HomeMy WebLinkAbout216 WAKE FOREST RD - Building Permits ADDRESS OF MOWS: 216 WAKE FOREST RD WIT:
CITY OF COSTA MESA - BUILDING PERMIT
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• a#NERSNIa FKxowMBANKSTON, OEDUS W TR PERM NO: B 076629
fy • ADDREss: 216 WAKE FOREST RD
COSTA MESA,CA 92626 PERMIT NO: B 076629 PLAN CHECK NO: N GOVT: N SUPP : N
APPL.MAIUNG ADDRESS: CONSTRUCTION ,TYPE: V-N PERMIT TYPE: STR PURPOSE: 0TH I,
ARCHITECT ORENGNEER: UC.NO.: JOB DESCRIPTION : T/OFF ROCK & REROOF W/COMP . SHINGLES SQ FT: 2 , 650
ARCM.OR ENG.'S ADDRESS: LIMY:
CLAIM VALUE: 2, 650 . 00 CALC-VALUE: 2, 650. 00 GROUP OCC: R-3 /U-1
CONTRACTGTSNAME: PAUL GARCIA ( 714 ) 774-9036
CONTRACTORS MAILING 15061 OAKWOOD LN COMMENTS : AT LEAST 2 : 12 IS REQUIRED FOR COMP . SHINGLE ROOFING
ADDRESS:C .M. CA GC.NO.: 605061 *****************************dI*SErt**REKESExSEKESE*** KEIT-****KE*+P**+t************KE**+E*****
91709 WIT: Z ONING R EQU IR EMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 SETBACKS
(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license S in full force and effect.
I. . •
NO.: UC.CUSS: UC.
C 39 • MAIN BUILDING ACCESSORY BUILDING
--2i - i6 FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
contract«: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
BUILDER DECLARATION:Ihereby affirm under penally o perjury that I ern exempt from the Contractors License law for the
greason(Section 7031.5 Business and Professions Code:Any city«county whids requires a permit lo construct,alter,improve, PARKING REQ. P ROV: PARCEL: 1 4 1 4 6 2 1 8 Z N E: REF NO:
demolsh,or Topa Boy stnrctute,prior to its issuance,else requires the applicant for such permit to Ste a signed statement that he or she ;
is licensed pursuant to the provisions of the Contractors License Law Phonier 9(commencing with Section 7000)of Division 3 of the PLANNING NOTES>, t
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.My 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(5500)). *******************************************************************************
❑ I.as owner of the property or my employees with wages as their sole compensation,will do the work,end the structure is not intended
or offered for sale(Section 7044,Business and ProfessonsCode:The Contradore License Law does notapply to an owner etproperty D E V E ,L OPMENT SERVICES REQUIR EMENTS
who builds or improves thereon,end who does such work Nmsel or herself or through he or her own employees,provided that such
improvements are not intended or offered for ests.K,however.the buidirg«frnpmvemest seed within one yew dcempletion,the ZONING APPROVED BY . DATE:
owner-builder will have the burden ofg
proving he or she did not build or imovef« Whd
the ose sale).
•
❑ I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business and / .
Professions Code The Contractors License Law don not apply to an owner of property who builds or improves thereon and.who BUILDING APPROVED BY : DATE:
contracts for such projects with a contractor(s)licensed pursuant 10 the Contractors License Law). �S
❑ Iamexempt under Section: B.APc..for this reason: APPLICATION ISSUED BY: DATE: U
Data: Owner: *************************************** ************************ **
I do hereby certify that I aaware of end understand the requirements of California"ia Health and Safety Code Sections 25505.25533.eLEGALIZATION:N N F E E S MMARY STRUCTURAL S EGM£N T:Y
m
25534,end that I«any future building occupant will/will not(circle one)need I0 comply with said elate codes and the requirements for
apermit for or modification from the AiM70;17ananagemenl District.Residential construction applications are exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 54 . 00 . 50
Dale: Applicant: SMIP/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following dedarationa: PLAN
❑ Ihave end wilmaintain acertificate woconsenttoself-inure forworcers'compensation,asprovidedfor bySection 3700ofthe Labor ISSUE FEE
Code,for the performance of the rkfor which this pemmis issued. BUILDING-DIV-> PERMIT ' ISSUE ' PLAN-CHECK TOTAL PAID DUE
❑ I have and will maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,for theperformenoe o the TOTALS----> 54 . 50 0 . 00 0 . 00 54 . 50 54 . 50 . 00
work for which Ihie permit is issued.My wakes'compensation insurance carver end policy number are:
Carder; REVENUE DIVISION TOTALS--> COLLECTED: 54 . 50 OVER/SHORT: . 00
' Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
is section eed .r be completedi'the permit is for one hundred dpilas($i00)or fess.) 54 . 00 . 50
45 Ice, that I IM performance of the work for which this permit is ed.n1 ahAll+�n ®t Breen in any manner es es to
m the workers'compensation laws d Catifomi and That f I shouldbac subject to the waken' *******************************************************************************
• pensaf• provisions W oof orh comply with those provisions.
