Loading...
HomeMy WebLinkAbout1337 CONWAY AVE - Building Permits 1337 CONWAY AV CITY OF COSTA MESA — BUILDING PERMIT ���_ DO©�� ADDRESS OF BMLOW4 UNT: GNNERSB.LMEIPIaOw1LANGSETH, RONALD G FLOOD : X 46 PERM NO: B 086444 ADDRESS 1337 CONWAY AVE • COSTA MESA CA 92626 PERMIT NO: B 086444 PLAN CHECK NO: N GOVT: N SUPP : N i 714 ) 751-8331 APPL.RAILING ADDRESS CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH VS OR ENGINEER: UC.NO.: JOB DESCRIPTION : REROOF W/COMP SHINGLES SQ FT: 1 , 500 ARCH OR ENG.'S ADORNS: OMIT: CLAIM VALUE: 1 , 500 . 00 CALC—VALUE: 1 , 500 . 00 GROUP OCC: R-3 / CONTRACTORS NAME CONTRACTORS NMU)GCOMMENTS: REROOF 2200SF RESDIENCE W/COMP SHINGLES ADORERS: UG NO.: ******************************************************************************* UPC: ZONING REQUIREMENTS' LICENSED CONTRACTORS DECLARATION:I hereby affirm under penaly of perjury that I am licensed under provisions of Chapter 9 SETBACKS (commenting with Section 7000)of Division 3 of the Business end Professions Code,and my license S in lull force and effect. . COY LIC.NO.: LIC.CLASS: LIC.NO.: EXP : . _ MAIN BUILDING ACCESSORY BUILDING Dale: Contractor LEFT: FT _ IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT . IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penny of perjury that I am exempt from the Contractors License Law for the followig reason($adion7031.5 Business and Professions Code:Any city or countywhich requires aperret to Construct.aha.improve. PARKING REQ: PROV: PARCEL: 14103602 ZNE: REF NO: demolish,or repair structure.prior lo itsissuance,also requires the applicant fa such permit to file a signed statement that he or she /r any ie licensed pursuant to the provisions of the Contractors License law[Chapter 9(commenting with Section 7000)of Divaion 3 of the PLANNING NOTES> / 3usiness and Professions Code]or that he or she S exempt therefrom and the basis for the alleged exemption.Any violation of Section > 7001.5 by any applicant for epermit subjects the applicant toe civil penalty dnot more than five hundred dollars[$S00). ******************************************************************************* ❑ I,uovmerdthepropenyormyempbyeeswlhwagesastheksdecompensatcn,willdothework.adteennureinotintended DEVELOPMENT V E 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 Cf offered for sale(Section 7044,Business end Professions Code:The Contractors License Law does not apply to an;inner of property Q who bunds or improves thereon.end who does such work himself or herself or through ha or her own employees,provided that such not improvements era intended or offered for sale.a,however.the building or improvement is sok within one year d completion. ZONING APPROVED BY DATE: owner-builder will have the burden of proving he or she did not build or improve forrp the purpose of sale). _ ❑ Les owner of the propend,am exclusively contracting with licensed contractors to construct the propel(Section 7044,Business and /1 Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon and who BUILDING APPROVED BY : DATE: contracts for such projects with a contradoge)licensed pursuant to the Contractors License Law). !! )❑ lan)exempt pfundasa�oBP7094 B.aP.C.. athis eaw/:OWNEJR BUILDER/] APPLICATION ISSUED BY : DATE: ) CI-L Data / / - !S 6awr: 1,M1�r�L ,e,,474.-7.-the_ *********************************************** *********************3434******** 9 7 -` LEGALIZATION:N F E E S U M- M A R Y STRUCTURAL 'SEGMENT:Y 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/wit not(circle amt need to comply wih said state odes end the requirements for a permit a conswctionor modification from the AiOaagemem District.Residentialconatrudion applications are exempl from Nese BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 48 . 5.0 . 