HomeMy WebLinkAbout2191 RURAL LN - Building Permits ADDRESsocBwwe : 2191 RURAL LN UMT: CITY OF COSTA MESA - BUILDING PERMIT
aMORSNAMEIFIDgwNFOSTER, DOUGLAS A PERM NO: P 080079
ADDRESSFOSTER, CAREY J
2191 RURAL LN PERMIT NO: P 080079 PLAN CHECK NO: N / GOVT: N SUPP : N
COSTA MESA, CA 92627646-1531 ) 1.+_ Q
MPL.MAIUNG ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: OTH
ARCHITECT OREIGNEER: ucNG: JOB DESCRIPTION : INSTALL NEW SEWER LATERAL SQ FT:
ARGIL OR ENG.'S ADDRESS: UN7:
CLAIM VALUE: CALL-VALUE: GROUP OCC : /
caNrRAc1ar5NLIEATLAS UNDERGROUND CO ( 909 ) 465-5710
CQGRACTORS NNUNO P .O. BOX 951 COMMENTS : NO OTHER WORK AUTHORIZED BY THIS PERMIT
CHINO CA 487240 * ERE***�LRERL******RE*BE ** LRE******************** ***********************************
A°°"E u
917 0 8UC,N0'`
ZONING REQUIREMENTS
Oft SETBACKS
LICENSED CONTRACTORS DECLARATION:I hereby elfin under palely of perjury that I e tensed under pravmns of Chesser 9
Icommendng with Sect.,7000)of Division 3 d the Business and Profess and my lull force and ce
cmuc.No06 770 uc.cussA u .NO.: 8 24d-m n XP: 03 /97 -- MAIN BUILDING ACCESSORY BUILDING
G FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Dena: l0 i�//"/�/ _ Contractor: JVD 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 Iron I Connectors License Lew for IM PARKING REQ• PROV: PARCEL : 42612124 INE; REF NO:
ton0wig reason(Sedion 7031.5 Business and Professions Code:Any city o ocuny whidh reyuima a permit Io combed,aha,improve, b
demolish,or repel any structure.priorlcite issuance,also requires the applicant for such permit to file a signed statement that he or she PLANNING N TES>
is licensed pursuant to the pr«isva of the Codradors license Law(Chapter 9(commenting with Sectors 7000)of DNeon 3 of the >
Business and Professions Code]or that he or she is exempt therefrom and the basis fa the alleged exemption.My violation d SectionSecti
7031.5 by any applicant for a permit subjects the applicant to a civil peaky of not mole than Ms hundred dollars jS500I). *******************************************************************************
❑ I,as owmr of the property or my employees with wages as thei sole compensation,win do the work,and the structure a n«intended DEVELOPMENT SERVICES REQUIREMENTS
or offered for sale(Section 7044,Business end Professions Code:The Contractors license Law does not apply to an Owner of property
who bolds or improves thereon,and who dies such work himself or herself or through he or her own employees,provided that such
impromments send intended odlered brass,U,however,the building«inpmvementis sold withinoneyerd empetion,lhe ZONING APPROVED BY DATE:
owner-0ui1er will have the burden of proving he or she did not build or improve for the purpose of sale).
