HomeMy WebLinkAbout288 16TH PL - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
PE T NO. TRACT NO. LOT NO. - UNIT NO. _ 7a[}(] TL,
aTY OF COSTA MESA, ONST UcTION PERMIT —(� , 2526 A I /19/84
•
• Project Address V'x � I br �' <' �•' f L02-7 o
Address TYPE OF CONSTRUCTION LJ NEW ❑ ADD LJ ALTERATION LJ REPAIR
Applicant's Mak
K (_qs 'f f CI ❑ DEMOLISH CI Owner's Name l.At.6- ` �''�-T�h` PhonEr' l J7 A.P.# Zone
�7 DESCRIPTION OF WORK/USE OF BLDG.
Address ' �Jf p 7- � - 1 6"�� "9��"4' �•yt S Main Building: Accessory Building:
Arch/Eng. License No. ' TYPE.OF PERMIT ID GRADING ❑ FOUNDATION ❑ STRUCTURAL E Front ZO
Address it HO I. , !• CI TENANT CI ELECTRICAL ❑ PLUMBING MECHANICAL B Rear N
Contractor's Name H. 1bn-tit 3 Pho e�a'~b•`�''Z' ❑ 'OTHER
IV's 0 h1�(A e..,yh PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right G
Address(mailing) �14,13--;14
S CONSTRUCTION TYPE VALUATION$ S Left
('1'�1 City License NO. \p��^' ZONE GRADING CU.YDS. ACRESR
( LICENSED CONTRACTOR DECLARATION • Ping. Ref.+ Parking Req./Provided E
vI hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: Q
I v with section 1000) of Division 3 of the Business and Professions Code, and M
my license is in f I fore au. effect T
Licens Class C •' L ~C Lr License No. -- l'� - S.
Date LI• l — . .ignature 4' - lei . -- PLUMBING FEES
WORKERS'COMPENSATION DECLARATION
1 hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink I Showers ELECTRICAL FEES
' N Workers' Compensation Insurance, or a certified copy thereof (Section .
•
)800, Lab. C.) �• '/ •y� +h Backflow Preventer Service Sink Automatic Washer Transformer ❑ 15-50 KW
Policy No- —4f) (lOt-0 company w, `t Backflow Irrigation Sewer Cap • 0 50+KW •
U Certified copy is hereby furnished. Construction Pole Sub.
Cert`fi�cgp is filed with the city Bulletin Di�isMit_ ( �y` Bathtubs Sewer Connection Cooking Unit • Meter pup to 100 amps
Date I 4cn F/yCH Applicant -'4T•T�71 "^
EXEMPT! N F OM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover-100 amps
(This section need not be completed if the permit is for one hundred ($100) or -
-
less). Dishwasher Solar Piping - Dryers ❑Gas DElectric - Sub Panel
1 certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner so as to become subject to the ' Drinking Fountains Solar Tank - Fan Motors 00-1 HP 011/2-8
Workers' Compensation Laws of California. . . - - —
Date Signature Floor Drains Swimming Pool w/Spa F.A.U.
NOTICE:If,after making this declaration,you should become subject to the - _ Inc.Solar ❑9-15 HP 018.15+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks - Urinal
comply with such provisions or this permit shall be deemed revoked. - Fixtures Microwave
CONSTRUCTION LENDING AGENCY Gas •
Service Outlets Water Closet Device Boxes
1 hereby affirm that there is a construction lending agency for the performance - Pole Light
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors -
Water Heater
Lender's Name Outlets Range
Lender's Address Kitchen Sink Water Service •
Switches
OWNER BUILDER DECLARATION Sign
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories. Garbage
following reason (Section 7031.5 Business and Professional Code: Any city or 9Disposal 'Standing Sections
county which requires a permit to construct,alter,improve,demolish or.repair , P—Trap '
any structure, prior to its issuance, also requires the applicant for such permit - Generator ❑0-5 KW ❑5.15 KW Trash Compactor
to file a signed statement'that he/she is licensed pursuant to the provisions of Roof Drains
the Contractor's License Law(Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code) or that he/she is exempt .
therefrom 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
,Trenalty of not more than five hundred dollars ($500).
f❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15I Issue Fee $ 3
compensation, will do the work,and the structure is not intended or offered - Reinspection Fee J $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES
License Law does not apply to an owner of a property who builds or improves -_ __ t _.
thereon, and who does such work himself/herself or through his or her own - DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑' Zoning Approved By Date
pletion, the owner will have the burden of proving he/she did not build or Im- Duct- Under Ground
rove for the purpose of sale). _ Building Approved By • Date
D 1, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By COVM3
Date I i 11
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 ❑100,000 BTU
builds or improves thereon, and who contracts for such projects with a con-, SUMMARY OF FEES
tractor(s) license pursuant'to the Contractor's License Law). I am aware thatExhaust System ❑ Multiple ❑ System Repair/Alteration BUILDING PERMIT $ • _ SMIP $ -
proof of their Worker's Compensation insurance should be provided to me.'
