HomeMy WebLinkAbout936 DAHLIA AVE - Building Permits.,
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BUILDING PERMIT
Job Address: 936 DAHLIA AV
' Suite:
Viciniry: SIDE OF PROPERTY
Parcel Number: 41218331
Applirant: FANTONE, PETRONILA
Address: 936 DAHLIA AV ^���r
COSTA MESAcCAD �
Owner.
Address
A
20' PATIO
1 l 1
Q Plan Check:' � , $54.11
�� Permit; Q Q $83.25
SMIP'Res`, � $0.50
�`SMIP Com: \ �„ $0.00
ACCESSORY
PARKING
NOTES:
;+r q
- �;
a„ .� Q
Zoning: R1 R1
4)
Zip: 92626
OF
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77 FAIR DRIVE, COSTA MESA, GA 92626�
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Status: ISSUED
Applied: O6/10/2003
Issued: O6/10/2003
�'ISSUED BY: �
�°� �`
, j �,
� � Calc Valuation: �
= � ' Claim Valuation: �
�o' �t'�o`"PL'ANNING'&'ZONWGy �'
� ��0 0 �` o,o a�,
������° r,°'.: 0 0 t, �� o
� `�Rear`_��0�0�� � �Left `�0 0_�/
�'�„"'��=�..ti��---'"
CReac�20- 0 ' ---Left �.�0- -0�-�
��� O : r—. }:�' �� G,
i���\ Reqwred:��� n ��P7000sed: �,0�,
\1-',-\. L-�'��;�V"'i� �: �� �
G
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C
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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: This permit shall automatically expire and become void it work is not commenced within 1 BO days, or if work is suspended or abandoned
for a period of 180 days. �
INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
required Inspectlons and final epproval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of lhis permit.
FOR INSPECTIONS CALL: (714) 7545626
Va648 (F00)
WORKERS' COMVENSATON DECLARATION: ` � t� .
I hereby a%irm under penaity oi perjury one of ihe followinq declaiations: ) �` •
❑ I hava entl will maintein a certificate of consent to selGlnsure for workers' compensation, es provided for by section 3700 of ihe Labor Code, for the pertortnanca oi the
work fOr whiCh Ihis permit is i55ued. �
❑ 1 have end will meintain workers' compehsation insurance, as requiretl by section 3700 of ihe Lebor Code, for the perfortnance of ihe work for which this permit is issued.
My workers' compensation Insurence carder and policy number are:
Carner: Poiicy Num6er:
(This section need not be completed il fhe permif Is velued ef one hundred dollers ($100) ar less.)
�I certify Ihat in the pertormance ot Ihe work for which this permit is issuad, I shall not employ any person in any manner so as to become sublect to the workars'
compensation laws oi Calitomie, and eg�ee that If I should become subject to the workers' compensation provisions oi Section 3 00 of tha Labor Coda, I shall forthwith �
camply with these provisions.
ApplicanlSignaNre: Da�e: O� /�/G�
WARNING: FAILURE TO SECU O 5' COI.�pENSATION COVERAGE IS UNUWNL AND SHN.L SOBJECT AN EMPLOYER TO CPIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNORED
THOUSNNDDOLLARE($100, ,INA TIONTO7HEWSTOFCAMPENSATION,DANAGESASPROVIDEDFOFINSECTION310fiOFTNELABORCAOE,IMEREST,ANDATTORNEV'SPEES.
LICENSED CONTRAC70RS DEClARA710N:
I �ereby aftirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) ot Division 3 of ihe Business entl Professions Code, antl my license is in full
' force and eflect. Lic. x Class x
Comractors Signature: �ate:
CONSTRUCTION LEN�ING AGENCY:
❑ I hereby attirm that Ihere is a consWction lending agency for the pedormance of ihe work for which this permi! is issuetl. (Sec. 3097, Civil Code).
Landers Name: Lenders Address:
Signeture: Dale:
OWNER-BUILDER
I hereby aflirm thet under penalry oF per�uryithat I;am' EXEMP7 FROM 7HE CONTRACTORS LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, Busineu antl Professions
Cotle: Any city or county whroh reQmres a pe`rmit to construc�, alter, improve, demolish, or repair any strucwre, prior to its issuance, also requires the applicant for such permit
to flla a signed statement ihat he onsha is Ilqensetl purs`uant t'o;Me provisions of the Comrectors License Lew (Chapter 9(commencing with Section 7000) of Division 3 of ihe
Business and Pmtessions Code) or tliahha Or she is exempi Ttherefrom and the basis for the alleged exemption. Any violetion of Section 7031.5 by any applicant for e Dermit
�su ects the epplicent to a civil penalry of not more then five huntlred tlollars ($500).):
I, as owner of ihe property, or my emplbyees'with wages as�ihelr sole compensetion, WILL DO THE WORK, antl the strucWre is not inientled or oHered for sale (Sec.
