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HomeMy WebLinkAbout543 VICTORIA ST - Building Permits (6). .. . . .. � ��.�_.., ccv. i.neuvY.� .dea w�� .:a avNruun e ua e�a u CIT,Y'OFlCOSTArMESA`5-;aCO,NSTR�UCTION.PERMI'T - PERQMIT2N�OJ. c TRACTNO. ' LOTNOt UNITNU'. `��FrojectAddress. r '���'"� � ✓� ✓ `�� `� �;�� �0� ' � �� A 6 C a _ 'ri y,�..v'�GTG2,lf�e �' F'j�c::,D' '�, %; � ; � �' F , y� � TYPE OF CONSTRUCTION EW ADD ALTERATION REPAIR � Applicant's Mailing Atldress � �-D�}O �'r�JSN�IcS� , � r)(2. � Ea0 , , - SKV�rve „�'❑�.CONVERSION ❑4DEMOLISH � OTHER Owner'sName� ,.�,$*� �N'�'���-�P_ t,:.t��cC Phone aZ lit. - � A.P.#� � i -�'b=i�oy{ OESCfiIPTION OF WORK/USE OF BLDG.. Address �'%{ �� � ? f?� � ' - S Main Buildi ' �� �. � . . '�E Arch/Eng�. �+j��1 '-�{{TY'(i�._��-LicenseNo: ' ,`TYPEOFPERMIT GRADING FOUNDATION STaUCTURAL � �T Front � � Addiess �L� b�/ IC..�k'fG' L.�k Q A--��' � g��y�.� � �"Q'�TENANT, ❑ ELECTRICAL ❑ PWMBING 0 MECHANICAL . 'B qear Contractor's Name �f}�-�/} �'�++���� � Phone u ��4cZ�oy; 4��`orHER - - -�� � .- �� - . A PROJECT DESCRIPTION 5c�. FT. oCCUaAniCv C Right Address Imailingl ' s+�N�� '? � � . ;K )� � . ' � � � `CONSTRUCTION TVPE V �N VALUATION $ �.S Left CityLicenSeNo. ��75�;� � _^ 'a N'r ZpNE GRAOINGCU.VDS. � .VCRES � � LICENSEOCONTRACTORDECL'ARATION �,.�;-; �7 .� " r-V � '"' - Pln[J.'R2f.# ` I he�eby affirm that I am IicenSeG unde� provision5 ot Charter 9(commencing Remarks: �'�, #'�^�(0 _ g A. � :Planning NOt25: with section ]000) of Divlslon 3 of the Business and Profe55ions"Cotle��antl • �t my license is in full force antl e(fect. ' ' { � � ^ �. ^N . - � License Class e se N.� �j'��/{�j �Z�`�" •py �-' "'� � ,t� �ate �-'� �� Signature "� ' �r��]Y.__ b� � _ � , PLUMBING _ � �.p: =FEES , IIOLD FOR WORKERS' COMPENSATION � CLARATI �N w�' e: - 1-��' ,- ' � A'�� � BarSink , Showers � I hereby affirm that I have a certi(icate of consent to self-insure o� a,certificate � - oi Workers' Compensation Insurance or a certlfietl copy thereof (Sectlon � ` - , FEB:-11�c,8 � �,�i� . �' '�'.Z„�f\" QE7' 9 ��� 1 I� iro cl . b1�Q %' J�p� �7�0 � �-� 7 '�� �J4 ... � 3- �nzGQ.d'QD !.,_��:�': L nr_-]-F.�, 3800, Lab. CJ � - � BaCkfloW Preventef . � Service Slnk � � 'Automatic Washe�� . '. Policy No. - Company S%d'I"TC��=i//'�.f� �~ Backflow Irrigation � i Sewer.Cap ' � Construction Pole'Sub+. ❑ Certifletl copy is M1eveby fumiSM1etl. �+!.'� -" 1 �� �' � , f� Certifietl co i filetl�with the city B 1 ifin iv� nn. .J' `-b" 82thtub5 Sewe� Connection �} 5-q p'y �� ,_ � ,��� ) ' Cooking Unit Date '1. - �-��_ APPiicant .,/'.�"r-t A , � . , .. . . . �EXEMPTION FROM WORKERS' CO ENSATION CLARATION ,ty �-' Clanfiefs � Sola1 Collectofs = y i, DishWashef . � i (Thissectlon�neetl not be�completetl if the permit is for one.huntlretl ($100 on �iess�. � M; ����. �, �: ° .� Dishwasher i Solar Piping . Dryers-OGas ❑Electric I certify that in the perfarmance of the work for which this perm t Is Issuetl �P �,:�.- ' snall not employ any person� in any manner so as to become subject to,�tne� Dnnking Fountains Y, � Solar Tank _Fan Workers' Compensation L.aws of Califomia. a � �. ,. �� . ;' , . � � , ' : „ .:. 