HomeMy WebLinkAbout935 18TH ST - Building Permits�
Pfl0.1E�T p00flE55: 9 3 S W 18 TH S T
OWNEN'S NRME: SAUNDERSON, ELEANOR JANE
ROOflE55: TR
2769 BLUEBIRD CIR
COSTA MESA,CA 92626
ANCHIENGINEEFl:
AOOHESS:
PEG.NO.:
uxiT:
UNIT:
VEHMIiiEE: FIRE STOP ( 714 ) 569-0016
aooeess: 1253 S. WRIGHT 0
SANTA•ANA CA 92705
LICENSED CONTBRLTON OECIABRT10N: I �e�eGy afiirm that I am ticense0 un0er pmvisions of CtuD�e� 9(commencinA vnth Section
7000) 01 Oivi9on 3 0l ��e Business aM Pmfe55ions Code, and my license is in lull larce and efleci.
ciTv uc.:0 4 2116 STRTF LICS O 1�i 1 9 ��'SS C-16 �
oa�e: _3—t —93 SiAnature: ��� �
WOHNEFS' LOMPENSRTION DECIABATION: I nere�y aftirm Inal I nave a cenificate of �pnsent to selbinsure or a cenilicate ot Workers'
Comoensation Insurance. ar a cerlilietl cooY ��ereol (Section 3800. La�. C1.
roucrNo.:pWC182643 EI(P.D4TE:OS�SS/93
COMVqNY:GOLDEN EAGLE
� C4tlilieA topy �5 hereby �umi5�¢A. R� Cehilie0 copy 4 �ileA wit� tAe ti�y BuiWing Division. /
Date: _ 3—\ —73 MOlican�: /�/t—�.. �� a ��I/4'�
E%EAIFlION FHOM WOXNEHS' COMPENSl�710N DECIAIiATION: (ilYs setlim nee0 iroi Ce rn�mlete0 il ihe pumt 61w one hw7reE (StOp) or less�.
I cenity itWt in ine periarmdnce of ine wOrk Ior whicn tN5 Detmit is issue0. I shall not employ any persan in any manner so as to �ecome
5u0jec� �o ihe Workers' fAmpensaiion Laws O1 Calilamia.
Date: S�'gnafure:
NpTICE: If, after making ihis Eeclaratian, ynu s�ould bewme sublect to the Workers' Campen5ation provisions of Ne La�or
Cpae, you mus� �onhwil� comply wilh wc� pmvisions or ��is Dermil shall De OeemeE revoketl.
CONSTpUC710N LENOING pGENCY: I AereUy afiirm ihat t�ere is a consiNction lenaing agency tor tAe petlormance ol t�e work br
wAic� �his p¢rmilis i55ue4 (Seciion 3097. Civ. C�.
LEN�Efl: �
I AUOAESS:
OWNEp BUILDEB UECIAflpTION; I �ereUy aVirm Illdt I am enertlpi Imm I�e CAniraqors' State License Law lar me lollowing reason
.�SecliOn 70.31.5 Buvness antl Prolessional COEe: pny ciry ol coumy whic� repulres a permit m consimct, alter, imprwe, UemolisR ar
' repair any simcture. prior to its i55uance. al5o r¢puires Ihe aDVlitdnt for sutl� permit b lile a 99neG statemenl iha� �E/s�e is licensetl
pursuanlloihe provi9ons allhe Conlraclor5' Slale LicenSe Law�COapler9�tOmmencinp vni� Sec�ion 7000�ol�ivision 3 af��e Business
antl Protessions Cotle) or tha� he/sne is exemp� therelmm anA the �asis for tne alleAeO e�emption. Any viota�ion ol Section 703t.5 by
any applicani lor a permi� Su01eCi5 �h¢ ap0litanl �o a tivil penaliy ol nol mor2 I�an Me hunGreA tlallars �5500�. (/ �
I, as awnet ol �be prop¢ny or my ¢mployees wit� wapes as I�eir Sale compensalion, will Co I�e�wurkr ntl ��e
❑ stmcwre is not inten0ad ar offeieG lar sale (Section 70d4. Business and Pmlessional CaOe: T�e Conlractors' State License Law
does not aDDN �o an owner ol a proDeny wtq WiIEs or imprwes t�erton, anO wtw Uoes suc� woM1 himull/�erull or thmuAh
�is or �er own employees. D«� ��� wc� imprwemenis am not intenOeC or oifereA lar ule. II, Mweve� ihe EuildinA or
imD�ovemenl i5 SoIA wil�in one year 01 Cam0lelion, I�¢ Owner vrill �av! t�e C�rCen ol pmdnp �e/She GiU nol builE or improvu
lor Ine purpose ol Shce).
