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HomeMy WebLinkAbout2872 VELASCO LN - Building Permits 4`4EU W4. CITY OF COSTA MESA BUILDING DIVISION o y'� '',1 DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER PERMIT B06-02111 BIHLBINC PERM4T (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 2872 VELASCO LN Status: ISSUED Suite: Applied: 12/14/2006 Vicinity: Issued: 12/14/2006 • Primary Occ: Type of Construction: Parcel Number: 14154220 Zoning: Applicant: ANTHONY BETTS Address: Phone: 714-803-6721 -' /� Zip: ISSUED BY: i Y Owner: BETTS, ANTHONY GOODWIN Address 2872 VELASCO LNrr����p� Phone: Y _ COSTA MESA,CA Zip: 92626-5716 •fl 11 Jats, . Contractor: - Address: • Phone: Zip: License: Arch : Eng: Address: - Address: Phone: • Phone: Zip: License: License: . SCOPE OF PERMIT REMOVE BEARING WALL BETWEEN KITCHEN AND LIVING ROOM. FEE SUMMARY Plan Check: $45.01 Calc Valuation: $2,000.00 Permit: $69.25 - Claim Valuation: $2,000.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $114.76 PLANNING & ZONING SETBACKS MAIN STRUCTURE Front` 0-0 Rear 0-0 Left 0-0 Right 0-0 \y y. . r ACCESSORY " Front , 0-0 ., `Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: - 0 Required: 0 Proposed: 0 ro 2 ,. , , r.reih. Fat . . • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-46(6/00) r • WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I 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 RIVES UP TO ONE HUNDRED THOUSAND DOLLARE($1080001,IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS 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# Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ 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). Lender's Name:- Lender's Address: Signature: i! r `..-4 Date: OWNER-BUILDER DECLARATIONS:'-.4.• I hereby affirm that under penalty of perjury that I am 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).): ❑ 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 ' se 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 purs nt to Contractors a Laws.). ❑ I am exem t n sec. Lic Business and Professions Code for this reason: Signature: I / Date: /?: �Y'o6 Owner ID verifie y driver's license. 0 Yes 0 No Driver's License No. ST Expires: OS---i/3-07.7.-- Verification 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 B,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). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 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? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 0 No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes ❑No (If'ryes",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 California Health and Safety Code Section 42303 been made? 0 Yes 0 No B (If"yes",attach certificate of compliance front the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: 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 Hazardous Materials and Emissions. Signature: Date: CERTIFICA 1 O-COMPLI•. E AND A -•-IZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I a• us ••- • it all stat: :ws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-des• roperty for see .•n purposes.I agree not to occupy or allow occupan -of any building authorized by this permit until final inspection. .-P A� k I ?--RI— o6 V Signet re Of Legal Owner(s) Date And/Or Authorized Applicant Date CODE it INSPECTION TYPE PATE INTITIAL$ §ODEA INSPECTION TYPE OAS INTRIAL$ 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 BlocklRetaining 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 _ '- Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA a 2'7/�� 9591 3/19/n5 PERMIT NO. TRACT NO. LOT NO. BLD CONSTRUCTION PERMIT Al -/g'Q•2% _ 9 7a3_. it ` Project Address ,$7 l//24-aitt G' ' � TYPE OF CONSTRUCTION U NEW U ADD © ALTERATION U REPAIR • Applicant's Mailing Address .2Q 72. 9/2.�.E✓1.�.0 24/• (7sJZ Mtn., ❑ CONVERSION ❑ DEMOLISH El OTHER A.P.