HomeMy WebLinkAbout2063 REPUBLIC AVE - Building Permits PROJECT`ODRESS: 2063 REPUBLIC AV UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NU: H tlhbil ,
QWNEWS'Y.:1(4E: NICHOLSON DONALD V
ADDRESS: 2063 REPUBLIC AVE PERMIT NO: B 056127 PLAN CHECK NO: N UUV1 ; N surra N
COSTA MESA,CA 92627
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT
646-6366
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/OFF REROOF W/ COMP SQ FT: 4, 135
ADDRESS: UNIT:
CLAIM VALUE: 4, 135. 00 CALC—VALUE; 4, 135. 00 GROUP OCC: R-3 /
PERMITTEE: CRANK BROTHERS ROOFING ( 714 ) 548-5569
ADDRESS: 126 COMMERCIAL WAY COMMENTS: T/OFF REROOF W/ COMP
COSTA MESA CA 92627 **>E+E* -** *EE**+ESE****** * *** *** ***********NmTE*+E>EmaE*****>ESE+ * ***** *****>E>E>E>E**#
LICENSED CONTRACTOR DECLARATION: I hereby affirm t . am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENT 5
7000)of Division 3 of the Business and Professions Code.a- y license is in full force and el� SETBACKS
clncl .: 0 5993 sTATEuc:40867 LASS: C3 •
fMAIN BUILDING ACCESSORY BUILDING
� - Date( es _E77/r Signature:—,'/_1. —_ _ _ FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN
WORKERS'COMPENSATION DECLARATION: I hereby. that I have a certificate of consent to self-insur' . •nilicale of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
Compensation InsurWancee,,oc a,cARfined copy thereo ' in 3800.Lab.
POLICY NO.: L04]L L 472 EXP.OATS: V1 /01 /93
COMPANY: STATE FUND PARKING REQQ• PROV: PARCEL: 42248401 ZNE: REF NO:
0 Certified copy is hereby furnished. G1 Certified is ' i with Iy city Building Division. PLANNING NOTES>
/�QQ / >
Date /'� G 9e - Appli ant: ,e �I/SS. a.. **************************9i****************************************************
DEVELOPMENT SERVICES REQUIREMENTS
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred($100)or less).
I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE; •
l
Date: Signature: BUILDING APPROVED BY ; DATE;
NOTICE:If.alter 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 mall be deemed revoked. ��"����
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUF,*YT3�p_ - / DATE; O 7.E7(7�j Z_
which this permit is issued(Section 3097.Civ.C). **************'** . . * *' ' *'- x* ***********'*;******t £**
LENDER: *********************************** • '******************************9F***********
ADDRESS: LEGALIZATION:N F E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt Iron the Contractors'State License Law for the following reason BLDG PMT PLUMBING .LECTRIC MECHANIC FIRE SMIP/RES ' GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 72 . 00 ,5 0.
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed SMIP/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).
as owner of the property or myempI ees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ h structure is not intended oroffered for ale(Secction7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 72 . 50 0. 00 0 . 00 72 , 50 72 , 50 DO
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 own employees,provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED:_ 72. 50 OVER/SHORT; 00
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). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 72 . 00 50 f
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware **'**************'*'***'*"***'*'" *'*'*'********'*'***'*'***'***'**'*************'****'***'*********
that proof of their Worker's Compensation insurance should be provided to me. IND I V IDUAL FEE BREAKDOWN
❑ I am exempt under Section: B.8 P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner: SFR 4135 REROOF BY VALUE RESIDENTIAL NOZONE 1 , 00 4 , 135 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safely Code Sections 25505,25533,and END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions.
