HomeMy WebLinkAbout1155 DORSET LN - Building PermitsWABgBLDwr 1155 DORSET LN gln:KTn ANDERSON, GERTRUDE
Eu:1155 DORSET LN
COSTA MESA,CA 92626
557-1491
APDL. MMLwc ADDREss:
ANCHITECT OR ENDO M: UC NO.:
ACA OR ENG'S ADDRESS: UNT.
COMPACTORS NAME:
CONTRACTORS MMUNG
ADDRESS: UC. NO.:
ease CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: B 079409 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR
SOB DESCRIPTION : T/OFF 6 REROOF W/COMP. SHINGLES
UNIT:
UCENSED CONTRACTORS DECLARATION: I hereby affirm under penalty of perjury mat I we licensed under prwdalms of Chaser 9
(cwnmendn9 with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force end ewes.
CT' I.C. NO.: UC. CLASS: LIC. NO.: EXP:
Date Connector:
OWNER BUILDER DECULRATION: I hereby, affirm under penalty of perjury that I we eserns from the Cordwon License Law for Lia
Idowsg reason (Section 7031.5 Business and Professions Cade: Any city or county abs n ma,mee a perms to construct, alfer, impure,
demdsh, or repair any structure, prior 10 its issuable, also rarnares the applicant for such gwrm to Be a signed statement Met he or am
Elicarned punueni to the prwisvw a Ihe Cwnnctore licama Lew [Chaps 9loanmatelq nth Section 7000) a Divebn 3 a the
Prumwes eft Prdev'vw Cadet « Ihet he « and b assns therarcm and the ban 1m the aibgnd esempton. Any volition of Section
I.5 by any applicant for a Pormn subjects the applicant to a dad p salt of not more than fire hundred ddWs [MD.
❑ I, as caner ofthe prosody or my empbyeas with wages as Ihei sob compensation, will do this work, and the wascom s not Mmnded
or offered for sale (Section 700,1, eusureas and Profwsiom Code: The Contractors Loeose Law does not appy to an owmn of prop"
who bunds or inprovea Iherem, and who does such work hosed or hemelf or through his w her own employese, provided that such
improvement, was not intended or offered for sale. H, however, the building or im ommanl is sold within ow year of completion, IM
owner -builder will hear IM burden d proving he or she dk not build or improve for the urpme of soft).
❑ I, as owmr of the popery, we esdus ey contracting arm kcansad connectors to coromid IM project (Section 7044. Buevm and
Profeesiom Code: The Contractors License Law does not apply r an owwr of prossM afro Wilds or improves Iherean end afro
contracts for such projects with a conlractor(s) licensed pursuant to the Contractors License Lew).
am assns und�BP7044 B.sP.c..kxwlene.ar�OWtJER�BOLD,�R
Dat . Owswn .tl� Y/+'t!i(QJI+(1.4Y�
Sol
cenily dor 1 son sorer. of and understand Me reauinmeme of California Health end Safety Code Sectors 05505. 25533. and
05530, and Mel I w era' Mum building ommect will / will not (circle me) wed to comply with said rota codes and IM n ma merw for
a pamah fwoonstmcton or modification ham the Ai ua�Thy emgemenl Distract. Residential conpmfion applications en wens from Mese
Data Applicant:
WORKER'S COMPENSATION DECLARATION: I hereby whim under pansy of perjury one of that fdlo prim dederatiwro:
❑ I have and ail maintain a canHicela of consent to self -insure M wonken'rompeneetion, as provtdnd for by Section 3700 of IM Labor
Cade, for the orsh mecca of the won for wNch Ins permil ie issued.
❑ I neve and aril maintain sorYars' compenvtnn imunrse. es npuired by Section 37M of the Labor Cade. for the pad«menlm of the
work ler wfnich this pwmlH is inued. My workers' campamation inwnenee canner and poky number we:
Center
Policy Number:
: ewcton need Torr M completed I the Panel is /w - me hundred dollen Ii1O0/ or foss.)