1' Date ' Si9natuie ' ^"- '' Floor Drains Swimming Pool w/Spa F.A.0 ✓ ,_i . . _. ._ �. ._ � . . ... _ ... .. . ._ . _.. . . q_ . ..... � . NOTICEi If� after making this tleclaFation, you shoultl'become subject to the - Workers' Compensation!provisions of the Labor Code; you must forthwi[h FIoo�Sinks '� Urinal'�� ' Fiztures comply with such provi5ions or thi5 permit shall be tleemed revoketl. �J - - ( CONSTRUCTION. LENDING AGENCV � (�id558�vICC b�`.r�utl¢LS _�� Wat¢f�C1052t � Device6oxes �. 1 hereby affirm tfiat there is a construction lentling'agency for the perfarmance ot tM1e work'. for`which tM1is permit is issuetl (Section 3097 Civ. CJ % ^�a, ' � Lender's Name �-'" Interceptors �,' ; Water Heater' putlets � . �.., ..., .• . . . . .�-._:.. � � LenaePfAtldress�. - ' 'T-'" ' " " "- " - - ' KitchenSink r. .;,�,: ,,,.,`e,,. � ' Wa[er'Service. ' ' "" � ';' "SwitcFes -;, OWNER BUIL'.OER DECLARNTION I he�eby affirm IhaLl�am' exempt trom the Contractor's License �.aw for the LdvdtO�i25 yy�yn � _ ' i=:. � Auto:W25h Garbage Disposal � following �eaSON(Section 7031.5 Bu5ine55 antl Protessional COtle: Any city o� - �l � - �! tounty whith requirei,a;pe�mlt to:construCt; alter, imp�ove, tlemolish'o� repair , P-TId '�..�+"'� �� � any stru - - ' - - - ' ' p � � � - � - Lau drv Travs . . ne..o.�..., fln.t k�nr flG=� to lile a ir. Foof tnerettom ana me�oasis ror ine anegea exempuon. amy vmiauon or pecuon ]031.5 by any applican[ for a permit 5ubjecl5 the appllcant to a civil penalty,of nobmore tban five huntlred tlollars ($500). ` , ❑ I, as owner of�tM1e property or my employees with wa9es as their sole ReipSpaMloO F¢B compensation; will:tlo"the wo�k, antl Ihe structu�e is not intentletl o� ofte�etl far�sale (Section 7044; Business antl Professional Cotle: The�Contractor's . LiGense �aw tloes not apply to an owner of a property who builtls o� imp�oves thereon, antl who tloes �such work himself/herself or through M1Is o� he� own , employees, provitletl tM1at such improvements are not intentletl or oHeretl for Boiler -� sale. If; however, tM1afbuiltling or improvemen[ Is soltl within one year of com- - 1 �,ple[ion, the:owneriwill have the burtlen of proving he/she tlitl not builtl or im- Duct- Under Grouud p�ove tor the pu�pose ot sale). ❑.1, as owner ot the�property, am exclusively contracting,withilicensetl con- Duct-St�uctural Vactors to construd the�pro�ect'(Secfion �044, Business antl Professions;eotle: $15 � �^ ! . Isue Fee $ 3 The� ContractorR License Law tloes not apply lo an owner ot property who � Duct - Ven[ilating builOs�or; improves tFtereon, antl who contracts for�sucn,projects with a.con- - tractor(s) ncense-.pursuant�to ttie Contractor's"�License Law�. I am�aware tnat Exhaust System ❑ MWtiple � prmt of their Worker's Compensation insurance shoultl be provitletl to me. _ ❑-I'am exempt untler�5ection '-B. & P. C. for this reason' Fir¢pl/FaCt. BIL ICBO �k oate � ' owner ' ' Heating System & Ducting 1.heietiy certlfy,thaL I hava read thls application antl state tha[ the above �0400,000 BTU �100,OOOBI