HomeMy WebLinkAbout201 MONTE VISTA AVE - Building Permits all
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. •
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• - PER NO. TRACT NO. LOT NO. UNIT NO. 41 ! 6 !./]^r"•-• -
CITY OF COSTA MESA CONSTRUCTION/�PERMIT
-Pt— 7.35R+Project Address oZ(L'/ t1OA' P^ -(/-7CTA ,DUE �p� 1
Applicant's Mailing Address`(__S7 ^ TYPE OF CONSTRUCTION U NEW Li ADD-}^J.ALTERATION U REPAIR Af
A
❑ CONVERSION ❑ DEMOLISH ❑ OTHER/
Owner's Na xl�o,4/,V,� A. p-Z'tTROK Phone HS'S^O' j 6 f7 -Gia- A.P.# Zone
,,/rye 6 DESCRIPTION OF.WORK/USE OF BLDG. �F-�••- "�'�
Address /C d/ /NONTf l/Fy1'N Avee,if M S Main Building: - Accessory Building:
Z
Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING H FOUNDATION ❑ STRUCTURAL T Front O
Address ,�1 ❑ TENANT ELECTRICAL (PLUMBING ❑ MECHANICAL BA Rear N
❑ OTHER I
Contractor's Name —l//-J'�/ Phone '4_8 C Right N
'Address(mailing) PROJECT DESCRIPTION SQ. FT. OCCUPANCY
CONSTRUCTION TYPE VALUATION$ $ Left R
City License No ZONE - GRADING CU.YDS. ACRES1 , E
LICENSED CONTRACTOR DECLARATION - /� / Ping. Ref.# Parking Req./Provided
I affirm that I am licensed under /^ ,rs I ta- e+f /59(z7 D
herebyprovisions of Charter 9 (commencing Remarks: 4� r t' 1 (_ ) ` J S Planning Notes: M
with section 7000) of Division 3 of the Business and Professions Code,and T
my license is in full force and effect.
License Class License No. S
Date • Signature - PLUMBING FEES '
A
'ORKERS'COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES
ereby affirm that I have a certificate of consent to self-Insure or a certificate
r Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink
3800, Lab, c.) Automatic Washer Transformer 0 15-50 KW
Policy No. Company Backflow Irrigation Sewer Cap I Construction Pole Sub. 0 50+ KW
8 Certified copy is hereby furnIsheq.
Certified copy Is filed with the city Building Division. Bathtubs • Sewer Connection Cooking Unit Meter pup to 100 amps
Date - Applicant
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher - Meter Clover 100 amps
(This section need not be completed If the permit Is for one hundred($100) or
less). Dishwasher Solar Piping , Dryers ❑Gas ❑Electric I Sub Panel _ 5 00
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 bec e s bject to the Drinking Fountains Solar Tank Fan
i Motors❑o-1 HP 011 -8
Work r Cgg�m� p nsati op Caws of Cal`( rn ia. /I __
Date z,['�Pi/5Signature n //Y��i Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 HP ❑16.15+
'NOTICE: I(( iter rdip king this declare on, you s ould become subject to the •_
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks, - Urinal Fixtures
comply with such provisions or this permit shall be deemed revoked. I Microwave
CONSTRUCTION LENDING AGENCY Gas Service Outlets l Water Closet 2 Pcj Device BoxesPole Light '
I hereby affirm that there is a construction lending agency for the performance
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors . i Water Heater Z Outlets Range 1 20
Lender's Name _
under's Address Kitchen Sink Water Service 50
WNER BUILDER DECLARATION Switches Sign
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash _ Garbage Disposal Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays Generator 0.5 KW❑5-15 KW
any structure, prior to Its issuance, also requires the applicant for such permit ❑ Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions off
Roof Drains -
'he Contractor's License Law(Chapter 9(commencing with Section 7000) of
ivision 3 of the Business and Professions Code) or that he/she is exempt
terefrom and the basis for the alleged exemption. Any violation of Section - • - • -
/031.5 by any applicant for a permit subjects the applicant to a civil -
ogOfJty of not more than five hundred dollars ($500).
