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HomeMy WebLinkAbout1043 CONCORD ST - Building PermitsHAY-8-70PA1000 283R - ****25.00 OF COSTA MESA PLANNING DEPARTMENT CKSA 283RD,ria' 25,00 A. P. No. Bldg. PermitlNo::•j2-1u PARK AND RECREATIONAL FEES - Apartment Developments Fee Payment Receipt Project Address Owner's Name Bachelor or 1 - Bedroom Units @ $25.00 = 2 - Bedroom Units @ $40.00 = 3 - Bedroom Units @ $55.00 = 4 - Bedroom Units @ $70.00 = 5 - or more Units @ $75.00 = Total Fee j• Total number of Dwelling Units Planning Department Approval Date _ Park Area No. By Applicant's Signature CITY OF COSTA MESA PLANNING DEPARTMENT "AY-8-7C"a1P00 283 A. P. No. CHSA Bldg, Permit No. 3 PARK AND RECREATIONAL FEES - Apartment Developments Fee Payment Receipt Project Address 1043 CONCORD STREET C- M. Owner's Name ARCH M. SELLERY Bachelor or 1 - Bedroom Units 2 - Bedroom Units 3 - Bedroom Units 4 - Bedroom Units 5 - or more Units @ $25.00 = $25.00 @ $40.00 = @ $55.00 = @ $70.00 = @ $75.00 = $25.00 Total Fee Total number of Dwelling Units 1 Planning Department Approval Date S -A -7n S-A-7nPark Area N 1G By A. ci.EAcnN Applicant's Signature ,P- 5 PROJECT ADDRESS: 1043 CONCORD ST UNIT: OWNER'S NAME: KRUMWIEDE, HELEN J ADDRESS: 1043 CONCORD AVE COSTA MESA,CA 92626 ARCH/ENGINEER: 557-2289 flEG.N O.: ADDRESS: UNIT: PERMITTEE: GREGORY MC DONALD CONST (714)990-4578 ADDRESS: 2547 FOOTHILL LN BREA CA 92621 LICENSED CONTRACTOR DECLARATION: I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code. and my license is in lull force and effect. CITY i p STATE LIC- 54 0289 C= S: B Date: �—�' — /� Signature�/ '� WORKERS' COMPENSATION DECLARATION: I hereby affirm th I have a certificate of consent to sell -insure or a certificate of Workers' Compensation Insurance. or a certified copy thereof (Section 3800. Lab. Q. POLICY NO.: 1113288-94 EXP. DATE: 01 /01 /95 COMPANY: STATE FUND ❑ Certified copy is hereby furnished. [R Detailed copyis filed with Building Dwis�ioonn.c7 //// �_ //� Date :�L, 1-" Applicant: -C/%7 I77 LI/dc— — C/ TEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred ($100) or less(. :erudy that 1n the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become ,oblect to the WorkersCompensation Laws of California. Date: Signature: NOTICE: 11, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or repair any structure. prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) 01 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars ($500). I. as owner of the property or my employees with wages as their sone compensation. will do the work, and the 1:1 structure is not intended or offered lot sale (Section 7044, Business and Professional Code: The Contractors' State 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 employees, provided that Such Improvements are not intended or offered for sale. It, however the building or improvement is sold within one year of completion, the owner will have the burden of proving he/she dict not build or improve 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 Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon and who contracts Ion such projects wiIn a contractor(s) license pursuant to the Contractors' State License Law),I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. 