HomeMy WebLinkAbout156 CABRILLO ST - Building Permits I }'/
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MT: rrITY
JF COSTA MESA BUILDING PERMIT
OWNERS NAME IF KNOWN: YOUNG, DENNIS PPRM con• ' 07711g
ADDRESt YOUNG, KATHRYN L 0
1829 GLENWOOD LN PERMIT NO; E 072316 PLAN CHECK NO: N GOVT : N SUPP : N
N PWPc11RZDp> EACH CA 92660714 ) 548-8277
1823 GLENWOOD LN CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE : OTH
ARCHITECT OR ENtlNEFA: MG NO.: JOB DESCRIPTION INSTALL NEW 100AMP SUB PANEL SQFT:
ARCH.OR END'S ADDRESS: UMT:
CLAIM VALUE; CALC—VALUE: GROUP OCC : R-3 /
CONTRACTORS NAME
CCNThACTORS MARINO COMMENTS . X
ADORES& Lit ND. 4444444344Y4444 i4 Y 44444414344444 Y 434 Y Y Y 44 YY i4*4 3444 Y Y Y YY a4 a-344 YY Y*Y 4Y 4 Y*44 Y Y*Y*44 A444Y4
UNIT' ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby dfim wider penalty of perjury that I en licensed under provislom of Chapter 9 SETBACK S
(commencing with Section 7000)of Division 3 of the Business end Professions Code,end my license is in full force and effect.
Cm LIC.NO.: 4C.CLASS: UC.NO.: EXP; MAIN BUILDINGT T
ACCESSORY BUILDING
Dale: Contractor FRNT; FT IN REAR ; FT IN FRNT ; FT IN REAR: FT IN
OWNER BUILDER DECLARATION:I hereby affirm wider newly of perjury that l am exempt from the Contractors License law for the LEFT; FT IN RGHT : FT IT] LEFT: FT IN RGHT: FT IN
following reason(Section 7031.5 Bushes,and Professions Code:Any city or county wititfi requires a permit to construct,alter,improve.
demolish,or repair any structure,prior to aas s issuance,also regunthe permitsuchpermitlig
to me aned statement that he or she PARKING REQ: PROV; PARCEL; 42541402 ZNE; REF NO;
is licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)of Division 3 of the PLANNING NOTES>
Business and Professions Code]or that he or she is exempt therefrom and the basis lot the alleged exemption.Any violation of Section
7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more then live hundred donate[55001). > r
❑ I.as owner of the property a my employees with wages as thai sole compensation,*lido the work,end the suudure is not intended 1f4444444Y Y44444444444YY 4444444Y 4444444YYY4444YYY4YYY44 4Y4 YYYYYY+ YY YY Y s { Y
or offered for sale(Section 7044,Business and Professions Code:The Contractor.License Lew does nil appy to an owner d EVELOPMENTproperty DM E N T S E 'R V ICES E S R E U I R E M E N T S
who builds or inproves thereon,and who does such work tinsel or heneel orta
vgh his or her own employees,provided that such Q
improvements are nor intended a offered for sale.N.however,the building or improvement is sold within one year of completion,the
ownertuiklerwlheas the burden d proving hear she du d build or improve for the purpose ZONING APPROVED BY DATE:
❑ I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business and • '
Professions Cole:The Contractors License Law does not appy to an owner of properly who build or improves thereon and who BUILDING APPROVED BY
contracts for such projects with a codrador(s)licensed pursuant to the Contractors License Law). , DATE;
41u:1�am ramp under1Seaon:RSr7044 B.A P.t.,fix lnis reasgn:OWN ER APPLICATION ISSUED BY ; • DATE 5-7 (�J/� Ps/'
/DIj / S�/� 9/ Owner: **********************************4*******' 1Yavi(Mif 14 jEYYYi Y14 Ki4Y i414*iAF iT41E4 if tFY i44�a4/}+4 iF Yi:i4