❑ 1,as owner d the propend•arra exclusively contracting with licensed contractors to construct the prgerl(Salon TON.Business and BUILDING APPROVED BY : DATE:
Professions Code:The Contractors License Law does not apply ban owner.o property who builds or improves thereon and who
contracts for such projects h a contradom5)tensed pursuantto the Contra rs License Law). p�
lanneempraSection: e.AP.c..b Nreason: • APPLICATION ISSUED BY : DATE: VD—2:1 Lb
El wit ********************************************** ******************* **********
Date: owner: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N
I do hereby candy Mal I am aware d and uMasuM the requirema fit d Caliorda Health and Safety Code Sections 25505.25533.and
25534,and that I or a.ny future budding mamma will/will not(circle we)need lo comply wilt said Rale WM.and the requirements fat BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a permit for construction or mod&cffion from the Ai(30it ManaIemau Dierid.ResWadied construction appectaions ere exempt from these PERMIT 22 . 00
pea 25% SMIP/NON—RES
Dale: Applicant: PLAN .,
WORKER'S COMPENSATION DECLARATION:I hereby afhm under penalty of perjury one o the!dowing dedorelions: ISSUE FEE 22 . 00 t
❑ Ihave and wilmaintanecen3rateel consent tosee.imure for workers'compenmain,asproidedtobySedbn3700ofthLabr BUILDING-DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code,for theped«manceotheworkforwhichthispemitisissued. TOTALS----> 22 . 00 22 . 00 1 0 . 00 44 . 00 44 . 00 . 00
❑ I have and wil maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,for the performance of the
work to which this paring is issued.My workers'compensation insurance Dander and Polio,'number are: REVENUE DIVISION TOTALS--> COLLECTED : 44 . 00 OVER/SHORT: . 00
Pony
Poky Number:
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
°his soden need nor be canpeled I the penit a one n hundred dollars($100)or less./ 44 . 00
❑ I tally that in the performance of the work la which this permit is issued,I shall not employ any person in any manner so asto
becmbpd to the workers'canp°matin lea d Ca
idom' . Ova, scdd became nmpd to the wW®' ***************************************************************
****************
DeN:Cmon7 /d Section 3700 of the Labor Code,I h open mom pc°v®oea.
Apdnem: TYPE QTY INDIVIDUAL " FEE
DESCRIPTION BREAKDOWN
UNIT COST TOTAL COST
Warning:Failure to secure workers'compense0°n coverage Is unlawful,and shall subject en employer to criminal penalties and
civil fines up to one hundred thousand dollars(5104000A In addldon to the cost of compenastloL damages le prevlded br In
Section 3706oythe Labor Code,Interest,and attorney's yw. PLU 1 SEWER, CONNECTION TO BUILDING EACH 22 . 00 22 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction ending agency for the END OF FEES
performance of the work for which this pemt is issued(Sedan 3097,Civ.C). _
LENDER'S NAME:
LENDER'S ADDRESS:
I certify That I have read this application and sale Mai the above intimation is=rect.!agree to comply with an city end county ordinances
end slate laws relating to building construction end hereby eulhorae representatives of the city 10 enter upon the ebae.mentioned Properly
I«aapedxnpur°ani HRISTY LOlA
Name -
-? Dat` 01DA0021O%2�00217620 TT
09[12 44.00
Signature d enAga ApplcamUConiract«
i
(5151.se.WP) White-Building&Safety;Green-Fe;Canary-Appiont: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 •
,
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
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,.Q Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK 'I.
11. Property Sewer Line & HouseConnection w _94 (� 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 0 Oil
25. Roof Sheathing 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 PREV. 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 Notes10_ /.j_94 CiIAijD t l/
34. Final Heating & Air Conditioning ' ' /1 ri _ '-+ ,� n! C�1-v -J rF
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
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. Perinit No.30? 3/4/V6
636 No. Broadway Application for Building Permit 1
• Sdnta Ana, California
Phone: ICI 2-6211 AND FOR A
Certificate of Use and Occupancy
Date /624-4-- 7 2 / 9 .3---c
1. OWNER'S NAME -11-44-4-4,-, 74-w-t-.2-1 4-&-"e— PHONE 744/ Ja_a_af
MAILING ADDRESS -, 35a CITY tte....--, gat Cflets.i_____
Name92t-ar•---r tia.....-ti Lal.aritaytet.,-LCR: Name tina246,/ 'U - &
(Architec or Eng' em) (Contractor)
Address a---0,.".± 748.15--L.)-1 . Address 3 3 2 en........:_a &Ai.... al_
City ki-Aast ani- PaiL-e—rAn- City S411.11"44 Mit•-fra e skliKt"" 0s-/
State State
Lic. No. Phone Lic. No. Phone
PROPOSED USE: ) / .4z&. Crcsi. .aiense--L.,& 4-46 celle Garase.
