HomeMy WebLinkAbout834 VICTORIA ST - Building PermitsPH0.IECTRODHES3: £334 t,�ICTORIA $T
, OWNER'SNIIMF: CITY OF COSTA .tESA
aooness: �� FAIR DR 4TH FLOOR
C.M.
RfltNIENGIXEEH:
'11DOPE3&:
flEG.NO.:
uxrt: CITY �F CUSTA MESA — bUZLDIAIG PEHMIT PERM NO: BP 048257
PERMIT NO: HP 098257 PLAN CHECiC NO: N GOVT: Y SUPP:,N
CONSTRUCTION TYPE: PERMIT TYPE: PLU STR _ PURPOSE: DEM
JOH DESCRIPTION : DEMO RESID FOR VICTORIA STREET WIDENING SQ FT: .
uxrt:
� PEHMITTEE: pOMONA VALLEY EQUIPMENT (714)591-7879
�oox¢ss: 11532 EAST END EIVENUE
CHINO CA 91710
' 110ENSED fANTMCT4B OECIAMTION: I hereby affirm ttut I am IicenSeE unEer prm�sions oi Chapter 9(mmmenqn0 wiN Sectlon
7000) oi D'Msian 3 0l tM Business an0 Prolessians CaUe, an0 m Icense is in lull force aM effecl.
cmuc.:�41674 ST�T�uc.:417242 cu� ^-21 � f
oate: �J-�.(� — `� � sionawm: �
WORItEN3' LOMPENSATION DECWIATION: I IreaUy a m t I have a cenifiate of mnunU self-in5 � a certiliute oi Workers
Ctimpensation Insurance. or a ceniAeE copy tAereol (Secl , LaC. q.
roucxno.:1030869-89 exr.o�re: 09/15/90
cornvnxr:STATE FUND
� Cetlilie0 copy is �ere�y Nmishe0. � Certilie0 capy is lil with �he ciry Bu' inp Oivision. '
_a6-g� �•
�ate: � rlppGwm:
E%EMPfION FROM V/OflNEflS' fAMPEX811TI0N OECWMTIO .(�h tttian nee0 not Ue completeE if Ne permit' � ne Auntlretl �510� or kss�.
I certiry that in the pedormance of tAe work lor whicA tMs is issueQ I shall no[ empby any peroo ny manner so as ta bacama
suhlect to I�e Workers' Campenution Laws of Calilomu. .�
Oate: SlAnature:
NOTICE: II. alter making lhis tleclaratlon, you 5hou10 Eecome sublect to the Workers' Compensation D�oNslons of [he LaOor
Cade, you must fartAwit� camply vrit� sucA pmNsions or t�is permit shall Le deemeU revoke0.
CONSTBUCTION LENOIN6 RGENCY: I here0y affirm Ihat thero is a constmction lendinp a9ency tor Ihe pedormance of t�a work /or
whicA ihis permlt Is issuetl (Sectian 3W7, Civ. C). ,
IFNOER:
I AOONESS: - -
OWNEP BUIIDEB OECUMTION: I �ereEy afGrm that I am exempt hom IAe Contactors SGte License Law /ar tlre /allowinp reason
(Section 7031.5 Business anE Pm;essianal Cotle: My ciry oi counry which repuires a Dermit ro cons[ruci, alter, imD�ove, Eemolis�, ar
repair any structure, Orior ta its issuance, also repuires Ihe apDlicant for suc� permit lo file a siqne0 sWtement ihat �e/s�e u IlcenseE
1 N Ca t ct ' SGf C L (Chapter 9(mmmencin wiU Seclbn 7000) ot Oivision 3 of Ue Business
CLAIM VALUE: 1,000.00 CALC—VALUE; 1,000.00 GROUP OCC: R-3 /
COMMENTS: DEMO & SEWER CAP
***+t-x-at�x�*#�t�x�?�**#���r-�t��x-i��x��a����:�##x-x-***+����t�#+��#�#�x�-�t�x�**�-tF-�*x��r�t��t�t-�t K***�f-�-�***��t,+r*a
Z O Id I N G R E Q U I R E M E N T S
S E T H P. C K S .
