HomeMy WebLinkAbout686 SENATE ST - Building Permits Costa Mesa Building Department4�,..pyyyPLICATION FOR PERMIT
111 EAST 20th STREET oY BUILDING li
COSTA MESA,CALIFORNIA
��FIILfIi FOR OFFICE USE ONLY
FOF' kPLI y Receipt No. �7Permit No.
Building /A H Id/a .. I I a?c?f/ •
Address b
Costa Mesa,California Rece v by I Date Rec'dLDate Issued
Nearest /—/9 J) / 9�
Cross St. �/ Building .
� Address
Owns Sr A/l& TI �I _
Mail r'� -/ ��_jJ. Costa Mesa,California
Address caf p :.,ry/t; ,/ Nearest
Tel. Cross St.
CityArchitect/rata? / Lie.LI-.F 1�4tif Zone E. .t I Plans No.of I type-f/ Group S
Engineer No. Approved �� ,
by Date
Address CORRECTIONS
City Lie.
Contractor 1/)92.4/ No.
Address 9 Q r
De crption I No. o(i I Block GpQ Tract 22U
(Attach Metes and Bounds)
No.of Bidgs.
Size of Lot 6l A'/i ? Now on Lot /
Use of No.of No.of a
Existing Bldg. '��y/�, " I Families JI Rooms 6
3
. _
Setback Line from Rear Yard
Center of Street c,rte e f Side Yard Z
D.
DESCRIPTION OF WORK . .
P
New 1 I I Alteration I I Addition
• Repair I I Moving I I Demolish I ,
Building No.of
Size Rooms Stories
Exterior Wall I Roof • —
Covering Covering APPROVALS
Use of New ���^�^
Building Yrs /
SrFoundaton Locatioon, inspector Date
6 x 4 xSr y erre-,i.LBeec - under-Pinning
•
• -� n e______ Frame:cing.BFire olStops,b
Bra
I hereby acknowledge that I have read this Application
and state that the above Is correct anti agree to comply Lath.Int
with all City Ordinances and State.Laws regulating
building eons�fT' Lath.Ext '
Signature of �24 �/ �,.�
Permittee -�// �! Y/ I. !7 Plaster,Int
Authorized Agt. Plaster,Ext.
Valuation Permit Fee$ u7 ,O O Masonry Reinforced
$ /aplan Check$ Bond Beam
� Total
•
Fee $ 62r C O FINAL
FORM 204 s-aP 2121 a-is
PROJECT ADDRESS: 686 SENATE ST UNIT: CITY OF COSTA MESA — BUILDING PERMIT PtRM NO: H V7 /1b`.
OWNER'S NAME: ALD IS, L
ADDRESS: 686 SENATE ST PERMIT NO: B 057169 PLAN CHECK NO: N GOVT: N SuPr: N
COSTA MESA,CA 92627
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT
( 714 ) 548-3680
1
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/OFF RESHTH, REROOF W/FIBERGLASS SHING SQ FT: 3, 200
ADDRESS: UNIT:
CLAIM VALUE: 3, 200 . 00 CALC—VALUE: 3, 200. 00 GROUP OCC: R-3 /M-1
4 PERMITTEE: D.R. ELLIS ROOFING ( 714 ) 759-5088
ADDRESS: 2012 PORT WEYBRIDGE COMMENTS: SMOKE DETECTOR(S) REQUIRED IN HOME,
NEWPORT BEACH CA 92660 ****************************** ********kEar***+ *********k6***+E*NSE********+E*arx* Ear**
LICENSED CONTRACTOR DECLARATION: I hereby aflirm that I am licensed under provisions of Chapter 9(commencing with Section 7 ONING REQUIREMENTS
7000)of Division 3 at the Business and Professions Code.and my license is in full force and effect. SETBACKS
C1Tyuc.: (1457757 STATE LIC.: 504943 �cu�ss: C�-39
Date: ,` Signature'_ 7 +(�'� MAIN BUILDING ACCESSORY BUILDING
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
Compensation IOsryage3oJ,a4cgpified.coy thereof(Section 380X1.Lab.fa.
POLICY NO.: 11 LL bb ``9 3940—92 EXP.DATE: l/4/0 1 /9 3
COMPANY: STATE FUND PARKING REQ: PROV; PARCEL; 42217130 ZNE: REF NO:
❑ Certified copy is hereby furnished. Certified copy is filed with the city Building Division. PLANNING NOTES>
Date: 41fl/- Applicant' .: .e... f' k***l(*********.*******************************************************N*********
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need net be completed it the permit is for one hundred($100)or less). D E V E•"I. O P MEN T SER VICES REQUIREMENTS
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 n
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE: ' '
Date: Signature: BUILDING APPROVED BY : DATE:
NOTICE:It,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor
Code.you must IgrthvAG comply with such provisions or this permit Shall be deemed revoked. l 4 /a --�
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: �� /,/y DATE• yak 3�
which this permit is issued(Section 3097,Civ.Cl. ******'******************* ' * ' * , ' ' • ' ` ' ' ' • • ' - **********'WW. *
LENDER: **************�:-*************************** 7***********************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: Y
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 63 , 00 5 0
repair any structure.prior to its issuance,also requires the applicant for such permit to lite a signed statement that he/she is licensed SMIP/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7NO)of Division 3 of the Business PLAN '
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(5500). ISSUE FEE
I. as owner of the property or my employees with wages as their sole compensation, wit do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sate(Section 7044,Business and Professional Code: The Contractors'State License Law TOTAL S————> 63 . 50 0 . 00 0. 00 63, 50 63 , 50 , 00
does not apply to an owner of a properly 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: 63. 50 OVER/SHORT: 00
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve
for the purpose of sale). 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 63 , 00 , 50
❑ y 1,
and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors State License Law).l am aware ******'*************************************************************************
that proof el their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
❑ I am exempt under Section: B.&P.C.
for reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL S:OST
Date: Owner SFR 3200 REROOF BY VALUE RESIDENTIAL NOZONE 1 , 00 3, 200 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES n
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Ouality Management District.Residential construction applications are exempt from
these provisions.
