HomeMy WebLinkAbout768 SCOTT PL - Building Permits Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations.
CITY1 fCL, MESA PERMIT NO TRACT NO. LOT NO. •BLDG.NO. ,y� (1
CONSTRUCTION PERMIT (/J1 6...1. 1 IYI
Project Address 74 g cc od ,P,44ce TYPE OF CONSTRUCTION .
Owner $/// ,L O✓e 4,Cs 3 .Phone(1,4232-3 0 NEW 0 ADD 0 ALTERATION a 'OCT 'I O 1(102,
Address 7G 8 Scop' iris e 0 REPAIR 0 CONVERSION ❑DEMOLISH I.
,Ill1 1 s7 JO
sfl Arch/Eng. • License No.10947 7 - 0 OTHER �/ 71'P ZONING REl yCATIONS
ry• `Address DESCRIPTION OF WORK Re /ea O-T r N,/ '
Cows �.S!// C�AJJ• A ZONGITi Of CO3TA MCP TTGpp. REF.1,�f�I
Contractor c4&i/ to w Phone,rgf�ri64 Ty•E OF PER IT SETBACK C/L ST. VROPEiRTV LINE
Address b GO.f( At e//CA4 LVAQ 0 GRADING 0 FOUNDATION 0 STRUCTURAL I p YARD
LICENSED CONTRACTOR DECLARATION / 0 TENANT 0 ELECTRICAL ['PLUMBING ['MECHANIC SIDE
•
▪/ mencIng s with section0 0) of underaffirm that I am licensed provisionsv3si ofs the Businesr 9s c and ROTHER
RIGHT
professions Code, and my license is in full force and effect. REAR YARD(TO P/L) - '
�. 7 PROJECT DESCRIPTION
License Class LlcoryfG�lo PKG.SPACE REQ. PROVIDED
Date 2•"' Signature uu� SQ.FT.�600
WORKERS'C MPENSATION DECLARATION OCCUPANCY—CONSTRUCTION TYPE STREET WIDTH PARK FEE E
I hereby affirm that I have a certificate of consent to self-insure or a VALUATION 72+J ) • ZONE ZONING APPROVED BY DATE
certificate of Workers' Compensation Insurance, or a certified copy - SPECIAL CONDITIONS:
Policy ( r-giSii y C)• 7CNf't �/ GRADING,CU.YDS. ACRES -
PoficY No f�� �1 Company •'7 .
❑Certified copy is hereby furnished.. REMARKS: -
®.Certified copy is filed with the city Building Division, ' •
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 shalt not employ any person In any manner so as to become PLUMBING , PLAN CHECK- ELECTRICAL PLAN CHECK
subject to the Workers Compensation Laws of California. ,IaA KA[at
Date Signature BATHTUBS SHOWERS 50 FT 50 FT -
NOTICE: If after making this declaration, you should become subject TOILETS URINALS GENERATOR 0-1 KW_1-10 KW
to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER
forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS APPLIANCE 10-50 KW 50+ KW
revoked.
CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS MOTORS 0-1 HP 1-10 HP - '
I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS . SUMPS (INC.SOLAR) 10-50 HP 50+ HP -
formance of the work for which this permit is issued (Section 3097 '
Civ. C.). - - FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES -'
Lender% Name
Lender's Address DRINKING FOUNTAINS GAS TUBE SIGNS '
OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS POLE LIGHTS
I hereby affirm that 1 am exempt from the Contractor's License Law for
the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL P TRAP •. ' LUN5i KULIIUN
Any city or county which requires a permit to construct, alter, POLES METERED SUB
improve, demolish or repair any structure, prior to Its issuance,also re- WATER SERVICE ALTERATION - PANELS MAIN SUB '
quires the applicant for such permit to file a signed statement that he • i
is licensed pursuant to the provisions of the Contractor's License Law GAS SERVICE OUTLETS SERVICE AMP '
(Chapter 9 (commencing with Section 7000) of Division 3 of the •
Business'and Professions Code) or that he is exempt therefrom and the WATER HEATERS BTU OUTPUT - - '
basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS - ' '
of not more than five hundred dollars ($500). - '
❑ I, as owner of the property,or my employees with wages as their SOLAR TANK COLLECTORS— - " — - ;
sole compensation, win do the work,and the structure is not intended 'ISSUE FEE
or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. �) -
Contractor's License Law does not apply to an owner of a property I/•
who builds or improves thereon, and who does such work himself or ISSUE FEE APPLICATION APPROVED BY / DATE b/�/�Z
through his own employees, provided that such improvements are not /
intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK SUMMARY OF FEES '
is sold within one year of completion, the owner will have the burden _
of proving he did not build or improve for the burpose of sale). HEATING SYSTEM 0-100,000 BTU BUILDING �1 -
❑ I, as owner of the property, am exclusively contracting. with AND DUCTING - PERMIT E a� V SMTP E'
and
sionscontractors to rnthe srLicet (Sectiones 7044, lness 100,000 +BTU PLAN CHECK $ PERMIT
and wn r of Thebuilds
orContractor's License Law does a not apply to - ISSUANCE $
an orr of property who improves thereon, and whoa con- REFRIGERATION RATION 0-100,000 BTU PLUMBING $
tractsC from such projects with a contractor(s) Ilcesnetlpurivant to SYSTEM - $ GRADING $
the Contractor's License Law). 100,000+BTU PLAN CHECK .
