HomeMy WebLinkAbout640 SURF ST - Building PermitsPflOJECT AODPESS: 6 Q O SURF Jr T
OWNEfl'SNAME: SERRATO FELIP� '
-,io eooeess:640 SUR�' ST
COSTA MESA,CA 92627
645-7520
ANCN/ENGINEEH: NEG.NO.:
ROOflE55:
UNIT:
UNIT:
PEpMiTrEE: FELIPE SERRATO ( 714 ) 645-7520
aooaess: 640 SURF ST
COSTA MESA CA 92627
LICENSEO CONTflACTOB OECIAPATION: I hereby aHirm that I am licensed untler provisions ol Chapter 9(commencing wi�h Section
7000� ol Division 3 0l Ihe Business antl Pro�essions Ca�e. anE my license i5 in iNl force an0 elietl.
CITY LIt.: STRiE IIC.: C1A55:
Date: Signamre:
WOflKEBS' COMPENSRTION OECtAflATION: I here0y athrm tnat I have a cenificate ol consent to sell�insure or a certilicate of workers'
Compensation Insurance. or a cenilietl capy thereof (Section 3800. Lab. C).
POLICY NO.: EXP. OATE:
COMPANY:
❑ Certdietl [opy is he�e�y fumishetl. ❑ Cerlifie0 coDY is �iled wit� Ihe [iiy Building Uivision.
�ate: AppliCanC ��•�
E%EMPTIONFPOMWOPNEHS'COMPENSFTIONDECIAPRT10N: (TOiSsectionnee0no10e2omplefe0iit�¢permrc6faronehu�r¢0(5100�orkss�.
I rertify �hai in ��e pedormance al �he work lor which this permii is issued. I ihail nol employ any person:in �nV manner so as �o become
5u0iet� to the Warker5 Compensation Laws a� Calilomia. �
Oate: Signature: � "f
NOTICE: If, alier making Ihis tleclaralion, you should �ecome sublec� �o the Workers' Compensation D�ovisions of �he Labor
Code. }rou must tonnvnN comoly vntn such pmvisions or this permit shall oe aeeme0 revoketl. ,�
CONSTflUCTION LENOING AGENLY: I here�y aflirm �Aat �Aere is a cons�mclion lentling agency lor I�e pedormance ol tAe work �or
whicn I�is permit is issuea (Seclion 3097. Civ. C�. •
LEN�EH:
nooxess:
OWNEP BOILDEfl DECLANATION: I hereby aflirm Ihai I am exempt hom t�e Contracbrs S�ale License Law �or I�e following reason
�Seciion 7Q3L5 Business and Pm�essional Co�e: Any Giy o� counly which requires a permii to cons�ruct. al�er, impmve. demolish, or
repair any s�mCiure. Onor Io iis i55uance, al5o re0uire5 the applicant �or SUCh Dermit l0 file a SigneG Slaiemenl �Aal �e/She i5licen5¢d
pursuam m the pmvisions ol the ConVacbrs' S�ate License Law �C�apter 9(commencing with Section 7000) ol Oivision 3 oi Ihe Business
anG Pmlessions Cotle) or �ha� he/she i5 exempll�erefrom anG the Lasi5lor I�e alleged eeemption. Fny Nola�ion oi S¢c�ion 7031.5 Gy
any apDlicanl lor a De�mil subjects Ihe apDlican� Io a civil penal�y ol nol more lhan �ive hundred tlollars (5500).
I, as owner of Ihe pmpeny or my employees with wages as their sole compensation, will tlo ihe work, and ihe
❑ simcmre is not IntenGed or ol�ered �or sale (Sec�ion 70d4, Business antl Pmtessianal Code: The Coniractors' Stale License Law
tlaes noi aDDly lo an owner oi a pmOeM1y w�o �uiltls or impmves �hereon, antl who Joes such work �imsell/Aersel� or t�muAh
his or Aer mvn emDloyees. prmideA Iha� such impwvements are noI in�entle0 or oltered �or 5ale. 11, however Ihe buil0ing or
impmvement is so10 within one year ot comple�ion. ihe owner will have Ihe �urden o� pmving he/she diA nol 6uiltl or impmve
lor ihe purpose ol salel.
