HomeMy WebLinkAbout3084 COLLEGE AVE - Building Permits� Costa Mesa Bnilding Department APPLICATION FOR PERIIIT
P.O.Box3,� =�4�? �- . BUILDING '�
COSTA MESA, CALIFORNIA
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN I Receipt No. I Permit No.
Building J✓ �IJN � JNC I
Address o .. �+ CQ '
Costa Mesa, California Re� d by Oate Rec'd. Oate Issu j
Nearest ` - � `-' � `� �' I �J �
Cross St. !1J a4✓ �'� � C eC T Builtling
C',5.�''eM P d� q_ PG'.`I(�aL icei Address r^
owner.�i Costa� Mesa, Ci3IliOTT113, ':' �*`
Mail j3 y6fyrM %'YLtr� 3o�'s-�-' �>e>- .
Address �c � � sTa �`16 Nearest .,,, ,_, ,._ __ �• _ f -
Tel.' , i S Sty y Cross St. -.' .". . .. ."?'• ,•.
City � � - Nu. ','.f'-G vo 2one � I No.of Type 1 Group'\
Architector _�,� Lic. �I ! P�ans .I'
C..ntractor
Lat
Size of Lot �r,( 7p
ljse of
Existing Bldg.
Sstbaek Line irom
re......ic.w_. �_
Lic.
Block I TreE�1`��
'/'7 _ �. S`Z ' � •Tf
Demolish
CORRECTIONS
PL �:r
=U�L.. ^ � , . . � RtG.
nL_L��_� L. :
r�..�. I i.n.
�...✓ering � Covering APPROVALS
�xa�w
�*MJ �1'e7`.)%N1�NC �L� .! t I'e�l/N c�¢s FourtdaGion Locatian , Irtspector
- Forms, MatcAais,
• � 'Ar �oMf�,i,Ji�N: G r. Untler-P(nnfng
// � � �� Frame: Fire Stops,
Bracing, Bolts
I hereby acknowIedge that I have read this Application
and state that the abwe is rnrreM and agree to cromply lath. int
with all City Ordinances and State Laws regulating
building construCtion.�� � Lath. Ext.
SlgnatureM ''� �
Permittee d' � • �� �l%f .__ Plaster, InL
ValuaUon Permit Fee E ;Ji ""
$ // " Plan Check $
`' . . Total
Fee S ��
p M 104 1 O. � S D. P. D 5.
O
9
�
Z
D
r
�}�`cTnoosess: 3084 COLLEGE DR
OWNEN'S NpME: WANDA WATERMAN
nooeess:SAME AS ABOC�E
FflCH/ENGINEEB: 7 1 4� 6 4 4— z 7 7�S
ROOflE55:
NEG.NO.:
UNIT:
UNIT:
PEpmi"EE: HASTINGS ROOFING ( 818 ) 350-4284
pODflE55:114OH CHERRYLEE DA
EL MONTE CA 91732
UCENSEO LONTflACTOP UECUIHATION: I hereby a�lirm IAai I am licensetl unGer provi5ion5 0l C�aD�e� 9(commencing with Seciion
7000) o� Division 3 0l IAe Business an0 Pmlessions Coae, an0 my license is in lull lo¢e and ellect.
ciTruc.;05'694 STATELIC.SHjO4�% !M cuAss:C_3
Dae: Signamre:_ _ vl`r � � _ _ . _
WOB NS' C MPENSA ION 0 C RTION: I nere�y allirm inat I have a Ceniiicate o�consent ta sel4insure or a i itate ol Worker5'
'vmoensation Insurance. or a renilie0 copY �hereoi �Section 3800. Lab. C).
aucvNo.:1046489-90 EXP.ORTE: 12IZZI91
coMeaxv:gTATE FOND
❑ Cenifietl cop/y is AereDy {Wrms�p�/,. �� Cenifie0 coDY is file �with ihe ciry Building ivision. ,
"Dale: `�,���/ f A�VlicanC , // r , � .