8 P. C. for this reason: Date'. I do hereby cenify that I am aware of and understand the 25534 and that I or any Iuture building occupant will/will permit for construction or modification from the Air Ouatl these provisions. Owner: requirements of California Health and Safety Code Sections 25505, 25533, and not (circle one) need to comply with said state codes and the requirements for a ty Management District. Residential construction applications are exempt from Date. Applicant: I hereby certify that I have read this application and state that the above information is correct. l agree to comply 4h all city and county ordinances and state laws relating to building construction and hereby auflhhCrresadrrtafives of ity to enter up the above-mentioned property for inspection pure es. Dat . ' -X 9 Signature- �9 Driver's License or Social Security Applicant; Pink—Revenue; Goldenrod—Assessor CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 06702 PERMIT NO: B 067020 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH JOB DESCRIPTION : T/OFF SHEATH & REROOF W/COMP SHINGLES SQ FT: 4,575 CLAIM VALUE: 4,575.00 CALC-VALUE: 4,575.00 GROUP OCC: R-3 '/M-1 COMMENTS: REROOF 2500SF RESIDENCE W/COMP. SMOKE DETECTORS REQ PER 91 UBC # (ir_IICYKE DEMI ZON ING R E tC U I R E M E N T j�(�x�j�,C SETBACKS REQUIRM ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING---=----- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RIGHT. FT IN PARKING REQ: PROV: PARCEL: 14165216 ZNE: REF NO: PLANNING NOTES> ############################################################################### D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N'T S ZONING APPROVED BY BUILDING APPROVED BY DATE: DATE: APPLICATION ISSUED BY: DATE: S % ############################################################################### LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 72.00 , .50 SMIP/NON-RES PLAN ISSUE FEE BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 72,50 0.00 0.00 72.50 72,50 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 72.50 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 72.00 50 ############################################################################### I N D I V I D U A L F E E B R E A K.D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 4575 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 4,575,00 END OF FEES of 01 00159868-00159869 TOT 72.50 DATE: 05/02/94 TIME: 13:12 , CONSTRUCTION AND PLANNING POOL & SPk 1 I APPROVALS Permit # Date Inspector APPROVALS Permit I Date (Inspector ! 1. Temporary E!ecrncal Service or Pole 52. Pool & Equipment Location F-2. Soil P; prUndrgrnd. 53. Steri Reinforcement 3 Fec:rical Conduit Ut.hty-Unorgrr,d. -- 54. Forms 4 EIcctr lcal Co:-,dura-Undrgrnd. 