HomeMy WebLinkAbout1628 CARAWAY DR - Building PermitsJob #8273 Jeanne Masson Applicant to fill In all spaces except those
CITY OF COSTA MESA PERNIIT NO��� TI
CONSTRUCTION PERMIT ��(/�� 7
Applicant's Mailing Address entury osta mpsq.
Project Address 1628 "B"
"C" 'ID"
Caraway
owner's Name Jeanne Masson Phone 557-2637
1 Address 1628 "A" Caraway
f\ Arch/Eng. - License No.
vp Address -
Contractor's Nam TNCPhone 546-1653
Address(mailing) ' 9959 P1 - Co-tn Mesa 92696
License No. __ 4
LICENSED CONTRACTOR DECLARATION
I hereby affirm that 1 am licensed under provisions of Charter 9 (commencing
with section 7000) of Division 3 of the Business and Professions Code, and
my license Is in full forte and effect. , / 8248604
Llunse .Cly LIkSQT� o.
Date 7 signature
WORKERS' COMPENSATION DECLARIATION
1 hereby affirm that 1 have a certificate of consent to self -In ure or a certificate
of Workers' Compensation Insurance, or a cortifiel copy thereof (Section
3800, Lab. C.)
Policy No. WC] 5-4891-89 Company 161%d)
Certified copy Is hereby furnished.
Car I y N with the city Bulldl ISIOn.
Date APpllwnt_ a
EXEM PTM PT ONT RS' COM PENSATIO DECLARATION IV
(Thissection need not be completed If the permit Is or one hundred ($100) or I
less)
1 certify that In the performance of the work for which this permit is Issued 1
shall not employ any person In any mariner so as to become subject to the
Workers' Compensation Laws of California.
Date Signature
NOTICE: If, -after making this declaration, You should become -subject to the
Workers' Compensation provlsions.of the Labor Cotle, you must forthwith
comply .with: such provisions- or thlsr-Permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction lending agency for the:performance
of the work for which this permit is issued (Section 3087. Civ. C.)'
Lender's Name _
Lender's Address - -
OWNER BUILDER DECLARATION
I hereby affirm that I am exempCfrom the Contractor's License Law for the
rom and the basis for the alleged exemption. Any
5 by any applicant for a, permit subjects the
y of not more than five hundred dollars ($500); ,
as ,owner of. the .property or my employees with
an owner or a property wno DUlios or
Fork himself/herself or through his Or
imorovemants are -not Intended or of
ver, the building or Improvement is sold witnin one year,of com-
wner-will have the burden of proving he/she did not build or Im-
purpose of,sale). I ,
r of the property, am exclusively contracting with licensed con.
Istruct.the project.( Section 7044, Business and Professions Code:
or's L'Icense Law does not apply to an owner of property who
Troves thereon, and who contracts for such projects with a Ion-
ise pursuant to the Contractor's License Law).•
ot'under Section B. & P. C. for this reason
Date Owner 1
I hereby certify that I' have -read this' application -and state that the above
Information is correct. I agree to comply with all city.and county ordinances
ti o h b i
TYPE OF CONSTRUC
❑ CONVERSION
border lines and sign all appropriate declarations.
ADD
TYPE OF PERMIT LJ GRADING IJ FOUNDATION J,. -I STRUCTURAL
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING Ke/MECHANICAL
❑ 'OTHER
PROJECT DESCRIPTION SO. FT: OCCUPANCY_
CONSTRUCTION TYPE _ VALUATION $
ZON)= GRADINGCU.YDS. ACRES_
Remarks:
Bar Sink
Backflow Preventer
Backflow Irrigation
Bathtubs
Clarifiers
Dishwasher
Floor Drains
Floor Sinks-
Gas Service -Outlets
Interceptors
-
Kltchen Sink '
Lavatories
P—Trap '
Roof Drains -
Showers
Service Sink
Duct- Under Ground
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Mul
Firepl/Fact. Bit. ICBO dh
I Heating System & Ductin
[DO-100,000'BTU ❑100
and.stale laws relating to building constfuc on, an ere y author Ze repre- , Hood or Type I ❑'
sentatives of this to enter upo the above mentioned property far ' I
Inspection ourp os Cant, T e II ❑
Signature '� 2 a �� I Registers j
Drivers' License or SS
MF 0865-46 rev. 12/82 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor
Sewer Cap
Sewer Connection
Solar Collectors
Soler Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater - Water Service
Reinspection Fee
Issue Fee
tANICAL
Refrigeration System
00-100,000BTU 0100,000BTU
System Repair/Alteration
s� 0514-,7LA��
_Fi4nK = USfA6
Reinspection Fee
Issue Fee
PLNG. REF, *
DVTI^^rvu
CC O Ir r`r ST
TO BUILDING
PROPERTY LINE
REAR YARD (TO P/L)
LEFT SIDE YARD
RIGHT SIDE YARD
PKG. SPACE REO.
