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HomeMy WebLinkAbout1310 WATSON AVE - Building Permits 5111 F CITY OF COSTA MESA BUILDING DIVISION F i DEVELOPMENT SERVICES DEPARTMENT PE T NUMBER • PERMIT E05-01249 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa€L.fTRICAL PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 1310 WATSON AV Status: ISSUED Suite No Applied: 11/30/2005 Vicinity: REAR SFD Issued: 11/30/2005 Parcel Nunmber: 14116713 Applicant: SUN WEST FINANCIAL LLC Address: 1521 SEACREST DR ISSUED BY: i Phone: 949-701-0904 i CORONA DEL MAR,CA Zip 92625 Owner SUN WEST FINANCIAL LLC Address 1521 SEACREST DR Phone: CORONA DEL MAR,CA Zip:. 92625_'x. ' ,--, ", Contractor: OWNER-BUILDER - Address: Phone: Zip: R License:000000 ' SCOPE OF PERMIT ' CHANGE-OUT OF AN ELECTRICAL SERVICE IN AN EXISTING SFD. 1 SVS TO 200A - NO OTHER WORK AUTHORIZED WITH THIS PERMIT.;;.. FEE SUMMARY Quantity Quantity=''; ,' ISSUE FEE $23.50 Temp Dist System/,Lighting - $0.00 --0 sr Temp service test $0.00 • - Busway/100 ft - $0.00 0- " Res.a/c package , " ' $0.00 Standing;Section - $000 0 New Res(1-2 units) . $0.00 ` 0 - Misc"Electrical Equipment • $0.00 {"0 New Res(3+units) $0.00 0 Transformers up to 1 kva/kw $0.00 0 Pool/Spa $0.00 0 ' up to 10 kva/kw $0.00 0 Lighting Finis $0.00 0 up to 50 kva/kw $0.00 ' - 0- - Recept Outlets .$0.00 0 up to 100 kva/kw , $0.00 0 , Switches $0.00 0 - • over 100 kva/kw Non Res Appl $0.00 0 Low Voltage Equipment $0.00. 0 Res Appl _ $0.00 0 Low Volt Wiring System/Ckt $0.00 0 Service to 200a $30.50 1 - . Misc.Conduit " -. •$0.00 0 Service to 1000a $0.00 0 'Misc.Coriductor.,,,. . $0.00 0 Service over 1000a $0.00 - 0 Circus(gen or ride) " $0.00' 0 Motors to 1 hp $0.00 , -0 ,. Circus(mech ride or lights) $0.00 0 Motors to 10hp $0.00 0 Christmas TreeStand- $0.00. . 0 Motors to 50hp $0.00 0 -- Fireworks.Stand- . $0.00. 0 ' Motors to 100hp $0.00 ; 0 " - 'Other Electrical Fee ".$0.00 - - " Motors over 100hp \ $0.00 . " 0 Communication drops $0.00 . 0 Investigation Fee 50.00 Sub panel to 200a $0.00 - 0 - Plan Check Fee - $0.00 Pole Light Pkg $0.00 0 - • Reinspection Fee $0.00 Sign Circuits $0.00 0 Temp Pwr Pole $0.00 0 - TOTAL CALCULATED FEES $54.00 Intermed Pole $0.00 0 '- nnuucu-re I onenr A I nnunwrinuo • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§ 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void If work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-46(8/00) • DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit Is issued. ❑ I have and will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Is Issued. My workers'compensation Insurance carrier and policy number are: Carder: Policy Number: (This section need not be completed 11 the permit is valued at one hundred dollars($100)or less.) 1 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,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these proy"q�`--Rs. Applicant Signature:7 / LcDate:"rt /4/,C dJ WARNING FAILURE TO SECURE ORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SWILL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND OOLLARE($100,000),IN ADDmON TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.# Class I Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is Issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subSts the applicant to a civil penalty of not more than five hundred dollars($500).): �[ f;as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec. 7044,Busj0ess and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself ar?erself 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 soldWitthimone year of:completioa4btowner-builder will have the burden of proving that he or she did not build or Improve for purpose of sale.). ' ❑ I,as owner of the property,am EXCLU4jVELY ,sjj',TING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The gontractorslticense Law.does not ap•�1 j,• J�• ner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.),'v- ❑ I am exemp er sec. �� r/Business and Professions Code for this reason: Signature:—� (Date_ / `Expires: 7-/I{—ocl Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above,unless such person has e permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? Dyes 