HomeMy WebLinkAbout487 BERNARD ST - Building PermitsJOB ADDRESS
AP No.11rj-2t
INSPECTIONS
coat
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LOT TRACT PIRE ZONE
I Signaturel DATE GROUP Ii'_Q
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DATE
VALUE $ 2�W.00
DESCRiPTiON OF WORK Stge. & W02'kSYI�
TYPE �I 7,ONE �_Q
SUBCONTRACTOR
OWNER KOERNER� HARVEY DATE Z_16-70
JOB ADDRESS 487 Bernard Street BUILDING PERMIT N0. 31389
r_Guooei rnuroermo .. _ __ . nocroior�n.i _� wnov _ . . _ . _
AP "�o. 11 5_�A��h'i
il CTIONS
soi�
GAS
W FT ER
ROUGH P�UMBING
PROP. $Wfl. LINE MOUSE
SPRINKLING SYSTEM
MISCELLANEOUS
ROOGH NEATING AND AIR C0�
TEMPORARY SEHVICE ON POL
UNDERGROUNO � POWEH
ROUGH WIRING
TRENCHES FORMS
FLOOR SVSTEM
BON� BEAM ❑ STEEL RE
SHEATHING
FRAME ANO FLASHING
LATHING — IN �J OUT �
PLASTER, BROWN COPT
ST "URp�, FINFL
HI. .G, VENT., REFRIG. A�
PLUMBING, FINAL ANO GAS T
ELECTRIC, FINAL
BUIL�ING. FINFL
1�:7c[�l�yl:7�'Z�75
SUBCONTRACTOR
'�
�� � � � I 7757
COSTA MESA BUILDING-SAPETY DEPARTMENT
P. O• BOX 9f7 COBTA MHBA. CALIPOiW1A
For Appllcanf fo Fill In Compleiely
TYPE OR PRINT
BUILDING �( C �l
ADDRESS V k'
COSTA MESA. CALJFORNIA
Coata Mesa, Calif.
FEE ��C��V�ED
fINANCE DEPT.
APPLI�iYGf�F R�TAE�M
BUILDING
For Office Use Only
RCCEIPT NO. P6$ly�j_
C./� I/ "G d�I -G n
NOMJ. O- BUILDI � y �` J �,
ADDRE65 Q
�E�' COSTA MESA. CALIFORNIA
FIRE
��,T,. Costa Mesa� California =a�e INO.OF
,ry rurvs
STATE TEL. Leaw�
� aeTBwCx
EICTERIOR
COVERING
USE OF BI
400 �o. �.t 8-4039 pes�a„r�o� �
� I NO. OP B1D06. n
NOW ON LOT L p, p, NO,
fL�G esidence gt 5�302'& e YARDS
APPROVED
1e�rnceiM 24� �Y%et. REAR YARO 5� ���ren une er.� �
FRONT
ILEFT O�i� IRIGHT I�/, R.SIDE
DESCRIPTION OF WORK �
AND
NO. OF l 1
R�OMS 1 STORIES
APPROVED
llONING ,,
-----.a
use oF ruew
� eoitoma b-
_���
�
EVES
�
1 HEHBBY �GIWOWLHDOH THAT 1 XAVB R6AD TM19 APPLIGTION }�g AMOUM 9HOWN UNDER VALl1ATION IB PON TM6
ANC BTAR TH�T THH ABOVe IB CONRSCT AND AOR6H TO CON- � pUpp08H OF EBTABLIBHING A PHRMIT F¢E ONLY.
PLY WITM ALL CITY ORDIN CE9 ANO HTATB��ww WB OULATINO w
ewLolNo Gorvenarn `'/ ' VALUATI —`
a% PERMIT FEE S ��'
SIGNATURE OF � I„V
PERMITTE • $��� p�pN CHECK $ �� _�
J
AUTHORIZED AGEN7 �_
TOTAL FEE
�:''
:•
. �� 3 I 389
COSTA MESA BUILDING-SAFETY DEPARTMENT
C.o. BOX 7200 COSTA MESA. CALIFORNIA 92626
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fE817-7QCfl5�00 467 �tr***�5.00
ForApplicant to Fillin Completely APP�ICATION FOR BUILDING PERMIT
RECEI � DAT R IVED �TE I�f'�llEO v
BUILDING' �� ^l
AD�IiESS /
PERM17 O
OWNER Ng e A.P. NO. _ _ �� __
MA I L BUILDING
ADORESS 5ame ADDRESS
TEL. TRACT LOT BLOCK
CITV NO.
