HomeMy WebLinkAbout374 SANTA ISABEL AVE - Building Permits r67 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
Al PERMI NO TRACT NO. LOT NO. UNIT N0. •
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ft'i CITY OF COSTA MESA CONSTRUCTION/ PERMIT f of 5/c 2 3314 10/31 /D5 J4tN. TL
A - Project A'ddress J 74 CAL)fP, �d AOA 1 rove /-
Applicant's Mailing�F��Jddresss / iff 3 4/ Attie--4/Al '/D TVPE OF CONSTRUCTION LI NEW U ADD LJ ALTERATION H REPAIR
/J, M-ft!' /P/�T Phone.�t'"o 41L'/ • ❑ CONVERSION El DEMOLISH ❑ OTHER A.P.# Zone
Owner's Name DESCRIPTION OF WORK/USE OF BLDG.
Address St-7w te' S Main Building: Accessory Building:
E Z
Arch/Eng. License No. TYPE OF PERMIT LI GRADING ❑ FOUNDATION ❑ STRUCTURAL T Front - o
Address ���j ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL B Rear - N
Contractor's Nam-7k ler t�lf/ml7:w/7 lir. Phon , - rff/'70 ❑OTHER A
[ PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N
Address lmailing),/5 3- li/I�///rr-4/A/ (4.OA I)elf.? K' G
L 1 C O N ST RUCTION TYPE VALUATION $ s Left R
City License No. C9 (� ZONE - GRADING CU.YDS. ACRES - E
LICENSED CONTRACTOR DECLARATION Ping. Ref. # Parking Req./Provided
• 0
I hereby affirm 7 0M1a[ am licensedion under provisionsBusnss 'Charter i (commencing Remarks: - Planning Notes: • M
with section 7000) of Division 3 of the Business and Professions Code, and
my license is in full fb qe a d effect. s
ed
Licensg Class License No. T
(�
Date V-.- ,S' Signatun G i - - / - PLUMBING FEES
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WORKERS'COMPENSATION DECLARATION /
61
I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers ELECTRICAL FEES
of Workers' Compensation Insurance, or a certified copy thereof (Section
-
3800, Lab. C.) Automatic Washer Transformer 0 15-50 KW -
O Policy No. n / Backflow Preventer Service Sink -�,F&L-0 Company3P</'//(JIC �,s Backflow Irrigation Sewer Ca 050+ KW
P .Construction Pole Sub.
Srtified copy is hereby furnished.
7 Certified cppy Jjs filed with the city Building iv/Siong Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
Date e '.1'x 'X:1 APPlicar !/(YI--I +r / _/j��y-.� •
EXEMPTION FROM WORKERS'COMPENSATIO DECLARATION Clarifiers Solar Collectors Dishwasher Meter ❑over 100 amps
(This section need not be completed if the permit Is for one hundred ($100)or
less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric 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 Fan
Workers' Compensation Laws of California. Motors 00-1 HP 01%-8
Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 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 Microwave - -
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY ' Gas Service Outlets Water Closet Device Boxes '
1 hereby affirm that there Is a construction lending agency for the performance -
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater . 06 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
following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal ;Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair , P—Trap Laundry Trays Generator ❑0-5 KW❑5.15 KW
any structure, prior to its issuance, also requires the applicant for such permit •
Trash Compactor
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). - • ,� c'
❑ 1, as owner of the property or my employees with wages as their sole -Reinspection Fee $15 Issue Fee $ 3
compensation, will do the work, and the structure is not Intended or offered7. Reinspection Fee I $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 Boiler Hood or Type 0 DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not Intended or offered foryP
sale. If, however, the building or Improvement is sold within one year of corn- Canopy Type I I 0 i Zoning Approved By - Date
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By _- Date
prove for we rof purpose f oe). /,(��1
0 I. as owner of the property, am(Section
contracting with licensed con- Duct-Structural Refrigeration System Application Issued By / Datp ll�!
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 ❑0-100,000 BTU 0100,000 BTU •
SUMMARY OF FEES
builds or improves thereon,and who contracts for such projects with a con-
tractor(s) license pursuan(to the Contractor's License Law). I am aware that El Exhaust System ❑ Multiple 0 System Repair/Alteration - BUILDING PERMIT $ SMIP $ • •
proof of their Worker's Compensation insurance should be provided to me. ' i PLAN CHECK -$ PERMIT O �
0 I am exempt under Section B.&P.C.for this reason Firepl/Fact.BR, ICBG# ■ Fire Dampers PLUMBING $ F-U ISSUANCE $ .•��'�-
' Date Owner Ducting- Heating System& Registers •
• PLAN CHECK 25% $ ENERGY P.C. $ -
I hereby certify that I have read this application and state thatthe above D t 00,000 0100,000 t GRADING $
information is correct. I agree to comply with all city and county_ordinances r ELECTRICAL $
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and state laws relating to building construction,and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $
sentatives of is city,to enter u the above-mentioned property for -
inspection o r sec. /21 (, /' MECHANICAL $ - TOTAL FEE $
Signature TY /qql _ 4,--:L-.%.1 Date9d ! -
Drivers' License or$5# Reinspection Fee $15 Issue Fee PLAN CHECK 25% $
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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 58. Electrical Conduif-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 & House Connection 62. Backwash & Receptor-Final
- 12. Sewer Cap 63. Heater & Vent-Final
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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 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
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32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: '6-756 C CT-CAa9 "Z :IO Le 47
