HomeMy WebLinkAbout1949 FEDERAL AVE - Building Permits�> PROJECT ADDRESS: 1949 FEDERAL AV ✓ UNIT: CITY OF COSTA MESA BUILDING PERMIT PERM NO: BE 049469
I.; . Ol1LIER'SNAME: TUCKER, ROBERT
ADDRESS:
TUCKER SUSAN B S PERMIT NO: BE 049469 PLAN CHECK NO: 06223-90 S GOVT: N SUPP: N
1949 FLDERAL AVE
COSTA MESA,CA 92627 CONSTRUCTION TYPE: PERMIT TYPE: ELE STR PURPOSE: ALT
4. 552-0202
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : LEGALIZE 210SF CONY. FROM GARAGE TO DEN SQ FT: 10, 857
ADDRESS: UNIT:
•
PERMITTEE: CLAIM VALUE: 10, 857. 00 CALC—VALUE: 10, 857 . 00 GROUP OCC : R-3 /
ROBERT TUCKER ( 714 ) 552-0202
ADDRESS:THE
1949 FEDERAL AV COMMENTS : X
C.M. CA 92626 *** *************************+6**************>E*x•**********?E*********>E***********
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section •
Z O N I N G R EQU IR EMEN TS
7000)01 Division 3 of the Business and Professions Code.and my license is in full force and effect. S ETBACK S •
CITY LIC.: STATE LIC.: CLASS:
Date: Signature: MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR : FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: EXP.DATE:
COMPANY: PARKING REQ: 2 PROV: 2 PARCEL: 42251209 ZNE: R1 REF NO:
Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES> LEGALIZE THE CONVERS ION OF AN EXISTING 10 ' X 21 ' GARAGE
> INTO A DEN. APPROVAL BASED ON PLAN SUBMITTAL.
Dale: Applicant: **************************** **************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This secth• ed not be complel'r' the permit is for one h ($100)or less). DEVEL OPMENT SERVICES REQUIREMENTS
I certify that in the performance of the work for hick this permit is i ued,I shall not employ a •rson in an niter s as to become
subject to the Workers'Compensation La I California. _ r /' (S r
o��.
ZONING APPROVED BY C O C DATE: la'--1 7 —�7 0
Dale: /U — /2— — , U Signature:
NOTICE:II.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: •
Code.you must lonhwith comply with such provisions or this permit shall be deemed revoked. '
CONSTRUCTION LENDING AGENCY: l hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: DATE: (.3.---(7— -c c�
which this permit is issued(Section 3097.Civ.C). ************************************** ********************************** ***
LENDER: • *******************************************************************************
ADDRESS: •
LEGALIZATION:Y F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that lam exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,atter,improve.demolish,or PERMIT 2 5 2 . 0 0 27 . 00 . 76
repair any structure.prior to its issuance.also requires the applicant for such permit to lile a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business S O SMIP%NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN 163 . 80
any applicant for a permit subjects the applicant to a civil penalty of not mare than five hundred dollars($500). ISSUE FEE 15 . 00
I. as owner of the property or my employees with wages as their sole compensation, wit do the work, and the BUILD ING' D 1V > PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
((7 structure' not intended or offered for sate(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 279 . 76 15 . 00 81 . 90 376 , 66 376 . 66 , 00
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 sate.If,however the building or
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS——> COLLECTED : 376 . 66 OVER/SHORT; . 00
tor purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
❑ I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 252 . 00 4 2 . 00 . 76 81 . 90
and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware *******************************************************************************
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
❑ I exempt under Section: R.8 P.C.
c—:5 Ieforr thisreason:
YPE QTY DESCRIPTION UNIT COST TOTAL COST
...."Date: /42 " /Z ' S P Own
SFR 10857 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 10, 857 , 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and ELE 6 FIXTURES, LIGHTING 1 ST 20 EA. . 75 4 , 50
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Ouahiy Management District.Residential construction applications are exempt from ELE 8 RECEPT/OUTLET 1 ST 20 EA, . 75 6 . 00
these provisions. ELE 4 RECEPT/SWITCH 1 ST 20 EA. . 75 3 . 00
Q
Date: /U 2 — /G Applicant:_ END OF FEES
I hereby certify that I have read this apphcan and state that the • ' . • 'in is correct.I al .. . • .y with all city and Con ty
ordinances and state laws relating to buil& onstruction am weby authorize represen .sot city to erd- upon the above•menli ed •
property for inspection purposes.
