HomeMy WebLinkAbout1553 SANTA ANA AVE - Building Permits •
.' + • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. _ _ 16pGo CIL
CITY'UF COSTA MESA CONSTRUCTION PERMIT PERM NO. TRACT NO. LOT NO. UNIT NO. 0171 11 /24/B7
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Project Address 1553 Santa Ana Ave. I 3.1cRg10
Applicant's Mailing Address 126 Commercial Way, C.M. 92627 TYPE OF CONSTRUCTION ❑ NEW ❑ ADD LXI ALTERATION U REPAIR
Owner's Name Mrs. Dinwiddie Phone 645-2423 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# Zone
DESCRIPTION OF WORK/USE OF BLDG.Remove gravel roof,- apply
Address 431 Glouchester, C.M. 92627 1-15; felt 220; f' 4,474%! .
+ .. - 4 L-, II- - S Main Building: Accessory Building:
Z
Arch/Eng. License No. • TYPE OF PERMIT El GRADING ❑ FOUNDATION CI STRUCTURAL T Front ' • a
Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ' B RearN
Contractor's Name
Crank Bros. Roofing Phone 548-5565— ❑ OTHER A A Right N
Address(mailing) 126 Commercial, C.M. 92627 PROJECT DESCRIPTION 54. FT. 1,BOO OCCUPANCY aj ngl F' G
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, CONSTRUCTION TYPE____ giat VALUATION $ 1,$29.00 S Left B
City License No. 005993 ZONE GRADING CU.YDS. ACRESE
LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided
0
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: Ni
with section 7000) of Division 3 of t e Business and d' Professions••de, a • T
my license is in full force anffect. .
License ass C-39 License ••••41086 - - •- - S
Date — ar Signature AS./ �Vr
S PLUMBING FEES
WORKERS' COMPENSATION D i • RATION . Bar Sink - Showers . ELECTRICAL FEES
I hereby affirm that I have a cer ate of consent to self-insure or a cer'"ficate -
of Workers' Compensation • ance, or a certified copy thereof (Section Backflow Preventer
3800, Lab. C.) Service Sink
Automatic Washer Transformer 0 15-50 KW -
0 50+ KW
Policy No. 285/224 :7 ' Company State Fund Backflow Irri anon •
g Sewer Cap Construction Pole Sub.
4E- Certified copy is hereby furnished.
1 Cer i ted of i it with the city Building Division. Bathtubs •
Sewer Connection Cooking Unit Meter Duo to 100 amps
Date - ` Applicant Crank RrncL Rnnfi ng
EXEMPTION ROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Clover 100 amps
(This section need not be completed if the permit is.f or one hundred ($100) or •
less). Dishwasher Solar Piping Dryers ❑Gas DElectric Sub Panel
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 Drinking Fountains Solar Tank - FanMotors 00-1 HP ❑1'/:-8
Workers' Compensation Laws of California. -
Date — Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc Solar 09.15 HP 016-15+
NOTICE: If,after making this declaration, you should become subject to the —
Workers' Compensation provisions of the Labor Code,you must forthwith Floor Sinks Urinal Fixtures
comply with such ,provisions or this permit shall be deemed revoked. Microwave
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes •
I hereby affirm that there is a construction lending agency for the performance Pole Light
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets .Range
Lender's Name
Lender's Address ' - - Kitchen Sink - Water Service Switches Sign " .
OWNER BUILDER DECLARATION
I hereby affirm that'I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays ' • Generator 00-5 KW 05-15 KW Trash Compactor
any structure, prior toits issuance, also requires the applicant for such permit
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains '
the Contractor's 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 any applicant for a permit subjects the applicant to a civil '
penalty of not more than five hundred dollars ($500). $ 3
❑ I, as owner of the property or my.employees with wages as their sole Reinspection Fee $15 Issue Fee _ •
' compensation, will do the work, and the structure is not intended or offered - Reinspection Fee ! $15 Issue Fee $ 3 .
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES
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 own DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ •,
sale. If, however,the building or Improvement is sold within one year of com- -- - — Canopy Type II ❑ Zoning Approved By I Date
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date ' I /� I/�
prove for the purpose of sale). - (� a�
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date_ `
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU SUM RV EES '
builds or improves thereon, and who contracts for such projects with a con- co
tractors) license pursuant to the Contractor's License Law). I am aware that. Exhaust System ❑ Multiple 0 System Repair/Alteration - BUILDING PERMIT $ SMIP $ a
proof of their Worker's Compensation insurance should be provided to me. _
O I am exempt under Section B.& P.C.for this reason FirepllFact.Blt. ICBO# Fire Dampers • PLAN CHECK $ PERMITPLUMBING $ ISSUANCE $
Date Owner Heating System& Ducting Registers PLAN CHECK .25% $ ENERGY P.C. $
I hereby certify that I have read this lica• on and state that the above ❑0-100,000 BTU 0100,00067 ELECTRICAL $ 'GRADING $
. information is corre•a' agree to co with .11 city and county ordinances .
•
and state laws relat {• to building -- structi.n, and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $
sentatives of this c to enter po• the above-mentioned proper[ for _ /_ [ /✓1
inspection purposes. y MECHANICAL TOTAL FEE $ 42
Signature d !✓ ��� Date $ /4215-6 rJ�(f
Drivers' License /SS •—• Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING POOL&SPA
APPROVALS Permit# - Date Inspector APPROVALS Permit# Date Inspector
•
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location • •
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement •
•
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings {J 58. Electrical Conduit-Undrgrnd.
