HomeMy WebLinkAbout2198 RURAL PL - Building Permits ADDRESS aeuLlwa: 2198 RURAL PL LIMY: CITY OF COSTA MESA - BUILDING PERMIT
a INER'SNf EIFloI*%VAN HOLT BARBARA FRAILEY PERM NO: B 081 558
ADDRESS: 2198 RURAL PL
COSTA MESA,CA 92626 PERMIT NO: B 081558 PLAN CHECK NO: N GOVT: N SUPP : N
APPL.MAIUNGADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: OTH
ARCHITECT OR ENGINEER: UC,ND.: - JOB DESCRIPTION : T/OFF AND REROOF W/COMP . SQ FT: 4 , 000
MCN.OR ENG.'S ADDRESS: WIT:
CLAIM VALUE: 4 , 000 . 00 CALC-VALUE: 4 ,000 . 00 GROUP OCC: R-3 /U-1
comucTOwsNAME:LEE ROOFING ( 714 ) 642-7223
camwommum 1653 SUPERIOR COMMENTS : X
MlmEss:COSTA MESA CA ucNo.: 349686 *************)L*****+Est)E+E+E*********+c*+E******RER(-+EK-*RERE*********x-)ESE*******u-+Eir******)ESE
92627 MT: Z ON ING REQU IR EMEN TS
LICENSED CONTRACTORS DECLARATION;I hereby tin*under penally of perjury that I am licensed under provisions of Chapter B SETBACKS
(commencing with Section 7000)of Division 3 of the Bonin and Professions Code.end my fawn is in fug force and effect
C.NO.:028751 uc.cLAss:C-39 uC.NO.: 349686 /EXP: 03/97 MAIN BUILDING ACCESSORY BUILDING
-/ G � g� Cc.-
LAG �ooT .+ FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Dat• s LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OW R BUILDER DECLARATION:I hereby alb=under perWy of perjury that I em exempt from the Contractors License Law for the
loll reason(Sectbn foals Business and Professions Code:Any thy«menny while rsguireaeperm�to canalred,an«,improve. PARKING REQ: PROV: PARCEL : 42612139 ZNE: REF NO:
diet'.or repel any zoucnne,Prim
to us issuan a.also raptures the app&ant for such perm9 to fib a signed statement mat he cc she
a licensed pursuant to the provision of the Contractors License Law[Chapter 9(commencing with Section 7000)of Division 3 of the PLANNING NOTES>'
Business and Professions Code]or that he or the is exempt thsehom and the basis for the alleged exemption.My violation of Section j
7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than fwe hundred dollen[S5001). **************1EIC'IE**************1E***1E1f****1E*****1E****************'lE***1E*1L********
❑ I,aaoweerof the«Warty«my employe®with wages asthe sole compensation,wig do the work,end the sndareisndintended D E V E rL OPMENT SERVICES R E Q U I R E M E N 'T S
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does riot appy to an owner of property
who bulds or improves thereon,and who does such Nark himself providedor here!or through his or her own employees,
that et,
improvements we her intended or offered for sale.f.however.the Wilding or improvement is sold within one years completion,the ZONING APPROVED BY DATE:
•
ownerbuikler,it have the burden of proving he or she did not bold or improve for the purpose of sale).
p I,asowwer of the prows amexdumey contracting with Seemed contractors to combed the project(Section 7044.Business and BUILDING APPROVED BY : DATE:
Professions Code:The Contractors License Law does nor appy to en owner Of propeety who bads or improves thereon and who
contracts for with protects with a contrador(s)licensed pursuant to the Contractors License Law).
