HomeMy WebLinkAbout1791 Tustin Ave - Building Permits OWNER PARISH, Rolla 0. DATE 5-14-62
JOB ADDRESS 1791 Tustin Ave. BUILDING PERMIT NO. 17086
GENERAL CONTRACTOR Owner—Bldr. VALUE 100.00
AP No. 117-282-10 LOT TRACT FIRE ZONE DESCRIPTION OF WORK D8n`uar. RCVS'
liar.
INSPECTIONS Signature DATE GROUP I TYPE V ZONE R-2
Soil PERMITS ISSUED
Gas SUBCONTRACTOR DATE NUMBER
Water
Rough Corn. Refrig. 0 Air Cond. 0
Rough Heating
Rough Plumbing
Miscellaneous
Prop.Swr.Line 0 House Con. 0 St.Swr. 0
Sprinkling System
Construction Pole
Underground 0 Power ❑
Rough Wiring
' Trenches D Forms 2—Steel Rein/. if
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing
Lathing — In 0 Out 0
Plaster, brown coat
Refrig. 0 Air Cond. 0 Final
Heating, Final
Plumbing Fixtures, Final
Final Gas Test
Electric Fixtures, Final �
Building, Final i S —
OCCUPANCY
FORM BU4•5M - 7-61 1(066
[ 170E36 FE RECEIVEE
COSTA MESA BUILDING-SAFETY DEPARTMENT MAY 14 1967
P. O. BOX 317 COSTA MESA. CALIFORNIA FINANCE DEPT.
For Applicant to Fill In Completely APPLICATION FOR PERMIT'F COSTA MESA
TYPE OR PRINT
BUILDING /7 9i 6-tt,-12 BUILDING
ADDRESS COSTA MESA. CALIFORNIA / For Office Use Only��I��r��/Fp`�p
n `? V - i I I RECEIPT NO. I 1V
OWNER �E'jYJ-ate .www. .Vi!/�! V
MAIL [J �*��]��/ RE5ZIVVED BY DATE REC/¢I VSDsI DATE ISSUED
ADDRESS P %/I- ,SA „At CA (` --5-/�//'/-ye-SLI J//4-e2
TEL.
CITY Ce ,�AL NO. ADDRESSG /7 // Scare,' etv.-FJ
ARCHITECT - TEL. -- COSTA MESA. CALIFORNIA
OR ENGINEER NO. � f
FIRE •
ADDRESS L ZONE TYPE / GROUP //{
CONTRACTOR a W heir APPROVED (Cr �00 DATE '0.---/,1%2'-----'/ n
W ab
ADDRESS �_. ZONING (/ Wl
ZO���IIII9'Y NO.OF .. USE OF NEW NI//I/VP
CITY /nJJr L/I PLANS V BUILD ING (rW 1
STATEIC.NO. �—�'—' TEL. LESA !�0 R (Alk 15F-f
LIG. NO. DESCRIPTION
SIZEI NO. OP BLDGS. — _ 0
OF LOT SSS // /O NOW ON LOT A.P.NO.
USE OF ,
EXISTING BLDG. �� I YARDS 1 EVES
APPROVED ALLOWED
SETBACK LINE FROM / (CENTER LINE ST. ///
CENTER OF STREET REAR YARD FRONT f' -f FT. IN.
-
SIDE YARD I LEFT I RIGHT R.SIDE Ij FT. IN.
DESCRIPTION OF WORK
L.SIDE FT. IN.
NEW I II ALTERATION I V ADDITION I REAR / FT. IN.
REPAIR I VMOVING I II DEMOLISH I ✓ APPROVED BY
�� �/ DA (—�/if /,v
BUILDING NO. OF / /��1 7 /L
SIZE ROOMS STORIES n
EXTERIOR WALL I ROOF r J eJ�
COVERING COVERING r ���,,,...///-�„j VVV"'"""
USE OF BUILDING AND WO9K TO BE PERFORMED /...
er
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 eoNSTRu oN. L� VALUATION �} Q.D
SIGNATURE OF
D� (p//�� PERMIT FEE $/J{
PERMIT-IMF {jam`-4( L+ n_
. $ A / PLAN CHECK $ w"
AUTHORIZED AGENT f///7✓/ t/, 0
TOTAL FEE $�5 4
•
OWNER MC LEAN, JACK J & BETTYMAE DATE 3-6-64
JOB ADDRESS 1791 TUStin Avenue, A & B BUILDING PERMIT NO. 21703- •
-
tGENERAL CONTRACTOR Fortune Construction . VALUE $ 15,000.00 -
Z Al' No. 117-282-10&25LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORICDup1x %/det.Gar.
