HomeMy WebLinkAbout218 VILLANOVA RD - Building PermitsrrApplicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
PE IT NO - 'TRACT NO. LOT NO: UNIT NO.. •
1253
cirvoFcoss _iyNpAFCTI NP�E+RMIT� _ 7/IC/?7 5�_ �;I Project Address 0v �� a9i � J , .ZIA TYPE OF CONSTRUCTION ! ❑ NEW H ADO H ALTERATION (r—/REPAIR '
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Applicant's Mailing dydres / •
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Owner's Name' 'I_�` Phone J�(Q�a° ❑ CONVERSION ❑DEMOLISH ❑ OTHER _ A.P.# Zone •
A//`f''�/^`. ' DESCRIPTION OF WORK/USE OF BLDG. - ' •
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Address r . ffffff������111111��/��/ , • S Main Building: - •Accessory Building: ,
TYPE OF PERMIT • ❑ GRADING FOUNDATION ❑ STRUCTURAL E Front I Z
Arch/Eng. • License No. � T 1 O
Address ; ❑ TENANT', ❑ ELECTRICAL' PLUMBING ❑ MECHANICAL •
B Rear N
Contractor's Nam- // is 1 - in S' PhoneRs9R00S ' ❑ OTHER A I
• • ♦ , ' r PROJECT DESCRIPTION SQ. FT. •- - . OCCUPANCY C Right - N
`4 Address(mailing) • T� CONSTRUCTION TYPE VALUATION$ $ Left 'K G
(j City License No. \ O �� , ZONE GRADING CU.YDS. ACRES R
LICENSED CONTRACTOR DECLARATION • Ping. Ref.# Parking Rq./proyj{ 1 E
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• I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: , Planning Notes: E�E't/rD 3U.1.,-- L ho( M
• with section 7000) of Division 3 'of the Business and Professions Code, and p V r
my license is in full,-A; • nd effect. • I n T
Li Gens /a- I se No i..✓�� '• • S
Date ''t g. ', Signature 'A/1�� �I .a&4 d. PLUMBING FEES
1 WORKERS'COMPENSATION DECLARATION ; • Bar Sink Showers _
I hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES
of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer - Service Sink
3800, Lab. / Q'"I Automatic Washer Transformer 0 15-50 KW
Policy No. �� Rc3y�V I Company �_ Backflow Irrigation , Sewer Cap10 50+KW '
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❑ Certified copy is-hereby furnished. - construction Pole Sub... . . ,
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Certffie c p s�tled-with the city B�1 QI lvi n. D Bathtubs • Sewer Connection Cooking-Unit Meter Duo to 100 amps ' •
Date (QIONFR / KERSAppliant O/ SA / /' - -•
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EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers ,; Solar Collectors Dishwasher Meter Dover 100 amps .
(This section need not be completed if the permit is for one hundred ($100)or ^ • - •
less). 7 Dishwasher ' - - - Solar Piping ' • p3'� _Dryers ❑Gas DElectric . Sub Panel . , .,
I certify that in the performance of the work for which this permit is issued,I . • -
• shall not employ any person in any manner so as to become subject to the . Drinking'Fountains . Solar Tank I _ - Fan Motors❑0-1 HP ❑ut-8
Workers' Compensation Laws of California. - - '
Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 HP 016-15+
NOTICE: If,after making this declaration,yb u,Sh OUId become subject to the - -- -
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks ' Urinal • '
comply with such provisions or this permit shall be deemed revoked. Fixtures Microwave
CONSTRUCTION LENDING AGENCY r Gas Service ' Outlets Water ClosetDevice Boxes -
I hereby affirm that there is a construction lending agency for the performance Pole Light
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlet$
Lender's Name Range
• ,Lender's Address Kitchen Sink - Water Service . . Switches. —
OWNER BUILDER •
DECLARATION Sign --
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 1 LaundryTrays '
any structure,'prior to its issuance, also requires the applicant for such permit ' •
y Generator 00-5 KW ❑5-15 KW •Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains r
• 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 '
7031.5'by any applicant for a permit subjects the applicant to a civil
penalty of not more than five hundred dollars($500).
