HomeMy WebLinkAbout3008 FILLMORE WAY - Building Permits� d� �u,�or� wy
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?A0.1ECT�DONES3: 3OOH FILLMORE WY
OWNEfl'8 N�ME: DOROTHY REDA
�ooxess: gAME AS ABOVE
714/639-3301
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r�pMrtr�E: GENERAL INSTALLATION CO. ( 714 ) 753-2541
�ooxess: 6558 WEST HLVD.
LOS ANGELES CA 90043
LICENSED CONTMC70P OECUMTION: I �ereUy aifirm that I am Iicense0 under pmvisions ol Chapter 9(commendnp with Section
7000) al Division 3 0l Ihe Business anA Pmie55ion5 COEe. an0 my license is in �ull �orce anE eflecl.
cm uc.: 0 0 6 4`" r, s�pTE uc.:151 S 3 9 yu8�/j.b .�
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Oate: �y�� SiAnature: LC�
WOBNEBS'COM NSRTIONOEClAM7tON: Ihere�yaffirmihatl�aveacenificataol entmsetl-insureoracertificatealWoders'
fqmpensation Insua c r c nilieJ coOY �hereol (Section 3800, La�. ).
roucr xo.: 6 9�i 3'0 � �7 4 (7(P. D�TE: 4 I O S I 9 S
COMPRNY: NMIC �
Cerlllle0 copy Aerehy fumishetl. m Cehi(e0 copy is lile� t c�ilOinA D" io�/<��
Oate: Mpucani:
IXFMVfION F M YlOBKENS' COMPFNSITION OECIAMTION: (lttis uttion neeE noi De cam I� Na permii is �a ane hudrM �5100� or ka).
I cenity that in ihe peAormance oi the work lor whic� t�is permit is issued, I shall not emD��' any person in any manner m as to become
su�le���a Ihe Workers' Compensatian Laws at Catilortua.
Oate: Signature:
NO71LE: If, alter makin0 this Aeclaratian, you shoul0 Gecome suhject ro I�e WaMers' ComOensa[ion Orovisions oi tha LaOor
Code, you must PorthwitA comply wiN such proNsions or this Dermit shall be AeemeO mvoke0.
CONSTHUCiION LENOINC �GENCY: I AeaOy aKrm tlu[ t�ere is a cons[ructlon IenOinp aqency lar the De�ormance ot t�e vrork lor
LENOER:
pUONESS:
OWNEN,BUIIDEN OEIXAMTION: I �ereby affirm Itwt I am exempt from t�e Contactors' Stata Iicense Law for Ne followin0 �euon
(Settion 7IX11.5 Busineu and Professional CoAe: My ctty oi caunry wNc� reQuires a permit to cansWct, alter, imprave, Eemolish, or
repair any stmcWre, O�o� �o its issuance, alw reQuires tAe applicant for such Oe�mit to file a siAneO sWtement ttut he/she is licensetl
CITY OF C05TA MESA — BUILDING PERMIT PERM NO; P 0479fi2
PERMIT NO: P 047982 PLAN CHECK NO; N GOVT: N SUPP: N
CONSTRUCTION TYPE; PERMIT TYPE: PLU PURPOSE: OTH
JOH DESCRIPTION ; WATEA HEATER REPLACEMENT SQ FT:
CLAZM VALUE: CALC—VALUE: GROUP OCC: /
COMMENTS: *
**�r*x*x�x�***�**�r*��********�*�r��**+t+��*x�r**�r***�r�*�**�******�r�r**�r*�r******�*�x*�
Z O N I N G R E Q U I R E M E N T S
S E T b A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN AEAR; FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
PARKING REQ: PROV; PARCEL: 14113413 ZNE: REF NO:
PLANNING NOTES>
>
it it iF if if iE iE if iE if iE iElE i! iE iE ik'lf iF it �E 1E fE iE iE i6 it it if i! it 1E iE dE iE iF iE iE ik i! iE iE 1E �f iE iE 7ElEdE if iE iE iE 1E iE iE it iE fF iE 1E iE iE iE if it iF if iE iE iE if �)E iE �E iF'IEiE iE
