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HomeMy WebLinkAbout1594 ELM AVE - Building PermitsApplicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MES/A' CO/NcSIT rR UCTeI OWN{HERMIT P RMIT NO. TRACT NO. LOT NO. U � ,NIT Project Address I Z'"1�- L�- A Applicant's Mailing Address / - Owner's Name 4 1 ate+ G 6— rE Phone Zr�_-ZM49 Address/,&20V E/& AU6 GOS7_i9 AMS/A Arch/Eng. S License No. Address Contractor's Name Phone Address (mailing) City License No. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No. Date Signature WORKERS' COMPENSATION DECLARATION hereby affirm that I have a certificate of consent to self -insure or a certificate ' Workers' Compensation Insurance, or a certified copy thereof (Section ,800, Lab. C.) - Policy No. ' Company BCertified copy is hereby furnished. Certified copy is filed with the city Building Division. Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Thissection need not be completed if the permit is for one hundred ($100),or less). certify that in the performance of the work for which this permit is issued, I shall. not employ any person in any manner so as tg1sesome subject to the Worker�Co en a'on Laws of Calif ia. Date ,b Signature NOTICE: If, after making this declar cn, ou should become subject to the Workers' Compensation provisions eff the Labor Code, you must forthwith comply with such provisions or this permit' shall be' deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is aconstruction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Lender's Name Lender's Address OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct, alter, Improve, demolish or repair 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 'the Contractor's License Law (Chapter 9 (commencing with Section 7000) of- ' ivision 3 of the Business and Professions Code) or that he/she is exempt lerefrom and the basis forthe alleged exemption. Any violation.of Section 031.5 by any applicant for a permit subjects the 'applicant to a civil Ity of not more than five hundred dollars ($500)., as owner of the property, or my employees with wages as their sole 0 pensation, will do the work, and the structure Is not intended oroffered f for sale (Section 7044, Business and Professional Code: The Contractor's j. License Law does not apply to an owner of a property who builds or Improves '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 sale. If, however, the building or improvement is sold within one year of com- pletion, the owner will have the burden of proving he/she did not build or im-' re for the purpose of sale). 18L 1, as the of the property, am exclusively contracting with licensed con- tractors to construct the project (Section 7044, Business and Professions Code: . The Contractor's License Law does not apply to an owner of property who builds of improves thereon: and who contracts for such oroiects with con- tractor(s) license pursuant to tne' Contractor's License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ 1 am exempt under Section B. & P. C,for this reason I hereby certify that I have re this application. and state that the above Information Is correct. I agree in comply with all city and,county ordinances and state laws relating:to building cons ruction; and hereby authorize repre- sentatives this: city, to e, er up the above-mentioned property for Inspection u case¢. tip Signature _ Date %%-1--l— Drivers %-1- —Drivers' S o SS Sink Preventer Irrigation Dishwasher Drinking Fou Floor Drains Floor Sinks Gas Service Interceptors Kitchen Sink Lavatories P—Trap Roof Drains Outlets 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 Trays ES Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Electric Reinspection Fee $15 I I Issue Fee I $ 3 I .I MECHANICAL - FEES 1 Duct - Under Ground Duct - Structural ' Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Bit. ICBG# . Heating System & Ducting ❑ 0.100,000 BTU ❑ 100,000 BTi Reinspection Fee I $15 086546, rev. 5/88 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor Hood or Type I' ❑ Canopy; Typell ❑ Refrigeration System ❑0.100,000BTU 11700,0008 System Repair/Alteration Fire Dampers Registers Issue Fee $ 3 Zone Accessory Parking Req./Provided ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter Dover 100 amps Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generator ❑0.5 KW 05-15 KW Sub Panel Motors 00-1' HP 01'F, - 8 Ina Solar 09-15 HP,016-15+ Microwave Pole Light ' Sign Standing Sections Trash Compactor I Reinspection Fee I $15 I I Issue Fee pl� FEES $ 3 T S DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By S E T A Main Buildi TYPE OF CONSTRUCTION V NEW ADD LJ ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER -DESCRIPTION OF WORK/€ OFCq DG. . i11STiCa`�- X��l�.