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Home My WebLink About1570 CORSICA PL - Building Permitsit r E., / 9' oft- Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. A MESA CONSTRUCTION PERMIT Project Address 1970 CORSICA 12LACE /Cpplicant's Mailing Address Owner's Name TOM SYMONDS Phone 557-7006 Address . 1570 CORSICA PL. COSTA MESA 92626 ,Arch/Eng. License No. Address Contractor's Nam CLASSIC ROOFING CO. Phone 545-7733 Address(mailing) 3329 W. CASTOR ST, SANTA ANA 92704 City License No. 42724 LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and my license is in full force Vitl effect. License VrI Wicense No 504528 Date Signature WORKERS' COMPE NSATION ECL ION " �reby affirm that I have a cert) a of consent to self -insure or a certificate Vorkers' Compensation Insurance, or a certified copy thereof, (Section o, Lab. c.)079 Policy No. Company 4006 STATE FUND Certified copy is hereby furnished. Cergfi id dopy is filed with the city Bui in qr Date O/ I -A Applicant /C - EXEMPTION FROM WORKERS' COM EN N DECLARATION (Thissection need not be completed if th rmit is for one hundred ($100) 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 become Subject to the Workers' Compensation Laws of California. Data Signature NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you 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 Civ. C.) Lender's Name Lender's Address OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or '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 Contractor's License Law (Chapter 9(commencing with Section 7000) of ^vision 3 of the Business and Professions Code) or that he/she is exempt -efrom and the basis for the alleged exemption. Any violation of Section ,1.5 by any applicant for a permit subjects the applicant to a civil nalty of not more than five hundred dollars ($500). 1, as owner of the property or my employees with wages as their sole compensation, will do the work, and the structure is not Intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are not Intentletl or offered for sale. If, however, the building or improvement is sold within one year of com- pletion, the owner will have the burden of proving he/she did not build or im- prove for the purpose of sale). ❑ 1, as owner of the property, am exclusively contracting with licensed con- tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a con- tractors) license pursuant to the Contractor's License Law). Iam aware that proof of their Worker's Compensation insurance should be provided to me. ❑ 1 am exempt under Section B. & P. C. for this reason Date Signature Drivers' License a?>r CMF 0865-46, rev. 10/84 — Owner I have read this I agree to tomo tion and state that the above all city and county Ordinances n, and hereby authorize repre. o bve-mentioned property for Date 6/1/88 TYPE OF CONSTRUCTION LJ NEW U ADD LJ ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P. 46 Zone DESCRIPTION OF WORK/USE OF BLDG. E p S Main Building: Accessory Building: E TYPE OF PERMIT LJ GRADING U FOUNDATION U STRUCTURAL T Front ' ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear ❑ OTHER A PROJECT DESCRIPTION SQ. FT. 3nav oCC UPANYC Right S' Left CONSTRUCTION TYPE VALUATION$ r ZONE GRADING CU.YDS. ACRES Ping. Ref. # Parking Req./Provided ' Remarks: APPLY 30 SQ. 20—YEAR COMP OVER COMP & WOOD Planning Notes: Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiers Drinking Fountains Floor Drains Floor Sinks 3a5 Service Outlets Interceptors Kitchen Sink Lavatories P—Trap Roof Drains Reinspection Fee $15 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Bit. ICBO # Heating System & Ducting ❑0100,000 BTU Eli w000 Reinspection Fee 1 $15 White - Building; Canary . Applicant; Pink - Accounting; Goldenrod - Assessor Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto -Wash Laundry Trays Issue Fee Hood or Type ❑ Canopy Type 11 ❑ Refrigeration System 110-100,000BTU 0100,000 System Repair/Alteration Fire Dampers Registers Issue Fee FEES ELECTRICAL FEES Automatic Washer Construction Pole Sub. Transformer ❑ 15.50 KW ❑ 50+KW Cooking Unit Meter ❑up to 