HomeMy WebLinkAbout256 SANTO TOMAS ST - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CIT'7OF�SV.MESSA CONSTRUCTION PERMIT PE IT NO. / / / TRACT NO. LOT NO. UNIT NO. 3757 II /07/85 2005U' 1'L
- Project Address 256 Santo Tomas •
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. Applicant's Mailing Address 126 Commercial, C.M. 92627 TYPE OF CONSTRUCTION L I NEW ADD IXC ALTERATION Li REPAIR
Ernst W/nckler646-8587' ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# - I Zone
Owner's Name Phone DESCRIPTION OF WORK/USE OF BLDG. '
Address 256 Santo Tomas, C.M. 92626 S Main Building: Accessory Building:
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Arch/Eng. License No. TYPE OF PERMIT LJ GRADING LJ FOUNDATION STRUCTURAL E Front ' 0
Address IIITENANT ElELECTRICAL ❑ PLUMBING ❑ MECHANICAL BA Rear -' N
548-5569 ID OTHER Contractor's Name Crank Bros. Roofing CO•Phone �f� C Right N
PROJECT DESCRIPTION SQ. FT. 1,977 .1-s� OCCUPANCV.S 1,22:1e
Address(mailing) 126 Commercial Way C.M. 92627 CON ST RUCTION TYPE resident ial VALUATION$2.885. _ S Left G
• City License No. 005993 ZONE GRADING CU.YDS. ACRES R
LICENSED CONTRACTOR DECLARATION - Ping. Ref.# Parking Req./Provided . E
1 hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: Q
M
with section 7000) of Division 3 of the Business and Professions Code,and
I • -my license is in full force and effect. 77 T
,f License Class -39 lit .e No. S
Date ///4/135 Sig 7'-iw. i�- / PLUMBING •
FEES
WORKERS' COMPENSATION...ECLARATION Bar Sink Showers
I hereby affirm that I have a certificate of consent to self-Insure or a certificate • ELECTRICAL FEES
of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink
1800, Lab. C.) Automatic Washer Transformer 0 15-50 KW
\ Policy No. PWC 1184462 Co anyHome 1 S Backflow Irrigation Sewer 0 50+KW
9 Cap f Construction Pole Sub.
Certified copy is hereby furnished. // -
t Certifige,qq cp,,qqis filed with the city i ite • / q Co. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
Date 11/zF/tS7 Applicant OF
EXEMPTION FROM WORKERS'COMPENSATION DECLARATI N Clarifiers • Solar Collectors Dishwasher • Meter Dover 100 amps
(This section need not be completed if the permit Is for one hundr ($100) or
less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel
I certify that In the performance of the work for which this permit Is issued I
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan -
Workers' Compensation Laws of California. • Motors 00.1 HP 01%:8
Date • Signature Floor Drains Swimming Pool w/Spa F.A.U.
Inc.Solar ❑9-15 HP 016-15+
'NOTICE: , ter making thisdeclaration,is you should becomesubject to ite
comply
Workers'lCompensation provisions of the tr Code, you et forthwith Floor Sinks _ Urinal. Fixtures ��� Microwave -
CONST with such provisions or this permit shall be deemed revoked. --
CONSTRUCTION LENDING AGENCY • Gas Service Outlets Water Closet -
I hereby affirm that there is a construction lending agency for the'performance - Devic¢BO%e$ Pole Light
of the work for which this_permit is issued (Section 3097 Civ. C.) • InterceptorsWater Heater Outlets
Lender's Name Range
Lender's Address - - Kitchen Sink Water ServiceSwitches
OWNER BUILDER DECLARATION Sign
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal
following reason (Section 7031.5 Business and Professional Code: Any city or • 9 ;Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair P-Trap • Laundry Trays Generator 00-5 KW❑5-15 KW
any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains r
the Contractor's License Law(Chapter 9 (commencing with Section 7000)of -
Division 3 of the Business and Professions Code) or that he/she is exempt -
therefrom and the basis for the alleged exemption. Any.violation of Section
'031.5 by any applicant for a permit subjects the applicant to, a civil
enemy of not more than five-hundred dollars ($500).
