HomeMy WebLinkAbout2824 SAN JUAN LN - Building Permits _ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
�" PERMIT NO. TRACT NO. LOT NO. UNIT NO. 0378
cm'OF COSTA M7cE1SA C(ONST(RUCT/IO_NPERMIT 133 (3CG 54,82 TL
Prdject Address O 22'1 Sansu�tn ✓1 • I I l •
Applicant' Mailin Address o ns.— TYPE OF CONSTRUCTION Li NEW ADD IJ ALTERATION LJ REPAIR na7a 1 I yon ion -- IL
Nor
9/ 69+�•+�"�� ^ _h�-�� ^,', pu3 ❑ CONVERSION ❑ DEMOLISH OTHEROvjmer' A•P,# I Zone
Address NameryO cAi%Juawptr(,/ IE.CJWM Phone lX 'O DESCJi1 IaN QF ;ZK/�1SE OF BLD O CoETS.
Address `�(•1/t Let • L A E r‘
S Main Building: Accessory Building:
TYPE OF PERMIT NI GRADING U FOUNDATION Lel STRUCTURAL E Front Z
Arch/Eng. License No. T O
Address pp-1 ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N
Contractor's Name OWYler/NA- • Phone ❑ OTHER A I PROJECT DESCRIPTION SO. rejiiil OCCU PAN/CM��Y C Right N
K G
Address(mailing) CON ST RUCTION TYPE V VALUATIONS /'/SZ S Left
City License No. - ZONE GRADING CU.YDS. ACRES R
LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E
I hereby affirm that 1 am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes:
a
with section 7000) Of Division 3 of the Business and Professions code,and
my license is in full force and effect. T
License Class "' — License No. S
Date Signature - PLUMBING FEES
J
WORKERS'COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES
I hereby affirm that I have a certificate of consent to self-insure or a certificate _•
of Workers' Compensation- Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink
3800, Lab. C.) Automatic Washer Transformer 0 15.50 KW
Policy No. Company Backflow Irrigation Sewer Cap Construction Pole Sub.
0 50+KW
ACertified copy is hereby furnished.
Certified copy Is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter pup to 100 amps
Date Applicant t
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps
(This section need not be completed if the permit is for one hundred(5100)or
less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel
I certify that In the performance of the work for which this permit is issued, I .
shall not employ any person in any mann to baso su ct to the Drinking Fountains Solar Tank Fan Motors❑O-1 HP Di'A-8
Workers' o a ion Laws of Cal i�Q` _
Date II--0-7C1 Signature V Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9.15 HP ❑16-15+
NOTICE:If,after making this declaratio you ould beco subject to the
Workers' Compensation provisions of the Lebo Code, you ust forthwith Floor Sinks Urinal Fixtures Microwave
comply with such provisions or this permit shall be deemed revoked.
, 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 Civ. C.) Interceptors Water Heater Outlets Name Range
Lender's Address Kitchen Sink Water Service Switches Sign
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal Standing Sections
following reason (Section 70315 Business and Professional Code: Any city or P
county which requires a permit to construct,alter,Improve,demolish or repair P—Trap Laundry Trays Generator 00-5 KW 05-15 KW Trash Compactor
any structure, prior to its issuance, also requires the applicant for such permit
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
therefrom 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 Reinspection Fee I $15 Issue Fee $ 3
compensation, will do the work,and the structure is not intended or offered A - - Reinspection Fee I $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL I FEES
License Law does not apply to an owner of a property who builds or improves Y
• thereon, and who does such work himself/herself or through his or her own Hood or Type I 0 DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not Intended or offered for Boiler
sale. If, however, the building or improvement is sold within one year of com- 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 GroundBuilding ApprOVed By I `(U Data
•
prove for the purpose of sale). -
Y
0 I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By _r Date (I—3.o- 7
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 00-100 000 BTU 0100,000 BTU SUMMARY OF FEES
builds or improves thereon,and who contracts for such projects with a con-
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ System epair/Alteration ILDING PERMIT $ 4/4 00 SMIP $ 0•5.0
pryf of their Worker's Compete ti.• n insurance should be provided to me. PLAN CHECK $ /3.32 PERMIT
YJ I am exempt under Section B.& P. .Ifor this reason Firepl/Fact.Bit. ICBO# Fire Dampers E X P I F E D ISSUANCE $
f PLUMBING $
Date - .raf Owner liar M�� s:_•.— Heating System& Ducting Registers Incomplete lnspeetron5 PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read th - applic f ion and st. that the above 00100,000 BTU 0100,000 BTL ELECTRICAL $ GRADING $
information is correct. I agree to comply with all city and aunty ordinances - - —
and state laws rela ing to building construction,and hereby authorize repre-
sentatives of this ity to enter u•on he above-mentioned property for �'•�(
inspection •- s ` / //_3o-F7 MECHANICAL $ TOTAL FEE $ J 7 •�'�
Signature �_ ff��l.r—.
Reinspection Fee $15 Issue Fee $ 3 PIAN CHECK 25% $ S9.12—
I Sail
CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Plnk -Accounting; Goldenrod - Assessor
'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 • - o 58. Electrical Conduit-Undrgrnd.
8. Foundation ' 59. Gas Pipe, 0 Undrgrnd.,Test
I
9. Water Pipe-Ondigrnd.• 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
r.
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT i"
20. Rough'Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro •
22. Ducts, Ventilating 71. Product Piping 0 Gas ❑Oil •'••
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas U Oil •
25. Roof Sheathin' 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical •
'
27. Frame and Flashing 76. Dry Standpipe r
•
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
39. Water Service-Final -
40. Gas Service-Final ' .
41. Solar Domestic-Final
-42. Backflow Preventer •
43. Backflow Irrigation - •
• 44. Landscape Irrigation System _•, ;
r.
