HomeMy WebLinkAbout675 CAPITAL ST - Building PermitsPflOJELT RODNE33:
OWNEX'S N�ME:
RUGHESS:
,CA 92627
�. �flC111FNGINEEH:
FODHES&:
COLLINS ROUFING COMPANY
PEHMIT7EE: jS6%i WILSON a^"t
uxR:
flE0.N0.:
UNR:
(7i4)89i--7�75
� eooness: MIDWAY CITY CA 92655
110ENSEU LONTMCTON UECIAIWTION: I herthy atlirm Ihat I am Iicense0 unEer prodsions oi Chapter 9(wmmen�ing vnth Section
7000) ol Divi�n�9(�i(t�(�4¢siness anU Profes�n� C�OQg,3nE my license is in lul�for �� enect.
CRY IIC.: q � STRTF LIC.: � �
Dah: _�(_(=p—/ SipnaWre: _
WOXI(EPS' COMRE�I$RT�0NU�C�1MjIOH: I �ertEy a' ihat I Aave ac�qil' a consen, to sell�in5ura or a cMificata of Workers'
ComDensatlon Inwhha.2r.2 RhkieE �iopY the2oi 1 cC 3800, Lab. C�! �� 1, 7�
roucv xo.: STATE r UNll �xP. o�TE:
COMPANY: X
� Cenitied coDY is he2�y Iumishe0. ❑ CertifieE co is liletl wit e c il0lnp DI ' ion �
� �
oate: �—( 9— q� ApDlicani: T�
E%EMPfION FflOM VlONNEPB' COMPEN&1710N OECWWTIO . ' uclion neeU noi Ea wmDleteA ii Ihe perrtui is �or one AuMreO (510� or kss�.
I cerlity that in t�e DeAormanu of Ihe woA lar whic� t mit Is issued, I SAall not employ any person in any manner sa az ro becoma
subittt to the Workers' Compenution Laws at Calil
Oata: S�Anatura:
NOTICE: II, atler maMinp ihis Geclaatlon, yau s�aultl become subject to tAe Workers' Campensation pmasions af tAe La�or
CoOe, you must forthwi[� comDN with suc� D�oNsions or t�is permit sliall De EeemeO revakeE.
CONSTPUCTION 1FN01NG �GENCY: I �ere�y aflirm that t�ea is a constmction IenOinp apency tor t�e pedormance al tha work far
whic� Ihis permit is i55ueG �Sectian 3097, Civ. C).
�xoea:
aoosEss:
OWNEB 9UILOEB OEClAMT10N: I Aere6y afBrm ihat I am exempt imm ihe Contractors' State License Law for ihe PollowinA reason
(Sectian 7031.5 Busineu an0 Professional COUe: My ciry ol caunry whic� mpuires a Oe�mit to consWct, alter, impmve, Gemolish, or
re0air any sVucmre, prior to ils luuance, alm reQuires t�e applicant lor such Dermit to lile a siA�ed statement thal �e/s�e is licenutl
pursuant to the Dmvisions of tha Contracmrs' State License Law (C�apter 9(cammencinp wii� Section 7000) ot Division 3 0l the Busineu
antl Pm/essions Cotle) ar t�at he/she Is exempl t�erelrom antl the hasis for tAe allegeU exemD�ion. Any violatian of Sec[ion 7031.5 by
any ap0�icant lor a Oe�it suUlects t�e aDDlicant ta a ciWl penalry of not mora than tive AunUreA Uollars (5500).
I, as owner of the DroDerty or my employees vnih wapas as their sole comDensation, will Ao t�e woM, ana Ihe
❑ simcture is nat intentle0 or a/leretl for sale (Section 7044, Business and Profasslonal COAe: The Contractors' State License Law
Aoes nat apDly to an owner of a property who �ullOs or ImDroves Ihereon, antl who tlaes sucA work himseli/herself or tArauph
his ar Aer own employees, DmvIOeG t�at suc� imD�'ements aa nol intentleU or o11ere0 for sale. II, however the builAinA or
im0�a�ement is SOIE within ona year oi completlon. the owner xill have ihe UUMen oi Omvinp �e/she UiU not OuiIE or improve
for NB purpose of sal0�.
