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HomeMy WebLinkAbout948 SERRA WAY - Building Permits PROJECT ADDRESS: 948 SERRA WY ', I UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 058588 A OWNER'S NAME: MOELLER DON E `1R ADDRESS: 948 SERRA WY PERMIT NO: B 058588 PLAN CHECK NO: N GOVT: N SUPP: N COSTA MESA,CA 92626 CONSTRUCTION TYPE: 5—N PERMIT TYPE; STR PURPOSE: ALT ( 714 ) 546-0180 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/O EXIST. ,RESHEATH & REROOF W/25YR COMP SQ FT: 5, 500 ADDRESS: UNIT: CLAIM VALUE: 5, 500 . 00 CALC—VALUE: 5, 500. 00 GROUP OCC: R-3 / PERMITTEE: LEE ROOFING ( 714 )642-7223 ADDREss: 1653 SUPERIOR COMMENTS: SMOKE DETECTOR(S) REQUIRED IN HOME. COSTA MESA CA 92627 ****************************** *************************;F*;E******************** LICENSED CONTRACTOR DECLARATION: I hereby atlirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS .1 71110)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS ^ ��Afe'Sj'['"�C f •.. ✓ 'NLddUUQQ��Do CITYLICp:028 51 STATEIA.:34968��J)/�y�GLA'^C-2_94 F� • _• Date: Q '/�� 1, ) Signature. �'w v t �'� —�, MAIN BUILDING ACCESS(.R,Y UID 3 WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a still to of consent to self-in50r or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR1EQUF' E®IN Compensation Ns �aA{Ib O EClA Tfpythereof(Section 3B00.Lab. LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT"e F IN POLICY NO.: •L-3 ��• EXP.DATE: /30/93 COMPANY: STATE FUND PARKING REQ• PROV: PARCEL: 14155204 ZNE: L't REF NO: ❑ Certified copy is hereby furnished. L19 Certified copyis bletl th the city Buildin Divisi . PLANNING NOTES> Date: `lo -Cla Applicant: /spm > *************** **************************************************************** DEVELOPMENT SERVICE $ REQUIR EMEN�;T $ • EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section ne at be ompleted if the punt is for 0undred 5W)or less). I certify that in the performance of the work for which this permit is issued,I s I n employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BY . DATE: A Date: signature: BUILDING APPROVED BY : DATE: NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor Code.you must forthwith comply with such provisions Or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: 1 DATE• ' which this permit is issued(Section 3097.Civ.C). ************************ *** 3A*** ** *** **************** �* • LENDER: ******************************************** ********************************* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the lotowing reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE ' SM I P/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 81 . 00 55, repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed SM I P/NONRES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commenting with Section 7000)of Division 3 of the Business PLAN '• and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by ' any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE •1' I. as owner of the Properly or my employees wilt wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID ,) DUE ❑ structure is not intended orofferedfor sale(Section7044,Business and Professional Code: The Contractors'Stale License Law TOTALS----> 81 . 