HomeMy WebLinkAbout3005 ROYAL PALM DR - Building Permits PROJECT ADDRESS: 3005 ROYAL PALM DR UNIT: 0 CITY OF COSTA MESA BUILDING PERMIT PERM NO: ,P 049604
OWNER'S-NAME: MICHAEL STODDARD -
ADDRESS: SAME AS ABOVE PERMIT NO: P 049604 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: • PERMIT TYPE: PLU PURPOSE: OTH
714/545-0764 .. r
ARCH/ENGINEER: REG.NO.: ' JOBDESCRIPTION ; WATER HEATER REPLACEMENT SQ FT: , '
ADDRESS: UNIT: • _ _ S •
PERMITTEE: •
CLAIM VALUE: CALL-VALUE: GROUP OCC : /
•
ADDRESS: NOCK PLUMBING ( 714 ) 895-1246
11610 SEABOARD CIR COMMENTS; NO STRUCTURAL WORK BEING DONE
STANTON CA' 90680 *************+ESE*****SE*x*****SL** *ac-****SA*** -*****:******+6TH********SF***-x*****v6-x-ar-SEdE
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIR EM EN TS - n
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. S E TB ACK S
CITY LIC.:0 5 0 386 STATEuc.:511971 SS C-36 -
Date: 40 ` Sd '-°GO Signature: _ MAIN BUILDING ACCESSORY BUILDING '
•
WORKERS'COMPENSATION DECLARATION: 'I hereby affirm that I hay a certificate of consent to self-insure or a certificate of Workers' FRNT: FT , IN REAR: FT IN • FRNT: FT IN REAR; FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT ' IN
POLICY•NO.: 116799290 EXP.DATE: 03/01 /91 '
coMPANY: STATE PARKING REQ! PROV: PARCEL : 13919219 ZNE: REF NO:
D Certified copy is hereby furnished.QheRI Certified copy is filed with the 'y Building Division. PLANNING NOTES>,
to` 34^ (�O / .
Dale: Applicant: *************************4*******************x*********:************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). D E V E 'L OP MEN T S ER V I C E S'r•' REQUIREMENT S
I cemfy that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become •
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY 'fy DATE:
Date: ,� ' Signature: - ' '- '
NOTICE:If,atter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: y/�
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked • it �/
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED' BY: • y([1/ __ DATE:
which this permit is issued(Section 3097,Civ.CI. 7f.1E-)6.IE**.)6****-0E********** .
******************iVE S•t *****************4*, _ **
LENDER: ************************************************)E***if***************7E***Tf****** '
ADDRESS: LEGALIZATION:N . ' F E E SUMMARY t STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason •
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES ' GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT2 00 r
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed z rJ SM I P/NQN-RE$
•
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN ' , t ,
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500): ISSUE 'FEE 3 . 00 t t
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the 'BUILDING-DIV—> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 2 . 00 3 . 0 0 ' 0 . 00 5 :0 0, 5 . 00 . 00
_does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through I
his or her own employees.provided that such improvements are not intended or offered for sale. If,however the building or
t Improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS-7> COLLECTED: 5 . 00 OVER/SHORT: 00
( for the purpose of sale). , 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 ' 5100
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware *.*******************{H**********************.************************7E****'1E******
that proof of their Worker's Compensation insurance should be provided to me. I N D ' I V I D U A L' FEE BREAKDOWN ,
❑ I am exempt under Section: B. 8 P.C. '
•
for this reason TYPE QTY D E S C R I P T I O N UNIT COST TOTAL
COST
•
Date: owner: PLU 1 WATER HEATER AND/OR VENT 2 . 00
2 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533.and
25534 and that or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a - • END OF FEES ,
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from
these provisions.
I
Date: Applicant' 01 00073220-60073220 TOT
5.00
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county • E• 1�/O L/]0 TI!1Ee/, 1? C •
Ordinances and state laws relating to building construction and hereby authorize representatives of this city to en• pon the above-mentioned h1.It� • _:Ov
property for inspection purposes. / r
.
•
Date: to -90-T1 Signature'. -, A •, :11 •
•
I Driver's Liiense or Social Security d: - _ - ` — - ,
1641.46 White—Building,Green—Code Enforcement:Canary—Applicant;Pink—Revenue:Goldenrod—Assessor
a l
. I „
CONSTRUCTION AND PLANNING POGO & SPA
APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole ...1 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
•6HElectrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7:, Footings 58. Electrical Conduit•Undrgrnd.