aware25505. LEGALIZATION:N F E E S U N N A R Y STRUCTURAL /SEGMENT:N
332555555JS3C11 and that I or arty future building occupant will I wit not(circle one)need to comply with said a codes and the requirements for
apermh for commdbno,modircationhantheAi ray angpmem Dor'• ..'.. .*lomat .•• ..ons en exempt from Nese BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
prowsetn 7
' PERMIT 29 , 50
Dale: /—/4Z 9 ` Applicant: _I''s //i�.:. . 50%0 SMIP/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby alfa under penalty of penury one. -following... i,..lens: PLAN
❑ Ihaveandwilmaintainacenifcatedoonsenttosellinsureforworkers''oompauaton ,provided for• •action 3700ofthe Labor ISSUE FEE 15 . 00
Code,for the pedommnceddie work forwhichthispemmisissued. BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
o inaveend will maintain workers'wmueeamion insurance.as regiied by Simko 370odthe Labor Code,for the performance o the TOTALS----> 29 . 50 15 . 00 0 , 00 44 . 50 44 . 50 , 00
work for which this permit is issued.My workers'compensation insurance carder end poesy number ere:
Carder. REVENUE DIVISION TOTALS--> COLLECTED : 44 . 50 OVER/SHORT : . 00
Policy Numb*: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TUT GRADING PLAN—CHECK
(This section need not be completed I the permit Is lor one hundred d Sem/Slab/or less)
44 , 50
o i candy that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to
become subject to the waken'compensation laws of California,and agree that becomeit I should subject to the workers'
p
compensation oison of Section 3700 of the Labor Code.I seen lorthwh comply with those provisions. #M44444Y43*4*3Y*Y*Y3*3*3Yi4*3ii:i4433343*43**3**YY*Y3**YYYYY*3*3Y33Y*3Y3*34*34*3+33*
Date: _ Applicant: IND I VIDUAL F E E BREAKDOWN
Warning:Failure to secure workers'compensation coverage Is unlawful,and shall subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil lines up to or,.hundred thousand dollars($104000).hi addlton to the cost of compensation,damages as provided ler In
Section 3706 of the Labor Code,Interest,and atomey'a lees.
CONSTRUCTION LENDING AGENCY:I hereby affirm under penally of perjury that there is a construction lending agency fpr the ELE 1 SERVICES BELOW 600 V & BELOW 201 AMP 18 . 50 1 8 . 5 0
performance of the work for which this permit is issued(Section 3097.Civ.C). ELE 1 SUB—PANEL 11 , 00 11 . 00
LENDER'S NAME: END OF FEES
LENDER'S ADDRESS: -
��-- -
I certify that I have read this application and stale that the above information b coned.l agree to comp with all city and couny ordinances >d _
and stale laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned popery
for inspection purposes.
DAVID YOUR. :y PAY 7 21995
Prvds /,y
- < t/—LCi. Date:
a d Ownerlp0entlp•• ndor
✓�/ CITY OE COSTA MESA
(5151-46 W P) White-Building A Safety:Green-Ric Canary-Appkcent:Pink-Revenue:Goldenrod-Assessor
__.
CONSTRUCTION AND PLANNING POOL& SPA
APPROVALS Permit # Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. '
10. Structural Floor System 61. APPROVAL TO DECK
{
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64: Plutnbing System - Final
14. Rough Plumbing 65: Electrical-Final
15. Rough Electrical-Conduit 66. Solar-System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. 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 0Gas DOiI
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
r)
