HomeMy WebLinkAbout2992 ROYAL PALM DR - Building Permits .
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A-LE
APPROVED
CITY OF COSTA MESA
' PLANNING DIVISION
SUBJECT TO BLDG. DEPT. REG.
NOTE: ADDITIONS, DELETIONS,
OR CORRECTIONS SHALL BE
APPROVED BY THE PLANNING DIV.
BY: DATE: I JZbJ t
anetozdere@att.net
Subject: FW: Eating Fruit ithis is not a joke 1
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2992 ROYAL PALM DR UMT: ABCD CITY OF COSTA MESA - BUILDING PERMIT
err LIEIFIawIN: PARKER, ROBERT E PERM NO: 13 014922
ADDREss: 1700 GALAXY DR
NEWPORT BEACH,CA 92660 PERMIT NO: B 074922 PLAN CHECK NO: N GOVT: N SUPP: N
• 650-8040
APPL.SWUNG ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: SIR PURPOSE: OTH
ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : T/OFF ROCK ROOF & REROOF W/DIMENTIONAL SQ FT: 2, 400
ARCH.OR ENG.'S ADDRESS: UHT:
CLAIM VALUE: 2, 400 .00 CALC-VALUE: 2, 400 . 00 GROUP OCC: R-1 /
CONTRACTOR'S NAME:
cGMRACTOR'S MMUNG COMMENTS : SMOKE DETECTORS REQUIRED PER 1991 UBC
ADDRESS: UC.NO.: UMT. ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACK $
(commenting with Section 7000)of Division 3 of the Business and Professions Code.and my license S in full force and effect.
CITY UC.NO.: UC.CLASS: LIG.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 penely of perjury that I em exempt from the Contractors License Law for the
following reason(Section 7031.5 Business and Professions Code:Any cey or county which requires a permit to concoct,eller,improve, PARKING REQ: P ROV: PARCEL : 13920305 Z N E: REF NO:
demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she PLANNING NOTES,- !c?'
is licensed pursuing to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)OF that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section '>' I
7031,5 by any applicant for a permit subjects the applicant lo civil penalty of nit more than live hundred dollen(S5001). **********************************************************************i****.)('****
o I,as ovmer of the propertyor my employees with wages a9 their sole compensations will do the work.and the structure is not intended DEVEIJOPMENT SERVICES R E Q U I R E M E N''T-' S
or offered for sale(Section 7044,Business and Professing Code:The Contractors License Law does not apply loan owner of properly
who builds or improves thereon,and who does such work fimseff or herself or through he or her own employees.provided that such
improvements are ntintended or offered for sale.H,however.the building orinproemenlisold within oneyear ofconnexion,the ZONING APPROVED BY DATE:
y
LU owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale).
I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and BUILDING APPROVED BY
Professions code:The contractors License Law does not apply to en owner of property who builds or improves thereon and who DATE: /�'
contracts for such projects with a contractors)licensed pursuant to the Contractors License Law). a
❑ I ant exempt under Section: B.A Phis n: APPLICATION ISSUED BY: DATE: '
' - E-� *******************************************************************************
Data: (t7-'jo—_C`7 Owner: LEGALIZATION:N F E E SUMMARY STRUCTURAli' SEGMENT:Y
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sect' 25505,25533,and
25534,and that I Of any future building occupant will/vril not yaircle one)need lo comply with said elate codes and requirements for BLDG PMT PLUMBING ELECTRIC-- MECHANIC FIRE SMIP/RES GRADING
a permit forconelruction or modificationfrom the Aau°� IITyManagement District.Residential construction applications are exempt from these
provisions. PERMIT 54 .00 50
_�j- SMIP/NON-RES
Date: Applicant: PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of pepury one of the following declarations: ISSUE FEE -
❑ Ihave and will maintain acenificateof=meant toe°H-insur°for workers'compensattion,asprovidedfobySetion3703othe Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