❑ I am exempt under Section B.& P.C.for this $
BOILERS BTU ELECTRICAL $
reason - - MICROFILM $
Date Owner SYSTEM REPAIR,ALTERATION PLAN CHECK $ TOTAL FEE$— _
•
I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE MECHANICAL $ LESS AD-
Information is correct. I agree to comply with all city and county PLAN CHECK $ ' VANCE PC S - •
ordinances and state laws relating to construction,and hereby authorize .
representatives of the city to enter upon the above mentioned ^��
Property for inspec n pu s . DC
Signature �"F"`^'�
FEE - -. -
CMF 0865.46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor
-
CONSTRUCTION;AND PLANNING,: '
- . p:�' •-, . POOL'&SPA '.
APPROVALS `PermitP:6-1.7103 , Date a Inspector APPROVALS, Permit# Date _ • Inspector
1_ Temporary Electrical Service or Pole I - L1t?
' ' ' 43. Pool & Equipment Location - - -1
y_.2. Soil Pipe-Undrgrn `'-.�' " Y. ; _ •!a, t 44. Steel Reinforcement - - .;_ 3. Electrical Conduit.Utility,,Undr9ro,w,..,r- - ' - '- -'-• X45. Forms • - - - •
._4. Electrical Conduit-Undrgrn :•', +, t ; _ - 1i ' -. 46. Electrical Bonding - - -
- 5. Steel Reinforce - _ 47. Rough Plumbing& Pressure Test - ` ' ' ' - -- '
6.. Electrical UFER Gro 48. APPROVAL TO COVER-GUNITE •• ' - "
7. Footings _ - - -- -- 49. Electrical Conduit-Undrgrn . • • .
8..- Foundation .. _ _ _- .-- .. 50. Gas Pipe, 0 Undrgrn,Test '•
'_ 9. .-Water. Pipe-Undrgrn_ -_ _. . __ -_ _.--'- _ - 51. Backwasli;Lines.P-Trap. D`Undrurn •"' " - -- - -
10... Structural Floor System . . _ . - 52. APPROVAL TO DECK
11.. .Property Sewer Line &J-louse Connection _- - ' - - .- .,. 53.'- .Backwash& Receptor-Final I. '• . R
-12. -.Street.Sewer Connection - _ _ _ _• _. L- ' • - - -54. Heater&Vent-Final - • {
13. Rough-Plumbing -_ _ _. 55. ' Plumbing System-Final' - - -- - }
14. Rough Electric-Conduit - - - - '56. Electrical-Final ' •• - .,.. •
15. Rough Electric-Wiring - - _ --- 57.- Solar System-Final ;
16. Rough Heating& Air Conditioning :- - - - 58. Fencing&Access Approval -
•17. --Ducts;in Structure -- - - - 59. APPROVED FOR PLASTERING '44. • . " ' ;
18: Ducts, Ventilating - - -- - __ - . - -"
19. Gas Pipe-Rough &Test - _ . 60. POOL/SPA SYSTEMS FINAL - ' ,
-20. Roof Framing ,- - I
21.' Roof Sheathing - - - -- - � Q� s L ' 'i
- .. - - - NOTES:- / 0 - ' l eo .�4� . .
. 22. - Fra me and Flashingt [ /Co•
23:. Insulation ' - -- - --• - • - - - -- " - _ _. i
-24. Lathing & Siding " - - -- ---- - - . - - ,_ _ e
25. Drywall Nailing .. _z, . . - --- " - -- - //�' - - ', . '
0.
