HomeMy WebLinkAbout628 VICTORIA ST - Building Permits��OWN�
/r JOB AUUKtSS
� GENERAL CON
�f� / 'o. 115_`
In_.-ECTIONS�
SOIL
GAS
W ATEB
ROUGH PLUM6ING
PROP. SWft. LINE
SPRINKLING SYST
UNDERGROUND
ROUGH W�R�NG
FLOOR SVSTEM
SHEATH�NG
FRAME AN� F�ASHING
LATHING - IN n
PL^`i�R, BROWN COA
5 �URAL, FINAL
HEqfING, VENT., REFI
;, John T
Victoria
HOUSE CON. Lf
iIR CONOITIONING
OR POLE
POWER ❑
5 n STEEL REINF.
FIN
DATE
DESCRIPTION of WORK r`-
FIRE ZONE VALUE
GROUP J TYPE
SUBCONTRACTOR
i
owNea POLKINGHORN CONSTRUCTION C0. DATE � 3-7-57
JOBADDRESS 628 Victoria StZ'e8t � BUILDINGPERMITNO. �%LIS�I�
GENERALCONTRACTOR Owner BI.CII'. � VALUE $ ZO�3IZ,OO
� 1 e�ocK TR.. �135 Res, w/att. gar.
GROUP I St J
INSPECTIONS i '
Fou
to
Sewer, House !%�! Sewer, St.
Septic Tank or Cesspool
�hing,in Out
stering �
Plumbing, Final, Fixtures Complet
Plumbing, Fin.al GasTest /�$—
Wiring, Final
Occupancy
iOFM 210 3M 10�93
V
SUBCONTRACTOR
FIRE DISTRICT 40V�
' PERMITSISSUED
DATE � NUMBER
✓
:. .
owNee _ ppLKINGHORN CONST. C0. SEP 2 4 1957 DATE �_�_57
JOBADDRESS 628 Victoria BUILDINGPERMiTNO. #I}SOZ
GENERAL CONTRACTOR OWIleT Bl.(�T'. VALUE $ �.5�e��
�� 1 BLOCK TRACT 3135 Sien
ZONE
/1 PERMITS ISSUED
INSPECTIONS DATE $UBCONTjS ACTOR
__. _. ___ _ __ , _// i,,j v DATE I NUMBER
Footing Trenah
Foundation Forms and Grade to G
Rough Framing _
Plumbing, Rough to Slab
Plumbing, Raugh Complete
Temporary Pole
Wiring, RougN
Heating, Rough
Heating, Final
Sewer, House Sewer, St.
Septic Tank of Cesspool
La�h��9� �� Out
Plumbing, Final, Fixtures Complete
Plumbing, Final Gas Test
Wiring,Final _ �
Occupancy - p
FOflM 210 3M 14�90 ' LjU�L
�
'� .
Pfl0.1ECTRDONE53: 6ZS t�ICTORIA ST
owxex�sxarne: �7TFAZ�R DRSTA MESA
nooxess:
uNrt: Q
'ARCHIENCINEEfl: HEG.NO.:
�OOHESS: . UNR:
PENMITTEE: WILLIAM L OLSON ( 818 ) 360-9660
nooness: 18601 DAISY PL
NORTHRIDGE CA 91326
IILEN5E0 fANTMt70R OECIAMTION: I �ere0y affirm ttut I am IicenSeA unEer O�ovisions oi CAapter 9(wmmendnp vA[h Seclion
7000) ai D' 'si n ot he usiness an0 Pmtessions CoOe an0 my Ilcense is in tull lorce antl eifect.
cirruc.:�q��1�� slalcuc.:310875 ��:C_c�'�.�7
Oate: /—�' �O SlOnature: �' �}Ca"'�^
WOPNERS' fAMPEN5AT10N OECUMTION: I herepy amrm ttat I luve a ceni(mate ol cansent lo ulf-i�ure or a certificate al Warkers'
Compenution ds�p�u; � a r�niGe9 �ropy tnereo� ISection aeo0, �an.��� / O 1/ 91
crxo.:STATE �P.o"TE:
IP�NY: ](
.CertiileE copy I5 AereEy lumishe7. L] Certilied topy i5 fileE xit� �he dry BuilEinp Oivaion.
Oate: Rpplicant:
F%EMPfION FlIOM WONKEIIS' COAIPFX&1TION OECUNITION: (Ihis section neeE not be comDleteE if Me pemtit is for one hunOreO (5100) or less).
