HomeMy WebLinkAbout636 WILSON ST - Building PermitsHpplicant to fill in all spaces wit�in neavy Dortler linei antl sign all appropriate tleclara[ions.
~� ��CIT'f��''1F COSTA MESA PERMIT NO. TRACT NO. LOT NO. �BLDG. NO.
�COIVSTRUCTIONPERMIT ,8�—_,�D91 ,��5 %
Address �, j�p�V� �
Arch/Eng. � License Na.
Address ' � �
Contracro��W U�fJ Phone '
ua
Address � � � � ' _
LICENSED CONTRACTOR DECLARATION
I hereby affirm th:.[ 1 am Ilcensetl untler provisions of Charter 9(com-
mencin9 with zettion ]000) of Division 3 of tM1e Business antl
Professions Cotle, antl my Iitense is in full force antl effect.
License Class License No.
Oate -' Signature
WORKERS' COMPENSATION DECLARATION� - � �
I he�eby at(irm that I hdve a ce�ti(iWt¢ Of COnsen[ to self-in5ure o� a
certliiczte Of' Workers' CompenSdtion InsUrance, or a cer[ifietl copy
thereof (Section 3800, Lab. C.).
^y fJo. - Company �
ertifietl copy is hereby furnishetl. � � �
�. Certifi¢tl cOpy is filetl with th¢ City Builtling Division.
EXEMPTION FROM WORKERS'�COMPENSATION DECLARATION
(This section neetl� not be complatetl.if the permi[ is.for. one. huntlretl
($300) or leu). � - ' ' �
'I CErtify that in the p¢rformance of the wo�k (or which thi5 permit IS
i55ued, I sha 1 not emPloy any p¢r5on in any manne� so as to become
subjec �t � r Compensatio��yc of, o-rn-i�11 , ".
'Date Si9nature rT�wM J�Cr_1�
NOTICE: If after makin9 this tlecldration, you shoultl become subjecf
to the Workers' Compensation provisions of the Labor Cotle, you must
forthwith mmply with such provisions or this permit shall be deemetl
revoketl.. - - .-.
CONSTRUCTION LENDING AGENCV '
+I he�eby atfirm that tM1e�e Is a mnst�uction lentling agency for the per-
formance of the work for which this permit is issuetl (Section 309]
Civ. C.1. . . ' •. .
Lender's Name
.Lentler's Atltlress
OWNER BUILDER DECLHRATION � ' -
I hereby aftirm Ihat I am exemp[ from the Conirattor's License Law tor
OI COUOry wOlCfl IEQWleS d
i5 licensetl pursuant to ihE prOvisions of the ConVacto�'s License Law
(Chapter 9(mmmencing with Section 7000) of Division 3 of the
Business antl %olession5 Cotle) o� that he i5 exempt therefrort� antl th¢
b� - for the alle9etl exemption. Any violation of Section 7031.5 Dy
a oplicant for a pe�mit subjects the applicant to a civil pendlty
�cp, . more than five huntlretl tlollars ($500).
qi i, as owner of [he property, �_^ -"-'�
or onered tor saie. (Secuon ioaa, Business and �rotesswns coae: i ne
Contractor's-LicenSe�Law doos�not appty to an owner of a.property
who builtls or improves thereon, antl who tloes such work himself or
throu9h� his own employees, provitletl that such-improvements are not
intentletl or offaratl tor sale. If, M1owever, tM1e builtling or improvement
is sold within one year of completion, the owner will have the burtlen,
of proving he tlitl not builtl or improve for the purpose of sale).
�Q I, as owne� of the'proDerty, am ¢xtlusivety mM�acting with
licensetl contractors to conztrutl the project (Section �044, Business
an0 Professions'Cotle: The Contractor's License Law tloes not apply to
an owner of property who builtls or Improves [hereon, antl who con-
t�acts'from such O�ojet[5 with a contractor(s) licesnetl pursuanC �o
tM1e Contractor's LicenSe Law). '
❑ 1 am exempt unAer Section B. & P. C. tor this
�ea5on '
Date � -- Owner � - '
I hereby certify that I have reatl this application antl state tnat the above
information is�correct. 1 agree to comply with all city antl county
ortlinan[es antl,state laws �Elating.to const�uction, antl hereby duthO�ixe
representatives of thi5 cit to efter upon the above en Ion¢tl
property fo� ' s c[lon p os f� e/s�r ^�
Signature Date � �� `� �S
TVPE OF CONSTRUCTION
O NEW ❑ ADD �,LTERATION
❑ REPAIR ❑ CONVERSION ❑DEMOLISH
❑ OTHER
�ESCRIPTIONOF_WORK ' �
TVPE OF PEHMI7�� � �,y . -
❑ GRADING ❑ FOUNOATION I�STRUCTURAL
❑ TENANT �ELECTRICAL OPLUMBING ❑MECHAI
« l
❑ OTHER '
PROJECT DESCRIPTION� - . - �. .
