Loading...
HomeMy WebLinkAbout160 21ST ST - Building Permits ADDRESS OFBUILMN3: 160 21ST ET ° �� --00q031CWNEF NAME IF alOWN: HELLEN PINES PERM NO: B 087359 ACDF* 160 21ST ST NTi A-H CITY OF COSTA MESA - BUILDING PERMIT C.M. CA 92626 PERMIT NO: B 087359 PLAN CHECK NO: N GOVT: N SUPP : N 494-2458 APPL.MAILING ADDRESS: CONSTRUCTION TYPE : PERMIT TYPE: STR PURPOSE: OTH ARCHITECT OR ENGINEER: arc No.: JOB DESCRIPTION : T/OFF INSTALL 1 LAYER OF FIBERGALSS SQ FT: 11 , 900 ARCH.OR ENWS ADDRESS: UNT: CLAIM VALUE: 11 , 900 . 00 CALC-VALUE: 11 ,900 . 00 GROUP OCC: R-1 /U-1 coNmACTo7SNAME:DALE' S ROOFING ( 714 ) 534-6398 CONmACTOwsvAavIG 13781 NEWHOPE ST COMMENTS: BASE SHEET 6 HOT MOP W/2 LAYERS PLY SHEET INCLUDED ATTACHED GARAG amiss: GARDEN GROVE CA UCND. 503508 +E************iE+F+E#*******tE+Eft#****k+F*if+E1E+F*iF#*+F*+FikjFik+EiF+r**iE*******iFiEat1E**ikiE****#+t*** 92843 UMT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penal),d palury that I am licensed under provisions of Chapter e SETBACKS (mu... .rg with Section 7000)d Division 3 of the Business and Professions Code,and my license is in IW force and sited. rrYUCNO.:045868 UC.CLASS: C-39 UC.NO- 50350: I EXP: 09/98 MAIN BUILDING ACCESSORY BUILDING f Data: 8—Gg c. ...... /I•�f �a „ FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN •• R BUILDER DECLARATION:I hereby efirm under perWy of Perim that I am exempt horn the Contractors ••r.Law for the "ba;orrpreasone.ays Bathes*and Professions�e Hoe the I permit to w':dstatementw'�« � PARKING REQ: PROV: PARCEL : 42613125 ZNE: REF NO: ,keraed pursuant to the provisions of the Contractors License law[Chapter 9(mmmenvy with Section MOO)of DNeion 3 d the PLANNING NOTESS; easiness and Professions Code]or that he or she is exempt therefrom end the basis for the alleged exemptm.My violation of Section >( 7031.5 by any apogean'for aremit subjects the applicant toa cal penalty dnot maw than the hundred dollars[15001). ****************.*************************************************************** ❑ I,as owner dthe property amyM yees wkh wages as their sole compensation,wlBdothework,andthosNldureCMNlended D E V E 'L O P M E N T SERVICES R V I C E S R E !1 U I R E E N T S or adored for sale(Sootier,7044.Business and Profession Code:The Contractors License Law does not apply to an owner d properly 5d who bolds or inproves thereon.and wdoes soar wat or k Iimeeherself sor trough his or her own employes,provided that such :.-*toimprovementsarenalintendedoofferedforeale.t,however.the building or improvement is sold within one year of completion. ZONING APPROVEDBY DATE: owner-bolder will have the burden d proving he or she did not bid or'improve for the purpose of sate), ❑ I.as owner of the property.am exclusively contracting with keyed contractors to construct the project(Sedon 7044.Business and Professions Coda:The Contractors License Law does nal apply to an owner of property who builds or improves thereon and who BUILDING APPROVED BY : DATE: contracts for such projects