HomeMy WebLinkAbout865 MAGELLAN ST - Building Permits6Y
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Applicant to fill in ali soaces.except those within heavy Oaraer Iines antl sign a11 aDPropriate aeclarations.
ciTY oF CosrA ME/S,a CONSTRU ION PERMIT
�Project Address �(y ������
Applicant'S Mailin d�dyre//�5� - /'7����
Owner'sName �(j/�C�/�� PhoneJiL./.a�
Address " �dl/%��pJ.
ArchlEng. License No.
Address
Contractor's Name �^ ' Phone �
Address (ma �'��l Cr� C1 ��% '
City License No. _ ��
LICENSED CONTRACTOR DECLARATION � '
I M1ereby a(firm that I am licensetl untle� provision5 of Char[e� 9(commencing
with section 7000) ot Division 3 ot the Bu5ine55 antl Profe55ion5 Cotle, antl
my license is in f �M/t�e!p�r.'�/+antl effe�ct. 4 //
License asy Z'r��,�L_.�L e e y.l�yj>�/•S� ♦
Date.\��/ �� 5'9 t ��V//i�� '(i �
�WORKERS' COMPENSATION DECLA0.ATION ,
- hereby affirm that I have a certificate of consent to self-Insure or a certificate
� Workers'�Coryoe��ti�21 vance, or a certifi�e�tl _cfo,,p�y�[yth�-e�re-o�f�(Sectlon
d00, Lab. , re v ���:�//(.f../�J �
Policy No. company
�ertifietl copy is hereby furnishetl. ' /1��6�/Z Z'V �3
CertiG tl� y i iletl with the clty B�ii�710� C7iNI/ipn. .n O
oate APPlicant—, /(L(.L�,/c i��(
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(This section neetl uot be completetl if the permit is tor one,huntlretl ($100) or
less).
I certiry lha[ in the perto�mance of the work Por whicb this permit is issued, I
shall not employ any p¢rson in any manne� so' as to become subject to thC
Workers' Compensation Laws of Calitomia. , .
Dale Signature
�NOTICE: If, afte� making [his tleclatation, you shoultl become subject to the
Wo/kers; Compen5ation provi5ion5 of the Labor Cotle, you must torthwith
comDly witb such provi5ions or this pevmit shall be'� tleemetl revoketl. ,
CONSTRUCTION LENDING AGENCV ' �
I hereGy affi�m tha< Ihere is a const�uction lentling agency for the perfo�mance
of the work for wnich this permit is issuetl (Section- 309] Civ. CJ
lentler's Name - .
Lentler's Atltlress �
OWNER BUILDEN OECLARATION
1 hereby affirm tM1at I am exempt irom the Contrac[or's License Law for [he
followin9 reason (Se[tlon 7031.5 Business antl �rafessional Cotle: Any city or
county which requires a permit to construct, alter, improve, tlemolish or repair
any structure, prior to its issuance, also requires Ihe applicant tor such permit
to file a si9netl slatemen[ that he/She i5 licensetl pursuant to the provisions of
Ihe Contract8r's License Law (Chapter 9(mmmencin9 with Section ]000),0(
�;�vision 3 of the Business antl Professions Cotle) or that he/sne is exempt �
-�a�"";efrom antl the basis for tM1e alle9etl exemption. Any violation of Se[tion
=?�',�1.5 by any appllcant for a parmit sub)ects fhe applicanf to a civil
,i-eiialty of.nat more than frve Ituntlretl tlollars ($500). _� .
