HomeMy WebLinkAbout823 GOVERNOR ST - Building PermitsPflOJECT pU0flES5: B Z 3 GOVERNOR 3T
OWNEN'SNRME: LINVILLE JAMES R
- AOUHESS: '168[�S VI�. SNTA LUC.
MV, CA
380—]216
AflCHIENGINEEB:
PDOXESS:
flEG.NO.:
UNIT:
UNIT:
PEflMITTEE: AKS ELECTRSC ( 714 ) 641-3550
ADOPESS: 1315 EAST ST. ANDREWS PLACE C
SANTA ANA CA 92705
LICENSEO CONTBACTOfl OECWBATION: I hereGy allrtm �Aal I am licensetl un�er Omvisions o� C�apler 9(commencing wilh Section
7000) �I �iwsion 3 0l Ihe Business antl Pmiessions COGc, an0 y¢ensa is in fulllo¢e antl elle[t.
cirruc.: U4 34 sTaTeuc.:480224 �� ' ] _
77y�� � SignaWre: _ _ _�
WOPNEBS'CO PENSATIONOECIAflATION: I�pr¢Eyallirml�allhaveaCertilitalBalton5enl�osell-in5ure0racerii�iC' orkers
Comoensation Insurance or a certifietl cooY �nereof (Seclion 3800, LaO. C1.
voucvNo.: WPA054U509 E%P.OATE: LO�OSIyl
comeaxr: FIREMANS FUND
"� Ceni�ietl ca➢Y a �ereby lumishea. � Ceni�ietl coDTG file0 wit� Ne Ciy 9uiltling OiviSion. �
E%EMVTIONfflOMWOPREflS'COMPENSRilONOEtUflRiIOF (ThisseClianne¢On01b¢fAmpl¢t¢Eil��epermlistatqlehu (Sllplo�l¢55�.
I certify I�a� in Ihe pedorman[e ol t�e work for wh�pp �pi5 permil is issued, I s�all nol emDloy any person in any mann sa as Io beco
5u0�etl �a Ihe WOM1er3' fAmpenSaiion laws of Cali�omia. '
�aie: Signature:
NOiItE: il, afte� making t�is Geclaralion, yaU 5�ou10 �ecame su01e�� �a �he Workers' Campensalion O�ovivons ot ihe LaGor
Coae. you must ionnwith compry wi�n such provisions or ihis permit shail be AeemeC revokee.
CONSTNUCTION LENOMG AGENCY: I �er¢�y aryi�m I�ai I�¢r¢ is a can5lmt�i0n I¢naing aAenCy tor I�¢ p¢dOrmance ot I�e work �or
which Ihis permit is issued (Setlion 3W7. Civ. C�.
LENOEN:
AOOflESS:
OWNEB BUILOEN OECLABRTION: 1 hereGy afiirm i�at I am eKempt imm t�e ConVaclors' State License Law for t�e lollowinp reason
�Section 7031.5 Business an0 Pmlessional CoUe: Any city ot county whic� repuires a permit ta canslNtl, alter, impmve, tlemolish, or
reoair any slmcture. o��or to ils issuance, also repuires ine applicant lor such oermil to file a signeA statemenl that ne/sne is licensetl
DurSuaN �o Ih¢ pmvisioni o� �h¢ Coniratlors' $tate Lic¢n5e Law (ChaO�er 9(commencinq vnlh Sec�ion 7000) Of Oivivon 3 oi ihe Buvness
ana Pmiessions CAeel or ihat helshe is exemD� �hetelmm ana ine oas¢ far Ine alleQetl exemption. Any violation ol Section 7031.5 by
any applicant br a permit SUGIe«5 Ihe aDVlican� �o a civil Denalry of nol more t�an hve Ilundfetl Oaltars (5500�.
