HomeMy WebLinkAbout2964 MILBRO ST - Building Permits� � AOG��cant ta till in ail spaces excev< those within heavy oortler lines ana sign all apo/opriate tleclarations.
• � PERMIT NO. TRACT NO. LOT NO. UNIT NO �
CITY.GF CQSTA MESA CONSTRUCTION PERMIT
P,o,'� ;�, �e�� �.q Sq- nti � � gR� G�T'�I- M�-Sa_�, r�
kpplicant's Mailing Address `��+ S�Krc �r
Owner's Name Q��1% L� Phone s,b'��'
Address ��'--�{ILpi� � ST.d� -
Arch/Eng. License No.
Address
Contractor'sName �i�g Phone
Address (mailing) �
City License No.
LICENSED CONTRACTOR DECLARATION
I hereby atfirm tnai I am licensetl untler provislons of Charter 9(commencin9
with section 7000) ot Division 3 ot the Business antl Protessions Code, antl
my license is in full force antl effect. �
License Class License No.
Date Si9nature
WORKERS'COMPENSATION DECLARATION
1 hereby afiirm that 1 nave a cer[ificate ol mnsent to selt-insure or a certiflcate
of Workers' Compensation Insurance, or a ceriifietl cooY thereof (Section
3800, Lab. CJ .
olicy No. Company
�Certifietl copy is hereby fumishetl.
Ce�tifietl copy i5 filetl with the city Builtling Division.
Date APPlitant
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(Thissection neetl nol be completetl if the permit is tor one nuntlretl ($300) or
iess).
1 certify lhat in tM1e pe�fo�manCe of the work for which this pe�m�t is issuetl, I
shall not emPloy any person in any manner so lo become subjec[ to the
Workers' Co o nsa ws of California. �,��
Date Siqna[ure _
NOTICE: I,atter aking this tleclaration, you shoultl be e subject4o the
Workers' Compen5ation provi5ion5 O! the LabOr Cotle, you mus[ forthwi[h
comply with such provi5ions or' tnis permlt shall be tleemetl revoketl.
CONSTRUCTION LENDING AGENCV
1 nereby ai(irm that there is a construction lentling agency for the performance
ot the work for whic� this �ermit is issuetl (Section 309] Civ. C.)
�enaer's Name
Lentler'S AEtlress
OWNER BUILDER OECLAHATION �
I hereby affirm ihat I am exempt trom the Cont�acto�4 License Law fo� the /
following reason (Section 7031.5 Business antl Professional Cotle: Any city ar /
counly which requires a permi[ to copstruct, alter, improve, Cemolish or repaiY
any structure, prior to its issuance, also requires the aDP��cant for such permi
to file a signetl statement that ne/she is licensetl pursuant to the provisions o
the Con[ractor's License Law (ChaOter 9(commencing with Section ]000) of
Division 3 of the Business antl Professions COEe) or tnat M1e/she is exemp
therefrom antl Ihe basis for the allegetl exemption._Any violation of Sectio
703L5 Cy any applicant for a permit subjects the applicant to a ci il
�endlty of not more than tive huntl�etl tlollars ($500).
XI, as owner of the praperry or my employees with wages as thei� le
om�ensation, will tlo the work, antl Ihe structure is no[ intentletl o� oft retl
for sale (Section 7044, Business antl Professional Cotle: The Contra or's
License law does nol appry to an owner ot a property who builds or im roves
thereon, antl wno tloes such work himself/herselt ar through his or her own
employees, Providetl Na[ such improvements ate not intentled or offe�e0 for
sala. If, howeveq Ihe builtling or improvement i55oltl within one yea� of com-
pietion, the owner will nave Ihe bu�tlen o( proving M1e/she tlid noi builtl or Im-
prS��ove for [he purpose of sale).
/y I, as owner of the prOperty, am exclusively cont�acting with licensetl con�
tractors to construct the project (Section �044, eusiness and Professions Cotle:
The Contraclor's License Law does not appry to an owner ot property wbo
builtls or im0/oves lhe�eon, antl who contract5 for Such proje[ts with a con-
�, iractor(s) iicense pursuant m me contractor's Lirense Law). I.am aware that
I�root of tM1ei� Worker'S CompenSaHon insurance shoultl be provitletl to me.
1 am ezempt untler Section ' 7 8. & P. C. far this reason
� Oate Owner
I hereby certity t at I have reatl this application an� e that the above
information is correct. I a9ree to compty with all city ntl county ortlinances
antl state laws relating to bwltling construction, antl hereby authoriie repre-
sentatives ot this ciTy to� upon the above�mentionetl property for
inspection purpose5.
