HomeMy WebLinkAbout2864 LA SALLE AVE - Building Permits LF�OJECT.ADOREsS: 2864 LA SALLE AV 0NIT` • CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 054290
OWNER'S NAME: LE JOHN ' - =
ADDRESS: NGUYEN TUYET THI PERMIT NO: B . 054290 PLAN CHECK NO: N. GOVT: N •SUPP: N
2864 LA SALLE AVE • •
COSTA MESA,CA 92626 • CONSTRUCTION TYPE - PERMIT TYPE:. STR PURPOSE: ALT
736-0225
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/OFF REROOF W/CLASS A ASPHALT SHINGLES SQ FT: 3;000 '
ADDRESS: • • ' - UNIT:
CLAIM VALUE: 3,000. 00 CALC—VALUE: 3,000 . 00 GROUP OCC; R-1 •/ '
PERMITTEE: PRO—SPEC ROOFING ( 714 )744-4541 •
ADDRESS:: , 945 ,N. MAIN COMMENTS: SMOKE DETECTOR REQUIRED _.
ORANGE CA 92667 *************************** SEN*io***kFRF************iF**RFRF**RERF***kF************* ***
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under'provisions of Chapter 9(commencing with Section Z ONING R E Q U I R E M E• N T S
7000)of Division'3 of the Business and Professions Code,and my license is in full force and effect. ////JJJJ S E T• B A C K $
•
CITY LIC.: 04 2611 STATE LIC.:/71616 CLAS C_39�•
e9etc___ 6 7' / signature: MAIN BUILDING ACCESSORY BUILDING •
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure ora mficate of Workers' FRNT: . FT IN REAR: • FT 'IN FRNT: FT IN REAR: • FT IN
Compensation Insurance:or a certified copy thereof(Section 3800.Lab.CI. LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: 0710508-91 EXP.DATE: 09/01 /92
COMPANY: STATE FUND PARKING REQ: PROV: PARCEL: 14166225 •ZNE: REF NO;
❑ Certified copy is hereby furnished. LX Certified copy is filed with the m^t�(((((�u/////BYIddmg Division. r PLANNING N(STE$>.
J Applicant: . >
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION:• (This section need not be completed if the permit is for one hu red(S100)or less). x DEVELOPMENT SERVICES REQUIREMENTS
I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE:
Dale: Signature: ..
NOTICE:If.atter making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILD ING APPROVED BY : DATE:
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked.
f //
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: C 1E iE DATE• /6—'7 9YiF
which this permit is issued(Section 3097.Civ.C). **.*****{F.* F• * ***.
LENDER: • *******************************************************************************
ADDRESS: . - LEGALIZATION;N F E E SUMMARY '' STRUCTURAL SEGMENT:Y
•
;l.
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMI•P/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 54 . 00 • 50
repair any structure,prior 10 its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed • ^$MIP/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business
and Prolessions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any.violation of Section 7031.5 by PLAN •
5.
any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars($500), ISSUE FEE �•""'
I. as owner'of the property or my employees with'wages as their sole compensation, will do the work, and the' BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL `` PAID DUE
❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS—'---> ' 54 , 50 0. 00 0.00 54 , 50 r< , 54 ,,50 • 00
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 employees,provided that such improvements are not intended or offered for sale. If, however the building or REVENUE DIVISION TOTALS--> COLLECTED: 54 . 50 OVER/ SHORT • 00
improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve
. for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT .GRADING PLAN—CHECK
I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 5 4 •00 • 50' eft,
and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon '
• and who contracts for such projects with a contraitor(s)license pursuant to the Contractors'State License Law).I am aware ***************************************************************.****************
that proof of their worker's Compensation insurance should be provided to me. I N D I V I D U. A L F E E BREAKDO W' NI ' .
