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HomeMy WebLinkAbout2229 ORANGE AVE - Building Permits� �` �'� � �`742 COSTA MESA BUILDING DEPARTMENT P. O. BO% 31] COSTA MESA. CALIFORNIA _. . FOR APPLICANT TO FILL IN � ,�.d �i %�%� COSTA MESA. CALIFORNIA I � ( OWNERiyn � ���Y� �iP v,i i � I MAIL AD�RE55 i �� I e,. � �.�~. ciTv , nRCHirecr OR ENGINEER ADDRE55 I t L. NO� u c. NO. L AODRE55 Z 1' NO.�/ �J%�f// LEGPL r--T � LOT oESCwivnoN NO. / � BLOCK TRACT� A.P. NO. ^ O —� l� SIZE �) /� � �o.oF a�ocs. OF LOT / C��O � /� �(" ��Ow Orv LOT / lJSE OF � �j�K�e�s2.tL�� E%ISTING BLOG. � SEiBnClt LINE FROM F, CENTER pi siREEi �/ / REAR VARO C�,� SIDE YARD RIGHT t,J' LEFT ��I S' DESCRIPTION OF WORK NEW ALTERATION ADDITION REPAIR MOVING DEMOLISH BUILDING / 6 NO.OF SIZE �I Y " ROOMS � STORIES E%TERIOR WALL/'t♦ ROOF /� COVERING J /(/GG/� COVERING(,Aiyy� ,y G 'L USE OF NEW • � BUILOING �'- - - - - ,ci n „ . $TATE TMAT TME F CITY OR�INFNCES I ON. SiGNATURE O� PERMITTEE_� flRECT ANO hGREE TO COMPI.Y WITM hLl L�WS RPG{/4\TING BVILUING CONSTRUC� !/ e � �� � �3 �s s�� U �. FINANCE DEPT. riTv OF GOSiA MESA APPLI'CATION FOR PERMIT � BUILDING FOR OFFICE USE ONLY RECEIPT NO. � P�.9�T. NO RECENEO BY [� TE wECEivED / 5� � ���' � _ � i BUILDING 2 22 j -223/ �,pp��lf�' ADDRESS COSTA MESA. CALIFORNIA FIRE � ZONE 20N NO.OF TYpE GROVP I� PLRNS /'�. _. /�� /%� APPROVE � � BV ��J%IA' �ATE ' /I \ � CORRECTIONS C11T Vr oi.. �,�� �1�,).V 1��T. SUBJECT TO UG. DEPT. fiil I `!AE?. iV0.��1—r�'�:'r i'!�`!�D H LD �FOR F C[ RE I. JAL TI P M�T FE $ 3 / PLAN CHECK S s / 9�y TOTAL FEE 5 �rr c.c G6/6 L ApP���anl to fill in all ipaces within heavy borCer lines anE sign all appropriate Ce CITY OF COSTA MESA P MIT NO.- TRACT NO. LOT NO. BLDG. CONSTRUCTION PERMIT � 35�3 7 Address Address 'Contracror Address fG /� U" � TVPE OF CONSTRUCTION. Phone Q�j ❑ NEW ❑ ADD ❑ ALTERATION � � ❑ REPAI0. ❑.CONVERSION ❑DEMOLISH License N : ❑ OTHER DESCRIPTION OF WORK LICENSED CONTRACTOR DECLARATION I hereby affirm th:,t I am Iicenzetl untler provisions o( Charter 9(com- mencin9 witn section )000) of Divislon 3 of the Businesi and GfOiC55I005 C�C�dlld myGuCP�fISC �S �f1 (UII force dfltl'�iffCf. License Clasz �� i n N 96 S/ Date � � 2 Signature � r� WORKERS' COMPENSATION �ECLA0.ATION I hereby affirm that I have a<ertificat¢ of consent to selt-insure or a certifiwte of Woikers' Compeniation Insurance, or a certifietl copv thereof (Section 3800, Lab. C.). PoliGy No. � Company Certifietl copy Is-hereby furnishetl. - �ertitietl copy Is tile0 wilh the city Builtling Division. ...cEMPTION FROM WOHKERS' COMPENSATION DECLARATION (This section need not be completetl if the Oermit I5 tor one huntlretl ($300) or lezs). • I Certiry tnat In t�e performance of Ne work for which tbis permi[ i3 i55uetl, I Shall not ¢Tploy any Oe�son in an mannG� so a5 to become subject ro the Worker5' Compensa[ion LCySifp�la� - Date (�'-S!'