HomeMy WebLinkAbout2139 WALLACE AVE - Building Permits OWNER CABALLES, CF+LtiS'TINO DATE 3-15-05'
t JOB ADDRESS 2139 Wallace Ave. BUILDING PERMIT NO. 23729
GENERAL CONTRACTOR (at.B1dr. DESCRIPTION OF WORKAdd Stor. to Garage
AP No. 115-1+31-2 LOT TRACT FIRE ZONE VALUE $1100.00
INSPECTIONS Signature Date GROUP J TYPFY ZONE Rl
fS�.,:y4PERMITS ISSUED
C s-
SUBCONTRACTOR I Date I Number I Signature
Water Plumbing
Rough Plumbing
Prop. Swr. Line 0 House Con.0
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground 0 Power C]
Rough Wiring Heating and Vent.
Trenches iO Forms 0 Steel Reinf. 0
Floor System
Bond Beam_L90 Steel rce 0
Sheathing Uh @p,-7„1 _ f /eY6
Frame and Flashing
Lathing—In 0 Out 0
Plaster,Brown Coat
Structural, Final Electric
Hegalpg, Vent., Refrig. and A.C., Final
-*:
F‘, ;„' g, Final and Gas Test 0
EF''Sic, Final 1.1
Building, Final I(/i' (y�r 6 -
OWNER TOBTAS & ORR ' DATE 1-20-55
JOB ADDRESS 2139 Wallace Avenue ,V/ BUILDING PERMIT NO. 8)45
GENERAL CONTRACTOR Dike & Colegrove VALUE $ 8,500.00
LOT 1 BLOCK TRACT 1881 Single Family Residence
GROUP I TYPE V ZONE R-4 FIRE DISTRICT 85)4
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
��� DATE NUMBER
6
Footing Trench E ./.S's
Foundation Forms and Grade to Garage
[s�F�
• Rough Framing - \ a. 3/6-s3_
Plumbing,Rough to.
g.-N". ,--s--e-S",S '
Plumbing, Rough Complete l/4_ 3/7-cC-4 nX r M.0 , ,/ ` J.44- , 02-4 -S'S /$//(
Temporary Pole /94
C
Wiring, Rough 3 %6"-:l47Ltcr.-n,,.c_r. 3- /v_Sc- e .2-7
Heating,Rough
`Heating,Final t_rj <' gj ;. 7.__ .Y%scf,/, _/6- /c/�,
Sewer C7JV-/ ';p -13005/11 / / sr. G / 'Wear 'f71
Septic Tank or Cesspool (I) g _, ,. �4L._,3'�-iCr' /H R
Lathing may '
Pia ig
M
Plum..,ng,Final,Fixtures Coomp)eteSl� `n
Wiring,Final
Gas Test/ [7�-, " ' &101-2C-.`e
Wiring,Final r/ //'.f 're _
Occupancy 5„.."e-<^3..--- ' -2 S
-
Form 210 G-H 1M 12-53 -
PROJECT ADDRESS: 2139 WALLACE AV UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: BP 048262
OWNER'S NAME: CITY OF COSTA MESA
ADDRESS: 77 FAIR DR 4TH FLOOR PERMIT NO: BP 048262 PLAN CHECK NO: N GOVT: Y SUPP: N
. C.M.
