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HomeMy WebLinkAbout2384 FORDHAM DR - Building Permits4 . ApPlicant to fili in all spaces ezce0� those within heavy borOe� Iines antl si9n all apP�oDriate tleclaratians. _ _ FCOSTA'MESA C�O/NST�RUCT�jj9!N PERMIT PERM NO. � TRACTNO. . LOTNO. 'UNITN6i j � � • ' ' ; • � � �CjectAddress �� �� d7� r'!�^(`/"fA!'✓�- � � a`S`�gI' ' • � � � . -3375 9/18/B6 ; 25�50� '� ' � ' TYPE OFCONSTRUCTION ° NEW ADD ALTERATIOfJ REPAIR � , ` ApplicanYs Mailing Addtess � ' - � � ❑.GONVERSION ❑ DEMOLISH ❑ OTHER ,q,p„# . .t. ' . . _ - Zone Owner'sName [�'CJ �S QA%$ Phone� �Z ' DESCRIPTIONOFWOFK/USEOFBLDG.� � , Address 2� g7 �o �' � Q%n' � I ' 'S Main Building: � � Accessory Building: ' • Arch/Eng. License No. TVPE OF PERMIT GRnDING ❑ FOUivDA7ioN � STRUCTVRAI � T Front � � � ;. p ❑ TENANT� ❑ ELECTRICAL; ❑ PLVMBING ❑ MECHANICAL B ! ' ' . ' N ' Address � , . � , � , �A Rear . . � 1 Con[faCto�'SNam �� � ❑,OTHER i_ .. -. . .'. . .. "' ' _ _" , _ ' _ ' , ' i � � � PROJECTDESCRIPTION Sc4.'FT. � OCCUaa K Right , ; G Addiess (ma I' 91 �S�%�.._1f � � � ; �� � �` CONSTRUCTIONT.VPE VP.LUATION$�p—� $ Left � } � City Licen N j _ ao� � � ZONE � � GRADINGCU.YDS. � ACRES � 1 i - R ' LICENSED CONTRACTOR DECLARATION � ' Ping.'Ref �# � � Parkmg Req./PrOvided � E � I hereby afFl�m tnat I am licensetl�untler provisions of Charter 9(commencing Remarks: ,. ' �� !Pl2nniny NOt25: � ' ' _ ' 1 n wi[h ret[ion 7000)' of Division 3 of the Busine55 antl Protessions Cotle, antl - � - • - � M my lirense is in f ,force antl effect. ' � i - " ' � ' ; � ' 4 � ' ' T Licen e Qass �� � Z g ' - ic,e,(� s�e,No. �y 7� / ' � . � , . S Date��I�, 7�'1 •LJ�- � � " ' PWMBING � . ' ' . -.FEES � - , t ' ' i �- " . WORKERS' COMPENSATION DECLARATION ' � � - . ' � - -) ; ' ' ' hereby atiirm that I have a certificate of consent to selt-insure or a certificate Bar Sink . _ • �• Showers _ _ • '� � ELECTRICAL ' �,, i •= FEES ' , Workers' Compensation Insurance, ar a cert(fietl copy thereot (Section gackflovw Preventer � � � Service Sink � � ' . ' � � ' ' - ' �� � .Boo, Lao. c.) � - � � Automatic Washer . -. � Transfo`rmer ❑ 75�50 KW> . Policy No. � ' Company � � � Backflow Irri ation ' - ' ' ' � - - . ❑ 50+ KW . � � � 8 Certifietl copy is hereby furni5hetl. � 9 , SewC� C2p . COIISLfUctiOn P012Sub5� ' .� . ... - Certifietl co , py is filea with tne city euiidinq Di�ision. Bathtubs '� • Sewer Connection ' Cooking Unit �„ Meter �up tod00 amps . Date - ' APPlicant ' � . � , ... - - � ' EXEMPTION FROM WORKERS' COMPENSATION DECLARATION' � � Cl3iifi¢�5 � • . � ', Solar Collecrors ' - � ,- Dishwasher' � •.� . ' ' Meter ❑Ov2� 100.dmp5 � , (Thi55ec:ion neetl not be [ompletetl if the permit is tor one huntlretl (5300);or � ' ' '- _ � . ' , ' ' less). � . � � ' Dishwasher ,_ ' - _ � SolarPiping ' - � � , _ ' � . Dryers' �Gas � �Electtic . Sub Panel' ,. � � � i : I certify that in the performance of the work for �+'nich this perm�t is izsuetl I . .� , ' - ' zhall not employ any person in any rtianner so as to become su ect to t{�e Drinking Fountains � Solar Tank • � '� ' r Fan � � • i � Worker Co nsat Laws ot Califqr nl� � J - - - ; . Momrs OP7 HP��7/ 8,. ' � Date ��Si9natvre L✓�—�•✓•� � Floor Drains ` ' � Swimming Pool w/Spa ; -' . - F.A U � ' � ' NOTICE:'If,af er making this tleclaration, you shoultl�becom su ect to tha -� _ _ 1, . `'.