The URL can be used to link to this page

Home My WebLink About3003 COOLIDGE AVE - Building Permits; -� � • 6 o � > � : �_ '�•.amce•fi' CITY OF COSTA MESA , � BYILDING DIV/SION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • wv+vi.ci.wsta-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER: B09-00221 PERMIT TYPE B ROOF2 STATUS: ISSUED APN: 14114166 DATE ISSUED: 10/09/2009 - , ;. ISSUED BY: RMD JOB ADDRESS: 3003 COOLIDGE`AV CM ` r Suite/Unit`' Vicinity: ROOF , � "" ` ' � -� � � .. � Squares: 0 " Valuation: $5,000.00 ,`..: ,. ...'.:. ,., , SCOPE OF WORK: TEAR OFF(E) ROOF.MATERIALS, INSTALL 2 LAYERS OF 15# FELT.ON A LESS THAN 4:72 APT BLDG, REROOF WITH 25 YEAR COMPiSHWGLES ON A" 3 UNIT APARTMENT BUILDING (UNITS A- C),.APBROX 25 SQUARES. REPAIR AND REPCACE SHEATHING AS NEEDED. �"-� '_ ' OWNER: CHAPMAN,��.�JEFFREY I: � � �� Address: � P O BOX 4236 � ' � � Unit: PHONE: � � ' �� " Ciry/State/Zip: COSTA MESA, CA � APPLICANT: CHAPMAN,'JEFFREY I�,' ,, ' � Address: 2264 POMONA'AVE,��. �� " Unit: :UNIT C PHONE: 714-612-6355.- �-- � - City/State/Zip: COSTA MESA, CA � � � - . CONTRACTOR: OWNER-BUILDER � � � � � ' � � - � License No. �000000 Address: Unit: � �� ' - - � ' � - � �� PHONE: ', . City/State/Zip: � . . _ ., .. - . - --CELC: . ARCHITECT: ENGINEER: FEE SUMMARY Reroof Plan Check: Reroof Permit Fee: Reinspection Fee: Bldg Std Admin Fund TOTAL FEES � - - License No. � - � PHONE: `.��.i:x � , � - . . � � . , . �' . �� - . �� LicenseNo. ' � � ��PHONEi go:oo : �� $111.25 . � � ,. _ �aT { `- $000'" � � .. m..�dS�l��.�d� $1 00 :., %� 5112.z5 , DATE 'tl-a-(o - ll c�`� NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California stalutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable wdes, and all required inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will result in the expiration of this permit. CO�E� INSPEG710NflPE OATE INTITIALS CODE� MSPEC110NTYPE OATE INiITIpLS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 2 W Final Electnral 201 Final Block/Retaining Wall 212 Final Fire Preveniion 202 Final Fac�ory Fire Place 220 Final Planning Approval 203 Final Sign 222 ` Final Site 204 Final Demolilion 250 Final Builtling/Occupancy WORKERS' COMP�NSATION DECLARATION: I hereby akrm under penalty of perjury one of the following declarations: ❑ I have antl will maintain a certificate of consent to sel4lnsure (or workers' compensation, as provided (or by section 3700 0( the Labor Code, for Ihe performance of the vuork for which Ihis permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for lhe peAortnance of the work for which this pertnit is issuetl. My workers' compensation Insurance carner and policy number are: Cartier. (T�is sedion nee0 iaf De mmpleled d the permrt is vaNed at we huntlretl tlollais (5100) w less ) Policy Number: y��/� certify that in the performance of Ihe work for which this permit is i" 'ssdetl, I shall not employ any person in any manner so as to become subject to the vrorkers' compensation laws of California, and agree tha[ if I should become subject ro cers' compensation provisions of Sec ion 3700 of [he Labo C s f rthvn! comply with lhese provision . —� O..�R.d� p - . n5tuie L -:1e� +A�,. WARNI . AILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, antl my license is in (ull (orce and effect. Lic # Class # COntractor's SignaWr¢ �ate CONSTRUCTION LENDING AGENCY: ❑ I hereby affrm that there is a consWction lending agency for Ihe peAortnance o( Ihe work fa which this permi[ is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: OWNER-BUILDER DECLARATIONS: I hereby aflrm Ihat Untler penally of perjury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions Cotle: Any city or county which requires a permit to construct, alter, improve, tlemolish, or repair any sWcture, prior to its issuance, also requires the applicant for such permil lo fle a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt Iherefrom and the basis for lhe alleged exemption. Any violation of Section 703L5 by any applicant for a permit subjec[s the applicant [o a civil penal�y of not more Ihan five hundred dollars ($500).