2. JOB LOCATION 2- / q / ifekAdid d'aet-ft &tat-, 14:14-grel---
(House No.) (Name of Street) (Town or School District)
3. LEGAL DESCRIPTION: Lot 1 Block Tract ' 5L6, L
(Metes and Bounds Description—Use reserse side of form)
4. CORNER LOT ( ) INTERIOR LOT ( - ) THROUGH LOT ( ) SLOPE OF LOT ( (')
IR . I 4-b
.
5. SIZE OF BLDG - S C 14- 3 1 AREA• C' e 1 Si SIZE OF LOT- u ,UP,MYAREA: 7 2--o 0
670-4.-. ) Q 3
6. HEIGHT OF BLDG • / P CEILING HEIGHT ,97 NO. OF STORIES
7. NO. FAMILIES / Size of Smallest Bedroom: 9 0 a ' Size of Kitchen: ig
8. EXTERIOR WALL CONSTRUCTION- 7A-64-4A-k, INTERIOR WALL COVERING 4407LC
(Frame, Stucco, Etc.) (Plaster-Drywall, Etc.)
. 9. SETBACKS: Front Yard from Center Line of Street
4
Nearest Side Yard 5 Rear Yard a,p 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 / 2 ' Width of Wall 4 °
Accessory
Bldgs. and
(b) Size of Stud's: 2-X il Spacing /El "CC Material of Floor
Similar
Structures:
(c) Size of Floor Joists: 2- X C Spacing -/ , "CC
(d) Size of Rafters: 2. X4 Spacing /6 "CC
12. VALUATION OF PROPOSED WORK _I 9eluding allar
.04 , plumbing, electrical wiring, heating, fire sprinklers, paint-
ing and sewage dispbsal :7 5-az2i -
. •
•
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.
i
Signed 111-41-4t—e- W-e-f-c.-4-4-
Plans Filed: i yol4lie (Owner)
By: Cre-del f 7647:2,40')
(A orized-Agent)
FOR DEPARTMENTAL USE ONLY
FEES: • CHECKING BY
Bldg. Permit -it
$ 2e. 0-0 GROUP _ APPLICATIO A JAll HEALTH.
Bldg.
Plan Check . $ 3, O• TYPE
ZONING__ ete, , C."
Total - - $ 2,,,,A. 4rt, DIST. 6.,. 2.. . MARSHALFIRE
Receipt No. - MAP PLANS AND , _,
SPEC'S /.,.-7', i STATE
Paid to - - 4,0421. SHEET NO __51"...
CORRE pr4,- Lt.,.." ENGINEER
Date lle ,ifie.ecti VERIF D 1/4-.'" , CAL
I' / .,
PERMIT 1,1...-'2. .
• . , . moinuur COUY BUILDING
DATE -`'W• Li Lir NTINSP,ICTOR
•
5M-7-5O "t\‘'
-'-' IL EP U TY ti
METES AND BOUNDS DESCRIPTION:
1
•
IO EO 310 90SIO 60
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. BLDG.NO.
