HomeMy WebLinkAbout874 VICTORIA ST - Building Permits�
PflQIECTA00NES8: H74 VICTORIA ST
OWNER'&NRME: CITY OF COSTA MESA
RDOPEBS: % % FAI R DR
�flCNIEN�INEER:
ROONE38:
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REG.NO.:
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� PEflMITTEE: WILLIAM L OLSON ( 818 ) 360-9660
�ooxEss: 18601 DAISY PL
NORTHRIDGE CA 91326
LICENSED CONTMCTOB DECIAMTION: I �ereq� atlirm that I am IicenseC un0er D�a�sians oi Chapter 9(commencln0 wit� Section
7000) ol Division 3 0l the Business and Profeuions COEe, an0 my license is in full loru an0 effect.
cmuc.:0p50178 srn�uc.: 10875 1 cu C�_21
Date: p— a�` Sipnature: w` ��'�� �
W001IEN3' COMPENS�TION DECIAMTION: I he26y atfirm ihat I have a urtif�wte ol consent to utl-insure or a cenl0wte al Workers'
ComOenution sur niti py �hereot (Section 3900, LaC.
PoUCYNO.:�y�`�gi�—g� IXP.ORTE: �OLI9S '
� �MPµr: STATE
.� CeNfietl mpy is heaEy fumis�eC. � CertitieE wpy is �IeU wit� [he cily BuilOinp DiNsion.
.ale: � — e11 ' r'/0 �pGcant: � � UCX9�✓�� /
E%EMPTION FNOM WOflKEP3' COMPENSITIOX DELIAIUTpIN: (Rus section nxA rot be mmVk�� il Ihe Oe�mil b fa ane huMa015100) ar lasl.
I urtity Nal in �Ae perlarmance oi itre woM for whic� Ih¢ permit is i5sue0, I stWl irot employ any Derson in any manner w as to Eewme
sunjec� to the Workers' Campensatim Laws ot Cafitoma.
Data: SiAnatum:
NOTICE: If. aher maldng Ihis EetlaaGan, you s�ould became subject to rtre Wahers' Comce�uon provisions oi t�e LaEor
Code, you must foMxii� compty wtt� such prov¢ions or tlds pemtit sha0 Da deemeE rewkeE.
CONSTBUQION LENOING 11GENCY: I �ereDy affirm Ihat ihere a a consiruction IenainA aBenry tor tAe peAormanca af t�a work tar
whic� ��is permit is issueU (Sectlon 3097, Gv. C). .
lENOEB:
nooeeu:
OWNER BUILDER OECUMTION: I �ere0y aifirm Wt I am exem0� iram t�e Contrzctors' SUU Liunse Law far Ine IWIovAnp reason
(Section 7031.5 Business antl Prolessional Catle: My riry oi counry w0ich reQuires a Dermit lo construcl, alter, ImD«'e, OemWkh, or
repair any simcNre, Drior lo Rs issuance. also requires I�e aDPliwn[ for SucA permit ro file a sipne0 sWlemen� Itwi Ae/5A8 I5 IlcenSeA
pursuam to tha provivons of t�a Contacrors' State License Law (Chapter 9(cammenunp xiN Sectlon 7000) of Oivision 3 of Ne Buvness
anE Prolessiore Cotle) or I�at Ae/s�e a exempt t�eafmm anC IAe �asis tor Ne allepetl exemption. My violation ot Section 7031.5 Ey
any apDlicant lor a Darmit su6jecis IAe appliwnt ro a nvil Oenalry ot nat more tAan frve huntlraE tlollars (5500�.
I, as owner ol the pmperry or my employees vnth wagu as Neir wle compenuiion, will Oo Ihe xwM, anO the
❑ stmcNre is not intenEeU ar ottered for ule (Sectian 767d, Business and Pmlessianal CaOe: Tha Cantactars' State Licenu Law
Ooes not apDly to an owner ai a O�operty who builds or improves fAereon, anU wAa tloes suc� waM himsell/Aersell ar thraupA
his or her axn employees, provitletl [hat such impmvemenis are not intenAed or oifere0 for sale. If, however the hulltlin0 or
imOmvement is sold within one year oi wmpletion, Ihe own¢r will have [�e EurAen of D�avinq hUshe EI4 not huilE or Impmve
" for tne purpose al salel.
� I, as owner ot tAe O�operty, am ezclusively wntractinq wl�h IicenseU coniractors ro wnstmct the Dmjap (Sectian 7061, Business
❑ an0 Pmfessions Cade: The Contradors' State Licertu Law Ooes not appry to an owner ol Dmperry who buAUs ar impmves Nerean
an0 w�o coniracts for suc� praiects witA a cantrac1or(s) license Dursuam to IAe Coniraclors' State �icense Law�. I am awaro
t�at prool af tAeir Worker's CampensaLon insuanca s�oultl Ue OroviEed to me.