I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
compensation, will do the work,and the structure is not intended or offered ' 1111 • .Reinspection Fee I $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's ' MECHANICAL - FEES - - -
License Law does not apply to an owner of a property who builds or improves - - __ ___ __. __ -_- _.
thereon, and who does such work himself/herself or through his or her own - DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I 0
sale. If, however, the building or improvement is sold within one year of Com- Canopy Type II 0 • Zoning Approved By - Date
pletion, the owner will have the bufden of proving he/she did not build or hrry Duct-Under Ground Building Approved By - Date
lil rove for the purpose of sale). /I,as owner of the property, am exclusively contracting with licensed Con- Duct-Structural Refrigeration System Application Issued By /15:7111/15:7111Dat:
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00.100,000 BTU 0100,000 BTU - , SUMMARY OF FEES
builds or improves thereon,and who contracts for such projects with a con-
tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $
proof of their worker's Compensation insurance should be provided to me. ' PLAN CHECK $ PERMIT
0 I am e:empt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# ' Fire Dampers PLUMBING $ 0pt7ISSUANCE $
Date�k� Owne� Heating System& Ducting Registers PLAN CHECK 25% $ I e OO ENERGY P.C. $
I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,00067E ELECTRICAL $ ( �e�p� GRADING $
information is correct. I agree to comply with all city and county ordinances
and state laws relating to building construction, and hereby authorize repre- Sa MICROFILM $
•
sentatives of this eem���eee�(( u•o• the °ve-mentioned p operty I v PLAN CHECK 50%. $ a8
Inspection pu oses. Jr //� (` //f,�. /n/ MECHANICAL $ l� e �
Signature / Date ��9'q7/"L/`('� • TOTAL FEE $ �/a `'
Drivers' L cense or SS# • Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ 2 2-40
CMF 0865-46,rev. 10/84 White - Building: Canary - Applicant; Pink -Accounting: Goldenrod - Assessor
CONSTRUCTION AND PLANNING POt 4 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 Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. - 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ Undrgrnd.
10. Structural 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
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
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 FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing - 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) &,Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing &Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: 5(/p,,/�` ,17o 4 4 , r., 4�
T/�
34. Final Heating & Air Conditioning J.Q�qf Pr J,4er int- , sd
35. Final Gas Pipe-Test / A. irsvonf _J
36. Hood or Canopy O
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation \ Cl
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 Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
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 tile major labor and materials for construction of the proposed
property improvement. Its Yes ❑ No
2. I (have/have not) ,%AUP signed an application for a building permit for the
proposed work.
3. I have contracte with the followin person (firm) to provide the proposed construction:
Name
Address _. - City
Phone ( ) Contractor's Lic. No. _
4. I plan to provide ortions of the/work, but I have hired the following person to coordinate,
supervise and provi the major/work:
Name
Address / City
Phone ( ) Contractor's Lic. No
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 of 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 have completed the above information to the best of my
personal knowledge, in complia,=: ith this St.te law. p,
Signed: p�` I - Date: ;:///c9
Name: /1o.riAt-D A / PTRO.<
(Printedd or Typed) �
C.D.L. #or S.S. # }!
754-5273
CMF 1042-46
•
Rabbit Construction 201 Monte Vista Ave.,Costa Mesa,CA 92627 Ph.(714)645-0763 License no. 351578 Ta-
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April 2, 1986 CF.PTIFIED MAIL
•
Ron Pietrok
201 Monte Vista
Costa Mesa, CA 92626
P.F.: (_APACE CONVERSION TO HABITABLE NIT
201 NOME VISTA, CMB 696
Dear Mr. Pietrok:
On January 3, 1986, I consulted with Don Rhodes who identified himself
as your partner in ownership of the subject property. tr. Rhodes was
informed that several Code violations existed at the subject property;
that a specific list of violations could be obtained at the Building
Department. Mr. Rhodes cane to the Building Department later the
sa=e day and received a complete list of violations.