�: �I;.asiowner of the property, or my employees with vrdges as their sole compensation, WILL DO THE WORK, and the shucture is not intended or oflered for sale (Sec. 7044, Business and Professions Code: The Contrectors ticense Law does not apply to an owner of pmperty who builds or improves thereon, and who does such vrork himself or herself or through his or her own - employees, provided Ihat such improvemenis are not intended or oRered for sale. If, however, the building or improvement is sold within one year of completion, the ovmer-builder will have the burden of proving that he or she did not build or improve tor purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construc[ the project (Sec. 7044, Business and Professions Code: The cont2clors License Law dces not apply to an owner of property who builds or improves Ihereon, antl who contracts for such project with a contracla(s) license pursuant to Ihe Contrectors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: .�.,0 � '+gnaWre a�e 3059-46 ( IO Owner ID verified by tlrivers iicense. Yes ❑ No Drivej;sLicense.No. Expiras::�_ _ V Lficatio� o� O nership by (rype o( tlocument; �i.e. - pr�pe_rty t`ax bill or deed): DIVISION OF INDUSTRIAL SAFEN PERMI7 CER7IFICATION: ❑ I hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be made in connectbn with work authonzed by this pertnit, and that no buildinq strucWre, scaf(olding, falsework, a demolition or dismantling thereof, will be more than thitly-six (36) (eel high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle 8, Califomia Administ2tive Code�. ❑ As owner-builder, I wiil not employ anyone [o do work which would require a permit (rom �he Division of Induslrial Safety, as no[ed above, unless such person has a permil to do such work from the division. AOOlicanl's Signalure Division oi Industrial Safety Permi[ Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant need to fle and certify a Business Plan for emergency response [o release or threa�ened release of a hazardous material? ❑ Ves ❑ No (Section 25505 of lhe Califomia Health and Safety Code requires, with some exceptions, thal a Business Plan be filed vrith the Costa Mesa Fire Department by every business which has at any one lime tlunng a reported year a quantity of hazardous materials equal lo or greater than a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard [emperature and pressure�. 2. Does or will the applicant or present or (uture building occupant need to fle a registration form for acutely hazartlous materials? ❑ Yes ❑ No (Section 25533 of the Califomia Health antl Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Departmenl by each business which at any one time has on hand a quanti�y o( acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume o/ 55 gallons, or 200 cubic feel of compressed gas at standard tempereture and presswe). 3. Does or will the applicant or present or fuWre 6uiltling occupanl need to prepare an RMPP (Risk Management antl Prevention Program (or acu[ely hazardous materials�? ❑ Yes ❑ No (Section 25534 of Ihe Califomia Health and Safery Code pmvitles [hat Ihe Cosla Mesa Fire Department may require the preparetion, certifcation antl filing with the Fire Departmen[ of an RMPP by businesses which are required lo register acutely hazardous materials with the Fire Department. 