HomeMy WebLinkAbout1195 BISMARK WAY - Building Permits Applicant to fill in all spaces except those within heavy border lines and.sign all appropriate declarations. t- -_ 67.1 . 1.0/013/85 ---- - �e UL
CITY OF CO3TA;MESA ' CONSTRUCTION PERMIT__ PER T NO. TRACT NO. LOT NO. 1 UNIT NO. 4
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Project Address �7 q, I /.S�R Y y' ' - I 'aV7 ! .` • : _ ., f __ - ' !
7x33 G J i rlc o/� n/A! , '
....TYPE OF CONSTRUCTION .LJ U ADD' LI ALTERATION• U REPAIR - I '' . . • ` ' • -
Applicant's Mailin /AIddress - , -
Owner'sName /fig/pp/� "/e -%J�R.f1D f' phone / .Ill CONVERSION ❑ DEMOLISH ❑ OTHER - - l I+ •
{ e, S'79 -o aoo V - 1 - t . , A.P.# I . Zone
r- DESCRIPTION OF WORK/USE OF BLDG.
Address f4'M P . . - "" - . . - - Si Main Building: . Accessory Building: _
E . Z
Arch/Eng. License No. ' TYPE OF PERMIT ❑ GRADINGI ! FOUNDATION ❑ -STRUCTURAL T Front ' ' - - •O
•Address —�[ • / • r n _ ❑ TENANT ❑ ELECTRICAL JCJ•PLUMBING ❑ MECHANICAL B' R¢ar, .2• - . N
Contractor's Name//rte /3 P/I/NI"/J///!1n/phone/�r?-- VIP ❑ OTHER
t i A - - -. I
,• •PROJECT DESCRIPTION 5D. FT. OCCUPANCY
- C Right _ 1 N
Address lmailing!//n3 L1 .l/7//0_d�J -�,1/494P-//Y7 _ K _ .. G
r/ CONSTRUCTION TYPE VALUATION$ S Left • R
City License No. 7 ZONE GRADING CU.YDS. ACRES -
LICENSED CONTRACTOR DECLARATION - Ping. Ref.# Parking Req./Provided E •
I hereby affirm that I.am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: -- ; •
'M
'with section 7000) of Division 3 of the Business and Professions Code, and T
1 my license is in full tort and effect. iN/� '7 $
Licens Class _�— 3, /7_" License/No / /
'Date d'r-,/441 Signature Qrt.[L4( n'-:LR� • . PLUMBING I FEES -
WORKERS'COMPENSATION fLA RATION , Bar Sink' Showers /
I hereby affirm that'I have a certificate of consent to self-insure or a certificate ELECTRICAL * ,FEES_
of Workers' Compensation Insurance, or a certified copy thereof (Section I
3800, Lab. C.)-��,,,//V . - T---1-. - . _. Backflow Preventer Service Sink - . Automatic Washer - ' •• • - Transformer 0 15-50 KW • - --
Policy No. 7" Companc7l4/9✓e/P Z . S Backflow Irrigation Sewer Cap•
0 50+KW
P Construction Pole Sub. i I
Certified copy is hereby furnished. - F - '
"'.�ertifled copy is/file with the city ding Diyi ion` 0 . Bathtubs i Sewer Connection Cooking Unit Meter ❑up to 100 amps' '
�'Date• /—i- 1 Applicant � �A/ -!1 (J- -..-r
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher - Metei Dover 100 amps
(Thissection need not be completed if the permit is for one hundred.($100)or - - - — (`
less). Dishwasher . Solar Pipinq� `y, Dryers ❑Gas ❑Electric Sub Panel. '
'I certify that in the performance of the work for which this permit is issued, I - r)cf """"'"` '
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Ta Fan Motors ❑0.1 HP ❑17,-8 ' •
•Workers' Compensation Laws of California. : '
Date Signature - • Floor Drains Swimmi❑ Poo /S a 1 i
NOTICE:If,after making this declaration, you should become subject to the a Ig p 1 Q F.A.U. Inc.Solar ❑9-15 HP ❑16-15+ ,
Workers' Compensation,provisions of the Labor Code, you must forthwith Floor Sinks ' Urinal `\yY^\ • Fixtures ..Microwave
comply with such-provisions or this permit shall' be deemed revoked: t ' ' '- - - -- - -- - -'
CONSTRUCTION LENDING AGENCY - • - Gas Service. Outlets ' Water Clo\et • Device Boxes
