HomeMy WebLinkAbout939 AZALEA DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Job Address: 939 AZALEA DR
Suite:
Vicinity'.
Parcel Number: 41221304 Zoning: R1 R1
Applicant: BIENEK, DAVE
Address: 22622 LAMBERT . -i%' ' � " � " ` " --
� - � - ',Phone: 949-951-3798'
LAKE FOREST, CA- . � .' Zip: 92630 . �
�; �, i
owner. SIEFERT,-EDWARD.W� �
,, : - -
Address ,�939AZALEADR - � " . � �-
� � ' � � ' � � � - Phone: - .. -
COSTA MESA, CA �- Zip: 92826
contractor: �BIENEK ROOFING
Address: 22622�LAMBEFiT ST
, STE 303 . Phone:' �(800)499-7340
. LAKE FOREST, C ,
Zip:-- 92630' � License:' 651509
' Arch� :-- ,
Address:
Zip:
, . - , .. Eng:
- - - ' _ Address:
Phone:
l:icense:
� � _. _ � a�vre �
- � TEAR OFF SHAKE ROOF. SHEATH,'APPLY, 21'SQUARES_OF�40
Plan'Check` , $0.00
• Permit: $111.25
SMIP Res: $0.50
`SMIP Com: � ` . $0.00
Other. $0.00
Inspection: $0.00
�Total: $111:75
�. :��. .
SETBACKS�;�,,
MAIN STRUCTURE Front ; 0- 0
ACCESSORY Front � 0- 0
PARKING ezistina: o
NOTES:
i�-:-. :,
Status: ISSUED
Applied: 01/02/2002
Issued: 01IO2I2002
ISSUED BY:
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� FEE SUMMARY „- � , �
�` Calc Valuation: '% ' _ �ga-zoo.00
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' � � � - � Claim Valuation: ; s� �� � �- gd�,2oo.00
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PLANNING & ZONING '
Rear 0-0
Rear 0- 0
Left 0- 0
Left 0- 0
Re uired: ' 0 Pro osed: 0
.
, Right" �•0-0`. �'"'�
Right . 0-0; �
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements unde� Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
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. . � • �
IN5PECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspectiona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2416� (8�W)
WOHKERS' COMPENSATION DECLAFiATION: , � . ��
I hereby eHirm under penalty oi perjury one of the tollowing declerations: ' �
❑� � I have and will meinteln q certiticete ot consent to seN-Insure for workers' compensation, es providetl for by section 3700 of the Labor Code, for the pertormence of the
wo or whiclithis permi� I5 issued.
have entl will maintain workers' compensation insurance, es required by seaHOR3T00�af the Labor Code, for ihe pedortnance ot the work for which Nis pertnit is issued.
My workero' compe sati0n Ins nce ca�rAner and policy number are: I n'
Cerrier: �'Q�i"�- -�UVt!/\ PolicyNumber: I �s� � 7 ' ���
(This secfion neetl not be completed il fhe permlt i veluetl at one hundred dollers ($f 00) or less.)
❑: I certify ihet in ihe perlormance of the work for which this permit is issued, I shall not employ any person in any menner so s to become subject to the workers' �
compensation laws o! Calif ", nd agree thet f sh Id become subJect to Ihe workers' compensation provlsions o( Se ion 3 0 of ihe Lebor Coda, I shell forfhwith
comply with ihese pro �ns. //�7/�, 1 O�
Applicant SignaWre: E[�� E6( /' .I / Date:
�7��
WARNING: FAILURE TO SECUa WORKERS' CAMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL NAL IES AND CIVIL FINES UP TOONE NUNDRED
TFiOUSAND OOLLARE ($tOb�O), IN ADDITIIXJ TO THE COST OF COMPENSATIqJ, DAMAGES AS PROVIDED f-0R IN SECTION 3106 OF THE IABOR CADE, IMEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aflirtn that I am
force and eXect. Llc. # _
ContrectoYs SignaNre:
with Section 7000) af Division 3 ot �he Buslness
Class a
and my Iicense Is In full
CONSTRUCTION LENDING qGENCY:
❑ I here6y etFirm ihal ihere is e constmction lending egency tor the pedormance of the work for which ihis permit is issued. (Sec. 3097, Civil Cotle).
