HomeMy WebLinkAbout526 BERNARD ST - Building Permits�
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 C08TA MHBA. CALIRORNIA
For Applican+ fio Fill In Complefely
TYp� OR PRINT
BUILDING '/"l/� Ii l�r-/J__ .n,n�9 ��
COSTA MESA. CALIFORNIA
��95. l.� s �v� �
S�'�9 �.>`L� ��
s�
C/
a�
FEE;.RECEIVED�
�✓ NOV a 9 196y
fINANCE DEPT:
CITY OF COSTA MESA �
APPLICATION FOR PERMIT �
BUILD{NG
For Offlee Use Only
necs�rr No. reru+
� !l�
er I�e` rsecerv�/ I owTg�euep�, /
� i�
COSTA MESA. CALIFORNIA
ZONING
NO.OF �UBH OR
ruxe euiin�N
STATE TEL. �.JT�I��% LeowL (
uc. N� 7/ 03 6 No.ri r oaeca�ariox �^ J
OF LOT �7I � r s� p� � rvoW oN �oOe � j`
/ A.P.NO. I!•J � 3O�_
EICISfING BLDG. � ^'- f S C>�� �'ARD6 EVES
APPROVED ALLOWF
88TBACK LINB PROM (CBNTER YN8 BT.)
ceNTER oP eiRBeT REAR YARD FRONT S O FT.
9IDE YARD I I.EFT I RIGHT R.61DE I FT. C
DESCRIPTION OF WORK ___ , c-- __
CX �� � ROOMS � STORIES �
U9E OFytt ILDING ANy W RK TO B PER�QRMED
L�O S1 C!. G J/�li�G �
`�/.�. C .e�� S
I HEREBY ACKNOWLEDO6 THAT 1 HAVB R6�D TH18 APPLIGTION
ANp 9TATH THAT THE ABO�'e 19 CORftECT AND AGR86 TO COM-
PLY WITX ALL CIiY ORD�NAMCE6 ANO BTATB LAWB RE6ULATINO
BUILDINO CON9TRUCiION.
SIGNATURE OF /.
PERMITfE
�
AUTHORIZED lR��fl �� _ i�
DATE � I'
� � P
TNE AMOUNT 9NOWN UND¢N VALUAT�ON IB POR TXE
PURPOBH OP C9TABLIBHINO A PEpMIT FE6 ONLY.
VALUATION �/
p pd PERMIT FEE $ /J� �
$ lf/� �`� � /` pLAN CHECK $ �
TOTAL FEE $ //' �L
n
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX Sf7 WBYA MEBA. CALIFORNIA
For Applieanf fio Fill In Complefely
TYPE OF2 PRINT
BUILDING r, �� n .�.., _ � . �-�
COSTA MESA. CALIFORNIA
Cr/.� ;. �.P 5 4J �G
1 ARCHITHCI'
TEL.
e G� / No.�
�
TEL.
NO.
�,�„�,�/f/ /31_d.�?S
� �«„xf �
CITY
/ Ers��Q�f' C
LIC.TNO / � � 39 �
oF ior // 3 X� 0 3
U6E OF i-j �� �
EXISTING BLDG .� -�
BHTBAGK LINH PROM
� EXTERIOft
/�T� 7/i7"i
INO. OR B1D09. �
NOW ON LOT
— � �/`9�.
DESCRIPTION OF WORK
V STORIE6 �
: ,�� c,�.
FEE RECEIVED
j� NOV 2 9 196T
�" FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Offlce Use Only
rseceirr no. °��T�i % /i
COSTA MESA. CALIFORNIA I �
FIRE
ZONING
20NE^ � I NO. OF� I U6B OP N
: PLANB BUILDINO
tl /(��
LEOAL ! S � VV R �
DEBCRIPiION � �.
A. P. N O. / L_) �� O� � �
1'
YARDS EVES
APPROVED ALLOWED
fGeNTLR LINe 9TJ . _ ,n �_
0
l]
�.
I HEREBY ACKNOWL8O6E THAT I XAVE PEAD THIB MPLIGTION THE AtlOUNT 6HOWN UNDER VALUATION IB POR TX¢
AND BTATE THAT THE ABOVE 19 CORRER AND AGRE6 TO COM-
vURP09E OF EBTABL�BHINp A PERMIT PEE ONLY.