SQ. FT... � � . �i
�OCCUP.ANCV ' ONSTRUCTION yyPE �
VALUATION" ZON�� vq � �
GRADING CU. VOS. � • � \ .IAGS�E�
TOILETS '
LAVATORIES
KIT. 51 NKS
$ERV ICE SINKS
FLOOR SINKS �
DRINKING FOUN
INTERCEPTORS
SWIMMING POOI
WqTER SERVICE
GAS SERVICE
PLANCHECK -
SHOWERS
URINALS �
DOUBLE LAVS
DISHWHSHERS
SUMP$
FLOOR DRAINS
PTRAP
A�TERATION
OUTLET$
WATER HEATERS BTU OUTPUT
SEWER CONNECTIONS � �
SOLAR TANK � �COLLECTORS
SOLAR PIPING SVS.
ISSUE FEE ��
MECHANICAL PLAN CHECK
NEATINGSVSTEM 0-100,0008TU_
AND OUCTI NG � 100,000 + gTU _
REFRIGERATION 0-100,000 BTU_
SVSTEM 100,000+g7V_
BOILERS BTU '
SVSTEM REPAIR, ALTERATION
E%HAUSTSVSTEM MULTIPLE
Drivers' License or 55 � � � ""�"" "
CMF 0865-46 White-Builtling; Canary-Applicanf: Pink-Accountin9; Goltlenrotl-Assessor
S
I
A.P. �
?ONE
3 D
iETBACK GL 5-
SI�E VARD
LEFT
R I GEH�—
REAR VARO (T
PKG. SPAC E R E
STREET WIDTH
ZONING APPRO
iPECIAL CONDI
�
�� comme,
gllW I I Ul�17/Bc^
20NING REGULATIONS
— f��—
� . � PLNG. REF. yp
� � .PROVIDED..
PARK FEE 5
_D�BV • � DATE
ONS: �
^� use o�__crar,a�
ELECTRICAL � � . '- � PLAN CRECK ,
'- GENERATOR ' 0-1 KW_ 1-10 KW _
TRANSFORMER
� � APPLIANCE 30-SOKW_50+KW -_
"' , ,MOTORS 0-1 HP_1-IO�F1P _
- �� (INC. SOLAR) - 30-50 HP -50 + HP _
FIXTURES OUTLETS� ITCHES "
• GAS TUBE SIGNS ' -
POLE LIGHTS � �
POLES METERED SUB:
PANEL$' MAIN SU
'SERVICE - / P '
�� '"
ISSUEFEE � ' ,,�.� -
APPLICATIONAPPROVEDBV �/ y—.--,
24ou1 tt
SUMMARV OF fEES '
BUILDING ' � DS.O.
PERMIT $ �� O ' SMIP ' - .$�__
PLANCHECK $_�_lL(1_ PERMIT ,
.ISSUANCE�$
PWMBING E - .
-� GRADING S
PLAN CHECK E %'���" .. ' � , ' '
ELECTRICAL .E—L.�TL $
.PLANCHECK' $ ' � .MICROFILM $
MECHANICHL S - - -TOTAL FEE E
'PCAN CHECK S � _ LE55 AD- �
VANCEPC $__ _
_ FINAL FEE $�`� • L
CONS7RUCTION AND PLANNING , POOL & SPA � . _ � ' � - •, ; . . . +
APPROVALS Permit # Date ��Sp�a� qppROVALS � ". . Permit # � � � - Date Inspeetor �
1. Temporary Electrical Service or Pole ' 43: Pool & Equipment Location - -� --- - -- '�-
i ipe-Un rgm 4. Steel Reinforcemenf � -�
3. . lec[rical Co�uit Utility-Undrgrn __ __ 45. Forms - -
�. . ..-- --'--�- -- -- - 9 -
4.�Electrical Conduit-Undrgm . . , _ __ , . _ _. _ __ ,__ �6.�lec[ricai Bondin_ . _
. tee em orce 47. Rou h Plumbin & Pressure Test �
6. Electrical UFER Gm ' 48. APP,ROVALTO COVER-GUNITE -
7. ootings 49. Electiical Conduit-Undr rn � �
- 8. Foundation � - -50._ Gas Pipe,. ❑ Undr rn, Test �� �
.9. Water Pipe-Undrgrn 51.� Backwash Lines P-Tra ❑ n r rn �
10. Structural Floor System 52. .APPROVAL TO DECK ' '
11. Property Sewer Line & House Connec[ion ' � 53:_ Backwash & Rece torFinal �
. 12.. _Street SCwer ConnecSioR _. ' ' � ' 54. . Heater & Vent-Finab �
: 13.,.. Rough Plumbing. _ .__ _ . . . ' : - -- � - - -'" . . - _ .. ' � .
