HomeMy WebLinkAbout1891 HARBOR BLVD - Building Permits '), . C... - , 9975 i--EE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT ( iirdlIL 2 4 1959
P.O.BOX 317 COSTA MESA. CALIFORNIA FINANCE DEPT.
FOR APPL/CANT TO NIL IN COMPLETELY APPLICArTIONFFORTPPERMIT
I TYPE R PRINT ()///, J BUILDING
ADDREIN / t/ '4j,AJ e�fi�//(/�[//
COSTA MESA, CALI OR�'^'r"'p��J71 FOR OFFICE USE Y
�� /[W,'�,'�/'K I RECEIPT n-7 PERMIT NO.
OWNER ///�//�/ ���qY p/J /yED„I ^'7yAT ISSUED
ADDRESS /,Y ,�. .�j��J/'/�J7'� /}(1 RE%mV�H-(L I O�/Z�EI.�� I / - 4)-_S-
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)S
/� / .J . TEL.�e{ves BUIL'DI//G/T
CITY �f /j��J} N i� NQ:/(/((((((///}Q� ADDRESS
AR
RR SNEER /G 1. eti tn/ �/�/n. po.� FIRE
COSTA MESA, CALIFORNIA
ADDRESS /���(t J f,O( L/�!/ -//9'L— Z N /
J FIRE TVP GROUP
✓ STATE APPROVED .../ /) GJ (_/�
CONTRACTOR (A,a.,✓d LIC.NO. BnY' - , /Y- DATE �/ / '�
ADDRESS `_ 6�vjC7C�,�?ONINC ^
LEGAL I LOT ZONE NO.I NO.OF I USE OF NEW _. )
DESCRIPTION NO. BLOCK TRACT / 2......... PLANS BUILDING 'f
A.P.NO. N7 - 0 Eli 3 (J`y, BVPROV ED did) DATE / c2E j*
r r
SIZEL
Lt-- NO.OF BLOCS. YARDS EVES
OF LOT �����J NOW oN Loi REQUIRED ALLOWED
USE OF (CENTER LINE ST.)
EXISTING BLDG. /71/ .///,./ FRONT FT. IN.
SETBACK LINE FROM
CENTER OF STREET REAR YARD R.SIDEilAcEeln.....” IN.
:J
SIDE YARD I LEFT I RIGHT L.SIDE r /! IN.
DESCRIPTION OF WORK A
/�
REAR FT. IN.
NE% 6 II ALTERATION 169 II ADDITION I
REPAIR (((���I II MOVING I II.D�E-MOLISH I
BUILDING i�( 1/ , L ROOMS /r.
SIZE /, /I / ,I �j V/,r AW),'W TORIES
EXTERIOR WA nI C U ROOF y/
COVERINGgg//'' //// ./f�Y/'/� COVERLYJG / �/
USE-OD
I`4�C/A'✓1/BUILDING A CJ.A/]-I D e. ,I��RK70 OE ER O//f E ✓l
(:).y(-94,4 /
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS/APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS C ECT, ND AGREE O COMPURPOSE
PLY WITM ALL CITY OROINA S NAI(STATE LA LATINO PUflPOSE OF ESTABLISHING A PERMIT FEE`ONLY.,
BUILDIN(y CONS UCTION.7 VALUATION /f\
SIGNAT LYRE OBJ -I.� � PERMIT FEE $ f(/
PERM ITT/E/C (! YY ,�`
// SS4U01r r `) PLAN CHECK $ S`7•
\
AUTHORIZED AGENT +++XXX / TOTAL FEE $ iU /-
PAID
' 39961
MAY ,z 7sci,s;,UU 379* �,� , * 5.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
• APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
/ fr V RECEf.�EBY DATE/R4CEIVED f�/�7�
BUILDING / '\ /���IlllJ✓n 5 04-7
E ISSUED
ADDRESS �f� (J / p
OWNEROfe A.P. NO. /(� — o6 -�� PE- rte, /
s�sMAIL BUILDING
JUS/u.S r y/, <
ADDRESS ..7✓/i-`r „ ADDRESS'Ai Lli plc ?, 11 -/•
O.0 CITY cosm maQ NO. TRACT LOT BLOCK
Z < CONSTRUCTION NEW ADD ALTER REPAIR MOVING DFMOI LSH
O N LENDER
J CL j BRANCH I
OWNER
ADDRESS /n/` ''/A•/.I- - r
�Isj
Iv-co ARCHITECTEENGINEER
TEL. USE a`/G�j'L�l(A 4L4• d�D '.�J a OR ENGINEER NO. )V/Z QFIRE
d WADDRESS ZONE T PP {/�
W O CONTRACTOR UiU/T&J ;Mr /WI-a-, BYPROV ED /' DATE ��/�'ZJ
Z 1908/ S, d lon/T
J Z ADDRESS )
w w _,r, TEL QQ...,��.� ��jj ��^-�s ZONE NO.OF USE OF NEW f[.,1p
Z F CITY &47, /1-449 NO.t 2.3 OOn 0z PLANS 2 BUILDING .iL�I.L
LB 'J-O STATE CITY YARDS APPROVED YARDS APPROVED
in CCLIC. NO. no ' 7S`/n
�' LIC. NO. MAIN BUILDING ACCESSORY BUILDING
D 0 /FROMSIZE •NO.OF BLDGS. CIL STREET)
OF LOT NOW ON LOT FRONT FT. FT.
