HomeMy WebLinkAbout3044 COOLIDGE AVE - Building Permits\_
PHOJFf.A00FESS: 3O�I9 COOLIDGE AV �
OWNEP'SNAME: SEALS, JAMES R
nooxess: BROWN STANLEY B "
1023 �HEYENNE
COSTA MESA,CA 92626
ANCMIENGINEEN: S�IS—H3%S pEG.NO.:
AOONESS: *
UNIT:
UNIT:
PE"MiT'EE: MESA PACIFIC ROOFING ( 714 ) 645-7552
AODflE55: 1 �S` 'Z('%y B�(AFKE�R ST �
LICENSEO CONTHACTOITdECCABA1701f �Th�e3y auirm that I am �icensed uneerCpr�ovi5io9n52f��Z0`e� 9(�ommencing with Section
7000� ol �ivision 3 of ihe Business an0 Pmfessions Cotle, antl my license is in full lorce and el�ect.
CITV LIC.: STATE LIC.: CLASS:
03 72 4307 5 C3
�aie: ' Si namre'. • � ��
9 �ysf.e��J
WOBKEPS' MPENSpTION �ECLAflRTION: I hereby afhr hal I have aCEtlifica oi consen� l0 5 Ii' sure or a cetlificate ol Workers'
Compensation Insurance. or a certdietl�capy tnereoi (Sec�ion 3000. Lab. C�.
roucrxo.: 653447-91 E%P.ORTE: O%IOlI9Z
comaaxv: STATE FUNI�
❑ Cetlified coDY is hereby �urnished. i.j� Ce�ilie0 coOY �5 �ile ��� the ciry Bmld/inq.G/��p-sion �//// q
de'. � APDlicani:�� n �/. !I��/-CX/�d'���_
�. E%EMPiION FROM WO IlEBS' fAMPENSATION OECIABPTIUN: Qhis Settion n A nol om �e0 if �he pe n is for one hunOreO (5100� ar less�.
I cetlily ihat in Ihe petlormance of �he work for which �his permit is issued I shall not employ any person in any manner so as to become
sublec� to Ne Workers' Compensalion Laws of Califomia.
Daie: SigreNre:
NOTICE: IL a�ier making �his 4eclamiion, you shoultl become 5u�leci �o the Workers' Compensaiion D�ovisions of �he Labor
Cotle, you must fotlhwilh camply wi�h such pmvisions or this permit shall be tleemed revoke0.
CONSTBUCTION LENOING RCENCY: I hereby aBirm �hai �here i5 a consltuc�ion IenOing agency �or �he Dedormance ol ��e work lor
whic� ihis permit is i=.5ue0 �Seclian 3097, Civ. C�. '
LENUEH:
RODNESS:
OWNEfl BUILUEfl UECLABRTION: I hereby alfirm thai I am exemp� Imm �he Contradors' State License Law br Ihe following reason
(Seclion 7031.5 Business and Professional Cotle: Nny ci�y o� coun�y which requires a De�mi� �o wnslmct, alter, impmve, tlemolish, or
repair any stmcWre. prior lo its issuance, also requires Ihe applicanl �or such permi� lo tile a signed statemen� �ha� �e/she is licensetl
pursuantloihe pwvisians o�ihe Coniraclors' S�a�e License Law(Chap�er9�commencinB wilh Seciion 7000)of �ivision 3 o�the Business
ane P�olessions Codel or inat helshe is erempl lherefmm and the basis for �he allegetl exemption. Nny violation ol Section 7031.5 by
any applicanl lor a permi� sublects Ihe applicani Io a civil penally ai no� more than live hundrea Oollars (5500).
