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HomeMy WebLinkAbout1833 FULLERTON AVE - Building Permits j' . _- - -_-,_ - Applicant to fill•in all spaces except those within heavy border lines and sign all appropriate declarations. f I@i•T-Yt3F COSTA MESA CONSTRUCTION PERMIT P NO. G7 ; TRACT NO. , LOT NO. UNIT NO: I "' Project Address /24 /L�,EQ7a.S/ Ali $ � l �' 3994 ` a/2C/°7 39e26 TL D r , Applicant's Mailing Address S ��+� ii //y,/( 'TYPE OF CONSTRUCTION U NEW: U ADD IJ ALTERATION REPAIR �l Y �Wj p�yJ'1 ❑OONVERSION ❑ DEMOLISH ❑ OTH = • l - A.P.# _ _ _ _ Zone Owner's Name AZ, /�.�//1����j/�t n /�Ph�o�ntp cs -,:? T� DES RIPTION OF WOR /USE OF BLDG. = - sfAr • - Address 70ZS' Aked '' Si UP C/// I - _ " a- H, ��_. _ S Main Building: 1 Accessory Building: Arch/Eng. License No. - • TYPE OF PERMIT 1l GRADING II FOUNDATION .4 STRUCTURAL . E Front • ZO • • Address . y❑I TENANT ❑I ELECTRICAL ❑ PLUMBING ❑ MECHANICAL I B Rear • N �U2«•Cs'tedee 60. Phony /77 YN OTHER J/Af/24,441 oC/$-.f/Q/^ A_ I Contractor's Name '/ - - - - -,t� PROJECT,DESCRIPTION S � - OCCUPANCY ' )9af'� ,C Right- N Address(mailing) �3802AL � �y•• t' ado K - G �/ ; CONSTRUCTIONITYPE�.a ',Arno VALUATION,$ j0/DO $ Left • • • - R City License No. ZONE GRADING CU.YDS: ACRES LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E I hereby affirm that am licensed Under provisions of Charter 9 (commencing Remarks:. - - - - - - Q with section 7000) of Division 3 of the Business and:Professions Code,and - . Planning Notes: _. j • M my license is i II f•rce - d effect. �� .;�. _ - , T License Class • -'L i' . en - No. �9to Z - I -- - s S • Date -`--- •-r Signature /W7�i1 . ,, - - - PLUMBING i • FEES. ) i 'ORKERS'COMPENSATION DELLA•ATION '• Bar Sink -r Showers• ELECTRICAL _ FEES �(^ iereby affirm that I have a certificate of consent to self-Insure or a certificate - - • 1T A Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer _ Service Sink - - - 3800, Lab, C. p . Automatic Washer Transformer-0 15-50 KW • •\ PolicyNo, 6.73 5 G,3-87 Company 4 A P•4rh( g . •' Sewer Cap' Construction Pole Sub. I KW Backflow Irri anom ❑ 50+ �Certitietl copy is hereby furnished. - - - - - _ - Cer le y is led with the city Illi w , Bathtubs _ rLG.9t-a •7 A �/ ' y ?.Q _ Sewer Connection • s Cooking Unit Meter yup to 100 amps Date at b- pplicant city/ [ as- (J_ • EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors ' Dishwasher . • Meter ❑OVer 100 amps ' (Thissection need not be completed if the permit is for one hundred ($100) or less). Dishwasher Solar Pipin - Dryers ❑Gas OElectric -' Sub Panel ' - - I certify that in the performance of the work for which this permit is issued, - - - - - �' shall'not employ any person in any manner so as to become subject to the Drinking Fountains Solar ank - • Fan Motors 0a HP 01'h-8 • -Workers' Compensation Laws of California. - - - - • , Date • Signature Floor Drains - imming Pool w/Spa - r F.A.U.` - • • NOTICE: If,after making this declaration, you should become subject to the - - -- - - - Inc. ar 09-15 HP 016.15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks ' Urinal • t ' Fixtures comply with such provisions or this permit shall be deemed revoked. - - _ r icrowave, CONSTRUCTION LENDING AGENCY . Gas Service - -I Outlets ' Water Closet 1 Device Boxes Pole Light' 1 hereby affirm that there ii a construction lending agency for the performance -- - ' of the work ,for ‘which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets ' • Lender's Name - - - - Range • -Lender's Address ' _••-- - __ - Kitchen Sink -. • Water Service - - • - • - 'Sign: - - - • OWNER BUILDER DECLARATION Switches • I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories i - Auto-Wash Garbage Disp05. Standing Sections following:reason (Section 7031.5 Business and Professional Codei Any city or county which requires a permit to construct,alter,improve,demolish or repair • P-Trap • 1 Laundry,Trays Generator �a-5 KW❑5-15 KW trash Compactor ' any structure, prior to-its issuance, also requires the applicant for such permit - P to file a signed statement•that he/she is licensed pursuant to the provisions of Roof Drains Eieie Contractor's License Law(Chapter 9 (commencing with Section 7000)of • ti7-vision 3 of the Business and 'Professions Code) orthat•he/she is exempt ' - - , — _ --- - _ - - ^."'erefrom •and the basis for the alleged exemption. Any violation of Section ' , `'7031.5 by any applicant for a permit subjects the applicant to a civil - _ - r penalty of not more than five hundred dollars ($500). - - - 4 . . LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $'3 compensation, will do:the work,and the structure is not Intended or offered - - Reinspection Fee I $15 Issue Fee I $ 3 for sale (Secion 7044, Business and .Professional Code: The Contractor's MECHANICAL ' - - FEES - ' License Law does not apply to-an owner of a property who builds or improves ' thereon, and who does such work himself/herself or through his or her own - _ DEVELOPMENT SERVICES REQUIREMENTS: ' - employees, provided that such improvements are not intended or offered for Boiler Hood or Type I CI sale. If, however„the building or improvement is sold within one year of com- Canopy Type II ❑ •• - Zoning Approved By Date ' pletion, the.owner will have the burden of proving he/she did not build or im- ' Duct-Under GroundBuilding Approved By Date • prove for the purpose of sale). - • - 0 I, as owner of the property, am exclusively contracting with licensed con- - Duct-Structural Refrigeration System Application Issued By Dat ©'y tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does_not apply to an owner of property who Duct-Ventilating i , 00-10 , 00 BTU 0100,000 BTU - SUMMARY OF FEE' , builds or improves thereon, and who contracts for such projects with a con- _- • • tractor(s) license pursuant,to the Contractor's License Law). I am aware that - BUILDING PERMIT $ r7s• .zi_0 SMP $ ; 7 '-` of Exhaust System 0 •Multiple 0 ystem Repair/Alteration - _ proof o their Worker's Compensation insurance should be provided to me. PLAN CHECK $ �.�c PERMIT • 0.1 am exempt under Section B.&P.C.for this reason 1 Firepl/Fact.Blt. ICBG# Fire Dampers • - PLUMBING $ ISSUANCE - $ • ' Date. Owner - • Heating System Ductin Registers. • - - PLAN CHECK: 25% $ - ENERGY P.C. $: ' I hereby certify that I have read this application and state that the above 00-100,000 BTU 01 ,000 BT -• ELECTRICAL . GRADING $ • ' ' information'is correct..I agree to comply with all city and county ordinances- $ _ . . and state laws relating-to building construction, and hereby authorize repre-• - - PLAN CHECK 50% MICROFILM $ • ' sentatives of this city to enter upon the above-mentioned property for - _ $„ �j p inspection pur ses. /^ �/�� r p MECHANICAL $ ' TOTAL FEE $ 3/ 'XJ Signature pi �,�/ —,1.2 .