HomeMy WebLinkAbout243 VIRGINIA PL - Building Permits - Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA N1E$/��CQN$T�UCTION PERMIZ /�$MI-T7NO. ,1 �—Q TRACT NO. LOT NO. UNIT NO. A P # I Zone
Project Address /-Tl t/ 7/u A fl ! ' ' / `T-5 / - '
S Main Building: Accessory Building:
Applicant's Mailing,a'dress . - IV• 1 . a- . .tr • '` a- TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION EPAIR E - - Z
9. Ito El CONVERSION El DEMOLISH ❑ OTHER - T Front 0
Owner's Nam Cr y Phone f DESCR PTION eF WORK/USE •F BLDG. "• '<r. '—G i I B Rear N
Addres - A . , /1r a of o - r e • . c.s7 Fu Al C� - A
C Right N
Arch/Eng. _ License No. ' TYPE OF •'ERMIT I♦ GRADING II FOUNDATION .A S RUCTURAL K G
Address ❑I TENANT CI ELECTRICAL CIPLUMBING CIMECHANICAL ,iS - Left R
•
Contractor's Nam- k ,✓ .-- Phone 7*15` /tr '-�F"OTHER lie,/es., --.... p I Ping. Ref.4 Parking Req./Provided E
/ qq O PROJECT DESC IPTION SQ. Pr OCCUPANCY IC 3 Q
Address(mailing) E+�1� /�ff'��A f 7 �� �y� ✓ Planning Notes: M
p ' /_ CON ST RUCTION TYPE x _ VALUATION$ kprArl• T
City License No. G Y' ZONE - GR ING CU.YDS. ACRES - S.
LICENSED CONTR OTOR DECLARATION i �f
I hereby affirm that I am licensed under provisions of-Charter 9 (commencing Remarks: Sr
with section 7000) of Division 3 of the Business and Professions Code, and
.•C �✓ f�j� lS)
my license is in full force .n• effect. p 1 ELECTRICAL FEES
fat 9 Sys /ere
/O
License Class n A • nse N•, D r -` g e- "•�• ' /� '
Date- '� pari Signature qi/a�'2. . OS; l I PLUMBING FEES Automatic Washer Transformer ❑ 15-50 KW
• WORKERS'COMPENSATION DECLARATION Bar Sink Showers Construction Pole Sub.
❑ 50+KW
I hereby affirm that I have a certificate of consent to self-insure or a certificate
Q. Workers' Compensation Insurance, or a certified coo th eof (Se tion Cooking Unit Meter ❑up to 100 amps
&w 0, Lab..C.) C,1 _ Backflow Preventer Service Sink -- -
,icy No.//1//0735`905.00 Company I t Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 arnps
`,. Certified copy Is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel •„
V ' Cert4llpfc. filed with the city B mg 9rvi Bathtubs Sewer Connection
N Date,'" /7 7l Applicant yuy�R-K/ _ Fan Motors ❑0.1 HP ❑1,h-8
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers - Solar Collectors
-(This section need not be completed if the permit is for one hundred ($100)'or F.A.U. I .Solar 09-15 HP ❑16-15+
less). Dishwasher Solar Piping •
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 Tank
Workers' Compensation Laws of California. Device Boxes
Date Signature Floor Drains Swimming Pool w/Spa Pole Light .
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 9
comply with such provisions or this permit shall be deemed revoked. - Urinal
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 • Garbage Disposal Standing Sections
Lender's Name '
Lender's Address Kitchen Sink Water Service• Generator 00-5 KW 05-15 KW Trash Compactor
OWNER BUILDER DECLARATION t
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
t`erefrom•and the basis for the alleged exemption. Any violation of Section
u,".1.5 by any applicant for a permit subjects the applicant to a civil
' -
"elty of not more than rive hundred dollars ($500). DEVELOPMENT SERVICES REQUIREMENTS: •
S I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee• $ 3 Zoning Approved 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 Approved B - .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 Type - Application Issued By :Dat
Boiler
employees, provided that such improvements are not intended or offered for Hood or I 0 '
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 SUMARV OF ES ••
pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground - • •
prove for the purpose of sale). - BUILDING PERMIT $ e5:'/• DD SMTP $ '�.�
❑ 1,-as-owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System
•
tractors to construct the project (Section 7044,Business and Professions Code: _ PLAN CHECK $ PERMIT
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ' ❑0-100,000 BTU ❑100,000 BTU • PLUMBING $ ISSUANCE ' $
builds or improves thereon.and who contracts for such oroiects with a-con- ENEY-P.C. $ _
tractor(s) license pursuant to the Contractor
Contractor's License Law). I am aware that Exhaust, System 0 Multiple ❑,� eperat
SystemRepair/Alteration I PLAN CHECK 25% $
proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADINGRG [ $
❑ I am exe t under Section B.& P. C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers MICROFILM $
PLAN CHECK 50% $ p
Date _h �1
Owner Heating System&Ducting Registers MECHANICAL $ TOTAL FEE $ _ "S
I hereby certify that I have read this application and state that-the above '00-100,000 BTU ❑100,000 BTU • PLAN CHECK 25% $
information is correct. I agree to comply with all city and county ordinances
• and state laws relating to building constru tion,and hereby authorize repre- .
