HomeMy WebLinkAbout536 VICTORIA ST - Building Permits• : i �.� 41s_ � �
DATE
JOB ADDRESS 536 W, V1CtOT'].3 BIIILDING PERMIT NO. 823% �
AP. Nd
F- �IIP
IhoPECTIONS
P"
P..
VALUE
TRACT F. F FIRE ZONE DESCRIPTION OF WORK
V
DATE I SUBCONTRACTOR
PERMITS ISSUED
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• � , ` az3��
COSTA MESA BUILDING DEPARTMENT
P.0.90X 31�
COSTA MESA. CALIFORNIA
B��
AD[
FOR APPLICANT TO FILL IN
S��o k/ d,' Cte ��'A-
COSTA MESA. CALIFORNIA
�WNER (�
MAIL
ADDRE55 �
C I TY �(�
ARCHITECT
OR EN('NE
ADDRt__
NO.
LIC.
NO.
QTY LIC.
CONTRACTOR � NO.
TEL.
AODRE55 NO.
oescairnorv NO z ��BLOCK ,�� TRACT/�
A P N O. S' � U D�, /�
SIZE p / (� � �/ NO.OF BL�GS.
OF LOT ,J '�p J� ^ now ov �or
USE OF �
E%ISTING BLOG.
SETOACK LINE FROM ` o7
cErv1[R oF Sir+EE1 �/ O �. REAR YARD OJi�
/
/
SIOE YARD RIGHT S�L LEFT S�J.
/�
DESCRIPTION OF WORK
NEW ALTERATION I ADDITION
REPAIR MOVING DEMOLISH
BUILDING/,1��� NO.OF /
SIZE V ROOMS STORIES �
E%TERIOR WALL ROOF
o��i� P�tt��i���
fiNRNC��DE�T�
��tv qF COSTA MES�1
APP'LICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
ADD E'S5 J ��� �" • (L 1���
COSTA MESA. CALIFORNIA
FIRE "L
BY � �C>J"� f �l DATE �
CORRECTIONS
� //.%/�' � -j
' ��_ - -- , r��
/ �
�� /���i7
� Amount pshosrn under val�alio� i� for tha
I HEFEBY ACKNOWLEOGE TMAT I HPVE RELD THIS APPLIC�TION PND (/'rTI1LJy ' y I'.3 II I II� IVV I I •
STATE THqT THE wBOVE IS CORREGT I.rvO �GREE TO COMPLY WITH 4LL 1� Y
CIiY OROINwNCES nNp STwTE L�WS REGVL4TING BUILDING CONSTNUC�
'���' VALUATI ON
SIGNATURE OF PERMiT FEE $ G/ �
PERMITTEE /
' ���' PLHN CHECK 5
•'rf 1C/
AUTHORIZED AGENT TOTAL FEE $ �
�edr
.�
�
1
�
� Aoo��cant to fill in al1 sDaees except inose wlthin neavy Dortler Ilnes antl sign all aoorovriate aeeiarations.
b RUCTION PERMIT PERf�1�T NO. _ TRACT NO. LOT NO.. UNIT N6.
ProGTY- F COSTA M� �_ C,�Q��N�T,�'„/�
ject Address I[�_����
Applicant's Mailing Ardd` d,ress
Owner's Name � w�/f an^^o�/�S 7��0
Addreu
Arch/Eng. License No.
Address
Contractor's Name q� /�In bhone _
Addreulm'I' g) (:. /� �'�.Y\ �
City Licensa No ��V
LICENSED CONTRACTOR �ECLA0.AY�ON
1 nereby affirm l�at 1 am Iicansatl untler Provisions of Char[cr 9(cummencing
wit� settton 7000) of Divislon 3 of tn9 Businass antl Protesslons Cotle, antl
my �icenso �s Vn tu 1 c antl eHect.
License las LI e a
Date � Si9�ature
WORKE 5' COMVENSATION DECLARATION
`�ereby attirm lhal 1 have a certlfiw[e oi �onsent to self-Insure or a<¢rtlficate
Workers' Componsalion- Insurance, tlr a certlBetl copy thareot (Sectlon
.00, lab. ��y�[� �], /
Polity No. �.'=1=�//\ Cort�Gdny �
��lif'etl <�Py� igs �il¢Ebw thrtheh ILY IIG" D Isi�/ At� / A
Date -W�(�� —APplicant ��—'��L""`w rti� `
EXEMPTIO��pOM WOqKEpS' COMPENSATION OECLARATION
(This s¢Ction neeC not be mmplatetl it thB Parmil i5 tor on0 huntlretl (5300) Or
less).
