HomeMy WebLinkAbout1609 CORSICA PL - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA ONS RUCTIO,�V PERMIT PE T NO. // TRACT NO. •
LOT NO. UNIT NO.
Project Address 1 tem LLt7 l(ILA— -Hi 1,,' r�anyr 5704 I2/IB/B5 700G TL
Applicant's Mailing Address , �. t41.75-4;VrVA11 WC l aol TYPE OF CONSTRUCTION U NEW LI ADD ALTERATION U REPAIR
Owner's Name - Phone ❑ CONVERSION ❑ DEMOLISH ❑ OT. # Zone
1140 �I� I i DESCRIPTION OF WORK/USE OF BLDG. �/ I72tf0a�(��7�l].�`iLTQ ,'= t
AddressS Main Building: Accessory Building: ,
Arch/Eng. License No. __ TYPE OF PERMIT ❑ GRADING ❑ FOUNDATIONS❑ STRUCTURAL T Front O
Address : ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING f�'-MECHANICAL A Rear - N
A n � � ••,M,--tt,^� ❑OTHER
Contractor's Name/.�Q,y,l�]��/.,Jq��'YYV.VI(, � A.1'CA Phone '��3 C Right N
Address(mailing)/�-2— •-41,[, &n t VK:-.)-‘ PROJECT DESCRIPTION SQ. FT. OCCUPANCY KG
21 a.( / I CONSTRUCTION TVPE VALUATION$ Left R
�y, pp�� f 1 // S
• City License No. Ivy/ C. VI `�� ZONE GRADING CU.YDS.�— ACRES Ping. Ref.# Parking Req./Provided E
LICENSED CONTRACTOR DECLARATION a ' �
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: �%�!���n�ii�����•���`/%y nr��G Planning Notes: M
with section 7000) of Division 3 of the Business and Professions Code,and ` rr 1985 T
my license is in fun e t. l RECC�VE� - S
License ass �ft�'L%'.) J� cense... A/la-103 G DEC
Date te " Signature pr �GR��.-, An' PLUMBING FEES .
WORKERS'COMPENSATION DELLA-ATION Bar Sink Showers - ELECTRICAL FEES
.1 I hereby affirm that I have a certificate of consent to self-Insure or a certificate -
of workers' Compensation Insurance, or a certified co thereof (Section Backflow Preventer Service Sink - ,
3800, Lab.I'SS,,{'1 �f��,,�/ (1 ,, Automatic Washer. Transformer ❑ 15-50 KW
PolicyNo. W�� 1. Zyp Company 1C-l'1tCtBackflow Irrigation Sewer Ce 111
❑ 50+KW
P Construction Pole Sub.
( Certified co y Is hereby furnished.
Ce fii deco iled with the cit n I i i n. 44lyI I y ; Bathtubs . Sewer Connection i Cooking Unit Meter pup to 100 amps
Date I`�-/- Applican ❑J•}r(,!/ 1✓ _ '
EXEMPTION FROM WORKERS'COMP� CLARATION ,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 DGas DElectric 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❑0-1 HP 01%-8
Workers' Compensation Laws of California. •
Date ' Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP ❑16-15+
NOTICE: If,after 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
Lender's Name _
Lender's Address Kitchen Sink Water Service Switches Sign
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal ;Standing Sections
county which requires a permit to construct,alter,Improve,demolish or repair P—Trap LaundryTrays
any structure, prior to Its Issuance, also requires the applicant for such permit Y Generator ❑0.5 KW ❑5-15 KW Trash Compactor ,
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 ,
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). .
LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 14ue Fee $ 3
compensation, will do the work,and the structure Is not intended or offered Reinspection Foe 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 0 Zoning Approved By nate
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under GroundBuilding Approved By Date
trove for the purpose of sale). na
I as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Dat
tractors to construct the projectSection 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 ❑100,000 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 thatExhaust System ❑ Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $
proof off their Worker's Compensation Insurance should be provided to me. PLAN CHECK $ PERMIT
❑ I am exempt under Section - B. & P.C.for this reason Firepl/Fact.Bit. IC80# Fire DampersPLUMBING $ ISSUANCE $
•
Dateactor( eying System
= e Registers PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above -10-100,000 : 0100,00013T ELECTRICAL $ GRADING $
information Is correct. I ee to compl with all city and county ordinances
and state I relatinguiltliIL 'n'g co ruction, and hereby autri=�y pre- I' PLAN CHECK 50% $ MICROFILM $ /� ,m
sentatives o cit to enter u e1(b ` -mentioned pro/pert/fg— ��r,�` Vw
inspection • I;'sr: Date MECHANICAL $ ��Y" TOTAL FEE $
Signature
Drivers' License •r ( Issue Fee , $ 3 PLAN CHECK 25% $
CMF 0865-46,rev. 10/94 White - Building; Canary
-Applicant; Pink -Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING POOL& SPA
r•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. 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 _
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 i 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:
34. Final Heating & Air Conditioning 3_z -% CE/0
35. Final Gas Pipe-Test •
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
f-.
