HomeMy WebLinkAbout3463 SAN MARINO CIR - Building Permits1
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%NOJECT pO�FESS: 3�I B 3 SAN MAR I NO C I
N/NEfl'SNAME: SAHNKE, RICHARD A
�, ' nooRess: JAANKE CAROLYN
3463 S.U.N MARINO CIR
COSTA MESA CA 92626
(714)751-2`387
PflCNIENGINEEF: NEG.NO.:
AOUHE55:
urur: CITY OF COSTA MESA — BUILDING�PERMIT PERM NO: B 0
PERMIT NO; B 064120 PLAN CHECK NO; N GO . .
CONSTRUCTION TYPE: 5—N PERMIT TYPE; STft PURPOSE: ALT
JOB DESCRIPTION : REROOF MANSARD W/30YR "TIMBERLINE" COMPO SQ FT: 1,200
UNIT:
PEflMITTEE: RAY� S ROOFING ( 714 ) 559-9369
nooeess: 14571 HIGHCREST CI
IRVINE CA 92714
LICENSEO CONTFNCTOfl OECLABATION: I hereby affirm Iha� I am licensea untler provisions ol Chapter 9(commencing wiih Section
70011� ol Division 3 ol IAe Busine55 and Pmiessions Code, anG my hcense is in full force antl efiec�.
ciTv uc.: O 19 9 Z � Qsra�rc uc.: 3 610 4 2 cuss: C 9
Oa�e: � � � � � I_J— Signature: _�_
WOXNEHS' COMPENSATION OELLANATION: I hereby aflirm Ihal I h a certi�i[aie ot consen� to selhinsure or a certifica�e ol Workers'
Compensation Insurance. or a cetlifie0 copY �hereol (Seciion 30W. Lab. C�.
POLICY NO.: E%P. UATE:
COMPANY:
❑ Cetlilietl copY is hereby Wmishetl. ❑ Cetli�ied coDY is �iletl wi�h the ciiy BuilAing �ivisian.
oate: aVvlicanc
E%EMPTIONFPOMWOBRENS'COMPENSATIONOECIAflRTION: Qhi55eqionneeanatbecompleletlillhepermiti5foronehuntlred�51W)orless).
I cenity Ihai in Ihe pedormance oi Ihe work �or which Ihis permit is issuetl, I shall nol , ploy any person in any manner so as to became
subleq lo �he Wor9kers' Com enstation Laws ol Cali�omia.
Oaie: � � Y � �/ Signa�ure: �
NOTICE: I�, afier making �his tleclaraiion. you shoultl beco uUject �o �he Workers' Compensa�ion pmvisions oi I�e Labor
Cotle, you must �or�hwi�h comD�Y wi�h such pmvisions or ��is permit shall be OeemeO revokea.
CONSTPUCTIDN 1EN01NG PGENLY: I hereby a��irm tha� there is a conSVuc�ian lentling agency lor ihe pedormance ol Ihe work for
which Ihis permit is issuetl (Section 3097. Civ. C�. �
LENDER:
aooeess:
CLAIM VALUE: 1,200.00 CALC—VALUE; 1,200.00 GROUP OCC: R-3 /M-1
�i'c�'k� �
COMMENTS: COVER MANSAR➢ PORTION ONLY: SMOKE DETECTORS AEQUIRED. ��CjTO�'
***��*�*��**�t**��t****�**�r***�r******�t****��t+t****x*�***�t***+r+t*��a�*� **
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S �tQv`�E
�
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR: FT IN FRNT: FT IN REAR; FT IN
LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ• PROV: PARCEL: 41205119 ZNE: REF NO;
PLANNING NdTES>
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it**��r�ritit***�r**�r�r�ritit+rit**�*�r**�r��e�***�*�r��e�r**itit*x��*r**���r*ft�r**it*��***r�r*�r*iE**«itit�
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N��T S
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ZONING APPROVED HY
HUILDING APPROVED BY :
APPLICATION ISSCTED BY; v CfZ
*rt�rxitx�r�rxir+�irir�r***x�r�t*** *� a r
iE 1ElE if fk 1f 1E fE fElf 1f i! iF ff i! ff fE �!!f it if fElE 1f iF if !f !f it iF if iE i! jf if iE if 1E if M ff M!f !k 7k
LEGALIZATION;N F E E S U M M A
DATE: ,;
DATE: " .
f! If if if if ih it if iF fF iElf �E fE 1E if If if k%f! iE�iE ff if ff if iE IE if 1f 1!
R Y �ST�RU�CTURAL` SEGMENT:Y
OWNEPBWIOEBOECIAflFTION: Iherebyaflirmlhallamexemptlmm�heConVa[tors'StateLicenseLawiorthefallowingreason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE� .SMIP/RES GRADING
(Sec�ion 7031.5 Business antl Pmlessional Code: Fny ciry ol counry which repuiBs a permit �o conslmct, aller, impmve, Oemolis�, or P ERM I T 2 9, Q � " i , rj Q
repair any SlmcNre, pria� �o its issuance. also requires l�e applicant �or suc� permii to �ile a signed s�a�emenl Ihat he/she is licensetl �� � SMIP /NON—RES
pursuant lo Ihe pmvisions o� Ne ConiraclorY State License Law (Chapler 9lcammencing wi�h Section 7000) o� Divisian 3 of �he Business pLAN �
antl Pmlessions CoOe) or Ihai �e/she is eeem0� �herefrom and Ihe basis for Ihe allegea exemD�ion. Nny mola�ion ot Sec�ion 7031.5 by I SSUE FEE ^
any applican� for a permit su�lec�s I�e ap0�icant lo a civil penalty ol not more �han five hundretl tlollars (E500).
