HomeMy WebLinkAbout187 16TH ST - Building Permits ICT ADD,ni'ss: 187 E 16TH ST 0N1T: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B. 055141
OWNERS NAME: WEATHERWAX
ADDRESS: 392 FLOWER ST PERMIT NO: B 055141 PLAN CHECK NO: N GOVT: N SUPP: N
CM CA 92626
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CONSTRUCTION TYPE: V-N PERMIT TYPE; STR PURPOSE: ALT
5481880
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/OFF REROOF W/ BUILT UP & CAP SHT SQ FT: 3, 350
ADDRESS: UNIT:
CLAIM VALUE: 3, 350. 00 CALL-VALUE: 3, 350 . 00 GROUP OCC: R-3 /
PERMITTEE: PETRONELLA ROOFING ( 714 ) 548-1645
ADDRESS: 2626 NEWPORT COMMENTS: SMOKE DETECTOR REQUIRED IN THE HOME
COSTA MESA CA 92627 ********************** ****x*+ESE**+Ear********************************************
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS
CITY LIC.: 032605 STATELIC.:0046070 CLASS: C 3
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Date' ll• is -qi signal9.7_ t/ MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: Ih+ r t l have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
r
Compensation Insurance or a certified copy mer: - Ion 3800,Lab.C. LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: 1079987-91 EXP.DATE: 0)7 /01 /92
COMPANY: STATE FUND PARKING REQ: PROV; PARCEL: 14138112 ZNE; REF NO:
0 Certified copy is hereby furnished. EX Certified copy is filed with the city Building Division. PLANNING NUOTES>
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—� ,e: a-.15 - 9/ Applican / — e l ********************************************************************iF**********
EXEMPTION FROM WORKERS'COMPENSATION OCCUR^ t Is section need not be completed if the permit is for one hundred)5100)or less). DEVELOPMENT SER VICES R EQUIR EN E N.- T S
I 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 Workers' Compensation Laws of California. ZONING APPROVED BY ,
. DATE:
Date: Signature:
NOTICE:If.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE:
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked, i
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUE .��—�� DATE: 1 I (�
which this permit is issued(Section 3097.Cw.C). **************** 4, ._.—_fl••"— - **.*.**.**.*.***4,}y.{�.'*.**.*.�,**.*.
LENDER: ********************************** ********************************************
ADDRESS: LEGALIZATION:N • F E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING LEC TRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031 5 Business and Professional Code: Any city of county which requires a permit to construct.alter,improve,demolish,or PERMIT 63 . 00 . 50
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed SMIP/NON-RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business - PLAN
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and me BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 63 . 50 0 . 00 0. 00 63 . 50 63 . 50 . 00
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 employees.provided that such improvements are not intended or offered for sale.If, however the building or REVENUE DIVISION TOTALS--> COLLECTED: 63. 50 OVER/SHORT: . 00
improvement
sold
swithin one year of completion,the owner will have the burden of proving he/she did not build or improve
forthepurpose olale) BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 63. 00 . 50
LJ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware **********************************************************************.*********.
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
o I am exempt under Section: B.8 P.C.
for this reason TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: OwnerSFR 3350 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 3, 350 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and that I or any future building occupant wilt/will not(circle one)need to comply with said stale codes and the requirements for a
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that I have read this application and stale that the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned
property for inspection purposes.
21334.r -7_ _ ^__. a __ _ —
Date:_ft/S-17/ Signator „4. 1. `f�-__ V_ t r .L+ _ yf. _ -
Driver's License or Social Security if:
1641'46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNING POOL 8 '4
fri i ,
APPROVALS Permit# Date Inspector APPROVALS Perm,.# Date Inspector
r 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location .
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2. Soil Pipe-Undrgrnd. -c .:lc 53. Steel Reinforcement
;3. 'Electrical Conduit.Utility-Undrgrndt-" 54. Forms
,4.,Electrical CondoifcUgdrgrnd. 55. Electrical Bonding
' '5,:-- feel Reinforcem4nc; =,, 56. Rough Plumbing & Pressure Test -
'ss
', 6.. Electrical UFElightjd. r- 57. APPROVAL TO COVER-GUNITE "
I 7. Footings 1: rt 58. Electrical Conduit-Undrgrnd.
ro
8. Foundation ' 0 59. Gas Pipe, 0 Undrgrnd.,Test
y
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line& House Conrrection 62. Backwash & Receptor-Final
12. Sewer Cap "• 63. Heater & Vent-Final
a raft e.