CONSTRUCTION TYPE: PERMIT TYPE: PLU STR PURPOSE: DEM
ARCH/ENGINEER: REG.NO.: • JOB DESCRIPTION ; DEMO RESID FOR VICTORIA STREET WIDENING SQFT;
ADDRESS: UNIT:
CLAIM VALUE: 1 , 000 . 00 CALC—VALUE: 1, 000 . 00 GROUP OCC: R-3 /
PERMITTEE` POMONA VALLEY EQUIPMENT ( 714 ) 591-7879
ADDRESS: 11532 EAST END AVENUE COMMENTS : DEMO & SEWER CAP •
CHINO CA 91710 ##############*##+ ###########*##*######******############# ####***** :� #####rt#->F
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON INC R EQUIR EMEN T 5
7000)of Division 3 of the Business and Professions Code,and my license Ls in full force and effect. SETBACKS
CITY UC.: 041674 PATE Uc:417242 / cThe?,-21
Date: —4D Signature: • h1AIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: Ihereby a t I have a certificate of consent -insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.oracenifiedcopy thereof(Se • 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: ' FT IN '
POLICY NO.: 1030869-89 mum: 09 /15/90
COMPANY: STATE FUND PARKING REQ; PROV: PARCEL : 42220311 ZNE : REF NO:
0 Certified copy is hereby furnished. lj Certified copy is fi ed with the c' wilding Division. PLANNING NOTES>
te: 10 Applicant: ********#***#**#****#*##**####*####***##*##**#*******#**########****##,#####**##
EXEMPTION FROM WORKERS'COMPENSATION DECLAWUIO s section need not be completed d the per s for one hundred(1100)or less). DEVELOPMENT SER V I C E S .- : R E Q U I R E M E N T,. S
I certify that In the performance of the work for which this mit is issued,I shall not employ any per n in any manner so as to become
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE:
Date: Signature: -
NOTICE:II,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor' BUILDING APPROVED BY , ' DATE:
rt
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: i DATE: -I-24 Q
which.this permit is issued(Section 3097,Civ.C). ********#*#*********** iFWw**#***#****************** off**
LENDER: ********************************#****************************************#*****
ADDRESS: • LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y •
OWNER BUILDER DECLARATION: Ihereby 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 25 . 00 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
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commenting with Section 0)of Division 3 of the Business S$ SMIP/NON—R E S
700
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by P LAN . 50
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 3 . 00
I, as owner of the property or my employees with waves 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----> 0 . 00 0 . 00 0 , 00 0 ,00 . . 00 , 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 : • , 00 OVER/SHORT: , 00 '
for thimprovement
purpose ofsae)
erpose sold within or
one year of completion,the owner will have the burden of proving he/she did not buildImprove 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
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon .
and who contracts for such projects with acontraoor(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
❑ I am exempt under Section: B.8 P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Dae: Owner: PLU 1 SEWER CAP I DEMOLITION EACH 2 . 00 2 . 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 will/will not(circle one)need to comply with said state 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 state that the above information' correct.I agree to comply with all city and county
ordinances and state laws relating to building construction and here• authorize represof this city to enter upon the above-mentioned
property for inspection purposes. /�� a
Date:9)4— 9a Signature: ,... - Al 01T0000 133-0090 66I33: TOT
.00
Driver's License or Social Security x:
164145 White—Building;Green—Code Enforcement:Canary—Applicant:Pink—Revenue;Goldenrod—Assessor -
. I
CONSTRUCTION AND PLANNING POOL & _. A
Date Inspector Date Inspector
APPROVALS Permit# APPROVALS Permit#
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location .
7
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Uritl_igrnd. 2- 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 '.l 59. Gas Pipe, ❑ Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd.
10. Structural Floor System Q.-. 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 ❑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. 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 a//7/ O v0
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 1267/40 °to
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
-1 -.Costa Mesa Building Department bSJM'PLICATION FOR PERMIT
111 EAST 20th STREET A Itre.d.. 'r B U I L D I N G1
COSTA MESA, CALIFORNIA Q
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN I Receipt No. Permit No.
Building z 3954s
—
Received
2139 Wallace Ave., Costa Mesa "i r !J
Costa Mesa, California Received by Date Recd. Data Issued
Nearest
7-40— c.Ci
Cross St. Hamilton to Victoria Building
Address
Owner Tobi89 & Orr Costa Mesa, California
Mail
Address 419 E. 17th. St. Nearest
Tel. Cross St. _
City Costa Mesa No. Li.8-1159 ZoneNo.of Type ,/ Group
Architect or Lic. I Plans Y I y
Engineer Hugh Gibbs No. Approved
by Date
1 Iress Long Beach CORRECTIONS
City Lic.
contractor Dike & Colegrove No. 1301
Address 419 E. 17th. St. . Costa Mesa
Legal I Lot
Description I No. 1 I Block I Tract 1881 , ,,
(Attach Metes and Bounds) 1AN:i
� ■ .1
No.of Bldgs. II r
Size of Lot 60 x 130 I Now on Lot None io1
•
Use of I No.of I No.of IAN A 0 1955 - o
Existing Bldg. Families Rooms
Center 0 Street m 55 t Side Yard 6551 Flu Z
DESCRIPTION OF WORK CITY OF. COSTA MESA r
New I X I Alteration I I Addition I
Repair I I Moving I I Demolish
Building No.of
1200' Rooms 6tories 1
,•rior WallRoof
Covering Stucco I Covering Compo. APPROVALS
Use of New
Building Single Family Res. Foundation Location Inspector Date
Forms,Materials,
Under-Pinning .