Signature // / D t �
�
��:,r�Zyas7 z8a6 �.
TYPEOFCONSTRUCTION NEW ADD A�TERATION REPAIR
,❑ CONVERSION ❑ DEMOLISH ❑ OTgHE��R� A•p. # � A_ f�.
DESCRIPTIONOFWORK/USEOFBIDG.Rsc� r�E ac."N+ ��
S Main Building:
TYPE OF'PERMIT GaaoiNG FOUnioATiOrv STRUCTURAL T Frant
❑,TENANT � ELECTRICAL ❑ PWMBING � MECHANICAL � g
Rear 1
❑ OTHER %�
PROJECT'DESCRIPTION SQ. FT. � OCCUPANCv C Right
.CONSTRUCTIONTVPE VALUATION$ L{'� $ Left (
ZONE GRADING CU. VDS. ACRES Ping. Ref. #
Remarks: . Planning Notes: •
3ar Sink
3ackflow Preventer
3ackflow Irrigation
3athtubs
�IarifieFs
Jishvuasher
Jrinking Fountains
=1oor Drains
^laar Sinks
.�i35 $2NICfY �UI�2L5
Interceptor5 �-
Kitchen Sink�
Lavatories' -
P—Trap y.�
Foof Dr : s, - �'
Reinspection Fee $15
Boiler
Duct- UnderGround
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple
Firepl/Fact. Blt. ICBO #
He ting System & Ducting
� o-i oo,000 eru O i oo,000
Reinspection Fee � S75
CMF 0865-46, rev. ]0/84 White - Builtling; Canary - Applicant; Pink � Accounting; Goltlenrotl � Assessor
�161NG .
Showers
Service Sink
Sewer Cap
Sewer Cannection
Solar Collectors
Solar Piping
Solar Tank
Swim ' g Pool w/Spa
Watu Closet
Water Heater �
Water Service
Auto-Wash
Laundry Trays
Issue Fee
IANICAL
Hood or Typel ❑
Canopy Type I I ❑
Refrigeration System
❑0.100,OOOBTU ❑100,000
System Repair/Alteration
Fire Dampers
Registers
Issue Fee
$ 3
FEES
$ 3
� 2S� � 7, s
Automati Washer
Constructi n Pole$ub.
Cookinq Unit
Dishwasher
F.A.U.
is • -
F� Q 8 Zone Q'
Accessory Building: �
Z
O
N
I
N
G
fl
- Parking ReqJProvided E
Q
.o- % L M
ii's� a,l✓ T
$
� r�a� S�BRtar c-iuEs .
as LlElectric
Device Boxes
Outlets
Switches
Garbage Dispoul
Generotor �0-5 KW
Fee
ELEC7RICAL
Transformer ❑ 15-50 KW
❑ 50+KW
Meter ❑up to 100 amps
Meter ❑over 100 amps
Sub Panel
Motors �0-1 HP Ot'Fi - 8
Inc.Solar �9-15 HP �16-15+
Microwave
- Pole Light
Range '
Standing Sections
5-15 KW Trash Compactor
�
Q�rJ ISSIIC FCB
DEVELOPMENT SERVICE'S REQUIREMENTS�-y�/��
Zoning Approved By k—( Date
Building Approved By �—Date
Aooliwtion Issued Bv Date
FEES
$ 3
SUMMARV OF FEES
BUILDINGPERMIT $ 1$�,SG` SMIP '$ ' i.Gq
PLAN CHECK $ �— � 9._��� PERMIT
PLUMBING $ ISSUANCE $
PLAN CHECK 25h $ ENERGV P.C. $
ELECTRICAL $ L� G,O GRADING $
PLAN CHECK 50% $ t�. R'O MICROFILM $
MECHANICAL $ 7• �� TOTAL FEE $
PLAN CHECK 25% $ i. n �
�CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS �� Permit # - � Date Inspector AppROVALS Permit # 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 ConduibUndrgrnd. 55. Electrical Bonding � �. �
5. Steel Reinforcement � 56. Rough Plumbing & Pressure 7est
„
6. Electrical UFER Gmd., � �.,�"��j'� � 57. APPROVALTO COVE�R:GUNITE
7. footings �, - , y�8� Jj� 58. Electrical Conduit-Undrgrnd.
