HomeMy WebLinkAbout379 WALNUT PL - Building Permits_ . . _ � �r , _
OWNER PAULEY, HARLAN R• �� DATE Jy�].9—S�'j '
JOBADDRESS 3�9 E, Walcrut Place BUILDINGPERMITNO. Zj,Iy9
GFNERALCONTRACTOR Owner-Builder VAWE$Ia�OOO.00� '
- i
Lof AP# 118-212�9 B�OCK TRACT Thaallino (Finish nurmt+.
GROUP I T`
INSPECTIONS
Footing Trench
Foundation Forms and Grade to Garag�
Rough Framing ��j�y
Plumbing, Rough to Slab
Plumbing, Rough Complete
Temporary pole
Wiring, Rough � -GG
Heating, Rough
;�eating. Final
Sewer. House � Sewer. St.
S �:TankorCesspool
L. .ng, In t�:�' c=, Out
Plastering
Plumbing, Final, Fixtures Coi
Plumbing, Fin.al Gas Test /
Wiring, Final
Occupan¢y
Fn.m'�7p q_H 15001.55
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DATE
SUBCONTRACTOR
DATE
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PERMITSISSUED
I NUMBI
/4 =L2-(i AGplicant to fill in all spaees
CITY QF COSTA MES CON TRU TIO�ERMIT
Project Address
� Applicant's Mailin �r�ss�o/ �/
Owner's Name �Q'�� / Phon /
Address
Arch/Eng. License No.
Addreu
Contractor'sNam� _ hone ��
Address (mailing)
Ciry License No. ' _
IICENSED CONTRFCTOR DECLARATION
I hereby atfirm� that I am Iicensetl under orovislons of Cnarter 9(commencin9
wi[h SeCtlon 7000) of DIvISiOn 3 O1 lh8 BuSip¢SZ antl Profeisions Cotlo, anE
my Iicense is in fuli ntl eHact.
ucen Ci �� Uce$cA`g��E��7��
Date ���� cianatur � �� 1�L c
WORKERS' COMPENSATION DECLARATI�ON
'^ereDy atfirm lhat I havo a certHicate ot mnsent to inlbinsurc or a certiflcate
Workers' Compen5ation Inzurance, or a certlfietl copy thereof (Section
J0. Lab.` c?��. r' ' h ��y �
Policy No. "" I ",� Company ��1�
ertifietl copy iz nereby fumishetl.
Cer "fi'y�copy� filea with the city,6Tiltl'pqipiv�E q�. D/� / f� /
Oate l l Y APPilcant /� �� r l J4'.i; i" ✓w�
EXEMPTION FROM WORKERS' COMPENSATION DECLA0.ATION
(TM1is section ne¢0 not ba complatatl il tne parmit is tor one hUntlretl (5100) or
less).
I cerNty that in the Pertormante ot tne work for whlch tnis permR is issuetl, I
shdll not employ any per5on in any mannar 50 a5 l0 bGtome Subje<t to the
Worktts' GompenidtlOn Laws ot Califomia.
Date - ' Signature
-NOTICE: If, after makfng Ihis tleClaraUOn, y0u ShOWd bacoma subjecl [o tha �-
Worket5' COmpenza[lon proviSiOnS 01 Ihe Labor Cotle, you muSt torthwith
comply witn such prOvlSions or tnis permlt Shall be tleemOtl �Cvoketl.
CONSTRVCTION LENDING AGENCV
1 hereby afti�m lhal [hGre is a con5i�uction lentling a90nty br Ihe pe�lo�mance
of tho work for whlch IniS permit ii I55mU (Sectlon 3097'Clv. C.)
