HomeMy WebLinkAbout950 VICTORIA ST - Building PermitsOWNER
JOB ADDR
unit 6-17-70
BUILDING PERMIT N0.
A° ��0 15— 4-18 LOT TRACT 7 FIRE ZONE VALUE
h cCTION$ Si natvre Da�e GROUP J TYPE
SOIL
SUBCONTRACTOR
GAS
WATER PI���..64..n
PROP. SWR. LINE U HOUSE CON. U
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONOITIONING
UNOERGROUNO � POWER
ROUGM WIRING
STEEL REINFORCE
SHEATMING
FRAME ANO FLASHING
LATHING - IN n OUT I
PLASTER, BROWN COAT� �
5' TURAL, FINAL
H. AG, VENT., REFRIG. AN� A.C.
PLUMBING, FINAL AN� GAS TEST [
ELECTRIC, FINAL
6UILDING, FINAL
, :� I qF% �u�� i �-�oPx,�001 s�n v��*,:��3.00
COSTA MESA BUILDING-SAFETY DEPARTMENT ��t5f
P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626 �
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RECE� B DATE RECEIVEOD DATE ISSVED
BUILDING p �D N— — D
" ADDI7E55 ��O e'TL 4�
� � � / P it T O
OWNER -S C 'Q A.P.NO.
MAII ADDRE S ysa ���r-e;�
Z ADDRESS Q �$ C
dU CITV C �� NOL6 %- �� TRACT G �OT 2� BLOCK
z Q CONSiRUCTION
W AD A R P
O N LENDER
am
J � BRANCH ' //
J N OWNER ` (;�. �ON � � �
m J ADORESS VALUE �M �
m ARCHITECT TEL SE � $ -3-'�
J � OR ENGINEER
V a FIRE
W� ADDRESS 20NE TVPE GROUP
a w � APPROVEO
JO CONTFACTOR � � BV DATE �� - �J
m Z
J � ADDRESS
W W TEI. ZON NO.OF USE OF N W
� = CITY NO. � P�� BUILDIN
Z F-
� STATE CITV YAROSAPPROVED VARDSA PR ED
y Q UC, NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDI G
�� SIZE � �t! NO.OF BLDGS /' (FROM GL ST T) O'{- �-
OF lOT � NOW ON LOT�� FflONT FT.
USE OF /J
EXISTING BIDG. O '� W� � 5 �O FT. FT
F" SI2E OF .+� NO.OF �% i
Z NEWBLDG. �/ ��� ROOMS STORIES /�„ L.SIDE T.� FT. -,
U E%TERIOR WALL ROOF /�
COVERING COVEFING REAR NS FT. FT.
J USE 8 ING ANO WOR y0 BE PERFOrqp�� ED
d ��� NC�O � /-�/Py �C MAINBIDGST ACCESS.BLDGS.
a
O ^ � 6CC, y' ' C URP.� APPFOVED
~ APPROVED
N �
Z
O
VI hereby acknowletlge that I have reed this application and state
� that the above informetion is correct antl eB�ae to comply with
� all laws regula[ing b�iltlinB �onstruction, antl I shall not employ
F any Oerson in violetion of tha workman's compansation laws of
y [ha Stata ot California. m
z �
I hereby certify thet I am properly licensetl es a contrettor under SQ. FT. o
the State of Calitornta Busineys antl Protessions Cotle, �ivisicn 3, THE AMOUNTSHOWN UNOEF VALVATION IS FOR
Chaptar 9, antl that such licenses are In full force and effeet, or 1 THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: �
am ezempt from the provisions of the See2a of Calltornia Business Q
and Profassions Cotl D' isio 3, Ch VALUATION 7 a� N
� �a� PERMIT FEE S ✓ ]
Signature of �� ./ .�— m
Permittee v� �^' S (Q O/ PLAN CHECK $ E
Autho�lzed Apent J � �a LL
TOTAL FEE 5
PR0.IECT ROURESB: 3 S O V I C TOk IA S T
OWNEP'SNAME: CITY UF COSTA MESA
nooeess: �� FAIR DR, C.M.
pRCNIENGINEER:
ADUBESS: -
UNIT:
HEG.NO.:
UNIi:
PE"MiTTEE: pROJECT: ADMINISTRATION ( 714 ) 754-5029
aooxess: -77 FAIR DR
� C:M. CA 92626
❑CENSED CONTMCTOB OECUM710N: I hereby aBirm thaPl am licensetl unAer provisions oi Chapter 9(commencinB ��h Section
7000) of Division 3 oithe Business an0 Professians Code, antl my licensa is in tulliorce and eflec[.
