HomeMy WebLinkAbout587 YORKSHIRE ST - Building Permits�
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Applicant to till in all sDaces except those within heavy bortler Ilnes antl sign a11 approoriate tleclarations.
CI7Y OF coSTA IVIE�S CONST U T�ON PERMIT '"`"' ' '""''' ""' "" '"" �"" n
-Project Address � _ �
ApplicanYs Mailing A d�Css .1 - TYPE OF CONSTRUCTION NEW ADD ALTERATON F
Owner's Na e � �QA �/ Phone � � CONVERSION ❑ DEMOLISH ❑ OTHER
^ DESCRIPTION OF WORK/USE OF BLDG.
Address � LJ
Arch/Eng LiCense No. TVPE OF PERMIT GRADING FOUNDATION ❑ STRUCTURAL
AddrEss ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL
ContraCtor'S Nam p�,,, Q ❑ �OTHER
�
Address (m '�' � a ' �"D PROJECT DESCRIPTION SQ. FT. OCCUPaNCV—
/� CONSTRUCTION TYPE VALUATION $
City Licenca No �' /. . i ZONE GRADING CU. VDS. ACRES_
LICENSED CONTRACTOH DECLARATION
I hereby atfirm that I am licensetl untler p�ovisions o( Charter 9(commencing Remarks: ��
with section 7000) of Division 3 of the Business antl Professions Cotle, and
my license is in full f a tl effect.
LJcense CI s Li Se O
Date Si9nature
WOftKEHS'COMPENSATION DECLARATION
I hereby aftirm Ihat I have a certificale of consent to self-insure or a certificate
' Workers' compensation Insurance, or a certifiea copy thereot (Section
)0, Lab.�.y,.,,,,,.,(,�$� ����1/1�
�licy No.��U1U.7 Company
�ertifi¢tl mPY is (iletlbwithrthehctlY� Id i � 'on.
Date ' Applicant .����
EXEMVT N FROM WORKERS' COMPENSATION pECLARATION
(Thissection need not be completetl if the permit is for one hundretl ($300) or
less).
I certify Ihat in the Oetfo�man[e oi the wo�k tor which this pe�mit is issuetl, I
shall not employ any person in any manner so a5 to b¢com¢ Subj¢ct to the
Worker5' Compensation Ldws of Callfomia.
Date Si9nature
NOTICE: 1f, after making this tleclaration, you shoultl become subject to Ihe
Workers' Compensation provisions of the Labor Cotle, you must farthwith
comply with such provisions or tnis permit shall be tleemetl revoketl.
CONSTRUCTION LENDING AGENCV
1 hereby affirm that there is a construction lentling agency for tne performance
of the work for wM1ich this permit is issuetl (Sectlan 3097 Civ. C.)
Lentler's Name
Lenaer's Htltlress
OWNER BUILDER DECLARATION
I nereby afti�m ihat I am exempt from the Contractor's License L.aw tor the
following reason (Section 7031.5 Business antl Protessional Cotle: Any ciry or
county whith requires a pe�mit to ConStruct, alteq imp�ove, tlEmolislt o� �epai�
any structure, prior to its issuance, alzo requires the applicant tor such permit
to /ile a siqned statemenf Ihal he/she is licensetl pur5udnt [o the provi5ion5 of
the Contractor's License law (Chapter 9(commencinq witb Section ]000) of
Division 3 of the 6usine55 antl Professions Cotle) or that he/she is exempt
"�eretrom anC the basis for the allegetl exemption. Any violation of Section
'31.5 by any applicant for a permit subjects the appliGant to a civil
nalty of not more than five huntlretl tlollars ($500).
L� I, as owner of the property or my employees with wages as their sole
compen5ation, will do the work, antl the st�uctu�e is nOt intentletl or offereG
for sal¢ (Section 7044, Bu5ine55 antl PrOfessional Cotle: The Gont�acto�'S
License Law does not apply to an owner of a property who builtls or improves
tM1ereon, antl who tloes such work himselt/herself or Ih�ough his or her own
employees, provitletl thal such improvements are not Intentled or offeretl for
Sale. If, nowever, the builtlin9 or imorovement is soltl within one year of com-
pletion, tne owner wi11 have tne burtlen of proving he/she ditl not builtl or Im-
�rove tor the purpose ot sale).
