HomeMy WebLinkAbout937 SENATE ST - Building Permits(714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DFIVE, COS7A MESA, GA 92626
BUILDING PERMIT
Job Address: 937 SENATE ST
Suite:
Vicinity: ROOF
Primary Occ: R3
Parcel Number: 42238316
Applicant: LEIGHTON, SYLVIA A TR
Address: 937 SENATE ST
COSTA MESA, CA �
Owner: LEIGHTON,SYLVIAATR
Address 937�SENATE ST .
- COSTA MESA, CA � "
Contractor: OW N E R-BU ILD ER
Address:
Zip:
Aroh :
Address:
Phone:
Type of Construction: V-N
Zoning:
Phone:
Zip: 926273331
Phone:
Zip: 92627-3331
Phone:
License: � 000000
� Eng:
- � . Address:
Status: ISSUED
Applied: 07/12/2005
Issued: 07/12/2005
ISSUED BY: �'�—�
Phone:
Zip: , . License: License:
` ' i SCOPE OF PERMIT
TEAR OFF EXISTWG COMP SHINGLES�AND REROOF WITH COMP SHINGLES ON AT7ACHED HOUSE AND GARAGE. REPAIR AND REPLACE
SHEATHING AS NEEDED.
Plan Check: $0.00
Permit: $83.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
FEESUMMARY
Total: $83.75., t� -. ��-• .,
�i. �. �.
SETBACKS �� �, � � .'- � �
i , :�,
MAIN STRUCTURE�Front. 0- 0; ..� ,,�Rear 0- 0
ACCESSORY Front � 0- 0 Rear 0- 0
PARKING Existin : 0 Required: 0
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation: gz,5oo.00
Claim Valuation: g2,soo.00
Righ( -0. 0 . �
Right 0-0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutas and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
tor a period of 180 days.
INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspeetione and tlnel approval musl be obtained. Failure to obtain inspections and final approval will result in the expiration of this permil.
FOH INSPECTIONS CALL: (714) 7545626
2448-4816/00)
WORKERS'COMPENSATON DECLARATION: j�
I hereby eNirm under penalry of perjury one ot the followinp declarations: �/' .�
❑ I heve end will maintein a certificate of consent to selFlnsure br workere' compen5ation, as prodded for by section 3700 ot the Labor Code, br the pertormence of the
wark for whlch lhi5 permil is issuetl.
❑ I �ave and will maintain workers' compenSaUon Insurance, es required by section 3700 oi Ihe Lebor COAe, for ihe peAortnanca ot ihe work for which this pertnit is Issued.
My workers' compensation Insurence carrier antl policy numbar ere:
Carti�r: .. . .. . . ... . . . . . Palicy Number.
one hundred dollars ($700) or less.)
�l I certity that in tha paAortnance of the work for which this permit is issued, I shall not employ eny pereon in eny manner so es to become su0lad to the workers'
compensetion lews of Califomie, end egree the If I should become suD�ect to the workers' compensetlon provisions oi Sectlon 3700 oi iha Lebor Code, I shall fohhwllh
comply with these ovisi ns. [-�
AppllcenLSigne e: G� Date:,_. ��� UJ
f'3..._ � ' ` �
WARNINO(FAILURE T URE WORKE � OM ENS/� �N COVEPAGE IS UNUWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIhllNAL PENALTIES AND CML FlNES UP TOONE HUNDRE�
THWSANDDOLLARE ,000),INADDITIONTOTHEQR OFCOMPENSATION,DAMAGESASPROVIDEDFOFINSECilON31060FTHELABORCODE,IMEREST,ANDATTORNEV5FEE5.
LICENSED CONTRACTORS DECLARATION:
I hereby aflirm Ihat 1 em Iicensed untler provislons ot Chapter 9(commendng with Sectlon 7000) of Division 3 of tha Business and Professions Code, and my Iicense is in full
torce entl etlect. Lic. x Gass a
Contrectofs Signature: Date:
CONSTNUCTION LENDING AGENCY:
❑ I hereby afrirm Ihet Ihere is e construction lending agency for ihe performence of tha work for which ihis parmit is Issuetl. (Sec. 3097, Civll Cotle).
