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HomeMy WebLinkAbout224 WAKE FOREST RD - Building Permits , it4I S Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. E CIT V'OF COSTA MESA CONSTR UCTION'PERMIT - PERMIT NO, TRACT NO. LOT NO. UNIT NO. rJ Ee= ]/C /j7 >Fc •' I Projec'A4ddress 4 , EAAILEFOREST ' 3 2 9 0 '27 , , •Apilicant•s MailingA.ttd��dl1re , ' . TYPE OF CONSTRUCTION ❑ NEW U:ADD LI ALTERATION H REPAIR O4ner's Name _J��^"�Uss T fll��sn Q$$ Phone 111 CONVERSION 111 DEMOLISH ❑ OTHER • AS' # _ I Zone - �(- DESCRIPTION OF.WORK/USE OF BLDG. 21 Ye Of - Address as WARE�R.E:>SI • - S Main Building: • . Accessory Building: Arch/Eng? - License No. TYPE OF PERMIT El GRADING ❑ FOUNDATION B STRUCTURAL T Front - • 0 Address . ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B N Contractor's Name SAso IY-Atn 9O&Fflu1Gi Phone S ❑ OTHER • / A Rear ' II I r n �.�r n. �+ PROJECT DESCRIPTION SQ. FT. ,rs C Right N Address(mailing) 5130 -6e1SScf--►'�- • SANTA- RAJA �6- OCCUPANCY���/// K G / ) i / , /yS - CONSTRUCTION TYPE VALUATION $/-a&AQ $- Left R City License No. �/ V" '2 ZONE GRADING CU.YDS. ACRES/ - E N LICENSED CONTRACTOR DECLARATION Ping. Ref. # Parking Req./Provided (1 I hereby affirm that I am Iicehsed under provisions of Charter 9(commencing Remarks: �11 )� �J e n eO /' Planning Notes: M Via with section 7000) of Division 3 of the Business and Professions Code, and T•0' 01 (� 'yrd C;.� �{(bly)✓F- 1430 p F rRnv�o cr• �l.�JT�" T my license is in f II force a d effect. • p�j/_ Sr �'�J 17G'/�L�NC ING� "'/'T�J/� - S 1 License I•ss -- - 'r' amok' No X343 �16r /e- v Date Pk Signature i - PLUMBING EES • - L WORK RS'COMPENSATION DECLARATION / Bar Sink. .. Showers ELECTRICAL ES . Q 'iereby affirm that I have a certificate of consen o self-insure or a certificate . S..., Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink - 400, Lab. CO__1 ••1 �.w.-.� �^ .n - _ Automatic Washer Transformer ❑ 15-50 KW Policy No. 5'43OO / Company .�/Y77✓< FuA/N Backflow Irrigation Sewer'Cap ' - .0 50+ K Certified copy is hereby furnished. - -. Construction Pole Sub. Certifi c��g999ppppyv is-filed with the city Builtli isi Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100.mps Date 787 Applicant - - EXEMP 10 FROM WORKERS'COMPENSATION TION Clarifiers _ Solar Collectors "' Dishwasher " Meter Cover 80 amps ' • (This section need not be completed if the per mitis f one hundred ($100)or - - - - less). Dishwasher- -, ' - • Solar Piping Dryers ❑Gas ❑Electric Sub Pam 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 Drinking Fountains .Solar Tank Fan ' - Mo •rs❑0-1HP ❑1%-8 Workers' Compensation Laws of California- . . Date' Signature - ! Floor Drains Swim ' g Pool w/Spa F.A.U.- nc.Solar 09-15 HP 016-15+ NOTICE:If,after making this declaration,you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks ` U - al ' 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.) ' Lender's Name rInterceptors . Water Heater • Outlets - Range • Lender's Address • Kitchen Sink- • _ • - -Water Service . . Switches - Sign - • . ' ' OWNER BUILDER'DECLARATION I hereby affirm that.l'am exempt from the Contractor's License'Law,for the - Lavatories Auto-Wash Garbage Dispo 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 • any structure, prior to its issuance',also requires the applicant for such permit - Trash Compactor • ' to file a