HomeMy WebLinkAbout1311 STONEFIELD ST - Building Permits •
CITY OF COSTA MESA
b 0 1 BUILDING DIVISION / '
. DEVELOPMENT SERVICES DEPARTMENT4. /PERMIT NUMBER
PERMIT �//
Aj^ "‘‘Ib B99-01507
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 1311 STONEFIELD ST Status: ISSUED
Suite: Applied: 09/20/1999
Vicinity: HOUSE ONLY Issued: 09/20/1999
Parcel Number: 14102404 Zoning: R1 R1
Applicant: GOMEZ, EUGENE D ISSUED BY:
Address: 1311 STONEFIELD ST . _
- „-'.Phone:!(714)4_35-9624
COSTA MESA,CA :"7„,/,--/-• -, Zip: 92626 r . - >
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Owner
GOMEZ;EUGENE-D '
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Address 1311'STONEFIELD ST'l . ." _, - ,71,- � ' ,`w
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COSTA MESA‘NCA) :1- 'r= Zip 92626 \., --` ` `
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v SCOPE OF PERMIT \ \ +f,i• '`''I,
' :, /7 REROOF T/0, INSTALL 7/16"OSB BOARD 1 LAYER OF'30#FELT&25'YEAR TIMBERLINE COMPOSITION I 1
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' h SHINGLES. / � . .. - .. .. �� "l!,. X. I
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FEE SUMMARY i i _ ( ;" I
Plan Check
$0.00 ' ,/A _ Calc Valuation: !c) 11(� ' „,,_-$1,520.00
Permit „� l'$57.05 I �; _-.-_./�K .Claim Valuation �j , $r5zo.00t
1�1 SMIP_ReSVl . $0.50 — `— - ” ,' - - , i /1
'' SMTP Com �`'" $0.00 / / " i
\A.A Other ,., ,$0.00 i „` — ' / _ ;
Inspection $$O.00 ; // ,'v`/
‘NTotal. $57.55r. !`'`{ `.
\\.\ -V, �*\- r V •-CZE rPLANNING'R`ZONING ac _'-:/% z.-.Nr �'/J
SETBACKSv 42� ACJ --0/1 v 'f / x •,r. ' £- a x ,/ _ /,.
MAIN STRUCTURE Front/ 010 ,�� ARear 0 0'_� Left? 0r0, ',,. Right'- 0 0 �'-�
</ /7 • \r v. c' - d \'. ..\ -;.:-,--
\c-4-.. 4.7,\\.:2,-,\,:i
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ACCESSORY Front � 0-� // � Rear 0 0'*� . _y" Left t 0 0� Right ‘../,u-0„,/ ���
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PARKING Ezistinq:,;
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ - 1 have and will maintain a certificate of consent to self-Insure for workers'.compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued. ,
❑ I have and will maintain workers'compensation insurance,as required by section•3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'compensation Insurance carrier and policy number are:
Carrier: Policy Number:
(This section need not be completed if the permit Is valued at one hundred dollars($100)or less.)- '
❑ 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,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provisions.
Applicant Signature: Date:
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000).IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST.AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Lic.# Class#
Contractors Signature: Date:
CONSTRUCTION LENDING AGENCY:
0 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lenders Name: _ Lenders Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she 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 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 penalty of not more than five hundred dollars($500).):
Pr I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec.
7044, Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exemptender sec.�� Business and Professions Code for this reason:
Signature: 4Jd "z" Date: 61P--2d—q 9
Owner ID verified by drivers license. Yes ❑No Driver's License No. Expires: /-
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
._
-file.ae.g_.._. .._
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑Yes ❑No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes ❑No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application aaPermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? U Yes LJ No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
8 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes ❑No
(If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been made? ❑Yes ❑No
8 (If yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OFTCI MP,LIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding HazardoustMeterfals and Emissions.
tatiLkt
Signature: i re.%t*- Date:
lar
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perry that I have read this application and state that the information given is
correct. I agree to comply with all state lawws_and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described prop for inspection�`pi o( ses I gree not to occupy or allow occupancy o`ff trAb ilding authorized by this permit until final inspection.
