HomeMy WebLinkAbout2883 CLUB HOUSE RD - Building PermitsAODflE55 OF BUILOING: � U U J �. L V D Il V V J L nL I1NT:
wm�n.s�,a„E�F�r+: PAYNE, BRENDA C
En 2gg3 CLUB AOUSE RL
AD°"� CG�TA MESA,CA 92b26
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NCH.OP ENO.'S ADUXE55: UNf:
c«�mncTarsruue: JOSEPH UPCZAK CGNST (619)94&-9282
cam�ctoxs�uiwc 96G0 fiALBEkNS
SANTEE �H 634549
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LICENSEO CONTflACTOHS UECLAXATION: I Aaraby eflirm under paneXy d perjury Il�el I em Iceriead unEm pravieions d Cheqx e
(mmmend�q wilh Section )0001 ��sun 3 0/ Ne Busima e�M Prdeasiona Cpb. eM mY �M�e b in hill taRs enE e/letl.
cm uc. No.: uc. cuss: � uc. b.] 4] 4 � X Y:
�e: comrea«:
OWN F BUILDEH OECLI�NATION: I hareby elfi�m undar panely d r' Lem ei q from tM mr on Lirove lew for iM
wip reeson (Sedion ]03�.5 Buaress eM Prdmsions Cade: Any c' unty whiM requiree e pemiil Io omstrucY, eller, imprae.
demdsh, w repei erry aVunure, prior ro Gs sweM'e, ebo reQuine IM Q i la wch pmmE b fib e eyried etalamenl tliel he a aM
u IicenseE punuem m tM yarisbna d ihe Conlredon liceme lew IChaqar 9(�mend�p wilh Sadion ]000) d Di%ian a d IM
Buseww eed Prdattiau COCeI a Ihel ha a aha is exmmq Iherehan eM ihe bdia lv tM elbped uemqion. Ny vnlm'vn d Ssaion
]031.5 by e�ry epplirsn� br e perme aubpae Ihe epDliceni to e cil penely d rwl mae ihen Me huMmE Edlen �5500�).
�_ I, aa ownm d IM propanY or my empbyeee wilh wapes av Ihe'r ede wmpansetion, will Eo Ne w�k. eM IM el�ucturo b rM interiAeE
or Marad lor eele (�Ibn )OM. Businma end PmlesaiwuCada: Tha Convmon Lironsa lewdwe mtapplyto an ormerd poperry
W�10 �11�9IX �IIWA'ee ��1BfBO11.911d Niq QOBB BIIC�1 MIXk �1ITBlM 0! �IB190� Of I�1fQ�l �1B IX �Mf OWII BIII�jM0. p10VbBd ��Id WC�1
improrommb era m� imeMad a WeraE la eele. p. however.IM Wikinp a inpo.einem'w edd xithin one Y� d complelion.IM
wmr-0uiker xill Mve iM buNen d pv.•iip M a she d'd mi buiN a'unprove la iM WN�e d aeb).
❑ I. aa owner d �he O�M. �%�dusrvaly mniredip wilh limnsed comrecton m wneVup Iha prqad (Sepion ]ON. Bwinees eM
�Proleaeions Cab: TM Coniredors licanae Lew Joes nM eppy W en awner d pmpaNy wiw W iWa a imqo.•m iha�eon e�M x1a
a nVazis iw aucM1 prol�a xrM a wmreaw(e) I'ransad punuem �o iM Cantreclas Licenae law�.
❑ I e eumq uMer;stian: B. 8 P.C., br N�:
�a: o.�,a.:
�ereby cMiN �� �� ewere d eM uMenteM �na requiremenb M CelRamie NeeXh uM Sele�y Cade Saqbna 25505, 25533. eM
2553a, end ihm I w eny Mure buikiiq oowpenl will / wYl �(arck me) need to camply wYh eeid &e�e oodm enC iM rtQuiremenn br
eDarmillamnwnionwmodifrationhwniMA'rBueTi �ereGememD'atiid.ReeidmtielmrW�utlionePP�iwnwexemqlmmihra
w«�.
ome: noW�:
WOflKEH'S COMPFNSATION DECLAXATION: I hereby elRrm uMer panelly d perjury me d Ne bllow'up datleretions:
� I heve aM wil meiMen e ceNficele d oonaem �o nellineure Ior worken' cpnpruqion, ae po.idad Im by 3aqim 3'!OD d tM lebor
coa.. �« ine oanomwce w u�a xork �« .d:cn ma v�n ia bauae.
� I hm eM xil meinten v.wken' canpen�elion irouraMe. m myuired by Sepim 3]00 d Ne Labor Code. br tM palarmeMs d IM
work fa which ihie parmn ie iaued. My waMan' mmpenution insurenca mrner enA poliry numbm ara:
c� .
