HomeMy WebLinkAbout2141 Tustin Ave - Building Permits j Uvvnrab tut Ur uubTA MrbA DATE 2-13—b(j
JOB ADDRESS 2141 Tustin Avenue BUILDING PERMIT NO. 28204
GENERAL CONTRACTOR Industrial Fence Co. DESCRIPTION OF WORK Block Wall
A" No_.11$_73Q-27,, LOT(poz)266TRAC'Npt.Hants FIRE ZONE VALUE $ 2,500.00
yC' I. ECTIONS 38 Signature Date GROUP J TYPE ITT ZONE R-2
\i Soil PERMITS ISSUED
Gas SUBCONTRACTOR I Date I Number I Signature
Water Plumbing
Rough Plumbing
Prop. Swr. Line Q House Con.0
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground 0 Power 10
Rough Wiring Heating and Vent
Trenches i Forms Steel Reinf.
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing
Lathing—In 0 Out 0
Plaster, Brown Coat •
tural, Final Electric
Vent., Befrig. and A.C., Final
Plumbing, Final and Gas Test 0
Electric, Final /
Building. Final 71 97/1m'..�//�f/F�
'� �T X8204 13 0 :2t+s• *>►**te oo
STA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill In Completely APPLICATION FOR PERMIT
1 TYPE OR PRINT BUILDING
BUILDING '��• For Office Use Only
j.
' ADDRESS L/U/ /L/41'A/ A[aP RECEIPT NO. PERMIT NO.
1. COSTA MESA, CALIFORNIA
-, REGIS • Y DATE RECEIVED �TEISSUED
•
, /
.{ [ �J 3'4
OWNER Com/ /y a7" re 4.1 /4/1 F9/V -
�: MAIL / BUILDING
r� ADDRESS � ADDRESS
FIRE I
j: ZONE TYPE /J
BYPROVIjq - DATE Off'
ibcou
'ENGINEER NO.
ZONING' ADDRESS
/
SDN NO.OF USE Or NEW6/ L(/
/1_ I PLANS / I BUILDING bO
• • LEGAL ^AF / V
ADDRESS C y7 > .G'f//!Mi e //v E. DESCRIPTION .L .
CITY L0A/Q' /J4NG� A.P.NO. "� — - 6
e / _;!. NOTE: NO SAVE OVERHANG SHALL BE LESS THAN
�QTN80.TO SIDE IN REAR P.L.
O./0/00-3 NQ,AA
I EAVES
SIZE I NO.or floss. ALLOWED .(U.B.C.REQUIREMENT)
OF LOT NOW ON WTYARDS APPROVED YARDS APPROVED
- USE OR MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
/
• SETBACK LINE FROM FRONT FT. I R
CENTER OF STREET REAR YARD
ii',
y, SIDE YARD I Ian RIGHT
n,
DESCRIPTION OF WORK L.SID PT. rr. /•
1,
W ALTERATION ADDITI•N REAR PT. FT.
- DISTANCE SIM BET.MAIN e
ACCESS.BLDGS.
'? REPAIR MOVING DEMOLISH
DATE
• BUILDING NO.OF
SIZE ROOMS STORIES - APPROVED
jV EXTERIOR WALL I ROOF 4
COVERING COVERING By ' f• JL DATE a - •
' USE OFDuring AN•WORKFO Bx7 RFORRED a
ore, i C /0 L 1 NAV
LP ")
SQ.FT. c,
I HEREBY ACKNOWLEDO .. I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE j
AND STATE T - -OVE CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT PEE ONLY. `31
, PLY WITH - C ORDI . N AND STATE LAW', 'EGULATING
BUILDING ••N- 'U ON. VALUATION %2 I
Gil
r SIGNA '� 1 PERMIT FEE $
.j PERMI . A� S ems..IP '�%I / -
AUTHORIZED AGENT
$ /7!
TOTAL FEE
28219 F4fr6 .
+,C A MESA BUILDING-SAFETY DEPARTMENT . . .
