HomeMy WebLinkAbout259 ROSE LN - Building Permits 111111.
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
t P RMIT NO. TRACT NO. .LOT NO. UNIT NO. / LI
C(-3v0 OTA MESA CONSTRUCTION PERMIT j ,�� �3
Project Address 259 Rose Jet .L� �� MAY 17 1988
Applicant's Mailing Address 126 Commercial C.M. 92627 TYPE OF CONSTRUCTION 0 NEW lWyy ADD LJ ALTERATION U REPAIR - '
❑ CONVERSION El DEMOLISH IOTHER
Owner's Name z: Sandra Godfrey Phone 548-6076 DESCRIPTION OF WORK/US OF BLDG. Remrock Of appl V ' A.P.# -_ I Zone
Address 2 s Rose In - C M 1-28# & 2-11# felts wlovehot apshalt and rock New metal S 'Main Building: CIT ' e(3(Li I ISJA Z
Arch/Eng., License No. TYPE OF PERMIT ❑ GRADING LJ FOUNDATION STRUCTURAL T Front O
❑ TENANT DI ELECTRICAL ELECTRICAL ❑ PLUMBING ❑ MECHANICAL
B Rear N
Contractor's Name Crank Bros Roof i ng__phone 548-5566 '❑ OTHER Sill E C Right N
196 C nmmerc`i al C M 92627 PROJECT DESCRIPTION SQ. FT. 2500 OCCUPANCYX$XZ K 9 • G
Address(mailing) CONST RUCTION TYPE residential ,VALUATION$ 3281,00 $ Left
City License No. 005993 ZONE GRADING CU.YDS. ACRESR
LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: Q
with section 7000) of Division 3 •••• the Business and Professions ,ode, and M
' my license is in full force and effect., ./ - T
License Clas - • LI y�y .�:•• S
Date- Signature .I.. //. 1 PLUMBING FEES
r- WORKERS'CO ENSATIO- •-CLARATION Bar Sink - Showers /
l hereby affirm that I have a ficate of consent to self-Insure or a certificate ELECTRICAL •
FEES
Workers' Compensatio' surance, or a certified copy thereof (Section
Backflow Preventer Service Sink Automatic Washer Transformer
❑ 15-50 KW
MO, Lab. 2s5/224-88 r St. - I _ _ _ '
policy No: C•• pony % d Backflow Irrigation Sewer Cap • Construction Pole Sub. 0 50+ KW
Certified copy Is hereby furnished
NN XXCer c fit w" t e j mr'js!: . ,I _ Bathtubs Sewer Connection Cooking Unit Meter Cup to 100 amps
Date �"� PPii O �r,_..a L,,:e� _�•• •••;• '
Clarifiers lar Collectors
.• EXE TION F ROM KERS'COMPENSATION DECLARATIONDishwasher' Meter Dover 100 amps
(This section need not be completed if the permit is for one hundred ($100) or
less). - Dishwasher r - Solar Piping Dryers OGas ❑ElectricSub 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. - �_ ors❑0-1 HP ❑1'h-8
Date Signature Floor Drains: . . Swimming Pool w/Spa - -
NOTICE: If,after making this declaration, you should become subject to the F.A.U. Inc.Solar 09-15 HP 016.15+
Workers' Compensation provisions of the Labor Code, you must'forthwith Floor Sinks Urinal.'w 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 Clv. C.) Interceptors Water Heater
Lender's Name Outlets Range
Lender's Address Kitchen Sink _ Water Service • Switches Sign OWNER BUILDER DECLARATION .. 9
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 '
any structure, prior Lb its issuance, also requires the applicant for such permit Generator 00.5 KW 05.15 KW 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 .
• -efrom and the basis for the alleged exemption. Any violation of Section
h5 by any applicant for a permit subjects the applicant to a civil —
dty of not more than five hundred dollars($500).
