HomeMy WebLinkAbout429 HAMILTON ST - Building Permits\�-
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PHOJECT FDORESS:
OWNEfl'SNAME: 42g N�.�ljr+1�N 5T
� ,aoaness: Bk4DER ED
i� 10507 §LATEk AV
fiOUNTAIN VIEW. CA 97.70R
.AHCH/ENGINEEB:
p00pESS:
uxit:
HEG.NO.:
UNIT:
PEHMITTEE:
aooness: ED HRODER i 714 ) 964-9999
1050'7 SLATER AV n
LICENSEU CONTppCT flDECLAPpTION: I here5y atlirm Iha� I am licensetl und¢Cr p�rovison25 0l Chp�er 9(commencing with Seclion
7000) ol Oiv;sion 3 oi �he Buslness antl Pmlessions Code. ana my license is in lult torce antl e��ecl.
�
cmac: sTare uc.: cuss:
Date. Signa�ure:
WOPNEPS' COMPENSA7ION oECIABpTION: 1 hereoy aHirm iha11 nave a cenificate ol consent to self-insure or a cenificate of WOMers'
Compensaiion Insurance. or a cendied copY �hereo� (Semion 3800. Lab. C�.
POLICV NO.: E%P. ORTE:
COMPANV:
❑ Cetlifie� capy is �ereby fumi5he0. ❑ Ceriifiee copY is lilea wi�h Ihe ciry BuilAing Divisian.
Oate: Applicant:
EXEMPTION FBDM WOflKEflS' COMPENSpT10N OECIAflPTION: �ihis sedion neetl noi be complete0 ii t�e permit is lor one hunOreO ($100) ar less�.
I ceriity Ihat in Ihe peAormance oi the work lor which �his Dermi� is issued I shall noI emp any Derson in any manner so as �o become
sub�et� Io ihe Work9ers' Co ensatian Laws of California. �/� ('� /�
�' 2'• ^ �3 Si9naWre'. (% iu+ti.�vl \% `_
�ate:
NOTICE: Ii, atler making Ihis declara�ion, you shoultl become sublec� Io the Workers' Compensation pmvisions o� �he Labor
Code. you mus� forthwi�h camply wi�h such pmvisions or �his Oermi� shall be aeemed revoked.
CONSTFUCTION LENUING AGENCY: I hereby a�tirm Ihat Nere is a con5lmciion lentling agency lor �he pedormance ol �he work for
which �his permii is issuetl (Sectian 30W, Civ. C).
LENUEN:
AUOflESS:
OWNEN BOILUEH OECLAHFTION: I here�y af�irm Ihal I am exempi �mm ��e Coniracbrs' S�ale License Law for Ihe following reason
(Sec�ion 7031.5 Business and Pmfessional Cotle'. Any cily ol counry which requires a permit lo cons�mct, alier, impmve, demolish, or
repair any s�mcWre. Orior �o iis issuance, also reQuires Ihe applicant lor suc� permii lo file a 5igne0 statement ihat helshe is licensed
pursuam m the promsions ol me Comracmrs' Sta�e License Law (C�apter 9(commencing wii� Section 7000� oi Division 3 0l the Business
and Professions Cotle) or �hai he/she is exemp� iherelmm antl Ihe basis for �he alleged exemp�ion. Any viola�ion o� Seclion 7031 5 Dy
any aOPlicant tor a p¢rmit subjects ��e applicani to a civil penaliy of no� more t�an live Aundre0 dollars (5500).
I, as owner of �he propetly or my employees wiih wages as I�eir sole compensaiion, will tlo �he work. antl Ihe
•0 simcmre is not inten0e0 or offered for sale (Section 704a, Business an0 Pmfeuional Cotle: The Contracmrs' State License Law
tloes not apDly Io an owner o� a pmperty who 6uilds or impmves thereon, an0 who tloes such work himsel�/hersel� or Ihmugh
his or her own emplayees, pmvitled �hat such impmvemen�s are no� inlen0ed or oifere0 br sale. I�, �owever Ihe �uilding or
impmvement is soltl wi�hin one year ol comple�ion. �he owner will have ��e �urAen ol O�oving he/she Aitl not builtl or impmve
�ar �he purpose o� sale).
