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HomeMy WebLinkAbout1189 ATLANTA WAY - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. et --4// PERMIT NO. TRACT NO. LOT NO. UNIT NO. CITY OF \ I•ESA(�CONST' U�T ••PERMIT Jeans3�- tt ,j A.P.#u-1( (pO2 —� '1 Zone (� Project Address at - S Main Building: ' Accessory Building: 1 r Applicant's Ma 1 dress r , 1�[V I� , TYPE OF CONSTRUCTION NEW ❑ ADD ALTERATION ❑ REPAIR -« dp .-I Ct O ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ' T Front 2S/ ZO Owner's Name�j (-"� ��� Phone t�} 0�0� DESCRIP 101 OF WORK/USE OF B e B Rear /S/ N Address ��257 1'\1�Npe1;q W A`� -T.' . -r . . �uSs. Imo_•:a! . d-G.�.� A I Arch/Eng• .CWna 2 16,IAILb'(Z License No. TYPE a' PERMS I• GRADING ❑ FOUNDATION I♦ STRUCTURAL C Right Se/ N Address SA ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S- Left r� R Contractor's Name / Phone CI OTHER 77,�{.1 i Ping. Ref.# rking Req./Pr led E /R PROJECT DESCRIPTION SQ. FT. 2—# n OCCUPANCY u /q( O Address(mailing) �( (� lanning Notes: l p I . rpp 4-�/ 1:6111/406, M CONSTRUCTION TYPE NiV r+ VALUATION$ 1G1� \ 1 _�1,//_\' ,IF / T City License No. _ ZONE GRADING CU.YDS. ACRES O `e/�{! 1 -y f rf,el..0 J YM.. I'( /L LICENSED CONTRACTOR DECLARATION T (-�� '''7 /1 _ -_ _ in p/�� Mani v.r1 y���/./.!� S. I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Pc. -pt.'s_ \ c_ in a / - q— `g-65 'I , rear 9 Ii CoV14`� coo `-- I with section 7000) of Division 3 of the Business and Professions Code,and an-Na.-e0 ( 7 my license is in full force and effect. Pc_ �1 4 . o 3 U0.,C PISMO 'I 00 0 ELECTR AL FEES License Class License No. G� Date Signature PLUMBING I FEES Automatic Washer Transformer 0 15.50 KW KERS'COMPENSATION DECLARATION Construction Pole Sub. 0 50+KW ._ $y affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers '•:'?.'+; (kers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit Meter ❑up to 100 amps ''.s?':"Lab. C.) Backflow Preventer Service Sink E Ce' Dishwasher Meter Dover 100 amps No. Company Backflow Irrigation Sewer Cap E Cert — _ ified copy Is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Date Applicant Fan Motors 00-1 HP ❑1%-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors (This section need not be completed if the permit Is for one hundred ($100) or F.A.U. Inc.Solar ❑9-15 HP ❑16-15+ less). Dishwasher Solar Piping I certify that in the performance of the work for which this permit is issued, I — Fi%tpr¢5 Microwave 3 Z shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Workers' Compensation Laws of California. Device Boxes Date Signature Floor Drains Swimming Pool w/Spa Pole Light NOTICE: If,after making this declaration,you should become subject to the Outlets ^� Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Range 2 ry comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCYGas Service Outlets Water Closet I Switches Sign 1 hereby affirm that there is a construction lending agency for the performance Garbo a Disposal of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater 9Standing Sections , Lender's Name Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION - - I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash • following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit P: to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains co the Contractor's License Law(Chapter 9(commencing with Section 7000) ofjp 'sion 3 of the Business and Professions Code) or that he/she is exempt Reihs ection Fee -1.- :from :from and the basis for the alleged exemption. Any violation of Section P ! $15 Issue Fee . 