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HomeMy WebLinkAbout886 CAPITAL ST - Building PermitsI� L / PNOJECT p0UHE5S: OWNEWSNAME_ ' 8gb CAPITAL ST aoowess:LJIGMORE, 'PIMOTHY F WIGMORE EL,IZABETH A ` R86 CAPYTOL ST COSTA MESA,CA 92627 ANCHIENGINEEF: flEG.NO.: pDDflESS: UNIT: uNiT: PEHMITTEE: aooeess: T i 8 ft 6 hCAP I TAOA E ( 714 ) 6 31— 4 3 9 6 LICENSEO CONTFFCTOH9ECLAHATION: I hereby aflirm �hat I am licensed wderpoviso ��Ch D er 9(commencing wilh Section 7000) oi Division 3 o� the Business antl Pmfessmns Cotle. ana my license is in NII force antl e�fect. CITY LIC.: STpTE LIC.: CU1SS: �ate: Signa�ure: WOflKEflS' WMPENSPTION UECIABATION: I hereby aliirm Nat I �ave a cenificale o� consen� Io seli�insure or a ceni�icaie of Workers' Compensation Insurance. ar a certifietl copY �hereof �Seciion 3800. La�. C�. POLICY NO.: E%P. OFTE: COMPANY: ❑ Cerlilied copY is here�y �urnished. ❑ Certilietl copy is filed wilh ��e city Builtling �ivision. Jale: AODlican�: ' E%fMPiION FROM WOflNEPS' COMPENSATION OECIAflATION: �This seqion need not �e compleletl il �he permi� is for ane huntlretl ($10�) or less). I cer�tly Iha� in I�e pedormance o� the work lor which this permit,iy issue4l shall n� mplay any person in any manner so as to become sub'Ieci lo the Workors' Compensalion Lews oi Califomia. �. Date: ������� Signature: I��� NOTICE: Ii, afler making �his tleclaration. you should become sublec� m �he rkers' Compensa�ion pmvisions af �he La6or Code. you muSl Iorthwilh compty wiih such pmvisions or this permit shall OeemeO revoketl. CONSTNUC7ION LENUING AGENCY: I here�y alfirm ihat ihere is a consimction lentling agenry tor the DeAormance ot ihe work lor wnic� Ihis permit is issue0 (Section 3097. Civ. C�. LENDEfl: FO�NE55: OWNEfl BUILDEN OECIAHRTION: I hereGy affirm Ihat I am exempt fmm the Conlractors' State License law for the lollowing reason (Seclion 703L5 6usiness antl Professional Code: Any ciry of county w�ich requiBs a permit Io con5tmci, alter, improve, tlemolish, or repair any s�mcWre, pnor to its issuance, also requires �he applicant tor sucA permi� �o file a signetl sta�emen� �ha� helshe is licensetl pursuam �o Ihe provisions ai �he Comractors' S�a�e License Law (Chapter 9(commencing wi�h Section 7W0) of Divlsion 3 of tha Businass antl Pmlessions Cotle) or tha� helshe is exempl lherefrom antl I�e basis far Ihe alleged exemp�ion. Any violation o� Seclion 7031.5 by any applicani �ar a permit sublec�s Ihe apPlican� �o a avil penalry o� no� more �han live huntlretl dollaB ($500�. � I, as owner ol Ihe propetly or my employees with wage5 as Iheir sole compensa�ion, will do the wark, and the simcture is na� inlende0 or o��ered �or sale (Section 7044, Busmess and Pmlessional Cotle'. T�e Contracmrs' S�ale License Law does no� appry