HomeMy WebLinkAbout2438 CRESWELL LN - Building PermitsPHOJf%�pODNESS: 2938 CRESWELL LN
OWNEH'SNAME: NELSEN NANCY
aooAEss: zq38 C{tES4IELL LN
COSTA MESA,CA 92627
%14 % 548-7907 pEG.NO.:
NHCHIENGINEEB:
PDUNESS:
UNIT:
UNIT:
PEFlMITTEE: MIKE DODSON ( 714 ) 997-4923
ADOHESS: '73C) W, WASHINGTON
ORANGE CA 92668
LICENSED CONTBACTOP OECLABFTION: 1 �ereby atlirm I�at I am licensetl under provisions oi C�api¢r 9 �commencing with Seclion
7000� o� Div�sion 3 0l I�e Business an0 Professions Cade. anG my ��cense is in fullforce an0 efleci.
CITY LIC.: STATE IIC.: CLASS:
�aie: Signaiure:
WOBREflS' COMPENSATION OECIAflAT10N: I hereby affirm ihat I nave a certiiicate of consent to self-insure or a certilicate ol workers'
Compensalion Insurance. or a certified copy I�ereof (Section 3800. LaD. C).
POIICY NO.: E%P. OATE:
COMPANY:
❑ CeRitietl t�py is �e[¢by W[ni56etl. ❑ CBrti�Ietl copy i5 Illed w��h �he Ciry BuilAing Dlvisi0n.
Oate: Applicani:
E%EMPTIONFXOMWOflREPS'fAMPEN5ATI0N0ECtAMTION: Qhis �netHno��e DI�eUil�heperm�is�oroneAunOre0�5100�orkss�.
I cerli�y thal in Ihe pedormance oi �he work for w�ich Ih¢ per . ue0. shall n e i y any person in any manner so as �o become
su � c� to ine Workers' Compensation Laws oi Catilomia.
ate 2• Zti•Rv Signalure:
NOTICE: II, a�ter making Nis Oeclaration, you 5hau10 be m SUElect to IAe orkers' Compensation D�avisions of the laEar
Cotle, you must forthwil� comply wilh such pmNsions r t�is Permit s�ail De tleemeG revoked.
CONSTNUCTION LENOING AGENCY: I her¢�y atlirm IM1ai ��ere i5 a tonSlmCiion 1¢ntling agenty lOr t�e pedormante Of the work for
w�ich I�Is permit i5 i=sued �Section 3097. Civ. C�.
LEN04fl:
ADONESS:
OWNEB BUILOEfl DECIANATION: I hereGy aliirm ��a� I am exem0� ��om t�e ConVactors' Stale License Law for Ihe I011owinB reason
�Section 703t5 Business ana Pmlessional CoOe: Any ciry al countY whic� repuires a Dermil �o consiruct, alter, impmve, tlemolisR or
repair any simcture. prior Io iis issuance. also reQuires Ihe aoVliwn� lor such permit �o lile a signed statemenl ihat helshe is licensed
pursuani io �he pmvisions oi �he Commctors' State License Law (ChaP�er 9(commencinp vn�h Seclion 7000) af Oivision 3 of Ihe Business
an0 Pmfessions Coae) ar I�at he/s�e is eMempt t�erefrom anE t�e Ga5i5 far I�e allegetl e�emption. My violation ol Settion 7031.5 6y
any applicani �or a permil SUUlec�s ��e appliwnilo a tivil penally 0� noi more I�an Irve �UnEred aollaf5 ($500).
I. as owner ol �he D��Peny or my employees with waBes as ineit sole compensation, will Ao ihe work, and the
❑ s�mc�ure is noi intmdeU ar olleretl for saie (Section 7044, Bosiness anA Pmleuional CoOe: T�e Comractars' Slate License Law
tloes not apPlyto an owner of a D�openy who buii�s orimpmves Ihereon, and who Aoes such work himself/hersell orinrouAh
�is or her own employees. pravi0e4 I�at suc� imOmvemenls are not intended ar oflereA lor sale. 11, �owever tlle UuilOinA ar
impmvemenl is soltl within ane year ol completion. ine axner will have Ine ourAen of Dmvinp he/she eia not �uild or im0�ove
br Ihe purpase o� sale).