Signature Of Legal Owner(s) Date
And/Or Authorized Applicant Date
CODE# INSPECTION TYPE • QAlE 'INTmAL$ • CODES INSPECTION TYPE 2STE INTITUL$
1616 Fixed System Final Fire Prevention - • 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof • - 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place _ 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
2446-413
PROJECT ADDRESS: 1311 STONEFIELD ST UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 05593S.
OWNER'S NAME: ROSS DIANA DIAMOND
ADDRESS:
GOMEL EUGENE D PERMIT NO: B • 055939 PLAN CHECK NO: N GOVT: N SUPP: N
1311 STONEFIELD ST
COSTA MESA, CA 92626 CONSTRUCTION TYPE: V—N - PERMIT TYPE; STR PURPOSE: OTT!
' ARCH/ENGINEER: 435-9624 REG.NO.:
ADDRESS UNIT: JOB DESCRIPTION : REPLACE WINDOW WITH SLIDING DOOR SQ FT; 300
PERMITTEE: CLAIM VALUE: 300. 00 CALC—VALUE; 300 . 00 GROUP OCC: R-3 /
ADDRESS: EUGENE GOMEZ ( 714 ) 435-9624 �y.� S55.37
1311TSTONE FIELD STREET CSO*******#DOD*#****O ****#*********D *****(E#****#*****##�Fx4�***#TF#######aF##*#######
COSTA MESA CA 92626 •
000)LICENSED CONTRACTOR 3 h DECLAfls and hereby ion affirm that am licensed under provisions of Chapter 9(commencing with Section Z ON ING R E Q !! I R E M E N T S
7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETH ACK S
CITY LIC.: STATE LIC.: CLASS:
Date: signawre: MAIN BUILDING ACCESSORY BUILDING
COMPENSATION 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 Insurance,or a certified copy thereof(Section 3800.Lab. C) LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: EXP.DATE:
COMPANY: PARKING REQ: PROV: PARCEL: 14102404 ZNE: REF NO:
Certified copy is hereby furnished. ❑ Certified copy is fled with the city Building Division. PLANNING NOTES>
>
Date: Applicant: ##*####*#*********'*************************************************************
EXEMPTION FROM WORKERS'COMPENSATION OECLANATION: (This section need not be completed if the permit is for one hundred($100)or less). . DEVELOPMENT SERVICES R E Q U I R E M E N[T S
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:
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.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY• T.f=, DATE- ' ' - --3 [J-7
which thispermd is issued(Section 3097.Civ.C). ****3F*.*.*{L..)E.*x.{E.kB#{6.**.{F{f.**#***.*.#.*.******.*.*#*..7(.##*.*****ik.N.iF3h#*.#.#*-##*3f**#****#iF##iF **#**
LENDER: ***********lF*****#**###*#*###*****##***#**#*#***********#***iE***if*#*******N.*##*
ADDRESS: LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT; Y
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 15 . 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
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SM I P/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My 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($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 offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS————> 15. 50 0 . 00 0 . 00 15. 50 1 5 . 50 . 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.If, however the building or
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 15. 50 OVER/SHORT
for 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(molest(Section 7044,Business 15. 00 . 50
❑ 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 a contractor(s)license pursuant to the Contractors State License Law),l am aware *,*,*,.**,*,*,x,****,****x,*****IEiF***IE*****,N,*****iF********IE***********,1f,*********.#.1F.1FiE*****
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
Gu I am exempt under Section:• BP'104 4 B.
8 P.C.
`'t' for this reason: ALL WORK BY OWNERTYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Do,,.. ��IYc3/nf 2- Owner: ifl elle' •
r/'�f�07
I do hereby certify that(am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and SFR 300 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 300 , 00
25534 and that I or any future building occupant wilVwill not(circle one)need to comply with said state codes and the requirements for a END OF FEES
permit for construction or modification from the Air Quality Management District,Residential construction applications are exempt from
these provisions.
