HomeMy WebLinkAbout273 WAKE FOREST RD - Building Permits ADDRESS OFBMLIMM:.,_._273- WAKE FORESt RD _ . -._ ufn: __- . . _- _ __ . .,. _ _-_ .. .y_ _ . _CITY OF._COSTA_ MESA 898 -003 / 4'
DNNERSNAMEIFtQIOV*FULLERTON JACK`•PR _ -- _.— _ HUILD,ING.-.P.EAMIT_._ -
AooREs&%WAKE FOREST TRUST 50685 - -- - - .- _-- _PERM_NO.: B . 087130 __
P 0 BOX 1855 PERMIT NO: B 087130 PLAN CHECK NO: N GOVT: N SUPP : N. .
COSTA MESA,CA 92628
APDL.LIMING ADDRESS . CONSTRUCTION TYPE: 5-N_ PERMIT TYPE: STR PURPOSE: 0TH
InaORuETh UCi,) .No.: - JOB_ DESCRIPTION : - T/OFF ROCK 6 REROOF COMP. .SHINGLES SQ FT: 3, 948
ARcx oR END.s ADORE S: WIT:
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CLAIM VALUE: 3, 948 . 00 CALC-VALUE: _ 3, 948 . 00 GROUP OCC: R3 /U-1cofim volrnwm . _ (714 ) 63,2 7663
CONTRACTOR•:MMUNG 2832 OLIVER AV COMMENTS: X .
ADDRESS:ORANGE . . _ _CA .uc.No.:.683894 .—._-._ +h*+E:Eit�E�E�t*Ftatat;,tititiEiE:EaEat�E+t+1x131:EFFatittEaESEitsESE*** at*�Eir •it*,tititit:t*+ESE*+t�F**sl•:EitatiE�t�t�Eat•�E>7taEFEREit�E+ERr***
92665 UNIT: .. . . • .__ _ . Z O N I N G REQUIREMENTS
LICENSED CONTRACTORS DECLA ATION:I hereby affkm under penal of perjury that I am licensed under provisions of Chapter 9 • - . .. , S E T B -A C K S
(commencing with Section 7000 'ion 3 of the Business and Professions Code and m sin and
CRY UC.No.: LIC.CLASS:C-39 LIG NO.: 3 0/00 MAIN BUILDING_ ACCESSORY BUILDING
j 0 6/ 7 P (Q)t� �L / �� FRNT: FT _IN REAR:_.- .. __._FT_ _ IN' FRNT: FT IN REAR: FT IN
Contractor LEFT: FT IN RGHT: .FT ._. IN LEFT: FT IN RGHT: FT IN
grirER BUILDER DECLARATION:I hereby affirm under penally of perjury that I am exempt fan the Contractors License Law for the
drawing reason(Section 7031.5 Business and Professions Code:Any city Or county whim requires a permit to cormruot alter,improve, PARKING REQ: PROV: PARCEL: 1414 6301 Z NE: REF NO:
rior
- demolish,or repel any structure,priorto is issuance.also requires the applicant for such permit to fib a signed statement that he or she PLANNING NOTES
'a licensed pursuant to the provisions d the Contractors License Law[Chapter 9(commenting with Section 7OW)d Division 3 of the �i-..;,- - --- -
lusiness and Professions Code]or that he or she is exempt therehom and the basis for the alleged exemption.My violation d Section >
/031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars13503I). *************!f*1f•************************************************i!**************
❑ I.as owner of the propend Or my empoyeee wlh wages as their sole compensation.tell do the work,and the structure is not intended D E V E I2 O.._P M E .N T S .E R V I C E S R E Q U I R E M E N T S
or offered ler sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner d properly r Q
who builds or knproves thereon.and who does such work Itself or hersell or through his or her own employees,provided that such .
