HomeMy WebLinkAbout295 BROADWAY - Building PermitsCOUNTY Op ORANGE
BUILDING DEPT.
636 No. $roadway
Santa Ana, California
Phone: KT 2-6211
Application for Building Permit
AND FOR A
Certificafe of Use and Occupancy
Permit No.� �-'/_ =!_f/_____
Date...______'�._._ ._�"__�.__.—�/_ . __
�� ' , 4- . �-_ .
1. OWNER'S NAME-'--''=9'r:t-�i�--��-="-`�-�`'-' �r"n`��------------------ ---�- ---- PHONE:----- -------------
, � � �
/ � T � ��,1� � �7 � /.:
MAILING ADDRESS----�/O,�y,G� ./f i y.:_ii------------------------_.. CITY:r.etrf�' --=---.- /d�lir��,_ c,��
.�
Name ..�.�_.t/rIf'Lf<�_.�.�.._....______...___.___.______....___
(Archirect or Engineer)
Address ..__.
City--- -
State
Lic. No. __.
Phone
Nam e __�i(G%Y:�.CE.'.----"----_.-----------
-- ---
� . (Con�racror)
Acldress �flQ�e:.:.-fj::l �:;.�t•c--�-`�---�-----------------
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// - = •.• /tlf'/�,_'.tt_ C_`/r'i .
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Gry,-- -- ---- ' - ---- --•�---- -- -... _ :- i - ------------- - —
�
$tate
Lic. No. --------------'---------`--'---- - Phone
PROPOS$D USE: ----.� �.i:�.�L�---- ---- ---- ---------
2. JOB LOCATIOIV.��✓� '/��'--t ? �/';^l'!/--=�=�- -��--�:-----; - — •`�'G------------
_,.
_.__ ________.__cc ____' `_`_____ __ _ _ `�� - ____ _ � �"_` __r. ` � � __ _ __
}"_" _
(House No.) (Name of Stree�) (Town or School Diserict) �
v — '
3. LLGAL I�ESCRIPTION: Lot __-�-��-___-__-.-____-___-Block -_-_�-.--__--_-- -.__-Tract ___J'���-�___-__----___
(Meres and Bounds Description—Use reserse side of form)
4. CORNER LOT ( ) INTERIOR LOT ( ) THROUGH LOT ( ) SLOPE OF LOT ( )
5. SIZE OF BLDG.:. �_�'}._ /�_c�.�'_.AREA:__-�-�� /_--_-_-SIZE OF LOT:. �__�'..a� /��.5. _ AREA: _._�1-_7�/�-__-
� // t
6. HEIGHT OF BLDG.: ... �L.._._�_.__.___ -__ __-CEILING HEIGHT:.____�______. ... NO. OF STORIES___ L________
7. NO. rAMILIES ..______1-._.___ Size of Smallest Bedroom: ___.L� X�Z�____.._. Size of Kitchen: __q_Xl6_____ __
�i. �' / ", �� '
8. EXTERIpR WALL CONSTRUCTION:�_�- ..Z� ^`�1L�%�_/�INTERIOR WALL COVERING.l2!'?�f_____!"nr�_
(Frame, Smcco, Etc.) � � - (Plasrer-Drywall, E[c.)
9. SETBACICS: Front Yard from Center Line of Street.___�_%_________._____.., ._______.______.________._._______-__
�y i
Neazesc Side Yard.______3__._.__.._..Rear Yard__�-R.._______Distance in Feet Between Bldgs, on Same Lot __.�S _____.__ ._____
10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTCJRES AIVD USE OF EACH.
ll. For (a) Footing: Width.__�_���__..-1 p �'� �
"�^"J �_..__._____ De th in Gro�nd._���.� �.:=..__..__..Width of Walt _�.�i___��_ _
-
Accessory '/
B(d s. and ��
g b Size o£ Studs: 1-_�`�.___—__S acin 16 ___."CC Macerial of FLoor)���L''.n________
Similar ( � - P g____________..__.__
Structures; / ��
(c) Size of Floor ]oists:-__.�-�._�"__ Spacing __--�f0---------._----____"CC
I Z.
