HomeMy WebLinkAbout2417 RICHMOND WAY - Building Permits .s - V _
•
..' " 09 CITY OF COSTA MESA -
F BUILDING DIVISION
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: DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
I PERMIT E01700300
as co
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
ELECTRICAL PERMIT
Job Address: 2417 RICHMOND WY - Status: ISSUED
Suite No Applied: 04/19/2001
Vicinity: Issued: 04/19/2001
Parcel Nunmber: 41916561
Applicant: NOUGET, EILEEN L ISSUED BY: alei
Address: 2417 RICHMOND WAY - - -
Phone: 714-546-8515 ' : -
COSTA MESA, CA Zip: 92626 -
Owner: NOUGET, EILEEN L
Address 2417 RICHMOND WAY �/Y1�
Phone: �(-Ky 'i 1
COSTA MESA,CA Zip: 92626 �� ..
A1
Contractor: oiIs
Address: .
"Phone:
Zip: ,
License:
•
- - SCOPE OF PERMIT,! . - " "
ELEC. CONDUIT, 1 SUBPANEL"IN THE GARAGE"AND.UP4O 1-HP FOR ABOVE GROUND SPA.
FEE'SUMMARY7 •
Quantity - - _- - " ---, - ' - Quantity ci': n
ISSUE FEE $23.50 Temp Dist System/Lighting , $0.00
Temp service test.' $0.00 Busway/100 if; $0.00
Res.a/c package $0.00 Standing'Section>- $0.00
New Res(1-2 units) - .. $0.00 0 Misc Electrical Equipment $0.00 7o//r
New Res(31-units) $0.00 0 '7Sransformers up to 1 kva/kw '$0.00 !1,0? ' '
Pool/Spa $0.00 0 - r , - - • up to 10 kva/kw
Lighting Fixts $0.00 0 - 'C._., : `- -up-to 50 kva/kw $0 00;, �/0
Recept Outlets, ' `$0:00 0 - ;up to,100 kva/kw $0.00/// 0 ;'1. ,
Switches , - $0.06.',. t-,. qb, - over 100 kva/kw ,i5-;$0;00' 0! '
Non Res Apel,• , $0 00 VA 0'�` - Low Voltage Equipment- ; $O 00 0 -
Res Appl '� / .0.60;;;„),
$0 00 N - 0 c- („„/•_ "Low Volt Wiring System/Ckt=��$0 00✓2 0 /,
Service to 200a • /
�� \-' / $0.00- �� 0� , y' Misc'Conduit- " -' $18:20 -� 1` �/'/i
Service to 1000a N $0:00-N �0 _ .. Misc?Conductor- .-• �i'$0.00�; 0/,',,/
Service over 1000a $0:00 / 0 • - Circus.(gen,or.ride) 'A� $000% , 0 -
Motors to 1hp $4:75 1 Circusi(mech ride or.lights) V'/ ;,$0:00 /";,0.6
Motors to 10hp , $0.00`- .'i 0- Christmas Tree Stand \ .:'-$0,00;- , 0
Motors to 50hp $0.00-.,.. ' ?0 Fireworks Stand `,, ' 1 ,$0.0O. 0
Motors to 100hp $0.00- .. . 0 - Other Electrical Fee- - -,:/ $0• .00
Motors over 100hp $0.00----. , ' 0 - - -
Communication drops $0.00 .0 - _ Investigation-Fee, :'=' $0.00
Sub panel to 200a $30.50 1 - 'Plan Check Fee . $0.00
Pole Light Pkg $0.00 0 - 'Reinspection Fee $0.00
Sign Circuits $0.00 0
Temp Pwr Pole $0.00 0 TOTAL CALCULATED FEES $76.95
Intermed Pole $0.00 0
COMMENTS I SPECIAL CONDITIONS
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 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 this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections 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)754-5626
2448-48(WOO)
DECLARATIONS
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will.malntain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit Is issued.
❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Is issued.
My workers'compensation Insurance carrier and policy number are: - -
_
Carrier: Policy Number:
(This section need not be completed it the permit is valued et one hundred dollars($100)or less.)
