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HomeMy WebLinkAbout1052 CONCORD ST - Building PermitsPROJECT ADDRESS: 1052 CONCORD ST, UNIT: BONER'S NAME: WAGNER MARY A' ADDRESS: 1052 C6NCORD ST COSTA MESA,CA 92626 549-0508 ARCNIENGINEER: REG.NO.: ADDRESS: UNIT: PERMITTEE: MARY WAGNER (714)549-0508 ADDRESS: 1052 CONCORD CM CA 92626 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Codeand my license is in full force and effect. CITY LIC.: STATE LIC.: CLASS: Date'. Signature WORI(ERS' COMPENSATION DECLARATION: Ihereby affirm that I have a certificate of consent to self -insure or a certificate of Workers' Compensation Insuranceora certified copy In erect (Section 3800, Lab. C). POLICY NO.: EXP. DATE: COMPANY: ❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division Date: Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (Trisection need not be completed it the permit is for one hundred (SlDp or less). I certify that in the performance of the work for which this permit is issued. Shall not I any person manner So as to become sail 0, to thge tNo kers C pensation Laws of California. 9y Date: ��� Signature: r x.1_0 -„J NOTIC If. a Rr making this tletlaration, you should become sublppothe Workers' Compensator ovisions of the Labor Code, you must tonhwith comply with such provisions or this he A' it 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 areal pf 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 issuancealso requires the applicant for Such permit to file a signed statement that he/she is licensed pursuant to the provisions of the ContractorsState 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 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the ❑ structure is not intended or offered for 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 no 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 did 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 for such projects with a COntraCtOr(s) license pursuant to the Contractors' Stale License law). I am aware that proof of their Worker's Compensation insurance should be provided to me. I am exempt under Section: B P 70 4 4 B. &P C. for ins caALL WORK BY OWNER Date: _ Owner'. I do her certify Inad I am aware of and understand the requirements of California Realth d Safety Code Sections 2559 25533, and 25534 and that I or any future building occupant willlwill not (circle one) need to comply with said slate codes and the requirements for a permit for construction or modification from the Air Oualdy Management District. Residential construction applications are exempt from these provisions. Date'. Applicant. I hereby certify that I have read this application and stale that the above ordinances and state laws relating to building construction and hereby ouch p'par ertyfor�in/sp/er/�'�n pure -es Dair{c— ..