HomeMy WebLinkAbout483 ESTHER ST - Building Permits�� �.�
CIT � OF C STA�MESA�
CO�TRUCTION PERMIT
JOB # 2694
AOP���ant to fill in all sDaees except t�ose wit�in �eavy Gortler lines anE sign all aDOroDriate Eeclaralions.
'Mrojea Address 483� h r r�
App�icant's Mai�ing Address 618 N. ECk170£f StY2C'.t
OwneriName � Ca1Vin Sini h vhone—�a—
nddress 48� Fcthpr 4Yrpa ('nata Maaa
Arch/Eng. License No.
Address �� '
Contractor'sName—r➢T-PA('� RfY1FTT�V:� TN(` Phone.�%$-2(>(�
Address Imailingl Fl R N�'[�k]��ff Gtraat (lr�y��
City License No. i7�j_3�2 •
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensetl untler provisionsott�arter 9(commencing �
with section 7000) of DivlSion 3 of the Buziness antl Protessions Cotle, antl �
my license�is in full for� and ettect. ' � 3-j95�3
License Class y_y�n � , �� ��a�fi
WORKERS' COMPENSATION D�LARATI(YN
iereby atfirm roat 1 have a cerh icate of consent to self-insure or a certificate ,
Workers' Compensation Insurance, or a certifietl copy thereof (Section -
JB00, Lab. C� 137886 ROvdl II1S. �CA. �
PoliGy No. Company
� Certlti{e�tl� cQoDpYy �5 fil¢tlbw thr� izM1etl $c+'��'�'ny�j �v o/� . ) .
�ate `l�� l/ �4 A ' a y�.�7/_�//��/L�•�,vwr;J ;
EXEMPTION FROM WORKER OMPENSATION DECLARATION
(Thi55ection neetl not be comple etl if th¢ permit is tOr one huntlretl (E100) or
less). ' � � �
I certiTy tM1at in the perfo�mance of Ihe work foYwhich this pe�mit is�issuetl, I
shall not employ any OerSon in any manne� so as to become 5ubjeCt [o'the '
Workers' Compensation Laws of Califomia. � , , '
Dato Si9na[ure
NOTICE: If, afte� making tnis tleClaratiOn, y0u shOultl DecOme subject to the 1
Workers'- ComO¢n5ation O�ovi51on5 ot t�e labor'Cotle,'y0u must tOrlhwl[h
comply'wRh such provisions or'this permit shall be tleematl revoketl.
CONSTRUCTION LEfJDING AGENCY � ' �
1 herCby affitm that [here Is a conStruCtlOn I¢ntling aqency fOr the pertormance
of the wark (or w�ich this permit iz issuetl (Sectiom 3097 Civ. ,C.) ,
Lender's Nama _
l.entler's Atltlress
OWNERBUILDER DECLARATION - ' '
I hereDy afflrm that I am exeTPt ftom the Conl�actor's License Law tor th0
�;�2hvislon• 3 ot t�e Business antl Protessions Cotle)�or that nn/sne Is exempt �
�:.:'��:erefrom �antl the basis for Ne allegetl exemptlon. Any vlolation of Section
331.5 by any applicant tor a' permlt subjects the applicant-to a<ivil
`�enalty of not more t�an tive huntlretl tlollars (E500).
❑ I, as owner of the property or my employees with wa9es as their sole �
compensatlon, will tlo the work, ana the structure Is not intentletl or otteretl '
for sale (Sectlon 7044, Business antl Professional Cotle: The Contractor's .
Lironse law aoes not apply to an owner of a property who builtls or improves �
Iher¢on, antl who tloes such wo�k hlmself/M1erselfor IM1rou9h M1is or M1er own �
employees. Provitletl that suctt improvements are not intentletl or offeretl for
sale. If, however, the builtling br Improvement Is�soltl within one year ot com-
pletlon, the owner will nave lhe burtlan of proving he/she tlltl not builtl or im-
��Ove,Yorthe pu�pose of Sal¢).
I, as �ownet of the property, am ezcluslvery contractln9 �'+��h II<¢n5¢tl Con- '
tractors to construct the project (Section 7044, Buslness antl Professions Cotle: ,
The ConVactor'S Licanse l.aw does not apply to an owner of properry who
builtls o� improv¢s the�eon,.antl who coniracts fo� Such p�ojeCtS wifh a COn- �
tractor(s)Ilcense pursuan[ to the Contrac[or's License Law).