-IIA T Front Rear TYPE OF PERMIT . Ll GRADING L1 FOUNDATION LJ STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL' OTHER, C K $ Right Left _ Ping. Ref. # _❑ PROJECT DESCRIPTION SO. FT, OCCUPANCY ' CONSTRUCTION TYPE \1 VALUATION$ 4 , 60 ZONE GRADING``CU.YOS. ACRES Planning Notes: SUMM RY,J,)F FEES $ SMIP Remarks: ii A— I2FZ LY Sink Preventer Irrigation Dishwasher Drinking Fou Floor Drains Floor Sinks Gas Service Interceptors Kitchen Sink Lavatories P—Trap Roof Drains Outlets 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 Trays ES Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Electric Reinspection Fee $15 I I Issue Fee I $ 3 I .I MECHANICAL - FEES 1 Duct - Under Ground Duct - Structural ' Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Bit. ICBG# . Heating System & Ducting ❑ 0.100,000 BTU ❑ 100,000 BTi Reinspection Fee I $15 086546, rev. 5/88 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor Hood or Type I' ❑ Canopy; Typell ❑ Refrigeration System ❑0.100,000BTU 11700,0008 System Repair/Alteration Fire Dampers Registers Issue Fee $ 3 Zone Accessory Parking Req./Provided ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter Dover 100 amps Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generator ❑0.5 KW 05-15 KW Sub Panel Motors 00-1' HP 01'F, - 8 Ina Solar 09-15 HP,016-15+ Microwave Pole Light ' Sign Standing Sections Trash Compactor I Reinspection Fee I $15 I I Issue Fee pl� FEES $ 3 T S DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Date Building Approved By Date Application Issued By Dat BUILDING PERMIT SUMM RY,J,)F FEES $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING I $ PLAN CHECK 50% $ ' : MICROFILM $ I MECHANICAL $ - :TOTAL FEE $---b.�L PLAN CHECK 25% $ 01 00016282-00015283 T 0 T DATE: 10105/88 TIME:. 13:38 R: CONSTRUCTION AND PLANNING Date APPROVALS Permit 1 Inspector 11 POS . $PA - _ APPROVALS Permit # Date •. - Inspector 1 . Temporary. Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Elecfrical Conduit Utility-Undrgrnd. 54. Forms ' 4.. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steell`,Reinforcement 56. Rough Plumbing & Pressure Test - 6.i Electrical'UFER Grnd. - 57. APPROVAL TO COVER-GUNITE ' 7- Footings I •I 58. Electrical Conduit-Undrgrnd. 8. Fdundation - 59. Gas Pipe, O Undrgrnd., Test ' 9.' Watei Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 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 - 15. Rough Electrical -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 FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Yentilating 71. Product Piping 0Gas 0Oil 23. Gas Pipe=Rough & Test 72. Underground Flush 24. Roof Framing _. 73. Undergrnd. Storage Tank ❑Gas. COiI 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 PREV. FINAL 30. Drywall Nailing HEALTH.DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION ' 32. Electrical Power'Meter-Final 80: FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & 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 41. Solar Domestic -Final ' 42. Backflow Preventer 43. Backflow Irrigation 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 e 51. CERTIFICATE OF OCCUPANCY No. Date - Y• I �•I1V 1111\M I VII VVIIY •uv �."•�v • r••• v.. ��.... �� ��.—. — -- 'ftyulig PACIFIC SKYLIGHTS INS1ALLA11011 & SAI.ES 2491 Dullri(ILe Irvine, CA 92714 CSL 1452272 4 x 4 Galy. Flashing 11/2" x 4" Min. D.F. Curb '1',, Galy. Roofing p 4" O.C. Mastic Underneath Above 4" x 4" Flast Apply Webbing with Final, Coat of Mastic cEil�Ng JofsTS APPROVE' PR g s `9 City of Cocia Mesa Building Dept. __ DATE-p—S 19i BY — THESE PIAN'` %,UST EE ON JOB AT ALL OF MAKE NO CHANGE 8�� 1 RIOR APPROVAL Ai OF DEPT. 1 APPROVAL OF TFIEI ISSJ Ate' r 'F A L A is 3118 f5 AN:) c'F 1 r "' . .. THE r�J1 HORIT" -c: v:;,v.:r;..,• .,,�: r:};-.