I, as owner ol me pwpeny or my em loyees wiih wages as �neir sole compensation, will �o �he work, antl me ��ILPING—C+IV—:* PEAMIT 1$$UE PLAN—CHECIC TOTAL ��� � PAID D[.�E
❑ s�mcwre is noi imen0ee or oneree mr sa�e (S�ection 7o4a, susiness an4 7miessiona� Coae�. 7he Convacmrs' State license �aw TOTALS ----> 2 9,$ 0 �. 0 0 0. 00 2 9. 5 0 . • 2 9, 5 0 , 00
Uoes not appty to an owner of a propetly who bui105 or improves ��ereon. an0 who Ooes such work himself/hersell or through �/'� � _
his or her own emDloyees, pwvitled �hat suc� impmvemenls are no� intended o� oliered for sale. I�. howeve� the builtling or REVENUE D IVISION TOTALS--> COLLECTED • 29. 50 OVEA/�SHORT; 00
impmvemenlissol�wilhinoneyea�o�completion,lheownervnllhave��e�urdenolpmdng�e/sheEidnotbuil0o�impwve gLDG F�MT PI.UMHING ELECTRIC MECHANIC FIRE SMIP/T�Z' GRADING PLAN—CHECK
lor Ihe purpose af sale�.
I, as owner oi Ihe property, am exclusively conirac�ing with licensetl conVac�ors b conslmct the pmlec� (Section 7044, Business 2 9•�� , 5 Q: - �% �
❑ antl Professions Code: The Conlractors' S�ate LiCense law do¢5 na� apply lo an owner 0� property who hutlds Of improv¢S ihereon � — ��
anAwhoconlracls�or5uthprOjetlSwi��aConlraci0r�5)IitenSepursuan�IOtheCon�ratior5'S�a�eLicenseLaw).lamaware **'*****************�'�'*"�***K'******'****'******'x'1ki['*i('*X'**1f1hM'fElhlElEififfflfifif%ffMiE1E1f1f1E1E1f1EfEiEiF
Inat Droai al tAeir Worker's Compensa�ion insurance should �e pmvitled to me. I N D I V I D[7 A L F' E E B R$ A K D � W�N� �
� I am ewempt un0er Section: B. 8 P. C. '� _ .
mrmisreason: TYPE QTY D E S C R Z P T I O N UNIT COST ' TOTAL COST
Date: Ownec
I tlo hereby cehify iha� I am aware ot and understana Ihe requiremenls of Cah�omia Health and Sa�ery Code Seciions 25505, 25533, and
25534 antl �hat I or any IUWre bmlding occupan� willlwill no� (circla one) need lo com0ly wlth saltl slale codes antl �he requiremants (or a
permil lor conslmciion or modihcatian Irom Ihe Pir Oualiry Managemen� �isVict. FesiOential consimctmn applica�ians are exemp� iwm
IDese provisions.
Oale'. Ppplicani:
I hereby cetlity tha� I have reatl �his apPbcation antl s�aie tha� Ihe above inbrmalion is correc�. I agree to comply wilh all cily and counry
or�inances antl siale laws relaung �o bmlaing conslmciion an0 hereby aN�orize reD�esen�atives ol Ihis ciry �o enter upon Ihe above�men�ionetl
pmpeiry for inspeclion purpo�seas. /f /A
�aie' �`�r � SiQnalure'. / 1 "'� KI '�v'✓=a"��
�river's License or Social Securi�y
�6aL46 White—Builaing; Green—Cotle EnlorcamenL Canary—Ap0licanC Pmk—Revenue: Gddenro0—Assessor
SFR 1200 REROOF HY VALUE RESIDENTIAL NOZONE L�00 1,200,00
END OF FEES . ,
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01 O�J1474EQ—Q01474E1 T G T 24.:�0
Di;iE: 0?!23/?3 TFttE: 11:15
I
�ONSTiiUCTION ANO P1�ANNING
� APPROVALS Permit,-"�r
t. Temporary Electrical SarvTcepr Pole
2. Soil Pipe-Undrgmd. .
:.3�.E�CgtlTcai Contiui; UUhty-lindrgmd.
5.'$�e if'fieinfar�rriznt
S.�f,7eccricai UFEr'�Grnd .
;-::._. .__..
�'. Foociflgs `' �_ -�
POOL & SPA �
Date lnspector Daie inspecmr �
A?PROVA�S Permit � i
��9. 4Cater Pipe�Undrgmd. ' '
� - '
70. Structural Floor System
t i. Property Sev�er Lins 8+ F{cUse Cornec2ion
. �,
12. Seyyer Gap -
=v
13. Roof Dra�ns ,-
14. Rough Fiumbmg '�
15. Rough 6ecVicei-Contluit
76. Rough Eiectric�i+!'iring
a.
77, Rough tNinng$�gn
18. Rough Electricai-T Bar Ceiling
19. Rough Heat�ng & A�r Cor.d�t�on�ng
20: Rcwyh�Factory ��czplace � �. -'�� - �
� C
21:: Ducte, N� StSuctqra _.. : _ ' i
22. Duots, RjenYiiatieg� � -� -
23;:Gds_Pipe-Rcu19h&Test . ';.- �; .� ..,
,r _
2hrRatlf Fiamir,g ,-.�-. •�, � �
25. Roof Sheatnl�g '.. . � + - _
26: T-par Ceiling (S:n�tura^ Ra,Manoroat �r. 'i�
2T.' F��me a�d Flashfr+� = T
� 28.. : � i,
� Lai}�ing'& Siding,. r ,_ ��7: .
