HomeMy WebLinkAbout1590 CORSICA PL - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. _ t
CITY OF COSTA MESA CONSTRUCTION PERMIT PEITif IfNOO.`�O., TRACT NO. LOT NO. ' UNIT NO. • 8/22/64 • 900'7 TL
Project Address /5 9O CO,C5/Cct /91,. I ` � 6762
U ADD
Applicant's Mailing Address .tirw„w • 8/44,am ✓we. TYPE OF CONSTRUCTION U NEW (J ALTERATION U REPAIR
Owner's Name tr,IL lie/ Phone 1� SO? • ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# Zone -
Address 5A---..... . DESCRIPTION OF WORK/USE OF BLDG. g:
S Main Building: Accessory Building:
E Z
Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING�U FOUNDATION ❑ STRUCTURAL T Front - 0
Address A ❑ TENANT ❑ ELECTRICAL . `LJ' PLUMBING ❑ MECHANICAL B Rear •
N
•
Contractors Nam- .. - . Phone l�;9-9ee6 El OTHER
PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N
cGreK G
n Address(mailing) ' • V
073 CONSTRUCTION TYPE _ VALUATION$ $ Left .
03 City License_No. R
ZONE GRADING CU.YDS. ACRES Ping. Ref.# Parking Req./Provided E-
LICENSED CONTRACTOR DECLARATION - • Q
---- I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: Planning Notes: M
with section 7000) of Division 3 of the Business and Professions Code, and - T
(1"--- my license is in full force ant•effect. •
License Class G -3 G License No. 916V-59 7 - S.
Date t -/5 -sw Signature rat_ n7G'c-✓4_ ' PLUMBING FEES
WORKERS' COMPENSATION DECLARATION • Bar Sink Showers • ELECTRICAL FEES
I hereby affirm that I have a Certificate of.consent to Self-Insure or a certificate ,
of Workers' Compensation Insurance, or a•certified copy thereof (Section Backflow Preventer - Service Sink - 0 15-50 KW
3800, Lab. C,) / Automatic Washer Transformer
P licy No. GCS .219/00/ Company 1�5Wf �r's-S u.✓�, Backflow Irrigation Sewer Cap - 0 50+KW
J Construction Pole Sub,
Certified copy is hereby furnished, '
Certified copy is filed with the city Building Division. / Bathtubs Sewer Connection Cooking Unit Meter Oup to 100 amps
•
Date N-/S--$11___Abplicant Ql Y•.. Y✓/rr...[....rG-
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps
(This section need not be completed if the permit is for one hundred ($100) or
less). Dishwasher Solar Piping P g Dr vers ❑Gas ❑EledtrlC 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 01'A-8
Workers' Compensation Laws of California.
Date Signature Floor Drains SwimmingPool w/Spa
NOTICE: If,after making this declaration,you should become subject to the wP F.A.U. Inc.Solar ❑8-15 HP 016-15+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures - Microwave
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY Gas Service - Outlets . Water Closet - Device 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
Lender's Name p n.�.✓!/p•0-'s' Outlets Range
Lender's Address Kitchen Sink t _ Water Service _ 7 - Switches Sign
OWNER BUILDER DECLARATION. - - . - .
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Garbage Disposal Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,improve,demolish or repair P-Trap , • Generator 00-5 KW 05-15 KW • Trash Compactor
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 Roof Drains •
.the Contractor's License Law(Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code) or that he/she is exempt 7
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 '
LJenalty of not more than five hundred dollars($500). -
I, as owner of the property or my employees with wages as their solo 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 such work 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 com- Canopy Type II ❑ Zoning Approved By Date
pletldn, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground • Building Approved By Date
Drove for the purpose of sale), r k}„ ,i,
U
I. as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By (-7,T- 11✓ Dati A Ea
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License taw does not apply to an owner of property who Duct-Ventilating 00.100,000 BTU 0100,000 BTU SUMMARY OF FEES
builds or Improves thereon,and who contracts for such projects with a con-
tractor(s) license pursuah(to the Contractor's License Law). I am aware that
Repair/Alteration System Exhaust System 0Multiple 0 BUILDING PERMIT S. SMIP $
proof of their Worker's Compensation insurance should be provided to me. Y
PLAN CHECK $ PERMIT
❑ I am exempt untler Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# •
