HomeMy WebLinkAbout2230 RUTGERS DR - Building Permits CITY OF COSTA MESA ..-.
soar,
BUILDING DIVISION
Pi'�,
. I; 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
T... • FOR INSPECTIONS CALL: (714)754-5626
0'F
PERMIT NUMBER B07-00854
PERMIT TYPE B_ROOF2 STATUS: ISSUED
DATE ISSUED: 07/1212007
ISSUED BY: SOK
•
JOB ADDRESS: 2230 RUTGERS DR CM Suite/Unit:
Vicinity: ROOF Const Type: ??--
SO. FT: 2700Valuation: $0.00
SCOPE OF WORK: TEAR OFF EXISTING-ROOF. INSTALL 1 LAYER OF 15#FELT, 5:12 PITCH S.F.D.AND 2:12 PITCH ON FLAT,30 YEAR
COMPOSITION SHINGLES AND REPAIR/REPLACE
SHEATHING AS NEEDED. HOT MOP FLAT ROOF.
OWNER: RODGERS,RODERIC GRAHAM i Address: TR Unit:NEWPORT BEACH, CA •
PHONE: City/State/Zip: . 423 CANAL ST - ,
APPLICANT: MCFEGGAN,BILL - . Address: 1007 W GROVE AV Unit:UNIT D
PHONE: 714-997-9449 "-. City/State/zZip: ORANGE,CA
CONTRACTOR: FAIRWEATHER..ROOFING INC - License No. 770565
Address: 1007 W GROVE AVUnit: UNIT D ' - :. PHONE: 714-997-9449.
City/State: ORANGE, CA ZipCode:' 92865 • '' CELL:
ARCHITECT: . • - License No. PHONE:
ENGINEER: - License No. . . . PHONE:
. ,,2
FEE SUMMARY
Reroof•Plan Check: ' - '40.00 •
Reroof Permit Fee: $153.25 - - - -
Reinspection Fee: $0.00
TOTAL FEES • $153.25
•
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord. No.92-28,§1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE-OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
gem A, IN$PECTON TYPE Wilk IN1n1AL$ CODE A INSPEC110N TYPE DAT INTIMAL@
1816 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 7-2/- t Za 210 Final Electrical '
201 Final Block/Retaining Wall 212 'Final Fire Prevention '
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition ' 250 Final`Building/Occupancy
WORKERS'COMPENSATION DECLARATION: Owner ID verified by drive Ise. 0 Yes 0 No
I hereby affirm under penalty of perjury one of the h,.._.nng declarations: Driver's •License No. Expires:
❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued. •
have and will maintain workers'compensation insurance,as required by
section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a
number are: person is required to descend,will be made in connection with work authorized
by this permit,and that no building structure,scaffolding,falsework,or demolition
Carrier Cos-/ Own i �/`+ 5 or dismantling thereof,will be more than thirty-six(36)feet high. (Chap.3.2,Grp
(This sedpn need not be completed d the perm:is valued al one hundred dollars(8100)or less.)
2,Art 2.Sec.341,Title 8,California Administrative Code).
Policy Number: po Lr..C,16. of d/
0 As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued,I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subj-- r. the workers' compensation provisions of Section 3700 of
/ shall forthwith comply with these provisions. Applicant's Signature Date
the L.••.r
A7—/i—0, Division of Industrial Safety Permit Number:
A.mm's Signature Dale HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING"AILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes 0 No
($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST,AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license lis in full force and effect. •� a registration form for acutely hazardous materials? 0 Yes El No
/
Lic.# 5G-" Class# G-J,, (Section 25533 of the California Health and Safety Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
12 -p 7 each business which at any one time has on hand a quantity of acutely
Contractor's Signature Date hazardous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
CONSTRUCTION LENDING AGENCY: temperature and pressure).
O I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? 0 Yes ElNo
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
Signature Dale
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes ❑ No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia Govemment Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits).
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the )
Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If'yes",the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes 0 No
thereon,and who does such work himself or herself or through his or her own 8. (If "yes",attach certificateof compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving,that he or she • CERTIFICATE OF COMPLIANCE: I certify that under,penalty of..perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
property,am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions.
❑ I, as owner of.the .
LICENSED CONTRACTORS to construct the project(Sec.7044.Business and
Professions Code:.The contractors License Law does not apply to an owner of . Signature Dale
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:
a contractors)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
El I am exempt under sec. the information given is correct. I agree to comply with all state laws and'city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for
• inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection. .