❑ Iemexempt under Section: B.APt.for this reason: APPLICATION ISSUED BY: DATE: l
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Date: Owner LEGALIZATION:N F E E SUMMARY STRUCTURAL' SEGMENT:Y
I do hereby certify that I am aware of and understand the requirements of California Fleabh and Soley Code Sections 25505,25533,and
25534.and that I a any enure building occupant,wig/will net(circle ons)nen tocamPty nil said rote codes and the requkemente for
apermit fo o
constructionmodrcwionfromtheA,- anagementDndd.Resideraelc«dructinapplcationsereexemptfromthese BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
woviaione. PERMIT 87 . 25 • 50
Date: Applicant: SMIP/NON-RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm weds penalty of perjury one of the(Slowing dedaretom: ISSUE FEE
p Ihave and will maintain acertificate dConsent loself-insure for worfure'compensaspraMedtobySMion3700oftheLabo BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code.!«the p.rtoens edw
u» «kf«wl;d,this winks M i,issued.
atd. TOTALS----> 87 . 75 0 . 00 0 , 00 87 . 75 87. 75 . 00
I have and wit maintain woken'compensation insurance,as required by Section 3703 of the Labor Code,for the performance of the
work for which thie permit is issued.My workers'compensation insurance weer and poky number are:
Carrier: STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 87. 75 OVER/SHORT: . 00
Policy Number: 1100948-46 06/30/97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(ntis sacten need nor be raopSad I the panel is for onehundreddam($100)oless) 87 , 25 , 50
❑ I certify that in the performance of the work for which this permit Is iniad,I shall oat employ any person in any manner so es to
become subject to the workers'compensation laws CCardona.and agree that s I non become Wbtect le the*Other/ *******************************************************************************
provisionscompensationprovisionsda
a. selers 3700 ofCode,the Labor I shall f nos;tn�^ n - /J/ INDIVIDUAL F E E BREAKDOWN
Date: 2w, a o" 't 7 Appleanh r/- t
Warning:Failure In secure workers'conpensalon coverage Is unlawful,end shall subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines rep to one hundred thousand dollen($104O0OA M addition to the cost of compensation damages ss pro tided for In
Section 3706ofMeLabor Cods,lnaraM,and enomeyslees. SFR 4000 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 4 , 000 . 00
• CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there in a construction lending agency for the END OF FEES
performance of the work kr which this perms is issued(Section 3097,Cit C).
LENDER'S NAME;
LENDER'S ADDRESS:
I certify mammas I have read this application and state that the above information is correct I agree to comply with all thy and county ordinances
and state laws relating to building conWuaion and hereby authorize representatives of the city to enter upon the above'mentioned properly
for inspectionpurposes
WILLIAM HARDIN
82-18-1997/89:45RCPTq Blp8ga1823
DM„2-[O- `� 7 PERMIT:081558
aure AgeWilarne or
(5151'46.W P) White-Building&Safely:Green-Ale;Canary-Appicant;Pink-Revenue:Goldenrod-Assessor
CONSTRUCTION AND PLANNING POOL & 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 I
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. •Electrical UFER 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 •I 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 2-9 - `17 ett/t/ 74., Overhead Hydro - •
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing; I - 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 +l
33. Final Electric Notes: -
34. Final Heating & Air„Conditioning
35. Final Gas Pipe-Test -
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 L.-Cr_Gt�
48. FINAL PLANNING •
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co •
51. CERTIFICATE OF OCCUPANCY
No. Date
COUNTY OF ORANGE .
