HomeMy WebLinkAbout966 GOLDENROD DR - Building Permits�
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� CITY OF COSTA MESA �
BUILDING D/VISION
77 FAIR DRIVE, COSTA MESA, CA 92626 • Q74) 754-5273 • Fax p14) 754-4856 • www.costamesaca.00v
FOR INSPECTIONS CALL: (714) 754-5626
PERMIT TYPE PLUM
APN: 41217326
._ ,
PERMIT NUMBER: P12-00011
STATUS: ISSUED
DATE ISSUED: 01I31I2012
ISSUED BY: KJB
:JOB ADDRESS: 966 GOLDENROD DR CM Suite/Unit:
Vicinity:
SCOPE OF WORK: CHqNGE OUT WATER HEATER. SAME LOCATION. LIKE FOR LIKE.
OWNER: KELLEY, HELEN A TR Address: 966 GOLDENROD DR
PHONE: City/State2ip: COSTA MESA, CA
APPLICANT: MAZARIEGOS, BYRON Address: .
PHONE: 1888 6N-0328 City/State/zZip:
CONTRACTOR: AFFORbABLE WATER HEATERS AND P�UMBING License No.
Address: 24663 RqILROAD STREET
PHONE: 661-259-7131
Eity/SWte: NEWHALL,CA ZipCode: 91321-1742 CELL:
f'1
ARCHITECT: License No.
ENGINEER: License No.
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PLUMBING PERMIT FEE SUMMARY
PLAN CHECK FEE:
PERMIT FEE:
��ij�_1�1��
50.00
$35.80
$35.80
PHONE:
PHONE:
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rii
!NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
JNSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
�required inspections and Fnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE1. MSPECTIONTYPE QA¢, INTRIR f9� INSPECTIONTYPE Q9jE N AL
i616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing � ��
200 Final Re-ROOf 210 Final EleClntal
201 Pinal BIocWRetaining Wall 212 Final Fire Prevention
�:r
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
20a Final Demolition 250 Pinal BuildinglOaupancy
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WORKERS' COMPENSATION DECLARATION:
I hereby affrm under penalry of perjury one of the following tleclarations:
❑ I have and will maintain a certifcate of consent to self-Insure for vrorkers'
compensation, as provided tor by section 3700 of the Labor Code, for �he
performance of the work (or which this permit is issued.
❑ I have and will maintain woricers' compensation insurance, as required 6y
section 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation Insurance carrier and policy
numher are: ��" /
Carrier �ti� S O F TGP �IS'f�
(IDrs sx(on nee/tl,,no�l 6-e mmpleled Afhe pe�mR is valuetl at one bondretl dollars ($t00) or less )
Policy Number L�� sv%%3� � D`�
❑ I certify that in Ihe performance of lhe work for which this permit is
issued, I shall not employ any person in any manner so as to become subject
to the workers' compeqr3'ion laws of Califomia, and agree tha[ if I should
become subject to the ,Wo �cers' compensalion provisions of Section 3700 of
the Labor Code, rsR� II �or wi i c with these provisions.
/-3/-iz
ApPlica 's na re Date
WARNING: FAIL C E WORKERS' COMPENSATION COVERAGE
IS UNLAWPUL AND SHALL SU&IECT AN EMPLOVER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($700,000�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby anrm that I am licen5ed under provisions o( Chapter 9(commencing
with Section 7000) of Division 3 of the Business and Professions Cotle. and
my license is in full force and eNect.
Lic.# �2��✓6� Class# C3(�
/ S/—/L
ra r aWre Dale
CONSTRUCTION LEND NG AGENCY:
❑ I hereby affrm that there is a construction lending agency (or ihe
peAortnance of the work for which this pertni[ is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Address:
OWNER-BUILDER DECLARATIONS:
I hereby affrm lhat untler penalty of perjury that I am EXEMPT iROM THE
CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5,
Business and Professions Cotle: Any ciry or counry which requires a permit to
constmct, alter, impmve, demolish, or repair any strucNre, pnor to its
issuance, also requires the applicant for such permil to file a signed statement
that he or she is licensed pursuant [o the provisions of [he Contractors
License Law (Chapter 9(commencing with Section 7000) o( Division 3 of ihe
Business and Professions Code) or that he or she is exempt lherefrom antl
the basis for the alleged exemption. Any violation of Section 7031.5 by any
applicant for a permit subjects the applicant to a civil penalry of not more than
five hundred tlollars ($500).):
❑ I, as ovmer of the property, or my employees with wages as their sole
wmpensation, WILL DO THE WORK, and the structure is not intended or
offered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply to an ovmer of property who builds or improves
lhereon, and who does such vrork himself or herself or through his or her ovm
employees, provided that such imp�ovements are not intended or oflered 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 builtl or improve for purpose of sale.).
❑ I, as owner of ihe property, am EXCLUSIVELY CONTRACTING WITH
UCENSED CONTRACTORS to consWcl the project (Sec. 7044, Business and
Professions Code: The contractors License Law dces noi apply to an owner of
property who builds or improves thereon, and who contracts for such project with
a contractor(s) license pursuant to the Contractors License Laws.).
❑ I am exempt under sec.
Business and Professions Code for this reason:
SgnaWre
309-A6 (3/0])
�
Owner ID veri(ed by driver's license. ❑ Yes ❑ No
Driver's License No. Expires:
Verification o( Ownership by (type o( document, i.e. - property tax bill or deetl):
DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION:
❑ I hereby cert'rfy that no excavation fve (5) or more feet in depth into which a
person is required to descend, will be made in conneclion with work authonzed
by this pertnit, and Ihat no building structure, scafidding, falsework, a demoli�ion
or dismantling thereof, vnll be more than thirty-sia (36) (eei high. (Chap. 32, Gry
2, M 2, Sec. 341, Title 8, Califomia Administ2tive Cotle).
❑ As owner-builder, I will nol employ anyone to do vrork which would
require a permit irom ihe Division o( Industrial Safery, as noted above, unless
such person has a permit lo do such work (rom the division.
Appllcanl's Signature
Division of Industrial Safety Permit Number: _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will lhe applicaM or present or future building occupant need [o file and
certify a Business Plan foi emergency response ro release or threatenetl
release of a hazardous matenal? ❑ Yes ❑ No
(Section 25505 of the California Health antl Safery Code requires, wi[h some
exceptions, that a Business Plan be fled with the Costa Mesa Fire
Department by every business which has at any one time tluring a reportetl
year a quantiry of hazardous materials equal to or grea[er lhan a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
at standard tempereture and pressure).
2. Does or vnll Ihe applicant or present or (uture building occupant need to fle
a registration (orm (or acutely hazardous materials? ❑ Yes ❑ No
(Sec[ion 25533 0� the California Health and Safety Code, with some
exceptions, requires registretion with ihe Costa Mesa Fire Depa�meN by
each business which at any one [ime has on hand a quantity of acu[ely
hazardous materials equal to or greater Ihan a weigh[ of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
temperaWre 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 malerials)? ❑ Yes ❑ No
(Section 25534 of the Califomia Health and Sa(ery Cotle provides that the
Cos[a Mesa Fire Department may require the preparetion, certifcation and
fling with the Fire Departmen[ of an RMPP by businesses which are requiretl
to regis[er acutely hazardous materials with the Fire DepaAment.
4. If an RMPP is presently required, has Section 25534 of the Califomia
Health and Sa(ety Code been �ully complied with? ❑ Yes ❑ No
5. Does or will the applicant or present or future 6uilding occupant require for
ihe work which is lhe subject of this applicatioq a permi[ for such construction
or modification (rom the South Coas[ Air Qualiry Management District or from
any other air pollution con[rol disVict or agency? ❑ Ves ❑ No
(Section 658502 0( ihe Cali(omia Govemment Code requires tha[ the requestetl
in(ortnation be fumishetl on applications fa non-residential building pertnits).
6. Will any part ot the faciliry to be constructetl untler this permit be within
1000 leet from the outer boundaries of a school? ❑ Yes ❑ No
Qf'yes", the facility must meet the requirement of Sec�ions 25534 and 42303
of Ihe Califomia Heal(h and Sa(ery Code).
7. I( a permit �rom the South Coast Air Quality Management District or other
air pollution contml district or agency is requiretl tor the work which is the
subject of this application, have all of the disclosures prescribed by California
Health and Safety Code Section 42303 been matle? ❑ Yes ❑ No
8. Qf'yes", attach certificate of compliance fmm the appropriate air pollution
conhol offcer).
CERTIFICATE OF COMPLIANCE: I certify thal under penalty of perjury the
information given above is correct I agree to comply with all state laws and
ciry ordinances regarding Hazardous Materials and Emissions.
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
cenify untler penalty o( pe�jury tha[ I have read this applica[ion and slate that
the informalion given is corteci. I agree to comply with all s[ate laws and city
ordinances relating �o building construction, and authorize representa�ives of
the City of Costa Mesa to enter upon the abovedescribed property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by Ihis permi[ until fnal inspection.
Sg�ymr o � e� 6� oa�e
l- 3/- iL-,
Andla A on etl A olifanl Date
��oonrssaewwa 966 GOLUENkUU Uk uxr: CITY OF COSTA MESA — HUILDING PERMIT
qVNERSNAYEIFpqhM: KELLEY HELEN A TR FLUUD; AH-38 PEkM NU; $ 08310
� eooxess 966 GOf,DENRUD UA
- COSTA MESA,CA 92626 F�EAMIT NO: b 083104 PLAN CHECIC NO: N GOVT: N SUPP: N
�va�. �uie�o iwo�ss
un.wrtEa on etxn+�x:
41CH OP ENQ'S �WflE54:
caim�cTarswua: SANDKAMP ROOFING
CONiPACiORSYNlWO 124 N. SULIVAN
�ooxEss SANTA ANA CA ueno: 362896
92703 uMT: C
uoommeEm n0 �M1RSee�ionpaao) d�DiF1b6��M �Ne� B�iinaid6nC P�deu' ns W�de, aed my I�ul�� IuunEer�p ��e�M GheNm B
cmuc.No,: 041643 uc.cuss: C 39 uc.No.: /36J2�896� EXP: 00/00
om<: �' 2 4- 1 com�w«: �\ ��
NE BUILDEP DEC4NRTION: 1 hereby tlfiim uMer penelly M perjury tlet I em examq 1 Comrrfm license lew lor IM
�aefon (Setlion )W 15 &mi�n� enE Ptdesaone Cade: AnY ciY o cvuM' whitl� rNwre� e O�i Io romVud. eller, unpove.
'.«repai vry euucture. pior b Cs eaerwe. ebo requirea the epqiroN tor wch pwmY m fib a eqred atmxroni tluo he «eM
pmuw �o �ne prmAain,. a ms cau..e«a liume lew Ichaqa s(mmneneno wLLn ssann l000) a o:+uion a e �ne
�e'vie�a eM Rdaaiom Code� ar ItW M a ehe u exemq �twelmm vM iM bavs la Ihs elleped uamqion. My videtion M Sed'an
)0�1.5 by xry appirsN �a a permG vibpGs Ihe eppliram �o e tivY penelly d nol mas IMn IN� hunGsd EtlW+ �5500�.
� I,svovmardiMpoperryamyempbyeeawihwapaeesthaiedemmpanaatim.wiAEOlMxak.vdtMsvunuieerw�iMeiMeL
n oRerad laseb (�� ]Oaa. Buaimu enE Prdeseiona Coda: The Cam�aewa Li�aa LewEoea not eppty lo en oxnmd piopany
who bueda u inpoves IM1areon. vd who doan euch Hv�k himeeM or henM a Neaph he v her oxn employeas. qwkeE iMl auch
impwemaua ere �v inieMed w dleieE Im ada. H. howevar. the buiNi�p a inpovemeM e edd wuh'v� ar Yw d comdaon. lhe
owmr-0uiker vNl heve tM buNm d pv+inB � a ehe did nd buik «impmw la the puryoae W sele).
� I. m awrer d iM O�W�Y. am utl�aiM/ mnireaiq wilh IkmaeE cantreclon b cmftrud IM pnl� (See'v� ]OM. Bueinme aM
wae.aon+code: The comreeon ucena. �.. eoe. �a evNv ro m, o»n« a ww�r w,o ew'm w:�ro�.�e. ma.o� ena wno
eontrecu la wd� peopea rY� e cvmmaa(s) Icemetl W�� to tM Canireqae Limn+e lew�.
� I em memq under Saiion: 8. 6 P.C., fa �ha reeson:
uc ra.:
uxr:
(714)592-1742
I do hereW unih tlw I em ewms d ma �ndenteiM ihe repuiremew d Cdirnde /lmtlh end Sefe�y CoEe SeCom 2%U5. 255a'f. eM
25.41�, vd thet I a xry Mura buJNnp oawpeni wYl / wll rwl (rircb aw) neeE lo campy xt� uid qma mdu eM tM repuiromen4 br
s permn lawuwniona modifwiontrom iM Ri�epsment Oimrb. RmiAemW omp�udion appire�bmen ssemp Irom Nme
a�..
Dele: �GW�'
WONNER'S CONPENS�TpI DECIAFATION: I Mreby dfi�m urcW pe�W�y W px"ryry ans d Ns Idbr.ieq Osdsrniom:
� I heve uM xi0 meinten a ce�ilkele d mneenl �o eeX�inaure b worke�e' compenwion, o pwided In Ey Sadian 3>W d tM Lebor
COEe. Ia iM peelmnarca d IM xvrk la whie� thia permn ie ivued.
❑ � nev. ene.0 meim.n r.ona+� mmo��, �^��. m�^a��a M seaion a�ro d ub �,mr cm.. �or ma o«�ormenc. d in.
wak la xliid� thie penrii u'veued. My wakere' mm rumbn "vuurenu rairir end pdiry wmber vs:
�,,,;,,; S'�ATE FUND EXPIRES
Pwc,. m,�„« — 10 / 01 / 9 7
� y.�is aed'an mM rot de cvnpMed / tM pamit b M om huM�ed ddlers (St00/ w Im.)
Cy 1 wlfy Net in Na perlormviea d tb wark Iw wM1'ieh thu peimN u isaueC. I eM0 nal emplv/ vy peeaon in env mennar so ss to
becwm wEjm Io IM1e xaFas' oomps�ee�ion lewe d CaNwnio, a.d eprea Nm L I Nv�k becmie wEjotl to �M woM1e�e'
ompenvtion prw'niom d Seaion 3]00 d IM1e Lobor Code. I ehell 1 p�y w�i w pwiaims.
s�)�1A<F�� eod� �c% /� � �7
m: FWun ro ucun ro'kw�' compawVon cworep� l� un4wN( �nd �IW/ ui/�cf an wAv/oyw� fo [NMryI pMeltlu �n4
nnu �p ro orH l�inantl WuuM Adlw (St00,000A In Mdltlon ro tln cwt o! romprueWR A�mspu u povltlW roi In
9xtlon J1(16 0l IM laDorCob, Infx�st ����Y'� �w+�
CONSTHUCTON LFHqNO ��ENCY: I haeEy �rm ��m. varoM w vawv mm inm. m. mm�a� wwoo roe� i« m,
peAamerm d IM xvrk Iv wfiitli t�e pwmi u eeueC (�1ion a09'l. CH. CI.
LENDEN'S NAME:
IENUEX'S �ODFESS:
I rnniy Ihei Il�we maE Nie eppfr.mim end tlme Ihel lh0 above inlwmation n mrtad. I qme IO comy/ rrith N ary erd counry pd'menoee
enEeletalevn IobuMMwn ��an.�aWemno,�e�r�mwVesamAmv�oam«�oo�m.mwa-�m�,.dwoaem
�°'�°'°°° °` °' •E SANDKAMP
�
Dme: � �+` � _ ! /
(5151J6.WP) Whne-Bi+3d`q d Sa1Ny GraeMFle; Canary-Appicem; Pink�ue; Gddenmd-Ac�eawr
CUNSTRUCTIUN TYPfi; V-N PEkMIT TYPE; STk PURPOS�; OTH
JUB DESCRIPTION ; T/UFF RESHEATH & REROOF W/CLAYLITE 509PS S(j FT: 8,600
CLAIM VALUE: 8,600,00' CALC-VALUE: 8,600,00 GROUP OCC: Ft-3 /D-1
COMMENTS: SMOKE DETECTORS REQUiRED
iE 1E if it if ik iE iE Ik iE * iE k 1E IE iF 1E if iE �k iE 3E �E if iF iF �f iE iF 3E iEj! iF-lE ik aE ik �M �f 3k iE k�IE dF jE iE if iE jF if ik at �E �k iE'k ak if 1E iEif -1f i! 3F aE if 1f !F ik i4 iE 1E it iE aE ik ik iE iE
Z O N I N G R E Q U I R E M E N T 5
S E T H A C K S
------------ MAZN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FANT: FT IN REAR; FT IN FRNT: FT IN REAR; FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PAAKING RE�• PROV; PARCEL: 41217326 ZNE: REF NO:
PLANNING N TES>
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it iE It iF i! 3! �t 1F 1E iE 3f if iE iE jf -k jF iE iE aE jk af if �lE 3F iE iF ak 1F fF �f �E if �f if iF 1f ff ik 1f 1! k 1E 3f fFlf �)f iE iE iE jf 1F *i! iE 1E �F ik 3! �E k k fk �k jF ik if aE'1f )i it 1E !E 3E if �f 1E iF if
D E C� E�L O P M E N T 5 E R V I C E S R E Q U I R E M E N T S
ZONING APPROVEb�BY DATE:
BUILDING APPRUV�:D BY ; �� DATE:
APPLICATION ISSUED BY: �/ /E—'�._ DATE- ^\
i� 3E af +t �F �7! it it it ik at 3t iElr�1F tt it it it it it iElF3F'iE3FiFR"iFiFiF3F �+FiF'if3F'iF iF3F3F �F'�fE3F3fiF iF'iFiF'{FiF3FiFiF�t ir ik it �k i! ik �f �k ir i� `
LEGALIZATION':N F E E S U M M A R Y STAOCTURAL EGMEN :Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMZT 149.75 86
PLAN SMIP/NON—AES
ISSUE FEE /
HUILDING—DIV—> PERMIT ISSOE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 150.61 0.00 0.00 150.61 150.61 .00
REVENUE DZVISION TOTALS--> COLLECTED: 150,61 OVER/SHORT: ,00
HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECR
149,75 .86
iE dt iE �f �k iE ik if 3F iE iE 3E �)E fF �E iE * jE jE if 3E jE aE 3E iE iF jE 3k 1E iE �F jf IE jE M if aE ak iF iE 3F iE jE jF jE jE �E 3Elf if it ik iE 1k �E �%# if ik if iE 3E �1E iE iF jf iE �'%� �E iP �N�'1F �E �k iF jE iE k
I N D I V I D U A L F E E H R E A K D O W N
TYPE QTY D E S C R I P T I O N�'��Z� ���- �"� �=;� UNIT COST 'TOTAL COST
SFR 8600 REROOF HY VALUE RESIDENTIAL NOZUNE
END OF FEES
1, � Q � 0 Q, � �
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MAY 2 9 ��� ,
Cli`( Cti L,,.; E � ;��
- CONSTRUCTION ANDPLANNING.-� P00' SPA
� • � Date Inspector Date Inspector
APPROVALS Permit#-� APPROVALS Permit# �
.
t. Temporary Electrical Service or Pole 52. Pool & Equipment Location .
2. $oil Pipe•Undrgrntl. 53. Steel Reinforcemen[
3. Electrical Conduit Utili[y-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Sxeel Reinforcement 56. Rough Plumbing & Pressure Test �
6. Electrical UFER Grnd. 57. APPROVAL TO COVER•GUNITE
7. Footings 58. Electrical ConduirUndrgrnd. .
8. Foundation 59. Gas Pipe, C Undrgr�d., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, , Undrgrnd.
10. Siructural Floor SYstem 61. APPROVAL TO DECK � .
11. Property Sewer Line & House Connection 62. Backwash & Receptor•Final
12. Sewer Cap 83. Heater & Vent�Final •
13. Rooi Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
75. Rough Electrical�Conduit , 66. Solar SYstem-Final
16. Rough Electric 4Viring 67. Fencing & Access Approval
tl. Rough Wiring Sign 68, qPPROVED FOR PLASTERIPSG
18. Rough Electrical�T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rough Heacing & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
27. Ducts, in Strutture 70. Underground Hydro
22. Ducts, Ventilacing 71. Product Piping pGas ❑Oil
23. Gas Pipe�Rough & Test 72. Underground Flusli
24. Roof Framing 73. Undergrnd. Storage Tank � Gas O Oii
25. Roof Sheathin9 �p'�i�,�"' 74. Overhead HYd�o
� (
26. T-Bar Ceiling (Structural� & Monocoat 75. Dry Chemical
27. Ffame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEAITH DEPT. REQUIREMENT
31. P4aster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. FinaV Heating & Air Contlitioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Firepiace '
38. Final Plumbing _ __,
39. Water Service�Final �
40. Gas Service-Final
41. Solar Oomestic•Finai
42. 88ckflow Preventer �+--....�
43. Backflow Irriga2ion ry' c:
44. Landscape Irripation System •�} c
q5. Sound Attenuation � ��� '
` 4_
46. Handicap Regulations � � ' �� , �
� .�
47. FINAL STRUCTURE & BUIIDING �'��/(�7 �- . y"
/ 'v
48. FII`1ALPLANtSfiVG i`'�
49. Elettric Release to Edison - �v.._a"A'
50. Gas Release to Southem Califomia Gas Co -
55. CERTIFICATE OF OCCUPANCY
No. Date '
PATIO COVER DETAIL 6/1/61
�STATE--���,
$pqCING SPAN
SIZE � .
OVERHANG ��
, � „ RAFTERS: 3•" , L---r�=��
_ .« � ctia7H .r.---� SLOPED FOR DRAIN _
4� %
`BEAM
3 ''�
STATE SIZE
3�16 x 2��'
i II I
� ll I
�1�+�
x' POST-BEAM
� CONNECTION
�r
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S/g K 5 Lags 32% '
Predrill Ledqer '-j�
Prcdrill Exietiny '/�-3 Deep
�� i �'JOIS7 MANGER—
� �� `or other approved�
\ of supDurt a tie.
\
ALL LUMB£R OOUGLAS F/R
CONSTRUCT/ON' GRAOE
POST
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SHOW SIZE SHOW SPACING
� SHOW LOCATION ON REVERSE SIDE.
f– SLOPE 70 DRAIN—
DROP PATIO FLOOR
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^ �' PUDDLED� SAND FILL� i ._
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Remove G.ass And Weedt Down To Noturol G.od�
�Z • " CONCRETE MIX 1:3:4 MAXIMUM WATER CONTENT
POST ANCHOR �_ I�.��..��+� 7# GALLONS PER SACK CEMENT.
Fpr Pipe Post.Embed r1z� Provide 26 Ga G.I. Flas�inq At Wood Floor Co
Pipe In Footinp•
Provide Flmqe Or Weld Plate Screwed O. Bolted To Frome.
CMF 00012-461BV 40)
CONTINUOU
LEDGER
TYPICAL JOIST ANCHOR
NOTE � USE REVERSE SIDE FOR PLOT PLAN.
No i r t— h i No 2
FOR OPEN EGG CRATE FOR SO�ID SHEA7HING.
A�UMINUM OR PLASTIC . SNINGLES OR BUILT UP
ROOF COVERING ROOFING.
MAXiMUM SPAN SIZE SPnCIr+G MAXIMUM SPAN
17� O"" 2x6 12% 15� I�
16� 0" 2'x6` Ifi% 13" 3"
I 5� 0 r 2"x 6' 24% 10� II
12� 0' 2`x 4" 12'% 9" II••
I 1� 0' 2'x 4' 16% $� 8
10� 0` 2'x 4" 24% 7� I"
NOTE: FOR PROPOSED OR FUTURE ROOM,OR WHERE PATIO
WA�LS ARE TO BE BUILT. USE N0.2 CHART ONLY.
WIDER RAFTER SIZE MAY BE INTERPOLATED FOR
SPACING ON�Y.
FOR PROPOSED OR FUTURE ROOM OR WIIERE PATIO
WALLS ARE TO BE BUILT SUBMIT COMPL FTF HOUSE
AN ADDITION PLANS
COSTA M ESA
1;7 fAIR DRIVE
BUILDING DEPT.
834-5273
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J` SEPARATE PERMITS ARE REQUIRED
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^ �f � � ' : REfRIGERATION WORK �
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�-- . , j. ALL IUSPECTIOPJ_ REQUESTS
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� j STATE OF CALIFOHNIA DIVISION OF
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1. tiA \; � i ' i " ADDITIONAL RCQUIREMENTS.
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MAKE ENOPCNANG SSTWI7HOU7JPRIOR APPROVAI:
. -� :. � ' � OF DEPT.
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" C-- --� � � OF� P�qgS ANO SFfGIFYCAY�IONS SHAIL NOT BE COhSTRUED
� TO��E A PERMIT FOR, OR qN APpROYqL OF, ANY VIOLATION
� � ' . OF ANY OF THE PROVISIOP;S OF THIS CODE. NO PERMIi PRE-
'- �� SUMING TO GIVE AUTHOR17Y i0 VIOLATE� �OR CANCEL THE
' �PROV7SIONS OF THIS CODE SHALL BE YALIC, IXCEPf IN Sp
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THE ISSUANCE OF A PERMIT BASED UPON PU1f7$ qNp
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. FROM THEREAFfER REQUIRING THE CORflEC710N OF EFRO�
Iry SAIO PLpNS ANU SPECIFICA710NS OR FROM PREVEPPfIJf6
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OF THE CI7Y,
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OWNER DATE 4-10-73
JOB nDDRE55 Go eI�o3�rive BUILDING PERMIT N0. �2
GENERAL_CONTRACTOR same DESCRIPTION of WORK Res. w att. Rar.
A� LOT 81 TRACT 7557B FIRE ZONE VALUES 26_400_00
Ei.:
SUBCONTRACTOR
ROUGH PLUMBING /
PROP. SWR. LINE HOLi�USE CON.
ROUGH XEATING FND AIR
UN�ERGROUNO �l POwER
BONO BEAM [� STEEL FE
SNEATNING
FRAME AND FLASHING � •
PLP^'�R, BROWN COAT
ST JRAL, FINAI
MEAI iNG, VENT., REFRIG. AN� A.C., FINAL
PLUMBING, FINAL FNU GAS TEST
ELECTRIC, FINAL
BUILOING, FINAL
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SOlARCOSTA MESA BUILDING-SAFETV DEPARTMENT
P.O.eOX 1200 COSTA MESA.CALIFORNIA 92626
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APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completety
flECEIV BV DATE RECEIVED DATE I SUED
ADORESS 966 Goldenrod Drive - P` � APR � 0 I973
PERMI4fJ ..�^
OWNER Larwin Southern California A�P� NQ. �� Jb :�� ,
MAII BUILDING /
ADDRESS 16255 Ventura Boulevard ADDRESS �f�j ,. � L,(X/�/.Q-0./J ��
TEL.9H6-HHJO TRACT %SS%-B LOT $1 BLOGK
ciTv Encino, Calif. No.
CONSTFUCTION W ADD A P
LENDER Lanain Southern California
BRANCH 16255 Ventura Boulevard /A _/C //�'�
ADDRESS Encino, California OWNER [�/I���/" ✓� �/���
ARCHITECT TEL S %2ES (nI /�jA/C. ALUS�j� 1�
OR ENGINEER ��lil .S. Calif. N 273-4464
FIRE �
AODRESS 9100 Wilshire BZVC1.� Bev.Hill ZONE TVPE GROUP
APPROVED
CONTRACTOR ��in Southern California B� DAT �
ADDRESS 16255 Ventura Blvd.
TEI. �ONE NO.OF USE OF NEW SiZ� u%
CITV Encino, Calif. No. 986-8890 -� Pww^� BUILDING T G��
STATE CITY VARDS APPROVEO VARDS APPROVEO
uc. n,o. 191311 ll0. NO. B-1 MAIN BVILDING ACCESSORV BUILDING
OF I.OT 6S X 9S NO.OF BLDGS. (FROM C/LSTREET)
NOW ON LOT O RONT FT. FT.
USE OF
E%ISTING BLDG. E FT. FT.
SIZE OF 1740 NO.OF 1 / t ,
NEWBLOG. ROOMS STORIES L.SIDE F? FT. FT.
EMERIOR WALL ROOF =
COVERING Stl1CC0 COVEFING WOO(1 shin 10 REAR � FT. FT.
USE OF BUIL�ING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN &
MAIN BLDGS. ACCF�. BLOGS.
VAR.iW DATE
Construction Sin le Famil Residence c.�?.9w APPROVED
APPROVED /D� � 1
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HOLD fOR SPE YlIREMENTS
I hereby acknowletlga that I have reatl this applicacion antl state
that the above informexian is correct and agree to comply with
all laws regulating builtlinp construction, and I shall not employ
any person In violatlon of the workman's compensation laws of
[he State ot California.