26. -•Plaster Brown Coat t- -- _ - - - - - - - -- -_ - - V 'I - Q, - t
i -27-.' "-Electrical Power Meter-Final -- -
-- - - - _ _ _ - _ --AA (/v-'O� /(' / -
' 28.'- -Final Electric - --- - --- - - .- - - - ._ L) f a
i 294 -Final Heating &Air-Conditioning - --- " - - _ - -
} 30.. - Final Gas Pipe-Test- - _ . _- - -- ' - -- - 1
-31; _Final Plumbing - _ ,- p
'- 32. Water Service-Final - - - -- - --•- - _ . _ - ' ' '
33::-Gas . - .- .. ._ - - ,
'-- -
• 34. Solar Domestic-Final ' - _
. 35. 'Landscape Sprinkling System __ I - _ _ - '
36. Sound Attenuation . . ' , • - - - • ' ' - ' -• . _
i 37. Handicap Regulations . - - - • ' - " • , - -
, 38. FINAL STRUCTURE& BUILDING ' ' - - -
39. Special Requirements Completed - - - ' - - • - - - - ' ,
40. Electric Release to Edison _• -• -
• 41. Gas Release to Southern California Go Co. . - -
! 42. CERTIFICATE OF OCCUPANCY I - -_ - •
No Date -- - a ..- ,�
OWNER MILLER, TED - DATE 1-30-62
JOB ADDRESS 768 Scott Place BUILDING PERMIT NO. 16195
GENERAL CONTRACTOR Shoreline Constr. Co. VALUE $ 17,280.00
AP No. 116-101-10 LOT TRACT FIRE ZONE DESCRIPTION OF WORK duplex/att Cpl
INSPECTIONS Signature�j 2 "'/J VDATE9yGROUP Du TYPEV ZONE R9 t
Soil S ?/ PERMITS ISSUED
Gas / 5 3 2i -40- SUBCONTRACTOR DATE NUMBER
Water h/r/ /14/5- 2-ze(-ii
Rough Com. Ref rig. 0 Air Cond. []
Rough Heating AH5- 3 yo a - _ ,r/-
Rough Plumbing • / /
Miscellaneous •�- I,�e ��• - 6 -�-- G
Prop.Swr.Line p-Rause Con. la--St.Swr. /(6 0 'i.- �ir2 Pt/6 Z /!(yj)''7A 1
Sprinkling System 7-
ov-
Construction Pole •
Underground 0 Power ❑
Rough Wiring 3 / f b/r2 .G Op,t. ag.l'_" 7 7 c "'o
- P" 9' -
Trenches Forms Steel Reinf. C�f j-5-CL
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing le. a a— 3 — _/--s-- 6 j
Frame and Flashin - Ai.- �_G 5 y
Lathing - In Out 4 727 `t_ y- —
6 ,
Plaster, brown coat /me- he.- 3-c - 6 .y
Refrig. ❑ Air Cond. ❑ Final
Heating, Final p r f-7 fj ,.`"2.
Plumbing Fixtures, Final r /
Final Gas Test/r 4415 >-{Y
Electric Fixtures, Final 944 C•T.6�
Building, Final E174 6-2rf'- 7.----
OCCUPANCY
FORM 13114.SM - 7.61 1f-119C
` 16 95 E RECEIVED VED .
0.
STA MESA BUILDING-SAFETY DEPARTMENT JAN 1[[6 1962
P. O. BOX 517 COSTA MESA. CALIFORNIA -FINANCE DEPT
For Applicant to Fill In Completely �C(j°i APPLICATION FORCcIPI:R1 nCOSTA MESA
OR PRINT
BUILDING :5�� 2 c_07-7- Pc.'�° BUILDING
ADDRESS
COSTA MESA. CALIFORNIA For Office Use Only
OWNER � e O /A it-c€12- T I RECEIPT NO. l //O/I9N5
MAIL nal, BY/ I/I//'�`/AT/TB�/TE.1VPp..1 //ggJJDw-E LESU,EIL
CITY y_JRESS 7U/ U a:9-/ /�lll /p/(1NP 67dX , _
TEL. BUILDING
CITY NO. ADDRESS
ARCHITECT S
OR ENGINEER I-ko,Z&Li 1J No COSTA MESA. CALIFORNIA _
p1
ADDRESS �1.Z CD L aw P6 RT FIRE ----,2--
TYPE
/��
c^� / ZONE TYPE GROUP JSl-
CONTRACTOR /I-tartL.0A)E CO JET. C0 . APPROVED
9..."2.60
BY DATE
ADDRESS �1e Po2T ' ZONING
(^ ZONE '�TT NO.OF USE OP NEW/S?MALI
CITY �-///� -.�(. - ` R' V (PLANS a (BUILDINGm qC"/y (^ �.
