HomeMy WebLinkAbout2593 ELDEN AVE - Building Permits w
_ - Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. - --
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! � r PE IT NO. TRACT NO BLDG.NO. 0
CTION PERMIT2s(J- !75`/ /01 /er C - /,. 7� ! _3Tco • 8484 4/12/84 03..62 IL
Project Address 6- 0/A IJ P`. p ,r ) TYPE OF CONSTRUCTION L NEW ® ADD U ALTERATION L) REPAIR y
Applicant's Mailin Address : RISC Ale Gift IST •a.',La' / ❑ CONVERSION ❑ DEMOLISH [1:1) OTHER J,R41/d *WO Ay.# 439'- 7!
( - /47 1 )2 �+
DESCRIPTION OF WORK '7-An ,4 t�K/Otg i UN7 fS en.
Zone
Owner's NamettQllci, �L• 17,Pt/ ,p Phone �o y.2Z Q"�/ S Main Building:. Accessory`Building: - Z
Address /��K'M �. SHO .l] . G7 /O�' t,llc1{-(' alt Icy_P )(fit./H& At:q.t.0 1- ED-.gI ••�,� E /' ' O
JQ /�� � TYPE OF PERMIT'fQ L I GRADING .a�.FOUNDATIOJN STRUCTURALCIII +M� T Front N
Arch/Eng. )°{1N We ilS License No.` 412.-e Z- ❑ TENANT y� E TRICAL V PLUM: N ❑ MECHANICAL�A6 's/ I N .
-576 0 ea 115 LJ ❑ BOTHER n • elle. 407 A Rear �.It7!
AddressP(V L. N. >3 .
/ , Lp l � ! C Right G
Contractor's Name °LIM gr- /3H 1'di, p• Phone 67` A.-ace° PROJECT DESCRIPTION Se. FT "rim -OCCUPAN Y •�� �•' 9 �d
dress(maitingl d1/0 Ne_(.11100 r.¢ 4/fc R
� CONSTRUCTION TYPE •
VALU N$ $ Left /O!� - E
License No. �'`1s�S{G"+ Y1,U} ZONE GRADING CU.YDS.Q' ACRES a[/L/wf,) Q�0e'� L yp .p"..q�Ping. Ref.#,Z`C-g`/-/S Park.Fees $ `�� U
ICENSED CONTRACTOR DECLARATION Remarks: �-,`,��} /�.✓1 C / 1 o Pyr �z/-'•/ Parkng Req/Provided (G /pity
hereby affirm that I am licensed under provisions of Charter 9 (commencing -T can' 1\I
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with section 7000) of Division 3 of the Business and Professions Code,and �1�1 w/ r1 l�s �-s s^s 6/� G• E 3A--47,
z S Use Of Building: Taro �_ �0 a0 %.Q'�t j•,Q)t'f-S E
pr
license is in full force and effect. 1 Li of `e,I( Gbi C tRe. 1.iff A Y' M
License Class License No. /�- 7_ 4-, PLUMBING •
rap'• .)/4 Planning Notes:Hof(� post SPECIAL REQ Park.
E
N
Date Signature YpJ -
-'lRKERS'COMPENSATION DECLARATION Bar Sink rC/ Showers T
reby affirm that I have a certificate of consent to self-insure or a certificate Backflow Preventer Service Sink .• S
workers' Compensation Insurance, or a certified copy thereof (Section' - -•
3800, Lab. C.) - - Backflow Irrigation Sewer Cap �' .- ELECTRICAL - FEES
Policy No. - Company. �. ,
E] Certified copy-Is hereby furnished..' - 7 Bathtubs I Sewer Connection - 6 ' Automatic Washer Transformer 0 15-50 KW
❑ Certified copy is flied with the city Building Division-
Date Applicant Clarifiers Solar Collectors! I Construction Pole Sub. 0 50+KW —
XEMPTION FROM WORKERS'COMPENSATION DECLARATION 2 Dishwasher Solar Piping "� 1c '�
(This section need not be completed if the permit is for one hundred ($100)orP g ' . Cooking Unit f Meter p to 100;mps ,
less). - - .- - I _
I certify that in.the performance of the work for which this permit is issued I Drinking Fountains Solar Tank ' p r-
, ..
