HomeMy WebLinkAbout1192 DORSET LN - Building Permits •
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. •
CITY OP'COSTA MEA CpNSTRUCTION'PERMIT PERMIT NO. - TRACT NO. LOT NO. •UNIT NO.
ls192 Dorset Ln . M. g d��. X79 • 3952 6/20/67 ;20p50 . Ti
Project Address 1 r I
Applicant's Mailing Address 1261 CnR1IRP rr1a1 Way CM9ZG G 7TYPE OF CONSTR •UCTION ❑ NEW L11ADD ALTERATION UREPAIR f
_ ❑ CONVERSION ❑ DEMOLISH ❑ OTHER
Owner's Name ., - . • • _ _ . q - • • - Phone979-0707 ' residential-,Flat art A`P.='¢ Zone
DESCRIPTION OF WORK/USE OF BLDG. p
Address 1-1-92 Dor-se-t • LN 4 ply fiberglass ; ptched Arch 80 S Main Building: Accessory Building: '
Arch/Eng. License No. TYPE OF PERMIT LJ GRADING '❑ FOUNDATION '❑ STRUCTURAL , E Front Z
T O
Address - • ❑ TENANT ❑ ELECTRICAL:❑ PLUMBING ❑ MECHANICAL B Rear N
Contractor's Name Crank Bros _ ROOF In 548 5'56S IP OTHER A. I -
one C Right N
PROJECT DESCRIPTION FT. OCCUPANCY Pam
Address(mailing) 126 Commercial Wy C' M 92627 ' s1��1��e K G
City License No. 005993 CONSTRUCTION TYPE e ' VALUATION$ 3 , 610 .00' s Left
LICENSED CONTRACTOR DECLARATION •• ZONE GRADING CU.YDS. ' ACRES Ping. Ref. # Parking Req./Provided E
I herebyaffirm that I am licensed underprovisions of Charter 9 (commencing - . " ' Q
Remarks: Planning Notes: M
with section 7000) of Division 3 Of he Business and Professions Code,and -
my license is in full force and effect. ' - - - ' •
T
_ -
Liced • ass a License ' A G6Y - S
Date t t'S'mature II _ . AKfarAl%n - PLUMBING --FEES - _
an 'NO-FERS'C• Ps.SA ION DE �'��TwN Bar Sink • Showers • I 'ELECTRICAL FEES
R 'reby affirm that I have a cer ' i .te of consent to self-insure or a certificate • . . . -. _ '
Norkers' Compensation In ur ce, or a certified copy thereof (Section Backflow Preventer Service Sink - ' - t " 0 15-50 KW _
JO, Lab. Cl. Automatic Washer Transformer
•\ Policy No: 285/274-87 Company State • Fund Backflow Irrigation . . Sewer Cap - • „ . ' Construction Pole Sub. 0 50+ KW,
_ Certified copy is hereby furnished. ' 1
x Certiuyef{4yy' led with the city uildin Divisio •
n.. • Bathtubs, • • • Sewer Connection Cooking Unit Meter Dui)to 100 amps . -
- Date V/ +✓/�� Applicant �ran9le rOG _ RootinE CO. -
N. EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers ;• . Solar Collectors Dishwasher •_ Meter. Dover 100 amps -
(This section need not be completed if the permit is for one hundred ($100) or 1
less). 1 • 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❑O. P ❑l'A-R
Workers' Compensation Laws of California. • I _
Date Signature - Floor Drains- m •
Swimin of w/Spa• - - - F.A.U. Inc: a ar ❑9-15 HP 016-15+
NOTICE: If,after making this declaration, you.should-become.subject to-the - _ _
Workers' Compensation provisions of the Labor Code, you must forthwith ' Floor Sinks Urin • Fixtures
comply with such provisions ori this, permit shall be deemed revoked. •icrowave
CONSTRUCTION LENDING AGENCY • Gas Service 'Outlets Ater Closet
I hereby affirm that there is a construction lending agency for the performance - Device Boxes Pole Light ,
of the work for which this permit is issued (Section' 3097 Civ. C.)
Interceptors Water Heater Outlets I '
Lender's Name Range •
Lender's.Address - • _. Kitchen Sink .. . Water Service. _ Switches. - - - - Sign
OWNER BUILDER DECLARATION - - - .
I hereby affirm that I am exempt from the Contractor's License Law for the . . Lavatories , Auto-Wash
following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal Standing Sections •
county which requires a permit to construct,alter,improve,demolish or repair • P—Trap Laundry Trays - Generator ❑0-5 KW❑5-15 KW Trash Compactor ' '
any structure, prior to its issuance, also requires the applicant for such permit P
to file a signed statement that he/she is licensed pursuant to the provisions'of Roof Drai —•
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 - - _ .
herefrom and the basis for the alleged exemption. Any violation of Section •• ' .
