HomeMy WebLinkAbout1981 ARNOLD AVE - Building Permits -• Costa Mesa Building Department ! •I'PLICATION FOR PERMIT
111 EAST 20th STREET 1C BUILDING
- - COSTA MESA, CALIFORNIA
• FOR OFFICE USE ONLY4411
FOR APPLICANT TO FILL IN 1 .-- . _ _Receipt No.-_ . ._.Permit No.
Building I`
Address 1981 Arnold Ave. -
Costa Mesa, California Receivj by. Date Redd. II Date Issued
Nearest r ' —.2, 7 SI 7-47?7-13
Cross St. 19th Street Building /
Address ,
Owner Harbor Rotates Costa Mesa, California '
Mail
Address 419 E. 17th Street
Nearest
Tel- i Cross St.
City Costa Mesa No. LI 8-1159 ' Zone / ,,// No.of Type I Group
Architect or - Lic. 7 I Plans I/
Engineer Ca rl cnn 8• IliHAI ehrnNlP• • Approved
by Date
dress Garden Grove CORRECTIONS
City Lic.
ntractor pike & Coleccove No. 1301
Address 419 E. 17th Street S
LegalLot
Description I No. 20 I Block I Tractl986 -. •
(Attach Metes and Bounds) • _
No.of Bldgs. ' �_� .� �
Size of Lot 60 x 105.50 I Now on Lot none J,J! fi
Use of I No.of I No.of
-- - - �� �� A
Existing Bldg. none Families Rooms ., 0
Setback Line from . Rear Yard I - 2
Center of Street 55Side Yard •11'•5 �. ---JUL 27 1955 2
DESCRIPTION OF WORK
New I X I Alteration I I Addition I CITY OF COSTA; MESA
Repair I I Moving I I Demolish I •
Building No.of 1
°`-e 1151 sq. ftaooms 6-2 Stories 1
-for Wall I Roof
-ring ng stucco Covering comp. APPROVALS
Use of New
• Building Plan 27CFoundation Location Inspector Date
Forms,Materials,
Single family residence and garage Under-Pinning
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 i Plaster, Int.
Permittee Mike R Cole_ ove plaster,Ext
CI C -
Authorized Agt.
Masonry Reinforced
Valuation Permit Fee $ a2,o -
Plan Check $ 3, c D Bond Beam
$ 14500.00 Total $ r e 0Fee FINAL
1 roma 204 5-5 2M 5-54
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PLOT PLAN t: . .
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Show location and distances from • i +. ' ---
property line and between buildings.
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OWNER HARBOR ESTATES / DATE 7_27_55
I JOB ADDRESS 1981 Arnold Ave, BUILDING PERMIT NO. 1599
C :RAL CONTRACTOR Dike & Colegrove VALUE $ 8'cotto )
LOT 20 BLOCK TRACT 1 9A Single dwelling
-
GROUP I TYPE V ZONE Rh FIRE DISTRICT #7615
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER
Footing Trench &-i-i 8-9'-S`S
Foundation Forms and Grade to Gara e _
Rough Framing ss�� d� ti-�{ ' '
Plumbing,Rought�Slab r g.4,-56 r��/(, 3
Plumbing, Rough Complete, i 49'2 9-1'S I, l C k, C(-2 -Jj ) i 3 Q
Temporary Pole .,per' �1' •_ 0 /./
Wiring,Rough J--Q97 9-r,/-J ii,y .,��j.G. / (Ai _sS /443G
Heating,Rough f
Heating, Final : I,..t,,,,,, ch, y-Z" ZS 3-e)House Sewer,St. /__SCC....i'.ln) Pte/ 7-//-.c r '.SO 6
S,r..c Tank or Cesspool
_i
In Out ;. r-/fir
Plastering � M�� - /0-.2/-i'/
Plumbing,Final,Fixtures Co�p11Lif-7Y/ .r,,' ,y '
Plumbing,Final Gas Test NIL 't( r� '�OV
Wiring, Final / /-/7-Si
Occupancy 716 // li-S
Form 210 G-H 1500 1-55
Applicant to fill In all spaces except those within heavy border Ilnes and sign all appropriate declarations.
