HomeMy WebLinkAbout977 MISSION DR - Building Permits. . � - �' r�� �
.__ , � _ ApPlicant t0 fill in all spaees eacept tnosa w4 � haavy bortlGr Iines antl sign all,apProOriate Ceclaralions. , .
CI � OF COSTA MESA. � ' ' � � � . PERIv11T NO. �� � � TR � NO. .LOT NO. -. ,� � BLDG. .
GONSTRUCTION'PERMIT , ; - ' - �' _ ' • . � � �
Pioje'ct Address "� � TYPE OF CONSTRUCT,ION� • N W ADo� � aL�
Applitant.'S Mailing Addf255 �: �� � CONVERS ON '❑ DEMOLIS OT -
Owner'SN m2 Phon =— ' DESCRIPTIO -OfZWORK �
/- : a '
Address, � . � TVPEOFPERMIT � GRADING� �� �FOUNDATION' ' STRUCTURAL' . � _r �T- Front.,, ; '
Arch/Eng.� _ � � LiCenSeNo. � _ ❑,TEIVANT ❑ELECTRICAL ��PLUMBING �,'MECHANICAL _ �B' Reaf. -.
Addre55' � - � � ❑ �OTHER - ' � /�
Contractor�'s Nam � Phone � � Y PROJECT DESCRIPTION, Sq._ FT.' ' oCCUPANCv � K Right
-� ' CONSTRUCTIONTVPE �� � ' VALUATION$ Left
Addressilm�'�'��� ' � � , � , � S •
City�Licen5eN0.—�— Z�NE GRADINGGU.VDS. -ACRES ;p��y,Ref.'# `
LICENSED CONTRACTOR DECLARATION � • �' Remarks: � - ' • ' � � . ' ; ' �Patking Req./Provided
I hereby affirm [ha[ 1 am IlcenSetl untler provisions of'Charter 9(commencing , " _ � �
wlth section 7000) Of DlviSion 3 Of the Buslness dntl Prote55ions Cotle, antl � . � ' ' - ' �� `
my Ilcense is in full forte antl efiect. i ' ' '
License C15ss -- � License No. �+ � � , . PLUMBING
Date� ^ ' Si9nature � ' BarSink • ' Showers '
WORKERS' COMPENSATION DECLARATION' '
i hereby atfirm tnat I have a certificate oi�tonsent lo selt-insure or a�certificate -� ' Backflow Preventer.' �; 'Servite Sink'! "-''
Workers' Compensation Insurance, or a certitietl copy thereof (Section �
]0, Labr C.� - ' � Backflow Irrigation ' Sewer Cap
olicy No. Company
ecertifled copy is er by rurnisned. ' , Bathtubs Sewer Connection'
Ceriifietl topy is flletl with tha city Building Division. � �
Da[e Applicant � Clarifie�s Solar Collectors
EXEMPTION FROM WORKERS'�COMPENSATION DECLAf1AT10N � DishWasher �
(Thissection neetl not be complatetl if tM1e parmit is for,one huntlretl ($100) or - Solar Piping
less):
I certify that in the performance ot the work for which this perm�t is issuetl, I Drinking Fountains ' Solar Tank - '
shall not e IOy ny persOn in any manno� so a t eco subject to the
Workers' en o Laws of California � ' FIOOr Drains � Swimming Pool w/Spa ,
�ate Signature ' ' .
NOTI : f; aft r ing this tleclaration, y u sboul ecome zubject to the Floof Sinks � � Ufinal
Worker5' COm Bn5dti0n provisions.of the bor Cotle, you must forthwith .
comply wltn sucn provisions or this ermit shall be tleemetl revoketl. Ga5 Service ,Outlets . Water Closet
CONSTRUCTION LENDING AGENGV ' ' " ��
I heleby ditirm thdt th¢re IS a ConStructlon lentling agancy fol the performance Int¢fC¢�JtOfS Wdt¢I H¢dt8f �
ot the work for which thi permit�i5.i55uetl (Section 309] Civ. CJ
Lentler's�'Name , Kitchen Sink ' ' Water Service �
l.en7er's Atltlress ,
OWNER BUILDER OECLA ATI N '' Lavatorie5 ,
I hereby atfirm that I am exempl trom the Contractor'S�License Law tor the p—T�a "
followin9 reason,(Sectlon'7031.5 Business and Professlonal Cotle: Any hity or P
county whlch requires a permit to construct, altei, improve, tlemolish or repair .
any structure, prlor to Its Issuance, also reqWres [he applicant for such permit Roof Drains �
�A.P. # .. . ` .
