HomeMy WebLinkAbout758 VICTORIA ST - Building PermitsPflDJECT ROOPESS: 'J S B VICTOR IA ST
OWNEfl'SNAME: CHURCH CHRIST LUTHERAN
aooeess: OF COS'�'A MESA
160 VICTORIA
COSTA MESA,CA 92627
631-1611
PflCH/ENGINEER: PEG.NU.:
AOOPESS:
UNIT:
UNIi:
PERMITTEE: AKS ELECTRIC ( 714 ) 641-3550
aooeess: 1315 EAST ST. ANDREWS PLACE C
SANTA ANA CA 92705
LICENSED CONiBACT08 DFCNRATION: I nereEy allirm Ihal I am licensetl unGe� pmvisions ol ChaD�e� 9 �commencinA w��� Section
7000) ol av�lion 3 ot ihe Business an0 PmIe55ions CoOe. antl my license is in full larce an0 elletl.
cirr uc.: 0 4 39PQ sTaTe uc.: 4 g p 2 y Q ��c�uss:� f](0/�
—$JIE'_'��/ ( � Siqmture: _ily��XLf—�ti^_'v—� j— — . — —
WOBRf85' COMPENSRTION OECIANpTION: I �ereGy afiirm tlut I have a certilicate ot consem ro seli-insure or a c icate ot Wo ers`
Compensatmn Insura ce or a cen�u e covY �nereol �Sectron 3800. LaU. 1.
roucrxo.: WP�05405g04 exv.o�Te: 0/O1/92
cornraxv: FIREMANS FUND
r] Cetli�ietl co y is �¢r¢by Iumis�ed. � Cetlilie0 mpy is lil ' � l�¢ cily uildinp DiviSion.
S� ApPticani: �
f%EMP110N FflOM WOPKEflS' fAMPEN5ATI0N OEClAf1AT10N: (7N5 Seciion neM ipl �e amDletN if Ue perml a lor o �unOreG (310� ar less�.
1 certily Inat m the oedormdnce of ihe work lar wnicn �n6 permit is i55ue4, I shall not employ any person in any anner so Uecome
5ublec110 I�¢ WorkerY ComDensalion Lavrs oI Catibmia.
�ate: SiB�aWr¢:
NOTICE: I�, al�er makinB �AiS detlafalion, yoU S�ouIG beCOme 5u0jetl Io IAe Worker5' Compenution Dmvisions ol ine Labor
CoEe. Wu musl lonhwiln comDly wilh sutn provisions or tNs Oermil shall Oe aeemea revoked.
CONSTBUCTION LENOING ACENLY: I �ere0y allirm Ua� I�Cre i5 a mn5imttion 1¢n0inp aAency �or Ihe pedOrmanCe ol Ihe work for
wnich I�is permn iS �Ssued �Seciion 3097, Civ. C�.
LENOER:
aooaess:
OWNEB BUILOEB OECLABRTION: I here�y alli�m Na� I am eKempl Irom ��e ConlraclorY S�a�e License Law �or Ihe I011owinA �cason
(Section 7031.5 Business an0 Protessional COOe: Any cily ol fAunly wMc� r¢puire5 a permil to conslmct, alter, imDmve, Aemolis�, or
repair any siNcture. O�ioi lo ils issuance. also rtQuiees Ne applicant for sucA permil lo lile a sipnetl slalement Nat he/she is licensetl
pmsuant to t�e pmvisions ol �ne Coniractors' S�a�e License Law (C�apler 9(commencinp wit� Section 7000) o� Divisian 3 0l �Ae Business
antl Prolessions Catle) or t�al Ire/she i5 ¢x¢m0� ��ere�mm an0 t�e Ea5i5 �or 1�¢ ali¢pe0 exemp�ion. My dola�i0n ol 5¢tllon 7031.5 by
any apPlicanllor a permil su�lecls Ihe aD0lican�lo a civil penalty ol noi more Ihan �ive �unUreA Uollars �5500).
I. as owner of ��¢ D�oOeny or my employees wit� wapes as their sole compensation, will tlo ��e work, and �hd
❑ slwclme is noi in�enOeG or 0�l¢r¢G lor sale (Section 70Ca, Busmess anE Pmlessional Ca�e: T�o Conlractors' Siale Licensa Law
tloes noi aDDly lo an owner ol a Orop¢ny w0o Ouilds ar improves t�er¢On, anE who tloe5 such work himsell/hersell or �ArouBh
�is or her own ¢mploye¢5, prOviaeG Ibai Sut� impmvemCnis are nOt in�en404 0� OtlCr04 IOr Sale. I�, AOwevef �he UUiltling or
impmvement is soltl vnl�in one yea� ol tompleti0n, t�e ownel vrill tWve Ihe OurOen ol provinp �e/she Aitl nal 6ui10 ar impwve
, mr nm ournosc ol salel.
