HomeMy WebLinkAbout1624 WHITE OAK ST - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITy�O,F COSTA MESA CONSTRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT O. 4876 ' 6/14/85 28p5O TL
Pro4hdt Address jG.2� WWwr1EO4C ST ,� I� ��I I ,I�'i
Applicant's Mailing Address TO7 /Cr -/ Ta 5 / 5�/d' /✓/1/4 TYPE OF CONSTRUCTION NEW U ADD U ALTERATION LW REPAIR ,
M.1,Aw w�r'u�arri Atli( El CONVERSION C7 DEMOLISH ❑ OTHER _ A.P.# Zone
Owner's Name Ni--Al II hone �xf q/C�M� r t//`A19 4laiii-
/ DESCRIPTION OF WORK/OSE OF BLDG. 2 uy
Address (� �� �� �� �/�� - jr(U/'C/tJl/M /eti 5 _ S Main Building: Accessory Building: Z
Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL T, Front O
Address �I /� ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING 0-MECHANICAL • B Rear ' - N
ALU/'{(N✓M Aelpt-(4, - ),OCO Z1$TS CI OTHER - A . - I
Contractor s(Name _ Pone C Right . ' - . N
/� !- �l PROJECT DESCRIPTION SG. FT. aSf/�D OCCUPANCY G
Address(mailing/ •71 G ` + �✓�rn. / < K -
/j - CONSTRUCTION TYPE VALUATION $ CCC..1- " 0 s Left .
City License No: - ,33701- 'J ZONE GRADING CU.YDS. ACRES R
LICENSED CONTRACTOR DECLARATION • _ Ping. Ref.# I Parking Req./Provided E
I hereby affirm that'I am licensed under provisions of Charter 9 (commencing Remarks: - . Q
Planning Notes: - - M
with section 7000) of Division 3 of the Business and Professions Code,and • T
my license is in full fo Fe a • - ect. //gr • $
License Class i ce e No.'
Date - Signature �.�/ .i _�� PLUMBING FEES •
WORKERS' COMPENSATION DELLA'A ON eirBar Sink Showers ELECTRICAL FEES
I hereby affirm that I have a certificate of consent to self-Insure or a certificate '
of Workers' Compensation Insurance,.or a certified copy thereof (Section
3800, Lao. k) - Backflow Preventer -- - Service Sink - Automatic Washer Transformer 0 15.50 KW
Policy No.0 6 rip.?
I ."' Company Srie ! �� Backflow Irrigation Sewer Cap Construction Pole Sub. El 50+KW
Certified copy is hereby furnished. , - ,
Ce E'letl,cpy a letl with the city Bu I g' e'O Bathtubs Sealer Connection Cooking Unit Meter 0up t0 100 amps
Date 6'i4-t----,,-,pApplicant C/`/f
EXEMPTION FROM WORKERS'Cl17 -� ECLARA TION Clarifiers Solar COIIet10I$ I Dishwasher ,Meter Dover 100 amps
(Thissection need not be completed i e permit is r one hundred ($100) or - -- --
less). I Dishwasher Solar Piping Dryers ❑Gas' OE lectric Sub Panel
I certify that in the performance of the work for which this permit is issued, 1
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors 00-1 HP 01%I.8
Workers' Compensation Laws of California. '
. Date Signature Floor Drains Swimming Pool w/SpaF.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 ' - I - Fixtures - Microwave "'
comply with- such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING 'AGENCY • Gas Service Outlets -Writer Closet Device Boxes
I hereby affirm that there is a construction.lending agency for the performance ,POI¢ Light
of the work for which this permit is Issued (Section 3097 Civ. C.)
' Interceptors Water Heater - ' Outlets Range •
Lender's Name • - - g
Lender's Address - _ • - Kitchen Sink -Water Service Switches
OWNER BUILDER DECLARATION - - Sign'
I hereby affirm that I am exempt from the Contractor's License.Law for the . Lavatories - Auto-Wash Garbage Disposal I Standing Sections '
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
_.any structure, prior to its issuance, also'requires.the applicant for such permit - Generator 00-5 KW 05-15 KW Trash
,to file a signed statementLnsethat hapte is (com encInd want to the provisions0 ) f,of i Roof Drains
;the Contractor's License Law(Chapter 9 (commencing with Section 7000) of.
