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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 ''.: '• .. 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' .� . 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::