HomeMy WebLinkAbout3471 SANTA CLARA CIR - Building PermitsADDFEs50FBUILpNG: 3A%1 SANTA CLAAA CI uxr:
���E���CLUTE DOLORES R FLOOD; AH-38
ADDXESS3t}�]S �ANTA CLARA CIR
COSTA MESA,CA 92626
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LICENSEU COIRfl�CTOFS DECLANATION: 1 hereby Arm under penetly d pe�ury �hel I am I'renead uMer qwieions d Cheptar 9
(mmmmdrq xnh Seclion )W0) d Oiveion � d Ne B�rom entl Pmlasaiom GOEe. eM mY lice�ue b in INI brce vN aHee.
cm uc. No.: uc. cuss: uc. No.: E}CP :
Dme: Contreea:
OW NEN BUILDEH DECUPATION: 1 �ereby elfiem undar penely d par'ryry thel I em uamp Irom IM Contretlon littnsa law la IM
Idbwiq emmn (Sedion ]031.5 &miw�a end Rdassbne Code: My ely a couMy whiM repui�ee e paimG Io eonsbuel. alla. improre.
demd'nh, w repei eny sVudure, pior to ib eeuence. ebo requiree �he epplicen� la wich pam�n to file e aiB�eE etatemem thm M a ehe
ie licensed W��� �o ��e povieom ol the Conlredore License lew jCheqer 9(mmme�ip v.nh Seqion 1000) d Diveion 3 d tM
Busi�wae eM Prde»ba Codel or thel M a ehe ia examq �haelium vM iM beaie la ihe elb6� �emqion. MY videlion af Sedion
]031.5 by eny epplirent la e permil eubpae �he epplicant lo a civil panelry d ewl more t�en lie hundred Edlen �5500�.
❑ �.esawr�erainePbronrormrmmWmaes..;�nwapa�esine:edeoon,oemetion.vn��aoNe.wn�..ndinenrunu�.erwiimxMed
or dlered lor seb (SMion )016. Busiwm arM Prdeeaiona Code: Tlre Contredwa Licenae Law doae'wl eppyto en owrwrot prapeM
,.no wus a mww.. ma,�. �a � ao«.�,a, w«k n�,�u «n� «w«ron no a n., �,.mawm.. v�,�d.d mm.�n
improvamenle ara id imeMed a dlered lor aeb. tt, howevar, �M buiNirp w impiwanem ia sok wnhin wia yw d complmion, tM
�owiwrbuiNx hill heve iM burden d povieq M w ehe dk rid Wild a impwa lor IM rpoee W vab).
I. ea owner W IM1e pmpeM. ��dusn^y �nlreqirp xvlh licmeed convac�aie lo ua Hro qqM (Setlun ]OU. Bueineef eM
PMes4ms Coda: The CONradas l'xense lew doee m� e➢WY b en ox+w d �f �nv,�M a imWm'a Ihxeon end who
conVecia M wch prqaea �h e mmredor(e) licenxd Wnuem to IM Co I li �r4e w).
I � esmmq uMx Seclion: B. 8 P.C.. tor Mu reu -
me: � � O ` Ovmx: '�
do by wniy Ihel I em ewera d enE underetend the reQuiremenl ot CelAomie Heallh eM Sefery Code Seqiom 25505.25533, vM
. arM iMl 1 a enY �ura Wikinp euvpanl xill / wil ew� (�6 ma) mad to wmpy wih uN uma eodea eM iM requiremenb br
e eermn IwconabuctionwmodifimtionhomtMA"r�y . enepemem Dislna. ReeideMiel construd'on eppiceliwuere axemp Imm theae
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WOPKER'S COMPENS�TION DECLAPATION: I Mraby alfim� uiMar pereAy d pe�ury wre d tM Idlowirp detleretiom:
� I M1ere ud vnl meimen e uNficme d m amt lo eMinvi�a b xpken' canpeneeiion. o pwidad ta by Saruon �'!a0 d tM lebor
Cada, iw Ihe perl«mv�ce oi Hr v.aM la wNch Ihia pami� u iaued.
❑ ine.�.�dwi�m:.�.on�n��w�o��,�.m�ew�reawsec�s�ooama�no,coaa.ro�maoa+«�aine
woM I« which ihie permil ie is+ueE. MY wnFan' mmpencetan i�reurar�ce ramar eM pdiq numbar are:
c�
Policy Number.
