HomeMy WebLinkAbout2860 VELASCO LN - Building Permits �s Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF CSS •A7 MESA CONSTRUCTION PERMIT it PE IT NO. TRACT NO. LOT NO. UNIT NO. • •
Prniect-Address 2861) ked nsco La, CS. t/0 02052Z1 i 9954 9/11 /85 3100: TL
Applicant's Mailing Address 126 Commercial Way, C.M, TYPE OF CONSTRUCTION U NEW LI ADD .s4 ALTERATION U REPAIR 1
George C. ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# Zone
Owner's Name. 9 Clark Phone 979-5175 DESCRIPTION OF WORK/USE OF BLDG. residential re-coOf
Address ZggX'same with Clc s_A_J/17Bcg1LJFOing.teS, S Main Building: Accessory Building:
Z
Arch/Eng. License No. TYPE OF PERMIT LI GRADING UNDATION ❑ STRUCTURAL E Front o
Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear • N
Contractor's Name Crank Rem£. Ronfing '_Phone 54E655c9 - ❑ OTHER • C Right N
PROJECT DESCRIPTION SQ. FT. 3,O,0 OCCUPANCY_S-i 1-e-- K f G
Address(mailing)1.25-Commacc-ia-/—Wa- Ca84a-Mora 92627 Left
yl— CONSTRUCTION TYPE VALUATION$_.f1.,6a5 00 S R
City License No. _W5994 ZONE GRADING CU.YDS. ACRES E
LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided
I'hereb affirm that I am licensed underprovisions of Charter 9(commencingQ
Y Remarks: Planning Notes: (y1
with section 7000) of Division 3 of he Business and Professions Code, and - T
•
my license is in full force and effect./ ,� _ '
License Class' C-39 License •• /% A 7 Y7 S
Date.9 .9 85_ Signature p/'t7 •• PLUMBING . FEES
WORKERS'COMPENSATION D • ' 'ATIONJ /f Bar Sink Showers -
I hereby affirm that I have a cer /cote of consent to sel -insure or a certifi to ELECTRICAL FEES
,f Workers' Compensation I ranee, or a certified copy thereof (Section Backflow Preventer- - -Service Sink
3800, Lab. Automatic Washer Transformer 0 15-50 KW •
r\ Policy No. l'?CI 184 • Company Home Backflow Irrigation Sewer Cap0 50+'KW
\� • Construction Pole Sub.
PCertified copy is hereby furnished.
Xi Certified copy Is filed with the city Building Division. Bathtubs 1 Sewer Connection Cooking Unit Meter pup to 100 amps
Date_9/9/gS Applicant—er�nk—Sr-Os�—ROB —
•
EXEMPTION FROM WORKERS'COMPENSATION DECLARATIO Clarifiers Solar Collectors Dishwasher _ Meter Clover 100 amps ,
(This section need not be completed if the permit is for one hundred ($100)or -
1 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 -
...,<:-
shallWorkers' eCo
not mmploypensatanyion personLaws of in any maifornia.nner so as to become subject to the Drinking Fountains Solar Tank Fan Motors 00-1 HP 0114-8
Cal
Oate • Signature Floor Drains • Swimming Pool w/Spa F.A.U. Inc.Solar 09.15 HP ❑16-15+
NOTICE:If,after making this declaration, you should:become subject to the - -
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks. Urinal Fixtures "
comply with such provisions or this permit shall be'deemed revoked. Midrowave
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet • Device Boxes Pole Light
I hereby affirm that there is a construction lending agency for the performance 9
of the work for which this permit is issued (Section 3097 Civ. C.) Interce tors Water Heat
Lender's Name p er Outlets Range
Lender's Address - Kitchen Sink Water Service Switches Sign
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal ;Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays - Generator❑0.5 KW❑5-15 KW Trash Compactor
any structure, prior to Its issuance,also requires the applicant for such permit P
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 I
V 1031:5 by any applicant for a permit subjects the applicant to a civil _.
i "'penalty of not more than five hundred dollars($500). -
LJ I, as owner of the.property or my employees with wages as their sole Reinspection.Fee ••� $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 L 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 Hood or Type I 0 - DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such-improvements are not intended or offered for Boiler ' ' .
