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HomeMy WebLinkAbout645 SURF ST - Building Permitsi �CITY -��n_�n� Address Address Applicant to fill in all spacez within heavy bortler lines anU sign all approp�iate 7eclaration MESA '� PERMIT NO. TRACT NO. L�OT N...g. BIDG. NO. �N PERMIT QEP-ZB�F� ' /Gjf��, � / '" �j �. TVPE OF C,O.,/N$r��UCTION �. Phon jfs ��'� ❑ NEW L1lADD ❑ ALTERA710N � REPAIR ❑ CONVERSION ❑DEMOLISH License No. - ❑ OTNER � DESCRIPTION OF WORI( ' Contractor Q ��� - Phone � , TYPE OF PERMIT � ,,.,� � AddrEss � � ❑ GRFIDING FOUNDAT,I,O.,/ry� Lf/STRUCTURAL I.ICENSED CONTRACTOR OECLARATION - �OTENANT�- EL'ECTRICAL LyPLUMBING ❑MEGHAI I hereby aftirm fh.t I am licensetl untler provision5 of Chdrt¢r 9(cOm= ^�� - ., . � , mencing with section 7000) of .Dlvision 3- o( [n¢' Business' antl -❑'OTHER - - - Professions Cotle, antl my Iicense is in fuu force antl eitecL, PROJECT.DE C IPTION. .� . .. . ._.. License pass � License No. , � „ . Dat¢ " "" ' Si9nature � SQ. FT. ., . . . R� WORKERS'COMPENSATION DECLARATION - - �� OCCUPANCV � CONSTRUCTION.T,V,PE ��_ I hereby aifirm that I have a certificate of consent lo self-insure or a �VALUATION �LONE CEltifiGdt¢ ot WOIkerS' �CortlpenSatiOn Insulance, or d ceftl/ieG copy' ' thereot (Section 3800, Lab. CJ. F - GRADING CU. VDS. ACRES � Policy No. Company -� - ❑ Certltletl-copy is hereby fumishetl. —� - - - � - - qEMARKS: • � ' s '� � � � ' ❑ Certifietl copy is filetl with the city Builtling Division. E%EMPTION FROM WORKERS' COMPENSATION DECLARATION Z' �. Z Z (This section neetl-uot be completetl if the permit is for one huntlretl. . -. __ . . . . . . • • . _ (E100) or less). � � . I certify lhat In the performance of Ih¢ wo�k tor which.this De�mlt is, Issuetl, I shall not emPlOy any pe�son in any manner 50 as (o become ,� PLUMBING PLAfV CFIECK 5ubject o1/�1�e orkers Compensati� Lawsof CdJit rnia. —� . - Date=s` Z�Si9natur¢ i'iC4 P.� �.�.�..rd BATHTUBS' SHOWERS' _ NOTICE: It after making this tle ation, you shoultl become"subjec[ � TOILETS' • URINA 5 � to the Workers' Compensation provisions of the Labor Cotle, you must LAVATORIES OUBL LAVS' -- fo�thwith comply with such p�ovi5ion5 or this pe�mit shall be tleemetl �revoketl:— —. -- - ' " ' . -_'_ _ _ " ' _ CONSTRUCTION LENDINGAGENCV - KIT.SINKS ISHWA H 5 I hereby affirm tnat there is a cons[ruttion lentlinq agency for tne perv SERVICE SINKS ;� � �,SVMPS - tormance,ot the�work_tor wnich this permit, is issuetl (Section 309] Civ. C.). - „. � a , • F1.00R SINK$ F O D INS ��� � l.entler'S Name Lentler•s Atltlress � t " r DRINKING.FOUNTAIN ' OWNER BUILpER DECLARATION � � � INTERCE7TOR5 CL RIFIERS I hereby affirm that I am exemp[ from tbe Contractor's License Law for fhe following reason (Section 7031.5'BuSiness and Profe551ons'Cotlei: SWIMMING POOL� �P'TRAP -� ' """ - Any_ city or County which require5 a permit to 'construct, alter, improvE, tlemolish or repair any structure, prior to it5 issuance, also re- yyATER SERV IGE ALTERATION � quir¢51he ap�.licant for such peimil to file a signetl statement that he . � � Is licensetl pursuant to the provisions of�the Contractor's License Caw GAS SERV ICE OUTLETS (Chapter 9(commencing wi[h-SeCtion 7000) ot Division 3 0/ [he Business antl Professions Code) or that�he Is exempt therefrom and [he yyqTER FIEATERS �� BTU OUTPUT � ' ' basis for the allegetl exemption. Any violation of Seciion 7031.5 by any applicant fo� a permit subjetts the applicant to a civil�penalty� SEWERCONNECTIONS �� ��� -�- of not, more than_five buntlretl tlollars (5500). ❑ I, as owner of the property, or my employee5 with wa9es as their SOLAR TANK , COLLECTORS , . sole�compensation, will tlo the work, antl [he-structure�is-noLlntentletl. or offeretl.for sale. (Section ]044, Business and Professions Cotle: The SOLAR PIPING SVS. Contractor's License Law tloes not appry ro-an owner oi.a property _ _ who builtls or improves thereon, antl who tloes such work,bimself or 155UE FEE . through his own employees,-piovitletl [hai sucb improvements are mt intentletl or offer¢tl for sale. If, howeveq the builtling or improvemen[ MECHANICAL PLAN CHECK is soltl within one year of complefion, the owner will �have the bu�tlen. � 'of proving he tlitl not builtl or improve (or the purpose of.sale). FIEATINGSYSTEM 0-100,000BTU_ ❑ I, as owner of'th¢-property, am excWsive�y contractin9' witn .,pNDOUCTINGi�.. � ' Ilcensetl contractors to conSVucl the project (Section �044, eusinesr � ••..� .: .; y�1:L��100,0ooj+ BTU _ antl Professions Cotle: The Contractor's Llcense Law tloes not apply to ' ' - an owner of property who builtls or imprOves [pe�eon, antl who con- REFRIGERATION..O-100,000 BTU_ tracts' from' su<h projects' with a mntractor(s) licesnetl pursuanf to SVSTEM ' '- '" the ConVactor's License Law). � �-- � _ �>.�o " � �.100,OQOj ,BTU _ ❑ I am exempt untler SeCtion _ B. & P. C. fo� this �^BOILERS' BTV reason- '-� " - - ' ' - - ' -' Date' "Owner _SVSTEM REPAIR,ALTERATION� I-0ereby tertify that 1 have reatl,thiz application antl 5ta[E that tM1e above EXHAUST SVSTEM MVLTIP,LE information is correcf. I a9ree to mmply with all city antl county ortlinances antl s[ate lawz reiating to construction, antl hereby authorize representatives of this city [o enter upon the above_� � pwperty-f inspectin$� urposes. _ Z Signature ��i�,a�'jL � Date � Drivers' Lflense or 55 � �SSUE FEE CMF 0865-46 WM1ite-Builtlin9; Canary-Applicanq Pink-A<counting; Goltlenrotl-Assessor { ^27t3 :i/;j��/�2 165.59 TL A.P. $ /�� �i�• — �) '� ZONE Y Q/ PLNG. REF. � - i2EAR YARD (TO P/L) Cj�ff�—lj/.�j�� i PKG.SPACE�REq. �� �� PROVIDED r� .. STREET WIDTH ��/i� PARK FEE $ .�� SPECIAL ELECTRICAL ' "" cLAN��CHECK , GENERATOR 0-1 KW_1-30 KW � • �TRANSFORMER ' ' �APPLIANCE 10-50'KW_50 * KW - ' 'MOTORS' - 0-1 HP_1-10 HP ' - ' �. f(INQ SOLAR) 30-50 HP-_50 + HP =�- � FI%TVRES ` OUTLETS SWITCHES'- ' � GASTUBESIGNS ' - - " - � ' ,POLE'L'IGHTS ' - . �POlES �V V METERED SUB ' '�PANECS ' � - MAIN ' 'SUB ' i.' SERVICE ' " AMP ' . . ISSUE FEE . • •. ..."" - . ' . , 1 , ' � � � '.APPLICATION APPROVED BV ' DATF,3 � - SUMMARV OF,FEES � '�BVICDING—' ��[/� �� � � �PERMIT §f�yj(2 SMIP •. �$� � :PLAN CHECK $��� .PERMIT �• ' � 'PLUMBING E�J.00 . �SSUHNCE E �- � .GRADING� 5 � PLANCHECK '$ � _ /'� Lp ' EIECTRICAI 5� S' - , ' � 'MICROFILM $ . PLAN CHECK- $ '- . MECHANICAL S' �. TOTAL FEE E LE55 AD- PLANCHECK- $ ' VANCEPC -$-- - . , /`�C1J ��'7J� FINALFEE�S�.� � • r/', c� AVP���ant to till in all spatts within heavy borCer lines ane sign all avPropriate tleclaralions. � L:ITY'�F COSTA MESA � PEPMIT NO. TRACT NO. � LOT NO.� BLDG.'NO. ' ' " ' - ' CONSTRUCTION PERMIT 3%C% �'� " 6748' 6/03/82' . 