I. as owner ol Ihe pmpeny ar my employees vn�A wa0es as �heir 5ole compensdtlon, will tlo lhe work. antl t�e
❑ simcmre is noi imeneea or oilereA lor salc �g¢qion 70a4. Business anG Pmfessional Catle: The Contra�rors' State License law
aoes no� apply Io an owner ol a pmperiy who bUilEs or impmve5 �hereon, anG wh0 Ao¢5 SUCh work �imselllher5ell or IhroUA�
his ar her own employees. pmvideA Iha� such impmvemenis are noi inlen0etl or allerea for sa�e. Ii, however �he huildin0 or
improvemenl is sald vnNin one year ol comD�etlon, �he owner will �ave �he burtlen o� pmving Ae/she tli0 no� Ouiltl or impmve
br ine purpose ol sale�.
I, as owner oi Ihe pmpetly. am extlUsivelp �omraciing wiih licensed conVacmrs lo conslmd Ihe pmleci (Seciion 7044, Business
❑ antl Pmfe55ions Code: T�e fAniraclors' State LicenSe Law Ooes nol apply �o an owner ol Omperiy w�o builds or imD�oves ther¢on
and who contracis lor suc� pmjecls vnlh a conirac�oqs�license Oursuant lo t�¢ Coniraclars' Stale lic¢nse Law�. I am aware
tha� pmo� ol Iheir Worker'S Compensalion insurance SAould Ue O�ovitleE lo me.
� I am ezempt untler Seqion: B. B P. C.
�or this reason:
�am: Owne[
I Oo �ereby cenify Ihal I am aware ol an0 un0er5tanG t�e requirements af Califomu Health antl Salery Coae Seclions 25505, 25533, anG
25534 ana ��ai I or any WNre Duilding occupani �yill/will not (circle one) neetl lo comply wii� saiU slaie cotles antl t�e reQuiremen�s for a
permil tor cons�mclion or moailicaiion Imm Ine qir Ouahty Managemeni Oislrict. Fesitlenlial conslmc�ion applipations are exemp� Imm
Ihese pmvisions.
�ale'. AVGlicant:
I nereby teiliiy Ihal I have rea� Ihis appliCaliOn aq0 Slaie Iha� Ihe above inloimalion i5 Corretl. I aqree Io
orainanws an0 51alelaw5relaiinglo �uiltlmg construction an�f�flL�y aulhorkerepresentalives ofi�is cilylo
praperly lar in5�eclion�purpases. ( 1 n �
Driver's �ieense ar Suciai Seaniy q:
t6<b<6 Wlnie—Building; Green—Codo Enbr<emenL Canary—ApplicanC Pink—Revenua:
with all ci�y anC counly
on ihe a�ove�memionetl
CITY OF COSTA MESA — BUILDIiVG PERMIT PERM NO: E U54914
P'r".RMIT NO: E 054914 PLAt�] CHECK NO: N GOVT; Y SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE; ELE PURPOSE: OTH
JOB DESCRIPTION : SERVICE CHANGE & CONNECT�ON SQ FT:
CLAIM VALUE; CALC—VALUE: GROUP OCC: R-3 /
C0:1MENT5: **� CI7Y PROJECT NO, 91--07 �`**
if �iF iE jE * iQ jf-�� �M� if �� �lf �lf if dF 9f lE �� aE M�3E �k at �lE iE �li iE �if �1i iE iE �lE �7'r iE #�lf �� if if �� �k iE lf -]f �%iE �lf �]i� iF iF ie iE�� 3E �l4 �k iE if iE �k �% if -lE k�)E-]E �7i i6 �)f if # iE iF X#` iE 7F iE H
Z O N I N G R E Q U I R E M E N T S
sETaAcxs
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDINL; ---------
FRNT: FT IN REAZ: FT Ih FANT: FT IN REAR: FT IN
LEFT: FT ZN RGHT: FT IN LEFT: eT IN RGHT: FT IN
PARKING REp • PROV: PARCEL: 92243315 ZNE; REF NO;
PI.ANNING Nf)TES>
�
� if if iE iE if fE if tE fE iF # 3F �f #� jF 3E i(� iE iE iE # iF iE f� �IE 3F if V.-�1Fi(� i"r �IE j(-iF fF iF if if ii� i(� if iE iF ii fF if t# iElf 3f iEiF # ie 1E iF ff # if 1E IEY� K� iE ii 3E iti if iF �k i'r # iF iE K� 34 3E