I eenH Ur1 in the p.domrrce of the owl, for which this pamH b iesued, I shall rot arnples' any, person in eery menmr so as to
become subject to the workers' compenratirn have; of California, and agree that H I sMUM beater subject to the worsen'
compensation pmvsiors d Section 37W of the Labor Code. I shell fonhwkh own* wind those provisions.
Data: Applicant:
Wyff ff. psllun b ascan waMren tanct"ue (SI ro00% I b unlion h end •Ilett sub/xlen employer to set, as pxrMu end
Slat/ flue up 1p onsluardenof.abw Co Mousand and ttorneys M eddltlon b Ms cwt of romperMeOon, demsges u pmvldetl for /n
S.H. 3708 0l Ms labor Cods, Infero( end atromsyY lees.
CONSTRUCTION LENDING AGENCY: I hereby, affirm under Penalty of perjury lhel there a a construction lending agency for the
Md.. of the work for which this perms is saved (Section 3097. Cb. C).
LENDER'S NAME:
LENDER'S ADDRESS:
I cenHy That I neve read this wppls m n end atate that the above information is coma. I agree to cwnply ash of dry and mumy ondinerrr
and awe laws relating to Wildsg construchm and hereby aulhoribe representatives of this city to enter upon the ebose-memorind prop"
for inspection purecaes. GERTRUDE ANDERSON
Print Name
GData
Signature r enUApplica:t/Conuactor
(5151.16.W P) Whd,Buildsg & Satay: G.,F.Ie; Conary -Applicant: Pink-Rnenw; Godlaorod-Assessor
CLAIM VALUE:
PERM NO: B 079409
GOVT: N SUPP: N
SQ FT:
2,800,00 CALC—VALUE: 2,600.00 GROUP OCC:
PURPOSE: OTH
2,600
R-3 /U-1
COMMENTS; X
1E iE if iE♦E******i6♦E 1F iF iE iF 1F 16 iE iE dE iE 1E iF 1E*1E iE*♦E iE iE 1E 1E 1E 1E**1E 1E 1E iE**iE 1E dE iE*1E iE dE 1E*1E dE 1E iE 1E**N-1E***1E 1f 9E iE 1E iF*N-1E iF 1E 1E
Z 0 N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ----------
---------
ACCESSORY BUILDING---------
FRNT: FT IN REAR: FT
IN FRNT:
FT IN REAR: FT IN.
LEFT: FT IN RIGHT: FT
IN LEFT:
FT IN RIGHT: FT IN
PARKING REQ: PROV:
PARCEL: 14114118
ZNE: REF NO:
PLANNING NOTES>
2.
161E 1E 1E dE 1E 1E dE**16 dE*♦E*iE iE iE*iE iE 1E 1E 1E♦E*iE 16**4dE*♦EiE♦E 1E iE 1E 1E 1E iE 1E iE*iE***♦E*1EN-1E
1F 1E 1E 1E 1E iE iE iF iF lE iE iE 1E 1E dE ♦E 1E ♦E 1E 1E iF 1E iE iE 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 E N"T S
ZONING APPROVED'BY
DATE:
BUILDING APPROVED BY :
DATE:
APPLICATION ISSUED BY:
DATE: 6
dE i6 iE iE**1E iE iE iE lE iE iF 1E 1E 1E iE iE*1E*1EiF�if�E�F3f3fifif�f������f
'if�iF'3F�F3Fif3F�F�F�lE
1E ♦E ♦F 1E 1E*1E 1F dE 1E if
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 74.75
,50
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE
PLAN—CHECK
TOTAL PAID DUE
TOTALS ---- > 75.25 0.00
0.00
75,25 75.25 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 75.25
OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC
MECHANIC FIRE
SMIP/TOT GRADING PLAN—CHECK
74.75
.50
iE 1E 161E ♦E 1E 1E ♦E ♦E ♦E ♦E 16 * * * * * ♦E 1E 1E ♦E ♦E 1E 1E ♦E 1E k 1F 41E 1E iE 1E iE 1E 9E 1E * iE iF iE iE iL-iE 1E 1E iE 1E 1E 1E1E * * 1F 1E ♦F 1E 1E iE 1E iE 1E * ♦E 1E 1E iE iE 1E 1E 1E iF iE 1E iE 1E 1f if dE
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 2600 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 2,600,00
