HomeMy WebLinkAbout1806 PITCAIRN DR - Building Permits ' _ _Applicant to fill in al_l_spaces except those within heavy border tines and_ sign all appropriate declarations. - _ _ _ _ _ _
{ CITY OF COSTA MESA: f 1 • PE IT//NQg.,�, I 'TRACT NO. - ' LOT NO. ' . 'BLDG NO. ' . • I -,-
CONSTRUCTION PERMIT •
�O N �t� ' 7587 4/25/83'
Applicant's Mailin •
g Address j - • TYPE'OF CONSTRUCTION- NEW LJ •ADD .0 ALTERATION LI.REPAIR - • - ' . ' '� /+(7°�� T
Project Address- /k�_�^ �Y�G<f/rn + • ❑ CONVERSION ❑ DEMOLISH ❑ OTHER _ - •I -- _ - 1
Dan ' ' Crj`�!'3'7S8' DESCRIPTION OF WORK
Owner's Name G/� Phone - ZONING REGULATION$-
RArP00 F • •
Address' ' I _ TYPE OF PERMIT H GRADING ❑ FOUNDATION U STRUCTURAL A.P.#. ' •
ZONE : ! -
Arch/Eng. , ' - r ' License No.! - • - ❑ TENANT ❑ ELECTRICAL .❑ PLUMBING- ❑ MECHANICAL PLNG.REF.#- - ',BUILDING -
Addreu • (�/1 '/' // '❑,BOTHER - • ' TO BUILDING 'SeTB ,c1 rti QT.
_'"YCi-/�-. ��d00'/, - • 'phone�9G�SZy •
PROJECT DESCRIPTION SQ:FT. '�0 • OCCUPANCY " PROPERTY LINE . 'REAR YARD (TO P/L)
•
Addreptd�$Name J� 'LEFT SIDE YARD RIGHT SIDE YARD i
Address(inithing) 292-2 Q5-vj 0 _ , CON STRUCTION TYPE • - VALUATION$ �� ' .-
License No. __r 3�1 - 3��2-3 ZONE GRADING CU. ACR(`S PKC.SPACE REQ. PROVIDED -„ •
LICENSED CONTRACTOR DECLARATION ' ' . Remarks: . STREET WIDTH . ' . ,PARK FEE$
I hereby affirm that 1 am licensed under provisions of Charter 9 (commencing " _ • ,
with,section 7000) of Division 3'of the Business and Professions Code,and • . SPECIAL CONDITIONS: • ,
My license'is in f 1 fore and effec
License Classar35 �� License No.� 3/-3� PLUMBING ' _
A
' D••e '•L( -Z5. '1,3 Signature • Bar Sink Sewer Cap - ELECTRICAL
KERS'COMPENSATION DECLARATION - - -
eby affirm that I have a certificate of consent to self-insure.or a certificate 6ackfloW'Preventer' -- - "'- • Sewer Connection' - - , Automatic Washer . . - - , •Meter Dover 100 amps, , _
of Workers' Compensation Insurance, or a certified copy thereof (Section -
3800, Lab. C.) I Backflow Irrigation • Solar_Collectors • Construction Pole Sub Panel
Policy No. - Company - -- --- - Cooking Unit Sub Pole
; eCertified copy Is hereby furnished. ' Bathtubs . Solar Piping • , I _ ,
Certified copy is filed with the city Building Division. Dishwasher Motors OO-1 HP 011S-13
Date ' Applicant Clarifiers • _ Solar Tank ,
EXEMPTION.FROM WORKERS'COMPENSATION DECLARATION Dryers ❑Gas ❑Electric Inc.$olar 09-15 HP ❑16-05+
(This section need not be completed if the permit Is for,one hundred($100)or Dishwasher Swimming Pool w/Spa .