� 5� Main Building:
.:E
f1.o oy any appim:
� � alty of not more thm
as owner oh lhe
c � wlll tlo t�
for sale ( cflon 7044
License Law tloes not a{
thereon, antl who does
employees, proviaea tn:
sale. It, however, the bi
pletioh, tM1e owner wlll
��Ove to� the Ou�poSe of
I, as owner of the pi
lrattorsto constructtne
The Contra<tor's Licen�.
builtls or improve ther
L(dCtOf(5) IIC2052 D SUdI
❑ I am exem u er 5
Date
I hereby ce y 4hat I
Iniormation Is corretL i
antl state laws relating
zenta[ives of.this clty,
Inspectlon purposes. .�
Signature
n....e.�� i ..e...e ,.. <c e
iat he/she is licensetl pursuant to the provisions ot �
v(Chapter 9(commencing with Section �000) ot �
antl Professions Cotle) or that he/she'is exempt
the allegetl ezemptlon. Any violation of Section .
for' a� permit subjects Ihe applicant to a civil
e huntlretl tlollars ($500). �
perly or ' ir sole
�ork, antl, e s ure no in en etl or otferetl
isiness antl Professlonal Cotle: Tne Contractor's
to an owne� of a property who builtl5 or improves
h wOrk himselt/hers¢If or [hrouqh his or h¢r own
��ch improvemenfs are not intendetl or offeretl for
i9 or improvemen[ is soltl within one year of com-
�. the Gu�Gen of proving hE/She tlitl not builtl or im-
�rty, am extlusively contracting with.licensetl com
ject (Section 7044, gusiness antl Professions Cotle: �
aw does no[ apply to an owner ot property who �
antl who cont�atts for such projects with a mn- '
ithe Con[ractor'S License Lavy�. '
on /j— B. 8� P. C. for this rea5an
�
MF 0865-46 rev. 12/87 White - BUIltling; Canary - APPlicant:
Reinspaction Fee � $25
Boiler
Duct - Under Ground
Duct-Structurel ,
Duct - Ventilating
Exhaust System ❑ Multiple
Firepl/Fact. Blt. ICBO #
Heating System & Ducting
00.100,OOOBTU �100,000
�-� � I I Peinspection Fee
Accounting; Goltlenrotl - Assessor
,$25
Issue Fee
� �UseofBuilding:
� FEES - P�anning'Notes;
0
Hoodor Typel ❑ ,
Canopy , Type I I ❑
Refrigeration System . '
00.100,OOOBTU ❑t00,00061
Sysfem Repair/Alteretion �
�
$ 3
-'
luue Fee � $ 3
Automatic Washer . �
Construction Pole Sub.
Cooking Unit . �
Dishwasher � •
Dryers OGas ❑Electric
Fan
F.A.U.
FixWres
Device Boxes .
., , — 8596 '4/1;3/84 :
ZOne" � .
'.' ! " � Accessory Building: . .
n
�
�
� . .. �
i. - '� . , +
� � . {• "
� • Park. Fees $ , ' ; � � � •- .
ELECTRICAL .
Transformer ❑ 15�50 KW ,
❑ 50 + KW
Meter � � to 700amps
Meter ❑over100amps
Sub Panel '
Motors OO-i HP 01 % -�8 � �
Inc.Solar �9-15 HP �16-15+
Microwave
Pole Light
Range '
Switches � Sign •
Garhage Disposal � Standing Sections
Generator �65 KW �5-15 KW Trash Compactor
Reinspection Fee $25 luue Fee
PUBLIC SERVICES REQUIREMENTS: '
Zoning Approved By Dat
Building Approved By ' Dat
Appliption Istued By �_/ Dat
• � � SUMMARV OF FEES .