PROVIDED
STREET WIDTH
PARK,FEE $
SPECIAL CONDITIONS:
Fan Microwave '
Automatic Washer _t Meter (Dover 10U amps .-
, SUMMARY OF FEES
BUILDING PERMIT $ i SMIP $ '
PLAN CHECK, $ PERMIT
PLUMBING $ ISSUANCE $
Construction Pole Sub Panel
Cooking Unit Sub Pole
Dishwasher Motors 110-1 HP 018-8 -
Dryers ❑Gas ❑Electric Inc.Solar ❑9-15 HP 11 16-15+
Fan Microwave '
F.A.U. Pole Light ,
Fixtures - Range
'ELECTRICAL $$
II
Device Boxes Sign
Outlets ' Standing Sections
Switches I Trash Compactor
Garbage Disposal
Generator 00-5 KW ❑5-15 KW
MECHANICAL $ TOTACFEE $ ,
Transformer 015-50KW
❑5U+ KW Reinspection Fee $16
$15
Meter 0 u to 100 amps Issue Fee '$ 3
$ 3
Zoning Approved By I i Date
Application Approved By Date
Application Issued By Date
31
, SUMMARY OF FEES
BUILDING PERMIT $ i SMIP $ '
PLAN CHECK, $ PERMIT
PLUMBING $ ISSUANCE $
JAM
PLAN CHECK $ GRADING , $
'ELECTRICAL $$
II
PLAN CHECK' $ MICROFILM $
MECHANICAL $ TOTACFEE $ ,
PLAN CHECK I $, LESS
ADVANCED PC $ I
31
FINAL FEE $
CONSTRUCTION AND PLANNING,
APPROVALS Permit# -g� '
" _Date
- -
Inspector
_ - POOL & SPA.
APPROVALS Permit
Date
- -
Inspector
' 1. Temporary Electrical Service or Pole
''52: Pool &'Equipment Location
2. Soil Pipe-Undrgrnd. _ s _53.
Steel Reinforcement -
" 3. Electrical Conduit Utilitv-Undrgrnd.
54: Forms ' .
4. Electrical Conduit-Undrgrnd. -
55. Electrical Bonding. - -
5: Steel Reinforcement
_
56., Rough Plumbing & Pressure Test
. '.
6: Electrical LIFER Grnd.,
57: APPROVAL -TO COVER-GUNITE
7. Footings _ -
-.
58.• Electrical Conduit-Undrornd.- '
S. Foundation
59. Gas Pipe, O"Undrgrnd:, Test
9. Water Pipe-Undrgrnd.
'60. Backwash Lines, P -Trap, O Undrgrnd.
10. Structural Floor System _
61. APPROVAL TO DECK _
_
-
11. Property Sewer Line & House Connection
-
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 t
_
68.1 APPROVED FOR PLASTERING
18. Rough .Electrical -T Bar Ceiling
69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning '
- -
FIRE DEPT. REQUIREMENT
APPROVALS Permit'#
20. Rough. Factory Fireplace
t
!
21. Ducts, in Structure
70. Underground Hydro
22. Ducts, Ventilating
71. Product Piping O Gas OOil
'
23. Gas Pipe -Rough & Test
72. Underground Flush
24. Roof Framing'73.
Uodergrnd.Storage Tank OGas ❑Oil
25. Roof Sheathing
74. Overhead Hydro
,126. T`Bar Ceiling (Structurals'. & Monocoat
-
75.� Dry Chemical -
-.
