HomeMy WebLinkAbout1957 SANTA ANA AVE - Building Permits PROJECT ADDRESS: 1957 SANTA ANA AV UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: E 066441
OWNER'S NAME: GILBERT, LOUISE D TR
ADDRESS: 1965 SANTA ANA AVE PERMIT NO: E 066441 PLAN CHECK NO: N GOVT: N SUPP : N
COSTA MESA, CA 92627
CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE PURPOSE: ALT
ARCH/ENGINEER: REG.ND.: JOB DESCRIPTION : SERVICE UP-GRADE SQ FT:
ADDRESS: UNIT:
CLAIM VALUE: CALC VALUE: GROUP OCC: R-3 /
PERMITTEEADDRESS:
: MC CARTHY ELECTRIC (714 ) 241-1946
I3100 SUMATRA PLACE COMMENTS : NO OTHER WORK AUTHORIZED BY THIS PERMIT
COSTA MESA CA 92626 #+r#*********##########*######a6##*****************####*****1t###*#####***********
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R EQUIR EMEN TS
7000)of Division 3 of the Business and Professions Code,and my license is in full force and elect. SETBACKS
CITY LIC..: 0 5 5 3 2 2 STATE LIC.: 4 618 7 2 CLASS: C 10
r, Date:_5`,(4, -q4- Signature: .C.- MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell-insure or a certificate of Workers' FRNT; FT IN REAR; FT IN FRNT; FT IN REAR: FT IN
Compensation Insurance,or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT : FT IN RGHT; FT IN
POLICY ND.: EXP.DATE:
COMPANY: PARKING REQ; PROV: PARCEL: 42628313 ZNE : REF NO:
0 Certified copy is hereby furnished. 0 Certified copy is filed wi he city Building Division. PLANNING NOTES>
LL.� > Lt
Dale: T • Applicant: ***##***#*********#******#*#** t.*r1�,lE***#*#*##*****##*#*1E****##*#**#*****###******
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is fur one hundred($100)or less). DEVELOPMENT st t.-R V I C E S REQUIREMENTS
I certify that in the performance otthe work for which this permit is issued yylall not employ any person in any manner so as to become
-subject I he Workers'Compgnsation Laws of California. 1/, \J[ �� ZONING APPROVED BY '/f�
0.L2 4ti V o DATE:
Dale'. �-E t b T Signature: i-4-`�-�
NOTICE:If,atter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY i DATE:
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. .- ,, igikt—
CONSTRUCTION LENDING AGENCY:• I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: DATE
3 1 « 1R. L\
which this permit is issued(Section 3097.Civ.C). ********************#*#****##*ifs*.tF##*#*#*####*#*************************##*****#
LENDER:
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 42 . 00
repair 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 the Contractors'Stale License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 10% SM I P/NON-RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 15 . 00
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING-D IV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'Slate License Law TOTALS----> 42 . 00 15 , 00 0 . 00 57 , 00 57 . 00 . 00
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 REVENUE DIVISION TOTALS--> COLLECTED• 57. 00 OVER/SHORT: . 00
forthe .
improvemnt is sold wi
sale/ one year of completion.the owner wit have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 57 . 00
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware #*#*#***#********#***###*######*##***##***#****#***###**#***************#******
that proof'of their Worker's Compensation insurance should be provided to me. IND I V IDUAL F E E BREAKDOWN
❑ I am exempt under Section: B.&P.C.
forthisreason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Dale: Owner. ELE 2 RECEPT/OUTLET 1 ST 20 EA. . 75 1 . 50
I do hereby certify that l am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533.and ELE 1 SERVICES BELOW 600 V & BELOW 201 AMP 18 . 50 18 , 50
25534 and That I or any future budding occupant will/will not(circle one)need to comply with said state codes and the requirements for a ELE 1 SUB-PANEL
11 . 00 11 . 00
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from ELE 1 M I$G CONDUIT NOT LISTED REQ PERMIT 11 . 00 11 . 00
(hese provisions.
END OF FEES
Date: Applicant:
I 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 her authorize representatives of this city to enter upon the above-mentioned
property for inspection purposes- OI 80157302-00157302 TOT 57.00
/ r— DATE: 03/17/94 TIME: 16:15
�d Date:�_t I. — %. ' Signature:
Driver's License or Social Security.:
164146 while-Building:Green-Code Enforcement:Canary-Applicant:Pink-Revenue;Goldenrod-Assessor
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Serviceor Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. • 53. Steel Reinforcement
3. Electrical Conduit Utility•Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. Ø;/4p' r5tlé 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 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, 0 Undrgrnd.