❑ I am exempt under Section — B.& P.C.for this reason Firepl/Fact.BIt. ICBO# PLAN CHECK $ PERMIT
PLUMBING $ _ ISSUANCE $
Date Owner - Hating System& Ducting !OCT• .D�(fS 4.4- j V. Q'� PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above I �O-100,000 BTU 0100,000 BTI. �',r,ti 1 ELECTRICAL $ GRADING $
information is correct. I agree to comply with all city and county ordinancess.
and state laws rating to building onstruction, and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $
sentatives of ' city to.enter on the above-mentioned property_for 7
inspection p e . ,g' L/�{r 0 — Dat"' MECHANICAL $ 1•� TOTAL FEE $ .c )O
Signature r SS '* '^
Drivers' License or SS# .2- Reinspection Fee $15 Issue Fee $ 3 eta PLAN CHECK 25% $
\
CMF 0865-46,rev.4/84 White-Building; Canary-Applicant;Pink-Accounting;Goldenrod-Assessor -
CONSTRUCTION AND PLANNING POOL. !A
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-Undrgrrid-. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. ElectricalUFER'Grrid, 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
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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
16. 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. 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. ANAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating.& Air Conditioning 4/4i'
dr
35. Final Gas Pipe-Test !( 7
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
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No._ Date •
;
q CITY OF COSTA MESAa .
CALIFORNIA 92626 P.O. BOX 1200
J
FROM THE OFFICE OF THE DEVELOPMENT SERVICES DEPARTMENT/
BUILDING SAFETY DIVISION
CERTIFIED MAIL
COMPLIANCE OR OCCUPANCY INSPECTION REPORT
APPLICANT TO FILL OUT I
Subject Address 288 (A) East 16th Place, Costa Mesa Date Rec'd._ 4/3/84
Mail Report or Correction Notice to:
Applicant Julia Kreuter Telephone( 714 645-351E
Address 288 (A) East 16th Place, Costa Mesa, Ca. Zip Code 92627
Owner's Name (Print) Julia Kreuter
Owner's Address 288 (Al East 16th Place, Costa Mesa Zip Code 92627
Owner's Signature Date
Recorded by
initial
Compliance Inspection No. 084544 CMB No. 661
Site Location 288 CA)_ East 16th Place, Costa Mesa
At your request, inspection was made at the above-referenced address on April 12, 1984
and the Code violations shown on the reverse side were observed.
You will be required to correct the violations listed within fifteen (15) days after receipt of this letter. Failure
to comply within the allotted time will result in a complaint investigation being initiated for compliance of the
Codes.
If you need assistance, please contact the appropriate Inspectors listed below:
Structural (754-
•
Electrical (754-
Plumbing/Mechanical
L, (Shorty) Derhan rer (754- 5133
Very truly yours,
Name
P ltunbing/Me chanical Inspector
Title
•
cc: Inspectors
Property Owner NOTE: SEE REVERSE SIDE
CMF 1035-46,rev.9/83
white-Bldg.;Canary-Owner;Pink-Clerical 77 FAIR DRIVE (714) 754-5273
CIT\ OF COSTA MESA, CALIFORNIA
A 'ril 13, 1984
288 (A) East 16th Place at #661
•
An inspection of a forced air heater was made at 288 (A) Fast
16th Place, Costa -Mesa, Ca. It was found to be installed
without a permit and not to code, It will be necessary to
obtain a permit and bring the installation uo to code.
,. . .