' „�'-
"29. InsulatSdn ' ' �� .'i ' " ' ' �
-� _ „
*' 3�. DrywaK'Naitrng`., * - �
_. , e '-^^� � _
: 37. Ptaster:�.o��n Cc�� ._ . , ,`�
��.- F
� 32 Electric�l Poiver h9pt�'Finai -, '
- C,' -zl
..33,::Fiq�l F1ect�!c - ' ' :� ' , '
--�n 7 a � .
.. _ _. ..�_ , _i
�y 34:;, Finel H,�Lr�icj &:%i;i Ca.^.ditip�ung
.---:c _ --T �+�
`sB:; Firtai Gas Pfye Te5} � '-' ` !
� r �
:
� 36. Hoad �r Canop� ' - - .a , �, �
; . - _ . ' � <, � -i
;�37.�Final F�Ctorv Fi.epiate. � :;,� -� ' '� �
- 38. Fi:ral P4dmbing c.;. ' ' •. .. ,
' 39. YVater SCrvice�F:ttal r ' - �
< � � �
::,40. Gas Se�wce�F�n�..�; .. .. . .,
-+,- .
.747. Solar pome,tic-�ir.al, i � !
42. Backflo+u Prevent�f - �' "
43. Backfloiv INi�atiot� -' •-
4 }_
4. Landsc�pe �'rnqgticC�}�;steca., -, . � .
- '-._;-.;._ `
��45. Sound Att€auatio� �-� � ' '
- ;� -
-48;;HandicdpRg�ulatin..:, �„ - ; �' �
�47:: FIIsPALSTRCt1C7U!(i'cbi�lJ1LDING ��2� G
48.�FIUAL PLANNIN6 a"� , �'_ i ,�
49r'Electric Release ip•Edtscn , '
.. ^2-.
� 50, GasReTzase ko Souitjeth Ca�±forpia Gas Cn �.
51. C�FiTiFICAT£O,QCCUP NCY
No._...___ __ -�� Da:e
�. �w
-�
52. Pool & Equir�ment �ocat�on I
53. Steel Reinforcement �
54. Forms ,
55. Electrical Bond�ng
56. Rough Piumbing & Pressure Test �
57. APPflOVAL TO COVFR�GUNiTE � � ``'
58. Electncal Conduit�Undr4�nd. �
59. Gas Rpe, rJ UnCror��d , Test � �� �
60. Backwash Lnes, P�Trap, lJ Undrgrnd �
�I
67. APPROVAL TO CECK ��i
62. Bac!ati�ash & P,ece�;or F�na!
63. Heater & Ve�bFina� ���
64. Plumbing System - F�vI .
_� , _ --1
65. ElectricaFF.ral
66. Solar System�Finoi
67. Fencing & Acces; ApOfJV:t� �
68. APPROVED FQR PLAS7ERING �
69. POOL/SPASYSTEPASFINAL I
FIRE DEPT. REQUIREMEf�!T j � _--. --_-
�,� r , .. I
_ 'APPR�fl VYx�t"3," -�'; � Pe,•mit ;f- '
r'»-�i l' � "���_�_ . . �
. � . r._ �- ..'�
H 70. �.7nderg�ouAq h,ydro
_. -�
�'� � 71. Produ�i P:pin9 : ;{Sas :'! Oi7
, 72. UndcrqVounsi FL�: i�.. s._, ---�
--� --s�---- �
�; �3?-� Undergrzd. Stor�&: T::nk•u Gas � tiil �
� -� --, -
, " 74= C�vz� tead� F1,�cro ' � .
- ' -- _.
"�" 75.� Cry Cherniqal J`7 ,-^ . i
y� �� � 76.� Dry Stan�:Pe ' . . .. -. �' - - ---
x -.-----?-^'-rt+-, ---,
^'" 7h' FIY,ED�h^.T�'=1NA� �
_ k _
�� , 78� FIRE PREV. F"1AL � � �,: . I ':
' �-- _.
� I- + - •F�EALTH DEP'f.-F1EC3UIt;EME�T
.u1 _-_ _.Y. ' �
- - -`- -- -. .
. x _ r.. .f -� �
��x ,79. FINALII�SPtCT�Di4 "_ � _: �
-..- ..-•-•a-__�___ _"_ _'
� �80: FOOD C�RTIFh.;AI E ISSEJED
_" -�1.- -"a
• Ntiies: ' �: ` ; � .
�� ,-. nJi�, �
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October 17, 1994
CITY OF COSTA MES�A
CALIFORNIA 9262&1200 P.O. BOX 1200
DEVELOPMENT SERVICES DEPAi7TMENT
Dear Costa Mesa Property owner:
In reviewing past permits, we find that work has been done on your
property located at 3463 San Marino Circle, Permit No. B64120, for
a roofing permit. The permit is valid for 180 days from issuance
or your last inspection, peY Section 303 (d) of the 1991 Uniform
Building Code. Should we not hear from you within 10 days, your
permit will expire as stated herein and additional fees will be
required to finalize the permit. Failure to final a Building
Permit could possib2y impact the future sale of your property.
