HomeMy WebLinkAbout252 CAMELLIA LN - Building PermitsJ
Applicant �o fill in all zpaces exee0t those within heavy bo�tler Iines anE si9n all appropriale tlecla�ations.
CITY OF COSTA MESA CONSTRUCTION PERMIT PEFMIT NO. RACT NO. LOT NO. UNIT NO. A P
� . Prolect Address � S2 C�AM b'7 L j�/ f/� C w�1 �� ��� g
Applicant'S Mailing Address � Z y 0 S� n'1ov� Li / ArV.n¢Ih TYPE OF CONSTRUCTION NEW ADD ALTERATION . REGAIR E
�,/� "� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER . ' � TB
Owner's Name ��/�'M �� f� ���L.�! �� Phone�_{_v.-�.—�� DESCRIPTION OF WORKNSE OF BLDG.
Address S�'M/� ' - 'q
Arch/Eng. LicenseNo. TVPEOFPERMIT GRADING FOUNDATION ❑STRUCTURAL K
Addre55 ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL '� S`
Main B
Front
Rear
R ight
Left ,
ContfactOr'S Name s'' � �' 1" S Phone �i �b �'OTHER Ping. Ref. #
''I 5im� G�/ SL PROJECTDESCRIPTION 5@:-F�— ocCUvarvCV
Address (mailing) �N! V h ��� � n T Pianning Notes:
`, CONSTRUCTIONTYPE VALUATION$ �OU V
Ciry License No. 7 S� �-� _ ZONE GRADING CU. VDS. ACRES �
LICENSED CONTRACTOR DECLARATION
1 hereby attirm that I am licensetl untler provi5iOn5 ot Chdrter 9(commencing Remarks: ,e -
with sec[ion 7000) of Division 3 of the Business antl Protessions Cotle, antl
my license is in full forre antl e(fect. �a ^
LJCCl152CId55 C'�?' L C Ei`�0.� ��'/
Date�'��'4� Signature � PLUMBING FEES
WORKERS' COMPENSATION DECLA ATION Baf Sink - � Show¢fs
I here�y attirm that I have a certificate oi consent to self-insure or a certificate —
oi Workers' Compensation Insurance, or a certitietl copy tneraot (Section gackflowPreventer ServiteSink � -
3800, Lab. y,)y-.(,� I � . ,}� �
�olicy No.'U r� '� b Companys� �"'�� Backflow Irrigation Sewer Ca
P
Ce�tifietl copy is hereby furnish¢tl. �
'Ce%r ifietl op rs tiletl with the cit Itling Divi io � Bathtubs Sewer Connection �
JateO���� Applicant "
EXEMPTION FROM WORKERS' COMPE SATION DECLARATION Cldfifi¢f5 Solaf COIIeCtOrS _
(Thissectian neetl not be completetl if Ihe permit i5 for one huntl�etl ($300) or
less). Dishwasher Solar Pipin9
M I certify that in the performance oi the work �for which this permR is Issuetl, I
k� shall not emD�oy any person in any manne� so as to become subject to the Drinking FOuntains Solar Tank _
Wo�kers' Compensation Laws ot Cali(o�nia.
� Date' - Si9nature Floor Drains Swimming Pool w/Spa _
NOTICE: If, after making this tleclaration, you shoultl become subject to the
,Workers' Compensation provisions o( the Labor Cotle, you must forthwith. FIoo�Sinks �Urinal -
1 comply with such O�oviSions or this permit shall be tleemetl revok¢tl.
CONSTRUCTION LENDING AGENCV GasServic.e Outlet5 WaterCloSet
T1 hereby aifirm that tnere is a construction lentling agency for the pertormance —
of the, wo�k to� which thi5 permit i5 i55uetl (Se<tion 309] Civ. C.) Iflt¢fCEpt0�5 Water Heater
Lender's Name —
Lender's Atlaress Ki[chen Sink Water Service
OWNER BUILDER DECLARATION
� I hereby af(i�m lhat I am exempt f�om the Contracto�'s LicenSe Law fo� the Lavatories AUtO-WaSh
' following reason (Section ]031.5 BuSiness and Grofessional Cotle: Any city or —
county which requires a permit to construct, alter, improve, tlemolish or repair P—Trap � Laundry Tra'ys
any structure, prior to Its issuance, also requires the applicant for such permit —
to file a signetl statemenl that he/she is licensetl pursuant to the provisions ot qoof Drains '
� the Contracior's License Law (ChaO�er 9(mmmencing with Section 7000) ot
Division 3 of Ihe Busine55 antl Prote55ion5 Cotl¢) or that he/sh¢ i5 exempt - -
tne�etrom antl the ba5i5 for the allegetl ex¢mption. Any violatiOn Ot Section
�
Automatic Washer
Construction Pole Sub.
