HomeMy WebLinkAbout985 DAHLIA AVE - Building PermitsPHOJECT ADOqE55: ', 9 8 S' DAHL ZA AV
OWNEfl'S NFME: TOTH FLORENCE .L
aooness: g85 �AHLIA AVE
COSTA MESA,CA
r .
' � ' ' UNIT: . • . .
�92626 . .
. NflCNIENGINEEfl: . , • , ' ' BEG.NO.:. . •
r ADOflESS:- ' � . � . � . ' UNIT: '
PEHMITTEE:,�EXCEL ROOFING �� � ( 714 ) 965=0314
- . aooeess. 9331.LITCHFIELD DR '� �
' "HUNTZNGTON BEACH' CA 92646
LICENSEU CONTXRCiOfl OECLAPPTION: I �ere�y atlirm �ha� I am liten5ea untler pwvision5 of C�apt¢r 9(GommenCinA w��h Set�ion
7000) ol OiNsion 3 0� ihe Business anU Pw�essions Code. ana my licen e is in �ullioice an0 eHec�. .
cirvuc.:,047724 sinTeuc 55233 cass: C 39'^
Da�e: � � � Signature: — — - , I/ � _
WOPN HS' COMPENSATION DECLAflRTION:' I hereby a ir iha� I have a ce�ihcate of conseni to self-insure or a certificate oi Worke�s' �
Compen5aiion Insurance, ora cerlitiea coDY �hereof (Sei on 3800, Lab. C�. � �
POLICVNO.: 5241983-91 - E%P.OATE: O /O1/92' .
comrnuv: STATE `FUND '
❑ Certifie0.copy is here�y �umishe0. � Certiliea copy � eJ wiih e city� i ing Oivision. . " �
�aie: � /O � �I . ApPlitant . . �_ � . .
E%EMPTIONFflOMWOPNEHS'COMPENSATIONOECIAflATION' (Thi55edionneednalbetomplet¢4ilthepermili5loronehunOreAI3100�or1e55�. �
I cerlity Ihat in Ihe pedormance ol Ihe work for whicti Ihi ermi� is issued. I shall nol employ any person in any manner so as �o become
,su�le�� lo,�he Workers Compensatian laws ol Califomia. � ' .
'Daie'. . . ' ' ' • ' Signa�ure: ' " ` . - . ' - . . � .
,NOTICE: IL.alier making �his tleclaraiion, yo4should hecome subjeci m the Workers' Compensition pmvisions oi Ihe Labor
Cotle. you mus� lorthwith camply wi�� such pmvisions or �his permrt shall be Aeemetl�revoketl: � / ,
CONSTNUCTION LENOING pGENCY: I here�y aifirm �hat �here is a cons�mclion lending agency �ai the pedormance o� Ihe work for
.w�icn Inis'permit is issued �Sei�ion 3097. Civ. C). . ' ' . � .
� -� LENDEN: 1Ii.° CDX PLYWOOD ' ' ' � �
' nooRess: 30LH� FELT„ 30YR COMP '
OWNEfl BUI�OEB OECtAflATION: I hereby allirm tha� I am exempt �mm ihe Coniractars, Sia�e License Law �or �he following reason'
' �Seciion 7031'.5 Business antl Protessional Cotle'. Any city oi county which requires a permif�o cons�mc( alier, impmve, tlemolish, or
repair any,5lmcWre. prior lo iB issuance. alm reQuire59he applicani tor suc� permit [o �ile a signed s�alement ��a� helshe is licensed•-
pursuam m Ihe pmvisions o1 �he Contracmrs Slaie License Law (Chap�er 9(commencing with Section 7000� oi Oivision 3 0� the Busiriess
antl.Pmlessions Code� or I�ai he/she is exempt Iherefmm and Ihe Dasis �or ihe allege0 eKemp�ion. Nny violation of Sedion 703L5 by
any applicant �ar a permi� sublec�s ihe aD�licani to a civil pen2lry of,not more Ihan �ive �unAretl tlollars ($500). . .
I. as�owner ot ihe;pmpetly or my employees wilh wages as�iheir'sole compensation, will do the�work, an0 ihe�
�'❑ stmclure is noi inten0ea or oflered tor sale (Sec�ion 70aa, Business anC Pmfessional Code: � The Comracmrs' S�a�e License Law'
does nol appty ta an owner ol�,a pmperty who 6uiltl5 or impmves �hereon, antl who tloes 5uch work himSelNhersel� or Ihmugh�
. nis ocner awn.employees,pmvieetl ihat such improvements are not in�en0ee or oflered tor sale. II, however ihe builAing on
imomvement is sold within one year of completiod. Ihe owner.will have, lne burden of vmving �e/she Oid no� �uitd or improve
� �or Ne Purpos¢,ol sale). � .'- : '. ' . - � `.
�,.. �
I, as owner ol ihe propehy, am ezclusively contracbng with licensed contraC�orS io conslmc� �he pmlec� (Sec�ion 7044. Business'
�❑ antl Pm�essions Code: • T�e Commc�ors' S�ate License Law Ooes nal appry lo an owner of pmpeny w�o builOs or impmves ��ereon
and who conVacis br such pmlect5 wi�h a canlracim�s�li[¢nse pursuant Io Ihe ConVac�ors' State License Law�. I am aware
ihal pmo� ol I�eir Worker's Compensalion insurance shoultl �e pmvitletl ta me. . , , `� -
� I am exempt untler Seciion:' 1 � 8. 8 P. C. ' � :.
• for Ihls reason . ' , '
. . ' . .. � � . . .
Daie:' ,,. , .. • Ownec .
I tla hereby wnity i�al t am aware ol antl understantl �he requirements o� Calilomia Heatlh anA Salety Code Sec�ions 25505, 25533. antl
25534 antl I�ai I or any fu�ure.�uiltling occupanl willlwill no� (circle one) neetl Io compty wi�h said Slate cotles antl ihe repuirements lor a.
permil �occonslmction ar motlAication Imm ihe Nir �ualiry Managemenl Oisiric�. FeSiUen�ial con5imclion aDPlicaiions are�exemp� irom
ifiese provision5.• , , " " , ,
,y � : . .
Oa�e: � f Fpplicanl: '
I here�y cetlify Ihat I have read this applica�mn antl state Ihai �he ve inf rmati is orrec�: I agree �o comply wi�h all ciry antl.caunry
orainance5ands�alelavrsrelaungtabuiltlingconslmciionantl�e y utho ere sen �iveso�I�isciiyloenlerupon�heabove-men�ioned
pmpeiry'lar inspeciian purposes: i , ,�
, Oate: ��[d��/ . Signalure: v^"�
o�i�ers ucense ar souai seanty a:, � � ' �
16ai�46 Wbna—Bmltling: Green-Code Enlorcem ; Canary—Appl¢anl: Pink—Revenue: Goltlenrod—Assassor' �
, " CITY OF'COSTA.MESA — HUILDING,PERMIT ' PERM NO: H.; 05517 ,
PERMIT NO: B 055172. , , PLAN CHECK NO;'.' � N�' GOVT:,N�SUPP;,N'' 'k
CONSTRUCTION TYPE:•5—N�.� • PERMIT TYPE; STR , ; ,,�. PURPOSE:�ALT �,
JOB DESCRIPTION. ; T/O SHING „ RESHEATH S 30YR COMP SHINGLE .SQ FT: � 6,,500': •.
.CLAIM VALUE: 6, 500.00 CALC—VALUE; ,, '� 6, 500, 00 •;� GROUP'. OCC: R-3 ./M-1' �` '
COMMENTS: SMORfi'%DETECTOR(S) RE�UIRED' IN HOME.� '. '•����T���^p
****����**��*�;*�r*�***�r�r+�*****� *�*x�********�r*******�r*+�**** * >> �Jfl
� '.y; : Z;O N 3 N G R E Q U I R�E M.E'N'T S `, �.
� a � f � SETBA�KS ,�� REQUIRED:�� .
— MAIN BUILDING ---------- ' —=----*--�ACCHSSORY'BUILDING --- - --- -
FRNT: FT •, IN REAR; FT • IN FRNT: , FT, IN REAR: •FT� i ZN .
LEFT; FT '" � IN RGH,T; FT IN LEFT; � FT , IN �RGAT; . =,FT IN
. . . , i ,". . ,
PARKING,REQ •:� PROV:' PARCEL: 41218117 ZNE:' " REF NO; � • a; �
PLANNING N(STES> . . � . •
'� , . .. . �. - 1- .• " - -. '., ' .- , . _ - -t ry_,�...' -.'. .
****�**��*�r�r+t�ir�ri��t*�e*+��e+��t+t�r*�r**�r*****�t�r*�t�t*�***�x**�x�e**�**�*�r**x��*%,�r**�t******; T' .
� D E V'EfL O P' M E N T S.E R V I C E S R E;Q.U.�S R E M.E N?T S� .. '
�ry , ' � f� � . t. ..
�ZONING APPROVED HY �• " DATE: .
BUILDING APPROV.ED BY : � . _ , ' . ... � . =' :. � DATE: - � ~s . . �r �'
, f'' '� — � ' , .
APPLICATION PSSUED BY:��F�,'/—�`� . DATE: .�%% I� Y� �
iFiFifaElE3EiEiElEiFlfiffFif:iE�ik)fiFlEiFiE�1F � � ffifiF�fkiEif3FiEiE �)EiE .
�lfiFkiflE�F�EiE�E1f1EaEaEiPiFdEiE�fkiFiE3FifiFiElFiF�fiFiFiE3f3E�3FiE1E�EiE3FiE3Fif 3l3Eif3EiE'kiEiflfjlaf�FififiElfiFiE3fiE1E�1E�E3F1FIfiF#iEiEiFiE1FiF ' .
LEGALIZATION;N' .. F E E " S U M' M A R Y'- �"' STRUCTURAL�;SEGMENT:Y .:"
' HLDG PMT ' PLUMBING .ELECTRIC' MECHANZC FIRE -SMIP/RES� GRADING '.
PERMIT', .90.00 ' . . -' : 65� ' . .
.. _ . . , ' , ' .. � , ' � � SMIPJNON:=RES � `
ISSUE FEE- � . t �cd '�:
BUILDING—DIV—> ' PERMIT.'ISSUE PLAN—CHECK ` TOTAL •PAID�✓�,r DUE
TOTALS----> ' 90.65 � '0.00 0.00 _9,0:65, , 90.65� Fj _ .00
•r "�
REVENUE DIVPSION TOTALS--> COLLECTED; 90,65 OVER/SHORT:' "�00�.-;r'
BLDG PMT PLUMBING ELEGTRIC MECHANIC FIRE SMIP/TOT GRADING P,LAN—GHECK "
• 90.00 ,. . , � . A . 65 �3s • , . . � ..
"IfiElfiFMiEiflfif�f�lF�lFifikifiEkiFkiPifiFififie3FiFiFiFiEifiF3FiFiElEiFiFikiEiFaEifiFk1f1E1EiEifiEiE3FiF�fiEiFlEiEiEiE3fiEiEiFiEiEiF3k,�ltiEiE3fjfifMiEiP1f , f'•�
_. , I.N D I V• I. D U A L` F,E E B R E A H D O W: N ''' �r.. � '
TYPE ' QTY � D E S'C R I P T I O N; � UNIT COST �. pTOTAL COST "�.
SFR 6500. REROOF BY VALUE RESZDENTIAL NOZONE ' 1.00•�: '. '^� 6;500;'00` ,`
, . � . END OF FEES �i � :
, � . . ' . . . . � � . . _ . t
; , : ; � . ai a€iio?sEs=��iozseb����� ? ��.�s � :
� DATE: f2ii8/91'�iiF4E:;i4crw° . .
. . . . . . ' d ., . . _!. i . . . .. . ,� .
' . . . . , ' _ � � t .. . • . ' . . � ^ai , , � j '
. ' , ' , - . , . ' � . , . , .. ' _ . . .:
. � :, - .
' ' . . � ' . . 1 .� .. �� . ' . . .
. _ +_- ., . , � "P� . &-SPA'. . . . . .
7 ;. CONS7RUt, ION AND_ PLANNING� �, � �'. � y •.' ' � ' � ' � ' � �
Date� �Inspector � Date ` Inspector'
-; APPROVALS Permif #-� APPftOVALS Permit # ., �
. . . - •�= .. _ .% .
� 1.:Temporary�Electrical Service 6r Pol¢ � . ' t ' 52. �Pool'& �Equipment Locatioh � - � , •
: % u�;
:�i• .• � ^t- �' �' .. _ . . , t _ _ . . i
� 2.�Soil Pipe-Undrgrnd. ' '� �,.;� .�+F �` . . 53.:Steel Reinforcement� _. - _ - '- ./fJ
� �3:�Electrical Cond'uit'�U2ility-Undrgmd'_�"• ^•'" �' � �'�54. �Fo�'ms - � . (``'
c:.�_,r,.,. u; � - - -
' i;�A:�lectricaLConduit`-Undrgrnd. � ���j � � � `�55..Electrical Bonding � ' - � . ' . � -
V5;�5te'el Reinforcem'ent= -""= - � . � � �-�';56. Rough-Plumbing & Pressure Test �
�+r�.� -irv� ;��r., -• �- . . , _ . .
. '=;�6:r,ElectricabUFE,R G nd. ' �� � - � , ' �-' 57. �APPROVAL TO COVER�GUNITE� � � �'
'dT,�Footings� S's� :u _ - ' -' 58. Electrical Conduit-Undrgrnd. r, « �.
nr,.,. � ,� _+r� �i
� 8:`'Foundation• h�;; �39,;�, � /� �f � �' � ` y' ^59..Gas P,ipe, O Undrgrnd., Test . '� `���;
` 9. Water Pipe�Undrgrnd.�- , -i�'•' - � � / � ' T.^60..�Backwash Lines; P-Trap, �;Undrgrnd.. . � . � f '�'
- � .��. ^. � �h �'i
10. Struct�ral Floor System � �' �..�; y�/�� � F � T61. A�PPROVAL TO DECK � � - -. � � , �%
s �i1:
11. P�operty Sewer Line�& H�s�`Conn�ctiocr �. '' ' 62. Backwash & Receptor=FinaP `��'
K
12. S�wer Cap !u'���' -� . �n��� � 63.'Heater & Vent-Final . . ��✓
13. Roof Drains �G '�� - J �7 � 64...Plumbing System - Final - �'J.
14. Rough Plumbing " � ' � - . 65. Electrical-Final - - '
15. Rough Electrica�-Conduit � 66.�.Solar System-Final .
= 16. Rough Electric�Wiring, �' � 67.:�Fencing &�Access ApProval �
' 17. Rough Wiring Sign ; _ . . 68. APP,ROVED�FOR PLA$TERING � � '
18. Rough Electrical-T Bar Ceiling �. . �69: POOLlSPA-SYST.EMS FINAL ' � � � -
" 19t- Rough Heating'& Air Conditioning'" ' ` " ' ' ^ � ' FIRE�DEPT. REQUIREMENT - •
, � ., . �� . <� �- ..,.� .: ; c..- r,���C- ij:. < :v�
. � 20.��Rough�Factory Fjceplace ! cr,�r. �'-; +� C, p �<s. - �qPPROVALS:;tJPer,mrt # '�
�.: .[' -1n e\..r i"tf t. r' �4 'i- '1 f^' +� i�.
