HomeMy WebLinkAbout2179 RALEIGH AVE - Building Permits_ � AGD�icant to fill in all spatts except those within heavy EorOer Ilnes ana sign all aDoroorlate Oeclarations.
��i �'�COSF� MES ONSTRUCTION PERMIT PaERMInT NO. T/R�A /T 1NO L T NO. UNIT NO. ' I ` /
ol� dres� �Y��i �A�.�i � tfi -�-✓" c�ast� m� L�r y$��� 05�%
i ' '—' � 5/ � qs��i,y�.?�pp . TYPE OP CONSTRUC710N NEW DD ALTERATION REPAIR
� Applicant'S Mailin-111 �Ad,�d-r�ess�j�. r,�� / � Q CONVERSION ❑ DEMOLISH ❑ OT/HE'R A p# � O3 . Zp�e
Owner's Name •,�QV� J11pE�'�I%,Q� Phon��«'r 3 �DESCRIPTION OF WORK/USE OF BLDG. et�1.�1J L��',� e� Rec %R�.,� �
Address —�� �`�""' �T^ �' '�� `nW� `� ^� S Main Building: Accessory Building:
Arch/Eng.�T�M'i�S � SYEN.�' � LicenieNo.C�/�����g _ TYPEOFPER IT GRaoiNG FOurvDATlOni STRUCTURAL T Front p
Address ��SZ.IZA���� C�S��I-'Y�1C��yy- ❑ TENANT � ELECTRICAL � PLUMBING ❑ MECHANICAL A Rear � N
/� CoMraCtor'S Name ,�❑ OTHER
�• � Phone C Right � N
PHOJECT DESCRIPTION 5a. FT. G2Q-'\ oCCUaANCv
Addf¢SSIRIdiliOy) CONSTRUCTIONTVPE �ATION$ �%L.�Z.f� g LeFt � O�� ' G
CiryLicenSeNo. • ZONE GRADINGCU.VDS. ACRES R
LICENSED CONTRACTOR DECLARATION Ping. Ref. # PB�kiny R¢q./ProvidCd E
I tlereby atfirm Iha� I am licensetl untler provi5ion5�Ot Cha�ter 9(commencing � Remarks: , L. � 3 � S Planning Notes: � M
wltM1 seclion ]000) of Division 3 of the Business antl ProfeSsions�Cotle, anC /y �7
my Ilcense is in /ull /orce antl eifect. • - ' • . C, FQL ' J► �J �- Z.3 � S
License Class Licensc No. ' .
Date Signature � ' PLUMBING FEES
WORKERS' COMPENSATION DECIARATION • � ^ BafSink Showers
1 nereby attirm that I have a certifica[e of consenl to self-inmre or a ccrtiilcate ELECTRICAL FEES
ol Workets' CompansatiOn Inm�ance, o� a certitietl CODY ��e�eot (58Ction BdCkf10W P�¢v¢nt2� S¢rvit¢ $ink
3800, Lab. c.1 � - , ' � Automatic Washer Transiormer ❑ 15�50 KW
PolicyNo. Company Backflowlrrigation SewerCap ConstructionPoleSub. �SO+KW
8 Certifietl copy I5 nereby fumizh¢tl. . �� . ,
Certitietl copy is filetl witn tne city euiltlin9 Division. Bathtubs Sewer Connection Cooking Unit Me�er Qup to 100 amps
Dale APplicant � '•
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION � CIB�ifi¢t5 $012�COIICctO/5 DlShwdShC/ Mecer �OVC� 100amps
(Tnis mction neetl not be complete0 it the Oermit is for one huntlretl (E300) or � �
less). � Dishwasher' $plar Piping Oryers �Gas ❑Electric Sub Panel
I certify that in the p¢rfOrmance Of [he wotk for which thl5 pe�mk IS ifSUCtl, 1
sna11 not employ any person in any manner so as to be<ome subiect to tne Drinking Fountains Solar Tank Fan Motors �0-1 HP �1'/x - 8
Workers' nsalion Laws o( CallforniU .�1,�' '
Da[e Signature ���C]I.11 rx' ij�[',�, � Floor Orains Swimming Pool w/Spa F.A.U.
NOTICE: f, atte� making this tleclaration, you shoultl become subjeCt to th¢ Inc. 5013� �9-15 HP 016-15+
Wofkels' Campen5alion provisions of the Ldbo1 Cotle, you mu5t torlhwitb FIOOISinkS UfifldlJ Fixtule5 MiclOwdv¢
comply with such p�ovisions o� thi5 permit Shall be tle¢metl �evoketl.