8.00 ' Project Address � F � TYPE OP CONSTRUCTION . - . � � Owner ' S O/LLO Phoneb�,�-S%�� ❑ NEW � ADD ❑ ALTERATION � . „" ' Address S s (�,F ' ❑ REPAIR ❑ GONVERSION ❑DEMOLISH 'Arch/Eng. - � -License No. ❑ oTHEa ' ZONING REGULATIONS AddrCss - ' ' - DESCRIPTION OF WORK A'P"� ZONE PLNG. REF. � �-Contractor � Phone TVPEOFPERMIT � e o�N - TpeUiLp irvG SETBACK L T. PROPERTV LINE AddtCu � ❑GRADING�, /❑ FOUNDATION ❑STRUCTURAI SIDEYAR� " L'ICENSED CONTRACTOR DECLARATION O TENANT.OYELECTRICAL ❑PLUMBING ❑MECHANICA �EGHTAR I hereby afflrm thct I am Iicensetl untler provisions of Charter9 (com- ((i rpenGing wIM seCtion 7000) of Division 3 ot the Businoss antl ❑ OTHER REAR YARD T Professions COGe, antl my license is In tull force antl effect. pROJECT DESCRIPTION . ( O P/L) Llcense Class License No.-_ PKG. SPACE REQ. PROVIDED Date Signa[ure ' SQ. FT. WORKERS' COMPENSATION DECLAftATiON � ' OCCUPANCY_CONSTRUCTION TYPE STREET WIDTH PARK FEE $ I hereby affirm that I have a rertificate o( consent to self-insure or a ZONING APPROV ED BV OATE cer[ificate of Workers' Compensatlon Insurance, or a certifietl copy � VALUATION ZONE thereof (Section 3800, tab. C.). GRADING CV. VDS. - ACRE$ SPECIAL CONDITIONS: Policy No. Company � - ❑ CertifieG copy is M1ereby furNshetl. � qEMA0.K5: ' ❑ CertlfieG capy Is filetl with the city Building Division. • ', E%EMPTION FROM WORKERS' COMPENSATION DECLARATION " (This sectlon neetl not be completed if the.permit i5 fo� onE huntlretl _ ._ . .. ($100� OY 1255�. I Certity that in t�e performanre of tM1e work for which this permit I5 i55uetl, I sM1all not employ any p¢rson in any mannet so as to become PLUMBWG PLAN CHECK ELECTRICAL PLAN CHECK � subject to [he Work¢rs' Gompensation LawS af Cdlitornid. . _ Date Signature BATHTU85 SHOWERS NOTIGE: If after making this tleclaration, you shoultl become subjett TOILETS VRINALS GENERATOR 0-1 KW_1-30 KW to the Workers' Compensation provisions of the Labor Cotle, you must ,_ TRANSFORMER � forthwitn comply with sucn provisions or ihis permit shall be tleemetl LAVATORIES DOUBLE LAVS APPLIANCE 30-50 KW_50 + KW revOk¢tl. - - _- . . _ _ CONSTRUCTION LENDING AGENCV KIT. SINK$ DISHWli5HER5 MOTORS 0-1 HP_1�10 HP I hereby affirm that there is a mnstruttion lentling agenty for the per- SERVICE SINKS SVMPS -- pNC.50LAR) 30-50'HP 50 + HP - - formance of the work for which this permit is issuetl (Section 309] ' CiJ. CJ. � ` - - FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES LentlCr's Ndme Lentler•SAtltlress DRINKINGFOUNTAINS GASTUBESIGNS ' ' OWNER BUILDER DECLARATION � INTERCEPTORS CLARIFIERS POLE LIGHTS ' - I hereby affirm that I am exempt from the ConVacto�Y l.icense Law for - the following reason (Section ]031.5 Business antl Protes5ions Cotle: SWIMMING POOL PTRAP ' Any city or county which requires a permil to mnstruct, alteq PoLES METERE� SUB ' improve, demolish or repair any structure, prior to its issuance; also re- yyqTER 5[RVICE ALTERATION� � t_ �PANELS � - MAIN , . SUB , - quires the apFlicanf for zuch permit to file a signetl 5tatement that he - is Ilcensetl pursuant to tM1e'provisions of the Contractor'S License Law GAS SERV ICE OUT�ETS � (Ghap[er 9(commencin9 with Section ]000) of Division 3 of the SERVICE AMP �� Business antl Proiessions Cotle) or'that he is ezempt therefrom and the 'yyATER HEATERS BTU OUTPUT -- ' . ' basls for the alle9etl exemption. Any violation of Section ]03L5 by any applicant for' a permit subj¢cts the'applicant to a civil penalty SEWER CONNECTIONS - - � � � - ' �f nol more ihan five huntlretl tlollars ($500). , as owner of [he property, or my employees with wages af [heir SOLAR TANK COLLECTORS - `� - ' - sole_compen5ation, will tlo the.work,.antl.the sVucture is noi intentletl . . . _ or offeretl for sale. (Section ]044, Business antl Professions Cotle: The SOIAR PIPING SVS. ISSUE FEE - ' Contraclor'S License Law tloes not apply to an owner ot.a property APPLICATION />PPROVED BV DATE who builds or improves the�eon, antl who tloes such work himself or ISSUE FEE throuqh-his own employees, provitletl that sucM1 improvemen[s dre nol Intentletl or offeretl for sale. Ii, noweveq tne buildinq or improvement MECHANICAL PLAN CHECK $UMMARY OF FEE$ ' t is zoltl within one year of completion, the owner will have tM1e burtlen . _ . � . of provin9 he tlitl not builtl or improve for tbe purpose o/ sale). �BUILDING ❑ 1, 'as owner of the property, am ezclusivery conVacting with- HEATING SVSTEM 0-100,000 BTV PERMIT , AND DUCTING a SMIP E .{ Iicensed contractors to consVuct [he project (Section �044, Business 100,000+g7U P�AN CHECK $ PERMIT antl Protessions Cotle:'The Contractor'S Llcense Law tloes not appry to '' ISSUANCE $ ' an owner o( property wn0 builtls o� improves the�eon, antl who com REFRIGERHTION 0-300,000 BTU PLUMBING $ t�acts from such prajects with a contractor(5) licesn¢tl pursuan[ to -SVSTEM ' —" - "" - - �- GRADING $ � the Conbaclor's License Law). 100,000 + gTV PLAN CHECK, �$ '• " ., , ❑ I am exempt untler Seciion � � B. & P. C. for thi5 ELEGTRICAL $� � a' BOILERS BTU „ -reason " ' _ MICROFILM y SVSTEM REPAIR, ALTERATION PLAN CHECK $ Date - --Owner � � - - -- -- � - - - '� ' � � TOTAL FEE�S' I hereby certifythat I,M1ave reatl this application antl state tbat the above EXHAVST SVSTEM MULTIPLE MECHANICAL $ LE55 AD- intormation iz mrrecL I a9ree to comply wilh all Ci[y antl county -7LAN CHECK b � VANCE PC $_ � Artlinances antl stateJaws relating to construction, antl hereby aUtM1o�iee � , q „ � �ep�esenlatives of Ihis �cily to enter upon the above mentianetl� � � � .p�operty f mspecCon �poses. .., . . _ .S7 �� FINAL FEE $ Si9nature �� � �-'ha'47 Date _ ' ' _ ' ' _ " ' . �. . Drivers' L nse or 55 � _ ^ ISSUE FEE' Crv�r uueo-ro wm[e-nunaing; wnery-✓.ppucanr, rmKwcwunuriy; iamoenrou-s�eae»o� CONSTRUCTION AND PLANNING POOL & SPA ' � r .�� APPROVALS Permit # -� 379,� Date �Inspector pppROVALS ,� Permit # - Date Inspector _ t. Temporary Electrical Service or Pole 43. Pool & Equipment�Location -- -- 2. Soil Pipe-Undrgrn 44. Steel Reinforcement •� 3. Electrical Conduit Utility-Undrgrn 45. Forms. 4. Electrical Conduit-Undrgrn 46. Electrical Bonding - ' . tee ein orce 47. Rough-Plumbing & Pressure Test 6. Electrical UFER Grn . 48. APPROVALTO COVER-GUNITE 7. Footings - 49. Electrical Conduit-Undr rn • . 8. , Foundation 50. Gas Pipe, ❑ Undr rn, Test - 9. Water Pipe-Undrgrn 51. Backwash Lines P-Tra ❑ ndr rn � - ' 10. Structural Floor System 52. APPROVAL TO DECK - 11. Property Sewer Line & House Connection � 53. Backwash & Rece tor-Final ' 12. Street Sewer Connection � 54. Heater & Vent-Final 13. Rough Plum6ing 14. Rough Electric-ConduiY 56. Electrical-Final 15. Rough Electric-Wiring 57. Solar SYstem-Final 16. Rough Heating & Air Conditioning • Fencing & Access Approval 17. Ducts, in Structure 9. APPROVED FOR PLASTERING 18. Ducts, Ventilating 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL 20. Roof Praming ' � • � ' � 21. Roof Sheathin 22. Frame and Flashing - NOTES: � ' . 