HomeMy WebLinkAbout1225 MCCORMACK ST - Building Permits •
f UNIT:
PASNA:>♦: " "-5 ,v- COR::AC �:Z 2�� � _ CITY DF CC::TA . ..:?n - U.-L: ?Er.::_': = 9�` -
O F'S taAMF:'IOJ� \, 'AC's - ,.
ADDRESS ROI..JE.C. NANCY L PERMIT NO: P 062.96 PLAY CHEC:: NO: .: >Oi'.: :. S:;PP -.
'25 Mf CORYAC7; LN
'"f_'A ?'ESA, CA 92626 CONSTRUCTION TYPE: V-2: PERMIT TYPE: STH _ URPOSE: ALT
S6_'-3ESE REG.ND.:
ARCH/ENGINEER: •• .- - c
ADDRESS: UNIT: "CE DLSCRIP..O\ /CI I'l tEROOF .Y/ .:7.- P U196�� S'/ayt. Q.- tt,: : .,, t.- D
CLAIM VALUE: 7, 500 , 00 CALC-VALUE: 5, 000 . 00 GROUP OCC: R-3 /
PERMITTEE: NANCY L RODDEN ( 714 ) 662-35E6
ADDRESS. 1223 YC COR?:ACK IN COMMENTS : SMOi:E DETECTORS REQ/ UBC SECT : 2:C
CM CA' 926:6 44*it***# * * 44***4f**i'1
ia **** 4441 *#*# 44ir ***fl-lk I.`*##4:-:tai-**1i*l ix.i-*Yi-ict.K xi. i-•4.a4-e-I in-1„.• L,:a..,..,tray*-
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section - - Z O \ I 1. `^vrL .' E1C ^
7000)of Division 3 oI the Business and Professions Code.and my license is in full force and effect. - -'
CITY LIC.: STATE LIC.: CLASS: SETB ASC y R S
Date: Signature: MAIN BUIID:NG AC''rcerRY E- -- - NG
WORKERS'COMPENSATION DECLARATION: Ihereby affirmthat I naves certificate of consent to 5elt insure or a certificate of Workers' FRS:: FT IN REAR: FT I\ FRC'=: �" I:: ;EA3 I\
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: r T N RGH.: i L f^..F . . a.. t u:..: F T -n
POLICY NO.: EXP.DATE:
COMPANY: PARKING REQ: PROV: PARCEL: :4 .63349 Z::c: REF ?:O:
I Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES
>
Date: Applicant: i(+FiEiE#+Ei'r##'iE##yEi4T?###?alf1E#Y-1f#*****##1i3(-#*yt±F!F1-:slF3eitfEt;: Y k 3i #"" : 1+.-in-* 3*, : *+. ** Y-*a-:*.w-.te:'-* ...$ **
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (Th6 section need not be completed if the permit Ls for one hundred(3100)or less). DEVELOPMENT SERVICES R _ Q : RENENTS
N
I ify That in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become
bject to the Workers'Compensation Laws of California. y/� /J(q/ ZONING APPROVED BY DATE:
Date:217a- /y- /9f3 Signature: „.„, 4 OS. fQ-mCiSes—
NOTICE' after making this declaration.you should become subject tot:is.Compensation provisions of the Labor BUILDING .APP ROVED BY `3 -
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked, DAT7: :
CONSTRUCTION LENDING AGENCY: I herebyaffirm that there is a construction lending agency for theperformance of the work for L J� A^w
APPLICATIODI ISSUED BY ^' D
which this permit is issued(Section 3097.Civ.C1. • *.;F****#******.*.**4*****. *. r -xr."-Tit- -r. r. :yr ..« +.«. +r-X-4: as-j4-3.3.
