HomeMy WebLinkAbout806 JOANN ST - Building PermitsAVP�icanf to fill in all
CITY OF COSTA MESA
CONSTRUCTION PERMIT
Addrea 72/ A A hGCi%0. S%.
License No.
Address
(`qniractOr�p P��tp S��WI Cn,nZiv�... Phone
wltnln heavy bortler Iines ana sign all aDo�oprlate tleclaratlon
TRACT NO. LOT NO. ; BLDG. NO.
LICENSED GONTRACTON OECLARATION
I nOreby alfirm that I am IlcanseE untler provislons of Cnerter 9
maAcing wltn 58ction 7000) of Dlvision 3 0/ the BU51ne5
Pro�essions Cotle, anC_ my Ilcense Is �� /ulY force _antl �
Llcense9��y i �� � ce 5¢No�
Date ' a,..,� 6 _ — _ _ _-
WORKERS'COMPENSATIONIDECLARATION
I hRleby a1filT thal I Ilave d CerU}ICdtB Of COnSent f0 581fdnsufe af d
certiflwte of Workers' Compensatlan Insurance, ar a certifietl copy
R' Nowi�v n� i.i�carv fpmPanY �-••.•.•'�wivr �..a..m�
[ :Ifietl COpy i5 t1eY¢Oy tufnl511¢tl.
[„ _,rtlfletl coPY Is 111ea with the city BWltling Divislon.
EXEMPTI�N FROM WORKERS' COMPENSATION �ECIARATION
(Thit section neetl not ba completetl it the permit iz for one huntlretl
(E100 ar less). �
1 cert�fy that in the performance of the work for wM1ich this permit is
issu¢tl, I zhall not emp�oy any Oerson In any manner so as'to becoTe
subject to the Workari' Compenzatlon Laws o/ Calltornia.
oate Si9ndtu�e
NOTICE: If a/ter making this tlEtlaration, you inaultl become subject
to the Workers' Compe�sation provislons of Ihe Labor Cotle, you must
fort�M'��h corttPly with suc� provisions or this permit shall be tleemetl
revoketl.
GONSTRUCTION CENDING AGENCV
� he/eby dffl�T that there is a cOnSV ucliOn I¢ntlln9 agency (or the pe/-
forrf�ance ot the work for wnicn this permit is ISsuatl (Sectlon 3097
Civ. C.1.
LenAer't Name
LenAe�'s Atltlress -
OWNER BUILDER DECLAHATION
I hereby affirm t�at I am exempt trom the Conlracror's License Law for
the �ollowing reason (Section ]031.5 Buslneis antl ProleSSlonS Cotl¢:
Any dty or COunty whic� requlres a permlt f0 COnstrutt, dlter,
1l001��'. d2RlO��Sh O! repair any strutture. Prbr to Ils Issuanta, also r0-
qWr85 lhe appllwnl (or such p¢rinll to i710 a Signed S�atem00t thdt b¢
is IiGensetl pursuant to the,provi5ians ol the Con[ractor'S Lirenze Law
(CbaP�cr 9(commencin9 w�th Sactlon 7000) ol Olvision 3 0( the
BusiPess antl Crofas�ons Cotlo) or that he 7s exempt ine�etrom antl iho
ba�^��pr the allegetl exemptlon. Any Wolation of Section 7031.5 by
arv;„: D��canl tor a OB�mit suDj¢cti t�e applicanl l0 d tivil pCndltY
o�?i��'more than (ive M1untlretl Gollart (E500).
❑'j, a5 own¢r ot tba prOparty, or my eTPloyaes with waqns ai their
sofe compensatlon, w4N tlo tha wo�k, and tho sVu<turo is ool latentletl
or ol�ereU tor ule. (SaCtlon 7044, Business antl Aofesslons Cotla: Tho
COntra<tor'S Licens¢ Ldw tloes nOt dpply lo an owner ot d prOpeltY
w�o builtls oc improve5 theraon, antl who tloe5 SUcn wOrk himsett or
throN9h hls Own empl0YeG5, proviOeO [hal sucM1 Improvomuntz are not
intendetl or offor¢tl 10� sale. If, bOwaver, th< builtl��g or ImprOvomont
is soltl within one y¢ar Of Compl¢tion, th0 owner will have tho bUrGen
p�. proving he tlitl no� �uiltl-Or Improva br Ihe purpose Of SaIC).