PLY WITH ALL QlY ORDIN 6 AND BTAT¢ LAWe PS6ULATIN6
BUILDINo CON9TRUCTION. � J VALUATION //(�/./
SIGNAT RE OF � ��/,��_� / Q'D PERMIT FEE $ / A/
PEI?MI �`"" ,2�11 �
. $ �� � �� PLAN CHECK $ �^�
AUTHORIZED AGENT
TOTAL FEE �
�
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'COSTA MESA BUILDING•SAFETY DEPARTMENT
P. O. BOX 917 C08TA MHBA. CAL�FORNIA
For Applieanf to Fill In Complefely
TYPE OR PRINT
BUILDING �-� �'' a��.,��,, sr
aooarsc
COSTA MESA. CALIFORNIA
Gr/.9s ��. 5 cri �G
IARCHITECf
l
TEL.
�; /.� /3
cirr T�Fy�Lg. c./
LIC.TNO. �� D � 6 NO./Y � / �� %/
OFLOT ��3 %� �-� j Inow�oN oTe 3
EX187'ING BLDG. � '�£S — � � �� �'
88TBACN LIN6 FROM
DESCRIPTION OF WORK
BBZLOING���GX�B!�OOMB Y eTORIEb �
EXTERIOR WAL / ROOF I-�
COVERING ����SO.v�T�. COVERING �� o��.
U9E OF BUILDING AND WORK TO BE PERFORMED
� i �G� G S/'�� C �L
/Ci"%ii-t i�i/ �� � .
FEE RECEIVED
NOU � 9 1961
FINANCE OEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
a.
COSTA MESA. CALIFORNIA
FIRE
ZONING
ZONE i0. OP ] I UB[ OR Ne�p
PLANB �� BUILDINO C
`�°"` 1-ipS'5 3 �OQ �o�r-
OPBCHIPTION
A.P.NO. II.S^ ^ �V ` �
YARDB EVE6
APPROVHD ALLOWED
IG6NT[R LINt BT.1 _ �t (i
I HEREBY ACKNOWLBDOE TNAT 1 XAV6 RGD T11�8 MPLIGTION }H8 AMOUNi BHOWN UNDEP VALUATION �8 POR THH
AND BTATE THAT TH8 ABOV IB,COitRECi AND AaREe TO GOM- pUIiP08H Op EBTABLIBHING • PBpMIT PEH ONLY.
PLV WITN ALL CITY OPOI CE9 AND BTATE uW8 RHOULVINO
Bu1LDIN0 CONBTRUCi1 ' // �/ VALUA710N �
SIGNATURE OF v�, yZ/ � C=�:"�Y. PERMIT FEE $ �
�c � r �,��o— ��'
PERMITfE
S / PLAN CHECK S /
, AIITHORIZED AGENT �
TOTAL FEE $
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COSTA MESA BUILDING•SAFETY DEPARTMENT
P. O. BOX Sf7 COBTA M�A, CALIFORNIA
For Applican+ to Fill In Completely
TYPE OR PR�NT
BUILDING.L,/ �� ��
ADDRESS J � � �F�L�`7�Ii S�
COSTA MESA. CALIFORNIA _
OWNFR /_ �% S C� F.'/� S�U L�-GG-
ADDRE55 S�/ �F� T/��f�L� G
cmT��../�L� C. �� No:
ARCHITEGT TEL.
G.
i 7/
cin %�-„'� ' G � G. /
LIC.TNO. �!� O 3� No:A r 7i��i
OF LOT // � ;�d � I NO. OP 9LDO9. �2
NOW ON LOT J
USE OF � �ES � � ������
EXISTING BLDG
96TBACK LINE FROM
DESCRIPTION OF WORK
�B�g NO. OF A
� annua V- &T[]RIFS /
EXTERIOR L OOF
GOVERING ' /� � /���5�✓ R�NG
USE OF�UILDING�/AND WORLK TO 9E PERF
� �LS / /eCCG! S�/ /(i
��..,.L✓ .�%c���L.
