HomeMy WebLinkAbout2152 POMONA AVE - Building PermitsOWNER HUNKY INV. 00. DATE 4-27-55
JOB ADDRESS 21.52 Pomona St, BUILDING PERMIT NO. 1238
GENERAL CONTRACTOR S, V, $unsakeT _ VALUE $ 8,740,00
L'- 73 BLOCK TRACT 2387 Single Family Dwelling
GROUP I TYPE V ZONE R1 FIRE DISTRICT 1247
INSPECTIONS
DATE
SUBCONTRACTOR
PERMITS ISSUED
DATE
NUMBER
Footing Trench
Foundation Forms and Grade to _
�J
Rough Framing—p
Plumbing, Rough to Slab-
p - s�-
Plumbing,RoughComplete �-�
- •i'J�'
�.� (�
ZLL/
Temporary Pole
_
Wiring, Rough
A/✓�06
Heating, Rough
Heating, Final i
Sewer, House ,� Sewer, St. e,��{
Septic Tank or Cesspool
Lathing, In Out
�'7"�r"F��
�
F !ring
Plumbing, Final, Fixtures Comp et
Plumbing, Final Gas Test
Wiring, Final
Occuoancv I <
F'nrm 910 (7_H 15(10 15F r
PROJECT ADDRESS: 2152 POMONA AV
OWNER'SNAME: CITY OF COSTA MESA
ADDRESS: 77 FAIR DR 4TH FLOOR
C.M.
ARCHIENGINEER:
ADDRESS:
UNIT:
REG.NO.:
UNIT:
PERMITTEE: POMONA VALLEY EQUIPMENT (714)591-7879
ADDRESS: 11532 EAST END AVENUE
CHINO CA 91710
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 lull force and effect.
clTruc.:041674p STATE UC.:417242 n CLAS C-21
Date:-_�/_� Signature: /, d Qq
9KERS' COMPENSATION DECLARATION: I hereby affir have a certilicata of co nl to nsure or a certificate of Workers'
pensation Insurance, or a Certified copy thereof (Section 3800, Lab. C).
.acrd. 1030869-89 EXP. DATE: 09/15/90
COMPANY: STATE FUND
❑ Certified copy is hereby tumished. Certified copy is til d veth the citytiding Division.
i-�
Date:- 6-9Z) Applicant:
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION:section need not be completed if the permi or one hundred ($100) or less).
I certify that in the performance of the work for which this per t is issued, I shall not employ any Pa. m any manner so as to become
subject to the Workers' Compensation Laws of California.
Date: Signature:
NOTICE: If. after making this declaration, you should become subject to the Workers Compensation provisions of the Labor
Code. you must forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm (hat there is a conslmction 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
(Section 7031.5 Business and Processional Code: Any city of county which requires a permit to construct, after, 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
•ny applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (3500).
I, as owner of the property or my' empployees with wages as their sole compensation, will do the work, and NB
J 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 awn 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
for the purpose of sale). '
I. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business
0 and Professions Cade: The Contractors' State License Law does not apply to an owner of propeM1y who builds or improves thereon
and who contracts for such projects lith a contractor(a) license pursuant to the Contractors State License Law). I am aware
that proof at their Worker's Compens:don insurance should be provided to me.
❑ I am exempt under Section: B. 8 P. C.
far this reason:
Date: Owner
I do hereby unity 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 for ure building occupant wilUvdll not (circle one) need to comply with said state codes and the requirements for a
permit for construction or modification from the A r Quality Management District. Residential construction applications are exempt from
these provisions.'
Date: Applicant
1 hereby cenity 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 reading to building construction and he Y aldhor® resentatives of this city to mot upon the above-mentioned
property for inspection purposes.