28. Lathing& Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 9. FINAL INSPECTION
32. Electrical Power Meter-Final �8' FOOD CERTIFICATE ISSUED
33. Final Electric 77' ' /I ''otes:
34. Final Heating& Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final .
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY --
Np Date
ADDRESS OF BWL0W0: 156 CABRILLO ST fMT` CITY OF COSTA MESA - BUILDING PERMIT
fv'iERsMClE lEaMDAH: YOUNG, DENNIS PERM NO, B 072525
!- "DDRB YOUNG, KATHRYN L 0
1829 GLENWOOD LN PERMIT NO: B 072525 PLAN CHECK NO: N GOVT; N SUPP : N
NEWPORT BEACH, CA 92660
1pa,MAllgto ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: OTH
ARCHITECTonENOMEA: UC.NO.: JOB DESCRIPTION : T/OFF REROOF W/COMP , SHINGLES SQ FT : 900
ARCH.OR ENDS ADDRESS: WIT:
CLAIM VALUE; 900 , 00 CALC-VALUE; 900 , 00 GROUP OCC ; R-3 /M-1
COKIRACTOWSNAME: FAIRWEATHER ROOFING ( 714 ) 997-9449
CflACTOR'SMMUNO 3845 E CASSELLE AVE COMMENTS : SMOKE DETECTOR REQUIRED PRIOR TO FINAL
ADDREss: ORANGE CA UC.HO.: 515125 ****kir-**********sE+r;abc,cap.x.r*****+o-u-.air.r*u4r****.*+E**4c***y.+cNor**+:*;f-say-x-at*r.uac*a.w.***** ***
92669 OMT: Z ONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penely of perjury that I am liceneed under provisions of Chapter 9 SETBACKS
(commencing with Section 7000)of Division 3 d the Business and Professions Code,and my license is in full force end affect.
C c.No.:/J41828 LIG.CLASS: C 39 UC.NO.- ST Ste" 2` EXP : 06/95 MAIN BUILDING ACCESSORY BUILDING
e: s�l/�J- Contractor: I ii____
FRN,; FT IN REAR: FT IN FRN,: FT IN REAR: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penaly of pthat I em exempt from the Cotradae License Law for theLEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT; FT INerjury
lullowip reason(Section 7031.5 Busiest and Profession Code:Any city or county which requires a panne to construct,alter,improve.
demolish,o repair any'trochee_prior to its issuance.also requires to applicant for such permit to Me a signedsltemed that he o she PARKING REQ: PROV; PARCEL : 42541402 ZNE: REF NO:
f is licensed pursuant to the provisions or the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the PLANNING NOTES>
Business and Prolesays Code)or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section >
7031.5 Want applicant lapermit subjects the applicant toacnd
l penaltyonn POOL t more than liver hundred dolle0011. *********************************************4*****+4*****x*********ii*********.**
❑ I,as owner of the property or my employees with wages as their sole compensation,will do the work,and the structure is not intended
or offered ler sale(Section 7044.Business end Professions Code:The Contractors License Lew does not applYto en awnera pmpeW DEVELOPMENT SERVICES R E Q U I R E M E N• T S
who builds or improves thereon,and who does such work himself or herself or through his or her own employees.provided that such
ow�mlldeereilihavvetteburintendedd cipovfingheesaleo'd»dddnottwaroorripprrovef hmW�walalee)one year ammpoa ,m. ZONING APPROVED BY ,•
DATE :
❑ I.as owner a the property.am exclusively contracting with licensed antaaors to construct the project(Sects,7044,Business end
Professions Code:The Contractors License Law does not apply to en owner of property who builds or improves thereon and who BUILDING APPROVED BY : DATE;
contracts for such projects with a cotramr(s)licensed pursuant to the Contractors License Law). c
❑ Iamexempt under Seefion: B.AP.C..tor Pie reason: APPLICATION ISSUED BY : DATE : �S Ill
Dale: Owner. ************************************** ** **Y.******* *±r-*********** sa **
I do hereby certify that I am aware of end understand the requirements of CHaabonia Haab end Safety Code Sections 25505.25533.and LEGALIZATION; P] F E E SUMMARY STRUCTURAL S E GM E 1 T; Y
25534,end that I or any future building occupant_will/wit not(circle one)need to comply wth said stale codes and the requirements for
mn.tma
apermeloraaomodh
modification t anageradoiatha.Residetialmwtmaionapphretiorheereexemptfromthese BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 23 . 00 . 50
Dale: Applicant: SMIP/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declaration: PLAN
❑
have end wit maintain ntaa certificate consent to set-insure le
r workers'compensation,as provided for by by Section 3700 the Labor ISSUE FEE
mhCode,for theperfoanceoftheworkforwlichthispenmeisissued. BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ I have and wil rardniath workers'compensallin insurance.as required by Section 3700 of the Labor Code,for the perfonnance of the TOTALS----> 23 , 50 0 . 00 0 . 00 23 . 50 23 . 50 . 00
work for with this permit b issued.My workers'compensation insurance carrier and policy number are:
Cant: REVENUE DIVISION TOTALS--> COLLECTED: 23 . 50 OVER/SHORT: 00
Policy.Number. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
' /l(`Th�issedbnneednotbecompletedItelanaiisfaanhundreddollars(SI00)oless.) 23 . 00 , 50
1I certify that in the performance a the work for witch this permit is issued.I shall not employ any person in any maser so as to
become bad to the workers'compensation laws dcatdada. and agree that 4IshamM become subject lo the workers' *.f***************.::.<**a:,f**************+i*,:***,f*****a**s*************** s***�;.;c***
corn ion a Section 3700 a the Labor Code.I s al form ply those provision..