13. Roof Drains e C. 64. Plumbing System - Final
14. Rough Plumbing i- 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electrics iring 67. Fencing & Access Approval
x:17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
t:
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT '
20.:Ro4h F,yctory Fdjeplace : :i, l' cc-: .t t• =+ a •APPR9VALS'ui�Per.onit # . -
I': J, IS >.. 4 •.:r r✓, - a x ;r r'��. w
21.>bucts, in Str ctu e , '- 1 .t .;y ; ,70. dnder'groun' Hy{lro ,_
22. Ducts, Ventilating , 7 :k 1-t 'C = is ---71. Product^Piping O'G-hs 00i1
23.Gas Pipe`ioi oh &' est �_ -i r ? G-'+_ , .72Undergi'o`ni1 FISfiT,.` '
_
24.TRoof Framing >71 x _ ... N S73!-Undergrnt Stor9tTank 0 Gas 0 Cal
- - r. n Yr.
25. Rogf Slathin I ~ -
4, 9 " �. '" jy .F �'74�Overhead•NYdrot,
26.-;T-Bar Ceiling (Stryritural) &±Aonocoat 4 4Iy ,rr > "y '> r _
'" 75•Dr Chemical _ i
27: Frame and Flashing- ' r i 76: Dry Stan��fJJ�be ?: ' t° •j'
�
28. Latb9:& fl- ' �Qla'
in Si in . s •• , i 77.. FIXED SYSTEM RINAL
. t��
.
`29. Insulatidn so •y. :'- " " 11:. .; r, . 7 7&,;FIRE PREY. FINAL j - r>; j;
X30. Drywalldilaihng ji. ' I IHEALtH,DEPT. REQUIREMENT
•
-,31. Plaster gown.Coai: _ , r, r u f _$ 79t�FINAL IN.5EECTI9N '- '. 2
I, •r rCi
-32:-Electrical Power Me;gnFinal Y > IIF[DATE ISASOED' .,�
I
33.4Final Electric • I - '• 4 ' ''Notes: JJ
34-Final Heating,& F;ir;C`dnditiori_iing: - ; 'air `- - :
`
35.'Fina1 Gas Pipe-Tat. _-Y - ',.'� ,Zr Ste.
...36.•Hood or Cano ' ? _, i p •r -, .
- pY- . - I I - •- £ > ,rr,
-37...Final Factory Fifploce^ i Sir +: til i i• * -
.. .. .., Ir• - :r , .t ..
-.38. Final Plumbing ,� _ n ` 's' `-
.. j' t S ,�
_ I r - ,r
439. Water Service-Final • 1 :. '- ' .-` reit, �1 a: O
�
T;40. Gas Seryice- a , y ,final • .r , � P ro ., n
41. Solar Domestic-Final: -
7. •• _ ! IT ti eG •
I. X'
"42 'Backflow Preventer` • ' ,.) I Ir' ' s
♦ J•- • bV
43. Backflow Irrigation :-.:-..1 K Y = o + -
,z.44. Landscape iriigatiep SYstemt` to. . ,1 - -- • 5' i " ,: of
LO c
_ ...
45; Sound Attenuation .
1 u , E, - -, .. .. z r• .. I,. - -r c.
`46..Handicap Regulatiohs -
. K
-47.-,FINAL STRUCTURE & BU �-`�-R( �7cci jL..
FLDING ' } .:0 r.,c
T
48;'FINALPLANNING tz
-.49.7Electric'Release to Edison . i. , ,.0
I .. .r -
150`Gas Release to Soujhern California Gas Co < I ; H = _ - • `:1;
'51. CERTIFICATE OF,OCCUPArJC4' ;" r. - r _
No Date
COSTA MESA BUILDING DEPARTMENT
N° /I QV O C
111-East-29th Street l\
Costa Mesa, California _ -2
Date
CITY OF COSTA MESA
CER IFICATE OF OCCUPANCY /� c,
Building Permit No�/mss-.Elf so
Pe�mit.No I � Plumbing Permit No /4 v0
Use of Building Au + so — I'1/4Thc. A i Xt.
The building located at
M 7 — S - ...._...
Lot 4t la /A /3 v _/4 ract I; ' t
(See reverse side for Metes and Bounds)
has been inspected and found to comply the provisions of all City of Costa,Mesa Or-
dl-vnces applicable thereto foria__Gr-oup' 7"` cOccupancy.
