HomeMy WebLinkAbout3336 NEVADA AVE - Building PermitsApP��eant to fill In all sDaces eacept t�ose wit�in hedvy Co�Ae� Iinai anG slgn all 3pp�oprlate decla�atlons.
' "_ . " _ . .. _ _ ' "' _- _
� CITY OF COSTA MESA `. � PEfiMIT NO. TRACT NO. , LOT NO. BL .
CONSTRUCTIOM PERMIT � • � � % � � '
Applitent'S MOiflng Add�2ss e o r TVPE OF CONSTRUCTION" NEW ADD ALTERATION REPAI R ' �
PfOj2Ct Addreu � 6�N a V B d d � ❑ CONV ERSION ❑ DEMOLISH ❑ fpTHER • •- .
� OWneriNeme Buraland �_Pho„e754-u77o DESCRIPT,ION'OFWORK �'SO�'�ar Qf1P1L'Stlr Htr .
� Address , . ! ` TYPE OF PERMIT GRADING FOUNDATION STRVCTURAL ' A. P
� A�oh/Eng. Lic2PSE NO. ❑ TENANT ❑ ELECTRICAL O, PLUMBING ❑'MECHANICAL
� . , . . . _ . _ . � . _ . , .
1 Addre55 ' � . ' . ❑ �OTHER ' � - . - .
� Contiactor'sNam=�I'd R. �Bedard �o_Phooe ��6-32] .PROJECTDESCRIPTIONi SQ.FT. � - OCGUPANCV_
Addresslmailing) � • ��. �-UCI� d, ' Anaheim CONSTRUCTION'TVPE VAWATION$
' � �g �.�+� � 3�'J�' � ZON€ � GRADING CU. VDS. � � 'ACRES_
LicenSe No. ' '
LICENSEO CONTRACTOR DECLARATION Remarks: � ' � � ,
I-hereby.affirm t�at I am IlcenseE u Drovi5ion5 Of C�arter 9(tommencing . �
wlih secHon 7000) of Divlilon 3 t e u5I ass antl or e551on5 Cotle, antl ' � , , • ' ,
my Iicense is in fuu �oCcg{af�itl affect 3 7 7 5 6,7 . .
" ucense tl ss � . ' ' ' PLUMBING . ' '
' Date � Sl9nature , Bar Sink ' � $eiver Cap �
WORKERS'COMFENSATION DECLARATION
�. 1 hereby affirm that 1 have a certltltate of consent to �17 nsui or a certiflWte �_.� gackflow'PrevEnter '- -,— �$eWer CAnnettion �
: of Workers' Compansatlon Insurance,.or a carUfletl�<o t ereof (Sottion �
aaoo, �n. f� 2 4 1 6 0 2' � I n s. o f 4: e S t. Backflow Irrigation ' $olar Collectors '
� PoIIty No. � C mp p ' . � - - �
�¢rtifletl copY I5 hereby furnisl�etl. i /� I ' . ' 82thtubi Sol2t Piping �
Certttietl .4 leU wilh tha ci I�d9�5 n.
. .. 7/ ��%g3 ......�....,. 7 // - � �1 � Clarifiers • . SolarTank . �
EXEMPTIOlY FROM WORKERS' COMPEIVSATIOIV uec�c.Kw io
Issjimat�on neeA not Oe comD�eteC If the permit is for one huntli tl OOj or Y
I certify �tnat .In tne periormdnce o! the work for �wh�ch t�is perm�t Iz Issuetl I(
shall:not employ any persod in any Manner so�as to becOme sub)ect to t{�e �
Workerz' Compen5atlon�Laws of CalHomla. + � .
Oate ' ' Signature ' ' -
NOT�ICE: If;�aftar�making this Aeclaratlon, you snou�tl�become iubjecbto4he- .
Workers' Compensatlon provisionipf She Labor, Cotle, you must fort�witn� '
comply with SUch 'p�Ovislon5= o� tnis: perTit Shall b¢ tla¢m¢C fevOketl� �
CONSTRUC210N�lENDING AGENCV • �! '� . ' '� •�
I hereDy affirm that there is,a�construction.lentling aqency,for the�p erformance• �
of the work for whi<hi this" permit �li'i55uetl -lkctlon 3097• Civ. C.;:
Lenaer'z Nama , , , • !