To activate the above permit, please follow these steps:
1.
2.
3.
4.
Telephone (714) 754-5626 or �54-5627.
Request an inspection; state address, permit number, and type
of inspection.
Be sure to have working smoke detector's as required per
Section 1210(a) of the 1991 Uniform Building Code.
Have an adult present at the property at the time of
inspection to provide us access.
Should you have any questions regarding this process, please
contact me at (714) 754-5273.
Thank you for your cooperation.
Sincerel ,
I ,�
Y landa Huapay�la��c V
P rmit Processing Specialist
Builtling Division (7/a) ]54•5273
77 FAIR DRIVE
Cqtle Enforcemern j71C) 754-5623 •
FAX (714) 556-7508 • TOD (714) 754-5244
Plannin9 DiviSion O14� 756-52C5
. AOO���ant to fill in all s0aces exce0� lM1ose within neavY GorEer linas ana sign a11 avvropriate tleclaralions. rjSOB
CITY OF COSTA MESA CONSTR�UICTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. 2�22�88 45o5O TL
Projeci Address �� b��/ SFiNt' /L�'�.A 21 NO � � O
' Applican['sMailingAddress �T-S7�?/yNC�ia'SiC�/L.� v/ TYPEOFCONSTRUCTION NEW ADD nALTERATION REPAIc
❑ CONVERSION ❑ DEMOLISH ❑ OTHER /`� aooF �TO SAM A P# Zone
Owner's Nam�/e �T�N��C Phone7��� Q DESCFIPTIONp F WORK/USE OF BLDG.�o�1S—T'�+ ���K - eRmF
Address x rG3 Sq'� M/i�Ll ti0 CCS �A I�9c3.R O VG/L �A9�pd SF//.tJ4�! G+IiN Cb'7�0 S Main Building: Accessory Building:
Arch/Eng. ' License No. TVPE OF PERMIT GRADING FOUNDA710rv ❑ S7RUCTVRAL T Front p
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL 8 N
Address ��qq�� ❑ oTHER A Rear �
Coniracmr'sNam N Phone�+�"�1�49 -
PROJECT DESCRIPTION 50. FT. oCCUPArvCv C Right N
Address (mailing) �yS%/H/ N[nrsT ci2 ��Q✓/NC K G
/'�.`^ CONSTRUCTIONTVPE VA�UATIONSa?,,Qt�o,= $ Left R
CityLfcenseNo. T�� ZONE GRADINGCU.VDS. ACRE�
LICENSEp CONTRACTOfS�DECLARATION Pln9. Ref. # Parking Req./Providetl E
I he�eby altirm Ihat I am licensetl untl¢r provi5ion5 of Charte� 9(COmmencing Remarks: ��V'f PlOnning NOL¢5: M
�Wl2h 52C1100 %0��� 01 ��V�5�00 3 of� the Busine55 antl ProfeSsionS Cotle, antl
my license is in full forc ai tl effect. - � T
�p ucense cias}, C ' ' 'ce�se tao. � � � ?' S
I Date? ''+2� 5'y t �� 'b/� PLUMBING FEES
WORKERS' COMPENSATION DEC ATION Ba�Sink ShOw2f5
� I hereby attirm inat I have a certificate ot consent to zeli-insure or a certi/iwte ELECTRICAL FEES
o( workers' Compensation Insurance, or a certifietl copy theraot (Section BackflowPreventer - ServiceSink
I 3800, Lab. C.) Auroma[ic Washer Transformer ❑ 15-50 KW
rPolicy No. ���G6'� Company S��T� F�'� Backflowlrrigation SewerCa ❑ 50+KW
. . P ConstructionPoleSub.
8 Cer[ifietl wpy is hereby tumishetl.
Certif' tl cop is ' pri with the city Bui g DiviSi n. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amp5
Date�O—:Applicant �yS F/N�/
EXEMPTION FROM WORKERS' COMPENSATION DECIARATION Clafi(ief5 $olar ColleCtOrs DiShwasher Meter �over 100ampi
(Thissection neetl not be completeU if [�e permlt is Por one huntlretl (S100) or
less). - Dishwasher Solar Piping Dryers OGas ❑Elettric Sub Panel
I certi(y Ihat in the perfOrmance of [ho wo�k to� wblch this petm�t is issuetl, 1
shail not employ any person in any manner so as to become su0ject lo the Drinking Fountains Solar Tank Fan Motors �04 HP �1 �- 8
Workers' Compensation laws ot California.
Date Si9nature Floor Orains Swimming Pool w/Spa F.A.U. Inc. Solar �9-75 HP �16-75+
NOTICE: If, afte� making this tleGlaration, y0u shOultl become subject [o t�e
Wolkefs' Com0en5dtion provisions of [he Ldbor Cotle, you must tofttlwith FIOOf SinkS Ufindl FiXtuf¢5 MiCIOWdv¢
comply with zuch provisions or this Detmit shall be tleemetl rewketl.
