HomeMy WebLinkAbout2818 LORETO AVE - Building Permits PROJECT ADDRESS: - 2818 LORETO AV UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 047381
OWNER'S NAME: SAMORA
ADDRESS: 9j JUNIPERO PERMIT NO: P 047381 PLAN CHECK NO: N GOVT: N SUPP : N
COSTA MESA
CA 92626 CONSTRUCTION TYPE: 5—N PERMIT TYPE: PLU PURPOSE: REP
( 714 ) 546-3720
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : GAS RE—PIPE/SINGLE FAMILY DWELLING SQ FT:
ADDRESS: UNIT:
I
CLAIM VALUE: CALC—VALUE: GROUP OCC : R-3 /
PERMITTEE: SAMORA ( 714 ) 546-3720
ADDRESS: 934 JUNIPERO COMMENTS :
COSTA MESA CA 92626 **** >E***********************afx****+taF*************!ti ******at****if**********ir****
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS
CITY LIC.: STATE UC.: CUSS:
Date: signature: MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I 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
Compensation Insurance,or a certified copy thereat(Section 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: EXP.DATE:
COMPANY: PARKING REQ• PROV: PARCEL : 14130321 ZNE: REF NO:
Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES>
> .
•
Date: Applicant: *******************************************************************************
EXEMPTION FROM WORMERS'COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred(5100)or less). DEVELOPMENT SERVI C E S ' . REQUIREMENTS
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 malting this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : j �'' 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 ISSUED B Y: v _ _ ,�a��� DATE: S'- /I =rd
rrr�. . . .
which this permit is issued(Section 3097,Civ.C). *************************** . :/ **********')F***********
LENDER: ********************************************** /*******************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: N
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC 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 2,00
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she Is licensed 25% SMIP/NON—RE S
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/the is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars($500). ISSUE FEE 3 . 00
I, as owner of the proberty or my employees with wages as their sole compensation, wit do the work, and the 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 TOTAL S————> 2 . 00 3 .00 0 . 00 5 . 00 • 5 . 00 . 00
does not apply to an owner of a properly 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 __
improvement
ofsae) BLDGDIVISION PMTPLUMBING ELECTRICMECHANICFIRESMIP/TOT lhln one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE UODS00 O/TOT/S
HORT: ,00
for the GRADING PLAN—CHECK
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 5 . 00
❑ 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 projectsaith acontractor(s)license pursuant to the Contractors'State License Law).l am aware *******************************************************************************
that proof of their Workers Compens:tfun insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
0 J I am exempt under Section:B p 7 0 4 4 B.8 P.C.
for this reason: ALL WORK BY OWNER / TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: S'' I D ` f o Owne' •-awr/ '
PLU 1 GAS RE—PIPE 2 . 00 2 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sec'ins 25505,25533,and END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Nr Quality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and countyordinances and state laws relating to building construction and hereby authorize representatives of this city to n the above-mentioned
*DUPLICATE FE C E% 'T#pfor inspection purposes. 01 00061235-00061235 TOT 5.00 0
Date:
s— /5-fo Signature: �^%= yam DATE: 05/18/90 TIME: 16:41
Driver's License or Social Security A: .
154146 White—Building;Green—Code Enforcement;Canary—Applicant;Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNING POOI WA
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, Q 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 i
•
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 ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank ❑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 Y HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79, FINAL INSPECTION
32. Electrical Power Meter-Final i 80. FOOD CERTIFICATE ISSUED
33. Final Electric t Notes:
34. Final Heating & Air Conditioning
35. .Final Gas Pipe-Test 4127 to (SCP -
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing 04* 46i
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backf low Preventer
43. Backf low Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49.(Electric Release to Edison
50. Gas Release to Southern California Gas Co r
-51. CERTIFICATE OF OCCUPANCY
No. Date
CITY OF COSTA MESA
BUILDING DIVISION
OWNER-BUILDER VERIFICATION
A city or county, which is required to give notice pursuant to Section 19830, shall attach to such
notice,and,as a condition precedent to issuing a building permit, require the completion and require the
return of, an owner-builder verification.