I hereby affirm that there is a construction lending•agency for the performance ' - - POI¢ Light. I
of the work' for, which this permit is issued (Section 3097 Civ. C.) 7 t , I
Interceptors I Water Heater . \' 90 Outlets - ' 1
Lender's ;Name- - - Range i
'Lender's Address - . •- ' Kitchen Sink _ ' ' Water Service , I �� - Sign I ! '
, OWNER BUILDER DECLARATION " - Switches g
: I hereby affirm that Vain exempt from the Contractor's:License Law for the. ' Lavatories ' Auto-Wash , ' Garbage Disposal I
following reason (Section 7031:5 Business and Professional Code: Any city or _ 9 P Standing Sections
countywhich'requires a permit to construct,alter,improve,-demolish or repair 1
P P P—Trap - Laundry Trays - Generator ❑0-5 KW 05-15 KW Trash Com actor
any structure, prior to its issuance, also requires the suant ant-for such permitP '
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains • '
the Contractor's License Law (Chapter 9 (commencing with Section 7000)of .- - - _ _
Division 3 of the Business and Professions Code) or that he/she'is exempt _ ' - -.
therefrom and the basis for the alleged exemption. Any violation of Section - - 'I
7031.5 by any applicant for a permit subjects the applicant to a civil • ' - • - ,l' _
I penalty of not more than five hundred dollars($500). ' - ' - - •- - 3I
0 I, as owner of the 'property or niy employees with wages as their:sole Reinspection Fee . $15 Issue Fee _- $ '
compensation, will.tlo the work,and the structure is not intended proffered ' • "" - Reinspection Fee $15 Issue Fee ' •
$ 3 !
11)
for sale (Section 7044. Business and Professional Code: The ContractDr's ' , i ' - MECHANICAL ' FEES'
License Law does not apply to an owner of a property who builds or improves
' thereon, and who does such,work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: •
employees, provided that such improvements are not intended or offered for ' Boiler_ Hood or Type I 0 -
sale. If, however, the building or improvement is Sold within one•year.of com- • - Canopy Type II 0 ,•Zoning Approved By Date -.
pletion, the owner will have the burden of proving he/she did not build or im- Duct' Under Ground 1 : •
prove for the purpose of sale). ', Building •Approved By Date /^1
❑ I, as owner of the property, am exclusively contracting with.licensed con- Duct-Structural •
Refrigeration System Application Issued By • a - Date �& /4
' tractors to construct the project (Section 7044,Business and Professions Code: ,
' The Contractor's License Law does not apply to an owner of property who ' Duct- Ventilating ❑0-100,000 BTU ❑100,000 BTU 1 SUMMARY OF FEES '
• builds or improves thereon,and who contracts for such-projects with a con-- • - 1
tractor(s) licenseI • '
( ypursuant to the contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP '$
proof of their Worker's Compensation insurance should be provided to me. - •' '" $ •
,�A' �(/J�1'
❑ Lam exempt under Section - •
B.&P.C.for this reason Firepl/Fact.Blt. ICBO# Fire Dampers; •
PLAN CHECK PERMIT I
• PLUMBING .$ l �f'tet/ ISSUANCE $ ���ZLLYY
•Date I Owner •- • Heating System& Ducting . Registers � ENERGY P.C. $
PLAN CHECK 25% $
I hereby,certify that I.havel read this•application and state that the above 00-100,000. BTU 0100,000 BTU ELECTRICAL • GRADING $ •
