HomeMy WebLinkAbout570 VICTORIA ST - Building Permits� OWNER POST� Theodore
� JOB ADDRESS 570 c or a tree
N��ERAL CONTRACTOR Owner-Bldr
n�%'No.itS-o92-09 LOT T
INSPECTIONS
� SOIL
GAS
�W ATER
ROUGH PLUMBING
PROP. SWR. LINE Q HOUSE CON. �
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING ANO AIR CON�ITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND � POWER �
ROUGH WIRING
TRENCHES � FORMS � STEEL REINF. �
FLOOR SYSTEM
80N0 BEAM SiEEL REINFORCE
SHEATHING
FRqME ANO FLASNING
I �NG - IN OUT
iER, BROWN COAT
STRUCTURAL, FINAL
HEATING, VENT., REFftIG. ANO A.C., FINAI
PLUMBING, FINAI AN� GAS TEST
ELECTRIC, PINAL
RIIILOING. FINHL Li
DATE 1_ply_72
BUILDING PERMIT N0.
SUBCONTRACTOR
Pfl0.1ECT�ODflE38: S7O VICTORIA ST
OWNER'SN�ME: CITY OF COSTA MESA
aooaesa: 77 FAIR DR
0
ppLHIENGINFER:
�OORESS:
uNrt:
xca.xo.:
UXR:
r�qMrrt�E: WILLIAM L OLSON ( 818 ) 360-9660
�noxEss: 18601 DAISY PL
NORTHRIDGE CA 91326
LICENSED LONfMCfOR OECUMTION: I here�y amrm tlut I am EcenSeG uMer prmssia�s at CAapter 9(commmdnp wit� Section
7W0) nf ONisim 3 0l tlro Businar an0 Prolessions CoEe, antl my Ocense k N tutl lorce aM efleq.
cm uc.: 0 5 017 8$T�h �� ; 4�9�i S r�: C 21
p 3c� 1 S-] � ,{�� �
Da��� '� �"! O 5�9rature: Ll� �(]L-fa.IY�
����u�tOMsEN811�7i0x oEtn MlION: �fe�re' y a�� �na�a ceni�am a� conttm ro uli�i�ure or a cenifwm oi Workers'
�cr xo.: ��� � i`4 —`9 � �. o��: 15�7 / 01 / 91
�MPµr: STATE
❑ CeNAeO copy is hereEy fumiShM. � CeNfiW copy B fde0 wiN the dry BWWinp ONisbn. _ ___ __
` Oa�e: �—' oL I — / � AppGant: � - L�
F%EMPfION FliOM VAflKEflS' COMPENSITIOX OEWM710N: (Ili'¢ sec6an meE nOt he mnWeteE if tle pemil's ta me AUMreA (510U� a kss�.
I ceNfy ttut in the performanu ol IM wo�k Iw whkh Nis pemmt a asued. � shall no� emplay am/ person in airy manner sa az to 6ecome
subjeci fo tlre Workers' Compensatim Laws ol Wilomu.
Date: Sipnature:
NOTICE: It, aM1er maFinp Ihis Eedaratlon, you sMultl Mcome wEjat ro tAe Workers Compenwtion provlsionc of Ne Labor
COEe. you must IortAwilh wmpry wil� wc� D�oWvons or tliis ce�� �� 4��4 rewke0.
� CONS7BUCTION LENDINO �GENLY: I �ereGy atfirm IMt Urem L5 a consirucGon lendinp a0ency lor Ne DeAarmance af t�e work for
i� wnicn tAis Dermit is issueU (Sepion 30Y7. Civ. C�. •
lENOEfl:
�ooeeas:
OWNEN BUIIDEP DECIAMTION: I Aere�y allirm Ihat I am exempt Irom the Cantractors' SWta license Law lar ihe lollowinp reason
(Section 7031.5 Business and Pro7essional CoOe: My ciry o� counry wkc� reQWms a permil to constmct, aller, imDmve, Oemolish, or
mpair 5ny stmcture, D�or ro Its Issuance, also reQuires IAa apWiwnt Por such permit ta lile a sipneE sWtement that hUshe is licensetl
pursuam to the provislons o11Ae Cantnctars' Sute Llunse Law (CIUD1er 9(wmmendnp vAth Sectbn 7000) al Oivislon 3 ai Na euslness
an0 Pmlessions Cotle) or Ilwt �e/she ls exem0� ��emlmm an0 Ihe Gasis lor t�e allepeE eeemption. My Wolatlon of Sectian 7031.5 Gy
�oDlicant lor a Dermlt su�la��s tba apDliwm �o a civil penalry ol not mam than Me Aun�mA tlollars (5500�.