information �s,wrrect.,l agree toA comply with;all clty antl county ortlinances ' antl'�state•laws.felatin9 ta iltl'pg construttlon, tl hereby autno�iie repre-. ��� ' sentatives o(' 'his it t' ent Y upon the ab ve-mentionetl' property' fo� � �• inspection p 5 � Sigoafure � - � bate Sz���-�. � � , - „ :�.orivers' Lic se or 55 �� � - - Reinspection Fee ` CMF OBfiS-46, rev. 10/84 White - Builtling; Canary � Applicanh Plnk - Accounting; Goltlenrotl - Assassor � Hood or Type I ❑ 'Canopy Type 11 ❑ Refri9eration System , ,� ❑o-ioo,000eTu ❑ioo,000eru Fire tegisters '-, ', �. _ �: � r, �_, i _ $15' I;,YI� .�� ��-� I Idsue Fee I�$ 3 � ';� IY' Y `{1 , �..- •r..l Zhne Accessory Building: ; � Park Transformer ❑ 15-50 KW ❑50+KW , Meter �up ro 100 amps Meter �over100amps Sub Panel Morors OO-1,HP Oi %�� 8 InaSolar �9-15 HP'Otfi-15+ Microwave Pole �iaht� ... I $i9�� " ... . .. .. -J.. ., . �.. . Reinspection fee � DEVELOPMENTSERVICE Zonin9 A'PProvad 8y=..�-. Building'Approvad'By _ APpIIC3tt00 ISSUOd BV_ Issua Fee � FEE Z � O N I N G R E Q S �� SU MARV�F FEES � 1� � BUILDING PERMIT $: ��: � � SMIP , $ � � ' � PLANCHECK $ -I'�F�� �-= PERMIT � ,, PWMBING $ ISSUANCE $ PLAN CHECK 25% $� ENERGV P.C. $. � ELECTRICAL $ � �' GRADING $ � PLAN CHECK � 50%, $' MICROFILM' $ � � MECHANICAL $ TOTAL FEE $ �l �j`Z�� '. PLAN CHECK 25% $ � VSTRUCT16N AND PLANPJING I POC SPA � � ..ROVALS ��Permit# Dafe Inspectori APPR6VALS Permit# Date Insper.tor� 7_ �Temporary Electrical�Service or Pole � 52. Pool & Equipment Location .� � � 2. Soif Pipe-Undrgmd.� � 53. Steel Refnforcement - � , ! � 3� Electrical Conduit Utility-Undrgrnd. 54. Forms � 4. E(ectrical Conduit-Undrgmd. 55. Electricaf Bonding .- 5. Steel Reinforcement. 56. Rough Plumbing & Pressure Test 6� Eiectrical UFER Gmd.. 2 f�� 57. APPROVA� TO COVER-GUNITE 7. Footings � � �- 58. Electrical Conduit-UndrgFnd. . 8. Foundation� � � 59. Gas Pipe, O Undrgrnd., 7esi � 9� Water Pipe-Undrgrnd. . 60. Backwash �ines, P-Trap,.� U�iirgPnd. 70. Structural Floor System L / 67. APPROVAL TO DECK . 11. Property Sewer Line & House Connection � 62. Backwash & ReceptorFinal � 12. Sewer Cap 63. Heater & Vent-Final . � � 0 73. Roof Drains 64. Plumbing System - Final' . 14. Rough Piumbing 65. Electrical-Final �_ 15. Rough Electricai-Conduit 66. Solar SYstem-Final . 16. Rough Electric Wiring 67. Fencing & Access Approvel . , 17. Rough Wirinc� 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 Permft # -- .. 21. Ducu,in Structure 70. Underground Hydro ��� . 22. Ducts, Ventilating 77. Product Piping OGas ❑Oil � 23. Gas Pipe-Rough & Test 72. Underground Flush . 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil _ 25. Roof Sheathing � 3� 74. Overhead Hydro � 26. T-Bar Ceiling (Svuctural) & Monocoat 75. Dry Chemical - ; 27. Frame and Fiashing -1 � � p�- 76. Dry Standpipe ' . 28. Lathing & Siding 'l y� � 77. FIXED SYSTEM FINAL " `�- 29. I�sulation ( �8 � 78. FIRE PREV. FINAL _ � 30. Drywall Nailing 7 6:� �- HEALTH DEPT. REQUIREMENT 37. Plaster Brown Coat ���7j P 79. FINAL WSPECTION �� � �- 32 Electrical Power MeterFinai 80. FOOD CERTIFICATE ISSUED � 33. Final Eleciric Notes: . C � n 34. Fina� Heating & Air Conditioning � � �� p� � - � � � ..