E%EMPTION OMWOBMEflS'COMPENSIITIONOECUPRTION: Qhi55ecUonnee0rul0ecom01ete0if(hepermlisl nehunOre0�5700�or1e55�.
I ceriily Ihat in I�e perbrmance ol �he work for w�ich Ihis permit is issued. I shall not employ any Derson in a manner so as Io became
subject to ihe Workers' Compensalion Laws of Calilomia.
Dale: Signaiure:
NOTILE: If. aller making ��is tleclaratian, you shoWd �ecome suble�� �o t�e Warkers' Compensaiion D�ovisians ot �he LaOor
Code. you mu5i lo�hwilh [amply wi�h su[� D�ovisions ar Ihis Oermi� s�all be tleemeC revokeA.
CONSTflOLTION LENOINC RGENCY: I �ereby allirm Ihat I�ere is a consUuclian lenaing agency �or t�e pedormance ot �he work lar
w�ith Ihis Dermil is issuetl (SetliOn 3097. Civ. C�.
LENOEN:
pODNE55:
OwNEfl BWL�EB OECuflPTION: I hereby alfirm ina� I am exempt Imm ine Contraclors' Slale License Law br the following reason
(Seciion 7031.5 Business antl Pwlessional Code: Any ciiy ol coun�y w�ich requires a permi� lo conslmc�, alter, improve, demolish, or
repair any slmcture, prior �o its issuance. alsa requires t�e applicani �or such Oermi� �o file a 5ipneE stat¢ment �ha� hGshe is IicenSeA
pursuant �o Ihe pmvisions o� the Comracmrs' State License Law (Chapter 9(commencing wi�� Seclion 7000) ol Oivision 3 0� �he Business
ana Pmfessions Code) ar I�al he/she is exemp� ��erefwm and the hasis lar Ihe allegetl exemplion. Any vi0lalion ol Sec�ian 7031.5 6y
any aDPlicant lor a Dermil subjecis Ihe applicant to a civil penalty o1 iw1 mara ihan live hunaretl tlollars 135001. .
I, as owner ol Ihe o�o0eny or my employees witn wages as their sole compensalion, will ao the woB, an0 tlle
� stmcmre is not imentle0 or oHereO for sale (5ection 70aa, Business antl Pmlessional Cotle'. Tne Contracmrs' State License Law
does nol apply to an owner o� a pmpe�y who bui105 or impmves Ihereon, antl who does such work Aimseltlherself or IhmuAh
�is or �er own employees, pmvi0ed Ihal such impmvemen�s are noi inlenActl or olleretl lor sale. Ii, however the huilding or
improvement is sold wiNin one year of complelioq Ihe owner will have Ihe Uuraen of provinp helshe tlitl not builtl or impmve
lor ihe purpase of sale�.
I, as owne� al l�e D�opetly. am exclusively comrac�ing with Iicense0 caniracbrs m constmct �he pmle�� (,Section 70C4. Business
❑ antl Pmfessions CoOe: The CanVactars' Siale LiCenu Law does noi aOVM �� an owner 0� pmpeM who butlds onmD�oves ther¢on
anG w�o mmrocts lor suc� pmjec6 wiih a mmractor�s) license pursuant Io ��e Contractor5' Slaie License Law�. I am aware
thal 0��� ol I�eir Worker'S Compen5aii0n inswante Shou10 be pmvi4e0 l0 me.
