HomeMy WebLinkAbout726 WEELO DR - Building PermitsAVP��cant to fill in al1 soaces ezceot those within neavr poraer lines ana. sign all apvrooriate aeclarations.
CITY OF COSTA MESA CONST UCTION PERMIT PE T NO.� � TRACT NO. LOT NO. UNIT NO. • � � �
Project Address
� � . 3
AppliCd0Y5 Mdiliny Add�¢55 TYPE OF CONSTRUCTION NEW ADD - ALTERATION REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER q p. # Zone
, Owner's Name � �' P Phone� �� � DESCRIPTION OF WORK/OSE OF BLOG.' .
Address ��n""" � S Main Building: ' . Accessory Building:
Arch/Eng. License No. TYPE OF PERMIT GRADING �FOUNDnTiorv T ' O
❑ 5"fRUCTURAL ' Front
Address ❑ OTHERT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL A Rear N
Contracmr's Nam Phone - � � I
PROJECT DESCRIPTION SQ: FT. OCCUPANCY C Pight N
Addresslmailing) CONSTRUCTIONTVPE VALUATION$ g Left R
, City License No. ' ZONE GRA�ING CU. VOS. ACRES
LICENSED CONTRACTOR DECLARATION Ping. Ref. # P2�king Req./P�Ovid2d E
Q
I hereby alfirm tnat 1 am licensetl untler provisions ot Charter 9(commencing Remarks: Plannin9 NOL¢5: M
with section ]000) af Oivision 3 of the Business antl Professions Cotle, antl �
my license is in fullJ�� � nd effect. ^ ,(�g/�-p ///y , � T
LicenseClas �� �-Li ens No.J+�[[��¢-t— .. !n� ' S
Date �'� ��' sa�at .P � � � � PLUMBING FEES
�"'•1RKER5' COMPENSATION DECLARATION Bar Sink Showers
�eby atfirm that I have a certificate of mnsent to self-insure or a certificate ELECTRICAL FEES
� Norke�s' Compensation InSurance, or a certitied copy thereot (Section gackflowPreventer Se�ViC¢$ink '
3800, Lab. C.) , /
Automatic Washer Transformer ❑ 15-50 KW
Polic No. !��9%.=l'%.� Compan �.,�/�'-�'1/%/1 Backflowlrri ation SewerCa ❑ 50+KW '
`Y -r� Y 9 P Construction Pale5u6. .
�Certifietl capy is hereby furnishetl. .
Cert' ie co is tiletl with the city B tlin v ion. � Bathtu6s Sewer Connection Cooking Unit Meter ❑up to 100 amps
Date ��n�— APPlicant ������y�v.� � CIa�iFi¢!5 S013f C0112Ct0�5 - Di5hwd5h¢/ Met¢� ❑over 10� 3rt1p5
EXEMPTION FROM WORKERS' CO f�fYSATIIIN DECLARAT
(Thissettion neetl not be completetl it the permit is for one huntlretl ($100) or ,
less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel
I certify that in the perto�mance of the work for which this permk is issuetl, I , -
shall not employ any person in any manner so as to become subject to the Drinking Fountains . Solar Tank ' Fan Motors D0:1 HP �i %- 8
Workers' Compensation I.aws oT California.
Date Signature Floor Drains Swimming Pool w/Spa F.A.U.