I certiTy that In ihe Oehormanca oi IAa work tor whic� ihis Dermit is Is� shall not a y Oersan in any manner so as to Cemme
suEi� �o�/ wor/kr�_s ComyytI�satlan Laws at Calilomia. �
oate: / — �+ ' C O SlOnature:
. NOTICE: II, atler maknp tMs Ueclaation, yau s�au10 becoma suGlect ro the Warkers' Coinpensation Drovisions oi tAe �ahor
� COAe, you musl tonhwiih compty with sucA Dmvisions or tAis Dermil s�all be AeemeC revoketl.
CONBTNUCTI�N LENUINO �OENCY: I hereDy affirm that Ihem is a constmctlon Ien01n0 aqency lor Iha DeAormanca oi tAe xrork tor
w�ich this Dermilis issued (Section 3097, Civ. C).
IENOEH: �
ROOflESS:
OWNEB BUILUEP UECLAMTION: I here6y attlrm that I am exampt fmm the Contractars' State License Law for Ihe lollowinp aason
�(Seclion 7031.5 Business antl Pm;essional CaOe: My ciry oi caunry wAich reQuires a permit ro consimct, alter, impmve, Uemolish, o�
repair any structure, pnor lo its Issuance, also aQuires Ihe aDV�iwnt for such permit lo lile a signetl statemen[ tlwt he/she I5 IlcenSeA
pursuant lo tAe Dmdsions of ihe Coniraclors' State licflnse Law (CAapter 9(commencinp vnt� Section 7000) of Oivision 3 af Ne Buaness
anE Pmfesvons Code)�or thal hWSAe Ls exempt t�erefmm anG tAe Easis lar the alleOeU exemption. My Nola6on ol Section 7031.5 by
any aDPlicant far a permi[ subleqs IM appliwnt lo a civil penalry of nat mare than live hunUretl tlollars (5500�.
I, as owner ol Ihe DroDBM or my amployea5 wlth wa0es as �heir wle compensation, wlil Ao t�e work, an0 the
❑ stmcture is not intenEeO or o11ere0lar sale (Sectlon 7�44, Business an0 Professional Code: TAa Comracrors' SWte Licenu Law
Eoes not appry to an axner ot a OropeM � builQs or imD�a�'es Itiereon, an0 wAo tices suc� wark Aimsett/herselt ar Nmu9h
' his or Aer own employees. pmNOeE that such imprwements am not intenAetl ar aHeretl far sale. Ii, however IAe huilEinp ar
' impmvement is soltl vnthin one year ol comDletion, Ilre owner vrill have the �ur0en ol DmNnp hUs�a Gid not OuiIC or improve
for IAe Durpose ai sale�.
I, az owner ol I�e pmDer1y, am axclusiveIy conbaqinp wIN licensetl coniractors to construd tAe D�olect (Section 70/4, Business
❑ anU Prolessions CaOe: Tha Cantractors' Stata License Law Eaes not apON ro an mmer ol Droperry wtq Em1Es or imD�s Ihe2on
anJ who cantacis for wc� D�al� �i�� a caniractor(5) Ikense Dursuant to IAe Cantactors' SW[a Licenu Law). I am aware
tAat D��� ot ihdr Wohsr's Compens¢tlon insurance shouW Oe 0��� �o me.
'�I � I am evempt unAer Section: B. 8 P. C.
for this reamn:
oa�e: Owner: -
I Uo Aereby artiry tAat I am aware ol antl unOerebnE �M repuirements al Califomia Heatth and Safery CaCe Sections 25505. 25533, anO
25534 anE tllat I ar any hllure dlilOiny Ottupant wilUvnll not (arUe ona) nEetl to wmply wit� 5aitl sidte WOM anE Ne rEpuiremenLS tar a
perrtut far consiruction or moUificatim irom t�e AT u� ManaOemen� DiStnct. He5i0enUal cortstructian apDlicatlons are eKempt hom
these O�visians.
Date: Apdicant:
I hereby ceNry Uwt I lave reaE thk applica6on aM state that the aUrne inlormaGw's correc�. 1 apree to compty with a0 ciry aM caunry
orNnances anE state laws relaWq to Omldin0 �w� ��re0y aNtnfim apasenD �� oi llris dry ro eirter upon the a0ovo-rtcenroned
yroPerry fpc{nspec6 yp _rp��s,D � • ��ft J
Da[e: �, �9 � SIOnaWm: � /c brir�._.
