HomeMy WebLinkAbout694 CAPITAL ST - Building Permits' � � � CITY OF COSTA MESA �
.
• � BYILDING DIVISION
� � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us
�. FOR INSPECTIONS CALL: (714) 754-5626 �
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PERMIT NUMBER: BX08-00277
PERMIT TYPE B MISC STATUS: fSSUED
APN: 42217112 DATE ISSUED: 09/22/2008
Zoning: , ISSUED BY: RMD
JOB ADDRESS: 694 CAPITAL ST CM. , - Suite/Unit:
Vicinity: GARAGE . �� �' Primary Occ � ; ��- r .�„ � .'�..,.., Const Type :?1 .
SQ. FT: 0 �-"�Valuation ;- E1-000A0� - a.�'_� • � -
SCOPE OF WORK: _r '- µ -.
AUTO DAMAGE REPAIR TO GARAGE REPAIR/REPLACE 10' OF FRAMING AND STUCCO ATREAR GARAGE WALL (NON-LOAD
-:
r�;.
..r r- r.-`. - t -
BEARING WALL). x
OWNER:
City/Stale:
Phone:
APPLICANT:
City/State:
Phone:
,
ADAMS, HARRY�CLARKE`JR Adilress:: 694 CAPITA� ST �,-�. , � Unit '�
COSTA MESA, CA " Zip!Co:de:i' 92627 -
949-645-4963 ' . � ' -., '. ,'.`.. .
�- . _ _ . +_ � -
ADAMS, CLARKE JR Address: 694 CAPITAL ST ; , UniC .
COSTA.MESA, CA,-.: Zip Code: 92627
,
949-645�963 `.< .. ,..--,:. -. .. _ . � � �, . ,::._' . , �: `.
i.
CONTRACTOR: OWNER-BUILDER , License No 000000 '
Address: - `��r` __ � Unit
City/State: , � .
..
Zip Code: Phone ' Cell:
,; .. , . , . . , � c �'�,� . .
,
ARCHITECT: -- �_ , � �'. License No. �-- --t- _ . .
Phone � � � � _
ENGINEER: License No. _
Phone . - ...... `.. � .
F.EE'SUMMARY ... _
Building Plan Ctieck _ `'$0:00 '
Building Permit: �-`-�.. , `,-, .,,� , � $38,75 -.. . �"��•�
Electrical Permit: ' $0.00
SMIp Residential � �'��'$0:50 " .. � ' � � -
SMIP Commercial $0.00'
TO7AL FEES � � � $39:25 _ '
NO710E: The work authorized by this permit shall comply with all applirable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § t, 12-21-92) �
EXPIRATION: PERMIT EXPIRES 180 DAVS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. . ..
INSPECTIONS: In order for the work auMorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections antl Tinal approval must be obtained. Failure to obtain inspections and fnal approval will result in the expiratlon of this permit.
OG OE i. INSVEL110NTYPE
1616 Fixed System Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Roof
201 Final Block/Retaining Wall
202 Final Factory Fire Pla�
203 Final Sign "
204 Final Demolition
DATE INPTIRL
�
COOE 7 INSPEL710N TYYE
206 Final Mechanical
20B
210
212.
220
222
250
Final Plumbing
Final Elecincal
Final Fire Prevention
Final Planning Approval
Final Site
Final Building/Occupancy
� DATE INTIMlS�
�w- �� . �4 vvY
WORKERS' COMPENSATION DECLARATION:- . � � . '
I �ereby a�rtn under penalty ot perjury one of the tollowing tleclarations:� .
