HomeMy WebLinkAbout202 WELLESLEY LN - Building Permits PROJECT ADDRESS: 202 WELLESLEY LN UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 0541bb
OWNER'S NAME: SIEDSMA, DAVID R
ADDRESS: SIEDSMA MARIANNE PERMIT NO: B 054166 PLAN CHECK NO: 03820-91 S GOVT; N SUPP: N
202 WELLESLEY LN o
COSTA MESA,CA 92626 CONSTRUCTION TYPE: 5-N PERMIT TYPE; STR PURPOSE: OTH
;4. ,
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION . 151 LIN FT OF RCMU WALL @ 6 ' HIGH SQ FT: 151
ADDRESS: UNIT:
CLAIM VALUE: CALC-VALUE: 3, 020. 00 GROUP OCC: R-3 /
I. r PERMITTEE: COMSTOCK'S CUSTOM MASONRY ( 714 ) 536-1311
ADDRESS: 21192 MIROMAR LN COMMENTS : SMOKE DETECTOR(S) REQUIRED IN HOME,
HUNTINGTON BEACH CA 92646 ***************M************** *************4****M**)FBF**********************)E**
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9lcommencing with Section ZONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS
CITY LIG,: 012430 STATE LIC.: 330471 /, CLASS: g
Date:q__.Z7- Signature: E-✓u Herter MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent toselhinsure 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.: EXP. DATE:
COMPANY: PARKING REQ: PROV: PARCEL: 14139528 ZNE: R1 REF NO:
9 Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. • a PLANNING NOTES> FOR A 6FT, HIGH, 151FT. LONG BLOCK WALL, ONLY, NOTE
—�• •y���� : > CUL-DE-SAC
.ate:_./— ". ..C/I .
GApplicant �— Y ***************************
*****************************m*************** e******
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(8100)or less). DEVELOPMENT SERVICES REQUIREMENTS
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 totheWorkers'rk Compensation Lawrol California. ZONING APPROVED BY : � , � DATE: —Q2.7-79i
Date:_[-.2 7 p_ Signature:4./.--C- 19
� �
NOTICE:If.after making this declaration.you shout)become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY :__�f����% DATE
Code.you must fonnwith comply witfi 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 B Y: k _y: •a DATE• e
—: .-,
which this permit is issued(Section 3097,.Civ.Cl. '• *************#******** ' —" i *-*** **************************
LENDER: REPLACES ORIG 4" WALL ********************************* *********** ********************4**********
ADDRESS: HIT & DESTROYED BY CAR! LEGALIZATION:N F E E SSU M M A R Y STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTR ICf MECHANIC FIRE SHIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 63, 00 . 50
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed SMI P/NON-RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business .
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 40 . 95 '
any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars($500). ISSUE FEE ',..
I. as owner of the property or my employees with wages as their sole compensation, will 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----> 63. 50 0. 00 40 . 9.5 104 , 45 104 . 45 . 00
does not apply to an owner o1 a properly who builds or improves thereon,and who does such work himself/herself or through 't
his or her own employees,provided that such improvements are not intended or offered for sale. II,however the building or C
lorptheepurpose of sale)nin one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE BLDG PMT -_PMT PLUMBING ELECTRIC MECHANIC,- FIRESMIP
4 OVER/SHORT:GRADING PLAN-CHECK
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 63 .00 . 50 , 40 . 95
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to theContractors'State License Law).I am aware ******************************************************,e************************
Mal proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F. E ,E BREAKDOWN
❑ I am exempt under Section: B.di P.C. ' y'
for this reason: TYPE QTY DESCRIPTIO N ` ••• UNIT COST TOTAL COST
Date: Owner SFR 151 RES-CONCRETE BLOCK WALL, - / FT. 20 . 00 3, 020 . 00
I do hereby certify that I am aware of and understand the requirements 01 California Health and Safety Code Sections 25505.25533.and END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from ..-,.