�.antler's Name
l_entler's Ntltlress -
OWNER BUIIDER DECLARATION ' �
1 hereby afflrm that 1 am Oxampt from tha Cont�actor's LICCn50 Law for th0
following reason (Sottion 7031.5 Businoss antl Profossional Cotla: Any city or
county whlcn requirez a Dermit to construct, altor, improve, tlemolish or reoalr
any s[ruttura, prlor to its issuance, also requires tha appllcant for such parmit
to file a si9nnC statement thac ho/sho Is Ilcensetl pursuant ta thu provisions of
the Con[ractor'S License law (Cnapter 9(commoncing witn SecUon 7000) of
^'vision 3 of [hc Business antl Prolessions Cotla) or lhat he/sbe Is exomp[
�efrom antl the basis for t�o allegetl axomption. Any violatlon o1 Soction
7.5 by any applican[ 1or a permit subjects Ihe applicant to a civil
.i51ty of not more tnan ilve huntlretl tlollars (E500).
; 0 I, as ownor, of tna proporty or my employoos wiln wages as thalr solo
' tompen5ation, will tloYhe work, antl tho slructure is not IntonOetl or olleroC
lor sale (Sec[lon 7044, Buslnass antl Prolessional Cotic: The Contractor's
License Law tloas'nol appty to an owner of a properry who builas or improvos
theraon, antl who tloes such work nlmself/nerseli or through �Is or her own
¢mployces, provitletl Ihat such Improvement5 ar0 nOl intentlotl Or otteretl for
sale. If, nowever, the builtlin9 or improvamunt Is soltl withln one year ol com-
pl¢tlon, tne Owno� wlll bave tha burtlOn of prOving h¢/sha tlitl nOl builtl or IT-
�rove far LM10 purposo of sala).
t, as own¢r ol the prOperty, am ozclusively contracting wlth Ilcen50tl COn-
tractors to construcl the Projecl (Section 7044, Business antl Prote55ions Cotlo:
The Contractor's Licenze law does not app1Y tD an ownet ot proporly who
bulltls or ImOrov¢5 Ihereon, antl wno COntrat[5 to� such proj¢Cts with a con-
tractor(s) ❑cense pursuant t0 th0 Cont�acto�'S l.IcenSa Law�. I dm dware [ha[
� proof o( th0ir Worker'S Compensatlon InSurdnCO shoultl be 0/ovitletl to me.
❑ I am exempt untlar Sec[ion B. 3 P. C. lor this roason
Date Owner
I her¢by certly that I have reai
intormation is corr¢ct. 1 a9ree to
antl slate laws relating to DuilUin
sentatives o( this city to en5er
insoec[ionAL�DOYdn . _ /A
Drivers' License or SS
those w(thin neavj eoraer Iines anO sign all appropriate aeelaratlons.
TRACT NO. f LOT NO. UNIT NO.
� TVPE OF CONSTRUCTION LJ NEW U PDD LJ ALTERATION L1d�REPAIR
� � ❑ CONVERSION ❑ DEMOLISH ❑ 07NER
,. DESCRIPTION OF WORK/USE OF BLDG. �
. TVPE OF PERMIT LJ GRADING ^U!F�gJNDATION LJ ST0.UCTV RAL
' ❑ TENANT ❑ ELECTRICAL �'P`VA�BING ❑ MECHANICAI
• O OTNER. I .
PROJECT DESCRIPTION $p. FT. - OCCUPANCV_
� CONSTRUCTION TVPE � VALUATION S
y 20NE GRADING CU.1'DS. ACRES_
' Remarksi ' � � '
• -t .
r . .. . � _ '� PWMBING
Preven[er�
Irrigation
Drinking Fountains
Floor Drains
Floor Sinks
Gas Service Outlets
Intefceplor5
Kitchen $ink � -
Lavatories �
P—Trap
Roof Dreins '
Reinspection �Fee � �� $15
Boiler
Duct - Under Ground
D�ct - Structural
Duct - Ventilating
Exhaust Sys[em O� Mul[iple ❑
Firepl/Fact. Blt. ICBO #
Heating System & Ducting
❑ 4100,000 BTU � 100,000 BTI
Reinspaction Fee �� $15
CMF 0865-46, rev. ]0/84 White - 6uiltling; Canary - Applleanh Pink - Atcountin9: Goltlenrotl - Assessor
Service'Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Auto-Wash
Laundry Trays
�Issue Fee
1ANICAL
Hood�or Type 1 ❑
Canoiy Type I I ❑ '
Refrigeration System
t
❑0.100,OOOBTU ❑700,000
Syste(n Repair/Alteration
Fire Dampers
Regiiters
1
I
� � �szue Fea
$ 3
F
$ 3
A.P. qW
S Main 8uilding:
E
T Front
ARear
C Right
K Left
S
Ping. Ref.SW
Planning Notes:
Automatic Washer
Construction Pole Sub.
