HomeMy WebLinkAbout2311 SANTA ANA AVE - Building Permits •
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
PER NO. TRACT NO. LOT NO. UNIT NO. - 0887 12/04/67 23050 TL
CITY OF COSTA MESA CONSTRUCTION,PERMITp13 ��S/
Project Address 23 / 0 U ' •
Applicant's Mailing Addr 55 I C : emit
• his/r l YPE OF CONSTRUCTION NEW ADD U ALTERATION U REPAIR
CI ❑ DEMOLISH OTHER A-p-# - I Zone
Owner's Name �t4Phone DESCRIPTION II WOR S OF BLDG
Address 7'SI I I f ?crier Pr j /4170n S Main Building: Accessory Building:
E Z
Arch/Eng. I License No. TYPE OF PERMIT GRADING FOUNDATIO U STRUCTURAL T Front o
Address �1 ElTENANT CI ELECTRICAL El PLUMBING MECHANICAL B Rear N
• T ata
Contractor's Name C' oke AO" -1.7ZC ❑ OTHER - A _ I
�•y �.• PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N
Ad. ng) / 2i 'G. j' � K Left • G
ata CON ST RUCTION'TYPE - VALUATION$ $ R
L • E / d-sv ZONE GRADING CU.YDS. ACRES Ping. Ref.# Parking Req•/Prpy E
CONTRACTOR DECLARATION I,, I 1r, 1 '{ILJ O
I hereby affirm that I am licensed under •rovisions of Charter 9 (commencing Remarks: - Planning Notes: RE 1L. I �C - M
with section 7000) of Division 3 of •c.siness and Professions Code, and
my license is in full for.- and - - _ T
Licens- C a - A License o //rNl x - S
Date Signature -_ -. /J. 4I✓✓ W-. • PLUMBING FEES __
60 WORK 'Si CeMPENSATION DECLAR i ION / Bar Sink I Showers
I I hereby affirm that I have a certificate o'consent to self-Insure or, certificate ELECTRICAL FEES
of Workers' Compensation Insurance, or a titled copy thereof (Section •
1 3800, Lap. c. �/�� q�-- r --y� .�� Backflow Preventer Service Sink Automatic Washer Transformer ❑ 15-50 KW
Policy No. � T7 b71 Yom' Company rC'-�IT7IG Backflow Irrigation Sewer Cap0 50+ KW
�---- /]_s y'1T Construction Pole Sub.
• C . -- ' •-reby furnished. G1SuA-I-n.E3
' ertified copy is file• 'th the city uilding Division. Bathtubs Sewer Connection Cooking Unit Meter 0 u to 100 amps
Date 11-23-87 Applicant a SANTIAGO A/C —
P • • - •M WORKERS'COMPENSATION DECLARATION Clarifiers • Solar Collectors • _ Dishwasher Meter Dover 100 amps _. '
(This -c ion need not be completed if the permit i5 for one hundred($100)or -
less). Dishwasher Solar Piping 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 TankFan Motors❑0-1 HP ❑1 4-8
Workers' Compensation Laws of California.
_
Date Signature Floor Drains Swimming Pool w/Spa F.A.U.
•
NOTICE:If,after making this declaration, you should become subject to the Inc.Solar ❑9-15 HP 016-15+,
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal
comply with such provisions or this permit Shall be deemed revoked. Fixtures Microwave
CONSTRUCTION LENDING AGENCY 'Gas Service Outlets Water Closet Device Boxes
I hereby affirm that there is a construction lending agency for the performance Pole Light
of the work for which this permit s issued (Section 3097 Civ. C.) Interceptors Water Heater '
Lender's Name Outlets Range
Lender's Address I�' � Kitchen Sink- Water Service . Switches
OWNER BUILDER DECLARATION Sign
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
following reason (Section 7031.5 Business and Professional Code: Any city or - Garbage Disposal Standing Sections
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 is licensed pursuant to the provisions of ,Roof Drains •
the Contractor's License Law (Chapter 9(commencing with Section 7000)of
Division-3 of the Business 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 for a permit subjects the applicant to a civil
e!nalty of not more than five hundred dollars($500).
