The URL can be used to link to this page

Home My WebLink About234 LILLIAN PL - Building PermitsApi CI7YOF;COSTAMESA CONSTRUCTION�PERMIT : Project�Address ��4 T.TT,T.Tj�N Applicant'sMailingAddress j ' � � � Owner'sName; p31T�n FTRnTNT � Phone54R-7dR9 Address � $AMF. � � Arch/Eng. , ' ` 1 License No. � Address Contractor'sNeme-ATT AMFRTC'AN� PTTTMRR'tid(j¢ � Shc—Q]� � Addresslmailingl 3Oi2 N. HESPERIAN� WAY SA City.License No. 29919 LICENSED CONTRACTOR OECLARATION ' ' 1 nereby affirm that I am licensetl untler provisions ot Cha� er 9(commencin9 with section �000) of Division 3 of the Business antl Pr essions Cotle, antl my license is in tull t ce d ei e. - � LicenseClass �'�� o. •44306 l� Date� � n/�.o.�_�q_� Q� Signat re �� WORKERS' COMPENSATION CLARATION i h¢reby affirm thaLl have a ce ficate of consent to self-insure or a certificate �>��1.'`-?.rWorkers' compensation Insurance, or a certitied copy.thereof (Sectlon zl"�0, Lab. C.) \ '.311cy No. PF( 1��9 mpany i BCertifietl copy iz he�eby fumisM1 . Cer[ifietl mpy is filetl with the ity B' ''S' �� Date��<1 �R�.�.._�G __ Applica EXEMPTION FROM WORKERS' C ENSATION OECLARATION (Thissectian neetl not be completetl� he permit is for one huntlretl ($300) or I¢55). � ' I certity that in tlte performance of tM1e work for which thi5 pe�mit is issuetl, I sball not emD�oy any pe�son In any manne� so as [o become subjet[ to the Workers' Compensation L`aws of California. � Da[e, ' Si9nature ' NOTICE: If, after making tnis declaratlon, you� shoultl become subject to the — Workers' Compenwtion provisions ot the Labor Cotle, you must Porthwith compry with such• provisions or this permit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV - � � ' I hereby aftirm that there is a mnsVuction lentling agency tor the performance o� the work tor �which this permii is issuetl (Section 309� Civ. C.) Lentler's Name Lentler's AOtlress- - — - - - OWNERBUILDER,DECLARATION � ' . I hereby affi�m that I am exempt from the Contracto�'s License Law for fhe following reason (Section ]03L5 Business antl Protessional Cotle: Any ciry or county whiCh requires a pe�mit to const�uCt; alt¢r, improve, tlemollsh o� repal� any structure, p�io� to its issuance, al5o requires the aOP�icant for such permit to file a signetl 5[atem¢nt lha[ he/she is licensetl pursuant to the provisions of the Contractor'S License Law (Chapter 9(commenGing with Sectlon 7000) ot � Division 3 of the Business antl Professions Cotle) or Ihat h2/Sbe I5 exempt -=from antl the Gasis for the allegetl exemption. Any vlolation ot Section .5 by any applicant for a permit subjects the aOP��cant to a civil Jty of not more than five huntlretl tlbllars (g500). , IJ 1, as owner ot the prOperty or my em0loyee5 with waqes as thei� sole ' compensation �will tlo.the work, antl the strutture is not intentletl or offeretl � for esale (Section ]044,� Business antl Professional Cotle: The Contractor's License Law tloes not appty to an owner ot a property who builtls or improves thereon, antl who tloes SucM1 wo�k M1imselt/herself or through hi5 or her own employees, p�ovitletl that such improvements are not inte0tletl o� otteretl to� sale: Ii, howeveq the builtling or improvement is soltl wi[hin one year of rom- pletion, the owner will have the bu�tlen of provin9 he/she tlitl not builtl o� Im- _ prove tor the purpose of sale). '� � . ' ❑'I, as Owne� ot the O�operty, am excWsively cont�acting with licensetl con- tractor5 to Construct th¢ project Settion 7044, Busine55 antl Professions Cotle: The