HomeMy WebLinkAbout858 VICTORIA ST - Building Permits0
�OWNER BULOTIN, A. IOON & JENNIE d. DATE 5-13-5$
JOB ADDRESS 858 A& B Vi.ctoria Street BUILDING PERMIT NO. (�']2�
1 lECTIONS
Gas Test
`i�II2E ZONE DESCRIPTION OF WORK Dup1P,7C &
SUBCONTRACTOR
PLAN
PERMITSISSUED
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• � 6`72`7
COSTA MESA BUILDING DEPARTMENT
P. O. BO% 31�
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
9UILDING (7S (} /�1 _t ,/� v/G�J'(
ADDRE55 y V /T y .�...
COSTA MESA. CALIFORNIA
OWNEra�S GLOT/H A. �uci✓ � rI �/✓N� ','
MAIL �f �
ADDRE55 � /
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ARCHITECT
OR ENGINEER
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TEL.L
J/SC NO. �-
3
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FIfUANCE DEPT.
CITY OF COSTA PqEsA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
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���ADD Ef55 n /� 1 `' � VIC�O�I1-�
7^� S� COSTA MESA, CALIFORNIA
FIRE �
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AD�RESS/�OZ �C:`sTM��✓ �(ry ��'�G
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o[scnirr�or+ NO. �� BLOCK TRACT�N�
,/ ��/! �
A.P. NO. // S'� X �� �. a O
SIZE •
OF LOT �
USE OF
E%ISTING BLDG
SETB>CN �INE FFOM
CENTER OF STREET
�b no. or ewcs.
NOW ON LOT
Cli✓o � �Ar2AfPS.
LEFT
DESCRIPTION OF WORK
NEW � ALTERATION qDDITION
1
REPAIR MOVING DEMOLISH
9UILOING NO.OF
SIZE � X Q ROOMS STORIES
EXTERIOR WAL(� ROOF
COVERING JTUCCU CpVERING OG�'
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TVPE /
PL�NS /
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� �' DATE S ,
CORRECTIONS
4 � �, �--
�14 J
CITY OF � STA MESA
L.'•: � I �-
SUBJECi TO OG. DEf'T. REG.
DATE —
PLA TcC�/�J�'�'
LD F0�2 SpECIAL RE�QU`IR!
� � 4—�'
�Qp r
it-.� �. . �
�T jY.Fi9 CS �
I NEFEBY ♦CNNOWLEDGE TNAT 1 M�VE NEwO TMIS �PPLIC�TION �ND
ST�TE THAT THE �80VE IS CORFECT �NO �GREE t0 COMPLY WITN ALl �
CITY ORDIN/�NC T�T L�W6 RE L/�TING BUILDING CONSTNUC�
T�O�. ti � VALUATION
SIGNATURE'OF . PERMIT FEE S
PERMITTEE
PLAN CHEGK S
$ /3 �5�s =
nurwoAizeo aceHr � TOTAL FEE $
'"'
PN0.1ECfR00NES8: fjSO VZCTORIA ST
OWNER'SNAME: CITY OF COSTA MESA
nooeess: �� FAIR DR 4TH FLOOR
C.M.
�flL11/ENGINEEfl:
ROOHESB:
nEn.xo.:
UXR:
UNIT:
PEflMITfEE: �.iOMONA VALLEY EQUIPMENT ( 714 ) 591 �-7879
�ooeess: 11532 EAST END AVCNUE
CHZNO CA 91710
. IICENSEU CONiMC70B OEClA1UTI0N: 1 �ereDy affrm WI I am Ace�eE unEer Drw6bns al Clupter 9(commencinp Mth SecOon
7000) oi DivlSian 3 al IAe Buvness and Pr0lessi0ns CaUe, anE my license ¢ In fulllorce an0 etlecl.
cmuc.: p41674 $T"T�uc.:417242 cus r-21 , �
oate: �— .Z 6 — �9 O sroramre: `
WOBNEBS' COMPENLITION OELlAM710M: I �ereEy t t I have a certi/Wta al canten W sel4 e w a ceNOwta at Workers'
' Compensalion Insuance, ar a cenilie0 copy Itrer¢ol ( ' LaO. L7.
roucrNo.: 1030869-89 exr.o��: 09/15/90
„ wrnrnxr: STATE FUNP
'!�CertifieE capy is �ereby /um's�ed. O CeNfieE mpy o N wM Ne dry�' p Division. 1
Z.�C�� 5 a � �
.ate: � Mvlicant:
E%EMFf10N FIIOM V10NNEfl3' COMPEMSITION OECIAM710N: ' setliai ircN not be mmpl[ted tl Ne D�� i ane huqrt015100) a lus�.