❑ I certify that In the performance of the work for which this permit is issued,I shall not employ any person In any manner so as to become subject to the workers'
compensation laws of California,and agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provisions.
Applicant Signature: Date:
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED
THOUSAND DOL ARE(S100.000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR WOE.INTEREST.AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is In full
force and effect.Lic.# Class#
Contractor's Signature: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Cude)•or that he or she is exempt therefrom and the basis for the alleged exemption.Any 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).):
vines/ (r
❑ 7 4 ,owner of s the Professions
s Code:aThes witht wages c their sole compensation,WILL DOn THE WORK,and the structure is intendedherofferedo for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an 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.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
w,
I,
as owner of the property,am EXCLUSIVELY COeNTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s)
license• 11(ant to the Contr.•ors License Laws.).
❑ I am e- • • der sec. Business and Professions Code for this reason:
i
Signature. / 1. , 'r M: • 4r,"
Owner ID verified byr's license. ayes 0 No river's License No. Expir:s: •470
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes ❑No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this a plication aermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? U Yes U No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes ❑No
(If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes 0 No
8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OMPLIANCE AND AUTH OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I a e I mpty with all state I- • • dinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-de ' erty for insp: ' •••ses.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
.IIiiii� -
i•natureO - =r(s) D to
•
And/Or Authorized Applicant
;ODE r INSPECTION TYPE PAIE 1NTITIAL$ CODE. INSPECTION TYPE QAff. INTmAL$
•
1618 Fixed System Final Fire Prevention 206 Final Mechanical
1268 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
PDRgS501!AILGNG: 2417 RICHMOND WY UM: CITY OF COSTA MESA - BUILDING PERMIT
OINERS AMIE IF KNOWN: NOUGET EILEEN L PERM NO: B 073612
ADDRESS: 2417 RICHMOND WAY
COSTA MESA,CA 92626 PERMIT NO: B 073612 PLAN CHECK NO: N GOVT: N SUPP : 14
APPL.MMUNO ADDRESS: CONSTRUCTION TYPE: VN PERMIT TYPE: STR PURPOSE: 0TH
ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : T/OFF, SHEATH & REROOF W/ COMP SHINGLES SQ FT: 2, 999
ARCH.OR ENG.'S ADDRESS: Urn:
CLAIM VALUE: 2, 999 .00 CALC-VALUE: 2, 999 . 00 GROUP OCC: R-3 /
CONTRACTORS NAME: STOUT ROOFING INC ( 310 ) 923-6775 •
CONTRACTORS MMUNG P 0 BOX 4309 COMMENTS: SMOKE DETECTORS REQUIRED PER 91 UBC
ADDRESS: DOWNEY CA uc.ND.: 402536 ****1ElhlhlPiEiEiFlEftlEiEitihiFif+fltlEiE1E****IEl ***ltiFitdEffiE#iEiEltlEiElEiEiE#ff****iEx-#1ElEdElEltfEfEiE+EitlElEitiElElt****'*iE
90241 UNIT: Z ONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACKS
(commencing with Section 7000)of Division 3 ot the Been and Proles and my license is in full b 'and effect.
CfTruC.NO.: 0377 , uc.ccukssj39 uc 402 36 • 11 /95 MAIN BUILDING ACCESSORY BUILDING ---
Dae: [/-1�G 4 Contractor: Y A - r FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penalty of peury that I am exempt from the Contractors ,e Law for the
following reason(Section 7031$Business and Professions Code:Any city or county which requires a permit to construct alter,improve, PARKING REQ: PROV: PARCEL: 41916561 Z N E: REF NO:
demolish,or repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she
is licensed pursuant to the provisions d the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the PLANNING N TES>'
Iusiness and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section > 'r'
131.5 by any applicant f«a permit subjects the applicant to a civil penalty of not more than five hundred dollars(SSOOD. ***************4*******************************************************-*********
L] I.as owner d the properly or my employees with wages as theirsole compensation,will do the work,and the structure is not intended D E V E 'L OPMENT SERVICES REQUIREMEN..,TS
or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does not appy to an owner of properly
who builds or improves thereon.end who does such work Nmseff cc herself or through he or her own employees,provided that such /1 �,:^'
improvements are not intended or offered for sale.If,however,the building or improvement a sold within one year of completion,the ZONING APPROVED; B Y DATE: A'
owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale).
