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HomeMy WebLinkAbout2573 ELDEN AVE - Building Permits Irs PROJECT ADDRESS: UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 061398 OWNER'S NAME: 2573 ELDEN AV ADDREss:WAGGONER, GENE W 2573 ELDEN PERMIT NO: B 061398 PLAN CHECK NO: N GOVT: N SUPP; N COSTA MESA, CA 92627 CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT ARCH/ENGINEER:548-4222 REG.NO.: ADDRESS: UNIT: JOB DESCRIPTION : REROOF O/1 LAYER W/COMP SQ FT: 1 , 800 PERMITTEE: CLAIM VALUE: 1 , 800 . 00 CALC—VALUE: 1, 800 . 00 GROUP OCC: R-3 / AonREss:GENE W WAGGNER ( 714 ) 548-4222 • ((`((2�Yc57p3 ELDEN AVENUE (may G '7 COMMENTS • SMOKE DETECTOR REQUIRED IN THE HOME TbR'D CTRA M"1'K@d5 QEr't sf Chapter 9lcommencin ********4****** *********** ****************M******l**#%#MX-*X)t*l*************** E* LICENSED CONTRAC E lA TION: y affirm that I am licensed un D ovi o g with Section 7000)oI Division 3 of the Business and Professions Code,and my license is in full force and effect. ZONING REQUIREMENTS CITY LIC.: STATE LIC.: CLASS: SETBACKS Date: Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR : FT IN FRNT; FT IN REAR : FT IN Compensation Insurance.or a certified copy thereof(Section 3000.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ: PROV: PARCEL: 43917121 ZNE: REF NO: ❑ Certified copy is hereby furnished. 0 Certified copy is filed with the City Building Division. PLANNING N TES> Date: Applicant: ##***************#*##*#******#***#*#***##**##****#*-#**M&XIE#TEfEihlt##M•M#***** (##if##* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This se bon need not be Completed iI the perrnt is lot one hundred(5100)or Mss). DEVELOPMENT SERVICES REQUIREMENJS I certify that in the performance of the work for which this permitued.I shag not employ any person in any manner so as to become subject to the Workers'Com en tion Laws of Carfornia. '// ''/ — ate: 3-66 ` 7, Signature: en W • tLZ /Q�/t ZONING APPROVED BY DATE: NOTICE:II.after making this declaration,you stoup become subject to the Workers' . Y. provisions of the Labor BUILDING APPROVED BY ; DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed w CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending ag• • or the performance of the work for which this permit is issued(Section 3097,Civ.C). APPLICATION ISSUED BY; —...— DATE; ..,..)—(1-1--? LENDER: **##**#*********************sit x*Vele*X- **x it rat**tl**.** t stir * ***#*********stir***i * ** ADDRESS: ***#******************#***************************#********PE*************#***it* LEGALI'Z'ATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that lam exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC • MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or , repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed PERMIT 41 . 00 5 0 pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business �.': SMIP/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN ,•- any applicant or a permit subjects the applicant to a civil penalty of not more than live hundred dollars(S500). ISSUE FEE ' I. as owner of the properly or my employees with wages as their sole compensation. will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or altered for sale(Section 7044.Business and Professional Code: The Contractors'Stale License Law does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through TOTALS—---> 41 . 