HomeMy WebLinkAbout2726 SAN CARLOS LN - Building Permits r-ADDRESSOPBUILMNG: 2726 SAN CARLOS LN UHT: CITY OF COSTA MESA — BUILDING PERMIT
!!!'''OWNEWSNMlE If IOIONN: SEGURA, HEIDI PERM NO: B 01464-i
ADDRESS: 2726 SAN CARLOS LN
COSTA MESA,CA 92627 PERMIT NO: B 074647 PLAN CHECK NO: N GOVT: N SUPP: N
APR..MMUNG ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
ARCHITECT OR ENGINEER: UC,NO.: JOB DESCRIPTION : T/OFF SHAKE REROOF W/ 30 YR COMP SQ FT: 3, 990
ARCH.OR ENG.'S ADDRESS: UMT:
CLAIM VALUE: 3, 990 . 00 CALL—VALUE: 3, 990 . 00 GROUP OCC : R-3 /
0ONTRACTOWSNAME ADAMS ROOFING ( 714 ) 963-1740
CONTRACTORSMMUNG 21382 DOCKSIDE CI COMMENTS : SMOKE DETECTORS ARE REQUIRED PER 1991 U.B .C.
ADDRESS: HUNTINGTON BEACH CA uc.ND.: 524341 "'*************' ********************* '***********'*******************+E******4( * -*
92646 UMi: Z ONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury Oat I em licensed under provisions of Chapter 9 SETBACKS
(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force end effect.
ClrY uc.NO.: 044622 uc.cuss: C 39 UC.NO.: 524341 EXP: 10/95 MAIN BUILDING ---- '- ACCESSORY BUILDING -----------
n/-.•_ 0/m FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Date: /��/�,9 Contractor (A LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I em exempt horn the Contractors License Law for the
following reason(Section 7031.5 Business and Professions Code:Any city or county whim requires a penal to construc4,alter,improve. PARKING REQ: P RO V: ' PARCEL : 14155617 Z N E: REF NO
demolish,or repair any structure,prim 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 Lew[Chapter 9(commencing with Section 7000)of Division 3 of the PLANNING NOT E 5;>
Business and Professions Code(or Thal 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 subjects the applicant to a civil penally of not more than five hundred dollars(55001). ********3444*****ffi*****44***************{E{E***{c**+E***374*{(**3636****34*33E***l4 *1E*€4E4F*'W*3E
❑ I.as owner of the properly or my employees with wages as the:sole compensation,will do the work.and the structure'a not intended D E V E'L (7 P M E N T SERVICES R E Q U I R E M E N ,T. S
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of poper), —
t-
who bolds or improves thereon,and who does such work himself or hersel or through his or her own employees.provided that such L
improvements are not intended or offered for sale,f,however,the building or improvement is and within one yeu of completion,the ZONING APPROVED/ BY •
• DATE:
owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale). '
❑ Las owner of the property,am exclusively contracting with licensed contractors to construct the prated(Section 7044,Business and BUILDING APPROVED B Y : DATE:
Professions Com:The Contractors License Law does not apply to en owner d property who builds or improves thereon and who i .
