HomeMy WebLinkAbout1657 CORSICA PL - Building Permits PROJECT ADDRESS: 1657 CORSICA PL UNIT:
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 06496E
OWNER'S NAME: HEATH, VALERIE M
ADDRESS. 1657 CORSICA PL PERMIT NO: B 064966 PLAN CHECK NO: N GOVT: N SUPP : N
• COSTA M'SA,CA 92626
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ALT '
Y. ARCH/ENGINEER: REG.NO.:
'�... : • ADDRESS: UNIT: SQ
JOB DESCRIPTION T/O, REROOF W/BUR & W/COMP , SHINGLES FT : 4 , 400
PERMITTED CLAIM VALUE: 4 , 400 . 00 CALC—VALUE: 4 , 400 . 00 GROUP OCC: R-3 /
ADDRESS: COLLINS ROOFING COMPANY ( 714 ) 891-7475
15672 WILSON ST COMMENTS : REROOF ONE SIDE OF HOUSE W/BUR & OTHER SIDE W/COMP . SHINGLES
MIDWAY CITY CA. 9255 *N-*+LSE* -�6*x�E+ *�r�E�r*rt�r�L�r�r�r�r**�r*�t**�E*�c*******Er•*****Err** -+c�E**** -kE*rE -**�E -+t******** -**
LICENSED CONTRACTOR DECLARATION: I hereby affirm That I am licensed under provisions of hapter 9(commencing with Section Z Q jf I N G R E U I R E M E N T S
7000)of Division 3 of the Business and Professions Code.and my licens 'n lull force and effect. Q
CITY LIC.: /0 06'n sr: IC.: 35 Spars
SETBACKS
Dale:—( Signature; — � '/! // _� MAIN BUILDING ACCESSORY BUILDING
WORKER 'COMPE SATION DE LARATION: I hereby aft that I ave a certificate of consent to self-insure or a certificate of workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(S: lion ',i,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: 1016568-93 P.DATE: 07/01 /94
COMPANY; STATE FUND PARKING REQ• PROV: PARCEL : 13918404 ZNE: REF NO:
ID Certified copy is hereby furnished. ur Cenifi �copy is filed:2 41111116, ding Di 'ionAtif PLANNING N TES>
Date: [ fr/ / r'5LPolicant aalit_ *********************************************************************Sic'********
,t,...----1 EXEMPTION FROM WORKERS'COMPENSATION DECLAR: ON: ' is section need not be completed if the permit is for one hundred M100)or less). DEVELOPMENT SERVICES R E Q U I R E M E N T S
I certify that in the performance of the work for wh' this• mit is issued I shall not employ any person in any manner so as to become r
subject to the Workers' Compensation Laws of . . la.
ZONING APPROVED BY DATE :
Date: Signature'. '
NOTICE:II.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY DATE:'� r2 ''iii
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 APPLICATION ISSUED BY: — 5k" DATE
which this permit is issued(Section 3097.Civ.C). AllLICA*****ISSUE***************** * **********************DATE*T �I*
LENDER: **********************************************************************SB********
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT :Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES 'GRADING
(Section 7031.5 Business and Professional Code: Any city of 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 PERMIT 72 , 00 . 50 -
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SMIP/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE
I. as owner ioi thenproperly offe or my employees with wain as their sole compensation,The, will do the work,e License
nstl the BUILDING
---DIV—> PERMIT ISSUE PLAN—CHECK TOTAL2 . 50 PAID .DUE
❑ structure not intendedor offeredforsale(hocuils0oiBprovessand ron,Professional Code: The Cohhese Li or the Law TOTALS 72 , 5 0 . 00 , D 72 , 5D 72 . 50 00
does not apply to employees,
owner of a esthat
properly who buildsmror ants are thereon,and who doessuch work.I,himself/herselfor through or
his roro herm ownteodl within one year mpl improvements me are note the btl or offeredfprfor she/. ahowevernot the buildingr
improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS——> COLLECTED : 72 . 50 OVER/SHORT; . 00
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 72 . 00 , 50
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law). l am aware *******************************************************************************
that proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B. &P.C. INDIVIDUAL F E E BREAKDOWN
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner:
I do hereby certify that I am aware of and understand the requirements of CaliforniaHeatth and Safety Code Sections 25505,25533,and SFR 4400 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 4 , 400 . 00
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES I,
permit lot construction or modification from the Air Quality Management District.Residenfial,construction applications are exempt from
these provisions. It
I Date: Applicant: • SMOKE DETECTOR EXPIRED e�W�
I hereby certify that I have read this application and stale that the above. rrm tion is correct.I agree to co with all city and county 1( h % IrtSPO—�.
propertyefand inpectionlaws•rrpose to building constru JEe au Drize' Ilspf lh�jry��heabove-me REQUIREDAar •
{�;� �`�
mean for inspection roses /� ��
Date'. '•' Signature' r '-'i^ ( °- .