iu -/L .9G s�—
Date: Signature:_
Driver's License or Social security n:
01 00072007-00072010 TOT 376.66
DATE: 10/12/90 TARE: 16:17
1641-46 White—Building:Green—Code EntorcemenL Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
r
r ,ic
CONSTRUCTION AND PLANNING POO- -. SPA
%APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
n 3. Electrical Conduit Utility-Undrgrnd. 54. Forms
'4; Electrical Conduit-Undrgrnd. 55. Electrical Bonding •
5. Steel Reinforcement 56. Rough Plumbing& Pressure Test .
'•'6. Electrical OF ER Grnd. 57. APPROVAL TO COVER-GUNITE
.7.. Footings 58. Electrical Conduit-Undrgrnd.
I
8. Foundation 59. Gas Pipe, ❑ Undrgrnd., Test .
9. Water 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 /0.440 it en.ct 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electriral:T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace '' C.,'. fr 'APPROVALS. P• ermit -
21. Ducts, in Structure , - t r. 70. Underground Hydro 7..
22. Ducts, Ventilating t-:,:'-, •�i ;` ,71. Product-Piping 0 Gas ❑Gil
•
23. Gas Pipe-Rough & Test 's .l ''I t • 72Underround Flush.,
24. Roof Framingr • 1 _ �-' .1 r ;! r .
' , ,I , ' ,. r ,73.'Undergrnd.'Storage.Tank QGas ❑Oil -`
25. Roof Sheathing c , • I , •• ; 74 .:Overhead Hydro .
26.-T-Bar Ceiling (Structural) & Monocoat >, r ;w ! y ! 75._Dry Chem;cal ,
27. Frame and Flashing': x, .,
, ,, - ' ; ' • „1 I- 76.• Dry Standpipe - - + -
.28. Lathing& Siding .i yo' ' . ' •- ".1, is 77.' ,FIXED SYSTEM FINAL' _y ~
29. Insulation ;i. . 7$2`•FIRE PREV. FINAL _ •
.
30. Drywall Nailing • .4 .. •t • ; •' HEALTH DEPT:REQUIREMENT
31. Plaster Brown Coat I - • y I ,,79. FINAL INSPECTION r -
32.'Electrical Power Meter-Final : t " � • .80.. FOOD CERTIFICATE ISSUED
33.•Final Electric -kg'''. (6 [f0 /Z-tet Notes: /o $.
� .f - , pit•
34. Final,Heating&Air Conditioning 'I. `:"C. 4 Y •; - - 6�1
35...Final Gas'Pipe-Testt. ,- y'. a, 'I -- '-
36. Hood or Canopy 4 , :r" V n j I 'j i
137. Final,Factory Fireplace . i ' II 41 t -- '
t ,
38. Final Plumbing --i1 i t I h
39. Water Service-Final 1i-'i' , y
40. GasIService-Final , •t• .- _ -
41. Solar Domestic-Final - i , ' �i r -
42. Backflow,Preventer j , I , Ci _ _.
43. Backflow Irrigation; -, 4 i •t. t - . .
,
:44. Landscape Irrigation System'.in _ .• I , , • -
45.'Sound Attenuation' •
46. Handicap Regulations 'a I , . c •
47. FINAL STRUCTURE & BUILDING ' 10. ff-10 64;OL-; - • ,
'48. FINAL PLANNING; - ,
49. Electric Release to Edison ' - -
,
50. Gas Release to Southern California Gas Co • c • -
51. CERTIFICATE OF OCCUPANCY - _ - -
No. Date
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
PERAT NO. TRACT NO. LOT NO. UNIT NO.
