HomeMy WebLinkAbout574 JOANN ST - Building PermitsL�
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Bl�;'�DING AND SAFETY DIVI��N
FIRE DAMAGE INSPECTION REPORT
(Required Prior To Permit Issuance)
� ,�J�
Address: ��/ c J v rT���1 /�
Owner:
Owner's Address (if different from above):
Street
�Structural permit required.
� Repair or replace as necessary. :
❑ Plans required. / . �
Comments: �%�� � %�(
? ,L// r+,..._0,.� i/%,7i
� Electrical permit required.
❑ Repair or replace as necessary.
Comments:
,,e�] Plumbing permit required.
❑ Repair or replace as necessary.
'
❑ Mechanical permit required.
❑ Repair or replace as necessary.
Comments:
18TT-d8 Liplicate: Origina4Avner, Yellox�Conirator, pjnk�BuilEinp Division
City
Unit: lq��'"v�
� �
L��/� t ��s%
7,y0 7�/�s�9�
Date Phone
State
�
Pq0.1ECTADOBESS: J%� SOANN ST ` '�
' owr.�+esr+ame CHRiSTOPHERSON, .NYR01: W
aooness: CHRISTOPHERSO:�, N:3aK0
3125 BOSTON WAY•,
COSTA MESA,CA 92526�
540-0921
UNIT:
ANCHIENGINEEfl: � NEG.NO.:
A�OHE55: � � UNIT:
PEflMITTEE: nIAL ONF: AA JOHNSON- (.714)636-3600
nooness: 7 0352 TRASK AV � '
GF+RllEN GROVE CA 9?.643 ,
.LICENSEO LONTNACTOP OECIABATION: I �ereby a��irm Ihal I am licensea un0¢� Pmvisions ol Chapter 9(commencinp with Seciion
7W0� af Oivision 3 of �he Business antl Pmlessions CoEe antl my li nse is in full torce antl effecL �
ciTvuc.:028502 �'7'1TEuc.:3547�[ —c�s —[0 ,
Dat ' _ _{.1� ��! � SignaWre: '
WOHKEBS' COMPENSRTION DECLANATION: I �ere�y a�firm ��at I h a cenihca�e o� consem to sell�insure.ar a cenilicale o� Workers'
Compensaiion h�os��� ��Iiie� tP�} �1�^.�oi�Section 3800. Lab. el l� � 1� 9 2
roucrxo.: NATIONWIDE INS, EXP.�ATE: `%\
COMPFNY:
,}( i
�] Certiliea coDY is �ereEy lumi5�e4. LJ Certilied taOY is d vn�h ciry BNdmq OiviSion. �
J,we! / O `�r / � aov�ieam: '
E%EMPTIONFflOMWOflNEflS'COMPENSATIDNOECIABRTION: (Thiss¢ctionneeOnolbecomplekGillhepermiti5�orone�uMr[d�SI00�orles5�.
I cetlily Ihal in ��e perlormance ol the work lor w�ic� I�is permi� is issuetl, I s�all noi em0loy any Derson in any manner so as to Oecome
SY��¢Ct �o I�P WOrk¢�5' Cqmp¢n5ati0n LdxS OI Cabbmia. �
Date: SiAnature: �
NOTItE: Ii, allef making I�is 4etlaraii0n. you S�ouIJ Uecame SUbjetl Io lhe Workers' ComDe^��ion pmvi4ons al Ih¢ LaDor
COUe. you must lonhwi�� comp�y vntll suc� D�ovisians or ihis permit shall 6e AeemeU revoke0.
CONSTflUCTION LENOING AGENCY: 1 �er¢by aliirm I�a� Ihere i5 a tonSVuction lentling agenty lor IAe pedarmante oi I�e wnrk fOf
whicn �his permn is issued (Section 3097, Civ. C�. , -
LENOEfl:
AO�BESS: '.�a . l
OWNEP 901LOEP OECIAHRiION: I Aereby allirm Ihal I am exempt imm Ihe ConVac�ors S�a�e License Law br Ihe �allowing reason
(Section 7031.5 Business antl Pwlessional Coae: Any ciry of county wMih requires a permit to consimct, alter. improve, tlemolis�, or
repair any stmc�ure. prior lo iis issuance„also re0uires Ihe applicant for such permi� lo lile a signetl statemeni Ihat �e/s�e is licensetl
pursuanl�olhe pmvisions ollhe Coniraclors' Sla�e License Law�Chapter9(commencing with Seciion 7000)ol0ivision 3 ofi�e Business
antl Pmlessions Code� ar Ihai helshe is exemp� I�ere�mm an0 Ihe basis lor ��e alleged exemplion. Any violation ol Sec�ion 7031.5 by
eny applicaN for a De�mi1 sublec�s Ihe applican� to a civil penalty ol no� more than �ive hunUre� Oollars ($500�.