o I am exempt under Section: B.&P.C. '
for mason: TYPE QTY D E S C R I P T I O N • UNIT COST . TOTAL COST
Dale: owner: SFR 3000 REROOF BY VA UE RESIDENTIAL NOZONE 1 1 , 00 3,000, 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES • ,
25534 and that or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions. E X. n I R E D
Dale'. Applicant: Il1COfilpIt3t �IISpectiOf13
I hereby certify that I have read this application and stale that the above information is correct.I agree to comply with all city and county ,
ordinances and state laws relating to building construction and hereby Ihor a representatives of this tylo enter upo the above-mentioned - - �� J
properly for inspection purposes. �,96 a .sem_, — SIB 01 00090491-9C0429S2 T C~ .-
„ / O� i7 - - ' • li DATE:, 10/07/91 TINE: Yu:,1?
ale. ,Signature:
Driver's License or Social Security n: ' . b
164146 White—Building:Green—Code EnlorcernenL Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
1 POOL &SPA
71 CONSTRUCTION AND PLANNING • '
'J APPROVALS Permit# I Date Inspector APPROVALS Permit # Date Inspector
. r(
1. Temporary Electrical Servic4 4r Pole J 52. Pool & Equipment Location
- -
2; Soil Pipe-Undrgrnd. rt. r< c9 : 53. Steel Reinforcement .'r
x3'1-Etecirical Condwt,Utility-Undrgrnd -'1 ' 54. Forms - -
.o r J.:- j % mn-
$.4:;Electrtcal Condpjt Undrgrnd.._ t ,7 55. Electrical Bonding - •'
"-5' Ste`e7Reinforcement 'C i• 56. Rough Plumbing & Pressure Test -
06. ElectricaIUFE6'Grnd. ," 57. APPROVAL TO COVER-GUNITE
-.:7. Footings x ti 58. Electrical Conduit-Undrgrnd. t.-
t*18. Foundation S o ro 59. Gas Pipe, 0 Undrgrnd.,Test • CO
9e.Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. `
10. Structural Floor System 'i �!r 61. APPROVAL TO.DECK -
11. Property Sewer Line-& House`Conrtection V 62. Backwash & Receptor-Final •'
12. Sew"! Cap 4' n ? 63. Heater & Vent-Final r
a.) ❑., c,
13. Roof Drains r: 4, J 64. Plumbing System - Final ,;
14. Rough Plumbing t- ,2' 65. Electrical-Final
•
•
15. Rough Electrithl-Conduit, It 66. Solar System-Final j'1 ^
h Electric
16. Rou •Wirin
9 -1 9 `V 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING t
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 1!
19. Rough Heating & Air Conditioning • FIRE DEPT. REQUIREMENT
tr, 'r
- c tr:rn X [u +
20.p• -.- Factory Fj''1, e t 'K rr !r * C c C'+ ?' [APPRO;VA-rn _.t "-s # -y c-
T .n .f "S.''1, i 'err F�•,f 'e _ M�Y �i rl r L+'nt�[� ^. -r e•e [i'
f. ee r-Er t �E- ;rS * ~ - _i X70. l7ndejiluld H rtdro +T7
21.'�UCf$, Irl_J[r UC[Ufpk J H,F .• 1:1 9 ] Y s.
22:Duci, Ventilating•. i CJ;S x S Sr ' P+71. Product:PingGas OOil
n . , 2..- . �- ._. .. ..
23=Gas[Pipdfough &'Test ' t[; _"' f' 172. Under brinb Fl sh-' ` Ci L'
•-/ i Cn.1 !, lT `.: :�X * 9 -_7'V y H 0
24.nRoof Framing. ga I , .� ••i- k 0 e• :- S73: :Undergrnd>Storage;Tank D Gas O 00
Z.� Y
25. Rout Sh thing t C : ,- L'- C ^ j F v -'747,Overhead Hydrot'F"o
v
; l- r _ e ;fla. -r - mac'
26.;T-Bar Ceiling (Sttueturall &;Jj!'lonocoat a _ C 3t t: r 75 Dry Chemical --? ./. .-• G t.
y.
