HomeMy WebLinkAbout1102 CORONA LN - Building PermitsCITY OF COSTA MESA
`yt""'F=,p BUILDING DIVISION
iA�6 77 FAIR DRIVE, COSTA MESA, CA 92626 - (714) 754-5273 • Fax (714) 754-4856 - www.ci.costa-mesa.ca.us
v FOR INSPECTIONS CALL: (714) 754-5626
''°'�°"` PERMIT NUMBER: BC11-00500
PERMIT TYPE: B COMBO
Sub Type: RES—ALT
JOB ADD RESS:----1102•CORO NA-LN"CM'_1
APN: 14162318 Zoning: ,
Vicinity:
Const Type: V -B
SO. FT: 0
STATUS: ISSUED
DATE ISSUED: 09/26/2011
ISSUED BY: KJB
Suite/Unit:
Primary Occ:
Valuation: $500.00
SCOPE OF WORK: HOUSING REHAB PROJECT. MISC REPAIRS. LEGALIZE WATER HEATER TO COMPLY WITH CURRENT
CODE.
OWNER: LEE, DEOK CHEOL
Phone:
APPLICANT: ZADEH, MIKE
Phone: 714-541.8011
Address: 1102 CORONA LN
City/State/Zip: COSTA MESA, CA
Address: 1415 E 17TH ST
City/State/zZip: SA,CA
CONTRACTOR: GENERAL MAINTENANCE CO. License No. 490887
Phone: 714-541-0011 Address: 1415E 17TH STUnit:
Cell: City/State: SA,CA
ARCHITECT: License No.
ENGINEER: License No.
COMBINATION PERMIT FEE SUMMARY
Building Plan Check:
$0.00
Building Fees:
$23.50
Electrical Fees:
$0.00
Mechanical Fees:
$0.00
A
Plumbing Fees:
$33.30
SMIP Residential:
$0.50
SMIP Commercial:
$0.00
Bldg Std Admin Fund
$1.00
TOTAL FEES:
$58.30
Unit:
Unit: :UNIT 270
UNIT 270
ZipCode 92705
PHONE:
PHONE:
'Refer to fee receipts for all fees paid for project
HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 311812010 - PER CMMC Sec. 13-279
Monday thru Friday -7:00 am thru 7:00 pm. Saturdays -9:00 am thru 6:00 pm. Prohibited all hours - Sundays and the following Federal holidays:
New Years Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day and Christmas Day
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: 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 0. INSPECTION TYPE DATE INTMALS CODER INSPECTION TYPE DATE INT9IALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 206 Final Plumbing
200 Final Re -Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final BuildinglOccupancyf,�
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
p�erfoo
ance of the work for which this permit is issued.
7M- 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:
Carrier: ngn-rr- COW. /Art(• iO (AAD
(This seefion nead trot be twopleted d the permit a valued atone hundred collars (5100) or less.)
Policy Number: %Z/ 3092_
❑ 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,all rthwith comply with these provisions.
Wfii:aaWni,twe Date
WARNIN F URE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UN L 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. # �_ Class # �•
9 26•//
s Signature e
CONSTIWCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the
performance of the work to which this permit is issued. (Sec, 3097, Civil Code).
Lender's Name:
Lender's Address:
Signature
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 vrith 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.).
❑ I am exempt under sec.
Business and Professions Code for this reason:
305746 (N07)
Owner ID verified by driv,, license. ❑ 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, vdll be made in connection with work authorized
by this permit, and that no building structure, scaffolding, falsework, a demolition
or dismantling thereof, will be mom than thirty-six (36) feel high. (Chap. 3.2, Grp
2, Ari 2, Sec. 341, Title 8, 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.
Applicant's Signature
Division of Industrial Safety Permit Number:
Date
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Witt the applicant or present or future building occupant need to file antl
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 Califomia 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 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 ran -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.
Date
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury that I have read this application and stale 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 peWtjjoantil final insaction.
alGrtpf L� 31 f) Date
And/or uth nzed Applicant Date
c37aD
Applicant to fill in all spaces within
CITY OF COSTA MESA PERMIT NO,
CONSTRUCTION PERMIT P - `7r7 Q
Address same I
License No.