I, as owner af ine Dwpeny, am e�clusiveN contractinq wit� IicenseG comractors to consimc� ihe proleci (Seciion 7044, Business
� ana Rolessions COAe: Tne Comractors' State Liceree Law Uces iro1 aOdY �a an own¢r of praperty wno CmICs w imD�wes thereon
antl wna camracts lor sucn O�ojects vnin a contractor(sl lirense Dursuam ta t�e Contractors' State License Law�. I am aware
I�ai 0�001 al Iheir WOrk¢r'S Campen53�i0n in5urance 51iouIG b¢ Omvitled lo me.
� I am erempt untler Seclion: B. 8 P. C.
Iorlhi5 reasan:
Oa1e: Owner.
i tlo �ereUy cenily ihai I am aware ol antl unaers�antl tne reQNrertrenls ol Calitamia Mealth ana Safety Catle Sections 2550.5. 25533, ana
2553C ana inat I or any Wture Ouilaing occupant wilNvill not (citde one) neea to compy wi�n sai0 state cotles an0 �ne �eduiremenis lar a
Oermi� �0� ConSimtlian at moOilitaiion UOm IAe Ai� Ouabiy ManaAemeni USlrici. Re5i0¢niul con5iru[lion ap0licaiion5 are eKempl imm
I�ese p�ovisians.
Oa�e: Applicant:
I h¢eepy Cer�ilyihal IAaver¢a01�i5 a00�italion an0 Siale�ha� Ihe aEoveinlormalioni5 Correc�. lagr¢e lo Comply vrith ali[iry antl tOUnry
ortlinyn[e5 and Siale laws relaling l0 �uiltlmg tOn5lmciion an0 �ere0y aulhor¢e rep�e5enlalive5 0� Ihis ti�y Io ¢nier upon Ihe above-menlione0
p�00ClIy �0� ip5p¢C�iO� O�`fpO5P5. /� /
�aie: 3� I�`/ S Sigwiure: ���/=_�, �{/�-�
�rivers License or Sacial Securiry x;
16at�a6 Wnite—BuiMing; Green—CWe EntorcemenL Canary—ApplicanC Pink—Revenue: GOWenroO—Asaesmr
CITY OF COSTA MESA — BUILDING PERMIT PERM NO; r^ 061172
PERMIT NO; F 061172 PLAN CHECH NO; 00587-93 S GOVT; N SUPP; N
CONSTRUCTION TYPE: 5—N PERMIT TYPE: FIR PURPOSE; OTH
JOB DESCRIPTION : BACKFLOW RETROFIT SQ FT:
CLAIM VALUE: 5,600.00 CALC—VALUE: GROUP OCC: B-2 /
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Z O N I N G R E Q U T A E M E N T S
S E T H A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR; FT IN FRNT; FT IN REAR: FT IN
LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT ZN
PARKING RE(� • PROV; PARCEL: 42436113 ZNE: REF NO:
Pi,ANNING N07'ES>
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D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY DATE;
BUILDING APPROVED BY : DATE:
APPLICATION ISSUED BY; L DATE•
ifiFiElEiEltjFiklfiEififlEiElFitiEi(-ifiElEiE 3f1FiE3ElFihiEiEjfiF ��e . MiE
ik �f if iE fk iF i! It iE it k 1f 3F ik iF ik f! �E iElf iF iE iE iF 1E iF jf iE iE iE �f 1F 3f �E dF �t iE k dF if iF iF 1! 3E �1EiE if ik iF jF ff if M�t k iE 1E R iFlE if iE iE 3E iE 1E aF iE �F iE iE if iE if iE iE iE iE?f
LEGALI2ATION;N F E E S U M M A R Y STRUCTUkAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 9065i SMIP/NON—RES
PLAN 58.50
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 90,00 0.00 58.50 148,50 148.50 ,00
REVENUE DZVISION TOTALS--> COLLECTED: 90.00 OVER/SHORT; 00
