HomeMy WebLinkAbout1969 ARNOLD AVE - Building Permits ADDRESS OFSUILDING: 1969 ARNOLD AV 8 "' DMT: CITY OF COSTA MESA - BUILDING PERMIT '
°""EBS NAME IF KNOWN: PAGE, LEWIS R JR PERM NO: B 074860
ADDRE: PAGE, DENISE I
1969 ARNOLD AVE . PERMIT NO: B 074860 PLAN CHECK NO: N GOVT: N SUPP: N
CIL1 iOSTA,CA 92627548-1734
.MidCONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: OTH
A ARCHITECT ORENGDIER: UC.NO.: JOB DESCRIPTION : T/O 6 REROOF W/COMP SHINGLES SQ FT: 3, 300
ARCH.OR EN0.5 ADDRESS: UMT:
CLAIM VALUE: 3, 300 . 00 CALC-VALUE: 3, 300 .00 GROUP OCC: R-3 /M-1
y CamACTOBSNAf1E PRECISION CONST & DEVEL ( 714 ) 540-8577
camACTOBSMMUNO 1115 EL CAMINO COMMENTS: REROOF 2200SF RESIDENCE W/COMP SMOKE DETECTORS RE UIRED PER 91UB
NO
ADDRESS: COSTA MESA CA UC. ,: 658880 '9Eik9Eik9k**RE1E9E9k*9kik**Rk9E*iE*ibiERERE***iEikx'lF1E#itiEiEif7EiE4*******#1E1EiP1EiEiE#iE*** fF ik iEihiElf
1E
92626 DMT: ZONING REQUIREMENTS ' moi ' fECTOR
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury thel I ern licensed under provisions of Chapter 9 SETBACKS
(commencing with Section 7000)of Division 3 of the Business end Professions Code,and my license is in full force and effect.
CITY LIC.NO.: 059380 LIC.CLASS: C-39 LIC,NO.: 658880 EXP : 04 /96 MAIN BUILDING ACCESSORY BUIL Il-5pR�ylf�-....`ED-
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Dda: /O-7,Cn •L/ camredor. ^, LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby dram under Permit/Of Perjury that pl from the Contractee License law for the
following reason(Section 7031.5 Business and Professions Code:Any city or county which requires a name to construct,elver improve. PARKING REQ: PROV: PARCEL: 42223423 Z NE: REF NO:
demolish,or repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she M'
is licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commendng with Section 7000)of Division 3 of the PLANNING NOTES>
urinate and Professions Code[or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section >
31.5 by any applicant lore permit subjects the applicant to a civil penally of not more than five hundred dollars 1$5001), ikik9k Rkik***ikikiE**iF*ikiEik*3Ei5ibiERE*****ikiEikiHik*9kiE*RE*9k*hilts**ibikiE*******iEi6**9(•9kik***iE iEiEiEiEiEiEiEiEiEi(-1E
j I,as owner of the property or my employees with wages as their sole compensation,will do the work,arm the structure is not intended DEVELOPMENT SERVICES REQUIREMENT Sor offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not appy to an owner of property v
who builds or improves thereon,and who does such work Nmset or herself or through his or her own employees,provided that such , . -J
improvements are not intended or offered for sale.I. the building or improvement is sold within one year d completion, ZONING APPROVED BY
owner-builder will have the burden d proving he or she Si not build or improve for the purpose of sale). DATE
❑ I.as owner of the property,em exclusively contracting with licensed contractors to construct the project(Section 7044.Business and
i �
Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon and who BUILDING APPROVED BY : DATEI
contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law). / 7
El B.AP.C.,mrthisreason: APPLICATION ISSUED BY: DATE: `b, 2-(40 ✓
Date: Owner: ik*1E*iE******ik****9E*****ifiH9E*ik***ik*******ik**Sk9Eik9b9E9k* ******ikikikik9F*ik*ik* **
I do hereby certify that I am aware of and understand the requirements of California Health end Safety Code Sections 25505.25533,and LEGALIZATION:N F E E SUMMARY STRUCTURAL` SEGMENT:Y
25534,and that I or any future building occupant will/wit not(circle one)need to comply wth said state codes and the requirements for
a permit for constructionor modification from the Air Quality Management Distad.Residentialmnstmction applcatiosareexempe from these BLDG PMT PLUMBING ELECTRIC[ MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 63 . 00 (-r . 50
Date: Applicant: l t SMTP/NON-RES
WORKER'S COMPENSATION DECLARATION:thereby affirm under penally of perjury one of the following declarations: PLAN .