Address
7
I hereby affirm that I am licensed under provisions of Charter 9 (com-
mencing with sectlon 7000) of Divlslon 3 of the Business and
Professions Code, and myC ikse is in full forrf,-apg. jTct.
License lass 3b ,s Llc No. �1C3 `J
Dated/SF Signature '��� (•`-�
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -Insure or a
certificate of Workers' Compensation Insurance, or a certified copy
thereof (Sect io0389/1b b. C.). S•L•=I-,�
Policy No. GG 1177 Company
F ^ertified copy is hereby furnished. -
rtified copy IS filed with the city Building Division.
.OPTION FROM WORKERS' COMPENSATION DECLARATION
(This section need not be completed if the permit is for one hundred
S§100Z or less).
I cert fy 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.
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 be deemed
revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the per-
formance of the work for which this permit is Issued (Section 3097
Civ. C.).
Lender's Name
Lender's Address
OWNER BUILDER DECLARATION
1 hereby affirm that I am exempt from the Contractor's License Law for
the following reason (Section 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 re.
quires the applicant for such permit to file a Signed statement that he
Is licensed pursuant to the provisions of the Contractor's License Law
2Chapter 9 (commencing with Section 7000) of Division 3 of the
uslness and Pro/assions Code) or that he Is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by
anv applicant for a permit subjects the applicant to a civil penalty
it more than five hundred dollars (§500).
as owner of the property, or my employees with wages as their
'elect Sr n, 1111 do the work, and the structure is not Intended
or offeretl for Sale. (Section 7044, Business and Professions Code: The
Contractor's License Law does not apply to an owner of a property
who builds or improves thereon- and who does such work himself or
Is sola within one year or completion, me owner will nave sne Durpen
Of proving he did not build or improve for the purpose of Sale).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to cc nStrucl the project (Section 7044, Business
and Professions Code: The Contractor's License Law does not apply to
an owner of property who builds or Improves thereon, and who con.
tracts from Such projects with -3 contractor(s) licesnetl pursuant to
the Contractor's License Law).
❑ I am exempt under Section B. & P. C. for this
reason
Date - Owner
1.hereby certify that 1 have read this application and State that the above
information is correct. I agree to comply with all city and county
ordinances and State laws relating to construction, and hereby authorize
representatives of this it y to enter upon the above mentioned
property for 1 pectl purposes.
Signature �1- 2r Date 5/9/83
Drivers' License or SS ,ys
border lines and sign all appropriate declaration
TRACT NO. LOT NO. BLDG. NO.
TYPE OF CONITRUCTION
❑ NEW ❑ ADD ❑ ALTERATION
❑REPAIR ❑CONVERSION ❑DEMOLISH
❑ OTHER
DESCRIPTION OF WORK
❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL
❑ TENANT ❑ ELECTRICAL NPLUMBING ❑MECHAI
❑ OTHER
PROJECT DESCRIPTION
SQ. FT.
OCCUPANCY_ CONSTRUCTION TYPE
VALUATION ZONE
GRADING CU. YDS. ACRES
ir--"A`A V t
PjP.Ii r111P1 10 190
k =AY
A.P. 9P
ZONE
REAR YARD (TO P/L)
PKG. SPACE REQ.
STREET WIDTH
SPECIAL CONDITIONS:
FLING. REF. �#
PROVIDED
PARK FEE
PLUMBING PLAN CHECK I I I ELECTRICAL PLAN CHECK I I I
TOILETS
URINALS -
GENERATOR
0-1 KW_
1-10 KW
TRANSFORMER
LAVATORIES
DOUBLE LAVS
APPLIANCE
10-50 KW_50+KW
KIT. SINKS
DISHWASHERS
MOTORS
0-1 HP -1-10
HP
SERVICE SINKS
SUMPS
(INC. SOLAR)
10-50 HP
50+HP
FLOOR SINKS
FLOOR DRAINS
FIXTURES
OUTLETS
SWITCHES
DRINKING FOUNTAINS -
GAS TUBE SIGNS
INTERCEPTORS
CLARIFIERS
POLE LIGHTS
SWIMMING POOL
PTRAP
POLES
METERED
SUB
WATER SERVICE
ALTERATION
PANELS
MAIN
SUB
GAS SERVICE
OUTLETS
SERVICE
-
AMP
WATER HEATERS
BTU OUTPUT
2.0(
SEWER CONNECTIONS
-
SOLAR TANK
COLLECTORS
SOLAR PIPING SVS.