I. as owner o� �he pmperiy or my employees wiih wages as their sole com0ensation, will Oo the work, antl the
❑ slmcWre is no� intended nr al�ered for sale (Section 71144. Busmess and Pm�essional Code: The Cantracbrs' State License Law
Uoes not apply lo an owner o� a pmpeny who builOs or improves �hereon, and who does such work himseli/hersell or �Amugh
his or her own employees. pmvitletl Iha� such impmvemenis a�e nol intentletl or oflered for sale. I( howeve� �he builtlmg or
'mpr�vement is soltl wi�hin one year ol compleiion. Ihe owne� will have the burtlen o� pmving he/she did no� build or impwve
,. lor the purpose of sale). ,
� I, as owner o� the pmpetly, am exclusively conUacling wi�h licensed contrattors to cons�mci �he pmlec� (Seclion 7044, Business
--,I J and Pmfessions Cotle'. The Coniractors' Slate License Law Ooes no� apDly �o an owner o� pmpeny wAo huiltls or impmves thereon
antl who conlracis lo� SucA pmjec�s wilh a conirac�oqs�license pursuan�lo Ihe Caniractors' $Iaie license �aw�. I am aware
Ihat proof of Iheir Worker's Compensalion insurance shoWd �e pmviaed Io me.
� I am exemp� under Sec�ion: 8 B P. C.
lor l�is reason:
Oa�e'. � Owner:
I tlo hereby cenify Inal I am aware of an0 un0erstantl the requiremenis ot Califomia Heallh antl Safety Coae Sections 25505, 25533, ana
25534 and Ihai I or any �uNre bmlding occupani will/will not (circle one) neetl b camply with said state coaes antl �he requiremen�s tor a
permii for conslmction or motlAicaiion trom �he Air Oualiiy Managemen� DiSVic�. Residen�ial consimc�ion apPlications are exemp� irom
Nese pwuisions.
�ale: Fppl¢anl:
I hereGy cetlitylhal I �ave read Ihis application and 51aie Iha� Ihe aboveinformationis correcL lagree�o com0ly with alici�y an0 county
ordinances and stalelawsrelaiingto building consimc�ion an hereby ai h6�erepresenlalives of 's citylo en rupon��e a�ove-menlione0
pmpetly far inspecilon purpases
�ale: �/5� Signalure: ���
�rivefs LiE�e or ocial Secunty
Applicam; Pink—Revenue; Goltlenrod—Assessor
L
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: H 05362.
PERMIT NO; B 053626 PLAN CHECK NO: . N GOVT: N SUPP: N
CONSTRUCTION TYPE; PERMIT TYPE: STR PURPOSE: ALT
JOB DESCRIPTION ; T/OFF REROOF W/ COMP SQ FT: 2,350
CLAIM VALUE: 2,350.00 CALC—VALUE: 2,350.00 GROUP OCC; R-1 /
COMMENTS• T/OFF REROOF W/ COMP
*********x�****�tx�*x�****�rx+�***�+r*****x*�*�**x *x��r***��rx�x��r***�r�r*x�*x��r*+r�r*+t*�r�*x��r�r***
Z O N I N G R E Q U I R E M E N T S
S E T H A C K S.
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING -------=—
FRNT; FT IN REAR: FT IN FRNT: FT IN REAR; FT ZN
LEFT: FT IN RGHT: FT . IN LEFT,; FT IN RGHT: FT IN
PARKING RE�� PROV; PARCEL: 14114308 ZNH; REF NO:
PLANNING N 1'ES>
� _
if it iFiFik iF iF 1F �t �t iF ik if iF �! �E iF iE M if 3f iF M if iF if �F 1F iF 1F iE if iFik iF ik 1f iF iElE ii if 3F�klFiF iF M iF iflf iF iE if it iE �F iF �E iF if ff k �F�E if ik iE�FiF 1f if iF �f if iE if if iF
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 HY .
