Loading...
HomeMy WebLinkAbout252 SIERKS ST - Building Permits — y‘...---"..........11 �c.j.e. `1 v o- 20G m . 7 Applicant co fill In all spaces except those within heavy border lines and sign all appropriate declarations, _—.--,— • - c. OST,4MESA', CONSTRUCTION PERMIT 1 - • PERMIT NO. • _ • • TRACT NO. . LOT.10. UNIT NO.� . • - ' - . . )octet dress ' e'Z52 S/aPKS 57 ^� �� ��, 27Q _ 7809 8/01 /85/ fl.. a- y. I. 5/ail . • TYPE OF CONSTRUCTION _l NEW-Xi ADD - -Applicant's Mailing Address �..S Z`J S U ALTERATION H REPAIR Owner's Name WOE-,11 AA) OG/JV�' Phone// ''// ❑ CONVERSION ❑ DEMOLISH - - ' �/�Z - � '�_. /� ' [�'a9`� 7ai ,❑ OTHER A.P.# V' � ,� Zone �/ � / DESCRIPTION OF WORK/USE OF BLDG. /) 1-LjY�._l``'T ' Address -2 `5-2' -5-/CL(- -57-: .. . > l - . S Main Building: .e'Z&JO -i'Lt9-fl--1/'. ,/r{• ,: " '' /'ST l Arch/Eng. p4,.va cA)9 •t^''>Licennsse�NLo.. Z�9j(�s- •' TYPE OF PERMIT ❑ GRADING Er FOUNDATIONOaSTRUCTURAL T ' Front /9 !/ - ,4-'�RE / Z Addresk .2/ 5'7/ e-"%�m4'6 TELSOL - ❑ TENANT=® ELECTRICAL ' PLUMBING ¢sJ MECHANICAL B Rear 17rip 7/ • "• -‘30< , , r • N I '\, 1 Contractor's Name.. 041//1-1E--P -, / • . Phone 6.0e:3AP' OTHER C Right O / /• - - ' • ! r. ' N .PROJECT DESCRIPTION SO. Ft. /9" - OCCUPANCY -''/11 - • 5 Address(mailing) . ..S-2 $1G.2(<S ' -ST 2K ` / fe •' •' • G - CONSTRUCTION TYPE /.(/['N l �/(A/YSP'-VALUATION $' 7�)S'JO S' Left / 4.4.77 -. - (- City License No:. - - • ZONE GRADING CU.YDS. - ACRES ping. Ref. # • ' - • Parking Req./Provided - "` E • LICENSE'•'CONTRACTOR DECLARATION ' yss�� - -' " .1 hereby affirm that I am'licensed under provisions of:Chzrter 9 (commencing Remarks: 1 rJ--'LC' 7.—S'S l -• ' Planning Notes: . - - . , M ,with section full of Division 3 . the 4; n¢Ss,ar esslons Cotle,an •d I• 1 't S • 'my license is in full force and effect. (, - _ -License,-Class en Date ' Signature . . - PLUMBING ". FEES t WORKERS' COMPENSATION DECLARATIONBar Sink 01 Showers' i ELECTRICAL .FEES ' I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' Compensation Insurance, or a.certified copy thereof (Section Backflow Preventer- - Service Sink - • -- - - '-' • 1800, Lab. C.) f ,^./ _ I Automatic Washer' Transformer 0 15'50KW olicy No. ' Company - • Backflow Irrigation Sewer Ce - I4. - 0 50+KW ' P - , . Construction Pole Sub. I� Cert if ietl copy is hereby furnished. l - _ • ,Certified Certifietl copy is filed with the city Building Division.. Bathtubs Sewer Connection cf-op Cooking Unit Meter Dun t0 100,arnps • Date Applicant •- •- - EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers , Solar Collectors • DishwasherMeter, Dover 100__ amps ' (This section need not be completed if the permit is for one hundred ($100) or: .. - " - - - - ' less). . - - Dishwasher Solar Piping Dryers DGas DElectric Sub Panel I ' I certify that in the performance of the work for whicli•this permit is issued, I• _. shall not employ any person in any manner so as to become subject to the - Drinking Fountains Solar Tank / . -� • Fan Motors ❑01 HP ❑1-''/x-8 Workers C mpy atio Laws of California •. -- . — Date .1"�!ft�� Signature �D u should beco�� Floor