sale. If, however, the building or improvement is sold within one year of corn- Canopy Type II ❑ Zoning Approved By Date
pietism, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date
prove.for the purpose of sale). �/ //(,'�
El I, es owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System - Application Issued By Date -J Q,
tractors to construct the project (Section 7044,Business and Professions Code: '
-
The Contractor's License Law does not apply to an owner of property who • Duct-Ventilating ' 00-100,000 BTU 0100,000 BTU $U fyLA F FEES r S�
builds or Improves thereon,and who contracts for such projects with a con- - (ff (J
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT
' ❑'I am exempt under Section B.8 P.C.for this reason Fiiepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ '
•
Date • owner Heating System& Ducting : - Registers •
PLAN CHECK 25% $ ENERGY P.C. $
hereby certify hat 1 have read this applicat n and ate that the above 00-100,000 BTU 0100,000 BTL— ELECTRICAL $ GRADING $
information is o• act. I agree to comply wit II city d county ordinances
and state laws rj ating to building c• tiro n,and reby authorize repre- PLAN CHECK 50% $ MICROFILM $
sentatives of t s cit o enter a ove- ntioned property for - , / �
inspection purp•3e //), MECHANICAL $ TOTAL FEE $ r� OO
Signature x • / Date
Drivers' Lit" e or SS yp 9/9/85Reinspection Fee $15 ' Issue Fee $ 3 PLAN CHECK 25% $ •
CMF 0865-46 ev.10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor
CONSTRUCTION AND PLANNING POOL SPA
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
1 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, 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 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 [l/Z-_/5•S 0
48. Special Requirements Completed A
49. Electric Release to Edison
50.'Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
PROSECT ADDRESS: 2860 VELASCO LN • UNIT: 0 CITY OF COSTA MESA — BUILDING PERMIT - PERM NO: P 044641
r OWNERS NAME: •
GEOGE CLARK
ADDRESS: SAME AS ABOVE . . PERMIT NO: P 044641 • • PLAN CHECK NO:. N GOVT: N SUPP: N
•. CONSTRUCTION TYPE: _ :PERMIT TYPE: PLU • •PURPOSENEW
ARCHIENGINEER: • REG.NO.: - JOB DESCRIPTION : WATER HEATER - SQ FT: '
ADDRESS: UNIT: -
• CLAIM VALUE: CALC—VALUE: GROUP OCC: • /
PERMRTEE: EARLS PLUMBING ( 714 ) 772-3470 i
ADDRESS: 1533 W. LINCOLN COMMENTS: I
ANAHEIM CA 92801 - ***********e *********x********** **** -******* ***** ter+Est***************xrt**sex **
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ,2 O N I N G R E Q U 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. _ S E T B A C K S
CITYuc.:005938 STATELIC.:217657 CLASS:C-36 .
•
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 acertified copy thereof(Section 3800,Lab.C). LEFT: FT ' IN RGHT: FT IN LEFT: FT IN RGHT: FT IN'
POUCY NO.: 04840 EXP.DATE: 1 0/01 /9 0 •
•
cOMPANY:BEAVER PARKING REQUIRED : PARKING PROVIDED: PARCEL : 14154216 ZONE:
—I Certified copy is hereby furnished. ® Certified copy is filed with the city Building Division. PLANNING NOTES> '
• > .
Date: Applicant: *********************************************** ******************************* ,
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred MR or less). • D E V E L O P M E N T SERV I C E S ";' R E Q U I. R EMENT S
t 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 . r ,
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY J-- DATE: ,
Date: Signature: -
NOTICE:IL after making this dedpration,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. . . --yy�
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y : :• 'DATE- o�J
which this permit is issued(Section 3097.Civ.C). ****************************************ia9l4E************************ 3tk •
UNDER: *******************************************************************************
ADDRESS: • LEGALIZATION:N F E E S' U M M A R Y 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 2,00
repair any structure,prior to its Issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed - ' -
25% SMIP/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business
and Professions Code)or that he/she i$exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN - •
.
