HomeMy WebLinkAbout948 CORONADO DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
,lobAddress: 948 CORONADO DR
Suite No
Vicini�y:
Parcel Number: 14155101
Applicant: LAURA YENULONIS
Address:
Owner: YOUNG, JOYCE D _
Address: � 948"CORONADO DR .
COSTA MESA, CA �
MECHANICAL PERMIT
Status: ISSUED
Applied: 12/21I2006
Issued: 12/21/2006
� �i
ISSUED BY:
Phone:
Zip:
Phone:
Zip: 92626
Comractoc ALLIED PLUMBING - HEATING - AIR CONDITIONING
Address: 422 JENKS CI
CORONA,CA
Phone: 714-998-4300
Zip: 92880
License: 610780
SCOPE OF PERMIT
PURNqCE CHANGE OUT/ SAME LOCATION.
ISSUE FEE
Inst FAU <100 k BTU
Inst FAU >100 k BTU
Repair/All Cooling/Heat
Inst / Rep. Recess Wall Htr
Refrig Sys <100 k BTU
Refrig Sys >100 k BTU
Gas Piping
Faclory Fireplace
Hood w/Mech Exhausl
VAV Box
Vent Fan / Single Duct�
Appliance
Fire Dampers
Smoke Dampers
Inst or Relocale Appl Vent
Air Handlers < 10000cfm
Air Hand lers >� t 0000cfm
FloorFurnace
Floor or Suspend Heater
523.50
$14.80
50.00
$0.00
50.00
$0.00
50.00
50.00-
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
S0.00
50.00
$0.00
$0.00
$0.00
50.00
Quantity
1
0
0
0
0
0
0 --
0
0
0
0
0
0
0
0
0
0
0
D
FEE SUMMARY
Repair / Alt Absorbtion Unit
Repair / Alt Refrigeration Unit
Ventiilalion System
Evaporalive Cooler
Commercia� Incinerator
Domestic Incinerator
Compressors / Absomtion Svstems
Uplo3hp/t00k8TU
3Toi5hp/SOOkBTU
15 To 30 hp / 1,000 k BTU
30 To 50 hp / 1,750 k BTU
Over 50 hp / Over 1,750 BTU
Boiler5
Up to 3 hp
3To15hp
15to30hp
30 to 50 hp -
Over 50 hp
Olher Mechanical Fee
Investi9ation Fee
Plan Check Fee
Reinspection Fee
TOTALCALCULATEDFEES
COMMENTS I SPECIAL CONDITIONS
Quanlity
$0.00 0
$0.00 0
$0.00 0
$0.00 0
50.00 0
$0.00 0
50.00 0
50.00 0
so.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
50.00 0
50.00 0
50.00
sa.00
$0.00
538.30
NOTICE: The work authonzetl by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced wi�hin 180 days, or if work is suspended or abandoned
For a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
raqulred Inspectlons antl flnal approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit.
FOR INSPECTIONS CALL: (71q) 7545626
2A4G-66(&00)
�
WORKERS'�COMPENSATION DECLARATION: '
I hereby aHirtn under penalry ol perjury one of the foliowing declaretions: '
❑ I have antl will maintein e certificate of consent to self-Insure tor workere' compensatlon, es provitled for by section 3700 ot the Labor Code, for the pertormance of ihe
rk tor which this pertnit is issued.
I have and will maintain workers' compensation insurance, as required 6y section 3700 of ihe Labor Code, for tha pertortnance ol the work for which Ihis pertnit is issued.
My workers' compensaC n Insu nce carner antl policy numbei ere: z� J'
.;�Came� " � 1 X' \ �� �� LU�—' .Polic :"1J,��d' (�—� J (WI � �
t(T/il9 s`ect�rlreed not be completed il fhe permit Is valuetl a( one hundred dollars ($f00J or less.) '�
❑ I certiTy Ihet in the pertormance of the work for which this permit is issueQ I shell not employ any person in any manner so as to Dacome subject to the workers'
compensetion la s ot Califomle, end agre Ihat if I should become subjad to the workers' compensation provisions of Sectio�oi )h�Lebor Cotle, I shall forthwith
comply with these rov'sio s. I
Ap'piicant Signat,_u y�ea. � ,� �w. �Da—te^� —^— �!� �
WAqNING FAILURE TO S URE � ERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMP OVEflL TO CRIMINAL P TIES AND CIVIL FINES UP TOIXJE HUNDRED
THOUSAND DOLLAFE (§100,000�, I�ADDS�ION TO THE COST OF COMPENSATION, DAMAGES AS PROVIOED WF IN SECTION 3]W OF THE LABOq CO�E, IMEREST, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I here6y aHirtn that artYllc'ens under provisio
torce end aHec[."ic �
CONSTRUCTION LENDING
Chapter 9(commencing with Section 7000) ot Divislon
Code, entl my license Is in full
❑ I hereby attirtn that there is e construction lending agency for the pertormance of Ihe work for which this pertnit is issued. (Sec. 3097, Civil Code).