/
34. Final Heating & Air Conditioning • (9-29r ,gyp out 4koInC. C vv ct__ 4 Pette
35. Final Gas Pipe-Test tc ; (ARC L 4a.
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
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co •
51. CERTIFICATE OF OCCUPANCY
No. Date
OWNER DOYLE & SHIELDS Development Co. , Inc. DATE 6-S_63
JOB ADDRESS 374 Santa Isabel Ave. fV BUILDING PERMIT NO. 19748
GENERAL CONTRACTOR Doyle & Shields' Dev.Ca., I c. VALUE $ 19,_540.00
AP No. LOT 164 :_ TRACT 31113 FIRE ZONE' DESCRIPTION OF WORK Res.w/att_gar•
INSPECTIONS Signature DATE GROUP I&T TYPE V ZONE
Soil 1^ PERMITS ISSUED ^-
' Gas 7 SUBCONTRACTOR DATE NUMBER
Watt __ 211i2tc(zy9-o 14 —__-_—__
Rough Corn. Refrig. 0 'Air Cond. 0
Rough Heating -' - ., . , A4 7 2 1963
Rough Plumbing .1 -(ter , v--,9,-43 ,� .
Miscellaneous �'
Prop. Swr. Line 11House Con. *St. Swr. 0 41#S /D Z Yi$ 4. HA-
Prop.
Sprinkling System
Construction Pole
Underground/ Power 0 I r 9 e a /7/&Y
Rough Wirin _ r-C,-• pkir 9 r t963 A • LIP
Trenches gr Forms,Z1' Steel Reinf. 0 1/...:-CAl- G'y-j7
Floor System _E 47/(i l3
Bond Beam ❑ Steel Reinforce 0
Sheathing 9-27--dr z p.
I.--
Frame and nlas ' g 1� ,.�- �� , 3 %
Lathing —In Out�}- Ute, /_f�- /3 (t
Plaster, brown coat
Refrig. 0 Air Con, 0 Final
Heating, Final rj z/-05'
Plumbing Fixtures, Final a /' jQ'(,ct '
__c'--
Final Gas Test /5-7;c td I-1./-hs
Electric Fixtures, Final _/_, _
Building, Final ' / 3h GH _
OCCUPANCY HOLD FOR SPE MAI RFC!ITPWMFNTS
Farm B114-5M-3-63--S-3 P `
.. 19748 FE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 9f] COSTA MESA,CALIFORNIA INANCE3D1963
EPT
For Applicant to Fill In Completely APPLICC Or0iclIO8€AITESA
TYPE OR PRINT BUILDING
&,„..,„,4
ADDRESS For Office Use Only
S
BUILD' .37y C V`� _l
ADDRESS � RECEIPT NO.
COSTA MESA, CALIFORNIA 9748
^ �/r/� 1,. /� RE 1 EDB LDATE RECEIVEEDem DATE ISSUED
OWNER `J&LI tY �I .1N/t'C Al' bell- (./A. TN C '✓/l �-4 J ISI 3 1963/�
ADDRESS $3I c.IAlAueHeS1-EQ AVSFIRE
MAIL AD sa o��'Y (_f�J� �[.GGLv ,
TEL. ZONE TYPE V GROUF�.�d
CITY /�vLA kilt C°AU P. No.12Q0 Zo
ARCHITECT ,P TEL. BTPROVED DATE
OR ENGINEER I•IA I C 7�I NO.27/ a l0
(•� ..�''Z1ONING A
ADDRESS JAI-A.,✓✓ lip. NO.OF� I USE OF �11� '.,yPLANS BUILD' G . 1CONTRACTOR SAP -V )) (w a i..DESCRIPTION L Q ,c • - reA Act- 33
ADDRESS SAPA.I
S.A.-IAA-Z.
�(�A (v
CITY LVLJ✓ A.P.NO.
((��
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE I�I`25-a B-I HO '!f(TR 2.-so2D 90"TO SIDE&REAR P.L.
LIC.N
EAVES
SIZE N }� •c� NO.OF BLOCS. ALLOWED (U.B.C.REQUIREMENT)
-OF LOT 3 3/\ j,S U NOW ON LOT
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
' (FROV}jrfREET)
SETBACK LINE FROM '1 FROM FT. FT.
CENTER OF STREET / REAR YARD "--- /'�\
SIDE YARD I LEFT `- I RIGHT-S. R.SIDE CD FT. FT.
,DEESCRIPTION OF WORK L.SIDE(( .) FT. FT.
NEW X ALTERATION _ ADDITION REAR FT. FT,
\ DISTANCE BET. BET.MAIN&
REPAIR MOVING DEMOLISH MAIN SLOGS. ACCESS.BLOCS.
BUILDINGNO.O ^J VAR.# DATE
SIZE 33X5-3..S-z) ROOMS / STORIES Z C.U.Pot# ,A APPROVED ///111
EXTERIOR WALL ROOF APPRCVE.,@II l/- �-6
COVERING `L(O I COVERING (e t. BY P• DATE,") V
USE OF BUILDING AND WORK
��TTTO BE PERFORM 4 C(y"
oelta 6-44445--
ntoC/n- 12 /g33 9Q.rr. 'fo a N
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SH W UNDER VALUATION IS FOR THE F
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF HS LISHING A PERMIT FEE ONLY. O
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATIONm
BUILDING CONSTRUCTION. 7 •�
PERMIT FEE $ EGG]✓ j
SIGNATURE OFFF���'''��Irrr�����1��. ...,,,...///��. RtiAdja �� 6
PERMITTEE y.Fd' /U lir
l Il' /�,r (�-{/. B
/I $ / 554/ A EC ei
t�
AUTHORIZED AGENT í? a. 4
TOTAL FEE $ 9//
B.
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