. shall not employ any person In any manner so as to become su tact to he L. i L Dishwasher Meter Clover 100 am s•
Workers' Compens tt�oo Laws of Ca mor ..i.Q „ Floor Drains Swimming Pool,W/Spa' Dryers ❑Gas DElectrid 2 Sub Panel ' - / 0
Date A'J�-�2-o l Signature Jb-..L Jr)t L.C/�G.Os� -
NOTIC If,1etter making this tleclafation,You should become subject to the Floor Sinks Urinal !!{ 7.. Fang n' 1 f Motors 00-1 HP❑1 h-8 p1-
Workers' Compensation provisions of the Labor Code, you must.forthwithn
comply with such provisions or this permit shall be deemed revoked. • Gas Service Outlets/Z. 4 Water Closet l� _ F.AKU. ' .t Inc.Solar 09-15 HP 016-15+
CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction lending agency for the performance interceptors Water Heater - - 4 — S Fixtures - - , ;Microwave - ' - 3 P-0
of the work for, which this. permit is.issued (Section -3097 Civ. C.) - - `
Lender's Name Kitchen Sink Water Service 6
Lender's Address - Device Boxes_ Pole Light -
Lavatories Cr -x
OWNER BUILDER DECLARATION - D Outlets iy " -Range O
I hereby affirm that I am exempt from the Contractor's License Law for the 3j;..:
srl - _ •'
following reason (Section 7031.5 Business and Professional Code: Any city or P-Trap _*7 rv- Switches. 7 ` _ E.
Sign ST 3-V
county which requires a permit to construct,alter,improve,demolish or repair - a'g(y - - -
any structure, prior to its Issuance, also requires the applicant for such permit Roof Drains Garbage•Disposal rStanding-Sections pi-
to file a signed statement that he/she is licensed pursuant to the provisions of -
Q'e Contractor's License Law(Chapter 9(commencing with Section 7000)of •Generator❑0-5 KW❑5-15 KW • , ',Trash Compactor
.- ,?'.:-kion 3 of the Business and Professions Code) or that he/she is exempt P •
yii'efrom'and the basis for the alleged exemption. Any violation of,Section - - .
;%:,31.5 by any applicant for a permit,subjects the applicant to a civil �•�-
nalty of not more than five hundred dollars($500). Reinspection Fee I $25 Issue Fee $ 3' - S. -
I, as owner of the property or my employees with wages as their sole MECHANICAL — ReinzpectiomFee ' • $25 glssue Fee I $3
'o Mpensation will do the work,and the structure is not intended or offered FEES
for sale (Section 7044, Business and Professional Code: The Contractor's • ee - PUBLIC SERVICES RE UI EMENTS: -
License Law does not apply to an owner of a property who builds or improves , Boiler- ' Hood or Type I 0 - 't •-, f, �/
thereon, and who does such work himself/herself or through his or her own Zoning App-roved By Ole - I� - / Date -�-� 7 '
employees, provided that such Improvements are not intended or offered for , - Canopy Type II 0 - D/`s/-
sale. If, however, the building or Improvement is sold within one year of com- Duet"-Under Ground , , /
pletlon, the owner will have the burden of proving he/she did not build or Im- Building Approved By Date 4''��'g /
re for the purpose of sale), I ' Duct-Structural Refrigeration System Applicattomissued�By - sfit/ flee ry ��_gr
I,as owner of the property, am exclusively contracting with licensed con- '
tractors to construct the project (Section 7044,Business and Professions Code: - - Duct-Ventilating ❑O 100,000 BTU ❑100,000 BTU ' •' r• ", SUMMARY OF FEES
