HomeMy WebLinkAbout2217 MAPLE ST - Building Permits �/ N
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.7ADDlicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO.
\Project Address fan m0.PI� t
(T�9'L C:) ..47.4.-7S3� 0-c)Applicant'3M1�ling Address az-CO) C •& flktsO_ ' TYPE OF CONSTRUCTION LI NEW U ADD U ALTERATION U REPAIR
�t0at U.I R.I PhoneID 1uT ❑ CONVERSION ❑ DEMOLISH ❑ OTHERA•p,# Zone
Ownef's Name / ,s} �s.��,, p DESCRIPTION OF WORK/USE OF BLDG.
Address ati MAO e. 0,0 et. -et 11vGS-R,a L --1.0,17t S Main Building: Accessory Building: Z
Arch/Eng. License No. - `,TYPE OF PERMIT U GRADING ❑ FOUNDATION ❑ STRUCTURAL T Front Q
Address ■ CI TENANT El ELECTRICAL El PLUMBING 1111 MECHANICAL y B Rear N
Cc�'actor's Nam' Ojai Phone f ❑ OTHER A I
.-PROJECT DESCRIPTION SQ. FT. \r7 LA9 OCCUPANCY C Right N
G
Addre55(1hailing) CONSTRUCTION TYPE Ni VALUATION$ Z)xo_ S Left R
City License No. ' .. ZONE GRADING CU.YDS. - ACRES
LICENSED CONTRACTOR DECLARATION r Ping. Ref.# Parking Req./Provided E
I hereby affirm I am licensed under provisions of Charter,9 (commencing Remarks: Te-t.--Cern (.,� 1 Ler
U J Planning Notes: 0
with section 7000) of Division 3 of the Business and Professions Code, and r[1 t
my license is in full force and effect:, t' T
License Class License No 0. S
Date Signature . - PLUMBING FEES _
WORKERS'COMPENSATION DECLARATIONi Bar Sink Showers
I hereby affirm that I have a certiflcat{ol consent to self-insure.or a certificate ELECTRICAL FEES
' Workers' Compensation Insurance, ova certified copy thereof (Section Backflow Preventer Service Sink
DO, Lab. C.) <'• Automatic Washer Transformer 0 15-50 KW
alicy No. " Company • Backf low Irrigation Sewer Cap Construction Pole Sub. 050+KW
8 Certified copy Is hereby furnished. - -
Certified copy Is Pled with the city Building Division. f •. Bathtubs Sewer Connection Cooking Unit Meter Duo 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 which this pe}mit is issued,i-
shall not employ any'persggqn in any ii. ner,so a • •ecome - bject to • Drinking Fountains Solar Tank Fan Motors 00-1 HP ❑1Ya-8
Workers) CgsppP a1lon Laws of Calif _
Date /^ / �d /Signature Y- ., !-_/ l..r. Floor Drains Swimming Pool w/Spa �— F.A.U. Inc.Solar❑g-15 HP❑16.15+
NOTICE:If,after making this declarat on,you should be e subject to the
Workers' Compensation provisions of the Labor Code, • must forthwith Floor Sinks ' Urinal
comply with such -provisions or this permit shall b• deemed revoked. Fixtures Microwave
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes Pole Light
I hereby affirm that there Is a construction lending agency for the performance 9
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
any structure, prior.to Its Issuance, also requires the applicant for such permit 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
'1.5 by any applicant for a permit subjects the applicant to a civil
shy of not more than five hundred dollars($500).
i• -.'1, 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 $ 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 tnrough 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 0 Zoning Approved By Date
eBuilplebn, the owner will have the burden 01 proving he/she did not build or im- Duct- Under Ground
Pr a for the purpose of sale).
ding Approved By Date I
I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date
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 0o-100,000 BTU 0100,000 BTU SUMMARY OFFEES
builds or Improves thereon, and who contracts for such projects with a con- q�t SSS, RI
)
tractor(: license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple❑ System Repair/Alteration BUILDING PERMIZYSZ` Se SMIP $ Q0...._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.Bit. ICBO# Fire Dampers J PERMIT
ISSUANCE $
/ PLUMBING $
Date '2—"T" —/ Owner _ - l.J1_ i Z. . Heating System& Ducting Registers PLAN CHECK 25% S ENERGY P.C. $
I hereby certify that I have read this application and ."e that the above 00.100,000 BTU ❑100,000BTL GRADING $
information is correct. I agree to comply with all city an. -aunty ordinances ELECTRICAL $
and state laws relating to building construction, and hereby authorize repre-
sentatives of this city to enter upon the above-mentioned property for PLAN CHECK 50% $ MICROFILM $
inspection py,(po{es. /� p
Signature •(.n.tintWI Date 7-7-k0 MECHANICAL $ TOTAL FEE $ '---
Drivers' License or SS# Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% 5
Oa • Ui UUUU5 4S-UfUU9349 T1..7
CMF 0865-46,rev.10/84 White - Building: Canary - Applicant; Pink -Accounting;Goldenrod - Assessor T 5"'3,53
CONSTRUCTION AND PLANNING POOL &SPA
APPROVALS Permit'# Date Inspector APPROVALS Permit# Date Inspector
1'7'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 UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings ' • ' 58. Electrical Conduit-Undrgrnd.