i
improvements aerav'hed«Wereo hewever,t or iimprveimprovementpurposesciwithin ae one yeadmmplalen,the ZONING APPROVED. DATE:
owner-builder will have IM burden of proving he or she did not build or improve for the d sale). -'
❑ t,as own«a the property,am"duaively contracting with licensed oonbaclors to"nal"the prejed(Section 7044,Basinees and BUILDING APPROVED BY
Professions Coda:The Contractors License Law does not apply to an owner d property who builds or improves thereon end who ,•^' DATE: . ar
�, A
contracts for sum protects with a contractor(s)licensed pursuers to the Contractors License Law). C. {oJ
❑ I am exempt under Section: B.AP.C..f«this reason: APPLICATION ISSUED BY: DATE: a
Date: Owner: LEGALIZATION:N._ F E E SUMMARY STRUCTUR'AL' SE(M NT:Y
I do hereby certify that Ian aware of and understand the requirements of California Health and Safely Code Sedions 25505.25533.and '
25534.and that 1 or any future building occupant will/will not(circle one)need to campy with said date codes and the requirements ler h
a permit for conemcticeor modilwlenfromtheAir Ouakty Management District.Residentialconstrudks epplcations are exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE $MIP.//RES GRADING
provisions. PERMIT 87. 25 . 50
Date: ApPliaanl:_ PLAN ) Al SMIP/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declaration: ISSUE -
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❑ Ihave and wilm°intenacertifcatedmwnitosWinsure for workers'companmlbn,aprovided for bySedbn3700ofthLabor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
coder«the pudo enceathewodr«wvhthmpemmiss•aee.
TOTALS 87.. 75 0. 00 ✓ 0 .00 87. 75 87 .75 . 00
1 I have end will maintain workers'compensation insurance,as required by Section 3700 d the Labor Code,for the performance of the - - - ! •1 •
li"' work for which this permit is issued.My workers*compensation insurance carrier end policy number are: " N
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Carder: LEGION INS EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 87. 75 OVER/SHORT: . 00
Policy Number WL1-028u / 1 05/$ 1/98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section needno be complexed 4 the permit is for one hundred dollars l$1001« .) 87 . 25 ,r• i , 50
o I ceniy that in the performance d the work ler which this permit is'.• ed,I not em.oy: .. . in any armee so es to )
become subject to the workers'compensation laws d Gelder/ d MMI i s . . become . to the workers' *******************************************************************************
paned p off Section37WdtheLaborcode/ . forh;I•::mpy 'h provis.—. I N D I V I D U A L- ' FEE BREAKDOWN
me 7o Mpf• ' :.
amines:Failure to secure workers'compensation coverage Is unlawful,and shall aublactsn employer rocdMnal penalties end TYPE QTY D E S C R I P T I O�Nth UNIT COST TOTAL COST
civil fines rpt to one hundred thousand dollars($004000),In addition to erre cost o1 compensation,damages as provided for In moi,
$sedan 3706 of the Labor Cods,interest,and sttomeysfoes. SFR 3948 REROOF BY VALUE RESIDENTIAL NOZONE 1 .00 _- - . 3, 948 . 00
• CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is e construction lending agency for the ENDAOF FEES
performance of the work for whim this permit is issued(Section 3097.Cb.C).
LENDER'S NAME:
LENDER'S ADDRESS: '
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I certify that I have read this application and state that the°hove'-formation is coned.I agree to comply with all my end county ordinances .
and stale laws relating to building construction and hereby Lf.representatives of this city to enter upon the above-mentioned properly
r«inspection/'` ' '- �fA SO' D10 82-26-1998/81:43 Pfl/$87.75
Addli1„ C Dat.: /G/Si kCDT8:01-0020198
87130
- Signature of• : 3�.. t/Appican
(5151-46.WP) White-Guildig&Safety:Green-File:•-•( -Applicant;Pink-Revenue:Goldenrod-Assessor
_ ., . .
CONSTRUCTION AND PLANNING, AZT. h, SPA '
Date Inspector Date Inspector
APPROVALS Permit # APPROVALS Permit #
1. Temporary-Electrical Service,,or Pole 52. Pool & Equipment Location'
,-Z.„•$slil Pipe-Undrgrnd.0 - 53. Steel Reinforcement s u
_.iC .CE(ectrical CondtiittUiility-UJtdrgrnd.- 546. Forms
J
'• t Z.$1€ctrical Condai't=l ndrgrdd. - 55. Electrical Bonding
E.,..9
: , ,
J$, S,('eel Reinforcement • 56. Rough Plumbing & Pressure Test a
6v.. �'t&'?Pectrical UFER-Cn rnd. . 57. APPROVAL TO COVER-GUNITE
'-i-t-7. F$otings 58. Electrical ConiNiUndrgrnd.
t. :.8_: Foundation ,.> . 59. Gas Pipe, 0 Ut&ttgrnd., Test
r 'QU
.r -Lj. Water Pipe•Undrgrndti 60. Backwash Lines„-"-TrapyD Undrgrnd.
S.r
1D: Structural Floor System et ' 61. APPROVAL Y 'D
OECK ,,.1
1P. Pcgperty Sewer Lin!& HousConnection 62. Backwash & Receptor-Final • .