55 0. 00 0.00 81 . 55 81 . 55 �a . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himsell/herself or through h his or her own employees,provided that such improvements are not intended or offered for sale. II,however the building or REVENUE DIVISION TOTALS--> COLLECTED• 81 . 55 OVER/SHORT• 4„P ,' 00 improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve for purposeof sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING/iPLAN—CHECK I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 81 . 00 55 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractors)license pursuant to the Contractors'State License Law).I am aware ******************************************************************************* that proof of their Worker's Compensation insurance should be provided to me. I N D I V 4 D U A L F E E BREAKDOWN ,�'(/ ❑ am exempt under Section: B.g P.C. for this reason: TYPE QTY D E S Cc-1\2I P T I O N UNIT COST TOTAL COST Date: Owner: SFR 5500 REROOFaY VAi UE RESIDENTIAL NOZONE i.. 1 ,00 "!'15, 500 .00 Ido hereby cenily that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and , ''y ' END OF FEES _ 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a J - C`l ,3'I r ' 4 permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from .vr” • J ` 1r'1 IS I 'S P ;,1V(( ‘l f P "r ✓/� these provisions. � r f � / r �� Date: Applicant'. �,,^'�O ? `� I hereby certily that I have read this application and state that the above information is correct.I agree to comply with all city and county -" ordinances and state laws relating to building construction and hereby authorize representatives of this to enter upon the above-mentio property for inspection purposes. r // _ _ —� Date: 7.4)- — �� Signature:� //� �� � -- Driver's License or Social Security♦: 1641-46 White—Building:Green—Code Enforcement:Canary—Aoolicanc Pink—Revenue:Goldenrod—Assessor r E CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit # Date Inspector APPROVALS Permit# Date 'Inspector 1. Temporary Electrical Sere or Pole . 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. c..t 53. Steel Reinforcement , _ ,- , r- r :3Electrical ConduiUtility-Undrgrnd: ' 54. Forms ._ 4. Electrical Conduit,Uridrgrnd. , : 55. Electrical Bonding _r,5,5tee1 Reinforcept'eJ'r1 - - 56. Rough Plumbing & Pressure Test .> a e r. 5. Elctrical UFEB.Grod. 57. APPROVAL TO COVER•GUNITE v X.�Fgotings J z 58. Electrical Conduit-Undrgrnd. " '8. Foundation .- 59. Gas Pipe, 0 Undrgrnd., Test -'9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System J t 61. APPROVAL TO DECK 11. Property Sewer Liner& Hotrse Connection - 62. Backwash & Receptor-Final r J 12. Sewer Cap i v 63. Heater & Vent-Final 13. Roof Drains _ 64. Plumbing System - Final 14. Rough Plumbilfg - - 65. Electrical-Final 15. Rough Electrical-Conduit , 66. Solar System•Final 16. Rough ElectricWiring - - 67. Fencing & Access Approval 17. Rough Wiring,Sign 68. APPROVED FOR PLASTERING 18. Rough Electril-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT , A. . el b' +t.U:. it .r .L' 20 1oGgh FEctoty Fireplace :r J * v v 7 • c t lc 'APPROVALS CPermit # rc } 21 Ducts,ig•St'r�ucte:PA4 - .. .. _ -1:. • ,70. Undergroanet Hydro •� 22._Du^s, kntl,ati_qK r:n s - I x T i71. Product,'Y iiing apps IJ'pil 23.x- a ipyRn lh 8i zest �S n _ a vR t,72• Undergrou,_pd FRISK= r t- v - _;,n , l• ,. J r S+, a- . 