LIC..NO.ATE NO. I" I -G-JQ€S DESCRIPTION 40'� 2 3 1-r“-{..,Cott
SIZE I NO. OF SLOGS./^L / / ,VTI
OF LOT NOW ON LOT IIJJ
A.P.NO. J i/- J /0
USE OF -7S X G�pp YARDS I EVES
EXISTING BLDG. APPROVED ALLOWED
SETBACK LINE FROM -� Y{ } I 1 (CENTER LINE BT.) L c�
CENTER OP STREET REAR YARD I I-Cs FRONT L/ ., FT. IN.
SIDE TARO I LEFT 12 i Cc, I RIGHT 5 I R.SIDE S"'''FT. A IN.
DESCRIPTION OF WORK L.SIDE
♦ IN.
NEW IX II ALTERATION I IIIADDITION I REAR Actft. FT. ( IN..
REPAIR I II MOVING I aI DEMOLISH I BYPROV1 DATE I Jt6Z,
BUILD( C(T�� CnI NO. OF �l �/�
SIZE �1/T ( ROOMS STORIES' L `!-
EXTERIOR WALL S,.L�.�4 ROOF 1�
COVERING 'COVERING 1/"SIL
USE OP BUILDING AND WORK TO BE PERFORMED
Q / C- Icc PL6:< /v . •
/6Jrn4Y
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS OR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTIO r--- 1 VALUATION / o- 1
SE NATUR OF /�L/�”` PERMIT FEE $a/% N
\ v $ 7 �D PLAN CHECK $ /�
-'(ZED AGENT /// G �fT G
TOTAL FEE $tG
/
OWNER LOVELESS, WILLIS & URSULA DATE JAN 1 5 1965
JOB ADDRESS 768 Scott Pl. BUILDING PERMIT NO. 23413
GENERAL CONTRACTOR Owner–Builder VALUE $ 620.00 to
AP No. 116-101-10 LOT TRACT FIRE ZONE 3 DESCRIPTION OF woREAdd/Cpt–Gar.Doo'.
INSPECTIONS Signature DATE GROUP J TYPE V ZONE R3
Soil - PERMITS ISSUED
Gas SUBCONTRACTOR DATE NUMBER _
Water
Rough Com. Refrig. 0 Air Cond. 0
Rough Heating
Rough Plumbing
Miscellaneous
Prop. Swr. Line•El House Con.p St. Swr. 0 _
Sprinkling System
Construction Pole
Underground p Power 0
Rough Wiring
TrenchesForms 171-- Steel Reinf. 0
Floor Systemrett
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing ,��� u/
Lathing— In4:1 Out.per
Plaster, brown coat ,siv//v(,- _
Refrig. Air Con. 0 Final
Heating, Final
Plumbing Fixtures, Final
Final Gas Test I
23413 FEE RECEIVED
/'OSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 317 COSTA MESA,CALIFORNIA ,e�jQQ 1((5�FF 1965((��FFpp77 61
For Applicant to Fill In Completely APP'ICAT1 i F9I PERMIT
TYPE OR PRINT CITY gbicMESA
For Office Use Only
ABUILDING
DDRESS 14 Seuf'f P1 z c
RECEIPT NO. P.RMIT NO. /�
COSTA MESA. CALIFORNIA
I,�, j) l //
RECEIVED Er DAT!RECEIVED DATE 19E1.U�D
OWNER Y�' i //I S I VCS aa- lJ ae/rec." !i[i l'I/)-(1") / ✓-G
MAIL �1 / G �/� /�� BUILDING
ADDRESS FIRE
y-r�l.O S'CA' 17 / 6 •T—�� ADDRESS
CITY COC. r ( 1. A)<.r " • NO. L-L23L7 ZONE TYPE GROUP ��
APPROVED
ARCHITECT TEL. BY ' ATE , S r 5
OR ENGINEER NO. �
Sir Ci O /
ADDRESS „
HOJ1q 111 NO.OF _ _ UBE OF NEW
p "r / J1 / ✓i-y I PLANS �Y I BUILDING i
CONTRACTOR/ ? i