Attention Property Owner:
An 'owner-builder' building permit has been applied for in your name and bearing your signature.
Please complete and return this information in the envelope provided at your earliest opportunity
to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued
until this verification is received.
1. I personally plan to provide the major labor and materials for construction of the pro-
posed property improvement.AYes 0 No
2. I (have/have not) signed an application for a building permit for the
proposed work.
3. I have contracted with the following person (firm)to provide the proposed construction:
Name
Address_ City
Phone ( ) Contractor's Lic. No.
4. I plan to provide portions of the work,but I have hired the following person to coordinate,
supervise and provide the major work:
Name
Address_ City
Phone ( ) Contractor's Lic. No.
5. I will provide some of the work but I have contracted(hired)the following persons to pro-
vide the work indicated:
Name Address Phone Type of Work
I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State
of California Health and Safety Code and have completed the above information to the best of my per-
sonal knowledge, in c•'.•fiance with this State w. t
Signed:/r-vi J^Date: SM-(rJr
_ 6
Name: /60-/S/S7SQ'70 eye f
(Printed or Typed) •
C.D.L. # or S.S. #
•
754-5273
1042-46
COSTA MESA BUILDING & SAFETY DEPARTMENT APPLICATION FOR PERMIT
COSTA
PMES.A, CALIFORNIA _ PLUMBING
PERMIT NO.
FOR APPLICANT TO FILL IN TRACT NOln9 474'9 f RECD. BY_—_
28104
DAT•
PLUMBER COAST MOIST O'MATIC COMPAN stor NO.
DATE ISSUED
LHIY UJI,'ir[ JI'Kli:i\ltK JYJI tl+:J BUILDING USE Iw01 4 1960
Address 330 BAY STREET, COSTA MESA, CALIF.
Liberty rf Jb59 BUILDI.JG c" g/do.
City Tel No. ADDRESS ,i '
COSTA MESA. CALIFORNIA
State license No. 137176-C6/ Expifes CROSS NEARES T./'y��rn'�7.rrt!a,
OWNER ?'791tt7if,,C6_0,.���./yyJ/j�,/(,Q�/� .
MAIL
A DRESS 3p(/t/ lJ �.p"�^-i`-' /7./
PERMIT FEES
CITY eran ,71/Mac TEL. NO.
number Type of Fixture or Item Fee
Water Claret (Toilet) I $ i I hereby acknowledge that I have read his application and
Tub state that the above is correct and agree to comply with all
Bath City Ordinances and State Laws regulating plumbing.
Shower I certify that I possess the above valid Costa Mesa City
—
Lavatory (Wash Basin) • License, or I am the legal owner of the residential property
Kitchen Sink described above.
Laundry Tub or Tray Signature of *. 1/l
Water Heater . . . Vents Permittee cil
Slop Sink
Floor Sink __ INSPECTION RECORD
Floor Drain -
Dlshwasher
Drinking Fountain
Urinal o
m
_ Garbage Diaposal / /f
Refrigeration & Air Conditioning F
Automatic Washing Machine l _�y, "� D
W—- ater Softener �� r
Sand Traps 1
r Swim Pool Receptor
Swim Pool Filter System _ APPROVALS
Swim Pool Heater
Miscellaneous U/G Soil Date Inspector's Name
/ ' Sprinkler Sys —2 TCS Rgh. Water 8 Gas Pipe Test
Gas System . . . Outlets -- Top Out
Furnace (Fill out spsdfatlom Furnace,
oo reverse side) I Gas Vents
Trailer Hook Up. Rough Plumbing
Prop. Sewer It Cesspool Septic Tank
House Sewn Connection I Prop. Sewer
Street Sewer I House Sewer Connection
Cesspool. Septic Tank I Sprinkler System /216=1 1 /i/
1 Val. I , Heating Final
f _ Plumbing Fixtures
TOTAL FEE 1 $ U Final Gas Teat
Utility Co. Notified Final I
Form ROB BLDG.PERMIT NO. `h
•
FURNACES REFRIGERATION & AIR CONDITIONING
TYPE H.P. & Make of each Unit
Wall NO. H.P. MAKE
Floor
Basement
Attic
STATE IF GRAVITY or
FORCED-AIR
B.T.U. RATING
GAS LINE SIZE AS PER MFG.