n 3700the Labor Code,I sh
/as: e 9'1 7(i Applicant INDIVIDUAL F E E BREAKDOWN
Ws In.• a/lure to secure workers'compensatIon coverage Is un/trIM and shall sub/eel an employer to cHntinai psn.fflsa and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
diel s up to one hundred thousand dollars($104000),In addition to the coat of compensation,damages ea provided for In
•
s..,on 3706 of the Labor coW,Interest,and arromaY+fees SFR 2650 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 2, 650 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the
performance of w
the ork for which the permit s issued(Section 3097,Civ.C). END OF FEES
LENDER'S NAME: %
LENDER'S ADDRESS: (/`/-1/////
I certify that I have read this application and stale that the above information is correct.I agree to comply with all city and county ordinances
and state laws relating to• .construction end hereby authorize representatives of the city to enter upon the ebove.mentioned property
for inspection Wr.. _
II +RCIA S 01 00201c!,5-T12(11566 Ter `•y:.i0
Data:
arallilareAr
-Signature of OvrtsrllgenVAppli ontrea•
(5151'46.WP) White-Building A Safety;G4e .;Canary-Appicanl:Pink-Revenue;Goldenrod-Assessor .
J
'CONSTRUCTION AND PLANNING , POOL & SPA •
r Date Inspector Date Inspector
APPROVALS Permit # : _ ' APPROVALS Permit# '
-s
. 1. Temporary Electrical Service or Pole • 52. Pool & Equipment Location • .
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement -
'3: Electrical Conduit Utility-Undrgrnd. -54. Forms `
4.4: Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5Steel Reinforcement
: 56. Rough Plumbing & Pressure Test •
' 6, Electrical LIFER Grnd. 57. APPROVAL TO COVE R-GUNITE -
7d Footings �� 5t 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 Cap63. 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,Conditionipg 7. _ FIRE,DEPT. REQUIREMENT
1. -
20. Rough.Factory.Fireplace -- - _ _ '-• - APPROVALS'- Permit # -
21. Ducts,in Structure' -; •_70. Underground Hydro
22. Ducts, Veptilating- _ - -• '71. ProductlPiping [Inas DOil -
23. Gas Pjpe-Rough& Test ----r '•- - - J. _ : 72. Underground Fhish',� x ,
24. Roof Framing - - -, ,�"73. Undergrnd.Storage-Tank0Gas ❑Oil
25. Roof Sheathing . - -•,2 g46- •.d, 74; Overhead Hydro
26. -Bar Ceiling (Structural) & Monocoat y
T _ c 75: Dry Chemical - `
27. Frame and Flashing - ° ' r- '. 76. Dry Standpipe ,•,:',
4.
-28. Lathing &;Sidingn - 77.. FIXED SYSTEM FINAL :]
29. Insulation - ; ' 78_ FIRE PREY. FINAL '
30. Drywall Nailing - 'HEALTH'DEPT. REQUIREMENT
F - - -
31. Plaster Brown Coat- - i t • 79. FINAL INSPECTION " _ -
- 32. Electrical,Power Mite/•Fipal .t, - r80--;FOOD CERTIFICATE ISSUED
X33. Final Electric • �. -, - _ Notes: - - ' •'1
-34, Final Heating at Air;Ctonditioning 7- -
35. Final Gas Pipe-Test .- - F '
r36. Hood or Canopy •- ' _ '.j: ., : _
-37. Final Factory Fireplace -' r -. 4•
.38. Final Plumbing. ,'
•ij .