# Zone Owner's NameT DESCRIPTION OF WORK _(.!1'NO ad�j.y1YC� Phon ✓y�-J e ✓'�� - .1-1P---'n ,E S Main Building: Accessory Building: Z Address .7 Y7.2 �/2C21MtJI Prb-�e "inf-d�J (� _!" TYPE OF PERMIT U GRADING FOUN Li ❑ STRUCTURAL E Front N Arch/Eng. License No. ❑ TENANT CI ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B • Rear N 1/1 Address ❑ OTHER A /IC Right G Contractor's Nem: _..i.:/"._."... ; • - '+ Phone 4 PROJECT DESCRIPTION SD. FT. OCCUPANCY K R Address imaging) /y39 s �w. pa, CONSTRUCTION TYPE VALUATION$ S Left A. ea A-119 �C «'H E / City License No. DO X...5-‘-‘ . ZONE GRADING CU.YDS. ACRES Ping. Ref.4 Park.Fees $ O LICENSED CONTRACTOR DECLARATION U r•/� Remarks: Parking Req./Provided I �J \ I hereby affirm 7 0 that I am licensedion under provisions f Charterroi (commencing R with section 7000) of Division 3 of the Business and Professions Code, and Use of Building: E citi my license Is in full force and effect. License Class G icansa No 17 6 2 PLUMBING FEES Planning Notes: M Date Signature —YE IRKERS'COMPENSATION DECLARATION Bar Sink Showers N \ ireby affirm that I have a certificate of consent to self-Insure or a certificate T . Workers' Compensation insurance, or a certified copy thereof (Section Backflow Preventer Service Sink $ 3800, Lab. C.) Backflow Irrigation Sewer Cap ELECTRICAL FEES Policy mac; - --- Certified copy is hereby furnished. Bathtubs Sewer Connection Automatic Washer Transformer 0 15-50 KW q. Certified copy is filed with the city Bui4r0D1yy'sion. ❑ 50+KW Date Applicant free 1 4 4, Clarifiers Solar Collectors Construction Pole Sub. EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Dishwasher • Solar Pi in • (This section need not be completed if the permit is for one hundred($100) or p 9 Cooking Unit Meter ❑up to 100 amps less). I certifythat in theperformance of the work for which thispermit is Issued I Drinking Fountains Solar Tank Dishwasher Meter Dover 100 amps ort ' employ anyiperson in any manner so as to become subject to the Workers' Compensation laws ofCalifornia. Floor Drains Swimming Pool w/Spa Dryers ❑Gas ❑Electric Sub Panel Date Signature - NOTICE: if defter making this declaration, you should become subject to the Floor Sinks Urinal Fan Motors 00.1 HP 011/2-8 Workers' Compensation provisions of'the Labor Code, you must forthwith - - --comply with such provisions or this permit shall be deemed revoked. Gas Service Outlets Water Closet • F.A.U. Int.Solar 09-15 HP 016-15+ CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the performance Interceptors Water Heater Fixtures 'Microwave ' of the work for which this permit Is issued (Section 3097 Civ. C.) .. • _- .. i. Lender's Name Kitchen Sink Water Service _ Device Boxes Pole Light Lender's Address, Lavatories OWNER BUILDER DECLARATION - - _ Outlets Range I hereby affirm that I am exempt from the Contractor's License Law for the P-Trap reason (Section 7031.5 Business and Professional Code: Any city or p _ Switches Sign 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 Roof Drains Garbage Disposal .Standing Sections to file a signed statement that he/she is licensed pursuant to the provisions of 'a 1 Contractor's License Law(Chapter 9(commencing with Section 7000) of - ' ision 3 of the Business and Professions Code) or that he/she is exempt - Generator ❑0.5 KW 05-15 KW Trash Compactor ,g-a31.5om and the basis for the alleged exemption. Any.violationira nt of Section ' .v31.5 by any applicant fora permit subjects the applicant to a civil . !penalty of not more than five hundred dollars($500). Reinspection Fee $25. Issue Fee $ 3 U I, as owner of the property or my employees with wages as their sole Reinspection Fee $25 Issue Fee $ 3 compensation will do the work,and the structure Is not Intended or offered , MECHANICAL FEES for sale (Section 7044, Business and Professional Code:,The Contractor's License Law does not apply to an owner of a property who builds or Improves ' Boiler . . Hood or Type I EDPUBLIC SERVICES REQUIREMENTS: . thereon, and who does such work himself/herself or through his or her own - I employees, provided that such Improvements are not Intended or offered for Canopy Type II ❑ • Zoning Approved By Date sale. If, however,the building or Improvement