LENDER: **************** •*******1-***********‘ ****************Gr******sa**c ifai.:ti 11 ,,.:is f*.,if-:**
ADDRESS: LEGALIIZATION:N F E E SUMMARY STR:_ . ., AL SEG::=... •Y
P _
T MECHANIC
x m from the SIaIe License Law for the!Wowing reason - � - ! -
DWNER70I1.5BsECssandIPN: I sinalCdeir Any ciymee county h 9 BLDG72 . 00
1-':'fT PLUMBING GLt _.27..�.., ,-rGl.:'TA+1:IC F..R.^.. Svc?/RLL^ l>:".AJ I„v
(Section 7031.5 Business and Professional Code: Any city of which requires a permit to alter,improve,demolish.or P.i.R!,,,I T 7 2 . 0 0 - . 50P
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing cue Section 7000)of Division 3 of the Business .,..:P/\J\-Y.E
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by P'A\ , .` il'
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(35003, ISSUEF EE.. , . / ,
s
I. as owner of the property or my employees with wages as their sole compensation, wit do the work, and the BUILD
_ V NG-DI -> PERMIT ISSUE Y..A'a7-CH_: 4f TOTAL PAID I —
•
❑ structure is not intended or offered for sale(Section 7044,Business and Professionaf Code: The Contractors'State License Law TOTALS----> 72 . 50 0 . 00 ' • - ' .0-00- 72 . 30 72 . 50 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through x n ,
his or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or r
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> t..OLLLCIED : -' 72 . 50 OVER/SHORT: ' 0 00
for the purpose of sale). 5 BLDGY^ PLUMBING
G E L ” FIRE L N'- T T
P . PCU. B�\� _ ECTRIC N.B fiy]• IIS IR^ S.._Y/.0. GRAD_\I�SLA\ CHECK
•
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 72 . 60 1 • I . 50
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with acontractor(s)license pursuant to the Contractors'State License Law).l am aware ******;�,*,;,�t*********.3{**********a-**;14.}`***Y(..j*ja;Ft*****;}******.w*, n:4,31y #ir- * • *******
that proof of their Worker's Compensation insurance should be provided to me. • I
ND I VI D L' A/L F E n B R EA K N i'
B
.s I am exempt antler Section: B.&P.C. • . •
P704C
for this reason: - T - a UNIT TOTAL AL., WORK BY OWNER TYPE QTY D E S C R I P 1 Cl' 1 COST , ^1C^
Dale:_*-thy[eft y at yam, /99.3 Owner:/ii/L6 „ ,,,,.....e.,/ n e i �, _ , rs. _ -
I do hereby[eftd9//that I am ware of and understand the requirements of California Health and Safety de Sections 25505,25533,and SFR 5000 REROOF B Y VALUE RL3,:D E:•t 1 AL' \OZ O\E . • 0.i , 0,�,0 , 0 0
25534 and that I or any future building occupant wilt/will not(circle one)need to comply with said state codes and the requirements for a ' END OF YES
permit for construction or modification from the Air Quality Management District,Residential construction applications are exempt from '
these provisions. O T
„m. �=•_ = . OKE D
ETrOT
I reby cert 1,that I ha read this application and stale That the above information i'correct I agree to comply with all city and county M ��'
rdinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned SMOKE
•'- �/�'�C
propertyy7 tor inspection purposes. •Y,1- �J // R (�dl(( G
Dale:ri�w l /` Signature: %iGQ/ O'” /�at 4/-e-r.✓ oi DATE; 05/14/93 14,3$22•50
Driver's Licen or Social Security
1641-46 White-Building:Green-Code Enforcement:Canary-Applicant;Pink-Revenue:Goldenrod-Assessor
I _ CONSTRUCTION AND PLANNING - PO( SPA
14 APPROVALS Permit rt- Date Inspector APPROVALS Peimit Date Inspector
It '1- Temporary Electrical Service or Pole 52. Pool & Equipment Location
I 2. Sol Pica Undrgrnd. 53. Steel Reinforcement
1-
3 E_c_., Ccrdu.: ut ity-Undrg�nd. 54. Forms
4 Eectrr Conduit-Undrg'nd. 55. Electrical Bond ng
5. Ste: R. nforcement 56. Rough Plumbing & Pressure Test
�
00. =..d•,c.r OF ER Grnd. �_ 57. APPROVAL TO COVER GUNITE I ' I
ET Foot,nn. - 58. Electrical Conduit-Undrgrnd. i
V 8. Foundat•an II 59. Gas Pipe, 0 Undrgrnd., Test
r9. t:atcr P pe.Undrgrnd. 60. Backwash Lines, P•Trap, 7 Undrerrd.
