HomeMy WebLinkAbout970 GOLDENROD DR - Building PermitsPPOJECT�ROOHESS: 9"]O GOLDENROD DR
owNen s namE: RAYMOND MARK S
nooness: 970 GOL�ENROD DR
COSTA MESA,CA 92626
714) 957-1813
RNCHIENGINEEH: HEfi.NO.:
AO�HESS:
uNir:
UNIT:
PE"MiTrEE: pERFECT COVER ROOFING (�14)434-1566
AOOflE55: 3jO3 HARHOR BL D-5
COSTA MESA CA 92626
LILENSEO CONTppCTOH UECLAHFTION: I hereby allirm that I am license� untler provisions ot G�ap�er 9(commencing with Seciion
7000) af Oiv�sion 3 of Ihe 8usiness antl Protessions Code. and my �icense is in luil farce antl eilect.
ciTr .:'059055 srnreuc.:622516 cu�ss: B
ale �' ��� Q� Signa�ure: _
REHS' COMPENSATION oECNflA7lON: I hereby affirm Iha� I nave a cenificace of nsent to setl-insure or a certificate of workers'
Compensation Insurance. or a certi�ie0 copY thereo� (Seclion 3800, LaD. C)
Poucrno.: 1263623-93 exr.oate: 07/O1/94
comvar+r: STATE FUND
r] Certifietl copy Is �ereby �umishetl. �i CenilleU coDY �5 illed with ��e ciiy Builtling Dlvisian.
�ate' �— �Q�� Npplicani: T ` `ti � �' — -
EMPTION FNOM WORHEBS' COMFENSATION OECIFflRTION: (Thi55eclian need nol be competea i� t�e permi� is torone hunOretl (5100) or less).
I certily �ha� in �he Oertormance of ihe work lor which I�is permi[ is issued. I shall not employ any person in any manner so as �o hecome
sublect Io Ihe Workers Compensation Laws ol Cahfornia.
Date: Signa�ure'.
NOTICE: IL a�ter making ��is tleclaration, you s�oultl become su6lec� �o �he Workers' CamDensa�ion provisions of the Labor
Code. you mu5t fotlhwi�h comply with such provisions or Ihis permi� shall be EeemeO remketl.
CONSTBUCTION LENOING FCENCY: I hereby allirm �ha� �here is a cons�mction lentling agency �or Ihe De��ormance oi the work for
which I�is permit is i=.sue0 �Sectian 3097. Civ_ C�.
LENDEN:
��� ADONESS: -
CITY OF COSTA MESA — HUILDING PERMIT PERM NO: B 06658
PERMIT NO: H 066586 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: ALT
JOB DESCRIPTION : T/OFF RESHEATH 6 RE—ROOF W/COMP. SHING. SQ FT: 7,030
CLAIM VALOE: 7,030.00 CALC—VALUE: 7,030.00 GROUP OCC: R-3 /M-1
COMMENTS: SMOKE DETECTORS ARE REQUIRED IN EVEAY BEDROOM 6 HALLWAY, 1991 UBC
x�x**�*x�*��**x�x�*x�****�rx�*��*����r�x�x��r*xxx+�x *rx�*�***�r*�***+r�*�r�*+r*x�*****+r**x *x��r*xx�
Z O N I N G R E Q U I R E M E N T S
S E T H A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT; ET IN RGHT: FT IN LEFT; FT IN RGHT; FT IN
PARKING REO• PROV; PARCEL: 41217325 ZNE: REF NO:
PLANNING N6TES>
7
!E i!!! 1t 1E 1ElF iF 1F if !E IE 1E 1f 1Elf 1! if 7! f! 1t fE 1E 1E fF 1f fF iE 1E 1E 1f !F 1F if !E!E iE if !f !E iE 1f 1E if 1f 1E iF fE 1f ik 1! 1f iE fE if 1f 1E iF if iE 1f iE 3E ff 1E if !F 1f iflE iF i! fE 1E �ElE IE iE iE
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 5
ZONING APPROVED BY .
