HomeMy WebLinkAbout632 17TH ST - Building PermitsMAR CRE51' CORP.
ADDRESS
�1-
OCCUPANCY
Form 210-5M-11-59 S-B P
SUBCONTRACTOR
nemr 3-16-61
BUILDING PERMIT NO.
VALUE S 1,7 0.00
PERMITS ISSUED
JOB ADDRFSS 6i2 W.
GENERAL CONTRACTOR
INSPECTIONS
SUBGONTRACTOR
OCCUPANCY
VALUE
Form 410—SM-11-59 S•B P ���� G_/„j-G/ �j,,,�,�,� ,�L,,,/�.�,����l�a6n
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PNOJECT AUDNESS: 6�; W 1 7 TH ST
OWNEH'S NAME: NUEC}(ER FAMILY TRUST
aoosess: 15054 OXNARD ST
UI�N NiJY5
, CA 91411
FflLHIENGINEEN: ��13�87�-7166
RODflESS:
flEG.NO.:
uxit:
UNIT:
PEHMITTEE: GREG KING ( 714 ) 539-13f 7
nooaess: 8053 LARSON AV C
GARDEN GROVE CA 92649
LICENSE� CONTNALTOP DECLARATION: I hereby aifirm �ha� I am licensetl untler pmvisions o� COapler 9(cammencing wi�h Section
7000) ol �irsion 3 0l Ih¢ BuSineSS ar�tl Pmfeuions COGe. anG my license i5 in lull �orce anE Btle[I.
GTV LIC.: STnTE UC.: ClASS:
9ate: SignaNre:
WOflNEBS' COMPENSATION oECIABATION: I hereby affirm inat I have a cenitkale ot conient ta sell-insure or a cenificate af wolkers'
Comvensaiion Insurance. or a cenilie0 copy thereoi �Section 3800, Lao- C1.
POLICY NO.: E%P. ORTE:
COMPANY:
❑ Cehilietl t�DY is �ereby lumishetl. ❑ C¢tlihed copy i5 �ileA with Ihe dry Buil�inp Division.
�ate: Applicant:
E%EMPiION FNOM WOPREBS' COMPENSATION DECIABRTION: (T�is sec�ion nee0 not be romple�e0 i� �he Dermii is im one huntlretl (5100) or less�.
I cenity ihal in Ihe petlormance ol Ihe work lar whic� this Dermii is issue4l shall noi emplay any person in any manner s0 as Io 6ecame
subled to Ihe Workers' Compensation Laws of Ca6fomia. ,
Date: Signamre:
NOTICE: I�. alter making Ihis tleclaraiion, you shoultl Decome SUClect to l�e Work¢r5' Compen5aiion O�ovisions ot �he labor
Co�e. you mu51 IOri�wil� camply wil� such provisions ar �his permit shall Cp deemeA revoked.
CONSTBUC710N LENOING AGENCY: I herehy alfirm inat ihere is a construttion lentling agency lor Ihe pedarmance ol tAe work for
v�hic� Ihis permit is i55ueE (Seclion 3097, Civ. C�.
LFNDEfl:
AUOPESS:
OWNEB BUILOER DECLANFTION: I Aereby afiirm thai I am exempi Imm ihe Comracmrs State License Law tor Ihe follovnng reason
�Seclion 703t.5 Business an0 Profes9onal CoUe: My cily ot county which reQuir¢5 a p¢mtit to wnStNct, alter, im0�ove, OemoGsh, or
repair any 5tmtture. O�ior Io it5 i55uance. a150 r¢puire5 I�e apDlicani lor Su[A permii �olile a SigneO Sla�emeni �hal h¢/She is liC¢nseE
Oursuani Io Ihe provisions ol lhe Comrac�ors' Slaie Ucense Law (Chap�er 9(wmmenung wil� Seclion 7000) ol Division 3 of Ihe Business
' Pmfessions COAe� or tnat �Gshe is e�empt iherefmm anA ihe basis lar tAe aDegea eKemption. Any KOWtion of Section 7031.5 Uy
tpplicant for a permit suUjecis Ihe apD���ant lo a civil penalty of not more ihan five nunOretl Oollars 135001.
I, as owner of the proDeny or my employees with wages as t�eir sole compensation, will do Ihe work, anA ihe
� stmcmre is not intendetl or olterea lor sale Section 70a4 Business anU Pmfessional Cotle: t�e Conirac�m5' S[ate Lirense Law
Goes not apply �o an owner o� a pw0any wtp 6uilds or improves thereon, and who Aoes suc� wark �imsetf/hersell or �hwugh
/ , J �is or her own employees, provitletl �ha� such impmvemems are not intendetl or o��ereJ lor sale. I�, however �he builtling or
im0�a�ement is sold wiihin one year of comDleiian, ihe awner will have �he burEen ol pwving he/5Ae OiA no� �uiltl or impwve
lor Ihe purpose ol sale�.