Drains Swimming Pool w/Spa . ./' F.A.U. Inc.Solar ❑9-15 HP'❑16-15+ 'NOTICE. If,after making this declaration;you should becom ubject the - Workers' Compensation provisions of the Labor. le, you ued thwith Floor Sinks - - - Urinal- - - - •- - 7C Fixtures - Microwave ' - -- / 30 comply with such provisions or this permit shall be deemed revoked. _ CONSTRUCTION LENDING AGENCY • ' Gas Service •` Outlets Water Closet � (0C Device BOxe f Pole Light ' I hereby affirm that there is a construction lending agency for the performance ' of the work for which this permit is issued (Section 3097 Clv. C.) - - ^ r ' Lender's Name ' - _Interceptors • 17C Water Heater 126 X Outletsh.i6, - Range . 5 2s3 Lender's Address, • - Kitchen Sink • - Water Service. - - X Switches A - ' ' Sign l • Z- r c OWNER BUILDER DECLARATION ` - . I hereby affirm that 1 am exempt from the Contractor's License Law for the, • X Lavatories 2 - Auto-Wash _ 14 0/7\ Garbage Disposal '- Standing Sections following reason (Section 7031.5.Business and Professional Code: Any city or - • county which requires a permit to construct,alt¢q improve,tlem olish•or repair P-Trap „ , Laundry Trays v.:( Generator ❑D- :7,' // Trash Compactor anystructure, 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 - -j - _ ,i_, / 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 ,�s // // - , '931.5 by any applicant for at permit subjects the applicant to a:civil - - •• - - salty of not more than five hundred dollars($500). , . _ - $ 3 I , ,/ y' !' � . 1, as owner of the property or 'my employees with wages as their sole - Reinspection Fee: ! $15 Issue Fee - V •r, , pensation, will do the work, and-the structure is nob intended or offered - .m ',-:,..-i ,-Z "_etion Fe// 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'himzelf/horse if or through his or her own ^ DEVELOPMENT SERVICES RECl REMENTS: employees, provided that such improvements are not Intended or offered for Boiler' Hood or Typ •e 8” IC sale. If, however, the building or improvement is sold within one year of com- Canopy Type II D` Zoning Approved By LC- t p /� DatO m pletlon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground - • , Building Approved By - v5I Date I l Gr LIrove for the purpose of sale). !/ 1,as owner of the property, am exclusively contracting with licensed con= ' Duct-,Structural / Refrigeration System `. � Appliption Issued By --. Dat - ( sr -- • - tractors to construct the project (Section 7044,Business and Professions Code: l- The Contractor's License Law does not apply to an owner of property who Duct=Ventilating - igO-100,000 BTU. 0100,000 BTU • /,- I .SUMMARY OF FEES l _ • builds or'improves-thereon, and who contracts-for such projects with a con- - - ' - - _ tractor(s) license pursuant to the Contractor's License Law). I am aware that ❑ Multi i - BUILDING PERMIT $ .3/L'`l •�� SMTP $' S 3 Exhaust System Multiple ❑ System Repair/Alteration i" -�--. proof oftheir Worker's Compensation Insurance should be provided to me. 4 PLAN CHECK �•1 ' PERMIT ' m xem�ott��rntl Sectlgn� B.&P.C.