HomeMy WebLinkAbout1236 CONWAY AVE - Building Permits N`,...
- -\. Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
\/l PERMIT O. TRACT NO. LOT NO. UNIT NO. 1 0191 1 1 /24/87 7.00 TL
CITY OF.COSTA MESA CONSTRUCTION-PERMIT 3 /02 9 7 -"
Project Address 1 236 Conway • • `
' Applicant's Mailing Address 5413 E. LaPalma—Anaheim 92807 TYPE OF CONSTRUCTION H NEW L_) ADD LJ ALTERATION LJ REPAIR .
Owner's Name Waiter Stanley Phone 545-4128 ❑ CONVERSION ❑DEMOLISH ❑ OTHER Replace _ AP # Zone .
Address 1236 Conway-Costa Mesa 92626 • DESCRIPTION OF WORK/USE OF BLDG. CHANGF,OUT FAU'-
n•le famil residence S Main Building: Accessory Building:
Arch/Eng. . _ License No. TYPE OF PERMIT ' ❑ ■GRADING . FOUNDATION STRUCTURAL . T Front; '• p
Address ' ❑ TENANT '❑ ELECTRICAL ❑ PLUMBING Q MECHANICAL • B Rear N
' Contractor's Name PRO-FORNANCE. INC. ' Phone779-6868 ! ❑ OTHER ' A - _ I
Address(mailing) 5413 F_ _ Pa1ma-Ana ' 92807 PROJECT DESCRIPTION :SQ. FT. OCCUPANCY C• Right I ' "G
CONSTRUCTION TYPE VALUATION$ - S Left '
- City License No. 040702 ZONE ' GRADING CU.YDS: ACRESR
LICENSED CONTRACTOR DECLARATION - Ping. Ref. 4 /''�/'PParkingl'R1eq./Provided +/gyp,. E
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: • Planning Notes' • • Rrl,r IVF' 1 NOV 2 IJO� M
with section 7000) of Division 3 of the Business and Professions Code,and
my license is in full force and effect. 483411 1 .j . . . ' 5
License Class - Licens No
,
bate� ATION re v _ PLUMBING _ _FEES or
•WORKERS'C MP NSATION DECLARATION Bar Sink Showers
I hereby affirm that I have a certificate of consent to s sure or a ce cafe ELECTRICAL FEES
I of Workers' Compensation Insurance, or a certified copy thereof (Section • Backflow Preventer Service Sink = _ - _ - '
1!) 3800, Lab. C.) Automatic Washer Transformer ❑ 15-50 KW
PolicyNo. W74-06397 company Homeland 53
p v Backflow Irrigation _ Sewer Ca -❑ 50+ KW
Certified copy is hereby furnished. S,Q ''. ''�//
P - -
- Construction Pole Sub.
certified copy is filed with the city u• d +/�- Bathtubs - -- Sewer Connection ' ,. { - Cooking Unit. Meter �up to 100 amps
Date 1 87 ApplicantP CFI TNC. - - -
•
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION - Clarifiers ' , . Solar Collectors - Dishwasher Meter Clover 100 amps I
•
(Thissection need not be completed if 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 00-1 HP ❑1'h-8
Workers' Compensation Laws of California. - _
, Date Signature - Floor Drains Swimming Pool w/Spa - F.A.U.
NOTICE:If,atter making this declaration, you should become Subject to the - Inc.Solar ❑9-15 H-P ❑16-15+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks FixturesUrinal
comply with such provisions or' this permit shall be deemed revoked. Microwave
CONSTRUCTION LENDING AGENCY ' Gas Service Outlets . Water ClosetDevice Boxes
I hereby affirm that there is a construction lending agency for the performance Pole•
Light
of the work 'for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets
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 1 ' ' Laundry Trays Generator 00-5 KW ❑5-15 KW -
any structure, prior to its issuance, also requires the applicant for such permit - - • . Trash Compactor
to file a signed statement that he/she is licensed prsuan 716 / pro ns of Root Drains • •
the Contractor's License Law(Chapter 9 (commencing w' ction ) of '
Division 3 of the Business and-Professions Code) or-tl a she empt' - •
-
therefrom and the basis for the alleged exemption. Any lotion 0 ection ' - •, -
7031.5 by any applicant for a permit subjects the applicant to a civil ' _ '
enalty.of not more than five hundred dollars($500). • 1 ' I ;
U I, as owner of the property or my employees with wages as their sole ' Reinspection Fee I $15 ' ' Issue Fee $ 3 , -
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 suchlwork 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 corn- Canopy Type II ❑ Zoning Approved By Date
pe the owner will have the burden of proving he/she did not build or im- Duct- Under Ground ' Building Approved By Date /
