HomeMy WebLinkAbout2193 MAPLE ST - Building Permits 111, „. Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
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CITY GF COSTA MESA CONSTRUCTION PER IT PE IT NO. TRACT NO. LOT NO. UNIT NO. OoO� Ti..
Project Address ,/ F1 b ( L•/ �I-/1I
Applicant's Mails Address IS s.... _ Ji • _ TYPE OF CONSTRUCTION ❑ NEW LI ADD U ALTERATION U REPAIR 1
Owner's Name f Z ' s -t-C Phone Q J�� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.50 I Zone
��v Jam- � DESCRIPTION OF WORK/USE OF BLDG.
Address S Main Building: Accessory Building:
Arch/Eng. Tat License No. et.uk TYPE OF PERMIT LI GRADING U FOUNDATION U STRUCTURAL E Front ZO
Address \YV� `�`/, .y r•�� ID TENANT ❑ ELECTRICAL LY MBING ❑ MECHANICAL BA Rear N
Contractor's Name �'�� X1'.1• •!xww Phone &V---20( ( ❑'OTHER
Address(mailing) \fia1 \_,_.) - Ni2,
M C • K,r.--. PROJECT DESCRIPTION SG. FT. OCCUPANCY_ C Right N
,
C� /397r CON ST RUCTION TYPE VALUATIONS _ _ $
Left
City License No. �� \ ZONE GRADING CU.YDS. ACRES
LICENSED CONTRACTORR
Ping. Ref.# - Parking Req./Provided E
DECLARATION - a
I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: Planning Notes: M
with section 7000) of Division 3 of the Business and Professions Code, and `` ' T
my license is in full forceC- Affect. ?�l)� `li^C- • (o &, -Nr•i\>L�^ �� 1 )4) �v�.�Li-sl`J4-g $
Date
CI ss q� C 1- t 11 PLUMBINGP1 -i:� FEES
Date Signature S•
WORKERS'COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES
hereby affirm that I have a certificate of consent to self-insure or a certificate
Workers' Compensation Insurance, or a certified copy thereof (Section —
Backflow Preventer Service Sink
-doo, Lab. C.) Automatic Washer Transformer 0 15-50 KW -
Policy No. Company Backflow Irrigation Sewer Cap Construction Pole Sub. . 0 50+ KW
8 Certified copy is hereby furnished.
Certified copy is filed with the city Building Division. BathtubsSewer Connection Cooking Unit Meter ❑up to 100 amps
Date Applicant -
EXEMPTION FROM WORKERS'COMPENSATION 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). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel '
I certify that in the performance of the work for w h t •�yaar't is Issued I
shall not employ any person in any manner so asr .l>•. • • • r_ a '• ing Fountains Solar Tank - Fan • r
Worker. QQo�rpppeeppsa� Ion Laws of California. �- - Motors❑0-1 HP ❑1%-8
Date ) 'f-L' k��f Signature •- • Floor Drains • Swimming Pool w/Spa F.A.U. •
'NOTIC Illii after making this declaration, you should •ecome subject to the - Inc.Solar 09.15 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. - Microwave
CONSTRUCTION LENDING AGENCY XGas Service - Outlets 1 Water Closet y r—J Device Boxes Pole Light
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
Lender's Name
Lender'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 Auto-Wash
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 P-Trap Laundry Trays Generator❑0.5 KW ❑5-15 KW Trash Compactor
any structure, prior to its issuance, also requires the applicant for such permit
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
-Ivision 3 of the Business and Professions Code) or that he/she is exempt
irefrom and the basis for the alleged exemption. Any violation of Section
31.5 by any applicant for a permit subjects the applicant to a civil
,.malty of not more than five hundred dollars($500).
❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
compensation, will do the work,and the structure Is not intended or offered - Reinspection Fee I $15 Issue Fee S 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 0
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ Zoning Approved By Date
pletlon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Data
prove for the purpose of Salo).