-for this reason • Firepl/Fact.BIt. ICBG# : Fire Dampers ISSUANCE 1 $' OrAl.t1G•e- Wu-.c6sc�� PLUMBING !(. ..r$ la ...G��.cJ�_ Date 4tS Owner • Heating System& Ducting Registers . PIAN CHECK : 25% $ '�"a " ENERGY P.C. $ • -I hereby certify that'I have read this applicati and state that the above' / R0-10O,O0o BTU 0100,000 BT - • - / ELECTRICAL rr�� GRADING $ informatiomis correct: I agree to comply with al city and county ordinances C-I- , 1 i Z/� and state laws relating to building construction,and hereby authorize repro- - ,r��( J MICROFILM $ , sentatives of this city to enter up the above-mentioned property for PLAN CHECK 50°/, $T• inspection puypo�ses. MECHANICAL f I r-I-OQ `�-- Signature /r�'L/I'Y"�71� Date//S� $ , ' - TOTAL FEE $ 'TUP ! Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ ti I Drivers' License or SS, /I/ - CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor L &SONSTRUCIrON AND PLANNING POOL PPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector Tempary Electrical Service or Pole 52. Pool & Equipment Location r 2. SoiiPipe-Undrgrnd. 53. Steel Reinforcement • 3. Elect ical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 9. Steel Reinforcement /,j/cjs.--- o'1D., 56. Rough Plumbing & Pressure Test 6. Electrical UFER .Grrid.• - 8/4 y �' 57. APPROVAL TO COVER-GUNITE 7.,Footings : '''.724.44-0lQ.//ie5��/(�/ 58. Electrical Conduit-Undrgrnd. • • ' 8.'Foundation e..., . 4 1 59. Gas Pipe, 0 Undrgrnd.,Test - 9. Water Pipe-Undrgrnd. ., 60. Backwash Lines,P-Trap, 0 Undrgrnd. , 10. Structural Floor 'skahl- 8' 61. APPROVAL TO DECK I 11. Property Sewer Line & House Connection i, /C,4, 62. Backwash & Receptor-Final .12. Sewer Cap ' . - < / i7 .' 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 (N zl a 67. Fencing & Access Approval • - 17. Rough Wiring Sign / 11 68. APPROVED FOR PLASTERING . - 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning /27345' cep FIRE DEPT. REQUIREMENT • • 20. Rough-Factory Fireplace • ```���� APPROVALS Permit# - _ • 21. Ducts,in Structure • 70. Underground Hydro ' 22. Ducts, Ventilating i 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough &Tesi 72. Underground Flush - . 24. Roof Framing - 73. Undergrnd.Storage Tank 0 Gas 0 Oil T 25. Roof Sheathing 9��/ s 74. Overhead Hydro •, 26. T-Bar Ceiling (Structural) & Monocoat ///.9 75. Dry Chemical 27. Frame and Flashing 874 76. Dry Standpipe 28. Lathing &Siding - ' 77. FIXED SYSTEM FINAL 29. Insulation - 73( L ft 78. FIRE PREV. FINAL ' 30. Drywall Nailing 'Sa- HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION - - 32. Electrical Power Meter-Final - 80. FOOD CERTIFICATE ISSUED 33. Final Electric - zj%h% ( ?1T"�` Notes: '0/105.-- /�/�y7 xray � P 34. Final Heating & Air Conditioning 16�" ; - . • - ' 35. Final Gas Pipe-Test - - p _` 9 ' 36. Hood or Canopy 211 , /2 /-'9y.d D12-,9 /� &/g/" 03 37. Final Factory Fireplace - XX- JJiiCCC,.[�t'1 u�ul- •s'. ,' �L ` �/ CI 38. Final Plumbing r5 _ 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final ' ` 42. Backflow Preventer I ' �{+ne. e- p.0._• . 43: Backflow Irrigation • . , 44. ,Landsca-pe Irrigation System 45. Sound Attenuation - 46. Handicap Regulations l ! , 47. FINAL STRUCTURE & BUILDING ? 