45. Sound Attenuation EXPIRED
46. Handicap Regulations Inco piete Inspections -
47. FINAL STRUCTURE & BUILDING
Date ? (#isIg
Special Requirements,Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY '-
No. Date
OWNER MESA DEL MAR DEV. CO. DATE 9-30-63
JOB ADDRESS 2824 San Juan Ln. BUILDING PERMIT NO. 20530
GENERAL CONTRACTOR Macco Realty Co. VALUE $ 23,925.0Q
AP No. LOT 12 TRACT 5252 FIRE ZONE 3 DESCRIPTION OF WORK RPG ?.At, nu.
INSPECTIONS Signature DATE GROUP Tet,T TYPE V ZONE pi
Soil4'X 2. r9' G�
Gas ✓'- --- /a- _ SUBCONTRACTOR PERMITS ISSUED
DATE NUMBER
Wate•
or 0-// 3 /_ r:
Rough m. Refrig. ' Air Cond.
Rough Heating /i -i7-C A _ __ OCT 2 1963 2-1A--@91---
Rough Plumbing R.-mAG7 r -r- SEP 171963 ' - -`• —
Miscellaneous �a
Prop. Swr. Line 0 House Con. 0 St. Swr. Q /0-3/-G, , OCT 2 8 1963 (�[�.,� /'
Sprinkling System /7 �,i 3//�v -- \n �7-�( LI '.^t',�i'
Construction Pole tJ ,tIvilo'
Underground 0 Power 0
Rough Wiring fy 6,./EJ, /,2-/1-GJ' .2457/ —
Trenches la-- Forms [a3— Steel Reinf. IW's - o m--P-0_3'
Floor System Lf '0-AV-6Bond
p-/y--t5Bond Beam 0 Steel Reinforce 0
Sheathing ny,e, /a-5/—,c 3
Frame and Flashing 8.H'0 /y-ye- i,3
Lathing — In d8' Out lir ,cn_ r-;-c--
Plaster, brown coat ,9491/ r-gp-Gy
Ref rig. C Air Con. ❑ Final
Heating, Final �,.. - 2-77-L
Plumbing Fixtures, Final »v 3-/r-(�
Final Gas Test s 2 1/-2 Y
Electric Fixtures, Final �q 3-/ -4 Ye-
Building,
'Building, Final / -,..2",r 3--/ -3V
OCCUPANCY .
Form 13U4-4M-3-63—S-13 P
. 20530 FEERELVED
SEC
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. 0. BOX 817 COSTA MESA. CALIFORNIA FINANCE DEPT.
For Applicant to Fill In Completely C1APPOLI CATION FORA PERMIT
�j `
TYPEOR
'OR PRINT) ,/ BUILDING
BUILDING ADDRESS P2829 ,SAN al Uf}-N AN.
}y{ COSTA MESA. CALIFORNIA For iiOffice Use Only
OWNER Mesa Del Max Development Co. _ RECEIPT ND. I ^ a �iHD.
MAIL RE El1-D BY ATE/RECEIYE "I-J DATE ISSUED
ADDRESS 3800 E. Coast '_n - , /1... 1o'—e' —!o� I Stt' 1 lao3
TEL.OrIOle BUILDING
CITY Corona Del Mari Calif NO. ADDRESS
ARCHITECT TEL. Oriole
o0
OR ENGINEERMprrn PP'I+ NO.3 COSTA MESA. CALIFORNIA
Y (C -422D /I
ADDRESS Same as above FIRE E �/
NE TYPE GROU Y .�T.
CONTRACTOR "MaCCO Realtyco. BYPROVED DATE �/
ADDRESS - Same as ahovP ZONING I,
ZO __ NO.OF)._
USE OP I/Lr1
CITY - II - . .• I IMO.
PLANS I BUILDIN hlpl A ati
STATE 2073 -A-SB-1 TEL LEGAL
r.•�l.l
LIC.NO. •:;B: li.a NO Brl•_.0 II DESCRIPTION _ _ .
SIZENO. OF BLOTe.
SFF LOT 651 X 937 I NOW ON LOT . A.P.NO.
USE OF YARDS EVES
EXISTING BLDG •- APPROVED ALLOWED
SETBACK LINE FROM
CENTER OF STREET SCI REAR YARD l 1611 (CENTER LINE ST,)
F' 3 FRONT
'37.) FT. IN.
SIDE YARD I LEFT 5t I RIGHT 61 R.SIDE ‘ FT. IN.
DESCRIPTION OF WORK
L.SIDE CFT.
IN.
NEW I X II ALTERATION I IIADDITION I REAR 11 K 1IN.
REPAIR MOVING II DEMOLISH I APPROVE '(.. .1./711 5BYDATE �7 000"`/ D
BUILDING 541x411611 ROOMSF 7 STORIES 7
SIZE tiving area-2266 Sr
EXTERIOR COVERING WALLWO,w PY COROVERING ShakeF & Garage 1460 $•F•
tt��}��(rW �t It
USE OF BUILDI N2.`71NDlBORK TO BE PERFORMC$g
Single family residence Vattachecl
garage. Plan 50n-B
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION , THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITHLAWSALL CITY ORDINANCES AND STATE REGULATING
BUILDING
TRUC /yam,
SIGNATURE OF PERMIT
VALUATION PERMIT FEE $ /��
PERM ITTEF ✓-a Deal 0, D l opmentN
-44.- 23 925.00 �rl k_52, .2
$ ! PLAN CHECK $
AUTHORF}}��vv LMD AGENT Lip 0
TOTAL FEE . e E