HomeMy WebLinkAbout628 TERMINAL WAY - Building PermitsAOP�i�ant to fill in all spaee
CITY OF COSTA MESA VERMIT NO.
CONSTRUCTION PERMIT Eo��a--�
within heavy DorGer lines and sign all aDorooriate Geclaration
TRACT NO. LOT NO. BLOG. NO.
^""" ^"""" 1 L���� i 1�; i. C.C.; � TYPE OF CONSTRUCTION
' Ownef - �� � L �r Phane -❑ NEW ❑ ADD ❑ ALTERATION �.N�
Address _$ N_ " ' ❑REPAIR f�2�ONVER510N ❑DEMOLISH� ��
� Arch/Eng. LicenSe No. - • � aTHER �
Addf¢SS - . DESCRIPTIONOFWORK—��-��T�?�Gi�� Sf_1
fl OtYlew
� Contractor u� - ��F zi Pfione •SS57LS� ' TVPE OF PERMIT �
Addfe55 �jy7 � �2pW..p L� � �� ❑GRADING��,,��❑FOUNDATION ❑STRVCTURAL
LICENSED CONTRACTOR DECLARATION -- - -- ❑TENANT LKELECTRICAL OPCUMBING ❑MECHAI
I h¢�lby afti�m th4t I am Ilcensea untle� provisions Ot Chdrttr 9(Com- .
mencing with �sectlon 7000) o� Division 3 0/ tne Business antl' ❑ OTHER -
Aofessions Cotle, antl my ❑c¢nse is in tu❑ torce antl epf(e�ct. '•
Llcense Class C�—��� ��'�iy ense No. �c --�y_ PROJECT DESCRIPTION �
Date 1- 5-53� c���w���.o ^�JI `. ( J �/� ' SQ; FT. �'J Ctiri �
WORKERS"COMPENSATION DECLARA ION' � OCCVPANCV_CONSTRVCTION TVPE D LL`Ge
I hereby affirm that I have a certificate o consent to se Ins re or a VALUATION ZONE
certiticate of Workers' Compensatlon Insurante; or"a <erUfietl <opy
�hereof (Section 3800, Lab. C.). . � GRADING'CU: VOS. ACRES
licy No. ComDany ' � ' -' � " -
'Certlfietl Copy I5 h¢r¢by fUrnishetl. � -- - � � - -REMARKS: - `
L] CertlBetl copy is filetl with tha city Builtling Division. '
EXEMVTION FROM WORKERS' COMPENSATION DECLARATION " �' '
�(ThiS section neetl �nat ba completetl if the permi[ Is for ono huntlretl . . ,
�E300) or les5). ' � � - ����
Ce�tlfy�that �n th¢ p¢rfOrmanC¢ of the work fo� whiCh Ihis permit IS .
Issuetl, I shall not emPloy any per on ny manner so as to become PWM6ING . ,t • PLAN CHECK �
subject to t�e Workers Compensation 1_aws � Iifor a. -
Date �-s�s2� $I9ndtura �^� B.qTHTVBS ' SHOWERS
NOTICE: If after making tnis tleclaration, you shoul0 b co o subject , TOIL'ETS' - '' - URINALS �
to the Workers' COTp¢nSdtlOn provi5ion5 Ot Ihe Labol Cotle, ou must �
forthwith ComO�Y N'�tn SucM1 provisYons or this permit shall be tleemed �VATORIES DOU6LE�LAVS
revoketl. - -� . . , . . _ _ _' _- ' _
CONSTRUCTION LENDING AGENCV KIT. SINKS DISHVJli5HEf35
I hereby affirm that Ihere Is a constructlon lentlin9 agency for the per- SERVICE SINKS �� SUMPS
tormanGe Of th¢ work for whiCh thi5 permit_is ISSuetl (Secllon 3097
Civ. CJ. " FLOOR SINKS ' FLOOR DRAIN!