7044, Business and Professions Code: The Conlractors�Cicense Ww does not apply to an owner of property who builds or improves thereon, and who dces such work
himselt or harself or ihrough his or hei own employeas, pr'ovided that such improvements ere not intended or oftered for sale. If, however, ihe building or improvement is
sold within one year ot completion, ihe owner-buildar will have.the burden of proving that he or she did not build or improve for purpose oi sale.). �
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the pro�ect (Sac. 7044, Business antl Professlons
Cotle: The conirecrors License Lew dogs not apply to en owner of proparty who builtls or Improves thereon, antl who contrects for such prolect wilh a contractor(s)
license pursuent to lhe Coniractors Licanse Laws.).
❑ I am exempt under se Business antl Protessions Code for this reason: �
signemre: %��O,�Q�--�- /�
� Expires: ��a.3
Venfication oi Ownership by (type ot doc ma t, i.a. - properry ta: 6iil or tleetl)i �
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavetion tive (5) or more feet in depth into which e person is requiretl to tlescend, will be made in connection with work authorized by ihis
parmit, and that no builCing sirucYure, scaHolding, falsework, or demolition or dismantling thereoi, will be more than ihirry-six (36) teet high. (Chap. 3.2, Grp 2, Atl 2, Sec.
341, Title 8, Calitomia Aaministrative Code).
❑ As owner-builder, I will not employ anyone to tlo work which would require a permit irom the Oivision of Intlustrial Satety, as noted ahove, unless such pereon has a
permit to do such work irom Ihe division,
Signature: _ Date:
Division of Industnal Safery Permi� Number:
CERTiFICATE OF COMPLIANCE AND AU'fHORVJ1T10N OF EMAV: I certify under penalry of perjury Ihat I hava read this application and state that the intortnation given is
correct I agree to comply with all s�ate lawg end city ordinances relating to building consiruction, and authorize represen4.�tives ot ihe Ciry oi Cos�a Mesa to enter upon the
ebove-described D�aPerty tor inspection purposes. I egree not to xcupy or allow occupancy ot any building euthorized by this permit until tinal inspection.
Signature Ot Lggal Owner(s) _ ,,,, //U���
x ,7JiU/.1.,O,ii�. )r c� �
. - An Authorizetl Aoolicent . ��—� Dale
COOE t. INSPELTONTYPE
1616 Fixed System Final Fire Prevention
1266 Pool Spe Final '
200 Final Re-Root
201 Final BIocWRetaining Well
202 Final Factory Fire Place
203
204
Final Sign
Final Demolition
QL1TE il f�QQ{P INSPECTIONTYGE
206 Finel Mechanical
� 20B Final Plumbin9
210 Final Electrical
- � 212 Final Fire Pravention
220 Final Planning Approval
222 Final Site
_ - 250 FinalBuilding/Occupency
P9IE LSIDSLS
�
J�;�";2��'�:��•:;�'"fU�e�FI:;'� AM i;EP.(,E�<�z�r' D�'1ELOP Svc,S ' F�N, N:�, 7t,,.-..sF��ifl `�o.�s�� r��.�,. ��1
17���.AA�,�4�'dC11V t�F �►fJ�i�-0�9f�1�',i�
FOR A�36PITS �:�F WFt��F'Ef�1'Y GWtJCiR
Tt] la' PPI: Y FO��t F'ER,hIIFS
�1' ;;
Stlo�tlld:iress: ��� _ ���. v��:'�:��-
eids. aa,m�it a �F:�_L(_.
Thic ?e;mit #
_ AF'Nurtber.
1. I(we).•-- �-�.r��Q�.'.:�Z.Y�•�i]�?�=�3�:__.-----.---.-----. de�:ir; ti,at I 2m Ih�a C�vme:r of'iitle cF ii�� ai6ua6
r�.�fe�rc�.ro:e,] ieal F�roperty, 2r,d that I iti��¢) F,aeEy aull�cilzc
Nsrne: �i�G.'E�/'(7rv. !-1 G:.•C!li�...t._ T�le��h�nz Niimh2f. /y � 7'�7�-.` (' �~�'U
- ---- --"1__.�__ �.---.---._.----__� ��__ _ _ _�
SIfH@'f��ddrors: Q J��.r �lilea..�,.�nl';_ iy��„(�.
._f_-`-.�-"-'-'-_- ....-----.-.-._._._......�...__.�...
c��y: �,UJ7�Lh __/�;��5'`�=--•—_•—•------- '"-te: _ C1Z_
�7 �.
00 obtai�.i Ve�r�i�s in my belulf, as o.��ner,$UiIdE �� i'pi._.__,. 04�j;;;1_L'�� ____. �:���'J
et9wabove ru�ferenced p�ouerty.
rA: `� .d G .� _C',•
2. Shculd any person become an ompleyos en�ga�33c ic Ihe itnpro�ement o( Ihr. prepe�y, i(�vz) shell immedlatzly pra�ido WnikeYs
CoripensaCron Insurance caverage ard wuae A cur:iLrutc� of t�:;t covera�e Ic be fled with lh� Euildinp Oivision oflhe Ciry ef c:esia
Mesz, as rc+quired by S4ate of Ca�Komia lzua.
3. As owner,builder in Fad, i und6r���antl �nd au:tpt lbal my rospot,�it,ilWas da nol tra�ts(er � any tti�:r person, company er
coR,ora9�� �.
