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HomeMy WebLinkAbout1741 Tustin Ave - Building Permits (5) • Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. IIII • CITY.OF COSTA MSA CONSTRUCTION PERMIT PERF T NO. TRACT NO. LOT NO. UNI . 3 A P # Zone / Project• Address �j yIy �i/•���1 i _ Y ([//< / S Main Building: Accessory Building: Applicant's Mailing •ddress - Aor firm //./L I z- TYPE OF CONSTRUCTION U NEW LJ ADD LJ ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front 0 Owner's Name 4C/12/e, /L Phone v in S6 DESCRIPTION OF WORK/USE OF BLDG. I B _Rear N Address LTff!!t`�i Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING FOUNDATION Li STRUCTURAL I CI Right NG Address ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL S Left R Contractor's Nam- /'6 I ii I 4a Phonn /I In ❑ OTHER I Ping. Ref.# Parking Req./Provided E f ' / PROJECT DESCRIPTION SQ. FT. OCCUPANCY O Address(mailing) • 2`/y��/��� � �I • Planning Notes: M City License No. c70-/ I5 r CON ST RUCTION TYPE VALUATIONS RE T ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed Under provisions of Charter 9(commencing Remarks: e with section 7.000) of Division 3 of the Business and Professions Code, and my license is in 1ul • • .nd effect- o 58 ELECTRICAL �� 2 51989 FEES License la c• - N• Date .'1.4 sr. signaturePLUMBING FEES Automatic Washer Transformer 0 15-50 KW WORKERS'COMPENSATION DECLARATIONConstruction Pole Sub. 0 5o+ KW iereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers I Workers' Compensation Insurance, or a certified cop thereof (Section Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps - Pol c Lab. C( -/ (�� /v / " 'V ' `„�/ sL" P \ Dishwasher Meter Dover 100 amps Policy No. Company Backflow Irrigation Sewer Cap — —�eriifietl copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel 7 Certified co y t f led with the city Bathtubs Sewer Connection Datet1 Applicant` i!%C Fan EXEM ION FROM WORKERS'COMPENSATION DECL TI Clarifiers Solar Collectors Motors 00-1 HP 0114-8 (esis section need not be completed if the permit is for one hundred($100) or Dishwasher Solar Piping F.A.U. - Inc.Solar 09-15 HP ❑16-15+ I certify that in the performance of the work for which this permit is issued,I Fixtures shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave Workers' Compensation Laws of California. Device Boxes Date Signature Floor Drains Swimming Pool vv/Spa /SpaPole Light NOTICE: If,after making this declaration,you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Outlets Range comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY ' Gas Sign I hereby affirm that there is a construction lending agency for the performance Gas Service Outlets Water Closet of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors f Water Heater _ • Garbage Disposal Standing Sections Lender's Name Lender's Andress Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor 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 ., county which requires a permit to construct,alter,Improve,demolish or repair . P—Trap Laundry Trays 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 • Roof Drains - the Contractor's License Law(Chabter 9(commencing with Section 7000) of `ivision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3 erefrom and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil eenalty of not more than five hundred dollars($500). - DEVELOPMENT SERVICES REQUIREMENTS: LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 Zoning Approved By Date frale (compensation, will 0 the work,and the structure is not Intended C orractortl — - for sale (Section 7044, aBusiness and Professional Code: The Contractor's MECHANICAL FEES Building Approved By 621---Dat Data t hereo Law does not apply to owner if a property who builds or oves wn -7!