HomeMy WebLinkAbout2424 SANTA ANA AVE - Building Permits (5) ADORESS OF BUILDING: 2424 SANTA ANA AV we: A-202 CITY OF COSTA MESA - BUILDING PERMIT eq " - 00074
les NANLhIF KNOWN: 'CI Ansi MESA MIA PERM NO: B 086948
Aoonzs& 424 SANTA ANA At'
C.M. CA 92626 PERMIT NO: B 086948 PLAN CHECK NO: N GOVT: N SUPP : N
ApPL.WUlO10 ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
ANCHRECT OR ENOINEER: uO.NO.: JOB DESCRIPTION : REROOF W/1 LAYER COMP . OVER EXIST. SQ FT : 1 , 300
ARCH.OR ENQ'S ADDRESS: WIT:
CLAIM VALUE: 1 , 300 . 00 CALC-VALUE: 1 , 300 . 00 GROUP OCC: R-1 /
camacp,5NAt¢: RELIABLE ROOFING ( 714 ) 964-6441
camAcronsuanwo 20351 MEANDER LN COMMENTS : EXIST. 1 LAYER OF COMP .
ADDRESS: H.B . CA uc.No.: 347940 ***********************************ar**3taE+t**K•x--)t-)t SF-x+E, ****x-**at***at****-it***rE** tEN *
92646 UNT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby effrm under penalty of perjury OW I am fcaued under provisions of C...er 9 SETBACKS
(commencing with Section 7000)of Division a d the Business and Professions Code,end my license is in full face and effect.
No.:03 567 uC.CLASS: C 39 UC.NO: if' 94(J E1,Ii? : 09 C . MAIN BUILDING ACCEnSOP.Y BUILDING
FRNT: FT IN REAR : FT IN FRNT: FT IN REAR: FT IN
e corona . L410 �I. LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWN ' BUILDER DECLARATION:I hereby affirm under penalty d perjury that I am amp' rom the as Lice a Lew for the
talo . •meson(Sedion 7031.5 Rosana and Praesians Code:Any city a county which MOM..a Parma to answer,alter,improve. PARKING REQ: P RO V: PARCEL: 93489002 Z NE: REF NO:
doh.or repo any structure,prior to its imams.ago requires the applicant for such come to file a signed statement that he Or she PLANNING NOTES>
r W'Ca licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)d Division 3 of the
it/
'':'-n<siness and Professions Cale)or OW he or she Is exempt therefrom and the basis for the alleged exemption.Any violation d Sedan >
4it31.5by any applicant lot aperma subjects the abpinam to a civil penalty of not more than five hundred dollars[SSDDD. *********************************************************************y5*********
El I.as owner of the property or my employees wih wages es their scat compensation,will do the work,and the structure is not iMencled DEVELOPMENT SERVICES R E Q U I R E M E N %T' S
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply loan Owrerof popery
who bunds or inproves thereon,and who does such work limned or herself a Ihraph hi or her own employees,provided that such
improvements ars not intended or offered for tele.If.however,the building or Ynpovenem is sold within one yew of impletion.the ZONING APPROVED BYDATE: i"
ownerbuilder will have the burden of proving he or she did not build or improve for the purpose of sale).
-
O LasowrwdIhepmpeny,emex:uavelymdraci gwithlocoedconsctonrocansbudthepgw(Sersion7044.Busiesad BUILDING APPROVED BY : DATE:
mans Code:The Contractors License Law does not apply d
to an owner property or
who builds Improves thereon and who
contracts for such projects with a aNreda(s)licensed pursuant to the Contractors License Law). t
❑ lamexempt uderSwction: B.AP.C..fothireason: APPLICATION ISSUED BY ; e� DATE:
******************************************* * ******************** x e• z 4218
Dela: Owner.
Ae LEGALIZATION:N F E E SUMMARY STRUCTURAL .JEG4 NT:Y
1 do hereby certify that 1 am aware ol and understand the requirements of California Health end Safety Code Sections 25505,25533.end
2353x,and Nola any future building coapeswill/wD not(csgme)need tocompywih said daecodx and the requirements ler BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a pend for arawdbn or moddicalion from the As CluaTtyManapememt District.Reaidetiel conanctam appimiaro we exempt from these PERMIT 43 . 00 50
provisions.
Date: ApplicantSMIP/NON-RES
PLAN .