BUILDING APPROVED BY ;
M it 3k i1 �f �t iE iE IE if iE if if iEif if �f iFiFiF IflF if it iF iF ik ihiF1F"iFif M iF
LEGALIZATION:N F E E
'HLDG PMT PLUMBING E
PERMIT 54.00
PI.AN
ISSUE FEE
S U M M A R Y
IC MECHANIC
_ DATE;
DATE: �':'
DATE• �
iFiFiFifiEifiEifiEifififiF �Fif
iFif Ik if if iE 3f if iF iF1f aF �F af if �k af If �k Ik �Fif �F �Fik
STRUCTURAL SEGMENT:Y
FIRE SMIP/RES GRADING
, 50".
SMIP/NONr RES
BUILDING—DIV—> PERMIT SSUE PLAN—CHECK TOTAL PAID �. DUE
TOTALS----> 59.50 0.00 0.00 54.50 54,50 ,00
REVENUE DIVISION TOTALS —> COLLECTED: 59.50 OVER/SHORT: .00
BLDG PMT PLUMBIN ELECTRIC MECHANIC FIRE SMIP/TOT GRADING'PLAN—CHECK
54.�0 .SO
iE jE * ik 1F if it iE if �E iE �f iF ik aF IF if if 3f iF if iF IF iF iE if if k if M if iF k iEiF iE 1E if if M k iF k if �FlF it iFif ikif iFiE if iFiE k if if iF 3F if if if if iE if if �f iE iFlf if fE iE if iE �f 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 2350 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 2,350.00
END .OF FEES . '
oa a�o9sQza-Q���sqa� Y,�:.�y-
oAT�: 0&/28/9? �zre: ;;:�,
:,7:,
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CONSTRUCTION AND PLANNING - POOL F �
1
APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
1. Temporary.Electrical Servi�e?o� Pole�` � 52. Pool & Equipment Location �' �
2. Soil Pipe-Undrgrnd. - V�/ �i.i� � � 53. Steel Reinforcement �
�'���C�2�1 Cond�j}��ity-l�d'rgmd r'�'� � • ' 54: Forms �� � � " � -
c
���� ectccelConduit�l�i��irgrnd, n�p - 55.�ElectricalBonding -
�SaiSJ��nforce� �' 56. Rough Plumbing & Pressure Test �S
�6-r ` i `���' '�' � 57. APPROVAL�TO COVER-GUNITE � ``' -
.r.:E tccat UFEFk�ta;qg. ��
��
;�9 Fiio4i%gs [� n' 58. Electrical Conduit-Undrgmd. a%
�8�'�oundation y`-` ''� . 59. Gas Pipe, � Undrgrnd., Test � °�
:�9. Water Pipe-UndiiJrnd. • � . 60. Backwash Lines, P-Trap,-O Undrgrnd.
F.
