HomeMy WebLinkAbout249 WALNUT ST - Building Permits PROJECT ADDRESS: 249 WALNUT ST UNIT: CITY OF COSTA MESA — BUILDING PERMIT ' , PERM NO: M 045525
OWNER'S NAME: SARA HATHERLY
• ADDRESS: SAME AS ABOVE ' PERMIT NO: M 045525 PLAN CHECK NO: N . • GOVT: N SUPP: N
• CONSTRUCTION TYPE: PERMIT .TYPE: MEC - PURPOSE: NEW
714 /631-7244
ARCH/ENGINEER: • REG.NO.: JOB DESCRIPTION : FAU CHANGEOUT SQ FT:
ADDRESS: UNIT:
PFflMTfTEE: CLAIM VALUE: CALC—VALUE: GROUP OCC: /
ADDRESS: GEORGE BRAZIL PLMB/HTG ( 714 ) 541-9753
3022 NO. HESPERIAN WAY COMMENTS:
SANTA ANA CA 92706 ************r************** ****;Icor**I****�F****************r********w**w**w+e******
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing wfth Section . • Z ON ING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code,and my li6ense is in full force and effect. SE T. B ACK S
CITY u0.:029919 STATE LICA 430 4 1c '
Date:.z./z&9 .Signature: . i MAIN BUILDING -- ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate 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.: WCO297893 . [yrq`)DAT:; 01 /01 /91
COMPANY:$T,.� VVaW�� x)r4T4A4-4aPARKING REQ: PROV: PARCEL: 42627212 ZNE: REF NO:
TI Certified copy is hereby furnished. (X Certified copy i filed with the city uildin Divisio ' PLANNING NOTES>
+/1 , n >
uate:�L.n� l Applicant: /H+ I ************************************************************************M******
EXEMPTION FROM WORKERS'(COMPENSATION DECLARATION: (This section need not be completed N the permit is for one hundred WOO)or less). DEVELOPMENT SERVICES R E Q U I R E M E N. T S
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 -t _ '
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. ' (/V DATE: 7/ li
which this permit is issued(Section 3097,Civ.C). **********ee****M************************** )r******************** ** l
LENDER: ******************************************M************************************
ADDRESS: - LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N •
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason - BLDG PMT PLUMBING ELECTRIC MECHANIC FIRESHIP/RES . GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 9 .00 . •
repair 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 the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 25% S M I P/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
•
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(500
5 ). ISSUE FEE . 15. 00
I, as owner of the progeny ar my employees with wages as their sole compensation, cote do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS——--> 9 .00 15 . 00 0. 00 24 .00 24 . 00 . 00
does not appy 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:r 24 .00 OVER/SHORT: . 00
for the purpose ofsa ). 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 24 . 00 ,
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who bodes 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 De provided to me.
I am exempt under Section: B.S P.C. I N D I V I D U A L F E E :B R E A K D O W N •
for this reason: .• TYPE QTY DESCRIPTION UNIT COST' TOTAL COST
•
nate: • Owner: MEC 1 INSTALL FORC/AIR FURN <= 100 K BTU/H 9 . 00 9 . 00 •
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533.and END OF FEES
25534 and that I or any future building occupant wilt/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from • -
these provisions.
Date: Applicant: •
'
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county '
ordinances and state laws relating to building construction and h by authorize a tatives this C to r upon the above-mentioned --
property for inspection purposes '
^� •
Date.I 'ZL -+ � Signature: PewO100b50525-000SD525 TOT 24.00
Driver's License or Social Security A: DATE: 12/26/89 TIME: 16:13 '
1134146 White—Building;Green—Code Enforcement;Canary—Applicant;Pink—Revenue:Goldenrod—Assessor • .. - -
•
. CONSTRUCTION AND PLANNING POOL PA
APPROVALS Permit# _Date Inspector APPROVALS Permit # Date Inspector
t
1. Temporary Electrical Service.or Poltcq r.-4 52..Pool & Equipment Location
2.r Soil Pipe-Undrgtnd;t ,, `: 53. Steel Reinforcement - •'
•
ti 3.rlElectrtcal ConduiFlAility-Uridrgrndr f 54. Forms '•"
"'4.�Electrical Condcnil ndrgrnd. �-:c - 55. Electrical Bonding
C. ra
vas. Steel Reinforc€Te`nt- x 56. Rough Plumbing & Pressure Test az
C •r` c
SiLEIectr`gal UFER Grnd. U 'r 57. APPROVAL TO COVER-GUNITE -
r -
- Viu
ftings -� -. - ': t• C
58. Electrical Conduit-Undrgrnd.
:. oo '
