Ejf
ff fElE fE fElF iE fF 1f-1E iF iE if iF if iE fE iE iE iE if 1f iE �f iF iF IE 1E iE 1E iE jE if ik 1E iE if iE 9E aE if 3f �)E iE aE iE i4 iE #: i! if jE k iE if 4 iF ik ik iE 1E 1F iE �E if 1E iE iE if ik iE if iF iE iE 1f �f fE �f
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING ELECTRZC MECAANIC FIRE SMIP/RES GRADING
PERMIT 59.00 / ,50
'! SMIP/NON—RES
PLAN �� +
ISSUE FEE �:
BUILDING—DIV—> PERMIT ISSUE FLAN—CHECK TOTAL PAID L1UE
TOTALS----> 54.50 0.00 , 0.00 54,50 54.50 .00
REVENUE DIVZSION TOTALS--> COLLECTED; 54.50 OVER/SHORT; ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FZAE SMIP/TOT GRADING PLAN—CHECK
54,00 .50
iF iE aE iE ff if if iE iE iE k iF 1F iE if dF 3f i4 if 1E iF iE i:9E jf !f if 9E iE iE iF �E if ik if iF 1f iF iF iE 1: %!f iE if 9E jE iE �F * iE iE 1E iE if jE 1f 3f if i: iE if M�f i! fE iE 1f if 1E fF 1FlE fE if iE jF af 1E
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 2091
REROOF BY VALUE RESIDENTIAL NOZONE
END OF FEES
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1.00 2,091.00
01 Q�160253-00260254 7'p 7' g4.50
DATE: OS/YO/94 TItIE: 1S:3S
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ICONSTRUCTION ANO PLANNING P� y SPA �
� APPROVALS Permit iF` Date 6nspector AppROVALS Permit � Date knspecmr
Y �
7. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe�Undrgrnd. - 53. Steel Rei�forcement �
3. Electrical Conduit UtiiitY•Undrgrnd. - 54. Forms � �
4. Electrical Conduit•Undrgrnd. �. � --' 55. Electrical 8ondinfl
5. St�el Reinforcement . 56, Rough Plumbing & Pressure Tzst
6. Electrical UPER Grnd. 57. APPROVAL TO COVER�GUNITE �
7. �Footings � � . 58. Elecvicai Conduit-Undrqrnd.
8. Foundation . 59. Gas Pipe, O Undrgrnd., Test •
9. Water Pipe�Undrgrnd. ' � � fi0. Backwash Lines, P�Trap, O Undrgrnd.
� '