(ih13 6Wian nBld MI Ge ttn�OblG'J IIMG��] i! /Of pN h1IMACCdlB/� .�i1W� p bp.)
� I cMry iM1d in �he paRormenca d �M wak iw whc� �hie pe�mn ie uaued, I dull rc� employ eny pe�wn in eny memwr eo av �o
becw�n wbjee �o �he v.wYeie' canperiaetun lewe d Celilamia. eM epree Net A 1 e1wuH becann wbjea to tM r.arYen'
companselion D�'ieiona d Seann 3100 d the lebar Coda, I ehell lo�thxit� mmON �h ihoae pmviaioru.
Dele: ApWcaM:
Weminp: F�N�n ro ucun woMxi mmpewtlon rov�ray� Is unlewlu( �ntlalvll HlHcf en �mp/qw ro cNMnel pm�Mp uW
clvll flroe up ro ons hunErod flauunOOdNn (St W,OW), In s001tlon b tln msf ol rompauaflon, Gemsp� as pnNded br In
9xtlon 91P6 0l tl,s LaborCotls, InNIu1. �M ettomsY'a /ws.
CONSTflUCT10N LENDINO POENCY: I Mreby efirm uMer peneXy d perjiry �hei IM1ere ia e mnmeueion Iwdinp egeney lor iM
p,name�e a m. wwx w.nKn �w oa�� b om,ee (s«aan J�. cN. c�.
LENDEB'S NI�NE: �
LEN�EH'S ��ORE55:
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T/ Fi�,NDY CLUTE
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CITY OF COSTA MESA — BUILDING PERMIT
PERM NO: B 081971
PERMIT NO: B 081971 PLAN CHECK NO; N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION : T/OFF RESHEATTH & REROOF W/COMP. SHINGLE SQ FT: 2,000
CLAIM VALUE: 2,000.00 CALC—VALUE: 2,000.00 GROUP OCC: R-3 /
COMMENTS: SMOKE DETECTORS ARE REQUIRED IN EVERY HEDROOM 6 HALLWAY, 1994 UBC
*ir***it**itiEit��f �eetifatif �r***iex�+r+�it��t*�rititiexiex+tx�*atx��*�x *r�rx x x �**it�x �r*x x�x��itit�rit**ititftit�it�* �
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
------------ MAIN HUILDING ---------- --------- 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
PAAKING REQ• PAOV: PARCEL: 41205140 ZNE: REF NO;
PLANNING NdTES> . .-
� ` t,.
1E 1f� 1E ik �E iE'1f� 1E iE fE 1E 1f if If IE 1E iE 1E I(� 1f iE 1f 1E IE if 1ElE �E 1E iE IE 181E IE IElE if 1E 741E 3E 1E iE fk iE iE iE iE 1flE 1E 1E 1E 1E 1f 1E 1ElE iElk 1f-1E 1f 1Flf� 1E i(� iE IF 1E 1E 1E iE 1E �E If 1E 1E iF
D E V E"`I. O P M E N T S E R V 2 C E S R E Q U I R E M E N T� S�
ZONING APPROVED HY DATE: ?
HUILDING APPROVED BY : DATE:
. �r p ^ ,
APPLICATION ISS,UED BY: f/Y�'� DATE: "
iE1Eif�1@18lkiFikiElklErtlElk.ifiFifiElElEiEfE�F7F7FiFiF�Fif'iFif7FiFiFiF7f3F7F�iF{FiFiF'iF�F3FiFif'�7F�fETfi�";F{flEifiElElEiE1E1E16iE ��1E
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL EGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 62.25 50
SMIP/NON-RES
PLAN '
ISSUE FEE
HUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 62.75 0.00 0.00 62.75 62,75 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 62.75 OVER/SHORT: ,00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
62.25 .50
iFiE1FiF1F1E1F1E1ElEIEIkiEiEfElEiflEfF1E1FIF1E1E1F�E1E1Ek1E1E1E1E1E1E1kfEiElElElEiEfEiEiE1F1Elf1EiE1flffEfFlEfEffiE1l1FlE1E1E1EiflEjkifff k*flIE1EiE1EiFlfiE
I N D I V I D U A L F E E H R E A K D O W N
TYPE QTY D E S C R I P T I O N ONIT COST TOTAL COST
SFR 2000 REROOF BY VALUE RESIDENTIAL N020NE 1.00 2,000.00
END OF FEES
���pK� ��r��roR
1"1���I�i�':D
(5151<B WP) While-Buildip 8 Sefey:Oreen-Fb: Cenery-AppYrent: Pink-Revenue; (iWEenro�M�an .
