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HomeMy WebLinkAbout1093 DANIELLE DR - Building PermitsCITY OF COSTA MESA BUILDING DIVISION F77 FAIR DRIVE, COSTA MESA, CA 92626 • (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.tA FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER P08-00034 PERMIT TYPE PLUM STATUS: ISSUED APN: 41207431 DATE ISSUED: 01/29/2008 ISSUED BY: RMD JOB ADDRESS: 1093 DANIELLE DR CM Vicinity: GARAGE Suite/Unit: SCOPE OF WORK: REPLACE A 50 GALLON GAS WATER HEATER WITH SAME IN THE GARAGE OF AN EXISTING SFD. NO OTHER WORK AUTHORIZED WITH THIS PERMIT. OWNER: RAFII, MOHAMMAD AGHA Address: PHONE: 1266 City/State/Zip: APPLICANT: LITTLEFIELD, SCOTT Address: PHONE: 661-259-7131 City/State/zZip: CONTRACTOR: AFFORDABLE WATER HEATERS AND PLUMBING Address: 24707 SAN FERNANDO RD Final Demolition PHONE: 661-259-7131 City/State: SANTA CLARITA, CA ZipCode: 91321 ARCHITECT: ENGINEER: License No. License No. 1093 DANIELLE DR COSTA MESA, CA 24707 SAN FERNANDO RD SANTA CLARITA, CA License No. 627368 CELL: PLUMBING PERMIT FEE SUMMARY PLAN CHECK FEE: $0.00 PERMIT FEE: $35.80 TOTAL FEES: $35.80 PHONE: PHONE: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28,§ 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODE t, INSPEC110N TYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re -Roof 201 Final BlocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition DATE INMALS CODE/ INSPECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy DATE INTITI L WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Insurance carrier and policy number are: GCarrier:- I &;, (Trio section need Mf he M riPleted Jthe perm4 is valued atone hundred ".n, `$ 100) or less.) Policy Number: -7-0,16t7 "k7 0 3 ❑ I certify 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 laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall rthwith c mply with these provisions. 7 j —Lcl - C� AREtqfits Signature '„Date WARNING: FAILURE 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, INTEREST, 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, and my license is in full force and effect. Lic: # %7 % : class # . C 3 k °if- Cyyractor's Signature Date L -- CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Signature Date OWNER -BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, 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 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 therefrom and the basis for 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 than five hundred dollars ($500).): ❑ 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 for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ lam exempt under sec. Business and Professions Code for this reason: Signature 3057-46(3107) Owner ID verified by driver's lice. _. ❑ Yes ❑ No Driver's License No. Expires: Verification of Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 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 connection with work authorized by this permit, and that no building structure, scaffolding, falsework, a demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, AA 2, Sec. 341, Title 8, California Administrative Code). ❑ As owner -builder, 1 will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Applicant's Signature Division of Industrial Safety Permit Number: Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2. Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3. Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and fling with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department, 4. If an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or future building occupant require for the work which is the subject of this application a permit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? ❑ Yes ❑ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6. Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No (If "yes". the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7. If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. (If yes", attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signature of Le Owner(sl Date � /- 29 - �� \_Andlor9uf anxeo App4,.nt - Data �, '� CITY OF COSTA MESA BUILDING DIVISION _ DEVELOPMENT SERVICES DEPARTMENT �• PERMIT (714) 754-5273 • Fax (714) 754-4856 BUILDING PERMIT Job Address: 1093 DANIELLE DR Suite: Vicinity: HOUSE & GARAGE Parcel Number: 41207431 Zoning: R1 R1 Applicant: RON SELL Applied: 07/03/2000 Address: 17072 ROSEBUD Calc Valuation: $8,900.00 Permit: $167.25 Phone: (714)993-3328 SMIP Res: YORBA LINDA, CA Zip: 92686 Owner: RAFII, MOHAMMAD AGHA Address 1093 DANIELLE DR Inspection: $0.00 Phone: Total: COSTA MESA, CA Zip: 92626 Contractor: SELL ROOFING COMPANY PLANNING & ZONING Address: 17072 ROSEBUD MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Phone: (714)993-3328 Front 0-0 YORBA LINDA, CA Right 0-0 PARKING Zip: 92686 License: 323842 Arch : Address: Phone: Eng: Address: V B00-00995 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 07/03/2000 Issued: 07/03/2000 ISSUED BY: Xm Phone: Zip: License: License: SCOPE OF PERMIT REROOF - TIO, INSTALL 1/2" OSB BOARD, 2 LAYERS OF 30# FELT AND ICBO #4660 EAGLELITE TILE ROOF. NOTES: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754.5626 FEE SUMMARY Plan Check: $0.00 Calc Valuation: $8,900.00 Permit: $167.25 Claim Valuation: $8,900.00 SMIP Res: $0.89 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $168.14 PLANNING & ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: o Required: 0 Proposed: 0 NOTES: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754.5626 DECLARATIOMS WORKERS' COMPENSATION DECLARATION: w I hereby all I" under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. ❑ 1 have and will maintain workers' compensati Insurance, as requlretl by Section 3700 of the Labor Code, for the performance of the work for which this pe i is issued. M worker Ion Ins ce car ntl policy number are: Y P cY Carrier: ��� Policy Number: (This section need not be comple ed if the permit is valued at one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of th ork for whictl this permit is issued, t shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, a ree that if uld b c e subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these provisions. Applicant Signature: Date: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TOCRIMI�ES AND CIVIL FINES UP`f0 ONE HUNDRED THOUSAND DOLLARE ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES, LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed and r provisions Cpa 9 (commencing with Section 7000) of Division 3 of the Business and Prgt�ssions� �a-Snd my license is in full force and effect. Lic. # Class # Contractor's Signature:_ 44 Date:/---�in_ CONSTRUCTION LENDING AGENCY: ❑ 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lender's