HomeMy WebLinkAbout3068 MADISON AVE - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 2008 4/29/85 15650 TL
CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO TRACT NO. LOT NO. UNIT NO. '
Project Address 3068. MADISON AVE M U «6 s'.�� JO# 2037
Applicant'sMailingAddress 2890 VIA MARTENS ANA. 928C6TYPEOFCONSTRUCTION ❑ NEW ❑ ADD ❑ ALTERATION ❑ REPAIR I - -
Owner's Name RICHARD KANE Phone546-2677 Ili CONVERSION ❑ DEMOLISH ❑ INSTALL FURANCE A/C A.P.# Zone
3068 MADISON AVE COSTA MESA 92626 DESCRIPTION OF WORK/USE OF BLDG. f
Address Ski .• t - . A S Main Building: • Accessory Building: Z
Arch/Eng. License No. TYPE OF PERMIT yl♦ GRADING ❑,FOUNDATION ❑ STRUCTURAL ' T Front - o
Address - -• ❑ TENANT ❑ ELECTRICAL ® PLUMBING ® MECHANICAL B RearN
Contractor's Name AIR MANAGEMENT Phone632-7590 CI OTHER A - ' , I
AHdress(mailing) 2890 VIA MARTENS ANA. 92806 PROJECT DESCRIPTION SQ. FT. - OCCUPANCY C Right N
029640 • l CON ST RUCTION TYPE VALUATION$ S Left G
City License No. ZONE • GRADING CU.YDS. ACRES - R
LICENSED CONTRACTOR DECLARATION Ping. Ref; #- Parking Req./Provided - E'
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: , • Planning Notes: Q
f\ with section 7000) of Division 3 of the Business and Professions Code, and - M •
�` my license is in full force and effect. I T
License CLss —8 Licse Noe • • • S.
Date 4 2 • Signature 4 —r _ PLUMBING FEES
WORKERS'COMPENSATION DECLARATION • Bar Sink • Showers
�, hereby affirm that I have a certificate of consent to self-insure or a car ificate ELECTRICAL FEES
f Workers' Compensation Insurance, or a certified copy thereof (Section
1\, - Backflow Preventer - Service Sink - •
- -
/- 3800, Lab. C.) Automatic Washer - Transformer 0 15-50 KW
Policy •
No. company
e C2430035-3 y�.NA Backflow Irrigation Sewer Cap Construction Pole Sub. - 050+KW •
Certified copy is hereby furnished. •
Cert ijiRc�cypy is filed with the city ea sI� ggq�����xis',on. }— i Bathtubs Sewer Connection r' Cooking Unit �- Meter ❑up to 100 amps
Date �(("1 Applicant MI' }1111
-
EXEMPTIon need M WORKERS'COMPENSATIO EC ON Clarifiers - Solar Collectors - Dishwasher ' Meter Dover100 amps •
-
(This section need not be completed if[fie permit is for one hundred ($100) or '- ,
less). Dishwasher Solar Piping •
• , Dryers ❑Gas ❑Electric Sub Panel
I certify that in the performance of the work for which this permit Is issued,1 - '
shalt not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank .,
Fan Motors❑Ol HP ❑1'/x-8
Workers' Compensation'Laws of California. - - •
Date' Signature ' Floor Drains Swimming Pool w/Spa
NOTICE: If,after Making this declaration,you should become subject to the _ F.A.U. Inc.Solar ❑9-15 HP 016-15+
Workers' Compensation provisions of the Labor Code, you must forthwith.. Floor Sinks Urinal •
Fixtures '
comply with such provisions or this permit'shall be deemed revoked. , - - — Micro Wave +-. -
CONSTRUCTION LENDING -AGENCY - Gas Service Outlets Water Closet
I herebyaffirm that there is a construction lendingagency for the Device Boxes Light -
e 9 y performance 'Pole
of the work for which this permit is issued (Section _3097 Civ. C.) Interceptors - Water Heater
Lender's Name _ •- - 1 2 0 C Outlets Range
-Len tler's Address - _ -• '• _ ' Kitchen Sink - ' . Water Service - Switches Sign '
OWNER BUILDER DECLARATION -
I hereby affirm that I am exempt from the Contractor's License;Law for the - Lavatories
following reason (Section 7031.5 Business and Professional Code: Any city or - Garbage Disposal 'Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair Z P—Tra •
.any structure, prior to its issuance, also requires the applicant for such permit p - - • Generator ❑O-5 KW 05-15 KW 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 -
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- any applicant for a permit subjects the applicant to a civil
penalty of not more than five hundred dollars($500)., , t '
L I 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 (Secion 7044, Business and Professional Code: The Contractor's MECHANICAL J FEES
License Law does not apply t0 an owner of a property who builds or improves •
thereon, and who does_sucajoork himself/herself or through his or her own , Hood or, TypeDEVELOPMENT SERVICES REQUIREMENTS:
Boiler employees, provided that such improvements are not intended or offered for I 0
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ - Zoning Approved By - Date
pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under GroundBuilding Approved By Date
move for the purpose of sale).
