HomeMy WebLinkAbout2232 STATE AVE - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA'MESA CONSTRUCTION,PERMIT PERMIT zoo'
�I • _ T•RAC•
TNO. . , LOiT NO. UNIT NO. X281 7123/85
Project Addressla.��. r 7Af'G�¢✓/ B 1 liL�L.J��7- - • z .. .. . - - ,rJ�DO Tit.
Applicant's Mallin Address 1S�3 IC'/rtI CD/I/ A�] • TYPE OF CONSTRUCTION 'U NEW LI ADD U ALTERATION �❑ REPAIR •
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•
' LI CONVERSION -❑ DEMOLISH LI OTHER -
Owner's Name � - - - A.P.# .. , _ ' . Zone
�J.pPaJ f�7A// Phon X790
'DESCRIPTION OF WORK/USE OF BLDG.
Address �_ /Y/e 7S Main Building: Accessory Building: - '
Arch/Eng. License No. TYPE OF PERMIT 0 GRADING�,�FOUNDATION ❑ STRUCTURAL T Front " 1. • I - I O ,
Address - p ❑ TENANT ❑ ELECTRICAL L7.P LUMBING ❑ MECHANICAL B - - N
/. / /a -.1�70 ❑ OTHER A Rear
•Contractor's Nam: r r U i i hone
/ / �1 PROJECT DESCRIPTION SQ. FT. OCCUPANCY _ C• Right I - N
111 Address(mailing)/.5-3.� M/1���.V l/A�/>'"/7 G//'1�) •
K Left - R •
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CONSTRUCTION TYPE VALUATION$ $.
W 1 City License No. -� 7, O ZONE GRADING CU.YDS. ACRES
LICENSED CONTRACTOR DECLARATION _ Ping. Ref.# Parking Req./Provided , .- E
0-
' I hereby affirm that I am.licensed under provisions of Charter 9 (commencing Remarks: , Planning Notes:
A with section 7000).of Division 3 of the Business and Professions Code, and T ,
my license is in full .,ce a d {fect. / ., $
e�lass • - License No. I: _ ,
-
Date Ufa-n Signatur- Oa.c =tea /dir!i PLUMBING FEES -
,WORKERS'COMPENSATION DECLARATION / •- • I
I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers ELECTRICAL +FEE$
of Workers' Compensation Insurance, or a certified copy thereof (Section '
t _ Backflow.Preventer • Service Sink -
'3800, Lab. CJ-O���U �i( - Automatic Washer - •Transformer ❑ 15-50 KW
Policy No. Company' P_4Vt/ L�C Backflow Irrigation Sewer Ca - - 0 50+ KW '
,„8ertified copyP Construction Pole Sub. ' I
y is hereby furnished.
Certif' c y is ,_With the city(c�.-m/�Qipg D"vi "on. ' Bathtubs Sewer Connection Cooking Unit Meter Duo to 100 amps; i
,Date - -Q-4 Applicant/`-r/ dL ' // 1"0 ,
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION, Clarifiers Solar Collectors Dishwasher • .^- Meter Dover 100 amps
(This section need.not be completed if the permit is for.on&hundred ($100)or .
less).. - Dishwasher • Solar Piping Dryers ❑Gas ❑Electric Sub Panel I •
'
1 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 subject to the Drinking Fountains Solar Tank Fan Motors ❑0-1 HP ❑.1 Y-8 I '
Workers' Compensation Laws of California. - .7
Date Signature Floor Drains Swimming Pool w/Spa , F.A.U.NOTICE: If,after making this declaration,you should become subject to the r'f • Inc.Solar ❑9-15 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 herebyaffirm that there is.a construction9endin agency for the - i Pole Li ht I '
g g y performance 9 •
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors . Water Heater' qq 06 Outlets
Lender's Name (7� Range i
.Lender.'s Address - . Kitchen Sink Water Service _ - Switches 'Sign I
OWNER BUILDER DECLARATION' _
1 I hereby affirm-that I am 7031.5exempt'from the Contractor's icer a Law for the . Lavatories Auto-Wash - Garbage Disposal •
following reason (Section 7031.5 Business and Professional Code: Any city or 9 P ;Standing Sections ,
county which requires a permit to construct,alter,improve,demolish or repair - P-Trap - LaundryMays '
y - Generator ❑0.5 KW❑5-15 KW Trash Compactor i
any structure, prior to its issuance, also requires the applicant for such permit • - - ,P - ,
to file a signed statement that he/she is licensed pursuant to the provisions of , Roof Drains ) , . 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 -.
