HomeMy WebLinkAbout1747 IRVINE AVE - Building Permits I i
COUNTY OF ORANGE Application for Budding Permit ilWa l
• BUILDING DEPT. Permit No
636 No.Broadway AND FOR A
Santa Ana,California
Phone:Kl 2-6211 Certificate of Use and Occupancy
�
Date
i
/ - Q6 ' C3
1. OWNER'S NAME `•� 41REQ'C 6 � 174AU. PHONE:...oF6n�(QLy2'.Q >/
MAILING ADDRESS /75`7 /,ex. Sr 7 CITY...do s.nc--..�. SA
Name O*V.LYS/le Name Qttl/viEe.
(Architect of Engineer) (Contractor)
Address Address
City City
State State
Lic. No Phone Lic. No Phone
PROPOSED USE• SS1.4,67lr-.:=..6 C427-lai.2-Gil
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2. JOB LOCATION 17412 /�vzttnf Sr G S TR /1%ESA. ...old.,s
(House No.) (Name of Street) (Town or Schoplistrict)
NAME OF AND DIRECTION FROM NEAREST CROSS STREET 17 ---4--'
No.VP12r Hicnrs "a,0 yl- PAcs6 es
3. LEGAL DESCRIPTION: Lot 'kit. Block Tract
(Metes and Bounds Description—Use reverse side of form)
4. CORNER LOT ( ) INTERIOR LOT ( k ) THROUGH LOT ( ) SLOPE OF LOT ( )
5. SIZE OF BLDG • a3 A 3 7 AREA• 'CO SIZE OF LOT• -lac k 4 G 0 AREA- S 4cea
OPEN 716-.9 Ai
6. HEIGHT OF BLDG • 4PW.04 /1 ' CEILING HEIGHT- NO. OF STORIES /
7. NO. FAMILIES / Size of Smallest Bedroom- /1'3 X A.? - ' ' Size of Kitchen......- 3 X...i.3 r3
r�opruc
S. EXTERIOR WALL CONSTRUCTION:.-038/6 -PAME- ST
- INTcp
ERIOR WALL COVERING PA.X-µl-i.o g..
(Frame, Stucco, Etc.) (Plaster-Drywall, Etc.)
ROOFING COVERING - 4,1_G.bt--r t5114..ec s •
9. STATE HOW MANY BUILDINGS NOW ON LOT AND GIVE USE OF EACH aZ•
10. SETBACKS: Front Yard From Center Line of Street 5-"co t
Nearest Side Yard..._....LJ ' Rear Yard 4 el Of Distance in Feet Between Bldgs. on Same Lot ) o o '
(Property Line) (Property Line)
11. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH,
12. (a) Footing: Width /11
Depth in Ground / Width of Wall (.
C
b Size of Studs:.... X 9 Spacing .1/a "CC Material of Floor 14..3.1,1? 91 &NJ
(c) Size of Floor Joists 421.6 Spacing Le 11 "CC '
(d) Size of Rafters: L I.$.!# Spacing ..te r' "CC
13. VALUATION OF PR(ZPOSED 95.K: Including all labor, plumbing, electrical wiring, heating, fire sprinklers, painting and
sewage disposal $ 0.0.0 -------
14. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS
APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF
THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO.
SigneO_ G/ic= a'�"
d � _
(Owner)
Plans Filed
By-
(Authorized Agent)
FOR DEPARTMENTAL USE ONLY
FEES: 0 p HE ING BY
Bldg. Permit - $..,./ a' , 7 APPLICATION -- HEALTH '
Plan Check • $ o uD TYPE ZONING V FIRE
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Total - - - $---E--- - DIST.AC Ry PLANS AND MARSHAL
Receipt No. - ...4/# MAP STATE
Paid to • - SHEET NO... 1, CORRECTIONS ENGINEER
Date ( —LI' -C---.I • -s
` PER; I. I.i t r JNS`PECP�
DATE 1. `2 G 5 3 * �d. .................
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METES AND BOUNDS DESCRIPTION:
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PROJECT ADDRESS: 7 AV UNIT:
OWNER'S NAME: 1747 IRVINE CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 064519
1 FOWLIE, MILDRED R
ADDRESS: 1747 IRVINE PERMIT NO: B 064519 PLAN CHECK NO: N GOVT: N SUPP: N
C.M. CA. , 92627
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
ARCH/ENGINEER: 646-9675 REG.NO.:
ADDRESS: UNIT: JOB DESCRIPTION : T/O & S1IEATH & REROOF W/ COMP . SHING SQ FT: 1 , 900
PERMITTEE: CLAIM VALUE: 1 , 90 , 00 CALL—VALUE: 1, 900 . 00 GROUP OCC: R-3 /
ADDRESS:TTEEMILDRED FOWLIE ( 714 ) 646-9675
1747 IRVINE AVE COMMENTS : SMOKE DETEC ORS ARE REQUIRED AS PER
C .M. CA92G?7 ********************* *********************�E+6****************�6****************3E
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of apter 9(commencing with Section ON ING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in lull force and effect.
