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2234 RUTGERS DR - Building Permits
• 3Fn CITY OF COSTA MESA 4 � BUILDING DIVISION Y % DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have end will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued. ❑ 1 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 permit is issued. My workers'compensation Insurance carrier end policy number are: Carrier: . Policy Number: (This lion need not be completed it the permit is valued at one hundred dollars($100)or less.) • E• certify that in the performance of the work for which this 1,t rmit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree that if I '-• Mecome subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with t• = • ov i•v. r 05WARAPP cl(n with b'- �/x —— ._ 7Dafrllt e/ /0/06- WARNING: NING:FAILURE TO SECURE •• ERS'•• PEN TION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE OOST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license Is in full force and effect.Lk.# Class# Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is Issued.(Sec.3097,Civil Code). Lender's Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or 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 to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commenting with Section 7000)of Division 3 of the Busines 'and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by any applicant for a permit sub) s the applicant to a civil penalty of not more than five hundred dollars($500).): e` I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,end the structure Is not Intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or Improves thereon,and who does such work himself or 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-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ' ❑ I.as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,end who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt and sec. Business and Professions Code for this reason: ® .p�r rye_ .7,c/o Owner ID verified by driver's license. 0 Yes 0 No DffVera:LIcease'Nor-- ale OS-Ok Verification of Ownership by(type of document,i.e.-property tax bill or deed): V•� DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet In depth Into which a person Is required to descend,will be made In connection with work authorized by this permit,and that no building structure,scaffolding,faisework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire 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 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). _ _._..._....__ o 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely 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 temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑yes ❑No (Section 25534 of the California Health and Safety Code provides that the 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. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No ___ _ __ .._ _.od._.. ... 5 Does or will the applicant u present ar emen buildingsoccupant at other for the work which is the sor age of this application a eNnil for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes �No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency Is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of 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 rI (s) Date ej rrAuthriized ARancamt•_. 