a
Codenmaperformanceamawork i«wNohlnnpm a»tea ed. TOTALS----> 54 . 50 0 . 00 0 .00 54 . 50 54 .50 . 00
❑ I have and will maintain workers'compensation insurance,as required by Seton 3700 of the Labor Code,for the performance Of the
work for which this permit is issued.My workers'compensation insurance carrier and policy number are:
COLLECTED::,DIVISION TOTALS--> COLLECTED ' 54 . 50 OVER/SHORT; .00
Poky Number BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This(ryysection need not be completed y the pori s is for one hundred dollars($1001 or lest) 54 .00 . 50
IN I certify that in the performance of the wok for which this permit is issued,I shall not employ any person in manner so as to 5,
become subject to the workers'compensation laws o California, and agree that A I should become'obi to the workers' *******************************************************************************
S compensation provisions of
s sSection 3700 of the LaborGMs pty)d1 &then 370omp y w those Ihe p�f4pensffleasnd
INDIVIDUAL F• E E BREAKDOWN
Date:1,0 —Z O — 9\ Applicant. 1C v...l k C ,/ A
Warning:Famed to secure woftwe compensation coverageIs unlawful,and shall subject en employ TYPE QTY DESCRIPTIO N ',1 UNIT COST TOTAL
compensation COST
civil Ones rt to one Modred thousand dollars($100,000),In°ddlfon to the cost of compensation,damages as provIded for In
Secdon 3706o to Labor Code,Interest,and attorney's lea SFR 2400 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 2 , 400 . 00
' CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there is a construction lending agency for the END OF FEES
performance of the work for which Ihb perma is issued(Section 3097.Civ.C). '
LENDER'S NAME:
LENDER'S ADDRESS:
I tangy that I have read the application and date that the above information is correct.I agree to comply with all ply end county ordinances
end stale laws relating to buildup construction and hereby authorize representatives of this ply to enter upon the above•mentoned popery
for inspection purposes, ROBERT E P • a KER
01 00193353-00193354 TOT 54.50
•r�Name DATE: 10/210/95 ??1.;E: 1`I:`1
ver _ \ Date: ,o -3%1-G �• s ,
Signature of Owner/A.ent/Apphca.Contractor
Jr
15151-46 WPI White-Buildup A Safety:Green-File:Cenary-Appfcant:Pink-Revenue:Goldenrod-Assessor
. A
Cr
ONSTRUCTION AND PLANNING POOL & SPA : .
APPROVALS Permit Date Inspector APPROVALS Permit Date Inspector
1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location ti
-
• 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
• 2.4. iEleitrical Conduit Utility-Undrgrnd. 54. Forms
:'; 4:'Ele,trical Conduit-Undrgrnd, 55. Electrical Bonding r.
- -.5. Steel Reinforcement 56: Rough Plumbing & Pressure Test ` •
' - 6. 'Electrical OF ER Grnd. • 57. APPROVAL TO COVER-GUNITE ,
:rT :Bootings 58. Electrical Conduit-Undrgrnd. - • ""
'28 Foundation Vit. 59. Gas Pipe, 0 Undrgrnd., Test -
"-9. 'Oater 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 . I
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 - I 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 ConditioningF1RE EPT. REQUIREMENT
r. �, r,• m • - P
�-.� tr C: . :1 7`t rt .0 m .r
20. Rough Factory Fireplace ; 5,,: [.....4:1::: r. - r, o ♦ n APPROVALS_[.. Pecmit # -
21.,Ducts, ini.Strticture;4: •• .r --T - '-•-'
r _ r r - r -• 70.=_Undeigr'qund Hydro
22. Ducts, Ventilatin -: .- - , e `
�,, _ ;, E-,f: e: 71. Prodtiet;Piping GGas 0 Oil
23. GasrPipe-Rough & Test n-.2 -* m. _ E O+ _ 72. Underground F1tish"
_ - ,- ^.n CA 2 x 0
24.'Roof•Framin -- H . C r' * -4c
9 K 1.71 ,. tc [.-1» . 7 Undergrnd.Stotagedank ❑Gas ❑-Oil
25. Roof.Sheathing r.;.+ '; c - -
`I�L'l�� 7dP-Overhead HYdrg_ _,
26. T-Bad Ceiling (Struccurall & Mhno`coat to ` r_1x '- t T' t' t^
., r 76.-Dry Chemical
s
27. Frame and Flashing c .7 r. t Cr .5"'i: t 76. Dry Sta4lPipeF t_ r. d
- 28. Lathing &Sidin c •- -' -IT SL �-' ° t'