I. as owner of Ihe propeny ar my emWoyees with wages az ineir sole camDensdtion, will tlo Ine woA. antl �he
❑ simcwre is not intenGetl or oiterea fo� sate (Section 7044, Bus�ness anG Pmiessianal CoOe: ihe Contractors' Slate License Law
Ooes noi aOVly la an owne� of a propeny wAo �uilds ar improves ihereon, and w�o Goes sucn wark Aimself/�ersell or t�mugA
nis or �er own em0loyees, O�odtle0 ihat suc� impmvemems are not intenaetl or oifereG for ute. II, Mwever the 6uilding or
impmvemeni is 5a10 vnihm one year 01 complelion, the owner vnll have ihe burtlen ol OroNng �e/S�e EiE nol OuiIE or impmve
lor Ihe Durpose of Sale�.
I, as owne� ol ihe owpeny. am eKCWsively romracting wilh Iicense0 contracmrs m consimct t�e D�ole�� (,Section 704A, Business
❑ anA Prolessians Cotle: T�e ConVactors' State License Law tloes not apDh �o an owner ol pmpeny who Dutlas or imprrnes tAereon
and w�o conlracls lo� suc� pmlects wi�� 2 conVactor(5� license pursuan� ta the Canlractors' $Iate Lit¢nse Law�. I am aware
��a� D��� ol I�eir Worker's Campensation insurance shoul0 he DmviOed to me.
� I am eaempl uneer Seciiun: B. 8 P. C.
lor Ihis �easan:
Oale: Owner
I ao here�y cenily I�at I am aware ol ana understanU Ihe requiremems ol Califomia,Healt� antl Safe�y Coae Sections 25505, 25533, antl
2559a and ihal I or any tuture �uilUing occupant will/will not (circle one) neea to comply wit� said stale co0es anA Ne repuiremenis for a
petmit lor consimclion or modificaiion �rom Ne Pit Oualiiy Managem¢nt �isVict. Fesitlenlial conslmciion apPlica�ions aR exempi tmm
IheSe O�ovisions. .
Oale: Fpplic2nl: �
I here0y cerlilytnai I have reatl Ihis aDPlicalion ana slale Ihai Ihe aue in�arma�ionis orrect. I agree ta comply with all ci�y an� coun�y
ortlinances antl sizlelawsrclalinglo builtling con5imction antl here6y �horite sent� ives olihis ciry�a enlerupon�he above�mentionetl
pmperly /l`or insp/ec't')ion pmpQos�es.
a�ie:�ii_'� (( Signature:
omers �¢ense a� Socmi Secumy x:
i6ab46 W�i�e—Bwlding�, Green—Cope EnlorcemenC Canary—Ap01san1: Pink—Revenua: GOltlenro0—Assossor
Ci"Y Or COSTA N.ESA — BUILDING PERMIT
PERNIT NU; P 059778 PLAN CHECK NO; N
CONSTRIJCTIOId TYPE: V—N PnRMIT TYPE: PLU
rn 3 rv, i �y �:
Vl 1; IV JUl Y: iV
PURPOSE: OTH
JOB �ESCRZVTTON ; SERVICE UPGr�AUE SQ FT;
CLA3M VALiiE: CALC—VALUE: GROliP OCC: R-3 /
CUMMENTS: SMORE 17E7'&CTpH RE�uIR�n
dfiE�%#iE�IF�IE��#�leiE3E�kY��iE�%ifdf�kif�%dF#)fifafli� �kkk�k�Y.ii#it�%�1fif�IF�IE#��%�1E��iF1E�7f�kiFiE�E�ie�K��1F�%df�iEiFiF�Ifjf�iE9E3E�iF�Y,-if��1F'rf�N-Sf�M#�)E�lEdE4
'L O:N T N G R E Q U:L R E M E N T S
S E T B A C K S
------------ MAIN HUILDING ---------- --------- ACCe.SSORY Bi]ILDING ---------
FRNT; FT` IN REAR: rT IiV FRNT; FT IN REAR; rT TN
LEFT; F'I' IN RGHT; FT IN LEFT; ^T IN RGHT: FT IN
.PARKING RE • PROV: PARCEL: 42216309 ZNE: REF NO:
P-LAN�JING N TES>
i
M�# IF 1E if if if If IE if if �%� if iF ii k 1E {} ielk �F �)E iF If IFlY #f 1f ic IF if �e if iF if �li� ie iE iF N� if #f ii� t 3E k 3e 1(� N�lf iF iF lf iE 1E ±f #f if� i'r 3f i(� iE } 3E iE iF jf !F!c iE if 3!� k' 1't iF 1f M'. {(.