��� Si9nature � �'����3�� +� NOTICE: If after making this tleclaration, y0u shoultl become zubj¢ct to the Worker5' Compen5dtlon prOvisions ol the laCor Cotle, you must fOrthwith comply with such provl5ion5 or this p¢rrtlit Shall bG tl¢emetl revoketl. . . . _ . _ . CONSTRUGTION LENDING AGENCY 1 hereby afflrm [nat the�e IS a conStruCHon 1¢ntling ag¢nty tOr [h¢ per- (ormance of the work br wnich [M1is permit is IssueO (Sectlon 3097 Clv.'C.l. ' " ' ' ' Lentler's Name Lentler's ACtlress OWNER BUILDER DECLARATION - - ' I hereby affirm t�al I am exemp[ Irom the Contractor's License Law for [ne Pollowing reason (5¢ctlon 7031.5-Business an0 Professions Cotle: Any City Or County which requires a pernti[ t0 COns[ruc[, al[¢r, improve, tlemoli5� or r¢pair any struG[ure, prior to It5155uance, also re- quires th¢ apFlicant lor sucn permit lo file a siqnetl Statement tM1al be Is IlcenSetl pursuant to [hE provizlOns of the Contractor'S LicenSe Law (Chapter 9(tommentin9 wit� Sectlon ]000) of Division 3 0/ the BuSInCsS antl' Pro/e55ion5 Cotle) or tnat he IS ¢x¢mpt Ihcr¢/rOm antl fhe Gasis br the alle9etl exemption. Any vlolation ol Section 7031.5 by � � appll�nt fo� a pe�mll subjects'tM1e appllWnt to a Civil p¢nalty ot more than live huntlretl tlollars (E500�. �, as owner of Ih0 prop¢rty,-or my ¢mploy¢es wilh wages as their e��e compen5ation, will tlo. the wOrk, an� lhe Sl�ucture i5 not Intentletl or of/eretl for sale. (Section 7044, Business antl Aoiessions Cotla The ContraCtOr's License Law tloe5 not apply lo an Own¢r Of a property who builds or Imp�ove5 Ih¢r¢on, antl who tloes Such work himselt or throu9h hi5.own ¢mpl0yee5, provitletl that Su<h improv¢ments are no[ intentletl or ofPoretl tor sale. If, however, the builtling or Improvement Is soltl within one year of complctioq the pwner will have the bu[tlen of provin4 he tlitl not OUIItl or imprOve fo� the purpose o� zale). ❑ I, az ownGr of tht prOpetly, am ex[lusively conVactin9 with Ilcensetl con[ractors [o mn5lruci tne project (Section ]044, Business antl Profession5 Cotle: The ContraCtor's LicenSe Law tloEs not apply [o an owner of property who bullCs or imprOves thereon, antl wlto con- l�acts from'such projecls with a contractor(s) Iicesnetl �pursudnt [o the Contractor's License l�w). ❑ I am Cxempt untler Section -B. & P. C. for this I2dTOf1 ' � Date Owner I hEreby cCrtify that 1 hav¢ r¢atl thisppplitation antl State thai the above Information is correcL I aqree to compty with-all city an� county orCinance5 and state laws relating lo conSl�uction, antl hereby autho�ize repres¢ntativ¢s oi this tity to enter upon the above mention¢tl property for in I� gylpase�ij / — Z Signa[ure ��� �G`�t� oate � �rivers' License or . ___ __ _ . _ _ -_ _ _ . _— TYPE OF PERMIT , ❑ GRAOING ❑ FOUN�ATION ❑ STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑PLUMBING ❑MECHAN ❑ OTHER PROJECTDESCRIPTION � . _ SQ. FT. , OCCUPANCV_CONSTR VCTION TVPE VALUATION ZONE GftADING CU. VDS. ACRES P�UMBING ' PILAN CHECK TOILETS LAVATORIES KIT. SINKS� SERVICE SINKS FLOOft SINK$ ORINKING FOUNTAINS INTERCEPTORS SWIMMING POOL WATERSERVICE ��1 GAS SERV ICE WHTER HEATERS' SEWER CONNECTIONS SOIARTANK - SOLAR PIPING SVS. - ISSUE FEE URINAl.S DOUBLE LAVS' DISHWASHERS' SUMPS - ' ' FLOOR DRAINS CLARIFIERS PTRAP H�TERATION OUTLETS BTU OUTPUT COLLECTORS , \ MECHANICAI aLAN CHECK HEATING SVSTEM 0-300,000 BTU, ANDOVCTING 100,000+pTU. REFRIGERATION 0-100,000 BTU. SVSTEM 100,000+8TU, BOILERS BTU SVSTEM REPAIR, ALTERATION EXHAUSTSVSTEM MULTIPLE ISSUE FEE CMF 0865-46 White-Builtling; Canary-APPliwnt; Pink-Accounting; Goltlenrotl-Assessor A.P. q ZONE 7039 6/OB/82 PLNG-.REF.