HomeMy WebLinkAbout2278 AVALON ST - Building PermitsAOP�icant to fill in all spaces exce0l those within
C4TY OF COSTA MESA CO ST UCTIO PERMIT
Project Address � � ' `
' , ApplicanYs Mailin� �+ddrr« /'� P/ n �
Owner's Name ���-,r�r�ynn Phone�
, Address �o ,fOJ_L��
Arch/Eng. Li�enu No.
Address
' Contractor's Nam � ho
Addresslma�l' g) "��
City License No � ,., �
' LICENSED CONTRACTOR DECLARATION
1 her¢by affirm that 1 am IicCnsetl untle� provisions of ChartCr 9(mmmencing
witM1 section �000) of Division 3 of t�e Business antl Professions Cotle, antl
my license is in full i c, antl efiect. , ����
Licens I3� �
Date ��Sh 5'9 t �� ..�7��,
� WORKERS' COMPENSATION DECLARATION
e;reby aTfirm that I have a certiticate ot consent to selt-insure or a certificate
I Wo�ke�s' Compensation Insu�ance, o� a Certifi¢tl copy the�eot (SeCtion
_000, Lab. C. �/� p<
Policy No. ����.�'�J' �10 Company � �� _ �
��titietl coDY is hereby furnishetl.
r tie o�3�j filetl with the city iy���' on
Date � �'� Applicant�/J(����
EXEMPTION FROM WORKEf25' COMPENSATION DECLARATION
(Thissection neetl not be comple[¢tl i7 the permit is for one huntlretl ($300) or
Iezs)
I certify that in the pertormance ot the work for which this perm�t is Issuetl, I
shall not employ any person in any manner so as to become subject to the
Workers' Compensation Laws ot Califomia.
�ate Signature
NOTICE: If, after making this tleclaration, you shoultl become su�ject to che
Workerz' Compensation provisions ot the Labor Cotle, you must fo�thwi[h
comply witn sucn provisions or this permit shall be tleemed revoketl.
CONSTRUCTION LENOING AGENCV
I hereby aifirm that there is a mnstruction lentling agency for the per'formance
ot the work Tor which this permit is i5suetl (Section 309i Civ. C.)
LPntler's Name
�entler's Atltlress -
OWNER BUILOER bECLARATION
I hereby atfirm that I am exempt from the Contractor'S License L.aw for the
following reason (Section ]031.5 Business antl Protessional Cotle: Any city or
county which �equi�es a petmit to const�uct, alte�, ITp�ove, tlemolish ov repai�
any structure, prior to its issuance, also requires the applicant for such permit
to file a signetl statement that he/she is licenutl pursuant to the pFovisions of
the Contractor's License Law (Chapter 9(commencing witn Section �000J of
.:G,�iSion 3 of Me Busine55 antl ProTe55iOns Cotle) or that he/she is exempt
;,'. refram antl [he basis for the alleqed exemption. Any violation of Section
� (15 by any applican[ tor a permit subjects tM1e applicant to a civil
3�erialty of not more tnan five huntlretl tlollars ($500).
� I, as owner of the property or my employees with wages as their sole
compensation, will tlo the work, antl the structure is not intentletl or oiferetl
tor sale (Se<tion 704¢, Business antl Professional Cotle: The Contractor's
License Law tloes not apply to an owner of a proper[y who builtls or improves
�he�eon, antl who tloes SUCh work him5elf/hers¢If o/ through hi5 or h¢r own
employees, providetl that suCh improvements are not intentletl or ofteretl tor
sale. If, however, the builtling or Improvement i5 Soltl within one year ot com-
pl¢[Ion, the owner will have the burtlen O( prOving h¢/She tlitl not builtl o/ im-
�+rove tor the purpose of sale).
