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HomeMy WebLinkAbout2884 VELASCO LN - Building Permits !{'flOJECT ADDRESS: 2884 VELASCO LN 0N1T' CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 05560' -Ow;}ER•sNAME: DUNBRACK DAVID H ADDRESS:• 2884 VELASCO LN PERMIT NO: B 055609 PLAN CHECK NO; N GOVT: N SUPP: N COSTA MESA,CA 92626 CONSTRUCTION TYPE; V—N PERMIT TYPE: STR PURPOSE: ALT ARCH/ENGINEER: 641-9752 REG.NO.: ADDRESS: uNIT: JOB DESCRIPTION : T/OFF RESHT, REROOF W/ COMP. SQ FT; 3, 500 PERMITTEE: CLAIM VALUE; 3, 500.00 CALC—VALUE: 3, 500. 00 GROUP OCC; R-3 / ADDRESS: JORDAN ROOFING CO. ( 714 ) 897-6105 SANTA ANA CA ST. CA 92703 COMMENTS: ** FRONT 1 /2 OF ROOF & GARAGE ONLY** '!C S- C)F3 *******S• ***********************GARAGE*ONLY************* #fx'1F36 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON I NG R EQU IR EMEN TS 7000)of Division 3 of the Business and Professions Code.and my tic se is in full force and effect. SETBACKS REQUIRED CITY LIC.: O 916 STATE LIC.:406 78 cd _39 ,3-IBit '/ Signature: d MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I ave. ertificate 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 a certified copy thereof(Section 3800, Lab.C). LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN POLICY NO.: 710209-91 EXP.DATE: 08/01 /92 COMPANY: STATE FUND PARKING RE • PROV: PARCEL ; 14154222 ZNE; REF NO: • U Certified copy is hereby furnished. N Certified copy is filed ith the •y Building Division. PLANNING N TES> � / Applicant LEI ***k!f-*********iF3F3F****iFfFiF1FiF1F1F1F******jFyF****** FRF*iF1F****iFLFlF3F****kiF****'iF1FRF******** EXEMPTIONFROM WORKERS'COMPENSATION DECLARATION: (This section not be completed if the permit is for one hundred($100)or less). D E V E'\L OPM EN T S ER VICES REQUIR EMEN TS 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. ZONING APPROVED BY DATE: Date: Signature: NOTICE:If.after making this declaration,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. ,, . CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: DATE; C l which this permit is issued(Section 3097.Civ.C). • **************************###��&EE * 3E iF 7F 1F **************************4W********4*** LENDER: ************************************* **************************************** ADDRESS: LEGALIZATION:N• F E E SUMMARY STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: thereby 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 o1 county which requires a permit to construct,alter,improve,demolish,or PERMIT 63. 00 5 0 repair any structure.prior to its issuance,also requires the applicant tor such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7009)of Division 3 of the Business SM I P/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation oI Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penally of not more than live hundred dollars($509). ISSUE FEE I. as owner of the property or my employees with wages as their sole compensation, wit do the worn, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for safe(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 63 . 50 0 , 00 0, 00 6 3. 50 63 , 50 .