HomeMy WebLinkAbout251 16TH PL - Building Permits ADDRESS Of BMLDNC: 251 16TH PL UMT' CITY OF COSTA MESA — BUILDING PERMIT
o'NNEBSNAIIEIFaarm WRIGHT, TOMMY D PERM NO: 8 073219
ADDRESS: 2017 S CAPELLA CT
COSTA MESA,CA 92626 PERMIT NO: B 073219 PLAN CHECK NO: N GOVT: N SUPP : N
714 ) 979-3848
APPL.AMMOADORESS: CONSTRUCTION TYPE: V—N PERMIT TYPE : STR PURPOSE: ALT
ARCHRECT OR ENGINEER: LTG NO.: JOB DESCRIPTION : T/O ROCK & REROOF WITH 25YR DIM. COMPO SQ FT: 2, 800
ARCH.OR ENG.'S ADDRESS: UMT:
CLAIM VALUE: 2, 800 . 00 CALC—VALUE: 2, 800 . 00 GROUP OCC: R-3 /M-1
coNm uorstAUE TOP HAT ROOFING ( 714 ) 586-6978
camAcosMAalNo27121 PUEBLO NUEVO DR COMMENTS : SMOKE DETECTORS ARE REQUIRED IN EVERY BEDROOM & HALLWAY
ADDRES& MISSION VIEJO CA ucNo_ 648632 ***** + *+E***Kx*****SE**IE******+E1E**** SE*****+E**+E+k********1F*1E* 1EN****at** **aEat*****
92691 UMT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that lam licensed under provisions of Chapter 9 SETBACKS
(commencing with Section 7003)of Division 3 of the Business and Professions Code.end my license is in full force and effect
CITY LIC.NO.:058118 uc.CLASS: C 39 sac 64 632 E : 03/96 MAIN BUILDING ACCESSORY BUILDING
//�� FRNT: FT IN REAR :
IN RGHT: FT IN FRNT:
LEFT: FT IN REAR:
IN RGHT: FT IN
S °onttBtl4` ! LEFT: FT FT IN FT FT IN
OWNER ���7-1.2.-BUILDER DECLARATION:I hereby affirm under penally of perjury the I am exempt from the Contractors license Law for the
foldemolish,m reason(Section 7031.5
arid Professions W reequwmAheny"ity cr appfcanti« wpm it to file assigned statement that or she
PARKING REQ: PROV: PARCEL : 42522101 ZNE: REF NO:
. .is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7300)of Division 3 of the PLANNING NOTES>
Business and Professions Code)or that he or she o exempt therefrom and the basis for the alleged exemption.Any violation of Section >
7031.5 Mehr applicant for a perms subjects the applicant toetivg penally of not more than fire hundred dollars lSsaoD. ***********************************3**********************************f0********
❑ nwner daPrOcerlY Or adhwn ' 'dCothe t�` � ornded
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T REQUIREMENTS 7044.Business anPrcleres wWThen, License Ladoesnoapply,00w�efpeny
who buids or improves thereon,and who does such work limsetl or herself or through he or her own employees,provided that such .
improvements ere not intended w offered for gab.If,however,the building or inproernent is sold within one year of completion,the ZONING APPROVED BY DATE; •
owner budder we have the burden of proving he or she did not build or improve for the purpose d saki). —
❑ I,as owner of the popery,ant exclusively contracting with licensed contractors to=name the project(Section 7044,Business and
Professions Code:The Contractors License Law does not appy d anthew a prelseny who builds or imposes theism and ono BUILDING APPROVED BY : DATE:
contracts for such Projects with a Domnofoes)licensed pursuant to the Contractors License Law).