Contractor's License Law �oes not apply to an owner of property who builtls or Improves thereon, ana who contracts for such�projects with a con- tractor(5) I¢ense pu�suant to th¢ Contractor'S License Law). I am aware that' proOf of their Worker'S Compensation insurance shoultl be Providetl to me. ❑.I am exempt untler Section , , , B. & P.'C. tor this reason" Date Owner I he�eby bertity that I have reatl this app lication antl stdte that the above informatio carrecL I aqree to com0�y/ �'%��h all city antl county ortlinances � antl sta aws elating to builtlinq wr}c[yf�ction antl hereby authorize repre- ,' sentati es of, t is city to �entef up6ythe above-m�:ntionetl property f,oy lo ipaces excepltFose wit�in � TRACT N� S'/� , � anE.sign all app TYPE OF CONS7RUC7iON ; LJ New LJ..coo L-1 ALTERATION I ❑ CONVERSION ❑'DEMOLISH ❑ OTHER DESCFIPTION OF WORK/USE OF BLDG. � TVPE OF PERMIT GRADING FOUNDATION STRUCTU'. ❑ TENANT.O ELEGTRICAI..O GLUMBING �MECHANICAL � � OTHER � ' � ' PROJECTDESCRIPTION 'Sa. F7. ' � oCCuvaNCv 'CONSTRUCTIONTVPE �VlaLUATION$_ 'ZONE " GRADINGCV.YDS: ACRES_ Remarks:' � • , , . `Ih ' , � . - ' . Bar Sink . � ' . Backflow Preventer Backflow Irrigation ', Bathtubs Clarifiers Dishwasher • � Drinking.Fountains Floor Drains . � Gas Service � Interceptors ' Kitchen Sink . - Lavamries � - P—Trap Roof Drains Reinspection Fee Outlets I PLUMBING ShoWers! ' . . $ervice Sink - " Sewer Cap� � ' Sewer Connection �. Solar Collectors - Solar Piping Solar Tank Swimming-Pool w/Spa � Urinal Water Closet � Water Heater � Water Service � � Auto-Wash Laundry Trays $15 eotler � i Duct- UnderGround � Duct-Structural � � Duct-Ventilating � ExhaustSystem ❑ �MWtiple❑ FirepUFact..Blt. ICBO # Hgating System & Ducting- �100,000 BTU O 100,000 BT ISi9nature , �a�e / -! , , I - tl ReinSPaction fee Drivers' LI se or 55 � CMF 0865-46, rev. 10/84 WM1ite - Builtling; Canary - Appllcant; Pink - Accountinq; Goltlenrotl - Assezsor $15 Iuue Fee A REPAIR L FEES A.P. # _ . S Main Building: , E T Front ARear ' � C Right � � g � Left � Ping. Fef. # Planning Notes: � : 6964 II/10/86 ' � -; , i ;. . Zo ' 'AccessoryBuilding: • t . ' Li.4i.t. _ ,' � " . � ; Parkirg�Req./Provided , �ELECTRICAL � Auromatic Washer � , Transformer "0 15-50 KW • . Construction Pole�Sub.. " _0 501 KW . Cooking:Unit .. � Meter �up to 100 amps ' Dishwasher , , Meter �over100amps � DrYers ❑Gas ❑Electric r� Fan F.A.U. " . Fixtures Device Boxes ' Outlets Switches � - � Garbage Disposal � - Generamr �0-5 KW OS-15 KW $ 3 FEES' Hood or Typel LJ Canopy Typell ❑ � , � Refrigeration System ❑o-ioo,000aru Oioo,000eru System Repair/Alteration , Fire Dampers . Registers' . ' , � Issue Fee , � � $ 3 1 Sub Panel Motors �0-7 HP �1'h-8 . InaSolar �9�15 HP.�16-i§+ Pole Light Range - � ; 7.00 7L i . - . � Sign ' - . ,. . _ _ Standing Sections " Trash Compactor , , I Reinspec[ion Fee '� $15 I ' Issue Fee DEVELOPMENT SERVICES REQUIREMENTS: �2onin9 APProved By . .. . .. Building Approved By Appliwtion laued By � i „ Z O N • ' �N � G R E Q i M T s i FEES ` ��. � $ 3 r . SUMMARV OF�FEES ` - i - � " ' . BUILDINGPERMIT $� - ;'SMIP . - $ PLAN CHECK � $ •PERMIT, � _ , PLUMBING - $. ISSUANCE - $ ,� PLAN CHECK 25% $ - ENEFGY P.C. $` � ELECTRICAL $ � GRADING� $ _ ' . PLAN CHECK 50%� {g7 � .�MICROFILM. $.�/) MECHANICALr%• "� .� .TOTAL FEE . $ -� �/ . � PLAN CHECK 25% $ - ' � • � CONSTRUCTION AND PLANNING � POOL & SPA - .' � � . � APPROVALS Permit # Date � Inspector , qppROVALS P,ermit # Date r 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-Undrgmd. . 