/031.5 by any applicant for a permit subjects the applicant to a civil •• -
enalty of not more than'five hundred dollars($500). • I 3 p
I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 ' Issue Fee $
compensation, will do'the work,and the structure is not intended or offered I - Reinspection Fee ! $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 SERVICE$REQUIREMENTS:
employees, provided that such improvements are not intended or-offered for Boiler _ , Hood or Type I 0 • - -
sale. If, however, the building or improvement is sold within one year of com- - Canopy Type ❑ Zoning Approved By Date
pletion, the owner will have the burden'of proving he/she did not build or im- Duct- Under Ground Building Approved By Date
•
prove for the purpose of sale). - •
0 I, as owner of the property, am exclusively contracting with licensed con- ' Duct-Structural Refrigerate System Application Issued By 1 ' Date.7_ 2.07
tractors to construct the project (Section 7044,Business and Professions Code: — —
' The Contractor's License Law does not apply to an owner of property.who - Duct-Ventilating 00-1 ,000 BTU ❑100,000 BTU - SUMMARY OF-FE _
builds or improves thereon,and who contracts.for such projects with a'con- _ _ -'fix-'
tractor(s) license pursuant to The Contractor's License Law). I am aware that- Exhaust System 0 -Multiple 0 stem Repair/Alteration • . BUILDING PERMIT- '$ ?NO •O(} SMIP - $ `'y
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 F.irepl/Fact Blt. ICBG# - Fire Dampers PLUMBING $ - ISSUANCE $
-
Date Owner - Heating System& Ducting. Regrsters' PLAN CHECK 25% $. - ENERGY P.C. $' •
I hereby certi that I have read this ap•�lon a • state that the above ❑0.100,000 BTU 010 0OBTL GRADING $
information i rect. I agree to co ply.e. all cit:'and county ordinances - - ELECTRICAL $
and state la ating to buildin• o r 'on an' hereby authorize repre-• I - - - MICROFILM• $
sentatives of• ' y, • ent•./^: _,C a••� entioned property for - - PLAN CHECK 50% $ -
inspection pur-'. - MECHANICAL ,$ • TOTAL FEE $ �� •J C/
Signature - Date A /1 O /47 r -
'" • _ -
P -
CMF 0865 rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor _ ..
CONSTRUCTION AND:PLANNING POOL &SPA
APPROVALS ,Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd..'1''? 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 Grid. - 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 fa-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 ❑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) & Monpcoat - 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 - .
44. Landscape Irrigation System • - • '
45. Sound Attenuation .
46. Handicap Regulations '
47. FINAL STRUCTURE & BUILDING itchy &I -
48. Special Requirements Completed - O /�I .
49. Electric Release to Edison
' 50. Gas Release to Southern California Gas Co . ' -
51. CERTIFICATE:OF OCCUPANCY
No. Date
OWNER VASSOS, Angelo A. DATE 11-26-62
JOB ADDRESS 1192 Dorset Ln. BUILDING PERMIT NO.18278
GENERAL CONTRACTOR Edward & Paeans. VALUE $ 369.00
AP No. 141-141-08 LOT 38 TRACT 1+395 FIRE ZONE DESCRIPTION OF WORK COn1.Blk•Wall
I 'FACTIONS Signature DATE GROUP J TYPE III ZONE R-1
Gas — SUBCONTRACTOR PERMITS ISSUED
DATE NUMBER
Water
Rough Corn. Refrig. D Air Cond. ❑ - —
Rough Heating
Rough Plumbing _
Miscellaneous
Prop.Swr.Line ❑ House Con. 0 St.Swr. ❑
Sprinkling System
Construction Pole
Underground ❑ Power ]
Rough Wiring, _
'Frenches LN' Forms Li Steel Remf. EJ R1349_
Floor System
Bond Beam ❑ Steel Reinforce 0
Sheathing
Frame and Flashing _
Lathing — In ❑ Out ❑ _ _ _
r" ter, brown coat
;. 0 Air Cond. ❑ Final
_dug, Final
Plumbing Fixtures, Final _
Final Gas fest
Electric Fixtures, Final
Building, Final
OCCUPANCY
FORM BU4-SM — 7-61 18278
ati ..� -7_ u X277 FEE RECEIV D,
18278 I / NOV 26 '
CQISTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. •
P. O. BOX 917 COSTA MESA. CALIFORNIA CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT
(' -'�, BUILDING
BUILDING II 1 7 ✓L /o/J R.SC l (r
ADDRESS COSTA MESA. CALIFORNIA For Office Use Only
. 1 1 RECEIPT NO. ( PERpBTY10.$/
OWNER �G�l Q k + SSdS ///S/>/ 7
MAIL e L, RECEIVED pjV DA RECEIVED DAVE ISSUED
ADDRESS i �Q L 3bLS� 1 �T^`6 _ Y( i //,26-a.>- /7-) 6•-� '-
i<15-3
/� TEL+��n1�,3ZQ BUILDING
CITY` D.�iT I4 �SR NO.AyYj _4i1 ADDRESS
ARCHITECT '- rML-. COSTA MESA. CALIFORNIA
OR ENGINEER NO.
