HomeMy WebLinkAbout3021 CLUB HOUSE CIR - Building PermitsL
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PNO+�'T AOOflESS: 3 O Z 1 C L UB HOUS E
OWNEfl'SNAME: OWEN, ROSS C TR
aooness: 3021 CLUH HOUSE
COSTA MESA,CA
ABCHIENGINEEB:
AODflESS:
C I uNiT:
CIR
92626
flEG.NO.:
UNIT:
PEflmi'TEE: pETERSON ROOFING ( 714 ) 979-7111
ADOflESS: 3OOG ENTERPRISE
COSTA MESA CA 92628
LICENSEO CONTflNCiOfl DECNflATION: I hereby a��irm �hal I am licensed under Omvisions of Chap�er 9(commencing wi�h Sec�ion
7000) o� �ivision 3 0l I�e Business and Pmlessions Code. antl my license is in �ull force and eHeci.
ciTvuc.: 095945 STATEUC.:6O%B%Z cuss:
OaieS Ff �t L� Signamre: _
WONKENS' COMPENSATION OECLAFAiION: I hereUy aflirm Iha� I ve a cehi�ica�e ot consenl Io sell-insure or a ce�ifica�e ol Warkers'
ComDensation Insurance, or a certified copY �hereof �Seciion 38W. LaD. C�.
POLICYNO.: NC3JOSjES E%P.OATE: O3�ZO�9J
coMraxv: REPUBLIC
� Cenified copy is hereby fumisnetl. }� Cenifie0 copy is hletl with ine ciry Builtling Oivision.
Dale' ��" �� Y NpplicanL � � inc.�-P —
E%FMPTION FflOM WOBNEPS' COMPENSPTION OECNPRTION: Qhi�eed not be complele0 if the permil is larone hunAreO (5100) or less�.
I cetlity Iha� in Ihe pedormance of �he work br w�ich Ihis permit is issuetl. I shall not employ any person in any manner so as �o become
Subleci ta ihe Workers" Compensation Laws o� Calilomia.
Da�e'. Signature:
NOTICE: II, al�er making �his tleclaralion, you should become subject lo Ihe Workers' Campen5aiion provisions of the Labor
Cotle, you must �orthwilh compty wilh such pmvisions or Ihis permit s�all be deemeA revoked.
CONSTPUCTION LENOING AGENCY: I hereby a��irm that �here i5 a cons�mc�ion lentling agency �or Ihe pedarmance o� the work lor
whlch ihis Dermit is issue0 (Section 3097. Civ. C).
LENOEH:
AUONESS:
OWNEN BUILOEP DECLANA710N: I hereby affirm Inat I am e�empt imm ihe Contractors' Stale License Law 1or ihe following reason
(Sectian 7031.5 Business and Pm�essional Cotle: Any ciry ol cauniy whic� reQuires a permi� to constm[�, alter, impmve, demolish. or
reDair any simcWre. prior to ils issuance. also requires the applicant far such Dermit to file a signed statement Ihat he/she is licensetl
pursuant m Ihe pmvisians af Ihe Contractors' State License Law �Chap�er 9(commencing with Sec�ion 7000) of �ivision 3 ot Ne Business
antl Pmfessions Code) or iha� helshe is exempt inerelmm antl ine basis for ihe alleged exemplion. Nny violation of Section 7031.5 �y
any aDDlicanifor a permil su61ec�5 Ihe applicantto a civil penally oi noi more �han tive �untlre0 Oollars (SSIp�.
I, as owner of I�e propetly or my employees wi�h wages as Iheir sole compensation, will tlo ��e work, and Ihe
❑ stmcWre is not inten0ed or o��ered for sale (Sec�ion 7044, Busmess ana Pmfessional Code'. The Conlradors' Sta�e License Law
tloes not apply �o an owner o� a pmperty who bui105 or improves �hereon, and who aoes such work himsel�/herself or �hmugh
�is Or her Own empl0yee5. O�a�iaetl ��at such impmvemenls are na� in�ende0 at 011¢retl Ior Sale. It, however lhe building Or
impmvemenl is 5010 within one year o� completiaq the owner vnll have Ihe burAen of pmving he/she Aitl not builtl or impmve
for �ne purpose of sale�.