/- oye and who does such work himself/herself or through his or her own Boiler Hood or Type I 0 Application Issued By_ employees,. If, previathat such imbrovements are not intendedihorofferedyear for sale. If, the however,wthe building improvement of pro i sold within one your df corn- Canopy Type II 0 - SUMMARY OF FEES plebe the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground prove for the purpose of sale). � BUILDING PERMIT $ SMTP $ ❑ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT �S '— builds to construct the project (Section 7044,Business and Professions Code: M//7( The Contractor's License taw does not apply to an owner of property who Duct-Ventilating ❑0.100,000 BTU 0100,000 BTU - PLUMBING $ O ISSUANCE $ builds or Improves thereon. and who contracts for such oroiects with a con- - ENERGY P.C. $ tractors) license pursuant to me Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration I PLAN CHECK 25% $ proof of : • their Worker's Compensation insurance should be provided to meELECTRICAL $ GRADING $ ❑ I am exempt under Section B. 8 P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers MICROFILM $ - PLAN CHECK 50% $ Date Owner Heating System& Ducting Registers MECHANICAL $ TOTAL FEE $ L�,�C (5o I hereby certify that I have read this application and state that the above ❑0100,000 BTU 0100,000 BTI. PLAN CHECK 25% information is correct. I agree to comply with all city and county ordinances $ and state laws relating to building construction, and hereby authorize repre- sentatives of this city to enter upon the above-mentioned property for inspection pure: -s. p� _ Signature /An, _%e _ Date 7-ate- __ Drivers' License or SS# Pink -Accounting: Goldenrod - Assessor / CONSTRUCTION AND PLANNING - POC 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 UFER Grnd. 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 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12..Sete&r 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 1e. 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 ❑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:(- 17-'10 'Ram Tr- jtg,pl2Eo 4,5 P&L 34. Final Heating & Air Conditioning 20.3 uePc- L.e LD 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final I 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation t`•. 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulationr 47. FINAL STRUCTURE& BUILDING 48. Special Requirement`s%Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co k 51. CERTIFICATE OF OCCUPANCY • ,• No. Date \/ • • • • • 20 A, 2.06,io OWNER BRAEBURN CONSTRUCTION CORPORATION DATE 3-20-62 JOB ADDRESS 17h1 Tustin Ave.,Bldg.20,Unit 1611,165,166 BUILDING PERMIT NO. 165B8 GENERAL CONTRACTOR Geo, D. Bucci VALUE $ 30,1118.00 AP No.117-281-2,27,bacr 28 TRACT FIRE ZONE DESCRIPTION OF WORK 3 Unit Apt. INSPECTIONS Signature DATE GROUP H & J TYPE p ZONE R-2 Soil /(,(/ �� PERMITS ISSUED Gas • ti � SUBCONTRACTOR E. DATE NUMBER Water 042. Rough Corn. Refrig. 