Cooking Unit
Dishwasher
Dryers ❑Gas ❑Elec
Fan
F.A.U. -
Fixtures
Device Boxes
OuUets
Switches
Garbage Disposal
Generator �0-5 KW �
Reinspection Fee
� � � / Zone �l
w Accessory Building:
Z
O
N
�
• N
_ G
R
Parkin9 Req./Provided E
Q
� M
br i i . r
S.
ELECTRICAL
FEES
� Transformer ❑ 15-50KW ,
❑ 50+KW
Meter ❑up to 100 amps
Meter ❑over 100 amps
Sub Panel . �'
Motors 041 HP �1�`h - 8
InaSolan�9-15 HP 016-15+
Microwave �
Pole �ight
Range
. Sign
Standing Sections
5 KW Trash Compactor ,
$75 � laue Fea � , $ 3
7031.5 by any applicant for a permit sub�ects the applicant to a crvi
enalty of not more than five huntlretl tloiiars (E500). ' DEVELOPMENT SERVICES REQUIREMENTS:
� I, a5 owner ot the p/ope�ty Or my employee5 wi[h wa9es as their sole RBinSpeMl011 F¢0 $15 ISSuO F¢¢ $ 3
�mpensation, will Oo the work, antl the strutture is not intentletl or-offeretl ' , Zoning Appraved By
�r sale (Section 7044, Business antl Protessional Cotle: The Contractor's MECHANICAL �� FEES � Building Approved By
� ..icen5e law tloes not apply to an ownet o� a properry who builtl5 or improves — �
tFlereon, antl who tloes such work himself/herself ol through hi5 Or her own /�pOliCdtlOn ISSOBd BV K�
employees, provitletl that such improvements are�not intentletl or otteretl tor Boiler Hood Or Type I ❑ —
sale. It, howeve�, the bulltling or imp�ovement Is soltl within one yea� of com- CdnOpy TypE I I ❑
��. �.'� oletion, tne owner will have Ihe burtlen of proving he/sne tlitl not builtl or im- Duct- Under Ground
� prove for the purpose oi sale).
❑ I, as owner oi tne properry, am exclusively contracting with Iicensetl con- Duct-Structural Refrigeration Sys[em /"
� tra<tors to construct the praject (Sectlon �044, Business and Professions Cotle:
Tne Contractor's License Law does not apply to an owner of property who Duct - Ventilating, ❑0-100,000 BTU ❑100,000 BTU
builtls or imoroves tM1ereon. antl who contracts for such oroiects with a ron-
tracmr(s1 hcense pursuam co me ConVactors License Law). I am aware mat Exhaust System ❑ Multiple ❑ System Repair/Alteration
proo/ o( their Wo�ker's Compensafion insurance 5hoW0 be provitle0 to me.
❑ I am exempt untler Section . B. & P: C. for this reason FirepVFacL BIC �CBO # Fire Dampers
Date Owner
I hereby certify that I have rea
intOrmation is correct. I ag o
antl ztate laws r ting to uil ir
SEpSdLIV25 Oi i� Cliy i 2�
Inspection pur
Signature
Drivers'Licenseo � �+�/
Heating System & Ducting Registers
❑0.100,000 BTU � 100,000 BT
Reinspection Fee � $15 � � Issue Fee � $ 3
0065-46, rev. 5/88 White - Builtling; Canary - Applicant; Pink - Accountin9: Goldenrotl - Aszessor
SUM A �F FEES
BUILDING PERMIT $ — SMIP
PLANCHECK $ �D.— PERMIT..
PLUMBING $ ISSUANCE
PLAN CHECK 25% $ ENERGV P.C.
ELECTRICAL $ GRADING
PLAN CHECK 50% $ MICROFILM
MECHANICAL $ TOTAL FEE
PLAN CHECK 25% $ �
$ �
010001!?�9-On011791 TCIT U_4,45
L�ATE: 0�l1?i�� TItlE: 11:01
y � � ..
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� _ -
CONSTRUCTION AND PLANNING - POOL & SF. _ . ' � � �
APPROVALS Permit # Date Inspector �� AppROVALS � Permit # Date Inspector
1._Temporary Electrical Service oc Pole 52. Pool & Equipment Location � ,
2.,Soil Pipe-Undrgmd. � 53. Steel Reinforcement ,("`
' 3. Electrical Conduit Utili4y-Undrgrnd. . � �54. Forms � ' �
4. Electrical Conduit-Undrgrnd. �• � . 55. Electrical Bonding ' .
�
5' Steel Reinforcement �"�� �. , - 56. Rough Plumbing & Pressure Test - � '�
`,6. Electrical UFER Gmd. - '� �; � 57. APPROVAL TO COVER-GUNITE
7:'Footings � i � - •58.'Electrical Conduit-Undrgrnd.