10. Structural Flooy�ystem ' �. - � � 61. APPROVAL TO DECK �
11. Property Sewer Ling-& Hop��Conne�tion 62. Backwash & Receptor�Final
12. Sew�'Cap °; � 63. Heater & Vent-Final '
w c�
13. Roof Drains �c _ V 64.. Plumbing System � Final �
14. Rough Plumbingi `2 v� ' 65. Electrical-Final
55. Rough EVectrica�CConduit - � 66. Solar System-Final .
16. Rough ElectricWiring � 67. Fencing & Access ApProval �
V. Rough Wiring �n 68.,APPflOVED FOR PLASTERING
18. Rough Electric�NT Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
' 19. RoOgh Heating & Air Conditioning'� FIRE DEPT. REQUIREMENT ' �
'; !r ir��!-� �z x� E N
20.t$ou§h F$.Ctor� FiP�place : CCa; K'7 :< ''J J Cr'� v WPPR�01/At�:aCBerqiit# �K �'r
ly7 i ^t' Y. H t-:f. s r niH ,Y. �'�'
n• r xc 1 i-F :CS � "' `� �"*'t 0. de5�^l t-7o x rx7
21. �uCt{, ir�$tru�tu�t i.. ., r;S :i: S C H.+ �' 9.e!L^ Y� �:
22. Du�, Vehti�itin¢+yc � + * ^ `� �x �1, Produc[�Pi�rig ��bil
T
23. �asrFiPe�ou�&'lrst � �,., *,� U' r-+..:� � �� i_ rJ .r; ,r,,, ci
� � m,� t.•7 tr' �'L O+ ��2. Undergru`C7�1 F��"Jrv v. E-• w
24.��ott�Framing• i� it�H ••'r .t' C:r ���3.�RJndergrnd?Stora�'TankOGas �at
25. Ra Sh�thing �''* i c''1 ''' [TI `q O Nx .k :°" � �-�a-O X
�� [rx •S v t= V> N� � y4.�,�rhead FiYdroO .�
26.n�F'-BarCeiling (StrrtDtural) & �oraocoat 'c � m C7 cT!x r 75.�Dry Chemical � � �+��!-a � �:
27.`Frame apd Flashirip' 'x � � �'" 76.`•iJ�y Stan M' v� �� S t�t r: '
�/ r- � ��a'. DCCtc :r c' mY� x �� r-.tz7 :# J
I / . . .;�: n! •J . ..... • .s v . �
`.28. thing � Siding!;-�; r� �rCw tx � E ••� ••� ••w :R 77,Cr'FIXED SYSFEM�NAL�k �T'
r � r L+ 1-a .. .. � � h7 I : k: �-. r. . -• tD
�29. Insulatibn ' .� � �., 78.yFIRE PREV. FIfa,A1, ;k,� ,x ;�.
[�0. Drywall aila4�g ;�x:� �J � ' � ��+. �� kEALTH� EPTrfF€QkllREiNENT
� - �.� n �•
�1. Plaster �' wr�i,Co��*. S � �,,c^ � � � x F r,79.`�iNAL 1I�t�P�.ECTIQN .t: u � ;�y
t Si' :a t � :. • �-�.1-' I-�
' 2.�lectrical PovaEr Meie�;Final ; :+ iL• � i. !s$O.r¢OOD CEATIFIQXy'F'E ISfrUED
533.�ina'�El�tri�? r,; � a t c*i x' hNot�: �' `�� a'. m
�c .r � �¢ �: � . , '7:�) k ".: p tv r,m
Y I.f-IH F � �
�4.�Fin H' ing• Air�or?djtiO4��$ � � � M EK ;-�'C � s "ij
�
35.rin6t�Gae"Pipe"iTestr � � ( �-� '� •^• �s �`�' S�
x : r� W� ;�o vN :1' r-.[�
� .. * .. � I �» . . ..c� r..• +�
.�6.'�ioofl or CanoPV .k p i t^"'_ -+ s !t . *. i .e. '.'10 'i: '-�'�l�'
�
�37.�in5i�Factory Fireph�eCe'� � S� "' .* M � -� � Y =� �' ~ `-h
I � R w: :r N
r.�8. Fin��Plumbin9 # CJ i.... �= >� � � �.x S :-+ �%�:.� O
C39. Wat@4 Service-final* � � � ": I `* �"� NtTf * tX O
:.J 1 :r. CC ' . n i� a .Y. S
:40. Gas Service�� al " �" Y � � ' � �' � -" �'
i•. � k ITI �'Ltr:r S x(r I ' �.r �n. rr i{U Y.
A7. Solar pomestlt�Final S C�� � •• �� Os � � � M ��J ^ti X
�: I r n -+o cr r x
� � t- n. » ;� � 4 � . .a � , t"
`42.`8ackflow Preventer;; N r i � x � n N
�F • f
43. Backflow Irri�ation� h^SS � � X � �s:i�c * O '-�
i :e +� z. t� t X N i x: tl •
U' t�. cC :±: �: � :-+ � �� � ' '
�,rj4. Landscaq� I�iqa[io�i SyStert�pCn,� r.� y, ts7 �? t7 ;,-lv.c :n t� - N:�3 CC(J :k �� N O
..� ' - .