CITY IJC.: STRTE UC.: C1A33:
� Oate: 3 SignaNre: � �
WOBNERS' COMPENSRTION OECIAMTION: I herehy aifirm t�at I have a certificate of consent to self-insure or a cetliticate af Workers'
� Compensation Insurance, or a ceriTieO coDY Ihereoi (Section 3800, Lab. C). .
POIICY NO.: , E%P. ORTE: .
COMPFNY:
� � Certifietl copy is here6y fumished. ❑ Certi(ie0 coDY is filed with the ciry Builtlinq Oivision.
.�¢: - Fpplicant:
E%EMPTION FBOM WOBNENS' COMPENSIITION OECUMTION: (This section neeA not �e wmpletetl if Ue permit is Mr ane AunOreO (51 W) or less�.
I cehity ihat in tAe pedormance ot t�e work for wAich ihis Oermit is issueQ I shall not e loy any person in any manner so as to become
su61e� �o t�e orkers' pompensation Laws alifomia. }/�/�� 1�� � ^A /�
� Oate: ����J � - Sipnature: " `+� �/ �� �` � �
NOTICE: If, after makinA �his tleclaration, you shoul0 co e sublect t� e s' Compensation Drovisions oi Ihe Labor
Code, you mu5t �orthwiih comply wi�A such D�ovisions his peimil shil be deemed r¢voked. -
CONSTBIICTION LENOING 1GENCY: I hereby atlirm.that ifiere is a consimction IendinA agency tor the pedormance oi the work for
which �his Dermi� is issue0 (Seciion 3097, Civ. C).
LENUEP:
eooness:
OWNER BUILDEB DEClAM710N: I herehy aRirmthatl am exemptirom [he Con[ractors' State License Lawtorihe tollowinA �ason
(Section 7031.5 Business an0 Professional Coda: My ciry of counry whicA requires a Dermit ro constmct, alter, improve, tlemolish, or
repair any slmcWre, Dnor m its issuance, also reQuires ihe applicant far such permit to file a signetl statement that he/sAe is licensetl
pursuant to [he pmvisions oi [he Con[ractors' State License Law (Chepter 9(commencinA wit� Section 7000) of DiNsion 3 af ihe Business
an� Professions Cotle) or that he/she is exempt Iherefrom anA the basis /or t�e alleqeA exemptian. Any violation of Sectian 7031.5 by
any apDlicant tor a Dermit subjects the apDlicant to a civil penalry of not mare t�an Me hundre0 tlollars (5500).
I, as owner of �he pmperry or my employees with waAes as t�eir sole compensation, vrill Oo Ihe work, an0 the
❑ s[mcWre is not intended oroflere0 for sale (Secbon 7044, Business and Pmfessianal Code'. The Contracrors' SG[e License Law
Aoes not appty ro an owner of a pmperty who builOs or imOmves thereon, antl wha tloes such work himselt/Aerulf or ihrouph
� his or her own emDlayees, O�ovided ihat suc� imD�o�emenis are not intended or oHered for sale. Ii, however ihe builtling or
improvement is sola wiNin one year oi completion, the owner will have the buNen of Dmving he/she OiA not �uilA ar imDrave
for the purpose of sale).
�,.1, as owner oi the propeM� am exclusively coniracting wit� licensed contractors to constmct the prole� (��tion 7644. Business
� and Pmfeuions Code: The Coniraclors' State Licenu Law Aoes not apply to an owner of DmpeM � hmltls or improves ihereon
and who coniracts tor such pmlects with a contracror(s) license pursuant ta the Con[ractars' State License Law�. I am awara
that pmoi o� tAeir Worker's Compensation insurance shaultl be OrovideA to me.,
� I am exemD� under Seciion: B. 8 P. C. .
for this reason: �
Date: S�� � � Ownec �
I Do hereby certiry that I am aware af anE unaerstanA the requirements oi C� ia Healih an0 C e Sec[ions 25505, 25533, anA
25534 and that I or any future huildinA occupant will/will not (circle ane) need ro camply with saitl state codes and Ne requiremenis for a
permi[ for constmciwn or madification irom ihe Air Qualiry ManaAement Disinct. ResiJential constmction ap0lications are exemD<<mm
ihese D�ovisions.