0N (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification from the South Coast Alr Quality Management District or from any other air pollution control district or agency? LJ Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If'yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-describe a action purposes.I agree not to occupy or allow occupancy of any building authorized by is p it ypkFfinal inspection. Signature Of Legal Owners) (_Date f And/Or Authorized Applicant Date CODE I INSPECTION TYPE PATE INTRUL$ CODE( INSPECTION TYPE IArE INTMAL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing ••1' / 200 Final Re-Roof 210 Final Electrical yl�//O!o 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site • 204 Final Demolition 250 Final Building/Occupancy y 2 I G Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. -, • CITY-OF COSTA MESA CONSTRUCTION PERMIT PE3T NO. TRACT NO. LOT NO. UNIT NO. • abbss 1 Project Address 1310 Watson, C.M. yyqq�� 61®E•1 10/29/86 26.50 TL Applicant's Mailing Address 126 Commercial Way, C.M. 9262 TYPE OF CONSTRUCTION 0 NEW U ADD 'U ALTERATION U REPAIR Owner's Name Nancy Roliq Phone 546-1504 0 CONVERSION 0 DEMOLISH 0 OTHRemove shakes install A.P.`e` Zone DCA IPT ION OF WORK/USE OF BLDG. r Address 1310 Watson, C.M. 92626 300# fiberglass "Class A" shingles. New metal S Main Building: Accessory Building: Arch/Eng. License No. TYPE OF PERMIT LI GRADING U FOUNDATION U STRUCTURAL T Front � o Address 0 TENANT 0 ELECTRICAL 0 PLUMBING 0 MECHANICAL 8Rear N Contractor's Name- Crank -Bros Roofing Phone 548-5569 0 OTHER A Address(mailing) 126 Commercial.S_,M 92627 PROJECT DESCRIPTION SQ. FT. 2,550 OCCUPANCY family C Right K NG Left CONSTRUCTION TYPE l"PRi dent)Bi VALUATIONS 4 398 00 $ R City License No. On5991 ZONE GRADING CU.YDS. ACRES .t LICENSED CONTRACTOR DECLARATION Ping. Ref,'//' Parking Req,/Provided E 1 I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: Q with section 7000) of Division 3 of the Business and Professions Code,and • M Limy license is in full forcA a effect: T License Class — Ri_License No. 4 8677 S Date 1n-29-86 Signature f7-to �s�r-i PLUMBING FEES / . WORKERS'COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES I hereby affirm that I have a certificate of consent to self-Insure or a certificate ••••••• ' Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink • • Automatic Washer Transformer ❑ 15-50 KW 00. Lab. 1°85362466 Fremont Indemnity Policy No. Company Backflow Irrigation Sewer Cap0 50+KW Certified copy is hereby furnished. D Construction Pole Sub. ; cern/1Ra Gppy 1"S llled with the city uildi g vlsion. e) Bathtubs Sewer Connection lU—L7—i5b}' drank gyros. KKRoofing Co, Cooking Unit Meter [pup to 100 amps Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for one hundred($100)or - • less). Dishwasher Solar Piping ' Dryers ❑Gas ❑Electric Sub Panel 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 Motors❑O-1 HP 011/2-8 Workers' Compensation Laws of California. _ Date Signature Floor Drains Swimming Pool w/Spa F.A.U. ^— NOTICE:If,after making this declaration, you should become subject to the Inc.Solar 09-15 HP 016-15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures comply with such provisions or this permit shall be deemed revoked. Microwave • CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet - Device Boxes I hereby affirm that there Is a construction lending agency for the performance Pole Light , of the work for which this permit is issued (Section 3097 Clv. C.) Interceptors Water Heater Outlets Ran • Lender's Name - 9e Lender's Address Kitchen Sink Water Service Switches Sign OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories .Auto-Wash Garbage Disposal following reason (Section 7031.5 Business and Professional Code: Any city or 9 P Standing Sections 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 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 Division 3 of the Business and Professions Code) or that he/she Is exempt "`erefrom and the basis for the alleged exemption. Any violation of Section 31.5 by any applicant for a permit subjects the applicant to a civil natty of not more than five hundred dollars($500). Li I, as owner