8. Foundation c :� ' ...
59. Gas Pipe, O Undrgrnd.,Test - r..
9. Water Pipe-Un&grnd. 1 : 1 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floar'System --71:-. i' "'I 61. APPROVAL TO DECK /1
11. Property Sewei'L• & Hou'selConrkctiori t-.11 - - 62. Backwash & Receptor-Final
12. Sewer Cap o, 0-
t ,y:; 1 63. Heater & Vent-Final rt•
13. Roof Drains ... - 64. Plumbing System - Final
14. Rough Plumbin2 65. Electrical-Final 1
15. Rough Electrical-Conduit 66: Solar System-Final
16. Rough ElectricWiring 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 Heatirly &`A, r ConditioniLig! ty, _ FIBE DE T. FIEOUIREMENT
20.-„-Rough Facto(y fgtiplace . sr, t-,-Kr. < _ i'l.: * �PPRgVALS3 EPermit #
''•(-•
21 CDu , i�Strt&ctu t ; " " r... * 5 _ 1�* * cmt'1 '�' ;;
STs Le 70. lndergro�nHydro
`: - C.* .: .: ,:• :iv
22 YDuc•'ts, Vnti(gting!: t�;CD * 0 '-* * <471. ProducCP$ing OGas O,OiI
._ -.. _ - r .t. ,..._ ...
23.•Gas,Pipe�Rough & xest hS " M C_ O; x n 2. Undergroubd Flulh� _
24.`Roof Fon-ling * '-' * > " ^ K V` � uC' '�
a g x _ :I * _ > c x c J•73r.Undergrnd:StoragTank O Gas O Oil
25^Root Sheathing * a: = - �"? x 74'°Overhead Hydroc c„ K
z 1-. * 1->r, Q rR: * c
26,v-Bar Ceiling (Structural) &'Monocoat x = q+ a 75i-Dry Chenljcal E-CJ x
x,27::Frame and Flashing+* c >4 7 * 76. Dry Stanc ape ,f�,6 x �•
:�28.� Lathing'& Siding * 0�:,= �., ;x i; F 77-FIXED $�1,$TEMiFJNAL* ,-- n -
F �,
�29. Insulati,ih * _ = c I K - 78;FIRE PREY. FIN xz •-:-
rr30. Drywall=Nailing 8 :-i ? -' 1 Vric. * S. HE LTH=DEPT.,REQUIREMENT
031. Plaster 1?ovi ..Coat* S. : r'r^ * cs .41. :"79. •.t.✓FINAL INS17ECTION * C
;e32 Electr'ca`I Power Me da- inal, C. j x'7930..74 00D CERT'FIr6ATE 1S LlED1. Cr
E335Fina1 Electric. * co _ C * I h' * Nous: ':i '-'1 * : C _ M
* * -r : 2 rri C- x: _ Z.':
<..ZFir l Heating!& Ai*Cp,naitionmgS rt'7 ����/ '-��^/.K ;u Co_;., S fl ,
*
t 7 .
35: Fin.; Gas Pipe-Tesfx �w • * i q: -_o '`.•-+o *
36.'HoQd or Canopy *0�1 t".1 * 0 ` ! * * L f 00 *
[1 v -x n , 'S.I r: 'k ^ ! i ..-Ix q: rn ."0 n. tr. C-27:
-37.•Final Factory Fireplace:: F• _ -
x i /it * n•-.
.- r-' .. .. Y n7 •' he r4, FG . r:+ -.. _
p8. Find Plumbing # Er cu ' x * * NGIv c x y -
t'139. Water Service-Final; z ; `� * - I S•',,• .r , y a. x G
7'40. Gas Service-Final * < t" c
r r"
* m I kx Oa •••_:;.1 * .-
* nf-� m -3: � i* ::c Os c
,�41. Solar Domestic-Final * * cr t 77 A. _
42. Backflow Pr venter* ^-+ r _ i* >!-• * 0
.P'J x. al Oar- * H * * t . m 0 * .
rSS r. . * ...r v
43. Backflow Irrjgation44 +x * * - * r •
rr'44. Landsc pe I4igati Syste rriu r'^ * t" F* .* " `; `u �"' *
c r., Qr: r * n: , v: x D E c,1 :J V S it
Hr` c 2 r .. � le .r. . ,.••-- .-,C1 n.
