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Home My WebLink About221 ROSE LN - Building Permits w PROJECT ADDRESS: 221 ROSE LN • UNIT: CITY OF COSTA MESA - ' BUILDING PERMIT PERM .4O: B 046225 OWNER'S NAME: LARRY DABOLT - ADDREss: 1900 BERYL LN PERMIT NO: B 046225 PLAN CHECK NO: . N . , GOVT : N SUPP : N , NEWPORT BEACH, CA. 92660 • , CONSTRUCTION TYPE: PERMIT TYPE: SIR PURPOSE : ALT • ARCH/ENGINEER: 714 /548-1366 REG.NO.: r- r ADDRESS: • UNIT: JOB DESCRIPTION : T/0 ROOF TO WOOD SHEATHING/RECOVER SQ FT: 2, 455, (• _ .. . CLAIM VALUE: 2 , 455 . 00 CALC-VALUE: 2., 455 . 00 'GROUP OCC: R-3 / PADGREss: ORANGE COAST ROC!•ING ( 714 ) 631-1924 20122 SANTA ANA •VENCIE 6A COMMENTS: • SANTA ANA HEIGH C • 9 _707 *********3c**************kl*******************##it+elr### *****asst*****ye#####tt-******* ��ICENSED CONTRACTOR DECLARATION: hereby affirm that I a tensed under 'Asir) s of Cheat. •(comme 9 with Section Z ONING R EQUIREMENTS I'�7000)of Division 3 of the Business and Pmfessians Code,and ense is in I •ra rideat. • S E T B A C K S V • CITY UC.: 0359-17 ST TE UC.:4 3 4 6 7 4 CUSS: ...3 ; Date: a '7-1.-=aSignature: A • MAIN BUILDING ACCESSORY BUILDING .. WORKERS'COMPENSATION DECLARATION: I hereby affirms .W1 a acertificate of•:nsent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN • FRNT: FT 1:N REAR: FT IN Compensation Insurance,or a certified copy thereof(Section :fr ab.C). LEFT: FT IN RGHT: FT IN LEFT: FT - IN RGHT; FT IN POLICY NO.: 285223 EXP.0, : 01 /Oi /9 - COMPANY: STATE FUND • PARKING REQ: PROV: PARCEL: 42614121 ZNE: REF NO: Certified copy is hereby furnished. p Certified copy is fi h the city ; din: eivision. PLANNING NOTES> ' ^^ 2` gU .. � Date:�i e/-- Applicant: SiV . *iE*******##*?E##*****#***************iE*****#****#**#**#**f(-#*****************#*** 'C'FBEMPRION FROM WORKERS'COMPENSATION DECLARATION: (This �'. need not conrylet•d the pencil is for one hundred($100)or less). D E .)) ELOPMENT SER VICES REQUIREMEN TS I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of Califomia. ZONING APPROVED BY •DATE: Date: • Signature: - . - . NOTICE:If,after mating this declaration,you should become subject to the Workers'Compensation provisions of the Labor • BUILDING APPROVED BY : DATE: _ • . Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. • CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: DATE: a, /act)? D which this permit is issued(Section 3097,Civ.C). *-*.*.*#.**.*******#**.********Zi�iE� iF1'FiFiFiE�F*** *K-#*******1�*it-#I(**lF'Te' 9#** LENDER: **********************************************)k*#*********##********#3 *****#*#* ADDRESS: LEGALIZATION: N F E .R SUMMARY STRUCTURAL SEGMENT:Y. _ - OWNERBUILDERDECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason • BLDG PMT PLUMBING IsLECTRIC 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 - • ' 54 . 00 • . 5 0 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'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SMIP/NON-RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by PLAN - any applicant for a permit subjects the applicant to a civil penally of not more than live hundred dollars(55006 ISSUE FEE I I, as owner of the property or my employees with wages as their sole compensation, wit do the work, and the BUILDING—DIV—> PERMIT ISSUE KLAN—CHECK • TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 54 . 50 0 , 00 ' 0 . 00 54 , 50 54 . 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 wit have the burden 0f proving he/she did not build or improve REVENUE DIVISION TOTALS > COLLECTED: 54 . 50 OVER/SHORT: . 00 fort he purpose ofsale)., 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 54 . 00 . 50❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon andwho contracts for such projects with acontractor(s)license pursuant to the Contractors'State License Law).l am aware ****{E** #**********#*#***********i;***************#***.**.******.*.*..*.**.*****..K:*****.*.** that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F .E F. BREAKDOWN ❑ I am exempt under Section: B.8 P.C. , . for this reason: TYPE QTY. D E S C R I P T I . 0 N UNIT' COST TOTAL COST Date: Owner: I do hereby certify that lamaware of and understand the req rements of California Health and Safety Code Secti• 525505,25533,and SFR 2455- REROOF BY VALUE RESIzDENIAL HOZONE - - 1 . 00 2, 455 . 