Date: Applicant: _
I hereby certify that I have read this application and state that the above information is correct,I agree to comply with all city and county / CII
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned �\
property for inspectionalpurposes, to x� i \
••••••—Date' a /C/t (,� /
Signature: pT�
Driver's License or Social Security#: )t 01 00107115-90107114 :r O T to 'it
VVV DATE: 01/24/92 TAME: 14:75
104646 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
J _ w
CONSTRUCTION AND PLANNING - POO ;PA . •.
APPROVALS Permit # Date Inspector APPROVALS Permit# - Date Inspe tor
1. Temporary Electrical Service or Pole 52.-Pool &.Equipment Location . . __ '
I
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 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, ❑ 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 Pibing 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
27. Frame and Flashing 76. Dry Standpipe
28. Lathing& Siding - 77. FIXED 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 `
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 j21-/ * P
48. FINAL PLANNING �?�
49. Electric Release to Edison •_
50. Gas Release to Southern California Gas Co j i 'I
51. CERTIFICATE OF OCCUPANCY
No. Date
Pr
PROJECT ADDRESS: UNIT:
OWNER'S NAME: 1311 STONEFIELD ST CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 05593"
ADDRESS: ROS., DIANA DIAMOND
4GOME�L EUGENE D PERMIT NO: B 055937 PLAN CHECK NO: 00280-92 S GOVT: N SUPP: N
1311 STONEFIELD ST
. COSTA MESA,CA 92626 CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: OTH
I ARCH/ENGINEER: 435-9624 REG.NO.:
ADDRESS UNIT: JOB DESCRIPTION : CITY STD BLOCK WALL 'W/WROUGHT IRON SQ FT: 28 .
PERMITTEE: CLAIM VALUE: CALL-VALUE: •
560 . 00 GROUP OCC: R-3 /
ADDRESS: EUGENE GOMEZ ( 714 ) 435-9624 •
1311 STONE FIELD STREET COMMENTS: STD BLOCK WALL 28LN FT 6FT HIGH
COSTA MESA CA 92626 ******* 4******** TELE***+r>ESE***********3F**********Tr*+E*********************** ****
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON I N G REQUIREMENTS
7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. •S E T B A C K S
CITY LIC.: STATE LIC.: CLASS:
•
Date: Signature: MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION 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 Insurance.or a certified copy thereof(Section 3800.Lab.CI. LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
•
POLICY NO.: EXP.DATE:
COMPANY: PARKING REOQ• PROV: PARCEL; 14102404 'ZNE: R1 REF NO:
Certified copy is hereby furnished. El Certified copy is filed with the city Building Division. PLANNING NOTES> PROPOSED 28 LIFT. OF WROUGHT IRON WITH 12IN BLK WALL .ALONG
> THE BOTTOM OF FENCE.
Date: Applicant: *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less), DEVELOPMENT SERVICES REQUIREMENCT S
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 nn
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY V DATE: :--/P--3/9 2—
' 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 APPLICATION ISSUED BY: Sic-in--, DATE• 1x-o-3._?
which this permit is issued(Section 3097.Civ.C). F 3F 3F iE iF iF1F 1F 3FjF*1E 1E iE iF iF)f iE iF 1E if*aF*7F iF iE iE iFlf iE 3F 3f lF jF TE*.-1f 3F 3F TF jf?r 3k{E{(**
LENDER: *********************************************************************3E*********
ADDRESS: LEGALIZATION: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 SMIP/RES . GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT1 7. 00 50'
repair any structure.poor 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 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 11 . 05
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($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 offered for sale(Section 7044,Business and Professional Code, The Contractors'Slate License Law TOTALS----> 17. 50 0 . 00 11 . 05 28 . 55 28 . 55 • . 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.If,however the building or
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED; 28 . 55 OVER/SHORT; 00
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN- HECK
•
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 17 . 00 . 50 •/ 11 . 05
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon • .a.