Lendefs Name: Lendefs Address:
Signature:
Date:
OWNER-BUILDER OECLARATONS:
I hereby aHirtn ihat under penalty of perjury that I em EXEMP7 FROM 7HE CONTRACTORS LICENSE LAW tor ihe following reason (Sec. 7031.5, Business and Professions
Cotla: Any ciry or counry which reQuires a permit to consiruct, alter, improve, demolish, or repair any structura, prior to its issuance, also requires ihe epplicant for such parmit
Io fila e signed stetement that he or she is licensed pursuant to ihe provisions ot the Conlractors LicenSe Law (Chepter 9(commancing with Sectlon 7000) ot Division 3 of the
Business end Protessions Cotle) or that �e or she is exempt therefrom and the besis for ihe ellegatl exemption. Any violation of Sadion 7031.5 by any applicaM tor a partnit
subjecis ihe epplicant to e civil penelry c� not more than five hundred dollare ($500).):
❑ I, as owner of Ihe property, or my employees with wages as iheir sole compensation, WILL DO THE WORK, end ihe stmcwre is no� intended or oHered for sala (Sec.
7044, Business and Pmfessions Code: The Contractors License Law dces 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, provitletl that such improvements ere noi intended or oRered for sale. If, however, the builtling or improvement is
sold within one year of completion, the owner�builder will have the burtlen of Droving ihat he or she did no� builtl or improve for purpose of sale.).
� I, es owner of the pmperty, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to wnstmct the project (SecJ044, Business entl Professions
Code: The coniractors License Law does not appiy to an owner of property who builds or Improves ihereon, and who contraqs tor such project with a coniractor(s)
license pursuant to ihe Conirec�ors License Laws.).
❑ I am exempt under sec.
Signature:
Owner ID verified by drivers license. ❑ Ves ❑ No
Business and Protessions Code for thi5 reeson:
Veritication of Ownership by (type ot document, i.e. - properry tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
Drivers License No.
Date:
Ezpires:
❑ I heraby certify ihat no excavation five (5) or more Feet in depth into which e person Is required to descend, will be metle in connection with work euthorized by this
permit, antl �hat no building siructure, scattoltling, falsework, or tlemolition or tlismantling thereoi, will be more than ihirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title e, Celifornia Atlministretive Code).
❑ As owneo-builder, I will not employ anyona to do work which would require e permit from the Division of Indus�rial Sefety, as notetl a6ove, unless such person has e
pertnit to do such work irom t�e division.
Signature: Dale:
Division ot Industnal Safery Permit Number:
CERTIFICATE OF COMPLJANCE AND AUTHORIZATION OF ENTRV: I certify under penalty of perjury that I heve read this application and state that the information given is
correct. I agree lo comply with all state laws and ciry ortlinances relating to building construction, and authonze representatives of Ne Ciry of Costa Mesa to enter upon the
ebove-described property for inspection purposes. I agree not to occupy or allow occupancy of eny building authorized by this permi� until final inspection.
�ODE 1.