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 improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS——> COLLECTED: 63. 50 OVER/SHORT: . 00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 63 . 00 , 50 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon 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. o I am exempt under Section: B.&P.C. INDIVIDUAL F E E BREAKDOWN for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: owner: . I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and SFR 3500 REROOF BY VALUE RESIDENT IAL NOZONE 1 . 00 3, 50 0, 0 0 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 ,END OF FEES permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. I Date: Applicant: , I hereby certify that I have read this application and state that the abo information is correct.I agree to comply with all city and county • ordinances andndstapte laws relating to building construction and hereby horize representatives of this city to enter upon the above-mentioned properly i4/for / �ctionPurPoses. • , 01 U01.1i1;044-I01.0J.1'" n L Signature F'AT'E: 12/ •:. !:1 (Tr,[; 5 i7-LI Driver's License or Social Security f: . 1641-46 White—Building;Green—Code Enforcement.Canary—Applicant:Pink—Revenue:Goldenrod—Assessor 1 ICONSTRUCTION AND PLANNING i POOL ..PA s APPROVALS Permit# L /Date Inspector APPROVALS Permit # Date Insp�+ctor 1. Temporary Electrical Service of Pole_ ,s ' 52. Pool & Equipment Location 2, Soil Pipe-Undrgrnd. L 53. Steel Reinforcement ' $:`Electrical Conduit Utility-Undrgrnd.'? 54. Forms 4; Electrical ConduiYUndrgrnd. 55. Electrical Bonding , 5- Steel Reinforcement, - 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER•GUNITE 7. Feptings r -• 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 C. ' - -- - APPROVA'LS;;TCPerjnit # 21.'.Quc& in Structure - r ',• 110. Ur+derrourid.Hydro 22. Ducts, Ventilating - .. a -C i.,.. * •;71. Product Piping O'Gas Obil 23. Gas Pipe/Rough &Test r < ;, i - - r72. Underground Fluihm . 24. Roof-Framing • - - 73.'Undergrnd:Storag"iTank 0 Gas 0 Oil 25. Roof.Sheathing „ i47-61! . 1Overhead Hydro i 26. T-Bar Ceiling (Structural) & Monocoat ^- - T. 75.,"Dry Chemical ` - ti' 27. Frame and Flashing . - 1. 76. Dry Standpipe _ t` '28. Lathing& Siding..- -• . . y,- L - •• i•' 77. FIXEDSYSTEA4^F1NAL _ 29. Insulation '; - 7 _11 - ' ; ' ' 78�?FIREPREV. FINIA•C -30. Drywall Nailing i -r: HEALTH DEPT. REQUIREMENT -31. Plaster Brown.Coat `,, I I Ci' . ,79.'7FINAL INSPECTI N - -132. Electrical.Power Meter-Final ' ' r80. FOOD CERTIFICATE ISSUED -�� 33. Final Eleptric• r - i = - i-'• Notes:`2 -Z7_ 4 �c e/ r34. _Final Heating& Air Conditioning.a - - ^ r .-. f , 35. Final•GasPipe-Test^ _ , r r , 36. Hodd or Canopy r r • i L 37. Final Factory Fireplace r - s. '738. Final;Plumbing . . x V ' + : .. ,.'i ti .> -- 39. Water Service-Final ' - a , Y 40. Gas Service-Final ,,,a,-,, - I 'f "- - ' _ ' . :41. Solar Domestic-Final -, - � ' i It r j 42. Backflow Preventer - ' • 43. Backflow Irrigation ..-. -, - - 44. Landscape Irrigation System,: .. - - . .r • - 7.45. Sound Aitenuation. - A6, Handicap Regulations = •• •• ` _ • 47. FINAL STRUCTURE & BUILDING 7 - . 