CONSTRUCTION W
LENDER N P
X
BRANCH
OWNER
ADDRESS VALUE y`,�
AFCHITECT TEL. $ 5 �`
OR ENGINEEp N
FIRE
ADDRESS 20NE TVPE GROVP
APPROVED /�
CONTRACTOR BV DATE ` � �—
ADDRESS
• re548-4039 ZONE NO.OF USE OF NEW
CITY NO. C-�L P�� Q BUILDING
STATE CITV �ARDSAPPROVED �'ARDSAPPROVED
LIC. NO. JOGOO LIC. NO. MAIN BUIl.DING ACCESSORV BUILDING
512E NO.OF BLDC'aS. (FRaM C/L STREET)
OF lOT 6� x 99. 20 NOW ON LOT qOM' FT. FT.
USE OF
EXISTING BLC�.
SI2E OF NO. OF
NEWBLOG. ROOMS STORIES L.SIDE FT. FT.
EXTERIOF WAIL ROOF
COVERING COVERING REAR FT. FT.
USE OF BUII.DING AND WORK TO BE PERFOFiMEO OISTANCE BET. BET. MAIN &
MAIN BLDGS. ACC65. BLDGS.
VAR.# DATE
C.U.P.�W APPROVED
/ i �sc,(� ne-�� ��/ APPROVED
W.,r.ri� dr�•
�
I heraby ack�owledpe Mat I have raetl this application enA stero
that tha eboVa Informetion is corract antl epree [o comply wi[h
ell lawa reO��nUnO boiltlinp conatrucflaq antl I shall not employ
any person (n vloletlon Of the workman'f compantatiOn Iaws Ot
Me Smta of Colifomla.
I heraby carNfy Not I am proparly lieansetl ef a eonhector untler SQ. FT.
the Stata of Californie Businaaa antl Profess(ons Cotle, DlvisiGn 3, THE AMOUNT SHOWN UNDEF VALUATION IS FOR
Chapter 9, antl t�at wC� Iicenws era In full forca enE effoct, or I THE PVFPOSE OF ESTABLISM�NG A PERMR FEE ONLV:
em exempt (rom tha proviatons of tha Stete o( Callfornia Businezs VALUATION
antl ProtassloN� otle, Dlvialon 3, h pter 9. �O O
� Q�(�� �0 FERMIT FEE S
510^atura of �" � ' " �{ —
Pormlttae $� I/ � PLAN CMECK $
Aut�orizatl Aga�t TOTAL FEE $ � 0�
� �
f
Appllcanl to fill in all f
. CITY OF COSTA MESA �' peaM�T No.
CONSTRUCTION PERMIT T� �/:
Address
Address
Contractor RT T f'.ni
wltM1in
30
EorGer Iinez an0 ilgn all approprlate Eeclaralians.
TRACT NO. LOT NO. �BLDG. NO.
'N/-�l� TVPE OF CONSTRUCTION
Phone —�� ❑ NEW ❑ ADD ❑ ALTER,�A,/TION
❑ REPAIR ❑ CONVE0.510N �QIDEMOLISH
LiCense No. ❑ OTHER
DESCRIPTION OF WORK �E� /
�'a.;�, L N .—�/F �. .�,.ii
1 hereby affirm that I am Iicenietl under provislons of Charter 9(com-
menUn9 �+�Ih zeCtion 7000) of Divl5lo� 3 of tha Business antl
Professlons Coae, antl my Iicense is �❑ fu❑ forca ffect.
Litense Class C-12 - ucense rao.- 2 bl
Date Si9nahre - --
WORKERS' COMPENSATION DECLARATION '
I hereby affirm that I have a terttficate 0� tonsent to salt-insure or a
cartifirat�e,7 �oit Worker5' �CQom�jp'%e7n�5pdtion In4uranta, or a certlfietl copy
POIItY No!"�i��3��� "Q"CbMPanY ��OI1dUt -
'ertifietl Copy is h¢r¢by turnl5hetl. _ ..
ertlfied topy is filetl with tha city Bulld�n9 Division.
EnEMPTION FROM WORKERS' COMPENSATION DECLARATION
(ThiS sectian neetl not be completetl if the permlt Is for one huntlretl
SS300) or less).
certify that in the performance of tha work for which this permit Is
issuetl, 1 shall not emPloy any person in any manner so as [o become
subjett to tne workers Compensatlon Laws of Calltornia. . _.
Date $IgnatUre
NOTICE: If after makin9 this tleclaratlan, You shoultl become subject
to the Workers' ComDensatlon provi5ion5 0� the Labor Cotle, you must
forthwith COmply with suth proviSionS or thii p¢rmit Shall be tleemetl
revoketl. . .