50 0 . 00 , y 0 . 00 41 . 50 83 . 00 —41 , 50 1 his or her own employees.provided that such improvements are not intended or offered for sale.If,however the building or improvement is sold vnthin one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS——> COLLECTED • 41 . 50 OVER/SHORT. 00 tor the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC . FIRE SMIP/TOT GRADING PLAN—CHECK I,as owner of the property.am exclusively contracting with licensed contractors to Construct the project(Section 7044,Business 41 . 00 ' . 50 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of progeny who builds or improves thereon • and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware that proof of their Worker's Compensation insurance should be provided to me. ****#******************************•eF***V¢**********#*****lE*#*##*#*********#*##** )n I am exempt under Section: B.&P.C. INDIVIDUAL F E E BREAKDOWN 1� for this reason: B P 7 0 4 4 �o 3-i "yq3 ALL WORK BY OWNER TYPE QTY DESCRIPTION ' UNIT COST TOTAL COST I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and SFR 1800 REROOF BY VALUE RESIDENT I AL NOZONE 1 , 00 1 , 800 , 00 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from i these provisions. / Date: Applicant: . /• I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county 1)))T))) - r ordinances and state taws relating to building construction and herebyauthorize representatives of this city to enter upon the above-mentioned t property for inspection purposes. Dale: 3-/6-- 9 3 Signature:ag W ✓✓ s d E Driver's License or Social Security Applicant:Pink—Revenue:Goldenrod—Assessor , CONSTRUCTION AND PLANNING P` - & SPA ' APPROVALS Permit=`- Date Inspector APPROVALS Permit Date InsFector 1. TemporaryElectrical Service or Pole i ` 52. Pool & Equipment Location I 2. Soil Pipe-Undrgmd. 53. Steel Reinforcement { 3. Electrical Conduit Ut.l.tv-Und-gr.nd. 54. Forms 4. Electrical Conduit-Urdry•rd. 155. Electrical Bonding I I 5. Steel Reinforcement . 56. Rough Plurnb:ng & PrL.,!.ure Test 6. Electrical UF ER Grnd 57. APPROVAL TO COVER-GUN F I i ' , 7. Footings 58. Electrical Conduit Urd.sies n . 8. Foundation ' 59. Gas Pipe, 0 UnUrgmd , T ist � I 9. Water Pipe-Undrgrrd. i I 60. Bac:Iv:ash Lines,P-Tr;.(•-. ' r is-drr,_n_d 10. Structural Floor System I 61. APPROVAL TO DECK i 11. Property Sewer Line & House Connection 62. Backe.-sh & Rrcapt_• 71.10l I 12. Sewer Cap - 63. Heater & Vent-Fin 1 --- ---I 13. Roof Drains . i� 64. Plumbing System • F•••al 1 • 14. Rough Plumbing ; 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Fina' 16. Rough Electric V.'iring 67. Fencing& Access Ano-oval _4- 17. Rough Wiring Sign I 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Celine 69. POOL'SPA SYSTE:-.:S FINAL I I _ 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit ;c 21. Ducts,in Structure 70. Underground Hydra 22. Ducts, Ventilating 71. Product Pining Li Gas 2 Oil { • 23. Gas Pipe-Rough & Test 72. Underground Flus-: 24. Roof Framinge -� 73. Underarnd,Stora,:Tr•§ �l Ga 0.! - - 25. Roof Sheathing 74. Overhead Hydro • 26. T-Bar Ceiling (Structural) & fvlonocoat 75. Dry Chemical t- -` 27. Frame and Fleshing 76. Dry Standpipe _-- 28. Lathing& Siding i 77. FIXED SYSTEM FINAL - .. 