CITY LIC.: STATE LIC.: CLASS: S ETB ACK S
Date: Signature: MAIN BUIL ING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a cenilicate of Workers' FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: EXP.DATE:
COMPANY: PARKING REQ: PROV: PARCEL: 11737250 ZNE: REF NO:
❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES> ,
Date: Applicant: ****************.***************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the perm't is for one hundred($100)or less). D E V EtL O P M E N T SERVICES REQU IR E M E N -T S
I certify that in the performance of the work for which this permit is is ued.I shall not employ any persoy'n any man to begome
subiect 7t ^Worker Compensalip ws of Califor /� 'JI` f.-.
7� _ //tel ZONING APPROVED BY DATE:
Date: V 9 Signature: D v,
r NOTICE:If.atter making this decaration,you should becom s Nett to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY DATE:
Code.you must forthwith comply with such provisions or this rmit shall be deemed revoked. •
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction tending agency for the performance of the work for APPLICATION ISSUED B Y:
�
which this permit is issued Section 3097,Civ.C. DATE: .*0
********************************** iF.*************************ifs**1 **/ V3
LENDER: ********************************************if*. ***************aE*********• *** ****
ADDRESS: LEGALIZATION:N F E E SUMMAR Y-- STRUCTUB.Ai�SEGMENT :Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law tar the following reason r' /f
(Section/031.5 Business and Professional Code: Any city of county which requires a permit to construct.alter,improve,demolish,or BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE ' SNIP/RES, GRADING
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed PERMIT 43 . 00 50<
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000(of Division 3 of the Business SHIP/NON-.RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN e';t
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). ISSUE FEE z
I. as owner of the property or my employees with wages as their sole compensation, wit do the work. and the BUILD ING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL J'• PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 43 , 50 0 . 00 0 , 00 43 . 50 'N43 . 50 :' . 00
does not apply to an owner of a properly who builds or improves thereon,and who does such work himself/hersell or through /;T
his or her own employees,provided that such improvements are not intended or offered for sale.If, however the building or
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 4 3 . 50 OVER/SHORT: . 00
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SNIP/TOT GRADING PLAN—CHECK
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 43 . 00 . 50 ') '7❑ 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 a contractor(s)license pursuant to the Contractors'State License Law).I am awares^ .,
that proof of their Worker's Compensation insurance should be provided to me. ******************************************************************** ********'*
am exempt under Seaton:BP7044 B.sP.C. INDIVIDUAL F E E BR EAKD OW N
•for
/misreason:
/�'TWNE LDER - // / - TYPE QTY DESCRIPTIO N UNIT COST TOTAL) COST
Date:—I_�.�) (v/ "" Owner: .L__ _ • Lar. _mac - i .1
I do hereby certify that I nm aware1 of and understand the requirements of California each and Safety Code Sections 25505,25533,and SFR 1900 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 001 1 ,// 1 , 900 , 00
25534 and that I or any future building occupant will/will not(circle one)need to co dy with said state codes and the requirements for a END OF FEES 1'f
permit far construction or modification from the Air Duality Management District,R sidemial construction applications are exempt from Ie
these provisions. r
I'
Dale: Applicant: `. 1{{J,Y ' r
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 V 1 \ ,1:71 TECTO R
ordinances and state laws relating to building construction and hereb authorize representatives of this '• to enter upon •e above-mentioned V11�1
property for inspection ur ses
Date Signature: Al� I
/'d •- ( ... 9 .3 ! - 01 001s9tg,9 IREDE r :a.sc
�� Driver's License or Social Security=: DATE: 10/19/93 TIME: 12:00 .
164146 White—Building:Green—Code Enforcement:Canary Applicant:Pink—Revenue;Goldenrod—Assessor
•
•
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. Electrical Conduit Utility•Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER 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,❑ Undrgrrd.
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 0Gas ❑Oil
23. Gas Pipe-Rough& Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing tA' I y1..L.. 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat `'1 Vb0 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: 1
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
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 - ,J t.r
44. Landscape Irrigation System
45. Sound Attenuation t
46. Handicap Regulations • -r
47. FINAL STRUCTURE & BUILDING /o.-e ota/�L_. cc ,,V A ear_ ••�; '
48. FINAL PLANNING • r
49. Electric Release to Edison ` i f-,
50. Gas Release to Southern California Gas Co s
51. CERTIFICATE OF OCCUPANCY
No. Date
4-
CITY OF COSTA MESA 4
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 pro-
posed property improvement. Ayes E No
2. ave not) _signed an application for a building permit for the
pro.'sod work.