---------=-- MAIN bUILDING ---------- --------- ACCESSORY'HUZLDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN
LEFT: FT IN AGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROCr: PARCEL: 42220311 2NE: REF NO:
PLANNING NOTES>
�
*��*����*��*,�*����***���*���,���,�*�����,���*�,�*,�*��*��**��**�*�,�*�**�,�*��,�����*�,�
D E V E L O P b1 E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED HY DATE:
BUILDING APPROC�ED HY : DATE:
APPLICATION ISSUED bY: DATE:� �— � D
iE')hii'1E1h'N'ihif')fi(�iEifiEdFiflFifll-1EiEiEiE ifiF'IFi� 'N'IEiFififlf'i(�ihj@iE�iF�iF7i'iFif'iF
jElE 1f IF if �7f if jf 1f 1E 1FiE �f iE # if !f 1k iE if !F ih Y.- iF fk 1E iE �1F iE iE iF iE # iklf !E'.E it jh 1f !E iF iF if iF iE 1k if !f if ik 1f fF iE iE if if # 1E iE iE iE 3E if !E if iF iF iE?F iE if ik �f iE iElE �t iF
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANZC FIRE SMIP/RES GRADING
PERMIT 25.00 2,00
pursuantmmepronsiarso e nra ors e¢ensa aw q ZS� ' SMIP/NON—RES
anC Professions Cotle) ar I�at �e/s�e is exem0� ��erefrom anE the Oasis for tAe allepeA exemption. My vioW[ion of Sectlon 7031.5 Oy P LAN . 5 0
any aODlicant tor a Dermit subjecis t�a aDGlicant to a clNl Oenalry oi nol more than iNe hundreE Aollars (5500). I S S U E F E E 3, � �
i, as owner oi IM Dmperty or my e �oyees vntn xapu as ureir sole compe�auon, will da Ne wonc, ana me $UILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
� stmcture is nat intenoea or onereU tor ule (�ection 7040. Buvneu ana Pmlessiorw CoOe: me Contadors' State �iunse Law TOTAL S----> 0. 0 0 �. 0 0 �. 0 � �. 0 � , � � . � �
dces not apply to an awner al a DmDeily wlq OuilEs or imDmves thereon, anC xTo tices suc� work �imsett/Aerselt or thmupA -
his ar her own emDloyees, praNtleO ttut suc� ImDrwemenLa are nat intenOeE or atlered lor sale. 11. Aowever the EWItlinO or REV ENUE D Z V I S I ON TOTALS--> COLL ECTED • . � � OV ER / SHORT • 0 0
imD�a��nti55olEwitNnaneyearolcompleGon.theawnerwillluveNe0ur0enolprowiq�ds0edidnothWEwimprove HLDG PMT YLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
�or ma vurpose of sa�el. . . -
�• I, u owner ol tAe prapeM, am exclu5lveN cantractinp xit� Ilcerised contradors lo cansiruct the Droject (Seciron 7014, Business '
'❑ aM Profesionf Ca7e: TM Conlraclws' $late liunse Law does M dpply Io an P.mer al prope�ty wlp GwIGS a ImOfmtS ilceaan
anOwhoconlracl5tor5uc�D�q�ue�NawnVattor�511iunseDursuamto[�eCantactars S1ateLicenSeLawl.lamavrare iE?EiEifiFiEiEiF?E3FiPiEi��FiEif-1F�1Fif3EifiE�jE'h'h3E?Eit:Fifitifi:-i`•-iEaEitititit�lEiFaE�EitiFititlEitiE'�E1EiliE��lklEiEiEiEiEiEiFiEitiEiE�EiFiFifiExiEiEifiE
mat proal ot meir Wo�ker's Compens:tion Insurance stauia he o�m+aetl to me. � I N D I� V I D U A L F E E H R E A R D 0 W N
� I am exempt un0er SecUon: B. d P. C.
�or ina rezwn:
Date: Qwner
1 Ua Icere6y certiy Vwt I am awam of anE un0erstan0 tAe reQuiremenGs of Callomu Health and Safery CoOe Sectlore 25505. 25533, aM
25534 anE ��at I ar any NNre OUIIEinq ouupam wilUvntl not (circla one) nee0lo cnmpry wfth sai0 state w0es and Ne repuirements for a�
permit tor wnsWCUon or ma0illca[ion irom t�e Nr �ualiry Manapement Olstdct. He5i0ential constmction apD�ica[ions are exempt from
��ese pmvisions.
