HomeMy WebLinkAbout671 SENATE ST - Building Permits • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
PERMIT NQ.` TRACT NO. LOT NO. UNIT NO. ap^'
CITY OF COSTA ME CON�„TR UCTIQN PERMIT IF d-C7 f, ___ =/.7/
Co 1
Project Address �� �d '� 51,
1 TYPE OF CONSTRUCTION ❑ NEW ElADD H ALTERATION II REPAIR
Applicant's Mailing Address 507/'/e
! ❑ CONVERSION
/ATM b/Yr"a el Phone"a?-C/e, ❑ DEMOLISH ❑ OTHER - A.P.#t Zone
Owner's Name C _ DESCRIPTION OF WORK/USE OF BLDG.
Se Address 6 7/ rt.') "c -S T• S Main Building: Accessory Building:
Arch/Eng. License No. •TYPE OF PERMIT U GRADING FOUNDATION El STRUCTURAL T Front 0
CI TENANT El ELECTRICAL PLUMBING 117 MECHANICAL
Address ,s B Rear N
��11
Contractor's Nam¢ L/ Phone _ - CI OTHER - /J 3
C Right N
PROJECT DESCRIPTION SQ. FT. OCCUPANCY R K G
Address(mailing) CONSTRUCTION TYPE VALUATION$ S Left
City License No. -, ZONE GRADING CU.YDS. ACRES R
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: M
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
WORKERS' COMPENSATION DECLARATION . Bar Sink a Showers uN ELECTRICAL FEES
I hereby affirm that I have a certificate of consent to self-insure or a certificate', 4
of Workers' Compensation Insurance, or a certified copy thereof (Sectio`- , Backflow Preventer Service Sink
3800, Lab. C.) Automatic Washer Transformer 0 15-50 KW
PolicyNo. CompanyBackflow lrri ation Sewer - 0 50+ KW
9 Cap Construction Pole Sub.
Certified copy is hereby thr he city- Certified copy is filed with the city Builtling Division. 2_' Bathtubs Sewer Connection USI. Cooking Unit Meter ❑Up to 100 amps /
Date Applicant -
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 ($100) or
—
less). - Dishwasher . Solar Piping • Dryers ❑Gas DElectric Sub Panel /
•
I certify that in the performance of the work for which this permit is Issued, I''-
shall not employ any personin any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors 00.1 HP /-8
5110
Workers' m rnLaws of Califon _
Ci
Date--"' / Signature :'X,tp � t��CL?er Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 1:1„9/5 HP 016-15+
NOTICE:If,after maki g this declara on,you should become subject to the —
Workers' Compensation provisions of the Labor Code, you must forthwith . Floor Sinks Urinal Fixtures -
Micro e
comply with such provisions or this permit shall be deemed revoked'. %
CONSTRUCTION LENDING AGENCY Gas Service Outlets -Water Closet
I hereby affirm that there Is a construction lending agency for the performance Device Boxes P e Light
Of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets it
Lender's Name Range
Lender's Address • ' Kitchen Sink / Water Service 2,0"U Switches
OWNER BUILDER DECLARATION Sign
1 hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage DisposalAi Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,Improve,demolish or repair P—Trap LaundryT
any structure, prior to Its Issuance, also requires the applicant for such permit ra Trays Generator ❑0-5 KW 5.15 KW 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
poyMlty of not more than five hundred dollars($500). $ 3
I, as owner of the property or my empl'Wa-' with wages as their sole Reinspection Fee $15 Issue Fee
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 ❑ DEVELOPMENT SERVICES REQUIREMENTS:
Boiler Hood or
employees, provided that such improvements are not intended or offered for Type Zoning Approved By Date
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑
pletien, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground
Prove for the purpose of sale). g I
Building Approved By - Date /"lIb -I
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System - Application Issued By Date
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 O0-100•000 BTU 0100,000 BTU SUMMARY OF FEES
builds or improves thereon, and who contracts for such projects with a con-
tractorst Exhaust license pursuant to the Contractor's License Law). I am aware that System 0 Multiple 0 ,$ stem Repair/Alteration BUILDING PERMIT $ SMIP $
proof oftheir Worker's Compensation Insurance should be provided to me. PLAN CHECK $ PERMIT
0 I am exempt under Section B. & P.C.for this reason Firepl/Fact.BIt. ICBG# Fire Dampers PLUMBING $ 13 f}J ISSUANCE $
Date owner/ meal Q 2Q—M Heating System& Ducting Registers PLAN CHECK 25% S. ENERGY P.C. $
I hereby certify that I have read this application and state that the above 00-100,000 BTU 0 ,000 BTL ELECTRICAL $ GRADING $
information is correct. I agree to comply with all city and county ordinances
• and state laws relating to building construction, and hereby authorize repre-
sentatives of this city to enter upon the above-mentioned proper f
inspection purpos s .ate// MECHANICAL $ u Li
Signature/ 6ryiH7O :on Date-Vg-
2 ,TOTAL FEE $ ��.