50 Date: Applicant: S M I P/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following deeti : PLAN I have d wit maintain acenEcato e consent to self-insure for workers'compensation. d lion.as provided for by Radion 3700 the LaISSUE FEE ❑ and mrc theperfaaeofiheworklawhchthispermitisissued. BUILDING DIV > PERMIT ISSUE PLAN CHECK TOTAL PAID DUE ❑ Ihave and wilmaintanworkers'compensation insurance.as required bySection 3700othe Labor Code,lathe performance othe TOTALS— > 49 . 00 0 . 00 0 . 00 49 . 00 49 . 00 . 00 work for which this permit is issued.My workers'compensation insurance carrier and policy number are: Cana REVENUE DIVISION TOTALS--> COLLECTED : 49 . 00 OVER/SHORT: . 00 Pricy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This section need not be competed I the permit is ter one hundred dollen($144)or.ba.) 48 . 50 . 50 ❑ 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 Celionia,ed agree that if I should beta,*subject to the workers' ******************************************************************************* compensation provisions of Section 3700 of the Labor Code.I shall forthwith comply with those provisions. INDIVIDUAL F E E BREAKDOWN Date: Applicant: Warning:Failure to secure waters'compensation coverage Is unlawful.end shell stCJact an ernploysr to criminal penalties and TYPE _QTY D E S C R I P T. I 0 N UNIT COST TOTAL COST cel Mee W to Om hundred Thousand dollars($104,000),In addldon to the coat of compensation,damages as provided for In Section 3706 of the Labor Code,Interest,andaffomeys feu. SFR 1500 REROOF BY VALUE. RESIDENTIAL NOZONE 1 . 00 1 , 500 . 00 • CONSTRUCTION LENDING AGENCY:I hereby affirm under penaly of perjury that there is a construction lending agency b the END OF FEES performance of the work for which this permit is issued(Section 3097.Civ.C). . LENDER'S NAME: LENDER'S ADDRESS: I au*that I have read this application and slate that the above information S coned.I agree to comply with all city end county ordinances and state laws retiring to buildng construction and hereby authorize representatives of th'thy to enter upon the abasmemioned property for inspection vapoeea.RICHARD LANGS ETH 91-07-1398lI2:33 P.1/$49.C3 PrN RCPT08. 417757 � 4�„ Dale: FERtrITs86444 Signature of/ Owt r/Agent/Appkranitcontmda • (5151d6.WP) While-Building$Safety;Green-File:Ca ary-Appicant;Pink-Revenue;Goldenrod-Assessor -r. t-. -; CONSTRUCTION AND PLANNING - POOL is) SPA APPROVALS Permit# - Date Inspector 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-Undrgrnd. - ' 54. Forms - _ .4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding •- -: 5-..."Steel Reinforcement - 56. Rough Plumbing & Pressure Test 6: Electrical OF ER Grnd. 57. APPROVAL TO COVER•GUNITE .. 12,7. 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 - - i N 61.. APPROVAL TO DECK r 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. RoughPlumbing 9 -• 65. Electrical-Final . 15. Rough Electrical-Conduit - ... ,66: Solar System-Final -1:6. 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 -- . . _... . .. _ .. - ,.ti 20. Rough Factory Fireplace rt; " 4 1. _ T. r APPROVALS;t Permit # r 21. Ducts,in-Structure . - + . . : i. r'i. - 70.•, Underground Hydro 22. Ducts, Veptilatin9 - '-- �- - - . ,,t 71. Produci`Piping ❑Gas c.3 oil 23. Gas Pipe-.Bough &.Test _ ' S .- - 72. Underground Flush-- . . 24. Roof Framing Cc.' =- ' ' 731 Undergrnd.Storage-Tank OGas OOil 25. Roof_•Sheathing : ,- i n - 74 .Overhead Hydro _ 26. 7-BanCeiling (Structural) & Monocoat - '' 7S:._Dry Chemical - - _ • 27. Frame and Flashing,. ;;,r. - 4. y. i 76. Dry Standpipe.-,s - • 28. Lathing& Siding - -- ..) .1774 FIXED SYSTEM-FINAL 29. Insulation :_, r:: ._ _ I ' 78: FIRE PREY. FINAL • 30. Drywall Nailing •r -+ - .4 I _ ,-HEALTH DEPT. REQUIREMENT • 31. Plaster Brown:Coat . ix 79. FINAL INSPECTION _ 32. Electrical ower Meter-F -�Meter-Final i is 80' FOOD CERTIFICATE ISSUED •_ ll{ 33. Final Ele,E?ric, ' , .