HomeMy WebLinkAbout3399 FUCHSIA ST - Building Permitsi:I�. �.-' C�5_:: :.nSA iu.tiu��� :�iZ G�C�2._ ,.
TRACT N0. 7 � � � C-
Lor n�o, 3 Z
n�Dt�ss 3 3�� �'cJ C 1�4 S(�
DATE / ' Z- �— `Z. �
The developer of the above entitled tract desires to sell the above set
forth lot prior to the time that the tract has been completed aad its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreemen:, acknbwledges that
(he-she-they) (was or were) advised that this tract has
not been given final inspection nor has it been accepted by the City of Costa Mesa
as having complied with the conditions of approval which were imposed by the City
at the time the final tract map was approved.
The City assumes no liability for the enforcement of the conditions
necessary for approval other than those condit3ons protected by surety bond.
The undersigned agrees to indemnify and hold the City harmless from
any claim reaulting in damage or peraona2 injury to the undersigned by reaeon
of the aforementioned uncompleted conditioa.
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BY �
� Purchaser �.
� BY �� �I. �"��:�
Developer and or authorized
„ .., repYesentacive : � '_
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, ,,:� , Lender
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�" '� • ApPlicant to filt in all
j� CITY OF COSTA MESA � aEgprl~T NS
��ONSTRUCTION PERMIT � �
within neavy EorOer lines ana sign all 5ppro0riate eeclarations.
` TRACT NO. LOT NO. BLDG. NO. � - ��� • ,
M
Project Address ��S F�Gy(�� � S'T": ' TVPE OF CONSTRUCTION ' � '
Ownef Q f10A�� f $CL( K(LPhone 7_r/6p ❑ NEW ❑ ADD, ❑ ALTERATION = � . .
Addrea 33�'j�'j FVG.{(f�p .SY'' ' ❑'REPAIR ❑CONVERSION �DEMOLISH.
•Arch/Eng. � • License No. �- � ❑ OTHER _ " _
. Address - . . OESCRIPTION OF WORK , l _ -_
ContracmrO��N�N6'2^BV�LDQf'� - Phone� •� TVPEOFPERMIT ' ' - � � •
Addf¢55 ' ' ❑ GRADING ❑ FOVNDATION •..� STRVCTURAL
IICENSED CONTRACTOR DECLARATION ❑ TENANT ❑ ELECTRICAL ❑PWMBING. OMECHANICA
1 hereby aftirm Mct I am licensed untler provisions of Charter 9(com-. � .
mentln9 w�th sectiom ]000) ot Division 3 of the Business. antl � 0 OTHER � �
Protessions Cotle, antl my , license is In tull force antl effect. pROJECT �ESCRIPTION -
Llcense Class' �icense No. ' � '
Date � �Si9nature SQ. FT. � :
WORKERS'COMPENSATION DECLARATION • "OCCUPANCY_CONSTRUCTION T�VPE
I bereby affirm that I have a certificate of consent to self-insure or a �VALUATION ZONE
cerli(Icate ot Worker5' Compen5ation InSurance, or a cer[iiietl copy . ,
thereof (Section 3800, lab. C.). GRAOWG'CU. VDS. ACRES
" "cy No.' Company
;rtifietl copy is h¢reby furnishetl. ,. REMARKS: .
.ertifietl copy is filetl with the city Builtling Division. .
tXEMPTION FROM WORKERS' COMPENSATION DECIARATION
(7his section neetl not be complet¢tl if the permit is for one huntlretl - .
67l.7 B/25/82
NING REGULATIONS -
A.P,. � •
ZONE ' - ' PLNTGp. R�EJF. �
SETBACK C L T. GROPE�RTDYNLI
LIDE VAR� . ..
