HomeMy WebLinkAbout276 SIERKS ST - Building Permits 276 ❑IDRHO CT CITY OF COSTA MESA BUILDING PERMIT
ssccm- Na: BROWN, CARL K
WSr
WIT: PERM NO. D 072765
NAME IF KNOWN: 2117 CIRCLE DR
ADORESSCORCORAN,CA 93212 PERMIT NO: B 072965 PLAN CHECK NO: N GOVT. N SUPP. N
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
ADPL.MAILING ADDRESS:
JOB DESCRIPTION : T/OFF & REROOF W/ COMPOSITION SHINGLES SQ FT: 3, 500
ARCHITECT OR ENGINEER: UC.NO.:
ARCH ORENG's ADDRESS: UHT: CLAIM VALUE: 3, 500 . 00 CALC—VALUE: 3, 500 . 00 GROUP OCC : R-3 /
VELTRI & SONS ROOFING ( 909 ) 428-7663
CONTRACTORS NAME 6745 NADEAU LN COMMENTS: SMOKE DETECTORS ARE REUIRED IN EVERY BEDROOM & HALLWAY
m
CaNACTORSMILING RIVERSIDE CA 688024 ************ -****AE***st - -itis*itiF***t **at***********+t***ic*****st-*** -**st*****N-**SESF**sE -
ADDRESS: 92519 uc No.: ZONING REQUIREMENTS
WIT: SETBACKS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9
• (commendn9 kill Section)ODD)d Division 3 d the Beioes39d Professions%d8 elnlignw is in EllAl is rd effect. MAIN BUILDING ACCESSORY BUILDING
c.NO.: ULA
C.CSS: UC.NO.: FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
e /.-3e7- 9.2 contreda: 4 �• LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
0 NER BUILDER DECLARATION:I hereby affirm under nosey of perjury that I am exempt from the Cont rise Law for the PARKING REQ: PROV: PARCEL: 42621213 ZNE: REF NO:
following reason(Section 7031.5 Business and Profession Code:Any city or county which requires a permit t Duct,after.improve. PLANNING NOTES>
demolish.or repair any structure,prior to hs issuance.also requires the applicant for such permit to file a signed statement that he or she
S licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Seton 7000)of Division 3 of the > '
Business and Professions Code)or that heashe is exempt therefrom and the basis for the alleged exemption.My violation of Section *******************************************************************************
7031.5 by any applicant fora permit subjects the applicant to a wit penalty of no more than line hundred dollars IMOD. D E V E.:L OPMEN T SERVICES R E Q U I R E M E N'.T S
❑ I.as owner of the property or my employees with wages as their sole compensation,will do the work,and the structure a not intended
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to en owner of property -
who builds aimproves thereon,and who does such work himself or herselfor through he or her own employees,provided that such ZONING APPROVED BY DATE:
improvements are not intended or offered for sale.If.however.the building or knpraement is sold within one year of completion,the •
owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale). •
❑ I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Businen and BUILDING APPROVED BY : DATE
Professions Code:The Contractors License Law does not apply lo an owner of property who builds a improves thereon and who
contracts for such projects with a contracts-Cs)!tensed pursuant to the Contractors License Law). APPLICATION ISSUED B Y: DATE:
❑ lernexemptunderSection: B.BP.C..for this reason: **************************************** **********•••- r A*
Date: Owner . LEGALIZATION:N F E E SUMMARY STRUCTURA SEGM NT:Y
I do hereby certify Mal I am aware of and understand the requirements al California Health and Safety Code Sections 25505.25533.and BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
25534,and that I or any Mare building occupant will/will not(circle one)need to comply with said state codes and the requirements ler
a permit for constructionor modification horn the Air a anegement District Residential construction eppicetiahe are exempt from Nen PERMIT 63 . 00 . 50
provisions. SMOKE DETECTOR. : SMTP/ ON—RES
Date: Applicant: PLAN F QUIRE[ .