Date: � Applicant:
I hereby certiry t�at I have rea0 ihis applicatian an0 s[ate tha[ the above iniormation is correct I agree to comDq with all city antl counry
ortlinances anU state laws relatinA io buil0inq constmctian anU hereby auttronze reD�esenWtives ot this ctlY �a enter u0on the above-mentionetl
properry forinspection Dur oses. � n^ ^ /
Date:' � Signature: ��� `�—� e r ,�J
oriver s �icense or socia� Secudry x: \
1861A8 White—BuilEing; Green—CoEe Enforcemen�; Canary—Applicam; Pink—Revenue; GOltlenroE—Assessor
CITY OF COSTA MESA — bUILDING PERMIT
PERMIT NO: E 047305
PLAN CHECK NO:
CONSTRUCTZON TYPE; PERMIT TYPE: ELE
JOB DESCRIPTION ; ELCT HOOR—UP
CLAIM VALUE: CALC—VALUE:
PERM NO:, E 047305
N GOVT: �Y SUPP: iV
PURPOSE; OTH
SQ
GROUP
FT:
OCC: /
COMMENTS: � �
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. Z O N I N G R E[,i U I R E M E N T S '
S E T b A C K S
------------ MAIN BUILDING ---------- -------'--�ACCESSORY'BUILDING --------= r
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 RE�• PROV: PARCEL: 42243326 ZNE: � REF NO:
PLANNING N TES>
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D E•V E L O P M E N T S E.R V, I C E S ft E Q U I R'E M E N T S
ZONING APPROVED BY DATE:
BUILDING APPROVED BY : DATE: '
J� �
APPLICATION ISSUED BY: ��" DATE: ���
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LEGALIZATION:N F E E''� S U M M A R Y + STRUCTURAL SEGMENT:N
$LDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GAADING
PERMIT 18.50
SOY , ,SM�IP/NON—RES
ISSUE FEE 15:00 • �
BUILDING—DIV—> PERMIT ISSUE PliAN—CHECK TOTAL PAID ' DUE
TOTALS'---> 0.00 0.00 � 0,00 0.00 .00 .00
REVENUE DIVISION TOTALS--> COI;LECTED: .00 OVER/SHORT: .00 .
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
iE jE iE iE if-iE 9E iE 3E # jE iF ik iE iE iE iE iE �3E if iF iE iE iE iF iE iE it iE iF iE jf iF jF iE'i(� if 3E iE iF 3E i(� iE ik fF iE if �IE iE iE �1F iE j! if if iF �IE 3f iE iE �1f iF iE iE iE �)F iE iE iE 1E iE iF iE it iE iE if if 3f
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 F+ T I O�N UNIT COST' � TOTAL COST
ELE 1 SERVICES BELOW 600/V & HELOW 201 ANP 18.50 18.50
'END 6F FEE5
Ai
i•
Qi OOQd4$56-QDD60855 'Tfs T ' ,pp
DATE: GS/15}9p TSME. iQ;Sq
CONSTRUCTION ANDPLANNING POOL. A
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
1. 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. Footinqs � . 58. Electrical Conduit�Undrgmd.
.. 8. Foundation �" -' 59. Gas Pipe, O Undrgrnd., Test '-�
9. Water Pipe�Undrgmd. � 60. Backwash Lines, P�Trap, O Undrgrnd.
10. Structura� Floor System -.. 61. APPROVAL TO DECK - �
71. Property Sewer Line & House Connection � j � 62. Backwash & Receptor�Final ��
12. Sewer Cap ' 63. �Heater & Vent-Final � �
� 13. fioof Drains - ; t �_ 64. Plumbing System � Final ' - -
14. Rough Plumbing 65. Electrical�Final , '
15. Rough Electricai•Conduit 66. Solar System-Final ' .
- 16. Rough Electric Wiring . 67. �Fencing & Access ApProval . �\
17. Rough Wiring $i9n �. 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling ' . 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning FIRE DEPT. flEQUIREMENT �.
20. Rough Factory Fireplace • , _- � �APPROVALS . "Permit # �
21. Dutts, in Structure � - '" � 7Q; Undergiound Hydro
22. Ducts, Ventilating � • � ,� -77. Product Piping OGas ❑Oil
23. Gas,Pipe-Rough & Test ' � -_ � 72, Underground Flush '
24. Roof Frafning ' - � " . - 73. Undergmd.StorageTank OGas OOiI
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 Electric � G� es:
� 34. Final Heating & Air Conditioning� , � , �. � � �
� �
35. Final Gas Pipe-Test� • � -
36. Hood or Canopy • � ' �� ' ' � . ,
� 37. Flnal Factory Fireplace � � ' ' �
38. Final Plumbing ' ; , " ' . .
' 'n
39. Water Service-Final � . . � � � � .
40. Gas Service-Final : ' �: � � - � .. ,
41. Solar pomesticFinal � � � � ,
42. Backflow Preventer ' '
, .
43. Backflow Irrigation . �
44. Landscape Irriqation System � - � �
45. Sound Attenuation ..�. - ' '
� 46. Handicap Regulations • �
t
47. FINALSTRUCTUFiE&BUILDING , �
48. FINAL PLANNING ' � . '
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
N0. Date