HomeMy WebLinkAbout1981 CHURCH ST - Building Permits ADDRESS Of B"'dNO: 1981 CHURCH ST WE: CITY OF COSTA MESA — BUILDING PERMIT
wel0"AMElr ' PENJOYAN RICHARD G TR PERM NO: B 084341
I'DOREm 17321 ROb ROY CIR
HUNTINGTON BEACH,CA 92647 PERMIT NO: B 084341 PLAN CHECK NO: N GOVT: N SUPP: N
APPL.MMUNO ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
ARCHITECT OR ENGINEER: Do.NO.: JOB DESCRIPTION : T/OFF RESHAETH & REROOF W/COMP. SHINGLES SQ FT: 2, 900
ARCM.OR END.'S ADDRESS: WIT:
CLAIM VALUE: 2 , 900 . 00 CALC—VALUE: 2, 900 . 00 GROUP OCC: R-3 /
CONTRACTORS NAME:
CONTRACTOR'S MAILING COMMENTS: SMOKE DETECTORS ARE REQUIRED
ADDRESS: lit NO.: ************************************************************************yb******
OHC: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby tam under penaky of peej ny that I am licensed under provisions of Chapter B SETBACKS
(commencing with Section 7000)of Division 3 of the Business end Professions Code,and my license is in lull force and effed.
Cm UC.NO.: LC.CLASS: UC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING
Dale: CommonFRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penalty d perjury Uel I am exempt from the Centred=License law Iv the
follo. demoli,'�"pair(Section 7031.5 prior to
tone issuance.abo rand Professions equires the,mapper fmn�wchh pwhich ant'°to Se aes"dgned slalomed constnich that,he Or she PARKING REQ:provisionsr.� PROV: PARCEL : 00000000 ZNE: REF NO:,�
' licensed pursuant to the of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 d the PLANNING NOTES; (+s''=
Business and Professions Code]or that o or she is exempt therefrom and the basis for the alleged exemption.My violation of Section
the by any applicant for a permit subjects app0raa to a dvi penally of not Mathan fore hundred dollars MOOD. t?
sii I.as owner of the property or my employees with wages as their sole compensation,will do the work,and the structure is send Wended /
or Mend rsale(oves thereon.
Business and Prdesavu Cade:The Contractors salor through
license law does not eddy loan owner d propend D E V E„L OPMENT SERVICES R E Q U I R E M E N„T S
who builds or improves thereon.end who does such work himself or herself or Mragh he or her own employees,provided that such �w 4.!
improvements
tm0 haveuthe�dNaen ofproving he ooffend for r sMeSdnot bald or improveing or vefprarihe purpose se sold fm�e)one'eardwnpwatn'me ZONING APPROVE`D� BY DATE: L.C.
❑ I,as owner el the propant,am exclusively connecting with licensed contractors to construct the project(Section 7044,Business and -,:Th ��
Professions Code:The Contrition License Law does nit appy fo an owner d property who bMCs or improves thereon end won BUILDING APPROVED BY : DATE:
contracts for such projects with a contractor(s)licensed pursuant to the Contractors license Law).Cls= e
❑ hamexeernl under Section: B.AP.C.. adis APPLICATION ISSUED BY: ' DATE: Oil I,
l.�
ter: ol4A- Ower: `� T . ` _ **************
do ebycertirythat Iamaware of and undersuMthe requiramentsofCaTaniaHeaMerdsdelyCode swhons25505.25533,and LEGALIZATION:N F E E S U M M A R Y STRUCTURAL S GMENT:Y
.and that I or any Mise building occupant wM/will not(Sole one)need to comply with mid date codes and the requirements tor
apermit forconsurdion or modfxrtionhanmeAir anroemenn District.Rewanialmwrwon applications are exemptlmm Mem BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 74 . 75 . 50
Dale: Applicant:
SMIP NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the fo0ow'ing declarations: PLAN
❑ I have and will maintain a candle/its of consent to sell-insure for workers'compensation,as
nprovided for by Section 3700 of the Labor ISSUE FEE
Code,for the pedamanceatework foNmi