I, as owner of ine pmDeny, am exclusively contracting wilh licensed conlraclors lo consiNcl ihe pmie�� (Seclion 7044, Business
❑ antl Pm�essians CoOe: The ConVactars' Siate LicenSe Law Oces noi apply t0 an awn¢r oi Drop¢tly wh0 bUilds or imD�oveS �hereon
anU wha conVac�s for such pmlects wi�h a contrac�ar�s) license pursuant lo Ihe ConVaciots' S�ate License Law�. I am aware
Iha� pmof ot �heir Worker's Compensatian insurance shoultl �e pmvitletl Io me.
� I am exempi untler Seclion: B. 8 P. C.
�o� Ihis r¢a50n:
Dale: �� Z� ^ 3�_ Owner: P,^�'—� �J �
I Oo hereby ceNly Ihal I am aware o� antl un4erstanU Ihe reQwremenis of Calilomia Heallh and Sa�ery Cade Sections 25505, 25533, and
2553d antl �ha� I or any tuture buil0ing occupant will/will nol (circle ane) neetl to comply with saia slale coAes and �he repuiremenis far a
permi� foi consiruction or motldicatian �mm Ihe Air Oualily Managemeni Disiricl. Re5i0entialtonslmction applicaiions are exempl Irom
Ih¢SP ptOvisiOns.
�a�e: FpplicanL
I hereby cerb�ylhal I have read �his applica�ion antl stateihat Ihe above inlormalionis correct. I agree la comply wiih all ciiy antl county
or0inances antl stalelav+srelaiing�o building consimqion an0 hereEy au��orizerepresenta�ives ollhis ciry�o enler upon��e above�mentioneU
pmper�y for inspecuon purposes. .
�aie. Signalure:
Oriver's Cmense ar Sacial Secunty p: � � �,� �.� ��
t64b06 Wlnte—Bwltlinq: Green—Code Enforcemenl; Canary—ApplicanC Pink—qavenue: Goltlenrod—Assessor
�
CITY OF COSTA MESA — BUILD7NG PERMIT PEkM NO; P 063222
PEkP1IT NQ; P U63727 PLAN CH6CK NO; N GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE; PLU PURPOSE; OTH
JOB DESCRIPTION : REPLACE GAS LINE SQ FT;
CLAIM VALUE: CALC—VALUE: GROUP OCC: /
COi9MENTS: NO OTHER T�JORK AUTHORIZED BY 1'HIS P£RMIT
*x**�*x�*x*******���r��r***�x�rx*���**� *�**�rz***x��****x***x��x*��**x x�*�r**.��**xx**��*
2 O N I N G R E Q U I R E M E N T 5
sFTBr.cxs
------------ MAIN BUILDING ---------- --------- ACCESSOAY BUILDING ---------
FRNT; FT IN REAR; FT IN FRN'P; FT IN FtEAR; rT IN
LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN
PAkKING REQ• PkOV; PARCEL: OOOOOU00 'L,NE: REF NO:
PLANNFNG NdTES>
> �'N
7k iE !F itlF iE iF if !E 1E iF�IE 3E if� IE i(� 1(- fh fE if IE lf if� �E ih 7F %� iElF iE 1E �lE �lf if ik IF if� ik ik IE iE iE iP fE ih iF 7E iF IFi1� 3(�1(� )f'.E 3E 3E if if -k iE �k 3f �!F if iC� �%i6�1C-iF N�lF %� %� 14 iE 3f- Ih %'i.