❑ �� as owner o� NC prOpertY, am BxCluSiv¢ly contraCting wi(h
Iicensetl mntraCtorS to con5truct th¢ project (SectiOn ]044. Business
antl P�ofessions Cotle: 7�e Contractor's Ucensa Law aoes no[ apply to
an owner of property who builtl5 or )mprOv¢S thereon, antl wbo COn-
t�ac[5 �rom sU�h P�ojects with a COntraGto�(5) IltesneE pUrSuant f0
the Lontractor'i LJcense Law).
❑ I am exempt untler Sectlon B. 6 P.�C. for [hi5
reason
Date Owner
I her¢by certi/y [hat I have reatl lhis applit'atlon antl ztate tnat Ihe above
informdtion is cor�ecl. I ag�ee lo compiy with all Cily and coun[y
prd�pances a�d Stat¢ laws 2latin9 to cOrtitructlnn, a�tl hereby avthortte
representatives.of tbi5.ciry ro.nnter uPon the above entlonad
P�oPP.rtY tor yyPect ipyrpjg� _ �/�
Pl.c G ..�..ry,,,��
TVPE OF CONSTRUCTION
❑ NEW O ADD ❑ AITERATION
❑ REPAIR ❑ CONVERSION ❑DEMOLISH
❑ OTHER
DESCRIPTION OF WORK
TVPE OF PERMIT '
❑ GRADING ❑ FOUNDHTION ❑ STRVCTURAL
❑ TENANT ❑ ELECTRlCAL �PI.VMB1iJG ❑MECHAI
❑ OTHER
PROJECT DESCRIPT�ON
S(�. FT. ,
OCCUPANCY_CONSTRUCTION TVPE
VALUATION ZONE
,�RAQSNG CV. YDS. ACRES
REMARKS:
PLUMBING' PLArv CHECK �
BATHTVBS - �SHOWERS
TOILETS VRINALS
LAVATORIES DOUBLELAVS
K17. SINKS ' -' DISHWASHERS
SEFVICESINKS - SVMPS ""
FLOOR SINKS - ' FLOOR DRAINS
DRINKING FOVNTAINS"
�N7ERCEGTORS CLARIFIERS
WATERSERVICE �
GASSERVICE �
WATER HEATERS '
SEWERCONNECTIONS
SOLAR'TANK
AtiTERATION
OUTLETS
BTV OUTPV7' -
COLLECTORS�.�
SOLAR PIPING SVS.
ISSUE FEE
MECHANICAL - a�aN CHEG�c
HEATING SVSTEM 0-100,000 BTU �
AND DUCTING 300,000 + BTU _
REFi21GERATION 0-100,0000TV_
SVSTEM ' 100,000+BTU_
BOILERS BTV
SVSTEM REPAIR,ALTERATION
EXHAUSTSVSTEM MULTIPLE
Signature 'Date I
Drivers'.Licenu or 55 � ��� ISSUE FEE
CMF o865-46 White-Building; Canary-APplicant; Pink-Actounting; Goltlenrotl-Assessor
A.P. �
ZONE
77B9 9/16/B2 5e00
iING REGULATIONS
PLNG.REF.� � �
REAR YARD (TO P/L)
PKG. SPACE RE�.
STREET WIDTH
?ONING APPROVEO BY
iPECIAL CONOITIONS:
ELECTRICAL
PROVIDED '
PARK FEE E
PLAN CHECK
GENERATOR 0-1 KW_3-30 KW _
TRHNSFORMER - .
