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HomeMy WebLinkAbout1741 Tustin Ave - Building Permits (17) Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. • • CITY OF-COSTA MESA ONSTR UCTIO PERMIT P IT NO. TRACT NO. LOT NO. UNITNO, 6296 5728%86 5.00 IL /j 3q• -a • Project Address - 0 lig 1 /o • _ _ • ^ Applicant's Mailing Address TYPE OF CONSTRUCTION LL NEW LJ ADI) LI ALTERATION liJ REPAIR �. syffiatAJ/�J1/ ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A,P,# Zone Owner's Name Phone �. CPL. DESCRIPTION OF WORK/USE OF BLDG. Address - - S Main Building: Accessory Building: Arch/Eng. License No. TYPE OF PERMIT El GRADING Lid FOUNDATION ❑ STRUCTURAL E Front O Address - ❑ TENANT ❑ ELECTRICAL f17 PLUMBING ❑ MECHANICAL B Rear N' " � ❑ OTHER A I Contractor's Name d Ph e S )5PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right - • N f . 9 Address(mailing) C. r K U, CONSTRUCTION TYPE VALUATION$ $ Left R City License No. - / ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E 1 hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: Planning Noted M with section 7000) of Division 3 of the Business and Professions Code,and T my license is in tut o- .nd effect. i ' License la �'• Li en • , .. . ��- RECEIVED .MAY 2 7 19$6. $ Date • ' Signature _���. _ n� .AY�e PLUMBING FEES . ORKERS'COMPENSATION DECLARATION Bar Sink Showers lereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink3800, Lab. Cj1 ,( .�n /-� Automatic Washer Transformer 0 15-50 KW • Polio No. t� / t-t•� Company /V..(,Ytf✓ • Backflow Irrigation , Sewer Cap• ertified copy is hereby furnished. • Construction Pole Sub. 0 50+ KW i■ Ce0-- ru fiep opy Is filed with the city gp�sp��s�� vitt ((//ti Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date ' �`'4/) Applicant ! / tH Y� /- a , EXEMPTION FROM WORKERS'COMPENSATION DECLARATION - Clarifiers - Solar Collectors -- Dishwasher • Meter Dover 100 amps (This section need not be completed if the permit is for one hundred ($100) or less). Dishwasher • 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 as to become subject to the Drinking Fountains Solar Tank - Fan Workers' Compensation Laws of California. _ Motors❑0-1 HP 01%-B 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 99-15 HP 016.15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal 'FIMUres Microwave comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY - Gas Service ' Outlets Water Closet Devic¢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 .2 �' Lender's Name - - / - Outlets 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 7 - LaundryTrays - • ' ' - •any structure, prior to its issuance, also requires the applicant for such permit V Generator ❑0.5 KW ❑5-15 KW Trash Compactor • 'n file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains - e Contractor's License Law(Chapter 9 (commencing with Section 7000) of - ivision 3 of the Business and Professions Code) or that he/she is exempt .herefrom 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 - • LiLi ,of not more than five hundred dollars.($500). 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 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL j FEES - p. $15 Issue Fee $ 3 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 0 Zoning Approved By - Date pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date prove for the purpose of sale). - - ❑ I, as,owner of the property, am exclusively contracting with licensed con- ' Duct-Structural Refrigeration System Application Issued By .P Datee ',Cz.�/RZ 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 SUMMARY 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❑ System Repair/Alteration BUILDING PERMIT $ SMIP $ proof of their Worker's compensation insurance should be provided to me. HECK $ PERMIT ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLAN PLUM CHECK $ ��� ISSUANCE $ •Date Owner _ • Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above ' ❑0-100,000 BTU ❑100,000 BTL! - - $ • GRA • DING $ information is correct. I agree to comply with all city and county ordinances • _ ELECTRICAL and state laws relati g Ito building construction, and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ • inspection o is to enter u!on the above-mentioned property fo - TOTAL FEE $ �� inspection • no . t_s _.-�� • - MECHANICAL $ Signature ✓ - '�/ • CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor V CONSTRUCTION AND PLANNING PC & SPA APPROVALS Permit# Date 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. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFERIGrnd. 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, ❑ Undrgrnd. 10. 'Structural Floor System 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 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 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 • Notes: C4 4c. . AS Prat Z0.3 uPC L..64 34. Fin.al Heating& Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final rn 40. Gas Service-Final £S7 41. Solar Domestic-Final 42. Backflow Preventer Ci A3. Backflow Irrigation 44. Landscape Irrigation System rte, 45. Sound Attenuation v 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co iJ 51. CERTIFICATE OF OCCUPANCY n • No. Date • • • • • • __ . • OWNER BRAEBURN CONSTRUCTION CORPORATION 6A 6 B 6CDATE 3-20-62 JOB ADDRESS 170. Tustin Ave., ?lol;. 6, Units 117-118-119 BUILDING PERMIT NO. 165711 GENERAL CONTRACTOR Geo. D. Buccola VALUE $ 39,523.00 AP No. 11 -281-2 2 kW 28 TRACT FIRE ZONE DESCRIPTION OF WORK 3 Unit Apt. INSPECTIONS Signature DATE GROUP H & J TYPE v ' ZONE Soil (��[$f, . PER 1ITS ISSUED Gas dam SUBCONTRACTOR DATE NUMBER Water [� Rough Corn. Refrig. 0 Air Cond. 0 Rough Heating «n ens "'/mss» [cr�� 7j Rough Plumbing [%IPJ . /irrI�1.�'Ea 37 f[0 Miscellaneous Prop.Swr.Line s -ouse Con. o-at.Swr. ❑ QitaThaa®4 SEMEMI'< U U. • Sprinkling System Construction 'o ar� -- =� t3j 0 Underground 0 Power �— Rough Wiring E.,dreE[IEMILti '- '(ao)- renc es ■ orms 1 tee • . ■ uswirsaF •1a - Floor System �— — BondBeam 0 Steel Reinforce ❑ Sheathing Frame and Flashin• Lathing — In q. Out ' �,4 �L �Q Plaster, brown coat tan • • ng. ❑ • r .n.. 0 -pie Heating, Final war ! /,f• Plumbing Fixtures, Final MOM Final Gas Test Ate • 'Mat�. Electric Fixtures, Final arallrithAr 9 Building, Final „ari OCCUPANCY _f ' i . - j ; FORM BU4-5M — 7.61 / ' • • • •• • • H ' 16574 FEE RECEIVED I 1962, COSTA MESA BUILDING•SAFETY DEPARTMENT 61AR b P. O. BOX 317 COSTA MESA. CALIFORNIAFINANCE DEPT. Applicant to Fill In Completely CITY OF COSTA MESA For P y APPLICATION FOR PERMIT TYPE OR PRINT BUILDING A , 8.. & BUILDING ADDRESS -. - • //7-//e'//9 COSTA MESA. CALIFORNIA For Office Use Only . . RECEIPT NO. p�v�T.y/O4 OWNER Brasburn Donets Corp. I I OJ / MAIL RECEIVED BY DA RECrEIVE DATE ISSUED-. ADDRESS P.O. Box 1937 • ^',^ )r . I 3-% '�.2I IP.A.t *' 0 '-' 4 L. CITY Newport Beach • NO.EU$31240 BUILDING ADDRESS OR ENGINEER B.L. Bomberger NEO. 0331642 COSTA MESA. CALIFORNIA ADDRESS 3355 Via Lido, Newport Beach FIRE ZONETYPE � GROUP //)7 CONTRACTOR e'eo• D. BI1CCo16 APPROVED SCJ 11 BY DATE d \. . rADDRESS1?0O Newport Blvd, NTNG . CITY Newport Beach ZONE Z, I HPIOA.NOSF Z I USE OFNONEW344444— STATE 4 H — I LI /� LEGAL .-TEL C.NO. 152367 �// !!z ✓NO XR31240 DESCRIPTION Le/ /0G Alt64 17 np I SIZE HD. OF BLDaB. �'T L OF LOT 3301 z I NOW OF LOT O A P NO �1 ! — LO i — 2 2% 7-D USE OF YARDS EVES O EXISTING BLDG, _ Op'• APPROVED ALLOWED SETBACK LINE FROM�.i,� REAR YARDd/-G~ (CENTER UNE 8T.1 C/ /}� CENTER OF STREET FRONT Z / FT. �r ji/e[/te- IN. SIDE YARD I LEFT /20 I RIGHT /50-6 R.SIDE Fe FT. fiz<"ar_ IN. . DESCRIPTION1 Z -- OF WORK L. X SIDE. FT. NEW I II II ALTERATION I II ADDITION I3/ /./ REAR FT. 6 O�-Wi --.-...1N. • REPAIRING I I MOVINGNO. OFI IIcDEMOLISH I ByPROVED��,I c DATE Z/�/L SIZE //x..0 ROOMS �p STORIES AA'' EXTERIOR WALL ROOF COVERING Stgrco I COVERING Rook USE OF BUILDING AND WORK TO BE PERFORMED ' ra /. R,. 7 /rye,7. - yo7 O : ; a I HEREBY ACKNOWLED E H A " • THIS CATION 'THE AMOUNT SHOWN UN q VALUATION IS FOR THE AND STATE THAT THE OV CO's CT AND G"• TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY IN B A • STATE T B ' GULATING BUILDING CONS ON. VALUATION SIGNATURE O PERMIT FEE $ — M PERMITTEE - + 3/'a �J�/ $ � PLAN CHECK$ '^ ' • �� ii. AUTHORIZED AGENT !-e7 1 \\___.\\___. TOTAL FEE $ , `J A •c rr�. 0 • • ) BUILDING SAFETY DEPARTMENT �© J 1��� P. O. Box No. 317 Costa Mesa, California _G r Date 1? /J CITY OF COSTA MESA \ CERTIFICATE OF OCCUPANCY ' , ,,`' Building Permit No- pcEl trice] P it No P bins $eryit No.2 29./ Use of Building.,�f.// yS4,Qzy rfrrJ'/ J14-/ ii7 , Alt �i . .fttr68f4 The building located at /17 II f '/✓'1%N_t:t', n y �! Legal De6Criptl. . `- L/ (See reverse side for Metes : Bounds) has been inspected and found to comply with provisions of all City of Costa Mesa Ordin- ances applicable thereto for a Group BOcc�upancy. ISSUED T� ;') City / �� �/ g Offi (Owner of Building) By c11A 7• �'- vd CC: 0 Original—Owner 0 1st copy—Gas Co. 0 2nd copy—Edidi oon fo. 0 3r y—File Form 208 S-B P 1M 1-80 •.1 4