1fi16
1266
200
Fixed System Final Fire Prevention
Pool Spa Final
Final Re-Roof
201 FInaI BIocWRetalning Wall
202 Final Fectory Fire Place
203 Final Sign
204 Final Demolition
�'►��
•
�
2( °�BC,
���Date
COUEa INSPECTIONTVPE
206 Final Mechanical
208 Final Plumbing
270 Final Electrical
212 Final Fira Prevention
220 FinalPlanning Approval
222 Final Site
250 Final Builtling/Occupancy
P9L4 y
'�i ' �V I
(714) 754-5273 • Faz (714) 754-4856 •
JobAddress: 948 CORONADO DR
Suite:
Vicinity: GARAGE ONLY
Parcel Number: 14155101
Applicant: BYER, TOM
Address: 17662 METZLER LN
HUNTINGTON BEACH, CA
Owner: YOUNG, JOYCE D
Address 948 CORONADO DR
� COSTA MESA, CA
Contractor: TOM BYER ROOFING
Address: 17662 METZLER LN
Arch :
Address:
HUNTINGTON BEACH, CA
Zip: 92647
Phone:
CITY � COSTA MESA
'LD► G D/VISION
MEN' =RVICES DEPARTMENT
'ERMIT
Zoning: Rl R1
Phone: (714) 847-9332
Zip: 92fi47
Phone:
Zip: 92626
Phone: (714) 847-9332
License: 575002
Eng:
Atldress:
EpM1T NUMBER
/
B03-01992
T7 FAIR DRIVE, COSTA MESA, CA 92626
ISSUED BY:
Sfatus: ISSUED
Applied: 11/78I2003
Issued: 11/18l2003
Phone:
Zip: � License: License:
SCOPE OF PERMIT
REMOVE ROOFING. APPLY HOT ASPHALT B.U.R. W/ GRAVEL. GARAGE ONLY
FEE SUMMARY
Plan Check: $0.00
Permit: $83.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $83.75
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0-0
PARKING Existinq: 0
NOTES:
Rear 0- 0
Rear 0- 0
Required: 0
PLANNING & ZONING
Left 0- 0
Lefl 0- 0
Proposed: 0
Calc Valuation: 3z,�a5.00
Claim Valuation: 32,�a5.00
Right 0- 0
Right 0- 0
NOTICE: The work authorized by this permit shall compty with all applirable handicap access requirements under Calitomia statutes and related
regulations. (Ord. No. 9248, § 1, 12-27-92)
' EXPIRATION: This permit shall automatically explre and become void if work is not commenced wlthin 180 days, or If work is suspended or ebandoned
for a period of 180 days. �
INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply wilh all applicable codes, and ell
required Inapeetlona and final epprovel must be obtained. Failure to obtain inspections and final aDProval will result in the expiration of thls permit.
FOR INSPECTIONS CALL: (714) 7545626
tataae (am)
WORKERS' COMPENSATION DECLARA710N:
I hereby attirtn under penalry of perjury one of Ihe following dedarations:
❑ I have antl will maintaln a certifipte of consent to sell�insure tw workers' compensi
work lor which this permit is issuetl.
❑ I have entl will maintain workers' compensatlon insu2nce, fls reQuired by section 37Q
My workers' compensatlon Insurenca cartier antl pdic/ number are:
Carrier.
(Tbis section need naf be crompleted i! (he permiNs velued et one huntlretl tlollars (5700)
proNded lor by saction 3700 ot Ihe Lebor Code, tor the pertortnence of Ihe
fof ihe perfortnance ol Ihe work for which NIS permil is issuetl.
Policy NumDer.
❑ I certity that in the peAortnen oi tha work for which this pertnil is issueq I shall not em�iy eny person in any menner so es to bocome suDject to the workers'
compensetlan laws ot_Cglifo i. , enA agrea that II I should become sub�ect to Ne workers' compenselion provisions ol Sectjon 37 ot t�e Lebor CoOe, I shell torthwith
camply wit� these pr�y��b .
Applicam Signature: ��� Dele: _��// � O �
—L
WARNING: FAILURE TO SECURE WOHKERS' GYMIPENSATION COVEMGE IS UNLAWFUL AND SW1LL SUBJECT AN EMPLOYEP TO CRIMI PE TIES aND pVIL FlNES UP TOONE HUNDRED
i/10USAND DOILARE (5100.0OO�.IN ADDITION TO iHE CQST OF Cp.1PENS�TION, �AMNGES 0.S PROVI�EO FOR IN SECTION 37080F THE IABOR CO�E. INTEREST, AND ATTORNEI"S FEES.
LICENSED CONTRACTORS DECLAFiATON:
I hereby aHirm that I am licensetl untler Drovisions oi Chapter 8(commencing wilh Sectian 7000) of Dlvision 3 of tho Business and Professions Cade, antl my Iicense is In full
brce end eHect. Lic. a Cless N
Contractofs Signature: Dete: 7! / �F
CONSTRUCTION LENDING AGENCY:
❑ I hereby etfirtn that there is e consiruction lending egenry for the perfortnance ol the work for w�lch Ihis permlt is Issuod. (Sec. 3097, Civil Code).
Lentlers Name:
Signature: _
OWNER-BUILDER DECLARATIONS:
lentlers Address:
Date:
I hereby eflirtn that under penfllry ot pe�ury thet I em E%EMPT FROM THE CONTRACTORS LICENSE LAW tor t�e lollowing reawn (Sec. 7031.5, Business end Professlons
Cotle: Any ciry or wunry which requlres e permit to construct, elter, improve, demolish, ar repair any structure, prior to Its issuance, also requires the epplicant for such pertnit
to Nle a signed stetement thai he or she La Ikensetl pursuant to Ne D�aNsions of Ihe ContraMors License taw (Chapter 9(commendng with Seclion 7000) of DNL51on 3 ot Na
Business end Professions Code) ar ihet ha or she is exempt therelrom entl the �asis lor the elleged exemptlon. Any violetion ol Section 7031.5 by eny appllcant for e pertnit
sub�ects the eppllcant to e civil penalry oi not more than frve hundred dollars (5500).):
❑ I, es owner of Ihe properry, or my employees with wages es tAeir sde compensetlon, WILL DO 7HE WOHK, and the structure is noi IntenOed or oflered tor sflla (Sec.