BUILDING PERMIT .$ SMIP $ �
PLAN CHECK •$ PEFiMIT
PLUMBING • $ ISSUANCE $
PLAN CHECK 25% ,$ ENERGY P.C. $
ELEC7RICAL , .$ � GRADING $
PLANCHECK 50% $ MICROFILM $ �
MECHANICAL , $' TOTAL FEE :$ �, D ZS -
PLAN CHECK 25% $ - � ' .
CONSTRUCTION AND'PLANNING .
'APPROVAIS Permit#
' 1- Temporary Electrical Service or Pole
. ; 2. Soil Pipe-Undrgrnd. ' �
P� 3: Electrical Conduit Utility-Undrgrnd.
�'? 4. F�lectrical Conduit-Undrgrnd.'
•.
5. Steel Reinforcement' �. � .
6. Electrical UFER Grnd..: .
7. Footings , � '
8. Founiiation � �
9. Water Pipe-Undrgrnd. '
10. Structural Floor System
11, Property Sewer Line & House Connectian
72. Sewer Cap �
13. Roof Drains .
14. Rough Plumbing ' �
15. Rough Electrical-Conduit '
�16. Rough Electric Wiring .
17. Rough Wiring Sign , � ,
18. Rough Electrical-T Bar Ceiling
19. Rough Heating & Air Conditioning �
20. Rough Factory Fireplace
� 21. D.+icts, in Structure '
22. Ducts, Ventilating - .
. as Pipe-Rough & Test �
24. Roof� Framing � '
25. Roof Sfieathing
�r26. T-Bar Ceiling (Structural) & Monocoat
�.27. Frameand Flashing '
- 28. Lathing & Siding �
29. Insulation • 1 '
30. Drywall Nailing �
<
31 . Plaster Brown Coat
32. Electrical Power Meter-Final
- � 33. Final-Electric -
34. Final Heafing & Air Conditioning
35. Final Gas Pipe-Test - ,
36. Hood or Canopy� • '
37. Final Faaory Fireplace - �
38. Final Plumbing .
39. Water Service-Final �
40. Gas Service-Final . '
�.
41 . Solar porriesticFinal ' � • �
42. Backflow Preventer' , � � '
43. Backflow Irrigation; � � .
44. .Landscape Irrigation System
45. Sound Attenuation� . �
46. Handicap Regulations � • '� ,
47. FINAL STRUCTURE & BUILDING
�
48. Special Requiremenfs Completed� '
49. Electric Release to Edisbn '.•
50. Gas Release to Southern California Gas Co
51. CERTIFIGATE OF OCCUPANCY
No. '`� � -�Date � -
Date
A
POO L 8
Inspector pppROVALS Permit# ' Date Inspector
52. Pool & Equipment Location
53. Steel Reinforcement
54. Forms
55. Electrical Bonding
56. Rough Plumbing & Pressure Test
57. APPROVAL TO COVER-GUNITE
- 58. Electrical Conduit-Undrgrnd.
59. Gas Pipe, O Undrgrnd., Test
' 60. Backwash Lines, P-Trap, O Undrgrnd.
• � 61. APPROVAL TO DECK �
� 62. Backwash & Receptor-Final
63. Heater & Vent-Final -
64. Plumbing System - Final
65. Electrical-Final
66. Solar System-Final
67. Fencing & Access Approval
68. APPROVED FOR PLASTERING
69. POOL/SPA SYSTEMS FINAL
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
70. Underground Hydro
71. Product Piping O Gas ❑ Oil
72. Underground Flush
73. Undergrnd. Storage Tank � Gas ❑ Oil
74. Overhead Hydro
75. Dry Chemical
76. Dry Standpipe
77. FIXED SYSTEM FINAL
78. FIRE PREV. FINAL
HEALTH DEPT. REQUIREMENT
79. FINAL INSPECTION
� 80. FOOD CERTIFICATE ISSUED
Notes:
? n
i '
. V �
CITY OF COSTA MESA
BUILDING DIVISION
OWNER-BUILDER VERIFICATION
A city or county, which is required to give notice pursuant to Section 19830, shall attach to such
notice, and, as a condition precedent to issuing a building permit, require the completion and require
the return of, an owner-builder verification.