CONSTRUCTION LENDING AGENCV GasService Outl¢t5 WdtE�CIOSEt '
I h¢reby affirm thal the�e is a construction lentling ag¢ncy for the per/ormance D¢viC¢ BO%25 P012 Light
of [he work lo� whiGh thi5 permit is issuetl ($ection 3097 Clv. C.) Int¢!c¢ptOfS Wdt2f �H¢Bt2� �� OUtlEtS Range On
L.entler's Name ` - Z py
Lentler's AtlGress Kitchen Sink � Water Service Switches Sign
OWNER BUI�OEN �ECLARATION
I hereby affilm thabl dm exempt from tlle ConVactor's License Law br the L2vdtOlieS - AUt0-Wd5h �(�idfbd 2 Di5 OSdI
tollowing reason (Sectlon 7031.5 Business antl Professional Cotle: Any tlty or 9 P Standing Sections
county whith requires a p¢rml[ [o con5truct, alt¢q Improve, tlemOlish o� �epair P—T�ap � • LaUnd� T�d 5
any ztructure, prior to its issuance, aiso requires che app�icant tor such permit ,1 Y V Generator �65 KW 05�15 KW �Trash Compactor
to file a si9netl statement tnat he/she is Iicensetl puRuant to tne provlsions of Roof Drains . ryCse B� b 'L 0 . -
tbe Contraclor'S Licenze Law (Chapter 9(commencinq witn Setlion 7000) of
Dlvision 3 ot [he Business antl Professions Cotl¢) Or that ne/she i5 Gxempt .
therefrom dntl lhe basi5 for lhe allegetl exemptiOn. Any violation ot $ecHon
]031.5 by any appliGant fo� a permit subjects tbe ap0��<ant [o a Civil
�enalty of not more Ihan tive hundretl tlollars ($WO). $ 3
1, as owner ot the p�operty or my employees with wage5 a5 their sole R¢in5p¢Ction FBe $15 �� Istue Fee ,
mmpensation, wiu tlo tne work, antl the structure is not intentletl or oHeretl Reinspection Fee $15 Issue Fee $ 3
for sale (SecHon 7044, Business antl Professional Cotle: The Contractor's MECHANICAL FEES
License Law tloez not apply to an owne� of a prope�ty who builas O/ Imp�ove5
thereon, antl wno tloes sucn work himself/herseli or ihrough nis or har own Boiler Hood Or T e I ❑ DEVELOPMENT SERVICES RE�UIREM TS � � /�� L
employ¢e5, prOvitletl tha[ such improvements ate nol inf¢ntletl o� olleretl lor VP 1
sale. It, nowever, the Euiltling or improvement is soltl witnin one year ot com- �anopy Type II ❑ 2oning Approved By . /u�-%v Date�l' �' 6�
pletlon, the owne� will have [he Ourtlen of proving he/she tlitl no[ builtl or im- Duct - UndE! C�i�OUnd
Buildin9 Approved By Datee__f_�J"% n �
p�ove tor the pu�po5e Ot sale).
❑ I, as owner ot Ne property, am ezclusively contrat[ing wi[h Ilcensetl con- Duct - Structural Ref�igeration Syste Application Issued 6y Dat V�� � Q �
bactors to consbuct the project (Section 7044, Business antl Professions Cotle:
The Contractor's License t_aw tloes not appry ro an owner of property who Duct - Ventilating ❑0-100,00 ❑100,000 BTU SUMMARV OF FEES
bulltls or improvez thereon, antl who contracts tor such projects wlth a con-
tractor(s) iicense pursuant to tne Con[ractor's License Law). 1 am aware that Ezhaust System ❑ Multiple ❑ S m Repair/Alteration BUILDING PERMIT s zc 6. 5� SMIP $ ����
proof of their Worker's Compensatlon insurance shoultl be provitletl ro me. PLAN CHECK $ PERMIT
❑ I am exempt unaer Section B. & P. C. tor this reason FirepUFact BIL ICBO # Fire Dampers PLUMBING $ ri • UO ISSUANCE $
Date Owner �' Heating System & Ducti Registers � PLAN CHECK 25% $ �'S� ENERGV P.C. $
I hereby certiry that I have reatl this application antl state tnat me above ❑0-100,0006T OO,OOOBT ELECTRICAL s � 3. 3 a GRADING $
information Is correcL I agree to comply with all city antl coun[y ortlinances
and state laws relating to builtling construction, antl hereby authorize repre- PLAN CHECK 50% S �'i�- / J� MICROFILM S
s¢nta[ives of this cily t0 enter upon the above-mentioned prop r[y for
inspection ou es. �� I MECHANICAL 5 TOTAL FEE § Z 3 Z' 7
Si9nature �a�� einspection Fee 815 Issue Fee $ 3 PLAN CHECK 25% $
Drive�s' Licenie Or 55 �
CMF 0865-46, rev. 10/84 White - Builtling; Canary � Applicant: Pink - Accountinq; Goltlenrotl - Azsessor
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS 1?ermit # 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 UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 6� (�'� 58. Electrical Conduit-Undrgrnd:
8. Founda[ion - 6� G� 59. Gas Pipe, O Undrgrnd., Test �
9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, O Undrgrnd.