1, as owne� of Ihe property, am exclusively mntracting with IicEnsetl con-
tractors to construct the project (Section �O4a, Business antl Protessions Code:
The Contractor's License law does not apply to an owne� of p�operty who
builtls or improves thereon. antl who contracts for such oroiects with a.con-
tractor(sl Imense pursuan[ to [ne Contractor's License Law). I am aware that
proof of Iheir Worker's Compensation insurance shoultl be pravitletl to me�.
❑ I am exempt under Section B. & P. C. for this reason
Date Owner
I hereby certify that I have reaC�this application antl ztate that the above
infOrmation is correct. I aqree lo comO�Y N'iih all city antl county ortlinances
antl state laws relating to builtling construction, antl he�eby autho�ize �epre-
5¢nta[ives of this city to ent � upon tne above-mentionetl Oroperty fo�
inspection pur �, se
Siqnature Date /�-/n ��3
Orivers' License or 55 �
Sink
Preventer
Irrigation
rinking Fountains
loor Drains
loor Sinks
25 $2NIC,E DUt12L5
Kitchen Sink
Lavatories
P—Trep
Roof Drains
Reinspection Fee � $15
Boiler
Duct- Under Ground
Duct - Strucmral
Duct- Ventilating
Exhaust System ❑ Multiple ❑
Firepl/Fact. Blt. ICBO #
Heating System & Ducting
❑ 0.100,000 BTU � 100,000 BT
Reinspection Fee � $15
0865-46, rev. 5/BB White - Builtling; Canary - Applicanh Pink - Accounting; Goltlenrotl - Assessor
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Pipin9
Solar Tank
Swimming Pool w/Spa
Urinal
Wate! CIOSeS
Water Heater
Water Service
Auto-Wash
Issue Fee
Hood or Typel ❑
Canopy Type I I ❑
Ftefrigeration System
❑0-100,OOOBTU ❑100,OOOBTU
System Repair/Alteration
F ire Dampers
Registen
Issue Fee
R
EES
$ 3
FEES�
�{
$ 3
A.P. #
S Main Building:
E
T Front
A Rear
C Right
g Lett
Ping. Ref. #
Planning Notes:
Accessory Building:
Parking Req./Provided
ELECTRICAL
Auromatic Washe� Transformer ❑ 15�50 KW
Construction PoleSu6. � 50+KW
Cooking Unit Meter ❑up to 100 amps
Dishwasher Meter ❑over 100amps
Dryers ❑Gas ❑Electric Sub Panel
Fan Motors �P1 HP 01'/:-8
F.A.U. Ina Solar �9-15 HP 016-15+
Fixtures Microwave
Device Boxes Pole Light
Outlets
Switches
Garbage Disposal
Generator 065 KW �5-15 KW
2one
Reinspection Fee f $15
Sign
Standing Sections
Trash Compactor
Issua Fee
DEVELOPMENT SERVICES REQUIREMENTS:
Zoning Approved By
� Building Approved By --�
FEES
$ 3
N
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N
G
R
E
Q
M
T
S.
SUMMARV OF FEES
BUILDING PERMIT $ SMIP $
PLAN CHECK $ PERMIT
PLUMBING $ �DaISSUANCE $ �
PLAN CHECK 25% $ ENERGY P.C. $
ELECTRICAL $ GRADING $
PLANCHECK 50% $ MICROFILM $ �}+(J�
MECHANICAL $ TOTALFEE $ �
PLAN CHECK 25% $
C�! ,�J03wr2�-Ou0�5622 T��'r`'l :..0
DAiG: Obli31$° T1FiE� fA::4
( � � ..
�:ONSTRUCTION AND PLANNING POOI PA
APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
i. Temporary Electrical Service or Pole 52. Pool & Equipment Location �
2. Soil Pipe-Undrgmd. • 53. Steel Reinforcement
' 3.�Electrical Conduit.UtilitY-Undrgrnd. 54. Forms
r
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 , 58. Electrical Conduit�Undrgrnd.
8. Foundation � ' 59. Gas Pipe, � lJndrgrnd., Test
.'9. Water Pipe�Undrgrncl. .' 60. Backwash Lines, P-Trap, O Undrgrnd.
70. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewar Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final '
13. Roof Drains � 64. Plumbing System - Final
14. Rough Plumbing 65. Electrica6Final
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
2U. Rough Factory Fireplace APPROVALS Permit #
..