CONSTRUCTION LENOING AGENCV GaSSerVice Outlet5 WatefCloset Device8oxe5
I hereGy afiirm that there is a const�uction lentling a9ency fo� tne performanCe POI¢ Light
of roe work for wnich inis permil is issuetl (Section 3097 Civ. C.) Interceptors Water HCater Outl2t5
L.entler's Name Range
Lentler•s Atlaress Kitchen Sink Water Service Switches gi9�
OWNER BUILDEft bECLARATION
I hereby aftirm that 1 am exempt irom Ihe ConVactor's LicGnSe Law fo� the Lavatories AutO-W22h Garba 2 Di5 OSeI
tollowing reason (Sectlon 7031.5 Business antl Profe55ional Cotle: Any city Or 9 P $tdnding S¢CliOnS
county which requires a permit to conslruct, alter, improve, Gemolish or repair P—Trap Laundry Trays Generator �0�5 KW �5�15 KW
any sVucture, ptio� to Itz issuance, a150 requi�es tne applicanl for Such pe�mit Trash Compacmr
to file a 5igne0 statement that he/Sh¢ iz Iicensed pur5uani to Ihe provi5ion5 of ROOf D�diOS
[he Contractor's License Law (Chapter 9(commencing wiih Section 7000) Of
Division 3 ot the Business ana Protessions Cotle) or that he/she is exempt
ihe�efrom antl the basi5 fo� tne allegetl exemPtion. Any violatiOn ot Secllon
7031.5 by any ap0���ant for a permit subjects lhe appli<dnl to a civll
�enalty oi not more Ihan tive huntlretl tlollars (5500).
I, as owner ot the property or my empioyees witn wages as their solo ReinspBction Fee $15 ISsu9 Fae $ 3
compensation, wili tlo the work, antl the structure is not inlentletl or offereC painspection Fee $15 Issue Fee $ 3
tor wle (Section �044, Businesz antl Protessional Coae: The Contractor's MECHANICAL FEES
License Law tloe5 not apply to an owner of a Oroper[y who builtls or imp�ove5
thereon, antl wno tloes such work himself/herself or throu9h his or her own DEVELOPMENT SERVICES REQUIREMENTS:
em0�oyees, proviEetl that such improvemen[s are not intentletl or otteretl tor Boiler Hood or Typo I ❑ .
sale. If, nowever, ihe bulltling or improvement is soltl within one year of com- Canopy Type II ❑ Zoning Approved By Date
pletion, tbe owoer will have the burtlen Of proving he/she tlitl not builtl or im- Duct - Unde� GrouOd
p�ove for the purpose Of sale). BUilding App�oved By Date
❑ I, as owner ot the properry, am exclusively contractin9 with Iicensetl con- Duct � Structurol Refrigeration Syslem App �wtion Issued By Date Z' �'Z�
Vactors to constraci [he project (Seclion ]044, Business antl Profession5 Cotle:
The Contractor's License �aw tloes not appry to an owner o1 properry wno Duct - Ventilating ❑4 00,000 BTU ❑100,000 BTU SUMM RV OF FEES
builas or improves t�ereon, antl wno tontracts for Such proj¢C�s with a con-
tractor(s i�cense pursuant m the Contractor's License Law). I am aware tnat Exhaust System ❑ MWtiple ❑ Sys m Repair/Altera' BUILDING PERMIT $ •�� SMIP $�
proof o� their Worker's Compensation insurance shoultl be provitletl io me. PLAN CHECK $ PERMIT
❑ I am exempt untler Section B. & P. C. �or this reason Firepl/Fact. BIt. ICBO # Fire Dampers eCt10 S pLUMB WG 5 ISSUANCE $
Date Owner Heating System & Ducting Re9ister5 PLqN CHECK 25% 5 ENERGY P.C. $
I hereby certify that 1 have reatl this appliwtion antl state that me above ❑6100,OOOBTU �100,0006T GRADING S
information is correcL I agree m comply wiih au Uty antl counry ortlinances s ELECTRICAL 5
antl state laws relating to builtling construction. an0 hereby au[horize repre- -- MICROFI LM $
seniatives of this y to e er upon the above-mentionetl oroperty for PLAN CHECK 50% $
inspettion purp
Signature � Date.7' 2' MECHANICAL 5 TOTAL FEE $ �•�
Drivers' LI 5$ Reinspection Fae $15 laue Fee $ 3 ,PLAN CHECK 25% $
CMF 0865-46, rev. 10/84 White - Builtlinq; Canary - Applicant; Plnk - Accounting; GOltlenrOtl - Assesso� �
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit # Date Inspector qppROVALS 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 Cqnduit�Undrgrnd.
$. Foundation ;.; 59. Gas Pipe, � Undrgrnd., Test
9. Water Pipe-Undrgmd. 60. Backwash Lines, P-Trap, � Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap , 63. Heater & Vent�Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
..15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring � 67. Fencing & Access Approval
77. Rough Wiring Sign g$. APPROVED FOA PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. ftough Heating & Air Conditioning FIRE DEPT. REQUIREMENT � .
20. Rough Factory Fireplace APPROVALS Permix # �
21. Ducts, in St�ucture 70. Underground Hydro ,
22. Ducts, V.entilating 71. Product Piping O Gas ❑ Oil
r�
23. Gas Pipe-Ro�gh & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ Oil
_25. Ftoof Sheathing 74. Overhead Hydro �
26. T-Bar Ceiling (Structurap & Monocroat 75. Dry Chemical �
27. Frame and Flashing 76. Dry Standpipe r✓
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 Noies:
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 � �
r .
Y
41. Solar pomesticFinal . � � �' '"
� �
42. Backflow Preventer � � • -'
�
.43. Backflow Irrigation ki F� � J � '� � . •
' 44. landscape Irrigation System E X{� I R E D .� ' �
�, 45. Sound Attenuation i1CA p e nspec i �,.
46. Viandicap Regulations Uate � S�B �• '"
47. FINALSTRUCTURE&BUILDING � � . �
yf �
• 48. Special Requirements Completed . � � . i �, �
� 49. Electric Release to Edison � ; ;
50. Gas Release to Southern California GasCo �' ,
57. CEFiTIFICATE OF OCCUPANCY �
No. Date • '
` o f
a �
o,
>
:
J
.�� �
���a��sa-s2�s • Fax(�ia��sa-aass
CITY OF COSTA MESA
BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
Jobnddress: 3463 SAN MARINO CI
Suite:
Vicinity:
Parcel Nunmber: 41205114
Applicant: CARD, R O
Address:
BUILDlNG PERMIT
Zoning: R1
Phone:
Zip:
Owner: JAHNKE, RICHARD A
Address JAHNKE, CAROLYN
COSTA MESA,CA Phone:
3463 SAN MARINO CIR Zip: 92626
Contractor: GRANK BROTHERS ROOFING CO
Address: 00126 COMMERCIAL WY
Arch :
Address:
R1
Phone: 949-548-5569
COSTA MESA CA
Zip: 92627 License: 408677
Phone:
Eng:
Address:
PERMIT NUMBER
699-00027 �
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED ��p
Applied: 01I05/1999
Issued: 01/05/1999
Phone:
Zip: License: License:
SCOPE OF PERMIT
T/O EXISTING & INSTALL 7 BASE 8 2 PLYS FIBERGLASS HOT ASPHALT. ROOF CERT ATTACHED TO PERMIT.
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
$0.00
$112.25
$0.53
$0.00
$0.00
$0.00
$172.78
SETBACKS
MAINSTRUCTURE Fron� 0-0
ACCESSORY Kront 0-0
PARKING xistin : 0
NOTES:
Rear 0- 0
Rear 0- 0
Reauired: 0
FEE SUMMARY
0
PLANNING 8 ZONING
Left 0- 0
Left 0. 0
Pr000sed: 0
Calc Valuation:
Claim Valuation:
Righl 0. 0
Ri9ht 0- 0
Ss,2so.00
$5,260.00
�
EXPIRATION: This permii shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days. .
INSPEC710NS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
required Inspeetione and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
WORKERS' COMPENSATION DECLARATION:
I hereby aHirtn under penalry of perjury one of Ihe following declaretions:
❑ I hava entl will maintain e certificate of consent to setl-Insure for workers' wmpensatlon, es providetl tor by section 3700 ot ihe LaDor Cotle, lor the pertormance of the
work lor which Ihis permit is issue0.
❑ I heve en0 will maintain workers' compensation insurance, es required 6y section 3700 oi t�e Lebor Cotle, for ihe performance ot the work for which ihis permit is issuetl.
My workers' compensatlon Insurance carder end policy number ere:
Carrier: Policy Number:
(TTIs secflon need nof be completed il the pe�mlf is valued at one huntlretl tlollars ($100) ar less.)
❑ I certily Ihet in ihe pertormance of tha work for which this pertnii is issued, I shall not employ eny person in any manner so as to become subject to lhe workers'
compensation laws of Celifomia, en ee thet If I s oultl become su6ject to the workers' compensetion provisio of Sectlon 3700 0l the Lebor CoOe, I shall forthwlth
comply vnih IheSe pr sion /' q
Applicant SlgnaNre: � �. , ��l � Date: � � — � ^ Y /
WARNING FAILURE TO SECURE WORKER PENSATION OOVERAGE IS UNUWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIESlWD GVIL FINES UP TOONE HUNDRED
TFKKISAND OOLLARE (E100.000), IN ADORIIXJ TO THE COST OF COMPENSATION, DAMAGES AS PqOVIDED FOF IN SEC710N 3]O60F TME IABOR CODE, IMEREST, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I here6y eNirm that I am licen} ad under provision5 of Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business and Prafessiors Cotle, end my license 15 in full
force end eMecL Lic. N _/ — _ Class 1t�
Contractor's Signature: �' Date:�� /– � � � ��
CONS7RUC710N LENDING AGENCV:
❑ I hereby amrm ihat there is e construction lentling egency for Ihe peAortnance ot the work tor which this pertnit is issuetl. (Sec. 3097, Civll COCe).
Lentlers Neme: Lentlefs Atltlress:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
1 hereCy eNirm t�et under penalry ot perjury that I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for the tollowing reeson (Sec. 7031.5, Business end Protessions
Code: Any ciry or counry which requires a pertnit to consiruct, el�er, Improve, demolish, or repair eny sirudure, pnor to iis Issuance, elso requires Iha applicant for suc� pertnit
to file e signetl statemenl ihat he or she Is Ilcensetl pursuent to Ihe provisions ot the Contractors License Lew (Chepter 9(commencing with Section 7000) of Divislon 3 of the
Business end Professions Cotle) or that ha or sha is exempt iherefrom and i�e basis for the elleped e:emption. Any violation of Section 7031.5 by any applicant for a pertnit
subjects the applicant to a civ�l penalry ot not mora ihen five hundred dollars ($500).):
❑ I, es owner of the properry, or my employees wlih wages as their sole compensetion, WILL DO THE WORK, end the s�ructure is not intentled or oHeretl for sale (Sec.
7044, Business and Protessions Code: The Contrectors License Lew does not epply to en owner oi property who builds or Improves theraon, end who does such work
himself or herseH or through his or her own employees, provitletl that such improvemems ere not imendetl or oHeretl for sale. II, however, ihe bullding or Improvement Is
soltl withln one year oi completion, the owner-builder wlll heve Ihe burden of proving thet he or she tlld not bWltl or improve for puryose of sale.).