BUILDING APPROVED BY ;
1E i! iF if if iE iE iE if fE if iF 1E 1E if iF IF iF 1ElElE iFlf iE iElE 1E 1E iE if if iE iF iilf iE iF iE iF iE IE iF iE i!!! iE if if if it M 1E 1! k
LEGALIZATION:N F E E S U M M A R Y
OWNEP 6111LOEfl UECLANATION: I �ereby aifirm �ha� I am exempl irom Ihe Contrac�ors' Staie License Law tar Ihe tollowinp reason
�Seclion 70.31.5 eusiness antl Pmlessional Cotle: Any ciiy ol coun�y w�ich reQuires a De�mit to cons�mci, alier, imD�ove, tlemolis�, or P ERM I T
re0air any simc�ure. prior �o i�s issuance, also requires �he applican� for such permi� �o �ile a signeU s�a�emenf t�ai �e/she is licensetl
pursuaN to I�e pmvisions of the Comrac�ors' S�ale License Law (Chapter 9(commencing wi�h $eqion 7000) o� Division 3 oi �he Busine5s
ana Pm�essions Code� or t�at Aelshe is exemp� �herefmm antl ��e Uasis lor �he allegetl exem0�ion Nny viola�ion ol Section 7031.5 by PLAN
any apPlicanl for a Dermi� suGlec�s IM1e apDlicant �o a civil penalry ol nol more than five hunOretl tlollars (5500). ISSUE FE
E
BLDG PMT
99_00
PLUMHING ELECTRIC MECFIANIC FIRE
DATE:
DATE;
iE iF iE iF 1E 1E iE iE iF it iE 1f 1E �E 1�9F if 1E iF 1f
STRUCTURAL SEGMENT;Y
SMIP/R�S� GRADING
SMIP/NON—RES
i. as awner o� ine o�openy ar my empioyees with wages as ineir sole compensa6on, wiii ao the work, antl ine HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ stmcmre is not intended or ofieretl for sale (Section 704a, Business an0 Professional Coae: The Conimctors' Stare License Law TOTALS ----> 9 9. 70 0, 00 0. 0 0 99 , 70 9 9. 70 , 0 0
tloes nal appry �a an owner of a pmperty who builds or impmves Ihe�eon, and wha does such work himsel�/herselt or thmug�
�is ar her own employees. O�ovitled Nat such impmvements are noi intentletl or oflered �or sale. Ii, however ihe huilding ar REVENUE D I V IS ION TOTALS--> COLLECTED • 99 , i0 OVER /SHORT ;
improvemenl is soltl within one year o� completion. Ihe owner wi0 have Ihe burtlen o� pmving he/50e tli0 no� build or impmve � �
m�tneourposeo�saie�. HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I, as owner of Ihe pwperty, am exclusively contrac�ing with licensetl conVactars to constmc� ihe pmlec� (Sec[ion 7044. Business 9 9. 0 0 , 7 0
❑ d�d Pf0�255i005 C00& TIIC COIIIfdC�05' State License Law does not apply to an owner ol pmpeny wha �uilAs or impwves thereon
antl who conlracis for such pralecls wi�� a contrac�or(5) license pursuan� to Ihe Con�racbrs' State License Law). I am aware 1h1E{(�*.�{.{kiflfiE 1f iE 16 1F1E 1F{f If�MiFitiFi(�tf iE itxltiF7tiFitif7f 1FiE iflfif it if it ff iE 9k 1E 1E iFiEff{E9t {(�{flf�if iE {t7f.{E{E{(�*�(.K.�.�*.�.x.M..x.*{p*.*.* {E {�.{�.
I�al pmof o� �heir Worker'S Compensation insurance ihoultl be pmvitleC �o me. I N D I V I D U A L F E E B R E A K D O W N
� I am exemD� under Seclion: B. & P. C.