21. Ducts, in Structure 70. Underground Hydro
22.Ducts,Ventilating 71. ProductPipingOGas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Struc[ural) & Monocoat 75. Dry Chemical
27. Frame and Flgshing 76. Dry Standpipe
28. Lathing & Sining 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31 -Plaster Brown Coat 79. FINAL INSPECTION
32. Elr.ctrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: f QD L�F�r- Gp¢p, LE,1,
34. Final Heating & Air Conditioning 3(Q QO %�pyn�T- EKF/21u� {}.S t'.�/1 2t7.s
35. Final Gas Pipe-Test U(�G - L, er��
36. Hood or Canqpy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar pomestic-Final;T�
42. Backflow Preventer s_ �'�S
�7T :�._
43. Backflow Irrigation •%- ,- , t
/h �� �
44. Landscape Irripatiori�System � r,
.�.. • i
45. Sound Attenuation:'�
46. Handicap Regulations
.a..
47. FINAL STRUCTURE & BUILDING
4R. Snr.r.ial Requireme�' Campletr.d
49. Electric Release to Edison „
50. Gas Release to Southem Catifornia Gas Co . I'••�%
51. CERTIFICA7E OF OCCUPANCY
No. Date
', Costa biesa Building Department APPLICATION FOR PERMIT
111 EAST 20th STREET {yy
� . „ COSTA MESA, CALIPORNIA O� �—_. �-�'.�-D_�Ii.� G , __ . _'.
I'OR APPLICANT TO FILL IN FOR OFFICE USE ONL�.'
� e ei t o. Permit No.
Building � ! C�' �
nadress 587 Yorkshire St. ';�_��s �_d 96�
Costa Mesa, Ci3��1f01'IIl$. Received by. Date Rec'd. Date 1$u!d 1
Nearest � I d _� � ���
CrossSt. H8fR11toII Buililing , �
Address
oW�e� g.�3.x.& x., Inc. � CostaMesa,California
Mall
Addresa 1�,19 �• 17th Street Nearest '
Tel. Cross &t. � '
Ciiy CO3t8 M858 __ No. T+i $-11�4 Zone�J � No, of Type I Group •
Architect or .�' _ $OT1__ _ _'_ Lia , _ ,.,, �,,,� A�C � ' I Plans I � I �
�dress Garden Grove, Calif.
City Lic.
.�t�actorDike & Coleerove No. 1301
dress 419 E. 17th Street, CostB Mesa
legal { lot
escriotion I No. 11 I Block Traet z31
Metes
Setback Linefrom
CenterufSt�eat S(1�
x
size '9'%1 SQ.FT.
`erior Wall
�ering StllCCO
Use of New
Now on Lot10RE
No. of No.
Families Rot
Rear Vard L � .
Roof
Demolish !
Stories 1
�
�
COdtRECTIONS
�-rii
��u�`
APPROVALS
m Lxatian I InspeCtor
Materfals,
I hereby acknowledge that I have read this Application �ath. Int.
and state that the ahove is correct and agree to comp]y Lath. Ext.
with all City Ordinances and State L.aws regulating
building construction.
Signatureof Plaster, Int.
Permittee
Plaster, Ext.
Authorized Agt. _
Masonry Ref
Valuation Permft Fee $ y
8 000.00 P�an Check $ 3 Bond Beam
$ f Total
Fee S �� FINAL
±arm '20d G- lAf 12-fi%
0
Date
�
, Show location and distances from
_property line and between buildings.
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OWNER $,$,K,ScH.�I11C. / DATE 2-2�-t—SS
JOBADDRESS S87 Yorkshire Street BUILDINGPERMITNO. 961
GENERAL CONTRACTOR Dike & Colegrove VALUE $.8,���.�
LOi ` 11 BLOCK TRACT 2313 Residence and Carport
GROUP I TVPE V ZONE � FIRE DISTRICT 973
PERMITSISSUED
INSPECTIONS . DATE SUBCONTRACTOR DATE I NUMBER
Foundation Forms and G
Rough Framing_
Plumbing, Rough to Slab
Plumbing, Rough Compli
Temporary Pole
Wiring, Rough
Heating, Rough
Heatino. Final
Se• Tank or Cesspool O�
La. .�� In �Oui �a' 9�-
Plas(ering � T!}`�-'
Plumbing, Final, Fixtures Complete Ll� (. -
Plumbing, Fin,al Gas Test �,J -
Wiring, Final y��—
Occupancy � b �
Fnrm '1.10 C:-FI 1500 1-55
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