HomeMy WebLinkAbout1036 SEA BREEZE DR - Building Permits i•
ADDRESS: 1036 SEA BREEZE DR UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 054087 -
AjsNAME: PACIFIC TERRACE H.O.A• ,
- ODRES5: 1500 ADAMS AV PERMIT NO: .B 054087 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA, CA 92626
CONSTRUCTION TYPE: 5—N PERMIT TYPE; STR PURPOSE: ALT
ARCHIENGINEEA: REG.NO.: JOBDESCRIPTION : REROOF DUPLEX W/3-TAB ASPHALT SHINGLES SQ FT; 2 156
ADDRESS: UNIT: •,
CLAIM VALUE: • 2, 156 . 00 CALC—VALUE: 2, 156 . 00 GROUP OCC; R-3 /
PERMITTEE: ELLIOTT ROOF MAINTENANCE ( 714 ) 997-4938 •
ADDRESS: 324 S EARLHAM •
COMMENTS: INCLUDES OF SEA BREEZE" ALSO • TCl� (�
- ORANGE CA 92669 ********+P*�F�F *********�E�E*sP*****�6*+EyE**�P�P*�P�E*+r�P�E�R*�E***�E*** x F xx�x(�R .1ei�sE'
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS •
7000)of Division 3 of the Business and Professors Code.and my license is in full force and effect. SETBACK S. REQUIRED
CITY LIC.: 03 965 STATE LIC.:2665344 Cuss: C-39 •
/
Date: 3 ��9i v Signature:— % / gE6_1 l MAIN BUILDING ACCESSORY BUILDING
WORKERS'CO6PENSATION 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 Insuranceyor a certified copy thereof(Section 3800.Lab.a. LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN- .
POLICY NO.: 571 /85 f EXP.DATE: .�/01 /92 • . Q •
7 Cenu,,,ieNNNdcSTATE opy is hereby furnished.
EX Ce 'copy is filed with the cityBuimmgDivision. LANNINGKING RNOTES> PROV: PARCEL; 93529006 ZNE: REF NO:
Date: �/ y.�i 9j Applicant: s% **************************************1F***!F**iF***1E*lElE***********3E**lE*'iE**Y:.Ik*1F)F**
EXEMPTI /FROMWO KERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(MOM or less). DEVELOPMENT ' S E R V I C E REQUIREMEWTT
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 .
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE: �•r." •
•Date: Signature: •
NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY ; • . DATE:
• Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. a
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY; . �✓` DATE: Z
which this permit is issued(Section 3097.Civ.C). ****************1(**** *****3f#7F*******si*******sF ********BE%********* • • n
LENDER: "DUPLEX" STRUCTURE ****************************************************************************.N.** .
ADDRESS: "DUPLEX" STRUCTURELEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING • ELECTRIC MECHANIC FIRE SMI P/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 54 . 00 . 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 SMIP/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN •
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by
any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred ollars($500). ISSUE FEE
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT :ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or of for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS---->
54 . 50 0. 0 0 0 . 00 54 . 50 5 4 5 0 .00
does not apply to an owner of a properly 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 ' REVENUE DIVISION TOTALS--> COLLECTED• 54 . 50 OVER/SHORT; 00
improvementthe is sold le)hin one year otcompletion.the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CH
forroe ens of sale). ECK
I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 5 4 OO 50
' ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves(hereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware ****************************************************************************4Fi,*.
root proof m weir Worker's Compensation insurance should be provided to me. • I N D I V I D U •A L F E E BREAKDOWN
❑ I am exempt under Section: B. &P.C.
•
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL 'COST
Dale: Owner: SFR 2156 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 2, 156 .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 • D
25534 and that I or any future building occupant will/will not(circle one)need to comply with said stale codes and the requirements for a - -
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from • ,
these provisions.
Date: Applicant: '
Phereby certify that I have read this application d stale that the above information is correct.I agree to comply with all city an ounty .
"ordinances and state laws relating to building c struction and hereby authorize represseee�nntttaa�—tives of this city to enter upon the above- entioned
propedy for inspection purposes. �) // C D0E: 09/25/991 TII 8E Tel-'" `•L 5U
y/ y/y7 �/ J ,A�-r DATE: Q9/25/91 iIf3E. 13:15
Oriso s' Signatwe
Driver's License or Social Security •
1641.46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue;Goldenrod—Assessor
STRUCTION AND PLANNING POOL & SPA `
Date -'Inspector Date �Inspector
-ROVALS Permit# APPROVALS Permit #
1. Temporary Electrical Service or:Pole - . 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement .
-- 3.-Electrical Conduit Ufility-Undrgrnd:-, • - _ -54- Forms' •
4.-Electrical Conduiti•ipdrgrnd. . - •"55. Electrical Bonding
%5.-'35. Reinforcement - - '-'56. Rough Plumbing & Pressure Test
• '6.:1Eiectrical OFER'.Grnd. _ •; .57. APPROVAL TO COVER-GUNITE
r.S 7.'.Footings = '.4 •58. Electrical Conduit-Undrgrnd. •.