ISSUE FEE
ISSUE FEE
3 0
APPLICATION APPROVED BY
I
MECHANICAL
PLAN CHECK
SUMMARY OF S
BUILDING
HEATING SYSTEM
0-100,000 BTU
PERMIT
§
MIP E
AND DUCTING
100,000 t BTU
PLAN CHECK
§PERMIT'
ISSUANCE §
REFRIGERATION
0-100,000 BTU
PLUMBING
§
SYSTEM
GRADING §
100,000+BTU
PLAN CHECK
$
BOILERS
BTU
ELECTRICAL
§
It
MICROFILM S
SYSTEM REPAIR, ALTERATION
PLAN CHECK
§
TOTAL FEE §
EXHAUST SYSTEM
MULTIPLE
MECHANICAL
§
LESSAD-
PLAN CHECK
§
VANCE PC §
ISSUE FEE
CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor
READYFOR INSPEC- j6N FEE § 5.00
CONSTRUCTION AND PLANNING
APPROVALS Permit # Date Inspector
POOL & SPA,, -
APPROV/fiLS ,, -- - Permit # Date Inspector
1.
Temporary Electrical Service or Pole-
43.
Pool & Equipment Location '
2.
SoilPipe-Undrgrn ,
44.
Steel Reinforcement
3..
Electrical Conduit Utility-Undrgrn
45.
Forms
4.
Electrical Conduit-Undrgrn
46.
Electrical Bonding
5.
Steel ein orce
47.
Rough Plumbing & Pressure Test
6.
Electrical UFER Grn
48.
APPROVAL TO COVER-GUNITE
7.
Footings
49.
Electrical Conduit-Undr rn
8.
Foundation
50.
Gas Pipe, ❑ Undr rn, Test
9.
Water Pipe-Undrgrn
51.
Backwash Lines P -Trap,❑ Undrqrn
10.
Structural Floor System
52,
APPROVAL TO DECK
11.
Property Sewer Line & House Connection
53.
Backwash & Receptor -Final
12.
Street Sewer Connection
54.
Heater & Vent -Final
13.
Rough Plumbing
55,
Plumbino System - Final
14.
Rough Electric -Conduit
-56.
Electrical -Final
15.
Rough Electric -Wiring
57.
Solar System -Final
16.
Rough Heating & Air Conditioning
Fencing & Access Approval
17.
Ducts in Structure
APPROVED FOR PLASTERING
18.
19.
20.
Ducts, Ventilating
Gas Pipe -Rough & Test
Roof Framing
60.
POOL/SPA SYSTEMS FINAL
21.
22.
Roof Sheathing
Frame and Flashing
NOTES:
23.
Insulation
24.
Lathing & Siding
25.
Drywall Nailing
26.
Plaster Brown Coat
27.
Electrical Power Meter -Final
28.
Final Electric
29.
Final Heating & Air Conditioning
30.
Final Gas Pipe -Test
31.
Final Plumbing
32.
Water Service -Final
-33.
Gas Service -Final
34.
Solar Domestic -Final
35.
Landscape Sprinkling System
36.
Sound Attenuation
37.
Handicap Regulations
38.
FINAL STRUCTURE & BUILDING
39.
Special Requirements Completed
40.
Electric Release to Edison
41.
Gas Release to Southern California Gas Co.
42.
CERTIFICATE OF OCCUPANCY _
No.
ROSE Ess: 1102 CORONA LN UNIT:
OWN._ ,xBME: MARTLARO, CHARLES A
ADDRESS: MARTLARO, BEVERLY A
1102 CORONA LN
COSTA MESA,CA 92626
ARCHIENGINEER: REG.NO.:
ADDRESS: UNIT:
PERMITTEE. WINEGARD ENTERPRISES (714)673-2535
ADDRESS: 2j0j�p333 Jp�SEVILLE '
LICENSED CONTRACTOWOECTAAATION: I hereby affirm that I am licensed under p oovisi0nnns ofj h&Ir 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in lull force and effect.