Lender's� Atltlress ° � � � '
OWNER,BUILDER DECLARATION' � �' ' � 7 :�. � � , � t' � �
I hereCy afiirm that I am exemptYrom the�Contraetor'S,Lltensa L.aw tor tne- {
f0/ [h¢
as owrt
❑ I(am
Date _
ie �Business antl Professions �Cotle)'or� that he/she Is-exemp[ �-�
he'basls for the allegaG exemption. AnY vlolatiodot;5e<tlon -
applicant for'; a permit sub7att5 tha �ap011canl to� a. clvil 1 '
ore t�an tivn huntlrad dollars (E500). . ��- : �
of the�property or my employees wlth wa9es�as their zble
rill'tlo the work, antl� [ha itru<tura is not iritentletl or offe�etl
n 7044�, Bu51ne5s,antl:�rofesslonal�Cotle:,TheiContractor'S , .
is not apply to an owner o/ a property who bulltls or Improves ; '
io �tloas such work lilmsalf/hersolf Or �M1rough his or her own
Itletl ihat suc� improvemants are,no� ��teniletl or ot�aretl for ; �
, the builtling or improvement Is soltl wlthin one,year�of com-
er wlll have tha burtlan of proving ne/she tl10 not bulitl or Im- � �
'po5eof-sale). � f � i '• � � + • ;
f tne property, am excluslvely conVactlnq�with�llcensetl con- •
'uct tha,project (Saction 7044, Buslpess anG.Prote55ions Cotle: .� (
s'Llcense Law does not apply to aP owne� of pro0erty who �
ies' thereon, antl who contracts for such pro�ects with a con- � i
purtuantto the Contractor'S LI<anse law): �
unGer Sactlon B, 6 P. C. for th(s r¢ason '
. �
Owner � 1 ' ' � 1
or
Itlin9; Canary -
� ..
'ceptor5 � : ( ;
hen!Sink� r - �
rtories'j 1 �t. _ ° "� -
raP' n . �.
f�D'rains `�
.. '
NerS .. T" f ��
�iceSink' ' � �
: � .
.I .' f � � .
Duct
`- Oo-ioo
� �
Hood or
� r ,,,,....
Goltlanrotl -
1
�9_' �_....
❑ Multipli
ICBO #
& Dutting
'U�O700,004
� ❑ 1
�� n:
Urinal ; ' � � �
Water qoser � �
Water�Hearer -'—
;VJaterService -• �
] � C f r {
- i
_ � - . _
' �' I �
r, !
; ` " ' ' t.
. ' ; •
� Reinspection:Pee
i �.
1 laue Fee , � �
f1NICAC i ' � �
❑0.100,OOOB7U ❑1
System Repair/Alteisti
� •
� i �
e
n
u
PLNG. REF. q7� '
TO BUILDING
PROPERTV LINE '
LEFTSIDEVARD '
PKG.SPACE REO.
STREET WIDTH
SPECIAL CONOITIONS:
F.A.U.
�
i__ , ( F_xwres ' _ i
,,..
pectioo Fee! .� $15
Fee � � S 3
BU�LDING�T- i't1C��J,� !
coTonrv-rileTt
REAR VARD (TO P/L)
RIGHTS�DE VARD
PROVIDED ;
' PARK FEE.$ �
amps :
Motors�,'d'0-1 HP LJ1`f.-!
dncSolar �9-15 HP �1
iY/ai , , .
.roie uym . � '
� � Ranqe—__; �
`4"_ " �Sign' t"" '_i" _ _ .,. .,`
' � � 'Stand�ngSections ' � i �
� � �Tras6 Compactor � � i �
1
Ga/ha9e Disposal � I ' � � . � � i i �
Generator 00�5 KW �5-15 KW ' i � � j ' �
Transformer ��5�50KW � � � 1 ;
, � �5U � KW! • �Reinipection Fee • $jg�
Meter �upto100ampi ��IssueFee� i ' � �$ 3
2oning Approved BY . i ' ' Date ' ^ � (
� ��� ' I
Appliration Approved By ' ���./� ' Date
Application laued By � ' f�`-� t � 1 �Date �s—�'/�.�-��_(��,
�
, � ! � � SUMMARV OF FEES ! � � i �
.BUILDING PERMIT $ ' � � � SMIP �. $ � �
) I � .
