HomeMy WebLinkAbout3045 CLUB HOUSE CIR - Building PermitsPflOJECTA00NES5: jO9S CL[7.� Hl�jJSt C1
- ^'uNEB'SNpME:COJUl�Y CLU3 VI�LAS ASSOC
�,q► aooxess: C/G iE0 I V�RSUN ( PRES )
3012 C�liB fiOliS£ CI.
CGSTA MESA CA 92626
APCH/ENGINEEfl: 9 7 9? J 9 z
nooeess:
� Uxli:
3M SrHR.v.3p�
NEG.NO.:
uxrt:
PEflMITTEE: �ETERSGN ROOF2NG ( 7'_4 ) 979-7111
aooness: 30U6 �N;ERPRISE
CUs=A MESA CA 92628
LICENSEO CONTPPCTON OECIABRTION: I �ereUy a��irm Ihai I am licensetl Untler pmv ions ot ChaD�er 9(commencing with Section
7000� oi �ivision 3 of �he Business antl Pmlessions Cotle, antl my license is in t N��
'ciTruc.:047�pn5 sTa2reuc.:o07872 � /Fl .
Oaie: � �O � � J SignaWre:
WOflNEflS' COMPENSATION OECLPBATION: I hereby al�irm Iha� I ave a cenificare of consenl to seli-insure ar a cenilicate af Workers'
'ompensaiion Insurance. or a certified coDY �hereo� (Section 3800, Lab. C�.
n�cvxo.:i021355-93 E%P.OpTE:O�F�O� �94
comraxv:siATE FU�D
� � Cerlifietl copy is hereby furnishetl. � Cetli�ied copy is file0 -!I l Oivisio
�ate'. � /��— � � ApphcarC
E%EMPTION iBOM WOflNEflS' COMPENSRTION �ELLAflATION: (This section need not be compleletl ii the permit is farone hunOretl (5100) or less�.
I cenily ��al in the petlormance oi Ne work lor which Ihis permii is issuetl, I shall not employ any person in any manner so as lo became
sublect Ia ��e Workert Compensation Laws of Cah�omia.
�a1e: SignaWre:
NOTICE: II. afler making thi5 declara�ion, you shoultl become sublect to the WorkeR' Compensa�ion D�ovisions of ��e La�or
Code. yau mus� fotlhwilh comDly wilh such pmvisions or t�is permi� shall be Oeemed revoketl.
CONSTNUCTION LENOING AGENCY: I hereby aflirm I�a� Ihere is a constmc�ion lending agency �or Ihe pedormance ol �Ae work lor
w�ich this permn is issuetl (Sectian 3097. Civ. C)
LENDEfl:
aooxess:
OWNEP BUILDEB DECLABATION: I �ereby ailirm �ha� I am exemD� ��om �he Contraclors' S�a�e License law for �he bllawing reason
(Secllan 7031.5 Business antl Pmiessional Cotle'. Any ci�y of coun�y which requires a permit �o conslmci, alter, improve, demoliSR or
repair any s�mdure. prior �o ils issuance, also requires ��e applicani for such permit �o file a signetl statement that he/she is licensed
pursuam �o the pmvisions o� Ihe ConVacmrs' S�a�e License Law (Chap�er 9(commencing wilh Section 7000) ot Division 3 oi Ihe Business
antl Pmle55ions CoOe) oi I�ai he/She IS exemD� Ihere�mm antl �he basis for the allegeU exemp�ion Any vialaiion of Set�iOn 7031.5 Ey
any appliCani Por a Dermit Su�letls ��e apD�itanl to a civil penalry o� noi more Ihan liv¢ hundretl Oollar5 (5500�.
I, as owner oi �he pmDerty or my employees wi�h wages as Iheir sole comDensatio4 will tlo ��e work, anU ��e
� simc�ureis no� inlenUed oroflere0forsale (Seclion 7044, Business and ProtessionalCa�e: The Conlrac�oR' Sta�e License Law
� Ooes nat apPly to an owner of a pmpetly who builtls or impmves �hereon, and who tloes such work himsell/�erself or �hwugh
his or her own employees, provideA Iha� such impmvemenis are na� imendetl or aflered lor sale. It, however Ihe buil0ing or
impmvement is sold within one year ol comple�ion, Ihe owner will have Ihe buraen o� pmving he/she di� not 6uilA or im0�ove
lor Ihe purpose of 5a1e7.