signed statemenbthat he/she is licensed pursuant to the provisions of Roof Drain - - ' the Contractor's License Law (Chapter 9,(commencing with Section 7000) of , 'ivision'3 of the Business and Professions Cade)-or that he/she is exempt- • - - - - - - . , erefrom and the basis for the alleged exemption. Any violation of Section • - 131.5 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 -elnspeCtidn Fee. $15 Issue Fee $' 3 - - ' - - compensation, will do.the work, and the structure is not intended or offered -y/ - Reinspection Fee I $15 Issue Fee • $ 3 for sale (Section;7044, Business and Professional Code: The Contractor's MECHANICAL J Yt t$ License Law does not apply to an owner of a property who builds or improves GG 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 0 - _ . sale.,If, however, the building or improvement is sold within one year of com- 'Canopy Type II 0 • Zoning Approved By Date �w�/ prove the owner will have the burden of proving he/she did not build or im- Duct- Under Ground /t<44( /�i �r - 7 /. f/V prove for the purpose of sale). r Building Approved By S(/,/r{/'f\ Date (/ 0'1, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration Syst • Application Issued By Date 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 , ❑0-100,00 U ❑100,000 BTU - SUMMARY OF FEES _ builds or improves thereon, and who contracts for such projects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that, Exhaust System 0 Multiple 0 S m Repair/Alteration BUILDING PERMIT $- .2d , 00 SMTP , - $ C ' SO proof of their worker's Compensation insurance.should be provided to me. PLAN CHECK $ • PERMIT - ` ❑ 1 am exempt under-Section B. & P.C.for this reason Firepl/Fact.BIL ICBG# 'Fire Dampers - PLUMBING MBING •• $ ISSUANCE $ • Date Owner - - n ' Registers • - PLAN CHECK 25% $ - ENERGY P.C. $ I heieby certify that I have tread this application and state that the above ❑ ,000 BT - ELECTRICAL GRADING $ information is correct. I agree to comply with all city and county ordinances :3>>6..g...../....Heating $ , and state laws relating to building construction, and hereby authorize repre- PLAN CHECK 50% $ • - MICROFILM .$sentatives of this ty t� upon the above-mentioned proer y for ' - / `�Iinspection pure.._ 7 T�&7 - MECHANICAL $ - TOTAL FEE ,$ ' 9 p• 7 VSignature `ears - - Dale J � ,Drivers' License or 55# - • = - I $15 Issue,Fee $ 3 -� PLAN CHECK 25% § • CMF 0865-46,rev.10/84 white - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION,AND.PLANNING , POOL&SPA <•" Date Inspector Date Inspector APPROVALS Permit..4 APPROVALS Permit# 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location - 2. Soil Pipe-Undrgrnd., 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. I 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-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 FINA'L'S 19. Rough Heating & Air Conditioning - FIRE DEPT. REQUIREMENT a 20. Rough Factory Fireplace APPROVALS Permit# - • -4I • _ 21. Ducts, in Structure �' 70. Undergound Hydro t, ?,' - ,/• 22. Ducts, Ventilating 71. Product Piping O Gas 0'&1-1 , 23. Gas Pipe-Rough& Test 72..Underground Flush t.,. 