❑• I am exempt untler Section . B. & P. C. for this reason
Date ' Owner �
I hereby ce�tlfy that I hav¢ reatl IhiS application antl state that the above
Iniormation is correct. 1 a9ree to tomply with all clty antl county ortllnances
antl 5[ate laws relatin9 to builtlinq cons ruction, antl hereby authorize repre-
sentatives oi t/s city to-ent up ihe a ove-mantionetl property tor
fnspectl e 9/17/84
Si9nat r �e� I I
ise or 55 Reinspection Fee
rev.7/83 White-Builtlin9:Canary-APPlicanqPink-Acwuntinq;Goltlenrotl-Assessor
7VPE OF CONSTRUCTION LI NEW U ADD� LJ ALTERATION XJI REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER Ap .*
DESCRIPTION OF WORK R f,pith Der d T� � ZH SC117.7YPS
' S Main Building:
E
TVPEOFPERMIT GRADING FOUN�ATION STRUCTURAL T Front
❑�-7,TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B R¢ar �
pg[�OTHER }�]]]pf A' .
PROJECT DESCRIPTION Sq.FT. oCCUaANCv�s C Right
_ CONSTRUCTIONTVPE VALUATION$4�ZOO.00 S Lef[ .
ZONE � GRADING CU. VDS. AGRES Ping. Ref. #
Remarks: - Parking Req./Provii
. ' � UseofBuilding:
, " PLUMBING FEES P�anning Notes:
Sink
<flow Preventer
cflow Irrigation
itubs �
ifiers
Drinking Fountains
Floor D�ains� .
PloorSinks . ' � -
GasService � �Outlets
Interceptors� �� � �
Kitchen $ink � '
Lavamrie's , '
P-Trap
Roof Drains' � �
iReinspection,Fae, $25,
� �.,
Boiler '
Duct- Under Ground ' .
Duct-Structural �
Duct � Ventilating
Exhaust5ystem ❑ MWtiple
Firepl/Fact.6lt.IC80# �
Heating System & Ducting
❑ ai oo,000 aTu O i oo,000
$25
Showers
Service Sink
Sewer Cap �
Sewer Connection
Solar Collecmrs
Solar Piping
Solar Tank �
Swimming Pool w/Spa
Urinal
�Water Closet - �
Water Heater
Warer Service
, laue Fae
IANICAL
Hood or Typel ❑
Canopy Typell ❑
Refrigeration System
❑aioo,000eru ❑ioo,
System Repair/Alteration
Issue Fee
�
Automatic Washer
Cooking Unit '
Dishwasher
Dryers ❑Gas' �Electric
Fan�
Outlets '�
8470 9/19/84 28ao0 TL
2one
ELECTRICAL . �� FEE
Transformer ❑ 15-50'KW � t
'� 50+KW
,Meter ❑upto100amps - '�
.Meter ❑overd00amp's.,
Su6 Panel
� Motors �0�1 HP �1 h�-`$ �
Inc. Solar �9-15 HP �16-15+ �
' Microwave i''° .
Pole Light �
Range . _
isposal . Standing Sections
❑0-5 KW �5-15 KW Trash Compactor
$ 3 I �'
� Reinspection Fee , $25 luue Fee
FEES
PUBLIC SERVICES REQUIREMENTS: .
' Zoning;�Approved By ,
Applieation Approved 8y
. AppliWtl00ISSu0d BV ' �
$ 3
$ 3
� i SUMMAHY OP FEES �
�BUILDING PERMIT $ 28•Q� � SMIP , $ .SO
PLAN CHECK $ PERMIT �
PLUMBING � $ � ISSUANCE $
' PLAN CHECK � $ � ENERGY�P.C. $ '
.r ELECTRICAI � $ GRADWG $
PLAN CHECK $ " MICROFILM $
MECHANICAL $ TOTALFEE $ zB'SO
, PLAN CHECK $
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� - CONSTRUCTION AND PLANNING - � , . POO ;PA
.�. �APPROVALS Permit # Date �Irispector qppROVALS � Permit # Date Inspector
' 1.� Temporary Electrical Service or Pole � � ' 52. Pool & Equipment Location -
:2' Soil Pipe-Undrgrnd. ' � . � 53. Steel Reinforcement � �. .