7 ., r 24,r:oot Framing , 4•c- .'-$ .7, '� ` Zr t C.73PUndergrn'.StoragCt nk 0 Gas 0 C7i1 25. RoU St a[hing r> Z '. ' r > .4 x a '74 Qverhead'lydro-' 0 26� & T-Bar Ceiling (Stcuetural) ,ivlenocoat r 0 mfi 75.-try Chemical ' = ' 27 Frame and E�asfi Jit z n .- r D: 'I.': 76flfry Stant#piSe - ' w ' �1 J 28. Lat�ing Siding 1z,ti^ J.41 f 5' ••I . 77L. - FIXED SYSTEM RINAL' J29. Insulation {* " " k 'DI F, x 78y FIREPREV. FINAL $, > :.430. Drywa!Mailing---x * .: .R .HEALTH-DEPTt. REQUIREMENT r . _ Y S 119- 1. • r- w 31. Plaster Bson Copt;,- i - •:. < ` w _79'.YFINAL I11SP7_CTION K •- ' ^.32.-Electrical P Aver pletet-Final, 7 x T % i. r'BO.rFOOD CERTIFtMATE ISSUED 4. ._33.=Final Electric ax q a (' . - N9t.s: -5 __ _ _34: Final Heating&7l14Conditigrx^�Tg; n , L .c a.s •l•Y +• i "_ 35i Final Gays Pipe•T8'sr _i= (,; , y C', .:15 'c r SC c36:�Hoo oor�,Canopy�` - t: ., ,^1 •. - - -37.:Final Fetory FirePlacez St - At ' ' ( . ft'.i ' u rJ `38. Final Plumbing i U h I I+ ` ,y w r C S - •'39. Water Sei vice'Finalt - _ c• - r S ' .• .•f•• '' > - 40. Gas Service-sinal 1.`, 4.4..4 , r r, T ,� I •-4 .;. - -,,t ` tti 1 i-41. Solar Domestic-FinmLs •• * = "x + • _ - -t 7'42. 'Backflow PreventeT ef '- ! I (;, x t i �J-t2- ;K�y. _�j._ _ it /� �Cl � 43. Backflow Iriigatiorr ..• --. .s. t r %��- 'h917 7 1 - C c:70 X44. Landscape laigatign Systemx r _ r -, - Y , ,- est ' 45.'ttSound Attenuation s'- r •- - - it, ,r1 r* -• . • x _ c 46.;Handicap Rgulatigns * n •- i • _O r •• .� a i 47:;FIPtAI_STRUCTURE & 8U1tDING p, 1 48,:FINALPLANNING4 .L : -' 1 S x -' - -49.4lectric Release to+Edison 4. - - r :50.,paliRetliase to SouThern Califo[nip Gas Co I I. ` ':51. CERTIFICATEOFOCCUPANtY > - .- 1.,.7. .- No. Date 8 " l k--t• rFtgi,,,(ED Co. F. .r Peo-wtT�037 UREIC) L_i. co-I I - 813a eiliti."7"'"................................, • e S. tiI4D _ P� � _� •. LePTT' 0 -.-- 51-ou 1.1 I.-r7 -_ .,t( T APPROVED 17 i _�g iASU Zs 00 u City of Costa Mesa Building Dept. Zr0 �7 U Atipi 'i- Nye • �!p ,at -?u AAP\' ptt3E –` 1 n 'C'._ _e_ _ _.._DATE `4.I 19 i4tL. Q" THESE FLANS MUST BE ON JOB AT TIMES II a0 µ^^�r' l;7URAL APPROVAL 1' MAKE NO CHANGES WITHOUT PRIG APINOVAL IS ernes:' F31�''wre` - OF DEPT. f(� _ �� , �?ARATE PERMITS ARE .REQUI'� THE ISSUANCE OR GRANTING OF A _RMIOR APPROVAL ELECTRICAL, PLUMBING, OF PIAIIS AND SPECIFICATIONS/1f'A'. N011%t CONSTRUED IJP-rs- e✓" lot) F+L_Iti✓ H��l �t 1 ATI IG AND _ 1 • TO BE A PERMIT FOR, OR AN�QP'JVAI F, ANY VIOLATION �D6TI $RK cl I OF ANY OF THE PROVISION i HIS .cc. NO PERMIT PRE• "1"1 — SUMIN6 TO GIVE AUTH�T'' I" Ito VIO'u1TE OR CANCEL THE P� T 7 PROVISIOIN: OF THIS COI SH BE VALID. EXCEPT IN SO 4Y, / 6 ' '// . FAR AS Tru WORK OR Ur WH IT AUTHORIZES IS LAWFUL, • YTHM ISSUAN, OF �1'ERMIT BASED UPON PLANS AND iieenalt I NUMBER MUST A�(DESTS'OMPANY .. I SPECIEIDAGOBS ° .ALL NOT PREVENT THE BUILDING OFFICIAL : ALL INSPECTION R FROMITHBY:• aREQUIRING THE CORRECTION OF ERRORS — -- — --' IIN'SAIDIP,L',6 AND SPECIFICATIONS OR FROM PREVENTING . - i NU`LDIN .": ATITHNS CODE OACARRIED ANY OTHEP.THEREUNDER WHEN - a FO 6UPERSOARE TD MPLOVED, WE SUGGEST THAT THE 4 STA`: OF CALIFORNIA. DIWSION OF • SPA lNSTAL�TlOK PLA" IND .TRIAL REQUIREMENTS. BE CONSULTED FDR 1 pDDI ONAL REQUIREMENTS . FT SPA : OUT _ ow�y g(JlLI)E� ELEIfPT 3 t8" ',��teal* OI �IYA�vE WO) _0 GLa c!