sentatives o his city j inter/pen jr• above-mentioned property for Ul UUU2624U-0002624U 1 L9 1 b1•Uii
inspection - osei. A -0119 _ _ / • DATE: 02/14/89 TIME: 11:44
Signature / Date : ,
Drivers''L cense or 55 - ReinsDeuYion Fee $15 Issue Fee $ 3 J . ._ . I�j}
BI D -....cUl3l UUU1TtUU I LI a ac1,50
/ Building; CanaryApplicant; g; �[• D7/s7/ort
0865-46,rev. 5 88 White - - Pink -Accounting; Goldenrod - Assessor •
0 rte DpT - ... -r•••'T. L
V k'0 in) Na : y Tori .- - 8/
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CONSTRUCTION AND PLANNING POOL 'A
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
3kiElectrical Conduit Utility-Undrgrnd. I 54. Forms '
.41'Electrical Conduit-Undrgrnd. ' ' , r 55. Electrical Bonding
, .r
5. Steel Reinforcement•' , • - I 56. Rough Plumbing & Pressure Test
i
6. !Electrical UFER'Grrid. . • 57. APPROVAL TO COVER-GUNITE
7!.Footings' • t 58. Electrical Conduit-Undrgrnd. I 1
. 8::Foundation i 59. Gas Pipe, D Undrgrnd.,Test
9. Water Pipe-Undrgrnd. ; 1 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 t - I , ' ./ , 64. Plumbing System - Final '
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
116! Rough Electric Wiring ' 67. Fencing & Access Approval
172 Rough Wiring Sign • ti 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceilingt-' - 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace = APPROVALS Permit# •
21. Ducts, in.Structure Z..." ,..q.) 70. Underground Hydro
22. Ducts, Ventilating i `� 71. Product Piping 0 Gas 0 Oil /
23. Gas Pipe-Rough &Test f( ; j 72. Underground Flush %
24. Roof Framing �i ' �,
.; '/r 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing � � 74. Overhead Hydro
26. T-Bar Ceiling (Structural)C&,Mo'nocoat 75. Dry Chemical
27. Frame and Flashing n 76. Dry Standpipe
28. Lathing &•Siding •I ^.' J 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. FINAL
30. DrywalfNailing r: _ �, HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat ? j - - 79. FINAL INSPECTION .
32. Electrical Power Meter-Fina' 80. FOOD CERTIFICATE ISSUED
33. Final Electric 1 . 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 •
J j,-
40. Gas Service-Final t
,
41. Solar Domestic-Final
42. Backflow Preventer •
// /f - .7
r
43. Backflow-Irrigation ��,2 O
44. Landscape Irrigation System - /
45. Sound Attenuation
46. Handicap Regulations / ;t%'"
47. FINAL STRUCTURE & BUILDING V
48. Special Requirements Completed - ‘ /f i
49. Electric Release to Edison '` '�W
i• , I
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY t, •
No. Date •� ��
q OWNER ZEIGER, JAMES M. DATE SEP 2 2 1964
v. JOB ADDRESS 243 Virginia Place BUILDING PERMIT NO. 22956
LiT GENERAL CONTRACTOR Owner-Builder VALUE $ 17,
i AP No.11b-122-15&l.LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORK Res. w.att.Gar.
I ECTIONS Signature DATE GROUP I&J TYPE V ZONE R1
a7/S f i-s SUBCONTRACTOR PERMITS ISSUED
1 Gas tt_9 /lam}/-,s•/_f_' 3"----419 DATE NUMBER
Water /Yf-r45".%1-5-•6 v • s
Rough Com. Refrig. :❑ Air Cond. ❑ .
Rough Heating A- _/Y ". - •, __ — _.f_ 6 .I-(O !