OF F COSTA MESA, CONSTRUCTION PERMIT '� h• /D �r� TRACT NO.• LOT NO. UNIT NOMA.P.# I Zone
ilk
Project Address �98 l�II�Nb�� - �[ (J� �� - S Main Building: Accessory Building;
•
'Applicant's Mailing dress BOO/ 2/)Vi^/E /3 LV 1> TYPE OF CONSTRUCTION NEWN ADD ALTERATION �.. REPAIR E Front Z
q/d/ ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ' T O
Owner's Name VULJ £NeiC Phone�i�/S8/7�1DESCRIPTION FWORK/USE OF BLDG. /SAit ole, .E'XIST/.✓, f/.T j B Rear N
Address 98/ /A l .4JOL'd G C . A /eel,P . </CMeo� t...-../7-6/ -3 as SN/a'/-4F / °—, . ' A ' — — I
TYPE OF PERMIT GRADING ❑ FOUNDATION ❑ STRUCTURAL I C Right N
Arch/Eng. License No. K ' G
Address ❑ TENANT ❑ ECTRI C/q!�./Lj ❑ PLUMBING ❑ MECHANICAL S •z Left R
•'s/Sz2.TA (4C ?Le se/L'Bo8r ❑ OTHER t. KBO Ping. Ref. # Parking Req./Provided E
Contractor's Namn P. Cs/�'. Phone
/ p� PROJECT DESCRIPTION SO. FT. / 2 en C OCCUPANCY A Planning Notes: O
Address lmailing) 800 r/Zt.//�/fC c7ilr� CON STRUCTION TYPE VALUATIONS �'yt'JD•t'�'1 g NI
City License No. D `1-7 'G yG - ZONE GRADING CU.YDS. ACRES l T
LICENSED CONTRACTOR DECLARATION S.
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: •
s� with section 7000) of Division 3 of the Business and Professions Code, and
(�Vs my license is in lull force and effect. ELECTRICAL FEES
\
•
License Ci.ss C"3 License 4•8�
Date 9 .�
Signature Or _
a a PLUMBING I FEES Automatic Washer Transformer 0 15-50 KW
WORKERS' COMPENSATION DE LA-ATIO /
\ . Bar Sink Showers Construction Pole Sub. 0 50+ KW
'rpby affirm that I have a certificate of consent to s¢ILirs • or a Cerullo e
for kers' Compensation J3$i rt ft!c35r13ldyl -.. • ":reof (Se on Backflow Preventer Service Sink Cooking Unit Meter :lop to 100 amps
J, Lab. C) mac" / ,p
Policy No. � "P'Z/+-�. Company #jr Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps
Certified copy is hereby furnished. Dryers ❑Gas ❑Electric `— Sub Panel
Car li d c y is filed with the city B I 9 Qivi " Bathtubs Sewer Connection
Date ' Applicant ilor Fan Motors ❑0-1 HP 011/2-8
EXEMP ION FROM WORKERS'CO PENSATION DECL€dOO)
ON Clarifiers Solar Collectors -
(This section need not be completed if the permit is for oneor F,A.U. Inc Solar ❑g-15 HP ❑16-15+less). Dishwasher Solar Piping
I certify that in the performance of the work for which thiit is issued I Fixtures
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave
Workers' Compensation Laws of California.
