HomeMy WebLinkAbout1589 Tustin Ave - Building Permits PROJECT ADDRESS: 1589 TUSTIN AV UNIT: • CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 046785
OWNER'S NAME: FAY ELMBLADE - -
ADDRESS: 1589 TUSTIN AV PERMIT NO: D 046785 PLAN CHECK NO: N - GOVT: N SUPP : N
COSTA MESA
? CA 92627 • CONSTRUCTION TYPE: 5-N PERMIT TYPE: STR PURPOSE: ALT
•( 714 ) 548-6387
ARCH/ENGINEER: REG.NO.: .JOB DESCRIPTION : RE-ROOF/T.O. , 1BASE/2PLY/1 CAPSHEET SQ FT: 2, 473
ADDRESS: • UNIT:
If •
CLAIM VALUE: 2, 473 . 00 CALC-VALUE: 2 , 473 . 00 'GROUP OCC: R-3 /:
PERMITTEE; CRANK BROTHERS ROOFING CO ( 714 ) 548-5569 _ •
ADDRESS: 126 COMMERCIAL WY COMMENTS : SMOKE DETECTOR(S) REQUIRED IN HOME.
• C.M. CA 92627 • iE**** kis**ififkkk*SEM*****Ec*** **+ *****M*******dritis***********************4**.******
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapt/-(commencing with ****M**Z O N I N G R E Q U I' R E N E N T S
7000)of Division 3 of the Business and Professions Code,an i my license Is In lull for . . • effect. SETBACKS ,
CITY tic.: 0 0 5 9 9 3 STATE LIC.:Q Q CLASS: A
u_ —Q p s MAIN BUILDING ACCESSORY BUILDING
Date:—! gnature: -/ �`� 'FRNT: FT IN REAR: FT IN FRNI: FT IN REAR: FT IN
•4OURS'COMPENSATION DECLARATION: I here. that I have a certificate of consent to self-insure or a certificate of Workers'
mpensation Insurance,ora certified copy tnereo4. tion 3800.Lab.C). LEFT: FT IN' TIGHT: ' FT IN LEFT : FT IN TIGHT: . FT IN
JLICY NO.: 2 8 5 2 2 4 8 9 EXP.DATE: 01 /01 /91
COMPANY: STATE . PARKING REQ: PROV: PARCEL : 42531151 ZNE: REF NO:
❑ Certified copy is hereby furnished. ® Certified copy i/led with the mg D ion. PLANNING NOTES> '
'J >
Date: % —eZ �? O Applican• I -.r _ .� ******************k**************:************************************'3F*********
EXEMPTION FROM WORKERS'COMPENSATION D w i' section need not be completed it the penin is for one hundred(5100)0r less). DEVEL OPMENT SERVICES REQUIREMENTS
I certify that in the performance of the work for is pe I it is issued.I shall not employ any person in any manner so as to become '
subject to the Workers'Compensation Laws of . omia. ZONING APPROVED BY DATE: . -
. _— ,
Date: Signature a414:1�► - -
NOTICE:If.after making this declaration,you s��.y1�become subject to the Workers'Compensation provisions of the Labor B U I I1D I NG AP F ROVED BY ____ DATE
Code,you must forthwith comply with such ons or this permit shall be deemed revoked. i( o
CONSTRUCTION LENDINGeAGENCY: hereby a t�I there is a Construction lending agency for tete performance of the work for APPLICATION ISSUED B Y : �..niTWg ie'. ••U***-( � „ � - DATE: � /T
which this permit is issued(Section 3097.Civ.C). ****************k*****iFIr:7FlE* **3F. • –TFlF**iF***********' -*:�F-*3F**
LENDER: f *******************************************• **********************************
ADDRESS: - LEGALIZATION : N F E E S. 0 M M A R Y . STRUCTURAL SEGMENT:Y
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 SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT- 5 4 . 0 0 . 50
repair 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 the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN .1 5 M I P/NON-R E.iS
and Professions Code)or that he/she is exempt therefrom and the basis far the alleged exemption.Any violation of Section 7031.5 by
•+y applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(S500). 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-CIIECK 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 54 . 50 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/hersetl or through -
hisor.her own employees,provided mat such improvements are not intended or offered for sale.If, however the building or 'RF..VENUE DIVISION TOTALS--J - 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 54 ' 00 .. ' S0
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon1
and who contracts tar such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware ****************k*********.********************'*********************************
that proof of their Worker's Compensation insurance should be provided to me. I N D I V I D U A. L 1F E E B R E A K 'D 0 14 N
o I am exempt under Section: B.8 P.C.
