HomeMy WebLinkAbout2990 BABB ST - Building Permits�
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AVG�icant to fill in al1 sDaces exeeo� those within heavr porder Iines antl si9n all aDo/oDriate tleclarations.
CITY OF COS'ra nnESA CONST UCTION PERMIT
Project Address U '
Applicani's Mailing Address C ` �
Owner's Name �/���/�y���� Phone � �
Address �L�ieY' � � ��
Arch/Eng. License No.
Address �_
Contractor's Name ,( �� /-p/hone �d-
Address (ma ���g� � C�L / j ! �
Ciry License No. �� %
LICENSED CONTRACTOR DECLARATION
I hereby aftirm that I am licensetl untler provisions of Charter 9(commencing
with section ]000) of Division 3 af the Bu5ine55 antl Pro(essions Cotle, antl
my license is in fW fo c antl ef(ect. ,._, �`v^ ��.
License as Llcen e o. ���ir���L—
Date Si9nature
WOHKERS' COMPENSATION DECLARATION
� hereby affirm that I have a certifi<ate of consent to sel(-insure or a certiticate
Workers' CompensafiOn InSurante, o� a ce�tlfietl cOpy therEof (SectiOn
00, Lab. C.) �� � w J
Volicy No.�A�A3yzS7 Company L(1.�
ertifietl copy is hereby furnishetl.
Cerj i�Q�G'o�l'}{ file0 with the city B} ��v �o
Date /�j� �(J � ApplicantJe(
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(Thissection neetl not be complet¢tl if the permlt is fo� One hundretl ($300) or
less).
I certify Nat in the perfOrmance of the work fot which this perm�t is is5uetl, I
shall not employ any De�son in any manne� so as to become sub�ect to the
Workers' Compensation Laws of Calitornia.
Date Si9nature
NOTICE: If, after making this tleclaration, you shoultl become subject to the
WorkeR' Comp¢nsation provisions of [he Labor Cotle, you mu5t forthwith
comply with such provisions or this permit sM1all be tleemetl revoketl.
CONSTRUCTION LENDING AGENCY �
I hereby afiirm that there is a construction lentling agency for the performance
of tM1e work fo� which thi5 permit is issued (Section 309� Civ. C.)
Lentler's Name
Lentler's Atltlress .
OWNER BUIIDER �ECIARATION
I hereby aftirm that 1 am exempt from the Gontractor's License L.aw for the
foilowinq reason (Section ]031.5 Business antl Professional Cotle: Any city or
county wnich �equires a pe�mlt to const�uct, alter, imptove, tlemolish or repair
any Structure, prior to its issuance, also requires the applicant for such permit
to file a siqnetl statement that he/She is Iicensed pur5uant to [he provisions of
the Contractor's LicenSe Law (Chapter 9(commencinq with Sectlon 7000) of
Division 3 of the Business antl Protessions Cotle) or that ne/sne is exempt
�refrom antl ihe basis to� [he allegetl exemption. Any violation of Sec[ion
1.5 by any applicant tor a permit subjects the applicant to a civil
.alty of not more than five hundretl tlollars ($500).
L� I, as owner ot th¢ property or my employees witlt wage5 as [heir Sole
mmpensation, wili tlo the work, and the structure is nof intentletl or offeretl
fo� sale ($ection 7044, Busin¢ss antl Prote55ional Cotle: The Contrat[or'S
LiCenSe Law tloe5 not apply to an ownEr Of a property who builtls or imp�oves
<hereon, antl wno tloes such work hlmseH/her5elf or througb hIs ov her own
employees, provitletl Ihat such improvements are mt Intentletl or oReretl for
sale. It, however, the builtlin9 or improvemen[ is soltl wilhin one year of com-
pletiOn, the Ownet will have the burtlen o( p�oving he/she tlitl not builtl o� im-
�Ove fo� the putpose ot Sale). '
LI I, as owner ot the property, am exclusivety contracting with Iicensetl con-
ttactors to con5truct Ihe project (Section ]044, Bu5ine55 antl Protessions Cotle:
The Contractor's License Law tloes not appty to an owner ot property who
builtls or improves tM1ereon, antl who contracts Por such projects with a con-
tractor(51 iicense pursuant to the Contractor's License Law). I am aware that
proot of their Worker's Compensation insurance snoultl be providetl to me.