70a4, Business and Professions Cotle: The Cantractors License Lew does not flpply to an owner of property who builtls or improves thereon, en0 who tloes such work
himself or hersetl or through his or her own empbyees, provided Ihat such improvements are not intended or oHered lor sele. It, however, the building or improvemeni is
sold within one year of wmpletion, the or.neo-builder will hava.the burAen of pmvinp ihal he or she did nol build or improve for purpose af saleJ. �
❑ I, as owner of lhe property, am EXCLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS to ConStrutl Ihe projeci (Sec. 7044, Business antl Prafessions
Code: The contractors Llcense Law does not appy to an owner ol property who bullds or improves Ihereon, entl who wntracts tor such prqen with a conirectoqs)
license pursuant to the Comractors License Laws J.
❑ 1 em ezampt under sec. Busineu and Professions Cotle tor [his reason:
Signature: Date:
Owner ID venfietl by tlrivers Iicense. ❑ Yes ❑ No Drivers Licensa No. Expires:
Vedlicatian of Ownership by (rype oi dacumem, i.a. - praperty tex bill ar tleetl):
DIVISION OF INDUSTAIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby cenity that no axcavatlon five (5) or mare leet in depth into which e person Is required to tlescen4 wlll be made in connection wit� work eu�honzetl Dy thls
pertnit, and Ihat no building structure, sceHdding, lalsawork, or demdition or dismantlinp thereof, will be more ihan thirty-six (36) teel high. (Chap. 32, Grp 2, Art 2, Sec.
347, l7tla 8, Calilamie AdmiNstretNe Code).
❑ As owneabulltler, I will not employ enyone to do work which woultl requlre e permit Irom t�e Dlvision ot Indusidel Setory, es noted above, unless such person heg e
pertnit to do such work Irom the dMsion.
SignaWre: Date:
Division at Industrial Salery Pertnil NumDer:
CERTIFlCATE OF COMPIJANCE AND AllT}iOFiIZATION OF EMRV: I cenify under penalry of perjury ihet I heve read this epplicatlon antl state thet the Inlortna6on given is
correct. I agree to comply with ell stute laws entl clry ardlnances relatlng to Duildinp construction, and euthodze representetives ol the City ot Coste Mese to enter upon the
ebove-descri0ed properry lor inspection purpaaes. I agree not to occupy or ellow occupancy of eny building aNhonzed Dy this pertnit unGl final inspection.
ig ture Of Legal Owner(s)
AnNOr Aut�orizetl Applicent
COOE I. INSPELTIONTYPE
1618 Fized System Final Fire Preventlon
1266
200
201
202
203
Pool Spe Finel
Flnel Re�Rooi
Flnel BIocWRelelnlnp Well
Finel Factory Fire Place
Final Sign
204 Final Demdiqon
PEgi II�AlS
t�= �
GOOE I INSYECTION iYPE
208 Finel Mochenical
208 Flnel Plumbinp
210 Final Eloctdcal
272 Final Flre Preventlon
220 Finel Planning Approvel
222 Final Slte
250 FinelBulldinglOccupency
Qdg 1[�lLS
�
�OJECi AOOFESS: 9 4$ CORONADO DR ur+�r:
OWNEH'S NAME: YOIING JOYCE D
POOflE55: 94B i�bfZ�h��� DK
COSTA MESA,CA 92626
549-0190
FflCNIENGINEEF: BEG.NO.:
ADONESS: UNIT:
rcemiTTee: R. A. ROOFING ( 714 ) 978-2611
aooeess: 2922 ASBURY PL
ANAHEIM CA 92806
LICENSEO CONTFPCTOfl OECLABATION: I �ereEy aHirm tha� I am lic¢nSeA unEer pmNsions of C�ap�er 9(commencinB wii� Section
]0001 ul orvision 3 0l �ne Business antl Pmlessians Catle. ana my li�ense is in fulllorce ana ellect.
ciTruc.:028569 srnreuc.:302233 �}�,., �c�a�ss):C3�
oaie: /�- � /' q I Signalure:.=Lof/"`�'"_ /
wOBNEBS' COM7ENSATION OECIAflATION: I hereby aflirm Inat I nave a cenilicate of consent to sel4insure or a cenificate oi workers'
compensauon�g��rci. lr �ePrt��ieq coPy mereoi Isection 7soo. Lao.�13 / O 9/ J 2
roucvxo.:GULDEN EAGLE EXP.OATE:
COMPPNV: }[
❑ Ceni6etl copY is here�y �urnished. C] Certilietl copY is file w �he cily Building Divisian.