i— • 01 00150879-00150880 TEST 72.50
Driver's License or So al Security w•
Applicant;Pink—Revenue:Goldenrod—Assessor '�
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit*r Date Inspector APPROVALS Permit ?k 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 'i
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 , I 63. Heater & Vent-Final
13. Roof Drains 64, Plumbing System - Final . .
14. Rough Plumbing 1 65. Electrical-Final _
15. Rough Electrical-Conduit I 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 # in-.
-.....r21. Ducts, in Structure
70. Underground Hydro
22. Ducts, Ventilating ~ •
71. Product Pipin Gas 0 Oil m 'r't
23. Gas Pipe-Rough & Test 72. Underground Flush t,� "'1
rt.:
24. Roof Framing 73. Undergrnd.Storage Tank ❑Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro I I ' `-' '
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical I.-
27. Frame and Flashing 76. Dry Standpipe (..i'
28. Lathing& Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. FINAL '
r
30. Drywall Nailing HEALTH DEPT. REQUIREMENT `•
31. Plaster Brown Coat 79. FINAL INSPECTION r II
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED r 12
33. Final Electric �-\ Notes: ':Al - -2n
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test ;r' -
ct
36. Hood or Canopy -• - -if a;
r
37. Final Factory Fireplace ,k l;
38. Final Plumbing P.
39. Water Service-Final .
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
n 4
45. Sound Attenuation
_ 46. Handicap Regulations E X P I • ED
47. FINAL STRUCTURE & BUILDING 11162014, • - I r turns
48. FINAL PLANNING 'W
G e_, 4115lTl11P
49. Electric Release to Edison
50. Gas Release to Southern California Gas Cct
._ -
51. CERTIFICATE OF OCCUPANCY
No. Date
OWNER Mesa Verde Estates DATE 12-31-58
JOB ADDRESS 1657 Corsica Place BUILDING PERMIT NO. 83J19
GENERAL CONTRACTOR L. G. Robinson VALUE $ lip
AR No. LOT 114 TRACT31U5 FIRE ZONE DESCRIPTION OF WORK Res. & Att. Gar.
GROUP I&J TYPE V ZONE Al PLAN NO.
INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED
DATE NUMBER
Trenches t-Forms /i Steel 441 s /_16-4-.9
Floor System
Steel Reinforce Chimney Re-Rod e7
Bond Beam ,6/Sc-' a i '4 Y 0
Frame-and Flashing -" - _?—3/ _9
Lathing, In Out C-_----c.- e{.- c," -.(
Plaster, brown coat -'-iif- r-/Y -.3V
Underground soil ,141-( W/G Pipe TesttSSS i-2.43-4.6-0
"Top Out a"fa JVie2n,4l, timec//4411- ;Q I�A,?0�.. / ,? of zL rater„ to 5c-Io-5-, 0.0 6 3 t o
Furnace AbeC 3-20--CY p ,.,e€rh9Csi "�(£ 3-/_,9--.r'. / 7.i%/ ✓
Gas Vents , V (2;1-I
Rough Plumbing N/-/S r'—. d de-id c, /.t-d6--Si /6Le 17 / I JJ
Cesspool Septic TankJJr
Prop. SwrCLine Hoj4on. St. Swr. nitiv /2t.4- A,,i--- Ji ie/Y-5 irk-lib
Sprinkling System
Heating Final /yf./C ✓-194; t i
Plumbing Fixtures, Final /11-ic 1 f\
Final Gas Test / 3 6 S i-6S- .y-(/ '
Construction Pole n^
Underground Power �///
Rough Wiring 1- 1---- U-L.-fp'XS ",,,e/d /: _ o?3✓/ e ,-. `"" R /(
Fixtures, Final ///6 ij,(,,y _ I a�
- OCCUPANCY 265 ;-2 2-57
�.IR
Form 210-5M--1-57
-:E RECEIVED •
S34 . JAN 5 1959
COSTA MESA BUILDING DEPARTMENTFINANCE DEPT 4^''f
P.O. BOX 317
COSTA MESA, CALIFORNIA (9TV CF CYl$t MCC
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
ABUILDING
DDRESS 1657 Corsica P1 BUILDING
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY '
RECEIPT NO. gag
OWNER Mesa 0®rde Estates
RECEIVED BY DATE RECEIVED DATE ISSUED
MAIL
ADDRESS 1701 Gisler St. n'1--7.../ /.2 5,-47, DEC 31 195
CITY
Costa Mesa TEL. Ki 5-1751 BUILDINGDR .
ARCHITECT LIC
OR ENGINEER J. R. Shelley ND_ C-2170 COSTA MESA. CALIFORNIA
FIRE
ADDRESS Long Beach Ge 9-0908 - ZONE
CITY LIE.
ZONE PNUNSO.OF ./../TYPEGROUP
CONTRACTOR L. G. Robinson NO. 1113 '
TEL.
ADDRESS 1701 Gisler NO. Ki 5-1751 BPPROVED DATE
LEGAL ` LOT 11 CORRECTIONS
DESCRIPTION NO, 114 BLOCK TRACT 3115
A.P.NO.
SIZE NO.OF BLOCS. '
X
OF LOT 70 100 NOW ON LOT none
USE OF
EXISTING BLDG,
SETBACK LINE FROM
CENTER OF STREET 501 plus REAR YARD 20'plus -
SIDE YARD RIGHT 51plus LEFT 51plus \,
DESCRIPTION OF WORK
Vy
NEW p ALTERATION ADDITION
REPAIR �i MOVING DEMOLISH
BUSIZIE DING 1499 Sq.Ft. ROOMS 6 STORIES 1
EXTERIOR COVERING WALL ROOF
Asphalt & Rock
StuccoCOVERING
USE OF NEW
BUILDING Residence & attached garage '
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND .
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES AND STATE LAWS R G G .NSTRUC-
N •
TION' I.. GRAVALUATION
SIGNATURE OF ' 846
FEE $
8d6 SOUTH-MADRE ST. / 3y-
PERMITTEE
PACAD CAI IFORNIR.
\ Y5-7550 / $ /(/� 7J PLAN CHECK $ --
AUTHORIZED AGENT ,f-,li .,./ /, `�iYu'0,-C� TOTAL FEE S 1/4-57--- VBMF