PdkyrNumber: '
(This seaim need rwt be compbted Y �rs pemit is M one �uMmE dd/as /51001 a Ims.l
❑ I cenly ihm in tha pMameMa d tha work br wM1ch ihu permn b' � ed. I dWl m� employ erry pasm in vry menmr eo n lo
bewme eubjad w iM v.wlmra' canpenee�ion lews d Celibmie, epree Nm il I ahauk e me wqee m �he worken'
1.e npense�ion D�'isbne d Seclion 9]OD W iha lebar Code, 1 ehel o h� 'ih mmpy vmh¢hoea pr �ia�pi
oma: nvd�m: i v
��q: FaNvn ro sxun rvortsri mmpruetlon coverap� la un/aWul s tl Mell • J�cf �n emplo I ro Ivl pwWMa xW
nw nns. uy ro or�e nu,er.e rno�,.ne don.n ls�oqaooA �n .m�aon • cw� ol rompxwWn, u provMM br In
Sxtlon 3]P6 0l Ms la6or CoOs, Intelsa4 end etlomey i/wa.
CONSTHUC110N LENUINO AOENCY: I hereby ��m under penely d PorlNry �lut �heie u a mnatrud'an bMirp �ancy br Ns
�qlflBflCB O� IhB'AOf�[ iIX W�IY�1 ��18 Pe�� 19 6411Bd ($Y.1U11'.1��/. �iN. Cri.
LENDER'S N/JI E:
LENUEN'S �UDPE53:
1 canity ihet I heve read �hia epplcmion eM siete Ihm tha ebave iniwme�ion ie coried. I�ree lo comply Mil� ell tlty eiM oouMy ordinencae
errd eiate lewe role�ing lo buikip consVudion erd Mreby aNMrrza repesenteiivas M this ary to anler upon �he above�menibr�ed propeM
lorinspedian p�rpases. (1 . _ _ . "
(5t51J6.WP) Whne-Buik'vq85elety:OreeMFIe:Cenary-App5ranl:Pink-Revanue:Oakenmd-bxeaor
CITY GF COSTA MESA - fiUILDING PERMIT
F'ERMIT Nu: b G84628 PLAN CHECK NO: N
PERM NO: B G84b2f
GOVT: N SUF'P; N
CONSTRUCTION TYPE: V-N PERMIT TYPE; STR PURPUSE: GTiI
JUB DESCRIPTION : T/U EXISTING ROOF INSTALL CGMP SHINGLES SQ FT: 7,GU0
CLAIM VALUE: 7,000.00 CALC-VALUE: 7,000.00 GkOUP GCC: R-3 /U-1
COMMENTS: RER�uF
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Z O N I N G R E Q li I k E M �. N T S
S E T B.� C r', S
------------ MAIN BUILDING -------- -------- ACCESSORz &UIZLZNG ---------
FRNT: FT IN REAk: FT IN FRNT: FT Ib7 kE�sc: FT' Ii3
LEFT: FT ZN RGAT: FT TN LEFT; FT IN RGAT; FT IN
PARKING AEQ: PkOV; Pi�kCEL: 13939305 cNE: REF N�:
PLANNZNG NUTES� ='
�' / F
if ic if ii ic iF iF iF fF iF �i i't ie iE i2 iF 3F if if ii ii� ic ic ii iE i'r ic fc r if if iF iE iF ie ie i'r ii�?i� if �k ii� ie if iE ir+c ie'r' ii� i� ic iE iF �E ir ii� if ic iE ic-1 "t r. ic'r, ic ic! iE ii.'ii� ?c iF ii� ic ie i2 r ic
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LuNII�1G AFPR��i7Ei�• BY" . L�i�IE:
BIIILDING APPkt�L�EL bY" : DATE: .-a
. �.n — ; �—y —�7
AFPLICATSUN I�SSUEU bz; �� UATE; � . / /
iEif�kiE3F3cihie'vEi't�lci�iiiEjfi'ri'rieiiieiei'r serr s'srx .xxxr, xx�cx �cx xxxx+crexxrcx+exiEtiriiic�lf�iei(�ii�rt r gxxxx iriEiE
LEGALIZATION:,N� F E E S U M M A R Y S7RUCIURAL-"'�SEGNiENT:Y
BLUG FMT PLUMBING ELECTkIC MECHANIC FIkE srvil'r/RE:; GR�ING
PERMIT 124.75 .7G
SMIP/NON-RES
PLAN
ISSUE FEE
BUILDING-LIV-> PERMIT ISSUE PLAN-CHECK TGIAL PialL UOE:
TGTALS----� 125.45 v."v0 O.OG 12:,.45 125.45 .0`v
kEVENUE DIVISION TUTALS--> CuLLECTEU: 125.45 UtiERiSHGkT: .uG
BLUG PMT PLUMHING ELECTRIC MECrii�NIC FiRE SMIP/TOT GkHLING PLAN=CHECK
129.75 .7G
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I N L I J I L U A L F E E b R E A K D_G W N
TYPE uTY D E S C k I P T I O N ONZT CU3T TOTtiL COST