- APPLIANCE 30-50 KW_50 i KW _
' MOTORS 0-1 HP_1-30 HP _
� QNQ SOLAR) ' 10-50-HP_50 + HP
FI%TVRES OUTLETS SWITCHES
GAS TUBE SIGNS
POLE LIGHTS -
PANELS MAIN SUB . �
SERVICE AMP
ISSV E FEE
APPLICA710N APPROVED BV
SUMMARV OF FEES
BVILDING
PERMIT S $MIP - S
PLAN CHECK § PERMIT ' '
D� ISSUANCE $
PLVMBING S �
PLANCHECK E GRADINCa S
ELECTRICAL § f
PLAN CHECK E MiCROF1Uvl §
MECHANICAL S T�TAL FEE 5
PLAN CH@CK E -�-E55 AD- �
VANCEPC E
. . �
, FINALFEE S Sr�
CONSTRUCTION AND PLANNING POOL & SPA �' - - � . • . - �
APPROVALS Permit # P vB ys Date Inspector � �,4PpROVALS' - � Permit #' Date .Inspector
1. Temporary Electrical Service or Pole � 43. Pool & Equipment Location ��
Soil ipe-Undrgrn . �' - 44. Steel Reinforcement
3. Electrical Conduit Utility-Undrgm 45. Forms - ' -
4. Electrical Conduit-Undrgr� 46. �Electrical Bonding - � �
. tee ein orce 47. Rough Plumbin & Pressure Test � "
6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE �
ootings 49. Electrical Conduit-Undr rn �
� 8. Foundation � 50. Gas Pipe, ❑ Undr rn, Test
9. Water Pipe-Undrgrn 57. Backwash Lines P-Tra ❑ ndr rn �
, 10. Structural Floor System 52. APPROVAL TO DECK
11. Property Sewer Line & House Connection � 53. Backwash & Rece tor-Final '
12. Street Sewer Connection 54. Heater & Vent-Final i �� � ' �
13. Rough Plumbing '
14. Rough Electric-Conduit �56. Electrical-Final
15. Rough Electric-Wiring 57. Solar System-Final
16. Rough Heating & Air Conditioning � encing & Access Approval
17. Ducts in Stri�cture APPROVED FOR PLASTERING
18. Ducts, Ventilating �
19. Gas Pipe-Rough & Test - 60. POOL/SPA SYSTEMS FINAL
20. Roof Framing - �
21 . Roof Sheathin ' � . -
22. Frame and Flashin NOTES: ' ��� � �
23. Insulation •
24. Lathing & Siding ' � ' � " ' �
25. Drywall Nailing - - -
' 26. . Plaster Brown Coat
27. Electrical Power Meter-Final ' • ' � � -
26. Final Electric � - ' ' � �
29. Final Heating & Air Conditioning ' �
30. Final Gas Pipe-Test � - �
31. Final Plumbing - �-82- �
•32. , Water Service-Final
i33. Gas Service=Final � �
34. Solar pomestic-Final � ' �
35. Landsca e S rinklin S stem
36. Sound Attenuation '
37. Handicap Regulations ' �
38. FINALSTRUCTURE&BUILDING
39. Special Requirements Completed
40. Electric Release to Edison
41. Gas Release to Southern California Gas Co.
42. CERTIFICA7EOFOCCUPANCY
No Date ,
OwnlEft ARTST(1L ESTATRS DATE �_K_K6
JOBADDRESS 806 Joarin Street BUILDINGPERMITNO. (�'j(}9
GENERAL CONTRACTOR S. V, Hunsaker VALUE a 8,856.��
r� lp7 BLOCK TRACT pg7� Single Res_ x�/att��ar
GROUP 1 Rt J TVPE V ZONE Rli FIHE DISTRICT 36�j
INSPECTIONS DATE SUBCONTRACTOR PERMITSISSUED
DATE I NUMBER
- " _ � � i�- o - '
Foundation Forms and Grade to Garage
Rough Framing �•-p-v �oa�` C��i —Ci �„ � `%o �'_' _>
Plumbing,RoughtoSlab ��p �1 µ,Q; �p�,
Wi
Pole
Ro
J / �'
viiz�w�c�c��z�
i.rinai i'� t� � i'.�Y�J /�V�Q-GLai-r<LG.,C.Q"ti>nL •%�d/�J L rv� � i �
House L Sewer,St.�C�j J� /LY„ `„P�f�r �r //�-/��5� 7/_� 7—
�ank o Cessoo� i/h/� G ui•LL !L L.% '. :..�� i. �� - //�_ �_ r/ 9//.3 —
Lv�ing, In Out )
F :ring
Plumbing, Final, Fixtures Com
Plumbing, Final GasTest / '�
Wiring, Final
Occupancy
FORM 310 3M fO�O�i
Costa Mesa Bailding Department :�PPLICATION FOR PERMIT
-� P.O.Box3�� .'�R�� gU1LD1NG �
COSTA MESA, CALIFORNIA
FOR OFFICE USE ONLY
` FOR APPLICANT TO FILL IN Receipt No. Permit No.
Building � Sr � .�6 3 ;
Address
Costa Mesa, Cia�01111$ Rece J��� by �^Date Rec('d�./ QDate Issued
ue...e..a . . . . - �,f✓ /' T �e7 [O / ���
Owner�/�/ S�O ,.
Mail 9a.� ,s
Address
City �� ��Zc
Architecto� r !I
Engineer �' —�
Address �
�
treetor � -
Addreu ��,
Legal I Lot
Description No. �02 �
(Attach Metes and Bound
Size ot �ot �d -� .
4se ot f.
Existing Bldg.
Set6ack Line from
Center of Street .�',
� —DESCR;�IPT
New I � I Altei
No.
