HomeMy WebLinkAbout160 ROCHESTER ST - Building Permits AOORESS°F BUILGNO: 1bV KULi1LSILK S1 CITY OF COSTA MESA - BUILDING PERMIT
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OM NAME OYItf: TERRY LORNZEN PERM NO: 6 085804
ADDRESS: 160 ROCHESTER ST
COSTA MESA,I_A 7LbLb WIT:
PERM11 IVO: t1 U0 5If V'1 PLAN CnLLr NO: IV GOVT: N SUPP : N
%IAPPL IwIINO ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: O1H
ARCHITECT OR Ev9NEER: UC.No. JOB DESCRIPTION I/O RESHEATH & REROOF W/40YR COMP . SQ FT: 4 , 000
ARCH.OR No's ADDRESS: LINT: CLAIM VALUE: 4 , 000 . 00 CALC-VALUE: 4, 000 . 00 GROUP OCC: R-3 /
DE GRAFF CONSTRUTION ( 714 ) 642-4305
CONTRACTOR'SNAE --- - -TS SMOKE DETECTORS
Cp41RACTOR4YNlplO _11 V1 Val-lORIA S1 COMMENTS : SMOKE ARE REQUIRED IN EVERY BEDROOM & HALLWAY
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ADDRESS:
0°R `JLbLb UC.ND:
Wit K ZONING REQUIREMENTS
SE ' BACKS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under primly of perjury that I are licensed under visions of Chapter 9
(commencing at Section-700M of Division 3 d N0 Business and Professions Coda=LAWS sin LIU end effect.
CITY arc.NO.: LIC.ua CLAse: b uC.No.: bU /]L7 L VL/7f1 MAIN BUILDING ACCESSORY BUILDING
//,/�3 9„7—// LLAA FRivl: F1 IN REAR: F1 IN FRivl; F1 IN REAR: F1 IN
0 //_ / _ Contractor: / '/• LEFT : FT IN RGHT: F1 IN LEFT: FT IN RGHT: F1 IN
ER BUILDER DECLARATION:I Mnby ei m under penally d perjury that I em exempt Iron the tractors License few la the PARKI 1 NL7K E YK V V : PARCEL : 4254.1503 L N E: KEY NO:
following reason ISadion 7001,5 Buscity a Ss and Professions Code:Any city county which requires e h pr
to construe!,eller,improve.
u
demolish,or repair any structure,prior to its swans,also requires the applicant for such permit to file a signed statement that he OF end PLANNING N V 1 E S>
'is licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commenting with Section 7000)of DNbion 3 d the > '
Business end Professions Code]or tha he Of she G exempt therefrom end the beth for The alleged exemption.My violation of Seam .................................... ........................................................... ..
7031.5 by any applicant Tor a permit subjects the applicant to a deg penally d not more than the hundred dooms(S500D. ii ie ie iciivvyiwscrwieieieie iew�exyesexxx+cle'e:csrwle�c'c:e ie ii ii nse isstac"c:cleie rca'a:a:asest:is se a'a sc sc ie 7c a a a ii ie is ie x ivieie ie ii ie ii
❑ I.as owner of ted PnPMy or pe employees with wages as thei sole aenpealon,will do the work,and the structure a net intended D E V E'L OPMEN T SERVICES R E Q U I R E M E N I. S
Or offered for Sale(Section 7044.Business and Professions Code:The Contractors license lawdoes not apply to en owner of property
who buNb or improves thereon,and who does such work himself or herself or Sough his or her own employees.pto+ded the such
improvernens we not intended or offered for tale.If.however.the building or inproement is sold within one yea of completion.the ZONING APPROVED BY DATE:
owner-builder will have the burden d pawing he or she did nor bold or improve for the purpose of Wel.
