HomeMy WebLinkAbout222 15TH ST - Building Permits 1
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA CONSTRUCTION PERMIT - PERMITP , NO, TRACT NO. LOT NO. UNIT NO. A P.#` Zone
Project Address { Z ''JJ E• I .S-� C r,E 7 rr II S Main Building: Accessory Building:
'7U7 El LS t% �•� p �t l TYPE OF CONSTRUCTION U NEW ❑ ADD U ALTERATION Li REPAIR E Z
Applicant's Mallin Addressr. $4Aln-4i+ it��s�t
(g` f� ❑ CONVERSION ❑ DEMOLISH / OTHER Zqs{ .I{._ W T Front O
Owner's Name uC) p w Phone ,SyB.S) 91 DESCRIPTION OF WORK/USE OF BLDG. B Rear N
Address ca m t- '
TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL i C Right N
Arch/Eng. License No. K G
Address l M ❑ TENANT ELECTRICAL ❑ PLUMBING MECHANICAL S Left R
t�.1� ! 1 L•g Phone 1 ❑ OTHER �Ping. Ref.# Re /Provided E
Contractor's Name T1a1- 6�o"S U� Parking q'
Address(mailing) 40 7/ F ( P. n.P Q/ 4...-4 PROJECT DESCRIPTION SO. FT. OCCUPANCY Planning Notes: M
����� CONSTRUCTION TYPE VALUATION$ T
City License No. ZONE GRADI NG CU.YDS. ACRES S.
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I an,licensed under provisions of Charter 9 (commencing Remarks:
with section 7000) of Division 3 of the Business and Professions Code, and r
my license is in f 511 force and effect. ELECTRICAL FEES
LicenseeClass_ e�
1 - Z n Licenslo. 2 g Q
Clate.p_:.)___ S, .. Signature 6-G.•- ICY PLUMBING I FEES Automatic Washer Transformer 0 15.50 KW .
WORKERS'COMPENSATION OEC LARATIQ� Construction Pole Sub. 0 50+KW
reby affirm that I have a certificate of consent to self-Insure or a certificate Bar Sink ShOWers
Yorkers' Compensation Insurance, or a certified copy thereof (SectionCooking Unit Meter Dup to 100 amps
„Jo, Lab. C.) Backflow Preventer Service Sink
Policy No. Company Backf low Irrigation Sewer Cap . Dishwasher Meter Dover 100 amps
8 Certified copy is hereby furnished.Certified copy is filed with the city Building Division, Bathtubs Sewer Connection . Dryers OGas ❑Electric — Sub Panel �_
Date Applicant ^-- Fan Motors❑41 HP 1%-B �j+
"EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors - ngt
(This section need not be completed If the permit is for one hundred($100)or j F.A.U. Inc.Solar ❑9.15 HP ❑16.1 S+
less). IDiShvuasher Solar Piping i_,
1 certify that in the performance of the work for which this permit is Issued I Fixtures Microwave -
shall not employ any person in any manner so as to become s to the Drinking Fountains Solar Tank
Workers' Co pensati n w5 of Califo Pole Light
�I ea 5mp e Device Boxes
Date j9 ^l 4- �{ 1 Signature V `L Floor Drains Swimming Pool w/Spag
NOTICE:If,after making this declaration,you s ecome subject to the Outlets R
Workers' Compensation provisions of the Labo ane you must forthwith Floor Sinks Urinal 9
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY Gas Service Outlets I Water Closet Switches Sign '
I hereby affirm that there Is a construction lending agency for the performance •
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections
Lender's Name Generator 00-5 KW ❑5.15 KW Trash Compactor
Lender's Address Kitchen Sink Water Service
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-Tian 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 \C ti
the Contractor's License Law(Chapter g with Section 7000)of1
'sion 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee ! $15 Issue Fee -6-9-
:from and the basis for the alleged exemption. Any violation of Section
1.5 by any applicant for a permit subjects the appliWm to a civil
penalty 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 S15 Issue Fee $ 3
Zoning Approved By Date
compensation, will do the work,and the structure is not intended or offered
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date
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 Hood or Type I 0 Application Issued By Date 61—Z4—el
employees, provided that such improvements are not intended or offered for Boiler
sale. It, however,the building Or improvement is sold within one year of corn- Canopy Type II 0 SUMMARY OF FEES
Diction, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground
Drove for the purpose of sale). - BUILDING PERMIT $ SMIP $
0 1, as owner of the property, am exclusively contracting with licensed con- Duct-Structural efrigeration System PLAN CHECK $ PERMIT
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 0100,000 BTU 9 t„ PLUMBING $ ISSUANCE $
builds or Improves thereon.and who contracts for such orolects with a con- _
tractors) license pursuant to foe Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $
proof of their Worker's Compensation insurance should be provided to me, t GRADING $
❑ 1 am exempt under Section B.& D. C.for this reason Firepl/Fact.BIt. ICBG Fire Dampers ELECTRICAL $ 2 7.