21 �Ducts, iy.Str ctu�e'� � ��,-' '-r a: ci .- ..• :p z > .• eC R,: .: ,.ry
i! t.,v: :� r :! :S C+-�?� :< � 70. Unde�g'�0und Hµdro w
� ! >�r. ��-, . '. " _
. 22: Ducis, Yentifeting•.x- ,' c�;S x ��� et:i� i.n77. Product�Pipifi9 �:6as a�0il ,
� 23:-Gas�Pi eyiiou�h &'Tes{ ' . . `� � x ;,. �,�-r +' � i � "� 7 >: �_* ;i . ..
. P ,9 � ,� � . .;, : z �72. UndergrounH Flush��, � .
- �J t1 .V r. .- l.-J " .�. ::y iJ T. .�. y. v a . . • '.�
� 24:=Roo`f Fr,aming ;q �;� � F_ �.. �a ,- C; rs �+ :u 573s�Undeigrnd�. Storaye;Tank:O Gas O �il =
�
�25. RoQf Sh�athing �y�������Qi/� �,�J'''�, =g� � ' K74'-'.OverheadY-lydroj��� " �
-7
26.iT-Qar Ceiling (Str�� _._' :.�vyonocoat i: �p `� !�q:p ;. 75:;Dry Chemical `��y x : - � i�; �
27--Frame and Flashr�g< �LFr� �x � �:�; ,G 76:"Oiy Stan�pyYie L'i ', -� "� '`�
C
' �-.n... !'^ ..: �V �.:� ;. � .t. ., c ;, n i :
� 28.`"'Lathing & Siding,:� ;,_ .±.r•,;: r� :t 7; . ..3� :�� 77;r FIXED SY�TEM.F'INALu �
, �. W
>29. Insulati�n `�'�� 5`'."` _K �- � � [..� 7$�FIRE PREV. FINF;L � � tn
' ''� `" "� " " +� �� -'����r �� �' ,HEALTH:'DEPTc REQUIR.EMENT
,.30. Drywall,[Vailing �- �� � f � �e x�
i, _
��31. Plaster Brown Coa`f� �_ *' . I t 795�'FINAL INS ECTI'('7N ^'� 'T -
.� .t �nY' ;i'1Y � �W ti _.� •x 1'
� (�iJ C!� •:� • • •.� ,.At :n T�;'Y ' � Y "l b+ i�l
._32:•Electrical Power:Meter�.Finali'�` + p:. � �•��r �; �;80: ;FOOD CERTIFIEA;TE ISSUED'
i i ti.:
�33'�Final E�ectri,e� � ��' Y '�'� �� � � i>�� '7Notes: � "> �'� �'� � .
� .r. rr1:'s in :? 1 i�.r Y "?t^ 'R'7 :l;�a! .
I^ K' ir! r: i-...4 � a... CC 'i� � I • . x - r; [il:l .{: ^ �-+�
,.34...�Final Heatingj& F,i{,CoRditioning� ;, ,. � - � �. �+. ��, - � ,C ; �;� :x �� �, `
�35�rFirtal Ga5 PiPe-Test=� � �� - . 'i z '� " i '�� �i * _ ; i . ,�?S �! t�� SJ � •
..1.�. ,:,_, i/ �.a.. r �o n'.- x
� rT36.'+'Hoocl or'CanoPY�'� �� t h' ... �� .� ; Y�/,..;�� * �! _� � •C` �� t� �t,. - .
-37.�F:ina1 FBCtory FirePiace ; SL�' . �n ^7 � � � `^*�'-w: ,� i^ � ' + - - J:,i . -
�-i �a. s� t '-.[:. � : i :]7 .4 C'3
. .. .x U: - 1 • �'J :t (ii - • ' ..�t .x = q :r x � . _
;38. Fi�al P.lumbing y . .-� -A I � �i�x �� `� ,a * `-� r'
�,39. Waier SEyvice�Final:. �� ,i . j � , jr�� `' ' ('� . •:+��7 �K iK J .
• ,S• � y '�.•. :ia. i a� O 9 c
n40. Gas Ser`vice-Einal �'�,.h rt„-L.i, y; ;� � j i ; ,� - �c: mro .x �� �� - .
� x:41. Solar pomesiio-Final�; - � r::� � � ? 't � <G�U � . r � � �
. . `^ � • w r.. _ �- . r� y 'r '
'-'42r`Backflow Preventer*��- , n' "t '-' � 1 '' :" ..' "� . - 'S •
tJ it} x' i i ��k � `,lt.� • ,
� A - • :. ��r��- . :^� . :� : a ,v _ ..� .
43. Backflow Ir'r.igationr %: ;:' � .'� :t �:. -. _, * :� ... �
-- �. .�.�. v � rr :Y
V ° . . .,i ' f t; r}," :F .t .t] , D3 !. j'S � ) c; '
44. Landscape I�rigation Syste ., r� � ;y r; �.� ., [,; .v . iu c
� ;a :L:� miA; J.J �•- �
t,
�45�Sound Attep�uatio } '���;I� z�' „5. i� t- i- r�t� ', c-i -� ro t�:, - .
J,C 1!'+ 1ll'Y i }T Y '.? -
' ;$ h 'G � t�^- ."' �: .f i''3 .. :: 'P : .i / i-•^.) � :q, .
46. Handica Re`gulations . -.
��. P �� � ..�r:.� i: �i; �s tv ��s
t..y i . ' 4 w•.,._ /J
, �47.yFIIVAL STRUCTURE & BUI'�LDING �.6:cr � 7 ��G%�@�C r 1� t��1 � � �✓�
. , �, . � -� -� � ..G'ep .