, mrmisreason: TYPE
Da1e' Owner I $FR
I tlo here�y Cenity �hai I am aware of and untlerstand ihe requirements ol Cali�ornia Health antl Safery Code Sec�ions 2550.5, 25533, and
25539 an� iha� I ar any lulure �uilaing occupan� willlwill not (ci�cle one) neetl to comply wi�h saia Slate co0e5 antl ihe requiremen�s for a
Dermii for constmction or modi�ication irom ��e Air Ouahry Managemen� OistricL Fesitlential consimc�ion apDlications are exempt fmm
Ihese pmvisions.
�ate QOPI¢anl'.
I here0y ceriily �hat 1 have reatl �his appiication an0 slate thai I�e a0ove information is correcL I agree �o compty wi�� all cily antl counry
ortlinances antl staielawsrela�ingto builaing consimction an0 hereby authorizerepresen�atives ofihis ciryto enterupon�he above�mentione0
brinspection purposes.
Oa�e� . '�—q_ �4 _ _ Signamre: CC �.
ori�ers �mense or Sociai Seariry a:
164La6 White—Builtllnq: Green—Cotle EnlorcemenP, Canary—ApplicanC Pink—qevenue; GOIGenroE—Assessor
QTY
7030
1�7�f.^L�i:ii��li�i��1
REROOF BY VALUE RESIDENTIAL NOZONE
END OF FEES
S�flOKE DETE�Tr"�
FiEQUiRE�
UNIT COST TOTAL COST
1.00 7,030.00
oi aoiu7952—o0i579g3 T C1T 99.70
�7ATE: 03l29/94 TINE: 13:33
'CONSTRUCTION AND PLANNING POOI .PA
APPROVALS Permit# Oate Inspector AppROVAIS Permit# ��� Date Inspector
1
i. Temporary Electrical Service or Pole • 52. Pool & Equipment Location
2. Sqil Pipe-Ur�drgsnd. r, •- . ' 53. Steel Reinforcement
�: _Electricai CUnduIY�P�ility-Undrgrnd,i. '� 54. Forms
. r._ ... . u,
= $�,..�lectrical Condttj;�,W�drgmd. 55. Eiectrical Bcnding
�- 5l -52ee! Reinfarcem'e';� �� � 56. Rough Piumoing & Pressure Test _
ci,6.:`Fj'�ectricai UFE,f����d. : � 57. APPROVAL TC COVER�GUNITE ,-
���,rEaotings � �y 5$. Electricai Conduit�Untirgrnd. -�
-�; B��Foundation -� r� ' -" 59. Gas Plpe, f� Undryrnd., Tes? ,-
'; 9. MJater Pipe�Undigrnd. '- � 60. Backwash Lines, P�Trap, C7 Uncirymd,
10. 5trucwral FloocSyscem ' ;� 67. APPROVALTO DECK _
ii. Property5ewertine�,&Ho�t?seConrtection - 62. Backwash&Receptor�Finai
12. Sewer Cap ! • 63. Heater & Vent-Final
73. Roof Drains •c ' 64. Piumbing System - Finai
14. flough Pl�mbing � 65. Electrical-Final
15. flough Electrica`J�Conduit 66. Solar SYstem-Final 'i'
16. Rough EIecC�ic�llJiring ' 61. Fencing & Access ApUroval
V. Pough Wiririg $iyn' 68. APPR4VE0 FQR PLASTERING
18. Rough Elect�ica'i�T Bar Ceiling 69. POOUSPA SYSTEh15 FINA� �,
79. Rough Hea:ing & Air Gonditioning FIRE DEPT. REQUIREMENT
20.;Aough F,�ctOr.y r'ireplace � c;�r .-;'�: ;_. er �• 7j,ppR@NAL3�:.�:�'ermit # > '*'�.
�• M �r�: �-�-. � < r �r� _
27.�Duc�,inySttyttu��x. � .... :e� . �; i.;rx-70. Wqder'gi!ciuD�`Hygro 'r ?;
22.�DuCts. VentibtinQ,. � _ - � S <x - i�,
_ _ �,71. Produc�� �ing ��s ❑bil
23. Gas�PiP�,RouBh &"Pes. ' _< � �''.� : �2. Undergtdur�cl Fly,r'S'.f2��, , c�_,�
24. �ioo€, Framing� i w �,� ��- _ cy x. 573.�JnderyrncSStor�yi'-1"ank E Gas G Q=h
25. floq` SFiPith,n9 ''^ � �'- iy, '� "� _ ;. `74.-0verhead fr-iYdro �`� �
: + .. �-. • � � � .