121 Sever Cap a' 63. Heater 8r Vent-Final /-,,./ 6 -
13. Roof Drains - .66 • .
. _ . - 64. Plumbing System - Final
i
14. Rough Plumbing t X .. 65. Electrical-Final ' ' . '
1 7 .
15. Rough Electrical-Conduit •• 66. Solar System-Fr%
t.. C .
16. Rough Electric• irk;' 7'�
..� -67. Fencing & AccasS�Approval
17. Rough Wiring gign o 68. APPROVED Firyig PLASTERING '
18. Rough Electric3f-T Bar Ceiling 69. POOL/SPA SYS?EMS FINAL
19.7Rough Heatipg &1-Air Conditioning !^z' r. .n 75 'C* FIRE€DEPTXREOUIREMEa1T iu
- C' 0 1- r r f . ...t. r-. hi 1-30n30 i•! t. 7, tr
Fa
20.;Rogh ctdry FRIace ii St" , I .. x S C'* n APP O %t;5'1- Parmit #.* tr
21. ucts, i t¢tru u[Qt i ^S y C) s 0*. ' 70hUnderr rroCihd E'vdro if-
•
22.pDur,ts, \. nti tinct-* i r= x '= `Z 7 F.a a; 71. Pro4&1'ipingias pOil a _,
i•Y ; * Q' H ti E-
N. '1 t-S R h. C; 1,..,* .-' v , 1, - * r, .0
23. uas<f?ipeiough 4i<wcst 1 p,r, op * rr 0' S: 0 72. Underground G'fusb- is >• a.
Y > t a ] ..,r„ --,
24. Roof Fr ning * T :? * •1 _ x S g3, Undergcbd.StSay§-ar O Gas 0 Oil
r - �. J ,
25..�for�.SHtrathing * 3/0/5" /^ 74:-Overhead Hyde' x
- _--4- - -,-.)._ I .7.
26.`T-Bar Ceiling (Structural) & Mbnecoat x �J r a s 7 'Dry Ch" al F� * in
cc OE * s m
27.:Fra as d FTashin ` C * a >4 tr7 a: o,k- t-•. r.
i �+ --tri CJ rr c >,* 76. Dry Stanipipe5,-, * p n; p_
28. Lathingt&Siding k >, p133:74 0 s I I it �. FIXED`SVSTEISI'FIN/L" n
. , 29. Insulation+ o * s r * S76. FIRE PREV. FINAL r.
3 a ! .:. . , - .t . . . 7
30. Drywall Nailing * " . , ; r" ! e n dREALI11, DEPjlEPUI EMENT
C: n * S ^re * •.t.. ir• I-: * J
31. Plaster 6rowa..Coat* ' i..E. * F* 79. FINALA2PEC-ION p E- tri
k .. 4 0 - k ,: .•. •1- ---r-fj M T
32.`ElectricaPPoiRer Meter-FaI T- x m I I 1 m 80!. FOOD CERTIOICATE.(SSUEIY 7
33.-Fin2 EI`�otri it "1 '* I Notes: -7 •-••m Jo 3
34. ini Homing.& Airkcnditionfl5 L1 r. I k n.K. n 54. * m 4
35. inaI Gas;Pipii-Test* GT.cc * i ( fr m • ••C: * trt H
36.Mood or_Canopy x n i 1>;t^ a 4'* I 1'+ 4 rn co * m -.1r,
t r x r•-r- x rel I ty'Z ' * tr:
• 37. FinaTFacjory Fire gate^ 1 ` t e• * I j I* - .% scJ
38. Final•Plumbing * :r) o * �./* 7: ,-+ x *
, t , _ V , \t em CO t:1 • r C.
39. Water Se?vici Finale '% '� {* > k S
t it m x W kk..•• _. .. * ,., J- - .J
t, 40. Gas Serwee-Final t �_E_,cl t- r I i • L!E " 'C
41. Solar Domes4ic-Final I
42. Backflow Preventers, N Oj -, * i-.4 to EibnJ * -
43. Backflow Irrjgationt; >`x�, x F ti
j-04.CLandscape Ir`riyat\....- rn N -,1 ioci Systerrj m ;: < < e;.c 0 1 2 co O� S
_ ,__•,": t. .. . ... e- ,..., -- M, S.r .
\.. 45.=Sound Attenyatio# - • •' S m t-* `•" . `-O
:46. Viar icaP Re9ulatiohs .. , _ I _ C--;p "nu ro :
J
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t47. FIN4L STRUCTURE & BUILDINGcr.,- 3 TT c ! y
4$. 1 11� L LANNIN t : t .t`• • ` ^.r•. e
9 G r. u s :
.49.Electric Release to Edison 1: i c C r.