to an owner ol a pmperly who hui105 or impmves I�ereon, anJ who does such work himsel�/hersell or t�mug� his Or �er own employee5, pmvia¢a Nai SUC� improvemenis are no� in�enJea or oftere0 for 5ale. I�, however �he bUilding Or impmvemen� is sold wiihin one year ol completion, �he owner will have ihe burEen o� pmving he/she Aitl no� Uui10 or im0�ove lorine purpose al sa@�. I. as ownerot Ihe proDeriy, am exclusively conlracting with licensed conlraclor5 io conslmc� �he pwle�� (Section 7044, Business ❑ and Gm�essions CoOe: The Coniractors' Slale License Law tloes no� apply to an owner o� pmDe�y who builtls or improves lhereon and wno contracis for such proiecis wi�h a conlractoqs)license pursuam to ihe Coniracmrs' State License Law6 � am aware Ihal prool oi �heu Warker'S Compensatian insurance 5hou10 be pmvitletl lo me. � I am exempl untler Section: B. 8 P. C. /-� for ihis reason: � � � � �/ / �/ Oale'. � �/u �� Owner', �% �f O - I Oo hereby certdy Ihal I am aware o� and untlerslan0 ihe requiremen�s al Cah�omia Healih a afery Code Sectians 25505, 25533, and 25534 ana Ihai I or any W�ure building ocapanl will/will not (circle one) neeU Io comply wi�� itl sia�e coAes an0 �he requiremenl5lor a permit lor conslmciion or modi�ica�ion Imm Ihe Nv Oualiry Management Dislrict. FeSiAeniial consimc�ion apPlica�ions are exempi �mm IIICSE p�Ovi5i005. �a�e: AOP�icanL I hereby ceriitytha� I have reatl t�is apPlication antl 5taie Ihal�he aboveinbrmaiion is correcl. I agree �o comply with all city antl counly ortlinancesanestatelavurelaiingto�uiltlingconsimclionandhe�aWhorizerepresen - 5qllhisciryioenterupon�heahove�menlioned pmpetly Ipr insp¢LIiOn pu�pases. � �ate: 7 �� � � / � Signalure: ���� � �river 5 Lmense or Social Secunly ar �� I6aL46 Wnite—Butldinq; Green—Cotle EntorcemenL Canary—Applicant: Plnk—Revenue: Goltlenmtl—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERMIT N0; H 061422 PLAN CHECR NO; N CONSTRUCTION TYPE; PERMIT TYPE: STR JOB DESCRZPTION : REkOOF W/COMP SHINGLES OVER EXISTING PEkM NO; B Oii1422 GOVT; N SUPP; i� PURPOSE; OTFI SQ FT; ��''1, 200 CLAIM VALUE; 1,200,00 CALC—VALUE; 1,200.00 GROUP OCC; R=3 /M-2 COMMENTS; REROOF 1200SF kESID & GAkAGE W/COMP SHINGLES � *��*�x***x��e*x�****�***�***+t*x*xx*#*x�#Q�***��r+ra���x����e�x�r*x p ���C 1 Z O N I N GS EkT�B AUCIKkSE M E N'T S �C o� ------------ MAIN BUILDING ---------- --------- ACCESSORY FiUiL'Ui1GG"I���-- FkNT: FT IN kEAH; FT IN FRNT; FT IN REAR: FT Ly LEFT: FT IN RGHT; FT IN LEFT; FT IN kGHT; F'T I� PAit3tIivG REQ• PROV: PARCEL: 42239113 ZNE; REr NO; PLANNING NZ5TE5> > : � **���*�*****x��***���r�r*x��r��r�r��*��*�*x�r�tx��cxx�**�*�xx*x��r****�xx�*�c-�*�e.