HomeMy WebLinkAbout2168 PUENTE AVE - Building Permits%�Go�icant to fill in all soaces except those within �eavy boraer Iin¢s ana sign all approD��ate aeclarations.
CI i?Y'OF.-COSTA MESA CONSTRUCTION PERMtT PERMIT NO. TRACT NO LOT NO. UNIT N��
., Yr Q P C� yZ6Z �� 33330 a�Si c�
%Project Address ti '�"
fApplicar.�'s Maflin Address TYPE OF CONSTRUCTION rvEw /�oD ALTERATION
� T ❑ CONVERSION ❑ DEMOLISH ❑ OTHER '
Owner's N3me�q, Phone�.l �'•.3_F DESCRIPTION OF WOR�K1 USE OF BLDG. S��A� � �O
Address �/ 6 g 6�� ��_-- A'fT4GGi8U A' �
A�ch/Eny. Lic2n5E No. TVPE OF PERMIT GRADING FOUNDATION STRUCTURAI
Addre55 ' ❑ TENANT ;�ELECTRICAL �❑ PLUMBING ❑ MECHANICAL
Contractor's Nam Phone ❑ OTHER
Address (mailing) PROJECT DESCRIPTION 5� FT � �OCCVPANSV _.
CONSTRUCTIONTVPF VALU4TIpNA �'`T-'5p7
CityLic¢n5eN0. ZpNE GRADINGCU.VOS. ACRES ��
LICENSED CONTRACTOR DECLARATION
1 hereby atfirm that I am licensetl untler provisions ot Charter 9(mmmencing
wlth sec[ion 7000) of Division 3 Ot the Busine55 antl Professions Cotle, antl
my license Is in full torce antl eitec[.
License Class Licenze No.
Oate $ignature
WORKERS'COMPENSATION DEClAf3ATION
� hereby affirm that I hdve a certifitate of mnsent to Self-insure or'�a Certiticate
Workers' Compensa[ion Insurance, o� a certifieC coOY the�eot (Section
00, Lab. CJ �
rolicy No. ' Company
Certitietl copy is nereby furnishetl.
Certifietl copy is tiletl witb the city Builtling Oivision.
Date Applicant
EXEMPTION FROM WORKERS' COMPENSATION pECLARATION
(This section need not be completetl it the permit is tor one huntlretl ($300) or
less).
I certity tM1at in the perto�mance ot the wo�k for which thi5 pe�m�t is issuetl, I
shall not employ any pe�son in any �manner so as [o bpLo� SV�ect to the
Worker',Go¢� pen�j t)'p n Laws of Califo // /J /
Dat �� s– iY y Signature �v3�� �Y �7 !1 Ai5
NOTICE: If, afte� making this declaration, you s�ould become subject to the
Workers' Compensation provisions of the Labor Code, you must torthwith
comply wiih such provisions or this permit shall be tleemetl revoketl.
CONSTRVCTION LENDING AGENCV
1 hereCy affirm that there is a construction lentling agency Por the performance
of the work to� whicM1 this pe�mii is issuetl ($ection 309J Civ. C.)
Lentler's Nam¢
Lentler'S Atltlress -
OWNER BUILDER �ECLARATION
I hereby affirm that,l-am exemp[ fwm the Contracto�'s license Law�tor the
following reason (Sectlon ]031.5 Business antl Professional Cotle: Any city or
counly which requires a oermit to construct, alter, improve, tlemolish or repair
any structure, p�ior [o its is5uance, also �equires Ihe applicant tor Su<h permit
to lile a signetl statement that he/she is licansetl pursuant to the provisions of
the Contractor'S License Lzw (Chap[er 9(commencin9 with Section ]000) ot
':Division 3 of [he Business antl Professions Cotle) o� that h¢/she is ezempt
"-�;¢retrom antl the basis for the allegetl exemption. Any violation of Section
`"'d31.5 by any ap0licant tor a pe�mit subjects the applicant to a civil
,S„,'=�. alty of not mo�e than five Ituntl�etl tlollars ($500�.