information is'correct.I agree to comply with all city and county ordinances - - $ I
and state laws relating to building construction, and hereby authorize repre- PLAN CHECK 50% '$ - MICROFILM I$
sentatives of this city to enter up the abve-mentioned property for I ,
inspection729s,$):se n n /fi pyry G r '' ,
Isignature 7/V ig K— u<-- Datep 9/ —FJ - ' MECHANICAL IS TOTAL FEE $ .� ! —
Drivers' License or SS Reinspection Fee $15 Issue Fee $ 3 ' PLAN CHECK 25% $— __L_.,,k -
e
CMF 0865-46,rev.10/84 - Whit "- Building;-canary "' — - - '-'' ,
- Appllcanp Pink Accounting; Gdltlen rotl - Assessor - _�--`
-
- CONSTRUCTION AND PLANNING POOL&SPA - -
.-, APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1.2Temliorary Electrical Service or Pole- - _ 52. Poor& Equipment Location '' -
2.' Soil Pipe-Undrgrnd. . 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. '54. Forms
'4. Electrical Conduit-Undrgrnd. - t r 55. Electrical'Bonding - •
5.•Steel Reinforcement . - 56. Rough Plumbing & Pressure Test -
'6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings - 58. Electrical Conduit-Undrgrnd. -
8. Foundation S9. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
`10. Structural Floor'System ' 61. APPROVAL Tp 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 68. APPROVED FOR PLASTERING
- 18. Rough Electrical-T Bar Ceiling - 69. POOL/SPA SYSTEMS FINAL
19.,Rough Heating & Air Conditioning - FIRE DEPT. REQUIREMENT
20.E Rough Factory Fireplace APPROVALS Permit#
- 21:Ducts, in Structure 70. Underground Hydro -
22. Ducts:Ventilating 71. Product Piping 0 Gas 0 Oil
23:,Gas Pipe-Rough& Test . 72. Underground Flush
24: Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 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 PREY. 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:ti..e..441 C4ruic, 45 Re2 Z41.3 U.RG. GOO I
' 34. Final Heating & Air Conditioning - I
35. Final Gas Pipe-Test ' , - I
36. Hood or Canopy ' . • •- - .• •
37. Final Factory Fireplace _ - - - - I
38. Final Plumbing - _
39. Water Service-Final I
40. Gas Service-Final , ' ' . . , I
41. Solar Domestic-Final i - - - -- - - 1
' I
42. Backflow Preventer A _ _ _ , _ -
43. Backflow Irrigation . . ' ' - I
- 44. ,Landscape Irrigation System . - . , I I
45. Sound Attenuation _ - I
46. Handicap Regulations, . . • . . ' I
47. FINAL STRUCTURE & BUILDING ' ' • I
48. Special Requirements Completed • • , ' ' ' I
•
Electric Release to Edison
L51
- I
. Gas Release to Southern California Gas Co - ,' ; I - I
CERTIFICATE OF - - - ' - - -
Date - .. _-. - - _ ,- - -.�
OWNER NEWPORT HOMES INC , , - - DATE _ 7-9-62
JOB ADDRESS 1195 Bismark Way BUILDING PERMIT NO. -- 17502'—
GENERAL CONTRACTOR S. V. Hunsaker & Sons VALUE $ 14,253.00
AP No. LOT hi TRACT 14653 FIRE ZONE DESCRIPTION OF WORK Res/Att,Gar,
INSPECTIONS Signature DATE GROUP T&,J TYPE V ZONE R-1
Soil 7- 9-Cz - PERMITS ISSUED
Gas SUBCONTRACTOR DATE NUMBER
Water
Rough Corn. Refrig. ❑ Air Cond. 0
Rough Heating r_ f. % ---•-//,:g. ) - `/
Rough Plumbing .d_ if --. -'o 'lie2 6/9D
J.Miscellaneous .9j a 21-.27 -� ,A RIP
Prop.Swr.Line ®.House Con. ❑.St-Swr. 0 is' JuL 27_1962 C— FLU MB - C-NTS- "fiyeeti".6:../r---- F ,
Sprinkling System _
Construction Pole )
Underground 0 Power ❑ fj6 ,�d _t&-7---,, _ rpmI� y
ugh Wiring 7' Q' , 2-)_ i_l C.r/p G� friP * o?/-4A /8 .4-'77--
.
