HomeMy WebLinkAbout3051 MADEIRA AVE - Building Permits • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY QF COSTA MESA CQVSTR UCTION ERMIT ?EFiJ01yT � ]�� TRACT NO. LOT NO. UNIT NO. '
Project Address 30, 1 Q /Pi�� ly J/ L
Applicant's Mailing Ad1dlress 13f/ Y ���((�/(1 /'� TYPE OF CONSTRUCTION ❑ NEw LJ ADD H ALTERATION Itl REPAI R
Owner's Name �'I I ��f/O Phone /s"/ 6S ❑ CON V ER ION ❑ DEMOLISH ❑ OTHER A.P.# _ .. Zone .
�I/� DESCRIPTION OF WORK/USE OF BLDG.
• Address 54./e f Q1 S Main Building: ' Accessory Building:, •
Arch/Eng. License No. TYPE OF PERMIT 117 GRADING Ell FOUNDATION ❑ STRUCTURAL E Front - G
Address • ❑ TENANT CIELECTRICAL-. PLUMBING 111MECHANICAL B Rear N
` qq ❑ OTHER _ •
Contractor's Name /pp`�/ �. / f</-��y��'.' Pah/one �1 C Right I N
Address(mailing) 63/a 7 2 W7/P� yr PROJECT DESCRIPTION SQ. FT. OCCUPANCY K G
l n 13 CONSTRUCTION TYPE VALUATION$ S Left
City License No. (�yi/ t7 ZONE- GRADING CU.YDS. ACRES- R
LICENSED CONTRACTOR DECLARATION Ping. R¢f.# Parking Req./Provided E
I hereby affirm that am licensed under provisions of charter 9 (commencing Remarks:)' Planning Notes: L(r�L 1�( R M
with section full of Division 3 of the Business and Professions Code,and _ RGI.rhIVED JUN v 1388 T
my license is in full f d effect. �f `'
License lass Lice e No ��Ir ,./ S
•
Date Signature dente& .. PLUMBING - FEES
v"aRKE RS'COMPENSATION DELL -ATIOBar sfik . Showers ' ELECTRICAL FEES
( c 'eby affirm that I have a certificate of consent to self-insure or a certificate ;--,
Jorkers' Compensation Insurance, or a certified copy thereof (Section
Backflow Preventer Service Sink Automatic Washer Transformer 0 15-50 KW
\ eolic00, Lab. �.y/} p(/ /' -
I Policy No. /"/�9�7.'0 Q Company 0 (7L"/ Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+ KW
Certified copy is hereby furnished. / I / _
Cer 'fid o filed with the city B/u(/�(�I in9/ lA'R/]��V�' Bathtubs Sewer Connection Cooking Unit Meter Duo to 100 amps
Date Applicant MPE .
EXEMPTION FROM WORKERS'CO MMMMW A ION 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). DishvJasher 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❑0-1 HP 01%-8
Workers' Compensation Laws of California. —
- _
Date Signature Floor Drains • Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP 015-15+
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 Fixtures Microwave
comply with such provisions or this permit shall be deemed revoked.
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 Outlets Range
Lender's Name -
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 Auto-Wash •
Garbage Disposal 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 Laundry Trays Generator ❑O-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 •
lion 3 of the Business and Professions Code) or that he/she is exempt •
-
from and the basis for the alleged exemption. Any violation of Section
1.5 by any applicant for a permit subjects the applicant to a civil
,enalty of not more than five hundred dollars($500).
i, as owner of the property or my employees with wages as their sole Reinspection Fee $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 ❑ .
sale. If, however,the building or improvement is sold within one year of com- Canopy Type II 0 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 f for the purpose of sale). JCX
Li'I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Dat
tractorsto 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 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 that0 BUILDING PERMIT $ SMIP $ -
Exhaust System 0 MultipleSystem Repair/Alteration
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. !CBO# Fire Dampers PLUMBING $ "� 5-�L 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 ❑0-100,000 BTU 0100,000 BTL—
information
TS ELECTRICAL $ GRADING $
information is correct. I 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 property for .
