HomeMy WebLinkAbout2125 HARBOR BLVD - Building Permitsowt�rEK JENKINS, Ethel
JOB ADDRESS 21Z H3Pb0:
GENERAL CONTRACTOR Ow
nr rra. ii5-ioo-o8 LOT
P"'9ECTIONS
�
3
OCCUPANCY
lIPM Flld . SM _
TRACT RIRE ZON�
� Signature� DATE GROUP
DATE 3-12—fi2
BUILDING PERMIT NO.
VALUE � 101.00
DESCRIPTION OF WORK I
TYP� Ip 70NE
SUBCONTRACTOR
-OWNER EIS,TS. F.arl ('.- DATE 9-6-57
JOB ADDRESS 2125 Harbor BUILDING PERMIT NO. SEi�
HNERA CONTRACTOR Ovmer-Builder VALUE $ 10�.00
11'AP. o. LOT 3 7'RACI' 3�yS FIRE ZONE DESCRIPTION OF WORK S1Rr1
f"1lIP TYPE ZONE PLAN NO. 5689
� i
IhoPECTIONS I DATE I SUBCONTRACTOR I DATE NUMBER
Gas Test
�OWNER $j,j,i$, EaT'1 G. DATB 9-6-57
JOB ADDRESS 212s Harbor BUILDING PERMIT NO. 5E�'j9 �
ENERALCONTRACTOR Oc�mer—Builder VALLIE $ �-00.�0
ll P. o. LOT 3 TRACT 3L15 FIRE ZONE DESCRIPTION OF WORK S1gI1
f`- 1LIP TYPE ZONE PLAN NO. S�8
IIvoPECTIONS I DATE I SUBCONTRACTOR __ PERMITSISSUED
coat
Gas Test
ow�v�R II.LIS. Earl G. �,ti...,xr_. 1 �ATE 7-29-57 _
lOB ApDRE55 2125 Hax�bor Blvd. �—� � BUILDING PERMIT NO. 5500
��--�ECTION8
Tut
LOT'T2�"'`TRACT ZI,[ FIRE ZONE
C2
PLAN NO.
DATE I SUBCON7RACTOR I DATE NUMBER
OWNER N�QN� DICR DATE 9-1�-56
JOB ADDRESS ZZZS HglbOr BUILDING PERMIT NO. #3%O3
GENERALCONTRACTOR
11p11.Jr-Z00-0�
i �
GROUP F?
INSPECTIONS
Foundation Forms and Grai
Rough Framing
Plumbing, Rough to Slab
Plumbing, Rough Camplete
Temoorarv Pole
Heati
Final
Tank or Cesspool
a.ln Out
F ering
Plumbing, Final, Fixtures
Plumbing, Fin.al Gas Test
Wiring, Final
Occupancy
FORM 210 3M 10�.'i5
BLOCK
TVPE p
DATE
to Garaae
St.
TRACT
SUBCONTRACTOR
VALUE
PERMITSISSUED
I NUMBER
3703
�
/
�
I �
.
o.iectaooness: 2125 HARBOR BL
OWNEN'S NFME: KYMCO AUTO PARTS
nooness: Z125 HARBOR BL
COSTA MESA, CA
PflCMIENGINEEX:
aooRess:
NEG.NO.:
uNir: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 06896�
PERMIT NO: H 068962 PLAN CHECK NO: 03549-94 L GOVT; N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
uxit:
PEflMITTEE: SHANLEY CONSTRUCTION ( 714 ) 362-6211
PDONE55: 1 q 31 t� BLEDSOE
SYLMAR CA 91342
LICENSEo CONTPFLTOP oECIAPpTION: I nere�y aflirm t�ai I am Iicense0 unJer pmvisions of ChaD�er 9(commencinA with Section
7000� ol �ivision 3 at I�e Business antl Pmlessions CoOe. antl my license is in lull lorce anG eileci.