❑ I have and will maintain a certarate of consent to self-insure for workers'compensation,as provided for by Section 3700 of the Labor ISSUE FEE r
Code,for the pedmt
oentaoftheworkforwl:chthispemnaisissued. BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
9 Ihave and nil maintain workers'compensation insurance,as required bySection 3700of the Labor Code.for the performance othe TOTALS----> 63 . 50 0 . 00 :: 0 , 00 63 . 50 63 . 50 . 00
work for which this permit is issued.My workers'compensation insurance carrier and policy number are: n
Carrier: STATF FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 63 . 50 OVER/SHORT: . 00
Policy Number 1441030-95 08 /01 /96 •BLDG PMT PLUMBING ELECTRIC MECHANIC _,„_ FIRE SMIP/TOT GRADING PLAN-CHECK
'Us section need not be completed y the peril is for one hundred dollars 151001o,less.) 63 .00 '' . 50
A I certify that in the performance of the work for which this permit is issued,I shall not / !employ any person in any manner so as to I ' C-'1 -
become subject to the workers'compensation laws of California,and agree that it d should become subject to the workers' **,**.*.W*,*,*,*.*,**,*,*,*,**,*,*, ,*,*,*,***,*,*,*,*,*,**,,*,,*****,*,**.**,*. *,**,*,*M,♦(,iFif,1[-♦I,*♦(,♦(x,*♦(,♦<,♦(,♦F,IE♦EiE♦(,i(,i(,i(,i(,♦!,♦(x,♦(,
compensation provisionsSection of Section 3700 of the Labor Code.I shall forthwith comply with those provisions. r
y I N D I V I D U A L F E E BREAKDOWN
Dale: /a-7-4-9-9 L Applicant: 1i// ,,\,
Warning:Failure tosecure workers'compensation coverages unlawful,end /s fan employer to criminal sensitise and TYPE QTY D E $ C R I P T I O N n �r UNIT COST TOTAL COST
civil fines up to one hundred thousand dollars($100,000),In addition to the cost of compensation,damages ea provided for In !' t
Section 3706 of tise Labor Code,lntels.L and attorney's fees, SFR 3300 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 3, 300 . 00
CONSTRUCTION LENDING AGENCY:1 hereby affirm under penally of perjury that there is a construction lending agency ler the END OF FEES
performance of the work for which this panne is issued(Section 3097,Cit.C). •
LENDER'S NAME: +' , ' .�1 el
LENDER'S ADDRESS: le / ! '
/
I certify that I have read this application and state that the above information is correct. r.�
agree to complypon all city and county ddinoces
and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property �,.T"
for inspection purposes. •I
s .4-f
CLIFF VAN TING
Print Hemee
Date: /d,Z6 +g 01 001931.20-6019:121 TOT 633.50
dypendAPplicanUContractor DATE! 10/26l'?5" TINE! '1`A•4r
(5151-46.WP) White-Buildbig 8 Safety:Green-Rb;Canary-Applicant;Pink-Revenue;Goldenrod-Assessor
,
CONSTRUCTION AND PLANNING - - POOL & .
APPROVALS Permit # - Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. SoiriRi 53. Steel Reinforcement _
_.7trU T ' - ,
cErectrical Conduit Iiiifity-Undrgrnc;. ; - • 54. Forms . '/r,
-,,S..Electrical Conduf-Undrgrnd. _ 55. Electrical Bonding t"
`_. - •
Steel Reinforcemewz - 56. Rough Plumbing & Pressure Test r .
