HomeMy WebLinkAbout3019 CLUB HOUSE CIR - Building Permits�
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PNOJECTR�OflE55: jOl�i CLUB HOUSE CI
OWNEH'SNAME: JACKSON ROBERT I TR
nooaess: 3017 CL`UH HOUSE CIR
COSTA MESA,CA 92626
AFCNIENGINEEB:
nooxess:
NEG.NO.:
UNIT:
uxiT:
PE"miT'EE: pETERSON ROOFING ( 719 ) 979-7111
aooness: 3005 ENTERPRISE
COSTA MESA CA 92528
UCENSEO CONTPACTOB OECIABATIQN: I here�y aHirm ihat I am licensea untler provisions oi CAapler 9(commencing with Sec�ion
7000) of Divsion 9 0l Ihe Business and Pmfessions Code. an0 my license is in full brce and eflecl.
cirr uc.: 0 9 5 9 9 5 STATE LIC.: 6 O'� II � 2 cus :
�ate�����2�'�— SignaWre:— /�
�'
WOHNEPS' COMPENSNiION OECLANATION: I here�y a�6rm thai ave a certAicaie of consen� lo sell-insure or a certificate ot WOBers'
Compensa�ion Insurance, or a certified coOY Ihereoi (Seclion 3800. Lab. C).
POLICY NO.: NC 3 J O 1 5 6 5 exr. oare: 0 3/ 2 0/ 9 5
comraxr: REPUBLIC
❑ Cenilietl wpy is her¢Dy fumishetl. [� Cetlifietl copy i filed with ih ci�y B ilAing �ivision.
�a�e: S � � � AD�Iitani: � � /1
E%EMPTION FROM WOBRERS' COMPENSATION OECIAflATION: Q�i��ion ne�o� be comple�etl if Ihe Oermit is tor one hundred (S1W) ar less�.
I cerlify Ihat in I�e DeAormance of t�e woB tor which �his permii is issued. I shall not emDloy any person in any manner so as to become
5ubjeci lo ihe Worker5; Compensation Laws ol Califomia.
�ate� Signature�.
NOTICE Ii. al�er making �his tleclaration. you s�oultl hecome suUlect Io t�e Workers' Compensation pmvi5ions of �he Labor
Coae. you must forihwilh comply wiih such provisions or ihis Oarmit shatl Ge tleemea revakea.
CONSTBUCTION LENOING pGENCY: I �ereby allirm Iha� Ihere is a cons�me�ion IenOing agency for the performance o� �he wark lor
which �his Oermit is issuetl �Section 3097. Civ. C�.
IENDEfl:
pUOPESS:
OWNEN BUILOEB OECLAflPTION: I hereby allirm ihal I am exempl Imm the Caniracmrs' Slare License Law for Ihe lollowing reason
(Seciian 7031.5 Business antl Professional Cotle'. Any ciry oi coun�y which requires a permi� to cons�mc�, alier, impmve, Oemolish, or
re0air any stmcture, prior Io its issuance. also reqmres I�e applicani for such permit Io lile a signetl s�a�emenl that he/she is licensed
pursuanl lo Ihe provisions ol lhe ConlracloR' S�ale License law (Chap�er 9(commencing wiih Seclion 7000) ot Division 3 of the Business
ane Pmlessions CoOe) ar iha� helshe is exempi Ihereimm an0 Ihe �asis for ��e alleged exemption. Any violaiion o� Sec�ion 7031.5 �y
any aOVlican� tor a permi� subjects �he applicanl �o a civil penalry of no� more Ihan five �untlretl dollars ($500).
I. as owner ol �Ae pmperiy or my employees wi�h wages as iheir sole compensa�ion, will Oo Ne work, and Ihe
❑ simcNre is noi intended or olfereU for sa�e (Section 7044. Busmess an0 Pmfessional Cotle The Coniraclors' State License Law
tloes nol appty to an owner o� a pmpetly who builtls or impmues �hereon, and who does such wo�k himself/hersel� ar �hmugh
his or her own employees, pmvitled ihal such impmvemenis are no� inlended or olfered for sale. If, however Ihe bwltling or
impmvement is saltl wi��in one year ol complelion, t�e owner will �ave ihe burtlen oi pmvinA he/she Uitl noI builtl or impmve
lor ��e purpose ol sale�.