-8: Foundation 59. Gas Pipe, O Undrgrnd.,Test I
, 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd,
10. Structural Floor System -; t.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 11 % APPROVALS Permit#
21. Ducts', in Structure -• •• F t _ ' . r70. Underground Hydro •
22. Ducts, Ventilating, ` i , • ; 71. Product'Piping O'Gas 0 Oil
4 423. Gas'Pipe`Rough &Test .' : r ••+ •• � • .-72. Underground Flush •
24.`Roof framing• ' • ' i - 4 73.,'Undergrnd.Storage:Tank OGas ❑Oil'
..
25. Roof;Sheathing % �-i - •..t 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat .1 ' 'Ea- ' 75. Dry Chemical 3 a ` '
27. Frame and Flashing! ,1-:„ L. ,�1; ' 76.: Dry Standpipe . _ , '
28. Lathing•& Siding " !'ir•= -' •'t - ••I ' 77. ,FIXEDSYSTEMIFINAL"
29. Insulation ! I t 78: FIRE PREV. FINAL r• �•1
30. Drywall Nailing . •' i. I HEALTH DEPT. REQUIREMENT
. 31. Plaster Brown,Coat ' • • i 4,79. FINAL INSPECTION - ' •
32.'Electrical Power Meter-Final i i •80. 'FOOD CERTIFICATE ISSUED '
; ,r it. ,. :
33.'FinaI:Electric r I Notes: 1
34. Final'Heating& Air Conditioning • it • •
.. .. - .t . . . 1 , "I
35.,Final'Gas:Pipe'TesijI• I' • ., tJ . ,
36. Hood or•Canopy , i h . . - a
4 • ' f t �- I.
i iiii L . . ,�. ,
37. Final'Factory Fireplace ; , , .
38. Final Plumbing i - ' 12" ?'4 i_e04! . , .
39. Water Service-Final' " ,L - /k - a
.40. Gas Service-Final r
•r, •., • : ' ( 11. i
i `' i
41. Solar Domestic-Final • ; k. ;, -:
42. Backflow Preventer, , - ,: r ;
43. Backflow Irrigation •. . • , • • .
'44. Landscape Irrigation System••,,;•- • • • - ' i r - .,
45. Sound Attenuation - . .` `'
46. Handicap Regulations _ 1
47. FINAL STRUCTURE& BUILOING •
I ! ./1!, -
48. FINAL PLANNING :I i - I i ,
49. Electric Release to Edison -.,
-50-Gas Release to Southern California Gas CO is .' • , . .. ,
i.i -
51. CERTIFICATE OF OCCUPANCY • -, •
No. Date 4
• 25354 ;.CITY m �"+�.
'COSTA MESA BUILDING-SAFETY DEPARTMENT
1 1 d11 4�V�I� ���
P.O.BOX 317 COSTA MESA,CALIFORNIA
MAR 4 1966
• For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT Win
For �*OB'ia ,s�
�� 1'
BUILDING If? ',n Psi-its
ADDRESS C o l( l!T
RECEIPT NO.
COSTA MESA. CALIFORNIA //�1 / 25354/§0
C
/� RECE/ Y 'r8�E�/?.H / IStF cc,
OWNER 4 / L.�V e NS / /
MAIL .•� �• n `' (�/1 ADDRESS• BUILDING 3 oa i, •
7 A L ?lY
ADDRESS 30I, ,CUTeL PaADDRESS
/� ,�•�p FIRE 17 CROUP
CITY Ca f/ r/ 19 E.-5w - Mt S4t&s7c�ONE E •
//�� �'/J APPROVED
OR ENGINEERL�/" /90'0YTUAI ry 5 r33o- BY DATE - Ai
/d 1 O A!A/CoAly 9. ZONING iv
/
n K Lk. -�/I
ADDRESS �/ �(O�1jJe no.of use of newer
ryyttAo Alor. ICGFI Co . N— 1 PLANS O/ I BUILDING �.•/ .