LJ I, as owner of the property, am exclusively contracting witn Iicensetl con-
tractors to construct the.project (Section 7044, Business antl Professlons Cotle:
Ttie Contractor'S License Law tloes not apply to an owner of property who
builtls or improves thereon, antl who mntracts for such projects with a con- �,
trdctot(s) IicenSe pu�suant to the Cont�acto�'S License Law). 1 am aware tha[ I
proof of thei� Worker'S Compensation in5urance Shoultl be p�ovitletl to me.
❑ I am exempt untler Section H. & P. C. for tnis reason
Date Owner _
I hereby certify that 1 have read th
intormation is correct. I a9ree to cort
antl State laws relating to builtling cc
sentatives of �this city to ent--�`
inspection p se �
Signature
Drivers' License or SS �
OorEer li�¢s antl si9n all avvroo��ate tleclarations.
LOT NO. � UNIT NO. �
TYPE OF CONSTRUCTION LI NEW IJ ADD LJ ALTERATION A� REPAIR
❑.CONVERSION ❑ �EMOLISH ❑ pTHER
DESCRIPTION OF WORK/USE OF BLDG_ �
�
TYPEOFPERMIT GRAOING �❑/�,��{UNDATION STRUCTURAI.
❑ TENANT ❑ ELECTRICAL LKPLUMBING ❑ MECHANICAL
❑ OTHER �
PROJECT DESCRIPTION Sq.F7. � oCCUanrvCV
CONSTRUCTION TYPE VALUATION $
ZONE GRA�ING CU.�YDS. � ACRES
Remarks:
Bar Sink
eackflow Preventer .
Backflow Irrigation
Bathtubs
Clarifiers
Dishwasher
Drinking Fountains
Floor Dreins
Floor Sinks
GasService Outlets
Interceptors
Kitchen Sink
lavatories
P—Trap
Roof Drains
Reinspection Fee � $15
Boiler
Duct - Under Ground %'
Duct-Structural -
Duct - Ventilating
Exhaust System ❑ Multiple ❑
Firepl/Fact. Blt. ICBO # �
Heating System &�Ducting
❑ 4100,000 BTU O t 00,000 8Tl
Reinspection Fee � � $15
CMF 0865-46, rev. 30/84 White - Builtling; Canary - Applicant; Pink - Accountin9; Goltlenrotl - Assessor
e
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors .
Solar Piping
Solar Tank
Swimming Pool wlSpa
Urinal
Waier Closet
Water Heater
N/dSEf $EfVICC
Auta-Wash
Issue Fee
Hood or Typel ❑
Canopy Typell ❑
Refrigeration Synem
❑aioo,000eru ❑�oo,000
�
System Repair/Alteration
Issue Fea
FEES
$ 3
$ 3
A.P. 4k . .
S Main Building:
E
T Front
B Rear
A
C Right
K Left
S
Ping. Ref. #
Planning Notes:
Auromatic Washe�
Construction Pole Sub.
Caoking Unit
Dishwasher
Dryers ❑Gas ❑Electric
Fan
F.A.U.
Fixtuies
Device Boxes
Outlets
Switches
Garbage Dispoul
Generator �0-5 KW 05-'
Zone
Accessory Buildin9:
Req./Provided
ELECTRICAL �
Trensformer ❑ 75-50 KW
❑ 50+KW
Meter ❑up to 100 amps
Meter pover 100 amps
5KW
Sub Panel
Motors�0.1HP�1�-8 -
Inc. Solar �9-15 HP 016-15+
Microwave . �
Pole Light
Range
Sign
Standing Sections
Trash Compactor
I Reinspection Fee I$15 I I Issue Fee
DEVELOPMENT SER VICES REQUIREMENTS:
Zonin9 Approved By
Building Approved By
Application 155ued BV_ �1
SUMMARV
BUILDING PERMIT $
PLAN CHECK $ �
PLUMBING $ �
PLAN CHECK 25% $
ELECTRICAL $
PLAN CHECK 50% $
MECHANICAL $
PI.AN CHECK 25% $
Z
O
N
I
N
G
R
E
Q
M
T
S
FEES
$ 3
FEES
SMIP $
PERMIT �
ISSUANCE $
ENERGV P.C. $
GRADING $
MICROFILM $
TOTAL FEE $ �
: 09/2�/ES 7It1E: 11:3Q
. .... . . .. ,
CONSTRUCTION AND;PLANNING • - � POOL & SPA� ' ; u.