. CONSTRUCTION��PEt3MIT • ,f —/6/20 'T' ,
Project Address Z S t L ar O l ` L p • TYPE OF CONSTRUCTION U NEW IJ ADD ❑ ALTERATION ❑ REPAIR 127L C��.7�Is' a T
Applicant's MailingpAddress (lLq� 4 t Ip Cts\ l t �4�v 0 CONVERSION 0 DEMOLISH 0 OTHER A.P.# I Zone
Owner's Name (TPIJt is,P s N. ,...„Par- Phone DESCRIPTION OF WORK
S Main Building: Accessory Building: Z
Address X k\ \.1,MLL k.s'J TYPE OF PERMIT 0 GRADING U FOUNDATIONU STRUCTURAL E 0
T Front N
Arch/Eng. ' License No. 0 TENANT tArELECTRICAL 0 PLUMBING 0 MECHANICAL B Rear I
Address ty� ❑ OTHER A N
Contractor's Nam- ��Y.71 *kPhonev Zt 9P�0 PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right G
• CON ST RUCTION TYPE VALUATION$ S Left R
Address lmailingl E1CLCk ('y s`j. Pn1.�o, r- A-ue . E
City License No. 0/ /LC p ZONE GRADING CU.YD5. ACRES Ping. Ref-# Park.Fees $ 0
U
LICENSED CONTRACTOR DECLARATION Remarks: Parking Req./Provided I
1 hereby affirm that I am licenced under provisions of Charter 9(commencing R
with section 7000) of Division 3 of the Business and Professions Code, and Use of Building: E
my license is in full force and effect. Use
Class Licen ia�aha 4U-ta PLUMBING FEES Planning Notes: M
Date l2-•) j1 Signature• 9 1. _'T"'ttR 1 0 N
WORKERS'COMPENSATION DECLARATION Bar Sink Showers T
I hereby-affirm that I have a certificate of consent to self-Insure or a certificate Backflow Preventer Service Sink S
of Workers' Compensation Insurance, or a certified Copy thereof (Section
3800, Lab. C.) Backflow Irrigation Sewer Cap - - ELECTRICAL FEES
Policy No. Company • - -
If1 Certified copy is hereby furnished. Bathtubs Sewer Connection - Automatic Washer Transformer 0 15-50 KW
-Certified copy is filed with the city Building Division. 0 50+KW
Date Applicant Clarifiers Solar Collectors Construction Pole Sub. ,,.,�
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Dishwasher - Solar-Piping. - Cooking Unit - ' / Meter LPL'to 100 amps' -S-
(This section need not be completed if the permit is for one hundred ($100)or -
less). - - -
I cerify that In the performance of the work forswhich this permit is issued I Drinking Fountains Solar Tank - Dishwasher Meter Dover 100 amps
shall not employ any person in any manner so as to be m subject to the Workers: Csepel-sl Laws of Ca ptp'(n1 . f1 Floor Drains. Swimming Pool w/Spa Dryers ❑Gas ❑Electric Sub Panel •
Date ` 4' ` `S� Signet Ca ni • aJC� '
NOTICE:it,after making this declaration, you should become subject to the Floor Sinks Urinal Fan Motors❑0-1 HP ❑1%-8
Workers' Compensation provisions of the Labor Code, you must forthwith -- -
-
comply with such provisions or this permit shall be deemed revoked. Gas Service Outlets Water Closet F.A.U. Inc.Solar 09.15 HP ❑16-15+
CONSTRUCTION LENDING AGENCY - • ,
I hereby affirm that there is a construction lending agency for the performance Interceptors - Water Heater Fixtures Microwave
of the work for which this permit Is Issued (Section 3097 Civ. C.) '-
Lender's Name Kitchen Sink - Water Service - Device Boxes � Pole Light
Lender's Address ' Lavatories. •
OWNER BUILDER DECLARATION •- - Outlets Range •
I hereby affirm that I am exempt from the Contractor's License Law for the P-Trap reason (Section 7031.5 Business and Professional Code: Any city or p • _ Switches Sign
county which requires a permit to construct,alter,Improve,demolish or repair
any structure, prior to its issuance,also requires the applicant for such permit Roof Drains • Garbage Disposal Standing Sections
to file a signed statement that he/she is licensed pursuant to the provisions of
the Contractor's License Law(Chapter 9(commencing with Section 7000)of Generator ❑65 KW ❑5-15 KW Trash Compactor
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 any applicant for a permit- subjects the applicant to a civil Reinspection Fee I $25 Issue Fee - $ 3
malty of not more than five hundred dollars($500).