55. Elecinca: Bonding i 5. St -aRcI-forczmmnt -� 56 Re u;r'n Plumbing & Pressure Tost I u Etctr.c:'. Ll CR G'nd �_- 7 PPPROVAL TO COVcR GU:BITE -_-i 1 rodbngs 58. Elecirical Cordu'lt Urdrg,nd. - 1 ---� S. Fpu .a,e� Ga., P.pe ❑ Undrg,rJ., Tc!t 9. !':'rte' P p' .Ued'S, r.d. 60. F,2cl ::ash Lires. P-Trop,'I Urd-n' d I 10. 5!'Lctra' rbc' Syste'n 61. APPROVAL TO DECK 11. Froperty Sr vier 4_me d< r!o.sc Conncet,em 62�Back,'•ash & Scuptor-Final ! I 63 I-!e.!t Lr & Vent -Final 12. sv"ve, Cep ----- 13. Font Cra, n; 64. Plumbing System F. nal I---� 14. Rouen P,umu,no I 15 Ro qn Elect, =I.Cocdu,t 65. Eh, ctrica6Fi nal 66. Solar Systtm Final - ! 16. Ro..g!a Electra: 'Jrin9 i 67. Fenc,ng &Access Approval 17. Rough :'Juing S'gn 1 68. APPROVED FOR PLASTER] :G 18. Ro.gn Elecct'!cal-T Bar Ce:!,ng69. POO USDA SYSTE%. S FINAL FIRE DEPT. REQUIHEMEN i �- APPROVALS Permit -' 1� �)Rough Heath; & 4;r Cordit,on-rq 20 Ro.gl. Factory Firep'9c. 21. Djcts, in Structure ! 70. Urders-o. d Hydro 22. Ducts, Verrtllating 71. Pruduct Pip ng 7 Ca 7 01! 23. Gas Pipe -Rough & Test 72. Urdc,vound Flush 24. ioor Framing 73. Undcrgrnrl. Storag Tank Gi s J.' 25 Roor Sh'athing `j fyQ/�4 74 Overhead Hydro 76 iStruetu-el, & ..ou cnat -- i 3-,. C..; uy - ---�- 75 D,y Chemi(_,.I ! �----- 27. F� F'as:v ----- �-----i---- -------'- -- - ----- -- - -- - -- - t-- - --- ;;mL and ng 76. Dry Standpipe 1 '-,thng':.Sr-,g -- --- --I 28. r 28_ Hsu_t or, -- - 17. FI::EDSVSiEh,f,'.AL- 78. FIRE PREV-FINA--__- 20. :),Ye..; l No 1.1g -� _- -_ I -� HEALTH D[PT. RF0::IR-'.,EI"T _ - - -'- - -- -- - 470. rl%;kt 31. P,a:ter Brov.r Co,t - INSILCCI:;"'-- 32 lr,r.. r:' Pn'.,ar'.Cter" ,, - -- I_J Fr)-,.-)CC,i f FICA' L I S::uE.) --- -- - --!ote'------ 33 F --^JI Elec-----� _- 34. Fin:. Hecting G: A4 Cord•ti�on rg -- -- -- - ---L- - - --------- ------------ ' 35. FmslGasPip2-Test ! 36. Hood or Canopy - --- --- - _ - - 37. Final Factory FuePiace 38. F,nal P0.;mb, ny ( ---------'--------------- 39. "'later Service Final 40. Gas Sere,ce,-mal . - _ -_-_- -- -- - -_-- -------------_- - - -_ T ----_------ --� _-_-- 41. Solar Domestic -Final 42. Backflcr. Prcvanter, 1 43. Hac!tflosv Irrigation X14. landsct.a 6:rsation +y;:ym 45 Sound Attei,.,atiorp-, 43. Handicap Regulatictrs-- 47. Fl%ALSTRUCIUlf ,I NRNIN CS P!ALPLAGsr --_------------`-- 4S'. E'retnc Fefcase to `"�o r _ 50. Cas Release to Sour',n a forma Gas Co 51. CERTIFICATE OFCUPANCY No. Date F _ A INTERNATIONAL TESTING CORPORATION OGY - FOUNDATION AND STRUCTURAL ENGINEERING - TESTING - INSPECTION - QUALITY CONTROL SCP 29 1965 COMPRESSION--- ' City of Costa PAe Bu ill Total .loads Lbs.: 49,000 107, i50 8oent•sa Lbs. per sq. inch: 1,540 3,23 9 5 Specimens made by: John Karlick, Inspector Specimens Delivered by: Hal Whitaker Date Specimens Received: 9- 1-65 INTERNATIONAL TESTING CORPORATION cc: City of Costa Mesa (2) Whittaker Pools (2) D. M. Layman \\ dm 6173 CHERRY AVENUE 1670 BASCOC� STREET LONG BEACH, CALIFORNIA COSTA MESA, CALIFORNIA - - 422-7500 - LONG BEACH, CALIF. 