of the property or my employees with'wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered - Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law 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 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 ono year of com- Canopy Type II ❑ Zoning Approved By Date Motion, the owner will have the burden Of proving he/she did not build or Im- Duct-Under Ground Building Approved By Date rove for the purpose of sale). • 61, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Dat 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 ❑0-100,000 BTU ❑100,000 BTU SUMMAfjY OF,fEES - �zs builds or Improves thereon,and who contracts for such projects with a con- _ - Oj(O n �U tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit.ICBG# Fire Dampers PLUMBING $ PERMIT ISSUANCE $ Date Owner Heating System& Ducting Registers - PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100.00013TL - GRADING $ Information is correct. I agree to comply with all city and county ordinances - ELECTRICAL $ and state laws relating to building construction,and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ sentatives of this city to enter upon the above-mentioned property for / e/� Inspection purposes. �s ee a MECHANICAL $ TOTAL FEE $ eQ6-5 L/ Signature [/ '"�"'=�- Date 10-29-8b Reinspection Fee $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 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 6. Electrical UFER 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-I 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 0 Oil 23. Gas Pipe-Rough &Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 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 PREY. 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: 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 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING ///e I� rjn ,/ ed r 48. Special Requirements Completed / j/ �f(�" ILS a-� 49. Electric Release to Edison 50. Gas Release to Southern California Gas CD 51. CERTIFICATE OF OCCUPANCY No. Date _ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. - CITY OF COSTA MESA CONSTRUCTION PERMIT I PERMIT NO. TRACT NO. LOT NO. UNIT NO. Project Address \3\0 'NO en C1 TN QV • l.� ll 9811 10����84 Ba(10 TI. Applicant's Maili Address \\i.p-OQ g.\--nO'C100\Ch TYPE OF CONSTRUCTION LI NEW ADD U ALTERATION U REPAIR • 0 �� ❑ CONVERSION ID DEMOLISH DEMOLISH OTHER A.P. Zone Owner's Name Vis n s�-�. C�-C�7� C‘t..-((�� Phone DESCRIPTION OF WORK/USE OF BLDG. • 41�i Address \3\0 ° c -c Ov\ OM • S Main Building: Accessory Building: Z Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL E Front / 0 ail Address /'� ❑ TENANT 0 ELECTRICAL ❑ PLUMBING ❑ MECHANICAL BA Rear I N Contractor's NamP r •S Z� 7cC\C- P}io1SeSCR-5��3 ❑ 'OTHER C Right �Q' N PROJECT DESCRIPTION SQ. FT. OCCUPANCY K' 1 . \� Address(mailing) \�b^Os�o((��^�e1'eNpe�ctiath C O N ST RUCTION TYPE VALUATION S Left �J2 City License No. 3a \e1 .Y ZONE GRADING CU.YDS. ACRES 1/ (/ / E O LICENSED CONTRACTOR DECLARATION Ping. Ref.# 7✓� / I Parking Req./Provided I hereby affirm that I am licensed under rovislor • '- 9 (commencing 0 \ p ( 9 Remarks: Planning Notes: M with section 7000) of Division the Bus'.•ss and Profe •ns Code, and T my license is in full force and et ' ' License Class License • • rI Date �O Signet ��� _ PLUMBING FEES 7 WORKERS'COMPENSATIO 'RAT ON I hereby affirm that I have a certific. • of consent to self-Insure or a certificate Bar Sink Showers ELECTRICAL FEES of Workers' Compensation Insurance, ora certified copy thereof (Section Backflow Preventer Service Sink Automatic Washer Transformer 0 15-50 KW 3800, Lab. C.) (n �/I �s����(— Policy No.1 l\�` la 1 ' 6173 Company `ds' w�T Backflow Irrigation Sewer Cap0 50+ KW V Construction Pole Sub. A Certified copy is hereby furnished. 1. certifiedo is filed with the city Building Dwi ' 1 G Bathtubs Sewer Connection Cooking Unit Meter Duo to 100 amps Date 1C) Applicant s EXEMPTION ROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps ' (This section need not be completed if the permit is for one hundred($100) or less). Dishwasher Solar Piping Dryers OGas ❑Electric Sub Panel 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 Workers' Compensation Laws of California. Motors 00.1 HP ❑i%-8 Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.