❑ Iamexempt under Section: B.AP.C..krIbis reason: APPLICATION ISSUED BY : DATE;
*************************************** i ************************ . vv vv *
Date: Owner: LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT:Y
I do hereby candy that I em aware of and understand the requirements of Calomia Health and Safety Code Sections 25505,25533,and
25534et permit andthatfuture
building
thiheeAi MKE (will/will mereo riot.)needto
ial corstrdsaiionna state
ppinsttartn�aehexefempt horn Ntheefor
se BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 54 . 00 . 50
Date: Applicant: SMIP/NON—RES
WORKER'S COMPENSATION DECLARATION:l hereby affvm under penalty of perjury one of the loloevag dedM
anns: PLAN
❑ I have and wU maintaina certificate d consent tovenee for workers'compensation.as provided M ovided for Radion 3700 of the Labor ISSUE FEE
Code,for the perormanceathe work for wlxhmkimm4le
peeued. BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
I have andwiImaintan when'compensation insurance.as required M Section 37004 the Labor Code,ler the performance of the TOTALS----> 54 50 0 . 00 0 . 00 54 . 50 54 . 50 00
work for which this permit is issued.My woken
'compensation insurance tether and policy number are:
Carrier: REVENUE DIVISION TOTALS--> COLLECTED : 54 . 50 OVER/SHORT: . 00
Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
This section need not be completed rm.pent is for one hundred doers 11100)or less.) 54 . 00 . 50
❑ I candy that in the pedo nneroe d the work for which the permit is issued.I shall not employ any person Inanyanny/manner so as to
become subject to the workers'compensation laws of CmH«da that if should to the workers' *******************************************************************************
penaetnn provisions of wth
700 of the Labor Code.I wN with those provisions INDIVIDUAL FEE BREAKDOWN
Derek/ 7—J2—9 Applicant:/se 2J 1
`,ySeeing:Failure to secure workers'compensation coverage Is unlawful,and shall abject an employer to criminal penalties and TYPE QTY DESCRIPTION UNIT COST TOTAL COST
civil fines up to one hundred thousand dollars($104000),In addition to the cost of compensation,damps ea problem(ler in
Section 3705 of the Lebon Code,Interest,and stiomry's less SFR 2800 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 2, 800 . 00
' CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there is a ronslnMin lending agency for the END OF FEES
performance of the work for which this petrel is issued(Section 3097.Gov.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have reed this application and state that the above information a caned.I agree to comply with all city and county ordinances
and stale laws relmip to building mnstrumm and hereby authorize representatives d this city to enter upon the above-mentioned properly
for inspection purposes.
a PAUL WRONSKI
r-/ 01 00185933-9018`c 9 TOT
/
of )s! 71)-95 DATES 07/12y95 TINT: :3:02
/
(515146 WP) White-Building A Safety:Green-RN:Canary-Appicam;Pink-Revenue:Goldenrod-Assessor
POOL PA
CONSTRUCTION AND PLANNING
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. 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-I 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 OGas ❑Oil
23. Gas Pipe-Rough& Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 7-Z o-RS 6 edit 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 PREY. 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:
34. Final Heating &Air Conditioning
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
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING / G1C7' oc.v/
48. FINAL PLANNING v. r
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
•
OWNER WINNER, R. L. DATE 9-29-59
JOB ADDRESS 251 16th Pl. Ants A,B,C BUILDING PERMIT NO.10374 '-
GENERAL CONTRACTOR Mueller Const. CO. VALUE $ 19,420,00
AP. No. 117-191-18 LOT TRACT FIRE ZONE DESCRIPTION OF WORK 3 Fa,1rI/'R�e(s. Watt
Iw- ECTIONS my,.i.--i.--6-0 DATE- GROUP H TYPE V ZONE iH Oar.
l°`�c"°TgCOund 5011 U.G. Water bV' —SU BCONTFIACTOR PERMITS ISSUED
Underground Gas ,'i yr-t6
''.4t, DATE NUMBER
Overhead Water and Gas a- e -� /Y - 7--t9 -)-v 004r`,
Rough Heating W ' Zt " ,w /o - /- J-9 -10 17 rRough Plumbing fa/ 166.9-97 A-Q . a-e%t-s /6 - / - ✓v - ,j .
Miscellaneous a 1_1517 st -
Prop. Swr. Line �eJ on. St. Swr. /0/2V,9 ii
II
Sprinkling System .'