5EF
R�IGHTA � � �
REAR VARD'(TO P/L)
PKG.SPACE'REq. ' PROVIDE
STREET WIDTH PARK'FEI
SPECIAL CO
(E300) or less). '
I cartify that in Ihe pe�fo�man t the wo�k /or whith his permit i5
iSsueC, I shall not'employ any pers In any man so s become PLUMBING PLAN CHECK. ' ELECTRICAL
SubjEtt,(S�O the'Worke�5' Compensati n ws of Cali r ia
Date " Z���4�Signature B.4THTUBS SHOWERS
NOTICE: If after making this tleclara' you sh Itl ecome su ject� TOILETS . . URINALS
to the Wo�ke�s' Compensation prov Ons of the Ldb r Cotl¢, you must �
forthwlth rompty with such provision this permi shall be tleemed LAVATORIES . OOVB�E LAVS
revok¢tl. � KIT.SINKS -DISHWASHERS
CONSTRUCTION LENDING AGENCV
I her¢by affirm that there is a construCtion lentling agency tot the per- SERVICE SINKS SUMPS
formance of the work for which this permit is issuetl (Section 3097
Civ:'CJ.. � - ' - ' ' - • FLOOR SINKS . . FLOOR DRAINS
Lentle�'s Name
�Lentler's Adtlress � � ' DRINKING FOUNTAINS . •
OWNERBUILDERDECLARATION 'INTERCEPTORS ' CLARIFIERS
I hereby affirm that I am exempt from.the Contractor's License Law for
tbe following reason (Section ]031.5 Business antl Professions Cotle:. � SWIMMING POOL P TRAP
Any city o� tounty wbich require5�a pe�mit to Cons[�uct, alter, o
improve, tlemolish or repair any structure, prior to its issuance; also re- yyqTER SERV ICE ALTERATION - �
quir¢5 the ap.licant for suth permit to file a si9netl 5[a[Ement that he
Is'licensetl pursuan[ [o [he p�ovi5ion5 of the Contracto�'S license Law .
fChaoter 9(mmmencino witM1 Section ]oOnl ni nivisinn 3 nf iM1e 'GAS 1��QUTLETS - '',
nusiness ana rrwessions i.oae� or �nac ne is exempt tnererrom ana me - yyqTER HEATEfrS •� BTU OVTPUT
�for the alleqetl exemption. Any violation of SeCtlon ]031.5 by
��� pplirant tor a permit subjetts the applicant to a civil penalty• SEWERCONNECTIONS •'
t more than fiv¢ huntlred tlollars ($500).
s owner of the property,%e.rny ^^�y -• •�^^ SOLAR TANK COLLECTORS
rtfne�dTl�rtrwill tlo the work, antl [he structure is not intentletl
or offeretl forsale. (Section 7044, Business antl Rofessions Cotle: The SOLAR PIPING SVS. � '- •
Con(rdc[or'S License Law tloes not apply to an ownet, of a p�operty
who builtls or improves [hereon, antl who tloes such work himself or ' ISSUE FEE - ' ��
throuqh his own Employees, providetl that such improvements are no[ '
intentletl or otferetl for sale. It, howeveq the builtlinq or improvement MECHANICAL PLAN CHECK� �
is soltl within one year of completion, tM1e owner will have the�burtlen
o( provinq he tlitl no[ builtl or improve for the pu�pose of sale). HEATING SVSTEM 0100,000 BTV
❑ 1, as owner of lhe properly,.am exclusively conVactin9,wltn ,ANDDUCTING � �
IIC205Cd COf1IIdCI0I5 �O COOS[IUCL IbC pfOjECf (SCCIIOO JOGA� BIlSII1255 ]OQ�OQ� i BT�J
antl Professions Cotle: The Con[ractor's License Law tloes not appty to -
an owner of property who builtls or improv¢s thereon, antl who con- REFRIGERATION 0-100,000 BTU �
t�acis f�om suth prolects with a contractor(5), liresnetl pursuant to SVSTEM -
the Contractor's License Law). 100,000 + gTU �
❑ I am exempt untler $ection B. &' P. C. fo� this BOILERS BTV
reason
Da[e Owner SYSTEMREPAIR,ALTERATION
I hereby certify tM1at I have reatl ihis application antl state tha[ Ne above EXHAUST SVSTEM •- MVLTIPLE
Inlo�mation is wrteCL' I agree to comply with all City antl munty
ortlinances antl state laws reiating to construction antl hereb a th �
Y u onze
representdTlO s of this ci y o' nter upon . the above mentionetl .
property f inspectlo urq ses Lk �F �
Signature � Date '
Drivers' Lic se o 55 - � � - ISSUE FEE.
CMF 0865-46 i e-Builtling; Unary-Applicanh, Pink-Accounting; Goltlenrotl-Azsessor
a
5.�0 TL
5l]. FL
TRANSFORMER �'1`KW_I-lOKW, �
APPLIANCE 30-50KW 50+KW
MOTORS p-1 HP_1�30 HP
(IN0. SOLAR) 30-50 HP 50 + HP " �
FIXTURES �, OUTLETS� SWITCHES � �-
GAS TUBE SIGNS � �� � � .. ' i
POLE���GHTS � • , ' r
POLES ' METERED-" SUB "
PANELS � - MA�N� � � C �UB e� � - - '
� ^ L
SERVICE'.., . �. ' ' ' , .ii
�amr�Pie 1di6P'r.tiBM.�' .
�—.=i.— `ti .
]� L _
Date - • •
. -� ISSUE-FEE- �- ' � � � ' - � �
.�_:� _� ..j
�APPLICATION APPROV ED BV� � . ... DATE
�� SUMMARVOFFEES� � �.