4. 1 a��ve :o ind�ersnify and hol� the Cily of C:ustz MEsu and d5 E.tnP� %YE h> or criicers hannlr_ss Irom any cl�im resuRing fn d�ma��e ar
perzu�al InjU�/ ta myseif or 8,ry other ,�aqi;s a:; ci �'r.sulf ot Nn�rk authur::� :y Iha pe.�riL fwm Ihe Clty of Costa M?:,�a.
S. I de;lam under Ihe penalty of perjury I�r�t thc f:vis�u�rt� IS NuB dnd tcnect.
Ereeuledlhis,_._�_ tlay0f
0�19.a.� lroa tt¢o)
-' ?,0'_.-'- � Bt--
Prinl Name: ���4' 1 L_!Q_ 1:h h6�_'U�.1 �
�/ c�J�����
S{��nalure: -.p'-- ��.----'-------
Gate: �.__1V���E i:(.l_:�.�5:�------._.__-------
No:o: 1Ti5 autlwrizaG'on does nnt grant a�tno 'roat}�n to pa.riortn tl�a work ns ourt�cr,
it solNy oiuvMfl4 �OY IM11�P1I �Y1N!� Gt'a+�i0R1CY �O $LCUf� VILS D°'-�TnII �n ary bcholF.
, Califomia.
0
�i�.,,,.a� L'o�,t� �Ze¢a �it�s�.u��: �ic�ia.iacz . .
BUILDI�iIG PLA�I REQU�IREMENiS
FOR ATTACHED �PAT10 COVERS
(Note: Detached patio covers require an'engineered design.)
- � _� i_ _
' � ❑2 P.L. Feet
�-❑—��— �� — — ❑: � — —
i �
� 6 ' ' - � 6❑- -
i - Posr �c; i:,`.`?t.d;-�:F �,.::i?'c _,� .,:'�d _. -
m
'CITY Oi
- ' PLANN:
� SUBJECT TO
NOTE: ADDI1
patio cover
House
SION �OF�SDA MESA
.�p-]ROVED
mis set oi plads'm�s�*�",':'"<- ...
�(9 y�% Ch811L��hEtdlaM1..;..:
and Salety; Chy efL�sta t,'.>.,. .
i.n alihispl2n='r--:�;.�;
ihe violaiion ot � �Y "' `
ese plans and peimil snz�� e�
.. o� �s np{ commenced and mair
,�. .n a'_r ,
DEPT. REG.
DELETIONS,
kepi a� Nis lob at
,;1!,!'y1_iJ\UILCnci.... -
�- : �,, n� Costa Mes? Gidin�n
;y ;imAation a BC § 031� w4�and
ed ac�ive pe
,_ �.. _:.� .
02 P.L. �pQ� -
S�P'�C� �
0 Scale:_"=
5 �
2Gu/C'Orl Z�f2.� S
0
d is iavnu� ��
K�,n f Build'mg
;obe �FV'°"�,
�n�o gtr,te law. , ,
1 if lh ' a�Ming or
dy loissuancar�o� �U�N
I _ l w� �--�n-e.
- v 7 ,`': � _ _: �t .,.
X:` T. _ . . .. � :t . .
N� �. ' - _
�. A _
I �
. � CCoU'�
' ��`Z��
$y; INSTRUCTIOI�,a�EOPIES MUST.B SUBMITTED
Using this as an examp e raw plot plan on a separate drawing. -
1❑ Show owner's name, project address, north arrow and scale.
Q Show and dimension al1 properly lines, easements and driveways. ,
Q Show locations of existing and proposed structures, including all setback dimensions �
. Q�Show dimensions of proposed structure.
� �❑5 Show setbacks from property lines:to proposed structure.
(3'-0" min.; verify if Planning Dept. requires greater setbacks) Q�l., �„'v v" ��
Q Dimension overhangs � � ' �
� U/
2]33 46
j 37�:
;
Lattice Cover .
Lattice
� Lattice
Rafter
Joist Hanger
Ledger
�
�
2% Siab "
Slope
to Drain
Lattice
Cover
Rafter Header
Solid Floor Cover I� Roof Covering
26 Ga. L Roof Sheaihing
FRAMING PLAN
Roofing
�2" Sheathir
_ O �-
Header
� Post f
, �
_ �
. � q
io r
�
Footing
.Jtis� G\r,P
Raker- �
Joist Hanger
Ledger
t�-�n� P 1
C' O
� � � � \��
.����
4 Soli ���
v@4 ' �
� aJ5 ' a0��l��
SPECIFY LUMBER: � DF ❑ Redwood ❑ Hemfir ,�CASaz� a,eSa� p;� oa��v •�`O���J� "
CONCRE ER 2900 ps❑i m n. @ 28❑days 2 �1 S�f,�°`Q3`��oV �Q�` Q'; ��+���e�a��e�.� a/�" �` �
CONNECTIONS: ICBO approved or equal ��e�\e�',,�a�o\'°c��p a�,� ` E�; �� r ,
1. Roof covering: Slope: aj� S�a���a"° a��� a i. �" 1'��' �
2. Roofsheathi�g: � � Maxim��i0s��t°� � '-� •' ' �� � ' �
attice �x�'` @ �" o.c.: 2x2 - 6'; �� 2x4 - 10' F A :. . „ � n �
so id: " CCX plywood or _" lumber: 1" - 2' - 8"; - 8' - 0" C „ . ;
3. Rafters: �x� @�" o.c. ❑ Single � Double . ,,
4. Header: �x_ ❑ Single ❑ Double �.' �� i
5. L�dger: �_x� (2x min) '
6. Fascia: x (2x6 min) ! , ,
7. Post �x� (4x4 min) Ra'rse 1" min above slab suAace ' '
8. Footing: �x� 12"x12" min for up to 66 sf tributary area; 18"x18" min for67-150 sf tributary area
" depth (Expansive Soil Zone _�
9. S�ab " thick (Expansive Soil Zone _�
10. Connections: a. Joist to Ledger - Metal joist hanger
b. Joist to Header - Solid blocking with framing anchor
c. Doubled joisf or header to post -(2) 1/2" dia. thru bolts w! washers
d. Joist to Fascia - Metal framing anchors each side
(min. capacity = 0.5" joist span 'joist spacing' 15)
e. Header to Post - Column Cap �
f. Post to Slab or Footing - Metal Anchor/Post Base
g. Roof Sheathing - 8 d@ 6" o.c. Edges and 12" o.c. Field
DETAIL OPTIONS
Check the ones that apply:
Latlice Cover.