aTruc s Teuc.:27241���1550 � EXP:
Date: � �' r Sipnaiure: — _�{l _ - —
W08NENS' COMPENSp710N DECIABRTION: I �ereUy affirm t�at I �ave a cenilicate of mnsem ta u�4insure or a c Aicate al Workers'
Compensation Insurance, or a cenifietl covY �nereof (Sec�ion 3800. LaE. C�.
voucvNo.: 1296906-94 E%P.ORTE: O9/OLI9S
comraNv: STATE FUND
.❑ Cerlitie0 topY �5 her¢Gy Iumi5�e0. � C¢rtilietl copy i5 I' wi�h 1 Les iry Builtlyyyi���ppp DinsionD. _ O
oate: '� � � � 7 � AOVlicant: L��C(�,e� � � G �
E%EMPTIONFBOMWOBNEBS'COMPENSRTIONDECUBATION: (T�issectionneeOnolbecomD�etMilihecermitisioroneAmMre St00�aless�.
�I certity Ihat in ine pedormance ol ine work lor which Ihis.permit is issue0, I snall not employ any verson in any manner o as Io become
su6ject to ine Warkers' Compensation Laws al Calilamia.
Oate: Siqnaiure:
NOTItE: II, ai�er makinq t�is Oeclara�ian, you sAould �ecome suGleC� �o lAe Workers' Compensation D��sions of i�e LaDor
CoOe. yau must fonhwit0 camO�Y with suc� pmvisions or t�is permit shall Ue tleemeG revokeE.
CONSTPUCTION LENUING RGENCY: I hereby aitirm t�ai t�ere is a constmction IenOing aAency lor ihe pedarmance of ihe work for
which Ihis permit is issued (Section 3U97. Civ. C�.
LENOEN:
ADOXESS:
OWNEN BUILUEN UECLANPTION: I here0y aifirm ihat I am exempl imm tAe Contraclars' State License Law far the lollowinp reason
�Section 7Q'fL5 Business an0 Protessional CaUe: pny ciry oi county wNc� repuires a Oe�mit to construct. alter, imprme, Oemalis4 ar
reoair any siructure. prior to its iuuance, also r¢puires Ihe aOVlicani lor such permii �o /ile a siqn¢E siatemen� ltwi �Usl�e i5 Gcen5e0
pursuam to me O�ovisions o1 tne Commcmrs S�a�e License Law (C�aD�er 9(commenGnq vnlh Sec�ion 7000) o� DiviSion J al ��e Buvness
antl Professions Coae) or I�ai �e/s�e is eKempi IOereirom anOlhe GaSis lor I�e all¢qe0 exemptim. Any viala�ion ol SectiOn 7031.5 hy
any aD0litantfar a permil Sublects t�e applitani Ia a ciNl penalry 0� noi rtwre lhan IN¢ �unEreE Oollars (5500�.
I, as owner of Ihe property or rtty employees witn waAes as ineir sole compen5dtion, will Oo tna wofk, an0 ine
❑ sUucture is noi imen0e0 or oflereE �or saie (Sec�ion 70ad. Business antl Pwteuional Cade: IDe Cantracfors' Slaia License Law
tloes not appry Io an owner o� a pw0e�y who builtls or imD�oves �hereun, anG w�o Goes sucA wad �imseli/�¢r5elt or Nmuph
- his or her awn employees, provieea Inat sucn improvements are nat intenCea or otterta for Sale. If, however ine euilUinq or
impmvemeni is sol0 vnihin ane year ol completion. I�¢ awner vnll have I�e GurGen ol pmvin0 �she ditl not EuiIE or improve
br I�e Durpose ot sale).
I, as owner of ihe Dmperty, am exclusively contrading vn�� IicenseG romractors to consimci t�e pmject (Section 7044. Business
❑ antl Prolessions Cade: The Conlractors' Stare License Law tloes noi appty to an owner of Dmperty who EmIES or im0�%'� �hereon
an0 wha contracis lar suc� pmlects vrit� a coniracmr(s� license Dursuanito the Contractors' State license Law�. I am aware
i�al prool of t�eir Worker's ComDensatian insurance sAould �e O�ovitle0 to me.