- c. 9 .�X „ ��a.�• _ * I h Iii FIXEDySY,.ST61it1::FINAL-., ;,
29. Insulation • :it - • • 4. -t 7$ FIRE PR EV. FINJ\L z; = 7.
- 30. Drywall tilailinlJ r .,� I H I 1j. -: �HEALT DEPrY�RE6UIF.EMENT
' 31. Plaster B own-Coai tr ! ' !r r 79. FINAL INSPECTION I
r. _ . . ... + .
32.TlectricaLPower Mefer•Final • w. ' I .' '-' 8Q! FOOD CERTIFICATE ISSUED y
33.;Final Electric- m, , cij r I Fr Nates: - -''1 iG^
: 34. FinatHe`ting"& Air Conditioning= CI I Pt TO P ' i I• elct ii: 1��� _ rA.-
35.rFindi Ga�Pipe Test � '" .'. _ fr. „ 'la
/--!'1 S' r-- ' , b'o''"'
t ?Pi:, yy�yi g /7
36. Hood-or Canopy -'* ' ;> ctr, * i I l :ill"l ( � C�/lLe.�C`" i.-e"` / „'"'t uJ'1
- 3▪ 7. Final Factory Fireplace ,c ! F i.r f.• , 1 -p J 7: 11 SV V�f
38. Final-Plurnbing . _ r '-• .-iit* .c' +' W -
' 39. Water Service inal ' _ '
;Fi I 1'• ; "
._. p. rr rr.
40. Gas Service-Final . r . �rva' >^ - --. I ,r 0a- * -
[1. •'i Y, r •r - t <41. Solar Domestic-Final - ' I .r 4-16 V ;
42. Backflow Preventer . - ` , >l--, • 3, r•+
43. Backf low Irrigation --W,5, - a; ± :. k ,-, -
T r.
-44. Landscape Irrigation System,,r,Co x r r: `•' -'* -t ••::0 - O
rte; n :t r E - :. :: x r �1
n yrs` . ,�: rr
.- , " 4• r , w ,
'45. Sound Aitenuationt ,. ri t, p;,- , c •a: • Hti
46. THandicap•Regulations •- c• T '-� - ''
„
t '� =ay. PINAL STI3UTUR & BUrCDING o-_3.-Cis / � , _U
48. 'FINAL PLANNING• '-I-, i
y t� 'a M F' --•
, r (, ;7 eCU S A. r •
49- Electric Release to Edison i I ''^. = _ -
-
-50. Gas Release to Southern California Gas Co ' , !-i -'T -r - -
� . n T
51. CERTIFICATE OF OCCUPANCY t =' r-
No. Date
`r aRDILaxG: 2992 ROYAL PALM DR DMT: CITY OF COSTA MESA - BUILDING PERMIT
l taxon: PARKER, ROBERT E PERM NO: B 074167
ADDRESS: 1700 GALAXY DR
^.< NEWPORT BEACH,CA 92660 • PERMIT NO: B 074167 PLAN CHECK NO: N GOVT: N SUPP : N
A.rMMUNO ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: OTH
ARCHITECT OR ENGINEER: UC NO.: JOB DESCRIPTION : T/OFF ROCK ROOF & REROOF W/SAME SQ FT: 1 , 600
ARCH OR ENG.'S ADDRESS: UHT:
CLAIM VALUE: 1 , 600 . 00 CALC-VALUE: 1 , 600 . 00 GROUP OCC: M-1 /
CONTRACTOR'SNANE: LEE ROOFING ( 714 ) 642-7223
CONTRACTOR'SMAIUND 1653 SUPERIOR COMMENTS : SMOKE DETECTORS ARE REQUIRED PER UBC91 , REROOF 900SF GARAGE
ADDRESS: COSTA MESA CAucNo.. 349686 *******************�E+��ERE*+t*+ARE*at-****te�E�E****K-at�Ex-�E* -r-�E***aEacx*******3E***�E->Eat+a�E+ERE*+A '�E+�
92627 BUT:
ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I em licensed under provisions of Chapter S SETBACKS
(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full fate and effect
ervuc.Nog028751 uc.cuss: C-39 uc.No.: 349686`� EXP : 03/96 MAIN BUILDING ACCESSORY BUILDING ----------
ate / ' /2 —`7 g Contractor: L — lGtu� FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
r.1 LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
CEP BUILreasoER n(Section hewn Profffirm usion penalty dpciyC that 1yin exemdliontheComocontruenae Law for the PARKING REQ: PROV: PARCEL : 13920305 ZNE: REF NO:
defolmolish,
rorren it anles uctu e Busiprior
its and ante,also Code:Any coy CS county such requires l permit sied construct cher,improve.