l.entler]z. Name ^
Lenaer's Atltlress DRINKING FOUNTAINS
OVJNER�BUILDER DECLARATION � ' ' INTERCEPTORS CLARIFIERS '
I hereby.affirm tnat I am exempt from the Contractor'S License Law for
the following reason (Sectlon 7031.5 Busines§ anB Professions-Cotle: SWIMMING POOL PTRAP
Any. city or county whlcb requires a permit lo Cons[ruGt, al[er,
Improve, tlemolish or repair any slrutture, prior to its i5suance,al5o re- yyqTER SERVICE ALTERATION
quireSlhe ap�licanl fo� sucM1 OCrTit to file a.5igneU sta[emenl [hat be
Is licensetl pursuant to Ihe provisions of the Contractor's License Law � GAS SERV ICE ' ' OUTLETS
IChapter 9(COmm¢ncing with Section ]000) o/ DlviSion 3 of the
9o^�ess antl Proiessions Cotic) or that he is exemp[ Itiere/rom antl the yyqTER HEATERS BTU OVTPUT
G' br. the allegetl exemption. Any violation ol $ectlon 7031.5 Dy
a �plicani for a permit subj¢cts [h¢ applicant to-a�civil penalty $EWER CONNECTIONS
oi .c.more than five �untlretl Oollars (E500). '
❑ I, as owner of the property, or my employees with wage5 a5 their SOLAR TANK � COL'LECTORS
sole compensa[ion, will tlo-lhe work, antl the ztructure is not inientletl
or offeretl for sale. (Section 7044, BuSiness antl Profe55ions Cotle: The SOLAR PIPING SVS.
Cont�actor'S LicenSe Law tloes n0[ apply-to an own¢r-Of a prOPerty
who builtls or improve5 the�eon, an0 who tloes such work himself or ISSUE FEE � '
throu9h his own emplaye¢5, provltletl�that such improvemen[s are not �
Intentletl or offeretl ror sale. If, howeveq the Duiltling or Improvement MECHANICAL PLAN CHECK
Is�soltl within one year of cnmpletion,-the owner will have tho burtlen ---.- .
of proving he tlitl nol builtl or improv¢ for Ihe purpos¢ ol sal¢). HEATING $VSTEM 0-100,000 BTU_
❑'1� �as owner' of the property, am "ezclusively conVatting .with � qND DUCTING� '
IicenSetl <on[ractors to construct Ihe proj¢c[ (Settion ]044, Buziness 100,000�i BTU _
antl PPdfessions Cotle: The Contractor4 License'Law aoes not appry [o ' - ' "—'
an owner of property who builtls or improves thereon, antl who con- REFRIGERATION 0-100,000 BTU_
tiacts from"such projects with a contracto�(5)'❑cesnetl'pursuanc to' ' SYSTEM -
tbe Con[ractor's License Law). � IOO,OOO,+gTU_
❑ I am exempt untler Section �� B. & P. C. lor this gOIlERS BTV
ieason �' � � - '
Date- Owner' _ SVSTEMREPAIR,ALTERATION
I herebycer[ifythal 1 have �eatl this applicalion antl sta[e tltal [he dbove EXHAUST SVSTEM MULTIPIE
Slgnature �L�
Drivers' License or 55�
agr¢¢ lo comply wi[h all city antl coun[y
elating to construttion, antl h¢reby authoriz¢
'(y to enter upon tFe above m¢ntionetl
p�irpos s.
U"� Date � 'S K 7
!` -�SSUE FEE
icant; Pink-Accounting; Goltlenrotl-Assessor
CMF0865-46 Whlte-Builtlinq;
i
U�hU I/U6/tl�
A.P. �
ZONE
REAR YARD (TO P/L)
PKG. SPACE REQ.
