HomeMy WebLinkAbout630 RHINE LN - Building Permits __ 42509 n 7(-,.._;f �15'll1 t-f-t Z 1.5$
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 RECEIVED BY DATE REC D Of-Get-
OISSUED / '
BUILDING42Ba063243i6`36A6p3J8 &fill . A 7 (p[�AG
OWNER dp/'LE,C L�rG/47Ldi n A.P. NO. T/B- 0// DI P ! �
MAIL BUILDING ��pp
ADDRESS 7/a t(/, /4 �/lEA ADDRESS --0038 1,�('�] `�/1
//�I TEL.
TRACT B1 LOT / BLOCK
CITY /4, NO.
CONSTRUCTION ye NEW ADD ALTER REPAIR MOVING DFMOI ISH
LENDER .N(/(rb �/
BRANCH N/A//`/ /Jv �c �j /
/' OWNER IEa/ `e4
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ADDRESS G ///JJJ
ARCHITECT TEL. USE az'r (�O4/.G L / ODd
OR ENGINEER NQ
FIRE -r GROUP 4i
ADDRESS ZONE �J)))TYPE/
CONTRACTOR 4� HGL/ e �
APPROVED
// - DATE H2O 7A
ADDRESS ZONE NO/.[`OF��/UUUVVV USE OF NEW V�(r —
TEL. /r��j�/�.r� pLy BUILDING e��
CITY QQ l\. �.1�
APPROVED
LIC. NO.STATE 270 2J� LIC. NO.CITY YARDS
BUILDING YARDS
CCE
ACCESSORY BUILDING
SIZE INNO.OF BLDGS.
G (FROM CIL STREET)
G. OF LOT NOW ON LOT FRONT FT. FT.
USE OF
EXISTING BLDG. R.SIDE cilif.CTE FT.
rst "..../LAM
Separate permits are required for L.SIDE M FT.
C electric,plumbing and heating work. REAR / FT. FT.
La USE OF BUILDING AND WORK TO BE PERFORMED
F DISTANCE BET. BET.MAIN&
GG MAIN BLDGS. ACCESS.BLDGS.
..1VAR
G U/W IDS Q�f>'O CV.AUR.P.#.# 7?-77 DATE
APPROVED
APPROVED jcifiij Sr t9 7/_
RYry, DATE
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cc -3OW FOR Ji't".Lii ... k....c,,........:_.._. :i S .S
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O I hereby acknowledge that I have read this application and state n
N
g that the above Information is correct and agree to comply with m
0. all laws regulating building construction, and I shall not employ si
Z any person in violation of the workman's compensation laws of
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the State of California.
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i I hereby certify that I am properly licensed as a contractor under SQ. FT.
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 end effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
143
am exempt from the provisions of the State of California Business $PERMITfag.DD
VALUATION FEEP
and Professions Code, Division 3,Chapter 9. n
/- PLAN CHECK S wm
- Signature of C ,. EL.tret2--- o
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Permittee _"7 / V /t 1/ $ 2'3 (G ODD TAX $ //•3 u_
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Authorized Agent �r/J U
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TOTAL PAID $ /•
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PROJECT 'S NAME: 630 RHINE LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 06374E
OWNER'S xamE: PASCO MANAGEMENT CO
ADDRESS. POST OFFICE BOX 2968 PERMIT NO: B 063746I 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 630 & 636 SQ FT: 1 , 800
PERMITTEE: CLAIM VALUE: 1 , 800 . 00 CALL—VALUE: 1 , 800. 00 GROUP OCC: R-1 /
ADDRESS: ORION CONSTRUCTION (714 ) 363-0727
28 OAKCLIFF DR COMMENTS. REMOVE SIDING REPLACE W/STUCCO UNIT 632
LAGUNA NIGUEL CA 92677 ***********+t***** Ear+t****sr+t***sr*se********************sE***SE***sP******************
LICENSED CONTRACTOR DECLARATION: I hereby allirm that I am licensed under provisions of Chapter 9(commencing with Section z ONING REQUIREMENTS
70001 of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS
CITY LIC.: yx/90 STATE uc.: 485459 cuss: B
/�.D,� YM `l3 Signature' MAIN BRILRING ACCESSORY EAILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm
artay acenifi<ateo nsent to se sure oracertificate of workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Sectiort(3000.'Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: 046-93UNIT03554 EXP.DATE: 01/01 /94
COMPANY: STATE FUND PARKING REQ• PROV: PARCEL: 93405119 ZNE: REF NO:
0 Certified copy is hereby furnished. LX Certified copy is filed with the city Building Division. PLANNING NOTES>
".gaffe: /1`-y/7, Applicant' �✓
— ********************************************************************.***********
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION' need not be Go pleted it the per t i or one hundred($100)or less), DEVELOPMENT, SERVICES R E Q U I R E M E 'N.�T S
I certify that in the performance of the work for which this• it is issued,I shall not employ any pers • any manner so as to become
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY .. DATE:
Date: Signature:
NOTICE:If.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY •� IPDATE: '.. ..