4. If an RMPP is presently required, has Section 25534 of the Califomia Heallh antl Safety Code been fully complietl with? ❑ Yes ❑ No 5. Does or will the applicant or present or fuWre building occuDant require for the work which is the subject of this application a permit for such cons[ruction or motlifica[ion trom the Sou[h Coasl Air Qualiry Management District or from any other air polNtion control tlistrict or agency? ❑ Yes ❑ No (Sectbn 658502 of the Califomia Govemment Code requires thal lhe requested information be (umished on applications for non-residential building pertnits). 6. Will any pari of the tacility lo he conslructed under this permit 6e wilhin 1000 feet (rom the outer boundaries of a school? ❑ Yes ❑ No Qf "yes", the facility must meet [he requiremeM of Sections 25534 and 42303 of the California Health and Safety Code). 7. If a permit from the South Coast Air Qualily Management District or other air pollution control district or agency is required tor the work which is the subject of this applica[ioq have all of the discbsures prescribed by Cali(omia Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. Qt'yes", attach certificate of compliance (rom the appropriate air polWtion control offcer�. CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury ihe information given above is cortecL I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signalure Dale CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify untler penalty of perjury that I have read this application and state that Ihe information given is correct I agree to comply with all sla�e laws and city ordinances relating to building construction, and authorize representatives of the Ciry o( Costa Mesa to enter upon the above-describetl property for inspecnon purpos s. I agree not to occupy or allow occupancy of an building authorize y t 't-a�nFi 5nal inspection.'To TNSp � U%. of.Le9a40vmer(s)¢�,�,".Y .Da.t O And/orAutM1onzetl AOPI¢ant oa�e . .. �,-�.,, ---�-�-`.� Casta 1V�esa City of Costa �Vlesa Building �ivision 77 Fair Drive, Costa Mesa, CA 92626 714-754-5273 / Fax 714-754-4856 OWNER BUILDER VERIFICATION Permit # O � Disclosures & Forms for Owner- Builders Applying for Construction Permits IMPORTANT! NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a building permit has been ubm ed i yo#�r 'nIame listing yourself as the builder of the property improvements specified at �� ,fi l I�TI ,f'�i i We are providing you with an Owner-Builder Acknow�ment and formation Venfication Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner-Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authorify. DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. �1' I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner- Builder' building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner-Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. ,j�2r-I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. �3=1'understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. �.L�4 �I.understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. � L� 5�1 understand if I employ or otherwise engage any persons, other than California licensed Contractors, and�thc total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. �6. I understand if I am considered an "employer" under state and federal law, I must register with the state arad�federal government, withhold payroll taxes, provide workers' compensation disability insurence, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. �7:�,understand under California Contractors' State License Law, an Owner-Builder who builds single-family resident'ral structures cannot legally build them with the intent to offer them for sale, unless al! work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. 