U 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 I $15 Issue Fee ' $ 3
for sale (Section 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 DEVELOPMENT SERVICES REQUIREMENTS:. -
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0
sale. if, however, the building or improvement is sold within one year of com- - Canopy Type II 0 Zoning Approved By Date
-prove for the owner will have the burden of proving he/she did not build or Un- Duct-Under Ground - Building Approved By ' l\ Date Z/��_y/1
'prove the purpose of sale). •-(2°--
builds
//
0 I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural • Refrigeration System Application Issued By Date
tractors to construct the project (Section 7044, Business and Professions Code: '; I
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 0.100,000 BTU ❑100,000 BTU •-Ir
builds or improves thereon, and who contracts for such projects with a con- SUMMARY OF FEES
tractor(s) license pursuant to the Contractor's License Law). i am aware that I BUILDING PERMIT $ SMIP $
Exhaust System ❑ Multiple❑ System Repair/Alteration
proof oftheir Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT I1DA/11Yficy
❑ I am exempt under Section B. & P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ r lr�l�
Date 0 OwnerHeating System& Ducting 8. Registers - ENERGY P.C. $
u PLAN CHECK 25% $
I hereby ce ify th. I have read this application and state that the above I X0.100,000 BTU 0100,000 BTL 4 DUGRADING $
informatio is corre t. I agree to co •ly AP all city and county ordinances ELECTRICAL $
and state ii ws reia ing-to-b i ding • tar ion, and ereby authoriz- repre- •
PLAN CHECK 50% (� MICROFILM $ A
inspecves of this to tom.•• e abo '-• entioned prop rty for $ •
inspection •urpos -. •,/„ MECHANICAL $' • rate
���I TOTA FL F Ea $
Signature •
.�/ - 7 �Ij(l(J
Drivers' License •r SS# , `� to S Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ •1• .I- I -Tit"
OSIO
I;iCMF 0865-46,rev. 10/84 White - Building: Canary - Applicant; Pink -Accounting;Goldenrod - Assessor / •'1-2550
•
CONSTRUCTION AND PLANNING POOL &SPA
fjPPROVALS - Permit# Date Inspector APPROVALS • Permit# Date Inspector
s,
1. Temporary Electrical-Ser-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 Grind. 57. APPROVAL TO COVER-GUNiTE
7.2Footings : 58. Electrical Conduit-Undrgrnd.'.'_`
.8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test!_
9.-Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
T0,-Siructural 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
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 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical ti
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. 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 (ID .
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. Backf low Irrigation '
•
44. Landscape Irrigation System
45. Sound Attenuation • '
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING t
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co -
51. CERTIFICATE OF OCCUPANCY •
No. Date
ADDRESS OF BUILDING: 2311 SANTA ANA AV uM7: - CITY OF COSTA MESA - BUILDING PERMIT
mons'WIEIFIOpV*GREGG, DONALD E PERM NO: B 086337
Ames:GREGG, SUSAN P
2311 SANTA ANA AVE
ei COSTA MESA,CA 92627 PERMIT NO: B 086337 PLAN CHECK NO: N GOVT: N SUPP: N
I.