❑ I have and will maintain a certifcate of consent to self-Insu}e foi workers'
compensation, as provided for by section 3700 of the Labor Code, for.the
peAormance of [he woik (or which Ihis permit is issued. " �
❑ I have and will maintain workers' compensation insurance, as requiretl by
section 3700 of ihe Labor Code, for the peAortnance of Ihe vrork for which this
permit is issued. My workers' compensation Insurance carrier and policy
number are:
Cartier:
(�his secfion need na oe mmpetetl ilfhe pemra u valuee af one nund.ed nollars (EtoO) arless )
Polic umber:
"l�certify lhat in the peRortnance of the vrork (or which this permi[ is
issued, I shall not employ any person in any manner so as to become subject
to Ihe workers' compensation laws of Califomia, and agree lhat if I should
become subject to the workers' compensation provisions of Section 3700 of
the La�Q�r Cotl , I sh orthwi[h wmply with these provisions. ^n
K�L �� �i W
ApW�fam§ Siqnalure Oa�t _ �
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE
IS UNLAWFUL AND SHALL SU&IECT AN EMPLOVER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLL4RS
($700,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
1 hereby affirm that I am licensed under provisions of Chapter 9(commencing
with Section 7000) of Division 3 of the Business and Professions Code, and
my license is in full force and eRect.
Lic. # Class #
ConVactor s Signalure Dale
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirtn that lhere is a consWction lentling agency for the
peAortnance of the work for which this permit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Address:
Signalure Da1e
OWNER-BUILDER DECLARATIONS:
I hereby affrm ihat under penalty of perjury ihat I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for the following reason (Sea 703L5,
Business and Professions Cotle: Any city or counry which requires a permit to
construct, alter, improve, demolish, or repair any stmcture, prior to its
issuance, also requires the applicant for such permit to fle a signed statement
[ha� he or 5he i5 liCensetl puf5uant b the prOvi5ion5 of the ContfaCtOB
License Law (Chapter 9(commencing wilh Section 7000) of Division 3 of Ihe
Business antl Professions Code) or [hat he or she is exempt therefrom and
the basis for Ihe alleged exemption. Any violation of Section 7031.5 by any
applicant for a permit subjects the applican� [o a civil penal[y Of not more than
five h red dollars ($500).�:
I�as owner of [he pmperty, or my employees wi[h wages as their sole
compensation, WILL DO THE WORK, and the slructure is not intended or
offered for sale (Sec. 7044, Business antl Professions Code: 7he Contractors
License law dces not apply to an owner of property who builds or improves
thereon, and who does such work himself or herself or ihrough his or her own
employees, provided lhat such improvements are not intended or oftered for
sale. If, however, the builtling or improvement is sold within one year of
wmpletion, the ovmer-builtler vnll have Ihe burden of proving that he or she
did not builtl or improve for purpose of sale.).. ., ,
❑ I, as ovmer of ihe pmpeey, am EXCWSIVELY CON7RACTING WITH ��
LICENSED CONTRACTORS to conslruct the project (Sec. 7044, Business and
Professbns Code: The contractors License Law dces not appty to an owner of
property who builds or improves thereon, and who contracts for such project with
a contracta(s) license pureuam to the Contractors License lavrs.�.
❑ I am exempt untler sec.
Business and Professions Code (or this reason:
P �- . �t � z.2 D�J
� �SignaWre �
305�-d6(3�0�)
Owner ID veriied by
$ Expires:-. e�Z-3•D 1i�
Verification of Ovmership by (rype of tlocument, i.e. - property tax bill or de ):
DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION:'. -
❑ I hereby certBy that no excavation frve (5� or more feet in depth into which a
person is required to descend, will be made in connectbn with work authorized
by this pertnit, and thal no building stmcture, scaffdding, falsework, a demolition
or dismantling thereof, will be more than lhirty-six (36) feet high. (Chap. 32, Gry
2, Arl 2. Sec. 341, Title 8, Cali(omia Adminisl2tive Code).
❑ As owner-builder, I will not employ anyone to do work which would
require a permit lrom the Division of Indus[rial Safety, as noted above, unless
such person has a permit to do such work from the division.
Appliranl's $ignaWre Date
Division of Intlus�rial SaFety Pertnit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. will ihe applicant or present or fuWre building occupant need to fle and
cedify a Business Plan (or emergency response to release or threatened
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of [he California Health and Safety Code requires, with some
exceplions, that a Business Plan be fled with the Costa Mesa Fire
Department by every business which has at any one time during a reported •
year a quantity of hazardous materials equal to or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
al standartl temperature and pressure).