55. Electriral Bonding � � 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test w•. 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE q;;; 7. Footings � , 58. Electrical Conduit-Undrgrnd. a.,� , _ 8. Foundation • � � 59�. Gas Pipe, O Undrgmd., Test �{w,} , . 9. Water Pipe-Undrgrnd. . 60. Backwash Lines,�P-Trap, O Undrgrnd. (,,.� � . � v:.•. 70. Structural Floor System 61. APPROVALTO 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 78. 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 O Gas ❑ Oil .. � 23. Gas Pipe-Rough & Test 72. Underground Flush _ � • " 24. Roof Framing � 73. Undergrnd. Storage Tank � Gas ❑ Oil - 25. Roof Sheathing 74. Overhead Hydro ' 26. T-Bar Ceiling (Structuraq & 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 � N :(�.�.$'/ �pu,(. qg pr/L• gppap• U�ryK, i�jp 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-F,inal • � � . ' 41. Solarpomestio-Final . ' 42. Backflow Preventer ' � , 43. Backflow Irrigation - . 44. Landscape Irrigation System � . 45. Sound Attenuation " . 46. Handicap Regulations � 47. F.INAL STRUCTURE & BUILDING � 48. Special Requirements Completed . - 49. Electric Release to Edison � , 50. Gas Release to Southern California Gas Co � ' . �51. CERTIFICATEOFOCCUPANCY � No. Date � - ' ' � �T. COSTA MESA BUILDING DEPARTWIENT P. 0. BOX 317 COSTA MESA CALIFORNIA C.�. OF STREET " _�iPROP LINE �__-__ T__ I 10 FT. FOR 60 FT. STREET � � � � � W z J a :�� l� PROP LINE " --r�--�---`------ C.L. OF STREE 1\ C�Ty �., ..,.�. F � W W I � W ~ Z N o � J C � � NE ---�I � v �45 al � ` � %��H � 5��' I ==-� : FT C3�.' S T. MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES------ MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES ,V �D � �� I �_ FOR APPLICANT TO FTLL I�i �� BUILDING ADDRESS "Z �� 1— � � �' � �'�� p� ��(��SR Owner �r)N AL li -1-. �!C y AR �S �IXI � Mail Ac�dress a,� A3`f h./ L� /R /� �L" I City C v STA /�'I gS� /f'c� Ph. No �./ � Iyal �ti _ � Contractor ��E /p Ph. No Address City Lic. No. State Lic. No. — --- �j ---- ----- -- Size oi Lo AP No.��y �� z � Setbacks: C/L Street Rear _ Side Yard - Right �S� / LeEt g S Type of Fence � %� ��Dd� . ��fi/GH i �9 _�F.�//Tf/ I hereby acknowledge that I have read this application and state that the above is correct and agree to comply with a11 City Ord- inances and State Laws regulating building construction. of Permittee o' ��'''��t��vUL/�'�!i//�"/Ji/l.c/ � Agent FOR OFFICE USE ONLY Per�it No.�/ � Q Received by Date Received Date Issued v1n_�^, / ��ao� s�' �� a �-r ' � VALUATION �t'�� d� Permit Fee $ � ' � Plan Check TOTAL FEE $ � USE REVERSE SIDE FOR DETAILS �—�--' /J'� 0 � � OWNER p JOB ADDRESS GENERAL COP C OCCUPANCY Form 210—SM-11-59 5-B P DATE ��:�iTrJ SUBCONTRACTOR 2-2 OF WOAK ,� � '��:�31 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 GOBTA MEBA, CALIFORNIA For Applieani to Fill In Comple+ely TYPE OR PRINT BUILOING '1' '3 ,[,/LLlfJ.<-P / � � ADDRES6 COSTA MESA. CALIFORNIA 0 � � EE R�CtiV �U ��a3�b o fIIVAN�E DEP�f. y ��;�S�TA MESA APPL4�AT R PERMIT eua�iw� For Office Use Only RECEIPT NO. P[I�MJT� �/ K REC6yV 9Y I DATE R�CEIVEO I TE I6: /lX� �T i'3/�1 BUILDING � �/ C��/ //� ADDRESS FF r COSTA MESA. CALIFORNIA / 3 �/ Z L'ou,�c5-A�{ [��p�' ; LbN(ING ('�j�./��,(,C� � � � I PLA 9F ,� I BIIILOING � � � a.; -zi 7�; TEL. �/�� y._ /9 r-if LEGAL _ �1 / —? ■ SIZE SETBACK LIN! FROM � CHNTER OP BTpEET SIDE YARD ILEFT II DESCRIPTION OF NO. OP BIDGB. BUILDING 4�k Z�j ROOMS �O�E SRE. G. EXTERIOR WALL ROOF • COVERING S70CCO COVERING �E USE OF BIJILDING