NOTICE: If,after making this tlecla�ation, you Shoultl become subject to the Inc.S012� �9-75 HP 016-15+
Worke�s' Compensation provisions of the Labor Cotle, you must forthwith FIW�SinkS U�indl Fixtu�es
comply with such proviSions or this permit shall be tleemed revoked. Microwave
CONSTRUCTION LENDING AGENCV ' Gd5 S2NiC2 Outlet5 WatC� CIOret DBviC¢ BOx¢5
I nereby affirm that [here is a mnsV uction lentling agency for the performance Pole Light
of the work for which this permit is issuetl (Se[tion 309� Civ. CJ Int¢fc¢ptOR Water Heater OutIEtS
Lentler's Name Range
Lender's Address Kitchen Sink Water Service Switches Sign �
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License-Law for the Lavatories Auto-Wash
followin9 reason (Section ]o3L5 Business antl Protessional Codei,Any city or �Garbage Disposal Standing Sections
munty which requires a permit to wnstruct, alter, improve, demolish or repair P-Trap Laundry Trays Generator �0-5 KW 05-15 KW Trash Com acmr
any structure, prior to its issuance, also requires the applicant for such permit P
to file a signetl statement that he/she is licensetl pursuant to the provisions of ROOf Df3105
?'}_ Contractor's License Law (Chapter 9(commencing with Sectlon ]000) of
'+,�d$ion 3 ot the Busine55 antl Profe55ions Cotle) o� that he/she is exempt ,
<��'?from antl the basis tor the allegetl exemption. Any violation ot Section . '
.-�'YLS by any applicant for a permit subjects tM1e applicant to a civil
� penalty of not more than five huntlretl tlollars (g500). 3 ,
❑ I, as owner of the oroperty or my employees with wages as their sole Reinspec[ion Fee $15 ISSue Fee $
compensation, will. tlo the work, and the structu�e is not intentletl or afteretl � R¢insp¢ction Fe¢ $15 ISSue Fee $$
tor sale (Section �044, Business and Protessional Cotle: The Contractor's MECHANICAL FEES
' License Law tloes not appty to an owner of a pro0e�ty who builtls or improves
thereon, antl who does such work himself/herselt or through his or her own DEVELOPMENT SERVICES REQUIREMENTS:
emoloyees, provitled that such improvements are not intentletl or otteretl tor Boiler Hood or Type I ❑
� sale. If, however, tM1e builtling or improvement is soltl within one year ot com- Canopy Type 11 ❑ ZOning ApproV¢d By Date
pletion, the ownei will have the bwtlen of proving he/she ditl mt builtl o� im- D�Ct - Und¢� Ground BUilding App�oved By Ddtfl_-��
prove for the purpo5e of sale).
❑ I, as owner ot me Oroperty, am exclusively mntracting with licensetl con- Duct -Structural Refrigeration System Application Issued By Dat
tractors to construct the pwject (Section ]044, Business and Protessions Cotle:
The Contractor's License Law does not apply to an owner ot property who Duct- Ventilating ❑0-100,000 BTU ❑100,000 BTU SUMMARY OF FEES .
builtls or improves tM1ereon. antl wM10 mntracts for such projects with a con- _
tractor(s) iicense pursuant to the Gontractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration BUILDING PERMIT $ SMIP �$
proot ot tneir Worker's Compensation insurance shoultl be provitled to me. PLAN CHECK $ � PERMIT �
❑ 1 am ezempt under Section e. & P. C. tor this reason Firepl/Fact. Blt. ICBO # Fire Dampers PLUMBING $ �• CJCJ ISSUANCE $
oate Owner Heating System & Ducting Registers PLAN CHECK 25% $ ENERGV P.C. $
i hereby certiiy that I have reatl this appiication and state that the above ❑0-100,OOOBTU 0100,OOOBT ELECTRICAL GRADING $
information is correct. I agree to comply with all city antl county ortlinances $
antl state laws relatinq to builtlinq construction, antl M1ereby authorize repre- $ MICROFILM $ -
sentatives of this city t enter up n Ihe above-mentionetl property tor PLAN CHECK 50%
in5pectlan purp �� �. C� �� ��
Signature Date 0 MECHANICAL $ TOTALFEE $
Drivers' License or SS � Reinspec[ion Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865-46, rev. 10 84 White - Buildin Canary - Applicant; 9: Goltlenrotl - Assessor v" *�"u�����u1U0 L IJ y a.UU
/ 9; Pink-Accountin DATE� 07/28/SE TTM�i t^�1R
,CONSTRUCTION AND�PLANNING POOL & SPA
'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-Undrgmd. 54. Forms �'
,..