❑ I, as owner of the property or my employeez wi[h wage5 a5 Iheir sole �
mmpensation, will Go the work, antl the structure is not intentletl o� o/ter¢tl
for sale (Section �044, Business antl vwfessional Gotle: The Contractor's
License'Law�tloes not apply to an owner of a p�operty who builtls or'improves
thereon, antl wno tloes such work himzelf/herself or through his or her own
employees, pfovitletl tM1at sucM1 improvemen[s are not intentled of offeretl for
SaIC. If, however, the bulltling'or improvement is soltl within one yea� of com-
pletion,'the owner will have the bu�tlen ot pwving.he/she tlitl not builtl or im-
pwm for tM1e purpose ot sale). . • �
❑ i, as owner ot the property, am exclusively contractinq with licensetl con- �
tractors to ronstruct fhe projec[ (Section ]044, Business antl Pwfessions Cotle:
The Cont�actor'S License Law tloes not apply to an owner of property.who
builtls or improves tnereon, antl wM10 conVacts for sucn projects with a con-
Vacto�(5) license pu�svant to tM1e, ConVacto�'s License Law). I am aware [hat
proof o( their Worker's Compensation infurance shoultl be provitletl to me.
❑ I am,exempt untler Sec[ion B. & P. C. far this reason
Date � owner
I hereby certi(y that I have reatl this application antl state that cne above
informalion is mr�ect. I agree to comply wi[h all cify antl county ortlinances
antl state laws relating to builtlin9 �o�struction, antl hereby authorize repre-
sentatives ot. this city to enter upon tM1¢ above-men[ionetl property_ for
� _���3 5�83 I ,..��. ,.�. I _... ..�. I ..�.,, ,�,,.
TYPE OF CONSTRUCTION NEW ADD - ALTERATION REPAIR
❑ CONVERSION. ❑ DEMOLISH ❑ OTHER
DESCRIPTION OF WORK/USE OF BLDG. _
TYPE OF PERMIT � LJ GRADING �yLJp OUNDATION LJ STRVCTURAL
❑ TENANT ❑ ELECTRICAL IJ PLUMBING ❑ MECHANICAL
' 0 �OTHER � � �-
PROJEC7 DESCRIPTION 5�. FT. oCCUVArvCv_
CONSTRUCTION TVPE � ' VALUATION $ '
ZONE GRADINGCU.YDS. ACRES_
Bar Sink
Backflow Preventer
Backflow Irrigation �
Bathtubs
Clarifiers ..
Dishwasher
Drinking Fountains
Flaor Oreins
FloorSinks�'�-�� '
Gas Service Outlets
Interceptors . -
Kitchen Sink '. - '
Lavatories
Roof Drains
ReinspeMion Fee � � - $15
Duct- UnderGround � •
Duct - Struccurai
Duct-�Ventilating- - • �
Ezhaust System ❑ Multiple ❑
Firepl/Fact. Blt. ICBO �k . �
Heating System & Ducting
❑0�100,000 BTU O 100,000 B7i
�n��a.��
O�ivers' License or 55 � , Reinspection Fee $75
CMF 0865-46, rev. 10/84 White - Builtling: Canary - Applicanq Pink - Accounting: Goltlenrotl - Assessor
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors . -
Solar Piping
Solar Tank �
Swimming Pool w/Spa
Urinal � .
Wacer Closet �
Water Heater � '
Water Service
Auto-Wash
Issue Fee
Hood or Type 1 ❑'
Canopy � Type l l ❑
Refrigeration System � '
❑aioa,000sru ❑ioo,000
System Repair/Alteration
Fire Dampers �
Registers ,
Iss�e Fee
FEES
$ 3
F.P. #
5 Main Buil�
E
T Front
e Rear
A
C Right
K Left
S
P.Ing. Ref. # -
. . 35?.8 4/"I/^5 �
Zone
� Accessory Building: ^ •
2
' O
N
I
� � N
G
' R
Parkin9 Req./Provided � ' E
Q
M
T
Ffi doo . ,. . _.. � S
Automatic Washer
Construction Poie$ub. �
Cooking Unit ' �
Dishwasher- —
Dryers ❑Gas ❑Elecvic
Fan
F.A.U.
