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Home My WebLink About1077 CORONA LN - Building PermitsOilOW ADDRESS- 1077'\CORONA LN R'S NAME: LEWIS DIANA J ADDRESS: 1077 E-ORONA LN COSTA MESA,CA 545-1534 ARCH/ENGINEER: ADDRESS: UNIT: 92626 REG.NO.: UNIT: PERMITTEE: MESA ROOFING (714)548-3012 ADDRESS: $93 W 17TH CM CA 92627 LICENSED CONTRACTOR DECLARATION: f hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Ccde. and m lull force effect. clTr LIC.: 0. 568 QSTATE LIC.: 56 4 1 cross — a4t� — -/—� Signature: WORKERS' COMPENSATION DECLARATION: I herebyalllrmthat l have a certificate of consent t self insure or a certificate of Workers' Compensation Insurance. or a certifiedcop thereof (Section 3800. Lab. C. POLICY NO.: WP9150002 62 EXP. DATE: 87/01/92 COMPANY: FREMONT ❑ Certified WDY is n/ereby furnished. [X Certified R pled �al.Applica�y, EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be Completed if the permit is for one hundred ($100) or less). 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 became subject to the Workers' Compensation Laws of California. Date: Signature: NOTICE: If, after making this declaration, you should become subject to the Workers Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall Oe deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency lot the performance of the work for which this permit is issued (Section 3097. Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby aflirm that I am exempt from the Contractors' State License Law for the fallowing reason (Section 7031.5 Business and Professional Code: Any city of County which requires a permit to Construct, alter, improve, demolish, or repair any structure. prior to its issuance. also requires the applicant for such defend to fee a signed statement that he/she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing wage Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis tot 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 live hundred dollars ($500). Structure 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 (Section 7044, Business and Professional Code: The Contractors' Slate License Law does not apply to an owner of a property who builds at improves thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered lot sale. It, however the building or improvement is sold within one year of completion. the owner will have the burden of proving he/she did not build or improve for the purpose of sale). I,as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business J antl Professions Code: The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractors) license pursuant to the Contractors' Slate License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. 8 P. C. for Ibis reason: Date: Owner I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and 25534 and that I or any future building occupant will/will not (circle one) need to comply with said stale codes and the requirements for a permit for construction or modification from the Air Quality Management District. Residential construction applications are exempt from these provisions. Dale: Applicant: I hereby cerlity that I have read this application and slate that the above information is correct. I agree to comply with all city and county ordinances and stale laws rotating to building construction andx4{aolttortl¢TeplesenFvi at 'ty .met upon the above-mentioned properly for inspection purposes. Signature: — Drivers License or Social Security a: 1641.46 White—Building; Green—Code Enforcement: Canary—Applicant; Pink—Revenue; Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 054588 PERMIT NO: B 054588 