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware **,**,*,.*****.****,********************,******.**.*.*.***********,**************'1F****aE****
that proof of their Worker's Compensation insurance should be provided to me.
Eur, am exempt unser Section: B P 7 0 4 4 B.8 P.C. INDIVIDUAL F E E BREAKDOWN
EF
or this reason: ALL WORK BY OWNER ^kV TYPE QTY DESCRIPTION UNIT COST TOTAL COST
' tate: /104ZRAa Owner: •
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25 5,25533,and SFR 28 RES-CONCRETE BLOCK WALL / FT. 20 . 00 "? 560 . 0 0
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from e'S
these provisions.
r
Date: Applicant:
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county 1 �Q 1U!I15-00107117 ?_d � �-
' ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned0 T" 4 ,:,r
property for inspectionns/ purposes. DATE: 01/24./92 TIME: 14:35
tate: //�s 4.2- Signature: r. -
Driver's License or Social Security 4: [�
1641-46 White—Buildinn:Green—Code Enforcement:Canary—Aoolicant:Pink—Revenue:Goldenrod—Assessor
2
•
- 9NSi RUCTION AND PLANNING POOL ,PA
• APPROVALS Permit# Date Inspector APPROVALS Permit # 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 -
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-Undrgrrid. 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 #
" r
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
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 - _ -
1
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 q 7�' k&v f�
.+
48. FINAL PLANNING J t f 6 tel' / j `-'
_-'��
49. Electric Release to Edison _ • !�
50. Gas Release to Southern California Gas Co '
I
51. CERTIFICATE OF OCCUPANCY
No. Date
4.
01 ii11651
APPROVED
CITY OF COSTA MESA i . { I 11 \ I' 2
PLANNING DEPT. `y
WE
al
uoo. oEvr. e��O IE mimic* or .LAte4I io' i 12
ADDITIONS, DELETIONS, OR CORRECTIONS SHALL � of 2Et.Loaf frf &6 ) � Q
BE APPROVED BY THE PLANiJ{MG DEPARTI+IENT ( npetWok j� !/�-CJI
(0' 44;•,...4 )
Plif
AH PriU
C ty if Cost a Mesa Building Dept.
BY I& DATE r 9 11_ _ - .
THESE 'LAMS MUS1 BE ON 30E1 Al AL i_ TiMEE MAKE
NO (F-H,::ki!GFS T,FH-h.: i1 PRIOP APPROVALOF DEPT
THE ::SL't:'LANGS OR C•RA 1- Cl A - OS;EPS( VAL CT-
PLANE ANI CCT:F,r;T' ^' OCL>L .YD O Eli A
PERMii F: 02 AN BPP ::V4: C=, P/fVIi LA 0! �C•f NY •;_
THE FHOVI PONS OF TH!y .02: '• .111 :=P,-_CU: IN 0 or 'EMPHMPH)*' TO VIOLIE ; F Ci ._.:L R-E - E:JISI WS ; F T1 •S dl
CODE AHA L SE VALID F`. LEI N_.RESIDENCErE V,A %F{U 'E gUSIDENCE RESIDENCE RESIDENCE
wHIcH IT A 1'i r!0;1.2E3171 AAAA _.
THEI-• ?UANCE OF r RIF 'AP. BASED UPON Ptd S Al D ~
IM
SPECIPnW !CHS SHALL P EI =VENT FHE DUAL:. ;:; C. 'FiCt .L W
FROM Pt CATER PEAU UNCI 'HE CORPTCT!CUC-ERI ORS N et
SAID P!e'`. S AND SPEC -RCK .AAA A: ,-REV .N71h., Fr-
y
BUIL.:N;h._PER�1!DNS NE \'3 C:.:;?'JD ON Ti IER_Li'DL WHEN
IN VIOL.AFY.IN OF THIS G_)l'. `.:.T".=ANY OTHER OPDIi Ih CE OF .
