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HomeMy WebLinkAbout3337 ALABAMA CIR - Building PermitsApplicant to fill in all soaees exceo� those within heavy borEer Ilnez antl sign a11 appropriate tleclarations. CITYnF1jOSTAMESA CONSTR C IONPERMIT ERfyll�. TRACTNO. LOTNO. UNITNO. AP# /� 2 F�oject Address ��3 3 7 /r Q!f �/q :�/�. J S Main Buildi REPAIR E ApplicanYs Mailing Addrepss ,/ �s�• � � �.-, _� ,o'_ � T Front Owner's Name � FJ$ � Kp ��S PhoneJ�2_L_LL� Afy � ONC�T iur A Rear Ar!dress ��.'i 3'% .¢�ipA.qtilA �./�. [nS%A/N!{� �T/� � C C�/I�SS .!i �YJ CC ,S -- ��ch/Eng. License No. TV ❑ � I K Right Address ,t /, O E ft S �eft Contrector's Nam e /� � C�tr'Pho6e � �Q ` �F, Ping. Fef. # � OCCUPANCY � plannin N Address (mailin9) ��r�• �A�'fe /%A �1` 9 /�I�.✓�' L � n ir _ . 9 otes: City License No. � (p � � �(i LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensetl untler provisions oT Charter 9(commencinq wilh section �000) of Division 3 ot the Business antl Professions Cotle, antl my license is in f I for antl ettect. Licens Class �� icei e No. � �� �ate � � _ Signature WORKERS' COMGENSATION D LARATION I hereby aifirm that I have a certificate of consent to self-insure or a certiiicate oi Workers' Compensation Insurance, or a certitieA copY thereoT (Section 3800, Lab. f�/ �O � t , / �G Policy No. � �� y Company �tf � �Ce�tifietl copy is he�eby fu�ni5hetl. C�/ tifie op%/� i iletl with the city B in9 Div' rte(p�� Q � APPlicant . _XEMPTION FROM WORKERS' CO PENSHTION OECLARATION —(This section neetl not be mmoletetl ii the permit is for one huntlreG ($100) or less). I cartity that in the performance ot the work for which this permk is issuetl, I shall no[ employ any person in any manner so as to become subject to the Workers' Compen5dtion Laws o( Califomia. Oa[e Signature NOTICE: If, after making this tleclaration, you snoultl become subject to the Workers' Camp¢nSdtiOn provisions of ih¢ Ldbor Cotle, you must torthwith comply wilh such provisions or this permit shall be deemetl rewketl. GONSTRUCTION LENDING AGENCV I hereby affirm that Ihere is a construction lentling agency for the per(ormance oi the work for whicn this permit is issuetl (Section 309� Civ. C.) lRntler's Name Lender's Atltlress OWNER BUILDER DECLARATION 1 hereby affirm lhat 1 am exempt from the Contractor's License Law for the '� following reason (Section ]031.5 Business and Protessional Cotle: Any city or I county whiGh requir�s d permit to wnstruct, alter, improve, tlemolish or repair any siructure, prlor to its issuance, also requires the applicant for such permit t0 lile a Signetl Statement that h¢/she is IicenSetl pu�suant to the p�ovi5ions of the Contractor's License Law (Chapter 9(cammencing with Section �000) of Division 3 of the Business antl Professions Cotle) or that he/she is exempt [heretrom antl the ba5is for the allegetl exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five huntlretl tlollars ($500). ❑ I, as owner o/ the property or my emoloyees with wa9es as their sole qnmpensation, will tlo the work, antl the structure is mt intentletl or ofteretl ';rK'.fsale (Section 7044, Bu5ine55 antl Prot¢ssional Cotle: The Contractor's ��';,;�.