HomeMy WebLinkAbout1605 CORSICA PL - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. r\
CITE OF COSTA MESA Cp�y ST�J CTIQN PERMIT ` PE IT NO. —7 TRACT NO. LOT NO. UNIT NO.
Project Address /6195(C�IeS/C4- pt. ii �� I NI
U� 'R I 8942 3/08/55 5e0Q , IL
Applicant's Mailing Address` V//moo TYPE OF CONSTRUCTION U NEW ❑ ADD. U ALTERATION
Mt' Ot Min' 605^1 Phone 757"k-570 ❑ CONVERSION ❑ DEMOLISH OTHER A.P.# Zone
Owner's Name DESCRIPTION OF WORK/USE OF BLDG.
Address - S Main Building: Accessory Building:
Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING�FOUNDATION ❑ STRUCTURAL E Front O
Address CI TENANT CI ELECTRICAL PLUMBING ❑ MECHANICAL B Rear N
Contractor's NameM n' � 1I�Phone O Q ❑ OTHER C Right N
Address(mailing) PG' SSS (n.,ta a PROJECT DESCRIPTION SQ. FT. OCCUPANCY
CONSTRUCTION TYPE VALUATION$ K Left R
City License No. ZONE GRADING CU.YDS. ACRES
LICENSED CONTRACTOR DECLARATION /1 Ping. Ref.# Parking Req./Provided E
CI
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: ` - Qt, Planning Notes: M
with section 7000) of Division 3 of the Business and Professions Code, and ""'-1` T
my license is in II f t - and effect. r n
License • . s t 4 icense No:-�b �J ' .� S
Date_ • fX Signature — i-. LUMBIN FEES
WORK RS' OMPENSATION 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
3800, Lab. C.) Automatic Washer Transformer ❑ 15-50 KW
Policy No. Company Backflow IrrigationSewer Cap. Construction Pole'Sub. - 0 50+ KW
Certified copy is hereby furnished. - I.
_ Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter Duo to 100 amps
Date Applicant
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 Dryers OGas ❑Electric Sub Panel
I certify that in the performance of th r. or which this permit is issued, I - .
shall note pl y any person in any ;Ori'r • as to become subject to the Drinking Fountains Solar Tank Fan
Workers�j t sttion Laws of Calif�rsF Motors ❑0-1 HP 011/2-8
. Date -' Q1/d'1 Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09.15 HP 016-15+
'NOTICE: f,a ter making this declaration, you should become subject to the ' — -
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures
comply with- such provisions or this permit shall be deemed revoked. Microwave
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 Outlets Range
Name an 9e
Lender's Address ' Kitchen Sink Water Service
OWNER BUILDER DECLARATION Switches Sign
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories
following reason (Section 7031.5 Business and Professional Code: Any city or Auto-Wash - Garbage Disposal ;Standing Sections •
county which requires a permit'to construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator ❑O-5 KW❑5-15 KW Trash Compactor
any structure, prior to its issuance, also requires the applicant for such permit P
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 / e -
I /_.�
therefrom and the basis for the alleged exemption. Any violation of Section As pos 9 L.— Z �
CO —
7031.5 by any applicant for a permit subjects the"applicant to a civil I +
penalty of not more than five hundred dollars($500).
I, as.owner of the, property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
compensation, will do he 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 corn- Canopy Type II 0 Zoning Approved By Date
pletion, the owner will-have the burden of proving he/she did not build or im- Duct- Under Ground . Building Approved By Date Q
prove for the purpose of sale). ...3/ l l
0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural • Refrigeration System - Application Issued By Date l I
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 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 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 tome. _ PLAN CHECK $ • PERMIT
U-Pam exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBG 4 Fire Dampers ISSUANCE $
PLUMBING $ 5,0C) ,
Date . Owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ '
I hereby certify that I have read this application and state that the above ❑0-100,000 BTU 0100,0006T - - ELECTRICAL GRADING $
information is correct. I agree to comply with all city and county ordinances $ -- '
and state laws relating building construction, and hereby authorize repre- PLAN CHECK 50% $ • MICROFILM $
�j
sentatifes of y t t ter upon the above-mentionedp rty for
inspection purgesp f S(7
Signature ii. Date 3 p s� MECHANICAL $ TOTAL FEE $ U
Drivers' Licen SS# Reinspection Fee $15 Issue Fee • $ 3 PLAN CHECK 25% $ .
^ CMF 0865-46,rev. 10/84 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 Pole52. Pool & Equipment Location •
2. Soil Pipe-Undrgrnd. .T 53. Steel Reinforcement
3'.Electrical Conduit.Utility-Undrgrnd. 54. Forms ' - ->_
4`.'Elecirical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel'Reinforcemer-f - 56. Rough Plumbing &Pressure Test -t
.6. Electrical UFER-Grnd. 57. APPROVAL TO COVER-GUNITE
Footings •rr ` 58. Electrical Conduit-Undrgrnd.