D E V E L O P M E N T 5 E Ft V I C E S �"E Q:J I R E M n N T S
_ `,
ZONING APPROVED BY ✓" DATE:
BUILDING APPROVED BY ; DATE;
�';
% %�
APPLICATION TSSUEP BY; ;l.i DA1'E: 7��
iEifXiEX��1fIf1F�k�3(if-N-il�lFlEiFiElfihiElFiE - h it .. %. . �. ....R.... .. .lt � .3Eit-1(�#3f�%3fjE1(.N. .%.x. .1e. n. .kdf
fFiFif7FklFfFifiEiEiEikiE#iEiFlEihiElPiE-%%KjkkkiFkiFlFiEif�lEih:�k�lfif%�IF3fiCX�iF�k�iFif-it�i� �lEiElfi±�iF%�fE3fN�#�FiEfF361Fi6H�ii�#if1Elf�ifN�3FiF!(�7E
LEGP.LIZA1'ION;N F E E S U M M A RiY 5'TRUC'f'UkAL SEGN;EN7':N
BLDG PMT PLUMBINC ELECTRIC MECHANIC FIRc SMIP/RES GRADING
�sxrzT �,00
25t SMIP/NON—RES
PLAN
ISSUE FEE 20,00
BUILDING—DIV—> PER,KIT ISSUE PLAN—CHECH 't01'AL PAIU DUE
TOTALS----> 7,00 20,00 0,00 27,00 27.00 ,00
REVEh�E DIVISIO� TOTALS--> COLLECTEU; 2%,00 OVEk/SH08T; ,00 �
BLDG PMT PLONBING ELECTRIC.MECHANIC FIRE SMTP/TO'I' GRADING PLAN—CHECK !
27_00
!t if iE if -%� iE 3E iE if �JE �k iE 1E iF iE%)E iE IE �1f� # if iF N� 14 if ik 1! iE 1F iF 1k iE if if !E iE �lE it iE ih 16 iE k 3k 141h :Y� if i(� 3F if �K�lE iE iE if 1!� X-�IE jf iE iE 14 i(� 1E �}(� )E ik if !E #'k!E ii� iE 1E 7E+f
' I N D I V I D U A L F E E H R E A K� O W N
TYI�E QTY D E S C R I P T I O N tJNIT COST TOTAL COST
PLU 1 GAS kE:—PIpE 7,00 7,00
�ND OF FEES
�f R�14's718—OD143718 T C�T 'L7.00
DATE: C712�1?3 TI11E: 11:13
.
. ;�
C,C7fJSTRUGTION AND P}�ANNtNG
6fr'PROVAIS Permii;�`'
1,ITemporary E�ectrical Service or Pole
2. Soil Pipe-Und�grnd.
3. Electrical Conduit tltility-Undrgrnd.
4. Electrica� Conduit-Undrgrnd.
5. Steel Reinforcement
6. Electrical UFER Grnd.
7. Footings -
8. Foundation �
9. Water Pipe-Undrgrnd.
10. Structural Ftoor Sysiem
i t. Property SeWer Line & House Connection
12. Sewer Cap
13. Roof Drains
74. Rough Plumb�ng
15. Rough Electricaf-Conduit
16. Rough Electric Wiring
77. Rough 4Viring Sign
18. Rough Electricai-T Bar Ceiling
19. Rough Heatio9 & Air Condicioni�g
20. Rough Factory Firepiace
21. Ducts, in Structure
22. Ducts, Ventilating
23. Gas Pipe�RoU9h & Tesc
24. Roaf Framing
25. Roof Sheathing
26. T�Bar Ceiting (Svuccurall & Monocoat
27. Frame and Flashing
28. Lathing & Siding
29. Insulation
30. Drywall Naiiing
37. Plaster Brown Coat
32. Electrical Po�ver MeterFinal �
33. Finaf ElectriC
34, Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy �
37. Final Factory Fireplace
38. Final Plumbing
39. 4Vater Service-final
40. Gas Service-Final
4l. Solar pometcicEinat
42. Backflow Preventer
43. Backflow Ir�igation
44. landscape Irriqation System
45. Sound Attenuatio�
46. Handiwp Regulations
47. FINliL STRUCTURE & BUILDING
48. FINALPLANNING
49. Electric Release to Edison
50. Gas Releaze to Southem California Gas Co
5L CERTIPICATE OF OCCUPANCY
No. Date
\ r
%
Date
�
�. �
Fl & $PA
I�specior appROVALS Permit # Date Inspector
- 52. Pooi & Equipmznt Location
53. 'Stee! Reinforcement '