� 14._ Rough ElectrioConduit - - � � � ' �56. Electripl-Final � - � -
15. Rou �h �Iectric-Wiring '"'� � /D�-$"- Z - � � L'. � 57. So�ar System-Final - �
i(i: =Raugh-Heating$ Air-�enditioniag - - - • encing & Access.Approval .
17.. Ducts in Structure'. _ APPROVED FOR PLASTERING •• '
.48.�� Ducts, VenfilAtiug . • � � ' - --- - -- -- - ' _ - • - •
19. GasPipe•Rough'&Test 60. POOUSPA_SYSTEMSFINAL
20. �Roof Framing . - ' .�_ .� . _ '- . . � . ` " � � . ' ,
21. Roof'Sheathin - - _ , -" -� � � i� � �A � �' , .
22. Frame and Flashin _ - _�_ � NOTES:' sy � �,�,;;r
23. Insulation � � � ' ' ' � � - -_ ;�''m'-� �-
24. Lathin & Siding. - ' - - �
25. Drywall Nailing � ' (p- 'Y' ' ' '
26.- Plaster Qrown Coat � � ` � � � � �
27. Electrical Power MeterFinal � ' � � � - � " � �
28. Final �Electric � - 0 - � � � - �
. 29: Final Heating & Air Conditioning.. � � � ' � � ' � '
30. Final'Gas Hpe-Test . - ' ' � "
, _ . _ . _ . . - � - -- - � �. � .
31._Final Plumbing , • � . � .,,,. ,...�.,...w ...... ........._..._ .. .., .
;��:32. =WaterService-Finai � � �' �- ' � ' " �
�' 33.:�'Gas Service-Fieal, � � ' � - - ' ' � � '
� 34. Solar DpmesticFinal -- ' � � '
i 35." Landsca e S rinklin S stem�� • ' � � � - ' • • ;
36. Sound qttenuation _ � � � � � � � � - � � � -
; 37. Handicap Regulations � � � � � � � ^ � � � � � � �
; 38. FINALSTRUCTURE&BUILDING � � � • -
39. Special Requirements ComplBfed ' � � " ' � � - �
40. Electric Release to Edison - ' � -- ' - �- -'- � - '
41. Gas Release to Southem California�Gas Co. ' ' - � - � � � � � �
42. CERTIFICATEOFOCCUPANCY i _.. ,
�
{ � ' No- • �+ Date -- - - - -
owxEx SANTA ANA RANCHOS na'rE 8-5-58
JOB ADDRESS 636 W, 4li150A BUILDING PERMIT NO. %Q�y�y -
GENERAL CONTRACTOR �1k2 & C012�i`Ov2 8 VAL[IE $ 15.�23.00
A' 'o. LOT 7 TRAC'I' pQ15 PIRE ZONE DESCR[PTiON OF WORK Sin. Fam. RPs. & Att._ Gar,
G�._.1P I& J TYPE �, � ZONE RI� PLAN NO. . .
INSPECTIONS I DATE I 8UBCONTRACTOR I PERMITSISSUED
DATE I NUMHEi
wat
� + _
�
t
Final Gas Test / S� /ViYS l�0 - n-
0
- - '� '7;�4j3
�-
, COSTA MESA BUILDING DEPARTMENT
P.O. BOX 31�
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
BUILOING
ADDRE55
16 W. Wilson
COSTA MESA. CALIFORNIA
OWNER SHritfl ARH Rfli1C17
MAIL ,47,9 E. 17th St.
4OORF55
ARCHITECT C$i�l$OII OC
OR ENGINEER �
Aoo Garden Grove, C
Dike & Colegrove,In
CONTRACTOR
nooRess �9 E. 17th St•�
LEGnL LOT %
DESCRIPiIOv NO. • BLOCK
A.P. NO.
51ZE 61 x 100
OF LOT
USE OF
E%ISTING BL�G
TEL.
NO.
LIC.
NO.
�
�
LI
ov e�ocs.
