HomeMy WebLinkAbout2550 CARNEGIE AVE - Building PermitsApDlicant to fill in all soaces ezcept those wilhin heavY DorEer Ilnas antl si9n all apProO/�ate tleela�ations. 1✓�_ �" r��
CYiY oF COSTA nnESA _ CONSTRUCTION PERMIT PER I NO.� TRACT NO. LOT NO. UNIT NO. �� / �' � U� '
�
"., . COS Gt ►�'�eSQ �-•
Project Address ���.r]n���Qg30 iiV2. �� � �
' Applicant's Mailing Address �� TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR
Owner'SName Farl Fne� Phone 751-7105 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER _
��P DESCRIPTION OF WORK/USE OF BLDG.
IL13�11 �C1E 0 QQQ�'f.jJ A P;1E Zone
Address S Main Building: Accessory Building:
E z
Arch/Eng. License No. TVPE OF PERMIT GRADIr�G FOVrvonTiON 57RUCTURA� T Front p
Addre55 �+�„,,� ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING � MECHANICAL A Rear N
Contractor's Name- .�S H2ati-Ll£ ALld A�r uW19t�e H.3%-ZOOO � OTHER � � �
nddress Imai�ing1273Z�+ C�ilO C3��3CT'2I10 ���% 1If12 PROJECT DESCRIPTION 5R. FT. oCCUaANCv C Right N
CONSTRUCTIONTVPE VALUATION$ g Left G
City Licens¢ NO. -OZ77SH N� ZONE GRADING CU.YDS. ACRES R
LICENSED CONTRACTOR DECLARATION Ping. Ref. # 'rg eq Pl �I E
1 hereby a�firm lhat I am licensetl untle� p�ovisions ot Cha�ter 9(commencing qemarks: Planning Notes: t ry�
wit� section ]000) of Dlvision 3 ot t�e Business antl Professions Code, antl . T
my Iicense is in full torc/e� antl etiecL • S
License11a�� _ _ License No.
Date $'g t / �(/ A PLUMBING FEES
yi.
WORKERS' COMPENSATION D CLARATION Bef Si�k . ShOw¢f5 ELECTRICAL FEES
I hereby affirm that 1 have a certificdto of mnsen[ [0 5¢If-inwre o� a certHicate
of WOBe�s' Compen5alion Insu�ance, o� a certitietl Copy thereof ($et[ion Backflow Preventer S¢rvice Sink
Automatic Washer Transformer ❑ 15�50 KW
\ 3800, Wb. C. ,
Polic rvo. ��n� �7 compan FA�7TMTt Backflow Irri ation Sewer Ca � ❑ 50+ KW
Y Y 9 P Construction PoleSub.
� �Certi(ietl copy Is he�eby fumishetl.
Ce tifi o s tlletl with the Uty B Itli _D'�ivis'on�� Bathtubs Sewer Connection Cooking Unit Meter ❑up [0 100 amUs
Date iijii��� APplican� � .�i.L.-
EXEMVTION FROM WORKERS' COMVENSATION DECLARATION Clarifiers SOlar C011ector5 Dishwasher Meter ❑over 1008m�s
(Thi55e[[ion neetl not be completetl If the perml[ is for one M1untlretl ($100) Or
less). Dishv�dsher $olar Pipin9 Dryers ❑Gas ❑Eleciric $ub Panel
1 certify that in tlte perto�man[e o1 th¢ work fo� wM1lch [his Oe�m�t is ISsuetl, I
shall not employ any person in any manner so az to become subject to the Drinking Fountains Solar Tank Fan Motors 0�-1 HP 01 h- 8
Wotkers' Compensalion Laws oi California.