• 4. Ia Notes: t _ 34.'Final Healing:& Air. Conditioning _ E., � ] - - - 35. 'Final Gas-PipeTest'. ' _ - �••� ' - 36. Hoodhor Canopy ,_, a • r1 , 37. Final Factory Fireplace. ^ • ' �; " -' • 38. Final Plumbing m -, i _ - - 39. Water Service-Final Z - , . . 40. Gas Service-Final - - ' . - r - 41. Solar Domestic-Final- - ,ri - t T -- - •f, ti .c. . - 42. Backflow Preventer ;:' .. 43. Backflow Irrigation `• - . _ -' ' 44. Landscape Irrigation System :_ :. , . _ s ..#:; - .. 4444 T ;, r• _ - 45. Sound Attenuationk - 1 . •" " - - 46. Handicap'Regulatiorjs -" y - _ , , 47. FINAL STRUCTURE & BUILDING --Z/ / ,c ,� 48. FINAL PLANNING. - 49. Electt•ic Release to Edison - '1 - ~ s _ 50. Gas Release to Southern Calif onia:GGas Go L 51. CERTIFICATE OF OCCUPANCY - No. Date PROJECTADORESS: 1 ;337 CONWAY AV UNIT: CITY OF COSTA MESA – BUILDING PERMIT PERM NO: B 07009E DINNER'S NAME: LANGSETH, RONALD G FLOOD ; X 46 ADDRESS: 1 ::07 r,_-t7}.}y)Ay AVE PERMIT NO; B 070096 PLAN CHECK NO; N GOVT: N SUPP ; N COSTA MESA CA 92626 CONSTRUCTION TYPE: PERMIT TYPE; STR PURPOSE; OTH 714 ) 751-8931 ARCHIENGINEER: REG.NO.: JOB DESCRIPTION : REPAIR DRY WALLS IN BATHROOM SQ FT: 200 ADDRESS: UNIT: CLAIM VALUE: 200 . 00 CALL–VALUE : 200 , 00 GROUP OCC: R-3 / PERMITTEE: RICHARD LANGSETH ( 714 ) 751-8931 ADDRESS: 1593 CORSICA PL COMMENTS : REPAIR BATHRROOM WALLS C .M. CA 92626 ***-w- *****-tr****+r*******qac.********+t+t*ar*w-*w•ir-*+5r *r.r•>F***+rk+r**>F->F***** r**a..r*v*ecu*x.v..w. LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON I NG REQUIREMENTS 7000)of Division 3 al the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY LIC.: STATE LIC.: CLASS: EXP : Date: signature: • MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT; FT IN REAR; FT IN FRNT : FT IN REAR; FT IN Compensation Insurance,or a certified copy thereof(Section 3800.Lab.CI. LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN POLICY NO.: EXP. DATE: COMPANY: PARKING REQ: PROV: PARCEL : 14103602 ZNE: REF NO; ❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOT E S> > Date: Applicant' *******************************48+f**********************************-8- f*****at**** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(3100)or less) DEVELOPMENT SERVICES R E Q U I R E M E N T S I certify that in the performance of the work for which this permit is iss •d,I shall not employ an person in any .ner so as to become m the e Workers' 1 Comp Salton Laws of California.. ZONING APPROVED BY DATE: .. ,42f. fSignature: iii i/_ " £4 i i� _21L BUILDING APPROVED BY , DATE NOTICE:If.after making This declaration.you should become subject to the Wry-'Compensation pro .ns of the Labor : Code,you must forthwith comply with such provisions or this permit shall b'4-•emed revoked. �A 2,-(5.4 CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: /,�/ — DATE: // which this permit is issued(Section 3097.Civ.C). '*********************************** * +r****************************ic,v****c*Sar** LENDER: ******************************************************************************* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 15 , 00 . 50 repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed SMIP/NON–RE S • pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN 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(3500). ISSUE FEE BUILDING–DIV–> PERMIT ISSUE PLAN–CHECK TOTAL PAID DUE I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the TOTALS----> 15 . 50 0 . 00 0 . 00 15 . 50 15 . 50 . 00 ' ❑ 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 REVENUE DIVISION TOTALS--> COLLECTED ; 15 . 