I, as ownera�ihe propehy, am exclusively conVacling withlicenseA con�raclors�o cons�Nc��he Orolect(Section 7044, Business
❑ and Pmlessions CoOe: The ConVadors' S�a�e License Law does no� apply ro an owner o� proDehY w�o hm105 or improves �hereon
antl who conlracis for such pmlects wilh a con�rac�or(s�license pursuant�o �he ConVacrors' Slate License Law),I am awafe
Ihal pmo� oi Iheir Worker's Compensa�ion insurance s�oultl be pmvitletl to me.
� I am exempl untler Sectmn'. B. 8 P. C.
br Ihis reason'.
Oaie: Ownec
I Do hereDy cenity thal I am aware o� antl untlersiantl �he requiremems of Calitomia Heal�h and Safeiy CoOe Sec�ions 25505, 25533, antl
25534 antl Ihal I ar any future builtling occuDan� wllllwlll nol (clyde one) neea lo comply wlt� saia stale cotles antl �he requiremen�s lor a
permil lor consimc�ion or moDi�icatian imm ��e Air �ualiry Managemen� �islrict. Fesiaential constmction applications are exemp� imm
Ihese pmvisions
�ale: Pvp�icam:
I hereby cerlily Iha� I have read ihis aOPficalion antl slale Iha� Ihe above informa�ion is correci. I agree �o comply with all clry ana counry
grainanres antl sla�elawsrela�ingto builtling cons�mction antl hereby authorirere'resen�atiyes ' ciryto enlerupan�he abave-mentionetl
�piopeny larinspection purpo5¢5.'$ �
�ale. �_�V ^�,l SignaWre: — - �
�.,
Dnver's license or Social Securiry
16<I-a6 Ydhpe—Bmlding; Green—Gotle Enlo¢emenC Canary—ApplicanC Pink—Revenue: GolEenrad—Assesmr
�—
CIT_Y OF COSTA MESA - 3UIi.DING PERMIT
N�R:�:Ii NU: � 06?250 P�1Id C:iECK VO: ti
tl
rERM NO: B 052250
GOVi: N SliPP: N
C0�:5TRuCTION SYPE: V-N PERMIT TYPE: STR PURPOSE: AL�
JOB DESCRIP'IZON : T/OFF REROOr W/ 9U3LT iJP RdCH SQ FT; 17,500
CLAIM VALvE: 17,500.00 CAiC-VAiUc: 17,500.00 GRnUp �rr; a-� /
CON:ME�3T5: SNORc DETcC�GRS RE�7 7 i:;jil'SI iiBC �=1G
�u������*�**�*st*����f�*�?��r���'t�*��*�t�i��r**�t��i�i���#**�tit��?��?t��t�#*�u�**#�t��+t**#*�
Z U N Z N G R E�;� ii i R= M � V T S
5 E T 3 A C A: S
------------ MAIN BJI�llING ---------- --------- ACCESSu:cY 3uI�DING ---------
rRNT: ti I1v RtAR: FT IN rRNT; FT ZN R£AR; I;v
�EFT: �Y IN RGAi: FT IN LEFT: FT Iti RGHT: FT Z�
PP.RkING REQ: ?RuV; PARCE�; ?395159� ZNE; REF NO;
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�
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D � V E:, G P M= N i S E R V� C c 5 R_ Q Li I R � M� N T S
ZUNING iHPi'RuUEE> BY �ATE:
3uiiU;NG AP?RGV�� BY : JATE:
AYPLiCA� IODi ISSUED 5Y; DATc: OS-1 i3�3 �
�xiFiEiE3E1fiF?E?ff#?fuiEifiE*iE3E?E?f'..�i.'II�r -xx��.__ "....,:FrFw<�e<s�3errtx�rr.xxxx3E*#iF#?E3E?E#E3F�rnrcxxui:xs: iEi(�
'r.iEic?EiE?ei�?E:�?E?4iE#ifif3c�3E?EjE3FjE?fif!F#lfiE?f?ft�le:riEjfiEii�%iE3F :1E�lFiEdf�iF�1E�?E-lt#'r.iix�YF###;E�Se?f#a;.iE#}�1f##if�1F?F#MiE3�?E�?E?E
iEGAi�ZAiiuN:N r E= S'� M M R R Y STRiiCTiJRAL S�G!�ENT:Y
B��G P�fi ?i,uMBING E_,ECTR"C NECHAiVIC : iR= SN.IP/�E:; GR.�1I\G
PERMIT 189.00 _ ?.75 _
�.
r ,
/ . SM1P/�iUN-Rt�
P�AV
. �
i_S'SLiG FFF ' i.' .