-BUILDING - .
�PERMIT E � ��SMIP •. ' $
PLHNCHECK E e .oD PERMIT • � •
ISSUANCE 5 �
1PLUMBIfVG § ' � � � -
� ' ' . GRADING-�S
'�PLANCHECK $ - . . �
��i'�.,�- . . • $ . . �.�'�. �
ELECTRICAL S ' . -
;PLANCHECK $ . MICROFILM $ �
MECHANICHL-$- TOTAL FEE E �-"
, PLAN CHECK � $ LE55 AD- , '
, VANCEPC '§_ s
, � . ... - . � .. j
� FINALFEE $� i
. . . . _.-• • :
�C
' .. 1. .. . . ", - i' � �" " _ , . ..
OWNER �g�,,rjN DATE 1�7��73
JOB ADDRESS �'�99 Fuchsia St. BUILDING PERMIT N0. �540�
GENERAL CONTRACTOR Owner Bldr. DESCRIPTION of wORK i
AP No. LOT 32 TRACT 7718 FIRE ZONE VALUE
11 :TIONS Si n r Dar GROUP TYPE
5G SUBCONTRACTOR
GAS
SWR. LINE I✓YNOUSE CON.
MISCELLANEOUS
ROUGM HEATING AND AIR CON�ITIONING
TEMPORARV SERVICE OR POLE
UNDERGROUNO � POWER �
R011GH WIRING /
TRENCHES Q.'� FORMS Q' STEEL REINF.
FLOOft SYSTEM
BONO BEAM ❑ STEEL REINFORCE ❑
SHEATMING
FRAME ANO FLASHING
LATHING - IN OUT '
PLASTER, BROWN COAT �
i, VENT., REFqIG. AND A.C., FINAL
IP. .ING, FINAL AND GAS TEST
ELECTRIC, FINAL
BUIL�ING, FINAL
T
I
" 359G3 P���=
� _ IA�J a_�-73c�,-.ODt t77>: ;•i„� 15�J.3!I
� COSTq MESA BUILDING-SAFETY DEPARTMENT . �
301 CR P•0• gOX 7200 COSTA MESA, CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
ForApplicant to Fil/ in Completely RECEI ED V DATE RECEIVED DATE ISSUED
ADDRES$ 3399 Fuchsia Street �� ' �°2'7 �`�a'`73
fi�Nt T N .
OWNER Q In S Q'f A.P. NO. J�l /iJv
BUILDING C � S �
Z . r�
ADDRESS 16255 Ventura Blvd. �+D�RESS
aU CITV Encirn"' CQ No`.�986-8890 TRACT 77�� LOT 3G BLOCK
ZZ W P
Q CONSTRUC710N
o N LENDER LarWin $o. Calif.
6 m 16255 Ventura Blvd.
J � BRANCH
J N OWNER '
m J ADDRE55 ' � /"�/� ALUE ,{�y}
ARCHITECT TEL. �!/. S �uv �
J a OR ENGINEER Larwin - No. 273-4464
U Q FIRE
w�' ADORE55 9100 Wiishire Blvd. Bev. HI��S ZONE TVPE GROUP
d W APPROVED
JO CONTRACTOR Larwin �O/. Calif.� �IIC• BV DATE
m Z
�� ADDRESS 16255 Venfiura Blvd. Zo rvo.oF use oF
w W TEL. � p�p,ryg Z BUILDIN�
Z� cirv Encino CA No� 986-8890
w� STATE CITV �'ARDSAPPROVED YARDSAPPROVED
N� ��c.No. 1913�� LIC.NO. MAINBUILDING ACCESSORVBUILDING
�� SIZE NO.OF BLDC.S. (FROM CL/,L ST EET)
OF LOT 56 X� O3 � NOW ON LOT O RONT 7' �FT. FT.
USE OF Q`'
EXI5TING BLDG. I S FT `� FT.
F SIZE OF NO OF �
z Newa�oc. 1987 qOOMS STORIES � L.SIDE S FT. FT.
