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2019 ORANGE AVE - Building Permits
OWNER MORT.1 Alt/ rudirt.t~a ft_ OCT 2 8 1958 DATE -6-11__58 — JOB ADDRESS 2019 Orange Avenue BUILDING PERMIT NO. 6889 GENERAL CONTRACTOR Otgner_lflni I ricer VALUE $ ),20 no AP. No.118-O6CEIM 212 TRACT FIRE ZONE DESCRIPTION OF WORK C+^r,go GROUP J TYPE V ZONE 114 PLAN NO. 6;189 PERMITS ISSUED .INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER Trenches Forms Steel —t- 6-.2...O-S7 Floor System Steel Reinforce Chimney Re-Rod Bond Beam -St Frame and Flashing a �„/ -�. b -12.7 ` Lathing, In Out Plaster, brown coat `�- Underground soil W/G Pipe Test Top Out - Furnace Gas Vents Rough Plumbing Cesspool Septic Tank �,�,�''''�� ''��"""'' ���� _ Prop. Swr. Line Ho t4sn. St. Swr. -may --12-- Sprinkling -�f' Sprinkling System ` - Heating Final Plumbing Fixtures, Final Final Gas Test Construction Pole Underground Power _ � Y f/_ y, //�� G,9 /0--/sS '7/(5 Rough Wiring /7— ,--47 +� ( J' ,(/'P Fixtures, Final , /- 1-�f a( �J l I -OCCUPANCY -e N- r-J31 ra^'' 1.- _ Form 210-5M-1-57 /If - 6089 A 6889 t : RECEPCD COSTA MESA BUILDING DEPARTMENT `- (at ItLri COSTA MESA. CALIFORNIA P.O.BOX FINANL�E DEPT. CITY TIF COSTA MICA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT BUILDING oft)/9 BUILDING ADDRESS ¢� COSTA MESA. CALIFORNIA f10yle FOR OFFICE USE ONLY / 4 / , 1 RECE 'T O. rutin ' OWNER MAIL / r4IVSD BY DA rREI EI D' EI' Or ADORES$ 2017 l4 ' " t G .I '' TEL. , or do BUILDING �1 /0/di IS CITY ,� [j -J NO„, r - I/ ADDRESS i( C.r _� ARCHITECT ' LIG. COSTA MESA. CALIFO,"4IA OR ENGINEER ?f1m'sed L IC. FIRE ADDRESS ZONE ZONE NO. TYPE GROUP /t CONTRACTOR truntet, CITY LIC. �� PLANS A NO. TEL. APPROVE i� �y�]y I ADDRESS NO. BY W/J DATE ��`EGA` Q /) CORRECTION DESCRIPTION NOT pC�OL. /BLOCK TRACT A.P.NO. //o - D'a -/Z APPROVED SIZE /1 //91/ No.of BLOCS. OF LOT JV X I©rZ a l NOW ON LOT a •I� . USE OF / EXISTING BLDG. . q- I _. SETBACK LINE FROM •L CENTER OF STREET 4(/ry ` / R /R YARD .2b'/ SUBJE '- . t BLDG. DEPT. REG. • SIDE YARD RIGHT !*1// LEFT /7i/ijj_ /t.DESCRIPTION OF WORK BY� DATEErIJ PLAN T-.CH. NEW ALTERATION • ADDITION REPAIR �M/OVING DEMOLISH ) . S ZNO.OF BUIE DING/^ A /9A ROOMS / STORIES / EXTERIOR WALL / ROOF COVERING _,,,Ar -[L- COVERING _,•_„/„,, USE OF NEW BUILDING ii,/At/aS F 4,40A I I HEREBY ACKNOWLEDGE THAT I NAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND TATE LAWS REGULATING BUILDING CONSTRUC. TION. �%��P//'/'li .7 VALUATION SIGNATURE 0 r/%f/moi!/./GIS. /' PERMIT FEE $ PERMITTEE y J....." be �/ /� T PLAN CHECK S 4/0/Cf-e- I $ (jJy/�ctl VHF AUTHORIZED AGENT TOTAL FEE S /`_.. 'PROJECT ADDRESS: 2019 ORANGE AV UNIT: - , CITY OF COSTA MESA - BUILDING PERMIT PERM NO: E 045764 cr;EWS NAME: PETERSON ' ADDRESS: SARsPERMIT NO: F 045764 • .PLAN CHECK NO: N GOVT: N" SUPP: N 1 • UNKNOWN • ki CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: ALT ARCH/ENGINEER: • REG.NO.: JOB DESCRIPTION : SERVICE UPGRADE&ADD 6 REC - SQ FT: - ADDRESS: • 'UNIT: - ' PERMITTEE. BRENNON POLY ELECT ( 714)642 CLAIM VALUE: 1 , 000 . 00 CALC-VALUE: GROUP OCC : R-3 / -3482 • ADDRESS: 1599 SUPERIOR • B-1 COMMENTS : SERVICE UPGRADE & ADD '6 RECEPTICLES CM CA 92627 ######################**3(***#*******#***##########*##*###*#*****##*#**##***#*#fie LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 7000)of Division 3 of the Business and:Professions Code,and my license is in full lone and effect, S E T B A C K S _ CITY LIC.:0.31 4 1 2 - STATE M.:2 5 7 0 8 CLASS:C-1 - .