HomeMy WebLinkAbout1769 Placentia Ave - Building PermitsADDRESS OF SWUM 1769 PLACENTIA AV tan CITY OF COSTA MESA — BUILDING PERMIT
ummaunwocet BOYD ENTREPRISES PERM NO: E 074907
ADORE71: 1946 E EDINGER AV
SANTA ANA, CA PERMIT NO: E 074907 PLAN CHECK NO: N GOVT : N SUPP : N
258-1177
APPL.MMUNG ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: OTH
ARCHITECT OR ENiaiEER: uc.NO.: JOB DESCRIPTION : ADD NEW SERVICE, MISC ELECTRICAL WORK SQ FT:
ARCH.OR ENG'A ADORESS: WIT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: B-2 /
CGNDIACTORSNAME: ELECTRIC RAY 714 ) 645-0729
c0101RacroRSI MDiO 817 W 18TH ST COMMENTS : NO OTHER WORK AUTHORIZED BY THIS PERMIT
AODREss: COSTA MESA CA ucNc_ 480485 E+E+E+tiEfPitiEitBEAE****+tAEAEiE****AEx**+EAt********AE*BB**Br*iE>F*itfr+t+E*+E+E+E+B****+E+E** x+E+EAE+E***+r** **
92627 WE: 9 Z ONI NG REQUIR EMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACKS
commencing with Section 7003)of Division 3 of the Business and Professions Code.end my license is in b0 force end effect.
CNYuc.No.: 037341 uC.CIASs: C 10 480485 EXP: 12/95 MAIN BUILDING ACCESSORY BUILDING
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Date: (o-3v•"9.S comada: V — LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penalty d pets that I am exempt I IM Cadradpn Litems few latheMimeo**reawpaianyon 7031.5 Business and Professions Code:Any CO a County Mich mos a permit toaonsmed,alta.improve, PARKING RE PROV: PARCEL: 00000000 ZNE: REF NO:
eliense arepeaelly thudure.pdaro 6l'a•aboreensee the(Chapter
to errh.
ndtig 'a signed00)ci'a'lied Ma she
PLANNING N TES>
licensed pursuant to the oovisioh d the C trio ors License Law(Chapter 9(commencing with Section 7000)d Division 3 dthedoomsandProfessions
r e pe
or that he or she u exempt
a ciii
nm and the basis for the alleged exemption.
dolt .
Airy violation of Session i.
7031.5 by any applicant for a permitsuEPds the applicant to a dot penally of in more than five hundred dollen WOW
I,seownsrdthePmpenYormyemployeeswellwagesestlleisobmmpensavn,mTdothework,andtheMcbveisnotintended DEVELOPMENT S EP'R V I C E SREQUIREMENTSorofferedforsale(Section 7044,Business and Professions Code:The Cod/actors license Law does not apply to an innermof propery
who Wads or inproves!harem,and who does such wok himself or hersel or throughough hi or her own employees,provided than such
aimprovernesarenorintended«peered for sale.n,however,the Wmsyamboldingorinpwmerissoldwithinayeof compdion,the ZONING APPROVED BY Al DATE:
r.Wllderownewall have the hoiden d proving he or she did not build ce improve for the purpme of safe).
I,aowmer d the propeny.emexamva omdredng with"mid mwamw°amean.'"eWiwi(s«aim 7844,&wins add BUILDING APPROVED BY : DATE:Professions Code:The Caeredas Liens Law does not apply to an owner of property who buds Or gnomes thereon and who
contracts for such prgeds wale a mdrador(s)licensed pursuant to the Cgeredae License Law).l p
CI B.AP.C.,btfisreson: APPLICATION ISSUED BY:DATE: b 30 l
Date: O.mec
LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: N
I do hereby certify that I em aware of and understand the requirements of Callon's Health end Safety Code Sedan 25505,25533,end
25534,and that I or any future building occupant win/wit nor(circle me)need to corn*with said state codes and the requirements for
epermltfor nuuaone,modifami«Io-anthe AiDisSyy1damgmweoimid.Redd«uhlomamdioneppL<momaeexempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provieiams. PERMIT 52 . 00
Dae: Applicant: 5 0% SMIP/NON—RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affim under penalty of perjury are of the following dedaalons:ISSUE FEE 15 . 00
lh°veand Tell meinteia"Indica emenlrodosen;mua "'kers. omsafurim,esprovidedf«byseam37DoaIMLab" BUILD ING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAIDDUEtede,f«Ihemdmmneci* kfaw:do.pemlt .m.d.