CITY LIC.. ./^ STATE LIC.: CLASS:
L175 5 7 66979 C39 EXP: 06/95
D Z R Signature: _/'F�""'
0 ERS' COMPENSATION DECLARATION: hereby affirm t at I have a certificate of consent to self -insure or a certificate of Workers'
pensation Insurance. or a confined copy thereof (Section 3800. Lab. C).
POLICY xo.: 1345674-94 EXP. DATE: 04/01/95
COMPANY: STATE FUND
❑ Certifietl copy is hereby furnished. ElIF Certified copy is filed with the city Building Division.
at - APPIut r
EMPTION FROM WORKERS' COMPENSATION DECLARATION: (< coon need not be completed if the permit is for one hundred(SIDD) 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 become
subject to the WorkersCompensation 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 be deemed revoked.
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 (Section 3097, Civ. Q.
LENDER:
ADDRESS:
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason
(Section 7031.5 Business and Professional Cotle'. 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 permit to file a signed statement that he/she is licensed
pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code) or that he/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 (5500).
I, as owner of the property or my am levees 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' State License Law
does not apply to an owner of a property who builds or 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 for sale. If, 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
❑ and Professions Code: The Contractors' State 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 ursuant to the Contractors' State License Law). I am aware
Nat proof of their Worker's Compensation insurance should be ��eQS1�1 '�
❑ I am exempt under Section: 8. 8 P. C. WOKE 'K` DETEcTOA
Date:
for this reason'. Owner: RE�/�J�� �IfRm
EQ V
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 state codes and the requirements for a
permit for construction or modification from the Air Duality Management District. Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all city and county
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned
1pepeyy_loJ inspection purposes.
Signature:
/river's License or Social Security
Applicant; Pink—Revenue; Goldenrod—Assessor
CITY OF
COSTA MESA —
BUILDING PERMIT
PERM NO: B 06897E
PERMIT NO: B 068978
PLAN CHECK
NO: N
GOVT: N SUPP: N
CONSTRUCTION TYPE; V—N
PERMIT
TYPE: SIR
PURPOSE: ALT
JOB DESCRIPTION T/OFF RESHTH 6 REROOF
W/COMP, SHINGLES
SQ FT; 4,450
CLAIM VALUE: 4,450,00
CALC—VALUE:
4,450,00
GROUP OCC; R-3 /M-1
COMMENTS; SMOKE DETECTORS RELUIRED I,C B4O 1991
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;
14162318
ZNE;
REF NO;
PLANNING
NOTES>
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
7
TOTAL COST
SFR 4450
REROOF
BY VALUE RESIDENTIAL
NOZONE 1,00
###############################################################################
END OF FEES
D
E V E L O
P M E N
T S E R V I
C E S R
E Q
U I R E M E N T S
ZONING APPROVED BY DATE:
BUILDING APPROVED BY ; DATE:
;
riF####DATE#######.
STRUCTURAL SEGMENT;Y
FIRE SMIP/RES GRADING
50
, SMIP/NON—RES
APPLICATION ISSUED BY;
##################################################
LEGALIZATION;N F E E S U M M A R Y
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 72,00
PLAN
ISSUE FEE
BUILDING—DIV—>
PERMIT
ISSUE PLAN—CHECK
TOTAL PAID
DUE
TOTALS ---- >
72,50
0,00 0,00
72,50 72,50
,00
REVENUE DIVISION TOTALS-->
COLLECTED:
72,50 OVER/SHORT:
,00
BLDG PMT
PLUMBING
ELECTRIC MECHANIC
FIRE SMIP/TOT GRADING
PLAN—CHECK
72,00
.50'
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 4450
REROOF
BY VALUE RESIDENTIAL
NOZONE 1,00
4,450,00
END OF FEES
V
01 00168256-00168257 TOT 72.50
DATE: 09;32/94 TIME: 14:15
-1�0*_-ONSTRUCTION AND PLANNING
APPROVALS Permit #
,Date
Inspector
POOL& -,A
APPROVALS Permit #
Date
Inspector
1. Temporary Electrical Service or Pole
52. Pool & Equipment Location
I
2. Soil Pipe-Undrgrnd.
53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd.