� DOH E.MQELIER $each ErtelosuwE r3aa�1. O i19 ,, N 5ERF \NAY - 9 �� ' SLIDtNe- ems GOSt'A pnE�A LOT 59 p IZ.AEs 4nsso 31 t32- �r.Iu /Ns M 3oolc 149 — . --...–.,•=1.____— - _ _ -- - - 1 •. A A �,C0 of WI I uF B E •�° F Ire° 11w1.16t _ //y, luF _ -_ - AM. (0) I SIZE•Id-es-e.4 GES• bee" � Li_ _ SE- IZ •G'-4"A 414n WE-.FLL 5156c+., . et - to" I 17.-M.•71-ion oC4.00•1 Sita.L"_1nIX.TGG0.! GEAill• 34.11 Pfll• n SIZE--1'-once.9-asa. GFPRI• 3L° c ri J • ate" In AVE FILL*42.5 ,", AW... Fu.•t.00 COAL. Grer11. 34•11 AVE-. Au.• oao Cam-. CAA.. CD-L• CoSo alA.L.. AWE. FILL. 55o4A-L.. SPA PL.t>,t•! I.-tone - c6..4 i_wri OWLS I.CoFfige WIT1I01X ete•'-rite-t To c%a set,. klbrr. SipjeoL.io WDLL pi& LAOW: oZ•4 'zc' . ,-yep AtJ111t r E�•F7RAF}'IErJT, e� eafteT$ H: C,24 d S M IJ 2 , J Ce h"• 2.Au. PUJI-V AICee Woe Lovl- ae cat( f= coGeS. AP' on)p40 INSTAa4ATOrL Yet= ,b,�-- X51 = 10400 3, rin4. P L7pAL 'sill Iwoo F".1. 1•r`s d '24' ' L/ - 4" YI£LD titE ciLL ISo•111141.1G ¢E.•3141. 4 7-ELOLJ sTE95 d- -o d I S Co' Fie t . • LJ ARF_ ,g-.a P•sF M MM 'B.72 ',St F2 = 5Z.6' ,IZ= SoS4 S •-3265 Cx� �NV t• 7 0040 PSI 5' •ILS iSWr1 t ins U A nA, n (=r'J) STEP 4v'•PEEP \ I_I_._. __.t I , 'r �' G�iE /3 2.Szv LZ,4. GS PSP - EN Isms z' FLATZ. t flfl�4 -ra AiL EEo...tC M. -.5 , Zz . 3Z. 5 roIL al p, _ _ � Z' 4, /g yiIto.L. AFl? Iii 0 THESE DRAWINGS AS INSTRUMENTS OF SWAGE ME ra FtE TIG comp') it N Alt .....'D.2-Ta PROPERTY OF THE ENGINEER.NO MUNOREPO, T REsLu. SUC.TIOr.1 Dump wNNwwx r THE NNE or B. C. ADAMS. GZOUJD '_ 112 1 lie LS'LSEk.1 GEI1N.ARD C. ADAMS POOL PLANS INC. �_ ' Lan. - 107 M1 N riatt1 Woo A.I ' 11.:'.7'! - _.1.1' E--�i !?i';'i3OC,t.li.:'%:-i •, ,i! 5360.1^) 6.0 /{n.."._y Z 4lGIiAG4- GARDEN GROVE,G\4[o4D Joe, *' P-540 BMS Fiberglass Ind. Inc. �/ ^^ I ''° A'o"` co-Yr i 470 FL. IJ �CGETI &1/41E. . I I PI CAL- c3ECli DISI Lc6 A. HIES& cp. .1Z4,27 548-53ZZ • DON E. MOEUER. 9e.8T5AERM SAA' L05tp" ts,,, CITY OF COSTA MESA 0 r •,,,‘ CALIFORNIA 92626 F.O. BOX 1200 at ,. FROM THE OFFICE OF THE DIRECTOR OF BUILDING SAFETY • aem.T Al• 7�/7/ S%iLt l�!�G, Project Address ?45 SGPermit Y Project Name J �j� Type owners Name �OiO/tiL i2?oeutr / Owners Address ffecc -g- laity (1/1 City Use Cnly Owners Telephone 6-96-- 4/2c) I ab° 5, ITt OELieC/ as owner, Contractor, Agent (strike out all except one) do hereby attest that elcyment of any person, or persons, is not anticipated at the time of seeking the above-referenced permit. In theevent that any person, or persons, are employed under the provisions of this permit, I.shall immediately cause a valid Certificate of Workmen Carpenation to be filed with the Costa Mesa Building Division. I agree to defend at my awn most, and to indemnify and hold harmless, the City, its officers, agents and/or employees, frau and against, any and all liability, damage, costs, losses, claims and expenses, howsoever caused, resulting directly or indirectly frau, or connected with the improvement under this permit. I further state that I have read and fully understand the implications and re- sponsibilities of the above statements, and will carply with all provisions of the Contractors State License Law found under the Business and Professions Code, Division 3, Chapter 9, of the State of California. cl o o E , 1'14oww.