I tertity lhat In Ne De�ormance of t�e work tor whic� ittis permrt is asue0.1 shall mt employ airy person in anY manner w as to Decome
subjecl ta tAe Waders Compensatian Laws af Cafilomu. �
Uate: 50�ture:
NOiICE: If, atter nulanp tlds dedaration, yau stwuW Decome SUEject to Ne Warkers Compensalion provlsions ol Ne laEor
CoCe, you must /ortAwit� comDN wiN wch Drmisions w ttis permit sta0 Ee OrerteE �revoke0.
CONSTPUCTION LENOING �GENCY: I herzEy affirm WI ticere is a amtrucuon IenEinO apenry lor Ne pertormarice of tM work tor
wAich9nis Dermitis issuetl (Section 3097. Civ. q. �
lEXOER:
nooxess:
OWNER BIIILOEP OECUMTION: I AereGy affirm WI 1 am aempt hom ttie Comnctors' State License Law lor tM toMwinO reason
(Section 7031.5 Business an0 Pratessional CoOe: My dry ai wunry whic� mpuires a permit ta construct, atter. improve, Uemolis�, or
rzpair airy siructure, D�r ro N5 issuaixe. also rtQulres Ne apD� �ar wU pertNt to fda a sipne0 sfatement ttwt �NSM Is IkeriSM
pursuant to Ne D�a'�a�s ol �M Contnctnrs' State Lkense Law (Chepter 9(wmme�xinp xiN Sectian 7000) of Olvision 3 o11Ae Business
an0 Proles6ons CoUe) m WI AUstre o ezempt Iherelrom an0 W Dasis lor Ne aAepetl eaemptim. My vblaiion al Sectlon 7031.5 hy
any appliwnt lar a permit su�lects �M applkant ro a ciNl penalry of not mom than five �u�tlre0 EOIWrs (5500�.
I, as awner oi me oroam a� �7' employees wIIA wayet u their sole mmpematlon, will Eo t�e wark, anE tAe
❑ swcwre u iro� inieMeE or ollerM lor sale (Secuon 70ao. Buvness an0 Professional CaOe: Tna Conuapws' Sute Lkensa Law
tices not aODN �o an wmer ot a propeM � hWIQa or imD� ����n, aM wM Gou suc� work Nmsellmerselt w t�roup�
Ns or �er ovm ertpbyees. DrmWeO tlut sucl� Imprwaments are irot InteMW w olleraE tor sale. If. �owever IM UWWinp or
improvement is SoIU wMin ane year a� completlon, Ne mmer wiA Aaw tire OurOen oi DroNnp IrJSM EW not huilU or Improve
lar tAe W�P� of s�le).
�� I, a9 awner of lAe property� am exdusiveN conV�GInO �U �� �vactors to wnstrucl Ne Oroject (Seclion 7041, Busineu
❑ an0 Professlans CaCe: Tls Contrxias' State Lice�e Law Oxs not apply m an wmu of property wM hwtls w improws �teraon
anU wtw caniracl5 lor wUi pmjecis qN a cmVacWr�s) Izenu Dursuant to t�e Contracto�s' Sute Licenu Law�. I am aware
. Out o�l at tntir Worker's Compens:LOn mwnrce stqiM ha W�� ro me.
I� I am ezemD� u�w Seclion: B. 8 P. C.
lor IAis aasan:
oate: Owner.
I Oo MreCy urtiry Wt I am aware ol anE uMerstanA tM requirements ol CalAorma HWih aM Salery CoOe Secqais 25505, 25533, anC
75531 anE that I w any lutura EUMmq oca7a�t xilUwll rrot (drde one) nee0 ta compy vAU SaiE sute wEes aM Na repuirements lor a
permit lor conswction w moEifratbn Imm ttre N'r ubaliry Manapemem Oistricl. HesiGemul cauWction app�wtions ara exem0� ��am
Nese Drwisions.