' D E V E L O P M E N T •S,� R V I C E S R E Q U I R E M E N T S
ZONING APPROVzD BY DATE:
BUILDING APPROVED BY ; � DATE:
APPLICATION ISSUED BY: DATE• —IZ � I
1Eie3F3EiflFiEiF1E�lkiFiElE#tfiElf3EifiiN.if.if'iF'iFi�. .. .. r . .n . r � '�fRiririF£iE�IE'1FiFiFifK�iEiFiE : . Xieih
iE 3e iE 3E iE 7f IF � 3f iF iF If iE IE if !E iE 3F if !f iF 1ElE if #�E it �lE if iE 3('i�-1k iF if IE it� ' y-aF 1f iE E ic iE if !f 3F 3i� if if fi if fF ff if K� if iE i6 if if �)f 14lE �F�le !e ie IF iF 3e 3E 3e �e 3E 3F ##
LEGALIZATION:N F E E S U r� M A R Y STRUCTURAL SEGNENT;N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
r
� �Oa SMIP/NON—RES
PLAN
ZSSUE FEE 15.00
HUILI�ING—llIV—> PERMIT ISSJE PLAN—CHLCK TOTAL PAID DUE
TOTALS----> 0.00 0.00 O.UO 0.00 .00 .00
REVENUE DIVISIUN TOTALS--> COLLECTED; ,UO OVER/SHORT: ,00
BLDG FMT PLUM3ZNG ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHcCK
iE iE 1f i(• iF K� ik iF if !f� dE iE !E!e if iF iF 1h'.{� %� iE 1f if iE K- 3E iE iE 1E it if if �� iE iE iE iE iE af if 3E #� iE iE ih 1F IE IF i! 1f 1f !� 1E iE iF iF3f 1(� �1i� �lE iE �lf !f 36 iE iE 1E #!� 1(� 3E If !F 3f• f6 iP 1F le iflf
I N D I V I D U A L F E E B R E A K ll O W iV
TYPE QTY D E S C R I P T Z O N UNIT COST TOTAL COST
ELE 1 SERVZCES BELOW 600 V S HELOW 201 AMP 18.50 18.50
END OF ^EES
� . _ i t .
��::TG �7.�.�'.' .� . , _ � .. � � '
I��' "' ' _ " _ �.. , �I//���'�/I�
L�.L,
CONSTRUCTION AND PLANNING � POOI ;PA ' •
APPROVALS Permit# � Date Inspector qppROVALS Permit# Date Inspector
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. Elec[rical Bonding �
5. S[eel Reinforcement 56. Ro�gh 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 & Ven[�Final
13. Roof Drains 64. Plumbing System � Final
14. Ro�gh Plumbing 65. E�ectrical-Final
15. Rough Eiectrical-Conduit 66. Solar SYstem-Final
76. Rough Elearic Wiring 67. Fencing & Access ApProval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling • 69. POOL/SPA SYSTEMS FINAL
1�9. flough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20p Rough Factory Fireplace APPROVALS Permit #
2�. Ducts, in Structure 70. Underground Hydro
2'i. DuMs, Ventilating � 71. Product Piping O Gas OOiI
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
�5. Roof Sheathing . 74. Overhead Hydro
26. T-Bar Ceiling (Structuraq & Monocoat 75. Dry Chemical
27. Freme and Flashing . 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINA�
30. Drywall Nailing � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat � � / 79. FINAL INSPECTION
32. Electrical Power Meter-Final � `' .� 80. FOOD CERTIFICATE ISSUED
33. Final Electric � �/ Notes: '
34. Final Heating & F.ir Conditioning � '
35. Final Gas Pipe-Test
, 36. Hood or Canopy �
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service�Final �
40. Gas Service�Final
41. Solar pomesticFinal
42. Backflow Preventer �
43. Backflow Irrigation
44. Landscape Irrigation Sysiem
45. Sound Attenuation �
46. Handica� Regulations
47. FINAL STRUCTURE & BUILDING
48. FINALPLANNING �
49. Electric Release to Edison ,
50. Gas Release to Southem Califomia Gas Co i
6
51. CERTIFICATEOFOCCUPANCY � '��
No. Date � •
f-TY OF CUSTA MES.