TOTALS----> 52 . 00 15 . 00 0 . 00 67. 00 67 . 00 00
I have end will maintain worker'ompensatlon insurance,as weed by Sedion 3700 of the Labor Code.for the performance of the
work for whin this permit is tined.My workers'compensation insurance conies and policy number ere:
Cartier: REVENUE DIVISION TOTALS--> COLLECTED: 67. 00 OVER/SHORT: 00
Pricy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
This section need nes be completed(the paint is for one hundred dollars(3100)or less.) 67. 00
o I cerily that in the performance of the wok for which this pens • issued,I shall
nor employs\
any person in any manner°o as to
bean.surfed to the worker,'compensation levee d Ca 1should become
sY\t .
u to the woken' *******************************************************************************
compensation pro i.sn of Ssdion 3700 of the Lora Cot, shall forth n n provision,.
INDIVIDUAL F E E BREAKDOWN
Dae: I 0 ' 3'o-9 5 Apgirav:
Wailing:
up
to secure
und ed thou
ndcompensedon(
sl04000).
coverage/Is
ch/on to
and Mall comp an employerw
a
penalties end TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Sec ones 06 to oneLabor Co thousand dollarsd (sloganfes addition the coat of compensation,,napes a sided farinsaoum37asoynacode,lnae,gamamm,y'aiao.
ELE 1 SERVICES BELOW 600 V 6 BELOW 201 AMP 18 . 50 18 . 50
CONSTRUCTION LENDING AGENCY:I hereby affirm under Panay of Perjure that there is a constructionlending agen for the ELE 1 SUB—PANEL 11 . 00 11 . 00
performancedmewakf«wnaMberpmlt b (Section q
y
ELE 3 MOTOR/POWR APPARATUS 1 . 1 — 10. 0 HP 7 . 50 22 . 50
LENDER'S NAME:
END OF FEES
LENDERS ADDRESS:
I candy that I have reed this application and state that the above information is coned.I agree to comply with all day and county ordinances
and state lows retsina to building construction and hereby authorize representative of Ilei ay to enter upon the abode-mentioned property
I«inspedim purposes. RAY AMBURGEY
Ff' Namea Date: la-3a._1S CPI% •2; _ it/ 2?y TOT i,3
1•"enure downer/Apent/AppicantlControda ` I c Lri• ' , ', ..r • .1?
5151ae.WP) White-Buidip A Safety;Green-File:Caney-Appkcea;RTk-Revenue:Goldenrod-Assessor
47r
CONSTRUCTION AND PLANNING
PO0 SPA
l APPROVALS Permit#
Date Inspector
APPROVALS Permit #
Date Inspector
1. Temporary Electrical Service or P51e 52. Pool & Equipment Location •
i. Soil Pipe-Undrgrnd. L . 53. Steel Reinforcement
E,]actrical
Condwll
Uttl itY•Ungrtld. 54. Forms
a )t :.::w rhasi ti
ot9 ebtrical Condt(ft,tIVrgrnd. 55. Electrical Bonding
Z812St EI Reinforcer til 56. Rough Plumbing & Pressure Test
1 L
glectricat UF ER &nd. 57. APPROVAL TO COVER-GUNITE
MH cr_.....
h[fie.
otings
n
58. Electrical Conduit-Undrgrnd.'yF.fl y2; 9
ft Foundation (U v 0 59. Gas Pipe, 0 Undrgrnd.,Test
i M I 1.