- C-1 Print None # • 0 / It ignature I= e Rasa BUILDING: 948 SERRA WY Wit CITY OF COSTA MESA - BUILDING PERMIT .iS NAYE IF PalkMOELLER DON E TR PERM NO: B 082961 ADDRESS: 948 SERRA WY 4 COSTA MESA, CA 92626 PERMIT NO: B 082961 PLAN CHECK NO: N GOVT: N SUPP : N APPL.MAILING ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: ALT ARCHITECT OR ENGINEER: LIG NO.: JOB DESCRIPTION : T/OFF RESHAETH 6 REROOF W/25YR COMP. SQ FT : 2, 500 ARCH.OR Dal ADDRESS: WIT: CLAIM VALUE; 2, 500 . 00 CALC-VALUE: 2, 500. 00 GROUP OCC : R-3 /U-1 CONWACTON'SNAME: BEST ROOFING ( 714 ) 650-1366 camicrORSMMDDIO 236 VICTORIA ST COMMENTS : CARPORT REROOF l`YLl.✓ ec%("/ :04 of rn). ADDRESS: COSTA MESA CA UCNO.: 603323 ********KN*+E*+t**)Ex***x****** (*it* iERE*itiENB6*BE*itiEiEit* itrt***atit**Re RE*Se*****SEBE********S6,E 92626 UM: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty d perjury that I ern[cased under provisions d Chapter 9 SETBACKS (commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full forte and effect. • 51718 LIC.CUSS: C_39 LIC.NO.: 603323 EXP: 09 /97 MAIN BUILDING ACCESSORY BUILDING ---------- It ^ FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN It17 Contractor: „P LEFT : FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN R BUILDER D LARATION:I hereby affirm under penaly d perjury that I exempt from the Contractors License Law for the following reason(Sedion 7031.5 Business and Professions Code:Any ctyorcamry which require'a peon°tooataouct.alter.improve. PARKING REQ: . PROV: PARCEL ; 14155204 ZNE: REF NO: demolish.or repel any structure.prior to is issuance.also requires the applicant for such prow to file a signed statement thatthis he or is Seemed pursuant to the provisions of the Contractors License Law(Chapter 9(csmnencing with Section 7003)d Division 3 d the PLANNING NOTES(>' 9usiness and Prolessions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section > 031.5 by any applicant for a permit subjects the applicant to aciW penalty of not more thanfiae hundred dollars IS5001). ***************c******************************************************•********** ❑ I.as owner of the properly or my employees weh wages as their sole compensation,will do the work.and to atmcture is not intended D E V E r L O P M E N T SERVICES REQUIR EME NY..? S or offered for sale(Section 7044,Business and ProfessionsCode:The Contractors License Law does not apply loan owner of property who builds or improves thereon.and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.I,however,the building or improvement is sold within ane year a completion.the ZONING APP ROVED' By : Cr' ownerbuiker win have the burden d proving he or the did not build or improve for the purpose d sale). ❑ I.as owner d the prepdy,am exclusively contracti g with licensed contractors la momw the project(Section 7014,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon and who BUILDING APPROVED BY : DATE: contracts for each projects with a waractor(s)licensed pursuant to the Contractors Uceree Law). ❑ Iemexempt under Section: B.AP.c.,for this reason: APPLICATION