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HomeMy WebLinkAbout1174 PAULARINO AVE - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.• - CITY OF COSTA MESA CONSTRUCTION PERMIT - PERMInVO. TRACT NO. •LOT NO. UNIT NO. Project Address //7Y J,P(�/A-.4._/::-/o�[ _" y9 fKy 5706 6%21 %06 1 Applicant's Mailing Address 3c ZZ /�' /7ZJ LK.qr•+ C4-'1/1-�/ TYPE OF CONSTRUCTION U NEW ❑ ADD / ALTERATION U REPAIR • '- - - •• -- ��OO �y --// ' _ l ❑ CONVERSION ❑ DEMOLISH ❑ OTHER/ �+ Owner's Name /LS • ,sc-1,, �7 Phone A.P.# I Zone / ��S y677 DESCRIPTION OF WOR K/USE OF BLDG. ' plc a Address // 7r]7 /47.4-‘4..- !tF/�/C 4 p•} c : r , he,4 *,c •- I/yc4„/ y9J /.NL / c�/,E�,,, E Main Building: Accessory Building: Z Arch/Eng. License No. TYPE OF PERMIT LI GRADING 1J FOUNDATION ❑ STRUCTURAL 9 " /L T Front - G Address /g // 4•yJ@n/L B + /fee/lw..-c ❑El TENANT ❑ ELECTRICAL L}kPLUMBING ❑ MECHANICAL BB Rear N Contractor's Name __„.. � Phone C-4//-031/ / C Right N • Address(mailing) yZ ...II, /jE-r�ficl-a/ C.--‘47PROJECT DESCRIPTION SQ. FT. OCCUPANCY K g • G 9�/y S•# CONSTRUCTION TYPE VALUATIONS _- S Left R City License No. ZONE _ GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION Ping. Ref. # Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: l4 Planning Notes: M with section 7000) of Division 3 of the Business and Professions Code,and •v .e - �' v 7 - T my license is in full fortg�nd effect. '/ _ License Class f. ? C.. Licen(t1No. 7`306,3 S _ ate r/Z+ � Signature � PLUMBING FEES t -ORKE/RS'•OMPENSATION D C RATION . )'[:hereby affirm that i have a certifi to of consent to self-insure or a certificate Bar Sink Showers • ELECTRICAL FEES of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer • Service Sink ' 3800, Lab. C.) y-- Automatic Washer Transformer ❑ 15-50 KW Policy No. )0e WV/criZ9 Company ,�^”' Backflow Irrigation Sewer Ca ❑ 50+KW P Construction Pole Sub. Certified copy is hereby furnish-d. Cer copy ilea with the sy :uild n ivls n. Bathtubs Sewer Connection Cooking Unit ' Meter Dup to 100 amps ate G! Applic. .s ��••-✓✓�� EXEMP ION ROM WORKERS PENSATIONtDECLARATION Clarifiers _ Solar Collectors Dishwasher - Meter Dover 100 amps • (This section need not be templet:• the permit is for one hundred ($100) or less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certify that In the performance of the work for which this permit is issued,I . shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors❑0-1 HP 1:11'4-8 Workers' Compensation Laws of California. _ Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP 016-15+ 'NOTICE: If,after making this declaration,you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks ' Urinal Fixtures comply with such provisions or this permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY / Gas Service , OOutlets Air'Water Closet dam1 - Device Boxes I hereby affirm that there is a construction lending agency for the performance ^ Pole Light of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors ` Water Heater (J,- Outlets Lender's Name - Range Lender's Address Kitchen Sink Water Service SwitchesSign OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal ;Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap • Laundry Trays Generator ❑o-5 KW ❑5.15 KW Trash Compactor any structure, prior to its Issuance, also requires the applicant for such permit - Pa 'o file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains • ie Contractor's License Law(Chapter 9(commencing with Section 7000)of • - _ Jivision 3 of the Business and Professions Code) or that he/she is exempt - , • Sharefrom 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 • - , penalty of not more than five hundred dollars ($500). Li I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure is not Intended or offered -- Reinspection Fee $15 Issue Fee $ 3 for sale (Section 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 0 sale. If, however, the building or improvement is sold within one year of tom- Canopy Type II 0 - Zoning Approved By Date - pletion, the owner will have the burden of proving he/She did not build or im- Duct-Under Ground Building Approved By Date prove for the purpose of sale). ('�j ❑ 1, as,owner of the property, am exclusively contracting with licensed con- Duct-Structural • Refrigeration System Application Issued By Data S-]./'�lov 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 - 00-100,000 BTU ❑100,000 BTU SUMMARY OF FEES 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 $ SMIP Exhaust System ❑ Multiple ❑ System Repair/Alteration $ proof of their Worker's Compensation Insurance should be provided to me. PLAN CHECK $ TT PERMIT ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIL ICBG# Fire Dampers PLUMBING $ 7c 0V ISSUANCE • $ - Date - Owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ • I hereby certify that I have read this application and state that the above ❑o-100,000 BTU 0100,000 BTL— GRADING $ infor on Is correct. I agree to comply with a y and county ordinances ELECTR ICAL $ and s a • -lab.