HomeMy WebLinkAbout641 SHALIMAR DR - Building Permits ADDRESS Of BUILDING: 641 SHALIMAR DR UMT: A CITY OF COSTA MESA — BUILDING PERMIT rrrru r4u; t- v71i7i
14NERSNAM wmcmi: ATEN, LEONARD JOHN NI ,
ARMS& 2303 RIVERSIDE DR PERMIT NO: P 071171 PLAN CHECK NO: N wL'T : i•, aver : 'sc.'
SANTA ANA,CA 9706
543-1977 CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: OTH
ADPL.MING ADDRESS
JOB DESCRIPTION : GAS REPIPE SQ FT :
ARCHITECT OR EIeNEER: LIC.NO.:
ARCH.ORENa'SADDRESS: uMT: CLAIM VALUE; CALC—VALUE : GROUP OCC; /
0wmAcTORSNAME: TOP NOTCH PLUMBING ( 909 ) 736-7980 COMMENTS ; X
CONTRACTORSMMIING 23681 VIA DEL RIO *##*************************#***** (.****### #********#####*####*###*#**####*s+A##
ADDRESS: YORBA LINDA CA uc.NO.: 609613 Z ONING REQUIREMENTS
92687 OMT: SETBACKS
LICENSED CONTRACTORS DECLARATION:I hereby Slim under penally d perjury Mall am licensed under provisions of Chapter 9
(oommandry with Section TODo)d Division 3 d the Busies end Professions Code.and my license ism lull force and effect. MAIN BUILDING ACCESSORY BUILDING
c C.NO.:
LW.CLASS: C 36 609613 EXP; FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN
Z ���o 'NS convector .x�r ,roo-4- LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN
Date: _Lt+'
0 RBUILDER DECIARATiON:Ihereby affirm under pendyci •-r' Ihalemexempt from lhaContrrionLicense Lae for th PARKING REQ: PROV; PA CEL : 42426307 INE; REF NO;
ow4p reason(sewn 7031.5 Business and Profession Code: '• a county which requires a permit to centrum.alter.improve. PLANNING N0T E B>
demolish,or repo any structure.prior to is issuance,also requires the applicant fa such permit to file a signal statement that he or she >
a licensed pursuant to the pronsons of the Contractors License Law[Chapter 9(commenting with Section]000)d Di46ion 3 d the �(
Business and Professions Coda]or that he or she is exempt therefrom and the basis for the alleged exemption.My violationd Section **********************************)1
an
7031,5 by any applicant fora permit subjects the applicant to a civil penally d net mete than liye hundred dollars[S5OOW DEVELOPMENT SERVICES REQUIREMENTS
❑ I,es owner of the property or my employees with wages as their sole compensation,will do the work.and the structure c riot intended
or offered for sale(Section 7044.Business end Professions Code:The Contractors License Law does not appy to an owned property
who buids or inproves thereon,and text does such work himself or herself o through his cr her own employees,provided that such ZONING APPROVED BY DATE;
improvements are net intended or offered fa sant.If,however,the building or improvement a sold within one yew d completion,the
purposeshe not for BUILDING APPROVED BY
7044, DATE:
o Pa°owner tithe;TheCoemesruUnoeLawdoeslicensed anownertocoMruaNe project ilr intovstheen andess as ,���
Pas owner Code:The same hely Satanist,does net appy to the
owner t aonstru also WE or impwes thereon and etso
contracts for such prgeds with a mntredor(e)licensed pursuant to the Contractors License Law). APPLICATION ISSUED BY: r DATE;
❑ I am exempt under Section: B.B P.C.,for this reason: ************************************ * *** ***********************• • **
*****************************************#**************#****#***####**#*****#*
Date: ownwLEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT:N
I do hereby testily Oaf I am aware of and understand the requirements el California Neagh and Safety Code Sadlons 25505,25533,end
25534,end that I or any Mure building oaupent will I will not(circle one)need to comply with said state codes and the requirements for
e permit la conetacton a modifiretionlanlM AiriSMEThirnagemsn District.Residential consucson epyfutior.ere exempt from Nese BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/AES GRADING
provisions. PERMIT 12 . 00
Date: Applicant: 25% SMIP/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: PLAN / `
ISSUE FEE 20 , 00
❑ Ihave and MI menial.acancan ol°marltot nninkgoakecomperedon,esProvidedlabYSaaon3lCOdtheLoin BUILDING—➢IV—> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code.for the pedamence d the work la Mich this pent is issued.