83-10-1997/18:46 pM/462.75
RCPTq:Al-AB83181
PERMIT:081971
.
CONSTRUCTION AND PLANNWG . � _ POOL & SPA �
� APPROVALS Permit # Date Inspector .� APQROVALS Permit # .j Date . Inspector
.
I
i. Temporary Electrical Service or Pole - 52. Pool & Equipment Location
� 2. Soii Pi�e-Undrgrnd. ' 53. Steel Reinforcemen:
�
- `3. �Electrical Conduit UtilityUndrgmd. , 54. Forms _
,�4.�Electrical Conduit�Undrgrnd. 55. Electrical8ondinq �, �
5�.'Steel Reinforcement � � - 56. Rough Pium6ing & Pressure Test _.
���6 �Electrical UFER Grnd. - 57. APPROVAL TO COVER•GUNITE - _ ` I
`.`r,7. iFootiogs 58. Electricai Conduit-Undrgmd.
�' ^-8< Foundation � 59. Gas Pipe, C Undrgrnd., Test
9. Water Pipe-Undrgmd. 60. Backwash Lines, P�TreR. C Undrqrnd.
70. Structural Floor SYstem �� 61. RPPROVA� TO DECK
11.;Property Sewer Line & House Connectioo � 62. Backwash & Recep[or�Final
12..Sewer Cap 63. Heater & Vent•Fina! - ' :
73. Roof Drains 64. Plumbing SYstem - Finai
14. Rough Plumbing � 65. Electrical-Final
�5. Rough ElectricabConduit � 66. Solar SYsiem�Final
76. Rough Electric Wiring - ' 67. Fencing & Rccess Approvai
17. Rough 4Viring Sign 68. APPROVED FOR P�ASTERING
18. Rough Electrical�T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL - i
79. Rough Hea:ing & Ai* Condition„ng � r._ ,_ ._ FI,RE DEPT. REQUIREMENT
20.�Ftough Pacto_ry Fir`epiace : �� � „�'-p . _ .- APPROV,AIS_'_ Permit # -
21. �Ducts, in�Structure 1 ' •• �� '. � � '� ` 70.�Underground tfydro
22.Au ts, Ventilatin � ' = . � � " m
S 4,;� � -a<, 77, Producc%F'iping�d�Gas �Oil
23. Gas Pipe-Ro�igh &'fkst - � = t� � =�'9 72. Underground F'tush � ' -
rt• �� rt. ' ' 'zi
24. Roof Fr�ning C' �`� �i;. ,- �� _.*': 73. UndergrncLStorage,Tank OGas C�OiI
25. Roof•Sh2athing � r � � ��� ' i4."'Overhead HVdrp . ' '
7' '
26. T-Bar Ceiling (Stry�tural� & Monocoat ;; ,` � :=`� 7�.,Dry Chemical < - ' -
27. Frame and Plashing:� ��';� '� o � 76. Dry StaRdpipe'= � _ _
� 28. Lathing.& Siding'� F"' 4�'�,; � x` ' • 77. FIXED:SYSTER!tFINAL-
�
29. Insulation �� .- " •• +' � ' � 78. FIRE PREV. FIt�IAL ; '
� 30. Drywali.Nailing � ;`� �, � �,., , � r � NEALTH OERT. REQUIREMENI"
...
- 31. Plaster Brown'Coat �<_' b�c- "� P" 79. FINAL lNSPGCT{6N .
' 32..Electriral Power Me��e}-Final , � ` � h "� 8�i FOOD CERTIFICAI"E �.SSUED. _ '
. � � , . ,. , ; .
; 33.:Fina1 Electric� .,- � t j Notes: -'� : - - , �
,
: 34._,Fina4 Heating�& P.:i�'Conqitionirig' �l ' ' �'" � - " - _ '�
e: � - -�C ti
� . .
35.�Final GaSPipe-Tesf;; � •. F : � - -� . --
36. Hood or�Canopy r - � ' `"� -� � r ,* - s- , ._ . � ,
_ t�� �r � Cl- � ~ � _ rt -r �
37. Final�Factory Fireplace �, � .F. - :. � ,� � _ �
' 38. Final Piumbing �' % ^ � "' � f " -� ; � " �
� n - "
c -. ~ , .