, �� ,
/ D � �a � —�) e�-J �
�a�e: Appiicanc v�O�-n!/
E%EMPTIONFflOMWOflNEflS'COMPENSATIONOELtRNRTION: �TNsucip�nee0notbewmpletetli�thepermtisloronehu�retl�5140)arless�,
I cetlily Ihat in ��e pedormance of Ihe work tor which lhis permit is issued. I shall no� em0loy any person in any manner so as �o become
su�lecl to Ine Workers' Compensatian Laws ol Calilomia.
Date'. Signature:
NOTILE: If, after making ihis declaration. you s�ou10 �ecome spble�� �o t�e Workers' Compensalbn Drwisions of ihe Lahor
Cade, you musl Iorihwil� comply witA such pmvisions Or tNs permi� shall be tleemea revoke0.
CONS7BIlC710N LENOING FGENCY: I hereby aifirm Na� t�ere is a ronstmction IenAing aAency for ihe Dedormance ot t�e work for
which Ihis Dermn is issueU (Seclion 3097. Civ. C�. .
LENOEfl:
aoosess:
OWNEfl BUILOEH �ECLAflATION: I here0y a�lirm Iha� I am exemp� �rom I�e Conlradars' State �icense Law lor �he following reason
(Sec�ion 7031.5 Business an0 Prolessional Cade: Any city oi county whic� reQuires a permit to constmct, atter, imD�ove, UemalisR or
repait any slmclure. prior to its issuance. alSo requires IOe aoPlicant tor such permil ta file a signea statemenl thal he/she is IicenseA
pursuan� io Ihe provisions ol i�e Comracmrs Sta�e license Law �C�aOter 9(commencing witA Section 7000) of Oivision 3 0l tAe Business
and Pmlessions Code) or Ihal �e/she is enemp� I�ere�mm an0 lhe Dips for Ihe alleqetl exemption. Any vialation of Sec�ion 70.11.5 hy
any aOP�icant for a permil suble��s Ihe appiicant to a civil Oenalty ai not more t�an live �untlreG dollars (E500�. ,
1. as owner ol Ine 'pmoeny or my employees with wapes as Iheir sole comoensation, will Oo �ne work, and ihe
❑ stmmure is not intenaea or oueretl for sale ISectron 704a. Buyiness anG Professional CoOe: The Cantracmrs' Slate License Law
aoes noi apply io an owner oi a DmOeny who builas or imOroves ihereon, and who Aoes such work himsell/hersell or inmuqh
�is or her awn employees, pmviaed I�ai such improvemenib are nol inlenaetl or o��eretl for sale. Ii, however Ihe 6uiltling or
impmvement is 5Wtl within one year ot campletion, ihe ownEr vnll �ave Ihe burGen ol pmving he/she Cid not huild or improve
lor Ine puroose ol sale).
I, as owner ol ihe O�openy. am exclusively comracting wuh liq¢nse0 convactors to consimct ihe D�ojecl {Sec�ion 70aa, Business
L� antl Pmiessions Coae: iAe Caniractors' Siaie Lkenu Law tlaes noi aDON �o an owner of pmperty who �wlUs or impmves Ihereon
and w�o conlracls br suth Dmjecls with a conlracioqs)li[ens¢ pursuantlo Ihe Contrac�ors' Sta�e License Law�.l am awa�e
Ihal pmo� ol Iheir Worker's Compensation insurance ShoWC Oe oroviE¢a Ia me.
� I am ezempi un0er Seaion: 8. 8 P. C.