54..Forms
55. Elecirical Bondmg !
56. Rough Plumbing & Preswre Test � .
57. APPROVAL TO COVER GiJNITE '
58. Eleciricai Conduit�Undrgrod.
� 59. Gas PipQ, C3 tsndrgmd., Test
60. 8ackwash Lines,P�Trap, O Undrgrnd.
67. APPROVAL TO DECK
,
62. Backwash & Receptor�Final
63. Heater & Vent-Finai �
64. Piumbing System - Final -
65. Electrical-Fina! - �
66. Solar $y5tem-Final .
� 67. Fencing & Access ApPruval '
68. APPROVED FOR PLASTERING
69. POQL/SPA SYSTEMS FINAL
FiREDEPT.REQUIREMENT ,
APPROVALS Permit�,`
70. Underground Hydro
71. Product Pipin� �Gas ❑Oit
72. Underground Fiush
73. Unde:grnd.Storaye Tank O Gas � Oil
74. Overhead Hydro -
75. Dry Chemical
76. Dry Standpipe
� i 77. FiXED SYSTEA9 PfNAL
� � 78. FIRE RREV. FINAL
' NEALTH DEPT. REQUIREMENT
� _
� I . 79. FINAL INSPECTI�N
, � 80. FOOD CERTIFICATE ISSUEO
i
' Notes:
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i. . .. .., ., .. .. ,
� OWNER PINKLEY� W8118C0 R• . �� DATE S'2S�S�1
JOBADDRE33 1t29 & 1�29� Hamilton Sj'i• sui�oINGPERMITNO. 2C3
GENERAL CONTRACTOR �er�Btll�.de2' VALUE � T�S�•�
LOT AP# u5-24o-32 BLOCK TRACT D�1F116X � P StOI'y
IGROUP I TVPE v ZONE R� FIRE DISTRICT Jl�y$
' - � PERMITSISSUED
INSPECTIONB DAT � 3UBCONTRACTOR
� � /e� DATE NUMBER
Footing TrenCh �(jCi y
FoundationFormsandGradetoGarege�l � //i/ _ �
Rough Framtng ' ��� ���-�� -
Plumbina. Rouoh to Slab CC "6 %,-�1 .,;., _ � ". , e _ . ✓ .— - � /.f" i4
Pole
-/3 -
H
��_.�,.._ I 3-�Y-r� I is 1
' PI
—�e
Wirino. Final
Form 2IJ G-fi 1M 12•68
• jJ
� Costa iVlesa Building Depitment �� APPLIpCATION FOR P�R1VgIT
� �'� 111 EAST 20th STREET �g _p U_I,L_D_�I,.N G__ ___.�.
• COSTA MESA, CALIFORNIA �, ---�-�
i FOR OFg'ICE USE ONL�'_ �' .�
FOR APPLICAN'Y` TO FIY.L IN � ' Receipt No. . Permit No. f
Building y { (s ��/ �� T/ p� �
Address 1-�%�W1%L � �I ` � � ' i`@-�" I
n,� 67'l . � ... -/
Received,by, Date Rec'd. Date Issued I
Costa Mesa, California � �
Nearest � � ' E• � MAY z 5-�9`.�4 �
�
CrouSt. � � • BuilAing � '
AddFess j � 6 � �
Owner . — ' Costa Mesa, Califtirnia i ?
