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HomeMy WebLinkAbout2965 ROYAL PALM DR - Building PermitsApplicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT Project Address CIUK(0-) M( 12 Applicant's Mailing A MLL � ' Owner's Name, [�1^ , p` I Phone Address �� ey r s--`✓ Arch/Eng. License No. Address r Contractor's Name nn Ph AddressAddress (mailing) �T 15 li City License Nn ?-ll) I LICENSED CONTRACTOR DECLARATION 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 my license is in full P eand effect. License _FVSs kens No.� i� J Date 6 Signature WORKERS' COMPENSATION DE A RAT 0 Y' I hereby affirm that 1 have a certificate of consent to self -insure or a certificate of Workers' Compensation Insurance, or a certified copy�7 � Lamthereof (Section 3800, Lab. � ! Policy No. � I I �� I Lom Pant ��� ertified copy is hereby furnished. /� Da to ert- py is ' A led w�itppf (N 11 canty %ll l oiv of /(- EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed if the permit is for one hundred ($100) or less). 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 Workers' Compensation Laws of California. Date Signature NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097rJ:Civ. C.) Lender's Name Lender's Address OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct, alter, Improve, demolish or repair any structure, prior to its issuance, also requires the applicant foosuch permit to file a signed statement that he/she is licensed pursuant to the provisions of 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 lherefrom,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). ❑ I,as owner of the property or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's 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 employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of com- pletion, the owner will have the burden of proving he/she did not build or im- �rbve for the purpose of sale). i1, as owner of the property, am exclusively contracting with licensed con- 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 builds or improves thereon, and who contracts for such projects with a con- Vactor(5) ncense pursuant to the Contractor's LicenSo Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. Ll :I am exempt under Section B. & P. C. for this reason Date Owner 1 hereby certify that I have read this application and' state that the above information Is correct. I agree to comply with all City and county ordinances and state laws relating to building construction, and hereby authorize repre- sentatives of this cit o ntep utn thl _ e abpve-mentioned property for inspection p ses I//. Signature Drivers' License or SS 9F TYPE OF CONSTRUCTION L-1 NEW LJ ADD LJ ALTERATION L -A -REPAIR BUILDING PERMIT ❑ CONVERSION ❑ DEMOLISH ❑ $ ' OTHER A P # DESCRIPTION OF WORK/USE OF BLDG. PLAN'CHECK $?PERMIT �f( S Main Building: TYPE OF PERMIT ❑GRADINGI�/ypUNDATION STRUCTURAL -1 T Front ❑ TENANT ELF L]YP LUMBING ❑ MECHANICAL B ❑ OTHER . A_ Rear C Right PROJECT DESCRIPTION, SQ. FT. OCCUPANCY KLeft CONSTRUCTION TYPE VALUATION$ S PLAN CHECK 25% ZONE GRADING CU.YDS. ACRES Ping. Ref. # Remarks: _ Planning Notes: Sink Preventer 'Irrigation Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories P -Trap Roof Drains Reinspection Fee 1 $15 Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System El Multiple ElFirepl/Fact. Bit. ICBO # Heating System & Ducting - ❑0-100,000 BTU 0100,000 BT Reinspection Fee 1 $15 CMF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto -Wash Issue Fee Hood or Type 1:1Canopy Type 11 El Refrigeration System ❑0-100,000BTU 0100,000BTU System Repair/Alteration Fire Dampers r Registers 1 Issue Fee FEES Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generator 110-5 KW ❑5-15 K 6920 3/17/88 ,.,I Zone a - AccessorY Building: Parking Req./Provided ELECTRICAL Transformer 1115-50 KW ❑'50+KW l Meter ❑up to 100 amps Meter El over 100 amps Sub Panel Motors 00-1 HP El %- 8 Inc. Solar 09-15 HP ❑16-1E Microwave Pole Light Range Sign Standing Sections W Trash Compactor $ 3 Reinspection Fee $15 Issue Fee FEES DEVELOPMENT SERVICES REQUIREMENTS: ; Zoning Approved By Building Approved By r� 5,00 TL FEES $ 3 Z O N I N G R E Q M T S BUILDING PERMIT SUMMARY OF FEES $ SMIP $ ' PLAN'CHECK $?PERMIT �f( PLUMBING PLAN CHECK 25% ELECTRICAL .. PLAN CHECK 50% $ _ •YfL�L� VISSUANCE $ ENERGY P.C. $ GRADING $ MICROFILMS $ $ $ $ MECHANICAL $ TOTALFEE $ $ 3 PLAN CHECK 25% $ CONSTRUCTION AN -D PLANNING A PROVALS Permit a� Date Inspector POOL & SPA APPROVALS Permit Date Inspector 1.'TemporaryElectrical,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 LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings ;�_ 58. Electrical Conduit-Undrgrnd. i 8. Foundatipn 59. Gas Pipe, ❑Undrgrnd., Test 9. Water Pipe-EJndrgrnd. 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 APPROVALS Permit # ' 20. Rough Factory Fireplace 21. Ducts, in Structure - 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas 0Oil 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: - 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing, - ,$ b({ LEQ 39- Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final - r 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 HODS VALLEY,/INC. DATE 6-16-59 JOB ADDRESS 2965 Royal Palm Dr. _ BUILDING PERMIT NO. qKq), VAL AP. No. LOT 257 TRACT 2822 FIRE ZONE DESCRIPTION OF WORK RBS. Watt. gar, INSPECTIONS/e _gy yq DATE I GROUP I & J TYPE V ZONE R1 Underground Soil /:� U.G. Water /"-/S SUBCONTRACTOR PERMITS ISSUED Underground Gas _ _ DATE NUMBER Overhead Water and Gas Rough Heating.5-- Rough Plumbing Miscellaneous Prop. SVr.-LineHouston. St. Swr, - o�('(o(, S _ !f`-Lw(-ut-r� 1-)13.1 Sprinkling System _ Heating, Final Plumbing Fixtures 1A Final Gas Test f&— &—Construction ConstructionPole Underground Power _ Rough Wiring Trenches'y_11124Forms� Steel/j %4 Floor System- (� _ Steel Reinforce Chimney Re -Rod Bond Beam Sheathing- _ Fraine and Flashing Lathing, In;� Out , 4 •% - Plaster, brown ,at Y . -J^ S9 Plumbing Fixtures, Final A41-5 /G-611.-6-0 Electric Fixtures, Final /IX;L> (' - 3,(/ Building, Final /f OCCUPANCY Form 210-3M-4-59 l� ^� (yam ppt���{{II//** Y•L. 6� RECE E ARCHITECT Carlson & 1 OR ENGINEER w2dd1®hrook JUR 18 1959 COSTA MESA BUILDING -SAFETY DEPARTMENT RNANCE DEPT. P.O. BOX 317 COSTA MESA. CALIFORNIA C (jQ'ifl P,jCC ci r.V o. C .. _ a ADDRESS 419 E. 1 th j't. /CANT M F/LL /N COMPLETELY APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING 2 6 Royal Pa Dr. 7ADDRL19 COSTA MESA, CALIFORNIA A r fOR OffICE USE ONLY ome RECEIPT NO. PERMIT NO. �_ - l/ - E. 17th