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury one al the following decimations: ISSUE FEE
❑ I have end wil maintain a certificate of coment to sathinsure for workers'compensation.as provided for by Section 3700ofthe Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code.for the pedamenceathe work for which this permit is issued. TOTALS----> 43 . 50 0 . 00 0 . 00 43 . 50 . 87 . 00 -43 . 50
pI have and wit wallah workers'compensation insurance.as required by Section 3700 d the Labor Code.for the performance el the
work for Meth this permit is issued.My workers'compensation insurance corner and policy number ere:
Carrier: STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 43. 50 OVER/SHORT: 00
Policy Number Gap—''ibUNIiii /'i 01 /01 99 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(masecfion need not be completed i thepermi is for one hundred dollars Moo or Ans.) , 43 . 00 .50
'❑ I arty that in thep ormance d the work for which this permit is issued,I shall nor employ cry pe any manner so) to
abjw to the warlhere'canperrllon lawsd CaDlaae,end agues Natdl ad .. I{ed to the ********************************************************dF**********************
1�r'r pian/ ss cl non moo a the Luba cgde -' mmpy wan I N D I V I D U A L F E E B R E A K D O W N
Irp:Fed AAA to care workers'conpenanCpn coverage I.oro �shall u elsnpl. � . nal pau/tee wee TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil Dns Up to ane hundred thousand da/ars($004000),In addition to the coat of compensation,damages es provided for In
Section 3706 of the Labor Code,Interest andwrorney'a lees SFR 1300 REROOF BY VALUE RESIDENTIAL NOZONE 44 . 00 1 , 300 . 00
CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty Of pe/ryry that then a a con%malum tending agency for is END OF FEES
performance of the work for whir,this permit if aimed(Section 3097.Civ.C). •
LENDER'S NAME: •
r.
LENDER'S ADDRESS: •
I tartly the I have read this application and Male that the above imonnetion is cored.t agree to comply with as cry end county ordinances
end stale laws musing to building construction end hereby authorize representatives of this cry to enter upon the above.mentoned property
krinsPeditnprr°a°`ERIC BOLOTIN 82-12-1998/04:27 DN/$43.58
��• Pea, iii;4 'II r .. T:086948
'v^v 'I, _ D Date; / 11� q PERMIT:086948
S veal v )'/�' p• .or
(5151 aa.WP) Whim-Bulking&Salary Green-Rte;Canary-Applcant;Pink-Revenue;Goldenrod-Assessor
CONSTRUCTION AND PLANNING POOL & SPA
, APPROVALS Permit # Date Inspector APPROVALS Permit # Oathyisspector
t
_� 1, Temporary Electrical Service or\Pole 52. Pool & Equipment Location'. -
i 1
2. Soil Pipe•Undrgrnd. 53. Steel Reinforcement
.r
3. Electrical Conduit Utility-UndLgtnd. 54. Forms _ _-
L
4. Electrical Conduit-Undrgrnd. r0 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test -',%o
6. Electrical OF ER Grnd- 57. APPROVAL TO COVER-GUNITE C.,
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation t - 59. Gas Pipe, 0 Undrgrnd.,Tett - t ,
9. Water Pipe•Undrgrnd. i 60. Backwash Lines,P-Trap,01 Undrgrnd.
10. Structural Floor System ( '7 61. APPROVAL TO DECK ,
11, Property Sewer Line & House Co tnection 62. Backwash & Receptor-Final
12. Sewer Cap 7 63. Heater & Vent-Final
13. Roof Drains - ) 64 . Plumbing System •• Final - -
14. Rough Plumbing _7.1"" 65. Electrical-Final --'
15. Rough Electrical-Conduit /7' `�
66.
7 _
_r Solar System-Final
16. Rough Electric Wiring r 67. Fencing & Access Approvat-41 y
17. Rough Wiring Sign " r� 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 OGas 0011
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. 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
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 2 r?
_LL '-- _ 0,1. 747 APC-14- 6 /C
T- ' -
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING 3 "e fir ems_ -.
48. FINAL PLANNING
1 49. Electric Release to Edison _ .4,.
-- 50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY .
No. Date
PROJECT ADDRESS: 2424 SANTA ANA AV UNIT: 202 CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 064565
OWNER'S NAME: BRAY, DOUGLAS 0
ADDRESS: 2424 SANTA ANA AVE 4tA202 PERMIT NO: P 064565 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA,CA 92627
CONSTRUCTION TYPE: 5—N PERMIT TYPE: PLU PURPOSE: OTH
ARCH/ENGINEER: REG.NO.:
ADDRESS: UNIT: JOB DESCRIPTION : RELOCATION OF WATER HEATER SQFT:
PERMITTEE: CLAIM VALUE: CALC—VALUE: GROUP OCC : R-3 /
ADDRESS: PROGRESSIVE DESIGNED PLMB ( 714 ) 580-3500
6 VANDERBILT B COMMENTS : NO 'B ' PERMIT INVOLVED.
IRVINE CA92718 *ac**rt*a6***ar***** EOE-I6�r**kE*a ******-N+r+rpt+E+l+edE*3F*ar--IrFrac*�Faf ********Tr*+t**********+t*+F*+r+r-N*
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of C ap er 9(commencing with Section Z Q N I N G R E U I R E M E N T S
70001 of Division 3 of the Business and Professions Code.and my license is in lull force and effect. S E T BQA C K S
CITY LIC.: STATE LIC.: CLASS: _
049 45 ' 334799 / _ F 36
Date:_la 2Z/A-3 Signature: / L —_ MAIN BUILDING ACCESSORY BUILDING
WORKERS'CO PENSArrTION DECLARATION: I hereby affirm that I have a certificate of consent to sell-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 N°:: WC120717046 EXP.DATE: 10/01 /94
COMPANY: VALLEY FORGE IN PARKING REQ PROV: PARCEL: 41221308 ZNE: REF NO:
0 Certified copy•s hereby furnished. LX Certified copy is filed with the city"Aiding Division. PLANNING NOTES>
/` /` >
vale: i a/L Z�9� Applicant 't5—.i ********************************************** iF*************************+F*****
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred(5110)or less). D E VELOP MEN T S ER V I C E Sr- REQUIR EMENT S
I certify that in the performance of the work for which this permit is issued.1 shall not employ any person in any manner so as to become
subject to the Workers'Compensation Laws of California- ZONING APPROVED BY
• DATE:
Date: Signature:
NOTICE:It.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.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for x
which this permit is issued(Section 3097.Civ.C). APPL ICAT ION ISSUED BY: './AL - DATE: 6 r..) 7
********************** — -*• - ***- •/ - - - - • . . . .********** - **
LENDER: ******************************************************************** -**********
ADDRESS: LEGALIZATION :N F E E SUMMARY STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE 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 7 , 0 0
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 2 5 R SMIP/NON—RES
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(5500). ISSUE FEE 20 . 00
I. as owner of the property or my employees with wages as their sole compensation. wit do the work, and the BUILD ING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL • PAID DUE
❑ structure is not intended or offered for sate(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 7 . 00 20 . 00 0 . 00 27. 00 27 . 00 • 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.It,however the building or
improvement is sold within one year ofcompletion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED : 27 . 00 OVER/SHORT: 00
lor the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 27 . 00
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with aconlractor(s)license pursuant to the Contractors'State License Law).I am aware ,x,******,*.***************************,N,******+E************************************
that proof of their Worker's Compensation insurance should be provided to me.
o I am exempt under Section: B.&P.C. IND I VIDUAL F E E BREAKDOWN
for this reason: TYPE QTY DESCR IP T ION UNIT COST TOTAL COST
Date: Owner: PLU 1 WATER HEATER AND/OR VENT
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and 7 . 00 7 . O O
25534 and that I or any future building occupant will/will not(circle one)need le comply with said state codes and the requirements for a END OF FEES
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that I have read this application and stale that the above information is correct.I agree to comply with all city and county
ordinances and stale laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned
property for inspec n purpos 5. C
//
Date: 1° 2a93 Signature: L^-S`" 01 00149404-00149404 TOT
DATE: 10/22/93 TINE: 10:21 27.00
Driver's License or Social Security
Applicant:Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNING POOL L A
APPROVALS Permit*r Date Inspector APPROVALS Permit ;r 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
l
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test .
6. Electrical UF ER 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, C: 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
I16. Rough Electric Wiring 67. Fencing & Access Approval
I 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 t
21. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating . 71. Product Piping 0 Gas ❑Oil
23. Gas Pipe-Rough &Test72. 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
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
35. Final Gas Pipe-Test
36. Hood or Canopy )
37. Final Factory Fireplace
-______
38. Final Plumbing u/e_e! L/��_
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 7
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date