The Contractor's License Law does not apply to an owner of property who _ /D 02
' builds or improves thereon,and who contracts for such projects with a con- , ' Exhaust System 0 Multiple 0 System Repair/Alteration t BUILDING'PERMIT $ $�3.00 SMIP $
tractors) license pursuant to the Contractor's License Law). i •PLAt''CHECK $ / `n PERMIT . -
❑ I am exempt under Section B.& P.C.for this reason , Firepl/Fact.Blt. ICBG* , .47.d v ISSUANCE • $
• - PLUMBING= - $ '
Date Owner �• \ ♦ 4 • /J Heating System&Ducting • - 8- — • PLAN CHECK ,25% $ ./J• D. ENERGY P.C. $
• I-hereby certify that have read this application ane state that the above L'0-100,000 BTU 0100,000 BTL-- ° GRADING $
Information is correct. I agree to comply with all city and county ordinances , - ELECTRICAL $ 7 C •
and state laws relating to buildi constr tion, an hereby authorize repre- (� MICROFILM $
septatives of, city to n u e abov mentioned propert for P.LA N,CHECK50% $,
S gnature pins, C% l 3/� �/ MECHANICAL- �$ i 0 TOTAL FEE $ 6;5 - '
Inspection
�_ / r�7 . . .
' Oriaers• license o - � � Reinspection Fee $25' " Issue Fee $ 3 PLAN CHECK 25% $ , O d
I CMF 0665-46 rev.12/83 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor r•Z-i
• r
V
N� STRUCTION-A14., ANNING POOI 'PA, ,i •� -
` Date Inspector Date Inspector
'ROYALS Permit# APPROVALS Permit.# -
. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. f'1'�t;`�9 6Q � by 53. Steel Reinforcement - -
3. Electrical Conduit Utility-Undrgrnd. y� � _tel�G 54. Forms : _ -
' 4. Electrical Conduit-Undrgrnd. ��91g� /iS J 55. Electrical Bonding . - - - '
5. Steel Reinforcement 56. Rough Plumbing& Pressure Test
. -..! : .
•'6. Electrical UF ER Grnd. y�G/Cyj 57. APPROVAL TO COVER-GUNITE
•
7. Footings SSC na TI=S 417.8/ `1_77-f,�+1 J p 58. Electrical Conduit-Undrgrnd. -
' E. Foundation 4 SL6i,Bv -1yW 24-1359. Gas Pipe, 0 Undrgrnd:,Test -
9. Water Pipe-Undrgrnd. ti
-�-$y till"'� 60. Backwash Lines, P-Trap, 0 Uhdrg'rnd.
110. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final •
12. Sewer Cap• ��.� • 63• . Heater & Vent-Final •. • ' .�
13: Roof Drains -, 64: Plumbing System - Final
•
14.'Rough Plumbing . r/ /ya/ / 7'i 65. Electrical-Final - •
15. Rough Electrical-Conduit - �/� 66.. Solar,System-Final - - '
16. Rough Electric Wiring 4-411
ft.-)
i - 671 Fencing & Access Approval -
1T. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL -
19. Rough Heating & Air Conditioning ' S,,Z/Fy J4!/,"C FIRE DEPT. REQUIREMENT , - -
20. Rough Factory Fireplace APPROVALS Permit# T
•
21. Ducts, in•Structure - 70. Underground Hydro '
it, I ` i
22. Ducts, Ventilating 71. Product Piping 0 Gas ❑Oil ''
2j Gas Pipe-Rough &Test -- 72. 'Underground Flush
24:,Roof Framing 73. Undergrnd.Storage Tank O Gas O Oil
25. Roof Sheathing 4 S//y/fit /9C 74. Overhead Hydro
`Q6K
: T-Bar Ceiling (Stauctural) & Monocoat 75. Dry Chemical
t7. Frame; and Flashing 7/ ' ry Standpipe '
28. Lathing & SidingGil79/$S`-" _ v;{ ` ' 77. FIXED SYSTEM FINAL -
29. Insulation-k‘6/7/09-5e4 41-'' ',.., 78. FIRE PREV. FINAL
30. Drywall Nailing %Cig.9,•. • ..4„4,g43,4 ,4,_ HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coati 4' 79. FINAL INSPECTION .