is lielnseorusuany structure,provisions to ®Contraceboic ruse theapplicantf«eachencin tofilaasignedstatementof[Malan 3«end PLANNING NOTES>
Bsines a pursuant tso thesode] r of the is axe License thee from[Chaptert 9(commencingforll with Section 7000) ONeon 3 the
Business end Professor's r Code]or that he or she p exempt therefrom it pe and the basis more
the fine hu exemption.dollsMy violation of Section >i�� v
]031.5MmY apdirent/ore perms.aejeds the applicant toedril penalty of not mora flim fins hundred dollen j4.'.DDD. **************.4�E 9E 3E 1f 1E iE 9E 3f�1f dF dE 9E iE'IF'N�if iE'IE 1E1f�df din lE i('iE1E1E 1E�7E'IE iE�1E�1f�lE-)E'1fRE')E�1ERf 3E*1E 1E1E-If'1I�lE�1E�)Ejf'IE9E'1Et'IFI'1f 1f 1E if jE-1E9E RE-�
O I,as owner o the property a my employees with wages as thee sole compensation,will do the work.and the structure is not intended D E V L, O P M E N T SERVICES REQUIREMENTS
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not appy to an owner of properly /^1 ,,
who Molds or improves thereon.end who does such work himself or herself or through his a her own employees,provided that such 1'� ;6!-'
improvements are orf intended or offered for sale.If,however,the building or improvement is sold within one yew of completion,the ZONING APPROVED BY DATE: /v
owner'builder will have the burden el proving he or she did not build or improve for the purpose of sale).
❑ I,as owner of the properly.ant exclusively contracting with licensed contractor'to construct the project(Section 7044,Business and BUILDING APPROVED BY : DATE:
Professions Code:The Contractors License Law does not apply to en owner d propend and who builds or improves thereon who
contracts for aid,projects with a contrac«(s)licensed pursuant to the Contractors License law). %T 7
❑ Iamexempt under Section: B.&P.C.for this reason: APPLICATION ISSUED BY: �c DATE: 5' 411/1C;
**************RE******************** ._._.... ... .
_ . . . . . . - . . . . . - **********�F
Dale: Owner: LEGALIZATION:N F E E SUMMARY STRUCTURAL EGMENT:Y
I do hereby certiy that I em aware of and understand the requirements of California Health and Safety Code Sections 25505.25533.end
25534.and that lorany hlure building ocoipant will lwill nor(Wrote one)need tocomplywihsaid state codes and threguiremenmmr BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE -SMIP/RES GRADING
a penmi for constructionor modificatonk«n the Ai Dually constructionnagement District.Residential applications ere exempt
fromthese
provisions.. PERMIT 37 . 00 . 50
SMIP/NON-RES
Date: Applicant:
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the blowing declarations: ISSUE FEE
o Ihave and will maintain acertificate otconsent toself-insure for workers'compenwian,asprovidedforbySection3700otheLabor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
^^//code.I«cloperfamuntedtM work for which mis permit i.issued.