br Ihis reason:
�ale: Ownec
I Uo �ereby cenily I�at I am aware ol an0 untlerstana Ihe requiremen�s oi Califomia Heallh an0 Salery CoUe $ections 25505, 25533, ana
2553a and ihal I ar any INure Ouiltling occu0ani wilVwill not (tirtle one) neetl �a compty with said sta�e codes ana Ne repuiremenis �or a
Oermil br consimction or moEilicalion Imm I�e Nu Oualrty ManaAemenl Disiricl. ReSiEential consiruclion applicaiions are exemp� hom
Ihese Drovisions
Oale: pDV���anl:
I herebY cer�ilythal I have reatl�Ais application ana Slaie Iha� I�e a�o�gln�ormalionis carrect. I aA�eeto comply wil� allciiy and county
ordinancesantl9alelav�srelatinglobuil4ingconstmtlionandlcere0yamlw�izerepresent}1�esolt�isciryloenleruDon�heabove-mentioneE
pmpetly for mspeclian purposes. ��_ / ��
�aie: _�^� �— q� Si9na�ure: � A
oriver�s �icense or Socia� Secumy >� �
164v46 WM1ne—Bwlpmg; G�een—Code Enlorcemenq Canary,Applicanl: Pink—Revenue: GolOenro4—Assessor
CITY OF COSTA MESA - BUILDSNi� FERMIT
FERMIT NO: B 059812 PLAN CHECK t�0: � N
CONSTRUCTION TYPE: V-N PERMIT TYPE: STR
Nr:t(M NV; tl V7 C�
� i: tv 5u r:
PURPOSE: AL'P
JOB DESCRIPTION ; T/OFF RESHT. REROOF W/COMP � SQ FT: 6,200
CLAIM VALUE: 6,200,00 CALC-VALUE: 6,200.00 GROUP OCC: R-3 /
COMMENTS: SMOKF. DETECTOR RE�USRED ��A�����nT,^R
�JEif�Ki(��IE�N-�%liif�iFiFdi#�)i#��i4iEdF/E�kii�iE14.K..le.lf. jEiEif��iE�A##�%�aiaFaEN�dFiE#�1fK�IfN��!fiEiE�M�ifitififdF�lE�f IVI � �Y V't'V
Z O N I N GS ERTEB�AUCIK�SE M E N T S
REQUIRED
------------ MAIN BUILDING ---------- --------- ACCESSORY HUSLDING ---------
cRNT; FT IN REAR: FT IN FRI3T; FT TN REAR: FT I1J
LEFT; FT IN RGHT: FT IN LEFT; FT IN ftGHT: cT IN
PARKING RE • PROV; PARCEL: 14155101 7.NE: REF NO;
PLANNING N TES>
i
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D E V E L U P N, E N T S E R V 1 C E S R E Q U I R c, M E N,T S
:.
ZOAl2NG APPROVED 3Y DATE:
BUILDING APPROVED BY : _ DATE: �
APPiICATION ISSUED BY; /. �
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LEGALIZATZON:N F E E
BLDG PMT PL[IMHING ELE
PERMIT 90.00
PLAN
TSSUE F�E
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S U M M A R Y STRi7CTURAL SEG;�icNT;Y
TRIC MECHANIC F3RE SMIP/RE�. GRADING
6�
SMIP/NON-RES
PUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID � DUE
TOTALS----> 90,62 0.00 0.00 90.62 90.62,i�� .00
REVENUE DIVISION TOTALS--> COLLECTED; 90,62 OVER/SHURT: • .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
90.00 .62
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Z 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 IiNIT COST TOTAL COST
SFR 6200
REROOF BY VALUE RESIDENTIAL NOZONE 1.00 � 6,200,00
END Or FEES
�
,� •� - - _
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� CONSTRUCTION ANDPLANNING POOL& .
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspettor
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms .
4. Electrical Conduit-Undrgrnd. 55. Hectrical Bond'+�g
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. _ Electrical UFER Grnd. 57. APPROVAL TO COVER•GUNITE
7. Footings � 58. Electrical Conduit-Undr9rnd.
8. Foundation � 59. Gas Pipe, O Undrqrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash �ines, P-Trap, O Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & HouseConnection 62. Backwash & Receptor�Final
12. Sewer Cap . 63. Heater & Vent�Final
73. Roof Drains 64. Piumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical�Co�duit 66. So�ar SYstem•Final
� 16. Rough Electric Wiring 67. Fencin9 & Access ApProval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Rbugn Heating & Air Conditioning FIRE DEPT. REQUIREMENT �
20. Rouqh Factory Fireplace APPROVALS ' Permit #
21. Dutts, in Structure 70, Underground Hydro
22. Ducts, Ventilating ' 77. Product Piping OGas OOiI
23. Gas Pipe�Rough & Test � 72. Underground Flush �
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil
25. Rnof Sheathing r 7 t�,��j 74�..Overhead Hydro
/ - •
26. T�Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
�27. Frame and Flashing 76. Dry Standpipe � '