27 j Frame and Flashin ' to 7a [D H'' ' h 5 1S * s m
y 4 rrr�x G tr * =" r t3'i x 76.["L`lr'y Standpipe t-ta :ko
,_28. Lathin4 Siding:- :t . ....-11:2•(-2' Irk .. ..; .. 77,`FIXED SYSTEM:SINALI. It' ,r '
529. Insulati&Yn -. 6":',. C S •• > 1:11 I , 1R X 78 FIRE PR-EV. FIN4L p.
r30. DrywalltNailtog I•[>. r , ..-<F. -; HEALT
; H,DEPTt REQUIRMENT
z _ _
C31. Plaster Biown,Coatt ,_, 1rr.rr r � l' .....I:. ' ,r79C.FINA L Il4J.SPECTION :� --c `;-e. v _
P132,,Electrical Po er *IWeiec;Finalj F.1 5.17.• . x ,80.trFOOD CEng?'F,6ATE ISSUED`' - L-r.
33.e,Fin i ElAtriO 'I-, I 2 ;.... 1-11 l • * •-Notes: t= "z "r ' t6 1
e 34. Fina{ Hefting& AirtGondltion ki9i F ;,s S 1 r' S •0'rs_,• , o
F.._ r: •
35.trFinal Gas1Piptr-Testi �A t I �r :1-‹. - . CI ins 'r [r .SO :,; 7 '
a36'Hood or'Canopy < , [,..� :1; :� +. = t �: ;1 -
c •t-, :. I.'7 �;ly �_ __� i
T_37.CFina1l Factory Fireplace i St^ -. [n ' kr + .• h
C.' Final.Plating A n; [n :l 1 If: t S ,, •: txi C i
'39. Water Service-Final ` I �' r I Y a up± . :;
F.') t , I ft I * � :% -S a
iii40. Gas Se S ce-F nal Y ,4, .t' f< 1: m ' x i;nom .,_:co at trl
y'41. Solar Domestic-Final S Cr t •• :� I 1 ir, .,. c4:1: _ ;r r<. ,.
E42`BackfloPreventery '•
C:3; r 0 x s u �J( y -
43. Backflow Irrigation u:SZ :r. '� 'r y.r
>• r s- J. :n EXPek'EDs r
ei
3144. Landscape Ir{igation Systems n::j !r x An a .,-:,4: x u; re [L •mpfete;lnspect}oits ti: 0
�95.rSound Attenuation'
!--;Zit I yfl9'2 v,4
$I[
�46t.Handica Re ulations �' -'. C:[ •• "` `° -`'`'' S ,t
Q, 9. n x .. u; Il: •� GCS •.
•47..FINAL STRIJCTURE & BUJ'LDING +' t `''r -+ %� C;c•a .. :}
48�,fINALPLANNING' I n••r t. ' ' a 7 ' c
I '-•E-• f 0.1 I I .' ' €• +: ]- 6"1 til d. -r 1- W
,-49.`rElectric Release to Edison _R I y o
r. _ :7
`'5O Gas ielease to Southern California Gas Co :t i I 11; y S C r c„.,- v
51. CERTIFICATE OFyOCCUPANCY ; : >. 'TIC :rN. i:; 5
No. Date
City of Costa Mesa
Building Safety Department CERTIFICATE OF OCCUPANCY N° 1846 C.
P. 0. Box 317
Costa Mesa, California
' The Building located at 2861t La galla A;Cze) f D
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
i for a Group T,%T _ Occupancy.
Use of Building Prnivnlrw Romiderers -faith at+-trhr,ri Earner _ _ .
.I Legal Description Lot 15, Tract 5013.
(See reverse side for Metes and Bounds)
Building Permit No. 19/139 Electrical Permit No. ?01149 Plumbing Permit Na. 381118
Floor Load Signs have been installed as Room Capacity Signs have been instaled as
required under Sec. 2308 U. B. C. required under Sec. 3301 (1) U. B. C.
17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied
until the owner or operator has been issued a valid certificate of occupancy by the enforcement agency.