TOTALS----> 37 . 50 0 . 00 0 . 00 37 . 50 37 . 50 . 00
I have and soil maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,for the performance of the
akl«which this permit is issued.My workers'STATE bayl,apgq pp(rier and pdiq number are: EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 37 . 50 OVER/SHORT : . 00
Cartier: b 1 1 Y UlV L1
Policy Number. LiUUd4O-95 06/30/96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need nor be completed a the permit is for one hundred dollars($700)or less) 37 . 00 . 50
❑ 1 certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner eo as to
become subject to the workers'compensation laws of Calfamia.and agree that if I should became subject to IM waken' *******************************************************************************
• ,/2 -
peAMon provisions of Semon 3700 of the Labor Cade,I shall forthwith comply v' hose INDIVIDUALD I V I D U A L F E E BREAKDOWN
Ci- '5'S Applicant: (.../ .. /4(e-43471
Ing:Failure to secure workers'compensation covens is unlawful,and shall subject an employer to criminal penafSa and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up to one hundred thousand dollars($700,000),In addition to the cost of compensation,damages as provided for In
Seaton 3706 of the Labor Cods,Interest,end attorney's fees. SFR 1600 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 1 , 600 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there lea constrvaion lending agency for the END OF FEES
performance of the work for which this permit is issued(Section 3097,Ce.C).
LENDER'S NAME: SMOKE DETECTOR
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 ��\J��
and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned properly REQUIRE D
for inspection purposes. TROY AL XSON • _.
Pie e
nN/ ! - Date:9-/2.. -n,-c-- 01 00190000-00190001 TOT 37.50
of ChmerlAgenVApplican •.ntr:.. GATE; 09/12/95 TAME: 3322
(5151'46.WP) White-Building&Safety:Green-File:Canary-Appficent:Pink-Revenue:Goldenrod-Asseesaor
r
IiCONpIRUCTION AND PLANNING i - ?OOL &,SPA .
PPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Tarporary Electrical Service or Pole - 52. Pool & Equipment Location(
, r
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 (1
6. Electrical UF 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, D'Undrgrnd,
10. Structural Floor System i,, 61. APPROVAL TO DECK -
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final -
12. Sewer Cap63. Heater & Vent-Final - .
13. Roof Drains 64. Plumbing System - Final . ,
•1
14. Rough Plumbing - _ 65. Electrical-Final ,•,
15. Rough Electrical-Conduit • - - 66. Solar System-Final
16. Rough Electric Wiring67. Fencing & Access Approval
17. Rough Wiring Sign - - 68. APPROVED FOR PLASTERING : J,
. i .
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 0 Oil
25. Roof Sheathing Øç/�- t -..- 74. Overhead Hydro
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
33. Final Electric Notes: _
34. Final Heating & Air ConditioningVC/
35. Final Gas Pipe-Test ='='
36. Hood or Canopy • - - .- I-r
37. Final Factory Fireplace - - I I ! r
r.J:- __
38. Final Plumbing - 7
39. Water Service-Final
40. Gas Service-Final ' • • • E i
41, Solar Domestic-Final "
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System - - _ ,
45. Sound Attenuation - -
_ r
46. Handicap Regulations .
47. FINAL STRUCTURE & BUILDING !/�2-t5 �.
48. FINAL PLANNING C(
49. Electric Release to Edison --- - -
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY -
No. Date
• .
•
ADDRESS OF BUILDING: 2992 ROYAL PALM DR uMT: ABCD I CITY OF COSTA MESA — BUILDING PERMIT
a ANEwSNNIEIFKNwm: PARKER, ROBERT E PERM NO: B 07192;
' ADDRESS 1700 GALAXY DR - - .
NEWPORT BEACH,CA 92660 PERMIT NO: B 074922 PLAN CHECK NO: N GOVT: N SUPP:,N
650-8040 •
APpI.YNIItM ADDRESS CONSTRUCTION TYPE: V—N PERMIT TYPE: SIR PURPOSE; 0TH
ARCHITECT OR ENGINEER: LIC.NO.: JOB DESCRIPTION . 1; T/OFF ROCK ROOF & REROOF W/DIMENTIONAL SQ FT: 2, 400
•ARMOR ENDS ADDRESS: UMT: CLAIM VALUE: t 2, 400 . 00 CALC—VALUE: ' 2• ,400.00 GROUP OCC: R-1 /
CONTRACTORS NAME: COMMENTS: SMOKE DETECTORS REQUIRED PER 1991 UBC
CO 41RACTDwS NNUNG • *******************************************************************************
ADDRESS: UC NO.: t ZONING REQUIREMENTS
°“'' i SETBACKS •
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9
(commencing with Section 7000)of DNia'on 3 of the Business end Professions Code,and my license is in full force and effect.