1 i.
(d)� Size oF Rafters: -------`�-�-�-�-_-----------.Spating .---1-!P----------'----_.._"CC
�r'
VALUATIOLV OF PROPOSED WORK: Inc(uding all labor, plurtibing, electrical wiring, heacing, fire sprinklers, paino
ing and sewage disposal $.__,.:� �'"_��._«.f.•________________
y000 -
I HERE$Y CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN
THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL
LAVUS OF THE COULVTY OF ORAIVGE AND THE STATE OF CALIFORIVIA APPLICABLE THERETO.
.
. � �
�, � i .
Signed:-��--`---=y- =- �- �a-�- �----'./. f ---' � =�.,_.
------`-------------------
� 1 � ,{ � / (Owner
Plans Filed-------------- -----�'-- �------�----- �------------ ,
. (Au[horized Agent)
FOR DEPARTMENTALUSE ONLY
FEES: . . p!�
Bldg. Permit - �8--------�_v
Plan Check - �
� - ---------
Total - - - $________�1__
Receipt No. - - _____�_i1__�
Pa;d m - - ---------�'!t
DaCe__ .. .............___j-__ _�_3__
GROUP____.__� _
T'YPE.----- -- `�� --
DIST./� /
MAP-S.�'-----1�----- --
SHEET NO._____�__ —
j —�� � ��
DATE-------'- --- - -------- ------ ----
CHECKING BY
APPLICATION..__ � EALTH.
�' FIRE
ZONIIVG-------------------- MARSHAL--------------
PLANS AIVD �-�
SPEC'S ------------ ------- --- - STATE -- -- --- ---------
-
CORRECTIONS ENGIIVEER
VERIFIED ------------ CAL.---------------------------
�rv�Y t7UiLDl
INSPcC70R
sm-v-so
1
TYPICAL
Cement Coping Ootional —'
Channel Block With 1-3/8�i
Ho�izonta! Top ot all
Fences
For Fences 5' or Less
Vert. Bars 3/8" yS at 4' -0" O.C.
For Fences Higher Than 5'
Vert. Bars 3/8"� at 32" O.C.
Fill Cells Solid With Grout
W here Steel Occurs
Reinforcing Steel Shall
Conform to Sec.A-15-39
A.S.7.M.
All Steel to be Lapped
24" or [o Code
NATURALGRADE
TWO 3/8"¢ BARS �'—I
CONTINUOUSTOP �
& BOTTOM
.HOR7ZSTEEL MUST BE 71ED IN
PLACE AT TIME OF TRENCH
INSPECTION.
�
LL
>
a
� a
- n -p w
Dn — _
F-�--WIDTH
� SEE CHc
� BELOW
D.I'<
6�� CONCRETE BLOCK FENCE
FOOTING REQUIREMENTS CHART
GENERAL- NOTES
MORTAR: p�e Parf Plasfic Cement, and
T�ree Parts Sond
GROUT; One Part Cement Three and
One Half Paris S�and
COPING: One Port Cement, Three
Parts Sand
CONCRETE: Wg� I Mixed 1:2- I/2 : 3- I/2
Max. of 7- I/2 Gollons of
Wafer Per Sack of Cement
GROUT MAV BE POURED FROM THE TOP
OF 7HE FENCE IN CELLS WNERE S7EEL
OCCURS.
CELLSAND AREASOF HORIZONTAL REIN�
FORCEMENT SHALL BE CLEAR, CLEAN &
FREE OF ALL MORTAR DEBRIS, ETC.
�H OF EARTHTCOTH
I/3 iHE HEIGTH OF FENCE
�OW BOTTOM OF FOGTING.