•
8. Foundation ' . 59. Gas Pipe, O Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 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 d
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro •
22. Ducts, Ventilating 71. Product Piping 0 Gas ❑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 - 1
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating& Air Conditioning
35. Final Gas Pipe-Test yJ . �~ //�j •
f U//,A/�11 //0-44 / 7t Ars------2
36. Hood or Canopy
37. Final Factory Fireplace
38: Final Plumbing r-\
39. Water Service-Final any n/c e /f5 /J[Y"• id
40. Gas Service-Final /j O /tee 7
41. Solar Domestic-Final \ •
-42. Backflow Preventer /fot�ct �/'r7a
al43. Backflow Irrigation U„/
44. Landscape Irrigation System //J/ ?-fy '
45. Sound Attenuation '
46. Handic
7FINALa STRUCTURE
/ //�c^
47. FINAL STRUCTURE & BUILDING 7 /3/�E
48. Special Requirements Completed •
49: Electric Release to Edison {
t`
50. Gas Release to Southern California Gas Co G'
51. CERTIFICATE OF OCCUPANCY
No. - Dater._•_.s_ _ 1
/,
COSTA MESA BUILDING DEPARTMENT
P. I 5325
O. BOX 317
COSTA MESA CALIFORNIA
FOR APPLICANT TO FILL
C.L. OF STREET-----.-
I [/j
I BUILDING A''D^^D__RESS,' 2/ 7 n 2. A
_� -PROP. LINE I
Owner " h'` /3 .moi Stilt
/r 10 FT. FOR 60 FT. STREET 12 FT. 611T. FOR i Mail Address
'—�50 FT STREET
I I City ren -cam —'-vim Ph. No.
' I Contractor ilii-C i / — -�/Ph. N �'7 f'7 r/o
Address)//j �-i+ �.✓° , le ..
50 FTI IF FRON City Lic. No. 6) 3 9i State 'c. No.
f OF PROP. — ......-
I
150 FT 3�5 w Size of Lot '5 .n /'®/P N.. Am..sd /0 - /: x944,
E� z q
I- J z , N Setbacks: C/L Street / 7/ Rear 0 r
m • ] m b. Side Yard - Right ci Left - 0 �_
y ---- \ \ a0 v 21 rt OJ Type of Fence 4 7 U /
o.
\ALL Y PRvOflNEN I_a /
J
i---- — ;/ I hereby acknowledge that I have read this application and state
r s _ z� C w Iv/ that the above is correc .1 d agree to comply w' h all City Ord-
cu,y n to ec I inances and State La •gula ' g buildin• coy ruc ion.
\+ �? �. ' � •
'` I H U d Signature —
1 C ° E.' 1O of Permittee r"�-- - f� i
In e _ D FT
C`. a I Agent
ik ! s�a. 1 7 t. o
37 s 1N. dam o ., - a I FOR OFFICE USE ONLY
FT. m r w 40
z 0 I- z FT
J U , turptiPermit No.
r
¢ 60 F ST. Rec iv d by Date Received Date Issued
II50 FT. ST. I 1= t ~ ���/ �. �c— /'s
____ __ __ _ ' F E R ' EIVED
1 PROP LINE " I VALUATION
i
— 0 — — — — — , ' l/ r �O Permit Fee $ �t vs
,q�_f� FINANIE EPT. St Plan Check $
C.L. OF STREET " —"--- • •ITY OF OSA MESA $
TOTAL FEE ',
MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES -- - ---
MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES USE REVERSE SIDE FOR DETAILS
OWNER HIRTLER, JACK-C.- DATE 11-19-56
JOB ADDRESS 2217 Maple Street BUILDING PERMIT NO. #39Th
G--'ERAL CONTRACTOR Dike &. Colegy-pve VALUE $ 11,236.00
LOT 13 BLOCK TRACT 2296 Sing3e res. w/att. gar.