' less); , . . Fan' 'Microwave ' '
I certify'that in the performance of the work for,which this permit is issued, I Drinking Fountains + Urinal . , I 1"' ,
shall not employ any person In any manner so,a to become subject.to the "- - - - - F.A.U. ,Pole Light e`
• Workers'porr pgnsatlon Laws of Callfo iP Floor Drains' Water Closet•
Date' ''YY JJ KK Y7 Signature L I Range j/'� Fixtures
NOTICE:If,-after making this declaration;you should become subject to the - Floor Sinks • - -.-Water Heater . - -• ---- - - . - - - 9 -- - . - - --
Workers', Compensation provisions.of the Labor Code,.you.must-forthwith '
comply with. such provisions or.this permit :shall be :deemed, revoked. 1. Gas Service 'Outlets i Water Service ' . Device Boxes Sign
CONSTRUCTION LENDING AGENCY I Outlets •
•I hereby affirm that there is a cis ctiomlending agencyfor the performance Interceptors • I ' - • . ' Standing Sections
of the work. for which. this permit is issued -(Section '3097. Civ. C.). , - _ Switches
Lender's. Name - - Kitchen Sink, , • ;, ' Trash Compactor ,
Lender's' Address - ' " - - - - - - , .. - , Garbage Disposal ' '
OWNER BUILDER DECLARATION ' Lavatories • I - • _ i •
r I hereby(affirm that I am'exempt.from the Contractor's,License Law for the - - Generator ❑O-5 KW ❑5-15 KW •
•
following reason'(Section 7031.5 Business and Professional code: Any city or P-Trap - - •-
county which requires a permit to construct',alter Improve;demolish or repair - - . Transformer 15-50 KW '
any structure, prior to its Issuance,also requires the applicant for such permit; • v Roof Drains _ - - I • ' ' •
is ale a signed statement that he/she is licensed pursuant to the provisions of ; ' r , - - • 050+KW'
•
ontractor's License Law•(Chapter 9 (commencing-with Section7000)of :Reinspection Fee $15 i
on 3-of the Business and Professions Code)-or that,he/she-Is exempt • Showers . Reinspection Fee '$15 _
t t 'Sfrom and the basis for the alleged exemption.-Any violation of Section - - ' - Meter ❑up to 100 amps I 'Issue Fee. '$ 3
. 7031.5 by any applicant for'a permit subjects the'applicant to a civil . - - - -
• penalty of not more than five hundred dollars($500). - Service Sink - ' Issue Fee - ' $ 3 - .
LJ Zoning Approved By Date
I, as'owner of.the property or'my employees with wages as their sole I
compensation,(ion will70 the work;and the Professional
ure is not : The intended or offered i MECHANICAL .- ApplicationApproved y 'Date ' •
for sale (Section 7044, Business and Professional Code: The Contractor's -- -- - - - - - Refrigeration System Y�' 7 t �3
thereon, and'who does such work himself/herself or through his or her own Boller _ - _ -. Application Issued By a / Date
employees, provided that such improvements are not Intended or offered for •I ❑D-100,000 BTU 0100,000 BTU
Duct:Under•Ground
• sale. If, however,the have
or improvement Is sold within one: buildf com- , I • ,UMMARY� OF FEES 1 �,r. '
)(coon,the owner will have the burden of proving he/she did not or im- • - - I : S V
rove for the purpose of sale), • Duct-Structural System Repair/Alteration 'BUILDING PERMIT $ h�,00 • SMTP • - $
U I, as owner of the property,am exclusively contracting with licensed con- '
'.tractors to construct the project.(Section 7044,Business and Professions Code: .,. Duct-.Ventilating . ._ ' _ __ . _•• •.._ , '' PLAN CHECK $ •• PERMIT I
The Contractor's License Law does not apply to an owner of property who , - ' ISSUANCE $ j
•
builds or Improves thereon,,and who contracts for such projects with a con-
Exhaust System ❑ Multiple❑ 4 ;PLUMBING $ ;
tractors) license pursuant to the Contractor's License Law). i PLAN CHECK $ ' GRADING • ; $ .l '
I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG#
�. ,ELECTRICAL $ • - $
Date owner. ' Heating System&Ducting MICROFILM $
h hereby-certify'that I have read this application and state' ordinances
above •' 00-100,000 BTU 0100,0006N -
- --_ }- :PLAN CHECK' $ -
Information is correct. I agree to comply with all city and county ordinances • , : r I TOTAL FEE• ' $ i
and-state laws relating to building construction, and hereby authorize repre- Hood or Type I ❑• MECHANICAL $
CY sentatives of ,this city to enter upon the above-mentioned property for - Reinspection Fee r $15 , LESS • '
inspection purpney . , '�--S_�3 Canopy Type II ❑' ' . P jPLAN CHECK• ' $
C -/1/�"-� ADVANCED PC $ •
' Signature Date � '
Drivers' License or SS' " ' _ � Registers _ I ' Issue Fee : .-$ 3 FINAL FEE 1 j $ j -
CMF 0865-46 rev.12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor
r• -ICONSTRUCTION.AND,PL'A N NO; ' - r'' - ',_: r_ n - %- POO SPA •1t. •- - - - 's
�- � Date r . .Inspector V r - Date Inspector,
APPROVALS ,. Permit#:Y `�,y� -r -, - APPROVALS '=
‘\.lA
fi OWNER VINSON PAUL DATE 10/29/63
JOB ADDRESS 1806'Pitcairn Dr. BUILDING PERMIT NO. 20918--
k} GENERAL CONTRACTOR fiesta Pools VALUE $ 3,000.00
AP No.139-341-13 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORK Pvt. Swim Pool
iir -ECTIONS Signature DATE GROUP J TYPE III ZONE RI
S PERMITS ISSUED
Gas SUBCONTRACTOR DATE NUMBER
Water
Rough Corn. Refrig. 0 Air Cond. ❑ -
Rough Heating
Rough Plumbing ecce, �) 0—z747(? h,-- 54-P-, '✓ .c/2 y4 3 y i cei
Miscellaneous
Prop. Swr. Line ❑ House Con. ❑ St. Swr. 0
Sprinkling System
Construction Pole
Underground ❑ Power ❑
Rough Wiring .4 �z. !, �—p-0.,9,4:-? -7/�i -Z.