contracts for such projects with a Wnhadar(e)licensed pursuant to the Contractors License Law). 3+ 9
o I am exempt under Section: B.AP...for this reason: APPLICATION ISSUED BY: DATE; ___ 7
Dae: /' Owner **************•14******* - - • • - - . **********3 *******
LEGALIZATION :N F E E SUMMARY STRUCTURAL SEGMENT : Y
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Seaices 25505,25533,and
25534,andlhat l or any future building cndpent wil/wal not(circle one)need to comply with said state codes and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a permit forconstnrction or modification from the A'm umiy anagemem District Residential construction appicatiore are exempt from these
provisions. PERMIT 63 . 00 . 50
Date: Applicant: SMIP/NON—RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of penury one of the following declarations: ISSUE FEE
❑ I have and wil maintain a certificate of consent to self-insure for workers'compensation.es provided for by SediOn 3700 of the Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code, the.pado a d
performance of for which th
pemH a issued. TOTALS----> 63 . 50 0 . 00 0 . 00 63 . 50 63 . 50 . 00
C+I I have and ora maintain workers'compensation insurance.as required by Section 3700 of the Labor Code,for the performance of the
work for which this permit a issued.My workers'compensation insurance caner and policy number are:
Carver: STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 63 . 50 OVER/SHORT: . 00
Policy Number: 1 10I) 140—'-)') 03/01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This section need not be completed a the pemel is for one hundred dollars($100)or less) 63 . 00 . 5 0
❑ I certify that in the pedonnance of the work for which this permit is issued,I shall not employ any person in any manner ea es to
become sullied to the workers'compensation taws of California,and agreethat Hl should became subject to the workers' **************************************************************************34343444*
compensation ions of Section 3700 of the Labor Code,I shall forthwith cempyawth tree I N D I L' I D U A L F E E BREAKDOWN
Date:
S. /0 i 9 S Applicant:
_CA/at CJ
Warning:Failure to secure workers'compensation coverage is unlawful,and shall subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COS T
civil fines up to one hundred thousand dollars($104000),in addition to the cost of compensation,damages as provided for In
sepuam37asmfmaLborcode,mrosslsndaroneyafeaa. SFR 3990 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 3r990 , 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the END OF FEES
performance of the work for which the permit is issued(Section 3097.Cit.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I 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 slate laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property
for inspandnpurposes. CHRIS O`MALEK
P N / 01 0015'2365-00192366 TOT 63.50
�/ ryX9t N Date: O
C ne
Signature of owrgenvappicenllcontrad« ( /� f o DATE: 10/18/95 TIME: 15:37
(5151-46.WP) White-Building&Safety:Green-Ale,Canary-Appicent:Pink-Revenue:Goldenrod-Assessor
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1
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, 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 grains 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 ❑Gas ❑Oil
25. Roof Sheathing ! rQc&_e of 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat [�v 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. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINA1-STRUCTURE& BUILDING l 7-'1 64,4
48. FINAL PLANNING (,l
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
OWNER RORERTS, Ivan DATE 12,-30,76 •
JOB ADDRESS 2726 San Carlos Lane BUILDING PERMIT NO. 43243
GENERAL CONTRACTOR F. Trautwein DESCRIPTION of WORK Patin Cover & neck
AP No. 141,556N-17 ,LOT TRACT FIRE ZONE VALUES 1 200.00
INSPECTIONS Signature Date TYPE V GROUP J ZONE R-1
SOIL SUBCONTRACTOR PE�MITS ISSUED
GAS Dote Number I Signature
-
WATER Plumbing
n ROUGH PLUMBING
PROP. SWR. LINE ❑ HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING -
TEMPORARY SERVICE OR POLE
UNDERGROUND 0 POWER ❑
ROUGH WIRING Heating and Vent.
TRENCHES El FORMS LI STEEL REINF. ❑ 04G /-10-v
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT n
•
PLASTER, BROWN COAT
STRUCTURAL, FINAL Flertric
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING. FINAL AND GAS TEST n
ELECTRIC, FINAL Y'��
BUILDING, FINAL j C / tE-/
Pail(
• 43243C 30 75„�;007472* u .s18.50
•
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
• LIC TION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only
REC V l DATE RECEIVED DATE ISSUED
BUILDING.272 c_� of,Los- / , / I A, 1 .7
ADDRESS •/�'a (;fJ/�� f�l�/ )fT
OWNER �y/i�t� ,��(((0/f�� A.P. N O / PERMIT NO.
H/� �Wr ••
1 BUILDING /I /
MAIL /,_/l '/ A ILDING //}�/�( (p / 0S 4 /,
ADDRESS r]/JOY� 7 \\ �^
CITY C�62.S/-2 _ 4”' J NOL yi33,r TRAC �g LO BLOCK
CONSTRUCTION NE AD(J ALTER REPAIR MOVING DEMOI ISH
LENDER
BRANCH (/J�
OWN ER M _C(,Yjv Igo be
ARCHESS
ITE /L� t!T1 A y6
ARCHITECT TEL. USE Pktil l ��EI LU$ �/at,
OR ENGINEER NO. FIRE
OQJT(J
ZONE TYPEIr GROUP V
ADDRESS (�'
CONTRACTOR G 7,42-‘,/77-4/6--,.4/ BYPROV DATE z,--?0-70
ADDRESS Zri INO.OoL- USE OF TEL. • PLANS BUILDINGTh- NCITV NO. ee_460
F• STATE CITY YARDS APPROVED YARDS APPROVED
gLIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING
b.] SIZE NO.OF BLDGS. (FROM C/L S ET)
Cu. OF LOT NOW ON LOT FRONT a FT • FT.
d USE OF
N. EXISTING BLDG. R.SIDET� FT.
til
FSeparate permits are required for L.SIDE FT.
electric,plumbing and heating work. h
Q REAR /ST.�4 FT.