Dt . API. INDIVIDUAL F E E BR EAKDOWN
aa--�� aming:Falun to secure worker compensation coverage Is unYMul,and s/Wl subject an employer to criminal penalties and TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
�clvll fines W to one hundred thousand dollars(5100,903).In addition to ms rest of compensation,damepss se provided ren In
Section 3703 of the Labor Code,/nte eat,and atomey''less.
SFR•
900 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 900 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there is a construction leading agency for to END OF FEES
performance of the work for which this permit P issued(Section 3097,Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read this application and Path that the above informatka is correct.I agree to comply with mildly and county ordinances S M 0 K E DETECTOR
and state taws relating to buimi g construction and hereby authorize representatives or this city to enter upon the above-mentioned property
for inspection purposes.
SCOTT ALLISON REQUIRED
\. AA Ptd A., i l�V DAT00182824-00182825: : TOT!3 23.50
Ia _ __ Date:
(5t5140.WP) White-Building A Safety:Green-File:Canary-Appicant:Pink-Revenue:Goldenrod-Assessor
'CONSTRUCTION AND PLANNING POOL tv SPA •
APPROVALS Permit # Date Inspector APPROVALS Permit# - Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
•
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
•
•
• 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE '-
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System • Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing& Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS F I NAL
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 0 Gas 0 Oil
23. Gas Pipe-Rough& Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0Gas 0 Oil •
25. Roof Sheathing �ojA I ' 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat �/ - // I 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:
34. Final Heating& Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING /f/?)
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
~ _ ADDRESSOFBUILDING WMT:
DrYNERS xAME IFgl01yN: 156 CABRILLO ST CITY OF COSTA MESA - BUILDING PERMIT
FQlowmm6s: YOUNG, DENNIS PERM NO: P 073298
YOUNG, KATHRYN L 0 a' . . 4.
1829 GLENWOOD LN PERMIT NO: P 073298 PLAN CHECK NO: N GOVT: N SUPP : N
1AF6WLLMLlMioDRPiACH CA 92660714 ) 548-8277 1825 GLENWOOD LN CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: OTH
ARcxrtecTORENGINEER: UC.NO.: •
JOB' DESCRIPTION . STRAPP WATER HEATER SQ FT :
ARCH.OR END'S ADDRESS: DMT:
CLAIM VALUE: CALC-VALUE : GROUP OCC: R-3 /
CONTRACTORS NAME
CONTRACTORSMNUNG COMMENTS: WORK AS DESCRIBED
ADDRESS: UC,NO,: ****T*EDT**DDT**DDTT*T******EE**T******DEED****DD******ATT****DAE*D*T*****T****
WIT: Z O N I N G REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally of pedury that I am licensed under provisions of Chapter 9 S E T B A C K S
(commencing with Section 7000)of Division 3l effect
the Business and Professions Code,and my license is in lull force and effe
crry LIC.NO.: UC.CLASS: uc.No.: EXP: MAIN BUILDING ACCESSORY BUILDING
Dale: contractor
FT IN REAR; FT IN FRNT: FT IN REAR: FT IN
OWNER BUILDER DECLARATION:Thereby affirm under penally ofPerjury that I am exempt horn the Contractors M
e License Law fora LEFT: FT IN RGHT: FT IN LEFT : FT IN RGHT: FT IN
I'following reason(Section 7031.5 Busioa'and professions Code:Any city or county which requires a permit to construct.alter,improve,
' demolish,or repel any structure,prior r to its issuance.also requires the applicant for such perto file a signed statement that he or she PARKING REQ: PROV: PARCEL : 42541402 ZNE: REF NO:
is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the PLANNING NOTES>
Business end Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section >
7031.5 by any applicant for apermit subjects the apPloanttoacivil penally dnor more than late hundred dollars[35001). **,*,* **, ,N,*,*KN,.K.#lfdEiFiklEif3EfE#K-1ElE?fitiElElliElElEiE***SE*1E1F{(.BEiFSE*1EiEBEiE* *e(-{(�****{E* FSE*.Jt.{D***..N..*.K..K..) **.**
ElI.as owner ofthe properly or my employees with wages as their sole compensation,will do the work,and the etmcture is not intended
or offered for sale(Section 7044.Business end Professions Code:The Contractors License Law does not applyto en owner d property DEVELOPMENT S ER V ICES R EQUIR EM EN TS
who builds or improves thereon,and oto does such work Nmeeff or herself or through his or her own employees,provided that such .