Trenches LtY Forms {sY Steel Reinf. 0 Tit"- 7-'>9 -di--
Floor System ((��
Bond Beam ❑ Steel Reinforce ❑
Sheathing .41/1431 R-40-54 - -
Frame and Flashing /'411 ,^1---r
Lathing — In E r Out p-- 61, g 9_j .- 6i
Plaster, brown coat 'Ijt„4Q //-4-- 2.
Refrig. 0 Air Cond. 0 Final
I-Ieating, -'>I2fr ?��.G7_
Plumbing Fixtures, Final /{c/.r- 7,y,;:,....,
Final Gas Test/cc- 'y,''�
Electric Fixtures, Final r ` /- //..24_(2
Building, Final t Z r !/-a!1
OCCUPANCY r-i-/' ii -;.e..[s
FORM 8114•5M — 7.61 1( O2
17502 •
•
. • FEE RECEIVED
GIOSTA MESA BUILDING-SAFETY DEPARTMENT
,t/ .JUL�I 1 0� 2
P. O. BOX 9I7 COSTA MESA. CALIFORNIA FINANCE DEPT.
For Applicant to Fill In Cle 1 CITY OF COSTA MESA
PP ComPY APPLICATION FOR PERMIT
TYPE OR PRINT CL i BUILDING
7
ADDRESSDING
.��// C ,��S{{/T�A^^ MESA. CALIFORNIA For Office Use Only
"iI'jr(.(�� v I RECEIPT NO. ft
7RWtOILNO.
OWNER Homes Inc. - /IIFF..�/�/ll //•�]]
MAIL W
1602 W. ond RECEIY BY DATE RECEIVED DATE ISSUED
ADDRESS • Y� ALlM �. I I 7-9-//r.
Orange •
TEL. BUILDING
CITY NO. - ADDRESS
ANTGNER. RambeW & Lowrey TOKI7-6131 COSTA MESA. CALIFORNIA ,
ADDRESS 2127 No. Main St.- Santa'Ana FIRE
ZONE TYPE ) . GROUP lQ//
CONTRACTOR S. V. Hnnsaker & Sons APPROVED i/
BY DATE
ADDRESS 15855 Edna Place ZONING
ZONE NO.OF USE OF NEW ti'74%
CITY Irwindale ' /'./ I PLANS Z BUILDING 4/J 9
Gl/
STA
NO. ' 164929 TEL
ED 8-7361 LDESCRIPTION Al' 9/ %/Q 9613
SIZE
OF LOT/(/ V---�, ) I//..�� I NO. OP SLOGS.O
NOW ON LOT A-P-NO. -.-___-----
USE OF YARDS EVES
EXISTING BLDG. APPROVED ALLOWED
/q /6/-' (CENTER LINE ST.)
SETBACK LINE PROM V '�1^_ _
CENTER OP STREET REAR YAR
p�D+-� FRONT �� FT. IN.
SIDE YARD I LEFT' `0" 6" , I ' / /0 FT. IN.
RIGHT R.SIDE
DESCRIPTION OF WORK /o FT. IN..
L.SIDE
NEW I X II ALTERATION II ADDITION I REAR zs—FT. C 7/51-7(
j/ IN. '
REPAIR // MOVING IIDEMOLISH I APPROVED /S f,ppDATE //s /e't '
SIZE "6"1XS"'6//NO.
6" STORIES 1 6(Y�f �c-
EXTERIOR WqL }ucco ROOF
COVERING S1• ng COVERINGCemp. Shingle:
USE OF BUILDING AND WORK TO BE PERFORMED
Single Family Dwelling - y.,.-,rte lii'fl '' Cy i 91 afe
with-.Attached Garage 9:47.AVAK- -ajei
Plan ad
I HEREBY ACKNOWLEDGE THAT I HAVE REAP THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND'STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION ��'
SIGNATURE F S. V. saker & Sons PERMIT FEE $
PERMITTEE J - y/ N
74:177.------
$ / ��� PLAN CHECK $ /�' / — Vk
AUTHORIZE AGE /��. ( : __ C
TOTAL FEE u
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