8. Foundation . � ' . . ' 59. Gas Pipe, O Undrgrnd., Test ' ;
9. Water Pipe-Undrgmd. -� "' ;� ' 60. � Backwash Lines, P-Trap, O Undrgmd: - -
10. Structural Floor System '- � 61. APPROVAL TO DECK -,�
1 i. Property Sewer Line & House Connection 62: Backwash & Receptor-Final
12. Sewec Cap � � � . 63. Heater & Vent-Final . � •
13. Roof Drains , 64. Plumbing System�- Final - '
14. Rough Plumbing� '65. Electrical-Final . . - ' �
15. Rough Electriral-Conduit 66. Solar System-Final -��
16'. Rough Electric�Wiring -- � ' ' 67. Fencing & Access Approval � '
17. Rough Wiring Sign. 68. APPROVED FOR PLASTERING �
1.8. Rough Electrical-T'Bar Ce�ling 69. POOL/SPA SYSTEMS FINAL �
�19. Rough Heating & Air:Condi'tioning FIRE DEPT. REQUIREMENT '
20. Rough Factory Fireplace � � APPROVALS, Permit # �
21. Ducts, in Structure � - 70. Underground Hydro
42.� Ducts, Ventilating' � , 71. Product Piping O Gas ❑ Oil �
23rGas Pipe-Rough &-Test � . . 72. Underground Flush .
24.; Roof Framing i' � ' � , � 73. Undergmd. Storage Tank O 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. Final Electric . � .Notes: / � � l � � ��
34. Final Heating & Air Conditioning , ' � � . _
35. Final Gas Pipe-Test . � .
36. Hood or Canopy ' � � , � . � _
37. Final FactoryFireplace . � � . .
,.38. Final Plumbing. �t'� , � � . ' '
38. Water.Service-Fina1 � _ �
46.. Gas Service-Final . � � ' � ; , �
47;. Solar pomesticFinab� , � _ . � �
42. Backflow Preventer . . � ` '
. . ;e.
43. Backflow Irrigation . � � ' �C� " �:..y
44. Landscape Irrigation-System � � � �. , �
�
45. Sound Attenuation � • �i - . � � - . .
. i � '
46. Handicap Regulations' . � 1 ' ' ' -
47. FINALSTRUCTURE&BUILDING ' �� U� � � � ' �
48. S�pecial Requirements Completed . ,� � ,
49. Electric Release to Edison - - . � --,_ --. - ' � �` � : �
., v
-50. �Gas Release to South�m Califomia Gas Co � � � � -,� � 'i ��' .
51. CERTIFICATE OF OCCUPANCY ' ' � ' ! " "' �' �
- , t:
No. � � � ' Date , . �`� ' .
AP������� ,
� City of.C�sta /v�esa �3u;iuii�g t�,e.=pt..
" -; _�� ___._ e<,fe 8—It,, �
� ;=SE PLANS AhUST L'c O�! i08 N7 All TIMFS MAKE
k �: �:=HANGES WITHQU i PR!CR G,P'rTOVAL Cf- Ce9T.
;�3� ���
' '. �;SSUAn'CF_ l�.R Gf:ANTRdi3 Of A?EkIAI'i Qn ApFRn7,qi, OF�
'- L:W� SP"eCIPICF?ICN& SHAI.� N(J� EE CUN',iFUED 7^v BE A
� c. ' cOR. Gk A1� A?cP.O`/P.l Gf. AP:Y VIOV-.T�OK p� ANY'OF
�- '.�VISIONS C:F TF."5 CODE ^!O PFRµIT. cFcSUh1:NG i0 vNE
��11Y T:� vlGl:�Th O!1 C.�NCFi THc ?4LVISIONS :F iH15
."- :;411 6E VqiVtl, E'%CEi i IN S�� Fi,R AS TH@ `.vORX OR USE
' i :; FUIHGRIZES i5 lANiiU!: . �
' i
i
::SUANCE OF P. FEP�+1�T uASEJ U?ON•:L.:,,�.5 ANC
� _ fl0' S SHqI! N�?7 PFEVENT'!HE SUIID'N,�. Ci.r:�Ac
I t iF.' TER REOL'ii+IP!G 7HE'�OF.REC�:Oi� i�F eFSCnS IN
. AND SFeCI`IC?TIQNS' p:< pP,pa,� FREYF.`�ilu�:�
� '1PF.nIIONSGiIPi :ARHIEJO�iMEkEUNDBR�;He^.