❑ I am exempt untler Section 8. & P. C. for this reason
Date Owner
I her¢by certify that 1 have �eatl
intormation is correcL I agree to <
antl State laws relating to builtlin<
sentatives ai tnis city to •enter
inspection purp �b ��//// //�� �'
Signatu�e ____E��'��
orivers' �icense or 55 �
pplicatlon antl ztate that the above
with all city antl munty ortlinances
ructlon, antl hereby authorize repre-
tbe above-mentionetl property for
��i Date��7
Fi//, ��
TYPE OF CONSTRUCTION LJ NEW U ADD LJ ALTERATION XJ REPAI R
❑ CONVERSION ❑ DEMOLISH ❑ OTHER
DESCRIPTIONOF WORK/USE OF BLDG.
TVPEOFPERMIT LJGRADING��FOUNDATION LJSTRUCTURAL
O TENANT. ❑ ELECTRICAL PLUMBING ❑ MECHANICAL
O OTHER
PROJECT DESCRIP710N 5q. FT. oCCUPArvCv
CON STRUCTION TYPE VAIUATION $ _
ZONE GRADINGCU.YOS. ACRES�
Remarks: ' '
Bar Sink
Backflow Preventer
Backflow Irrigation
Bathtubs
Clarifiers -
Dishwasher
Drinking Fountains
Floor Drains
FloOr Sinks
Gas Service Outlets
Kitchen Sink . .
Lavatories
P—Trap
Roof Drains
Reinspection Fee $15
Duct - Under Ground
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Muitiple ❑
FirepVFact Blt ICBO #
Heating System & Ducting
❑o-i oo,000 eTu O i oo,000 eT
Reinspection Fee . � $15
CMF 0865-46, rev. 30/B4 White - Builtling; Canary - Applicant; Pink - Accounting; Goltlenrod - ASSe55or
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Pipin9
Solar Tank
Swimming Pool wlSpa
Urinal
Water Close[
Water Heater
Water Service
Au[o-Wash
Issue Fee
Hood or Typel ❑
Canopy Type II ❑
Refrigeretion System
❑oioo,000eTu ❑ioo,000eTu
System Repair/Alteration
Fire Dampers
Registers
laue Fee
FE
$. 3
$ 3
A.P. #
S Main Building:
E
T Front
B Rear
A
C Right
S Left
Ping. Ref. #
Planning Notes:
7216
.-�.. ... w� �r Zane
Accessory Building:
Parking Req./Provided
�Y t i�
ELECTRICAL
Automatic Washer Transformer ❑ 15-50 KW
Construction Pole Sub. � 50 + KW
Cooking Unit , -
Dishwasher -
Dryers ❑Gas ��Electric
Fan
F.A.U.
Fixtures
Device Boxes �
Outlets
Switches
Garbage Disposal
Generator �65 KW �5-15 KW
Meter ❑up to 100 amps
Meter ❑over 100 amps
Sub Panel '
Morors�0.1 HP01'/:-8
Inc.Solar �9-15 HP �i6-15+
Microwave
Pole Li9ht
Range
Sign
Standing Sections
Trash Compactor
I Reinspection Fee �$15 I I luue Fee
DEVELOPMENTSERVICESREQUIREMENTS:
ZoninB Approved By
Building Approved By
Application Iwued By
500�� TL
Z
O
N
I
N
G
R
E
Q
M
T
$
FEES
$ 3
�
SUMMARV OF FEES .