-cid Oateee'20-27 ,Reinspection Fee $15' - Issue Fee • 7 I $, 3 PLAN CHECK 25% $ a - • • Drivers"License or SS# CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor ' CONSTRUCTION AND PLANNING , POOL &SPA Date Inspector , APPROVALS Permit # Date Inspector APPROVALS Permit,# 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. 4 -55. Electrical Bonding , 5. Steel Reinforcement:. 56. Rough Plumbing & Pressure Test . 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE, 7. Footings t . ' - - 58. 'Electrical Conduit-Undrgrnd. ' • 8. Foundation , ' 59 Gas Pipe, ❑"Undrgrnd.,Test 9. Water Pipe-Undrjrnd; - -60. Backwash•Lines, P-Trap, 0 Undrgrnd.' 10. Structural Floor System 631 APPROVAL TO DECK • 11. Property Sewer Line 8-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.Electrical-Conduit 66. Solar System-Final . 16. Rough Electric Wiring - 67. Fencing & Access Approval • 17. Rough Wiring Sign - • ` 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 0 Gas 0 Oil • ' 23. Gas Pipe-Rough & Test - 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing - . 74. Overhead Hydro ' 26. T-Bar Ceiling (Structural) & Monocoat ,75: Dry Chemical ,- • 27. Frame and Flashing - - - - 7 76. Dry Standpipe - • 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation ' /1 78. FIRE PREV. FINAL 30. Drywall Nailing - / HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION • i. 32.32. Electrical Power Meter-Final ' - 80. FOOD CERTIFICATE ISSUED . / 33. Final Electric - Notes: �ovtin Thi. • A``' e e; 34. Final Heating & Air Conditioning �. i 35. Final Gas Pipe-Test ' 36. Hood or Canopy _ • 37. Final Factory Fireplace .. - - 38. Final Plumbing - 39'. Water Service-Final . 40. Gas Service-Final , s41. Solar Domestic-Final . - • • 42..Backflow Preventers - ' • • 43. Backflow Irrigation - ' - I .1 44. Landscape Irrigation System • 45.'Sound Attenuation • '46: Handicap Regulations i - 47. FINAL STRUCTURE & BUILDING 47 ," - ' „ :, . . i . • 11' 48. Special Requirements Completed / 49. Electric Release to Edison - - ;'' , 50. Gas Release to Southern California Gas Co • - +� 51. CERTIFICATE OF OCCUPANCY - ' - • N I No. Date . I ,}O bO PERMIT NO. GENERAL CONTRACTOR H, J. Woo3 DESCRIPTION OF WORKnc qse Ex. porch p' No. 117-10'J-17 LOT 21 & 24 TRACT 847 FIRE ZONE VALUE $ 750.00 ECTIONS Signature Date GROUP I TYPE V ZONE C-1 Soil SUBCONTRACTOR PERMITS ISSUED Gas I Date j Number I Signature Water Plumbing Rough Plumbing Prop. Swr. Line 0 House Con. 0 Sprinkling System Miscellaneous _ Rough Heating and Air Conditioning Temporary Service or Pole Underground 0 Power0 Rough Wiring - Y Heating and Vent. Trenches0 Forms 0 Steel Reinf..0 _ Floor System Bond Beam 0 Steel Reinforce 0 Sheathing 'J Frame and Flashing Lathing — In 0 Out 0 Brown Coat _Phcter, ' ural, Final �lccttA L,,_.mg, Vent., Refrig. and A.C., Final Plumbing, Final and Gas Test 0 Electric, Final�, Building, Final 3i 28167 ;.COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX IM COSTA MESA, CALIFORNIA 92828 For Applicant to Fill In Completely TYPE OR PRINT COSTA MESA, CALIFORNIA TEL. CITY Costa Mesa,.Calif. ST TE 90400 no Li 8-4039 SIZE I NO. or BLDOS. SETBACK LINK FROM DESCRIPTION OF WORK 1 HUBBY ACKNOWLEDGE THATA HAVE READ THIS APPLICATION AND STATE THAT THE ABOVK.IS CORRECT AND AGREE TO COM. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. % SIGNATURE OP" L AUTHORIZED AGENT JM 30 P. 'b8�s-A°fi0v150 b'*****6,01 APPLICATION FOR PERMIT BUILDING For Office Use Only Mucc�NO. PKRI IY,Nq.