. ' i ; O� THI$ CC^E R O: arJ'( CiiER OGCINAi iCE OF
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� NES�DENCE
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_ ' ,:; e+rv oF cosrn MesA
. 's'� � PLAIdNING DEPT.
� . '�: � �-•.-'C!' TO BL
_ ' DCi.'DEPT. RCiD t�
� , '' DATE._o j I I 0�
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STREET
R[BIOEMCE
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F
TYPICAL
Cement Coping Optional --
Channel Block With 1-3/S�
Horizontal Top of all
fences
For Fences 5' or Less �
Vert. Bars 3/8"� at 4' -0" O.C. �
For Fences Higher Than 5'
Vert. Bars 3/8"� at 32" O.C. �
Fill Cells Solid With Grout .
Where Steel Occurs
Reinforcing Steel Shall
Conform to Sec.A-15-39 � -
A.S.T.M.
All Steel to he Lapped
24" or to Code
NATl1RAL�.GRADE
TWO-3/8"�BARS . D�
� CONTINUOUSTOP � ,
& BOTTOM
D
�iORA2.STEEL MUST BE TIED IN 9
PLACE AT TIME OF TRENCH
INSPECTION. D' 'Q
f
0
¢ x
��
�
> w
¢ _
>
z
> —
a
f �
w o
U H
—W'IDTH
SEE CH!
BELOW
6�� CONCRETE BLOCK
FENCE
, . FOOTING REQUIREMENTS CHART
GENERAL- NOTES
MORTAR: pne purt Plostic Cement, and
Three Paris Sond
GROUT: One Part Cement Three and
One Half Parfs S�and
COPING: One Pa►t Cement, Three
Parts Sand
C�tVCRETE: Well Mixed 1:2-I/2:3-I/2
Max. of 7- I/2 Gallons of
Water Per Satk of Cement
GROUT MAV �BE POURED FHOM THE TOP
OF THE FENCE IN CELIS WHERE STEEL
OCCURS.
CELLSANO AREASOF HOHIZONTAL REIN�
FORCEMENT SHALI BE CLEAR; CLEAN &
FREE OF ALL NtORTAR DEBRIS, ETC.
H OF EARTH7COTH
I/3 THE HEIGTH OF FENCE
��OW �QOTTOM OF FOGTING.
SCALE: I/2��= 1'
WIDTH 14° . . . . . . . . . . .14�� . . . r: 12��. 12°•'a
___..__._... : :. . . i.
THICKNESS . . . . 10° . . . . 10° . . . . . 8". �. . 8" '
DEPTH OF EARTHTOOTH 24" 20° 16° 12��
SPACING OF EARTHTOOTH . 12' . . . 14� . . . 16'. . . . . . . . . . . I6'
City of Costa Mesa, California
Building Department
� .. ,. .. ,. ._. _ . iZEV15EP NOV. B2
UW4ERS NAME: _ _ — _ _ _ _ _ _ _ _ _ _ _
JOB ADDRESS. ._ _ — _ _ _ _ _ _ _ __ _ _ _
PERMIT NUMBER:_ _ _ _ _ _ _ _ _ _ _ _ _ �
SIGNATURE: _ _ _ _ _ _ _ _ _ _ _ _ _ _
�
.:�r �.�: :e�Ta�ia:��
2xzs Ac�e' �, rn� �,a �,r.�rea in� rh:s �' day of
T �-- � /
GJJ r . IY�. bY and be�reen Y-NYI ES . , C.� ���7�( 'L�
hereina�ter referred � as "I.AND OFt�ft", and �E'r"�'t� �• ��-
hereinafter referred to as "ADJACFSIT PRCPERIY �1NER".
It is hereby agreed that a party wall will be oonstructed pn the
praperty line between "�,� L L/`j�V��.C►C_.l R i�tid 7
��/ ���dr� s o � jo�� Praperties)
�o
in the City of Costa Mesa, Co�ty of Orange, State of CaliSornia, as per map
reconied in Bodc , Page of Miscellaneous Maps, in the office of the
Co�mty Reoorder of said Coia�ty., Rt�e party wall shall be permitted to encroad�
IN WI7NESS FI�REOF, the parties have entered into this Agreement the
day and year ficst above written.
IAND d7NER
as�G��-� ���.9�Z�
(Address)
• � • «a • •.�r •� • �•
� , .� �
�'/./ i. �_. ��
- �J � -
;
- .-. . _.