� Inc.Solar 09-15 HP,�16-75+ { � Workers' Compensation •provisions oi the Labor-Cotle, you muzt forthwith � Floor Sinks ' ' �.' � � � ' • . - Urinal Fixtures ' comply with such provlsions or this permit shall• be tleemetl revoketl. i ' • Microwdv2 , � ' CONSTRUCTION LENDING AGENCV ' � t - � GasServiCe ' Outlets ' � ' '' - ' - � ' � Water Closet Device eoxes pole Li h{ �' � � I nereby afflrm tnaLthere is a construction lentling agency for tne performarice 'j 9 � i ' of the work� for: which this permit is iszuetl (Section 3097 Civ. C.) . Inte�ceptors � ' Water,Heate�. � �� t � . I , Lentlers Name � Outlets Range i Lentler's-AaCress�- � � � '- � - : - - � ---- -� Kitchen5ink • � � � � WaterService ' � i^--- - Switches- ' -- ' 'Sigo -- . �t � '� � � � � � OWNER BUILpEN �ECLARATION ' . � � � � , I hereby affirm thaYl am"exempt from the Contractor's Licenze Law tor the lavatories � Auto-Wash . - . ' � ' . � tollowing reason (Section 703L5 Business antl Protessional Cotle: Any city or Garhage Disposa� � � Standing Sections county which requires a permil to construct; alter. �mprove, tlemolish or repair . � p-Trap � ' Laundry Treys ^ ' Generamn�0-5 KW �5-75 KW � Trasti Com actor anyatructure, prior to its issuance, also requi�es the applicant for suclt pe�mit ' P � to file a signetl statement tnat he/she is licensea Pursuant to the provisions ot � Roof Drains � ' . i . ' ; the Contractor's License Law'(Chapter 9(mmmeP��n9 with Section 7000) o( i � , "livislon'3 oTthe'Bu5ine55 antl Pro(e55ions Cotl¢)bf!thabhe/sile'is�exempt .• - - - ', — - ere/rom antl the ba5is for the alleqetl exempti0n. Any vlolation of Sectlon � � , , ' � ' ' - ' , " ' � J31.5 by any applicant for a permit subjects the applicant to a civil � � '� '- �enaity ot not' more than five huntlretl dollars (5500). , . � .• t - i ] ' 1, as owner of the property or my employees with wa9es as their sole Reinspection Fee $15 � � '� Isue Fee ' $ 3 ' ' ' � � � ' wmpensation, wiu'tlo..the work, antl rne structure is not intentletl or offeretl ' Reinspectian Fee $15 Issue,Fee ' '$�3 � tor sale (Section 7044; Business antl' Protessional Cotle: The" ConVactor's -� : MECHANICAL ' ' . F�EES: - • ` License I.aw tloes not�apply to an owne� of a p�operty who builtls or im0�ove5 , . thereon, and wha tloes such work himselt/herself or through his or her own , � � � i � DEVELOPMENT SERVICES�REQUIHEMENTS: � �; j ' _ � emoloyees, provitletl that such imorovements are not intentletl or afferetl for Boiler . � Hootl or Type I ❑ . � � �. , r sale. 11, noweveq the.building or improvement is soltl within one yearbt com- � Canopy Type 11 ❑� Zoning Approved By '�ate � ' plelion, the�owner,will M1ave the burtlen ot provitl9 he/she tlitl not builtl or iT- DuCt - Und2� G�Ound ' . � ' ' � � ' � �� � , i � � rove tor the purpose,of sale): Building'Approved By � Date � I, a5 own¢� Of the property, am exclusively contracting with�licenseil mn- Duct-St�UctU�al I � Refrigeration Syst¢m , � �Appliwtian ISSpBd By �' � ' •� ' - at� tructors to const�uct the.p�oject (S2CL100 �OG4� Bq5111E55 dOtl PfOfQ5510fI5�COCC: ' ' ' " The Contractor'S. Citense Law does not apply m an owner oi property who Duct - Ventilating , : ❑0-100,000 BTU ❑100,000 BTU ' - _, . � , ' ,$UMMpp�� Y EES � - � builtls or imOroves t�ereon, antl who wntracts ior such projects with a con- - � � ' � �� � � 'j'� tractor(sl' ncense pursuant'to'the conVactor's �i�ense l.aw). I am aware that Exhaust System-❑ Multiple ❑ .System Repair/Alteration BUILDING PEflM1T. ,$' ����-�SMIP' . '. $, '__�_' pwof of�their Worker's Compensation insurance shoultl be provitletl to me. . � - PLAN-CHECK ,$� -'PERMIT; ': . '.� � . ❑. I�am exempt untlerSection 'B. & P. G. for this reasoq FirepVFact. Blt. ICBO # Fire Dampers , i_ � � PLUMBING ' � �$- ' �' ISSUANCE' � �$' t , oate ' ' � 'Owner ' ' Heating System & Ducting � Registers � � pLAN CHECK 25% $' _ ENERGV P.Q � $ _ "' I hereby certity�that�l have�reatl this'applicatio� antl state that the above ❑0.100,OOOBTU �100,OOOBT � ' ' �•'" GRADING� ' $' � inf rmation-is correct. I agree to mmpry,with all city antl munty orainantes - t ' ELECTRICAL � $. � � _ an .state laws relatin9 to builtling mnstruction, ana hereby authorize repre-- . r- i �_ -� :, . ' ' PLAN CHECK 50% �$�, �'' ' MICROFILM $� � , [ives of this city to ente� upon t dbo�e-mentionetl p�ope�ty (o� .� +7� �� ins ection pu p es � ���� � � � MECHANICAL , �$ � ; TOTAL FEE � �$ � •Si nature �" ,�ate . � ' . . ' � " - ; � : ' . . , � , I rivers' License or 55 �, '� i Reinspec[ion Fee $15 Issue�Fee $ 3' PLAN CHECK 25%� ,$- � CMF OB65-46, rev 30/84 White - Builtling; Canary - Applicant; Pink - Acmunting; Goltlenrotl - Assessor �CONSTRUCTION AND PLANNING - ' ' POOL & SPA ' � ���" APPROVALS Permit# Date .Inspector qppROVALS Permit# Date Inspe,ctor � •� 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 UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7�. Footings � ' � ' 58�. Electrical Conduit-Undrgrnd. _-� 8. Foundation � . � ' - � 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. � � 60. Backwash Lines; P-Trap, O Undrgrnd. �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 Elec[rical-Conduit � � � 66. Solar System-Final - i 6. Rough Electric Wiring ' . , 67. Fencing & Access Approval 17: Rough Wi,�ing Sign ' ` 66. APPROVED FOR PLASTERING 18. Rough Electr.ical-T ear Ceiling 69. POOL/SPA SYSTEMS FINAL � 19. Rough Heating & Air Conditioriing � � FIRE DEPT. REQUIREMEIVT ' 20. Rough Factory Fireplace APPROVALS Permit # 21., Ducts, in Structure . � 70. Underground Hydro � � �� 22. Ducts, Ventilating 71. Product Piping �Gas ❑Oil - 23: Gas Pipe-Rough & Test • 72. Underground Flush � , -� 24. Roof Framing ' , � � 73. Undergrnd. Storage Tank O Gas O Oil -� 25. Roof Sheathing � ' Z� 74. Overhead Hydro � � 26. T-Bar Ceiling (Structural) & Monocoat � 75. Dry Chemical 2T. Frame and Flashing �., 76. Dry Standpipe � 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation ' � 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEP.T. REQUIREMENT � 31. Plaster Brown.Coat 79. FINAL INSPECTION . ' 32. Electr'ical Power Meter-Final 80. FOOD CERTIFICATE ISSUED ' 33. Final Electric . ' Notes: ` - � 34. Final Heating & Air Conditioning � . . � 35. Final Gas Pipe-Test - 36. .Hood or Canopy . . . :, �> ;' - 37�: Final Factory Fireplace , - . - ' ' � " '' ' � 38' Final Plumbing ' � : �TT /' ' � �,'� 39� Wafer Service-Final � ` % _ . ��` .,� 40. Gas Service-Final � , . 