HomeMy WebLinkAbout1891 ADAMS AVE - Building Permits Uwimn PFMRA DEVELOPMENT .. • LArn: iU zl b7
JOB ADDRESS 1891 Adams Avenue BUILDING PERMIT NO. 24826
GENERAL CONTRACTOR C. W. White DESCRIPTION OF WORK 16 Pilasters
AP No. I^-79,10., TRACT FIRE ZONE VALUE S 2,600.00
INSPECTIONS 1741$Signature Date GROUP ,j TYPE ITT ZONE B-1
Soil PERMITS ISSUED
Gas SUBCONTRACTOR Date I Number I Signature
Water Plumbing
Rough Plumbing
Prop. Swr. Line 0 House Con.0
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground 0 Power 0
Rough Wiring and Vent.
Trenches L9' Forms 0 Steel Reinf. g. 03 �6,4,9
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing
Lathing—In 0 Out.0 •
Plaster, Brown Coat
Structural, Final Electric
Heating, Vent., Refrig. and A.C., Final _
Plumbing, Final and Gas Test 0 ,
Electric, Final
• Building, Final
jOWNLR REPUBLIC HOMES CORP. DAIt 10-3-69
JOB ADDRESS 1891 Adams Avenue BUILDING PERMIT NO. 30961
%GENERAL CONTRACTOR Salvatt Masonry DESCRIPTION of WORK 8' Block Wall _
.."- AP No.139-521-07 LOT 18 TRACT 5781 FIRE ZONE VALUE $ 300.00
INSPECTIONS Signature Date GROUP J TYPE ZZj ZONE R-1
[� 501E SUBCONTRACTOR PERMITS ISSUED
,GAS Date Number Signature
``WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE ❑ HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER q
ROUGH WIRING Heating and Vent.
TRENCHES fl FORMS Q STEEL REINF. U
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT n
PLASTER, BROWN COAT
STRUCTURAL, FINAL Electric
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST n
ELECTRIC, FINAL a��
BUILDING, FINAL ,.JT/! .!' _ _ - on _ ^-
3096 ! OCT —3-691F090 d*****5.00
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill i Completely ( qEC I V O Y DATE RECEIVED DATE ISSUED/
BUILDING ,�._. t [] .'f/V�/ W' /c-2-69 �f- 1 -(c.�
ADDRES 3�'���r£ ,(�
OWN E��T�' Cd A.P.NO. 13 - Sla-I-p PERMIT NO. y -
ace• i�/a.ts u -- / /
MAIL a BUILDING _/,
Z ADDRESS[) S-At O/h .0?ds-,o�C� ADDRESS ( 'Rq / ///y',\'� Q,(f�
CI_ U CITY noe i) Y'L 5 c_., NoSf7.39s/� TRACT 513 I LOT 1 7[ BLOCK
ZZfJ
Q CONSTRUCTION NEW ADD ALTER REPAIR MOVING DFMOI ISH
O I- LENDER
am
J7 BRANCH /�
V(1
J to OWNER f/ 91,4_77 '
m J ADDRESS VALUE
m ARCHITECT Q, '''�',� /,,,'` EL. S $
J OR ENGINEER V�N'/ KL/ -I10. - - S.
O Q (� •- .� ( FIRE �j '-�`
w m ADDRESS I ff.,: -.9 G f / tel.- Jr' S"4 . ZONE TYPE 1 GROUP -
a W -tom. z�'7, �' `
W Z SA.&j/A7 f'h OnQV APPROVED /'
J O CONTRACTOR BY ��d DATE/O 2 -�
°' Z - �iaf
W or ADDRESS�if "p m t f td-. ) E NO.OF USE OF NEW
Z1- CITY NO.TE �7p--�/ PLANS 'J'BUILDING 'I}.Yr-�
- O STATE CITY YARDS APPROVED YARDS APPROVED
01
In CC LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
D O (FROM CIL STREET)
SIZE INO.OF BLOGS. /^'