Date Inspector � ' Date Inspector
APPROVALS Permit # APPROVALS Permit #
/_l. .
1., .Temporar, � lectricaf'Service or Pole 52. Pool & Equipment Location � '�
2. Soil Pipe-Undrgrnd.�A ��, � , 53. Sieel Reinforcement .'�� , �
3. Electricai Conduit Utility-Undrgrnd. ' 54. Forms ' �� ,
4. Electrical Conduit-Undrgrnd. , 55. .Electrical 8onding ,�., , � � '
5. Steel Reinforcement ' � 56. �Rough Plumbing & Pressure Test �
6. Electrical UFER G,r,nd,° � , 57. APPROVALTO COVER,GUNITE
s
7. Footings � � ' 58. Electrical Conduit-Undrg nd, ���
�'.
8. Foundatian „ � � 59. Gas Pipe, � Undrgmd., Test
9. Water Pi -Undrgrnd. � 60. Backwash Lines, P-Trap, O'�Undrgrnd. �j �
10. Structural Floor System ` 61. APPROVAL TO DECK
11. Property Sewer Line &' House Connection 62. Backwash & ReceptorFinal +
12. Sewer Cap 63. Heater & VenbFinal � '
13. Roof Drains, �� 64. Plumbing System - Final .
14. Rough Plumbing ' � 65. Electrical-Final
15. Rough Electrical-Conduit ' . . 66. Solar System-Final ' r� .
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 i
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure � 70. Underground HYdro
22. Ducts, Ventilating �M � 71. Product Piping � Gas ❑ Oil .� � '
u
23. Gas Pipe-Rough & Test � 72. Underground Flush ,
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil i �
25, Roof Sheathing � - � 74. Overhead Hydro . - � - �
28.'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 ��� h r
30. Drywall Nailing HEALTH DEPT. REQUIREMENT �
;
ri�
31. Plaster Brown Coat 79. FfNAL INSPECTION II ('�'i
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED ��•
33. Final Electric Notes: . � ` �
^
34. Final Heating & Air Conditioning � � „ � ' "'t'
35. Final Gas Pipe-Test .. .. il
36. Hood or Canopy .
37. Final Factory Fireplace . � ' �
38. Firtal Plumbing ' (,r��� ( GQ . "
i�,
39. Water Service-Final � ' � � .
40. Gas Service-Fina�l ��
41. Solar pomestic-Final � � � " �*v
42. Backflow Preventer � � �r " ��
43. Backflow Irrigation . � ' � �a
�44. .Landecape Irrigation System � � �, � �
45. Sound Attenuetion � ' ' ry, �' y
4�. Handicap Regulations ' ' . . � � �i- . , �
47. FINALSTRUCTURE&BUILDING . rii
II .. �� `
4$. Special Requirements Completed , � �� r
49. Electrie Release to Edison � ., u
�
50. Gas Release to Southern California Gas Co � `• , "
51. CERTIFICATE OF OCCUPANCY-'H ``"`a
No, Date � y - _ . .
� ; s1 ,�
" � i ..
. � -- ��
� COSTA MESA BUILDINCrSAFEfY DEPARTMEPff
P.O. BOX 1PW � COS7A ME6A, CALIFORNIA 8�0
Fo� Appllcanf ro FIII In Complatoly
TYPE OR PRINT _
COSTA MESA, CALIPORNIA
�ROY
N
�% � No.ol
� RIOFTT
P710N OR WORK
f
1 XHP6BY ACKNOWL6O06 TNAT 1 MAV[ RBAD iNIB APPLIC�TION
AND BTATH 'fH�T Tl18 11pOV6 li CORR6CT AND A00.86 TO CON.
