HomeMy WebLinkAbout139 ROCHESTER ST - Building Permits j ,.,�--�""" Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. r
CITY-OF S�1 .a'rry_Y/E$A CONSTRUCTION PERMIT PERMIT NO. TRACT NO. • LOT NO. UNIT O. . . -
. Project Address 09 tPc-/77,47-6A 5! ' 5 • 196t,
Applicant's Mailing Address (GAO PGS P lsNT/H �-✓l' TYPE OF CONSTRUCTION U NEW ❑ ADD U ALTERATION U -REPAIR C % ' ice
El CONVERSION DEMOLISH ❑ OTHER i •
'Owner's Name BI f/ Pi411N A N Phone S4! -.“ 77 A.P-# . t& t!..-St `\ Zone
Address /CM P/.A n1/21:/11 7`/,4- /Wee= -O57A- Nt,i�4 DESCRIPTIONO WORK/USE O�BLDG.
�' ) S S . Main Building: ✓� Acc�ysaory‘B ui�ding: Z
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Arch/Eng. - _ License No. TYPE OF PERMIT r GRADING LJ FOUNDATION ❑ STRUCTURAL T Front ` t�\J J 0
❑ TENANT ❑ ELECTRICAL. ❑ PLUMBING ❑ MECHANICAL -A Rear 1S /,�-•"� N
Address /¢�
/J/7/ Pffie)/ ✓6.4 - Phoneswr-07r ❑ 'OTHER {' nn
Contractor's Name C Right k‘ '_�-cc h R1GV� G
PROJECT DESCRIPTION SQ. FT. - OCCUPANCY
Address(mailing). CO
K �� i
CONSTRVCTION,TYPE VALUATION $ I n�O S Left (+1'�y L
City License No. ZONE - GRADING CU.YDS. ACRES - R
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LICENSED CONTRACTOR DECLARATION _ Ping.' Ref. # Parking Req./Provided E
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: 0
- Planning Notes: M
•
with section 7000) of Division 3 of the Businoss and Professions Code, and
my license Is in full force and effect. T
License Class 0 14 No. • S
' Date Signature PLUMBING I FEES r
WORKERS' COMPENSATION DECLARATION Bar Sink Showers '
'ereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES c
' Workers' Compensation Insurance, or a certified copy thereof (Section - Backflow Preventer Service Sink
JO, Lab. C.) Automatic Washer Transformer 0 15-50 KW
Policy No. Company Backflow Irrigation 1 j Sewer Cap 0 50+ KW I •
BCertified copy is hereby furnished. . Construction Pole Sub.
Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter Oup to 100 amps 1
Date Applicant
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers ' Solar Collectors _ Dishwasher Meter Dover 100 amps
(This section need not be completed if the permit Is for one hundred ($100) or '
less). Dishwasher i • 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 • Motors❑0-1 HP ❑1'h-8
Worker Compensation Laws of California 0 '
Date 7—a —Ts' Signature /�"� ` / 14f-rtt1/4c Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 HP ❑16-15+
'NOTICE: If„after making this declaration, you shd 'd becotile subject to the
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Workers' Compensation provisions of the Labor Code, you must forthwith - Floor Sinks - • -- Urinal -
comply with such provisions or this permit shall be deemed revoked. Fixtures Microwave - —
CONSTRUCTION LENDING AGENCY r . Gas Service Outlets Water Closet
I hereby affirm that there is a construction lending agency for the performance Device Boxes Pole Light
of the work for which this permit is issued (Section 3097,Civ. C.) Interceptors Water Heater , . IOutlets Range •
Lender's Name •
Lender's Address' - r Kitchen Sink - - Water Service - Switches '
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 P ;Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair P-Trap •
Laundry Trays Generator ❑0.5 KW ❑5-15 KW
any'structure, prior to its issuance, also requires the applicant for such permit • Trash Compactor r
to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains
' the Contractor's License Law (Chapter 9(commencing,with Section 7000) of - ,
•
.'tivision 3 of the Business and Professions•Code) or that he/she is exempt • . -
'yarefrom and the basis-for the alleged exemption. Any violation of Section x 1.5 by any applicant for a'permit subjects the applicant to a civil . . -
< s4sna Ity 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 , 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 - DEVELOPMENT SERVICES REQUIREMENTS: •
employees, provided that such Improvements are not intended or offered for Boiler i Hood or Type I 0
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 Zoning Approved By Date— - -
pletion, the owner will have theburden of proving he/she did not build or im- ' Duct-Under Ground •
Building Approved By Date
•
prove for the purpose of sale). , �,1 ,�
-p
0 I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By • c t4 Date "J/(8
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 ' •contracts00-100,000 BTU 0100,000 BTU SUMMARY OF FEES
builds or Improves thereon, and who for such projects with aeon-
tractor(sl license pursuant to the Contractor's License aw). I am aware that Exhaust System 0 Multiple❑ . System Repair/Alteration c BUILDING PERMIT $ , I7-fo ' SMTP $` • SO
proof of their Worker's Compensation Insurance should be provided to me. PLAN CHECK $ PERMIT
• ❑•I am exempt under Section B.& P.C.for this reason) Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ S. _ ISSUANCE $
Date '7�!A—tf Owner 'u"_ . .•n. . - - Heating System& Ducting Registers ENERGY P.C. $ '
❑0-100,000 BTU ❑100,000 BTL • - PLAN CHECK 25% $
I hereby certifyorect.l haverread this y with ln and • ate that the aboves ELECTRICAL $ GRADING $
Information stat lola Is Gelatin agree to comply with all cidy and cuth irepre- $
and state laws relating to buildingterconstruction,and- herebyion authorize teeter PLAN CHECK 50% $ - MICROFILM
inspection
of this city to oter upon the above-mentioned property for
TOTAL FEE $
i ignat re pyrpps 4. num el - Date7-4--85 MECHANICAL S. _ 2•Z-SO
Signature / ,
CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink - Accounting; Goldenrod -Assessor
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CONSTRUCTION AND PLANNING POO' SPA
APPROVALS Permit# Date Inspector APPROVALS Permit#• Date Inspector
J. Temporary Electrical Service or Pole 52. Pool & Equipment Location
Ne. Soil Pipe-Undrgrnd. 53. Steel Reinforcement •
()Gi.-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-GUN ITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. -. 60. Backwash Lines,P-Trap, 0 Undrgrnd. • •
10. Structural Floor System 61. APPROVAL TO DECK •
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 8teir GES 63. Heater & Vent-Final •
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing . 65. Electrical-Final
I 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 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 PREY. 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
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
48. 'Special Requirements Completed
49. Electric Release to Edison _
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No Date
T 11111111, ._ ___ • .