24. Roof Framing l 73 Undergrnd.Storage Tank Gas 0 Oil • 25. Roof Sheathing ARE_ Rooi_ Lac, 7,2_P7 74, Overhead,Hydro ' t • _ 26.:T-Bar Ceiling (Structural) & Monocoat 75. Dry:Chemical ;'1' v' 27. Frame and Flashing - 76. Dry Standpipe i' ' ' ;' 28. Lathing & Siding 77. FIXED SYSTEM FINAL'• 29. Insulation 78. FIRE PREV. FINAL O. 30. Drywall Nailing HEALTH DEPT... REQUIREMENT 31: Plaster Brown Coat 79. FINAL INSPECTION - 4,) I,1 32. Electrical Power Meter-Final80. FOOD CERTIFICATE ISSUED - 33.' Final Electric - Notes: - 34. Final Heating & Air Conditioning , •v 35. Final Gas Pipe-Test �, , . 36. Hood or'Canopy 37•. Final Factory Fireplace ' +,' 4, • 38.-"Final Plumbing' • - - t, (d S n, 439. Water Service-Final �, �� Y • 40. Gas Service-Final t L•, :( • 141. Solar Domestic-Final - ' +'r..... , T. S 1 t,42. Backflow Preventer - ` a` ^ i- .43. Backflow Irrigation 17-. 0•/,... i%1 ' '44.. Landscape Irrigation System' - t u •• : 'y.$�,= •iv t I` 45. Sound Attenuation ‘../ w S �; 46. :Handicap Regulations ,l ,7 i s -1. 4047.\FINAL STRUCTURE & BUILDING . Z1/117 Mt_. - - - i I% -; Y'` t. 1- - t= 48.uSpecial Requirements Completed ' . 1- - ...Ng a- 1` 49. Electric Release to Edison 1'- •. -- - ' 50. Gas Release to Southern California Gas Co -•i ''ii , 4 • 51. CERTIFICATE OF OCCUPANCY- - _ - ' - it. - -/ No. Date I �- t , - OWNER PASADENA BUILDERS, INC. DATE 1-28-58 JOB ADDRESS 221t Wake Forest Road BUILDING PERMIT Na 6357 GENERAL CONTRACTOR Dike & Colegrove. Inc. VALUE $ 13,072.00 AP. No. LOT 89 TRACT 2955 FIRE ZONE DESCRIPTION OF WORK Residence w/att Garage GROUP I & J TYPE V ZONE Ri PLAN NO. I ECTIONS DATE SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Trenche j Farms Steel jf' .' —//, Floor System ` Steel Reinforce Chimney Re-Rod Bond Beam / Frame and Flashing I' � Vila Lathing, In Out '/ 9hL-,-/S t Plaster, bro coat ' S7//Sr • Underground soil m/}S W/G Pipe TedWiy-c 2-//-Sp Top Out zap y'p Furnace MHS v-is-5-V*J-ec-/.eDi-t_-,tV. kt# t tti 2 U i56--_ 1 .1C(7 .261 8 Gas Vents Rough Plumbing MR-5 N-//flZC,.ee.¢i awe_ j-27-SY _ /.2 S/97"...Cesspool Septic Tank _ / Prop. Swr. Line House Con/IhRiSt. Swr. 2_}O S P f,P.0 nrj. tee hex S,,. - _!' -As-5 _ /3a-Jst Sprinkling System11 o Heating Final Al trS 4.77.1.3-741 ` i Plumbing Fixtures, Final l ,.PA _ r C F Gas Test 1g le, LVY 6.44-acr Cc._...ruction Pole F Underground Power ,r P yry Rough Wiring iff- It 1ti .-c-a-Vi./ AAA 1 I 19558 C722�� \ . Fixtures, Final Mb 4- __ _ `' / •OCCUPANCY L.W 6-27-11-Q/ _ Form 210-5M-1-57 - / 6357 j • :-.c RECtiVitO 6357 / 26 - .SSS J L>— COSTA MESA BUILDING DEPARTMENT FINANCE DEPT. • P.O. BOX 317 COSTA MESA. CALIFORNIA CRY CF COSTA MESA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT ADDRESS 224 Wake Forest Road . BUILDING COSTA'MESA. CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO. •PER6T NQ_ OWNER Pasadena Builders, Inc. • 35 MAIL E. 17th St4 9 RECEIVEO BY DATE RECEIVED DATE ISSUED ADDRESS 1 ., / 2.- P-47 IAN 2 195:' TBUILDING . CITY Costa Mesa, Calif. NO. LI 8-1159 ADDRESS ARCV'ECT Carlson and LIC. OR NEER MidrllPhrnnk NO. COSTA MESA. CALIFORNIA FIRE ADDRESS Garden Grove •ZONE • Dike & Colegrove, Inc. CITY LIC ZONE /']/ NLANS TYPE / CONTRACTOR NO. 7333 '/1( P (/ • ' ADDRESS 419 E. 17th St., C.M.Np: Li 8-1159 BYPROVED DATE / LEGAL LOT DESCRIPTION NO. 89 BLOCK TRACT .2955 CORRECTIONS A.P.NO. • SIZE NO.OF BLOCS. OF LOT 70 X 100 NOW ON LOT none • USE OF Cr EXISTING BLDG. none SETBACK LINE FROM 551 22( CENTER OF STREET REAR YARD SIDE YARD RIGHT 5 LEFT 5 DESCRIPTION OF WORK • NEW I ALTERATION ADDITION REPAIR MOVING I DEMOLISH BUILDING 1514 Sq. -Ft. ROOMS 7 STORIES 1 EXTERIOR WALL S ROOF COVERING tcco COVERING Com.. USEL OF NG NEW Single familyORIES 1 E • • Plan 740A I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND ST TE LAWS EGULATIN`NG/G BUILDING /C/OO NNSTRUC. r� M TION. 451- g-4—*- VALUATION PERMIT FEE $ 3G.VV PERMITTEE SIGNATURE OF a / $ 13,G72.