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HomeMy WebLinkAbout574 JOANN ST - Building PermitsL� �4 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 '�"' /