The URL can be used to link to this page

Home My WebLink About1264 CONWAY AVE - Building PermitsApplicant to fill in all spaces within heavy border lines and sign all appropriate declarations. I CITY -OF COSTA -MESA PERMyJ3� NO: TRACT NO. LOT NO. BLDG. NO. CON PERMIT y� - I TYPE OF CONSTRUCTION ❑ NEW ❑TADD ❑ ALTERATION ❑ REPAIR ❑.CD ERSIQN ❑DEMOLISH 1, 1:1 OTHER - - 1 9297 ' 7/1'5/61 22.00 - - - - _ ZONING REGULATIONS ".Project Addressb Owner one - Address - - '- - - - ,-Arch/Eng.- - - - License No. -- - - DESCRIPTION OF WORK PE OF PERMIT. - - -' ' - s ❑ GRADING - ❑ 'FOUNDATION ❑ STRUCTURAL -• - ��TENANT ❑-ELECTRICAL•APLUMBING ❑MECHANICA A. P. ZONE D- SETBACKC ST. SIDE YARD- LEF - PLNG, REF: 4� TTo] BtL,IIILDING PROPERTY LINE '. — - Address'.. - - .- - Contractor Phone 7 Address iDLI"Z._ LICENSED CONTRACTOR DECLARATION - - 1 hereby affirm that I am licensed under provisions of Charter 9 (com- RIGHTA - me ncing with -section 7000) of Division 3 of the Business- and ❑ OTHER Professions Code, a m It ense Is in full for tl eff ct. REAR YARD (TO P/L) 1 _q1 PROJECT DESCRIPTION Llcen las Li cen e J Lice s!�p,,]� - SD..FT: : OCCUPANCY_CONSTRUCTION - - TYPE PKG. SPACE RED. STREET WIDTHPARK•FEE$ ,PROVIDED - -F�-� Signature WORKERS' COMPENSATION DECLARATION - - I hereby affirm that I have a certificate of consent to self.insure.ora VALUATION ' ZONE ZONING APPROVED BV" "' ` DATE" certificate of Workers' Compensation Insurance, or a certified copy _ _ )SPECIAL thereof (Section 3800, Lab. C.). GRADING CU: VOS. ACRES CONDITIONS: "`cy No. Company Irtified copy is hereby.furnlshed. ._REMARKS: artifled copy is filed with the city Building Division. - - 7 LAEMPTION FROM WORKERS COMPENSATION DECLARATION' _ `- - _ - •- -- - This section .need not be completed if the permit Is for one"hundred S$100I or less). Cer[Ilfy 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 PLUMBING _ .PLAN CHECK -' _ `ELECTRICAL - PLAN CHECK - subject to the Workers'.Co mpensat ion. Laws of California. _ BATHTUBS - SHOWERS GAR_ Date Signature NOTICE: If after making this declaration, you should become subject TOILETS - URINALS - GENERATOR '-0-1 KW_.1-10 KW' .to the Workers' Compensation provisions of the Labor Code, you mustTRANSFORMER forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS ' " :(' -APPLIANCE' '-10-50 KW_50'+ KW r - KI T. SINKS_' �-` DISHWASHERS - - MOTORS 0.1 HP_1-10'HP "- CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS - -� S (INC. SOLAR) 10-50 HP -50 +Hip = formance of the work for which this permit is issued (Section 3097 FLOOR SINKS FLOOR DRAINS _ - 'FIXTURES'-' OUTLETS '- "SWITCHES Civ. C.). - '- - -' Lender's Name _ _ Lender's Address DRINKING FOUNTAINS - - _ GAS TUBE SIGNS - OWNER BUILDER DECLARATION I hereby affirm that I am exempt from.the Contractor's License Law for INTERCEPTORS CLARIFIERS- POLE LIGHTS - '- - f SWIMMING POOL'-PTRAP-' - I POLES ' METERED SUB the following reason (Section 7031.5 Business and Professions Code- Any city 'or county which requires a permit to construct, alter; WATER,SERV ICE LTERATION - PANELS MAIN SUB' - - improve, demolish or repair any structure, prior'to Its issuance, also re- quires the applicant for such permit to file a signed statement that he'. GAS SERVICE - OUTLETS SERVICE - " AMP"- - Is licensedpursuant to the provisions of'the Contractor's License Law' (Chapter 9 (commencing with Section 7000) of Division 3 of the. WATER HEATERS 'BTU OUTPUT- - - - Business and Professions Code) or that he is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by SEWER -CONNECTIONS' - 1• -- - applicant for a permit subjects the -applicant to a civil penalty at more than five hundred dollars ($500).0. SOLAR TANK COLLE �- - - ,, as owner of the property, or my employees with wages as their solecompensation, will do the work, and the structure is not intended or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SVS. ISSUE FEE - • - Contractor's License Law does not apply to an owner of a property ISSUE FEE i 111V III I qPp LIGATION APPROVED BY - DAT who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not MECHANICAL P CHECK SUMMARY OF FEES intended or offered for sale. If, however, the building or Improvement Is sold within. one year of