47/ 'n .2E9- CODE it INSPECTIONTYPE PAIL MIM4$ POE INSPECTION ME D!!IL EMMA 1616 Fixed System Final Fire Prevention _ 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof _ 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 Be 204 Final Demolition 250 Final Building/Occupancy O P��IM-1 L✓ • (0r v nr :� • 1 ' - cA It n at Q • 11D VI N 17- t i � ,w, 7 b :E7- DN )\ I N i 4` _ iO N N `G O L QZ E ' 0 ' 6 LO oea` o C7 I �b'-b� Ir m ° Z a _ ; N < A Sidt S&back -- m is _ 09 - ate. v' - - - - - fiaMP 6' r' (� ?N9^ N � oz -ON C - ed ai. ` _ /� o a (S- D E "3/4...._ J z 3, Cid 0 °° oN an. ao n5 y -t3 �� U it MO N O y n Q °i u - w CO V] �— O .v o0 1 � oa In =i g_ ,..,_,....T Zm 0 illD U> o o. 2 g ,D v` r �-3 i r v a o a r JCC N Om �N. — ZG ccn= o - J a =v mm 1 :I 1.3 g I 0 M z ) 7/0 ' APPROVED n 17 d j l N CITY OF COWA MESA -17it 4 t'LArvivnw uivb ON r' SUBJECT TO BLDG. DEPT. REG. 0 I I NOTE: ADDITIONS, DELETIONS, OR CORRECTIONS SHALL BE I- APPROVED BY THE PLANNING DIV. ) NI Z z BY. DATE: 64,Ol/d VIY lb Qa#io town tri sta. Yw.d - 90S-5 are. (o`-(o"awoo&wen sid-a- pit 'k j 1: - w)S -AvIsk wren i. : 1924, (fin) • BUILDING PLAN REQUIREMENTS i11/ • FOR ATTACHED PATIO COVERS (Note: Detached patio covers require an engineered design.) ❑2 P.L. Feet --T—O - / — — ® E t--0. Post Edge of j PROPOSED STRUCTURE qQ patio cover LL I • N House. a Q I I c d E Garage v I I -n A I I • ❑2 P.L. Owner Street Address 0 Scale:_" =_ INSTRUCTIONS-3 COPIES MUST BE SUBMITTED Using this as an example draw your own plot plan on a separate drawing. El Show owner's name, project address, north arrow and scale. ❑2 Show and dimension all property lines,easements and driveways. ❑3 Show locations of existing and proposed structures, including all setback dimensions ® Show dimensions of proposed structure. ❑5 Show setbacks from property lines to proposed structure. (3'-0"min.;verify if Planning Dept. requires greater setbacks) © Dimension overhangs 2733.46 i s , . Rafter Header Header(s) Rafter(s) X 1411X [ 1 1 DETAIL OPTIONS i i Check the ones that apply: Lattice Cover: ❑A DB ❑c OD ❑E OF Solid Cover: 4 ❑A ❑D ❑E OF WS S - •. - EXTERIOR WALL OF HOUSE Anchor Post Lattice Cover Solid Floor Cover Roof Covering 6'min 26 Ga. Roof Sheathing , Footing —Lattice FRAMING PLAN Flashing Depth \+. Roofing Lattice 'i".E7= ...-0 ; 12" Sheathing J PAD FOOTING A 0 f 750#max per post Post I1 Ie — 6'min Rafter ': Header _ Rafter Joist Hanger � Joist Hanger • Lod ger Post c Ledger SLAB g c c c t b SLAB FOOTING' B b62% Slab '- a io ^ Slab 2% 2x6 Min 2x Joist] Slope _ Slope Ill+ Fascia to Drain El to Drain Existing a Anchors ❑ Footing wall 8 2'-e' 6'-0' Lattice Solid Roof Cover Cover . root Max Max Span SECTIONS EAVE CONNECTION C CONSTRUCTION MATERIALS 1/2'x 5' Joist Lag Screws SPECIFY LUMBER: 0 OF 0 Redwood 0 Hemfir @ 16'o.c. SPECIFY GRADE: 0 No. 1 0 No.2 CONCRETE: 2500 psi min.@ 28 days Existing Hanger CONNECTIONS: ICBG approved or equal Ledger 1. Roof covering: 1t,H-ftT 5Weide Slope: ,-?\:12 /S ..,,,,..��. ,, *Cs / WALL CONNECTION D 2. Roof sheathing: '`1JcQi/ SH:p:pap Maximum spans: pl^41°Sp n, rLanice lattice: x @_"o.c.: 2x2-6'; 2x3-8'; 2x4-.0 EkjGOSjP E� \)1. Bolts solid: "CCX plywood or lu ber: 1"-2'-8"; 2"-T;O" C 1 x'� F, 15 -0 Or,1�O` ow. a�a :eke',a'• + Dummy Post 3. Rafters: "x !sem@ /4 "o.c. ngle 0 Double���l • G‘ P l pi\me`' 0'57 Support Post 4. Header: 4 L! x SZ''! 0 Single 0 Double N. ,tis\obt.. tkom�t2 -a6aapt Beyond 5. Ledger: °2n x io'i(2x min) �StbekSv ts\F'� x tot?,m\ `RAKIER lcADER E 6. Fascia: �x $3 (2x6 min) \ �1 !