I, as owner of I�e pw0etly. am exclusively comrac�ing witn licensetl contractors Io consimci Ine Dmleci (Section 7044, Business
❑ and Pmfessions CoOe: The Coniractors' S�ate Liceme Law dces w� appty Io an ovmer at property wAo �uilAs ar impmve5 ihereon
anJ who contracts br such omjecls with a canlraclaqs) license Oursuanl to I�e Comranors' e License Law�. I am aware
tlrat prool oi Iheir Worker'S Campensaiion in5urante 5hou10 �e pwvi0etl �o m
� i am exemo� under Senion: H P 70 q 4 8. 8 P. C.
mr ims reason: OWN ER �/
) Ie
Z'%i°�'9�� Owner �/Iq
I �ere�y cenify �hat I am aware ol and untlerstantl Ihe requirtmenis ol Calilomia HealtA anA Salety Cotle Sections 25505, 25533, and
25534 and that I or any IWure building acupant wilUwill no� (ci¢le tl�e) neetl ta comply with uiG stale coaes an� Ihe requiremenis for a
permil lor conslmclion or moddicalion Irom ��e Air Ouahry Managemenl Oi9rici. FeSiUen�ial conSVuction applica�ions are eKempi Imm
I�ese provisions.
Oa�e: QOPlitanl:
I here�y cerlify Ihal I have reatl IM1is application anA sta�e ��ai ��e above � ormaiion is cor c I agree to comply wilh all ciry and counry
ordmances and slate laws relaiing Io �uiPomg mnsimctian anA nere�y �ze re senuiiv s I ciiy �o emer upon the above-mentioneA
pmper�y lar inspetlion Ourposes. �
��e: �7'Z`{-9�01 Sigwmre:
ori�er's �icense m Soc�ai Sec��ny a:
164b46 Whne—Buil�ing', Green—Coee Enbrcement: Ganary�AOP��cam; rink—nevenue: Go�aenma—nssassoi
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 066175
PERMIT NO: B 066175 PLAN CHECK NO: 00668-94 S GOVT; N SUPP: N
CONSTRUCTION TYPE: V-5 PERMIT TYPE; STR PURPOSE: OTH
JOH DESCRIPTION : LEGALIZE WALL & CONNECTING DOOR SQ FT: 700
CLAIM C�ALUE: 700,00 CALC—VALUE: 700.00 GROUP OCC: R-3 /M-1
COMMENTS; LEGALIZE DEMISING WALL 6 CONNECTING DOOR BETWEEN TWO GARAGES
+�-x��r**�r�r�r*ir�r*�r**�r�r+�*�r*i�-**�r��r*�tit�t�r�r*#*�r****,r***i�*�r***x�*****i�*f�****x�*x�*�-***�x-*x�*�t-.+�
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: ET IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKZNG REp • 3 PROV; 3 PARCEL: 43913206 ZNE; R2 REF NO: '
FLANNING Ni5TE5> LEGALIZATION OF DEMISING WALL (INGL. D�ORT IN 3—CAR GAR OF
> ATT CONDO; CREATING A ZO'X20' GARAGE E A 10'8"X20' 1—CAR GAR
�-�ri�x�***�r*+r�t+r�ri�**x-+r�r**�r+r�r***x��tx�******x�*+t�x-�r****�ri�**�c-*�r�r******x*****-�*�rx,�******�t**
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�
20NING APPROVED BY �I�—� DATE: z
BUILDING APPROVED HY : C/1�� DATE: 2— Z—� �°�
APPLICATION ISSUED BY; DATE; ?' �—
ifitiElEiFiEit3FiE1EiE%iFitiEiEiFiPiEifiEff -Frt . ifiEiFifififiElflFif itif��
iE it iF iE iE if 1F iF iE if if iF 7f iE iE iF iE if iE iE it if iF �f if 7f jf 1E jf if iE iE it iR iE iE iE it iF iF 3E iE iE iE iF 1t if iE if iE if iE * iF iE iE �E 1f if * iE iE iE 1E iE iE iE iF iE jE lF+F if iE iF iE IE IE �tE
LEGALIZATION;Y F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 38,00 .50
SMIP/NON—RES
PLAN 29,70 "