CONSTRUCTION LENDING AGENCV
1 hereby afflrm [hat there it a tonstructloi� lentlln9 agenty for the per-
formance ot the work for which [his Oermlt is issuetl (Section 309]
Civ. C.l. • . .
Lentler'S Name
Lenaer's ACaress
OWNER BUILDER DECLARATION ' '
I hereby atfirm that I am ezempt trom the Contracior's Lic¢nse Law for
tne followino reazon ISection )n31'5 wucine55 antl Prof¢ssions Cotle:
ot counry wmrn reqWres a
i o! re0d�r any SVuciulC, Pnor w rts issuance, arso re-
nt for such permit to tile a signetl statement tnat he
nt to tne'orovtsions ot tne Contractor's License Law
T�v appllcant- fo� a pe�mlt subjeCts Ih¢ appllGdnt
�ot more tnan uve nunorea aouars (gs�u�.
, as owner of [he OroOerty, or my emPloyees with wages as their
e..�a cOmp¢nsa[ion, will tlo [h¢ wOrk, antl the Structu�e.ls not Intentletl
or o(ferea for sale. (Section 7044, Busines4 antl ProfeSsions Cotle: The
Conirdctor'S LicenSe Law tloe5 not apply to an ownB� of a property
who builtls or improves thereon, antl who tloes such work hiTself or
throu9h his own employees, p�ovitletl that SUGh Imp�Ov¢ments a�e not
int¢ntletl or ofteretl (or zdll. If, howev¢r, thG builtling or ImO�ovement
Is soltl within onf yea� of coTpl¢Hon, th2 Owne� will hdve the bu�tlen
o/ proving ne ❑itl not builtl or improve for the purpose of sale).
❑ I, as owne� ot [he property, am e%��uslvely Contrat[inq with
litensetl contractors to construct the project (Sectlon 7044, Business
dntl PrOfe55Ion5 Cotle: The Cont�actor'S LlFeni¢ Law�tloes not apply to
an Own¢r ot property wh0 bWItlS o� Imp�Ov¢s thereon, antl who con-
t�acis from such p�ojec[5 with a cont�ado�(5) IiclSnGtl pursuant t0
the Contractor's License Law�.
❑ t am ezempt under Section 8. & P. 0.(or this
reason
Date Owner
I hereby certiry that I have reatl this apDliwt�on anU stata tha[ the above
informatlon is mrrect. I-agree to comply Ith all <ity antl county
o�dindnces antl state I w5 �elating to const�J �On, antl M1e�eby auino�ize
rep�e5entativ¢5 f I City to ter u n th¢ dbove mentionetl
prOpCrty tor�p ' n p p e /,
$Ignature �� Date V /
Drivers' License or 55 � //� ��/�/ -
CMF 0965-46 Whlte-Builtling; Ganary-ApP����t:
❑ GRADING' ❑ FOUNDATION ❑ STRUCTVRAL
❑ TENANT O ELECTRICAL OPLUMBING ❑MECHAI
❑ OTHER�
PROJECT DESCRIPTION .
SQ. FT. ,
OCCUPANCY_CONSTRUCTION7YPE
VAl_UATION ��1J0� ZONE
GRADING CU.'VDS. ACRES
PLUMBING PLAN CHECK
TOILETS URINALS "
LAVATORIES DOUBLELAVS
KIT.SINKS DISHWASHERS
SERVICESINKS SUMPS '
FLOOR SINKS FLOOR DRAINS
DRINKING FOUNTAINS � �
INTERCEPTORS �CLARIFIERS
SWIMMINGPOOL PTRAP
WATER SERVICE �ALTERATION
GASSERVICE OUTLETS
WATER HEATERS � 'BTU OVTPVT-
$EWER GONNECTIONS �'
SOLAR TANK Lr�L—,E���T—fJ
SOLAR PIPING SVS. �,/�- �
. v
ISSUE FEE
MECHANICAL PLANCHECK
HEATING SVSTEM 0-300,000 BTU_
ANDDUCTING 100,000+gTV_
REFRIGERATION 0-100,000 BTU_
SVSTEM 100,000 + BTU _
BOILERS gTV
SVSTEM REPAIR,ALTERATION
EXHAVSTSVSTEM MULTIPLE
ISSUE FEE -
untinq; GolGenrotl-Assezsor
A.P. i
ZONE
REAR VARD (T�
PKG. SPACE RE�
STREET WIDTH
CONDITI
6�7t� C��.��8� �':n ��
IING REGULATIONS- �'
PLNGo. Rg�EJF. �Z _ —
�ROPE�RTVNLINE
PROVIpED
PARK FEE S
ELECTRICAL " pLArv CHECK
GENERATOR " 0-1 KW_1-lO KW �_
�TRANSFORMER
APPLIANCE 30-SOKW_SO+KW-__
MOTORS 0-I HP_I-30 HP '__
,�1IVC.SOLAR) 30-50HP 50�+HP_
FIXTURES OUTLETS SWITCHES
GAS TUBE SIGNS
POLE LIGHTS - '
POLES VV V METERED SUB �
PANELS MAIN SUB
SERVICE ' AMP '
ISSUE FEE " '
APPLICATION A�PROVED BY DATE
SUMMARV OF FEES•
BVII�ING
PERMIT E�O SMIP E � �
PLAN CHECK $ PERMIT
ISSUANCE S
PLUMBING E
PLANCHECK S GRADING S
ELECTRICAL y S .