CITY LIC.NO.: • LIC.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 •
ovnreason
7031.Seu91esse�a�endnr spCoe:A perjury that I am exempt from oounty which requires ahe penni t000�rsWCLane�mprove PARKING REQ: ' PROV: PARCEL: 13920305 ZNE: REF NO: .
demolish,or repair any structure.piwr to its issuance.also requires the applicant for such permit to file a signed statement that he or she PLANNING NOTES>1 .
is licensed pursuant to the provisions of the Contractors License Law[Chapter 9(Commencing with Section 7030)of Division 3 of the
Business end Professions Cade]or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section > '
7031.5 byeny applicantfor a permit subjects the applicant to actin penally o not more than five hundred dollen 1$500)). **1EiE1F'IF')EIEM'1EdE'#1ElF1E'lE1EIE1E-0f1E1E-0EIEiE1EIf1f IE****1EffdElEiE'9E1E1E#1k1E#i41f'1f1FR(•iF1E1E#ifiE#1E1E1EIEIElE')E'#'1E14#'7E9f1E1(1E1Ed('****
❑ I.as ohne,of the Pr0PedY Or rm/employees with wages as their sole compensNion.will do the work.end the structure S nol intended DEVELOPMENT SERVICES R E Q U I R E M E - N T S
I' or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property -
who buids Or inproves thereon,and who does such work himself or hersef or through his or her own employees,provided that such
,r r• improvements are not intended ix offered for sale.If,however,the building or improvement is sold within one year of completion,the ZONING APPROVED BY •
. DATE:
i tt owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale). .
0 I.as owner of the propels.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and BUILDING APPROVED BY DATE:
Professions Code:The Contractors License Law does ne4 appy to an owes of popery who builds Or improves thereon and who •
contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law).
❑ Iamexempt under Section: B.&P % this APPLICATION ISSUED BY: DATE:
f—P ********************A******************************************4£********** ***
Dai a:hereby
t �; Owner: ... i LEGALIZATLON:N F E E S• U M M A R Y 'STRUCTURAL SEGMENT:Y
• I do hereby certify that I am aware d and understand the requirements d California Neahh els Safety Cade See' 25505,955vt,and , •
25534,andthallofanyhnurebudding«wpantwif/wflnot(dmleahe)needtocomplywihsaidNNecedesandI requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC • FIRE SKIP/RES GRADING
a permit for construction or modification from theAiOuabty Management District.Residentil construction applications are exempt from these PERMIT , - 54 . 00 . . 50
Provisions- • .,T
SMIP/NON—RES -
Da: Apa PAN
•
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perlury.one of the following declarations: ..._\ I S SUE FEE)
❑ Ihave and' Pmantainacengicaeoconsenttosee-insurefrwOrkere'Compensation,aeprovidedforb Seam3700oftheLa . BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code.fotheperformanceotheworkforwhichthispermiisieaued._ f — TOTALS----> • 54 . 50 0 .00 0 .00 54 . 50 54 . 50 . 00
o I have and will maintain workers'compensation insurance,as required by Seclion 3700 of the Labor Code,for the performance of the
work for which this permit is issued.My workers'compensation insurance end policy number are: REVENUE DIVISION TOTALS--> COLLECTED: 54 . 50 OVER/SHORT: 00
•
Carrier: I ”
PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
Policy Number:
(This section need not be completed I the permit is for one hundred dollars/51001 or lass) 5 4 . 0 0 ` . 50
I certify that in the performance worncedohe work for witch this permit is issued.I shall not employ any nerson in an manner so as to **************************************************************************4E****
become subject to the workers'compensation laws of California, and agree that f I should become ear to workers' •
J compensation provisions N Section 3700 of the Labor Code,"t,_aNIf-onlllaawyymhhtth oompy with thFos provh a,e. _ I N D I V I D U A L F E E- BREAKDOWN
Date:1 a - . - 11 Applicam: \_�/1. \-\!