r - 444 --- I ---:
I 10. Structural Fluor System 61. APPROVAL TO DECK i
11, Properly Sower Line & House Connection I 62. Backwash & Receptor-Final
I 12. Sewer Cap 63. Heater & Vent-Final
13 Root Drains 64. Plumbing System • Final
14. Rcunn F'urmbing 65. Electrical-Final J •
-
15 Rough Electrical-Conduit
66_ Solar 5`Iste m-Fi+al
16. Ro,.gh Electric Wiring li �J
67. Fencing & Ac^est Anprocal
17, Rough Sign PLASTERINGi
i 68. APPROVED FOR
•18. Rough E'ectrical-T Bar Ceiling ! I ,
69. POOL/SPA SYSTEMS f-I..NAL
19 Rou.lh Heating & Air Conditioning FIRE DEPT. REQUIREMENT
22. la:. it F, dory Erepiace APPROVALS Permit Sr' _
- - I
1 21. Ducts, i Structure 70. Underground Hydra
22. Curti, s'-n^Hating I 71, Product Pipit
i ----- -1- Pipin Gas Q I
23. 5 2.p Rough & -est _-_ 72. Underground Fiusi-
24. Poni F:,m.rg 73. Undergrnd.Storagr Tank C-Gas Oi'
25. Rent Se:aching 74. Oserhead Hyoio
26. T-Bar Ceii,nq (Structural) & Monocoat 75. Dry Chemical
`27. Frame and Flashing 76. Dry Standpipe _- _ --- �_ ` •--- J
28. Lathing & 5lding 77. FIXED SYSTEM FINAL
29. Insula'.an 78. FIRE PREY. FINA,_
22. 2.yr.a,• Nailing HEALTH DEPT. REQUIREMENT31. Patter tiro,. i Coat 79. FINAL INSPECTION 1
•
32 Elcstr a: Power Meter Final 80 FOOD CERTIFICATE ISSUED I
*.._„• 7 •
_
33. Final Electric Notes: 37 Se gi S�/6-. itil‘e ' � I
34. F nal Hooting & A.r Conditioning S f 7/17A, _11
l I
35. F nal Cis Pipe-Test / ,‘Iii
38. Hand c- Canopy -• -/---/ / WI,
,
37. Fina• F::.tory Fireplace /- -- �---- _.
38. Pira: F umbing
39. C:'iter El-vice-Final 1
40. Gas Se;e,ce:Flnal - 1
41. Solar Domestic-Final
I
42. Backflow Preventer I
43. Backflow Irrigation . -,,
44 1 r ndscape Irrigation System
45. Sound Attenuation -1
4E Handicap Regulations //++��"� '�'� /� -1
47. FINAL STRUCTURE & BUILDING C(��2_/3 Gcc-ht - i // s!( - (tale- _-_
48 FINAL PLANNING i (X� -{
49. Electric Release to Edison
50 Ga i Release to Southern California Gas Co
___A_51
__.-
ERTIFICATE OF OCCUPANCY Ii
J
No. j Date
OWNER HARBOR HALL OF FAME HOMES INC. DATE iiGki 3 0 1962
JOB ADDRESS 1225 McCormack Lane BUILDING PERMIT_NO. 16331
GENERAL CONTRACTOR Lifetime Residential Bldg. Corp. VALUE $ 19,055.00
AP No. LOT 81 TRACT 4356 FIRE ZONE DESCRIPTION OF WORK Res/Att,Gar.