COUNTY OF ORANGE
BUILDING DEPT. .
Permit No 5 -o
636 No. Broadway Application for Building Permit
Santa Ana, California
Phone: ICI 2-6211 AND FOR A
Certificate of Use and Occupancy
. / Y 0. •
, Date )1119/ r ( Va ,.
1. OWNER'S NAME ii-2t .,_......• PHONE•
MAILING ADDRESS i ? leo-C-1....e----12 -tte --2,14, CITY .40-e-- -• .72-r-e4+e-.1/2..e
Name 4ce....e...-rn..e....1.--' Name a1/4-0,--,...z,e_.4..„.
(Architect or Engineer) (Contractor)
Address Address
City City
State State
Lic. No. .... . ..________________. Phone Lic. No. Phone
A.
PROPOSED USE: fb..Lik-tit•-•4_- awidatirC
2. JOB LOCATION____/07_7 Ws eta, 77Ceicac.,
(House No.) 7,Nante of Street) (Town or School District)
3. LEGAL DESCRIPTION: Lot .-- Block Tract -2.• 7 P
(Metes and Bounds Description—Use reserse side of form)
4. CORNER LOT ( ) INTERIOR LOT ( ,?ç ) THROUGH LOT ( • ) SLOPE OF LOT ( )
5. SIZE OF BLDG.• ../..3.S.Caei AREAS SIZE OF LOT- 5°A ire) AREA:
6. HEIGHT OF BLDG • — CEILING HEIGHT• cr ' NO. OF STORIES
7. NO. FAMILIES / Size of Smallest Bedroom: Size of Kitchen:
8. EXTERIOR WALL CONSTRUCTION:_bartiard INTERIOR WALL COVERING 1-1424;-1.4
(Frame, Stucco, Etc.) 7 (Plaster-Drywall, Etc.)
9. SETBACKS: Front Yard from Center Line of Street _5-0
is 1 fi (I
Nearest Side Yard "T ---1/ Rear Yard (E 0 ( Distance in Feet Between Bldgs. on Same Lot
10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH.
1 (I
11. For (a) Footing: Width 0
)4((Depth in Ground / i.. i- Width of Wall . V
Accessory
Bldgs. and
(6) Size of Stiudi• X li Spacing 14 "CC Material of Floor etaad... 21
Similar .• (
Structures:
(c) Size of Floor Joists: Spacing "CC
(d) Size of Rafters: .2.Xii Spacing "CC
12. VALUATION OF PROPOSED WORK: Including all labor, plumbing, electrical wiring, heating, fire sprinklers, paint-
ing and sewage disposal $
. . , .
13. I HEREBY CERTIFY 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 OF CALIFORNIA APPLICABLE THERETO.
Signed: 71," 4./ice"ect.--C.--e---
Plans Filed• /4 £7,7( (Owner)
By•
(Authorized Agent)
FOR DEPARTMENTAL USE ONLY
FEES: ..---- CHCACTIG BY
Bldg. Permit - $.. 4"" GROUP ----_________. APPLICATIOI•P tZ'.1 i F4EALTH
Plan Check - $ TYPE FIRE
ZONING
Total - - - DIST. 6 ... /±/ MARSHAL
PLANS AND
Receipt No. - - .12.1 MAP
SPEC'S STATE
Date
Paid to - - ___../ SHEET NO
CORRECTIONS ENGINEER
/ xf ..r i ;
VERIFIED CAL
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PER . iMUIDe 337.1(27-HUE, couiNNSTypEscuTg_DINGR
DATE \ DEPUTY
/ / '
I -- ..
ir, CY)42
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METES AND BOUNDS DESCRIP1-_N:
110 210 310 4!0 510 610
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