❑A �B ❑C ❑D ❑E ❑F
Solid Cover.
❑A ❑D ❑E �F
PoSt
Anchor Post
�„ 6" min
Footing
i'� . Depth
PAD FOOTING A
75UC max
per post post
6" lnin
'�s�ns
SLAB FOOTING B
Min � Jois7t
,e�� ` Fascia /
�,�j 0
y�,�� Anc7ors
��i� Z`0. e`0. I
, Max Max Span
EAVE CONNECTION C
1/2' x 5' Joist
Lag Screws
p 1s' o.c. �•
6cisting' Joist
wall Hanger
. Ledger
WALCCONNECTION D
Lattice
Bolts'
Ra@er
- , Dummy Post
� : =support Post
� Beyand
RAFTER/HEADER � E
RoofSheathing
or Latlice
Rafter
Framing
AnUor
Each Block
Heatler 2 X Blocking
Posl � Column Cap
JOISTIHEADER
2]33-0fi back 199] UBG
i� .
SPAN TABLES
LATTICE PATIO COVER
SOLID PATIO COVER
1997 UBC 2733-46 Tables
PFOJECT POOPESS: () 3 6 pAHL ZA AV
owxEesxnme: �TIRGILIO d PETAONILA
� aooxess: FANTONE
936 DAHLIA AV �'
COSTA MESAi, CA 92626
APCHIENGINEEH: � 7 1 4� 7 5 4— 6!$ 0 `� �
�
AOONESS:
UNIT:
PEG.NO.:
� UNIT:
PEPMITTEE: VIRGILIO FANTONE T ' (719)754-6780
NOOflESS: (336 DAHLIA AV t-'
COSTA MESA CA 92626
LICENSE� CONTflACTOR UECLAflATION: I hereby aftirm �hat I am licensetl untler pmvisions of Chap�er 9(commencing with Sec�ion
7000) o� �rvision J ol �he �usiness antl Pm�essons Cotle, antl my Ilcensa is in �ull lorce anC effeci.
pTY LIC.: � � STpTE LIC.: CU15S:
�ate: Signa�ure:
WOflREPS' COMPENSATION OECLAflFTION: I hereby aflirm that I have a cetlifica�e of consent �o sel4insure or a cehifiw�e ot WOBers'
Compensaiion Insurance. or a cenilietl capY Ihereoi (Sec�ion 3800. Lab. C�.
POLICY NO.: EXP. DATE:.
COMPANY:
❑ Cerlilie0 coOY is hereby Iumi50eQ ❑ Cenitietl copY is IileO wi�h the city Builtling Oivision.
oa�e:
Applican�:
E%EMPTION fNOM WOPREPS' COMPENSATION DECIABATION: Qhis section neeU iwl be compleleJ il tAe pertral is lor one hmMred (511p) or less�.
I cetlify �hal in ��e petlormance of �he work lor whlc� �his permi� is issuetl. I shall not employ any persan in any manner so as to �ecome
� subiec� to ��e Workers' ompen a n qLaw f Califomia .T�.1
Oaet � �� / Signaiure: ���/`�'�""`^'� ���
OTICE: It. ter making ihis tleclara�ion. you shauld ecome su�iect to the Workers' Compensation pwvisions oi tne Labor
Cotle, you mu5i lotlhwi�h comply wi�h such pmvisions or Ihis permi� shall be JeemeO revoked. '
CONSTFUCTION LENOING pGENCY: I here�y a�hrm that there is a consimc�ion lending agency lor �he pedormance of Ihe work for
which �hls perm7i Is Issuetl (Seciion 3097. Crv. C�. ' �
LENDEH:
aonness:
OWNEN BUILOEB OECLAHRTION: I here6y affirm t�atl am exemp�irom Ihe Con�ractors' $lale License Law �or�he following reason
(Section 7031.5 Business antl Pmiessional Catle: Any ciiy ol county whic� requires a permi� Io constmc�, al�er, impmve, tlemolish, or
repair any Slmcture. prior ta its issuance. also requires the applican� lor such permil Io lile a signetl slaiemenl tha� he/she is licensetl
pursuanl lo Ihe pmvisions ol Ihe Coniractors' State License Law (Chap�er 9(commencing wiih Sec�ion 7000) o� Oivisian 3 0� the Business
an0 Pro�essmns Coee) or ��a� �e/s�e is exempt �heretmm antl ��e basis for Ihe alleAed exemption. Any violation of Sec�ion 7031.5 Dy
any applicani lor a permil subletls Ihe applican� to a civil penalry oi noi more Ihan live hunaretl aollars ($500).
