HomeMy WebLinkAbout635 RHINE LN - Building Permits I
42520
_. _ . n.
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
J .1/ /I '/ `'` RECEIVED BY DATE RECEIV D ., 'e .
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ADDRESS 3J S/Y/�/ ' /�/�/��,NC Y�.�� ,. :. 7-2-7� • 4 '
r `' 4. h4 >ra' S A.P. NO. !'—O 1-0 I I !�
.: OWN ER/jEt>te FsYr /I�IEJ'—
' MAIL ``// ' I % BUILDING ../ _ s o g . A.
ADDRESS y Q N r V/ /IE ADORES sJp� (p �r •
Y CITY Le z 90O$t NO. TRACT pL / LOT ' BLOCK
CONSTRUCTION vat Q + NEW e• ALTER REPAIR MOVING DEMOLISH
LENDER (/ CSA` , y�
BRANCH AIWA( OWNER EL�2e2 I I
ADDRESS , VALUE �,s
ARCHITECT TEL. /USE S/ VA/ir- le,Raso S/5 ,.coo s
OR ENGINEER N '
FIRE
ADDRESS L,, ' ZONE PE GROU �/
i f,�o 6Lt?E&- BYYPROVED / DATE_e.-"")...0 _
CONTRACTOR
.. ADDRESS TEL E NO.OF USE OF NEW OIJIT
CITY NO. `; 1 -c� PLANS Z BUILDING p(JD°
F•� STATE �7 '7 CITY YARDS APPROVED YARDS APPROVED ff
" LIC. NO. 27o 79,5 LIC. NO. MAIN BUILDING ACCESSORY BUILDING
(FROM C/L STREET)
0, SIZE 1 NO.OF BLOCS.
L OF LOT NOW ON LOT FRONT FT. FT.
USE OF GG
EXISTING BLDG. , R.SIDE j"" - T FT.
CC
SF Separate permits are required for L.SIDE FT. FT.
electric,plumbing and heating work.
D .: REAR FT, FT.
L " USE OF BUILDING AND WORK TO BE PERFORMED ' DISTANCE BET. BET.MAIN&
Q .j MAIN SLOGS. ACCESS. BLOCS,
VAR# 73-77 DATE
..1 '1 v/(( i� ��Nd6 C.U.P.# APPROVED
}Q ��r 9 //
APPROVED DATE �— /( �LQ
w OLD FOP. PECUL REQUIREM NTc
0 -' I hereby acknowledge that I have read this application and state to
00that the above information is correct and agree to comply with m
A. , all laws regulating building construction, and I shall not employ I.
Z any person in violation of the workman's compensation laws of v
Si the State of California. .
I hereby certify that I am properly licensed as a contractor under , SQ. FT. a
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
'i Chapter 9, and that such licenses are in full force and effect, or I I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: m
' am exempt from the provisions of the State of California Business 1VALUATIONPERMIT FEE $ 5 7/OQ n
:1 and Professions Code, Division 3,Chapter 9.
" Signature of //,, �i /l /� / PLAN CHECK $2 e/5 0
Permittee Ve �ELtz at 17 /G 4' `i $ /54 two TAX $ /De 9 U
D
i Authorized Agent TOTAL PAID $ i 23,O
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PROJECT ADDRESS:
OWNER'S NAME: 635 RHINE LN UNIT: JCITY OF COSTA MESA – BUILDING PERMIT PERM NO: B 06375E
ADORE
NAME: PASCO MANAGEMENT CO 3/
POST OFFICE BOX 2968 PERMIT NO: B 0617/56 i 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 flEG.NO.:
ADDRESS: UNIT: JOB DESCRIPTION : REPLACE SIDING NER#224 UNITS 635 SQ FT; 3, 200
PERMITTEE: CLAIM VALUE: 3, 200 . 00 CALC–VALUE: 3, 200 . 00 GROUP OCC: R-1 /
ADDRESS: ORION CONSTRUCTION ( 714 ) 363-0727
28 OAKCLIFF DR COMMENTS• REMOVE SIDING REPLACE W/STUCCO UNIT 639
LAGUNA NIGUEL CA 92677 +ter****sF*sesrsrsESEse**HESE*******sr**st*xsE***sr***SE*******sr****sr*st******sF******sr**********
UCENSED 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 license is in full force and effect. SETBACKS
CITY LIC.: 07 1 0 STATE LIC.: 4 8 5 , ar CLASS: .
