HomeMy WebLinkAbout2035 WALLACE AVE - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA COSTAUCTION PERMIT I ERMIT NO.�sTRACT NO. LOT NO. UNIT NO. A.P.# Zone
Project Address j2n3. (4/61444-CC - S Main Building: Accessory Building:
Applicant's Mailing ddr•ss r (N, c0" sr TYPE OF CONSTRUCTION L I NEW LJ ADD L I ALTERATION 0 REPAIR E Z
Owner's Nene 1_.:d I""z O -a ✓ ••ho e" -- /M7
Address ❑ CONVERSION El CONVERSION ❑ OTHER T Front Q
713 r ono+ . /�'•
DESCRIPTION OF WORK/USE OF BLDG. I A Rear N
Arch/Eng. License No. TYPE OF PERMIT 0 GRADING LJ FOUNDATION L I STRUCTURAL C Right N
Address ❑ TENANT 0 ELECTRICAL ❑ PLUMBING 0 MECHANICAL S Left R
Contractor's Name hR[ 4 If�A/O.+'P OQphone 0 OTHER I Ping. Ref.# Parking Req./Provided
Address(mailing/ 77V 4. -71`1 PROJECT DESCRIPTION SQ. FT. I r3T'1 OCCUPANCv,fr Planning Notes: CIM
ar // CONSTRUCTION TYPE \J N) VALUATION$ T
City License No. . ZONE GRADING CU.YDS. ACRES $,
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: G? -DQ 7 pool. K�1-c-40eP
with section 7000) of Division 3 of t.- Business and Professions Code, and JJ
my license is in full .ry .0 effect. 0 14g _ ,c5 _s4y�/ [ (� _ �,,,& ELECTRICAL FEES
" a"L Cr TI' ata..cu-
License lass Lice YR
nate - "if Signature •-- - _//f `/ PLUMBING FEES Automatic Washer Transformer 0 15.50 KW
WORKERS'COMPENSATION DECLARATION I Construction Pole Sub. 0 50+ KW
' -teby affirm that I have a certificate of consent to self-Insure or a certificate Bar Sink Showers
/orkers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps
.J, Lab. C.) �y�,�-
Policy No. 07%90eng-R7 Compan .J7 rZCZ fUN.D Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps
Ii.Certified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel
Ce rt if' tl c y i d with the city Buil i Ij on Bathtubs Sewer Connection
Date '67 Applicant ems/ •
Fan Motors 00-7 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. Inc.Solar ❑9-15 HP 016-15+
less)- Dishwasher Solar Piping
AU
certify that in the performance of the work for which this permit is Issued I - Fixtures
shalt not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave
rWorkers' Compensation Laws of California. - Device Boxes
Date Signature Floor Drains Swimming Pool w/Spa Pole Light
1 NOTICE:If,after making this declaration, you should become subject to the - Outlets
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Range
comply with such provisions or this permit shall be deemed revoked.
1 CONSTRUCTION LENDING AGENCY Gas Service Outlets Switches Sign
1 hereby affirm that there is a construction lending agency for the performance Water Closet 9
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections
_^ Lender's Name
n 1 Lender's Address Kitchen Sink Water Service Generator 00.5 KW 05-15 KW Trash Compactor
OWNER BUILDER DECLARATION
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
•Ision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee ! $15 Issue Fee $ 3
efrom and the basis for the alleged exemption. Any violation of Section
.1.5 by any applicant for a permit subjects the applicant to a civil
p+.enalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS:
LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3
compensation, will do the work,and the structure is not intended or offered Zoning Approved By Date
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date
License Law does not apply to an owner of a property who builds or improves a`a „s 1 r
thereon, and who does such work himself/herself or through his or her own Application Issued By �,ft” k
Date --\2—LTszt
employees, providecfr 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 SUMM RY OF FEES
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 $ SMTP $ � b
0 I. as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System
tractors to constructethe 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 ISSUANCE
PLUMBING $ $
builds or Improves thereon. and who contracts for such I (s with a con-
ENERGY P.C. $
license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration I PLAN CHECK 25% $ -
proof of their Worker's Compensation insurance should be provided to me.
ELECTRICAL $ GRADING $
❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers
PLAN CHECK 50% $ MICROFILM $
Date Owner Heating System& Ducting Registers MECHANICAL $ TOTAL FEE $ 2
I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BTL
Information is cor •ct. I agree to comply with all city and county ordinances PLAN CHECK 25% $
and state laws ring to buildin• co struction, and hereby authorize repre-
sentatives of t ity to ent:./ pv•
: he above-mentioned property for
Inspection purp. -(l
Signature A€� y / /� (J Date
Drivers' License or SS# Reinspection Fee $15 Issue Fee $ 3 - _mss -Z_ < ; - - - -
0865.46,rev.5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor , - t 1!