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTION ; T/OFF RESHT, REROOF W/COMP SQ FT: 6,330 CLAIM VALUE: 6,330.00 CALL—VALUE: 6,330.00 GROUP OCC: R-3 / COMMENTS: SMOKE DETECTOR RE?UIRED IN THE HOME 9E*kE BF 3E 9E 9f iE%iE 1E afiF iE iE 1F 3F iE i6 iE XE*9F iE iE -1E )E aF ie 9F 9E 3E iE iE iE iE if iF 9E 9F*KiF 9F iE ik 9F*iE 9E iE 9E**9F 9f iF BF BFit B(•iF XF iF 9F 9F Bf is if iF**iF iF *iF iE 9F Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL: 14162426 ZNE: REF NO: PLANNING NOTES>, .y if eF iE 3E 9E iF BE * * iE iE 9F iF iE iF 9F iF iE * fE * iE 9F 9E 9F 9E iE 9E iF it iE 9F * iE 3E 9E 9F IF 3f i(• * * 3F iF * iE iF AE 9f iE 9E 9E kE iE rF 9f iF BE iE 9E 9E iE iE iE 9F iE iF9F iE iE iF%iF 9E 9F * !f B4 9E D E V $'-L O P M E N T S E R V I C E S R E Q U I R E M E N_ --T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: DATE: iF*sFie9E*iF iE If 9E iE iE If 9F**9E 9E iF iE 9F 9F��F'i r � 7FiF3F9E iF aE iE BE 9E 1E NiE iE r 9Eit iEBfiEitiEiEiE**iEiE*9FiF'iEieiEiFftiF9f9FktBF3EiFIFiEiE9EkjE9FiE9E** IFMifiElEIE9Eif9ElEiEiE9FiF1E9fiE9F1EiE#EiF9EiE*9kjEiFBF*BE**3Eieie XE 3E BE 9E LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 90,0063 SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 90,63 0.00 0.00 90,63 90,63 .00 REVENUE DIVISION TOTALS--> COLLECTED: 90.63 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 90.00 .63 iF ik IE iE iF 3F * aE 3E 9F iE IE 9E 9F * IF XF 9E 9E 9F * iF ie iE iE iF XE 9F IF iF iE iF 1F iF ie 9F 9E 9F iE 9C * 9E 9F 9H iE 9E 9E iE 9e BE 9E * BE 9F iF 9F if 9E 9E 9E 9F i01FiF It 9E aE 0E 1f-1Fif If 1F iF iF iE IE 7F 9f 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 6330 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 6,330,00 END OF FEES �• . CONSTRUCTION AND PLANNING 1+,�1PPR0VALS Permit # 'Date Inspector POOL & APPROVALS Permit # Date .1 Inspector 1. Temporary Electrical Servicg-6r Pole 52. Pool & Equipment Location ii 2. Soil Pipe-Undrgrnd. •.,� r 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. ti 54. Forms Ji/ 4. Electrical Conduit-Undrgrnd fes' -- 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. 1, 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. - 8. Foundation ' ! 59. Gas Pipe, 0 Undrgrnd., Test 1 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK t r� 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap i 63. Heater & Vent -Final. 13. Roof Drains 64. Plumbing System - Final y�� 14. Rough Plumbing- ��q l 65. Electrical -Final 15. Rough Electrical -Conduit / 66. Solar System -Final f j 16. Rough Electric Wiring ' 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING / 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL L 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace _ 21. Ducts, in Structure. - 70. Underground Hydro 22. Ducts, Ventilating - 71. Product. Piping 0Gas 00il 23. Gas Pipe -Rough & Test J 72. Undergeouncl Flush 24. Roof Framing �- 73. Undergrnd. Storage Tank 0Gas OOil 25. Roof Sheathing. -•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 PREY. FINAL ' r 30. Drywall Nailing I _r HEALTH -DEPT. REQUIREMENT 31. Plaster Brown Coat _ - 79. FINAL INSPECTION 32. Electrical Power Meter -Final- 80. FOOD CERTIFICATE ISSUED 33. -Final Electric Notes: 34. Final Heating & Air Conditioning - 35. Final Gas Pipe -Test - 36. Hood or Canopy. 