Attention Property Owner:
An 'owner�builder' building permit has been applied for in your name and bearing your signature.
Please complete and return this information in the envelope provided at your earliest opportunity
to avoid unnecessary delay in processing and issuing your building permit. No building permit will be
issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of the proposed
property improvement. ❑ Yes ❑ No
2. I(have/have not) signed an application for a building permit for the
proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction:
Name —
Address —
Phone ( 1
Contractor's Lic. No.
City
4. I plan to provide portions of the work, but I have hired the following person to coordinate,
supervise and provide the major work:
Name
Address
Phone (
Contractor's Lic.
City
5 I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
Name
Address
Phone � Type af Work
I hereby affirm that I have received a copy of the information set forth in Section 19830 of the
State of California Health and Safety Code and haje �ompleted the above information to the best of my
personal knowledge, in complian e with this Sta /�
Signed: ` Date: � 7
Name:
o �✓ �G�./ �
(Printed or Typed)
C.D.L. #or S.S. # �� �
754-5273
CMF 3042-46
F
INltc�in
REAL ESTATE
743 Baker
Costa Mesa, CA 92626
540-3666
City Of Costa 2'Iesa
Sirs:
from the desk of . . .
�a�in ���an
June 2nd� 1980
This is to authorize Marguerite Anderson to
take out a permit for inspection on 977 Mission
�'• # 2, Costa Mesa in my behalf.
/
��
cerely�
(�
� "City of Costa Mesa
Building Safefy DepaAment
p. o. eox a17
Costtl Mesa, California
CERTIFICATE OF OCCUPANCY N� 1854 C
The Buiiding located at � +�-�-� ��� �'g
has been inspected and fovnd to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group $ � � _. Occupancy.
Use of Building � ��'�'� � ��
Legal Description_ �$'��" �$�r"" �
- � ($ae raverse sida for Matas and Bound�)
Building PermiT No. �� Elecirical Permif No. �,'�� plumbing PermiT No.—���_
Floor Load Signs have been installed as Room Capacity Signs have been instaled as
required �nder Sec. 2308 U. B. C. — . required �nder Sec. 3301 (1) U. B. C.
17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging ho�se shall be used or occupied
until the o�+ner or operator has been issued a valid certificate of occupancy by the enforcement agency.
(b) A new certificate of occupancy shall be obtained whenever there is a change in:
1) Occupancy classification of a building or portion thereof
2) The number of apartmenfs or guest rooms
3) Ownership
If Group H Occupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California
Adminisirative Code, Tifle S, Chapter 9, Article 8.
Number of apartments � and/or g�est rooms
ISSUED T0= Building Official
�'Es I�: by � G _�
- Dafe �b�s►3Q�j,f�
This Certifieafe of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed
excepf by fhe Building OfFicial of The CiTy of Costa Mesa under Sec. 306 (e) U.B.C. Fo�,�, BU34-1M—Il-G3—u-B P
1
J
�II
' City of Cosfa Mesa
Building SafeTy Deparfinent
P. O. Box 317
Costo Mesa, Califor��e
CERTIFICATE OF OCCUPANCY N� IHS� B
The B�ilding lomted at ���i� M�� n"'�
has been inspected and found to comply wiSh the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group a� a Occupancy.