Address: Signature: Date: OWNER -BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, 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 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 therefrom and the basis for 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 than five hundred dollars ($500).): ❑ 1, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is non intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. ❑ Yes ❑ No Drivers License No. Expires: Verification of Ownership by (type of document, i.e. - property lax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 hereby certify that no excavation five (5) or more feet in depth Into which a person is required to descend, will be made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title B, California Administrative Code). ❑ As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Numoer. HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ NO (Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No 5 Does or will the appirani Or present or future building Occupant require for the work which is the subject of this a plication agemit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 WIII any pan of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes ❑ No (it 'yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8 (If yes", attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. t r Ot Legal O ner(s) Dea n&M Authbnzad )CdplhaffI Date CODE t. INSPECTION TYPE DAA,R>IIDAL$ CODE INSPECTION TYPE 2&U INTMA�C 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re -Roof 7-13Pt 210 Final Electrical 201 Final BIocWRetaining Well _ 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy 2440.46 PATIO COVER DETAIL 6/1/67 R 0 V ED TYPI( Mesa Building D 'c 2XZ CSELF SIZE SPACING SPAN _�. CAT FFf 1914 OVERHANG S' G�(� +'` _�^ HESE PLANS MUST BE ON JOB AT LL TIMES RAFTERSI: ��%L'i^� IA1E NO CHANGES WITHOUT PRIOR OVAL SLOPED FOR DRAIN __ Pf. o1 4' BEAM •x/7 STATE SIZE 3/16 X 2" -T -ST I a P" z � I err r i POST -BEAM CONNECTION 3/g x 5.1_095 3i% —� Predrill Ledger Predrill Existing '/4-3 Deep JOIST HANGER—� or other approved met of support a tie. ALL LUMBER DOUGLAS FIR '60NS7RUC?'!ON- GRADE NOT T(D '? - WCLDSED i — POST A -7 -I -AT I ' 4r;1.4V-_-_ ' I SHOW SIZE SHOW SPACING i" SHOW LOCATION ON REVERSE SIDE. PLAT e �- SLOPE TO ' PUDDLED I .. DRAIN D FI DROP PATIO FLOOR x stkAr .- - ' Remove Grass And Weeds Down To Natural Grade 12• . �••'' CONCRETE MIX 1:3:4 MAXIMUM .WATER CONTENT POST ANCHOR J_.ILLONS PER SACK CEMENT. For Pipe Post. Embed 4-12-4 Provide 2C Go G.J. Flashing At Wood Floor Cons Pipe In, Footing. Provide Flange Or Weld Plate Screwed Or Bolted To Frome. S •❑3 EISSUANCE OR GRANTING OF A PERMIT OR jftT4V4MQUII3ICA1IONS SHALL NOT BE A kP.PIG", OR AN APPROVAL OF, ANY ' OF THE PROVISIONS OF THIS CODE. NO PI TO GIVE AUTHORITY TO VIOLATE OR C IONS OF THIS CODE SHALL BE VALID, EXI THE WO�1P "9Rr11SE WHICJt tAUTJipalIEL THE ISSUANCE �I OFF A PERMIT BASED UPON THE UUTA11301M)E OFR OIPIAIANS ROOF COVERING 1 7 ' 0" CTURAr2A4ROVAL ONL aTING, VENTWWMgMRE REFRIGERATI(016PK RAF1 SPACING 0� Iillt # FOR PROP _ � E AMBER PAUSd C . INSPECTION OF THAT L JOIST ANCHOR t DE FOR PLOT PLAN. OR FUTURE ROOM,OR WHERE PATIO BE BUILT. USE NO.2 CHART ONLY. SIZE MAY BE INTERPOLATED FOR OR FUTURE ROOM OR WHERE PATIO 0 BE BUILT SUBMIT COMPLETE HOUSE PLANS SA BUILDING DEPT. 556-5273 NO 2 JDER WHEN FOR SOLID SHEATHING. ORDINANCE SHINGLES OR BUILT UP ROOFING. SPACING MAXIMUM SPAN 2x6' 12'% 15" I" 2'x 6' 1 fi'/. 