10. Structural Floor System - � � 61. APPROVAL TO DECK
i t. Property Sewer Line & House Connection .� 62. Back�a•ash & Receptor-Finai �
12. Sewer Cap .. . 63. Heater & Vent-Finai
13. Roof Drains 64. Piumbing SYstem � Final �
14. Rough Plumbing 65. Electrical-Finat �
15. Rough Eleccrical-Conduit 66. Solar System-Fina! �
76. Rough Electric Wiring � 67. Pencin� & Access Approval �
17. Rough Wiring Sign 68. APPROVED FOR PLAS7ERING
18. Rough Eiecirical-T Bar G'-ilmg 69. POOL/SPA SYSTEN75 FINAL
79. Rough Heating & Air Condi:ioning PIRE DEPT. REQUIREMENT I
20. Rough Factory Fireplace � APPROVAL$ , Permit # �
21. Oucts, in Structure 70. Underground-Hydro �
22. Ducts, Ventilating 71. Product Pipin9 O Caas ❑ Oii
23. Gas Pipe-Rough & Test 72. Uncierground Flusii '
24. Foof Framing � - 73. Undergrnd.StorayeTank CGas ❑Oil I
25. Roof Sheathing s�3.,RL� �'(,�� 74�. Overhead N;dro "' �.� i
26. T-Bar Ceiling (Strucwrif & Monocoat 75.-Dry Chemical I
27. Frame and Flashing � . , 76. Dry Siandpipe � �I
28. Lathing & Siding � - � ' • - •• 77, 'FIXED SYSTENt FINAL �
29. Insula[ion . �� . � � 78. �FIRE PR'eV. FINAL I
30. Drywail NaiHng � � HEALTH DEPT. R�EQUIREMENT �
31. Plaster Bro�vn Coat . � 79. FINAL INy£'�CTION '', . -� ��
32. Elecirical Power MeterFinai ' � 80. �FO00 CERTlFICATE ISSUED
I
33.�'Final Electric ' � Notes: � O,r � �
_i4r_/ir L .I/a% � /vr�t 'f�l�Ly -1
34. Final Heating & Air Conditioning � i �'/J
35. Final Gas Pipe•Test
�`
36. Hood or Canopy � ' � . � .. _ - �
37. Finai'Factory Fireplace � � �- � � j
38. Final Plumbing � . . i
39. Water Service-final
i
40. Gas Service�Finai �
41. Soiar pomestio-Final � • � � .
42. Backflow Preventer �
i.
43. Backflow Irrigation � -
44. landscapelrrigationSYstem ., � � �,
45. Sound Attenuation � � , . � ,
46. Handicap.Regulations � � � � � i
47. fINAL STRUCTURE & aU1LDING s J/_ ���,� � �
48. PINqL PLANNING , , �, •.
49. Etectric Re�ease to Edison �
50. Gas Release to Southem Califor�ia Gas Co .
51. CERTIFICATE OF OCCUPANCY _
No. Date
, � G � �7 �35 3U33 r" ;
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(` 90A \c . 1 � 30 31. — -- -W �
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`�h�n
COSTA MESA BUILDING-SAFETY DEPARTMEM'
P. O. BOX 917 COBTp MBSA� CALIRORNIA
For Applica�} fo Fill In Compfefely �
TYpE OR PRINT
JRE'SS 3023 Club House Circle
COSTA 'MESA, CALIFORNIA
NER idesa Verde Inv.Co.
JR6�8 2850 Mesa Vexde Dr.
Costa Mesa reS490395
Y NO.
ENIGI ae � E. Kaltenbach NE��5478046
)RES8
,re,,.r„p Same as Owner
STATE ]_a13'Z'Z TEL
LIG. NO. ' N :
s�=E 26 x 70
OF LOT
USEOF����____��
EXISTIN6 BLD6. '
HETBACK LINC FROM
DESCRIPTION OF WORK
x II I II
S ZIE DIN6 1500
E%TERIOR WALI�+.tUCCO
COVERING
US8 0F BUI LDIHB AN9 W�
Res.w/;
�I HEREBT ACKNO'
AND STFTE THAT
PLY WITH AL
BUIL�INO CO BTF
{� AUTHORIZfi� A6fiNT
BLDOB. O
FEE RECEIVED
FEB 25 1965
FINANCE DEPT.
APPLT�ATIdN FbkTp�R%vtlf�
BUILDING
For Office Use Only
PiC[ItT NO. P^EPMIT NO.
/ e' `
R[CpVpDGY OAT6R[C61V[D_ DAT�BUEI
�/L�Oi' �. �-�.4 —�< �...., e ,n
zR�■
�eoe�
� � TYPE V GROUP I& J
owre
NO, Op zONING oP NgW . �
�L.�l1! 2 GIIILDINO g�.�e
Lot 34 Tr. 4660
none
'E OVERHAN(d SHALL BE LESS THAN
; REAR P. L. �
(U.B.C.REQUIREMENTI
YAR�SAPPROVED - YAROSAPPROVED
MAIN BUILOIN6 ACGESSORY BUILDIN6
YAR. JC
6 BTORIfiB 2 C. U. P.
IN6 B111.l.tiUP BYPRO'
Gar.
i 1 X�V6 RBAD THI6 APPL�CATION
IB COqq6CT ANO AOPEE TO COM.
:68 AND BTAT[ LAWH p[OULATINO'
r�
DATE
See permit on Lot�l for conditions
1513 sQ. �J 440 0
THfi AMOUNT eHOWN UN�BR V�LUATION 19 FOR THE F
PUNP088 OR BSTABL�8HIN0 ♦' PERMIT FE8 ONLT. 0
VALUATION m
PERMIT FEE $ ��f -� �
�
�oa7E_ m
s � �� — a
n
TOTAL FEE �