BLDG PMT PLUMBING ELECTRIC MECAANIC FIRE SMIP/TOT GRADING PLAN—CHECR
90.00
iE it ik ii iF iE if iE 1(- 7F it iE if iE iF�IE fE iE iE iE iE M ik lE 1E jk ik-)E if iE 1f iF 1F If iE �IF iE ih iE if it 1E iF ik iF iE iF iE iEiE iF it iE �N�-M -IE 1E if dF�N i[� �lFi(� iE-If iE it 3E iE if iE �1f �F iF �%iE if 1E ��
I N D I V I D U A L F E E B R E A K D O W N
TYPE (jTY D E S C R S P T I O N UNIT COST TOTAI. COST
FIR 90 FIRE EQUIP FEE (FROM BI�DG VAL
END OF FEES
��
�
�. l
TABLE) 1.00
90.00
CONSTRUCTION ANDPIANNING ' POC SPA
APPROVALS Permit� Daie inspector qppROVALS Permit,$ Date Inspector
t. Temporary Electrical Service or Poie 52. Pool & Equipment Location
2. So�l Pipe-Undrgrnd. � 53. S[eei Reinforcement
3. Electrical Conduit Utility�Undrgrnd. 54. Forms
4. Electrical Conduit•Undrgrnd. 55. Electrical Bonding
5. Steat Reinforcement 56. Rough P�umbing & Pressure Test
8. Electrital UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7, Footin9s 58. Electrical Conduit�Undrgrnd.
8, Foundation ' 59. Gas Pipe, O U�drgrnd., Test ,
9. Water Pipe•Undrgrnd. � fi0. 8ackwash Lines, P•Trap, � Undrgmd.
� 10. Structuraf Floor SYstem 61. APPROVAL TO DECK
! 11. Rope�ty Sevier Line & HousaConnection 62. Batkwash & Receptor�F�nal
12. Sewer Cap , , 63. Heater � Vent-Final •
13. fioof Drains � 64. Plumbing System � Final
14. Rough Plumbing 65, Electrical-Final
15. Rough Electriw�-Condu�t � 66. Solar System�Final �
�76. Rough Electric Wiring 6]. Fe�cing & Access ApP�ovat
17. Rough 4Viring Sign 68, qPPROVED FOR PLASTERING
18. Rough Electrical-7 Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Ro�gh Fac:ory Fireplace APPROVALS Permit #
21. OuCts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Pipin9 O Gas ❑ Oil
23. Gas Pipe�Rough & Test 72, Underground Flush
3-I9-9J �•
24. Roof Framing 73. Undergrnd. Storage Tank O Gas O Oil
25. Roof Sheathing 74. Overhead Hydro
26. T•Bar Ceiling (Stroctural) & Monomat 75. Dry Chemical
27. Freme and Flashing 76. Ory Standpipe
28. Lathing & Siding � 77. FIXED SYSTEM FINA�
29. Insulation i ; 78. FIRE PREV. FINAL �z1��3 �
' 30. Drywall Nailing � � HEALTH OEPT. REClUiREMENT
�
31. Piazter 8ravn Caat � 79. FINAL INSPECTION
32. Electricat Pov�er Meter•Finai � 80. FOOD CERTIFICATE ISSUED
33. Final Electric � ' Notes:
34. Final Heating & Air Conditioning � I
35. Final Gas Pipe-Test , j '�
36. Hood or Canopy I
37. Final FactorY Firep�ace 1 �
38. Final Piumbing '
39. Water Service-Fina� i
40. Gas Service�Final � � I
41. Solar pomestic-final � '
I
42. Backflow Preventer �
43. Backflow Irrigation �
44. Landscape Irripation SYstem �
45. Sound Attenuation
46. Handiwp Regulations
' 47. FINAL STRUCTURE & BUILDING � �
48. FINAL PLANNiNG
49. Electric Release to Edison i �
50. Gas Release to Southern California Gas Co � :
51. CERTIFICATE OF OCCUPANCY
No. Date
j . � `� ,.