USE OF ,
EXISTING BLDG. R.SIDE \ FT. I . T.
I— SIZE OF NO.OF
Z NEWBLDG. ROOMS STORIES L.SIDE 'ij`F FT.
Q EXTERIOR WALL ROOF
V COVERING COVERING REAR FT. I FT.
USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE ET. BET. MAIN&
S MAIN BLDGS. ACCESS.BLOCS.
Q VAR,* DATE
O at)/ C//[J41 a SiSitC.U.P.#W (, APPROVED
F APPROVED z^1, r.I ((�� P.0,
I2 z _BY (�t�r1l DATE `7 -- 12 -75
o
UI hereby acknowledge that I have read this application and state
that the above information is correct and agree to comply with
CC all laws regulating building construction, end I shall not employ
F any person in violation of the workman's compensation laws of _
CO the State of California. co
2 I hereby certify that I am properly licensed as a contractor under SD. FT.
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER V LU AMON I FOR i
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A P I ONLY: 2
am exempt from the provisions of the State of California Business VALUATION 5/00
and Professions Code,Division 3, hapter 9.
00 PERMIT FEE $ rI
Signature of // m
Permittee �1Y] ( !le FQ•Q eir7 $ 9 co PLAN CHECK $ e---- E
6 o s o
LL
Authorize gent "' TOTAL FEE $
Applicant to fill in all spaces within heavy bordir Ones'ane-sus...,..,.r....,_.._._._.•,._._.......
T CT NO. 'l 4. '+ j Is'°?�_
CITY OF COSTA MESA PERMIT NO. g�+ LqT NO. •BLDG.NO. ' --
_ •
CONSTRUCTION PERMIT &P- 37 �p 7 � `d l c�t.k�j3a� • • ` -
select Address q r• t ' d
A. 600 6n 7"SI T /9- TYPE OF CONSTRUCTION !.
.Owner r lT� n F Cain ,versa Phon9Kd_s,* 0 NEW 0 ADD ❑ALTERATION' `'�/r 1 OCT.). 1982 j,/ - -
Address 77 •Fd•t Det c ,M • ❑ REPAIR ❑ CONVERSION-�' DEMOLISH J'/ Z., IND REGULATIONS ..
'Arch/Eng. License No. 0 OTHER /� - - -_r.,-• f '
DESCRIPTION OF WORK DC au O. r a...EFI CA J' L Z.— .-
Address '-' ZONE 7/ PLNG. REF.t,. -
'ContractorMa L. Of SGN.rNc Phone ,�A_yLLi TYPE OF PERMIT Tp Bt�i
SETBACK C(L$T. V ROP D`IpiG INE
,Address Qe it 37 AA, GR.pNRQe fl-I LS ❑GRADING, 0 FOUNDATION ❑STRUCTURAL a SIDEYA RD' - - _ - ,
LICENSED CONTRACTOR DECLARATION ❑ TENANT 0 ELECTRICAL PLUMBING ❑MECHANICAL Lclleptt YARD it)eJrno -
I.hereby affirm that I am licensed under provisions Of Charter 9 (corn- - RIGHT •
mencing with section 7000) of Division 3 of the- Business and 0 OTHER - - . .
Professions Code, and my license is in full force and effect. REAR YARD(TO P/L)
License •
Class V No. /h ,r PROJECT DESCRIPTION -
cyn5�e 3 �7 PKG.SPACE REQ. PROVIDED.
Date /0-i1`ga Signature • C iSe✓� SQ,FT. , . - -
WORKERS'COMPENSATION DECLARATION '- - OCCUPANCY CONSTRUCTION TYPE STREET WIDTH PARK FEE'E • _
I hereby affirm that I have a certificate of consent to salt-insure.or a VALUATION�• OddO ZONE ZONING APPROVED BV•:-NV DATE /d '.f'!e
certificate of Workers' Compensation Insurance, or a certified copy - `7n- . L, 'I O
' veal(SectLop 38100 Lab.C.). GRADING CU.YDS. ACRES SPECIAL CONDITIONS: . , .
icy No. �ltIr Company S71 Gf/✓D - ._ -. . . .