- . C 35. Final Gas Pipe-Test 36. Hood or Canopy �. 5 Y$ ��L,q�e-. �-u+..^S Cs�.%U � 37. Final Factory Fireplace � � � � � �y o ��, . ��- - � i 38. FinalPlumbing �) 6(� � �SJ`�--� ' ' • 39. Water Service-Final . ' � - > �40. Gas Service-Final � � � / � •' _ � 41. Solar pomestic-Final � � . � 42: Backflow Preventer � � � 43. Backflow Irrigation - � � 44. Landscape Irrigation System . . -� ' ' 45. Sound Attenuation ' , � - " 46. Handicap Regulaiions � � � fi �47. FINALSTRUCTURE&BUILDING l - ' � ' � ' - ,.i ��� k� 48. Spec'ial Requ'irements Completed �- �,�.�.�. ' " � , � � �- � I o- 49. Elearic Release to Edison � � -� ' =� 50, Gas Release to Souihem California Gas Co � . � ��'•f' � 57. CERTIFICATE OF OCCUPANCY ' � � ` . �1�/r No. Date �a �ity of Costa Mesa Development Services Department Building Safety Divislon P.O.Box 1200 Costa Mesa, California CERTIFICATE OF OCCUPANCY ,vo. 00�347 TheBuildinglocatedat 543 Virt�ria Ctr�aat. Rni7Ainn $1, nniha A.A.f.n.F..N has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Gioup Rl Occupancy. �, Use of Building Aoaetments Legal Description 422-021—p7 (See reverse side for Metes and Boundsl Buildin9 Permit No B 32065 Electrical Permit No�32514. E373?Frlumbing Permit No. P 32182 Mechanicai Permit No. � 34307, M32358 Number of apartments 6 and/or guest rooms ISSUED T0: ASA Enterprisea. Inc. GUb/_ HUs1r1E9s center DC.r iPZ(iU Irvine. CA 92715 Building %fficial William T. Howard �.-- �� ,b'' r ��/' by / �.«Jl /�" ./� r " - oace January 13� .1989 ' This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C. � CMF io15-46 rev. 1/83 White - Owner, Canary - Numerical File; Pink - Bldg. Permit File (714) 754-5273 • Fax p14) 754-4856 • www.ci.coste-mesa.ca.us 77 hAIH UMNh, IiVA IA MCSA, GH tlL02ti PLUMBING PERMIT Job Address: 543 VICTORIA ST Suite No C Vicinity: Parcel Nunmber: 93411013 Applicant: COAST ROOTER PLUMBING HTG & A/C Address: 2737 S CRODDY STE D SANTA ANA, CA Owner: LOEWENTHAL, SANDRA TR Address 543 VICTORIA ST #C COSTA MESA, Cq Phone: (714) 241-1414 Zip: 92704 Phone: Zip: 926274591 Contractor: COAST ROOTER PLUMBING HTG & A/C Address: 2737 S CRODDY Arch / Eng : Address: ISSUE FEE Backtlow irrigatlon Backflow Preventer Bathtub Clarifier System Connect Qce,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Dnnking Fountain Expansion Tank Gas Earthquake Valve STE D SANTA ANA, CA C/O OF WATER HEATER. AMT $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 QTY Phone: (714)241-1414 Zip: 92704 License: 529127 Phane: Zip: License: SCOPE OF PERMIT FEE SUMMARY AMT Laundry Tub / Washer $0.00 Landscape Irrigalion $0.00 P-T2p $0.00 Pressure Regulator $0.00 Process Piping (per 10 ft) $0.00 Receptors $0.00 Septic Tank $0.00 Sewer Cap (or Demo $0.00 Sewer Connect $0.00 Sewer Private Line $0.00 Shower $0.00 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Status: ISSUED Applied: 03/08I2004 Issued: 03/08/2004 ISSUED BY: � SumpPump Swimming Pool Trap Primer Unnal Vacuum Brkr Bkflow(1-4) Vacuum Brkr Bktlow(5+) Wash Basin