Q US . .....BOLDING Aa WO,RIC BBE PERF�IRMErpecti DISTAIBLO BET. BET. MAIN&
tr'�'TT�, ���Cf 1 �T} PI/ MAIN BLOCS. ACCESS. BLOCS.
C ( c VAR.# DATE
Qc _C.U.P.# /q� [y/APP ROVED /
ir
Y APPROVED/ l AIsP/ " TE 4,2-5o -7.N
VV ,\
a
Lu •
L I hereby acknowledge that I have read this application and state w
a that the above information is correct and agree to comply with - n
m
Cie all laws regulating building construction, and I shall not employ
Z any person in violation of the workmen's compensation laws of 'e`
the State of California. ,-:
O. FT. m
I hereby certify that I am properly licensed as a contractor under N
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR es
Chapter 9, and that such licenses are.in full force end effect,or I THE PURPOSE OF ESTABL HINr' A PERMIT FEE ONLY: -
am exempt from the provisions of the State of California Business J'�+
VALUATION P/ IT FEE $ I. v
and Professions Code, Division 3,Chapter 9. .� cif
a
/ m
licensed 47 �" ��1
spot,
trt7c/U TAX $
5 U
y� U
Authorized Agent - -- TOTAL PAID SA �^ .
O• SA(
7
Lot 40 Tract 428FElEanREOGE
IVED
' ' 15266 y SEP 6 WO
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P. O. BOX 917 COSTA MESA. CALIFORNIA CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING ADDRESS 2726 San Carlos Lane
COSTA MESA. CALIFORNIA • For Office Use Only
RECEIPT NO: I PC}[MI INd.i
OWNER Mesa Del Mar Development rn -` `�"'��''
MAILRECEIVER BY I DA .RE 1 D DATE ISSUED
ADDRESS 3800 E. Coast Highway (//.Lf ' dlJf -�,�
TEL.Oriole BUILDING
CITY Corona del Mar
NO. 1-4220 ADDRESS
ARCHITECT TEL.Oriole
OR ENGINEER Macco Corp. No. 3-4220 COSTA MESA. CALIFORNIA (� � .
ADDRESS 3800 E. Coast Highway FIRE .L �}/ /
ZONE TYPE V GROU • V/("
CONTRACTOR Macco Corp. APPROVED
BYDATE
ADDRESS 3800 E. Coast Highway ZONING ((��
ZONENO.OF USE OF NEM.. Lt./ r_
CITY Corona del Mar R 'f� I PLANS 'BUILDING Aj --
LICTNO. 98808-SB-1 NO.Oriole 3-4220 -111-A.17-#.> / {J�/-I
DESCRIPTION (� jl� \�
SIZE I NO. OP BLDGB. /
OF LOT 7000 S F plus NOW ON LOT none A.P.NO.
USE OF none YARDS EVES
EXISTING BLDG. APPROVED ALLOWED
SETBACK LINE PROM , - (CENTER UNE ST.)
CENTER OP STREET 50 REAR YARD 21' FRONT .5"'62 FT. IN.
SIDE YARD I LEFT 211 I RIGHT 25 ' ,$�
R.SIDE Z FT. IN.
DESCRIPTION OF WORKL.SIDE Z 1 FT. —
IN.
NEW I X II ALTERATION I II ADDITION I REAR a I FT. -- IN.
MOVING I V DEMOLISH I ASP`PROVED cux• 0��� DATE p/ir/6
REPAIRI h O
:Tel N% NO. OF
SIZE el'9"x53 ' ROOMS 7 STORIES 1
EXTERIOR WALLROOF(ROOF wood-shingles
COVERING COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
Single family residence w/attached Living Area 1405 S F
garage Garage Area 440 S F •
Covered- Area
rPorches 68 S F
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM.
PURPOSE OP ESTABLISHING A PERMIT FEE ONLY.
WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION (/
SIGNATURE Mesa De Mar Development Co. PERMIT FEE $ 3 d
PERMITTEEN
By; $ 18,247.00 PLAN CHECK $ /%-I-AUTHORIZE ��..��' 57.00 E
TOTAL FEE § 4.