Si r 1 Legal Owner(s) Date
Signature Date 7•-/2."ez,7
•
3057.46 007) Andlor Authorized Applicant Date
ADDRESS OR SLALOM 2230 RUTGERS DR (4P INT: 1 CITY OF COSTA MESA - BUILDING PERMIT rand res: r v , xstt7
a mERSNmEIVID»wN: PETER RODGERS
ADORES& 985 W, 18TH ST PERMIT NO: P 071197 PLAN CHECK NO: N L7vv1 : Lv urr : tv
C.M. 92627
:OSTA MESA, CA 92627714 ) 631-2345 CONSTRUCTION TYPE: V-5 PERMIT TYPE: PLU PURPOSE : ALT
APR.SWUNG ADDRESS:
JOB DESCRIPTION : R & R BATHTUBS IN UNITS 1 SQ FT:
ARCHITECT OR ENGINEER: UC.NO.:
ARCH.OR ENG'S ADDRESS: INT: CLAIM VALUE: CALC-VALUE: GROUP OCC : R-1 I
COMPACTOR'S SLUM COMMENTS: PLUMBING WORK ONLY TO UNITYS 1 Sir'
CCNTRACTOR'S 1U1LP10 *******************Mi*************44*************** ********************i4*44******
ADDRESS: UC.NO.: ZONING REQUIR EMENTS
UMT: SETBACK S
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty d perjury that I ern licensed under provisions of Chapter 9
(commencing with Section Tow)oAdain 3 of the Business and Professions Code.and my license is in full bice and effect. MAIN BUILDING ACCESSORY BUILDING
CITY LIC.NO.: UC.CLASS: UC.NO.: EXP ; FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
Date: Contractor:
OWNER BUILDER DECLARATION:I hereby affien under penally of perjury Ihm I em exempt from to Contractors License Law for the PARKING REQ: PROV: PARCEL : 42216103 ZNE: REF NO:
following reason(Section 70315 Busness and Professions Code:Any city or county which requites a permit to construct,aper,Improve. PLANNING NOTES>
demolish.or repo any structure.prior to its issuance,also requires the applicant for such permit to Ne a signed statement that he or she
is licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)of Division 3 of the >
Business and Prole»nns Code]or that he or she is exempt therefrom and the basis for the alleged axeenpei t My violation of Section **************************1f* 444*4E*****3*4 Y********x+4**Y 443 E**7 ***4F+444***i434 f 33*}4c y.3
7031.6 by any applicant fora perms**els the applicant to a old penalty of not more than rove hundred dollars MOOD. DEVELOPMENT SERVICES REQUIREMENTS
❑ I,as owes of the property or my employees with wages as thee sole compensation.will do the work.and the structure is not blended
or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does no.apply loan Owner of properly
who buffs or improves thereon.and who does such wedrNmsed or herself orlivough he or her own endorseepwided that such ZONING APPROVED BY DATE:
improvements are not intended or offered for sale.U.however,the building or endowment is sold within ore year of completion.the
ownerbuilder wig have the burden of poling hes she didnw build or improve for the purposed sale). BUILDING APPROVED BY DATE•
o I.as owner of the property,am exclusively contracting with licensed contractors to construct the prged(Section 7044,Business and
Professions Code:The Contractors License Law does not appy to art owner el properly who builds or improves thereon end who DATE:
cptrexemd ueda senan:BP 049acts for such projects with a )rB.a Pc.,Pursuant
the
reaann:OWWWNN � BUILDER APPLICATION ISSUED BY:
1n "I A*******I*****S******* • • • • y ir' ir- • -**44*DA3444444: x * 4F�
LJ **********************************************************************. **** ***
Dtic: � •�7' 9f oxen q ? LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT:N
[ ereby codify that I am aware of end understand the requirements of California Health end Safety Code Sections 25505,25533,and
25534,and that I Or any future building occupant will/wit not(circle one)need to comply with said state codes end the requirements for
apermit Mreco meliOnormodirwationfromtheAi iy anagementDimrid.ResimmSomiatwanappecmansareexemptIranthese PERMIT BLDG PMT PLUMBINGBNG ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions.
Dere: Applicant: 25% SMIP/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby am wider penalty d perjury one the following declarations: PLAN
affirm
ISSUE FEE 20 . 00
El I have and wits maintain a tett-cats of consent to sett-insure torworksi cdnpensman.as Prodded tor bf Sedan 3700 of the Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code,for the performance of the wok for with this panne is blued.