I certify that In tM1e parto�mance ot the Work for wbiCh thi5 p¢rT�t IS ISiu¢tl I
Shall not emDloy any p0fion in dny md�nBr 50 as [O btcome suCje[t to t�le
Workers' CompenSaHon Laws of Calltom�a.
Date 99naturo
'NOTICE: II, after making tnis tlnclaralloA. You shoultl bacome sub�ect lo the
WorkeR' CompanSdHon plovl51on5 Of tn¢ Lu�Or CO08, y0U muSt /Orthwith
comply with such provisions or tnis Parmll snall Oe tleomaU revoketl.
CONSTRUCTION LENDING AGENCV
I nereby affirm that [nere is a constructioP lentling agency tor [na perlormanca
ol tho work for whicn tnis permit is iisuetl (Settion 3087 Civ. CJ
l.nnGer'i Name
LenGer's Adtlreu �
OWNER BUILOEN OECLARATION
1 hereby affirm t�at I am exempt trom the ConlractorY Ucense Lnw for the
follawin9 �eason (Seclion 7031.5 Busineis antl ProfeSsfonal Cotle: Any cily or
county whicn r¢qUires a p¢rmit lo ConslNct, aller, ImprOve, demolisb O� rCpair
any struclura, prlor to Rs izsuance, also requires tne applicant for such permit
to tiie a si9nea statement cnat he/she is licensetl oursuant lo the provislons o(
lhe Contractor'S License Law (Chapter 9(�ommencing witn Section 7000) of
"'�vision 3 ot thc Business antl Protessions Cotle) or [hat he/sne I5 exempt
�refrom anG the basis for [ne allegetl exemplion. Any vlalaHon of Sectlon
31.5 by any applicant fo� a perm{� Tu�fects t�e applicant t0 a clvil
. enalty of not more than five nuntlr¢tl tlJ��ars ($500).
� 1, as owner of the proverty ar' my employees with wa9es as their sole
mm0ensatiOn, will tlo the work, antl th0 StruCture is not intentletl or oiteretl
tor sale (Section 7044, Busine55 dntl Professional COtle: Tna ContrattOr'S
LicenSe Ldw tloes nOt appty to an owner of a propet�y wM10 builtls o� improve5
thereon, antl who tloes such work M1imself/herseli or throu9h his or her own
em0�oyee5, prOWEetl Uat Such Improvef�enl5 ar¢ nOt Intentlatl or oHefetl 10r
salE. I/, however, t�e builtling ar ImprOY¢men[ Is Soltl withln One year of com-
pletlon, the owner will have thn buraen oi proving ne/sne tlltl not bulle or im-
prove for th¢ Pu�poSe Of sale).
❑ I, as owner ol the D�oPerty, am exclusively contracting witn litensetl ton-
l�actOrs �o conit�uct the projocl (Sectlon 7�44. Buslnezs antl Protesilons Cotle:
I The Contractor's Lltense I�w doas not apply [o an owner of pm0erty w�o
builtls or ImOroveS thereon, antl who cOnt�ac(S ior Such OrOjOtls wi[h a Con-
Vaclor(5 Iicenx pursuanl to Ne.Contr?Ctor'S License Lawj. I dm awam that
ptoOt o� Ihllr WOrker'S ComOenwtlon ��suranca Shoultl ba o�o�ieea l0 me.
❑ I am exempt untler Section B. & P. C. for t�iz rnason
Date Owner
I hereby certify that 1 have reatl tnis appliwtion antl stato tnat tne abova .
information is co�reCl. I a9ree [o comply wlth dll ci�y antl county or0inances
ana state laws relating to builtlin9 <onzlructlon, anE It¢reby authoriz¢ �e0r0- �
seniatives ot pis I y to ent r upon the above�menHonetl property ior
Inspection p bs
Signa[ure � Date -
Drivers' License or 55 � .
TYPE OFCONSTRUCTION � NEW ADD ALTERATION REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER - � AP #
DESCRIPTION OF WORK/USE OF BLDG.
S Main B�
TVPE OF PERMIT ' GRADING OUNDATION STRUCTURAL T Front
❑ TENANT ❑ EIECTRICAL PLUMBING ❑ MECHANICAL B Reef
❑ �OTHER ' � A
PROJECT DESCRIPTION 5a. FT. OCCVPaNcv C Right
CONSTRUCTION TVPE VALVATION 5 g left
ZONE GRADING CU. VDS. ACRES Ving. ReL 9IE
rtemark�: , Planninn No
Sink
Preventer
I�rigation
Drinking Fountains
Floor Drains
Floor Sinks
Gas Service Outlets
Kimhen Sink
Lavatories
P—Trop .