STREET WIDTH
SPECIAL CONDITIO
ELECTRICAL
i REGULA710NS
PLNTGp. gRUEF. $
VROPE�RTVNLINE
� PROVIDED-
� PARK FEE S �•
DATE
PLAN CHECK I
IJ•UU IL
is.00 TL
i
GENERATOR 0-1 KW_1-10 KW '
TRANSFORMER
�APPLIANCE ]0-SO KW_50 t KW -
MOTORS , 0-1 HP_1-10 HP
�(INGSOLAR) -30-SOHP_SO+HP � -
FI%TURES �OVTlETS SWITCHES �
�GAS TUBE SIGNS � -- - '"
'
POLE LIGHT$ � - " " -
PANELS MAIN ��� SUB �
SERVICE I CCw-.,12.^".�AMP��'—•.•S ,
' "' _' . _ ' ""' . "' '. .
ISSVEFEE - �
APPUCATION APPROVED BV ' DATE " �
� �
SUMMARV OF FEES -* �•.'� v - - �
.BUILDING ` ' -" ' _ " �
PERMIT . _ b . 9MIP.' E •
PLAN CHECK E "PERMIT � ' 1
'- —'- "' ISSUANCE' E i
'PI.UMBING $ ' ' „ .
- -GRADING $ '
•PLANCHECK E � - � . - . ' , i
ELECTRICAI. §� E � i
- - MIGROFILM S ' �
PLANCHECK E , -
-MECHANICAL 5 - � TOTAL FEE E , � �
PLAN CHECK E �-E55 AD- ' . _
VANCEPC S_ �
FINAL FEE $ /`� �
CONSTRUCTION AND PLANNING POOL & SPA . _ ' .
APPROVALS Permit # '� Date Inspector qppROVALS � . Permit # Date Inspector �
1. Tempprary Electrical Service or Pole � 43. Pool & Equipment Location --- - � -
2. Soi� ipe-Undrgrn � � 44. - Steel Reinforcemen[ �
3. Electrical Conduit Utility-Undrgrn 45. Forms '
4. Electrical Conduit-Undrgrn 46. Electrical Bonding
tee ein orce • � 47. Rough Plumbing & Pressure Test ' � "
6. Electrical UFER Grn ' ' 48. APPROVALTO COVER-GUNIT.E
7. Footings ' 49. Electrical Conduit-Undr rn �
8. Foundation � - ' �-� � � � 50. Gas Pipe, ❑ Undr rn, Test ��� � � � � � �
9. Water pipe-Undrgrn 51. Backwash Lines P-Tra � nd rn �
� 10. Structural Floor System • � 52. APPROVAL TO DECK --' - �
� 11. Property Sewer Line & House Connection ' 53. Backwash & Rece tor-Finah + �� -� � � �
12. Street Sewer Connection ' - 54. Heater & Vent-Final �"
13. Rough Plumbing � - � �
14. Rough ElectricConduit - -- -� �56. Electrical-Final-- �
15. Rough Electric-Wiring " " -- - - - - 57. � Sotar System-Pinal � ' � � ' ' �
16. Rough Heating & Air Conditioning . . • encing & Access Approval �
17. Ducts, in Structure' APPROVED FOR PLASTERING -. � �
18. .Ducts, Ventilating 1 _ ___ _ � '.
19, Gas Pipe-Rough & Test 60. POOL/SPA SYSTEMS F INAL '�' . •, '
20. . Roof Framing _ , � , � .. . � � , , ,
� 21: Roof•gheathin ' � - � ' � , � •
22. .Frameand�Flashin- � NOTES: � �� �
23. -Insulation � ' ' � � '
' 24. Lathiqg & Siding - ' ' - � "
25: Drywall Nailing � � � ' �
26. Plaster Brown Coat . • ' � ^ - � `
27. Electrical Power'Meter-Final � GG �
' 26. -Final Electric _. �. �
29. F.inal Heating & Air Conditioning � ' '
30. Final Gas Pipe-Test ' -
31:__Final Plumbing ' ' �
32. _ Water Service-Final ' +'
33. Gas Service-Final ' � � -
34. Solar pomestic-Pinat ' � ' ' ' '
35. Landsca e S rinklin S stem ' - - �
36. Sounq Attenuation - ' ' + ' -� � '
37. Handicap Reyulations �
• 38. FINALSTRUCTURE&BUILDING �
39. SpeciQl Requirements Completed � � -
40. Electric Release to Edison � (-1 - 2.
41. Gas Release to Southern California Gas Co. � �
� 42. CERTIFICATE OF OCCUPANCY �
No� � Date � . . , . �
OWNER M�N`LGOMERY. ���'�7�= DAT� 8-6-62
r-�:N�RAL CONTRACTOR D
No. u6-2oo-22 Lar
] NSPECPIONS
TRACT
� Signature
FIRE ZONE
DATE GROOP
BUILDING PERMIT NO.