I #-�
THF C:TY. ls
1311 ' tt .51
STREET 6 _ _ _
r \
TYPICAL 611 CONCRETE BLOCK FENCE
_ • s
®q GENERAL- NOTES
Cement Coping Optional 7(
Channel Block With 1-3/80 IBI -. -
Horizontal Top of all - ,�. - - - ---
Fences MORTAR: One Part Plastic Cement, and
' Three Parts Sand
For Fences 5'or Less !Q a c5 GROUT: One Part Cement Three and
uI s One Half Parts Sand
Vert. Bars 3/8"0 at 4' -0" 0.C. 161 o ,— 7... . COPING: One Part Cement, Three
� _
For Fences Higher Than 5'
U` J -- -• ' - Parts Sand
CONCRETE: Well^Mixed 1:271/2: 3-1/2
Vert. Bars 3/8"¢ at 32" O.C. Q = r• , I 'Main.of 7- 1/2 Gallons"ot--
Fill Cells Solid With Grout f,� > Z _ ' Wafer'Per Sack of Cement i .
Where Steel Occurs >- - _ _• ��--=�--�"' I '
Reinforcing-Steel Shall - C2 co .GROUT MAY BE POURED FROM THE TOP
g I .OF THE FENCE IN.CELLS WHERE STEED.
Conform to Sec.A-15-39 u o OCCURS.'
A.S.T.M. Z ~ CELLS AND AREAS OF HORIZONTAL•REIN:
All Steel to be Lapped i�� LL r0 -r —� FORCEMENT SHALL.BE CLEAR,CLEAN&
24"or to Code ;� 1 � FREE OF ALL MORTAR DEBRIS;ETC.. --
NATURAL GRADE I • .
y�/��. /COQ�11 WWI'.•e p
0 —
TWO 3/8"0 BARS ''Q� b e .� • .�_
CONTINUOUS TOP
& BOTTOMI-0--WIDTH - TO 16 0. C. MAX. e
SEE CHART .� .. '
HORIZ.STEEL MUST BE TIED IN BELOW DE PTH OF E ARTHTCOTH
PLACE INSPECTION.TIME OF TRENCH ,e;' ` . --!LOW THE
BOTTOMOF
H F FENCE
FOOTING.
� o,� o° j 2,.� SCALE: 1/2 II
•
FOOTING REQUIREMENTS CHART -
f WALL HEIGHT 6 ' 5c-----r-TC , 3'
WIDTH 14" 14" . ,)2 . . . . 12"
THICKNESS 10" . . 10" 8 " . 8 "
DEPTH OF EARTHTOOTH . . . 24" . . . . . . . . . .20" 16" . . 12"
SPACING OF EARTHTOOTH. . 12' • 14' 16' • 16'
City of Costa Mesa, California
Building Department
.. . . . _, .. ize.,,!5EO Nov.a2
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JOB ADDRESS L.511. btonel]E La bt. BUILDING PERMIT NO.
GENERAL CONTRACTOR 1 E' GOr YVALUE $ .9,055.00 /_-/r-6y
AP No. LOT89 TRACT 4355 FIRE ZONE DESCRIPTION OF WORK Res.w/att.Gar.