Lentlefs Neme: LendeYs Adtlress:
Signature: Dale:
OWNER-BUILDER DECLARA710N5:
I hereDy attirtn thet under panalry of perjury ihet I em EXEMP7 FHOM 7HE CONiAACTORS LICENSE LAW for the tollowing reeson (Sec. 7031.5, Business entl Professions
Code: My Gry or counry which requires e pertnit to construct, alter, impmve, demolis�, or repair eny siructure, pnor to Its Issuance, elso requires the applicant tor such pertnit
to file a signed stetemem Ihat he or sha is IlcenseA pursuant to the provlsions at Ne ContreIXors LJcense Lew (Chapter 9(commendng with Sectlon 7000) of Division 3 of ihe
Busin�ss entl Professions Code) or thet he or she is axempt iheretrom end ihe basis lor ihe allegetl exemption. Any violatlon af Sectlon 7031.5 by any epplicent for e partnit
subjects ihe epplicent to a civil penalry of not more Ihen Ma hundred tlollars (SSW ).):
���I,.ls owner ol ihe properry, or my employees wlih weges as their sole compensatlon, WILL DO TTIE WORK, and the structura Is not Intended or oHeretl for sale (Sec.
��7044, Business antl Professions Code: 7�e Contractors License Law does not apply to en owner of property who builds or impmves thereon, end who does such work
himself or herself or t�rough his or her own employees, provided that such improvemenis ere not intentletl or ottered lor sele. It, however, Ne building or Improvement is
sold within one year ot completioq the owner�Guilder will have the burden of proving that he or she did not Cuild or improve tor Duryose of sale.). �
❑ I, es owner ol Ihe property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to conslruct the project (Sec. 7044, Business entl Professions
Cotle: The contractars License Lew Ooes not epply to an owner of propeny who huiltls or Impmves Ihereon, end who contracis for such project with e camractor(s)
license pursuent to ihe Contrectors Licensa Lews.).
❑ lem
drivefsli'e9fise. -(]•Ves ❑ No
ship by (type o documem, i.e. - property tac bill or
br this reason:
Dele:_ � -'
lo ,� •'�Expire5:
DIVISION OF INUUSTAIAL SAFETV PERMR CERTIFIGA710N: �
❑ I hereby certity ihat no excavation tive (5) or more feat in depth into which e person Is required to descenq will be matle In wnnection wit� work authorized by this
pertnii, antl Ihat no builCing structure, sceNoltling, (alsework, or demolition or dismantling ihereof, will be more than thirty-sl: (38) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, Celifomle Atlminisirative Cotle).
❑ As ownerbullder, I will not employ enyone to do work which would requlre e permit from the Division of Intlustnal Satety, es noted above, unleu such person hes a
pertnit to do such work irom the division.
SignaNre: Date:
Divislon oi InCusinal Satery Permi� Numbec
CER77FlCATE OF COMPLIANCE AND AUTHORPJITON OF EMAY: I certify under penelry of perjury that I heve read thls epplicatlon end sta�e Iha� the intortnailon given is
wrtect. I gree to compy with all stete laws antl dty ortlinances relating to building construction, and autho�ize representetives of Ihe Ciry ot CosW Meu lo enter upon Ihe
ebove-tl cribe properry tor inspec � n puryoses. egree not to occupy or allow occupancy ol eny building authonzed by this pertnit until final insDection.
'� `. % /2-�5�
Si hat f ega Owner(s) Date `
��_
AnNOr Authorized Applicant Date
40UE I. INSPECTIONTYPE
7616 Fixetl System Final Fire Preventlon
1268 Pool SDe Final
200 Flnel Re-Roof
201 Flnal BIaWReiainin9 Well
202
203
204
Final Fectory Fire Place
Flnel Sign
Final �emolition
GAg 1t�ALfl
� �`
f�QQF,j INSPECTIONTYPE
206 Final Mechanicel
208 Finel Plumbing
210 Final Elec�rical
272 Final Fire Preventlon
220 Finel Planning Approvel
222 Flnel Site
250 Flnal Bulli
P� It�EL@
APVlicant to /ill in all
CITY OF COSTA MESA aFRM1T ry�
CONSTRUC710N PERMIT � r
: Addres
Address
LICENSED CpNTNP1cTOR OEC
I�nareby alfirm that I am IICanSCtl
m0�cing with Settlon 7000) Of
Prpfesslo�s Cotln, a�tl my Ilce
LiCen58 CIa55
withln haavy borGar Ilnes antl sign all app�oDriate Eeelarations.