APPL.PAWNS ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: STIR PURPOSE: OTH
ARCHITECT OR DIMMER: UC.NO: JOB DESCRIPTION : T/OFF & REROOF W/COMP. SQ FT: 4 , 953
ARMOR ENG.'S ADDRESS: WIT:
CLAIM VALUE: 4, 953. 00 CALC-VALUE: 4 , 953 . 00 GROUP OCC: R-3 /
coNmAcrarstMMeCRANK BROS ROOFING CO (714 ) 548-5569
ccnmAcroWSMulmO 126 COMMERCIAL WAY COMMENTS: X
Acons&COSTA MESA CA MAO.: 408677 *+rRE*+rBE******Rr*+E***sE*RE*******RE*+rRERB***RE**RESE*Ric*sr*RE*RE***RE***.*.***+r***RERE****BE******RE*
92627 MT: ZONING REQUIR EMEN TS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I em licensed under provisions of Chapter 9 SETBACKS
(commencing with Section 7000)of Oyiaon 3 of the Business end Professions Code,and my lice n full force and effect
c 0.:005993 uc.cuss: C39 u .: 40867 P. 06/98 MAIN BUILDING ACCESSORY BUILDING
�� �,T� FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
' Done: ,2-29-9 / Contractor: f—r LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OW R BUILDER DECLARATION:I hereby affirm under perjury that I ern exempt from the Contractors License Law for the
I reason(Sedin7031.5 Business and Professions ny city or county which requires a permit to construct,alter.improve. PARKING REQ: PROV: PARCEL: 11913321 ZNE: REF NO:
demolish.or repair any stmcture,prior to ina
s issuance.also e the applicant for such permit to file a signed statement that he or she PLANNING NOTES>--
S licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)d Dbeion 3 of the
Business and Professions Code)or that he or she S exempt therefrom and the basis for the alleged exemption.Any violation a Section >r
7031.5 by any applicant for a permit subjects the applicant to anvil penally of not more than five hundred dollen 155OMD. ***************.****************************************************************
t 0 I,as owner of the properly or my employees with wages as thea role compensation,will do the work,end the structure is nol intended D E V E L O P M E N T SERVICES R E Q U I R E M E N TL,S
\ or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property
who heeds or improves thereon,and who does such work himself or hersel or through he or her own employees,provided that such
improvements are not mlended«offered for safe.t,however,the wilding re improvement is sold within«e year of completnon.the ZONING APPROVED'-BY DATE:
own«-0u8:ler will have the burden of proving he or she did not build or improve for the purpose of sale).
❑ I,as owner of the property,ant exclusively rmtradig with licensed contractors to construct the project(Section 7044.Business and BUILDING APPROVED BY
Professions Code:The Contractors a License Law does not apply to on owner of rspropertyiewhoL builds or improves Iherean and who DATE: MN n'
contractsofor such pheCo with a LicenL) pursuant to the rmw° t
❑ I ern exempt under Section: B.AP.C.,for this reasore APPLICATION ISSUED BY: DATE:
********************************************** * *************** . ., - **
Date: Owner: LEGALIZATION:N F E E SUMMARY . STRUCTURAL 'EGME 'T:Y
I do hereby certify that I ant aware of and understand the requirements of California Health and Safely Code Sections 25505,25533,and
25534, wlor any rapre cati nfom thent CriNP/ lrat nagem ntD)seedtocomtly wine°kstate
napptcodes and the emptfmm ts for
these BLDG PMT PLUMBING ELECTRIC MECHANIC _ FIRE SMIP/RES GRADING
ppovsions. etmction«modnfiralionhamthsAa uOThrenegemenl Dislta.Residential construction eppimtionae«axamgfromtheee PERMIT • 99 . 75
provisions. . 50
Dale: Applicant: SM I P/NON-RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following deduations: ISSUE FEE
❑ Ihave and will maintain acertificate oconsent toself-insure for workers'comp»maon.=prov
tiidedfobySection3700oftheLabor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code,f«the petm «
aa .amw
. «kf«wicnsis b
k this petued. TOTALS----> . 100 . 25 0. 00 0 . 00 100. 25 100 . 25 . 00
•n l have and will maintain workers'compensation insurance,as required by Section 3700 a the Labor Code,for the performance a the
X' work for which this permit is issued.My workers compensation insurance canner and policy number are:
Carrier STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 100. 25 OVER/SHORT: .00
Policy Number: 285-95UN11.114 01 /01 /98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need not be completed i the pemii is for one hundred dollars($100)or lase.) 99 .75 . 50
Ythatinthepeceathehthio
• nissued,Ishdlretsm•• anypersoninanymannereoasto
sucttothewonders'compenwionlawsaC: . :.andagreethatt , • • becomeaubjedtotheworkers' **** **** ** **** * ** ** ******* * * *tion provisions a Session 700 of the Labor Cade . .Ifoenw th sem . .• INDIVIDUAL FEE BREAKDOWN
/ •�28 .97 Applliiiccaaantt`:I.. �_
civlmi urep/ro one secure
e rewed lfrenUcompensation
nd"pde/1nsatire ncov,104, fxw to to and cwfla bjjecmoae pit tdat asprovid.ea,m TYPE
QTY DESCRIPTIO N UNIT COST TOTAL COST
Section 3706 of the Labor Code,Interest,and attorney eels SFR 4953 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 4 , 953 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that then is a con-emotion lending agency for Ilse END OF FEES
performance of the work her which the perm/is issued(Section 3097.CM,C).