BUILDINGPERMIT $ SMIP $ -
PLAN CHECK $ PERMIT �
PLUMBING § i0 ISSUANCE $
PLAN CHECK 25% $ ENERGV P.C. $
ELECTRICAL $ - GRADING $
PLAN CHECK 50% $ MICROFILM $ �� �"��/�
MECHANICAL $ TOTAL FEE $ `-� —'O—
PLAN CHECK 25% $
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms �,p
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding l
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVALTO COVER-Gl�1NITE
7. Footings 58. Electrical Conduit-Undrgrnd r,
8. Foundation� 59. Gas Pipe, O Undrgrnd., Test' G-
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System 61. APPROVALTO DECK ,d,l
it. Property Sewer Line & HouseConnection . 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
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. 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 O Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank 0 Gas ❑ 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
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. FinalElectric Notes:�-/$��y� LG;.rc4¢v. L.e•D
34. Final Heating & Air Conditioning jj�/7.�) CqhGFt, Ab fia Zo.$ U p� L 1�i9
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. FINALSTRUCTURE&BUILDING
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co ,�
51. CERTIFICATE OF OCCUPANCY
No. Date
. � �_
. � .
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 C08TA MEBA. CALIFORNIA
For Applicanf fo Fill In Complefely
TYPE OR PRINT
BUILDING
ADDRESS O
COSTA MESA. CALIFORNIA
■ MAIL
APPROVEO
9 EE RECEIVED
�us i � rsst �� c,+�
FINANCE DEPT.
CITY Of COSTA MESA
APPLICATION FOR PERMIT
eui�DiN�
For Office Use Only
NECEIPT NO. I PQRMIT�NR._�
COSTA MESA. CALIFORNIA
ADDRESS ZONI N G
Z `NO. OF l-USE OP N
CITY ' I �'LAN9 YI BUILDING
STATE TEL. �Eae�
LIC. NO. NO. DEeCRIPTIO
HRE jJ i NO. OF BLDGB. /�
OF LOT D xOW ON LOT p, p, NO. � _
' J
USE OF YARDS EVES
EXISTING BLDG. APPROVED ALLOWED
BETBALK LINH PROM / I �� ICENTER LINH 6Tq /�/
CENTER OP eTrseei .J REAR YARO � FRON7 �J 7 FT.
SIDE YARD I LEFT S' I RIGHT ��
DESCRIPTION OF WORK R.61DE �
e��wwc i
SIZE �6� I
EXTERIOR WALL
COVERING
USE OF BUILDI�
� NO. OF
ROOMS
IROOF
%{' COVERR
WORK TO BE
APPROVED
1 H¢REBY ACKNOWLEDO& THAT I HAVE REA� THIB APPLIGTION THE AMOUNT
AND BTATE THAT THE ABOVE I6 CORRELT AND AGREE TO COM- pUFiP08E OF
PLV WITH ALL CITY OPtlINANCE3 ANO 6TATE LAWe REGIIL�TINO
BO�LO�Na CONOTR�O/CTION'�� VALUATI
SIGNAT6FtEOF' � �
� J � Z�Y
I -2y-��/
UNOE0. VALUATION IS FOP THE
IBHING A PEFMIT FEE ONI.Y.
�
PERMIT FEE $ /D�
PERMI7TE �yJ
$J� S(�j( � PLAN CHECK $ �
AUTHORIZED AGENT U �� / S^ C
TOTAL FEE
OWNER �I�, RONALD D.- DATE 8-17-61
JOB ADDRESS 9q9n Rahh St.rao+. BUILDING PERMIT NO.'1 K� KO
GENERAL CONTRACTOR �
F� 'To.113-3
1. ECTIONS
OCCUPANCY
O
LOT TRACT FIRE ZONE
� Signaturc � DATE GROUP
�
vAr.uE � 2,8 0.00
DESCRIPTION OF WORKp
TYPE T z. .i 7.ONE
SUBCONTRACTOR
�: Costa Mesa Bailding Department J, AI'PLICATION FOR PERIVIIT
�'--.;.. P. O. Box 3�� ��l ED B U i L D 1 N G '_..