BUILDING DEPT. - �0
636 No. Broadway Permit N
2
Santa Ana, California Application for Building Permit
Phone: KI 2.6211 AND FOR A
,
Certificate of Use and Occupancy
Date. - 'S-7)
1. OWNER'S NAME M. .A` `-->"__" . . PHONE:4.-c- -1 z 3 g-
MAILING ADDRESS...!/a-7=15-(P 3 CITY&eLnt -
`
z Zy-0,-'4--'
Nam te- V-4.-- SS,- Name..�/t sla/ --.07-wt
(Archr EE gimes
. (Contrac r)
Address l --S)cam'- Address 3, .Y -------" "�
City------- .22icy_-!/7-.---i&-- e•—- -- City-- -
State l� State /,,,� y Z 3
Lic. No. Phone Lic. No. Phone-Ale-4'1
i
PROPOSED USE: c �2 -- 6.. - .44
�yO
2. JOB LOCATION x1_9 .-8 U1/411..a3-U1/411..a3- v es„Jr d -
(House No.) (Name of Street) (Town or School District)
3. LEGAL DESCRIPTION: Lot 1 7 Block Tract / 5L G 2
(Metes and Bounds Description—Use reserse side of form) /
4. CORNER LOT ( ✓ ) INTERIOR LOT ( ) THROUGH LOT ( ) SLOPE OF LOT ( tp r)
6 B. 1 o c1.3
Lo �/.3-
5. SIZE OF BLDG.: 3_Z_2c4,2.---AREA- Q -S6 - SIZE OF LOT:6,3 .x.86— AREA: 7 2,- o 0
e,,.,¢, 9 7 I
6. HEIGHT OF BLDG - 1 4 CEILING HEIGHT• S I NO. OF STORIES
7. NO. FAMILIES / Size of Smallest Bedroom: 8 Q Size of Kitchen: 7o
8. EXTERIOR WALL CONSTRUCTION- -72t Ca e INTERIOR WALL COVERING ..
(Frame, Stucco, Etc.) y� ' (Plaster-Drywall, Etc.)
9. SETBACKS: Front Yard from Center Line of Street o �/
LL t �e
Nearest Side Yard b- Rear Yard c q-' Distance in Feet Between Bldgs. on Same Lot _. -. . ..-
10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH.
11. For (a) Footing: Width ' 4 Depth in Ground 1 t-- Width of Wall G,
Accessory �i ,,// 6 -/
I5, and Similarb) Size of Studsl
: --._-. _./y 1.-7 Spacing / "CC Material of Floor . OQ.V
Structures:
(c) Size of Flooroists: .a° Spacing acin P g ------ ----- -6. "CC
(d) Size of Rafters: cl Si (ea.-. Spacing /47 'CC
12. VALUATION OF PROPOSED WORK: Including all labor, plumbing, electrical wiring, heating, fire sprinklers, paint-
ing and sewage disposal $ (, 19 .'.cP'JP soo,
13. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN
THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL
LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO.
/CZ) Signed:--.kyr ---�� iPlans Filed: /_ (Owner)
/ ��7�/y/�77
(Authorized Age t)
FOR DEPARTMENTAL USE ONLY
FEES: C CKING BY
GROUP � j_�
Bldg. Permit - $ /Q,�+ APPLIC�T O (. ' HEALTH
Plan Check $ UT.a o DI TYPE FIRE
ZONI G. MARSHAL
Total - $ / z �a DIST. �/� PLANS AND •
Receipt No. - - � MAP ! 1 SPEC'S � 0 STATE
Paid to - - �a�"S / SHEET NO CORRECT ONS7` V ENGINEER
Date -- !"12��6_Z', VERIFIED - CAL
1A' CCUNtY GU I
PERMIT ISS '0.B , DO`NO�H¢U.. ,, I\ F .��
'/
DATE 14 -- DEPUTY
N.
5M-7-50 fi
•
C..1
METES AND BOUNDS DESCRIPTION: •
•
1,0 2I0 • 3)0 4)0 5)0 610
0
•
o_
o ____
•
--
0
0
UWNCK ' ' ""' VAIC
JOB ADDRESS 2198 Rural Pl. BUILDING PERMIT NO. 19725
GENERAL CONTRACTOR Owner Bldr. DESCRIPTION of WORK Legalize Fain. Rm.
'4,AP No118-O32-27 LOT TRACT FIRE ZONE VALUE $1,500.00
@ INSPECTIONS Signature Date TYPE V GROUP I ZONE R2
SOIL .SUBCONTRACTOR PERMITS ISSUED
GAS Date Number Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE n HOUSE CON. 0
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND fl POWER n
ROUGH WIRING Heating and Vent.