-- ' Date: Signatu • - MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that)have a certificateot consent to sett-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN Cpmpensalionl0sur c ,or qqryfi�te9�?Ifthereof(SechonWOO,Lab. ) LEFT: FT 'IN RGHT; FT IN LEFT: FT IN RGHT; FT IN POLICY NO.: Ili as U�.L1V 14 EXP.DATE: �7/0.3/90 ' COMPANY: f= N A rAHULTY PARKING REQ: PROV: I PARCEL : 42619114 ZNE: REF NO: ❑ Certified copy is hereby furnished.' ® Certified copy is filed with the city BuilddiiinnID Division. PLANNING NOTES> • Date: Applicant:p ,(//a/L0� i �� #####k######1k#####il###"7E################-#####lE######################IE 1E########## 1. EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be c mpleted if the permit is for one hundred(3100)or less). D E ,V E L O P M E N T S. E R V ICES R E Q U I R E M E N T S I certify 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 subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE: __ Date: Signature: - NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY __ _: DATE; _ ' Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. . ; CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: — . � � DATE. 0 63, which this permit is issued(Section 3097,Civ.C). ****######********** E#Ini4e##***3f�F• - • 1. il,— ��F-g****###### IE# ' LENDER: ************************************* 47*** ********************************** ADDRESS: LEGALIZATION:N F E . E S U M ARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: thereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC . •CHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: My city of county which requires a.permit to construct,alter,improve,demolish,orP ERM I T 23 , 00 repair any structure,prior to its issuance,also'requires the applicant for such permit to Me a signed statement that he/she is licensed - 5 101% SM I P/NON-R E S pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business , • and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by PLAN . any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 15 . 00 I, owner of the property or my employees with wages as their sole compensation, ill do the work, and the ❑ as w BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE structure is not intended or offered for sale(SPection 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> ' 23 . 00 15 . 00 0 . 00 38 . 00 38 . 00 . 00 does not apply to an owner of a property who builds or Improves thereon,and wfm does such work himself/herself or through • his or her own employees,provided that such improvements are not intended or offered for sale. If, however the building or forthepose oREVENUE DIVISION TOTALS--> COLLECTED: 18 . 00 OVER/SHORT: 00 improvement sae) sold within one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK I,as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business - 38: 00 ❑ 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 ** *******'HE•***********************3(-*****************************************M* - that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.