' JCJ I, as owne� of the property or m�� _^' ^^^– with wa9es as thei� sole
wmpensation, will tlo the work, antl the structure i5 not in[entletl o� offeretl
}O( Shc2 ($fCIIOO 7044, Business dlltl PIOiC55100d1 Catle: The COfIIIdCIOf�S
License Law tloes not applY to an owner of a property wM10 builtls or improves
thereon, antl who tloes wch work himself/herseli or thraugh his or her own
employees, provitletl tM1at suclt improvements a�e not intentletl or offeretl fo�
sdle. If, however, the bulltling or imp�ovement is soltl within one yea� of com-
pietioq the owner wlll have the burtlen oi provin9 he/she tlitl not build or im-
prove tor tM1e pu�pose of sale).
❑ I, as owner of [he proPerty, am exclusivety cont�acting with licensetl con-
tractors to conitruct the project (Section ]044, Bu5ine55 antl Profe55ions Cotle:
Tne Contractor's license Law tloes not apply to an owner oi property who
builtls or improves tM1ereon, antl who contract5 fo� such projects with a con-
tractor(s) li[ense pursuant to the ConVactor's License Law). I am dware that
proof of their WorkeYs Compensation insutance shoultl be provitletl to me.
❑ 1 am exempt untler Section B. & P. C. for thls reason
�— owner
ty that I have reatl this appliwtion antl state that �the above
correct. I agree to compty with all city antl county ortlinances
� relating to builtling construction antl hereby authorize repre-
t s city [o /e/nter up^on �theD –a/bove-mentionetl, �pr}operty� (�for
, P es. .(� ��"� " e'�ZL—
Signature R��( Dat
.Drivers' License or SS � '– � `' – �' '
Remarks:
�- 07 7 �— O' S
Bar Sink
Backflow Preventer
. Backflow Irrigation
Bathtubs
Clarifiers
Dishwasher
Drinking Fountains
Floor Orains �
FloorSinks• •
Gas Service.' ,. Outlets
i.,.o...o......� ' rd
. .,,..,f� -
Trap , � �
Showers -
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
� Solar Piping
Solar Tank ,
Swimming Pool w,
' Urinal
Water Closet
Water Heater
Water Service
Auto-Wash
Laundry Troys
REVAIR
Reinspection Fee I $15 I I Issue Fee I $ 3
Boiler •
Duct - Under Ground
Duct- Structural
Duct - Ventilating
Exhaust System ❑ Multiple ❑
Firepl/Fact Blt. ICBO #
Heating System & Ducting
❑ 4100,000 BTU � 100,000 BT
Reinspection Fee � $15
CMF 0865-46, rev. ]0/84 White - Builtlinq; Canary - Applicanh Pink - Accountin9; Goltlenrotl - ASSesso�
Hood or Typel ❑
Canopy Type I I ❑
Refrigeretion System
❑0-100,000 BTU ❑ 100,000 6T
System Repair/Alreretion
Fire Dampers
Registers _ �
Issue Fee
A.P. # �f'pZoi.
5 Main Building: �
E
T Front (�'
ARear �� 'rj
� R�9ht 5�
S Left 5 �
PIn9. Ref. # .
Planning Notes: _ f
9824 5/03/86
Zone
Accessory Building:
Parking Req./Provided
ELECTRICAL -
Auromatic Washer Transformer ❑ 15-50 KW
Consvuction Pole Sub. ❑ 50 + K W
Cooking Unit Meter ❑up to 100 amps
Dishwasher Meter ❑over.169amps')pJ
Dryers ❑Gas ❑Electric .SubPanel ' �
Fan Motors �0-1 HP �1.� - 8
F,A.U. Inc.Solar �9-15 HP �16-15+
Fiztures Microwave �
Device Boxes Pole Liaht .�
�Utl¢LS
$WILC�125 .