I1 H¢REBY ACKNOWLBDGE TXAT I HAVB RGD TH19 AP]LIGTION
ANO BTATE TXAT TXE ABOVE IB CO�[AECT AND AaREC TO COM-
PLY WITX ALL CITY ORDINAtlCE�ANC 8TAT6 LAWe pHOULATINO
BU�LDINO CONBiAUCi1�� ' � /'
, AUTHORIZED AGENT
�
FEE RECEIVED
�NOV 29196i
F�NANCE DEPT.
APPLICATION FO��PERiNIT�OSTA MESA
BUILDING
For Office Use Only
NHC8IPT NO. PBiMIT Njl. „
l�C� � �-(� � � .� ' / S �
BUILDWG
ADORE65
COSTA MESA. CALIFORNIA �
FIRE
20NE TYPE GROUP
APPROVED
BY DATE
ZONING
ZON `�I NO. OF � U86 OP N S
I PUN9 BUIIDIN
�o„� - 3
o[ecnirr�oH
A.P.NO. I�.i '���/ "c�
VARDS EVE6
APPROVEO ALLOWED
(�NT6R LINB BTd
FRONT �O FT. IN.
R.SIDE i�Y Ff. � IN. �
P(
�
L.SIOE � � FT. IN.
TM6 AMOUNT BHOWN tINDBR VRLU�T�ON 19 POR TN6
PURPO88 OP E6T�BL19HIN0 A PHNMIT FE6 ONLY.
VALUATION � PERMIT FEE $ / �/
//,, b�X �J =
$ U/� �� / PLAN CHECK $ /
E
a
TOTAL PEE LL
� A licant to fill in a11 s atts exce t those within �eav Eoraer lines ana si n all a
VP P P Y � 9 ppropriate tleclanlions.
TN TN -
GPTY OF COSTANtESA CONSTRUCTION PERMIT
Project Address ��� .�zCy������� � (/�[�,/#�
Applicant's Mailing Address
Owner's Name � � � Phone �
Address� 454�--a '` ' ' -
Arch/Eng. ' � License No.,
Address
Contractor's Name ` Phone %7� 7
Address (mailing)
Ciry License No. ' � -
LICENSEO CONTRACTOR DECLARATION
I�nereby,aitirm that I, am licensetl untler provisions of Charter 9(commencin9
witn section 7000) oi Division 3 ot the Business a tl Protessions Cotle, antl
my license is in tull torce antl eifect.
License Class I� --�bi � ' ens o.%�a
Date 4 Si9nature
WORKE� R'�PENSATION DE RA � �
1 hereby aifirm thaf I have a certificate ns el -insure or a certlticate
of Worke�s' Compensation Insuranc a ti etl coOY the�eof (Section
3800, Lab. C. ' ' " '
Policy No. �Ga �,9� � Company �
Certifietl copy is nereEy turnishetl.
Certifietl copy is filetl with the city Builtlin �ivi5ia
a e ADDlicant �
EXEMP 10 � RO RKERS'COMPE TIO E ION
(Thissection neetl ot e completetl it the mit' or on h n retl (E100) or
tess).
I certify tnat in the pertormance oi the work t which this perm�t is issuetl, I
shall not employ any person in any manner so as to become subject to the
Workers' Compensation Laws of Callfornia.�
Date ' Signature � '
NOTICE: If, after making this tleclaration, you should become subjecl to the
Workers' Compensation provisions of roe Labor Cotle, you must forthwith
comply with such p�ovisions o� this pe�mit shall be tleemetl �evoketl. '
CONSTftUCTION LENDING AGENCV •
1 hereby affl�m that the�e is a const�uction lentling agency for Ihe peiformance�
of the .work for, which this permit is issuetl (Section 3097 Civ. C.)
L.entler's Name � ' .
LenOer'S AOtlress ,
OWNER BUILDER OECLARATI,ON '
I hereGy affirm%that I am ezempt trom the Contractor's License L.aw (or tne
following reason (Sectlon 7031�.S,Business antl Professional Cotle: Any dty or
county whicn requires a permit to construct, alter, improve, tlemolish or'repair
any structure, prior to its issuance, also requires the applicant tor such permit '
to file a signetl statement.that he/she is Ilcensetl pursuant to the 0/ovisions of �
the Con[rac[or's License Law (Chapter 9(commancin9 witb Section �000) of
.Division 3 ot the Business antl Protezswns Cotle) or that he/she is exempt
therefrom antl tne basis for�the allagetl exemption. Any violation ot Section
7031.5 by any applicant fo� a permit subjects the apP�icant-to a civll
penalty ot not more Ihan five huntlretl tlollars ($500). �
❑ I, as owner o( the p�operty or my employee5 with wa9es as their sole
tompensation, will tlo the work, antl the structure is not intendetl or otferetl
for sale' (Section ]044, Businesi antl Professional Code: The Cootractor's
License Law tloes not apply to amowner of a property' who builtlz or improves
thereon, antl who tloes sucn work himself/herself or through his or her own .
