HomeMy WebLinkAbout347 HAMILTON ST - Building PermitsAuv�icant to fill in all spacez exceot tnose within heavy �oraer lines ana si9n a11 approo��ate tleclarations.
PERMIT NO. TRACT NO. LOT NO. UNIT NO. '
GTY OF COS7A 2nnESA1 C NSTRU TION PERMIT � 3 /—� . A.P. # ,
_ Project Address 7� T �"GrY1 � �� _ `� S Main Building:
i" �icant°s Maili g Address �• O'. 3p�—��'I TYPE OF CONSTRUCTION NEW ADD A�rEa.aTION REPaIR E .
� . ����`I ❑ CONVERSION ❑ �EMOLISH ❑ OT R T FrOnt �
1. ,r's Name 1�'r Phone 7 DESCRIPTIONq f WORK/ S O BLD Gr ' I A Rear
Addiess �� T 1 r � ��1-s� Z� �` �'d 4 ���j�%e l H Q6
Arcl/Eng. - License No. TVPE OF PERM— I�❑ GRADING FOUNDATION . STRUCTVRAL I K Right
❑ T E N A N T ❑ E L E R I C A L ❑ P L UMBI N G ❑ M E C H A N I C AL i S' Left
Addre55 .I ❑ �OTHER
Contractor's Name r Phone OS }��F Ping. Ref. #
PROJECTDESCRIPTION 5Q. Z�L oCCuaANCv 5�
Address Im 'I" 1 �' D, o�C �j �} ( Planning Notes:
��� �; ` ZONE TRUCTION TVPE �� G CU. YDSVALUATION $ R��S d
Ciry License No.
LICENSED CONTRACTOR DECLARATION
1 M1ereby affirm that I am licensetl untle� provisions ot Cha�te� 9(commencing
with section J000) of Division 3 of the Business antl Profes5ion5 Cotle, antl
LcelnSeyC�S I���S9naturrfeC����_ No.l �"'
Date �7
WORKE 5' COMPENSATION DECIARATION
I ne�eby affirm [hat I have a certificate of mnsent to self-In u�e o� a certificate
Wo�kers' Compen5ation Insurance, or d certiti¢tl opy thereof (Se<tion
0, Lab.
�icy No. �S�O�� Company� ��
�Certifietl cop is hereby furnishetl.
Certifi tl op fi tl with th ' wltl'L Divisi.o�n. _�
Date--��L�� APPIi t LTV � �" �1'Z�
EXEMPTIO FR M WORKERS' COMFENSATION DEC ATION
(Thiszection neetl not be completetl if the pErmit is for One huntlretl ($100) or
Iess).
I certi(y that in tlte perto�mance of the wo�k to� which tM1is permi{ is issuetl, I
shall not employ any person in any manner so as to become subject to,the
WorkerY Compensatlon Laws of California.
Date Si9nature
NOTICE: If, after making this tleclaratlon, you shoultl become subject to the
Workers' Compensa[ion provisions of the Labor Cotle, y0u must forthwith
comply witn such provisions or tnis permit shall be tleemetl revoketl.
CONSTRUCTION LENDING AGENCV
I bereby affirm [hat there is a mnstruction lendinq agency for the per(ormance
of the work for which this permit is issuetl (Section 3097 Civ. CJ
tentler's Name
Lentler's Atltlress
OWNER BUILDER DECLARATION
I hereby affirm lhat I am exempt from the Contracror•s License Law tor the
following reason (Sectlon 7031.5 Business antl Professional Cotle: Any city or
County which requires a petmit to construct, alter, improve, tlemolish or r¢pair
any structure, prior to its is5uance, also requires the applicant tor such permit
to file a si9n¢tl statement that he/sne is IicenSetl pursuant to the provisions of
Ihe Contractor's License Law (Chapter 9(cammencing with Section 7000) ot
Division 3 of the Bu5ine55 antl Professions Cotle) or that ne/she i5 exempt
�re/rom antl the basis for the allegetl exemption. Any violatlon of Section
LS by any applican[ fo� a permit Subjects the apP���ant to a civil
Jty of not more than five M1untlretl tlollars ($500).