❑ I.as owner of the properly.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business arch ........----
Professions
Protractis o Cuda:The Contractors a c ntra or Law does rpu spto an owner of properly who builds or improves thereon end who BUILDING APPROVED B Y DATE:
contracts for such projects with a mmrector(s)licensed pursuant to the Contractors License Law). I
ar
❑ I am exempt under Section: B.&PC_for this reason: APPLICATION ISSUED BY: DATE: j .
I
***********************Date: ower: LEGALIZATION:N F E E STRUCTURAL SEGMENT :Y
I do hereby certify that I ant aware of and understand the requirements of California Health and Safely Code Sections 25505,2;5e1,and
25534,aodlhatlorany nodi&ikinfng omtheAtwill/wJManagemeMDineedle dentywehsuctoneppj t and ereexempt
rfor
equirements BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
2permit for mil ornn«ncei ture builinhomIpani GuehlyMot l not(circle
nte)nee 10 MallPtd cohsaid Wale codes ereexemptemethese
provision°. PERMIT 54 .00 . 50
Date: Applicant: SMIP/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury ane of the following dedati ns: PLAN
u
❑ I have and will maintain a certificated consent to aen.msure for workers'compensatbn,as provided for by Section 3700 o the Labor I U I L E FEE
Code.l«theperformanceotheworkforwhichthispermiNissued. BUILDING-DIV-> PERMIT ISSUE PLAN CHECK TOTAL PAID DUE
ci I have and will maintain workers'compensation insurance.as required by Section 1700othe Labor Code,for the performance oftM TOTALS----> 54 . 50 0 . 00 0 .00 54 . 50 54 . 50 . 00
.T work for which this permit is issued.My workers'compensation insurance carrier end policy number are:
Carder STATE EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 54 . 50 OVER/SHORT: . 00
Policy Number: 044940000468 / 10/19 /95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
Tis section need nor be completed if the perm4 is for one hundred dollars r )or leu.) 54 .00 . 50
I ceniy that in the performance of the work for which this permit Is I shall not employ any person' y manner so as lD
become subtle the workers'compenaet laws OfCaliloni� •nee that' I should be<o act tot woken' *******************************************************************************
compen ahq° Dons m "ion To(o ore ab«socia. ply moue INDIVIDUAL F E E BREAKDOWN
Date: � J' Applicant:
Warning:Failure to secure workers'compensation coverages unlawful,and shall subject an employer to wind I penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up to one hundred thousand dollars(5104000),In addition to the cost of compensation,damages a provided ler In
Section 37Ueofthe LaborCode,Interest,and arorneyYlees. SFR 2999 REROOF BY VALUE RESIDENTIAL NOZONE 1 .00 2, 999 . 00
99 . 00
CONSTRUCTION LENDING AGENCY:I hereby affirm under penally of perjury that there is a construction lending agency ler the END OF FEES
performance of the work for which this permit is issued(Section 3097,Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:
•
I certify that I have read this application and Nate that the above information is correct.I agree to comply with all city and county ordinances
and stale laws relating to buildkg construction end hereby authorize representatives of this city to enter upon the above'mentoned properly
for inspection purposes. • • ENE HURFORD
Prlm f sate—.oda_—.oda_ x# // Q ��7<701 00187694-00187695 T C l T 54.50
i
t/. . :. Dae: GATE: 08/04/95 TINE; 09:27
I
Signature of Owner Agenl/Apprcant/Cont.ct« '
(5151'46 WP) White-Building&Safety:Green-File;Canary-Apphcant:Pink-Revenue:Goldenrod-Assessor
s CONSTRUCTION AND PLANNING PQOL&
Date Inspector -APPROVALS Permit# Date Inspector
C.. APPROVALS Permit#
*; 1. Temporary Electrical Service or Pole . 52. Pool & Equipment Location ,
2. Soil Pipe-Undrgrnd. 153. Steel Reinforcement
.1.,-.71.Electrical Conduit Udity-Undrgrnd. -54. Forms - J '
-+:4:. ectrical Conduit-Urixirgrnd. ' 55. Electrical Bonding
"S▪ :Steel Reinforcenlent ,71
� 56. Rough Plumbing & Pressure Test
•:-76r'Electrical UFER-Gad. - 57.. APPROVAL T0COVE R;GUNITE t
rsc -
�7�F"ootings , " 58. Electrical Condui[JJndrgrnd..