I any applicant for a permit subjects the applicant to a civil penalty 01 not more than five hundred dollars($500). ISSUE FEE 3 , 0 0 -
BUILDING-DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID ' . DUE '
1 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(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS—— —> 2 . 00 3 . 00 0 . 00 5 . 00 5 . 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. If,however the building or REVENUE DIVISION TOTALS--> COLLECTED: 5 . 00 ' OVER/SHORT: . 00
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build Or improve
r for the purpose of sale). BLDG PMT PLUMBING. ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK •
• I,as owner of the property,am exclusieely contracting with licensed contractors to construct the project(Section 7044,Business 5 .00
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon i
and who contracts for such projects with a contractor(s)license pursuant to the Contractors State License Law).l am aware *******************************************************************************
that proof of their Worker's Compensation insurance should be provided to me. I N D. I V ID UAL F E E B R EAK D OWN
❑ I am exempt under Section: B.8 P.C.
for this reason: • TYPE QTY D E S• C R I P T I O N UNIT COST TOTAL COST
•
Date: OwnerPLU 1 WATER HEATER AND/OR VENT 2 . 00 2 . 00 •
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES
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
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 state that the above information u correct.I agree to comply with all city and county
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned
property for inspection purposes.
Date: Signature: - • ,
'
Driver's License or Social Security Or _ L r.?k= 23;!:9 re.,=,,�,-IT7, 69 -�0g=7
T T :9;
1641:48 White—Building:Green—Code Enforcement:Canary—Applicant;Pink—Revenue;Goldenrod—Assessor
•
' J
J
•
CONSTRUCTION AND PLANNING POO 'PA
Date Inspector - Date Inspector
APPROVALS Permit# APPROVALS Permit#
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
- 77 Footings58. 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
19.7Rough Heating & Air Conditioning 4 _ FIRE DEPT. REQUIREMENT
20.:Rough Factory Fireplace _ -•
.- . -APPROVALS -. -Permit#
217-Ducts,i Structure' ° ; .70. Underground Hydro ;
•
22-Ducts, Ventilating , . - .. -- +- -- J1. Product- ping0Gas 0 Oil
23.•Gas-Pipe;Rough & Test -"` '• ^ 72. Underground Flush `
24. Roof Framing - - J ' -- .. •73r:- Undergrnd.Storage Tankr❑Gas 0 Oil
25; Roof Sheathing - ' - 74. Overhead Hydro: _ `
26.. T-Bar Ceilin (Structural) &'Moriocoat
9 - _ 75^Dry Chemical
27:-Frame and Flashing _ _ - - - _ 76. Dry Standpipe _ - - ' _ -
_28. Lathing-& Siding . •. - . • - •• • , ,a 77-- FIXED SYSTEM FINAL- -
29. Insulation - ' ; 78.-,FIRE PREV. FINAL t -
30. Drywall'Nailing , . u - •.---.. - HEALTA DEPT.. REQUIREMENT
31. Plaster Brown Coat': :.-- . - -79. FINAL INSPECTION 1
32lectrical Power Meter-Final,
. E , "80.JFOOD CERTIFICATE ISSUED- .
:'33rFinal Electric, 7 ,i ^' Notes: - - '-
;'341_Final Heating & Alf Conditioning - . �. -
35. Final Gas Pipe-Test - r --• .- -
-36-Hood or Canopy - .- '• - ` -U ' g.
-37.-Final Factory Fireplace- - - .
_38. Final Plumbing t • rlitajel Cre/J _, 4
39. Water Service-Final .. ..
__40. Gas Service-Final - - -• r• : -
-41. Solar Domestic-Final` - - t
ti
42 Backflow Preventer •_ ` . - "'
,-I.- t . .. - _
43. Backflow Irrigation - - -
- 44. Landscape Irrigation System- '' - • n" I; '
45. Sound Attenuation _ ;
-46.`Handicap Regulations ' r -r _ '
-47:-FINAL STRUCTURE & BUILDING i ' t: . • '
48.,FINAL PLANNING - -
r -
, -r- t
. 49.. Electric Release to,Edison iw , r i
50. Gas Release to Southern California Gas Co �, - • ' - _
51. CERTIFICATE OF OCCUPANCY "
No. Date
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY-0F COSTA M SA CO STRUCTION PERMIT PERMIT IVQithTT NO. �� tP. UNIT NO.