7031.5 by any applicant-for a •permit subjects the applicant to, a civil '
penalty of not more than five hundred dollars($500). I ' ' •
0as 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 1 - Reinspection Fee 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 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 IDf
sale. If, however, the building or improvement is sold within one year of corn- , - - - . Canopy . Type II ,0 • e 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 •'
Crove for the purpose of sale). •
I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural . Refrigeration System ' Application Issued By O1LI•P ' Dat. , Lti—
tractors to 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 ❑0-100,000 BTU ❑100,000 BTU ' SUMMARY OF,FEES . I ,
l builds.or improves thereon, and who contracts for such projects with a con- ,
tractors) license pursuant to the Contractor's License Law). I am aware thatBUILDING PERMIT $ SMIP $
proof of their Worker's Compensation. insurance should be provided to me. Exhaust System 0 Multiple 0 System Repair/Alteration "�--� 1
I PLAN CHECK '$ I PERMIT
0 1 am exempt under Section B.A P:C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING S.4 c$ �-` ISSUANCE $
. •
--
Date '
owner ) Heating System& Ducting Registers
PLAN CHECK 25% $ ENERGY P.C. $ _
I
I herebycertify that I have read this application and state that the above- I • ❑0-10Q000.BT,U 0100,000 BTL _ GRADING' $
information is.correct. I agree to comply with all city and county ordinances ' ELECTRICAL $
and state'laws relating to building construction, and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $
sentatives of, is city to enter upon the above-mentioned property for
inspection p.r•• es: / /� / p r MECHANICAL •• $ TOTAL FEE $ _C,l /l✓
Signature I �1 ,'
Reinspection Fee $15 • ' Issue Fee $ 3 ' . PLAN CHECK 25% ,$ ' 1 ) t
I
CMF 0865-46,rev:10/84 White -'Building;Canary - Applicant; Pink -Accounting; Goldenrod - Assessor ' c - - .
1
CONSTRUCTION AND PLANNING ' < POOL&SPA '
APPROVALS Permit# Date Inspector._ • , APPROVALS Permit# - - Date Inspector
n1. 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 UFER Grnd. , - • • - 57. APPROVAL-TO COVER-GUNITE ,
,
. 7. Footings _ - 58. Electrical Conduit-Undrgrnd.
8. Foundation ' 59. Gas Pipe, 0 Undrgrnd.',Test - ' '
-
9. Water Pipe-Undrgrnd. - - 60. Backwash Lines, P-Trap, 0 Undrgrnd. -
-10. Structural Floor System61. APPROVAL TO DECK ; -
11. Property Sewer Line & House Connection 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 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 PREY. 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 s. Notes: _
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test, •
.
36. Hood or Canopy , - - - ..
37. Final Factory Fireplace , .
36. Final Plumbing 00175,7 - •
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 : ' ' el. . . : - - : -
47. FINAL STRUCTURE & BUILDING - I ' I 3 - . ,i
48. Special Requirements Completed
,
49. Electric Release'to Edison '"- -- - - -
50. Gas Release to Southern California Gas Co r I
51. CERTIFICATE-OF-OCCUPANCY- - , - z , - . -- " - -
- I
No. "- Date -
cFLEcytu
12505v R
COSTA MESA BUILDING-SAFETY DEPARTMENT F�P�APv'CE Q��T.
P. O. BOX SIT COSTA MESA. CALIFORNIA CI�Y CF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING 2232 State Avenue a to'
ADDRESS
COSTA MESA. CALIFORNIA For Office Use Only
RECEIPT NO. MS\/s
OWNER Columbia Homes, Inc. 11•.rJfS
MAIL • REX...BY BY DATE RE IVED DATE ISSUED
ADDRESS 1533 Baker St. � jL�-� n-b° 6'+,�J1 1 I (�«,t
cm( Costa Mesa TEL.KI9-1153 ADDRESS
ARCHITECT Carlson & TEL. COSTA MESA. CALIFORNIA
OR ENGINEERMi ddlebroOk NO. LE97747 ,/
ADDRESS Garden Grove FIRE
ZONE TYPE Y GROUIt
CONTRACTOR Dike & Colegrove, Inc. BY
APPROVED DAi4 L7 1 +
1533 Baker St. ZONING
ADDRESS ZONING
CITY Costa Mesa, Calif. PO. \ / USEIOF NEVI rn'I'
PLANS •
N I �j Il ry'
STATE
No. 167293 NO: K19-1151 LEGAL I Lot 4, Tract 3717
DESCRIPTION
SIZE 60 X 100 I NO. OF BLDGS.nonE V
OF LOT NOW ON LOT A.P.NO. `^ p r, V'A-5
USE OF none
EXISTING BLDG. YARDS EVES
APPROVED ALLOWED
SETBACK LINE PROM /G1 28 (CENTER LINE ST.) /,
CENTER of STREET •T REAR YARD FRONT LA/� FT. IN.
SIDE YARD I LEFT 51 I RIGHT 51 R.SIDE ,`7 FT. IN.
DESCRIPTION OF WORK •
L.SIDE FT. IN.
NEW I X IV ALTERATION I II ADDITION I REAR . 2 FT. IN./
REPAIR II MOVING I II DEMOLISH I APPROVED \..0 k) DATE • '((
SIZES1758NO. OF
sq.ft ROOMS 10 STORIES 1 BIW)
EXTERIOR WALL , ROOF
COVERING stucco I COVERING comp.rock
USE OF BUILDING AND WORK TO BE PERFORMED
Multi1le family dwelling with
attached garage (two living units) Gar 420 sq. ft.
Plan A
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM• THE AMOUNTSHOWN UNDERVALUATIONIS FOR THE
PURPOSEE OF. ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTIVALUATION
SIGNATURE OF PERMIT FEE $ 37.00
PERMITTEE l o
Dike & CO grove, Inc $ 17,926.80 PLAN CHECK $ 18.50 f
AUTHORIZED AGENT TOTAL FEE $ 55.50 i