D38.Foundation 59. Gas Pipe, 0 Undrgrnd., Test 7
c r'
r .▪ i•I ter Pipe-Undrgr`d. �; 60. Backwash Lines, PSTrap,F7-Undrgrnd. • •
10. Structural Floor System l- 61. APPROVAL TO DECK -; :7,
•
11. Property Sewer Line •
;& House"Connection - 62. Backwash & Receptor-Final, -
•
12. Sewer Cap �. , 63. Heater & Vent-Final .
13. Roof Drains _ ., 64. Plumbing System - Final '
14. Rough Plumbing --;j` • '65. Electrical-Final t
15. Rough Electrical-Coriduit .:o..7 66. Solar System-Final
16. Rough Electric Wiring' 67.- ' - 67. Fencing & Access-Approval ''' .
17. Rough Wiring Sign ... 68. APPROVED Fe/aPLASTERING
18. Rough Electricaj l Bar Ceiling' • 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating_& Air Conditioning , FIRE QEPT.REQUIREMENT co
20. eoug_6 FactoryFi[eplace I `' .` y 5 ,`',., p't r'APPROVW"-,,c,Pe-
nit# '
•21. Ducts in1StrUetur�:r E 7.S O R 70. :Undergr�i ntl FWcJro x
22. D.uctsm, Veiitila mgt'.y: "S1 C e. 5 ...... : 71. Produ ping Dns 6Oil
23. Gas TPe-Aoug3& Test m * to C C 3- r al
72. Undergrnd FluIW'• x -
r.. „i . ....n. -r nay ^x r' _.• - -
24. Rvof'FraOing" e4 r"' r,T , - y c ` . 73: Undergrrid.Stof-dgetank;DGas 0bil
•
25. Roof".Shr_dthing -;:i; r * 74: Overhead Hydro,,, `
26. -BarCeiling (Stri cal) & tJlpno'coat * O h arn 75:pry Chemical > ti - •
27. Frame and Flashing;,, ,.,t.i1x fi tr }+ 76. Dry Stanpe
zu n
` -' -Z .. 'I: :-'28. Lathing &-Sic8ng ^ A z E •' "r 7xFIXED SY_STE :FINAL.--
P. -----------E"
29. Insulation• - co-*. S •• r t 78T, FIRE PREY. FINAL y > '
- - r :
- 30. Drywall Nailing ;r,x r, * HI 'r • S � H'
tEALTDEPT."REOUTAEMENT
531. Plaster Bis!wncCoat * • r'tr - j :r79.� FINALINSPECTION * -
is . 4 _
1.32. EJectricaPPowwer MetfrrFieal j;,,... • . "8d_' FOOD CERTIFICATE ISSUED,_• - . .
✓33. Finaf:Electric-, -1 _Q x- - i t •.a NGtes: =� - - ,T
C. ^
'.34. Fina�7-Ieating'& Air:Conditionirig� fl a t - '
35. Final Gal-'ippJesy a. .• s µc `-1•` -•-
P j,*
. .. S . R . - r.