Ga�age Disposal �
Generator �0-5 KW 05-15 KW
Standing
Trash Co
� Reinspection Fee $75 Issue Fee
:fEES
DEVELOPMENTSERVICESREQUIREMENT�
Zoning Approved 6y
Building Approved By
Aooliption Issued BV
$ 3
SUMMARV OF FEES
BUIL�ING PERMIT $ . 13 '�J •�a SMIP
PLAN CHECK � $ �7' 7S _pERMIT
PLUMBING $ �ISSUANCE
PLAN CHECK 25% $ ENERGV 7.C.
ELECTRICAL . § A�3�•SU GRADING
PLAN CHECK 50% $.- I S• 2-S MICROFILM
MECHANICAL $ _ TOTAL FEE
PLAN CHECK 25% $
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CONSTRUCTION AND PLANNING. ^� ' ,' POOL & SPA
APPROVALS .Permit# t� Date Inspector. p�ppROVALS Permit# Date Inspector
. a �.
1.RTemporary Electrical $ervice 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 i
5. Steel Reinforcement � � 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. . 57. APPROVAL TO COVER-GUNITE .
7. Footirigs . � 58. Electriral Conduit-Undrgrnd.
� •
S. Foundation ��.", � 59. Gas Pipe, � Undrgrnd., Test
..
9. Watei 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 & Vent-Final ' ,
13. Roof Drains ' 64. Plumbing System - Final �
14. Rough Plumbing 65. Electrical-Final �
75. Rough Electrical-Conduit 66. Solar.System-Final
16. Rough Electric Wiring _�3.� �" 67. Fencing & Access Approval
17. Rough Wiring Sign ' 68. APPROVED F.OR PLASTERING� �
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA Sl'STEMS FINAL .
- 19. Rough Heating & Air Conditioning , FIRE DEPT. REQUIREMENTy�;"�
20. Rough Factory Fireplace APPROVALS Permit # �� '
,}
21. Ducts, in Structure . 70. Underground Hydro '
22. Ducts, Ventilating 71. Product Piping �Gas ❑Oil
� 23. Gas Pipe-Rough & Test 72. Underground Flush -
24. Roof Framing . 73. Undergrnd. Storage Tank O Gas � Oil � �
� 25. Roof Sheathing .� � 74. Overhead Hydro �
� 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical �. .
27. Frame and Flashing ' - � �} f�j{ 76. Dry Standpipe , r�
28. Lathing & Siding .rf , 77. FIXED SYSTEM FINAL _� � �
29. Insulation 78. FIRE PREV. FINAL .
30. Drywall Nailing � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION �, ,Y' ,
32. Electrical Power Meter-Final 6 3� . 80. FOOD CERTIF�CATE ISSUED -
33. Final Electric �-3-� Notes: 6_?J-86 � e -4... ,
34. Final Heating & Air Conditioning - �
35. Final Gas Pipe-Test . -�
36. Hood or Canopy .,
-37. Final F.actory Fireplace •
38. Final Plumbing ` _ •
39. Water Service-Final " '
40. Gas Service-Final � ,
� 41. Solar po'mestic-Final �
1
r42. BackflQw Preventer z . ' ,
t
43. Backflow Irrigation {
44. Landscape Irrigation System (t.j � �
� 45. Sound Attenuation � . ' ' =
� 46. Handicap Regulations , � ' �
i
47. FINALSTRUCTURE&BUILDING s ��✓ .� . �� �
48. Special Requirements Completed �' • ,. J'•
49. Electric Release to Edison . ',
50. Gas Release to Southern California Gas Co ' '• !
,�
51. CERTIFICATE OF OCCUPANCY1 �/=
No, Date _ '
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ni�'.;f�°" FOF APPLIG,.NT TO FZLL IN
IIJILDING ADDRESS �� (p. ���/�GCGtc/�
O,mer. �.lit-k�Cf ' . ��a./�.:� -
Afaii A esa
City , oa �
ooe vo --)- m> mm e.�
Contractor� .� o e,%� )%) o I^� �.r
Address
City Lic, o, �/.f- o h� o, _„_
o e 0 e e a o c /� o
Size of Lot r/�DAP# L/�S`76�-�
Setbackss C�tree��p�Reai' o!
