HomeMy WebLinkAbout3133 VAN BUREN AVE - Building Permits •
PROJECT ADDRESS: 3133 VAN BUREN AV UNIT` CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B O3479
[W.wSNAME: PARTIDA, ADAN
ADDRESS: 3133 VAN BUREN ST PERMCT NO: B 053479 PLAN CHECK NO; N GOVT; N SUPP: N
COSTA MESA, CA 92626
CONSTRUCTION TYPE: V-N PERMIT TYPE: SIR PURPOSE: A,41
ARCH/ENGINEER: 434-811 6 REG.NO.: -
ADDRESS: UNIT:
JOB DESCRIPTION : T/OFF RRESHT REROOF W MAXITILE SQ F.'; 7, 000
PERMITTEE: CLAM. VALUE: 7, 000. 00 CALL-VALUE; 7, 000. 00 GROUP OCC: R-3 /
ADDRESS: QUALITY HOME IMPROVEMENT ( 7.13) 463--5135
235 N GRAMERCY PL COMMENTS ; REROOF W MAXITILE 1CBO #3682
LOS ANGE..ES CA 90004 #) **.*YE if it**1E* Y(**K9Eeat N7Eetk*1F#kTE*x-fEir1ETf*** *** *76#1F7E1E Ifdeik *—*Nk IEtEiE#ie###aF#*#i6Yr:EM**3E#)fie
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7 O N I N G R EQU I R EMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effec(. S ET BA C K S
CITY UG.: 033558 STATE tic.:18875- CLASS: 8-1 ,
----. Date:.6 `2„Q-et I Signature:_ ‘..../CA....,, MAIN BUILDING - ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby allirm lhalI have ace6gicate 01 consent 1osellinsure or a cettilrca .of Workers' FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
POLICY NO.: 0 5 2 2 5 9 6 EXP.GATE: 03/10/92
COMPANY: STATE FUND PARKING REQ: PROV; PARCEL : 14169134 ZNE; REF NO:
-54 Certified copy is hereby furnished. 0 Certified ropy is filed• it the city Building Norsk) . PLANNING N 1 E S>
CCC.
-^ rt`\ f
Date: v+ ���� Applicant: `-•-•••••••-__...`-•-•••••••-__... �J l_. >
�__ #***#*******#*##*####**********if-**##**#*)E****Ye* )40-#****MN********#*1 M*********M
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (Thij section need not be completed if the permit is for one hundredl(Sf00)or less). DEVELOPMENT SER VICES REQUIR EV E N -IT S
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 -
sublect to the Workers'Compensation Laws of Califorrla' ZONING APPROVED BY
DATE:
Date: Signature:
NOTICE:It.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY . DATE• •'
Code.you must forthwith comply with such provisions or Ills permit Oat be deemed revoked. '
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPI.ICATION ISSUED ��a : 0,5'.Z(2
which this permit is issued(Section 3097,Civ.C). —�--�' DATE:T z.
****#*******#*#*** 4`*`Is— niv*••!. *'***' '- **********Kaa*
**
LENDER: ************************************* .************************IE****************
ADDRESS: LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT: Y
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES - GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT T 9 0 .0 Q
repair any structure.prior to its issuance.also requires the applicant tor such permit to the a signed statement that he/she is licensed 70
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SMIP/NON-RES
and Prolessions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a Civil penally of not more than five hundred dollars(5500). ISSUE FEE
I. as owner of the properly or my employees with wages as their sole compensation, wit do the work, and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID ' DUE
❑ structure is not intended or altered for sale(Section 7044,Business and Professional Code: the Contractors'State License Law TOTALS----> 90 . 70 0 , 00 0 . 00 90. 70 90 . 70' . 00
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 employees,provided that such improvements are not intended or offered for sale.If.however the building or
improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 90 . 70 OVER/SHORT: 00
tor the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 90 . 00 . 7 0
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contractsfor such projects with acontractor(s)licensepursuant to the Contractors'State License Law).I am aware ********#**#***********le-*****#****#*************Ye*********•**Ye********M*********
that proof of(heir Worker's Compensation insurance should be provided to me. I N D I V I D U A L F E E B R E A K D O W N
❑ I am exempt under Section: B.8 P.C. ''
lorthis reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date; Owner: SFR 7000 REROOF BY VALUE RESIDENTIAL. NOZONE 1 . 00 7, 000 . 00
I do hereby cenlfy that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533.and
25534 and that I or any future building occupant willAvill not(drcle one)need to comply with said slate codes and the requirements for a END OF FEES
permit for construction or modification from theAir Air Oupbly Management District.Residential construction applications are exempt from
these provisions.