28. Lathing & Siding . � 77. FIXED SYSTEM FINAL
29. Insulation � 78. FIRE PREV. FINAL
30. Drywall Nailing . HEALTH DEPT. REQUIREMENT
31. Plaster 8rown Coat ��.' 79. FINAL INSPECTION
32. Electrical Power Meter-Final � �j S0. FOOD CERTIFICATE ISSUED
33. Final Electric %;. ,' Notes:
34. Final Heating & F,ir Conditioning �
35. Final Gas Pipe�Test !
.-Y��
36.� Hood or Canopy ��
37. Final Factory Fireplace �
/
38. Final Plumbing �'
39. Water Service-Final �i.j�
40. Gas Service-Final
47. Solar Oomestic-Final � �
42. Backflow Preventer �, ,
43. Backflow Irrigation
44. Landscape Irriqatiori SYstem
45. Sound Attenuation�
46. Handican Regulat�ons J
47. FINALSTRUCTURE&�BUILDING �( �3_G/ �'(;L� ���� ���/G- �[v�
r [
48. FINAL PLANNIN�G � �
49. Electric Release to' Edison "..�
50. Gas Release to Southern California Gas Co I �
51. CERTIFICATEOFOCCUPANCY f
No. � Date
OWNER YOUNG� JIM DATE JUN 1 6 I9fid
JOB ADDItF.SS
INSPECTIONS
I'F:IiMIT NO.-- 22466. —,
llATE IGROUP J TYPE N ZONE
SUBCON17tACfOR
;r � 22466
- COSTA MESA BUILDING-SAFETY DEPARTMENT -
P. D. BOX H1] COSTA MH6A, CALIFORNIA
For Applicant fo Fill In CompleTely
TYPE OR PRINT
sui�o�rva � 1�+ �
ADDRES9 l. ON % D �
COSTA MESA, CALIFORNIA
■ MAIL
SIZE
OF LOT
USE OF
[i
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FROM
W ALL
1 HEREBY ACKNOWL p�
ANO BTATH iMAT THE
PLY WITH �LL CITY Oq
BUILDINO CON9TPUG7J!
! /
SIGNATUREOR �/
PERMITT�EF ��
AUTHORIZE%.OENT
OF WORK
NO. OR
ROOM9
I ROOF
FEE RECEIVED
�� 1 6 �
���o���A
APCITY �jj�§� E R
For Office Use Only
NO. Op , ` UBH OP N[W
� � PLANB ✓ CYILOINO
..No. /�_��S�z—v/
fE; NO EAVE OVERHANG SHALL BE LEBS THAN
' TO SI�E 8 REAR P. L.
'ES
.OWED (U. B. C. REOIIIREMENT:
YARDBAPPROVED YARDSAPPROVED
MAIN BUILDING ACCESSORY BUILOING
VAR. #
DATE
-ll�-(nL/
7 �
6Q. PT, a
HAVB READ THI9 APPLIGTION TX6 AMOIINT 9HOWN IINOEp VALUATION IB POq TH8
:ORHBCT ANO AGNEE TO COM. PUHPOBE OP EBTABLI8HIN0 A PERMIT FE8 ONLT. _
O
�ND eT T W8 rt uur�na ypLUAT10N
�l�ti� ��. �,.
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PERMITFEE $ �
'7 m
� �F A ' ¢
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/ TOTALFEE
OWNER ypl7Nr;. .TAMF:R
JOB ADDRESS qiyg Coranado I
6ENERAL CON7RACTOR pcmer•
AP No. 141-551-01 LOT qt�
INSPECTIONS
•SOIL
GAS
WATER
ROUGH PLUM6ING
PHOP. $WR. LINE HOUSE CON.
SPflINKLING SYST�M
MISCELLANEOUS
ROUGH MEATING ANO AIR CONDITIONING
TEMPORARY SERVI�E OR POLE
UNDERGROUNO � POWER �
ROIIGH WIRING �n�2� � � [�.Z(.
TRENCMES � FOftMS STEEL REINF.
FLOOR SYSTEM
BONO BEAM ❑ STEEL REINFORCE [1
SMEATMING
FRAME AND FLASHINJpL�' �/�N-
LATHING - IN OUT �
PLNSTER, BROWN COAT
ST0.UCTURAL, FINAL
HEATING, VENT., REFHIG. ANO A.C., FINAL
PLUMBING, FINAL AND GAS TEST n
ELECTRIC, FINAL
BUIL�ING, FINAL
DATE
IT
Lder DESCRIPTION of WORK CO[lV._Ex. Gar.to Den & Add 3 C�
TRACT !y2$ FIRE ZONE VALUE b6 000.00 Gara'
Sionature Date GROUP I& J TYPE V ZONE R-1
SUBCONTRACTOR
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTq MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BUILDING � C% /��m�I%/�FDO �R
ADDFESS (j
OWNER � � C
MAIL Q.1 p �OK �JA00 D�
ADDRESS � Y o
TEL.
CITY � � � NO.
CONSTRUGTION • I � .i.
BRANCH
ADDPES:
ADORESS � �'
CONTRACTOR
ADDRESS
CITV
STATE
LIC. NO.
SI2E ,
OF LOT
USE OF
EXI5TING BLDG.