completion• the owner will have the burden - of proving he did not build or improve for the purpose of sale). BUILDING - " - - - - - ❑-1}- as owner of the property, am exclusively contracting with HEATING SYSTEM 0 ,000 BTU _ ., PERMIT $ - SMTP $ licensed contractors to construct the projectSection 7044, Business ( AND DUCTING 100,000+BTU CHECK $ PERMIT and Professions Code: The Contractor's License Lawdoes not apply to ,PLAN ISSUANCE $ an owner of property who builds or improves thereon, and who con. REFRIGERATION 0-100,000 BTU PLUMBING $ tracts from such projects with a•contractor(s) licesned pursuant to SYSTEM- - GRADING '$''" the Contractor's License Law). 100,000 + BTU PLAN CHECK $ r• ❑ I am exempt under Section B. & P. C. for this BOILERS BTU ELECTRICAL $ $ reasonMICROFILM SYSTEM REPAIR, ALTERATION EXHAUST SYSTEM MULTIPLE PLAN CHECK" $ , MECHANICAL $ $ TOTAL FEE '$ LESS AD - Date - Owner I hereby certify that have read this application and state that the aunt¢ information is correct. agr comply with all city antl county" PLAN CHECK $ VANCEPC $_ - ortlinance site laws tela Ih�to g construction, and hereby authorize I represent Ives f this ity !o nt on the above mentlo - property sp tl ur e ' _ _ Signature Date ISSUE FEE-- - - FINAL FEE S _ Drivers' License or SS CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor TL CONSTRUCTION AND PLANNING APPROVALS Permit Date Inspector POOL & SPA APPROVALS Permit# - Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - 2. Soil Pipe-Undrgrn - • _ 44. Steel Reinforcement - - 3. -Electrical Conduit Utility: Undrgrn 45. Forms- - - - 4. Electrical Conduit-Undrgrn _ 46. Electrical Bonding. - - 5. Steel ein orce 47. Rough Plumbing & Pressure Test - - - 6.- Electrical UFER Grn 48. APPROVALTO COVER-GUNITE 7. Footings 49. Electrical Conduit-Undr rn - - 8. Foundation.. 50. Gas Pipe, ❑ Undr rn, Test _9.. Water.Pipe-Undrgrn " 51. Backwash Lines-P-Tra ❑' ndr-rri .10. Structural Floor. System 52. APPROVAL TO DECK i~ .1.1. Property Sewer Line & House Connection' _ _ 53. _ Backwash & Receptor -Final 12. Street Sewer Connection - 54. Heater & Vent -Final _13. Rough Plumbing _ 14. Rough Electric -Conduit - -56. Electrical -Final - 15. Rough Electric -Wiring - - 57. _ Solar System -Final 16. Rough Heating & Air Conditioning W. Fencing & Access Approval 17. Ducts in Structure 9. APPROVED FOR PLASTERING • 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL. 19. Gas Pipe -Rough &Test -20. Roof Framing' - 21. Roof Sheathing - 22. Frame and Flashing 23. Insulation 24. Lathing & Siding - g 25. Drywall Nailing 26. Plaster Brown Coat a a i� asy 27' Electrical Power Meter -Final o� 28. Final Electric 3 / 7 29. FinaPHeating & Air Conditioning - - 30: Final.Gas Pipe -Test i 31. Final Plumbing r,o e7,.4 32. Water Service -Final 33. Gas Service -Final 34. Solar Domestic -Final 35. Landscape Sprinkling System 36. Sound Attenuation - • 37. Handicap Regulations ' 38. FINAL STRUCTURE & BUILDING - 39. Special Requirements Completed - ' 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY •' No Date - ' PROJECT ADDRESS: 1264 CONWAY AV UNIT: �,—01YNER'S NAME: GIL.LETT, FRED A ADDRESS: 104 VIA QUITO NEWPORT BEACH,CA 92663 642-1.686 ARCH/ENGINEER: REG.ND.: ADDRESS: UNIT: PERMITTEE: FRED GILLETT (714)642-1686 ADDRESS: 1264 CONWAY AVE COSTA MESA CA 92626 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Owston 3 of the Business and Professions Cotle, and my license is in full force and effect. CITY LIC.: STATE LIC.: CLASS: Date: Signature: WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell insure or a certificate of Workers' Compensation Insurance. or a certified copy thereof (Section 3800, Lab. C). POLICY NO.: EXP. DATE: COMPANY: Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. Dale'. Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need red be completed if the permit is for one hundred ($700) or less). 