inspection pure..- r ` �G MECHANICAL $ TOTAL FEE $
• Signature '/ �'�
_ - -
CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor UI VUVU6'6U—u0006 U T U . 5.0d
CONSTRUCTION AND PLANNING POOL& 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 •
1'
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
• 5. Steel Reinforcement 56. Rough Plumbing & Pressure+Test
6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-UNITE
7. Footings r. •
58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, ❑ Undrgrnd.,Test
9. Water Pipe-Undrgrnd.) 60. Backwash Lines, P-Trap, O Undrgrnd.:
10. Structural Floor System 61. APPROVAL TO DECK t;
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 ❑`bias ❑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 ii
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. RlQUIREMENT '
31. Plaster Brown Coat 79.t FINAL INSPECTION •
, 1
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:47248g LEFT caw. Lep '
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy •
37. Final Factory Fireplace '
38. Final Plumbing Waif 140
•
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 - r,
50. Gas Release to Southern California Gas Co .
51. CERTIFICATE OF OCCUPANCY
No. Date - - -
4- OWNER. WRIGHT, JOHN A. DATE JUN 1 9 Om
iJOB ADDRESS 3051 Madeira Ave. BUILDING PERMIT NO. 22479-- --
.� GENERAL CONTRACTOR Owner-Builder VALUE $ 350.00 l
F No.139-172-20 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORK Add Patio to Ri
j.1 .1 ECTIONS Signature DATE GROUP J TYPE V ZONE Rl
fs, Soil739�y PERMITS ISSUED
Gas
SUBCONTRACTOR NUMBER
Watergiat
Rough Coif. Refrig. t7 Air Cond. ❑
Rough Heating
Rough Plumbing -44-kr 9-/i-Zeti
Miscellaneous
Prop. Swr. Line 0 House Con. 0 St. Swr. 0
Sprinkling System
Construction Pole
Underground 0 Power p
Rough Wiring
Trenches CI Forms 0 Steel Reinf. 0 7'-1-roy
Floor System
Bond Beam 0 Steel Reinforce ❑
Sheathing
Frame and Flashing
Latjpg— In.p Out 0
P ,, brown coat
&`'A. 0 Air Con. 0 Final
Heating, Final
Plumbing Fixtures, Final
Final Gas Test
Electric Fixtures, Final
Building, Final Rkr 911-3%y
OCCUPANCY
Form BU4-5M-3-63—S-B P 22479
i' 22479 FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE9�EP1.MA
P.O. BOX 1200 COSTA MESA, CALIFORNIA 82620
•
CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
For Office Use Only
ADDRESS Sc1.S I MAllttR (\ (021"---
RECEIPT NO. PERMIT NO.
COSTA MESA. CALIFORNIA 2247c
/� RICE' RY pAnµ7yll� ,1123 y2Dy
OWNER `• \A Y�l A 1 1J.1 2 t b 1� k [lG�� !/ ��l/1/
BUILDING 'MAIL ` S3 O.5i M Abe
ADDRESSSCl LS 1 AD g �R A
/
TEL FIRE ,/
CITY L LL S a NO. �O .. ZONE 4 TYPE GROUP/�//
' 4ITECT ^.. TEL BYPROV[•�i f DATE SIL r,,,,
r1GISEHR NO. /',
ZONING
ADDRESS
1/ No.or ucE or NEW
-TD la.' I v BUILDING
Oritilla
CONTRACTOR plat l 7?"4'�U CDC _- - /I
t- DESCRIPTION 4 01- 6 to 3363
ADDRESS _
A.P.NO. 134 � i7 �- `�
CITY
I71
( 1�� NOTE: NO KATE OVH HANG SHALL BE LESS THAN
LIC.NO.6q ,ATE 7 s mS NO BO•TO BID[e REAR P.L.
VES
SIZE (� i MI
titil NO.OP SLOGS. / ALLOWED . (.U.B.C.REQUIREMENT)
OF LOT NOW ON WT
USE OF YARDS APPROVED YARDS APPROVED
EXISTING BLDG. ""R.-9a- S MAIN BUILDIN ACCESSORY BUILDING
i FROM C/LST
SETBACK LINE FROM FRONT FT.
°RNT¢R OF STREET REAR TA D .
SIDE YARD LEFT I RIGHT R.SIDE Fr. ' FT.
DESCRIPTION OF WORK L.sip; .`3OPT. t Fr.
X ALTERATION ADDITION REAR 9 PT. 17 I,
N PT.
DISTANCE BET. BET.MAIN e
REPAIR _ MQ]IING gMOL18H MAIN SLOGS, ACCESS.BLDOS.
BUILDING NO.OF VAR.dC DATE
SIZE ROOMS ,[1/STTORIESS`�� C.U.P.# APPROVED/
EXTERIOR WALL�(F*4..I COVERING l/w/`�-1 APPROVED �/./ y / / ,ti./_�
COVERING �/ �(/✓rte D E Y/
UST BUILDING AND WORK TO BE PERFORMED P.
UST
, h . It C c1 U - Q. m
/vo SQ.PT.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE j
AND STATE THAT THE ABOVE IS CORRECT.AND AGREE TO COM. PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. A
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION ../�
BUILDING CONST UCTION. C/"
///yam/ PERMIT FEE $ p
PERMITTEV OF ATS �� MIp $ �J N v PLAN CHECK S C
7 k
AUTHORIZED AG 3
,ry.c. ...,..:... ,,. ,•. .•a-,Lr ..r ;..r.,p,......:: TOTAL FEE $
OWNER SYCAMORE LAND CO DATE 629-59
JOB ADDRESS 3051 Madeira Ave. BUILDING PERMIT NO.