._, I, as owner of the property or my employees with wages as their sole
compensation, will tlo the wo�k, antl Ihe structure is not intentletl or�offeretl
to� sale ($ection 7044, Bu5ine55 antl P�otessional Cotle: The Cont�acto�'S
License Law tloes not appiy fo an owner o� a properry who builtls or improves
Ihereon, and who tloes such work himseli/herselt or througn his or her own
employees, provitletl that such improvements are not intentletl or offeretl for
sale. If, nowever, the builtlin9 or improvement is soltl within one year ot com-
Dletion, the owner will have the burtlen of proving he/she tlitl not builtl or im-
nrove tor the purpose of sale).
❑ I, as owner of the pro0erty, am exclusively mnVactin9 with licensetl con-
lractorsto construct the project (Sec[ion �064, Business antl Professions Cotle:
The Contractor's �icense Law tloes mt apply to an owner of property who
builtls or imoroves tnereon. antl who wntracts for such oroiects with a r.on-
��, tractor(s) Lcense pursuan[ to tne ConVactor•5 License Law). I am aware tbat
. prooi ot their Worker's Compensation insurance shoWtl be provitletl to me.
�"� ❑ 1 am ezempt untler Section B. & P. C. for this reason
Date Owner
I hereby certify that I have reatl this application antl state that the above
info�mation is co�rect. I agree to comply with all city antl munty ortlinance5
antl�state laws relating o builtling construction, antl hereby authyo�rize repre-
Sentatives of cit nte� upon th¢ above-mentionetl p'1N pery�(� tor
IOSpC � IpO�BS.^ F� _ .�._._ Q/��fl�
er5' License or 55 � �
Remarks: ��
Sink
Preventer
Irrigation
Clarifiers
Dishwasher
Drinking Fountains
Floor Drains '
Floor Sinks
Gas Servic.e Outlets
Kitchen Sink
Lavatories
P—Trap
Roof Drains
ReinspeMion Fee � $15
Boiler
Duct - Under Ground
Duct-Structural ,
Duc[ - Ventilating
Exhaust System ❑ Multiple
Firepl/Fact. BIt iCBO #
Heating System & Ducting
❑0-100,000 BTU 0100,000
ReinspeMian Fee � $75
_ _ _ . __
0865-46, rev. 5/88 White - Builtlin9: Canary - APPlicanh Plnk - q�countin9: Goltl¢nrotl - Asze55or
ShOWers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Sc�lAr Pipin9
8olar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Auto-Wash
Laundry Treys
Isue Fea
Hood or TYPeI ❑
Canopy Typell ❑
lefrigeration System
�00,000 BTU ❑100,000 BTU
>ystem Repair/Alteration
Fire Dampers
Registers
Issue Fee
FEES Automatic Washer
Construction Pole Su6.
Cooking Unit
Dishwasher
Dryers ❑Gas ❑Elec
Fan
F.A.U.
Fixtures
Device Boxes
OuHets
Switches
Garbage Disposal
Generator DO-5 KW C
$ 3
FEES
Zana
Accessory Building:
Req./Provided
ELECTRICAL
Transformer ❑ 15-50 KW
❑ 50+KW
Meter ❑up to 100 amps
Meter ❑over100amps
Sub Panel
Motors OO-1 HP O1 �- 8
Inc.Solar �9-15 HP 016-15+
Pole Light "
Ran9e
Sign
Standing Sections
5 KW Trash Compacmr �
� Reinspection Fee '$15 I ' luue Fee
DEVELOPMENTSERVICESREQUIREMENTS:
Zoning Approved By
Building Approved 6y
Aooliotion luued Bv �
SUMMARV OF I
BUILDING PERMIT $ S�. �
PLAN CHECK $
PLUMBING $
PLAN CHECK 25% $
ELECTRICAL $
PLAN CHECK 50% $
MECHANICAL $
PLAN CHECK 25%
—
$ 3 �Iti�-�.� �
O
N
I
N
G
R
E
Q
M
T
S.
FEES
$ 3
SMIP $ • �O
PERMIT
ISSUANCE $
ENERGV P.C. $
GRADING , $
MICROFILM $
TOTAL FEE $ Sy �
�1 OQn39432—t�0a39433 '1"f�7 �;.5G
Oa7E: OS/Q2/S4 TIiIE: 1s:07
, . . "�`,`\, _ . .