wthispermitisued. BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ lhem end WImafolai,workers'rosea.atioimnrance.sewolfed bysedine37Dodthe labarCode,for the performance dthe TOTALS----> 75 . 25 0 . 00 0 . 00 75 . 25 75 . 25 . 00
work for which this permits issued.My workers'compensation insurance carrier and policy number are:
Caner: REVENUE DIVISION TOTALS--> COLLECTED: 75 . 25 OVER/SHORT: . 00
Polly Number. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
This section need not be completed y the pe,mi is for one hundred dollars(S100J oe less.) 74 . 75 . 50
❑ I certify Thal in the performance of the work for which this permit is issued,I Null not employ any person in any manner so as to
become subject to the workers n3700o ofthe laws d California. end agree that i I should become sullen to Ice workers'calve/ *******************************************************************************
become
sation to d Section 3700 the Labor Code,I Null forthwith comply with those ou pr
Da : Applicant: INDIVIDUAL F E E BREAKDOWN
Warning:Failure to secure workers'Conpernsdon caving*is unlawful,wed she subfact an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up to one hundred thousand dollars(S100000),M addition to the cwt of compensation damp
s as Provided for in
S.cr/ono 3706 of dm f/la Labor Cods.lnrsrn4 end attorney'./sa SFR 2900 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 2, 900 . 00
CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there is a construction lending agency for the END OF FEES
performance of the work for which this perm is issued(Seam 3097.Civ.C).
LENDER'S NAME
LENDER'S ADDRESS:
I candy that I have read this application end Nate that the above information is ported.I agree to comply with all thy and county ordinances
and state laws relating ba building construction and hereby authorize representatives d this dry to enter upon the above-mentioned property •
for inspection purpose°. .
PEGGY PENJOYAN 88-21-1997/11:23 NN/$75.25
Nessa • T(CPT8:81-8811151
0244 Date: a 7 1 Ni PERMIT:084341
Signa. -.Agent/A.• ..tractor
(5151-46 W P) Where-Buildip A Safety;Green-Fre;Canary-Applicant:Pink-Revenue:Goldenrod-Assessor
CONSTRUCTION AND PLANNING POOL ,PA
APPROVALS Permit# Date Inspectpr APPROVALS Permit# Date Inspector
I;
1. Temporary Electrical Service or Pole t- 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 UF ER Grnd. 57. APPROVAL TO COVER•GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural 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 Electrical-Conduit 66. Solar System-Final •
16. Rough Electric Wiring 67. Fencing & Access Approval --f
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING •
18. Rough Electrical-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 Hydro
22. Ducts, Ventilating • 71. Product Piping 0 Gas Q Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing •• . • 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing f t'�Gt? 6,, /f 74. Overhead Hydro'
26. T-Bar Ceiling (Structural) & Monocoat rte""+T 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 y '
36. Hood or Canopy
37. Final Factory Fireplace (•
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final •
41. Solar Domestic-Final
42. Backf low Preventer
43; Backflow Irrigation ,
' 41. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations •
47. FINAL STRUCTURE & BUILDING `p-37 4a4-
48. FINAL PLANNING - •
- '
49. Electric Release to Edison
50'. Gas Release to Southern California Gas Co -•
- 51: CERTIFICATE OF OCCUPANCY •
No. Date
/--e f-,ne-//ed jai/5a
- ed
6009 //Ac/Ca v s Ca
+rad
//'/- 6 / , IAc-i 34-a ?R-r 33
COSTA MESA BUILDING DEPARTMENTcosra�l.fl ....A77 nn
P.O. BOX 317 •...1) 1 n e-+DII
COSTA MESA. CALIFORNIA `- .
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
ABUILDNG DDREISS /97/ ,p/lirnce BUILDING
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. PERMIT NO.