2�f� �� �- �, C� M �
caaaress) . �-y�¢2�
(NOTE; Please see reverse side bor notary's statcment)
. y r. . er �a i7
. 7.HIS 14�i2EF•PH'NP� 111a(32 dlld f'Iit2t2C� 1(IbD �7.5
, `}553, by ard behaeen � �
hereinafter referred to as "LADID ad�R", and
hereina£ter referred to as "AU7ACFNP P%PERTY Q�1NER".
It is hereby agreed that a party wall will be oonstructed on tt�e
prc�erty line be�.�een
`L 52 ��`iw�c�u ✓-�- �—+�( -F
d�.."a � ��Wp 5't(�P�Prfis o Ad]oimng Properties)
of
,1. 4Q8�4 K�
�.S'i'E1►�!,
in the City of Costa Mesa, Co�ty of Ora�e, State of CaliSornia, as per map
recottied in Book , Page of Miscellar�ews Maps, in the office of the
Co�mty Recorder of said Co�ty. 74�e party wall shall be pennitted ta encroad�
On4 'I N� � �2-�"Y
IN WIZfIESS Fi�REOF, the parties have entered intt� tl�is Agreement the
day ard year first above written.
Fi�,i�Z�"i� I�E7
/ i
!i�.r�.r� .. %�•
<< - � -
� ►.�_.-- —
- .-. . :.
AD�TACEPTr Pft�ERlY QaNER
� �tS�
(Slgnat— ure) �
�� i � �, NoIS-t�. � �
t�r�e (�lyped�inted)
as���u � �uc � I,IL �2� �.sr 2�a st «os����
cAaaress) . cHaaress)
(NOTE: Plea see reverse side Lvr notary's tement)
} . �
OWNER STYLELINE HOMES� ,INC. DATE 2'19'62
JOB ADDRESS252 C&[t12117.�. L9.ri2 BUILDING P�RMI����
GENERAL CONTftACTOR (
AP No�-1 –�7-50�3� LOT
INSPECTIONS
�u�
coat
OCCUPANCY
�ORM BU4 � SM —
TRACT
� Signature
FIR� ZONli DESCRIPTION OF WORK�
DATE GROUP I&.�`Yp� V 7.ONE
SUl3CONTRACTOIt
y
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CbSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COBTA ME6A. CALIFORNIA
For Applican+ fo Fill In Complefely
TYPE OR PRINT
,COSTA MESA. CALIFORNIA .
cirr NC'w 9'o I
ARCHITECT �L, 1
OR EN�INEFR a I=+ 1�-✓
� SIZE /. �
r�
FIRE
ZONE
APPROVED
FE� REC��1���
, �/ FEB 1 91962
" fINANCE ����: �
cirr o� �dsTA M€�A
APPLICATION FOR PERMIT
BUILDING
For Offiee Use Only
RECEIPT NO. PHRMIT NO.
GOSTA MESA. CALIFORNIA
ZONING
IONE I NO. OR I U88 OP N¢W f'� �/L. V
� r PLANe � BUILDINO �y.
1 // //�>y �f-
6%E'G. LEGAL /! r�d'/ `Y 6/ /�{`i �TI ��
NO. DE6CRIPTION �
� INO. OF BIDGB. /1 e o un � IO �' �S ��
NOW ON'LOT C/ �
6HTBACK LINE FRON � I//I f�=NTBR LINB BTJ
EeNTER OF 9'RteHT REAR YARD FRONT �'S I
SIOE YARD I LEFT �'(c+ `• I RIGHT �" R. SIDE 'Sf—I
DESCRIPTION OF WORK. s
L. SIDE
NEW I� II ALTERATION I II ADOITION ( oewo / � �
'Bl iG �p �� l% 61 NO. OF
srz� J �G7' ROOMS
AND WORK
�F
eS
FOR SPECIAL
1 HEREBY ACI(NOWI.EOGE THAT 1 XAVE READ TXIB APPLIGTION THE AMOUNT SHOWN UNDHR VqLUAT�ON 18 FOR THE
AND 6TATE THAT THE ABOYE IB CORRCGT AND AGHC¢ TO COM- pUPPOBE OP EBTABLIBHINp p PERMIT FEE ONLY.
PLY W�TH ALL CITY ORDINANCEB AND BTATH LAWB p86ULATING
BUIIDINO CON9TRUCTION. VALUATION
BIGNATURE OF . PERMIT FEE $ � �
PERMI7TE / �y
� $ ( � / ��^�' PLqN CHECK $ ���
AUTHORIZED AGENT / r---�
2
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