PLANCHECK g MICROFILM'E
MECHANICAL $ TOTAL FEE $
PLAN CHECK' E - LE55 AD-
VANCEPC S_
• � i
. _ FINAL FEE E
. --�
CONSTRUCTION AND PLANNING � � � , FOOL & SPA . ' - �
APPROVALS Permit # Date Inspector qppROVALS . Permit # Date Inspector
1. Temporery Electrical Service or Pole 43. Pool & Equipment Location � '' - � -
2. Soii ipe-Undrgrn � � 44. Steel Reinforcement �
3. Electrical Conduit Utility-Undrgm _ 45.. Forms � � � � •
�4. ElectricalConduit-Undrgm „, � 46. Electrical_Bonding - �
. tee ein orce 47. Rough Plumbin & Pressure Test �- �
6. Electrical UfER Grn 48. APPROVALTO COVER-GUNITE
7. Footings 49. �-Electrical Conduit-Undr rn �
8. Foundation � 50. Gas Pipe, ❑ Undr rn, Test �
9. Water Pipe-Undrgrn 51.� Backwash Lines P-Tre ❑' ndr rn � �
10. Structural Floor System 52. APPROVALTO DECK ' � �
�.11.- Property Sewer_Line &�House Connection 53. . Backwash & Rece tor-Final �
12. - Street Sewer Connection � �� 54. Heater & Vent-Final
' 13. Rough Plumbing ' � � " '
14. Rou h Electiic'-Cond'uit%_._.. ' - � �56. Electrical-Final
15. Rou, h Electric-Wiring � � - � 57. Solar System-Final �
� 16. Rou h�Heating & Air Conditioning - � encing & Access Approval
17. . Ducts, in Structure ' APPROVED FOR PLASTERING
18. Ducts, Ventilating. '
19. Gas pipe-Rough &Test ' 60. POOL/SPA SYSTEMS FINAL �
20. Roof Framing" ' ���;r: , > - �
21. Roof Sheathin ` " ,� -
22. Frameand Flashin ^ NOTES:
23. Insulation � ' �
24. Lathing & Siding '
25. Drywall Nailing � �
26. Plaster Brown Coat -�,���:' �
27. Electrical Power MeterFinal ' � � '" � �
� 28. Final Electric ' - �
, 29. Final Heating & Air Conditioning � ' �
30. Final Gas Pipe-Test -
31. _ Final Plumbing ` -�
32. Water Service-Final ' � '
33. Gas Service-Final �
34. Solar pomestic-Final � '
� 35. Landsca e S rinklin S stem
36. Sound Attenuation �
37. Handicap Regulations - • •
38. FINALSTRUCTURE&BUILDING � - �
39. Special Requirements Completed -
40. Electric Release to Edison - � � �
41. Gas Release to Southern California Gas Co. �
42. CERTIFICATE OF OCCUPANCY .
No Date -
COUNTY OF ORANGE
BUILDING DEPT.
636 No. Broadx•ay
Santa Ana, Califomia
Phonc: KI 2-6211
., . ��..s-s3 /,
- - PermitNo....3..T..r�..��
Application for Building Permit � n� 3��,�-�
AND FOR A /�`"�
Certificate of Use and Occupancy �/` � s 33
D,�e.�1.-y/.1G �,�----6�-�---..1.9 S/--��----
OWNER'S NAME....1�.�_S..,Fi..P%f......�.--.Q.�S._GNE��S--------------------------- PHONE:��/.:i...-..5...�%la.�.W
MAILING ADDRESS-- H-g 7---B.�,R.�i%.R.Q_.........cS_ .T...,..- -- - ........ - CITY... G O._S...T..f..l---. .M. �SA. : --�
Namc
�(Architect or Engincer)
AJdre=_s
City
State
Lic. ]
Name ,A..�..✓l.�l......._..l.Y..Y... ..R.D... o..S----�---- .............:_----
(Contracmr)
�aa�e� ....._ ..............LV�.S..T....ttt�vs Tc.(i......S...T....---�
City ..l.V..�!;v.f.�O.�Z...T......Ci..�.
