HomeMy WebLinkAbout172 MAGNOLIA ST - Building Permits - _ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
• C� Y F COSTA MESA CONSTRUCTION PERMIT PEWIT
NO. 33 62 TRACT LOT NO.. UNIT NO.
169 h'1/4GWinGrn ST .r � ftftaw/Ts 3
• Project Address '1 �F��1t rr I •
Applicant's Mailin Address. -' Sfawlc, -'� - TYPE OF CONSTRUCTION U NEW Ip ADD ❑ ALTERATION LJ REPAIR '
9T //c 10-CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# yas— N l S. Zone Jia,
Owner's Name TRI P hl A.• SIA;p1cE r - Phone AW -nig. +' a3
D_ESRIIPTION OF'WORK/USE OF BLDG.
Address ' IIA JAI 14 Cr W 0L.W $F". - .. ' -OATHie-CCM-4A0210(T/oti S Main Building: Accessory Building:
Archt/Eng. bWW CO aU:Ld CR License No, `-- • -I TYPE OF PERMIT. _ ❑ GRADING n FOUNDATION ❑ STRUCTURAL E Front ,'S8 f t 7 O
F " �i �I
Address '`+°V �,q - z.• ❑- TENANT Id ELECTRICAL PLUMBING ❑ MECHANICAL B Rear N
Contractor's Name ��N��� "Phone,. 2, _4 "0 OTHER - t1',Y4Tk POOI+. `z ytO A KI fow A • 58 - - _ N.
/ C .-PROJECT.DESCRIPTION 5Q. FT.3k OCCUPA Y .e-3 K Right Si - G
Address(mailing) - Cl (,; '
City License No. • t• - - CONSTRUCTION TYPE STh. ••Qtcd-. VALUATION $ 0@00,Oo S Left �,'�' t1e,p R
s .•/. ZONE GRADING CU.YDS. ACRES E
LICENSED CONTRACTOR DECLARATION _ Ping. Ref.# Parking Req./Provided
'I herebyaffirm that I am(icer, ed underprovisions of Charter 9 commencin •
Q
( 9a , �J; •Re marks:' Planning Notes: b& l tenni Px�-vf'Sr may/. - M
with section 7000) of Division 3•of the Business and Profe55ions"Cotle, and "' pD
my license is in full force and effect. L t ' C 3'3f- Qv s - - S
License C •
lass D• - License No. - - , , -
Date :Signature - •r `' PLUMBING •
/ FEES - • • .
WORKERS' COMPENSATIONt,DECLARATION I•- 1 Bar Sink Showers ( be ELECTRICAL - '� FEES
I hereby affirm that I Have a certificate of consent to self-insure or acertificate 2. �) 2
of Workers' Compensation Insurance, or a certified copy thereof (Sectio. Backflow Preventer Service Sink
3800, Lab. CJ - 3 (, - Automatic Washer Transformer 0 15-50 KW •
Policy No. `' Company 's - Backflow Irrigation .Sewer Cap Construction Pole Sub. -❑ 50+ KW •
8 Certified copy is hereby furnished. _ -d '
•
Certified copy is filedwiththe city Building Division. XBathtubs CO x Sewer Connection 2.co Cooking Unit • Meter ❑up to 100 amps
Date .Applicant - ":t
EXEMPTION FROM WbRKERS'COMPENSATION DECLARATION -f • - Clarifiers Solar Collectors - Dishwasher , Meter Cover 100 amps •
(This section need not be completed if the permit is for one hundred,($100) or• • •
less). 7-, . - j - Dishwasher - Solar Piping Dryers ❑Gas ❑Electric Sub Panel '-
I certify thatsiQJhe performance of the wor for which this perm itis issued,l'. ••. '
shall not employ any person in any•mN'Hn r so as to become ject -the f Drinking Fountains • Solar Tank. Fan Motors 00-1 HP ❑1%-8
Worker' Co p nation Laws of Californi (1 - —
Date 'xi,a Signature ti. •!) 41�•v / '\' or Drains • Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP ❑16-15+
•- Date E: If,after making this declaration, you should beco-e su act to tNe - - -- - - - - - - -- -
Workers' Compensation provisions of the Labor Code, you must forthwith loot Sinks Urinal Z Fixtures .Microwave 7 So
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes s f. Pole`Light `;f
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.) Interceptors Water Heater • - Outlets - ' Range - ;r . / re
• Lender's Name •
���z11 - '
•Lender's Address RI(/4 - - Kitchen Sink Water Service - Switches '
OWNER BUILDER DEOLARATION // / Sign D 7�
I hereby affirm that am exempt from the Contractor's License Law for the X Lavatories CZ Auto-Wash II 08 Garbage Disposal •" ' - $landing 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 ❑0-5 KW❑5-15 KW ='
any structure, prior to its issuance, also requires the applicant for such permit % Trash DOmpael0r ,_
to file a signed statement that he/she is licensed pursuant to the provisions of ,r "toof Drains - '- f
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
703 5 by any applicant for a permit subjects the applicant to a civil
e Icy of not more than five hundred dollars ($500). ' $ 3