o I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural 1 Refrigeration System 4 HP Application Issued By Date 41 zs-e
tractorsto construct the project (Section 7044,Business and Professions Code: ,.7
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 0-100,000 BTU 24100,000 BTU 7 sd • SUMMARY O 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 D Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT
IDI am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBO# _ PLUMBING $ lin88,0 5'OO ISSUANCE $ ' zf
Date • Owner Heating System& Ducting
PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above 00-100,000 BTU ❑100,000BTL�
- GRADING $
information is correct. I agree to comply with all city and county ordinances ]_ 4 OC ELECTRICAL $
and state laws relating to building sons uction, and hereby authorize repre- MICROFILM $
sentatives of this city to ern/ uponithe a/ve- entioned property for PLAN CHECK 50% $ ��tt
inspection purpose / -LT• 5U
Signature ' i/ - • �� �� -1 Date4/22/85 MECHANICAL $ TOTAL FEE $ 19 . SO
Drivers' License - # — Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ '
CMF 0865-46,rev-4/84 White-Building; Canary-Applicant;Pink-Accounting;Goldenrod -Assessor -
,CONSTRUCTION AND PLANNING POOL d SPA
APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector
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 r 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe; 0 Undrgrnd. Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, ❑ 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. 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 ❑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 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 (iltys- t-b2 -
35. Final Gas Pipe-Test
36. Hood or Canopy •
•
37. Final Factory Fireplace
38. Final Plumbing • °f 45- trf
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
)
42. Backflow Preventer •
43. Backf low Irrigation •
44, .Landscape Irrigation System
45, Sound Attenuation
46, Handicap Regulations
47, FINAL STRUCTURE & BUILDING '
48, Special Requirements Completed '
49, Electric Release to Edison -
50, Gas Release to Southern California Gas Co
•
51, CERTIFICATE OF OCCUPANCY
•
No. Date
• 1L�. 11....v: : ':tJ
MAY 17 1961'
COSTA MESA BUILDIN - DEPARTMENT FINANCE DEPT.
P. O. BOX 317 COSTA MESA. CALIFORNIA CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT
BUILDING
306g
BUILDING A
ADDRESS cdi/ J K,
COSTA MESA. CALIFORNIA For Office Use Only
RECEIPT NO. PERMIT NO.
OWNER4rrCiden_ral Loan Company I
MAIL 2901 Benedict Canyon Dr. RECEIDC D REI
ECVED I vH'T J ti _
s ,_ADDRESS
TEL. C c )
CITY P.
ever yHills NO. Co� ADDRESS 3068 Madison Avenue
ARCHITECT TEL. 1J COSTA MESA. CALIFORNIA I
OR ENGINEER -- NO. /I `J
ADDRESS -- FIRE y�jt
ZONE TYPE GROUP\% �G/(y�
CONTRACTOR Alfred A 3dP.1ROhn APPROVED
BY DATE
ADDRESS 2901 Renedtct Csnyon Dr ZONING
Beverly Hills , California Z°"g_e IPLANOS Z IBSLoNG w%ir--5.t,
��CLEGAL
TND. 141355 NO. CR. -6-5940 DESCRIPTION Lot # 35 TR-4607
SIZE I NO. OF BUDGE.
OF LOT 62_X]00 NOW oN LOT 0 A.P.NO. -----_
USE OF YARDS EVES
EXISTING BLDG. -- APPROVED ALLOWED
SETBACK LINE PROM (CENTER LINE BT.)
CENTER OF STREET 52 1 1 C
C REAR YARD 29 1 FRONT S 2-' FT. ^— IN.
SIDE YARD LEFT 5 I RIGHT /1 R.SIDE FT. IN.
DESCRIPTION OF WORK L.SIDE S FT. IN.
NEW I X IIII ALTERATION I II ADDITION I REAR 2q FT. , IN.
REPAIR I MOVING I u DEMOLISH I APPROVED Clic DATE 47.57(Y.
BUILDING, NO. OF `�/
SIZE 2X49 ROOMS 7 STORIES 1
EXTERIOR WAL ROOF
COVERING 3tuego ICOVERINGWOnd Re Rank
USE OF BUILDING AND WORK TO BE PERFORMED
1 - FPm- Rep iv/Attached nfr
•_41-J`v7.5 7 eed,a4eit6CJ.3A'l
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUA ION IS FOR THE •
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM.
PLY WITH ALL CITY,ORDINANCES AND STATE LAWS REGULATING PURPOSg OF ESTABLISHING A PERMIT FEE ONLY.
BUILDING CONSTRRUUUUCCCTTT111 oN. / ALUATION
SIGNATURE OP // �Ll.� A / PERMIT FEE 5 9/GG
N
PERMITTEE/ "CCLCii ��/lll� CK $ 21 ,0211 .00 PLAN CHECK $ 2 . , 5-4
1 h F
AUTHORIZED AGE
TOTAL FEE $ k/.. J�^e3 i