I, az owner ol ttro Droperry or my employees with wa0u u��eir sole wmpensatbn, vAll tlo I�e work, antl Iha
_ ' stmcture Is not IntenEetl or oHemOlor aale (Secuan 7041. Business anU Prafessional CoEe: Tna Comradors' State License Law
Eoes not aDDN ro an owner of a propeM � b+�lUs or improves Omrean, an0 wlro Uas sucA work himself/harsell or I�rouOh
�¢ or Aer own amployees, provlGeE Itut wcli Imprwemen6 are not NtenEeO w otlere0 /w sale. If, �owever Ne EuilOinq ur
Improvement I5 soltl vnlMn ana year ol comD�eGan, Ue owner wi0 luve t�e OUNen oi DroWnp �e/s�e Eid nat EuilA ar imOrove
lor IAe Duryose ol sale�.
I, az awner ol tAe D�opeM, �m eadusivW mnlracWO xit� IkenseE con(ratlars t0 conswct 1�0 Orol� (���on 7014, Busina55
O anU Prolauions COEe: The Cantnctms' Sbta Licerse Law Eces mt aDON �a an wmer ol Dmperry x1q WiICs or imD� �hereon
anG wAo contracts lor suU Drqects c�N a canV�ctoqs) Gce�ae W�� �o the Contnctws' State Liceme Law). I am awam
ttat Droal ol Ihir WorMEr'S Compemitbn inwrairce s1auW Ea DroviEeG ro me.
� I am exempt unEer Sectbn: B. 8 P. C.
tor Ws reason:
Oate: Ovmer.
1 Eo here0y urGty WI I am awaza of aM uMersWb IM rEpWfemen6 at Calilomii HWN anE Sdiery Cotle $eClionS 25505. 25533. anE
25534 anE ttut 1 or airy future EuilCinq ocapant wllVwill iwt (drda one) neM ro mmDN ��� �4 state codes antl Ne reyuiremenis tar a
permit lor consVuttwn or moEiliatian Imm IM Nr aliry ManaOement District. Ne5lEenilal mreWcfion appliptbns are exempt irom
the5e D��
Oaie: RppGUnt:
I hereEy teNty fAal I INvO 2aC U5 appfiratial azb Sid[e Wt Ne a6we iniOmWlbn is Cartett. I aprea ID COmply wiN all ti1y azltl munty
ortlNancrs anE sme hws relatin0 N MdOinO wutrvetim aM Ixrttr/ auNw� reDraentafiva oi Ws tl1Y ro arter uD� Ue abovrmentioneE
D�opetly lar'nspecGon purpposes. ,(�
Date: — � I � [ Spnature: � ' `� `-"' �
onver's ticeme or Soriai Secudry »: G
48 W�i�e—BuiMirq: Graen—CoOo Enlorcamam; Gnary—FpWka�t: Pink—Ravanuo: GotlanroE—Asseasor
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO; BP 048651 PLAN CHECK NO: N
CONSTRUCTION TYPE: PERMZT TYPE: PLU STR
PERM NO: HP 048651
GOVT: Y SUPP; N
PURPOSE: DEM
JOB DESCRIPTION : RESIDENCE DEMOLITION SQ FT;
CLAIM VALUE; 1,000,00 CALC—VALUE: 1,000.00 GROUP OCC: R-3 /
COMMENTS: CITY PROJECT—NO FEES
*�*�***�r**+�*x *�**+�*����r�**�r*�***��**+� �*� ��r+�*�*��**�**� **�******�**�r******�+r+r�r**
Z O N Z 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 BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN
PARKING REQ• PROV: PARCEL: 42220210 ZNE: REF NO:
PLANNZNG NdTES> _
> '
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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 HY DATE:
bUILDING APPROVED BY : DATE: '
APPLICATION ISSUED BY• DATE: ����
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LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 25,00 2.00 �
25Y SMIP/NON—RES
PLAN \ .50
ISSUE FEE 3,00 �
bUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TO`fAL PAID DUE
TOTALS----> 0,00 0.00 0,00 0,0 � ,00 ,00
REVENUE DIVISION TOTALS--> COLLECTED; ,00 OVER/SHORT: .00
BLDG PMT PLUMbING ELECTRZC MECHANIC FIRE SMIPrTOT GRADING PLAN—CHECH
I
�)EifilikiliFititifiFitikkitkkilifiFiFfkftit3kiEkfkiEikiflfifiEifiEitdEitifiEftifiklliEil3EklFifikifftiEdEiliEififlFilikiEffikifikikitMiElE�kiklEifitiEiF
