HomeMy WebLinkAbout1624 Whittier Ave - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA
/MESA CPP''1rN�'I11 T�UCTLON PERMIT/� PERM!'�NO�� �� TRACT NO. LOT NO. UNIT NO. A.P.sly Zone ,
Project Address /1A W / T7/ e R •`y-✓-Q - 'Y CO S Main Building: Accessory Building:
Applicant's Mail'ng Address TYPE OF CONSTRUCTION ❑ NEW U ADD Li ALTERATION U REPAIR
Owner's Name -¢ y/� e/T phpne/ / ❑ CONVERSION ❑ DEMOLISH ❑ OTHER i T Front 0
¢ 99f�G?� . P G5/�-..7v 7 DESCRIPTION OF WORK/USE OF BLDG. � $ Rear N
Address /6a-9- UIIii T7 /0c 4v-c - A I
Arch/Eng. License No. TYPE OF PERMIT U GRADING 171 FOUNDATION Li STRUCTURAL C Right G
Address /' ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING L7 MECHANICAL $ Left R '
Contractor's ael420pp,4-/ /fi" n C7,4-LC /Ph ne 75 {01 01 OTHER Ping. Ref.# Parking Req./Provided E
Address(mailing) 6 S'f'.P le T A'4/c �lI 7 � PROJECT DESCRIPTION SO- FT. OCCUPANCY M
/- CONSTRUCTION TYPE VALUATION$ Planning Notes:
City License No. DUhs3 ZONE GRADING CU.YDS. ACRES RECL{VCD ��� 3 19$� S.
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: ' '
with section 7000) of Division 3 of the Business and Professions Code,and
my license is in ful ore- a•d effect. /f/cei� ELECTRICAL FEES
License Cl. s _ _rarer Icy' o PLUMBING FEES ❑ 15-50 KW
Q DateAutomatic Washer Transformer
L Signature /���---�
WORKER 'COMPENSATION DECLARATION ` Bar Sink Showers Construction Pole Sub. ❑ 50+ KW
•reby affirm that I have a certificate of consent to self-Insure or a certificate
Yorkers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps
`l1 Policcy No. x,'96% -O�91 Company /��P''—I G Backflow Irrigation Sewer Cap Dishwasher •
Meter Dover 100 amps -
-s Certified copy is hereby furnished. -�— Sub Panel
Certs i d co y iyFtlerywith the city B I D' I Bathtubs Sewer Connection Dryers ❑Gas ❑Electric
Date -�- ` LJ Applicant / �� Fan Motors❑0.1 HP ❑1%-B
EXEMP ION FROM WORKERS'COMPENSATION CLARATION Clarifiers Solar Collectors
(This section need not be completed if the permit Is for one hundred($100)or Dishwasher F.A.U. Inc.Solar 09-15 HP 016-15+
less). Solar Piping
I certify that in the performance of the work for which this permit is issued, I Fixtures
shall not employ any person In any manner so as to become subject to the Drinking Fountains Sol. Tank Microwave
Workers' Compensation Laws of California. 'l,.