Wash Basin Set Waste and Vent System Waler Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Waler Service AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $12.30 $0.00 $0.00 $0.00 QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 NOTICE: The work authorized by ihis parmit shall comply with all applicabla handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 72-21-92) EXPIRATION: This permit shall automatically expiie and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period oF 180 days. INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requ(red Inepeattons and ffnel approval must be obiained. Faiture fo obtain inspeclions and final approvai witl resutt in the expiratton o( thts permit. FOR INSPECTIONS CALL: (714) 7545828 zsaaas (emol WORKERS'COMPENSAnON DECLARAnON: I hereby eRirm under penalty of perjury one of the following declaretions: ❑ 1 have and will maintain a certificate of consent to self-Insure for workers' compensation, es providea for by section 3700 of the Labor Code, for the pertormance of the work tor which this permit is issuetl. I �ave entl wiil maintain workers' �mpensation insurance, es required by section 3700 of the Lahor Code, tor tha pertortnance of the work for which this pertnit is issued. My workers' compensa�ion Ins4rance carrier end policy number are: —L Car' : T�"1 �_� �-r �,J (� i ber: 1���� S i� � is sec(ion neetl nof be completed i/ fhe permiNs velued at ane huntlretl tlollars ($100) or less.) fvl I cenity that in the pedormance oi ihe work for which ihis permit is issued, I shall not employ any person in any manner so as lo become subject to the workers' P compensation laws C�IifomiA e, a���a ha� i� I shoultl become sublec� m Ihe workers' compensetion provisions of Section 3700 of iha Labor Code, I shall forihwlih comply with these pr i wns. ` p A can i re: ��_� ��1�i8� �-0-�� WARNING: FAILURE TO SECURE VORK�RS' CA! NSATION CAVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVE CRIMINAL PENALTIES AND CIVIL FINES lIP TOONE HUNDRED THOUSAND DOLLARE (3100,000), � ADDITION TO THE COST OF COMPENSATIIXJ, DAMAGES AS PROVIDED FOR IN SECTION 3)O60F THE LABOR CODE, INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLqRATION: I hereb Hirtn that I am licensed under provisions of Chapter 9(com encing with Section 7000) of Division 3 Business and Protessions Code, and my license is in full torc�. Lia u Zi r-� � ` las 3 Cbntracto ignature: y-� a -O CONSTRUCTION LENDING AGENCV: ❑ I hereby attirm that there is a constmction lentling agency for ihe Oedormance of the work for which this permi� is issued. (Sec. 3097, Civil Cotle). Lenders Name: Lender's Atldress: Signature: Date: OWNER-BUILDER DECLANATIONS: I hereby aflirtn Ihat untler penalty of perjury thet I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Professions Cotle: Any ciry or counry which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its iuuance, elso raquires the applicant for such partnit to file a signed siatement that he or;ha Is licensetl pursuent to Ihe pmvisions of the Contractors License Lew (Chapter 9(commencing wlth