HomeMy WebLinkAbout653 ROSS ST - Building Permits Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
',CITY OF COSTA MESA. ! J _ - 1 PERMIT NO._ :. - . ,TRACT NO. LOT,NO.L BLDG NO. _ , I' - --� • t AO116 /U!?/AJ _ 21�a• 50 ITL
CONSTRUCTION PERMIT , . ' - • •' - /3 ;7087 - .-
Appip}ant's Mailing Address CO /e i�- d i' l/ TYPE OF CONSTRUCTION , • H NEW U ADD U LTE TION' H REPAIR ' - . - ,
q� ,pig pq ppq
M Project Address /05-2 9s e•//r �/�, ❑ CONVERSION ❑ DEMOLISH ZJ OTHER /�E-'/40C9 ! :'
( •
11 --TT� ��,p"' f /+ �/1/ ' 773-SAO.5 DESCRIPTION OF WORK
' Owner's Name �/Q LO"� r'f�i�[!�K'7 YCY PFooe .. r • 'ZONIPJG REGULATIONS
•
Address TYPE OF PERMIT' . H GRADING ❑ FOUNDATION H STRUCTURAL A.P.# ZONE ' `
Arch/Eng, - ' License No. ❑ TENANT ❑p�ELECJRICAL' ❑ PLUMBING ❑ MECHANICAL . ' ' ; PLNG. REF.#. BUILDING
Address - ®-'OTHER Ii /COCl+rrlej . ` i I . TO BUILDING. , - - ccTwxrinrn cr. , , '
'l/�- Co. /r/ p q 1 PROPERTY LINE' REAR YARD (TO P/L)
IlIgli& rC:i3 s, -elf C -gxee�p'5-5-69 •PROJECT DESCRIPTION Sq.;KT. �7' OCCUPANCY . - -
Contractor's Nam •�/� J/ Elf?. _n p^' y p - -
�� Address(mailing). L�1�L�✓ Q CrNa , /pscpc i CON STRUCTION TYPE bW�/ -UP VALUATION$ -,09o.• aOI LEFT SIDE YARD RIGHT SIDE YARD 1
. �nb/.77 /T_3/ "� '. I ZONE GRADING CIU.YDS. ACRES 'r . ' PKG.SPACE,REQ. PROVIDED. - 1
License No. Yet-67 C� •
LICENSED CONTRACTOR DECLARATION I Remarks: I STREET WIDTH ' i PARK FEE$ 1 -,
I hereby affirm that I am licensed.under provisions of Charter-9 (commencing , ' ' .
with section 7000) of Division 3 of the Business and Professions Code, and R� :�'O0 I I SPECIAL CONDITIONS: I
my license is in full forceA}nd effect. I !l' G • . - - . -
j L1cense C s 7 License rvo.7�o� 1 _ I.PLUMBING _ ! • 1 s
WORKy RS'COMPENSATION DECLARATION1
Date (/o �f�r7 Signature , Bar Sink - • Sewer Cap ELECTRICAL
� ' -
•-Lhereb a/firm.that.I hava.a.certifiwte of consent,to self-Insure or.a.certificate '. . _' � ' ' • .- _ _ � _ _ „ Automatic Washer Meter Dover 100 amps : •
• of Workers' Compensation Insurance,'or a certified.copy thereof (Section , • Backflow Preventer• ^- Sewer CpnnectionI - •-• - - - -.• - - - - - r - 1
3800, Lab. C r' • ;Construction Pole Sub Panel - '
•���-•e279; �e f - I Backflow Irrigation Soler Co•lle•ctors - I
Policy No. at Com•any U - - {
Certified copy Is hereby furnished ' I �•� j Bathtubs I Soler Piping Cooking Unit Sub Pole •
r
K//� -.. 1
Certifi)ggg pppg is filed with the-city- cY 12,,:n• 'Ms' Dishwasher •Motors ❑0-1HP ❑1'/x-6
Date /0/�8 gppllcant- Lit! Clarifiers • Solar Tank i
•
I EXEMP I NIFROM WORKERS C r-ENSATION DECLARATION Dishwasher I I •Swimming Pool w/Spa DFyers'OGas I(]ElectFiic ' "- Inc.Solar'09-15 HP-016-15+ *
(This section heed not be cortiplete•�the permit is for one hundred ($100)'or - I
less) • - ' Fan' 'Microwave ,
I certify'that in the performance of the work for which this permit is issued, I ' Drinking Fountains i - Urinal I ! , I
shall:not employ any person in any manner Boas to-become subject to the • l F.A.U. Pole Light ' l' >'
