HomeMy WebLinkAbout2112 STERLING AVE - Building Permits PROJECT ADDRESS: 2112 STERLING AV UNIT: • CITY OF COSTA MESA - BUILDING PERMIT PERM NO: P 057429
OWNER'S NAME: LOVING SHIRLEY E
ADDRESS: 2112 STERLING AVE - • PERMIT NO; P 057429 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA,CA 92627
CONSTRUCTION TYPE: V-N PERMIT TYPE; PLU PURPOSE: OTH
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : REPIPE - GAS LINE SQ FT;
ADDRESS: UNIT:
CLAIM VALUE: 450 . 00 CALL-VALUE: GROUP OCC; R-3 /
PERMITTEE SHAFER PLUMBING ( 714 ) 548-3480 •
•
ADDRESS: 1721 POMONO STREET COMMENTS: SMOKE DETECTOR REQUIRED IN THE HOME
COSTA MESA CA 92626 >E**** ******* *** ,Ex*+t*** *****St•***+t*****yH** ***** **x**>f*r * *********W****
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON I N G R EQUIREMENT S
70001 of Division 3 of the Business and Professions Code,and my license is in full force and effect. SE TB ACK S
CITY LIC.: 039014 STATE LIC.:374658 CLASS: C-3 r
-- Date: O/ /.$ & Signature' i ., At? . --- - MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPERSATION DECLARATION: I her•. . rm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN
Compensation Insurance.or a certified copy the'r ection 3800.Lab.C). LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN
POLICY NO.: EXP.DATE:
COMPANY: PARKING REO: PROV: PARCEL: 42246408 ZNE; REF NO;
D Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES>
Date: Applicant: ***•************BE*3F**14*i4************3E**IF'* **ii*1i'j48F*?x*****************BE#***iE*BEif***
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). DEV EL OPMENT SER V .I C E S"). REQUIREMENTS
I 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 ',�.. -f'
subject to the Workers'Compensation Laws of California- / ZONING APPROVED BY v1 r DATE:
Dale: ✓aD7'� /y -lot Signator ot C�'E's2 'C�
NOTICE:If.after making this declaration,you sho ome subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY ; ..-: DATE: /
Code.you must fortDING comply with such Prov s or this permit shaft be deemed revoked. 3 tF3E� el .r� 3/ ___
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y• ` DATE: flet..
which this permit is issued(Section 3097,Civ.C). ********************** . * e**.:..>< bF*T **ff h'3F*' 3Ft*************.•i P:nv***
LENDER: ***************************************xit**af*****ii*****?i.***********ii*******?i***
ADDRESS: LEGALIZATION;N F E E SUMMARY • STRUCTURAL SEGMENT;N
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'Stale License Law for the following reason BLDG PMT PLUMBING ELECTRIC ,MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 2 00
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed Li** SMIP/NON-RES
pursuant to the provisions of the Contractors'State 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 PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 3 . 00
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 2 . 00 3 , 00 . 0 . 00 5 . 00 5 . 00 . 00
does not apply to an owner of a properly who builds or improves thereon,and who does such work himself/herself or through
his or her own employees.provided that such improvements are not intended or offered for sale. If,however the building or
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED' 5. 00 OVER/SHORT: 00
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business J , 00
❑ and Professions Code: The Contractors'Slate License Law does not apply to an owner of property who builds or improves thereon '
and who contracts for such projects with acontraclor(s)license pursuant to the Contractors'State License Law). l am aware *********************iE****************************************************]{****
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
❑ I am exempt under Section: B.8 P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date. Owner PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 2 . 00 2 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and that I ar any future building occupant wdUwill not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions.
i Date: Applicant:
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned
property for inspection purposes.
01 00115.734-5011531401if384 -7i•::-ii- �.)1'
Date: //J /y -1Z Signator .� J�-c
r- 7 _
DATE: 05/20,92 TIME,: r-::2
Driver's License or Social Security 9:
164646 Mite-Building:Green-Code Enforcement:Canary-Applicant:Pink-Revenue:Goldenrod-Assessor
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit# Date Inspector APPROVALS Permit # - Date Inspector
1. Temporary Electrical Service dr 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 UF ER 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, O 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
13. Roof Drains 64. Plumbing System - Final • '
14. Rough Plumbing65. 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 Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test /eat IA9 .
