HomeMy WebLinkAbout3082 MADEIRA AVE - Building Permits PROJECT ADDRESS: 3082 MADEIRA AV 13E— UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; P 070653
OWNER'S NAME: VENARD, CHARLES RICHARD
ADDREss: TR PERMIT NO; P 070653 PLAN CHECK NO; N GOVT : N SUPP ; N
3082 MADEIRA AVE •
COSTA MESA,CA 92626 CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH
545-2687
ARCHIENGINEER: REG.NO.: JOB DESCRIPTION : WATER HEATER SQ FT:
ADDRESS: UNIT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
PERMITTEE: NOCK PLUMBING ( 714 ) 895-1246
ADDRESS: 11610 SEABOARD CIR COMMENTS ; NO OTHER WORK AUTHORIZED BY THIS PERMIT
STANTON CA 90680 ********4****Ar******************ar***ar*********err**********dr********************
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z O N I N G R E Q U I R E M E N T S
70001 til Diva a usiness and Prof i n C Ind ya nse is in lull fore and elect. S E T B A C K S
d�6T 'fl / EXP; 02/95
CITY LIC.: „STATE LIC.: CLASS: MAIN BUILDING ACCESSORY BUILDING
Dje�_� j1 S Signature: FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN
RKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell-insure or a certificate of Workers' LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN
Compensation Ts4ri644 9 9trulie9 gppy thereof(Section 38110.Lab.4'3/0 1 /95
POLICYNO.: STATE EXP.DATE: PARKING REQ; PROV: PARCEL : 13916403 ZNE; REF NO:
COMPANY: ��(( PLANNING NOTES>
❑ Certified ca y is he by furni . Ll Certified co•• is file. ith the city Buitdi • Division. >
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le' ll'. 9 Applicant: 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
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less).
EXEMPTION that in the performance Cl the work for which this permit is issued,(shalt not employ any person in any manner so as to become ZONING APPROVED BY
subject to the Workers'Compensation Laws of California. • DATE;
Date, Signature: BUILDING APPROVED BY ; DATE:
NOTICE:II,alter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor �,,
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICATION ISSUED B Y; n/,}� I ,'. DATE; O 1. j e+
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for ****************************************vk ***************************4 .1*.‘'i**rY
which This permit is issued(Section 3097.Civ,C). *******************************************************************************
LENDER:
ADDRESS: LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC 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 7 . 00 ,
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed PLA3�) 2 5 t - SM I 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 ISSUE FEE 20 . 00
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the TOTALS----> 7. 00 20 , 00 0.,00T 27 . 00 27 . 00 . 00
❑ structure is not intended or offered for sate(Section 7044,Business and Professional Code: The Contractors'State 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 employees,provided that such improvements are not intended or altered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED; -, 27. 00 OVER/SHORT: . 00
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
for the purpose of sale). 27 . 00
I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business
❑ and Processions Code: The Contractors'State License Law does not apply to an owner ofproperly who builds or improves thereon *.y**.x.****.*****,***,.*.******,*,*************,****,***,**********************************
and who contracts for such projects with a contractor(;)license pursuant to the Contractors state License Law).I am aware
that proof of their Worker's Compensation insurance should be provided to me. I N D I V I D U A L ".F "-E E BREAKDOWN
❑ I am exempt under Section: B.8 P.C.
• or this reason: TYPE QTY DESCRIPTIO N's UNIT COST TOTAL COST
c
Dare: Owner: PLU 1 WATER HEATER AND/OR VENT 7 . 00 7.00
I do hereby certify that I am aware of and understand the requirements of 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 Ouality Management District.Residential construction applications are exempt from /`
these provisions. '^,
I
Date: Applicant: r "1
I hereby certify that I have read this application and stale that the above intor•.lion is correct.I agree to comply with all city and county
ordinance;and tate laws relating to building construction and her.• thorize rep•sentatives of this city to enter upon the above-mentioned
property for i pectin purpos '
O3 00174745-00174746 TOT 27.00
tate:_/ IT 93 Signature: _ { DATEa 01/11/9$ 7IPIE: 11:23
oriver's License or Social Security a:
--�
1641.46 While—Building:Green—Code Enforcement;Canary—Applicant:Pink—Revenue;Goldenrod—Assessor
r - POOL 'A
CONSTRUCTION AND PLANNING -
APPROVALS Permit# Date Inspector APPROVALS Permit + Date Inspector
1. Temporary Electrical Ser_Rce or PoleE,, ` 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. -- ro.g • 53. Steel Reinforcement -
'_31.:tlarc,r,cal Coni{uii1tility-Undrgrnd. 54. Forms
:4. Erlectrical CondultrUndrgrnt. . 55. Electrical Bonding
5. Sk ef`Reinfor&nient 1_ 56. Rough Plumbing & Pressure Test
.i; 6. 61c >:trical UFjP.1Grnd. -: 57. APPROVAL TO COVER-GUNITE •
`)11'7. '1=0dtings i- 58. Electrical Conduit-Undrgrnd. .'