'S'Electrical UFERTGrjra 57. APPROVAL TO COVER-GUNITE
J- 7 rPoosings }ti ','' 58. Electrical Condgit .;indrgrnd. ci it;
cio8.-F4'oundation tv =, 59: Gas Pipe, 0 Undrgcnd.,Test ;� • r-:
.,
F •` ---'I
t9. Waler Pipe-Undrgfnd. C; 60. Backwash Lines,,PeTrap, 0 Undrgrnd,. - I . •
10. Structural Floor.$ystem 61. APPROVAL TCfDFCK
11. Property Sewer bine & Housed nnection • 62. Backwash & Receptor-Final ;j `
12. Sewer Cap �- - : 63. Heater & Vent-Final '
"13. Roof Drains _ 64.' Plumbing System •- Final -
14. Rough Plumbing_; • ;1 65. Electrical-Final I 1 �` '
15. Rough ElectricalfCooduit . ` ' 66. Solar System-Fina - - r
16. Rough Electric4firing! _ 67. Fencing & Acceas_ pproval
17. Rough Wiring Simon - 68. APPROVED FO_R`PLASTERING
18, Rough Electrical.: Bar Ceiling= 69. POOL/SPA SYSt'fE1U1S FINAL '•I
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rmugh Fd tor7Fireplace , C ^M ItAPPF{pVAij3CoPevmit # ' r
21. D.uctir in Strugturemt .. .. :.,_ t, S C r•'-t -,70. Undergtoind H dro +
x
22. Ducts;Verctilating4'•: t':t c' ,:= c`'1' rfr.,„„:1 71. Produc2,Piping L7 Gas 1:1011I
a' ti.x
i
23. Gyri P}pe-abugK & fest I ul< 4 ;r; `T. . 0; 72. Undergrozund Flush-,,; '+ r
.: tr r - ..- _ : -
24. Roof:Framing•• 'x I ;r;F- ••1; ,; > C' r' i 73•,Undergrnd.Storage.Tank`4OGas ❑Oil
25. Roogheiihing 2. i' • v t: r' O > 7,;' « 74. OverheadvHydro',-•c. .:
26. T.-BarCeiling (Structural) & Monb'coat - J z' t"Ir 7c„D'ry Chemical " ''J C ^•
27. �'�ameand Flas In 'W r. .' t*;� : . g tT1 'LI'
,.r 9;.k: at^tr; a c .> v:'t. 76'.-'dry StandplPe r•ca '' '.
U. 1_athiog 6C.Siding iLr :"--_-,e,14:, „ Z •• . IY 77;1 FIXED $Y.11 .,STEN1iFINAC 1., :-1 "'
'' c o CI r-+ .. .. i . r:; I .- + •r
29. Insulation r.., .. , 1r 78E FIRE PREY. FINAL t IX r
- v •
'30. Drywall trteili g `u' P: f--4 9IEALTH•DEPI`. PeEOUIR€HENT
{ v :, h
X31. Plaster Brebvn,eroa?4 = q; +79. FINAL INSPECTIONtIT _
-32. Electrical PoiMeter:Einal I `'� 1 r: co � �'i: ;1180;:o.. FOOD CERTIFIC tTE I$,SU,EDH
_33. Fina[;EleEfric.� `y: ,t 1 < x " 1No s:/o/g P.-ri},11r%re-4, 9./..,..477. r
L-.71.:34. FinalNeaitng & Ali dvn[i+boning:;_, -(-1:, ( �s ,� •> C',^; a. S 7"
�i1 r. '.> 1 r• . h .. _ ;: rrH
-' '-y r r• ' .. iS x Cr
135. FinalsGas,eipe?'iesf?.,`' `Ya .. . ;.., A lit .D 4?-7. 1G'2 K ';c. -
-436. Fiood,or nom,/ w C". ^"] r : jx _ i ,1.4 it43-;44
-_. 1. .
-437. Finale accory Fireplace~ ._ ......C1 ' ."' `r' I I'r r _ --HT;1
`,,. t .n F . .. w
38. FinalrPlumbing 1fr,�� "nt - a .i: .� • l; t s - fi w •',
t M .y ti• b;r G-)
'l f 1 v I L.) .} 1 a 7k 1 (t rr. c a. r 1
•-39. Water%Serace-Final,-, * S
LGas Service-Filial g m C,try: ,; . r- %i� c,N 4 -
f �•.a .. h- fr , e-,••7 • ,••^,
Z41. Solar DomestiC4Firiah' •' t O. Cr- �4 C
_ - I-. _
-'42. Backflow Preventers: r� ;-i � ' rg to '•F-• • a cc1 .--+
.n t'1flJ -' ,
43. Backflow Irri5tior'•' tC':::: t '. an'4.0
F0 _K 0
.'t ,t:: . .. i _ •
�l ' •fi .. 4 _. ..... -
44. Landscape•Irripatipn+S.ystem 'n..3 ce R; _ -... :J '.', ",:J 4' Cl
45. Sound Atten ann-
o .
' 46. Handicap Regulations..• 3.F. �, e " c •< -r
47-ft. F1NAG STRUCTU• CRE& BUILDING 4 ,,, "moi" 1 i cuc' E
48. FINAL PLAN•NING,t . • F•-- /( r. PJ '` a - C r -
- I .m , r1 . t Q.