CALIFORNIA 92828 P.O. BOX 1200
FROM TME OFFICE OF THE DIRECTOR OF BUIlDIN6 SAFETV
Project Address ��3 C�O���Y,��. S � •
Project Name E1VG�5�`�� C-u�'�V�p�R-C� �6�`t2-v'�C
Owners Name �V�v�nES p` . Li N U t�\E
Raners Address _�a 3 C���EVLttibtlL ST.
O.mers Telephone ��S"���b
City Ose Only
I \�w��S ����U����C as O.mer, , t(strike out all
except one) do hereby attest that employment of any person, or persons, is not
anticipated at the time of seeking the above-referenced permit. In the event that
any person, or persons, are e�loyed under the prwisions of this permit, I shall
imnediately cause a valid Certificate of Worlmiens Cong�ensation to be filed with the
Costa Mesa Building Division.
I agree to defend at my own mst, ard to indemnify and hold harmJ.ess, the City,
its officers, agents and/or �loyees, from and against, any and all liability,
dam�ge, costs, l�ses, claims and expenses, havsoever caused, resultirg directly
or indirectly fran, or oonnected with the improvement under this petmit.
I further state that I have read arc] fully imderstard the implications and re-
sponsibilities of the above statements, and will ca�ly with all provisions of the
Contractors State License Iaw found under the Business arrl Professions Code,
Division 3, Chapter 9, of the State of California.
-J14V�1E5 _\�- �l4VU��li
Print Nam�
gnature
�o--q-Bo
Ik�te
CMF 0777-46
�
ORANGE COUNTY BUILDING DEPARTMENT
, 636 Norfh Broodwa7 .
- SANTA ANA, CALIFORNIA
FOR APPLICANT TO FILL IN
SCHOOL DIST.
OR TOWN COSYsS Meea
NEAREST
�Ros55T. placentia Ave.
OWNER CheYenne Homes Inc.
no"oRess 9i6i Wilahire Blvd.
c�*Y Beverly Hille No`CR 54361
ARCHITECT R IC.
ENGINEER GPnin-McRerrache�0.
ADDRE55 2110 E.Walnut-Pa�dena
TRACTOR p$Zb�$ V1$tQ �o � 143231
aooREssq369 Wilehire-Beverl.y Hills
METES 8 BOUND51
USE OF NO. OF NO. OF
EXISTING BLDG. F�n��iea 00 5
SEfBACK LINE FROM� REAR VAR
CENTER OF STREEf �O Pt. SIDE YAR� (� �� ��
DESCRIPTION OF WORK
sii�e�l�i�i% 9O.fti.wnnr�.a � cTnw�ra 1
EXTERIOR WALL ROOF
COVERING gtUCCO COVEF
P OF NEW
I �ING Residence-att.
` APPLICATION FOR PERMIT
' �ui�Do�G
FOR OFFICE USE ONLY
REGEIPT NO. PF.RI
�isl.
7��� a.