END OF FEES
)NSTRUCTION AND PLANNING
Date
'PROVALS Permit #
'InspdA
v- �_
POOL 'A
J . APPROVALS, Permit #
Date
Insp ctor
I ;el
I. Temporary Oectriczil Service or Pole
_ _ ��
52. Pool & Equipment Location " •
.pc
2. Soil Pipe-Undrgrnd.
53. Steel Reinforcement
-. 3. Electrical Conduit Utility-Undrgrnd.
1 ,
54. Forms
•'
4.:Electrical Conduit-Undrgrnd.
55. Electrical Bonding
5. Steel Reinforcement
w 1
56. Rough Plumbing & Pressure Test
�' t
-6. Electrical UFER Grnd.
c .�•
57, APPROVAL TO COVER•GUNITE
' 7. Footings
58. Electrical Conduit-Undrgrnd.
- �
8. Foundation
59. Gas Pipe, ❑ Undrgrnd., Test
;
9. Water Pipe.Undrgrnd.
`I
60. Backwash Lines, P -Trap, O Undrgrnd.
)
10. Structural Floor System
r
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
rt
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
APPROVALS -" Permit # -
--
20. Rough Factory Fireplace - - vim.
-
21. Ducts, in Structure ,'•.
70..Underground Hydro ,
22. Ducts, Ventilating -
_ •a,
71. Product Piping'0 Gas 00il
23. Gas Pipe= Rough &'Test =
J
72. Underground Flush
24.:Roof Framing•- J
73. Undergrnd. Storage Tank ❑ Gas ❑ Oil
25. RooYSheathing
9 %_
74. Overhead Hydro '
26. T -Bar Ceiling (Structural) & Monocoat
m
- -
75. Dry Chemical - - -
27. Frame and Flashing
#
76.'Dry Standpipes ; n -
28. Lathing & Siding 1d °
77. FIXED SYSTEM FINAL
29. Insulation
78. FIRE PREY. FINAL
30. Drywall Nailing
.•
-HEALT;+i DEPT: REQUIREMENT
31. Plaster Brown Coat' _ n- ;
i
79. FINAL INSPECTION' -
. 32. Electrical Power Meier -Final I •�
,
;�
80. FOOD CERTIFICATE ISSUED
33.•Final Electric
y
Notes: _ _ _
34. ,Final Heating .& Air.Conditioning"
35. f inal Gas -Pipe -Test
36. Hood or Canopy-
• 37. Final Factory Fireplace.-
t:
38. Final Plumbing
39. Water Service -Final t
n
40. Gas Service -Final
41. Solar Domestic -Final
42. Backflow Preventer, -
_ -
43. Backflow Irrigation
'44. Landscape Irrigation Systems
46. 'Sound Attenuation'-
-
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING q�(G
-
48.'FINAL PLANNING
49. Electric Release to Edison
50. .Gas Release to Southern California Gas Co
-51. CERTIFICATE OF OCCUPANCY
No Date
_
CITY OF COSTA MESA
i4 Building Safety Department
Application for permit for the fabrication and erection
of awnings, advertising signs or devices.