D E V E L O P M E N T S E R V I C E S�'. R E Q U I R E M E N T S
ZONING APPROVED BY ' DATE:
HUILDING APPROVED HY ; � DATE:
APPLZCATION ISSUED BY: DATE: �Q�%�
jFitiE3(�itiFifitifiFiE�fiFifiEitikdEiEk�fit . .. . iklEiEifltiEiEikiE3E�iF. iEiE
�f if iE iE iE ik iE iE �f if iE if iE �f if 3E if iE k if ik'lt iElf i! itlE if if if iF iF if iE iE iE if it iE if it,if if it it ik it ik i! iE it iElf if if iF iE iF iE iE iE if �)f iE it iF k iF iE iE iE iFlk iE iE iF if if ik
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FZRE SMIP/RES GRADING
PERMIT 2.00
pursuant to Ihe Dronsions oi the Coniroctors State License Law (Chapter 9(commencinp wit� Sectlon 7000) oi Orvis�on 3 ot tAa Busineu i S e S M I P/ NON —R E S
anG Professions Cotle) or ttut tc/slia u exempl Nerelrom anE Ne Easis lor Ihe alle0� exemptlon. My �riolatlon al Section 7031.5 Cy PLAN
a�ry applkant lor a Dermn wEjecls I�e appficant ro a dvJ cenalry al not mom tlwn Me hunCreE Eollars (5500). I S S UE F E E 3. 0 0
�, as owner a� tne prupeM or my em loyees vnN wa0es az Iheir sale campensatlon, vnll Oo me wor�, ana me �UILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ stmaure is not intenaea ar aneretl tor sala Igecnon 70n4, Business ana Pmlessionai Caae: The Cantracmrs' Swte Licensa Law TOTAL S----> . 2. 0 0 3. 0 0 0. � � � S. 0 0 5. 0 0 , 0 �
Eces not apDN �a an avmer al a pmpeity wlio buil0.s or imD�a�es t�er¢on, anE who tloes such woB NmulfPoerself ar I�roup�
- Ns or �er ovm employees, DrariOeA IAat such imDravements are not intenEeE ar otlereE lor sale. If, however tM EUICinO a� REVENUE D I V IS ZON TOTALS--> COLLECTED ; 5. � � OVER /SHORT • � 0
��'iop��D n�QM�eJNnoneyearoicompletion,tAeawnerwillhavet�eburEenofprovinOhels�eEiEnot�uilAorlmD�'e $LDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I, az owner of t�e Droperry, am exclusively conVacting witA Iicense0 coniracrors ro wnsimct the Oroject (Sectlon 70C4, Business �•��
❑ anE Prolesslans COAe: The Contractars' Sfate Liunu Law Aces not apDN �o an owner of D�operry who bwlds or imOraves Uereon
anOwhocontraci5farsuchOrolecis�iNaconiracror(s)IkensepursuanitotheCantractors'S[ahLwenseLaw�.lamaware '%�'*�'*"�'***�'***�'�'�'**'E*�***'�'�'�'7k'kitiEiEiEjfi`it�kjEiEi('iEiF7FifikiFiE'kikiEilitiEiEi(-iFiE'kiFdEifiEitiEjEiEiEitif-ltit-1fiFiE?EiEiEiEiF
t�at Drool olt�eir Worker's Compensition insurance s�oul0 be proviEad to ma. I N D I V Z D U A L F E E B R E A K D O W N
� I em axem0� unEar Saction: B. 6 P. C.
mnnisreason: TYPE QTY
Date: a^'^e�� I PLU
I Oo hereEy certiry ihat I am aware ot and un0erstan4 I�e repuirem¢ms of Calilornia HeaIN an0 Salery Code Sections 25505, 25533, antl
25534 anU Itwt I or any Wture huilEinq oaupant wiNwill not (circle one) neeE to camply with said staro coEes anA Ihe requiremenis lor a
permit lor wnsimcibn or mo0ifiwtian hom the tir Uualiry ManaOement Oistnct. flesiEential construction appliwtlons ara exampt irom
tAese provisians.