INSPECTIONS Signature DATE GROUP I&J TYPE V ZONE R-1
Soil /PM 27.41 PERMITS ISSUED
Gas �� SUBCONTRACTOR _ DATE NUMBF"
Water
���/� —
Rough Corn. Refrig. 0 Air Cond. 0 _
Rough Heating u/ � y .loa- // 7-
Rough Plumbing '
Miscellaneous
Prop.Swr.Line)(House Con. ❑ St.Swr. ❑ -----a ff�s� � �y en o?-%a/.. -50 21'L�
Sprinkling System `�
Construction Pole -
Underground 0 Power 0 -7��I ,,//q��q � —�__r/_
Rough Wiring, fl 1'J-3'C 3 i�Lq///C- lielc�p' a-/G.� — ieZ,38— —
'1'renches Ly` Forms ir. Steel Hemf. U ter" /1-1,--G7--
Floor
1-1, Ge—Floor System ,?di'- -' 5
Bond Beam 0 Steel Reinforce 0 v
Sheathingrme ,1�
Frame and Flashing Q -29-
Lathing — In Di Out p� 45-0 3- _
Plaster, brown coat
Refrig. 0 Air Cond. 0 Final
Heating, Final / C i-/r-f3
Plumbing Fixtures, Final /V/i45 tii 71/-03
Final Gas Test /1174C C.-/v-63
Electric Fixtures, Final "ma 3744C7
Building, Final /14 '. igy-6i
OCCUPANCY
FORM BU4-5M - 7.61 18RT1
18331 FIE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT Lot 81, Tract 435 , Plan 1500-1i9V 30 1982
P. O. BOX 917 COSTA MESA. CALIFORNIA • FINANCE DEPT.
For Applicant fo Fill In Completely APPLICATION GI& 9ER $TA MESA
TYPE OR PRINT
BUILDING ZZ.� � JIB-"� co BUILDING/�' /Q BUILDING
ADDRESS L h
COSTA MESA. CALIFORNIA For Office Use Only
RECEIPT NO. PWJ�RT
OWNER Harbor Hall of Fame Homes, Inc. I . 5(_? /
MAIL RECEIVED DYDATE C VED DATE ISSUED
ADDRESS P.C. Box 2066- L,� 6/c— I --g.--‘• ""V 3 U 1969
CITY Santa- Ana Nola 9-2204 ADDRESS
ARORCHITECT ENGINEER Jamison No544-0040 COSTA MESA. CALIFORNIAI
ADDRESS 225' "D" St., Tustin FIRE
ZONE TYPE '" GROUP N.,/
CONTRACTOR Lifetime -Pesidential Bldg Cora,BYPROVED DATE
ADDRESS 2131 So. Artesia ZONING.0 --0 24.,/
ZONE NO.OF USE OP NE
CITY Santa Ana /� / I PLANS Y BUILDINGg , -
LIC.TNO. 208676 NO. KI 9-2204 LEGAL \ P� TA ya£s-
LESCRIPTION �_ r
OF LOT 6000, No. OP BLOGB.
NOW ON LOT O A.P.NO. J
USE OF YARDS EVES
EXISTING BLDG -None APPROVED ALLOWED
SETBACK LINE FROMICEHTER LINE ST.)
CENTER DP STREET 501 REAR YARD 27.v"IFRONT f / FT. .---- IN.
SIDE YARD I LEFT 7° I RIGHT 61 - R.SIDE - FT. " IN.
DESCRIPTION OF WORK - L.SIDE 7 FT. -- IN.
NEW I }CII ALTERATION I II ADDITION I REAR / 7 FT. .---- IN.
REPAIR I II MOVING I II DEMOLISH I BYPROVED _ /�f 1�
SIZENO. OF DATE I(/ y/y BUILDING 1790 ROOMS ]0 STORIES 1 toe,
-�/d
EXTERIOR WALLROOF
COVERING aster I COVERING Shake
USE OF BUILDING AND WORK TO BE PERFORMED
.Single family residence
X741.
I HEREBY ACKNOWLEDGE AT I HAVE READ THIS APPLICATION THE AMOUNT SHO •LAUNDER VALUATION IS FOR THE
AND STATE THAT THE AB' E IS CORRECT AND A REE TO COM- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY O'• ANGER ATE LA REGULATING
BUILDING CONBTRU � / .P/R VALUATION
SIGNATURE OFo Olt
Alir
PERMIT FEE $
PER MITTEF �'. V ,-...5-----
` �j l_ o
S `r D5 J --' PLAN CHECK $ e/o/✓�Ld..� I
AUTHORIZED AGENT Id
TOTAL FEE $ "J r,LJ./ O