P.O. BOX 1200 - COSTA MESA, CALIFORNIA 92520
For Applicant to FEU In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING ^^ A� ��///�� For Office Use Only
ADDRESS..-Al T/ T CAI ! / /,c•Ai Cie
RECEIPT NO. MIGHT NO.
COSTA MESA. CALIFORNIA c <7' /7
/� RECII Er TI RECEIVED, DATE ISSUED
OWNER l /7Y Or ( fiSTR MESIO tn.) a-112-6d 2-/6•-4r
BUILDING „//L/ �A17`� 10
MAIL ADDRESS �/l '7
ADDRESS
TEL. FIRE *
ZONE , {/�.�t�..�'.• TYPE P / 01
CITY NO. A �j �j t,',/
A••^.HITECT TEL BBPPROV[D 7 �// GATE `�/�^�u
NGINEER NO. /✓
ZONING .w
ADDRESS
ZON[/r NO.OF uSEOPNEW
CONTRACTOR l /I 9A!/�SCr/if�E /c runs Eu1LDINo c�M e,
Q tIAhIALCOA C _Ln/ � �pp
ADDRESS CI3p7() AlEl/IWOPT 8(...YD• DLsCILRPI1ONP07. .Y C•PC tO OP^ p�11,�
CITY (ns7.9 / !Cr n rift LIF •
A.P.NO. / % r� - 3 D -�7,��J TJ9
^ ��-�11 �j� NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
LIC..NO AAO/u'T-2 NQ Soo S7p l' Dr TO SIDE A REAR P.L
AVES
SIZE NO.OI SLDOS. ALLOWED (U.B.C.REQUIREMENT) _
OF LOT Now ON LOT
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
A FROM C�/���S'I'REET
SETBACK LINK PROM
FRONT '/ P•1'. J �- PT.
CENTER OP STREET REAR YARD
NBIDE YARD LEFT RIGHT R.SIDE /D0 FT. FT.
DESCRIPTION OF WORK J L.SIDE (n0 FT. � � �cc l)
I ALTERATION ADDITIQN REAR .5 PT. PT.
/-
DISTANCE BET. BET.MAIN e
[REPAIR _ MOVING _DEMOLISH MAIN BLDQS, ACCESS.BLOCS.
BUILDING
NO.OF VAR.# DATE
ROOF
SIZE ROOMS
STORIES
C.U.P.#APQ /� APPROVED J/ / rx,
COVERINOEXTERIOR WALL I COVERING s F�(IOVEl�I 1/-l(, 9 DATE ��// -6 U
USE�F�I LOINS ANk WORK TO BE PERFORMED if A"rl 04
/ R R,Ci -4HTe71 7t H.QEs D1
I
1
SO.FT.
I HERESY ACKNOWLEDGE NAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE j
AND STATE THAT THE AE E I RRECT AND ACRES CON. PURPOSE OF ESTABLISHING A PERMIT PEE ONLY. F11
PLY WITH ALL CITY OR NAN D STAT{ R[ LATINO J
BUILDING CONSTRUCT N. VALUATION �,) PERMIT FEB $ / 2' oo 00
SIGNATURE OF /�//1/ X1'7
PERMITTH'+ u'C�IJ? sv` Oo PLAN CHECK $ 6o00 w
AUTHORIZED AGENT /O 100
TOTAL FEE S
ADDRESS OF BwL01N0: 2141 TUSTIN AV UST' CITY OF COSTA MESA — BUILDING PERMIT FERN PIU; 8 U / 1 J91
O1yNEBSNMWMOIll: CITY OF COSTA MESA
ADDRESS' 77 FAIR DR 3RD FLR PERMITc.NO: B 071341 PLAN CHECK NO2 00750-95 L GUV1 : Y SUP: ; N
COSTA MESA
CA 92626 ( 714 ) 754-5304 CONSTRUCTION TYPE; PERMIT TYPE; STR PURPOSE; OTH
ADPL.MAILING ADDRESS:
JOB DESCRIPTION ; DEMOLISH & REPLACE ' TOT LOT ' EQUIPMENT SQ FT; 40, 000
ABCNBECTORENGNEER: DAVID BVANS & ASSOCIATES UCNO.: 3867