LOCATION
� 17877
Jed
Building Site Address C
Name of Leasee �• lA 1 K C] L L
M0
ContractorState License No. CCV —Z C)1:7
address -7 711 A.- A t -21' S7 City '5� At ATA. GN A Phone )i< \ —1 i i.,
1,itect or
gineer_
DESCRIPTION
State License
Description of awning, advertising sign, or device:
Awnings canvas 11 metal ❑ Width:."47"47 ft. —min. Length: —L-q_ft. 0 in.
Ground Sign Projection Sign Roof Sign 0 Wall Sign El Metal Letter Sign 0
Banner R Canvas Sign El Gas Tube Electric Sign (Sub -section 1.44, Ordinance 313) ❑
Combination Sign Special Device (other) ❑ Explain:
Two copies of plans and specifications shall be submitted with application for permit for each sign. Plot on
plan sheets proposed location of sign and locations of all other signs at site. Minimum size sheets must be 18"
by 24" and non -erasable.
If within the 10 -foot area of front property line, owner is to sign written agreement with the City.
of Sign — Thickness ft. in. Height --45L ft. _feLin. Length_1-7—ft. Din
Weight lbs. Height above grade—�C7 ft. 0 in. Projection ft. in
The undersigned hereby agrees to fabricate and erect awning or advertising structure within the intent and
meaning and in strict accordance with the provisions of Ordinance 95, Ordinance 313 (Electrical Ordinance of
the City of Costa Mesa), and all amendments thereto.
ALL APPLICATIONS MUST BE FILLED OUT BY THE APPLICANT. ALL FOOTING, FRAMING AND ELECTRICAL IN-
SPECTIONS SHALL BE CALLED.
Signature of -
Permitee
Authorized Agent CtaO.:P@ S1,61tA Co
Recd. by
Form 214 IM-11-60--S-H P
The amount shown under Valuation is for the purpose of
establishing a permit fee only.
r+a
VALUATION Permit Fee $
/ Z f Plan Check $
Total Fee $
Approved
ZONING
Zone Use of Bides.—
A. P.
Site
Legal Owner
Address
FhE RECEI ED
SEP 2 5 1962
FINANCE DEPT.
CITY OF COSTA ME3A
DNLY
permit
®E
Yards Approved.
Large Sign in excess of 8 sq. ft. Setback from center line
of street to front property line -- LD—ft. in.
From property line to edge of sign __5!Ln ft. � 1� —in.
Side Yard Setbacks: 1)
Left Side Q G �n,
Right Side
Building Line Setback from
center line of street
Area of Sign
Height above Grade
Projection
Awning Size—Width
Length
Awning Height above Grade
Projection
Location and size �(�
approved by "LA
ft.
5 ---- R ft. in.
--C�=—ft. in.
in.
in.
eft: in.
I
ft. in.
in.
l6�1
OWNER KOLL K. W. J— DATE 9-27-62
JOB ADDRESS 11 SS TlnrsPt Tia , BUILDING PERMIT NO. 17877
GENERAL CONTRACTOR Carter S icon Co. VALUE $ 125.00
AP No. 141-141-18 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Temp.Grnd.Sig
Y- - "ECTIONS Signaturel
DATE
GROUP J TYPE V ZONE R-1
SUBCONTRACTOR
PERMITS ISSUED
Gas
DATE
NUMBER
Water
Rough Com. Refrig. ❑ Air Cond. ❑
Rough Heating
Rough Plumbing
Miscellaneous
_
Prop. Swr. Line ❑ House Con. ❑ St. Swr. ❑
Sprinkling System
_
Construction Pole — -
Underground ❑ Power ❑
ugh Wiring
renc es orms ❑ Steel Reinf. ❑
Floor System
Bond Beam ❑ Steel Reinforce ❑
Sheathing
Frame and Flashing
Lathing — In ❑ Out ❑
PI—ter, brown coat
. ❑ Air Cond. ❑ Final
ng, Final
Plumbing Fixtures, Final
Final Gas Test
Electric Fixtures, Final
Building, Final
OCCUPANCY
FORM OU4 - 5M - 7.61 1 7A77
OWNER SHMI ROBERT M.