❑ I, es ownar ot iha pro0erty, em El(CLUSIVELV CONTRACTING WI7H LICENSED CONTRACTOFS to consiruct the project (Sec. 7044, Business and Professions
Code: The contracrors License Lew does not epply to an owner ot property who bullCs or improves Ihereon, antl who contrects for suc� proJect with a coMractor(s)
Iicensa pursuant to the Contrectors License Lews.).
❑ I em exempt untler sec. Business and Profeuions Coda tor this reason:
Signelure: Date:
Owner ID venfied 6y tlnve(s license. ❑ Yes ❑ No Drivefs Licensa No.
Veriflcetion ol Ownership by (type at documem, I.e. - D�oOerty tax bill or tlaetl):
Expires:
DIVISION OF INDUS7HIAL SAFETY PERMIT CERTIFICATON:
❑ I hereby certify that no excevation five (5) or more teet in depih into which e person I5 requlred to descend, wlll be metle in connectlon with work authodzed hy Ihis
permit, entl thet no building structure, scaflolding, telsework, or demolition or dismantling thereof, will be more than thiry-six (36) feet hlgh. (Chep. 3.2, Grp 2, Art 2, Sec.
341, Title B, Celifomia Administretive Cotle).
❑ As owner-builder, I will not employ enyone to d0 work which woultl require a pertnil irom �he DiviSion ot Indusinal Safery, a5 notetl ehove, unles5 5uch person ha5 a
permii to do such work from ihe division.
Signature: Date:
Dlvlsion ol Industrial Safety Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUTHOfiQAT10N OF ENTRY: I certity under penalry of perjury ihat I have read this application and state thet ihe intortnation given is
correct. I egree to comply with all stete laws end ciry ordinances relating to building consiruction, end authorize representaWes oi the Ciry of Costa Mesa to enter upon Ihe
above-describe� fo ' pection puryoses. I egree no� to occupy or allow occupancy of any building authorized by Ihis permil until tinal inspection.
���c��a rn i o�pqe�cs��� oe�a �9
And/Or Authorized Applicanl Date � � ��
CODE I. INSPECTONTYPE
1618 Fised System Finel Fire Preventian
1266 Pool Spa Final
200 Final Re-Root
201 Flnel Block/Retalning Wall
202
203
204
24d6d6
Finel Fectory Fire Plece
Final Sign
Final Demolition
PAB I�15
'�� `�_+'—
LQpFj INSPECTONTYPE
206 Finel Mechanicel
200 Finel Plumbing
210 Flnal Electncal
212 Final Fire Preventlon
220 Final Planning Approvel
222
250
Final Sile
Fnal Building/Occupancy
�
I��
� % 31906
1� COSTAMESABUILDING-SAFETVDEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to ill in Completely
BUILDING �) GI
ADOFESS �J
OWNER . , r. _ ��i��
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ADDRES:
ADDRESS
CONTRl�CTOR
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ADDRESS
CITV
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LIC. NO.
SIZE
OF LOT
USE OF
EXISfING BLDG.
NO. OF
NO.
TEL.
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LIC. NO.
NO.OF BLDGS.
NOW ON LOT
USE OF BUILDING ANO'NORK TO BE PERFORMED
�
I horeby ocknowletlge tPal I have reatl fhis epplication end state
that the above information is correct antl agree to comply with
nll lews reBula[ing builtli�9 consiruction, antl 1 shall not employ
any person in vialation of the workman's compensation laws oi
the State o( Calitornia.
I hereby certify that aT prop¢rly licenutl as a tontrattor under
the State of Calitor e eusines ntl Professlons Cotle, Divisicn 3,
Chapter 9, antl th such lice s in tull forca antl etfect, or 1
am exempt fro he provii n o e State of Celifornia B�siness
antl Protessions otle lV�s' n J, hapter 9. \
Signoture of �,��4�
Permli[ee
Au[horizetl Apent
nl'; -1-7CcN$100 059 �t**��5.�d
APPLICATION FOR BUILDING PERMIT
RECEIYED BV DATE RECEIVED nn-rc icciu
A.P. NO. ��
BUILDING /'
ADDRESS� �•
TRACT/�JF�..
OWNEF
FIRE
0
b��— /
PERMIT NO.
VALUE
DATE (O�/�
�N NO.OF �7 USE OF NEW �
� PLANS .s� BUILDING
VARDS APPROVED VAPDS APPR
MAIN BUILDING ACCESSORV B
DISTANCE BET. BET. MAIN &
MAIN BLDCS. ACCESS. BLD
VAR.# DATE
C.U.P.# qPPROVED
APPROVEO I�� �� i
r / —
m
54, fT. o
THE AMOUNTSNOWN UNDEF VALUATION IS FOR �
THE PVRPOSE OF ESTABLISHING A PERMIT FEE ONLV: m
¢
VALVATION Oa �(�*-B ]
PERMIT FEE 5 fY" �
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5 / PLAN CHECK $ E
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TOTAL FEE $ / DD
' " 29539
C�OSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. HOX 120p COSTA MESA, CALIFORNIA 92620
For Appltcant to Ftll /n Complefely
TYPE OR PRINT
wooRe�cs° 3463 San Marino Circle
COSTA MESA, CALIFORNIA
IS MAIL
lAN -7-69Fa-'�00 169� *** 1 Q8.� (
CNG1
APPLICATION FOR PERMR
BUILDINC;
Por Offlce Use Only
RfC[I'T HO. I
7C
sT �DAT[�[C[IV[D ��
_ 91
�
6 E. Chapman Avenue ZONIN(i
ZON[ NO.OR YYtOIN[W •
�uns 2 euaoina Ch. a
DiiCRIR10N t i.6637
o a a —
n eles California 90036 A'F''NO.