I, as owner ol tne OmOerty, am exclusively conVaCtinq wiitl ticensed comracmrs to conslmc� I�e project (Section 70aa, Business
❑ and Pmlessions CaGe: TAe Canlractars' State License Law Qo¢s npi apory �a an mmei ol Dmce�y who GuAEs or imOrwes �hereon
ana w�o conlracls br Su[� D�ojects wi�� a conlractOqS) IicenSG pursuan� lo Ihe Conlraciors' Sla�e License law�. I am aware
tha� prooi ol ineir WorNer's Compensaiion insurance snoula �e pmviaea to me.
� I am eeem0� wnei Setlion: B. 8 P. C.
loi I�is reason:
oaie: Q++nec
I tlo nere�y cenily Itlal I am aware ol an0 unaerstanE I�e reQuirtmems ol Calilomia Healt� ana Salery CoGe Sections 25505, 25533, anU
2553d anA Ihat lorany lulure builCing O[cupanlwiN_ willnot (circle one�ne0410 com0ly vni� saitl stale totles antl��erepuirementslora
VCnnit lar con9mclion or moUihcalion �rom I�e /lir Oualily Management Oislrict. ResiAential consimclion aDDiicalions are exempl Irom
IhC52 p10N51005.
�ate: FppliWni:
I here�y cetlify Ihal I have read IAis applicalion antl slale �hal l�e a�ove informalion is correct. I aAree to complY wiih all city antl counry
oidmanceSanOslatelawsreWlingtoOUAamgtonsimclionanU�ere t�orrzerepreuntatrvesolihi5cityioenleruDont�ea6ove�mentione0
pmOa�N ��� in5y eclion pwposc5.
. _ i///!/�a� .. . _ �.._ �0 /� ���
Oiiver's license or Sociai Securiry a:
t6At�46 Wnite—Bmlding: Green—Coaa Enlorcomenl; Canary—AOPlicanC Pink—Revenue:
' CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 05499
PEAMIT NO; E 0`��93 PLAN CHECK NO: N GOVT: Y SUPP: N
CONSTRUCTION'TYPE: V—N PERMIT TYPE: ELE PURPOSE: OTH
JOB DESCRIPTION ; SERVICE CHANGE 6 CONNECTION SQ FT;
CLAIM VALUE: CALC—VALUE: GROUP OCC; R-3 /
COMMENTS: *** CITY PROJECT NO. 91-07 ***
*�****�**+�***x�*x�*�*�r******�r�e*�*�r�*�r*�e�*�rx**�*�***�r�r*�**�***+�*�*****x*****��r*�r+�*
Z O N I N G R E Q U I R E M E N T S
s s�r H a c x s
------------ MAIN HUZLDING ---------- --------- ACCESSORY BUZLDING ---------
FRNT; FT ZN REAR: FT IN FRNT: FT IN REAR; FT IN
LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ• PROV; PARCEL: 42241240 ZNE; REF NO:
PLANNZNG NOTES>
i
**�r�t�t�t�r�r**�r�e�r��t�r*�t�r��t�t�e��e�e��e�r�t�e�t*�tk�t�t�r�t�t�t�t,r*�t**�r*��r�r*�**�r�r*�t�t�r�r*�t�r�*�r***��t*�r�rx�*
D E V E L O P M E N T' S.E�R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY •�' DATE;
BUILDING APPROVED HY : r`_� DATE:
APPLICATION ISSUED BY• ��—' � DATE: I") Z
;t1Ek;tititMkiFifitititiEitifikkititkitiF'1 FA�FiI�£#7Fifil�tifatiE3Eifif�t iEit
1flfNilMMMiFMMkMkMifitiFiFMkkMkkkkitMMiFk.�f�iFiF�fkk3FM fiE�EMiFifik�FkitkitkMif�fikikifiFiEifkkifkMifMifikjfif3E1E