❑ 1,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By rData
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 00100,000 BTU 0100,000 BTU SUMMARY OF FEES
builds or improves thereon,and who contracts for such projects with a con-
tractor(s)
license pursuantExhaustRepair/Alteration to the Contractor's License Law). I am aware that System0 Multiple 0 System BUILDING PERMIT $ SMIP $
proof oftheir Worker's Compensation insurance should be provided to me. PLAN CHECK •$ PERMIT
0 I am exempt under Section B. & P.C.for this reason Firepl/Fact.Blt. ICBO# Fire Dampers PLUMBING S S ,00 PERMIT
ISSUANCE 5
Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ • ENERGY P.C. S
l hereby certify that I ave read this application and state that'theabove 00-100,000 BTU 0100.000 BTL ELECTRICAL S GRADING $
information is correct. I - en to co • • all city and county ordinances
sentattives laws
sthis city t y�'•i•t.4 u•on th•i above mentnd ionedaut'rorlpeertze repre' PLAN CHECK 50% $ MICROFILM •S •
Inspection Purpgs �; /—� MECHANICAL S TOTAL FEE $ •• OO
Signature / • Dat: '
Drivers' cense or SS$ Reinspection Fee $15 Issue Fee $ 3 _ PLAN CHECK 25% $
CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor -
CONSTRUCTION AND PLANNING POO 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. ElectrcaliConduiuUtility-Undrgrnd. 54. Forms
4. Electrical.Conduit=Undrgrnd. 55. Electrical Bonding ' •
•
5. Steel Reinforcement I , 56. Rough Plumbing & Pressure Test
6. Electrical OF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings . 58. Electrical Conduit-Undrgrnd.
8. Foundation { 59. Gas Pipe, 0 Undrgrnd., Test
1
9. Water Pipe-Undrgrnd. - ' i 60. Backwash Lines, P-Trap, O Undrgrnd. •
10. Structural Floor System. 4 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
i
20. Rough Factory Fireplace • I APPROVALS Permit#
21. Ducts, in Structure i 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas ❑Oil
23. Gas Pipe-Rough & Test 72a Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 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 i HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final • 80.E 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
39. Water Service-Final
40. Gas Service-Final t /
.74 i9 /4/09
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
50. Gas Release to Southern California Gas Co •
51. CERTIFICATE OF OCCUPANCY
No. Date
OWNER KTitt1TR- M,T,VT •T,_ DATE 11-17-59
JOB ADDRESS 2193 Maple St. B BUILDING PERMIT NO. 10839
GENERAL CONTRACTOR Armitage Bldrs. VALUE $ 9,771.00
AP. No.11 K-091-0)I LOT TRACT FIRE ZONE DESCRIPTION OF WORK Res. w/att. Gar.
1F.� `,"r*,,ECTIONS /2,./_A-9 DATE GROUP I & 3 TYPE V ZONE R-4
TP;:'yrground Waterr�l _/nrj SUBCONTRACTOR PERMITS ISSUED
Underground Gas > _ "� DATE NUMBER
Overhead Water and Gas g _
Rough Heating /j/J.//f �/ F j,..G-u, C''i�.c�j- i//,2,./S9 ..,./-e 7.r 7 /-
Rough Plumbing /r/�.7 %m'4/.1., i la,�1- _W,.r Sp _ ,
Miscellaneous qg $AN i e� �rwta,,-, P.47 , / -/ /oD - o
Prop. Swr. faire--4ho on. St. Swr. _ //N(60 �.i,Tt-e.A......- of //(( !,J _ - p
Sprinkling Systemel
Heating, Final l(/ 3-/:6te WEre
Plumbing Fixtures , S`�B •r- -(0
Final Gas TePole ''' 4.-? /it� ��r7 A iz
t4r. el
Construction Pole -
_ _
L _
Underground Power
Rough Wirin• J74 15 I-/i-tI) -12c..;. /1.. . >t -.r-.i- /z -c- 417 //--/- 7/ -----
Trenches Forms it Steel/3. RIG c_ /a - v- 57 •
Floor System _
Steel Reinforce Chimney Re-Rod
Bond Beam
Shing l/ l - in m (— ' -ho
in;:e and Flashing a_ c /-- is---- Co
liaaitn In
Letang, Out ..--- � 2 A eP— 21- 160
Plaster, brown coat L' t/v - a- 60
Plumbing Fixtures, Final tiff!
t I
Electric Fixtures, Final Xy-/GO
Building, Final r r *)..n 6
OCCUPANCY A-- let" 7
Form 410-5M-11-59 S-B P
1 nR zo
10839 FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT ` ,(7._/6 `t
P.O.BOX 317 COSTA MESA, CALIFORNIA FINANCE DEPT.