39. Wate`r Secvica,Pinal ., i , `" ' , '. � . _ - .
. 40. Gas Service-Final� � 'T �'�';- � ' � - �-'.' '"
�, - '� F
' 41. Solar potimesticFi�i�l - ;s r �� � �� f •- - ' . - - '
�. -
42. Backflow Preventer^ " �' ' ' • - "
� .I- h' K f 3; Y ^-
�� c
43. Backflow Irrigatitinr; �. �,� '� c �� J k� .- ,
44. Landscape Irfigation System-' �� $ '� "* r _ _ � � �
.� - r r
A5. � Sound Attertuation. '"'s -. , r .< - - �- _ 4 = _ - , , . �
:46. +�landicap•Regulations � + , ' - � . � _ '
. . _ .. -� .t� _ ���+ =/ .�-_
,¢7.•�FIMALSTRUCTCif�E & BUtLDWG ` 7 �-/ � `��:,�Y/' - " . -
� -a�, .
48.'fINAL PLANNING � � t� _. '� ;. `
1 x- - -
49. �lect'ric Reiease ta Edison ' _. __ ' -
50._Gas �ReleBse to Southem California Gas Co *' � _' ' '
r J.- �
51. CERTIFICATE OP OCCUPANCY ~ ' � - • � -' �
N4. Date
� l,
<G�ccK �
�" �` DECLARATION OF AUTHORITY
FOR AGENTS OF PROPERTY OWNER
TO APPLY FOR PERMITS
f��7fiNC�ta e�.ES
���7/ SANjH�-R�A �ie��f
Street Address
Bldg. Permit # — � � 1
This Permit #
(��CI-+r�MoUN
AP Number
1. I(we), �DLo ��S R. CL iJ T F , declare that I am the Owner of Title
of the above referenced real property, and that I(we) hereby authorize:
'�-(�t�k0�i�.-- Ct...�JT� q0 �j..S'y,� ".�.?S�'
Name � Telephone No.
I S�11 �(�.C, N I-� � L� D�l u..E
1 )'Y1�L��E� 4.J�� �I"f . 1 � �iGJ
City State Zip
to obtain permits in my behalf, as ownedbuilder, for ��/ 7 � ��TA ����A�� �CL E
atthe above referenced property.
2. Should any person become an employee engaged in the improvement of the property, I(we) shall im-
mediately 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 per-
son, company or corporation.
4. I agree to indemnify and hold the City of Costa Mesa and its employees or officers harmless from any
claim resuiting 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 ,� day of � 19�, ����z..?«P. �
�1 ��, o,e�.s �', �vrF Fl,ecff. i9, i997
Printed Name Date �---
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 bepalt`
NOT,
0779-46 (Rev. 2191)
AR1' PUBLiC SCATE OF FLO]
COMMTSSION N0. CCA01321
OWNER FRANK� Jack
JOBADDRE55 3471 Sant
GENERAL CONTRACTOR R�
AP No. q12-051�=40 LOT
INSPECTIONS
SOIL
GAS
WATER
ROl1GH PLUMBING
PROP. SWR. LINE Q HOUSE CON. �
SPRINKLING SVSTEM
MISCELLANEOUS
POIIGH HEATING AN� Alq CON�ITIONING
TEMPORAftY SERVICE Oq POLE
UNOERGROUN� Lf P
ROUGH WIRING
TRENCHES FORMS
FLOOR SYSTEM
BON� BEAM � STE
SHEATHING
FqAME ANO FLASHING
LPTHING - IN � f
PLASTER,BFOWN COAT
STRUCTURAL, FINAL
HEATING, VENT., REFRI
PLUMBING, FINFI ANO
ELECTRIC, FINAL
1 STEEL REINF.
REINFORCE n
DATE 4-14-75
BUILDING PERMIT N0.
SUeCONTRACTOR
39863
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626
A P IC
Fo� Applicani to Fill in Complefely R c
BUILDING
ADDRES (E /,
OWNEfl f F A.P. NO. YI
BUILDING
ADDRESS S'f}�y�,L ADORESS �
Z •
C U CITV � T /�, NOL TRACT
ZZ
Q CON5TRUCTION! W A
O N �ENDER
d m
J 7 BRANCH
J N OWNER 1
m� ADDIiESS
J 4 ARCHITECT TEI..