0 Ihave and wilmaimeninsurance. Section
edbya703oftheLmm
Labor Code, TOTALS----> 28 . 00 20 . 00 0 . 00 48 . 00 48 . 00 . 00
work for which this permit is issued.My workers'compensation insurance center and poky number me:
J
'-- . Carver: REVENUE DIVISION TOTALS--> COLLECTED ; 48 , 00 OVER/SHORT: . 00
Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need nor be completed I the permit is for one hundred dollars/51001 o less.) 48 . 00
1 certify that in the performance of the work for which this permit is issued.I shell not employ any person in any manner so as to
subject to the
workers'compensation laws d Callamia.and agree thin g l shouldbmvre avbjed to the workers' **************************************************i ************
**********s *****
compensation provisions Seion 37of the Labor Code.I shall forthwith comply w th Mose provisions. INDIVIDUAL F E E BREAKDO [ N/ .p...1• 9S Applicant: `./ A /
g:
Failure to secure workers'compensation coverage Is unlawful,and Alla subject en employer to criminal penalties end TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
clvll tines up to one hundred thousand dollars($104000),In addition to the cost of compensation.damages as podded ler In
Section 3706 of Me Labor Code,Interest,and attorneys lea PLU I BATHTUB
7 . 00 7 . 00
CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that then is e canatmdion lending agency ler the PLU 1 SINK, KITCHEN 7 . 00 7 . 00
performance d the work ler width this permit i Issued X97. PLU 1 WASH BASIN
LENDER'S NAME: PLU uT TF- T fl ET ( TOILET) 7 . 000 7 . 00
LENDER'S ADDRESS: C END OF FEES 7 . 00
!caddy that I have read Me application and sale that the above information o cared. agree to comply with alt city end county ordinances '
and state laws relation to building constriction and hereby authorize representatives of this city to enter upon the abwa'memaeed propMy '
for inspection purposes.
e VI--C . s. Wo6ko4Z r DATE , :40,Print Name
y2444.„ Date: 42_a)• 3S 01 00176963-00176963 TOT 48.00
Signaturea w uoenuAppscanvContnmor DATE: 02/21/95 TINE: 09x2
ISISI.46.WPI White-Building A Safety:Green-File:Cewy-Appic nl:Pink-Revenue:Goldenrod-Assessor
CONSTRUCTION AND PLANNING - POOL & SEA
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, O 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 i 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 Notes:2_ c6•_ .f7 )Ctr. (5-1‹.
y4(..
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. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No Date
'AODRESS 2230 RUTGERS DR WIT, 1 CITY OF COSTA MESA - BUILDING PERMIT tntd iv; c v / iiD
B
YxERS NAME IP IQIDNN: PETER RODGER5
ADDRESS: 985 W. 18TH ST PERMIT NO; E 071198 PLAN CHECK NO: N tau vl ; w noun ; N
C .M. 92627
COSTA MESA, CA 92627714 ) 631-2345 CONSTRUCTION TYPE; V-5 PERMIT TYPE; ELE PURPOSE: ALT
APPL-MARINO ADDRESS(
JOB DESCRIPTION ; INSTALL WIRED SMOKE DETECTORS SQ FT:
ARCHITECT OR ENGINEER: UG NO.:
ARMOR ENG.'S ADDRESS: UMT: CLAIM VALUE; CALC-VALUE; GROUP UCC ; R-1 /
CONTRACTORSNAME COMMENTS: X
CONTRACTORS(MARINO
+t**********************iT******ic k*a***xx** ******************i ****r*44**********
ADDRESS: UG NO.: ZONING REQUIREMENTS
IIMT: SETBACKS
LICENSED CONTRACTORS DECLARATION:I hereby Slim under penaly of perjury that I am licensed under provisions of Chapter 9
(commencing with Section 7000)ofDivision 3 o the Business and Professions Code,and my Scene is in full force end effect. MAIN BUILDING ACCESSORY BUILDING
CRY LIG.NO.: UC.CLASS: LIC.NO.: EXP : FRNT : FT IN REAR; FT IN FRNT: FT IN REAR; FT IN
LEFT : FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN
Dale: Contractor:
OWNER BUILDER DECLARATION:Ihoaby affirm under penalydPerjury that l am exempt from the Contractors License Law tor the PARKING REQ• PROV; PARCEL : 42216103 INE; REF NO:
(Slowing reason(Section 7031.5 Business end Protozoic ,Code:Any thy er county which requires a permit to construct,after.improve, PLANNING NOTES>
demolish,or repel any structure.prior to d e issuancalso requires the applicant for such permit to file a signed statement that he or she >
islicensednheproeawt hethContractors LicenseLaw[end thebasis
riche(commencing withxemitin0001tlDvbioo3dte *************************iE**************?F*#************************************
is Business and pursuant
toot h Cotler or that or she is exsmq therefrom end,M c Id the alleged Sednn 7.MY violation n Gate
7031.5 by any applicant fora permit subjeon the applicant to a not of nmore then rove hundred dollars[WOW DEVELOPMENT SERVICES REQUIREMENTS
IIII,as owner of the property Or my employees with wages as thee sole compensate.will do the work,end the structure is not intended
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not appy to an owner of property
who bolds dimproves thereon.end s4o doe such work himself aharmel or hrouphhis r her own employees,pwided+fens each ZONING APPROVED BY DATE;
improvements are rot intended or offered for sale.I,however.the bolding or inprovement is sold within one year of completion,the
owner-builder will have the burden d proving he or Sn did ed bcoldorimproet«Int Prrpwe o me). BUILDING APPROVED BY
DATE;
❑ I.as owner of the property.am orsrLicen Law with loaned contractors to cormub the PMed(Sections7044,he Businessoend
Professions Code:The Contractors License does rrat U&i to t owner of property who boldo or improves thereon and who C 1
roved,ler WCh prolBcta with a Ootado(s)licenced pawl to the Contractors License Law). APPLICATION ISSUED BY ; /-Yl. DATE: 4_,_i_ 1 1
am exemp undersedim:BP7044 B.A P.C..fur we reason: OWNER-BUILDER ********at*******ir*********i+***,e*********>, r*it+***.r************ N**
9d a GJ"✓3x ******************************************************************* * ,i**
t
1' �) 0*, LEGALIZATION: N rF E E SUMMARY STRU TURAL SEGMENT:N
end certify that I ani aware of end occupant
will the requirementsnof Cafiams Health end Safetysic Code Sections 2a 505,requirements
25533,and
2s53m.and matlo emoeboidingomthekwU/wNra1(dmbntDienadrocernplywtheadatatecodeerdeerequiremebfe BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
rt permit fomsttuclion or modufimianhdnlMAi kr-GTIiy anOpomm Didrict.Residential caru9ndian xppiretbmanexemgimm these PERMIT 11 . 00
aloe.