Dare: Applicant: -
I hereby certify that I have read this application and slate that the above i ormation is correct.I agree to comply with all city and county
' ordinances and state laws relating to budding construction and hereby audio ze representatives of this city to enter upon the above-mentioned
properly for inspection purposes :C - .. � t•j`1
r -.
Date: QQ— Signature; - c DUE:
3:.....0.01 T'CL/
Driver's License or Social Security M:
1641.46 White—Building;Green—Code EnforcemenCiCanary—Applicant;Pink—Revenue:Goldenrod—Assessor
' POOL .,PA
CONSTRUCTION AND PLANNING
APPROVALS Permit Date Inspector APPROVALS 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. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ 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. 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 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
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 /(�3!-y 5 ���-e ,/ , - ( -
48. FINAL PLANNING r l�
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
90744 FEE RECEIVED
4 COSTA MESA BUILDING-SAFETY DEPARTMENT OCT T 1963
P.O.BOX 317 COSTA MESA,CALIFORNIA
FINANCE
\ For Applicant to Fill In Completely CIAPPLQEAPIOia^F01t`PERMIT
TYPE OR PRINT BUILDING
BUILDING For Office Use Only
ADDRESS 311) Va.nBuren Ave' RECEIPT No. }I ADA
COSTA MESA, CALIFORNIA Y'i
RECII9ID By OA [R[C [D 3 /�GATE 188-6D
s
DWNERNorthoate, a nartnPrchln
- '
BUILDING
MAIL
ADDRESS 25949 L•asr^20rP..9 Jt. ADDRESS
FIRETEL. I/ _
CITY Fountain Valley NO. 511F?Q, ZONE TYPE GROUP \7'
ARCHITECT THL- APPROVED DATE
OR�"GINEER C . Hiller NpKe52007
Anaheim ZONING , .4,
ADL...-SS
7.171g1 NO.OP``/ U8[OPN9 L
I PLANS/ I BUILDING( ( ,N
CONTRACTOR Tjny)e % C'Or..} , Inc. LEGAL
��,///�/����/ .V (` j� CI
DBQCRITON/...-D / �3 6 r l—l.' 1
ADDRESS lS939 LaSF2OreS St.
CITY Fountain Valley A.P.NO. � --r
/.T NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
LIATE TEL.
C.NO.21 KOLL9 NO. 5316/92 30'TO SIDE&REAR P.L.
EAVES
SIZE OF LOT 601 Y1 00 1 I NOOP
ON Lomnn P_ ALLOWED (U.B.C.REQUIREMENT)
YARDS APPROVED YARDS APPROVED
USE OF none MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
(FROM C/LSTREET)
SETBACK LINE FROOMM/
CENTER OF BTRE6kYK 1 REAR YARD-1 6 1 FRONT S FT. PT.
i
SIDE TARO I LEFT T+L1 RIGHT 5 1 R.SIDE FT. FT,
DESCRIPTION OF WORK L.SIDE . )((S FT. .3 1'REAR 3/ FT. .� FT.
r`
FT. FT.
NE X ALTERATION ADDITION —
DISTANCE BET. BET. MAIN 3
MAIN BLDGS. ACCESS.BLDGS.