49. Eiectrie Release to:Edison +' 4: '• ^ + ' -'
is ' i"i. n tr. #
-
5,0., Gas Relea toSouthern California-Gas Co A: 1 1 .* - .- • c r :I-
v
.. .. :-, 1 ,r ri C
51. CERTIFICATE OF OCCUPANCY- y J me *
No Date
„no! Costa Mesa Building Department l/ APPLICATION FOR PERMIT
• 111 EAST 20th STREET 1_402_-..__...B_U- .:DING ,
ING..____'
•
COSTA MESA, CALIFORNIA
FOR OFFICE,USEONLY,.
FOR APPLICANT TO FILL IN 1 I Receipt No. Permit:No.
Building 1969 Arnold Avenue i r
/ 3IeiI
Costa Mesa, California Received.by..:
Date Recd. { Date Issued
Nearest i i ., JUN 99 1955 I ( �/�'kS 4
Cross St. 191 Street Building 1 '
„ Address 1
Owner _ , _ , _ - Costa Mesa, California
Mail
Address 43.9 E. 17th St. Nearest
Tel. Cross St. I
' City ' Costa Mesa No.Li 8-1159 zone No.of Type •
1 / I Group I/I
Architect or Lic. ( ' I Plans V i Y '
F-nineer Carlson $ No. ' Approved •
Middlebrook !. by ! t . Date
ess Garden Grove i CORRECTIONS
City Lic.
Contractor D9ka & Col egrove No. 1301 1
Address 419 E. 17th St. Costa Mesa
Legal 1 Lot ' .- I • 1
Description I No. 23 I Block I Tract 1986.'
I j
(Attach Metes and Bounds) .. 1.
•
No.of Bldgs. ^
Size of Lot 60 X 105 . I Now on Lot none I --- — -® "_' .1- _-
O
Use of No.of No.of • /' - a1 1 23
Existing Bldg. none I Families I Rooms ° �;.�i 4.7)
- Setback Line from Rear Yard Z
Center of Street 501 Side Yard 3A1----7.: ..';r -1114 1955 , y
DESCRIPTION OF WORK r
New I $ I Alteration I Addition I >�1 • F.COSTA . M - _
E
Repair I I Moving I Demolish I '� ,
ding No.of
1151 $g.Ft. Rooms 62 Stories 1
Lxterior Wall I Roof
Covering STUCCO Covering Comp. APPROVALS
Use of New Foundation Location Inspector Date
Building $j,nsle family dwelling - Forms, Materials,
Under-Pinning
2.7 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 Lath.Ext.
with all City Ordinances and State Laws regulating - '
building construction.
Signature of Piaster, Int.
Permittee DIKE AND COLEGROVE -
- Plaster,Ext.
Authorized Agt. C.c. -
_ Masonry Reinforced
Valuation Permit Fee $ ,„fn. D o
$ sCC// / Plan Check $ - 3—.o :4. 486nd Beam
r ,7 0G Total
Fee $ 21S i _ec FINAL
Form 204 G-H IM 12-53
• OWNER HARBOR ESTATES — DATE 6-10-55
JOB ADDRESS 1969 Arnold Avenue BUILDING PERMIT NO. 1368
CrERALCONTRACTOR Dike & Colegrove VALUE $ - 8,500
Lor 23 BLOCK TRACT 1986 Single Wwelling
'GROUP I TVPI V ZONE RII FIRE DISTRICT 1402
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER
Footing Trench sar 4-al- i
Foundation Forms and Grade to Garage t _
Rough Framing f e,�� 7.-05
s.n
Plumbing,Rough to Slabyfer, � �a�J(t�?f� p-.-
d5
7+.+6 ref S�6 m-
Plumbing,Rough Completey+--t-a- __ r
Temporary Pole
Wiring, Rough 7v- SS 7 -n-- --. - %/ -./sS /c2 S--7
Heating, Rough , 7 r
Heating, Final )44-1 24g- JJ 7"-"--r-re — 0- 7 i 3 -SC- ,2-13 6
Sewer, House / Sewer,St. et"( .._Z7 3�,,-f'p� /A/®�'i //- Cir -44-71 3
S Tank or Cesspool I •
���
L.._...ng, In Out � "� 7i
Plastering • '
Plumbing,Final,Fixtures Comp hL - - 'J /�
Plumbing,Final Gas Test/C/s �ee./.j� --26. S9 .Q,(-( ,Lt� 7 /2G f.0 0
Wiring, Final ' V ieeld -- • )2-,$S 4 r� 'i it
Occupancy Sfc P__�-1I
._ Form 210 G-H 15001-55
r. -. . . -.
1.•;.271...
.ist tl .; .. - i'
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-' PLOT PLAN - 4�.;;, Vic... • - ' T
Show location and distances from'
property line and between buildings.
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