� OR ENG�NEER N
V �( FIRE
w (r ADORESS ZONE
aw
APPROVE
J p CONTRACTOR � �� � BV
mz
J ([ ADORESS s � �
F a+ � .. m: t� t:
'PR 14-75c;�<.OG �:s5 • 66.55
FOR BUILDING PERMIT
DA
PERMIT NO.
w W TEL. ZONE NO.OF USE OF NEW�
Zx CITV NO. �[ � P�� � BUILDING
r
w p STATE CITV VARDS APPFOVED VAROS APPROVED
y� LIC. NO. LIQ NO. MAIN BUILDING ACCESSORV BVILDI
= p SIZE NO.OF BLDCS. (FROM C/L S/Tp EET)
OF LOT NOW ON l0T FRONT (7 F7. � �%%�/ FT.
USEOF � ��/
EXI5TING BLDG. — tN C` S L
F^ SIZE OP NO. OF
�Z NEW BLDG. ROOMS I STORIES L.SIDE
U EXTERIOR WAL ROOF q
COVERING COVERING � J REAR L
J USE OF BUILDING AND ORK TO BE PERFO ED DISTANCE BET.
a L b MAIN BLOCS.
0.
Q VAF. �
� rp�, C.U.P. #
� ��/ O APPROVED
Z
O
vI hereby acknowled8a thet I M1ave reed this epplicetion antl siate
� ihat tha ebove information is correct antl agree to comply wlth
a all laws reg�latln8 buildinB consttuttion, end I shell not employ
�, any pers0� in viole[ion of the workman'a compensation laws ot
y Me State ot Califomia.
zI hereby cerxity that I am properly licensetl as a contractor untler S�
tha State of Cafifarnta Business and P�ofassions Code, DlWsicn 3, THE AMOV
C�aptar 9, antl that such licanws ere In tull force antl efteei, or I THE PURP0.'
em exempt from tha provisians of Ne State af Callfornie Business VALUATION
antl Profeisi0n5 e, 'vision 3, 0 iar 9
SlBnatute of ���
Permittee $
Authorizetl Agent
•� FT.
BET. MAIN &
ACCFSS. BLDGS.
DATE
APPFOVED
' ,,,TF L/-/Y-75
�
� a
IDER VALUATION IS FOR '
HIN6 A PEflMiT FEE ONLV: �
¢
��V m
IIT FEE 5 °'
]
m
CHECK $ �� E
G °
.,�� LL
L FEE $
� 29564
COSTA MESA BUILDINCrSAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 926t6
For Appllcanf 10 Fill In Completaly
TYPE OR PRINT
� U6E OP
COSTA ME$A, CALIFORNIA
leltzer Enterprises-Co;
144 South La Brea Avei
Erank Gonzales
1336 E. Chapma
�eoY � O
i[R RGRYARD 2�
LiFf rJ � ( RIOHT L$ �
DESCRIPTION OF WORK
I X I ALTGATION I momew
�R WALL I ROOF
Na GYu�rn COVlNINO
eui�ma �nn woeK ro es pce�c
DwellinQ and Attached
Plan 402CR - Lot 39
��
1 XHP6GY IICKHOWL6p06 TNAT I XAV6 RGD TXIP APPLIGTON
AND BTATB TNAT ill[ AGOV6 1� CORR6CT�AND AOpBi M COM.
PLY WITH ALL CITY OPDjNANCiY ANO RAT[ {,AWt R[OULAi1M0
Bl11LDIN0 CONBTRURION.
SIGNATURE OP
PERMITTfi �Q
AVTMORIS[D A06 lq -
)AN -7-69P=10OO 195 99.C(
CMS �G '��ki4t;.
APPLICATION FOR PERMR
BUILDIN(4
For OffTce Use Only
�Y
ZONINf3
NO.O� YYtOINI
�IAIU 7 lUILDIMO
YARCB MPROVED
MAIN BUILDINO
vwn.#
rxs �rourrr sxoy�
�UNPOB[ 0I �BiA
VALVATION
so��3�i`�
ao'
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YAROSAPPROVHD
ACGHi90RYBUILDINO
e
DAT6
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v�t��noH �e roa n�e �
A P6PMIT Ffi8 ONLY.
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