-U I. as owner of the property or my employees with wages as their sole - Reinspection Fee $25 Issue Fee $ 3
compensation, will do the work,and the structure is not intended or offered - MECHANICAL FEES
for sale (Section 7044, Business and Professional Code: The Contractor's - PUBLIC SERVICES REQUIREMENTS:
License Law does not apply to an owner of a property who builds or improves Boiler Hood or Type 1 ❑thereon, and who'does such work himself/herself or through his or her own Zoning Approved By Date -
employees, provided that such Improvements are not intended or offered for Canopy Type II ❑
Duct-Under Ground
sale. If, however, the have
of pro is sold within one year of com- _ Application Approved By Date
pletlon, the owner will have the burden of proving he/she did not build or im-
prove for the purpose of sale). Duct-Structural Refrigeration System Application Issued By / -' / Datizt
O I,as owner of the property,am exclusively contracting with licensed con- ❑0.100,000 BTU 0100,000 BTU
tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating - SUMMARY OF FEES
-The Contractor's License -Law oes not apply to an owner of property who •
BUILDING PERMIT $ SMTP $
builds or Improves thereon,'and who contracts for such projects with a con- Exhaust System 0 Multiple 0 System Repair/Alteration
tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK $ PERMIT
❑ I am exempt under Section 8.& P.C.for this reason Firepl/Fact.Bit. ICBG# PLUMBING $ ISSUANCE $
Heating- Owner System& Ducting PLAN CHECK $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BTL ELECTRICAL $ 8`, Od GRADING $
information is correct. I agree to comply with all city and county ordinances
and state laws relating to building construction,and hereby authorize repre- • ' $ MICROFILM $
sentatives of this city to e ,pen the above-mentioned property for PLAN CHECK
inspection poses, p — MECHANICAL
Signature• s v 44 Date 17-Zcp-6-> $ TOTAL FEE $
Drivers' License or SS 5t- Reinspection Fee $25 Issue Fee $ 3 PLAN CHECK $
CMF 0865-46 rev. 7/83 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod -'Assessor . . - -- -- - - - - . _ __ - ��
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit#• E IDI1D 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 UFER Grnd. 57. APPROVAL TO COVE R-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
7 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 0OiI
23. Gas Pipe-Rough & Test 72. Underground Flush
€4. Roof Framing 73. Undergrnd.StorageTank 0 Gas El Oil
25. Roof Sheathing •
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 PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat - 79. FINAL INSPECTION
32. Electrical Power Meter-Final > I3 6 80. FOOD CERTIFICATE ISSUED
33. Final Electric //1 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
48. Special Requirements Completed
49. Electric Release to Edison -
50. Gas Release to Southern California Gas Co
51. CERTIFICATE,OF OCCUPANCY _.
No. r Date •
PROJECT irnDRESS: 2191 RURAL LN . UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 065708
ON ERjNAmE: FOSTER, DOUGLAS A
4 _ ADI&ESS: FOSTER CAREY J PERMIT NO: B 065708 PLAN CHECK NO: N GOVT: N SUPP : N
2191 RURAL LN
COSTA MESA, CA 92627 CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: ALT
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : TIO BUR & REROOF W/COMP . SHINGLES SQ FT: 2, 450
ADDRESS: UNIT:
CLAIM VALUE: 2, 450 . 00 CALL—VALUE: 2, 450 . 00 GROUP OCC: R-3 /M-1
PERMITTEE: ALL—COAST ROOFING ( 714 ) 650-2244
ADDRESS: 2107 WALLACE AV COMMENTS : SMOKE DETECTORS ARE REQUIRED AS PER 1991 U.B .C.