� REcEI ED BY ATE CID - DAY[ ISSUE, DAYS - n_ - ADDRESS zomi ZONE GROUP APPROVED y�d BY' DATE ZONING ZONE NO. O! v"o—or UEE or NEW 'BUILDING / / LEGAL r s fR DESCRIRION�O a3 3-17 A. P. NO. U NOTE: NO EAVE OVERHANG SHALL BE LEM THAN SO' TO SIDE a REAR P. L. EAVES ALLOWED (U. B. C. REQUIREMENT) YARDS APPROVED YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING (FROM C/L STREET) FRONT FT. R. SIDE FT. IT. L. SIDE Fr. FT. REAR FT. FT. DISTANCE BET. BET. MAIN a MAIN SLOGS. ACCESS. BLDOR. VAR.* DATE C. APPROVED APPROVEDzcl Y D TE 0 SQ. FT. THE AMOUNT SHOWN UNDER VALUATION IS FOR TIIE PURPOSE OF EB "USHINO A PERMIT FEE ONLY. VALUATION PERMIT FEE S PLAN CHECK 5 TOTAL FEE r 16736 FEE COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 317 COSTA MESA. CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT BUILDING ADDRESS 46 COSTA MESA. LIFORNIA RECEIVED AFAR 8 1962. vlv FINANCE DEPT. 0 CITY ObAliffi&NW FOR PERMIT BUILDING For Office Use Only _ C /~ 1/v RECEIPT NO. OWNER I, / ^ `� , ) MAIL ADDRESS a� Jl /� ! REceI D Br! I �w ec D' D Te -ef� TL. 2_ ry -��2 CITY NO.1J ADDRESS ARCHITECT TEL. COSTA MESA. CALIFORNIA OR ENGINEER NO. FIRE ,�0/(r ADDRESS' ZONE TYPE GROUP `�� , APPROVED DATE � WI (l hh i� CONTRACTOR V WN F J-3- I'Y ZONING ADDRESS ZONE NO. OF UBe OF NEW CITU PLANE I BUILDING STATE TEL. LIC. NO. NO. LEGAL 1 C )) DESCRIPTION Li s LJ 1 A. P. NO. j SIZE I NO. OF BLDGS. OF LOT NOW ON LOT USE OF E%ISTING BLDG YARDS EVES APPROVED ALLOWE SETBACK LINE FROM (CENTER LINE 1,,.)CENTER OF STREET REAR YARD FRONT x FT. IN. SIDE YARD ILEFT (RIGHT R. SIDE FT. IN. DESCRIPTION OF WORK L. SIDE FT. IN. NEW II ALTERATION II ADDITION 1,x REAR FT. IN. REPAIR I MOVING I II DEMOLISH I BYV' TE V BUILDING NO. OF 1*7 SIZE ROOMS STORIES -- ----- EXTERIOR WALLS ROO, GG Q 0 (� COVERING COVERING (� COIF Iv��''g CON 11 tl'.1 USE OF BUILDING AND WORK TO BE PERFORMED A _ WE I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLIWTION 1 'AMOL7N1'-SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE 16 CORRECT AND AGREE TO COM- Rppgg�,0E-„EBTABGIBHiNG-A--PERMR-'FEE�ONCF:-- PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION %% N BUILDING CONSTRUCTION. SIGNATURE OF - L p� _PERMIT FEE $,.[-(f! �^ PERMITTEE /J $/� 1//�1 o /q� 7� PLAN CHECK $ / ✓. AUTHORIZED AGENT TOTAL FEE O .1 CD j N D F L r U P. N J i y I j N D F L r U P. N u 0.0 4i ! •ITA I City of Costa Mesa Building DE DATE G L IBV IPLANS MUST BE OP: JOB AT ALL TIME N r'E+, °GES WITHOUT PRIOR APPROVAL < ;e T. E- SSUAN-.E OF GRANTING OF <. PERMIT OR APF iii AND SP. CIVIC AT;OIr', 4w:LL NOT • E CON ;'!:U: a ROV aL G•. FJr' ":CLA'10N C. rL'R7."65 CR. C/''•II hly COO:. v'j pcarnlT G:E>ULiP !j ^PC'.VIS!C;ICSV , .,SL O:i Ge ^'CF.I. THE. PcC•hil0:, A 'ii}nT�' i< I -pP(I -.. THE ")(CC.,I4 5 : ,.g MF ICH li A:!T!jOk7E5 15 LAV/i".1 . i THE i'_SUANCL-OF A PERMIT EASED U "v P' SP CIF; •110NS SHALL NOT PRc:'EWi-:H'c. P' M TFI Er'•PfER BEQUIRiNG '!HE CO3RECf CM JP A 'S AND SPECIFICATIONS OR 13 ILDING ERATIONS BEING CARRIED ON THEREUP IN VIOLAT10 OF THIS CODE OR OFA ANY OTHER OR" HE CITY. X S EE.4Af ✓< YL FOC7 -S D yS1,)Y IVALL GV TS 7`V� s 7- ,y f� 1A OF -, hl � ;•. ,6v� `mss f ! �� 20R5"IN I _^ R wHEN \ NCE OF Ly l2 X l2 S7,P/4.Ez ((� z. I , . _ 7 ryP L2.74P c I� J-4 i� .STS DET,4/L SL QLE AIi. l Norte i,P�R� is s1S/� w/mac FOUR CEE SERVICE CO- CARL 0.CARL L SC WYANDT MS SOP40RA ROAD � COSTA MESA. CA 92626 &-ka rAVOL (' 3 8 -ry ➢r�'�- . T TOP RAIL ONLY EXT -E P /d Z. ST.4)`kZe),4 °s 7A 33 IFULLEeTDIV A\/�_ cos-r� nr�s� c y� SG4LE %y' Ff-20-Fs7 GLS ;,:.