L as owneraflhe properly,am exclusivety conVacling wi��licen5e0 conVac�orsto constmctt�e pmlect�Section 704A, Business
❑ an0 Professions Code: The Canlractors' State License Law does not apply la an owner of pmpeny w�a builtls ar impmves ihereon
and who conimas lor such pmie��s witn a cmrcacmqs� license pursuam m the Comraaars' Slate License Law�_ I am aware
tha� pmo� o� �heir Worker's Campensation insurance shoultl be provitletl ta me.
� I am exempt un�er Sec�ion B. 8 P. C.
br Ihis reason:
Daie: Owner.
I do hereby cenity ��at I am aware of antl unaers�antl Ihe requirements of California Heallh and Satery Code Semians 25505, 25533. an0
25534 an4lhai I or any tulure builtling occupani will/will not (circle one) nee0lo comply with said slate wdes antl ��e iequiremenis br a
permit for cansimclian or motlAica�ion Imm Ihe Air Oualily Managemenl Dislricl. Resitlenlial consimclion applicaiions are exemp� Irom
IhESP P�Ovi5i0f15.
�ale: NpplicanC
I hereAy cetldy Ihal I have rea01hi5 apPlicaiion and slale ��at ��e a�ove in�ormation is wrreci. I agree �o comply wi�h all city an0 county
ortlinances and slatelawsrelatingta buildmg cansimclion and hereby aN�orizerepresentatives of��is cityio en�eruponihe above-menlione0
prOpCtly IarinSpeciion pur005M. /�
Date: �J �r� `') Signamre: w-��i��J��� � � �
Driver's License ar Soaal Securiry (J
i641�a6 Wlme—Builtling; Green—Cotle Eniorcemem; Canary—AOOlicam; Pink—Revenue: Goltlenrad—Asseswr
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: B 067113 PLAN CHECK NO: N
CONSTRUCTION TYPE; V-5 PERMIT TYPE: STR
JOB DESCRIPTION ; REMOVE 80R 6 REPLACE W/BUA
r �`'_�
CLAIM VALUE: 2,091.00 CALC—VALUE; 2,091,00
PERM NO: B 067113
GOVT: N SUPP: N
PURPOSE; OTH
SQ FT: 2,091
GROUP OCC: R-3 /
COMMENTS: SMOKE DETECTORS RE�UIRED PER 91 UBC
��irk�*ft**�*ar*irjttr*�***�t*��**x� *�iF**+�itet****itx�r�r*+t***ie*ir�ritatit�r�it*+eit*iE�at�+t*+E**��x�t��t
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUZLDING ---------
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: 13951535 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: i•
BUILDING APPROUED BY : DATE: i%'
APPLICATION ISSUED HY: � DATE: ��li
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1E iE it it iE iE iE if if iF jf if jE jt R fE iE iF iE iE iF iE it iElt ft if iF iE aE iE if- iF iE if it iE it 3f 3E iE it iE it ir it it iEiE it iF iE it if if �t iE iP iE iE iE iE if iE iE 9E it at it iE iE it if ik it if if it iE
LEGALIZATION;N F E E S U M M A R Y .STRUCTURAL SEGMENT:Y
BLDG PMT PLtJMBING
PERMIT 54.00
PLAN
ISSIIE FEE
BUILDING—DIV—> PERMIT ISSUE
TOTALS----> 54.50 0.00
ELECTRZC MECHANIC FIRE SMIP/RES GRADING
i .50
�i-� SMIP /NON—RES
PliAN—CHECK TOTAL PAID LUE
'" 0.00 54.50 54.50 ,00
REVENUE DIVISION TOTALS--> COLI,ECTED: 54.50 OVER/SHORT: .00
BLDG PMT PLOMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRAI7ING PLAN—CHECK
54.00 �;: .�. .50
l -
iE jE dE iE 1E k iElE iF if iFlF df iE 1f !k iF iF if �Yr iE 3F dE if 1f 1E iF 1E if iE iE iE if if � iE 1E'�E iElf !E k dElE 1f it iE if 1E %if if if 1E IE 9E fE if if �)f if !f iF jklE 9E iE iE 1E Y� 1E * iFlf iE if jE if if
I N D I V I D 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 VALUE RESIDENTIAL N020NE 1,00 2,091,00