is sold within one year of com- Duct-Under Ground pletlon, the owner will have the burden of proving he/she did not build or Im- - Building Approved By Date I Date 54/45grove for the purpose of sale). Duct-Structural Refrigeration System Application Issued By . ,` r�(/ f LJ I,as owner of the property, am exclusively contracting with licensed con- -• ❑0.100,000 BTU ❑100,000 BTU tractors to construct the project (Section-7044,Business and Professions Code: Duct-Ventilating SUMMARY OF FEES The Contractor's License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such projects with a con• Exhaust System 0 Multiple❑ System Repair/Alteration BUILDING PERMIT ,$ SMIP i '$ tractor(s) license pursuant to the Contractor's License Law), PLAN CHECK $ • • PERMIT _ ❑ i am exempt under Section B.& P.C.for this reason Firepl/fact.Blt. ICBO# PLUMBING $ ISSUANCE $ Date ' Owner Heating System&Ducting Y �� PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that-I' have read this application and state that the above ®0.100,000 BTU 0100,000 BTT.'— - GRADING $ ' information is correct. I agree to comply with all city and county ordinances / i ELECTRICAL $ and state laws relating to building construction,and hereby authorize repre- PLAN CHECK 50% MICROFILM $ sentatives of;this cit to e er upon the aboy�-mentioned property for $ O ,\ Inspection Durposg �y /y MECHANICAL S (� Signature l5-vt�CiC�/�L/L� Date TOTAL FEE $ 0 Drivers' License or SS# Reinspection Fee j $25 Issue' Fee $ 3 PLAN CHECK 25% $ CMF 086546 rev.12/83 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor • A A ' . CONSTRUCTION AND PLANNING -, POO• --"^ PA , _ • . Date InspectorDate 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-GUNITEF 7. Footings - -58. Electrical Conduit-Undrgrnd. - ._ ` 8. Foundation • 59. Gas Pipe, 0 Undtgrnd.,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 Piping0Gas '0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush ' 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas iD 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 g_gCL_ c.w. ' , • 35. Final Gas Pipe-Test - - - - - 36. Hood or Canopy •_ 37. Final Factory Fireplace _ - I - - - . 38. Final Plumbing 39. Water Service-Final - 40. Gas Service-Final 41. Solar Domestic-Final t 42. Backflow Preventer - 43. Backflow Irrigation • ' - I ' ' 44. Landscape Irrigation System - 45. Sound Attenuation • i • 46. Handicap Regulations - ' 47. FINAL STRUCTURE & BUILDING , 48. Special Requirements Completed 4 49. Electric Release to Edison - - - • 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY , -- -i - I -.L - : , No. Date,. - -. _ • 1A- Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA a ONtSfTRUuCI�TION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. Projec{Address717 /)-'�yE'CA L�N/�lj 2e�2Z , 7163' 7/22/85 26.50 TL A- ( L r it I..57-, t/ � Ate- TYPE OF CONSTRUCTION H.NEW U ADO H ALTERATION Ll'yREPAI R • �. Applicant's Maii�lii�ng,//Address / jj�� r���i hf«� C�1` �4'& Phone El CONVERSION 10 DEMOLISH ❑ OTHER I - A P # I Zone Owner's Name -7 `�!,(� DESCR P ION O WORK USE O BLDG. w - is. -Address - 9 [� k: A CAA of/ ! / A [/r.; ALP/-( jd� S Main Building: - Accessory Building: E Z Arch/Eng. ' " License No. TYPE OF PERMIT I GRADING I FOUNDATION II STRUCTURAL T Front 0 Address • ' LITENANT ❑ ELECTRICAL ElPLUMBING H MECHANICAL - B Rear N Contractor's N. ' �' ) xc�1 Phone_—�• it 7 ❑ 'OTHER A I //yy £�)) NF1 PROJECT DESCRIPTION SQ. FT.' VUIIVU Sal F 1'OCCUPANCY C Right N Address(mailing) 71(.7 Et Y jrS/1 -S� i"� �/�/ - [}) K G 72 CONSTRUCTION TYPE VALUATION$ 7t S7),ad s Left City License No. 33-7 2-3 ZONE GRADING CU.YDS. ACRES '- LICENSED CONTRACTOR DECLARATION Ping. R¢f.# Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: - • Planning Notes: r - M with section 7000) of Division 3 of the Business and Professions Code, and my license is in full fore-. . •,-(rect. . / - S '/y1..