36. Hood or Canopy
37. Final Factory Fireplace A
38. Final Plumbing Alzdn- 440:
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
47. FINAL STRUCTURE& BUILDING n .
48. FINAL PLANNING rl .
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
1 • Costa MesaBuilding Department I APPLICATION FOR PERMIT
111 EAST 20th STREET 2499 BUILDING 1
COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
Receipt No. I Permit N .
Building q •2 , /
Address 2112 Sterling Avenue o� J y'PY
Costa Mesa, California Received by Date •ec'd. Date Issued
3 - ef_S�yIAR 9 -1956
Nearest �°�—/'
Cross St. ,, Building/
i. Address
Owner Kenneth W. Koll
Mail Costa Mesa, California
Address 2826 Newport Blvd. r Nearest
Tel. Cross St.
City Newiort Beach No. Hr. 5201 zone/es/ I No.of I Type j/ Group
Architect or Lie. 'f Plans Y
Engineer No. Approved
by Date
Address CORRECTIONS
�
,, City Lim.
• Contractor ' (NWS-¢�/ No.
•
Address
De cr ption I Not 33 I Block I Tract 2348 ' 11Lel LoI t �-•.
(Attach Metes and Bounds) sly " Ha j as
No.of Bldgs. �:
Size of Lot 60 x 100 Now on Lot II,j/I 9 O
Use of No.of No.of J 1J`JO z
Existing Bldg. I Families I Rooms ; - 5
Setback Line from Rear Yard 27' ■ Z
Center of Street 0 Side Yard Cl - /t/1C D
DESCRIPTION OF WORK l/t! ]a9 MESA r-
New I X I Alteration I I Addition I - '
Repair I I Moving I I Demolish I
Building No.of
Size 1,200 Rooms 6 Stories 1
Exterior Wall I Roof
Covering Stucco Covering Compo APPROVALS
Use of New /��
Building Residence •t ,rq� . Foundation Location Inspector Date
—`� Forms,Materials,
Under-Pinning
r. Frame: Fire Stops,
_Bracing,Bolts
I hereby acknowledge that I have read this Application '_
and state that the above is correct and agree to comply Lath. Int
with all City Ordinances and State Laws regulating
building construction. Lath.Ext
Signature of
Permittee 5 Plaster,Int
i •
Authorized Agt iff - 4 . 7.G / ./...... Plaster,Ext.
Valuation Permit Fee $ 26':00 Masonry Reinforced
. Plan Check$ 13.00 Bond Beam
$ 10,320 ; Total 39.00
l� Fee $ FINAL
FORM 204 S-BP 2M 6-55
_OWNER ROLL, KENNETH-W. - DATE 3-9-55 -
JOB ADDRESS 2112 Sterling Ave. BUILDING PERMIT NO. 21173
GENERAL CONTRACTOR Owner VALUE $ 10,320.00
LOT ' 3 BLOCK TRACT723(18 Residence & Gar.
GROUP I & J TYPE V ZONE R!, FIRE DISTRICT 21199
PERMITS ISSUED
INSPECTIONS .` DAT SUBCONTRACTOR
DATE NUMBER
Footing Trench GGL�i ./,/ ,..-
Foundation Forms and Grade to Garage
Rough Framing 4.6:r( `,. /c VJT
Sl
Plumbing,Rough to .. , . - — 7
Plumbing,Rough Complete7t f3�4 /- 14.- 1Z �L!/ #1---S-Sh
2/4Z 7 7
Temporary Pole
Wiring, Rough 4'4;6 5.13rc 74,-.)- 7702.2 -2, ,e a P g o
Heating,Rough
Heating, Final °dr `77'/IQ_'S. gM/J'�0 /;°7d-lit
,��i_ �-�� y.-, APR 2 7 1951 4'7 G( ‘-'
.../Sewer, House,)Al Sewer,St. 7-7-5 V3, U.)� .12,.-1214_'& • 4-19-3% ia0 ff f( -
Septic Tank or Cesspool
Lathing, In Out lX �[j/771 .r3/1/4
Plastering �iy 14- Aria
Plumbing,Final,Fixtures Comp eS f lao b
Plumbing,Final Gas Test/S'11 6/�e�S &' *-D SG) / c // , �� r ; 1
Wiring,Final 5., /Llai
Occupancy L!�,F�-2/_ j(�
FORM 210 3M 10.55