ARCH.ORE M+a'SADDRESS: 1000 E. GARVEY AVE. SOUTH WMT: 250 CLAIM VALUE; 40, 000 . 00 CALL—VALUE: 40, 000 . 00 GROUP OCC: A-4 /
NEST COVINA CA 91790-2720
CONTACTORSNAkE: COMMENTS; PHASE II / DEMO & REPLACE OLD ' TOT LOT' EQUIPMENT / "JORDAN PARK"
COMPACTORS SWUNG *****#***************##**********##********#** ************#****e.*#*x**#*****#*#
ADDRESS UG NO.: ZONING REQUIREMENTS
UMi SETBACKS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penely of perjury that 1 em licensed under provisions of Chapter 9
(commencing with Section 7000)of Division 3 ot the Business and Prolesslons Code,and my license is in full forte end effect. MAIN BUILDING ACCESSORY BUILDING
CITY LIC.NO.: LIC.CLASS: UC.NO.: EXP : FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Dale: Contractor: LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN
OWNER BUILDER DECLARATION:I hereby atmn under peneAydPerjury than an emend horn the Connecter,License Law tor the PARKING REQ; PROV; PARCEL; 42617104 ZNE; I&R REF NO:
following reason(Semen]osLSBwrtoksiarid PweeeisneCode:MyayorowaywcArrmitlo le amemotnswdtMalh Cr
r She PLANNING NOTES> PHASE II ADA TOT LOT UPGRADES FOR JORDAN PARK.
demolish,or repel any the ten e.prior to ie Coon e.also sluices the(Chaps sal fpr such permit 10 R"a signed statement Na he«she
• licensed pursuant m the provisions d the Contractors License Lew(Chapter 9(commencing with Sadism]000)of Division 3 of the >
venires and Professions Code)or that he or she is exempt therefrom and the basis tor the alleged exemption.My violation of section #***#*##***##********#***#******#**###**#**********4* ***********3###-4######3###
7031.5 by any applicant fora permit subjects the applicant to a avI penally of nd more Then five hundred dogma 155001).
o I.as ownerdtheproperty«myemploeeswithwagesastheirsolecompeneaion,rilldothework,andthestructureisnotinlended DEVELOPMENT SERVICES REQU IR E M E N 'T S
or offered for sale(Section 7044,Business and Professions Code:The Contradon License Law does not apply to an owner of properly
who Wlds«improve thereon.and who doss such work himself or herself or through his or her own employees.provided lhal such ZONING APPROVED BYDATE: 0A/475—
improvements are not intended or offered for sale.I,however,the building or improvement is sold within one yea of completion,the .
owner-0aTder wit have the burden el proving he or she did not build or improve for the purpose of sale).