INSPECTIONS Signature DATE GROUP/ & J TYPE V ZONE 1i1
1 w /•18-G3 SUBCONTRACTOR PEPMITS ISSUED
i A. (r/ (1„9 yy(r.//C3 DATE NUMBER
Water 1./.r/ _
Rough Corn. Refrig. ❑ Air Cond. 0
Rough Heating /!t'S V-S-C-3 , a_ • �3'a(t //�00 -
Rough Plumbing g --p nie-s.-c.4..c .hc . .v3, /-3-69 .97!/.5:� - _-Miscellaneous •
�.�0
Prop.Swr.Line ❑ House Con., St.Swr. C 'io ......r. . a o-az-- _1 35.32 -/4"41
Sprinkling System ,71y16
Construction Pole E r
Underground 0 Power ❑
4ough Wiring i ;'7 .,/-S C/, 9-C.3 '16"�e bet' [/�,""'nD t GalC'.l-a7 6' /9.5q3"--
Trenches ®' Forms Z. Steel Reinf. E,0((yd i-7-,,'ry
Floor System fin /-7-e/-,3
Bond Beam ❑ Steel Reinforce 0
Sheathing 1/f+ rd 3 fr-o
Frame and Flashing /Q� y-(-6s
Lathing - In 2--Out (3---- <0-29-6>1
Plaster, brown coat , 4-40‘-6^i
Refrig. 0 Air Cond. 0 Final
I 2g, Final L� �,C-G 3
I ging Fixtures, Final ag.C,J
Final Gas Test /5-4e 4.� . 3-3)-C 7
Electric Fixtures, Final 7tsi( ';
Building. Final I _ 14--C-r-..-1
18471 FE RECEIVED
COSTA MESA BUILDING-SAFETY DEOATMENT Lot 89, Trac 355, pm 5CO2§2
O. BOX 317 COSTA MESA. CALIFORNIA
FINANCE DEPT.
For Applicant to Fill In Completely APPLIC TIN( FategitTiAIiESA
TYPE OR PRINT BUILDING
BUILDING ADDRESS / 3 �� S`foy e fiehi .'t
COSTA MESA. CALIFORNIA For Office Use, Only
' I RECEIPT NO. TR_Tet i
OWNER Harbor Hall of Fame Homes Inc. LC'9$ .L
ADDRESS P.O. Box 2066 RECEIVED BY DATE RECEIVED DATE ISSUED )
�T/ is/./ - DEC 7 1 tq6�
CITY Santa Ana NO. KI 9-220.'.ADDRENG
CT1. 1.^ ADDRESS
ORARENGINEERJamison N 541+_0040 COSTA MESA. CALIFORNIA -
ADDRESS 225 "D" St., Tustin FIRE ,, �/J7r
ZONE TYPE GROUP ISP CONTRACTOR Lifetime Residential Bldg Corp APPROVEDDATE
ADDRESS -2131 So. Artesia ZONING
♦�
ZONE NO.OF USE OF NEW Se,' -?j. ,Z. .
IT
CY Santa Ana- - R-I I PLANS C I BUILDING W�q/T'/ 9q-
ET-1,70. -208676 TEL.KI 9-2204 LEGAL 2- j- 8 9 T/�'H 3.-`'
NO. DESCRIPTION
SIZE Woo, NO. OF BLDGB. O
OF LOT W NOW ON LOT A.P.NO.
USE OF -None YARDS EVES
EXISTING BLDG. _ APPROVED ALLOWED
SETBACK LINE FROM 501 -]3 50, (CENTER LINE ST.)
CENTER OF STREET f� REAR YARDZ2 FRONT r/ -S6 FT. IN.
SIDE YARD I LEFT 81 I RIGHT 7.301 R.SIDE / /3 FT. --- IN.
DESCRIPTION OF WORK - L.SIDE & FT. IN.
NEW I x II ALTERATION I II ADDITION I REAR 2 3 FT. 6 IN.
REPAIR I II MOVING I I DEMOLISH I APPROVED , _ /�1AP DATE "4�r/E.''✓
SIZE 17901
NO. OF 17901 ROOMS 10 STORIES 1EXTERIOR
�7 /`
COVERING WALL Plast erl COVVERING Shake
USE OF BUILDING AND WORK TO BE PERFORMED
Single famil residence
J - /796 'd,
- yea
I HEREBY ACKNOWLEDGE T 'T I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS POR THE
AND STATE THAT THE ABO' IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY °-•IN C88 AND
NO
BUILDING CONSTRU , N. 1 '/\�E`TQ'�'L�\/�a(`Y��/ VALUATION
PER MITUEE O ��?'. v - PERMIT FEE $ 62N
$ /q/7--6-3 PLAN CHECK $ ��/�///4/� `:
D
AUTHORIZED AGENT / 5 'c/ o
TOTAL FEE //