of
WORKER'S COMPENSATION DECLARATION:1 hereby affirm under penalty of perjury one the/Slowing dedararore: ISSUE FEE
❑ Ihave and will maintain acertiicateofconsent toself-insure orworkers'compensation.as provided for by Section 3700of the labo BUILDING DIV > PERMIT ISSUE PLAN OTAL PAID DUE
Code,fathepedamanceothe-wokfogwhchthispemm*NNsued. TOTALS----> 63 . 50 0 . 00 0 . 00 63 . 50 - 63 . 50 . 00
❑ I wrkeeMwi thimaintain wisissedMyworkei'strap,earegiisurnc saris(and
khe ynuma rare:CodeortMpaMrmeroaoftM REVENUE DIVISION TOTALS--> COLLECTED : 63 . 50 OVER/SHORT; . 00
work a which this amh a issued Me wain in compensationcis. rinsurance carver 3700 paltry number ore:
Carder: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
Policy Number: 63 . 00 . 50
(Thi section need not be completed 1 the permit is for one hundred dollars($1001 or len.) , /
leert/y Nat in the performance of the work for whoh this penel N Sued.I shell net employ any person in any manner o an to *********************************************************.**********************
came subied to the workers'compensation lawn of California,and agree that if I should , subject to the workers' IND IV IDUAL F E E B R E A K DT O W N
o// m
peaf provisions of Section�s3700 of the Labor Code.I shalllgghwth complywitht
• D . te'� 7 — 9 .G Applicant: lt-2,1f'p �" TYPE QTY DESCR IP T I O NUNIT COST TOTAL COST
Warning:Failure to secure workers'compensation ccwerags Is unlawful,end shall subject an employer to criminal penalties and
civil fines up to aro hundred thousand dollen(S100,000),Inaddldon to the cost of compensation,damages as provided forin SFR 3500 REROOF BY VALUE RESIDENTIAL NOZONE '-, 1 . 00 3, 500 , 00
Section 3706 of the Labor Code,Interest,and attorney's fees.
END OF FEES
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the ,
performance of the work for which the permit Is issued(Section 3097.CN.C).
LENDER'S NAME:
LENDER'S ADDRESS:
r.
I certify Thal I have read this application and date that the above information is correct.I agree to comply with all city and county ordinances
and state laws relating IobulWggµgyryWonyngherph tette representatives of thio city to enter upon the ebcve-mentoned property
for inspection purposes.GC L.I GIIIJ HL V KIC G L },�
`.._ � /`a_ Date: ( -tors7— 9C 01 001 •
8.49V!.-1818';946 TO y- 151,53
Signature of. :r/Agenaf.l , . . tract. GATE: 06;27/95 TIME: ]2(46
(5151d6.WP) While-Suidig&Safety:Green-Fle:Canary-Apples*Pink-Revenue:Goldenrod-Assessor .
I -
11.6
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 OF ER Grnd. 57. APPROVAL TO COVER-GUNITE I- '
7. Footings - 58. Electrical Conduit-Undrgrnd. 1
t. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. .
10. Structural Floor System . 61. APPROVAL TO DECK ..
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final: •
12. Sewer Cap i• 63. Heater & Vent-Final ••
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing r 65. Electrical-Final -i '
15. Rough Electrical-Conduit ' 1 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/SPASYSTEMS 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 Frush -
24. Roof Framing - 73. Undergrnd.StorageTank ❑Gas ❑Oil
25. Roof Sheathing 4.-2' `l 6 chipt 74. Overhead Hydro ,
26. T=Bar Ceiling (Structural) & Monocoat - 75. Dry Chemical
27. Frame.and Flashing . - - 76. Dry Standpipe
28. Lathing& Siding ' r _ ' 2 ; - -77. FIXED,SYSTEM FINAL
29. Insulation -- - 78. FIRE PREY. FINAL'
30. Drywall Nailing ' ; HEALTH DEPT. REQUIREMENT
31. Plaster!Brown Coat : ' 79. FINAL INSPECTION •
32. Electrical Power:Meter"Final - ' 80. FOOD CERTIFICATE ISSUED 1
33. Final Electric - Notes: •
34. Final Heating & Air Conditioning -
35. Final Gas Pipe-Test ' .. • f`�
36. Hood or Canopy ;
37.. Final Factory Fireplace - 1- -'
38. Final Plumbing . t - tu- ,
39. Water Service-Final . •
.1 , . _ -.