48['¢IN.AL PLANNING:i ...;r . i:��r i - Ii r.t. �,� i:; ?
� t�i• ^' � j � ' e4 �L x :t} . .
� , v49=.,Electric`RelQase to�Edis`on � � �� �?r�, � s• i�; ' ' j :i -=+ r � �
. arov < .t � ..-,
�'�50�Gas�ReleasetoSouyhe�nMCalifo;nlaGasCo y; � � �'-��'���' '' `�'� i "
" � � 5:.:k '-i Os�! Q
;;51. CERTIFICATEOE;OCCUPANCS' K �;.�.,„ ' . s��; ;r = _ .;�
- No! �Y� Date � . , . � -� .
�.-. .
.�.. . - . � . . .
CITY OF COSTA MESA '� � �
° � BUILpING DIVISION
� `' DEVELOPMENT SERVICES DEPARTMENT
` ' u PERMIT ' PE--- F�E�
� � �.
698-01319
(714) 754-5273 • Fax (714) 754-4856 77 FAIR DiiIVE, COSTA MESA, CA 92626
BUILDING PERMIT
i ;
Job Address:
Suite:
Vicinity:
985 DAHLIA AV
Parcel Nunmber: 41218117 � ZOning: R1 R1
npplicant HARP, PHIL
Address:
SETBACKS \
MAIN STRUCTURE
NOTES:
Status: ISSUED
Applied: 07/22/1998
Issued: 07/22/1998
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 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 Inapeetiona and final approval must be obtained. Failure to obtain inspections and final approval will resutt in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5626
._ _ . .1F_'.9 . l I
ERS' COMPENSATION DECLARATION:
y afrirm untler penalry oi perjury one ot the tollowing declarations: '
heve entl will maintain a certificete of consent to setl-Insure for workere' compensation, es provitletl for 6y section 3700 of the Labor Cotle, for the pertormencCc: Jhe.
woik for vtihich this pertnit is issued. .
I heve end will meintein warkers' campensation insurance, as requiretl by section 3700 of ihe Lebor Code, for the perfortnence of the work for which ihis permit is issued.
My workers' compensation Insurenca cartier end policy number are:
�Cartier: Policy Number.
j �is sectlon need not be comp/efed i/ fhe permlt /s velued et one hundred dollars ($700) or less.)
��I certlfy ihat in the pertormance of tha work for which ihis parmit is issued, I s�ell not employ any person in eny manner so as to become subJect to the workers'
compenset f Celifomia, and egree that If I should become subJect to the workers' wmpensetlon provislons of Section 3700 of the Lebor Cade, I shell forthwith
co e p visip� . ,�.� 1
icent etur � `-'�'' �' N � Date: —1 � 'Z2 ( � Pi
WAFNIN � flE TO SECURE WORKERS' COMPENSATIIXJ COVERAGE IS UNLAWFUL AND SHALL SU6IECT AN E CRIMINAL PENALT7E5 AN� CIVIL FlNES UP TO ONE HUNDRED
D DOILARE (S10U,OW), IN AD�ITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SELTION 3]OB OF TME LABOR CODE, INTEREST, M1D ATTOfiNE1"S FEES.
LICENSED COHTRACTORS DECLARATION:
proNslons of Chaptar 9(commencing with Sectlon 7000) of Division 3 of ihe Business end Professions Cotle, end my Ilcense is in full
— S�64oq ss T3
il,l ...� % oa�e: —, I 2, 1 a a
CONSTRUCTION LENDING AGENCV:
❑ I hereby ettirtn Ihet ihere is a consiruction lending egency for ihe perfortnance ol the work for which this pertnit is issued. (Sec. 3097, Civil Code).
Lendefs Name:
SignaNre: _
Lendefs Address:
Date:
OWNER•BUILDER DECLARA710NS:
I hereby eNlrtn ihat under penalry of perjury ihet I am EXEMP7 FHOM THE CON7PACTORS LICENSE LAW tor �he tollowing reason (Sec. 7031.5, Business and Protessions
Cotle: Any ciry or counry which requires a permit to construd, alter, improve, demolish, or repair any structure, pnor to its Issuance, also requires ihe appllcant for such permit
to flle e signed stetement Ihat he or she Is licensed pursuant to ihe provisions ot ihe Conirectors License Lew (Chepte� 9(commencing with Sectlon 7000) of Dlvlslon 3 of ihe
Business and Professions Code) or thet he or she is exempt therafrom and Ihe basis for the alleged examption. Any violetion of Section 7031.5 by any applicent for,e permit
subJects the epplicent to a civil penelry of not more t�an five hundred dollars ($500).):
❑ I, es owner of the property, or my employees with wages as t�eir sole compensatlon, WILL DO THE WORK, end the siructure is not intended or offered tor sale (Sec.
7044, Business and Protessions Code: The Contractors License Law tloes not epply to an owner of property who huiltls or improves Ihereon, end who does such work
himseli or herself or throu9h his or her own emplayees, provided Ihat such Improvemenis ere not intended or oflered for sale. If, however, ihe builtling ar Improvement is
sold withln one year of completion, the owner-builtler wlll have ihe burtlen oi proving that he or she tlitl not builtl or improve for purpose of sale.).