OWNER Si1A 27/44t, / • Ic %V /
MAIL 5S'"' l�
RECEIVED BY DATE RECEIVED DATE ISSUED
ADDRESS 1'Q '- / 6n TEL. BUILDING
' 0/ // /A L7 A-, ?'S
CITY 2t� NO. ADDRESS -�
ARCHITECT -* LIC. COSTA MESA. CALIFORNIA
OR ENGINEER /��, 7M40:-At ✓NCO.'
FIRE
ADDRESS /2. 4. 4 Winne / affe. . ZONE
CITY LIC
ZONE JrNOANS TVP GROVP
'CONTRACTOR ti NO. !�/J Fa__
TEL. APPROVED.
ADDRESSNO. BY DATE
DESCRIPTION NOLEGAL T /3JBLOCK n TRACT I/� -� COBRECTIONS
APND I18- OIz -'3
VARIANCE
SIZE S LOT JO//V/-,�,J ' INOW ON LOTS 7,0„,„: /�
WIRED
USE OF 151(i''Z_{J��E%ISTING BLDG.
SETBACK LINE FROM �d r
CENTER OF STREET /OD REAR YARD ' � --76.1 /
rtcilS
SIDE YARD RIGHT D LEFT p ' •�A� Darr.
DESCRIPTION OF WORK APPROVED) illit
T
NEW V ALTERATION ADDITION
REPAIR HMOVING DEMOLISH APPROVED
BUILDING / NO.OF CITY OF COSTA MESA
SIZE /JOD p ROOMS I STORIES /
EXTERIOR WALL 11/44 ROOF PL KING DEPT.
COVERING COVERING %Lig�/I. /6— ®tkBOEC1 BLDG. DEPT. REG.
USE OF NEW / ee '/yam DY
BUILDING %raibi�/�{/�,C, /j
DA //
PLAN TCCM.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC.
TION. Ar VALUATION
SIGNATURE OF !' PERMIT FEE $ 4_,,/)PERMITTEE *gat Lb' ,�. �
LLRR--�' 0=
PLAN CHECK $ /
AUTHORIZED AGENT ` Saati //�'If(„ii•i✓rV� SMr
TOTAL FEE $ 33
0 hi Alia
J ti tri1
. 00,8 20` 6921 3/07/7B 131x24 TL
COSTA MESA BUILDING-SAFETY DEPARTMENT •
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
For Applicant to Fill in Completely —Use Ink Only APPLICATION FOR STRU��r��RAL PERMIT
BUILDING y^'a �I , ` RECE 1d 15-E c, DATE ISSUEy'`
ADDRESS ' /l li V tiV .c1� s+
/!///IA/j4//L�7'//�/_iq/S //ji/ '(I // (J
OWNER \ AY A.P.NO/W/2/G - /8 1fPFJ�1i,�O!y[//,4"
MAIL I�I,) �_ GRA BUILDING 1�,0! / L/0/#
ADDRESS • A I M : j k I. _ ..L.J ADDRESS 1 J _ -
(1r�pr�}� s--� y� I�j `C-1 i ,n- d +
CITY U.Js�Vr 1IR net_ MAl , NOTEL(g/c3� �-+ofi TRAC , LOT 201 BLOCK
CONSTRUCTION NEW ADOI ALTER REPAIR MOVING DEMOLISH
LENDER
BRANCH /r
4 aR 2,7
OWNER _
ADDRESS d
AOR ENGINEER AlVne\ Rim l� NOL /1g�//'!s•I USE /41 $gili(/(J I/
FIRE
ADDRESS 17777 jta EO F t', ZONE YPEVri' GROUP�.p/
�p APPROVED
CONTRACTOR t�l.A�n�-•1_) BY DATE
ADDRESS
TEL. ZKE� NO.OF USE OF NEITI
CITY NO. iC PL•N5Z BUILDING
Fi
--, STATE CITY YARDS APPROVED YARDS APPR ED
LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
W SIZE NO.OF SLOGS. (FROM C/L`ST9EET)
p+ OF LOT SOX 0NOW ON LOT O FRONT V / FT. FT.