,PLAN CHECK{ � $' � ; PERMIT ' � �
�PLUMBING f � $; � � �SSUANCE � ` $ � �
� J
PLAN CHECK $ � � GRADING � i$�
�ELECTRICAL, $• � { � � � � $
MICROFILM � $ �
PLAN CHECK� � $ � - � j � ,
�MECHANICAI $ � ' 1 TOTAL'.FEE I $ I '
, � LESS � ' ' � '
'�pLAN CHECK , $; , i : ADVANCED�PC , $ :��'_��
J i • � . i { � FINAL FEE t � $ 'J�
,
"'CONSTRUCTION AND PLAN ING � POOL & SPA - _ : _� - � �- ;
�_ �� Date ' ' Inspector • �Date � Inspector ;
�APPROVALS . Permit # APPROVALS Permit � _
- iti
':1: �Temporary Electrical Service or Pole 52. Pool & Equipment Location � . :��
�� 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement ' �_ � -
_ 3: Electrical Conduit Utilitv-Undrgrnd. 54. Forms � -
�' 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding . �'
�5; Steel Reinforcement 56. Rough Plumbing & Pressure Test � - �
;6. �Eiectrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE '-
�7. Footings �' ' 58. Electrical Conduit-Undraror�. .�
8. Foundation 59. Gas Pipe, � Undrgrnd., Test ' ' . , '�'
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. � .
10. Structural Floor System 67. 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 P(umbing � 65. Electrical-Final • � - . -
� `,. 15. �Rough Electrical-Conduit - 66. Solar System-Final - � � - � � �'� :
��116.,Rough Electric Wiring 67. Fencing & Access Approval . '� " -
- `-17: �Rough Wiring Sigq 68, APPROVED FOR PLASTERING . : - ' '
-�18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL .. �� �
��;� 19. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT_ •� - ', -
20. Rough.Factory Fireplace APPROVALS Permit # � . �
t, •
21. Ducts, in Structure 70. Underground Hydro '
b
.i22.Ducts,Ventilating 71.ProductPipingOGas ❑Oil � ' .
� 23. Gas Pipe-Rough & Test . 72. Underground Flush - � � � �
. 24. Roof Framing . 73. Undergmd. Storage Tank O Gas ❑ Oil �
' 25. Roof Sheathing � � 74. Overhead Hydro � . , !
° 26. T-Bar Ceiling (Structuralh & Monocoat 75. Dry Chemical , '-
'.27. �Frame and Flashing 76. Dry Standpipe � � ' ;` ' '
� 28. Lathing & Siding 77. FIXED SYSTEM FINAL • � .
29. Insulation 78. FIRE PREV. FINAL :
`30. ,Drywall Nailing Notes:
- �31. Plaster Brown Coat ' �, �3 ct:�. , � � -
32. Electrical Power Meter-Final . �. - • n �
33. Final Electric . •
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test � ' ' � � - .
�
36. Hood or Canopy _ - � - -
37. Final Factory Fireplace � " � _ • - "
36. Final Plumbing �
39. Water Service-Final � �
40. Gas Service-Final
41. Solar pomestic-Final / , -
42. Backflow Preventer '
43. Backflow Irrigation ' -
44. Landscape Irrigation System � _ - '
45. Sound 'Attenuation ' ' � � . �
46. Handicap Regulations . --
47. FINAL STRUCTURE & BUILDING -
48. Special Requirements Completed � . . .
49. Electric Release to Edison . � � '.
50. Gas Reiease to Southern California Gas Co , ' . � �
51. CERTIFICATE OF OCCUPANCY
No Date
�
�f:r�� U � -• !fd V
� a
FOR THE NESIDENCE OF: � / � ✓ �'
woRess: � �' ,P (/9il'c�
cm: �l C lC� ��> r C'��-
�, . ,E�e+�on� J��/—/� 7l1
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�' u' in eoartmen �
i
�_
� pprove - - - •-- -•-------- -•- •-•_....
SPECIAL INSTRUCTIONS;
Z'il.o'. Z�I" b:C •
r
_=:oraqe Tank Size: ._ �Z �� �— 5. Type of Controt: _
' ?`.aoenenr. 6. Collectors:
-?ot '.•. r.ier Tank �ize 7. Root Type:
=?:oe 'n.::: Length i ���` ��� 8. lectncal Access:.
� �oec:a: i�s[rvrnons: "
r���y�.���� 2���,� ermi
_ �.C.(�'^'�' ` y.-"`-'� � Q M1! q C n i r n n... .
- ALL• INSPECTII�i'v"RcQijESTS � �� �
N��u Co�� �vr �- �c..
o�t; � P� . i� �-f o-v� o
n._. __, � .
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r __.._.__..__.��_----._.._.._----- ----..._..--..__..----•�I�?�1'�"_._�,(,'.ri]�['.(�..._�-11C
Mr>>)r.IT�PIr_,— Dlnc����F,t,',
'� i .� (',F.�, y_F-t
CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT N0. � �j / `7--
LOT N0. �'"�
ADDRESS �,�j�{� �%(����� l�l/'�-
�/y�
DATE `�- Zg - ?O
The developer of the above entitled tract desires to sell the above set forth
lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledges that (he-she-they)
(was or were)
advised that this tract has
not been given final inspection nor has it been accepted by the City of Costa
Mesa as having complied with the conditions of approval which were imposed by
the city at the time the final tract map was approved.