Roof Drains
floinspection' Fae � S15
Duct � Under Ground
Duct - Struc[ural
Duct - Ventilating
Exhaust System ❑ Mulliple ❑
Firepl/Fuct. Blt. IC80 dk
Heating System & Ducting
❑ai oo,000 eru O i oo.000 gri
Rainspection Fee � 515
CMF 0865-46, rev. SO/84 W�ite - Builtlin9: Canary - ApPlicant; Pink - Accounting; Goltlenrotl - Assessor
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping
Sotar Tank
Swimming Pool w/Spa
Urinal
Water Closet '
Water Heater
Water Service
Auta�Wash
laue Fee
Hood or Typel ❑
Canopy Type I I ❑
Refrigeration System
�o-ioo,000sru ❑ioo,000
System Repair/Alteration
Fire Dampers
Registers . �
Issue Fea
0
FEES
S 3
$ 3
Auromatic Washer
ConstructionPoleSub. ,
Cooking Uni[
Dishwasher
Dryers ❑Gas ❑Electric
Fan
F.A,U.
Fixtures
Device Bozes
Outlets
Switches
Garbage Disposal
Generator �0.5 KW C
Fee
EIIL ��/I::;A,_
Zone
Accessory
Parking Req./Provided
ELECTRICAL �
Transformer ❑ 15-50 KW
❑ 50+KW
Meter ❑up to 100 amps
Merer �over 100 amps �
75 KW
$15
Sub�Panel
Motors �0.1 HP 01'h - 8
Inc.Solar 09�15 HP �16-15+
Miuowave
Pole Light
Range
Si9n
Standing $eCtions
Trash Compactor
Issue Fee
DEVELOPMENT SERVICES REQUIqEMENTS:
2oning Approved By
Building APProved By —_�_
FEES
$ 3
2
O
N
1
N
G
R
E�
�
M
T
S
� SUMMARV OF FEES
BUILDING PERMIT S SMIP ' $
� PIAN CHECK , 3 PERMIT '
'�� PLUMBING $ �_�� ISSUANCE • $
• PIAN CHECK 25% $ ENERGY P.C. $
ELECTRICAL S GRADING $
PLANCHECK �50% $ MICROFILM $ /����J
MECHANICAL S TOTAL FEE $ —.yZ�
PLAN CHECK 25% $ . �
��
CONSTRUCTION AND PLANNING POO'. tPA
APPROVALS Petmit # Date Inspector AppROVALS Permit # Date Inspector
c
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reintorcement
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 Gfnd. � 57. APPROVALTO COVER-GUNITE
7. Footings ' 58. Electrical Conduit-Undrgrnd.
B. 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 Connectlon . 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 Elecirical-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 6ar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Reating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Struaure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil
23. Gas Pipe-Rough & 7est 72. Underground Flush
24. RoofFraming 73. Undergrnd.StorageTankOGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structurap & 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: �� ��i� � . �, � -
34. Final Heating & Air Conditioning - �
i
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 Irrigation System �
45. Sound Attenuation t=�
� 46. Handicap Regulations `"'
47. FINALSTRUCTURE&BUILDING .
48. Special Requirements Completed
49. Electric Release to Edison -
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date � -
1
4 � � .
COUNTY OF ORANGE
BUII.DING DEPT.
636 No. Broadway
Santa Ana, Califomia
Phoae: KI 26231
1. OWNER'S
.. �:
Application for Building Permit
AND FOR A
Certificate of Use and Occupancy
MAILING ADDRESS_./...v..s?.......Y..L.GL.... GL././..�!34-r!L
Name.---�------'--�-`�:...��_ ..........................--�---.._�-- -•-----...
(Arthitect or Engineer)
Address-------------•-------�-----...-�-----.._.....---...------•----�------.....
City......---"- .. ..............................................._----...............-•---
State
LiaNo....----........_ ................... Phone.._.....--•--�------..............
r� i .
Name
�t. 23
2'a/y
� ��K�
Permic No. :� ...�... ...-----_-
D1ce .............�".G.P�'---���+�- Z--.....
...........:....�--�--.. PHONE:.�Y�VL:..F.�%.L.�'}...R..�.
Address L.v.w?._L�ek!'. �L.-....�1/-(«�'!.�'-��'.........._..-•------....-�--
CICy ""'.'.'.1......'"' . ..... ""' %��J"'"".....""""'""..
