HomeMy WebLinkAbout2124 THURIN ST - Building Permits11-17-59
JOB ADDRESS 2124 Thurin Sb. A& B - BUILDING PERMIT NO, lOtSjt
GENERALCONTRACTOR Armi+.aco RIAr_c VALUE S l9_�K9_(lf1 ���
DA
OCCUPANCY
SUBCONTRAC70R I �'ERMITS ISSUED
Form 210—SM-11-59 S-B P
� inA�
AVG�icant to filt in all svaces except enose w(inin heavY eorGer Ilnes ane sign all aporoorlata Occlarations.
CIrY� cOSTn MESA CO1NSTRUCTION PERMIT
IProjeci Address ���� iJK Lt.te 1 IJ ��
Applicant's Mailing Address �
Owner's NameA/� �• Q�.l 6 F�_� � ne , ��S
Address �.Q/y�� Ai/! D1Q. (�,�'1rEoI����.' ��%1
Arch/Eng. License No. �
Address
Comractoi'sNam��%�NG�'�— �wl (..ciW Phone
Address (mailing)
City License No.
LICENSED CONTRACTOR DECLARATION
I h¢r¢by ailirm thal 1 am Iicensetl untler provisions oi C�arter 9(commCncin9
wi[h secliOn ]000) ot DlviSion 3 Of the Busin¢zs antl Professlons Cotle, antl
my license is in Iull torce antl eitect.
License CIa55 License No.
Date Si9�ature
WORKERS' COMPENSATION DECLARATION
\ere�y ai(irm that I have a certlflcata ot consent to self-Msure or a certl(Icate
Workers' Compen5ation InSurance, or a certiti¢tl copy ther¢Of (Set[ion
.f00, Lnb. C.)
Policy No. Company
8 Certitietl copy iz hereby Iurnishea.
Certitietl copy i5 (il¢tl wilh [he city Builtlin9 Division.
Date AOP�icant
EXEMPTION FROM WORKERS' COMVENSATION DECIARATION
(TM1is seclion neea na[ Ee completetl il th¢ permit I5 for One hunOred (5100) o�
less).
I certity that In tM1e Oe�fo�mante Ot Ih w rk fo� which this perm�t I5 Issuetl, I
shall no[ omo�oy any perzon in any a er o as to become subject to the
Workers' Compenza n Laws ot Galit rn' .
Date Si9nature
NOTICE: H, a/ter ma In9 tnis tleclara lon, you zh 10 berome zu �ect ro tne
Workers' Compensation orovi5ion5 of t�e ldbor otle, you must tor[nwith
compty witn such provislons or Uis parmit snall be tleemotl revoketl.
CONSTRUCTION LENUING AGENCV
I ltereby affirm that there Is a constructlon lentlin9 agency tor ihe performance
of the work to� which lhls permit is Issuatl (Seclion 309� Civ. CJ
Lentler's Name
Lentler's AOtlress
OWNERBUILDEH UECLARATION
I hereby affirm lhal I•am Cxempt from lhe Conlractor's �IcenSe Law IOr lhe
/ollowing reason (Sectlon.7031.5 6u5ines5 antl ProtesSlonal COtlC: Any city or
.,.��,.n. �.,ni�n .nnuirec a nxrmll [o cnnsVuc[. al[cr. imorovo. tlemolish or rODai
+re(rom and tne basis tor IhC alloqetl exempUon. Any vioiauon o� secuon
i 31.5 by any applitan[ for a permit subjacts lhe applicanl to a Clvil
enalty of nol more tM1an five nuntlretl tlollars (E500).
'� I, as owner o� the property or my omployees wllb wage5 d5 lhBir sole
COmp¢nsation, will tlo the work, antl the Structura is nol Intentle0 0� oHeratl
for sale (Sectlon 7044, Business anC Profosslonal Cotle: The Contraclor's
License Law tloes nol appry lo an owner ol a property wbo builOs or improves
Ihereon, antl who tlo¢5 suth wotk nimi¢II/hOrselt or through his or hCr own
employ¢es, provitlotl thal such ImprovOmants are not Intentletl Or offeretl lor
sele. I1, �owaver, lhe builtling or Improvement IS TOItl withln One year ol Com-
pletlp n, the Owner wlll bavo iha burtlen ol PrOving he/sho Gltl nol OUIIC o� im-
pr�We tar lh0 Ourposc oi salo�.
p I, az owner o( Ih¢ property, am exUuslvely ContrdCtlng with Iic¢nsatl Con-
tractors [o construc[ tba project (Sectlon 7044, Business anU Protessions Cotle:
The ConVactor's License Ldw does mt apPly Io an own¢r oi Property wh0
builtls or imoroves thereon, antl who conVacts tor such projacts wltn a con-
Vacior(sl ucense pursuant lo tne Contractor's L�cense Law�. I am aware tha[
proot of their Worke�'s Compeniatlo%�{ nsurance inoultl b¢ provitl¢tl l0 me.