� ^'`��' Crty of;Coita Meu �
- - Building Safety�Department
4 P.o. eo. izoo
, _ Costa Mesa, California
i;,,"
CERTIFICATE OF OCCUPANCY
�; ;. r:, .,
.:, 2?95 I
-The Building located at ����_'• - �•� �r.r , -
'�has�been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable th�erefo:-
fora Group Occupancy. ,
Use of Building �-�'� 1w+�?'i�q:,�? �
Legal Description _ ' .' 1...' ..:.`::�1!.. .. .
� (See reverse side for Metes and Bounds) , �
Building Permit No -' Electrical Permit No. v`+��+' Plumbing Permit No.- GS77�
Number of apartm
SSU'ED:TO>
����z r�;_cs�� .
and/or guest rooms
Building Official
by t_.;�.�_-_.��, .
Date P:,;rVe:n�er 1.'i_ i.-nr;
This Certificate�of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT-.BE removed-excep
Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.C. -. � �""'
Form BU 34 Rev. i1p0 _ - ,,_�
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COS7A MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For App/icant to Fi// in Comp/etely
B.U...�o�NG 93.s 4iEsT /8'- f'.-.
OWNER �� py,v
MAIL �
CANSTRUCTION
ADDF�SS
CONTRACTOR
ADDR�SS
GTY
STATE
L!Q NO.
512E
oF �O7 ��
USE OF
EXISTIryG BLDG.
SIZE OF
NEW BLDG. �%O
EXTERIOR WALL
COVERING,$'r
USE OF BUI�D
TE�.
TEI.
NO.
CIT V
LIC. NO.
INOA LF B�OGS.
NOW ON LOT f
NO. OF
ROOMS STOF
ROOF
C! COVERINGS C�'�.
WOflK TO BE PERFORMED
.�n
I hareby acknowledge that 1 have read this application antl stata
that tha ebove intormation is correct antl agrae to comply with
all lewq regulating buildinB construction, and I shall not employ
any person in vio�ation of the workman's compensatiOn laws ot
the State of California.
I hereby certify ihat I am properly licansetl as a contracmr under
Me Staie of Calitornia Business antl Professions Catle, Divisicn 3,
Chapter g, and that such licenses are in full force antl ettect, or 1
am exeMpt irom the provlsions ot the Sta[e of Californla Business
nntl Profession e, Division 3, Chapter 9.
SiBnetura of H
Permittee r---���� Y_
Authorixatl Agent
wnv 2a-�i�;3D0� Qi� ���*-77.25
APPLICATION FOH BUILDING PERMIT
�EIVED V DATERECEIVE D TEISS
. � s =s..�_� q %��1''_
A.P.NO. I�L%—/J/—/O I �7.7FC/d
BVILDING y3� w�s� i8? s�
ADDRESS �
OWNER
FIRE
ZONE
APPPOVED
�
�
VALUE` / �
� GR�
OATE
ZONE NO.OF . USE OF NEW y✓➢
/� �� PL4N5 Z BUILDING ��,�Lfj�
VAROSAPPROVED VARDSAPPROV
MAIN BUILDING ACCESSORY BVI�
�� FT.
8� FT. '
! BET. BET. MAIN &
VAR.,$
C.V.P.�W
APPROVEO.. /
L(/
H�pLD FO PEGL
S�� /«,y
��-7�
\
m
m
__ SQ. FT. o
7HE AMOVNTSHOWN UNDER VALUATION IS FOR �
THE PUFPOSE OF ESTABLISHING A PERMIT FEE ONIV: m
¢
VALUATION _
$�'''7
C)�j�`V•
�
, �• " 3382t
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fi!l in Completely
A�IDRE55 935 West 18th Street
owr,eRJohn D. Carter Constructioc
ADDRESS 9352 Central Ave. Cc
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BRANCH
ADDRESS
ARCHITECT
TEL.
CONTRACTOfV�l{lllg Automatic Spkr. C
ADDRESS P. O. BOX ZH%G
CITY Na�557-69
Newnort Beach 92663
L C No. 187293 UCyNO. 1650
SIZE NO.OF BLDGS.
OF LOT NOW ON LOT
SIZE OF
NO. OF
OF BUILDING AND WORK l
Fire Sprinklers
t�i1 I
� !