' ❑ I, as owner of the property or my employees with wages as their sole Reinspection•Fee- I - $15 Issue Fee $ 3
compensation, will do the work,and the structure is not intended or offered _ Reinspection Fee I $15 . Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's' MECHANICAL I FEES
License Law does not apply to an owner of a property who builds or improves
thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I 0 DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered for Zoning Approved By
sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II 0 nate •
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date
rove for the purpose of sale). C
I, as owner of the'property,,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By / 1-7 -Oy'7— nate
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 0o-100,000 BTU 0100,000 BTU SUMM RV AR FEES lT
builds or Improves thereon,and who contracts for such projects with a con- pt•eJ 6l{J S (!
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ s SMTP $
proof of their Worker's Compensation Insurance should be provided to me. PLAN CHECK $ PERMIT
0 am exempt under Section B.& P.C.for this reason' Firepl/Fact.Blt. ICBG# Fire Dampers . •
PLUMBING $ ISSUANCE $
Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,0006C - '
information is correct. I agr•e to comply ith all city and county ordinances - ELECTRICAL $ GRADING $
and state laws relating I •ing cons ffjlllction,and hereby authorize repro- PLAN CHECK 50% MICROFILM- $
sent of this cit e Pr upon e above-mentioned property for - $ `
insp: poses MECHANICAL $ . OP e-
Slgnatur _-' ��J Date- TOTAL FEE $
r ' 1114185 Reinspection Fee I $15 Issue Fee $ 3 PLAN CHECK 25% $
Driversp' fisc Or SS'/P __
' CMF 086 •.,rev. 10/84 white . Building: Canary -Applicant; Pink -Accounting;Goldenrod - Assessor - -
CONSTRUCTION AND PLANNING POOL 'A •
\ APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector
•,11. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical OF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings r 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 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 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
= 19.1Rough 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 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing - 73. Undergrnd.Storage Tank 0 Gas 0 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
31. Plaster Brown Coat • 79. FINAL INSPECTION
32. Electrical Power Meter-Final 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 t
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING /212. ' Vc
48. Special Requirements Completed
49. Electric Release to Edison •
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF-OCCUPANCY
No. - Date "'
VYP1Yrale 'V ' ', V LAY. L' a -VV
JOB ADDRESS 256 Santo Tomas BUILDING PERMIT NO. 25413
GENERAL CONTRACTOR Guaranteed Homes DESCRIPTION OF WORK Residence w/att.garage
AP No, 319-164-0P LOT TRACT FIRE ZONE VALUE $ 12,700.00
INSPECTIONS I Signature Date GROUP I&J TYPE V ZONE R-1 -
Soil .41-/-.- t'-'- PERMITS ISSUED
Gas SUBCONTRACTOR I Date J Number 1 Signature
Water Plumbing
Rough Plumbing7r-� t tvntdi, .cl`L -S�/-6,i, H7//5 Kc
Prop. Swr. Line[J House Con. lii /[it r�''cC eF-7-6(Q ctsta/ /xw
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning /IC ç4' - .
Temporary Service or Pole
Underground ❑ Power 0
Rough Wirth 1 FS4 Heating and Vent.
Trenches Forms (Y/,teelReinf. e /L 7 6(� TA/in/6i 2/4/42.0, 4-/-(-6 54/76 /Ye-.