SCALE: I/2��= I'
WIDTH . . . . . . . . . . . . . . .14" . . . _ . . . . . . .14" . . . . . . . . . . . 12". . . . . 12��
THICKNESS . . . . . . 10��. . . . 10° . . _ . _ . . . . . . g". . 8,�
DEPTH OF EARTHTOOTH . . . 24'� . . . . 20��
16" . . . . 12,�
SPACING OF EARTHTOOTH. . 12' . . . . . . . 14� . . . . . . . . . . . 16�. . . . . 16�
OWYERS NAME: ���G S/�J�UO /Ri
City of Costa Mesa California ��B ADDRESS: ZS� �'Q��A� ___ ___
1 FERMIT NUMBER;_ _
Building Department SIGNATURE _ ����i�' ,- = - - - - -
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�o::�. , ...,-rr_,_r.: 2EVf'�ED NOV.82 - •. ,�
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°-r�NS MUST BEION
MA' NO CFiANGES WIiHOU
OF Epr_
E ISSUANCE OR GRANTING Pl
P� NS AND SPECIFICq710NS; e, :
AN A�FETHE PROVIS ONS OFA71j'���
1M TO GIVE AUTApq�ry TO `VIO
VIS ONS OF THIS CODE SHALI BE
AS THE WORK Ok USE wuiru I-
+nivbe Up A
SHALL M1'07
� �.aio�d'W�iVS F,iVD .-......
FUILp�ry� SPECIF
�N �' OPERA710NS BEING
�IATICV OF iNlg CODE
DF THE C�?y
��'O
� `
J '�
�' �„�
��
di-� �.
nrE_J3�� d'2_
;B AT ALL T �ucc
��I� OR AppRC /pl
� BE CO�VSiRI ED I
�, ANy VIOU4T ON
NO PER,yfIT A �F.
OR CAICEL 7 iE
�. EXCEPi I;� ;0 �
,::, �s �.�� _ ;
BASED CPON PLpNS qAD
' 7'i; E,;iIC;V„ OFflCU.L
CGRRECi10:! C; E7R' ,g
� OR F3�,V, pg�yENi1N�
> 0"I iHEREUND6q WNE��
ANY OiHE.4 0?pl;,.::.
Applicant to fi11 in all svaces within neavy borEer lines antl
GTY OF COSTA MESA PERMIT NO. • T�VCT NO.
CONSTRUCTION PERMIT C'; S '�Io7 .3 �¢
Addres SLJ/yf E �
Arch/Eng. License No.
Addres5
Contractor��� � Phoi
I h¢�¢by aifirT thdl 1 apt IICCnsetl untle� 0/ovisions oi Char[er 9(<om-
menting with section �000) of Dlvlsion 3 of the euslness antl
Profassions Cotle, antl my Iicense Is in full force antl eftect.
Litense Class License No.
Date Si9nature
WORKERS' COMPENSATION DECLARATION
I hereby affirrtl fha[ I have a certlticate of con5e�t [o s¢It�inSure Or a
certiflcale ot Worker5' Compensatlon Insurance, or a Certifietl copy
thereof (Soction 3800, Lab. C.).
Pollcy No. Company -
❑ Curtifietl COpy is h¢rGby fur0i5h¢tl.
❑ Cartifled cOpy Is filetl wi[h the Nty Builtling DivisiOn.
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(This 5¢CliOn rl¢8tl nOt b< COTpI¢t¢tl i( Lhe p¢Imit IS tot one huntlretl
SE100) or less). -
ca�tify that in [he per(o�mance of tne wo�k to� which this petmll is
issuetl, I snall not employ any perzon in any manner a[o become
subject to the Workars' Compensation La t Calif'���
Da[e �i' Z'�'��"Signature
NOTIGE: If atler making this tleclarati , you shoultl become subject
to Ihe WOrk¢rs' COmpensation prOvisio of [he Labor COtle, you must
torthwith comply with 5uch Orovisions or this permit shall be tleemetl
f¢vOkCtl.
CONSTRUCTION LENDING AGENCV
I hereby aftirm that there is a con5truction lentling agency for the,per-
formance�of the �work for, wM1ich thls�permit is issuetl (Section 309�
Civ. C.). . . . . . .