� I am eKempl unser Section: B. 8 P. C.
lor �nis reasan:
CITY OF COSTA MESA — bUILDZNG PEkMIT PERM NO: B 049646
PERMIT NO: B 049646 PLAN CHECR NO: N GC�VT: N SUPP: N
CUN5TRUCTIGN TYPE: F'ERI�IIT TYPE: STR PURPOSE: ALT
JOB DESCRIPTION : R1'sROOF/T—O,RESHEATH S 20YR SHINGLE SQ F'T: 4,000
CLAIM VALUE: 4,000.00 CALC—VALUE: 4,000.00 GROUP OCC: R-3 /
COMMENTS; SMOKE DETECTOR REQOIRED
dF if ik iE iF aF if k ik jF iE ik j! jk iE it iF if iE iE iL 3k ii �E dk �E �E 1E ik iF 1f aE if iF �t ik 3E iE iF iE iE iE jF df d! if if �Eik iF jk * iF if ik iE 3E jk 3F iE iE iF-1!� �E jk jE it iF if �1E iE it iF dE jt iE �1k if 3E
Z O N I N G R� Q U I R E M E: N'T S
S E T B A C K 5
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDZNG ---------
FRNT: FT IN RFAR: FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT: FT ZN RGHT: FT IN
PARKING REQ• PROV: PARCEL: 19103209 ZNE: REF NO:
PLANNIDIG NbTES>
.1
iE if if it if if if if 1f iE if if �lf iE iE iE 1E 1E �lE -0t jf jE ff i!-0k iE ii at ff 1E iF if it M if 1t 9F iF if if iE �lE iE �lE k ff � iE ik �lf �lf 1F �1(- if if -7f #�)f if if iE jE iE if it if �E k 7f iF if if if ii �k iF if iE
D E V E L 0 P M E N T 5 E R V I C B S R E Q U I R E M E N T S
ZONING APPRUVED BY DATE:
HUILDING APPROVED BY : DATE: �
APPLICATIOU ISSUED HY: - DATE: oZS�l�
IE 1t 1F �E if aE if iE ik 1F iE fE if if if iE if 1E K if jE 3EiFiFifiF'iF7F3F3FiFi�3F'iF3F�iF iFiFiF �iF iFiF ��it iF'7Flf iE 1F iF iE iE M�f 1E lE +r ie if
if �F df iF if dF if 1f if if iF �F iE aF �f if iE iE iE iE jE 3F jE ik if if iE if 3E iE af iF if �lf iF ik iE iF iE iE if if ik 3F if it if dE if iF iF if jf If if if �M if �1F �Y jE jE }; {E dE �1E iE %# %-lE if if iF iE if iE i'r jE
LEGALI2ATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMZP/RES GRADING
FERMIT 63.00 50
SMIP/NON—RES
PLAN
ISSUE FEE �
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 63.50 0.00 O.UO 63.50 63.50 .00
P.EVENUE DIVISION TOTALS--> CULLECTED: 63.50 OVER/SHORT: .00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECS<
63.00 .50
jf if �E 1E iE if �f i� 1f ff 1f iE iE iE iF �E ft iE if �E iE if if if if iF if !f 1f �F aE af ik jF if df iE jf if jE 3f iE iF ik ��k �E k if iE it if 1! 3f if if k if iE if 3E � jf �f jE-k k� 7F �� IE ik iE if ik �li if iE jE
I N D I V I D U A I, F E E B R E A K D O W N
TYPE QTY D E 5 C R I P T I O N UNIT COST 'I'OTAL COST
oaie: Rw^er. S FR
Ino nereny ceniiy mailam aware nl anE untlerstantlihe reQuiremenis ofCalifomia Heallh and $a�¢Iy CAC¢ Se[lions 25505, 25533, an0
25534 and I�al I o� any IUW e builaing ottu0ant wiNwill not (circle one) ne¢U lo comply with Sdid Siat¢ c00¢5 and the requirements lor a
permil lor conSlmc�i0n Or mOCilica�ion irom I�e Ai� Oualiiy Managemeni Oislricl. q¢pUen�ial conS�Nc�ion aDPlitdtions are e[emp� �rom
Ihese pmviSionS.