� I am exempt unEer Section: B. 8 P. C.
fo� Ihis reason:
wm: ow�e�:
I Oo hereby cenity tnat I am aware ol ana unaersland ine reauiremenls al Cdlifornu Healtn anA Safeiy Cade Sectians 25505, 25533, anU
2553G and Inal 1 or any fulure UuilOing oCtuDanl wilVwill not (cirGe one) neeG to comD�Y `m�� ��4 slate co0e5 anE tlle repuirements lor a
permil br consimciion or moGification imm I�e pir Ouali�y Management Oisirict. ResiGential wnslmclion apD�ication5 are eeemD� �mm
Ihese prOvi5ion5.
Uate: ADP�iwnC
I hereGy C¢nity ttu� I �ave reaU I�is appliw�ion antl 51a1e ��ai ��e aEove inlormalion is mrreCl. 1 agree IO cOmply wii� all tiry anG tounry
oreinances an0 siate laws �elating m buil0ing consiruc�ion anU Aere ' e repre lalives ot 1 ciry Io enter upon ihe aGMe-menlioneG
property Im inspection purposes.
Da�e: ��` � � � Signaiure:
DriveR license o� Sociai Security +:
t641-46 W�ite—BvilOing: Green—Cotle EnlorcemenL Canary—ApplicanC Pmk—Revenue;
JOB DESCRIPTION ; CONST CONCRETE SLAB FOR OIL RECOV, TANK SQ FT; 3,000
CLAIM VALUE; 3,000.00 CALC—VALUE: 3,000.00 GROUP OCC: B-2 /
COMMENTS: INSTALL CHAIN LINK FENCE AROUND OIL RECOVERED TANK
�r�*�r********+�*+�*******+�**�rx-*x�x�***+�***�*****�*�t*�*+r****�******�***���*******;�***
Z O N I N GS ERTEB4AUCIKRSE M E N T 5
------------ MAIN BUILDZNG ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ• PROV; PARCEL: 42202110 ZNE: C2 REF NO: •
PLANNING NO'I'ES> USED OIL COLLECTION TANK(36HX40WX87L), 3 55—GAL DRUFiS IN A 6
> FT HIGH CFiAIN LINK ENCLOSORE. NO CHANGE TO # OF PARKING SPAC
it iE it it it iElf iE iE iF i! if if it iE it if if if i! iE if iE i!!f if if if 3t i! iF iE i! iE iE i! 1F ik 1f 1E jf if if iElE k if if k ik if iE 3E ic iP iE fE if i6 iE if 1E fE+t iE iE iF it if iF iF fE iE 1t iF iE if if if
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
20NING APPROVED BY �C� DATE; q`L\ �l
bUILDING APPROVED BY : DATE:
APPLICATION ISSUED BY: DATE: %'L �i
1kiEiFiE1E1EfEikiElFiEififiEj!ltitlfiEiEifff !ElE�E!(�iflEiE9EiFjf t F F iF F iE1E
!E f! iF i! iE if iE iE 1E iE iF 1f 1! 1E iF i! 4 iE iF iE iE if it i! if k if iE iF iE if it it 1E 1E iF iF iE iF aE iE iE iE fE iE±6 it ik iF if ik ik iE iE if �E iE fF iE iE iE iE iE iF 3E jE jE?� iF iE if iE iE i! 3F it iE iF iE
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRZC MECHANIC FIRE SMIP/RES GRADZNG
PERMIT 54.00
SMZP/NON—RES
PLAN 35.10 ,63
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 54,63 0.00 35.10 89,73 89,73 .00
REVENUE DIVISION TOTALS--> COLLECTED: 89.7�✓ OVER/SHOAT: ,00
BLDG PMT PLOMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
54.00 .63 35.10
ie 3Elf if ib 1E 1E fE iF �E iE iE iE iF iF if k iE iF 1ElE fE iF if iE iE ik iE iF iE if if iF if it if iE 1E iE jE jE if iF if iF if if iE iF iE 3F iF 3c iE iE iE 1E 9E iE iE if 3E iF if iE iF if it iF iE iE �E aE * 1t iF iE ik 1f
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R Z P T I O N ONIT COST TOTAL COST
SFC 3000 ALTER HY VALUE COMMERCIAL NOZONE 1.00 3,000.00
END OF FEES
!