5 by any applicant for a permit subjects the applicant to a civil ally of not more than five hundred dollars($500). DEVELOPMENT SERVICES REOUIREMEN Xy�Q/I as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 Zoning Approved By _Date p, ensation, will do the work,and the structure Is not intended or offered - for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By �-(1 Date 6,.. Tel, License Law does not apply to an owner of a property who builds or improves J (9 ggll dy thereon, and who does such work himself/herself or through his or her own Hood or Type I ❑ Application Issued By 11 Data D employees, provided that such improvements are not intended or offered for Boiler sale. if, however, the building or improvement is sold within one year of com- Canopy Type II 0 • SUMMARY OWES pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground '�vs� '' 1 I L� prove for the purpose of sale). - ZX BUILDING PERMIT $ 3(00 — SMIP / $ Il ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK ' tractors to construct the project (Section 7044,Business and Professions Code: $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU ❑100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon. and who contracts for such oroiects with a cnn- tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of theirWorker's Compensation insurance should be provided to me. � �� GRADING $ ❑ I am exempt under Section B.& /'t ELECTRICAL $ �CC.for this reason Firepl/Fact.BI1. ICBG# Fire Dampers MICROFILM $ t PLAN CHECK 50% $ ���-I Date ;Etat. Owner' �����y�1�• Heating System& Ducting Registers $ S11.5�� f„,N. �.- MECHANICALTOTAL FEE $ I hereby •rtify t a e rea• t• i . fon .nd .t to that the above ❑0100,000 BTU 0100,000 BTL information i- correc t• ' •ith all city ae d ounty ordinances PLAN CHECK 25% $ and state la s r- atin o ild ••10• ction, and hereby authorize repre • - sentatives of ie cit t: ••• a above-mentioned property for Inspection p r.• e . Signature _ 1 Date J DI GEiL��(-,'_ (.U� �(1. Reinspection Fee $15 Issue Fee $ 3 S l 3w Lb i% Drivers' License or 5S 9f DA!'E1 L6/IJ9/$9 7l�itS 1 ' -^5;46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor • - ;CONSTRUCTION AND PLANNING POO 9f,'.A APPROVALS Permit# , Date Inspector APPROVALS Permit# Date r Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location . 2. Soil.Pipe-Undfgrnd. - 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding • 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test • 6.:Electrical LIFER Grrid. 57. APPROVAL TO COVE R-GUNITE 7.;Footings 58. Electrical Conduit-Undrgrnd. , --8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 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 16: Rough'Electric Wiring 67. Fencing &Access Approval . i 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 9. 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 0 Oil 23: Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing , T .,_ 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing -4-, _ 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. Insulation78. FIRE PREV. FINAL 30. Drywall Nailing -• ' -r 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 1 ,� 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 Domestic-Final 42. Backflow Preventer ._• • 43. Backflow Irrigation 44. Landscape Irrigation System - � 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDINGG/ 9� // t 48. Special Requirements Completed //3 oC Off e.Jgc Joe 49. Electric Release to Edison ' • 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY . I- No., .. Date . Fr_ 1}. City of Costa Mesa • MEASURE "G" EXEMPTION Plan Check # 203-89s Exemption # 89-418 Permit # Case # Address: 1189 Atlanta Unit: Applicant: Wade FACTS: 0 Residential ❑ Commercial/Industrial ❑ Other ❑ Existing Lot Not Part of Larger Project Project Description: 240 