S[ate ,
Lic. No.i..Y.r.-.�.....�_3...�.....
qnQ. iU� �
/�/ yc" ' / S� O.DH', eX f
PROPOSED USE:....Q...IN..�.E-.,L..�.I�..G.�..CL�I./.<dl.�Sy.../h. C.F(,�l�J.h-.y...G}:-9.l.`R�. ..Q.. ..�.n,�. .37``fY7�
2. JOB LOCATION...Gf 5�-7----�.ERKf.tRL�.. -51....r�� � G.O-.S_.T....4:....M. t.Sfi:...._G..44_!-E... . of-//oh----
..-• . . ...... :....
(House NoJ . (Nam of Street) (Town or chool Districc
��a/- ss 3 �
3. LEGAL DESCRIPTION: Lot.._:.._s�.�`.�..��J¢C��..�lock � . ............. - ...... -'----._.. Tract- --- - -----..... - -- ---....
(Me:es and Bounds Descnpuon—Use reverse cide of form)
4. CORNER LOT ( ) ]NTERIOR LOT ( Y) THROUGH LOT ( ) SLOPE OF LOT ( )
S. SIZE OF BLDG.:..�.������,1r..�.AREA:._....���....._......_._..SIZEOFLOT:.�aQ�Ii�..Q_s..2..AREA:.........�9_._=i...O....._.
G. HEICHT OF BLDG .:.............._............-_---...._...CEIL1I�G HEIGHT:...Q...'..c�:.E..� G��.NO. OF STORIES-.----O.,r�(.�....--.-.--
7. NO. FAMILIES......�..l.V.� ...................Size of Smalles[ Bedroom:...._.......---_................------. Size of Kitchen_.---..----..................._..:
S. EXTERIOR WALL CONSTRUCTION:..S...Z.�.%G.L...P ................INTERIOR WALL COVER[NG..PL.N....`�..T��.R..".IA��AD
(Frame, S[ucro, Ecc.) �1��, (PlastcrDrywall, Etc.)
9. SETBACKS: Front Yazd From Center Line of Strect_......-.7....-'�.._ .......................-. --.--.-..---.-----....--.-----_-_.........---........._-.--•_-----
/ �[/ '
Nearest Sidc Yard._�..........__Rcar Yard.......Y.(Q......Distance in Feet Between Bldgs. on Same Lot ............................................
�1 s.e� �/w;,r .
10. A COMPLETE PLOT PLAN IS REQUIR D, SHOWING ALL STRUCTURES AND USE OF EACH.
/ � r
11. For (a) Footing: Width.-.-----L.�._ .....................Depth in Ground..........-��_-..._.__Wid[h of Wall--------.--..--.---.__........
Acccssory
Bldgs. and x L� (� " '
Similar �b) Size of Studs:...� ......:.............Spacing........�........._......:'CC Material of Floor..'���'........
-�-------- -
Strucmres: � � / � �
(c) Sizc of Floor Joists:- ..._iX .� .L................._.......Spacing-----........_.........----��-�--- ��CC
(d) Size of Ra(ters:......�..�_._`.7. w /
"CC '
12. VALUATION OF P Olj POSED WORK Including all labor, plumbing, electrical �viring, hea[ing, fire sprinklers, painting and
sewage disposal 5.---�'/.—. B-O::B' ..................... .
3,SoD.�
13. I HEREBY CERTIFY THAT TO THE BEST OF D4Y KNOIWLEDGE AND BELIEF THE INFORMATION IN THIS
APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFQRM TO ALL LAWS OF
THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO.
Plans Filed:.....__....
FEES:
Bldg. Permit
Plan Check
Tocal - •
Receipc No.
Paid to •
Date. .....-'----
FOR DEPARTMENTAL USE ONLY
GROUP..... ..�F..tJ. . ..._...
.. ..
TYPE----- �- - - -.... � -..
DIST. /�
MAP......S.r ................ �.r�'
SHEET NO......� .............
PER2.4IT
DATE-----..... .�.� - . . ....... ... �.
zM_=,, ��, ��5�
(�wner)
(Authorized Agent)
ZONING..... - -... - ���---
PLANS AND
SPEC'S ................./1...
CORRECTIONS
HEALTH----......-� -------.....
FIRE
MARSHAL....... _ ...............
STATE........
ENGINEER
�ePurv
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