Lentler's Name � �•
�entler's Atltlress
OWNER BUILDER DECLARATION
I her¢by at(irm that I am exempt trom the Contracto�'S License Law for
th¢ rollowing reason (Section 7031.5� Business-antl Professions Goae:
Any city or <ounty which requires a permit to construct, alter,
Improve, tlemolish o� repair any 5tructu�C, prio� to its issuance; also re-
quires IhC appll�anl fo� such Oe�mit to file a signetl statement that he
(Cnap[er 9(cOmmencing with SeCtlon 1000) ot Olvislon 3 oY tM1e
Bu5Ine55 antl P/ofesslons Cotle) or Ihat hC is exempt therefrom antl Ihe
basis tor the allegetl exemption. Any vlolallon of Section ]031.5 by
any appliwnt lo� a permit 5ubjeCtS the applicant to a civil pendlty
of nol mOr¢ than tive huntlretl tlolla�s ($500).
� I, as owner of' the O�operty, ormy"�ISI$loperrwtitrweges as t�elr
sole compensatlon, wlll tlo the work, antl the structure is not intentletl
or offeretl for sale. (Sec[lon 7044, Businesz antl Professions Cotle: The
Contrac[or'S License l.aw tloes not appry to an owner of a property
who builtls or Improves thereon, antl who tloes zuch wark himsel/ or
through his Own employee5, providetl t0al such improvemenK are no[
M[entletl or�oHeretl for sal¢. If, hOweveq th¢ builtling or imp�ovemenP
I5 soltl wilhin one yea� ol comple[Ion, the owner will have the burtl¢n
of proving M1e tlitl not builtl or Improve fOr th¢ purpose of sale).
❑ I, as owner ot lha pro0erty, am exclusiv¢ty contracting with
licensetl COf1fIdClOIS (0 COI15fIUtl IhC pIOjQCI ($fCllOfl '1044, Business
3ntl ProfMsions Cotle: The Contraclor'S License Law tloes not apply to
an Owne� o/ property who builtls or imp�ove5 Nereon, antl who Con-
t�acts trom such projects wi[h a Contractor(s) lic¢sn¢tl pursuant to
the Contractor's Li<ense Law).
❑ I am exempt unGer Sectlon B. & P. G. for t�is
all
BCOG NO.
FX,I� F
TVPE OF CONSTpUCTION
� NEW ❑ ADD ❑ ALTERATION
❑ REPAIR ❑ CONVERSION ❑DEMOLISH
❑ OTHER
DESCRIPTION OF WORK
) G / . / _ i / n' � i) / � _ /-_
TVPE OF PERMIT}� 'J � -. . .
O GRADING /1�FpUNDATION �LJ`STRUCTURAI_ �
❑TENANT ❑�ELECTRICAL.OPLUMBING ❑MECHANICAI
❑ OTHER ' F ^ ��" �
PROJECT DESCRIPTION _
SQ.FT.
OCCUPANCY CONSTRUCTION TYPE
VALVATION�aa� ZONE
GRADING CU. YDS. ACRES
erMnoKc. -�
PLUMBING -
BATHTUBS
TOILETS
LAVATORIE$
KIT.SINKS '
$ERV IGE $INK$
FLOOR SINKS
DRINKING FOUNTAIN:
INTERCEPTORS '
'SWIMMING POOL
WATER'SGRVICE '
�GASSERVICE �
WATER HEATERS-
SEWER CONNECTIONS
SOLARTHNK
SOLAR PIPING $V5.