50 OVER/SHORT; 00 improvementoissoldof sos within one year of completion,the owner will have the burden of proving he/she did not build or improve ithe enBLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN–CHECK 5d wit. 00 I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 1 50 ❑ and Professions Code'. The Contractors'Stale License Law does not apply to an owner of properly who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware ******************************************************************************44- that that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN II am exempt under Section: B P 70 4 4 B.8 P.C. / for this reason: OWNER–BUILDER TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST 1 lnr// own�/ J/ SFR 200 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 200 . 00 ereby certify that am aware of and understand the requirements of California Health any.ety Code Sections 505.25533.and END OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with aid state codes and the requirements for a permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions EXPIRED Dale. Applicant: Incomplete Inspections • f I hereby certify that I have read this application and state that the above information is correct.I agree to com ith all city and county PL.- ordinan�� purloins to building construction andand hereby a olives of this city to e��n the above mentioned 112 1,61 01 0017 450-�:e1724S �iEC:E 2 F`T* property for inspection purposes rDBtE ll /1Ll/5ssl 001724S7-OQ17245i Tp17�/ 51gDATE: 1)/29/94 TIME: 16:45"Ir15.50 / signature: is License or Social security#: DATE. 11/29!94 TINE: 16:4-5 \', 1641,46 White—Building:Green—Code Enforcement:CanaryApplicant:Pink—Revenue;Goldenrod—Assessor CONSTRUCTION AND PLANNING POOL K ...�A -- , Date Inspector Date Inspector i APPROVALS Permit# APPROVALS Permit • !� 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location tri 2. Soil Pipe-Undrgrnd. j 53. Steel Reinforcement r j it" 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 Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation ,'r) 59. Gas Pipe, 0 Undrgrnd.,Test /r 'h 9. Water Pipe-Undrgrnd. 1 ,. 60. Backwash Lines,P-Trap, C Undrgrnd. 10. Structural Floor System ';i 61. APPROVAL TO DECK ��J:l 'r • 11. Property Sewer Line & House Connection • . 62. •Backwash & Receptor-Finalr , I .f 12. Sewer Cap r %i: • ,/ 63. Heater & Vent-Final y • 13. Roof Drains 64. Plumbing System - Final - r ,j' / 14. Rough PlumbingVT; 65. Electrical-Final �,i , 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring ��' ' 67. Fencing & Access Approval ;'' r,./' 17. Rough Wiring Sign I/ 68. APPROVED FOR PLASTERING V� 18. Rough Electrical-7 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 73. Undergrnd.Storage Tank 0 Gas C 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 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 r 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 6_ 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 PROJECT ADDRESS: 1337 CONWAY AV 22 UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 07009', OWNER'S NAME: LANGSETH RONALD G FLOOD : X 46 ADDRESS: 1337 CONWAY AVE PERMIT NO: P 070097 PLAN CHECK NO: • N COVT : N SUPP : N COSTA MESA,CA 92626 CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE; OTH 714 ) 751-8931 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : REPLACE TOILET, BATHTUIB & WASH BASIN SQ FT : ADDRESS: UNIT: CLAIM VALUE; CALL—VALUE: GROUP OCC ; R-3 / PERMITTEE: RICHARD LANGSETH ( 714 ) 751-8931 r) ADDRESS: 1593 CORSICA PL COMMENTS : REF; B-70096 • C . M. CA 92626 *#***r+r-#rjr-r3a#4t#ac##jr-######M##-k######->Fu-#irtE###-4r-4c+a.l�-isir##v#-x#dc-K##u+c4r.+tit##*###acvu.v..K.