HomeMy WebLinkAbout1961 NEWPORT BLVD - Building Permits -OWNER ROWELL. Mamie DATE 10-16-57
JOB ADDRESS 1961 Newport Ave.. - BUILDING PERMIT NO. 5878
GNERAL ONTRACTOR Moore Constr. VALUE $ 1400_00 -
� LOT 30 TRACT 9 FIRE ZONE DESCRIPTION OF WORK Reside Res. w/Johns MAtiyih1
UP I TYPE V ZONE C2 PLAN NO. 5910 Asbestos aflg
I PECTIONS GATE SUBCONTRACTOR PERMITS ISSUED
DATE NUMBER
Trenches Forms Steel
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
Frame and Flashing
Lathing, In Out
Plaster, brown coat
Underground soil W/G Pipe Test
Top Out -
Furnace
Gas Vents
Rough Plumbing
Cesspool Septic Tank
Prop. Swr. Line House Con. St. Swr.
Sprinkling System
Heating Final
FSx',+-ling Fixtures, Final
''Gas Test
L Construction Pole _
,_Underground Power
Rough Wiring
Fixtures, Final
-OCCUPANCY ./9,14---,112/4/4/(0J
Form 210-5M-1-57 " (f ' 7 7 �� 5878
5910 FEE RECEIVED
COSTA MESA BUILDING DEPARTMENT • `� 1 b�� -
P.0.BOX 317 FINANCE DEPT.
COSTA.MESA. CALIFORNIA
: . CITY OF COSTA MESA
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
BUILDING 19�i_74479414111BUILDING
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
•�//",/ / , RECEIPT NO. PERMIT NO.
OWNER "fL(/-1/4, t _ l� E 7 e
MAIL / RECEIVED BY DATE RECEIVED DATE ISSUED
ADDRESS /O:/6 -d
/�//' �/J�,^ TEL. BUILDING
IT
CY \ ,/,' Q�/0�4 NO - /y�� ADDRESS
ARCHITECT NO.LlCOSTA MESA, CALIFORNIA
OR ENGINEER . 1
FIRE '
ADDRESS ZONE
//�� I CITY LIC �p�L ZONE NO.OF�f PLANS TYPE / GROUP
CONTRACTOR1/,Qt/If P NO."N/ n C I./
J
/// / TEL �// 1,/,,,.4, APPROVED
ADDRESS/ /7 /I �/, r /� NO.K/-y
BY DATE
LEGAL /ILO. 0` 7 G% CORRECTIONS
DESCRIPTION NO. 3 U BLOCK ////__ TRACT /
A.P. NO. �Jtr/
SIZE inc_ / -2 �. NO.OF BLOGS. APP�OV ED
OF LOT / L/V' f-f../ NOW ON LOT
USE OF .
EXISTING BLDG. CITY OFTA MESA
SETBACK LINEPL4NNI DEPT.
CENTER OF STREET ( /�
kO REAR YARD // SIIR IF(:I TO B G. DEPT. REG.
SIDE YARD RIGHTLEFT Ag.,.* _ /
DESCRIPTION OF WORK By ailla DATF 7C)-(61-C17
Ipgpl PL.',N T_CHtf -74 _
NEW ALTERATION ADDITION
REPAIR MOVING . ryI DEMOLISH
BUILDING NO.OF
SIZE ROOMS STORIES
EXTERIOR WALL ROOF .
COVERING COVERING
USE OF NEW
BUILDING tm d
EREBY dGE NOWLEOGE 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. VALUATION
SIGNATURE OF PERMIT FEE $
PERMITTEE • d
5/42n co
n co PLAN CHECK $
[/
_44
AUTHORIZED AGEN Ca/AD / A TOTAL FEE S / — s
- Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. - - --
CITY O•F COSTA M SA C- NSTR UCTION PERMIT PERMIT NO. TRACT NO. LOT NO. - UNIT NO. •
�� ,c9�•t�; 90 - E 3 l c� (�7 9270 II /09/87 13000 TL
1 Project Address - - ' . ' - '
' O TYPE OF CONSTRUCTION LJNEW ❑ ADD LI ALTERATION ❑ REPAIR '
Applicant's Mai'liinnno Address .2231 e LAI,4!/N/� !/�p'gNEi
Own 's Nals ^ �f A'I ���1Z�¢Q Phone ❑ CONVERSION El DEMOLISH ❑ OT R re / S A p # - I Zone
• ,}' ' frt.'
1 �r DESCRIPTION OF WORK/USE OF BLDG. 'S�T �OW a!L to S Main Building: Accessory Building:
Addr �r/ '�U E Z
Arch/Eng. License No. TYPE OF SPERMIT LI GRADING LI FOUNDATION H STRUCTURAL T Front O
Address✓ v ❑.TENANT L-TJ ELECTRICAL ❑.PLUMBING ❑ MECHANICAL B Rear - N
le. ❑ OTHER I
Contractor's Name U TE • 1Z Phorlqq e`5� -"744;� C Right N
I E rI PROJECT DESCRIPTION SO. FT. OCCUPANCY- K G
Address(mailing) . �ALi'J9�}- A�( IF.i p CONSTRUCTION TYPE VALUATION$ S Left
City License No. 1345^3 RZONE GRADING CU.YDS. ACRES
LICENSED CONTRACTOR DECLARATION Ping., Ref.# Parking Req./Provided E
Q
I hereby affirm that I am licensed under provisions of Charter 9 (commencing . Remarks; - Planning Notes: M
with section 7000) of Division 3 of the Business and Professions Code, and - T
my license is In lull fore and eff ct. 7 /
License Class `/ a: •C 7 $
Date Signature / ear...--. PLUMBING FEES - '
WORKERS'COMPENSATION DECLARATION Bar Sink Showers -
.iereby affirm that I have a certificate of consent to self-Insure or a certificate ELECTRICAL FEES '
of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink
3800, Lab. C.) Automatic Washer Transformer 0 15-50 KW
Policy No. Company Backflow Irrigation Sewer Cap / Construction Pole Sub. a' 0 50+ KW s Co
ACertified copy is hereby furnished.
Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit / Meter pup to 100 amps " eV
Date Applicant — •
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps
(Thissection need not be completed if the permit is for one hundred ($100)or " '
less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel
I certify that in the performance of the work for which this permit is Issued, I
shall not employ any person in any manners to ecome s bject to the Drinking Fountains Solar Tank Fan - Motors 0o-1 HP-❑1'h-8
Workers' QO ensyjjpy Laws of Ca�tv�a. _
Date /_ :n / Signature ��/ - c� Floor Drains Swimming Pool w/Spa • F.A.U.
NOTICE If,after making this decla on, you shourtl become subject to the Inc.Solar 09-15 HP ❑16-15+
Workers' Compensation provisions of the Labor Code, you must forthwith • Floor Sinks • Urinal Fixtures Microwave '
comply with such provisions or this permit shall be deemed revoked. •
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet
I hereby affirm that there is a construction lending agency for the performance Device Boxes Pole Light
of the work for which this permit Is issued (Section 3097 Civ. C.) Interceptors Water Heater - Outlets Range 7
Lender's Name
Lender's Address - - Kitchen Sink - Water Service Switches Sign
OWNER BUILDER DECLARATION
' I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
Garbage Disposal Standing Sections •
following reason (Section 7031.5 Business and Professional Code; Any city or
county which requires a permit to construct,alter,improve,demolish or repair P-Trap : Laundry Trays Generator 00.5 KW 05-15 KW
any structure, prior to Its issuance, also requires the applicant for such permit Trash Compactor
•o file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains
e Contractor's License Law (Chapter 9(commencing with Section 7000) of -
vision 3 of the Business and Professions Code) or that he/she is exempt --- -- _____
' .lerefrom and the basis for the alleged exemption. Any violation of Section
7031.5 by any applicant for a permit subjects the applicant to a civil - .
enalty of not more than five hundred dollars($500).
O I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
compensation, will do the work, and the structure Is not Intended or offered - - - Reinspection Fee I $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES
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 his or her own Boiler Hood or Type I 0 DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not'Intended or offered foryp Zoning Approved By Date
sale- If, however, the building or improvement Is sold within one year of com- Canopy Type II ❑
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under GroundBuilding Approved By -Date.
prove for the purpose'of sale).
❑ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By - Date
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00.100,000 BTU 0100,000 BTU
builds or improves thereon, and who contracts for such projects with a con- - SUMMARY OF FEES
tractor(s) license pursuant to the Contractor's License Law). I am aware that System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $
proof of their Worker's Compensation insurance should be provided to me. - PLAN CHECK $ PERMIT
❑ I am exempt under Section 8.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $ PERMIT
ISSUANCE $
Date - - Owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above ❑0-100,000 BTU ❑100,000BT ELECTRICAL $ 13-to GRADING $
information is correct. I agree to comply with all city and county ordinances
and state laws relating to building construction,and hereby authorize repre- $ MICROFILM $
sentatives of this cit • toter upon the abve-mentioned property for PLAN CHECK 50%
inspectlo�. es. MECHANICAL $
Signatur• /������...--_
-Accounting; Goldenrod - Assessor
CONSTRUCTION AND,.PLANNING POO,L& SPA _
Date Inspector Date Inspector
APPROVALS Permit# APPROVALS Permit#
1. Temporary Electrical Service or Pole 1J-l96 � . Pool & Equipment Location '
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms -
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding I
5. Steel Reinforcement I 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, 0 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
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 U Gas ❑Oil
23. Gas Pipe-Rough& Test .72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing - 74. Overhead Hydro '
26; T-Bar Ceiling (Structural) & Monocoat 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 0141, (J80. FOOD CERTIFICATE ISSUED -
33. Final Electric VAi \ 1 _' Notes:
34. Final Heating & Air Conditioning �^'l '
:it
35. Final Gas Pipe-Test -
36: Hood or Canopy ,
37- Final Factory Fireplace .
38. Final Plumbing 1
39. Water Service-Final , ' - •
•
40. Gas Service-Final •
, , -
41. Solar Domestic-Final I -
42. Backflow Preventer
43. Backflow Irrigation
'
. 44. Landscape Irrigation System (
• 45. Sound Attenuation • 1
46. Handicap Regulations • ,
47. FINAL STRUCTURE & BUILDING - -;
•
48: Special Requirements Completed I "
49: Electric Release to Edison
•
50. Gas Release to Southern California Gas Co !Alkt
51. CERTIFICATE OF OCCUPANCY
No. Date
t ,