REPAIR MOVING DEMOLISH
6
VAR.* DATE
Minn IE LD�100t�q-,1 S . ft ROOMS STORIES 2 C.U.P.., JI1- APPROVED
COVERING
EXTERIOR WALL StUCCiGOVERING Sh ln/Tl� BYPRO\r \l DATE /c,-- `t-
USE OF BUILDING AND WORK TO BE PERFORMED -ice_
single family res . w/att.aara g
If/
N
SQ.FT. T
I HEREBY ACKN•' b THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE TH AND AGREE TO COM• PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. X
O
PLY WITH ALL •��j T¢ LAWS REGULATING VALUATION / / n
BUILDING CON• RUCTION l/G• (/C_•
SIGNATURE 0 I' PERMIT FEE $ m
PERMITTEF ��/'Y ''J
$ P Soo-- PLAN CHECK $ 3 3 � X
J o
(��j L
AUTHORIZED AGENT TOTAL FEE 5 % /
WEIflE'WORPH. WTTTTAM
JOB ADDRESS 3133 Van Buren Avenue BUILDING PERMIT NO. 27686
GENERAL CONTRACTOR Tri Delta Construction DESCRIPTION of WORK Detached Patio
'D. 141-691-34 LOT 36 TRACT 5905 FIRE ZONE VALUE $500.00
lb ECTIONS Signature Date GROUP ,T TYPE V ZONE R-1
GASL SUBCONTRACTOR PERMITS ISSUED
Date Number I Signature
2 WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE n HOUSE CON.
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER f
ROUGH WIRING^ Heating and Vent.W
TRENCHES FORMS STEEL REINF. fl aliA-P-F+7
FLOOR SYSTEM ��
BOND BEAM E] STEEL REINFORCE n
SHEATHING � (0-]6"-G/
FRAME AND FLASHING
LATHING - IN n OUT n
PLASTER, BROWN COAT
S TURAL, FINAL Electric
HL....NG, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST n -
ELECTRIC, FINAL (9).J. 11/.7 /1 s
BUILDING, FINAL / , I •
a • - 27686
7 PAID
COSTA MESA BUILDING-SAFETY DEPARTMENT OCT -4-67cr,sr,OO 101 F. ,'. ;
P.O. BOX 1200 - COSTA MESA• CALIFORNIA 92E2I •
For Applicant to Fill In Completely _ APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING , 4 For Office Use Only
ADDRESS _ - -
COSTA MESA. CALIFORNIA ror• - *1/4
IIMMIntinallic ADDRESS
✓ FIRE
/9^
+ ZONE TYPE (L�- GROUP /
+ APPROVED ��: /D-y_/7
NGINEER NO.
DY �ri{ DATE / to
ZONING\: ADDRESS ��Y _
ZO NO.OF 1I USE OF NEW V
' / p . PLANS )/I BUILDING I
/SAW �Q�� - v1 ' .a• r
ADDRESSSS/ �J /y/ •&.E�e 1 Al'&11
LEGAL
I - - r �U��
CITY `7�iT_i �7 ` ) p�t7 /� . A.P.NO.
C.NO.�3 et//J NQS /) /� 60pO BOT TO BIDE a REAR E: NO EAVE OVERHANG 8HALLB8 LESS TH
EAVES
SIZE I NO.OF SLOGS. ALLOWED (U.B.C.REQUIREMENT/
7.1 OF LOT 1 NOW ON LOT
YARDS APPROVED YARDS APPROVED
USE OP MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. .1 —
SY {FROMC/L STREET)
SETBACK LINE FROM FRONT FT. • FT. i fir
- CENTER or STREET REAR YARD
7. SIDE YARD LEFT I RIGHT
DESCRIPTION OP WORK
:`` . 'J�1 TERATI N ADDITI•N REAR PT.
DISTANCE BIT.
REPAIR MOVING DEMOLISH MAIN BLD•S. - S.
SIZE
BUILDING it X V ROOMS APPROVED
[i• EXTERIOR WALL I ROOF �/ A I
COVERING COVERING I _ .•
is USE OF BUILDIRS/�AJA�NryO 1(1TO BE PQR/F/ORMED '11.11111I (L
751
i. .l�vL L���.��{.IC_Q
SQ.FT.
0
. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE j
AND STATE THAT THE ABOVE IS AND STATE
TTAND AGREE TO CON- PURPOSE OF ESTABLISHING A PERMIT PEE ONLY. )17
CPLY WITH ALL CITY ORD)NANCES AND STATE LAWS REGULATING
BUILDING COwTRUrnON. [�j/-/� //JJ ////i����'/L VALUATION �'0 01
SIGNATURE
OF 7•z(I "� -4
PERMIT FEE $ F
/ 'IC:yyy� �,T✓ a �-1 0.C
AUTHO D AO • `/ Y / sV DO - _• .... �—e,6
.. ..A ...x•^ - -::>•v .�:•�..��.-._. TOTAL FEE