Mail �
Address , � Nea�est ` � �
TeL � Cross St. � i
City No. Zon '/ ; No. oi Type I Group �
Arohitector � Lic. � `f' '. I P��ns .I � � ��
Engineer ' No. App�oved � ; �
— b I Dale 1 !
ddress City Lim � CORRECTIONS I �
Contractor No. � � �
� � .
Address 1 T%�. i i
Le f Lot � I - � ! �-�� . � �
Descr pFon � No. 2' � Block I Trect � � -�, ��, f
—�s�o —3� , _1 // }� ;
(AttychMetesandBounds)-�IS� 1 . � � \`•� 1`� I �
No. of Bldgs. . 1 \ ' ., /I r � �
Size of Lot ! N9 I Now on Lot � � - - � ��-�;,; -� �!'�------� �
- O
Uuof �j�t No.of y No.of '—���� � '�c7,,l,7 �� 77
Existing BIdg.Q�nu. �,.�eliFamilies�i I Roomss� V �
Set6ack �ine rom Rear Yard��ji' h� ' --- - -- �/1" - "" '-"-' - ' - "-Z
Center of Street � � y
Side Vard v, �ii'_, , T r
DESCR TION OF WORH - "�r-i'� ' � `
.. . _ , �
;,,,,,� �..,..,._ _ ....,. .�_.�,� . _
New I Aiteretion I I Addition I
�H:'..w-..
RePair I I Moving I ! Demolish I � . .,....` V.,' _ .. • _ ' �
� Buflding No.of
_,Z��� . Rooms �j� Stories �
rlor Wa� I Roof �
.ering �� Covering �y�� APPRQ`7�
Use of New .�--T - - � - .
� FounBation'L'ocation -- Inspector:• ,;�a�� Date
Building �� Forms,Materials, I '
' ` Under,-pinning-�-,
. Frame:FireStops,_i ' ' ' �....�;�,.
Bracing, Bolts
i: f.�_ .�J ... �
' � .4 ..(: _... �f�.Y' � I
�-�, � Lath.•Int. - � , " . ' ' '
I hcreby acknowledge that I have read this Application - ' � - - � - .. _ .. ,. _i
and state that the above is correct and agree to comply i Leth. Ezt"� .:� ,. (} J
with all City Ordinances and State I.aws regulating " -
building coustruction. n ' � ,p? � �... ,.,,� ,: � �
Signatureof ) 1_ nn � 9i� � y B , Plaster, Int. _=__� �7.�_JL,^',;,,
Permittee �11a.lkQG��� V%1/�..(@.�� : �" �
.. ._._ . Plaster, Ezt:'..�'• , . `. ' ,
'__ t:
Autharized Agt. Masonry Reinforced
Valuation ��Xr Permit Fee $ �
� V Plan Check $ Z ..� Bond Beam
S '� • - Total
Fee $ � � FINAL
Pm'm 204 G- 1M 1'1-53
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' Street � "� � • � ' - '� �
• _ _' . ' - . - . ' ' '' • ' �
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' - PLOTPLAN . - ------..__. . . -:.—`:;,'-- _-- `----- -- ,
� Show location and distanees trom . �
' . . ., . �
� property line and between buildings. � � - ' � � �
i_ . . .. � � 1. , .. •�� � �
, . . . : - , . . - - .,.'t . � .
�
.' .__ "_ _ '_._ _' _. .._ _ _._. . . ;.,... � _ � . . . .
� •...I��� �,'. a . •�: . .. .
Do you carrY Workman's Co.� ensation
. , _
' Yee _.. . No • �. i , . ,,
, Inaurance4 �.,.. •,,. . , '
, � ���
� I am avrare of Provision 3700 oi the State T
Labor Code which requires every employeP; .;{,-: _ _.
i � . .. .
. to be insured against liabil_ity ior _, _
workman's eompensation. ;,�. " � ,
i � . ,
• _— , . .
, Signed: �
_ z. -.,, -�._
� . . . ' . • . ' ' _i1 . . "r% t�. ❑ - _ 1� .
� ' . , ' . _ __ .. ' — _' ' ' ' � '