CITY OF COSTA MESA,
4•44111W
CALIFORNIA 02626 P.O. BOX 1200
Fl `tea
J
FROM THE OFFICE OF THE DEVELOPMENT SERVICES DEPARTMENT/
p BUILDING SAFETY DIVISION
CERTIFIED MAIL
•
COMPLIANCE OR OCCUPANCY INSPECTION REPORT
APPLICANT TO FILL OUT 1
Subject Address 288 (A) East 16th Place, Costa Mesa Date Rec'd. 4/3/84
Mall Report or Correction Notice to: •
Applicant Julia Kreuter Telephone( 7111 645-351
Address 288 (A) Fast 16th Place, Costa Mesa, Ca. Zip Code 92627
Owner's Name (Print) Julia Kreuter
Owner's Address 288 (A) East 16th Place, Costa Mesa Zip Code 92627
Owner's Signature Date
Recorded by
initial
Compliance Inspection No. 084544 CMB No. 661
Site Location 288 (A) East 16th Place, Costa Mesa
At your request, inspection was made at the above-referenced address on April 12, 1984
and the Code violations shown on the reverse side were observed. •
You will be required to correct the violations listed within fifteen (15) days after receipt of this letter. Failure
to comply within the allotted time will result in a complaint investigation being initiated for compliance of the
Codes.
If you need assistance, please contact the appropriate Inspectors listed below:
Structural (754-
Electrical (754-
Plumbing/Mechanical
L. (Shorty) Den-loaner (754- 5133
Very truly yours,
Name
P1lmbing/Mechani-cal Inspector
Title
cc: Inspectors
Property Owner NOTE: SEE REVERSE SIDE
CMF 1035-46,rev.9/83
White-Bldg.;Canary-Owner;Pink-Clerical 77 FAIR DRIVE (714) 754-5273
•
CITY or COSTA FVVESA, CALIFORNIA
_hi 13, 1984
•
288 CAI East 16th Place CMB #661
•
An inspection of a forced air heater was Rade at 288 (A) Fact .
16th Place, Costa 'Msa, Ca. It was found to be installed
without a permit and not to code. It will be necessary to
obtain a permit and bring the installation tun to code.
•
:'t r_.l,;._i L C.
1
9368 `in— MANY 1 1959
COSTA MESA BUILDING DEPARTMENT FNANCC SEPT.
P.O.BOX 317
COSTA MESA, CALIFORNIA `II'. r' !'nCln Al CC7�
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
BUILDIN 288 - 16th Place, A, B, C BUILDING
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
Santa Ana Patio Homes, Inc. RECEIPT NO. PERMIT/0m/
OWNER 666C/ E
MAIL 1555 Placentia
VE"p BY GAT'EJ RECEIVED�/ ��yjj TE ISSUED
ADDRESS .26.6 / r� .2/ S /
CITY Newport Beach, Cal. TN O. MI 6-3227 A DING
DRESS
ARCHITECT
INTER NO.
same O.
ORCOSTA MESA. CALIFORNIA
FIRE
ADM. ,a Co.me ZONE
K W. Koll Const. CITY LIC. 1217 ONE PLANS TYPE GROUP
CON>1RACTOR NO. PLANS
TEL. APPR VED -• L�� _//� / /
ADDRESS same NO. same BY �� ( DATE 5/(f- .3
LEGAL LOT 2996 CORRECTIONS
DESCRIPTION NO. 12 BLOCK TRACT _
•
A.P.NO. 4 e^R P
SIZE NO.OF BLOCS. G�y� V A I''I
OF LOT 50 x 125 Now DN LOT 0 y .& l �l �� r Y
USE OF '� ,,,ppp'''ggq... v 77 i i� ..
EXISTING BLDG. r8-.-,C/8j'. �r �' P 1��1 1�]1\1 I! 1 ��
SETBACK LINE FROM Ul' /� T S Li (y n ill
CENTER OF STREET j I' REAR YARD
1515to C/L SA—c&,
SIDE YARD RIGHT =i 11 LEFT 'rS `A"T.& _A !. t Y./A /
DESCRIPTION OF' WORK DATE
VAR No EOL• .3 APPRn icn LS_ S-a'
NEW X ALTERATION II ADDITION
REPA,.. MOVING u DEMOLISH
BUISIZE 3123
3123 NROOMS 16 hot-mop 2
EXTERIOR WALL stucco ROOF
COVERING COVERING
USE OF NEW
BUILDING
Triplex residence and att. garage
Plan 4-0 X 10
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL I
CITY ORDINANCES B STATE LAWS REGULATING BUILDING CONSTRUC'
TION. VALUATION
SIGNATURE OF� al / O PERMIT FEE S46.00
PERMITTEE _
I 26,378.00 PLAN CHECK $ 23.00
$ 69.00
AUTHORIZED AGENT TOTAL FEE $ yBwE