HomeMy WebLinkAbout3039 CLUB HOUSE CIR - Building PermitsPflQIELTA00PESS: 'in3C CLi7B i-IOUSB CI
OWNEN'SNAME: �NyC DUNA.LU, C:RAIG
aooxess: NC UONALD ,KICiinL�
3039 CL3BifOUSc CIR
COS'PA MESA,CA
AHCH/ENGINEEfl: 7`� 1— � 1 J 1
qooness:
.l
92626
UNIT:
flEG.NO.:
UNIT:
PEflMITTEE: ���C� pI.GMBI:NG ('714)895�-12�?6
aooness: I7.6I0 SEIIBOARD CIR
SiAN'iC)N • CA 906R0 �
IICENSEU CONTHACTOB OECLNBATION: I hereby a��irm �hat I am licensetl un0er provisions o� Chap�er 9(commencing wi�h Sec�ion
70�0) of Oivision 3 0� I�e Business and Professions Code, antl my license is in lull force an0 efteci.
cirruc.: 0�0386� sTareuc.:S�Yy71 cuss: C-36
'Oa1 t—e , � '' ( �� r � gjIgnaNre: ��--4[1dQ
WOPNEHS' COMPENSPTION DECIAflATION: I hereby aflirm �ha� I have a cetliticate o� consen� to sel4insure r a certificale o� Workers'
Compensaiion Insurance. or a cetldietl copy �hereo� (Sedion 380�>Lab. C).
POLICY NO.: j i�'� a C3 `[j (� EXP. DFTE: ��j I O.1 I 9�
COMPnNY: STATE
❑ Cenitied copy is hereby fumishetl. ��'Cenifietl coDY is filea/�y'ih the ciry Buildi7ng Divison ///�
.Date:. �— I �7 ._C�� A�Piricant� —t'-'[�t'N iY/YY_(.GL .
�EXEMPiIONFPOMWOBKEBS'COMPENSATIONOEC AION: (ThissttlionneeEnotbecompleteai�Uepermilisforonehundre0�3100�or1e55�.
I ce�ily �hai in Ihe pedormance a� Ihe work tor which Ihis permii is issued, I shall not employ any person in any manner so as �o become
5ubjeci lo I�e Workers' Campensa�ion Laws of Califomia.
�ate'. SignaWre: '
NOTICE: II, a�ler making Ihis detlaraiion, you ShoNa betome Subleci to NC Work¢rs' COmpensa�ion pmvi5ion5 01 IAe LabOr
Cotle. you mus� forihwi�h comply wi�h such provisians or this permil shall be tleemed revoked.
CONSTHUC710N 1EN01NC PGENCY: I �ereby aHirm Ihat ��ere is a cons�mction lending agency for Ihe pehormance of �he work tor
which ihis perme is issued ISection 3097, Civ. CI.
LENOEfl:
AOOFESS:
OWNEP BWlOEB OECLAFATION: I here�y aliirm Ihat I am exemp� �mm the Contractors' State License Law �or Ihe following reason
(Seclion 7031.5 BuSiness antl Pro�essional Coae: Any ciry ol couniy whic� re0uire5 a De�mil �o constmct, al�er, improve, tlemolish, or
repair any 51mcWre, prior lo its issuance. also requires �he applican� for such permit Io tile a signed statemeni that he/she is licensed
pursuan� to Ihe pmvisions af the CanVac�ors' Slaie License Law (Chapter 9(commencing with $ection 7000) o� �ivision 3 0� the Business
antl Pmiessions Cotle) or Iha� he/she is exemp� Ihere�mm and �he �a5is lor Ihe allege0 exempiion. Any viola�ion oi Sedion 70.31.5 by
any app6caN �or a permi� sublecls the applican��o a civil penally of not more ��an five hunOred tlollars ($500�.
I. as owner oi Ihe property or my employees�wi�� wages as ��eir sole compensation, will tlo �he work, and �he
❑ s�mciure is nol intendea or offered lor sale (Seclion 7044, Business antl Protessional Code: The Contractor5' S�a�e License Law
Ooes nol appty to an owner ol a propeny who huilOs or impmves ihereon, an0 who tloes such vrork himselUherself or Nmugh
' his arher own employees, D�ovidetl ihat such impmvemenis are not inten0etl or ofiere0 lor sale. If, �owever the builtling or .
impmvement is soltl wiihin one year ol compleiion, Ihe owner will have �he burtlen ol pmving he/she did not huild or improve
for �he purpose 01 sale�. ,
I. as owner of Ihe propetly. am excWsively coniracting with IicenseJ contractors to consimct Ihe prolect (Section 7044, Business
❑ antl Pm�essions COUe: The Comracmrs' S�a�e License Law tloes no� apDty m an owner ot pmperty who 6uilOs ar impmves Iherean
and who conVac�s �or suc� pmlec�s wi�h a conVacloqs)license pursuan� to �he ConVac�ors' S�aie License Law),I am aware
�hal O�ool ol �heir Worker's Compensation insurance shoultl be pmvided to me.