with a merecto 1s)licensed pursued to the Contrarian License Law). ❑ Iamexempt under Section: B.AP.c..for the reason: APPLICATION ISSUED BY: DATE: ******************************************** * ***************** ** Dale: Owner: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y I do hereby candy that I ern aware d and understand the requirements of Cafeania Noah end Safely Code Sectors 25505,P9493,and 25534,and that I or any future building occupant will/wil not(circle one)need to comply with said state codes and the requirements for a permit tor ooatmdanornaddiction from the Air tyuyMsnparwe Diana.Residential mmUuconeppicetone Weexempt Iron Masa BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 187 . 25 1 . 19 Date: . Applicant SM I P/NON-RES WORKER'S COMPENSATION DECLARATION:Ihereby affirm s legman;under penof perjury one ci legman;declarations: PLAN ❑ I have and sal maintain a cesifoale of consent to se/Iiworkers' W nsure for compenion,as provided for by Section 3700 d the Labor ISSUE FEE Code. dad roep. manr. m.worMc tianwpanne toed. BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE ,ps, � I have and maims, mp ke 'cerdetoa ed anun insurance. required by 3700 d the Labs Code.for the performance d the TOTALS----> 188 . 44 0 . 00 0 . 00 188 . 44 188 . 44 00 r work for which this pet is issued.My workers'mmpewnether non insurance r and pWq number are: Carrier: STATE MD IN REVENUE DIVISION TOTALS > COLLECTED: 188 . 44 OVER/SHORT: 00. Pdky N°robe n7 a9a�a 9� 11 /01 /98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK (This section need not be compered i the perms is/or are hundred dollars(31001or lees) 187 . 25 1 . 19 ❑ I eerily that in the performance of the wad(for which this permit S issued,I shall no employ any person in any manner so as to subject to the wahars'Panpeasanian lawn d eardomie.endagree top!I eoeld became subject to IhewoM1ae' ******************************************************************************* • pensation provisions of Section 3700 of the Labor Code,I I h comply t provisions. ► � and penalties" secure workers' subject amind oTYPE sFailuretto;Dd. rhou,•ddtBgo . rwntothe rot compensation, provided tor QTY I N D I V I D U A L DESCRIPTION F E E BREAKDOWN UNIT COST TOTAL COST sotm37oBotmaLabor Cods inwacand ato attorney' SFR 11900 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 11 , 900 . 00 CONSTRUCTION LENDING AGENCY:I hereby affirm under pens d perjury that there is e construction landing agency for the END OF FEES performance of the work for which this permit S issued(Section 3097,Cie CI. LENDER'S NAME: LENDER'S ADDRESS: I certify that I have red this application and slate that the above infuriation is coned.I agree to comply with all city and county ordinances and state laws relating to building canArudion and hereby authorize representatives of this arty to enter upon the above-mentioned property for inspection purposes, LISA CROSBY 03-18-1998/03:40 Pfl/*188.44 (i1 of Noma /�'7 PERMIT:087359 ^ oaa. Signature of Dann enV �rm/k (5l51.46.WP) White-auidig A Sday.Green-File;Canary-Appimt;Pink-Revenue:Gdeeruod-Assessor --S CONSTRUCTION AND PLANNING IPOs A SPA -9- Date 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 UF ER Crud. 57. APPROVAL TO COVER•GUNITE 7. ,Poolings 58. Electrical Condult•Undrgrnd. 