CC �RI�TION AND PLANNING � P��� �P' -
Date Inspector Date Inspector
APP�.,��YACiS Permit # APPROVAIS Permit #
t11
1. Temporary Electrical Service or�Pole '�" 52. Pool & Equipment Location �,_ •
2. Soil'Pipe-Undrgrnd. �,"i.� -t' �_ 53. Steel Reinforcement f, 4'
�3: Elecincal Conduit�Utility-Undrgmd. � ` 54. Forms i
4. Elect�ica� Conduit-Undrgrnd. �� 55. Electrical Bonding ', /�
5. Steel-Reinforcement; : �� 56. Rough Plumbing & Pressure Test �f`�:
6:� Electric`al UFER Grnd:•
' � 57. APPROVAL TO COVER-GUNITE i� f��
7� FOotings � -j �.,.. � � ' � 58. Electrical Conduit-Undrgmd. � �
8 Foundation ":.'-� f� �'�� 59. Gas Pipe, O Undrgmd., Test ,.�
9:, Water Pipe-Undrgrn'd. ;.� , h � 60. Backwash Lines, P-Trap, � Undrgrnd, f�
10. Structural Floor System r�.,\, � i� t/�" � 61. APPROVAL TO DECK �
11. Property Sewer Llne & House Connection �- aJ 62. Backwash & Receptor-Final �! �
] v'
12. Sewer Cap �' �'• � % 63. Heater & Vent-Final -��-
i, _� �.
13. Roof�Drains �`� _,c 64. Plumbing SYstem - Final -1 '
14. Rough Plumbingi 65. Electrical-Final ��'
_ � ,
15. Rough Electrical-Conduit 66. Solar System-Final
�16. Rough.Electric Wiring 67. Fencing & Access Approval
�47. Rough�VJiring Sign ��, 68. APPROVED FOR PLASTERING
i18; Rough E`ectrical-T Bar Ceiling�l� 69. POOL/SPA SYSTEMS FINAL
19:• Rough Fleating & Air Conditioning FIRE DEPT. REQUIREMENT
!
�20. Rough FactoryUFireplace •-.-�' APPROVALS Permit#
21. Ducts, in Structure •�7 � 70. Underground Hydro
22. Ducts,�ntilating� �� ���.-� � 71. ProductPiping�Gas ❑Oil
23. GasPipe=Rough &„Te_st �J, �' ` 72. Underground Flush �
24. Roof Framing �:'J -; �� / 73. Undergrnd. Storage Tank O Gas ❑ Oil �
25. Roof_Sheathing �' �, 1 74. Overhead Hydro �
,� _
26. T-Ba� Ceiling (Structural) &�Monocoat 75. Dry Chemical
27. Frame`and Flashing l.�, �� 76. Dry Standpipe
28. Latliing,& Siding '�'% 77. FIXED SYSTEM FINAL
i
29. Insulation �� �� 78. FIRE PREV. FINAL
30. Drywall Nailing v� ; 1'� � HEALTH DEPT. REQUIREMENT
31. Plastej�Brown Coat�f�, 79. FINAL INSPECTION
32. Electiical 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 "
r�
38. Final Plumbing .,�
39. Water Service-Final
�+''
40. Gas Service-Final �
41. Solar pomestic-Final ' � �
� `1,�' n%
42. Backflow Preventer � � � .'� �'
�
43. Backflow Irrigation � / A g
44. Landscape Irrigation System � j%
./ b
45. Sound Attenuation ��;.�
�
46. Handicap Regulations �
47. FiNAL STRUCTURE & BUILDING � fj � � `
48. Special Requirements Completed . . .
49. Electric Release to Edison �:
�' N
50. Gas Release to Southern California Gas Co ��• �. ��
51. CERTIFICATE OF OCCUPANCY ��. '�,� ���
No. � Date � .
. . ._�� . . � _ . �. , F� .-�` _ _.. . _ .. .
�OWNER GATES, C:-H. & E, MEEtLE � � DATE 2-21-56 �'
JOBADDRESS 3lt7 ��.lton-�St• -� - BUILDINGPERMITNO. 2�=03
� GENERALCONTRACTOR Dike & Colegrove ' vnwe a9�0�0.0�
� i�� 1 BLOCK TRACT 2908 Residence & Gar.
� GROUP I& J - TYPE `V\_ ZONE � FIRE DISTRICT 23zO
. PERMITSISSUED
'INSPEGTIONS DATE SUBCONTRACTOR DATE I NUMBER
Foundation Forms and Gra
Rough Framing
Plumbing, Rough to Slab
Piumbing, Rough Complete
Temoorarv Pole ,
ia�
House Sewer, St.