Or INSPECTIONS Signature DATE GROUP 2 & 8 TYPE V ZONE R2
lir Soil Atr-S-3 .7-1_Y_ PERMITS ISSUED
SUBCONTRACTOR DATE NUMBER
nn Gas
Water 0 7S 6!`-rT tf
CtRough Com. Refrig. 0 Air Cond. ❑ _ _ _
Z Rough Heating 2/7±.57:__( � I ea ' 41 —
Rough Plumbing -4=S S't 6' ,C.Ral !`il�'— _4"pb ,.__ ` .L .
Miscellaneous ���qqq _ _
Prop. Swr. Line[fliouse Con.�e(St. Swr. 0 5A — ' z.� ii. t', e��,,,�, _7_a-6)c__5 v ' r�
Sprinkling System / / /
Construction Pole ler-'J )"twCV rrie-V-PRII"R11± •-•&3-(04.22. 41-S-$1•16
Underground 0 Power 0 _ _
Rough Wiring M' y 3z72.-0,5 -one'wRCQCleni Lk- -Yid-I ---'2-2 4
2_ e s`,
Trenches PI'' Forms 0 Steel Reinf. 0 9#7 4. 4t/". "
Floor System ,i --
Bond Beam 0 Steel Reinforce 0 b-Ir
Sheathing - �C jo-
Frame and Flashing 'at& /_
Lathing — In Out =/1. rw e -S'- / _/6
Plaster, brown coat /,777--- G( / / 6 ZF- . .,li .
Refrig. 0 Air Con. ID Final ,/If/°-�r y' :' 11
Heating, Final MI- 7-17-(L / i �✓ I,I
Plumbing Fixtures, Final 4ç7-17-(9 ryi Ij`
Final Gas TesVy-/r / _ p 7'/ ]' v
Electric Fixtures, Final ' (q T_e _ _
Building, Finale o_ 7 �I •
OCCUPANCY c--¢^— +�j /�cf
Fnrm RQl-5M�-gs—.S-n P AWif.11 len' SVF.t: d1. HNY.1Tl I} I: 11:N'I 017Cfl
21703 FEE RECEIVED
MAS' 3 1964
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P.O.BOX 317 COSTA MESA,CALIFORNIA
CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT ' BUILDING
BUILDING ` (''� 7K4 For Office Use Only
ADDRESS %ilex X %L. 41'\.... Q V -4.-
RECEIPT NO. P MIT NO.
COSTA MESA, CALIFORNIA 1703
RECEIVED BYOAT RDC WED DATE ISSUED
OWNER \,.aV . V QtAt.s&.Mwt C�v-' c... BUILDI )6, 3 `�
Vs. J
MAIL J ADDRESS
l
Ylli
TEL. ZONE TYPE GROU
CITY G‘411.-N--AC,‘P-04.- No.I=A SUCCI
ARCHITECT TEL. BYPROV HO Y
�'' DATE `�'
OR ENGINEER NO.
,/6. i
NING {1
ADDRESS i.� .1........1. No.of use OF NEW W�
'A PLANS �I BUILDING /I ,
CONTRACTOR .. - .... 1,
a /[�/,f /` S!!.1 Y�/}/� �a
�) ` __ DESCR a 4/ 4- L/) //'V_1
ADDRESS//�� 0f(p�S L]pl•-\\L.` '"\gyp DESCRIPTION n 1 / /'
CITY \T\O S2:+.n ea Z`. J A.P.NO. // ! — DI � ' /I/ Pt O2.J/
NOTE: NO EAVE OVERHANG SHALL•BE LESS THAN
STATE TEL sr TO SIDE a REAR P.L.