l
Date: Applicant:
I hereby certify that I have read this application and state that the above information is correct.I.r • o c ply with all city and county
ordinances and slate laws relating to building construction and hereb lionize representatives r is cit tiler up:r rte above-mentioned
property or ins!): tion purpose Z
I abate: -....— ' Signature:
Driver's License or Social Security a: G 10010117:4T10317,,, '. L' '2.7_
DATE: 02,t6:72 T14E: i;2[,
n641.46 Whine—Buildino:Green—Code Enforcement:Canary—Aoolicant Pink—Revenuo:Goldenrod—Assessor
CONSTRUCTION AND PLANNING POOL& SPA
APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector
';. Temporary Electrical Service or Pole 52. Pool & Equipment Location
-2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms ,l
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 11
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. i,
10. Structural Floor System 61. APPROVAL TO DECK 4
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 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 lel
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 71. Product Piping 0 Gas 0 Oil
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 Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80,- FOOD CERTIFICATE ISSUED
33. Final Electric t Notes:
34. Final Heating & Air Conditioning
1t
35. Final Gas Pipe-Test 1 -
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing \�
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 /J •
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No, Date
OWNER NICHOLSON, D. V. DATE 6-12-62
JOB ADDRESS 2063 Republic Ave. BUILDING PERMIT NO. 17171
GENERAL CONTRACTOR Owner-BidT. VALUE $ 3852.00
AP No.115-524-01 LOT TRACT FIRE ZONE DESCRIPTION OF WORK COM.Crpt
INSPECTIONS Signature DATE GROUP I g J TYPE V ZONE R-1
dOr
Boil recasterid.jp.4 2.i PERMITS ISSUED
Gay ���� SUBCONTRACTOR DATE NUMBER
Water
Rough Corn. Refrig. 0 Air Cond. 0
Rough Heating n
Rough Plumbing �J71-,S /-/p -Ca 19 1 . � - //_//9'Ly 7��%
Miscellaneous Ill]
Prop.Swr.Line ❑ House Con. 0 St.Swr. 0
Sprinkling System
Construction Pole •
Underground 0 Power ❑
'Rough Wiringflt f , IA •/q1-CZ. �a?-/. -TYt
rent es orms a emf. LT k/ p -41-61
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing 0/ter- yr An,
Frame and Flashing A _ amj)
Lathing — In Out l*Tn-12-(3
Plaster, brown coat ,J -y-
• ng. 0 Air one. 0 ma
Heating, Final
Plumbing Fixtures, Final
Final Gas Test
Electric Fixtures, Final vl�/1� Jrr ✓,Z
Building, Final f.�f ��-M-I
OCCUPANCY
FORM 6U4.5M — 7.61 17171
•
17171FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT MAY 2 91[9627.
P. O. BOX 317 COSTA MESA. CALIFORNIA ��TTFI NnnANCE DLP1.
For Applicant to Fill In Completely APPLICATION FORCV IJIfT COSTA MESA
TYPE OR PRINT BUILDING
: N I LD ING .1 "aril.
DRESS .7-..L..•-•
COSTA MESA. CALIFORNIA For Office Use Only,
99.)11:79-
9 . RECEIPT NO. PERMIT NO.
OWNER �.�-y/J,� /t%//
MAIL / C ar / / • RECf ? BY DATE q EIV D DATE SSU D
ADDRESS / I v / �' (ii �' d �%a ��Z
r P
/ W BUILDING q O J 3 /
CITY ;vA_-{ /It _ W.
ADDRESS oL (O ` ••.
ARCHITECT Sr // iJ •EL.- /�-F COSTA MESA, CA IFORNIA
OR ENGINEEc '7 ' /. � -cNCI ®)O1"Q
ADDRESS / 1 /4/ -- Sry_/ L
. - INIMIIIIIMIFIGROUP '
(Pr
DATE ( P Z
ZONING qy�---��ZOgqB8 NO.OF USE OF NEW MS../ T P
R '� ,ppPLANS BUILDING RC11Pfn4LEGALIPTION I. Y- 'a/ T� /7'c
11:1111!
—YARDS EVES
APPROVED ALLOWED
SETBACK LINE PROM y^ (CENTER LINE ST.) I
CENTER OP STREET�L'D® REAR /YA-RD �7 FRONT --Ca
LT / FT. Orr*h/�!Je- IN.
SIDE YARD I LEFT n-_4— I RIGHF-�� .".4 4 R.SIDE Afro( L``P�FT. �'r�!" �h IN.
DESCRIPTION OF WOR ' L.SIDE r' -iy FT. IN.
1 NEW II ALTERATION I • ADDITION REAR /? FT. IN./
REPAIR VMOVING II DEMOLISH I eYPROVED /,A��� DATE SA 7,4-z_Z
BUILDING NO. OF /) H.7f fJ
SIZE ROOMS // STORIES
EKTERIOR WALL if :00F • 9/, / a3,I 2a
COVERING ��- VERIN-4/FA.