r
Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
1
10. Structural Floor System 1i 61. APPROVAL TO DECK
11. Property Sewer Liner&
Houstc,Connection 62. Backwash& Receptor-Final
12. Sewer Cap
w.-
CO 63. Heater& Vent-Final
13. Roof Drains 64. Plumbidg System - Final
14. Rough Plumbing* 65. Electrical-Final
ti t
15. Rough Electrica onzluit u1
66. Solar System-Final
16. Rough Electric 4{iiirir*_. ,
y 67. Fencing & Access Approval
f.}1
17. Rough Wiring SerpiJi
of
68. APPROVED FOR PLASTERING
s
18. Rough Electric4T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FRE DEPT.-.REQUIREMENTr. rl ,- n ITS- t+'+--1 rr:rn rt '% 41 :'1;Ci' t,•1-:r4 c:.
20. aouglk F<tory FiEeA7ace 1 .:iT; yy`1 :,Y O rf_ tAPPH
mA
t,9 P it #
i.L. t Svc^ ;t S '-1 tP tC t' i"' ittl+F' e,
21. ducts;in'Struturgl I •• •• r- S ic 5 O tit "Wv 70.;;UnderCiPfli 1fdro
74 1e A I cr-1, 7t n 1-; In;14 ru
22. pucr: Vgtilg,4ing'.1:' I n8 .' t7 C [J
Fr_+
t, e 71. Produgy jging`th-Gas 0Oil
23. ?,as Pipe'
Boun & ;
st OD rt •c1 Or 1. O I-1 72. Undergrb irid Ftesh
24. RooPPFrittiing•• L 1 Eli" •' ; ; a I_,.w 17&x, Undergrt d.Stor yeTank,0Gas 0Oil _.
U J: i, n L•1 V a SH•. M a
25. Rooi.heething 11),;;'1
r v* r
s _ 74) Overhead Hydro'r
26. T-Bar:Ceiling (Stru iuralt & (+4opioat n a r
t7 C* 7 Dry Checpical r..
i - •
27. & ame arta. Fleshings
w *
76. QlptCSlTy' m* Dry Stari'Elpi• :-:t..
28. Lathing&Siding
i ..
6
t.:
47.4
1:
45, *
r• 7 FIXED T cINALr14: , c
I ,*
zi Gt FF
29. Insulation G. a 7 't
c: 79 FIRE PREY. FIts[AL 1_
n
3: r-
ALTRDEPT.AEQUIR.EMENT30. Drywall Oiling •` ._s:F.*
31. Plaster BwwrrCoarr;* 3 i Mt' t t+' 7*. FINAL I'NSPECT'ION •
i.--
32. tlectricat"Pova.r Metp-CFir1al I•,t, 80 FOOD CERTIFICATE ISSUED
33. -Final Electric n
111,i < i Notes: --
34. Final Heating'& Air Conditioninr y
r. LT'
35. Final>;'iai:Pipe-Test
36. HootPor Canopy • -
L. -rt r '
37. Final• a4tbry Fire-
F4er+
i 0 ^
r. - r
38. FinalPlumbing
t •
1' 5 1'
t .I .'
39. Water Service-Final •
I
40. Gas Service-Final
41. Solar DoMestic•Final -r•
42. Backflow Preventer A -
43. Backflow Irrigation ',
44. Landscape lrigation System'_, - s ' ' 7 2 C • c' i' C-,
45. Sound Anemia" tion
46. t-4andicap:Regulations 7e •' ,,
a t r t
47. FINAL STRUCTURE & BUILDING
x • '
1 "
48. FINAL PLANNING i - .t r d
49. Elecfric Release to Edison
50. Sias Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No Date
t,-
C•1
E79'0-2
e-w 200 iza/zY.o.v_30)
4 w r.4..-.7.S.-(1,..414A.1s)
0
co co
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OWNER BOYD, WILLIS DATE 5-5-59
JOB ADDRESS 1769 Placentia Ave. BUILDING PERMIT NO. 9188
GENERAL CONTRACTOR Matmier & Warneke VALUE $ 250.00
Ap
Ne116-160-03 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Encl.Room
Ir --JECTIONS DATE GROUP E TYPE V ZONE ML
L )rground Soil U.G. Water PERMITS ISSUED
Underground Gas
SUBCONTRACTOR
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
ttfRoughWiringJr ll% 2cc x...-,./ -fr,6 t/r-G--ry f1 L/y2.