ElIhave and w maintain nco
takers' mpein nsation insnrace, required by Section 3700 d the Labor Code.for the d
the peence the TOTALS > 12 , 00 20 , 00 0 , 00 32 , 00 82 . 00 50 . 00
work for witch Na permit is Sued.My workers'compensation insurance center and policy number N:
Cartier. REVENUE DIVISION TOTALS--> COLLECTED ; 82 . 00 OVER/SHORT; O, CO
Policy Number. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(Th•' me need not be completed l the pant is for one hundred dinars($ew/or less.) 32 , 00
I tartly tai in the pedcmence d the work la which this permit is issued.I Mal net employ any person in any manner so as to '
beton.subject to the workers'compensation laws d CaMoma. . . .. the e I show to the workers' ********ef********************************#*#**********##***********##*#*****##*
I»vaxn provisions d Section 3703 of the Labor Code,I comply with tomes Z N D I V I D U A -L' F E E B R E A K D O ti') N
Z ' , 6 —,5- Applicant: y��.•/ •j
civil fines up Failure
pone hundred thousand (s10QOW coverage
j fedhe mato co lla 4 amine
prrovm e°'ro i� TYPE QTY D E S C R I P T I O N ', UNIT COST TOTAL COST
Section 3706 of the Labor Cods,Interest,end attorneys fess PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 5 . 00 5 , 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under petty of perjury that there la a construction lending agency for the PLU 1 GAS RE—PIPE 7 . 00 7 . 00
pedomnanceol the work for which this permit is issued(Section 3097.Cb.C). 'END OF FEES
LENDER'S NAME:
LENDER'S ADDRESS: •
I certify that I have read Na application and state that the abate information is owed.I agree to comply with aa city and county ordinances y
end state laws relating to building mr.puca
ion end hereby authorize representatives d this dry to enter upon the above-mentioned property
for inspection pu•• 4
...0" • / e•100176800-00176800 TOT 32.00
/j z /� Dale: ��' '�� DATE: 02/16/95 TIME: 11:42
Signature• w.Agent/A.• . ...Ueda
(5151-45 W P) White-Buili g A Safety;Green-File;Canary-Appicant;Pink-Revenue;Goldenrod-Assessor
CONSTRUCTION AND PLANNING ' POOL & SPA
Date Inspector t Date Inspecto9
APPROVALS Permit# APPROVALS Permit #
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 UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings - 58. Electrical Conduit-Undrgrnd. I
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. j 60. Backwash Lines, P-Trap, O Uncjr'grnd.
10. Structural Floor System 61. APPROVAL TO DECK_ •
'..P`operty 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 •r
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval '
`I 7. 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.StorageTank ❑Gas ❑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:
Cz 'r ;/.r 1t- ,... ,9
: �, 1 r l
_ kr j „ ,
34. Final Heating & Air Conditioning / -
35. Final ci
Gas Pipe-Test •7--'�'
�- d .�.
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Oomestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
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
.Costa Mesa Building Department APPLICATION FOR PERMIT
P. O. Box 317 al(1SZ BUILDING
"• COSTA MESA, CALIFORNIA 7 ' 1
�iFOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN 1 Receipt No. I Permit No.
AAddress&- / 5 c././.4 Matt- !- 'T/o� a�
Costa Mesa, California Received by Date7Recd. Date Issued
Nearest 401 -- // i /0? 01/ b
Cross St. /6"./,/7 . /67 a4 C's/AA. Building
Address
Owner ,///a,f/ Al lir O.v Costa Mesa, California
Mail
Address,(5f Y/ 7/r ili 3 /7?— Nearest
//� / /� Tel. Cross St.
City C.pS 7'G2/KCa.s& No/�,9-7tr.? Zone I No.of I Type j/ Groupe/
Architect or Lic. / Plans /7
Engineer No. Pro d�_„ '�_ /J �— .72,7,0 naw 1j e
Address / v %(�J , �,N
City Lic. A PP7S.r .'iltlY S
Contractor See///( C' No. (-A L,'U ' i'-�IL/
Address CITY OF COSTA MESA
Legal Lot Q 1 SSBs( PLANNING DEP1 .
Description I No. ' ! I Block
Traci SUBJ tCI IU uwG. L:PT. RCC.
(Attach Metes and Bounds) /(� `/O —O ^
! / I No.of Bldgs. �/�.� , �-”- ' DA I _L- —
Size of Lot 67,i—94. I Now. on Lot BY- •----,
Use of /T ��'+ ^ I No.of yl No.of >� — i:.7,N T CIL' tea`" A
ExistingBldg. , ? F,amilles� Rooma --' —"-- ._.