Date: � Applicant:
I hereby certity [nat I Aave read INs apD���ion and sute ttut t�e aDove inlarmation is cartect. I a0�e ro wmpy wRn all dry antl caunry
arEinancesanEstateWwSrelaWO�abullGinpconsWctionandhereEya orimreD2semativeSollhis6rytoenroruponiMahovo-mmtione0
pmDerry for inspection puryoses. �
Z�6 - 9 � � . �
Oate: SipnaWm:
�oriver's �icanse or Soc�a� Seadry x: � '
1801i6 W�I�e—BuIlElrp; Green—CoOe Enlorcemem; Cenery—Fppliwnt; Pink—Revenue; GolEanroE—Aasennor
TYPE QTY D E S C R I P T I O N
PLU ] SEWER CAP / DEMOLITION
END OF FEES
0
0
UNIT COST TOTAL COST
EACH 2,00 2,00
01 0005613b—U0066i35 iO T
D4TE: U7/26/4p 'tI%E: 09:3D
0
.00
CONSTRUCTION AND PLANNING POOL .. aPA
Date Inspector Date Inspe�tor
qPPROVALS Permit # (� . APPROVALS Permit # �
�.-
1. TemPorary Electrical Service�� Pole cr': 52. Pool & Equipment Loca[ion. '"'
�o
Z, $pil Pipe-Und�grnd. � � 53. Steel Reinforcement 7,
3. Electrical Conduit Utility-Uritlrgrnd. �0 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. Eiectrical Conduit�Undrgmd.
8. Foundation � a '� 59. Gas Pipe, O Undrgrnd., Test �
9. Water Pipe�Undrgrnd. 'Z ��% 60. Backwash Lines, P�Trap, O Undrgrnd. ;
10. Structural Floor SYstem .�,. , 67. APPROVAL TO DECK . ��
17. ProPerty Sewer Line & House.�Connection• �-� 62. � Backwash & Receptor-Final �.�,.�-
�z• Se°"e� CaP , �31,s/yf �Y 63. Heater & VenrFinal �'
13. Roof Drains �1 � 64. Plumbing System � Final �,.�
14. Rou9h Plumbing . :, ; 65. Electrical-Final .�
�, ii
75. Rough Electrical-Conduii j�' ��' � 66. Solar SYstem�Final . „�
i6. Rough Electric Wiring�� � - ' 67. Fencing & Access Approval '
17. AoNgh Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electriwl-T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
27. DuGts, in Structure 70. Underground Hydro
22. DuCts, Ventilating 71. Product Piping OGas ❑Oil
23. Gas PiPe�Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oii
25. RoOf Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structurall & 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. �lectrical 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. Fin81 Factory Fireplace � �
38. Final Plumbing �
39. Water Service-Final
40. Gas Service-Final
41. Solar pomesticFinal
42. Backflow Preventer
43. BacKflow Irrigation
44. Landscape Irripation System
45. Sound Attenuation
46. Handicap Regulations __
47. FINAL STRUCTURE & BUILDING
48. FINALPLANNING �-
49. Electric Release to Edison "
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Oate
DATE
SUBCOMTRACTOR
PROP. SWR. LINE �_J HOUSE CON.
SPRINKLING SYSTEM
�MISCELLANEOUS
flO11GN nGtING ANO �IH CONDIiI
TEMPOR�RY SERVICE OR POLE
UNOERGROUND � POWEN �
AOUGM WINING
TRENCNES FORMS STf
FLOOR SVSTEM
BOND BEAM � STEEL REIN�(
SHEATXING
FRAME �NO FLASNING
L1ITMING — IN OUT n
PL�STER. BROWN CO�T
ST 'URnL, FIM�L
ME. G, VENT., REFRIG. �NO A.
PLUMBING. FINAL �ND G�5 TEST
ELECTRIC. FIN�L
BUILOING. �IN�L
F
�
0.
a
�
y
'y'
F
L1
F
a
G
..�
a
>
�
a
a
w
a
�i
a
z{xj
CCi
3
,-
` . 1
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CAIIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING O�� / J 1
ADDRESS 0 � /C /O�Q/i/ �/.
OWNER GC�O RbG �m ( �/�
MAIL R9�� /�._ _ _ ' `.. C��
TE
CITY (�(�}
CANSiRUCTION
BRANCH
ADDRESS
AODRESS
L.
ADDRESS �
TEI.
CITV NO.
STATE CITY
LIC. NO. LIC. NO.
OF LOT �a C.i k(O� NO.OF BLDGS.
NOW ON LOT
EXISTING BIDG. �—I d(�5� .�Q�jlG �
Separate permits are required for
electric, plumbing and heating work.
USE OF BUILDING AND WOflK TO BE PERFORMEO
1 hereby acknowletlpa that I hava reaC ihis application antl state
that the above Infofmation is correec a�d agrae to complY wich
all laws reBulatlnB bulltlinB �onstruction, antl I shall not employ
any person In vlolat�a� of the workman's compensatlon laws of
ffie State of Califom�e.