a: o�iEsisi-noiosi2a Ti�T s9.7�
OHTE+ 09/:1/44 TIh'E% 0$�4$
ICONSTRUCTtON AND PLANNWG PO�.. & SPA -
APPROVALS Permit # Date Inspector APPROVALS Permit # Oate Inspector
a
t. Temporary Etectrical Service.or Pole � 52. Poo4 & Equipmenc tocacion
2. Soil Pipe-Undrgrnd. ' 53. Steel Reinforcement .�
3. Electrical Conduit Utility•Undrgrnd. �� 54. Porms
4. Electricai Conduit•Undrgrnd. � � 55. Electrical Bonding
5. Sceet Re�nforcemenc 5fi. Rough PWmbiag & Pcessure Test
6. Electr�cal UFER Grnd. 57. APPROVAI TO COVER�GUNITE
7. Footings f�/�/�j�i� 58. Electrical Conduit-Undrgmd.
8. Foundation , 59. Gas Pipe, O Undrgmd., Tesc -
9. Nlater Pipe-Undrgrnd. � 60. Backwash lines, P�Trap, O Undrgmd. �� j�
70. Structural Floor Svstem . �'� 67. APPROVAL TO DECK ,
71. Properiy Sewer Line & Housa%Connection , 62. Backwash & Recepior-Final �
, >,
72. Sewer Cap ;� 63. Heater & Vent�Final
73. Roof Drains :' 64. Plumb�ng System - Final �`'
14. Aough Plumbing j� 65. Electrical-Final ,
15. Rough Electrical�Conduit � 66. Solar SVstem-Final �
76. Rough E�eccric Wiring " ���: i 67. Fencing & Access Anprovat
17. Rough Wiring Siyn ' 68. APPROVEO FOR PLASTERIMG
78. Rough Electrical•T Bar Ceiling 69. POOL/SPA SYSTEPAS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Duccs, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping �Gas OOiI
23. Gas Pipe'Rough & Test 72. Underground Flush
24. Aoof Framin9 73. �Undergrnd.StorayeTank OGas �Oil
25. Roof�SN'eathing� � ' , 74, Overhead Hydro
26. T�Bar Ceiling (Structuraly & Monocoat 75. Dry Chemicat
27. Frame and Flashin9 76. Dry Standpipe
28. Lathing & Siding 77. FIXED 5YSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywali Naiting � HEALTH DEPT. REQUIREMENT
37. Plaster 6rown Coat � 79. FINAL INSPECTION
32. Elecvic8l Power Meter�F�nal 80. FOOD CERTIFICATE ISSUED
33. final Electric Notes:
34. Finat Neating & Air Conditioning
35. Final Gas PiDe•Test
36. Hood or Canopy ,
37. Final Factory Fireplace .
38. Final Piumbfng •
39. Water Service-Final
40. Gas Serv�ce-Final
41. Soiar �omesticFinal � �
42. Backflow Preventer
43. Backflow Irrigation
44. LandscaPe Irripation System
45. Sound Attenuacion
46. HandicaP Regulations
47. FINAL &TRUCTURE & BUILDING �.�.,Cj�,�'��f-
46. FINAL PIANNING �
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
Nq. Da[e
.�
Costa Mesa Bnil�ling Department ' APPLICATION FOR PERMIT
� P.O.Box3�� '�"��� BUILDING 1
Show loeatlon and distancea from
ri
o. property Iine and between buildinps
�-i
C
N
�
C�
tn `�`
�' :
9
�.`� j�. � ss�-s `; FEE REC�E�IVED � ��
� COSTA MESA BUILDING DEPARTMENT ` ; �`�� �' , � � � �� � �
COSTA MESA. CALIFORNIA '- FINANCE DE T.