COSTA MESA CA 92627 *T6*+t**eFrt*******+E***********************************+E*Tr***************r*********
LICENSED CONTRACTOR DECIMATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R EQU IR EMEN TS
7000)of Division 3 at the Business and Professions Code.and .y license is in lull I../i effect, SETBACK S
CIT *5 929 S ATE LIC.:5 9 8 4 4 0 cuss: • �•p/
Date:_ - Signature:_S/__` 1 MAIN BUILDING ACCESSORY BUILDING
I xERS'CD"'ENSA I N DECLARATION: (hereby affirmthat lhave a tilicateofconsenoosell-insureoracenilicateOfWorkers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance,or a certified copy thereof(Section 3800.Lab. 'S. LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: EXP.DATE:
COMPANY: PARKING REQ: PROV: PARCEL: 14172127 ZNE: REF NO:
❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES>
*******************************************************************************
Date: Applicant:
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (T's section need not be compl•'d' the permit is for one hundred WOOor less). D E V E- L OPMENT SERVICES R E Q U I R E M E Nr T S
I certify that in the performance of the work for which this permi`.issued.I shall not em, person in any manner so as to become
sub theWoofters'Co/ppen tion Laws of California. / ZONING APPROVED BY DATE:
-Oat ' `/(1 Lgt Signature: I AAA A _ BUILDING APPROVED BY ...-
NOTICE:If a er mak g this declaration.you should bec,me sublet G the Workers'Compensation provisions of the Labor DATE:
Code.you must forthwith comply with such provisions or this permit - all be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for AP PL I CATION ISSUED BY: DATE
which this permit is issued(Section 3097,Civ.C). *********************'********'****'** ** *********************** **
LENDER: *******************************************************************3* ** *** ****
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECH aI,l . D�E1288'"`1- /RE$• GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 54 . 00 {tfl �C DETEC
. 50'
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed ������ SM /NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). ISSUE FEE N•+
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—CHECKr..'-%' 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 REVENUE DIVISION TOTALS--> COLLECTED: 54 . 50 OVER/SHORT: . 00
improvemento is soldf within one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE $MIP/TOT GRADING ,PLAN—CHECK
for the purpose of sale).
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business
54 . 00 5 ` l
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly 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 *******************************************************************************
that proof of their Worker's Compensation insurance should be provided to me. IND I V IDUAL F E E BR EAKDOWN
❑ I am exempt under Section: 8.8 P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
r
Date: Owner: SFR 2450 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 -- 2, 450 . 00
I do hereby certify That I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF F EES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from
(hese provisions. •
Date: Applicant:
I hereby certify that I have read this application and state that the above information . I.I agree to comply with all city and county
ordinances and state laws relating to building construction and nq.by authorize represen atp es I this city to enter upon the above-mentioned