ECEIVED BV DATE REC'D. DATB
� pv 5 1954 MAY 6' 1954
sr
CORRECTIONS
APPROVALS
1 HEREBV ACKNOWLEOGE THAT 1 HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORREGT
AND AGHEE TO COMPLV WITH ALL COUNTY,ORDINANCES
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
51 pEpM�nEpF BA1bO$ VSBtB CO.
v
LATN. INT
LATH.EXT
AUTHORIZED AGT. ^ ��- � =
PLASTER, E%T.
i
� 1• p Pirs�ni Fa[ f�L� MASONRV REINFORC
VALUATION S Wp3O � OO p��H CnecK t %
BOND BEAM
FEEAL /� FINAI
IOM ]-20.53
O I
a
�
D
r
. .. . . . . . .... ... ... ... �„ ..r . . .
,..�. - �.. .
+ ' -� . .._...�
........_. . .� ...�. . � ,V..:...�.... . �,� .. .... ... ....
, , , �'C� . . ' . . _ _.. . ' .
_ _ W ' _ _ __� _ ___ _' _ _ "' __" _ .. . , .. . .
�. Z .... . _. .. JW "". _ . . . 11 �—
.. �. �.
J '. . �! � .. .. : � . Z ' . . . . v . f. -
. . _� ._ .-_. ._ .. `_ . . .. .'�. .... v. . � . � . .
- v.
_ . . .. J '1 . .
_ a . .. ..".___ - . _ . .. �
� °� . t . -. �' o � . f? •'-ri�'i?. ,�.' ic: - .
a' '- � a � - - -. " .- - -- - . . . .
� _'.. . �,� . . . '_ �_.a , r..o. ^ _^n ' •._"
, i.. , . ' . . . V. . _ "' j r2 �:t . . .
; ' _ '_"" _. _'.. _. _"�'"`"_ '_ . . .. . .•.9'i� nq� r 9, -.�-_:�,,r. - .
. . _ . , f : , . . _ _.- . ._. .
�, , �' e ... ... .�7.r Pi?�9.�_. -1.�.. _ � � . .
� , . . '; .L;,' �� ��J ' ._ _ , ^1 .' V=-.' i�' ..
1 1l" ' _ ' _i;__'. ..,.. . _._.. _..._._ �:9'_D''`t.__ � -r• =�.�' .'_'.....
_k
_ _ _ .._..w ........._v.... -- . ._. ' . F::�9D3s^,••��_Jii.'i ... �. � . .
' __. -_ _. _'. .._. _ . ..._,�_-_ ' _'__ _ . .[.'. .`Z-� 3J^' �'' '1C1_i " ._'.. • „"
_ _ ., .._' _ __ _... . �T�T 'f.l"+:'�..-�Y''?�1�. :,lcr; ._ .
_ _ _ _ . J �}. Q � • . _ .. ' i �, - . . ' . '_
' __ . __. . -. .
• � ..._ /� .. .__ _ _ _ _ _-_
, • _ _- _ _ . l' �_ .. . ' Pn1 _ �� .
' . _ ._ . _ , r � . _ _ . ' : _ ',
' STREET� � - " � - '
. � ,�-' '._. . _ .' _ _ ._ _
_ __ � "' .�� �1C ". . `
- •"!iC-�O.��.: �.�. . "`� ' - ''.'
...... . _ ._ .........,
, PLOT PLAN _ . . . _ .. ., . .
' Show location and distances from , . - � � ;,,__ ;_ _
-� propertylineandbetween'buildings. - ,
..• ,.
,. - - — - - _ � i' _ � • +• , .i r,ti j .
"" . . I�,i„J4 ��
'3i���jl'7 i.i%�.�i�•y.� . .
, � . . �. .. . ._. .
; � - -- - -- - -. . . . . -'., f�i^ _ +� . 7'35-3^' a�",; �- _. � � �
� .. _ . ..._ __'. _ ' - -----....._._.... _>- ...__ _ .. _�._-.._ i , .._.__- -'- - � .. . _ � '
. . �
s,.. ,e. •.. .' . ._�_.`.... _ ' . , . .. . . . . ._. . .. _ ....