St: RECEIVED BY DATE RECEIVED PATE ISSUED (IR �,��•�"-�Yf / CITY I:OSLa P1esa NO. T-RII I ARCHITECT Carlson & 1 OR ENGINEER w2dd1®hrook LIC. NO. ADDRESS Garden Grove CONTRACTOR & COlegrove� Inc.I q LCT TEO. 161 2� ADDRESS 419 E. 1 th j't. Costa Mesa LEGAL DESCRIPTION LOT NO. 2S7 BLOCK TR A.P. NO. SIZE[ OF LOT O 5 O X 1C NO. OF BLOG5. NOW ON LOT r USE OF EXISTING BLDG. ACK LINE FROM OF STREET S1i,I REAR YARD 281 YARD ILEFTRIGHT I [ENTER DESvCRIPTION OF WORK. I A II ALTERATION( I ADDITION BUILDING NO.OF SIZE GI ROOMS 6 STORIES EXTERIOR WALL ROOF Shingle COVERING Stucco COVERING g USE CZ BU14DIN(A ANP WORK TQ QE PERFORMFP garage. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ANDSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PLY WITH ALL CITY ORDINANCE$ AND STATE LAWS REGULATING BUILDING CONSTRUCTION. SIGNATURE OF - V PERMITTEE_Atk� AUTHORIZED AGENT Dike e & Colegrove, Inc .`Rl 'COSTA MESA, CALIFORNIA ZONING ZONE yY N NO. OF - USE OF NEW % (PLANS I BUILDING APPROVED( /.S / THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. VALUATION PERMIT FEE $ 34.00 $ 1+,552 PLAN CHECK $PLAN CHECK 17� TOTAL FEE S 51.00 DONALD DATE 2-17-60 JOB ADDRESS 2965 Royal Palm Dr. BUILDING PERMIT NO. 11474 GENERAL CONTRACTOR Better Bilt Const, Co. VALUE $ 357.00 A.P. No. LOT 257 TRACT 2822 FIRE ZONE DESCRIPTION OF WORK B1ockwall INSPECTIONS I GROUP TYPE ZONE R-1 Underground Soil U.G. Water _DATE —— SUBCONTRACTOR PERMITS ISSUED Underground Gas DATE NUMBER Overhead Water and Gas Rough Heating Rough Plumbing Miscellaneous Prop. Swr. Line House Con. St. Swr. Sprinkling System Heating, Final Plumbing Fixtures Final Gas Test Construction Pole Underground Power Rough Wiring TrenchesoT Forms R Steel V &o Floor System Steel Reinforce Chimney Re -Rod Bond Beam Sheathing Frame and Flashing Lathing, In Out Plaster, brown coat Plumbing Fixtures, Final Electric Fixtures, Final Building, Final OCCUPANC � p1 Form 210-5M-11-59 5-B P O 11474 HE RECEIVED COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 317 COSTA F MESA. CALIFORNIA FINANCE DEPT. MESA FOR APPLICANT TO flit /N COMPLETELY APPLICATYION FORA PERMIT TYPE OR PRINT BUILDING - 11 COSTA MLOSA. &ALIFORNIA ® fOR OffMc USE ONLY .A.. .WIMINEWMAMPM MAIL �/p/ ADDRESS d(p y� T ED BT DATE RE E'V/ED �—/'�lO0 DATE{.IS.6UED i/oM1 7 1, TEL U� �OsZ- LD NG q /I Q CITY b Q. NO ADDRESS o' (!/ i -Y i'�G- ✓LJ'(/ ARCHITECT LIC, COSTA' MEW, CALIFORNIA OR ENGINEER NO. FIRE ADDRESS ZONE TYPE GROUP STATE �p APPROVED CONTRACTOR 'LIC. NOJd �%9 BY DATE 8'3 is -� ZONING - ADDRESS �ILLq� /x+40 ILdI.��p LEGAL LOT �/ VY� Z ZON NO.OF USE OF NEW ('BUILDING' DESCRIFTION NO. J BLOCK (ITT 11iSRRllACT PLAMB APPROVED A. P. NO._� BY 1 DATE SIZE{y D �— NO. OF 6LDcs. J-� YARDS EV S rvow ory LOT REQUIRED ALLOWED (CENTER LINE ST.) DG. FRONT IN. FROM / REET 0 REAR YARD '� C OIN, rF R. SIDE PT. (LEFT (RIGHT — / L. SIDE FT. 0IN. ESCRIPTION OF WORK REAR FT. IN. (/ II ALTERATION I ADDITION REPAIR I II MOVING I DEMOLISH BUILDINGNO.OF SIZE ROOMS STORIES EXTERIOR WALL (ROOF COVERING COVERING USE F BUILDING AyD WORK TO PERFORMED % cK [d/�� � r5 to T4 Y I HEREBY ACK WLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. BUILDING CONSTRUCTION. SIGNATURE OF ©^ VALUATION p O PERMIT FEE $ �. ^ PERMITTEE � V $ PLAN CHECK $ AUTHORIZED AGENT TOTAL FEE S C� I 4