for this reason: TYPE QTY DESCRIPTIO ir% UNIT COST TOTAL COST
Date: - Owner: SFR 247,3 REROOF BY VALUE RESIDENIAL NOZONE 1 . 00 2. 473 - 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 I or any future building occupant wilUwill not(circle one)need to comply with said state codes and the requirements for a . -
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from /-•.. '
these provisions. • -'
Date: Applicant: •\0\.\
t
I hereby certify that I have read this application and state that he above information is correc agree to • ply with all city and county .1 ordinances and state laws relating to building construction am ¢fry authorize represent. is cM t��ter upon the above-mentioned - - /" \ '
property for inspection purposes. y x�'(
(� i ` Y
Date: ( � -�' fo Signature`' •• Al 1.\\
•
Driver's License or Social Security o:
•
01 00057581-00057582 TOT 54.50
1641-46 White—Building;Green—Code E orcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor ' . .
DATE: 04/02/90 TIRE: 13:31
_
CONSTRUCTION AND PLANNItvs, SOL & SPA
APPROVALS Permit# rDate Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
• 3. Electrical Conduit Utility-Undrgrnd. 7-- 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. 'Electrical OF ER Grnd. , - j 57. APPROVAL TO COVER-GUNITE
7. Footings � ) , 58. Electrical Conduit-Undrgrnd.
8. Foundation / 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. �- 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System t. ' 61. APPROVAL TO DECK
11. Property Sewer Line & Hou"se 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
20. Rough Factory Fireplace - APPROVALS Permit#
21. Ducts,in Structure • 70. Underground Hydro
22. Ducts, Ventilating - .71. Product Piping 0 Gas 0 Oil
23. Gas-Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 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 PREY. 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 • Notes: ,C
34. Final Heating,& Air Conditioning !- 3-ni_ 5 4.2._0-4-c de.74 4
m
35. Final Gas Pipe-Test t ��✓�
36. Hood or Canopy ' -
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final -
40. Gas Service-Final - - • '
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations - J
47. FINAL STRUCTURE & BUILDING06-
48. FINAL PLANNING •
49. Electric Release to Edison '
'7-
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY •
No. Date
OWNER ELfBLADE, MR. RALPH C. DATE 5-26-60
JOB ADDRESS 1589 Tusti n Ave. BUILDING PERMIT NO. 12139
GENERAL CONTRACTOR K. P. Dickinson VALUE $ 336;00
AP. No.117-261 -78 LOT TRACT FIRE ZONE DESCRIPTION OF woRKEnlarge Bath Room
INSPECTIONS 1._a(/ DATE GROUP I TYPE V ZONER-4
Underground Soils/..4pU.G. Water IA tf/ o_r.�, PERMITS ISSUED
Underground Gas /rt-' ' u – SUBCONTRACTOR DATE NUMBER
Overhead Water and Gas _
Rough Heating
Rough Plumbing 6– .: Gt �{� f y /2 .o,,,A -s -a /-o a 5-a I r i
Miscellaneous
Prop. Swr. Line House Con. St. Swr.