vision 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
.7031.5 by any applicant for a permit, subjects the applicant to a civil '
penalty of not more than five hundred dollars($500). . ' •'
0 I, as owner of the property or.my employees with wages as their sole •Reinspection.Fee , $15 3 Issue Fee ' $ -
compensation, will do the work,and the structure is not Intended or offered ' • - . Reinspection Fee I $15 'Issue Fee $ 3
for sale- (Secion 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 corn- -- - Canopy Type I ❑ 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 Date
prove,for the purpose of sale). - ,
0 I, as owner of he 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: I
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 $ 2-?..). CCD SMIP $ + SO
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. ICBO., -
MIIII. dSSUANCE $PLUMBING $Date Owner �I Heating System& Ducting PLAN CHECK 25%I $ ENERGY P.C. $I hereby certify that I.have read this application and state that the above 00-100,000 BTU 0100,000 BTELECTRICAL $ GRADING $
information is correct. I agree to comply wit, all city and county ordinances and'state laws relatipg- o buildin•,construptl.n, and hereby authorize repre- - PLAN CHECK 50% $ MICROFILM ' $
sentatives of•this pin he ab•ve-mentioned property for
inspection purpo r, MECHANICAL $ TOTAL FEE $ 2�, `�
Signature . el?.' -.hoe Date C��f "r �l , •- I '
��•
� ,
•
CMF0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod Assessor
!CONSTRUCTION AND PLANNING POI.-&SPA
'-4!J Date Inspector Date Ins ector
PPROVALS Permit# APPROVALS Permit# p
111111 i
1.-T'e`porary Electric& Service or Pole - 52,.Pool & Equipment Location - '
•
2. Soil Pip -Undrgrnd. _ 53. Steel Reinforcement
3. ,Electrical Conduit Ufility,-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. I 55. Electrical Bonding
5. Steel Reinforcement • .. ' 56. Rough Plumbing & Pressure Test '
6. .Electrical UFER Grnd. ' 1 - 57. APPROVAL TO COVER-GUNITE '
7. Footings . I - t 7 58. Electrical.Conduit-Undrgrnd.
8. Foundation - 59. 'Gas Pipe, 0 Undrgrnd.,Test I
• 9. Water Pipe-Undrgrnd. '� . • t; • 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor Systerh 61. APPROVAL TO DECK .
11. Property Sewer Line &'House Connection 62. Backwash & Receptor-Final
1
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
18.1Rough 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. Frametand 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 1
i
43. Backflow Irrigation. •
44. ,Landscape Irrigation System
45. Sound Attenuation i •
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING G/ •/yam .
48. Special Requirements Completed •
//�"
49. Electric Release to Edison -
50. Gas Release to Southern California Gas Co •
'51. CERTIFICATE OF OCCUPANCY • ' I
No. Date
1005;n1
.
•
COSTA MESA BUILDING-SAFETY DEPARTMENT .. AUG 7 1959]
P.O.BOX 317 COSTA MESA. CALIFORNIA I Ii a
l 'fF DEP
0nc1A IU,I r..
fOR APPLICANT TO FILL IN COMPLETELY APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING 1624 White Oak St.
ADDRESS
COSTA MESA. CALIFORNIA fOR Off/CE USE ONLY
Rosslane Land Co. RECEIPT NO. I ZPIy NO:e
OWNER V�/VV
MAIL 419 RECEIVED BY DATE RECEIVED T ISSUED
ADDRESS E. 17th St. z.,�'— yUILDING 1//�� -�3 '-�H�u¢1 U//195 :
CITY Costa Mesa TNo`:LI8ll59 ADD ESS /5(j^.../.- 7.G�7Li.G{ ClGf/--
ARCHITECT Carlson & LIC.
OR ENGINEER 2`.iddlobrock NO. COSTA MESA, CALIFORNIA
ADDRESS Garden Grove FIRE J /�
ZONE TYPE GROUP
Dike & Colegrove, Inc. STATE 167293 APPROVED
CONTRACTOR LIC.NO. BY DATE
ADDRESS 419 E. 17th St., Costa Mesa ZONING
LEGAL I LOT 199 I 2822 ZONE y) I NO.OP USE OF NEW „et
DESCRIPTION NO. BLOCK TRACT Y/A / PLAN6 2BUILDING
BYPROVED �9
A.P.NO. VVV DATE CP/AA %
SIZE 60 x 101 _ No.OF BLDGS. none YARDS EVES
OF LOT NOW ON LOT REQUIRED ALLOWED
USE OF (CENTER LINE ST.)
L _�)
EXISTING BLDG. FRONT `) FT. IN.
SETBACK LINE FROM 50t 31' I"'
CENTER OF STREET REAR YARD R.SIDE S FT. IN.
SIDE YARD I LEFT 5' I RIGHT 5 L.SIDE .C. FT. IN.
DESCRIPTION OF WORK /�i
REAR ' •d FT. IN.
INEW I % II ALTERAT ION I II ADDITION
REPAIR I II MOVING I II DEMOLISH
BUILDING 1365 NO.OF ROOMS 6 STORIES 1
CXTERIORG WALSSL.tU000 INURING shingle
COV
USE OF BUILDING AND WORK TO BE PERFORMED
Single £'xily residence with
attached garage.