_ 40. Gas Service-Final r . ••
41. Solar Domestic-Final 4 -
42. Backflow Preventer / ZQ_GYC,_ 9 ./ X8,1 `, _
43. Backflow Irrigation tt+ v LL 77 Y�2�G
44. Landscape Irrigation System - - -
45. Sound Attenuation = - ,
46. Handicap Regulations - -
47. FINAL STRUCTURE& BUILDING .6"W th44• '
48. FINAL PLANNING - DIS -
49. Electric Release to Edison .,
50. Gas Release to Southern California Gas Co - - •
•
51. CERTIFICATE OF OCCUPANCY
No Date
i
OWNER POTOVSKY, I. DATE 3-16-62
JOB ADDRESS 276 Sierks St. BUILDING PERMIT NO. 16777
GENERAL CONTRACTOR Accurate Home Improve, Co, VALUE $ 370 00
G.1
AP No.118-1 -05 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Int. Alt.
INSPECTIONS Signature DATE GROUP I TYPE V ZONE R-2
Soil PERMITS ISSUED
Gas - SUBCONTRACTOR DATE NUMBER
Water
Rough Com. Refrig. ❑ Air Cond. ❑
Rough Heating
Rough Plumbing
Miscellaneous
Prop.Swr.Line ❑ House Con. ❑ St.Swr. ❑
Sprinkling System
Construction Pole
Underground 0 Power ❑ _
Rough Wiring
Trenches ❑ Forms 0 Steel Reinf. ❑ _
Floor System
Bond Beam ❑ Steel Reinforce ❑
Sheathing
Frame and Flashing QtA"
Lathing — In 0 Out ❑ _ _
Plaster, brown coat
Ref rig. ❑ Air Cond. 0 Final
Heating, Final _
Plumbing Fixtures, Final
Final Gas Test
Electric Fixtures, Final _
Building, Final /3 771Q $-,3 - 6 1
OCCUPANCY
FORM BU4-541 — 7.61 1 777
•
FEE RECEIVE
: 6777 MAR 161962
COSTA' MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P. O. BOX 917 COSTA MESA. CALIFORNIACRYMEM
OF
COSTA
For Applicant to Fill In Completely APPLICATION FOR PERMIT MEM
TYPE OR PRINT BUILDING __... _ .
BUILDING,:n ri/ � n I s�11
ADDRESS ,1 YJ 14/
gin'\
COSTA MESA. CALIFORNIA For Office Use Only
OWNER TI Pv± v S ��1I1\`y1 I RECEIPT NO. /iPERMIT 77 O.7
MAIL �` /� q lylVEyp BY DATE RECEIVED DATE ISSUED
ADDRESS -X\�Y\Q.. C S. "\ ek ) 2. .. Cs„ . I 1"/ 4Z I 3.-f/-fD'�Z.
/ ,� TEL. ADDREN y A
CITY ��S y 7. ) Gk- NO. ADDRESS ' / a ,CICS!ARCHITECT TEL. •-TA MESA. CALIFORNIA
OR ENGINEER NO.
FIRE
ADDRESS ZO : ` TYPE GROUP)a
CONTRACTORCQ- -.�,�(;' R �e Vhl_ I tn?r,/r i.-j { : ., / j DATE 3 /4 tl//
ADDRESS -n rFv /r/rCn NTNG
oZONE _,. Y NO.OF ^ /I UBE OF NBW�yy U 4A
CITY COG �//� /�Q "� .'!\' V PLANB // BU.I(LDING O n
LIC.NO. /� NO! /•{/ �L/" �p' LEGAL ( Cf ( A\ -�.)V nj 0
DESCRIPTION �� 1
SIZE \ I NO. OF BLOCS. j ,
OF LOT �'USE OF 1,J'I� �� ( NOW ON LOT I A.P.NO. / / // - I L / L/ ,�
EXISTING BLDG. {�C -) I d X. in C 2--. YARDS l EVES <
APPROVED ALLOWED
SETBACK LINE FROM /� OE-r (CENTER LINE ST.)