�•*�c�cx*x �x��r D E V E L O P M E: N T S E R V I C E S R E Q U I k E M E� N�T S 7.UNING APPROVED BY DATE; '��.' HUILDZNG APPkOVED BY ; DpTE; li APPLICATION ISSUED BY• DATE• �P>� 3f iE �]E iE iE if ik k 3E ik lE iE iE rt% IF 3F l! iE iE 3E rtiF iFTtlF it'X�i ii•�F7F �Tc�SFTt�F7F3F iFiFli'fFTr iF iF� ic3FiF3F iFRiF,F iE 3E �lE %�lE x- �F-YF iF fE it � x it, �-n� 3E # iE iE iE iE iE iE IF !E k iE it iE if i(� 3f �f� �F �3P fE N- k%� iE i( N� 1f ik k� i(� iF K� iE 16 iE iE �( iE iF 3E%iE �(-if 3E iE iE 3E 3E )f iE iF �X� % k if if IF IF ff i@ iE *-M� �%iE iF i(- iF i(� jF ii� #F it #�%� %� iE jh ?E LEGALI'LATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;Y BLDr PMT PLUMBING ELEC"PRZC MECHANIC FIRE SMIF�/RES GRADIiVG PERMIT 29,00 � �'� 50 SMIP/NON—kE5 PLAN rssuF FEE BUILDING—DIV—> TOTALS----> PERMZT I55UE PLAN—CH$CK TOTAL PAID DUE 29,50 0',00 =: 0,00 29,50 ?.9.50 ,00 ikEVENUE DIVISION TOTALS--> COLd;ECTED.; 29,50 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 29,00 .50 itlFif-1f jF iElf 1E 1E lE if If 1h iE �%ik%iF 1ElE iE iE ih!(� 16 if -1( iF JF iE if i(� If 3f if 3Eih iE iE ik if %� i(� iE if if �iF%%iFiE iE iE iE X� �f iF �E lE 1(� if iE 1E 3f jF �!E iP if iF if )f iF 3F K� if -1f %� ii� �lE 2 N D I V I D U A i F E E H R E A K D O W N TYPE �iTY L� E S C_ R I P 2' I d N • UNIT C�ST TOTAI� iOST SFR 17.00 REROOF BY VALUE RESIDE:NTIAL Nf�ZUNE 1.00 1,?_00,00 END OF FEE.S' r't i . 1 ) ('1 n�.' r-r - ,. .. - , _ _. � . i r: � . � � _ . . , � � . . . " . � ' . . . _ CONSTRUCTION ANDPLANNING APPROVALS Permit # 1. Temporory Electrical Service or Pole 2. Soil Pipe•Undrgrnd. � 3, ElecVical Conduit Utility•Undr9rnd. 4. Etectrical Conduit-Undr9md. . 5. Steel Reinfo�cement 6. Electrical UFER Grnd. 7. Footings 8. Foundation � 9. Water Pipe-Undrgmd. 10. Structural Floor SYstem 11. Property Sewer Line & House Connection 12. Sewer Cap 73. Roof Drains !4. Rough Plumbing 15. Rough Electrical-Conduit 76. Rough Electric Wiring 77. Rough Wiring Sign 18. Rough Elettrical�T Bar Ceiling 79. Rough Heating & Air Conditioning 20. Rough Factory Fireplace 21. Ducts, in Structure 22. Ducts, Ventilating 23. Gas Pipe•Rough & Test 24. Roof Framing 25. Roof Sheathing - 26. T-Bar Ceiling (Structureq & Monocoat 27. Frame and Flashing 28. Lathing & Siding 29. Insulation 30. Drywall Nailing 37. Plaster Brown Coat 32. Electrical Power MeterFlnal 33. Final Electric 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or CanopY 37. Final Factory fireplace 38. Final Plumbing 39. 4Vater Service�Final 4Q. Ga: Service-Final 41. Solar pomestic-Final 42. Backf4ow Preventer 43. Backflow Irrigation 44. Landscape Irrigation SYstem A5. Sound Attenuation ' 46. Handicap RegulaCions 47. FINAL STRUCTURE & BUPLDING 48. FINALPLANNING " � 49. Electric Release to Edison *j � 50. Gas Release to Southem California Gas G 51. CERTIFICATE OF O�CUPANCY Jo. Oate ___ _.