On January 27, 1986, you called roe at 754-5293 and informed re that
you would obtain the required permits to resolve all Code violations.
I have not received any response since your last call.
Within (15) fifteen calendar days of receipt of this letter, you will
he recuired to obtain the necessary permits to bring the garage struc-
ture into compliance with the Codes. Failure to ccrply in the allotted
time will result in the matter being referred to the City Attorney's
office for legal procedure.
If you need assistance call re at (714) 754-5293.
Sincerely,
CF E. CLOUD
Chief Building Inspector
•
• WEC:alm (CE-1-7)
cc: Mike Robinson
''ORANGE COUNTY BUILDING DEPARTMENT • APPLICATION FOR PERMIT
lif
'1 636 North Broadway
e.
SANTA ANA, CALIFORNIALIFOR
BUILDING .
• FOR APPLICANT TO FILL IN FOR OFFICE USF, ONLY
''j'' (�.RRECEIPT NO90 PERMIT.NO.
BUILDING `� O/ Mew it l m / .54 64 /^7 ,3
ADDRESS �/�
SCHOOL DIST. rat
elar ^ ie.'j RECBIV D BY DATE REG'D. DATE ISSUED •
OR TOWN" ` C_rY I�^ �(� �
NEAREST lfir y a__ 7,---t /G�� f�
CROSS ST. C :/
BUILDING 0/ AAA///wwwggq��,� � �J n'� �/
OWNER - L .I_ .., ADDRESS i ,I�— 2 1 .Q-'
MAIL `A t`y.
ADDRESS0,4_0,
7w,, /,,-/ ('/,y P;0."',/J/) y •/T SCHOOLOR TOWN -
DISI.
C C R IT ///"�S 4 TE Y CROSt,IST. (/ n ather-
CITY [q NO. NEAREST l/
ARCHITECT OR `-LIC. ZONE NO. OF F` PE GROUP
ENGINEER NO. . I��PLAAHS I :V.. h
ADDRESS BYPROAED(fX r Irl/V� DITE,S'G-i`/?�
)NTRACTOR4 / LIC0. h q 3, gig
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ADDRESS -/.(,1}-+/(yv-4
LEGAL L T
DESCRIPTION I NO. BLOCK I TRACT
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(ATTACH METES & BOUNDS)♦ /V '✓ 'NO. OF BLOC
SIZE OF LOT 5 I /.!^t) I NOW ON LOTS
USE OF /'� FNO.AM OF NO.ROF
OOMS
-:•• Or
EXISTING BLDG. �'/ I FAMILIES I MS /
SETBACK LINE FROM: REAR YARD / - 1_ _A
CENTER OF STREET / SIDE YARD r ) ira / ��• -!t�
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DESCRIPTION\, OF WORK Ai ir C,
NEW I I I ALTERATION I I ADDITION I } ' `� ,,J tAM +III /I Z
REPAIR I I MOVING I I DEMOLISH I - /)/
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BUILDING NO. OF i-:.:.a'' Lo, • ' S 44'
SIZE ROOMS STORIES 'L_ /B
EXTERIOR W LLROOF -
COVERING .JC c ' . COV ER IN t) h ;.;.}.4 Sc WirlirI
OF NEWte i /n.�
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FOUNDATION: LOCATION y;_ NSPECTOR DATE •
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS FORMS. MATERIALS, r. \y0 0. 13_ C3
APPLICATION AND STATE THAT THE ABOVE IS CORRECT UNDER-PINNING
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FRAME: FIRE STOPS, '.q. 4p _✓r .c<
BRACING. BOLTS Vhf// ✓
AND STATE LAWS REGULATING BUILeING CONSTRUCTION.