2.48 REFRIGERATION SYSTEM (CHECK ONE)
MANUFACTURER'S RATING
2.48.1 Absorption System ,J
GIVE APPROVAL CLEARANCES 2.48.2 Sealed Absorption System ❑
Sides 2.98.3 Self-Contained Absorption System 0
2.98.4 Unit System 0
Bottom
Ends 5.1 Type REFRIGERANTS USED (CHECK ONE)
5.1.1 Group I ❑
5.1.2 Group II 0
5.1.3 Group III 0
BUILDING OCCUPANCY CLASSIFICATION
MISCELLANEOUS (CHECK ONE) U.B.C. STD. 49.1
3.2 Institutional Occupancy ❑
3.3 Public Assembly Occupancy 0
3.4 Residential Occupancy ']
3.5 Commercial Occupancy J
REMARKS 3.6 Industrial Occupancy El
3.7 Mixed Occupancy 0
FEE RECEIVED
• 12344 JUN 17 1960
COSTA MESA BUILDING-SAFETY DEPARTMENT `Q FINANCE DEPT.
P. O. BOX 917 COSTA MESA. CALIFORNIA "
CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT Lot # 109
BUILDING
BUILDING
ADDRESS 2818 Loreto Avenue Plan 4A
COSTA MESA. CALIFORNIA For Office Use Only
OWNER Mesa Del Mar Development Co. RECEIPT NO. I
1P^B34N4.
MAIL RECEIVED BY RECEIVED PASSU D
ADDRESS Suite 1, 3800 S. Coast Highway .,..„--'7'4"----,2-' D TE/�- O I!.'/ 6o
CITY Corona del Mar No .Or 34220 BUILDING 2818 Loreto Avenue
ADDRESS
ARCHITECT
OR ENGINEER Raymond Levans .NO. 0a 37010 COSTA MESA. CALIFORNIA
ADDRESS 34.2 Via Oporto, Newport Beach FIRE / /
ZONE TYPE (/ GROUP 'c V
CONTRACTOR Masco Corporation APPROVED
BYDATE
ADDRESS 3800 E. Coast Highway ZONING
CITY Corona del Mar IONS I NO.OP I USE OF NEW
PLANS BUILDING
STALICE.NO. '8%O8 No:
C. Or 3-4220 LEBCNIPTIONLot 109 Tract # 3749
SIZE
OF LOT 7e x 93 I NO. OP BLOBS. 0
NOW ON LOT A.P.NO.
USE OF YARDS EVES
EXISTING BLDG ._ _ APPROVED ALLOWED
SETBACK UNE FROM REAR YARD 37 FRONTR LINK BT.)
CENTER4 c7 FT. IN.
or DTRHBT
SIDE YARD I LEFT 5 I RIGHT 5 R.SIDE 5-- FT. IN.
DESCRIPTION OF WORK L.SIDE S FT. IN.
NEW Ix II ALTERATION I II ADDITION IREAR 31 FT. / IN.
REPAIR I II MOVING I II DEMOLISH I APPROVED
BY4 Ip_ DATE q i/a_...6c)
BUILSIZE 60
NO. OF 60 x 37 ROOMS 7 STORIES 1 L/
EXTERIOR WALL Stucco I ROOF D
COVERING ; Mine COVERING Rock PIN __ r
USE OF BUILDING AND WORK TO BE PERFORMED 4_ d O C. '
Construct Single Family Residence
withm attachgd garage
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATI- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE, , CORRECT AND AGREE TO ••M-
PLY WITH ALL CITY ORDI 'S AN• STATE LA - REGU NG PURPOSE OP ESTABLISHING A PERMIT FEE ONLY,
BUILDING CONSTRUCTION. VALUATION
SIGNATURE OF PERMIT FEE $ 34.00
PERM ITTE- _ / _ ._ �� R
' s 14,563.00 PLAN CHECK $ 17.00 ,i
AUTHORIZED AGENT Project Manager p
TOTAL FEE $ 51.00 0