�J�•nse Law tlo¢s not ap01y to an owner ot a property wlto builtls or improves 1q;}ef:eon, antl wM10 does Suth work himself/her5elf or throuqh his or hEr own "��Dloyees, provitletl [Itat such improvements are not intentletl or otferetl for � sale. If, howeveq the builtling or improvement is soltl witM1in one year of com- pletion, tM1e owner will have the burtlen ot prOving he/she tliC not build or im- prove torthe purpose otsale). ❑ I, as owner oi the property, am exclusively concracting with licensetl con- ttaCtOfs to conStruCt the project ($ection ]064, Busine55 antl Profe55ion5 Cotle: Tne Conlrac[or's License Law does not apply to an owner of property who builtls or imoroves th¢reon. antl who contracts for such oroiects with a con- tractor(sl I¢ens�pursuan[ to me Contractor•s License Law). I am aware ehac proof o( tneir � orker's Compensation insurance shoultl be providetl to me. ❑ 1 am exempt untler Section B. & P. C. for this reason Date Owner Si9nature T �i...J� l�/ii. D�ive�5' License or SS $ — tion antl state tnat the above all city antl munty ortlinances �antl hereby authotixe rep�e- ove-mentionetl property for oac S %�9 TYPE OF CONSTRUCTION rvEw noo n�TeaanoN ❑ CONVERSION ❑ DEMOLISH ❑ OT R DESCRIPTI OF WO(iK/USE OF BLDG. � � PE OF PERMIT GRADING FOUNDATION STRUCTURAL ❑ T NANT ❑ ELECT ICAL ❑ 7LVMBING ❑ MECHANICAL ��OTHER �-C OA PROJECT DESCRIPTION Sc�. FT CONSTRUCTIONTVPE �% VALUATION$ GRADINGCU.VDS. A( Remarks: 8ar Sink Backflow Preventer Backflow Irrigation Drinking Fountains Floor Drains FloOr Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories P—Trap Roof Drains Reinspaction Fee � $15 Boiler Duct-UnderGround Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ PirepVFacL Blc iCBO # Heating System & Ducting ❑4100,000 BTU 0100,OOOBT Reinspection Fea � $15 0865-46, rev. 5/88 Whit¢ - Builtling; Canary - Appli[anh Pink - Accoun[ing; Goltlenrotl - ASSesso� $hOWCfi Service Sink Sewer Cap Sewer Connection Solar Collecmrs Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service A uto-W a5h Issue Fee Hood ar Typel ❑ Canopy Type I I ❑ Refrigeration System ❑aioo,000sTu ❑ioo,000eru System Repair/Alteretion Fire Dampers Registers Isue Fee $ 3 FEES $ 3 Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Elec(ric Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generamr DO-5 KW O5-� Zone Accessory Building: Parking Req./Provided EIECTHICAL Transformer ❑ 75-50 KW ❑ 50+KW Meter ❑up to 100amps Meter ❑over100amps 5KW Sub Panel Motors OO-1 HP O1'/: - 8 Inc.Solar �9�75 HP 016-15+ Microwave Pole Light Range Sign Standing Sections Trash Compactor FEES N I N G R E Q M T S. I Reinspection Fea '$15 � I Issue Fea I $ 3 I DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Date Building Approved By Date� �,��j Appliwtion luued By Date_Sj�Q � SUMMARV Of FEES BUIIDWG PEFMIT $ ��` SMIP $ A�� PLAN CHECK $ PERMIT PLUMBING $ �SSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM $ ._,$_ MECHANICAL $ TOTA� FEE $ S�{ a PLAN CHECK 25% $ _ -;i: _- �-i�1:.lA� -g_t` - . �. . . _(�11:%�' ...,� .'•�_ f' � ' 1 aCONSTRl1CilON AND PLANNING . POOL & SPA � APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector t,1. Temporary Electrical Service or Pole � 52. Pool & Equipment Location V • 2. Soil Pipe-Undrgrnd. ._ 53. Steel Reinforcement ,�� - 3. Electrical Conduit Utility-Undrgrnd. 