LENDER'S NAME:
LENDER'S ADDRESS:
•
I certify that I have read this application and stale that the above information is coned.I agree to comply with all oft and county ordinances
and stale laws relating to building construction and hereby authorize representmkes of this city to enter upon the above-mentioned property
for inspection purposes.JIM `a-ANK 12-29-1997/03:26 N1/£111,.25
, ��nl1r. . a Dat12 Zy--`l7 RT : 086337
'�� Pe=kP1ZT a 0863.37
03
Si sora of OvmerfAgentA'•i+�% tractor
(5151 d6.WP) White-Building 6 Safety:Green-Ate:Canary-Appicanl:Pink-Revenue:Goldenrod-Assessor
CONSTRUCTION AND PLANNING POOL & SPA
1. APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
•
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location '
2. Soil Pipe-Undrgtnd, 53. Steel Reinforcement
.13y:Electrical Conduit-lf ility-Uridrgrnd. 54. Forms
'- `,4•. Electrical CondttiittUndrgrnd. 55. Electrical Bonding 2
-.5. Steel Reinforcement; 56. Rough Plumbing & Pressure Test
6t.Electrical LIFERtrnd. 57. APPROVAL TO COVER-GUNITE
yr.f :Fte"Footings ;� 58. Electrical Conani,•Undrgrnd.
s?8.r Foundation ir¢ 59. Gas Pipe, 0 Undrgrnd., Test
9.�Water Pipe•Unidigr.nd.- es
60. Backwash Lin ,cR-Trap, D Undrgrnd.
10. Structural Floor System I 61. APPROVAL 1%
' DECK
11. Property SewerLin4etC
& Housonnection 62. Backwash & Receptor-Final
•• 12. Sewer Cap ._ 63.63. Heater & Vent-Final
13. Roof Drains - 64. Plumbing System - Final '
14. Rough Plumbin a-
9 9 �� .< - 65. Electrical-Final
15. Rough Electrical-Conduit •• 66. Solar System-F%nal
16. Rough ElectridWiring _ ' 67. Fencing
Rough Wiring Sign I 68. APPROVED FOR PLASTERING
n;-
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19._Rough I5eating &-Air Conditioning
:'- t, � -, t : 7 ^ FIRBDEPTFREQUIREMENT .d
. ... _ ..
- to '-i-JL ---' r„ .r
20.:Rough Feicto><y Fireplace ' � 'tr. 't‹ t S "' -. APF54OV4 'kSP• mit# -
21.,Ducts,in 6tructurg.* i -, r -, 'TIFF •-' 70:Under round Hydro >'
n
22.7-pug-s, Venti%ting-`* _ ' ` i n F x C 71- Produc{ iping-C7Gas In x r. T r . . J
23. Gas Ptpea`rio �h&lest -c `7 - r c S.x Ct 72. Underground Hushu sr
24. Roof Framing f' - n I . �'I' 7 , Under rpd.Stogy e
.ti -1 o r,3, ` g afj ,Tan O Gas ❑Oil
25..Roof Sheathing k ( f-,I? % i'14:Overhead Hydroa s.