OF LOT NOW ON LOT • FRONT FT. �/ FT. 7 /�
USE OF
EXISTING BLDG. -g�S DE FT. <---F'C
I- SIZE OF NO.OF
Z NEW BLDG. ROOMS STORI ES L.SIDE FT. '—CI
UCOTERION WALL ROOF
_ COVERING COVERING - REAR FT. ----
-I USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN&
1 MAIN BLDGS. ACCESS.BLOCS.
0
Q n eVAR.# DATE
Q (i
O sibe4- i{/jTA1
Z•P . GC , 6)444 C.U.P.# APPROVED I
I- APPROVED
I- _ BY \��SSSATE l U/7 / 6�
llll�����1
Z
0
I- I hereby acknowledge that I have read this application and state
D that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
F, any person in violation of the workman's compensation laws of
In the State of California. m
Z I hereby certify that I am properly licensed as a contractor under SO.FT. O
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are in full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
CC
am exempt from the provisions of the State of California Business
VALUATION
and Professions Code,Division 3,Chapter 9. • N
PERMIT FEE $ t___).7.--• DO' N
Signature of ,T., co
Permittee 7 /P'e-� z/N11 'de0-0-1-#•-••-&u____. $ U' a PLAN CHECK $ E
o
Authorized Agent ^^ u
TOTAL FEE $ /
IW-
24826 ,CITY CF C STA MESA
COSTA MESA BUILDING-SAFETY DEPARTMENT OCT 2 1 1965 G'
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 0
For Applicant to Fill In Completely I PLIW` T'e <.i+R PE• IT
TYPE OR PRINT ��ss--�� /�--- - . I dl! r
I /� for Office Use Only
BUILDING ( 797 �)"///i0 nii ii /. Q/'
ADDRESS 1 G�u/VW 6'LNr RECEIPT NO. i►qqp8p7vLI3
COSTA MESA. CALIFORNIA t_'`i0/f�
RECEIYRD Sr -DA RECEIVED DAT[meu[
/''�� I r�� y G� /C ,2/-6.0 .O_T,2/ "
OWNER .... kA Yu. �Ki 1P I Nt unFit BUILDING
MAIL
ADDRESS a ' *AyS&a ,.'rrr:)a ADDRESIMMEmama_ -
NO. FIRE
�•� NO. ZONE
CITY\_.:I`. M -j�.ia '' APPROV d/� TYPB GROUP
ARCHITECT TEL BY //I/ /.r•. DATE
OR ENGINEER NO. G '07)
ZONING
ADDRESS 1.
zri Pu/ 1 NO.or H. U9[eulLDlxOP x[Wo +
U!\ ru
CONTRAcrim r��1. LEGAL LO t /2',# I (�]'y
ADDRESSM:->((0 .Th.n< ..�-) S DISCMP nON Cf-i- / O rA�. tQ �} 1Q 1 .
CITY QG 17 Gk2._^ C-,N-O J C &P.NO. -{/\���
ATE TEL.^�_ p 1 NOTE: NO RAVE OVERHANG SHALL BE LESS THAN
LIC.NO. NQ, •3/41 k-- / Y,2 (1 30"TO SIDE&REAR P.L
EAVES
SIZE I NO.OF SLAGS. ALLOWED 1 U.B.C.REQUIREMENT)
OF LOT NOW ON LOT YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
(FROM C/L STREET) ./ '''{{{666��1...... C /�
SETBACKNTEFIST STREET TN FRONT FT. A ,I r / O�. tf/�
C OP NZFRO REAR YARD IIJT'y X��,-,I'�Q .
SIDE YARD LEFT RIGHT R.SIDE �. { F�.�
DESCRIPTION OF WORK L.SIDE %. IY 4 PT. 6 ��Y
NEWj AI.TERATIQN ADDITION REAR PT.