13' 3"_ 2'x 6' 24794, 10' 11' P -x 4" 12'°/C 9" II" "x 4' 16% 8" 8" 2 x 4' 24% 7" I" OR FUTURE ROOM,OR WHERE PATIO BE BUILT. USE NO.2 CHART ONLY. SIZE MAY BE INTERPOLATED FOR OR FUTURE ROOM OR WHERE PATIO 0 BE BUILT SUBMIT COMPLETE HOUSE PLANS SA BUILDING DEPT. 556-5273 i I � 1 i.K.xA 1 I. �svo PATIO COVER DETAIL 6/71/67 MIN• PiYGH 3 1:�pa'De 140,3 SH//.rGI ES, l6�LO,t STATE—N---,SPAt AAA)(. We%"rke�e iE1XpmueG 3n SIZE SPACING OVERHANG• ,. RAFTERS: 3..x b s--�— SLOPED FOR DRAIN STATE LENGTeow ��/► Tie ''� 4' BEAM l STATE I 3/16 X 2"-T i Z s T/ x 5'Lags 32a/e —� Predrill Ledger Predrill Existing ''/c-3 Deep ed e. S FIR DF Y + POST ' 1 � SHOW SIZE SHOW SPACING SHOW LOCATION ON REVERSE SIDE. I DROP PATI f1ATe -t— SLOPE TO DRAIN— .. THICK SLAB a , :: :::�;': .. .. ...�. i'r-.• •::.3' • PUDDLED SAND FILL ll , Remove Gross And Weeds Down To Natural Grade - 12, .:-t. CONCRETE MIX 1:3:4 MAXIMUM WATER CONTENT POST ANCHOR — �...'ti' 7} GALLONS PER SACK CEMENT. For Pipe Post. Embed k—!2—i Provide 26 Go G.I. Fleshing At Wood Floor Ce Pipe In Fooling. Provide Flange Or Weld Plate Screwed Or Bolted To Frome. PUNS MUST BE ON JOB AT _ GHANGEs WITHOUT PRIOR RTONTINUOUS `EDC[ GRANTING OF A PERMIT ORA L E I UANC ,WS AND SPECIFICATIONS SHALL NOT BE CO N A PERMIT FOR, OR AN APPROVAL OF, ANY V f OF THE PROVISIONS OFF THIS CODE - NNo PERMITHE IONS OFTNIS CUI7E SRACC BE PAINMSO — ...wnn AL JOIST ANCHOR 13 i i FIDE FOR PLOT PLAN. RMIT BASED UF?Ihpp.T NO 2 WIIN iE t�1: OF ERRORS FOR SOLID SHEATHING. IyOIG.P @I�T116M PREVENTING SHINGLES OR BUILT UP iG It1iiT0 ON THERI UNDER WHEN ROOFING. ,WbE 8FPAWNY OTHE oMDECE SPACING MAXIMUM SPAN !7 FL OR FUTURE ROOM,OR WHERE 12'/. PPROV L my 15 1 USE NO.2 CHART ONLY. FOR E E(TRICALN0T[UMI9QR P HEATI G VENTILATING A)*LLS RE RI ERATION WORKWIDER 10' 11- ROOM OR WHERE SPACI 2'x 4' 1 20/. UK D 7 r WALL ` JST ACCOMA NSP CTION REQUESTS Ifi% F BUILDINGS ' B EMPLOYED, VE SUGGEST THA �T E t• OF I INDUSTRIAL SAF IFORNIA( N TY BE C JQP L1_D ADDITIONAL RECUIREMENTS. OPOSED OR FUTURE ROOM,OR WHERE 12'/. ARE TO 15 1 USE NO.2 CHART ONLY. 2'x 6• 1670/, BE INTERPOLATED 13, 3" 3 ONLY. 2'x 6' 240/. 20POSED 10' 11- ROOM OR WHERE PATIO 2'x 4' 1 20/. lji! 9' 11" PLANS 2'x 4• Ifi% B' B" 2'x 4' 24% 7' I" OPOSED OR FUTURE ROOM,OR WHERE PATIO ARE TO BE BUILT. USE NO.2 CHART ONLY. RAFTER SIZE MAY BE INTERPOLATED FOR 3 ONLY. 20POSED OR FUTURE ROOM OR WHERE PATIO ARE TO BE BUILT SUBMIT COMPLETE lji! ID TION PLANS MESA BUILDING DEPT. RIVE 556-5273 ,f I O o ` F I O � , I . L,fY OF COSTA MESti CALIFORNIA 62626 P.O. BOX t200 FROM THE OFFICE OF THE DIRECTOR OF BUILDING SAFETY Project Address // 0 !2:3 �, Project Name l 3) F"O- pa Owners Name C.7., - Owners Address Owners Telephone 7 S%3 `f Kermit # so 7%?L lype ✓ City Use Only I as Owner, Contractor, Agent (strike out all except one) do hereby attest that employment of any person, or persons, is not anticipated at the time of seeking the above -referenced permit. In the event that any person, or persons, are employed under the provisions of this permit, I shall immediately cause a valid Certificate of Workmen Compensation to be filed with the Costa Mesa Building Division. I agree to defend at my own cost, and to indemnify and hold harmless, the City, its officers, agents and/or employees, from and against, any and all liability, damage, costs, losses, claims and expenses, howsoever caused, resulting directly or indirectly from, or connected with the improvement under this permit. I further state that I have read and fully understand the implications and re- sponsibilities of the above statements, and will comply with all provisions of the Contractors State License Law found under the Business and Professions Code, Division 3, Chapter 9, of the State of California. J 4 D�r- L©/u!2 Print Name `Si Sigbature CMF 0777-46 !D - 2 - t?(D Date APPLICATION FOR A BUILDING P AT Tract Block Lol BUILDING PERMIT NO. SO 7d' G Elect Permit No. s AddrBuildess Atltlress 3 N LLL Plumbing Permit No. ' Cross Area "� Sireet`FA/i7J/Ej Mechanical Permit No. Owner D/ Type of Project: ❑ New ❑ Alter ❑ Addition Address �67�Lr-i El Repair El Convert El D... 11occupancyPmt. City 2 f Zip Phone A.P. Sup. Dist./ Insp. Area Architect//! Designer /t/ License NO. Zone Spl. Pmt. No. Atltlress ( 15,,-2 C Setbacks P/L Front C/L St. Street Width q, City , Zip 7�!• Phon6 _ c S V'- Yards Le Rig ear ' 7a! License No. 3C . .2- ave ol. e g Parkin9 Spaces Requiredrov a Covered Address Struct No. of No. of City Zip Phone Height Stories Family LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter g Park Fees Yes Required No C.T. Fee Receipt Zoning Approved BY: Date (commencing with Section 7000 of Division 3 of the Business and Professions Code, and my license is in full force and effect). License Clasg G 2- 7[cense Number 3ry O Date /'Z'� Contractor( L2 /M; Gi4�Oc S MISC. Proposed Use of Structure Address c City and Zip Phone CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C: . Occ.Type Class Const. Cotle Year USE/OCCUPANCY SIZE SO. FT. Lender's Name Lender's Address 1. OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the fallowing reason: ❑ I, as owner of the property, or my employees with wages as their 2. sore compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with 3 licensed contractors to construct the project. ❑ 1 am exempt under Sec. _ , B&PC for this reason.4. Data Owner WORKERS' COMPENSATION DECLARATION Total Valuation Encroachment Permit Required ❑ Yes ❑ No I hereby affirm that 1 have a certificate of consent to self -insure, or acertificate of Workers' Compensation Insurance, or a certified copy thereof. Policy No. Company Grading Pont. Required ❑ Yes ❑ No Grading Pmt. No. ❑ Certified copy is hereby furnished. ❑ Certified copy is filed with Orange County, EMA. Rough Grading Approved by: Date Date Applicant CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if permit is for $100 or less). I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any Iran ner so as to become subject to the Workers' Compens on s o Calif rn is PERMIT FEES Dateal- _L Applican c i NOTICE TO APPLICAN : If, after making th4 Certificate of Exemption, you should becisme.,01bject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Structural $ Plan Check $ Electrical $ Special Invest. $ Plumbing $ 1 CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION, AND HEREBY AUTH- ORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON Mechanical $ TH AB VE MEN ONED PROPERTY FOR INSPECTION PUR- PC' S. IQ­Z'dU Si ature f Applicant gent Date I/' �� J- &C --271n C L_0, J Print Applicant's/Agent's Name 50 678 0Z Pre -Grade Inspection $ Pre-Gratle Rec. No. $ Permit Issue $ All spaces within this box must be completed to process P P P Plan Check By: Issuance Approved: CMF 0335-46 (BU -28) rev. 6/80 (_/ CITY OF COSTA MESA REQUEST FOR u�CUPANc,CY TRACT NO. l� r�I�O DATE D I LOT NO. D 1 \ n n ADDRESS 1Dq 1,Cnv The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that h she -they) (visor were) t -J advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the city at the time the final tract map was approved. The city assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the city harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. 12ECl IA"U1) 'AUG 2 0 1980 BYC reloper anca/or aumorizecr—,_ representative B p Lender m i From .ac Desk of .. . BUILDING -SAFETY DEPARTMENT SL3Ns�-�- Fv L(._ �� fE i - 7 lG 93 C27- 3Sy 3 OWNER ELLICQT, JAMES JOB ADDRESS 1093 Daniel. GENERAL CONTRACTOR Sun: AP No. 412-072-10 LOT ; INSPECTIONS SOIL GAS WATER ROUGH PLUMBING PROP. SWR. LINE Q HOUSE CDN. SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONIK TEMPORARY SERVICE OR POLE UNDERGROUND LJ' POWER ROUGH WIRING TRENCHES 0 FORMS 77 STEELI yl FLOOR SYSTEM BOND BEAM n STEEL REINFORCE SHEATHING hFRAME AND FLASHING LATHING - IN n OUT n PLASTER. BROWN COAT STRUCTURAL. FINAL HEATING. VENT., REFRIG. AND A.C.. I 04 PLUMBING. FINAL AND GAS ELECTRIC, FINAL T EST DATE BUILDING PERMIT NO. A SUBCONTRACTOR I 'COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 APPLICATION FOATRUCTURAL PERMIT 50 TLi REC WTRMIT For Applicant to Fill in Completely — Use Ink Only BUILDING \ (OQ"j LL- A.P. NO. ADDRESS V �1l BUILDING ADDRESS IO 3 OWNEROR \\ TENANT ES _-)k%, .t LUNIT ADDRESS tQq_-) D(4,(CZ lel..T NMAILING SPACE NO. �.CC LOT TEL. DC7CITY S— t�S/� NO.ADD LTERRE AIRMOVICONSTRUCTIONLENDER JBRANCHOWNER qGH ADDRESS USE VALUEARCHITECT TEL. ry- OR ENGINEEP Go NTp..KTUItADDRESS &/GROUgPPROVEDCONTRACTOR ZON TVP. &N C-� Za �yJ BV DATE ADDRESSq'91-)- $ t TEL. CITY NwIDT, JI.. NO.(Lt 2 STATEp CITY APPROVED SETBACKS LIC. NO. SLI• i.Q 3 LIC. NO. SIZE / NO. OF BLOGS (FROM C/LST T) I OF LOT rj NOW ON LOT Nr _ USE OF EXISTING BLDG. ZX R_ SIDE -A Separate permits are required for L. SI S electric, plumbing and heating work. REAR F c USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION �rF"f'(t] �oJcf2s C�Jbo17 APPROVED APPR E I hereby acknowledge that I have read this application and state that the above Information is correct and agree to comply with all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of the State of California. '? y� X �50. I hereby certify that I am properly licensed as a contractor under v �+ FT. the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are in full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT F E ONLY: am exempt from the provisions of the tate of California Business VALUATION antl Profession Code, Di h n 3, Cha to 9. PERMIT FEE 3 00 Signature of PLAN CHECK f .B Permittee S S TAX f 0 or d0 -so 0_1 Authoriz ABent Date / TOTALPAID f ZSi t SD+ TLi C_ rf�xlo COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 Pns* d***21UG EC -9 77 "I �0 495 v t E� APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Com letely — Use Ink Only RECEIVED BV DATE RECEIVED DATE ISSUED BUILDING ADDRESS PERMIT NO. OWNER A.P. NO. MAIL ADDRESS BUI LO' NSG / L ADDRESS TEL. CITY NO. TRACT LOT BLOCK CONSTRUCTION W P LENDER BRANCH OWNER ADDRESS UE r $ ARCHITECT TEL. OR ENGINEER FIRE ADDRESS ZONE TYPE GROUP APPROVED CONTRACTOR t BY DATE ADDRESS TEL. CITY NO. ZONE NO.OF PLANS USE OF NEW BUILDING STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING SIZE NO. OF BLDG_ FROM C/L STREET) OF LOT NOW ON LOT ROM FT. FT. USE OF EXISTING BLDG. F Separate permits are required for L. SIDE FT. FT. REAR FT. FT. electric, plumbing and heating work. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN SLOGS. ACCES. SLOGS. VAR. # DATE C.U.P. Sp APPROVED APPROVED RY DATE I hereby acknowledge that 1 have read this application and state that the above information is correct and agree to comply with all laws regulating building construction, and I shall not employ any person In violation of the workman's compensation laws of the State of California. I hereby certify that I am properly licensed as a contractor under SO. FT. THE AMOUNT SHOWN UNDER VALUATION IS FOR the State of California Business and Professions Code, Division 3, Chapter 9, and that such licenses are in full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the provisions of the State of California Business and Pratesslons Code, D'd(sion 3, Chapter 9. VALUATION PERMIT FEE $ a PLAN CHECK $ Signature of '7�jQ4 l�..fJ`^ TAX $ Permittee .yf: t=GL $ ���(�/GlF/y�f.LGT/ TOTAL PAID 1 Authorized Agent �� LC�rr✓s's-� t E� • 4501.6 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING �y ADDRESS 4 ((//`"'�� r1�lies Weste�velopm OWNER p MAIL DDRESS 7 508 29th .St. , A CITY Newport Beach, Ca. N CONSTRUCTION LENDER BRANCH ADDRESS orp PAIU * ** ov l o ��CN5,00 s4s 109. 8 APPLICATION FOR STRUCTURAL PERMIT RECEIVEDBY I DATE RECEIVED [""SUED tet/ O� P Fi ADDRESS 2240 Newport Blvd. SO. FT. 2 29 BUILDING ADDRESS e1 1 �. L�'Lz 1 TRACT9866 LOT 24 BLOCK NEW ADD ALTER TOTAL PAID 74 vINr ADDRESS Properties aes eve OPDmen OWNER r USE Res. Atd. Gar .ALD$ 61 100 ,IN1— laws lo Z 3 ORENGINEER terank �:ianglerFIRE f�p/•1 ^ IQI rl r[^�1 SPM-Al. — FO ..f M1.. ADDRESS 2240 Newport Blvd. SO. FT. 2 29 ZONE VPE GRO CONTRACTOR Owner APPROVED BYJNH(.�DATE PLAN CHECK $105 TAX $ / Authorized Agent .ieQ-L.I�Av� TOTAL PAID 74 ADDRESS TE TE TEL NO. OF USE OF N CITY PLANS BUILDING F STATE CITY YARDS APPROVED YARDSAI LIC. NO. LIC. NO. MAIN BUILDING ACCESSOR W 0. SIZE of LOTA r ox . 60 , x 80 t OF BLDGS NOW ON LOT O (FRO TREET) ONi FT. Q USE OF EXISTING BLDG. H FSeparate permits are required for L SIDE FT. electric, plumbing and heating work. REAR FT. F USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & G MAIN BL[XS. ACCESS. BLD( a Construct single famil bedroom VAR. 46 C.U.P.APPROVED TE ' } hous Pla #DATE - a m L 1 hereby acknowid4ge that I have d this app ation and state ;6.1, p, that the above Information is coand agree to comply with 1 96 II I 1 1 b ildi i tl d I hall t I ,IN1— laws lo Z 3 a regu et ng u ng cons rue on, an s e no amp any person In violation of the workman's compensation laws of the State of California. 1 hereby certify that 1 am properly licensed as a contractor under the State of California Business and Professions Code, Division 3, Chapter 9, and that such licenses are In full force and effect, or I am exempt from the proyyMons of the State of California Business and Professions Code, I4Won 3, Chapter 9. Signature 4 �� Permittee - f�p/•1 ^ IQI rl r[^�1 SPM-Al. — FO ..f M1.. I _ SO. FT. 2 29 THE AMOUNT SHOWN UNDER VALUATION THE PURPOSE OF ESTABLISHING A PERMIT FEE VALUATION S 61,10o PERMIT FEE E PLAN CHECK $105 TAX $ / Authorized Agent .ieQ-L.I�Av� TOTAL PAID 74 6P e C m N IS FOR m ONLY: b N 50 0 LL 28 u