ISSUED BY; DATE; ******************************************* * ******************** * Date: °Nor LEGALIZATION:N F E E SUMMARY STRUCTURAL EGMENT;Y I do hereby catty that I am aware d and understand the requirements of Caliomia Health and Safety Code Sections 25505.25533.and 25534.and that I or any fate balding woman*will/wit not(circle one)need to comply with said Gale codes end the requirements ler apmw for constnaionanodirratian horn the AlOs-My Management District.Residential nomiasi:0appfulba are exemptfmn time BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 74 . 7550 Dale: Applicant: SHIP/140N ON-RES WORKERS COMPENSATION DECLARATION:I hereby elfin under penalty of declarations:one of the following declarata: PLAN ISSUE FEE ❑ I have and MI maintain a certificate ol coreent to sell-insure lac workers'compensation,as provkled for by SOC1/01137C0 of the Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE Code.for the performance of the work for wfich the pend is biased. o I have and w naintem workers'compensation insurance.as required by Salim 3700 o the Labor Code.l« performance of performs the TOTALS > 75 . 25 0 . 00 0 . 00 75 . 25 75 . 25 . 00 work for which this permit is issued.My waken'compensation insurance cart's end pricy number are: Calder: REVENUE DIVISION TOTALS--> COLLECTED : 75 . 25 OVER/SHORT: . 00 Poky Number. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK This section need nor be completed irhe permit is for one hundred dollars R1" or ., .1 74 . 75 . 50 w3 I certify that in the performanced p the work for which this row is i I Mea not employ any person n any manner so as to become subject leg the workers'compensation laws d Cab ./ :Nat i I should booms subject leg Ohs maws' *****************SEW************************************************************ compensation°noovvasOns a Section 3700 ol the Lessor Cade,I' fonl'.y . pry with Maes provisions_ I N D I V I D U A L F E E B R E A K D O W N Date. 15' /7 Apdi ant: FAA rC/ Ing:Fepunfosecdn wodnn'corrywuauon coverage la nlnrN a1•altar subject an employer to cdMialpflWfl end TYPE QTY DESCR IP T ION UNIT COST TOTAL COST civil(Ines up to one hundred thousand dollars(5100,000A In addition to th cost of compensation,darrwpl a ma prodded for In Section 3706 e the Labor cora,ym.,eatand arcan»ya yeea. SFR 2500 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 2, 500 . 00 CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty d perjury that there is a construction lending agency kr the END OF FEES performance al the work for which this permit is issued(Section 3097.eco.C). '" LENDER'S NAME: • LENDER'S ADDRESS: *�fI I certify that I have read this application end nate that the above information is correct.I agree to Call P1/4/with as OD W toady ordinances - -C. MAY 1 9 1997 and state laws rotating to building cenuuuctlon soul hereby authorize representatives of this city to enter upon the above-measned property for inspection ponoses. CITY OF COSTA MESA JI GOULD / (//� • :air" Print Name S .. :.ure a OwnadAgenv. Date: 4'13 (5151-46.WP) / Whee-Buikkg A Safety:Green-"1- . -appkant;Pink-Revenue;Oddemod-Assessor 1 ONSTRUCTIONANDPLANNING POOL , i APPROVALS Permit# i Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement - 3. Electrical Conduit Utility-Undrgrnd 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. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test • 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. - 10. Structural Floor System 61. APPROVAL TO DECK_ 11. Property Sewer Line & House Connection62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater& Vent-Final 13. Roof Drains 64. Plumbing System • Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts,Ventilating 71. Product Piping OGas OOil 23. Gas Pipe-Rough & Test72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing C-2€ .-17 Eetitt/ 74. Overhead Hydro 1 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding77. FIXED SYSTEM FINAL 29. Insulation 78, FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79, FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED I. 33, Final Electric Notes: 34, Final Heating & Air Conditioning 35, Final 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. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System ,if;V:;-`+ _ ../45. Sound Attenuation 46. Handicap Regulations T.- ' 47. FINAL STRUCTURE& BUILDING 5-4 x/7 Gc b' ms ; _, 48. FINAL PLANNING 4 `.. 49, Electric Release to Edison ,• " "`' C 50. Gas Release to Southern California Gas Co N,� '-3 I 51. CERTIFICATE OF OCCUPANCY �"L No._ Date OWNER Don/Eva Moeller DATE 4/22/80 JOB ADDRESS 948 Serra Way BUILDING PERMIT NO. 49990. GENERAL CONTRACTOR Owner/Builder DESCRIPTION of WORK Pm and bath addition AP No. 141-552-04 LOT 59 TRACT 4285 FIRE ZONE VALUES 23,800.00 INSPECTIONS Snature Date TYPE V GROUP I ZONE R-1 sol_ te{,4, �{!" e l.if, SUBCONTRACTOR PERMITS ISSI4ED GAS Dose I Number I Sign WATER nen - 7.y-� A(O Plumbin IV' ROUGH PLUMBING „Set80 Q -3.90 lepla PROP. SWR. LINE HOUSE CON. �A' /I` 7 1/ 1"--.7��-gr, '. SPRINKLING SYSTEM r MISCELLANEOUS �)� ROUGH HEATING AND AIR CONDITIONING 4(/9 Er /- 5'. 8G TEMPORARY SERVICE OR POLE � UNDERGROUND n POWER II ,fere /L ,a .8 -i/ ROUGH WIRING i'% . 7 '•6:°mis Heating /pn�. TRENCHES , FORMS a STEEL REINF. Raws'- ,p,„„„,, ! /4�/ 7-f-ed / 12oy -- FLOOR SYSTEM ' BONO BEAM n STEEL REINFORCE n �) FRAMESHEATHING �j Jj�/��f 9i�� FRAME AND FLASHING Qom•k ,J , n••r LATHING - IN n OUT n a2'7. frj PLASTER. BROWN COAT STRUCTURAL. FINAL CVp.,:ry� � Eleryy[HEATING. VENT., REFRIG. AND A.CF.-,;f FINAL ��n67+A+t.� ;(0aDi t -1-tYa NT7g3 -- PLUMBING. FINAL AND GAS TEST Lnl -40 0 ELECTRIC. FINAL rt 9-4-{40 BUILDING. FINAL / 4977 �/ ;4:9- Q artn1/4--Crz- P-7• RW4 4 22/An 163.67 TL rMESA IILDIA G- SAFETYCALIDEPARTMEN IR 92626 T APPL CATION FOR STRUCTURAL PERMIT REC (PERMIT N° 4 9 9 9 0 For Applicant to Fill in Completely- Use Ink Only vv // BUILDING A pr 1,rJ A.P.NO. /� /� �/ ADDRESS 14S p "'QY /T/^ QVS/s��-��sCy���))}..,.///)))��-��I TTENANT R1.0(WEVA oe / L, ADDRESS 9�Q SW7 eC„ 1J �•M� UNIT OR MAILING �4 O Seaga ��y SPACE NO. ADDRESS %`�—O I N,/ p Tjj r10ys LOT r7 BLK. CITY trig MES/ - NO. sq6 ont CONSTRUCTION �J NEW ADD ALTER REPAIR MOVING DEMOLISH LENDER l..Rl-LA (/I' ce� Il, , / BRANCH eosr'p Iy(E54 (�(V�\.tet /�/"� ,I OWNER {J(Jia./ 4�� ADDRESS 4tAesOC. 'PLUb ///n VALUE ARCHITECT 7 q SRM TEL./7v!'