Date Si9natura Floor Drains Swimming Pool w/Spa F.A.U. � Inc.Solar 09-75 HP �16-75+
NOTICE: I(, after makin9 this tleclaration, you shoultl Oecome subjecl to the
Workers' Compensatlon provislon5 Of the Iabo� Cotle, you mu5t forthwith FI00� SinkS U�in31 Fixtuf25
comply with Such prOvisions or this permit Shall b¢ tleemeE �evoketl. Mic�Ow3v¢
CONSTRUCTION LENOING AGENCV G85S¢rviC¢ Outl¢t5 Wat2�CIW2t D¢viC¢BOx¢5
I heteby attirm that there is a conSVuction Ientlinq agency for Me Oer(ormance POI¢ Liyht
of the work for wnich thi5 permit is issuetl (Section 309� Civ. CJ InterCept0�5 Water Heater Outlet5 Range
lJentler's Name
Lentler's Aaaress Kitchen Sink Water Service Switches $i9n
OWNER 6UILDEH �ECLARATION
I hereby affi�m lhat I am exampl from the Contracto�'s License Law fo� the Lavawries AutO-WdSh
following reason (SecHon �031.5 Businesz antl Protessional Cotle: Any city or ' Garbage Disposal Standing Sections
county which requlres a permit to <onstruct, alter, improve, tlemolish or repair P.-Trap Laundry Trays Generator 0.5 KW �5�15 KW
any SVuctu�e, p�lo� (O Ils issuanC¢, also �equire5 [he ap0��cant fOr such permit T�eSh COmp2Ct0�
to lile a signetl ttatement that ho/sne is licensetl pursuant to the orovisions of Roof Drains
the ConVac[or's Llcense Law (Chapter 9(commencin9 wi[n Section 7000) o(
Oivision 3 01 lhe Busin¢55 antl Prol¢ssions Cotle) Or that he/sh¢ is ezempt
therefrom an0 the ba5is for the alleqetl exemption. Any violation o( Section �
7031.5 �y any applicant ror a permit subject5 Ihe applicant to a civil
�enalty ot not mote than five huntlretl tlollars (E500).
1, as owner of thc pro0erty or my emploYees with wages as their sole ReinSpBction Fee $15 14ue Fee $ 3
compensation, will tlo the work, antl the structure is not intentletl or otferetl Reinspaction Fee $15 Issue Fee $ 3
for zale (Se<tion 7044, Business antl Professional Cotle: The Contractor's MECHANICAL FEES
License Law do¢s nol apply [o an own¢r of a property who builtls o� impwves
ther¢on, antl who tloes sucn work himself/herzelf or through his or her own goiler Hood or Type I ❑ DEVELOPMENT $ERVICES REQUIREMENTS:
employee5, provltletl lna[ sucn Improvements are not �ntentletl or ollcretl for Zoning Approved By Data
sdle. If, however, the builtlin9 or Improvement Is soltl witM1in one year ot com- Canopy Type I I ❑
pletion, the owner wlll have tne burtlen of provin9 he/she tlid not build or im- Duct - Under Ground Building Approved By Date_�_�-
prOve tor tM1e purpOse of sale). .
❑ 1, a5 owner ot [he p�operty, am exclusively conVacting with IlcenSetl'con- DuCt -$t�uCtu�el Refrigeration System Applic3tiOn ISsuBd By �_D t� t.��;��
t�actorsto construct lhe project (Section 7044, Buziness antl Professions Cotle: �
The Contractor's license Law tloas not apply to an owner of property who Duct � Ventilating ❑0-100,000 BTU ❑100,000 BTU $UMMARV OF FEES
builtls o� improvos lhereon, antl who contracts for such projecls wlth a com .