GENERAL CONTRACTOR Malgren Const, VALUE $ 174 2�--_
Aar' LOT66 TRACT 3 j 6, FIRE ZONE DESCRIPTION OF WORK r es att gar
a�
Ir"'_,7IECTIONs -,.0yr9 DATE GROUP I & J TYPE V ZONE RI.
Underground Soil,4-ILS U.G. WaterLr a SUBCONTRACTOR PERMITS ISSUED --
Underground Gas DATE NUMBER
Overhead Water and Gas
Rough Heating A N/ X 70— / — inov 8 s_"_.2a s-dn ✓ I
Rough Plumbing �W '- '-t3 - /f_,�%' 2-/3-s2 -/P 9,i, r-,—r- QJ
Miscellaneous / 11�}(( d'
Prop. Swr. Lime House Coro S r%-7F-�j t.i 9 C�4,�..,C'ri 9-�/-.51 / e 9 eo v — L t
Sprinkling System /�
bFinal / / �1
Plumbing Fixtures �Q/ � I/ • _
Final Gas Test i- g-� 0
Construction Pole
Underground Power _.
Rough Wiring int, free/ rf;%, . Y%. 52?- /GGGMe'6.c
Trenches R44Forms g_*2 Steel / 7--94-5-7
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
SIT ing a q-'t-r?
Er,-..d and Flashing
r q-iq-S4
Lathing, In Out Jr-f-5-7
Plaster, brown coat dif IZ-Lk -II
Plumbing Fixtures, Final C!J a.9.-0-0!
Electric Fixtures, Final
in)e . S.gA
Building, Final A e.II A-0-4;a1
OCCUPANCY I
Form 210-3M-4-59
i.
. t ,- ( ' I_ 1{ , ..L '
1'1 L_1,,.1,-[ l'
974 veli 30 1959
COSTA MESA BUILDING-SAFETY DEPARTMENT T V' CE DEPT.
P.O.BOX 317 COSTA MESA. CALIFORNIA I ,`C `♦-C'.
FOR APPLICANT TO FILL IN COMPLETELY APPLICATION FOR PERMIT
TYPE OR PRINT
BUILDING
ADDRESSBUILDING
(3 '5/ ///4,,,,,,„ (/G
COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY
I RECEIPT NO. I PERMIT NO.
OWNER ramnre T,andl. Co.
MAIL XX 10835 Santa Monica Blvd RECEIVED BY 1 DATE RECEEIVED /yATE IySUED
ADDRESS � ALJ/LJ J -�.7/'tS7 6 -2/ ��
Los Angeles TELBR23L0r BUILDING V
CITY NO. ADDRESS
ARC' -ECT LIC. COSTA MESA. CALIFORNIA
OR INEER T._('_ Major NO.�$$
11015 S . Paramount Blvd- FIRE � /
ADDRESS ZONE TYPEIV
GROUP N`b'I�'
Malgren Const STATE153335 APPROVED
CONTRACTOR LIC.NO. BY DATE
ADDRESS 11835 Sant Monica Blvd.. ZONING J�
LEGAL LOT c�ZONENO.OF I USE OF NEW / )
DESCRIPTION NO. 66 BLOCK TRACT 3366 / PLANS BUILDING
APPROVED / 7/)'',
A.P.NO. BY DATE 6 ,3
SIZE 99.85 X 67 .76 I NO.OF BLOBS. 0 YARDS •
EVES
OF LOT NOW ON LOT REQUIRED ALLOWED
USE OF (CENTER LINE ST.) (tel
EXISTING BLDG. FRONT Y FT. IN.
SETBACK LINE FROM
CENTER OF STREET 50 REAR YARD 211
R.SIDE FT. IN.
SIDE YARD LEFT 5 RIGHT 5 L.SIDE 1 FT. IN.
DESCRIPTION OF WORK
REAR IN.
FT. IN.
NE% 1 X I ALTERATION II ADDITION I _
REPAIR I II MOVING I II DEMOLISH I
BUILDINGNO.OF
S ZE 1746 ROOMS 6 hSTORIES 1
EXTERIOR WeILLucco (ROOF crush rock.
COVERING COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
Dwell-Mg new construction
3CI • Att. Gar.
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.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDING CONSTRU ON. VALUATION
SIGNATURE OF PERMIT FEE $ 57
PERM ITTEE esq.Le42 C
/p/1//may/ J-2— PLAN CHECK S
AUTHORIZED AGENT rZ./ //A.l� S /7) J TOTAL FEE S +53-0 54