I, as owner of �he properly, am eeclusively canVacting wi�h licensed con�ractor5 io conslmc� ��e pwlecl (Section 7044, Business
❑ ane Pm�essions Code: The ConVactors' Sla�e License Law does no� apDly �o an owner o� pmperty wha buiitls or impmves thereon
and who controqs for such pwlecls wilh a conlrac�or(s� license pursuanl to ihe Contmctors' S1a�e License Law�. l am aware
�ha� piool o� iheir Worker'S Compensa�ion insurance s�aultl be pmvide0 �o me.
� I am exemD� untler Section'. B. 8 P. C.
lor thls reason:
�ate'. Owner.
I tlo here�y cenily Iha� I am aware ol and untlerstantl �he requiremenl5 0l Califomia Heal�h and Sale�y CoOe Sec�ions 25505, 25533, ana
2553<antl �hal I or any fulure bmlding occupan� willlwill nol (circle one) need ta comply wilh said state catles ana �he requirements for a
permit lor consimction or matlibcalion �mm ��e Air �uabry Management OiSlricL Resiaen�ial cons�mction applicaiions are exemp� Imm
ihese provisians.
�ate: ApplicaN:
I here�y ceriify I�al I have rea0 �his aDPlicalion and slate thal l�e above inlormalion is correcL 1 agree Io comply with all ciry and coun�y
ortlinance5antl51alelawsrela�ing�obuiltlmqcon5lmclmnanaherebyaWhori niatrves �hiscity�oenteruponlheaDove-men�ionetl
pmpetly��.o.r�+inspec'on purposes. (� ,� o
�aie: ---+ V Signalure: CwY �1�'( �
Driver's License or Social Secunly a� *�
NpPlicanC Pink—Revenue: GOltlenro0—Pssessor
CITY OF COSTA MESA — BUILDING FERMIT PERM NO; B 067114
PERMIT NO; B 067114 PLAN CHECK NO: N GOVT; N SUPP: N
CONSTRUCTION TYPE: V-5 PERMIT TYPE: STR PURPOSE: OTH
a ,
JOB DESCRIPTION ; REh10VE 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 REQUIRED PER 91 UHC
***��*�r***�*****+�**�**r*��***x*********x*��x�r*�c*r�**��**��t�c*��*���**���*�*x�****
Z O N I N GS ERTEH�AUCIKRSE M E N T S
------------ MAIN BUILDING ---------- --------- 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: 13951536 ZNE: REF NO:
PLANNING NOTES>. ,.„
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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; -,
BUILDZNG APPROVED BY : DATE:
APPLICATION ISSUED BY: � DATE: �'���
ifiFiEifiEitiEiEitiFiEiEiEiF'jt�E�)tiEiFifitjf #iFiFiFiEiFaf#iEiE jfif
iE if'IF fE 1f �E jE iE M 1F 3E 1E if !F!E iF!! �IE lE 7f� iE'lE 1f �F iF if !M1 fE iElE'M� 9E 1f �)F iE�lf i4 iE'X' iE 1E'N'!E 1E 1f !f iE i41E'lE'lE 1f 1F # jf 1f 1f ik if 1F if ik iE i(-!(' 1f if if Hf �F 1E'lk iE 7f 1f'IE'lE iF if
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
�.