JOB ADDRESS 1155 Dors
kI GENERAL CONTRACTOR Shin
p- vo, l 1-1 1-1 LOT
t\T
3CTIONS
DATE NOV 1 ),1964
BUILDING PERMIT NO. --23209 --
I: . VV• VL11iVG .p a..... a... vv
TRACT FIRE. ZONE R DESCRIPTION OF WORK4'RES.&Att.Gar.
-Signature
DATE
GROUP WTYPE V ZONE R1
Bou
SUBCONTRACTOR
PERMITS
ISSUED
Gas
DATE
NUMBER
Water
Rough Com. Refrig. ;❑ Air Cond. ❑
i
Rough Heating
Rough.Plumbing
Miscellaneous
Prop. Swr. Line ETRouse Con. t. Swr. ❑ _ _,¢2CPn—
__��_�j_
/Lj / 6 r�/,G_
Sprinkling System
Construction Pole
Underground ❑ Power ❑
`Ron h Wiring
Trenches Forms L❑ Steel Reinf. ❑
- a
Floor System
_
Bond Beam ❑ Steel Reinforce ❑
Sheathing
v 7
Frame and Fla s in
�5 L
Lathing — In
GS
r brown coat
6
i. a. ❑ Air Con. ❑ Final
Heating, Final
_
Plumbing Fixtures, Final
,rn.�" w
i
232n FEE RECEIVED
MANCE
1964
COSTA MESA BUILDING -SAFETY DEPARTMENT FINANCE DEPT.
WIPP. O. BOX 817 008TH MB$A. CALIFORNIA
CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
9✓CrjAl,4A) TYPE OR PRINT f 2 BUILDING
BUIDING For Office Use Only --
L
ADDRESS I
R[C[IFT NO.P[RM7IT GN
2 5
COSTA .MESA. CAL.IFORNIA
BECK BY , `OAT i[Da 0 TE7SU
OWNERBUILDING / PP /J/77
MAIL /} ! / ADDRESS (���/- G0e
ADDRESS 1� �C�?� 13 y (/ ,
FIRE
CITYN
TELO. f�:, _4O
Ott ZONE TYPE - GR U
�•
AR�'HITECT TEL APPROVED
OAT
O' +INEER NO.
ZONING V1 e
ADDRESS
Z NO.OF SEOF
PLANE OUILDIN
CONTRACTOR N
,�� LEGAL
ADDRESS D[ecRlPiION
CITYSTATE.TG
- / NOTE: NO SAVE OVERHANG SHALL BE LE THAN
LIC, NO. Z NO. - �� � S�1 30" TO SIDE @REAR P. L.
EAVES
SIZENo. OP BLOBS. ALLOWED <U. B. C. REQUI ME
OT
OF LO T / NOW ON LOT
YARDS APPROVED YARDS APP OVEC
USEOF MAIN BUILDING AC ESSORY BUILD[
EXISTING BLDG.
(FROM C/ REST - ll
SETBACK LING FNOM / . FRO N
CENTER OF STREET SO REAR YARD
Y
SIDE YARD V LEFT i RIGHT - ; R'
4
DESCRIPTION OF WORK. - 21-- LI
BUILOINO / NO.OF VAR.* (� DATE I•_ *', _�
SIZE L aX,aW O ROOMS STORIES f, C.U.P.# / �\ 'APPROVED
EXTERIOR WAIts•/- _ _ ROOF .sr APPRO
COVERINGr LO GOVERIv2 �LLC/I I��G BY 1. DAT
-
�L4v v Q. FT.
yyo-
I HEREBY AI HAVE READ THIS
AND STATEE CO CT AND A
LIGATION
TO COM.