/
Trenches I4Forms ❑ Steel Reinf. -
Floor System � _
Bond Beam per- Steel Reinforce 0 ?fat _
Sheathing
Frame and Flashing LLl
Lathing — In.❑ Out 0 _k�A
Plaster, brown coat
USA xe1. ❑ Air Con. 0 Final �'
-".-
Ittc Zing, Final
Plumbing Fixtures. Final /V 5'Z1( QQ
Final Gas Test NJ--
Electric Fixtures, Final 4‘.46 3' 7rr'G/
Building, Final /bre-7 r-Y--(y
OCCUPANCY .
Form BU4-5M--3-83 S-B P Hem FY)R SPF.cTAT. RMOUTPflf 7'PS 20318
OWNER H. L. FAR EN DATE 3/12/81
JOB ADDRESS 1806 Pitcairn Drive BUILDING PERMIT NO. 51412
GE -RAL CONTRACTOR James E. Thanas DESCRIPTION of WORK Solar Racks
Al 139-341-13 LOT 111 TRACT 4311 FIRE ZONE VALUES 500.00
INSPECTIONS Signature Dote .TYPE GROUP ZONE
501E SUBCONTRACTOR PERMITS ISSUED
GAS
Date Number Signature
WATER Plumbing
ROUGH PLUMBING James E. Thomas 3/12/81 79213
PROP. SWR. LINE ❑ HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER O
ROUGH WIRING Heating and Vent. D
TRENCHES fl FORMS 0 STEEL REINF. X 1 R
FLOOR SYSTEM jIete Ins IP.CtiOnS
BONG BEAM n STEEL REINFORCE r CQ
SHEATHING S O
FRAME AND FLASHING Date O
LATHING — IN fl OUT El
TER. BROWN COAT
S...JCTURAL. FINAL Fleatria
HEATING. VENT., REFRIG. AND A.C., FINAL
PLUMBING. FINAL AND GAS TEST 1^l
ELECTRIC, FINAL
BUILDING. FINAL
8881 3/12/81 5.50 TL
COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FORSTRUCTURAL PERMIT .
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
RECEIVED BY PERMIT j�// ^
ADDRESS
For Applicant to Fill in Completely —Use Ink Only 1
BUILDING I QQ o(jR`� ' c- a�N /s ,,....%.?qq s,� A.P.NO. ,3— rr
J BUILDING ,80 / P/ ' C /Ja t/
OWNER OR 1a jut`` ADDRESS (� /'T 'M�V"A,
TENANT \\\ 1V UNN
T OR
MAI LING SPACE NO.
ADDRESS )��.
TR.IyCLs / LOT /1/ BLK.
�p_ �� TEL. i/T/VLJ
CITY \ PT�2'� NO.
CONSiRUCtiON NEW ADD ALTER REPAIR MOVING DEMOLISH
LENDER ..-
BRANCH
OWNER / „y N.
PJ le
ADDRESS VALUE e—•.
ARCHITECT TEL. USE�O/Tie, CJGS $ ....)01../-4"
•
OR ENGINEER NO /
ADDRESS the JAMES E. THOMAS dba ZONE TYPE GROUP
APP RO EJ 40
CONTRACTOR .QN C '�_�es 411$ BY /A j DATE
I
ADDRESS 2.9O N ,C9.����(SIDS.
CITY V` NO. (nZt'7 V .
F STATE CITY APPROVED SETBACKS
LIC. NO. �S LIC.NO. Rit-b
lel SIZE INO.OF BLOCS. (FROM C/L STREET)
3. OF LOT NOW ON LOT FRONT FT.
Q USE OF
V) EXISTING BLDG. R SIDE FT.
cif
(-•
Separate permits are required for L,SIDE FT
electric,plumbing and heating work. REAR FT.
(.13 US F B ILDING AN O ERF RMED PLANNING ACTION
10
.] DATE ,
a APPROVED
APPROVED
> -..—fiY DATE
..l
CC
W
P. I hereby acknowledge that I have read this•application and state n
0
that the above information is correct and agree to comply with •.
C. all laws regulating building construction, and I shall not employ i
Z any person in violation of the workman's compensation laws of o
Sthe State of California.
I hereby certify that I am properly licensed as a contractor under SO. FT. a
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
am exempt from the provisions of the State of California Business
VALUATION PERMIT FEE $ <
and Professions CodeLDivisi n 3,Chapter 9. v.
n
PLAN CHECK S n
Signature of G
U.
Permittee - --aLe�-f �\ $ TAX $ • Cp 1
or .L -( Z is 7LJ U
Authorized Agent Date TOTAL PAID S. .SC:;)