Rough Plumbing , / / C c� . , ./n/y. .76 • 4'9.'3 6 3 l+
Miscellaneous / _
Prop. Swr. Line': ouse Con.PBI. Swr. 0 S (0-21-cc, X3? %. / /o/z64//'
_/SZ¢1 �o
Sprinkling System •tl.1C`
Construction Pole _
Underground 0 Power ❑ L 3 d i n
Rough Wiring A .,� _ -/ :' -•C —la - . ' eto . /a/7/'(
Trenches!❑ Forms 0 Steel Reinf. 0 '41_,Iepe _
Floor System
Bond Beam ❑ Steel Reinforce 0
SheathingOn iy,/,,���i
Frame and Flashing & ///1 /9/‘..1- e
Lathing— In 0Out• i z a) . nanning Dot.
• ,
P1--`=r, brown coat 4.- 7-9 6S ,7t' ".2. . 7-
I . 0 Air Con. -0 Final ,,,,.l, Data'Rt..dng, Final g//�
Plumbing Fixtures, Final <IJ s- _
Final Gas Test �� I /S
Electric Fixtures, Final r
Building, Final 42j t 7-er— --- — --- — --
OCCUPANCY •
Form 13U4-5M-3-63—S-B P HOLD FOR SPECIAL REQUIREMENTS 22956
r _ • 22956FEE RECEIVE
COSTA MESA BUILDING-SAFETY DEPARTMENT SEP 22 1964
P.O.BOX 917 COSTA MESA.CALIFORNIA FINANCE DEPT.
For Applicant to Fill In Completely AFOLNAIMAM4 defigAT •
TYPE OR PRINT BUILDING
For Office Use Only
ADDRESS 2)4.3 Virginia Place •
RECEIPT NO. Pj{i}IIT.[i{L6
COSTA MESA. CALIFORNIA "LL/J.. "^t����lJll iS.�l
RECEITe DA [C VSD D. /..--"-
j6185UEO c�
OWNER Samoa M, Zeig-r •
/43 / a`2-61
BUILDING ,/ ,/ y//je/�
MAIL / l[ Begonia ADDRESS�$3 v� ��( Qom-(/ '
ADDRESS O O // �/�/]
TEL ZONE • GROUP lT
CITY Corona del Mar ND.OR 319RE 3!
APPROVED //
^'"HITECT • TEL. BY D L DATE
VGINEER Owner No. .ZONING
ADDRESS
ZONE 1 NO.OF USE OF N8W sn rd..,
R— I PLANS BUILDING S /� .,c y
CONTRACTOR Owner . I ) II Imo- �1 J'1
�--_ LEGAL fe-v Lor 293 Nit /WT.I74
ADDRESS DESCRIPTION
CITY. - A.P.NO. N(/Q
- /a Z —AS /G
�- TEL ��� NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE �
30"TO SIDE&REAR P.L.
LIC.NO. NO.
EAVES
VIE-OT
IZE L nB 3 l3r^ I NO.OF NOW ON LOTS.O ALLOWED (U.B.C.REQUIREMENT)
OF LOT 47 7 J YARDS APPROVED YARDS APPROVED
USE EXISTIFNG NG BLDG, i - i a4th,..7 1^�•p.�( •
MAIN BUILDING ACCESSORY BUILDING
(FROM CLI- TREET)
SETBACK FROM 2816
8 L6j O P.I.
CENTER OPLINE STREET 25! REAR YARD 81 1 FRONT
SIDE YARD I LEFT 5.1 I RIGHT 61 311 R.SIDE 6 Fr. -3 FT.
DESCRIPTION OF WORK •
L.SIDE-.- Fr. FT.
_ X ALTERATION ADDITION REAR an FT. FT.
DISTANCE BET. BET.MAIN 8
REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.SLOGS.
VAR.# DATE
BUILDING / rNO.OF
SIZE
BUILDINGS
ROOMS STORIES / C:U.P.# //,( APPROVED
COVER NGW LI LUOOQ I COVERING Wood BYPROV EL. //,//�� o DATE 7/2.2/cr-
USE OF BUILDING AND WORK TO BE PERFORMED "1/'��v- .f./
...54/62 j=/3/y!1 I,EC W• HOLD FOR-SPECT A REQUIREMENTS
•
yoa.�` 6 lege:
S0.FT.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATI N IS FOR THE F
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
PLY WITH ALL C ORDINANCES AND STATE LAWS REGULATING VALUATION -•
BUILDING CONS RUCTION. �� a
SIGNATURE O 7ii '/`�' /'� PERMIT FEE $ z
PERMITTEE #7 V^� � $ / 7 �a� C EC ` ' /3-‘61 o
AUTHORIZEEt NT •U •
(Y E
TOTAL FEE $ /5.:64-