2. Does or will the applicant or present or (uNre building occupant neetl to (le
a registretion form for acutely hazardous materials4 ❑ Yes ❑ No
(Section 25533 of the California Health antl Sa(ery Code, with some
exceptions, requires regishation wi[h Ihe Costa Mesa Fire Departmenl by
each business which at any one time has on hantl a quantity of acutely
hazardous materials equal lo or grealer than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
temperature antl pressure�.
3. Does or will the applicant or present or fuWre building occupant need to
prepare an RMPP (Risk Management antl Prevention Program for acutely
hazartlous materials)? ❑ Ves ❑ No
(Section 25534 of the Califomia Health and Sa(ety Code provides that the
Costa Mesa Fire Department may require the preparation, certifcation and
fling with the Fire Department of an RMPP by businesses which are required
to register aw[ely hazartlous materials wi[h [he Fire Department.
4. If an RMPP is presently required, has Section 25534 of the Cali(ornia
Health and Safety Code been (ully complied with? ❑ Ves ❑ No
5. Does or will the applicant or presen[ or future builtling occupan[ iequire for
the vrork which is the subject ot this application a permit for such COnSWction
or modification (rom the South Coast Air Qualily Managemenl District or from
any other air pollution control distncl or agency? ❑ Yes ❑ No
(Section 658502 of the CalAomia Govemment Code requires that the requested
in(ortnation he fumished on applicatbns fa non-resitlen[ial building pertnits�.
6. Will any part of the faciliry [o be constructed under [his permil be wi[hin
1000 fee[ from [he outer boundaries o( a school? ❑ Yes ❑ No
Qf "yes", the facility must meet the requirement of Sections 25534 and 42303
of the Califomia Health and Safety Code).
7. I( a pertnit !rom the South Coast Air Quality Management DisMcl or other
air polWtion control tlistric[ or agency is required for Ihe work which is Ihe
subject of this application, have all of the disclosures prescribed by Califomia
Health and Safery Code Section 42303 been made? ❑ Yes ❑ No
8. Qf'yes", attach certifcale of compliance from the appropnate air�polWtion
control officer). ' � � � � . - '
CERTIFICATE OF COMPLIANCE: I certify-that under penalry of perjury.lhe
information given.above is correct I agree to comply with all state laws and
city ortlinances regarding Hazardous Materials and Emissions. .- - �'
signawre Da�e '
CERTIFICATE OF COMPLIANCE AND �AUTHORIZATION OF ENTRY: I
ceAify under penalry of perjury that I have read this application and state that
the informa[ion given is correct. I agree to comply with all state lavrs and ciry
ortlinances relating to building construction, and authorize representatives of
[he City of Costa Mesa to enter upon [he above-descnbed property for
inspection purpose . I a �ot to occupy or allow occupancy of any building
aulhoriz this er i n fnal ins ection.
—SlgnaWred(LeBalOvmer�s) � Z LIe,�
An0/w AulhotrzeE ApPlit'anl
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C`l'�k4� 6 �� `F `t �
APPROVED
CITY OF COSTA MESA
PLANNING DIVISION
SUBJECT TO BLDG. DEPT. REG.
NOTE: ADDITIONS, DELETIONS,
OR CORRECTIONS SHALL BF.
APPROVED BY THE PLANNING DIV.
BY:
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TESTING
. .
Laboratories �,� ���«t�=z,= ��=<<f�z,=«=, �,��.