AND WORK TO_BE PERFOI r Q �/J 1. YARDS APPROVED (CENTeR LINE BTd APPROVED M `N \'�/N �� , " ��3, Ed 1 HHflHBY �GKNOWLEDa¢ THAT � HAVE RBAD THIB APPlAWT10N {HE AMOUNT BHOWN UNOER VALUATION 16 FOR THE AN� 6iATE THAT THE ABOVC I6 CORIiECT AN� AGRE TO COM• pUPPOBE OF EBTABLIBHING F PERMIT FEE ONLY. PLY WITM ALL CITY O NANCEB AND 6TATE LAWB OULATING BuaotN6 coneixUci VALUATlON � SIGNATURE OF PERMIT FEE $� PERMITfE � � �{S S�`�-0� PLAN CHECK $ AUTHORIZED AGENT >v „ TOTAL FEE d 2 6 OWNER FAWCEIT, JAMES W. SOIL O WATER \ ROUGH PLUM6ING PROP. SWR. I.INE � SPRINKLING SYSTEM MISCELLANEOUS ROUGM HEATING ANO AIR UNDERGROUND U ROUGH WIRING TRENCHES � FORM F100R SVSTEM BON� BEAM � ST SHEATHING FRAME ANO FLASHING LATNING — IN P� qSTER, BROWN�COA' iIN LOT TRACT Si noture Date CON. � IOITIONING OR POLE POWER � REI F oiui ni.v: r�.i.i .✓l v vo -s DATE 11-15-71 BUILDING PERMIT N( SUBCONTRACTOR ..-•�'r 338b5 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 Z a U z za am J � J N i-� U� Z Q W � aw WZ J Q m Z J � W w � _ Z F W � �O H Z Q U J Q r N z � F U � � �"' N z _ vr.:._ � �;o�� t5-��,��-FCC ��,: r;::t:;:7_;�.5� APPLICATION FOR BUILDING PERMIT ForApplicant to Fill in Completely qECEI ED BV OATE RECEIVED DATEISSUED ADDRESS � �L C� / ��/ /��I� '�I .f' A.P.NO. � �� P OWNEH � � - /��, � C E � I MAi L BUIIDING n /� ADORESS SA�/H-� ADDRESS ,/�� / TEL. G`Iz TRACT //(CJJ LOT� / BLOCK cirv �45�%�/d- /�%cS�FF � No. 5 CONSTRUCTION W A . P LENDER _ / 7t BRANCH OWNER e ADD(iESS ' VALUE ` J-� AflCHITEC7 TEL S $ ✓dv OR ENGINEEq N . PIRE � �l ADDFE55 ZONE TVPE GROUP q`� _ / APPROVED CONTRACTOR �/, C� �y1 ' �G�l(d'r CG, BY DATE ADDRESS ��'f�i G��.dseL� ,Sr .TEL. ZO NO.Of USE OF NEW _ PLANS'g' BUILOING ' CITV CG$'%/J /�"1C-S'�J NO. y � STATE CITV �'ARDS APPROVED VARDS APPflOVED �I0. NO. �z Zp Cj LIC. NO. MAIN BUILDING ACCESSORV BUILDING 512E NO.OF BLDGS. (FROM C/L STREET) OF LOT NOW ON LOT FRONT FT. FT USE OF EXISTINGBLpG, �l(%"SSiD.4q/C� � � SIZE OF NO. OF NEWBLDG. FOOMS STORIES L.SIDE FT. FT. EMEIiIOF WALL ROOF COVERING COVERING REAR FT. FT. , USE OF BUILDING AND WORK TO BE PERfORMED DISTANCE BET. BET. MAIN & MAIN BLOGi. ACCESS. BLDGS. ��-zpl{-l!'` f=�QT_-' �/�h1A6'F' CURP.� ' APPROVED � APPROVED / _ 1 hereby acknowledge ihat I have read this application antl state that the ebove informetion is correct and aBr¢e to comply with all laws regulating builtling construction, and I shall not employ any perwn in violation ot Me workman's compensetion laws of the State ot California. °J b I hereby car�ity that I am properly licensetl as a contractor �nder SQ. FT. o the Stare ot Calitornia Business and Proteuions Cotle, Oivlsicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR � Chapter 9, antl that such licenses are in full force antl effect, or I TME PURPOSE OF ESTABLISHING A PERMIT FEE ON�V: m am ezempt from the provisions of the State of California Business ¢ VALVATION � �� m antl Professions C e, Division 3, Chapter 9. � PERMIT FEE $� � Signature of �, `!, O m Permfttee C�'u'��'+�'/�� $ l,/ v PLAN CNECK $ J O E -� � LS' 7% u Authorized qgent TOTAL FEE $ OwNsu RIC�3ARDSON; DONALD F. DATE 11-20-58 JOB ADDRESS 23j1 Lilli3il Place BUILDING PERhIIT NO. /�gOKI �� IF,�: GONTRACTOR Q� .r Bni l dar VAL[iE $- 89.00 TRACT PII2E ZONE DESCRIPTION OF WORK Ri GROUP TypE ZONE PLAN NO. PERMITSISSUED 1 ECTIONS DATE SU6CONTRACTOR DATE NUMBER Trenches Forms Steel Nloor System / � Stec( Reinforce C4imney Re-Rod i U Bond Beam �/ Framc and Flashing / Lathing, In Out � � / /_ Plastcr, brown coat � 11 b!Y ' �//1