-j-'36. Hood-or Canopy % rt 7 `' r n I ` no -
ctryr x k :C•] -
-337. F.inal.Factory Fireplace , ,x •r_ pt
-138. Final'Plui'bing ` -0. • -. a S r I -
77 ^ 1. '. i
39. Water•Service.Final .q f: -' r C. !; •, ' '
w
40. Gas Service-Final a a: 6"•- r. * ` t • -
y41. Solar Doritesti-Final,. '- '' x ` - ` - c
42. Backflow-Preventer r • 't * - > • • * ;, -
Q y T^� r r.- - -1., L. - -
43. Backflow Irrigation . )i -'* t.•
q4. Landscas&Irffation1System ""r"•f% .t tr1 =' G Z v `t' t•- * n: � -
- .- Y
45. Sound Atter&tion r -1?:n x Z' r . tt x r- c ; - • t, *
46. Handicap Regulations 3 '5.:- = A '
.. c k C,' inL,'� t
47. ANC. STRLJCTURI & BUILDING /i F_q� t4- r" - ;.
.,______,..1....„..,..__i ` + -
48. PINFCL PLANNING* ' r--,t--4r c r` `i 'C -
49. Elecglc Release to Etiison - x " `• --
50. Gas Release to Southern California_GasCo -ft- ti -, CI_' ',r. •e ;, a
4 •
51. CERTIFICATE OF OCCUPANCY * * ^ 1.1 ';- � •1- C' --
No. Date
-
Pfl0 CT ADDRESS: 2417 RICHMOND WY (C� ) UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: M 070489
OWNER'S NAME: NOUGET EILEEN L
ADDRESS: 2417 RICHMOND WAY PERMIT NO: M 070489 PLAN CHECK NO; N GOVT; N SUPP : N
COSTA MESA,CA 92626
CONSTRUCTION TYPE; PERMIT TYPE; MEC PURPOSE: 0TH
714 ) 546-8515
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : INSTALL F.A.0 6 CONDENSER & ALT, DUCT SQ FT:
ADDRESS: UNIT:
C,= 1LCtx.te CLAIM VALUE: CALC-VALUE: GROUP OCC: /
PERMITTEE: R & K A/C INC, $S/,� ( 800 ) 359-9087
ADDRESS: 1151 POMONA RD COMMENTS: MECHANICAL WORK
CORONA CA 91720 **********Rr****RERr***+t+t+rRE***RF****+r**+t4t*st**R ******Rr*****Rr**********+r*ar*******Rr**x
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and my b '.: lull force and effect. SETBACKS
CITY LIC.: STATE LIC.:59 3036, LASS'C- K , • : /
12/ a744 Signature IP — " — MAIN BUILDING ACCESSORY BUILDING
IRICERS'COMPENSATION DECLARATION: Ihereby affirm t .Ilhave acertificate ofconsent tos certificate olWorkers' FRNT: FT IN REAR; FT IN FRNT: FT IN REAR; FT IN
Compensation Insurance.or a certified copy thereof(Section.:00,Lab.C). LEFT; FT IN RGHT; FT IN, LEFT; FT IN RGHT: FT IN
POLICY NO.: E P. DATE:
COMPANY: PARKING REQ; PROV: PARCEL; 41916561 ZNE: REF NO;
❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES> 1
Jate: Applicant: *************************************ir*****************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This sectio 'n m be completed if the permit is for one hundred(MOO)or less). DEVELOPMENT S E R..V I C E S",j, REQUIREMENTS
I certify that in the performance of the work for which this permit' ••, shall not employ any person in any m,." so as to become I
ct to th Workers'Compensation Laws of California. ZONING APPROVED BY II DATE:
Dat t(2:2./I/`1 Signature: • - •
". ''+
NOTICE:II.after making this declaration.you should by ome subject to the Workers'Compensa ,rovisions of th' abor BUILDING APPROVED BY , �J' '. i-.i
DATE:
Code.you must forthwith comply with such provisions or this permit shall be deemed revoke. / �//�� /
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency or the r rformance of the work for APPLICATION ISSUED BY: 'yjp� . DATE: 2 /
which this permit is issued(Section 3097.Civ.C). ************************************* **************************
LENDER: ********************************************************************** **** ***
ADDRESS: LEGALIZATION:N F E E SUMMARY 1,, • STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC . - FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct.alter,improve,demolish,or
repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed PERMIT 36 . 00 ij/ , .j 0
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 252 SM I P/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN ,, (1 .