P.O_ aOX ai . 3710 PJR°ORl WAV . LONG BcqCH_ CALIR 9080� . 1713� a2mJ355 • �2i3� 63h�2386 . p14� 816-6432
¢�A`:o� n=ciCES:
�si._o��e„n�,.o..s�,,,.. _.._ :m�oe��.�:�,.i�„r,g
s,��� n,., ce :� �.,>a;m /i'�F � ras� aea�,a: n... =o e...�
�11�� c]1.2L�5 �1� I��i C� Larq PnnCM1, Gi.: SOEJI I]IlI O)0-1t80
, ��,. �—�, r,d �
September 4, 1975
Ezamination: $[]5—�F�49
COMPRESSION TESTS ON GUNITE CYLINDERS
Mr. Errol F. Heesch
12921 Aspenwood Lane
Garden Grove, Caltfornta'92640
PROJECT Pool for KARL GIBBS
ADDRESS 694 Capitol, Costa Mesa
SAMPIE FROM Gunite Swtrtmfng Pool
♦PCMItECf '
ENGiNEEw
MIX
DATE CAST
DATE TESTED
CYLINDER NO.
COMPRESStON
TOTAI IOAD, 185.
POUNOS PER SO. IN
SIZE:
COMPLIANCE
CYLINDERS
CONiAPQOu
South Coast Pools
sueconrancroa -
Grove Guntte Co.
SPECIFIED
4—I/2 t0 1 STRENGTH
$-28—�5 CYLINDER SIZE
9-4-76 9-4-75
� 2
7-Day 7-Day
]1,000 ]II,000
2,735 2,760
S-3/k" x 13-I/2�� 6�� x 13"
7-day test canplles wtth specifications.
MqDE BY
Sktp
oisT4ieunor+
Lbsta Mesa Bldg. Dept. ,
Grove Gunite Co.
South Coast Pools
68t3 W, t3aker, CM 92627
E. F. Heesch - 2
�
� .�„�E..��:, "t . _. ,, •` ,��. ��.. �.��. �.�.�� � ..�
.�„-
2,000 psi
9-4-75
4 "HOLD"
3 5 "Holo"
6 "HOLD"
7-Day
73,000 �
3,072
5-i/2" x 12-3/4'�
DEtIVEYED BY RECFIVED ON
E.Heesch �-29-75
�UICDINf� SAFE71' f���i:
SEP 8 1975
i
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� •.r�..�' n�. �nu �9��C�' ll�. O� C 4 (�'OALS CO^ICLI.5�0`�5 O� [•
.i„ �n... .� . ,,,,,.� o..o�ec� n. �o c� e. s...e w,;euc ...o o„=sr�.-Es
ra OWNER r
;� JOB ADDRESS g
� GENERAL CONTRA
�
a AP No. 7 5-462-
�_ INSPECTIONS
,`�
� Poot Location _
Forms
Main Drain
Steel Reinforce _
Elec. Bond
Approval tP Cover
Undergrou�d Electric _
Gas Piping Test
Filtering System Lines _
Backwash 4ines and Recep.
Electrical Final
Heater and Vent Final _
Fiiter System Fi�al
Backwash and Recep. Final
C......:.... C:ml
RACT
�
DESCRI
FIRE L
DATE 8-19—
BUILDING PERN
< Pvt. Sc:
VALUE$ � nr
SUBCONTRACTOR
Plumbing
. ;
�,
� _694 Capitol �uilding
Address
Karl Gibbs owner
Sout Coast Pools Concraccor
Costa Mesa Address
Permit Date
�0439 Numbex $�19�75 Issued
ciTr oF cnsTn riEsn
, DEP.�R7T(EhT •
OF
BUILDi\G S �FETY
� �
��a,,,.� ,
' tered D p y uilding Inspeccor
Certificate of Compl;ance
8/28/75
Date of this Cercificate
To the Director o` Builflir.g Safety:
I hereby cerLify that the follocoing poxtions of :oork on the buildings
at the above address which required continuous inspeccion and which I was
employed to ir,spect, coere inspected by me and comply with the provisions
of the Building Code applicable thereto.
1) Concrete 3) [•ielding 5) Special Cases
2) Ptasonr}� 4) Reinforced Gyp`sum
SwiT.^�ing Pool Size 1�4'X29' Gunite g Hand Pack
Sacks Cement 1�8 Tons of Sand
Approximate % of caater in aggregate 5°fo
This report covers wozk completed during week ending 8/30/75 �
�:
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� �Z �( ���%
Nan,e Errol F. Heesch
Address 12921 Aspenwood Ln.