� i am exempt under Seclion: B. 8 P. C.
tor Ihis reason:
�ate: Owner
I tlo herehy cetli�y Iha� I am aware a� antl unaers�antl ihe requiremems of Califomia Health an0 Safety Cotle Sec�ians 25505, 25533, antl
2553a and Iha� I or any fuWre bWlding occupanl witl/will no� (circle one� need to comply with said slaie cotles antl �he reQuiremenls �or a
permil �or cansimclion ar motlifica�ion Imm Ihe Fir Ouality Managemenl Di5lricL Resitlen�ial conslmciion applicalions are exempi �mm
i�¢5¢ prOvi5i0ns. '
�ale: Applicani:
I hereby cetltly ihal I have read Ihis apPlicziion antl sta�e Ihal the above in�ormalion is correct. I agree �o comply wit� all cily antl coun�y
ortlinance5andslalelanSBla�inglobuilamgconsimclionantlherebyaulhorizerepresen�ativesolthiscitytoenleru e �heabave�mentionetl
pmperty tar inspec�ian purpose(sy. ,
-�ate:. `'� � ¢� ' L � Si9nalure: i il �
..�"
Driver's License or Social Securi�y q:
Appllcanl', Pink—Revenue�, Goltlenrotl—Assessor
CITY Or COSTA M^:;A. - 3uILDIivG FERNTT
PEZMIT NO; P 0�1719 PLP.N CHF'CK NO; N
CONST�JCTIOiV TYPE: V-N PERMTT TYPE:.PLU
JOB iJ�SCRIPTIOti ; CHANGE OliT OF DIS�W�SiiER
CI�AIM VALUE:
C,•-1L C - VAL UB ;
P E�Ni h0 : F� ('1.`i 171 �'
GOVT: N S:JPu; ti
1�i7RPOSc; OTii
S�,i :'T .
C>ROUP UCC: R-3 J
CUMNi^cNTS: Si�1iJFCE DFTF.CTC)R RE�UIREll
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LF"r'T; FT IN RGHT; FT IN LEFT; FT If� RGHT: FT TN
PARKIN(� R$(�• ' PRO�r: PARCEL: 139�1529 'l.n�: REr iVO:
PLANNING NOTcS> '
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D, E V E i, O P N, E N'T S E R V Z C: E S' R E Q i7 T R�' M E N T'�
7.ONii�G APPROVnD BY _ ' I�ATc:
BirILDING APPROVED BY
APPLICATION TSSUED HY• �����
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L�.GALI7AiION;h1 F E c S,U M M R
BLDG PNaT �LUMLtING EiFC:TR,7C ,MECHANIC
PERMIT 2 00
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DATF; �f�����
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BUZLDI�G-DIV-> PfiRMIT .;ISSi7E PLAt1-�ricCi( TOTAi PAID DiiF
'i'OTAi.S----> 2.00 � '3.00 '0.00 5.00 S.OQ .00
kEVEi�3T!`e D'IVISIUN iOTALS--> - COLliEC.TED: � 5,00 OVER/SHORi.: .00
3LDG PM.T Pi.uN3ING cLECi�ZC NECHANTC F'iRE SNIP/i0i GRAilING P�AN-CHcCK
5.00
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I N D I V I D il A li= F E � B R E A K. D O W N �
TYPE QTY D E S C R I P T Z O N� � iJN�T COS'P TOTA:� COST
• i7 , , '
��,�T 1 D1s�i�As.i�.� � z.00 ��.oc
_ . ;'NIj OF , ��S
• r
01 i194$bi§S—R6t1°5161 �9=a�'
DATE: 04I30,`9? 7I11E: 1L�:?S
,
`..OR
CONSTRUCTION AND PLANNING FC i SPA � �
APPROVALS Permit # Date Inspector p�ppROVALS Permit # Date Inspector
� 1. Temporery Electrical Service o'r Pole �� � 52. Pool & Equipment Location . •
• 2. Soil Pipe�Undrgrnd. "? _�; - ' 53. Steel Reinforcement - =i.