Date Signature Floor Drains Swi tej. • Pool w/Spa Device Boxes Pole Light
NOTICE:If,after making this declaration,you should become subject to the 4,+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Outlets Range
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY Switches Sign
Gas Service Outlets Water Closet 9
I hereby affirm that there is a construction lending agency for the performance
of the work for which this permit is issued (Section 3097 Civ. C.) / ,q D Garbage Disposal Standing Sections
Interceptors Water Heater - .�L Q -
Lender's Name
Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05.15 KW Trash Compactor
OWNER BUILDER DECLARATION -
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash \ :
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 Laundry Trays
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 Roof Drains - '
the Contractor's License Law(Chapter 9(commencing with Section 7000)of
'ision 3 of the Business and Professions Code) or that he/she is exempt
-efrom and the basis for the alleged exemption. Any violation of Section Reinspection Fee $15 Issue Fee $ 3
31.5 by any applicant for a permit subjects the applicant to a civil •
penalty of not more than five hundred dollars($500). I DEVELOPMENT SERVICES REQUIREMENTS:
U I, as owner of the property or my employees with wages as their sole Reinspection Fee V $15 Issue Fee $ 3 04
compensation, will do the work, and the structure is not Intended or offered Zoning Approved By Date
for sale (Section Business and Professional a Code: The Contractor'smroves MECHANICAL FEES Building Approved By Date
for
Law does not apply toians owner property who builds or improves
thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type0 Application Issued By Dat
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground
prove for the purpose of sale). •- BUI LDING PERMIT $ $MIP $ _
0 I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT
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 PLUMBING $ .5:0 0 ISSUANCE $ a•--e-th
builds or improves thereon. and who contracts for such oroiects with a con-
tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $
proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $
❑ 1 am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers MICROFILM $
— PLAN CHECK 50% $
Date - Owner Heating System& Ducting Registers MECHANICAL $ ST ad
I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BTU!— TOTAL FEE $
information is correct. I agreetoco . with all city and county ordinances PLAN CHECK 25% $
and state laws relatingo b n• ons uction, and hereby authorize repre-
sentatives of this o b 'ldidi upo• the above-mentioned prone y f
Inspection purpo s
•
Signature / Date Reinspection Fee $15 Issue Fee $ 3 •
0i u0C356IS-x7035615 TOT
'
Drivers' License or SS Oq� DATE; 06/19/29 TIKE: In!4! -
0865-46,rev.5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
CYC.' , ,
'CONSTRUCTION AND PLANNING POC SPA
Date Inspector Date Inspector
- APPROVALS Permit# APPROVALS Permit#
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 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, D 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#
21.1 Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas D Oil
23. Gas Pipe-Rough& Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank D 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.RREV. 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:/...30-p ,gam.,ty- p,tp As
Pet w.3
34. Final Heating& Air Conditioning -7( UPC., LEO
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final 7:
rY.
40. Gas Service-Final C1
r.
41. Solar Domestic-Final
42. Backflow Preventer 'L
43. Backflow Irrigation . I
44. Landscape Irrigation System .�
45. Sound Attenuation
to
46. Handicap Regulation
47. FINAL STRUCTUREN BUILDING
48. Special Requirements Completed
49. Electric Release to Edison n
50. Gas Release to Southern California Gas Co - ; r .
51. CERTIFICATE OF OCCUPANCY -. ' ;) r '
No. Date ��-
'r 19' 54 FEE RECEIVED
.-
COSTA MESA BUILDING-SAFETY DEPARTMENT 14/ 811, 0 9L
P. O. BOX 917 COSTA MESA. CALIFORNIA FINANCE DEPT,
For Applicant to Fill In Completely APPLICAYIb 1C dRAPE1f 1T
TYPE OR PRINT
+1 t' _ BUILDING
BUILDING %� P' Al Nfrie risil Sr(RtQ,
ADDRESS COSTA MESA. CALIFORNIA For Office Use Only
,/.n��t ttt ( -ten•
_ r RECEIPT NO. I ,p ,PpERMIIT No.
OWNER 713a-c++1Cy111 IG�wi/ UTPI ?L'C1 R M µ Sii
MAIL
ADDRESS 1 fp a."1, w I1 l7'r l tit sr RECEI VBgyY II DArE gECELVED�ppL l 4,TEre/6,,x.,0
CITY L 0.57n. ,vi 1.7--SA TEL
721 ADDRESS //
'� 4/4,(4:14127.4)+�/' .
ARCHITECT TEL.
OR ENGINEER NO. A COSTA MESA. CALIFORNIA
ADDRESS ZINE ,n/
ZONE TYPE GROUP o+
CONTRACTOR wIWrt RS + Q CO K_ INC. APPROVED DATE
ADDRESS[I J Ir 5 I`'QI& EiIt 5 r ZONING
ZONE CITY GRIM\E){. W {e^ Il o V.1.7- ( �j 777 /I PLANBF cI BUILOI—NiGUSE OF /(\//y
STATE
lyo. l r/.3 �,Z�i N/o:/LSIZE 'jk 93 1.1.] � DDESCCRIPTION ///( . �7...64-- / / ++'—F'-�-�
OF LOT . ri 7wx Aa1-LFII NOW OON LOTF S ( I ` = 3 ( a—v9
U �• X E OF /. / A.P.NO.
EXISTIING SLOG _ S - L� YARDS EVES
S - _.. APPROVED ALLOWED
SETBACK LINE FROM (CENTER LINE ST.)