ADDRESS FIRE // Q//
l/ / /1 /I 4 ZONE TYPE'�iGROUP �/'
CONTRACTORRQ 'Jan I'J �' NC.A-A/ APPROVED DATE f///
ADDRESS oa3Z I_' a3 �= r4- ZONING ectia„�
��(( 1'M I` ZON I NO.OF USE OF NEB(
CITY i/e../ �7"-ITd j e r }Z // - I PLANS '2. 'SII BUILDING %LOCK`104(4.
LIC.NO. J / / ! f l NO:7/,(J-��p Z LEGAL
DESCRIPTION LOT -7p(--//-•{Qiker[T� q-3 •�/
SIZE (0QI x 1 /A I NOW ON LOT NO. OF SLOGS. I A.P.NO. f t /` / l/
OF LOT OO /V///`\��_l 111
USE OF //� � YARDS EVES
EXISTING BLDG. JC -c7 APPROVED ALLOWED
SETBACK LINE PROM (CENTER LINO ST.)
CENTER OF STREET REAR YARD FRONT L5-7) FT. IN.
SIDE YARD I LEFT I RIGHT R.SIDE FT. (7 IN.
DESCRIPTION OF WORK O IN.
L.SIDE FT.
NEW I kII ALTERATION I II ADDITION I REAR / FT. / O IN.
MOVING I I DEMOLISH BPPROVED/ , //� _ DgTE I /��.� .4
REPAIR {�/l/� , 111
BUILDING NO. OF /��J 1
SIZE ROOMS STORIES v V
EXTERIOR WALL I ROOF
COVERING COVERING
E OF BUILDING AND WORK TO BE PERFORMED
.o c.k. LaA-ll, C, 1 141G44
didX 6 ' X / 7-2- '
/7.2
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF, ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. /41 tittna40
NVALUATION
SIGNATURE O / PERMIT FEE $ L�PERMITTEE /L>'Yl�'diN
$'')� PLAN CHECK $ 4Y
AUTHORIZED A NT 'v� C
t/ , D n TOTAL FEE $ `� _
I. .
LOT 38 TRACT 4395 CCC RECEIVED
1/4 ;, 16313 JAN 3 1 BA
i CgSTA MESA BUILDING-SAFETY DEPARTMENT I FINANCE Ucri.
P. O. BOX 317 COSTA MESA. CALIFORNIA CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT / ,. BUILDING
BUILDING /I fo2 DD�SU�/ /_Y/7L
COSTA MESA. CALIFORNIA For Office Use Only
OWNER K & K DEVELOPMENT Co., INC . I RECEIPT NO. fl' U13J
MAIL RECEIV D BY DA VED ' DATE ISSUED
ADDRESS 1555 PLACENTIA AVENUE
LL..�� / �{ I
)( -6")- 1ANAl 1959
CITY NEWPORT BEACH NOJ'AI 63227 BUILDING
ADDRESS
ARCHITECT TEL. COSTA MESA. CALIFORNIA
OR ENGINEER NONE NO. /
ADDRESS FIRE I /I �,
ZONEv TYPE GROURY4 I
CONTRACTOR K. W. KOLL APPROVED
BY DATE
ADDRESS 1555 PLACENTIA AVENUE ZONING
ZON NO.OF USE OF NEW Sin?"9/n A,
CITY NEWPORT BEACH l -/ I PLANS & I BUILDING w142,-
-
LIC.TE NO. 61195 TEL
M I 6-3227 LEGAL L.O•t 35 /A' `/3 9_
DESCRIPTION
SIZE // Q' , NO. OF BLOCS.OF LOT C9 f) X /0O - NOW ON LOT O A.P.NO.
USE OF
EXISTING BLDG, NONE - YARDS EVES
APPROVED ALLOWED
SETBACK LING FROM L,// / / (CENTER LINE ST.) _
CENTER OP STREET ! REAR YARD 4, FRONT G`3 FT. l- IN.
SIDE YARD I LEFT /Q/ 8-/RIGHT R.SIDE C9 FT. ----, IN.
DESCRIPTION OF WORK L.SIDE /0 FT, IN.
NEW I S II ALTERATION I II ADDITION I REAR /6 FT. IN.
REPAIRII MOVING I II DEMOLISH I APBYPROVED O� Aa DATE 1/30/az
Mametf NO. OF / /I
SIZE jt en, Sire" ROOMS (p ' STORIES 1 /%) ����
EXTERIOR WALL / ROOF Wd0 a' L y"
COVERING STU C CO I COVERING Sh�//I C ,--' v e
USE OF BUILDING AND WORK TO BE PERFORMED / Y
SINGIE FAMILY RESIDENCE WISH .? 13
ATTACHED GARAGE. '!may
V
PLAN # p,o,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY OINANCEB AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION
SIGNATURE OF x'7,7 N/J /O PERMIT FEE $:96 — N
PERMITTEE I1�'(/�-� B
$ /6 .7257 PLAN CHECK $ /� `
AUTHORIZED AGENT U
. ' ' _. TOTAL FEE $ ✓ Y4/-