VALUE $ Bj�O.00
DESCRIPTION OF WORKRE
TYPE 7TT ZONE
SUBCONTRACTOR
� � I7645
~COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 C06fA MEBA. CALIFORNIA
For Applicani fo Fill In Complefely
,�TYPE OR PRINT
BUILDING / � n �/��l . • . . . . . ... _ . _
COSTA MESA CALIFORNIA
�—
� BeTBACN YN6 PHOM
FEE RECEIVED
au�b- �ss�
fINANCE OEPT.
CITY OF COSTA MESb �
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
HECEIPT NO. PlPN1Si�0� - ,' �
� � RECEIV�I �O /C/ C/ LF/-"I /.�
TEL. BUI�DING
NO. �- ADDRE55
iE^. `� COSTA MESA. CALIFORNIA
no. OF
DESCRIPTION OF WORK
BUILDING �� NO. OF V ,
81ZH ROOMS 6TORIE6
OVERINGWA�� �C !( I GOV�ERING {r O/�� O
U OF BU�LDING AND WORK TO BE,SERFORMED
�E/ioal"- X-/�-+L'�L7'S
O j6L C'>f . 'N F'1—
1 HCRlBY ALKNOWL8D66 THAT 1 NAVb READ THI9 MPLJGTION
AND BTAT4 THAT TX6 ABOVE 18 CORRCCT ANO AOpH6 TO COM-
PLY WITH �V- GTY OflDINANCEB AND BTAT¢ LAWB HeOULATIHG
BUILDINO �ONB}AL1CilON.
BIGNATURE OF��� ��l���y
PERMITTEI'
Al1THORIZED AGENT �ZUYZL��
ZONING
no. ov uae ov e
ruNa O aui�oina
LEow�
(CBNTER LINC BTJ
APPROVED
TH6
V�LUATION 18 FOR TMH
q PERMIT FEE ONLY.
' FEE � $ �j � ��
N
• v
]HEGK S '��
�' Z
C
FEE / a
OWNER ODMARRi H. T. & B7iZILi R. D. / DATE R_�_K�,
JOBADDRESS 6ZB TeT'ID1T181 Wgy � BUILDINGPERMITNO. 1(]_�
G_..ERALCONTRACTOR pi,r�er—builder VAWE $ 2T�(�_O(�
var�ance lh36
�oT BLOCK TRACT Store rentals
GROUP E3 TVPE Ij
IIVSPECTIONS DATE
Footing Trench ��� �
Foundation Forms and Grade to Garage
Rough Framing . �
s�_�.� y� -sT;
Plumbing, Rough to Slab
Plumbing, Rough Complete
Temporary Pole
Wiring, Rough
Heating, Rough
Hratino. Final �
; r, House Sewer, St.
Feptic Tank or Cesspool
Lathing, In Out /�
Plastering
Plumbing, Final, Fiutures Com e1
Plum6ing, Fin�al GasTest�
Wiring,Finai �
Occupancy /
�..._..., o� n r v i�nn � c
ZONE jQ�7 FIRE DISTRICT f��
PERMITS ISSUED
SUBCONTRACTOR
DATE I NUM61
Gosta Mesa Bnilding Department
171 EA8T 20th STREET
� COSTA MESA� CALIFORNIA
FOR APPLICANT TO FILL IN
uilding
ddrese �, Y T�MINtiL �!�
Costa Mesa, California
earest ������ M ST,
ross St.
wner la• �• ��}'�l4iLl�2V �.Y• QAZ.� l_
aaresg48��'wsr-��a� S'i'.