I, as owner o� Ihe ptopetly or my employees vPoh wages as Iheir sole campensa�ion, will do �he work, and Ihe
❑ simcmre is nol inten4e0 or ofieretl for sale (Section 7044, Business an0 Pmfessional Cotle: The Contractors' State License Law
DoeS nol aD01y Io an owner af a pmpetly w�o builUs or im0�oves �hereon, an0 w�o does suc� work himself/�ersel� or Ihmugh
�is ar her own emDl0yee5, pwvitletl Nat suc� impmvemenis are nOt in�¢nEetl ar aflereA lor sale. II, �owev¢r lhe building or
impmvemenl is 5010 within one year o� completion, ihe owner wiil have ihe burtlen a� pmving he/s�e Aitl not builtl m impmve
� br ihe purpose ol sale).
I, as owner ol ihe pmpeny, am exclusivety contracting with licensea caniractors to conslmct ihe pmiect (Section 7044. Business
❑ an0 Prolessions Cotle: The ConVactars' State License Law Does not apDty to an owner oi propeny wlio builds or imDmves thereon
ana w�o conVacis lor such prolec�s with a con�ractor�s) license pursuant Io Ihe Con�ractors' S1ate License Law�.l am aware,
�hal prool ol Iheir Worker'S Compensation insurance shoultl be pmvided to me,
� I am exemp� untler Sectmn: B P-� � 4 4 B. 8 a. C.
mnnis reason: ALL W RK BY OWNER / ,.�j�, y��,
Date: � Owner. ✓ �,J _""�"��
o here�y ceni Ihal l am aware oi antl untler5lanA �he requirements ol Cahbmia Heallh antl Sa�ery Cade Semions 25505. 25533, ana
2553A antl Ihal I or any fulure builtling occupant will/will not (circle one) nee4 io compty wi�h said slate cotles antl ihe requirements �or a
permii �or consimclion or motlilicaiion imm Ihe Air Oualiry Management Disirict. flesidenlial cons�mction applica�ions are exemp� fmm
�hese pmvisions.
�ate: ApPlicani:
I here�y cer�ily I�ai I have reaA Ihis application and 9ate Ihai Ihe above iniorma�ion is correct. I agree to compty with all ciry and coun�y
oi0mance5 antl stale laws rela�ing to building constmclion antl hereby aNhorize represenlatives o� Ihis ciry to enier upon the above-men�ionetl
pmpetly fa� inspectionzpurposes.q / � y,� �
0 � ' �" Ij �� / / Signaiure: �-.i ' "" "",� '� `^w✓�J...�
so��ai se���nv a:
164La6 WNie—Boilaing�, Green—Cotle Enlorcemem; Canary—AO�I¢anl: Pink—Revenue; Goltlenrod—Assessor
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: B 067264 PLAN CHECK NO; N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR
JOB DESCRIPTION ; T/O RESHEATH 1/2"CDX S APPLY COMPO ROOF
PERM NO: H 067264
GOVT: N SUPP: N
PURPOSE: ALT
SQ FT: 2,500
\
CLAIM VALUE: 2,500.00 CALC—VALUE; 2,500.00 GRC�UP OCC; R-3 /M-1
COMMENTS: SMOKE DETECTORS REQUIRED PER THE 1991 EDITION OF THE UBC
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ZONING REQUIREMENTS Sp�OKE
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILLYi7��(L-�I-��
FRNT: ' FT IN REAR; FT IN FRNT: FT IN REAR:' FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGIIT: FT IN
PARKING REQ: PROV; PARCEL: 41218331 ZNE: REF NO;�„
PLANNING NOTES>'
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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 Nu'I' S ,.
ZONING APPROVED BY DATE: nn;
�
BUILDING APPROVED BY : DATE: _� /�
APPLICATION ISSUED BY; DATE: : �"3(Q(�
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LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SM1IP/AES GRADING
PERMIT 54.00 ,50
SMIP/NON—RES
PLAN
ISSUE FEE
HUILDING—DICT—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 54.50 0.00 0.00 54.50 59.50 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 54.50 O�'EA/SHORT: ,00
BLUG PMT PLUMBING ELECTRIC MECHANIC FIRE SMZP/TOT GRADIP7G PLAN—CHECK
54.00 ,SQ
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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 UNST COST TOTAL COST
SFR 2500 REROOF BY VALUE RESIDENTIAL NOZONE
END OF FEES
1, � � 2� rJ � �, � 0
01 D0160924—�016�930 T C�T `�,5p
QATE: 0`/23/94 TIfIE: 10:30 '
,, _ ��.. _ � ,�
1 �. � - . .� . POOL & SPA ` � i
'CONSTRUCTION AND�PLANNING-• . �, � . . � '
Dace.;° � {nspector � �
, APPRpVALS , Fermii�#_--�='---` -- _ . . APPROVAIS Aermlt# .
