HomeMy WebLinkAbout1940 ARNOLD AVE - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA QG,ONSTRF}UCTION PERMIT. PERMIT NO. TRACT NO. • - LOT NO: • UNIT NO.
f�1KO NeiaoLcl i4u� M NO..
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Project Address r' U REPAIR 4077 7/13/84 7.�� '[�.
r°.J6- ' • TYPE OF CONSTRUCTION Li NEW H ADD H ALTERATION -
wnerAppl'anYs Mai ' Address rg.'
CI CONVERSION -❑ DEMOLISH CI OTHER A.P. Zone
Owner's Name tra/i •s 1 Cur be)AJ' Phone 650"/CL DESCRIPTION OF WORK/USE OF BLDG. -
Address 190'0 Acme, • AMC', _ S Main Building: Accessory Building:
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-Arch/Eng. - License No. • TYPE OF PERMIT , ❑ GRADING U FOUNDATION ❑'STRUCTURAL T Front( - - • - 'p
Address • ' ll❑�••ll TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B• Rear - -' I .- N
rsl OTHER iCelr be/Vett C'a- A' ' 1
Contractor's Name S ' �/� Phone . C Right ' l . - N
• PROJECT DESCRIPTION SQ. FT. OCCUPANCY K _ G
Address(mailing) CONSTRUCTION TYPE • _ VALUATION$ S Left, ,• , - R •
City License No. - ZONE GRADING CU.YDS. )ACRES - - E
LICENSED CONTRACTOR DECLARATION Ping. Ref. # Parking Req./Provided 1
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I hereby affirm that Pam licensed under provisions of Charter 9 (commencing , Remarks: - 7 • t Planning Notei: M
' with section 7000) of Division 3.of the Business and Professions Code, and ' - - -- T
my license is in full force and efT,yta/ - '
Z7// nn 1 S.
License Class C') License No. PLUMBING , FEES
Date I - Signature - ' - .
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nR KERS'COMPENSATION DECLARATION • ' Bar Sink • Showers 1 ' •
I ELECTRICAL FEES
-eby affirm that I have a certificate of consent-to self-insure or a certificate - _I •
.yorkers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Automatic Washer Transformer ❑ 15-50 KW - '
J0, Lab. CJ _ -" - _ _ . • _ _ - . _ _ __
Policy No. Company Backflow Irrigation a� Sewer Cap 1 Construction Pole Sub. • ❑ 50+KW t
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8 Certified copy is hereby furnished. ' t - -
Certified copy ii filed with the city Building Division. Bathtubs 1 •' Sewer Connection • Cooking Unit Meter ❑Up to 100 amps
Date • Applicant - '
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION . Clarifiers ' Solar Collectors , , I - Dishwasher-6-_-' Meter Dover 100 amps • I
(This section.need not be completed if the permit Is for-one hundred-($100)-or
less). r Dishwasher' - Solar Piping - - Dryers OGas ❑Electric -� Suti Panel- -
I certify that in the performance of the work for which this permit is issued,
shall not employ any ppon in any ma beco sy/,,llbject to the Drinking Fountains^ • Solar Tank Fan ;Motors❑0.1 HP 01X-8 '
Workers, r— pP,S .e•Nl Si af Caliae, „�
Datrker / / s iS Signature Floor Drains Swimming Pool w/Spa F.A.U. •Inc,Solar ❑g-15 HP ❑16-15+
NO 1 E: If,after making this declaration, you should become subject to the -
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Workers' Compensation provisions of the Labor Code, you must forthwith - Floor Sinks Urinal - • Fixtures '
comply with such provisions or- this permit.shall be deemed--revoked. - - - _ . 'Microwave
CONSTRUCTION LENDING AGENCY ' Gas Service Outlets - Water Closet I Device Boxes Pole Light
I hereby affirm that there is a construction lending agency for the'performance .. '
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of the work for which this permit is issued (Section 3097' Civ. C.) l ,
Lender's Name - - - Interceptors, Water•Heater, _ Outlets Range
Lender's Address r` ' - 1 Kitchen Sink - Water Service ' - -
• OWNER BUILDER DECLARATION.. . ' Switches Sign
I hereby,affirm that I am exempt from the Contractor's License Law for the Lavatories - . - Sections
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Garbage Disposal 'Standing Si
following reason (Section 7031.5 Business and Professional Code: Any city or -
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county which requires a permit to construct,alter,improve,demolish or repair' P2Trap • - - Generator 00-5 KW 05-15 KW Trash Compactor . '
any structure, prior to its issuance, also requires the applicant for such permit • •
to file a signed statement_thathe/she is licensed pursuant to the provisions of Roof.Drains - .