� 3: Elecvicai 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. APPROVA'L T.0 COVER�GUNITE
7., Footings ' - � 58. Elecirical Conduit-Undrgrnd.
8. Foundation � � 59. �Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgmd. .�60. Backwash Lines,,P-Trap, � Undrgmd.
10. Structural Floor System . ' 61. APPROVAL' TO DECK .
71. Property Sewer Line & House Cqnnection � 62. Backwash & Receptor-Final � �
12. Sewer Cap �. 63.� Heater & VenbFinal
13. Roof Drains . 64. Plumbing System - Final
14. Rough Plumbing � � � �65. Electrical-Final
75. Rough Electriral�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. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning � , FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit�h
21. DuCts, in Structure 70. Underground Hydro .
22. Ducts, Ventilating - 77. Product Piping OGas ❑Oil
23. Gas Pipe-Rough & Test 72, Underground Flush
24. Roof Framing ' 73. Undergrnd. Storage Tank � Gas ❑ Oil
25. Roof Sheathing � 74. Overhead Hydro �
26. T-Bar Ceiling IStructural) & 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. Finai Elec[ric , Notes: �� � Q
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 pomesticFinai . � _ _ , � ._� � �
42. Backflow Preventer �
43. Backflow Irrigation . � � , �
44. Landscape Irrigation System � � . � '
45. Sound Attenuation � � -
,
46. Handicap Regulations ' � ' . �
47. FINALSTRUCTURE&BUILDING . /p � �
48. Special Requirements Completed � _ �
49. Electric Release to Edison ' � � - - � . � � -
60, Gas Release to Southern California Gas Co ' �
� 51. CERTIFICATE OF OCCUPANCY
No. Date
OWNER
INSPECTIONS
U eround Si
OCCUPANCY
CALVIN
LOT
r� c
�
��� 2 5 1960
� W. Hansen
THACT FIRE ZONE �
�are I GROUP I
� 3--�cFY1aI SUBCONTRACTOR
n
VALUE
7-60
PERMITS ISSUED
Form 410-SM-11-59 S-B P 11~p9
JV
: : � �_�_���9
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O.-BOX 917 COBTA MEBA. CALIFORNIA
For Applicani to Fill In Completely
TYPE OR PRINT
BUILDING � j / �
ADDRESS G
COSTA MESA. CALIFORNIA
`rE RECEIV ED
FiNANCE DEPT.
� .1r �r�SjA MESA
A1?PWGdTION FOR PERMIT
BUILDING
For Offiee Use Only
RBLE�PT NO. � ^P6R�1
L
� 41
RECEI��Y I D/�Tp RP�C�IYED I GA'!E/
�i / � �
BUILDING �3 /j.
ADDRES6
COSTA MESA. CALIFORNIA
C
�
STATE �/ iEL. /' �X / / �
LIC. NO. �� % NO. f. !o b
SIZE � `a� �J j{/ NO. OR 6LDG8.
OF LOT � v J I"/ � NOW ON LOT
USE OF /�/s ��
EXISTING BLDG. c
SETBAGK LIN¢ FROM
eENT¢R oF StReeT REAR YARD
SIDE YARD I LEFT I RIGH7
DESCRIPTION OF WORK
� . _ . � NO. OF
EXTERIOR WAIL(
COVERING .J
USE OF BUILDING
APPROVED
ZON¢ /1 � I puN6 � I BUILD NO
a'�
LEOAL �/�/� / 2
DE6CRIPTION�/ ✓ / �. �' ` �
A.P.No. �� 8- a r�-
YARDS EVE6
(GeNT6R
,
1 HEREBY ACKNOWLFSOE THAT 1 HAVE READ TXIB APPLICATION THE AMOUNT SHOWN UNOER VALUAiION 19 POR THE
FND 9TATE THAT THE ABOYE IS CORPECT ANO AGREE TO COM•
PUHPOBE OR EBTA6LIBHING A PERMIT FEE ONLY.
PLY WIiH ALL CIiY ORDINANCEe PND 8TAT6 I.�W6 REGUI.�TIN6
eU1LOING CON9TRUCiION. VALUATION �'/J
SIGNATURE OF / � PERMIT FEE $ �/ '�'
PERMITTE �'7
' $ % ��� PLAN CHECK $ / ^_
AUTHORIZED AGENT ��__
TOTAL FEE
�NGE COUNTY. BUILDING DEPARTMEN
.� ..