54, Forms
4. Electrical Conduit-Undrgrnd.
55. Electrical Bonding
5. Steel Reinforcement
56. Rough Plumbing & Pressure Test
=
6. Electrical UFER Grnd.
57. APPROVAL TO COVER-GUNITE
7. Footings
58, Electrical Conduit-Undrgrnd.
B. Foundation
59. Gas Pipe, O Undrgrnd„ Test
9. Water Pipe-Undrgrnd.
60. Backwash Lines, P-Trap, D Undrgrnd,
10. Structural Floor System
61. APPROVAL TO DECK
11. Property Sewer Line & House Connection
62. Backwash & Receptor -Fina!"'t
12. Sewer Cap
63. Heater &Vent-Final �^�_,
13. Roof Drains -
14. Rough Plumbing
64. Plumbing System - Final
55. Electrical-Flna1
15. Rough Electrical-Conduit
66. Solar System-Final f" L_%•-
16. Rough Electric Wiringr
67. Fencing & Access Approval
17. Rough Wiring Sign
68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling
69, POOL/SPA SYSTENIS FINAL-`
19. Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
1
20. Rough Factory Fireplace
21. Ducts, in Structure
70. Underground Hydro
'
i
22. Ducts, Ventilating
71. Product Piping ❑Gas L Oil
23. Gas Pipe-Rough & Test
72. Underground Flush
24. Roof Framing
73. Undergrnd. Storace Tank 0 Gas L Oil
25. Roof Sheathing
26. T-Bar Ceiling (Structurall & Monocoat
74. Overhead Hydro
!
75. Dry Chemical
I
27. Frame and Flashing
76. Dry Standpipe
1
28. Lathing & Siding
77. FIXED SYSTEM FINAL
29. Insulation
78. FIRE PREV. FINAL
i
30. Drywall Nailing
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
I
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
J
45. Sound Attenuation
-1
I
46. Handicap Regulations
j
47. FINAL STRUCTURE & BUILDING 9
ZF 61
C1 (4
48. FINAL PLANNING
,
49. Electric Release to Edison
L.
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
i
?n75s
COSTA MESA BUILDING -SAFETY DEPARTMENT
P. O. BOX Bf T COSTA MESA, CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
BUILDING
ADDRESS 1102 Corona Lane
COSTA MESA, CALIFORNIA
[f1VVNIF. Mesa del Mar Development Co.
as above
CITY same as
above
uc NO. 207343
Pio' OR 3-4220
-A -SB -1
SIZE
NO. OF BLDG5.
OF LOT 1 1
NOW ON LOT
USEOF
EXISTING BLDG. none
SETBACK LINE FROM
1
'
CENTER OF STREET
REAR YARD 6 6'1
8'
I 101 ,
HIDEYARDI LEFT
RIGHT
DESCRIPTION
OF WORK
NFW
IX
I AI TFNATIf1N I
II
A.11l .Tl/1N
No. OF
SIZE DING 54'x50'6" ROOMS 8 STORIES . 2
EXTERIORWAL Woo ROOF WOO' shake
COVERING COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
ginalp family res Watt. gar.
Plan 600 -AR
tEE RECEIVED
RL 2pNL5 111�969
TUAC1 `B 0 W PERMIT
C ITFav;OK(6TAI 9 EGBIy
RECEIPT NO. _ J PEF
APPROVED
NO.
R
ZONING
ZONENO. OF UYE OF NEW yy
R-1 Puns it BUILDING W 81.1. gar.
mGx
`BGA` Lot 67, Tract 5023
LROAL
SHALL BE LESS THAN
YARDS APPROVED YARDS APPROVED
MAIN BUILDING I ACCESSORY BUILDING
VAR. #
invlla
f
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. G
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION
BUILD NO CONSTRUCTION. _
SIGNATURE OF Macco Rea ty C P ny PERMIT FEE $ a
PERMITTER
By: s 23,985.00 PLANCHECK 537.`�d e
AUTHORIZED AGENT