� � yD
DISTANCE BET. BET.MAIN e
REPAIR MOWING D M LLS MAIN SLOGS. ACCESS.SLOGS.
BUILDING NO.OF VAR.tlF DATE
SIZE ROOMS STORIES C.U.P.* APPROVED �J
EXTERIOR WALL I ROOF COVERING a PROVED /' �// TQ (
O �O / .-/ P
COVERING kV!/ ,1 ([J I
USgOF; C IRG oDC ORKB[P IFOAM[D� /'V N
,Tal' .,.A "ITT&' .1-4-r,r ... 0-� c�'� 1(� W 1
SO.PT.
I HEREBY ACKNOWLEDGE B THAT I NAVE READ TTO COM. THE AMOSEUOF HOWN UNDER VALUATOR S FOR THX
ONLY.
j
AND STATE THAT THE ABOVE IS AND •'+ AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. R1
PLY WITH ALL CITY •INANCp AND LAWS REGULATINGVALUATION /�— 0
BUILDING CONMTE �.q�I
SIGNATURE OF ►-� X 1( PERMIT FEB $
PERMITTEE /.1 rrWW / k
; -4n C Q OC'MN CHECK S ,/
AUTHORIZED AGENT 1/1t---
y
,.;.-f.:.: •.'....,.M:.i.. _..•_....f.--..� TOTAL FEE $ O
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. . _ •
' CITY OF COSTA MESA • iPE IT NO. TRACT NO. LOT NO. BLDG.NO., •
CONSTRUCTION PERMIT , e /236/ I ' 7497 3/29/:1,
Project Address • - ' a"a♦S C TYPE OF CONSTRUCTION NEW 'U A -eiku, ATION Li REPAIR '
Applicant's •
Mailing Address', l� •�{s�l�'�12/SCC-il. sa_ v"' ❑ CONVERSION ❑ DEMOLISH- SHy❑ OT A.R.# , Zone
_ A GK G, -egg DESCRIPTION OF WORK �•-7 lI 0 Y
Owner's Name ' . . ' ' .0 • Phone M0A-1 CJ'(-4° 7-• CA) S Main Building: Accessory Building: ZZ
Address tQJ'6ti. int S 4 '.V7tfnelSe'�- E
1 TYPE OF PERMIT U GRADING U FOUNDATION STRUCTURAL T Front . N
Arch/Eng /�,-'�-1 SroN�J s License No. 13�S l' . ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL - - B Rear
•
Address y o/ E .Al\C-4 (Ar LIW.Ln✓\� fie [.it _ ❑ 'OTHER r�1 - C Right - G
Qe-fs3 &CBn sr Si`'phone 2 �`'lA& PROJ ECT DESCRIPTION SQ. FT. - (BOP OCCUPANCY g
Contractor's Namr ..( ccc 1'� ��J .U( R
Address(mailing) 13113 4.4 -{-ei S y
CONSTRUCTION TYPE VALUATION$ 4 e d-�/, •$ Left E
e)� • ZONE GRADING CU.YDS. ACRES Ping. Ref.�i` Park.Fees $ O
City License No. (� I U
LICENSED CONTRACTOR DECLARATION Remarks: Parking Req./Provided
I hereby affirm that I am licensed under provisions of Charter 9(commencing - R
with section 7000) of Division 3 of the Business and Professions Code,and {�C / �"- at$ Use of Building: E
my license Is in full orce and effect. ( `Q
LJcense lassZC
,_ cen : No. ,i. - . PLUMBING FEES Planning Notes: M
E
^� Date -Z-c)-' Signature g as , - -_ Bar Sink Showers N
C1•f WORKERS'COMPE SATION DEC /RATIO T
V I hereby affirm that I have a certific. : of consent to self nsure or a certificate Backflow Preventer Service Sink $
I - Workers' Compensation Insura , or a certified copy thereof (Section \
100, Lab. 9,4 dee, Backflow Irrigation Sewer Cap ELECTRICAL FEES 1
Policy No. 'L/�7�07 Company fe I '
s•1 Certifietlert ec
copyoIsIs Herdtyleith furnished.thecltY Buil•i .41„...