Date: :7 Q 4.— _�a Signature:
Driver's License or Social Security N:
Iv I nmr,omn. , m..n—wu. Cn N¢.u4rnq wn.y—nyy.rvw.1, I..,. I I.........,...,,o,..,,..—.•w _1
CITY OF COSTA MESA — BUI.LDING PERMIT PERM NO: BP 048263
PERMIT NO: BP 048263 PLAN CHECK NO: N GOVT: Y SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: PLU STR PURPOSE: DEM
JOB DESCRIPTION ; DEMO RESID FOR VICTORIA STREET WIDENING SQ FT:
CLAIM VALUE: 1,000.00 CALC—VALUE: 1,000.00 GROUP OCC: R-3 /
COMMENTS: DEMO S SEWER CAP
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. 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: 42220311
ZNE: REF NO:
PLANNING NOTES>
>
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 BY
DATE:
BUILDING APPROVED BY :
DATE:
APPLICATION ISSUED BY:
DATE:
LEGALIZATION:N F E E S U M M A R Y
STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC
FIRE SMIP/RES GRADING
PERMIT 25.00 2.00
258
SMIP/NON—RES
PLAN
.50
ISSUE FEE 3.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTAL PAID DUE
TOTALS ---- > 0..00 0,00 0.00
0.00 .00 .00
REVENUE DIVISION TOTALS--> COLLECTED:
.00 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE
SMIP/TOT GRADING PLAN—CHECK
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 I P T I O N
UNIT COST TOTAL COST
PLU 1 SEWER CAP / DEMOLITION EACH 2.00 2.00
END OF FEES
01 00066132-00066132 TO T .00
DATE: 07/26/90 TME: 04:23
CONSTRUCTION AND PLANN.. -
APPROVALS Permit #
r Date
Inspector
JOL & SPA
APPROVALS Permit #
Date
Inspector
" 1. Temporary Electrical Service,or Pole
L;
52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd.
53. Steel Reinforcement
3. Electrical Conduit Utility-Urt`tirgrnd.
w•
54. Forms
4. Electrical Conduit-Undrgrnd.
55. Electrical Bonding
N
5. Steel Reinforcement
56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd.
57. APPROVAL TO COVER-GUNITE
7. Footings
58.Electrical Conduit-Undrgrnd.
8. Foundation -
59. Gas Pipe, 0 Undrgrnd., Test
-
9. Water Pipe-Undrgrnd. -
-
60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System
61. APPROVAL TO DECK
11. Property Sewer Line & HouseConnectiori.
62. Backwash &Receptor-Final
12. Sewer Cap _
63. Heater &_ Vent-Final
13. Roof Drains �; ,,
64. Plumbing System - Final
`J.
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 0Gas 00il
23. Gas Pipe-Rough & Test
72. Underground Flush
24. Roof Framing
73. Undergrnd. Storage Tank 0 Gas 0 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
78. FIRE PREV. FINAL
30. Drywall Nailing
HEALTH DEPT. REQUIREMENT
31. Plaster Brawn Coat
79. FINAL INSPECTION
32. Electrical Power Meter-Final
80. FOOD CERTIFICATE ISSUED
33. Final Electric
Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
it 9v
C90.
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
,
47. FINAL STRUCTURE & BUILDING
�2/I�
C,FFIi
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
Costa Mesa Building Department
111 EAST 20th STREET
COSTA MESA, CALIFORNIA
APPLICATION?FOR PERMIT
1247 BUILDING 1
FOR APPLICANT TO FILL IN
FOR OFFICE USE ONLY
Receipt No.
Permit No,
7i3
Addrees
Costa Mesa, Cahforma
Received by.
Date Recd.
-
Date Issued`
NearestI
Cross St.
Building
Address
ow" r
Costa Mesa, California
Mail
Address .
Nearest
Cross St.
Tel
City —
Zone I No. of TypeI
Plans
Group?-
Architect or Lic.
Engineer No.
Approved
by Date
Address
CORRECTIONS
City Lie.
Contra cto No
ss�
A&lr�Lel
Lot
Descr ption I No. I Block 0 Tr
(Attach Metes and Bounds)
Nof Bldgs.
Size of Lot Noo. w on Lot Q
O
Use of No. of No. of
Existing Bldg. Families I Rooms
G7
Z
Setback Line from Rear Yard
Center of Street Side Yard
D
DESCRIPTION OF WORK
New I Alteration I I
Addition
Repair I I Moving
I
Demolish
Building No. of
Size Rooms Stor' s
Exterior Wall Roof
Covering Coverin
Use ofNew
Building
APPROVALS
Foundation Location Inspector Date
Forms, Materials, z;
Under -Pinning
Frame: Fire Stops,
711- 77 Bracing, Bolts
s Ln
. -v
I hereby acknowledge that I have read this Application LathInt. min
and state that the above is correct and agree to comply M o
Lath. Ext
with all City Ordinances and State laws regulating v,
building const ction.
Plaster, Int. CO
Signatu re of
Perm itte �" �
Plaster, Ext. PR
Authorized Agt. - C
Masonry Reinforced �
Valuationermit Fee $
Plan as . C0 ^}
$ Ol Check $ 00 Bond Beam
o /Fee 1 $ V11- 5-. 0 FINAL o
'
Street
PLOT PLA N
• Show location and distances
from
property line and between buildings.