7A5.t�ound Atten"�i atiorti. �'"�[F iT x� i- F F'x. � C1 i� �-+ c-i cC�C .�
:r r r-� . r m a.r. N [T -+C �c
. . .. . :T �: . .
�6.EFiandicaqF",Re�latio�ss H s y� �' ' ' ��x:� a� s C:� s �
47.�IN'A.,LSTRt�CTURE&BUtLDING r���, � �U�5 �x. �
r., � � i �;` ' , --� � . « m � G /N.��
c i r• t* :x E �� .� �.,
48.�jIf�L PLAR7�JINCy � E.F x N � 4� t�7 in S :r E- c.
�49.tElearic Release to Edison � x' i � � m E iC i r _ w
I �S •:l x �,
�O.�f,as„Sele1'�ase to Soutjiem Cali�o,[{�j.a�Gas Co A I j"' . x F r�+ 7•�t*: 7� G v
" 1. CE�TIFICATE OF„OCCUPP,N Y' r: :. r Ca cno x � :-� a
N0. Date , � �.
i�
OWNER KOLL� K. W.
GLNERAL CONTRACTOR
AP No. 1lF1-1143-01 LOT
INSPECTIONS
O
r r
DATE 7-1$-62
BUILDING PERMIT NO.
TRACT FIRE ZONE DESCRIPTION OP WORK
Signature DATE GROUP J TYPE n= ZONE
- SUBCONTRACTOR -.PrT
,::
-�.. = i�5�� FEE RECEI��ED
COSTA MESA BUILDING-SAPETY DEPARTMENT JUL 1 ti 1962
P. o. Box s�� GOBTA MEBA. CALIRORNIA � FINANCE DEPT.
cirr o� cosra MESA
For Applieani fo Fill In Comple+ely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING ,
BUIIDING � ) ) �� i �i7
ADDftE55 �Y2/� l o+*i //�• n 1/z�)
COSTA MESA. CALIFORNIA . FOr Office US@ �fl�y
J\ J 7 � REGE�PT NO. PERM�T NO.
OWNER [(i i���
MAIL 9 �7J� //g RHLEIV D Y I OA j/E �Vpp� I� �=E 188UlO
ADDRE55 .I�' .� / I'.-r����/J, •./YU• � �p
1 TEL. ' BUILDING I �p�(,�
GIN .�EhJ4�AA� '���/�+ NO. ADDRESS <<� �'^�'
ARCNITEGT � 7E�. ' COSTA MESA. CALIFO IA
OR ENGINEER NO.
ADORESS � � FIRE _
.`(//� ) ZONE TYPE GROUP
CONTRACTOR �M1: !` .l. � /C'�1 1->i I/U.•^b)A:i% . APPROVED .
� BY DATE
ADDRESS J O�/'I.'1� 1�^•� l. � ZOMING �Q
7 %� ZON NO. OF USE OF NEW
CITY ��hfll�l�. 1��%' Zf't'� � I �PLANB Y IBUILDING -
6TATE } (� TEL.� 3 '^/� i � 'p
LIC. NO.`� /� I 7 � NO. �7a y Ly �� D¢etRlrTlox � V` L�/1 /
8RE � � � I NO. OP etoae. � �: - ' .
OF LOT Now oN Lm. q, p, NO. "- I �'-
UHE OF ' / YARDS - EYES
EXISTING BLDG. ++J�+ �/ APPROVED ALLOWED
� (CENTHR LINC BT.]
68T9ACK L�NB PAOM - '
CeHiert oF eixeer REAR YARD pgONT ' . F� T. �---� IN.
SIDE YARD I LEFT I RIGHT R. SIDE FT. IN.
DESCRIPTION OF WORK .
L. SIDE �� `�7 IN.
NEW I�IIALTERATION I IIADOITION I REAR `-FT�J IN.