F45.CSound Atte uatiorj x Cl i-;* * ,a.:C . C1 *
C46.-Handicap Regulatidhs 14 O * « ." '+: _ el° s x
E47..FIFTAL STRUCTURE & BUILDING K F i * • t c r.4. -
• r r _ Gi- ,- ;-� ^n .-. * n
48:=FINT LPLANNINCr ! El&-i * iv. I I fp* * r" trl a: *
X49 gIeCtric Release totdison ; * I i ; * -`a < ,t^, : -
r.•50:-Gas7elease to Southern Calitdigi Gas Co * ! c * " '-! O ' 0 r x
-51. CERTIFICATE OF"OCCUPANCY * / x * "-•-'
No. Date
r (1''+a
1 NTYI•OF ;ORANGE .
� Permit No.3 (r
Q
. o. Broadway Application for Building Permit
San a'Ana a ifornia
Phone: KI 2-6211 AND FOR A _
Certificate of Use and Occupancy
1 Date S _Z 0 -St,-
1. OWNER'S NAME---/fat_-a_I_s� C3/4.4.3/4PHONE:-_.EJ ' �a_s_9.2.4g
MAILING ADDRESS 22-& ? L,i -)_N_�[._-St CITY___Sn/y�A.Q _ -flw_
s es13
Name --L_ta l Y_eistc �-- ._--N_1i.5_PN Natne__l-a_IA.. -s U-'---!`f1 A!_Y e L.
(Architect or Engineer) (Contractor)
Address Address__9�-'-_0_-__.a.0__k._.st.6.--'L
�p
City City C-�I--S--{-\--A----[-`-tl-.e-.1-AC-!
. '�- I1 �
State State p /' / �y a ('
Lic. No. Phone I\ I Lic.� No. a-9,8.3.-(-8=�)._ Phone..? " !n-7 7-b -ca
PROPOSED USE: --_-fr!o .._e bW--e._l L. IN_G-_N-__g1 eci�./G_-E3_vr_.e L=-e
2. JOB LOCATION-----02 L/9 W-$-1_Ai A _I 5_ L d-O--stA Ate-S+`t
(House No.) ��� - (Name of Street) (Town or School Distric )
3. LEGAL DESCRIPTION: Lot/-F k,V 0/-7 / 3Block Tract/ Ebv Po R_r_1-14/41/1
(Metes and Bounds Description—Use reserse side of form)
4. CORNER LOT ( ✓f INTERIOR LOT ( ) THROUGH LOT ( ) SLOPE OF LOT ( )
Q44.r 0 / yes
•
5. SIZE OF BLD .: ..17.0.X 4.g1�pYAREA:_./ / G m _-___.SIZE OF LOT-_G_O..AuZ Y AREA:
•
6. HEIGHT OF BLDG • /.,.5' CEILING HEIGHT: __9 ' NO. OF STORIES. 1
7. NO. FAMILIES ar Size of Smallest Bedroom: -._1_U..k_/.0 Size of Kitchen: -.(u_ -x-_l-
8. EXTERIOR WALL CONSTRUCTION• PkB_PA-e INTERIOR WALL COVERING __P/f1S_ter
(Frame, Stucco, Etc.) (Plaster-Drywall, Etc.)
i
9. SETBACKS: Front Yard from Center Line of Street �__.S
Nearest Side Yard / Rear Yard Z_ CAFJDistance in Feet Between Bldgs. on Same Lot 4/.0. 1LC_..-
10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH.
11. For (a) Footing: Width . �Llii Depth in Ground /a" Width of Wall ---
Accessory
'9
Simglar -X-!
s. and (b) Size of Studs: 2 # Spacing 1-6 " "CC Material of Floor C.9N
. - C'e-e�-Q
Structures:
(c) Size of Floor Joists: ^"------- Spacing ,----
"CC
.
(d) Size of Raftes: V- A.,..14 Spacing -_ q'Z_ "CC
G R'-F G e a A 1 0 / an
12. VALUATION OF PROPOSED WORK: Including all labor, plumbing, electrical wiring, heating, fire sprinklers, paint-
ing and sewage disposal $ 71 J• v _I-e__ -_
l Z.,.$Yo
13. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN
THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL
LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO.
Signed:___ ) ea
(Owner
Plans Filed-
By-
(Authorized gent)
•
FOR DEPARTMENTAL USE ONLY
FEES: `� CHECKING BY
Bldg. Permit - $ 2.. Crp s00 GROUP IA__S/..___ APPLICATIOCA411 HEALTH
Plan Check - $ 152-er0 TYPEFIRE
ZONING t
Total - - - $__.1_1_T.Q DIST. PLANS AND Q //
MARSHAL
Total
Receipt No. - - ___i�_ ____,..- MAP SPEC'S G[ [ ' STATE
Paid to 1. [ �,r' SHEET NO J CORRECTIONS ENGINEER
Date '1 $7 nee VERIFIED CAL _
COUNTY BUIL•
iPERMITISSU CBS DONOHUE, i,,,, TORDATE 5(S--L og •rt,, er pw-v �/t�
SM-9-50 /
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10 20 310 41,0 5!0• 610
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