.8: Foundation • , 59. Gas Pipe, 0 Undrgrnd.,Test
, 9r Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
Structural Floor-System 61. APPROVAL TO DECK
11. Property Sewer Line & House COgnection 62. Backwash & Receptor-Final
12. Sewer Cap .';
63. Heater & Vent-Final
13. Roof;Drains • ' 64. Plumbing System - Final
r
14. Rough Plumbing , n 65. Electrical=Final - •
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & AccessApproval
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 O 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:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing . S/L* 'cam
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. Special Requirements Completed '
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY -
No Date •
OWNER C.OMESA.3_1NC-: - DATE 5.15_59 -
JOB ADDRESS 1605 Corsica Place BUILDING PERMIT NO. 9306
GENERAL CONTRACTOR Dike & Colegrove VALUE $ 10,387.00
AR No. LOT b7 TRACT 2522 FIRE ZONE DESCRIPTION OF WORK Res. w/att.Garage
INSPECTIONS 54.7-s-y DATE GROUP TYPE ZONE A 1
Underground Soil /1.3-/<, U.G. Watern,iS 3--2Q-St PERMITS ISSUED
Underground Gas •
SUBCONTRACTOR DATE NUMBER
Overhead Water and Gas . /
Rough Heating ( - -1a z_ . r / r - ._ 4-. S5 /9 rL
Rough Plumbing ,7-J-S7/ C . _a" --r r 7`_-AA,6-7` y /I -----
. '
Miscellaneous , '' I I
Prop. Swr.tine Ilotls97Qon. St. Swr. 74./y/.57 -(:�_,.u--6(,.� V 1-‘61 (S-N QT/ /
Sprinkling System , ,
_ ��
Heating, Final A.!/Y 27
Plumbing ixtures ' • �� _1
Final Gas Test /,f H/ F c \�y
Construction Pole
Underground Power
Rough Wiring 'W/r le?Y9 7L .- „T. ,—/--5-5 9-,-3 o -
Trenches Forms Steel &on ..>aq-d'j/-
Floor System
Steel Reinforce Chimney Re-Rod •
Bond Beam _
Sheathing 7
Frame and Flashing : /
Lathing, In Out ' f's, ��/- r
Plaster, brown coat NS S -'9- `IV
Plumbing Fixtures, Final
Electric Fixtures, Final ,t9O/ 4.7.3 p
Building, Final /'l / �j
OCCUPANCY 90 17,)"X
Form 210-3M-4-59 9306
t.
L-CEly Ev
93®6 C1,w- AIRY 18 1959
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P.O.BOX 317 COSTA MESA. CALIFORNIA
CITY OF COSTA MESA
FOR APPC/CANT TO MC /N COMPLETELY APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING
ADDRESS 1605 Corsica Place tr
COSTA MESA. CALIFORNIA FOIA OFFICE I/JE ONLY
RECEIPT NO, I 7FRc4
64
OWNER Comsat Inc.
MAIL L� R IV BY DATE RECEIVED DATE ISSUED
ADDRESS 419 E. 17th St.
�,� y"% ,S /y �
CITY Costa Mesa MI LI81159 8DING
DD
OR ENGARCHITIINEERM5ddlebrOOk NCarlson & O. COSTA MESA. CALIFORNIA
ADDRESS Garden Grove FIRE
ZONE/ !/
Dike & Cole grovel Inc• stint
Na 167293 APPROVED --
CONTRACTOR DATE S/7 J 7
ADDRESS419 E• 17th St. , Costa Mesa ZONING
LEGAL LOT 67 ZONF, ,. / I NO.OF YI USE OF GEWd8
DESCRIPTION NO. BLOCK �� �7L PLANS BUILDINGN /J//vd//�/
APPROVED L� ` r
A.P.NO. BY (,V - ,,( DATE C- �r `J y
SIZE 60 x 104 I NO.OF BLDGS.none YARDS v fl S I
OF LOT NOW ON LOT REQUIRED ALLOWED
USE OF (CENTER LINE ST.) ___
EXISTING BLDG. [Lone FRONT CCFT. IN.
I� SETBACK LINE FROM [�
'J CENTER OF STREET 501 REAR YARD 251 R.SIDE J FT. IN.
SIDE YARD I LEFT 5t !RIGHT 51 L.SIDE CFT. IN.
DESCRIPTION OF WORK <
REAR ._J FT. IN.