Sot SMIP/NON-RES
Date: APPfi"c^Jlt: PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following deduatiaw: ISSUE FEE 15 . 00
❑ I have andsoil maintain a certificate of morons to saner&for workers'compemaim.ell provided ler W Section 3700dt a Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code,fothe performance dthe wad for which this penMsissued. TOTALS----> 11 . 00 15 , 00 0 , 00 26 . 00 26 , 00 . 00
❑ I have end will maintain workers'compensmim insurance.a requ red by Sadie 3700 of the Labor Code,for the performance of the
work for whits this permit isworkers'
e.My compensationlev
wannm furrier end policy number are:
Carnet REVENUE DIVISION TOTALS--y' COLLECTED: " 26 . 00 OVER/SHORT: . 00
Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This Aedion need nor be completed I the parrot is for one hundred dollars(S1001 or less) 26 . 00
1 cents that in the performance of the work for with this permit is issued,I boll not employ any person in any manner so as to
become poetswsofCar , end
aethat ifIehounbecome subject to the workers' *****l *****, ***** k********************************* E***************************
eessuaronhsdsersioc peMlaCode. shall ahcomply withee.
,3••„7- 9.5 9-t I N D I L' I D U A L F £ E B R E A K D O W N
Warning:Failuretosecure workers compensation coverage e is uniewitnl,and ssubject en employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil flees up to one hundred thousand dollars(5100,000),,in add/don to the coal of compensation,damages as provded for In
Section 3706 of due Labor Code,Interest,andsltorney'a fere. ELE 1 MISC APPARATUS NOT LISTED REQ PERMIT 11 , 00 11 . 00
CONSTRUCTION LENDING AGENCY:I hereby affirm under pe ily of perjury that there is a construction lending agency for 0e END OF FEES
performance of the work for which this permi is issued(Section 3097.Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS: FFF
I and stymat1Meanetmitaeppfconstend state that the above information
rePrsetcaned.tecity t enter cdnpywith elldryendawaydpropm jpIR ^^ 1
endefateleervatra to MJeirgmnwwimtethereby amroraereaion is cooed Iaseyroompywgtal Sty endcuntyodprancrry ("/IS T1 W
for inspection purposes.
�'frrn r �,D6d s DATEn � , I 00176962-00176962 TOT
Prim Name
�,•�fi ; �'s,d/ nU Date: .'L).5 J E• - E .241,-,.T.