646.1626 COSTA MESA 6367621 - LOS ANGELES 545 B866 SANTA ANA REPORT OF GUNITE CYLINDER TESTS 649 identification No.: P-565 - 639 - Client: Whitaker Pools Structure: Swimming Pool, 1043 Concord St.,Costa Mesa, Calif. Sample From: Walls of Pool Mix: 6 Sack P.S.I. 2,000 Age: 7 Days 28 Days Specimen No.: WP 1 WP 2 Average Dia.: 6,37511 6.5" Area Sq. In.: 31.90 33.16 Date Made: 8-26-65 8-26-65 Date Tested: 9- 2-65 9-23,j65 11TECE1VEj/ SCP 29 1965 COMPRESSION--- ' City of Costa PAe Bu ill Total .loads Lbs.: 49,000 107, i50 8oent•sa Lbs. per sq. inch: 1,540 3,23 9 5 Specimens made by: John Karlick, Inspector Specimens Delivered by: Hal Whitaker Date Specimens Received: 9- 1-65 INTERNATIONAL TESTING CORPORATION cc: City of Costa Mesa (2) Whittaker Pools (2) D. M. Layman \\ dm CITY OF COSTA MESA CALIFORNIA P. O. BOX 3f7 FROM THE OFFICE OF THE DIRECTOR OF PLANNING Arch Sellery 1043 Concord street Costa Mean, California Dear Pool Owner: October 5, 1957 The Costa Mesa Planning Department has been notified of the completion of your swimming pool. So that your pool will be a safe one and for the purpose of advising you of your responsibility regarding the requirements of the Costa Mesa Municipal Code, we quote Section 9298.9: 1. No swimming pool shall be constructed closer than five (5) feet to any property lines, measured from water line of pool. 2. No swimming pool shall be constructed under any electric power lines or on any electric power easement. 3. No swimming pool shall be constructed unless the yard surrounding such pool is completely enclosed by a fence six (6) feet in height and have a self-closing and locking type gate or gates. This courtesy letter is directed to you so that you will be aware of our ordinances and can make a complete safety check of your pool area. SSiiincceerely yoursZ.,— vviL�9 William L. Dunn Director of Planning a . ► 9932 COSTA MESA BUILDING -SAFETY DEPARTMENT ' P. O. BOX 917 COSTA MESA, CALIFORNIA For Applicant to TCompletely TYPE ORBUILDING AD RS.1O4c:d 14COSTA MESA.OWNER ARCHITECT STATE LIC. Ni SIZE DESCRIPTION OF WORK ■ 7. OF MOMS ROOF FEE RECEIVED JUN 1 1'1983 INACAT� AMPERMIT L. II CITrr Po0f080LbLTDD1VsME@RIy 7 93 -ti DATE ISSUED FIRE ZONING MON[NO. OP US[OP N[W R-1 PI.ANs 2 BUILDING w/ at�gar YARDSAPPROVED MAIN BUILDING ( FROM C/IyREETM) FRONT F� PT. uy R. SIDE [ jg� FT. A7 L.SIDE ,A PT.ot' REAR #3FT. DISTANCE BET. MAIN BLDG.. VAR.# USS UP UUILUINO ANU WORK TO BE ERFORMED /�11 % ae- or X /_-Z-i0 F"� SHALL BE LESS THAN (U. B. C. REQUIREMENT. YARDS APPROVED ACCESSORY BUILDING DATE \ / /� (/" 60. PT. 1 HEREBY ACKNOWLEDGE THAT 1 VS READ HIS APP TION THE AMOUNT SHO UNDER VALUATION 10 FOR THE AND STATE THAT THE ABOVE 1 O �ry�(/ AOR TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY, 0 PLY WITH ALL CITY OROINAN IBTA WS ULATING—VALUATION �lO�- 0 BUILDING CONSTRUCTI.0 V 1 FJ / n SIGNATURE OF — �I1 PERMIT FEE 5 n CHECKPLAN AUTHORZEDAGENT 9a5n3 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 317 COSTA MESA, CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT T� BUILDING O -3 C(:) ^j CQ (/ G ADDRESS COSTA MESA, CALIFORNIA OWNER `C /V� I'�Q MAIL / o vcbe v ADDRESS ��/-y //n���H CITY COS' `••� fKr .