❑ I am exempt untler Section {�— B. 8 P. C. �or t�is reason
Date � v`y�• � Owner '��
I hereby certity that 1 have rea this applic on antl state at the above
Information is ortect. I agree to ComO�Y �+�t all dty antl cOunlY o�tlinances
antl state la relating to buileing consVuction, anU hereby au[borize repre-
sentatives tl)is ciy to enter upo the above-menUonetl property tor
inSpeCtlon ul 65e5.' /L�� ,� /i,�
Signa[ure Y��
Drivers' license or 55 � �
. ��5. ,�i�a� � ....,�. ,.�. � ..�. ..�. � ��.�, ���.
TYPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTMER
DESCRIPTION OF WORK/USE OF BLOG.
TVPE OF PERMIT LJ GRnDING LI FOUNDATION LJ SrRUCTVaAL
❑ TENANT ❑ ELECTRICl1L ❑ PLUMBING ❑ MECHANICAL
❑ OTHER
PROJECT DESCRIP710N SQ. FT. OCCUPAN v
CON STRUCTION TVPE VALUATION 5_�
ZONE ,GRADINGCU.YDS. ACRES_
Remarks: � Q yf.i n _ _� (, � � G
Bar Sink
Backtlow Preventer
Backflow Irrigation
Bathtubs
Clarifiers
Oishwasher '
Drinkin9 Fountains
Floor Drains
Floor Sinks
Gas Service Outlets
Inrerceptors '
Kitchen Sink
Lavatories
P—Trap
Roof Drains
ReinspeMion Fee
Under Ground
$15
Duct - Ventilating
Exhaust System ❑ Multiple �
Firepl/Fact Blt. ICBO �`-
Heating System & Duccing
❑P700,000 BTU 0100,000BT
0
Reinspection Fee � $15
CMF 0865-4fi, rev. 10/84 White - Builtling: Canary - Applicdnl: Pink - Accoun[ing; GOltlenrotl - A55e51or
Showers
Service Sink
Sewer Cap
Sewer Connection
Salar Collectors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Auto-Wash
Issue Fee
Nood or Typel ❑
Canopy Type I I ❑
Refrigeration System
�4100,OOOBTU ❑100,000
System Repair/Alteration
Fire Dampe�s
Registas
Issue fea
FEES
A.P. qp
S Main Building:
E
T Front
A Rear
C Right
g Left
Ping. Ref. qI�
Planning Notes:
Automatic Washer
Construction Pole Sub.
Cooking Unit
Dishwasher
Dryers ❑Gas ❑Electtic
Fan
F.A'.U.
Fixtures
Device Boxes
Outlets
$WitChes
Gar6age Disposal
Generator 00�5 KW C
,
191� 12/2?/87 25050 TL
Zone
Accessory B
Parking Req.IProvided
ELECTRICAL _
Transformer ❑ 15-50 KW
❑ 50+KW
_ Meter ❑up to 100 amps
Meter� �over 100 amps
Sub Panel •
Motors � 0-1 HP � 1 Y, - 8
Inc.Solar 09�15 HP �16�15+
Microwave -
Pole Light -
Range
I I Standing Sections
5-75 KW I � Trash Compactor
$ 3 I
� Reinspection Fee $15
FEES
�DEVELOPMEN7SERVICESRE�1
Zoning Approved By
Buildin8 APP�oved By
Aooliration luuad Bv
$ 3
Issue Fee
REMENTS:
FEES
5 3
Z
O
N
1
N
G
R
E
Q
M
T
$
SUMMARV OF FEES
BUILDING PERMIT S��_ SMIP 5�
PIAN CHECK $ PERMIT
PLUMBING 5 ISSUANCE S
PLAN CHECK 25% $ ENERGY P.C. S
ELECTRICAL $ GRADING 5
PLAN CHECK 50% 5 MICROFILM 5� ti
MECHANICAL S. TOTAL FEE $ -
PLAN CHECK 25% $ '
�
� ' .� � � �
CONSTRUCTION AND�PLANNING POOL & SPA
� - Date Inspector �Date Inspector
APPROVALS Permir� APPROVALS Permit #
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 P�umbing & Pressure Test
6. Electrical UFER Grnd.' � 57. APPROVAL TO COVER-GUNITE
7. Footings � 58. Electriral Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Und�grnd. . 60. Backwash Lines, P-Trep, 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 P�umbing 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 70. Underground Hydro _