Dale: Ap0lican�:
I �ereby ceriify Ihal I b:rve maA IAis applica�ion antl siate ��at �he a0ove informa�ion is correcl. I ag . �o compty wi�h all city antl counly
artlinancesandstalelawsielatingio�uiltlingconsimclionana�erebya orizereD�esen �iv5oi��i��i� en�eruponlheabove�menlioneJ
prop¢tly IOf in5 ciion pufp CS
Dale/� ����� Signamre: � � _ _
Oriver's L¢ense ar Social Searity
16aLa6 Whne—Bmltlmp: Green—Code Enbr<emenL Canary—Apphcam; Rnk—Revenue; Goltlmro0—Assessor
4000 REROOF BY VALUE RESIDENIAL N020NE
END OF FEES
1.00 9,OOU.00
O1 00073E19—Q0072E20 Y Ge'p' 63.SQ
DATE: 10/25/90 iIFiE: 10:20
�
i
� CONSTRUGTION AND PLANNiN.. �L & SPA
APPROVALS Permit dh Date Inspector qpPROVALS Permit # Date Inspector
/"
1. Temporary,Electrical Serviceor�Pole �� 52. Pool & Equipment Location
i
2. SoilPipe-Undrgrnd. . �,� 53. $teelReinSorcement
,
3. Electrical Conduit Utility�Undrgrnd. 54. Forms
4. Electrical Conduit�Undrgrnd. .� ' 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electriwl UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. E{ectrical Conduit-Undrgmd.
8. Foundation • , 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe�Undrgrnd. � 60. Backwash Lines, P�Trap, � Undrgrnd. �
10. Structural Floor System • ' 67. APPROVAL TO DECK
i t. Property Sewer Line & House,Connection . 62. Backwash & Receptor�Final �,
12. Sewer Cap 63. Heater & Ve�t-Final ' ' � �
7 3. Roof DrainS � -' . , 64. Plumbing SYstem - Final � �
14. Rough Plumbing � 65. Electrical�Final � . j
15. Rough Electrical-Conduit � .e' � 66. Solar SYstem-Final •�
16. Rough Electric Wiring � 67. Fencing & Access ApProval I
i
17. Rough Wiring Sign 68. APPROVED FOR PLASTER WG '
18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL '�
79. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT
20. �Rough Factory Fireplace , � � � APPROVALS � Permit # �
21. Ducts, in Structure � � � � 70. Underground Hydro '
22. Ducls,Ventilating ' �'; , 71. ProductPipingOGas OOiI
23. Gas Pipe-Rough & Test " t � _7p, Underground Flush '' ' �
24. Roof Framing' �.� '` 73.�Under9rnd.SmrageTank OGas ❑Oil '
25. Roof�Sheathing B.� � 't. • 7q, Overhead Hydro
26. T�Bar Ceiling (Structural) & Monocoat . . � ; 75. Dry Chemical � . -
27. Frame and Flashing •� 76. Dry Standpipe �. .� �
i
28. Lathing & 5�ding � ' _' � , , 77. FIXEO SYSTEM�FINAL� .
29. Insulation � • � 78: FIRE PREV. FINAL
30. Drywall Nailin9 �. HEALTH DEPT' REQUIREMENT
31. Plaster Brown Coat. • .79. FINAL INSPECTION '
32. Electrica(Power Meter�Final �� ' '.� ''80: FOOD CERTIFICATE ISSUED .
� u
33. Final Electric � ~ � ; ,� ' Notes: � Ltr� � _ ��.,_�,�� _ O
34. Final� Heating & Air Conditioning � ' � , , ' �p��
�
35. Final Gas Pipe-Test .. ; i � • , ` �
36. Hood or Canopy , � , , � � . �'
37. Final.FaMo�Y Fireplace � . � �
38. Finaf PlumUing � �3 � ,
i�
�39. Water Service-Final � ' � �;� . �
40. Gas Service-Final � � �
41. Solar pomesticFinal , . � .
42. Backflow Preventer •
43. Backflow Irrigation � • .
44. landscape Irrigation System ' � � : ' ' � ' ' . �'