Warning:Callum to secure workers'compensation coverage is unNwtul and shell object an employer to ming Penalties and TYPE QTY D E $ C R I P T I O N UNIT COST TOTAL COST
civil lines up to ons hundred thousand dollars(3100,000);In addition to thecae of compensation,damages as pmv/dsd Mr In • '
Secdon3706oftheLaborCow,Interest,andatromey'st»a. SFR 2400 REROOF BY VALUE RESIDENTIAL NOZONE 1 ,00 2, 400 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there u a construction lending agency for the END OF FEES
performance of the work for which this permit is issued(Section 3097,Civ.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 state laws relating to building Construction and hereby authorize representatives of this cyto enter upon the above'mentioned property
For impaction purposes. ROBERT E P ITER \ i .
. 01 00193353-00193354 TOT ' 54.50
$ ante DATE: 10/30/95 TIME: 15:51
,1Acv� Date: C o 3 -as •
\� Signature of Owner/Agent/Apphca Contractor •
(5151-4S.WP) Whho—Buildiig d Safety:Green-File:Canary-Applcabt:.Pink-Revenue:Goldenrod-Assessor I
•
1 • 10823 ,;,.�/ p�
COSTA MESA BUILDING-SAFETY DEPARTMENT b L'U rid L I V E
P.O.BOX 317 COSTA MESA.CALIFORNIA -
alad i /O at?
, 9
FOR APPLICANT TO FILL IN COMPLETELY APPLICATIONLFORLPERMIT
L'
TYPE OR PRINT J -eBUILDING - --•
ADD ESS 2992 Royal Palm Drive FOR
COSTA MESA. CALIFORNIA OFFI 'K USE ONLY
.RECEIPT NO. I � T-NO.
OWNER Dike & Colegrove, Inc. ;Chi
MAIL ' 1 RECEIVED BY DATE RECEIVED�q apATE�SUED
ADDRESS 419 E. 17th St. G,' ��-;�_J/I -_.VV •i l95 ..
CITY Costa Mesa TN0 8r-a159 BUILDING
ADDRESS
SS
ARCHITECT Carlson & LIC. COSTAMESA; CALIFORNIA
OR ENGINEER Nidd]Pbronk NO.
Garden Grove FIRE
ADDRESS & Colegrove, inc. ZONE [ TYPE GROUP [-
once STATE 167293 APPROVED
CONTRACTOR LIC.NO. BY DATE
ADDRESS 419 E. 17th St., Costa Mesa ZONING
LEGAL LOT 2822 ZONE NO.OF USE OF NEW 1
DESCRIPTION NO. 33 BLOCK [TRACT `'j i-HPLLANS ')l�[ BUILDING'-r/_•/0";;,'v{ C1 ,y2Il
A.P.NO. APPROVED iv,./..._ (� - DATE iVb -Y1l-��l' I
BY /�
SIZE 3516 I HOOF BLDGS. nom YARDS as.
OF LOT NN 00:
OF
LOT REQUIRED ALLOWED
USE OF (CENTER LINE ST.) �))
EXISTING BLDG. FRONTSET .� `�
CENTACK ER OFINE STREEOOM 50' REAR YARD 19'
R.SIDE 0-^ FT. IN..
SIDE YARD I LEFT 10' I RIGHT 12�
L.SIDE /0 FT. IN.
DESCRIPTION OF WORK
REAR P'-'17 FT.C/` ay" IN.
NEW [ X [[ALTERATION [[ADDITION I
REPAIR [ [MOVING 1 I DEMOLISH
`
SIZE
BUILDING NO.OF
3516 ROOMS STORIES 2
EXTERIOR WALLROO .
COVERING StUC CO COVERING •
USE OF BUILDING AND WORK TO BE PERFORMED
Multiple family dwelling with .-1- 9 4 F. 73420
attached garage. (Four living units)
Plan-4 C.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDING CONSTRUCT VALUATION /v�r,�
SIGNATURE OF PERMIT FEE $ .CO
�/
�
PERMITTEE
$ 30,97i.liP PLAN CHECK $ 25.00
AUTHORIZED AGENT Dike Colegrove, Inc. TOTAL FEE $ 75.E
s_