prove t
for the purpose of sale). - -
❑-I, as owner of the property, am exclusively contracting!with licensed con- ' Duct-Structural Refrigeration System - -- Application Issued By . - 0Dat
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 00100,000 BTU "0100 000 BTU SUMMARY OFFEES '
builds or improves thereon, and who contracts-for such projects with a con- - - _ I -
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 - -4°
❑i am exempt under Section B. & P.C.for this reason Firepl/Fact.Bit. ICBG 4 - Fire Dampers ' PLUMBING $ • ISSUANCE .$
Date Owner - • Heating System& Ducting' Registers W PLAN'CHECK 25% $ - ' ENERGY P.C. $
I hereby certify that I have read this application and state that the above f [0100,000 BTU 0100,000 BT - • - 4 00 . ELECTRICAL GRADING' $ •
information is correct: I agree to comply with,all,city and county ordinances - $
and state laws lating to building construction, and hereby authorize repre- - - - - MICROFILM $ 1
sentatives of city to enter
//yyyypp'�on,�the
'�above-mentioned property for , - • '- , •, PLAN CHECK 50% $ n^ n
inspection p p e �
CMF 0865.46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod -Assessor
CONSTRUCTION AND:PLANNING POOL & SPA
Date Inspector Date Inspector
APPROVALS; Permit.# APPROVALS Permit#
1. TemporaryElectrical.Service or Pole 52. Pool &Equipment Location . ,
.i.e.,
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.,rElectrical UF ER Grnd' ' . ' 57. APPROVAL TO COVER-GEJ,NITE •
•
7:_Footings - 58. Electrical Conduit-Undrgrnd^-•• . - t.
S:,Foundation • :
59: Gas Pipe, ❑'Undrgrnd.,Tesf-
9 'Water Pipe-Undrgrnd. - • - 60. Backwash Lines, P-Trap, 0 Oridrgrnd.
10. Structural Floor System • , 61. APPROVAL TO DS .
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap • 63. Heater & Vent-Final
13. Roof Drains - 64. Plumbing System -el
14. Rough Plumbing 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 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 1 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 PREV. FINAL
30. Drywall Nailing • HEALTH DEPT. REQUIREMENT •-C.
31. Plaster Brown Coat 79. FINAL INSPECTION .-
32. Electrical PowerMeter-Final • - 80.- FOOD CERTIFICATE ISSUED (_r
33. Final Electric Notes: • • •
34. Final Heating & Air Conditioning 12•2$7 LED
•
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 1
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
No. Date Xs .
OWNER CCLLEGE-MESA COMPANY DATE 2-14-57
JOB ADDRESS 1236 Cnnw y iverne BUILDING PERMIT NO. llh'337
GENERAL CONTRACTOR The Hale Company VALUE $ 10,960.00
LOT 125 BLOCK TRACT 2671 Single res. w/att. gar.
GROUP I & J TYPE V ZONE FIRE DISTRICT 4113
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER
Footing Trench .' ' 3 - 7 -c 7
Foundation Forms and Grade to Garage 4 3-1,z -J 9
Rough Framing arir - 4 7/�
Plumbing,Rough to Slab «l-` } f/� _ -y - -
-
p //
Plumbing, Rough Complete MIS it/-57
Temporary Pole
Wiring, Rough APR 2 9 1557 Ni. :Z. A/. • — 'S 1) / 7 7 ✓
Heating,Rough 749-24w-;44 iii Pe,,. %P -/%-5'7 // :,2? .---
Heating,
Heating, Final Mi,, /0-10-57 I;
5 Sewer, House 6 // Sewer,St. 4.11-5 742-S7 # .r. 2, oia,yi.,1z/ii, r . 7_ /I- 31 9 7 l,r _
Septic Tank or Cesspool
Lathing, Iny. Out y. Z-6---(l
3-i4--
Plastering - S--C-£ G -1- 3r
Plumbing,Final,Fixtures Complete/0c 0-/O SJ
Plumbing, Final Gas Test/S- 4/19"j /0 A. La-at -.04-e /O-in-`c �r i�
Wiring, Final - I L1 — - Li,=l—f_-Ci2— 0.4..., i.>-/o - (-% r-,-.�a1
Occupancy WAS 414.-6-47
FORM 210 3M 10-55
Costa Mesa Building Department "- . APPLICATION FOR PERMIT
P. O. Box 3!7 441BUILDING 1
, •. COSTA MESA, CALIFORNIA
I FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN Receipt No. Permit No.
Building1236 Conwayvenue
Address Y 4337
Costa Mesa, California Received by Date Recd. Date Issued
�y fo -�3 37 FEB 1 A 199
Nearest Fairview & Baker
Cross St. Building
Address
Owner College Mesa Company
Costa Mesa, California
Mail
Address 1777 W. Lincoln Avenue Nearest
Anaheim Tei -3161 Cross St.