PLY WITN ALL CITY OROJNANC{� AND YTATf LAWp R[OYLATIHO
Bl11LDINOCOHBTRUCT1oN. � .� /1
6I6NATUREOP �j��r,�,. � ��i�� s-y�
AUTHORIZQD AOQNT
�
N0T6:
OCT 25-66 OD1102# ****22.50
APPLICATION FOR PERMR
BUILDING
for Offfce Use On/y
eccm►r nc. �i
y�✓ owTe�� ZS �
ZONING
No. or uas or xnv
►ux� eunomo �
^ v i.�/� '�
��� � �S �
/Q OV [RNANO BHALL B6 Ll88 THAN
YARPB MPROV60
MAIN BUILDIN6
vwa. #
L�
YARDeAPPROVHD
ACCESHORY BUILDIN6
DATE
- ' a
W
� �
�G' .5 ec1. vr. (J � Z.-��I �
0
TNH AMOUNT 9MOWN UNDlR VALUATON 18 FOR TN8 j
�UHP066 OP 68ThBLi6HIN0 A PHRMIT P8B ONLY. FS
VALUATION � PERMIT FEE $ I� � DO �
� �00� 7sr� w
TOTAI FEE $ � � � `-' �
ADDRESS
or
DESCRPPTION OF
Date I GftOUP
BUILDING PFSiMIT 1
ltii add to res.
VALUE $ 4, 000.00
SUBCONTRACTOR
r• ', �I �.la��
COSTA MESA BUILDING DEP;�,RTMENT
P. o. eox 3 n -
COSTA MESA, GALIFORNIA
FOR APPLICANT TO FILL IN
2278 Agalon St.
GOSTA MESA. GALIFORNIA
' ai
' ��Q..Vd..� _ �. �,
� r-, .,�.
�o _ .2� "�j'�i v l,l
FI�?P,�C � DEP 1Fc'�
r.�Tv � �
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
A�DRE55 GHF.�7 N�MI�JOl"Y �'/u � L�.. '
CITV N Ol-4 UogCh C� NO. OR J`�+"�� ADD EI55 '
�a $ W$Ol�. CSbIISt CO Np� COSTA MESA. CALIFORNIA
ADDRE55
CONTRACTOR yy VI 11�11 V�nBt '.+�" N'o: g534
LEGAL LOT
�ESCFIPTION NO. �O
A.P. NO.
OFLOT 63 x 96.76
USE OF
EXISTING BLOG.
SETBACK LINE FROM
CENTER OF STREET
VARD
FIRE
ZONE
20NE
�
^D �[_/�� BYPROVE� _ DATE
U3L OOV
TRncr 31�. CORRECTIONS
NO.OF BlDGS.
NOW ON LOT n�ne
YAR� �
RIGHT 6 LEFT v
DESCRIPTION OF WORK
NEW p ALTERATION ADOITION
REPAIR MOVING �EMOLISH
BUILDING �NO.OF
SIZE � ��� - �ROOMS 6 STORIES
E%TERIOR WALL
USE OF
aui�on
ROOF
QQQ COVERING rock
fam residence & att
C
ca s�� -
I HEflEBY ACKNOWLEDGE TMAT I�HRVE REPO THIS APPLICATION wNp �/ �.— '
STATE THTT THE ABO�E IS CORRECT AN� AGFEE TO COMPLV WITH wLL
CITY OROINFNCES RNO STATE LFWS PEGULPTING BUILOING CONSTRVC-
TiON. _..3 VALUATION
SIGNATURE OF SOa�tOII HOn1BS� IAC� PERMIT FEE $ 3� _
PERMITTEE ///��� '
/ I , �� 0 / $ /�i � �j�' PLAN CHECK .� /f =
I� /
r_ .,s �.,,��(G�� 4, +,�, `�' ' ...,:i � f ' _rv ,�i�
p ' . � ., -rn,t. �.. .�, T
i . " � . ' ` , ' ' � . _
- , a""` 7�' .. � 1 . . Cr � r t •i t l 7 � .