FOR APPLICANT TO FILL /N COMPLFY APPBT� CCATADW
RMIT
TYPE OR PRINT SrBUILDING
BUILDING /
ADDRESS COSTA MESA. CALIFO NIA
FOR OFFICE USE ONLY
1D
L l RECEIPT NO. PERMIT NO.
OWNER14Y • �• A�f,.O�P + zo 39
MAIL RE EIVED BY DATE RE EIVED DATE ISSUED
ADDRESS . a, I/ - /. '' -.•7 7/-/7-c7
TEL. BUILDING / /3 � ,�V
CITY NO. ADDRESS /
ARC'. 'ECT LIC.
OR NEER NO. COSTA MESA, CALIFORNIA/�
ADDRESS ZIRE �' e group (/./ nn
ZONE C/ V'- /STJ
STATE APPROVED
CONTRAC R �/ LIC.NO. BY DATE
ADDRESS `yfrya(1-' 4 tt.$%.¢c.-/-"L• ZONING
LEGAL LOT S3 _ -4")Cc4- ' ZONE NO.OF USE OF NEW - /..._.DESCRIPTION NO. BLOCK , / TRACT / /,� PLANS I BUILDIN G e.U`M1, LJ,/
A.P.NO. / ( C - ° q/—G V AByPROVF�X/ ` ( LY_ c DATE / ///(lJ�/,
SIZEOF LOT �� / I NO.of SLOBS. YARDS I EVES /
NOW ON LOT REQUIRED ALLOWED
USE OF (CENTER LINE ST.) //
EXISTING BLDG. 0 _FRONT ...:. °FT. C!, IN. C I
SETBACK LINE FROM /� /
CENTER OF STREET J0 t, /I REAR YARD R.SIDE FT. IN.
SIDE YARD I LEFT S / O (F RIGHT y L.SIDE s FT. �' IN.
DESCRIPTION OF WORK REAR T.FIN.
NEV 1 ✓
ALTERATION I ADDITION
REPAIR I II MOVING 1 I DEMOLISH I
BUILDINGNO.OF
SIZE . f 7
ROOMS STORIES ^.I(/2�
EXTERIOR WALL ROOF / Q
COVERING COVERING ('•Y'
USE OF BUILDING AND WORK TO BE PERFORMED f e)"
/+ // .
�7
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS 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 CONS CTION.
VALUATION
SIGNATURE F C' // ----- PERMIT FEE $ 7''T//
!
PERMITTEE v �/ //'
b $ LL^e' PLAN CHECK $ / Y•
AUTHORIZED AGE l.iE � p .7 /.
S // / 7 TOTAL FEE $ •3i --
OWNER KIDDIE, MELVIN•I., • DATE - 11-17-59
JOB ADDRESS 2193 Maple St. A BUILDING PERMIT NO. 108!40
GENERAL CONTRACTOR Armitage Bldrs. VALUE $ 9,771.00
AP. No.115-091-04 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Res. w/att. Gar.