54. Forms � �4. Electrical Conduit-Undrgrnd. ' 55. Electrical Bonding � 5. �Steel Reinforcement. 56. Rou9h Plumbing & Pressure Test . 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE ' 7. Footings 58. Electrical Conduit-Undrgmd. ,�� 8. Foundation � 59. Gas Pipe, 0 Undrgrnd., Test � 9�. Water Pipe-Undrgrnd. ,� 60. Backwash Lines, P-Trap, � 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 � r• 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING �� 18. Rough Electrical-T 8ar Ceiling 69. POOL/SPA SYSTEMS FINAL i19. 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 ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing . � 73. Undergrnd.StorageTank OGas ❑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 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing - HEALTH DEPT. REQUIREMENT 31�Plaster Brown Coat•��'• 79. FINAL INSPECTION 32r 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 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 STRUCTURE & BUILDING 13 � B� 48. Special Requirements Completed � 49. Electric Release to Edison �" 50. Gas Release to Southem California Gas Co • �' ' � 51. CERTIFICATE OF OCCUPANCY �, � ��. No. Date __ ' �\ , �' D-3R '!�$7 �I � � 3 ;; R?_�-6.`'"°,001307� 15Z25 ? �crur `"�t COSTA MESA BUILDtNG-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT ForApplicant to Fill in Completely REC/E/Iy-�� jo /gv D TE RECEIVED DAT� ISSUED BUILDING���� �'//lY "�o%�lp ��•'�/��j ADDRESS PFrR I OWNER Hermes DBV. CiO. A.P. NO. , �I MAIL BUILDING Z c1, ��)� /�' g ^ ADDRESS 11�4 F+. l�th Street ADDRESS.��� �. a U CITV Ssnta hns NOLJ*7-7�`*'� TR T•�� LOT•3 �`'� BLOCK � Z Z Q CANSTRUCTION W ADD A P o N LENDER United States Nationni Bank �� BflANCH 190 Broadway Avenua J N OWNER mJ ADDRESS gg[7 �e o California 1y ..�+ `y�� VALUE 2 ' m ARCHITECT TEL. � S /l..P� � W � $ D�J� �¢ ;�a;�acotamx K. Dorius N. 6 �164 U N FIRE , �j' w CL ADDRESS 2%12 FS'. (i089t HW . Corona D 2°Z ZONE�� TVPE GROUP�Y4.� aw APPROVED J O CONTRACTOFi OWY70P BY DATE m Z J � ADORESS w w TEL. Z NO.OF USE OF NEW z� CITV NO. ���?� BUILDING � STATE C^ CITV VARDSAPPROVED VARDSAPPROVED y� LIC. NO. Z5Z5W LIC. NO. MAIN BUILDING ACCESSORV BUILDI G _� SIZE NO.OFBLDGS. (FROMGLSTA£ET) OF LOT LOO X NOW ON LOT O RONT FT. FT. USE OF /' EXISTING BLOG. SI E V FT. FT. Z NIEWBLOG. 2100 8. FtROOM$ 9 STOIiIES 2 L.SIDE VFT. FT. V EXTEFIOR WALL ROOF �IDPO Oi COVEFING O COVERING 1400d REAR FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DI5TANCE BET. BET. MAIN & a MAIN BLDGS. ACCESS. BLDGS. a Q vnR. # oa7e / � Residence w/attached orage c.u.a.�Y�S�Co$ APPROVED�—�-U—(r�8 N APPROVED � j /'/ CJ / z � �= HO D FOR SP CIAL REQUIR�'RY�h.7`: V 1 hareby acknowledga that I have reatl ffiis application antl state � ihat the above information is correct and agree to comply with � all laws regulatin8 builtling construction, and I shall not employ � any person in violation of the workman's compensatiOn laws Ot che State of Califomia. �7 m z I hereb certif that I am O�IOO SQ. FT.