HomeMy WebLinkAbout1122 CORONA LN - Building Permits2a2%a
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 317 COSTA MESA, CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
ILDING
DRESS 1122 Corona Lane
COSTA MESA, CALIFORNIA
MAIL
ADDRESS 9800 E
FEE RECEI'V'ED
JUL N 5 1963'
APPLI tUT,R �'��O P IT
�' SUIL'DIN�
F61TOMfe OWIOM4 SA
'
fl[C[I" NO.
^/Il5Rpf17.lID. ..
CITY
NOT
�I L f/ U
DAT R[C[IV D
DATE ISSUED
kl"R
LICE
L2 a MAIDING
EAVES
[
ESS.(
No, of BlDGa.
Non
ALLOWED
(U. B. C. REQUIREMENT
OF LOT X 971 -
11
YARDS APPROVED
TYPE GROUP i
' APPROVED ____ U
iCONTRACTOR MaCCo Realty Co. ,
ZONING
N
1.11 USE OP NEW
.1 PLANE 2 1 BUILDING I.
Same as above
A. P. NO. none
CITY
NOT
SHALL BE LESS THAN
STATE TEL.
207343 -A -SB -1 TE Oriole 3-4220
TO SOIDE B REARRPH`NG
Dwelling 2266 S.
LICE
EAVES
[
SIZE
721
No, of BlDGa.
Non
ALLOWED
(U. B. C. REQUIREMENT
OF LOT X 971 -
NOW ON LOT
YARDS APPROVED
YARDS APPROVED
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
USE OF
None
MAIN BUILDING
ACCESSORY BUILDING
EXISTING BLDG.
FEE ONLY. O
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION.
ypLUATION
(FROM C/L STREET)
Tj�
SIGNATURE OF Ma.CCO "daft o.
SETBACK LINE FROM
CENTER of STREET 501 REAR YARDp 161f
FRONT FT.
FT.
233925.00
3150 X
AUTHORIZEDA ENT
§ CHECK
SIDE YARDI LEFT' 101
RIGHT g1
R. SIDE FT.
Fr.
DESCRIPTION OF WORK
L. SIDE
NEW
X.
ALTERATION
ADDITION
REAR
DISTANCE BET.
BET. MAIN @
REPAIR
MOVING
DEMOLISH
MAIN SLOGS.
ACCESS.BLOGS.
VAR.#
DATE
BUILDING t sO.Oe
�Illylll IFill ., 7 �.,e,ee 7
r I. e
EXTERIORWALL 11� ROOF Grood Shake
APPROVAL)
COVERING C
W.L D.
-6
RCOVERING
USE OF BUILDIN K BEPERFORMED
Dwelling 2266 S.
Single famil-T
[
garage. Plait D
Garage 460 s...?,
SO. FT,
N
o
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
THE AMOUNT SHOWN UNDER VALUATION
IB FOR THE F
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM-
PURPOSE OF ESTABLISHING A PERMIT
FEE ONLY. O
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION.
ypLUATION
^ — <q'+
Tj�
SIGNATURE OF Ma.CCO "daft o.
PERMITFEE §
/ D
PERMITTE
233925.00
3150 X
AUTHORIZEDA ENT
§ CHECK
0
I� A
/
TOTAL FEE
PROJECT ADDRESS: 1 1 2 2 CORONA LN
OWNER'S NAME: TOMAS GRADY
ADDRESS: SAME
557--8998
ARCH/ENGINEER:
ADDRESS:
REG.NO.:
UNIT:
UNIT:
PERMITTEE: ALL AMERICAN H G P (800)525-1598
ADDRESS: 3022 HESPERIAN WAY
S.A. CA 92706
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force an effect.
CITY LIC.: 0'1 g gig STATE LIC CLASS:
Date. /I— r9%— �Signature:�y��
WORKERS' COMPENSATION DECLARATION: I hereby a that I have I ficate of consent to self -insure or a cedilicate of Workers'
Compensation Insurance. or a certified copy thereof (Section 3800. La . C).
POLICY NO.: WC58-1 3086 EXP. DATE: 01/01/91
COMPANY: AN. HOME ASSU,
❑ Cer ified copy is hereby furnished. �/Cended copy is tiled with the city Building Divi n.
Jade: —„ 10
/-_a ?—s0 Applicant:
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION' is section nail,be completed if the permit is for one hundred ($1W) or less).
I certify that in the performance of the work for which this permit is issuetl,not employ any person in any manner so as to become
subject to the WorkersCompensation Laws of California.
Dale: Signature:
NOTICE: If. after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor
Code. you must fodhwith 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
which this permit is issued (Section 3097, Civ. C).
LENDER:
ADDRESS:
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason
(Seclion 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
pursuant to the provisions of the Contractors' State 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). .