CITY OF COSTA MESA CONSTRUCTION PERMIT �S a8,s A.P.4 I Zone
froject Address /94 qp A 04 cat.z . S Main Building: Accessory Building:
s' 9G s an wile ST TYPE OF CONSTRUCTION Li NEW Li ADD LI ALTERATION ICJ REPAIR E Z
Applicant's Mailing Address C q .
❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front O
Owner's Name 3✓S44/ TVC*eA( Phoneeet., DESCRIPTION OF WORK/USE OF BLDG. .4i-/ .0 ••✓ A3/40 04%'iv, IB Rear N
Address 34th e AS Parv .df el 41 4ecie f'-IrseC e • A I
Arch/Eng. — License No. — TYPE OF PERMIT Li GRADING ❑ FOUNDATION CI STRUCTURAL C Right - G
, Address -- CI TENANT CI ELECTRICAL ❑ PLUMBING Cl MECHANICAL I 8 . Left R
Contractor's Nam - Phone 44th 3s//. ❑ 'OTHER /(/a•• ill{� Ping. Ref.4 Parking Req./Provided - E
PROJECT DESCRIPTION SQ. FT./ .00 OCCUPANCY 4 PlanningNotes: M
Address(mailing) ` 65 Cdoeen/o�.TT c7M. • .
S") CON ST RUCTION TYPE VALUATION$ eaoecs, t
City License No. p �3ZONE Ri GRADING CU.YDS. -- ACRES T
LICENSED CONTRACTOR DECLARATION - / / S.
I hereby affirm that I am licensed under provisions of charter 9 (commencing Remarks: C�4S> ;/6/K,24-ST SH/•r+9A c ��
with section 7000) of Division 3 of the Business and Professions Code, and G
my license is in full force and effect. �)�.� • ELECTRICAL FEES
•
License Class L ense No.^'f PLUMBING I FEES Automatic Washer Transformer 0 15-50 KW
Datey-lµ-S+'S( Signature ru fel.1
WORKERS' COMPENSATION DECLA TION Bar Sink Showers Construction Pole Sub. 0 SO+KW
.
i hereby affirm that I have a certificate o consent to self-ins or a certificate CookingUnit Meter ❑u to 100 amps '
' Workers' Compensation 'Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink p
100, Lab. C.)
Policy No. Company Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps
8 Certified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel
Certified copy Is filed with the city Building Division. Bathtubs Sewer Connection
Date Applicant Fan Motors 00-1 HP 01'A-8
EXEMPTION FROM WORKERS•COMPENSATION DECLARATION Clarifiers Solar Collectors
(This section need not be completed if the permit Is for one hundred ($100) or Dishwasher Solar Piping F.A.U. Inc.Solar 09-15 HP 016-15+ -•
I certify that in the performance of the work for which this permit is Issuer] I Fixtures Microwave '
shall not employ any person in any manner so .s to become subject to the Drinking Fountains Solar Tank Workers' Compensation Laws of Calf•mi. .
_ _ /....e. Device Boxes Pole Light ,
Date L{ no� Signature ....4.-_,••••.-_ ♦!�?� Floor Drains Swimming Pool w/Spa 9
NOTICE: after makirfg this declarati. you should beco u•j- to the
Workers' Compensation provisions of h Labor Code, yo 'must forthwith Floor Sinks Urinal . • Outlets Range -
comply •with such provisions or this permit shall be deemed revoked. .
$Witeh¢a
CONSTRUCTION. LENDING AGENCY Gas Service Outlets Water Closet - Sign
I hereby affirm that there is a construction lending agency for the performance .
of the work for which thisInterceptors Water Heater - Garbage Disposal StandingSections
permit is issued (Section 3097 Civ. C.)
