HomeMy WebLinkAbout798 SCOTT PL - Building Permits .
S_ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. r\`
CITY OF COSTA MESA G CONSTR CTI ON P.RMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. •
- Project Adskess 7//Y - 6.-51.— 3c�Ygqr/ e C� - bc=i 553 '�
Applicants Mailin s0 � LS_� �U6 1 S f/fA/6/ „PA 4� TYPE OF CONSTRUCTION ❑ NEW U ADD
LI ALTERATION U REPAIR fin. ',Inn...-. .._ 1
j ❑ CONVERSION ❑ DEMOLISH ❑ OTHER q.p-# Zone -
4
Owner's Name 4 f r c Phone 9r��-7C7 -DESCRIPTION OF WORK/USE OF BLDG.
Li Address / y GDT r L. • C.h /�✓q(, S Main Building: Accessory Building:
- Arch/Eng. License No.7CQ J / t TYPE OF PERMIT ❑ GRADING U FOUNDATION ❑ STRUCTURAL E Front - O
Address p ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL A Rear - N
Contractor's Nam¢7U a a./it N/V Phone'74/4W
❑ 'OTHER - q-/ C Right _ N
/1 PROJECT DESCRIPTION SQ. FT �•&O/C JrOCCUPANCY/ G
Address(mailing/D��GGX``.1 u� /J•Q" �� CONSTRUCTION TYPE - VALUATION$ 2 so.ec- S Left .
City License No. 29 9`7 S- (PP' •
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: OM
with section 7000) of Division 3 of [ Business and Professions Code, and T
my license Is in 1�f�••I1 fore nd effect. Cr;
License Class s-' � 'cense No.2 �/ - — - S
Date MY 4—kr Signature tot, PLUMBING FEES .
WORKERS'COMPENSATION 0 Cte a 'Bar Sink Showers �� -
I hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES
of Workers' Compensation Insurance, or a cer co., thereof (Section Backflow Preventer Service Sink •
3800, Lab. C., - Automatic Washer . Transformer 0 15-50 KW-
703 8YI '
.Policy No. Compo Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+ KW
8 Certified copy is hereby furnished. �—�
Certifiel copyii fit with the city B •Fsr Bathtubs Sewer Connection
Date '2 11 Applicant - CookingUnit Meter ❑u to 100 am s
EXEMPTION FROM WORKERS'C. v��SATION DECLAR•TION ,Clarifiers Solar Collectors , Dishwaher , Meter Doverv100 amps .I
(This section need not be completed If the permit Is for one hun•red_($100)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 manner so as to become subject to the Drinking Fountains Solar TankFan
Workers' Compensation Laws of California. Motors❑0-1 HP ❑1%-8 S
Date Signature • Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar,09.15 HP ❑16-15+
'NOTICE: If,after making this declaration,you should become subject to the
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures I 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 • '
Lender's Name - Range
Lender's Address Kitchen Sink Water Service
OWNER BUILDER DECLARATION Switches Sign
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories - Auto-Wash Garbage Disposal
following reason (Section 7031.5 Business and Professional Code: Any city or P „Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair , P-Trap Laundry Trays Generator' 00.5 KW ❑5-15 KW
•
any structure, prior to its issuance, also requires the applicant for such permit 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
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_I 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 Reinspection Fee I $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code:' The Contractor's MECHANICAL , FEES
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 Boiler Hood or Type ❑ - - DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered for Zoning Approved By Date
sale. If, however, the building or improvement is sold within one year of com- Canopy Type I I 0 •
pletion, the owner will nave the burden of proving he/she did not build or im- Duct-Under Ground • Building Approved By Date
prove for the purpose of sale). •
rn� I '
LJ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By ce Date `.3"l •amCi
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 ❑0.100,000 BTU 0100,000 BTU ,
builds or improves thereon, and who contracts for such projects with a con- SUMM/ •RV OF FEES
tractor(s) license pursuant to the Contractor's License Law). I am aware that • Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ .3(O. Ct •. SMIP l$ r 5`0
proof oftheir Worker's Compensation insurance should be provided tome. PLAN CHECK $ PERMIT
0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBO# Fire Dampers • •
PLUMBING. $ ISSUANCE $
Date AS Owner I Registers PLAN CHECK 25% .$ ENERGY P.C. $
I hereby certifys act have read thismapplication all ytl state that the above 01 rl 511 : ■ II.111 . GRADING $ '
' information c• re at I have sla withc all city and countythat the
vs ELECTRICAL $
and state laws -lot 1..• • • ilding construction,-and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $
inspection pu �t07 the above-mentioned property for / �y�
inspection pus J //�G;1-r MECHANICAL $ TOTAL FEE •$ 36• •d u
Signature i/ss' Date
Drivers' Lice or'55 9F • - $15 ' Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod -Assessor - - -
.-4 - CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS - Permit Date Inspector APPROVALS Permit Date Inspector
•
17tTemporary 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
61 Electrieal UFER Grnd. 71/ 57. APPROVAL TO COVER-GUNITE .
7. Footings -' 58. Electrical Conduit-Undrgrnd.
8: Foundation •'
59. Gas Pipe, 0 Undrgrnd., Test
9: Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ Undrgrnd.