C ri •-, 4 H a r- }. ,ter•: <. .] -
50"'GastRelea'se to Southern Califovr e Gas Co * s �o n x N o .
I Si. CERTIFICATE OF'OCCUPANCY - -
No. Date
i
OWNER PRINCETON, INC. - DATE 1-20-58 _
JOB ADDRESS 273 Wake-Forest Road' - BUILDING PERMIT NO. 6319
GENERAL CONTRACTOR Dike-& Colegrove VALUE $ 13,072.00
AP. No. LOT 1 k TRACT 2955 FIRE ZONE DESCRIPTION OF WORK Single res. w/att..gar.
GROUP I & J TYPE V ZONE R1 PLAN NO. 6319
INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED
DATE NUMBER_
Trenches Forms Steel /-.13-5t
Floor Sys m
Steel Reinforce Chimney Re-Rod ,
Bond Beam y'
Frame and Fl.shing nqlit/' 3//4'/fl
-Lathing, In c�gLOut y)-9'8
_ Plaster, brows?coat 7J/s//S$
Underground soil Mµ( WIG Pipe Test'VH-A i-,Z. -3-g'
Top Out /-17 • .
Furnace /Nfi-S 3-'23r/_Sr eA " ,4e 7nY/FEB 2 0 195'812608
Gas Vents
Rough Plumbing ,W/t5 2 Z!S S-' ( iC. 62-a- - JAN 2 4 19518 1 , M.
Cesspool Septic Tank
Prop. Swr. Line 0//House Con,///H$t. Swr. -2,$.-S7 /'' t a-.?-sr %3 1 ?if--
r
Sprinkling System /
Heating Final L• e • 6—5.re MPlumbing Fixtures, Final ^! �. f
Final Gas Test 6,-*� 7 i-c-71' 'I i
Construction Pole �']
Underground Power i/
Rough Wiring 1%..r 5—/ -Y" .Qv,,., oI • -'ea AAR 11 19 : .
Fixtures, Final ) T To_ L1_ .4
-OCCUPANCY i.' L/. (dbt
Form 210-5M-1-57 /
1.
6319 : .:...L J�I..U I.-I C c:..,
COSTA MESA BUILDING DEPARTMENT I-- aO S ss V R.__
P.0.BOX 317 FINANCE DEPT.
COSTA MESA, CALIFORNIA CITY C` CSS?a MESAFOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
BADDRESS273273 Wake Forest Road NG BUILDING
COSTA MESA,CALIFORNIA FOR OFFICE USE ONLY
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RECEIPT NO. PE?119
OWNER Princeton, Inc. (L..5�
RECEIVED BY DATE RECEIVED DATE ISSUED
MAIL
ADDRESS 419 E. 17th St. - s- 8 JAN 2 0 195t
Costa Mesa TEL 8-1159 BUILDING
CITY NO. ADDRESS
ARCHITECT Carlson and LIC.
OR ENGINEER Middlebrook NO. COSTA MESA. CALIFORNIA I
Garden Grove FIRE
ADDRESS ZONE ,
NO.OF
Dike & Colegrove, IrazY O.. 7333 ZONE PLANTYPE GROUP
S
CONTRACTOR NO. V!
ADDRESS419 E. 1 M. N
7th St., Celt 8-1159 BBYY PROVE DATE
LEGAL LOT �T CORRECTIONS
DESCRIPTION NO. 44 BLOCK TRACT 2955
A.P.NO.
SIZE72 X NO. OF BLOBS
OF LOT 100 NOW ON LOT none
USE OF none .
EXISTING BLDG. I
SETBACK LINE FROM
CENTER OF STREET 50t REAR YARD 22 11
SIDE YARD RIGHT 6t LEFT 6t 1
DESCRIPTION OF WORK
NEW X ALTERATION ADDITION
REPAIR MOVING DEMOLISH
S BE ZELDING 15111 sq. ft. ROOMS 7 STORIES 1
EXTERIOR WALLROOF' .
COVERING Stllccs COVERING COmD.
USE OF NEW
BUILDING Single family residence and _
`l garage.
Plan 740AR
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
T ITY ORDINANCES AND STATE L WS REGULATING BUILDING CONSTRUC-
TION. VALUATION PERMIT FEE $ 32.00
SIGNATURE OF �yT
PERMITTEE PLAN CHECK S 16.00
s. 13,0722.00
AUTHORIZED AGENT DIKE & COLEGROVE3 INC. $TOTAL FEE 48.00 I T,e.Ri