____ POOI �A Dace Inspector APPROVALS Permit # 52. �Pooi & Epuipment Location � 53.,Steel Reinforcement ' 54. Forms � � 55. Electrical Bonding � 56. Rough Plumbing & Pressure Test 57. APPROVALTOCOVER�GUNITE 58. Electrical Conduit�Undrgrnd. " 59. Gas Pipe, O Undrgrnd., Test 6Q. 8ackwash Lines,P-Trap, O Undrgrnd. 61. APPROVAL TO DECK � . � � 62. Backwash & Receptor-Finat ' 63. Heater & Vent-Final �' 6A. Plumbing System - Fina! - � 65. Electrical-Final ' 66. Solar System-Final 67. Fencing & Access ApProvai 68. APPROVEO FOR PLASTERING 69. POOL/SPASYSTEMSFI�AL FIRF��DEPT.REQU�REMENT APPROVALS Permit# : .1 Date Inspector l 70. Underground Hydro 71. Product Piping O Gas OOii 72. Underground Flush 73. Undergmd. Storaye Tank O Gas ❑ Oil 7A. Overhead Hydro 75. Dry Chemical 76. Dry Standpipe 77. FIXED SYSTEM FINAL 78. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION 80. FOOD CERTIFICATE ISSUED Notes: w o�/1�`/ �� /�f/9%av t"`- 9 r' S�GENERAL CONTRACTOR �AP No.115-5 —� INSPECTIONS Service or DESCRIPTION' BUILDING PF.RMIT NO. VALUE SUBCONTRACTOR - 2�_t 29 r� COSTA MESA BUILDING-SAFETY DEPARTMEM P.O. BOX 7200 COSTA ME9A� CALIFORNIA BZ820 For AppUmM fo F711 In ComploHly. TYPE OR PRINT su��iNa . ADDREBY COSTA MESA. CALIFORNIA i . _ . I � 6 y� LIC.TNO. 2 � %d N L ��M� .s.�Ze..r / i' ✓ /n 9 ..r I �°:..°^ °.�° ie� �r O R6AR i 6R RIOFiT DESCWPf10N OF WORK N5 F n L id,E C6 �� I HHR6lY ACKNOWLiOOi TXAT.I N�Y6 PG YHIO A�'I.IGTON ANo BTAT6 TXAT iN[ ABOV�.19 CORq6CY AND AOR66 YO COtl- PLY WITX ALL CITY ORDIfUNCC! AyD �TAii L�1M� IILYY�ATIXO GUILOINO COHBTpUCT������ BIONATUR! OP � PfiRM17T8� wurHORizecwoirti ,. x Vf.10 i} iti: `'' :: 7u��s-�-6��,�,5�00 025 99.0� ArPLICATION FOR PERMfT BUILDINa for Offln Us� Only R[C[I'-NO. �1 �Y DAT[11[C[IV[D W er�••,,•_� %�" %�O`� owTe C� 1 - /o / ZONING c r O~ ✓� ,I H►LAN) � OUILDINO�/ �-'� /� \ /� L[OAL � A... ` (/�� �� �'u�� D[YCPIRION !l � �/" / BJLrr� A. P. NO. �/�J � S� �,'— I / N0T8: NOEAVEOVERNANOBHALL�8L688THAN HO• TO HID6 Q RPJ1R p. 4 6AVB8 ALLOWBD �U.B.C.RBQUIRlM6NT7 YARDBAPPROVED VARD9APPROVHO MAIN BUILDING ACCE880XY BUILDINO VAR. # Y �+� I DAT6 o- •• , a w � /S/� e,. �.. SoSG4 r� � iX[ I140UM �MOWt� UMO6R VALUATION �8 POR THi � PI1RPo8[ O� Yi11GLIGHINO A PPJiMIT P68 ONLY. � VALUATION PERMIT FE6 s ��� b � � E s �,p�,r�ji „ 33�_0o w 707itl.PEE � OD OWNER ��T,p ,� ROBEH`L' 1.OB ADDRE55 886 Cau� GENERAL CONTRACTOR �mi AP No. 115-56�19 LOT�po INSPECTIONS SOIL GAS W ATER FOUGH PLUMBING PROP. SWR. LINE Q HOUSE CON. SPRINKLING SVSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORPRV SERVICE OR POLE UNOERGROUN� � POWER � ROUGH WIRING TRENCHES � FORMS � STEEL RE FLOOR SVSTEM BOND BEAM [� STEEL REINFOF�E [ SHEATHING FRAME AN� FLASMING LATHING - IN n OUT ❑ PLASTER, BROWN COAT STRUCTURAL, FINAL NEATING, VENT.