Sprinkling System
Heating, Final
Plumbing Fixtures /y(,(/ 7./x''66'
Final Gas Test 41r, A MI 7.,Q./,1
Construction Pole •
Underground Power - /,
Rough Wiring Y�i7'iCl 6_(O-ao G (n-9- (7)0 yob. cs--0 .-
Trenches
Trenches vForms v Steel 03 c rn Q. leo —
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
Sheathing /3. = C– . 6 — 6 — 6 o
Frame and Flashing . .77/ r— C -- / 1 6 O • _
Lathing, In — Out ` it /fcam. / 6 — 6 '0
Plaster, brown coat rr h 0 -7 - o _
Plumbing Fixtures, Final z,p ��Y �
Electric Fixtures, Final / /7�Fop
Building, Final rt-WI q-7- H n _
OCCUPANCY
Form 210-5M--11-59 5-B P
191.1Q
1139 IE _
5 a
COSTA MESA BUILDING-SAFETY DEPARTMENT _ 41NANCE ippSC
P. O. BOX 317 COSTA MESA. CALIFORNIA rT. T1 A
to Fill In Completely FOR
f
For Applicant�licant P y APPLICATION FPERMIT
TYPE OR PRINT
BUILDING BUILDING
ADDRESS /j/f . 7Z set/ h A I/`e
COSTA MESA. CALIFORNIA For Office Use Only
1 C RECEIPT NO. P RMIT NO. �J
OWNER 'r �!�' (�� 5... )h 1 �� '�- 7 (3
MAIL- B /�' / REC122 DATE RECEIVED DATE ISSUED
ADDRESS/ �4S tin- A/4 ,/L' 34b-h91 D2 6 -la
TEL. BUILDING
CITY Cr JC h(, 111 d. S y " NO. ADDRESS
ARCHITECT TEL. COSTA MESA. CALIFORNIA
OR ENGINEER NO. ,I
ADDRESS FIRE I
--� ^ ZONE TYPE o GROUP `/L`
CONTRACTOR A , ' A a 11 A A BYPROVED4 J N 4'tic DATE ,5 b •-G/
1' Lab ZONING 1
ADDRESS 7a0) �L'/I-I CY h � / � , 0 ..
�//�/ J ///��� ZO E / NO.OF `USE OF NEW 97 / 17
CITY Me4Iifi /1i-fin?
�/ p. ,{ tel L /P-LAjN'E ? BUILDING `/ n/
STATE / / 9 Y V'- 2.7. NO.A.I7J 7 !/ S ` IO LV I 3 fiVl �`�V6 /
LIC.NO. EQ NO. LEGAL
DESCRIPTION , p/
OF LOT /3SIZE V
a- ( I NOW ON NO. OF LOTS A.P.NO. )/ri-�(Q y r / 7
USE OF 'I • /// EEE/// (((
EXISTING BLDG. L�(M' IJ,1� 1 APPROVED /J A-/LLLOW,ED��////,,
CENTERKOF LINEFROM
55; REAR YA`RD/�J FRONT(CENTER LINE ST.) �) }L(/FTte• IN.
SIDE YARD I LEFT ' I RIGHTS f R.SIDE / 3 //FT. �] / IN.
DESCRIPTION OF WORK /-�/ ((
L.SIDE 4. Ftl.l�� IN.
NEW I I ALTERATION I I ADDITION REAR qqq FT. IN.
REPAIR I (MOVING II DEMOLISH APPROVED /V// 7 04/7/9-
SIZE
3 _1_ -69
SIBZELDING T',yj�„O NO. OF ROOMS /- STORIES / l ✓'
EXTERIOR WALL•(,A ROOF
COVERING 7 / HCCd I COVERING C6})1/A-� •
USE OF BUILDING AND RK TO BE PERFORM iD
E.q ) ainy riots f,Int. .
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY,
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION
SIGNATURE OF J PERMIT FEE $ N
PERMITTEF (A n_'
/� $ PLAN CHECK $
AUTHORIZED AGENT ,.,,(�� i451-r7z
TOTAL FEE O
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