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow•Preventer 1.
43. Backflow Irrigation • C'..:
r.7
44. Landscape Irrigation System
45. Sound Attenuation Ct.
46. Handicap Regulations
47. FINAL STRUCTURE& BUICDING
48, Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51�CERTIFICATEOF OCCUPANCY
No. Date
OWNER COWES/Li INC DATE 5-11;-S9
JOB ADDRESS 1609 Corsica Pl. BUILDING PERMIT NO. 9305
GENERAL CONTRACTOR Dike & COlegrOVeVALUE $ 13,715.•00
AP. No. LOT 66 TRACT 2822 FIRE ZONE DESCRIPTIONOF WORK _
INSPECTIONS S-.�7�y DATE GROUP 'TYPE ZONE A 1
Underground Soil 441.5U.G. Water/144c S--z$'-SU PERMITS ISSUED
Underground Gas SUBCONTRACTOR DATE NUMBER
Overhead Water and Gas
Rough Heating s 7-10 -S ,.r.T/r,1=C�/(=. /- y-5 9 A?S 5 5- / Si
Rough Plumbing /(/f/�/�fi 'S y ,l-2 AL-/ v/ J>cc-c Y •5--/i-.5-5 A O _
Miscellaneous
Prop. Sivrrbine HouseiGon. St. Swr. //7'/t7 ,/ f., - hl/y¢(ref /S4 . - IWAR
Sprinkling System ��i�l
Heating, Final I (y �} I11�
Plumbing Fixtures 41/ j4l4
Final Gas Test IAl'l.R_W r24'I'- r
Construction Pole / 1
Underground Power , /
Rough Wiring /f-7��7-r Z2-„n, r6(4a 7- /-3_9 9J'29 '' L
Trenches Forms Steel £/7/t t 72S sr
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
Sheathingts
Frame and Flashing /1-4 7/1 /S€9
Lathing,
Lathing, In Out
Plaster, brown coat !(A9h ,,S'--2.O-I-'
Plumbing Fixtures, Final .
Electric Fixtures, Final ,2�' ' f',3- r7
Building, Final pp / _ T�
OCCUPANCY 0626 f-3- '},I
Form 210-3M-4-59 9105
•
9305 �� % EiVE �
COSTA MESA BUILDING-SAFETY DEPARTMENT - MAY 19 1959
P.O.BOX 317 COSTA MESA, CALIFORNIA FINANCE DEPT.
fOR APPLICANT TO fILL IN COMPLETELY APPLICATIONnSTFOR PERMIT
TYPE OR PRINT BUILDING
ADD EISS 1609 Corsica Pl.
COSTA MESA. CALIFORNIA fOR OffICE USE ONLY
I RECEIPT No. I pEEMIT
OWNER CDm9aa, Inc. .
AMAIL
DDRESS 419 E. 17th St. RE IVSD Y I DATE RECEIVED I DATE ISSUED
CITY Costa Mesa TNOLI81159I
NG
A DRESS
ARCHITECT Carlson & LIC. COSTA MESA, CALIFORNIA
OR ENGINEER Middlebrook NO.
ADDRESS Garden Grove FIRE J
DD��]]{{ FIRE J c
CONTRACeOR Colegrove,Inc. L C No. •167293 B?PROVED Y \ DATE/ // J /
ADDRESS L19 R. 17th St., Costa MesapZONING
LEGAL I LOT 66 I I 2822 ZONE / I NO.OF -7.-I USE OF NEW -Y -
DESCRIPTION NO. BLOCK TRACT PLANS BUILDING
APPROVED,C41 S �j
A.P.NO. BY /�(f L r �/ ��II��DATE L/3~ /
SIZE 60 x 104 I NO.OF BLDGSnone YARDS EVES
OF LOT NOW ON LOT REQUIRED ALLOWED
USE OF none (CENTER LINE ST.)
EXISTING BLDG. FRONT 50FT. IN.
SETBACK LINE FROM 561
CENTER OF STREET REAR YARD 2g[
R.SIDE S—FT. IN.
SIDE YARD I LEFT 51 I RIGHT 5, L.SIDE S FT. IN.
DESCRIPTION OF WORK
XII
O FT. IN.
NEW I XII ALTERATION I II ADDITION I
REPAIR I II MOVING I II DEMOLISH I
IMI-DING
ZIEDING 1365NR OMS 6 STORIES 1
EXTERIOR WALL, ROOF Rock COVERING sUCCo I COVERING Rock
USE OF BUILDING AND WORK TO BE PERFORMED •
Single Family Dwelling with .
attached double garage
Plan No. 310k
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. VALUATION
SIGNARE TUOF e, .0
PERMIT FEE $ 320
PLAN CHECK
PERMITTEE ////____ 13,715. $
16.00
$
Dike & Colegro
Inc. e
AUTHORIZED AGENT TOTAL FEE S 48.0M
0