8. Foundation 59. Gas Pipe, 0 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 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 ❑Gas O Oil -, 23. Gas Pipe-Rough&Tpst - - - 72. Underground Flush _ 24. Roof Framing 7a, Undergrnrl.Storage Tank.0 Gas 0 Oil 25. Roof•SheathingTY-1-0. Cecil74:,Overhead Hydro 26. T-Bar-Ceiling (Structural) & Mo'nocr. oat - - 75'.-Dry Chenlical ', 27. Frame and Flashing' - . ' - 76. Dry Standpipe t �. 28. Lathing & Siding . - 77: FIXED SYSTEMFINAL - " .. 29. Insulation .• • ' - 7g. FIRE PREY. FINAL • 30. Drywall Nailing ' • I _ ;HEALTH DEPT. REQUIREMENT . 31. Plaster Brown.Coat1. 79. FINAL INSPECTION 32. Electrical Power Meter-Final I 80: FOOD CERTIFICATE ISSUED ' T , 33. Final.Electric. . , - -. ' Notes: ' 34:Final Heating & Air Conditioning • j • 35.'FinalGas"Pipe=Test' •' 36. Hood orCanopy - - T 1 37, Final Factory Fireplace. ',} I. _ ' • 38. Final-Plu • mbing - 39. Water Service-Final • - 1 , - • 40, Gas Service-Final, y - • - 41. Solar Domestic-Final . - •-r ' 42. Backflow Preventer. - , •- 43. Backflow Irrigation '- . • 44. Landscape Irrigation System _ • - . - 45. Sound Attenuation' ' •• • - • , - • ` • 46. Handicap Regulations .. • ' 47. FINAL STRUCTURE & BUILDING t ' . 48. FINAL PLANNING . I, 49. Electric Release to Edison _ 50. Gas Release to Southern CaliforniiGas Co • - • 51. CERTIFICATE OF OCCUPANCY No. Date City of Costa Mesa Building Safety Department CERTIFICATE OF OCCUPANCY N?. 2292 C P. 0. Box 317 Costa Mesa, California The Building located at lE0 Dant Slat Stinnett. Units A to FY has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group 11 & J Occupancy. Use of Building U Unit Am: en% Ettailtilna With attacbs4 maws Legal Description X3'02 (See reverse side for Metes and Bounds) Building Permit No. 23537 Electrical Permit No. 214476 Plumbing Permit No. 45264 Floor Load Signs have been installed as Room Capacity Signs have been instaled as required under Sec. 2308 U. B. C. required under Sec. 3301 (1) U. B. C. 17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied until the owner or operator has been issued a valid certificate of occupancy by the enforcement agency. (b) A new certificate of occupancy shall be obtained whenever there is a change in: 1) Occupancy classification of a building or portion thereof 2) The number of apartments or guest rooms 3) Ownership If Group H Occupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California Administrative Code, Title 8, Chapter 9, Article 8. Number of apartments—e and/or guest rooms ISSUED TO: Building Official • DOEI SD Date/b // G� . This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.C. Farm Bu34-1M-11_e3—S-B P OWNER WARD., DOUG. DATE 