I, as owner ol ihe property, am exclusively comracting with IicenseU conirac�ors �o constmcl the Drole�� (5ection 7694, Busines5
❑ and Prolessions CoOe: The CAnlratlorS' S�ate Lkense Law aoes nol aDDly to an mvner o� properry who Uuilds ar impmves Ihereon
ana who conVacis lor suc� pmlects wiih a comracmqs) license pursuanl Io Ne ConVacmrs' Slaie License Law�. I am aware
ihat pmot ol Iheir Worker'S Comp¢nsaiion insurance ShoWC �e pmvidea to me.
� I a xempt unaer Seciion: H P 7O 4 4 B. B P. C. n
��h �e� U AL W K BY WNER JI I
• oa�e: oM,ier: IT ✓ �l—[ fr 6�` t� 2��.
I do hereey cenily inat I am aware ol and un0erstantl tne requiremenis of Caliiomia Healtn ana Salely CAtle Sectians 25505, 25533, antl
2553G an0 i�at I or any Iuiure Duilding occupan� wilVvnli no1(trtcle one) nee0 io comply wii� saitl sta�e coCes an0 the requi�emenls for a
permi� lor mns�mc�ion or mo0iiiwtion �mm t�e Air Oualily Manag ent DiStrict. flesidenlial consUucli applica�mns are exemD� ��om
I�eSe DroviStons. /�� I
Oaie: �� � � � 7 � PPOlitani: � i.(, ( [�C ( F' U �-=�t ' �
I �ere0y ceriityl�allhave reatl�Ns aOD���alion an0 s�alelha� IAe a0oveinlormalioni5 correcL I agreeia comply wit� aIIG�y anA counry
ortlinancesanOstatelaw5rela�ingtobuilamgcons�mdionantlhere�yauthorizerepresen�aliveS011hiSciryroenleruDonlheaUove- entione0
O�Opetly 10� insOPtlian pur00se5. /�
Dale:�� SignaWre:%✓�(.(���( ��% «�� U
� Y
Driver's Liwnse oi Social Securi� p;
I6ena6 �M1'h��e—Buil�ing: Green—Co�e Enb�cement: Canary—Ap0licam; Pink—Revenue: GOlaenroE—Assessor
CITY OF COSTA MESA - BUILDING PERMIT PEkM NO: P 'T�
�
PERMIT NO: P 060076 PLAN CHECK NO: -N GOVT; N SUP :
CONSTRUCTION TYPE: V-N PERMIT TYPE; PLU PURPOSE: OTH
JOB DESCRIPTION ; RELOCATE WASHER b DRYER SQ FT;
CLAIM VALUE; 200.00 CALC-VALUE: GROUP OCC: R-3 /
COMMENTS; OK'D BY PLANNING- SMOKE DETECTOR RE�UIRED IN THE HOME
�r*�r*�t�t��r*�r�r�t��r�r*��t�r*�r�t*�r�t�t�r�r+�*�r**�e*�r�*�r�t�r�r�t�r�r �r*�r+t*�t�r�r�t�t�r**�r**�r�t�r�r****�*�e*�r�r**
Z O N I N G R E Q D I R E M E N T S
S E T B A C K S �
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ• PROV; PARCEL; 92223317 ZNE: REF NO:
PLANNING N01'ES>
7
i! iF k 1F if iF ik it 1f iE ik ik 1k iE iF 1F iF k 1E if ik �FiE 1E iF i!!F k 1F ik i! ik ik if IE iE ik ik IFiE it �F 1E iF 1k 1E iF i.E iF it it if 1E itlt iF iE if iE iF if iE iF iE k iF iF IF IE ik i! iF iE iFiE iE if iE if
D E V E L O P M E N T S E R V I C E S: R E Q U I R E M E N T S
ZONING APPROVED HY ��G• DATE: I'a4-��
BUILDING APPROVED BY : DATE; ��" �
APPLICATION ISSUED BY: DATE: I�'a�'�—
iFiFiFkiEiFik�EiEikifiFlkiFklEiFikikikiFk lFlfkiFk�ElFiEiEiE iE3tr
ifiFifiFik3fififiEiEikiF%iE�kiflk�kikiFiFiEiFifiFikiF3fifikkikiFMitik ik3klflEikiEikifMiFiEikikifiEkififlEMifiEklflliF3FiFififkikikiEifiEifif�k
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT ��Si ., ' SMIP/NON-RES
PLAN .