empioyees, provitletl that such improvements are not intentletl or offeretl�for �
Sale. It, howeve�, the builtlinq or improvement i5 soltl within one year of mm-
pletion, tne owner will have tne burtlen ot proving he/she tlitl not builtl or im-
prove ior the purpose ot sale).
❑ I, as owner of the 0/o0erty, am ezclusively cont�acting with IicenSetl con-
tractors to construct the project (Section 7044, Business antl Professions cotle:
The ContractoYs Llcense Law tloes mt apply to-an owner ot property who
builtls onimoroves thereon,�antl who contracts for sucn projects with a con- '
tractor(si license pursuant to the,Cantracto�'s License Law). I am aware Ihat
proof of their WorkeYs Compensation insurance shoultl be provitletl to me.
❑ I am exemp[ untler Section B. & P. C. for Ihls reason
� i
Date
I her¢by certity t
Informatlon is mrr
' antl state laws rela
sentatives ot ,this
, insoectlon purpose.
. • $i9nature
— Orivers' License or
_ Owner
have rea
1
above
iances
PERMITNO. TRAC O. LO O. UNITN6.
, E'� ap . � .
TVPE OF CONSTRUCTION . NEW ADD ALTERATION . REPAIR �
❑ ❑ �
- . -. _ ;5859 -I/I'6'/85 .
GONVERSION DEMOLISH OTHER Ap #� � '
, DESCRJPTION OF WORK/USE OFBLDG. �
r - . � � ' • S Main Buildi
TVPE OF PERMITI�,yfI GRADING' FOUNDATION STRVCTURAL T Front �
'.❑ TENANT y� ELECTRICAL ❑ PLUMBING ❑ MECHANICAL �' B Rear
❑ ,OTHER � � ' ' - ' C Right
PROJECT DESCRIPTION� sct. PT. occucaNcv K
CONSTRUCTION TVPE NALUATION $ S Left
ZONE GRADING CU. VDS. ACRES Ping. Ref. #
aemarts: � . , Planning Notes:
Bar
Backflow Irrigation
Bathtubs
Clarifiers
Dishwdsher '
Drinking Fountains
Floor Orains '
FloorSinks �
Gas Service
Interceptors
Kitchen Sink '
Lavatories �
i
OUSI2L5 �
Roof Drains
. f ' r
Reinspection Fee -,.
6
PLUMBING
Sh'owers ' � •
Service Sink -
Sewer Cap- ' . �
Sewer Connection
Solar Collectors
Solar Piping .
Solar Tank � '
Swimming Pool w/Spa'
Urinal
Water Closet - �
Water Heater '
Water Service
Auto-Wash .
LaundryTrays- � '
FE
:8o�t1� 'PL
- , _ t _ Zone �
^ Acce'ssory,BuiliJing:,. ' -
, _' Z
. . � . , . , ' . O
� N
" I
... ' , G
' R
� � Parking�Req./Provided � � � E�
Q
• ' M
� T
S
ELECTRICAL
- . -- Automatic Washer' ' - '
! Canstruction Pole Sub. �
S ' Cookinq Unit .
jJ Dishwasher .
Dryers ❑Gas'� DElectric •
� Fan � �
F.A.U.
Fixtures - - � � --
Device Boxes '
Outlets '
Switches' �
Garbage Disposal , �
. _ _ Generator �0.5 KW'�5-15 KW
$15 � �I .� Issue Fee I $ 3 I
MECHANICAL � _ FEES
Boiler �
Duct-UnderGround ,
Duct - Strucmral
Duc't - Ventilating
Exhaust System ❑ Multiple
Firepl/Fact Blt. ICBO #
Heating System & Ducting
•. ❑P700,000BTUO100,000
�
Reinspection Fee $15
Hood or , Type I � ❑
Canopy Type I I ❑ .