PLUMBING $ 5, du ISSUANCE $
Date Owner Heating System& Ducting PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above 0O-100,000 BTU 0100,00087E ELECTRICAL $ GRADING $
information is correct. I agree to comply with all city and county ordinances
and state laws relating to building construction,and hereby authorize repro- - MICROFILM $
sentatives of this city to enter upon the above-mentioned hereby
tty for PLAN CHECK 50% $ p
inspection purposes. `�! Date r i/J"' MECHANICAL $ TOTAL FEE $ 17, vo
Signature
Drivers' License or 55# _ Reinspection Fee $15' Issue Fee 111—
PLAN CHECK 25% $
CMF 0865-46,rev.4/84 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor
CONSTRUCTION AND PLANNING POOL &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 UFER Grnd. t 57. APPROVAL TO COVER-GUNITE
7. Footings •
' 58. Electrical Conduit-Undrgrnd. 2
8. Foundation - 59. Gas Pipe, 0 Undrgrnd.,Test
'9. Water Pipe-Undrgrnd: - 60. Backwash Lines, P-Trap, ❑ 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
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. FERE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION - I
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric •
Notes:TAO, ciente/to Geo
34. Final Heating& Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy •
37. Final Factory Fireplace
ti Final Plum61- �[
39. Water Service-Final
f9.31
.NA a/ii/��
40. Gas Service-Final Y i ,�L�► ,G!/
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. 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 5-111-59
JOB ADDRESS 1590 Corsica PlaceBUILDING PERMIT NO. 928E
GENERAL CONTRACTOR Dike & Colegrove VALUE $ 111,387.00 '
AP. No. LOT 116 TRACT 2822 FIRE ZONE DESCRIPTION OF WORKRes. w/att.Garage
INSPECTIONS s-_n-ssl DATE GROUP TYPE ZONE A 1 /
Underground SoiIM#S U.G. Water/2 5 2-
„ _- PERMITS ISSUED J
Underground Gas SUBCONTRACTOR DATE NUMBER I
Overhead Water and Gas �,C,. A 7
Rough Heating 4::n "7LCo?°h ,% e- 9-52 -C3 - 1
Rough Plumbing � G n-:6 /4a.:.zQ-4 ' oast-.• .1 sj-/4'S y 'L7'�11/1
Miscellaneous ',
Prop. Swr.d,ine-ThHo "Con. St. Swr. /- g-4, • - 4,... }- so„ 7/id/V9 • I - I^
Sprinkling System _ '
Heating, Final A7193-7--49-3-1 iy
Plumbing Fixtures /r � -/2 / i'—t I
Final Gas Test/J; Jy d
Construction Pole / t
Underground Power
Rough Wiring rv&b C/7• c n-lf e' , ,,,'0. G-/-2 59 G,77-,
Trenches Forms Steel ) _
4r t t 'EA-3}'
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam �,L / ¢.
Sheathing v� , ani,r4/
Frame and Flashing C. -J ' -_0444/.�f
Lathing, In f.---Out it& . t//iS f
Plaster, brown coat (4T't- k-le -51"
Plumbing Fixtures, Final /YifS P'-/2-T-
Electric Fixtures, Final rte/ 5/j/CC '
Building, Final /`� "/
OCCUPANCY ' I
Form 210-3M-4-59 928E
9286 ,=EE RECEIVE®
COSTA MESA BUILDING-SAFETY DEPARTMENT D MWY 1 a 1959
P.O.BOX 317 COSTA MESA. CALIFORNIA
FINANCE DEPT.
FOR APPLICANT TO FILL /N COMPLETELY APPLICATION.FORSpPERMIT
TYPE OR PRINT BUILDING
BUILDING
ADDRESS 1590 Corsica Place
COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY
RECEIPTNO. I
OWNER Comesa,,� Inc. Y
j$7
MAIL 419 E. 17th St. REccc111��`IVE BY DATE RECEIVED DATE ISSUED
ADDRESS I /3S9I e-/y0-9
CITY Costa Mesa TNO. LI81159 A D EISS
ARCHITECT Carlson & LIC. COSTA MESA. CALIFORNIA
OR ENGINEERMiddlebronk NO.
ADDRESS Garden Grove FIRE -z
ZONE / /
CONTRACTOR Colegrove, Inc. L IC STATE. 167293 APPROVED �1 (, DATE 5 /77:,
ADDRESS 419 E. 17th St., Costa Mesa -/Lf, \ ZONING
Zg ZONE NO.OF USE OF NEW /
LEGAL LOT (� CI'
DESCRIPTION NO. 46 BLOCK TRAGI �/ PLANSIBUILDING
APPROVED/= ��I � / ` _
A.P.NO. BY APPROVED
v/ �// DATEf '�!/ `J
SIZE 60 x 100 I NO.OF BLDGS.none YARDS GEVEByv"
OF LOT NOW ON LOT REQUIRED ALLOWED
USE OF (CENTER LINE ST.)
EXISTING BLDG. none FRONT • `V tFT. IN.
SETBACK LINE FROM 50I YARD 21T
REAR
CENTER OF STREET J R.SIDE `5 FT. IN.
SIDE YARD I LEFT 5! I RIGHT 51 L.SIDE J FT. IN.
DESCRIPTION OF WORK
REAR FT. IN.
NEW I X II ALTERATION I II ADDITION I
REPAIR I II MOVING I II DEMOLISH I
BUILDINGNO.OF
SIZE 143NO.
ROOMS 6 STORIES 1
EXTERIOR COVERING WALL StUCCI11JCOVER I NG Shingle
USE OF BUILDING AND WORK TO BE PERFORMED
Single family residence with
attached double garage
Plan 130D
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDING CONSTRUCTION.
f VALUATION
IO
SIGNATURE OF �y�/ �'/A— PERMIT FEE $ 34.00
PERMITTEE / '*'•/� ' / OST
$ 14,38 . PLAN CHECK $ 17.00
AUTHORIZED AGENT Dike & Colegrove, Inc. 51.00
TOTAL FEE $