SFk 7u0u kEROuF bY GALUE kESILENTIAL 'NuZONE 1,00 7,"vuu,vu
ENL uF FEES
E3-G3-1997/03:26 GtV5125.45
FGVTa:51-[•�1��24
F'EKf"SIT n OFskGi'fs
CONS7RUCTION AND PLANNING - ' �� - � ' �� ' SPA� � �
. Date Inspector ' � Date Inspecmr
APP�fOVALS Peimit # �� , - APPROVALS Permit # - i �,
- t. Temporary Electricaf Service oT Po1e 52. Poof &£quipment Location � � ,� �'� "
� �I
2. Soil Pipe�Undrgmd. - , ' . � 53: Steel �Reinforcement , '
3. Electrical Conduit Utility-Undrgrnd.-� _ _. � ' ' S4. Forms , � � � �
4, Electrical Conduit�Undrgrnd. . . • - 55._ Electrical Bonding � _ � �
5. Steei Reinforcement , � � , 56. Rough Plumbing & Pressure Test - � .
6. Elecv�cal UFER Grnd. 57, APPROVAL TO COVER�GUNITE _
7. Footings ' . ' 58. Electricai Conduit ;Undrgrnd: � � / , j';`:'�
8. Foundation � .; ��-: - 59. Gas Pipe, O Undrgrnd., Test � ���
9. Water Pipe-Undrgmd. �. - �. 60. Backwash�Lines, P,Trap, G� Undre�rnd.- r '
10. Structural Floor Svstem ' • � - . - - `61. APPROVAL TO DECK . k :
71. Property Sewer �ine & Houee Corinection 62. Backwash & Receptor-Final� �
12. Sewer Cap � � _ . � � � � 63. Heaier & Vent�Final � '
�
13. Roof Drains � � � � gq, plumbing System -�Pinal ` �, �
14. Rough Plumbing . �'.�� � . _ � ,65. Electrica6Final i � � �. ,' � _ !
15. Rough Electrical-Conduii � � - � 66. Solar Svstem-Pinal ' •' _ �
rj:.
16. Rough Electric Wiring . � '67� Fencing;& Access Approva� ��, �� �� �
77. Rough Wiring Sign � ' � - { _'gg, qpPROVED FOR PLASTERING " � �
18. Rough ElectricabT Bar Ceiling � � ' ' � 69. POOL/SPA SYSTEMS FINA� � ' '
'-19. Rough Hea{ing &�Air Conditioning - - - -, ' � -- ' -'' FIRE DEPT. REQUIREMENT � � � -
20. Rougn Facrory Fireplace � APPROVALS Permit #'
21 . Ducts, �n Structure� 70. Underground HYd: o �
22. Ducts. Ventilating 77. Product Piping OGas ❑OiI
23. Gas PiPe-Fough & Test 7Z. Underground Fiush
24. ftoof Framing � 73. Undergmd. Storage Tank Ct Gas ❑ Oil
25. Roof Sheathing � ,.. O _� 7 74. Overhead Hydro
26. T-Bar Ceiling (Structural� & Monocoac 75. Dry Chemical
27. FramBandFlashing , 76. DryStandpipe
28. Lathing & Siding � 77. FIXED SYSTEM FINAL
29. Insulation � � 78. FIRE PREV. FINAL �
30. Drywail Nailing HEALTH DEPT. pEQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter,Final � �`i 80. FOOD CERTIFICATE ISSUED
33. Final Electric . Notes:
34. Final Heating & Aic Condi[ioning �
35. Finai Gas Pipe�Test � '
36. Hood or Canopy � �
37. Final Faciory Firepiace
38. Final Plumbing
39. Water Service•Final
40. Gas Service-Finat
41. Solar pomestioFinal �
42. Backflow Preventer �
43. Backflow Irrigation � �
�
44. �andscape Irriqation SYstem � .
45. Sound Attenuation �
46. Handicap Regulations
47�. PiNAt STAUCTURE & BUILDING D�_q� �/,�L/L
E/ �7✓
48. FINAL PLANNING
49� Electric Release to Edison '
50�. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY '
No. Date
/
� 1� �°� � � � 8t3
COSTA MESA BUILDING•SAFETY DEPARTMENT
P. O. BOX 917 COBTA MEBA. CALIFORNIA
For Applicanf fo Fill In Complefely
TYPE OR PRINT /
BUILDING 9 ��? n .. � / � .� _ .J
COSTA MESA. CALIFORNIA
p MAIL
■ SIZE
� BFiBl1CK LINE FHOM
��
�EE r��C�il�i�D
NOV g �g62
FINANCE DEPT.