3148-30 CALBO Jan 1, 2009 OB Packet template � Of 2 �871 understand as an Owner-Builder if I sell the property for which this permit is issued, i mey be held diable '� for any financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. , �r�understand I may obtain more information regarding my obligations as an "employer' from the Internal Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. J FO �f,am aware of antl consent to an Owner-Buflder bufldfng permit appfied for in my name, and understand t�am the party legally and financially rg�sgoPs;ble for proposed construction activity at the following address: ��L 1�agree that, as the party legally and financially respon e or this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner-Builders as well as employers. l.� 12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the infortnatio`n'I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner-Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner� and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or other verification acceptab/e to the agency is requiied to be presented when the permit is issue�pl t� �prifu thP �roperty owner's signature. � � owner Note: The following Authorization Form is required to be completed by the property owneronly when designating an agent of the property owner to apply for a construction permit for the Owner-Builder AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner-Builder Permit for my project. Scope of Construction Project (or Description of Work): Project Location or Address: Name of Authorized Agent: Address of Authorized Agent: Tel No I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification acceptab/e to the agency is required to be presented when the permit is issued to verify the property owner's signature. Property Owner's Signature: Date: 3148-30 CALBO Jan 1, 2009 OB Packet template 2 Of 2 Property Address Owner Contractor CITY OF COSTA ME� BUILDING DIVISION ��' ROOF COVERING CERTIFICATION ' I Permit No. �� ^ �� D'� 3 Coo� rdc��. G�Z � State Cont�actor License Number �� Classification �— I hereby certify that I have installed, or caused to be installed, a minimum Class B roof covering at the above address in conformance with Chapter 15, of the latest adopted edition of the California Building Code, and the install�tion instructions of the manufacturer. ,� I further certify that I am the owner of the property. (Owner-Builder permittee only). ❑ I further certify that I am: ❑ Owner of sole proprietorship company ❑ Full partner of the company ❑ Limited partner of the company ❑ Officer of the corporation I certify that as an authorized officer or agent of the company or corporation, I am empowered to make this certification, which shall be binding on all successors or assigns of the company or corporation. I shall deliver a copy of this Certification to the above listed owner, after submittal of form to the Building Division for acceptance. Received by Building Division By: l� �I , . Initial Dat 0990-a6 MW NOB W�ite � BuAding Dlv.; Canary - Convac�or, Pmk - Owner Company or Corporate Name Address �� i�/ / �� • i !//�p -- �. : r,. . CITY OF COSTA MESA P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92628-1200 DEVELOPMENTSERVICES DEPARTMENT BUILDING DIVISION COURTESY NOTICE OF PERMIT EXPIRATlON �qTE: April 12, 2011 PERMIT NUMBER (S): BO9 ' OD Z.ZI ADDRESS OF PERMIT 3DO.'