APPLICATION FOR BUILDING PERMIT �
EIV DB �--DATERECEIVED
-C�.G� L!-.�' 7/ IJ-E�,E
BUILDING
ADDRESS
OWNER
FIRE
ZONE
APPROVED
Ci' NO.OF
PLANS
VAROSAPPROVED
DISTANCE BET
MAIN BLDGS.
VAR. q1E
C.U.P. iW
APPROVED �
I heraby acknowledpe thet I have reatl this application antl smte
Nat ihe abova informetion is corract antl epreo to comply with
all lows regulatlnB buildinp construcNon, enC I shall not amploy
nny person in violation of tho workman's compensatian laws ot
cha Smte ot Californin.
I hereby cart(fy that I am properly Iltensatl ef a tontractor untler SQ. FT
Ma State of Celifornie Businaz� entl Profeuions Cotle, Dlvizicn 3, THE AMOUNT S
Cheptar 9, end Met sucfi licenses are in t�ll force entl eifact, or I THE PURVpSE OF
am axampt from the provisions of iha Stete of CalHornia Businass VALUATION
antl Protassione ; o, Dlvision 3, Chaptar 9.
SiB^at�ro of � �//� �` � $ l�O O �'
Permlttee �� l��/ � S
Auihoriz tl Apent
(GEd i`-s _ 00
.� OUP
DATE I
USE OF NEw
BUILDING
VARDS APPROVED
BET. MAIN
ACCE.4. BL
DATE
APPROVED
\
m
e
0
!N UNDER VALUATION IS FOR �
ABLISHING A PERMR FEE ONLV: m
¢
�1 m
PERMIT FEE $ �
�
m
PLAN CHECK $ � E
� � `o
LL
TOTAL FEE $
'�� . COSTA MESA BUILDING-SAFETV DEPARTMENT
� P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
�� For Applicant to FID in Completely — Use Ink Only
� BVILDING �j,
� ADDRESS —)
� OWNER OR
TENANT
� MAILING
ADDRE55 �
� cirv
� CONSiRUCTiON
�LENDER
�
BHANCH
� ADDRESS
� ARCHITECT
� OFi ENGINEER�
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2237 5/OB/8I 8.50 TL
APPLICATION FOR STRUCTURAL PERMIT
. I S � A.P. NO. � '� CO �'� � �
BVILDING R3 �� �� �
' ADDRE55
UNIT OR
SPACE NO.
TEL TAjNO. � LOT /�j� BLI
Na.s '/ - ys �r /U/
NEW ADD LTER REPAIR MOVING DEMOLI
OWNER /�IDNTrsOMF_,2 {
. I' � � TEL�_.. _.._ USE�IPLJ IW\LG..LSs �/�/v`
CONTRACTOR (�� s,y�� �¢,
ADDRESSI�6O�A LCTAn.tn CGV"Q
TEL.
CITV �A ��_ NO.�S'7-
LIC.N0.2��SCS/ LICVNO. '
SI2E i NO. OF BLDGS.
OF LOT NOW ON LOT
USE OF
EXISiING BLDG.
Separate permits are required for
electric, plumbing and heating work.
APPROVEDSETBACKS
(FROM C/L STREET)
PLANNING ACTION
APPROVED
DATE
APPROVED
I hereby acknowletlee that I have reatl this applieation and stace °i
n
that the above information is corract antl agrae to comply wlih
all laws regulating building construction, and 1 shall not employ �
any person in violation of the workman's compensation laws of �
the State of Californ(a. �
I he�eby certify that I am properly Iicenud as a contractor untlar ' SQ. FT. N
tha State of California Business antl Protessions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, antl that such licenses are in full force and effact, or I THE PURPOSE OF ES'fABLISHING A PERMIT FEE ONLV: �
am axampt from She provisions of tha State of California Business a
and ProfessiOns Cotle, Division 3, Chapier 9. VAIUATION PERMIT FEE E ,O ,�
n
Signatura of r ��- PLAN CHECK S ^
� o
Parmlttee `./ D /1/I.0 � _ � $ ,T'1 LL
or �G �V�J. TAX E f
Authorizatl Agent�S �� _ o/ TOTAL PAID y r� •`j1 u