32. Electrical Power Meter`1Final. ! :•i• / On
80: FOOD CERTIFICATE ISSUED -
-
33. Final Electric i all Notes: 17 _ 10,1 roan/vas OK
34. Final Heating& Air Conditioning 77 /Y "#P ' - PEN D)A/G'-THAT 1F TWO pOVR
35. Final Gas Pipe-Test p411''f (d0 SYSTEIA IS Its ED w rD - ? 'Dowels
36. Hood or Canopy - Lad ft letistRoM FOOT IA)G TO SLAB
37. Final-Factory Fireplace .• - el zi ` ac. AS PER S rANDAR D - P!H'%,%
jf
38. Final Plumbing Man (.f/
9-19-r9 NEE 0 re.X6''4.r4 WrRr NIFtN OR
39. Water Service-Final - 7/j 84c tc -
hovB, -£1r5,rN6. 4,r
40. Gas Service-Final �,.
S /* f54. 4,sa.4.f .0.-n viol' D.�' �fi r
41. Solar Domestic-Final r/5/8y - -
42. Backflow Preventer •� ?..-L7
43. Backflow Irrigation
44. ,Landscape Irrigation System - 7 d '
(r/ Al=i` AchA`r {-ve //JSP=`'c. ,-,/t(
45. Sound •Attenuation p �r
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING 6
/f�,J fr! r /'K/i
,,,G/.a•�'a /5 �i/l.��l=rte op:,-. L•..u .
48. Special Requirements Completed4.1 .
49. Electric Release to Edison - - -
•
50. Gas Release to Southern California Gas Co -
51. CERTIFICATE OF OCCUPANCY '
No. Date • • - • -
1.
sit . .,
7864 SEE RECEIVE
/o - - 0 -s 8
COSTA MESA BUILDING DEPARTMENT Tim . \ cx
• P.O. BOX 317
COSTA MESA, CALIFORNIA oft of
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
BUILDING ZS93 �„ • 64,4_ BUILDING
AD
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
�� �n� {/ IS. RECEIPT NO. PERMIITT N1.
OWNER I/. C /7(J p •2et'C D
MAIL Z si eV D� RECEIVED DATE RECEIVEDDATEDATE ISSUED( �J
ADDRESS J li�fJy� �-"n /0^20—r l0 ^2 LJVQ
TEL ` �vj/ BUILDING j
CITY L�(� NO. ( O ZO 3 ADDRESS
ARC' 'SECT LIC. COSTA MCALIFORNIA
OR WEER NO.
FIRE •
ADDRESS ZONE
ZONE NO.OF . TYPE GROUP /
CITY LIC. s 1 PLANS /
CONTRACTOR 0A4rIA. NO. /�/
ADDRESS
TEL.
NO. �j/ Mil ��' ATE /O• ZOw�
ESCRIPTION LOT 67 BLOCKe-- T r/ Cp CORRECTIONS
`
A.P. NO..24W 1/9--* 0 3 O— j9 .. AI9'
SIZE X 1� IRO.OF BLDG SS. I A A L r i/ "-`
OF LOT �1 NOW ON LOT
�G�� �) i 011 G. [}; TtESA
EXISTING BLDG.USE OF G`^^�- I • - ? ' +: riE:.
SETBACK LINE FROM e/ 7 SVBJ,.. -1 1{j LLi:G. Uc: T. ; G.
CENTER OF STREET ✓ . /��� REAR YARD Z. / .