10. Structural Floor System 2. 61, APPROVAL TO DECK
, 11. Property Sewer Line & House Connection ! 62. Backwash & Receptor-Final
i
1 12. Sewer Cap i
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
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 Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 3:3/15v 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes;
34. Final Heating& Air Conditioning
I
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. FINAL PLANNING
49. Electric Release to Edison
.50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
V
OWNER H.V. McVay DATE 3-15-54
JOB ADDRESS 1957 Santa Ana Ave. BUILDING PERMIT NO, 130,"
GENERAL CONTRACTOR Walter A. Hebert VALUE $ 6,000.00
LOT AP#118-133-12 BLOCK TRACTDwelling
GROUP I TYPE V ZONE R-ttu FIRE DISTRICT 129
INSPECTIONS 7'1 7E SUBCONTRACTOR PERMITS ISSUED '
DATE NUMBER
Footing Trench � / � �i
Foundation Forms and Grade to Garage /
Rough Framing 2-.41--ea --
Plumbing,Rough to Slab yw/2.4 r ., V _ '5- 3/-Stf 0t2?
Plumbing,Rough Complete >t€2 ,/ L d" `T °
Temporary Pole / 4•/ 7/ n
Wiring, Rough iC- Is .i'0-4.4- , Altta c'-I- $ Y / $
Heating,Rough the N. &LC.e.t J-3/-„f' 2.21-
Heating,Final / /, �I
Sewer 5fCag/U TT/e tal/1� 41,- -F" feC A 2 % y--/-./ 97k
Septic Tanlf.or Cesspool 1 7 _
Lahing /��� %
tjd N
Plastering //
Plumbing,Final,Fixtures Complete li Et b^ b-sY
Plumbing,Final Gas Test 4k-P-• 4, 45-
rserzA a /j/Z- ._e(,.Wiring,Final �Ga-.et zca oe o et_+',. .. 6-(7- (y i-/$
Occupancy Gr-e-!r� 61/7-O'
Lr-
Form 210 0-H 131 12-53
Costa Mesa Building Department t. APPLICATION FOR rn
111 EAST 2Oth STREET 129 - -_BUILDING :. _ 1
. - COSTA MESA, CALIFORNIA - -'
'OR APPLICANT TO • FOR OFFICE USE ONLY - • ,
Receipt No. Permit No. I
Building r'7 As ^'' //n �/
Ad4rcss /qJ / sy /U"l_ - " G o /� 4
Receiv by, Da Rec' Da Isau d i
Costa Mesa, California 1^ I Af 3//ASPS/
te i
Nearest 3-/ O. / AS ' /
Cross St. Ge A A lU Vr. Building /l4-2 i�r�—a4,..._AA.
Address /
Owner i2 AJ _U 1. !/ itc U�1 Costa Mesa, California
Mail
Address /91/ SA ,vt t NQ, ,.#A dirt' Nearest / _ A i�
Tel. Cross St. �J�,(il,(A.,t.�
City e. , m
�Noo. p Zone [,I(/ No.of T e,(� I Group
Engineer /ArchitecA�A.RBoR pie A F7`1No/'Nillii O /cG Approved I Plans I Type/L.
1( �
`t, ef, ti Dm, /I 4 I I ei4 ;, .r. by Date
AddressCORRECTIONS
t1'AhTCR A. ligni ity L1c763
Contractor o. 1f.
�D n
Address tUoo comer sV t&eret,y 0, Dt 14 I,
A / �1 ~ —
Legal Lot c 1 _it _
Description I No. P �' Block ' I Traet7 / ®.
(Attach Metes and Bounds) •0 �� i
,I! h No.of Bldgs. '1,
Size of Lot 4 1 /3s. 01O Now on Lot �N� /r - - - - - - - -
ExUsist ng Bldg. Dia 2 Iva__
I Families i I RoomsNo.of '-' (.1(1� 1 0 i9 d 0
Setback Line from / Rear Yard tet^ ( - - , - - Z
Center of Street �d Side Yard -w S p� D
DESCRIPTION OF WORK COSTA PAESA r
New I Id Alteration I I Addition I _Cl� -
_Repair I I Moving
No,of I I Demolish
/
Building
_Size 94_1A 34 Rooms 6- Stories 1
Exterior Wall Roof !
Covering 5'j"VG ^V
CD I Covering l` tyP a APPROVALS
Use of New Foundation Location Inspector Date
Building j_ ��L.(, j fu-6-- Forms,Materials,
Under-Pinning
Frame: Fire Stops,
Bracing,Bolts
I hereby acknowledge that I have read this Application Lath. Int.
and state that the above is correct and agree to comply
with all City Ordinances and State Laws regulating Lath.Ext.
building constrrution
Signature of ,n �Y! ./, Plaster, Int.
Permittee �( (."' UNt..t_
Plaster,Ext.
Authorized Agt.
Masonry Reinforced
•
Valuation Permit Fee $ /6 D G
n0D` Plan Check $ 3 D A Bond Beam
S Total 1 7d
Fee $ / . D FINAL
/Imrm 204 1:-H IA: 12-63 7 I
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Street I _
PLOT PLAN ;
Show location and distances from a
property line and between buildings.
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