&P.C. • for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: ELE 6 RECEPT/OUTLET 1 ST 20 EA. . . 75 4 . 50 I do hereby certify that l am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and ELE 1. SERVICES BELOW 600 V & BELOW 200 AMP 18 . 50 18 . 50 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF F E EFp permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county • ordinances and state laws relating to building construction and hereby. Noris represent.' -of this city to enter upon the above-mentioned properly for inspection purposes. • —Date: Sign, ' >wi. ,e A .• rie4/its•_. 01 00052080-00052080 TOT 38.00 Driver's License or Social Security Applicant;Pink—Revenue;Goldenrod—Assessor -- i • 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.Alectrical Conduit'Utility•Undrgrnd. - 54. Forms 14. Electrical Conduit-Undrgrnd. 55. Electrical Bonding - '5. Steel Reinforcement 56. Rough Plumbing & Pressure Test - J 6. Electrical UFER Grnd. �,: 57. APPROVAL TO COVER-GUNITE ' t 7. Footings - - , 58. Electrical Conduit-Undrgrnd. ,. - 8. Foundation J .' 59. Gas Pipe, El Undrgrnd., Test + `t 9. Water Pipe-Undrgrnd. --0'.. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK i.ti; 11. Property Sewer Line_& House'Connection 62. Backwash & Receptor-Final ', i 12. Sewer Cap = . z /1. Heater & Vent-Final ' X' 13. Roof Drains - - , �.' 64. Plumbing System - Final i L ` •14. Rough Plumbing 65. Electrical-Final ' 15. Rough Electrical-Conduit �, i - 66. Solar System-Final 4,' 16. Rough Electric.Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign ' _ 68. APPROVED FOR PLASTERING ' 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19.. Rough Heating & Air Conditioning - 7 i „-FIRE DEPT. REQUIREMENT __ 20.-Rough Factory Fireplace - . _ " -• -- Y 7 APPROVALS Permit # -- - 21.-Ducts, in Structucei .. __ _ - -� -270. Underground Hydro 22-Ducts, Ventilating, C. - , - '- q. ,7Prod Gas 1- Pti•Piping OOOil 23. Gas:Pipe Rough & Test - :' ' . .. 'i -72. Underground Flush - 24. Roof Framing • : ?• _.731- Undergrnd.Storage:Tank 0 Gas 0 Oil 25._Roof Sheathing - .r, -y ;' 74. 'Overhead Hydro:. 26. T-Bar Ceiling (Structural) &'Monocoat - 7 ,- 757 Dry Chemical - 27. Frame and Flashing = " - > .- r 1 76. Dry Standpipe T 2 : - '- :28. Lathing& Siding .: `E' 4 77v- FIXED SYSTEM FINAL - - 29. Insulation _ < - , :.i " 78•FIRE PREV. FINAL - 30. Drywall-Nailing ,. I, _ '' 1 * - HEALTH DEPT. REQUIREMENT iz,31. Plaster Brown Cot'. 79. FINAL INSPECTION - - 32 Electrical Power Meter-Final its �a�,- 80:='FOOD CERTIFICATE ISSUED. 33.yFinal Electric v. r , ' r Notes: '"' - -'34._ Final Heating'& Air Coriditioning �� 35..FinalGas Pipe-Test+ ;. - •• F - ' .i '. _ - - - - :736_Hood or_Canopy_ t = `! ' • _ _37. Final Factory Fireplace.. - - ' t• t i • _38. Final Plumbing c _ _ '39. Water Service-Final. ; :• c 'r - _ -40. Gas Service-Final 1 ' " -= r 1 `41. Solar Domestic-Final- - - 42. Backflow Preventer , t -. 43. Backflow Irrigation .1.. c' , t� ;,44. Landscape Irrigation System - I - �. i- 45:Sound Attenuation • •• a `• _ - .. -46. Handicap Regulatidns C' . • - •• ^ := - ' 47. FINAL STRUCTURE & BUILDING - -.' 4. - - 48.„-FINAL PLANNING - - r . 1'! - - 49.',Electric Release to Edison k J,: ; - - 507Gas•Release to Southern California Gas Co ' ( t1 ` ••• - •51. CERTIFICATE OFOCCUPANCY ^ ' - ' - - No. Date