X NEW tF II ALTERATION I II ADDITION I
REPAIR I II MOVING 1 II DEMOLISH I
BUILDING NO.OF 1430 ROOMS 6
SIZE STORIES 1
EXTERIOR WALL Stucco ROOF Shingle
COVERING COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
Single family dwelling with
attached double garage
Plan 1300
I HEREBY ACKNOWLEDGE THAT I 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 CONSTRUCT( NN.. VALUATION
SIGNATURE OK / _ PERMIT FEE $ 34.00
PERMITTEE \� 17.00
$ PLAN CHECK $
14,387OrT•
AUTHORIZED AGENT Dike & Colegrove, Inc. \ TOTAL FEE S 51.00
OWNER VAN HORN, Ezra DATE 8-31-62
JOB ADDRESS 1605 Corsica Pl. BUILDING PERMIT NO. X38
GENERAL CONTRACTOR Oliller-Bldr. VALUE $ 3360.00
AP No.139-192-09 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Ext•Binh & ad
INSPECTIONS Signature DATE GROUP' TYPE v ZON4 R-'1B-'a-Re-s-•
Soil PERMITS ISSUED
Gas SUBCONTRACTOR DATE NUMBER
Water
Rough Corn. Refrig.�7� �❑�y�Air Cond.Cond. ❑
•
Rough Heating 3//.FVeZ t �(RL Tf TJ;9r�/4a /.y-qL_4• /p�-�
Rough Plumbing (//
Miscellaneous
Prop.Swr.Line ❑ House Con. 0 St.Swr. 0 '
Sprinkling System
Construction pie
Underground 0 Power 0 _
Rough Wiring 0 ft,A fl i7,(. -✓—�
Trenches 0 Forms 9 Steel Reinf. U 7�7M r- � fy��— ��lD �—
Floor System
/3'r.L_
Bond Beam 0 Steel Reinforce 0
Sheathing AM /1_1..7-(,y
Frame and Flashing fa -0--(2...
Lathing — In 0 Out 0 _ -64
Plaster, brown coat ._ 6- j
Ref rig. 0 Air Cond. 0 Final
Heating, Final '4„W 74.-7•GS
Plumbing Fixtures, Final
Final Gas Test
Electric Fixtures, Final �, 2��6_J 3-
Building, Final C1'KIQ J
OCCUPANCY
FORM Bao-5M — 7.61 l'r '
17738 FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT AUG 31 1962/
. P. O. BOX 917 COSTA MESA. CALIFORNIA FINANCE DEPT.
For Applicant to Fill In Completely APAIICQTI&Rini PERMIT
TYPE OR PRINT
BUILDING
BUILDING NOS" 6cCiacCpiAC
C.
COSTA MESA. CALIFORNIA For Office Use Only
pp RECEIPT NO. PERMIT
OWNER E2-g.14 V14 i'v ik all I I %77
ADDRESS IboS. Coes/c� pIsc-t VD p/Y/,, SIT f/3j/cEI;ED�I A/f4/�//J)q//5/fu(g/
City 0S+P�eS0. TNO.KIS-� ADILDING/l // //••_ (I // /.�CCK_t7
ADDRESS 47 l i(/ • J
OR umENNEER TEL. COSTA MESA. CALIFORNIA
ADDRESS FIRE
ZONE TYPEpRyO�UP / .,
CONTRACTOR OW N e Y- APPROVEDA �T�} DATE)-'/ b
ADDRESS -- ( / ONING
ZONE n NO.OF USE OF NEW //J ' /
CITY c ! �/ I PLANS z BUILDING ((. p O H,'PT�
Y Yz."
STATE 1 TEL. LEGAL / 6 7 7' 2-‘9
p . -�
LIC.NO. NO. DESCRIPTION a
SIZE f. 1 OV I NO. OF BLOCS. / 3 ? p
OF LOT /� / I SA(
ION LOT A.P.NO / / z '�
EXISTING BLDG.USE OF fe5lie�C-9 A SAcl e1 • Q YARDS EVES
( APPROVED ALLOWED
PSS OrSETBACI (CENTER LIN BT
CENTER KOF STREETLINE M. 0 .1.. REAR YARD 1 3
� /l��^ FRONT RG FTI�'���/—�+. / IN.
SIDE YARD I LEFT J I RIGHT I`'�--`w( R.SIDE / J f FT. IN.
DESCRIPTION OF WORK
L.SIDE s FT. IN.
NEW I D ALTERATION I D ADDITION I ,/ REAR /3 ( FT. IN.N.
REPAIR I II MOVING I II DEMOLISH g7PROVED /9g oATE 1/3//6~
BUILDING I 11 I NO. OF / 6176
SIZE (� xis ROOMS STOR LES
EXTERIOR WAL ROOF C01w �7/A.
COVERING _ UC[O COVERING
`S' , BUILDING ANQ ,s TOB ERBORM
L•l•e I�.."g ECS E IA,y .eGJ71^OtlM
a 4 .0 % e► . (, ./ ice., , _ / i
i . s,_ - C�ps//_
_ c3c3/ "'�e:�e®C s4, /0-,
1 HEREBY ACKNOWLEDGE THAT I HAVE READ TXI APPLICATION •
THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND REE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY NANCES NSTATE S REGULATING
BUILDING CONSTR N. /JJj VALUATION �/
SIGNATURE OF tit V PERMIT FEE $
PERMITTEE "(/h- - , �-v p
$3 3/_D e PLAN CHECK $ —
AUTHORIZED AGENT O/ �(f e,2 077 et)
ITOTAL FEE S ?7 u