4 .' , ' ,�41. Solar pomesticFinal / _ � � �'� , ,i" � _42. Backflow Preventer � � ' ' � � p (.;,!' � . �• � i,43� Backflow Irrigation . � �' . �c � - Y. r ; .� . 44. Landscape Irrigation System � ' �� ; �.� .45% Sound Attenuation � � . � �{ ' ' ' 46. HandicapRegulations j � _ ..�� �.'� . 47. �FINAL STRUCTURE & BUILDING � � r � '' : , � 1-� G G- , �r.. ' 48.�SpecialRequirementsCompleted , � �, ` �� ' � ��. 49. Electrie Release to Edison � �� � 50. Gas Release to Southem Califomia Gas Co . ' 51: CERTIFICATE OF OCCUPANCY � �,� No. Date � :,,._ .. .._ .... .. . OWNER (?nat.a_MflSa EStat25 DATE 4-12-�6 JOBADDRES3 2�$�A Fpp(�Y13IR DP1V2 BUILDINGPERMITNO. 2G3�` GENERALCONTRACTOR ROVBII—S�116g2�. CO VAWE a ZZp�O.00 � � 32 BLOCK TRACT 2750 Single Res W�3'tt g3T GROUP I& J TVPE V ZONE �= FIRE DISTRICT 2654 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR � DATE NUMBER Footing Trench � 7. �7' Foundation Forms and Grade to Garagey��< �(J-/q � G Rough Framing I ' : ' ' %/ ��O— Plumbina.RouphtoSlabl�M ._Y'hGS ��i7�. /30p�:..,,�.e. h?7.,,,,1_l:. G-ii•S� (.3o4 Temporary Pole Wiring, Rough Heating, Rough �1,1�� f_ S I�� Heating, Final vl %f s . � ^. �/S�ewer,House L sewer,st. {�'��5 �y. Septic Tank or Cesspool Lx"kSaa.ln Out .,.��i �� e:T._.��in9 C✓v6 y-'1—'J` � • Plum6ing, Final, Fixtures Complete/�ij $ S',�',rJ Plumbing, Fin,al GasTest/S /Ff//S -3- s 7 � Wiring,Pinal MAY 1 1957 VCB occupancy Mf�S �'%1-S'7 FOflM 210 3M 10�55 - .11 Costa Mesa Bnild'u1g Department _�:/ 111 EAST 20lh STREET COSTA MESA� CALIFORNIA FOR APPLICANT TO FI�L IN �'i'd��1i017118� Co�r�/� �pc-�� ��-�f� .�.�L- lI/- 3 '�"� • � y �'l/�l�e%S �n No: Lt/f3 ��i to�c�i�!_� !-�'!t%l• No � �� � cxc>T; II..ot , / No. 3 Y gior.k (Attach Metesand Bounda) j%�� y ` No. of Bld s Size of Lot J�X �� � Now on Lot Useof I No.of I No.of Existing Bldg. Famliies Room�, Setback Line from • CenteroTStreet �f%/� SdeVard ;S"K: DESCRIPTION OF �VORH New I� AltereHon I I Additlon Repatr I I�Moving I I Demolish I Buildin / No. of $iZe 9�l�ilX�ii� Renms � S4n�ias� ra APPLICAIZON FOR PERMIT �� �UILDiNG ;' FOR OFFICE USE ONLY . . Receipt No. _ Permit No. ' o� � � � Received by Date Redd. ,D/ate Issued �",%? �% i�?-� T-/.� -t(� z 3�-, �� Costa Mesa, California Plans �6vering � TU"C�L'G' � Covering -� -� ,�'GZv APP�Ot%L��S Use of Ne Buildin ,7G �L��� - � ' ��C 'Foundation Loeation Inspceto� � Forms, Materials, �- .[' Under-Pinning ' Frame: Fire Stops, Bracing, Bolis I hereby acknowledge that I have read this�Application and state that the above is rnrrect, and agree to comply Lath. Int with all City Ordinances and State Iaws regulating building construction. ��JJ ' � .Lath. ExS. Signatureot �Y,���������-ar.,c� Permittee �-U ���U Plaster,lnt Authorized Agt �ll%1 �� Plaster, ExL Valuation ��miYFee $ �" � Masonry Reinforoed Plan Check $ � �" ' gond Beam $ �j �� �� Total . Fee $ Z- � FINAL ana 2oa � s-sr u�a s-ss O A � 2 D r