CITY OF r.p�Tp MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
� � NEC VEO BY I DA�=F
TEL. BUILDING
NO. ADDRE56
vE�' COSTA MESA.
FIRE
ZONE
APPROVEO
= 3'� S�' ZONING
�/ Z I NO. OP I U8E OP NEW
T ruxs �)/ amt�iNo
� TEL. � �J /� �} �
No. u�•- 33( 3 oescxivrioH ��) I / / I/ (
/
NO. OP BLDG9.
I�I/ NOW ON lOT
DESCRIPTION OF WORK
NO.
WALL
YARDS �
APPROVED
(GENTlR LINE 8T.1
APPROVEO
���� j�
�T�
EYES
/
C�i
��ac. � f/ � � --
6` IS"'
i H2REBY ACNNOWLEOOE THAT 1 HAVE READ iH18 APPLIGTION THE AMOUNT BHOWN UNU¢R VALUATION IB FOR THC
AND BTAT¢ THAT THE ABOVE Ie CORftECT TNO AGREE TO COM- pURn08¢ OP EeTABL19HIN0 A PCRMIT FEE ONLY.
PLY WITH ALL CIiY ORDINANCEB hND Bi�TE WB REGUL�TING
BUIL�INO CONBTRU4TION. � VALLIATION �
SIGNATURE OF � PERMIT FEE $
PERMI7TE �
m
$ � PLAN CHECK ' $ ���
AUTHORIZED A NT � 9 9, � O G� z
TOTAL FEE .J �� 4
•'p l 'Ae
. l:[� 1��}�y.� .
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. 60X Hf7 COBTA M68A. CALIFORNIA
�
For Applieanf fo Fill In Complefely
TYPE OR PRINT
■ MAIL
2817'3 L///6 /{eyse �('c
COSTA MESA CALIFORNIA
.. u
Costa Mesa Noi�i9-0395 BUILDING
ADDRESS
Earl Kalten aci TE�KeS-0533
iER NO.
9772 Katella Ave„Anaheim F,RE
ZONE
no SfiiIIBl' �:OIIStI'llCtil011 (�i0. �IIIC. A�'PROVED
ADDRE65 -'
c�rv � �OSta I�2S8
STATE_ 19783g
NG
■ USE OF
TEL. Kl 9-0395
NO.
IvO.VOFuBID08. O
37
I 10 I 7
LEFT RIGHT
DESCRIPTION OF WORK
I X II ALTERATION I II ADDITIO
� OF
OMS g " TORIES "2
°oF am� rock
DVERING
TO BE PF� ORMED
y resi ence and
/1 —
�ece�
FEA� �ECEIUED
. I�! JAN 3 1362
� FIN;3P,CE DEPT.
CITY Of COSTA MESN
APPLICATION FOR PERMIT
BUILDING
For Offiee Use Only
JHN �1e8U1962
COSTA MESA. CALIFORNIA
ZONING
NO. OF I U6E OP NBW
nuna � euu,o�Ha H,
Lay- 77 iR
YARDS ' EVES
APPROVED
(CENT¢P LINC 8TJ �O
FRONi
R. SIDE "S
L. SIDE /�
REAR 3 �
AevPROVED w �/i �
N
,
�/ 3 %/
2/Z
q/✓.� ✓
1 HEN6BY ACIWOWLED6E THRT 1 HAVE READ THI9 APPiJCAT10N THE AMOUNT BHOWN UNDHR VALUATION IB FOR THE
AND BTATE THI1T TXE ABOV¢ IS CORRPFT AND AGREH TO COM- p{�pp08E OP EBTABLI9HING A PERMIT FEE ONLY.
PLY WITH ALG QTY OPDI ANCEB AND 6TATE LAWB RH6ULATINO
auILDINc coNBTRUCf10 ' VAWATION �j '
61GNATURE OF � S` � C PERMIT FEE $ `/ �
PERMITfE $, _„f� ��� I
� PLAN CHEGK $ �/ �-
AUTHORIZED AGENT . _ _ j � �
GS.�:�
DATE u-$-62
BUILDING PERMIT NO.
GENERAL CONTRACTOR Pa.CSnB MASOriI'y VALUE $�+99•�
AP No.139-393-05 LOT TRACT FIft� ZONE DESCRIPTION OF WORK�
INSPECTIONS �Signature� DATE GROUP J TYPE III ZONE
SUP�CONTRACTOR
OCCUPANCY