I, az awner o/ t�e OropeM, am exclusively contractinp witn IicenseG contrzctors to construct tAe pmiect (Section 70A4, Business
❑ an0 Pmlessians CaOe: The Cantractors' State Lice�xe Law Jces not appty to an ovmer ai properrywho hud6s or im0« �e�n
anA wAo conlracis Por such pmjecis �jt� a mntmctoqs) license pursuant to ine Comraaors Siate �unse Law�. I am aware
that 0��� oi their Worker's Campens:t:on insurance s�ould be provitle0 ro me.
� I am exempi unCer SaciiOn: B. 8 P. C.
tar ih6 reasan:
Oate: Owner.
I Eo tureDy ceNry Nat I am aware al anE mMerstan0 tAa repuiaments at Glilamia Healtn an0 Safery CoOe Secuor5 255L15. 25533. and
2553d anE that I or any lutum Euilainp occupant vnlUwill not (cirda one) neeOlo wmDN ��� �i0 state cades antl Ne reqWremenis tor a
permii lar wnsWClion or maEilication Imm t�e N'r�ual�ry ManaOement Oistrict. ResiOmtial consWction aDP�iwtians are erempt from
ihese provisions.
Date: ppd��i:
I �ere0y ceNty t�at 1 twve aa0 t�k apDlication an0 state t�at t�e a0ove inlormation is correcL I apree to wmDN ��h �I ciry an0 caunry
ordinances anE state laxs relatlnp to builEinp cGon aM Aer a tl nz 9resen livppnt [hk ' y to enler upan t�e a6ovo-mentlwe0
properry for inspecGon purpous. � �
G - � 9--tj
Date: �� �' , � �, � �
Oriver's License ar Social Secunry M:
1841i6 W�ila—Buiki�q;
Cenary—Fpplkant; Pink—Revenue; GdEenroE—Atsassor
CITY OF COSTA MESA - 3UILDINU PcRMIT PERM NO; B U52450
FERMI7' NO: B 05245U PLAN CAECY. NO: N GOVT: N StIPP: N
CONSTRUCTIUN TYPB: S-N PERMZT T'YPE: STR PURPOSE: ALT
JOB DESCRIPTION : RESHEATH S REROOF WITH 3/8"CDX &"A"COMP SQ FT: 2,600
CLAIN, VALUE; 2,60U.00 CALC-VALUE: 2,600.00 GROUP OCC: R-3 /M-1
COMMENTS: SMOKE DETECTOR(S) RE�7UIRED IN HOME.
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Z O N I h GS ERT�B�A�Cl({RSE K, E N T S
------------ ,yAIN BUILDING --------- --------- ACCESSORY BUZi�DING ------- —
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LEFT: FT IN RGHT: rT IN LEFT: FT IN rZGiiT; rT 7N
PARKING REQ • PRUV; PARCEL; 4221�i121 'I.NE: REF NO:
PLANt�ING NC57'ES>
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D E V E 1.-O P M E N T S E R V I C E S R E Q U T R E M E N T S
ZONING APPROVER-�BY DATE:
BUILDING APPROVELI BY ; DATE:
APPLICATION ISS{JED HY: DAT^ ; 6����^�
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LEGALIZATION:N F E E S U M M A R Y STRUCTURAi SE�MENT;Y
BLDG FMT FL[7MBING ELECTRIC M�CHAA'IC FIRE SNiIP/RES GRADING
PERMIT S4.QU ,50
SMIP/NON-RES
PLAN
ISSUE FEE
Bi72LDIivG-DIV-> PERMIT ISSUE •�LAN-CHECK TOTAL PATD DGE
T'OTALS----> 59.50 0.00 � O.OU 54.50 54.50 .00
REVENUE DIVISION T'O'CALS--> COLLECTED: 54,50 OVER/SHURT: 00
BLA54p00 pLOMBING fiLEC1RIC MECHANIC FIRE SMIP/TOT� GRP.DING PLAN-CHECK
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I N D I V I D U A_I�' F E E B R E A K D O W N
TYPE QTY D E S C R Z P T I O'N UN3T COST TOTAL COS7'
SFR 2600 REROOc BY VALi7E REFuDENIAL NOZONE 1,00 2,600,00
- tiND OF r EtS
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CONSTRUCTION'�ND PLANNING POOL a'SPA
APPROVALS Permit# Date Inspector pppROVALS Permit# Date Inspector
t. Temporary Electrical Service or Pole 52. Pooi & Equipment Location
2. Soil Pipe-Undrgrnd. � � 53. Steel Reinforcement .•
3. Electrical Conduit Utility�Undrgrnd. 54. Forms
4. Electrical Conduit�Undrgmd. 55. Electrical Bonding �
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings � 58. Electrical Conduit-Undrgrnd. ��
8. Founda[i0n ' ";., 59. Gas Pipe, O Undrgrnd., Test �
9. Water Pipe�Undrgrnd. � � 60. Backwash Lines, P�Trap, � Undrgrnd.
10. Structural Floor System -' �.� 61. APPROVAL TO DECK
17. Property 5ewer Line & Houie.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 '
75. Rough Electrical�Conduit , 66. Solar SYstem-Final
16. fiough Electric Wiring ' 67. Fencing & Access ApProval '
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough EI¢ctrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVAIS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping �Gas �Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Underqrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing � �" v� 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 Hea[ing & 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 pomesticFinal
42. Backflow Preventer
43. Backflow Ir�igation
44. �andscape Irriqation System
45. Sound Attenuation
46. Handicap Regulations
47, FINALSTRUCTURE&BUILDING ��
48. FINAL PLANNING -
49. Electric Release to Edison '
50. Gas Release to Southern Calitornia Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
,. owr:eR LEnriS, H. D. & FFSLER H. D.
DATE2��-l�Sb
JOBADDRESS 675 & 679 Capital BUILDINGPERMITNO. 2353
GENERAL CONTRACTOR OWf12T—bll�1C1ET " VALUE.$ 1%8.��
LOT 19 $c 2Q BLOCK TRACT 2387 �12 ft, block td811
GROUP J TVPE IR ZONE t� FIRE DISTRICT 2379
PERMITS ISSUED
INSPECTIONS ^ DATE SUBCONTRACTOR DATE � NUMBER
Foundation Formsand
H
3, Final
House Sewe
fank or Cesspool
7, In Out
Plumbing, Final, Fixtures Compleie
Plumbing, Fin,al GasTest
Wiring, Final
Occupancy
l� nrm 210 r-Ii 75001-55
Costa Mesa Building Department 2�,_,�,PPLICATION FOR PERMIT�
COSTA MESA20CALIFORNIA v�� B U I L D,t N G o
CfIYM 'l06 fi-M DM R-56
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PLpT PLAN
Show locatloh and distancea from
property line and between butldings.
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CWNER, LI!�WIS� R.�$E[%`r Fi. $c-i,'j-�jJ�%], ENNIS J, � DATE 2_v,_56
JOBADDRESS 67� C3}jj,t8l�St 6%S S2I13te BUILDINGPERMITNO. 2351y
GENERALCONTRACTOR Q�,R�gp-bllll�jgp ' VALUE $ QC�S_(�n
LOT 19 & 30 BLOCK TRACT '23�7 6� i't. block fence
J
INSPECTIONS
Foundation Forms and Grade to
Rough Framing �
Plumbing, Rough to Slab
Plumbing, Rough Complete
Temporary Pole
Wirinq, ROUqh
TVPE
DATE
ZONE
SUBCONTRACTOR
E DISTRICT Q'��jQ
PERMITSISSUED
DATE I NUMBER
Heating, Final � �
Sewer, House Sew@r, St. _-�% —_
Septic Tank or Cesspool
Lathing, In Out
Plastering
Plumbing, Final, Fixtures Complete
Plumbing, Fin.al Gas Test
Wiring, Final
OccupanCy
c�.....,, ��i n r-�_ra 19f10'I AF
Costa Mesa Building Department APPLICATION FOR PERMIT
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FORM Z04 G-H 2M 9-56
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PLOT PLt1N
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property 7irte and between buildirtgs, ,
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Cnsta Mesa, Building Department APPI.ICATION FOR PERMIT
•�• COSTA MESA? CAL FORNIA 1193 B U I L D,� N G �
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YLV'1' YLl�LV
Show locatlon and distances from
property line and between buildings
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