ity �64Gu%JA ��li No��►ty7-��
rChitecty, c Lia n �
i..Pn� F1G�CA�.:Ef' �FFA11c�LTn��_ �'� n'].
gs
Biock
Size oi Lot � J/� l`�}-U I Nowon Lot
Useof I No.of I
Existing Bldg. Familles
SetbaCk Line from ) Rear Vard
Centef oT 3treei �� Ride Va�d
Iding �O y t�Z� Roa
. 1�
er{or Wa11
rer(na i'-A{.1C.�COC•��
I hemby acknowledge that I have read this Applicatlon
and state that the above is rorrect and agree to comply
with all City Ordinances and State I.aws regulating
buildinB rnnstruCtion. n
Signatureof � � ��.,,. �, , V
Pe�mittee ^" w�_
Valuation +� aQ Permft Fee $�%. � 0
$ 2� G oa ` Plan Check $/� O O
\ Total /
Fee' $ b O O
v�� nn� C_II9 9M I`' SS
PLICATION FOR PERMIT
� p BlJILDiNG �
� FOR OF�'ICE USE ONLY
_ I Receipt No. I PermR N
Date Iss
Y j � /-.fS� �- 7-
�dZC�_ �E'R.t�fi�/J�
Costa Mesa, California
ti _ /_ , �
APPROVALS
�Foundation Loeation Inspeeto
Forms, Materials,
Under-Pinning
FINAL
ExL
L
F�
O
�
�
2
D
r
ri.v.� iri.r�i�
Show Iocation and distances from
property Iine and between buildings.
� � --, .. � ;
CO TA '• '
- . .- - . ^.oc-1-sSPD��- �4� �::��:6Z.o0
'�::
@
`6 I 9220 �
,' COSTA MESA BUILDINGSAFEfY DEPARTMEM
� P.O. BO%9�� G03TA M6HA. CALIFORNIA
For �Applicon► fo Fill In Complefely
TYPE OR PRINT
eu��oiNa �
ADDRE55 —
COSTA MESA. CALIFORNIA
I ��f_\I�
'HITECT
NGINEER
�FFC4 � � /
■ SETBACK
0
FFE RECEIVED
�AfAR 2 9 1969
FINANCE OEPT.
APPLICATIOtLh�F�QR�PrER�t�I�TA MESA
BUILDINC+
Fm ONICB UfB Only
�'
118C[I'T NO, p[pMIT NO.
/9,2�G
y DAT[ fl6C[I 6D D T618BUflO
— 7�'�G� .7_/_/_ 2
BUILDING
ZONING
NO. OP 119E OF N8W
PI.�Ne � OUILOINO �
�eoe�
' A.P.NO. IIV,r �
NOTE: NOEAVEOVERI
90' TO SIDE B REAR P
EAVE9
nO.oPeLDoe. � ALLOWED
NOW ON LOT
YARDS MPROVED
MAIN BUILDING
(FROM WLSTRE
4R YARD FRONT
�
DESCRIpT10N OF WORK
ROOF
1 HEREBY ACKNOWL@OOE THAT 1
RN� 9TATE TH�T TXE ABOVB IB
PLY WITH ALL CITY OHDINANCfiB
BUILOINOCONBTRUL}�ON �r
SIGNATUREOF �
PEftMITTE
AUTHORIZEO A ENT /
VAR.1F
J '�� � %
f_—
BHALL BE LE69 THAN
fU.B.C.REQUIREMENT:
YARDSAPPROVED
ACCESSORV BUILDIN6
6ET. MAIN
ACGESS.B
DATE
- N
$�. �. �
THIO APPLICIIT�ON TX8 AMOUM BNOWN UNOER VALU�TION IB ROR TN! F
IO A6RH8 TO COM• PURPOSE Op E9TABLI6HIN0 A PEPMIT FE8 ONLY. p
uWe���JJJaeouuTlNo yqLUAT10N � ^ ' m
� N
PERMIT FEE j
�D�- m
$ �� F
¢
3- �
TOTAL FEE