orivers �iunu or sacia� secuero x:
IBnJB W�itO—BUIIEirp; arsen—Cotla Enlorcament; Cenary—Applicanp Plnk—Revenue; GWOenroC—Asaessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: BP 048890
PERMIT NO: HP 048890 PLAN CHECK NO: N GOVT: Y SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE; PLU STR PURPOSE: DEM
JOH D£SCRIPTION : DEMOLITION S SEWER CAP OF SFA SQ FT:
CLAIM VALUE; 1,000.00 CALC—VALUE: 1,000,00 GROUP OCC: R-3 /
COMMENTS: CITY PROJECT—NO FEES
*x�*�*�*x�**�� �*��*x **���* ���+r�**�ao-****x � ***+�x **x ��� **+r********�*� �****�*+r*+� x �*��
Z O N I N G R E Q U I R E M E N T S
S E T H A C K S
-------- -- MAIN BUILDING --------- -------- ACCESSOAY HUILDING ---------
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• F+ROV: PARCEL; 42220210 ZNE; REF NO:
PLANNING N(STES>
� -
**x��t�t**+tir�t�t�r�r***�*�t�t�t*�r�ti��r�r***�r�r****�r+��t�t****i�+t*+r�t�r****�*�t�t�t*�t*x�*�t�t*****�t�t�r*+�*�t*
D E V E L O P M E N T 5 E R V I C E S R E Q U T A E M E N T S
ZONING APPROVED BY DATE:
BUILDING APPROVED BY ; DATE:'
APPLICATION ISSUED HY: � DATE; Q/�/ ��(�
it�*aE�-iliEit�-iE**x�ititieiEititiEititit it at�t�kiEititaEifieaF E3""�iFiF-��* x"•��e�t
if 3E df 3E ik jk if 3! i! 3E jf it �lE iE if iE iE it if it iP it ik 3E iE it iE if if it if �t iF 3f iE iE 3E jE 1E 9E 3E iE iE if iE iklE iE iF 1! �E iE iE �F it iE if ik iF �E if if ik iE iE ik iE 3E iE if iF if iE �F if iE if �k iF
LEGALZZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
HLDG PMT PLUMBING ELECTAIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 25,00 2,00
25$ SMIP/NON—RES
PLAN ,50
ISSUE FEE 3,00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 0.00 0.00 0,00 0.00 ,00 .00
REVENUE DIVISION TOTALS--> COLLECTED; ,00 OVER/SHOAT: � 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
iE iE iF # if if �lk if �lF iE ik �t ik±! iE ik i! i! jf iE ik if i(� iF i! �l! i! iE iE jf iE il-�lk if 3k iE 3E iE �E iE 3f iE iE ik ik if iE 3E iE %�If if ik �1F �F �E ik±f iE M iF iE iF if if iE ib iF 1E i! �1E 1!� 3E iS it iE iE IE if
Z 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
OS ��069063—OQ059053 T O ?' ,p�t
OATE: C14/Ob/90 TINE: �9:43
/
CONSTRUCTION AND PLANNING, ' � P� S SPA �
APPROVALS Permit # ' Date Inspector APPROVALS Permit # Date inspector
i
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe�Undrgrnd. ' 53. Steel Reinforcement �
3. Electriwl 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, 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 & Receptor-Final �
12. Sewer Cap . Q3 �j 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 Wiring 67. Fencing & Access Approval �
17. Rough Wiring Sign . 68. APPROVED FOR PLASTERING
18. 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 OGas OOiI
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 IStructuraq & 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 B0. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test • �
36. Hood or Canopy �
37. Final Factorv Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
47. Solar pomestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irriaation System
45. Sound Attenuation �
46. Handicap fiegulations �
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING � �
49. Electric Release to Edison � .
50. Gas Release to Southern California Gas Co �
51. CERT�FICATE OF OCCUPANCY '
No. Date
_: � _ ' � ". �603
�, ,,,
COSTA MESA BUILDING DEPARTMENT
P.O. BOX 31�
• COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN
BUILDING
ADDRE55
COSTA MESA. CALIFORNIA
�uGl��
ARCF+'rECT
OR' NEEF
AODRE55
LEGPL LOT
OESCRIPTION NO.
A.P. NO.
SIZE
OF LOT �
U$E OF
EXISTING BLOG.
LIC.
NO.
CITY LIC.
NO.
TEL.
NO,OF BLDGS.
�IOW ON LOT
SETBf�CK LINE FROM / �
'CENTER OF STREET REAR YARO
SIDE VARD RIGHT ' / LEFT � �
DESCRIPTION OF WORK
�NE ALTERATION AODITION
'�, EPAIR��OVING DEMOLISH
� BUILDING NO.OF
SIZE X U ROOMS STORIES
COVERIINGWALLVTUCJI.O COV�ERING ��%pO
USE OF NEW ✓I�� J ./IA� ' �
BUILDING .f� y'—� L/
�
FEE RECEIVED
`�M o.� , � —\ c :� - � Q.
fINANCE DEP�.