sig,,rawrea AppicerA;u^tader JMT� 02/21/95 TIME: 09:31
1 (5151-45.WP) White-Ruidig A Safety:Green-Fe:Canary-Applicant;Pink-Revenue:Gdderwd-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 UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
B. 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. POOLISPA 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 :Y4 ;-
24. Roof Framing 73. Undergrnd,Storage Tank 0 Gas 0 Oil '
25. Roof Sheathing 74. Overhead Hydro •
26. T-Bar Ceiling (Structurall & 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 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. Backf low 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
N0. Date
`\ C
PROJECT ADDRESS: UNIT:
l- 2230 RUTGERS DR I�{P 1 & 2 . CITY OF COSTA.MESA — BUILDING PERMIT PERM NO: P 068251
OWNER'S NAME: PETER RODGERS
ADDRESS: 985 W. 18TH ST PERMIT_ NO: . P . 068251 PLAN CHECK NO: N GOVT: N SUPP; N
a. ' C.M. 92627
•
COSTA MESA CA 92627 CONSTRUCTION. TYPE: V-5 PERMIT TYPE: PLU PURPOSE; ALT
714 ) 631-2`345
ARCH/ENGINEER: REG.ND.:
ADDRESS: UNIT: JOB .DESCRIPTION ;__R_ SQ
6 R BATHTUBS IN UNITS 1 6 2 FT;
CLAIM VALUE; CALC—VALUE; GROUP OCC; R-1 /
PERMITTEE: PETER RODGERS ( 714 )631-2345
ADDRESS: 3001 CLIFF DR COMMENTS; PLUMBING WORK ONLY TO UNITYS 1 6 2
N.B . CA 92663 *itit****;r;rEE**********************************;EEE**EE+EiE*+E*EEEE**+EiE;EiEiE******+r+riEiE****+t*
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section . Z 0 .N I N G R E Q U I R E -M E N T S
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. S E T B A C K S
CITY LIC.: STATE LIC.: CLASS: EXP:
Date: Signature: MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or acertiticate 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.: EXP.DATE:
COMPANY: PARKING REQ; PROV; PARCEL: 42216103 ZNE; REF NO:
0 Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING .NOTES>
Date: Applicant: *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($1(10)or less). D E V . E L 0 P .M E N T SERVICES REQUIREMENTS
I certify 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
Ct
to the Workers'Compensation Laws of California. 11 ZONING APPROVED BY DATE:
7.he wo 4 Signature: . ./ 2O710E:U.aver making this tleclaration.'you should became subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY . DATE;ode.you must forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for'Ihe performance of the work for ,AP PL I CAT ION ISSUED BY;
DATE: 44:1'�j
which this permit is issued(Section 3097.Civ.C). _-. *******************************,****** ********,****************** ** 1
LENDER: 11ADDRESS: LEGALIZATION;N F E .E SUMMARY STRUCTUR :N
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG_.PMT PLUMBING ELECTRIC MECHANIC FIRE SMI P/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or _PERMIT 2 8 00
repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'Slate License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business . 2 51 • . SNIP/NON—RES
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
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE - 20 .00 -
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—.---> 28 .00 20 .00 0 .00 48 .00 48 .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
his or her own employees.provided that such improvements are not intended or offered for sale.If,however the building or
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--> COLLECTED: 48.00 OVER/SHORT; 0 0
for the purposeof 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 48 . 00
❑ 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 **,***.*****,*********.**.*.******.**.******,*,*,*,*,*,**,*,*****,***,***,*.*.********************** .
that proof of their Worker's Compensation insurance should be provided to me.
INDIVIDUA L F E E BREAKDOWN
® I am exempt under Section:HP 70 44 B.8 P.C.
Oforthis reason: OWNER—BUILDER TYPE _ QTY D E S C R I P T I O_N UNIT COST TOTAL COST
D .. 7-.14 .49 Owner: r2..74-49.'g4, PLU 2 BATHTUB
00
/ I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and - PLU 1 WASH BASIN (SET) 7.00 1 4 .
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 - - 7.00
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from PLU 1 WATER CLOSET (TOILET) 7.00 ,00
these provisions. EXPIRED END OF FEES
Date: Applicant: Incomplete Inspections '.�
I 1 Q l
hereby certify that I have read this application and state that the above information is correct. agree to comply with all city and county — ' 11/'� e� JUL t 8 1
ordinanceserty andlaws
purposes.
ng to building construction and hereby authorize representatives of this city to enter upon the above-mentioned . •,I l..:'.J` c;,� 1994
@j i
property for inspection&purposes. V,4,-
CITY
. 1 (•l "`b
Date7•XFf.9 y Slgnalure:����
Date:
License or Social Security#:
Pink—Revenue:Goldenrod—Assessor
Cp NSTRUCTION AND PLANNING - y POOL & SPA �• , -
41 Date c.._ Inspector " • Date Inspector
APPROVALS Permit# 1 APPROVALS Permit #
1
t. Temporary Electrical Service or Pole C 52. Pool & Equipment Location {
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement •r - - {'
7 .„ ..
b1R1,:;t1•C�iral Can i8-'l4 lity-Undrgrnd. 54. Formso - '
.q •
oq,glectical Condoms-Undrgrnd. 55. Electrical Bonding
na
^"t
F. SteeTRinforce1;c10 56. Rough Plumbing & Pressure Tcsf� r;
y4 r;
; F},yPr rjeal OF ER,nrnd. 57. APPROVAL TO COVER-GUI`jt. ``'
^ht-�
ane
m:Jni�SC i a: •
-
-
7;?; Foflnus t 58. Electrical Conduit-Undrgrnd. ? .