<,1,i3. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
.9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
1P. Structural Floor System 61. APPROVAL TO DECK ,
I.
11. Property Sewer Line & House Connection 62. Backwash & Receptor•Final
12. Seer Cap -r _ - 63. Heater & Vent-Final
,',13. Roof Drains 'r, 64. Plumbing System - Final
14. Rough Plumbing " 65. Electrical-Final -
15. Rough Electrical-Conduit ' 66. Solar System-Final
16. Rough Electric Wiring u- 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
-, - , e ,. c • • '-1 c T -..•-. r•
2011 Rough Factary Fireplace I T -: • - +- a` • t LAPP%V (1r) t PE.Onit # '
. ,<
J rr '• s
21•.'Dcts,.irs St£uct`•e _ y 'a `a 70. . egd i1 H% ror
: i.. -4
22. Ducts, Ventilating ' t=s t ` 'r: ; •? 71, Produ4frlting t�';4as 0 Oil
23:,Gas,Pic4Rggh g4)-est , 7..'* T J• 4 •.. 72. Undergrcaand FWsb a
24:'Roof Framing * t; * ?L. - ; ! 7j1 Undergrr i.StorMFTank:OGas CI Oil
25. Rd-cif Sheathin •� • r; * to ✓1 i :r 1/4-) ,.
g_.* .c v t .-1 e 74 're t * 74:; Overhead Hydra,S
26, T•Bar Ceiling (Structural) SE(Monbcoat r _ J1 7 !.1.17,, .` 755--. Dry Chemical ,,,,,fr.? h '
27''Frame and Flash' 1 - r a
•� d. 7n6 .�a;x t - ata a 76. Dry Starrtgripe P•71,- * ;';
- 28, Lathing)& Siding,y c^• 1•r.- ` - •'I •'I -* x 77 FIXED S1;$T, ER1 EAC y _ �,
a
• 29. Insulation r. , 78,: FIRE PR EV. FINAL
1 7 III
. r-t - �. ) i .1: - �_.
r30. DrywarlINailing�-. • I ra t •4 •-t _'•MIBALTRIDEPT.•REQIJIFWMENT
n • -. �`, r- • ; "^.r b t�'"`!O t 1 +
.,31. Plasteri�rownCoat , : , „p• * I la . - 79'?I NA L'INSeECT1 N a - C
- 32.'Electrical PotvertMet&-Final s r'1 ( i (r 180"FOOD CERTIFI,OATE 13Sl4ED_
.33,:Fin�l Electric I .;, -. n' I I P • '1 Notes: - y,`:- _. • r,_
"34.-.Final Heating &Air Conditioning 'i r, ' I
a
35'1 Final Gas Pipe-Tt( - `'o „ I f ' 1 • r;,- 'r
-c36. Hdod or Canopy';' I -- a 1
a + t :: W,�sTS_-
C7ur/ tr-yLE,- • - 1 n•in i `
ir
137{ FinplFactory F1Seplce . I if, ''; , * " hi, 3
I
I I
_
-38. Final Plumbing r.t. 11 I .. .. S - - =/
39. Wager Service-Fifi3tI I )" '' ,-1
,;140. Gas Service-Final a ,; , n•n• _: • a I 1 G _ 1v *
1 41. Solar Domestic•Fin'alt •,j ha I ( {• -.a .', •'c" - '
, 0 _
-42'. Backflow Preventer i 4 • u: ;Sr• • CI
43. Backflow Irr'igatioli a. •r - ` ii '" ; 1' / .
+
-44. Landscape if
rigationSysteml;,C I nr i'; c1 r:t# • 11 nl c:
-, - -
.�.. .-v . ,3 - 7 ^, r • -
Z 45. 'Sound ,?ittenuation ; T; t'' , l I-. ° '1 _.', "• .. s•:C'
--, .
:46.;.Handicap Regulations 7, , t u: u; - rl 6
- - , I 1* . p. r „
47:-FINAL STRUCTUfE & BUILDINGI
48..,FINAL PLANNING I -u i (- is • I n • -
- 49.- '4Eleetric Release to'Edison ' ' = I 4.