� ;.••.
, - Bathtubs Sewer Connection Automatic Washer Transformer 0 15.50 KW
_ P , y --- - -
I Date_ Applicant s Mr _y Clarifiers Solar Collectors Construction Pole Sub. 0 50+KW
M EXEMPTION FROM ORKERS'COM"E SATION DEC •RATION Cooking Unit Meter ❑up to 100 amps
Dishwasher Solar Piping
(This section need not be Completed if t e ••rmit Is for one' unfired($100)or
less). - —
I certify that in the performance of the work for which this permit is issued, I Drinking Fountains Solar Tank . Dishwasher Meter Clover 100 amps
shall not employ any person in any manner so as to become subject to the - ---- - -
Workers' Compensation Laws of California. Floor Drains Swimming Pool w/Spa Dryers ❑Gas ❑Electric Sub Panel
Date Signature
NOTICE: If,rafter making this declaration,you should become subject to the Floor Sinks Urinal Fan ' Motors 001 HP-01%-8 - -
Workers' Compensation provisions of the Labor Code, you must forthwith . -
comply with such provisionsorthis permit shall be deemed revoked. Gas Service Outlets Water Closet F.A.U. Ina.Solar ❑9-15 HP 016-15+
CONSTRUCTION LENDING AGENCY -
I hereby affirm that there is a construction lending agency for the performance " Interceptors Water.Heater .' Fixtures • Microwave
of the work for which t is permit •is issued -(Section 3097 Civ: C.) ..
,.,
Lender's Name f '/-- Kitchen Sink ,' Water Service - Device Boxes Pole Light-, '
Lender's Address 'VG Lavatories _
OWNER BUILDER DECLARATION - Outlets Range r •• rl •
I hereby affirm that I am exempt from the Contractor's License Law for the p-Tra • • • • -
following reason'(Section 7031.5 Business and Professional Code:Any city or p - ., Switches Sign 1 ^,1,
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 Roof Drains• - - • ' - , Garbage Disposal Standing Sections ,T •
to file a signed statement that he/she is licensed pursuant to the provisions of - _
the Contractor's License Law(Chapter 9(commencing with'Section 7000)of ' . - • - '
Division 3 of the Business and Professions Code) or that he/she is'exempt Generator 00-5 KW 05-15 KW Trash Compactor,
4 prefrom and the,basis for the alleged exemption. Any-violation of Section _ i -
x31.5 by any applicant for a permit.,subjects the_applicant to a civil ! • 3 • 4 . ,I
I .Reinspection ,Fee " $25 ' Issue Fee $.
Salty of not more than five properly
or- dollars($500). , ( -
coI, as owner of the property or-my employees with wages as their'sole -• MECHANICAL • Reinspection Fee $25 Issue F4 ,s 1. }, l$ 3
compensation will do the work,and the structure Is not intended or offered . , FEES
for sale (S 7044, Business and,Professional Code!'The Contractor's
•PUBLIC SERVICES REQUIREMENTS: ' _
License Law does not apply to an owner of a property who builds or improves Boiler • Hood or Type I •❑
thereon,-and who does such work himself/herself or through his or her own Zoning Approved By - • Date - -
s If, hprovided that such or Improvement
are oit hin o or r of c for Canopy Type II ❑ s��9�
Duct=Under Ground (�f� G
sale. If, hehowever,wthe building dof pro issoldpewithin one yeard rim- - Building App oved By Date
pletlon, the owner will have the burden of proving he/she did not build or Im- , I ,
rove for the purpose of sale). i 1 ' Duct-Structural I Refrigeration System I • I :Application issued-By Date