D E V E L O P M E N T S E R V I C E S�� R E Q U I R E M E N T S
ZONING APPROVED HY � DATE;
HUILDING AFPROVED HY ; � DATE:
APPiICATION ISSUED bY• �I'.{�.� � , DATE•f� ��'— p
u � x �:* �* � � � � s�� * � �,� � * * � i�3r���� ��� ��#� ��� rr3[��xn �'���� �SF'�r����r� x� � � � * x��F�'�� �c:-���r� *
if if� 3E if if iE-%�1F �7F if 1Flb iE f(� ic !'r iE �' lf iF ie if 3f �lE if } iE iE iP lE if 3E-%iE iE 9E %iP lE i'r iF �1F ie iF �X� iF 1F ii jf ik ie K iE %i4 3E iE 3i� iE! iF if iF iE ic lE iE d"r 1E iE it lE i't 1!� K� ?h ii� Y? #
LEGALI'LATION;N F E E S U M M A R Y STRUCTURAL ScGNaNT;N
BLDG FMT PLUMBING ELECTRIC .+�ECHANIC FIRE SMIP/RES GRADING
PzRMIT 2.00
z�� SMIP/MO;�—RES
PLAN
ISSUE: FEf: 3.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 2,00 3,00 0,00 S.OU 5,00 ,00
j RaVENUE DIVISION TOTALS--> COLLECTED; � 5.00 OVER/SHORT: ,00
BLDG FMT PLUMBiNG ELECTRZC MECHANIC FIRE SMZP/TOT GRADING PLAN—CHaCK
5,��
If 3E fE aF 3F 3F iE 3'r 1f IF k iF iE iE iE %� ie X� if iE # iE 1F 3t N� IF af iE iF ik ik! 3E %� iE K-?F If if 1E 3! IE 3f �lf �h if lf jk 1E iE 3E 3f iF !h �If iF if if if v.?f 3f if 3f %� Y.� 3E � K IE if iE t ii� k iF iE ih ik
I N D Z V I D U A L F E E H R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIi COST TOTAi COS:
PLU 1 GAS PTPING SYS OF 1 TO 9 OUTL,ETS 2,00 2,U0
END OF FEES
%i
.
CONSTRUCTION ANb PLANfVSNG POOL 'A '
r�ate Inspector Date Inspector
r APPROVALS Permit #t_ APPROVALS Permir #
1. Temporary Electrical ServicP.ar Pole :` 52. Pool & Equipment Loca[ion �
2. Soil Pipe-Undrgrnd. � ��t 53. Steel Reinforcement f
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit�Undrgrnd�- � 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Eiectrical UFER Grnd. 57. APPROVAL TO COVEFi�GUNITE
7. Footings 58. Electrical ConduicUndrgmd.
8. Foundation �� �O 59. Gas Pipe, O Undrgmd., Test
i
• 9. Water Pipe-Undrgmd. -,1�� � 60. Backwash Lines, P�Trap, � Undrgmd. � -"'
j 10. Structural Floor System '� 61. APPROVAL TO DECK '� 1
71. Property Sewer line & Ho�e��Connection 62. Backwash & Receptor-Final � ��
72. Sewer Cap � 63. Heater & Vent-Final
13. Root Drains 64. Plumbing System � Final
14, ftough Plumbing 65. Electrical�Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access ApProval
77. Reugh Wiring $ign 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 D Gas ❑ Oil
I 23. Gas Pipe-Rough & Test 72, Underground flush
24. Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ Oil
25. Roof Sheathing '� 74. 0'verhead Hydro
26. T-Bar Ceiling �Structuraq &�Monocoat 75. Dry Chemical �
I
27. Frame and Flashing , 76. Dry Standpipe
28. Lathing & Siding . 77. FIXED SYSTEM FINAL
29. Insulation 78, FIRE PREV. FINAL
30. Drywall Nailing,� . HEALTH DEPT. REQUIREMENT �
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. �OOD CERTIFICATE ISSUED s
33. Final Electric _ Notes:" �
34. Final Heating & Air Conditioning � , .
35. Final Gas Pipe-Tes[ � ,)
36. Hood or Canopy .
37. Final FactorV Fireplacc
38. Final Piumbing �/Zfj(C�Z G��
39. Water Service�Final
40. Gas Service�Final
41. Solar pomestic-Final
42. Backflow Preventer
43. Backfiow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PI.ANNING
49. Electric Release to Edison �,
50. Gas Release to $outhern Califurnia Gas Co � � .
51. CERTIFICATE OF OCCUPANCY �
No. Date
_ ��� )
mvNh.R DAWSON. HAROLD B.