^50.- Gas Release to Southern California Gas Co 1 li , - - •
51. CERTIFICATE OROCCUPANCY • • _ 1 -I
No. Date
OWNER SYCAMOAF_LANDGO DATE 6-29-59
JOB ADDRESS 3082 Madeira Ave. BUILDING PERMIT NO. 9730
GENERAL CONTRACTOR Malgren Cont. VALUE $ 1(,322
AP. No. LOTS2 TRACT FIRE ZONE DESCRIPTION OF WORK res att gar _
INSPECTIONS )./jsy DATE GROUP I & J TYPE V ZONE Rl
I rground Soll {$ U.G. Water itise• SUBCONTRACTOR PERMITS ISSUED
L....erground Gas DATE NUMBER
Overhead Water and Gas _
Rough Heating 'Aillre �-
y? � ce - _ (�
Rough Plumbing 1. W Z^ '
- ..A/ — 8=515 / I IZ!
Miscellaneous / ^ I / ��
Prop. Swr. Line?/ House Con.-"St. S4yr(L7-/[- --55 �t�CLa.' Y air 9-/6- -'cf / S'96 6 e
Sprinkling System �,1� i6
Heating, Final /„L/a-/Q-577 a71'
Plumbing FixturesSi�-�p /,,•✓
Final Gas Test Gin
Construction Pole
Underground Power
Rough Wiring nr 9-3a 717r Jerit/r_, v;-5""i /del o ,ZJ
Trenches 1f4'/JForms OW-Steel 4',fPW 1-6-597_
Floor System .q✓514- I-e3-5 f
Steel Reinforce Chimney Re-Rod
Bond Beam
Sheathing ;?Th+ ;f-> -'5
"male and Flashing 14 4-I
hing, In Out
Piaster, brown coat ✓, 87/ U -5-rr
Plumbing Fixtures, Final d,w•f—/Q.Go
Electric Fixtures, Final
Building, Final ( 4-pii Z'4 b s
OCCUPANCY I
Form 210-3M-4-59
9730 ; .:,'.z? iib( ,
COSTA MESA BUILDING-SAFETY DEPARTMENT If'p CE DEPT.
P.O.BOX 317 COSTA MESA. CALIFORNIA rq I 2r np;T)\ Pj;C„
FOR APPLICANT TO FILL IN COMPLETELY APPLICATION FOR PERMIT
TYPE OR PRINT
r�77 �/II.�/� BUILDING •
- BUILDING 3O�Z MA^CI t=IC� /'+V �•
BUDRESS ((( {i p ONLY
MESA, CALIFORNIA FOR OFFICE�t USE ONLY
RECEIPT NO. RMIT NO.
•
OWNER Sycamore Land Co..�T� 3c
MAIL 10835 Santa MonicaBlvd.. RECEIVED BY DAT R FEIVEO / DATE ISSUED��CC
ADDRESS 5•-S� G-
CITY• Los Angeles TNIBr23287 BUILDING
ADDRESS
A
I
NO
ARr -ECTLIG.
T (]_ Ma l nY IC. '+ COSTA MESA, CALIFORNIA IRE
ADDRE5911015 S Par amoUilt Blvd. �. ZONE TYPE ✓ GROUP ¢�
rr
Malgren Const STAT1153335 APPROVED YYYYYY
' CONTRACTOR LIC.NO. - BY DATE
ADDRESS] OSIS Sant, Mnni ra R1 Ira ZONING
LEGAL LOT '}'p]��3 ZONE I NO.OF I USE OF NEW /
DESCRIPTION NO. 52 BLOCK TRfCCJIV ' / FLANS BUILDING
w
APPROVED ,(/
A.P.NO. /l �j' DATE 47..2c- 7
. SIZENO.OF BLOCS. '
OF LOT $ 3 F9 X 72 34 I -`NOW ON LOT 0 REQUIRED ALLOWED
USE OF . (CENTER LINE ST.)
EXISTING BLDG. moi'. FRONT 4/7 FT. IN.
SETBACK LINE FROM
CENTER OP STREET 50
REAR YARD 19 R.SIDE FT. IN,
SIDE YARD I LEFT 5 I RIGHT 5 . L.SIDE S-" FT. IN.
DESCRIPTION OF WORK
REAR / FT. IN.
EV X I ALTERATION II ADDITION I
1 REPAIR I II MOVING I II DEMOLISH I
B�' SIZE LDING 1746 ROOMS 6 STORIES 14'
S EXTERIOR WALL ROOF r
' COVERING stucco ICOVERING Wood Shing
wei ring ne"w construction
3A 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- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING ;
BUILDING CONSTRU%•N. VALUATION
SIGNATURE OF / � ': PERMIT FEE $ 37
PERMITTEE. -�/ . -'-'- ../ / • v.. ' J;'
1/1.17.01_ , _ $ / PLAN CHECK $ slit
AUTHORIZED AGENT / TOTAL FEE $ .5-°