�� License Class s o. ',�j YN Date 7 r7—`-5—Signature � �j�{� PLUMBING FEES 1"-- WORKERS' COMPENSATION Cf&'' }� Bar Sink Showers / ELECTRICAL FEES I hereby affirm that I have a ceRjf T�se��• consen to elf-Insure or a certificate Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink •00, Lab. 0,),/ ,--,,,no.a* ( I 35. p <74 /O Foye • Automatic Washer Transformer ❑ 15-50 KW Policy73- nNo.6/7 (ova* �t7J Company Backflow Irrigation Sewer Cap 0 50+KW ll Certified copy is hereby furnished. I Construction Pole Sub.' Certified c is fl with the city B��_uil���9SSS iv' ion Bathtubs Sewer Connection Cooking Unit Meter Our)t0 100 amps Date � — Applicant .� _ EXEMPTION FROM WORKERS'COM LARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for one hundred ($100) or ` less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel - t certify that in the performance of the work for which this permit is issued 1 shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors❑0-1 HP ❑1%-8 Workers' Compensation Laws of California. Date Signature ' Floor Drains Swimming Pool w/Spa . NOTICE:If,after making this declaration,you should become subject to the' _ F.A.U. Inc.Solar ❑9-15 HP 016.15+ 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. Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet I hereby affirm that there is a construction lending agency for the performance Device Boxes Pole Light of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater - Outlets • Lender's Name Range • Lender's Address Kitchen Sink Water Service Switches ' OWNER BUILDER DECLARATION - 9 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 Garbage Disposal ;Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays • Generator ❑0.5 KW❑5-15 KW any structure, prior to its issuance,also requires the applicant for such permit Trash Compactor 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 , 'herefrom and the basis for the alleged exemption. Any violation of Section - - • , . 331.5 by any applicant:for a permit subjects the applicant to a civil _ ' enalty of not more than five hundred dollars($500). - . • 0 I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work, and the structure is not intended or offered - Reins ection Fee for sale (Secion 7044, Business and Professional Code: The Contractor's - MECHANICAL FEES p $15 Issue Fee $ 3 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 DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for Boiler Hood'or Type I ❑ . sale. If, however, the building or Improvement is sold within one year Of Com- Canopy Type II 0 - Zoning Approved By Date pletlon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date rove for the purpose of sale). /// yyy���,��r ,,,(��� I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By �{/"`�1 / Date i Ii9 tractorsto 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 ' ❑0-100,000 BTU ❑100,000 BTU SUMMARY OF FEES b• uilds or improves thereon, and who contracts for such projects'with a con- - tractor(s} license pursuant to the Contractor's License Law). am aware that ,Exhaust System ❑ •Multiple ❑ System,Repair/Alteration • I ^— BUILDING PERMIT $ 2s.00 SMIP $ • SO proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT • 0 lam exempt under Section- B.8, P.C.for this reason Fire BIt. ICBG# Fire Dampers ISSUANCE $ PLUMBING $ . __ Date owner a Registers PLAN CHECK 25% $ l: ENERGY P.C. $ r I hereby-certify that I hay- read this applicati•n and state-that the above 00-100,000 : 0100,000' : - • • - information'iscorr- ocomply wit ••ty and county ordinances ■ ELECTRICAL $ GRADING !$ and state laws r- : i- di-: col air o -nd hereby authorize repre- $ ' MICROFILM $ ; sentatives of ;tail.. e '••• e-mentioned property for PLAN CHECK 50% inspection p .••ses. piMECHANICAL $ .TOTAL FEE $ 'ro Signature - .... Date7-71145- !� / I , Drivers' Lice—or SS 4� - - _ _ CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod -Assessor r CONSTRUCTION AND PLANNING - POOI PA Date Inspector APPROVALS Permit# Date Inspector APPROVALS Permit#. Temporary Electrical Service or Pole 52. Pool & Equipment Location. Soil Pipe-Undrgrnd. - 53. Steel Reinforcemnt 7 . Electrical Conduit Utility-Undrgrnd F 54. Forms • 4. Electrical Conduit-Undrgrnd. . 55. Electrical Bonding . 