Lender's Name ' -
•
Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor •
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
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
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
the Contractor's License Law(Chapter 9 (commencing with Section 7000)of
Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee • $ 3
terefrom and the basis for the alleged exemption. Any violation of Section
)31.5 by any applicant for a permit subjects the applicant to a civil
Ce,nalty of not more than five hundred dollars ($500). DEVELOPMENT SERVICES REQUIREMENTS:
LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3,
.compensation, will do the work, and the structure is not intended or offeretl Zoning Approved,By Date
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date�_,�{
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 Boiler Hood or Type 0 I Application Issued By i Date / a�
employees, provided that Such improvements are not Intended or offered for
sale. II, however, the building or improvement Is sold within one year of cam- Canopy Type II 0 SUNIMARY OF FEES
..pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground
prove for the purpose of sale). BUILDING PERMIT $ s op SMTP $ e VD
0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT
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 Duct-Ventilating 00-100,000 BTU'0100,000,BTU PLUMBING • $ ISSUANCE $
builds or improves'thereon. and who contracts for such oroiects with a con- __
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ _ ENERGY P.C. $
proof of their Worker's Compensation Insurance should be provided to me. - ELECTRICAL $ GRADING $
0 1 am exempt under Section- B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers •
— PLAN CHECK 50% $ MICROFILM $
Date Owner Heating System& Ducting Registers MECHANICAL $ TOTAL FEE $ gg•SO
I hereby certify that I have read this application and state that the above 0o-100,000l100,000 BTU 0100,00087E - PLAN CHECK 25%
information is correct. I agree to comply with all city and county ordinances $
and state laws relating to building construction,and hereby authorize repre-
sentatives of this city to enter upon the, above-mentioned property for
inspection purposes.Si / -
DYrvO s're License or SS 9F, ,•�'ivaimes� <' 8 •
Reinspection Fee $15 Issue Fee $ 3
01 00014471-00014472 TOT 45.50
0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 09/15/88 TIME: 11:15
•
h5NSTRUCTION AND PLANNINGPOO SPA
• .r Date Inspector Date Inspector
APPROVALS Permit # APPROVALS Permit #
1. Temporary Electrical Service or Pole y 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. '.• 53. Steel Reinforcement
r
3. Electrical Conduit'Utility-Undrgrnd: ' 54. Forms
ti
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel'Reinforcement • 56. Rough Plumbing & Pressure Test
6.' Electrical UFER,GriId. _ 57. APPROVAL TO COVER-GUNITE
7"Footings • 2 "I I ;' ++) 58. Electrical Conduit-Undrgrnd. .
F
8!'Fouridation t •I / 59. Gas Pipe, 0 Undrgrnd.,Test
i v . .
9.',Water Pipe-Undrgrnd. � '• 60. Backwash Lines, P-Trap, 0 Undrgrnd.
i
10. Structural Floor System • i /; 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection ' ;- 62. Backwash & Receptor-Final
12. Sewn? Cap 'r
i I 63. Heater & Vent-Final
13. Roof DrainsI
i ; / 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
181 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 Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough.& Test 72. Underground Flush
24. Roof Framing "t 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
28. Lathing & Siding ff • 77. FIXED SYSTEM FINAL
29. Insulation i 78. FIRE PREV. FINAL
30. Drywall Nailing z? HEALTH DEPT. REQUIREMENT
31.•Plaster Brown Coat • ' 79. FINAL INSPECTION
.
32. Electr,cal 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
i
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 (D , [7 -
i o
48. Special Requirements Completed !!/�o
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
• I
51. CERTIFICATE OF OCCUPANCY
No. Date
\
Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. ,
CITY OF COSTA MESA P MIT NO. ' TRACT NO. LOT NO. BLDG.NO.
/CIE'kiRUCTION PERMIT/ { S- 53 Vs /7/Z - tsr --- 9 -23 Ili/.?:/ h. I E,: 0 ' ' IL
Project Address / 9t'9 ar DEae.91._
TYPE OF CONSTRUCTION •
Owne d jar. 70.4 m(j L/Cts v Phone 0 NEW 0 ADD 0 ALTERATION
'Address %Tr,/ es,eanr/yve ae.i 04,7 ❑ REPAIR ❑CONVERSION ❑DEMOLISH "'� _ ZONING REGULATIONS
License No.