�� TRACT NO. LOT NO. BLOG. NO.
� T " TVPE OF CONSTRUCTION �
'hone (,� ❑ NEw ❑ ADD ❑ NLTERATIOta
❑ REPAIR ❑ CONVERSION ❑DEMOLISH
ryp, ❑ OTHER •
DESCRIPTION OF WORK
o��slons of Chartar 9 (tom-
3 0l the Businesz antl
� tuil farce artQ e/tett.
L�tOnso No.
Date Si9nature
WORKERS' COMPENSATION DECLARATION
I PlrGby ditirm thdt I IIaV¢ d CeltltlCdtO Of COfI58nt t0 SBINniurB or a
cert�tiwte of Workerz' Compensatlon Inzuranca, or a certHleU topY
thereof (Section 3800, Lab: C.�.
Po' - No. Campany
[ I}ietl cOpy Is �er¢by }Urnishetl.
G__.ut�ea mor i: fuea wim ma aey e�iwins ow�sioo. -
EXEMPTION FROM WORKERS'.COMPENSATION DECLARATION
(TP�s sectio� neetl not be completed if the permit is !or one hunCreO
�g100) or Iess). •
Cerbty that In the pertormance of the work for wNc is �ermit B
6s4etl..1 ShalI not eTplOy a0y p On.ln any mA ner 5��9 t0 b omG
suble Jh[ Workers' Compensa i ws Ca rnia
Date ��� Si9nature
NOTICE: I( atter making this tleclaration, you shoultl bec no subject
to the Workers' Compensation provlilons of the Labor Co e, you muSl
toRhwith comply wilh suc� provisions or this permlt shall be tleemed
�evOk¢tl.
CpNSTRUCTION LENDING AGENCV '
I hereby aflirm tnat there Is a construttlon lentling agenty lo� the per-
formance of Ihe work far wnich this permit Is i55uetl (Soc[lon 3097
CiV. C.). _ _ _
�¢iiaer•5 Name �
Lentler's'ACtlias � �
pWNEq�BUIL�EROECLARATION'• -C ..t• -
I hBreby aHirm tha( I am axempt troen tho Contraetor's Licensa Law b�
tha �o�1owiog reason (SecHoa 1031.5 8usinoss antl P�ofez5lons COCar
Any tlty or county wnlch repuires a permi[ to tonstruct. alter,
improvq tlamolish or repalr any structure, prior to It5lssuante, also ro-
aWf¢5 lbe applit�vnt IOr Such PerTit to tlle a Sl9netl Stetemon[ lhdl ha
t
31.5 by
penalty
or. 0«eretl for.sale. (Settlon 7044, Buslness antl Protesslons Cotle: The
Con�ractor's Llceni¢ Law tloas not apply to an Owner oi a propCriy
wh0. buil�s Or ImprovCs therBon, antl� wh0 tlOes such wOrk himiell Or
thr0ugh his �wn emPloyees, Drovitletl Inal suGh ImprOvemen[s ara not
Intentletl o� offcretl fo� saln. It, howaveq th! �ulltling or Improvemenl
I5 50�tl wi[hin one year ol cOmpleUon, tha oWner will hav9 tha burtlan
o(, proving he tlitl not bullq or imProvo fOr Ih0 Ourpose O� Sale).