636 Nor�h Broodway t•
'" ' SANTA ANA, CAUFORNIA , '
�::
%: FOR APPLICANT T.O FILL IN
NEAREST
CRO55 ST.
OWNER ••�(
MAIL 5SE
ADDRE55
��T� Ne�
ARCHITECT OR
ENGINEER
ApDRE55
VTR�
ADDRE55 �
SIZE �OF LOT 65x14o I NOW ON LOT
USE OF ' NO. OF N
EXISTING BLDG. Ferniuee I Ri
SETBACK LINE FROM: CG� REAR YARD
CENTEft OF STREET lJ SIDE YARD
DESCRIPTION OF WORK
NEW I a I ALTERATION I I ADDITI
S� REPAIR I
BUILOING �e
SIZE /
EXTERIOR WAj
� COVERING DL
E OF NEW�
ILDING
/ ..
a
Y ACKNOWLEDGE THAT 1 HAVE READ 7H15
N AN� STATE/9RAT THE ABOVE IS CORRECT
TO GOMPLY/�I ALL COUNTV O'R`DINANCES
LAWS REfj[IU ING BUILDIjJG C9N�r1 RUC710N.
AUTHORIZED AG7.
PHftMIT FEH
VALUATION $ p��H CHecK
. w . Q �
APPLICATION FOR PERMIT �
� • �I��LDI1dG
' FOR OFFICE USE ONLY
RECEIPT NO. I� �E$ptIT.�W.
�773 �� �'
RECEIVEO BY I � DATE REG'D. DATE ISSLED
� � YG-�g-53 io-a�:-7 �
ADOL E'S5 T � � F�//%'ON � � •
SCHOOL DIST. �
OR TOWN
NEAREST r
CRO55 ST. ,,.��� �
Z�i I PlANS . I T� I GRO�}p
1i
APPROVED
BY
!IN'')SPEC/T�OR DATE
C�I/Y/J /0.30.
.W �7 // -$�
FINAL (JJ � �/ �-
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� 30'
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� STREET•
PLOT PLAN
Show location and distances from
property line and between buildings.
6
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E5- aa iao b ti o o pp•r ��,�. b
�tANGE COUNTY BUILDING DEPARTMENT
636 North Broadway
P SANTA ANA, CALIFORNIA
FOR APPLICANT TO FILL IN
BUILDING �8.� Esther StPP.Pt
AODRESS
SCHOOL DIST. .4
OR TOWN C�$ y$ Masa
NEAREST
�Ross �. Irvine Avenue
OWNER Lloyd C. Howard
MAIL 516 V�'d$t H gh��T
ADORE55
��TY Newport Beach No: Be 6796
ARCHITECT OR LIC.
ENGINEER NO.
A�DRE55
AD�RE55 S�(� (!naS} Hiehtaay �
LEGAL LOT [ 1[
]ESCRIPTION I NO. p I BLOCK I TRACT yp
(ATTACH METES @ BOUN�S)
SIZE OF LOT OJ�ZT� � NOW ON oTS�Non
USE OF I NO. OF I NO. OF
EXISTING BLDG. F�nt��i[s ROOMS
SETBACK LINE FPOM: REAR VARD 1
CENTER OF STREET � 7(� SIDE YARD
DESCRIPTION OF WORK
NEW I�iI ALTERATInN I I poo1TION
R�l
fER10R WALL y � ROOF•
VERING S IiUCCO I COVERING �
E OF NEW
iL�ING O i...w ..____�
I HEREBY ACKNOWLEDG� THAT I HAVE READ THIS
APPLICATION AND STATE TrypT THE ABOVE IS CORRECT
AND AGREE TO COMPLY ALL COUNTV O/pDINANCES
AND STATE LAWS REGU}'� NG BUILDjNG j'i0_WSTRUCTION.
AUTHOHIZED AG7.
PERMIT FE8 $
VAIUATION $ OU pLAN CHECK $
��%P
APPLICATION FOR PERMIT �
B�BL����i
.-FOR OFFICE USE ONLY
� RECEIPT NO. PERMIT NO.
�7%� � / ���
RECE�VED BY DATE REC'D. DATE 1554ED
� . �a-aB-�3 io-a��h�3
BOND BEAM
FINAL
CORR
APPROVALS
O
o I
A
41
2
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PLOT PLAN
Show location and distances from
property line and between buildings.
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