Ks.
26.'CT-Bar Ceiling (Structural) & MCn0coat t 0 �' �' •'Dry Che cal`; _
y. '7 t > is t-,nJ rr j •- ., _. .
en
i, 27. frame ao�i Fishing,: ,_,,� r >I*. 76. Dry Stapdpipa�,... e i _
28. Lathing&Siding st _-.'.• 7:- l':
I i i. 7 . FIXEDSYST'E'tyrFINF%I_` z
29. Insulation z :i:- m c ..1: S A. FIRE PREV. FINIAL *
30. Drywall Nailing is " it F' i �;� -� HEALTH DEPT.pEOUIFHEMENT
31. Plaster Biown�Coat, ': ern:. ;, � .- 'r 79. FINALTN$PECTION : 1 _ :7
< 32. `ElectricaCPower Meter-Final i' i y; ,r- 80. FOOD CERTIFICATE ISSUED r,
33.-Fina Electric: k ., 1 1 * - " -...tri Si -' -11x. Notes: 1, m t^ s
34.c'inai..Heating'& Air.Copditionin'g' "1 x > I is: ti •-• t-.cC .-t th
. . -' ...1 q l •r!•. c-
i
;' eh 35..Final Gas`Pipe•Test�sCM I nv ,, •
-1
e•
r AC -
-• 36.•HoodorCanopy t n Gr--: " 1' I i ;t •n r^ ., Irr
<-. KT ,: ' Ti
37. Final'Factory Fireplace''- ' E-4,.'",, " t '.it. 1�
• 38. Final Plumbing , * 1 , S ,w• '�
39. Water Service-Finals = s' t..-- I 1 r _' ::? . I
•. 40. Gas Service-Final * ' ns-t-, ?; is • i �? 11
j7• v S d
._ .. . ._, Yr , - ,.
• 41.,Solar Domestic-FinSi _ t I rri `t u _ i: •- ._
42. Backflow 'y #Preventer.:. _ x
•- ITS i
f %' T!Zit, { ,
43. Backflow Irrigation': .7, 'r '- = •�
!g z:Vr e- r3 if r,
r44. -Landscape Irrigation System .X ci I.
,� . t _ t= D'X i _ -
,45.CSound Aftemlation1 .. ' •' s' ,• Fl t''1' C . t'
K T K n x
';46. Handicap'Regulations - s •* n r,,' .J
47.FU
INAL ST & BUILDING /......7,,16, j "" _
' `
is
48.^FINAL P,LANNING J Y. 7 :
ADDRESSDRBUIt.W : 2311 SANTA ANA AV UMT: CITY OF COSTA MESA — BUILDING PERMIT
aTEWSNwEIFKNmlGREGG, DONALD E PERM NO: P 082221
Amnss:GREGG, SUSAN P
2311 SANTA ANA AVE PERMIT NO: P 082221 PLAN CHECK NO: N GOVT: N SUPP: N
rOSTA MESA, CA 92627722-6234
APP.,MMUN0 ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: 0TH
ARCHITECT OR MOW: arc.NO.: JOB DESCRIPTION : DISHWASHER CHANGE OUT SQ FT :
ARCH.ON ENG.'S ADDRESS: WIT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
CDmumoSNAMeNOCK PLUMBING ( 714 ) 895-1246
coNmACTDRSIINlmG11612 KNOTT ST COMMENTS : NO OTHER WORK ASSOCIATED WITH THIS PERMIT
AODREss:GARDEN GROVE CA utpc. 707775 +t****************+F***************FE*a*Ft+E************rt*+EFE ******* ******+E****+t**
92841 wit 17 ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I em licensed under provisions of Chapter 9 SETBACK S
(commencing with Section 7000)of Division 3 of the Business and Professions Coda,and my license S in frit force and effect.