GROUP I & J TYPE V ZONE Rh FIRE DISTRICT 14016
INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED
DATE NUMBER
Footing Trench F` 0
Foundation Forms and Grade to Gara
Rough Framing c� 1'; 7 - -
Plumbing,Rough to Slab 714'ifr ,jjt^r rets . an l/-29-S4 7?AS
Plumbing, Rough Complete / if _ '5' J
Temporary Pole
Wiring, Rough JAN 6 1957 VCC 6,itz.4.., J JAW 1 0 195 5 ge/
Heating, Rough V� -
Heating, Final�, �r /i is -S 4 /Og„ Z,vS7CZ);t,4'/o7 - 3/.r/, '7 -2,
Sewer,IHouse�;y /16-.Sewer,8t. lip, ' -j9-S7 p , -2,67.....441....a.,_ /_2,c-S'7 /_ _PAC—
E ;TankvDI'Cesspool /
Lalling, Inc #/ /(2 Out 64r1- ,,)..s-.74-7Plastering V-- °Pr� .me 40
Plumbing,Final,Fixtures Complete %4 ' z y/ ry
Plumbing,Final Gas Test /.r/ 1 f -//o„o •-2.--.J -.2 -I 11-`--",'.......1
Wiring,Final APR- 2 1957 V B ♦ A A'I 9 ,/ /^ ,i Al i
Occupancy MIL 1 dr2A
FORM 210 3M 10.95 I I
Costa Mesa Building Department I APPLICATION FOR PERMIT
•...*ca P. O. Box317 "RI6 BUILDING11
-r • COSTA MESA, CALIFORNIA
IMES FOX,OFFICE USE ONLY
FOR APPLICANT TO FILL IN Receipt No. Permit No.
Building
Address 2217 Maple Street I 3 9 744
Costa Mesa, California
Received by Date Rec'd. Date Issued
Nearest Wilson St. 124y° 1/ _ 19-CO // /9-SZ
Cross St. Building
Owner Jack C. Hirtler Address
Costa Mesa, California
Mall 419 E. 17th St. Costa Mesa
Address , Nearest
Tel. Cross St.
p
City No.Li. 8-1151 Zone n , / No.of Group,�X
Architect or Lic. 4-({ I Plans I Type ,,7/ J
Engineer Carlson & Middlebrod e. Approved
by Date
'tress Garden Grove CORRECTIONS
y
contractor Dike and Colegrove NNo. Lic. 4615
Address 419 E. 17th St. , Costa Mesa
Legal Description I No.3' I Block I Trac12296 -
(Attach Metes and Bounds)
Size of Lot 59 E 101 INo.Now of onBldgs.Lot none
Uof I No.of 1 I No.of gi a
none Existing Bldg. Families Rooms 5
Setback Line from Rear Yard 331
Center of Street 901 Side Yard 51 D
DESCRIPTION OF WORK • r
New I X I Alteration I I Addition I
Repair I I Moving I I Demolish I6
6
Building No.of i,,,,
12• S. ft Rooms • Stories 1 CI
: rlor Wall Roof
ering stucco I Covering comp. & rock APPROVALS =
Use of New
Building Single family residence Foundation Location Inspector - Date
Uorms,nder. Materials,
Under-Pinning
Plan 7(K/H Frame: Fire Stops, "
Bracing,Bolts
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to comply Lath.Int. C
with all City Ordinances and State Laws regulating A_
building construction. Lath. Ext
Signature of
Permittee �t Plaster,Int
Authorized Agt CC!. C2� ICL( Piaster,Ext e
Valuation Permit Fee $ 241#'' \d-o ' Masonry Reinforced N
$ it a-36, Plan Check $ /f/. b0 Bond Beam
Total !,/ p
/
Fee $ 2. OMO FINAL r,
FORM 204 10.15 O.P..9.
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Street '
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PLOT PLAN
Show location and distances from
property line and between buildings.
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OWNER DUNLEA, J.M. SEP 2 4.1957 DATE 6-11-57
—
JOB ADDRESS 2211 Maple Ave.' BUILDING PERMIT NO. #5292
GENERAL CONTRACTOR Heet Brothers VALUE $ 70.00
- ,,a,;No. LOT 13 TRACT2966 FIRE ZONE DESCRIPTION OF WORK Fence ,
Gt 'OUP TYPE ZONE PLAN NO. #5325
INSPECTIONS DATE SUBCONTACTOR PERMITS ISSUED
/cam,/ DATE NUMBER
Trenches Forms Steel �l fll`
Floor System
Steel Reinforce Chimney Re-Roday
Bond Beam (6
Frame and Flashing J
Lathing, In Out ,7 x.,"
/
Plaster, brown coat L
Underground soil WIG Pipe Test ��// !
Top Out •'' ,,�/ j/"� __
Furnace - " p/',J ,/L' _ rile
Gas Vents A I 1 1 // ."--
Rough
Rough Plumbing A a, v
Cesspool Septic Tank / 6/ b /
Prop. Swr. Line House Con. St. Swr. �� - r,
S;_-.- kliug System ^a
-%"^hg Final
—
Pumbing Fixtures, Final _
Final Gas Test _
Construction Pole
Underground Power _
Rough Wiring
Fixtures, Final _
OCCUPANCY '
Form 210-5M-1-57 1i292