Workers'.Compensation;Laws of California - r 1 1 ', Floor Drains: I Water. Closet I ' 1 I '
Date _ - Signature _ - - - Fixtures Range
,-NOTICE:If,after Compensation
-this declaration;you should become subject to the- - - Floor •Sinks - - - - Water Heater - - -- - . - �- - - - _. __ . . g
, Workers".Compensation provisions.of the Labor hallCode„youdeems, forthwith, _ - i . - - -• `••ary
comply with' such 'provisions.Or this-. ermit ,shall be 'deemed; revoked., t1 Device Boxes , ,
P y P P :J Gas Service 'Outlets L• 'Water Service ,• I C r ' Sign; ' I
' CONSTRUCTION'LENDING AGENCY - - Outlets 4,-;,„ 1 • '
' I hereby affirm that there is,alconstruction lending enec,tor the performance ' Interceptors I 1- , j I I ;-_ , 1 1 ;Standing Sections ,
of the work for, which this permit 95 ;issued .(Section 3097 Clv C ` , 1 et
Lender s; Name••• 1 - ' ' t i - Switches 1 I ,T,ash Compactor ;
Kitchen Sink I \ 1 I P
Lenders 'Address( . • ` " 1 - I I - .
' OWNER'BUILDER DECLARATION ( 't Lavatories n' I • Garbage Disposal r 1 ;. , , j
I herebylafflrm that I ain'exempt from the:Contractor s License Law for the . ' p Tre ' Generator 00:5 KW 05-15 KW g'z-' I )
following reason-(Section'7031.5 Business'and Professional;Code: Any city or' I p' , , • - I , -- � '^s I i
"county which requires a permit to construct;alter,Improve,demolish or,repair • ,, i - I Transformer ❑1550 KW 5� ,',,' 9 ' I
zany structure:prior to its'issuance, also requires the applicant for such permit Roof Drains - - r -
::to file a signed statement-that he/she is licensed pursuant to the provisions of I , - ' i ' z- 1
the Contractor's:License Lewl(Chapter 9(commencinglwlthiSection 7000)of - - i' r • • ❑5U+KW:. • (Reiijspection Fee i , $15
' Division i3'of the Business and.Professions Code);or that'he/she-is exempt - Showers r _ I Reinspection Fee : $15 - __
therefrom and the basis for the alleged exemption Any-violation-oft Section , - ' - Meter pup to 100:amps tissue Fee:.: ' I -I $ 3
: 7031:5 by:any applicant for a.permit-subjects the-applicant to, a=civil - . '3 ! i - - - _ '
Venally of not more than five hundred dollars($500)' ; T. 1 I'. , ' Service Sink' 'I Issue Feer" $ 3 Zoning •Approved By 1 ''' '�Date's l 1
' Li I,'as owner off the.property or.-my employees with Wagesastheir sole • - j
' compensation, will:do the work, and the.structure-is not intended or offered ' ' i I' I - I' f MECHANICAL 4 ' , I l '-'3 •7,
( Professional.Code: The.Contractor's Application Approved By 1 •Date 1 ,
for saleeLaw dnot apply%San'and; I • • I/ , ✓ r. (7
License does %San owner if a prolf who builds or improves Boiler I j S Refrigera?ion System Application Issued ByI t v' lJ��
employees,
d.who,d such-improvements
work himself is arelf or intende his or her own 7 PP j '^ Oaten / S
s le. If, ho provided that such orimprov event is not intended or ar oftl for - ❑4100,000 BTU 0100,000BTU
sale. If, however,the building or Improvement is sold within one y lcom- Duct-Under;Ground l { , • SUMMARY OF FEES ' . i '
' pletion, the caner:will have the burden of proving he/she did not build or im- 7 s / r I