❑ I, as owner of [he proPorty, am oxtlusively contratting with
IlcePsetl cont�actors to const�uct [h¢ projeCt (SattlOn �044, Buslnazs
antl Rotessions Cotle: Tha ConbactorY �iconse Law tloes no[ apply to
an awner ot P�operty wh0 builtls o� Improva5 lhe�eo�, antl who aon-
lraGis from Such projeGts with a Contratto�(s) Ilcesnetl punuant f0
tM1e Contrattor's Lice�se Law�. '
❑ � am ezemPt vntler SeCUOn B. 6 P. C. �Or this
reason
Dati Owner
that I have �¢aG [nis application an0 Stale ihal tha abov¢
corte[I. I, agBe to COmpty w�th all <ItY and mun[y
state laws relatin9�t D�co�sir icHon, antl hereby authOriie
of t Is � tpl'fit¢r on the above e oneG
�ispet dn iDoS� / / �
Oate b
TVPE OF PERMIT
❑ GAADING ❑ FOVfiDFT10N ❑ STRVCTURAL
❑ TENAN7 {T,I ELECTRICA�rOPLUMBING ❑MECHAP
❑ OTHER
PRO�ECT DESCRIPTION ,
Sq. FT. '
OCCVPANCY_CONSTRUCT�ON TVPE
VALUATION ZONE
GRADING CU. YDS. ACRES
REMARKS:
PLUMBING
BATHTVBS ' '
�v��cio
LAVATORIES
�KIT.SINKS '
SERVIGESINKS .
�FLOOR SINKS
DRIIJKING �FZJUNTFINS
INTERCEPTORS '
PLANCHECK
SHOWERS �
VRINALS- "-
DOVBLEI,AVS
DISHWASNERS
SUMPS
FLOOR DRAINS
WATER SERVICE ' ALTERATION' - �-
GASSERVICE " OUTLETS
WATER HEATERS ' BTV OUTPUT' '
SEWERCONNECTION$ "
SOLARTANK - COLLECTORS
SOLAR PIPING SYS �
' ISSUE FEE -" � '�
MECHANICAL PLAN CHECK
HEATING SVSTEM 0-]00,000 BTV
AND�DUCTING � 700,000+8TU
REFRIGERATION 0-300,000 BTU
SVSTEM 100,000+BTU
BOILERS BTU
SYS7EM REPAI0., ALTERATION
EXHAVSTS�'STEM MULTIGLE
ISSUE FEE . �
rs' License or 55 �� �
0865-46 White-Builtlin9: Unary-{ippliwnt; Wnk-Accouniing; Goltlanroa-Assesso�
1 1
A.O. �
20NE
BQ��
SETBACK C/L ST.
SIOF VARD
L5.Ep
R�IGHT
REAR YAHD(TO
PKG. SPACE REQ.
STREET WIDTH
ZONING APPROVI
SPECIAL CONDITI
ELECTRICAL
7778 9116/E2
PLNG.REF.
PROVI�ED
PARK FEE E
PLAN CHECK
�^ 0�1 KW__ 130 KW _
TRFNSFORMER .
APPLIANCE 10•50 KW�50 � KW _
MOTOR$ 0-1 HP_1-30 HP _
pNC.50LAR) '3030 HP 50 t HP _
FI%TURES OVTLETS SWITCHGS
GAS TUBE SIGNS
POLE LIGHTS
LS � MAIN ' SUB
ICE AMP
ISSUE FEE
APPLICATION
a.ou T�.
. i-
DA?E .
SUMMARV OF,FEES . ' ' '
BUILDING�
PERMIT E SMIP ._ "5
PLAN CHECK b , PERMIT , � � _ _�.
PLUMBING E �SSUANCE f
PLANCHECK S� ' ' GRADING E
ELECTRICAL 5 �. `�v E
PIANCHECK S MICROFILM E
MECHHNICAL b TOTAL FEE E ,
PLAN CHECK § ' - LE55 AD- �
VANCEPC 5 -
FINAL FEE S �• D �
CONSYRUCTION AND PLANNING POOL & SPA -- -� ��
APPROVALS � Permit # Date Inspector qppROVALS ' � Permit # � Dafe � Inspector
1. Temporary Electrical Service or Pole 43. Pool & Equipment Location �
Soil ipe-Undrgrn � 44. Steel Reinforcement �
3. Electrical Conduit Utility-Undrgrn 45. Forms - -
4. Electrical Conduit-Undrgrn 46. Electrical Bonding -
. tee ein orce 47. Rough Plumbin & Pressure Test � �'