improvements era not intended or offered for sale.tt,however,the building or improvement is sold within one yeas of completion,the -
ownerbuilderwill have the budendproving heorshe did nal build orimprove for the purpose ofsale). ZONING APPROVED BY DATE:
o Las owner of the property.am exclusively pxtratlig with licensed contractors to construct the pitied(Section 7041,Business and
Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon and who BUILDING APPROVED BY : DATE: _
c
ntracts
or such projects
}`(f��e\J) he ...tractors License t r
l oam7exemlp,Cund spedieneP7044h a a) B.aP.c.,for mlelicensed pursuant o� OWNER, �� APPLICATION ISSUED BY: a DATE: �
V / // !� Owner: i' ***************************************aFF***********DATE***** A*
Ido hereby certify that lam eweredand understand the requirementvd California Meeh:-.Salary Code -25505,25533.and
LEGALIZATION: N F E E S U M M A R Y STRUCTURAL SEGMENT: N
25534,and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for
e permit for construction or modification from the Air ua' i7GeTnagement District.Resldemaconatmcton applications are exempt Porn these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions, PERMIT 7,00
Date: Applicant: 25% _ SMIP/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: PLAN ,
❑
have and will maintains certificate consent to self-insure for workers'compensation, of compensation,as provided for by Section 3700the Labor ISSUE FEE 20 . 00
Code.forthepedemanceofthewakfowhchthispent.isissued. BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ I have and will maintain waken'compensation insurance,as required by Section 37W tithe Labor Code,for the performance of the TOTALS----> 7 . 00 20 . 00 0 . 00 27 . 00 27 . 00 . 00
work for which this permit is issued.My workers'compensation insurance caber and policy number are:
CardBr REVENUE DIVISION TOTALS--> COLLECTED : 27 . 00 OVER/SHORT . 00
Policy Number BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need not be completed I the pend is for one hundred dollars($100)or less.)
27 . 00
❑ I cony that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to
become subject to the workers'compensation aoss f California,aneagree tply ifI shouldbecome subject to the workers'
compensationprovisions of Section 3700 of teLabor Code, shall forthwith comply with those provisions. **************34************************************E*****E*3+3.3+3+*****DD*********
Date: Applicant: INDIVIDUAL- F E E BREAKDOWN
Wanting:Failure to secure wailers,'compsation coverage is unlawful.end shell subject an employerto cdn*nal pensWn end TYPE QTY DESCRIPTIO- N UNIT COST TOTAL COST
c/vll fines up to one hundred thousand dollars(5104000),In addition to the cost of compensation,damages es Provided for In
Section 3706 of the Labor Code,interval,end attomey'a ten
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a constructiong agency for Uw
lendim PLU 1 WATER HEATER AND/OR-VENT 7 . 00 7 . 00
performance of the work for which this permit is issued(Section 3097.Cw,C). END OF FEES
LENDER'S NAME: k
LENDER'S ADDRESS:
I certify that I have read this application and state that the above information is correct.t agree to comply with all city and county ordinances
•
end state laws relating to buildig construction arid hereby authorize representatives of this city to enter upon the abova•mentoned property -1
for inspection Mensees.
DAVID
• tat: .