Floor System `f' /Sony[ ti( J.,,)n • ,:. ,[x-4/9'44,,,,,/1
Bond Beam 0 Steel Reinforc ❑ ---t
Sheathing /f,%;'- 4//a6
Frame and Flas g c cG
Lathing—In 1P Out i� CZ
Plaster, Brown Coat o I 6,a
Structural, Final �'0._ 7c6 Electric
Heating, Vent., Ref rig. and A.C., FinpJ-� [ - t--}�J,yl/YC�Q, 9Ooc, Ai, 9-/3-(4, 6F515
Plumbing, Final and Gas Test ge"-f /�F� ('g'-go
Electric, Final 'z vc
Building, Final
• • 25413 ( CITY OF C STA MESA
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92020 - --
196
For Applicant to' Fill In Completion APPLICCA�TION FOR PERMIT
TYPE OR PRINT
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RECEIPTNO. PERMITT�NqO
COSTA MESA. CALIFORNIA A .e.:1 5--
mai Air DA RECK D DATEJSSUED
OWNER C. /� S10iT r3 �S 66� tom. rr G�
MAIL y ADDRESS -2 p �Al J O ef.S
ADDRESS")23735 w»/4/!� �-y� �}. .-
�(/�(T ��J TEL SK? ZONE TYPE�1L GROUP. --C" -_
CITY 6IN(� /f/�G� " NO. r tet -
ARCHITECT // TEL Ca 7 APPROVED
BY'
DATE
OR ENGINEER 4cl/�- P•..! �f1 .7'L.
l'' �G. //� ZONING
ADDRESS //J6 C7 ZWeeP4/�✓L! 1/L�
G C ZONES I MO.OP UIEOPNEW /,I
�� ^ . ►CANS �I'BUILDING � �,W
CONTRACTOR l.v rn•-4-y44. 7 of 7.,.
/// LEGAL ��, 3 7�O
ADDRESS �✓6. /Last:02:0 DEECRImox / g. y"�' '
CITY //Gs��-a'S.7 G:Car L A.P.NO. I! / - / 6
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
LC..TNiO. /722J Tit 5f7,/7G°Z sr TO SIDE B REAR p.L.
VES
OPL ,I OT c /14r— I Now ON OTs• c, ALLOWED (U.B.C.REQUIREMENT)
USE OF 6, YARDS APPROVED YARDS APPROVED
UXISOING BLDG. MAIN BUILDING ACCESSORY BUILDING
(FROM C/L STREET)
r.
SETLINE FROR _a f FRONT Scr.
Fr.
CENTER BACK OP STREET ..)0 REAR YAR_D7z
SIDE YARD I Lin .vr/ I RIGHT ///O R•SIDR //
/ Fr. PT.
DESCRIPTION OF WORK L.SIDE S FT. PT.
NEW ALTERATION ADDITION REAR 7OZFTS• FT.
DISTANCE BET. BET.MAIN et
REPAIR MOVING DEMOLISH MAIN BLDOH. ACCESS.BLDOH.
BU I LDI NO.�7/ /Y 2/NO.OF VM.# DATE
812E �/7�0 \ ROOMS S STORIED / C.SI.P.# APPROVED
EXTERIOR WALL I ROOF // AFRROVEyt' A / /�.-/P-6 G
COVERING SZLCC/ COVERING .0 SYLI� U t U� . _iy/ DATE J /1
USE OF BUILDING AND WORK TO BE MIRROR P'�� p•
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&,fJ2 'JC,r - cec) • — t
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�Cr//GZPL4Pyr-a4 ZJ � /� BQ.FT. '`I C 2
1 HEREBY ACKNOWLEDGE TEATAD THIS APPLICATION TME AMOUNT SHOWN UNDER VALUATION IB FOR THE C
AND STATE THAT TME ABOVE 1 AND AGREE TO COM. PURPOSE OP ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATINGft
BUILDING CONSTRUCTION VALUATION 00 '-T mcg }
(/'/�f���p� PERMIT FEE S / f• D7
PERMITTER SIGNATURE OF 1 (`01- +�..+' /2S/� ^ 00
S (2� 70o PLAN CHECK S K.1 9.
AUTHORIZED AGENT 1 / -T
TOTAL FEE S (��