ISSUE FEE
MECHANICAL
PLAN CHECK
SHOWERS
URINALS
DOUBLELAVS
'DISHWASHERS '
SVMPS
FLOOR DRAINS ' "
CLARIFIERS '
PTRAP
ALTERATION
OUTLETS
BTV OUTPVT
COLLECTORS ,
PLAN CHECK
HEATING SVSTEM 0-300,000 BTU
ANDDVCTING 100,000+BTU
REFRIGERATION 0-IOO,OOO BTU
SVSTEM ' 100,000 i BTU
BOILERS
Date Owner SVSTEM REPAIR, ALTERATION
I her¢by certify lhat 1 have reatl thi5 applica[ion antl State [�at Ne abOve EXHAUST SVSTEM MVLTIPLE
information is corr¢cL I agree Lo'Compry with all city antl county ,
ortlinances antl slale laws relating to cp» tr ion, antl hereby authoriz¢ '
repre5entative5 Of s, city IO e( n th¢ above m¢ntionetl
proparty 1or Inspe pu�pose .
Slgnalure � � Date�1����
Drivers' License or 5 � � ' ISSUE FEE .
CMF 0865-46 White-Builtling; Canary-Applicanp Pink-Accounting; Goltlenrotl-Aszessor
6tC47 I: /�':/ „'
ZONIN
A.P. � �
ZONE � ^
e
SEpTBACK GL ST.
L�EFTYARD �
R�IGHTAR
REAR VARD (TO P/L)
PKG. SPAC E R EQ.-
STREET WIDTH
ZONING APPROVED BV
SPECIAL CONDITIONS:
PROVIDED
" PARK FEE 5
ELECTRICAL aLAN CHECK �
52 FT. �t] FT
GENERATOR 0-1 KW_ 1-IO KW —
TRANSFORMER
'APPLIANCE 30-SOKW_SO+KW_
MOTORS 0-1 HP_1-10 HP _
(INC.SOLAR) 10-SOHP 50+HP_
FIXTURES' OUTLETS SWITCHES
GAS TUBE SIGNS �
POLELIGHTS'- - � '
POLES METERED� SUB
PANEl.S MAIN $UB
-SERVICE - AMP
' ISSUE FEE -
APPLICATION APPROVED BV �
eJoa�� TL
DATE
SUMMARV OF FEES
BUILDING . SD
PERMIT § �Q�j• p�� SMIP S
PLAN CHECK E� ..PERMIT
. ISSUANCE b �
PLUMBING S '
GRADING S
VLAN CHECK E � -
ELECTRICAL E E
PLAN CHECK E
MECHANICAL �$ ' TOTAL FEE E'
LE55 AD-
PLANCHECK § � - VANCEPC E "
FINALFEE S�
.` W
CONSTRUCTION AND PLANN-pING O� ='� �-��'' .� "i�-v ' POOL & SPA
APPROVALS Permit#D�Z/� Date Inspector qppROVALS Permit# Date Inspector
1. Temporary Efectrical Service or Pole 43. Poo� & Equipment Locatlon ''
2. il ipe-Undrgrn 44. Steel Reinforcement � -
3. Electrical Conduit Utility-Undrgrn-' .� 45. Forms
4. Electrical CoiiiluiUUndrgrn .• 46. Electrical Bonding
. tee ein orce'��'� l� 8� �S � 47. Rough Plumbin & Pressure Test '
6. Electrical WFER Grn ; ' 48. APPROVALTO COVER-GUNITE
7. Footings 49. Electrical Conduit�Undr rn
6. Foundation � � 50. Gas Pipe, ❑ Undr rn, Test
9. Water Pipe-Undrgrn 51. Backwash Lines P-Tra ❑ Undr rn
10. Structural Floor SYstem 52. APPROVALTO DECK
'- 11: Property Sewei Line &'House Connection 53.� Backwash & Rece tor-Final
12. Street Sewer Connection 54. Heater & Vent-Finai
�13. flough Plumbing � � -
14. Rough Electric-Conduit � �56. Electrical-Final
15. Rough Electric-Wiring 57. Solar SYstem-Final
i6. Rough Heating & Air Conditioning • Fencing & Access Approval
17. Ducts in Structure APPROVED FOR PLASTERING
18. Ducts, Ventilating .
19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL - .'