70. 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 8� 7�� 65. Electrical-Final .
15. Rough Electrical-Conduit 66. Solar System-Final .
16. Rough Electric Wiring _�� � G �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 Hydra
22. Ducts, Ventilating . 71. Product Piping OGas ❑Oil
23. Gas Pipe-Rough & Test , 72. Underground Flush � y . -
24. Roof Framing �y � 73. Undergrnd.StorageTank �Gas ❑Oil ��
25. Roof Sheathin "�
9 /y�y.7 � 74. OJerhead Hydro
26. T-Bar Ceilin (Structural) & Monocoat • `�� ' .
9 . . �75. Dry Chemical .
27. Frameand Flashing � K �'� ' `y' . 76. DryStandpipe
28. Lathing & Siding 7 � � 77. FIXED SYSTEM FINAL �
29. Insulation � �� 78. FIRE PREV. FINAL �
30. Drywall Nailing 1�1 �� HEALTH DEPT: REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION . '
32. Electrical Power Meter-Final ' S0. FOOD CERTIFICATE ISSUED �
33. Final Electric a Notes: D �� /�
34. Final Heating & Air Conditioning �, �y/g vy �
35. Final Gas Pipe-Test
36. Hood or Canopy ' O oW�
37. Final Factory Fireplace �1
l.
38. Final Plum6ing E S�
39� Water Service-Final D r+ ny..0 ��j �+ � ry�
�ri•r� .�� ti•�G
40. GasService-Final f�VME a-,/ S .
!
41. Solar pomestic-Final SaG-E CDNV � �� ��
. 42. Backflow Preventer
-b�
43. Backflow Irrigation � �C
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations .-
47. FINAL STRUCTURE & BUILDING � �
48. Special�Requirements Completed , �
49. Electric Release to Edison '
� _. �.
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date �
-;:
i•
CERTIFICATE OF COMPLIANCE
PAYMENT OF SCHOOL FACILITY FEES
NEWPORT-MESA UNIFIED SCHOOL DISTRICI'
Developer/Applicant: �f-%(i/ ���'Y.��� •
ri a a r e 5 S: a I� �2 A�(� 1 G- H A� � C'�SI A mES4
'I'elephone Number: � I.HCri3y� ���`-IQ-�i(Ck>
Tract/Parcel and Lot Number(s):
I,ocation of Project: ��1lt�.� , S�q A,6ove
i
�����',',E.
e... ' . • t.
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_ , r �, �
_ i` , .
Number of Square Feet of � nM3O �
Residential Space �Z � x$1.50 Total �t
Number of Square Feet of
Commercial and
Industrial Space _
x $0.25 To[al
. :- •
The provisions of G'overnment Code•Section�53080 are not �+
-ap'pl'icatil"e. "� _r _° ..'�- - 7 '-'� . . �, ----- ..
t- .f* i J . r � . �
This certifies that the above-named Developer/Applicant has paid
school facility fees in compliance'with Government Code Sections
53080 and 65995.�
Ch�ecks are to be made payable to Newport-Mesa Unified School
' District. �'
- . � �����
.
� �
�
Busin s Manager
Newport-Mesa Unified Sctiool District
The above representation as to square footage is true.
Developer/Applicant agrees thac if. it is later de[ermined that
such representations are not true then this certificate shall
auComatically terminate and the app'ropriate City/County shall be
notified. d .
Date: �/�/�'�
--r . r
eveloper/Applicant
OWNER MESA t4AN�R� "TNC. DAT@ p_pg_�,�
JOBADDRESS 2179�Raleigh Ave BUILOINGPERMITNO. p�y�y35
GENERALCONTRACTOR Richard Aart VALUE s 10,166.�
�or q9 s�ocK rRacr 2qp7 Single es. w/att. gar.
GROU
INSPECTIONS „_� /_ ...I IS[1�4T.E I SUBCONTRACTOR I DATE P IRMITS INS,U�EB'
wo�w�o olry!— s �
Foundation Forms and Grade to
Rough Framing -c�
Plumbing, Rough to Slab �.�rf;�
Plum6ing, Rough Complete
Temporary Pole
Wiring, Rough
Heating, Rough
Heating, Final
Scwer, House('li%f Sewer„
Sep w Tank or G sspool
Lathing, In % v S�J Out �
Piumbing, Final, Fixtures
Plumbing, Fin,al Gas Test
Wiring, Final
Occupancy
iORM 310 JM 10-�j�
�sta Mesa Building Department APPLYCATION FOR PERMIT
P.O.Box3!7 4s33 BUiLDING '
f` � COSTA MESA, CALIFORNIA
FOR OI+7'ICE USE ONLY
FOY$ APPLICANT TO FI7.L IN Receipt No. Permit No.