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing i HEALTH DEPT. REQUIREfv.ENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED _' 33. Final Electric i , ; Notes: 3/. ( ok, 2o' eal£C 4,____ - 4. 34. Final Heating& Air Cord;Honing / 35. Final Gas Pipe-Testnel e. / 1 36. Hood or Canopy ✓ _1 Ile ox� f�ei.tc �/-6-P9 37. Final Factory Fireplace I i 38. Final Plumbing 1 I 4 1 1 39. Water Service-Final 40. Gas Service-Final I 41. Solar Domestic-Final i 42. Backflow Preventer I 43. Backflow Irrigation 44. Landscape Irrigation System i 45. Sound Attenuation -� 46. Handicap Regulations A- 47. FINAL STRUCTURE & BUILDING _!I/1/Q� a-T I 1 ( I 48. FINAL PLANNING 49. Electric Release to Edison -1 50. Gas Release to Southern California Gas Co - 1 51. CERTIFICATE OF OCCUPANCY No. Date Al --a COSTA 15 R _ 6332 )AN 23 SSPDdesn 7.91x ° 00 h COSTA MESA BUILDING DEPARTMENT P.O. BOX 317 COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT ADDRESS �s 73SBUILDING ADDRESS h J COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY ��//// ,'I RECEIPT NO. PERMIT NO. •17th OWNER ed et 63 3 ..- MAIL /��q�/VLD BY y/ DATE ISSUED ADDRESS 5.13 f ave,J ) ♦ A�'1 �J�p/ I -.e -S-7 SAO TNO . 4 1/2,2, ADDRESS tz S / 3 Z idea./ 4Y C 1 CITY di 101.4.„4( ,(.A ARCHITECT LIC. OR ENGINEER NO. COSTA MESA. CALIFORNIA FIRE 3 ADDRESS ZONE ZONE O.OF TV PE GROUP CITY LIC. Ira: ANB CONTRACTOR 5.,J y� NO. A N T/ TEL. APPROV Z�//��j' ADDRESS NO. BY OM DATE /3 LEGAL LOT �7// CORRECTIONS DESCRIPTION NO. 7 BLOCK TRAC� /t0 A.P.NO. /I y'- O 3 O ---.1a/ SIZE A6 x o� NO.OF SLOGS. APP 0V!L. D OF LOT NOW ON LOT USE OF /f)„^,;.�'1 CITY OF STA MESA BLDG. !!�3/w PLq?a I NZ p'-.PF SETBACKRLINE FROM / .�-1 LS^bJ Ino 2. �U©J ECT TO I le. DEPT. REG. EOF STREET Tfl __ REAR VAR "a,✓tt �f” L� SIDE VARD2I� IGHT :_ ��LEFT / �A � '�_�`^-� DE CRI OF WORK BY tPL iii---��� "' UAIc✓ � - 8 PLAN TLCV-7," NEW ALTERATION ADDITION 4,....' 'Ll S� REPAIR MOVING DEMOLISH / BUILDING/2IZDt/2 ROOMS S,TOR ES / Cr WALLL`/LI -• ROOF 15 fi/ COVERING �fJ A / C•VERING '-I r/ -I USE OF NEW/ t P, , y y BUILDING IJJ. _.� �_��� A. T • /{-!y Z,tIY 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 TE LAWS REGULATING BUILDING CONSTRUC. TION. VALUATION SIGNATURE OF n__// �(I PERMIT FEE $ /O ----- PERMITTEE STUSt VV ,/� S 2 ) FF G '/ PLAN CHECK $ J 3 Q AUTHORIZED AGENT TOTAL FEE S /S SAF CITY CIF M• 24468 MESA .COSTA MESA BUILDING-SAFETY DEPARTMENT JUL 27 1965 P.O.BOX 317 COSTA MESA,CALIFORNIA For Applicant to Fill In Completely APPVT.1/411••1 t:• ', RAW AW tr.. TYPE OR PRINT 41/19,/i6 Q/ BUILING S 7 3 ,E e'j., vet or Office Use Only ADDRESS / RECEIPT NO. /IPERMIT tj(I. COSTA MESA. CALIFORNIA �/�L'/(I/(�j RECEIV OAT RECEI ED DATE ISSUED P OWNER G-eyle it/ Mi pMegr -77 7 6 q-3o_c MAIL y,,, �/J ADDRESS 25-73 r2t�g,,v Inc' CITY / �' (L [ IC S([ N LJ, / J2SL► ZONE PE _ GROUP {� APPROVED; //TAY //2 ) OR ENARCHITECT TEL.GINEER NO. BY / / / D r V _/ ZONING ADDRESS /�/(/,'��/ �/ ZONE NO.OP USE OF NEW�� CONTRACTOR (/(V /G�/ �-�• PLANS eUILDINGci v� LEGAL �'''IJQ, /'feted .