HomeMy WebLinkAbout2928 ROYAL PALM DR - Building Permits •
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I ,ADDRESS OF BUILDING: 2928 ROYAL PALM DR WIT: CITY OF COSTA MESA - BUILDING PERMIT
:MRS NAMEIFIOg1tMM: 5TODDARD, ROBERT L PERM NO: B 072854
A�+Ess: 2928 ROYAL PALM DR
COSTA MESA,CA 92626 PERMIT NO: B 072854 PLAN CHECK NO: N GOVT : N SUPP : N
714 ) 545-3454
APPL.WUUNG ADDRESS CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
ARCHITECT OREFMMEER: UC,NO.: JOB DESCRIPTION : T/OFF COMP . RESTH. OVER EXIST. SHEATHING SQ FT: 3, 400
ARCH.OR EN0.'5 ADDRESS: UMT:
CLAIM VALUE: 3, 400 . 00 CALC-VALUE: 3,400 ,00 GROUP OCC: R-3 /
CONTRACTOR'S NAME:
canscrows MING COMMENTS: RESHEATH OVER EXISTING SHEATHING AS PER INSPECTORS APPROVAL
ADDRESS: UC.NO.: *******************************************************************************
DMT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACKS
(commencing with Section 7000)of()Mann 3 of the Business and Professions Code,and my license is in fun force and effect.
CrrY LIC.NO.: UC.CLASS: LIC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING ----
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR : FT IN
Date: Contractor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the
following reason(Section 7031.5 Business and Professions Code:Any city or county which requires a penny to constnxct alter,improve. PARKING REQ: P RO V: PARCEL: 13929302 Z N E: REF NO:
demolish,or repair any structure,prior to is issuance.also requires the applicant for such permit to file a signed statement that he or she
is licensed pursuant IO the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)of Division 3 of the PLANNING NOT ES.>
Business and Professions Code(or that he or she is exempt therefrom end the basis for the alleged exemption.My violation of Radian >
7031.5 by any applicant for a permit subjects the applicant to a dvil penalty of nal more than five hundred dollars(5500]). ***,M-*******,I6********4E****4F**********.IE ***,********,**,******
❑ las owner of the properyormyemployeeawith wages estheir sole compeo.ar n,waldolhework.andtheetuctureisnotiv� DEVELOPMENT S E R �tj tJE .7 j; E M E N T S
or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does not to en eyelet of r
who buida or inprovee thereon,and who does such work Nmsef or herself or through his or her own employees,provided thai such if.
improvements are not intended o offered for sale.N,however,the building or improvement le sold within one year of completion,the ZONING APPROVED- BYn (p
owner.builder will have the burden of proving he or she did not build or improve for the purpose of sale). REQ IRE DATE:
1"
❑ I,as owcer of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and ...'n
Professions Code:The Contractors license Law does not apply to an owner of properly who builds or improves thereon and who BUILDING APPROVED BY : s DATE:
Iam contracts for and 600110 with a coMradoda)licensed. P.pursuant to the Contractors license Law). I/ r Fi�� �-
Iamexempt atderseplim:BP7044 B.APC.,brt'a O R— UIL R APPLICATION ISSUED BY: DATE:
Date 6 .- /9- fs Goner : ********************************* ********** **
I cattily that I am aware of and understand the requirements of California Health and Safety Code ions x5505,45533,and
LEGALIZATION:N . F E E U M M A R Y STRUCTURA SEGMENT:Y
534'andmnlarionormrebuiMingo ttheAwlllwMma(gemele M°°oft°`ampiwAh°uicNal°cx„ns eeretfromthse BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
e permit 34,and
ndchat I r a constructionOf moeibwbnhoccupant QualityManagement one)nee toscdentialmply with ad stale
le ckwi and t exempt requirements
mace •
.provisions. PERMIT 63 . 00 . 50
Dale: Applicant SMIP/NON-RES -
WORKER'S COMPENSATION DECLARATION:I hereby eunder penalty of perjury ate of erm
the following dedions: PLAN
ffim
❑ Ihave and veil maimanacenifure°of consent toselinsureMworkers'compensation.all provided fobySection 3700othe Labo ISSUE FEE
Code,for theperfonnance of the work for which this permit is issued. BUILDING-DIV-> PERMIT ISSUE PLAN--CHECK TOTAL PAID DUE
ID I have and wit maintain workers'compensation insurance.as required by Section 3700 Oi the Labor Code,for the performance of the TOTALS----> 63 . 50 0 . 00 0 .00 63 . 50 63 . 50 , 00
work for which this permit is issued.My workers'compensation insurance wrier and policy number are:
Carder: • REVENUE DIVISION TOTALS--> COLLECTED: 63. 50 OVER/SHORT: , 00
Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need not be completed I the pearl is for one hundred dollars/St0OJ or bee.) 63 . 00 " . 50
❑ I may 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'compensetion laws o California. and agree that t I should become subject to the workers' *******************************************************************************
compensation provisions of Section 3700 of the Labor Code.I shall forthwith comply with those provisions. IND IV I D U A L / F' E E BR E AKDO W N
Date: Applicant:
Warning:Failure tosecure workers'conpenutlon coverage Is unlawful,and shelf subject an employer to criminal penalties and TYPE QTY DESCRIPTION : UNIT COST TOTAL COST
civil tines up to one hundred thousand dopers(5104000),in addition to the coat of compensation,damages as Provided for in " :r
Section m
on3safthe Labor corow
,inanacandno eYefees. SFR 3400 REROOF BY VALUE RESIDENTIAL NOZONE 1 .00 3, 400 . 00
CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there is a construction lending agency ler the END-OF FEES
performance of the work for which this permit is issued(Section 3097,Ce.C).