drove for the purpose of sale). - i Duct-Structural ) System Repair%Alteration '; 7 :BUILDING PERMIT $ Z Is (a' l SMTP I !' I $ i '6 '
U I, as owner of the property, am exclusively contractingtwithelicensed con- I I I I I ' ,
. tractors to construct.the'project (Section 7044,Business.and,Professions,Code:. . _ Duct_Ventilating _ : '_ _ _ _,•_ _ PLAN CHECK' $ _-PERMIT irAes_
The Contractors License Law does not apply to an owner of property who . - - . 1 ISSUANCE I $ I
1 builds or Improves thereon,and who contracts for such projects with a con- , Exhaust System 0 Multiple ❑, I I 1 I j 'PLUMBING ) $, ( -
tractor(s) license pursuant to the Contractor's License Law): 1 t - '1 ,PLAN CHECK $ GRADING ,, ' $ •
❑ I am exempt under Section _ B.& P.C.for this reason Firepl/Fact.Blt. ICBO# . i l ' ,
I I , 1 ELECTRICAL $ •
MICROFILM $ ,
Date - [ Ownerl I ! - Heating System&Ducting '
-I -hereby certify that:1'-have-read-this-application and state that the above - - ❑O-10Q000•BTU-0100,000STL• - - a. . • PLAN CHECK $ C
information is correct. I agree to comply with all ity and county ordinances i i TOTAL FEE ; $ •
andstate laws relating to building construction, d hereby authorize repro- SMECHANICAL $ ,
y p Hood or T e I ❑• Reinspection Fee $15 I • -i ' LESS I
5ent2bves of,thl cit to enter u o he ab,' e-mentioned roc ty fo YP
�j y s , ;PLAN CHECK i $ ADVANCED PC $
Inspection ourpoi. „i f�i i / ,.- �' CanOPY Type II ❑: ;
Signatur0 L/ . I (/� Date (J i r ,
Registers •
Issue Fee • $ 3 j I J I I �. SQ
' Drivers' Lice 'or SS ti { _ _ I FINAL FEE I $ ; Z.
CMF 0865-4. ev. 12/82 White-Bui ldin9;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor e/\en l
\ CONSTRUCTION AND PLANNING POOL&SPA "
AckPIIROVALS 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 • - i - •. ,
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing-& Pressure Test . - - .
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
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7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, O 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 ,
13. Roof Drains 64. Plumbing System -Final
• 14. Rough Plumbing i 65. Electrical-Final -
15. Rough Electrical-Conduit - 66. Solar System-Final "
16. Rough Electric Wiring 67. Fencing& Access Approval _ "
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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. Rdof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil i
25. Roof Sheathing 74. Overhead Hydro
. 26. T-Bar Ceiling (Structuralli& 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 Notes:
.. n -
' 31. Plaster Brown Coat
• 32. Electrical Power Meter-Final .-
33. Final Electric
' 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 �gI
44. Landscape Irrigation System 1� - _
45. Sound Attenuation EXPIRED
platIfISDeCt1On5
46. Handicap Regulations•
47.-FINAL STRUCTURE & BUILDING nate C' Q` 5i•-----a""
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No Date
OWNER 9,ARBGR ESTATES (/ DATE 7-7-55
JOB ADDRESS 653 ROSS Ste BUILDING PERMIT NO. 1486