PLAN CHECK 50% $ MICROFILM $
Date Owner Hgating System& Ducting Registers MECHANICAL $ -330:11 TOTAL FEE $ _��? -
I hereby certify that 1 have read this application and state that the above 1 4100,000 BTU 0100,000 BTL— 9 .-�. PLAN CHECK 25% $
Information is correct. I agree to comply with all city and county ordinancesI
and state laws relating to building construction,and hereby authorize repre-
sentatives of this city to ant- u n the above-mentioned property for 9
Inspection purposa. U Gs __ IC
Signature at / - Date -7 T'��
Reinspection Fee $15 Issue Fee $'3r^ ns -;,17-t7,113-.754i3;1. CC
Drivers' License or SS$ - - • - 1 i
0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor - '. =. L'6r ti. 3 iaS,C% '
CONSTRUCTION AND PLANNING POO '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, O Undrgrnd.,Test
9 .Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 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
46, 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. Robf Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil,
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical J
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 95/199 & Notes:
34. Final Heating & Air Conditioning CJS/
35. Final Gas Pipe-Test
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 - •1 ,
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison f'
50. Gas Release to Southern California Gas Co
\51. CERTIFICATE OF OCCUPANCY
o. Date t, • 'tj
OWNER NEW, DON DATE 2-3-59
JOB ADDRESS 222 E. 15th St. BUILDING PERMIT NO. 8578
GENERAL CONTRACTOR Bo--Jak VALUE $ 4,463.00
11714.k1-04 LOT 13 TRACTli tS FIRE ZONE 3 DESCRIPTION OF WORK . Res. Add.
GROUP I TYPE V • ZONE R4 PLAN NO. 78
INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED
DATE NUMBER
Trenches Forms Steel fl / —,S4'
'
Floor System (7. 7rf- %/J/4' -/
Steel Reinforce hjpiney Re-Rod
Frame and 4 ..l1oe /�'/ ,
Frame and Flashing (i���j�// ' / 4GAT obi- ),i$'. -9 &— 7 - `�
Lathing, In Out F .-/y-„
Plaster, brown coat •
Underground soil 44-85 W/G Pipe Test4J4+c1-/a..t$'
Top Out }'(P'bTJ r v _
Furnace /LM3SSP SP Z.(/.IIJSC • 02-9-5' /7/y2.-✓
Gas Vents
Rough Plumbing a4/$, -23---59 i.0. t a f ,D—,/'S J /c7/ Y2,..---
cesspool
2,.--Cesspool Septic Tank /Vows p_i__::41;
Prop. Swr. Line House Con. St. Swr. d'd d/Q
Sprinkling System tie .C/-e. /
Heating Final i¢4"/ .§-/// try
'
Plumbing Fixtures, Final "c---"7" -- 3/i l/J `t
r 1^
Final Gas Test .�j(,'3T{JC S //- 4-rJ
Construction Pole , io,(/R I' ry
Underground Power .4'c /�l).Q.r �a _ e\
Rough Wiring ��`Z�T - . D-)'i r.%Qnl-r7 �Ra-c5 , ./ \'!
Fixtures, Final d 7 -7 R.-to O l� 4jI
-OCCUPANCY I 1
'Form 210-5M-1-57 _ ,. 18578
a RLCdV U
�35 /S FEB 2 1959 c;,ri
OWNER NEW, DON E. DATE 7-31-61
JOB ADDRESS 222 East 15th Street BUILDING PERMIT NO. 15 55
GENERAL CONTRACTOR Raymond Hudson VALUE $ 1./152.00
AP. No. 117-111—Oh LOT TRACT FIRE ZONE DESCRIPTION OF WORK Det.gar.