� REAR YARD (TO P/L) PKG.SPACEREQ. � PROVIDED STREET WIDTH PARK FEE ZONING APPROVED BY ' DATI iPECIAL CONDITIONS: ELEC7RICAL PLAN CHECK " GENERATOR 0-1 KW_1-30 KW _ TRANSFORMER AGPLIANCE 10-SOKW_SO+KW_ MOTORS ' p-1 HP=1-30 HP _ (INC. SOLAR) 10-50 HP 50 « HP _ "FIXTURES OVTLETS SWITCHES C�ASTUBESIGNS - POLE LIGHTS GANELS MAIN SERVICE ISSUE FEE APPLICATION HPPROVED BV SUB P SUMMARV OF FEES , BUILOING '- PERMIT E . SMIP S PLAN CHECK y PLUMBING $ �BO PLAN CHECK S ELECTRICAL 8 PLAN CHECK $ - MECHANICAL b - PLAN CMECK E PERMIT ISSUANCE $ GRADING $ 5.00 TL' $ MICROFILM $ TOTAI. FEE $ LE55 A�- ' VANCE PC S _ FINAL FEE $ • �� �'i� • CONSTRUCTION AND PLANNIN p� POOL & SPA "� " ._ �. APPROVALS Permit # 47 Date Inspector pppROVALS Permit # Date Inspector 1. Temporary El�ctrical Service or Pole � 43. Pool & Equipmenf Location - -- Soil ipe-Undrgrn 44. Steel Reinforcement - • � - 3. Electrical Conduit UtilitY-Undrgrn 45. Forms - 4. . Electrical Conduit-Undrgrn 46. Electrical Bonding � . tee ein orce 47. Rough Plumbin & Pressure 7est 6. Electrical UF R Grn 48. APPROVAL TO COVER-GUNITE 7. Footings 49. Electrical Conduit-Undr rn 8. Foundation 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Urldrgrn 51. Backwash Lines P-Tra ❑ ndr rn ' " 10. Structural Floor SYstem 52. APPROVAL TO DECK ' 11. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final 12. Street Sewer �nnection 54. Heater & Vent-Final 73. Rough Plumbing, 14. Rough Electric-Conduit �56. Electrical-Final 15. Rough Electric-Wiring � � 57. Solar System-Final ' 16. Rough Heating & Air Conditioning �� � encing & Access Approval 17. Ducts, in Structure APPROVED FOR PLASTERING 18. Ducts, Ventilating . .. _ . . 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing . . 21. Roof Sheathin � 22. Frame and Flashing NOTES: - 23. lnsulation - 24. Lathing & Siding � 25. Drywall Nailing 26. Plaster Brown �at 27. Electrical Power Meter-Final � 28. Final Electric � 29. Final Heating & Air Conditioning - 30. Final Gas Pipe-Test � � 31. Final Plumbing � � 32. Water Service-Final �,Y� 9� ' 33. GasService-Final -' - ' � 34. Solar pomestic�Final 35. l.andsca e S rinklin S stem 36. Sound Atten�ation � 37. Handicap Regulations ' • � � � 38. FINALSTRUCTURE&BUILDING 39. Special Requirements Completed � 40. Electric Release to Edison 41 . Gas Release to Southern California Gas Co. - 42. CERTIFICA7EOFOCCUPANCY ' No. Date cr, c�c 2.67LC ApPli[ CITY OF COSTA MESA - CONSTRUCTION PERMIT V \\) \ Adtlrew ������y. Address �— Contractor AA Address 1 hereby af mencing �n Professions in in all spaees wilM1in heavy �ortler lines antl sign all appropriate tleclarations. TRACT NO. LOT NO.