20. Roof Framing
21. Roof Sheathin D
22. Frameand Flashin NOTES: _l4- B-u-�a.�..a�s
23. Insulation �
24. Lathing & Siding -�
25. Drywall Nailing � �
26. Plaster Brown Coat
27. Electrical Power Meter-Finel � �
28. Final Electric - �
29. Final Heating & Air Conditioning
' 30. Final Gas Pipe-Test
31. Final Plumbing ' """" ""� � - � � "'
32. Water Service-Final
33. Gas Service-Final - �
34. Solar pomestic-Final
35. Landsca e S rinklin S stem
36. Sound Attenuation � � -
37. Handicap Regulations � � �
38. FINALSTRUCTURE&BUILDING � � � -
39. Special Requirements Completed
40. Electric Release to Edison
41. Gas Release to Southern California Gas Co. �
42. CERTIFICATE OF OCCUPANCY '
- No Date
O�tiNER DI1i1ARi THOMAS R. APR 6 1960 DATE .5-1-59
JOB ADDRESS 295 Broadwa.v ��'' BUILDING PERMIT NO. 9175
GENERAL CONTRACTOR �WheP-Bllilder VALUE $ �9 �.00
AP. No. 117-212- LOT TRACT FiRF. ZONE DESCRIPTION OF WORK U85 O.�I15E
INSPECTIONS ,_,__,,, I onTe I GROUP i TYPE
SU6CONTRACTOR
u
, g�."7J
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 31� COSTA MESA, CqLIFORNIA
fOR APPL/CANT TO F/LL /N COMPLETfLY
TYPE OR PRINT
_- -- _ - -- -- - _ _
aoo Re's5 ;z �r.s Bl�csq � WA�
COSTA MESA. CALIFORNIA
LEGRL
LIC.
NO.
INO.�.
NOW ON LOT
USE OF
EXISTING BLDG.
SETBRCK LINE FPOM A / � �L. �
CENTER OF L�YGT /T(�, r . R�pR YARD
`f /� /
SIDE YARD I LEFT y RIGHT -/'� I
DESCRIPTION OF WORK
NEW I X II ALTERATION I II ADDITION
2 I II MOVING f II DEMOLI:
ING/SX. pj � RO MS _�_ STOR
G
IOR WALL�J/QaGIROOF
ING v�! COVERING
= BUIIDING ANO WORK TO BE PERFORMED
r=�� V�ECEi�l�D
�; ,'�,rt 30 1959
FIiVANCE OEPT.
r,irv OF COSTA MESA
APPLICATION FOR PERMIT
��u BUILDING
fOR OfF/CE USE ON[Y
PECEIPT NO. I PERM1�
l_.�
aJ
_ ED BY + D�E CE Q� t S=TE I5:
I L I /
BUILDING 7 n !J�/ j .��p O
ADDRESS [_ 7 1�
COSTA MESA, CALIFORNIA
FIRE t�%� group
ZONE
BY E' 'T,, DATE
.+
ZONING
ZON NO.OF USE OF NEW
2 IPLANS I BUILOING
APPROVED J/q
BY I DATE
VARDS EVES
ftEQU1RED ALLOWED
(CENTEN LINE ST.)
FRONT FT.
I ^
R.SIDE .S FT.
1 HEREBY ACKNOWLEOGE THAT 1 HAVE REAq THIS APPLICPTION
AN� STATE THAT TNE ABOVE IS CORRECT AND RCFEE TO COM�
PLY WITH pLL CITY ORDINANCES TND 6TATE LAWS REGOLATING
BUILDING CONSTROGTl9N. ��
IAUTHORIZED AGENT
/ V
IIC!
a /a ��! /'. � � = d��/ � �
THE AMOUNT SHOWN UNDER VALUATION 13 FOR THE
PURPOSE OF ESTABLISHING A PEFMIT FEE ONLY.
VALUATION
PERMIT FEE S `D ��
$ /,`J ^ Z- PLAN CHECK $ S
L � �
TOTAL FEE $ /S �