CENTER OF STREET " REAR YARD i.-4,...) FRONT p.�J FT. IN.
c+ r
SIDE YARD LEFT J RIGHT I C� R.SIDE FT. IN.
DESCRIPTION OF WORK -
L.SIDE FT. IN.
NEW I II ALTERATION I PI ADDITION I REAR FT. /IN. J
REPAIR I I MOVING I I DEMOLISH APPROVED /6-ROi/kj 0 DATE 1 6 '
BUILDING NO. OF I 1
SIZE ROOMS STORIES ifC/
EXTERIOR WALLS`y IROOF" I
COVERING Jl�t.-CLI COVERING �.1C-�
USE OF BUILDING AND TOB PERFORMED
1 V\- 4:0A 0X- CI Y cirri C r\
•
I HEREBY ACKNOWLEDGE THAT I HAVE READ '[N1S APPLICATION
AND STATE THAT THE ABOVE IB CORRECT AN AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES/ ANT, ST E WS REGULATING
- BUILDING CONSTRUCTION. / % / VAL ATION q
SIGNATURE OF '1/20 /7' /74, iet, PERMIT FEE $ Gfi"�
PERMITTEE Li .'ST/may/ a
$p( / / PLAN CHECK $ a'
AUTHORIZED AGENT0
`_ TOTAL FEE $ O
4
•
6136 •
G -n _ ; • .
L.• rL. ir , g9_$ ' Yr✓-- •
COSTA MESA BUILDING DEPARTMENT pp pp
P.O. BOX 317 F! RCE DEPT.
COSTA M ESA, CALIFORNIA 11:;1 1)F COSTA MESP
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
BUILDING276 Sierks Street BUILDING
ADDRESS
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. PERMIT NO.
OWNER Santa Ana Ranchos � 5
MAIL ' RECEIVED BY DATE RECEIVED OA5 U
ADDRESS L19 E. 17th Street I C 1 3 195
TEL. BUILDING
CITY Costa Mesa NO Li 8-1159 ADDRESS
ARCHITECT Carlson &- LIC. COSTA MESA. CALIFORNIA
OR ENGINEER M5dd]ebrook NO.
FIRE
ADDRESS Garden GroveZONE
'�" y 4 ZONE 4/NO.OF TYPE GROUP
CONTRACTOR Dyke and Cole� iJ
eOLnc.7333 PLANS N4 L •
419 E. 17th St. Tr TEL
Li g8-11599 DT DATE
DATE /
ADDRESS
Costa 4esa
LEGAL LOT CORRECTIONS
DESCRIPTION NO. A BLOCK TRACT 3270
A.P.NO. -
SIZE NO.OF SLOGS.
OF LOT 75 x 80 NOW ON LOT none
USE OF C
EXISTING BLDG. none
SETBACK LINE FROM 16� •
CENTER OF STREET Ail 46� REAR YARD o-
SIDE YARD RIGHT 10' LEFT 5!
DESCRIPTION OF WORK _.
NEW g ALTERATION ADDITION
REPAIR [�T MOVING DEMOLISH
NO.OF
SIZIE DING1601 Sq.. ft. ROOMS 6 STORIES 1
EXTERIOR WALL 1, ROOF
COVERING Stucco COVERING comp.
USE OF NEW
BUILDING Single Family Residence
Garage Attached
Plan No. 750E
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL .
CITY ORDINANCES AND ST It LAWS REGULATING BUILDING CONSTRUC-
TION. AVALUATION
SIGNATURE OF .../:iii
% /nC (� / PERMIT FEE $ 32.00
PERMITTEE
13,690.00 PLAN CHECK $ 16.00
s
AUTHORIZED AGENT DIKE AND COLEGROVE, INC. TOTAL FEE $ 48.00 SMF