^^nn PLAN CHECK $ 16.000 AUTHORIZED AGENT DIKE & COLEGROVE, INC. TOTAL FEE $ 48.00 y«r OWNER CARTER, Robert M. DATE 10-10-73 JOB ADDRESS 224 Wake Forest Rd. BUILDING PERMIT NO. 37420 GENERAL CONTRACTOR Owner/Bldr. DESCRIPTION of WORK Legalize Patio Covers 141-462-16 LOT 89 TRACT 2955 FIRE ZONE VALUE .$ 500,00 _TIONS Signature Date •GROUP J TYPE V ZONE R-1 sem.__ SUBCONTRACTOR PERMITS ISSUED GAS Date Number Signature WATER Plumbing ROUGH PLUMBING JV] 579L-2-/—,3 M So PROP. SWR. LINE ❑ HOUSE CON. 0 SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND 0 POWER n ROUGH WIRING Heating and Vent. TRENCHES FORMS STEEL REINF. FLOOR SYSTEM _ BOND BEAM n STEEL REINFORCE n _ SHEATHING FRAME AND FLASHING LATHING — IN n OUT n PLASTER, BROWN COAT . -URAL, FINAL Electric I. IG, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL /� rtAle- R ^ nom fINr. FINAI .—o.,t_G- /F 0 - rtAle- P.cfl7 • , _. . 37420 OCT 10-73�m °00 451* *****5.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 PP I ATION FOR BUILDING PERMIT For Applicant to Fill in Completely RE EI eY D TE RECEIVED DATE ISSUED BUILDING /, ,} '/ �0 is•- '�3 ADDRESS ) ) 9 4/A/1a "-OA_ /J -../ 0 _�� PE �� OWNER /id�1��i [ /L A.P. N. _, MAIL BUILDING� #�}y •� ADDRESS .2. 1 W AKe c ,t / ADDRESS ex/ ,�- �e Lu w CITY COS tc /),un!C NO.TE / a3.�/ TRAC"Py- S LOT��� BLOCK 7 a C CONSTRUCTION l NEW ADD ALTER REPAIR MOVING DEMOLISH O N/ t N Q LENDER -) . J 0 BRANCH �,yy ry Jfn • OWNER�\ (i/yc/e/S_/ ADDRESS Eirefte L' eg VALUE �J_) a J Q ARCHITECT TEL. USE / -1/ $ '-'V NOR ENGINEER N•. w CC ZONE ci_41 W Z ADDRESS < APPROVED j�/� DATE/y� / ' 7 JO CONTRACTOR Q W 4).2.2. ar BY / L mZ J Ir ADDRESS w wTEL. • ZONE NO.OF USE OF NEW /{f�_O ZF. CITY NO. / PLANS�� BUILDING UF,eS F - O STATE CITY RDS APPROVED j/ • RDS APPROVED two cc LIC. NO. LIC.NO. AIN BUILDING I" • CESSORY BUILDING 0 0 �����OM C/L}-STT ET)SIZE NO.OF yam' OF LOT 1 NOW ON LOT FRONT y//` FT. /// FT. USE OF � /��J//• /� EXISTING BLDG. R.SID /W/A/ ET. l J FT. I- SIZE OF NO.OF ��/M��"y`��� Z NEW BLDG. ROOMS STORIES L.SIDE`[) FT. c:WS FT. UEXTERIOR WALL ROOF J �j � COVERING COVERING REAR_T T. /2----FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& L'464 L/z& /&L , 4 >/e VAR.#L CC. ACATE CESS.BLDGS. .... /t , / J( /,{V�/.J y-y/ / [/-/� T C.U.P.# APPROVED N �OdE2 4.C- 5 / /:/ 44 /4--/4/ c APPROVE• =/' _ •_ C(229-14( 2 0 F U I hereby acknowledge that I have read this application and state . - STATE D that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employS �) I- any person in violation of the workman's compensation laws of - f V (n the State of California. m TAX m I hereby certify that I am properly licensed as a contractor under SO. FT. o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR i Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 0 am exempt from the provisions of the State of California Businesszs m VALUATION and Professions Code, Division 3,Chapter 9. i m _PERMIT FEE $ ct Signature 2/',5202 if D �/r m Permittee $ CO© PLAN CHECK $ E 7 (i `o Authorized Agent h r a TOTAL FEE $ .J