� BL'OG. NO.. ��3 � ' 'G U� TYPE OF CONSTRUCTION Phone 63,�oZ$Q �❑y NEW ' � ADD ❑'ALTERATION � �„d - ��j_� 7[aREPAIR ❑CONVERSION ❑DEMOLISH License No. ❑ OTHER DESCRIPTION OF WORK Ddte h — �' Y � $igndtufe �' �^'���w � WORKERS' COMPENSATION DECLARATION - - I h¢reby atfirT that I have a certiflcala ot con5ent to 5e1f-Insure or a C¢rtiflca[e of WOrkers' Comp¢n5atlon Insurance, or d certl�ietl copy thereof (SecHon 3800, Lab. C.). � Policy No. Company - Certifietl topy Is neroby turnishetl. Certlfletl copy is flletl with the city 8uiltling Division. . EXEMPTiON FROM WORKERS' COMPENSATION DECLARATION (TM1IS soction need not be completetl it the pErmit i5 for on¢ huntlr¢tl ($100) Or 1¢55). ' I CerLfy Ihat In tha performdnCe Of the work tor which this permil is issuetl, I shall not emPioy any oerson in any manner so as to eecome subject t� ��k S Compensatlo __��f rnia./y—_ Ddte Si9nature �w •� NOTICE: I( after making this tleclaration, you shoultl become sub�ect [o the Workers' Compensadon provistons of tne �abor Cotle, you must forthwi[h cOTply wi[h such p�ovl5ion5 or this perrtiit shall be tleemetl revOked. . . . _ CONST0.UGTION LENDING AGENCV I her¢by dffi�m [na[ the�e IS a canStruCtiOn lentling aq¢ncy fo� the per- formance of the work for whlch [his permit is issuetl (Section 309] Civ. C.1. - ' " ' ' Lentler'S Name Lentler's Aatlress OWNER BUILDER DECLARATION " � I nereby affirm that I am exempt irom Me Con[rac[or'S Lic¢n5e Law lor �. tM1e following r¢ason (Section 7031.5 Bu5ine55 antl Prote551ons Cotle: ' Any city o� munty whith requir¢5 a pe�mil to consVuct, alter, 'i imptove, tlert�0ilsh or r¢pair any Sl�ucturE, pri0/ [o its issuance, also �e- ' quir¢s th¢ apFllcant /o� such permit [o file a signetl statement tha[ he �� k Iicensea oursuanf lo [he orovisions of [h¢ Co0[raCtor'z LIC¢nse Law I6usiness antl PrWe551ons 1 basls for the allegetl exer `y appllWn[ Po� a pem not m0/e tnan five hu : I, as owne� of tM1e pn Sole compensalion, will tli or oiferetl (or sale. (Sectii Con[ractor's Licenso Law wM10 bulltls or imoroves t anc year � tlitl nc or mai i . AnY v o)ects tt tlollars , or my work,. a� 34, 8usii not ap� n, and v >vltletl tl howeve tletlon, t or impr rtv. am 000) of Division 3 of [he s exempt theretrom antl tbe ition of Section �031.5 by applltani to a tivil penalty 00). ployees with wages as their he sGucture is not intentletl � antl Professions Code: The [o an owne� of a prop¢rty tlOes zuth wo�k himself o� such improvements a�e not he builtling or improvement owner will have tbe burtlen � far the purpose of sale). ccluzively mnVacting with :ci (Section ]046, Business cense Law tloes no[ aooW to an owner of property who builtls o� improves Ihereon, antl wM10 con- tratts trom su<h proje<ts wlth a contraCtor(s) licesnetl pursuant to tne Contractor's �icense Law). ❑ I am ezeriipt untler SecOon 8. & P. C. for lhis reason Date Owner I hereby certify tnat I have reatl [nis application antl state that [he above information i5 cor�ect. I agree lo