Lender's Name:
Signeture: _
OWNER-BUILDER DECLARATIONS:
Lenders Address:
Date:
I hereby aHirtn that under pen911y of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe followinq reason (Sec. 7037.5, Business entl Professlons
Code: Any ciry or county which requires a permit to construct, elter, improve, demolish, or repeir any sWCNre, prior ro its iuuence, elso requires the epplicant for such permit
to file a signed stetement thel he or she is Ilcensed pursuent to the provisions of the Contrectors License Lew (Chepter 9(commencing with Section 7000) of DlNsion 3 of the
Business antl Professions Cotle) or that he or she is exempt therefrom end the basis tor the alleged exemption. Any vlolation of Section 7031.5 6y any epplicent tor a pertnit
sub�ecis Ihe applicent to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with weges as their sole compensation, WILL DO THE WORK, and the structure is not intentletl or ottered for sele (Sec.
7044, Business and Professions Code: The Coniractors License Lew tloes not apply to an owner of properry who builds or improves thereon, and who does such work
himself or herself or [hrough his or her own employees, provitletl that such improvaments are not intended or offered for sale. If, however, the building or improvement is
sold wilhin one year of cqmpletion, the owner-builder will have ihe burden of proving ihet he or she did not build or improve for purpose of sale.).
❑ I, es owner of the properiy, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professlons
Code: The conirectors License Lew does not epply to en owner of property who builds or Improves Ihereon, antl who conirects for such project with e conirector(s)
license pursuant to Ihe Coniractars License Laws.).
❑ I em exempt under sec.
Signature: . _
Owner ID verified by dnver's IiCense. ❑ Yes ❑ No
Business and Professions Code for this reeson:
Verlficetion of Ownerehip by (type of documant, I.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SpFETY PERMR CERTIFICATION:
Driver's License No.
Dete:
Expires:
❑ I herehy certity that no etcavetlon five (5) or more feet in depth into which e person is requlrad ro descend, will be made in connectlon with work euthorized by this
permit, end that no builtling structure, scaHolding, felsework, or demolition or tlismantling thereof, will be more than thirty-six (36) feet high. (Chep. 32, Grp 2, Art 2, Sec.
341, Tflle 8, CalAornia Atlminisiretive Code).
❑ As owner-huilder, I will not employ enyone b tlo work which wouid require a permit from the Division oi Indusiriel Satery, as noted ebove, unless such pereon has e
permit to do such work from the division.
SignaNre: Date:
Division of Induslnal Safaty Permit Number:
CEHTFICATE OF COMPLIANCE AND AUTHOHRATION OF ENfAY: I ceniy under penelty of perjury that I have read this epplication and state that ihe informatlon given is
correct. I egree to comply with all stete laws end city ordinences relating to Duiltling construction, and authorize representatives oi the Ciry of Costa Mesa to enter upon the
above-descnbetl property tor inspection purposes. I egree nat to occupy or allow occupency of eny building euthorized by this permit until final in5pection.
COUE �. -INSPECTIONTYPE
1616 Fixed System Final Fira Prevention
1266 Pool Spe Final
200 Final Re-Roof
201 Final BIocWRe�eining Wall
202 .Final Factory Fire Place
203 Finel Sign
204,. Final Demolition , .,.. , .... ,
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�
` �� Dete
1
Date
COpE� INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Eleqrical
212 Final Fire Prevention
220 Final Planning Approval � .
222 Finel Site
250. Final Building�Occupanq.
Pflg 1tii�LS
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COSTA MESA BUILDING•SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
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For Applicant to Fi!l in Completely
BUILDING ��� � ) '
ADDRESS /
OWNER Larwin Southern California. Inc,
MAIL
ADDRESS 16255 Ventura Boulevard
CITV Encino. California No �986-8890
BRANCH 16255 Ventura Boulevard
ADDRESS Encino, California
ARCHITECT � ._ . TEI
ADDRESS 9100 Wilshire Blvd., Bev. Hills
CONTRACTOR Larwin Southern Calif., Inc.
aooaess 16255 Ventura Boulevard
ciTv Encino, California nrio�986-8890
uc No. 191311 LICVNO. B�1
S I Z E NO. OF BLDGS.