Trenches Forms Steel
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
Shathing
Ititr e and Flashing
alvigr..
5-- tr -ty
EltAng, In • Out
Plaster, brown coat
Plumbing Fixtures, Final
Electric Fixtures, Final t- P- 4',/p S'q
Building, Final II n P . •
OCCUPANCY 11
Form 410-3M-4.59 LI
9188
9188
r-EE REcEIvD
COSTA MESA BUILDING-SAFETY DEPARTMENT
1J1
y
P.O.BOX 317 COSTA MESA.CALIFORNIA CvY (f'17 FINANCE DEPT.
FOR APPLICANT TO TILL IN COMPLETELY /
Vey
LICATION COSTA PERMIT
TYPE OR PRINT 4:47/ BUILDING
GiADDRESBUILDINS r7 q c!
COSTA MESA• CALIFORNIA FOR OFF/CE USE ONLY
P
n
n
l
I
RECEIPT NO.
I
PER/
IOWNER LJ,
MAIL 1'I ` o RECEIVED BY DATE RECEIVED SSU
ADDRESS / f V f i' j,/yj/ I• Lf._, I .
CITY
TEL BUILDINGADILDI-NG 7 co 9 /I-j4 C fn fee ,ADDRESS r 1
ARCHITECT LIC.
COSTA MESA. CALIFORNIAOR 'li:INEER NO.
ems FIRE
ADDfiE$S ZONE i T i: - V Grout)
I . ` STATE (//[
eqi
CONTRACTOR $AWl-4'w C.NNOO..//-/,JY7
BYPROVE•
flair'` DATE 3 .53
ADDRESS /7 /.5-14-) J '/ ZONING
LEGAL
ZONE NO,OF USE OF NEW
DESCRIPTION I NO. QS I BLOCK I 4 q I I PLANS 110 I BUILDIN y
A.P.NO. //6' — /6i, — o3
V-,G
APPROVED 1A,
k879.)w, DATE 3(-4/
L. /Y
7BY
J(V
7 J
SIZE I NO.OF SLOGS. YARDS EVES
OF LOT NOW ON LOT REQUIRED ALLOWED
USE OF CENTER LINE ST.)
EXISTING BLDG.
FRONT FT. IN.
SETBACK LINE FROM /`
CENTER OF STREET }"//
TT`
IC REAR Y`ARD •• R.SIDE / FT. IN.
SIDE YARD I LEFT Cc. I RIGHT/ L.SIDE i(/ FT. IN.
DESCRIPTION OF WORK
REAR _,.....-7C...., FT. IN.
NEW II ALTERATION I fADDITION I
REPAIN I II MOVING I II DEMOLISH I
BUILDING NO.OF
SIZE ROOMS STORIES
EXTERIOR WALL ROOF J1
COVERING COVERING
ile-fi 1 (dim tNj
US OF BUILDING AND WORK TO BE PEFFORMED
rat 4 Ac .-v,ti,
a
l
7 1 _ / Wig C ele<44"` •E c1.4" 7(4.---/
rzoo p,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
THE AMOUNT SHOWN UNDER ALION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT ANFISAGREE TO COM.PLY WITH ALL CITY ORDINANCES ND STATE AWREGULATING
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDING CONSTRUCTION.
VALUATION
SIGNATURE OF PERMIT FEE $ cm,/,
K1-0
PERMITTEE 0---e•
f ) • PLAN CHECK
AUTHORIZED AGENT
JCY.
P
c./-eO
TOTAL FEE $ i
i__
APPLICATI R BUILDING PERMIT
CO25M
UNTYOFLIlAPPLICANTTOFILREAWITHINHEAVYLINESONLY.ORANGE
BUILDING
L
DESCRIPTION OF WORK
ADDRESS I.7A/ 7 y CE0 I i A
NEW ADD ALTERS REPAIR DEMOLISH
TOWN OR SCHOOL
t'A051-AlADISTRICTESA SIZEQQ NO.OF NO.OF
CSO.