4-15-65 JOB ADDRESS 160 E. 21st atreet BUILDING PERMIT NO.23886 GENERAL CONTRACTOROWner - DESCRIPTION OF WORK den res Watt gar AP No,118-On-2 LOT TRACT FIRE ZONE VALUE S 400.00 I ECTIONS I Signature Date GROUP I&J TYPE V ZONE R2 So,. PERMITS ISSUED Gas SUBCONTRACTOR I Date I Number I Signature Water Plumbing Rough Plumbing C + - ' • I y-u��-r,Pjt/. </0574'eicra7f/ Prop. Swr. Line 0 Hoise Cm. 0 ' Sprinkling System Miscellaneous Rough Heating and Air Conditioning Temporary Service or Pole Underground 0 Power 0 Rough Wiring Heating and Vent. Trenches-0 Forms 0 Steel Reinf. 0 I Floor System Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing Lathing — In 0 Out-0 Plaster, Brown Coat S' tura], Final Electric h .ng, Vent., Refrig. and A.C., Final Plumbing, Final and Gas Test 0 Electric, Final Building, Final H/2,,/c _— 'F C STA rs,9FSA • 23886 OSTA MESA BUILDING-SAFETY DEPARTMENT ______ APR 15 1965 P.O.BOX 317 COSTA MESA.CALIFORNIA For Applicant to Fill In Completely AP' [CATION , %., . IT TYPE OR PRINT : ILDING ",�// ) For Office Use Only BUILDING Vic., )61--7. A ,. ADDRESS / G D 4 / ..iCCCC/////,'VVV ,f,L.•I RECEIPT NO. p,FD{^}�No. COSTA MESA. CALIFORNIA N ! ?f�R" RECEIV D D�'f RESEW A/¢IRSU/ OWNER /00_,...-(79 _6-7-52-MAIL — U1 U/(/ ADDRESS �/ y ,awn /fre,_. .E,,c, //3-U/I ADDRESS / .. d �/ FIRE CITY `2? • ;;• TEL.NO. /�.1/�io ZONE4 TYPE GROU' r4-2 ARCHITECT BYPROV ED `// DATE '4 /S OR ENGINEER NQ. L ZONING Ar •ee �ec ZON I NO.OF O I USE OF NEW /1,yy /I �� PLANS DUILDINP____Jr•'t CONTRACTOI} L/SZ...-C-C/1-. A.f-- ///���++ /A� / 1 c�ccA.a.q'/SQ/r✓, DESCRIPTION( OIe i/) ! 0/S-1- i✓tid �A1S ADDRESS - - 7,T/ CITY A.P.NO. if -o-7 3— '2- -- NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE TEC---------- SO'TO SIDE a REAR P.L. LIC.NO. NO. EAVES SIZE I NO.OF SLOGS. / ALLOWED (U.B.C.REQUIREMENT) OF LOT Now ON LOT YARDS APPROVED YARDS APPROVED USE OF /-� MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. DA (FROM C/L STREET) SETBACK LINE PROM fr FRONT . PT. CENTER OF STREET / REAR YARD �� R.SIDE PT, FT. SIDE YARD I LEFT RIGHT DESCRIPTION OF WORK L.SIDE FT Pr. NEW - li ALTERATION ADDITION REAR FT. DISTANCE BET. BET.MAIN RI MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS. VAR# DATE BUILDING NO.OF SIZE ROOMS STORIES ES C.U.P.# /� APPROVED/ r EXTERIOR WqL� COVERINGROOF L a APPROV HD /• //. / DATE �J'/J -or COVERING60 7• /OGLE USE OF BUILDING AND WO K TO BE ERF ED ___,.,,,.7z ,.., SQ.FT. G I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE Z AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. MG PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION CC. p BUILDING CONSTRUCTION, ry //�� ,T PERMIT FEE 5 3 SIGNATURE OF�� [YXl< ,7f ,* 1 = PERM ITTEF i'T $ 00 PLAN CHECK $ �� cco AUTHORIZED AGENT TOTAL FEE $ 1- tt KLULJVLD 23517FEB 3 1965 ; OSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. P.O.BOK 317 COSTA MESA,CALIFORNIA G ��, . CITY OF COSTA MESA For Applicant to Fill In Completely A APPLICATION FOR PERMIT TYP OR PRINT BUILDING -, or Office Use Only • C fly �v .