Use of Building �� �@� �'� �t"�� � --
Legal Description i� �� ��' �
' ' ' ��� (See rever�e side for Mefes and Bounds)
Building PermiT No. �'�7 Electricai Permit No. ��]Q%�' plumbing Permit No.��.�--
Floor Load Signs have been instailed as Room Capacity Signs have been insTaled as
required under Sec. 2308.U. B. C. . required under Sec. 3301 (1) U. B. C.
17050. GERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occ�pied
until the owner or operator has been issued a valid certificate of occupancy by fhe enforcement agency.
(b) A new certificaie of occupancy shall be obtained whenever there is a change in:
1) Oecupanay classification of a b�iiding or portion thereof
2) The number of apartmenTs or guest rooms
3) Ownership
If Group H Occ�pancy, number of apartmenis and/or guest rooms as required under $et, 17050.1 (d), California
Adminisirative Code, Title 8, Chapter 9, Article 8.
Number of apartmenTs—� and/or guest rooms
ISSUED TO� build�� I
�CRO�' '�'fAC�, If�.
Dafe �bT�l�]6SSI �.<%��5�}
This CeMificate of Oecupancy SHALL BE posted in a conspiauous place on fhe premises and SHALL NOT BE removed
excepT by the Building OfFicial of the City of Costa Mesa under Sec. 306 (e) U.B.C. Fo�,a svaa—iM—ii-sa�-s r
OWNER SPRUCE GROVE INC. DATE g_13-70
JOB ADDRE55 977 Mission Drive BUILDING PERMIT N0. 32180
�AP No. _gg _y LOT z TRACT 5011 FIRE ZONE VALUE $
I' 'CTIONS Si natore Dote GROUP TYPE
5 SUBCONTRACTOR
GAS
wpTER PIum6'
ROUGH PLIIMBING
PROP. $WR. LINE n HOl15E CON. n
MISCELLANEOUS
ROUGH HEATING AN� AIR CONDITIONING
UNOERGftOtJND � POWER
ROUGH WIRING
TRENCHES � FORMS �
FLOOR SYSTEM
BOND BEAM � STEEL RE
SHEATHING
FRAME ANO FLASHING
��. I i
BROWN COAT
PL"�..'^HING, FINAL A
ELECTRIC. FINAL
�21�0
COST
P.O.
For Applicant to Fip in Completely
B���o�N�
.4DDRESS � Q
OWNEF SPI�UGI � I!✓ /�'L%C�
Mq�L �
Z ADDRESS � 6 � SArd/<1 A -N G
aU CITV OR/W�' G` N�`/JJ7 SIf
F. Z
Z Q CANSiRUCTION
O� LENDEF �V �
am
J 7 BRANCH �� �
J �
m J :�DDRESS ��
m ARCHITEGT TEL.
J Q OR ENGINEER ��� N
U �
Q
w,� .4DORESS
d W
W Z CONTRACTOR S UG� ,J j�C�C,
J Q
m Z
W� A.DDRESS 4 I� �/�jy p4/�
ZF CITY Q NOL�J��S�
w � S7ATE CITY . -
y� LIC. NO. �({ Q�, LIC. NO.
� � SIZE �� 1 NO.OF BLDGS.
OF LOT �3 NOW ON LOT /
USE OF � q
EXISTINGBLDG. v 1'/� /L 'Y
F— SIZE OF NO.OF
Z NEWBLDG. ROOMS STOFIES
U EXTERIOR WALL ROOF
COVERING COVERING
J USE OF BUI�DING AND WORK TO BE PERFORMED
a
a
Q
p .40D s e c3u si '
F
(A D L 'J (/ � 00 IV
z
�
VI hereby acknowletlge that I have read this application and state
� that the above information is correct antl agree to comply with
� all laws regulating building consnuction, antl I shall mt employ
F ahy perzon in violation ot the workman's compensation laws of
y the State ot California.