A.P.# Zone
Project Address do-6 D 1/�L �o /�� l/�,,yE.al' �p- KKw--//!!1f' /Xl� I S Main Building: Accessory Building: ,
• Applicant's MailiOg Address 533 14 ) illbr(-.AJ TYPE OF CONSTRUCTION NEW U ADD ALTERATION U REPAIR E Z
&9i'z C. 0 LARK
P /J7 7/79r El CONVERSION ❑ DEMOLISH ❑ OTHER T Front o
Owner's Name I:JWr LTC �-/'+ Phone/7/7/79r DESCRIPTION OF WORK/USE OF BLDG. I B Rear N
Address I
U STRUCTURAL ' C Right N
Arch/Eng. License No. TYPE OF PERMIT El GRADING�UyFOUN DATION K G
Address •�s s'� L'7 0 TENANT 0 ELECTRICAL PLUMBING 0 MECHANICAL �S Left R
Contractor's Nam- • y✓ •hone G .Ii 0 OTHER PI Ing. Ref,# Parking Req./Provided E
Address(mailing) `5i ',PROJECT DESCRIPTION SQ. FT. OCCUPANCY Cl
/4) \ Planning Notes: M
ON STRUCTI ON TYPE VALUATION$ T
City License No. • Ze•E GRADING CU.YDS. ACRES tt189 S.
LICENSED CONTRACTOR DECLARATION ` 1\'�...5 O t 3 L7
I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: STA LL eD Z JAre/2 tea TG 2. ,/ '-
R -Ei 1J
with section 7000) of Division 3 of the Business and Professions Code, and ELECTRICAL FEES
my license is In 1 oagq:and effect. s n /J 1
.'� Licen C `, .7(O open ���`S/ Automatic Washer Transformer 0 15-50 KW
(r Date`T Signature .LLL__���h� PLUMBING FEES 0 50+KW
WORKERS' COMPENSATION DECLARATION Construction Pole Sub.
Bar Sink Showers
I hereby affirm that I have a certificate of consent to self-Insure or a certificate ❑u to 100 amps
' Yorkers' Compensation Insurance, or a certi led copy thereof (Section Cooking Unit Meter p p
I, Lab. C.KV/V0
Backflow Preventer Service Sink
1_o,icy No. Company,9Uer. Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps
Certified copy Is hereby furnished. -
C) ,, Dryers OGas ❑Electric Sub Panel
Ceysijiegp is fIied with the city Bu ing ivisi nelhe Bathtubs 'wer Connection
Date Ler ((XX rA1��`` Applicant/J /9 —�Fan Motors 00-1 HP 01%-8
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Sola ollectors
(This section need not be completed if the permit is for one hundred($100) or F.A.U. Inc.Solar 09.15 HP ❑1615+
less). Dishwasher Solar Pip t
I certify that in the performance of the work for which this permit Is Issued, I Fixtures Microwave
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tan.
Workers' Compensation Laws of California. Device Boxes Pole Light
•
Date Signature Floor Drains Swim. ng Pool w .a9
•
NOTICE: If,after making this declaration,you should become subject to the - Outlets Range
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks U al
comply with such provisions or this permit shall be deemed revoked. -
• CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches Sign
I hereby affirm that there is a construction lending agency for the performance
of the work for which this permit is Issued (Section 3097 Civ. C.) interceptors Water Heater G1� Garbage Disposal Standing Sections
Lender's Name O�
Lender's Address _ _ _. Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor
OWNER BUILDER DECLARATION
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
county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays
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 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 Reinspection Fee $15 Issue Fee $ 3
- 'efrom and the basis for the alleged exemption. Any violation of Section
-.5 by any applicant for a permit subjects the applicant to a civil
.1ty of not more than five hundred dollars($500). DE LOPMENT SERVICES REQUIREMENTS:
L I, as owner of the property or my employees with wages as their sole Rei •:pion Fee I $15 Issue Fee $ 3 Zoning pProved By Date
compensation, will do the work,and the structure is not intended or offered
for sale (Section 7044, Business and'Professional Code: The Contractor's MECHANICAL FEES Building proved By Date
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 �I Application USBy Date
1
employees, provided that such Improvements are not Intended or offered for Boiler Hood or Type 1 ❑
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES
pletlon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground
rove for the purpose of sale). BUILDING RMIT $ SMIP $
LJ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT `
tractors to construct the projectSection 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of oropeaty who Duct-Ventilating 00-100,000 BTU 0100,000 BTU PLUMBING $ 5W° ISSUANCE $
builds or Improves thereon.and who contracts for such orolects wnh a con-
ENERGY P.C. $
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration I PLAN CHECK 25% $
proof of their Worker's Compensation Insurance should be provided to me. ELECTRICAL $ GRADING $
❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBG# Fire Dampers PLAN CHECK 50% $ MICROFILM $
Date Owner Heating System&Ducting Registers MECHANICAL $ TOTAL FEE $ ,COO
I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BTL PLAN CHECK 25%
Information is correct. I agree to comply with all city and county ordinances $
and state laws relating to building construction, and hereby authorize repre-
sentatives of this cit to en er •an the above-mentioned peep r JO!
inspection purpo / 1
q/� 7!/ _
Signature a - /
Reinspection Fee $15 Issue Fee $ 3
0865-46, rev.5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
'
CONSTRUCTION AND PLANNING POOL ' CPA
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-Undrgrrid`
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd.
10. ructural Floor System 61. APPROVAL TO DECK
11. P •.erty Sewer Line & House Connection - 62. Backwash & Receptor-Final
12. Sew: Cap •
63. Heater & Vent-Final
13. Roof D .'ns . . 64. Plumbing System - Final
14. Rough Plu ing 65. Electrical-Final
15. Rough Electrica Conduit 66. Solar System-Final /
16. Rough Electric Wiri • 67. Fencing & Access Approval.
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18: Rough Electrical-T Bar Ceili • 69. POOL/SPA SYSTEMS FINAL
19: Rough Heating & Air Condition •g FIRE DEPT..REOUIREMENT
20..•Rough Factory Fireplace APPROVALS /Permit#
21: Ducts, in Structure 70. Under. ound Hydro
22. Ducts, Ventilating 71. Pr'•uct Piping O Gas OOiI
23: Gas Pipe-Rough & Test 7 .Underground Flush
24! Roof Framing , 3. 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 7• FINAL INSPECTION
32. Electrical Power Meter-Final 80. ' sob CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditionin.
35. Final Gas Pipe-Test • �
36. Hood or Canopy •
37. Final Factory Fireplac •
38. Final Plumbing ZS
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final •�
42. Backflow Preventer
r-.
43. Backflow Irrigation (-
44. Landscape Irrigation Systtem
4
45. Sound Attenuation
46. Handicap Regulations ."
47. FINAL STRUCTURE & BUILDING
•
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
•
No Date
OWNER MESA DEL MAR DEVELOPMENT COMPANY DATE 3-12-62
JOB ADDRESS 2860 Vela-art) Tame BUILDING PERMIT NO. 16680
GENERAL CONTRACTOR Mn eon Corp. VALUE $ 18,1+67,00
AP No. LOT 82 TRACT 4260 FIRE ZONE DESCRIPTION OF WORK res w/att gar
Ir-DECTIONS SignaturegnDATE// 1W TYPE y�UBCONTRACTOR \S
GROUP 1TYPE V ZONE R1
S _ >r7�` PERITS ISSUED
Gas -, DATE 1 NUMBER
Water�tS4i ee0�S SS 1.-_ iv Ar
Rough 6m. Re rig. ■ ' it Cond. 0
Rough Heating AG 6(/ aL�r ��i a_'e .-_ . _ L.5"--da-.642. 0- , /
Rough Plumbing !- _-7 /f/: ii, 4. i, i c&02�-�' •---. -,"-
Miscellaneous Y \_ 1,,,--1--e..-- / L i
Prop.Swr.Line p.blouse Con. -St.Swr. ❑ 0 Wil t x.,.� ii„..'12-.,- - //6//� w _E V_? i �-
Sprinkling System ,-ry7,71/5/4A'y) /144.3444---.. j /&/c-4.2 '� C7. a41�1
Construction Pole �I�''
Underground 0 Power 0
Rough Wiring tt Ir_ tin (,'t. 7 9-6 2. /7-00
Trenches Forms Steel Reinf. 0 L? '41 .3.