sq.ft. room addition to existing single family dwelling No. of Dwelling Units 1 (existing) Gross Floor Area NA Square Feet F.A.R. NA Estimated Traffic Generation: NA Avg. Trips/day FINDINGS: The above described project is exempt from compliance with Measure "G" for the following reasons: ❑ 1. Project is a commercial/industrial development which meets all of the following criteria: gross floor area is equal to or less than 10,000 square feet or has an average daily trip generation of less than 130 daily trips, has buildable floor area ratio of less than 0.5, on an existing lot, and is not part of a larger project. n 2. Project is a residential project of four dwellings or less on an existing lot. Q 3. Project is residential construction that does not increase the number of permanent housing units on the parcel where the construction takes place, such as remodeling or rebuilding of an existing house. ❑ 4. Project is commercial/industrial construction that does not increase the footprint or square footage or change the use on the parcel where the construction takes place, such as remodel- ing or rebuilding an existing structure. n 5. Project is a public benefit facility, which is defined as public libraries, public administration facilities, public parks, public utilities, and religious facilities. n 6. Project is a facility serving the health and safety of the people, which is defined as hospitals, police, fire and safety facilities, and schools. Exemption ratified by: .1_ Planning Commission Date April 24, 1Q89 ❑ City Council Date 1648-30 - 3 (J OWNER DAHL, RAYMOND E.. DATE _SEP 2 1 .1964- _- JOB ADDRESS 1189 Atlanta Way BUILDING PERMIT NO. 229f14 GENERAL CONTRACTOR Mn Kool Awning Co. VALUE $ 320.00 AP No.11ll-602-17 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORK Add. Patio to Re: Pc:9,,ECTIONS Signature DATE GROUP .1 TYPE IV ZONE R1 '.,YPERMITS ISSUED Gas SUBCONTRACTOR DATE I NUMBER Water Rough Corn. Refrig. ❑ Air Cond. D Rough Heating Rough Plumbing Miscellaneous I Prop. Swr. Line 0 House Con. ❑ St. Swr. 0 S 'inkling System 'II Construction Pole Underground 0 Power 0 Rough Wiring Trenches 0 Forms 0 Steel Reinf. .❑ Floor System Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing //' -I 2. Cs Lathing — In 0 Out 0 P1 ct.er,'brown coat I .. 0 Air Con. 0 Final 'R,....mg, Final Plumbing Fixtures, Final Final Gas Test Electric Fixtures, Final // I3uikling, Final /Q /-y OCCUPANCY Form BU4-5M-3-63--S-B P 22084 22984 FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT SEP 21 1964 P.O.BOX 317 COSTA MESA,CALIFORNIA FINANCE DEP1. For Applicant to Fill In Completely Figgsr TYPE OR PRINT BUILDING For Office Use Only ADLRDG /119 are? -'-y`! ✓ RECEIPT NO. a p 9 0. COSTA MESA, CALIFORNIA Cf�/�•E7y J e RECE BY DAT EC/EII7ED� �jDD9TTE IBS D OWNER /2C rrL of y-/C-„JILL _ %72/1!l�K�{] (//�/ G'Iy� MAIL . . r d - -C �y" ADDRESS C.J / l71 ^'Kn IA- �I`K�� ADDRESS / (�GtiC.X G�/ ) f `', 9 FIRE CITY el.—� 1��&4_. NO.Irw._44Jji ZONE -- GROUP R / II /L. APPROVED `7 /ARCHITECT TEBY I DATE fL OR ENGINEER NO. NING �� ^ ADDRESS J // �{ ZO l� , I NO.O I USE OF NT/ C�(, n �j�f{',[�(Is)�.f../L CO , LEGAL y PLANB� BUILDING/ O � CONTRACTOyR '/ �n+.4/ 2-- ADDRESS (y 2"nn7 0 /L .4.ti..; La;�m�J :),241-3 DESCRIPTION f l7 �I I(�� 1��� CITY a-t L--.4-62-0 U,ea-6/ A.P.NO. ��I _ Iry V STATE y // // TEL. �-p 90'r TO SOEAVE IDE @iii REAR pH OVERHANG SHALL BE LESS THAN LIC.NO. i / `y �� (A NO. e. . /•SI EAVES SIZE I NO.OF BLDGS. ALLOWED (U.B.C.REQUIREMENT/ OF LOT NOW ON LOT USE OF �oB� //////J/ �/ YARDS APPROVED YARDS APPROVED EXISTING BLDG. d�ct,' (�/ . MAIN BUI/.DING ACCESSORY BUILDING / - - (FROM CI(L( SETBACK LINE FROM �7 FRONT L'{�//yy vota FT. CENTER OF STREET REAR 1/77 Z SIDE YARD I LEFT I RIGHT R.SIDE C_ FT.