Date Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light
NOTICE:If,after making this declaration, you should become subject to the - e Outlets Ran
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal9
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet ; Switches Sign
I hereby affirm that there is a construction lending agency for the performance
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections
Lender's Name Generator ❑0.5 KW ❑5-15 KW Trash Compactor
Lender's Address Kitchen Sink Water Service
OWNER BUILDER DECLARATION ,
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
following e (Sectionpermit
7031.5t Business and, Professional Code: Any cear
countyr whichturequiresta issuance,
c ,construct,alter,improve,applicant for suc or rrmit P—Trap Laundry Trays
coy sir a sgre, prior its the/, also requiresicesthesuanto hey prch ovisions
If
to file a ractotl statement that hapte is (comm pursuant to ace pro 000) of Roof Drains -
the Contractor's License Law(Chapter s(commencing with Section is of
-'.inion 3 of the Business and Professions Code) or that he/she is exempt 1floinspection Fee $15 Issue FBB ,. $ 3
dram and the basis for the alleged exemption. Any violation of Section
-t.5 by any applicant for a permit subjects the applicant to a civil
,tatty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS:
❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 '
compensation, will do the work,and the structure is not intended or offered Zoning Approved By Date
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By
Date
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 Application Issued ByDat
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 al-
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 SUMMAtY 0 FEES
pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground -
prove for the purpose of sale). • BUILDING PERMIT $ s ap Li SMIP $ a S
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration SystemPLAN CHECK $ PERMIT
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 BTUPLUMBING $ ISSUANCE $
builds or improves thereon, and who contracts for such oroiects with a con- •
tractor(s) license pursuant to me Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $
proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $
❑ I am exempt under Section B. 8 P.C.for this reason Firepl/Fact.Blt. ICBO# Fire Dampers MICROFILM $
' PLAN CHECK 50% $
Date Owner Heating System& Ducting Registers
MECHANICAL $ TOTAL FEE $ &Ire
I hereby ter ly that r have a.`hl pplication and state that the above ❑o-100,000 BTU ❑t00,000BT1f—
information •- correc agree�/�s,�-mp with all city and county ordinances PLAN CHECK 25% $
and state la s rel. g 0 bu'U%.• c. struction, and hereby authorize repre- .
sentatives .f - c'ty t. . n-- - above-mentioned pro eft for •
inspection .. p. C
Signator- • I Date9' 4 �\ -
Drivers' License or SS Reinspection Fee I $15 Issue Fee $ 3 \ I'.; i:']':'-":D7;-QQQ/ lel' J I Ci
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'� [JAYE: 09/06'89 Tit::: 1.6c:5
0865-46,rev. 5/88 white - Building: Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
a
CONSTRUCTION AND PLANNING POC SPA
Date Inspector Date Inspector
APPROVALS Permit # APPROVALS Permit #
6.-
1. Temporary Electrical Service or Pole %t 52. Pool & Equipment Location j1,
2. Soil PipeUndrgrnd. 1 't 53. Steel Reinforcement ; •
r
3: Electrical Conduit Utility-Undrgrnd. -tI 54. Forms ,
•
A. Electrical Conduit-Undrgrnd. i,• ; J; 55.Electrical Bonding -•�
"`5. Steel•Reinforcement I 56. Rough Plumbing & Pressure Test - % j' ,+_.
6; Electridal UFER drnti? 57. APPROVAL TO COVER-GUNITE ‘,1 /
7' Footings 1• tl I '%t 58. Electrical Conduit•Undrgrnd. 1 !'•
. 8.' Foundation - �t �'1 1" 59. Gas Pipe, 0 Undrgrnd.,Test J
9. Water.Pipe-Und grnd. l '�` t 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System - ii. z i '" 61. APPROVAL TO DECK i'
11. Property Sewer Line & House Connection
.`t �t ik, !r ,-1 62. Backwash & Receptor-Final
12. Sewer Cap ', ,' f / ," / 63. Heater & Vent-Final
13. Waif Drains 7 ,
oo . ,, 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
217. Rough Wiring Sign 68. APPROVED FOR PLASTERING
li
...1..
'18.
'18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
'219. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
)20. Rough,Factory-Fireplace APPROVALS Permit#
1 tip
.21-. Ducts, in Structure 70. Underground Hydro
Strum
re
Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough& Test 72. Underground Flush
24. Roof Framing u • 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing ,c 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
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final�Electric •... Notes: 5:040.0e_ BFI `,_�57:
7_ .7
34. Final Heating & Air Conditioning it/�Ire/
/ a� �6;1Y / _
•
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
CO
44. Landscape Irrigation System /1 `)
45. Sound Attenuation •-�
46. Handicap Regulations (O /��r r��e^--:-AgQ 303 dt
47. FINAL STRUCTURE & BUILDING L/ a 0 V p C fni •
-
48. Special Requirements Completed b a' W
49. Electric Release to Edison ,• ) ,
• -
50: Gas Release to Southern California Gas Co .....e.....).� l"' .`\
51. CERTIFICATE OF OCCUPANCY /r-.t `J 'r.
No. \ Date i%' v