I, as owner of tne O�openy. am exclusively conVa[ling vnih license� contrapo�s ta conslmct the O�ole�� (Section 7044, Business �
❑ an0 Pwle55ion5 COae: The COniraClors' Sia�e LiCense Law OoeS noi appty la an owner ol pwperiy who bUilas or impmues lhereon
anA who conimcls lor suc� pmlects with a wnVac�oqs)license pursuant�o ihe Con��aclors' Slaie License Law�.l am aware
Ihat pmol ol Iheir WorkEr's Compensalion insurance shoultl be pmvitletl lo me, .
� I am exempl under Seclion: BP'704 4 B. 8 P. C.
mrmisreason: ALL WORK HY OWNER� �.%,
Dale: �' � �'7 �� O�vner: k�' ��'�"'9
I tla Aere�y certily �ha� 1 am awar¢ ol anU untlerslantl ��e requiremems ol Calibmu Heallh an0 $af¢ty Catl $ec�ions 25505, 25533, antl �
25534 anU TAai I or any lu�ure bUilOing occUpanl willlwill noi (tirCle one� neea Io COmpIY ��h saiU Stafe mde5 an4lAe requiremenl5 far a
permii lor conslmction or moUilica�ion Imm �he Air Oualiiy Managemenl DiSVici. Pe5i0en�ial WnSlmciion appliwlions arC exempl �mm
I�ese O�a�3�ons.
oale: Applicant:
I hereby cer�dylhal I have r¢aa IhiS apP�icalion antl stalet�atihe aboveintorma�ionis wrreci. lag�ee to comO�Y w��h allciiy and counly
orainances and sia�e laws reWling la OuiWing con9mction antl �ere�y aulhOrize representaG+es of t�is dry to enter upOn the a0ove-men�ioneU
pmperty fo� inspectian owposes. %� �/ .
Date: � � �%�9� SignaWre�. / � t.�P/
Drivers L¢ense or Socla� Securi�y x: �
1641-a6 44M1ue—Boiltling; Green—CoEe Enlorcemenl: CanarV—APP�icanC Pink—Revenua GolEanroO—Assessor
CZTY OF COSTA MESA — BUILDING PcRMIT PERM NO: E 05119
PERMIi NO; E 051194 PLAN CHECK NO: N. GOVT; N SUPP: N
CONSTRUCTION TYPE; 5—N PERMIT TYPE: ELE PURPOSE: OTH
JOB DESCRIPTION : ELECTRICAL METER PERMIT SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: B-2 /
COMMENTS• *
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Z U N I N G R E Q U I R E M E N T 5
S E T H A C K S
------------ MAIN HUILDING ---------- --------- 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 IN
PARKING REp • PROV: PARCEL; 00000000 ZNE; REF NO:
PLANNING N(ST'ES>
� .
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D E V E L O P M E N T _S H'R V 2 C,E S R E Q U I R E M E N T S
ZONING AFPROVED BY .
BUILDTNG APPROVED BY :
APPLICATION ISSUED BY:
�Fafififif�iFifiEi!�iEifIE1F1EiflfkifiFiFiE . . .
k�E�EiFiFlfiElfiE+PikifiEifi!iF7EiElFIFkIl3flflEfPaE�fIfklEif�f3F)f1EiF1ElFkifiFkil�IFafiFif if
LEGALIZATION:N F E E S U M M A R Y
HLDG PMT FLUMBING ELECTRIC MECHANIC
PERMIT , 18508
PLAN �
ISSUE FEE 15.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
----> 00 0 00
OTAL 18 50 15 .
T S . .