OF LOT 6O X LOO NOW ON l0T O
USE OF
EXI5TING BI,OG.
s�ze oF 2354 NO.OF Z
NEW 6LDG. ROOMS STORIES
EXTEFIOP WALL ROOF
COVEPING stucco COVERING wOOd shingle
USE OF BUILDING AND WORK TO BE PERFOf±MED
Construction single family residence
� hereby acknowletl8e thei I heve reatl this application entl state
that the above info�mation is correct antl a8�ee to comply with
all laws regulaUng builtling construction, and I shall not emplay
any person in violation of the workman'S compan5ation laws of
the State of Celifornia.
I hereby cartify that I am properly licensetl as a cantracior untler
tha State of Califomia eusiness antl Profeuions Code, Oivisicn 3,
Chapter 9, antl that such licenses are in full force antl effect, or I
am exempt from ttie provisions of the Stata of California Business
antl Professions 'e, Divis n Chaptar 9.
Si8^aturea�J// ����
Petmltte
Autharizetl Agent
�FB -�' /�iPhtGOD 296�` *�x`� 1 T7.7_4
c ^i
APPLICATION FOR BUILDING PERMIT
6UILDING
ADDRESS
OWNEq
FIRE
ZONE T
APPROVED
BV
ZO�� NO.OF
PLAPIS '
VARDS APPROVED
MAIN BUILDING
(FROM C/L S'jR_EET�
FRONT �v FT.
w cinc �cT
DISTANCE BET.
MAIN BLDGS.
VAR. #
C.U.P.�
APPROVED
M�LD Foi
VARDSAPPROVE[Y
ACCESSORV BUILOING
O( CYCi"T/ SQ. FT. �L � C(L / i�' `--,� .
THE AMOUNTSHOWN UNDER VALUATION IS FOR
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV:
VALUATION
PEFiMITFEE $ LL6.SO
$ .3S�6OO.00 PLANCHECK$ 'SB.ZS
TOTALFEE $ ],]�{..]S
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JOB ADDRE55 %3! „L211Cn ,u .
GENERAL CONTRACTOR Larwin
AP��o. 412-213-04 LOT 61
IR;:;��`:iCTI0N5
SOIL
GAS
WATER
ROUGH PLlIM61NG
PROP. $WR. LINE � HOUSE CON. �
SPRINKLING SVSTEM
MISCEL�ANEOUS
ROUGN HEATING AN� AIR CONOITIONING
TEMPORARV SERVICE OR POLE
UNOERGROUNO �] POWEF �
ROU6M WIRING
TRENCHES � �FORMS STEEL REINF!
FLOOR SYSTEM '
BONO BEAM � STEEL REINFORCE ❑
SHEATHING
FRAME ANO F�ASHING �
LATMING — IN OUT
PLASTER, BROWN COAT
ST -TURAL, FINAL
H� .JG, VENT., REFRIG. ANO A.C., FINAL
PLUMBING, FINAL ANO GAS TEST
BUILDING PERMIT N0.
KRes.w att.Gar.
17a\I
SUBCONTRACTOR
;'��' 401I4
COSTA MESA BUILDING-SAFETY DEPARTME�
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BUILDING
ADDRESS
OWNEF '1///i/�/A////� .�J�%lJJ'� /�T//
CITVr,�,Sf'/�
CONSTFUCfION
LENDER /i�
BRANCH '�'
AD�RESS ��'
ARCHITECT
ADDRESS
CONTflACTOR
ADDRESS
CITV
STATE
LIC. NO.
512E
OF LOT
USE OF
EXISTING BLDG.
SIZE OF ,
_ TEL.
TEL.
NO.
� l8�t il ,lct�
TEL.
NO.
CITV
LIC. NO.
INO. OF BL�GS.
NOW ON LOT
10. O F
innnnc �� c-rnvic
USE OF BUILDING AND WORK TO BE PERFORMED
�i�f/ D l�rv��
BUII.DING
ADDRESS
TRACT
OWNER
APPqOVED
FAIC �t ir:r�Td:ir
,�rr� —�-75cMs„00 353•• 9.50
)N FOR BUILDING PERMIT
DATE RECEIVED D TE SSUED
-�s
_ �.�� PER1 ITNO.
� ��
�,J LOT BLOCK
VALUE /
-V' $ CO
TV E GROUP /�. �7
. _ ...,... l �'I — /
I NO.OF �
� PLAN$
YAROS A7PROVED
DI5fANCE BET.