U I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
compensation, will do the work,and the structure Is not intended or offered -
for, sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL Reinspection Fee $15 Issue Fee $ 3
License Law does.not apply to an owner of a property who builds or improves _. ._ - - _ FEES
thereon, and who does such work hlmseli/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 0
sale. If, however, the building or improvement is sold within one year of con- Canopy Type II ❑ • Zoning Approved By Date
pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground �•v ,
Prove for the purpose of sale). Building Approved By 2 i/_��T//i.//1 Date ,/
U I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By JIM Date -g /7-9"0
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 • ❑0-10s,000 BTU ❑100,000 BTU SUMMARY O FE .
builds or Improves thereon, and who contracts for such projects with a con-
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tractors) license pursuant to the contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ stem Repair/Alteration BUILDING PERMIT $ .00 SMIP $ ''SU
proof of their Worker's Compensation insurance should be provided to me. _ • PLAN CHECK $ PER
0 1 am exempt under Section B.& IT
P.P.C.C.for this reason Firepl/Fact.Blt. ICBG# I/ Fire Dampers ISSUANCE $
PLUMBING $
Date Owner A Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $
I hereby cer that I have read t•'. applied, and state that the above 00.100,000 BTU 0100,00013TGRADING $
information .rrect. I agree to ply wicity and county ordinances ELECTRICAL $
and state I- elating to bull•' fconstru on, and hereby authorize repre-
sentatives - this ity to .,. upon ` above-mentioned property for PLAN CHECK 50% $ MICROFILM $
inspection ir• / `5 ', MECHANICAL $ TOTAL FEE $ "SO
Signatur /^gr / Date /'� •
Driv4'icense or SS • '- • Reinspection Fee $15 •Issue Fee $ 3 PLAN CHECK 25% $ •
CM`'5-46,rev. 10/84 White - Building; Canary -Applicant; Pink.-Accounting:Goldenrod - Assessor
CONSTRUCTION AND'PLANNING POOL &SPA 1\I
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 Conduit-Undrgrnd. ,
8. Foundation • - 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd: f ' 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
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 i 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
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25. Roof Sheathing 74. Oveihead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
r
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77.,./FIXED SYSTEM FINAL
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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 ' f
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 SAVO tar t"
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY '111
No. Date _
OWNER SZLAVIROVICS, Jozsef DATE 8-18-75
JOB ADDRESS 256 Rose Lane BUILDING PERMIT NO. E4O435
Gr"ERAL CONTRACTOR ol+ner/Bldr. DESCRIPTION of WORK Patio Cover & glass door
'^ A .. 118-151-01 LOT TRACT FIRE ZONE VALUE $ 910.00
0."l INSPECTIONS Signature Date TYPE V GROUP f ZONE R-1
SOIL PERMITS ISSUED
j GAS SUBCONTRACTOR f
Date Number Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE ❑ HOUSE CON. 0
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND 0 POWER ❑
ROUGH WIRING / Heating and Vent.
TRENCHES 0 FORMS n STEEL REINF. • ilr 7 ss
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING •
LATHING - IN r] OUT In
PL 'R, BROWN COAT
Si ;URAL, FINAL _
HEATING, VENT.. REFRIG. AND A.C., FINAL ��° I •I.7G, 4
PLUMBING, FINAL AND GAS TEST n
ELECTRIC. FINALL / 7g
OWNER DIKE & COLEGROVE / DATE I2-28-55
JOB ADDRESS 259 Rose Lane BUILDING PERMIT NO. 2208
GENERAL CONTRACTOR Dike k• Cnlanrnve VALUE $ 8,500.00
i__ r 113 BLOCK TRACT 2562 Residence & Garage
GROUP I TYPE V ZONE 111J FIRE DISTRICT 2223
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
_ i � � / DATE NUMBER
Footing Trench ?d / i 5 Va
Foundation Forms and Grade to Garage
Rough Framing , f ��
Plumbing,Rcuglit ab r9i / / WS
Plumbing, Rough Complete 14-4/5 .— 9 ,, . (1 /A? ezettr�h' .-4.--' �2L/« s/5/oo
Temporary Pole
Ade
-f y)
Wiring, Rough �.- - / a..nntfl-n/ -ate S6 a o o 9
Heating,Rough
/�Heatin , F• al /
VSewer, e •P Sewer,St. tZ /� t�L.1 �_�df-S 6 -VyZ 7 --------.