Cooking Unit
D ishwasher
Oryers �Gas ❑Elec
Fan
F..A.U.
Fixtures
Device Boxes
Outlet5
Switches
Garbnge DiSposal
Generator �0-5 KW [
Fee
.77tl1 J/IJ/tl/
tl
0
2one
ELECTRICAL -
Transformer ❑ 15-50 KW
. ❑50+KW
Merer ❑up to 100'amps
Meter ❑over100amps
Sub Panel
Motors �0.1 HP �1'h-8
IncSolar 09�15 HP �16-15*
Microwave
Pole Light
Range
Sign '
Standing Sections
5 KW Trash Compactor .
$15 I I �ssue Fee
DEVELOPMENT SERVICES REQUIREMENTS:
2oning Approved By Date
Building APProved By ,�� Date
5o0L TL
FEES
a
�
$ 3
Z
O
N
I
N
G
R
E
Q
M
T
S
� SUMMARV OF FEES '
BUILDING PERMIT $ SMIP 5
PLAN CHECK $ PERMIT
PIUMBING $ � ��UANCE 5 `� '
PLAN CHECK 25% $ ENERGV P.C: $
ELECTRICAL $ GRADING $
PLANCHECK 50% $ � MICROFIIM, $ -
MECHANICAL S TOTALFEE $��
PLAN CHECK 25% $
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
1. Temporary Electriral 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, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O 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 E�ectrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL w
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 O Ga5 ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank �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 &$iding 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: b.(�_(�� L�rCqno L.F•(i
34. Final Heating & Air Conditioning b'�`Y7 �f��CT�" � D
�
35. Final Gas Pipe�Test �Z,{(• aT (-4�yLEA. AC pPR. ya,9 UPC. L.E.O
36. Hood or Canopy ,
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar pomestic-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. CERTIFICATEOFOCCUPANCY = ' .-
No. Date
Uosta, 111esa Buitding Department APPLICATION FOR PERMIT
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PLOT PLA;N -
� Show locatlon and distanus from , + - ' �
property Ifne and betwe¢n buildinga ;.�.
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courrrroFoanrrce � �pplication for Building_Perm � 1�133_D .�
BUILDING DEPT. -
636 No. Broadway AND fOR A Permit No .... ......... .
SancaMa,c,�;ro� Certificate of l�se and �ccu anc �
i Phonc: KI 2-6211 ' P i�
Date----... --f ./.z..%.Z--����-----•-- ------•
OWNER'S NAME -.�.ff.(.I��-.nl.�......1..L........�....�.V..�.-...�....�( .................�------- �-�-- PHONE:-------••-�----�----•----
-� --- �� � �
MAILING ADDRESS.....I.3..�.---�:---ILt._�...��...'--.......... -�-----------------------.. CITY.....S��ar..,_��/CI[-QCC_�
Name ----------'--_......_-'--'---------------'----------'--'--'--........................ Name _..................._......................-----............-'--'--- '
------'-'-'-------...-
(Architecc or Engineer) (Connac[or)
Address--• ..............................-•--'-'--'---------....------'---'---------- Address ................._.....-----..........................------........---------"-'--'.....
City ............................ ---.................--'----------....................._....... City ..-----....... �---.................- "---"-----.........
................._.------'-...--
Scate State
Lic. No......---.....--- --- ................ Phone....... -•---......-- --.....----._ Lic. Na.......................... --�--�------- Phone--........ ----....----------•---...
PROPOSED
2. JOBLOCATION--tJ....L.../.-'.--- -C.(l..�"•I--....f!I/.c�!.'.r......a--..Y..i`.��4i!�cr .:...::...........S..:Lf.-✓.�.C.�+._.iic.�-�����.....