#-v.v.jr. LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section, ZONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. S ETBACKS CITY LIC.: STATE LIC.: CLASS: EXP : • Date: Signature: B MAIN BUILDING ACCESSORY BUILDING t WORKERS'COMPENSATION DECLARATION: I hereby affirm that l have a certificate of consent to self-insure or a certificate of Workers' FRAIT: FT IN REAP„ FT IN FRNT; FT IN PEAR: FT IN Compensation Insurance.or a certified copy thereof(Section 3800,Lab.C). LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP. DATE: COMPANY: PARKING REQ: PROV; PARCEL : 14103602 ZNE: REF NO: ❑ Certified copy is hereby furnished. 0 Certified copy isopy filed ith the city Division. PLANNING NOTES> �/ **##ir.*##'M#*4fN##*##*iF##**#####*#*')('####4f#Mit*Y1f'Y#iF##f#if-#**#4*##*###*#*iF##*#*4F#IE#*Y rate: . Applitani. E. "TION FROM WORKERS'COMPENSATION DECLARATION: (This section need no• mpleted if the permit is rte hundred(4100)or less). D E V E L U P M E N T S E P. V I C E S, R E Q U I R E M E N T S certify that in the performance of the work for which this permit is issued,I sh 01 employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BY ." DATE: Date': Signature: r NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED B Y ; DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. �� ./' Q CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y : V Y" DATE: 1 (, y 4 . which this permit is issued(Section 3097.Civ.Cl. LENDER: #*#*******M***********************M*****##***at**it****************###********-*** ADDRESS: LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 21 . 00 repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed 5% " SMIP/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN 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($500). ISSUE FEE 20 . 00 I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTAL S----> 21 . 00 20 . 00 0 , 00 41 . 00 41 , 00 . 00 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 REVENUE DIVISION TOTALS--> COLLECTED : 41 . 00 OVER/SHORT • 00 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). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 41 U ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to theContractors'State License Law).I am aware ******#***************#******#*#** *****************#****#**********4t****4 **+:** that proof of their Worker's Compensation insurance should be provided to me. I N D I V I D U A 'L F E E BREAKDOWN T.[��}..--��lam exempt under Section: BP 704 4 8.&P.C. • / "t rims reason: OWNER—BUILDER — TYPE QTY D E S C R I P T I �O N UNIT COST TOTAL COST f4ate ��w7p �7� Owner:/ .i < PLU 1 BATHTUB 7 . 00 7 . 00 ' do hereby certify that I am aware of and understand the requirements of California Health and,,../.;Code Sectio r 505,25533,and PLU 1 WASH BASIN7 . 0 0 7 . 00 25534 and that I or any future building occupant will/will not(circle one)need to comply with sa i state codes and the requirements for a PLU 1 WATER CLOSET ( TOILET) 7 . 00 7 , 00 permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. '--END OF FEES .� Dale'. Applicant:_ I hereby certify That I have read this application and stale that the above information is correct.I agree to comply with all city and county 10 ordinances and state laws relating to building construction and hereby a Drize representatives of this city to upon the above-mentioned property ler inspection purposes /7 upon the 01 00172.55200172452 TOT 41.00 e�/��� 9� L U DATE: 11/29/94 TIM: 16846 e Signature' er s License or Social Security a: 1641.45 White—Building:Green—Code Enforcement:Canary—Applicant;Pink—Revenue;Goldenrod—Assessor 1 '1' CONSTRUCTION AND PLANNING % POOL _ BPA �! Date Inspector Date Inspector APPROVALS Permit* APPROVALS Permit * 1. Temporary Electrical Service or Pole , 52. Pool & Equipment Location ��• /r • 4/- 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. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. B. Foundation J 59. Gas Pipe, 0 Undrgrnd.