•
CONSTRUCTION AND PLANNING POC SPA
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
3. Electrical Conduit Utility-Undrgrnd. 54. Forms •
-• •
4. Electrical Conduit-Undrgrnd. ' 55. Electrical Bonding
5. Steel Reinforcement', 56. Rough Plumbing & Pressure Test
Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation t 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 APPROVALS Permit#
21. Ducts, in Structure •
70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing cc r3 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing •
HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat . 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:sprzi 0/4 06
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
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation c
46. Handicap Regulations �( � fQ �L�
47. FINAL STRUCTURE & BUILDING 15' (� (�gC BFB- - P-4
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
OWNER PATTEIt50N, DAVID / DATE 12-9-55
JOB ADDRESS 2035 Wallace BUILDING PERMIT NO. 2.118
GrNERAL CONTRACTOR Kenneth F. Benson VALUE $ 8,000.00
LOT 34 BLOCK TRACT 612 Residence & carport
, GROUP I TYPE V ZONE R4 FIRE DISTRICT 2171
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
DATE NUMBER
' Footing Trench bt4 /I--2-
Foundation Forms and Grade to Garage
Rough Framing _ _ _ � j4" s, 'S
Plumbing,Rough to Slap
Plumbing,Rough Complete-2/"e' - - fli en,-2.,... ,,./(r�i/7A, /A- I---CS 37 (- '--
Temporary Pole, --f ru�� / S
Wiring, Rough O—kti /.)- - e �ynt..4�fvl.!-C� ,5% . /--,,i 3"-S-A /97IL�
Heating,Rough - /
H-.ting,Fin:I
ewer, Hou e •�, Sewer,St. •7 7.,/ c.,- 9/,--/r6411/ V 3 li-
s Tank or Cesspool _til ��-A `?�ct-c 'v /.//2-&-/-, (/V V 3 y
• Lo__.ng, In 3 /-3& Out)( er ,2 41 --j!r a
Plastering n c-^--$-.L;-:S
Plumbing,Final,Fixtures Complete <'-/ , —fJ �� /fir
Plumbing, Final Gas Test/rft „se /.-q7 3-e _/ 4.45/7// C/ /L"M —
Wiring,Final / 5-%/7-4/ ��— are
Occupancy 4,C, I r-/2--
Form 210 G-H 15001-55
Costa Mesa Building Department APPLICATION FOR PERMIT
- " 111 EAST 20th STREET , f7'g BUILDING 1
COSTA MESA, CALIFORNIA
/
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN I Receipt No. I Permit .
Building ,� - .2/
Address ._ ♦3 -- , / 1
Costa Mesa, California Recelved' y Date Read. Date Issued
Nearest /44.n`� • _ /� 7 SS 91955
Cross S/t,_ \, / �/� ,, i,�, 'JJ[`—ate-. 0- AddreBuildisg
/"µAAAS� r--rte-� (\12:� (Y�r�-�`� Address
Owner /N Costa Mesa, California
Mall
Address Nearest
Tel. Cross St
City No. Zone (/ , I Nlans I Type , / Group]."
Architect or Lic. /� I/ 1
Engineer No. Approved
- D6 �3by Date
cessCORRECTIONS
'" ity Lisag,„ ractortf.2:
7j
10
Address
Legal I LotI . ...r. ,�
Description No. 3 y I Block 2 1 Tract 6 i�
11i,1 �V�-V-21_1 f1�
�� 0 �� �
(Attach Metes and Bounds) I (i--CJ w'A f,, 'i .r, 1,
/ No.of Bldgs. 1—,
Size of Lot /n 3 A' 3 Oa I Now on Lot n �-
0
Use of I No.of �IVNo.ot — ULU 1955
Existing Bldg. Families Rooms 41
Setback Line from Rear Yard /9VS.
Z
Center of Street Q Side Yard S*-- pmf nr Annvn nn. r
DESCRIPTION OF WORK d 5 vt 1/VJI/i Intik
New I x I Alteration I I Addition I
Repair I I Moving I I Demolish I '
SizeBuildingZ ' No.ofm /
Size / •'wr Rooms Stories
rior Wal I Covering
Roof APPROVALS
:ring '
Use of
Building ///}}} Foundati44on Location Inspector Date
g w.s�w Forms,Materials,
d-I/y Under-Pinning
Frame: Fire Stops,
Bracing,Bolts
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to comply Lath. Int.
with all City Ordinances and State ws regulating
building const c ' n. Lath. Ext.
Signature of
Permittee Plaster,int
Authorized Agt. Plaster,Ext.
Valuation, O 0, " Permit Fee $ 20. a a Masonry Reinforced
y 6 Plan Check$ / Q• d O Bond Beam
$ O/ Total 3p O
Fee $ � FINAL
71 FORM 204 e-55
w
0.
C W ^ \' r
. .
d. J •
0 0 -
a E
o. . •
rnttf ...r .70 11
•
•
Street
PLOT PLAN -
Show location and distances from - - - •
property line and between buildings. .
- -•