Setback Line from lig / Rear yard / �°• c° -NEN E ; —
Center of Street rj CJ Side Yard y, '— ` 1 - 1, A` 1 i4 �,� � j
DESCRIPTION OF WORK - ' — — '-r
New I �I t I..., f 1 r, -'
4 Alteration I I Addition I f,� ( II It I ; It% 1L 11�I)
f C. --$,., -
Repair I I Moving I I Demolish I _ - -
Building....7.,A,4,,g Roof /' it r-- T./J- �
Size Rooms p[ Stories v�- =�-- !','') '
Exterior Wall Roof //�� /�qj `/f '•n[n �3_
Covering 0 -7.a CZ .I Covering(�r,.• _../c?CK ' ' • 'ROV-AL-S l
Use of New ,(4�J / _��� !!
Building 7 S qy.� "esw/ r Foundation Location Inspector • Date
Forms,Materials,
�9/i l.- Under-Pinning pn
__ ✓J ramex Fire Stops, "� G
racing,Bolts �e 7- �,r�
I hereby acknowledge that I have read this Application p
and state that the above is correct and agree to comply Lath. Int.
with all City Ordinances and State Laws re luting /,��yry-✓ Al
building construction. //A. /� Lath.Ext. v_ "//
Signature of, ��" ` Cf'�" /J
Permittee Plaster, Int. [(f/
Authorized Agt. Plaster, Ext. p("/',/e T a /7 0
0
-
Valuation Permit Fee $ 44 0 - Masonry Reinforced ap/6 0 O.
/�I � 0 - Plan Check$ c2c — Bond Beam
$ / 7Total 0
Fee $ ‘ G FINAL v
!!no.,,fl. in co n P a n
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Street • •
• PLOT PLAN
Show location and distances from
property lino and between buildings.
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OWNER OLSON3 W1AM.A. - - O
7,� DATE 12-21-56
JOB ADDRESS fill Shalimar Pr. - BUILDING PERMIT NO. 11122
GENERAL CONTRACTOR Owner-builder VALUE $ 17,760.00
LOT u6-1822 BLOCK TRACT 1l Arta Ta/att 4 ear garage
GROUP H & J TYPE V ZONE Rh FIRE DISTRICT 11087
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER
Footing Trench 'I t , i-2- -C
Foundation Forms and Grade to Garag ,1• 1-2 -6/ 4.
Rough Framing - V i�/ 2_/- = // _
Plumbing,Rough to Slab ; } 6A.a ,::21;377 -,t - , /' Q-44-til >G /�� 74 0�5>
Plumbing, Rough Complete 11!4 5 )-)-I-57 <p_bait_ "vj- /L -� L-T` Ila O p,_
Temporary Pole -,_. i- r-7 .G :4 �
39 � , �J
Wiring, Rough FEB 1 1957 VCB , l �/ /_ . . /_c2g- 5, Ci 9/f
Heating,Rough do e-S /-a4-s7 AMBIT
Heeating, Final
/ieewer, House Sewer,St. , " /'fl'-S, [�n^Al /-�/Ste/ 2P
ii-- Septic Tank or Cesspool v, / .
Lathing, In Out ����LLLL,,,,uuuu��-�
Plastering R-/0`37
Plumbing,Final,Fixtures Complete 85 31-i9-S7
Plumbing,Final Gas Test J. 4 me5 , ,--7.-.5-7 /< - L:atccr s�_ 7 l�"j
P
, 1
Wiring,Final MAR 2 1• : I . /-c ;;---g--) -e�7F jL/-�
Occupancy [GAR 2 5 1957 VCR
FORM 210 3M 10.53 UNIT A 1422
•
e
OWNER OLSON1•WSLLIAM A. DATE 12-21-56
JOB ADDRESS 6111 Shalimar Drive BUILDING PERMIT NO. #14122
GENERAL CONTRACTOR Owner Bldr. VALUE $ 17,760.00
LOT AP116-182-02 BLOCK TRACT 14 apts w/att. 4 car garage
GROUP H '& J TYPE V ZONE Rl4 FIRE DISTRICT 4087
PERMITS ISSUED
INSPECTIONS DATE
EESUBCONTRACTOR DATE NUMBER
Footing Trench j� 1-1-5-7
An
Foundation Forms and Grade to Garag N4 1-Z--c7
Rough Framing I(,r 2-1-y/
Plumbing, Rough to Slab cft 0.; I -t-f9 _ ., ,' , ea____:„ D--26- S%_( o 01 ---
Plumbing, Rough Complete (i K -. I-S a -1
Temporary Pole
Wiring, Rough FEB 1 1957 VCB`, aAAffit--, _ i - -7 c31/,9 --- _
�yJ y
Heating,Rough "/L"-S I-2-I-6 7
Heating,Final YhG„5 3-/jiSJ-7
Sewer, House Sewer,St.