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars I$500). ISSUE FEE 15 . 00 r " g ._
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 36 , 00 15 , 00 0 , 00 51 , 00• 51 . 00 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own employees,provided that such improvements are not intended or offered for sale.If, however the building or REVENUE DIVISION TOTALS--> COLLECTED: 51 .00, -OVER/SHORT: ,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 the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP%TOT GRADING PLAN-CHECK
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 51 , OO w '"A
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereona
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware ****************************************************{e****4*********************
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E B A E R K D'O W N
❑ I am exempt under Section: B.&P.C. 1
for this reason: TYPE _ QTY _ __. D E S C R I P T I O N .UNIT COST TOTAL COST
Date. owner: MEC 1. INST FORC-AIR/GRAV FURN <= 100 K BTU.' •
:9 ,00 9 , 00
I do hereby certify that l am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and MEC 1 REPAIR/ALT COOLING UNIT/SYS W/CNTLS- / 9 , 00- 9 , 00
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 '\ 9 , OO
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from MEC 1 REPAIR/ALT HEATING UNIT/SYS W/CNTLS , 9 , 00 2
these provisions. MEC 1 INST/REL BOIL/COMPR 0 . 0 - 3, 0 HP ' 9 . 00,. 9 . 00
Date: Applicant: END OF FEES
I hereby certify that I have read this application and state that the above int n is correct.I agree to comply with all c y and county
ordinances and state laws relating to building construction and hereby epresentatives of this city to enter upon ye-mentioned • 01 €I0,1"3967_0017'%67 T E?T !SLOG
LI
p rtytor
..inspection
/,`.purposes. DATE': !'/ry2/S4 TirE: 12:1-02 .+i"0Q
Dat Signature: .y
Driver's License or Social Security e:
1641-46 White—Building:Green—Code Enforcement:Canary—Applicant;Pink—Revenu , oldenrod—Assessor
V
kik CONSTRUCTION AND PLANNING POOL 6. _.'A
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service.or Pole 52. Pool & Equipment Location
?._Ail pipe-Undrgrnd„..., 53. Steel Reinforcement
21 4f t4ectr. al Cond+tit.biility-Undrgrnd. : - 54. Forms
n,"
L-tc. Ef¢ctrical Cond-L7iVlTndrgrnd. 55. Electrical Bonding
r; 5,-jel)3einforcejnt 56. Rough Plumbing & Pressure Test
T=6.7£4rctr=gal UF ER Tarnd. 57. APPROVAL TO COVER-GUNITE •v
r11T.L- ',aotinn-9s i`" 0
I 58. Electrical Conduit-Undrgrnd- Y
r$.3foundation Jr-
/l/. 1 59. Gas Pipe, 0 Undrgrnd.,Test f + �•
>• 9 'Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. I
10. Structural Floor System ' V / 61. APPROVAL TO DECK / ii.'
' 11. P bperty Selyer Lina& HoOse,Connection 62. Backwash & Receptor-Final
12. Sewer Cap • • &t 63. Heater & Vent-Final
13. Roof Drains t-- -z£; 64. Plurnbing System - Final
° r. /
14. Rough Plumbi§ ' , r
15. Rough Electrica4,Conduit , - 4
16- Rough Electridetiring
17. Rough Wiring Sign 68. APPROVED FOR
18. Rough Electrical.T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Role Fc tdrry, F-lieplace • ,Tr.7 t' , ;y r~.` s
21.rDuFis,in�trgctu��.+ i S lin-170, Undergt5ihWHy2iro v
n•
22. u V'• tR tin 1 I Cif; S •r•= * c• I I .
p PSn w .. , vi E_,* # ,T71. Produc ing CF Bas it
23 vas ripe, to h cit.st i trig 72. Undergroii;Id Fler1FSl * :-.