LATH. INT. _ I _
SIGNATURE OFi LATH. EXT. .1‘PERMI !/Is
PLASTER. INT.
AUTHORIZED ACT.
PLASTER. EXT.
71g ..PERMIT FEE $ MASONRY REINFORCED ^
VALUATION $ Ve
'- PLAN CHECK 9 3 BOND BEAM
FINAL
TOTAL 3P % qou 7-Iv-
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'OR4NGE COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT
636 North Broadway • _ . p
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'16.• SANTA ANA. CALIFORNIA w0IL® IN1
• Ammr
FOR APPLICANT TO FILL •IN FOR OFFICE USE�ONLY
^• " (/RECEIPT NO.�...e.FERMIITNO.
/41
ADD ESS. .BUILDING ALJ. t1 �C (/i ?T71. / , V' CPI S /936
SCHOO Ot6T. • REC I ED BY DATEIREC'D. DAT; ISSUED
OR TOWN tT b T �/�} LTa �/9h\I\ __ /�
NEA6BT. 1 � 7N ` ,'��i (�i*-5 3 % /�� —.
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OWNER g /C,p.eLV �r� +lam ADDRESS �( 4/ U
MAIL / 4 11 A
ADDRESS Y Mtn-- Tc y ` SCHOOL DIST.
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OR TOWN Q.L y4,.;; _' - f
.`/[(/4 ���/f /1S.TEL. //'/t+�'�f� �y ien
CITY f4�R;1A /1 rS(/�,CAT/�NO,��O y-�^/� NEAREST . R i_ . 1��y,�
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CROSS ST. 4_(}-1rL _ i
ARCHITECT OR ' LIC. V 4 Zr NO. OF TYPE .� GROUP
ENGINEER a�.y� �`5 �`NO. }\'��'�J , I I PLANS I -_` $ I r
ADDRESS .ewlelC 69 .\;.1;4N. .ICY CO /{(f --14--s"
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NTRACTO�RI / o..,� NO. //syn /'/�/1/�/ _CORRECT S
ADDRESS 9-/7 4 ... Vi-r 4G-, I . , , . • L
DESCRIPTION I NO. • II BLOCK - I TRACT r
(ATTACH METES a BOUNDS/
SIZE OF LOT ne/ �I NOW ON LOT `�
USE OFNO. OF NO. OF
EXISTING BLDG. I FAMILIES I ROOMS - ``
SETBACK LINE FROM: �'jf) REAR YARD; 1 (, r •_ A� %al..--
CENTER OF STREET ,�'�/ SIDE YARD Ad 7 • . 1 .*T - 1 ' a' A .
DESCRIPTION OF WORK 0
NEW IIYI ALTERATION I I ADDITION I . O
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REPAIR . I MOVING I I DEMOLISH
BUILDING / NO. OF e6t�"
SIZE {.// S `1r1) ROOMS STIES
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COVERING ..j e'� COVERING��/
OF NEW /:(J'
SLOE
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•
,1- PPROVALS
FOUNDATION: LOCATY.N INSPECTOR DATE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS FORMS. MATER/• = , I�W p /O- 7.-3-S5
UNDER-PINNING
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FRAME: FIRE STOPS, * �J/ ' /7 1 �
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES BRACING. BOLTS C (A WAV Ce- ,J ' /
-.AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
LATH. INT. y^
SIGNATURE OF LATH, EXT. 1_II 1-u/� �2-7-5�/
PERM ITT - - ��
PLASTER. INT. iI
{t
AUTHORIZED AGT •e
. ` PLASTER. EXT. (y��frwv/
9-O PERMIT FEE $ y MASONRY REINFORCED i --
VALUATION $ d o.e, Ca PLAN CHECKS l I --
!/ V BOND BEAM .
TOTAL n 6/ S
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PLOT PLAN
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