HomeMy WebLinkAbout2093 CONTINENTAL AVE - Building Permits(714) 754-5273 • F� (714) 754-4856 • www.ci.costa-mesa.��s MBING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
.lobAddress: 2093 CONTINENTALAV
Suite No
Vicinity:
Parcel Nunmber: 42250401
Appiicant: PAULEY, SHANON
Address: 17390 MT CLIFFWOOD
FOUNTAIN VALLEY
Owner. SURPRENANT, HAF
Address 2093 CONTINENTAL . ,
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COSTA MESA'; �.CA °�Y'�
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xix�... z����.
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lE FEE
;flow vrigation
flow Preventer t
tuh ^ �.
Drain, Flooi�.
Dram Rainwater ;'
Drain, Roof- ��'r-,,,, � ,_ �i
Drinking Founlam '� '`�
Expanswn Tank-:. ��w
Gas Earthquake�Valve
Gas (1-4 outlels)-'.::_
Gas (Over 4 outlets)�����_
Gas Repipe '° �z--.i
Gas Service <'"3g
Interceptors (Grease, O
Interceptors (Sand Auto
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iT ROOTER PLUMBING HTG AND AC
MT CLIFFWOOD
"g: %�� Phone. e 714-24
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�AIN VALLEY Zip.,,;92708
F_ License. 52912
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ER''HEATER�CHANGE OUT FOR SFD.
$0.00
ISSUED BY:
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Stalus: ISSUED
Applied: 12/O6/2005
Issued: 12/O6l2005
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FEE SUMMARY M `�
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y' , . . .... "'_ �, AMT ,.QTY � ; �-'��
��LaundryTuti/Washer �� �"$000 -.r���0y,
� �+�=�-�Candscape Irrigation � . � $0 00 � � 0 ,;: __
`� P-Trap;,, $0.00 °�0.
PressureRegulator $0.00 --0
-Process�Piping (p'er 10 ft) * $0 W:. � -0 �°e
��'�-�-'Receptors,. ^�o.q "$000� �-0� �`�;„:
` ` - - Septic Tank � " �'$0.00 . 0 4 � �
Sewer Cap for Demo �.$0.00� 0
SewerConnect �:�$0.00�,.0
.. Sewer Private Line -`$0.00 �--- 0
Shower $0.00 0
Sink,bar -. �,,,�,�:,_ $0.00 0
Sink commercial ;w. �� a$0,00 , 0
Sink Floor - •�� k $0 00 -> -0
.. .. . . c ,.� Ldrh>n� . . ,=F� -an nn'� `�.`.: n � . .,.,..
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mP .•� ..
g-Pool £`��_,<
ier v ��� ^=x�':
t.: �t,.
3Pkr Bkflow(1-4) =� *_
3rkr Bkflow(5+)ar ,'"
sin `�
y a.�
sin Set, �< '�
id.VentSystem <� '�
iset CToiletl �.�'-:�� .
� �;_:' $0.00
$0.00
F;:�-� $O.00
'^g'` $0.00
��'' $0.00
50.00
FEES: 535.80
QTY
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0
0
0
0
0
0
0
0
1
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NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitomia statutes and related
regulations. (Ord. No. 92-28, § 7, 12•21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced vnthin 180 days, or if work is suspended or abandoned
for a period of 180 days. .
INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and ell
required Inspeetiona and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiralion of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2aaGa6(N00)
WORKERS'COMPENSAnON DECLARAnON: .
I hereby effirm unAer penalry oi perjury one of the tollowing tleclarations: �
❑ I have and will maintein e certificete of consent to seH-Insura tor workeis' compensation, es provided for by section 3700 0l the Labor Cotle, for the peAortnance of ihe
work foi which t�is Dertnit is issue0. .
kers' compensation Insurance, as requiretl by section 3�00 of Ihe Labor Code, for Ne pertoimance of the work for which this pertnit is issuetl.
Incurence cartie�d pa�Gy number ara:
il the pertnit is
PalicyNumbe �1"+P=.-���p ��0��
arless.J - �'��
❑ I certity that in the pertortnance ot Iha work for which ihis pertnit i' aq I shall not employ any person in any manner so as to become subject lo ihe workers'
compensation laws of Celitor i, egree Ihat if I should be e jact to th workers' cnmpensation provisions of Sectlon 3700 oi Ihe Lebor Code, I s�ell forihwith
� mply,with these provis' � / Q `�
Appliwnt Slgnature: - �ate"s': `� � / 2 ' t%- / ' ii �
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WARNING: FAILURE TO E WORKER$' COMPENSATION COV RAGE IS UNIAW D SHALL SUBIECT AN EMPLOVER TO CRIMINPL P NALTIES AND CIVIL FlNES UP TOONE HUNDRED
TqU$AND DOLLARE (5100,OOOf, IN ADDITION TO THE W5T OF COMPENSATION, 0 ES AS PROVIDED WR IN SEC7ION 3]OB OF THE Lr1BOR CODE, IMEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECIARATION:
9(commencing with Section 7000) of Division 3 of the Business antl Pjejessio�Co�a, and my license is in full
CONSTRUCTION LENDING AGENCY:
❑ I here6y eHirtn ihat ihere is e consiruction lending agency (or Ihe peAormance of lhe work for which this permit is issued. (Sec. 3097, Civil Cotle).
Lender's Name: Lentlers Address:
Signature:
OWNER•BUILDER
Date:
I hereby eHirm that under penelry oi perjury that I em El(EMPT FROM THE CONTRACTORS LICENSE LAW for �he following reason (Sec. 7031.5, Business end Professlons
Code: Any ciry or counry which raquires e permit m consiruct, alter, improve, demolish, or repair any siructure, prior to its issuence, also requires the applicant for such permit
to file e signetl stetement ihat he ar she Is IicenseC pureuant to the provislons of the Conirectors License Lew (Chepter 9(commencing with Section 7000) of Division 3 of the
Business antl Professions Code) or ihet ha or.she is exempt tharefrom and the Desis for the allegetl ezemption. Any violation of Section 7037.5 by eny epplicent for a permit
subjects the epplicant to a civll penalry of not more ihan five hundred dollars ($500).):
❑ I, es awner of ihe praperry, or my employees with wages as Iheir sole compensation, WILL DO THE WORK, end the struciure is not intendetl or oKered tor sele (Sec.
7044, Business and Professions Coda: The Conirectors License Lew does not apply lo an owner of property who builds or improves ihereon, entl who does such work
himsalt or hersetl or ihrough his or her own employees, pmvidetl ihat such impmvements ere nol Imentled or oftered tor sale. If, however, the building or improvement is
sold within one year of completion, the owner-builder will have iha burden oi proving Ihat he or she did not build or improva tor purpose of sale.). �
❑ I, as owner ol the property, am EXCLUSIVELV CONTRACTING WI7H LICENSED CONTRACTORS to construct ihe projact (Sec. 70a4, Business and Protessions
Code: The contractors License Law tloas not apply to an owner oi property who builtls or Improves Ihereon, antl who contracts tor such project wiih a contractor(s)
license pursuant to tha Contractors Licensa Lews.).
❑ I em exempt untler sec. Business and Professions Code for this reason:
SignaNre: Date:
Owner ID ventied by drivers license. ❑ Ves ❑ No DriveYs License No.
Vedtication at Ownership by (type ot document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
Expires:
❑ I hereby certih/ t�a� no excavetion five (5) or more feet in tlepih into which a person is requiretl to tlescend, will be matle in connection with work authonzed by this
permit, antl that no builtling structure, scaflolding, lalsework, or demolition or dismantling Ihereoi, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec.
341, 7tle e, Celitomie Atlminisirative Code).
❑ As owner-builtler, I will not employ enyone to tlo work whic� would require a permit from Iha Division of Industriel Safety, as noted above, unless such person has a
permit ta do such wark irom ihe divislon.
Signature: Date:
Division af Industnal Setery Permit Number:
CERTiFlCATE OF COMPLIANCE AND AUTHORIZA710N OF ENTRY: I cenity under penalry ot perjury ihat I have read ihis application and state ihat the information given is
cortect. I agree to comply wi�h all state laws end city ordinances relating to building construciion, and authorize representatives of the Ciry ot Costa Mesa to enier upon Ihe
abova-describad property tor inspec ion purposes. I agree not to occupy or�low occupency of any building authorized by this permit until finel inspection.
COUE I, INSVECTONTYPE
7616 Fixetl System Final Fira Preventlon
1266 Pool Spa Final
200 Finel R8-Rool
201 Final Block/Retaining Wall
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition
�
CODE1 INSVECTONTYPE
206 Final Mechanical
20B Final Plumbing
210 Final ElecMcal
212 Final Fire Prevention
220 Final Planning Approval
222 Final Sita
250 Final Building/Occupancy
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COSTA
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ME�SA BUiLDING DEPARTAAENT
P. 0. BOX 317
COS7A MESA CALIFORNIA
C.L. OF STREET
' _�iPROP TINE _
� 10 FT. FOR 60 FT. STREET
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CITY F C(
C.L. OF STREET� � ���lc__ �'
MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES------
MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES
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I 5641 ; I
FOR
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Mail Address /
City - - S _ S 1 _ Ph. Nc�I � _ _y � i ' -
Contractor, /Dhr s/a �� ph. No � i�
� City Lic. No. ��/3.S State Lic. No.' ys —
Size of Lot,/r'y)r� AP No. �/� � SD--.�- --
Setbacks: C/L Street v d� Rear d�
Side Yard - Right `r= - �� Left'�` /w�' �
TYPeof Fence � �Ee:B/(-r,U a�fG J ��7/�i�7
/��fL gxio , �
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I hereby acknowledqe that I have read this application and state
that the above is correct and agree to comply with all City Ord-
inances and State I{zw�•7egulating buildiD,g construction.
ED
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FOR OFFICE USE ONLY
VALUATION
G 3 ��'
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Ro?/-.S %� d'--? � - J'
Permit. Fee
Plan Check
TOTAL FEE
USE REVERSE SIDE FOR DETAILS
� DATE 11-16-56
OWNER SURPRENANT�-H� �A. - - -
JOB ADDRESS 2093'�ontinental Ave. BUILDING PERMIT NO. �395�
GENERAL CONTRACTOR �iTIlEZ' BZ($'. VALUE f �nn_nn
GROUP
INSPECTIONS
Foundation Forms and G
Rough Framing
Plumbing, Rough to Slab
Temporary Pole
Wirinu, Rouqh
to
Heating, Final
Sewer, Hause Sewer, St.
Septic Tank or Cesspool
Lathing, in Out� ,
Plumbing, Fin�al, Fixtures
Plumbing, Fin,al GasTesY
Wiring, Final
Occupancy
FOflM 210 3M 10�'v3
D TE
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ZONE RZ
SUBCONTRACTOR
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FIRE DISTRICT 399(}
PERMITS ISSUED
DATE I ' NUM61
Costa Mesa Building De�artment
`� � . P. O. Box 3!7
s COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN
Building _ - .,:
Address •� G'� � Cn-„�;:" • ' ' � i
osta, Mes , California
Nearest
Cross St. - �. � ;
Owner i � '
Ma�l r �j ' ♦
Address ��'! �' , j `� �� �,��,�;� �
— e��. . 1/'t Tel.; r r'. l
c,��r� city
Contractor ,r No.
Address
De crption I No. f;.� I Block
(Attach Metes
Size of Lot �.
r
�
No. of Bldgs.
. J� � Now on Lot
INo.of No.of
F,amilles � Room�
�/ Rear Vard { /
/' � Side VarA Y T
Demolish
APPLICATION FOR PERMIT
.�q�g BUILDING �
FOR OFFICE USE ONLY
Receipt No. Permit No.
� .3 yS ;
Received by Date Rec'd. Date Issued
- �� - _ ' -� s
Buildinq
Costa Mesa, California
Nearest
Cross St.
Plans I Y
CORRECTIONS
PL'ntV '(_
Covering � Coveriny APPROVALS
Use of New
Building . Foundation Location Inspector
, / Forms, Materials,
Under-Pinning
� Frame: Fire Stops,
Bracing, Bolts
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to comply Lath. Int. '
with all Clty Ordinances a State Laws regulating
building cOnst� c� o�y O Lath. Ext.
�!iC �Y(�J� %y .....�..� N
3ignatureof ]•�),. �/�
Permittee / � /�4-!�ti _ %i.4!/�L.--tl.�� _ Plaster, Int
Valuation Permit Fee $
�f , Plan Check $
$ O� O O Total
Fee
RM T04 10�y5 D. P. & 5. �
Mason
- Bond I
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1LVi4Lt1Y�. "
Show locatlon and distances Trom -
c: property Iine and between buildinga
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OWNER �{,�
JOB ADDRESS
DATE
GEN�RAL,CONTRACTOR p, J. Del�hino VALUE S p�2p�,00 add £r �ga.
AP �'�� 115-�1%0-OLt LOT TRACT FIR� ZON� DF.SCRIPTION OR WORKEnl.liv.,�_c.;&
INSPECTIONS Signature DATE GROiJP I&�j TYPE V 7.ONE �� 1
Soil � S b��-ai rrrzMiTs issurn
�.... L. 4 . . I. . SUBCONIRACIOR TAT.. TiTiT,.n...,�
OCCUPANCY
�ORM BU4 � SM -
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/� � .: _ .l'�a�� �'�
COSTA MESA BUILDING-SAFETY DEPARTMENT ;
P. O. BOX 917 C08TA MESA. CALIFOi2N1A
For Applicanf fo Fill In Complefely
TYPE OR PRINT
eui�oiNc (� �
ADDRESS �- O Y1 %�h
COSTA MESA CALIFORNIA ._ �
■ MAIL
■ ARCHITECT
J N 7` 7 N.07Zi � �.
TEL. BUIL
'h �� 2. NO. ADD'.
TEL.
`� NO.
FIRE
5'ii�%i �1 ri� � %il�-
� /1i`i� No. L/ ,fr�'1J$'�ra
�� ) /� � NO, OP BLOO9.
y � /IV NOW ON LOT ��
9 BLDG. % I C�� ��-
LINB FROM LP �+ �� V// REAR YARO I� r
iP 6T1iCET �
�
RD I LEFT RIGHi �S
DESCRIPTION OF WORK
FEE RECEIVED
OCT 9 1961 L �
FINANCE DEP?.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
euani��
For Office Use Only
RECEIPT NO. I PE�II
J 0Y DATE HECEIV D �E 1'
._ � 1�_4. _�i � in_�
COSTA MESA. CALIFORNIA
ZONE NO.OF
PIAN9
LEGAL y
U 8 IPTION
� / rl I
A. P. NO. I[ 5 '�
YARDS
APPROVED
fGENTER LINE BTJ __
4_•
IING `''u-�`'°`�""� "
o---
use x¢w
eU1WING �,�r
-�-� z �•- f � , e
� C
7 0 — o �
EVES
REPAIR I II MaViNG I II DEMOLISH � BYPROVED, A, ,/�� � DATE � D—/ �(p/
W ue
BUILDING NO. OF ��
s�ze u "� /,$ Rooms �570RIE5(>lh'J- hinS,'� FOR 5AL'.. 3[. ltrQU1RT'hi:i�f7�
EXTERIOR WAIL ROOF
COVERING -S%LCCJIGOVERWG ��I17 . SH7Y! �
USE OF HU7LDING AND WORK TO HE PERFORMED �
�') L?ri.-L I'A Iv��T 7 J. M �Z
j' / ,r - i�C i l C if p'� � ��
�o,. ! -n o i�T/'a--i1>� C2`ra,a.,�
� XEPEBY ALKNOWLEO6R THAT 1 HAVE READ TH19 APPLIGTION THE AMOLIM BHOWN UNDER'VALUATION 18 FOR THE
'AND BTAT¢ THAT THE ABOVE �8 COPRECT ANO AGflEE TO COM- pUPPOSE OF EBTABLI6HING q PERM�T FEE ONLY.
vlY WITH ALL CITY ORpINANCEB AND STATE LAW6 HE6ULATING
euun�Na CoxBrnucrloN. VALUATION ec
SIGNATURE OF �� 00 PERMIT FEE $'O Q J
PERMITTE 9(�
v $ �i • `" � pLAN CHECK $ S
AUTHORIZED AGENT . ��
TOTAL FEE
ORANGE COUNTI" BUILDING DEPARTMENT
- �� 636 Norlh Broadway
�� SANTA ANA, CALIFORNIA •.
FOR APPLICANT TO FILL IN
BUILDING 2 /�
ADDRE55 �(�CZ l-,_yQnt� nPTI'F.f�1� Q[�P�
scnoo� oisr.
OR TOWN Costa t sa
NEAREST
caoss sr. nak Rr.
C9���
AD�RESS
TEL.
NO.
LIG.
CONTRACTOR Ne�.�r�� +� Uj 4tA No. 7 3aaap
. �.
nooaess
LEGAL + LOT
]ESCRIPTION I NO. Q'� BLOCK I TRACT ��]
(ATTACH METES & BOUNO51 -
NO. OF BLDGS.
SIZE OF LOT 57 iC 1�O NOW ON LOT Q
USE OF NO. OF I NO. OF
EXISTING BLDG. I Fanfi�ies
SETBACK LINE FROM: REAR YAI
CENTER OF STREET ,rjn �'t � SIDE YA'
DESCRIPTION OF WORK
NEW I 7� ALTERATION I I AC
_�c.�a�x�.
EXTERIOR WALI
GOVERING �.
APPLICATION fOR PERMIT .�
r� -� -•��� ■� �� T �.
-FOR OFFICE USE�ONLY
- RECEIPT NO. PERMIT'NO.
�a � � � �4Y��-r ;
RECE�VE �BY DATE REC'D. DATE ISSI'ED
£s -� � � 3 � �-a i -5 3
BUILOING � �O � ;2 1
ADDRESS �l
SCHOOL DIST. '^ A w• �
OR TOWN L�((�J�
NEAREST �
CRO55 ST.I
ZONE + NO.OF TYPE GROUP
M I PLANS I I C'
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APPROVED �� �.�'
BY �ATE�
` CORRECTIONS
p
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2
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FOl1NDATION: LOCA'
1 HEREBY ACKNOW4EDGE THAT I HAVE READ THIS FORMS, MATERI.
APPLICATION AND STATE THAT THE ABOVE IS CORRECT UNDER-PINNING
AND AGREE TO COMPLY W�TH ALL GOUNTY ORDINANCES FRAME: FIRE STOPS,
9RACING.fiOLT:
AND STATE LAWS REGU4ATING BVILDING CONSTRUCTION.
AUTHORIZED AGL��
PERMIT FEE § �
VALUATION s 5902��� P�pN CNecK 3
BONDI
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. STREET. 7 .'' - t _.� � . �� , _ •
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. - PLOT PLAN . . , -- - :" ' _ _.
Show location and distances from "
property line and between buildings.. `
'. ... ' - _—•.. -,r:'- �-�� ----_}'
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OWNER SURPERNOT, H, A, DATE � 8-21-5%
JOB ADDRESS 209"i Cantinental BUILDING PERMtT NO. 5612
GENERAL CONTRACTOR .inhn R+,anlPt�n VAL[IE$ 663.00
AP. No. LOT TRACT FIRE ZONE DESCRIPTION OF WORK Rl nek Wal l Fanrta :.
INSPECTIONS
coat
Final
Final Gas Test
SUBCONTRACTOR I DATE
ISSUED
��