� AD REISS /(•,D /���� LA-6, sem' ^Q ` RECEIPT NO. z4 MIT NO, COSTA MESA. CALIFORNIA ` �!/ _JL 37 RICEI�f HY DA RE IVED , CATE ISSUED OWNER *DM\� - k 99 11:1.1 '`I' T/i_'1�-6'S j,�,,, =DRESS /J7n W4/_AIQF Nod ADDRBUILDESS NG /6jo 27 Sr ' / f. /•"•"" 14 J Z FIRE �� 1�7,0--- CITY COLS(id j/SA NO.� Q=0 ZONE TYPE / GROUP/ARCHITECT // /`I//q/� TEL./� 7�/ AAPPROVEOI ATE / OR ENGINEERA kr Ar-h-2,?„, TEL �ZIOtiING / I A SEI TO i (ii Al k ZO'�`�J�.,/� NO.OF USE I / /.��/Ili; B�\� PLANS �l BUILDING ,70 CONTRACTOR yI A 4,,,keli // /(!OIli; LEGAL (J^ �1 .� ADDRESS DESCRIPTION poi• 6�� rPr[InT-O �( A.P.NO. /IO - 07-3` � �/ ) CITY C6�33�A,./ ��Sry // NOTE: NO EAVE OVERHANG SHALL BE LESS THAN LIC.NO.STATE /4! P.ry ,=�1�. NO. a �f ��O�" 90'TO HIDE a REAR P.L. EAVES • SIZE /`! ,/ '] /'� NO.OFBLDGS. ALLOWED (U.B.C.REQUIREMENT)OFLOT I'I© F 3O (J NOW ONLOT �( YARDS APPROVED YARDS APPROVED USE OF N�� MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. N • (FROM C/L STREET) SETBACK LINE FROM FRONT( .��F�I'. l .,- CENTER FT, OF STREET REAR YARD R.SIDE 07w I f/(.i FT. SIDE YARD LEFT I RIGHT DESCRIPTION OF WORK L.SIDEXitPT� i IS s • FT. NEW X ALTERATION _ ADDITION REAR � T. FT. DISTANCE BET. BET.MAIN& RE • $MOVING)C 1 7-l' DEMOLISH'•• .'.t • MAIN BLDGS. . . ACCESS.BLDGS. ¶'c'bCoA NO`.-0R'Jf. 7L.(:C. C'C Cl: *,VAR: !Iv>L' ••DATE i-__/- 8-�-- BUILDING SIZE ROOMSI STORIES '-I DIDSFP,'ft eP` VS/I APPROVED4''' EXTERIOR WALL.1 I4. JI_ROOF 4APPROVED' ,J O COVERING '1 ^CCU CC COVERING-G'.' CC:.G If:TI1T, 'BYFN 1.1 �•ijtj, ' •1DATE L'"l ) 6,V USE OF BUILDING AND WORK TO SE PERFORMED•-(=II .fig ;IiOL �,•! 1 . . , .- ..: I . : .' Q -, t7 , /� ,-. • JR�(7 wry �� �F,�L � � &=0131 u e C c�;T L7ALL (`-.T11q 4Z\ PTV i L'd r-t reI" , , rY'-I_� ` 3 6 OO4�" I e_i l (I'i F, .W . LA. 7 ;4.l Eva-.Pr: //_ SZ J q I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS_APPLICATION THE AMOUNT SHOWN UNDER VALUATION E I IS FOR THE E 17 AND STATE THATi TH 'ABOVH IIS CORRECT ANDG AREE TO= E,COM. C ./PURPGSE:JOESTABLISHING A.RERMIT• FEE ONLY. O PLY WITH ALL CITY ORDINANCES AND STAT LAWS REGULATING VALUATION BUILDING CONSTRUc{'['W/R it,,,,,, (�///A///�-'//////J�� //� 00 4 r m SIGNATURE OF•C/'• "-"�jJ��/' ti,:�Y.C/C!/G PERMIT FEE : 1/O✓ ym/ PERMITTEP ''OII-�H�N�L / $ 72 83, PLAN CHECK S n`I di' 26 O AUTHORIZED AGENT • TOTAL FEE $ Z 7 r1`: CONDITIONS: 1. Installation of residential sidewalks and concrete driveway approaches -by ,the applicant:, <at his expense, per standard specifications of.the City\of Costa Mesa. 2. One\Class'A Tirei'ilydrant 'shallbe installed by the applicant, at his expense, as per Fire Department requirements. , 3. Fire Extinguishers located as per'Pamphlet' #10 (N.F.P. C. )' 4. Trees to be 'planted compatible with the surrounding area. 5. That the elevations to be -submitted mustbeadequate and meet with the approval.:of::the Director of Planning. 6. As per-•Plot-Plan approved by the Planning Commission on 1-11-65. . .,,:. .. 4 . 1.1 • • • • ' - •� _ ` \.. I