100 amps Dishwasher Meter ❑over 100amps Dryers ❑Gas ❑Electric Sub Panel Fan Motors ❑ 0-1 HP ❑ 1 F.A.U. Inc. Solar 09-15 HP El 16-15+ Fixtures Microwave .. Device Boxes Pole Light Outlets Range Switches Sign f Garbage Disposal Standing Sectionil Generator ❑0.5 KW ❑5-15 KW Trash Compactor SMIP $ PERMIT ISSUANCE $ ENERGY P.C. $ GRADING $ MICROFILM $ TOTAL FEE $ s0 v�. Z O N I N G R E Q M T S 01 00005861-00005862 T0T 54-50 Reinspection Fee $15 Issue Fee $ 3 FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By Application Issued By , fe Date Date__f_y_� Data f0 b—Cl O ' — BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL ' PLAN CHECK 50% MECHANICAL PLAN CHECK 25% SU V OF FEES $ .04 $ $ $ $ $ $ $ SMIP $ PERMIT ISSUANCE $ ENERGY P.C. $ GRADING $ MICROFILM $ TOTAL FEE $ s0 v�. _ $ 3 01 00005861-00005862 T0T 54-50 AND PLANNING • Date PPROVALS Permit# Inspector POOI - SPA APPROVALS Pe„nit# Date Inspector FCONSTRUCTION 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 UFER Grnd. 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 & 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 1-7. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 1:9-. 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 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas 0Oil 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 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 EXP IRE D 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING $Ig 48. Special Requirements Completed 49. Electric Release to Edison •' 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY No. Date OWNER Comesa Inc. DATE 5-lh-59 JOB ADDRESS 1570 Coreica Place BUILDING PERMIT NO. 9281 GENERAL CONTRACTOR Dike & Colegrove VALUE $ 1535/1.UU AP. No. LOT TRACT FIRE ZONE DESCRIPTION OF WORK Res. W/a'tt.Gara Ir' _-ECTIONS ,t.,.¢ ya DATE I GROUP TYPE ZONE A 1 L rground Soil; y U.G. Water/10K SUBCONTRACTOR PERMITS ISSUED Underground Gas — DATE NUMBER Overhead Water and Gas Rough Heating %WY Rough Plumbing /1 5 i 6 i sC� .5-/ S9 Miscellaneous Prop. Swr. Line House Con. St. Swr. Sprinkling System Heating, Final - Plumbing Fixtures i Final Gas Test 14-- J Construction Pole Underground Power _ / Rough Wiring nn./ Ac7iLuJ i i' - l.? -s5 9.? 61 / Trenches Forms Steel / Floor System / Steel Reinforce Chimney Re -Rod / Bond Beam n Sheathing F � and Flashing +- Lh,_-Ig, In Out ,"44- Plaster, brown coat Gehl -(o- Plumbing Fixtures, Final / Electric Fixtures, Final 4-,r9 7 /q, C/ Building, Final fq OCCUPANCY Form 210-3M-4-59 81 - ` 9281 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 317 COSTA MESA. CALIFORNIA FOR APPUCOr TO FILL /N CONPLETELY TYPE OR PRINT BUILDING ADDRESS 1570 Corsica Place COSTA MESA, CALIFORNIA A=LE RHEIVED e e,.— MAY Is 1959 FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING FOR Off/CE USE ONLY RL / 12 RECEIPT NO. P MiT y5.1 I OWNER Comesa Inc. (J�( MAIL RECEIV BY DA DATE ISSUED ADDRESS419 17th r —RECEIVED Costa Mesa TEL L181159 CITY ND. ADD EISS ARCHITECT Car $Q]j �Q. LIC. COSTA MESA; CALIFORNIA OR ENr.IN EER jvj(j (I1pjTYp(]�i NO. ADD. I Garden rrovpZONE FIRE Dine & Colegrove,lna• STATE 167293 APPROVED ^ CONTRACTOR LIC. NO. BY DATE l S n ADDRESS 419 E. 17th St.,UCsta ZONING LEGAL LOT }}}M��eesa Vp22 ZONE NO. OF USE OF NEW DEBCR IPTION NO.41 BLOCK li`TRACT / PLANS BUILDING APPROVED] �- �� A.P. NO. BYI,.. DATE OF Tnone SIZENO. 62x100 YARDS OF LOT NOW ON LOT REQUIRED AL LOWS ALLOWED USE OF none (CENTER LINE ST.) EXISTING BLDG. FRONT FT. IN. ENTERO LINE FROM SBAC E FROM 50( 01 CENTER OF STREET REAR YARD R. SIDE IN. L. SIDE v�FT. IN. SIDE YARD (LEFT 61 RIGHT 6.51 DESCRIPTION OF WORKO REAR � FT. IN. NEW S ALTERATION I I ADDITION REPA.._ I MOVING DEMOLISH BUILDIN NO. OF SIZE 9.560 ROOMS 7 STORIES EXTERIOR WALL (ROOF COVERING .COVERING ghingle USE OF BUILDING AND WORK TO BE PERFORMED Single f it residennn with attached double garage Plan 120B 1 HEREBY ACKNOWLEDGE THAT 1 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. VALUATION SIGNATURE OF PERMITTEE PERMIT FEES 36.00 18.00 S 15,571 PLAN CHECK $ 54.00 \- IZEDAGENTDine & CO egrove, Inc* TOTAL FEES RL / 12