. . . . . .. . . , . . . . . . . •
. � .• •
..... . . ,_ . .
;._, . . . �..., .. ... .. . . ..�, . .
" "''._. . ......... -.._. _ ;'-..,.._..� .. rr..�.... . .�...
. . . :. .,,.. . :,, � . �.....'.^�rs:, �... ..: .�. � "i': r.�.. .. .;i'r . ,,,. .
� tc
.__ ... _.. . .. . .. _. _ . .' ' " "'. n- ,. ..:4' i.:.C_f�t.. .. _ �.. ... . ..... .
i
. . .. .� . �.� . .�� _.' _.; .
. .._.._ _ _ __ __ ._. .. - •��l ;r�:li nil.l�. _ s'1'
�4i
_ .i_'. .. . •
"' j4 'YA. . " . . � .. - ,
� _. _f__ . ... C.�; " I^IJ�I.��. � - "_ . ...�
'. _ _. _ .. ;"_' � _" ".' "' ' ,
�'� �
- _. . .
. i ,
, �
. ' COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING ` `'^ �n
ADDRESS 1ZZYV Y� S �
OWNER OR �^ �
TENANT � . � '� E
MAILING
ADDRE55 � ��C ' ��t
CITV CC�j �' Y I�S N�L ' Z
CONSTRUC710N
LENOEfi
BRANCH
ADDRESS
ARCHITECT TEL.
APPLICATION ]
RECEIVED 1
A.P. NO. �I c�
VNIT OR
SPACE NO.� "
TR. ��� LOT
EW ADD ALTI
so i
�
'.� /
PERMIT � 5C 6Ei
?� 5C il
OWNER �. R• L I/�'� VI, II Q�
VALUE r
�sE�arporE e1.c/as,wr� s,�
ADDRESS cVrvt ivrt ceHOUY
APP OVED p
CONTRACTOF D BV � DATE — p�
ADDRESS ///� �^
TEL.
CITV NO.
F STATE CITV APPROVED T`BA'CK—S
LI0. NO. LIC. NO. �i�C�L�'//.�li G _
� SIZE NO.OF BIOGS (FROM C/LSTREET) ','^
�+ OF LOT NOW ON LOT FROfYT FT. /fu/J
a VSE OF /'' %� � �/
� EXISfING BLD�,�' : P \ — g
.�.
FSeparate permits are required for L SIDE /FT, p
. Q electric, plumbing and heating work: REaa � FT. D v
^W USE OF BUILDING AND WOflK TO BE PeRFORMEO P�qryNING ACTION
i '-l_ � � v`-� �
/ DATE
' � '� �ROVED b
��., � iOV"LV� ! / !/ ° / �v
.a '
0.'
W
0 I heraby ecknowletlBe thet I have reetl this application and rtate �
p� that tha abova informaiion is cOrract antl agrea to comply wlth
4 ull laws reBuiating bu�ldinp conevuc2lon, and I shall not employ �
z eny person in violatltl� oi the workman's compenseNon laws of m
W the Scate of Californis. n //J '
3 I hareby cartity that I am properly Iicensetl aa a contrector untler I SQ. FT /G. �(J .7' � �
tha Stete of Calitornl8 Business antl Proteulons Code, Division 3, THE AMOUNT SHOM/N UND£R VALUATION IS FOR m
Chapter 9, entl that aVch Iicenms are in full force entl eftact, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: �
am exempt from the provlsionsof SheState of California Business VALVATION PERMIT FEE a
end Protessions Co a, Dlvision 3, Chapter 9. • s �� �
PLAN CHECK S 0
SiB�eture Of � � n � LL
Permittee L� $ 2 L6,3' � TAX E f
or _ � ' Q � S � U
Authorizetl t Date TOTAL PAID y� , S}7