REVENUE DIVISION TOTALS--> CULLECTED;
BLDG PMT PLUMBING ELECTRIC MECHANIC
33.SO
DATE;
DATE:
DATE•
�*��+�•***#��� �*
)f iP �Y if iE IE iF 1F iE fE iF if ik if if iE iE iE iEif if If If �6
STRUCTURAL SEGMENT;N
FIRE SMIP/RES GRADING
SMIP/NON—RES
TOTAL PAID DUE
33.50 33.50 .00
33.50 OVER/SHORT: 00
FIRE SMIP/TOT GRAAING PLAN—CHECK
iF iF �f �E if iE aF iE±f iP if iE )F ih if 1F iE # iF iE �F ik 1f ik ff 1f iE k iE IE iF af 1E iE if iE iF±ElE If iF aF if K IF �l!� 1F iE iE fE 3F iF if 1f 1f iF aF if iE af 1E �F ik �f 3F if 1E iE ii �f iE �f if i6 if iF 7E iE iF
I N A I V I D U A L F E E H R E A R D O W N
TYPE QTY D'E S C R I P T I O N UNIT COST TOTAL COST
ELE 1� ��SE�}� CES HELOW 600END60FEFEES�01 AMP 18.50 18,50
,g� .� � ��' � `
`� 1
-� F E B 2 7 1991 ��--� �.
CI7Y. OF COSTA MESA
._
CONSTRUCTION AND PLANNING OOL & SPA
APPROVALS Permit # Oate Inspector APpROVALS Permit # Date Inspe�tor
1. TemgordrY Electrical Service or Pole . 52, Pool & EquiPment Location � ',
2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement '
3. Ei�ctrical Conduit Utility�Undrgrnd. 54. Forms
� 4. Electrical Conduit-Undrgrnd. 55. Electrical BOnding -
5. Steel Reinforcement 56. Rough Piumbing & Pressure Test` '
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNIT.E '
7. Footings '� 58. Electrical Conduit�Undrgmd. '� '
. 8. Foundat�on , 59. Gas Pipe, � Undrgrnd., Test � . �
9. Water PiPe�Undrgrnd. 60. Backwash Li�es, P�Trap, � Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK •
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cep 63. Heater & Vent-Final
13. Roof Drains �� 64. Plumbing SYstem - Final
14. Rough Plumbing 65. EVectrical-Fina1
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencinq & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Rou9h Heating & Air Conditioning FIRE DEPT. REQUIREMENT
r
20. RoughFacto.ryFireplace �' � APPROVACS ' _Permit# -,
�
21. DuC[s, in Structurz . . 70. Underground.Hydro �
22. Ducts, Ventilating 71. Product'Piping OGas ❑�Oil
23. Gas Pipe�Rough & Test �. -� � 72. Underground Flu"sh �
24. Roof Framing • ' � - • �73. Undergrnd.StorageTank �Gas ❑Oil � `T �
25. Roof Sheathing ' T - �, 74.' Overhead HYdro. � � "
26. T�Bar Ceiling (Structural) & Monocoat . _ • 75. =Dry Chemical � - '
_ ^
27. Frame and Flashing� „ .� ' � 76\ Dry Standpipe - . ; " G __ ��
28. Lathing&Siding . . - • �� � 77, FIXEDSYSTEM�EINAL .
29. Insulation � � ' � � �. 78:. FIRE PREV. FINAL �� �
�30. Drywall Nailing � � ,� HEALTH•�DEPTt REQUIREMENT
31. Plaster Brown Coat' . t,.• : 79. FINAL INSPECTION�, �� -
i -
32. Electrical Power Meter-Final ,80. FOOD CERTIFICAi:E ISSUED •
33. Final Electric - ' � . -�� ; ''NoYes: � -�� ,r
'34. Final Heating & Air Conditioning � - ' '; � - . -, � - ' .
I '
35. Final Gas Pipe-Test• • a � , � - • . • ��' _
- � �
,36. Hood or Canopy ; - ' - �� ' ' . � ��� . - �
. ��?
37..Final Fattory Firepiace : � � . � -rj� • ' ' � •�'
. . } 1 . �L . ��
38. Final PlUmbinq ` �j� • �� � " ;�r , � i� � i - �
�39. Water Service-final- _. ' ' j .. : � � - •
r• -
,40. GasService-Final . , , ' ,,� �' � ; , ,
-41. Solar pomesticFinal � .. : _ • ;�. . � .
i1
42. Backflow Preventer' ' � - - '
• �-. , _
43. Backflow Irrigatiom � ' � � � � _
,
-44. Landscape lrrigation System. �,� � , . i - ' :
45:.Sound Attenuation . � . . . ' ; � �
�„ - •
� 46. Handicap Regulations � . ' ' ' ' ' . � ' ' '
�47. FINALSTRUCTURE&BUILOING � Sf, . ,
48: F,INAL PLANNING � ' - ` -
-49. Electric Release to Edison ��; -
50. Gas �Release to $outhem California Gas Co . • `j' - ` , :
51. CERTIFICATE OF OCCUPANCY .
No. Date
.� . .LJ_1FI0
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 31] COSTA MESA. CALIFORNIA
fOR APPUCANT TO f/LL /N COMPLETfLY
� TYPE OR PRINT
BUILDING / �J l
ADDRESS / t/
� COSTA MESA. CALIFORNIA
OWNER I'
MAIL � � U ra
ADDRESS
� / ..�. _, .— ,_
ARCHITEGT '�� LIC,
OR ENGINEER NO,
ADDRE55 ��
STATE
GONTRACTO LIC.NO.