23. Insulation ' � " 24. Lathing & Siding ' - � 25. Drywall Nailing 26. Plaster Brown Coat 27. Electrical Power MetenFinal � � 28. - �Final Electric � • 29. Final Heating & Air Conditioning . 30. Final Gas Pipe-Test 31. Final Plumbing � • ' ' 32. Water Service-Final ' � ' � � � 33. Gas Service-Final ' � � 34. Solar pomestic-Final 35. Landsca e S rinklin S stem �� ' • ' � 36. Sound Attenuation � � 37. Handicap Regulations -� • � � 38. FINALSTRUCTURE&BUILDING - � ' - � 39. Special Requirements Completed � � " � 40. Electric Release to Edison '�� � 41. Gas Release to Southern California GasCo. ' � � - - 42. CERTIFICATE OF OCCUPANCY . _ No. � _ Date - OW NER HARBOR ESTATES � " DATE 6-i6-55 �� JOBADDRE33 �I,C C,,..r Ca BUILDINGPERMITNO. llil3 GENERALCONTRACTOR Dlke & ColePTOVe VALUE $ $�500.00 LOT 5% BLOCK TRACT 1986 Residence (S�in�le) GROUP T TYPE `j ZONE RJ� FIREDISTRICT ����(� PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER Footing Trench % /1;�� co„ndation Forms and Grade to Garaae . to �.Final /���7" / —/oy� �,,um-an- roo-' q-23 �� House � Sewer, St. �o�, � �i . �n.�/ ft�//—SS ina.ln O Fin.al Gas Occupancy Fnrm �t � Costa Mesa Building Department ✓ APPLI�ATIONTi'OIt PERI�IIIT �' � " 111 EAST 20th STREET -� 4.30 _ .__ ._ B U..i L. D ,� N_G._. _ . . _'�. COSTA MESA, CALIFORNIA � FOR OT+I+`ICE USE ONLY i FOR APPLICANT TO FILL IN eece�pt r�o. vermit.�vo. Buildin9 1 1> I I l. % i. 7� ndd�ess 645 Surf Street Costa ➢Yesa, California Rece�v Nearest � c�osssc. 19th Street e��ia�o9 Address ow�er �rbor Estates Mail 419 East 17th Street Address Nearest Costa hiesa • Te�•Li. 8-1159 c�osssc. City No. Zone:n } n.:.�.:�e..s., e.. cn.� . � n wvrslr � Y � �/6-S� 6' Costa Mesa, California No, of I Type Plans Address Garden Grove � � Dike & Cole rove c'ty �'01301 Contractor g No. Address 419 East 17th Street De crvption I No. 5% I Block I T�a�c1986 , -, ; r�o. ot e�tlgs. Size of Lot 60 X].�.� Now on �ot none Use of none I No. of ll No. of Existing Bidg. Families RCCoCtoTm--� Setback Linefrom � Rear Vard iY� CenterotStreet SideVaM I New � X 1 �_ dt Repair I � Moving � ! Demolish I euflding 11 1 S Ft, No.of 61 1 S�ze 5 q' Rooms 2 Stories Exterior Wall I Root Covcring $tllCCO Covering�mP• APPROVALS Use ef New Building Single faroily residence Foundation Location Inspector Forms, Materials, Under-Pinning 2 7 C Frame: Fire Stops, Bracing, Bolts Lath. Int. I hereby acknowledge that I have read this Application and sta[e that the above is correct and agree to comply Lath. Ext. with all City Ordinances and State Laws regulating butlding construction. Signature of Plaster, Int. Permittee Dike & Colegrove [Y/� o / Plaster, Ext. Authorized Agt. C C(,., i.n.c�! ..0 . Valu.ation Permlt Fee $ �' a, p e Plan Check $ . D Bond B� E � �� � Total � t � Fee $ dv,�� FINAL �orm 'LW 4-H IM ]2-SJ u D.ate N O � � 2 D r .,si�'._ _ ' �— � � .� YLV'1' YLALV Show lacation and d�stances irom property line and between buildings., JUi�16-SSQDcosrn}y�i4 k::�{? iaEsn 5.00 .. o•, . . �. . _ _ ,