0 OTHER LE-CAL/2F GI'/317� 4. ,�—072 -V OC/
�eAr Uwur Al yl/K� DESCRIPTION OF WORK A.P.A.P- �
Address/V9 W • �rat$ lr Cnt •
�J rdQ !APACE } ZONE / PLNG. REF.'if
Contractor
Address/V96
Phonlj 0 f�s1 TYPE OF PERMIT`-!aKT~c• • P,l yEL-- ' BUILDING f DLP 4� Bt�IWING ,My,� "I_plf
SETBACK C/L ST. I Ov '' LINE: a ZZ
Address 0 GRADING 0 FOUNDATION ❑ STRUCTURAL SIDE YARD - _
cl, p 1f
LICENSED CONTRACTOR DECLARATION - 0 TENANT 0 ELECTRICAL ❑PLUMBING ❑MECHANICAL SIEDE YARD I_ 11/
I hereby affirm Una.ram licensed under provisions of Charter 9 (corn. RIGHT 1 O ,
mencing with section 7000) of Division 3 of the Business and 0 OTHER
Professions Code, and my license is In full force and effect. /REAR YARD(TO P/L)
PROJECT ESCRIP ION
License Class License No. ( , - `• .PKG.SPACE REQ. f PROVIDED
Date Signature. SQ. FT. /�
WORKERS'COMPENSATION DECLARATION OCCUPANCY^^ / C STRUCTION TYPE STREET WIDTH (/JQ /(ObG✓ PARK FEE$
I hereby affirm that I have a certificate of consent to self-insure Ora �� � ZONING APPROVED BY L.�/ ` ` DATE t -L
certificate of Workers' Compensation Insurance, or a certified copy .VALUATION ZONE - _ �r—C�/�'t��l I��Z�I g
thereof(Section 3800. Lab.C.). GRADING CU.YDS. ACRES 'SPECIAL CONDITIONS: fff .
:y No. Company - -
Jertlfied copy is hereby furnished. - REMARKS: . .
•
U Certified copy Is filed with the city Building Division. I '
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - "
(This section need not be completed if the permit is for one hundred • . . •
($100) or less). '
I certify that In the'performance of e work fo which this emit Is '
Issued, I shall not employ any p n n any ner o as o become PLUMRING A/mi` PLAN CHECK ELECTRICAL PLAN CHECK
subject t0 he Orkers'Cgmpen t n ws of ifor �(/ UW tLLINO laHRMUE•,,,,ww '
1 (�, BATHTUBS SHOWERS 50 FT. CO FT ><T,lLGO •
Date Signature
NOTI : If after making this declaration, you should ome subject TOILETS URINALS 'GENERATOR 0-1 KW_1-10 KW
to the Workers' Compensation provisions Of the Labor Code,you must TRANSFORMER - .
forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS APPLIANCE 10.50 KW 50+ KW I
revoked. -
CONSTRUCTION LENDING AGENCY KIT.SINKS • DISHWASHERS !MOTORS 0.1 HP 1-10 HP
I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS SUMPS (INC.SOLAR) 10-50 HP 50 + HP
formance of the work for which this permit is Issued (Section 3097 - ..
Civ. C.). BION " FLOOR SINKS FLOOR DRAINS FIXTURES- OUTLETS'SWITCHES-• '
Lender's Name -
Lender'sAddress DRINKING FOUNTAINS _ GAS TUBE SIGNS - '
OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS � POLE LIGHTS
I hereby affirm that I am exempt from the Contractor's License Law for • -
the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL P TRAP LUNbi Rut. tun( .