CENTER OP STREET Rt.R YARD FRONT c�C—y'FT. IN.
f
SIDE YARD I LEFT SQA' I RIGHT R.SIDE UT. IN.
DESCRIPTION OF WORK / ,
L.SIDE ) /FT.. IN.
NEW I I ALTERATION I II ADDITION I REAR __ y%FT. ,/ YIN./
REPAIR II MOVING I II DEMOLISH I BPYPROVED I I�. Y l� DATE L{ - O `(/J7\
BUILDING �i ). OF 14 !� �,2
SIZE L .-ROOMS STORIES•I
EXTERIOR WALLsr� I ROOF I114.: 4.
COVERING P -C.-"E`}c.., COVERING
USE OFtBUILDING AND W RK TO BE PE.RyfjORMED
'0100-'i' 6r 'I. �1
r i
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 OP ESTABLISHING A PERMIT FEE ONLY.
PLY WITH AU. CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. i
' VALUATION
I
Iy
�
SIGNATURE OF ` /_toltid-urnpl j2I . y / PERMIT FEE $ N
PERMTEE IP
,VLij $ O/ �—i//� r4�� ffbfr1/�W
5S
AUTHORIZED AGENT dG -r TOTAL FEE $
E
OWNER GRUMPELT, PEGGY. - DATE 4-14-60
JOB ADDRESS 1624 Whittier WC.Auc- BUILDING PERMIT NO. 11775
GENERAL CONTRACTOR Winters & Cook, Inc. VALUE $ 11,354 .00
AP. No. 116-310-09 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Res. w/att. Gar.
I -SECTIONS R, DATE GROUP I & J TYPE V ZONE M-1
Ii_ rground Soil „ !. 6 U.G. Water /E- PERMITS ISSUED
Underground Gas b. P-1(e"a SUBCONTRACTOR DATE NUMBER
Overhead Water and Gas
Rough Heating /✓ ,y'(pp i -11/a� //,84n 'I-if-'o e 2,5go6
Rough PlumbingfiYztj.Ga at-i. -({/ gi ,i-7,-4.) / e
Miscellaneous i- .)J
Prop. Swr. Line House Con. St. Swr.
Sprinkling System l� ,,//
Heating, Final 1... /�fi' 25-C4 "' /1/ if%'6
Plumbing Fixtures p/S, A G e.P.P•Ga ( d
Final Gas Test /14 ! ,1 w1-4R /\l
Construction Pole /
Underground Power `/
Rough Wiring ls et-13_, 5�9��• ®«..�._„, .‘„e,_„-- .f--4L_6., i:z.Z.V/
Trenches FormsSC Steel
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
thing
X
•
..,, -, �;e and Flashing rrS- �
G6 e�.+^�"^' 4 -Ca."� 4y''re 9,(; �
:r .a+,.l,,��ro �
��
Lathing, In Out _,t.i. R— e
Plaster, brown coat 4 4,,i e- .t ��//
Plumbing Fixtures, Final P,O,R•,'A j
Electric Fixtures, Final ' ,--., u�
Building, Final - ,,/'
OCCUPANCY x., VY' in
Form 210-5M-11-59 5-B P/VEEJ)5 6a' fi.t-ii,),ei9 nem/td HOLD FOR SPECIAL REQUIREMENTS.--n17-j M 7 5
OWNER GRUMPELT, PEGGY DATE 4-8-60
JOB ADDRESS 1624 Whittier' Ave. BUILDING PERMIT NO. 117%1
GENERAL CONTRACTOR Winters & Cook, Inc. VALUE $ 101.00
AP.No.116-310-09 LOT TRACT _ FIRE ZONE DESCRIPTION OF WORK Demolish Res.
I , ECTIONS DATE I GROUP I TYPE V ZONE 141.
C_--Lirground Soil U.G. Water SUBCONTRACTOR PERMITS ISSUED
Underground Gas DATE NUMBER
Overhead Water and Gas
Rough Heating
Rough Plumbing
Miscellaneous
Prop. Swr. Line House Con. St. Swr.