/ dcatv,' 20\. jtewscoo,. " • \ W\. NOWSheathing 7. Post: 7 x it (4x4 min) Raise 1"min above slab surface nsa�`' p"C\O �tiesa \��1 v of or Lattice 8. Footing: ,nx g l 12"x12"min for up to 66 sf triLARar a'r 18"x18"min for 67c150'�f JrltSutaryyarei •\h Rafter 56\ ,. G.. ' •x r PI 66dber -4i) Framing *\ "depth (Expansive Soil ZoneCO rr`; ott t �" w ., , , 3�5 c1 \,m`, \k3,.. Anchor )( 9. Slab L� thick(Expansive Soil Zone 1 ge\e1 e Ftw,s, ,13TH ,ye Y" Each Block 4 10. Connections: a. Joist to Ledger M ' _ t-hanger'~ Sia\\6xa \neda� Headert ■ 2x nBCap a,�� "t,� ��\a Post R■ Column Cap b. Joist to Header -Soli poking w th-fratnlndenchor c. Doubled joist or header to post -(2) 19 " .t�h`'rutG8lts w/washers JOIST/HEADER F d. Joist to Fascia -Metal ra'riting anchors each side ' (min. capacity=0.5"joist span*joist spacing* 15) e. Header to Post -Column Cap f. Post to Slab or Footing - Metal Anchor/Post Base g. Roof Sheathing -8 d @ 6"o.c. Edges and 12"o.c. Field 2733.46 back 1997 UBC 1 SPAN TABLES LATTICE PATIO COVER • DESIGN LOAD: $ PSF DL+ 10 PSF LL I REDUCE SPANS 20% FOR HEM-FIR OR REDWOOD RAFTER SPANS(MAX) HEADER SPANS(MAX) - DF NO 1 DF NO 2 SIZE OF NO 1 DF NO 2 \r SIZE SPACING("o.c.) SIZE SPACING("o.c.) 1 16 24 32 36 48 60 72 16 24 32 36 48 60 72 (2)2X6 9'-6" 8'-9" 2X4 10'-0" 8'-9" 8'-0` 7'-7" 6'-10" 6'-6" 6'-1" 2X4 9'-9" 8'-7" 7'-9" 7'-6" 6'-9" 6'-3" 5-10" (2)2X8 12.-1- 11%3" 2X6 15'-8" 13'-8" 12'-6" 12'-0" 10'-10" 10'-1" 9'-6" 2X6 15'-4" 13'-6" 12'-2" 11'-9" 10'-8" 9'-9" 8'-10" (2)2X10 14'-9" 13'-9" 2X8 - 18'-1" 16'-6" 15-9" 14'-4" 13'-2" 12'-1" 2X8 - 17'-9" 16'-1" 15'-6" 13'-9" 17-0" 11'-3" (2)2X12 1T-1" 16%0" 2X10 - - - 20'-0" 18'-1" 16'-2" 14'-9" 2X10 - - - 19'-6" 16'-10" 15-1" 13'-9" 4X6 10'-0" 9'-7" (2)2X4 10'-0" 8'-9" 8'-0" 7'-8" 7'-0" 6'-6" 6'-1" (2)2X4 9'-10" 8'-7" T-9" 7'-6" 6'-8" 5-4" 5-11" 4X8 13'-2" 12'-8" (2)2X6 15'-9" 13'-9" 12'-6" 12'-0" 10'-11" 10'-1" 9'-6" (2)2X6 15-5" 13'-6" 12'-3" 11'-9" 10'-8" 9'-9" 8'-11" 4X10 16-8" 15-7" (2)2X8 - 18'-1" 16'-6" 15-10" 14'-4" 13'-3" 12'-1" (2)2X8 - 17'-9" 16'-1" 15-6" 13'-10" 12'-0" 11'-3" 4X12 15-4" 18'-1" SOLID PATIO COVER ` DESIGN LOAD: 10 PSF DL+ 10 PSF LL REDUCE SPANS 20% FOR HEM-FIR OR REDWOOD RAFTER SPANS(MAX) HEADER SPANS_(MAX) -... OF NO I DF NO2 SIZE OF N01 OF NO2 SIZE SPACING("o.c.) SIZE SPACING("o.c.) 16 24 32 36 48 60 72 16 24 32 36 48 60 72 (2)2X6 8'-3" T-8" 2X4 9'-1" 8'-0" 7'-2" 6'-10" 6'-3" 5-10" 5-6" 2X4 8'-10" 7'-9" 7'-1" 6-9" 6'-2" 5-8" 5'-3" (2)2X8 10'-6" 9'-9" 2X6 14'-3" 12'-6" 11'-4" 10'-10" 9'-10" 9'-2" 8'-8" 2X6 14'-0" 12'-2" 11'-1" 10'-8" 9'-6" 8'-6" 7'-8" (2)2X10 1Z-9" 12'-0" 2X8 18'-9" 16'-6" 15'-0" 14'-4" 12'-9" 11'-6" 10'-6" 2X8 18'-6" 16-1" 14'-8" 13'-9" 12'-0" 10'-8" 9'-9" (2)2X12 14'-9" 13'-10" 2X10 - - 19'-1" 18'-1" 15-8" 14'-0" 12'-9" 2X10 - - 17'-10" 16'-10" 14'-7" 13.-1" 12'-0" 4X6 8'-10" 13'-4" 4X4 12'-1" 10'-6" 9'-7• 9'-2" 8'-4" 7'-9" 7'-3" 4X4 11'-9" 10'-3" 9'-4" 9'-0" 8'-2" 7'-7" T-2" 4X8 11'-9" 11'-0" 4X6 19'-0" 16'-7" 15-1" 14'-6" 13'-2" 12'-2" 11'-6" 4X6 18'-7" 16'-2" 14'-9" 14'-2" 12'-10" 12'-0" 11'-3" 4X10 14'-4" 13'-6" 4X8 - - 19'-9" 19'-1" 17'-3" 16'-1" 15-1" 4X8 - 16'-1" 14'-8" 14'-1" 12'-9" 11'-10" 11-2" 4X12 16'-9" 15-8" 1 1997 UBC 2733-46 Tables DECLARATION OF AUTHORITY Bldg. Permit# FOR AGENTS OF PROPERTY OWNER This Permit# TO APPLY FOR PERMITS Street Address: / - 7- Rvi rlh � /Fix; AP Number: ` 1. I (we), la L/e3/t)e , declare that I am the Owner of Title of the above referenced real property, and,that I (we)hereby authorize: / Name: /Yin-'eX. CA *a6] QQ Telephone Number: `1 (- -! O /. 