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 became subject to the Workers Compensation Laws of California. Date: Signature'. NOTICE: If, after making this declaration, you should become Subject to the Workers' Compensation provisions of the Labor Codeyou must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097. Cie, C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or repair 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 the Contractors State 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 penalty of not more than five hundred dollars (S500). I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the El structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State 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 employees, provided that such improvements are not intended or offered for sale. If, however the building or improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). I, as owner of the property. am exclusively contracting with licensed contractors to construct the project (Section 7044, Business ® and Professions Code'. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such protects with a contractor(s) license pursuant to the Contractors' Slate License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. _ ❑ I am exempt under Section: B. 8 P. C. for this reason: "bSle: � - 2-1 -�1/1 Z Ownec"'•I�IL.iYpogA1.,- I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505. 25533. and 25534 and that I or any future building occupant will/will not (circle one) need to comply with said stale codes and the requirements for a permit for construction or modification from the Air Quality Management District. Residential construction applications are exempt from these provisions Date: Applicant: I hereby certify that I have read this application and slate that the above: formation Is correct. I agree to comply with all city and county ordinances and state laws relating to building construction and hereby autho eerepre lives of this city to enter upon the above-mentmned properly for inspection purposes. Dale: --)'02--)-) —G1 Z SCnalure:'—ALAI//J' hAA Driver's License or Social Security 1641.4 Whre—Building: Green—Code Enforcement: Canary—Applicant: Pink—Revenue: Goldenrod—Assessnr JOB DESCRIPTION : T/OFF RESHT. REROOF W/COMP CLASS A COMP SQ FT: 2,000 CLAIM VALUE: 2,000,00 CALC-VALUE: 2,000,00 GROUP OCC: R-3 / COMMENTS: CONTRACTOR TO PROVIDE WORKMAN COMP ######if########?f###1F#if•#1(###3F#3F###N#######li#�: 1F ii*##iiiF############3F 3f#############tFY Z O N I N GS E R T E B Q A U C I K R S E M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REpp• PROV: PARCEL: 14115117 ZNE: REF NO: PLANNING N(7TES> D E Vc�.L O P M E N T S E R V I C E S R E Q U I R E M E N --,T S ,Y. ZONING APPROVED BY DATE: BUILDING APPROVED BY DATE APPLICATION ISSUED BY: DATE:* LEGALIZATION:N F E E S U M M A R Y STRUCT13RAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC' FIRE SMIP/RES -GRADING PERMIT 45,00 ,50 SMIP/NON-RES PLAN 'F ISSUE FEE BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 45,50 0,00 0,00 45.50 45,50 .00 REVENUE DIVISION TOTALS--> COLLECTED: 45.50 OVER/SHORT: 1 ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 45,00 .50 ;'.; ####################1(######4######iE################iE#####iF##if###ii######%•it###ii#iE I N D I V I D U A L F E E B R E A K D O W N L" TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 2000 REROOF BY VALUE RESIDENTIAL NOZONE 1.,00 2,000,00 END OF FEES � j 011 OII115a 0-OII 1151 81 r 9,^ 5'} DATE: 05/27/ 2 TIriE: 11:10i n -r t CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 05748E PERMIT'NO: B 057486 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V -N PERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTION : T/OFF RESHT. REROOF W/COMP CLASS A COMP SQ FT: 2,000 CLAIM VALUE: 2,000,00 CALC-VALUE: 2,000,00 GROUP OCC: R-3 / COMMENTS: CONTRACTOR TO PROVIDE WORKMAN COMP ######if########?f###1F#if•#1(###3F#3F###N#######li#�: 1F ii*##iiiF############3F 3f#############tFY Z O N I N GS E R T E B Q A U C I K R S E M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REpp• PROV: PARCEL: 14115117 ZNE: REF NO: PLANNING N(7TES> D E Vc�.L O P M E N T S E R V I C E S R E Q U I R E M E N --,T S ,Y. ZONING APPROVED BY DATE: BUILDING APPROVED BY DATE APPLICATION ISSUED BY: DATE:* LEGALIZATION:N F E E S U M M A R Y STRUCT13RAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC' FIRE SMIP/RES -GRADING PERMIT 45,00 ,50 SMIP/NON-RES PLAN 'F ISSUE FEE BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 45,50 0,00 0,00 45.50 45,50 .00 REVENUE DIVISION TOTALS--> COLLECTED: 45.50 OVER/SHORT: 1 ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 45,00 .50 ;'.; ####################1(######4######iE################iE#####iF##if###ii######%•it###ii#iE I N D I V I D U A L F E E B R E A K D O W N L" TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 2000 REROOF BY VALUE RESIDENTIAL NOZONE 1.,00 2,000,00 END OF FEES � j 011 OII115a 0-OII 1151 81 r 9,^ 5'} DATE: 05/27/ 2 TIriE: 11:10i n -r t CONSTRUCTION AND PLANNING - DateTLspector 'APPROVALS Permit # �- POO` SPA - 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-Undrgind. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. - 57. APPROVAL TO COVER-GUNITE 7. Footings - 58. Electrical Conduit-Undrgrnd. 8. Foundation - 59. Gas Pipe, O 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 & 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 APPROVALS Permit # 20, Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22.-Ducts, Ventilating 71. Product Piping 0Gas 00il 23. Gas Pipe-Rough & Test 72, Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas OOil 25. Roof Sheathing --�j-:•�=, ?OZ / • 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 f 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 I" Notes: 34. Final Heating & Air Conditioning ( ; 35. Final Gas Pipe-Test ' 36. Hood or Canopy 37. Final Factory Fireplace i 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer I 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date OWNER C0IS,E08 -MESA COMPANY DATE 2-1657 JOBADDRESS 1264�nway-Avenue BUILDING PERMIT NO. #!,_317 _ GENERAL CONTRACTOR The Hale Company VALUE$ 11,368.00 LOT 95 BLOCK TRACT 2671 Slagle reg w/det gar, GROUP I & J TYPE V ZONE FIRE DISTRICT h39'i INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Footing Trench -- Foundation Forms and Grade to Garage Rough Framing Plumbing, Rough to Slab ,�� s5 - -57 7 9 9Z Plumbing, Rough Complete MHS 3 -2o -S"7 Temporary Pole Wiring, Rough MAY 17sem— - -a5-s7 -1/ Heating, Rough M/f S Heating, Final u 5 f-,20-5 7 /O -//-S7 :., Y- /c -12 -6' -� Sewer, House /%/rl Sewer, St. Septic Tank or Cesspool Lathing, In X Out Plastering Plumbing, Final, Fixtures Complete 'We Plumbing,FinalGasTest /e$- ?/C$ /Gzii -S7 - /O!/-67 7 Occucancv �71 /V^ FORM 210 3M 10.5e 4317 Costa Mesa Building Department APPLICATION FOR PERMIT P. O. Box 3!7 4393 BUILDING ff' ... COSTA MESA, CALIFORNIA I FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY Receipt No. Permit No. 431"7 Adress 1264 Conway Avenue Costa Mesa, California Received by Date Reed. Date Issued EB 141957 Nearest Cross St. Fairview & Baker Building Address Owner College Mesa company Costa Mesa, California Mail Address 1777 W. Lincoln Ave. Nearest Cross St. Anaheim Tel. KE, 3-316 City No. Zone I No. of Plans I Type Group Architect or Lic, Engineer Quigley & Clark No, 08884 Approved by Date Address 1323 No,Broadway, Santa Ana CORRECTIONS The Hale Com an tractor p y City Lit,122No. Address 1777 W. Lincoln Ave„ Anaheim Legal Description Lot I No. 95 I Block I Tract 2671 (Attach Metes and Bounds) ISize of Lot 70 x 95 No. of Bldgs. Now on Lot None Use of I No.ofI Existing Bldg. Families No.of Room_s_6_ A Z Setback Line from Rear Vard40 Center of Street 50 Side Yard -6'1 y DESCRIPTION OF WORK : - r New I x I Alteration I Addition �.. Repair I I Moving I Demolish I Building No, of Size 1321 Rooms 6 Stories 1 tenor Wail StUCCO vering Roof Coverin, Shake APPROVALS Use of New Single family Building g y dwellin g -with Foundation Location Forms, Materials, Under -Pinning Frame: Fire Stops, ' Bracing, Bolts Inspector Date detached garage. I hereby acknowledge that I have read this Application and state that the above is correct and agree to comply with all City Ordinances and State Laws regulating building construction. ure o Perm!f THE HALE COMPANY �.. Perm! Auth / Lath. Int. Lath. Ext. J Plaster, Int Piaster, Ext. Valuation $ 11,368.00 Masonry Reinforced Permit Fee $ 28.00 Plan Check $ 14.00 Beam Total42.()oBond Fee $ FINAL FORM 204 1055 0. P. & S. PLOT PLAN Show location and distances from property line and between buildings. C/S ,f m .l C n J o i p- a a Street PLOT PLAN Show location and distances from property line and between buildings. C/S ,f