48.'FINALPLANNINGt` ;n , -49. Electric Release to Edison ._ .. 50. Gas Release to Southern California Gas Co �' 'I' -- - 51. CERTIFICATE OF OCCUPANCY _ No. ' Date OWNER MESA DEL MAR DEVELOPMENT COMPANY DATE 3-12-62 JOB ADDRESS 2884 VelaSCO lane BUILDING PERMIT NO26684 GENERAL CONTRACTOR Macco Corp. VALUE $ 18,417.00 AP No. LOT 86 TRACT 4260 FIRE ZONE DESCRIPTION OF WORK res w/att gar INQPECTIONS Signature DATE GROUP I&J TYPE V ZONE ILL £ PERMITS ISSUED Gas �� SUBCONTRACTOR DATE NUMBER Water : 4 - '-c 4/ :2 1,2 Rough Com. Re rig. 0 Air Cond. ❑ Rough Heating �U/ S`'`t_ '7 [y /.. .5---,2(2-6.2.- .j /O / Rough Plumbing /�. /s G 2 I/-i � .,_ -- 0_c‘; _ ,eg 9/ ✓ Miscellaneous „erti - , IL-9 //->-bY l / ' • t' _ .f.ta. Prop.Swr.Line f.House Con. ❑'Se.Swr. 0 ! ' 6 f 7/fig- )tr^ur.etr. L Z ��-Ii.C.vei1" Sprinkling System) ,-..,\____./ 7///$/3rg) ./0-14-‘1-. T6Y,L . moi Go /O-,S-b a- ASS 7S in--r Construction Pole IITT iR/i/47 Underground 0 Power .1: -�-��- Rough Wiring ..--Gz `/ !eetie___ f---,--&_ / -. Trenches Forms Steel Reinf. ❑ - �r Floor Sy em _!L illW 7----" Bond Beam 0 Steel Reinforce 0 Sheathing of",),0_ �-i9-t7_ Frame and Flashing , 7�I3-[s- Lathing - In 2- Out ©F tiv 7-.2z/-4 a- Plaster, brown coat 4' G'--21,GZ- ' fig. ❑ Air Cond. ❑ Final iSing Final A bi- 4e,-//-‘-7------ Plumbing Fixtures, Final ` r! 2 it:IC Final Gas Test /5- r ' Electric Fixtures, Final ye' -,4-' f/ /,.. .f/ /' Building, Final G.-(/V r t/ t ' lad OCCUPANCY FORM BU4-5M - 7-61 166811. !. FEE RECEIVED '' 1668A MAR 7 1962 COSTA MESA BUILDING-SAFETY DEPARTMENT FINL'NCE DEPIpt 86 - Tract/�4260 P. O. BOX 917 COSTA MESA, CALIFORNIA ("TY OF COSTA MESA Plan -_OO-CR 'For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING 2884 Velasco lane ADDRESS COSTA MESA. CALIFORNIA For Office Use Only 1 RECEIPT NO. I I PERMIT NO. OWNER Mesa Del Mar Development Co. - I cR84 MAIL RECEIVED BY DATE RECEIVED 1 E1TBBUED ADDRESS 3800 E. Coast Highway De I ,„_,....,,,..1 ., 1967 cry Corona Del Mar,Calif. No:OR3-4220 BUIL G ITECT Cliff Olsten & ADDRESS OR ARENG(EER Assoc. NO.WA3-1222 COSTA MESA. CALIFORNIA ,+ /^/ ADDRESS _9025i E. Florence Ave. ,Dnwnev, ZOFIRENE TYPE /?- GROUII!�f to .Calif. APPROVED CONTRACTOR Macco Corcoration BY DATE ADDRESS 3800 E. Coast Highway ZONING CITY Corona Del Mar;Calif• ZONE (FLANS Z NO.OF (BUILDINGse oF S W/^ _'�+,/4' FF it-. LIC.NO . 98808-SB-1 TEL OR 34220 LEGAL Loy- h'6 ?/P e/Z co DESCRIPTION SIZENO. OF BLOCS IJ OF LOT 8000+ S.F• NOW ON LOT 1d One A P No. USE OF YARDS EVES EXISTING BLDG. None APPROVED ALLOWED SETBACK LINO FROM ,... (CENTER LINE ST.) CENTER OF STREET ind REAR YARD 27+1 FRONT 5O —FT. LG/a-ato IN. r SIDE YARD ( LEFT 101 RIGHT I R.SIDE 'f FT. -- IN. DESCRIPTION OF WORK L.SIDE 1� FT. IN. NEW I XII ALTERATION I II ADDITION I REAR a 7 1--FT. IN. REPAIR I I MOVING I D DEMOLISH I APBYPROVED Anne act DATE Z/ Z(/G L SBZIELD I NG61 1611)641211 ROOMSF 6 STORIES 1 EXTERIOR WALL.StUCCO I ROOF COVERING 1fnndj COVERING ?