Certified copy is hereby furnished. REMARKS: .• '
Certified copy is filed with the city Building Division. '.
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION' ' - . - - - - ' -
(This section need not be completed if the permit.is for one.h untlre0 - - _
($100) or less). - - "' • - - -'- - -
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 PLUMBING PLAN CHECK' ' ELECTRICAL - -PLAN CHECK - - • . '
subject to the Workers Compensation Laws of California.. _ _- _ _ i
BATHTUBS SHOWERS SO FT Ia. • . FT
Date Signature SO FT 50 FT
NOTICE: If after making this declaration, you should become subject TOILETS • URINALS" GENERATOR 0-1 KW 1.10 KW .. ' • --- .. •
to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER -
forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS • APPLIANCE ' 10-50 KW-50+KW - r ' -
revoked._ _ - - - '
CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS MOTORS 0-1 HP__I.10 HP - • '
I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS SUMPS' (INC.SOLAR) .- 10-50-H7 50+HP • .
formance of the work for which this permit Is issued (Section 3097 - -
Civ. C.): FLOOR SINKS-• FLOOR DRAINS FIXTURES 'OUTLETS SWITCHES "- -• '
Lender's Name _ _ _
Lender's Address DRINKING FOUNTAINS GAS TUBE SIGNS' -- '
OWNER BUILDER DECLARATION INTERCEPTORS• CLARIFIERS POLE LIGHTS . -
I•hereby affirm that Lam exempt from the Contractor's License Law for '
the following reason (Section 7031.5 Business and Professions Cotler' SWIMMING POOL PTRAP ' - CUNaIHut.IIUN - _
Any city or county which requires a permit to construct, alter, _ POLES METERED 'SUB, .
Improve, demolish or repair any structure, prior to its Issuance,also re- WATER SERVICE ALTERATION ' PANELS ' MAIN ' SUB - - - •
quires the applicant for such permit to file a signed statement that he _ - •
is licensed pursuant to the provisions'of the Contractor's License LawGAS SERVICE • OUTLETS - - SERVICE - . . . AMP- -
•"-apter 9 (commencing with Section 7000) of Division 3 of the _
less and Professions Code) or that he is exempt therefrom and the WATER HEATERS BTU OUTPUT '- - - ' ' -' - --- .. .
for the alleged exemption. Any violation of Section 7031.5 by - - - •
applicant for a permit subjects the applicant to a-civil penalty SEWER CO NN ECTIONS�W�y' •N ' - -not more than five hundred dollars ($500). 5f _ _ .
❑ I, as owner of the property,or my employees with wages as their SOLAR TANK COLLECTOR - - • - _ - •
sole compensation, will do the work,.and the structure is not intended '
or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. • ISSUE FEE - - - '•
whCoo builds License Law does not ah to ansuch
owner a property • • APPLICATION APPROVED BY F�O�/}I�a'L,
who builds or improves thereon, and who does SUCK work himself or ISSUE FEE - DAT
' through his own employees, provided that such improvements are not •' -
Intended or offered for sale. If. however, the building or Improvement SUMMARY OF FEES
'a MECHANICAL PLAN CHECK _ --
o sold.within thie one year of completion,the owner will have the burden e
of proving he did not build or improve for the purpose of sale). BUILDING - - ' _. - •
❑ 1, as owner' of the property, am'exclusively contracting- with _HEATING SYSTEM 0-100,000 BTU PERMIT $ l •SMI- • - $• �`✓-•
licensed contractors to construct the project (Section 7044, Business AND DUCTING 100,000+BTU
PLAN CHECK $ PERMIT
and Professions Code: The Contractor's License Law does not apply to - ISSUANCE $
an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ '
tracts from such projects with a contractor(s) licesned pursuant to SYSTEM _ GRADING $
the Contractor's License Law). 100,000+BTU • PLAN CHECK $ ,
•
❑ I am exempt under Section • ' B.& P.C.for thisBOILERS BTU - E '
ELECTRICAL $
reason - - MICROFILM $ 1^......---
Date Owner SYSTEM REPAIR,ALTERATION PLAN CHECK E TOTAL FEE$
I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE MECHANICAL $ -
Information is correct. I agree to complywith all cityand county - PLAN CHECKVANESS EAP
9 $ VANCE PC E
representatives
and state laws cityytl to toteconstruction,on and oveby authorize •
of this to enter upon the above mentioned ^
property for pectw�s�.� urposes. e
Signature i t`,� �.
? ISSUE FEE - - - - . .,
CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor
I
• .•
•narli 1 • -,,.••,•
_ -- . . - - -
-
CONSTRUCTION AND PLANNIN n
' t' ei. • ^
•POOL&SPA -
. ,
APPROVALS Permit* 74%576) Date . ,Inspector
APPROVALS i t - IT Perinit ti‘ • Inspector_
.. ..