❑ BUILDING APPROVED BY
1,uownerdted: eCoamtr exclusively contracting Iapptoconownertowreuuato pupar improm seoand
DATE:
Professions Code:The Cs with a license Law does not span to en owrw d DLn wed w). a improves thereon and who .
centracs ler AAA prepcts wit a wntnmor(e)leaned pursuant to the Contractors License few). _ --- I -,_ T I-N I_SUED - I
o Ism exempt under Sectim: B.A P.C..ler the reason:
APPLICATION ISSUED BY: DATE:
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D ale: Owner: LEGALIZATION:N F E E SUMMARY STRUCTURAL S 'GMENI :Y
I do hereby candy mita I am aware d end understand the regdremmMb d Cations Health and Selly Code Sections 25505.25510.end
25534,ed Nati a any Mas Wading occupant wig f will not(GUM aa)reed M comply with said state codes and the nqubemets b BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMTP/RES GRADING
e permit for rnutmction a modification from the Airy aagemnen District.ResidentialwMrwun applications ere exempt from Nese PERMIT 87 . L5 U
provisions
SMTP/NON-RES
Date: Applicant: PLAN_ ___
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally d perjury ane of the following declarations: ISSUE FEE E
❑ I have and MI maintain a cerldicaled want tosefirsure Nr workers'compensatin,aaprwided la by Seaton 3100 el the Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAIL DUE
Code.fo thpedormaae d to work to which Nugrmila issued. TOTALS----> 87. 75 0 . 00 - 0 . 00 87. 75 87. 75 . VU
C 1 have and veil maintain workers'compensation iarance,es required by Sediw 3700 d the Labor Code,for IM performance of the •
work for which this permit is seared.My wakens'compensation insurance carrier endwliry number are: REVENUE DIVISION TOTALS--> COLLECTED: 87. 75 OVER/SHORT: . 00
CBO1er: BLDG PMT PLUMBING' ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
Policy Number: 87. 25 . 50
,his ion need not be completed I the petrel is for one hundred dollars(Al 001 or Mss.)
ment'that in the PMomarce d thewok for which this Permit s issued."ha ret em aT an5'manner w ssn TF w w w w www sr se t'e
subject to the wakars'wmpenWm awed Cel and leg Ihatlfl Id to led woM1en' ............IT ie ie iFw wwwwwwsi ii ie it it rine ii ie ii ii ii iixilii xis ii iexii ii ii>riii<ii ii ilii:xi ii ii ii ii ii ii ii ii ii ii it ie ii ie ie ie it ie iix ie iix ii ie it,ie
ion provisions d SSeedon 3700 d the Labor Colt!, con wed INDIVIDUAL _ FEE B R E A K D O NI N
/ate: -' Applicant ..
TYPE Q1Y D E S l- K 1 Y 1 1 O, N UNIT COST TOTAL COST
Mg:Failure to secure workers'wmperwtlon sworn*Is unlawful,and shall subject an employ to criminal penalties and
civil fines W a nos hundred thousand dollars psalm*M saltation b the cosi of compensation,damps as p1wvMW for In
Seam 3706ofthe Labor Cods,Mine,and ntornen1St SFR 4000 REROOF BY VALUE RESIDENTIAL NOLONE 1 . 00 4 , 000 . 00
END OF FEES
CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that here its a camnwun lending agency for the
performance d the work for Midi this pent is issued(Seaton 3097.CW.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I cents that I have read this eppfralion end state that the above information is cooed.I agree to comply with all city and maty ordinances
and state Ian raking to bWdirconmudion and hereby attendee representatives of this city to enter upon the above-menti red progeny •
for inspectiwnapwes.Mi, ICii EL DE GRAFFI 9 - 01 )
,_I� (� - 11-19-1997/63:32 HII/$87.75
RC
, i Dale:11_► — 1 , A PERMIT:085804iT
Ela
t
Signatureof Ownerl/pa A--icanVC red I
�._
(5151-41.WP) While-Banding A Salary:Green-FM:Canary-Appicant:Pink-Revenue;Goldenrod-Assessor
_rte _
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 UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
r
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 & Houie 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 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 PREY. 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: 12 _'Q, 41 Ivo _Toe cita.D