24.2RoL% FrbrningL. _!Ili`' r • 1- `13 Jndergrnc:Stora`t e`�'.fank 0 Gas D Oif-"•`
25. Roti Sheathing cj• nl --74,'Overhead Hydro:;J ir
r
26.:T-.71 Eat Ceiling (Structural) &.Nloriocoat 75.;bry Chemical ` .7 ' ^ •-1 '-iC`°:"'
o t ton:s
27,"Frameari0 Flashi , 2 - r• �' =2i 4_, + _ =a .v•_• r!•
,; ❑c;_ 76. Dry Standuil7.e v - <F
.-28.• Lathing Siding,;, 1 'r.7.,n�; 77 ;FIXED , Elt1•`EriNALt - `, °'T:m
' 9. Insulatimr7 m.4 _ 78xFIRE PREY. FINAL 4 :. a; n-i't
"130. Drywall biailingRKEAIV..: FF,DEPT}REQ C/1RE$AE[,1.-[t
_II a-U LI"nI
p79.1. 1NAL It�P_ECTlF N a •0-:-.1.-•
n30.11•FOOD CERTIFICATE ISqu o - tiz"-''D
JY �LJ•
1 • -. � .JC
"No{rvs: 12-23? "rri h.
n o v "•_.
C[.(J/LH en4G =•Acrief err
137.'in`arjtFactory Flrepa teT i Fnti o: a ^7 . . s•,o,--;r1-
%38. Fina_tPlumbing + -:o i r /° I • nt•S%;;3s �i'er s,�y.�Z,�'7 •(lfi1 /V
Z-39. Water Service-Final �: I #-y-t' r '? a `^ :IsnF-+ _,n>
•
AO. Gas Service-Final i.' t:t .-I,m • 7 L I !3�%
41. Solar DoEnestic-Pinot S. n• i/11 Ciee-�� y, •
�//CC.XY k' •
f ,
'42.-Backflow•Preventer. t- `-u ! M �,r : m :•a
43. Backf low Irrigation` -- 3;_ . c,
: : / :CF. a 0 c,a,a' 'Et_ I_r
L 1 ' :n : .til a
�^
4. Landscat�e Irirgatiod Systzmra,:;Cj rr. ,_11 F, ` ca �
.45.kaound ARtteruation' Wit' :1 f• r r ,;5 y
1 Hr./
:746. }Jandicap`.Regulatio4s F-. j n: '7co _:
OWNER SAN VISTA BUILDTN(: (`OMPANY DATE 6-1-64 _
JOB ADDRESS 2417 Richmond Way BUILDING PERMIT NO. 22272
GENERAL CONTRACTOR same VALUE $ 14,835,00
AP No. LOT 222 TRACT 5360 FIRE ZONE DESCRIPTION OF WORK res w/att gar
INSPECTIONS Si nature _ DATE GROUP 18cJ TYPE V ZONE g3
Soil /2 T PERMITS ISSUED
Gas 'r `-/ SUBCONTRACTOR DATE NUMBER
Water .
Rough Corn. Refrig. 0 Air Cond. ❑ _
hough Heating �,�/li�7S ' - .°� �� —
RoughHeating
PlumbingA Mii y�2 /6 3 S z
Miscellaneous
Prop. Swr. Line ID House Con. C St. Swr. p,/' - e--tec 6---a-t- DEC 9 i9 , 7'8%7p
Sprinkling System r . 71
lr
Construction Pole
Underground 0 Power 0 .�.
Roush Wirin_ file •SW-I -...-7-7-...-7-7s' S • 1 _ 1 —
Trenches a Forms . Steel Reinf. 0 / T '
Floor System
Bond Beam 0 Steel Reinforce ❑ y
Sheathing ^A, (/y 7 r;
- —
Frame and Flashing Fyam — ® ; 7CYC rent
Lathing— In 13---Out S---- pt°nov.�bn
„ P.� Setisfie�Y' 3
Plaster, brown coat c� c r____ j
Refrig. ❑ Air Con. 0 Final _ .