0 Air Cond. 0 Rough Heating kGf/ .' 94A 71c,e _c,2 '(� $ v . Rough Plumbing / u/ c-P),/'/� ,/a�tiv{/Od — ;?�. -�017/2'�/ly tf.e J Miscellaneous (/ Prop.Swr.Line 0 House Con. 0 St.Swr. 0 Sprinkling System �� ,� i Construction Pole -Po!•l�c�, /o,/ .----� tat, _ ,i a j Underground ❑ Power C __ • Rough Wiring (..2.�.((L _6r , ?it c-+` 'enches 0 Forms U bteeYRemf. y • , — Floor System Bond Beam 0 Steel Reinforce 0 • Sheathing _ 6 Z- Frame and Fins , / o F, — - G a/ Lathing — In �/ Out f� e. i t - Plaster, brown coat Ref rig. 0 Air Cond. 0 Final Heating, Final I Plumbing Fixtures, Final Final Gas Test / - -en-- Electric Fixtures, Final !-r!-, /O•!: . _ Building, Final ,• OCCUPANCY j 7J . -"I?-4 7 FORM 9U4-5M - 7.61 16588 • • C• t,. • • • ,1 BUILDING SAFETY DEPARTMENT N? 1643 P. O. Box No. 317 Costa Mesa, California _ Datei:2 — CITY OF COSTA MESA CERTIFICATE OF OCCUPANCYC � �n Building Permit No/� Elec c PermiitLNol72/: 2Plumbing Pfrmit No.3L' Useof/13:114; �AfA ! �� -t � The building located at /7'4-1,�f✓ /�/✓Sniu%�7'/ Legal Description-4OT/04 `fir Ys'�4'-�1.• ,`1, U. t i1%-`j6 /- -2 2 7 2, (See reverse side for Metes mod ounds) has been inspected and found to comply wi a provisions of all City of Costa Mesa Ordin- ances applicable thereto for a Group Occupancy. • ISSU 'D TO: j q, city B{yllding QOffylcial - (Owner of Building) By f' ': CC: 0 Original—Owner 0 1st copy—Gas Co. 0 2nd copy-Edison Co. d copy—File Form 208 S-B P 1-00 • • • • COSTA MESA BUILDING-SAFETY DEPARTMENT 7.. MAR 6 1962P. O. BOX 817 COSTA MESA. CALIFORNIA FINANCE DEPT. For Applicant to Fill In Completely - APPLICATION FOintRill1COSTR MESA TYPE OR PRINT A, a C BUILDING A DRENS 1741 Tustin, Bldg. +20 uN; / /6y-N.,5-../44. COSTA MESA. CALIFORNIA For Office Use Only RECEIPT NO. P R�(IT NO. OWNER Braeburn Const. Corp. I I {;. B MAILDP.O. ox 1937 R[CeIyE�BY I DA.7-. 7—ce1v.4: DATE 2 C _ D ADDRESS • !�/ �•/•! lr,-C ILr� 2 2 CITY Newport•Beach - NOL. 0331240 BUILDING ADDRESS ARCHITECT l[ TEL. 6lI OR L ENGINEER B, • omberger NO. O$3164COSTA MESA, CALIFORNIA2 ADDRESS 3155 Yi,a Lido. Newport Beach FIRE ZONE TYPE GROUP lV CONTRACTOR Geo D. Buccola APPROVED v'`J `�� OATE�� y �. ADDRESS New-port Newport Blued. 1(/WANING ,( CITY Ne_ppoo LrPt'Beach LOCH ^-T— I/,PPLANNS 1.—OF -- BUILDING BU(DING USE OF NEW / ry LIC.NO.'1'5236� j�j�� NEO. 0231240 LEGAL DESOUPTION `O" ,t,r ,- 7 OF LOT 3301 a 660 I NO. OP B1D08. o A P NO. //7 - Z'yl - t t� L& NOW ON LOT USE OF YARDS EVES EXISTING BLDG. APPROVED ALLOWED SETBACKDP LINE FRO (CENTER LINE ST.) CP CENTER ETRE z., REAR YARE24/�/ FRONT Z- FT. "k`�v _ IN. SIDE YARD I LEFT( I RIGHT,7,./ / � C• R.SIDE 3 / FT. 1 Z'•^\�IN. DESCRIPTION OF WORK L'SIDE 3a FT. l IN. NEW /, II ALTERATION I II ADDITION I REAR Z�/L//�/'�s FT. / IN. REPAIR I II MOVING I II DEMOLISH I APPROVED C�` /L`Gr\ DATE Z/ L.Y/Ci-- BLOLNQ NO, OF SIZE // X21/-l/ ROOMS /2 Bock / COTERIOR /J.LUCC I Vck COVERING LLCOVERING Ro USE OF BUILDING AND WORK TO BE PERFORMED c7c •1;;T Fr /'• // I HEREBY ACKNO TM A RAD THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT T BOY- O'� CT AND AO' s TO CAM- PURPOSE OF ESTABLISHING A PERMIT PEE ONLY. PLY WITH AU. CI RUIN STATE OULATINO BUILDING CON.••r ON. / / VALUATION SIGNATURE O. f ,v PERMIT FEE $ ,�D— PERMITTEF/ kt �L7 [J y B $ �5 4/70 '' PLAN CHECK S aC ^- w 'AUTHORIZED AGENT •••%%% I TOTAL FEE s 75-- 0 l 4.. 4 .