G1 -a r . entry 0( 7.
J_�- e- �. - '1 %�- , !..+1 85 010 t o.l,-e Lei i, sv...A...
an_ Av��wa 467 01 +CPavn.... 0 2.7C
' . "7/ 740ANDt, t.`� I
I HEREBY ACKNOWLEDGE THAT I HAVE APP TION TME AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRE AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING -
BUILDING CONSTRUCTION. , n VALUATION
, SIGNATURE OF A/1 I D v -I/^ PERMIT FEE S /� N
PERMITTEE 1 _•moi �/ 5-t '-
S 3, 85a PLAN CHECK S /
N%UTHORIZED AGENT O c
TOTAL FEE aZ. E
•
ORANGE COUNTY BUILDING DEPARTMENT . APPLICATION FOR PERMIT
636 North FORy BUILDING
SANTA ANAA,, CALIFORNIALI
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
RECEIPT NO. PERMIT NO.
BUILDING2063 Republic Ave, g2j.�7 J�/J 7S
ADDRESS
SCHOOL DIST, RECEIVED BY DATE OF APPL. DATE ISSUED
Costa TOWN Costa Mesa T/
NEAREST ,i tf 1y.Z I_=1- Jo -13 S3 OCT 21 1953
CROSS ST. Linden Place ' `
BUILDING 6 1,3 //_/JLC 11�`
owNER$HOSHONE MOVES. INC. ADDRESS rx.v.
ADD
MAILRESS SCHOOL 9363 WILSHI RE BLVD. R DIST
TOWN K1 pts
CITY BEVERLY HILLS „o' cR. 54361 NEAREST •
CROSS ST, ie' •
ARCHITECT�QR TEL. ZONE NO. OF TVP GROUP
ENGINEER I.A IN & MCKERRACHE RNo. Sy. 64 91 ^/9/ I PLANS I C
ADDRESS 2110 E. WALNUT ST. , PASADENA SETBACK LINE En/CENTER OF ST. 7 ���
TEL. REAR YARD SIDE YARD )til Q F
CONTRACTOR NEWPORT VISTA CO.NO. CR. 54361 �
DATE/J
APPROVE/%/' _ • V D-/f S
BY
ADDRESS 9361 WILSHIRE BLVD. , BEV.HILLS
LEGAL CORRECTIONS
DESCRIPTION I LOT NO. 121 I BLOCK 1712
(ATTACH METES & BOUNDS) _
TRACT'
SIZE OF LOT 70 X 110 NO,OF SLOGS.NOW ON LOT 0
USE OF NO. OF NO. OF —
EXISTING BLDG, FAMILIES ROOMS
DESCRIPTION OF WORK
X I ALTERATION I ADDITION I 0
NEWI n
O
REPAIR I I MOVING I I DEMOLISH I Z
BUILD! G_ NO. OF r
SIZE I C10 So.FT ROOMS 6 STORIES 1
WALL I ROOF COMPO
COVERING STUCCO COVERING SH I MOLES
USE OF RES BUILDINGNEW R ,Att.Oarport
APPROVALS
FOUNDATION: LOCATION INSPECTOR DATE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS FORMS. MATERIALS, �yj
//-
/ / `
11
APPLICATION AND STATE THAT THE ABOVE IS CORRECT UNDER-PINNING �J� .J
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FRAME: FIRE STOPS. /f 13 ,/,.3/
� / C(
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
BRACING. BOLTS -k.,. '/ jid
LATH. INT. 46 47:5y
SIGNATURE OF
PERMITTEE NEWPORT VI TA CO. LATH, EXT.
0
AUTHORIZED AGT. • PLASTER. INT. �
PLASTER. EXT. r ,...i �''/
',(v r
$ 5902.00 P. C. S 3/ __ 1 MASONRY REINFORCED /
FEE S �G
BOND BEAM
VALUATION
FEE FINAL Ij jV
4.- ' ./.l -,ey
— 1111
•
.
z w '1
PLOT PLAN .irOcc
a
O.
r,• +
•
•
f_f
_ Y
U
W
N Ii
STREET-
I.• I
f f
X11: ' V
•
II
. II
1