ij"' � COSTA MESA, CALIFORNIA
{ FOR OFFICE USE ONLY
, FORy PLICANT TO FII�L IN I Receipt No. Permit No.
suilding abb Street � ,3080
Address �
Costa Mesa, California � ReceDiv y Date Rec'd. Date pI�ssuerd— ,
� Nearest � r �� J`� �'��Jl —�� ���a : J �
Cross St. B�er y Building •��
Address
Owner «elco:ae xo�res, znc. CostaMesa,California
Mail '
Address �28 Westa:�inster pve., Nearest
Tel. Cross St. �
City Westminster rya,YVOm. �j%11 Zone No.of Type Group7 9(
Arohitector Lic. I Plans I 1U
Engineer No. Approved �
by ' DaSe
Addrew CORRECTIONS �
1'�elcome Homes IpC,NayLic,�.ja
Contrector �
nddress 6528 tibestminster Ave.,
t
De crgption I No. %2 I Block I Tract289G � � �
i� .'ti S:4a.� '
(Attach Metes and Bounds) ' �' �'7 })�'^S `� � �� � ��y�
Size of Lot 58X102 I No. of Bldgs �+ _: �`_� NS � F,�„p `� '.
Nowon Lot N017g . - t G l
I�seof 9� 9 NOII9 I No.of I No.of �!�_.� �e^I� ' ��= '� a
Existin Bld F,amilles Rooms ��"`� �•� �
Set6ack Line from Rear Vard . � ' 1�� I�,�j�j r _
centeroiStreet 55 Ft' SideVard Ft. - y
DESCRIPTION OF WORH ;(�,7zy� �A g��n,� n � r�� r
New I X I Alteretion I I Addition i v� ���` �F� �E���+�H
Repair I I Moving I I Demolish I -
Buiiding No. of _
Size �5�,'� Rooms 5 stories 1
Exterfor Wall I Roof �
Covering� StUcoO Coveriug wood - � APPR,0�7,���` .
Use of New Foundation Location Inspector � Date
Building Sln�le fAmily r8SldenC6 Forms,Materials,
and two oar garaee attaok�ed. unaer-ainniny
. Frame: Fire Stops,
' Bracing, Bolts
I hereby acknowledge that I have read this ApplicaUon
and state that the above is correct and agree to comply Lath. Int. �
with all City Ordj��nu�� St �t Law��lating
building constru�4 ��, � Lath. Ext.
Signatureof �� /i�.� •
Permittee Plaster, Int.
.i
Authorize a . � Plaster. Eut
Valuatlon " � Permtt Fee $ — Masonry Reinforc
$ p�� � Plan Check $ �— Bond Beam
(� rotal
Fee $ �� � FINAL
�..aM �m �o.se o. v. e s. . �
C
J
a
0
�
a
Street
PLOT PLAN
Show locatlon and distancea from
property Iina and between buildinga
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OWNER WELCOME HOMES
a 9/0
JOB ADDRE58 -2922-Babb Street
rE • 5-18_56
BUILDING PERMIT NO.
f ERALCONTRACTOR Welcome Homes vn�uE a8,76o.00 '
LOT %2 � BLOCK TRACT 2896 Single Res. H�Btt gHI'
GROUP I& t� TVPE V ZONE R4 FIRE DISTRICT 31ZO
� PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
DATE NUMBER
FootingTrench ri �i 1�� . ,
FoundationFormsandGradetoGarage � 7 /�^s� ��}���vL•��•��
Rough Framing� _ _ � _ � _� -�
mbi
H
a
3, Final
House ewer, St.
fank or C pool
a, In O4t
Final, Fixtures
Final Gas Test
Wiring, Final
Occupancy
FORM 210 3M IO�vS
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