I, as owner of the property of my employees with wages as their sole compensation, will do the work, and the
❑ structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State 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 employees, provided that such improvements are not intended or offered for sale. If, however the building or
improvement is sold within one year of completion. the owner will have the burden of proving he/she did not build or improve
lot the purpose of sale).
h as owner of the properly, am exclusively contracting with licensed contractors to Construct the project (Section 7044, Business
❑ 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 contractors) license pursuant to the Contractors' Slate License Law). I am aware
that proof of their Worker's Compensation insurance should be provided to me,
❑ I am exempt under Section'. B. 8 P, C.
for this reason.
Date: Owner'.
1 do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and
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
permit for construction or modification from the Air Dually Management District. Residential construction applications are exempt from
these provisions.
Date: Applicant
I hereby certify that I have read this application and state that the above Information is correct. I agree to comply with all city and county
ordinances and state laws relating to building cyrstructron and hereby authorize representatives of thi Ity to enter u n the above mentioned
property for inspection purposes.
Date: -_ - ,ii 7 Signature: _ _ .
Driver's License or Social Security p:
1n41-49 Whne—Rnlltlin¢ Green—Code Enforcement: Canarv—Apolicard Pink—Revenue: Goldenrod—Assessor
CITY OF C'OST'A 14ESA - BUILDING PERMIT PERM NO: M 0S0()5_
PERMIT NO: M 050059 PLAN CHECK, NO: N GOVT; N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE; MEC PURPOSE: OTH
JOB DESCRIPTION : 1,0000013TU FAU CHANCE -OUT SQ F7':
CLAIM VALUE: CALC-VALUE; GROUP OCC: R-3
COMMENTS: X
###X7Ph''JP##'%7(•iE######X##################'X-###Y?F#K,f#s!'YYKaEE#?F:YY#+E,FiF#4f i4 K?H 1f :1(-iG K.Y ]F Y-�FY##!f#
Z O N I N G R E Q U I R E M E N T S
S E T,B A C K S
--------- -- MAIN BUILDING ------ --------- ACCESSORY BUILDING---------
FRNT: ! r IN REAR: FT' IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IPI LEFT: FT IN RGHT: FT IN
PARKING RKQ: PROV: PARCEL: 13910223 SNE: REF NO:
PLANNING N6TES>
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED DY DATE:
BUILDING APPROVED BY DATE:
APPLICATION ISSUED BY:DATE:
####%####?F-Jt#N+4X•'+'t•%%iE1F if#iF#X1Flf+F#?f#####?E#!E%K?f1E#1e!EiE#+E#K##4F#?F+:#?F?faf#:M Xaf �F?f?E �f :h##a!4E i?#aE+F#
LEGALI'LATION:n P E E S U M M A R Y STRUCTURAL SEGMENT;N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 9.00
25t SMIP/NON-RES
PLAN
ISSUE FEE 15.00
BUILDING -DIV > PERMIT ISSUE. PLAN -CHECK "DOTAL PAID DUE
TOTALS ---- > 9.00 15,00 0.00 29.00 29,00 OU
REVENUE DIVISION TOTALS—> COLLECTED: 29,00 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMTP/TOT GRADING PLAN -CHECK
29.00
K####X##K###KkX?”k#*)'###KK*#############iH#KM#K###ACX K***.X #*!E+E#?(************#. X *#*
7. N D I V I D U A L F E E B R E A K D'O W N
TYPE: QTY I) E S C R I P T I O N UNIT COST TOTAL COST
MEC 1 INST FORC-AIR/GRAV FURN 100 K BTU 9.00 9,00
END OF FEES
01 00073011-00075011 TOT 24.03
DATE: 11/27/90 TIME: 1227
CONSTRUCTION AND PLANNING
POOL I: A
APPROVALS Permit #
Date
Inspector
APPROVALS Permit#
Date
Inspector
1. Temporary Electrical Service di 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 LIFER Grnd.
57. APPROVAL TO COVER-GUNITE
7. Footings
58. Electrical Conduit-Undrgrnd.
8. Foundation
59. Gas Pipe, O Undrgrnd., Test
-/
9. Water Pipe-Undrgrnd.
60. Backwash Lines, P -Trap, O 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
APPROVALS - Permit #
20. Rough Factory Fireplace
21. Ducts, in Structure
70. Underground Hydro
22. Ducts, Ventilating
71. Product Piping OGas OOil
23. Gas Pipe -Rough & Test
72. Underground Flush -
24. Roof Framing
i
73. Undergrnd. Storage Tank OGas ❑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
i
78. -FIRE PREV. FINAL
30. Drywall Nailing
1
)+ +
HEALTH.DEPT. REQUIREMENT
31. Plaster Brown Coat
I
) ;t
79.FINAL INSPECTION `
32. Electrical Power Meter -Final
.80. FOOD CERTIFICATE ISSUED
33. Final Electric -
(�
Notes:
34. Final Heating & Air Conditioning
II
-
35. Final Gas Pipe -Test-
,
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service -Final -
40. Gas Service -Final
I .
41. Solar Domestic -Final
1
42. Backflow Preventer,
43. Backflow Irrigation?
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
-'
{
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
i -
49.Electric Release toEdison
I `�
50. Gas Release to Southern California Gas Co
l
I ..
51. CERTIFICATE OF OCCUPANCY
No. Date