006 7 Street Address: / ! CJ A70 l�/ 4 C4-5/774- S City: / /♦ O State: C'/T• Zip: 9/ ?OC to obtain permits in my behalf,as owner/builder,for A )°A-T-1 0 ( i/ER. at the above referenced property. 2. Should any person become an employee engaged in the improvement of the property, I (we)shall immediately provide Worker's Compensation Insurance coverage and cause a certificate of that coverage to be filed with the Building Division of the City of Costa Mesa, as required by State of California laws. 3. As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other person, company or corporation. 4. I agree to indemnify and hold the City of Costa Mesa and its employees or officers harmless from any claim resulting in damage or personal injury to myself or any other parties as a result of work authorized by the permits from the City of Costa Mesa. 5. I declare under the penalty of perjury that the foregoing is true and correct. Executed this 10 day of 20 0.5',at / PNq , California. Print Name: L Iz- �To e S Signature: n4/�.�-l�,G // D Date: _ W ` %r7 f 05 Note: This authorization does not grant authorization to perform the work as owner, it solely provides for limited power of attorney to secure this permit in any behalf. 0779-46(rev.11/00) STATEMENT OF AUTHORIZATION FOR AN OWNER/BUILDER PERMIT I hereby authorize / ' l" < to obtain a permit for (Name of person obtaining permit) PsfT/CO C _Eb✓r (Description of work to be done) on my behalf as OWNER/BUILDER for my property located at c9 a3q R072aeg S 5'7` in the City of Costa Mesa J rnpsT// //vIcc, 91G 'at? • I understand that I, as OWNER/BUILDER assume responsibility for the overall job, which may include such things as state and federal taxes,workers' compensation, and other legal liabilities. • I have read and understand the above statements as they pertain to the issuance of permits. • Ar. 1— i ce' Signature of Pro. rt Owner C1-1 C Twa✓S Property Owner Name (Print) Date 6/ 7/° 5 . • T0�717 =EE Cd !L(,„, ! NOV 24 1958v, COSTA MESA BUILDING DEPARTMENT FINANCE DEPT. P.D. 317 CITY OF COSTA C2ESA COSTA MESA.A. CALIFORNIA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT BUILDING ADDRESS 2234 Rutgers Drive Ai BP CBUILDING COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO. PEt`JIO'r OWNER Towne Estates, Inc. v , MAIL 1555 Placentia. RECEIV EO BY / DATE RECEIVED AT OAT BSU ADDRESS /—j„�,// �� 2-/- .f !J �/ kV CITY Newport Beach, Cal. TEL. MI 6-3227 BUILDINGRS2i ?3(/ ,007‘/7 y ot ARCHITECTENTININTER Owner. u OR ENO. COSTA MESA. CALIFORNIA NO. FIRE 3 ADDRESS ZONE y� ZONE NO.OF TYPE . / GROUP CONYRACI Koll Const. Co.CITY LIC. 8534 /2 . Z PLANS V/{// j� TEL. APPROV ADDRESS same NO. `flame BY _ nni DATE 1, ?Y S LEGAL LOTCORRECTIONS J DESCRIPTION NO. 18 BLOCK TRACT 2788 V (�I� }}}��� }� A.P.NO. A 6H u Fj`.'I SIZE 60 x 100 NO.OF SLOGS. 0 IIS it I t ` i l 'I�, OF LOT INOW ON LOT �1 USE OF 7'C.e�, 1 : ['•�'L /�Y li i1. . j�; P EXISTING BLDG. • 1t �;E t3 .i II I) }� Ij , EsrvTERKDF STREETNERROm 45 ft• REAR YARD 10 Lii. /e75 /i SIDE YARD RIGHT 10 LEFT 10 i ^r DESCRIPTION OF WORK VAR. r o. If , --'PPROVED _.0, NEW X ALTERATION II ADDITION ' REPAIR MOVING IVYI DEMOLISH BUNO.OF ILDING LDING 2.480 sq ft. ROOMS 12 STORIES 2 EXTERIOR WALL stucco ROOF COVERINGUSE OF COVERING hot mop BUILDING Apts. Triplex and attached r,2 'tee) to '— 3 car garage. • is — , I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. '// VALUATION U SIGNATURE 4 _ -�,�a _`^-/ n PERMIT FEE 5 7 cr--° PERMITTEE 5og/ .37.,.. PLAN CHECK 5 .O. r_ AUTHORIZ D AGENT TOTAL FEE 5 6,/- C a vert