HomeMy WebLinkAbout2229 ORANGE AVE - Building Permits�
�` �'� � �`742
COSTA MESA BUILDING DEPARTMENT
P. O. BO% 31]
COSTA MESA. CALIFORNIA _. .
FOR APPLICANT TO FILL IN
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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