BLDG PMT PLUMBING ELECTR•IC MECHANIC FIRE SMIP/RES GRADING
PERMIT 54,00 � ,50
. `. SMIP/NON—RES
PLAN ,
ISSUE FEE `
HUILDING—DIV—> PERMIT ISSUE PLAN;=CHECK TOTAL PAID DUE
TOTALS----> 54.50 0,00 ,,��! 0.00 54,50 54,50 ,00
/
REC�ENUE DIVISION TOTALS--> COLLECTED: 54,50 OVER/SHORT: ,00
BLL�G PMT PLOMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECI{
59,00 '. ,50
iE iE 3E iE if i(-iE jf 1f iP fE if 1F if ialE K!E 1f if iE iE if iE 9E fE iF iE iE 1F dE dE iE iE iE 1f if iF iE iF it iE if iE 3E if 1f iF iF if iF �E IF ff fE iE it if iE if 9F iElf 1f if 1F #� if 1E if 1E 1E 9f iF if iF iE iE 1E
I N D I V I B U A L, F E E B 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 C�ALUE RESIDENTIAL NOZONE 1.00 2,091,00
END OF FEES
: �
01 00160249—OQ26025� T O T SS,gp
DATE: OS/10/94 TINE� 15%33
CONSTRUCTION AND PCANNING
�'• APPROVALS Permit# Date
)
t. Temporary Eiectrical Service or Pole
2. Soil Pipe�Undrgrnd. - �_ �
� 3. ElGctrical Cc+nduit� Utitity-Undrgrnd.
4, Electrical Conduit�l�ndrgmd. �
5. Steel Reinto�rement
6. Electrical UFER Grnd.
7. Footings ,.
8. Poundation � _ .
9. Water Pipe�Undrgrnd. �' '
r
t0. Structura4 Floor Svstem ' .
11. Property Sewe� line & HouSe•Co�nection '"
12. Sewer Cap _ ,
13. Roof Orains ' ,
14. Rough Plum4ing � '
75. Roogh Electrical-Conduit
76. Rou9h Electric Wiring
77. Rough Wirir.g Siyn
18. Rough Elect�ical-T Bar Ceilina
79. Rough Heacing & A�r Conditioning �
20. flough Factory Fireplace .
21. Oucts, in Structur� .
22. Ducts, Vent+lati�g, -
23. Gas Pipe�Rough & 7esc
24. Roof Framing . � �
25. Roof SheAthing . � S.,,Z�
26. T-Bar Cfiling l5tructural} & A�lonocoat
27. Frame and Flashing .
28. Lathing $t $iding -
29. Insulation .
30. Drywall Nai�ing -
37. Plasrer Brown Coat �
32. Eiectrical Power MeterFinal
33. Final Electnc
34. Final Heating & Air Conditioning �
35. Final Gas PiPe�Test •
36. Hood or Canopy , . .
37. Final�Factory Fireplace �
38. Finai Plumbing , �
39. 4Vater Service�Final
46. Gas Service-Fina� - . �
41. So�ar pomesticFinai
42. Baekflow Preventer .
43. Backflow Irrigation
44. landscape Irripation Sysiem ,
45. Sound Attenuation• .
46. Handicap Regulations �
47. FINAL STRUCTURE & BUfLDVNG �
�-
48. FINAL PLANNING �
49. Elactric Release to Edison
50. Ga: Release to Southam Califorqia.Gas Ca
57. CERTIFICATE OF OCCUPAtJCY
Date
P60L & SPA
Inspector APPROVALS Permic # _
52. Pool & Equipment Location
53. 'Steel Reinforcement
54. Forms
55. Etectricel8bnding
56. Rough Plumbing & Pressure Test
57. APPROVAL7000VER�GUNI7E
. 58. ElecVical Conduit�Undrgrnd.
59. Gas PiRe, O Untlrgrnd„ Test
60. Backwash Lines, P-Trap, v Undrgrnd.
61. APPROVALTODECK
62. Backwash & Receptor•Final
63. Neater & Vent-Pinal
od. Plumbing SYstem - Final
65. Electrical�Finai
66. Solar System-Pinal
^ 67. Fencino & Access Approval
68. APPR6VED FOR PLlaSTERiNG
69. POOLISPA SYSTEi�AS FINAL
FIREpEPT.REQUIREMEN7
APPRQVALS Permit #
Oate {Inspector
' • 70. Undergraund Hydro
71 . Product PiPing O Gas C�' Oil
72. Underground Flush
73. Undergrnd. Storage Tank C Gas ❑ Oil
6Ld� 74. Overhead Hydro
75. Dry Chemicaf
� 76. Dry Standpipe
' ' 77. FIXED SYSTEM'FINAL
. 78: FIRE PREV. FINA� �
NEAITH-BEPT. REQUIREMENT
79. FINAL IN5PECTION
, 80. FOOD CERTIFICATE ISSUED
v
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��h��
COSTA MESA BUILDING-SAFEfI' DEPARTMENT
rtt KtCtiVED
FEB 25.1g65
FINaNrF nFpT
P. O. BOX a17 C08TA MF9A. CALIFORNIA - - CI I 1 OI� COSTA �LJ/1
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDINii
Fo� Oiiice Use Only
BUILDIN6 � . �
AOORESS 3�1 Club House Circle -
RBCEIpT NO. PEqMIT NO.