31f CUL It/1r`/'',(rl1/� 48. Special Requirements Completed 1. • 49. Electric Release to Edison - _ ' l 50: Gas Release to Southern California Gas Co .: 11 51. CERTIFICATE OF OCCUPANCY ' No Date - . . • City of Costa Mesa • California 92628-1200 P.O.Box 1200 - • Insulation Certificate • Permit Number G a © ! 5c--y • 02 .s2_ 9 iE.2KS S T. • L05't4 Number and Street City V L un Subdivision Lot Number • Description of Installation ROOF Material Brand Name Thickness (inches) Thermal Resistance (R-Value) EXTERIOR WALL _ Material _1�/&E1C6,-4_45 S Brand Name -J&h/"S / 1.gs/cJ/L 4_4- . Thickness (inches)_ 3 `/2-_- Thermal Resistance (R-Value) /Z - / / CEILING ;V Batt or%lanket Type Brand NameJ al1.f/S �/.3, /(J /4- 4-- Thickness (inches) 4 `r Thermal Resistance (R-Value) 4C -/ 7 Loose\Fill Type _ • Brand Name Contractor's minimum installed weight/ft2 lb. Minimum thickness inches Manufacturer's installed weight per square foot to achieve Thermal Resistance (R-Value) r • RAISED3LOOR Material Brand Name Thickness (inches) Thermal Resistance (R-Value) SLABjFLOOR Material Brand Name Thickness (inches)_ Thermal Resistance (R-Value) ;)",,Width (inches) FOUNDATION WALL ' Material Brand Name Thickness (inches) Thermal Resistance (R-Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Adminstrative Code. General Contractor(Builder) License Number /l/ eine r _Oto) et -�% - /O- q/ gnature a itle Date Sub-Contractor(Insulation Installer) License Number • Signature and Title Date 1907-46 6140 —''.ov ?91571,T7A 145 ****39.00 %COSTA MESA BUILDING DEPARTMENT P.O. BOX 317 COSTA MESA. CALIFORNIA �II�'^'1�1"� �r' ., . GF COSIM MER' FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT ABUILDI DDRESS 252 Sierks Street BUILDING COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO. OWNER Santa.Ana .Ranchos V1ZV. RECEIVED BY DATE RECEIVED DATE ISSUED MAIL ADDRESS 419 E. 17th Street . . •/4-.7J .4— o2-79-47DEC1 3 1957 TEL BUILDING • / CITY Costa Mesa NO. Li 8-1159 ADDRESS ARCHITECT Carlson & LIC. COSTA MESA. CALIFORNIA OR ENGINEER Mir1r1 pbrnnk NO. FIRE ADDRESS Garden Grove _ ZONE ZONE NO.OF TYPE GROUP �1� CITY LIC. PLANS )� _) CONTRACTORD Lne and Coll ekrove,N7?nc. 7333 ! ADDRESS 419 E. 17th St. TEL. n 5 APPROVED ccta SA NO. L]. 8-11 9 BY DATE LEGAL LOT ,% 3270 CORRECTIONS DESCRIPTION NO. O BLOCK [TRACT 3 A.P.NO. - SIZE NO.OF SLOGS. OF LOT 77 x 80 NOW ON LOT none USE OF EXISTING BLDG. _none . SETBACK LINE FRO CENTER OF STREETM 461 . REAR YARD 171 . — SIDE YARD RIGHT 5' LEFT 121 - DESCRIP•TION OF WORK NEW . X ALTERATION ADDITION REPAIR MOVING DEMOLISH BUSIZIE DINGROOMS sq. .it. NO.OF ROOMS 5 _STORIES 1 EXTERIOR WALL ROOF COVERING Stucco COVERING comp. USE OF NEW BUILDING Single Family Residence Garage Attached Plan No. 720CR 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL I CITY ORDINANCES ND E LAWS REGULATING BUILDING CONSTRUC- TION. / VALUATION SIGNATURE OF A 17 _ /> PERMIT FEE $ 26.00 PERMITTEE �� C Z""-T $ 10702.00 PLAN CHECK S 13.00 AUTHORIZED AGENT DIKE & COLEGROVE, INC. _TOTAL FEE $ 39.00 ‘BAli