—.Date: Signature: 4. /...1-4... .,
. — �•
/ `/ — . MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby aft I have acendica ofconsen elf-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Se.11D77/��� G0.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 FUNEn PARKING REQ: PROV: PARCEL: 93405109 ZNE: REF NO;
❑ Certified copy is hereby furnished. LX Certified copy is Mud wi city Budding Divis' PLANNING NOTES> •
> .,', 4, .
mate: g/4/51) Applicant: **********************1E*********************************************if**********
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This ion need not be compkl it the per ' forme hundred(SID0)or less). D E V E L O P :M E N T 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 permit is issued,I shall not employ any per n any manner so as to become , 4,
: 11111 DATE: i-:
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY
Date: Signature: _
NOTICE:II.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY;',:• ' DATE:
!G.^
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. . . --eel CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY. Wick DATE: ✓11:a L'
which this permit is issued(Section 3097.Civ.C). ************************************* ***********************,* ***********
LENDER: ***************************************** ************************iE,***********
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: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 63 . 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'Stale 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 subiects 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----> 63. 50 0. 00 0 . 00 63, 50 63 . 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 not build or improve REVENUE DIVISION TOTALS--> COLLECTED; 63. 50 OVER/SHORT: 0 0
for the purpose IA 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 63 . 00 . 50
❑ and Professions Code: The Contractors'State License Law dues 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 N D L V I D UAL F E E BREAKDOWN
❑ I am exempt under Section: B.&P.C.
mnhis reason: TYPE QTY DESCRIPTIO N - UNIT COST TOTAL COST
Date: Owner:
SFR 3200 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 3, 200 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and r
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 Duality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that I have read this application and slate 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 city to enter upon the above.mentioned
properly for inspecti n purposes. ,...ar--
Date: 7 3Ti Signature. 01 00146247-00146248 TOT 63.50
Driver's Moen a or Social Security 4: , Pr I, WF: 019/07(93 TM; 00:25
1641-46 White—Building:Green—Code Enforcement:Canary—Aoolicant: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
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2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3r-Electrical Conduit Uttility-Undrgrnd' 54. Forms
-4:'Electrical Conduit-Undrgrnd. 55. Electrical Bonding
-5, Steel Reinforcement56. Rough Plumbing & Pressure Test •
6:,Electrical LIFER Qrnd. 57. APPROVAL TO COVER-GUNITE
7.•Footings _1 • 58. Electrical Conduit-Undrgrnd. r
8:1'Foundation ' ° 59. Gas Pipe, O Undrgrnd., Ten
9. Water Pipe-Undrgrnd. 60. 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 o 64. Plumbing System - Final '
14. Rough Plumbing l 65. Etectrical-Finat
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
4 ., „ . , ' 1 •I
' -...• i . J. r.
20.,Rough Factory Fireplace I - •,; . . , a c . .I i.'• ,APPROVMS,: )(Permit# I,
I r t., a , M, rJ dit; ,p. ,• a
21. Ducts, inStructure.• I ' ; I , '
I - �i : . ,.; r •. 170. Under'g'round-IydCo
22. Ducts, Ventilating I l tv 71. Product.Pibirlg O'Ga's ❑Oil
. .a , S r , , I . . a 1 I • I
23.'Gas!Pi pet Roggh &'Test I fir. ; I. ',` , . I. , ; 72. Undergrounc4Flush-, , .} , ' L,
I II.,. . y , q A , ' A I
24.,Roof Framing• ,� •. I r r ' ••r ' , ' I,' fr r •73.•-Undergrnd.StoragetTank 0Gas ❑Oil,
•25. Rodf Sheathing ' : n' ' • Z. ' .74.'`Overhead Hydro. 'p '.'
26. T-Bar.Ceiling (Structural) & fttonocoat r. • , .r.,. 75. _Dry Chemical I
.,
27.'Frame and Flashing'- •
' 76.E Dry Standpaipe ' "
28. Lam& Siding . c, i i .:'.1 . >1 /9 • - 77..:FIXED SHSTEM-FINAL-
29. Insulation ' , , • ;' •"' _, . ' I ;ii , 78.;FIRE PREV. FINAL
30, Drywall Nailing b•,. HEALTH DEPT,REQUIREMENT
31. Plaster Brown Coat ' V 1717 ' f 79. FINAL INSPECTIO,N I
32.,Electrical Power Meter-Final , ` - 180. FOOD CERTIFICATE ISSUED
33.;Final'Electric' ,.. r, ; ' Nofes: _ , I ,
`34.,Final Heating-& Air Conditionings i-, , , . • ,
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35• .,Final Gas Pipe'Test c .
,r ., . ..
36. Hood or Canopy r i v.
37.'FinalFactory Fireplace • • ,
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36. Final Plumbing I i''
•39. Water Service-Final I > (
40, Gas Service-Final ; T.
41. Solar Domestic-Final • •• y .L ., _
,. y .. J
'42. Backflow Preventer I ' I I '
43. Backflow Irrigation ••
44. Landscape Irrigation SY stem r,-„ ,. . In
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.45. Sound Attenuation -•i ' . ' 2 -r I I_+ . I
46. Handicap Regulations - • .
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47. FINAL STRUCTURE & BUILDING As tip 2 - -77-,'
48.•FINAL PLANNING
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49. Electric Release to Edison I1 .
50.,Gas Release to Southern California Gas Co . I ' •
51. CERTIFICATE OF OCCUPANCY „ ,
No. Date