❑ I, as owner of Ihe property, em El(CWSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct Ihe project (Sec. 7044, 8usiness end Protessions
Cotle: The contrectars License Lew tloes no� epply ta en awner of praperry who bullds or Improves ihereon, end who contrecis for such project with a coniractor(s)
license pursuant to ihe Contractors License Lews.).
❑ I am exempt under sec. Business and Protesslons Code for Ihis reason:
Signature: Dete:
Owner ID verifiad by tlriver's license., ❑ Ves ❑ No Driver's License No. Expires:
Verificetlan of Ownership 6y (rype ot document, I.e: - propeny tax bill or deed):
DIVISION OF INDUSTRIAL SAFE7V PERMR CERTIFICATION:
❑ I hareby certity that no excavation five (5) or more feet in tlept� inro w�ich e person is required to descend, will be made in connection with work authorized by Ihis
pertnit, end Ihet no building structure, scaflolding, talsework, or tlemolition or dismamling thereof, will be more than thirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, Cellfomla Atlministrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require e permit from the Division af Indusinel Selary, es noted ebave, unless such persan hes a
pertni� to do such work from ihe division.
Siqnatura: Date:
Division of Industrial Safety Permit Number:
CERTIFlCATE OF COMPLJANCE ANU AUTHORIZATION OF ENTRY: I certity under penalry of perjury Ihat I have read this eppliwtion and state that tha informetion given is
conect I agree to comply with all state laws end ciry ortlinances relating to builtling construdion, end authonze representatives of the Ciry ot Costa Mesa to enter upon the
above-tlescribed propeny tor inspection purposes. I egree nol to occupy or allow occupancy of any building authorized by ihis permit until final inspection.
CODE I INSVECfION TYPE
1616 Fizetl System Finel Fire Prevention
1266 Pool Spa Finel
200 Final Ra-Roof
201 Fina181ocWRelaining Wall
202 Final Fectory Fire Place
203 Final Sign
204 Finel Demolition
24a6i6
i
QAiE It�AIS
LppEj INSPECTONTYPE
206 Final Mechanicel
208 Final Plumbing
210 Final Electncal
212 Final Fire Prevention
220 Final Planning Approvel
222
250
Final Sita
Final Building/Occupancy
Date
��
U�dLS
4�,
NOTE� SHOW AND DIMENSION PROPOSED
PATIO COVER AND YARD AREAS
�,
0
� . . �-
_-_� � �
�� i/L 2U �/t
,� �x'_�� ��
� � \ 1 \ �
I
� �ti� S�, \ Pr��Fas�•d � lb� I
� � Pa+,` \��•, �. 9
�
ADDITIONS, DELETIONS, OR CORRECTIONS SHALL I
BE APPROVED BY THE PLANNING DIViSION
�� iSEE DETAILS ON REVEqSE SIDE
\ � � �,'��68' _-„ ar�Fe
N
NOn 1 dn� o�ion�t�ro� rt q� NO
ry;� rs ��a �� shdH exDire 6 °f Cos� �
emm nceJ3�,,r,�,;m����fmniali nandbe�y
\ � m� �;'JBC§�9
I
F
N
x
W
l
. ,��� � n,.�,�„ r.�.�.
-_ STREET
�} 8�� ���1,'a �U��
PLOT PLAN
D����
Y OF COSTA
PLANNING C
i TO BLDG. i
DA
REG.
ROOF SHEATMING.
�1x £' RAFTERS
AT�� `� O.C.
'"� � Stel! 18w
OVERHANG
� x �� BEAM�
T- STRAP EA. SIDE
FOR POST- BEAM
CONNECTION. o �
a � u
¢ z =
� w `
:�
18 ��
�d Ydd i1lhe Q N a. ai
A�n 180 'wYs ol� or N _= Q�
0
i a� �
� O
J U 'N Z U
J
DROP PATIO W LL Z x� Z
FLOOR 2•, . g � � '\ :o O
'a "
N
SLOPE TO DRAIN PLATE 1"��
� � . ABOVE SLAB
o, o o;
� ;,i ie
_ ,
•uq
26 GA. G.1. FLASHING N� i
"WOOD FLOOR .�1__ J
CONSTRUCTION PIERS 12�� SOJ�
SIDE ELEVATION
.,
w
o =
a
¢ �
t� _
Z -o
� -�
W
>
O
m
a
W
0
a
¢
u
z
�
CONSTRUCTION DETAILS ''
201tn.R00F CONNECTION
DE�AILS;
CONT. � SOLID BLOCK � "
LEDGER "
RqprER
, \. . �...�. _ __. _
�/
CONT,
LEDGER
I/2�� DIA..X.S�� LAG SCR.
AT 32'� O.C. _
� oEVEr,�Prarr
, � s�cFs nt;m�ir�r�rr
B[JILDING SAFEPY DIVISION
OWNER:..,...._��o��c n r e `�1�o-r �a
ADDRESS: �tas �AH1�'a �a��-: c. M
CONTRACTOR: � h: � I-�G � �
ADDRESS� 3��s vN���,:,a-, �r M�-i •C.M
„, -
,, �
�. ..';;;''c.� ' - _ .
DETAIL I ` .:`eaFTERs' �
CARPORT, PORCH OR PATIO - _ -
,NOT SUPPORTING CEItiINC . .
. . . ... . •: �: � . . : "``
. . . . -tc:. .:�._ ., ..