REPAIR I IIMOVING I IIDEMOLISH I BYPROVED ' - pTE � Y
BUILDING N�. OF � �
SIZE ROOMS STORIES � �
EXTERIOR WALL IROOF . .
COVERING COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
. `
.r �r 9 .vl� I�z,� `�� '�, t, .� i J � ., . ,
J �r +� . ;� i .
1 XE0.8BV ALKNOWL8O6E THAT 1 XAVE READ THIB APPLIWTION }H6 AMOUNT BHOWN UNDER V�LUATION 16 FOR THE
AN� BTATH THAT TH6 ABOVE IB CORREC'!„�ANO AGRBH TO�COM- pypp09E OP. EBTABLI6MING A PEqMIT FEE ONLY.
PLY WITH AlL CITY OPDINANGeB AtiD 9TATE WWQ R80ULATIN6
aul�vaa eoNernurncN � / � VALUATION
SIGNATURE OF` / ✓ � ` � � PERMIT FEE $ � aO
PERMITfE � '�� � ���jjj n (((��� � . m
� - ' � $� �/'J/ PLAN CHECK $ �--
AUTHORIZED AGENT ' � a �
TOTAL FEE y
.� �
o c 28
I �; . 6P6S
COSTA MESA BUILDINGSAFETY DEPARTMENT
' P. O. BOX 917 COBTA MHBA. CALIPORNIA
For Applicanf fo Fill In Complefely
' � � TYPE OR PRINT �
COSTA MESA. CALIFORNIA
.. „ _ ._ _ KENNETH W. _KOLL
AVDRE65 I' F'LACENTII AVENUE
CITY NEWPORT BEACH� CALIF NoMI� O�ZZ
ARCN ITECT �" TEL.
OR ENGINEER Nf1NF N�. �����
612E No. oP B�n6c.
-- -- nR n� � ., i on � ------ -- - --
9HTOAGK LiN[ PROM /
CENT6R OF BTRl6T � O�� REAR YARD
61DE YARD I LEFT �T � � ���'�' I RIGHT V�
DESCRIPTION OF WORK
Bl11LDINGiiAR: 4'J- ISF NO. OF
SIZE S F ROOMS STOFi
EXTERIOR WALL ROOF
COVERING STUCCO COVERING RO(
U9E OP BUILDING AND WORK TO BH PERFORMED
FEE RECEIVED.
� JAN 1 1 �yb2
. f1�VANCE OEPT.
CITY Of COSfA MES�+
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
rsece�rr No.
COSTA MESA.
APPROVED
ZONING
ZONE�^ NO. OF �� UB8 OP NEW jl�.
'� PLAN9 BU�LDING w/t�. �L
LEGAL / _,— 3� 7�` �-/ t ��
OE6CPIPTI�N ��IY%
YARDS
APPROVED
(CENT6X LIN6 8TJ
� y
_ FRONT
R. SIDE l W
L. SIOE /
REAR /'S`
BYPROVED d
� C
1 NEPBBT ACKNOWL2OG8 THAT 1 HAVE RBAD THIB APPLIWTION
AND BTATE TXAT TXE ABOV¢ 18 LORR6GT ANO AORBG TO COM-
PLY WITX ALL CIiY ONOINANCE9 AND eTATE LAWB R80ULATINO
9UILDING CONBTRUGiION.
SIGNATURB OF '� � /I��JJQQ
PERMITTEF L`-'L25:4
AUTXORIZED AGENT
EVES
ALLOWED
r. �
f. Gf�l.�
f /�
f. " ' /
1]ATF `
TXE AMOUNT 6HOWN UNOER VALUATION 18 POR rxe
PORP08C OF EBTA9L18HING • PERMIT FEH ONLY.
VALUATION
PERMIT FEE $ -� �
$ � �� /�� PLAN CHECK $ � 71'� C7 �
�j c F
TOTAL FEE �J . ✓ ��l �' �
LL