- 1. Temporary Electr.ical Service or.Pole --;. .,: ' -. 52.• Pool � Equipment Location
� 2. Soil Pipe�Undrgrnd. �. 53. Steei Reinforcement '
3. Electrical ConduEt Utility�Undrgrnd. q _ ' � ., 54. Forms . ' � ._ '
: 4..Elecirical Conduit-Undrgrpd. � ' "� _ � ' S5. Electrical Bonding. � - ��
� 5�. Steel;Reinforcement. ^ ' . 9 ��''! % ' 56. � Rough Plumtiing & Preuure Test .%�
' 6� Electrical UFEft Grnd�: ��" - 57. .APPR04A.C�TQ GOVER�GUNITE
7. Footings . � •� ' . 5B.-ElectricalConduit�Undrgrnd.
� 8, Foundation � _ . � � _ - � ' ' : , 59. Gas Pipe, O �Untlrgrnd., Test ' �
�� � ,
i.
9. Water Pipe-Undrgrnd. ' 60. Backwash �ittes, F�TraR, G� Undrgrnd.
� ' -
, 10. Structural floor SYstem -,�, " � '� 6/. APPROVAL TO DECK �'
� 71. Property Sewer L�na &�HouseConnection _ 62.=6ackwash &��Receptor-Final �
12. Sewer Cap ' ' '� 63. Heater & Vent�Fina! , ,
13, Roof Drains � s�' �° 64. P.lumliing SYstem = Finai. �
� 14.RoughFlumbing ' �:�� ;�f� � 65.�Electrica6Final�'^ � - ' -
. 15. Rouyh Electrica4�Conduit ' • ' �j � , � 66," SoJar System-Finai � `
� - i6. Rough Electric4Viring � .
, i - . 67:�.Fencing & Access RpP�oval ^
�� 17. Rough Wiring Sign ; -� _ � f$.; APPROVE6 F6R PLASiERING �'
�� 18. Rough Electricai-T Bar Ceiling � 69. POOI/SPA SYSTEPAS PINAL �' '
� 79,'Rough Hea2ing & Air Co�diiioning " � � FIRE DEPT. REQUIREMENT
20. -Rough Factory Fireplace , � ' _ APPRQVALS ' Permit �__,_
21. Ducts, in Strucwi@ s �� � � �70. Underground�Hydro -�
22. Ducts, Ventilating,�' ; � ' "71. ProAuct Pipinc7 i7'Gas OOiI
23. Gas'Pipe�Rough & Test � . _ . .72, Underr�round Flush'_ . ,
24, fioof Framing• . ' ' . 73. Undergmd.StorageTank CGas �Oii
25. Roof Sheathing , � S 3I � q N �t vp� 74. Overhead Hydro
26. T�Bar Ceiling (Structura�l & Monocoat . 75. Dry Chemical � �
27...Frame and Fiashinq' . . ' � 76. Dry Standpipe , � , � �
28. Lathing&Siding � � � . - •' 77. FIXEDSYSTEM�FINAL
29. Insulation -. . � �� �� . � ; ` � 78. �FIRE PREV. FIPIAL � �
30. Drywall Nailing ' �� �~� ' HEALTH DEPT. REQUIREMENT
31. Plaster Bro�vmCoat � „ . i � ,79. FINAL INSPECTIpN � ,�
•32.'Electrical Power Meter�Final • '� �� �. 80,' FOOD CERTIFICATE ISSUED �
33. Final Electric �,� y�` Notes: - ',
34. Final Heating & Air Conditioning � - - - . .'
�
35. .Pinal Gas Pipe-Test . � ,. ? - � _ � �
.36. Hood or CanopV •� � � � '� � ` � '
37. Finai,Factory Fire,place � '� _ ' � ! .
38. Final�Plumbing � =,C. �
,. .
39. Water Service�Finai ' ' "' - '
• 1 -
,40. GasService�Final . � �� •
� 47. Solar pomesticPina! � � , �
42. 8ackflow Prevenier � � � -
43. Backflow irrigatior � ,
�
44, l.andscaPe Irrigatioa iy`�'2em'•' - • �
45. Sound Attenuatio� y-�-'- ' ' - ' � � , , � .
'46. Handicap Regulationr�:'` ; -� • •
,�,._-^` �
� 47, fINALSTRUCTUR��BEII,DING �-�3-.Cl'C�"'� ��y'�.' �' • . �
i'�" hl i . '� - __ •
48. FINALPLANNING �,.,= -� � '��'
�,. .
.0.9. Electric Release to E %'swdn'�.' ' :�, �
50. Gas Release to SoucS;*ro dTi'for�ia.Gas Cn . �._
51. CEtiTIFICATE OF . CC NCY
,.5:�.
Date � ihspecfor �
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OWNER �
�JOB ADDRE55
6ENERAL C01
J
•� AP No.