10. Structural Floor System - t 61. APPROVAL TO DECK
Property ewer Line & House Cgnnection ( 62. Backwash & Receptor-Final
- 12: Sewer Cap' I 63. Heater & Vent-Final
13.
Roof„Drains • • 64. Plumbing System - Final
Y
14. :Bough Plumbing; 65. Electrical-Final
15. Rorigh 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 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
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 Coati': 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
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 PAUL E. ROBERTSON DATE 7-15-58
JOB ADDRESS 795 Scott Place BUILDING PERMIT NO. 7102
GENERAL CONTRACTOR 0. Z. Robertson VALUE $ ' 22,528.00
17Ac0. 1-U4 LOT 17 TRACT 2924 FIRE ZONE DESCRIPTION OF WORK Triplex
GROUP' H & J TYPE V ZONE R-4 PLAN NO.
PERMITS ISSUED _
INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER
Trenches Forms Steel
Floor System
Steel Reinforce Chimney Re-Rod n/
Bond Beam V �!
Frame and Flashing d"
Lathing, In Out
(deft' 1 A
Plaster, brown coat
Underground soil L.. W W/G Pipe TestL(, ,-G-SV
Top Out
Furnace 14440 4-/G 3t A
Gas Vents
Rough Plumbing /1/4( e)2 9-nsls c&ernei/-cEr 2e -5R' J 9.5—/7 fj / 7
Cesspool Septic Tank ��/
Prop. Swr. Line House Con yJ/St. Swr. WA& J(
Sprinkling System t i _
Heating Final A1'f{ /y-/sic" /
Plumbing Fixtures, Final 1JCi /}-si-SX _
Final Gas Test u4. r .-a"'--AP —
Construction Pole
Underground Power 9—/6.-CA V
Rough Wiring sTfr fm� 9/,76 /.2/pep -0 — `nG 7-22 — 1072 ' / II
Fixtures, Final - �iI
OCCUPANCY ,t., /L-a--e I t
Form vo—;m—t-s7 79)i1.-R—Srn+.+. P1 aro +I 711)2
•
OWNER Paul E. Robertson DATE 7-15-58 _
JOB ADDRESS 798 Scott Place BUILDING PERMIT NO. 7102
bN�ERAAALII',,,'CONTRACTOR 0. Z. Robertson VALUE $ 22,528.00
E
11 -ryLt LOT 17 TRACT 292h FIRE ZONE DESCRIPTION OF WORK Triplex
GROUP H & J TYPE V ZONE JR-1, PLAN NO.
INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED
DATE NUMBER
Trenches Forms Steel
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam IVFrame and Flashing a
Lathing, In Out JY
Plaster, brown coat 01
Underground soil VW WIG Pipe Test#W IP-t -s-P
Top Out
Furnace • 444-5 p of n-y.{'
Gas Vents
Rough Plumbing eito$1 ffli 9/ C
9- '/4rnF
,�rroronr 7-IS -s8 /4CC/X ' ' f"-0
Cesspool Septic Tank 7 7
Prop. Swr. Line�r.HDuse Conhyt,St. Swr. Lilr&-Sr .
Sprinkling System i
Heating Final 0- frt..-4-/--r
Plumbing Fixtures, Final ,�,� 1, -e,_,;--F
Final Gas Test a J IT-ei--.t
Construction Pole N
Underground Power
Rough Wiring TF,r/e/Y y q-J4_,S4' tt,pp-d-1,3-e 7-22tc8 1a 71' L
Fixtures, Final pi's` (,-7.7717
OCCUPANCY ,Sp.-} /y.-Li—SidUI ✓`v
Form 210-5M-1-57
7911-6 Scott Pl. 17102
•
OWNER PAUL E. ROBERTSON DATE 7-15-58•
_
JOB ADDRESS 794-6-8 Scott Place BUILDING PERMIT NO. 7102
147421-04
G.�:NERAL CONTRACTOR 0. Z. Robertson VALUE $ 22,528.00
LOT 17 TRACT 292h FIRE ZONE DESCRIPTION OF WORK Triplex
GROUP H & J TYPE 5 ZONE Rli PLAN NO.
INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED
DATE NUMBER
Trenches Forms1, Steel jyicei, ire a
-a y
Floor System
Steel Reinforce Chimney Re-Rod •
Bond Beam
Frame and Flashing &' E 9.-,7Jt
Lathing, In Out ( iVE,g CP-a, -.CgPlaster, brown coat j °'LS (t /7(, -,17-.. ,,,,
Underground soil L,vier WIG Pipe Tape,, w.-6_,;(0,-
Top Out _
Furnace /VHS 9-/9-Sr
G,li-veins . ._ a P /2- -32 /y.e F_a ewF, r 9--/q,58 y -.4S`7 G
Rough Plumbing f frf-/f I-/CSr.5.<r p cgoFf ,%,s,x 7-2 f-S,9 /f117G. -✓ .,/
Cesspool Septic Tank ///. ('
Prop. Swr. Line House Con.„4 t. Swr. 124,.-al '/
Sprinkling System r ( r
Heating Final 44E5 /i-r/--fl',
Plumbing Fixtures, Final b-C, t p.-q- y
Final Gas Test Oed /f-.,,t V
Construction Pole INl'/
Underground reamer rM \.,-Yfr \J
Rough Wiring Y�1 9,-14-26-7R rep - n- Lr � P_ -22-58 _�72t' OI
_
Fixtures, Final lite - • U
• Vd
OCCUPANCY 1-a.R-C'
Form 210-5M—I-57
(79@-6-8-Scott Place 1 7102
7102
COSTA MESA BUILDING DEPARTMENT 7_� .-55( i�
P.O.BOX 317
- COSTA MESA. CALIFORNIA FINANCE DEPT.
FOR APPLICANT TO FILL IN APPLICATION'"FORI PERMIT
BUILDING :' 1. � �e BUILDING
ADDRESS C6 F
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
41 atAL RECEIPT NO. PERMIT NO.
OWNER eta. o met�q{<l�] 7TC ?
ADDRESS �� I L/J • 1 y C+ t 3 I\ By [[���y9i ZEc ciCtif�TI, S/J
CITY CO 4+0. t1•CS4CA TNO.LI `$10'4 ADDRESS LDING �97 _ — 2 CO79 P.
ARCHITECTLIG. 41 t(, - d(e 6J COSTA MESA. CALIFORNIA
OR ENGINEER L.E� .T TorcC�p„b.J NO.
ADDRESS .1411.) I LAP. , miss-itFIRE
J ZONE 3
CONTRACTOROtt ce. S .P.4CPCITY a NO./3CJ �7� ZONE�J .1� PLOnnS TYPE fry, GR`O�
ADDRESS, I LJV I I i7 NO./LI IO BYP,R 10rV(_/J/v N, /ASA.. DATE .7 c/ r-
LEGAL lG1^ y CORRECTIONS
DESCRIPTION NO. I 5 BLOCK TRACT L `O�
J/ 6— iO/— off
•
A.P.NO. rr � 0� }r1�
SIZE I INO.OF BLOGB. ` �tlf 'D
T� �U: ..I
OF LOT ' p •� y ���L] NOW on Loi �
USE OF CITY O. -:STA MLSA
EXISTING BLDG.
a. I .I J.:-EI T.
SETBACK LINE FROM '// 15 d� T 7, ! '1 TO •LUG. CEPT. MEG.
O _
CENTER F STREET 'L/! REAR YARD I / -3 �U� �
,i
SIDE YARD RIGHT 15 LEFT t Q t___-----ar
DESCRIPTION OF WORK • By PLAN TDCH. Dp'I
NEW ALTERATION II ADDITION
REPAIR MiO�VING Ip1 DEMOLISH
SIZIELDING� ��4i ROOMS I STORIES I
_COVERING e•
NG
EXTERIOR WALL tAl""CD ROOF CC
TT CACROOFRING O
USE OF NEW I1 II Lel,..-t-I
BUILDING 1�1 ct — La. -c 5 234/7 /V < F/3
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANO
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION.
SIGNATURE OF ( / 1 / T/_ VALUATION ('y
PERMITTEE x..
..Qi \`\14.�JvaJ(ia_> PERMIT FEE $ C `�
2Y PLAN CHECK $ Z/
$ z2- , s
AUTHORIZED AGENT . TOTAL FEE 5 1 1 9wI