CONTRACTOR / L/,( i ` / �J l'� V' I`.✓
ADDRESS n/3,on- egGivie Y/0v
LEGAL
L (1 / / (r--4" 8 ).---1—
CITY
-1—
CITY G6 Vd Ez/09. A.P.NO. / 3 /9,..2 - /
n7, / �1 NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
IS -TNO.�2'I-3.7- fI• TNO.EL Fig (6 ('r Sr TO SIDE @ REAR P.4.
SIZE 110• 4 3-- f l a 64 cIEAVES
NO.of BLDSs. / ALLOWED (U.B.C.REQUIREMENT)
OF LOT. p 7 r$/ i B f-- "� q NOW ON
17
LOT/� 6 YARDS APPROVED YARDS APPROVED
XSTONL
EG BLDG.D 40 5)1(446 ATT 6TT le 6MAIN BUILDING ACCESSORY BUILDING
(FROM C/LSTREET_� /
SETBACK LINE FROM FRONT /p F�F L/ �f FT.
CENTER OF STREET REAR YARD (N•'`'
SIDE YARD I LEFT I RIGHT • R.SIDE 7 ((FT. ,- . FT. .
. DESCRIPTION OF WORK L.SIDE FT. FT.
//
�(' REAR • /0 PT. . FT.
NEW ALTERATION ADDITION
DISTANCE BET: BET.MAIN&
REPAIR . MOVING DEMOLISH MAIN SLOGS. ACCESS.BLDQB.
BUILDING NO.or VAR•# DATE
SIZE- ROOMS STORIES C.U.P.# APPROVED •
EXTERIOR WALL ROOF �// L APPROVED /,//•�/n/ / /
COVERING -COVERING��UR!/yG��! BY L/Y '" RATE --, -L!/ 6
USE OF BUILDING AND WORK TO BE PERFORMED
4-7-r9d1EdJ 1)11770 Cocgt
17 (o `X/3`-h 1316X06 2 /
ic. 3o (Cr" 9 — /oCOS SQ.FT. .. SIO o
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F
AND snare THAT THE ABOVE IS CO': AND AGREE TO CO. PURPOSE OF ESTABLISHING A PERMIT FEE ,NLY. O
PLY WITH.ALL CITY 0+.r• CEO 'D ST TE LAWS RLGULA GVALUATION' /
BUILDING CONSTRU• O/Una/ e. p
SIGNATURE OF j • 00_ PERMIT FEE $ m
PERMITTEE - / $ /
/ G��• .�/
�� "
0
AUTHORIZED AGENT - • - 0 0
TOTAL FEE $
owNER HAVENS, C. DATE 3-4-66
JOB ADDRESS 3005 Royal Palms Drive BUILDING PERMIT NO. 25.354
% GENERAL CONTRACTOR Air—Flo Alum. Awn. Co. DESCRIPTION OF WORK Patio Cover
AP No. 139-192-19 LOT TRACT FIRE ZONE VALUE $ 725.00
\ INSPECTIONS Signature Date GROUP J TYPE IV ZONE R-1
Soil PERMITS ISSUED
..as SUBCONTRACTOR I Date I Number I Signature
Water Plumbing
Rough Plumbing
Prop. Swr. Line 0 House Con. ,p
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground 0 Power 0
Rough Wiring 1 Heating and Vent.
Trenches Forms 0 Steel Rein'. 0 . 1-i9„d—w-r ,. ao4,sacA3 , SS'13/si/G6.
Floor System
Bond Beam 0 Steel Reinforce 0 _
Sheathing
Frame and Flashing
Lathing—In 0 Out 0
Plaster, Brown Coat I
Structural, Final Electric
Heating, Vent., Refrig. and A.C., Final
Plumbing, Final and Gas Test 0
Electric, Final fad"'p
Building, Final /yrjfy/G6
. a,
• APPLICAtION FOR BUILDING PERMIT25N3-°1 •
APPLICANT TO FILL IN AREA WITHIN HEAVY LINES ONLY. C�ORAANGE F
BUILDING __ - DESCRIPTION OF WORK
ADDRESS / ±G> -r l-a •• . 110BR
AA 11 NEW® ADD ❑ ALTER ❑ REPAIR ❑ DEMOLISH El
OWNER COMESA INC. . OD Arr,r I / �/ SIZE NO.OF NO.OF
MAILING 1? 17th O.FT. .1365 w�� g STORIES 1 FAMILIES 1
ADDRESS 419 E. St., Costa esa USECTUR `T�'lP +� laze.