cmuc.NaOS03 6 i.mm.ms:C-36 u 707775 EXP: 02 /98 MAIN BUILDING ACCESSORY BUILDING
^}, p FRNT: IN REAR: FT IN FRNT: FT IN REAR: FT IN
Dale: C/ �� / [ 1 contr..: -\-----r— LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I herebyy Ann under penalty of perjury that I am exempt from the Contractors License Law 1«the
following reason(Section 7031.5 Business and Professions Code:Any city Or county whish requires a permit to construct.alter.improve, PARKING REQ: P ROV: PARCEL: 11913321 Z NE: REF NO:
demolish,or repel any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she
PLANNING NOTES>
is licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code]or that he or she S exempt therefrom and the basis for the alleged exemption.Ary violation of Section >
7031.s by and applicant fore permit subjects the applicant to a mid penalty of not more than free hundred dollars($500D. ************irk******************1k*********************irk**********if**************
❑ Las owner or the progeny«my employees with wages as their sole oompeaation,will m the work.and the structure a not wended DEVELOPMENT SERVICES REQUIREMENTS
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply loan owner of property
who bolds or improves thereon.and who does such work himself or herself«tlu«qh hi Or her own employees.Provided that such
improvements ere not intended or offend for'Wet however,the building or improvement S sold within me year of cenplerin,the ZONING APPROVED BYDATE:
owner.dalder will have the Baden of proving he or she did not build or improve for the purpose of sale).
❑ I.as owner of the property.ant exclusively contracting with licensed contractors to construct the project(Section 7044.Business and BUILDING APPROVED BY DATE:
Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon and who
contracts for such projects with a contractors)licensed pursuant to the Contractors License Law). Q
❑ Iemexempt under Seron: B.SP.C..f«meneeeqn: APPLICATION ISSUED BY: DATE: 3- 3( J32
1E**1E dk*dl ib lE**1E dE 1E**gE 1E**1E 1g 1g*161E 1E 1F**1E 1E**1E 1f**1F 9E***********1F it**1f 1F ib**1l lk ib*1E*1E 1f*1E 1f**** *1k 16
Date: owns: LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT: N
I do hereby certify that I ant aware of and understand the requirements of Callan°Health and Safety Code Sections 25505,25533,and
1553e,and Mai loamy Mus building oupant willfwD not one) with said ane codes end the requirements lot BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a permit for construction or modification from the Ai OualyManagement DNNrict.Residential construction applications an exempt from these
Provisions. PERMIT 8 , 75
Date: Applicant: 25% - SMIP/NON—RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: ISSUE FEE 22 . 00
❑ I have and wig maintain a certicale cl consent to seginsure ke workers'compensationas provided for by Sedion 3700 of the Labor BUILDING—DIV—> PERMIT ISSUE PLAN=CHECK TOTAL PAID DUE
Code.for the prmaKeauew«kf« ild ®
wepemr . ued. TOTALS----> 8 . 75 22 . 00 0 , 00 30 , 75 30 . 75 , 00
X❑ I have end,Ml maintain workers'compensation insurance.es required by Section 3700 of the Labor Code,for the performance of the
work for whish this permit is issued.My woken'compensation insurance denier and policy number are:
Carrier: GODEN EAGLE EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 30 .75 OVER/SHORT: . 00
Policy Number: NWC. 32114101 09/01 /97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This section need not be completed I the permit is for one hundred dollars(51001 or len) 30 . 75
❑ 1 sanity that in the performance of the work for which this permit is issued.I shag not employ any person in any manner so as to
become subject to the workers' pesation laws of California, and ag that if I become subject to the wakes' 1E1E1EiEiEi(-1E1E*1E*ik1F1E*1fiE1F1E1fiElfiElEiEiE1E1F1EiE1E1E1E1F1EiE1E1E1E1E1E1E1I-1E1E1E1E*1E1E1E1E1E**1k1E****1F1f-1E1E1E1Eif1E*1E*1E1E1f1E*1E*
compensation pmliosT d Sea' 3700 a forth the Labor Code,I shag fowith trda p r;siaa. I N D I VI D UAL F E E BR EAKDOWN
37
Dae: '. ) 1 G ) Apptiam:
Warning:Falun to secureworken'compensation covsnpe Is unlawful,and shall subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines tis to one hrndred thousand dollen($193,000A In adNfbn to the amu of compensation,damages s as provided for In
Seaton 3705 of the Labor Code,!newest end attorneys feet PLU 1 DISHWASHER 8 . 75 8 . 75
CONSTRUCTION LENDING AGENCY: I hereby eKm under penally of perjury that there is a omanndion lending agency for the END OF FEES ♦ /:--.• 1 ,�^
performance of the work for which this permit a issued(Section 3097,CN.C). S +�, t
.1 f3
LENDER'S NAME: /j aw cati._.:.