Plan 1lUB
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM.. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCT N. ALUATION
SIGNATURE OF I PERMIT FEE $32.00
PERMITTEE
W - $ 13,715 PLAN CHECK $16.00
AUTHORIZED AGENT Dike & Colegrove Inc•
a TOTAL FEE $48•00
OWNER MILLAR, William & Violet DATE 12-18=74
JOB ADDRESS 1624 White Oak Street BUILDING PERMIT NO. 39431
GENERAL CONTRACTOR Ovnr.-B1dr. DESCRIPTION of WORK Add Service Porch
A 139-213-15 LOT 199 TRACT 2822 FIRE ZONE VALUES 1,200.00
J IN.. ECTIONS Signature Dote TYPE V GROUP I ZONE R-1
SOIL _ PERMITS ISSUED
GAS SUBCONTRACTOR Date Number ber I
Signature
WATER Plumbing
_ ROUGH PLUMBING QGl.97.67/ We(.(�). a- 11-7S- 6683.'/
PROP. SWR. LINE Q HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING '•k") 2-7i2c •
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER ❑
ROUGH WIRING /1, p-7-7C Heating and Vent.
TRENCHES El FORMS Ei STEEL REINF. 0 C
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHIN
LATHING - IN . I OUT rl{� .2-`f- ›3
PL>'TER, BROWN COAT t� a-,7- /P• ".S
S URAL, FINAL -Ele[jfl[
HEAT ING, VENT., REFRIG. AND A.C., FINAL j]J f� a-V- 7,S .term//
PLUMBING. FINAL AND GAS TEST n r,° G/'3-75' �
ELECTRIC, FINAL 1.70 4'-3-if--
BUILDING, FINAL /'fir, 4 317-
39431
re 18-711Pac.
COSTA MESA BUILDING-SAFETY DEPARTMENT �� 951 ' =='y�18.5C
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RE 1 D BY ATE, CEIVE DATE ISSUED
BUILDING 1624 White Oak Street Com/ /.7-18-71-b �!'—a_'
54,
ADDRESS �j(� +� �} IJ
OWNER William and Violet Millar A.P.NO. I c7_l —`I .] SIS PE
BUILDING
ADDRESS 1624 White Oak St. . Costa M�Sa MAIL
ADDRESS �ZL' �}�I L
W W TEL. 1397
3 .� r� I(,
d U CITY NO. 13f TRACT ZZ- LOT Ael BLOCK
CONSTRUCTION NEW AD_ D�ALTFR REPAIR MOVINn DFMOILSH
Z- I- LENDER
am I I
J D BRANCH b.s,s
J to OWNER �J M I_[_,
Q w ADDRESS ALU: ///
CO m ARCHITECT TEL. USS�f�(`rC /(N�
J 2 OR ENGINEER NO.
11.6601
U Q FIRE
W Q ADDRESS ZONE / TYPE ......---GROUP
a 111 APPROVED / /��F
W Z CONTRACTOR Owner-Builder BY / DATE {J
J p
m Z
J Ir ADDRESS �
W W TEL. ZON NO.OF USE OF IeEWSEt�vsp,'
KW.
Zi- CITY NO. PLANS BUILDING(? A'�'•p
w O STATE CITY YARDS APPROVED YARDS APPROVED
U)It LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
D O SIZE - • (FROM C/L ST EET)
OF LOT 601 x 101 t ••N LOT 1 FRONT Al 1 FT. FT.
USE OF
EXISTING BLDG. Sinrla family resldenee R SIDE S FT. FT.
I- SIZE OFNO.OF
Z NEW BLDG. 111 X 11. ROOMS 1 STORIES 1 L.SIDE q2e.FT. FT.
Q EXTERIOR WALL ROOF 2Q FT. t FT.
Li COVERING StUCCO COVERING Minolta REAR
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
1 MAIN BLOCS. ACCESS.BLOCS.
Qd Add VAR.# DATE
O . Service porch C.u.P.# APPROVED
I- APPROVEDI I`� ^ ,, 1
V) BY ! I(...730...v..%
DATE .S7A 144K \./
2O 1
U I hereby acknowledge that I have read this application and state /�+ I ,
that the above information is correct and agree to comply with •/
1Y all laws regulating building construction, and I shall not employ RAx,.//
1" any person in violation of the workman's compensation laws of
CO the late of California. / it m
ZI hereb certify that I am properly li need as a c tractor under 0// SO. FT. O
the State t Californ usiness and Pro sions Code, wlslcn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR •
Chapter 9, d that such ' enses are in fu orce and a or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: m
am exempt tr the provisi of the State of fornia Bus VALUATION /
and Professions e,Division 3, hapter 9. /� 1 N
PERMIT FEE $oli
//
Signature of �� Ivo V-' / / �-�TI . b
'Qv� mEPermittee $/. VCf PLAN CHECK $
a
Authorized Agent
TOTAL FEE $
76:—/ n
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