13UILD
GENERAL CONTRACTOR owner-builder � VAWI's S 25�1{�17.0�
AP. No. LOT /�? TRACT �da?'� FIRE ZONE DESCRIPTION OF N'ORK Li Urilb AAt. &
INSPECTIONS , DATE I GROUP H TYPE V
' rground Soil n,�.�i U.G. Waler �// � �J
_ .,. � Y'—I SUBCONTRACTOR I _,__
Form 410-3M-4-59
OWNER DATdSON� HAR�,D B: DATE 7-z8-59
JOB ADDRESS 574 ao� .St.• XJ BUILDING PERMIT N0. J9i12
GENERAL CONTRACTOR � VALUE $
INGPECTIONS
7 reround S�
`C
TRACT � �
I DATE
FIRE ZONE DESCRIPTION OF WORK
OUP TYPE
SUBCONTRACTOR I PERMIT
�-
Form 210-3M-4-59 �1Pt • B•
owxEx DAWSON, HAROLD B.•
DATE
JOB ADDRESS Jr%Zl �T08riI1 $t.. �/, BUILDING YERMIT NO. 99L�Z
GENERALCONTRACTOR VALUE S
AP. No. LOT /a TRACT ai �w7�J FIRE ZONE DESCRIPTION OF WORK
INSPECTIONS 7_2$�yy DATE � GROUP
� rgrouqd Soil M-iS U.G. Waterl /,// —
: _..__ . .. �I SUBCONTRAGTOR
In
:_;s� �
7-28-59
F'S'l�?
GENERALCONTRACTOR VALUE $
AP_ Nn. LOT i1 TRACT �7.�9 FIRE ZONE DESCRIPTION OF WORK
INSPECTIONS 7�jg�,��^ ' . _I_DATE
_ . ..�
SUBCONTRACTOR
Form 210—JM-4�59 Apt• D
OWNER
DATE
GENERAL CONTRACTOR � VALUE $
AP. No. L,OT J TRACT
INSPECTIONS �_Z�s9 DATE
i rzround Soil ,(it1S U.G. Water/ /i � 7_9l>�
�
SU6GONTRACTOR
TYPE
9942 � ... ; . _ , .. :
' • �, s L� I�a �_.:s t� � �! c. ...�
COSTA MESA BUILDING-SAFETY DEPARTMENT C�) t..�' ,j��� z 1�g5°
P.O. BOX 317 COSTA MESA. CALIFORNIA // tN•-����INI'iI 10E DEPT.
/
fOR APPL/CANT TO F/LL /N COMPLETELY .�' �APPLICAfT10N FOR PERMIT
7YPE OR PRINT '/ BUILDING
BUILDING
ADDRESS
COSTA MESA, CALIFORNIA FOR OFF/CE USE ONLY
HECEIPT NO. PERNIT NO.
OWNER WJU� f �
MAIL � /`� r. � REGEivEn�eY I O1TH ECE�V6D� I DATE IBSUED
BUILDIN(
AO�RESS
COSTA MESA, CALIFORNIA
FIRE Yf� !
NG
OESCRIPTION I NO. I BLOCK I TRAGT� � ZONE I p pN4
APPftOVE
A.P. NO. BY
SIZE rvO.OF alocs. YAROS
OF LOT Now oH �OT REpUIRED
USE OF ICENTEfl LINE ST.)
EXiSTiNG BLDG. FRONT
SETBACK IINE FROM � O /
ceNicn oF sin[[T pEAR VARD / R. SIDE
SIDE YARD I LEFT ���/' I RIGHT ' �/, L. SIDE
DESCRIPTION OF WORK
REAR
NEW I� II ALTERATION I II ADDITION I �
BUILDING V NO.OF' /
SIZE .3 I ROOMS /`' STORIES ^ i
F%TFRIOR WALL . I ROOF � � �. 4'S �
N�]
�
�. ��H i t ,
l� :a,> ;".,3 aF S'�o-1
� -v3-.r
I HEHEBY ACKNOWLEDGE THI.T � HAVE READ TN18 APPLICATION
�ND STM1TE THAT TNE ABOVE 18 COflRER AN� AGNEE TO COM- THE AMOUNT BHOWN UNO R VALIIATION 18 FOfl THE'
PLY WITN �lL CITY OFOINANCES AN� STATE LAWS REOULATING PUNPOSE OF ESTABLISMING • pENMIT PE6 ONLY.'
BUILDING CONSTRUCTION. VALUATION !
SIGNATURE OF�� /1 �g PERMIT FEE S � �
PERMITTEETy /✓ �/�'�� /q � S
S OY^ PLAN GHECK S yZ��
� ����, TOTAL FEE $ /j �� S-
AUTHORIZEO AGENT '�"' /