these provisions. r'
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 hereby authorize representatives of this city to enter upon the above-mentioned
property tor inspection purposes. Q /� �p� � ��
Dale:_/=eel=p/ Signature:vf/IIL-er t4 I 7/11-�� J/ r• '.): 9L'i.1f e_�_I:�'.�i4'I_�Q i' - — • . -
:"I._IE: :(i1/27/9 1 771.1:
Driver's License or Social Security n:
1640-46 Write—Building;Green—Codd Enforcement;Canary—Applicant;Pink—Revenue:Goldenrod—Assessor
4
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•
CONSTRUCTfGN AND PLANNING P001. 'A
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
• 1. Temporary Electrical Service or Pole 4- 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. is 53. Steel Reinforcement V
3. Electrical Conduit Utility-Undrgrnd. Vii. • ' 54. Forms �•
4. Electrical Conduit-Undrgrnd. i
,- - .55. Electrical Bonding
5. Steel, Reinforcement. Gp_il_4/ 64.Jte-,, 56. Rough Plumbing & Pressure Test
6. Electrical OF ER Grnd. 57. APPROVAL TO COVER-GUNITE
• 7. Footings , : 70-2-6( ' 6w61' - ;58. Eiectrical Conduit-Undrgrnd.
„8. foundation ; ) '59. Gas Pipe, 0 Undrgrnd., Test
-O. Water Pipe-Undrgrnd. .: '60. Backwash Lines, P-Trap, ❑ Undrgrnd. '
10. Structural Floor System . , • 61. APPROVAL TO DECK .
11. Property Sewer_Line & House.Connection ',' .. - 62. Backwash & Receptor-Final .-
/C/
12. Sewer Cap - ;,; /
J / 63. Heater & Vent-Final
13. Roof Drains / I 1 64. Plumbing System - Final ! .
14. Rough Plumbing r t ) 65. Electrical-Final 7
i
15. Rough Electrical-Conduit / 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 66. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
201i Rough Factory Fireplace APPROVALS _Permit#
21. Ducts,in Structure - 70. Underground Hydro
22. Ducts, Ventilating - .1 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 _ , - n' •r; - 78. FIRE PREY. FINAL
30. Drywall Nailing - • ti!� . HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat , ,`•l 4' 79. FINAL INSPECTION
32. Electrical Power Meter-Final, , • 11• ��Y . 80. FOOD CERTIFICATE ISSUED
33. Final Electric ` i�•� ' Notes: " '
' 34. Final Heating & Air Conditioning, I ,
35. Final Gas Pipe-Test /^
•
36. Hood or Canopy . - L-' be I ot- Ped
37. Final Factory Fireplace �•��
38.-Final Plumbing ` ' ..
39. Water Service'Final - I`
40. Gas Service-Final ' , . , _ - ,)
41. Solar Domestic-Final - ,
42. Backflow Preventer
•
43. Backflow Irrigation -
L
,.44. Landscape Irrigation System. ; _ _
45. Sound Attenuation '
46. Handicap Regulations .
47. FINAL STRUCTURE & BUILDING •�
lo--lo:�i :6w141.
48.,FINALPLANNING ,,f 'LA ,
49. Electric Release to.Edison
50. Gas Release to Southern California Gas Co ' -
_
51. CERTIFICATE OF OCCUPANCY - - -
No. Date
•
' "'�r� ' � � Permit #—/��� L. 15 (r
i CAt 1. THIS NUMBER MUST ACCOMPANY
7✓!' S62h ALL INSPECTION REQUESTS I o`b wql l
orAPPROVED
754_5b4- 1i) O9 g I
City of Costa Mesa Building Dept.
SMOKE DETECTOR ( APPROVEDI. BY � � DATE �/ �19 f
REQUIRED CITY Of COSfA MESA THESE PLANS MUST BE ON JOB AT ALL TIMES MAKE
PLANNING per, NO CHANGES WITHOUT PRIOR APPROVAL OF DEPT.