MAIN BLOGS.
VAfl.#E
C.U.P. #'�
APPROVED / i �
USE OF NEW
BUIIOINC�'�.�Q �
VARDS APPFOVED
BET. MAIN &
ACCESS. BLD
DATE
APPRpVED
I hereby acknowledge that I have reetl tnis application antl stete
that the nbove information i5 correct entl epree to comply wlih
all lews regulating buildin8 �o�struction, entl I shell not amploy
any person In violatlon of tho workman'S compen5etion laws of T/�i
the Stete af Californfa. �
i hereby cerUfy that 1 am properlY ��censed aa a contractor u�der SQ. FT. o
the State of Celifornia Businass entl Professions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, antl thet such licenses are in full force end effect, or I 7HE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: Q
am azempt from the provisions of tha Stete of Cellfornia Business
VALUATION
entl Protessions Cotle, Division 3, Chapter 9. N
//�� PERMIT FEE $ .� ]
Sig^ature of �%/�J�/� , /� (//�+ / � m
Permlttea i���<�-L�i'�� $ ]�//n � PLAN CHECK $ E
v �y ' s
Authorizetl Agent LL
TOTAL FEE $
OWNER TORRES, Marian V.
JOBADDRESS 939 Azalea �
GENERAL CONTRACTOR Oc,mei-B
Ar ��412-213-04 LOT
Ih_ {TION$
SOIL
GAS
WFTER
ROUGN PLUMBING
PROP. SWR. LINE Q HOUSE CON. �
SPRINNLING SVSTEM
MISCEIlANE0U5
ROUGH MEATING ANO AIR CONOITIONING
BUi����._
K Patio Co
VALUE $ 816.
SUBCONTRACTOR
UNOERGROUNO U POWEft Lf
ROUGH WIRING � . Hnnfinn ..nd V.nr_
SMEATHING
FRAME ANO FLASHING �
LATNING — IN OUT n
PLASTER, OROWN COAT
51 'URAL, FINAL
HE....AG, VENT., REFRIG. AND A.C., F
PLl1MBING, FINAL ANO GAS TEST n
ELECTRIC, fINqL
9UILDING, FINAL
:: -�:.'
, '
T�� ro.�5' 7 ►� . � - -
IAT N0. l(/ F .
' �/�
ADDRESS � � � t/i�✓1�l,�, ' 1 �
�
The developer of the above entitled tract desires to sell the above seC'
forth lot prior to the time that the tract has been.completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreemen:, acknowledges that
Shg=�ire-they��-(�as� or were)_��l,c, � advised that this tract has
not been given finallinspection nor has it been accepted by the City of Costa Mesa
as having complied with the conditions of approval which were impoaed by the City
at the time the final tract map was approved.
The City assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the City'hazmless from
any claim resulting in damage or personal injury to the undersigned by reason
of the aforementioned uncompleted condition.
RECEIVtD.
CITY OF COSTA N1ESA
Pl4"�?1lPar� �FPT.
J U L 8 197�}
AM PM
7�8i9il0illi32ili2i3�4�5�6
�
BY ���% G���''� / �I�-��._"
Purchaser
` ' �-
BY �!� t � ��� r-�_�'� -�l�L�c., i_�'1 =�
Developer and/or authorized
representative
� �
BY .-�-,; �.��w �1/i��.6L..
'L'ender
s
....r _4r���r+.�.r�.�.�-�� ���.-.....�.�-'��.m��r..m++�+�rv-.�.'.��� . _ .�
l
STRUCTURAL APPROVAL ONLY
SEPARATE PERMITS ARE REQUIRED
FOR ELECTRICAL, PLUPABING,
HEATING, VENTILATING AND
REfRIGERATION WORK
���UB��$ �_� 41
THIS N�J. '�'R �� 'ST NCC01 PE
ALL fNSPECTION REQUESTS
FOR BUILDlNGS
BE EMPLOYEQ,
STATE OF C.
INDUSTRIAL S".I
ADDITfONAL RE
3y �
- - �---- --
APp
� City�'of �stsi
_ APP�i.OVED
��LCITY-OF C057A MEST
PLANNING DEPT.
suaiecr TO BLD6. DEPi. RE0.