r_-.tic Tank or Cesspool
s �J ti
ling, In Outx �//S E a.%27 - JG
Plastering Z-6-6 3 -/.2-7-e;"
• Plumbing,Final,Fixtures Complete/� (,t d / 1/ /7 rJ_ ,—
Plumbing,Final Gas Test igpl _J Op nags,. ,MA'
Wiring,Final AO d . , D
Occupancy e1"' At rr I r
Form 210 G-H 15001-55
:Costa Mesa Building Department 2 •
' 'PLICATION U I L D �FOR
PERMIT
111 EAST 20th STREET 11
`, . COSTA MESA, CALIFORNIA
•
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL INReceipt No. Permit No.
AdBuildidressng 2 9 Rose lane I I a�a O O
Costa Mesa, California Re d by Date Reed. Date Issued
Nearest /2-;7-Ss is a 8-ss
Cross St. 21st St. & Orange Ave. Building
Address
Owner Dike and Colegrove Costa Mesa, California
Mail
Address 0.9 E. 17th Street Nearest
Tel. Cross St.
City Costa Mesa No. Li 8-1179 Zone /J V/.I No.of I Typo. I Group //
Architect or Lim l�er Plans �y
Engineer Carl . nn A MiririlehrnNR• Approved
by Date
iress Garden Grove CORRECTIONS
City Lic.
Contractor Dike & Colegrove No. 2707
Address 419 F. 17th St., Costa Mesa
LegalLot I
Description I No. 43 I Block I Tract2562
(Attach Metes and Bounds)
Noldg
Size of Lot 801 x 801 INow.ofonBLots. none
Use of none I No.of 1 I No.of 61 / ' . . -I u 700
Existing Bldg. Families Rooms 2 -
Center of Streetm 501 SidRee Yard rd 2$5151 .4-S� - }-. /jf I�, >
DESCRIPTION OF WORK
`\`� e/{ `� 'r
• /y
New I X I Alteration I I Addition I /l/. 5S
"„Y nt-
Repair I I Moving I Demolish I —,
Building No.of 1 Gu.c(l7.f1 •-
r" , 1151 sq. £tRooms 6z Stories 1 '11 Mtf"_CA
rior WallRoof
u,.aering Fr. Stucco I Covering Comp. APPROVALS _, r
Use of New
Building Single Family Residence & Garage Foundation Location Inspector Date
Forms,Materials,
Under-Pinning
Plan 27B Frame: Fire Stops,
Bracing,Bolts
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to comply Lath. Int.
with all City Ordinances and State Laws regulating
building construction. Lath. Ext
Signature of
Permittee Dike and Colegrove Plaster,Int
Authorized Agt _ / Plaster,Ext.
Valuation Permit Fee $ 0202 — Masonry Reinforced
Plan Check $ /1
$ 8500.00 Total Bond Beam
-V Fee $ ,-9,9 - FINAL .
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`''6 204 S-BP 2M 6-55 i
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Street " •
•PLOT PLAN
Show location and distances from
property lino and between buildings.
TOWNER GODFREY, Tracy DATE 4/5/73
:10B ADDRESS 259 Rose Tan/. BUILDING PERMIT NO. 36355
"LGENERAL CONTRACTOR Standard Amer. Risks. DESCRIPTION of WORK Aad fjn; ly 14X room
( D. 118_153-44 LOT 43 TRACT 2 62 FIRE ZONE VALUE $ 5,000.00
'o
4._.-ECTIONS
iSignature Date GROUP T TYPE v ZONE Ri
SOIL I PERMITS ISSMED
SOI SUBCONTRACTOR
Date I Number I Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE ❑ HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND 0 POWER 0 p
ROUGH WIRING fee e-1-73 Heating and Vent.