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 38.50 0.00 12.35 50.85 SO.BS ,00
REVENUE DIVISION TOTALS--> COLLECTED: 50.85 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FZRE SMIP/TOT GRADING PLAN—CHECK
38.00 ,50 12.35
'N' iI"k M' M"II")f 1t'M'!F'IF iF if ifll'!! aE iI")f If'N"M' 9E iI' iI'!f ih 7Elf if if'M 1I' iE'1(' if'M' Jf 9E if'M' if'M'!f !I' 1f'If ii' iE'M'If' iE'If M'If if iE if 1f M iE 1! 1E �f iI' iI"Ih ik'N-iE'1E'Y' 1h M")f Y iE!%'1F
I N D Z V Z 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. 700 ALTER BY VALUE RESIDENTZAL NOZONE 1,00 700.00
END OF FEES
01 00115982—Q0155984 T C�T `D.35
DATE: D2/24/94 7ItfE: 11:35
�
CONSTFsUCTION AND PLANNING POOL & SPA
, i APPROVALS Permit # Date Inspector qPPROVALS Permit # Date Inspector
i. Temporary Electricaf Service or Pole 52. Poo4 & Equipmenc location
2. Soil Pipe�Undrgrnd. 53. Steel fleinforcement
3. Electrical Conduit Ut�liry-Undrgrnd. 54. Porms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bondin9
5. Stee1 Reintorcement 56. flough Plumhing & Pressure Test
6. Electrical UFER Grnd. 57. APPflOVAL TO COVER�GUNITE
7. Footings 58. Electricdl Conduit�Undrgmd.
8. Foundation � 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe�Undrgrnd. 60. Backwash Linet, P�Trap, � Undrgrnd.
10. Sxructural Floor System 67. APPROVAL TO DECK
11. Property Sewer �ine & House Connection . 62. Backwash & Receptor�Final
72. Sewer Cap 63. Heater & Vent-Final �
13. Roof Drains 64. Piumbtny System - Finaf
14. flough Plumbing 65. Electrical�Finai
15. Rough Electrical-Condu�t 66. Solar System-Final
16. Rough Electric Wiring 67. Fencin9 & Accass A�qroval
17. Rough W�rinq Sign 68. APPRUVED FOR PLASTERiNG
18. Rough �lectrical-T Bar Ceiling 69. POOU'SPA SYSTEA^,5 FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
2i. Ducts, in Structo*e 70. Underground Hydro
22. Ducts, Ventilating 77. Product Pipiny L7 Gas ❑ Oil
23. Gas PipB�Rough & Test 72, Underground Fiush
24. Roof Framing 73. Underyrnd. Smraye Tank � Gas ❑ Oii
25. P,00f Sheathing 74. Overhead Hydro
26. T�Bar Ce��ing (Structwal) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. �athing & Siding 77. FIXEO SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Dry�vali Nailing HEALTN DEPT. REQUIREMENT
31. Piaster 9rown Coat 79. FINAL INSP[CTION
32. Eiectrical Power Meter�Final 80. POOD CERTIfICATE ISSUED
33. Final Electric Notes: �-2 y�qG�.- �„L� .� +����e�
34. Final HBating & Air Condrtioning ��i Q,� �jm�PL- �Yau+-S � ��tl�
35. Finai 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. Backffow Preventer ^
43. Backflow Irrigation
44. landscave Irrigation SYstem
45. Sound Attenuation
46. Handicap Regulations '
47. FINAL STRUCTURE & BUILDING � 9A� �'6�
�' {� ✓
48. FINAL PLANNING .
49. Electric Release to Edison �
50. Gas Release to Southem California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date "
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This set ot plans and s� --� � .