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding ,
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings '. J�.', 58. Electrical Conduit-Undrgrndi
8. Foundation �'' " 59. Gas Pipe, 0 Undrgrnd., Tesi
9. Water Pipz-Undrgrnd. 60. Backwash Lines, P-Trap, OyUndrgmd. '
10. Structural Floor System 61. APPROVAL TO DECK "
11. Property Sewer Line & House Connection . 62. Backwash & ReceptorFinal
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
76. Rough Electric Wiring . . 67. Fencing & Access Approval
17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling •;? 69. POOUSPA 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 O Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank ��Gas ❑Oil
25. Roof Sheathing 74. Overhead Hydro �+f;
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical ��
1
27. Frame and Flashing 76. Dry Standpipe il
28. Lathing & Siding 77. FIXED SYSTEM FINAL �,,J
29. Insulation 78. FIRE PREV. FINAL ���,
30. Drywall Nailing HEALTH DEPT. REQUIREMENT ,^�i
31. Plaster Brown Coat � 79. FINAL INSPECTION �,�i! ��
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSU�D ,
33. Final Electric Notes: �"
34. Final Heating & Air Conditioning _.
35. Final Gas Pipe-Test
' �
36. Hood or Canopy :
37. Final Factory Fireplace .
38. Final Plumbing & �/� �
39. Water Service-Final . . � �
40. Gas Service-Final •
, �
41. Solar pomestic-Final ' �
r�
42. Backflow Preventer � . � �
43. Backflow Irrigation ' G•
. . �
�
44. Landscape Irrigation SYstem , � ��
45. Sound Attenuation ' � r
46. fiandicap Regulations [/j
47. FINALSTRUCTURE&BUILDING . �
48. Special Requirements Completed � ,
49. Electric Release to Edison �
50. Gas Release to Southern CaliFornia Gas Co
51. CERTIFICATE OF OCCUPANCY ,
No. Daie �
�i
GENERAL CONTRACTOR Ba,y Coast Bldrs. VALUE $ 19.008,00
t vo. 116-103-05 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Dup. W
Ih.,PEGTIONS �_i,�! � DATE I GROUY I& J TYPE V ZONE R
SUBCONTRACTOR
^i /h. �r� N�
ias
Form 210-3M—�-59 10�.)�
' .
. � L'�S:M(l
COSTA MESA BUILDINGSAFETY DEPARTMENT �'��p����B���
P.O.80X 31] COSTA MESA. GALIFORNIA Q I
FOR APPUCANT TO f/CL /N COMPCfTfLY APPLIC��IhO�,L[FoCf� j e�znnir
� TYPE OR PRINT , BUILLJI'7� •
BUILDING '`--� ,
� Cfj. US 9 MESA
ADDRE55 � J Q ��L C �
/ OSTA MESA. CALIFORNIA FOR Off/Cf USE ON[Y
ML. . I RECEIPTNO. I /0���
OWNER
MAIL ' RECEI ED BY I�{liT RE EIVED I OATE 18811EO
AODRES y� �_, 3 �,,�—<
�
� TEL � 'J BUILDING '� �a" l/ /I
QTV N /I qDDRE55 Z/�� �)
ARGHITECT ��c. COSTA MESA, CALIFORNIA
Oft ENGINEER NO. ///���
AD, ,5 FIRE /)�
ZONE TYPE GROUP-, //
TF.TE APPROVED /
CONTRACT /C�.NO. BY DATE � )/
ADDRES RQ """✓ �� S� � Z NING �
IEGAL LOT � � 20NE I I NO. OF U8E OF N�
oescAiPiioN NO. BLOCK T � PLANS UICOI
��. � 2 _ Q � APPROV�
A.P. NO. J BV DATE � �'�- �
SIZE SO O I rvow oH LOTe V YARDS ����/)
OF LOT REpUIREO ` `ALLOWED � -
USE OF ICENTER LINE 6T.� �.� �
EXISTING BLDG. � FRONT � Ff. IN. �
iETBACK LINE FFOM 2 �
c[NieR ov StaEET � REAR YARD lD R. SIDE � FT. IN.