27. Frame and Flashing
76., Dry Standpipe
28. Lathing Siding
9 _
-
77. FIXED
'•
29. Insulation
i
78.E FIRE PREV. FINAL
30:'Drywall Nailing
Notes:
' 31. Plaster Brown Coat
i
32., Electrical Power Meter -Final
,
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. Water Service -Final
f
'
40. Gas Service -Final
41. Solar Domestic -Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape IrrigationSystem-
45- Sound Attenuation
46. Handicap Regulations
47. FINALSTRUCTURE & BUILDING
48. Special Requirements Completed
494 Electric Release to Edison
50. Gas Release to Southern California Gas Co
;
51. CERTIFICATE OF OCCUPANCY _
No Date
_
26316
`COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1210 COSTA MESA, CALIFORNIA 92620
For Applicant to Fill in Completely
TYPE OR PRINT f�•1
DOLDEIN
R" 1628 Caraway
i
COSTA MESA. CALIFORNIA
.,.. Kai -South Devel. Corp..
MAIL
ADDR[[$
"1 Fullerton 71871-823.
1442 S Euclid
B102641 7o' 871-8233
73 x 109.60. or BLDas
NOW ON LOT
ECTBACR LINE FROM
e1DE YARD
I LEFT 9t
I RIGHT Q1
RE C O DATER[ 1 O MT[5[6U D —
0 --AX-(06
DESCRIPTION OF WORK
NEW
ALTHRATION
B PROVED
ADDITION
ZONING
HIMOVINO
NO. or
U[[ OF NEW
REPAIR
Pun[
su". o
DESCRIPTION
DEMOLISH
LLINO
46 N
61ZE
x 82 DOMH L3 GrORIKIR
EXTERIOR WAY] tUCCO I ROOF Rock
COVERING
COVERING
USE OF BUILDING AND WORK TO OR PRRFORM90
plus :s. car
1 NEARBY ACKNOWLEDGE THAY.1 HAVE READ THIS APPLICATION
AND STATE THAT THE AaOVR.16 CORRECT AND AGREE TO CAH.
PLY WITH ALL CITY ORDINANCES AND RATE LAWS OULATINO
BUILDING CONSTRUCTIO
SIGNATUREOF
PERMITTER
AUTHORIZED AGENT
OCT 31-66 001313 ***210.75
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
RECEIPT NO.
P{KNIT NO.
'JR]Ir
RE C O DATER[ 1 O MT[5[6U D —
0 --AX-(06
BUILDING / �1
-ADDRESS
FIR[
ZONE TYPK GROUP
B PROVED
DATH e Z
ZONING
ZO
NO. or
U[[ OF NEW
Pun[
su". o
DESCRIPTION
A. P. NO.
NOTE: NO EAVE OVERHANG SHALL BH LESS THAN
90 -TO SIDE &REAR P.L.
EAVES
ALLOWED
(U. B. C. REQUIREMENT)
YARDS APPROVED
YARDS APPROVED
MAIN BUILDING
ACCESSORY BUILDING
(FROM C/LeT [[T)
FRONT R.
R.
R.-9ID19
FT.
L.SID d� FT.
FT.
REAR FT. 14
FT.
DISTANCE BET.
BET. MAIN B
MAIN BLDGS.
ACCESS. BLDGS.
VAR.*
DATE
C. .
APPROVED
/J /
APPROVED /' 4-
n Q
'64-1
DATE D'�IO��6
03Bo. rr.
� %`
"K AMOUNT [MOW
UNDER VALUATION 18 FOR THC
PURPOSE OF ESTABLISHING A PERMIT F{E ONLY.
VALUATION
PERMITFEE �D
TOTAL. FEE
City of Costa Mesa
Building Safety Department CERTIFICATE OF OCCUPANCY N? 2456 C.
P. O. Box 317 '
Costa Mesa, California
The Building located at 2628 Carmw MV@R Q+$
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group Fit aT Occupancy. "
Use of Building 4 1)'PtU ADaftent SILIAIM ylt i attw1nd amms =d l udzy
Legal Description
(See reverse side for Metes and Bounds)
Building Permit No. 26 -Vs Electrical Permit No. 21%46 Plumbing Permit No. km
Floor Load Signs have been installed as
required under Sec. 2308 U. B. C. —
Room Capacity Signs have been instaled as
required under Sec. 3301 (1) U. B. C.
17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied
until the owner or operator has been issued a valid certificate of occupancy by the enforcement agency.
(b) A new certificate of occupancy shall be obtained whenever there is a change in:
1) Occupancy classification of a building or portion thereof
2) The number of apartments or guest rooms
3) Ownership
If Group H Occupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California;
Administrative Code, Title 8, Chapter 9, Article 8.
Number of apartments and/or guest rooms
ISSUED TO:
by
Date—ya=l3 lit 2967
This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed
except by the Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.C. Fon„ BU34--tM-11-6s— B r