END OF FEES
�1 �01502Si-001602`2 TiG T `4,50
DATE� OS/'!0/94 rinE: is:a4
A � _
, �� CONSTRUCTION AND PIANNiNG � `
�' APPROVAIS Permit # �' - Date
1. Temporary Electrical Service or Pole _
2. Sod Pipe�Undrgmd. � �
�•3.�Electricai Conduit Uti[ity�Undrgrnd. �
4. Electrical Conduit-Undrymd.
5, Steei Reinforcement � -
'6: Eicctricat UFER Grnd.
. 7. FoOtings , �
8, Foundation . �
, 9. Water Pipe-Undrgrnd. � . -'
� I 10. Structural Floor System �� � �
11. ProperiY Sewer �in� &�Ho�se Conneetion ��' �
i 12. Sewer Cap i,
� 13. Roof Drains � �
14, Rough Plumbing .
15. Rough Electriral•COndua
i i6. RoughElectricWiring
� 17. Rough Wiring Sign �
18. Rouyh Electrical:T Bar Ceiling
79 Rough Hea[ing & Air Conditioning
20. Ro�9h Factory Fireplace �
�.
21. Ducts, in Structure �
, 22. pucts, Ventilating ; �
23. Gas Pipe�Rough &'fesc
24. Roof Framing � ^T-
25. Roof Sheathing
26. T�Bac Ceding {Structural} & Monocoat
27. Frame and Ftashing
28. Lathing'$ Siding '
29. Insulati0n � • �
30. Drywall Nailing �
31. Plaster Brown Coat
32. .£lectricai Power Meter-Final
33. Final Electric
34. Fina{�Neating & Air Conditioning ��
35. Finai Gas Pipe Test � "
36. Hood�or Canopy � .
37. Finai Factory Pirep�ace ,
38. Final Piumbing
39. Water Service-Finai '
44:�Gas Service-Pinal � � � •
41. Solar pomestio-Final
42. Backtlow Preventer
43. Backtlow Irrigation - �� '
44. Landscape irriqation System ,
45. Sound Attenuatio�
46. Handicap Regulations
47. Fi�'AL STRUCTURE & BUILDING
48. FINAL PLANNING •
49. Electric Release to Edison
50. Gas Release to Southern California Gas �
No. Date
Inspe
�
POOI & SPA
ctor APPROVALS Permit #
�52. Pooi & Equipment Location
53. Steei Reinforceme�i •
54. forms
� 55. Electrical Bonding
56. fiQugh Plumbing & Pressure Tes[
57. APPROVAL TO COVER�GUNITE
58. Electrical Conduit-Undrgmd.
59. Gas Pipe, L� Undrgrnd., Test
6Q. Backwash Lines, P-Trap, O Undrgmd.
