HomeMy WebLinkAbout2221 STATE AVE - Building Permits .. _ - _ _ Applicant to fill in all spaces except those within heavy border lines and.sign all appropriate declarations. - ,
��i PER �� •TRACT NO. I LOT NO. 7 UNIT NO.
c rojectF dr COSTA ME*.,A ' C NSTRUC ION PERMI f-- ) '
'Project Address 22I rite ave �. 7 .
Applicant's Mailing A.•rens _ • v TYPE OF CONSTRUCTION H NEW ❑ ADD ❑ ALTERATION LJ REPAIR '
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.. i I. O :❑ CONVERSION _ _
•� o ❑,DEMOLISH ❑ OTHER A,P,# , - Zone
Owners• Name �' i Cs Phope 5�0'Q 7� -DESCRIPTION OF WORK/USE OF BLDG.
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�, �tl �a) S Main Building: Accessory Building: •
Address i r4 a� i 1 - • P L+•�J�I - - - Z
Arch/Eng. ' ' License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION El STRUCTURAL ' ' E Front nt nnnr11s5�-nnnn1o�o T 0-r ;
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❑ TENANT ❑'ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B
Address / '/t •t'ILI ❑,OTHER - I A Rear I
• Contractor's Name --arYlfS /wr�b,`I-{tne -Tt1-wt'17D C Right N
PROJECT'DESCRIPTION SO:FT. OCCUPANCY
Address(mailing)109,23 TraSK /¢�. -CONSTRUCTION TYPE VALUATION $ S Left • R
City License No. ColY pCa�•"� ,.,ZONE GRADING cU.vos. I ACRES •
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LICENSED CONTRACTOR DECLARATION - Ping. Ref.'# Parking Req./Provided , •
I hereby affirm that I am licensed under ro..lcl ns of Charter 9 (commencingQ'
Remarkxt • Planning Notes: • M
with section 7000) of Division i- he Busines�nd Pro - •.. ••e,and T'
my license is in full •rce .. •= fa . - _
Licen -,a. I icense o ".Ada . - _ . RE2t1V' O MAY 1 6 1938 s_
Date _ r*e Signet ���_.����� - r ; • PLUMBING FEES
WORKERS'COMPENSATION D'CLAR• I• • Bar Sink Showers
I hereby affirm that I have a certificate • • sent to self-insure or a certificate .- ELECTRICAL— - FEES
1 Workers' Compensation Insurance, or a cer fled copy thereof ection -Backflow Preventer Service Sink .
)0, qC /$�1^ }, Automatic Washer Transformer 0 15-50 KW
wis Iiccy No./.)LOC-DD 1Vt-ObAmpany 1 U 1 (�wit . Backflow Irrigation Sewer Cap •
0 S0+ KW -
n Construction Pole Sub:'
D a"Certified copy is hereby furnished.
Ce le o 'ed with the cit Build'r}�D'�jl�yl / H -Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
Date ; APplican>, aA1C-7 'r_f 1.Ryf/sIW�LI��f� _
EXEMPTION FROM WORKERS'COMPENSATION DECLARAT NClarifiers Solar Collectors Dishwasher • Meter Clover 100 amps
(This section need not be completed if the permit is for one hundred ($100) or J - •
less). . Dishwasher Solar Piping - Dryers EI ❑Electric Sub Panel. .
I certify that in the performance of the work for which this permit is issued, I .
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shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors❑0-1 HP ❑1'/:-8 •
Workers' Compensation Laws of California. -
Date Signature ' Floor Drains Swimming Pool w/Spa - F.A.U.
NOTICE:If,of ter making this declaration, you should become subject to the Inc.Solar 09-15 HP 016-15+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal • Fixtures
comply with-such provisions or this permit shall be deemed revoked. Microwave
CONSTRUCTION LENDING AGENCY - Gas Service Outlets Water Closet • Device Boxes
I hereby affirm that there is a construction lending agency for the performance Pole Light
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors I Water Heater3 Outlets Ran e
Lender's Name 9
Lender's Address - - - - Kitchen Sink Water Service Switches Sign
OWNER BUILDER DECLARATION - - -- —
•' I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal Standing Sections ,
county which requires a permit to construct,alter,improve,demolish or repair , P-Trap Laundry Trays Generator 00-5 KW 05-15 KW Trash Compactor -•
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 T
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
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therefrom and the basis for the alleged exemption. Any violation of Section • -
031.5 by any applicant for a permit subjects the applicant to a civil .
malty of not more than five hundred dollars($500)'. ' .
i_11, 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 t-- Reinspection Fee J $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:
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0
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sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 Zoning Approved By Date
pletion, the owner will have the burden of proving he/she did not build or im- ' Duct-Under Ground 'Building Approved By Date
prove for the purpose of sale).
❑'I,as owner o1 the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Dat
tractorsto 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 00-100,000 BTU ❑100,000 BTU SUMMARY OF FEES
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 thatBUILDING PERMIT $ SMIP $
ofExhaust System 0 Multiple 0 System Repair/Alteration •
proof o their Worker's Compensation insurance should be provided,to me. PLAN CHECK $ /� PERMIT
I ❑ am exempt untler Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers `PLUMBING $ - 5 00 ISSUANCE $ 76/143441
Date — owner' - • Heating System& Ducting Registers - PLAN CHECK 25% $ ENERGY P.C. $
I hereby cer ' .that I hav -read this app.-•:ti•n and state that the above ❑0-100,000 BTU I:100,000 BTL - ELECTRICAL $ GRADING $
informati•• is correct: I agree t• co . I city and county ordinances "
and at- aws relating to b •Ing onst ••. • n and hereby authorize repre- _ MICROFILM $ -
,sentat of this • . enter po• above-mentioned property PLAN CHECK 50% $
• inspect _ _ MECHANICAL $ - TOTAL FEE $ 5e _
Si gnat . p ••e' SAS
Reinspection Fee $15 I 'Issue Fee $ 3 PLAN CHECK 25% $ '
CMF 0865 -6,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
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r CONSTRUCTION AND-.PLANNING ---• . _ ,j POOL &SPA
(APPROVALS' Permit# - _ 'Date Inspector APPROVALS Permit# Date Inspector
..rte
1. Temporaryf`,Electrica7;Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. i -53. Steel Reinforcement S.ti •
3. Electrical Conduit Utility-Undrgrnd. 54. Forms - c,:
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4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding .
5. Steel Reinforcement 56. Rough Plumbing & Press'u7,e Test
6. Electrical UFER Gr,nd' 57. APPROVAL TOCOVER:GUNITE
v , .
7. Footings( - 58. Electrical Conduit-Undrgrrrrid. ,
8. Foundation
/J 59. Gas Pipe, 0 Undrgrnd.,l'reit
9. Water PiRe'Undrgrnd. - 60. •
Backwash Lines, P:Trap?I i
J Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection - 62. Backwash & Receptor-Final •
12. Sewer Cap 63. Heater & Vent-Final I
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 - r- 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling ,:t) 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 ❑Oil
- -25. Roof Sheathing 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 I 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT . r fj
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31. Plaster Brown Coat 79. FINAL INSPECTION . . pW . .
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED lc
33. Final Electric .: Notes: 7-27'b'g 1.-EAT- cw42-O• L. 1E-0I
34. Final Heating & Air Conditioning /Z ,�
11.4-fl &Zinn-apaz- As pIF.2.2o.3 UPC. L.-.rc•D
35. Final Gas Pipe-Test -
36. Hood or Canopy _t - �
37. Final Factory Fireplace - - - •i.•F�i
•'38' Final Plumbing ,9'r ' I
539. Water Service-Final -- Fl - g ,
1•40. Gas Service-Final - i " _. j ,..f.-4.r . - )V '
'241„is olar Domestic-Final '• f�
1
l 42..Backflow Preventer ° _
/43.. Backflow Irrigation • it . _ - .- . '• , -. �-
. 44. Landscape Irrigation System . - r _ a_ I •' `' r
4 . Sound Attenuation - - �� - �- : - • ( .
r
46. Handicap Regulations - 1 - - - --
C. , 1 - Ir
- 47. FINAL STRUCTURE & BUILDING - . a, .- r _ -- - _
48.Special Requirements Completed - - ,. t ' - ,
49 Electric Release to Edison N - -
50.-Gas Release to Southern California Gas Co - T2, - '
51. CERTIFICATE OF OCCUPANCY - • •
/i _ .
Date _ _ ^_ t• + .
J 1 C=J
12520 1 EE- RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT W juL 111960
P. O. BOX 917 COSTA MESA. CALIFORNIA FIN,ANCE DEPT.
For Applicant fo Fill In Completely CIOF COSTA MESA
PP P Y APPLICATION FOR PERMIT
TYPE OR PRINT
CV ate 4/223BUILDING
ADD ESs 2221 Avenue
COSTA MESA. CALIFORNIA For Office Use Only
OWNER Columbia Homes, Inc. I RECEIPT No. I �LM1'lA'T` 0
MAIL RECEIV,E.D 0Y DATE REED (DATE 1 -ru
ADDRESS 1533 Baker Street ?,P Ll 7 dp Ia,, A. (DUN
CITY Costa Mesa TNO.KI91151 AUILDING
DDRESS
ARCHITECTearlCar addjpbrnnk No
OR97747 COSTA MESA. CALIFORNIA
ADDRESS Garden Grove, Calif. FIRE V e
ZONE TYPE �t GG�ROUP9.44-et
1e'
CONTRACTOR Dike & Colerove, Inc.InAPPROVED l^'L i 1 —#.'i r
BY DATE 5
ADDRESS 1533 Baker Street ZONING _mil, I �,✓_ )
CITY Costa Mesa, Calif. Z NO. J�,B(UI OF NmJ i' l
1{, v I PLANS .� I BUILDING of
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LIC.NO, 167293n No: KI 91151 LEGAL
DESCRIPTION Lot 19, Tr. 3717
SIZE
60 x 180 IND. OF BLDSS.
nor NOW ON LOT hone A.P.NO. (y... �tin
� �—J
USE OF YARDS EVES
EXISTING BLDG, None APPROVED ALLOWED
SETBACK LINE FROM (CENTER LINE ST.)
CENTER OF STREET 46' REAR YARD 951 FRONT 4 FT. IN.
SIDE YARD I LEFT' 5 I I RIGHT 5' R.SIDE • FT. IN.
DESCRIPTION OF WORK �'
L.SIDE 5L FT. IN.
NEW I X II ALTERATION I II ADDITION REAR J FT. IN.
REPAIR I II MOVING I II DEMOLISH I APPROVED \\\1 J'�,
BY ,,k.) \ 1V DATE `� _4'7w
BUS ING1758 sq.1t.ROOM0-0 STORIES 1 Q—
EXTERIOR WALL ROOF
COVERING stucco ICOVERING Comp. rock
USE OF BUILDING AND WORK TO BE PERFORMED
Multinle family dwelling with
attached garage (two living units) Gar. 420 sq. ft.
Plan CR •
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CON-
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDING CONSTRUCTIpIL - VALUATION
SIGNATURE OF _ PERMIT FEE $ 37.00
PERMITTEE /-J� ,O _n
$17,926 40 PLAN CHECK $ 18.50 A;
AUTHORIZED AGENT Dike & Colegrove, Inc. p
TOTAL FEE 55.50 0