,'.the Contractor's License Law(Chapter 9(commencing with Section 7000)of . •
b';ivision, 3 of the-Business and Professions Code) or that he/she is exempt - . '
4,:/..Vierefrom and the basis for-the alleged exemption. Any violation of Section t, ,
,'^031.5 by any applicant for a permit subjects the applicant to a civil - ,
'Salty of not more than five hundred dollars($500). r ' _ -
-I� "as owner of the' property or my employees with wages as their sole • ' Reinspection Fee„ $15 Issue Fee' ` $�3
.compensation, will do the work,and the structure is not intended or offered , - - ' - Reinspection Fee : $15 . Issue Fee I $ 3
for sale, (Section 7044, Business and Professional Code: The Contractor's , - MECHANICAL ' 1 FEES
License Law does not apply to an owner of a property who builds or improves '- •
thereon, and who.does such work himself/herself or through his or her own — - - - DEVELOPMENT SER VICES REQUIREMENTSi
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I . ❑ , - •
• sale. 1f, however, the building or improvement is sold within one year of com- - Canopy t Type 1 ❑ Zoning Approved By Data
pletion, the owner will have the burden of proving he/she did not build or im- Duct; Under Ground . ' I I _ Building Approved By I Date
drove for the purpose of sale). - ///� /�f, /.
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O I, as owner of the property, am exclusively contracting with licensed con- • Duct-Structural • Refrigeration System • Application Issued By `� Date ,, —/�
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU • SUMMARY OF'FEES
builds or improves thereon, and who contracts for such projects with a con_ - -
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple ❑, System Repair/Alteration BUILDING PERMIT $ r SMTP $
proof off their Worker's Compensation insurance should be provided to me. '/ PLAN CHECK $ PERMIT
❑ i am exempt under Section' B. & P. for this reason ! Firepl/Fact.Blt. ICBG#,730/ 4/;0 PLUMBING $ . ISSUANCE $
- Date ' Owner .Bni--» Heating System& Ducting • PLAN CHECK .25% $ ENERGY P.C.' $
I .hereby certify that I_have read this application.and state that the above ❑0.100 ,000 BTU.❑100,000 BTL _ ELECTRICAL • $ GRADING $
information Is correct. I agree to comply with all city and county ordinances
and state laws relating to building construction, and,hereby authorize repre- - PLAN CHECK 50% $ MICROFILM $
sentatives of th' • y to- enter u n the above-mentioned'property for //
inspection 1....-s_.....:-, .LK/�/ pate / `3 ¢/' • MECHANICAL $ / 0d TOTAL FEE $ 7`O6
Signaturec •-
$15 t '
CMF 0865-46,rev.4/84 " White-Building;Canary-Applicant; Pink-Accounting;Goldenrod -Assessor . - - - -
CONSTRUCTION AND PLANNING PO .SPA
. APPROVALS Permit# - Date Inspector APPROVALS Permit#,' Daze- Inspector
1: Temporary Electrical Ser'4ice or Pole • ' 52. Pool & Equipment Location' '
2. SoikPipe-Undrgrnd. • . , 53. Steel Reinforcement
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:,3:-Eleetrical Conduit Utility-Undrgrnd. iC54. Forms _ • . •
• 4. Elecfridal Conduit-Undrgrnd. - • 55. 'Electrical Bonding'
5'$teel.Reinforcement 56. Rough:Plumbing& Pressure Test '
c' S:', Electrical UFER Grnd. A 57•.:APPROVAL TO COVER-GUNITE
. 7: roofings 58. Electrical Conduit-Undrgrnd.
• '8. Foundation • - - 59. Gas Pipe, 0 Undrgrnd., Test '
'9^'Water Pipe,Undrgrnd. 4. - 60. Backwash Lines, P-Trap, 0 Undrgrnd. j•,
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 I -- - 67. Fencing&Access Approval . - -
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING `
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL '
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace - iiizVar'1 LEQ APPROVALS , Permit# , - •
. 21. Ducts, in Structure 70. Underground Hydro " . .
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22. Ducts, Ventilating -, ; 71 Product Piping 0 Gas 0 Oil ' ' `;•.
23. Gas PiperRough & Test I I 72. Underground Flush
24. Roof Framing -.1 73.-Undergrnd.Storage Tank Q Gas 0biI'
25. Roof Sheathing ' 74.•Overhead Hydro
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. - 26. T-Bar Ceiling (Structural) & Monocoat _ . 75. Dry Chemical -
27. Frame and Flashing , 76. Dry Standpipe •
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28. Lathing & Siding . 77. FIXED SYSTEM FINAL '
29: Insulation' : , 78. FIRE PREV. FINAL
• 30. Drywall Nailing + . , HEALTH DEPT.REQUIREMENT
31. Plaster Brown Coat , ' i 79. FINAL INSPECTION I
32. Electrical Power Meter-Final 'I' 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 i 1 /2/27/,kr can ' ' - ' _ _
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38. Final Plumbing - -
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39. Water Service-Final ' .