7'77-74- 01 CtG1 6'x94-a41IIb394 TOT 27.00
„�„ UCant� Date GATE: 07/19,'95 TINE: 3?:43
(5151 w6 WP) Whhe-Building A Safety;Green-File:Canary-Applicant;Pink-Revenue;Goldenrod-Assessor
•
CONSTRUCTION AND P JANNING PC_ - & SPA
APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location ,•
2. Soil Pipe-Undrgrnd. 4- 53, Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test - "
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. ; 60. Backwash Lines,P-Trap, 0 Undrgrnd.
10. Structural Floor System • ' 61. APPROVAL TO DECK 'r
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 163. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit /66. Solar System-Final
16. Rough Electric Wiring ' 67. Fencing& Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. 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 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24, Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & 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: .94 -
Nej
34. Final Heating & Air Conditioning .r _CS Ac
7f t
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace (? _
38. Final Plumbing jr-qC
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING -
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No Date
itik
1Db LA`JKILLU SI WIT:
DOPERS OF WILDING: CITY OF COSTA MESA — BUILDING PERMIT
OWNER'S NAME IF Ig10YiN: YOUNG, DENNIS PERM NO: B 07254i
ADDRESS: YOUNG, KATHRYN L 0
1829 GLENWOOD LN PERMIT NO: B 072547 PLAN CHECK NO: N GOVT: N SUPP : N
NEWPORT BEACH,CA 92660714 ) 548-8277
APPL.MAIMNG ADDRESS: 1829 GLENWOOD LN CONSTRUCTION TYPE: PERMIT TYPE: SIR PURPOSE: 0TH
ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION . EXTERIOR SIDING & WINDOW REPLACEMENT SQ FT: 3, 400
ARCH.OR ENG.'S ADDRESS; WIT: CLAIM VALUE; 3, 400 . 00 CALC—VALUE: 3, 400. 00 GROUP OCC : R-3 /
CONTRACTOR'S NAME: COMMENTS ; WORK AS DESCRIBED /
CONTRACTOR'S MAILING44#########*#i:#'N3'**######+*4#####4444#3'*###3is-###*36#'#+E*4 it*#*44-44**#*4444*4:-4+4+#*4444:x:t•—
ADDRESS: UC.NO.:
WIT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty or perjury that I am licensed under provisions of Chapter 9 SETBACKS
(commenting with Section 7000)of Division 3 of the Business and Professions Code,end my license is in full force and effect.
CRY LIC.NO.: LIC.CLASS: UC.NO.: EXP ; MAIN BUILDING ACCESSORY BUILDING
FRNT; FT IN REAR ; FT IN FRNT ; FT IN REAR : FT IN
Dale: Contractor LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT : FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the PARKING REQ; PROV; PARCEL ; 42541402 ZNE; • REF NO;
following reason(Section 7031.5 Business and Professions Code:Any city or county which requires a permit to construct.alter.improve,
j demolish,or repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he or she PLANNING NOTES>
is licensed pursuant le the provisions of the Contractors License Law(Chapter 9(commendng with Section 7000)of Division 3 of the >
Business and Professions Code)or than he or she is exempt therefrom and the basis for the alleged exemption.M y violation of Section
7031.5 by any applicant fora permit subjects the applicant to a civil penally of not more than five hundred dollars 1$50oj). 44 44 44#44 44##44#44 44 l4'k##Y. Y.'#% lE is if##R##3F####-####*#'M #is##4c-##34#'#'Y+t#ire#k?E#3E#+4##34.##3c 3:*4*3c#44 w-#'1F 1.-K
❑ I,as owner of the property or my employees with wages as thele sole compensation,win do the work,and the structure is not intended D E V E L O P M- E N T ' SERVICES REQUIREMENTS
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not appy to an owner of property
who builds or improve thereon,end who does such work himself or herself or through he or her own employees,provided that such
improvements are not intended or offered for sale.ff.however.the building or improvement is sold within one year of completion,the ZONING APPROVED BY DATE: '
owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale).