8. Foundation c 59. Gas Pipe, D Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, D Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
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
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating'& Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough FactorYii Fireplace APPROVALS Permit# _
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping D 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 " Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
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 _
47. FINAL STRUCTURE & BUILDING s/g 3. -*-
•
48. Special Requirements Completed C
49. Electric Release to Edison .
50. Gas Release to'Southern California Gas Co
r.
51. CERTIFICATE OF OCCUPANCY
No. Date
-OWNER COFFT AN, HENRY DATE 10-21-58 _
-
JOB ADDRESS 1553 Santa Ana BUILDING PERMIT NO. 7859
GENERAL CONTRACTOR Romar Builders VALUE $ 9,29/1.00
11t/1Fa-1/ LOT TRACT FIRE ZONE DESCRIPTION OF WORK Res. & Oar.
GROUP ' I & o TYPE V ZONE R-J. PLAN Na
INSPECTIONS • DATE SUBCONTRACTOR PERMITS ISSUED
DATE NUMBER
Trenches orm 1 Steel .1 j// ,
Floor System
Steel Reinforce/, ��/Chimney Re-Rod
Bo 2P/w-A.�Nl+�\• , G�1u-- /U/�'.SI
SG
Frame and Flashing `J le-- /w
Lathing, In Out �'/ C. 11 -.a- . %
Plaster, brown coat 9 / /..j P
Underground soi1�-c WIG Pipe estj. eV - 9-3%4
Top Out /o'O;r 'n
Furnace _ W M/9-64 - 7\
Gas Vents
VG
Rough Plumbing WflIEV ! - I
• -i - _ /,
Cesspool Septic Tank
Prop. Swr. Like'/_ Horton. St. Swr. //I id ti y ea--„.„44_24,4 if t/c y 1 y_Y 7-0 ek
�k
Sprinkling System { \
Heating Final - - f-Iq. y�
Plumbing Fixtures, Final i/�A A 1-f9-AQ i\
Final Gas Test /C,//r / PI/ ;. 24 0 1
Construction Pole \
Underground ' Power .fir ; \`,
Rough Wiring TJ /-1 -n' / - . 2 AX /' -7-SS '2 r'/ 9-B r\ 1
Fixtures, Final ..�'- I—7�9 1 I• \/`-i
OCCUPANCY I
Form 210-5M-1-57 7859
.iir
7859 FEE RECEIVED
COSTA MESA BUILDING DEPARTMENT
j0-f�010 SY
P.O. SOX 317 FINANCE DEPT.
COSTA MESA, CALIFORNIA
OF COSTA A ,�1
FOR APPLICANT TO FILL IN APY(CATION R PERMIT
ADDRESS ,Co.,o S,0,.v X4,42 Sr<< e- BUILDING
COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY
_ RECEIPT NO. PERMIT NO..
OWNER f/Ly/1/��y O A"�. /J/4". 2OS/
MAILc y_, //JJ Q/�j�///� R �E IIV�EED BY DATE RECEIVED. DATE ISSUED
ADDRESS /0--.7.$7 V/¢I✓•A 4d . leg- -�/ZCD /6 02V SQ AO-o(/ -SW
^' ,...n TEL. BUILDING
CITY 4/Sin /r/L / NO. ADDRESS
ARCHITECT LI C.
OR ENGINEER J/ NO. COSTA MESA. CALIFORNIA
/
ADDRESS B-/ /(p Op/47 FIRE
ZONE
-42
/ ZON ROOF TYPE GROUP
CONTRA CTO �.y�A.e�����/////�4�IIIII"���� 'ate,-`/�//J�Ci.-42. 7(317 vLArvs /�
ADDRESS�� i� / li„lI NO��O�3/.k By AP RO EDS/ TE `Q ZIP'
`EGA` NO. ^ CORRECTIONS
DESCRIPTION NO/. �3 BLOCK 7 T� Ilat
A.P.NO. / / / - / { [I//
SIZE �j O r NOW ON BLOCS.
OF LOT 0/3 NOW ON LOT a ppYYll
USE OF p
Ex ISTING BLDG. w�//r/Y CITY QI I'i}STA MESA
SETBACK LIRE F �'� L PLAN g IG DEPT.
CENTER Ov STREETM J.� REAR YARD
ElSIDE YARD KDBITI /aM1”' 6iAT /t ohO `` ''.•: �4 ...
DESCRIPTION OF WORK �+n_/./� • •ATE, d - " a
I I .- .w.• C..- . ...
NEW ALTERATION I ADDITION
REPAIR MOVING DEMOLISH
SIZIE DING g ., 33 ROOMS STORIES /
EXTERIOR WALL V�j ROOF •
COVERING COVERING
USE OF NEW ��
BUILDING p�-- ✓�is+[Y/aots , �Jq/".14.,(/
4....07 './f1S� e-47. /_/
/
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES AND 9ROMARSS VLERSVIEN CONSTRUC•
TION.
2430 NEWPORT BLVD. VALUATION 1/
PERMIT FEE S OC il / 0
SIGNATURE OF COSTA MESA. CALIF. i
PERMITTEE PHONE LI. 03..00 /)--)�
s
9 .79/S PLAN CHECK S •
AUTHORIZED �/[.� / TOTAL FEE S 34, A /F'91 velli