• Test -L; ., 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System ;y 61. APPROVAL TO DECK �-f/ 2 _ 11. Property Sewer Line & House Connection "•%./ 62. Backwash & Receptor-Final �4i tj ,• 12. Sewer Cap %'i 63. Heater & Vent-Final 1r I 13. Roof Drains �` 64. Plumbing System - Final 1./1 •Gf 14. Rough Plumbing / 65. Electrical-Final 15. Rough Electrical-Conduit j7� 66. Solar System-Final tri .; 16. Rough Electric Wiring �, 67. Fencing & Access Approval 17. Rough Wiring Sign r 68. APPROVED FOR PLASTERING i.e' 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL %f-, 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 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 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes;(-j 3- IS F-CAcokz 60 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing Lys-CT 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 48. FINAL PLANNING -' 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co " 51. CERTIFICATE OF OCCUPANCY No. Date OWNER COLLEGE-MESA COMPANY DATE 11-20-58 JOB ADDRESS 1337 Conway Avenue BUILDING PERMIT NO. 8013 GENERAL CONTRACTOR- The Hale Company VALUE $ 12,599.00 ' AR No. LOT 24 TRACT 2671 FIRE ZONE DESCRIPTION OF WORK Res. w/att. gar. GROUP I & J TYPE V ZONE R1 PLAN NO. PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER Trenches Forms Steel —tom$ /2. -2- 33 tY Floor System g--4-4 _jet /R 'tit Steel Reinforce Chimney Re-Rod Bond Beam ;-;c / --.2.0*-,j'Q Frame and Flashing 9i�' �-�_ • Lathing, In Out : -ref� L- 9' Plaster, brown coat 9.,VC,O. S -5--t!?` Underground soil 1, LV W/G Pipe TesttLW /7 -/7-6r,/ Top Out 11-1]-Ik-'2' Furnace K'lurk-4 a .12-4S, i'!Q'�'O 3J'o..t&L(Y) 1- (� 1 13-3�'/ /( 9.S o Gas Vents /, Rough Plumbing kith I..i,1-. )Cl ,X/'o/cae /C Roy 2 01953 16498-t ,, ' Cesspool Septic Tank LU.. .ui'rt., .-/41 Prop. Swr. Line/ House Con,/ St. Swr. /,2,2y_EX (e, ,,,.,a,-. tam..-4 (�`--g-c1-sg i S\S---‘, -3 Sprinkling System f /l1 AAV Final W 8:20c.$9iV Plumbing Fixtures, Final /i LW 9-96-3-tj Final Gas Test j(b Lite c- -51 Construction Pole 11 Underground Power Rough Wiring ~_ - JI,' , 6'- _..sr..“..�� -3o-5_ S- —, t••••"... . Fixtures, Final l 7- , OCCUPANCY a //j 3-"a-,121 Form 210-5M-1-57 ' 8013 VEE R ECEiV ED s. ti ► it COSTA• MESA BUILDING DEPARTMENT FINANCE DEPT. R O.BOX 317 COSTA MESA. CALIFORNIA CITY OF COSTA MESA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT BUILDING BUILDING ADDRESS 1337 Conway Avenue COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO. PERMIT NO. OWNER COLLEGE MESA COMPANY ' 8613 3 MAIL RECEIVED BY DATE RECEIVED DATE ISSUED ADDRESS P.O. Box 2277, Brookhurst Station /vw 71—z1---S? Nnv 9, 0 1958 CITY Anaheim . TELNO.. KE 3-3161 BUIL ARCH'TECT Hulot, Quigley Li c. / OR ' VEER and Clark NO. RE 7191 COSTA MESA. CALIFORNIA FIRE ADDRESS 1102 W. 17th St. , Santa Ana ZONE CITY LIC ZONE �� PLANS TYPE I//,/ GROUP CONTRACTORThe Hale Company NO. 7350 _ADDRESS 1777 W.Lincoln,Anaheii,kL. ICE 3-3161 BPPROVED DATE LEGAL LOT 24I 2671 CORRECTIONS DESCRIPTION NO. BLOCK TRACT Plan #3-AR A.P. NO SIZE OF LOT 63 x 117 INO.HOWOFON 9LOG5_Lor None USE OF Cr EXISTING BLDG. SETBACK LINE FROM 50' 5 CENTER OF STREET REAR YARD 4`TU SIDE YARD RIGHT 8, LEFT 8, DESCRIPTION OF WORK NEC X ALTERATION - ADDITION ' REPAIR t MOVING I DEMOLISH BUILDING 12 2' -Liv. NO.OF SIZE /ill 01 -Gar. ROOMS 5 STORIES 1 ROOF EXTERIOR WALL COVERING Stucco COVERING Compo. USE LDINOF NG JEW.ingle dwelling w/att. garage BUI 'I HEREBY ACKNOWLEDGE TEAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES ANO STATE LAWS REGULATING BUILDING CONSTRUC• TION' COLLEGE MESA COMPANY VALUATION SIGNATURE • PERMIT FEE $ 30.00 PERMIT� TFp/ :y: THE HALE COMPANY,Ge anther v PLAN CHECK $ 15.00 ���/ $ 12,599 r1 ..,: D� TOTAL FEE $ 45.00 "ss A T �1:• !�(