HomeMy WebLinkAbout2244 RALEIGH AVE - Building Permits\
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�
qTV OF COSTA MESA �
CONSTRUCTION PERIVIIT
Project Address �
licant's Mailing Address • /� �
mer'sName -��OrPYICf�_
t�ose wit��n �eavy bortler lines antl sign all apprapriata Caciarationi.
3n—�D (O� O I � �.,,.,,
TVPE OF CONSTRUCTION - Ne
❑ CONVERSION ❑ DEMOLISH
DESCRIPTION OF WORK --�-�
/jL
J ADD LJ ALTERATION LJ REPAI
OTHER
reu TVPE OF PERMIT ILI GRADING LI FOUNDATION LJ STRUCTURAL
rCh/Eng. LICenS¢ NO. '❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL _
Address ^ � ❑ 9THER '
Contractols Nam9 '��%K ��' ��U���� Phon�g PRQIECT DESCRIPTION SQ. FT. ^? ��� OCCUaANCY��1/�
Addreulmailing)� CONSTRUCTIONTVPE ��• VALUATION$ '�i9%V.�
a(o Comrvi�p.�.rc_ � .r✓� •
OS�9.3 � ' 20NE GRADINGGU.YDS. .ACRES
City LicPnse No. ('1 '
LICENSED CONTRACTOR DECLARATION Remarks: ' . � �
I hereby affirm that 1 am licensetl untler provisions ot Charler 9(commencing �
with section 7000) of Division 3 ot the Business antl Profes ' ns Cotle, antl � ,
my Iicense is In full f rce an efiect. /� �
Vicense C15ss � pM1te lo , '
te � ' � Si9nature �� � .
J0.KER5' COMPENSATION DE RATIO , � Bef SIOk '
I hereby affirm that I have a certif' ate of wnsent to 5elf-insure or a certificate , gackfl0w P�Cv¢ntC�
o� Workers' Compensation Insurance�,�or a-certHietl'-copy theveof�(Sectiom-� -
3800, Lab. C.11 � t/ � .,I� . ; BackflOYvlrrigation �
Policy No. �-+�77 � Company_��'1�✓�'
n�{, Cert7tietl copy is nereby (umisliea. Bachtub�s
IS Certltietl c py i5�iletl wi[h the city uiltli �i ITjory � i
oate ��'��—�' qpplicant���� �1CDS- ��D��h�� Clarifiers 1 �
EXEMPTION FROM�WORKERS' COMPENSATION DECLARATION DishvJdshe� - -
(This section naetl not be completetl i( the permil is for one huntlretl (E100) or
less):
I Certify Ihat In the performdnce of the work for which th15 permR is IssUetl, I Drinking FOUnLainS
s�all not employ any Derson in any manner so as to become subjecl to the
Workers' Compensation Laws ot California. - ' Floor DrainS
� Oate Si9natur¢
I NOTICE: It, aft¢r makinq this tleclaration, you shoultl become subject to the FIOor Sinks •
IWorkers'. Compensation provisions of the Cabor Cotle, you must torthwith
� comply .with such , provi5ion5 or -Ihis pCrmlt shdll bG tlB¢m¢tl re�okea. Gas Service • Oudets ,
� CONSTRUCTION LENDING.cAGENCY ' � -
I' I hereby �afflrm lhat there is a mnstructlon lentling agency for the performance Interc2pto�5 � ' '
of the work Tar �wMch�this' permit is issuetl.(SetHon 30B7 Civ. C.)
I, Lentler's Namn'• Kitchen Sink - �
Lentlar's AOtlress. ' � -
OWNER BUILDE0. DECLARATION - . � Lavatories ' ' -
I hereDy af8rm that I am exempt (rom the Contractor's License law for tne p—Tr2
following reason (Section 7031.S,Buziness antl Professional Cotlo: Any city or P, �' �
county whlch requires a permit=to construct, alter, lmprove, demolish or repair
'any s[ructuro�. Prior to its-issuance, also requires tha apo�lcant tor such permit Roof Drains� � . .
more
e alle!
a pe
untlrei
ty wr
k, dntl
ess ar
an ow
1, bowBVGq [ba bWltling or
n, the owner wtll have the
for the pu�poSe o( sale).
a5 owner ot the DrooertY.:
bulltl5 or Imp�ove5 tM1e�eon, antl w�o
t�acto�(5) Iicense pursuant t0 the Cont
❑ I'am axempt uritler Sectlon
Data Owner _
I hereby cerUfy that I have reatl th
Informatlon'Is correct. I agree to�corr
antl state laws relating to tyiiltling c<
5�9�a W re
LDrivers' Lit�se or 55
-CMF 0865-46 ruv. �/83
tnat
7000) of j
is exempt � � � -
ot Sectlon .
to a civil
, , Reinspection�Fee � ' $25
operiy wno DUIlOS of ImO�oveS
telt or tivough bls or,her own
re nat intentletl or oHeretl (or .
I5 soltl wllhin one year of com-
9ng he/she tlitl not butltl or'im-
contracting wi[h Ilcensetl con-
Buslne55 antl Pro(85sion5 Cotle:
to an owner ol property wRo +
� fo� SUCh projeCtS with a con-
ICOns¢ �aw).
— B. & P. 0.(or this reason
tion antl stata that the above
all Nty antl�county orainances�
i, antl�hereby authorize repre-
bove-mentiOnetl p�ope�ty to�
/—/ �� �y
Duct - Under Ground �
Duct-Structural '
Duct-Ventilating �
Exhaust System ❑ Multiple ❑
Firepl/Fact. BIL ICBO # '�
Heating System & Ducting
❑ ai oo,000 sTu 0 i oo,000 sr
��Oate
, I ' I Reinspection Fea
BuilUing; Canary - qppll<ant; �Ink - Accountin9; Goltlenrotl - Asseisor
0
$25
Showers
Service Sink
Sewer Cap � �
Sewer Connection '
Solar Collectors
Solar Pipin9 — � -
Solar Tank
Swimming Pool wYSpa .
Urinal �
Wacer Closet
Water Heater
Water Service •
Issue Fee�'
Hood ar Type I ❑
Canopy Type I I ❑
$ •3
A.P. #
S Main Building:
E -
T Front
A Rear •
C Right
K
g Left
Ping. Ref. # �
Parking Req./Provided
Use of Building: •
Planning Notes: '
i
Automatic Washer
Construction Pole Sub.
Cooking Unit ' �
Dishwasher �
Dryers �Gas ❑Elec
Fan
F.A.U.
Fixtures
Device Boxes
2635 I/IB/B4 23.50 TL
Zone
^ Accessory Building:. - Z
O
: N
• I
N
G
p
E
� Park.Fees $ �
U
I
R
E
M
E
• N
, T
' S
� � ELECTRICAL . � FEES
Switches
Garbage Dispoul ' �
Generator �0.5 KW �5�15 KW
Transformer ❑ 15-50 KW
0 50+ KW
Meter �up to 100 amps -
Meter �over 100 amps
Sub Panel
Motors 041 HP � 1'h -�8
Inc.Solar'�9-15 HP 016-15*
Microwave '
Pole.Light '
Range ` , '
Standing Sections
Trash Compactor
-' Reinspection Fea � � $25 Issue Fee
FEES "
PUBLIC SERVICES REOUIREMENTS:
� Zonin9 APProved By
APPliwtion APProved BY .
Application laUed By � % �
❑aioo,000eru ❑ioo,000sTu
Sys[em Repair/Alreration . •
laue Fee � $ 3
$ 3
� .SUMMARV�q FFEES ' T
BUILDING PERMIT $- r�3.O(/ SMIP '$� . SV
PLAN CHECK $ PERMIT �
PLUMBING $ ISSUANCE $
PLAN CHECK � ' $ ENERGV P.C. $
ELECTRICAL $ � GRADING ; $ �
PLAN CHECK � $ � MICROFILM $
MECHANICAL $ � .TOTAL FEE ' $ 3�
PLAN CHECK � $ •
,
C i ION AND PLANNIN� � PuJL & SPA
APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector
7.. Temporary Electrical Service or Pole- . 52. Pool & Equipment Location
' 2. Soil Pipe=Untlrgrnd. � 53. Steel Reinforcement
3. Electrical�Conduit Utility-Undrgrnd:� '' 54. Forms . .
_4.�Electrical�Conduit-Undrgind. �y" 55.� Electrical Bonding �
5. Steel Reinforcement �' � 56. Rough Plumbing & Pressure Test
i
6. Electrical UFER Grnd. 57. APPROVALTO COVER-GUNITE �
7. Fooiings ' 58. Electrical Conduit-Undrgrnd.�
8. Foundation J�i _ � 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 '
71. Property Sewer Line.& House ConnecYion � 62. Backwash & Receptor-Final
12. Sewer Cap � ' 63. Heater & Vent-Final
13. Roof Dreins 64. Plumbing System - Final -
14. Rough Plumhing 65. Electrical-Final
15. Rough Electrica�-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 F�NAL
19. Rough Heating & Air Conditioning FIRE DEPT, REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑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 PflEV. FINAL
30. Drywall Nailin9 ' HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat ' 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. FinalElectric Notes: E��� �Z¢_$�r L•
34. Final Heatiny & Air 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 • �
47. Solar pomestic-Final '
42. Backflow Preventer -
43. Backflow Irrigation � :
44. �Landscape Irrigation System - . �
45. Sound Attenuation
46. Handicap Regulations
47. FINALSTRUCTURE&BUILDING� �_z g
iirements Completed � ,
��ase to Edison � � �
to Southem California Gas Co � � � .
TEOFOCCUPANCY �
Date . _ I
OW NER MGSA MANOR,-INC DATE Q_QB_5�
JOBADDRESS 22la1t�Ralei�h Ave BUILDINGPERMITNO. �(i�i 8
GENERALCONTRACTOR Richard Hart VALUE $ 9,961��00
LOT 22 BLOCK TRACT 29�y% $151�12 res. W�Btt. �3Y'
GROUP 1 & J TVPE '
INSPECTIONS � �/OAT�f
.y� !s
Footing Trench �%�
Foundation Forms and Grade to Gar g
Rough Framing �
Plumbing, Rough to Slab����,,'c� �:�
Plumbing, Rough Complete �G_S'
Temporary Pole
Wiring,Rough 2 R 195.
Heating, Rough � �/�j �
Heatin Fina ' f�� b-9'-_
sewe ' use : l/ Sewer. St. rn G-j-�
Septic Tank or Cess ool �
Lathing, In . � Out 'f (� -'/'3
Plasterino �• � /3
Plumbing, Final, Fixtures
Plumhing, Fin.al Gas Test
Wiring, Final
Occupancy •
FOliM 310 3M 10-95
pC1
ZONE
SU8CON7RACTOR
FIRE DISTRICT . l�jlb
PERMITSISSUED
DATE � NUMBER
i sta Mesa Bnilding Department
P. O. Boz 3�� 4316
COSTA MESA, CALIFORNIA
� OYi APPLICANT TO F`ILL IN
u 22L�l� Ralei h Ave
Costa, Mesa, California
c�preat
6rob?St. V1CtOT18
owoe� ?,'esa �anor, Inc
Mail
nddress 17639 Vanowen 5t
city Van Nuys, Cali£ rTio�.DI 36606
Architector LiC. c3i4
Enoineer Avres & FiePe nio.
Contrector Richard Hart No'" ��°. 115286
Address 17639 Vanowen .
Legal I Lot I
Description No. 22 Block � Tract 29:1
(Attach Metes and Bounda)
SizeofLot 133x53 I NowonLot None
115eof No.of No.ot
Existing Bldg. Familles Rooma
Setback Line irom Rear Vard
Center of Street KK I Sid« Yard K �
f���'�I"�
Repafr I � Moving � I Demolish �
Building o.of
Size 1150 Sq �Qoms 6 Stories 1
Exterior Wall I Rooi
Covering p�ac . _r Covering }��OOCi }1
Use of New Sin.le Famil D�cellin
Building e y g
APPLYCATION FOR PERIVIIT
BUILDING �
FOR OFFICE USE ONLY
I Receipt No. PermAit No.
�`A��_S
Received by Date Rec'd. FQa�te2ssued
i_ a�c �i t o 1957
Address
Costa Mesa, California
Cross St.
Zone
CORRECI`IONS
APPROVALS
Forms, Materials
�/ . Under-Pinning
� � Frame: Fire Stops,
Bracing, Bolts
I hereby acknowledge that I have read this Application
and state that the above is correM and agree to comply Lath. Int.
with all City Ordinances and State Laws regulating
building rnnstruction. Lath. ExL
Signatureoi �
Permtttee n 7 � Plaster,lnt
AuthoAzed A � plaster, Eut.
Valuatlon Permit S oZ �� Masonry Reinforce
�iJ 9 C.�.� Plan Check $ / Z � gond Beam
$ �) � � � Total /
Fee 3 6 � FINAL
cM ma io.ss o. r. e s.
O
9
�
��
■
�
7t
Street
PLOT PLAN
Show Iocatlon and distancea from
property Iine antl between buildinpa
�' 1
��rv +.y [�
OWNEFt HECK. GFARGE DATE ��� Z 1 19�
ZONE 3 DESCRIPTION OF WORKAdd P&t10 t0 re
tOUP J TYPE N ZONE R1
PERhIITSISSUED ��
SUBCONTHACTOR .,.,,,�, i ,,�,,,,,o�n
� 22633 �
� COSTA MESA BUILDING-SAFEfY DEPARTMENT
P. O. BOX 9f ] COBTA MBBA� CALIFORNIA
For Appllcan� �o Fill In Completely
TYP� OR PRINT
HUILDlN6 �1 fI� ii � �
ADDRESS /� Z �151 ��Co �
COSTA M@SA, CALIFORNIA
■ AftCHITEGT
6TATE
LIC. NO
SIZE
OF LOT
115E OF
3o S. v�"C'L. p. rt�r�`�.,
U�W6�LsS
PPOM
DESCRIP710N OF WORK
BUILDING ' C�
s¢E .l
EXTERIOR WALL
CI
I1 XEREBY ACKNOWLlDaB THAT 1 HFVB PB�O TMIB APPLICATION
ANO 6TATH THAT THH ABOy6 IB CORNECT AND AGREE TO COM.
PLY WITH ALL CITYpj1DINANC88 AND BTATB LAWB HfiOULATINO
BUIL�INOCONBTHUETtbN. / /
■ AUTHORIZED AGENT
FEE RECE19 ED
APPCICA W � PPF.RA�iR
CITY �� ivit���
Fo. Offiee Use o�y
p6C61T'NO. �PERMIT
Z F�
eu�u
aooi
FIRE
YAROSAPPROVE�
MAIN BUIL�INO�
VAR. iF
— � S 3 � � Oa--
HANG SHALL BE LE88 THAN
YARD9APPROVED
ACCES90RY 9UILOING
DATE�
n
6Q.FT. �
TH! AMOUNT 9HOWN UNDEP VALUATION �9 pOq TH6 =
PIIRPOSE OR 6BTABlIBHINO A PBFMIT PEH ONLY. �
VALUATION QO „
' PERMIT FEE S j
�•� m
s�aZOD r c c o
l 3 s� 6
� TOTALFEE $
�
OWNER �K, �orge
JOB ADDAESS 22111F
AP rroLtS-551-� LOT
INSP�CTION5
r
TRACT PIR� ZONE
�Signature� DA1`E GROUP
DATli
VALUP $ �w"%�'C.ec
DGSCRIPTION OF WORK COI�
TYP� III 70N� R-7
SUI3CON'PRACPOR
,
P��N" ' �
COSTA MESA BUILDING-5 DEPARTMENT
P. O. BOX 917 COBTA MEBA. CALIFORNIA �
For Applicanf fo Fill In Complefely
TYPE OR PRINT
� �
BOILDING ti �/
A�DRE55 r� L N/ c
COSTA MESA. CALI�ORNIA
1 ARCHITECT
� 81ZE
■ BBTBACK LIN6 FROM
TEL.
NO.
TEL.
NO. OP GLDQs.
DESCRIPTION OF WORK
� � ����l���
JUL 2 6 1962
�INA��� 6��:
�itv 6� �6�iA �I€�A
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
A£CE1VT HO. PCAMIT NO.
!Y I O/`1 �l VH� -I �^�e
�a ��
CASTA MESA. CALIFQ NIA
ZONING �
Z N �� NO. OF U96 OP NPY
PLANB Cl /I BUILDIN6
1/
L60AL \ .(,
DB6CRIPTIONL�I� J' � 1
A. P. NO. I I �'� ��� _
YARDS . EVES
APPROVED ALLOWED
(ClNTHR LIN[ BTJ
APPROVED
0
1 HCPHBY ACNNOW�800H THAT 1 HAV6 ReAD TX�9 AP'LIWTON TMg AMOUNT BXOWN UNO¢R VALUATION IB �OP TME
ANO eTATO THAT TXH ABOVC 19 CORHECT A!ID A6HHH TO COM� pURP08E OP 88TABL�BHING A PeRMIT FEE ONLY.
PLY WITH ALL CIY�" OIiDIN CH0 AND BT�TB WY9 ftCODUTN6
Bu1LDiNa CONBTRYCT� N � VALUATION
8I6NATURE O {��) � PERMIT FEE $
PERMITfE � n •`L � �� •'_
i
C %!y� $ X PLAN CHECK $ "—'—
-'��t��L.LtII/ ^ �f�c��=P W � �
AUTHORIZED AG6Ny��
TOTAL F6E ��
%S(D �Co
0
a
owtvER FiECK, George J. naTE 5-18-62
.IOB ADDRESS 2241� Ralei.gh Ave. BUILDING PERMIT NO. �2--_
GENERAL CONTRACTOR Owner-$1dT. VALUE $ 3 .
AP No. ].1S-5Sl-0Z LOT TRACT FIRE ZONE D�SCRIPTION OP WORKRBC.RIftDAdd.ti
INSPECPIONS �Signature� DATE GROUP I TYPE V ZONE R-1 �
5UBCONTRACTOR
G
� �. : � i ss82
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COHTA MHBA. CALIFORMIA
For Applieant +o Fill In Compleiely
TYPE OR PRINT
BUILDING
ADDRESB
COSTA MESA. CALIFORNIA
/J� TEL.M �/
G7Y WS�A �L+—SA_ NOJ%/"U"i%S
1 ARGHITECT iEL.
" """ __' �
FIRE
. . FEE RECEIV�D
A,/ MAY 3 1962
1� FINANCE DEPT.
CITY Of COSTA M�SA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
XECEIP� NO. P6RMIT NO.
COSTA
ADDRESS • i
I20N INO.OP �
CITY rLwNe
6TATE �—' TEL. �
LIC. NO. NO. �OA�
�69CPIPTION
OF LOT � I,3 � I I No, oF Bt�Ge.
NOW orv LOT A. P. NO. /
U8E OF YAROS
EXI6TING B�OG APPROVED
SHTBACK LINB FROM / IC[Mep LIN[ BT.1
ce�+ien or arqeer �a �� REAR YARO J�Y, FRONT
/ /
SIDE YARD LEFf RIGHT �J ft.51DE
DESCRIPTION OF WORK . _.__ �
REAR �
APPROVED
BUILDING NO. OF
SIZE ROOMS ' � STORIES �
EXTERIOR WALL ROOP �/' �/�
COVERING ' COVERING NO/ /A�
� U6H OP BUILDING/1ND WORK 70 BE PERFQ,RMED/ ,/f
UBE OF �
eui�oirva
I NHReBY ACKNOWL8DG6 TMAT � XAVE READ THIB APPIJGTiON THg �NOUNT BHOWN UNOER VALl1ATION 19 pOq TN8
AND BTATB THAT TH8 APOV6 18 COPRECT AND AGREB TO COY- pUiP08E OP E9T�BL19HIN6 w PERMIT FEQ ONLY.
PLY WITN ALL CIiY OHDINANCEB AND HTATB LAWB REOULATINO
au��o�xo eoNernu oN. VALUATION //,y�
81GNATURE OF � PERMIT FEE $ / •- �
PERMITf'E pLAN CHECK $ �� Ji
AUTHORI2ED AGBNT g/��D TOTAL FEE �