D�dic21 ona
'� �$�'R�a`�� ��makeiahy char�ges or e� 9E 9LBa
Dermission hom the Divisi ot 8uildin �B�G� ����d tlTQ1M7
D arM SafeN. Cav �� Coste ;�
� is plan d spepficy
, or to be an aPProval of Ih violaUo,� n of 8�ny S�_�(p pBR111
q Mesa O�d'rna
• ihese plans antl � ar�
fhe ouildin �rmit sh expire by ilmiqyq� and n.,�,,,�,- -- ^
wuhin 18(1 tla �� �meR�d �d maintalned ac� �� ���
ys of o 0 B. �
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ADDITIONS,, "vtLETIOi��, 0� i;.^,�RECTIONS SHALL
� -- ---BE-APPROVi�$Y�HEPL-A�'iCFiWG-BfPkRFt'rlfNf-
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THIS DOES NOT rON871TUTE FINAL
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DECLARATION OF ,�,UTHORITY
FOR AGENTS OF PROPERTY OWNER
TO APPLY FOR PERMITS
02 LF 3 8 C'x�'es u1 eIl l_a.n e�S ��SR
Street Address
Bldg. Permit #
This Permit # 1 S
AP Number
7. I(we), � n at (..� /l( . I QI7 , declare that I am the Owner of Title
ot the above refere ed real property, and that I(we) hereby authorize:
�M,k� �o��o�, ��,y� ��-y��3
Name Telephone No.
77� (.i. C✓t.]�/1•
92G � 8
to obtain permits in my behalf, as ownedbuilder, for _LY' '° +e-�+
at the above referenced property.
2. Should any person become an employee engaged in the improvement of the property, 1(we) shall im-
mediately provide Worker's Compensation Insurance coverage and cause a certificate of that coverage
to be filed with the Building Division of the City of Costa Mesa, as required by State of California laws.
3. As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other per-
son, company or corporation.
4. I agree to indemnify and hold the City of Costa Mesa and its employees or officers harmless from any
claim resuliing in damage or personal injury to myseif or any other parties as a result of work authorized
by the permits from the City of Costa Mesa.
5. I declare under the penalty oi perjury that the foregoing is true and correct.
�
Executed this 22 day of -�_ 199�, at �� , Califomia.
/�an�/1� a-aa -9�l
inted Name Date
� i
signamre
NOTE: This authorization does not grant authorization to perform the work as owner, it solely provides
for limited oower of attornev to secure this permit in any behalf.
NOTARIZATION RE�UIRED
STEVEN M.HUNDLEY
COMM. i9ETb72 �
Z �'��. Notary P�lic•Coiitoinia
ORANGECOUNN
r,nvco�,.eXwra��ucv to.t�e
/ � 5, 7 � BLDG
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
For Applicant [o Fill in Completely — Use Ink �Only
BUILDING,�,�_ . .,,,-., ,�.,,-.�, c�!^'�-
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MAIL
ADDRESS IS
aTv Newpo
COP6TRUCTION
BRANCH
AODRE55
TEL.
No. 642-4000
TE
nDoaEssl7q�� gky Park ('irrle Iivina H
CONTRACTOFi Woodtree Deve Co�
ADDRESS 1665 Placentia Ave.
TEL.
CITY Costa Mesa No•646-116
STATE CITY
�ic. No. 336725 uc. No.14664
S12E NO.OF BLDGS.
OF LOT VdI1011S NOW ON LOT
USE OF
EXISTING BLDG.
Separate permits are required !or
electric, plumbing and heating work.
e
��
APPLICATION FOR STRUCTURAL PERMIT
RECEIVED BV DATE RECEIVED DATE ISSUED
�l . /O �i�i
FIRE
0
N � NO.OF
PL.AF6
YARDS APiROVED
MAIN BUILDING
LOT
t�`(_.C.�
BLOCK
�iu�
SE Of NEW 7�''
UILDING �
VARDS APPROVED
ACCESSORV BUILDING
�race eer. eer. i
BLDGS. ACCE
+��' ��I.�S .�R(
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I �ar�by ecknowletlpe that I �ava r tl this epplicetion antl state �� L�� �� '� �� '^
Mat the abova Informetlon is <orrect entl aprea to comply wiM m
ell lews �equleUnp EuildinB consv�ction, entl I shall not employ
eny perwn in violeNon ot Me wOrkman'f compenaation lews ot m
tha State of Celifornle. �
1 �arahy cartitY that I am prOpa�lY �<<a�sltl as e contrecWr untlm 5�. FT.