LIC.NO. k Lo' .SL-k71 NO. vr. i4T.`'1(.
SIZE No,OF 51.0011._. EAVES ( .B.ALLOWED . O tie lj 1
OF LOT }j•( *K. \n Q I NOW ON LOT
USE OF YARDS APPROVED YARDS A'r ROVED
EXISTING BLDG. I
MAIN BUILDING ACCESSOR BUILDING Z..1
(FROM C/L STABET) �+
SETBACK LINE FROM FRONT iL PT. ' IL1
CENTER OF STREET - REAR YARD - T. -1 - �T Oi
1 .
SIDE YARD LEFT ,' I RIGHT \p I R.BIDE /0�. .ry FT. d
DESCRIPTION OF WORK L.SIDE / FT. ,� fFT.
NEW /V ALTERATION ADDITION pa
REAR f`7 FT. '- /j FT• d
DISTANCE BET. BET.MAIN a V
REPAIR MOVING DEMOLISH MAIN SLOGS. ACCESS.BLOCS. // U]
BUILDING NO.OF VAR.# /O Cs' DATE 3 _a �Y'y D.
SIZE I' OI Z ROOMS y STORIES I C.V.P.# / APPROVED04
EXTERIOR WAL I ROOF ((�� APPROVED /' V9 "DATE 3 Y' ' O
COVERING VDWO COVERING OVOLV�Y 1 ��/
USE/O�F BUILDIN DWORK TO 4H PE MBD ( /a-ya�N�C��S---ten }"-'L Q
2� ��\mow w.�\ Gc� X0,4 �J� T/!tr// Gni r x
N0 0 9G.ETF7 G9 N•
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATIONW FOR THE Z
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
O
ESU
PLY WITH ALL CITY ORDINANCES AND STATE LAWS RNO VALUATION ' /./O 0-1.2N
BUILDING CONSTRU N. /n/ PERMIT FEE $ o '
SIGNATURE OFI
// �,
FE RM ITT EF S+ 2,4,--. Ay �( (�• G
SiPLAN CHECK $ p
AUTHORIZED AGENT -
c:
- , .)
TOTAL FEE S
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
-
r Y'OF COSTA MESA q CONSTRUCTION PERMIT PERJAI %� D ^ TRACT NOr 1 LOT NO. UNIT NO.
jr Project Add# / / usr/ 'f�-�i E C�.y. TYPECY( OF CONSTRUCUTION U NEW H ADD U ALTERATION REPAIR
T 2523 10/18/75 1:950 TL
Applicant's Mailing Address 414-45-1.1
,•�. nc- 4 dirty Phone ❑ CONVERSION' ❑ DEMOLISH ❑ OTHER l_�OO A-P-# Zone
Owner's Name ./11� ^�,,.�`� DESCRIPTION OF WORK/USE OF BLDG. A Art g-
Address G .� "VIA ri)i27 S Main Building: Accessory Building:
E Z
Arch/Eng. License No. --- TYPE OF PERMIT ❑ GRADING U FOUNDATION ❑ STRUCTURAL T Front o
Address r` /1 ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL A Rear N
Contractor's Name . i. Y-5 I_WP1 U Phone S 99AA+C ❑ OTHER esFia.)( •
1\ / 7 C Right N
PROJECT DESCRIPTIONSt?. FT. • OCCUPANCY
G
Address(mailing) %`/S7/H! ((Ce S7 Cif -Z�VrNG577�(c`' K R
yv CONSTRUCTION TYPE VALUATION$ /Sd0 s Left
City License No. Y 7 ZONE GRADING CU.YDS.