� Signature' G Driver LiiccenseorSocialSecurity is correct. I agree to comply with to 164146 White—Building: Green—Code Enforcement: Canary—Applicant: Pink—Revenue: Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 05014 PERMIT NO: B 050144 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTION REROOF COMP O/ CEDAR SHINGLES SQ FT: 1,735 CLAIM VALUE: 1,735.00 CALL—VALUE: 1,735.00 GROUP OCC: R-3 / COMMENTS: REROOF COMP O/ CEDAR SHINGLES iEiE 141E*iF **iE iE iE AE 1EiE 141E 1E 1E*AE****AF IE AF 1E AE iFAEA4x 1E*iE1E i41E 141E 1f1E 14iE iF AE AEAE AE 1E iE 1E 14*1E iF 1E 1E 1E 14***iE 1E1E 1Fif 1E 1E 1E 1E 14if 14* iE* Z O N I N G S E R.T B A C K S E Q U I R E M E N T S ------------ 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 RGHT: FT IN PARKING REO• PROV: PARCEL: 14165104 ZNE: REF NO; PLANNING N TES> > iF iF 1E iF if 9E iE AF JE 1E 1E AE iF 14 iE iF iE k 1E iE 1E iF it iE 1E * iF iE 9E AF AE * AE 1E 1E iE.K. AE 1F iE * AE k 141E iF i4 iE A4141E 1E * AF iF * AE AE itiE iE 1E i4 i4 iF 1E 1E k 1E,1E 1E iE * 1E 1E AE 1E iF 1E 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 DATE: BUILDING APPROVED BY DATE: APPLICATION PPLICAkION4 AE ISSUED SSUED 14BY _ k14 if*iF 1E♦f iEif*k1E AE iE 1E iF*kiE AEM*AE*♦E kAE ik iEk** LEGALIZATION:N F E E BLDG PMT PLUMBING ELECTR PERMIT 41,00 PLAN ISSUE FEE iFiFif **iF All #All1F ♦t**All iE i4 All 1E 1E*1E iE*1E 1E 1E 1E 141EiE***1E 1E RE 1E IE S M M A R Y STRUCTURAL SEGMENT:Y I MECHANIC FIRE SMIP/RES GRADING .50 SMIP/NON—RES BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 41.50 0,00 0.00 41,50 41.50 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 41,50 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 41.00 .50 ♦f iF kiF iE 1E 14 it AE iEAE*ik iE*A4141EAE 1E*iE 1E**iE 1F*iF it 1E 1E#EiE iE 1E*1Ek*1F*iE**1E it lE iE i4 kAF if**iE1Ei4 AF 1EiE*1E*1E 1414***iFiE AE 14 AE 141E if 14 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 T I O N UNIT COST TOTAL COST SFR 1735 REROOF BY VALUE RESIDENIAL NOZONE 1.00 1,735.00 - END OF FEES fQJEC 03 r199 CITY OF CUM MESA CONSTRUCTION AND PLANNING POU, & SPA ? APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd._ 53. Steel Reinforcement Electrieal Conduii-Utility-Undrgrnd. 54. Forms a . .41 Electrical Conduit-Undrgrnd. 55. Electrical Bonding '5. Sieel Reinforcement 56. Rough Plumbing & Pressure Tess`t31-1 r ,`.6c%Ell ectrical UFER Gind. T�< 57. APPROVAL TO COVER GUNITE a• T•Footings 58. Electrical Conduit-Undrgrnd. + r- 4. Foundation 59. Gas Pipe, 0 Undrgrnd., Test •9. Water Pipe-Undrgrnd. ? 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System �� 61. APPROVAL TO DECK n, �• 11. Property Sewer Line,& House Connection ! 62. Backwash & Receptor-Final 12. Sewer Cap - 63. Heater & Vent-Final '• / r s. 13. Roof Drains _ 1 64. Plumbing System - Final 14. Rough Plumbing 2 65. Electrical-Final 15. Rough Electrical-Conduit i, 66. Solar System-Final 16. Rough Electric'Wiring 67. Fencing & Access Approval' 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING ' 18. Rough ElectricafT Bar Ceiling 69. POOL/SPA SYSTEMS FINAL jr 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - - - -� _ r it ; C • P: �-APPROVAL'S?C'_Perinit 4#--:L 20.,ftugh Factory Fireplace -!..t 1:, Sr. v n efn-.-»;- 21."-Duets, in-Structure- = 7 y. r,. )0. Undergroupd•Hydfo , 22. Ducts, Ventilating<<=71. Prod ucf PPping QGas OOiI 23.';Gas Pipe-Rough &'Test J2. Underground FIah - I ,nom _ , 24.-Roof Framing i-•�- - > O * * S73!