3ir5,» Yard = Righi � Lef£ �
Type of Fence y����,�,,� c�2�
� �� � .5 � � /.�� .��a.,% ii .
I hereby aClmowled�e that I ha��e re�d
thi9 application and state that the
above i� correct and, �gree ic compl,y
w'�th a12 City Or�nances ar,d Stata
Laus regulating building constz�uciirn�,
S3gnatnre � �%�
C� Q8T(�!�$$Be ' CL�yw�c.L��KJ �_'.ex�
Agent _ ' y„
Recvod
FOR OFFTCE USE ONLX
L��C�L 1f � F�OI'Yllt�. ticv
ii'
Permit Fee � r� -
Plan Check � —
$ /C�JS,'' �0'�'AL FEE s ��
I �
FEE R CEIVED
FI�, b, ,�,-��
DEPT.
CITY OF COSTA MESA
' OW NER HUNNY INV. CO. DATE h-27-55
� JOBADDRESS 2168 Puente St.. BUILDINGPERMITNO. ZZSO
: GENERALCONTRACTOR $, �, Hunsaker VALUE $9�QQ�.Q�
� 85 BLOCK TRACT 2387 Sinele Familv Dwellinz
. GROUP I TYPE V ZONE $)� FIREDISTRICT ���,q
I DATE I SUBCONTRACTOR I PERMITSISSUED
. INSPECTIONS ,
r
Foundation Forms and
Plu
Plu
�. D
Heating, Final ti�i/—/ / —7{!—�;
Sewer, House Sewer, St.4� :�V 1�' 1 S�,f
Septie Tank or Cesspool
t a, In Out -� �
• F. ,ring �. =S
Plumbing,Final,FixturesCom et �CL i��
Plumbing, Fin.al Ga Test/3� �(( / - y�� �
Wiring, Final GG �— � jp�,
Ocwpancy LL �� j
Fnrm 210 G-H 1500 1-55
DATE
e�-
osta Me5a Building Department APPI,ICATION FOR /P►ERMIT
,_ 711 EAST 20th STREEY �2,�� g U! L D iL N�7 ' �
COSTA MESA, CALIFORNIA
OWNER AQrt�,--SAt�(tF'i. L. SEP 2 4 1957 DATE -lfj- '�
JOBADDRES3 91FiA R�ente � BUILDINGPERMITNO. I��HLl
GENERALCONTRACTOH JOB T.. Morales
AP115-ly61-13
I BLOCK
GROUP TVPE
INSPECTIONS DATE
Footing Trench �
Foundation Forms and Grade to Garage
Rough Framing
Plumbing, Rough to SIa6
Plumbing, Rough Complete
Temporary Pole
Wiring, Rough _ _
7, Rougf
�, Final
House
�ank or
�, In
Plumbing, Fin�al, Fixtures
Plumbing, Fin,al GasTest
Wiring,Final -
Occupancy
FOflM 210 3M 10-55
St.
7.-7_�[�i �
SUBCONTRACTOR
VAWE
Wall
PERMITSISSUED
DATE I NUMBER
OWNER G��SON� Wi l_. l js�m�, - DATE 2-19-63
JOB ADDR�SS �IAFi A�ente Rt. � BUILDING P�RMIT NO.
AP No.115-1+61-08 LOT
J*'�PECTIONS
G�
�.... :—�e�.
:ontrestors,�nc . vaLUE � 3, t3p0.00
TRACT FIR� ZONE DESCRIPTION OF WORK[�d F87f1�E3Il•
� Signature� DATF. GROUP I TYP� p 7.ONE R-1
SUQCONTRACTOR