^'�
•
B. oundation '` 59. Gas Pipe, 0 Undrgrnd., Test F „ ., .a
9. Water Pipe-Undrgrnd, `r• 60. Backwash Lines, P-Trap, 0 Undrgrnd. C4
10. Structural Floor System r 61. APPROVAL TO DECK
11.Procarty Sewer Linn& House Connection I• 62. Backwash & Receptor-Final -
i
12. Seat! Cap i/•' 63. Heater &Vent-Final 1•
13. Roof Drains en C //` , 64. Plumbing System - Final . -
14. Rough Plumbing c _jl4- (�1ii, 65. Electrical-Final ii-i.
15. Rough Electrics-Conduit 66. Solar System-Final
to
16. Rough Electric-Wiring 67. Fencing & Access Approval
17. Rough Wiring Sin 68. APPROVED FOR PLASTERING
18. Rough Electrics?-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
- 19. Rough Heating^& Air Conditioning FIRE DEPT. REQUIREMENT
tri +_ C t--4t 71-Q-^^." 7' C 74-1W 1-4 T• •, -r• 'T:J'
20.it totijh tun Frttlace I rtr: < -1 V 0 .5 d't' * tA.PPReVAtS-J0O'ertnit # ''1 > -11,-1
. c rti__ _Z t I C rr' X'$ * S .y n r t e r:g 4:-.11-i--. r, r :✓OD
•21, tut , irGStr :tug r �S r 5 V 7 i-i t n *0. lfadergitilt?ct1Hy`wo
22. Duo Vw,tib.ine,* :i5 * S <t * ' 1. Product'Fr3ing 1J' s ❑ iI
. 5_G_n .r . ,, r a � .0 c.r * r
^-: * . .--i* * r to C ,' :J!
23. asyipeHRough&•'�}6st -,;5 s. -r: c < * * -1172- UndergroujA Fly: -
c G' , m k-'* T 4.>0 • 'Tt. S.. r- -J r•1-r-''+ - i•
24.toc,•SFr}atmg• `7t FE-. •-F. * =' 0 CI t t' 573.1XJndergrnc'Storayt-iciank p` Gas ❑041 1-1
25. Roc�Sh thing ti; < v 1. `•'t t? c x % :eq) v `E-• # - -
'S/4. verhead Hydro
w rut' t . `Rt .7 .- g
26.ed-Bp1 Ceiling (Strecrural) &S eiiecoat t C' �* * 75.0 ry Chemical r - C `n5Z •. '' -
27.=4ra eat Flashir-4 * to * * •rtr.4 ora a: 5 t7 F+ c,
1 �' 4t �xrr. * c' r in, * 76.rbry Star-id Er' He,.4 .e .-•.. tr. ..
8. L▪ athing & Siding(:),c1'. ca h<w ix * X ••t t• 77.r•'FIXED SY3'ENilaNTAL'
-ca_ .� F-:d_l" ..I ..t__" q -4 '-.n .lin .< F-. n ou i
-'29. Insulatic Ox D 1••••7' ' lc CI i Y- 78.SFJ,RE PSIEV. FI1-/}4 r., a; j
* v--CJ * 1 1 e -. w+. �. 1 e -•J
O. Drywall tstailing -it K I t t .= •v, •HEALTH t>EPT?REQUIREMENT '
nt1, Plaster BfuwrlCoaat- 5 i ,..n., s * . t,79. -i14AL 11\1%;PgCTI(S J t �1 _ r
< * l -r . t • ,•jvr •;-•2.gilectri owgr Miejen=inal ; * a: a * cs30.:a00D CERTIFICATE ISSUED O
--T'i *'_-44--1 .n 1 a K r-t i •g .1' H H
,33. d▪in'Electric =* 7 * ` f= : `'•Notal: gr_'�°••G�![ym lJis ►.i i, 91±
;: ••4..;ina,He3ing- A'_tontiitioniiay� n * y t X _<_' n:r: ro c �-G
•s• � •
'-*-pl '1 ...> I • I... x .,•j .-4 I L'te K
35.til inal•Ga Pipi.Test* C.A. * If: C-; n nS x t*' O
• ;: :+ I .I# K J .iO O I co
1316.'800 or,E4anopy : G I rr; a, * r,, 1 « ;' c norrl ;n
i. -1 Y I * x 7 - itt al
4-37,t(;in3RFactbrY Firel9i'zac'e' F y "' I * *. F n 73
r ... 'K a'. I .. .. • Y t'., 'T r ti, a i•.