INSPE(
� SOIL
`�� Gn5
c�� WATER
�
�
N, Royal A.
36 Dahlia Aven
R Owner-BLdr
LOT T
-�
PROP. SWR. LINE U HOUSE CON. U
SPRINKLING SYSiEM
MISCELLANEOUS
-0.0UGH�HEATING'AN�'NIR'CONDITIONING -
TEMPOftARV SERVICE OF POLE
UNDERGROUN� � POWER �
ROU6H WIRING
TRENCHES � FORMS � STEEL REINF.
FLOOR SVSTEM
BOND BEAM ❑ STEEL REINFORCE ❑
SNEATHING
FRAME AND FLASHING
LATHiNG - IN � OUT n
PLASTER, BPOWN COl+T
STRUCTURAL, FINAL
HEFTING, VENT., REFRIG. RNO A.C., FINAL
PLUMBING, FINAL AND GAS TEST �
ELECTRIC, FINAL
BWLDING. FINAL
DATE 4-10-75
RIPTION of WORK Patio Cover
ZONE VALUE$ 400.00
PE V GROUP J ZONE R
SUBCONTRACTOR _ PERMITS IS:
-I-' - -'-- II - . . . _-_ "_
� ,. . �. 39834 � �,PR 10-77��;`Q[1 37y :� �x,� ,�:�.�o
� COSTA MESA BUILDING-SAFETY DEPARTMENT . � � " �
. - P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626 -� ,
For Applicant to Fill in Completely - APPLICATION FOR BUILDING PERMIT .
RE IV D BV D TE RECE VED D TE ISSUED
AD'DRESS /� N.� r � 'e • -/a �D� b
�OWNER� CL �IUL6/�/ A.P.,NO. �t
2- lg3 -3 � P
MAIL � , BUIIDING �j� ���L�A �
Z .
ADDFESS P�DDRESS cf� J� �
W W ' TEL. $�j (o Q n
a U CITV � � NO. p:'. TRACT . �p LOT�(O BLOCK.
CON5TRUCTION N W A
O� �ENDER /r�G/(/� V .
a m ��
J � .BRANCH '
J �" OWNER
a W ADDRESS � • - �
m m I\RCNITECT � /TEL. �, �0 /1��^2 LU$ . '
J a OR ENGINEE /� f,G - u
V N � FIRE
w Q ADDRESS � ZONE TVPE GROUP
aw _
W Z / APPqOVED _
J O CONTRACTOF ',� BV DATE
mZ '
J � ADDRESS
W w TEL. ZO NO.OF�j USE OF NEW�jA�'t�(j
�= QTV ' NO. l P��` BUILDING �� �
zr
W O STATE � CITY ' VARpS APPROVED� VARDS APPROVED
y� LIC. NO. • LIC. NO. • � MAIN BUILOING ACCESSORY BUILDING
� � O (FROM UISTREET)
SIZE � % NO.OF BLDGS. '
OF LOT Gj � �D d NOW ON LOT � RONT � FT. FT.
USE OF .
EXI5TING BLDG. l� T� FT.
F' SIZE OF ' NO. OF .
z 'NEWBLDG. ROOMS STORIES L.SIDE Z. FT� FT.
'EXTERIOR WALL ' ROOF
�% COVEFING COVERING REAR SFT� FT. ' �
J VSE OF BUII�ING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & �
a ' MAIN BLDGS. ' ACCFSS. BLOGS. �
a /
a / p/� C URP # APPROVED
0
• y � APPROVED�` J 'IO��S.
z
O STATE
UI hereby acknowletlpe that I have reatl this apP��cetion and siate � -
. = that the above lnformatian is corract and eBree to comply with �
� all laws regulating building conrtruction, antl I shell not amploy . �
r any person in violation of the workman's compensation laws of
y the Sxate ot Calitornie. �UO \ / �
\..,./
Z1 hereby cartiFy tfiat i am properly Viwnsatl es a contrector untler SQ, PT, o
the Stete ot California Business antl Professions Code, Divisicn 3, THE AMOUNT SHpWN UNDEF VAlUAT10N IS FOR -� .
. Chapter 9, antl that such licenses are in tull forca and effact, or I THE PURPOSE OF ESTABIISHING A PERMIT FEE ONLV: m .
am exempt from the provisions of the State of Celifornia 8usin¢ss Q
antlProfessionsCoyyy¢¢¢,,, Division3,Chapt 9. VALVATION �� N,
� . � � ����� PERMIT FEE $ �
Signaturaof // /// ' Q(i �- m
Permittee^y //� ��o! 5•/L� i� -- PLAN CHECK $ E
r y � � - � �/ � /// � o
Authorizetl A9ent � � $ � / LL ,
TOTAL FEE
" �o . : . . �
` � � � a.UG 15-72va�oo0i019�� �>talu2.85
- ` 3509� ,., �n,�
�_ .
' � '� COSTA MESA BUILDINGSAFETY DEPARTMENT � , � ' " '
SO1B P.O.-BOX1200 COSTAMESA,CALIFORNIA92626 ' � " �
- � � . . � . . PP I ATION FOR.BUILDING PERMIT �
" � ForApplicant to Fillin_Completely ., A i E BV DATE RECEIVED DA issu o
aui�oiNc ' ,� ,� Dahlia Avenue ����7 ���%
ADDRESS "
. . . �. . . � PERh�ilIDidQ . .