TRENCHES fl FORMS STEEL REINF. C
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT n
PLASTER, BROWN COAT
STRUCTURAL, FINAL / Elg Ltric
HEATING, VENT., REFRIG. AND A.C., FINAL (/'G!tLC.I. /a_'S 3,L Is.
PLUMBING, FINAL AND GAS TEST n
ELECTRIC, FINAL /ns, Lf..qL
BUILDING, FINAL
r'r=iu
39725 ,:.z 1 ;s ;,OO 625.'. It**,',38.00
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
�,. PP IC TION FOR BUILDING PERMIT
For Applicant to Fill in Completely a
// RE I E Y DATE RECEIVED D{t=�SUED
BUILDING f� 64 �rN.�,rt+ ✓ _3-/ 7 33 �j' e�
ADDRESS /-�[ //GG Q /�
OWN - // / w�A. A.P.NO. us -03z-t-7 PE sr'
BUILDING 9U
ADDRESS /
C-____ ADDRESS MAIL ' ADDRESS J 2j� L
Z . ``/ \
TEL. TRACT \��1 LOT BLOCK
LB v CITY No.4t/�ll�/`5 1
ZZ
CONSTRUCTION NEW A, DD, ALTER REPAIR (MOVING DEMOLISH
O N LENDER \X/
am
J r BRANCH ,eECa Y�/p/ Tr
_lin OWNE / ��
mJ ADDRESS + VALUEgyOI '
J Q
OR ENGINEERITECTTOL. USI VIZ/2& �Ai/7 J 7 $ armee.(an.
---
-I
Q FIRE `� — si
WCL ADDRESS ZONE /V GROUP
1 W APPROVEDit
�t Q
W Z CONTRACTOR /� r i L� BV //C DATE d /g- 7S
mo - V
Z qv 8E /,vsPezreo
J cr ADDRESS
W W TEL. ZONE r� NO.OF USE OF NEW LS,,ll.(ZE
Z1- CITY NO. (� PLANS 'L BUILDING Jr' M 1i-'1 Z.com
W- o STATE CITY YARDS APPROVED YARDS APPROVED
to cc LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING
O (FROM C/L STREET)
SIZE 1 NO.OF BLDGS. f/"Irl
OF LOT NOW ON LOT FRONT FT. FT.
USE OF !, A
EXISTING BLDG. e- K R.SIDE r 1 FT. FT,
I— SIZE OF in J�r /f NO.OF /�
ZZ NEW BLDG.( / .l t,! -r? ROOMS STORIES I L.SIDE }'c�FT. FT.
EXTERIOR WALL rr�� ROOF / 3�J
V COVERING Stt)Q \ Sl COVERING REAR �•.CFT. FT.
J USE OF BUILDING AND WORK TO BE PERFO MED DISTANCE BET. BET. MAIN&
CL d MAIN BLDGS. ACCESS.BLOCS.
IC VAR.# DATE
a LE- -74L lee Fel-h” /l go C U.P# _APPROVED
COAPPROVED t) p ( DATE /
z 1t/ JV1 ,J P AIME
o (6 iig
(~.1 I hereby acknowledge that I have read this application and state p H
D that the above information is correct and agree to comply with II
H
CC all laws regulating building construction, and I shall not employ 1
I-, any person in violation of the workman's compensation laws of .,•T
CO the State of California. m
/5 o
I hereby certify that I am properly licensed a-a contrac • under SQ. FT. o
the State of California Business and Profession Code, Divis n 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5
Chapter 9, and that such licenses are i for.: and effect, •r I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: Io
cc
am exempt from the provisions of the tat of Ca' ornie Busin:ss VALUATION rfr, ,-�-7�
and Prafessi Code, ivision 3,Chapter 9/ =j`—' co
('// PERMIT FEE $ D
Signature of ,�f //y/�, (1 0
Permittee _in
� $ /9" V PLAN CHECK $ ' E
U.
Authorized A ent /"� 7 J� u.
e TOTAL FEE $ /