FT. Z(J STORIES FAMILIES
FOWNERg_T:- F EflT LDEATE `t MEEQtI -CO USEOFlSTRUCTURE
MAILING
ADDRESS As AaSovE PHON EM44.2-Z.LI
LEGAL LOT
I.
CBLOCK
TRA TE•/CITY
DESCRIPTION N I"g'T`
ARCHITECT OR
PLEASE ATTACH METES AND BOUNDS)
ENGINEER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI-
CATION AND STATE THAT THE INFORMATION I HAVE PRO-
ADDRESS VIDED IS CORRECT A • AGREE TO COMPLY WITH ALL COUNTY
ORDINANCES ri-LAWS R GULATING BUILDING CON-
WRVE S
STRUCTION.
SIGNATURE O- 110 -
ADDRESS 15 W Bz to /OSTP
RsA PERMITTEE1
ZONING REGULATIONS Cp jRcL e 'Ces7-AIGIEspDADDRESS
CHECKED BY / • DATE DATE CLEARED F(--_
5FEE
PLOT PLAN FULLY OIMENSIONEOi '
VEST
NO
y t.-
L. mZCvB.PT, $
ALL BUILDINGS SHOWN ON PLAN (PER APPLICANT)/ VALUATIONS. FEE
MAIN USE ACC. UBE ZONE DIST. M. 'OCCUPANCY TYPE t
T I . / I
GROUP
T{
I R('.L! . CONSTRUCTIONrREQUIREDBUILDINGSITEFRONTAGE?' YES NO
BUILDING HEIGHT? . STORIES -AND F•EET
INSPECTION RECORD
APPROVALS - DATE INSPECTOR SIGNATURE
REQUIRED LAND AREA? YES ` NO -
FOUNDATION: LOCATION
VARIANCE REQUIRED? - APPROVED NOFORMS(AND MATERIALS.
A1STaEETWIDTHCORNERLOTINT.LOT I REINFORCED'MASONRY OR CONCRETE
BUILDING SETBACK C/L ST.PROPERTY LINE
4.4
SIDE YARD. RIGHT EAVE PROJECTION BOND BEAM.-- / ,
SIOE YARD. LEFT EAVE PROJECTION
UNDERPINNING
REAR YARD ITO P/LI WIDTH OF
ALLEYSEPARATIONBETWEENBUILDINGSROOFSHEATHING
1
CHIMNEY IN REQUIRED SIDE YARD PROJECTS
ROOFING
LDPORCHINREQUIREDYARDPROJECTS
STAIRS IN REQUIRED YARD PROJECTS FRAMING
PARKING AREA REQUIRED CAPACITY, CARS LATH OR DRYWALL
REMARKS.
ll'
y
T
et(^lJ let-Otic tq
INTERIOR
I
LATH
EN ' -
EXTERIOR
H 14, S.
PLASTER
FOR OFFICE U E ONL /}/
J(
BROWN COAT
RECEIVED BY PLA
Cf'
L BJ y
FINAL
PLAN CHECK RECEIPT I. ROUTE IMMEDIATELY ',(
CfR/
21.
OFFICE 3. STATISTICS FILE 4. OWNER'S COPY
NO.
TO INSPECTOR WORK COPY FOR COUNTER USE OF PERMIT
Ap if C, —/60 - Cs (1Thic)
C. W. DONOHUE - SUPERINTENDENT 204•V. N. BROADWAY SANTA ANA, CALIF. El 3-9341 HAROLD L. GOLDY
DEPARTMENT OF BUILDING AND SAFETY VALIDATION ASSISTANT SUPERINTENDENT OF
BUILDING AND SAFETY
A SEP 26'581 .85 28 8.00 1 4.00 7 12.00*
TELLER DATE PERMIT NO. PERMIT FEE CODE PLAN CHECK TOTAL
t 11 •
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