(House No.) (Name of Street) �J T wn or School Distnct) " .� �
NAME OP AND DIRECTION FROM NEAREST CROSS � TREET...Q.../ ......�....`_._..�+Sr.....,.1.�.!.+.-e-..c_�7C _%�.G+d..�
.....
3. LEGAL DESCRIPTION: Lot. ---- -/�- �-...._. .S_..�.C..,.. /..J.�.. Block ---�--��-----�---------.......----- - -�-- Tract-----='!.'./...../........--•--...-- -
(Metea and Bounds Descripuon—Use reverse side o( form)
4. CORNER LOT ( ) ]NTERIOR LOT ( x) a THROUGH LOT ( ) SLOPE OF LOT ( ) •
9�'2 0 3� 1
5. SIZE OF BLDG.:�- --.X��-----AREA:..:�D_.SQ...........SIZE OF LOT:--.�.I_�rY..f`S.I...AREA :........................----...
/�7 � p�,�v /
6. HEIGHT OF BLDG.:.....Li.C.c ............................CEILING HEIGHT:...._..Ll...-:........._...___.NO. OF STORIES.....L..._................__..
7. IQO. FAMILIES.....-._L..--.-----_._--------------Size of Smallest Bedroom:._.. /QX. �-ZJ.---......._. Si:e of Kitchen..IO�Y_ Il---.....---..
8. EXTERIOR WALL CONSTRUCTION:..�4'o�s...��.��.�'.f� .............INTERTOR WALL COVERING-----��aQ.'�....----
(Frame, Stutto, E/� .)� � � �� .................................. (PlastcrDrywall, Ect.)
ROOFING COVERING...... -.6�Q-'-'!i!irGJ.. .-... -........ ............. . ........_................ --
9. STATE HOW MANY BUILDINGS NOW ON LOT AND GIVE USE OF EACH...._......�r�:!�-e..� .............................
10. SETBACKS: Front Yard From Center Line of Street.......��..��l,.` ...............�1�.,...��.�........_........._.....................
Nearest Side Yazd..._��.........Rear Yard.....7�. /...__..Distance in Feet Between IIldgs. on Same LoG ...........................................
(Property Line) (Property Linc)
]]. A COMPLE7'E PLOT PLAN IS REQUIRED, SHOW7NG ALL STRUCTURES AND USE OF EACH.
� „ • / �.
12. (a) Footing: Width..---f� ...................--•--llepth in Ground...........�_�--------.Width of Wall.........lp........-----......
q // r
(b PS.. ... _ l�t "CC Material of Floor.-•--�---• ...............----------•-
) Size of Studs:._ ... /��..........Spacing ......... ........•_--..
(c) Size of Floor Joists:....... �F.l..��So....-.---.....Spacing----•--�'�.,•M�.n: �cc - zx � TF�
/[ _ . ., �y � �`''9
(d) Size of [iafters:......�I.'..%C..L..P..... ----.....----- Spacing---......../....--....._ ................:'CC
13
14
VALUATION OF PROPOSED WORK: Including all la�or, plumbina, electrical wiring, heazing, fire sprinklers, painting and
sewage disposal S.�'A-'---'-----G�%�%'. � �
e
I HEREBY CERTIFY THAT TO TH[ BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS
APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF
THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA t�PPLICABLE-�'HERE'FO. _
Plans Filed:.... --.-�- l�J...,s/�-��1--------------
/
FEES:
Bldg. Permit • $_
Plan' Check • S..
Total - - p/ $.
Receipt No. r L
Paid to � - L
(nutnonzea Agent)
FOR DEPARTMENTAL USE ONLY
�
't5 GROUP----....._�=E-'�........--
...
'.f. TYPE------�----..... --- .............
]_ DIST. ,[
M A P......... _ �..! \ �-...�.�......
....
-- SHEET NO ........ ........-...
DATE....--•• �-���-•-. �-,-'--�---
Sobo--9-5] �
.fi
�/�! r" G BY
APPLICATIO _..... .. HEALTH ..................._.......
ZONING ..................!�'--- FIRE
PLANS AN MARSHAL .........................
SPEC'S........ ..�,?�_/�.. STATE ..............................-
CORRECTI NS ENGINEER
IN