37. Final Factory Fireplace ' 38. Final Plumbing •� - 39. Water Service -Final 40. Gas Service -Final, 41. Solar Domestic -Final-, - 42. Backflow Preventer -- 43. Backflow Irrigation 44. Landscape Irrigation System - 45. Sound Attenuation - - r 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING !1 1ti I� 48. FINAL PLANNING - 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co i 51. CERTIFICATE OF OCCUPANCY No. Date 1jgWNER OLIVA, Rose DATE 11_2_71 JOB ADDRESS 1077 Corona Lane BUILDING PERMIT "4 GENERAL CONTRACTOR R. M. Wilson DESCRIPTION of WORK Patio Ca Ar N son GAS NG PROP. SWR. LINE "HOUSE CON. SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND E] POWER ROUGH WIRING TRENCHES FORMS 0 STEEL RF FLOOR SYSTEM BOND BEAM STEEL REINFORCE SHEATHING FRAME AND FLASHING LATHING - IN n OUT n PLASTER, BROWN COAT STRUCTURAL, FINAL HEATING, VENT., REFRIG. AND A.0 PLUMBING, FINAL AND GAS TEST ELECTRIC, FINAL FINAI SUBCONTRACTOR 33 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely IV-2-71cns200 123 cd* r***' ^0 APPLICATION FOR BUILDING PERMIT RECEIVE BUILDING D DAT A.P. NO. - 1- ' ]/ EN ADDRESS Il CR.. 71 TRACT OWNER LOT BLOCK W f. MAIL o J(�', OWNER Z ADDRESS Ius.L- TEL. 111 U.1 NO. OF USE OF NEW T M U CITY PIANS NOL illb.1 I- Z Z Q CONSTRUCTION YARDS APPROVED CARDS APPROVED N LENDER LIC. NO. /SJ ��b LIC. NO. MAIN BUILDING O o- Co Z) O (FROM C/L T J Z) BRANCH SIZE NO. OF BLDGS. J to OF LOT NOW ON LOT FRON M W ADDRESS USE OF, { J Q ARCHITECT OR ENGINEER /f� TEL. N IV-2-71cns200 123 cd* r***' ^0 APPLICATION FOR BUILDING PERMIT RECEIVE GATE REC D DAT A.P. NO. - 1- ' ]/ EN BUILDING ADDRESS WFIRE Q ADDRESS TRACT II,,11 ` W IIsU. LOT BLOCK W f. PV IND DEMO[ ISH OWNER 03 Z J M W W TEL. VALUE U Q WFIRE Q ADDRESS ZONE TY GROUP II,,11 ` W IIsU. APPROVED DAT a w J O o CONTRACTOR ADDRESS / �aD /T�/Y��Y 03 Z J M W W TEL. ZO NO. OF USE OF NEW �/ CITY �j':il- Nol S3 _Dido PIANS BUILDING ZZ H STATE [ / CITY YARDS APPROVED CARDS APPROVED _ W O N LIC. NO. /SJ ��b LIC. NO. MAIN BUILDING ACCESSORY BUILDII Z) O (FROM C/L T SIZE NO. OF BLDGS. OF LOT NOW ON LOT FRON FT. USE OF, { EXISTING BLDG. T. FT. SIZE OF NO. OF Z NEW BLDG. ROOMS STORIES L. SIDE FT. FT. UEXTERIOR WALL ROOF _ COVERING COVERING REAR FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & CL a MAIN SLOGS. ACCESS. SLOGS. Q VAR. # DATE O C.U.P. * APPROVED F APPROVED N RY DATE Z O I hereby acknowledge that 1 have read this application and state that the above Information is correct and agree to comply with cc all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of N the State of California. ? I hereby certify that I am properly licensed as a contractor under SO. FT. THE AMOUNT SHOWN UNDER VALUATION IS 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 ON am exam of from Che vi ions of the State of California Business � 'vt VALUATION and Professions Co n 3, PERMIT FEE $ Signature of _6-0 i Permittee $� PLAN CHECK $ Authorized Agent TOTAL FEE 5 (!F• -// ' 2024 ZOSTA MESA BUILDING -SAFETY DEPARTMENT BOE 917 COSTA MESA. CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT BUILDING FS 1077 Corona Lane COSTA MESA, CALIFORNIA SIZE 1 1 no. or BLOG6 nP Fn, 72 X 102 NG.N nN I M None SETBAK LINE FROM CENTERCOF STREET -hal REAR YARD t BIDH YARD LEFT 6t I RIGHT t DESCRIPTION OF WORK uww g 11 eI TPGe•TInvI Il SIZE �ING OF 61t6tIX t 240OMb 6 ST XTER EIORWALLWOOd &I ROOF_ _140od FEE gqRfifigECEIVrD 0L ZZPPLI�ARON FOR PERMIT NO. ZONING ZONE NO.OF U880F N[W R-]_ runs 2 BUD.DIN� att, aar _ SHALL BE LESS THAN ' YARDSAPPROVED I YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING VAR. n DATE USE OF BUILDING AND WORK TO BH PERFORM BD Single famileT AwPll;""P: a h d Dwelling 1896 S,_,__ garage. Plan Lt00-B� rn"nffa IIRq c 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT PEE ONLY, o PLY WITH ALL CITY'ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. VALUATION PERMIT FEE $ O `� SIGNATURE OF j PERMITTE 6acco Eeal O CJ3^ G Bv- $ 20,286,00 i AUTHORIZfi N E T^YAI RRP g 591