� ' . OWNER LarwinSouthern � California..��_ ^�P• "o. - _ �JUnd � .�
'� , MAIL BUICDING
nooaess'' 16255 •Ve'ntuYa BlVd. � , aooaess % � ` � i
Z .• ,.
� a'U � CITY • ' ERCITIO� Cd�.lf .' � " NCJ786—HH9O ` TRACT ��. � , LOT�� BLOCK �
Z.
Z Q CANSiRUCiION W ADD A R � P .
oN �en,oER . LarwinSouthern Calif�..
a � eanNCH 16255". Ventur�a 'Blvd. " , (����) ,
J.N .. . . . . - � � �. OWNER //��wVIN. ' .. �, �
mJ ' ADDRESS �.$I]C1R0� . Cdllf. � ' ' ' - � lY� ' VALUE n/- �,/�
m ' ARCHITECT ' " ' - TEL � ' � S LS / T� $(1�/J �/V
J a OR ENGINEER ' LdYW1T1 - N 2% 3-44G , �
' ZQ .. .., _. . � � . , . ,FIRE� � ' ' � •�
w� ADDRESSj]_OO WlISIll e Beverl H � S' 'ZONE .�' TVPE flOUP�r � .
a W � .. . . . ; . .. .�APPRO ' .
wz GONTRACTOR' L3TW1R Southrn Calif... ev arE%:•u—%
�O - :�. . . : - .. '
' m�Z . . o . . -�, . - _ ,� � ,,,
� ' J �^ ADDRESS 162SS Ventura Blvd. , � � -- ' � -
w W � TEL ZONE - NO.OF ^� USE OF NEW ry//�f /}AA �� .
Z�. cirv EnCliio '' Ca3if. ' No986=8890 � �. P'�`"S C` .BUILDING w �- .
� STATE _ �� � � ' . CITV�,,. . � `.y ' ' �AfiDSAPPROVED.� �. YARDSAPPROVED
. N � LIC. NO. , 1g1311 � " - CIQ NOB-1 ' � MAIN.BUII�ING� � � �ACCESSORV BUILDING •. ' .
� � SIZE ' ' - ' NO:OF BLDGS. :� � �(FROM GL STREET) �; , - . � . - ' �
OF LOT �� � 6O X �.00 ' NOW ON LOT' �� � FRONT � 3S FT. � ' F.T. '
' � USEOF. - . " .. . , '"_ T , . • ' _ '
_ 'EXI5TING BLOG. ' �1 — FT ' FT �
' H ' .5¢E OF ' . . ' . NO. OF ' ' i ", '� � . .. �
. Z NEW.BLOG�-%�FO � ROOMS ' STORIES � 1 .: .L.SIDE `-' FT. � � FT.
v . EXTERIOfi WALL ' ROOF �' ' �� ' . . - . ' - `. . .
.. „ COVERING StUCCO COVERINGWd.� SY11R 12 qEAR� . FT. FT.
J� USE'OF BUILDING AND WORK TO'BE PERFOFMED �� � -DI5TANCE BET. ' BET. MAIN & '� �
a ' ' MAIN BLDGS. - ACCESS. BLDGS.
'.. � •
Q � � � � � ' � VAR.# � . � DATE . . .
p Construct� sin le famil dwellin C.U.P.#. q ' APPROVED ' ,
- F . ' .. .. � APPROVED . CJ $ . Z .
(n
� .O . ' . . . . � - � ' _ , .
�~�- 1 hereby-acknowleage ffiei I�heve reatl ffiis application and steie ��HOLD� FOR'��SPEC.A � RE � r
ffiat.the abovetintormation'is correct antl�agree m comply with �r .
:� all lawz regulating builtling consttuction,`Sntl I: shall not employ., - , . - .. '
-�� any person in violation bf the workman's� compensation �laws of - .
�. , . . . ... . � � �
y, ffie State ot Califomia. -, � ' . ' -'. '-� � � � � ,
�- .z � 1 hereby certity that I am properly��licensetl as a connactor untler SQ. FL ' � ' O,.
the Stata ot California Business�antl Professions Co�de, Divisicn 3, �THE AMOUNTSHOWN UNOER'VALUATION,IS FOR �
. ,Chapter 9, antl that.such licenses a�e in'full torca.antl eftact, or I THE PUFiPOSE OF ESTABLISHING A�PERMIT�FE ONLV:' m -
. � am �exempt trom the Orovisions o4 the Stat¢ of Califomia Business - �- � _ ¢ �
�'antl Professions Cotle, �ivision�3, Chapter 9'r� _VALUATION .� ' m
' ��. ' ' �, � ' PERMIT�FEE $ , . � �
Signsture o /� . +� (J / " !-ra Lm
` '. Permittae'��N'� D: Downs' g�j�.1� PLqN'CHECK $'- ' ' o ..'
C/ oy
�Authorizetl A9eni . . . .. � � . . . + . . LL . ..
� � .. .. . .� �.TOTAL FEE .$ . �/� ... . .