USE OF
4 EXISTING BLDG. -- `^NI FT. ,
C,' q
F
USE
OF BUILDING
permits are required for L.SIDE V FT. FT.
delectric,plumbing and heating work. ^
REAR ?FT. FT.
AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
G MAIN BLDGS.sf,DG �j ACCESS BLDGS.
..1 nnt'S'rG , 1 UcI loiN OF Ik CU� yV/�(-�D-V, APPROV`E,DI„ 70
•-1
)•• OUPLe _ELY ROVfgs�� �J7e DATE --/,s I U
te
HOLDFORSPECIAL REQUIRFMRT$
QI hereby acknowledge that I have read this application and state n
X that the above Information Is correct and agree to comply with m
G, all laws regulating building construction, and I shall not employ
Z any oerwn In violation of the workman's compensation laws of
.TW the State of California. ace
.�/y�y/� int Q
3 I hereby certify that I am properly licensed as a contractor under 9 ��V SO. FT. f�J ( I"/,4 a %
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 141
am exempt from th: • ovislons of the State of California Business VALUATION PERMIT FEE $
and Profession ivlsi.n 3,Chapter 9. os
L
PLAN CHECK S/27s so o
Signature o
Permittee_ —_/ .� _ .� $ ROM TAX $ L
dr
Aut •T• e l Agent TOTAL PAID S/. LL Z f U 't
COSTA MESA BUILDING-SAFETY DEPARTMENT 0812 5/11/78 25142 IL
W.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
',.. APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely —Use Ink Only
RECEIVED BY DATE RECEIVED DAT ISSUE•
BUILDING g I I / i / .�/^/ 4°, . '//"...
/ `�
ADDRESS /,`'7 / FN C
Pr- a
.ai�//� J �/
OWNER A.P.NO. . /i s
MAIL ADDRESS[BUILDING /?sign /,., 1004
ADDRESS
TEL. TRACT{{{ / a LOT BLOCK
CITY NO.
CONSTRUCTION NEW ADD ALTER REPAIR MOVING OFMOI ISH
LENDER
BRANCH
OWNER / // ,
/
ADDRESS I / elALOE
ARCHITECT TEL. US S
OR ENGINEER NO.
FIRE
ADDRESS ZONE TYPV GROUP
` _ _ - .r 4 APPROVED
CONTRACTOR /V{Ls/N/r`L`I O✓N_/ i BY DATE
ADDRESS
TEL. ZONE IND.OF USE OF NEW
CITY NO. PLAN BUILDING
F STATE CITY YARDS APPROVED YARDS APPROVED
gLIC.NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING
la SIZE INO.OF BLOCS.
o (FROM C/L STREET)
o. OF LOT NOW ON LOT FRONT FT. FT.
yUSE OF
EXISTING BLDG. R.SIDE FT. FT.
Cf)
E-4
Separate permits are required for L.SIDE FT. FT.
electric,plumbing and heating work.
W - REAR FT. FT.
(..i USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
Q /��iT////�1�iI1 MAIN BLDGS. ACCESS.BLOCS.