"i/ /I�i: v vau.Cl2),Co+AW' City �YOH Z�t-I�Official dna,
(Owner of Building) By�
CC: 0 Original—Owner ❑1st copy—Gas Co. ❑2nd copy—Edispn'Co. ❑3rd copy—File
Form 206 GH 1M 12.68 -A'
Costa Mesa Building Department APPLICATION FOR PERMIT
111 EAST 20th STREET 219 BUILDING 1
4.. ' COSTA MESA, CALIFORNIA _ - - - - -
::.... : FOR OFFICE USE ONLY
• FOR APPLICANT TO FILL IN • Receipt No. Permit No.
Building (/�J E-/4� 3�`, = 1I3t/ .. .2Q •
Address �J 9
Received by Date Recd. Date Issued
Costa Mesa, California , _ //
Nearest 1 - T- 3.0:- S
Cross St!yew I-t, I Y� , Building [T� € -/� �d ,(/
Address /(
OwnerMeS, F/o,r a Ile a/K: Sh ea.r e r - Costa Mesa, California
Mail 1Neaeest I�7 _E -/6 &c 5+• ' ,
Address ,
COAir yp, Cross St.
l .
City S 4--a., !rt esa. No. Zone I PNo.of lans I Type 1 Group T
Architect or Lic. d
Engineer }3 rw i T h Cl,U pt No. Approved //
by W Date ;, '-
Address CtRRE(r 'IONS •
City Lic.
tractor 5? 1
1 No. '
1
Address I
LegalLot I
• Description I No. I Block / I Tract
(Attach Metes and Bounds) 1�T'—/3O - /`�'
No. of Bldgs.
Size ofLot 3OX 1 ) 1 -1p I Now on Lot / _ - . • . D
Use of No.of No.of • 1 .. M
Existing Bldg. a S , I Families I Rooms L7
Setback Line from Rear Yard . - - -- - - - ' -- - -
Center of Street Side Yard D
DESCRIPTION OF WORK 2 t 1J 11 r
�� ,S\71�f �
New I Alteration I- I Addition I 1i,jty �
I .� .
Repair I I Moving I Demolish I Cr
Building, No.of ) 9, 0 tb'V')
" Size .OXa 2 Rooms Stories NI ,•
Exterior Wall C6' ere Roof ��-
r •ring bloc. k 1 Covering APPROYALSabrk
of New Foundation Location
Building G cu.Y Q t ��Inspector Date
—,-N• Forms,M2teeials,VI
Under-Pinning
• Frame: Fire Stops,
_ Bracing,Bolts
Lath. Int.
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to comply Lath. Ext
with all City Ordinances and State Laws regulating
' building construction.
Signature of yy �,,I o Q Plaster, Int.
- Permittee _L[[y1.2t ,�1, .�hJLY
Plaster, Ext
Authorized Agt. Masonry Reinforced
Valuation „,„ Permit Fee $
�/ Plan Check $ �f.�- Bond Beam
1 $ o Total J
• Fee $ 1 v FINAL
• Form 204 c-it IM 12-63
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PLOT PLAN
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- • -Costa Mesa Building Department APPLICATION FOR PERMIT
-T gt' c P. O. Box 317 2556 BUILDING
COSTA MESA, CALIFORNIA
FOR OFFICE USE ONLY
JOR APPLICANT TyOFILL IN Receipt No. PermitNo..
Address/‘ LL _ j S I , 7Z/q
Received by Date Recd. Date Issued
Costa Mesa, California
Nearest %�/�// �J-(/ 7 3.4‘ ;16 4-4 -J 6
Cross Bt.(! / 7 �/� � iS�""'�" Buildingr7O / L• ��i Ci�
Owner
W Address
Mail c'- Costa Mesa, California
Address.2311. r. 4ii Nearest
fl
p,O�,��[ ( Tel. Cross St. .% la. N.
City&0Qv /„2„60‘_. No. Zone l • `- ),I p % . Group
� Q i
E--
Architect or <� ��en Lic. i. itifu Y/�—
� , E
Engineer , _ /(OVwNo.L/' S'7A 9 Approved
Addressl7Gl �, / . 71 ...2•41001,4
by 1.� Date
E
GstYl � qO ll bNs — - -,
4 tractor �.L f G'<<._/ No.
Address .30 A. - - . g����4ppr17� 1U�..
Legal Lot / I 1 1 9 -1 }:CP 1 L'
Description I No. I Block I Tract s ..
(Attach Metes and Bounds) %YTS/) ./,30 —• / 6 I C11 Y OF C3'T�•�°FSA
No.of Bldgs.