Any city or county which requires a permit to construct, alter, POLES METERED SUB
improve, demolish or repair any structure, prior to Its issuance,also re- WATER SERVICE ALTERATION •
PANELS MAIN SUB ,
•
quires the ap,licant for such permit to file a signed statement that he
is licensed pursuant to the provisions of the Contractor's License Law GAS SERVICE OUTLETS SERVICE / ' AMP C too
(Chapter 9 (commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he is exempt therefrom and the WATER HEATERS BTU OUTPUT
3 for the alleged exemption. Any violation of Section 7031.5 by
-_$ appllra nt for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS •
-:,S.'1ot more than five hundred dollars ($500). - -
•
-0 I, as owner of the property, or my employees with wages as their SOLAR TANK COLLECTORS ,
'sole compensation, will do the work,and the structure Is not Intended 3 ea
offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. , • ISSUE FEE
Contractor's License Law does not apply to an owner of a property � ��pp
who builds or improves thereon, and who does such work himself or ISSUE FEE 1 APPLICATION APPROVED BY DAT t--i{/ `�y�Z
through his own employees, provided that such improvements are not
intended or offered for sale. If, however, the building or improvement MECHANICALPLAN CHECK SUMMARY OF FEES
is sold within one year of completion, the Owner will have the burden ._
of proving he did not build or improve for the purpose of sale). BUILDING J (-o
/ pots 1, as owner of tha property, am exclusively conlrat[inq with HEATING SYSTEM 0-100,000 BTU PERMIT $ / a .GO SMIP $_•`�
1Ic''nsed contractors to construct the project (Section 7044, Business AND DUCTING 100,000'+ BTU PLAN CHECK $ 34.•71.•• PERMIT
and Professions Code: The Contractor's License Law does not apply to - ISSUANCE $ •
an owner of property who builds or Improves thereon, and who con- REFRIGERATION, 0-100,000 BTU PLUMBING $
tracts from such projects with a contractor(s) Iicesned pursuant to SYSTEM GRADING $—
the Contractor's License Law). 100,000+BTU PLAN CHECK $
❑ I am exempt under Section B.& P.C.for this •
BOILERS BTU • , ELECTRICAL $ OG $
reason - MICROFILM S.
•
PLAN CHECK $
Date Owner SYSTEM REPAIR,ALTERATION
,MECHANICHL $ TOTAL FEE$
I hereby certify that I have read.this application and state that the above EXHAUST SYSTEM MULTIPLE LESS AD-
ordinaacion is.correct. n to come with all city and county PLAN CHECK $ VANCE PC 8__ _
ordinances a r• ate laws r ing to cons potion,and hereby authorize
represent .f this tp. rater upon the above mentio ee
propert ec n rpo _ , 22
Signature / V Dale J. FINAL FEE $/
Drivers' License or SS, . ISSUE FEE
CMF 086546 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor
•
CONSTRUCTION AND PLANNING _ ,\POOL&SPA . . - ...VP-.R
APPROVALS Permit# 465 Date Inspector APPROVALSPermit#- '- • Date Inspector
1. Temporary Electrical Service or Pole 43. Pool & Equipment Location . '`' `" • '' ' "" "" ' '' -
2. Soil Pipe-Undrgrn 44. Steel Reinforcement - •- ' ' ' - " - ` •
3. Electrical Conduit Utility-Undrgrn . _ _ . -- .I ,, : 45. Forms •• -�`'� • • •'- - -
4. Electrical Conduit-Undrgrn - •-• - - : 46. iElectrical Bonding , ' '" • ' - • ` •• �. '•
5. Steel Reinforce - - • •• ' 47. Rough Plumbing & Presiure Test - - ••
6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE
7. Footings 49. Electrical Conduit-Undrgrn
8. Foundation 50. Gas Pipe, ❑Undrgrn,Test
9. Water Pipe-Undrgrn .51: Backwash Lines. P-Trap. ❑Undrgrn
10. Structural Floor System 52. APPROVAL TO DECK
11.,. Property Sewer Line& House Connection - 53. . Backwash & Receptor-Final '
12. Street Sewer Connection - 54. Heater & Vent-Final
13. Rough Plumbing 55 Plumbina System - Final
14. Rough Electric-Conduit •56. Electrical-Final
15. Rough Electric-Wiring fi.-31g2- 6,_d- 57. Solar System-Final •
16. Rough Heating & Air Conditioning 58. Fencing &Access Approval ,
17.(Ducts, in Structure 59._;APPROVED FOR PLASTERING
18. ;Ducts, Ventilating _ . . - _
19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL
20. Roof Framing •
21. Roof Sheathing
22. Frame and Flashing NOTES:
23. Insulation- •
24. Lathing & Siding - ,.
r2
25. .Drywall Nailing -' I i --4 fL .