3. I have c ntracted with the following erson (firm)to provid the proposed construction:
Name )-7,,ta Nl �n 178I 6
Address_ City
Phone (1(y) n (-4b-9 t7f Contractor's Lic. No.
4. I plan to provide portions of the work,but I have hired the following person to coordinate,
supervise and pr vide the major work:
Name ' '4,4,\ 4 •
Address_ City
Phone ( ) Contractor's Lic. No.
5. I will provide some of the work but I have contracted(hired)the following persons to pro-
vide the work indicated:
p, 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 above information to the best of my per-
at
sonal knowl:d•e in c•mpliance with this .te la. .•
_ 1 G7 `�
Signed: ��_ /. _ _ Saw 1��' Date: L C'l "" J
• � ! — ?
Name: is A a I C /
(Printed or Typed)
C.D.L. # or S.S, #
754-5273
1042-08
---DOWNER BAKER,C. E. 1' -
174ITVine Street / BUILDING PERMIT NO. 1109
GENERAL CONTRACTOR Owner-Builder JJJ VALUE $ 4410.00
LOT AP# 117-371-25 BLOCK TRACT Rh Garage - Wash room
GROUP J TYPE V ZONE FIRE DISTRICT 1120 ;
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
_7 DATE NUMBER
Footing Trench
r
Foundation Forms and Gra&to Garage . / ll
Rough Framing if ,0
Plumbing,Rough to Slab { �f
/
Plumbing,Rough Complete �G4/1/ .6r1,16.0" e . 1� V"
Temporary Pole /J / . ,
Wiring, Rough -i I j ' J
Heating, Rough _ _ _ ` ' 1t �/
, C/�
I
Heating, Final k„/
Sewer, House Sewer,St. \ / \ 1
Septic Tank or Cesspool a 5 ‘
Lathing, In Out Ili /
Plastering I
Plumbing,Final,Fixtures�SCompletes Try
Plumbing,Final Gas Test lb,--\4113 ' 4 ' S --4 c,.L Se/anAI7
Wiring, Final _
Occupancy
Form 210 0-14 15001-55
DCT 1 U 1955
Uosta Mesa Building Department ; n APPLICATION FOR PERMIT
+ :1' EAST 20th STREET 1120 L/ BUILDING 1
COSTA MESA, CALIFORNIA V
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN _ . Receipt No. Permit No.
BuildingA /7Y7 /IP✓i/F Sr seT - 7 (' I /107
Costa Mesa, California Received by Date Recd. Date Issued
Nearest //P✓//YeBuilding
`�— S�
Cross St. 1'- Building
a Address
Owner (�.. ,/,E .�l��ER Costa Mesa, California
Mall
Address /7#7 /ieyi/yE CrNearest
�y /�
Tel. , Cross St.
City co574 MESA No.Z,/ (51-314 Zone z,,{ I No of
I Type / I Group
Architect or Lia �j�- V
Engineer �ELA No. Approved / ^/
- by K ,�'`'r r Date
Address A Be ye CORRECTIONS
�pr City LinJ
Contractor EC-P No. ///��///// /nyy' ///
Address A BC vE U' ' Wt�a- f 7
Legal Lot
Description I No. I Block I Tract
(Attach Metes and Bounds) N p - 1/7-871-.2r
No.of Bldgs. �,�� -r ,*`
Size of Lot �� - //O No.of Lot ,,.";l
Use of CO;'') No.of No.of ■rr' — � O
Existing Bldg. ELL/NG I Families /I Rooms J .... - _ ,U!1 a
-Setbacktine-from „ Rear Yard `� �O � Z
Center-of-Street 6 Side Yard"� y
DESCvR ON OF WORK 4 PR 6 055 r
New I xI Alteration I I Addition I (1'j�[ Or. COSTA (�A
Repair I I Moving I I Demolish I C ' r r ME�1,
Building ,..., No.of
Size k F0 Rooms / Stories / I
Exterior WallRoof
Covering Pi.dgsra Covering ALU in APPROVALS
Use of New Foundation Location Inspector Date
Building GARAGE - CU/ttN art Forms,Materials, P
Under-Pinning
Frame: Fire Stops,
Bracing,Bolts
I hereby acknowledge that I have read this Application Lath. Int.
and state that the above is correct and agree to comply Lath. Ext.
c
with all City Ordinances and State Laws regulating
building cofstruction
Plaster, Int.
Signature of
io
Permittee
Plaster,Ext.
Authorized Agt.
Masonry Reinforced
Valuation Permit Fee $ Aiat(
Plan Check $ / Bond Beam
$ hr Total
/ Fee $ 9✓ FINAL
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Street
PLOT PLAN ;
Show location and distances from
property line and between buildings. - „ •
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