LENDER'S NAME:
LENDER'S ADDRESS:
.,
I certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances
and stale laws orating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned properly
SUBJECT TO INSPECTORS ��.4�
for inspection wrpasas.ROB ERT STODDARD
01 00134362-00184363 TOT
/�� REVIEW AND APPROVAL DATE: 05!14/45 TIME: 11.15
Pinter - --J/
. , . Dale - ON-SITE
•
(5151'4S.WP) White-Building&Sefey:Green-File:Canary-Apptwtl:Pink-Revenue:Goldenrod-Assessor
At
-' POOL& SPA
CONSTRUCTION AND PLANNING
APPROVALS Permit# Date Inspector Date Inspector
;, - APPROVALS Permit #
1. Temporary Electrical Service or Pole 52, Pool & Equipment Location
2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement - .,•r°
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
r
4. Electrical Conduit-Undrgrnd. ,^1 55. Electrical Bonding •
•
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test '-'
6._Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE - ' ' I
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test I
.
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 -' c-k', 63. Heater& Vent-Final
13. Roof Drains . .j' '64. Plumbing System - Final
14. Rough Plumbing / _65. Electrical-Final
15. Rough Electrical-Conduit66. 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 _ . F,IRE.DEPT.-REQUIREMENT i,
20..Rough Factory Fireplace , - _ . APPROVALS=:, Permit# 1-- --
21. Ducts,in Structure • • - 70._Undergroynd Hydro ,
22.-Ducts, Ventilating. i' .'• • 71. Product'Piping D.Gas ❑Oil
23. Gas Pipe-Rough & Test • -' _, ` 72. Underground F,iush '
24. Roof Framing- ,. t;-: :'r ` 73: Undergrnd.Storage Tank ❑Gas ❑Oil
25. Roof Sheathing 9+-(1---4 6C.41-,L: 74: Overhead Hydro._
26. -T-Bar Ceiling (Structural) & Monocoat - - ;, - • i 75.-Dry Chemical ,
-
27. Frame and Flashing. ::�. - - ` 76. Dry Standpipe - - - 1.-' t t
28. Lathing & Siding `'I. . . - - - 77. FIXEDISYSTEM FINAL.- - ''"7 *2: t_:
29. Insulation - - - 78. FIRE PREY. FINAL ; - - ` _ .-;
30. Drywall Nailing . ' ,� ` - 'HEALTH DEPT.REQUIREMENT e:• y"
31. Plaster Brown Coat i ' 79. FINAL INSPECTION ' '"
. 32.:Electrical Power Meter-Final , ' 80. FOOD CERTIFICATE ISSUED. .• `�'•. Os"
Y =x
• 33. Final Electric. , •, Notes: - _• ' • '
. 34. Final Heating-& Air Conditionin`gT - c''>
I
-35.'FinalGas-Pie-Test .
36. Hood-or'Canopy • . ... T, - • • • - _ _
37. Final Factory Fireplace -; s rr - • w • �.
38. Final Plumbing - - ; . - ;
r .
39. Water Service_Final • • __
•!
40. Gas Service-Final -
41. Solar Domestic-Final • - _ L. ." J
42. Backflow-Preventer
43. Backflow Irrigation , _ _ - '
44. Landscape Irrigation System r• ' t' I2 - , -
45. Sound Attenuation
46. Handicap Regulationsc :r c z _ -,
47.;FINAL STRUCTURE & BUILDING „ie (.016( __ I , -
48. FINAL PLANNING - - - r- r1 '•-
k
49. Electric Release to Edison '''_c ' c._
50..Gas Release to Southern California Gas Co - .. • -- • -. - :*.
,_.