Heating, Final Q,% f ,y . i""`01
Plumbing Fixtures, Final /�p/, ie. _
•
Final Gas Test �[ F 9//-
Electric Fixtures, Final fl
. Building, Final LJ
�� 5
OCCUPANCY ° '
Form BU9--5M-3-63—S-B P unr.n FOR SPECIAL REQUIREMENTS
'
. •
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92' 14.... — , . •
. -
COSTA MESA BUILDING-SAFETY DEPARTMENTFEE RECEIVED
0,
P.O.BOX 917 COSTA MESA.CALIFORNIA . 19 SP
•
,
For Applicant to Fill In Completely: CABAPPLICATRNiaff .ILAV1/440S ESA
TYPE OR PRINT '
For Office Use Only
BUILDINGa+//7.A2 • . i a47,
ADDRESS
RECEIPT NO. • PERMIT NO,
COSTA MESA. CALIFORNIA , . 99979
RECEIV BY 3.12 R17.11,Elfre JUN 1•19g4 DATE ISSU
.
4
OWNER S'S ....A U4,:citara.Mci Cel
BUILDING .
MAIL
\ 40(40 C) +CI bin '1"-- ADDRESS
' •
FIRE Y ,f--•
CITY ‘4.), [I 1 / ' TroLig-p37/17- ZONE TYPE .--1t_ GROUP 74-7
APPROVED .
ARCHITECTBY . DATE .
OR ENGINEEI3/41‘-10.1../S-4^91..4_ 11:1EOLOR.9 7 fli 0
:NING -
ADDRESS a Loa •veze. . -rip Ali; _ea
t fiti„,
a ._.2 1 F.NO..NOsF, I BuuSEILODFI tiNtEL i''.$99it .
CONTRACTOR .911/..01/1/4• k) - 0_UP, do . .
L CAL
ADDRESS If to/7 (11).• cg 4 sT DESCRIPTION ditIeLet3716 6.A/a../..-
A..12.NO.-/Cit ....)v . y
Crin ,_iii. . // . .
-NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
IS-Tr&I.. / 9.-27 e2--: .1:0174/371,e7 sr TO SIDE a REAR P.L.
EAVES
SIZE
OF LOT Lox 7 0 . , I NO.OF SLOGS. 0
NOW ON LOT ALLOWED (U.B.C.REQUIREMENT) I'
r"g1
YARDS APPROVED YARDS APPROVED
UE
ESMG BLDG.• Intern-It..-- ' MAIN BUILDING ACCESSORY BUILDING *as
4-,
,
SETBACK LINE FROM " (FROM C/IATREET)
3 .I FRONT Cy FT. Cza2
CENTER OF STREET • REAR YARD 0
1
SIDE YARD I LET 6 . I RIGHT 0 R.SIDE 15 FT.
c‘Creji
DESCRIPTION OF WORK . L.SIDE (14..) FT.
FT. .
NEW X ALTERATION ' ADDITION REAR ' t
DISTAN c BET. BET.MAIN&
REPAIR MOVING DEMOLISH
MAIN BLIDGS. . ACCESS.BLOCS. . 2
I•14
BUILDING k 3 ?..._ .OF
NO cis/49%3er 1 VAR.* DATE
• CK
SIZE • ROOMS .,..) STORIES co--, C.U.;pap APPROVED • •
--I
Of
r---
EXTERIOR WAIS I ROOF APPE_ ....•-•gie) --cy IL:
COVERING COVERING " •%.,11-.4e.0 BY ;WM, DATE Cg
U BUILD0IN AND WORK TO SEP RFORMED
. "
• /Aida fal• If •
•
7'
. . •-f13a 11 0
ila C. P
v ti
..
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOW NDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF KOTA ISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION
BUILDING CONS CTION. ,
' c• .48 v-e t • :i -
( 5 5
SIGNATURE OF PERMIT FEE p 9
PERMITTEF _..4 ..rt "1,5 _.......,........"-...-- 5.
/4, leS:-te N CHECKKa rill g k
, .
AUTHORIZED A .
. 0? re,
u.
TOTAL FEE ,r' 7 .
. .
• ' '