� COOI�dQG AV FOR: /�.OpT Our records indicate the above listed permit(s) were obtained for property improvements or alterations at the above address. Per the 2010 Uniform Building Code, Section 105.5 Expiration, permits are valid for 180 days from the date of such permit, or the date of the last inspection for the project. Our records do not show an inspection for these permits within the last 180 days nor have they had an approved final inspection. If you have a signed inspection card showing that an inspection was made within 180 days, or that the final inspection was approved, please contact this office so we may correct our records. If you do not have an ap roved final ins ection; your permits will expire on the date of: APRIL 22, 2011 . Additional fees will be required to finalize expired perm,its. Reauestinq an inspection - If you need to request an inspection, please call our Inspection Request Line at (714)754-5626. Requestinq an extension - If you wish to request an extension, requests must be made in writing addressed to Bill Nunes, Chief of Inspection at the above address, detailing circumstances and listing an estimated date of completion. If you have any questions, please contact the Building Division at (714)754-5273, between 8:00 a.m, and 430 p.m., Monday through Friday and a staff member will assist you. The accuracy of records affecting your property is our goal and we appreciate your working with us to resolve this matter. Sincerely, City of Costa Mesa Building and Safety Division cc: N�q Building Division (7t4)754-5273 • Cotle Enforcemen�(714) 754-5823 • Planning Division (714) 754-5245 FAX(714)754-4856 • TDD(7�4)754-52a4 • -www.ci.wsca-mesa.ca.us � �noxessaam� 300� COOLIDGE AV uxr: QIHERSNWEIFIWMIN:WYATT, ROBERT D TR wonEss:1697 LABRADOA DR ��OSTA MESA,CA 92626 �rv�. �,uiwc �oo� /iPCXrtECT Ofl @lUNEFA: �. NO.: LRCN. OF FHO.'S ADDNE55: UNf: �,��S�;TONY CONSTRUCTION (714)972-8566 cam�,croxswuuxc 420 S SPRUCE ST ��SANTA ANA CA �� 692332 9270 u� IICENSEO COMPRCTOPS UECLAPATION: I heeaby ell�m wder d 'wy ihet I un Iceneed uMm praiebna d Chepr 9 (mmmentlrp eilh Seclion )00� A Drvieion 9 d the B�sinem eM PManeio C , Ij4eme ia inE P eM �qp./ 9,7 cmuc.No.:05598� uc.cuss:C 27, uc.Ho.: � 3 om.: � i._ % j '— 7:,,r ca,irea : OWNEH BUILDEfl DECIAHATION: I Mnby eifirm undar penely d perjury �1 em emmq ir iM CaMrerJae liceme law for tM Idlowiip reeaon (Setlion )03L5 Buemeea end Pralecsions Code: Any cny a mun y which ,equ' e pmmB �o mmbucl, aXer. improve. vnd'ch, a repei eny sliuciuro, prin,u Ge eauenm: abo reQuim IM epplimru 1 wM parmN o Rb e aprod ewammu tlW M a�he xnasd W�1 to IM paris'vu M tM Contredas Lioense lew IChaqer 9(�mervinp xi�h beqion )00p) d D'viion 3 d ths vren erd Rdemiona Cada� or thel M or she ie azempt thxehom aM �he besie la iha elbpeE mempion. My vioWon of Satlion �1.5 by eny epplirant for e permil wbjede the epplram io e avil perely of ml mae ihen 1've huMred Edlen �5500�. � I. a� owrer d �M prope�y a my emplqeae wih wapm m thei wb mmpanaelion. will Eo tM wak. eM �M shuclum b iwl inleMs! or olle�M la eele (Section ]OGO, Bueinesa eM Proleasions COAe: The Contreqon Licenee Lew doee ml applyto en ownerd propeM wM Wida a inpiawa Iherean. eM vAw doee euch xwk Nmsdl a hanM a Nraqh he a hm ovm empbyaee. pwiEeE �MI eu�h imqo+amenn ere m� imerded a aXmeE /a eab,tl, howerar, ihe Wiqiiq a inpo.emeM o edtl wilhin one yaer d oompMion, IM owner-0uiker vnll heva iha WNen d D�'irp he a she Ek nd WiIA w impwa for tM WR�e d ule). � 1. d owner d iM D�W�Y. em ssd�ni.NY aonvmM wnh liwrued canvecias ro�mNua the pM� (SeCun 1014. Bwinm md Prolmsian Coda: The