, o„ ,o, none
SEiO>CN LINE FROM
CENTER OF STNEEi SOt REAR YARO �
SIDE YARD RIGHT b� LEFT S�
DESCRIPTION OF WORK
NEW p ALTERATION ADDITION
REPAIf MOVING DEMOLISH
SIZIEDING1S7O $• lti. ROOMS 6 STORIES 1
EXTERIOR WALL a ROOF
COVERING S411CC0 COVERING COIDD•
USE OF NEW
eu��o�Nc___Single femily residence and
attached garage
cosTn �� aatra54.00
AUC —1-SflP�mesr"'
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
RECEiPT NO. PERMIT N C/
7 2 7
COSTA MESA. CALIFORNIA
;:,u� 3
BYrnvvcv�.�� ��� i l_ �TE
T�
,GORRECTIONS
/r� «-![ �/..e %hi
. � f �
�� cesTa
TO BI nr_ E
STATE TM�T TNE �BOVE IS CORNER �NO �GFEE TO COMPLY WITN �ll
CRV OROIN�NCES �ND 6T L�WS NEGVNTING BUIL�ING CON6TRUU
nOrv. VALUATION
SIGNATURE OF PERMiT FEE S 36�CO
PERMITTEE �y�
$ 15,823�00 PL/N CHECK $ ��W
AUTHORIZED AGENID ]( 018 OV2 Inc. TOTAL FEE $ 54�w
v��
�.I
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicanf to Fill in Completely — Use Ink Only
BUIIDING C 3 � W. [�l _��I
ADf]RESS I:—Sl.IV. G✓V
OWNF
MAIL
CITY (_!G�'
CAN5TRUCTION
BRANCH �F�
, ADDRESS N •R'�
ARCHITECT �(�.�� ^EL. �
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CONTRACTOFi /Jj�fJ�[/ '/ �(.((„(j
ADDRESS �./�
TEL.
CITY �1{-. NO. /J.A
STATE �/. CITV
LIC. NO. �v j� , LIC. NO. N�,
OFLOT ���7C /�.1� INOWONLO %
USE OF
EXISiING BLDG. �_�p� ���+Ur_`
Separate permits are required for
electric, plumbing and heating work.
VSE OF BUILDING AND WORK TO BE PEFFORMED
��
I hereby acknowletlge thet I have reetl this eppllcoiion and ctete
that t�e ebove intormetion Is correct end aqrae to eomply wlth
ell laws reBulating builtlinp connruction, entl I shall noi employ
any person in violatlon o7 the workmen's compensation laws ot
tha Stete of Celifornla.
I heraby canify t�et I em properly Iicensetl as e contractor untlar
Me SUta oi Californle Business and Professions Cotla, Dlvision 3,
Chapter 9, antl that such Ileenzes ere In full force antl eftact, or �
em exempt from the provisions of tha Stata of Celifornia Buslness
entl Professlons Coda, Dlvislan 3, Cheptar 9.
Signeture ot
Permittee
Authorizatl ABent
�rT 2�-75�;',�`00 79or .:'�,`*10.50
APPLICATION !OR STRUCTURAL PERMIT
A.P. NO.//Sl(� /L^'
BUILDING / � / //
ADDRESS � �,�/n
FIRE
ZONE
APPROVED
LOT / I BLOCK
"DATE��J�Y( O
NO.OF USE OFiryEyJ.�'�
PL4N$ UILDINB""—
APPfiOVED �'ARDSA PROVED
3UILDING ACCESSOd V BUIIDING
� (� �
�. SIDE F � FT.
REAR FT. FT.
DISTANCE BET. BET. MAIN &
MAIN BLDGS. ACCE�. BLDGS.
VAR.s$ DATE
C.U.P.qW APPqOVED
APPROVED l`� C/ ^. ' /� ^ iY.� —
N
n
m
i
m
SQ. FT. UOCi /� �.0 a
THE AMOVNTSHOWN UNDER VALUATION IS FOR m
THE PUFiPO$E OF ESTABLISHING A PERMIT FEE ONLV: �
VALUATION PERMIT FEE $ ///� �_/� a
'Y/1 �V N
m
� PLAN CHECK b ^�
0
LL
$ � �� TAX $ � O U
TOTALPAID b �
�OWNER �g �grl R. &
J('" 1DDRESS 636 West W:
G RAL CONTRACTOR Ovn
P No. 1]$-(1G-1 LOT
,1 INSPECTIONS
� SOIL
� GAS
WATER
� ROUGH PLUMBING
PROP. SWR. LINE Q HOUSE CON. �
SPRINKLING SYSTEM
MISCEILANE0U5
ROUGH HEATING ANO AIR CONUITIONING
UNDERGAOUND LJ POWER Lf
ROUGH WIftING
TRENCHES � FORMS � STEEL REINF.
FLOOR SVSTEM
BOND BEAM � STEEL REINFORCE ❑
SHEATHING
FRAME AND FLASHING
U ' — IN [—J OUT ❑
PLn_�ER, BROWN COAT
STRUCTpRPL FINPL
NEATING, VENT., REFRIG. ANO R.C., FINAL
PLUMBiNG, FINAL ANO GAS TEST ❑
ELECTRIC, FINAL
BUILDING. FINFL
DATE 10-20-7'
BUILDING PERMIT
RtPTION of WORK LCgalize
ZONE VALUEb 250.00
PE N GROUP J
SUBCONTRACTOR