SIZE OF
NEW BLDG.
EXTERIOR WALL
COVERING
U$F OF BUILDI
=�Ui�A�+allo`6� 3�
ao�++ C..M,
L
TEI.
NO.
CITV
LIC. NO.
' % NO. OF BLOGS.
i I NOW ON LOT
NO.OF
ROOMS STORIES
FOOF
COVERING
K TO BE PERFOR ED
���' S�- /�9A)Fi6s
IP d%rY % LI / 11�D./ 1
I hereby ecknowletlpo thet I have reatl this app�icaiiOn end s[ate
Net th¢ above informetion i5 corract antl eB�ae to cOmply with
oll lews repulating builtlin0 constt�ction, and I shall not amploy
nny Oerson in violation ot tho workmen's compenmtion laws oi
tho Stace of Celitornla.
I hereby car[Ify Mat I am prpparly IicenseG as a contractor untler
the State ot Celitornla Buslnea antl Professlons Cotle, Dlvisicn 3,
Cheptar 9, antl that such lieanyos era In full farce anA afiact, or I
em oxampi trOm Me provislons o1 [he $tata of Colltornie Busina55
antl Protessions odo, Diviaio� 3, Chapter 9
Sipnature o(.�'l� �/�, // .:���/�`i(
�ermlitee fd"V//r-- �'
PAtO
FEB -4-69��{sn00 072# �***48.00
APPLICATION FOR BUILDING PERMIT
RECEI/yy�ED BV DnATE CEIVED p TE I SUI
I [�//.'J �iC- -�� �_ � /
TRACT
OWNER
FIRE
20NE
APPROVED
VALUE
DATE
E, NO.OF USE OF NE�
I PLANS i� BUILOING
VAROS APPROVED YARDS APPRC
MAIN BUIIDING ACCESSOHY BU
VAR.qW DATE
C.UP,iW APPRI
APPROVED i / �.�
THE AMOUNT SHOWN UNDER VALUATI
THE PURPOSE OF ESTABLLSNING A PERMIT
VALUATION �
IPERMIT FEE 5
S� C/O� PLAN CHECK $ 1
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m
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COST/��v1E5A BUIIDING-SAPETY DEPARTMENT
P. O. BOX D17 C08TA M88A. CALIPORNIA
��
For Applieani fo Ffll In Compleiely
TYpE OR PRINT
BUILOING 948 Coronado Drive �
AD�RE86
COSTA MESA CALIFORNIA
MAIL 3800 E. Coast
ADDREBS
r�r Corona del Mar
TEL.
CO
�uc�rio. 98808-SB-1 'N�ziole 3-4220
SIZE .___ _ . I NO. O/ 9LD08.
none
3 BLOG.
LINB FROM
p gtpagt qq' REAR YARD il �
RD I LEFf S� I RIGHT S�3��
DESCRIPTION OF WORK
BUILDINU � NO. OF
SIZB bl � �� C ROOMS STORIE6
EXTERIOR WALLSCUCCO I Roor wood-shingles
CAVHRING COVHRING
USE OF BUILDING AND W�RK TO BE PERFORMED
Sin le famil residence w att ched
¢araQe
� H6flGSY ACRNOWLBD66 TMAT 1 XAV6 RBAD iM19 MPLIGTION
AND 9TATE TXAT THH ABOV¢ IB COpRBCT AND AORH6 TO COM-
PLY WITH I�LL CIiY OROINANL69 AND BTATH IAWR R6DULATINO
BUIlDINO -CONBTRYRION�
syNaruRe oFQ�ie,ga Dei�ar Development Co
Lot 94 Tract 4285 �I�i� 4���IVED
SEP 6 196'4�
fINANCE DEPT.
CIiY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
RECHIPT NO. PEAMIT NO.
,n r s+�r-,.�
rseca)v�eo ev o�e rs�5 erv o .JLnwTerrls�
K� I 1'i�Y^�� I
BUILDING
COSTA MESA. CALIFORNIA
FIRE
ZONE TYPE GROU
APPROVED I
BY DATE
ZONING
ZONH /� / I puNB � OUILDINO� `���
�� � ! ( �' f (. ./
��a�e�e.�..� i O/ , 4� R1J .� D P�`il'
EVES
uxe sr.>� �j
� FT.
s � �
✓ FT. ��
Z l .,_ —
G
etc.,-Area 68 S.F.
TNE AMOUNT BXOWN UND¢R VALLlAT10N IB POR TXE
PURP098 OP 86T�BLIBHIN� A PERMIT FEE ONLY.
VALUATION �
PERMIT FEE $ � ��
$ IH � �L�F7. OO pLAN CHECK $ / �
C
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