zI hereby certity that I am properly licensetl as a conttactar under
rhe Srate oi Calitornia Business antl Professions Code, Divisicn 3,
Chapter 9, and that such I' enses are in full force antl effect, or I
aryi exempt from ihe pr�ons of ZhPStare of lifornia B i ess
aqtl Protessions Code, ion 3, Cha ter
4UC 13-7 �0 F�SQ�O 719 �****�5.00
APPLICATION FOR BUILDING PERMIT
:EIVED 8V DATE RECEIVED DATE ISSUED
_ �3— u �/3— � D
_„ , PERMIT NO._
A.P. NO. I �/� (C (6
BUILDING � n /� �
ADDFESS /'/
TRACT� ��
B
1 `,J
OWNEFj T✓`�
�� VA E �J
USE $�� �
FIFE 1
ZONE TVPE � GROUP � ��
APPROVEO
gv DATE
ZO NO.OF, USE OF NEW
PLANS� L �
VARDS APPROVED p
MAIN BUILDING � S
;FROM Gl STREET)
FROfYT � T. FT.
E FT.
I RIfIF `�FT FT
DISTANCE
MAIN Bl D�
VAR. #
C.U.P.�L`
BET. MAIN &
ACCESS. BLOGS.
DATE
APFROVED
' nnTc O �l�J'/%7
�
SQ. FT. p
THE AMOUNTSHOWN UNDER VALUATION IS FOR ^
THE PURPp$E OF ESTABLISHING A PERMIT FEE ONLY: Z
¢
VALUATION C"` s` ry
PEFMIT FEE $ J �
m
$, 2� �� PLAN CHECK $ � ' E
� / � LL
TOTAL FEE 5 J �
�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 317 COBTA MEHA. CALIPORIiIA
For Applicanf to Fill In Complefely
TYPE OR PRINT
RE53 L�t 23, Tr�ct. 5011
COSTA MESA, CALIFORNIA
eess 925 Suite B, N. Euclid, Anh.
�ewcroa Same '
LIC.TNO. R2I.6O - NO. Su.i11C�
SIZE � � � � � NO.OFBIDOl.
� OF LOT %]_ X nOw ON LOT
USE OF
EXISTING BLDG.
8ET0ACK LIN[ FROM
CENTER OP BTREi � �O � REAR YARD 1O �
SIDfi YARO I LEFT � 5� ' I RIGHT 1�- �'
DESCRIPTION OF WORK
NEW x ALTERATION ADDITION
REPAIR MOVIN6 DEMOLI9H
B'ILDIN6 SS � X 7� � NO.OF
. w onnva c-r..e��e
� EE RECEIVED
�3i1N 1 0 198� :
CITY�����l�Ew�R
For Offiee Use Only
PQC61PTN0. P��QQ��J
J�J't /
�rve�er o,���a�%�F% a� nT��3�4�83
� `�I NO.
�u
YARDS APPROV ED
MAIN BUIL�ING
OS[OPNEW "L l Vvw
ow�mn {�
"i � 7-02 . � � / .
: 9HAlL BE LE93 THAN
N. B. Q BEQUIREMENT'.
VARDSAPPROVED
ACCESSORVBUILOING
DISTAI�ICE BET. BET.I
MAIN BLDG3. AGCE
VAR.SF DATE
2 .. .. ., aa/� ..,a..
1 HEREBY ACKNOWLEDO[ THAT 1 HAVE PEAO TH19 APPLICATION
ANO 6TATE THAT TH8 ABOVH �8 CORRECT ANO AOREE TO COM.
PLY WITH ALL CITY OHOIHANCQH ANp 8TAT6 LAWH R[ODUTING
BUILOINO CONBTRUGTION.
SIGNATUREOF NYCROFT TERRACE, INC.
PERMITfE /�
AUTHORIZEDA66NT!/1 ^ �• ��"
�f�,/�%so.�. J //,f'�-
T� XE AMOUNT SHOWN UNOER VALIIATION 18 ROR TH!
PUNPOSE OI HBTABLISMIN6 A PEFMIT F66 ONLY.
VALUATION 7
PERMIT FEE $ �/�Di a'
$'��'��6 E . _°` �:
�
F
z
w
�
N
�
a
w
a
�
¢
u
w
4
�
ai
�
{:.�
...�
