HomeMy WebLinkAbout158 DEL MAR AVE - Building Permits .- -- Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. - -
CITY OF COSTA MESA C STR UC 10 PE IT PERMIT NO. • TRACT NO. - LOT NO. UNIT NO. i
Project Address /'7 � `� - r ^5 5 3 d 3 3 1 376 57736 - . cep'n a i 3074000e
_ TYPE OF CONSTRUCTION H NEW '❑ ADD ALTERATION ❑ REPAIRI '5592 ?9/18/87 _.nn GA
Applicant's Mailin• Aderess .C99 �, /g'Jj_i.L i`� 1q - -
Owner's Nam: Al /�!l� / / '❑ CONVERSION ,e]I DEMOLISH ❑ OTHER -- t A.P.#-iSD: —�/Oa - -" . I-Zone _
�P+hone/ DESCRIPTION OF WORK/USE OF BLDG. - ,
' Address �nii - i ���-� 4 S Main Building: Accessory,Building:
E Z
Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ •STRUCTURAL • T Front - ' 0
•Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL BA Rear •• I • N
• //,,,, I
Contractor's Name OW Phone ❑ OTHER - - -' " C Right . - s -- 1 - N-
PROJECT DESCRIPTION SQ. FT. OCCUPANCY�s� G
Address(mailing) CONSTRUCTION TYPE VALUATION$ � / $ Left I
City License No. - ZONE GRADING CU.YDS. ACRES ' ' E
LICENSED CONTRACTOR DECLARATION - - Ping. Ref. # Parking Req./Provided 1
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: • - • Planning Notes: - ' _ • ' ' I G
with section 7000) of Division 3 of the Business and Professions Code,and • i M
my license is in full force and effect. - _ • - _• - i $
License Class License No. - '
Date Signature - PLUMBING - i .FEES / . ' , o --
.'flR KE RS' COMPENSATION DECLARATION Bar Sink - Showers ' , - ELECTRICAL' - ' - FEES • .
eby affirm that I have a certificate of consent to self-insure or a Certificate - ,
'orkers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink 1 , Automatic Washer 'Transformer ❑ 15-50 KW
v •
,J, Lab. C.) 0 50+-KW
Policy No. Company Backflow Irrigation / Sewer Cap •' - - ' • Construction Pole Sub. ,.
Certified copy is hereby furnished. _
_ Certified copy is filed with the city Building Division. Bathtubs • Sewer Connection ` • ,Cooking Unit - ' Meter Duo [0.100 amps i
Date Applicant
X EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors . ' Dishwasher , • Meter ❑over 100 amps - ,
(This section need not be completed if the permit is for one hundred ($100) or
less). Dishwasher - -Solar Piping - Dryers OGas ❑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 as to become subject to the Drinking Fountains Solar Tank _ Fan • ' Motors❑0-1 HP ❑1'/,:8
Workers' C pe [tion Laws of Calif or - - •
Date p�%1'/ s 9 Signature _ c •/ �• - Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP ❑16-15+ '
NOTICE:If,al er'making this declara on ou 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. .9 Microwave ,
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes g• Pole Light
I hereby affirm that there is a construction lending agency for.the performance if g of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater • 7.7
Lender's Name /�� • Outlets a.. Range
Lender's Address ///��� - - - Kitchen Sink • Water Service Switches , O. Sign - - -
OWNER BUILDER DECLARATION ,
I hereby affirm that I am exempt from.the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal 7. Standing Sections - '
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays Generator 00-5 KW 05-15 KW Trash Compactor
any structure, prior to its issuance, also requires the applicant for-such'permit
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains :L
.- the Contractor's License Law (Chapter 9(commencing with Section 7000) of -� .J _ - - _
'sion 3 of the Business and Professions Code) or that he/she is exempt ...• .
and the basis for the alleged exemption. Any violation of Section - •
..5. by any applicant for a permit subjects the applicant to a civil _
laity of not more than five hundred dollars($500). . I ' :
$ 3
' D I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee '
compensation, will do the work, and the structure is not intended or offered Reinspection Fee ! $15 Issue Fee - . .$ 3 r
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES 0
License Law does not apply to an owner of a property who builds or improves DEVELOPMENT SERVICES REQUIREMENTS:
Hood or Type '
thereon, and who does such work himself/herself or through his or her own
•
employees, provided that such improvements are not intended or offered for Boiler I 0 - I
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ - Zoning Approved By 64
wvv� �.I Date
pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground ' - Building Approved By �/1(J/ Date
�r.,yve for the purpose of sale)-. ' �—{'`
�Q I, as owner of,the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By - Date
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's' License Law does not apply to an owner of property whoDuct-Ventilating ❑0-100,000 BTU ❑100,000 BTU . - e - 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). am aware that , BUILDING PERMIT $ ' •'SMIP '- $r -
ffExhaust System 0 Multiple 0 - System Repair/Alteration PLAN CHECK $ _ PERMIT
proof o their Worker's Compensation'insurance be provided to me. _ /� - -
❑ I am exempt under Section """yyy `B.& P.C.for this reason Firepl/Fact.BIt. ICBG# .Fire Dampers _ PLUMBING $ .r///' . ISSUANCE ' $ '
X - Date :')'/"e t Owner�u, 0 .....____42
Heating System& Ducting Registers PLAN CHECK 25% $ . ENERGY P.C. $
: I hereby certify that I have rea th' pplicatipn and state that the above El 0-100,000 BTU 0100,000 BTI. -
information is correct. I agree to comply with all cityand county ordinances' -. - ELECTRICAL $ _ �� -GRADING ' $
- and state laws relatin -to building construction, andherebyauthorize repre- PLAN CHECK 50% $ ��9' MICROFILM $ - .'
sentatives 'of this to enter upon the abgve-mentioned Pro erty for -
y_ inspection,pur s MECHANICAL $ TOTAL FEE $
ys Signature �� •�KFr/
Date / 8 .. .. _ __ . . .,
Drivers' Lic se S• Reinspection Fee $15 Issue Fee $ 3 • PLAN CHECK 25% $ •,
CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor .
CONSTRUCTION AND.PLANNIN_G POOL&SPA, ., -
APPROVALS Permiti#- Date Inspectors -,•APPROVALS Permit# • i 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 , r
`4. Electrical Conduit-Undrgrnd.- , ' 55. Electrical Bonding ,
5. Steel Reinforcement j 56. Rough•Plumbing & Pressure Test
6. Electrical UF ER Grnd'/ . . 57. APPROVAL TO COVER-GUNITE
7. Footings _ 58. Electrical Conduit-Undrgrnd. . I '
8. Fou da,ion' ' - ;• . , - 59. Gas Pipe, 0 Undrdrnd.,Test .- •)
' 9. Water'Pipe;Undrgrnd. - _ .. 60. Backwash.Lines, P-Trap, 0 Undrgrnd. r , . ' ( ,
10. Structural Floor System 61. APPROVAL TO DECK : • , I
11. Property Sewer Line & House Connection • 62. Backwash & Receptor-Final 7;
12. Sewer Cap a_i_97 le 63. Heater & Vent-Final , , 4 r ,
13. Roof Drains 64. Plumbing System - Finali i i •• r
14. Rough Plumbing - 65. Electrical-Final 4 i '
15. Rough Electrical-Conduit 66. Solar System-Final - -
16. Rough Electric Wiring - 4 - 67. Fencing &-Access Approval - I ' • -•
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 .I
_
20. Rough Factory Fireplace - - APPROVALS - 'Permit# - - '
r
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 1
-
28. Lathing & Siding 77. FIXED SYSTEM FINAL , '
29. Insulation - 78. FIRE PREV. FINAL ' ' ,
30. Drywall Nailing HEALTH DEPT. REQUIREMENT . ` r
31. Plaster Brown Coat 79. FINAL INSPECTION
'32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED '
33. Final Electric - Notes: - C- - .
34. Final Heating & Air Conditioning ,
35. Final Gas Pipe-Test "' ' -
36. Hood or Canopy
37.,.Final Factory Fireplace - •
38,Final Plumbing ' !•,- • . ' J
v
39. Water Seriice-Final -
r,
40. Gas Seivice-Final - i - '
41. Solar Domestic-Final - . ;,I'• • r;
42. Backflow`Preventer`
43. BackflpW Irrigation - - . %
OWNER YET; FRANA A. - DATE 12-6-60
JOB ADDRESS 158.Del Mar Ave. BUILDING PERMIT NO.13331
GENERAL CONTRACTOR C.J. Simmons Const.Co. VALUE §14,0E6.00
AP.No.119-080-47 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Res.w/att.Gar.
INSPECTIONS (../-9a.0 DATE GROUP I & J TYPE V ZONE R4
IT-'-rground Soil ‘44 U.G. Water misc /t-7 t PERMITS ISSUED
- t. SUBCONTRACTOR
ground Gas Mis /) -4"/;e7 DATE NUMBER
c aead Water and Gas Lam- �/
Rough Heating ,1.� /-/P-6/ fPim �-.tss Ham[ <r /.-A7-&o 2V3 C2
Rough Plumbing �S i 40-4, -S- Ce--na-Y N,t fZ"7 -6 a 7-43-2S9
Miscellaneous 1
Prop. Swr. IS- HArse-Con. SIY„ar. flits 'c,o _5 I 2-/Y/6 • -7f 3 9 - WII'
Sprinkling System AU
Heating, Final Jj4.t 1 /�f
Plumbing Fixtures Y 7--6,/ (�
Final Gas Test /r /1-0-/S 3-/-G/ �.i
Construction Pole '7'
Underground Power
Rough Wiring L - .'- frT/-7 H urly L rc i 1�.-.27-L o HJT%( 2,6 f�
Trenches L-Forms (/ Steel '?, •��y_1� o-- /� — sr-- .p
Floor System Golf/'!)c-- / - �z- Co
Steel Reinforce Chimney Re-Rod
Bond Beam
Sheathingv 2 r r 6o
Frame and Flashing,. 1 ._--2-'7% c- /— /o - G(
-.._fng, In V Out /5a V'- /_ �i i a. 6
er, brown coat MEW• L _2- 7 (
r"ra' hing Fixtures, Final /_ 3 e2.-try
Electric Fixtures, Final Le" / q
Building, Final J 3 ti/
OCCUPANCY
Form 210-5M-11-59 S-B P 13331
�. FEE,,..__RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT NOV 2 91960
P. O. BOX SIT COSTA MESA. CALIFORNIA FINANCE DEPT.
For Applicant fo Fill In Completely CITY OF COSTA MESA ?APPLICATION FOR PERIT
TYPE OR PRINT
/� BUILDING
BUILDING /fl J a / la i- / u e
ADDRESS AA 1 Alet-t—
COSTA MESA. CALIFORNIA For Office Use Only
' / RECEIPT N71.3.11T IT 0.7•OWNER /'�4.4, CZ-,-(— / /� SU --
MAIL REC{VD BY DAT7 RFCEIIVSD DATE VISUE9
p
ADDRESS I2,I/ -G, -G D /X-d --0 a
TEL.
SL
BUILDING
CITY t • t. a '..a NO. - _ 2 ADDRESS
ARCHITECT TEL. COSTA MESA. CALIFORNIA
OR ENGINEER fArYLZ. NO.
ADDRESS FIRE ZONE
y,)-'�'/��I,�
r"..!
/J / q / ZONE TYPE GROUP lJ\ Jy
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CONTRACTOR [/�l/o�{-H-1-r�,-rliArea/-PT-tibl C/1 APPROVED1,4 d� �Z^!j^i ///��J
__yy��yy _ //�j /�//, BY I P DATE n I �„ i
ADDRESS ( /,-S/ r1/TiT'!%/!(ID Pe°C. ONING 1 11101
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A/ /� EO/NG+ NO.OFr2„..._71.1BE OF N I v
CITY ,J//<��( GI/Y4 .Lj CL-14 QATE TEL �/� /] ' �I Ll PIANS BUILDING apv , H
LIC.NO./p-/ (9s2o5 NO. [. /- /-OG7O LEGAL
LIC. I p/� Le L /�(D' {l'0
DESCRIPTION r I1 l 3 V IM1 / 9:6
SIZE z�{{'' / ! Y!TJ !! NO. OF SLDOS,,.// ��/'
OF LOT %/l�tJk . /S' CI NOW ON LOTiltYIE APNO /(? - U eD I
USE OF /� YARDS ( EVES
EXISTING BLDG. C/,1 .- �/!nC APPROVED ALLOWE/D1p��/�y,/vI/ '''�/
SETBACK.LINE FROM ! � r ' FRONT(CENTER LINE ST.)St
FT. p�.✓1 '/ IN.
CENTER OF STREET ..5 0 REAR YARD ..AJ �C1p ✓.
ISIDE YARD I LEFT ,� / I RIGHT j 1 R.SIDE .9 FT. IN.
DESCRIPTION OF WORK
L.SIDE FT. IN.
NEW ^ IALTERanoNI IIADDITIONREAR 1 �Y FT. nIN.
REPAIR MOVING /I DEMOLISH INO. OF1
BBPPROVED! A 1 OI�� '[E 11 �%N.
SIBZE DI NG to raO ROOMS G STORIES 6 {'
EXTERIOR WALL y-- ROOFkv
/� / /
COVERING S([/C/-TI COVERING Roe/ V`� ti y}J
USE OF BUILDING AND WORK TO BE PERFORMED
y�
n
/� {�
I HEREBY ACKNOWLEDGE AT 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 OP, ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. n / VALUATION
SIGNATURE OF/ , 4/41/10
� '/.-.A /y i's/ C PERMIT FEE $ 3 /
PERMITTEE Y /�/ �� ///���lll YY1'/Y1'-/�'+Z4o-a0 V (� y 0
$ I ! PLAN CHECK 5 J 7 N
AUTHORIZED AGENT 3�` O
TOTAL FEE $ y