Sprinkling System
Heating, Final
Plumbing Fixtures
Final Gas Test
Construction Pole
Underground Power
Rough Wiring
Trenches Forms Steel
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
Wattling —
lae and Flashing _
ti Ming, In Out
Plaster, brown coat _
Plumbing Fixtures, Final
Electric Fixtures, Final
Building, Final 4 -/5'1 .
OCCUPANCY
Form 210-5M-11-59 5-B P - 11754
117?5 r EE RE CE 1V ED �e
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P. O. BOX 917 COSTA MESA. CALIFORNIA
For Applicant to Fill In Completely APPLICATION FO PERMITMESA
TYPE OR PRINT
BUILDING
BUILDING /6 1 4"- / � Sf
ADDRESS o 7 d�-T
COSTA MESA. CALIFORNIA For Office Use Only
.�C//yyjj'� 1 RECEIPT NO. 1 PERMIT NO.
OWNER .I4n.. _-L - •
�p/�%p�//Q�. v/ D t RECB'V�DE2Y I DATE.RECEI BDo0 4 /8 I SllED
ADDRESS / P �l JLG�'!� a • �ALi•T /7/ C �j '[A.
TEL./r ' BUILDING
CITY (01.,-0---,41-4-72-Qall NO.IV-Z / ADDRESS > �'
a
ARCHITECT TEL. COSTA MESA. CALIFORNIA
OR ENGINEER NO.
FIRE t
I'4 /N
ADDRESS / ZONE TYPE GROUP A W 7J�!CONTRACTOR -/�.Tn( 0_Cif sAP /_ , . APPROVED1 /OBY DATE / Ig •
ADDRESS//Z `J 7 4..CN"�"L! -n.4- NING _ast,(,.�,,..$
,C•/ J ZONE NO.OF USE OF NEW
CITY f i�( 'e-� /�/7 /I PLANS / /I BUILDING ��T^�(.1/•'•� 1�I1��['1
STATE //I.T ,�•-4•--% TEL. r i• 1 LEGAL //.I f• V-„y� /l/l. (/ ' / `�_
LIC.NO. / V 7 NG. 4-'1 q 2 �•. 1 2 _ DESCRIPTION{/U', /�� L(�/'j�Y//IL-Yi�
r y
OF LOT (7 n- /• •• 'Y-/ G8• {-•Z NOW DN LOT A.P.NO. 11(/J -- ..J/ ®_ 0p ,),ca
V 1
USE OFYARDS EVES .
EXISTING BLDG APPROVED ALLOWED L7
SETBACK LINE FROM (GAMER LINE ST.) ��- -+ 0 -- _ 1
CENTER OF STREET AR YARD FRONT �J FT. `/ IN. 2. t"ZA
SIDE YARD I LEFT 5' I RIGHT 2 • R.SIDE Jf FT. IN. a
DESCRIPTION OF WORK 0 s
L.SIDE O FT. IN. y
NEW C- I IIII ALTERATION I IIII ADDITION I REAR 7� F)T. IN.
REPAIR
/ r
REPAIR I MOVING I DEMOLISH I APPROVED f/i; p /1 DATE //-t
BUILDING )I ) /J NO. OF 4 N =` /
SIZE Ig•"/ x '6 ROOMS STORIES
EXTERIOR WALL I•- • T I ROOF :,P i9/
COVERING 7 COVER NG / _ 0119,�s, -
USE OF BUILDING AN• • ORK TO BE PERFORMED
%('.
i- . - ..-------- y 5-‘ 7 a
'2e. a_ / t% . ✓I
I HERESY ACKNOWLEDGE THAT I -' 0 THIS A» CATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STAT& THAT THE ABOVE IS .PACT AND AGREE TO COM- PURPOSE OP ESTABLISHING A PERMIT PEE ONLY.
PLY WITH ALL CITY ORDINANCES ND STATE LAWS REGULATING
BUILDING CONSTRUCTION VALUATION
SIGNATURE OF ✓N(/�)/h /// / PERMIT FEE $
PERMITy/EJP/ " // "- ' "I^ /I"tiniv'�1/•/� t7, (/� o
.'(///n1 •� 7- _o-t J/ C/ � /^/I,. $ "/ �\" K PLAN CHECK $ / 41
AUTHORIZED AGENT vL�Jl �C� %� LC55/�,CJJJ 9°2 ' O
TOTAL FEE $ y