(b) A new certificate of occupancy shall be obtained whenever there is a change in:
1) Occupancy classification of a building or portion thereof
2) The number of apartments or guest rooms
3) Ownership
If Group H Occupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California
Administrative Code, Title 8, Chapter 9, Article 8.
Number of apartments— 11 and/or guest rooms,_.
ISSUED TO: Building Official
;
EYCR0f1' TERRACE, 1110. by /.U/� ��/ -.
Date January' 20, 1964
This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed
• except by the Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.C. Form 13U34—IM-11-63--s-B P
•
•
19839 FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT HU N 1. 0 1983
P.O.BOX 317 COSTA MESA,CALIFORNIA
. FINANCE DEPT.
For Applicant to Fill In Completely CIT4134KVOOTA FttEratERmrr
TYPE OR PRINT BUILDING
2864 La Salle Ave. For Office Use Only
BUILDING
ADDRESS Lot 15, Tract 5011
RECEIPT NO.
COSTA MESA. CALIFORNIA rgq
REDA
pt p BY DE REcfrvED 1 I V U 1E833
OWNER Hycreft Terrace Inc. - /D''!��3r V
BUILDING
MAILADDRESS
ADDRESS ' 250 E. 17th St. Suite G T
FIRE
CITY Costa Mesa NOL. 646-9347 ZONE TYPE GROUP f(J
APPROVED
ARCHITECTTEL.Charles A. HillerNo'PR5-2007 BY - DATE
OR ENGINEER
ZONING
ADDRESS 925 N. Rnoli d' SVA An»hnim44141,1,-49
,/1 1,1,-
�ZON `, NO.OF/1 USE OF NEjjrYY,' �I�1'�✓I�y y
I PLANK( / BUILD,I IiO//1� ,I,,__ I
CONTRACTOR Same .. - (!�y[ W/, `^�jj
LEGAL i'� lJ 1r rj-R J^0 //
ADDRESS Same DEeGRIPTION
'
CITY Same
NOTE: NO SAVE OVERHANG SHALL BE LESS THAN
STATE TEL. came 90"TO SIDE Q REAR P.L.
LIC.NO. 82160 NO. EAVES
$9IIle
SIZENO.OF SLOGS. ALLOWED (U.B.C.REQUIREMENT)
OF LOT 701 X 971 Now ON LOT YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
(FROM C/L STREET)
SETBACK LINE FROM (1(J
CENTER OF STREET 40' REAR YARD 14a FRONT /n/ FT. FT.
SIDE YARDI LEFT 5I I RIGHT 101 R.SIDE . l0 FT. FT.
DESCRIPTION OF WORK .. L.SIDE ...6.
.. FT. FT.
NEW X ALTERATION ADDITION REAR / FT. FT. �y
DISTANCE BET. BET.MAIN B IL/
REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS. BLDGS. S
BUILDING NO.OR VAR.# DATE LLi
SIZE 551 x 731 ROOMS STORIES 2 C.U.P.# gik APPROVED
EXTERIOR WALL ROOF APPR�1 r�a� ` 1.,c CF
COVERING - CO I COVERING Shake .. BY ' It iN1.. 414 DATE 1Ce)
USE OF BUILDING AND WORK TO�BE�Pgn F�ppl+Eo
Apt. (4 plex)/U///tf�i 1� _ 11.-(."
., V
p9 W
Hy��7SQ.FT. /�O/ p' I 35
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AIM AMOUNT SHOWN UNDER VALUATION IS FOR THE 7 cd
AND STATE THAT THE ABOVE IS CORRECT ANO AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O O
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION / �J `/� m D"
BUILDING CONSTRUCTION. - PERMIT FEE $ 11� 17$V D ] Q
PERMITTEE OF
HYCROFT TERRACE, INC. a
� $y� 4/,z6 Cr3 To
AUTHORIZED AGENT /� Lf'
.i• 1 • TOTAL FEE $/ v