�� �� a'� a t'� �",F 3 , 4 f � � � ^ I L
� � :
14......:._ m.� _�.�y,.:,K�..�) -(,`, t , � t � it. �t � t ��+. ` J ..
, � .., _..-........ _._.....__..___.a - . . ..�r 6 ,r.�; .
•. Y : �. ,' y:,, ,,,'i ''.: '• .. ' . :: , . .-. � ' ,. . , ..
. .. ; . . , ' , j'n' � . .,. ^�
~ q� . I
i . � �
��'4..f�i'�i6 u iir�;'✓ � ., a+'.� i t;c.� '%S.Lt"¢n:J�i_ - '
. �. . . . - ... . . r....._. ., � , . . . ' {
Ir . ' ' . . . . . w ...C'� � : el`n� ' ,
4�L�.lj .•�_ -� . .. " : . ' ' . . al' _
'T . �� i� y ��`"•'v�� F, ��-2�'vh ; � �� � .� � .� � ' . -^� � -
. ` . � 1� �'�.�•� � ,
!�."� ' ' . .�;:�A.��. .. . , . � ... _, ."" . .' �11.. . .
, . .�� . . :..V,.� . ' . . ' � . � . .
� " """"" '.,� .. ' _ ... . —,. _ . . . •' ' �'.
i�Sy9 m vl W�� �' �i ei
. ': `2 ' "" ,�' ' -7 � j . V ... m....�..,...._,,,.:.
" � ��, `+'i� . ' � _ •. . d.. :`f � c. ' ' *�i„
' ''- .e+. � ' _� ` .... � 'i.'....A,..�...., �"
�C 1� . /
y ,x..�v ' . �' y . � 1 . . _ . �:i�/ �
y :: . � � , ' . ...Y I,. ��
� -xn ; . '. ' ' �. ,
� c
iy � ..4 � .fr. ^� n-LC:` t t. d1.a�-� i . . . d , . . .
t i - " 1
}' ' g : :� � � � �' .. - ''� ' _
+r t:�; . . .. .i , , ._ ,
F j � � - � � - --- - �. � . Z _ ` . G � . _ - �.
l . �, .l. . ' � . . . . ' � - . .. .. . -±� , _ _ '
j
)1! i.'� �� � • I'. '`N.
I �v r, l � , � ':arc�t�ry� ..�. _ .. , . _,a
aY _, _ - . � , <
�
i i • ' , . ' '`
" _v
K t T ' .'�Yr _ t ` .' � . _ ' _.. � � (
^ .` -.wrN'�' ..r. .o.V .5. � J . . • . : e ' _ ' - _
i 1 . (,
i p �� '
h� r � � <-40 i �.:..y -.����yi,, •��'ti, :,-, „ _ , _ _ _�.
�
Jr . , 7��. � . , . . . __ i. , , ,.�
±�' � _'Pi;i �1K . IfY � i.i �� ti � � �' � � � It � 1 � ) 1 i , 1 �, �"�. i�-
J
�•JY �
� n � ��,! .
. �".' . ��si , . - " �, .' . , .. . .. �. . - t .d�
�.. ' .r. �,.r
' I
� 4 �rw`n� r r � . ,:!�u J ii*iL' :' i �`�� �. . � ' � � � .
"' i , m
�
i . , y ,t� : d !' ,�, , . 4 ,
C� � i � .1 '� � r . rr ; .
, � . 'a t ' _ }y . `�.
i r
1� 1 J r �� a. �JY�» n � , `- �.• � t� '� i T 4 �� ' 7
.Ca�l .
t ` . �N ;. . , i � � � � � � ' .
7 , � G, '�SL . ' , � .
a , . Y � .;
, 4, ,- _ ' , � � �
, . .
i � � c . . +.