��aoi:-��.: �. �:�:: ocE SHALL F+,', CPEr r•��b. r.(}t!5 H 4Il :,E�ttZX,:1[.%l_E "rRG+n TYr :C.cTF; Oi< =.ai P w.rEl SAiD BJILDING CPE.'. A"' N.; C•' �:. - _ _ 4 !N VIOLAT:O,d Of THI`_•' PHE CITE •r i TLE 9-60/,/. ` � �Z L CONTRACTOR ORDER NO. ' J -3 Joe �ry' 60 SATE 1 ZZX2Z S[cY�'6t�T SEE ICBO_AESEARCH REPORT HO. %13S 71y -7Sf - 7so9 - �.f/ ciTy .f,,e zysr3 FLASHING FOR CURB MOUNTED FLAT OR SLOPED BUILT UP ROOF lic PACIFIC SICf1a(`,Ills f�C ' IlSIAILLAUON & SAI.Es 11 \ 2491 DuDridge J im Irvine, CA 92714 rc� aA�oaro 4" x 4" Galv. Flashing 1112n x 4" Min. D.F. Curb "V�, Galy. Roofing Nails ® 4" O.C. Mastic Underneath and Above 4" x 4" Flashing' Apply Webbing with Final Coal of Mastic lG o.c . III IG O.C. /tel// © /t + CONIRACIOR ORDER NO. JOB III/E �^`" _/L'�E/'7L _ _DAZE 22?CZZ. SKYtiLfw�Ct, C�27r� /�E,S,p - 92GZ6 _SEE.ICEIO_RESF:ARC��E�O(j�{U• y/3`�_ 10764 COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 317 COSTA MESA. CALIFORNIA fOR APPL/CANT TO RLL IN COMPLETELY TYPE OR PRINT BUIL 1594 Elm Street COSTA MESA, CALIFORNIA FEE RECEIVED -&Ll . -4-1-9 FINANCE DEPT. CITY OF COSTA M APPLICATION FOR RRMIT BUILDING fOR Off/CE USE ONLY Kni-htrrell Land Company RECEIPT NO. PERMITNO. OWNER RECEIVE A A DATE RECE VED DATA I UED 419 E. 17th Street AMAILDDRESS ^Inv R,Q; Costa Mesa, Calif. T LLLI 81159 BUILDING CITY ADDRESS CHITEENGINT L1c' COSTA -MESA. CALIFORNIA ENGI NEERy�'li O NO. OF ADDRESS., Garden Grove FIRE ZONE APPROVED TYPE GROU Dike o egrove, C• STATE 167293 CONTRACTOR LIC. NO. BY DATE 419 E. 17th St., Costa Mesa ZONING ADDRESS LEGAL LOT 3487 p NLO OF , I USE OF NEW I DESCRIPTION NO. 7 BLOCK TRACT 1/ PLgN9 BUILDING APPROVED 7 1� A.P. NO. BY / DATE J SIZE 7G f X 1�G, 5 NO. OF BLDGS.NOne YARDS VES OF LOT rvow oN LOT REQUIRED LLOWED USE OF'None (CENTER LINE ST.) �J� EXISTING BLDG. FRONT IN, SETBACK LINE FROM 01 2, 1 -OFT, CENTER OF STREET REAR YARD R. SIDE FT. IN. (LEFT 101 IRIGHT 51 SIDE YARD L. SIDE . IN. DESCRIPTION OF WORK REAR FT. IN. X I ALTERATION ADDITION REPAIR I MOVING DEMOLISH BUILDING NO.OF 16 1 SIZE ROOMS 7 STORIES EXTERIOR WALL ROOF Rock COVERING StUCCO COVERING U q OFUILDING AND WORK TO BE PERFORMED ingl�e family residence with attached garage 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS, CORRECT AND AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. BUILDING CONSTRUCTION. VALUATION OF PERMITTEE 161,424 t COSIGNATURE PERMIT FEE $ 36, C qq /� PLAN CHECK S 18.00 $ 54, 90 AUTHORIZED AGENT Dike & Co egrove, Inc. TOTAL FEE $ 27819 COSTA MESA BUILDING SAFETY DEPARTMENT P.O. BOX 1209 COSTA MESA, CALIFORNIA 92M For Applicant, to Fill In Completely TYPE OR PRINT No/S'9X E1- tii 5 r COSTA MESA, .CALIFORNIA SP?SG 6-M Sf. CONTRAOTOR C ' `L • M&9D,01R'/ ADDRESS IOOI A l)WxNl e c- //Ll CITY NWJL.�fi LICTN1 M.CR 16 /42 rF OF LOT X �'� L/ I NOW ON LOT USE OF �n EXISTINGBLOG. �ESJX�,vTI'r}4 SETBACK LINE FROM CENTER OP MEET _ NEAR YAR SIDEYARDI LEFT I RIGHT DESCRIPTION OF WORK &--HALTERATION ADDITION REPAIR MOVING DEMOLISH BUILDING NO. OF 81ZE ROOMS STORMS EXTERIOR WALL ROOF COVERING I COVERING USE OF BUILDING AND WORK TO B[ PERFORMED V 1 HEREBY ACKNOVIL.DG[ THATA HAVE READ TNI. AF►UCATON ANDSTATE TH T THE ABOVB,I. CORRECT AND AGREE TO COM. PLY WIT. ALL' 1 ORDINANCE. AND STATE LAW. REGULATING BUILDING CON ION. 81GNATUREO DROYITIR! � NOV 14-67�n5A00 597. o*****5.00 APPLICATION FOR PERMIT BUILDING For Office Use Only P4 m W R[C[IPT NO. r� R[ IY[D.Y 77 DATE RECEIVED DAT[ ]OURD `6 -6 -1 BUILDING J AD----- FIRE# T ZONE TYP /// GROUP ' , BBYPROVED DAT81/_17/-b/ ZONING ' z Nou. uuS[momfoW � LEGAL'�/C97 407` 67T"f 3 A.P.NO.I37— 3' Z — / NOTE: NO EAVE OVERHANG SHALL BE LEGS THAN SO -TO SIDE &REAR P.L. EAVES ALLOWED (U. B. C. REQUIREMENT) YARDS APPROVED YARDSAPPROVED MAIN BUILDING - ACCESSORY BUILDING ( FROM C/L STREET) FRONT FT. / R. slog ET. L. SID --- FT.. -'- FT. 11 f REAR PT. FT. DISTANCE BET. BET. MAIN e MAIN BLDGS. ACCESS. SLOGS. VAR.* DATE C. U. APPROVED // APPROVED / _ // / DATE /I I / -(p 7 SQ. FT. TM[ AMOUNT SHOWN UNDER VALUATION IS FOR TH[ FURP091 OF ESTABLISHING A PERMIT FEE ONLY. VALUATION PERMIT FEE 3rL 1 /./ s L) PLAN CHECK S - TOTAL PEE 5(/ (/ P4 m W