/ / �f
SIDEYARD ILEFT� RIGHT � L.SIDE // FT. IN.
DESCRIPTION OF WORK ^
REAR , � ( J FT. IN.
NEW I r II ALTERAY�ON I II .4DDITION I � '
REPA�. I II MOVING I II DEMOLISH I �—
BUILDING N OF
SIZE RJ OOMS STORIES
E%TERIOR RPOF
COVERING COVERING
US OF BU DING AN WO K TO BE PERFOqM1lE
�- [rAi%
is� , .
�U . _ �G . - 9� ' J
I HEFEBY ACNNOWLEDGE TMAT I HAVE READ THIS APPLICATION THE M1MOUNT 6HOWN UNOEN VALUATION IS FOR THE
AND 6TATE THFT TME ABOVE IS CORRECT AND AGPEE TO COM-
PLY WITH RLL CITY OHDINANCES !NO TATE LAWS REGULATING �UFPOBE OF ESTABLIBNING A PERMIT FEE ONLV
BUILDINQ CONSTflII T^ON. , / ypLUATION
SIGNATURE OP /) u�`� /�J' �� DU PERMIT FEE $. i3 9 On
PERMITTEE � L ��
5 J�1 /� O PLAN CHECK $ ��,
/ vC(9
AUTHORI2ED A NT � a b TOTAL FEE S .SU
GENERAL
OCCUPANCY
PAttt., • DATE 11-1
Armita�e Bldrs, vai.UL S lY
LOT TAACT FIRE ZONE DESCRIPTION OF WORK
DATE I GROUP I& J TYPE V
'.G. Water ___I SUBCONTRACTOR I _ PERMI'T
Form 210—SM-71-59 5-B P � 1O83S
. J . ��S�J
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BO% 3f] COSTA ME6A, CALIFORNIA
fOR APP[/CANT TO f/LC /N COMPLfTE[Y
s TYPE OR PRINT
BUILDING �(� � � /�-
ADDRESS /��� � ' ' • �
�GOSTA MESA. CqLIFORNIA
c �:aa.car.�aaca
USE OF
E%ISTING BLDG.
e[TB�CK LINE FHOM
CENTER OP BTNEET
, ! V'i-I'�9,1r
O I NO. OF BLOG6.
NOW ON LOT
� REAR YAI
IRIGHT
�N Op WORK
REF I IIMOVING
5 Z'E DIN O� �� � T ROOM
E%TERIOR WALL IROOF
COVERING COVER
USE OF BUILOING AND WORK TO I
AND BTATE THAT THE ABOVE IS COFNp�} AND AGREE TO COM-
PLY WITN ALL CIIY ONOINANCES ANO�gTATE LAWS RE6UL�TING
BUILOING CONS']TtYI `ON. /
AUTHORIZED AGENT
�EE RECEiVED
-�ul �/•� !- --J �
fINANCE DEPT.
APPL(�}$1�1���$T� F�I��RM IT
BUILDING
FOR OFF/CE USE ONLY
I RELEIPT NO. I PEflMIT NO.
; o �3r
IVEO BY I ��R=CEIY -0��/J, OAlP� �95UED
� /� ! ����7�f��
VG
i5
COSTA MESPf, CALIFORNIA
YPe / �'�uP .J n _
APPROVED
BY
20N NI
�
APPROVED `
BV L�
YARDS
REOUIRED
ICENTEP LINE BT.)
ZONING
OF VSE OR N
VS 1 BWLDING
�
nce
THE /�MOUNT SHOWN UNDER VALU�TIOti 18 FOP THE
PUflPOBE OF ESTABLISH�NG A PERMIT FEE ONLY.
VALUATION �
PERMIT FEE $ � �
/� 5 �—
$ l PLAN CHECK $ �y� .7 �
TOTAL FEE 5 ��� U
/