I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee " ' -
compensation, will do the work, and the structure is not intended or offered Reinspection Fee I $15 Issue Fee $ _
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 REQUI(i E.MEfUjS: t q/Qy�q•
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 Zoning Approved By ��' �� Date `�/i / �l`•'
sale. If, however,'the building or improvement Is sold within one year of Com- Canopy Type II 0 qq
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By ' VF)
Date / �/
prove for the purpose of sale). 1VV..// S/ �'
O I, as owner'of the-property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Data
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 SUMMARY OF FEES '
builds or improves thereon,and who contracts for such projects with a con-
tractor(s,ucense pursuant to the Contractor's License Law). I am aware thatBUILDING PERMIT $ 72•f�o $MIP $ . 0. 0
Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK $ - 4'&• dO
proof o�their Worker's Compensation insurance should be provided to me. f PERMIT
0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ �/ . 60 SS UAN CE $ •
Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ .DO ENERGY P.C. $
-
•
I hereby certify that I have read this application and state that the above ❑0-100,000 BTU 0100,000 BTGRADING $
Information is correct. I agree to comply with all city and county ordinances - ELECTRICAL $ 4, c
and•state laws tela •ng to building construction and hereby authorize repre- PLAN CHECK 50% $ .{'. MICROFILM $
sentatives of this 1 to enter upon t eb e-mentioned property for // Q
inspection purpo ,yc.�M n 5��9_ ��' - MECHANICAL $ TOTAL FEE S. /S G..73
Signature �r N Date
Drivers' License or S$qF Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ •
.« ...,.,uc vfilt4Tc Ill 1 ...Y • n-trai.hJ
CMF 0865-46,rev,10/84 white - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor
' CONSTRUCTION AND PLANNING J, 'l POOL & SPA
APPROVALS Permit '1 Date i Inspector APPROVALS Permit# Date 1lnspector
1. ,Temporary Electrical Service or Pole 52. Pool & Equipment Location , '
2. Soil Pipe-Undrgrnd. ' I 's 6 f/6/flr /tO 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. / 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding .
5. Steel Reinforcement ' 6/ 43r 6,✓ 56. Rough Plumbing & Pressure;Test
6. Electrical UFER Grnd.: 57. APPROVAL TO COVER-GUNITE
7. Footings,, ,
/ /�4 6-„--, 58. Electrical Conduit-Undrgrndr
8. Foundation �//� 611`259. Gas Pipe, 0 Undrgrnd., Test` ,
9. Water Pipe-Uhdrgrnd. • . 60. Backwash Lines, P-Trap, 0 Undrgrnd. •
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 3j&Jff4 �n 62. Backwash & Receptor-Final ,r I .
12. Sewer Cap / ' 63. Heater & Vent-Final - ,
13. Roof Drains - 64. Plumbing System - Final •-• i
•
14. Rough Plumbing CFr• NOTE 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring • .f„,,) 1 " 67. Fencing & Access Approval
17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling ' , +' 69. POOL/SPA SYSTEMS FINAL
4
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20: Rough Factory Fireplace ' ' APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro C..
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil -•
23. Gas Pipe-Rough & Test 72. Underground Flush ,
24. Roof Framing 73. Undergrnd.StorageTank 0 Gas 0 Oil • ,
' 25. Roof Sheathing 74. Overhead Hydro f" 1
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical ' 14) N
27. Frame and Flashing 76. Dry Standpipe \ - .
28. Lathing & Siding 77. FIXED SYSTEM FINAL;
29. Insulation 78. FIRE PREY. FINAL _
30. Drywall Nailing HEALTH DEPT. REQUIREMENT '
31. Plaster Brown Coat � ', 79. FINAL INSPECTION .. 1 r
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric • Notes:4n7/gs ten_c 120_ /_4tU Ii!
34. Final Heating & Air Conditioning .(pPig/ ds W 467E4 VCor U[G t•€a)
35. Final Gas Pipe-Test
36. Hood or Canopy 246 a'9 QAuLa- flea O k. SuSa€c It sot.
37. Final Factory Fireplace j,PAti Edf Lgo - 3/3/414 YUarforOlC• teats
38. Final Plumbing .;"jcft j9st � .
39. Water Service-Final l
40. Gas Service-Final .
141. Solar Domestic-Final •
,; 42. Backflow Preventer .