TO Wim' D�' �' THE ISSUANCE OR GRANTING OF A PERMIT OR APPROVAL OF
PLANS AND SPECIFICATIONS SHALL NOT BE CONSTRUED TO BE A
�
INSPECTIONS
__E DA 97 I PERMIT FOR, OR AN APPROVAL OF. ANY VIOLATION OF ANY OF
FOR OP PLOODNIS THE PROVISIONS OF THIS CODE.NO PERMIT PRESUMING TO GIVE
DEMOB AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF THIS
CODE SHALL BE VALID EXCEPT IN SO FAR AS THE WORK OR USE
CALL WHICH IT AUTHORIZES IS LAWFUL. -
754-5626 THE ISSUANCE OF A PERMIT BASED UP N PLANS ANC
SPECIFICATIONS SHALL NOT PREVENT THE BU DING OFFICIAL
FROM THEREAFTER REQUIRING THF CggaprTin CIF ERRORS IP
OF SAID PLANS AN% SPECIFICATIONS OR FR PREVENTINC
754-5627 BUILDING OPERA1 ONS BEING CARRED ON THE UNDER WHEN
IN VIOLATON OF-HIS CODE OR OF ANY OTHER DINANCE OF
THE CITY.
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RESIDENCE RESIDENCE RESIDENCE RESIDENCE {R-.
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W ti
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702CdPffeI I 2 ow L2.
•
STREET 6 —•
\l`
TYPICAL 6" CONCRETE BLOCK FENCE
_ • • •
,
® , GENERAL— NOTES
,
Cement Coping Optional 711
Channel Channel Block With 1-3/80 ' , I� I f
Horizontal Top of all p� MORTAR: r
Fences N 'j One Parf Plastic Cement, and
ei Three Parts Sand
For Fences 5'or Less is ca GROUT: One Part Cement Three and
s r`' One Half Ports Sand
Vert. Bars 3/8"¢at 4' -0" O.C. d _ _ COPING: One Part Cement, Three
For Fences Higher Than 5' 4 w _ ! . Parts Sand
Vert. Bars 3/811¢ at 32" O.C. > w --- -
CONCRETE: Well Mixed 1:2-1/2: 3-1/2
¢ r _ Max. of 7- 1/2 Gallons of
Fill Cells Solid With Grout
1� •> Z ; `' r ' �& t
Where Steel Occurs _ II.
, .� - —` '— '� ' °" - Water Per Sack of. Cement
Reinforcing Steel Shall I I f 1p _ GROUT MAY BE POURED FROM THE TOP — -
Conform to Sec.A-15-39 l{IfY1�� w o - a OCCURS.
FENCE IN CELLS WHERE STEEL
A.S.T.M. jl11 Z ~ CELLS AND AREAS OF HORIZONTAL REIN-
All Steel to be Lapped M FORCEMENT SHALL BE CLEAR,CLEAN&
pe . FREE OF ALL MORTAR DEBRIS,ETC.
24"or to Code IH I ni _._.._ ----.. - .._.
NATURAL GRADE I� .-...w._._._lA
A —
T W O 3/8"0 BARS —so
D D r o s e
CONTINUOUS TOP I
& BOTTOM • , H- -WIDTH _ TO 16 0-C MAX.
SEE CHART 's �. '
_HORIZ.STEEL MUST BE TIED IN BELOW . LDEPTH OF E ARTHTCOTH
PLACE AT TIME OF TRENCH e I • 1/3 THE HE IGTH OF FENCE
INSPECTION. °. . L.�� - LOW BOTTOM OF FOOTING.
--1 1....4.41- 2..JiSCALE: 1/2" = 1s
IMISIBMIll
FOOTING REQUIREMENTS CHART
I WALL HEIGHT 6 ' Sr-if-4r - 3'
WIDTH 14" 14" . j2°..., . . . . . . 12"
THICKNESS 10" 10" • 8 " . 8 "
DEPTH OF EARTHTOOTH . . . 24" . . . . . . . 20" 16" . . . . . . . 12"
SPACING OF EARTHTOOTH. . 12' 14' 16'. . . . . . . . 16'
City of Costa Mesa, California
Building Department
. _, . }_.WISED Nov.at
OWNER COLLEGE PARK NO. Ll DATE 9-26-57 —
]OB ADDRESS 202 Wellesley Lane BUILDING PERMIT NO. 5771
GENERAL CONTRACTOR Harbor Constructi on VALUE $ 12,400.00
AP. No. LOT 37 TRACT 3187 FIRE ZONE DESCRIPTION OF WORK - Res. w/att. par.