comO�Y �+�jh all city antl countY ortlinances and ztate laws relaling t0 construction, antl hereby autho�ize representatives ( thi5 cily to en[er upon the above mentionetl P�oPe�tY fOr ' f}I9P Du p�� _ ,/_ p (.1 Si9nalure L�•'//����T'r Date d �� �6 L Orivers' �icensc ; Pink-Accoun[ing; Goltlen�otl-ASsessor + 7038'.6/08/82 ZONING REGULATION A.P. $ ZONE PLNTGp.REF.p� SETBACK GL 5T. PROPE�RT� $Ij��VARD , REHR YARD (TO P/L) PKG. SPACE REQ. STREET WIDTH SPECIAL GONDITIONS: EIECTRICAL PROVIDED PARK FEE $ PLAN CHECK TRANSFORMER �'1 KW_1-lO:KW _ � APPLIANCE 10-50 KW_50 i KW _ " MOTOR$ 0-1 HP_1-10 HP _ — pNC. SOLAR) ��p-50 HP 50 + HP _ FIXTURES OUTLETS SWITCHES GASTUBESIGNS ' ' - 'POLE LIGHTS \Y . PANELS � MAIN SUB SERVICE � AMP ' 5.00 TU ISSUE FEE . - � APPLICATION'APPROVED BV DATE SUMMARY OF FEES BUILDING PERMIT $ ' SMIP $ PLAN CHECK b PERMIT' ISSUANCE $ PLVMBING E_ ��a GRADING S PLAN CHECK 5 , • ELECTRICAL E S PLAN CHECK E MICROFILM S MECHANICAL E� TOTAL FEE y� PLANCHECK S ' LESS"AD- _ . , VANCEPC S_ FINAL FEE 5 ��% � CONSTRUCTION AND PLANNING POOL & SPA - ' • APPROVALS Permit �h Date Inspector qppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - 2. Soil ipe-Undrgrn � 44. Steel Reinforcement � - •- 3. Electrical Conduit Utility-Undrgrn 45. Forms . 4. Electrical Conduit-Undrgrn 46. Electrical Bonding . tee ein orce 47. Rough Plumbin & Pressure Test - 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE � 7. Footings " � 49. Electrical Conduit-Undr rn 8. Foundation 50.- Gas Pipe, ❑ Undr rn, Test � 9. Water Pipe-Undrgrn 51. Backwash Lines P-Tra ❑ ndr m -' - - 10. Structural Floor System 52. APPROVAL TO DECK '" ' ' 11. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final 12. Street Sewer Connection 54. Heater & Vent-Final 13. Rough Plumbing 14. Rough ElectrioConduit �56. Electrical-Final 15. Rough Electric-Wiring ' 57. Solar System-Final � 16. -Rough Heating & Air Conditioning - � Fencing & Access Approval 17. Ducts, in Structure ' 9. APPROVED FOR PLASTERING � � 18. Ducts, Ventilating � _ 19. Gas�Pipe-Rough &Test � 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing 21. Roof Sheathin 22. Frame and Flashin NOTES: 23. Insulation 24. Lathing & Siding 25. Drywal� Nailing 26. Plaster Brown Coat 27. Electrical Power Meter-Final ' ' 28. Final Electric 29. Final Heating & Air Conditioning ' � 30. Final Gas Pipe-Test 31. Final Plumbing - 32. Water Service�Final ' � 33. Gas Service-Final ' � 34. Solar pomestic-Final 35. landsca e S rinklin S stem - 36. Sound Attenuation ' - 37. Handicap Regulations � - � 38. FINALSTflUCTURE&BUILDING 39. Special Requirements Complete:l ' � ' 40. Electric Release to Edison � - ' 41. Gas Release to Southern California Gas Co. � - 42. CERTIFICATE OF OCCUPANCY _ No. Date OWNER SINKIEWICZ, .TOHN DATE 5-1L�-SS , ]OB ADDRESS 22pg_ppgl Orange Av� BUILDING PERMIT NO. 67�2� F' �'ERAL CONTRACTOR Boster � tlstPtl ti n VALIIE � 1 1 0 lA_ . o. LOT ZS TRACT Q(�9 PIRE ZONE DESCRIPTION OP WORK DBt Gar TYPE INSPECTIONS . � DATE � SUBCONTRACTOR �Final Gas Test � PERMITSI3SUED