❑ I,as owner of the propend.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and BUILDING APPROVED BY ; - DATE:
Professions Code:The Contractors as License Law does not apply to an owner of aspic, builds or improves thereon and who j
contracts for such projects with a contractor(s)licensed pursuant to th onlrectpra Trimly
Lew). I ISSUED ,. ' DATE 3
r am exempt under section: BP , 044 B.$p.c.,fegNis O:IrIF: APPLICATION BY;
44****'1('4F#*#*#*'X ##****14* M#* 44. ♦ • #**,v 1F#'Y.'IF R'tf'Ir' 1S"11' f('#4F'LL!-1''#3f jf#3l'4f#443f'43'Y 3F-K#'lf' 'le'IF34y,-
S'-7O- 9S Ownerz LEGALIZATION:N F E E S U M M A R Y STRUCTURAL S'EGMENT:Y
I ..hereby candy that 1 am aware of and understand the requirements of California Health gay Code ions 25505,25533,and
iglip25534,and that I a any More building occupant will/will not(circle ane)need to oomph, ' said slate and the requirements brPMT E
a permit forconstrunbnor modificationfromthe Air Quaky Management District.Residential construction ap caticnsare exempt from these BLDG PLUMBING ELECTRIC MECHANIC FIRE SMIP/F. GRADING
provisions. PERMIT 63 , 00 . 50
Date: Applicant: PLAN S P9 I F I N ON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: ISSUE FEE
❑ Ihave and wilmaintain acertificate of consent toseffinsurebrworkers'compenaton,asprovidedfor bySection 3700of the Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code.for the performance ofthe wn
obrwhichthispermitisissued. TOTALS----> 63 . 50 0 . 00 0 . 00 63 . 50 63 . 50 . 00
❑ I have end all maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,for the performance of the
wont for which this permit is issued.My workers'compensation insurance nervier and policy number are: REVENUE DIVISION TOTALS--> COLliECTED: 63 . 50 OVER/SHORT; . 00
Carolicy:
PNumber: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
Policy
(This senior need not be completed I the panni is for one hundred dollars($cog)or loss.) 63 . 00 . 50
❑ I certify that in the performance of the work for which this permit is issued,l shall not employ any person in any manner so as to
become subject to the workers'compensation laws of California. and agree that U **VHF***#I should become subject to the workers' #3 ## # ##### #>f# # 4u#6 #eg X# ### 'tr'M-34#if-4#if 3E##'Y<#+rAt.'a'k***gr.**#r lir#Yi'
compensation provisions of Section 3700 of the Labor Code.I shall forthwith comply with those provisions. INDIVIDUAL F E E BREAKDOWN
Date: Applicant:
Warning:Failure to secure workers'compensation coverage Is unlawful,end shell subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up to one hundred thousand dollars($104000),In eddltlon to the cost of compensation,damages as provided for In
Soudan 3706 of the Labor Code,Interest,and atbmey's fees. SFR 3400 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 3 , 400 , 0-0
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the END OF FEES
performance of the work for which the permit is issued(Section 3097,Civ.C).
LENDER'S NAME: r
LENDER'S ADDRESS:
I certify that I have read this application and state that the above information is correct.I agree to comply with all thy and county ordinances
and state laws meting to building construction and hereby authorize representative of is dry to enter upon the above-mentioned properly
for inspection purposes. DAVID YOUNG
Print Name
_dee, 4 I . . Date: 30-95 GI. 00 22923-001829'4 rip s
53._0
Bignatg: . . e C ..aliaan .nt:_p— DAT 05/30/95 ID**
(5151-46.WP) While-Building&Safely:Green-File;Canary-Applicant:Pink-Revenue:Goldenrod-Assessor
CONSTRUCTION AND PLANNING P0. i SPA
Date Inspector Date Inspector
APPROVALS Permit # APPROVALS Permit #
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. # 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test I
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings _ 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. ; 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit ' 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOUSPA 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 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26, T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
/28. Lathing& Siding $y1 cs ,/j/.i77. FIXED SYSTEM FINAL
29. Insulation //7 78. FIRE PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat *y/s! - 79. FINAL INSPECTION
32. Electrical Power Meter-Final L 80. FOOD CERTIFICATE)ISSUED
33. Final Electric Notes: ,vat d r , gytvT Ot
34. Final Heating & Air Conditioning 07/C �/(�/4-
-
35. Final Gas Pipe-Test �
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer .
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUI LDING 1Q/7..q5 664-
48.
fr 4j48. FINAL PLANNING VV
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date