� Block � I 7racY'�V �
No. of Bldgs �
� Now on Lot
INo.of I No.of
Familles Rooms
� RearYard �Z�
SideVarA .-+�cii�
Address
Costa Mesa, California
of � Type
Dafe
CORRECTIONS
Repair � � Moving � 1 Demolish �
Building l No.of
Size /6�7 Rooms � Stories l
� •lor Wall Roof
�ing /� Covering UC APPR�V.�S
�1,�� of New - • _
Building ,S �`�' Foundation Location Inspecto
' � Forms, MateNals,
!�i � Under-Pinning
� ' # Frame: Fire Stops,
Bracing, Bolts
I hemby acknowledge that I have read this Application
and state that the above is correM and agree to rnmply Lath. Int.
with all Clty Ordinances and State Laws regulating
building construction. Lath. Ext
Signature af /� /%'
Permittee '"��y� ��(.�✓�_ _ Plaster.InL
Valuation Permlt Fee $ .`.i� � �- Masonr
Plan Check $ �� —' Bond B
s �a��i6�' To��
i
Fee $ �� FINAL
. i FORM 204 10��3 O. P. Q$. '
O
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Show Iocation and distancea trom
� property Iina and between buildings
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OWNER $[+jjNj]p[�� Clvde E.- DATE 4-20-65 - _
JOB ADDRESS 806 '.TOSIITl Street BUILDING PEAMIT NO. 238�
GENERAL CONTRACTOA Otmer-Bldr. DESCRiPTiON OF WORK Add PBt.CYk'.to reS.
AP No 115-571-15 LOT TAACT FIRE ZONE VALUE $ 'TO"T.00
' �F.CTinNR I Si¢naM1�re I Date � GROUP J TYPE V ZONE $-1
SUBCONTRACTOR
or
� 23898
� COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 91] ' COHTA M69A. CALIFORNIA
For Applicanf fo Fill In Completely
TYPE OR PRINT
wooae�s"s° D% T v S%•
COSTA MESA, CALIFORNIA
OWNER � N
MAIL
ADDRH88 O NN
re�. •
cirv � -� r�. No. r
ARCHITECT �. TfiL. �
ORENGIN6HR NO
�._
ADDRE88
ceNrascrew � /iniNOL �/J Ut LLI���
�dr� c� ����� ���sa
APR 2� 1965
APPLI�'Ai�� F�R�2MfT
BOIL
For Offica Use Only
P6C61M NO. PEAMIT NO.
� 3d�I�
[V DBY OAT[flCC[IVH� DATC18S11E0
LO (.1 . �r�
�IN6 {
:ESB � D � � u�..ti �i/ .l
3 TVPE/ � 6R 11P
oveo a
o�c
ZONINC3
NO.01 UY6OFN6W
�/ PLANB `1 / lI�ILOINO
�
Y
LIG. NO. �' NO. �'
61ZE /D � X /{�� I NO.O/aLnOs. ALLOWED (U.B.G.REpUIREMENT)
OF LOT 17 V NOW ON LOT
YARDSAPPROVED YARDSAPPROVED
USE OR MAIN BUILDIN6 ACCESSORV BUILOING
EXISTING BLDa. /�
( FROM GL STRE
BBTOACK LIN6 PAOM �
CCNTHfl OP YTR[6i REAR YARD �� RRONT Fi.
r� / �
81DH YARD LHFT I RIGHT R. SIDE Ff. FT.
DESCRIPTION OF WORK L.81DH cT. �.
NEW � ALTfiRATION AODITION REAR y�FT. Ff.
DISf'ANCE BET. BET. MAIN R
REPAIR MOVINO DEMOLISX MAIN BLDGB. ACCESS.BLDGB.
BUILDING / NO.OP V'�'R.Sl DATE
SIZE ROOMB STORIES C.U.P.�j APPROVED
EXTERIOR WALL ROOF APPftOVED 0 /
COVERING COVERINO < BY A E �i
U56 OP BUILOINC APID WORK TO BH PfiRRORMHD
� G � �
.. � � 4� '
� SO. FT.
s
1 HHFlBBY ACKNOWL8OG8 TNAT 1 NAVB REAO TMIB APP{.ICATION TN8 AMOUNT BNO � IINOHR VALUATION I8 POp THH F
ANO 9TAT8 THAT TN8 A00V[ IB CORRHCT ANO AOpH[ TO COM� PURP08H OP HBTABLIBMINO A PEPMIT PEH ONLY. �
PLY WITH �LL CITY OqUINANCU AND OTAT6 LAWI R[OULATINO yALUATION �'
OUILDINO CONBTqURION. "
Q'� n
610NATURHOP PERMITFEE �
PERMITTE �'�"'a'�� — m
s O 7,� _
AUTHORIZHD AO[NT 6 6-'C7
4
TOTALFEE