• LENDER'S ADDRESS: T�y T r/ A .._4 V 1 'c,:,\(
Icandy that l have read Neapplication and mate that the above information is coned.l aoreel°comply with°Ddty and county ordinances Fi1LP E c„1y MAR a} 1997 .
and slate laws rants to beading construction end hereby authorize represedatNes el this city 10 enter upon the above.meatoned«oprry ���...111i MAR C7
for inspection g«°°eamRON NOCK
-m-
Prim Name DArE.f J� Ct7Y of.COSTA 14
...: 31 ; i /t7
Signature of QnerlAgenVApplankCmtrad« �
(5tav
51 da,WP)
LMule-Buddkq&Safely;Green-File:Canary-Applicant;pink-Revenue;Goldenrod-assessor
CONSTRUCTION AND PLANNING - • POOL & SPA
APPROVALS Permit# .Date inspector APPROVALS Permit Date Inspec
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. electrical Conduit Utility-Undrgrnd. 54. Forms
'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 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 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 0 Gas 0 Oil
23. Gas Pipe-Rough & Test - ' -- 72. Underground Flush
24. Roof Framing _ _ 73. Undergrnd.Storage Tank O Gas ❑Oil
25. Roof Sheathing 74. Overhead Hydro _ .
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical -
27. Frame and Flashing 76. Dry Standpipe - '
28. Latching & Siding 77. FIXED SYSTEM FINAL
29. Insulation - 78. FIRE PREY. FINAL - -
30. Drywall Nailing 1 . HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION ._r
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: - - -
34. Final Heating.& Air'Conuitioning ^ / _
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. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY 1
No Date
Vnl\Ln VVlrinli Mt:,.blbb.11; 1':. umI 14-.GU-13
JOB ADDRESS 2311 Santa Ma,Ave. BUILDING PERMIT NO. 37751
'GENERAL CONTRACTOR Overby and Son DESCRIPTION of WORKAdd Bedroom and Bath to Res.
;AP No.119-133-21 LOT TRACT FIRE ZONE VALUE $ 5,200.00
!° INSPECTIONS - Signature Date TYPE 1( GROUP I ZONE In
SOIL N� SI�-thi -) 3, SUBCONTRACTOR PERMITS ISSUED
GASDote Number J
Signature
WATER g
ROUGH PLUMBING 21,09//4-7�j_ net.e...,, Y l a--1/.-}d 6Y7 G
PROP. SWR. LINE oHOUSE CON. ElC
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ED POWER ❑
ROUGH WIRING Heating and Vent.
TRENCHES (Th.—FORMS LLiSTEEL REINF. fp-- /L4Ch--1..7-'75 o-'-tnl-,L /52-2•61 1-02-7Sr/6 67 v
FLOOR SYSTEM
•
BOND BEAM fl STEEL REINFORCE 7
SHEATHING e'g'-7/4
FRAME AND FLASHING : �-/
LATHING - IN f�,OUT h// /« ��
-F-
PLASTER. BROWN COAT t/ ea 7- _
STRUCTURAL, FINAL _ _ •
HEATING. VENT., REFRIG. AND A.C., FINAL �T..••• i'' / • �'6C'J, �L.t3�? • I ��.�p'�L r/'r��I� "�
PLUMBING, FINAL AND GAS TEST - r X-Or - !21 62eet. a -/q-/f-.37O05 —.