��D o y y properly licensetl as a conttactor �ntler the State ot Calitornia Business antl Protessions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR j Chapter 9, and that such licenses are in full force antl affact, or I THE PURPOSE OF ESTABLISMING A PERMIT FEE ONLV: m am exempt from the provisions of the State of California Business � VAIVATION antl Protessions Cotle, ivision , G r 9. m PERMIT FEE $ D � j Sig^ature of � � ^ ��� � `7 m Permittee � $ � PLAN CHECK $ /� E `o LL Authorizetl Agent TOTAL FEE $ ��. � OWNER �g�,,�g D�pp�,r DATE 5-1-69 JOB ADDRES$ ��q7 Alabama Circle BUILDING PERMIT N0. �011� AP No. _ LOT TRACT 66 FIRE ZONE VALUE S 2 $p ,pp INSPECTIONS Signpfure patq GROUP I 8c J TYPE V ZONE R-1 SOIL (9C'/ c�iornuTo� PERMITS ISSUED. _ GAS , , /s : _ s I a......... �. � �..... � .. �. I tl.,�e I AI.....6 . �. -. ROUGH PLUMBIN� � - PROP. $WR. LINE OUSE CON. � SPRINKLING SVSTEM MISCELLANEOUS ROUGH HEATING ANO AIR CONOITIONING TEMPOftARY SERVICE OR POLE UNOERGROUND � POWER � AOUGH WIRING TRENCHES FORMS STEEL RE FLOOR SVSTEM BONO BEAM � STEEL REINFORCE � SHEATHING FRAME AND FLASHING LATHING — IN OUT PLASTER,BROWN AT STRUCTURAL, FINAL HEATING, VENT., REFRIG. AND A.C., FII PLUMBING, FINAL AN� GAS TEST L� ELECTRIC, FINAL BUILOING, FINAL SPECIAL REOUIREMENTS Z . a tWj z za am J � J N m J J m Q U N za aQ w J Q m Z J � W W � ZH W � � � F Z Q U J a a Q 0 F N Z O H U � � r y Z r 3� � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant ro Fi!l in Completely ADDRESS 333] ALARi}MA �In'ctt owNea/y,��y�,{ tDw�JRD G, QEHReNs' a MAIL .... ..� . � .. _ . _ .. _ . � ' " ' TEL. aTv GCStA MfSd 9�6�6 No., BFANCH ADDFESS ARCHITECT � � . _ TEL. ADDiiESS / CONTRACTOR �/ F ADDRESS TEL. pTV NO. STATE CITV LIC. NO. LIC. NO. SI2E � �/�� NO.OF BLDGS. � OF LOT O NOW ON LOT USE OF r( ES I QENC � E%15TING BIDG. 512E OF NO. OP - NEW BLDG. ROOMS STOFIES EXTERIOR WALL ROOF COVERING COVERWG VSE OF BUILDING ANO WORK TO BE PERFORMED �� S V RPEN7 I �ereby acknowletlBe thet I hava reatl this,epplication entl siate that tha above information is corract and agree to comply with all laws repulating building consttuction, antl 1 shall nOt employ any permn in violation of Me workman's compensation laws of Me State of California. 1 hereby certify that I am properly Iicensetl as a conttacior untler ihe State of California B�sineu antl Profezsions Cotla, Divisicn 3, Chapter 9, and that such licenses are in full forca antl eHect, or I am axempt trom the provisions of tha Siate of Caltfornia Business and Professions Cotle, Division 3, Chapter 9. Sipneture of �j��,_,,� J / Permittee �-+"�' �"� � � h�� Authorizetl Agent �UG -9-71casa00 764 �'::si: **5 ^G APPLICATION FOR BUILDING PERMIT V - ✓ — / .mwr i v v— : r:. TRACT (rJ / LOT BLOCK '�� . � � R .G �.i %�iG[d /."T l� !J. VALUg��„L' '��� . Gil� ( �I.vLi TVPE-�/ GFOUP ` - �' ' �veo � DATE � _ NO.OF /� USE FWNS i1 BUIL VARDS APPROVED'. // DISTANCE BET. BE'f, MAIN & MAIN BLDGS. 4CCESS. BLD VAR. # DATE C.U.P.qW APPROVED APPROVED I / .._ Y' m SQ. FT. O TME AMOUNT SHOWN UNDER VALUATION IS FOR � THE PURPOSE OF ESTABLISHING A PERMR FEE ONLY: m ¢ VALUATION ^� m VERMR FEE $ S � � m $ L` � PLAN CHECK $ ' E 1 `o v TOTAL FEE $ �� �^ LL OWNER J68 ADDRE GENERAL C AP No.139• INSPECTIOI SOIL JR., Fdward G. Alabama Circl ROUGH PLUMBING PROP. SWR. LINE Q HOUSE CON. SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING ANO AIR CONOITIONING UNOERGROUNO u POWER ROUGH WIRING BONO BEAM U STE SHEATHING FRAME AN� FLASHING LATHING - IN n 1 TRACT FIRE ZONE DATE 8-9-71 BUILDING PERMIT N0. of WORK Pat9n f:nvPx SUBCONTRACTOR