t±%ECTI� y/ DATE GROUP I Rc 'J TYPE V ZONE R-Li
1`i rground Soil/ /,yp U.G. Water- 9 .. PERMITS ISSUED
Underground Gas K/ .Lr==nL „-T SUBCONTRACTOR DATE NUMBER
Overhead Water and Gas
Rough Heating _ /-y STr_,,,., 771°- � ,,_' ,5y -.. 2 7-�,F
Rough Plumbing 4-.../� //Ails, 1_
Miscellaneous WA
Prop. Swr.dine Ility,9P/Con. St. Swr. ///q/6° S".-c--.. /(/Mr J iI ranirr bd
Sprinkling System 'e'
Heating, Final /-.6V -�S: . Amery
Plumbing Fixtures /.f/
Final Gas Test /LS1r 1922!,
Construction Pole
Underground Power
Rough Wiring xL.y r/-S-Ga -2.k.,(25.'-/r_---<e..--a--- /1 -9- .fci //)-7Y/
Trenches V Forms✓ Steel G)'. , C"2- 7-5 Y_
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
Sheathing v p) , c-- /_ G, 6,0
F eand Flashing c- mc_ j- /,S- 60
L,.....ng, In ✓ Out cj qe l-- 2 f- ,Co
Plaster, brown coat r{ , Di Q- 3 — ? —
Plumbing Fixtures, Final .,nL(i
Electric Fixtures, Final 'Y Jik_yl4'd
Building, Final L Lt- ,�s o -
OCCUPANCY t✓
Form 210-5M-11-59 S-B P -
• 1 nRl,n
100 r
COSTA MESA BUILDING-SAFETY DEPARTMENT FEE RECEIVED
P.O.BOX 317 COSTA MESA. CALIFORNIA ...lit; /F/.-j 2 -J—(`
FOR APPLICANT TO FILL IN COMPLETELY APPLI 4Yl9NCPC PJE M T
TYPE OR PRINT �` 'at6g MESA
ADILDINGDRESS qj (47
ADDRESS
ca i '/ A
COSTA MESAn LIFO RN IA FOR OFFICE USE ONLY
t _Q _ • X' j�.. ,I '� - I RECEIPT NO. I PERT NO.
OWNER C�L�V"'Y IIIA, ,{]I,-1 iI�j' l_ t-Q ..6'(T%i✓'1
MAIL altleac RECEIVED BY I DATE RECEIVED DATE ISSUED
ADDRESS C/ //-/6 -17 /1/ ---/Z -4�
TEL. BUILDING
CITY NO. ADDRESS
ARC`^TELT LID. COSTA MES , CALIFORNIA
OR .NEER NO. l
FIRE *'y � �
group
ADDRESS ZONE
STATE APPROVED
CONTRACTOR / `itt LIC.NO. BY DATE
ADDRESS 1- 1-go� �]�_��_ /IJQ�,Q .4.0-3 !.� ZONING ��p�['/J/�
'I LEGAL
DESCRIPTION NO. `3 I BLOCK I TRACT ONE f^ Li I PLANS 2/I BUNO.OF ELDINGOF EW�_� I
F.P.NO. I / J O 71-1114 APPROVEDJc` y oDATE / (�i
YVESGSOFLOTEDX 'b0 I NOW
ARDS
ALLOWED
USE OF O (CENTER LINE ST.) /^
EXISTING BLDG. FRONT SOFT. IN.
SETBACK LINE FROM ./
CENTER OF STREET Y REAR YARD IC t R.SIDE 17 FT. IN.
t
SIDE YARD I LEFT 5.....
I RIGHT (7 L.SIDE EFT. IN.
DESCRIPTION OF WORK
REAR OFT. IN. 6-1/!^'
NEV I PATTERATION I II ADDITION I
REPAIR I LOVING I II DEMOLISH I
5 ZIE DING .C/ `,� a�00MS STORIES "----1-11.�f / "' l� `
/
EXTERIOR
COVER NG WALL 4l /I CCOVVERING / �a�/. ,,2/6 T
USE OF BUILDING AND WORK TO BE PERFORMED. //
1.24-1 4' Off! / /
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CON THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
PLY WITH AL TY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDING C ST TION. ////���� VALUATION 9 ,,//
SIGNATURE OF p /// PERMIT FEE $ 7-V.
PERMITTEE / /
$ G`O' •PLAN CHECK $ / V. --
AUTHORIZED AGENT &A �I -7 7 3 l
�'
// 7 � , TOTAL FEE $ i