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40. Gas Service-Final '
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41. Solar Domestic-Final
42. Backflow Preventer '
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43: BackflowIrrigation -
44. ,Landscape Irrigation System
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45: Sound Attenuation - " -
46. Handicap Regulations I i •
47. FINAL STRUCTURE & BUILDING •
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48. Special Requirements,Completed ,
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49. Electric Release to Edison , - �---. -
50. Gas Release tocSouthern California Gas Co
51. CERTIFICATE OF OCCUPANCY •• _ _ _ ! 0 r
• No. Date' '
?,,Costa Mesa Building Department APPLICATION FOR PERMIT
111 EAST 2 STREET A�j /+
V
COSTA ASTMESA 2 LI ST ORNIA 1_4'•,3____._..V._E_L.D_�IhN..V_--..e jet<4.- ; FOR OFFICEUSE ONLY
FOR APPLICANT TO FILL IN 4 ! Receipt No. Permit!No, I
Building �` I i �j/% �.
Address 1940 Arn old 1 - /See 6
? Receive by; Date Recd. Date Issued
• Costa Mesa, California //d), , / / ` _
Nearest / I f7 /p �J " /(°C —.1 J
cross St. 19th Street Building
Owner
Harbor Estates Address 1 I i
Mail1 Costa Mesa, California
Address 419 Fast 17th Street Nearest i a
Tel -` Cross St. I
City Costa Mesa No-a• 8-U59 zoneu. '/ No,of Type I Group
Architect or Carlson & ginuiebltQjc 14j9 II Plans ✓ I , .yI
Engineer No. Approved 1 1 '
by i Date
Address Garden Grove i �+ I: /j.•`i' -. 1
Contractor Dike & Colegrove Noy Lic. 1301 �,.r *_ t?
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Address 419 East 11th Street j' '' , t
Legal 1 Lot - .._ I! ! -t CC I }
Description No. 50 • I Block Tract 1986' - �� 1 6 195J
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(Attach Metes and Bounds) TTtt�'''�
No.of Bldgs. =C--i-t-y-f-GOQ-fA--I{d-fl
Size of Lot 60 x 110 I NOW on Lot none , 1 1 VVV Ill 1fILVn
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Use of 1 No.of , No.of 6} ,� !^n LIR: 73
Existing Bldg. none Families , Rooms.10.2 < • 3
Setback Line from 501 Rear Yard, 1 31.4E. -___'-"—`-� __ ""-'"'" __ `— _
Center of Street Side Vard 5 - y
DESCRIPTION OF WORK a
New I X I Alteration I I Addition
Repair I I Moving I I Demolish I
BuildingNo.of 1
Size 971 Sq.Ft. ROOTS 52 Stories 1 -
Exterior Wall Roof
Covering ,"StileCO .I Covering Comp. . APPROVALS
Use of New ' •
Building Single family residence ` Foundation Location Inspector Date
Forms,Materials,
and garage Under-Pinning
ii C Frame: Fire Stops,
Bracing,Bolts
I hereby acknowledge that I have read this Application Lath. Int. -
and state that the above is correct and agree to comply S. Lath. Ext.
with all City Ordinances and State Laws regulating -
building construction.
Signature of Plaster, Int.
Permittee Dike and Colegrove _//qpm/
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��((• � .PN� Plaster, Ext.
Authorized Agt.
. Masonry Reinforced
Valuation Permit Fee $ e2 fl. o G
Plan Check $ 1, p p Bond Beam
$ re' O d Total
_Fee $ els• d a FINAL
Form 204 G-H 1M 12-53 -
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PLOT PLAN
Show location and distances from .-
property line and between buildings. --
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OWNERHARBOR ESTATES +r 4 '" DATE 6-16-55
JOB ADDRESS 19140 Arnold BUILDING PERMIT NO. 11406
G' 'ERAL CONTRACTOR Dike & Colegrove VALUE $. 8,000.00
L, _ 50 BLOCK TRACTl pm Reni dance &. Gar_ (Single)
GROUP I TYPE V ZONE Rio FIRE DISTRICT 11123
PERMITS ISSUED
INSPECTIONS cDATE SUBCONTRACTOR DATE .f NUMBER
Footing Trench £i /6` 6-30-,0
Foundation Forms and Grade to Garage
Rough Framing g� C 4"53_ i
Plumbing,Rough o a Kee,4 80 -,C
Plumbing,Rough Complete 51r 4--6 -4 � - /-a-3-Sc' .,,- x'477
Temporary Pole ���//�J�
Wiring, Rough ...41& f :/1•.53 1 Le-e-.1" g-A-SS /aZ l
Heating,Rough i
Heating, Final \U-Vv' -.i t >-.7._7G r (y ,_5-,s-5" ra diSL7
Sewer, House / Sewer,St. , p /ti /o, DDAJ ,7-4- 5-6 .D tin
F Tank or Cesspool t � v
,L .ig, In Out( �G 0 -/� -'
Plastering ,e,--E{, 1- Zt7-5:
Plumbing,Final,Fixtures ComgrI teJ,/,(/J�{L.r - a_- - \/
Plumbing,Final Gas Test /LS 1 / IWA �� Airr f 2..- -
Wiring,Final ��p� �1� ��-2'� �l
Occupancy '�/J - ,-
Form 210 G-H 1500 1-55