HomeMy WebLinkAbout126 SANTA ISABEL AVE - Building Permitsr .
1'2 j>a4eA0 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. ,
PE IT NO. TRACT NO. , LOT NO. UNIT NO.
CITY OF COSTA MESA C�, STRUCTION PERMIT A.P.# I zone:.
Project Address - • _ lib 3ho 8 y"
Af' TYPE OF CONSTRUCTION U NEW LJ ADD U ALTERATION U REPAIR S Main Building: Accessory Building:
E Z
Applicant's Mailing Ad ¢ss /7 . - •� ] El CONVERSION DEMOLISH ❑ OTH T Front - • - 0
Owner's Name " i{ Zc•/✓ to Phone j 7J DESCRIPTION OF WORK/USE OF BLDG. M�Ti^' SN.' B - N
4/ A Rear I
Address ��� "'fu• ,T�i.w ter - C Right N
Arch/Eng. • License No. TYPE OF PERMIT tJ GRADING ❑ FOUNDATION ❑ STRUCTURAL K 0
Address - ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL $• Left
R
J _ _ ❑ BOTHER PIng.'Ref.#
Contractor's Name i-"^'. `-' •a •- -- one & Parking Req./Provided - Q
'/ �rr PROJECT DESCRIPTION SQ. FT. - - OCCUPANCY
Address(mailing) 7,7 J,i�O41 4• yq/ O� N- Planning Notes: M
�7 / CONSTRUCTION TYPE -VALUATION$- 100
City License No. s� L���In ZONE GRADING CU.YDS. ACRES' $-
LICENSED CONTRACTOR DECt ARATION
I hereby affirm I am licensedsion3 under provisions of Charter 9 ns enq Remarks: `. �s� // i1 I - - `
with section 7000) of Division 3 of the Business and Professions Code, and J � Q1 ...C,,,,,)/y, A„,,1 -
my license is in full force and effect. ELECTRICAL LFEES
yUcense Class/C/2 l-_,/ License No -
Date //-1--8g Signature r ( PLUMBING FEES Automatic Washer Transformer ,❑ 15-50 KW
WORKERS' COMPENSATION DECLARATION ConStructi0n Pole Sub.. 0 50+KW •
I hereby affirm that I have a certificate of consent to self-insure or a certificate �2r Sink Showers -
of Workers' Compensation Insurance, or a certified_copy thereof (SectionBackflow Preventer Service Sink - - Cooking Unit Meter 0 u to 100 amps •
3800, Lab. C.)
Policy No. Company Backflow Irrigation Sewer Ca Dishwasher Meter Dover 100 amps
8 Certified copy is hereby furnished. P
Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Dryers ❑Gas ❑Electric Sub Panel
Date i Applicant • Fan
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers • Solar Collectors Motors 00-1 HP 0-1`A-8
(This section need not be completed if the permit is for one hundred ($100) F.A.U.ornc.Solar 09-15 HP ❑16-15+
less). Dishwasher Solar Piping AU
I certify that in the performance of the work for which this p mit is issued, I Fixtures Microwave
shall not employ any person in any manner so as to be o e subject to the Drinking Fountains Solar Tank
Workers' Co pe 5 tion Laws of California Device Boxes
Date X/- - Signature s/ Floor Drains Swimming Pool wJSpa Pole Light
NOTICE: If,after making this declaration,you Id become subject to the Outlets - Ran e
Workers' Compensation provisions of the La r Code,-you must forthwith Floor Sinks Urinal - . 9
comply with such provisions or this permit shall be deemed revoked. - - -
CONSTRUCTION LENDING AGENCY - Switches Si '�.
Gas Service Outlets Water Closet n 9
I hereby affirm that there is a construction ue .(Sect for the performance Civ. C ,
of the work for which this permit is issued .(Section 3097 C.) Interceptors Water Heater Garbage Disposal Standing SeCllOdS '
Lender's Name ' •
Lender's Address • Kitchen Sink Water Service . Generator 005 KW 05-15 KW Trash Compactor
OWNER BUILDER DECLARATION - - -
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash - ' if,
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 Laundry Trays - s-
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 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 - Reinspection Fee $15 Issue Fee $ 3
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 - .
enalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: t '
U 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 Zoning Approved By Date
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By "'Date
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 ' Application Issued By S7C 'Date I l
employees, provided that such improvements are not intended or offered for Boiler . Hood or Type I 0
sale. If, however, the building-or improvement is sold within one year of com- - Canopy Type II 0 SUMMA F FEES
pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under GroundV°
prove for the purpose of sale). BUI LDING PERMIT $ , 2••••-5----- SMIP '•' $ h'
O 1, as owner of-the property,am exclusively contracting with licensed con-. Duct-Structural ' Refrigeration System
tractors to construct the project (section 7044,Business and Professions Code: PLAN CHECK $ PERMIT
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU , PLUMBING $ ISSUANCE- $
builds or Improves thereon.and who contracts for such oroiects with a con- _
trtictor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $
proof of their Worker's Compensation insurance should be provided to me. - ELECTRICAL $ 'GRADING $
•
❑J am'exempt under Section B.& P.C.for Its is reason Firepl/Fact.BIL. ICBO# Fire Dampers
PLAN CHECK 50% $ MICROFILM $ _ ,�J
DVe owner Heating System& Ducting Registers MECHANICAL $ �S'l
I hereby certify that I have read this application and state that the above 00100,000 BTU 0100,000 BTL. TOTAL'FEE $
information is correct. I agree to comply with all city and county ordinances f PLAN CHECK 25% $ -
and state laws relating to building constructs and hereby authorize repre- .
sentatives of this cit o enter up n the ove-mentionetl property for . •
-
Inspection purposes. - A _ '
SI gnat urp��J/�rwcr� Date ��5-64 Reinspection Fee $15' Issue Fee $ 3 a r c
Drivers' License or SS V - —�-�- pe 01DA000t811958I8& 18959 13�:t2 ��t' 0
0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
CONSTRUCTION-AND PLANNING - - POOL 8/SPA
APPROVALS. Permit# Date Inspector APPROVALS ,Permit# �'tate 'i Inspector
1. Temporary Electrical Service or Pole. - 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. . ) •' - :• 53. Steel Reinforcement - - r
3"klectricalConduitiOfility-Undrgrrid. 54. Forms - /4
4. Electrical;ConduitrUndrgrnd. ,•j , - 55. Electrical Bonding - . l.
t.
Reinforcement; .I+ - . 56. Rough Plumbinj& Pressure Test �I
'6. Electrical UFER Qrr'rd. - 57. APPROVAL TO COVER-GUNITE „ I
7. FootingsJ - 7- . ,i 58. Electrical Conduit-Undrgrnd.
I _
8:-,'Foundation - l' f 59. Gas Pipe, 0 Undrgrnd.,Test
1
9, Water Pipe-Undrgrnd;',; b. • '1 60. Backwash Lines, P-Trap, 0 Undrgrnd. ,
10. Structural Floor System 1 61. APPROVAL TO DECK -
11. Property Sewer Line'& House Connection 62. Backwash & Receptor-Final •
12. Sewer,;Cap 1.,- . 5 63. Heater & Vent-Final 2,•
13. Rooftrains I 64. Plumbing System - Final - ,'s
14. Rough Plumbing ' 65. Electrical-Final •
15. Rough Electrical-Conduit - 66. -Solar System-Final - -
. 16. Rough Electric Wiring 67. Fencing & Access Approval - -
: r
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 if APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro -- '
22. Ducts, Ventilating .- I •
l 71. Product Piping 0 Gas ❑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. Lathirig & 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
t
41. Solar Domestic-Final
,
42. Backflow Preventer ,
43. Backflow Irrigation •
- •
44. ,Landscape Irrigation System _
45. Sound Attenuation -
46. Handicap Regulations, is/.0,h0 <3weet Acre ./M-s Not,-
47. FINAL STRUCTURE & BUILDING BEOA) Lfi/,20. '4-
48. Special Requirements Completed
49. Electric Release to Edison � :.
50: Gas Release to Southern California Gas Co . ,
.
51. CERTIFICATE OF OCCUPANCY - 1
No. - Date - - •
OWNER LAS! I 'S, RICHARD A. DATE 8-2l1-60
JOB ADDRESS c • Santa Isabel Ave. BUILDING PERMIT NO. 12681
GENERAL CONTRACTOR Romar Bldrs. VALUE $ 12,312.00
AP.Noj19-022-01 LOT TRACT _ FIRE ZONE DESCRIPTION OF WORId)llp1eX
INSPECTIONS t_jr..,/,/,/ DATE I GROUP I TYPE V ZONE R)j
Underground Soil /1/2"1-C'U.G. WaterPERMITS ISSUED
Underground Gas — — SUBCONTRACTOR DATE NUMBER
Overhead Water and Gas /J-1-1c 93-3 L0
Rough Heating /A -, ._ 6:771rt-2QD 1+vr° 9-/-7-66 A (c 5e0 `i
Rough Plumbing /'//J ' --‘-' eu..-74talec.. 5-is-4o 4'ddos!