LJ I, as' owner of the property or my employees with wages as their sole Reinspection Fee I $15 r' Issue Fee S 3 •
• compensation, will do the work,and the structure is not intended or offered 1 I - 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 _ : r • - Hood or Type I '❑ :Zoning Approved
-sale. If, however, the building or improvement is sold within one year of com- - Canopy ' Type II ❑ r pV By Date
pletion,the owner will'have the burden of proving he/she did not build Or in-- • Duct-Under Ground • _ Building Approved By ,/"� Date
prove for the purpose of sale). /\//)�I `O�p'7
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System " Application Issued By Data ��� 6 /
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 ❑0-100,000 BTU ❑100,000 BTU -
• builds or irnProves thereon,and who contracts for such projects with a con- SUMMARY OF FEES
' tractor(s) license pursuant to.the Contractor's License Law). I am aware thatExhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT- $ SMIP $
proof of their Worker's Compensation-insurance should be provided to me; PLAN CHECK $ -PERMIT'
❑,I am exempt under Section B.&P:C.for this reason Firepl/Fact.Blt. ICBG# Fire-Dampers •
PLUMBING $ 6%oISSUANCE $ • '
•
Date • - owner - - Heating System& Ducting Registers .PLAN CHECK 25% $ ENERGY P.C. $, -
I hereby certify that I have read this application and state that the above IE 0-100;000 BTU 0100,000 BTL . ' GRADING $- '
information is correct. 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 $ VV•
v
sentati of is cit to-enter -upon the above-mentioned property for _
inspection OA 'se �-•7� �7 • -
i Ot - MECHANICAL $ TOTAL FEE $
Signature •
,_� y ��J -.ca. Date -
Drivers' License or SS# -- Reinspection Fee $15 Issue Fee - - $ 3 PLAN CHECK'. 25% $
\CMF 0665-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor - - , -
CONSTRUCTION AND PLANNING POOL & SPA 1
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement ,
3. Electrical Conduit Utility-Undrgrnd. . 54. Forms r:
• t�'
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding '
5. Steel Reinforcement 56. Rough Plumbing & Pressure Te;t ,
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
t•
7. Footings , 58. Electrical Conduit-Undrgrnd.`
8. Foundation -• 59. Gas Pipe, 0 Undrgrnd.,Test .1
9. Water Pipe-Undrgrnd. • - 60. Backwash Lines, P-Trap, 0 lj"drgrnd.
10. Structural Floor System 61. APPROVAL TO DECK 411 '
11. Property Sewer Line & House Connection • 62. Backwash & Receptor-FinalY'1
12. Sewer Cap 63. Heater & Vent-Final H
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 ❑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 . m
36..Hood or Canopy .
37. Final Factory Fireplace
y
38: Final Plumbing /0-•7-57 Lev - • - •
• 39. Water-Service-Final - . - - •
•
•
:40. Gas Service-Final - -
•
41. Solar Domestic-Final - - -
42. Backflow Preventer I -
43. Backflow. Irrigation - -
44. Landscape Irrigation System ..
' 45. Sound Attenuation
46. Handicap Regulations - • -, . .
47. FINAL STRUCTURE & BUILDING r - •
48. Special Requirements Completed
49. Electric Release to Edison • i
50. Gas Release to Southern California Gas Co •
51. CERTIFICATE OF OCCUPANCY
No. Date 4,
__ A
t i�1� R�1iLLVLL •
8t3/10 '61 ��I c......,
COSTA MESA BUILDING DEPARTMENT FINANCE DEPT.
P.O.BOX 317 CITY OF CAVTA MESA -
COSTA MESA, CALIFORNIA '
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
ALai DR SS 218 Villanova Rd. BUILDING .
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. - PENN(11t�.A
OWNER Mesa Highlands, Inc. _ V51
MAIL RE IVED BY DATE RECEIVED DATE ISSUED
ADDRESS 1555 Placentia - 2 -2,----,37 FEB 6 1959
CITY Newport Beacg, Cal. TIvo:MI 6-3227 ADD EISSG
_
ARCHITECT LIC.
OR ENGINEER same NO. _ COSTA MESA. CALIFORNIA
FIRE
ADDRESS Same ZONE
K W. Roll Const. Co. CITY LIC. 1217 ZONE NO.OF TYPE `�GROUP
CONTRACTOR NO. PLANS Y 1'` �
wipe.e TEL. same APPROVED
ADDRESS NO. BY DATE
LEGA --
DESCRIPTION NLOTO. 10 BLOCK TRACT 2029 C-ORREC-'MONS—^
At,A.P. NO. ‘f [f G I F"I I _, 4
VE
OF LOT irreg. 90 x 75 ay. NOWNO.OF ONBLDGS.LOT 0 F 7:: '�I; II Ir :J 1!S1 t.
USE OF it LJ ILY
EXISTING BLDG. .sem I jj jA '
SETBACK LINE FROM 5013
CENTER OF STREET . . REAR YARD
l
SIDE YARD RIGHT 10 LEFT 10 J I DATE
Aft. C1/2Ss aPPPOvEn k/9 "/
DESCRIPTION• ppOF WORK
NEW A ALTERATION ADDITION
REPAIR _ MOVING DEMOLISH
BUILSIZE DING 1611 - 1.20ROOF 6 1
ROOMS STORIES
EXTERIOR WALL ROOF •
COVERING stucco COVERING wood shakes
BSEOFLDINEWNGS Residence & att. gagage e '
BUI
Plan 1—C
The Amount shown under valuation is for the
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL purpose of esiablishing a permit fee only.
CITY ORDINANCES AN TATE LAWS
/REGULATING
yD(UILDING
TION. �r' (R 1 I/_✓`-� VALUATION
SIGNATURE OF PERMIT FEE $ 35.00
PERMITTEE
$
15,967.00 PLAN CHECK $ 17.50
AUTHORIZED AG NT TOTAL FEE $ 52.50 VM.