(j0�o USE Rat. {r� S��/�w OR ENGINEER z4ea Aav NO. CJ 7 %� ,/ ADDRESS CIO Si----7". Milner �1a1 agcy./ ZONE /IR I TYPE s' GROUP / '�/Q ©W p €-P-" •✓OI.i MOELtCe_ BYAPPROV ED DATE i /zYQO CONTRACTOR .A � �s I �/�r� I ADDRESS G'48 Segia." WrAY p , CITY CUsra M TEL.646-NO. o(PO (~ STATE CITY APPROVED SETBACKS LIC. NO. LIC.NO. 14 SIZE I NO.OF BLDGS. (FROM C/L STREET) 9. OF LOT J NOW ON LOT I FRONT FT. Q USE OF „,, // co EXISTING BLDG. RC -r S I DE L. I AL R.SIDE 7 FT. HF- Separate permits are required for L.SIDE to FT. 0 ,' W electric,plumbing and heating work. REAR LS// /� /f FT. r J F., USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION a MI (< 2ee I DE QJTL M. ADD I TI C DATE 0 APPROVEDy. 12_tY P < 'I � .L CS y/ b �.. -tt'Flge 5'-eiZi r 'd”&r� APPROVED ROVED JU DATE / -ZZ-SO C W o I hereby acknowledge that I have reed this application and state pr. ' y that the above Information Is correct and agree to comply with 0v all laws regulating building construction, and I shall not employ i Z any person in violation of the workman's compensation laws of E Tthe State of California. I hereby certify that am properly licensed as a contractor under SQ. FT. N the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: w am exempt from the provisions of the State of California Business and Profs Code,Division 3,C ter 9. VALUATION PERMIT FEE $ fDst• QQ n Signature of 1n^ ' 1 YU) STAX PLAN CHECK S S'�a/�OPermittee V"` Lr't is, �O (O7 Or U Authorized Agent Date y`�� TOTAL PAID Si63• 6 7 ttt t'ttl,tivLu '' 15285 Lot 59, Tract 4285,' Plan 400 A SEP 6 1961 COSTA MESA BUILDING-SAFETY DEPARTMENT 1 FINANCE OEPT. P. O. BOX 317 COSTA MESA. CALIFORNIA CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING ADDRESS 948 Serra Way COSTA MESA. CALIFORNIA For Office Use Only OWNER Mesa Del Mar Development Co. I RECEIPT NO. I PERMIT. �1pPII fL_/�2 85 MAIL 800E Coast Highway RECEIVED IY I DAR RECEIVED./I DATE ISSUED ADDRESS 3 E. f+"" y .� OS/ CITY Corona del Mar, Calif. ryp,OR 34220 BUILDIN OR ENGINEER Macco Corporation No.OR 34220 COSTA MESA. CALIFORNIA +�q� ADDRESS 3800 E. Coast Highway FIRE ZONE TYPE "// GROUP a CONTRACTOR Macco Corporation APPROVED p AP DATE ADDRESS 3800 E. Coast Highway ZONING T6 ZON NO.OF . SE OF NE {'IL• CITY Corona del Mar, Calif. (LC —J I PLANS 1 BUILDING `A 1( LICTNO. 98808-SA-1 NO. OR 3-4220 .�-/� LC, . ( I DESCRIPTION I 1/< � 'f'-•J SIZE 6550S F - plus I NO. OF SLDGenone OF LOT NOW ON LOT A.P.NO. USE OF none YARDS EVES EXISTING BLDG. _ APPROVED ALLOWED SETBACK LINE PROM 521 47 1 {CENTER LINE 8T.1 _� CENTER OP STREET G REAR YARD FRONT 4 ZFT. IN. SIDE YARD I LEFT 613" I RIGHT 71 R.SIDE 7 FT. IN. DESCRIPTION OF IIWORK L.SIDE /J6F . 3 N. NEW I IIALTERATION I ADDITION I REAR % 7 FT. �/��..-- IN. , REPAIR I II MOVING I I DEMOLISH I APPROVEDBY �� IB DATE T�f/O BUILDING 6119Hx531 ROOMS 7 STORIES 1 JI /� SIZE / EXTERIOR WALL COVERING COVEStile ROOP RING shake Living area 1685 S F USE OF BUILDING AND WORK TO BE PERFORMED Single family residence Garage area 440 S F w/attached garage Covered porch, etc. 68 S F I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COW PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. VALUATION {/ SIGNATURE OF PERMIT FEE $ 71/ PERMITTED' Me-a Del :r Development Co. i /9 — By /�• ,fit / ,,� $18 247.00 PLAN CHECK $ �' AUTHORIZED _aim' ice','-Calet�G ' S(•W e :J.: TOTAL FEE $ e.