ADDRESS �
LEGAL ILOT I
DEBCPIPTION NO. BLOCK l
A.P. NO
�� `
61ZE ��� NO.OF ei
OF LO NOW ON
USE OF �w
EXISTING BLOG.i r� V P�YI
SETBACK LINE FXON I
CENTEF OF 6TNEET �/ REAR YAF
SIDE YARD ILEFT e IRIGHT ^
DESCRIpTION OF WORK
NEW � I IIALTERATION I IADDITIi
REPAIR I IIMOVING I IOEMOL
BUILDING NO.OF
SIZE ROOMS STOI
EXTERIOR WALL IROOF
�=EE REC�IVED
ia-.���-�S`� .��.
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
,
foR oFfic� usF oacy
I REGEIPT NO. I �I/ � �
RECE�VED BY D�T6 REC6IVED DATE 183UEO
� �� %7- i q-�s'`/ �.� - L9-s
ILDING
�ftE55
--� COSTA MESA, CALIFORNIA
/^ F�VRE
ZONF
`� APPF
I XER88Y ACKNOWLEDGp THAT 1 N�VE READ TNI6 APPLICATION
M1NO BTATC THAT THE ABOVE IB CORRECT ANO AGqEE TO COM-
PLY WITH ALL CITY OPpINqNCEB PND BTRTE LAWB EOULATINO
BUILOINO CON6TRUCT.10 , //��
SIGNATUREOF ��(�,Y `/rf�
PERMITTEE
AUTHORIZED AGENT
NO. OF
PLwN9
dY /N J
VARDS
REQUIRED
(CENTEfl LINE eTJ
[ � � 4!�
ING
IU86 OF NEW
BUILOIN6
THH AMOUNT BHOWH UNDfiR V�LUATION IB FOR TXE
PUPPOBE OF EST�BLI9HIN0 A PERMIT FEE ONLY.
UATION
PERMIT FEE S � /'
I�i,(�yq PLAN GHECK S ._ �'
[i- v <i /�
TOTAL FEE S !p �
���
r
�
' � : ' 4 �:�53
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 9f7 C08TA MEBA. CALIFORNIA
For Appllcanf fo Fill In Comple+ely
YYPE OR PRINT
BUILDING 11 / �
ADDRESB VV
COSTA MESA. CALIFORNIA
1 MAIL
TEL.
NO.
TEL.
eize - I NO. OP BlDGB.
OF LOT NOW ON LOT
USH OP
EXISTI G DG
8RlACK LINH PROM
DESCRIPTION OF WORK
PXTERIOR WALL ROOF
COVBRING COVERII
USE 9P_BUILDING AND WORK TO B8
i HBNHBY ACKNOWL8p08 TNAT 1 HAVB RlAD TH18 APPLIGTION
AND BTATH THAT TXB ABOVB IB COqqBCi AND AOR¢8 TO GOM•
PLY WITX ALL CITY O��MAMC89 AND 8TAT8 L/�W9 REGULATINO
BUILDINO CONBTRUCTION.
81GNATURH OR� �����
PHRMIRCQ
AUTHORIZED AGENT
FEE RECEIVED
�G J� . ( �i- —�c ( — � � `,
FINANCE DEPT.
A�LiC��IC�� fhO��M1T
BUILDING
For Offiee Use Only
PeC81PT NO. PBPMIT NO.
/!YC( S 3
o ev I DATg'ecgiypo� J �w`e��au� /
'*F � S�� /I
COSTA MESA.
FIRE
ZONE
APPROVED
E INO.OP
1' � PLANe
�°�� P a 1�
oeaen�rr�ex
YARDS
APPROVED
ccatmw uNc er.�
APPROVEO
TYPH • � GROUP �i
� J� '"OAT � �
ZO�NING /f,
C� uae or New �
1. I BUIlDINO
CJ
> L '1�
-a00 '
— O L,
EVES
o��n
TXE AMOUM 6XOWN UNDHR VALUATION IB FOR i116
PUWO68 OP g6TABL19HING • P¢RMIT �FH! ONLY.
VALUATION
�,/ PERMIT FEE $ , /�
S � ��D / PLAN CHECK $ / �
TOTAL FEE � '