1. 43."8ackflow Irrigation - . j r
44. Landscape Irrigation System - - I ,I I : 1 ,- 1
,'45.- Sound Attenuation EXPIRED .
- Incomplete ASp2CtipnS
46. Handicap Regulations • ,� '
47• .,FINAL STRUCTURE & BUILDING Date 7 1 / �=-6+-��'
8:'
' Special Requirements Completed ,+ •
49. Electric Release to Edison 4I 11':
•
50. Gas Release to Southern California Gas Co -
y,
51. CERTIFICATE OF OCCUPANCY} .:'' .I
No. Date 4,t
1
A - - - - .- r ". . . -
OWNER OUAPMAN, i4R P. NIPS LFT DATE 10-14-59 -
JOB ADDRESS 169 Magnolia - BUILDING PERMIT NO. 1055(1
GENERAL CONTRACTOR E. L. Patterson VALUE $ 2,1114,00
AP. No. 337-121-lb LOT TRACT FIRE ZONE DESCRIPTION OF WORK Bedroom Add.. to Re
INSPECTIONS DATE I GROUP T TYPE V ZONE R!t
Underground Soil U.G. Water SUBCONTRACTOR PERMITS ISSUED
Underground Gas DATE NUMBER
Overhead Water and Gas
Rough Healing
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 1-11-1-)y YP ,r fin_ Zit. io) .j ' ,074.55/
Trenches Forms Steel � � /0 -/6 J9
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
Sheathing
Frame and Flashing L773 • 109 g- _S 9
Lathing, In Out
Plaster, brown coat
Plumbing Fixtures, Final
Electric Fixtures, Final .'^"
Building, Final �t'j 9.1:,"
OCCUPANCY I
Form 410-3M-4.59 - - .. . .. - 1o554
10554 .
rIE RECEIVED
STA MESA BUILDING-SAFETY DEPARTMENT CE , (lV E D
P.O.BOX 317 COSTA MESA. CALIFORNIA •
FINANCE INANCE DL[_.Ill yul.
FOR APPLICANT TO FILL IN COMPLETELY APPLICATION FORME MITj{
TYPE OR PRINT / BUILDING
BUILDING ADDRESS 6/Q '/j�q///
Lb t-a .... . .._ ..
/' COSTA MESA;/CALIFORNIA FOR OFFICE USE ONLY
"tel c/7a,-4�c 'wn� RECEIPT NO. PERMIT NO.
OWNER/{n-R2/ 55. 1-44.C`
MAIL RECEIVED DATE RDATE ISSUED
ADDRESS /1 Idd$�AIU { tdT (rD �Y-,6/O (L
CITY eeS//.TA �G1PQ
- TND. BUILDING /(�/ 9 Ai
/c
ADDRESS G.ct
OR ENGINEER /'`• 2 �T,ra0441g: COSTA MESA, CALIFORNIA
OR ENGINECI^�r �J /� ./
ADDR ESS.�/a0` (1.//]yajy �,v/J �J �t FIRE
ZONE TYPE GROUP
CONTRACTOREL. PA-7•TF_/YV At]C.NO.ATE �/9(2V APPROVED /I_ DATE/N���J��
2.11,2/0, AnfixA �(J,ve -4-44-DATE/1#
•
ADDRESSy�//
LEGAL LOT • •j ZONE //may NO.OF BUILDING y/ •�)
A.P.NO. ."„
I r APPROV
BY ,a./ I
DATE//�l /
OF LOT `r /17' I •.OF BLDGS. y YARDS EVES
7J NOW ON LOT !i REQUIRED ALLOWED
USE OF r ,p --c& 164,06 r (CENTER LINE ST.))7�
EXISTING BLDG. /(cU G FRONT ` FT. IN.
SETBACK LINE FROM [�
CENTER OF STREET J/ REAR YAR Dy77Z 1 ' R.SIDE (U FT. IN.
SIDE YARD LEFT /(p•/ I RIGHT 7'/ L.BIDE J FT. IN.
DESCRIPTION OF' WORK al
ii REAR • ei.r FT. IN.
NEW I V ALTERATION I II ADDITION IV •
REPAIR I V MOVING I I DEMOLISH 1 �,
BUILDING // NO.OF
SIZE �� 1, ROOMS / STORIES /
EXTERIOR Wg•e��p]1�'.- Q / • ROOF I toile
COVERING IIr + 00,/✓,COVERING W W . Sn tore 14' /_"
US F BU�}`ILDING AND W RK TO BE PERFORMED
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. •
BUILDING CONSTRUCTION. VALUATION
SIGNATURE OF may'/� SWI ✓� PERMIT FEE $ b
PERMITTEE _..1 ��"t /y' $ yl//��/E✓
°�/// c„1 PLAN CHECK $ 5
AUTHORIZED AGENT TOTAL FEE $ S ,—.