3. Electrical Co�duit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit�Undrgrnd.� � 55. Electrical Bonding '. „��
5. Steel Reinforcement 56. flough Plumbing & Pressure Test
• 6. Electrical UFER Gmd. ,. ��� 57. APPROVAL TO COVER�GUNITE � .�
7. Footings 58. Electrical Conduit�Undrgrnd.
�8. Foundation ' � 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd.. '' • 60. Backwash Lines, P-Trap, O Undrgrnd. .,�--
10. Structural Floor System . 61. APPROVAL TO DECK � _,
�11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final �^
12. Sewei Cap .. ��, _ 63. Heater & Vent-Final
� 3. Roof Drains �,' 64. Plumbing System - Final _,
14. Rough Plumbing ' �+� 65. Electrica6Final ��
15. Rough Electrical-Conduit � 66. Solar SYstem-Final �
16. Rough Electric Wiring 67. Fencing & Access ApProval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
78. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O'Gas ❑ Oil
23. Gas Pipe�Rough & Test � 72. Underground Flush
24. Roof Framing ' ' 73. Undergrnd.StorageTank OGas OOiI
25. Roof Sheathing � 74. Overhead Hydro
26. T�Bar Ceiling (Structurall & Monocoat � 75. Dry Chemical
27. Frame and Flashing , � . 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL �
29. Insulation . 78. FIRE PREV. FINAL
30. Drywall Nailing '� • HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat �.✓ , 79. FINAL INSPECTION
32. Electrical PoWer Meter�Final _ 80. FOOD CERTIFICATE ISSUED
33. Final Electric . Notes:� tf4 �O d/yE Ef���' L.FFr�G'
34. Final Heating & Air Conditioning .� 7�Z(4� �� dOY�f�OyY� _[,�., Gp2lJ� ��EU
35. Final Gas Pipe-Test . '�� Cr� �7���r ��Pr�O � �o� Z,�
36. Hood or CanopY • U,(?� G�.
37. Final Factorv Fireplace ' ` �
38. Final Plumbing _
39. Water Service-Final •
40. Gas Service-Final
41. Solar pomestic-Final -
42. Backflow PrBventer '
43. Backflow Irrigation
44. Landscape Irrigation System � .
45�. Sound Attenuation '
46. Handicap Regulations �
�
47. FINALSTRUCTURE&BUILDING ,
48. FINAL PLANNING � ' '
49. Electric ftelease to Edison -
50. Gas Release to Southem Califomia Gas Co �''�
.j �
51. CERTIFICATE OF OCCUPANCY !
No. Date
���„�
• COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 91] CO3TA M�BA, CALIFORNIA
For Applican► fo Fi11 In Complafely
TYPE pR PRINT
BUILDIN6
wooaess 0 C1ub House Circle
COSTA MESp, CALIFORNIA
OWNER S E C12
AD�o`a�ss 2850 Mesa VErde Dr.-
��TM Costa Mesa - No 5490395
ARCHITECT E. Kaltenbach. -F,�`5478046
flR cN(:INFRW
Same as Owner
STATE
LIC. N
61ZE
� �ac�r �---------
EXISTING BLD6,
� HETBAGK tINE FHOM '
DESCRIP710N OF WORK
FEE RECkIVtU
fE8 25 t965
FINANCE DEPT. �
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
" I RHCRIPT NO. I /�1�1
oersiesueo
V GROIIP I lL J
ZONING
ZO [ NO.OR/� U9lOPNEW eB•
R� ILANB G BUILOfN6 'Oar
0
�oa�e,..�.,.. .L � f�% Tr. 4
,. No. none
'E: NO EAVE OVERHANG SHALL BE LESS THAN
TO SIDE 8 REAR P. L. ' :
ES
.OWED ' fU:B.C.REQUIREMENTI
YARDSAPPROVED YAROSAPPROVED
MAIN BUILDINO ACCESSORY BUILDING
����,� 1.� � , /� m���o�
BUILDIN6 ' 1�}95 NO.OF p 2 VAR.#
SIZE ROOMS' SfOR1ES C. U. P.
EXTERIOR WALL y. ROOF 'p�, } APPRO'
COVERING SLIICC . CAVFRINRDu1�YuP' . . BY
Res.w/att.Gar•
1 XEREBY AIXNOWLEOO[ TX�1 1 qAVE pEAD THI6 �PPLICATION
AND STATE THAT TH6 ABOV6 �g COHHECT ANO AOHEE TO COM.
PLY WITH ALL CITY ORO�NANCgg pryD 9TAT8 LAWB R80UU1TING
BNLDINOCONB O ION.
PERMAITTE E �� `,il..li
AUTHORIZEDA66NT .
0
DATE
e
—�s-- �r
See permit on Loit 1 for conditions
1525 sQ. �. a 44o bai 66 0
THE�AMOUNT eHOWN UNOER VALUATION 19 FOH THE _
PUHPOSH OF E6TABLISHING A PEHMIT FEE ONLY. e
VALUATION , m
PERMIT FEE $ � �—. �
�
$ ��,� �3c�— E� — a
4
' TOTALFEE •�
JOB ADDRESS "
INSPECTIONS
Date
BUILDING
DESCRLPTION OF WORK Res.w/att.Gar.
FIRE 'LONli VALUE S 20� 30.00
SUBCONTRACTOR