Oate: ApDGwnt:
I AereEy ceNry ttut I lava reaA this apD�iwtion and state ihat tM above intormaUon is corrttt. I apree ro comvN ��� ury an0 counry
ortlinanus anE state laxs reWtiriq ro uil0in0 �w� �4 hereDy aWa' repasentatives al���qqqsss���ddd emer upon tlre aCouo-mentio�reC
praperty for i� Uon � �� ,�) / �
// / /
Date: SiqnaWre:� �1� �
oriver's �icanu or Saw Secunry
16qJ8 WOiia--Buil0ing; Greon—COEe Enlorcemem; Cenery—Applicnn�; Plnk—Ravenue; Goltlenratl—Assessor
1
D E S C R I P T I O N
WATER HEATER AND/OR VENT
END OF FEES
UNIT COST
2.00
TOTAL COST
2.00
�� ccas:927—OCQ64927 ra� T
DATE: Q7/10/SQ TINE: 15:53
J,OO
v
� P001 %¢PA
CONSTRUCTION AND PLANNING
APPROVALS Permit# Date Inspector AppROVALS Pe mit# 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
4. Elect�ical Conduit-Undrgrnd. 55. Electrical Bonding
5. $teel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Wate� Pipe�Undrgrnd. 60. Backwath Lines, P�Trap, O.Undrgrnd.
10. Structural Floor System - 61. APPROVAL TO DECK
11. Propsrty Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewet Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plum6ing System - Final
14. Rough Plum6ing � 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar SYstem�Final
16. Rough Electric Wiring 67. Fencing & Access Anproval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
16. Rough Electrical-T Bar Ceiling ' 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMEN7
20. Rough Factory Fireplace APPROVALS Permit #
21. DuCts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Produc[ Pipin9 O Gas ❑ Oil
23. Gas Pipe�Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T�Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame a�d 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 7� G� �
39. Water Service�Final
40. Gas Service�Final
41. Solar pomestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation SYstem
45. Sound Attenuation
46. Handicap Regulations
47. FINAL S7RUC7URE & BUILDING
46. FINAL PLANNING �
49. Electric Release to Edison _
50. Gas Release to Southern California Gas Co
51. CER7IFICATE OF OCCUPANCY
No. Date �
LOT TRACT 4ZV�
. � � (���
�COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 317 C06TA MEBA. CALIPORNIA
For Applicanf io Fill In Complefely
TYPE OR PRINT
� MAIL
COSTA MESA CAL
.EN_NET�. KOLL
.v ^ '{-q
,� . � ;�. .�-�. ) .
�y l_.�I •-. . .•`
JAN 111962
; !;!i,�;CE DEP�I.
Cl�'� OF GOSTA ?a1cSA
APPLICATION FOR PERMIT
BUILDING
Fo� Office Use Only
aeceiwr Ho. reqMLT pd'f[]
R8C81 O BY
NEWPORT BEACH CAL. rypMl b ZZ euIL�INc
ADDRESB
rE�. COSTA MESA. CALIFORNIA
R NONE No.--------
FIRE
I(b"F LOY � ZO � X'`
�uSE oP
iEXIBTING BLOG. NC
8[fBAGK LINB PROM
CENTCR OP BTRB¢T
SIDE YARO I LEFT 5�
DESCRIP'
I BUILDIN�AR:
NO. OP 9LD68.
NOW ON LOT O
�N E
55 � REAR YARD 2 J�
IRIGHT H �
f10N OF WORK
ERATION I II ADDITION I
ANG I II DEMOLISH I
S FNO. OF . _ _
BUILDING AND WORK TO BE PERFORMED
TRIPLE FAMILY DWELLINGS W
HED GARAGES.
ZONING
ZONPn �� 1 PlANB z I U8E OF NHW ���/V
15 `HU�LAING .�...
"�� k4
�°.� Lot 3 ?'.Q `/ z 8 /
DHeCHIPTION
�
u
--� IN.
IN.
IN.
� �//� IN.
nara �/ 9 ��2
I H¢PH9�' ACKNOWLHOOE THAT 1 XAVF REAO TH18 APPLIWTION 1�{g AMOUNT BHOWN UNDEH VALllAT10N 18 POR THE
ANO eTATH THAT THE ABOVe 19 CORRECT AND AGPEE TO COM-
PURP09! OP ¢BTABLI6HINO A PERMIT PE¢ ONLY.
PLY WITN ALL CITY ONDINANC89 AND BTAT6 UW6 itHODUTING
Bu1Lo1No CoxBiRurnON. � VALUATION L�.n—
SIGNATURE OF PERMIT FEE S.J N
PERMITTE 3�/ .�Y•� .� S '
$ � � PLAN CHECK $
Z
AUTHORIZED AGENT �� ` �
TOTAL FEE y,