Iractor(sl i�cense purouant to the Contra<tor's License Law). I am aware that Exhaust System � Multiple ❑ System RepaidAlteretion BUILDING PERMIT $ SMIP $�
proof of their Worker's Compenwtion insurance shoultl be provitletl ro me. PLAN CHECK 5 PERMIT
❑ I am exempt untler 5ection e. & P. 0.�or this reason Firepl/FacL BIt. IC80 # Fire Dampers PLUMBING $ �SSUANCE $ �
Date Owner Heating System & Ducting Registers - PLAN CHECK 25% $ ENERGV P.C. $
I hereby certify that I have reatl tnis appliwtion antl state tnat the above 1�-100,000 BTU 0100,OOOBT 9 0o GRADING $
in(ormation is mrrect. I a9ree to comply with all clty antl county ortlinances ELECTRICAL $
antl state laws relatin9 to bulltling construction, and hereby authorize reore- PLAN CHECK �50% $ �Q�CROFILM $
sentatives ot this city to enter upon the above-mentionetl property tor
inspectlonpurpo s. g, � � 11�11�8$ MECHANICAL S '�TOTALFEE 5 24.0�
SignatureY���.Lrw+-�— oaie
Drivers' LiFense or 55 � ' - - HeinspeRion Fee $15 laue Fee $1Tj QQ PLAN CHECK 25% $
CMF 0865-46, rev. 10/Ba WM1ite - BWltling; Canary - Applicanf; Pink - Accountin9: Goltlenrotl � Assessor �' 1'����d415%4'�vU�Zt)S/4 Y�} �4.��
, "v�TE: I1/3�/SS TIf�E: 12:31
CONSTRUCTION AND P4ANNING POOL & SPA
APPROVAL'S Permit # Date Inspector qppROVALS Permit # Date Inspector
t; Temporary,.�ElectricaJ;$ervice or Pole 52. Pool & Equipment Location ,
.r
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement �
3. Electrical Conduit Utility-Undrgmd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding -�
5. Steel Reinforcement_ " 56. Rough Plumbing & Pressure Test .
6.;ElectricalUFERGmd. ' 57. APPROVALTOCOVER-GUNITE
7 �'Footings ' 58. Electrical Conduit-Undrgmd. : �
8, Foundation 59. Gas Pipe, O Undrgrnd., Test .. �.
� •
8`�;Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, � 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 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
� 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace � APPROVALS Permit# _
27. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping � Gas ❑ OII
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑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 PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT �
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUE� ' �
33. Final Electric � Notes: _ �; _
34. Final�Heating & Air Conditioning �Y,'��y (�� � -'"
35. Final Gas Pipe-Test
36. Hood or Canopy
37.� Final Factory Fireplace ? a -�
38' Final Plumbing � ".� •"� ,
� ..
39. Water Service-Final �
a - � � f1�n
40. Gas Service-Final ; �
41. Solar pomestic-Final �, �
.S
42. Backflow Preventer � - G
43. Backflow Irrigation „ � � �
44. Landscape Irrigation System - ; !• �
45. Sound Attenuation �
� �¢:
46 � Handicap Regulations � � �� .�
.
47. FINALSTRUCTURE&BUILDING � - � ; � -
��,
48. Special Requirements Completed ' `=� �
49. Electric Release to Edison �
�= -
50. Gas Release to Southern California Gas Co � .
51. CERTIFICATE OF OCCUPANCY
No. Date ' . " �
OWNER �g �.1
��" JOB ADDRESS �j50 CarneR
GENERAL CONTRACTOR py�g
�AP No. 11�1-3�-p1+ LOT
INSPECTIONS
SOIL
GAS
WATER
ROUGH PLUMBING
PROP. SWA. LINE Q NOUSE CON. �
SPRINKLING SYSTEM
MISCELLANEOUS
AOUfiH HEATING AND RIR CONOITIONING
TEMPORFRY SERVICE OR GOLE
UNOEFGROUNO � bOWER �
ROUGH WIRING
TRENCHES FORMS STEEL RE
FLOOR SYSTEM
BONO BEAM [—J STEEL REINFORCE �
SMEATMING
FRAME ANO FLASNING
LATHING — IN rJ OUT �, �
PLASTER. BROWN COAT
STRUCTURAI. FINAL
DATE
BUIL[
SUBCONTRACTOR
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4�697
COSTA MESA BUILDING-SAFETV DEPART
P.O. BPX 1200 COSTA MESA, CALIFORNIA 9
For Applicant to Fill in Compie[ely — Use Ink
BUILDINfi / + r %
ADDRESS ZJ�O �p/qt�J(? dY
OWNER A////I Mr! E�7�S
MAIL
GTV
BRANCN
ADDRESS
ARCHITEI
B/
ADDRE55
CITY
STATE
LIC. NO.
SIZE
OF l0T ,
USE OF
f�
TEL.