1 hereby certity that I am properly IicensBtl as a coniractor under SQ. FT.
the State ot California Businass antl Professions Cotle, Division 3, THE AMOVNT S WN UNDER VALUATION IS FOR
Chapter 9, antl that such licenus are in full force antl effeci, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV:
am ezempt from the Orovisions of the Sta[e of California Business VALUATION
antl Professions Cotla, Oivision 3, Chepter 9. PERMR FEE 5 94. �0
Signature o DOWRS
Permitte� ��A?�.��� $ ?.E7��F00 PLANCHECK$ 4�•�0
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AuMorizatl Agent TOTAL FEE $ 141. �0
OWNER KOCK� V.R.
JOB ADORE55 Golde
G°"ERAL CONTRACTOR
A �. -17 -2 LO'
INSPECTIONS
SOIL
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ROUGN PLUMBING
PROP. SWR. LINE HOUSE CON.
SPRINKLING SVSiEM
MISCELLANEOUS
ROUGH HEATING ANb AIR CON�ITI
UNOERGROUN❑
ROIIGH WIRING
FLOOF SYSTEM
60N� BEAM ❑ ST
SHEATHING
FRqME FN� FLASMING
LATHING - IN n
G ER, BFOWN COA
5, .TURAL,FINA�
PLUMBING, FINAI
ELECTRIC, FINAL
FILLOING. FINNL
POWER
RIG. RN� A.C., F
] GAS TEST n
F.
DATE 5-28-7k
BUILDING PERMI7
FIRE ZONE VA�UE
TVPE GROUF
SUBCONTRACTOR
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
P L ATION FOR BUILDING PERMIT
Fo� App/icant fo Fill in Completely
RE EI E BV DATERECEIVED DAT ISSUED
BUILDING i%/ �6�DEN d� �V� ��
ADDRE55 (Yl
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OWNER A.P. NO. � 1
MAIL '/ BUILDING /
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ADDRESS �6L EIJRoD 'y� �+DDRESS
d U CITV �QS � � � NO`,'S -Zp9 TRALT LOT BLOCK
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O N LENDER Ir
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J � BRANCH
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� ADDRESS T VAIUE �w '
ARCHITECT ,�/ TEL S' (/ > S
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�%Q FIRE
W� AODftESS 20NE TVPE GROUP
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J O CONTRACTOR BY DATE�'
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w w TEL. Z E NO.OF " USE OF N
Z= CITV NO. P�� BUILDING Q �
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w O STATE CITV �'ARDS APPROVE� VARDS APPROVED
y� UQ NO. LIQ NO. MAIN BUILDING ACCESSOtiV BUILDING
_� SIZE /`' � NO.OFBLDGS. / (FROMC/LSTREET) �%
OF LOT 7D l� I I O NOW ON LOT r FROfYT F Y�T. S�
USE OF
EXISTING BLDG. � 5 FT
I� SIZE OF 9��%%.� jO,�� NO.OF /� //
Z NEWBLDG. FOOMS STOfl1E5 L.SIDE F. FT.
�% COVEER�INGALL COV�ERING RE�1R FT. FT.
USE OF ,B,yU�ILDIf�IG A WORK TO BE PERFORMED DISTANCE BET. BEf. MAIN &
� r MAIN BLDGS, ACCESS. BLDGS.
G
Q VAR. #` DATE
O C.U.P.�j'. APPROVED
r APPROVED /
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UI hereby acknowledge that I have reatl this application and state 1AT
� ihat the above infOrmation is correct and agree to comply with
� all laws regulaUng builtling cOnstruction, antl I shall not employ
r any person in vlolation ot the warkman's compensation laws ot
y the State of California. ��O �
zI hereby certify that I am O�operly licensetl as a contracior untler SQ. FT. o
the State of Calitornia Business and Professions Code, Divisicn 3, THE AMOUNT SHOWN UNOEP TIQN IS FOR j
Chapter 9, antl that such licenses are in tull force antl effect, or I THE PURPOSE OF ESTABLISMING A PEFMIT FEE ONLY: m
am exempt from the provisions of the State ot Calitornia Business ¢
antl Professions Coae, Divislon 3, Chapter 9. VALUATION � N
PERMIT FEE $ ]
Signature�Qf� ,,f n`- (//� /^p �J � � m
Permittee7C �G�Yr��L(.��.Y{._ $ /�� PLANCHECK$ E
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LL
Authorizetl ABent TOTAL FEE $ ��