-7, rig, DESCRIPTIO /T �{p ' -` ADDRESS / — D30 — a/a376,CITY A.P.NO. / /? NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE TEL. 90"TO SIDE 3 REAR P.L. LIC.NO. NO. • EAVES SIZE / ,1 0S— NO.OP SLOGS./ ALLOWED (U.B.C.REQUIREMENT) OF LOT (a /'• V NOW ON LOT YARDS APPROVED YARDS APPROVED U$E OFROC.e JI MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. Rend �r (J/{ // !/n (FROM C/L STREET)� SETBACKNTEOFLINEREFROM 7l /. REAR YARD J:7 FRONT /O FT. 'y'-FT.' i/ CENTER OP NI�'Qlq�V'/ Q //�0� !J V SIDE YARDI LEFT V I RIGHT ,3; R.SIDE 35 FT. FT. DESCRIPTION OF WORK L.SIDE ?FT. Fr. REAR / 7 FT. t ..J NEW ALTERATION ADDITION DISTANCE BET. BET.MAIN& MAIN BLOCS. ACCESS.BLOCS. REPAIR MOVING DEMOLISH VAR.# DATE BUILDING NO.OF SIZE ROOMS STORIES C.U.P. APPROVED /I EXTERIOR WALL .I I ROOF APP,ROV-' / J COVERING L U COVERING% BY I:(/ L LLC j DATE -�� 0� USE OF BUILDING AND ORE TO BE PERFO•MED uo ` Y H ° j -goo's, 7 -1"t I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION I. FOR THE 'N'1� AND STATE THAT THE ABO IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT F - ONLY. p PLY WITH ALL CITY ORD NCES AND STATE LAWS REGULATING BUILDING CONSTRUCTIo VALUATION ''..41C1 . SIGNATURE OF �//Spec _ PERMIT FEE $ 54j PERMITTEF ���W a i AUTHORIZED AGENT / D $ TOTAL FEE $ / CO 4 24494 ! CITY OF CDJSTA MESA ,COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 917 COSTA MESA.CALIFORNIA JUL 30 1965 I For Applicant to Fill In Completely APPLICATION FOR PERM TYPE OR PRINT s , 1 If G BU ILD I NO �7 73rL70/6,,,, ��FFoL m +- •.t' • . & ADDRESS L.J RECEIPT NO. 214 1 41.94 4 COSTA MESA. CALIFORNIA ` �1//'I,,/� // I'/` y�)�/J] q'7 y� /J RECEIV • D EREC IVED 0 EISS.ED OWNER I I G /1 G frV/ hi L ///s r: �• 1 �0 Q,c 73o a rc SBUILDING �I �+73 ("� CD .. MAIL }, I/` ADOREHH OL 7 ( L� �/SL ADDRESS (3 /!�C TNEL• FIRE ZONE E GROUP7.--i _ CITY O..6.:' )9772 V JI � APPROVED ARCHITECT TEL. BYeifi DATE OR ENGINEER NO. ZONING ADDRESS ' ./ ZOry(] NO.OP I USE OPDI NEW1�2 f�w)7 6 1 t�� y PUNS l BUILDING CCllXX11// CONTRACTOR i! ,� ` '/���1I/��7 //ff • Y LEGAL & .CA - / T`1'�• • /,L1 ADDRESS DESCRIPTION CITY A.P.NO. / / 0 3 0� / NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE TEL 80•TO SIDE a REAR P.L. LIC.NO. NO. EAVES SIZE I NO.OP BUDGES. ALLOWED (U.B.C.REQUIREMENT) OF LOT NOW ON LOT YARDS APPROVED YARDS APPROVED USE OF .D. MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. [, �/ •E (FROM C/L STREET) SETBACK LINE PROM FRONT FT. FT. CENTER OF STREET REAR YARD SIDE YARD I LEFT I RIGHT R.HIDE FT. FT. DESCRIPTION OF WORK L.SIDE FT. FT. NEW ALTERATION ADDITION REAR FT. F7. ` . " DISTANCE BET. BET.MAIN 3 REPAIR MOVING - DEMOLISH Y MAIN BLDGS. ACGEgS.BLDGS. BUILDING NO.OF VAR.# DATE SIZE ROOMS STORIES C.UIAli/0019E, .(P..# J//7 APPROVED ECOVERING XTERIOR WALL I COVERING BYROOF PIN F1 �'/ ATE / �� _(nS US OF BUILD) GA • WORK TO BEPERFOR�7ED 6Q.FT. 0 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS,APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F AND STATE THAT THE ABQVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. G PLY WITH ALL CITY OR NANCES AND STATE LAWS REGULATING VALUATION BUILDING CONSTRUCT // �N // ,/ ///^^^''��� PERMIT FEE $ (Q o I PERMITTEE OP - /' $ ��O m PLAN CHECK $ yt o AUTHORIZED AGENT 6 aci I` TOTAL FEE $