"ta 1Q)I ins�Gction uu�rpo. s. J
Dale/ ',//���'1 Signature: A • US 00153729-00153730 TOT 54.50
err ERR/ CATS: 01/14/74 TIME: 15:24
Driver's Lice a or So al Security a: ,
1641.46 While—Building:Green—Code Enforcement:Canary—Applicant: Pink—Revenue:Goldonrod—Assossor
' -ORLI- RUCTION AND PLANNING Date 'I Inspector POOL & SPA Date
itd.7?ROVALS Permit '•; APPROVALS Permit •= I lr.spert•r
•i.- -- - I -!-- '--
i I • ]racy Electncal Sery c_or Pole ; 52. '..n! & Equ'nmart L ieut.:am
I
I---- - 4 ; __ 1
2. E• Pipe•Undrgrnd.-_-- _ J _L 53. Steel Reinforcc1rnt .
3 Elcc'r,ca Cor.du:t Ct' ty-U'tdrgrnd. J�. 54. Form.
i
i. El,.at, cc' Donde t•U.d- ..a - 55 t"rt•ica' 804 e; - '
5. S•:e R,kinfa•ee-'e-' SG Rs.nh i
?i.,mh rq , '•. jr� Test
6 Ecctncs' OF ER G•-,i 1 57. APPROVA' 'C Cn"Li+.G., n,TF
7. Footings - --'- ' - I 58. Electrical Cordu l U dry!nr.---- -- '"- - - -7 __i
:. Foundation {.1 -- 59. Gas Pipe, 0 Ur.urgr,.d -t --- i - ---
-
9. Water P,pe"Undrgrncl. _ --I i -60. 6:ckwesh Lire, P•T•01- Ur`Orir:_! - �- -"- -
LL .I - t-_
10. St uctma. Roar System -� -' I 61 . .\FPROVAL TO CI CK i
11. P.operty Sevier Lir.:: F He ,:cT_enr action�- _'i1 I 32. Bac:c..csr! C& RSC_ t c . _
12. Sever Cap
63 Neater & Vent-F,r.r.:
' }) - -- i
13. Roof DrainsI 54. PlumiaMq System F r'..I
- -,
o
li14. Rough Rumbing -- I 65. Ltectrlca'.:= '-4 --- II_
15. Rough GEectricai-Cnrou t 66. S•-,;•- c_.•;;er^.-F,r .•
( 16. Rough Pirctric1.1;r1ng
I 67 Fr•nrng & Accrs. Ami.c. 1,
17. Houck!':Wiring Sign n 33-_ __ ___- - r
--_-� --
APPROVED FOR H ASfERI�NG
18. Rough Electrical-I Bar Cn!;ing 69. POOL/SPA SYSTEMS FINAL '
19. Rough Ideating & kr Cordit.eniug FIRE DEPT. REUU.REE.tERT i 1
I
20. Rni,yh ,r.actnry Fireplace •
_-_•• 'APPROVA. _S P.•rrn,t ---I - _
r ; -
21. 0 I.^., to Structure - . ! I 7C. I;tir!ir, d�, r. H•,
22. Dartt, .cntilatlnn 171 P�rouct G.!, .2 Pinny -
23. Gas Pipe-Rough Fe Test �__ _._1--__ I 77. Und.:rgrdd Flush + _-_ I
24' Rout Framing .1 73 --rr- c- . 'G.. ..
75 E-40 Si•ea.n;rg - - - - (;TILE-gg 6Gv 61- ,,, _ _d H• -- - - - - -
�26. T :.. C2 '.ng S. . ..;^..-.-Ccc%t i - -,3 _ 'a '
E. _ , Ste-_. e• •
26 Lath ny 3: Sd�cy - 77. FIXED SYSI-E" F NAI_
Insulation • ,I
29. Insulation /3 Fir'_ f'REV. P - -_ _ --- �_ ---
I
---- -- - --•
' -_--�___ ' - - - -td,L
.ET4 DEPT. REQUIRE' iv" - -
- I
37. c . ?o: Vett Ciuut I 33 FCC° F ^ .:-,-i f -•S . -41 I I
' - 1-
r33. F-n,.letictrtc '-_ _ I-' 1_ ivr'i. '_----`- r• _- -- '- -" - - --- ---- '
' 34 F .' FM:at,r!f f:, A.. Cry... cm n i -- - 1---
- -------- -- - - -- - - - -i - - -- - - ' - -. - - - ----
1 35. F.. - C P.0 -T----1 .
37. ir nt, cectc•-•• Fror ..c. -
_._ _ _ __
33. Fn; Plumbing
-_--_______ _ _ - __ __ - - vim- _ .__1
35' V.-...or $ rude"Final • _
I ! Ij
• 40. G.a Sersoc� Final '
•
4-. �•, yr Dames" ciFH_. !
.-. 3acxflo;v Preyant-r -- I _ -- - -------- --
43. Backflow I!,!gallon --
44 L indic•:Pe lrrlgaLa SY,cc-, i
-
45 Sound AnenuaLar ,' --- - --- - --
•
1 '45. F'e 'd Lao Regu'at .-i . .
4i- F:I,,3 -RUC fUPE._ •24-42;!'.--;`:;%:G /i ZS-erei 6..444 _ 5-'asaviefre_ - ,4_-- -
48; kIAL PLANNING I
49. Elac ric Release to I_d c:dn I
SC. Gas Release to Southern Cs.ifornia Gas Co I , :-, I
51. CERTIFICATE OF OCCUPANCY
No._ Date i
1-- -- --------