���� y�v �ir
BY....Ld_1�LL DATF � -9�
DIR6ROR OP PLANNINO
Ministerial Project
EXEMPT FROM
REQUIREMEN7S OF CEQA
ED
MAKE N� FLANS AMS57 �ef bN J gT q�--I__1o/��
OF DEAT CHANGE$ WlTkOU7 PRIOR ALL r�MES I
APPROVAL �
iHE ISSUAN@f OR GRANiING OF A Prnw�r ,... __ !
OF PLqyS Amn „�_._. _
"�r A PERMIT FOR, �� �HA« N07 BE CONSiRUED
OF ANY OF THE PROVIS ONS N APPROVAL OF, pryy VIOLATIDN
3U�'1�NG TO OF 7HIS CODE.
PROVIS�ONS G'yE AUTHORITY i0 VIOlA7E N� PERMIi PRE-
Of THIS CODE SHALL BE VA��p R CqNC�� THf
F��Tk( iYORK OR fISE WHICN ITAUTHORIZESXIS ZqWFU�O
$p��p A.��UqNCE OF A PERMIi BASED UPON P
fRp�y Ty SNACL NOT PREVENT THE Bfll(DING OFFICIA!
IN $q�p ��FR REQUIRING TNF L'ORRECTION OF ERRORS
BUILDIN�� AN� SPECIFICq710NS OR FROM
�N ��OLqTI���NS BF�NG CARRIED ON iHEREUNDEftEWHEN
OF rHE.`�, '� nHIS CODE Oq OF ANY prHER
�� ORDINqNCE
� /�
.�
PATIO COVER DETAIL 6/1/67
�STATE--j---���,
SPA� SPA!
SIZE , � ,�
OVERMANC� �(�'ti�
„- � RAFTERS: �*
__.« � cNGTH � _ �_ . _ r,---SLOPED FOR DRAIN
l�
%
�` �
3/g t 5 Lags 32% .
Predrill Ledqer 'f4j
Predrill Exiating '/�-3 Daep
JOIS7� HANGER
Or other approved mefhods
of suppurt ♦ tie.
ALL LUMBfN OOUGLAS F/R
GONSTRUCT/ON" GltAOE
Z POST-BEAM
� CONNECTION
'�. , .
POST \
c SHOWx IZE HOW� PACING
SHOW LOCATION ON REVERSE SIDE.
�— SLOPE i0 DRAIN —
9
DROP PATIO FLOOR
„ , .
� �.__ �' ^_.e � PUODLEO SAND FILL .
� a� `..
� �_: `.
Remove G.ass And Weeds Dovrn To No}ural Grade
- CONCRETE MIX 1�3�4 MAXIMUM WATER CONTENT
POS7 ANCHOR ���t•�.a��ti.' 7� GALIONS PER SACK CEMENT.
For Pipe Post.Embed �12'-"� ' ' Provide 26 Ga G.I. Floshing At Wood Floor Const.
Pipe In Footinq•
Provide Flonq¢ pr Weld Plate Screwed Or BolteA To Frome. �
CONTINUOU
LEDGER
TYPICAL JOIST ANCHOR
NOTE � USE REVERSE SIDE FOR PLOT PLAN.
NO I tK —�H � NO 2
FOR OPEN EGG CRATE FOR SOLID SHEATHING.
A�UMINUM OR PLASTIC SHINGLES OR BUILT UP
ROOF COVERING ROOFING.
MAXIMUM SPAN SiZE SPaCING MAXIMUM SPAN
17� 0�� 2x6r 12"/� 15� Iy
I 6� 0" 2'x 6` I fi'/� I 3" 3"
I 5' O" 2"x 6" 24"/� 10" II"
12� O' 2"x 4" 12'% 9� II„
II� 0" 2rY'x4w' n16�� 8� 8'
�O' Ow G X'tI G4��C %' �r�
NOTE: FOR PROPOSED OR FUTURE ROOM,OR WHERE PATIO
WAL�S ARE TO BE BUILT. USE N0.2 CHART ONLY.
WIDER RAFTER SIZE MAY BE INTERPOLATED FOR
SPACING ONLY.
FOR PROPOSED OR FUTURE ROOM OR WHERE PATIO
WALLS ARE TO BE BUILT SUBMIT COMPLETE HOUSE
AN ADDITION PLANS
COSTA MESA BUILDING DEPT.
17 FAIR DRIVE
834-5273 _ °