8. Foundation: � g_.S -�� �� 59. Gas Pipe, O Undrgrnd., Test � �
� 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Scructural 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 � -1
�
14. Rough Plumbing � 65. Electrica6Final i�': � "
15. Rouyh Electrical•Conduit 66. Solar System-Final
76. Rouyh Electric Wiring , 67. Fencing & Access Appcoval
17. Rouyh 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 ' _
Z2. Ducts, Ventilating 71. Product Piping OGas ❑Oil
23. Gas Pipe-Rough $ Test � 72. Underground Flush "
24. Roof Framing 73. Undergrnd. Storage Tank f� Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro ,
�
26. T-Bar Ceiling (Structurall & Monocoat '� 75. Dry Chemical �
27. Frame and Flashing • G N, 76. Dry Standpipe .
28: Lathing & Siding 0 � 77. FfXED SYSTEM F(NAL ,
29. Insulation /p 5 78. FIRE PREV. FINAL �
30. Drywall Nailing �� y� 7(� HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION .
32. Electrical Power Meter-Final �,�j' 80. FOOD CERTIFICATE ISSUED
33. Final Electric ���j7�'� Notes: � �� �
34. Final•Heating & qir Conditioning - 2 � �
35. FinarGas Pipe-Thst
36. Hood or Canopy ,
37. Final Factory Fireplace � ,� �
,38. Final Plumbing ' . --
39. Water Service-Final �'�`�
'40. Gas Service-Final �� ,
��
47. Solar pomestic-Final � . .
42. Backflow Preventer � -
43. Backflow Irrigation , .
44. Landscape Irrigacion System � " � -
45. Sound Attenuation •
46. Handicap Regulations . �-,
47. FINALSTRUCTURE&BUILDING �� j,L' � -
48. Special Requirements�Completed �
49. Electric Release to Edison � •
50. Gas Release to Southern California Gas Co � •
51. CERTIFICATE OF OCCUPANCY _ . r
No. Date _ _ 5 �
wII,cart�
JOBADDRESS —�%��Milbro. Street
GENERALCONTRACTOR Welcome HO�.
LOT �7 BLOCK
INSPECTIONS
Foundatian Forms and Grade to
Rough Frgming _�_
Plumbing, Rough to a
Plumbing, Raugh Complete 1L
Temoorarv Pole
Heati
�, Final
House ewer, St.
�ahk or spool
6 �n Out i
F ^ring
F. .�bing, Fin�al, Fixture5
Plumbing, Final GasTest
Wiring, Final
Occupancy �fJ
cnwM 21f1 qM 10.95
DA7E
TRACT 2896
SUBCONTRACTOR
DATE 5-18-56
BUILDING PERMIT NO.
VAWE t R �7�n nn
Res. w/att gar
rRicT �g75---
PERMI7S iSSUED
I NUMBER
�
Costa Mesa Bailding Department APPLICATION FOR PERMIT
P.O.Box3,� 30'7.� BUiLDING '
�d COSTA MESA, CALIFORNIA
�� FOR OFFICE USE ONLY
I�OR APPLICANT TO F'II.L IN Receipt No. Permit No.
a���d��9 � I 30 �s�
nddress Silbro Streot
Costa Mesa, California Reeeived y /Date pRec'd. Date pIssuecd�
nlearest � , //J ��C' .� �/d �J ('
CrossSt. Post Building
Address
owner 1Pelaome Ho�s, Ino.
Mail Costa Mesa, California
nddress �28 Westminster Aoe. , rvearest
Tel. Cross St.
(`N� Westrm.nster u.. WBID. 5711 v....., i � v....� I�r..... ./ Pwnnn... _.
Address
�trecto'rYela one Home s, Inc, Nf�ty Lic.�78
.,ddress �28 YJestminster pve. ,
Legal Lot �
Descriptlon No. 2% Bloek I Tract 2�7
(Attach Metes and Bounds)
No. of Bldgs
size ot Lot 58x102 Now on Lot No�
4seof 9 g None I No.of I No.oi
Existin Bld Families Rooma
Setback Line irom Rear Yard t
CenterotStreet 55 Ft, sidavard F+
New � x
Plans I ✓
CORRECTIONS
Repair � � Moving � � Demolish �
Building No.af
size �5X%t� Rooms 5 stories 1
Exterior Wall I Roof
" �er�ng Stuoao Coveriny Wood APPROVALS
of New
..�ilding Single f'amily residence Dnd Foundation Location Inspecto
Forms, Materials,
xo oar garage attache . Under-Pinning
Frame: Fire Stops,
Bracing, Bolts
I hereby acknowledge that I have read this Applicatlon
and state that the abwe is correct and agree to rnmply Lath. Int.
with all Clty Ordinances and State Iaws regulating
bullding cron�str"uc�tio � /� Lath. Ext.