� REFRIG. ANO A.P. FII PLUMBING, FINAL AND GAS TEST �� ELECTRIC, FINAL DATE 4_u_(g _ BUILDING PERMIT N0. 2 1 K o�....v ia.,�� SUBCONTRACTOR _ : 28441 COSTA MESA BUILDING-SAFETY DEPARTMEM P.O. BOX 1200 COSTA MESA� CALIFORNIA 9202! For ApplleaM }o Ffll In ComplMoly TYPE OR PRINT OUILOINO ADOREBG COSTA MESA. CALIFORNIA 1.� � _ _L !/ l7 ! 1. wrecH�reer i DESCRIPTION OF WORK BUILDINO � �� 775' nF �' FFarE' 1 XCR6oY ACKNOWLiDO[ TXAT.1 N�V6 11iI�D YMI� APILIGTON ANO BTAT6 TXAT TM[ ApOV[.19 CORR6G7 ANO AOR66 YO COY- PLY W�in ��L CIT' OROINANCi! 11ry0 �TAi[ L11MI� 11[OYL11TM0 euuoixo conernurnoq. _. . , � AU7MORIZ6DAO2NL APR t,1=68P�00 673 0**�**3.00 APP,LICATION FOR PERMR BUILDIN6 For Off(co Us� Only 11[C[IR No. I �i ZONIN(i A.P.NO. //S— NOTE: NO EAVE OVERH DO• TO 81DH 3 REAR P. EAYEB ALLOWHD YARDEAPPROVEO MAIN BUILDINO f FROM C/L fTR6lTJ., �nonr d rr, r� R.�Y�CR 7 IT. i/ L. BIDt � FT.T / R� I " �'" c�srwNee e¢r. MAIN BLDOY. VAR.# _�`/ � � / 0 BHALL DH Ll88 THAN (U.B,G,REOUIREM8NT1 YARDHAPPROVBD ACC6880RY BUILDINO rr. �. S � . � ���� �. eer. M��N e ACCE63. BLDOB. DATB MPROVBD owTe �i — I I — (o � �- • y ro �. ea. Fr. � TX[ AXOUHT �XOW1( YND6R VALUATION 19 POR TH[ � M1RPO6i OI �BTApLI8XIN0 A PHPMIT Pi[ ONLY. � VALUATION p � PBRMITFE6 �� � D�� w° �QWNER GURITZ. ROSERT H. DATE ii-2o-67 o. 115-564-19 LOT 5F� TRACT FF FIRE ZONE Gn� WATER ROUGH PLUMBING PROP. SWR. LINE Q HOUSE CON. [ SPRINKLING SVSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONI TEMPORARY SE0.VICE OR POLE UNDERGROUN� � POWER � ROUGH WIRING TRENCNES � FORMS � STEEL FLOOR SVSTEM BONO BEAM n STEEL REINFORC SHEATNING F0.AME ANO FLASHING LATHING - IN n OUT � PLASTER,BROWN COAT STRUCTURAL, FINAL H' 'G, VENT., REFRIG. ANO A.C., P. iNG, FINAL ANO GAS TEST C BUILDIN� PERMIT N0. SUBCONTRACTOR ` 278�0 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BO% iZ00 � COSTA ME6A. CALIFORNIA 92626 For Applicanf fo FIII In Completely . TYPE OR PRINT 8�AT8 LIC. Ni SIZE COSTA MESA, CALIFORNIA � .-,-� .. TBL NO. DESCRIPTIOtd OF WORK BUILDINO SIZE EXTERIOR WALL COVERIN6 UBHOF UILDIFI �w/U4 ,'�'�'ivCr .rf /i�iS� 1 HEREBY ACKNOWL[00H TM I NI1V8 RGD T118 APPLIGTON AN� 6TATH THAT TN8 ApOVB I� COpRlCT�AND AOR86 TO COM• PLY WiTH ALL CITY OpDINANCO AND KAT6 IAWt RIOYtATIXY BUILUINO CON9iRUGlION. / J /�� c�r•vwr.rsc..s � /l l rr-a� W .?� � wurnorttzen wcerrr NOY 20-67�x�00 896 �***�+3.00 APPLICATION FOR PERMIT BUILDING f0� Ofilce Use Only n[cc�rt no. I n C ZONING zoy[� I no. o� uca o� nsw tK �uN� �/ OYILDINO kE9�:,....,.. (i a R L s"t S—Zc f `�--.�— sHw�� ee �esa rH�H YARDHAPPROVlD , I YARCSAPPROV6D MAIN BUILDINO ACCH880RY BUILDIN6 i/ owre - . �g� r ' - � • W 0y1 3 � ea. Rr. o TX8 ANOYNT BXOWN UNDBR VALUATON 18 POq TH8 � j PUqP098 OP 68TABLIBXINO • PERMIi P88 ONLY. j VALUATION � � � � PERMIT FEE � p 3 ° � w TOTAL FEE $ �