��7y �;p$iA MESA
FOR APPLICANT TO FILL IN , APF'LP�A'iION FOR PERMIT
a���o��� � BUILDING
nooaess
COSTA MESA. GALIFORNIA FOR OFFICE USE ONLY
� � � �����
MAIL
AODRE55
CITY �
ARC� 'CT
OR I �E
ADDRE55
LEGAL LOT
�ESCRIPTION NQ,
A.P. NO.
SIZE
OF LOT
USE OF
E%ISTING BLDG.
SETBICK LINE FPOM
CENTEfl OF STREET
�� �� �� � �
LIC.
�i /�.,. ,�.,.�o.
R�-Y-2�,-�t?��
CITV LIC.
� __ NO.
TEL.
NO.
� BLOCK TftACT
,—� ��� --o
X� / / NO.OF BLOGS.
<o v Now orv l01
� REAR YARD. _
JS � O
ure issueo _
—..i9—.t
BUILOING
ADDRE55
COSTA MESA, CALIFORNIA
FIRE
APPROVED
3 y� < a�
DESCRIPTION OF WORK '
�a.
NEW ALTERATION ADDITION
REPAIR MOVING ' DEMOLISH
BUILDING NO.OF
SIZE ROOMS ST RIES
EXTERIOR WAl l /1 ._L ROOF r 1 I'• �
OF
SUBJEC� TU
PLAN
IONS
DE'rT. REG. j �
f
, I MEPEBV wCNNOWLEDGE TMnT I H4VE REAO TNIS APPLIGTIOrv �NO
STwTE TMnT TME I.BOVE IS CORflECT .�NO AGREE TO COMPLY WITH .�LL
CITY 4ROIN1NCE5 RNO STATE LAWS PEGULRTING BUILOING CONSTRUC�
iioN. • � VALUATION
SIGNATURE OF L� � PERMIT FEE g����
PERMITTEE �
PLAN CHECK $ ���
, $ 30G ,�
nurnORizED nceNr � TOTAL FEE S�_ O� ��
` � 11.�'71
COSTA MESA BUILDINGSAFETY DEPARTMENT
P. O. BOX 917 CO6TA MEBA. WLIPORNIA
For Applicant fo Fill In Completely
TYPE OR PRINT
AOORE89 d I�� �i'1 . Oj/t /J L y Il�
COSTA MESA. CALIFORNIA
OWNER 7 � ^ �
M�:,o��a s d �r !_
re�.
CITY � � NO.
AR' 'HCf TEL.
FIRE
ZONE
W�C7�'� APPF
BY
.�/ /� 20N�
/(/ �y,
LIC.NO. �'�= NO.
SIZE I NO! OP 91D08.
86i9�CR IJNB IROM
CeMen oP srn[er REAR YARI
SIDE YARD LEFf (RIGHT
DESCRIPTION OF WORK
NO. OF
WALL
LeOAL
`EE R�.C,� �G ��,�
FINANCE DEP�t•
�Fcn
A�PPWCATIIS�I��R''PERMIT
BUILDING
For Offiee Use Only
R6CEIPT NO. PBRMIT NO.
/ .a -A �?�7�SI
�8D BY I OAT! R8C8IY8D I UC[
MESA. CALIFORNIA
PLANB �/ I BUILDINOBW.
YARDS
APPROVED
<eNiew LINB 8T.]
— / /� n-- O
" DATE S
I X60.88Y �CKNOWLH��6 THAT 1 HAVE RHAO TMIB IJ]YGTION THH �MOUNT BHOWN UNDHR VALUATION l0 POR THH
AND BTATB TM�T TX8 ABOVB IB CORfl¢GT IJ� AGRHB TO COY- pURP08H OP EBTABLIBHINo w PeqMIT I8H ONLY.
PLY WITH �LL CIiY OMDINAN�B AND 8T/�TH LAW9 RBGUTATINO
BUItDINo CONeTRUCf�GN. VALUATION �
516NATURE OF �.�� ���,t,� /"� PERMIT FEE $ II
PERMITTE � S�
$ ��D PLAN GMECK S �
AUTHORIZHD AGHNT _
TOTAL FEE /
E
¢