Coniree«e'licenm lew doa na aOWY W en oxm W popenY xfio buiks a imV�'x the�son ud who convacm M wM prqxd xilh a mnireeor(e) Icenead purewnt to ihe Conlredors Licema Lew). � I em ummq uMm Seciion: ,:}-� B�8 P C., tar Ne �emon: Dme: Ownec � ao MreM cenM �nm �.m .ware a ane uMmsiena me iaauiremena a cal�amia Haem, w Satan coda seaian uws. u5aa. ane 25530, eM thel I or eny INura EuilJirp arupam will / wil na (arck ona) med �o comply wIh eeid etate wdee eM IM rey�iremenb br epvmn I«mruwctbn or modifirelionham�heAi�Te tyT.ianepemeni Diatrkl. Reekenliel mmt�udion eppiralbroen examq ImmtMea pwisiaa. Dma: AVWKeM: WONKEN'S COMPENS�TON DECWi�TON: I hereby atfimi uMx panaM1y ol prjury ms d IM blbvnrp detle�atune: � I hevs eiM vnl meinlen e ce�iliceta d consam �o aeM-inwre Ior v.orken' companealun. m pro�iEeA fa by Seaim �]OD W tM lebor coas. i« ms �n�< a ub ..o� i« �n ms �a 4 4,�,a. ❑ i n... �e.�e m�m� won�� o�w��o� ma��, d�w��ree nr s«vo� s�ao d m. �uo� cod., ro�m. ad+«�� d in. work la which Nia pemin b bauad. MY wvkere' mmpenamun inwrv�ce rartier and pdiry number ere: c�.: PWicy Number: s,xrm�e„aeacm�a�edimeo�xoro.menu�n�e i Rroolarka,.� V. I caniy ihet in tha pe�lomienca o/ the woA br v.hch ihia pe 1 is ueE. I ehell nd employ enY 0a� in anY menner ao ea lo become wbjad b iM1e xwMa�e' cwnpensetbn le�w d Calib i i pre tIW tl I daN baoma abpq to tM Mvrluis' ode:�^p^^� bn pmnabma d Sepion 3]00 d IM lnbor Code, I eh �I h a D� � oee pwiaiarm. l— �� / � � i�c W�mlig: F�Nun b xcun woMreri rompsiwtlon mv�nps l� n/n I, �M aNll w! an.mplqw fo eNM�ul pn�Ma �M mm �M. up ro an nunersd mouuro awrr. lS�oo,aooA �n emuan e ms eo.t o� e awean demeps• .. p.ovmed ror In s.�no� aros er m. �.m, cea, me.�..e .,�n „ro.o.y'. r.e.. CONSTNUCiION LENDINa ROENCY: I henby elfirm under penelry W parjury Ihet iMre ia e conalrudian bMiip epe�wy M �M p,no�� d�n� wwx ro..n�d� mv �� s as�e �s«aoo aam, cw. c�. LENOER'S NAME: LENOEH'S ADOHE53: i uniry mm i ne�. �ae mre wd� �,d ame inm aa ��mo�wbn o oonea. i aa� �o comMr wnn a�i �r d,e ownb «e��eMe. end eW e lewa relelinp io buikNg conslriwtion eid hereby eNhorrze representeiivea W this ary lo enter upon �he ebwe-memionatl propeM� iorinspeaian pur�� '�,' •� Y�'1 /� l.i tC`4 ''V � I K N-�� T�) I� � (5151de.WP) oe�a: 1 !— f7 — `� � Whne-Buildvg 8 Sdery; OreerrFle: Canery-AppY�ant: Pink-ibvenue; Oddanmd-Aaemaor CITY OF COSTA MESP. — BUILDII�IG FERMI`C PERMIT NO: H 080420 PLAN CHECK NO; 04716-96 S PERM NO: B OOU420 GOVT: N SUPP; N CONSTRUCTION TYPE: PERMIT TYPE; STR PURPOSE: ��TI3 JOB DESCRIPTION : 62LS CITY STANDARD BLOCK WALL SQ FT: 62 CLAIM VALUE: 1,240.00 CALC—VALUE: 1,240.00 GROOP OCC: R-3 /, COMMENTS: BLOCK WALL ****��*��*****�*�*��***�r�*+�***�*�******�*��x*�**********x�**+��rt*�*��x*** Z O N I N GS ERTEBQAUCIKRSE M E N T S -------- -- MAIN BUILDING -------- — --------- ACCESSORY BUILDING ----- --- FRNT: FT IN REAR: FT IN FRNT: 11 FT IN REAR; FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 19114166 ZNE: R2—M REF NO: PLANNING NtJTES> CONSTRUCT A TOTAL OF 63 LF, 6' HIGH BLOCK WALL ON THE-"RIGHT > SIDE OF THE PROPERTY. ****xx*****�**�*x x*�r**x+�*�t�t*�t*�t�*****�*********�r�*x�*�*u��t�t**�r**x***�+�.***�*�u��x� 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 �l� ��_ DATE: �^ I 3— �lC BUILDING APPROVED BY : DATE: -�t APPLICATION ISSUEU HY; DATE: �I"�l"S —c(.� 9fiflkiEififiEjFlEifiEiElElfiEiFiEiEiElfiE1E�3F3F�Fi�iFiF��F�i��F��F��3Fi�F3F�F3F�FTF3f3FiF �F�3F�f�if�F3F3E1E1EiEfEiElEjEiEjE�3FiF�F�fF �E'1E LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE .SMIP/RES GRADING PERMIT 43,00 ,50 "'� SMIP/NON—RES PLAN 27.95 . `�,• ISSUE FEE + BUILDING—DIV—> PERMIT ISSUE PLAN-CHECK TOTAL /%�PAID DUE TOTALS---> 43.50 0.00 ` 27.95 71,45 ,r71,45 .00 1 REVENUE DIVISION TOTALS--> COLLECTED; 71.45 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 43,00 • ,50 ,! 