•
SIDE YARD RIGHT — NiL T S By/I) i .D. _ D -T -10_.d
DESCRIPTION OF,WORK PLAN I Jai 1
N ALTERATION 1, ADDITION ,
I
REPAIR MOVING DEMOLISH
BUILDING Iy X NO.OF
•
SIZE 7 X 7 ROOMS / STORIES` /
EXTERIOR
RO
F
COVERING WALL Ce(CC�OVV�E BRING dy/e.....- ,,.1./:/O/- �/I // /O p! �� (/�/j•�
At
BUILDINNG1USE OF EW /, `--v„M "` - "'M• (!' Ln /— �i 6I�----zI „.„,-•- .
/l-b 3 0 / A
I HEREBY ACKNOWLEDGE THATCI 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. /['�'. VALUATION /O '
SIGNATURE OF �L IB_, L�, PERMIT FEE $ —
STUllllll �.� Uqy " S
$ �J 2// ._ PLAN CHECK $ —
/Jf d (' TOTAL FEE $ `6'`F
AUTHORIZED AGENT �S
1
COSTA MESA BUILDING—SAFETY DEPARTMENT -®,asi
P. O. BOX 1200 28532/02/79 6A_IL
Costa Mesa, California - - (���
( //w/ PERMIT
PLUMBING PERMIT APPLICATION TRACT NO. RECD. e l 754Jt
CONTRACTOR y...e i7 It / 41 LOT NO. I{ DATE ISSUED
Addreu d/�/9a7 C/ �! BUILDING USE ja-a.-7
t
Building /n� �/
City Code Address ca'.�Y� /2 , L
State License No.o2//i9er Class. 4/ Owner HAL._ .it ...-4,t-
w0
City License No.�/l9i.c/3 Tel. Nofff/770 Mail / 0 ��/ ..I
I- 1 Addre .._ -_ yJ a 4 �� \ /�I{_,f//
Q NUMBER TYPE OF FIXTURE OR ITEM FEE Ci+ .ne.4.714--//C O , ` Tel No d UY�
CI Bathtub l , 0 r
J Laundry Tub or Tray I hereby acknowledgeKthaul have read this application and
tAutomatic Washing Machine state that the above,is coire'et and agree to comply with all
> city Ordinances and State'laws regulating plumbing.
Shower I certifysthatl possess the above valid State of California classi-
} Sink, Bar fication or1l am the legal owner of the residential property de-
-1
CC Sink, Kitchen scribed•above.
La Wash Basin(Lavatory) ,.T ('certify[hat I have obtained a permit from the State Division of
d Water Closet(Toilet) A l,1 t, industrial Safety for excavations,other than swimming pools,five
feet deep or deeper and into which a person is required to descend.
CC Drinking Fountains .-y ISI:40.. Floor Drains "VA 0,\i. Signature of , / e.,t
Permittee /7l/1/'/' -t.-
2 Interceptors _ •b W.,
w Receptors 4 A .r Y
= INSPECTION RECORD
5. Sinks,Commercial orindustrialr
I-
Sinks, Floor ...--1£ i1 Ir '
Sinks,Service N. \LY'
ESwimming Poor'
w _ UrihalskLJ
C. ' Dishwasher
CC Garage Disposal
D Water Softener
O / Water Heater and Vent cr.1 60
Gas System...Outlets. ..
Roof Drains APPROVALS
to Water Piping Alteration INSPECTOR DATE
=
Backflow Preventer U/G Soil J
I- Lawn Sprinklers(Res or Non-Res) U/G Water
property Sewer... Feet Services—Water 0 Gas 0
House Sewer Connection Rough Plumbing
Cesspool,Septic Tank Sprinkler System
Sewer Cap Gas
Miscellaneous Property Sewer
. Pool Receptor
Filter System
Sub-Total _ Pool Heater
Reinspection Fee _ exec Miscellaneous
Processing Fee
I Final Gas 1
TOTAL FEE I �/I^o Plumbing Final
I Utility Co. Notified 6-2....0 K�
CMF 0450-46 BLDG. PERMIT NO if