CITY Of COSTp MESA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
PECEIPT NO. P��I�I
{��
tECEIV¢O BV OnTE RECEIVED OATE ISSUEO
-rri �. � _ �/ r MnR 7 ,o�
COSTA MESA. CALIFORNIA
APPROVED
BY DATE
CORRECTIONS
I MEFE6Y PCNNOWLEOGE TMAT I HPVE PEFp TXIS TPPLIC4TION ANO
STATE TMAT TXE ABOVE IS CORRECT ANO hGREE TO COMPLV WITM ALL
CITY OROINPNCES /�Np STM1TE LAWS REGVLATING BUILUING CONSTRUC-
T�ON. - VALUATION
SIGNATURE OF � PERMiT FEE $ p���J —
I PERMITTEE/� �
e//I�/ A� /0 � I�) PLAN CHECK S I��
/ l�y/) g OC•
v—C.fGi �
AUTHORIZED AGE TOTAL FEE $
z .
a cWj
Z
ZQ
ON
am
J �
�.n
L
J Q
U Q
Z �
aW
W Z
J Q
m Z
J �
W W
O
ZH
w�
N �
� 0
�
Z
Q
U
i
35572
PA10 i v'ci:��7
ncT i7-�2,;�,-5,00 �59+ 34.67
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BO% 1200 COSTA MESA, CALIFORNIA 92626
PPL A ION FOR BUILDING PERMIT
Fo� Applicant to Fill in Completely q EI V o e D TE IVED
DATEISSUED
BUILDING / p.
ADDRESS �Ge O C. - �
I/ _ S PER J
OWNER �0�� �(j � A.P.NO. ✓ �
BUILDING �.� Q \ /
ADDRESS S�}✓/7 C� ADDRESS ,�� y�CT / S�.
TEL.Ej(t[,.� TRACT�IJ J LOT BLOCK
CITV �S �.�5 NO.
CONSTRVCTION
LENDER �/
/\
BFANCH /
OWNER (?- � �. L�AG� C�
ADDRESS ' VALUE ,�J
ARCHITECT TEL. 3 G
OR ENGINEEfi
FIRE
ADORE55 20NE TVPE GROUP
APPqOV O �
CONTRACTOR 8V DATE
ADORESS
TEL. ZONE /J NO.OF USE OF NEW %U
CITY NO. /� P��� BVILDING �/`
STATE CITV YAFOSAGPROVED YARDSAPPROVED
LIC. NO. LIC. NO. MAIN BVILDING ACCESSORV BUILDING
512E NO.OFBLOGS. (FROM LSTREET) �
n
OF LOT NOW ON LOT ONT�%fil/FT /L FT.
USE OF O � /
EXISTING BLDG. � - /� p .�/ � (J( ,�(,
SIZE OF NO. OF r � i�
NEW BLDG. ROOMS STORIES SIOE FT. FT.
EMERIOR WALL ROOF !i
COVERING COVERING REAR IFT.S FT.
USE OF BUILDING ANO WORK TO BE PERFORMED DISTANCE BET. BEf. MAIN &
MAIN BLDGS. ACCESS. BLDGS.
VAR.� DATE
) � C. C.U.G,aR APPROVED
APPROVED
� //
` �
I �araby atknowletlpa thet 1 hava �eatl t�is apP�icallon anC atate
Mat Me ebove information is correct antl aprea to comply wIM
all lawa req�laiinp buildinp constr�ciion, and I sheli not amploy a
any perwn in violetion of Me workman's compensation lawa oi
Me Stete of Celifomie. � —
1 hareby certtty thet I am p�ope�ly IicanseC as e toni�ecio� unAer SQ. FT.
the State ot California Business antl Profettions Cotla, Dlvisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
C�apter 9, antl t�at wch licenses ara in full force antl affoct, or I THE PURPOSE OF FSTABLISHING A PERMK fEE ON�V:
am exampt from the provisions Of the State of CalifOrnla Budnaa VALUATION �
antl Professione Cotla, Division 3, CheDier 9. ��
PERMIT FEE $
Sipnature of I / /� �
Parmlttea /r� �� � l N GL�/ O� § / D� P�qN CNECK $
O"
Authorizetl ABant �
TOTAL FEE $ �