Saction 7000) ot Dlvision 3 ot Ihe Business and Protessions Code) or that he or she is e:empt iherefmm and the basis for the alle9ed exemption. Any violetion ot Saction 7031.5 by eny applicant tor a permit sublects the applicent to e civil penelty oi not more than five hundred dollars ($500).): ❑ I, es owner ol the property, or my employees with wages as their sole compensation, WILL DO 7HE WORK, and iha siructure Is not intentled or offered lor sale (Sec. 7044, eusiness and Professions Code: The Contractore License Lew does not apply �o an owner ot property who builds or Improvas thereon, end who does such work himseli or herself or through hi; or her own employees, provided ihat such improvements are not intendetl or offered for sale. It, however, the building or improvement is sold within one year ot comple�ion, ihe owner�huilder will have �he burden ot proving ihat he or she did not build or improve tor purpose of sale.). ' ❑ I, as owner ot Ihe pmperty, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the pmject (SecJ044, Business and Pmfe55ion5 Code: The coniracbrs Licensa Law does not appry m an owner of pmperty who bui�ds or improves thereon, and who contracts tor such project with a contrecroqs) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business end Professions Code for this reason: Signature: Date: Owner ID venfietl by tlnvers license. ❑ Ves ❑ No Driver's License No. Expires: Veritication of Ownership by (�ype ot tlocumen�, i.e. - property taz bill or tleed): DIVISION OF INDUSTRIAL SAFETV pERM1T CER7IFICA710N: ❑ I herehy cenity Ihet no excavetion five (5) or more feet in tlepih into which e person is required to descend, will be made in connection with work authorized by this permi4 and ihat no 6uilding stNaure, scaHolding, talsework, or demolition or tlismantling thereof, wiil be more �han thirry-six (36) feet high. (Chap. 32, Grp 2, Ar12, Sec. 341, Ttle 8, Califomia Adminisirative Cotle). ❑ As owner-builder, I will not employ anyone to do work which would require e permit irom the Division of Intlustrial Safery, as noted above, unless such person has e pertnit to do such work trom iho division. Signature: Date: Division of Indusirial Satery Permit Number: CERTFICATE OF COMPLIANCE AND AUTHORIZATION OF ENIHY: I certify under penalty of perjury ihat I have read this application and state that ihe iniormation given is correct. I agree to comply with all state laws entl ciry ordinances relating to building construction, end authorize representatives ot the City of Costa Mesa to enter upon the ebove-descrihed property tor inspection purposes. I agree not to occupy or allow occupancy o( any building authonzed by Ihis permit until final Inspeaion. COOE t. INSPECTIONTYPE 1676 Fixed Sys�em Final Fire Pr@ven�ion 1266 Pool Spe Final 200 Finel R8-Roof 201 Flnel Block/Retaining Walt 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition P�iE IMITIALS CODE� INSGECTIONTYPE 206 Finel Mechanical 208 Flnal Plumbing 270 Final ElecMcal 212 Final Fire Prevention 220 Final Planninq Approval 222 FinalSite 250 Final Building/Occupancy Dete