Lathing,ln Out}( ��'� ,J�.3�
F :ring E.��� � 2
Plumbing, Fin.al, Fixtures Complete /,�(� T =1 y�
Plumbing, Final GasTest �j ff� p"�(�ii y l.z"
Wiring,Final a//�_�'-�.,�,
�� Occupancy � � � S. Z L-
FORM 210 3M 10-55
Gosta Mesa Building Department
117 EAST 20th STREET
C09TA MESA, CALIFORNIA �
FOYL APPLICANT TO FILL I11T
nddress 347 ��lton St. � Costa %:esa
Costa, Mesa, California
Nearest
c�oss st. Thurin Avenue
Owner Cyrus H. & E. Merle Gates
Mail 306 ge�ona Flace
Address
cttr Costa TSesa No. Li 6-7976
Architect o c.
Engineer �arlson & Middlebro
Address Garden Grove
contrector Dike & Colegrove NaY Lic. 2707
Address k19 E. 17th St., Costa Asesa
Leg�a1 I 4ot I I
Deseriotion No. 1 Block Tract 29�
Metes and Bounds)
ot 61' x 103� I NowonLot� none
No.of No.af
g�d9. ri011e I Familles 1 Roomab
Linefrom ,.�� RearVard _,
� Moving � � Demolish �
No. oT 1
q• ft•Rooms 62 Stories 1
$tUCCO I Covering Comn.
Facnily Residence & Gara
ICATION FOR PERMIT
Bt11LD,dNG '�
_ _ „fleceiptNo.,__ ___pe�mitNc
� y� 03
by Date Rec'd. Date Issue
v _ a { _.t � ,�? _ �'� -
Address
Costa 1Vlesa, California
- � Plans I (�
Appr ve
by
' CORItECTIONS
i
�
APPROVALS
�tion Location Inspector
is, Materials,
:r•Pinning
: Fire Stops,
I• hereby acknowledge that I have read this Application Lath. Int.
and state that the above is correct and agree to comply �
with all City Ch'dinances and State Laws regulating Lath. Ext.
building construction. - _ �
Signatureoi Plaster, Int.
Permittee
.t �„ . . n n Plasier, Ext
Valwdt�on
$ 9,000.00
-
tM 204 G-H 2M F
Masonry Reinforced
Bond Beam
FINAL
�
Date
n
O
A
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3how locatlon and distances Trom '�'• � "• � � • � �. - �v=�� �-
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i�7�s
TA M�SA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COBTA MEBA, CALIFORNIA
For Applicanf io Fill In Complefely
TYPE OR PRINT
COSTA MESA: CALIFORNIA
OWNER� L �
MAIL .� /i�{ /��a"
ADDRESS �Tf{ �T
CITY t/ S S NEO
�"^.HITECT c TEL
'NGINEER WNY � Na
ADDRE55
`T !
■ STATE
FEE Rs CEi�FD
fINANCE DEPT.
APPL IC��IrO�F F�'� f��A
BUILDING
For Office Use Only
RECEIPT NO. 1 �BRNM�i
REGEIV6D BY
i��
BUILOING �
FIRE
-- LE6AL
DE9CNIP1
NO, OF BLC�B. �
NOW on �oi p, p, NO
MESA. CALIFORNIA
TYPE V� GROUP
NO, OP O6E OF N
PLANS 1/ BLI�LDING
USE OF � � �A YAROS
EXISTING BLDG. v� '��/_1 APPROVED
SRBACK LIN6 FflOM c jr � «MTEP LINE BTJ
cerv'ren oF BTReeT ✓� REAR YARD (D FRON7
/ /L. �
SIDE YARD (LEFT � � RIGH7 -G / R.SIDE
DESCRIPTION OF WORK
eBOcLDING /3
AN� WORK
� STORIES /
APPROVEO
1 HEREBY ACKNOWLBOOE TXAT 1 HAVE RPAD TH19 APPLIWTION }ME AMOUNT eHOWN UNOEq VpLUATION IB POR THE
ANO BTATE THAT THE ABOVE �8 G�RIiER AN� AGREE TO COM-
PURPOB¢ Op EBTABLIBXING A PERMIT FE¢ ONLY.
PLY WITH ALL CITY OROINpNC O BTATE LAWB fIEOULATIN "
Bu1IDINo CONBTRUCT1oN. � VALUATION �J
r PERMIT FEE $ �GY P
SIGNATURE OF � �
PERMITTE ���yyy /J/� /
$ .v�. H2O � PLAN CHECK $ [P'�
AUTHORIZED AGENT ' � /`/
TOTAL FEE if