ISSUE FEE 20,00
HUILDING-DIV-> PERMIT ISSUE PLAN-CHECR TOTAL PAID DUE
TOTALS----> 7.00 20.00 0.00 27,00 27.00 ,00
REVENDE DIVISION TOTALS--> COLLECTED: 27.00 OVER/SHORT; ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECH
2 % , Q 0 � ' '
1E iki(� 1E k dk iF if iF iE iElf 1k 1k if iF 1F iF k iF 1E 1E iE if ik iF iE �F 1E!! k iFiE if 1E if iE 1E iE ik iF fE iE iE iE 1k ik 1f 113F iE fE iE * iE i! IE iE iE iE 1F if 1f iE iF IF IE 3f k�k if iF it if 1E �E 1F iE iF
I N D I V I D U A L `F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O,N„ UNIT COST TOTAL COST
PLU 1 LAUNDRY TUB OR WASHER 7,00 7.00
END OF FEES
e
a
/_ .�A
�ONSTRUCTION AND PLANNING - ' POOL & SPA
APPROVALS Permit # Date Inspector qPPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location - �
�. _$oil Pipe-Undrg_rnd.. (y/ �p 53. Steel Reinforcemen[
��.�:Electrical Conduic l�"tility-Undrgmd. 54. Forms .
'��,�tectrjcal Cond,ur�if-Undrgmii. 55. ElectriCal Bonding ,
�j�S.;:Stgel fieinforce7l�ij 56. Rough Plumbing & Pressure Tes�' , �
.6"-EFectricalUFER�Gri`ud. 57. APPROVALTOCOVER�GUNI�f ~
r •- -
� ,i
�= Z. F�ootings _ 58. Eiectrical Conduit-Undrgrnd. � `
tG. Foundation v 59. Gas Pipe, O Undrgmd., Test � , �
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Und[8rnd.
10. Structural Floor System 61. APPROVAL TO DECK
„
11. Property Sewer Line,& House Connection ��y�L L� 62. Backwysh & Receptor�Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains - 64. Plumbing System - Final
14. Rough Plumbing ' �7�21f(QZ (.s� 65. Electrical-Final _ '
15. Rough Electvical�Conduit 66. Solar System-Final �
76. Rough Elettric.Wiring 67. Fencing & Access ApProval �
77. Reugh Wiring Sign 68. APPROVED FOR PLASTEflING
18. Rough Electri�a!-T Bar Ceiling 69. POOUSPA SYSTEMS FINAI
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
- ' ' - r J a,r.' .� �.
� Cpermit # ' �
20;° Ro�gh F�CtoFy ��Jlate � � �r Q.� '` � _ ;,,,X T ,r PPFi�3VA].:�` �, -�r�
21�Duyis,iIIStrnciure. �•• • -� . S ' -�r�: ;70. UndergrtlunUH�ro -� �
22� DucSs, V�entit�tiri�q ` � C� K ^ S s,� x,77 product Piy�tn E3 s C�OiI
i -� 4 :- � : . [. � 9 �
23`Gas Pipe:Rough & est � ,r� :. :� 7 •1 Cr ;�' 72. UndergroUnd Flush . �--
24."Roof Framirtg `�� � �- �•�- :� � � z _"' �73=UndergrrxT.Stor,��jgTank�Gas ❑�I