51. CERTIFICATE OF OCCUPANCY - ' - t^- -'
No. Date . -
OWNER H0i,MS VALLEY INC. DATE 6-16-59
JOB ADDRESS 2928 Royal Palm Dr. BUILDING PERMIT NO. 9614
GENERAL CONTRACTOR Dike & Colegrove VALUE $ 15,571.00
AP. No. LOT277 TRACT 2822 FIRE ZONE DESCRIPTION OF WORK Res. watt. gar.
INSPECTIONS 7-2-6TJ DATE I GROUP I & J TYPE V ZONE RI
Underground Soil /i t.f-S U.G. Water/S/7T ) -3--59__ PERMITS ISSUED
Underground Gag SUBCONTRACTOR DATE NUMBER
Overhead Water and Gas •
__ _
Rough Heating /VJAS A)-20/-5-9 -.d 0f hiS= " :..-,o-. .-6"--,c y N a - �i
[ /-.— Ply'`
Rough Plumbing 1 w ii-,29 `7 C- �•P -e— •�-2�-" S)—/� 7 '- t
Miscellaneous di _ _ I((f/'In
Prop. Swr. Line Hous$,Con. St. Swr. rrwflf"rf .B aht 7I -114- _i_6-.5--e-e.4 n
Sprinkling System 11 _
Heating, Final /Y)fc Iv-17-5W . 5
Plumbing Fixtures p"i„ F3 -' �_�'
Final Gas Test/t--
Construction
Construction Pole
Underground Power
Rough Wiring -7 77 - .---3- X12e t 41/24/C.:77572/O S9 99ni
Trenches i'i.d orms✓ Steel darn- /3 -'J
Floor System V
Steel Reinforce Chimney Re-Rod
Bond Beam
Sheathing '7- 4
I• ✓
Frame and Flashing Q-3-5-Y
Lathing, In ( Out i !3 'R. q-!0 --isy
Plaster, brown coat Rh to --i,-91' _
Plumbing Fixtures, Final /01-S /^13-S-0
Electric Fixtures, Final la) // /8'j4/
Building, Final /l},L,S 'V- 'd
OCCUPANCY
Form 210-3M-4-59 .
-1-7 I r
I 9614 JUN 181959
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P.O.BOX 317 COSTA MESA.CALIFORNIA c I( ^f^. :; ?KC?
FOR APPLICANT TO FILL IN COMPLETELY APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING �y
ADDRESS 292 Royal Pall)). Dr.
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. I PE MIO,
OWNER Homes Valley Inc. -4.:C,/j (Ifs
MAIL 7 RECEIVED BY I DATE RECEIVED /'DATE ISS^U ECD
ADDRESS 419 E. 17th St. f/O Nxc-S / I , /I< .5
TEL BUILAING
CITY Costa Mesa TNo. Li 8115 ADDRESS
ARCHITECT vCa�rlson & LIC. COSTA MESA. CALIFORNIA
OR ENGINEER MitialCLsu&n NO.
`'. ADDRESS Garden Grove ZINE
ZONE
,' CONTRDCike & Colegrove, Inc.STATE TOR C NO. 167293 APPROVEDADATE
ADDRESS 419 E. 17th St., Costa Mesa ZONING,.
:' LEGAL I LOT I 2822 ZONE A NO.OF USE OF NEW
i DESCRIPTION NO. 277 I BLOCK TRACT / I / I PLANS
I BUILDING ��,
Nj///{/ 4//4751// �,/y'
APPROVED f/N�/�' DATE 4//`/J /
.` A.P.NO.
SIZE X 105 NO.OF SLOBS. YARDS EVES
OF LOT 60NOW oN LOT none REQUIRED ALLOWED
USE OF • (CENTER LINE ST.)
EXISTING BLDG. FRONT ,SND FT. - IN.
-" SETBACK LINE:' A. •
-' CENTER OF STREET 50! • REAR YARD 36! R.SIDE J FT. IN.
I SIDE YARD I LEFT 51 RIGHT 51 L.SIDE J~ FT. IN.
- DESCRIPTION OF WORK ^
REAR ,.0 / FT. IN,
•
• NEW I XII ALTERATION I II ADDITION I
REPAIR I II MOVING II DEMOLISH I
S ZIE DING 1560 NO.OF
ROOMS 7 STORIES 1
•
EXTERIOR WALL. ROOF
COVERING $-GUCCO ICOVERING Rock _
USE OF BUILDING AND WORK TO BE PERFORMED
S_n•le fail lv residence with
attached garage.
.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
„ PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING -
BUILDING CONSTRUCTION. VALUATION 4J • 0 u
SIGNATURE OF 7C/ ��____. PERMIT FEE $ 36
PERMITTEE
$ PLAN CHECK $ '29�I o
? AUTHORIZED AGENT 15,571 SQ •
�laTI 1 ED Dlke�'_C_I�eeromm®�nC. TOTAL FEE $