� FT.) DESCRIPTION OF WORK L.SIDE J/FT. FT. NEW _ ALTERATION ADDITION REAR 7 FT. FT. DISTANCE BET. BET.MAIN a REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.SWISS. E VAR.RDATE BUZILDING(.v �20OOMV APP / C.IJ.P. • APPROVED / EXTERIOR WALL I ROOF COVERING /Y{,w.f�-(/CI ST V ;r DATE 9 �) �� -- COVERING Int USE Op_@UIL,DING AND WWORKO✓E PERFORMED P / N SQ.FT. B I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALL CITY ORDINANCES AND STATEWO REGULATING VALUATION BUILDING CONSTRUCTION, • QSO D SIGNATURE OF PERMIT FEE $ -.. D m PERMITTED •�//l�,/i/ice/�/��� � //// �-F� $ �^sI AUTHORIZED AGENT ct/2LCJ / �� �.�/ TOTAL FEE $ 3 Cr/ ! 74? FE RECEIVED 3 COSTA MESA BUILDING-SAFETY DEPARTMENT JUL 1 01x62 P. O. BOX 917 COSTA MESA. CALIFORNIA , f;�ITTFINtnAFFNCEECTDEPMMT. For Applicant to Fill In Complet l L, APPLICATfgN FORS PRMITESA TYPE/ OR PRINT ,,/ BUILDING BUILDING l/8 9 /L7L /A/'7'� /// ADDRESS /T/ T/'/ (((///��� ry COSTA MESA. CALIFORNIA For Office Use Only /rte/ p T // I RECEIPT NO. PEi{_MIT NO. OWNER qn7" 4�Grv, T'/CJ/°/ C 7iYL 17LIT No //�I RECEIVEel DATE RECEIVED DATE ISSUED )1,14g-11ESS /40 ? /A/ . /YL/T"JG (1 ,D /'� I I �-�-�Y TEL. BUILDING /Q CITY OP,9 A!G. NO. ADDRESS /( 11 ARCHITECT TEL. COST MESA. CALIFORNIA OR ENGINEEReAt/4FtG,/I[+//,Crrr Noe, 7(/3/ /male77�� �� "" ^^ �` FIRE o7L � ? /(i A-1/T/A/ //� •S.4{-/k7A- afrA ZONE TYPE GROUP e� /�A CONTRACTORc.j< N/,�.,//y-yp /V S/O/YS APPROVED DATE ADDRESS/CC?.y �� +(�`g- /3`/ GF. ZONING //,� / 20N NO.OF 2j USE OF NEWS-1?q, CITY C /' 1 /4�/1'1YG�TEL.(�/� �J`� / k-� IPLANA L ( BUILDING /�.. ' LTATE C.NO./6 X19 2y NO./�// c /�b / LEGAL /tet /a T/( 4/6r3 DESCRIPTION SIZE . OF LOT X /00 I NO. OF BLOT C-' P. NOW ON LOT , A.P.NO. USE OF YARDS EVES EXISTING BLDG. --.--- APPROVED ALLOWED SETBACK LINE FROM / (CENTER LINE ST.) -�-- CENTER OF STREET CO REAR YARD �� FRONT S3 FT. IN. • SIDE YARD I LEFT [Q�/ / /I _�(� I RIGHT R.SIDE -5— FT. 6- IN. DESCRIPTION' OF WORK SIDE S I. FT. IN. / NEW I VII ALTERATION I II ADDITION I REAR 2 y FT. �_ IINN. REPAIR I I�MMOVV,ING I DEMOLISH I APPROVED /,O DATE 7/-S/` Z' SIZE�ING co(-/ / V ROOMS 7 STORIES Lp�!ST��� EXTERIOR WIAL4LS/LG✓!/ ROOF CONT( COVERING ..S/15/4.I> I COVERING .Sry/Ah LG_C USE OF BUILDING AND WORK TO BE PERFORMED Li-1 A-7T, r/fi!'AGEv. . , - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. VALUATION SIGNATURE OF., 9 PERMIT FEE $ .4/— PERMITTEF // / �vt���Z /'I� 17//7--- L_ n_ $ J PLAN CHECK S 0)5 13-0 AUTHORIZED AGENT / . d z - TOTAL FEE W OWNER NEWPORT HOMES INC.. - DATE 7-9-62 JOB ADDRESS 1189 Atlanta Way BUILDING PERMIT NO. 17173 GENERAL CONTRACTOR S V. Hunsaker & Sons VALUE $ 15,411.00 AP No. LOT 12 TRACT )4653 FIRE ZONE DESCRIPTION OF WORK Res/Att.Gar. ID'^r'ECTIONS Signature DATE GROUP I & JTYPE v ZONE R-1 a 7-61-4-2, SUBCONTRACTOR PERMITS ISSUED Gas S fl%DZ62' DATE NUMBER Water OP 6i4t 7-d7-(2. Rough Corn. Refrig. ❑ Air Cond. ❑ Rough Heating a., -• ,.a _ZS,: ��-jy S22 it- Rough Plumbing �iw Miscellaneou- � /� �9(✓-oz. ``-� � '� 7-�-by 3i2/O/ Cr a f Prop.Swr.Line 0 House Con. 0 St.Swr. ❑ R W J�p ---- 7/(d i ;�L, G,' - �I Sprinkling System -Tr /" Construction Pole rliif" Underground 0 Power El (� _/� �1 / ,/ F2ough Wiring 7' zs4-1-06"pl9ilfGG'S /1�C4� ohte,7g-i2/-Jy T 3h Trenches lir Forms k Steel Reinf. 0 20.,7..-eji Floor System Bond Beam ❑ Steel Reinforce 0 Sheathing 1(2 gt .Kr/y 62- Frame and Flashing LOW •-.)y_Ca- Lathing — In ®- Out ©— tC'/o' 9-1'- 67.- Plaster, brown coat Ali-A2 /a./I-es- T •. ❑ Air Cond. 0 Final i ng, Final /o-,2 Y12-4,7_j�✓ Plumbing Fixtures, Final L� //7 � ' Final Gas Test / , Electric Fixtures, Final //j/[!� (O Sal // l io a, Building, Final ( OCCUPANCY FORM BU4-5M — 7-61 1./01