HomeMy WebLinkAbout1594 CORSICA PL - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. .
CITY OF COSTA%E AA —CONSTRUCTION PERMIT PER/vyT`NO.�yD� TRACT NO. LOT NO. UNIT NO. '
Project Address. to//nie5idA �Ps.L� .-�s 94649. fJ / -
/S$S LVi/.L ala TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION LI REPAIR r
Applicant's Mailing Ad ess ID OTHER q p,946 Zone
❑ CONVERSION ❑ DEMOLISH
Owner's Name AX � Phon �Q DESCRIPTION OF WORK/USE OF BLDG.
Address S4m� S Main Building: Accessory Building:
E Z
Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL T Front O
Address n/�/��ns ��//�s7711 ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL A Rear N
Contractor's Nam• / AreeS , !/• • Phone/-/Pr13Y7p ❑ OTHER I
C Right N
Address(mailing) /51 /ti .a. K
PROJECT DESCRIPTION SQ. FT. OCCUPANCY G f/ CONSTRUCTION TYPE VALUATION $ s Left R
• City License No. •5151.2 d ZONE GRADING CU.YDS. - ACRES Ping. Ref.# Parking Req./Provided E
LICENSED CONTRACTOR DECLARATION 0
I hereby affirm that I am licensed ander provisions of Charter 9 (commencing Remarks: Planning Notes: 1 M
with section 7000) of Division 3 of the Business and Professions Code,and REGEiVLO Jul 2 T
myUc license Is in full fg(Ce tl effect, is/2' (q
Licen Clasre, -1—>—�6 Llee s Np O.
Dater3L�' Signature y�G_ LI I �(A�jfl-JJ PLUMBING FEES
\ WORKERS' COMPENSATION DECLARATION
Bar Sink Showers ELECTRICAL FEES
I hereby affirm that I have a certificate of Consent to self-Insure Or a certificate
of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink 0 15-50 KW
3800, Lab. C. // �G''// .,'j Automatic Washer Transformer 0
50+KW
IC Pnolicy'No. �•"747D Company Ae Rue re Backflow Irrigation Sewer Cap Construction Pole Sub.
la
Certified copy is hereby furnished. •
Canine' copy is filed with the city Bu ipg DiOn.sien.a r ` Bathtubs Sewer Connection Cooking Unit Meter pup to 100 amps
Date /PON Applicant SA /N DECLARATION
Dover 100 amps
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter
(This Section need not be completed it the permit is for one hundred ($100)or
less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel
I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan
Motors❑0.1 HP 01% 8
Workers' Compensation Laws Of California. _
Date Signature Floor Drains Swimming Pool w/Spa F.A.U. I Inc.rowaveSolar 09-15 HP 016-15+
NOTICE: If,after making this declaration, you should become subject to the lull
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures Mic
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes Pole Light
•
I hereby affirm that there is a construction lending agency for the performance coB
of the work for which this permit is Issued (Section 3097'- Civ. C.) Interceptors / Water Heater ea
QO Outlets Range
Lender's Name
tender's Address Kitchen Sink Water Service Switches
OWNER BUILDER DECLARATION Sign
I hereby affirm that I am exempt horn the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to Construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator 00.5 KW 05-15 KW Trash Compactor
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 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
7031.5 by any applicant for a permit subjects the applicant to a civil
eenalty of not more than five hundred dollars($500). $ 3
L-I
I. as owner of the property Or my employees with wages as their sole Reinspection Fee I $15 Issue Fee
compensation, will do the work,and the structure is not intended or offered Reinspection Fee I $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's 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 ❑ Zoning Approved By Date
tfr
plebe the owner will have the byrtlen of proving hC/She did not build or im- —Duct-Under Ground Building Approved BymovDat4 ��
I letle for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Data
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 0o-100,000 BTU 0100,000 BTU SUMMARY OF FEES
builds or Improves thereon, and who contracts for such projects with a con-
tractor(s) license pursuant 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. PLAN CHECK $ PERMIT
❑ I am exempt under Section B.& P.C.for this reason —J Firepl/Fact.BIt. ICBO# Fire Dampers .PLUMBING $ 00 ISSUANCE $
Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above 00.100,000 BTU D100,000 BT ELECTRICAL $ GRADING $
information Is correct. 1 agree to comply with all city and county ordinances
and state laws relating to building construction, and hereby authorize repro- PLAN CHECK 50% $ MICROFILM $
sentatives of this city to ant-r upon the above-mentioned property for
inspection Pur yy i A j /JDifii/ MECHANICAL $ TOTAL FEE $SSU •
Signature /'(• //(Y ( Date[O .7
Drivers' License or SS -�� - . Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865-46,rev. 10/84 White - Building: Canary •Applicant; Pink -Accounting; Goldenrod - Assessor U1 UUU LUt3LY-UUU lU?S•LY TO T 5.00
Ms DATE: 07/29/88 TIME: 1h:95
CONSTRUCTION AND PLANNING POOL &SPA
APPROVALS Permit* APPROVALS 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, ;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 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: •
34. Final Heating & Air Conditioning C
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
•
•
38. Final Plumbing lo/t/ L
39. Water Service-Final •
40. Gas Service-Final
:41. Solar Domestic-Final
'42. Backflow Preventer . . - i7
143. Backflow Irrigation
44. Landscape Irrigation System ''
45. Sound Attenuation
46. Handicap Regulations
Tr
47. FINAL STRUCTURE & BUILDING •
• P
48. Special Requirements Completed i
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co '•
51. CERTIFICATE OF OCCUPANCY •
No. Date
'� Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
PERMI TRACT NO. LOT NO. UNIT NO.
CITYOAdress MI 6 q CONSTRUCTION/ . _ , PERMIT 3 p ,/a/ A.P.# Zone
Project Address �J�,�..(.�;tit
O 7`� �} S Main Building: Accessory Building:
Applicant'§Mailing Address / � O N `p' TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION L+1 REPAIR E Z
I / p ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front O
Owner's Name / �-- Phone 4,ld-42 G DESFRIPTION OF ORK/US OF BLDG. t B Rear N
Address ' :
r •
= 4 % _
CONSTRUCTION AND PLANNING POOL &SPA
• APPROVALS Permit# I Date 1 Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pot? - 52. Pool & Equipment Location •,
2. Soil Pipe-Undrgrnd. ." 478/01 £110 53. Steel Reinforcement
3.. Electrical Conduit Utility-Undrgrnd. " 54. Forms
' 4. Electrical Condurt-Undrgrnd. 55. Electrical Bonding -I
5. Steel_Reinforcement t t 56. Rough Plumbing & Pressure Test e,•
6. Elactricdl UFER Grnd.If
i 57. APPROVAL TO COVER-GUNITE ti „•
7_ Foot
ingti ; •• is; 58. Electrical Conduit-Undrgrnd.
S.�Foundat�on „ r
59. Gas Pipe, O Undrgrnd.,Test '
9. Water Pipe-Undrg nd. .1 ,j`d/blR (60 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10: Structural Floor System I ' ! , 61. APPROVAL TO DECK
11. Property Sewer Line& House Connection '' 62. Backwash & Receptor-Final
12. Sewer Cap • 1 ; - 1 63. Heater& Vent-Final
-1
13. Roof'Drains - 64. Plumbing System - Final
' .
14. Rou h Plumbin 'I
65. Electrical-Final
-
15. Rough Electrical-Conduit
, 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
/177 Rough.Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
r, i
(19: Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT
.27Y. 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. Dry6vall'Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final .y 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 Wei / /i