Heating, Final W R>•,- /
Plumbing Fixtures !(/ 6-(n'O
Final Gas Test /A�4r _ /,c✓ ?.r1.-('d ,
Construction Pole
/
Underground Power -
Rough Wiring K-‘--0---- -a- .. .1,-iNu.,r-,-��..n.c/ //- 3o - ,7 /// 2 /,
TrenchestM-Forms( flFSteel - G-r&"'-
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
Sheathing --#5'.J 1/'3O d1
)±• ;;re and Flashing ✓j 917,1. 12--(7-51
1.41:::,-'ng Out 410'1.1 1I-3/--'W'
Plaster, brown coat P. Yy7 r__ /o2 'or6 0
Plumbing Fixtures, Final /./../ -7iCi O
Electric Fixtures, Final er..1/D I
Building, Final d/-LiC I - \
OCCUPANCY VV ') CI'r4UA) I An
Form 210-3M--4-59 '' HOLD FOR SPECIAL RtQLRRtN1tN 1 Q 10374
•
• 10374 cEP 15-59Pll W987a ****5930
. COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 317 COSTA MESA. CALIFORNIA
TOR APPLICANT TO fill IN COMPLETELY APPLICATION FOR PERMIT
' TYPE OR PRINT ./7 CO BUILDING
BUILD
ADD EISS ...",...54.7...",...54.74, /.f'frees //( L
COSTA MESA. CALIFORNIA 7 I FOR Off/CE USE ONLY
1 /� I. / I RECEIPT NO. I PERMIT NO.
OWNER I�. ) Aria 0 !'
MAIL o.. /] RECEIVEDI DATE RECEIVEDIVDATE ISSUED
ADDRESS ki l tt UZI is y ' U .//^�1 Zq 7'/I�/^'J� C/( /�
CITY E/ ''/.CT TNo. i-3 590
ADDRESS �Q / /4 it /21), 4c
ARCHITECT LIC. COSTA MESA. CALIFORNIA
OR C R , NO.
, ADD..ESS FIRE ZONE
//JJ I /� J /� EJB/' ZONE TYPE GROUP
CONTRACTOIYIUDQ.//QP• C,�T Co LIC NTO/bV R3 A APPROVED DATE
I ADDRESS MI a lid iCY 13/V d ZONING
LEGAL I LOT ( T EONER9 I NO.OF Z I USE OF NEW
ESCRIPTION NO.�) I BLOCK ./ TRACT PLANS BUILDING
A.P.NO. �/f/ / {—. / / / /LJ APPROVED DATE
SIZE
NO.OF SLOGS.
OF LOT �J�' 13 J I Now ON LOT O YARDS
REQUIRED EVES
ALLOWED
USE OF (CENTER LINE ST.)
EXISTING BLDG. FRONT Aar) FT. IN.
SETBACK LINE FROM //
CENTER OF STREET REAR YARD R.SIDE /1l.24i
SIDE YARD I LEFT I RIGHT L.SIDE y" FT. IN.
DESCRIPTION OF WORK REAR as` FT. IN.
NEW Ix I ALTERATION IIIADDITION I �� e0/.„w �>�J
REPAIR ��j�]��Z�_F.OVING I II DEMOLISH Imo`/,eTt // ,JLY 1�/
SIZBUE
DING i�"�T' ROOMS NO.OF �� STORIES ,, '� � ,4'
EXTERIOR WAL ROOF !`
COVERING UCCO ICOVERING Cine ,
USE OF BUILDIN AND WORK Tp BE PERF OLD FOR SP
;j Fa te,l �Y Fla rte/ 9a ii- SPEC/AL RF.QUrr,ry v
& !� y�r' O r�'
��it - i,r 9-irr
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN U DER VALUATION IS FOR TAE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION
SIGNATURE OF rn„p O [I., ''_ � 30 , OQ PERMIT FEE $ ....1914------
PERMITTEE /F ��n+�l /� i/ T
\ -1 G • J a.7'ly. Gt� s/j 7 90 • 00 PLAN CHECK $ /9 '3 v
AUTHORIZED AGENT 7�
G//
J 4 rr Q TOTAL FEE $ ore 6--e