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HomeMy WebLinkAbout624 RHINE LN - Building Permits I 4251.9F:,.,.. EL', 01 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in.Completely — Use Ink Only ADDRESS GeD622/246,26 2Nr AI e. [� RECEIVED BY 7.-- R--ibcD� D�=E }SOS.• 6 ADDRESS • A �7I^7 76 p•(J j OWNER //EC iZ Q E,vrent/mei A.P.NO. �Ff-O• —Of Wen MAIL MI /� / BUILDING ADDRESS 7h' /1/ ( ���? ADDRESS6�QaG26 a��`}/1.� („) - • / TEL. TRACT (/2yj LOT / BLOCK CITY `q4. NO. CONSTRUCTION 9e 4' NEW ADD ALTER REPAIR MOVING OFMOLISH LENDERy //C. BRANCH NM/A/ r OWNER �Ltae2 ADDRESS /// e l ///J x VALUE '/rAA ARCHITECT TEL. USE �(' u/V/Y s.DAJUO $ / WV OR ENGINEER NO. FIRE ADDRESS ZONE / TY•E IF GROUP '''/1 �,E0 441 rt52 APPROVED ! DATE / —20 ` `-' APIF CONTRACTOR BY ADDRESS TEL. E NO.OF USE OF NEW . oh+IT 'e.� PLANS 2 BUILDING CITY NO. CrINDp I— STATE 7�J� CITY YARDS APPROVED YARDS APPROVED 72 LIC. NO. 27O ``�, LIC. NO. MAIN BUILDING ACCESSORY BUILDING C (FROM C/L STREET} Lc1 SIZE NO.OF BLOCS. L OF LOT NOW ON LOT FRONT F FT. Q USE OF EXISTING BLDG. y R SIDE p/F ^ FT. ES' Separate permits are required for • L.SIDE FT. FT. electric,plumbing and heating work. 0 REAR FT. FT. I... USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& C /t i MAIN BLDGS. ACCtbS. BLDGS. -� l//`/ir- �aR/0p ` DATE CUVARP.# 7 ""77 APPROVED Q ""��--ss APPROVEDIr//_ ' DATE O .I RA" ›• rx OLD FOR S ECI , L REQUiREivMENI I S LI hereby acknowledge that I have read this application and state O 'nC C that the above information is correct and agree to comply with m D. all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of La S the State of California. _ C I herebycertifythat I amSO. FT. N properly licensed as a contractor under 3 the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR to Chapter 9, and that such licenses are in full force and effect,or I THE PURPCGE OF ESTABLISHING A PERMIT FEE ONLY:: to, am exempt from the provisions of the State of California Business 37� OV a VALUATION PERMIT FEE $ e and Professions Code, Division 3,Chapter 9. a . Signature of / //���� S PLAN CHECK $ Z�/� /` mo Permittee (� tjr /—y/`/_ / /N /5a/ ado TAX S AO.f). Y 2; ' Authorized Agent TOTAL PAID $ 42.3. 07 Ui • T PROJECT ADDRESS: 624 RHINE LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 063739 OWNER'S NAME: PASCO MANAGEMENT 'CO ADDRESS: POST OFFICE BOX 2968 PERMIT NO: B 063739 PLAN CHECK NO: N GOVT: N SUPP: N COSTA MESA CA 92628 CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: REP ARCH/ENGINEER: 641-0593 REG.NO.: ADDRESS: UNIT: JOB DESCRIPTION : REPLACE SIDING NER#224 UNITS 624 SQ FT; 600 PERMITTEE: CLAIM VALUE: 600. 00 CALC—VALUE: 600. 00 GROUP OCC: R-1 / ADDRESS: ORION CONSTRUCTION ( 714 ) 363-0727 28 OAKCLIFF DR COMMENTS: X LAGUNA NIGUEL CA 92677 *********************************sfst*+Esfst*stsf**sfsfsfst**+t*sE*xsfsPSEsfsf**********sfsrsf**sr*srst LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z O N I N G REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY LIC.: �4p1 0 STATE LIC.: 4854 CLASS: WOe �/f- 3 Signature: 7::,_..4.......— `- MAIN BUILDING ACCESSORY BUILDING RKERS' MPE CATION DECLARATION: I hereby all that I'ave a certificate consent to sure ar a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance, or a certified copy thereof(Se tion 3:•r.Lab.CI. LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: 046-93UNIT03554 P. DATE: 01/01/94 COMPANY: STATE FUN PARKING REQ: PROV; PARCEL: 93405116 ZNE: REF NO: ❑ Certified copy is hereby furnished. Certified copy is tiled w in the city Building Division. PLANNING NOTES> / h 'jate: /2-4/4�J Applicant: ********************************************************************'*********** EXEMPTION ROM// OORKERS'COMPENSATION DECLARATION: iss on need not ompleted it emit is for one hundred(MOO)or less). 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 E M E N>T. S I certify that in the performance al the work for which this permit is issued.I shall not employ a rson in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE: Date: Signature- NOTICE: NOTICE:If,atter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : I . DATE:'" !. /I Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. . r CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: k DATE• s r which this permit is issued(Section 3097,Civ.Cl. **********•*******,************„**** *,** * ***********************4* ** LENDER: ********************************************************************.