THE AMOUNT SHOW
PURPOSE OP ESTABLISHING
UNDER VALUATION
A PERMIT
IS FOR THE
FEE ONLY,O
PLY WITH AB AI STAT LA S
BUILDING C
SIGNATUR
AR
ULATING
VALUATION
-
PERMIT FEE SPERMITTE
�� m
PLAN CHECK 5AUTHORIZ
- - �
f/y D
5 LL
TOTAL FEE $
/ •
UWNtK ANDERSON, H. 0. DATE 9/18/80
JOB ADDRESS 1155 Ibrset Lane BUILDING PERMIT NO. 50688
GENERAL CONTRACTOR Wilson Associates DESCRIPTION of WORK Ahninum Patio Cover
AP No. 141-141-18 LOT 28 TRACT 4395 FIRE ZONE VALUE E 850.00
'.C710NS
Si ..tare Dot.
TYPE V -N GROUP
J-1 ZONE R-1
SUBCONTRACTOR
PERMITS ISS D
-
GAS
Dote Number Si nature
WATER
Plumbin
ROUGH PLUMBING
PROP. SWR. LINE n HOUSE CON. E]
SPRINKLING SYSTEM
MISCELLANEOUS -
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND POWER
ROUGH WIRING
Heating and Vent.
TRENCHES t7l FORMS 0 STEEL REINF.
FLOOR SYSTEM
BOND BEAM STEEL REINFORCE
SHEATHING
FRAME AND FLASHING
LATHING -::_IN OUT
PLASTER, BROWN COAT
ST-17URAL, FINAL
G, VENT., REFRIG. AND A.C., FINAL
P. .dING. FINAL AND GAS TEST
ELECTRIC. FINAL
BUILDING. FINAL
-pw
E3
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
1969pi 9/18/80 9950 TL'
APPLICAT1010F.6R STRUCTURAL PERMIT
For Applicant to Fill in Completely - Use Ink Only
RE E D PERMIT
N2 150688
BUILDING )/S b6 Y-5 �.y,
ADDRESS / 7/
A.P. NO. 4 l
OWNER OR �/
TENANT
N�
BVILDING
ADDRESS41�5 0-11Z
UNIT OR
SPACE NO.
MAILING
ADDRESS 5 GIi""�-
TR.NO. _I�
Y
RLK.
/+
CITY l� � NOLj5.VS_0!7
NEW
ADD ALTER
REPAIR
MOVING
DEMOLISH
CONSTRUCTION
LENDER
BRANCH
OWNER /V Dlcx,x2
ADDRESS
LUE
U $
ARCHITECT TEL.
OR ENGINEER
ZONE TVP ROUP
ADDRESS
I•///r'
CONTRACTOR W I S C ki /
APPROVED DATE /d
ADDRESS vv '.J'p�(( /rD /Y /yP C
CITY (,1 044- CtF( NO. S3/ O6CO
-
. I S"Sz �� VNO.
LIC. NOLIC
APPROVED SETBACKS
SIZENO.
OF LOT
OF BLDGS.
NOW ON LOT
(FROM C�SSwREET)
RONT �� FT.
USE OF
EXISTING BLDG. /
Separate permits are required for
electric, plumbing and heating work.
L. SIDE �O FT.
2
REAR ..J FT.
USE F UILDING AN5 WORK TO BE PERFORMED
PLANNING ACTION
��i�III/IZJ
DATE
APPROVED9
APPNSROVED
RY CJS)
1 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 Business and Professions Code, Division 3,
Chapter 9, and that ch licenses are In full force and effect, or I
am exempt fro e p ovisio ns of the State of California Business
and Profession de, ivision 3, Chapter 9.
Signature of
Permittee
SO. FT.
THE AMOUNT SHOWN UNDER VALUATION IS FOR
THE PURPOSE OF ESTABLISHING A PERMIT F ONLY:
VALUATION
//���333---JI
$ �( d
(//)
PERMIT FEE $
PLAN CHECK $
TAX $
or
Authorized Agent Date
TOTAL PAID $