� •
45. Sound Attenuation ; . , � , � .
46. Handicap Fegulations , �
47. FINAL STRUCTURE & BUILDING �� ��� �y'
48. FINAL PLANNING �
�
49. Electric Release to Edison ,-� . '
50. Gas Releas¢ to Southern California Gas Cu �. ' �
�
51. CERTIFICATE OF OCCUPANCY •! '
No. Date
OW NER Collag�esa �o, DATE 8-i9-55
JOBADDRESS 308l� Colle�e St,. BUILDING PERMIT NO. lE�Bl
GENERALCONTRACTOR `Pt18 Hy18 CO. VALUE $ 8ipnn_np
' LOT �(��� BLOCK TRACT 2�LL1 Rgg]CI8nC6
GROUP I TYPE V ZONE R�1 FIREDISTRICT IIl(�qA
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR DATE I NUMBER
Foundation Forms and Grade to Garage fj`•
Rough Framing �/"
Plumbing, Rough to Slabr''"� �� �
. Plumbing, Rough Complete � V 1%
Temporary Pole
Wiring, Rough // �
' Heating, Rough �
Heatin Fina
Sewer, Sewer, St. _
Septic Tank or C sspool
Lathing,ln �j-r-sA�tX �CYr' �
Plaster� � r -:) +G /g
Plumbing, Fin�al, Fixtures Co le �
Plumbing, Fin,al Gas Test
Wiring,Final � �
Occupancy — �
Porm 210 G-H 15001-55
�FCosta Mesa Bailding Department
� � 711 EAST 20th STREET �
COSTA MESA, CALIFORNIA ?
FOR APPLICANT TO FILL IN
Building
Address 3084 College �
Costa. Mesa, California
Nearest Watson Avenue
Cross St
owne� Co11e�e Mesa Compan,y
Mail
Address 8002 Central Avenue
Garden Grove No�. � 9-2158
Gty
Architect or Lic.
engtneer Aavis & Qui�le,y No. C-1790
naaress 43 Mala�a Cove Plaza, Palos Verde
City LIc.
contractor The Hale Company No. 3422
nadress 8002'Central Ave., Garden Grove
De crgoiio� I No 164 I eiock j Tracc 2341
;s and Bounds)
6991 S Ft, I No. of Bldgs.
Q. Now on Lot
No.of No.�
�. Familles Roo�
from � Rear Vard
eet 5� Sfda Vard 5�
X
?PF:ICATION FOR PERMIT
�BUILD�NG �
FOR O�'Y�'ICE USE ONLY
I Receipt No. I Pe�mlt N�
/�98
ed by Date Redd. Date Issued
�--/� .fs 8 -/9_S
�08'� ��.�
Costa Mesa, Calif 'a
���"-� ✓ � ' .
'�I P ans I Ty� Grou�
Repair � � Moving � � Demolish �
Building � No. of
Size 1181� Rooms 5 Storiea 1
Exterior Wall Roof
Covering Stucco Covering Shake APPROVALS
Use of New
Building S1rig1E iamlly dW2111np� Wlth Foundation Loeation Inspecto��
Forms, Materials,
detached ara 8. Under-Pinning
Frame: Firo Stops,
Bracing, Bolts
I hereby acknowledge that I have read this ApplicaUon
and state that fhe above is mrrect and agree to comply Lath. Int
with all CYty Ordinances and State Laws regulating
building rnnstruction. Lath. Ext
s�gnatureoT THE' ALE COMYANY
PermiHj Plaster,lnt
I
Autho � A Plaster, Ext
rsan , a
Valuatfon Pe�mit Fee $ � a� Masonry Reintorced
$ D �O TotalCheck $ Bond Beam
Fee $ FINAL
Fl1RM 214t C_AP 2M 8-$S
PLOT PLAN
Show locatlon and distanees from
property lina and between buildings.
1
�
•:��c � �-ssPDr�iesa � it�
i � •: :.�r23.00
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