Septic Tank or Cesspool �tL
Lathing, In)( Out X cri ' Z -7 -
Plastering .2,,,/0-S1
Plumbing,Final,Fixtures Complete GSi 3-11i--j-2
Plumbing,Final Gas Test I g i �W
vw 2 ---pi: C •- t; . 5:�� 5�•.4-, C/ii-15
Wiring,Final MAR 2 + ,- ---C-F-. Art /a(--
Occupancy MAR 2 5 1951 1 : , B
FORM 210 3M 10.55 UNIT h1221
OWNER OLSON- WTIJTAM A. CJ DATE 12-21-56
JOB ADDRESS 641 Shalimar Drive BUILDING PERMIT NO. r/4422
GENERAL CONTRACTOR Owner Bldr. VALUE $ 17,760.00
LOT AP116-182-02 BLOCK TRACT 4 apta w/att. 11. car garage
GROUP H & J TYPE V ZONE R14 FIRE DISTRICT 4087
PERMITS ISSUED
INSPECTIONS —�} DATE SUBCONTRACTOR DATE NUMBER
�1,
Footing Trench .7 •71F' 1-2. -S
Urn
Foundation Forms and Grade to Garai Vitil/.3-s1
Rough Framing di.oill' -,-S9
Plumbing,Rough to Slab( ztI _ ,�>,�ci _ L.& 74iam� f,2-aL-s 740
Lac
Plumbing,Rough Complete ____3__-1,x.1..37
Temporary Pole _
Wiring, Rough FFB 1 1957 VC0 ) fa-i e?,---�- /-a9-,S_� ,37,-?-0 —
Heating,Rough 4! G5
Heating, Final kbi &6 -O -A
Sewer, House Sewer,St. ��``��
Septic Tank or Cesspool
Lathing, In."( Out.V '-.. • a -7 :
Plastering •.49-r/
Plumbing,Final,Fixtures Complete t ,/ail C`7, _ r
Plumbing,Final Gas Test /..51:1-• WV'S 3- _,y'/ - 06.-".' . , Ci It iit,
Wiring,Final MAR 2 , •57 VCB ` e.4 ". .-f-, j:lr 5dc/3
Occupancy MAR 2 • 1951 VCB
FORM 310 3M 10-55 UNIT C 1j122
D •
OWNER OLSON,-WILLIAM A. DATE 12-21-56
JOB ADDRESS 641 Shalimar Drive BUILDING PERMIT NO. #4122
GENERAL CONTRACTOR Owner Bldr. VALUE $ 17,760.00
LOT AP116-182-02 BLOCK TRACT 4 apts w/att. 4 car garage
GROUP H & J TYPE V ZONE R.4 FIRE DISTRICT 4087
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
DATE NUMBER
Footing Trench 10 ' /-3'6-7
Iv
Foundation Forms and Grade to Garag sa /—.1-6-
Rough
-1-6-
Rough Framing LV: 2-/-c9
S/ /
Plumbing,Rough to Slab 6q!_. W /-.- 7 A c'� J f /2-02('- c4 76 o 5/—
Plumbing, Rough Complete we e--5 p a-i-17
Temporary Pole ,G�
Wiring, Rough FEB 1 18a�.n G/1a1R . . /-.29;5-7 c3 9ai
Heating,Rough
N"I Cis ['d.[-J
Heating,Final Ste 5 Z-l9-S)
Sewer, House Sewer,St.
Septic Tank or Cesspool
Lathing, In Out air may— 7
Plastering dr 49:5/
Plumbing,Final,Fixtures Complete /4 O-S 347--S 7
!
Plumbing, Final Gas Test /4 fines 3. . - ` ---- (r.([�-/• :Jr' 7 21 �.'
Wiring, Final MAR 25 1957 VIII` " - - ' -w--" eigSair d)l
Occupancy MAR 2 5 1957 V
FORM 210 3M 10-55 UNIT D 11122