� I am exempt un0er Section: , B. 8 P. C.
for this rea5on:
Date: Owner.
I Oo hereCy certiy itul I am aware of anE unUerstanA the reQuiremenis af Calilomia Hwtt� anE Safery CoOe Sections 25505, 25533, anE
25534 an0 tAat I or any fuNre �uilEinA occupant will/_II not (cncle ane) need to compM'M�� sai0 state co0es anOlhe raQuiaments for a
permit tor consimction or moditication fmm the Nr Uualiry ManaOement District. NesWential consWction apDlications are exampt tmm
t�ese Omvisions.
Oate: Applicant
I �eaDy certity tlut I have reaE ttus appliwtion an0 state ihat fie aDove inlorma[ion is �artect I a0rce to campN ��� all ciry anC counry
orEinances antl strte laws 2latmp to WilOinp construaion an0 �eretr/ aNhorize reD�eKntaoves al Nis cdy to enter upon the abovo-mditioneU
proDeM �or insDection puoryous. �
Oate: `��— I O Si9naWm: � 1 ,
onver's �icense or Socia� Securiry d: G
d6 W�it�BuiMirg: Greon—COOe Eniorcemant: Cenary—Applicant: Pink—Ravenuo: Gdtlenrob—Avesaor
CITY OF COSTA MESA —'bUILDING PERMIT
PEAMIT NO: HP 048652 PLAN CHECK NO: N
CONSTRUCTION TYPE: PERMIT TYPE: PLU STR
PERM NO; BP 04865"l
GOVT; Y SUPP: N
PURPOSE: DEM
JOH DESCRIPTION : RESIDENCE DEMOLITION SQ FT:
CLAIM VALUE: 1,000.00 CALC—VALUE: 1,000.00 GROUP OCC: R-3 /
COMMENTS: CITY PROJECT—NO FEES
atatat�t�t***ir�t x�t�tat�titatat x�*it�t��r�t�t�tat�tatat*3t �at�x at� atatatat� at trx atat� �*atit*** xiEit�t�rat�titit xat**itit**3tat*�it
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 5
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDZNG ---------
FRNT: FT IN REAR- FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN kGHT; FT IN LEFT; FT IN RGHT: �FT IN
PARKING RE�• PROV: PARCEL: 42220210 ZNE: REF NO:
PLANNING N 1'ES> .
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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 BY :
APPLICATION ISSUED�BY;
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*!k it fE 3E if iE iE if iE if if ik ik if 1t iE if iE if ib fE iE if iE iE iE if iE iE iE it iF jt iE iE iE 9E if iF iE 1F 1E iF iF fE iF iE iF if iE iF jE 9E iF iF iE iF
LEGALIZATION:N F E E S U M M A R Y
BLDG PMT PLUMBING ELECTRZC MECHANIC FIRE
PEAMIT 25,00 2,00
25Y
PLAN
I5SUE FEE 3,00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL
TOTALS----> 0.00 0.00 0.00 0.00
DATE:
DATE: —�
iEifitikikiE3fit 3tiF
iE if 1E if iE iE iF iE iF iF iE iE iF iF iE iE iF iF iF iF
STRUCTURAL SEGMENT:Y
SMZP/RES GRADING
SMIP/NON—RES
.SO
PAID DUE
.Q� ,0�
REVENUE DIVISION TOTALS--> COLLECTED: ,00 OVER/SHORT: 00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK'�
if if if if ft iElf iE iE iF ik 3f iE iE iE iE it if iE if if it iE jFlE iE if if iE i4 i! if iE 9E if iE 3E it ik if iE iE 3flf iE it iE iE iE 14 iE iE if iF fE 9i iE k iE itlf 3t 3F if iF if if �E aE if it it iElk 3E iE iE iF iF
I N D 2 V I D U A L F E E B R E A K D 0 W N
TYPE QTY D E S C R I P T Z O N UNIT COST TOTAL COST
PLU 1 SEWER CAP / DEMOLITION EACH 2,00 2.00
END OF £EES
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OATE: 0�'/21/?0 TIflE: 175=4`
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•
CONSTRUCTION AND PLANNING P��� �'P'0'
. APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector
7. 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-Undrqrnd.
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 & ReceptorFinal
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 Wifing ,� - 67. Fencing & Access ApProval
17. Raugh Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electriwl-T Bar Ceiling 69. POOL/SPA $YSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structur¢ 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O 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
37. Plaster Brown Coai 79. FINA� INSPECTION
32. Electriwl Power MeterFinal 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
39. Water Service•Final
40. Gas Service-Final �
41. Solar pomestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irripation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDI / f
0
48. FINAL PLANNING �
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE Of OCCUPANCY
No. Date