Oate: MD��:
� I hereCy ceNy Na� I Aave rea0 tNs apD�wtbn an0 stata Wt t�e aDove Nformafian
oMinances aM sfa[e laws reWinp to WriIEin9 ��� � MRN' � reM�
property lorinspeclion Durposes. �
� Date: �� b— � V 9pnature:
Oriver's �ianse ar Social Security x: `
� compy xif� all ciry mE counry
� mter upon tlie �Eovo-mentione0
[ �✓_ •
1641J8 W�i[e—Buik'ug: GroBrCOEe Entorcament: Cenary—RpWkem: Pink—Revanuo: Gobanro6—Aaseawr
CITY OF COSTA MESA — SUILDINC PERMIT PERM NO: BP 048295
PERMIT NO: BP 048295 PLAN CHECK NO: N GOVT: Y SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE; PLU STR PURPOSE: DEN
JOB DESCRIPTION : UEP90 RESID FOR VICTORIA STREET WIDENING SQ FT;
CLAIM VALUE; 1,000.00 CALC—VALUE: 1,000.00 GROIIP OCC: R-3 /
COMMENTS: DEMO 6 SEWER CAP
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Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
---------=-- MAIN BUILDING ---------- --------- ACCESSORY BUZLDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARiCING REQ: PROV: PARCEL; 92220311 ZNE: REF NO:
PLANNZNG NOTES>
>
�tE iE iE iF if it iE it it it it iE iE it iE it it iE iF iE #if if it it �x-it iE iE ih iE it?E iE # iE ie if if iE iE it iE iF it jf iE iE ih iE 3f 3E �1F iE if it 3E iE i! iF if iF it # jE if iF it iF iE 3F it iE it dE it 3E if�it
D E V E L O P M 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 BY DATE:
HUILDING APPROVED HY : DATE:
APPLICATION ISSUEU HY; �IY DATE; �r"�j_R
�t�t**�it�i�i�i�it�t*it�t�tx�-�ititi��t* . ��F�i�it*�t�i��t?��?��F���r#iFir ti�Fi�*
if iF it ik �E if iE if� iE if iF if �lE iE iE ik if ik it iE if iE 1f 9k jf if it iE iE ik iE # if if iE ik if jE iE # jk?F if iE ik it ik it iF �f iE if ik iE iE iE iE iE �lE iE iE iE �lE iE 1k iE iE �lE iE iF iE 3E iE iE iE iE iE?f 3E
LEGALIZATZON:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PNiT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 25,00 2.00
25�
PLAN
ISSUE FEE 3,00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 0,00 0.00 0.00
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
TOTAL
0.00
SMIP/NON—RES
.5�
PAID DUE
.00 .00
.00 OVER/SHORT: .00
FIRE SMIP/TOT GRADING PLAN—CFiECK
ik it �E it iF iF ik iE 1! if k ik itlf iE �lf iE if if if iE it if if if ik iE iE iE iE # k iE if iE iE iE iE it iF 1t �)F 1h if if iE iE tE M 1f �lE iE it iE 1E if iF ik it iE ik iE if iE iF if k if iE iE if it if if iF df it if i(�
I N D I V I D U A L F E E H R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
PLU 1 SEWER CAP / DEMOLITION EACH 2.00 2.00
END OF FEES
O1 0006614Q—OOOd6140 T r.�T .00
DASE: 07/2blSO TIHE: f39:32
CONSTRUCTION AND PLANNING - . POOL & SPA
APPROVALS Permit #_--�- � Date Inspector qppROVALS �Permit # Date Inspector
r.
. 1. Temporary Electrical Service or Pole i�, 52. Pool & Equipment Location y(
2. Soil Pipe-Undrgrnd. v, 53. Steel Reinforcement ,;, -
3. Electrical Conduit Utility-Und�grnd. (_� 54. Forms �,
�
4. Electrical Conduit-Undrgrnd.7 55. Electrical Bonding 7
5. Steel Reinforcement � 56. Rough Plumbing & Pressure Test
6. Electricel UFER Grnd. 57. APPROVAL TO COVER�GUN�TE
7. Footingt ;' � 58. Electrical Conduit�Undrgrnd.
8. Foundation , -'" ' 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe�Undrgrnd. .� "�=' 60. Backwash Lines, P�Trap, O Undrgrnd. �
70. Structural Floor System 61. APPROVAL TO DECK ��
�..J.
71. Property Sewer Line & Houie;Connectioi f 62. Backwash & Receptor�Final
12. Sewer Cap � ��p��3 � 63. Heater & Vent-Final ' "
13. Roof Dreins �' 64. Plum6ing System � Final �-.
r
14. RoughPlum6ing �' 65. Electrical•Finat .�'
15. Rough Electrical-Conduit � �� 66. Solar System•Final "�
16. Rough Electric Wiring -. 67. Fencing & Access ApProval i"�
h
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING ��
78. 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 O Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Freming 73. Undergrnd. Storage Tank O Ga5 ❑ 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 Eleciric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
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 Irriyation SYstem
45. Sound A[tenuation
46. Handicap Regulations
47. FINAL 5TRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date