•
` '8. Foundation °' ,` - r'',59. Gas Pipe, 0 Undrgrnd., Test •
9. Water Pipe-Undrgrnd. •A 160. Backwash Lines,P-Trap, 0 Undrgrnd.
X10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewei-Line & House Conriection 62. Backwash & Receptor-Final •
12. Sewer Cap - 63. Heater & Vent-Final -
1 .
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing • - � 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric-Miring - 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. Roush Factory Fireplace h. 2-
;. • •APPROVALS•-^-Permit #
21-Duets,inStructu e "• •. ` - _ , '70. Unde?grouhd HYddro .. '
Ii
22. Ducts, Ventilating'- •] +t• :71. Product Piping O'Gas 0Oil
23.,Gas Pipe`Rough & Test .;, 72. Underground Flustr
t'
24Roof Framing
„ - -- . - =73..Undergrnd.Storage-Tank 0 Gas. 0 Oil
25. Roof Sheathing • • . , ' ." '74• .Overhead'Hydro-:- `
26`T-Bar Ceiling (Structural) &.Monocoat u7 75-Dry Chemical
27--Frame and Flashing ), t A • 't ti f 76. Dry Standpipe -7,k; s - t
28. Lathing& Siding" t.[�. i tl, r • •: rt 77 FIXED SYSTEM EINAL
29. Insulation `• - ' ' : , 78�-FIRE PREV. FINAL ; .� - „
1 V L.
730. Drywall-Nailing -._ - y yHEALTH:DEPT,. REQUIREMENT
31. Plaster B'rowq Coat; , ' ,t ! .. ` ‘,79.--FINAL INSPECTION - -
••,32._Electrical Power Meter-Finals - ` , P ,$0.1-FOOD CERTIFICATE ISSUED
;33;'Final Electric Lc ' ' 1 t'Notes: Z. > !„r
it
34:Final Heating& Air Conditidnik .' ., t:, - _
35.:Final GatPipe-Pipe - .. '- _ .t - ,C
•36jHoodor.Canopv 1• I •I • xrn
-37. 'Final Factory Fireplace t • ' ,• iu - . >: -- - - .
I •'
-38. Final Plu ,mbing - - .. . , ,r- , rt } 1 ' -
N 'U
'39. Water Service-Final. V CC> , ,H •-rn Jn tt.
-
40. Gas Service-Final Y -. - ; ,, I ; - 't _
;41. Solar Domestic-Final - • w 1r •• - '
•. .r -fir.• - 9 Y . •
42`Backflow.Preventrer ' `j V - _ x -
-
43. Backflow Irrigation; ...• • .t -,
;44. Landscape Irr.iga it System,_; =
1
- t,• _ '•`••,-1 `
r-r L" ?:.
45._Sound Attenuasioo p- -- .. -•
- ) ) i1- -:17., --
n. y•
-46.-Handicap•RegulaIionsG - _ ' ' ' •' - - - •'
• • M
47. FINAL STRUCTty1fi 76UILDING - �� •- -i
-'
48[FINALPLANNING >`ry..l•' ' - r - • -., ,, -
-49.-Electric Release,to,Edrm ; . n >` u; _
50. Gas Release to Southern California Gas Co • '� • ;
L. CERTIFICATE OF OCCUPANCY •
- - -
No. ` Date
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA CO $TRU'/}(`TION PERMIT T PE R/�IT N,Q.�1 6L--i TRACT NO. LO�I/NNU. I UNIT NO.
• Project Address ;-10 I'� lJ f['/' Ur /1!/ a H ADD Ll ALTERATION H REPAI R
Applicant'sSILi2' b IYPE OF CONSTRUCTION LI NEWf
ee 'sNameMailing Address o Ave-„ Ie''C ❑ CONVERSION ❑ DEMOLISH ❑ OTHER
- A.P.# , Zone
Owner's 1Q36 Se rNe' n� phone.650-, 120 DESCRIPTION OF WORK/USE OF BLDG. - •
Address 1036 Se,,L bf L;.�' A• 5 Main Building: Accessory Building:
Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING�❑/FOUNDATION ❑ STRUCTURAL E Front •• O
Address r1 ❑ TENANT ❑ ELECTRICAL LJ PLUMBING ❑ MECHANICAL BA Rear N
Contractor's Name AML f ICO I'Infw Setolces Phone Z1'H)Z80 ❑ OTHER C Right . N
Address(mailing) 51 ?�1y�1 ^' I� PROJECTRUN DESCRIPTION SQ. FT. ION $OCCUPANCY
K f • •
u2-44.1111&
Uv CONSTRUCTION CTION TYPE VALUATION $ $ Left G
City License No. • ZONE GRADING CU.YDS. ACRESR
' LICENSED CONTRACTOR DECLARATION Ping. Ref.4 Parking Req./Provided E
' I herebyaffirm that I ani licensed underprovisions of Charter 9 (commencingQ
Remarks: PlanningNO �CEIVED JUN 1 41989 ' M
with section 7000) of Division 3 of the Business and Professions Code,and -
T•
my license Is in full fffrce a tl effect. / 1J C
License Class 1.••- Lic nse No. -6. 1N - - • - - S•
Date SAP/piSignature PLUMBING •FEES
loORKERS'COMPENSATION DELL RATION Bar Sink • Showers ELECTRICAL • FEES •
ereby affirm that I have a certificate of consent to self-insure or a certificate _
Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink
14.1 .,00, Lab. C.) 0R�� Automatic Washer Transformer ❑ 15-50 KW
Policy No.70014 101512101512 C Company L..SIN-Lty.hbfM>a .1dS Backflow Irri ation Sewer Ca ❑ 50+KW
,
9 p Construction Pale Sub.