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer (V
43. Backflow Irrigation •
44. Landscape Irrigation System ._,!
45. Sound Attenuation
46. Handicap Regulations
`47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed •
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY _
11
No. Date
OWNER COMESA, INC. DATE 5-15-59
JOB ADDRESS 1594 Corsica Place BUILDING PERMIT NO. 9287
GENERAL CONTRACTOR Dike & Colegrove VALUE $ 14,552.00
AP. No. LOT 47 TRACT 2822 FIRE ZONE DESCRIPTION OF WORK Res. w/att.Garage
INSPECTIONS rwi ii DATE GROUP TYPE ZONE A 1 c/
1¢fS
Underground Soi1/ U.G. Warm-AI-FS 7-21-si PERMITS ISSUED / V
UnderUnderground Gas SUBCONTRACTOR
g DATE NUMBER IR,
Overhead Water and Gas / �/
Rough Heating die, 6-12-- erre/ ' ✓ 9�
„ , ¢ - `` / 2 3)
Rough Plumbing J -/! Sit�7� SS`,5`--5-7 /9/.P7, r N
Miscellaneous .� i J li
Prop. Swr. Lino—H6u;gt. St. Swr. 7/yjirv, y *_C°),..,t— The f}'-Yr ir q 1:9),/
Sprinkling System 6
Heating, Final A 7-2 9 ' LI
Plumbing Fixtures � s e.-1,--S,
Final Gas Test /'i /
Construction Pole Y
Underground Power /
Rough Wiring � �F W .4/pt L64.,,f./nc- 6-/9-3-2 9-,W's/)
Trenches Forms Steel f%� __Z./ - i,V
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
Sheathing (.47i
Frame and Flashing artb//,�i
Lathing, In
1.----
Lathing,
brown coat ti0 , 4-10-51
Plumbing Fixtures, Final /KIS g J.-rej
Electric Fixtures, Final e n leo,
Building, Final 7 /7.1-1/
OCCUPANCY I
Form 210-3M-4-59 - - 9287
928'7 ; EE RECLi ED
COSTA MESA BUILDING-SAFETY DEPARTMENT AY 18 59
P.O.BOX 317 COSTA MESA. CALIFORNIA FINANCE DEPT.
CITY OF CTA
EOR APPLICANT TO flit IN COMPLETELY APPLICATION F RESA PERMIT
TYPE OR PRINT BUILDING
ADDRESS 1594 Corsica Place
COSTA MESA. CALIFORNIA EOR OFFICE USE ONLY
RECEIPT NO. P� I %
{pA
OWNER Corneae, rITI1C• TN
MMAILDDRESS 419 E. 11 th St., RE IVY IDAT RECEIVED DATE ISSUED
3735 s—/V
CITY /C/���o,,.s,t'I}aa Mesa,Calif. TNo. LI81159 A RESS
ARORCHITECTENGINEER elalebroOk NO. COSTA MESA. CALIFORNIA
Garden Grove FIRE
ADDRESS_ _ ZONE //
Dike & COlegrOve, Incl STATE 167293 APPROVED�1 5 �(//q
CONTRACTOR n nL,IIC.NO. BY 1 DATE �(!)7777//
ADDRESS 419 E. 17th St. , Costa Mesa ZONING
( $ ZONE NO.OF USE OF NEW
LEGAL I LOT �' / I /' I
DESCRIPTION NO. 47 BLOCK q �✓C//,P/LAANNSS — BUILDING
APA.P.NO. 60 BYP al- f DATE c '13'-- if
SIZE X 100 ND.OF BLUcs.nOne YARDS �� EVES `
OF LOT NOW ON LOT REQUIRED ALLOWED
USE OF (CENTER LINE ST.)
EXISTING BLDG. none FRONT v5FT. IN.
SETBAC'CO
LINE FROM G'SI •
24t
S
CENTER OF STREET JJ REAR YARD R.SIDE pFT. IN.
SIDE YARD I LEFT 5' 1RIGHT 51 L.SIDE b FT. IN.
DESCRIPTION OF WORK
REAR r� ✓/�
T.
X
FIN.
NEW I X II ALTERATION V ADDITION I
REPAIR 1 V MOVING 1 II DEMOLISH I
BUILDING OF A
SIZE 1450 ROOMS `6 STORIES 1
EXTERIOR
COVERINGWALL StUCCO INURING Shingle
USE OF BUILDING AND WORK TO BE PERFORMED
Single family residence with
attached double garage
Plan 140BR
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDING CONSTRUCTION.-� �T VALUATION
SIGNATURE OF. A J///�^ j( PERMIT FEE $ 34.00n
PERMITTEE L./�[/ fff ! L- 1( 00
• $ 14,552. PLAN CHECK $
AUTHORIZED AGENT Dike & Colegrove, Inc. TOTAL FEE $ 51.00