• 34. Final Heating & Air Conditioning _ L. /
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. 0ackflow Preventer
43. backflow Irrigation •
44. Landscape Irrigation System
45. Sound Attenuation •
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING fl} _33-91 _•
48. FINAL PLANNING s� .
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
CITY OF COSTA MESA
PA1 FEES N2 172
Fee Payment Receipt
Project Address /(Oc 1 —/ ?4j- sf �l f B Park Area _3
A. P. No. /!/ 7 —Ng —O3
Building Permit No. //53-
Owner's Name " t1 e( S
Mailing Address- - if EA_ co. ' .- —fa:-
FEE
Single Family * No. of Units @ $455.20 =
Multiple Family ** No. of Units / @ $321.32 =
Total Fee
CC-4e°-
/-
y c '• ��—
Planning Department Approval Date 4—.0.19-96// By L- C-4 °-
Applicant's Signature ,1 a.l-�_-c,c) 6�..AA
* city Ordinance 72-44
** City Ordinance 72.45
••* City Resolution 74-124 a�1 ny
White-Planning;Canary-Planning;Pink-Finance;Goldenrod•Applicant CMF 0174-26 cotti It1 i Y(✓'1
vnl\Ln CROSS _Jerry .'Mt 4-29-76
JOB ADDRESS 16) Rochester Street BUILDING PERMIT NO. 41536
GENERAL CONTRACTOR ,.,.. - r. . DESCRIPTION of WORK ,t - -
1P ''o. 117-114-03 LOT TRACT FIRE ZONE VALUE E ..I" •
'SAIDI?1 ECTIONS Signature Dote TYPE V GROUP I & J ZONE R-2
F• • - PERMITS ISS E
�� SUBCONTRACTOR
WATER Date Number Signature
t 6 Plumbin t /
ROUGH PLUMBINGG� L•0 4 -q /rA�.11«�.- ! -3-yam 49ot2
PROP. SWR. LINE 4�.2 HOUSE CON. �,p 7.3➢
SPRINKLING SYSTEM
n`•� MISCELLANEOUS
ROUGH
A
D AIR
\ TEMPORARY ISERVI+CE OR POLE CONDITIONING
UNDERGROUND E POWER 0
k,IROUGH WIRING Heating and Vent.
TRENCHES 0 FORMS IA. STEEL REINF. I� / t /�. A�
_at &_zq,- < /2 7
FLOOR SYSTEM - ..nteI P st . 'S 3-716 /24 ( �e
BOND BEAM In STEEL REINFORCE fl '�+"Ol
SHEATHING _
FRAME AND FLASHING
LATHING — IN n OUT El
PLACTER. BROWN COAT
•
5' 'URAL, FINAL
HE...,NG, VENT.. REF RIG. AND A.C., FINAL CILS ./V. ,, ft.M_. .r._ jO V1J�,/y' .5"--4-IL 96 Si
PLUMBING, FINAL AND GAS TEST L�Yj�t7 fob
/ //
ELECTRIC. FINAL Q� S'.
BUILDING. FINAL - G . A
`e«ia ems..'„er..`"” . i Jit_ /_
vol
41536 tPR —8-76i1q:00 453* ****60.6°
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely – Use Ink Only
ADDRESS , �. 40 • • ,� ,�. RECE 9D/r� DATE RECEIVED
n �s •�
BUILDING C rr l//AWG
Jrr i� a054; –/ �.3 PE-MIT O.
OWNER �/ A.P.NO.
1 . BUILDING ' B
ADDRESS '7e /i 5/ lrLJO(� • 5.7
AD , ADDRESS 0 . �QG e� !
��,
CITY l ne 5774 /71F co NoL3-v64: id LOT ,n
CONSTRUCTION NEW ADD ALTER REPAIR MOVING DFMDI ISH •
LENDER /UD AJ C- • ‘Nix/)
BRANCH T,pr et/OWNER \ e 0., s
ADDRESS - /+/yam �,s _VA en
ARCHITECT TEL. USE 1 '�.,J CVer –!�.(,r_VALUE
k/' Poi
OR ENGINEER N . r/E _ 4'
FIRE
ADDRESS ZONE VP GROUP
!� APPROVED ' /
CONTRACTOR O/. ink- /R../(,0E6.. BY 1 ✓ DATE /
ADDRESS __ /'•,••�'�� S
TEL. • ' • • USE OF NE . ����. ir4 42
CITY 0 • 49 y kg S NO. ` V'S _ BUILDING _ AP,
�y STATE CITY '• "• • R• "• Ile.I•
R LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY • F
W SIZE ISO.OF BLDGS (FROM
0. OF LOT so x I //� 1 NOW ON LOT / O _'
Q USE OF ^^ 7
r./) EXISTING BLDG. ``E(,L,j7"rA L +_00 0 66 R.SIDE 5 FT. FT.
