HomeMy WebLinkAbout1622 CORSICA PL - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. '
PE MIT NO. TRACT NO. LOT NO. UNIT NO.
Project Address l
CITY OF COSTA MESA ^CONSTRUCTION P RMIT A.P.4I, I Zone
(v a O� `(570Q., X 3fI3.G�
• S Main Building: Accessory Building:
Applicant's Mailing dr• s A 4 - At .' 4.-'/./ s TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION I : REPAIR E Z
r' ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front 0
Owner's Name 4I Phone ���� f ✓ DESCRIPTION OF WORK/USE OF BLDG. B Rear N
Address U
Arch/Eng. License No. TYPE OF PERMIT U GRADING 1- FOUNDATION U STRUCTURAL I C Right G
Address 0 TENANT ❑ ELECTRICAL FrPLUMBING 0 MECHANICAL $ Left
R
/�r�� ❑ OTHER
Contractor's Nam• d� r �f gra Apr-
/ Phone • f Ping. Ref.# Parking Req./Provided E
pp 111 7 OO A �j PROJECT DESCRIPTION SQ. FT. OCCUPANCY O
Address(mailing) CAr �!�// - •� / CONSTRUCTION TYPE VALUATIONS Planning Notes: M
City License No. ZONE _ GRADING CU.YDS. ACRES S
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks:
with section 7000) of Division 3 of the Business and Professions Code, and
my license is in f I.r e and effect. ' ELECTRICAL FEES
License I.
A\V\ Date .gFQLZ Signature •AS� —� PLUMBING ' FEES Automatic Washer Transformer 0 15-50 KW
WORKERS'CO PENSATION DECLARATIONConstruction Pole Sub. 050+KW
I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers
\ of Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit Meter ❑up to 100 amps
3800, Lab. C Backflow Preventer Service Sink
\\ Policy No. �fQ3//� Company c7/4. ,�� Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps
,_,Certified cop is hereby furnished. Dryers ❑Gas ❑Electric —^ Sub Panel
C Certs 'e • filed with the city di I n. Bathtubs Sewer Connection
Date - Applicant Fan Motors❑o-i HP ❑1%-8
EXEM TM ON FROM CO PENSATION DECLARATION Clarifiers Solar Collectors
(This section need not be completed if the permit is for one hundred ($100) or Dishwasher F.A.U. Inc.Solar 09-15 HP 016.15+
less). Solar Piping
I certify that in the performance of the work for which this permit is issued,I Fixtures
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave
Workers' Compensation Laws of California.
Date Signature Floor Drains Swimming Pool w/Spa Device Boxes , Pole Light
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 Outlets Range
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY . Switches Sign
Gas Service Outlets Water Closet 9
I hereby affirm that there is a construction agencyfor the performance •
p
Of the work for WhICh this permmitt (Section issued 3097 Cv. CJInter Ceptors / Water Heater Garbage Disposal Standing Sections
Lender's Name
Lender's Address Kitchen Sink Water Service • Generator 00-5 KW 05.15 KW Trash Compactor
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash k' •
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 Laundry Trays • '
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
therefrom and the basis for the alleged exemption. Any violation of Section Reinspection Fee $15 Issue Fee $ 3
7031.5 by any applicant for a permit subjects the applicant to a civil
enalty of not more than five hundred dollars($500). -DEVELOPMENT SERVICES REQUIREMENTS:
LiI, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 Zoning Approved By
compensation, will do the work,and the structure Is not intended or offered - _ __ Date
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES• Building Approved By Date
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 ,Application Issued By -
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ Dat
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ SUMMARY OF FEES
pietion, the owner will nave the burden of proving he/she did not build or Im- Duct-Under Ground
prove for the purpose of sale). BUILDING PERMIT $ SMIP $
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT .
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 PLUMBING $ 5r077 ISSUANCE $
builds or improves thereon.and who contracts for such orolects with a con-
tractors license pursuant to tne Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $
proof of their Worker's Compensation Insurance should be provided to me. ELECTRICAL $ GRADING $
17 I am exempt under Section B.6 P.C.for this reason Firepl/Fact.BIt. ICBG# Fire Dampers MICROFILM $
• PLAN CHECK 50% $ '- - `
Date Owner Heating System& Ducting Registers MECHANICAL $ _ C/1-/ /
I hereby certify that I have read this application and state that the above 0o-100,000 BTU 0100,000 BTL - TOTAL FEE $ ��--"��--"""
Information is correct. I agree to comply with all city and county ordinances 7 PLAN CHECK 25% $
and state laws relating to building construction,and hereby authorize repre-
sentatives of is cit to enter poo he above-mentioned property for
inspection ., •es /// ' Q t9
Signature , Date S1'6 7
Drivers' License or SS* . �, �� - �� Reinspection Fee $15 Issue Fee $ 3 01 70031905-00031906 TOT 5.00
— - DATE: 05/02/89 TIf1E: 09:50
0865-46,rev.5/88 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 UFEB Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrncl. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10:'Structural Floor System 61. APPROVAL TO DECK
71. 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
18. 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 0Gas 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. FINAPL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: 7-77- Bel LcPrc4ec.
34. Final Heating & Air Conditioning C_ . t0 PEAvntr E, -p124/) 46 PQ2-
35. Final Gas Pipe-Test ZQ,SS UPC-_ L_-
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
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Snecial Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date •
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TO "'PPR&v AL OF 6L 06. •-4::
�IIIIIA BERNARD C. ADAMS -- =�=�R� I �. °" DATE
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THESE DRAWINGS AS INSTRUMENTS Of SERVICE ARE THE E. r T/....• N./7 3 0- R sun
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BE
OUCH)WITHOUT TTHEGIOB(x N1o51 B. . ADAMS. - , lams ..o. nxu N C on. C C anav[ cnilr sr• ��
PROPE OTEN DNtER A a AL C. ADAMS. e 1 v 1 Ac R t x e x e ASSOCIATES o a / Ie R� E/ • LCI) (r r T Gq NMNo DATE
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lCa ADORER •ara ==co_rairsc -„ays zor. r--a-
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OWNER PALMER, KENNETH DATE 3-2-70
' }JOB ADDRESS 1622 Corsica Place BUILDING PERMIT NO. 31464
GENERAL CONTRACTOR Impetial Metal Prod DESCRIPTION of WORK Patio Cover
'AP No. 139-191-05 LOT 54 TRACT 2822 FIRE ZONE VALUES
INSPECTIONS
1.000.00
Signature Date GROUP ,i TYPE TS`
SUBCONTRACTOR
ZONE R-1
SOIL
GAs
PERMITS ISSUED[
qqq Date I NumberSignature
\\ WATER Plumbing
OUGH PLUMBING
PROP. SWR. LINE Q HOUSE CON. ❑
SPRINKLING SYSTEM _
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER ❑
ROUGH WIRING Heating and Vent.
TRENCHES ❑ FORMS 0 STEEL REINF. n
FLOOR SYSTEM
BOND BEAM in STEEL REINFORCE n .
SHEATHING .
FRAME AND FLASHING
LATHING - IN n OUT in
PLASTER, BROWN COAT
STRUCTURAL, FINAL Electric
HEATING. VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST fl
ELECTRIC, FINAL
null niur. num
0 i� 214R4 Hae -2-70c"„s°00 038 rEe****10.00
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely 1
ED
ABUIL ESS 10 �,Ct L/'•I�0/A�/s�/c� ,, • �n REX; -1-REC7OEIVE2t DATr&I' 70
_ /jtA/A�/i/ ��ij .cC /OY• /_Il1 /ry` PEERRM1`O� Ib/4fl
OWNER J'� A.P.NO. — /J
MAILBUILDING A /, /l
ADDRESS SA A/1/. ADDRESS /14 o•L aS A4-744,14 R , ,r//
tu Z . r !/
I-U CITY a45 / A. AArS NO. TRACT /c2 4a LOTS BLOCK
Z Q CONSTRUCTION / 4 f'/ / n �/ A�t��� NEW ADD ALTER REPAIR MOVING111DFMOLLSH
O y LENDER !,1 /C �7 l�
CL 03
_IcnJ D BRANCH �/ '7 ,/ /1 �,/ �J OWNER / ,yj ,4/( �ry�/�
Qw ADDRESS /' 3/J /.s,QataTwj-A7p.L ! .X. .