The city assumes no liability for the enforcement of the conditions necessary
for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the city harmless from any claim
resulting in damage or personal injury to the undersigned by reason of the
aforementioned uncompleted condition.
� � 7 GZ!/\ h%ii
Z� ����
��� � �
� i�
Developer a
representat
BY
Lender
OWNER qpOLLO DEVELOPMENT DATE 4-20-70
JOB ADDRE55 3336 Nevada Avenue BUILDING PERMIT N0. 31690
_ LOT c� TRACT ��qe FIRE ZONE
GAS
PROP. $WR. LINE �HOUSE CON. �
SPftINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND Alft CONDITIONING
SUBCONTRACTOR
UNOERGft0UN0 U POWER Lf
ROUGH WIRING / � Q �
TRENCHES FORMS STEEL REINF. � - �p
FLOOR SVSTEM f-iV-7d
BONO BEAM STEEL REINFORCE
SHEATHING Y
FRAME ANO FLASHING / % $' [O
— l�',�( Y
PLFSTER,BROWN COq7
FINAL
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70
'� I 6°G
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. 80X 1200 COSTA MESA, CALIFORNIA 92626
PAIC '�#�,7hf��
APr, ZZ'7OCMStOO�3O� 141.00
Fo�Applicant t0 Fi/lin Completely %�PPLICATION FOR BUILDING PERMIT
RECEIV B DA�F,�EIVEDD ISSUED
BUIIDING (f > 9,ir�p,>e
ADDRESS 3336 Nevada Ave.
OwNER A 0110 Develo ment Cor . PERMirxan
A.P. NO. _ 1 . J\I
MAII ADOREss 3336 Nevada Ave.
ADDRESS 1104 E. 1%tt1 .St.
ciTr Santa Ana oio��547-9673 TRACT 6694 �or 47 e�ocK
CONSTRUCTION U, S. National Banlc W
LENDER
X
BRANCH Main Office
OWNER A ollo Develo ent Cor .
ADDRESS 1 0 S B d a Sa D'
Residence VALUE
ARCHITECT Kermit Dorius TE�.675-1164 S �
OR ENGINEER
FIRE �
ADOfiESS 3111 2nd Ave. Corona Del Mar ZONE TVPE GROUP
APPPOVED
CONTRACTOR E1 0110 Aevelo ent C.OL . BV DATE
ADDRESS 1104 E. ].]�tl SC.
TEL. Z NO.OF VSE OF NE
� PIAN$ BUILDING
cirv Santa Ana "1O 54 - 6 3 W
STATE CITV VARDSAPPROVED VARDSAPPROVED
LIC. NO. ZS�LS�iJ LIC. NO. LG9O MAIN BUILDIMG ACCESSORY BUILDING
SI2E NO.OF BLDGS. (FROM C/L SyREET)
OF LOT SS X LOS NOW ON LOT -- q rJ{ FT. FT.
USE OF
EXISTING BIDG. ' T FT
NEWBLOG. 1770 S.F. qpOMS � STORIES 1 L.SIDE FT. FT.
EXTERIOR WALI plans co�EaiNc Wood Shin le qEAR FT. � FT.
COVERING
USE OF BUILDING AND WOflK TO BE PERFORMED OISTANCE BE . BET. MAIN &
MAIN BLDGS. � ACCE55. BLDCS.
i�.OIIStT'llCt [l2W residence Wlttl C.U.P.q� APGROVED
attached �$ 2. �+�ROVED U
��
I haraby acknowletlpe that I nave reatl this applitetiOn entl itBta
that Ne ebova information is correct entl apree to comply with
oll lews reB�letinp builtllnB �o�svuc[ion, entl I shall not amploy
ony person In vlolatlon ot thp workman's compensetion laws ot
tha Steta of California. % `/ p/
I heraby cartify thet I am properly licansetl as a convector untler /�� � 5�. FT. 7�
tha Steta of Californie Buziness antl Profeuions Cotla, Dlvificn 3, THE AMOUNT SH N UNDER VALUATION IS FOR
Chapter 9, entl thnt such licen6as era In full force antl atiact, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV:
em oxompi from Ihe prOvisions ot the $tate of Calitornia Business
nntl Profeaslonf Cotl Ivislon 3, Chapt¢f 9. VALUATION '�D
/ � PERMIT FEE 5
SIB�amro oi � o( �j A
Permlttae S _/��j� PLAN CHECK $ ` ����
(1
Authorizetl AOant
TOTAL FEE 5 /��O �