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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 .I/y/� f��/ 7 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 .I