CityNo. • ZoneNo.of T ' / Grou
Architect or Lic. I Plans I Type v
Engineer Quigley & Clark No,08884 Approved
Address 1323 No. Broadway, Santa Ana by Date
city Lic. CORRECTIONS
•ontractor The Hale Company No, 3422
Address 1777 W. Lincoln Ave. . Anaha4m
Legal I Lot I
Description No. 125 I Block I Tract2671
(Attach Metes and Bounds)
Size of Lot 63 x 98 I
NoNow.of onBldgs.
Lot None
O
Existing Bldg. I Families I Rooms 6 LS
Setback Line from , Rear Yard L;t . 2
Center of Street 50 Side Yard 72.
DESCRIPTION OF WORK • r
New I XI Alteration I Addition I
Repair I Moving I I Demolish I Cu
Building No.of I"-•
Size 1270 Rooms 6 Stories 1 a
aiterior walliriStucco I Roof Shake
Bring Covering - APPROVALS ;
se of New Location Inspector Date
Building Single family dwelling with FoundationForms,Materials,
attached garage, Under-Pinning w
Frame: Fire Stops, .p
Bracing,Bolts O
I hereby acknowledge that I have read this Application o
and state that the above is correct and agree to comply Lath. Int.
with all City Ordinances and State Laws regulating Al
building construction. Lath.Ext.
Signature of E HALF, COMPANY//7/�/ f /�/////
Permittee ��// �r� �/,?,(`�L Master,int. la
Authoriz ,P ay( Plaster,Ext. V'
Valuation Permit Fee $ 26.00 Masonry Reinforced O.
Plan Check$ 13.00 Bond Beam •
$ 10,960.00 Total 39.00 0
Fee $ FINAL
/
FORM 209 1055 D.P &5.
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. 7101 !` or.• 1
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PLOT PLAN
Show location and distances from -
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COSTA MESA BUILDING—SAFETY DEPARTMENT 437 9/00/@l, 6.0: Ti
P. O. BOX 1200
Costa Mesa, California
•
PLUMBING PERMIT APPLICATION TRACT ND. RECD. BY .C../ I PEP-8llNo
CONTRACTOR Culligan Water Conditionine LOT NO. I DATE ISSUED
BUILDING USE '4-2/
Address 1911 S. Manchester 7 9
City Zip Code Building 1236 ConwayAnaheim 97807 Address
State License No. 168763 Class. C55 Owner Walt Stanley
O City License No. Tel. No. Mad 1236 Conway ___14,:\
Address
QO NUMBER TYPE OF FIXTURE OR ITEM FEE Cit,Josta Mesa 444114 3 el.No. 545-4128
Bathtub r. m, -x-
t Laundry Tub or Tray I hereby acknowledge, that Dhave read this application and
Automatic Washing Machine state that the above is Collect and agree to comply with all
City Ordinances arid'State Laws regulating plumbing.
Shower I certify,hthaFltpossess the above valid State of California classi-
Sink, Bar fication ail am the legal owner of the residential property de-
ft Sink, Kitchen scribed above.
W Wash Basin(Lavatory) I certify that I have obtained a permit from the State Division of
- D. - 'rte Industrial Safety for excavations,other than swimming pools,five
Water Closet(Toilet) {L L }
O feet deep or deeper and into which a person i required to descend.
C[ Drinking Fountains . l r ITv Signature of
a Floor Drains _-( i ni� �
Permittee i
Z Interceptors 11 ,)
= Receptors ., r ` It. INSPECTION RECORD
5. Sinks,Commercial.orilndd'atrihl
Sinks, Floor -,.1') L \_ 4
Sinks,Segice Y'1�
Swiglminis$tlblCC3
Ill — Urinals) '
G. .v I)isliwasher
cc y Garage Disposal
0 I Water Softener 3 00
0 Water Heater and Vent
Gas System .. .Outlets...
APPROVALS
Roof Drains
N Water Piping Alteration INSPECTOR DATE
Backflow Preventer U/G Soil
I
I– Lawn Sprinklers(Res or Non-Res) • U/G Water
Property Sewer... Feet Services—Water 0 Gas 0
Solar.Piping - _Rough Plumbing
Cesspool,Septic Tank Sprinkler System
Sewer Cap Gas
Miscellaneous Property Sewer
Pool Receptor
Filter System
Sub-Total Pool Heater
Reinspection Fee Miscellaneous
Processing Fee 3 UU
t
TOTAL FEE I 6 00 Final Gas
I Plumbing Final
• Utility Co. Notified IJ a1 iYl
CMF 0450-46 BLDG. PERMIT NO. /1//e--/