5. Steel Reinforcement. 56. Rough Plumbing & Pressure Test 6.,,Electrical UFER Grnd. • 57. APPROVAL TO COVER-GUNITE 7. Footing's; I It - _ 58. Electrical Conduit-Undrgrnd. • 1 8. foundation : 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. _ i 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.Cap63. Heater & Vent-Final i • 13. Roof-Drains 64. Plumbing System - Final 14. Rough Plumbing j- 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 Eiectrical-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 ❑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 . I� 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 I 44. .Landscape Irrigation System , 45. Sound Attenuation • 46. Handicap Regulations 47. FINAL STRUCTURE& BUILDING 7fr/i�� , 48. Special Requirements Completed �7 r/r 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY • No Date 1 ' OWNER MESA DEL MAR DEVELOPMENT COMPANY DATE 3-12-62 JOB ADDRESS 2872 Velasco Lane BUILDING PERMIT NO.16682 GENERAL CONTRACTOR Macco Corp• VALUE $ 18,467.00 AP No. LOT 84 TRACT 4260 FIRE ZONE DESCRIPTION OF WORK res w/att gar INQPECTIONS Signature DATE GROUP 1WP TYPE V ZONE R1 s — �� • PERMITS ISSUED Gas / /` SUBCONTRACTOR DATE NUMBER Water �,1 1 � Lt,. _ Y/_J� Rough Co . Refrig. 0 Air and • { ,,/ / Rough Heating a's _( q�� S-- a- ,01_ fOd' ✓/ Rough Plumbin_h ""� • N AN 1,.. / 3- �`l ✓/ Miscellaneous , ��1 / �/ y/ //.-7 - ,/Jl'7�" C - /OrJcc/¢¢2_367 Prop.Swr.Line [}House Con. [�-StrSwr. 0 ��"_ 1-c-c,{-/�}.Ct' [e If, !/! `C. �/1����/,/, Sprinkling System 42�s ,/J„_'3-b7 Jo-/S-6A. 3 >3 Construction Pole , 11(f Underground ❑ Power ❑ /f' Rough Wiring /�• -t • - - - _et.—'_7—Lo—d a/ �/ Trenches Foxms . Steel Reinf. 0 f - Floor System fed Floor 4‘.44±4;,?/- Bond Beam 0 Steel Reinforce ❑ Sheathingp� (�,'/ !-3 • 6�- Frame and Flashing 5y `' -. '7-/I-4 r O Lathing — In,❑- Out — f. a"�-/PA f-l./-6 9 Plaster, brown coat 4:/1'14 P^2.4-6i I h• 0 Air Cond. 0 Final IWO:meq Final /D A Plumbing Fixtures, Final Y/' AI Final Gas Testbi / 1/4•62- Electric 2 J Buldin Fixtures, Final ( "Zr / /� Building, Final `(� OCCUPANCY FORM 8U4-5M — 7-61 1668a .. • 16682 COSTA MESA BUILDING-SAFETY DEPARTMENT �It/E 11 L. r F r D It/ MAR 7 1962 lot 811 - `tract l��i 0 P. O. BOX 117 COSTA MESA. CALIFORNIA FINANCE 111:1)T Plan 400-A For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT ,TTY OF Uus1A Mts BUILDING BUILDING ADDRESS 2872 Velasco Iane COSTA MESA. CALIFORNIA For Office Use Only I RECEIPT NO. I PERMIT NO. OWNER If sa Del alar Development Co. (j]�-'y-yyy//'/J,� MAIL RECEIVED ST ATE RSCEIY 11812 ADDRESS 2Rnn R. Coact, Hi ahwpv n I ��„_ �j i 2 isoc CITY Corona Del Mar,Calif. NO.0R3-14220 BUILDI ADDRESS ARCHITECT Cikff Olsten & TEL. COSTA MESA. CALIFORNIA OR ENGINEER( r ogee. NO.Wa 4_1291 //////�� (��l��)fff ADDRESS 90271 E. Florence Ave. Downeyt ZONE TYPE GROUP / �y Nlacco Corporation Calif. APPROVED o CONTRACTOR BY DATE ADDRESS 3800 E. Coast Highway ZONING ZONE,., NO.OF .�// USE OF NEW .ren, . 9.1 .,e,, CITY Corona Del i'�4ar,Calif. —1 I PLANS L. I S BUILDING what LIc TNG. 98808-SB-1 TNO. OR 3-4220 DESCRIPTION L,-/- 8 / Tl ] a 60 SIZE OF LOT 7275 S•F• NO. OF SLUGS. Non NOW ON LOT A.P.NO. USE OF YARDS EVES EXI- INC BLDG. None APPROVED ALLOWED SETBACK LINE FROMr (CENTER LINE ST.) CENTER OF STREET 701 REAR YARD 3211011 FRONT so FT. IN. SIDE YARD I LEFT 77611 I RIGHT 5T R.SIDE J FT. --_ IN. DESCRIPTION OF WORK L.SIDE 7 FT. er IN. NEW I X III ALTERATION I II ADDITION I REAR 3 FT. /0 IN. REPAIR I 0 MOVING I I DEMOLISH I APPROVED 10-4-0 n DATE a /1/4 T- SIZELDI eie 'T611X51112t1 ROOMS 6 STORIES 1 "tel . EXTERIOR WALL Stir ROOF COVERING WO e7ti COVERING Wood ' USE OF BUILDING AND WORK TO BE PERFORMED ' nolo :i .7• -11i no T.Svi Tm area 1702 S.F. w/attached garage Garage II 1163 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 CON- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. VALUATION +C� SIGNATURE OF PERMIT FEE $ *f� , et) PERMITTED T'n 71.,1 Mn Tl n,ro1 n*.+.�n T.+ (:n ^ n By� P-' / $ 1D,1467.00 PLAN CHECK $ C'' A AUTHORIZED AG- '1.' 4 ' $ ,1 ^^ 0 TOTAL FEE c