-Innt9 - USE OF BUILDING AND WORK TO BE PERFORMED Si _le family dwelid : • • Tg P. 70 S F_ w attached garage Garage 11 463 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 FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. VALUATION //�7 SIGNATURE OF ns • ,_'1 aT• P P1 TIDPn • PERMIT FEE S -(M • p / N By I.77 'toti/ $ 1V,467.00 PLAN CHECK S ( 7. o 4 AUTHORIZED * C. 11 C LL TOTAL FEE 57 0 OWNER IW.LER, CALVIN E. DATE 1-28-63 JOB ADDRESS 28814 Velaaco Ln. BUILDING PERMIT NO. 1$617• • GENERAL CONTRACTOR Owner-Bldr. VALUE $ $17.00 '\ AP No. 1141-542-22 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Add-2-Pat. to .44 INgPECTIONS Signature DATE GROUP . TYPE V ZONE R-1ReaPE — Gas ISSUED SUBCONTRACTOR DATGRMITSNUMBER Water Rough Corn. Refrig. 0 Air Cond. 0 Rough Heating Rough Plumbing Miscellaneous Prop.Swr.Line ❑ House Con. 0 St.Swr. 0 Sprinkling System Construction Pole Underground ❑ Power ❑ Rough Wiring _ Trenches ❑ Forms 0 Steel Reinf. ❑ ".:17,71,L2-9.1_ ,3 . L3 Floor System Bond Beam ❑ Steel Reinforce 0 Sheathing Frame and Hashing Lathing — In ❑ Out ❑ _ Plaster, brown coat Wog. ❑ Air Cond. 0 Final 14;; 'x`,,ging, Final Plumbing Fixtures, Final Final Gas Test Electric Fixtures, Final Building, Final • 7'-2O-ec OCCUPANCY FORM BU4•5M - 7.61 i QLi FEE RECEIVED 111 IaRI7 COSTA MESA BUILDING-SAFETY DEPARTMENT j JAN. 2 g 1963 ici P. O. BOX 317 COSTA MESA. CALIFORNIA FINANCE DEP1. ,, - A For Applicant to Fill In Completely APPLICATION FORY OF CTAS PERMIT r �J Q ,/TYPES/pO/R4 PRINT BUILDING BUILDINGADDRESQ�0 O H� I` " ,SoQ ZAN� /� ( COSTA /MESA. CALIFORNIA �J For Office Use Only r- , OWNER C-+ 4 /V/'• 6 . • /II! /\ IC I RECEIPT NO. I jz j jo.f MAIL zg g /- ✓e /A s e o LANE R IV D BY I DATE RE EIYE(L I D/.)IEliver)." ADDRESS T / r (f(�'//`-bf �•'(�!j//l�/��� , X 1?J CITY CO-5 ' `1 /L` ei NO. ! &ZSS7 ADDRESS I/J(J'7�" -CiE-�C."p o�L• ARCHITECT TEL. .-„„• COSTA MESA. CALIFORNIA OR ENGINEER NO. FIRE ADDRESS ////�� ���) • ' ZONE TYPE GROUP / CONTRACTOR L{/�L[_Ar z-C/ ��{/ BYPROVEO..I. 9•j r DATE fj CIP/ ' ADDRESS l`I ZONING ' ` , A/{�� {q . I O.OF w'1 — USE OF NEW l,V CITY I PLANS ✓ I BUILDING VVV .(I EJI STATE TEL. • — F-�y T/' �/( - LIC.NO./ — Q . / r_L �,I NO. • DESCRIPTION J_[) /!� 1 R q)-6. 0 SIZEOF LOT NG JT XIQTX/QZ NOW ON LOTS I /1 VV` // A.P.NO. 1 I.-T ( l/ l(.1`- .1.1---- USE -.Y USE OF Kry I I EXISTING BLDG /l �s/ap NC YARDS ,f r EVES /� _ APPROVED ���///111 ALLOWED CENTER UNE FROM -�09�` S`F/ C / (CENTER T LINE oT.Y CENTER Dd STREET / USS 78 REAR YARD 2 /1// FRONT al^ FTL' ...,+//!-/Y/ IN. SIDE YARD I LEFT 2143o I RIGHTI?L2 C�4(5 R.SIDE 17 FT. .•••• IN. , DESCRIPTION OF WORK L.SIDE Q 5/FT. f IN. N • NEW I II ALTERATION I II ADDITION I '\ REAR 1t,c4T . IN. REPAIR I II MOVING I II DEMOLISH I APPROVED 'A` DATE tr. /3-6 BUILDING 04 ToS NO. OF �N� SIZE J S-'t 9J"r 0/C / ROOMS - STORIES /Hata F ct, e-' EXTERIOR WALLA/DA/6.i COVERING -5/ ii rs V COVERING /Sa, • USE p 1 AND WORK S ERFORMED . . n 'l / / c.5 T ,e' S -�en- Y)-..9- 1 -r I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- THE AMOUNTSHOWN UNDERVALUATIONIS FOR THE PLY WITH AU. CITY ORDINANCES AND STATE LAWS REGULATING PURPOSEE OF ESTABLISHINNG A PERMIT FEE ONLY. BUILDING CONSTRU ON. VALUATION / SIGNATURE OP' ��— PERMIT FEE S c/2- ' o-� N PERMIT>/' lv//�^� /) {{{---/// c S y/ / - PLAN CHECK S —_ s AUTHORIZED AGENT CJ / •� O TOTAL FEE 5 0