HomeMy WebLinkAbout1170 CHARLESTON ST - Building Permits ADDRESS OFBUILDIND: 1170 CHARLESTON ST uiT: CITY OF COSTA MESA - BUILDING PERMIT
OWNERS NAME IF MOWN: BENWAY, CAROL M FLOOD : X 46 PERM NO: B 073897
tomss 1170 CHARLESTON ST
CO1S )A54ESA CA 92626 PERMIT NO: B 073897 PLAN CHECK NO: N GOVT: N SUPP : N
APPL.MMUNG ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : T/OFF RESHEATH& REROOF W/PRESTIGE ELK SQ FT: 4 , 200
ARCM OR ENG.'S ADDRESS: WIT:
CLAIM VALUE: 4 , 200 . 00 CALC-VALUE: 4, 200. 00 GROUP OCC: R-3 /M-1
CONTRACTOWS NAME:
CONTRACTORSMMUNG COMMENTS: SMOKE DETECTORS ARE REQUIRED IN EVERY BEDROOM & HALLWAY
ADDRESS: UC NO.: *ik*k 3E ik*3k*3E 3k 3E 3k 3k ik 3E 3E ik 3E 3E*3E 3E 3E iE*3E*3E iE ik*3E if ik 3E#3E iE 3E 3k iF 3E 3E 3E ik*3k 3i 3k#iE ik*3E 3E 3E 3E♦E**3E 3i ik*k 3E 3E*3E 3E 3E 3E 3k♦E 3i ii 3E 3E
1MT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter e SETBACKS
(commencing with Section 7000)of Division 3 of the Business and Professions Codde,and my license is in full force and effect.
CITY LIG.NO.: UC.CLASS: UC.NO.: EXP : MAIN BUILDING ACCESSORY BUILDING
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Dale: Contractor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that 1 am exempt from the Contractors License Law for the
following reason(Section 7031.5 Buskins and Professions Code:Any csy a county whist requires a penmi to construct.alter.improve, PARKING REQ: P RO V: PARCEL : 14169117 Z N E: REF NO:
pen
demolish,or repair any structure.prior to hs issuance,also requires the applicant for such es to file a signed statement that he or she PLANNING NOTES>
is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code,or that he or she is exempt therefrom end the basis for the alleged exemption.My violation of Section >
7031.5 by any applicant for a permit subjects the applicant to a it penally of nor more than Eve hundred dollars(35001). *3E*3k3E*ik******* i***3434*3k 3Fik3k M*3k**3k3E*3E****3434*#**3k#3k3E3i3E***ii*3k3E*3E3E3i*3 ***ik****3k#3k 3k3E3k*iE
❑ I,as owner or the properly Cr my employees with wages as the sole compensation,will do the work.and to structure a nor intended D E V E ,L O P M E N T SERVICES REQUIREMENTS
or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does riot apply to an,mer of property
who bolds or improves thereon, such end who does work himself or hereef or through his or prsuch
her own employees,Provided that
improvements ere not intended or offered to sate.I,however,the building or improvement is sold within one year of completion,the ZONING APPROVED BY DATE: / '
v th
owrenbuilder wig have e burden d or o buildor proving heshe did notimprove for the purpose of sale).
I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and BUILDING APPROVED BY : DATE:
Professions Code:The Contractors License Law does not apply to en owner property who builds or improves thereon and who
contracts for such projects with a contractor(s)licensed pursuant to the Con y�I�,a�l(os License Law). �I
lame qunder Section: 8.8 P.C..IaNiermaL/"""' "212 //?"^"`' APPLICATION ISSUED BY : DATE: * 1i
r,� C OLGC' l%"/S Dwner: 3E 3f 3E 3E 3E 3E 3E 3E 3E 3E 3E 3E 1E 3E 3E 3E 3E 3E 1E 3E 3E 3k 3f 3E 3f 3f 3F 3E 3E 3E 3E 3F 3F 3t-3F 3f 34 3f 3f 3E 3f 3f 3P 3E 3E 3f 3f 3f 3E 3F 3E 3E 3f 3f 3E 3E 3E 3E 3E 3E 3P 3E 3E 3P �E 3E 3f ii- 3E 3E
LEGALIZATION: N F E E S U M M A R Y STRUCTURAL S 'GMENT:Y
I hereby candy t I am aware al and understand the requirements of California Health and Safety Code Sections 25505.25533.end
25534.and that l«any future building ooarpanl will/will not(circle one)need to comply with said state cedes and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a permit for con°trvction or modification from the R'u unity not acumen District.Residential appHcations are exemptlrom these
provisions. PERMIT 72 . 00 . 50
Dae: Applicant: SMIP/NON-RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of Penury one of the following declarations: ISSUE FEE
❑ Ihave and wiI maintain acertificate ofconsent toself-insure tor workers'comlensaonasprov
tidedtoSection byS3700oftheLabo BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code,fcethe performancewm
.wukl«wNthis permitaiesa.d. TOTALS----> 72 . 50 0 . 00 0 . 00 72 . 50 72 . 50 . 00
❑ I have and wit maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.My workers'compensation insurance caner and policy number are:
Canter: REVENUE DIVISION TOTALS--> COLLECTED : 72 . 50 OVER/SHORT: . 00