Fixtures
Device Boxes
Outlets
Switches
Garbage Disposal '
ELECTRICAL �"
Transformer ❑ 15-50 KW
� ❑ 50+KW ,
Meter ❑up to 100 amps
Meter ❑over�100amps
Sub Panel
Morors �0-1 HP O1 %- 8 �
IncSolar �9=15 HP �16-15+
Generator DO-5 KW �5-15 KW �'
$15
FEES
0
Pole Light � � .
Range
Sign `
Scanding Sections
Trash Compacmr .
luue Fee $ 3
DEVELOPMEN7SERVICESREQUIREMENTS:
� Zoning Approved By
Bmlding Approvetl By �--
lica i ' (-/�).
� Aoo t on Issued ev �
$ 3
� SUMMARV OF FEES ' �
BUILDING PERMIT $ SMIP $ �
PLAN CHECK � $ � PERMIT ; �
PLUMBING � $ � �SSUANCE � 5 �
PLANCHECK 25% $ ENERGV�P.C.� $
ELECTRICAL $ GRADING ,$
PLAN CHECK 50%. 3 MICFOFLLM $�
MECHANICAL $ TOTAL FEE $ �.� �v
PLAN CHECK �25% $ •
'CONSTRUCTION AND PLANNING POOI �PA
,4PPROVALS Permit � � Date Inspector AppROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
`2. Soil Pipe-Undrgmd. 53. Steel Reinforcement
3. Electrical Conduit UtilitY-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding .
5. Steel Reinforcement 56. Rough Pfumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings � 58. Electrical Conduit-Undrgrnd.
S. Foundation • 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System 61. APPROVA� 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
74. Rough Plumbing 65. Elecirical-Final "
75. 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 Geiling - 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT - .
20. Rough Factory Fireplace APPROVALS Permit #
27. Ducts, in Structure 70. Underground Hydro �
22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing � 73. Undergrnd. Storage 7ank O 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 � '
35. Final Gas Pipe=Test � � ,
36. Hood or Canopy � . � -
37. Final Factory Fireplace
38. Final Plumbing 2-S g� �Ep
39. Water Service-Final ��Y^i';
40. Gas Service-Final =��ij -
41. Solar pomestic-Final -� `"
i,'���� . . .
42. BackflowPreventer �-'"t �
43. Backflow Irrigation -:�1�
44. Landscape Irrigation System . _ •^
..; .
45. Sound �Attenuation " '
46. Handicap Regulations ' • ��
47. FINALSTRUCTURE&BUILDING
48. Special Requirements Completed , . �
49. Electric Release to Edison �
50. Gas Release to Southern California Gas Co �
5L CERTIFICATE OF OCCUPANCY
No. � " Date , �
OWNER
,.o.
GAS
ROUGH PIUMBING
PROP. $WR. LINE Q HOUSE CON.
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CON�ITIONING
TEMPORARV SERVICE OR POLE
UN�ERGROUND � POWER �
ROUGH WIRING
TRENCHES � FORMS � STEEL 0.EINF.
FLOOR SYSTEM
BOND BEAM [, $TEEL REINFORCE r]
$HEATHING
FRAME ANO FLASHING ^
LAT' - IN � OUT L ,
PLA , BROWN COAT
HEATIM
PLUMBI
ELECTR
AL, FINAL
VENT., REFRIG. AND A.C., FINAL
, FINAL ANO GAS TEST �
FINAf
DATE 4-7-69
BUILDING PERMIT
TRACT �AS� FIRE ZONE
SUBCONTRACTOR
tion
�
¢ �9�dg APR-7-69cwsa00 170# **�*21.00
COSTA MESA BUILOING-SAFETY DEPARTMENT
P.O.BOX120P COSTAMESA,CALIFOHNIA92626
Fo�Applicant to Fillin Completely APPLICATION FOR BUILDING PERMIT
RECEI D DAZE RECEIVED nnTc imni
BUILDING �
ADDRESS
OWNER A.P. N�.