- to building construction,an• hereby authorize repre- sentati- M If th s •t, to eater upon the ;b• e-mentioned property for PLAN CHECK 50% $ MICROFILM $ inspec io",t1 ••sesMECHANICAL $ Signal re :a. - • Dategi- ` TOTAL FEE $ -D V _ CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING Pt & SPA ' APPROVALS Permit# Date Inspector APPROVALS 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. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 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 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 a 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 76. Dry Standpipe 28. Lathing'& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 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 & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing ,c22-bti &gen 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. 5-Sandscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. I=-INAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY • No. J Date FEE RECEIVED [ 17385 .� ,I;/.JuNzo Issr COSTA MESA BUILDING-SAFETY DEPARTMENT i� FINANCE DEPT. P. O. BOX 317 COSTA MESA. CALIFORNIA CITY Of COSTA MESA For Applicant to Fill In Complet, y ' APPLICATION FOR PERMIT TYPE OR PRINT BUILDING r/ [/ /rn/���""" ///I ,ry BUILDING ADDRESS /i / I / ryr II[,�T(G/0G� A cogrA MESA. CALLIFO) IA For Office Use Only 7 A/c`t/ • A • O, ././.1 RECEIPT NO. PERMIT NO. OWNER .: - _ _ _ .._�� . ._ MAIL // f / R7+C�EIV'ED BY -DA Re EIVED DATE IS ADDR ESS�o0 `� /C• 4".'fld•VD ✓M1P� ( �60-I IIIH •. rof TEL.�f2/¢/� ' - NO. BUILDING __.. CITY C_/IARCHITECTIY/JC //r- ADDRESS OR ENG(EE � i �.li'W NOM f'�/. • COSTA MESA. CALIFORNIA ADDRESS?. Z/ N. ''//�N,/� y(/(J� % Ng, FIRE r ZONE TYPE 1/ GROUJ V N CONTRACTORR•Q //,e/Srjea-- .. 0.0. APPROVED DATE vvv /V/// ADDRESS( Ay5S E.f/%� //� 4ex ZONING / W/� _ O�{ NO. OP UEE OF NEW SL 3� CITY el�� PLANS Z BUILDING W/ �L� STATNO. /0 / z 9 EL.. A/'V��-• 3O/ LEGAL -5-1o L/ / -(----7 DESCRIPTION / 4l ! b SIZE // NO, OF ELDOB. O OF LOT (OI•/ X too NOW ON LOT A.P.NO. USE OF YARDS EVES EXISTING BLDG _ _ APPROVED ALLOWED SETBACK LINE FROM �•.� / �r�p (CENTER LINE ST.) CENTER OP STREET J O REAR YARDW FRONT 'Z- Ft �� IN. SIDE YARDI LEFTI RIGHT —([7n 3 (�^ R.SIDE FT. "' IN. DESCRIPTION OF WORK .5 y�/ -/ L.SIDE FT. IN. NEW I _ If ALTERATION I II ADDITION IREAR 3 Q FT. IN. REPAIR I a II MOVING I II DEMOLISH I J APPROVED /i /� DATE ...-/<..076--L BUILDIN Q / ` /NO. OF /_ ! t'r Q SIZE /�(Q '�v�'(p ROOMS Lp STORIES �� EXTERIOR WALL STuccC ROOF CO'� � ' COVERING 1 S.1DIM (COVERING 501/'7 COs USE •. •UILDIN AND WO-K TO BE PER'•. ED • - :we/ i ; -dr.."... ! . G.4—t' gr-/ . I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM• PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS TIRO BUILDING CON- -UCTIO VALUATION d SIGNATURE 0 PERMIT FEE $ y(l PERMITTE - � �+• /J / �'/Ti� __ o ' / -� $ /�J/ ,2✓ PLAN CHECK $ �' AUTHORIZED AGENT 9 _ 0 TOTAL PEE O� y OWNER NEWPORT HOMES, INC. DATE 6-20-62 JOB ADDRESS 1114 YOU lar i. eve. BUILDING PERMIT NO. 1 f 387 GENERAL CONTRACTOR S.V. Hunsaker & Sons VALUE $14,253.00 AP No. LOT 5 TRACT 14-653 FIRE ZONE DESCRIPTION OF WORK Res.w/att.Car. INSPECTIONS Signature DATE 21 GROUP DJ TYPEV ZONE Rl So' 1?-8-7- 6 ��' 4!1 SUBCONTRACTOR PERMITS ISSUED C ,Ay� .?-4pl ,� DATE NUMBER WinerS.N..v..t.c a Al4S5?- ey-GY P7-t / 'O-ri v Rough Corn. Refrig. ❑ Air Cond. 0 12ough Heating j,I`(.{J �p _ _ . ffj' Y_L/.filGt_�-%4eE_& ✓ Rough Plumbing 7�.W__ • -� ;;._• IU,�/ 6-a7/ a. ,z oor L/ Miscellaneous Prop.Swr.Line -House Coa.$'5t.Swr. 0 � '4 _� 7/TkfT� Sn . __�_ Sprinkling System �"- Constructi7rPole41/ Underground ❑ Power 0 _ —�Q(9 4ough Wiring 902' '7 9.71.7. re771Ptt Y9i,, tC 7-26102 /. 4/!I rSC- 'Trenches 0 Forms ❑ Steel Reinf. 0 Floor System Bond Beam p Steel Reinforce D Sheathing 4' 7-4 2 -.6Y Frame and Flashing �or 7-3J,- Lathing - In l7-- Out © ' '!-( . 1/ E1- Plaster, brown coat j/V* Q-2-i2 $efrig. 0 Air Cond. ❑ Final _ I-N='�:ng. Final WV7e:nk F :.' �iing Fixtures, Final per, Final Gas Test 6" - /6-2.-G2r Electric Fixtures, Final Building, Final fe?(/ 1/� � L OCCUPANCY FORM 6O4.5M - 7.61 17.185 •