INSPECTIONS DATE GROUP J TYPE V ZONE R-2
Underground Soil U.G. Water PERMITS ISSUED
Underground Gas SUBCONTRACTOR DATE NUMBER
Overhead Water and Gas
Rough Heating
Rough Plumbing
Miscellaneous
Prop. Swr. Line House Con. St. Swr.
Sprinkling System
Heating, Final
Plumbing Fixtures
Final Gas Test
Construction Pole
Underground Power
Rough Wiring,. 44S Si/QT,/ Aug_ TQ4tkic
Trenches4(0//Wormsp4}}Steel g_Z,ro( ed -11-41 IS-439,
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam _ •
Sheathing /)^� } S/S —c 8f
Frame and Flashing Y %Sy.1 6 —
Lathing, In Out [ �QS /rp — 60 \ ;
12' Plaster, brown coat 4 $ . -41 '
Plumbing Fixtures, Final
Electric Fixtures, Final I /, ,
Building, Final 7/4 l r� I
OCCUPANCY
Form 210-5M-11.59 5-B P 15055
•
15055 FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT JUL 311969
• P. 0. BOX 317 COSTA MESA. CALIFORNIA FINANCE �DnEPMT.
For Applicant to Fill In Completely APPLICA1c& F SRUPiRMR'ESA
TYPE OR PRINT BUILDING
BUILDING �j2 L` /c�
ADDRESS yCOSTA MESA. CALIFORNIA For Office Use Only
I_ ,-.s RECEIPT NO. IPLRMIT-NO:
OWNER pew 1t jec{/ 1auoa
MAIL
ADDRESS ,{IL S. f,C-- RBCEIVEy By I Dwx9-S/-6 J 1 E- / b/
r TEL. BUILDINNGG/�(��` �ii n /�/ 3
CITY /*--0.57•41 A,9Cfll NO. ADDRESS
ARCHITECT I TEL. COSTA MESA. CALIFORNIA \
• OR ENGINEER NO.
FIRE
ADDRESS A ,F �q J/ �) ZONE I TYPE GROUP
CONTRACTORR F/7-7#40/ eC.D /.yc(/05-17~/ I • DATE
ADDRESS ?33 ate part .a �q ZONING
ZONE NO.OF I USE OF N
CITY 0 T j teas; i. g° -LANG BUILDING / .
STATE • 0- TEL. • _ 5. LEGAL --,41,V)
I I
LIC.NO. _. 0 q NSIZEO.
,/421 / DESCRIPTIO47O� �'T �� 47/
OF LOT 60 X 3 2 '-. �' I NOW ON LOTNO. OF TB A.P.NO. - /L - O -
USE OF / YARDS EVES
EXI- INC BLDG. _ APPROVED ALLOWED
SETBACK LINE FROM (CENTER LINE ST.) ,�//77
cram or nen REAR YARD FRONT FT. /¢..0 i IN.
SIDE YARD I LEFT I RIGHT R.SIDE c' /FT. IN.
DESCRIPTION • • '
L.SIDE SFT. IN.
NEW I II ALTERATION I II ADDITION I REAR ,-9O FT. PA IN.
REPAIR BBYPROVED/� 'I P I DATE 3/-4
(Uc���/ a-0-77
EXTERIOR WALL -illeAirplinil if. -
USE OF BUILDING AND WORK TO BE PERFORME•
(04k7,4 acirrrpu,9. a ,) ..9gl1
I HEREBY ACK •WLED• THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE AT THE BOVE IS CORRECT GREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH CITY 0'•INANGER AND ST • LA S REGULATING
BUILDING 0 'TRUCTI•N. VALUATIONalir �-
SIGNATU-E 0- A-
• PERMIT FEE $
PERMIT'f {/�Ij/... -_ i Are.'f -_�L- /f
— �� O
f i r $ PLAN CHECK $ 51--
AUTHORIZED AGENT a -AP3
�'
TOTAL FEE - ^ LL