HomeMy WebLinkAbout922 GOLDENROD DR - Building PermitsDPESSOiBUILqNO: yll GOLDENROD DR uNr:
'exaru�eirp+oww:SUZUKI, EDWARD M FLOOD: AH-38
��SUZUKI, AILEEN R
921 GOLDENROU DR
' OSTA ME�A,CA 9'1626545-6879
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ca+m�croxs�uuxa 12901 DUBHLING WELL RD
,�o�gASANTA ANA CA ��; 600402
92705 uM:
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Date: Comredn: �f�C.G'6'C/'
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�«inapetlqOp"D°'°'HRENT OWENS
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CI'TY OF COSTA MESA — BUILDID]G PERMIT pERM NO: B 0£�01.45
/
PERMIT NO: B 080149 PLAN CHECK NO: N GOVT: N SOPP; N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
JOH DESCRIPTION : T/OFF SHEATH, REROOF W/LT WT TILE SQ FT; 9,885
CLAIM VALUE: 9,885.00 CALC—VALUE: 9,885.00 GROUP OCC; R-3 /U-1
COMMENTS; ICBOIt F'OR TILE 3523/ ICB01t FOR SKYLIGHT 1998/ LT WT TILE 5,8PSI
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Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT; FT IN LEFT: FT IN RGfiT: FT IN
PARKING REQ: PROV; PARCEL: 41221313 ZNE: REF NO:
PLANNING NOTES>
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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
ZONING APPROVED BY DATE:
BUILDING APPROVED HY ; DATE:
APPLICATION ISSUED BY; DATE: ��`Z�(/�
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LEGALIZATION:N�. F E E S U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 162,25 ^. ,99
_ SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 163.24 0.00 ;� � 0,00 163.24 163,24 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 163.24 OVER/SHORT: ,00
BLDG PMT PLOMBING ELECTRZC MECHANIC FIRE SMIP/TOT GAADING PLAN—CHECK
162.25 ,99
1E iE iE if 1f 1E 1f 1! 1E 1E k iE iE IE 1E iE 4 iE 3E iE 1E 1F iE iE fF 1E 1E if 1E fE ft �FlE i! 1E 1E 1E ff iE iE iE 1E 1f IE iE 1E fE �E 1E 1E k 1E if 1F 1k ff fE ff 1f iE fE 1ElE 1E 1E iE 1E k ik iE 1E �k f! 1E k fE 1E 1E 1E
I N D I V I D CT A L' F E E H R E A K D 0 W N
TYPE QTY D E S C R I P T I O N• UNIT COST TOTAL COST
SFR 9885 ALTER BY VALUE RESIDENTZAL NOZONE 1.00 9,885.00
END' OF FEES
D� 00217791—�0217792 T OT 163.24
6ATE: 10/:3f9S TItIE: ib:31
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� dNSTRUGTiON ANO PLANNING POOI� °• SPA
i ` APPROVALS Permit # Date Inspector� qppROVALS P. .,it # Oate lnspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location �
2. Soil Pipe•Undrgrnd. 53. Steel fleinforcement
3. Electrical Gonduit 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 56. Electrical Conduit-Undrgrnd. �
8. Foundation 59. Gas Pipe, � Undrgmd.. Test '
9. Water Pipe-Undrgmd. 60. 8ackwash Lines, P�Trap, O U,ndrgmd.
10. Structural Floor Syscem ' 67. RPPROVAL TO DECK "
11. Property Sev�er Line & House Connection 62. Backwash & Receptor�Finat
72. Sewer Cap � 63. Heater & Vent-Final .�
73. Roof Drains ' , 64. Plumbing System • Final
14. Ro�gh Plumbing � 65. Electrical-Fina� '
75. Rough Electrical-Conduit 66. Solar SYstem�Final ` � �
,
16. Rough Electric Wiring 67. Fencing & Access ApProval '
17. Rough�VirinqSign � 68. APPROVEDFOR�PLASTERING �
18. Rough Elettrica6T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL "
19. Rough Heacing & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure � 70. Underground Hydro
22. Oucts, Ventilating 71. Product Piping O G. s❑ Oil
23. Gas Pipe-flough & Tesc 72, Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas OOiI
25. Roof Sheathing lB-LS ���Z2�Overhead Hydro
26. T-Bar Ceiling lStructural) & Monocoat 75. Dry Chemical �
27. Frame and Flashing 76. Dry STandpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nzf�in9 HEALTN DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Elecirical Power Meter�Final � 80. FOOD CERTIFICATE iSSUED
33. Final E�eciric Notes: �( IZ _��.'"` �� �,g D�y��
f G
34. Final Heating & Air Conditioning ON s/��i �"�- 4�jA� o�
35. Final Gas Pipe�Test l� ��,G �
36. Hood or Canopy .
37. Final Factory Fireplace .
38. Final Plumbing _
39. Water Service-Final
40. Gas Servic8-Final
41. Solar pomesticFinal �
42. Backflow Preventer� .
43. Backflow lrrigation '
44. �andscape Irripation SYstem
45. Sound Attenuation �
46. Handiwp Regulations
47. FINAL STRUCTURE & BUILDING �•/2 .�G
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern Calitornia Gas Co
51. CERTIFICATE OF OCCUPANCV
No Date
CITY OF COSTA MESA
BUILDING DIVISION
CERTIFICATION OF SKYLIGHT INSTALLATION
Property Address
v
Owner
Contractor
State Contractor License Number
Permit No. �_ v����
Classification � � /
�
. �
I hereby certify that I have installed, or caused to be installed, an approved listed skylight I.C.B.O.