*********** ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: Thereby 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 PERMIT 17. 00 • 50 repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SMIP/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 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE I. as owner of the property or my employees with wages as their sole compensation, wit 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----> 17. 50 0 . 00 0 . 00 17. 50 17. 50 . 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 improvement is sold within one year of completion.the owner will have the burden of proving he/she did riot build or improve REVENUE DIVISION TOTALS--> COLLECTED • 17 . 50 OVER/SHORT: . 00 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 17. 00 . 50 ❑ 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 contractor(s)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 am exempt under Section: B.g P.C. INDIVIDUAL F E E BREAKDOWN for tnis reason: TYPE QTY DESCRIPTION UNIT COST TOTAL COST Date: Owner: I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and SFR 600 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 600 . 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 END OF FEES permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: • I hereby certify that I have read this application and stale that the above information is correct.I agree 10 comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned - property or inspection purposes. J Rate: 7 ./7, Signature• .Sr 01 00146251-00146252 TOT I7.50 /^Driver's License or Social Security Applicant;Pink—Revenue:Goldenrod—Assessor CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3.•Electhcal Conduit Uiillty-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. ootings ' -• y 58. Electrical Conduit-Undrgrnd. 8. 'Foundation ' ' 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. i60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains I 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 I. in +,.; 20.;Rough Factory Fireplace -...,<i 4S'1 • . • • • ,APPROVA'L'S•.-r,Permlt# • " "' . 11; S '> • -- ID 4. r ; .3•-o; ,r- - x t. 21.;Ducie, ir`$tructure„ „ •• ,";-c.; , i ,., .170. Undergr.curai}tydlo 22. Ducts, Ventilating•r - -C - '71. Prod uct'Piprig D'Cga's 0Oil 23.rUasrPJpe:Rough &'Test 't I,` „ r. • ! ' f 2. Under round;Fl s • .+d r •a. _'lt - .7 9 4k1t-, sur .r 55 t, J5 tJd ' L. • , } Li 24.;RoofcFraming . * Fr-; • ' ' rr, s 73rrUndergrnd'Storage'Tank ©Gas 0Oil' ••i r� ,a' a. .. 1.1 i }^ 25. Rodf'Sheathing y !`1 .f '•I , •• r. "1` ` 1-5 '74.'Overhead hQydro.-, m 26. T,-Bay,Ceiling (Structural) & Monocoat _ : 75.:Dry Chemical 27.,Frame and Flashing` �, �� s nu 76.tDry Standpipe ` " . '28.'Letting'4i•Siding . • , •!..(I% t - ••4 • 77.7FIXED SYSTEM FINAL -29. Insulation • -� " •• '- r ' � ` 78.. FIRE PREV. FINAL; - (30. Drywall Nailing > 1 HEALTH DEPT r_... LREMENT 31. Plaster B},4wn Coat " : 1 r-ir • ' '' ,�79. FINAL INSSFCTIO,N ' 55 L - ; F t- . 17: Th---"T , 32.;Electrica) 'ower Meter,Final , .1 r; �. • 80.rF00D CERTIFICATE ISSUED 33. Final:Electric'. I .-Ti• �` irNoitels: ;i t'1 :.34.iF;nal'Heating& Air,Conditiopin'g . i, 74,, i, 4 35.tRinal Gas'PipetTest e "_ l • ( ' 4 r'' ....0 . ~; • .:i:• 36. Hoorj or Canopy x , ' , ' , r •37. Final Factory Fireplace' r ' & 1 r*, 38. Final;Plugtbing I •• •• - •39. Water Service-Final - o . • . - c 1 40. Gas Service-Final r 1 q I • , 41. Solar Domestic-Final _ - • •• I42..Backflow Preventers x III I !` : ^ 43. Backf low Irrigation), .;c'; - ' '� 44. Landscape Irrigation System 4,'", x , ` J , .• „ •45.(Sound Attenuationy, -46.LHandicap:Requlatiotis - �/ ,j - _ , . 4Wei i / f L 7. -FINAL STRUCTURE & BUILDING /. 48. -FINAL PLANNING" - ,, - A9. Electric Release to Edison i . 50. Gas Release to Southern California Gas Co - I. . 51. CERTIFICATE OF OCCUPANCY r y , _ No. Date