25. Royf S� athing ' 6 :� �,'� -_ j =i}: < 74,.=0verhead Hydro: � �.
26t-T�BBr Ceiling (SCructural) &*Nronocoat , ^ _ . ' x 75�:Dry Cherpjcal . - '` -�
� - Y \ / l' ^
27`Fr eadFlash' •.�'t . . --'. `�`�^ `•> _ _
< ` � ._
�T k r?g: ' r�, x � .r< ,: 76. Dry StandplAe F.•c�. x �
�-28. Laating� Sidin9� `•' _ T:- � Y�' "..x �; 77�" FIXED 51�7-E1C9�, �A� , r h
�29. Insulat�qn ". - �� ��� ' �'r e r 78s FIRE PREV. FINA�L x> s
'30.Drywall"Naikng �- � ^"' ••- •HEALTI#�DEPR.REQIiIREMENT
_ ,c . ; � , � - � �
�'31. Plaster &own Co3t. � � �r ,• ;; K ;; 79'.°FINAL�VY�,RECT�,qN � ' .: .r
r32� Electricsl Po�ver:Mete2-Final <:�- �* :80:nF00D CERTIFI�CTE ISSUED
, 33;�Fina1 Electric .-x _ s r-'' t x ' Nqies:���-A �'s ' �L !/� � f% C
. . .� itF-,�'`�Q722v/_^l,"/'7�� � .l%
,;34�' Fin�71 Heating & Air. Conditiorting [: x � �; ' ` a r -'-�- " -
� _ � , . r r. < � r � <y� O't_L�P�C( '�
'35�Final Gas Pi -Test� f� � �-
, . � fi� _;� � : :�.�,,�ol�_-��;Tr� =
i36.�HopdorCanopy; �. -� i : - n < x ' � ('C r
� .�
;37�Fin31 Factory Fi;eqSac'e.z � S ` ; " . ; � , � � r
- 38. Final Plumbing � �� ��,r� � � � . . _
�39. Water Service-Final� � � - ' " ` �� ,-. `� _ .=
r s : c � ,�
r40. Gas Service�Final" � q�_-.� - : r 't K '�,� ,_, x"
r
' 41. Solar pomesticFirial> � •• ' "�• S=• ^ -
•Cj X �T
�42�8ackflowPreven�er`_ 1 �'J � .� X � � ` .
i �
43. Backflow Irr�gatiLn. x � � � j ' �•` x �� ,.� � .
; 44. Landsciape Giigation SYstem: �„ c � �n - - ���< : U ^�) � �y .a ..
>:45,�Sound Atteauation _ - � ti = �. :n "" ^ - - a-'• :� j .
ra
2. }; .. ., w �� . '
�,46:, Handica,p R�gulations " � ,; � - ,-� ��S ;
47:�PIIQAL STRUCTUftE & BUI�LDING � � �- � � �' ' ^> > '
tr _
48:�FINALPI.ANNING i'- r y ti �I '<� � n .r', _
i..
a49rElectrie Fefease to�Edison i ' D� � " � -
, :_ _ .
=.50.�Gas-Release to Southem California Gas Co Y I. E� a • e�. - •
�51. CEFTIPICATEOFOCCUPANCY : � ; i `.� -� f - r
No. Date
OWNER
JOBADDRESS
HARBGP. ESTATES
St
DATE
����11�71.[��:lul�
GENERALCONTRACTOR Dike & Cole�rove VALUE $ 8����.�0
�OT 61 e�ocK rancr 1986 Sinple Family Residence Plan
GROUP I TVPE V ZONE � FIRE DISTRICT �73 NO. 1jBR
PERMITSISSUED
INSPECTIONS DATE SUBCONTRACTOR
DATE NUMBER
Footing Trench %�
Foundation Forms and Grade to Garepe _
Wiring, Rough
Heating, Rougl
Heating, Final
Sewer, House�
Septic Tank or
Lathing,ln
Plastering
Plumbing, Fint
Plumbing, Fin.:
Wiring, Final
Occupancy
U ��.,, �n n r.
/�
Sewer, St.
:sspool
Out �
�
FixturesCom te L d-
3as Test /,S �� b•
0•
��si i =
_2 3-
/i. C
os a esa uilding Department ✓ APPLICATION FOR PERMIT
�� :.� itt EAST 20th STREET ����) ' __ B � I L �,',.N_G ..._. ..'�.
COSTA MESA, CALIFORNIA �p
Y'OR APPLICANT TO FILL IN 1 TOR OFFICE U$� ONLY ;
i � Receipt No. Permit_No.
nddaess 640 Surf Street � ' '- � �`�'� /SI�S �
Costa Mesa, CalifoTTua R cerv by, Date Rec'd. J Date Issued
� 6 ��-S�I G —.Z9-c'
r�ea�est l�th StTeet
CrossSt. � suilding �
Address j
Owner Harbor Estates � � Costa Mesa, California
Mail 419 East 17th Street
Address Nearest � '
Costa Mesa re�I,i.B-ll59 c�oss st.