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 Urinal - comply with such provisions or this permit shall be deemed revoked. Fixtures - Microwave - CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes Pole Light I hereby affirm that there is a construction lending agency for the performance 9 of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors' Water Heater e Outlets Ran Lender's Name 9 Lender's Address -- Kitchen Sink Water Service OWNER BUILDER DECLARATION Switches Sign I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories , following reason (Section 7031.5 Business and Professional Code: Any city or - Garbage Disposal 'Standing Sections county which requires a permit to construct,alter,Improve,demolish or repair P-TrapGenerator ❑O.5 KW❑5.15 KW Com actor .any structure, prior to Its issuance, also requires the applicant for such permit , TrashP • 'to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains the Contractor's oftei Business usi Law (ChapterrtfeCode) )orwith Sectionsx)of t ("�°`cret\co(` p nos\��0%ca. . 1 pc therefrom 3 of the b sis and Professions Cotle) or he/she is exempt �-�"� V therefrom antl the basis for the allegedperm exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil - +' enalty of not more than five hundred dollars($500). LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 ' compensation, will do the work, and the structure Is not Intended or offered - Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law 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 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 tom- Canopy Type II ❑ Zoning Approved By Date p lade n, the owner will have the burden of proving he/she did not build or lm- Duct-Under Ground Building Approved By - Date Kaye forr the purpose of sale). a ( OT�I l,,as owner of*the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By _ Dat 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 00-100,000 BTU 0100,000 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 System Repair/Alteration BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT 0 I am exempt under Section, B.& P.C.for this reason Firepl/Fact.Bit. ICBO# • PLUMBING $ ISSUANCE i S Date Owner - Heating System& Ducting ENERGY P.C. $ PLAN CHECK 25% $ I hereby certify that I have read this application and state that the above 00.100,000 BTU 0100,000BT Q GRADING $ information is correct. I agree to comply with all city and county ordinances ELECTRICAL $ Q and state laws relating to bui •ing construction, and hereby authorize repre- sentative •f this city to e upo a above-mentioned property for Q /� inspectio u1;o=�. „� l I MECHANICAL $ TOTAL FEE $ g•CO Drivers' .� - _O • Date v+ Reinspection Fee L $15 • Issue Fee $ 3. PLAN CHECK 25% $ • Drivers'.License or$S p CMF 0865-46,rev.4/84 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNING - • POOL&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 • ,6. ElectricalUFER'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, O 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 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 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 PREY. 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: 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 • 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date -1 - I Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT I' MIT NO. TRACT NO. LOT NO. UNIT NO. 6454 10/3i/B6 ?6a0O TL Projekt Address 1310 Watson, C.M. `LJJ 2 /9 63 / ������yy Applicant's Mailing Address 126 Commercial', C.M. 92627 TYPE OF CONSTRUCTION U NEW LI ADO A6 ALTERATION U REPAIR ' hNc Roll 546-1504 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# , Zone Owner's Name Y q Phone SCfR PTION F W K/US OF BLDQ. Remove exi si-i ng' apply Address 1310 Watson, C.M. 3004 '' Class A fiberglass shingles. New metal. �S Main Building: • Accessory Building: Arch/Eng. License No. TYPE OF PERMIT U GRADING U FOUNDATION U STRUCTURAL T Front Q Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL BA Rear N