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
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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
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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