City No. 2one �I No. of Type ! Group ,
Architecto(°yt150R & MiddlebrobR Y' P�ans %� �
Engineer No. Approved i
Garden Grove by ' I Date
Address � COdLRECTIONS
ContractorD�ke & Colegrove noY Lic. �Ol, �
Address 419 East 17th Street
Leaal I Lot , i I .. ..
(Attach Metes and Boun
Size ot �ot 60 X 110
Use of
SetbackL�nefrom 50i
Center oi Street
New � }i � Alteration
tJo. of Bldgs.
Now on Lot none
No.of No.of
Familie� RoorPsS�
Rear Vard �r
Sidevard 5�
Addition
Building No. 01
Size ngj, $�,F`F„ Rooms 5� Stories 1
F_xteriorV�'al Rooi
Covering .St.ACCO I Covering �mj��
U�e of New
s���ia��a Sin�1e fami.lv residence
e
APPROVALS
�undation Location I Inspecto
Forms, Materials,
Under-Pinning
•ame: Fire Stops,
Bracing, Bolts
I hereby acknow]edge that I have�rcad this Application
�ath.lnt.
and state that the above is correct and agrce to comply Lath. Ext.
with all City Ordinances and State Laws regulating
building Construction.
Plaster, Int,
Signature of D�ke & Cole�rove
Permittee
Plaster, Ex1
Authorized A9t.
Masonry Ri
Valuation Permit Fee 3 a.0� a a
Plan Check $ 3. D Bond Beam
$ $����.0� Total
Fee S a3. aa FINAL
I+orm L04 C�H �ni 12-53
�
�
� I
2
D
r
°� : u
ri..vi ri.r�l�
ShoW loeation and distances irom
property line and between buildings.
�J.
unnerc JO'
JOB ADDRESS
o.
TRACT iqAF� FIRE ZONE
UAIt
SUBCONTRACTOR
FOUGM PLUMBING
PROP. SWR. IINE HOUSE CON.
MISCELL/NEOUS
ROUGH HEATING RNO AIR CONOITIONING
FLOOR SYSTEM
SHEATHING
FRFME AND FLASMING
BROWN COAT
FINAL AND GAS TEST
� _
28551 � l
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 73W COSTA MESA, CALIFORNIA YZ6YE
Por Appl7canf fo Fil! In Completoly
� TYPE OR PRINT
B���o�No � 4o Ur2 F- a'r
ADORE69
COSTA MESA. CALIFORNIA
OWNER L F R E� ✓O R
MAIL C i'/ M �
U6E OP
� �. ./1y � No. o� �LCa�.
��o. 30�
[Li RHAR
u� � ��0� I RfQ.�
DESCRIPTION OF WORK
o�
1 HlRCBY IICKNOWL[DOi TXAT I XAV[ pQAD
ANO BTATH THAT T116 AGOV{ IY CORR6CT�A1
PLY WITH ALL CITY OPOIN/� ICY IWD /TGi[
BUILOINO CONBTRYGiION.
BIGNATUREOP �
PERMITT6
AUTHORIZiD A66NT
�
sr.�o�•�s ��*«=s.00
APPLICATION FOR PERMR
BUILDINa
for Offlae Use Only
n[e[IM! No. �
�� B
BUILDINO
ION¢ Xo, 01 uY[ oI N[
�( _ � runs Z, eu��mno " a ✓�- �
��� L 7`�� 7'R I 986
OOGRIRIOM U �/
A. P. NO. �I3 —�� i— I /
IiOTQ: NOBAVQOV[RHAN08NALLBHLl88THAH
80' TO BID6 O RBAR P. L
8AVE8
ALLOWHD 1U.8.C.REQUIRHMENTI
YARDHMPROVHD VARDSAPPROVfiD
MAIN BUILDINO ACCE490RY BUILDINO
vwn. �t � oere
s—%�'`8
1P�LICATON lX[ AMOUHT 6XOWN UHO6R VALU�TION 19 POR TH6
:6[ TO COM• rUNI00H OP [GTAlLIBNINO l� PERM�i PEH ONI.Y.
R¢outAT�Na yALUATION J��/
P/� PERMIT FEE $�• U L
�'(.I�/ �
s��}�t �_ _
vU TOTALFEE �" ✓