26.�T•Ban Ceiling (Stnuctural} & gAonocoat � m '�,*�7�� � 75.;Dry Chemicai + r- _ a� I
27.''Frameand Flashing{ = "•� �' � ' � ��= /' � "% ��
_ a,+ Da:ic Y-c,. 7&.�Dry Stsnc(�,°iS.i i-�a ;.j
8."�attiing&Siding:...,. �-i��'z i;; • � 77.c-FIXEDS'YS�E�'9;(-SNAL'� �. �'' '
=29. Insulatio''n � c,:« �i .: . - :'t � � ` 78.�IFE PREV.�FINA�: i ;> :� �i •
.; � � .
,�0. Dryt•:all[�aiiit79 ¢'` V - _ - � ; ty -�--- : .
� I hi-EALTHcpEPT:R�E�U1RflMENT !� ; t,"�(�ll
_. .r , ' ' ' `li� _-«-� __.''S_-._� ..� t ' 'R_._
'�37. Plaster Cir:peim.Coai; ._. _,r � I Ix �. _79.'FINAL 1�1.�P.ECTIQi� t .-' �: " _��
- �
=�32.�£Iectricai;Po+n`er A9gse�;Final � `�`� . ,-,; I � E� > ;$O.;F000 CER�� FICAFE ISS� D r � � � '
�33. �ina?Ele trc�� . � . ' . : � t` �T10 -s. '� �'�- '�' , ^+
� � i i �7 ti. '] - ^r:• .
�,- r�� ' ' ~ y� cc � , ._ r � _ -. a� y .. M � -•
,34. Finai�Heaiing-& Ajr�ond�tionir�g� ' I �. .� x S ,"' � :7-,
- - �: �
35.�:F.inz',•GasPiDp"�Test: .-- - � � �.` , ';�: .� :
� �s � . >. � ' -� •
.,36.'Hodt�o `TanoPv c 1 • , � ;.. � - � ^ . - ., ,L'[
s j x� %� o � n
_ ,� h,
37. ;EinaPPactorv Fireptace,.- y ` ., , � ` � C� � i '. ----
:�: `` t-� { '3; ?:
. .. .. : ,,.` i - .. .. � . . � r : v - -_-_
�38. Final�Piumbin9 ���R - � -.i � I � i. W � S - ' "' ��
39. Water Service�Finat -� i '� I I (: a~ !� ti�; - c'. ��
r i ;,, }
,740. GasService-FJinal�,-.-'-.; � - ,,� � r` � Gy "
:.41. Soiar pome>ti¢�Final .. i � ^ _ I ' h� ,� ' - -.
R� I I Ir m - � �
�. � ' `� ' t �' �' . '. . ,
�42. �Backflow�Prevente.�; ;: . . � y �, .;r ;ti
43. Backflow Irtig3ti6eli.•~ =:'S._ � . . .- �' - - �- �' `+
. � r N (l
-1 s � �. a .. >. � �• � ,y t i ;. ,
��}4. Landscape IrciGation SYstem.�r,,:J � C �-x . o' p' _ x .ta .
�45. Sound Attenuation• , ' H �` ' ,� �-. �- - - ti: � ' �
-n n �� �r'. t-+ - •
r - , .. . ± � : i- � ��. ~ r.