MAIL / BUIIOING
ADDRESS !p iQ�y ADDRESS (�
Z
wa U TEL.
CITY F NO. � � TRACT
ZZ
Q CANSTRUCTION �'�'
O N LENDER
am
J � BRANCH
J�� OWNER
� ADDRESS
J Q ARCHITECT TEL. S
N OR ENGINEER /�-OF N
V Q FIRE
w Q ADORESS S M� 20NE ,'^
d W ' APPROVE�1(
W Z CONTRACTOR (,��/.L/E BV
J Q
m
Z s.9,a�E �' `"
J ¢ ADDRESS
w w TEL. ZON NO.OF n � VSE OF NEW �-,
�= CITV NO. � P�� o� BUILDING
Z F-.
w� STATE CITV YARDSAPPROVED YARDSAPPROVE
y� �IC. NO. �IC. NO. MAIN BUI
�� S12E NO.OF BIDGS. (FROM C/L ST
OF LOT NOW ON LOT �.J{
USE OF
EXISTING BLDG. / C/=
F SI2E OF i � NO. OF
Z NEWBLDG.I ROOMS STORIES l SI
a EXTERIOR WALI(' ROOF �
V COVERING ol COVERING SO� REAR
- USE OF BUILDING �+ WORK TO BE PERFORMED DISTANCE BET.
�
MAIN BLOGS.
Q VAR. sW
� iT/4.4 c.u.P. vw
F APPROVEO
N
Z
O
UI heraby acknowl¢d0e [�a[ I hava �eatl this appllcation antl stete
� thet the abova information is correct antl apree to comply wlth
� all laws �eBulatinB builGinp construction, antl I shell noc employ
F any permn in violaUon of Me workmen's companaation tawe ot
zMe Stata of Californle. n/ p�s'
� � hereby carHfy t�a� I am proparly licansatl as a contracior untlar ��•(� Cl
tha Stete of Coliforn�e Buziness entl Profeuions Cotle, Dlvlsicn 3, TNE AMOU
Chaptar 9, entl thnt such Ilcensef ere In full forca antl affect, or I TNE PUPPOE
am exampt from tha Provlsiane of Ne Stete of CalHornla Bvainen VALUATION
antl Protosflon� CotlB, DJI 'itlon 3, C/h�epter 9. �
Sipnatura o7�f ` n /�� /� �� �
Perminae � �JL-z%-- ��y �X�b�l� S/
- ,
Authorizatl ABant
FT.
BET. MAIN &
ACGESS. BLDGS.
DATE
APPROVED
OAT�L� %�h /
. M�� � �
�
O
UNDER VAIUATION IS FOR ^
LLSHING A PERMR FEE ONLV: Q
RMIT FEE 5 / / �� �
7
�� m
4N CHECK $ E
0
�s LL
TAL FEE 5 � � ��
KASTORFF, IAUIS D.
JOB
DATE
BUILDING PERMIT
SUBCONTRACTOR
q� 9 1963
� �,R 20388
�OSTA MESA BUILDING-SAFETY DEPARTMENT
P.0.90X ]t] C08TA MHBA.GALIFOpN1A
—
For Applicant to Fill In Complefely
T1'PE OR PRINT
BUILDINO r
ADDRESS J
COSTA MESA. CALIFORNIA
. 1 � m /�
c�rr No.-
ARGHITEGT T6L, —�'
wooRess
��
CITY
STATE T6L
LIG. NO. NO.
61ZE No. op Btnce.
OF LOT �O'X �J� Now oN LOT /
use oF /�w�-LGii✓G
EXISTIN6 BLD6.
CENTEROP18TRE6fM �I'(/ 1 RHARYARD/V�I/41,
/� � p /
81qH YAR L6P� i-O RI M d-0 ��lOI
DESCR�pT10N OF WORK
6 ZE�INO / �j_O�.
✓
EXTERIOR WALL
TO
i HEHEBY ACKXOWLEOOq 7H.�T 1 X/�V6 qGD THIB APPL�CATION
AND 6TATC THAT TN6 AqOVC IB CORHHCT ANO AOq6Q TO COM.