Signatureof/,/y� 2.� __ _,
Permittee ��� '�"'���Ta'�'��� � Plaster, Int
Ext.
Valuatlon���� Permit Fea $ �( �— Masonry Re
�/ � Plan Check $
$ �9 )�,/, � , � —' eond seam
Y Total
Fee $ � � FINAL
0
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2
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PLOT PLAN
Show lacatlon and tllstanees trom
proper[y lina and between buildinga
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OWNER OUANG VAN LEE DATE 10/�/80
JOB ADDRE55 2964 Milbrp Street BUILDIN6 PERMIT N0. 5nR91
APNo. 141-234-08 LOT z7 TRACT
I' ECTIONS Si naru
GAS
W RTER
ROIIGH PWMBING
PPOP. SWR. LINE rJ H0U5E COM. �
SPPINKLING SVSTEM
MISCELLANEOUS
ROIIGH NE�TING AND �IR CONDITIONING
TEMPORRRV SERVICE OR POLE
UNOERGROUNO [� VOWEH �
ROUGN WIRING
THENCHES I FOHMS STEEL REIHF. I—I
{l BON� BE<M L] STEEL RE
.� SMERTNING
� FHAME ANO FL�SHING
L�THING — IN n OUT r
.� PLASTER, BROWN COAT
STRURUFRL, FIN�L
wG_VENT., REFRIG. �N
� � .�BING, FIN�L ANO GAS i
W ELECTRIC, FINAL
BUILoiHG. FiNnL
FIRE ZON
SUBCONTRACTOR
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COSTA MESA BUILDINGSAFETV DEPARTMENT APPLICATION F�f,T�1,�9318AL PERMIT36•�
• P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 - �
REC BV PERMIT *T° 50821
For Applicant to Fill in Completely — Use Ink Only i��
ADIDRESS � , A.P. NO. .� �, 3 /
BUILDING � ���
OWNER OR L ADDRE55 Z
TENANT
MAILING •/ O �� SPAICENO.
ADDRE55
TR� � LOT � BLK.
TEL.
CITV 7�� NO. LJ
NEW ADD ALTER REPAIR MOVING DEMOLISH
CANSffiUCTION
LENDER
BRANCH pWNER K,�yti '�QAv �
AODRESS USE �� vA ESZ �,� V
ARCNITECT TEL.
OR ENGINEER /� ^J
ADDFESS ZONE TVPE V GROUP f`'J
����/�+ APPROVED 1
CONTRACTOR /LtTN�G-V BV DATE /O V
ADOFESS �(i(i(,�if/
TEL.
CITV NO.
STATE CITV APPROVEDSETBACKS
LIC. NO. LIC. NO.
SIZE NO.OF BLOGS. (FROM C/L STRE
OF t,OT NOW ON LOT ONT
USE OF
EXI5TING BLDG. 3 O
Separa[e permits are required (or L. SIDE � 3 Fr.
electric, plumbing and heating work. REAR Fr.
USE OF BUILDING AND WORK TO BE PERFOHMED P�p,NNING ACTION
/J A /� DATE
t'.4ilr L.L�+� �ROVED
�S APPRO oi� �9�
I hereby acknowladpe that I hava reatl thi6 appllcatlon entl state
that the above Into�matlon iz corract entl eprae to comply with
all laws reBulatin0 builEing cons[ruetion, antl I shall not employ
ony person in violatlon of tho workman'� compansetion lewa ot
tha Steta of California.
I heraby certity that I em proparly Ileansetl es e eo or untler S�. FT.
tha Steta of Californle Buainaaa entl Prof otle, Dlvlflon 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Cheptar 9, entl thet sueh I(ee n full force antl effe<t, or I THE PURP06E OF ESTABLISHING A PERMIT FEE NLV:
am axempx from �s on� of tha State of Californla B�slnan yp�LUATION PERMIT FEE S
end Pr z Coda, Division 3, Chapter 9. . ��
SIB^aturo of �/ ��� PLAN CHECK S / � O v
Permittea 5 TAX E �b
or �
Authorized AOent Date TOTAL PAID 5 � �
� TL•