—'SIZF.;...,. •SPACING' :: -•".SPAN'� .,`,� :
CR e CL��TECO� �� '2��x4'_"'""12"O.C. 9'-6"
{; r:�u �. ..>{
/ GRIPS OR �JOIST ' 16" , . -. 8' =0" � � y"�
HANGER ' p4" ��6'-6"
3Ig° DIA. f( 5�� LAG SCR.
AT �b ° O C.
DETAIL 2
IOi�OR L16HT WEIGNT- ROOF
ONLY CONNECTION DETAILS
�..o* �..�a�:. .. � . . ..
., - ' � 32" , 6' -0"'..
^ 48" 5'-0"
� 2Ux6" 12" � 16'-6"
16" 14'-6"
24" 12'-0"
32" 10'-6"
48" .8'-0"
2"x8" 24" 15'-6"
32" 13'-6"
48'�....-�_ _ .� 7.� _��� .�. .
� 2��J( FACIA-MIN.REO.
�
'� RAFTER
APPROVED METAL
; HANGER
• DETAIL' 3
za� ` ; t�'-o„
32'1 • -' 15' -0"
;
va�� ��,�_���
7i"=8�- 24'S 2P',-�"•
32.�' ,,..�;� ."•' 1'.9'._p.�, .' ; ' -
36Y '-�"
� 48',' . :16'.=0' r
4"x10" 32't_�. , _.� 22 � _p��._�.......�
36" ?1'-0"
48" 20'-0"
72" 17''0"
PATtO COVER
TYP PLANS
DATE = � i zz � a�:
PHONE: `+� � - � 6qP
LIC. N0. i�— 5 i6y�q
PHONE� 1��2-Z� �3
. RAFfERS
LIGHTf WEIGFif ROOF COVER OF
"` •�F,�I;ATH, FIBERCLASS, ALUM.
�:iSIZE�'1 SPACING SPAN
^.,2"-z4';;�, 16"O.C. 9'-6"
, . • 24�� 8�_���
�� 32�� 6 � _6��
- " 48,� 5 � _6,�
2"x6" 16" 16'-6"
24" 14'-6"
32��. , .. 12 r _���
48" 10'-0"
z��x8�� 24�� 19 � _���
32" 15'-6"
48" 13'-6"
HEADERS
LICHT WEIGHT ROOF ONLY
SIZE POST SPACING
4x4 6'-0"
4x6 9'-0".
4x8 . 12'-0"
_ CARPORT. P0�-�7�+ PATIO
SIZE POST SPACING
4x4 S'-0"
4x6 8'-0"
4x8 10'-0"
4x10 12'-6"
APPROVED FOR
BUILDING PERMIT
By Date_
GENERAI. NOTES:
1. These plans must be
kept on the job at •
all tLme ducing
cons[ruc[ion.
2. All framing.[o be
Douglas FSi N� �
grade minimum.
3. Raf[ers may not
at[ach [o facia ex-
cept for 107�roofs
ae shovn on details;
201bsroofs mus[ use
a continuous ledger
at[ached as shown
on de[ails Ik1L�i`2.
4. Light weigh[ roofs
may attach [o facia.
for 14' span max., �
spans over 14 must
use a continuous
ledger as sl�own in .
detail 113.
� � �l� ���u�
OWNER LARWIPI
JOB ADDRESS 9
GENERAL CONTRA(
AP No.
INSPECTIONS
SOIL
6A5
W ATER
ROUGH PLUMBING
PROP. SWR. LINE
SPRINKL'ING'SYST
MISCELLANEOUS
�'
-
. ROUGH HEATING AN� AIR CONOITIONING
TEMPORARV SERVICE OR POLE
UNDERGROUNO � POWER �
ROUGH WIRING
TRENCHES FORMS STEEL REINF.
FLOOR SYSTEM
BOND BEAM � STEEL REINFORCE ❑
SHEATHING
FRNME ANO FLASHING
LATNING - IN OUT
PLASTER, BROWN COAT
STRUCTURAL. FINAL
HEATING, VENT., REFRIG. ANO A.C., F
PLUMBING, FINAL AND GAS TEST �/
ELECTRIC, FINAL -
BUIL�ING, fINAL
DATE
GROUP� I & J TYPE
SUBCONTRACTOR
/iz 73
PERMIT N0.
�� - :.. , , �
..so ` �� ' - . '
,
, � . -35� )� . � ,+d 7_�-73va a�n.�.� ��;;" -:�::� �.51i.3>> .
. .. . - . , a f,Mc, . . ' . .
� - � � COSTA MESA BUILDINGSAFETY DEPARTMENT..', . " . �, - �, ' � - .
3�LL�-P.O.�BOX1200.'COSTAMESA,CALIFORNIA92626. . � � . � � �� �
. � � - � � � � PPL C TIONAFOR BUICDING PERMIT �
� �' - For Applicant�to Fill'in Completely � � � ""� � '
. � : .�. ftE EIV D Y �DATE flECEIVED DA E 1 SUED
'BUILDING . .. � - l=-�a-��3
nooRess � Dahlia Avenue' . '' � •
. . "' '�_ e��cn�5.ro:�
owNeR ` Ldrwin Southern California lnc. A P� NO� JJ iv ,
. � . - = . . ..-.. - . . .eui�owc �� � ' �
'. ' MAIL •hDDRESS'9Q��p. � � � '.