PLY WITH �LL CITY OqDiry qC AND YTAT 8 W[O TING
BUILOINO CONBTRUCTIOf
SIGNATURE OF
PERMITTE
AUTHORIZEO A6ENT
F�� �E��IVED
APPIICATION FOR PERMR
FINAN���Bfi�.
G T�°0 ��ii3Tk�iil E�lP�'
R[C[II! NO, p!I
� �
Y j! y1f4.=1 Vlp� AT
7 G
.._ . . _ «._� ,
ZONING
Z���j� runs � eu1LOPNa ��a /c
ll — � �enn COKI
�ea�� [ a'f� 5`/ '7n1 385�'
ocacaimox
A. P. NO. // I��C_ � �' I D
NOTE: NO HAVE OV ERHANG SHALL B6 LH85 THAN
30" TO81DE 8 RPJ1R P. L.
EAVEB
ALLOWHD (U.B.C.RHGIIIR6MBNT1
YAROHAPPROVED YARD3APPROVeD
MAIN BUILDING ACCESSORY BUILDIN6
(FROM WALSTR ET) ,_
FR T�T�lC �b lTt'�
f
R. 81D S FT. �— ��
L.61D ��FF. � E �i^J.—
REAR �O � y {
DIBTANCE BET. BET. MAIN
MAIN BLDOS. ACC�SS. BI
VAR. # �ATE
C. U. P. �1PPROVHO
APPROVEDG��,_ � r �
a6o � 64. �.
TN6 AMOUNT BMOWN IINOEP V�LIIATION IB POH TH8
PUHP09[ OP 88TABLIBHINO • PEHNIT FEE ONLT.
VALUATION
� PERMITFEE $ r_
$ �// \ `/ A C
/ =`J j .�-+
TOTAL FEE ��
'� � 13��3�
COSTA MESA BUILDING-SAFETY DEPARTMENT
' P. O. BOX H77 WBTA M68A. CALIFORNIA
For Applieanf fo Fill In Completely
TYPE OR PRINT
COSTA MESA GALIFORNIA
NO. OP OID09.
OF
i1N6 BLDp_
�CN IJNB FROM /// �
IL�� .� � I RIGHT .�,
DESCRIPTION OF WORK
ROOF
j,(�(`n COVEI
AND WORK TO'
�oEc 9 tisso"
, �=c ,,,: ,�-
�t�r11C�� u_� 1.
��- ,��� �� ,�.��> �
Lat#SI, P�R�l��3l�w� ,
APPLICATION FOR PERMIT
BUILDING
For Office Use Onl y
plCHIPT NO, V6RMIT NO.
PHC�1�� Y
�
COSTA MESA. CALIFORNIA
TVPF • f.RO1JP �l' �
APPROVED
ZONING
zoHe NO. OP I use ov
R�1 PLANB 2 BUILDIN
LH6AL � L 1. �/I
YARD6
APPROVED
� ���a ���� ar.�
A�PPROVED W L• D•
Y�
A
EVES
�33 ��
12-8-60
I HE0.8BY ACKNOW18DG8 TXAT 1 XAVB RHA� IB A/ILIGTION TM6 AMOLINT BXOWN UNOLN V�LU�TION I6 POR TMH
ANO BTAT6 THAT TMB ABOVe IB CORA6CT AGRlB TO COM- pV�Bg OF ¢eTA8L18HIN6 A PBpMIT FEH ONLY.
PLY WITH �LL G�TM ORDINANCB6 �ND 6TA LAWO fI80UU1TN0
eu��nino coneTau VALUATION
BIGNATURE OP �(� PERMIT PEE $ OD
PERMITTC � - ^
� S/ J/?� PLAN CHECK $ �/� O[
� AUTHORIZED