#_�� Gj �� on the roof of above subject address. That I have re-fabricated the roof to the standards
of the industry and in accordance with Chapter 32, 34, 52 Appendix 32, and Section 1704 of the latest adopted edition
of the Uniform Building Code as amended in Section 5-17 Title 5 Costa Mesa Municipal Code, and the installation
instructions of the manufacturer. The integrity of the area worked on is as good or better than the rest of the existing roof.
❑ I further certi(y that I am the owner of the property. (Owner-Builder permittee only).
❑ I further certify that I am:
❑ Owner of sole proprietorship company
� Full partner of the company
❑ Limited partner of the company
❑ Officer of the corporation
I certify that as an authorized officer or agent of the company or corporation, I am empowered to make
this certification, which shall be binding on all successors or assigns of the company or corporation.
I shall deli�er a copy of this Certification to the above listed owner, after submittal of form to the Building
Division for acceptahce.
Received by Building Division
By:
�/g!3 /�-z3 -�
Initial Date
1029-d8 W�itaClry: Canery-0Wner, Pink�ConVactor
C L.�, � l es Uwey,�
Printed or typed name
I. _CTIONS
SOIL
GAS
WATER
ROUGH PLUMBING
PROP. SWA. �INE MOUSE CON. �
SPRINKUNG SVSTEM
MISCELLANEOUS
ROUGH HEPTING AN� RIR CONOITIONI!
TEMPORARV SERVICE OR POLE
❑NDERGROUND � POWER �
ROUGN WIRING
TRENCHES � FORMS � STEELI
FLOOR SYSTEM
BON� BEAM ❑ STEEL REINFORCE
SHEATHING
FRAME ANO FLASHING
LRTHING - IN OUT
PLASTER, BROWN COAT
5' �TUR�L, FINAl.
H. !G, VENT., REFFIG. AND A.C., I
SUBCONTRACTOR
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301 �� �9
COSTA MESA BUILDING-SAFETV DEPARTMENT
P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626
�or Applican to Fill in Completely
BUILDING�J �J� ��v���� .eI l�. .'
nooaEss �� �( L�l( � l�CJ
/'
OWNER Larwin Southern California, Inc.
ADDRE55 �6255 Ventura Boulevard
cirv Enrino, California oio� 986-8890
BRANCH 16255 Ventura Boulevard
nooREss Encino, California
ARCHITECT _ . TF
1�� Wll
Inc
nooaess 16255 Ventura Boulevard
cirv Encino, California nTio�J86-8890
STATE CITV
uc. No. 191311 ��G N� B�1
SI2E NOWONLO� O
OFLOT (Q X 1�0 I
USE Of
EXISTING B�p(�,
SIZE OF 19H� NO. OF 1
NEW BLDG. ROOMS STORIES
EXTERIOfl WALL ROOF
COVEfiING SCllCCO COVERINGWOOCI shingle
USE OF BUILDING AND WORK TO BE PERFORMED
Construction single family residence
I hereby ack�p�y�edBe that I have reetl [his appliwtion antl state
that the abo�e info�mation is correct antl agree to comply with
all laws regulating builtling consttuction, and I shall not amploy
any person in violation ot the workman's compensation laws ot
the S[are of Calitomia.
I hereby cenify tha[ I am properly licensetl as a conIIacW� untler
the State of Calitomia Bvsinass antl Professions Code, Divisicn 3,
Chaprer 9, aqtl tha[ such licenses are in tull force antl ettect, ar I
am exempt from the pro isions of the State af Calitornia Business
antl Protession de, Di is' n 3, Chapter 9.
Signature
Permitta
AuNorizatl Ag¢nt
�PAILO(� r ::i:'� �' I
!�-'� —7-7 �fvc• �1 3ot•� 15��.3 a
APPLICATION FOR BUILDING PERMIT
BUILDING
ADDRESS
OF
YARDS APPROVED
REAR �/ FT
DISTANCE BET.
MAIN BLDGS.
VAR.:iE
C.U.P. �
APPROVED /.7/
RV �i�iL
HOLD FOR �
G'
PER!
BLOCK
� /�
USE OF NEW/�,C� •
BUiLDIM1IG Lf
VARDS APPROVE
ACCESSORV BUILDING
BET. MAIN &
ACCESS. BLD
DATE
APPROVED
'���-SQ. FT. � �W�
THE AMOUNT SHOWN UNDER VALUATION IS FOR
THE PURPC6E OF ESTABLISHING A PERMIT FEE ONLV:
VALVATION
PERMITFEE S �.OL.SO
$ ZJ�HOO.00 PLANCHECK S 'S�.]5
TOTAL FEE g 152. 25
�0
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