I hereby cenify thaT I am properly Ilcensed as a contractor untler
Me Steie of Califom�a Busineza antl Professionz Coda` �Ivision 3,
C�epter 9, anE thet such licansas ar in u orca antl effect, or I
am exempt from Me P isl s ot he S<ate f California Business
antl Professiona Cotl ivis n 3, hap
Signature of
Perml e
Authorizatl Apent
R�C����///�yyy/J///�(((��/BV �
�/—
A.P. NO. /IS�
BUIIDING (^J�
ADDFESS d�
-f1/.EL�_ LG �
TRACT
W ADD A
� N�
OS NER EO
���
FIRE /
5245 2/02/78 I2.50 TI.
FOR STRUCTURAL PERMIT �
DATE RECEIVED n FIARIIE❑
EO./i�/V�' - : DATE
N'
.� � -
NE NO.OF USE OF NEW {�'/{,�%{
; � PIAPLS BUILDING ���
VAROSAPPROVED VARDSAPPROVEO
REAR �
DISTANCE BEf
MAIN BLDGS.
VAR. $
THE AMO
THE PURP(
VALUATION
$ (/J/�
r
BEf. I
ACCE
oa.�
PERNl1T FEE E
PLAN CHECK E
TAX E
TOTA�PAID E
•� N
���� �
m
i
m
m
N
IS FOR m
LL
f
u
OWNER WOPM7FiC� GEORGE . � DATE I1-5-S6
JOBADDRESS
BUILDING PERMIT NO.
GENERALCONTRACTOR O�,mer VALUE $ 3QO.00 '
AP 115-1�03-28 Enclose carport £or garag�
�! i 28 BLOCK TRACT
TVPE
INSPECTIONS �
I DATE I SUBCONTRACTOR I PERMITSISSUED
Footing Trench d,
Foundation Forms and Grade to
Rough Framing
71T
S,ewer, House Seweq St.
Septic Tank or Cesspool
L 'ng, In OutX
F .ering
Plumbing, Final, Fixtures Complel
g, Final GasTest
Final
FORM 210 3M 10�•v5
Costa.11,�esa Building Department �IPPLICATION FOR PERMIT.
" • p,O.Box3�� BUILDING
COSTA MESA, CALIFORNIA 25��- �
FOR OF�'ICE USE ONLY
FOR APPLICANT TO FII�L IN Receipt No. Permit No.
nadae� � i a s J�" v�S ��
�'i0 ta, Mesa, California Received by Date Rec'd. Date Issued'
Nearest � I �J — —J —
Cross St , a �' � � ,S Builtling
�/ Address
Owner
Mau . Costa Mesa, California
Address �3 L[ � �'L 7'p�- � �, Nearest
� 7e�, Cross St.
City G p � Q�.S � No.�/� f� Zone I No. oT I Type Group
Arohitect or Lic. Plans
Engineer e" No. Approved
by Date
nddress �y 1 y J J Gja7� �� �.ST CORRECTIONS
City Lic.
Contrector (� � �.: 2'�' No. _
Address
� �) �*y� �Y
De cription I No. � D I Block I Tract}r-�N -
(Attach Metes and Bounds) �J �— }:� �� X
J No. of Bldga
Sizeof�otk'yf X /07,1�U Nowon�ot / o
4seof � n I No.of I No.of p
Existing BIdg.Ccl"r QD Families ooms �
• ,.., .. _.i!��� �
Setback Line irom � ear Vard. h�
ide Yard �� � �� Z
Center of Street U v %' y
DESCRIPTIO WORH ' - �
New I I Alteretion I� I Addition I
Repair I I Moving I I Demolish I
Bullding /O L ^ n No. ot _
3ize /� rX (> Rooms Stories
Exterior Wall Roof
cover�ng .S r'V. � Cover�n APPROVALS
Use oT New
Building Foundation Location Inspector � Date
Forms, Materials,
Under-Pinning
Frame: Fire Stops,
Brecing, 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 regulaUng —
building Cronst ction. Lath. ExY.
Signature of
Permlttee Plaster, Int �
Authorized AgL plaster, Ext
Valuation Permit Fee $ o�. Q O Masonry Reiniorced
Pian Check $ gond Beam
s�j- 4�' To�� o 0
Fee $ FINAL
F00.M 206 10�55 O. P. G 5,
\r �
� . . `.' i
�?� —S-SSt �qESC��HSa � .?. z ��
�t n �
: ..
' PLOT PLAN
Show Iocation and distancee from . .
properly line and between buildinga
, � �
, � J
� . c � .. �