Laboratory TWlnln Telephone 537-(125
Orange Co.
Fo rm BU 6
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Comple[ely — Use Ink Only
BUIIDING � b C I/ O�•
ADOFESS �
OWNEf: I�� l. G I/�l�S
MAIL �" /� �. �J
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CITV C(�STN / 1 K SYI NOL.
LENDERV' •
BRANCN
AODRESS —
AFiCHITECT n �
ADDRESS �O` � r Q�K 1Iy—S ,_—
CONTRACTOR SOV �� �O�'S� UV��
AODRESS � g� �,/ �'J" `J�� -
CITV`(7S�A /��C"S� N�L�7��
STATE ^oO�, nl CITV
LI0. NO.� j lS LIC. NO.
SIZE NO.OF BLDGS.
OF LOT . NOW ON LOT
USE OF
EXISTING BLDG. '
Separate permits are required for
electric, plumbing and heating work.
VSE OF BUI�DING AND WORK F9 BE PERFORMED
I hereby acknowledBe that I have featl thls applicatlon untl stete
that tha ebove information is correct antl agrea to comply with
all laws regulaiing building consttuetion, und I shall not employ
any person in violatlon of the workman's compensation Iaws of
the Stata ot Californla.
I hereby certify that I am properly licensetl as a contractor untler
the State ot Calitornia eusiness antl Professions Code, Division 3,
Chapter 9, antl that such Ifcenses ere in full force and effect, or 1
am exempt trom the provisions of the State of Calitornia eusiness
and Profassion/s C�otle, Divist 3, ChaPt 9. '
SiBnature of (..!„-� �
Pe�mkSee / ��� -
���
Authorized Agent ,
R
'.i�G �9-75�A=�'QO10i8� `'�,t:^:48.50
MS'
FORSTRUCTURALPERMIT
DATE RECEIVED nerv wcimr
A.P. NO. //S �
BUILDING
ADDPESS
TRACT ��
ZONE NO.OF
J PLANS Z
YARDSAPPROVED
MAIN BUILDING
DI5iANCE BET
MAIN BLIX3S.
VAR. #
VA�UATION
5
1�LOT �[S BLOCK
VALUE
USE OF NEW�,
eUILOING
YARDS API
ACCESSORV
BET. MAIN &
N
n
-- m
i
u
m
N
VN UNDER VALUATION IS FOR ' m
"ABLISHING A PERMIT FEE ONLY: �
PERMITFEE $ 'L�(/ a
N
m
PLAN CHECK $ ,�— o
TAX S � �
U
TOTALPAID $ /J7
��!'�sta Mesa Building Department
� 711 EA8T 20th STREET
--" COSTA MESA, CALIFORNIA
FOR APPI.ICANT TO FILI. IN
Architect or
(Attach Metes and
Size of LM �d
im
Si
New
Exterior
Lfc.
APPLICATYON FOR PERMIT
� euiL���� �
__ __Receipt_No. _ _
Received by � Date Rec'd. ��
Costa Mesa, California
� Nearest
Cross St.
No. ot Bldga
Nowon Lot 0
No.of No.of
Famiiles Rooms ,
Rear Vard �Y � �
��._..,..
Demolish
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Covering - I Covering - APPROVAi C
Use of New
Building � Foundation Location ¢ Inspecto
Forms, Materials, -n
� Under-Pinning `'
� Freme: Fire Stops, �i �
" Bracing, Bolts �
Lath.lnt. o
I hereby acknowledge that I have read this Application — �
and state that the above is correM and agree to comply N N
with all City Ordinances and State Iaws regulating Lath. Ext. a y
building constru tion. j3
Signature of Plaster,int. ��
Permitte ��
� . Plaster, E�ct. ��
Authorized Agt. � �
Masonry Reinforced�
Valwation rmit Fee $ ,Z � � '
/J1 (� / Plan Check $ j. �� Bond�Beam rv
3 "/ ) �� / , Total a c �
Fee $ .� � FINAL
rneu �na r.-w �u s-en '
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