BiJIiLING-DI�t-: PER.ui�T ISSiIt P:,�AN-CHECK TC�TAL PA+D nJ�
TUTAL3----> 220.75 O.UO ��i; 0,00 220.77 720.7` ,GO
R:.VENuE UIVISION =OTALS--> CO�LrCTED: 220.75 GVEk/��ORi: .00
BLDG ?MT PL�JMHiNG ELECTRIC ,uECiiANIC FIRE SMIP/TOT rRADTAiG ?LAti-Cri=CH
189.Q0 1.75
: �
'i ?E?E?F if :e 1 iF ?!� t i?F 3f iE # ii- iE?f iE iE t � x u u u<:c 3E?E 1f ?E iElE?f�e a� } iE?!� 3f iE?E 3f ii� 3F Yc 1f 1FY 3f #� iE ###±E jE 3F 3f?E 3f �3E iE �f �1F #### S: # iF iE 3f 3f i"s ?E #
:?�U _ v:�ua��„ � =F BR=Ax��o�r�
TY?P QTY J E �. C R I? T i��l�r N.� JNIT CGST TOTAL CnST
SF�t 17500 RERUOF BY VA_UE $£SIDENTIAL :vOZOtiE 1.00 ?7,SO�,OG
INm. i �NSPEC7IUN r�.� (P:R;,iiOUT COST) 30,00 30.GG
{� LI�.0 Qt t F=�•
EXPIRED �� ; '�" ��
Incomplete lrspectiot►c �•
J
I/a �.1 (:.
Uete _A�S� $�`; -.ws .<�
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01 00139421-p0139413 TO T zZp,j=
DATE: pS/18/93 TI17E: 14:21
�
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(�^ONSTRUCTION ANDPLANNIN�
' �PPROVALS Permit #
1. Temporary Electrical Service or Po1e
2. Soil Pipe-Undrgmd. �
3. Elecvical ConduiC Utility�Undrgmd.
4. Electrical Conduit�Undrgrnd,.
5. Steel Reinforcemant �
6. Electricai UFER Grnd_
7. Foot�ngs
8. Foundation
9. Water Pipe�Undrgrnd. '
10. Structurel floor 5Ystem ;; � j
, i t. Property Sewer L��e & Nouse Connectiqn
i
12. Sewer Cap �
13. Roof Drains �
14. Raugh Piumbing •
i5. Rough Electrical•Conduit
76. Rouc�h Electric Wiring '
17. Rough Wiring Sign
18. Rough Electrical-T Bar Ceiling
19. Rough Heating & Air Cnnditioni�g
20. Rough factory Firepiace
21. Ducts, in Structure .
22. Ducts, Ventitating
23. Gas Pipe•Rough & Test ' •
24. Roof Framirg � '
25. Roof Sheathing
26. T•Bar Ceiling (Structural) & Monocoat
27. Frame and Flashing
28. L^othing & Siding
29. Insulation
30. Drywail Nailing
31. Plasrer Brown Coat
32. Eiectncal Power Meter-Pinal
33. Finai Electric .
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Fina� Plumbing
39. Water Service�Final
40. Gas Service-Final
41. Solar pomesiic-Final
42. 8ackfiow PrevenYer
43. Backflow Irrigation
44. �andscape Irrigat�on System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINALPLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas
51. CERTIFICATE OF OCCUPANCY
No. Oate
>
Date
Inspector
u
.
T . �OL & SPA �
APPROVAIS Permit # Date inspector
52. Pool & Equipment Location
53. Steel Reinforcement
54, Forms
55. Electrical Bonding
56. Rough Plumbin9 & Pressure Test
57. APPROVAL TO COVER�GUNITE
58. Electrical Conduit-Undrgmd.
59. Gas Pipe, O Undrgrnd., Test
60. Backwash Lines, P�Trap, O Undrgrnd.
61. APPROVAI TO DECK
62. Backwash & Receptor-Final
63. Heater & VenFFinal
64. Piumbing System - Final
65. Electrical-Final
66. Solar System�Final
67. Fe�cing & Access Approvai
68. APPROVED FOR PLASTEfliNG
69. FOOL/SPA SYSTEP✓iS FINAL
FIRE DE.PT. R.EQUIREMENT
APPROVALS � Permit �`
70. Underground Hydra
71. Product Piping O Gas � Oil
72. Underground Fiush ' '
73. Undergrnd. Storage Tank O Gas ❑ Oil
74. Cverhead Hydro
75. Dry Chemical
76. Dry Standpipe
77. FIXED SYSTEM FINAL
78. FIRE PREV. FINAL
HEALTH �EPT, REQUIREMENT
79. FINAL INSPECTION
80. FQpD CERTIFICATE ISSUED
A-/ �� /I� / �
�,_._. - -� - - -
a
. ���n�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 817 COHTA MEHA, CA6IFORNIA
FEE RECEIVfD
�EB, 25 1965
FINCNf'.F f1FPT
For Applicant fo Fill In Complefely APPL1CATi�i �S�T��SA
TYPE OR PRINT . BUILDING
For Offita Use Only
ADDRe's"s° � 3045 Club House (�.lx'Cle
' neceirr Ho. r (�
- COSTA �MESA, CALIFORNIA " � 'L���•7.