Sizeof Lot 3-01X /it I Now on Lot / j
Use of /}bPED ON No.o1 No.of /,!//��//�J 9,11- O
Existing Bldg. 7�) P dI Families
I, Rooms bv7- ECH - nate Jam= Z
Setback Line from,,gy�pp y /
Center of BtreetCfla tlf OF 6 rSide Vara' y
DESCRIPTION OF WORK / fi , J N (l/I1`1��/,tc.. r
New I I Alteration I I Addition Iv wL4v t J l CI I
Repair I I Moving I I Demolish I _ - �_• �`�/ ," '
Building._ No.of ' ' '
Size , �d Sp /Rooms Stories / C,;,/ 3
Exterior Wall t-sr1.• Root —
eringC.'ct,,ftv„Yt Covering .; /S LAer • 'PROVALS
of New
Badding UTO Li.. EC. Foundation Location Inspector - Date
S/.,L yo Forms,Materials,
._Ise rOLK/. � 2.4y,a72.-- Under-Pinning
Frame: Fire Stops,
Bracing,Bolts
I hereby acknowledge that I have read this Application
and state that the above Is correct and agree to comply Lath.Int
with all City Ordinances and State Laws regulating
building construction. Lath.Ext.
Signature of _7T ' J/��,,l�7�
Permittee Gfi1'C/Ll.!/' �(F14 — "'yi• Plaster,Int
Authorized Apt. 1.I�fltes f C/ ch Plaster,Ext.
\ Valuation fft
Feea p2 f+ etMasonry ReinforcedQ, heck6 d "S' eBond Beam
$ 36, . 0 FINAL
.JY.204 10.35 0.P.a S.
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PLOT PLAN
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7105 - EE RLLo v '
COSTA MESA BUILDING DEPARTMENT 7- 3"5-u d «_
P.O. BOX 317 FINANCE DEPT. •
COSTA MESA. CALIFORNIA •
CI11 OF COSTA MESA
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
ABUILDI
DDRESS 187 E. 16th. St. •
BUILDING
• COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. PERMIT HO
OWNER Otis '•:eathoruax • 7/O
(�
RECEIVED
DY/ DATE RECEIV O IB <F?
MAIL
ADDRESS
� 2311 E. 13th. St. O �t�e O 7--3 �/ / / e J
CITY Costa 1+eSa TNO. Li 8-1902 ADDREISS/ /0 7 tC / /O 'S
ARCHITECTmo'ii,, LIC.
OR ENGINEER111; Horgan I\7ruIJ NO.CE 78714 COSTA MESA, CALIFORNIA
FIRE
AD(
' ZONE
CITY LIC. ZONE NNO.OF TYPE GROUP
CONTRACTOR Patrick 0. ROy NO. 8220 �j1 ,_ j r 1
ADDRESS 511 Irvine- N.B. TNO.Li 8-2619 APPROVED �' 7 p rl
_ — O.. . •< DATE 6
LEGAL LOT 1 17T. 's CORRECT ONS
DESCRIPTION LO. I 4
2 B0CK T- •
A.P.NO. -- /a p__ as.
� 4
.
SIZE BLE
IGS.
OF BLGS.
OF LOT 50 x 111 NOW ON LOT One L. e 1 it 1 b., I
USA.P.NOO. BLDG. Auto re)2.ir CITY OF STA MESA
PLANK' v., DEPT.
SETBACK LINE FROM I- yI
CENTER oP STREET II� 6Q REAR YARD • SUBJECT TO 61.30. DEPT. REG. (�
SIDE YARD RIGHT �// LEFT �1g- - / i/' [//'� -,�„'\� -t
DESCRIPTION OF WORK BY;!/ d"O�` DATE--_-/ �+
I L N T_rFV'�/n
NEW ALTERATION 1 ADDITION X
REPT MOVING 1 DEMOLISH
BUILDING NO.OF I
SIZE 520 so, ft OOMS one STORIES one
EXTERIOR W�µL & jj22OOF
COVERING SSlOck OlaECQYErING 3 layers iK,/
sC.Lt C slag
USOF N
BUILD
BUILDING Antn ra'pi V /
.S —I
54- %i , &___V. a-o' i-)S is,
/
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND /!�
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL S63 27 / L fi
CITY ORDINANCES AND STATE LAWS PECULATING BUILDING CONSTRUC-
TION. --(4-7:41-11-446.4.44-/%4
�� /,`-C/+�/// / VALUATION
SIGNATURE OF [/X/V/// (/[L�rJlw/LK. PERMIT FEE S /a
PERMITTEE �
5
3- a3 7 PLAN CHECK s 6
AUTHORIZED AGENT TOTAL FEE S /O r�
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