39. Water'Service-Final: •. +- i - -
40, Gas Service-Final . - . - -
. F
:41. Solar DomestirFinal " t - - - -'
42. Backflow Preventer- ` _ " - 'r " - -
rM1 "e
43. Backflow Irrigation • _• s- - ' -` - '
44. Landscapeirriciation System _ - -. '
45. Sound Attenuation _
46. Handicap Regulations r - - 7. --
47. FINAL STRUCTURE & BUILDING 7_r-•g'6, /t r, _
48. FINAL PLANNING - ' 4 -
1 I . . -e - ,," - •
49. Electric Release to Edison - : - _
50. Gas Release to Southern California Gas Co .. 4. - . '
51. CERTIFICATE OF OCCUPANCY - '• -
No. Date
OWNER PASADENA BUILDERS. INC. DATE 1-28-58
JOB ADDRESS 216 Wake Forest Road BUILDING PERMIT NO. - 61c9
GENERAL CONTRACTOR Dike & Colegrove. Inc. VALUE $ 13,072.00
AP. No. LOT 91 TRACT 2955 FIRE ZONE DESCRIPTION OF WORK Residence w/att. Garage
GROUP I & J TYPE V ZONE R1 PLAN NO. •
INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED
DATE NUMBER
Trenches( Forms Steel -n-Ct
Floor System ____UUUU
Steel Reinforce Chimney Re-Rod
Bond Beam
Frame and� ,
Flashing 'g �, ' 4y//-
Lathing, InI ,p�tly-"Out 4/i Ms't
Plaster, brown/coat 'I 11 11 $7y/sp
Underground soil M.k5 W/G Pipe Test/0452-/O -Sil
Top Out Y'.)-rep��
Furnace ' /17/{$ 4/"M-<-y�, - Iia-. .kr-al-FEB 2 0 1953 j g ji
Gas Vents
Rough Plumbing /y/./-S i//s V e t4 zi .�c� • /-.77-3-f /.2s-00Cesspool Septic Tank r
Prop. Swr. Line House Con4J///.SSt. Swr. y__ao-5? 0'-
Heating Final1/3 V a3-3� 7
Plumbing Fixtures, Final �yy11_/-4 //AFinal Gas Test I fj It• L. W G-�=J-,(R 1J
Construction Pole iinCi
Underground Power
Rough Wiring 'VHj2 0 , WAR I .1 195b 15222 b/
Fixtures, Final i q
-OCCUPANCY ( Lw €-27-4-c7
Form 216-5M-1-57 / 6359. :
RECEIVED
COSTA .MESA BUILDING DEPARTMENT J i� iV "
P.O.BOX 317
FINANCE DEPT._ p
COSTA MESA, CALIFORNIA CITY CI COSTA MESA
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
BUILDING 216 Wake Forest Road BUILDING
ADDRESS
COSTA MESA. CALIFORNIA FOR OFFICE USE.ONLY
RECEIPT NO. PEGI$.59
OWNER Pasadena Builders, Inc. 1�-v[))-v[)FFvv�`
=PLR
AIL /�9 E. 17th St., RECEIVED BY DATE RECEIVED DATE ISSUED
ADDRESS A{'U SJ ...---n---7"7-7 7-z.e-d e JAN 2 8 195
CITY Costa Mesa, Calif. No: LI 8-1159 ADDREISNS
ARCHITECT Carlson and LIC.
OR ENGINEER Middle rnnk NO. COSTA MESA. CALIFORNIA
ADDRESS Garden Grove - FIRE
ZONE
7333 O PLANS TYPE GROUP
coRikcfcARCol'egrove, Inc. CITY NIC " I O.OF
PLANS '
r , K
ADDRESS 419 E. 17th St., C.M.No,Li 8-1159 APPROVED GATE
LEGAL LOT p CORRECTIONS
DESCRIPTION NO. 71 BLOCK . TRACT 2955
A.P.NO.
OSIZE OT l1.X 75 100 NO.OF SLOGS. '
F LNOW ON LOT none
USE OF /�
EXISTING BLDG. none SI'1-Ilii
SETBACK LINE FROM 55, .
CENTER OF STREET REAR YARD 221
SIDE YARD RIGHT 101 LEFT' 5?
DESCRIPTION OF WORK
NEW X ALTERATION ADDITION
REPAIR MOVING DEMOLISH
BUILDING NO.OF 7 STORIES 1
SIZE 1/14 sq . ft.ROOMS
EXTERIOR WALLROOF
_COVERING StUCC• COVERING Comp.
USE OF NEW
BUILDING Sing family residence
and/garage.
Plan 74013
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES AND ST • WS REGULATING BUILDING CONSTRU
'TION. (,�/- '� VALUATION /�/�
SIGNATURE OF � L �� PERMIT FEE 32.GG
PERMITTEE ;�•�� nn
INC. $ 13'07^G.00 PLAN CHECK $ 166.00
AUTHORIZED AGENT DIKE & COLEGROVE, C ' TOTAL FEE $ 48.00 vas