m.03
Q ARCHITECTOR ENG INEEFW 1 /-/ Y n/�,c?C,4/0441� �f/ to S- ,47 �4� VALUE //et!)
5 to
aw ADDRESS / !7 I.Q //0eaaa /l'it eS /- ZO E T PE GROUP /fL •��-f
CONTRACTOR///'4✓ f/2/H,L . �r/�"I 41,1- APPROVED L DATES'JvG/j lO
wZ /v
J Q
mQ ADDRESS n33, B 0/9/40tp
W W /q, TEL. ZONE NO.OF ��) USE OF NEW4 Y!)-LJ
21- CITY H. /l NO. 2 / PLANS zit BUILDING ,CCa//tJ
U STATE /t CITY YARDS APPROVED YARDS APPROVED
N LIQ NOZST4 ` LIC. NO.2a 7�J MAIN BUILDING ACCESSORY BUILDING
D U SIZE NO.OF BLDGS. s (FROM C/L ST,R/EGET) /
OF LOT Kee) 76 0 I NOW ON LOT / FRONT 1 FT.4&n A FT.
USE OF .i/`
EXISTING BLDG. .Li R.SIDE e FT.“.6.4 f FT-
F SIZE OF ,X/�/yNO.OF FT. FT.
Z NEW BLDG. 7 ROOMS STORIES L.SIDE /�
Q EXTERIOR WALL N ROOF JJ�� //
_V COVERING // / COVERING J)•/"- REAR o2/i FT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
f1
a MAIN BLDGS. ACCESS.BLOCS.
Jn7 -// �jn / DATE
0 de ye Q//d C_�L' die/' 7e C.U.P.. # APPROVED
I- c{� /�, APPROVED 0
Z , -BY DATE Cg— o: ' 74
O _
t~.1 I hereby acknowledge that I have read this application and state
D that the above information Is correct end agree to comply with
CC all laws regulating building construction, and I shall not employ
I— any person in violation of the workman's compensation laws of
en the State of California. co
I hereby certify that I am properly licensed as a contractor under SO. FT. p
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, end that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the provisions of the State of California Business CC
VALUATION
and Professions Code,Division 3,Chapter 9. /0 N
PERMIT FEE $ D
Signature of D
Formlttap $ / a PLAN CHECK $ E
a
Authorized Agent / .I LL
10
TOTAL FEE $
OWNER COMESA, INC. DATE 5-14-59
JOB ADDRESS 1622 Corsica Place BUILDING PERMIT NO. 9294
GENERAL CONTRACTOR Dike & Colgr'OVe VALUE $ 14,552.00'
AP. No. LOT 514 TRACT 2822 FIRE ZONE DESCRIPTION OF WORK Res.w/att.Garage
INSPECTIONS _ -s- DATE I GROUP TYPE ZONE A 1
Underground Soil A4/5- U.G. Wates/ .5.--2-4--410 PERMITS ISSUED
Underground Gas SUBCONTRACTOR DATE NUMBER (n
Overhead Water and Gas _`
Rough Heating /yr c-i.r-+y yy/�/�`•'.f.�t2i �. , 6 -5•-s7 is,5 sy i I.