I N D I V I D U A L F E E b 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
END OF FEES
a
O1 QOIlb74:9-OD6679?9 Y L� i
DATE: Q3/21/9D TI4E: C�e4b
000
CONSTRUCTION AND PLANN�._ lOL & SPA
APPROVALS Permit# Date Inspector qppROVAL� Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Poo� & Equipment Location
2. Soil Pipe-Undrgrnd. , - 53. Steet Reinforcement �
3. Etectrical 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, � 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 � a � 62. Backwash & Receptor�Final
v
12. Sewer Cap 63. Heater & Vent�Final
73. Roof Drains • ' 64. Plumbing System � Final
74. Rough Plumbing ' 65. Electrical-Final
15. Rough Electrical�Conduit 66. Solar SYstem•Final
" 16. Rough Electric Wirinq 67.. Fencing & Access Approval
17. Rough Wiring Sign ' 68. APPROVED FOR PLASTERING •
18. Fough 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 77. Product Piping OGas ❑Oil
23. Gas Pipe-Rough & Test 72. Undergro�nd Flush
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro �
26. T�Bar Ceiling (Structurafl & Monocoat 75. Dry Chemical
27. Freme and Flashin9 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 CEFiTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Aii 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 .
47. Solar pomestic�Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irriqation System
45. Sound Attenuation
46. Handicap Regulations '
47. FINAL STRUCTUR� & BUILDING 7/' 9� i.�
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southem Calitornia Gas Ca
51. CERTIFICATE OF OCCUPANCY
No. Dace
34019
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFOpNIA 92626
For Applicant to Fill in Completely
BUILDING S�O �/� �D/4�T •
ADDRESS
OWNEF �/T�C/OO� iG. /��T
MA I L �j�o _ //G 7��i ✓l
ADDRESS / /� �Y'
CITV
BFANCH
AODRE55
ARCHITECT
TEL.
NO.
L. .
ADORESS
CONTRACTOR �W/(/�/G,(G�
ADDRESS
TEL.
CITY NO.
STATE CITY
LIC. NO. LIC. NO.
SIZE `�`y/'] U INOWONLOS.
OF LOT J /t J
USE OF
EXISTING BLDG.
SIZE OF NO. OF
NEWBLDG. ROOMS STORIE:
EXTERIOR WALL ROOF
COVERING COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
�/7 / �� !!� r�7 7(O
I he�eby acknowletlpe that 1 have read this applica[ion and state
that the above intormation is corract antl apree to comply with
all laws regulating b�ilding consttuction, enE I shall not employ
any perwn in vialetion of Me workman's compensallon laws of
the State ot Calitornie.
I hereby certity that I am properly licensetl as a contractor untler
t�e State of California e�siness antl Profeszions Cotle, Oivisicn 3,
Chapter 9, antl that such licanses are in full tor<e and affect, or I
am exempt from t�e provisJ ns ot the State of California Bnusiness
antl ProfessionsCotle, Div'l 3, ChapiL� 'V
SiBnatura of
Pe�mittee
Autho�izetl Agent i
Pfl1L
1�`I�d ill-?iewc,d� .i�5 <��,:;{.;.r;r rf
APPLICATION FOR BUILDING PERMIT
�/ISE IL D/.�E// / DAI E_/LI
FIRE
ZONE
APPROVED
VAR. #`
_D��_�^I PERMI�Ar
YI
.T. _. a ��_� �fL
331 B�o�K
VALUE
DATE ���� / �.
NO.Of VSE OF n
PLANS BUILDING
'ROVED VARD
FT
DATE
APPROVED
nex /'��
b
SQ. FT, o
THE AMOUNTSMOWN UNDER VALUATION IS FOR �
THE PURPO6E OF ESTABL6HING A PERMIT FEE ONLV: ¢
VALUATION m
� PERMIT FEE $ �
7
$ ��J �� m
Q��� PLAN CHECK $ E
G— °
LL
TOTAL FEE $