TRENCHES C] FORMS ❑ STEEL REINF. 0 i �Y
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n /�,,�
SHEATHING (""to -/S'73
FRAME AND FLASHING gfrn l ' (.3-7 1LATHING - IN n OUT 1g,yfr7-1'ry-7,Z X /_ZS-P3
PL^^TER, BROWN COAT C e-3- 77,
S :URAL, FINAL ��JJqq // Electri 5•� � �- c� i r//�
HEATING, VENT., REFRIG. AND A.C., FINAL nT e/JG(jJj7�P/ A//3 73 ,3$%T O d
PLUMBING, FINAL AND GAS TEST n /
ELECTRIC, FINAL /-2-5"-{'JJ
BUILDING, FINAL / '9t o)- ,'-2r-7-,
36355F -, ,�="o0 32 " 41i.00
r COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely Ratt BY D E RECE VED' T ISInn
BUILDING 5c� -7. DA E Issu
ADDRESS ��) "��r�y1 ,(� /,�/��/1 y� 5`q/ar+�
OWNER /f^Ce 4"cce// r,� A.P. NO. /70P-75:3-- �/ P"/ILiJ �
(7/� BUILDING
ADDRE SO2 ,056- LN•
MAIL ^� A �e
Z ADDRESS ry( /� ('
W Wt TEL._ /
0 0 CITY GLJs/Q v//mCr"— NO.6yne176 TR AC��yZ LOT 43 BLOCK
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CONSTRUCTION NEW ADD ER REPAIR MOVING DEMOI ISH
ON LENDER
am
O BRANCH �
Qr^ ADDRESS OWNER
�/ /P/J C// rp/P�/JQ</�c3S
ALUE
ARCHITECT TEL. USE
'1 Q OR ENGINEER NO,
ZQ FIRE
w Q ADDRESS ZONE /T P /GROUP
d Ly APPROVE
W Z CONTRACTOR �.. �+� ' f BY �l / GATE ' ' .5
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CO
ww ADDRESS ,4,,�}N„23/141. ZONE NO.OF USE OF NEW//"y/r/L'y
O= r TEL. PLANS '/(. BUILDINr3p� /p
Z 1- CITY —��[Gyt_.&;.J�l NO.40,13, t5 YS�?ti-�-j arm T'�.r'r” "✓D t
WO STATE CITY YARDS APPROVED YARDS APPROVED
cn CC LIC. NO. C LIC.NO.Q/C‘ MAIN BUILDING_— ACCESSORY BUILDING
OO SIZE NO.OF SLOGS. (FROM C/L STREET)
OF LOT NOW ON LOT FRONT Aj TFT. FT.
USE OF �/�
EXISTING BLDG./�=f�J /g 4� - R.SIDE `1 fT FT. FT,
I-- SIZE OF r(. 1/ _Q �fJ O.OF
Z NEW BLDG.,Z.51- ,T/J' ROOMS 7 STORIES/ L.SIDE /IC FT. FT.
C EXTERIOR WAL ROOF �/ /
V COVERING o�G C�? COV ERING�/Y, REAR /�T. FT.
USE OF BUILDING AND WORK TO BE PERF_O MED DISTANCE BET. BET.MAIN&
"C-C....,..-72/9..0"-‘/,/,_..r �, `MAIN BLDGS. ACCESS.SLOGS.
L.
Q / VAR.# DATE
O c{/e r, Cr�����,e, C.U.P.# APPROVED
I•" APPROVED/04n tEen By DATE
%Mit
VI hereby acknowledge that I have read this application and state q/
D that the above information is correct and agree to comply with J{J
all laws regulating building construction, and I shall not employ 0
CC
F any person in violation of the workman's compensation laws of t�.
tMrhe State of California. ,S m
i/ m
Z I hereby certify that I am properly licensed as a contractor under O. FT. _ 0
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR s
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY; 0
am exempt from the provisions of the State of California Business VALUATION and Professions Cnde,Division 3,Chapter 9. mPERMIT fEE $ rgo D
Signature of �t Itri
m
Permittee L 41 a $ / 0t l PLAN CHECK $ E
.spor Nur
``�`J
•\ Authorized Agent ` .� u'
■L\/ TOTAL FEE