6. Electrical UFER Grn 48.. APPROVALTO COVER-GUNITE - � -
�7. Footings 49. Electrical Conduit-Undr rn
8. Foundation 50. Gas P.ipe, ❑ Undr rn Test
9. Water Pipe•Undrgrn 51 . Backwash Lines P-Tra ❑ ndr rn
� 10. Structural Floor System 52. APPROVAL TO DECK
11. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final
12. Street Sewer Connection 54. Heater & Vent-Final
13. Rough Plumbing ' ' �
� 14. Rough ElectrioConduit '56. E�ectrical-Final �
15. Rough Electric-Wiring 57. Solar SYstem-Final
16. Rough Heating & Air Conditioning � � encing & Access Approval .
17. Ducts in Structure APPROVED FOR PLASTERING • ' � �-
18. Ducts, Ventilating ' -- �- - � '
19. Gas Pipe�Rough & Test 60. POOL/SPA SYSTEMS FINAL �� - -
20. Roof Framing �
21. Roof Sheathin ' � - , .
22. Frame and Flashin • � NOTES: SG.r e� � � '
23. Insulation � ' � � - , - - -
24. Lathing & Siding ' � � - - . �� ' ' _ pj -
25. Drywall Nailing
. 26. Plaster Brown Coat ' - � - - -
. 27. Electricai Power Meter-Final ' -
�:28. ! Final Electric ' � - • -
29. Finai Heating & Air Conditioning � -- ' '
30. � Final Gas Pipe-Test �
31. Final Plumbing -
32. i Water Service-Final � ' �
33. Gas Service-Final � �
34. Solar pomestic-Final
35. Landsca e S rinklin S stem '
.36. Sound Attenuation � -
37. Handicap Regulations � ' � ' �
38. FINAL STRUCTURE & BUILDING -
39. Special Requirements Completed
40. Electric Release to Edison
41. Gas Release to Southern California Gas Co.
42. CERTIFICATE OF OCCUPANCY .
.
No. Date , _ _ _ _ _ ._ _
�
LOT
G.
vnin
PERMIT NO.
�NSPECTIONS f DATE I BUBCONTRACTOR I^-T` PERM1T9183UED
btown
Plc
Final
S �
� : � 5206
.COSTA MESA BUILDING DEPARTMENT
P.O. BOX 31�
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
� � ✓7 _ �.
TA MESA. CALIFORNIq
MAIL
ADDRE55 U
CITY
ARCHITECT
OR E�' 'EER
ADDRE55
LEG�L ILOT 5
�E9CRIPTION NO.
A.P. NO.
SIZE
OF LOT � v
USE OF
E%ISTING BLOG.
SIDE VARD
NEW
REPAIR
BUIIDING
SIZE
E%TERIOR W�
COVERING
USE OF NEW
BUILOING
�/
TNO.ii • /II �i �
LIC.
NO.
CITY NO. ���-/�
TEL.
NO.
TRACTJ� �,/
INO.OF BLD'p5. l
�IOW ON ��
ee�M �J U REAR YARD J
1 ry
RIGHT ' � LEFT l
DESCRIPTION OF WORK
ALTERATION qDDITION
MOVING DEMOLISH
' NO.OF `
(� ROOMS J STORIES
LL ROOF
COVERING
r fl . � I A I 1
FEE RECEIV D
MAY 21 196I ��
��
FINANCE DEPT. �
APPLI�jpjT�p�����ERMIT
BUILDING
FOR OFFICE USE ONLY
RECEIPT NO. PEQ�ILN�/
[_I�
Jh• `
ECEIVl�D BY , O<TE RECEIVED QqZ[ Ig511EO�
.i/«Z% �, ; J/_ f MAY J 1
COSTA MESA. CALIFORNIA
FIRE
ZONE
2ONE/� NO.Oi TYPE //
1/� /I PL�N$ [ /
u� 7
APPROVED
BV DATE
CORRECTIONS
�.��� S i9--
I HEREBV �CKNOWLEOGE TM4T 1 X�VE PE�D TMIS �PPLIC�TION /.NO �
ST�TE TMAT THE I.BOVE IS CORXECT ANO AGFEE t0 COMPLV WITH �LL
OTV OROIN.�NCES �ND ST�TE LwWS REGVL�TING'BWLUING CONSTRUU
TiON. � / , r� VALUATION —
�%� �� PERMiT FEE S p�
$IGNATURE OF /I � � �
PERMITTEE� �� /
� U �/ � PLAN CHECK $ �oL —
$ JQ �ri
AUTHOR12ED AGENT TOTAL FEE $ � �+ � ��