044
/
Calif. USE of UR jfS 81Qen09 i(J
CITY Costa Mesa, alLEGAL Lot BLOCK TRACT
DESCRIPTION `r 2822
ARCHITECT OR (PLE SE ATTACH ETES AND BOUNDS)
ENGINEER Carlson & Middlebrook
Calif.
SIGNATURE _
ADDRESS Garden Grove, alAPPLICANT /CONTRACTOR Dike & Colegrove, Inc. ADDRESS 419 E. 17n th St., Costa Mesa
ADDRESS 419 E. 17th St., Costa Mesa LI 8-1159 P.G. a
ZONING REGULATIONS [/�/� FEE 16.32.00W.
�"a //.S'Y' �y VALUATIONS 1 600 O.PT. S
CHECKED BY r DATFJ - / J DATE CLEARER J -//�`7� 3, FEE
PLOT PLAN FULLY DIMENSIONED? YES •� NO • ' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI-
CATION AND STATE THAT THE INFORMATION I HAVE PRO-
ALL BUILDINGS SHOWN ON PLAN (PER APPLICANT)? yF S VIDED IS CORRECT AND GREE TO MPLY WITH ALL COUNTY
fJ J� ORDINANCES AND STA AWS ULATING BUILDING CON-
MAIN USF '� ACC.USE_ZONE 14 / DIST.M. 4 "' O STRUCTION.
SIGNATURE OF
REQUIRED BUILDING SITE FRONTAGE? YES NO PERMITTEE .., Mesa HEIGHT? STORIES Ink; AND FEET ADDRESS 419 E. 17th St., Costa Mesa
REQUIRED LAND AREA? YES NO
L/ INSPECTION RECORD
VARIANCE REOUIREp?_t.�JIPPROVED - NO. APPROVALS DATE I SPECTOR SIGNATURE
STREET WIDTH�� CORNER` a
LOT INT.LOT �A J FOUNDATION: LOCATION
�V^ 9f�� • FORMS AND MATERIALS. J.."...Air//- `
4,1
BUILDING SETBACK Ch.ST ' PROPERTY LINT .0 V
i,1 • f'o JJ REINFORCED
610E YARD,RIGHT EAVE PROJECTION • MASONRY OR CONCRETE
J� _ •
SIDE YARD,LEFT7 • EAVE PROJECTIONS •?. mow'
REAR YARD (TO P/L)�• •,WIDTH OF AL�LEEY �ne)A✓A• BOND BEAM ,1.
SEPARATION BETWEEN BUILDINGS /YO m%^!Tr'\ UNDERPINNING H
CHIMNEY IN REQUIRED SIDE YARD PROJECTS • , J/YJ
PORCH IN REQUIRED YARD PROJECTS • ROOF SHEATHING �K `/�/�
STAIRS IN REQUIRED YARD PROJECTS • ROOFING CCC��� --- ---��_����
PARKINGAREA REQUIRED 4 Fc CAPACITY.CARS / / �"; f�;>♦_
REMARKS: S'C E 1�CQ r /L r$ �4l.P, a /1 FRAMING
(ter/]6�A LATH OR DRYWALL
INTERIOR . _V y _,{
FOR OFFICE USE ONLY LATH '/ // 40
EXTERIOR y^ /j f
RECEIVED BY I DATE RECD. I DATE ISSUED
PLASTER
PLAN CHECKED BY I PERMIT ISSUANCE APPROVED BROWN COAT 1.2/••li A. t'�
-+ - ./
VALIDATION BY
FINAL .1;./".}il
DISTRIBUTION I.ROUTE IMMEDIATELY 2.OFFICE - S.STATISTICS FILE 4. OWNER'S COPY
OF COPIES: TO INSPECTOR WORK COPY - FOR COUNTER USE OF PERMIT
AP J/ 3 -Ho - -?- 4Cava
C.W.DONOHUE-SUPERINTENDENT 038 N.BROADWAY SANTA ANA.CALIF. HAROLD L.GOLDY ®
DEPARTMENT OF BUILDING AND SAFETY . VALIDATION CHIEF BUILDING INSPECTOR
A MAR 11591 107 5 9 . 32.00 z 16.00 7 48.00*
TELLER DATE - PERMIT NO. PERMIT FEE CODE PLAN CHECK TOTAL