�46. HandicaP;R�9ulatior�s � ;_ . . �, � ,� ` - - ,
47. �W�4L STRIJ£TU.R�E & BUI�LDING Lf 5'-q'G� � � f -j ;ao i �. � '
48. EINAL PLANNiNG; ;'r" - � ' : h-j ,; q t p.
�
�
49. �Elecvic Release ta^&iison i r-« s a; �� - � . e
- i t . , _�
:50. Gas f}elease t9..Soutliern California,Gas Co , � � 3 ' h . ' ' � ':
� .� E �,.'-
51. CERTIPICATE OF OCCUPANCY ;;„ �,, �-� . ,
No. Dace
OWNER T,ARWfN So. Cal_ DATE (y_ln_
JOB ADDRESS �vn c..i.�o,,,..,,� n,.;..o BUILDING PERMIT
II;L•L�i�i7iL'���[�PJ�
SUBCONTRACTOR
PLUM9ING
UN�ERGROUND rl POWER
REINF
SHEATMING
FRAME AND
�n �
,BROWN COAT
HE, „ VENT., flEFRIG. ANO A.Cr.v, FINAL
PLUMBING. FINAL AND GAS TEST L.�
ELECTRIC, FINAL
BUILDING, FINAL
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COSTA MESA BUILDING-SAFETY DEPARTMENT
�2 C P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
REC�EI/V��,p BV D./ATEFECEIVEO DATE 5 U�y
ADIDRESS 970 Goldenrod Drive "' " `� ��✓ �R � � �yr�
PE T�O, �
OWNER 7,ayz.�in Southern California A'P'N�' � c.'
MAIL BUILDING
aooRess 16255 Ventura Blvd. ADORESS � G'pGDFNieO�
CITY Encino, California No��986-8890 TRACT %SSJ—B �or 82 a�ocK
CANSTRUC710N
IENDER Larwin Southern California
BRANCH 16255 Ventura Blvd. �
ADDRESS Encino, California �WNER Lii'R��i� .So Cry C-
ARCHITECT TEL S � r W �A/2�iALu$ p ��
RENGINEER Larwin S, Calif. N'273-4464
9100 Wilshire Blvd., Bev. Hills FIRE ,
ADDRESS ZONE TVPE GROU i�
APPROVE �
CONTRACTOR Igx'p77.i1 Southern California BV � DATE
nooaess 16255 Ventura Blvd.
TEL. ZONE NO.OF y USE OF NEWS� REF !J
cirv ncino California No• 986-8890 - � P�""' O`'� BUILDING �
LIC.NO. U0.N0. �,.$—L vMADNBUILDING ACCE SOFVPBUOILDWG
191311
SI2E NO.OF BLOGS. IFROM C/L STREET)
OF LOT 66 X 97 NOW ON LOT O RONT FT. FT.
USE OF
EXISTING BLDG. $ T FT.
SIZE OF NO. OF
NEWBLDG. L��FO ROOMS STORIES 1 I.SIO FT. FT.
EMERIOR WAL� ROOF
COVERING StllCCO COVERING WOOa shingle qEAF �� FT. FT.
USE OF BUILDING AND WOFK TO BE PEFFORMED DSTANCE BET. BET. MAIN &
MAIN BLDGS. ACGFSS. BLDGS.
VAR.# DATE
i n in le Famil sidence c.u.P.,w APPROVED
APPROV ED �� �
AOLD FOR SPECI ' MENTS
I hernby acknowletlBe [�a[ I heve reatl [his aOPlicetiOn antl zte[e
that the above informallon i� corract and aB�ee to comply with
all lews repuloting builtlinB construction, ontl I shell not emplay
any parson in violeNon ol the workmen's compensallon lawa of A
the Stam of Californis. r'
I horoby cartify that I am proporly licansatl es a cOntrec[or under SQ. FT. V
the State ot Calitornle Business antl Prolassions CoCe, Division 3, HE AMOUNT 5 N UNDER VALUATION IS FOR
Chapter 9, entl thot such licans¢s nre In full force and etfott, or I THE PURPOSE OF ABLISHING A PERMIT FEE ONLV:
am axampt irom the provisionsof Na Srota of Californ(a Bvslness VAIVATION
and Professlans C a, Division 3, Chapter 9.
PERMIT FEE $ 94.00
SlBnature
Parml � ✓ D. DOWRS $ 26p�L�� PLANCHECK $ �i7.�0
AUMorizetl Agent TOTAL FEE g 1�+1 . ��