HomeMy WebLinkAbout645 SURF ST - Building Permitsi
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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
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�
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•, . . �. . _ _ ,