Miscellaneous /
- '
Prop. Swr. Izinflous; .... St/ wr. q/Y7/60 ..v //7,4-1 GO S Y 47
V
Sprinkling System pHeating, Final �
Plumbing Fixtures -- "/ - "'-/_ , - +' '
Final Gas Test c-u
Construction Pole
Underground Power /
Rough Wiring ,Mn c -zi7-6c) rn_o./e.9-----a, 5 rao-jo _;c-&^'-j. ./.ed.,-s-)
Trenches it, Forms Steel / , p77, 9 , Z 3' —C O
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
Sheathing OM- ,9'^73-Gc
Frame and Flashigg OW- ?-28"--60
Lathing, In V Out - /3 , W°-- 9— 3C —6..0
Plaster, brown coat Inn11 'o-/7-fog'
Plumbing Fixtures, Final ,c-u-S //-/-Ge
ElectricFixtures, Final `(�., p /( /- o
Building, Final 1IGL(�
OCCUPANCY
Form 210-5M-11-59 S-B P 12681
12681 •
' 9�' j
COSTA MESA BUILDING-SAFETY DEPARTMENT it " ''r -
'P.O.BOX 317 COSTA MESA. CALIFORNIA 5 u! �
AUG 151960
FOR APPLICANT TO FILL /N COMPLETELY APPLICATION[FOon)R PERMIT•
TYPE OR PRINT BUILDING 51A i1[SA
BUILDING/4
�I_
�
ADDRESSSANTA Ivo RFL die
ca.
MESA, CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. %02�(rJ NO%
OWNER RI CHARD--A• - LAWRENCE
MAIL RECEIVED BY DATE RECEIVED DATE ISSUED
ADDRESS 118 SANTA ISA BELL 8 •_ .yt•.-7o I�../(i60 I T'D71L'L6
TEBUILDING
CITY COSTA MESA. . _ No.L. 17 5)4 ADDRESS
ARCHITECT LIG. COSTA MESA, CALIFORNIA
OR ENGINEER GAL BRAI TH . . . FIRE
NO. ,
ADDRESS CM- ZONE TYPE �1GROUP�, /t /
STATE 6111- APPROVED ,' /� - 4T-G
CONTRACTOR RO M A R BUIL DE RISC.NO. V BY .14-DATE ITTTT DATE V J
ADDRESS 243kENEpo R T _ BLVD_ • C. d• NING
LEGAL LOT
TCQ ZONE NO.NS IUBSUEILO
DFINNGEW
cDESCRIPTION I NO. ICI SA eind,
BPROVE
A.P.NO.. /J..: •' 03.,,,_.• - VI VDAT6/? 1' S
.
SIZE
NO.OF SLOGS. YARDS l) J n
OF LOT 1 34X79- "' "' " '- NOW ON Lor REQUIRED _ _ 4LLOWED - (1.-foe
/ ��I
USE OF (CENTERLINE ST.) +� /
EXISTING BLDG. S.F. DWELLING FRONT
FT. / IN.
SETBACK LINE FROM
CENTER OF STREET REAR YARD R.SIDE // FT. IN.
SIDE YARD LEFT '. I RIGHT L.SIDE I'J/"S.FT. p ISN.
DESCRIPTION OF WORK REAR '01 / FT. ' IN.
NEW .
I Y II ALTERATION I II ADDITION I
REPAIR _ I .II MOVING I II DEMOLISH I.
BUILDING NO.OF
SIZE 1287. Rtj. F.ROOMS 8- -"STORIES 1
EXTERIOR WALL' ROOF
COVERING ._ . PL AST COVERING COMP
USE OF BUILDING AND WORK TO BE PERFORMED
;CONSTRUCT NEW DUPLEX i" g •
or y g.0Ai
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDING CONSTRUCTION.�) VALUATION
SIGNATURE OF ,Y. _+t n �) 044 PERMIT FEE $ S.•D i+
PERMITTEE ']xfl -
//_1i� ((gy�pp , IWIq $ ,a�_3 c2> PLAN CHECK $ /...-.
AUTHORIZED AGENT`JCaA,?Cit ^"1•all� TOTAL FEE $ Tr
\I .