U I,as owner'of the property,am exclusively contracting'withpicensed con- ' - • ❑0100,000
tractors to construct the project(Section 7044,Business and Professions Code: -. • Duct-Ventilating '.1 . �T U- 100,000 BTU _ SU ARV OF FEES
The Contractor's License Law does not apply to an owner of property who - P t " BUILDING PERMIT $ SMIP 1 $ ��
builds or improves thereon,and who contracts for such projects with a con- Exhaust System 0 Multiple❑- System Repaiff/Alteration CO
tractor(s) license pursuant to the Contractor's License Law). E• - x 11005pLAN CHECK '$ T's ' PERMIT •
❑ lam exempt under Section B.&P.C.for this reason Firepl/Fact.Blt. ICBG# ; incomplete In 'PLUMBING '$ 1 ISSUANCE $
• •
Date • Owner - Heating System& Ducting I CHECK 25% $ ENERGY P.C. $ ,
I hereby Certify that I-have read t, .•plication ane-state that the above - CI 0-100,000 BTU 0100,000 BTU— fit& ELECTRICAL $ • GRADING '$
Information Is c- rect. I agree to c• ply ith all city:and county ordinances 'q..�.-�.•- ' - , '
and'state laws to by ding onstr ction,and hereby authorize repre ✓`^' PLAN CHCK 50% '$ MICROFILM $
Inspection
fives of ��.1>N!b . to - ter .on t e above-mentioned pro'erty f' ' 26 . 40
Inspection pu J [J y� MECHANI AL $ TOTAL FEE ;$
Signature .+��'.! Date f
Drivers' License or SS 0 - . ` • Reinspection Fee $25 • .. Issue;Fee $ 3 • PLAN CHECK 25% $ - - •
CMF 0865-46 .v.12/83 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor t
I
1
CONSTRUCTION AND PLANNING - •- POOL i a - - - -
APPROVALS Permit.# Date Inspector -APPROVALS Permit'# J Date Inspector -
1. Temporary.Electrical Service or Pole 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 OF ER Grnd. 57. APPROVAL TO COVER-GUNITE •
7. Footings - 4-5--s-i? 46.41 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 8e 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# - 1 ,
21. Ducts,In Structure • 70. Underground Hydro r , -,
22. Ducts,Ventilating 1 71. Product Piping 0 Gas' 0 Oil
23. Gas Pipe-Rough& Test • , 72., Underground Flush '; ' ;
24. Roof Fuming 73. Undergrnd.Storage Tank 0 Gas 0 Oil ' '
25. Rolf Sheathing - 74. Overhead Hydro '
•26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical • - -
27. FrAne.and Flashing - 76. Dry Standpipe ,• . - , • ,
• 28. Lathing & Siding , , 77. FIXED SYSTEM FINAL ' ! •�
29. Insulation ' 78. FIRE PREY. FINAL ,c
30. Drywall Nailing r .HEALTH DEPT. REQUIREMENT1
31. Plaster Brown Coat a 79. FINAL INSPECTION
32. Electrical Power Meter-Final l 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: _ '
34. Final Heating & Air Conditioning, ,
35. Final Gas Pipe-Test - - - -..
36. Hood or Canopy - - -' f -
37. Final Factory Fireplace I • -
38. Final Plumbing i • ' - -
39. Water Service-Final . ' •
40. Gas Service-Final ' .
41. Solar Domestic-Final • - - - - - - •-
42. Backflow Preventer' • _ - •
43. Backflow Irrigation ,q. • - ' 'S - ;'
44. .Landscape Irrigation System • EXPIRED
Incomplete inspections
45. Sound Attenuation �,'�///- `
46. Handicap Regulations Date 3 z8 . ; SIQ 47" _ -
47. FINAL STRUCTURE & BUILDING f , . . ,
•48. Special Requirements Completed ' - - ."
1
49. Electric Release to Edison , - - - ` -
50. Gas Release to Southern California Gas Co -'"
I•
51. CERTIFICATE OF OCCUPANCY • ' - - - • - ' . '
•
No. - Date . - . . .. - -- . .I-_ . ..
NI