Contractor's Name frank Bros Roofing Phone 548-5569 ❑ OTHER - C Right N 176 Commercial WA C M 92627 PROJECT DESCRIPTION 5Q. FT. 2 550 OCCUPANCY Si nr31 P K G Address(mailing) y. CONSTRUCTION TYPE res, VALUATION $ 4 998-00 S Left City License No. ' 005993 ' R ZONE GRADING CU.YDS. ACRES Ping. Ref # Parking Req./Provided E LICENSED CONTRACTOR DECLARATION . I hereby affirm that I'am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: • QM with section 7000) of.Division 3 of the Business and Professions Code, and ' my license is in full force An'tl facet. T License CI s ‘----3' ` 'cense No. 408677 S Date / rSignaturePLUMBING FEES • WORKS S'COMPENSATION DECLARATION Bar Sink Showers ' I hereby affirm that I have'a certificate of consent to self-insure or a certificate .. ELECTRICAL FEES ' Workers' Compehsation. Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink 00, Lab. c. Automatic Washer_ Transformer 0 15-50 KW ✓olicy No. WP85362466.. Company Fremont Indemnity Backflow Irrigation Sewer Cap ❑ 50+ KW Construction Pole Suli. ,VI Certified copy is hereby furnished. �p — ' ,�11 �(jfertifietl copy is filetl with the city Building Division.{]y���G�/�JJ— Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date Applicant Crank Bros' Roo 7 nT g Co EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors -' _ Dishwasher Meter Clover 100 amps • (This section need not be completed if the permit is for one hundred ($100) or Dishwasher washer less). Solar Piping Dryers ❑Gas ❑Electric Sub Panel' I certify that in the perfbrmance 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 Motors❑0-1 HP ❑1`h-8 Workers' Compensation Laws of California. ; \ Date Signature NOTICE:If,atter making Khis declaration, you should become subject to the Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 HP ❑16.15+ \ \ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures comply with such provisions or this permit shall be deemed revoked. Microwave Gas Service CONSTRUCTION LENDING AGENCY Outlets Water Closet Device Boxes I hereby affirm that there is a construction lending agency for the performance Pole Light of the work for which this Permit is Issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets - Lender's Name Range Lender's Address - . Kitchen Sink Water Service - - Switches - Sign - - OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal following reason (Section 7031.5 Business and Professional Code: Any city or 9 P Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays Generator Do-5 KW ❑5-15 KW Trash Compactor any structure, prior to its issuance, also requires the applicant for such permit P 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 _ - Division 3 of the Business and Professions Code) or that he/she is exempt •herefrom and the basis for the alleged exemption. Any violation of Section ' ' 31:5 by any applicant for a permit subjects the applicant to a civil .tatty of not more than five hundred dollars ($500). • $ 3 J I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee , compensation, will do the work,and the structure Is not intended or offered - Reinspection Fee $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law 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 DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I ❑ sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ Zoning Approved By Date pletion,the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Data • prove for the purposeftoe). - /J y G�� D t as owner the property,roject exclusively sinesscontracting witholicensedioncon- Duct-Structural Refrigeration System Application Issued By `�� 1/ Data t rhetors construct the project (Section 7044, tos Business and of property Code: The Contractor's License Law does not apply to an owner je is thta who Duct-Ventilating 00-100,000 BTU 0100,000 BTU SUM Afj,V(1F FEES 1 builds or improves [hereon, and-who contracts for such projects with aeon- J , (� C tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration . BUILDING PERMIT $ OL. .s SMTP , _ $ t v proof of their Worker's Compensation insurance should be provided to me. • PLAN CHECK $ PERMIT 0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIL ICBO# Fire Dampers PLUMBING - $ • ISSUANCE $ _ PLAN CHECK 25% $ ENERGY P.C. $ I Date Owner Heating System& Ducting Registers I hereby certify that I have read this application and state that the above 001 00,000 BTU 0100,000 BTL..