27,95 iE 3F �f iE iE iE 1E fF 1E fE 3ElE iE 3E iE jE fE iE iE iE 1E �E 1E fE if ik 1E jE 1E iE 1E 1E 1E iE iE fE ik.iF 1E if fE 1E if iE 7F IE 1E 1F �E iE �E fE 1E ff �E 1E fF IE aE iE iE 9E.lF �E �E iE �)E �E fE �E �E 1E 1E �E 1E iE iE jF �E 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 CO5T y SFR 62 RES—CONCRETE BLOCK WALL / FT. 20,00�' 1,240,00 END* OF FEES �' h � � . �' / 01 a62290b6-��219�68 T C�T 71,45 PRTE: 11/13/9S TI11E: 11:41 � �ONSTRUCTION AND PIANNMG - POOL pA � � - � � APPROVAL$ �Permit # � Date Iaspector " APPROVAIS Permit # � - Date ' Inspector, � � t. Temporary Electriral Service or Pole " . 52. Poo�l & Equipment Locanon � � '_. 2. Soil Pipe�Undrgrnd. .� - . 53: Steei Reinforcement � 3. Elecirical COnduit Utiliry�Undrgrnd. � ' � �54. Forms � � ,� � � 4. Electrical ConduibUndrgmd. � � 55: Electrical Bonding _ �'�}� � 5. Steel Reintorcement �� (Lr �� '� , 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. '� � " 57. APPROVAL TO COVER�GUNITE � 7. Footings -1 q� � 58. Electrical�Conduit-Undrgmd. •� 8. Foundation 59. Gas Pipe, O Undrgrnd., Test , 9. Water Pipe�Undrgmd. . 60. Backwash Lines, P-Trap, � Undrgmd. 10. Structural Floor Svstem �� ' - 61-. APPROVAL TO'DECK . 11. Property Sewer Line & House Connection 62. Backwash &:Receptor�Final ` .,, 12. Sewer Cap _ � 63. Heater & Vent-Final �'� 13. Roof D�ains ', ' 64, Ptumbing System - Finat 14. Rough Plumbing ' 65. Electrical�Final � 75. Rough Electrical-Conduit � . 66. Solar SVstem�Final . �� 16. Rough Electric Wiring � 67. Fencing & Access Approval ' 17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING 78. 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 77. Product Piping OGas ❑Oii 23. Gas Pipe-flough & Test 72. Underground Flush 24. Roof Framin9 73. Undergrnd. Storage Tank C1 Gas ❑ Oii 25. Roof Sheathing 74. Overhead HYdro 26. T�Bar Ceilin9 (Structuraq & Monocoat 75. Dry Chemical 27. Frame and Fiashing 76. Ory Standpipe 28. Lathing & 5iding 77. FIXED SYSTEM F�NAL 29. Insulation 78. FIRE PflEV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 37. Plaster Brown Coa; . 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: - 34. Final Neati�g & Air Conditioniag / � � C• C. ~ 35. Final Gas PiPe-Test . . 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing ' 39. Water Service-Finai � 40. Gas Service�Final 41. $oiar pomescicFinal 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irripation Sysrem 11 Z 5-`./6` ,y1� _/ _y _��_ � yC ` 45. Sound Attenuation -` �Y `�} /�/�jY�� . 46. Handiwp Regulations 47. FINAL STRUCTURE & BUILDING `��-q(� ��- 48. FINAL PLANNING 49. Electrie Release to Edison . . 50. Gas Release to Souther� Califomia Gas Co • . 51. CERTIPICATE OF OCCUPANCY No. Date A y NOTE ADDITIONS, DELETIONS, OR CUBR�Ci10�1� ��9914L BE APPROYED BY THE PLANtatlPOG DBVlY�9QFi DMSIO� � �oS DIN ESA�E�Y APPROVED �— �m� � "� 6 Ttds s� oi ptans �d s��iflcatlons MUST be kept on Nis job at aU times erM k Is tm bam the DMsbn Buddin9 ar�d Safery, CiIY omCo� Mesa ��p� ol mig plan gnd specificalior�s SHFLL NOT be held ro D�n m t be sn eDP of the vialation ol arry Provisions of arry City.ol Cos!'a Mg przfy�ance an o� State Iaw. �'�j � O��--_..._.._., Th se C':�+s and ve " '. � become null azM wid 0 the uildtrx� or wo is not commenced and maintain aclive per fd1 xitlwi 180 days 1 lssuance. _ +� RESIOENCE �1G�-� �' � � � 3' � � NfE1D[M f '� 3003 � �r� �931��9 ��,� Y jIJJiJ CITY OF COSTA MESA PLANNING DIV. SU JECT TO BLDG. DEP7. REG. BY� "`"�'�- DATE /��GI (� Z L f fz`�Cc� RE8IDENCE �� STREET o- _ Mjq y �OF ��T RFP(rjREo £ U��.. ,��- wd-�-- REi1DEMCt .