1. Temporary Electrical Service or Pole . . 43. Pool & Equipment Location ' '- --- 1-;..' --
ty.. 2. _ SoilPipe-Undrgrn_J• ' ,. . 44. Steel Reinforcement"... - -- --•-- . _. - --.• . .. .. .. -
Electrical,Conduit UtilityzlIndrgrn :_--__:- - - -- -- ---. -._ . . •_._ .•_ ._ _ 45. Forms . .:. -: Ir. •- - - , _ _
4._ Electrical.Conduit-.Undrgrn_ ___ . - _ - .. ____ _ _ _ _ _ 46.,_-Electrical Bonding - . -
1 5 Steel Reinforce ,. • , 47. Rough Plumbing.&Piessuraest--"-- - - ,_- .•_..,. . . .. _
' a Electrical UFER Grn,._ _ 48: 'APPROVAL TO COVER-GUNITE, t - '"- 4 "-- " --
1_7.. _Footings. . ',_ ._ - _ .
49. Electrical Conduit-Undrgrn. I , •. . ' •
.
50. Gas Pipe, Ell Undrgrn,Test n --- ' :
_ .... .Water. PiperUndrgrn._ _ _ _ •"__," --- --- -- 51.- Backwash Lines.P-Trao.7-0-Undrarn r-t ' - - - ''''" - - - '
,
I...10.__Structural Floor.System • ._ , ' . I. _', a!,_ . • , .. - ,52. APPROVAL TO DECK ' - " " -
',ff.'.Trolierty Sew& Line & Houle Conneetion:j ' • _ - -- - --- - 53:2:Backwash&Receptdr-Final'•.t' • " . ' ' "
, . ,..,_ .•,
! 12 -Street Sewer_Connection c,. _____ _ _ . - - -. --/ '' - 54.-- Heater.&Vent Final
13. Rough Plumbing _ _ __ 55. - Plumhine SVOPM/Final
.
L 14. Rough Electric-Conduit ' - - - - -- -- - - :56.-- Electrical-Final '
. _ .
15. Rough Electric-Wring - _ _ - -- ---- - -57.- Solar-System-Final i, . ;. - -Y..' .' -•' . '
'16: Rough Heating &Air Conditioning-7- t• -- .._.„_ _ .._. - , ps. Fencing&Access.Appro,val , o
17.' -Ducts, in Structure - - --_ _ _ .' 't .._ ' 59. APPROVED FOR PLASTERING -' " .
--
, 18. Ducts;Ventilating - -' - . - -- - - - • e . - . _ _ .,..-
19., Gas Pipe:Rough1k Test- - - 4 . .. rig, • . _ _ ' . .. -,.. . . .60. POOL/SPA SYSTEMS FINAL - • • t- „
20.-- Roof-Framing ". -- - _ . _ _ . . - - _ __ _ . ' • . ,
, ' 4
21.1 Roof Sheathing - _ .- - -
. ...NOTES: : '- ''' •
22. -Frame an-il Flashing ------ - - -- - . .. . . • • . .
I-23;+- Insulation- --'-. .' : - : " ' -__. . _ , . _ . _ _ _
24.1 -Lathing& Siding - . --. - . - . . __ - . . _ _ •
- 25) Drywall Nailing _ . _ . ,, . .
'-26.t Plaster Brown Coat
27.. Electrical Power Meter-Final- - - . _
p28. Final-Electric -
ing . __
I 29. Final Heating& Air ConclitiOn - - _.- _ - - _ . 1- -. . -
,-30,,I •Final Gas Pipe-Test
t 31. --Final Plumbing_
-32..3- WatertService-Final . .
_ _ . _ - _
.133. •Oas Service-Final "-- ..-3 - . ' ' •
• .
V0343 W e
- - - • - _ . ,. .
_ . ._ _ _ ._
, . . . __ I , . .. . - .... .,. • :... .: - - -- .}- . .
__
. . - _ __ .. -: - - I - 1
. . - . 1 , ' . I
•
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• i
• '11
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' 34. Solar Domestic-Final A 'r? i ' ' . - 7
.
'
- , . - . -' -
.„
35. Landscape Sprinkling System - . ' - -- I , , - 7
36. Sound Attenuation _ .. • .. ' '
-
37. Handicap Regulations . . . „ •
38. FINAL STRUCTURE& BUILDING rale 3 72S _
.., I ,
T 39. _Special Requirements Completed -
....„ -,
-
40. - Electric Release -to Edison . ., • , ,
' - .
.
41. Gas Release to Southern California Gas Co. I ,
_
- ' -
.
42. CERTIFICATE OF OCCUPANCY
. .. • • , , , ,
..
' No • " , i " Date
• _ . _ _ . __ _
.
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- I
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_ _ _ . . _ _ - . . . _ _ _ . - .