Dale: 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 hereby authorize representatives of this city to enter upon the above.mentioned
property tor inspection purposes. {� • r
Date: 41/24/42— ��
Signature: Y K.f.El' T __
Driver's license or Social Security x: :
1641.46 Whrle—Bwldmq:Green—Code Enforcement:Canary—Aoolicant:Pink—Revenue:Goldenrod—Assessor
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CONSTRUCTION AND PLANNING POOL 'PA
APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector
1. Temporary Electrical Service.o Pole -:r 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. ;j 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 UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
‘
8. Foundation ) 4 ' 59. Gas Pipe, 0 Undrgrnd-, Test
9. Water Pipe-Undrgrnd. j,. 60. Backwash Lines,P-Trap, 0 Undrgrnd. t
rI •
10. Structural Floor System 'r% ,Y 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 1 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
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 Ztii2 6W Y 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 /� 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 if-r-
48.
r
48. FINAL PLANNING l!
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co t ZGl _- C!t/ 0
zizr
51, CERTIFICATE OF OCCUPANCY _G / �`C��
No. Date
OWNER RUNNY INV. CO. . DATE h_27—c5 69
JOB ADDRESS 686 Senate St. BUILDING PERMIT NO. »93
Gr .SRAL CONTRACTOR S. V. Hunsaker VALUE $ 91000
LOT 8 BLOCK TRACT i • . • _ S, -
GROUP I TYPE V ZONE Ms FIRE DISTRICT 1202
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER
Footing Trench _i_. e' A —on
/
Foundation Forms and Grade to Ga 6 — '(- CS' _
Rough Framing vdV 77.SJ /�
.k
Plumbing,Rough to Slab / >.u�J b_ j'-J� L:t•-A1el Qyiy. , G—le—Cr )��8
Plumbing, Rough CompletQ2i 10,64- j -...a
Temporary Pole / n n
Wiring, Rough le o t el A--YL e&6c• co. G-/S-i1 / O(n �,
Heating,Rough
Heating, Final Ati-i /0 7/ J
t.Sewer, House f Sewer,St,%f,/, 1/20-i— c I- 13 0 ...c.--1--1-47 eaZ oto
S 'Tank or Cesspool ,sem 0
Lathing, In Out 7 .yT 7si JO
_.
Plastering Sp—.9 tY
Plumbing,Final,Fixtures Complet a-- --$• '
Plumbing,Final Gas Test yjl�/ '- /dq ,Q'—
Wiring,Final `_� /` —/9 J _
Occupancy 7,4./7 /1— /5"-S3
Form 210 C-14 15001-55
Costa Mesa Building Department APPLICATION FOR PERMIT
_ 111 EAST 20th STREET 1202 BUILDING 1
.COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
Receipt No. I
1d .
Building�A
Address / _„,,�Qyrstj4 ---1f
Costa Mesa, California Received by Date Recd. (l�!!//Date Issued j
Nearest J/,/� / —2'713
Cross St. [/ ...-tityrA1+ I Building
/ Address
Own 4V-A,- r -of Costa Mesa, California
Mail Address / —. , t,. .. : . Li /I Nearest
e - Cross St.
Cit 'iii 4,,_ �� • o — Zone I No.of I Type / I Grou_
Architect or ' ic. V Plans �--
Engineer 4 No. Approve
by Date
—
Address CORRECTIONS
City tic.
tracto 4., 4, z No./
Legal Lot
Description I No. ,A5' I Block rayt�,?
(Attach Metes and Bounds) •
No.of Bldgs.
Size of Lot /n )( IIS Now on Lot O O
Use ofNo.of No.of x
Existing Bldg. r..------ I Families I Rooms GS
Setback Line fromi Rear Yard 3 s'-
Center of Street D Side Yard A y
DESCRIPTION OF WORK
New I!/ Alteration I I Addition I -
Repair I I Moving I I Demolish I -
BuildingNo.of 7
Size Ijyi Rooms Stories
`erior Wall Roof i f
Bring /�,i(,(y(I ' I Covering `” ,,gy) APPROVALS
Use of New ` 4 Ii IC/
.
oBuildingFoundationism Inspector Date
Forms,Materials-,:in'
rn
.)C 0-, A / Frame: Fire Stops,C.
/"� (31
// `V Q Bracing,Bolts
0
I hereby acknowledge that I have read this Application
Lath. Int. mm
and state that the above is correct and agree to comply p1a
with all City Ordinances and State Laws regulating Lath.Ext
building construction.
Signature of Plaster, Int, CO
Permittees - _is %, Plaster, Ext. -I
—ia.,._•.��-e �i� S /
Authorized Agt. -44 'W it >> -,l2' Masonry Reinforoed.t
Valuation P. mit Fee $ of d N
Plan Check$ 3. i 0 Bond Beam '-J
$ 9 / Total --•1 Fee $ o) 7. G 0 FINAL o
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Street
PLOT PLAN
Show location and distances from '
property line and between buildings.
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