State D�^�/GC%`� --- .. /,�%� � ,/ (�
Lic. No.....7..O...fl. r �---'--"---. Phonel'KLtL...QlTO._:
PROPOSEDUSE:.-`�----- •� v------ --�� V ...........D.. ... ....�....�-y---�--------------------- -- -...._----�•-----� �----_...._-----------------------�---.........--
2. JOB LOCATION._J-�A----�---.��---L-'--r�..!I.%S.C-------....y.�(....__--------..._ ................. �dSYJ�.._M�'�-------�---�-----------
(House No.) (Name of Strec�) U (Town oAc 'Sc,hool Discrict)/� ,��� /
NAME OF AND D[RECTION FROM NEAREST CROSS STREET.,q 3_�[..FT-.-'�+4.��/.Y.�.__ .�E:._�. �.C_
3. LEGAL DESCRIPTION: Lot.p�-_� �211...Block ...--_ ........................................... Tract..�GZ�?�'..��i91/�,
(Mctee and Bounds Description—Use averse side Fif form)
4. CORNER LOT ( ) INTERIOR LOT (>'C,� THROUGH LOT ( ) SLOPE OF LOT ( )
�/ G p /� ,y , r-% �y A
5. SIZE OF BLDG.:�.��.6.x__4ZF_9r..AREA:.......7�5..�....FTSIZE OF LOT:...f-.?�1/..�.��;K..'6AREA:.....1._�.1..��.._..F.�
6. HEIGHT OF BLDG.:_.......I3....F. �..........CEILING HEIGHT:..........Q .....................NO. OF STORIES........P..�'.�R.�...
7. NO. FAMILIES......._� ..............Size of Smallest Bedroom:____.../...�.�'l��._......_...... Size of Kitchen..�,%�.�
<�� 7 �'------•
8. EXTERIOR WALL CONSTRUCTION:� .��.�Q..INTERIOR WALL COVERING... .��eC!5�---
(Frame, Smctq Etc,) ���j ��/ (Pla,ter-Drywall, Ete��• �
ROOFING COVERING ......- -.IA��GI�-�S!:�! � ..''�.�'cL/�i. -...1 ���...1��x2�...._...... --
9. STATG HOW MANY BUILDINGS NOW ON LOT AND GIVE USE OF EACH...........�%� .........................
10. SET6ACKS: Front Yard From Center Line of Street........��....l....l... _....._.........---_ .................._--.---_-..........................---...
Nearest Side Yard..._....�.........Rear Yazd......LtGC....__..Distance in Feet Between Bldgs. on Same Lot ............................................
(ProDcrty Line) (Proper[y Linc)
II. A COMPLETE PLOT PLAN IS REQUIRED, SHOW[NG ALL STRUCTURGS AND USE OF EACH.
// �/
12. (a) Footing: Width..-.------�ifRL._ ...................Depth in Ground...----.-l.�%r--_-..---.Width of Wall.../.C!..�...:..._��',y
/� / �g,,�
(b) Size of Studs:....�.�...x.�.........Spacing.......,16...........:'CC Material of Floor.._�:�'���...'.
.. .......--� -..........
13.
14.
(c) Size of Floor Joists:--�------�-"-------- ��---...---.....Spacing-----------------------�-�----��- ----.._,.CC
y /� i�
. Sp ' g....-----�� - ..CC
(d) Size of Rafters:.......�'.<..:,.....--- - � .. ............--- -
2 X Fs /� �- ��'�a -
VALUATION OF P$qOPOSED WORK: Induding all labor, plumbing, eJectrical wiring, heating, fire sprinklers, painting and
sewage disposal $--a-�-(--A�-��.,-��-------------
I HEREBY CERT[FY-THAT TO THE 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 OP
Plans
Bldg. Permit
Plan Check
Tota] - .
Rcceipt No.
Paid to •
Dace ._........
Signed
(Au[horized Agent)
FOR DEPARTMENTAL USE ONLY
FEES: �-
� v GROUP..�.. �
, �' �
5..._t --. :_"a'" 6.......----
' �-r-----��--- TYPE...:.��`..'..!�...------------
' ��. %-----�-a--------- DIST. (�-�a.�
, la.,Fl ��.,--- �--- �p---•- ............. .
.. --
. ��------ ...
" �� --- — SHEET NO.-•-----------.._- ---
DATE----....... C,� ...`...1..l...... _:��.
soob-->-sn
CHE KING BY
APPLICATION... ....� HEALTH ............................
U� FIRE
ZON ING--------.:.-_-.-
•----....
PLANS AND , MARSHAL ......................._
SPEC'5..----......�r-.—.... STATE---------------------........
CORRECTIONS ENGINEER
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