GROUP I & J TYPE V ZONE R1 PLAN NO. 5752
PERMITS ISSUED '
II LCTIONS DATE SUBCONTRACTOR
,�, "�AA __ DATE NUMBER
Trenches Forms Steel P..^f�� /0^51 ^f7
Floor Sys em `" •
Steel Reinforce Chimney Re-Rod
Bond Beam •
Frame and Flashing e. e- E. la.-/N .-tet"/
Lathing, In Out &5-6 %y -7-7/-c','
Plaster, brown cg2tkc , �¢ " �../a—a
Underground soil(. "7W/G Pipe Te• " .ii-
Top Out
Furnace it l -//. -S . •7 u� 0- - / �,/
Gas Vents tWITh
Rough Plumbing /19h's 1.2,//-S7 - / rc (' 0L AO- 2. -r- - '✓ 36,22�
Cesspool Septic Tank _
Prop. Swr. Line 4Y _ous cantle, t!,Swr. � ' ''!� _, ! /�9�J., 0-ay '
Sprinkling System
Heating Final Mel-S /i-SSS Si
Plumbin. Fixtures, Final /NHS ArI
Was Test /',j AUtS 44 —S'S / a! , /
UUnderground` Power WIti
Rough Wiring .na QYiiYLWilla
Fixtures, Final ra +��i
OCCUPANCY • _,
Form 210-5M-1-57
-FEE RECEIVED
JP5752SEP 13 1957
COSTA MESA BUILDING DEPARTMENT FINANCE DEPT.
P.O.BOX 317 CITY OF COSTA MESA
COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
BUILDING BUILDING
ADDRESS 202 WFLLESLEY LANE
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. I MI7
OWNER COLLEGE PARK No . 4 J � 1
MAIL RECEIVED BY DATE RECEIVED DATE ISSUED
ADDRESS 21 16 So . MAIN ST . jcV9 ice- S7 SFP 2 6 195
TEL BUILDING
CITY SANTA Aro A , CALIF . No.K I 55577 ADDRESS
ARCHITECT LIC.
OR ENGINEER C.
COSTA MESA. CALIFORNIA
ADDRESS FIRE
ZON
ZON NO.OF TYPE / GROUP
/ CI Y LIC. �(�y1 PLANS /V/
CONTRACTOR _ V� NQ �G
TEL. ' APPROVED ��
ADDRESS NO. BY DATE i'
LEGALn
DESCRIPTION NO. 37 BLOCK TRACT 3 187 CORRECTIONS
A.P. NO.
SIZE NO.OF BLDGS.
OF LOT 68 x I 15 NOW ON LOT
USE OF
EXISTING BLDG.
SETBACK LINE FROM / 2(]
8
CENTER OF STREET 5 LTJ REAR YARD —
SIDE YARD RIGHT 13 LEFT 5
DESCRIPTION OF WORK
NEW x ALTERATION ADDITION
REPAIR MOVING DEMOLISH f
NO.OF
SIZE
BUILDING 52b.1 ROOMS STORIES
EXTERIOR WALL ROOF
COVERING COVERING
USE OF NEW
BUILDING RFeI OFNCF Pr ATTACHED
GARAGE
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 STATE LAWS REGULATING BUILDING CONSTRUC•
TION. VALUATION
SIGNATURE OF PERMIT FEE S �� —
PERMITTEE COLLEGE PARK ND .
PLAN CHECK S VSi
$ 12,400.
-� eir
AUTHORIZEQ‘:77/'....2,1/if: op TOTAL FEE $ {LS