Drivers' License or SS# ,/ amminmeak
Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% §
CMF 0865-46,rev. 10/84 White - Building: Canary - Applicant; Pink -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 LIFER 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, O Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
s
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
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
T
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: r_�� orf YQeuaim
34. Final Heating & Air Conditioning /� �/
o>'rtlf?)rf ret-, Role and YcvZii ac e( r
35. Final Gas Pipe-Test /0•51•1MCP EM7 EKAaA 45 PCR. SEG.
36. Hood or Canopy Zai yea. 4Cc
37. Final Factory Fireplace
38., Final Plumbing
39. Water Service-Final
40. Gas Service-Final F--1
• 41. Solar Domestic-Final
i
42. Backflow Preventer - -
43. Backflow Irrigation • .
.Q
44. Landscape Irrigation System . , IV
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 HUNNY INV. 00- DATE h-27-55 0
JOB ADDRESS 671 Senate St, BUILDING PERMIT NO. 1199
GENERAL CONTRACTOR S. V. Hunsaker VALUE $ 8,328.00
LOT 314 BLOCK TRACT 2387 Single Family Dwelling
GROUP I TYPE V ZONE R4 FIRE DISTRICT 1208
INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED
DATE NUMBER
Footing Trench �/J 627 3'3'
Foundation Forms and Grade to Garac�C. C.-- _
if
Rough Framing ( bj6 7
Plumbing,Rough to Slab
Plumbing, Rough Complete 71-4".", "--/ -..4 L44 Qat, Q .., /.. 13-sf /9/7
Temporary Pole �� ��//�� j1
Wiring, Rough GG�7'- 7fl.A1 A..4.4- 7X.-2..o4 , a , G—,r-n / 017Y
Heating, Rough //1�,
Heating, Final �t-c�Gf "0- /9-JT
Sewer, House I/ Sewer,St.fl74 �/a yard L (3 ,_ (0_ --i-r 4--0 Cf. -2---
Septic Tank or Cesspool p,j� -7 ,,r� Q
Lathing, In Out$. 648 / �L--&
Plastering 7�"✓ ,�Jr
Plumbing,Final,Fixtures Comp V{ { 5
Plumbing,Final Gas Test IC 7 ifa—/A'4
Wiring,Final --
Occupancy G6y3 �. 14:10,*:, S4-aT -
ti n,•n,9111 r:_i-I i Fnn 1-5F
Costa Mesa Building Department APPLICATION FOR PERMIT
111 EAST 20th STREET 1208 BUILDING 1
-_ . •• COSTA MESA, CALIFORNIA
- - FOR-OFFICE USE ONLY
FOR APPLICANT TO FILL IN
IN _Receipt No. Permitt N9.
Adring 4�/s./ ,..���„L.fA /A: H - / /
Address 2 �/
Costa Mesa, California Received by I Date Recd. I ate Issued7 /
Nearest / / 1 I` Z! JS
Cross St. v e . _41X Building
Address
Ow ne �-� vitae - ate'/ Costa Mesa, California
Mail
Address Q�' 4ed AI_ l� Nearest
/ Cross St.
Ar � ,, , / Zone g I No.of Typp / I Group
Architect or / ' Lie. �`- Plans Ii/
Engineer / No. Approved'
Date
Address CORRECTIONS
City tic.
CC�ontra�cto1 r, /j,N /.Noo. ,Q
Legal Lot A TJI
Description I No. l7 IBlock Trac
(Attach Metes and Bounds)
I No.of Bldgs.
Size of Lot 40 )( imp Now on Lot 0 O
Use of I No.of I No.of - - WExisting Bldg. Families Rooms 3
Setback Line from __ Rear Yard p.$ Z
Center of Street i4.-
Side Yard 5 - - - D
DESCRIPTION OF WORK - r
New I • Alteration I I Addition I -
Repair I I Moving I I Demolish I . -
Building /D/4 No.of
Size Rooms ‘ St ries
Exterior WallRoof �
.,
Covering (tr e I Coveringj APPROVALS
Use of New
Building a �+ , - e1P • / Foundation Locationro Inspector Date
Forms,Materials, m
'�✓/, _ �I Under-Pinning v
.r — 'A Frame: Fire Stops, N
F /O ,// Bracing,Bolts
'l -10
Lath. Int. GP
I hereby acknowledge that 1 have read this Application ,.,
and state that the above is correct and agree to comply bly
with all City Ordinances and State Laws regulating Lath.Ext.
building const ction.
Perrni to r' / ao Plaster, Int. PR
Permitte -A /'" Plaster, Ext.
Authorized Agt.� I �. i.d JIM_ ,.
Masonry Reinforced w
Valuation P mit Fee $ a a,, d u6 , w
$ 8 }1
Plan Check $
Total u 0 I Bond Beam n
l 0 0 I p
Fee $ p� FINAL o
rnwM vns 13-H 2M 5-84
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PLOT PLAN
Show location and distances from -
property line and between buildings. • , 7 -
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