— information TL.. ELECTRICAL $ GRADING $infOrmation is correct. agree to comply with all city and county ordinances _ . and state laws relating to building construction, and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ .sentatives of this city to enter upon the above-mentioned p per y for ry Inspection purpos,:r• J ,O�.;0 44 MECHANICAL $ TOTAL_ FEE $ Of . Signature /ter �' • Date Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ Drivers' License or SS# allIllia 052 — '— CMF 0865-46,rev. 10/64 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING POOL& 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 6. Electrical UF ER Grnd. 57. APPROVAL TO COVE R-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 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 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 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: 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 tifo 46. Handicap Regulations ,p47. FINAL STRUCTURE & BUILDING �. 30 3 W at J&,per 48. Special Requirements Completed 49. Electric Release to Edison • 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date _ _ OWNER C011e a Mesa CO DATE 9/21/55 /3/0 ^^ / C JOB ADDRESS306h-Warren-Lane- BUILDING PERMIT NO. 1897 C RAL CONTRACTOR yelp Co- VALUE $ 8'000-oo LOT 11t2 BLOCK TRACT 2 314 1 GROUP T TYPE V ZONE pJ1 FIRE DISTRICT #'921 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER Footing Trench err 1.- .SS Foundation Forms and Grade to Gera.e t, 1 Rough Framing ^rpt S ,¢'6 Plumbing,Rough to Slab Mrd -/b-Sj Plumbing,Rough Complete C — /7C4, J a , n-' / 'e-,./-„j' -,S 7o/ 7 4.......'s' Temporary Pole `� � Wiring, Rough 1- /O -- ``xJ//�� ;^ c.1 /. -1 0 IZ / 9yGz._-e...-- Heating,Rou // Heatin In �T/ ,6�„ao,,v,,. , ja-7--n- 2/47 f!� Sewer, MI7 Sewer,St. 0,9/ ceyt./, & //-,4.3 SS- 35 9/- Li •2 ; an or Cesspool V Lathing, In/- 2/-EZ Ou7 (./4 -At-s• Plastering !- "1 e - - V Plumbing,Final,Fixtures Complete 44-4 5t-167s Plumbing, Final Gas Test 4y f%2/541 b. •IFEga irS Wiring,Final 4-z-A -t,-pr. F Occupancy 2-C4 t-1i-I Form 210 G-H 1500 1-55 'Costa Mesa Building Department n APPLICATION FOR PERMIT .. - -. 111 EAST 20th STREET 1921_ BUILDING 1 r. COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY FOR APPLICTO FILL INReceipt No. tryst s Building (3 / O 3-i'1`�_`�•, I I / �(if� Address 4 Merron •ane ((ll Costa Mesa, California Receiv d by I Date Rec'd. 1 ate Issued SEP 1 9 1955 aya Nearest College St, Cross St gn Owner College Mesa Company Adare Mail Costa Mesa, California Address 8002 Central Avenue Nearest CroCity Garden Grove Nolte.9-2158 Zone St. ,/ No.of Type '/ Grou / Architect or Lic. �Y I Plans I (� Engineer Davis & Quigley No. C-1790 Approved Address 43 Malaga Cove P1aza,Palos Verdes by Date I City Lie. CORRECTIONS tractor The Hale Company No. 3422 Address 8002 Central Avenue,Garden Grove Legal I Lot I Description No. 142 I Block I Tract 234_ (Attach Metes and Bounds) Size of Lot 6300 I No.Now of onBldgs.Lot None Use El i of I No.of • I No.of � �� Existing Bldg. Families Rooms i j Setback Line from , Rear Yard dO' c`-f..L4 I D Center of Street 52 Side Yard 8' DESCRIPTION OF WORK SFP 2 1 1955 New I X I Alteration I I Addition I Repair I I Moving I I Demolish I CITY OF Gas 14 ES Building No.of C. _A Size 1181 Rooms 5 Stories 1 F "•rior Wall_ Roof -- _ ring tucco Covering Shake APPROVALS t,se of New Building Single family dwelling with Foundation Location Inspector Date Forms,Materials, Attached garage, 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 Laws regulating building construction. Lath.Ext Signature of PH •LE COMPANY Permittee Plaster, int Authorized Agt. Il. f1_ - 4 y1 I Plaster,Ext. SILVIA LARDNER - 0 Valuation Permit Fee $ cre?d--- Masonry Reinforced r Plan Check$ —r _ Bond Beam _ $ Fee Total $ 072 —... FINAL FORM 204 S-BP 2M 0-55 d • J O d �- 0 0. a` SEP 21_5,Pilne5Ac 615a. Z3.e( tN..t, • Street PLOT PLAN Show location and distances from property lino and between buildings. . • r..