�Undergrnd?Storappe'an �7k O Gas es Oil •""-_� •., 25. Roof Sheathing n ! ;r `7q C'Oyerhead Hydros G 26.,T-Bar Ceiling (Structural) &'Monocoat a± ?_ D7'' 75 ?Dry Chemical a - 4 !�_ rP - ,-. .. 27.'Frame and Flashing` ?' 76: D Stand"iE '` '' 'r' �'`� yam• r r _r Lu.*.. y RD _ -28.'Lathing,& Siding • x : �,Sx `r, : 1, ••)r * 77.7'FIXED SYSTEM:FINALI :'29. Insulation y. 78.:j-FIRE PREV. FINAL 3+ ' 1;30. DrywalltNailing ^+ II - HEALTH,DEPT_xR EQUI R EMENT'- .31. Plaster Brown.Coit-� ; p ! :�; ..,.79: FINALIWSgECT16N :� '• ; r., =.i32.,Electrical Power Meter,-Final j o- .'I I i 1 e Y o80.,:FOOD CERTIFICATE ISSUED - Electric: ° ` �'• r" rrNotes: J, '�jx z33.,*final `-.34. -Final Heating:& Air. Conditionln9c 35. !Final Gas:Pipe-Test'!' t a A. •� -� _7" ,;,36: Hood or.,CanopY - In _37.,Final Factory Fireplace S.r ;, C:7 ' I' •`i: 'i Y F.. ti'. x ' `r x Final;Plumbing •�-+ ' y -y if :K .� 4 V •. .� . S a R: ,48. R t` -39. Water Service-Final •' s o :40. Gas Service-Final .,� y„<;, 5 a r1 ( 1 I•i it •. O-• _,nt ,41. Solar Domestic-Final _ •• . _• I �" Ott° i­i x _ 42. Backflow Preventer" i '` to T r. 43. Backflow Irrigation __ 1:-= x C r i A4. Landscape Irrigatiop Systems r,i, IQ ,- �45."Sound Attenuation!• �.r,- •: - - -� a- 4.�5 .� :46.'.Handicap Regulations `- " ..� ' fy •-� , 47.,FINAL STRUCTURE & BUILDING �., �/ � i ,�, � •_ '" 48.-FINAL PLANNING' Y�' '� �-'-• 49. Electric Release to Edison X50. Gas to Southern California Gas Co +Release 51.+CER_TIFICATE OF OCCUPANCY y tc No Date 11Hlli V 1 VV Nn ilii _girl _(11T TAIT TRACT FTRR Zl1NF VAT.TII{ S?5(1_(0 INSPECTIONS Signature Date GROUP I TYPE V ZONE R-1 SailPERMITS SUBCONTRACTOR ISSUED - Gas `—Tate { Number { Signature Water Plumbing Rough Plumping Prop. Swr. Line O House Con. 0 Sprinkling System Miscellaneous Rough Heating and Air Conditioning Temporary Service or Pole Underground Q Power ❑ Rough Wiring _ Heating and Vent. Trenches ® Forms Q Steel Reinf. ❑ L �e L–� Floor System a �. Bond Beam Q Steel Reinforce ❑ Sheathing Frame and Flashing y Lathing — In ❑ Out 0. Plaster, Brown Coat Structural, Final _ Electric Heating, Vent., Refrig. and A.C., Final Plumbing, Final and Gas Test ❑ Electric, Finnl Building, Final 25?51 WC6STA MESA BUILDINGSAFETY DEPARTMENT P.O. BOX 1209 COSTA MESA, CALIFORNIA 92620 For Applicant to Fill In Completely TYPE OR PRINT MAIL SETBACK LINE COSTA MESA. CALIFORNIA ' NO. or OLD 0. DESCRIPTION OF WORK 1 HER[RY ACKNOWLEDOR AND STATt THAT THE AR PLY WITH ALL CMU�QRDII BUILDING CONSTIIYICGON. AQRNT S LAWS RROULATING CITY OF At fA MESA JUN 1 1966 R[CtIPT NO. )DMO'. iT R[CV; RY Dw R.. rv[D BUILDING —ADDRESS FIRK ZONR TYPIg GROUP APPROVED BY' i 6—/ / 6 DATE (D 47 ZONING ZONry /1 NOF LO. � U[R NEW JOYILDINO pAIN! LICOALmocaPrlon A. P. NO. — S /-0 NOTE: NO EAVE OVERHANG SHALL BE LESS THAN 90' TO SIDE a REAR P. L- EAVES EAVES ALLOWED (U. B. C. REQUIREMENT) YARDS APPROVED YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING (FROM C/L E I FRONT FT. R. #10% 38rr, FT. „c. L. SID FT. �o IT. —�JG • '52 ” ' REAR PT. FT. DISTANCE BET. BET. MAIN e MAIN SLOGS. ACCESS. SLOGS. VAR.