. 8. FinQlPlumbing * ;U I •
, * K Is * S F1 C
" 9' m
c39. Wats* Service Final w I* * n a;, *
CA. * * Eu • n, :J
0. Gas Service-Final * zri ¢..;t, S t * 0,cc on; r
n; 71 -t r i
781. Solar Domestic-Finan S n -- * 0 *ar <o -4 V.
r *
t * ro ' c c X.* a
*- Y J cr- S
F42. ackflow Preventer x r" ti x * * t1-X >F: T G 1.-I
.. 0 . ,
43. backflow Irrition* 'X55 * 't * _1 xF' t 0
-14. Landscat(yr Ir�?'gatio3 System y;;;,•� x * to G G G7 t fU :Lig a N 000
+ol •?, * « to _r < < -.t r r t ' O -C c i.-
:115.
_
?s5. ,Sound AttenCution* a:F * 5 F F Fr x r-r :-+ ^'p T<
tr n s C .. .. Y II r m* * F• c Zr • {
7 G Yrn tt � _.
6, flandica eg�latioq t _ * 4 r., X S V o S
47. FINAL STRU TUR£ & BUICDING * lt• ro 5 it.
to * r4 v. +
48. iIN . PLAt VING4 l to
;r: v + 'a r < r F
e9• lectrlc Release to Edison I * • I it 4 t Eec. X
�
n 1_. J
- _as&elease to Soutilern Califbrc'aGas Co ,*f. 1 J--. fil 7 rc-+ G • om s O
.V
t : .. r coo
4. CERE,2,'IFICATE OF DCCUPA¢JC x .•---r r ' ' o x
c1t-. 000 • ;
No. Date '
rdECTADss: 2230 RUTGERS DR UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 047777
OWNER'S NAME: ALLAN WAGNER
ADDRESS: P O. BOX 11454 PERMIT NO: B 047777 PLAN CHECK NO: 04487-90 S GOVT: N SUPP : N
COSTA MESA
CA 92627 CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: REP
(714 ) 650-8853
ARCH/ENGINEER: JOHN D . ROSE REG.NO.. 12low JOB DESCRIPTION : REPLACE STAIRCASE SQ FT: 2, 700
ADDRESS: 770 S . BREA BLVD . 230 •
PERMITTEE: BREA CA 92621 CLAIM VALUE: 2, 700 . 00 CALC—VALUE: 2, 700 . 00 GROUP OCC : R-1 /
AODTTEE: SCIACCA CONTRACTING, INC . ( 714 ) 537-3840
8592 JOYZELLE DR COMMENTS : SMOKE DETECTOR( S) REQUIRED IN EACH UNIT.
GARDEN GROVE CA 92641 ******************************* ************+r*****x*arse **********************x*
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am livens:. under provisions GI Chapter 9(commencing with Section ZONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code,and my liven,' in full force and effect. S E TB ACK S
cmuc.: 050831 STATE UC.:406955 / , __` g
Date:.6--/..cS'—QGZ— Signature:_(/t/ / MAIN BUILDING ACCESSORY BUILDING
'CORKERS'COMPENSATION DECLARATION: I hereby affirm thatl have a certificate .nsent to self-insure or acertifica orkers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
impensation Insurance.or a certified copy thereof(Section 3800,Lab.C). / LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
i'OLICY NO.: 1113 3 3 6—9 0 EXP.DATE: 01 / ' 1 /91
COMPANY: STATE FUND�7 PARKING RE • PROV: PARCEL : 41906204 ZNE: R3 REF NO:
❑ Certified copy is hereby furnished. vX Certified copy is file ' the city Buildin Ivision. PLANNING NOTES> REPLACE EXISTING WOODEN STAIRCASE WITH NEW STEEL AND
• > CONCRETE STAIRCASE,
Date: as — / S.-I-- re...) Applicantt4/ .yr *********************************************************************i4*********
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This sector'need not be Dieted 11 the permit is for one 1OO)or less). DEVELOPMENT SERVICES R E Q U I R E M E N' T S
I certify that in the performance of the work for which this permit is issued,I shall mpioy any person in any ma so as to become
subject to the Workers'Compensation Laws of Califomu. ZONING APPROVED BYA
3
A fi/ A DATE: 6 /' o
Date: Signature: ��
NOTICE:uI,after making hwit this declaration,ly you should become subjectemithe Workers' revoked.
Compensation provisions of the Labor BUILDING APPROVED BY r � / DATE: l d
Code,you must forthwith comply with such provNons or this permit shall be deemed
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: c 4 /�� DATE: 6/". ��J
which this permit is issued(Section 3097,Civ.Cl. 1, *********************** '***** * ' *f* * , ** N*** ******************* *****ik****
LENDER: *****************************************• ************************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER GUILDER DECLARATION: I hereby affirm that I amexempt 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: My city of county which requires a permit to construct,alter,Improve,demolish,or PERMIT 54 . 00 5 0
repair any structure,prior to its Issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SMIP/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by PLAN 35 . 10
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE .
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—---> 54 . 50 0 . 00 35 , 10 89 . 60 89 . 60 . 00
does not apply to an owner of a properly 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
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--> COLLECTED: 89 . 60 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 54 . 00 . 50 35 . 10
❑ 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).l am aware ***************.N.*****.N.****.*-**.N.****.*****************************.M**********.****.*.
that proof of their Worker's Compensation insurance should be provided to me.
o am exempt under Section: B.&P.C. I N D I V I D U A L F E E B R E A K D O W N
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner: SFR 2700 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 2 , 700 . 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 O F FEES
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 AirAlr Ouahty Management Oistrict.Residential construction applications are exempt from
these provisions.
Date: Applicant:
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
ordinances and state laws relating to building construction and hereby• representa' • •t this city to enter upon the above-mentioned (1�
property for//inspection purposes.
�j ��// //JJ/IE `
Date: 6-4' S—( d Signature:✓v // / is ,.f4.......
Driver's License or Social Security x:
-, 01 00063323-00063325 T T_E T 89e60
.-.7---,
� 1641-48 White—Building;Green—Code Enforcement;Canary—Applicant;Pink—Revenue;GOWenr. AssessorOAi E DA/15/90/15/90 TIME: 15:23
cit CONSTRUCTION AND PLANNING POOL & SPA
- APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
f* 1. Temporary Electrical Service or Pole52. 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 OF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 6f y"� 58. Electrical Conduit-Undrgrnd.
8. Foundation - 59. Gas Pipe, ❑ 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 & Housetonnection - - 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 j '
16. Rough Electric Wiring 67. Fencing & Access Approval ,
17. RoughSign �'
Wiring 9 68. APPROVED FOR PLASTERING
l 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
)II 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 El 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 PREY. FINAL
30. Drywall Nailing ; , HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat i 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test t ... • /•.,
36. Hood or Canopy -
i
37. Final Factory Fireplace -
• f
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 r
47. FINAL STRUCTURE & BUILDING (Q ljt 00
48. FINAL PLANNING ` t/
49. Electric Release to Edison - • %.
50. Gas Release to Southern California Gas Co •
51. CERTIFICATE OF OCCUPANCY
No. Date
8076 u"�ts r����e� �V
• olti a k .
COSTA MESA BUILDING DEPARTMENT
P.O.BOX 317 FINANCE DEPT.
COSTA MESA. CALIFORNIA CITY Or COSTA fI.ESA
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
BUILDING .
ADDRESS 2230 Rutgers Drive A. B. C • BUILDING
COSTA MESA.-CALIFORNIA FOR OFFICE USE ONLY
n� Inc. RECEIPT NO. 'S`I lA
OWNER Towne Estates, IU
MAIL 1555 Placentia. . RECEIVED BY_/ JDATE RECEIVED) ISSU
ADDRESS �]/L"-jam /7- /-rf /7 Zy �
TEL. BUILDING 22:5 n
CITY Newport Beach, Cal. No.}C (x322') ADDRESS 0 .
0`J '«
ARCHITECT LIC.
OR ENGINEER owner NO. COSTA MESA. CALIFORNIA
FIRE Q
ADDRESS /1 Co. ZONE l
K A K011 Const. C8534 ZONE PLANS TYPE GROUP
CITY LIC. PLnrvS -y I
CON{RAC�fOR NO. �� J
TEL. APPROVE'•
—' Mr
/11 t.ADDRESS same NO. same BY OA 0. DATE 1. ��
LEGAL or 17
TRACT 2788 COR
BLOCK
[' 1 IM f= I
A.P.NO. .l .r.V i J a. iI T
SIZE W x. 100 i NO.OF SLOGS. O
OF LOT NOW ON LOT USE OF _ 1. ,.,L qr y.. t',� '� �"•+
, 1 f4. `.( I
EXISTING BLDG. U1'Jti f� ,UI ':J A '�
SETBACK LINE FROM J
CENTER OF STFEET 45 ft. REAR YARD 10 _� .. /A -� ;1-- �� , .,��
SIDE YARD RIGHT 10 LEFT 10 +3— r/!,� DATE ,�
DESCRIPTION OF WORK VAR. No AI-PrROV�B
NEW % ALTERATION ADDITION
REPAIR MOVING DEMOLISH
BUILDING ��,��pp�� NO.OF n J
SIZE 2480 sq_ft ROOMS 12. STORIES 2.
EXTERIOR WALL ROOF
_COVERING Stucco COVERING hot mop
USE OF NEW
BUILDING Arts. Triplex and attached
3 car garage. �' '�
o.szd0 .
Gid , ' /
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND ,
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL v
CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC•
TION.
\ VALUATION
SIPERMIT FEE $ 44", �-1
PERMITTEE
URE OFrL.i) �L •'
/ $ �/ [/ PLAN CHECK $ p.(Q•S-D
fi J y-
AUTHORIZ D 'GENT TOTAL FEE $ e/• "°Mf