IiOTQ: NO BAV6 OVCRHANO 8HALL 86 L888 TMAN
R RiARYMD�LO�-6��
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[Fr 1� RI6XT 15
DESCRIPTION OF WORK
X� .....�.��.... � � ..,,,,_..,..
WALL
Y flII 4V�ISiCX - LOC 14
1 HCPHpY ACRNOWL[D06 TXAT 1 NAV[ 116AD T1110 APPLIGTION
AN� BTATB THAT TX6 AlOV� It CORqtCT'AND AOR6[ TO COM.
PLY WITM ALL CITY OPOINANCf� AND 9TI1T[ LAWY R[OYI.ATINO
BYILpING CONeTRUCTON.
BIGNATURE OP
PERMITTE l
AUTHORIZGDA06 Q�
YARDB APPROVED
MAIN BUILDING
r�
vwn.#
p/6 � Bo. �.�
TX6 IIMOUNT 6XOW1
�UPPOB[ OP t6TAF
VALUATION
a o�� l��l % �
YARDSAPPROVfiD
ACCES80RYBUILDIN6
OA7E
✓ � �- �- a
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sis ��` yo a' �
unoen vewsnoH �e rox n�s �
IBMINO A PepMrt F86 ONLY.
�a - �
PERMITFEE $ F
36 - °
W
TOTAL FEE $ �0��
�
� OWNER p�RN� A. W.
�� JOB ADDRESS
�GENERAL C01
AP No1�7�' _p�
�INSPECTIONS
SOIL
w
ROUGH PLUMBING
SPRINKLING SYS
MISCELLANEOUS
ROUGH HEATING ANO AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNOERGROUN� � ❑OwEft �
ROUGH WIRING
iRENCHES � FOqMS � STEEL REINF.
FLOOR SVSTEM
BOND BEAM [ J STEEL REINFOftCE j-]
SHEATHING
FRAME ANO FLASHING
LAiHING - IN n _
P�ASTER, 6ROWN COA'
STRUCTURAL, FINAL
HEATING, VENT., REFF
DATE 5-6-7i
G191�
IRE ZONE VALUE
GROUP J TYPE
SUBCONTRACTOR
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
\
NhY—b-77cM;�OO 155 cJ+****�5.00
APPIICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
BUILDING ) / p . � RECEIVED ; TE F`CENED pATE ISSUE�
ADDRESS�J /pJ S � �/QL�C � C/ � �/ � � ^��
PERMIT NO.
OWNER A.P. N� S- 3 30.� �
MAIL BUILDING . i
ADORE55 ADDPESS
�OS�// %/ SA TEL.�� � TRACT LOT BLOCK
CITV NO.
CONSTRUCTION EW ADD ALTER P
LENOEF v
n
BRANCH
OWNER �,
ADDFESS VALUE ��
/����� � �
APCHITECT TEL. USE l�Ol/��'✓ S
OR ENGINEER N .
FIRE
ADDRESS ZONE TVPE GROUP
APPROVEO � �`
CONTRACTOR � BV DATE C,i /��
AODRESS
TEI. �ON NO.OF USE OF W
CITV NO. P�� BUIL�IN
STATE CITV �'ARDSAPPROVED YAPDSAPPROVED
LIC. NO. UC. NO. MAIN BUILDING ACCESSOFV BUILOING
SI2E � � NO.OF BLDGS. 1FROM C/L STftHET)
OF l0T S � Q'(J NOW ON LOT � FROM �T. FT.
USE OF
EXISTING BLDG. Y" �� • SI E FT. FT.
SIZE OF /D �./ �/_ � O.OF '7.G
NEWBLOG. I� w ROOMS STOPIES LSIDE Fi'T� Fr.
EXTERIOF WALI ROOF Y
COVERING COVERING REAR FT. FT.
USE OF BVIIDING AND WORK TO �E PERFOFMED DI5TANCE BET. BET. MAIN &
MAIN BLDGS. ACCESS. BLDGS.
VAR.�1`- DATE
—C�Q,4T� f�%'� c.u.P.# APPROVED
APPROVED /
� n �
I hereby acknowletlee tha[ I have reatl [his application end state
[hac ffie above informafion is rorreci antl agree ro comply wiffi
all laws regulating builtling construction, antl I shall nOt employ
any person in violation of the workman's compensatiOn laws of
ihe State of California. o
u
1 hereby certify that I em prop¢rly licensetl as a contrector untler SQ. FL '
che State ot California Businass antl Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDEF VALVATION IS FOR
Chapter 9, and that such licenses are in tull forca antl atfect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: �
am exempt fro provisions ot t e St of Calitornia Business
VALUATION L� �'� o
antl Protessio Cotl , Division 3, ap r 9. J� �
/ PEPMIT FEE $
Signature.o
0
Permittee LGv G. $.y i��. PIANCHECK$ -� �
��% (� ^ .`�r �
Au[horizetl Age S °
TOTAL FEE $