ELECTRIC, FINAL / t 5
BUILDING, FINAL �-j_ ,)$
FAIL 00 811* ****148.505 I "FC 25-739M5-;
i
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
P IC TION FOR BUILDING PERMIT
For lApplic�arnt to Fill in Completely
BUILDIADDRESS .4J// //y 424-4,,-- 4O-V-C/� RE I E C= DATE RECEIVED /.MIT NO.
• ISSUED _
OWNER Q. N✓e_G.. .z G, USy . A.P. NO. � — !7/v/__ G
MAIL / BUILDING L` /y'�/�I
Z '/
ADDRESS �(1lwn..t. ADDRESS . 30i �cLN'h 4HAY. c
d0 CITY NO.SYB-SO7 TRACTS[) LOT JO/ BLOCK
Z Z
CONSTRUCTION NEW ADD ALTER REPAIR MOVING OFMOI ASH
-0. m LENDER i .�(
-. 7 BRANCH `� /� /�-1 z/ )����
J N OWNER L S a••. L/
<W ADDRESS ....--
-lie / VALUEm J
'
-CO ARCHITECT TEL. S I • /n / $ l/
JNOR ENGINEER - NO.TEL. /Of
U
Wa /j e /J )� '®
CC ADDRESS 74/i /t..-c-1 J . L- : /r( ,
a w CONTRACTOR (}4,...{y(.�x ,/ tr..--/ BYAPPROVE•tr�
W2 C,f • •
rEENI
J Q
co Z ,/ ee �
J cc ADDRESS 7..$LL Ill
w w �,r • NO.OF USE OF NEW
TEL.Z= CITY (14•4"t Af (.o-ni NO.5347_Jj7f PLANS BUILDING IIV • 1 1
H
—0 STATE CITY YARDS APPROVED YARDS APPROVED
Li)w 242-/YL /723
O LIC.NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING
r SIZE / �/ /, / • .r /NO.OF BLOCS. (FROM C/L ST�[R51�EE ET)//
OF LOT GQ tet, L- INOW ON LOT FRONT 071-6p''/1 a FT.
USE OF
EXISTING BLDG. „/247..,„/247..,1 FL SIDE 4”/�FT. FT.
I— SIZE OF NO.OF T
ZZ NEW BLDG./. X,.70 ROOMS / STORIES/ / L.SIDE �/ FT. / FT.
U COVERINGERIOR ALL - fi . e RO0F
a 1. ✓ • REAR a�LEFj./7& / FT.
J USE OF BUILDIN AN W RK TO BE PERFOR E}pe ✓ DISTANCE BET. BET. MAIN&
0- .� iC�=�+ LtZ e•Ldvrai ✓ ✓'•�la.J. MAIN BLDGS. ACCESS. BLDCS.
0
Q VAR.* DATE
O C.U.P.* APPROVED
I—
C/3
APPROVED/, /�D DATE I
Z tom(/ (It)01hereby acknowledge that I have read this application and statethat the above information is correct and agree to comply with
all laws regulating building construction, and I shall not employ
F any person In violation of the workman's compensation laws of _
cn the State of California. o
l q vg
? I hereby certify that I am properly licensed as a contractor under v L� 5' . FT. o
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are in full force end effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
CC
am exempt from tl a provisions of the State of California Business
VALUATION �J ...,.�J)
and Professions Cone, Division 3,Chapter 9. PERMIT FEE $ 3 /J•p v m
Signature of [// 6 '� E
Permittee •/ ' ay, $� � ` PLAN CHECK $ /✓ L+ m
�// _ syi U.LL
Authorized Agent TOTAL FEE $