Refrigeration System ,
❑0-100,OOOBTU ❑t00,0006T
System Repair/Alteration �
Fire Dampers
Registers� � � �
luue Fee
u
$ 3
Transtormer' � 15-50-KW '
❑ 50+KW
Meter up to 100 amps �
Meter over700amps
Sub Panel � �
Motors DO-7 HP 01 %- 8
Inc.Solar'�9-15 HP �16-75+
nn:,..:.....,..'., . � . .
Pole�Light
Range '
� Sign
; Standing ;
Trash Con
� Reinspection Fee �$15 � .�'Issue Fee
DEVELOPMENT SERVICES REQUIHEMENTS:
Zoning APProved By �
Building Approved By ; —�
Aouliption laued Bv �
a
0
!$3
SUMMARV OF FEES ,
BUILDINGPERMIT $ SMIP' $
PLAN CHECK �$ • � � PERMIT ' � ,
PLUMBING � $ � ISSUANCE $ �
PLAN CHECK �25% $ � � ENERGV P.C. $ '
ELECTRICAL � $ - ,D� , GRADING ' $
PLAN CHECK 50%, $' ' ' MICROFILM �$
MECHANICAL $ D�
TOTAL FEE , $ �
PLAN CHECK 25% $ ' , , �
� CONSTRUCTION AND PLANNING ��� rJOL & SPA _ I
�� APPROVALS � Permit # Date � Inspector AppROVALS Permit # Date Inspector�, '
..�i.�Temporary Electrical Serviceor 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 Conduif-Undrgrnd.
8: Foundation . 59. Gas Pipe, O Undrgrnd., Test
�_ 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
1_0. St�uctural 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 Electriral-Conduit � 66. Solar System-Final . --
16. Rough Electric Wiring 67. Fencing & Access Approval " � -
17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING
18. RougFi Electriral-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 Hydra
22. Ducts�, Ventilating � 71. Product Piping OGas ❑Oil
• 23.�Gas Pipe-Rough & Test . 72, Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ 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. Sotar pomestic-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 .. �' , � '`
r
51. CERTIFICATE OF OCCUPANCY � � . . _ i _ �
Nn. ' ' Date ' � � �
✓
OWNER (;RTSWFZI.� CHAS. DATE
JOB ADDRESS C9ti T Rarriarri Rtroat. � SUILi
GENERAL CONTRACPOK Harmonv Bldrs, Inc, VALUE $ 6�ti0.00
AP No. 11 - Ol- 8 LOT TRACT FIRr ZONL DESCRIPTION OR WORK single res
INSPECI'IONS �Signnture� DATG GROUP I TYPE 7.ON� R2
SUBCONTRACTOR
�/
coat
— ��si nui,u CVH JYECIAI. RFAIIiRFti.t�nr�rc
DATE
�Li7:7
✓
GENERAL CONTRACTOR HarmOny F.ldrs.11l4. VALUE $ 6,,}AO_op
AP Nu.11S�3OI�-�yb LOT TRACT FIR� ZON� D�SCRIPTION OF WORK sin�le res.
INSL'ECPIONS �Signaturel DAT'� GROUP I TYP� V 7.ONE R2
SUBCONTRACi'OR
OWNER RTS�IF.'f•T•" CHAS• DATE 12-1�-61
JOB ADDRESS �6 B Bernard StrePt � � SUILDING PEAMIT NO.
15910
GENERAL CONTRACTOR Harmonv Bl�g,_inc. VALUE S(, ���0 •
AP No. 11K-301-LB LOT TRACT FIRE 7.ONE D�SCRIPTION OP WORK e;.,,.i„ ___
INSPECTIONS �Signnturc� DATE I GROUP I TYPE V 7.ON�
SUBCONTRACTOR
OCCUPANCY
�
15910
i
v
Q�Z
AP No.115-301-�t8 LOT
INSPECTIONS
�
TRACT FIRE ZONE
DAT� I GROUP
�'
DATE
VALUE $6,3tl0.00
DESCRIPTION OF WORK
TYPE n 7.ONE
SUCiCONTRACTOR
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