q6C[rvf D pY DAT[ R6CeIV8D OATE 168UEG
OWNEaMesa Verde Dev.Co. � Gr .;2 �5-65 � M,�Z 4 ly65
MAIL ' BUILDINO ,
A�DRE9S 2850 M8S$' VEiCZe .DT. . �1DDRE59
C�.n, Costa Me"sa� � No•54903g5 ZONE ' TYPE V GROUP I& J
ARCHITECT '� -TE4. BYPR�V�D ' DATE
OREN iNeEa E. KaltenbaCh No. 5478046
wooness1823 E. 17th St. S.A. ZONING
ZONt .NO.Or UG60FN6W
. . .•. . . - R�.. . PI.AN9 2. lYILDINO �a7'�e
CONTRACTOR '
. LeOAL '
� � � oeacnimon LOY, 1 `�'• �'6� �
ADDRfi49
. . . � A. P. NO. � IIOII@
CITY
i81322 PoOTE: NO EAVE OVERHANG SHAIL BE LES8 THAN
STATE ' T6L. 30' TO SIDfi 8 REAR P. L.
LIC. NO. N .
OFLOT �L X O I MO.ORGLDO� ALLOWED �U.B.C.REpU1REMENT)
nOW On LOT
. 'YARDSAPPROVED VARD9APPROVED
USEOF ��_���-- � , MAINBUILDING AGCESSORVBUILDINO
EXISTING BLD6. �
(FROMGLSTRE )
BETBACK LINB FNOM ' , FRONT FT.
cervrEa ov srrteer REAR YARD ,
8IDfi VARD I LEFT '- ' RIGHT'"' � � R. SIDE OFT. FT.
DESCRIPTION OF WORK ' �. s�oe � Pr. F-r.
NEW X ALTHRATION A�DITION REAR FT. FT.
DISTANCE BET. � BET, MAIN @
'REPAIR MO IN6 - � DEMOLISH MAIN BLOGB. " ACCESS.BLD65. '
BUILDIN6 NO.OF / VAR•'� OATE
SIZE 15�Q � ROOMS V 8T R16� C. U. P.# �1'� APPROVED 11-i6-64
EXTERIOR WALI.S.,tUCCO I ROOF �11tUP ABYPROVE DATE 1 ^ J�
COVERING COVERIN6
USEOFBUILDINBANDWORKTOBEPfiRPORMED MOLD FOR SPECI REQUIRFMENTS
Res.w�att.Gar. e See permit on Lo 1 for conditions
1 1 so. Fr. J 1+40 a
1 HEREBY RCKNOWLEO08 THAT 1 XAVe READ TH18 APPLICATION . TX8 AMOUNT SXOWN UNOEp V�Ll1AT10N 19 FOR TH8 �
AN� 6TATE TXAT iX8 ABOVH ie coRxecr wrvo AOpEe TO COM.. . PURP08E OF BBTABL�sH�NO A PERMIT FEE ONLY. �
PLV WITH AL qDINAfK88 /�flD 6TAT6 I.AWe R60ULATING ypLUAT1ON // y
euLLo�nOcO TRU ION. pERMiTFEE S!�f/�
SIGNATURE O u1 . /f `7 .
PEftMITTE S. �Iw�> �/ G L C " �
AUTHORIZHD AG¢NT . - c'�/y (� �
TOTAL FEE S / / /
OWNN;R. MESA VERDE DEV.CO. llATE � '� 3-4-65
JOB ADDRESS 1(1hS Cl nh IIMICP Ci rrl a BUILDING PF.RMIT NO. '>Z(-�Oq
GEN�RAL
DESCRI�PTION OF WORK Res.w
AP No. LOT -� TRnCT 400v r i� zoxr, veL
INSPECTIONS � Sinnalure I Date '� GROUP I g� ,7 TYPE
soa IM=t-s _3_-zs�;�
,.__ , I SUBCONTRACTOR