Me Sm[e of Calitornia Businass entl Pro/aul0�s Cotle, Division 3, THE AMOUNT SHOWN VNDER VALUATION IS FOR
Chapter 9, en uc� Iicences ara In tull farca entl affect, or I THE Vl1qFO6E OF 6TABl15NING A PERMR FEE ONLV: '
em exempt om � rovisf ns f t�a Steta of C fornla 8usiness iO
VALUATION PERMIT FEE S p
anE Profess ns C tle, Ivlsi aptar 9./� �
Sipnature o I 1./� /� / / � PLP.N CMECK S � O o�
Parmittee 'F.J�J•� S /���� TAX S , u m
AuMoriietl Agent TOTAL PAID S�/ �� �/.
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COSTA MESA BUILDIN -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA. CALIFORNIA 92826
For Applicant to Fill in Completely — Use Wc Only �UCATION FOR STRUC7URAL PERMIT �r _
RECEIVEDBY OATE-.FECEIVED DA U D-• -
BUILDING � I �� � .. _ I
ADDRESS
� � �ERMIT NO.
OWNER A.P. NO.
MA I L BUILDING �
ADORESS ADDfiESS
TEL. , TRACT LOT BLOCK
CITY NO.
ODPbTRUCTION '�'
LENDEF
BRANCH � •
OWNE S
ADDRESS � E
ARCHITECT TEL. •S
OR ENGINE R
FIRE
ADDHESS 20NE TVPE G OUP
APPROVED
CONTFACTOfi BV -' DATE
ADDRESS
TEL. 20NE N0.0F USE OF NEW
CITV NO. P��� ����'
STATE CITV YAROSAVPROVED VAR0.SAPPROVED
LIC. NO. LIC. NO. MAIN BUILDING ACCESSOFY BUILD�NO
SIZE �,p.apg�pGS (FROMC/LSTREET)
OF LOT NOW ON LOT FT FT.
USE OF
EXISTING BLDf.'
Separate permits are required for � s FT vr.
electric, plumbing and heating work.
NEAR FT. FT.
USE OF BUILDING AND WORK TO BE VERFORMED pg�q�E gEf. gE7, µq�N &
MAIN BLIXS. ' A�. BLDGS.
VAR.♦ Q4TE
C.U.P. * APPRpVED
APPROVED
I h�reby seknowlWpa thet I hw� rutl thi� �ppllteMon enA fta»
Met tha ebwe Infarmatlon b eOn�et �n� aprw to eomply wIM
ell lew� rpulatln0 bulitllnp eontp�etlon, �nE 1 Nall not �mp1oY
eny W�wn In vloletlan of ths wa�kmen'� eompanutlon I�wt o}
M� Suta of Californla.
I �erony e�rtlfy Mat I am prop�rly Iic�nwtl n a eontreetor untlw Sd FT.
tha Sm<e a} Callfwnia Businm erW Profwlona Coda, Dlvidon 3, THE AMOUNT SHOWN UNDEH VALUATION IS FOp
C�apnr 9, end t�et wc� Iiunq� nra In }ull fore� ana eHett, or 1 TY7E VUPPO6E OF 6TABL6MINO A PERMR FEE ONLV:
em az�mpt from Na O�o��+�om qf Th� Stan o} Celi}otnla Butlnw yqLUATION PERMIT FEE 3
antl Profauionf CoEe, OHlsion 7, C�eptar 9, i
Slpnetur� of PLAN CHECK 3
Vvm�ttw 9 TAX !
AUMori:etl Ap�nt TOTAL PAID 3
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