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 18$O2 SMIP/NON—RES
PLAN
ISSUE FEE 15.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 0,00 0,00 0.00 0.00 ,00 .00
REVENUE DIVISION TOTALS--> COLLECTED: .00 OVER/SHORT: .00
BLDG PMT PLUMHING ELECTRIC MECNANIC FIRE SMIP/TOT GRADING PLAN—CHECR
�FiFMiFMMifiFkififkkififkkMkifMMkififMMiFitklfififlkklE�fkk�fifiFlflFifiFlE�fillFlfMiFitk�t�faflF�titkifififkiFiFak�kkafiEifififlfkif
I N D I V I D 0 A L F E E B R E A K D O W N
TYPE (?TY D E S C R I P T S O N UNIT COST TOTAL COST
ELE 1 SERVICES BELOW 600 V& BELOW 201 AMP 18.50 18.50
' END OF FEES
I -- - -- �%�
CONSTRUCTION ANDPLANNING ' POOI PA
APPROVALS Permit # Date Inspector APpROVALS Permit # Date Inspector
1. Temporary Electrical Servite or Pole 52. Pooi & Equipment Location
r
2. Soil Pipe-Undrgrnd. ", ��r 53. Steel Reinforcement
� �$"E�cu��al Cond�tLl'ffility-llndrgrndy?- 54. Forms
Q, ,.�EI¢cgical Cond+rit�UPdr9rnd. Gp; 55. Electrical Bonding
= 5�- e�Rlinforce�n�'r� st� 56. Rough Plumbing & Pressure Test �_
-i-
;'�6.y���rital UFEri�rnd. ;x C 57. APPROVAL TO COVER�GUNITE �
�c•7�hFd'otings C�c.7 58. Electrical Conduit-Undrgrnd. <n
�
`2•8. Foundation � ' 59. Gas Pipe, � Undrgrnd., Test `�
2
:-�:g. Water Pipe-Undr¢nd. 60. Backwash Lines, P�Trap, O Undrgrnd. ��
��. Structural Floor S.r'ystem o 67. APPROVAL TO DECK
l�. Pro:perty Sewer Line•& House Conr�ction 62. Backwash & Receptor-Final -
r-
12. Sew�@r Cap „`,� = a 63. Heater & Vent-Final
13. Roof Drains ;�� ' 64. Plum6ing System - Final '
14. Rough Plumbiit�~ "- 65. Electrical-Final
15. Fough Electri�l-Conduit 66. Solar System-Final
16. Rough Electri<tjNiring 67. Fencing & Access ApProval
77. Rough Wiring 9�ign _ 68, qPPROVED FOR PLASTERING
18. Rough Electrical�T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
.r,�cv� �' �• •_
20risRo��h _ ctoey Fireplace ; �;rj � =, i: � - p�.e � � PPR6VAi;9ppPeC��it # � � � '
c. � �, i �.
21 F-0ucU,s, iBSirZ�ctt�.?'� � �`:" �S a. �-+ •7 `:r �' 70. �d2f�pw�d N��Jro � '
r �-r I•• S a. S .7 �-+x A. 'f:
22rD�ts, bfpntr}etir�' R i ;�S R �� S S7 +. :71, Froduu�'�Ing �t&)as C�'Oil
' 23:-i'iaSPip�Ro'-' h &'Test � � ` � '��� :'. 72. Under �"qZn�l Fftis�' • :-�
r r+ � :n.S :� �T e� •L C�i u g` d.� �r t-
'rl .F .. , , i a: A . �
' 24E.;Ro� F{amiP: �� __ � --�- �••E. . � p a � 73pUndergrrtd.Storac TankaOGas ❑Oil
�
. '
25. Ro f SMathing ,_ �` �� �� *�T �_ C N'1 a� 7qc'Overhead�i-IYdr�"E' �
« ,r v k ? Na :v i, J ti
26-�= �r Ceiling (StcuGtural) &�Qqpocoat r m C� t•7�� _F 75'^Dry Chemical y .r. �• � �v
nf,�`kameandFlashin$� D` '+' J ''b ~a�� 76`.'DryStan�ipe =S. x5 m tz
'� rn , y, ti tD { r - :] 'Y. ?