�-, ., .i ,� . �.. , ,;: � Cement Coping Qo'tional � ' Cha'nn'el�Block With t-3/8� Horizontal Top of all Fences For Fences 5' or Less Vert. Bars 3/8"yS at 4' -0" O.C. For Fences Highef Than 5' Vert. Bars 3/8"� at 32" O.C. � Fill Cells Solid With Grout W here Steel Occurs Reinforcing Steel Shall Conform to Sec.A-15-39 A.S.T.M. All Steel to be Lapped 24" or ta Code NATURALGRADE TWO 3/8"5� 9ARS CONTINUOUSTOP & BOT70M .NOR7ZS7EEL MUST BE TIED IN PIACE AT TIME Of TRENCH INSPECTION. TYPICAL 6�� CONCRETE BLOCK FENCE � x � � � > w a = > Z a i� w o U F Z w n Dn k�-+—WIDTH p� � SEE CMART � BELOW o� Y' o . � L+ � ' J �, e 3 i o" � GENERAL- NOTES MORTAR: p�e Part Plastic Cement, nnd T�ree Parfs Sand GROUT; One Port Cement TAree and One Half Ports S�and COPIN�: One Part Cement, Three Parts Sand CONCRETE: Well Mixed C2-I/2:3-I/2 Max. of 7- I/2 Goltons of �� Q i�iCr-Per—S' ck of Cement eE POURED FRO�1 THE TOP :E IN CELLS WHERE STEEL CE LLS AND AREAS OF HORIZONTAL REIN- FORCEMENT SHALL BE CLEAB, CLEAN & FRE6-0S.AlL,M10H7A8DEBRIS, ETC. �rt! nb 1� d a7 T2 R4 zr�r+ss;ix�3 p,,ss �-� fo t^.a s991' .. 2e�r;:;: 4a�s s�=m ot hJ,`�-�m d Ii 6ms 1� E: i.��.a� t e pc;,u8 to rt�.�0 ab mmt rta7,Z;m� ---::- :-�w.�;:��4n�tp�9topn'�.r_.talT c w c b:<:;'�i� jtl' �l fi'',e'IL�P.fV �ji iD I5`,,. 'iCOb 2^r ?L� CJ SO � e �... . e. .K"'�.1 B:G� IO�7Li 0�fifJF.k{� 17:.&�`1 r��' �r' r.: ,��-. �. �t� tit,., _ n�+, ...,.-T� h73: ^.: � 3w (T .. D� (L'. t'`£:."a7:1:. .,: .� J. � r �: ..,�; . _ ,1to,�r....¢a .^d DE PTH -UF� E�ARTH7�COTF'..; (b� e ` V3 THE`HEI'GTH—OF—F-ENCE I �-��OW BOTTOM OF FOGTiNG. e 1 z FOOTING REQUIRE��ENTS CHART SCALE: I/2��= I� W�D7H . . . . . . . . . . . . . . 14" . . . 14" . . . . . . . 12"_.,, . , . 12„ 7HICKNESS . 10��. . . . . . . . . . . .10�� . . . _ . . . 8 �. . . . . . . . . . �. 8 DEPTH OF EARTHTOOTH . - . 24�� . . . 20�� . . 16�. . . . 'c 12� SPACING OF EARTHTOOTH. . 12' . . . . . . . . . . .14� . . . . . 16'. . . . /. 16' City of Costa Mesa, California Building Department � . . , . . .. . _. . . 2EvlSEP NOK 82 LOTtt6, TRACT �2U� � �sto7 COSTA MESA BUILDING-SAPETY DEPARTMENT P. O. BOX SiT COBTA MEBA. CALIFORNIA For Applieanf fo Fill In Complefely � � TYPE OR PRINT 71LDING �DRE55 300� COOLIDGE AVENUE C COSTA MESA. CALIFORNIA __ _ _ _ KENNETH W. KOLL. F�� ECEIVED � �l JNIV q 1562 � fINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only PEGE�M NO. PERM�T NO. MAiL � xecerveo Y DAT§ HCHNL�D DATB' 188UlO ADDBESS PLAGENTAI AVENUE / �-� - �'� 1 CITY NEWPORT BEACH �jpM{ 6 ZZ BUILDING ADORESS ARCH�TEcr NONE TE�' - COSTA MESA. CALIFORNIA OR ENGINEER NO.---'--- ADDRESS '___"_'__"________'_"'_'___ FIRE �� . ZONE TYPE Y GROUP � GONTRACTOR K W KOLL CONSTRUCTION CO� AP�'ROVED � BY DATE ADDRES6 � 5 PLACENTIA AVENUE ZONIMG ZONE NO. OF U86 OF NeW '%4� CJ �,CITY NEWPORT BEACH %-� IPurve � _lem�o�xa w � LIC.TNO. 6� � NO. MI 6- z2 escnirr�ox 'T ' y�' l� /�'�'/ bF LOT � 11U � X � 2O � I NO. OP BLDOB. O NOW ON LOT ,.66TBACK LINH PROM �.7 � I IEFT V� I RIGHT �� DESCRIPTION OF WORK a � USE OF BUILDING AND WORK TO BE PERFORMED TRIPLES WITH ATTACHED GARAGE YARDS APPROVED � (CCMCR LINE 6TJ R. SI�E � L.SIDE /� �-�- / REAR eVPROVED �Uj ��3�6Z I HEREBY �CNNOWLEO6H THAT 1 XAVE PEAD TXIB APPLIGTION THE AMOUNT BXOWN UND¢R VALUAT�ON IB POR TH¢ AND 9TATE TH�T TH6 ABOVE IB CORREGT AND AGREE TO COM- PIIRP08E OF, 66TABLIBHINp A PERMIT FEE ONLY. PLY WITH ALL CITY OqDINANCE6 AND 8TAT8 LAWB XEOULATIN6 eutLolHo eoNe'RtuGT1oN. VALUATION '�IGNATURB OF PERMIT FEE $ �� 'ERMITTE �//�j/ G� �^ f� $ �) J �/ � PLAN CHECK $ �` AGENT