�f A _
Floor System ✓ ' r
Bond Beam 0 Steel Reinforce 0
Sheathing e'7).# 71_3.-0-
Frame and Flashing7-//f
Lathing - In Er-Out IL}/ ,S! -- 4-
brown coat /,4, S-2-9-6 2- -
1= ;. ❑ Air Cond. 0 Final
I-1 ing, Final
4 Fixtures, Final b
Final Gas Test/6- / • l.1
Electric Fixtures, Final Zd - '__,
Building, Final F-:-.771 _2 //
OCCUPANCY
FORM BU4-5M - 7.61 16680
1F 16680 E RECEIVED
1 Lot 82 - Tract 1,260
COSTA MESA BUILDING-SAFETY DEPARTMENT MAR 7 1962 Plan 400-0
P. O. BOX 817 COSTA MESA. CALIFORNIA b FIN 8iNCE DEPT.
CTOF COSTA MESA
For Applicant to Fill In Completely APPLICATION
FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING
ADDRESS 2860 Velasco Lane
COSTA MESA. CALIFORNIA For Office Use Only
RECEIPT NO. PERMIT NO.
OWNER Iles? Del Mar Development, Co.. 1 QUI 1
AMAILDDRESS 3800 E. Coast Highway RE VED BY DAT/ RECEIVED A X196
'_,?/c-c.?'h,AR1 1962
an Corona Del Mar.Calif. NOLDR3-4220 ADDRESS
ARCHITECT Cliff Olsten & TE4. COSTA MESA, CALIFORNIA
OR ENGINEER A4con a NOd/7l-l22l
ADDRESS 9025 E. Florence Ave. .Dozlrne3 ZONE TYPE GROUPC'Y {--
Calif< APPROVED U/1
CONTRACTOR Moonc C,..... ..n}j,... BY DATE
ADDRESS 3800 E. Coast Highway l ZONING
Tear ZONc__I PLANS z I USE OF NEW BUILDING [y/-roar*,
, &fr
CITY Corona Del Mari,Calif. ry� K D /� / `y+. -
LIc NO. 98808-3 -1 NO, OR 3!.122) DESCRIPTIONAL
ESIZE ` Z T' 'Ito
OF LOT 7275 S.F.SI NOWOF ON LOTIrG '
A.P.NO.
USE OF - YARDS EVES
EXISTING BLDG. Win rp APPROVED ALLOWED
SETBACK LINE PROM (CENTER LINE ST.)
CENTER or STREET 5n I REAR YARD 2211011 FRONT - FT. ---- IN.
SIDE YARD I LEFT 71 Alt I RIGHT CI - R.SIDE S_FT. _ IN.
DESCRIPTION OF WORK /
L.SIDE 7 FT. v IN.
NEW I X D ALTERATION I D ADDITION I REAR a FT. /0 IN.
REPAIRp1
SIZE I II MOVING I IIDEMOLISH I :7ROVEDco4,4 DATE 212.?/6-L
BUILDI CA161IX54t1 ROOMS 6 STORIES 1 ,1
EXTERIOROWALLStUCCO !ROOF
COVERING Wood COVERING Wood
USE OF BUILDING AND WORK TO BE PERFORMED
Single fnmiIy dwell 1 re _Iavina area 1702 S.F.
w ttached garage ,3araae II 463 S.F.
Covered Porch, 63 S.F.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FE! ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION .+i}
SIGNATURE OTS' PERMIT FEE $ <,/C/• l/1./
T1,Ie. l M.S Development CoPERMIIri
C. _
By l / �' $ 18,467.00 PLAN CHECK S i t . an %
AUTHORIZED.AGE. tis.. A p !
'TOTAL FEE $ 51 .00 o