EXTERIOR WALL ROOF
�% COVERING SIVCCO COVEqING Wood Shin IE REAR 2-O FT. FT. �
J USE OF eUILDING AND WORK TO BE PERFOFME� DI5TANCE BET. BET. MAIN &
a ' MAIN BLD(35. ACCESS. BLDGS.
a
� Construction Sin le Famil Residence C URP.�{`+ °aaaoveo
� APPROVE ' S TE
N
z HOLD FOR PEC L RE 'S
O
UI hereby gcknowletlge that I have reatl this application and state 7�
� that the above information is correct and agree to comply with
� all laws rqgulating builtling consvuction, and I shall not employ
F any person in violation of the workman's compensation laws ot
. y the State of California. . � � (f � / _ Q+
Z � lf SQ, FT. ��� o
I he�eby Certify that I am properly licensetl as a contractor under
She State of California Business antl Protessions Coda, Divisicn 3, THE MOUNT SHOWN UNDER VAIUATtON IS FOR �
Chapter 9, antl that such licenses are in tull force antl effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: m
am exempt from the provisions ot the Stete of Ca�itornia Business �
and ProfeysionsCotle, Division 3, Chapter 9. VALUATION m
PERMIT FEE $ � O� O j
Sipneture a ,.,, A (/ m
Permittee `�/��i�'c...� D. Downs s�� D�� PLAN CHECK $ 50.75 e
/ `/ °
Authorizad ABent TOTAL FEE $
/ �� �V LL
OWNER SCHAEPER, R. J. DATE 6-1-'
LOT '32 TRACT 7718 FIRE ZONE VA
WS
SUBCONTRACTOR
ROUGM PlUM81NG
� VROP. SWR. �INE Q MOUSE CON. �
SPRINKLING SVSTEM
MlSCELLAN[OUS
ROUGN HEAT�NG ANO FIR CONOITIONING
TEMPORARV SERVICE OP POLE
UNDERGROUND [� POWER �
ROUGH WIRING
Q TRENLHES FORMS STEEL REINF.
� FLOOR SVSTEM
BONO BEAM rj STEEL REINFORCE I-I
SNEATHING
FRRME AND F�ASNING
LATHING - IN n (
PLASTER, BROWN COAT
_NT„ REFRIG. ANO A.C., F
FINAL AND GAS TEST ❑
NRI
✓
i
,r r409a
COSTA MESA BUILDING-SAFETY DEPARTMEN�
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING 3 r v c G-I�/ f�
ADDRESS
OWNER . �T• �] C ���
MAIL
ADDRESS �T
CITY S �O`�� . L �J �'
CAN5TRUCTION • '
LENDER
BFANCH
ARCHITECT TEL.
Ofi ENGMEER � NO.
ADOflESS
�UN-1-77Ppt�0� 064� ***�10.5G
r,nsn
A P CA ION FOR STRUCTURAL PERMIT
R V DATE RECEIVED DATE ISSUED
'G-�-�3
_/ ^ O PERMIT NO.
A.P. NO.
BUILDING /�
ADDRESS j
� TRACT ?/ LOT � BLOCK ,
NEW ADD ALTER P
OWNE • C /' � P •
USE r_' � VALUE
C
FIRE
ZONE T PE �GFOUP '
APPROVED
NTI7ACTOR O �/,/ I✓ (�(� ' B�' ' DAT �'�
ADDRESS
� TEL. ZaNE NO.OF USE OF NE
CITV NO. � �� P�NS BUILDING �1�� �
� STATE CITV �'ARDSAPPROVED VAROSAPPROVED
LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING
6a� SIZE `' NO.OF BLDGS. (FROM GL�TREET)
0. OF LOT ��/� (� G NOW ON LOT FRONTA /%�� FT.
a USE OF �
i„�. EXISTING BLDG. R�SIDE FT. FT.
ti
FSepara[e permits are required for L. SIDE ^, FT. FT.
electric, plumbing and heating work. • � �
G REAR � FT. FT.
W USE OF BUILDING AND WORK TO BE PERFORMED
F DISTANCE BET.. BET. MAIN &
QQ ' MAIN BLOGS. � ACCESS. BLIX'�.5.
� '�-I� '�-l. (L3� �I (i VAR.# DATE
a �i v v� �.. d C.U.P. # APPROVEO
� � APPROVEf��yQ. � /' �i
}, (O /
�
C
w
0 I hareby acknowledge that I have read this application and state � � �
n
a that the above information is cor�ect and a8ree to comply with ,
m
p+ all laws reeulating building consttuction, and I shall not employ
i
z any person in violation of the warkman's compensation laws of d
5 the Stete of California. . ' m
3 I heraby rertify that I am properly licansetl as a contractor untler Sd. FT. rv
tha Steta ot Calitornia.eusiness and Professions Code, Division 3, THE AMOUNT SHOWN VNDER VALUATION IS FOR m
Chapter 9, and that such licenses are in full forca antl effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ON "
am exampt fr he provisions of the State of CaII ornia Business p
VALUATION PERMIT FEE S
end Protessio s Co ivision 3, Chapt f 9. � n
m
Signature � /� �— PLAN CHECK $ o
Permlttee TAX $ LL
E
U
Authorizetl AOent TOTAL PAID S �