Rough Plumbing ALS �- fl HtfLa ck-) 1/4.641.-r /r ,5=/4&C9 `nasi ) 11
Miscellaneous 9 �
Prop. Swr.tLine II�$ei.Con. St. Swr. .(/- 4/ - ' .....•' . ^ Ci._. :�e-[/s-''7 (� ,- �,
Sprinkling System ` 1-'1 i
Heating, Final /Mg 9�G-S-9 I
Plumbing Fixtures Alis /[i i in,
Final Gas Test/.f 0 _ ii
Construction Pole L
Underground Power
Rough Wiring C- PO'.Ye/ q.t.v /�,,rs/rr,. 1%�� L-i1-Sd Ga 9f/
Trenches Forms Steel Ire r'_ 3
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam , � /
Sheathing cir �/ 64'b1
Frame and Flashing " ,y- /S'j
Lathing. In (__ Out•C- ��!l1���22''�j ?,i_T.3 rj
Plaster, brown coat R/,j'4} t-143-0-?
Plumbing Fixtures, Final 471-c /7-49
Electric Fixtures, Final .
i o„n
�
Building, Final ti3�` - r / 4
OCCUPANCY • ' I
Form 210-3M-4.59 . - - 9294
9# ii29 LE ECEtV ED
, 'MAI 1s 195'
COSTA MESA BUILDING-SAFETY DEPARTMENT [vn' DEPT.
P.O.BOX 317 COSTA MESA,CALIFORNIA 111111\l!E
CI(r OF COSTA MESA
fOR APPLICANT TO FILL IN COMPLETELY APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING
ADD ESS 1622 Corsica Pl.
COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY
OWNER Corneas, Inc. I RECEIPT NO. I MIT NO.
MAIL 'l R VET Di. RECEIVED DAATEAS).ED
ADDRESS Aµ9 E. 17th St. . Q//. I ���I t7_ ,)
CITY Costa Mesa
TEL.
LI81159 Log::
f
ARCHITECT CaT'190A & Middle- LIC. COSTA MESA, CALIFORNIA
OR ENGINEER ATnf)lC NO. .(
ADDRESS Garden Grove ZFIRE ONE/
Dolce & Colegrove, Inc. STATE 167293 APPROVED `/ /tJ
CONTRACTOR LIC.NO. BY DATE+ �7.
ADDRESS 419 E. 17th St. , Costa Mesa ZONING
LEGAL LOT 54 I I 2822 ZONE NO.OF USE OF NEW
DESCRIPTION NO. BLOCK TRACT 7.9/ IPLANS 2_I BUILDING /�j�I,��
A //,/((RROO /// /1 elf
A.P.NO. 60 13 4,0� IP, DATE r--1'3'1 9
SIZE x 100 I NO.OF BLDGS. none YARDS lv�b' // EVES /j
OF LOT NOW ON LOT REQUIRED ALLOWED
USE OF none . 'Z+(CENTER LINE ET.) �'�D
EXISTING BLDG. FRONT FT. IN.
SETBACK LINE FROM
CENTER OF STREET 55' REAR YARD 221 R.SIDE .4FT. IN.
SIDE YARD I LEFT 51 I RIGHT 51 L.SIDE ;CFI. IN.
•
DESCRIPTION OF WORK
REAR /'6 FT. IN.
NEW I x II ALTERATION I II ADDITION I
REPAIR I II MOVING I II DEMOLISH I
BUILDING l NO.OF
SIZE +µS0 ROOMS 6 STORIES 1 I.
EXTERIOR WALL ROOF t
COVERING Stucco COVERING Shine
USE OF BUILDING AND WORK TO BE PERFORM
Single Family residence with
attached double garage
Plan 1408
I HEREBY ACKNOWLEDGE THAT I HAVE RtAD 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.
/1 VALUATION
PIGNATURE /�� � PERMIT FEE $ 3400
SPERM IGNATURE
/� '14,
$ ,552,! PLAN CHECK $ 17.00
+
AUTHORIZED AGENTD ) e & Colegrove,Inc. TOTAL FEE $ 51.00