NO. .
TEL.
NO.
CITV
LIC. NO.
Separate permits are required for
electric, plumbing and heating work.
USE OF BUI�DING AND WORK TO BE PERFORA
�
PA:
,�T i� .7=�.._ 00 sa;- �_=:::z�SC
TION FOR STRUCTURAL PERMIT
A.P. NO. � yI � S7 f�
BUILDING /) r O C
ADDFESS L 7
TRACT 2% Z 7
OWNER
FIRE
ZONE
APPqOVED
G
VALUE
ZONE NO.OF^ USE OF NEW
R I P�� ` BUILOING n�, /�D�
VARDSAPPROVED VAROSAPPROVED
MAIN BVILDING ACCESSORV BUILDING
VAR. �i
a
DATE
APPROVED
„�r� /O—/3-
I herebv eck�owladps Met 1 heva netl this eDP���etlon antl nate '^
thet the ebo�a Intarmetlon I� eorract enA aprea to eomply wlth �
m
ell Iew� repulatinp bulldlnp conrtructlon, end I shell not amploy �
any person I� ��olatlon o1 Me workman'� compan�atlon lew� of d
Ma Steta of Cel{fo�nle. •
w
I hereby cer[Ify thet I em OroParly IlcanseA eo e contrector under SQ. FT. �� �v
Ma Stnta of Calitornle Businew entl Profasslons Catle, Dlvlsion 3, THE AMOUNT SHOWN UNDER VALUATION IS FOF m
Chepiar 9, end that zuc� Ilcanw� ara In full force end effaet, or I THE PURPO6E OF 6TABLISHING A �ERMR FEE ONLV: �
am exempt f�om Me provlilonsof th�Stete of Callfornle Bu�inan VALUATION PERMIT FEE E �y d
anE Profoasio�s Catle, Oivlalon 3, Chepttr 9. � ✓, eC � �'n�
� pLANCNECK E a� ^�
Sipnetu� � (J/�� O
Permltt $ (S � TAX S LL
i
u
Authorizatl PYent TOTAL PAID E
�'
OWNER �
� JOB ADDRE55
\ GENERAL C01
� AP No.lZil-3
� INSPECTIONS
� SOIL
3 GAS
W RTEF
ROUGH PLUMBIN
PROP. SWA. LIN��
SPRINKLING SYS
� MISCEL LANEOt15
ROUGH HEPTING
TEMPORARV SEF
UNDERGROlINO [
ROUGH wIRING
TRENCHES
FLOOR SVSTEM
BOND BEAM �
SHEATHING
POWER
FORMS
FRAME AND FLASNING
LATMING — IN n �
PLASTER.BROWN COAT
NERTING. VENT.,
PLUMBING, FINRI
ELECTRIC, FINAL
aiiu niur. ciusi
DATE
SUBCONTRACTOR
�•
I• . .n,
� 6�
COSTA ME5A BUILDING-SAFETY DEPARTMENT
P.O. BOx 1200 COSTA MESA, CALIFORNIA 92626
For Applicent to Fill in Completely — Uu Ink Only
ILDING r /^ //
IDRE55 �'C.'l7I% �%/�%VL��r/� /7V.
OWNER ���/j'.��'
MAIL �/
ADDRE55 �(, �So
��T„ C, s r�
ODNSTRUCTION
LENDER
BFANCH
ADDRESS
AFCHITECT
TEL
NO.
TE L.
PA:_
,,.T y-,-7 ��.��C`? 983" ,::•:;.;:::R.S�
APPLICATION FOR STRUCI'URAL PERMIT
ECEIVED BY DATE RECEIVED D/ATE ISqSUED
/'ii- � '/ -�
CONTRACTOR //WN�JY /SU'11.0E Br �
ADDRESS �
TEL. ZO NO.OF
CITY NO. P��
rFi STATE CITV �'AROSAPPROVE
i LIC. NO. LIC. NO. MAIN BUILDING
�
V�,1 SI2E NO.OFBLDGS. (FROMGISTRE
�. OP LOT / D S NOW ON LOT � NT F
a USE OF �
� EXISTNG BLDG.