OWNER CHAPMAN„ LEO W. DATE 2-1-55
JOB ADDRESS 169 Magnolia Avenue BUILDING PERMIT NO. 883
GENERAL CONTRACTOR E. L, Patterson VALUE $`/2,000.00
LOT BLOCK TRACT -} .
GROUP I TYPE V ZONE RIb FIRE DISTRICT 895
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR - DATE I NUMBER
Footing Trench Gv D-J
Foundation Forms and Grade to GaraU _
Rough Framing
Plumbing,Rough to Slab
Plumbing,Rough Complete _
Temporary Pole / ' /� �
Wiring, Rough !� C , �p+t,� , co - 3- /7- s-3- 30
Heating,Rough
Heating, Final
Sewer
Septic TankorCesspool
Lathing / /V ,oJ ''�o ' U J —_
Plastering Q T
_
Plumbing,Final,Fixtures Complete
Plumbing,Final Gas Test
Wiring,Final
Occupancy U, IJ/1 ih/J
Form 210 G-11 111 12-58 j -
Costa Mesa $uilding Department APPLICATION FOR PERMIT
111 EAST 20th STREET 895 BUILDING 7
1110k COSTA MESA, CALIFORNIA "'
FOR OFFICE USE ONLY
FOE APPLICANT/ TO FILL.lea
Receipt No._____Permit No.
Building /S/ fie froze, /7'✓a -_._.(. /, �j15
Address !W' �J � .
Costa Mesa, California Received by- Date Re 'd. Date Issued —
c L — / �S S
Nearest
c.
Cross St. 6r9Ns Building G
n/ Address : Y / �
Owner /co . b✓• Lfii"//aJM�t/V Costa Mesa, O'alifornia
Mail e •
Address lis 9 / %y, o44 Here Nearest
Tel. Cross St.
City No. Zones- .,/ I No.of I Type V I Group,.
,„`
Architect or Lic. gPlans J
Engineer No. Approved 1
by Date
Address ' CORRECTIONS
F- City / ZY te /
Contractor 9776rJ o040' No. (a5/ ,
Address 7--2-0 I CIr1 *- 44,4- d-s • .
LegalLot 1
Description I No. I Block I Tract _
(Attach Metes and Bounds) Ipja, ) • '
No.of Bldgs. aSize of Lot t74— X / Z O I Now on Lot � '
Use of � No.of . No.of - - - `-` - `- - - A
Existing Bldg./12JAe o'fl I Families Rooms - 1
- 6
Setback Line from r / Rear Yard _ / '
Center of Street .SC/ Side Yard - __ .._. __-"- - .-_ - _ -. Z
D
DESCRIPTION OF WORK OF =COSTA=MESA r
New I I Alteration I - I Addition lie' -,
Repair I I Moving I Demolish I '."OCA " "Ry - '"i ` '
Building G X 2 No.of /
Size )- Le Rooms / Stories
Exterior Wall) 1 • Il�Roof a
Covering Covering qr/,e. APPROVALS
Usof
ildinNew
Bu7+ (1� Foundation Location Inspector Date
9 - {`r-�Iei/re �-7C l.n.yt Forms,Materials,
Under-Pinning
Frame: Fire Stops, •
Bracing,Bolts
I hereby acknowledge that I have read this Application Lath. int.
and state that the above is correct and agree to comply Lath.Ext.
with all City Ordinances and State Laws regulating
building construction.
Signature of Plaster, Int.
Permittee
Plaster,Ext.
Authorizetl,9g
A' Masonry Reinforced
Valuation U Permit Fee $ Q i
v"1y Plan Check$ % i Bond Beam
$ ' O-i Total
Fee $ 9 cU FINAL
FORM 204 G-H 2M 5-54
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•: .oil ''.c.:-.11 -C i;
i / �r Street _ I _ -.-rr ti limn;? •±''IE {_,^ . '-
' : `9_ �/9'0.Oah./hl' ._. .- - -.sr: .aN sr.-1 ^.d f? :
e. .____._ '•'-"sale _ ::r :E ii n,?n__
ie
3li�a:PLOT PLAN i - _—.'_t ��.? A .dfc:,y— _;
i Show location and distances from _ _ • r- ;: 1-;. r,:.r..,. _ _ "r;M-)
I property line and between buildings. ,, • r
iT:.n • - not,UUP _
- _ . _ -.____. _ _ _ __. . __ ___- _. :JCA • n-t.tr^ r ,-
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