ACRES Ping. Ref. # Parking Req./Provided E
LICENSED CONTRACTOR DECLARATION ,ars p�,�- 7 (� .n
I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: RE/ sOV� OL� s'-4c '{D (sJp'�J Q.EEeOF �+YTf1f Planning Notes: ••, M
with section 7000) of Division 3 of the Business and Professions Code,and
my license is in full force and effect. `i p T
License Class -.3c ense No. ;4/07 .z 04):L.7" /;f Rock entF I •
S
Date 0 ' • ' 4 rSignature A _ .....s= PLUMBING FEES
I WORKERS'COMPENSATION DELL• :•TION Bar Sink Showers '
I hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES
/ of Workers' Compen3sation I urance, or a certified copy thereof (Section '
3800, Lab. U Backflow Preventer Service Sink Automatic Washer Transformer 0 15-50 KW
Policy No. q !//Company 41G F�4/.1 Backflow Irrigation Sewer Cap0 50+KW
Certified copy is hereby furrn' ed. Construction •Pole Sub.
edified tppy fil�tl wi h e city B ing DIJ Bathtubs Sewer Connection
ate/D^I X" 7 licant E•• �aA5CC-4 a Cooking Unit Meter 0u to 100 amps
EXEMPTION FROM WORKERS'COMPEN TION DECLARATION Clarifiers Solar Collectors Dishwasher Meter ❑over 100 athps
(This section need not be completed if the p mit 15 for one hundred ($100) or Dishwasher
less). Solar:Piping Dryers ❑Gas ❑Electric Sub Panel
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 es to become subject to the Drinking Fountains Solar Tank Fan Motors 00-1 HP ❑1'fi-B
Workers' Compensation Laws of California. —
Date Signature Floor Drains Swimming Pool w/Spa F.A.U.
'NOTICE:If,after making this declaration, you should become subject to the _ Inc.Solar 0915 HP 016-15+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks
comply with such provisions or this permit shall be deemed revoked. Urinal Fixtures Microwave
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes
I hereby affirm that there is a construction lending agency for the performance Pole Light
of the work for which this permit is issued (Section 3097 Civ. C.) interceptors Water Heater - Outlets
Lender's Name Range
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
7031.5 by any applicant for a permit subjects the applicant to a civil
penalty of not more than five hundred dollars ($500).
D i, 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 . $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's - /MECHANICAL FEES p I $15 Issue Fee
License Law 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 - -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 ❑ Zoning Approved By Date
prove , the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By /� Date
shrove for the purpose of sale).ert _ C/'VI %y)-/y '
U I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date VO
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 ❑0.100,000 BTU ❑100,000 BTU ' 0�U d r RV OF FEES
builds or Improves thereon, and who contracts for such projects with a con- -
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration BUILDING PERM $ $MIP $
proof of their Worker's Compensation insurance should be provided me. PLAN CHECK $ - _ PERMIT
❑ I am exempt under Section B.& P.C.for this reason- Firepl/Fact.Blt. ICBG# Fire Dampers • PLUMBING $ ISSUANCE $
Date Owner Heating System& Ducting Registers ENERGY P.C. $
PLAN CHECK 25% $'
I hereby certify that I have read this application and state that the above 00100,000 BTU 0100,000 BTU' . GRADING $
information is correct. 1 agree to comply with all city and county ordinances ELECTRICAL $'
and state laws ala " g to building construction, and hereby authorize repre- MICROFILM $
sentatives of th ty to ter upon the above-mentioned property for • PLAN •
CHECK 50% $ _
I MECHANICAL $' TOTAL FEE $ •
inspection pure �/ b •
Signature Date�17—/S �d t!
Drivers' Lice se o S'# - _ Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK, 25% $ _ J S
��
CMF 0865-46,rev.10/84 White - Building; Canary •Applicant; Pink -Accounting; Goldenrod - Assessor
/;ONSTRUCTION AND PLANNING - POOL& SPA
PAPPROVALS Permit Date Inspector APPROVALS Permit Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
v _
21ioil 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, 0 Undrgrnd.,Test
I+
9:Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ Undrgrnd.
10. Stru rural Floor System 1 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,
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 r! 73. Undergrnd.Storage Tank 0 Gas 0 Oil
• o
25. Roof Sheathing A!',((J ji 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 ,i HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat . 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUEDSSem
ow
33. Final Electric Notes:`O/3o/s`• !NS/'��d C*Lcw
r �
34. 'Final Heating & Air Conditioning MiT 4)401 - � �4. r l4•Fb wa J
1 vV
35. Final Gas Pipe-Test I
36. Hood or Canopy -
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backf low Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations JJ J
47. FINAL STRUCTURE & BUILDING /Q/fc .
48. Special Requirements Completed t/
49. Electric Release to Edison •
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date