COSTA MESA, CALIFORNIA � ��T�7
N6CBIV DBY ' O�T[P8Ce1VED OATE199UE0•
OWNER Mesa Verde Dev.Co. , � .:� �r 8 �•n� � 7occ
MAIL BUILDIN6 � �
ADDRH9S 2850 Mesa Vexde Dr. anoRess
��,�, Costa Mesa - No 549o395 zoNe �rvPe Vi ceouP I& J
p / APPROVED
ARCHITECT. E• K'd1t.eT1U&CIl ' TEL547VO4V BY DATE
ORENGINEHR NO.
1823 E. 17th St.. �S.A. ZONING
ADDRESS ion6 no.oF u6[oFNeW 86• H S
WNTRACTOR
Same &S Owner • Rl� I Pune .Z I ew��ina �, e
- ���� Lot 36 Tr. 4660
u¢ccnimon
ADDRE88
CITY � ' A. P. NO. RORe
STATE ZS1322 TfiL. � 80? TO S�IDE 8 RfiAR p. LNG SHALL BE LE98 THAN
LIC. NO. NO.
SIZE �5 X'70 ' I No. o� eloae. ALLOWfiD (U. B. C. RE4UIREMENT)
OF LOT � nOW ON LAT
� YARDSAPPROVED YAROSAPPROVED
USEOF _� � MAINBUILDIN6 AGCESSORYBUILDING
EXISTINGBLDQ. �������� _
. ( FROM Cy/L &TREE ; � �
BETBACK 4N6 FROM ' ' ' FRONT I� � FT.
CENTER Op 9Tfl36T R6AR YAR '
8106 YAR� I LfiFT I RIONT - R. BIDB � FT. ' FT•
DESCRIPTION OF WORK �.sioe � Fr. Fr.
. . X REAR D Ff'.. Ff.
NEW ALTHRATION - ADDITION
� � DISTANCE BET. BET. MAIN R
REPAIR MOVIN6 DEMOLI6N MAIN BLO65. ACCESS.BLOO .
VAR.$K - DATE '� /
5 ZE D1N6 1232 ROOMB � BTORI68 2 C. U. P. it 31 APPROVED ���-6-V�
EXTERIOR WALL Si'iUCCQ ROOF builtup APPR��' �/ y ��-6 �
COVERING I COVERINO BY DATE
� US60FBUILDINBANDWORKTOB6PfiRFORM6D �jUti� fOR SP�I.I L RE UIRE
Res.w�att.Gar. See permit on Lo 1 for conditions
. 125o sq �. J 460
1 HEREBY ACNNOWLEDOE TH�T 1 H�VB RE�D TH19 �PPLIC�TION TNE AMOUNT 9HOWN UNOEp VALUAT�ON �e FOH TH8
AND 8TAT8 TXAT TH6 ABOV6 IB CORHECT FN� AORHH TQ COM- 'PURP098 OF 89T/BLI6HIN0 A PERMIT FEE ONLY.
PLY WITM A ITT OqDINANCBB AND BTAT6 LAW6 R80UGTINO yALUATION t �j
eWLOINa rvs cT1oN. PERMITFEE $ .l / —�
SIGNATU �G%���, qr
PERMITTE . g j� V,J I �qry C EGK .'') L,
O� �+ �
AUTHORIZEDA6ENT � ' .. ,�
- TOTALFEE $
JOB
.or rwe - — - --
Reinf.
DESCRI�PTION OF WORK
)UP I&J TYPE
SUBCONTRACTOR