Policy Number. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need nor be completed/rhe penile is for one hundred dollars($1001 or less.) 72 . 00 ' . 50
❑ I certify that in the performance of the work for which this permit is issued,I Mag not employ any person in any manner so as to
become subject to the workers'compensation laws of Callan.and agree that g l should become subject to the workers' 3k3E3k*****34**3k3E***3E3k***3k3E*****3i3E***********3E3E3k*3E3k3E*3E*3k3E*****3k3E*if-3E*3F3k*3E*3E*3b*3E*3k*3k3E
compensation omvaons of Saxon 3700 of the Labor Code!deg fonhwuh comply with those provisions. INDIVIDUAL F E E BREAKDOWN
Date: Applicant:
Warning:Failure to secure workers'compensation coverages unlawful,and shall subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up to one hundred thousand dollars(5104000),In addition so the cost of compensation,damages as provided for In
Section 3706ofthe Labor Code,Mrareat,and atmsfees. SFR 4200 REROOF BY VALUE RESIDENTIAL NOZONE 1 .00 4 , 200 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the END OF FEES
performance of the work for which this perms is issued(Section 3097,Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have reed this application and state that the above information is correct.I agree to comply with all city and county ordinances SMOKE DETECTOR
and state laws relating to building construction and hereby authorize representalhes of this thy to enter upon the above-mentioned property
for inspection purposes. CAROL BENWAY
REQUIR
e vi vvi^e° 3 ,418^.82 TOT i2.5O
Date:__A�, DATE; :3r:1' -- TT`I44. .$'
Se° Aga^VAPWran react •Jr
(515146.WP) White-Buildig 8 Safely:Green-Ede:Canary-Appicaht:Pink-Revenue:Goldenrod-Assessor
•
.CONSTRUCTION AND PLANNING - POOL & SPA
t.PPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
•
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 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 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P•Trap, 0 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#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas OOil
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 ISSUED
33. Final Electric •
Notes: _
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
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation ! n
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations -r-
47. FINAL STRUCTURE & BUILDING q- S l J _g 6€ -
48. FINAL PLANNING 64 •4•
48.
Electric Release to Edison
50. Gas Release to Southern California Gas Co -
51. CERTIFICATE OF OCCUPANCY
No Date
• FEE RECEIVED
20756 OCT 71963
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 317 COSTA MESA,CALIFORNIA ����jjFIINnnAFFNCEE� DQQEPM�T..• �Q��
For Applicant to Fill In Completely A Pl1CdtION UR"PEItMR
TYPE OR PRINT BUILDING
For Office Use Only
BUILDING
ADDRESS 1170 Charleston Si-.
RECEIPT NO. PERMIT NO.
COSTA MESA. CALIFORNIA 9$
R[CLI [D HY DAT [CHI ED DATE 1=5 =D
OWNER Northgate, a partnership .... -4. 1-' --
BUILDING
MAIL
ADDRESS 15939 L. sF1. -, St ADDRESS TEL.
FIRE
///�
ZONE TYPE GROUPl7�'iiGITYFounta.ixi V 'llev 1679?
ARCHITECT C. Hiller TELXE52OOr7BY
APPROVED DATE
OR ENGINEER NO.
ZONING .
ADDRESS Anaheim NE L u`� 4 4 'P .
ION I� I I NO.
a I BUILD! j L7 i r.
CONTRACTOR B BCP A t T A /\/J1
AM
15 939 LHGAL II�i—o T .I ,M1 "/ C (/ 03
LasFlores St. DeeCRIFTlO
ADDRESS
A.P.NO.
'D----
CITY Four to i ii J 11 av
NOTE: NOSI EAVE OVERHANG L. SHALL BE LESS THAN
STALIC.TE NO.21Knil.9 NO3:1679 TEL 90.TO SIDEe REAR P.L.
EAVES
SIZENO.OF BLOCS. ALLOWED (U.B.C.REQUIREMENT)
OF LOT 119X0 NOW ON LOTp(111P
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. none
(FROM C/ p r ET)
SETBACK LINE FROM 4 . , i FRONT " a FT.BL _ FT.
aNTER OF STREET REAR YARD C
r.
/SIDE YARD I LEFT moi, RIGHT R.SIDE "A FT. FT.
DESCRIPTION OF WORK L.SIDird' FT. i. FT.
NEW X ALTERATION ADDITION REAR 4
FT.S7 .•, FT.
DISTANCE BET. BET.MAIN 8
REPAIR MOVING DEMOLISH MAIN BLOCS. ACCESS,BLDGB.
BUILDING NO.OF VAR.# DATE
SIZE 1434sOft ROOMS 6 QrQRI¢S 1 C.V.P.# APPROVED
EXTERIOR WAL ROOF APPRO I .• R - /�
COVERING �tUCCOI COVERING shingle 4Y !Nil k/VV1". DATE 1 v- o
USE OF BUILDING AND WORK TO BE PERFORMED
Q nal ! a1 -' 'OP Ur o A O a. • 1
itrisi
N
. SQ.FT. m
I HEREBY ACK •' LEDO- A.. I HAVE D THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE T. T THE A. CORRE• AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. G
PLY WITH A CITY OR.r AN• • ATE LAWS REGULATING VALUATION m
BUILDING C• STRUCTI• � _
SIGNATOR •F 1 !.4._ PERMIT FEE $ 57
PERMITTED _���/ d7/57—
S
/ m
S lc--
J 75 PLAN CHECK S aS -Sc Te
AUTHORIZED AGENT /�D
Is.TOTAL FEE 5 7 H