ertifie c p s h by furnished.iii _
Cer with the city Bp ilding DivisiopL.j� ' Bathtubs i Sewer Connection Cooking Unit Meter ❑up to 100 amps
11 Date' Applicant I1 Merica, I c . .Cef J.Lei -
EXEMPT ON M WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps '
• (This section need not be completed if the permit is for one hundred ($100)or �,,yy,,([[����.,��,•�•��. q� '
less). ) Dishwasher 041LSolar Piping • aC(D Dryers ❑Gas ❑Electric Sub Panel •
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 subject to the Drinking Fountains Solar Tank ' Fan Motors❑O.1 HP ❑1%-8
Workers' Compensation Laws of California. -
Date Signature Floor Drains Swimming Pool w/Spa F.A.U. - Inc.Solar 09-15 HP D16-154-
NOTICE:If,after making this declaration,you should become subject to the
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks - Urinal Fixtures Microwave'
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes
r I hereby affirm that there is a construction lending agency for the performance Pole Light •
• of the work for which this permit is issued (Section 3097 Tlv. C.) Interceptors Water Heater • Outlets Ran e
Lender's Name 9
Lender's Address - . Kitchen Sink Water Service Switches • Sign -
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from.the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city or '
county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays Generator ❑0-5 KW ❑5-15 KW -
any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor
to file a signed statement that he/she isilicensed pursuant to the provisions of Roof Drains •
the Contractor's License Law (Chapter 9 (commencing with Section 7000) of
'vision 3 of the.Business and Professions Code) or that he/she is exempt - •
srefrom and the basis for the alleged exemption. Any violation of Section
131.5 by any applicant for a permit subjects the. applicant to a civil _ ,
. LIenalty of not more than five hundred dollars($500).
I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
compensation,• will do the work, and the structure is not intended or offered - - Reinspection Fee ! $15 Issue Fee • -$ 3 -
for sale (Secion 7044, Business and Professional Code: The Contractor's MECHANICAL FEES . - •
License Law 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 •Hood or 'Type I 0 DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not Intended or offered for Boiler
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 Zoning Approved By Date qq z
prove for the owner se of have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By - Date
prove the purpose theproperty,oe).
❑ as o the exclusively contracting ing with lssionsd ode- Duct-Structural Refrigeration System Application Issued By —Dat
• Theconstructtheproject (Section7044,
PrContractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU 0100,000 BTU ;SUMMARY OF FEES
builds or improves thereon,and.who contracts for such projects with-a con- _•
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System'0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $
proof of their Worker's Compensation insurance should be provided to me. _ - PLAN CHECK $ PERMIT
•
0'1 am exempt under Section B. & P.C.for this reason Firepl/Fact.Blt. ICBG 4 Fire Dampers PLUMBING $ ISSUANCE $
Date Owner • Heating System & Ducting • Registers
PLAN CHECK 25% $ ENERGY P.C. $ '
I hereby certify that I have read this application and state that the above ' ❑O-100,000 BTU 0100,0006T ELECTRICAL $ GRADING $ • "
•
information is correct. I agree to comply with all city and county ordinances - - I _
and-state laws relating to building construction,and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ • '
sentatives of t is city' to enter upon the above-mentioned property for - _
inspection purp es. TOTAL FEE $ �f�+
/� I 1 / ¢ q MECHANICAL $
•
Signature "a Date `� lO h1- I •
MECHANICAL
or 55# Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
- US uut.WJtUS-UUUJ:?fVS I IJ t
CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor O#1E: 06/19/89 TINT': 15.00 flu'
_••
•
CONSTRUCTION AND'PLANNING POOL & SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# • Date Inspector
1: Temporary ElectricahSer-vice 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-GU-NJITE
7. Footings ' 58. Electrical Conduit-Undrgrndt:
8. Foundation 1 59. Gas Pipe, 0 Undrgrnd., Test
9. Water PipejIndrgrnd. - 60. Backwash Lines, P-Trap, O Undrgrnd.
C--
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
•r
•
13. Roof Drains 64. Plumbing System - Final t-%
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 ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush •
24. Roof Framing 73. Undergrnd.Storage Tank O Gas O Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27."Frame and Flashing 76.'Dry Standpipe '
28. Lathing & Siding 77. F,t$(ED 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 -1 - Q CAO
•
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.-FINAL STRUCTURE & BUILDING r r
48'. Special Requirements Completed -
49. Electric Release to Edison - -
50. Gas Release to Southern California Gas Co - •
51. CERTIFICATE OF OCCUPANCY -
No. Date -