N
= Separate permits are required for L.SIDE STY. FT.
electric,plumbing and heating work. /j
W I REAR GPO FT. FT. In
I.. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& ,. l
'_ • MAIN BLDGS.
/ ACCESS. BLDGS.(,f) Q �// fig',
DATE
a �Ez7[a 'N OU'IC : CURP. ��y ew•–•74 4 APPROVED 7"w/P��/r/ -74
y ROVE l/K! ` DATE .a –/ C'7
, . t • SPECIA REQUIREMENTS
d . I hereby acknowledge that I have read this application and state
n
x that the above Information is correct and agree to comply with r co
A. all laws regulating building construction, end I shell not employ
Z any person in violation of the workmen's compensation laws of °QIZi
G0
fal the State of California. �/t
SQ. FT.
I hereby certify that I am properly licensed as a contractor under J�tO
the State of California Business and Professions Code, Division 3, ' THE AMOUNT SHOWN UNDER VALUATION IS FOR m \V
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: "-•
am exempt from the provisions of the State of California Business 'a
VALUATION PERMIT FEE <
and Professions Code, Division 3.Chapter 9. $ us \
PLAN CHECK $ S " Q O 0 (\
Signature of J�Q �] _ 7 LL
Pe nature ......eat
.._,$)
•. �� $ 2 / �t�D TAX $ 7/ • ' f IL
l/ U+7NV
Authorized Agent • TOTAL PAID $ O •
PM ——
4-15 3 TPR ?c-76F„'- °001632 d***118.00
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
Al'P CA ION FOR STRUCTURAL PERMIT
For Applicant to Fill in=mpletely — Use Ink Only RE.
ADDRESS
BUILDING Maroc
j r OC All ir
1
PE-MIT NO.
OWNER r / env ,2ocS - A.P.NO.
MAIL \/ BUILDING 6 6o IP repo 'SJ
ADDRESS ADDRESS OC
TEL.
CITY NO. TRACT LOT BLOCK
CONSTRUCTION NEW I ADDI ALTER I REPAIR 1 MOVING DFMOI ISH
LENDER /J n`/ //1/J
BRANCH OWNER \ (�./L/C't `/t(.,QYr
S
ADDRESS
VALUE
ARCHITECT TEL. USE II���"
//G�i $
OR ENGINEER NO.
FIRE
ADDRESS ZONE TY E GROUP
APPROVED
CONTRACTOR BY DATE
ADDRESS ZONE INO.OF USE OF NEW
TEL. PLANS BUILDING
CITY NO.
.F. STATE CITY YARDS APPROVED YARDS APPROVED
5 LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
Ixl SIZE NO.OF BLDGS. (FROM C/L STREET)
0. OF LOT NOW ON LOT FRONT FT. FT.
a USE OF
„�.r EXISTING BLDG. —&SIDE FT. FT.
C/1
FSeparate permits are required for L.SIDE FT, FT.
electric,plumbing and heating work.
WREAR FT. FT.
[.. USE OF BUILDING D WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
APir MAIN BLDGS. ACCESS. BLDGS.
.~.1 f /' /.I�r/'rmel //� VAR.#
C.U.P.qp DATE
a �/ APPROVED
APPROVED
). _BY DATE
.4
a
w
i:14 I hereby acknowledge that I have read this application and state n
N
Cd that the above Information is correct and agree to comply with a
0. all laws regulating building construction, and I shall not employ i
Z any person in violation of the workman's compensation laws of o
rr'C•W the State of California.
I hereby certify that I am properly licensed as a contractor under SQ. FT. n
the State of California Business and Professions Coda, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR CO
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT F
am exempt from the provisions of the State of California Business 1p
VALUATION PERMIT FEE $ o
and Professions Code,Division 3,Chapter 9. m
PLAN CHECK $ en
0
Signature of
Permittee $ ......„...yerr
TAX S U.U.
U
Authorized Agent TOTAL PAID S//,