Frame: Fire Stops,
Bracing,Bolts
•
I hereby acimowledge that I have read this Application Lath. Int
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 Plaster, Int.
Permittee
Plaster,Ext.
Authorized Agt.-714f' C ,
{�"��� Masonry Reinforced
jPermit Fee $ �'G . L Plan Check $ 3.00 Bond Beam
$ B,500 al
. Fee $ 25.00 FINAL l
FORM 204 6-11 2M 8-54 /I
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z;s-PLOTPLAN
• Show location and distances from -•
property line and between buildings. ; •
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9r774 • CITY OF C�;STA MESA
•
/COSTA MESA BUILDING-SAFETY DEPARTMENT MAR 15 1965
., P.O.BOX 917 COSTA MESA.CALIFORNIA
For Applicant to Fill In Completely • APPLIC& &IT
TYPE OR PRINT BUILDING
BUILDINGI. / For Office Use Only
ADDRESS G,Rf 3 q e Imo// ffian ab'L- RECEIPT NO. 737,70
COSTA MESA. CALIFORNIA A : .
//�• Q ��//l� RECEIV1- -Y DRAT RSC Dd/ TE ��
OWNER 67 .p ea ifieti n n X77 O�� / �-/7�///�J
MAIL ADDRESS /�l / ( t�(//C/C,(�J �a- .
ADDRESS i 3 q �iJ/aib(,t/ FIRE
CITY ( .(f ,-7,2Z-flet NO.'4'y6. ?")(5- APPS
T
EL
TYPE GROUP --,--
4
OUP
E APPROVED / ' / /
i
AP^HITECT TEL. BY �/L „ 3Q11 DATE
/S
( IGINEER raw > FS �/t
ZONING
ADDRESS f� ZONE I NO.or USE OF NEW
CONTRACTOR C t n&lR T.3C e L - p‘1Puna BUILDINo-i A�
LEGAL Z� / 'rte eery
ADDRESS \ DESCRIPTIQNL /r /� / • / v V
CITY A.P.NO. ✓✓✓ /1 S^ 43 / — 2
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE •EL.. - 90'TO SIDE a REAR P.L.
LIC.NO. NO.
SIZE /'�y ,/ /3® I EAVES
�`) 7` l nO.OP aLDae. ALLOWED (U.B.C.REQUIREMENT)
OF LOT NOW ON LOT
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
(FROM CIL STREET)
SETBACK LINE FROM �J�� FRONT FT."f' �� FT.
CENTER OF STREET �L�/� REAR YARD 2-5
yIC ( '���•�
SIDE YARD I LEFT 1C/ I RIGHT • R.SIDE /0 FT. •/L- U t C -- V
DESCRIPTION OF WORK L.SIDE 61T. FT.
_ ALTERATION ADDITION Y.
REAR SOFT. 4. FT.
DISTANCE BET. BET.MAIN a / �1
REPAIR _MOVING DEMOLISH
MAIN BLDCS. ACCESS.BLOCS. tO "T
BUILDING y NO.OF / / VAR.# DATE
SIZE (� 20 ROOMS / /S+T/OlRILES / C.U.P.
# �j APPROVED /
EXTERIOR WALL�7�,�y I COVOERING �!'�1 /`� s5 BYPL /E�� tf. DATE 9 --/ s-6s—
COVERING . r'�LLCJ VV
USE OF BUILDING AND WORK TO BE PERFORM{ED GI-�97
A'lGtt�t/ Q c�/(j(1 �Van. tea
•4/0 HD.FT.
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. O
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION
� /mBUILDING CONSTRUCTION.
SIGNATURE OFUC�/TIYS� �� /A /% J adPERMIT FEE $ , j
PERMITTEE s ^O X
u
AUTHORIZED AGENT 3
TOTAL FEE 5