* DATE C. . APPROVED / /1 AFPI"V!I 1// , Y 7 t DATR �V SQ.FT. THR AMOUNT SHOWN UNDER VALUATION IB FOR THE PURPGSR OF EBTABLISHINO A PERMIT FER ONLY. VALUATION eX PERMIT FEE g SoPLAN CHECK S TOTAL PEE ..7 Va1,Ln YY [1VL�Ll�t ..IuS L,. WMIL }—a—// JOB ADDRESS 1052 Concord St. BUILDING PERMIT N0. 43627 GENERAL CONTRACTOR er—Builder DESCRIPTION of WORK Add fam.rm utility room AP No. 141-651-04 LOT 45 TRACT 4356 FIRE ZONE VALUE $ 10 000.00 INSPECTIONS SI naw.. I Date TYPE V GROUP I ZONE RI_ SOIL SUBCONTRACTOR PErM GAS Date Number Signature WATER PluMbing ROUGH PLUMBING /-3-k-77 MAW PROP. SWR. LINE 0 HOUSE CON. E] SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING •LSI .'J% TEMPORARY SERVICE OR POLE UNDERGROUND POWER E) ROUGH WIRING --nmeq!inu and Vent. TRENCHES L6 FORMS Ej STEEL REINF. - 8'_:3-2r-77 1364rg� FLOOR SYSTEM BOND BEAM STEEL REINFORCE SHEATHING FRAME AND FL ASNIN Q-70 LATHING - IN OUT ` PLASTER, BROWN COAT STRUCTURAL. FINAL HEATING. VENT., REFRIG. AND A.C.. FINAL .F _ / _ PLUMBING. FINAL AND GAS TEST n b7>KI - ELECTRIC, FINAL /b•//• 7 BUILDING, FINAL Q ' SPECIAL REQUIREMENTS Nea� �1�ivii:( ipLG rwds rslT a"d3 Yee"; A •/vr � j PAID 43627 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING ) ADDRESS �OSZ L /.V�Si&O/9� rJ J/ . OWNER Jf�/Y)ES �. GtIAG�tl�7Z MAIL MAIL—ADDRESS I� �-y� CITY ` ,+DS177 // /GJA NOL CONSTRUCTION LENDER �11 BRANCH PERMIT FEE E ADDRESS -,, ARCHITECT r" OR ENGINEER rJ TEL. ADDRESS . CONTRACTOR $1© p�A�/I ✓ ADDRESS / CITY TEL. NO. STATE LIC. NO. CITY LIC. NO. SIZE OF LOT I NO. OF BLDG3. NOW ON LOT USE OF s��r. _�, f--, Separate permits are required for electric, plumbing and heating work. OF BUILDING AND WORK TO BE PERFORA LIAR _9'77r145r1141 5141ry A)PI.)C#ION FOR STRUCTURAL PERMIT NIj-N R® � I� THE AMOUNT SHOWN UNDER VALUATION IS FOR Famumm THE PURPOSE OF ESTABLISHING A PERMIT FEE ON Yj �11 Me PERMIT FEE E -,, • • . -FAR GL�s3a� ufrR�CH . TAX $ s $1© p�A�/I ✓ / / 2517M 4 J�J TOTALPAID S s 7" FIRE ZONE ' ZONE ( IP A!S ^ I BUILDING SII ■ YARDS APPROVED I YARDS APPROVED I 9 L/ A770 [�/I/L.�Q,.S_(J�� 1VAR.* DATE C.U.P.:0 _ h I APPROVED I hereby acknowledge that I have read this application and state that the above Information is correct and agree to comply with all laws regulating building construction, and I shall not employ any person In violation of the workman's compensation laws of the State of California. 1 hereby certify that I am properly licensed as a contractor under the State of California Buslness and Professions Code, Division 3, Chapter 9, and that such licenses are in full force and effect, or I em exempt fro tha provI Ions of the State of California Business antl Professio ode, Division 3, hapter 9. Signature �j� n __ Agent BUILDING FT. N n m 7,57Cm SQ. FT. THE AMOUNT SHOWN UNDER VALUATION IS FOR D THE PURPOSE OF ESTABLISHING A PERMIT FEE ON Yj o VALUATION PERMIT FEE E N / PLAN CHECK E G TAX $ s $1© p�A�/I ✓ / / O J�J TOTALPAID S s 7" J JOB ADDRESS 1052 Concord St. BUILDING PERMIT NO. 43628 AP No. 141-651-04 LOT 45 TRACT 4356 FIRE ZONE VALUES snn-nn INSPECTIONS Signature Date TYPE v GROUP T ZONE SOIL SUBCONTRACTOR M SS GAS Date Number Si nature WATER - Plumbin ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND POWER ❑ ROUGH WIRING Hectina and Vent. TRENCHES FORMS STEEL REINF. ❑ FLOOR SYSTEM BOND BEAM STEEL REINFORCE SHEATHING FRAME AND FLASHING LATHING — IN OUT PLASTER, BROWN COAT STRUCTURAL,FINAL •� HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING. FINAL AND GAS TEST ELECTRIC, FINAL BUILDING, FINAL i SPFGIAI. REQUIREMENTS yl 71 i COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only [ADDRESSBUILDING osaWNER///AIL �t�I�tDDRESS-,-,7�/, 'ITY C'C)S//T ��A TEL.NOONSTRUCTIONENDER J BRANCH ADDRESS a i n R 3 ADDRESS R TEL. 'I .I t Pg1L a icir t}C:uS SI, R -A -77T,;;•00 539' ., APPLICATION FOR STRUCTURAL PERMIT RECEn5a I DATE RECEIVED ff=n=A==p uFr TRACT APPROVED ADDRESS TEL. that the above Information Is correct and agree ty with CITY NO. n m STATE CITY all laws regulating building construction, and I shallmploy LIC. NO. LIC. NO]B�T SIZE u NO.OF Me State of California. OF LOT I hereby certify that I em properly licensed as a counder NOW OUSE H OF the State of California Business and Professions Cosion 3, EXISTING BLDG.Separate emexempt iomtheprovisions of the State of Califusiness permits are required forelectric, VALUATION PERMIT FEE E O QendProfes plumbing and heating work. _-- ' VAR.+ C.U.P.M ALU$ 4 P/ GROUP DATE v OFUSE OF NEW NS BUILDING VED YARDS APPROVED BET. MAIN & state I hereby acknowledge that 1 have read this applicajunder 0 that the above Information Is correct and agree ty with n m all laws regulating building construction, and I shallmploy any person In violation of the workmen's compenaws of u Me State of California. - I hereby certify that I em properly licensed as a counder SQ. FT. H THE AMOUNT SHOWN UNDER VALUATION IS FORmChapter the State of California Business and Professions Cosion 3, 9, antl thatsuch licenses ere in full force at, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: emexempt iomtheprovisions of the State of Califusiness VALUATION PERMIT FEE E O QendProfes nCode, DivleIon {Chapter 9. e mSignatur PLAN CHECK E TAX $ s Q Permitt -�VS O U TOTAL PAID E �s A orized Agent III J// WTA19911 MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 317 COSTA MESA. CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT BUILDING [MAIL DRESS 1052 G COSTA MESA. CALIFORNIA NER rf /7 // - STATE LIC. N SIZE HHTBACK LINH PROM /''`� C8NT8R OF GTREST RHAR YARD/ SIDH YARDI LEFT L+ I RIGHT [_ DESCRIPTION OF WORK BUILDINGANO. OF SIZE 5� V1 ROOMS EXTERIOR WALU FEE RECEIVED JUN 1 4 1968 APfff4XDWfERMIT R[CHIV[ BY DA R[C VHD DATE 111UE1 -1- JUL I 1 BUILDING ZONING I N[U8[1P N[W R-1 Puns 2 Bu1LDINo W att ST. GAL HO RIPTION Lot 45, Tract 4536 P. NO. noneOTE: NO SAVE OVERHANG SHALL BE LESS THAN 0'T 810EBREA P.L.AVES LLOWED (U. B. C. REQUIREMENT) YARDSAPPROVED YARDS APPROVED MAIN BUILDING I ACCESSORY BUILDING VAR. # DATE 1 -5 -TE BO. FT. ys/ 1 ME ED ACKNOW O 1 H R� THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IB FOR THE S AND STATE THA H8 V C R8 D AORES TO C PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALL I 1 BUILDING CO LAW: REO B VA N eT I 1 PERMIT FEE „ / BIGNATU ITTE 17 /,2O_PLAN `PERM ti //, CHECK S AUTHORIZED AGENT TOTAL FEE $ c 5 Sa