HomeMy WebLinkAbout745 CENTER ST - Building PermitsPflP�.7AU0flE$S: 74y CSNTER ST
OWNEB'S NPME: BENDEES HRUCE
aooxess: �45 CENfI'ER ST
COSTA MESA,CA
AflCN/ENGINEEfl:
AOOflESS:
/ UNIT:
V
92627
/ flEG.NO.:
UNIT:
PEflMITTEE: ADAM THORIN t 77 4) 965-0245
aooness: i97.5 ANAfi�IM H-2
COSTA MESA C 9262"/
LICFNSEO CONTBACTON OECLAflFTION: I tlereby allirm ihal I am Iicense0 un0er mvisions oi ChaD�e� 9 kommencing wilA Section
7000� ol Oivi ion 3 of I�e Busnes5 antl Pmlessions Cotle. antl my liCense i5 in Iul lorCe and eifeCl.
ciTr uc.: � sra�e uc.: � y 4 3 41 �.���/L��SS' C 3 `9/,,•
te: � SiAnamre: `4'iA1L— _%4pCC"
WOflKEflS'LOMPENSATIONOELLANATION: I�ereOya��irmt0a11haveacertiliWt otconsenimself-insureoraceniliwtealWorkers'
Compen5ation Insurance. o� a cenAied caOY �hereoi (Section 3800. LaU. CI.
POLILY NO.: EXP. OPTE:
COMPANY:
� � Cenifie0 copy is �ereby Iumishe0. ❑ Cenilied copY is IileC mt� t�e ciry BuilOinp qdsbn.
Da�e: pODlicani:
E%EMPTION FBOM WOPKEflS' COMPENSATION OECIAflATION: (This sttUon neeC nol �e wmpleied il Ihe Oe��� is lor one �mMrM �51W) or less�.
1[etlily ��al in Ih¢ pedor ante Of t�e wark lor w�itA IAis Oetmi� is i55u¢A, I.shall nol emploqany per5on in any manner 5o as l0 EetOme
Suble�� �o �Ae Wod rs' mpensa�ion Laws ol Calibmia. ; /
1/ ^r
-Oa�e: 2 SiqnaWr¢: �"�%�h•� ����
NOTICE: It, alie� maiting I�is Ueclaraiion, you s�oulG GeLrome suUle�� �o I�e Workers' ComDensatlon provi5ion5 0l Ille LdOor
COAe. you must lonhwitn como�Y ��� sucn provisi0ns or iN5 ce�mil Shall oe OeemeA rewkea.
CONSTflUtTION LENOING PGENCV: I �er¢Cy aifi�m t�al I�ere is a construciqn I¢nGing aqency for lhe pehormaMe ot I�e wark for
i w�ich Ihis permi� is issuea �Seciion 3097. Gv. C�.
LENOEN:
AOUflE55:
OwNEfl BUILOEfl �ECLFBAiION: I herehy affirm Inat I am exemD� ��om IAe Coniractor5' Stale License Law lor ihe tollowinA reason
(Seclion 7031.5 Business ana Pmlessional CoOe: Any ciry ol coun�y which r¢quires a permi� to wn5�mt1, aller, impmve, tlemolis�, or
repair any slNcture. prior lo ils issuance, alm reQuires ihe applitdnt for such permiito file a signed statemenl Ihat he/slle is licensetl
pursuanllolhe O�ovisfOns O�Ihe fAnlrat�Ors' Slaie Litense Law�Chapi¢r9�Commentinp wiih Set�ion 7000�01 Divisian 3 oi��e Business
an0 PmfeSsions Code) Or Ihai he/S�e i5 exemD� Iher¢Irom anE I�e hasis lor Ihe alleyeE ¢x¢mpii0n. Any violalion o� Setiion 7031.5 by
any appli[anl lor a Dermi� SUEje[I5 ine a0����an�io a civil penally ol nal more t�an Irve hunUreO Oallars (5500�.
I. as owner ol �he proDeny or rtry employees vnN xaAes as IAeir 5ole wmpensation, will Oo t�e work, and the
❑ stmcwre is not intentlea or oiferea for sale (Section 70a4, Business anA Professional Cotle: T�e Contraclars' State license Law
doe5 nol appty �o an owner 01 a pm0erly w�a OUiIUs or impmves ��ereon, and wA0 Oces SUt� wOrk hlm5ell/hef5ell ar I�roUg�
his or her own employees, pwvitle0 IM1ai suc� impmvemen�s are not inten0e4 or ofle�e0 lor 5aie. If, �Owever �he huiltlinp or
improvement is sold within one year at comDleiioq Ihe owner will have ��e burtlen o� pmvinA �elshe ditl nol 6uild or impmve
• lor ��e purpase ol sale).
I, as owner oi @e pmperiy, ain eMclusively mnVacting with IicenseG conVactors to consimct t�e pmleci �Section 7044, Business
❑ ana Piofessions Code: The Comractors Stale License Law does not aDPly to an owner ol pmDerty who �uilas or impmves thereon
antl who coniracis far such proletls wilh a coniraclor�s) license pursuanl to Ine Coniractors' Slate License Law). I am aware
Ihai proof of Ueir Workefs Compensa�ion insurance shoultl De prowdetl to me.