Building •
Addresa 21 Halei h 9ve Q� �5
Costa Mesa, CaIIiOPI118, Received by Date Rec'd. Date Issued
�vea�est � /� .30-f FEB 2 g 1
Cross St. Building
Add ress
Owner Mesa �fanor, Inc CostaMesa,California
Mail
Address 17639 Vanowen St Nearest
Tel. Cross St.
cicy Van D1uys Cali£ No. DI 3��6 Zone No. of Type cro
Architector Lta I Plans I �/
Engineer A 2S Fiepe No. Approved
yy Date
Address 4253 Coldtivater, DIo Hollywocd CORRECTIONS
co�t�actor Richard Hart c�ty uc
No. u5286
Address 1 6 Vanowen St
Legal Lot I
Description I No. 'j9 I Block I Traet Q9(17
(Attach Metes and Bounds)
No. of Bldgs
Size of Lot 137x56 Now on Lot TIOriB p
45e of I No. of I No. of �
Existing Bldg. Families Rooms �
Setback Linefrom Rear Vard � Z
Center of StreeS � Side Vard � ID1II y
DESCRIPTION OF WORH �
New I $ I Alteration I I Addition I
Repair I I Movin9 I I Demolish I
Building No. oi
Size 1150 Sq Fl�ooms i7 Stories ].
Exterior Wall Roof
Covering Plaster CoveringVioOd Shin�l APPR�VE��S
Use of New Foundation Location Inspector � Date
Building Sin�le Family DKe11inF Farms, Materials,
Under-Pinning
Frame: Fire Stops,
Braeing, Bolts
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to comply Lath. Int.
with all City Ordinances and State Laws regulating
building construction. Lath. Ext.
Stgnatureot M858 %d3T102' C
Permittee � - Plaster,lnt
_M
Authorized Agt. plaster, Est. �
Valwatlon . Permit Fea $ ��— Masonry RefnTorced 1+
�� G � Plan Check $ / — Bond Beam
$ �Q� Total
Fee $ 3 FINAL
cnam xoe � io.se o. >. e s.
1LV1LYl11�
8how Iocation and disYancea from
"% property Iine and between buildinpa
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OWNER ROBINSON� WALTER ' DATE 5-19-58 _
]OB ADDRESS 2179 Ralei�h Ave. BIIILDING PERMIT NO. 6%S�{
G�EP�I� C{�7TRACTOR Owner�uilder VALUE $ 330.00
AP. No.. LOT 39 TRACT FIRE ZONE DESCRIPT[ON OF WORK Cement Block�ence
GROUP TYPE ZONE PLAN NO. G7BLt
INSPECTIONS I DATE I SUBCONTRACTOR I DA7E PERMITSNUMU9EF
coat
Final Gas Tut
F T. I ST.
COSTA MESA BUILDING DEPART�IIEfVT
P. 0. 80X 317
COSTA MESA CALIFORNIA
C.�. OF STREET
' ' _��PROP. TINE _
r 10 FT. FOR 60 FT. STREET
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40 �'
FT . • I .
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60 F ST. �
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� • • � �� . �` /UL–a–�-f—• �----+
C.l. OF STREET
MAXIMUM 4 FT. FENCE MAY BE PLAG�fi.� ON DOTTED LINES—T----
MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID , �INES ,
I �'ya� I �=E� �ECEI�E�
FOR PIFPLICANT���4�4�II�FiiY_...
BUILDING
t
Mai] Address �" � � � �� �}
' City �-� � _ _ _ _ Ph. No. ���y 0 ���
Contractor �-�! � =�"� ^ Ph. No u � � �-� 3
Address
City Lic. No. State Lic. No.
– - - �� - - Zof-�q��5 S�' O��
Size of Lo AP No.
a � �
Setbacks: C/L Street'����z#r�� Rear —�
Side Yard - Righi� � Lef / ,
� �r''r���f .
Type of Fence
_ /.. : / _. Lt /'Yr'� Ll_ � /'_ ' // _ /
I hereby acknowl�Qge that I ha e�ead this application and st�
that ihe above is correct and agree to comply with all City Qr�
inances and S�tat/ `L�aws regulat/in�g� b�ui_l ' g construction. �
Signature "/`/� / � V '
of Permittee _
FOR OFFICE USE ONLY
� n--
I � % ��
Received by Date Received Date Issued
�u�� .r �% - Sd' .s -1 / -� b
VALUATION � �-o
Permit Fee $ �
5 3 O . �,
$ � ! Plan Check $ —
�
TOTAL FEE $�
USE REVERSE SIDE FOR DETAILS