i'. k' "' • .-1rt]C�1 S F A a. r-� ! L, -
y28. La,�in�`� Siding;: v. �-dx ac �- � y� ••x .r 77�T FIXED STE :SINAL•-
>'29. Insulati6h n^ � '"_ "" �= � � � 4 �* 7 FIRE PREV. FIN�, L A � :ti
�
t(� �'� R S �ii Y �/ 7
c30. Drywalf Nailing . r � a: r-i �HEALf¢I�DEPyi. R,EQUIF� MENT
�
•�31. PlaSter 'ow Cdaffl ' � � " � ' R � ,7�?FINAL IP.�S�ECT�N � �� �' �
n"32SElectrif.8) Po�er�,We:ter�Final� `' " � �� i80�r;F00D CE�'Fi�'IFFCqTE I�S�ED ro
, / �9 ' M_��
_33'"CFin31 Elecv� � - ' i e. �,1?��G.� I • r � N e`: ,_�' �� �. �- ctn
r "
`'�34�,Fi I Fleatiri�&�F'.i" '� a � Q i` " rm J :��5 Cn.. .r. � '
r: 'Y� g ����IcidriS"� :-� * �.:r � •s C�s ♦ s
�35.�Firtal GES Pipe-TesP �� Y� �. P t l�o� o:� [•^.S T t� �
n � ,. � �, �� r�y �c ID n
� .. x � ' P � [rl . ..�1 '.r' ('c] �r
x36'�'H�1 oY.�CanoPv x��� : p. :..,. Y n i I . t . f c�c ! �-�r
��•�37CFirt61 Fel,c�tory FirePlaaz � S� � �� :n ! I �.+. _ r� :� �i�
��38. Fin�l Pt�mbing F � ' i .. .. -� � "� � � • x S �, �k ,p �' ---
ia39. Waeoer Service-Finak i u �: � � 'r y ('� tq .�t.
� i
� 40. Gas Service-Final �` ^ ,,., ` �' I I � '�� �'� • ' r`�
�r :f t' �..i. �r $ -.: [r! � r b QO ON :r. C-i
5'41. Solar pomestic�Finel� ^ •• � ;? � �+ ♦ r �o ` r. ;
�: n. p - � b v. r " i a. >
-�"42��8ackf�ow Preventea �" �. .t � � � R K � r, F G
43. Backtlow Iragatioo. ��� �:SS x r. . � � a:H + 'J � "�
� .r
��44. Landsc�pe �pigatiQn Sytterb�;i� � ; ' ' v � � ,� v
�: y c^ c c-' x. co n� xn r n_ o
• `J,' `
�S_45,� $ound AttepU3ti0a �+c: � tr :e E ,- �-. -.x i � �-. �.-a ,r l��Z �
. � . �n m' .r :i
•�46" Handicsn Re�ulati�ns � ��' `r •• ••� :'. � � '' '"'� :- .r
.� � y. Q..! 1 R' .i vC� �� '1
��47-.FI�AL STRUCTURE & BU�LDING` ,' � `. a�� ni S r�
� y �
48JF1�1L PLRNNIN('i � �*`'� y ti � I - !i .� � � . i �L �- '-
_4&=Eleytric Release to.Edison ; f x � � {� ., o; ' , ;
� � �
� 50rGas. Re�ease to SoU�hem Californip Gas Co ; � i� t+ :r � ,� � a r. `� �
"57. CERTIFICATE OFOCCUPA � ; � ', � r �;�� �. ;. ; , � , �.
No. Date ; ;'•,
CITY OF COSTA MESA
CALIFORNIA 92B2B4200 P.O. BOX 1200
DEVELOPMENT SERVICES DEPARTMENT
December 19, 1989
To:
Building Safety Division
Code Enforcement
Communications
Copley-Colony of Costa Mesa
County Admir.istrztion Office
County Clerk/Bd. of Supervisors
County Registrar of Voters
County Tax Assessor
Engineering Division (2)
Fire Administration
Fire Prevention
Manager, MIS
Mesa Consolidated Water Dist.
Newport-Mesa Un. School Dist. (2)
Pacific Bell (2)
Police Dept. - Ping. & Research
Santa Ana Heights Water Company
Sanitary District Engineer
Southern California Edison Co.
Southern California Gas Co.
State Board of Equalization
Street Division
U.S. Post Office - AIS
U.S. Post Office, Adams Avenue
U.S. Post Office, Santa Ana
Zip 4 - Santa Ana
File (2)
The City of Costa Mesa wishes to advise you that the following
addresses have been changed or added:
OLD ADDRESS NEW ADDRESS A.P. NO.
760 Victoria Street 758 Victoria Street 422-412-40
(residence only)
Note: Address of church and school facilities remains 760 Victoria
Street.
For your convenience we are listing the agencies above that we have
notified of the change. In addition to those listed, you are
advised to notify your correspondents of the change in order to
avoid any possible interruption of mail service.
Your cooperation in this matter is appreciated.
Sincerely,
� �' -c-P�s�..�_
STEVEN C. CLARKE
Planning Intern
SCC:jl(ADDCHNGE.67)
cc: Christ Luthern Church and School
760 Victoria Street
Costa Mesa, CA 92627-2999
ATTN: Gretchen Passentino
77 FAIR DRIVE
Building Division Q14) 754-5626 • Code EnforcemenUBusiness License (714) 754323d • Planning Division (71<) 754-5245
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