22. Ducts, Ventilating , 77. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test � 72. Underground Flush
24. Roof Framing 73. UndeFgrnd.StorageTank OGas ❑Oil "
25. Roof Sheathing � , 74. Overhead Hydro �
26. T-Bar Ceiling IStructural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL ��
29. Insulation 7S. 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 �,j �;,:'
:r
35. Final Gas Pipe-Test
36. Hood or Canopy ' „ ,
37. Final Factory Fireplace . , . �
38. Final Plumbing � -
39. Water Service-Final � �
40. Gas Service-Final � .
�41. Solar pomesticFinal �
42. Backflow Preventer
43. Backflow Irrigation • � ''
44. Landscape Irrigation System � �
'45. Sound Attenuation • �
a
46. Handicap Regulations ' _
47. FINALSTRUCTURE&BUILDING ��
48. Special Requirements Completed _ �
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co . . ' ,.
i
51. CERTIFICATEOFOCCUPANCY
No. � Date ' , �
�Costa Mesa Building Department �5 APPLICATION FOR PERMIT
,-� �. ��, 111 EAST 20th STREET � __ B U I L. D. � N G_ __._ �
� COSTA MESA. CALIFORNIA
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' PLOT PLAN " `
Show Iocation and dlatanees irom
' property line and between 6uildinga
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 31] GOSTA MESA, CALIFORNIA
fOR APPL/CANT TO f/LL /N COMPCETECY
TYPE OR PRIN7
poowe�ss � �� �' �
COSTA MESA,'CALIFORNIA
�
1
ARGHI
OR '
LEGaL �' �TLOT
DESCRIPTION I NO. �
A.P.NO. ��/�
OF LOT � �I � I'
USE OF
EXISTING BLDG.
SETBACK LINE FROM
CENTER OF STHEET
I LEFT �� �
DESCRIPT
NEN" �
REPAIR I
BUILDING ��i
SIZE 0
E%TERIOR WALL
1 HEREBY ACKNOWLE[
pND 6TATE THAT THE
PLY WITH AL
BUILOING C STRU
SIGNATURE OF
PERMITTEE
AUTHORIZED AGENT
LIG.
NO.
F'1/_�Y�
_' iY- /
/��
� I NO.OF OLDGB.
NOW �ON LOT
� '
RIGHT V
OF WORK
ROOF
ED
rEE EC�iVED
�„,�-��
FINANCE DEPT.
CIiY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
fOR OFf/CE USE ONIY
rsece�vr wo. reArnir
W �� Q
" aY I D�� pE /� .-L Y/ // 'T� �
COSTA MESA• C.4LIFORNIA
APPROVED
BY DATE
ZONING
ZONE n // I puN9 �/ I aO LDINGeW
r i � I /,.�
HYPROVED �/� ,�. D� DATE I
L(, / /
YARDS EVES
REpUIRED ALLOWED
ICENTEH LINE BT.�
�
FRONT L FG I�-C
R.SIDE �FT.
�
�
�
GE TNAT 1 MAVE HEAO THIS APPLICATION THE AMOUNT SHOWN IIN�ER VALUATION 18 FOq THE
ABOVE �S COflRECT AND AGNE6 TO COM�
iD�NANCE4 AND ST�TE L.�WS REGULATING PUHPOSE OF EBTABLIBXING /� PERMIT FEfi ONLY.
i�� � VALUATION � ' 1
jl' � �� - PERMIT FEE $ � /J'
cJ
� / PLAN CHECK $ � / • J :
$ �/
TOTAL FEE'$:.. � o 'J
OWNER Dick De Fir
DATE 1�4�54
JOB ADDRESS `��.21F Thurin- St • BUILDING PERMIT NO. �F
GENERAL CONTRACTOR
VALUE f 5OO �OO
LOT BLOCK TRrCT Addition 5'6���i 12�
GROUP I TYPE V ZONE R1F FIRE DISTRICT Ai� ���FS d�� .
INSPECTIONS
Foofing Treneh
Foundetion Forms end G�
Itough Freming
Plumbing, Rough }o Sleb
Plumbing, Rough Comple
Temporary Pola
Wiring, Rough
Heaiing, Rough
Heafoing, Final
$ewar
$eptic Tank or Casspool
Le1F�ing
� .esterin�
Plumbing, Finel, Fixfuras I
Plun:oing, Finel Gez Tes4
Wirinq, Final
DATE � SUBCONTRACTOR
PERMITS ISSUED
DATE NUMBER