GENERAL CONTRACTOR Dike & Golegrove VALUE $ 8,500.00 '
LOT•
Z3 BLOCK TRACT 1986 Residence
Residence & Garage Plan 27C
GROUP I TYPE V ZONE Rh FIRE DISTRICT 1503
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
�r
"C'G DATE NUMBER
Footing Trench S i 6 7 mV-SS
Foundation Forms and Grade to Garage_ _
Rough Framing fge,4vl3 3 -2% °fr
Plumbing,Roujrtwla o Slab p; -aco - -
Plumbing,Rough Complete / ' : t g-zIs'& P Th al-2.1.--4/1 agg0
Temporary Pole •
JJ��p� � `"ur
Wiring, Rough ' �p�� d. r�(,/�Gt/-Yytbh_d Q--/c-SS /d l°%14</I
Heating,Rough
Heating, Final �-a%/ s
f` /D -26- c 1_iyiro ` A
d , 9-n-,(l 02910
Sewer, House Sewer,St. Ips /, i i c?-//-S- 49 4
Septic Tank or Cesspool r
Lathing, In Outx St-C ' 19 ss
Plastering 6 4 n /R./,a S�
Plumbing,Final,Fixtures Com le ,s• 2L • d _
Plumbing,Final Gas Tes�,�IJ if /e'zC- 3'If !o � . ,�`•' _ --
Wiring,Final /r Ab—S,1
Occupancy )(-[,45/A - •-.7-,171
Form 210 G-H 1500 1-55
Costa Mesa Building Department ,/ APPLICATION FOR PERMIT
111 EAST 20th STREET 1503 -
. __
B-U.11D IN G _--_ . 1
COSTA MESA, CALIFORNIA -
FOR APPLICANT TO FILL IN ' FOR OFFICE USE ONLY
t Receipt No. PermitiNo.
Building
Address 653 ROSS Street I - /cein
Costa Mesa, California Receive y Date Rec'd. Date Issued '
7�� -r
Nearest 7 J 7- 7
Cross St. 19th Street Building a
Address .
Owner Harbor Estates I Costa Mesa, California
Mail
Address 4.19 East 17th Street Nearest
Tel. Cross St. i
City Costa Mesa No.LI-8-1159 Zone ' No.of Type ee I Group."
Archite0to ic. I Plans I l � �•.
Engineer G�arlson & i4iddlebro¢ . Approved i
by Date • .
Address Garden Grove1 CORRECTIONS
City Lie.
Contractor Dike & Colegrove No. 1301 .J i p
Address 419 East 17th Street _ �f -• _ '
Legal ' Lot I - . _ 3'•.
Description I No. 73 I Block I Tract 1986 •
. WI 7 jg55
(Attach Metes and Bounds) - '
Size of Lot 56 x 110 I Now on6L ts. nixie
Use of No.of 71 S,t1�1-rTt--1�1f1' �U _
Existing Bldg. none I Families I Rooms "•' • "' -- � � 9
_ _ O
Setback Line from Rear Yard 391 -� - " - ' - - "`" 2
Center of Street 501 Side Yard 51 y
1 d- ri••
DESCRIPTION OF WORK r
New I y I Alteration I I Addition
Repair I I Moving I I Demolish I '
Building No.of
' Size 1151 sq.ft Rooms Erg Stories 1
Exterior Wall I Roof
Use ofn9 Oa C, Covering rnm APPROVALS
Use of New —g&8 P
Building Plan No. 27C Foundation Location Inspector Date
— Forms,Materials,
Single Family residence and Under-Pinning
Frame: Fire Stops,
garage Bracing,Bolts
I hereby acknowledge that I have read this Application Lath. Int.
and state that the above is correct and agree to comply Lath. Ext.
with all City Ordinances and State Laws regulating
building construction.
Signature of Plaster, Int.
Permittee Dike & Colegrove
Plaster, Ext.
'
Authorized Agt. !A-..t r.
Masonry Reinforced
Valuation Permit Fee $ c2.01 . • o,,
Plan Check $ 3, o a Bond Beam •
$ 8,500.00 Total
Fee $ 025-, CG FINAL
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PLOT PLAN
• Show location and distances from 1
property line and between buildings.
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