� �
F Separate permits are required for � si Fr �S
� electric, plumbing and heating work. REAR FTlO
[.�.i USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET.
QMAIN BLDGS.
; �) VAR. i�
Q i I%J/ y J{ 00 C.U.P.y.
� ��� ! / // �/ qPPROVED
r (O
.d
�
W
� I he�eby acknowlaApa that I �eva �eetl thl� epplleation antl stnte
a, thet Me ebova Informetion is correct and aprae to comply wfM
a ell lewf repuletinp bulltllnp eonrtruciion, en0 I thell not employ
Z eny Oarwn In vlo�ation o1 the workmen'� companmtlon law� of .
� 2�e Sute of Ceiifornle.
3 1 �areby certlfy Met I am O�aParly Ilcenwtl a� e contrector under O S4. FT.
the Stsn of CeIlfOrnie Bmineo entl Profmlon� Coda, Dlvitlon 3, THE AMOUNT SM�
C�epTer 9, entl thet such Iic�nwt en In full fores and affxt, ar I lHE PURPO6E OF E
nm exompt trom tha Orovltlons of t�e Stets of Celifornle Bu�inau VALUATION
entl Profeulan� COtle, Division 3, C�epar 9.
Sipneturo of J r� � _ � / ��77`` �
Parmlma C i�/1/ti.l.- '7•j�:•Cl� 5 �/j4•/1 /
Q (/ ��
Authorizatl Apent
r` �
DATE
! � 7
USE OF NE
BUILD�NC�A
VARDS
BET. MAIN
ACCESS. Bl
OATE
�' GG
"ABLISMING A PERI
PERMIT FEE S
PLAN CHECK 3
TAX 3
TOTALPAIO E
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� r�s4.a Mesa Bnilding Department
'- �� r 771 EAST 20th STHEET
�� ' CO�A-MESAr CALIFORNIA
,,,�FOR APPLICANT TO FII.L IN
KBuilding ,
� Addresa ra ,a' e
Costa Mesa, California
Nearest
crosssc. Elmhurst Lane
nronicecc or
Engineer
Address
Contractor HeTI
Address qF
Legal I Lot
Deacrlption No.
(Attach Metes and
Size of Lot 6¢
Use of
Existing Bidg.
Setback Line from
Center of Street
DESCI
New I q
Repair I
Building
3ize 1;i7�
Exterior Wall
Coverfng
Use of New
Bulldina Raa
Tel.
No.
Lic.
No.
No. of Bldgs.
Nowon Lot
No.of No.
Famiiles Rot
Rear Vard
Addition
Demoli5h
Stories
27
Garaae
I hereby acknowledge that I have read tlus Application
nnd state that the abme is rni'rect and agree to comply
with all City Ordinances and State Laws regulating
building construction.
Signature M
Permittee arbo O .I`UCt10II CO.
Authorized Agt.
`;4,-A�PLICATION FOR PERMIT
rs� BUILDING 7
I FOR OFFICE USE ONLY
Recelvetl by Date Rec'tl. Date Issued
/n�0 �^ 9-,S L AUG 1 4 1956
Building '
Address
Costa Mesa, California
Nearest
Cross St.
Zone !/ I No. of I Type // Groupn ,
T' Plans �1�6�
ApprovW
CORRECTIONS
APPROVALS
iundation Location Inspector
Forms, Materials,
Under-Pinning
•ame: Fire Stops, '!
Int.
Ext
Valwat(on Pe�mit Fee $ � c� � Masonry Re
Plan Check $ T gond Beam
$ 11�2��. Total
Fee $ � � FINAL
FOAM 204 S-BP 2M 0-55
Date
O
A
G)
2
D
r
Show Iocation and distances irom
property Iine and between buildings
a