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. u p �'G'+
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY.' DATE (" [�
which this permit is issued(Section 3097.Civ.C).
LENDER: *******************BE******************* **************************kd*********
ADDRESS: �•
LEGALIZATION:N / F E E SUMMARY STRUCTURAL SEGMENT:Y
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: My city of county which requires a permit to construct.alter,improve.demolish.or PERMIT 41 . 00 ,50
repair any structure.prior to its issuance.also requires the applicant for such permit to life a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'Slate License Law(Chapter 9(commencing with Section 7000)of Division 3 0l the Business 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
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, 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----> 41 . 50 0 . 00 0 . 00 41 . 50 41 . 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 ohered for sale.II,however the building or
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED• 41 . 50 OVER/SHORT; ,00
forthepurposeofsale). 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 41 . 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 ************************.***********************************************.)f**.*.***.*
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
❑ I am exempt under Section: B.&P.C.
tor nis reason: TYPE QTY DESCRIPTION UNIT COST TOTAL COST
Date: Owner:
I do hereby neatly that l am aware of and understand the requirements of Calilornu Heath and Safety Code Sections 25505,25533,and SFR 1800 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 1 , 800. 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 train
these provisions.
Date: Applicant: '
I hereby certify 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 here authorize representativesta��tof this city to enter upon the above-mentioned
property Im inspection purposes. �� (/
/f3• Signature' 01001462.`_73-001462`4 TOT 41,50
Driver's License or Social Security x: DATE; 09/02/93 TIDE; 09;27
1641-46 White—Building;Green—Code Enforcement:Canary—Applicant Pink—Revenuo: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. 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 Lina& House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains • 64. Plumbing System - Final
14. Rough Plumbing 1 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 I -S' I ' 0 ' 3'- x APPROVALS .''-Permit# 7
,i .1 •'n C ,a C'< x • .t. Ir -� 7 w
21.,Ducts', in Structure;'. NI ; ti - • • t ... ', , h t°
_ . •`/,0. U.ndergrounii}fydro
22. Ducts;Ventilating • Ir 1 . '-r, , . 'fl Product Pipir''9 ❑6'as ❑Oil
,. .. , ., , , n Ie , r , , , ,
23. Gas•Pipe-Rough &'Tist ' t s '' " l 'j - ' I $ t'� 1. t-"
,,,_, s [Ti ,J. , 2. Underground,Flu$bwa t -
24.'Roof Framing I r•t • - t •> ' > • '73.1Undergrnd`Storape'Tank 0Gas 0Oit
„ e ra. Cn r.
25. Roof Sheathing r ;t in 7 G :°,.. _' 'via.'overhead Hydro : 1 •'-' '
26. T•-Bar Ceiling (Structural) & (yonocoat ,r ..a • 75. .Drq Chemical
27.'Frame and Flashih .o .-u ' '-�
Ig , �.grt�: 76.'DYyStand P,(de ..1i-, �I;
28. Lathing&•Siding I =z, , _,___ft_ 77,yFlXED SYSTEM FINAL'
29. Insulation . '�" •, : i 78. FIRE PREV. FINAL
30. Drywall tailing •• HEALTH DEPT:REQUIREMENT
31. Plaster Brown,.Coatr" gft741 a/7 79.'FINALINS?ECTION -I
;32. Electrical Power Meter,-Final i 1 • . 80. FOOD CERTIFICATE ISSUED {
33. Final Electric', - ;'' - ' ' ' FNotes: � ;; i
a I.' 1 " - i ',t 1 . I1,',
'34. •Final Heaiing'4` Ai5 Conditior+Ing •. I. ,tr
35. Final Gas Pipe4Test'- 1 k . . ` N r ,
.. .1 I 't r . :c) 11 1 . .,
36. Hood or Canopy , • r a , 1 , a
- -.•37. 'FinalFactory Fireplace, I r '• .,
•
38. Final Plumbing ti
. . k • '
.39. Water Service-Final I - ,
. f
40. Gas Seri/lee-Final ' .' - ` ' . -
41. Solar Domestic-Final . 1 •. .
. t t
42. Backflow,Preventer -
43. Backflow Irrigation - . . =r
44. Landscape Irrigation System a " , . - '• ,
_
45. Sound Attenuation - -
46. Handicap Regulations " ' - - - •'
47. FINAL STRUCTURE & BUILDING %9� • A� . .
48. FINAL PLANNING- ' t - • ,/! .. '
49. Electric Release to Edison I
50. Gas Release to Southern California Gas Co - t • .
51. CERTIFICATE OF OCCUPANCY •
No. Date