� I am ezempl under Section: 8. 8 P. C. .
�or tnis reason:
Oate: Uwner.
I tlo �ereby cenily �hal I am aware ol antl untlerSlanU �he repuiremenls o� Calilornia Heallh anG Sa�ely Coae Sec�ions 25505. 25533, antl
2553a antl Ihal I or any fulure builtling occupan� will/will not (circle one) neetl to comply wii� saie sia�e coaes an0lhe iepuiremenls lor a
permit lar conslmttion ar modilicaiion imm Ihe Air Ouality Management OiSiricL ReSiAenlial constmclion applicalions are exemD� ��om
�hese pmvisians.
Date�. pODlicant:
I hereUy cetlify I�atl have reaalhis ap0lication and slale thal Ihe aDove inlormationis correct. lagree lo comply wil� all cily antl counry
arainances anU slale laws relating �a Guilding consbuciion antl �ere�or¢e reDr¢5 nlaiivu 01 I�iS ti�y IO enler u0on Ihe ahove-meniioned
prOp¢!ly 10! ins ¢cii n purp05¢5.
Oat¢: SignaWre:
Orivei's License o� Social Securiiy x; ��-�
t6aLa6 Wh�te-Builtling', Green-CoEa Enlorcamenl: Canary-AO011cenl; Pink-Revenue: Goltlenrotl-Assessor
CITY OF CO3TA MESA — BUILDiNG PERkIT
PERMIT NO;,B 059853 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE; STR
PEdN. NO; d 059853
GOVT: � SUFP: N
PURPOSE; Ai,T
JOB DESCRIPTION ; T/OFF REROOF W/COMP SQ FT: 2,500
CLAIM VALUE: 2,500.00 CALC—VALUE: 2,500,00 GROQP OCC: R-3 /
CUMMENTS: SMOKE llETECTOR RE�IIIRED
�t�tx�t�t****x��r�:��c��*��K�tx*x*� �e*�c��xx*��r�x*���x�xx+���t*��*�x�x*�.���rux�x��c�cf����x��
Z O N I N G R L' Q U I K E M E N T S •
S E T B A C K S
------------ MAIN BUILDING --------�— --------- ACCES50ftY BUILDING � --------
FftNT: FT IN REAR; FT IN £RNT: FT IN REAR; F1' It�3
LEFT; FT IN RGHT; FT IN LEFT; !T IN RGHT; FT IN
PARKING REQ • PROV; PARCEL; 42420401 ZNE; REc NO;
PLANNINC- NtSTES>
�
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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'�. M$ N T S
20NZNG APPROVED BY ;n DATE;
BUILDING APPROVED BY ; � DATE:
APPLICATION ISSUED BY• DATE; ��
itS(�kitlf�il�FiEieiE#iF�E�EiffFiEiti(-iEif�Ex�tir �rr �evrx z: i.:w.. tr.tt i r r • r '£iFiti�#%3EiE#iFiEiblf#�x &�#iF�it#*
ftiEiEi6iEiEiflEiFiEiE�iFifil3FiFiFihfEfE3Eif#df�IFit1EiE1fiF3EiE7ElE#3f3EiFiFfElEiE� �IEiEifib� iEifiEii"!E!f##fF#fE#Ik#�%##%#IE##lfiEi(�#ieifi4l(-�)f
LEGALIZATION;N F E E S U M t Y STRUCTURAL SEGi;^�iT;Y
BLDG PMT PLUMBING ELECTRZC MECHANIC FIRE SMIP/RES '� GRk`t�ING
PERMIT 59.00 50 °
SM IP INO(�:�}t•E$'t'' �,-
PL� � . y j'".i.i
ISSUE FEE '"''� • � -
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID 'r %� DUE
TOTALS----> 54.50 0.00 0.00 54.50 �4,50 µ-, �i���,00
'=7
REVENUE DIVI5ZON TOTALS--> COLLECTED: 54,50 OVER/SHORT; '` >•00
BLDG PMT PLUMBING ELECT22IC MECHANIC FIRE SMIP/TpT GRADING�-�.�LAN—�HECK
54. 00 ' �0 ' ,`3
*-�t�*���t� f�*�t�*t��cye***�t+�**�t*����t�rx��r�ti�t���c��t*�r*��t�r�-*rt* fr*�k+�*�r-�x�#f�krt��k�t�***�rx u�ic��* kx�f�*�t��;��ftx-
' I N D I V I D U A L F E E B R E A K D O W N i•
TYPE QTY D E S C R I P T I O N UNIT COST T'OTAL �=05T
SFR 2500 REROOF BY VALUE RESIDENTIAL N020NE 1.00 2,500,00
END OF FEES
EXPIRE�t�ons
{ncomplete Inspp
3�ry�(93
.
� CONSTRUCTION AND PLANNING� P00 SPA
i APPROVAIS Permit # � Date Inspector AppROVALS Permit # Date Inspector
1. Temporary Electrical Servj aor Pole � 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. �, 53. Steel Reinforcement -
3. Electrical Conduit Utility�Undrgmd. 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. Eiectrical Conduit-Undrgrnd.
$. Foundation - 59. Gas Pipe, O Undrgmd., Test .
9. Water Pipe•Undrgrnd. . 60. Backwash Lines, P�Trap, O Undrgmd. '
10. Structural Floor SYstem ' 67. APPROVAL TO DECK
11. Property Sewer Line.& House Connection 62. Backwash & Receptor�Pinal
12. Sewer Cap�� 63. Heater & Vent-Fi�al
13. Roof Drains � 64. Plumbing SYstem � Final - .
14. Rough Plumbing 65. Electrical-Final �
15. Rough Elect�ical�Conduit 66. Solar System-Final �
16. Rough Electric Wiring 67. Fencing & Access ApProval
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Ba� Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rougfi Heating & Air Condi(ioning F1RE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure � 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil
�
23. Gas Pipe-Rough & Test � 72. Underground Flusli �
24. Roof Framing ' 73. Undergrnd.Stora9eTank OGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro =
26. T-Bar Cei�ing (Structural) & Monocoat 75. Dry Chemical .71 �
27. Frame and Flashing 76. Dry Standpipe �~
a<
28. Lathing & Siding � 77. FIXED SYSTEM FINAL ,� •
29. Insulation . I � � 78. FIRE PREV. PINAL �n �
30. Drywall Nailing � � HEALTH DEPT. REQUIREMENT �
31. Plaster Brown Coat . � '} I 79. FINAL iNSPECTION
32. Electrical Power Meter-Final � •j � 80. FOOD CERTIFICATE ISSUED
33. Final Electric , � �' � Notes:
34. Final Heating & Air Conditioning ;. I�
35. Final Gas Pipe�Test . I � '
36. Hood or Canopy I �!� _
37. Final Factory Fireplaae �� �•- I -
38. Final Plumbing , � ��� -
39. Water Service-Final � � I
40. Gas Service�Final � '
1 �
41. Solar pomesticFinal � ' ' ,
42. Backflow Preventer �
43. Backflow Irrigation
44. Landscape Irripation SYstem
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING � ". � E X P I R E D �
48. FINALPL.ANNING � t, . �COrtipBa �5 • , ,
� i
49. Electric Release to Edison I i. � � _
Qs�
50. Gas Release to Southern California Gas Co �" � '
51. CERTIFICATE OF OCCUPANCY l�
No. •Date •
r C�,tsta Mesa Bnilding Department �n APPLICATION FOR PERMIT
��'� 111 EAST 20th STREET �.75 B U 1 L D,� N G �
. � COSTA MESA, CALIFORNIA '
FOR APPLICAN TO Y�'ILL IN �'OR OFFICE USE�ONLY
Receipt/� o. . PeCrmit N
Building (�i[:846Y $iS02�, ' __' V JD �/
Address
Costa Mesa,, California Received by Date Rec'd. Date Issu
Nearest � _a � ��� �'�
crousc. P'om�a SBreeC e��m��9 ,, � /
Address " -p . C�
Owner Ciifii�m�Rsac�HoaiesofOr�e'� CostaMesa,California
rolail A6b �amt 17t� Sso Nearest
Address � {J,�
�.08�� i�.68�8 Tel' ; a CrossSt. fiC.['iC�CLLL2.�
Cit No. �¢�55 -�} Zone p No. of T e I Grou
Arohitecto Lic. /1 I P�ans I YP V I P
Engineer �B� �sb "C�ba$e No. Approved � 2
�,.e5S1315I Sctaoem �9r•do �Los AIISQLOEi by Date� �
c�tr ���. CORRECTIONS
Contractor Ho2ekefita & SO�YAS No, ^�4�
nddress 166 Ee E7k}1 .'�.$odCos3a R2c,aa
Le I Lot
Descr p ion I No. I I I Block Tract Z���
(Attach Metesand Bounds) �
No. of Bldga
SizeofLot �a IL gZ$ I NowonLot Q
UseoT No.of No.of � �- -� -
ExistingBldg. "����� I Families •I Rooms JUL 8_195a�
Setbaek Line from Rear Yard t �
CenteroTStreet S1a SideYa�d �J° - • - -- �-- - � --
DESCRIPTION
New I x I Alteration
Ilding
e
.erfor
� Stories �
ine ��%��
APPROVALS
Frame: Fire Stops,
Bracing, Bolta
I hereby acknowledge that I have read this Application Lath. Int.
and state that the above is correCt and agree to comply Lath. Ext.
with ali City Ordinances and 5tate Iaws regulating
building construction.
Signatureof Plaster, Int.
Permittee _
f-In ��� � � r /� � Plaster, Ext.
Authorized Agt. ��1� XYXIi
Masonry Reintorced
Valuation 'Permit Fee $ a ?
$ T��O Plan Check $ �j- Bond Beam
`ty Total Oo
Fee S ��� '� ' FINAL
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� Show' locatlon and distances from . � � � =�:r�' '" " - •
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