HomeMy WebLinkAbout1585 SAN BERNARDINO PL - Building PermitskitPflOJECTaDORE55: 1585 SAN BERNARDINO PI. UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 063287
OWNER'SNAME:GERRISH, RUTH M
ADDREss: 1585 SAN BERNARDINO PL PERMIT NO: B 063287 PLAN CHECK NO; N G0V`1'; N SUPP: N
COSTA MESA,CA 92627
CONSTRUCTION TYPE; V—N PERMIT TYPE; STR PURPOSE; ALT
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/OFF REROOF W/BUILT—UP ROOFING SQ FT: 1, 900
ADDRESS: UNIT:
CLAIM VALUE: 3, 900 . 00 CALC—VALUE; 3,900 , 00 GROUP OCC; R-3 /
PERMITTEE:
BURR ROOFING ( 714 ) 548-2965 _
ADDRESS; 711 WEELO DR COMMENTS: SMOKE DETECTOR REQUIRED IN THE HOME REROOF 2000SF iF� r /�
CM92627 CA 92627 ********�E*****IE*******x**** **1 **************SE***? **r*x.*)E***Q 4tl k4-04 , 4.EGTOP
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS _
7000)of Division 3 of the Business and Professions Code.and my license is in lull force and effect. SETBACKS
CITY LIC.'011621 STATELIC.:30215 GLA's —39 ���.dU����
`—, Date'��)—ria Signature: _�_ _J� .� MAIN BUILDING ACCESSORY tb,Z1'iLDING
/ WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate 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.:1016 5 3 0-93 EXP.DATE: 07/01 /94
commANY:STATE PARKING RE PROV; PARCEL: 42532130 ZNE: REF NO:
0 Certified copy is hereby furnished. �] Certified copy is filepryith the(\/gilding Division. PLANNING NOTES>.
c---,�L Dale; Z 3 Applicant: / *************If li*****************************************************f(,l,E*********
/ EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5100)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 not employ any person in any manner so as to become to
subject to the Workers'Compensation Laws of California. ZONING APPROVE BY DATE: ''—
Date: Signature: ._ /.'
NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPRO,VtED BY : • DATE
Code.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 the performance of the work for APPLICATION ISSUED B Y• C1
DATE. Z�/5which this permit is issued(Section 3097,Civ.Cl. *************KA iF`1(.l(-************************** ************************ .1it. **x-x i****
LENDER: **************if****************************************************** *********
ADDRESS: LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT: Y
OWNER BUILDER DECLARATION: I hereby affirm that am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE ?i
' SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve.demolish,or PERMIT 63 . 00 !`r ,50
repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed -
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business - SMIP/NON—R ES
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 t . i.;1
I. as owner of the property 01 my employees with wages as their sole compensation. will do the work. and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL I., ' PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTAL S————> 63 . 50 0 . 00 0 . 00 63 . 50 63 . 50 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own employees,provided that such improvements are not intended or offered for sale. If.however the building or ' /
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 TOTAL S——> COLLECTED; 63. 50 OVER•/SHORTi: . 00
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT 4 GRADING PLAN—CHECK
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 63 . 00 . 50
❑ and Professions Code' The Contractors'State License Law does not apply to an owner of property who builds or improves thereon .3 j
and who contracts for such projects with a contractor(s)license pursuant to theContractors'State License Law). lam aware *.*..**.*-**.***.,**.*,*.***.*****.*.**.**..***.***.*,*x.**********.*.*******.***,*,**;,*J*-**.******.****. ***,*
That proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B.4,P.C. INDIVIDUAL F E E BREAKDOVN '.
for thisreas°": TYPE QTY DESCRIPTIO N UNIT COST ' TOTAL COST
Date: ' Owner: 23
SFR 3900 REROOF BY VALUE RESIDENTIAL NOZONE 1... 15:` 0 3, 900 , 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533.and END OF FEES ' �� + 'Y
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a ,
permit for construction or modification from the Air Quality Management District,Residential construction applications are exempt from '.
these provisions, .1' 4
• n1
Date: Applicant:
•
I hereby certify that I have read this application and slate that the above information is correct.I agree to comply with all city and county in
ordinances and state laws relating to building construction and hereby ihuri resentatives of this city to enter upon the above-mentioned
- il
` proper`t/y-7foinspedionrposes. 47
`"-+ Date'./! 1p' Signature-
( Driver's License or Social Security 4: 00144009-00444010 T CET63..5
4e White— D
Is4t
White—Building,Green—code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor DATE: 08J02/90 TIME: 13:16
POOL & SPA
CONSTRUCTION AND PLANNING
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 Reinforcement56. Rough Plumbing& Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings • 58. Electrical Conduit-Undrgrnd.
8. Foundation ! `•!j 59. Gas Pipe, 0 Undrgrnd.,Test
�,�
9. Water Pipe-Undrgrnd. t ;r z.; 60. Backwash Lines,P-Trap, ❑ Undrgrnd. ( I
10. Structural Floor System _ 61, APPROVAL TO DECK
11. Property Sewer Line &tiou`se$`_(Connectioii -? 62. Backwash & Receptor-Final -I, '
12. Sewer Cap . • • 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System- Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS' •'Permit# '
21. Ducts, in Structure 70. Underground Hydro
22. Ducts,Ventilating . _ - 71. Product Piping ❑Gas d Oil 4
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing Sr-5-3/4.q 3 6 WLR 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat
75. Dry Chemical
27, Frame and Flashing - • - 76. Dry Standpipe
28. Lathing& Siding I I i 77. FIXED SYSTEM FINAL
29. Insulation I i 78. FIRE PREY. FINAL
t (
30. Drywall Nailing I HEALTH DEPT:REQUIREMENT
31. Plaster Brown Coat I }. 79. FINAL INSPECTION
32. Electrical Power Meter-Final I I 80. FOOD CERTIFICATE ISSUED
1
33. Final Electric i Notes:
34. Final Heating & Air Conditioning
i
35. Final Gas Pipe-Test i
36. Hood or Canopy I ,-
37. Final Factory Fireplace j
38. Final Plumbing - I I 1
39. Water Service-Final I 1
40. Gas Service-Final
41. Solar Domestic-Final I
42. Backf low Preventer .
43. Backflow Irrigation u _ /yam . I+
44. Landscape Irrigati2n System - - 1 -1� 6a ,.e S!_�., �C` �
45. Sound Attenuation.-.', (--5---G 3_ n � /
46. Handicap Regulatigts
47. FINAL STRUCTURE & 8U)LD)NG 7-tv_13 �'W�
48. FINAL PLANNING - t--.-;
49. Electric Release tq Edison . -1
e i
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
-
No. - Date
OWNER GERRISH,_NRS. HOWARD DATE 7-10-59
JOB ADDRESS 1585 San Bernardino P1, BUILDING PERMIT NO. 9826
GENERAL CONTRACTOR Owner-builder VALUE $ 630,00
AP. No. LOT TRACT FIRE ZONE DESCRIPTION OF WORK patio
INSPECTIONS DATE I GROUP J TYPE V ZONE
Underground Soil U.G. Water PERMITS ISSUED
Underground Gas SUBCONTRACTOR DATE _ NUMDER
Overhead Water and Gas
Rough Heating
Rough Plumbing
Miscellaneous
Prop. Swr. Line House Con. St. Swr.
Sprinkling System
Heating, Final
Plumbing Fixtures _
Final Gas Test
Construction Pole
Underground Power
Rough Wiring �f(.lj.rS{> 6Yet ygen ~/-1/�-/ ,1'/.Z �J!
Trenches Forms Steel
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
Sheathing d-9-C,( 7 - 3
Frame and Flashing 9ev-tD' ).-5a-57
Lathing, In Out __
Plaster, brown coat
Plumbing Fixtures, Final
Electric Fixtures, Final
Building, Final /� /
OCCUPANCY �j
Form 410-3M-4-59 9826
9826L L VAT �1 959
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P.O.BOX 317 COSTA MESA. CALIFORNIA CITY OF COSTA MESA
FOR APPLICANT TO.F/LL IN COMPLETELY • APPLICATION FOR PERMIT
TYPE OR PRINT ..°Z c.E BUILDING
BUILDING tarn �EPfL/ ref3/4jy'�9-
ADDRESS �J
/Myyf�Jj•CO/STA MESA. CALIFORNIA FOR
FOR OFF/CE USE ONLY
OWNER M 3 /"Y .4PD .V,fl4"/f/f f . (e�J, RECEIPT NO, I. ye/ilia/49.
MAIL .
ATE
ADDRESS ,..fd Agri
p[� R.(J O� OJ-IU RECEIVED
11 7-/0------ /
CITY t�•$,l(-7 /"�.`L7/ TEL,,,
NO: ILDING
ADDRESS
ARCHITECT �/'g��- LIG. / VE' COSTA MESA. CALIFORNIA
OR ENGINEER // NO//4'/•
t •
_ r. GROUP 3
ZONE TYPE
FIRE
ADDRESS
*l�ji STATE APPROVED /^ YD
CONTRACTOR ' n 7 ! t /iY
LIC. . BY /0-.5,V_S
ADDRESS 4S
ZONING _
LEGAL LOT spy ,.. / `�c!/ ZONE I NO.OF I USE OF NEW
DESCRIPTION I/NO. / BLOCK,, / / ITRACT / PLANS n BUILDING//
A.P.NO. II I fl/_ y APPROVED'/ ?I9/ DATE / ^-70't57
BY Y
SIZE 1 NO.OF BLDGS. A YARDS EVES
OF LOT /� � NOW O/N�LOT REQUIRED ALLOWED
USE OF �agei affil �'/ FRONT LINE ST.) /J"O FT. IN.
EXISTING BLDG. . .
/ (CENTER
SETBACK LINE FROM Oq�
CENTER OF STREET REAR YARD R.SIDE FT. IN. _
SIDE YARD LEFT I RIGHT r L.SIDE 57,
/ FT. IN.
DESCRIPTION OF WORK
-iai Ne REAR FT. IN.
NEW VC: II I ALTERATION II ADDITION I / -
REPAIR I MOVING NO.OF //II DEMOLISH I / A 7 P.�'Y I' ' 5! e
BUSIZE DING�j�'�✓/X///J�J ROOMS / STORIES / - 7�, 7�/O-s f
EXTERIOR ROOF
COVERING WAL�/A:J7/_!+"'..,COVERING/4 4t"4 2 y,USE OF BUIL ID NG'AND WORK TO BE PERFORMED
•
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION -
AND STATE THAT THE ABOVE )8 CORRECT AND AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
PLY WITH ALL CITY ORDINANCES AND STATE LAWS EGULATING PURPOSE OF ESTABLISHING A PERMIT FEE oNiv.
BUILDING CON TTRR/Uy/CCTICON. ���./i[f(r//p •
VALUATION
SIGNATURE O /`/-/ sWN 'J PERMIT FEE $ /'�-
PERMITTEE `// /
$ /_ 3 _PLAN CHECK $
AUTHORIZED AGENT `(l /L, TOTAL FEE $ 4(•