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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 ' • Applicant's Mailing dydres / • // yy�� �J/�' f Owner's Name' 'I_�` Phone J�(Q�a° ❑ CONVERSION ❑DEMOLISH ❑ OTHER _ A.P.# Zone • A//`f''�/^`. ' DESCRIPTION OF WORK/USE OF BLDG. - ' • r 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 0 • 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 ' • ❑ Certified copy is-hereby furnished. - construction Pole Sub... . . , [� 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 / /' - -• , 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 - - - -- - - • • - 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.