Z AooaEss 16255 Ventura Boulevard �J
. � o-.0 CITY , . EpjClllO- C::II�OI'71IC1"N�L9 ' TRACT � / �� � LOT,. -�"BLOCK. �
Z
.. .. Z Q •CONSI"FUCTION ' • .. . . '. .. ' W ADD A TER! P . .
, oN �ENoea�, La"rwin'$outhern�California =l'nc .
J�� `. 16255 Ventura Boulevard own,ER fF W '
J � BRANCH ' -
- :aw aooaEss :Encino .California � �G ���
, p� J, - - QVALUE
' � J m' �'ARCHITECT -' � ..... i '�'. TEL - .�� ". •�USE �� � - /� " 5 �' •
�a � OFi ENGINEER ' .NO:
� , . . . _ � . .� .,,
^^ FIRE
,;w2 � ADORESS" � 9�w W�IShII'@`Blvd. BBV., HIIIS � ZONE ' �!iTVPE �GROUP '
° i�
,' �o coN,rRacToa ,�drvrin Southern California .Inc.' -g�PR�v �! ATE � �
mz .. � : . _' ,`F' . , �, � "' ' ��,
.J � , AODRESS -�' ' '� �. ' " `
�W w_. - � ZONE � NO.OF ' �USE OF NEW'S/N�FN'14'1 Fj�
, z,S ciTv : Encino; Califomia No� 986-8890 ?�NS. � Bui�owc
� f f�
""NARDS'APPFOVED �?�YAftDSAPPROVED" -
'� . STATE': ��-' "" .,CITV� ..
� y��� i LIC'NO. � ��9��3�� `��IC:NO � B��r,' -� MAINBUILDING � " �ACCESSORVBUILDING � "
" �O. � - - � � � y�FROMC/LSTREET) � � - ' � � ' ,
�._ SIZE�7 ' .. .. ' �?... •. NO.OFBLDGS. . " :- � : . . •' . .• . " �' " ..
OF COT ., . '(JO��,X' �.00°i- ' .. �� NOW�ON LOT'„ FftONT" � �'FT. - - '� � " �-FT...� � ' '
' .. USE OF : r . _ " ' :..'�j � . . . . t .
` Y�
.,EXISTING�BLDG � _ ,�S - '��FY:!" � �FT.-
.I-.,. '.512EOP' , v „NO.OF r .. .�.. . ,' . 't "V - .,._. ' . .
Z� �NEWBLDG 19H� +. :s . � ���ftOOMS-' STORIES �..1.'' L.SIDE , —'FT.. � �FT. �
'.EXTERIOR WALC� �+- �-' ROOF � '
'�� �%• '-COVERING ''-StUCCO COVERING O � � hlfl IB�� �REAR. ���FT.I'. ' "FT ' :
J .�USE'OF,BUILDING�AND WORK TO�,BE PERfORMED,� � DISTANCE BET:" {!"� BET: MAIN &' t-�•�
x .. ; Y
•., •a- .. ,. . ,z �' : ., .' •' � . . •.:..� 1' MAIN BLOGS. � .'ACCESS: BCDGS. . �) . ..
a . . ..,
�.Q. `• .. + . ..,:. . .. � - VAR.# � ? . DATE• . a�. -
" � C01151'ILCt SI Il �� I2 FQ C.U.P # � ^ . T , ,qPPROVED '
t_, Q . . , .. .. . � .', � ,
. :APPROVED .�r[,
� , ���
°�.� �', '. '' ' � . . ` :j�90LD FOR SPECI L Q�F1T TSs_
y-U � �I`�hereby acknowledge"that I have'read this application antl state � � ' ��� - � .
_ � �that the above mformaLon, is correct antl agree m comply wiffi . , ' -_
. ;� � alflaws�reg lating�tiuiltling.mnstruction, arid I shall,not employ"- � . � ,
,� -any person m rolabon of the workman s compensation'laws of ; ' !I � � � • ".T� � �
+.'y ,.the State of Wlifornia., �-' ., „' ' � ' '. ' � � m �
r. . fl �M � . � � . b
z."- " . � - - ' .. . � .: . . . . ' .,_' SQ..FT. q/� O'
_ -I;hereby aerLfy.that I�Sm properly Iwensed�asaconttactor'under
�,the State of Calrfomia'Business antl Professions Cotle, Divisicn 3, ,THE AMOUNT SHOWN UNDER VALUATION IS�-FOR. �
' ' �Chapter 9, antl,;Hat s'ubfi licenses'are in fulfforce and'effect,�orJ � THE PURPpSE OF�ESTABLISHING'A PERMIT FEE ONIY:- v'
� am.eaempt trom:the'provroions��of theStatenf Calrtomia Business .- � -- - -. �
VP.LUATION �-' i' � [�-�� ��
' antl Professions Cotle, �iv�sion 3� Chapter 9 .� � „��'` pERM1T FEE�� 5' ��� ' j' _
. - i
� Signature �. Downs' � � ` / �- m ..
; _ Permitte`�E����✓�� _� $.�q�� . �' -PLAN.CHECK $ V � E
Cd �
. . . - ' ,��. . ,. - d .: � , ' eG� .o•.
�Authorizetl Agent . . . � � , LL
. � TOTAL FEE . $ Z+�, .