/�•`ll VAR.# DATE
', C.U.P.# APPROVED
Q
APPROVED Q
>4 _EY DATE U
IY 0
CI hereby acknowledge that I have read this application and state \�
EE that the above Information Is correct and agree to comply with
0+ all laws regulating building construction, and I shall not employ
Z any person In violation of the workman's compensation laws of e
the State of California. m
I herebycertifythat I am SQ. FT. 04
properly licensed as a contractor under
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN DER VALUATION IS FOR B
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF LISHING A PERMIT FEE ONLY: —
to I
am exempt from the provisions of the State of California Business 'VALUATION PERMIT FEE e
E
and Professions Code,Division 3,Chapter 9. / 207,04 t
` en
n
Signature of PLAN CHECK $ o
o
Permittee $ TAX S LL
A
ae/,CAuthorized Agent TOTAL PAID $
OWNER GRAY JOHN A. DATE 5-11-78
\JOB ADDRESS 19W. Church Street `"fl�Q" BUILDING PERMIT NO. 4562$
ENERAL CONTRACTOR $ err- : rr. DESCRIPTION of WORK DupThx W Garage
AP No. 115021-13 LOT TRACT FIRE ZONE VALUES 82,000•
INSPECTIONS
Signature Date TYPE V GROUP ZONE I & J
SOIL c'L"' S'�° SUBCONTRACTOR PEfiMITS ISSIED
AS Date I Number Signature
WATER i 4...0 Plumbing •
q
ROUGH PLUMBING .. g- i 1 A_- _ u. s . -.A.M. 7JT'z 5
PROP. SWR. LINE,f HOUSE CON. ! • _a T# JJ�Urdr - - 4
SPRINKLING SYSTE - 4t - =29-7.P r •O tf
MISCELLANEOUS ('� o a "fhet7fM P' S-! . X7-3 /f VJ11715 ,�j..
ROUGH HEATING AND AIR CONDITIONING I •"- a.-,'IF •
TEMPORARY SERVICE OR POLE 4(/ E5-/7'1
UNDERGROUND O POWER rl
ROUGH WIRING N.atin• and Vent
TRENCHES L ORMS C-G �� ` .�� tI�[!� r
FLOOR SYSTEM _/ raft 7 w-���1� 'Aril/ '.- g bf
BOND BEAM 7 STEEL REINFORCE 7 /•a 1_ L4'-Y5 t-7. /5"/Ch - -, ,9/•
SHEATHING 11)6. a 4j
FRAME AND FLASHING - _
LATHING - IN IJl OUT M oaf p.J,.w if �}1->-;t
PLASTER. BROWN♦ COAT "lry)04'.
-
STRUCTURAL, FINAL ' (( 'J.�• . E li /�-�y 'I ry)�
HEATING, VENT.. REFRIG. AND A,C., FINAL (`0 a Vy .LA- f/ [p -I TN'tp -
PLUMBING. FINAL AND GAS TEST �, [-La I l_6_75 ( jn/A- t -;,'>-)ff yyOL,7•%----.
ELECTRIC, FINAL C is -1Ir
BUILDING. FINAL eA Jill!. P 7
OWNER COSTA MESA LIONS MAR 1a1958 .° DATE 11-x.2-57
JOB ADDRESS 1981 Church St. JUL 9 1958 BUILDING PERMIT NO. 5981
UIRtS CONTRACTOR Owner Builder VALUE $ 8,625.00 •
‘jAt0 1 LOT 13 TRACT 118 FIRE ZONE DESCRIPTION OF WORK Warehouse
GROUP F2 TYPE I ZONE C2 PLAN NO. 6009
INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED
DATE v• NUMBER
Trenches Forms Steel
Floor System 'N V =
Steel Reinforce Chimney Re-Rod ��� 9Bond Beam 41/4\1()V
a
Frame and Flashing rLathing, hi Out II ' b 0
Plaster, brown coat I/ 4
CD
Underground soil WIG Pipe Test' i t
Top Out 'D
b�",�, n
Furnace i y c 7 �
Gas Vents /� V I Y 9
1 r
Rough Plumbing ,I/ /'>/ lrJ _ z
Cesspool Septic Tank I/ , kri
Prop. Swr. Line House Con. St. Swr. ll
MiI
Sprinkling System f i" t •, C
Heating Final / ' lr7
Plumbing Fixtures, Final iY I // _ 3
Final Gas Test . ^ 1/ 2
Construction Pole li'-�_J /
Underground Power . U
li
Rough Wiring 1
Fixtures, Final
OCCUPANCY -_ --
Form 210-5M-1-57 MOLD FOR SPECIAL REOUIREMENIS 5981