26. Plaster Brown Coat /1
27.. . Electrical Power Meter-Final _
28. -Final Electric . • %/-a4-Sze 0 C
29. Final Heating& Air Conditioning
30. Final Gas Pipe-Test -
31. . Final Plumbing
32. Water Service-Final - . - '
' ' '•33.• 'Gas Service-Final
34. Solar Domestic-Final ...:.•:::.-S, '
35:' Landscape Sprinkling System - .. •
36. Sound Attenuation - . . `
37. Handicap Regulations - - -
38. FINAL STRUCTURE& BUTAOING j-L) .//-,3ute--
39. Special Requirements Compl4 t1 .
40. Electric Release to Edison _
41. Gas Release to Southern California Gas Co.
42. CERTIFICATE OF OCCUPANCY _
_.- •No'' Date - '' J ,
ORANGE COUNTY BUILDING DEPARTMENT •APPLICATION FOR PERMIT
636 North FORy BUILDING
U I L D I N
SANTA ANA,, CALIFORNIALI
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
RECEIPT NO. PERMIT NO.
ADDRESS 1949 Feder»l Ave- - a • / O •�
SCHOOL DIST. RECEIVED BY 'DAT OF APPL. DATE ISSU D
OR TOWN
• CROSS ST. 19th.St. /6` l// �/�� .lV �L-•��ycc�y��/�.�
BUILDING i4 i/H he derer/ / // e •
OWNER BANNOCK HONES, INC. ° ADDRESS K /
MAIL SCHOOL DIST. n yp ^�
ADDRESS • • i I 1, /t ,I OR TOWNJ/�/� /'(P_,S Com.
•' CITY BEVERLY HILLS Na' CR. 54301 ,Y NEAREST //+� �% / /i
CROSS ST. 7 ��•(�
ARCHITECT OR TEL. /'• ZONE NO. OF TYPE I GROUP
ENGINEEICA IN Ba MCKERRACeHER NO, SY. 64841 / I PLANS I ^--r- T
ADDRESS211O E. WALNUT ST. PASADENA z SETBACK LI F,(i?M CENTER OF ST. -17
•5f 1
TEL. /1 REAR YARD'40T-11• SIDE YARD __ �
• _ ATRACTOR NEWPORT VISTA CO•NO. CR. 54361 APPROVED
BY DATE '
ADDRESS9361 WILSHIRE BLVD. , BEV.HILLS
CORRECTIONS
LEGAL
'. DESCRIPTION I LOT NO. 40$ I BLOCK 1712
- IATTACH METES & BOUNDS) _
TRACT (([[
q0
x 110 NO.OFBLDGS. • '
SIZE OF LOT jX��Il I NOW ON LOT O
} USE OFI NO. OF I NO. OF Ir
EXISTING BLDG. FAMILIES ROOMS
DESCRIPTION OF WORK '
:i NEW I X I ALTERATION I ADDITION I �'6A
, REPAIR I I MOVING I I DEMOLISH O ) Z
'1 5 >
SIZE DIN 034 SQ 1" ROOMS J STORIES 1 /J" r
WALLCOVF COMPO �
COVERING STUCCO I COVERING Gm NG, F
USE OF-9LDIDING NEW �-
,{ �R�ES I D/E/N�CE�car
��// , /-/(p///�
j
APPROVALS
FOUNDATION: LOCATION INSPECTOR E
D%T
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS FORMS. MATERIALS, EC •// TE
APPLICATION AND STATE THAT THE ABOVE IS CORRECT ' UNDER-PINNING
(' AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FRAME: FIRE STOPS, /.[ r//`�,y
BRACING. BOLTS /�•�i� 6
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. —• /j ,•_
LATH. INT. a�l/a�e 1L.Yq}�•, :3
' SIGNATURE OF NEWPORT VISTA CO. LATH. EXT. _j t4j - ✓-C�•43
PERMITTE'
AUTHORIZED AG9 ••// ) g O/. PLASTER. INT. - ,
(/1••p �...,
4 , PLASTER. EXT. %F9� (/•/S..53�
830•OO P. C. S MASONRY REINFORCED
FEE ( 2/ BOND BEAM
f
VALUATION - .{ • /4-e.5‘.-9
FEE FINAL �/
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