�'� TEL. G NO. CT OR ENIGENEER��TT r W 1 HSN 6E NO. ~ ADDRESS ',. 6 1 b 1 © C CONTRACTOR W �f GQ � 0 A DReG I Com/ 9 AC6441A CITY LO Vfys �yb-9 4 LIC, NO.STATE /la .ZO 6 .Z / NO. r SIZE 1 O O ,G �9 NO. OP BLDOB. OF LOT l /�T� vJ�1 I NOW ON LOT USE OF / / Q / u "DIV, EXISTING BLDG. I_ it SETBACK LINE FROM 4 I CENTER OF STREET / REAR YARD Ri SIDE YARD LEFT v RIGHT V DESCRIPTION OF WORK WALL,, -,N 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE I C ALL THAT THE ABOVE IS CORRECT AND AGREE TO COM- PLY WITH TY ORDINANCES � AND STAT 1 yLAT , BUILDING ALLCONSTRUCTIlTt I 111r(�J^ ei eN ACTT RE OP 0 AUTHORIZED AGENT CITY Or C ;STA MESA AUG 3 1965 APPLICATION FOR PERMIT BUILDING ' IONR/ I PLANeP �oi�& BU ILOINO LEA(J GAL _ l 4. �4.. n.laee w4'-T�V///{ I A 3_ NOTE: NO SAVE OVERHANG SHALL BE LESS THAN 30' TO SIDE 8 REAR P. L. EAVES ALLOWED (U.S. C. REOUIREMEr YARDSAPPROVED YARDS APPROVED DMAIN BUILDING I ACCESSORY BUILDII DISTANCE BET. I BET. MAIN B: MAIN BLDGS. ACCESS. BLOCS. VAR.* DATE THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. VALUATION PERMIT FEE $ 1,2— .3m,) ,_ 31814 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O.BOX1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely OWNER MAIL CITY L V: CONSTRUCTION BRANCH ADDRESS ARCHITE( CONTRACTOR ADDRESS CITY STATE LIC. NO. SIZE �) 51OF LOT USE OF EXISTING SLOG. SIZE OF rte' WALL E OF BUILDING AND aSR TEL. JT NO. '7x )N /z PRM TJV •7 BUILDING , ADDRESS /1/3 Q'7 3 ��¢� TRACT .Eos J LOT / BLOCK W A"MIDI TEL. NO. APPRI ISH O/,yher� y`� ( �/ PLAN CHECK $ /a%''Q E TEL. NO. VALUE CITY LIC. NO. M 1 W NO. OF SLOGS. NOW ON LOT ;L& CAM Ras, NO. OF ROOMS STORIE: ROOF V'COVERING r.>U]t., -I ORK TO BE PERFORMED n /7i -A/ < I hereby acknowledge that I have reed this application and state that the above information is correct and agree to comply with ail lows regulating building construction, end I shall not employ any person in violation of the workman's compensation laws of the State of California. I hereby certify that 1 em properly licensed as a contractor under the State of California Business and Professions Code, DivisOn 3, Chapter 9, and that such licenses are in full force andeffect, or I am exempt from the provisions of the State of Cel ornia Business and Professions Code, Division 3, Chapter 9. A/ -r Signature of permittee —� `(- Authorized Agent� PA: ��AY-8-7('cnsaOO 282" ****57.50 APPLICATION FOR BUILDING PERMIT RECEIVED BV DATE pRECEIVED DATE ISSUED S O -7O A.P. NO. PRM TJV •7 BUILDING , ADDRESS /1/3 Q'7 3 ��¢� TRACT .Eos J LOT / BLOCK W A"MIDI APPRI ISH r y`� ( �/ PLAN CHECK $ /a%''Q E OWNER ��✓+ VALUE S $ ' FIRE ZONE TYPE GROUP (APPROVED YE NO. OF USE OF N _ PLANS BUILDI YARDS APPROVED YARD! MAIN BUILDING A ACCESS IOM C/L STREET DISTANCE BET. BET. MAIN SLOGS. ACCE VAR. + A PERMIT FEE ONLY: a DATE C.U.P. * APPRI APPROVED i... D r TIIIIF:� a) o SQ. FT. THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: a VALUATION m Ob PERMIT FEE $ �) n 00 y`� ( �/ PLAN CHECK $ /a%''Q E _ a L LL TOTAL FEE S t