J 67. APPROVAL TO DECK
62. Backwash & Receptor-Final
63. Heazer & Vent-Finai
64. Plumbing SYstam � Final
65. Eiectrical-Final
66. Solar System-Final
67. Fencing & kccess Approvai
68. APPROVEO FOR PLASTERING
69. POOL/SPA-SYSTEA75FINFL
FIREDEPT.REQUIREMENT
' /iPPRQVALS Perrttit #
• 70. Undergrau:id HyUro
' 71. Product Pipin9 O'Gas ❑ Oil
72. Underg�ound Flush .
' '73. Undergrnd.Storage Tank C Gas '� Oit
/�j/ 74. Overhead: HY.dSo �
� 75. bry Chemical �
.. 76. Dry Standpipe � -
77. FIXED SYSTEM FiNAL
78. FIRE PREV. FINAt �
tiEALTH f7EPT: REQUfREMENT
. 79. FINAL INSp�CTION �
� � 80. FO0n0 CERTIFICATE ISSUE�
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 9f] C06TA MHSA, CALIFORNIA
FEE RECEIVED
�EB 2� 1965
FlNCN�F hFPT
For Applicanf fo Fill In Completely APpC�tATIUN���R'PERFAi
. TYPE OR aRiNr ' BUILDING _
For Office Use Only
BUILDING
wooRess 021 Club House Circle
ncce�rr rvo. rc�
COSTA MESA, CALIFORNIA � . "�"'"'"
H6C6�V DOY OATtREC6lVE DATE169OEO
OWNER Mesa VErde Dev:Co. � " ":2,- �r�� hiRR 4 Y965
MAIL � BUILDIN6 �
AD�R688 2850 Mesa VeIdC DZ. ADDRE59
TEL. � O ZONE T1'PE V 6ROUP I A' S
CITY Sa, NO.
ARCHITECT TE APPROVED �
ORENGINEfiRE• KB.�.�F'iERU3CY1 NO'�478046 Bl' ' OATE
1823 E. 17th St. ZONING
ADDRE59 S. Zppr�..� [ n0. oF uss ov He Q$ • 7( $
Same as �Wner SlY PLAN82 I BU�LpINO �� e
CONTRACTOR
. � � LHOAL � ,t3� Tr• 4660
. OEeCRIMf10N
ADDRESD
` - A. P. NO. n�ne
CITV
STATE I.S]_322 TEL. 90T TO S�IDE 8 RfiAR p LNG SHALL BE LESS THAN
LIC. NO. NO.
EAVES
OF LOT 2 X O I now oN i.oTe � � ALLOWED �U. B. C. RE4UIREMENT7
. YARDSAPPROVED YARDSAPPROVED
USEOF �____�_ MAIN BUILDIN6 ACCESSORY BUILDIN6
EXISTING BLOG.
� (FROM C/L STREHT (' � �
6ETGACK LINH FROM FRONT Fi. ����
CENTER OF eTREeT REAR YARD
SID6 YARDI LEFT I RI�HT - R.SID6 '� FT. FT.
DESCRIPTION OF WORK L.61D6 U F-r. Fr.
X � REAR O �. ��
NEW ALTfiRAT10N AO�ITION'
� DISTANGE BEf. BET, MAIN Q
REPAIR MOVIN6 � � DEM041HH MAIN BL�68. ACCESS.BLDGS.
BUILDIN6 NO.OP / p / /1,
SIZE 1 �� . ROOMB V BTORIE82 CAU.P.# Jl APPROVED 11�1.�1�11Y
EXTERIOR WALL ROOF APPROV6 a-a-s
COVERING ' S+llCC COVERINO �l�"{'UPj BY DATg ��
USE OF BUILDINC AND WORKTO Bfi PERFORMEO �
NTS
Res.w�att.Gar. 14•�,a GI See permit on Lot 1 for conditions
' . 1513 So. �. a 440
. I HEHEBY ACKNOWLE�OB TNAT 1 XAVB pEAD THIe APPLICATION TXH AMOl1NT SNOWN-UNDEp VRWAT�ON 18 FOR TH6
ANO BTATE THAT TH6 ABOVH 18 COHHECT ANO AOPEB TO COM. PURPOSE Op HBTABLISXING /� PERMIT FEE ONLY.
PLY WITH AL CITY OpDINANC[B AND BTATL LAWe qg0{)p�ilryp ypLUAT10N ,
BUILOINOC 8 ION. / �
SIGNATURE � /;�,' / PERMITFEE $ �+// —'- •
PERMITTE (�� $ �� � �Lr -' � c cr ,.3 " i
�
�
AUTHORIZED A66NT . , . .
' TOTALFEE S