00 • END OF F FEES 25534 and that 1 or any future budding occupant wiIOwill not(j•e one)need to comply with said state codes anti he requirements for a permit for construction or modification from the Air Quality gement District.Residential construction appli ions are exempt from ' these provisions. • . Date: Applicant: '' • I hereby certify that I have read this application and state that ,above informati•n is correct. ee to camp'with all city and county • ordinances and state laws relating to building construction and , authorize rear. •matwes of •M to enter ••n the above-mentioned • '/ property�for inspection purposes. , i\ . —Date: nC-L1% [pSignature: ' - 01 00054700-00054701 TOT 54.50 4._0 Driver's License or Social Security . . DATE: 02/22/90 TINE: 14:41 964149 White—Building;Green—Code Enforcement;Canary—Applicant:Pink—Revenue:Goldenrod—Assessor - CONSTRUCTION AND PLANNING POO 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 OF ER 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 Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap • 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final • • - 14. Rough Plumbing 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 APPROVALS Permit # 21. Ducts, in Structure - • 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas ❑Oil 25. Roof Sheathing 74. Overhead Hydro r - 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78: FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED . ier /f 33. Final Electric Notes: tC • �r 5, "e4 /no34. Final Heating & Air Conditioning 1 / Z-t3-90 35. Final Gas Pipe-Test.. . 1 • , / '•36. Hood or Canopy - 37. Final Factory Fireplace .38. Final Plumbing • 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation • 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 7-1-111 - - s 67/A 48. FINAL PLANNING -�• 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date OWNER Dike & Colegrove DATE 9-23-55 JOB ADDRESS 221 Rose Lane BUILDING PERMIT NO. 9 23 5 /92/ GENERAL CONTRACTOR Dike & Colegrove VALUE $ 8,000,00 ' LOT 38 BLOCK TRACT 2562 Si nele Refli dance GF ? I TYPE V ZONE Rh FIRE DISTRICT 1118h7 PERMITS ISSUED INSPECTIONS [ DATE SUBCONTRACTOR DATE NUMBER Footing Trench ��6 _7-30-.4i.4r Foundation Forms and Grade to Garage Rough Framing 64; 6 41' - S '$.: Plumbing,Rough to Sla 'r( Plumbing, Rough Complet J.1 /d r 2 ._S3 �16 7 - 7g-rc .2 y SL (L Temporary Pole Wiring,Rough /74-' ''S /0727 -ao ac,,, 40, P--Ace- /a-//-SS /SGS (----- Heating, iHeating, Rough //��J Heating, Final irY� I-al,-C � Z .�-,...---76 ��U(- f--;ll'-Cr .a f' Se m Sewer, House Sewer,St. SepticTankorCesspool �/ Lathing, In Out 7t A-4-w 0s, - 1,4 L ,(/ Plastering ! ��)��,/�t 6 //-23 sr I , "� !�� _ �� Ph ig,Final,Fixtures Co Plete/K/a/ / -3j- #3,- .0' all . PlUmoing, Final Gas Test�5 MA -/ __Ai,-J 3 sr V��\ _ C ' . e C Wiring,Final 791E-4 / --2/- S _ r Occupancy -'•"`� 4 -• ��'" Form 210 G-H 15001-55 Costa Mesa Building Department 47 APPLICATION FOR PERMIT 1 r COSTA MESA, CALIFORNIA i 8 � ' D �� FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY _ Receipt No. Permit No. 1 Building .9 Address psi / 1/ Q�.,L9 -0' /9, !/ Received by Date Reed. Date Costa Mesa, Californi } I ,dY Nearest oss St. 21st Street Build. 6/ / / j �a Jar Address owner Dike & Colegrove Mail Costa Mesa, California Address 14.19 East 17th Street Nearest Tel. Cross St. City Costa Mesa No. Li 8-1159 Zone,e I No.of I Typey I Group r Architect or Lic. Plans Engineer Carl son & Mi ddl e.hftodlo• Approved by Date Address Garden Grove CORRECTIONS City Lic. Contractor Dike & Colegrove No. 2707 f Address 419 mast 12th Street •$escription l I Lot No. 38 I Block I Tract (Attach Metes and Bounds) I No.of Bldgs. Size of Lot 751 x 801 I Now on Lot none Use i tf I No.of Noom 3 - yailt z Existing Bldg. none Famines-I-Ya I Rooms 52 6 Setback Line from Rear Yard 351 Z Center of Street 501 Side Yard 91 y DESCRIPTION OF WORK SEP L 0 .1955: r • New I X I Alteration I I Addition I - Repair I I Moving I I Demolish I , CITY* OF COSTA MESA - Building No.of Size84. Sq. f't. Rooms 5i_Stories 1 , Exterior Wall I Roof Covering Fr. Stucco I Covering Comt. APPROVALS Use Buof Building _ Foundation Location Inspector Date g -nForms,Materials, and garage. Under-Pinning Plan 123' Frame: Fire Stops, Bracing,Bolts I hereby acknowledge that I have read this Application Lath. Int. and state that the above is correct and agree to comply Lath. Ext. with all City Ordinances and State Laws regulating building construction. Signature of Plaster, Int. Permittee Dike & Colegrove c • er Plaster, Ext. Authorized Agt. / Masonry Reinforced Valuation Permit Fee $ _ p, Plan Check $ 4, — Bond Beam $ 82000.00 Total Fee $ ?" 3 — FINAL rnnM 506 B-N JM 5-54 K L C N J � • • •a` ? co,tn_ a SEP 20_55PQuES532a• • • • f • . • - i .: 1 Street .. .. ., ,. I t PLOT PLAN Show location and distances from - property line and between buildings. • _ • -. • • .a-•" • • • • • . I