I.aownerd the prspery.anonexmdvoNoontradic with 0cenedoonaeaota to construct the project(SectknlOe.Business and BUILDING APPROVED BY : DATE:
Professions Code:The Contractors License Law does not apply to en owner d property sono or insrowe thereon and who
contact ler soh Protects with a soarectos)licerued the Connectors License La APPLICATION ISSUED BY; AI ry♦ 7 '/i DATE; / ✓C�
El I am pt under Spy B.d P.0 iN re. #####** #*#####****### •is y •�• •/' • - • • #s#*#**#rt-#�f# i ###**#
/t r� l�I #****######***##**###****** E**** ****# ***$ ************Y****#**************#**
Dale: �air
owner: ` LEGALIZATION; N FEE „ U M M A R Y STRUCTURAL SEGMENT:Y
I do hereby II�a I am aware a and understand the requirements of Ca+ • and Saes Code Sections 25505.?An,min .and
25534,permit lnal«arry ifibileingo the A'upant willlwRnd Ldrde•• rid. sons.aa. .0.. d- •ma requirements these for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
ecermt l«mmvudion/oamodif/Wionh«nIMAr uty ��� ql ruct�r awed from tlwaep
Da��3/ 1a App�aif V / J , PERMIT 349 . 50
C17J SMZP/NON—RES
penalty ofthelolowingdsdwat n.: PLAN 227 . 18
WORKER'S COMPENSATION DECLARATION:I hereby ether ruder 8 . 40
❑ Iham and eaperformancenacerfuwlteorcomestoseeinsurefrworkers'compensation.as provided for by Section 3700of the labo ISSUE FEE ]
Code,for the performance of the work torich this permit a issued. BUILDING—DIC > PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
o haven I have and wis maaanworts'comp.raalSIrema05.esrnwiedbySeaidr3]00dmelaborCode.forthepanamanreelthe TOTALS----> 0 , 00 0 . 00 - • 0 , 00 0 . 00 . 00 . 00
work tor which this pend is issued.My workers'compensation insurance carrier and poky number are:
Canter: REVENUE DIVISION TOTALS--> COLLECTED : . 00 OVER/SHORT; . 00
Polly Number. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIF/TOT GRADING PLAN—CHECK
/reaction
all
need not be completed t the permit is far oner IS
hundred dollars a las.)
all I certify that in the performance of the work for which this mama is issued.1 Mag not employ any•• •• ' any manner so as to
became au to the worker:compensation 6w,,0I end'gree loll if. ^t,soy to vvggddaarr' #*#**********#*****#*#*****#*******************#*#***##*******#*****#**********
can Wfi eros" sped swat 3700 of the Labor Code,
onh / AWAY/
Date: //
yr
4..5
Applicant: U' INDIVIDUAL F E E BREAKDOWN
Warning:Fauws re wre work...compensation coverage is unlairlui,and she 1 an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up to one hundred thousand dollar.($103000A In addition to the cal mpwaatbq dartspsa as p,orded for In
&radon 3706 of the Labor Cods,Interna,and sh amaYa les
SFC 40000 ALTER, BY VALUE COMMERCIAL NOZONE 1 . 00 40, 000 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a oMrwion lending agency for the
END OF FEES
performance of the work for which the permit's issued(Section 3097,Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read this application and slate Na the above information is •
coned.I agree to comply with Slaty and county ordinances .
end state laws reletrg to dip construction and hereby authorize representatives of this dry to enter upon the above-mentioned property
fol pun �� PH. i 0' 00177723-00177723 TOT GL'
�/' /�1- > /`'�./ / Dole: (nEJ/11�([n/�/O��/ DATE: 03/07/95 iinv ^S:24
♦> Signature pfOwner/ I/Appl : �.ninuo -'�%���� / • .
(515146.WP) While-Building A Safety:Green-File;Cenery-Applicant:Pink-Revenue:Goldenrod-Assessor
CONSTRUCTION AND PLANNING POO. ;PA
APPROVALS Permit # Date Inspector APPROVALS Permit # Date iI nsppctor
1: Temporary Electrical Service or Pole -'52. Pool & Equipment Location •
2. Soil Pipe-Undrgrnd. 53. Steel'Reinforcement .
3. Electrical Conduit Utility-Undrgrnd. • 54. Fo'rms - E •
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
r
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 66. Backwash Lines, P-Trap, 0.tindrgrnd.
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 I 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 ❑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: o�3G a-ri-� Gtioeg. TL,v
34. Final Heating & Air Conditioning v'vc,lya /�J yrjes' (JAtJf,c-
35. Final Gas Pipe-Test i - `.j ,C„„Q,L Pgy -a,Uj C etiC-.
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 �r
47. FINAL STRUCTURE & BUI LDINqqq //3/ 4
48. FINAL PLANNING (((/O
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co •
51. CERTIFICATE OF OCCUPANCY
No Date
FromiheDesk of. . . // 1/J'7/
DENNIS JOHNSON
TRANSPORTATION SERVICES
,r
day f
JUL1/1-€514,0,- Jew lee-4-- Q-47)-inia(
RECERVED
2 1 1998