� � � r ' _ >.., '� �j �
�j , � �I ��.` -� : ic-, � r'+i1 �,�' . � i ' '- _. . - �.. -- - '- � . . ---_'. �
IR . ��le. ' .� . n.��. . : � � �' , �,'� - , ���.. . .
l .. c . . . _.. _ . ,. . ..� ... _
� � �_' , � . , . ' 1 I .i_o � � �; . _t.
y� y
rr � �
t .�; ' � . , ' . '
➢ "' � �
I 4 "� a< � Js ' ' .t �, � � ,
A . .. �i _ ' , . . , . �,. . .
.i � . � , '_'� . . .. . " .i �' - � {s. _
L. . �� , � . . ..,x , _. .... . .� - __ �
n �e
� �,. : . . _ " � , ... _ _, _ � . : i�
- . '. . . . . . � . , . . . , � . . . . ' -, �.. �`� ' - .. .. _ .
OWNER ���N N��S� TWC DATE 6-26-58 . �
JOB ADDRESS .�.� p�� �n S}raiit, BLIILDING PERMIT NO. 7050
GENERAL CONTRACTOR jL� Tpi. Knll VALUE $ 12�7JO�OO
P- 'Vo. LOT K� TRACT 3161FIRE ZONE DESCRIPTION OF WORR Sing res w att��ar.
�
PLAN NO.
INSP�CTIONS I.DATE I SU6CONTRACTOR I DATE PIRMITSryUMUB R
coat
Final
Final (}as Test
r 1�`��J
COSTA1v1ESA 9UILDING-SAFETY DEPARTMENT
P. O. BOX 917 CO�N MEBA. CALIPORNIA
Fo� Applicanf fo Fill In Complefely
TYPE OR PRINT
BUILDING ,qp ♦
ADDRE58 [ � 7�! 'Lt-LL�/�C i� `
COSTA MESA. CALIFORNIA
__-__
�_�f�
86TBAGK LINB RROM
No. OP BLDOB.
DESCRIPTION OF WORK
VSE OP 6UILDING AND
_� N.FA �xt�lc
� � �C 7` 1,,,,��
I HERBBY ACHNOWL8D6B
RNO 6TATE TXAT T
PLY WITX ALL CI
BUILDINO CONB I
SIGNATURE�OF d
PERMITTE '
AUTXORIZED AGENT
.
' 1 XAVB READ TNIB APPLIWTION
18 CORRE D AOR6E TO COM-
:E9 j�ND E WB FIHpUNTIN6
� ��„'�� 1
���4 ����960 ��J
�"S` .., .� �r�r
APPLICATION�,F.,QR•FPERMIP �
, �.
BUIL`DING�SfH �I��
For Office. Use Only
aece�rr xo. �e�tµr�r{;
C�.�
oere necerv o o�re iseue
{J` �-�-L� �_.-
COSTA MESA. CALIFORNIA I �
FIRE
ZONH
APPROVED
ZONING
ZONq'� ' I PI.�N9 � BUILDI�
IF /
LEOAL l � L- !�/� I
(GBMBR LINB 9T.) �)
FRONT ;7 V
r
�: -
THE AMOUNT BNOWN UNDEA VALUAiION IB FOR TH8
PUIiP08E OP, E9TABLIBHINO A PERMIT PEE ONLY.
VALUATION O,�J
PERMIT FEE $��
/� � PLAN CHECK $
TOTAL FEH �
z 'i ,
' ' . , f,
` ``
� . . , F � � � �
' .0
� , �.. ,_ �' .
� � • �r
_ , >
, _. ,
' • 6
a
�
� � .. n
� .
- � �i �
n ,
� t
y
C " n
. �' t.
� , ,y, y
,, ..
GRIFF'IN; S'�ANL�Y
JOB ADDRFSS
GENEAAL COI
In
OCCUPANCY
Form 410—SM-11-59 S-B P
Owner-Bldr.
W ater
DATE
SEP 1 9 1960
FIRE ZONE I
I GROUP
�� SUBCONTRACTOR
DATE ��5��
VALUE
OF
PERMITS ISSUED
. ,
�/�_ e::