HomeMy WebLinkAbout980 VICTORIA ST - Building PermitsPflQIECT 1DOHES3: C� $ O V I CTOR I A $T
OWNEP'SNIIME: CITY OF COSTA MESA
�ooxesa: �� FAIR DR, C.M.
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PENMITTEE: pROSECT ADMINISTRATZON ( 714 ) 754-5029
ROUNESS: 7 7 FAIR DR
C.M. CA 92626
110ENSED CONTMCTOB OECIAMTION: I hereby ailirm that I am IicenseC wUer provisians a� Chapter 9(commencinA wi[h Sectlon
70W) al DlNslon 3 0l ��e Business anE Profeuions Cade, antl my license is in full lorce an0 enect.
CITY UC.: ST�7E LIC.: C1A38:
Dale: Signature:
WOBKEBS' COMPENS�TION OFCUMTION: I hereCy aflirm tlwt I have a cetlilicate ol cansem m sell-insure or a cetlifiwte of Workers'
Compensatian Insu2nce, or a cetlifietl copY �hereal (Section 3800, Lah. C).
POLICY NO.: ' E%P. 0117E:
COMPRNY:
1 Ceni�iet copy is nereey mmishee. ❑ Certifietl wpy is liletl wi[� tAa ciry Buildinq Didsion.
Date: ^ rlpplicanC
E%EMFfION fNOM WOHKEii3' COMPENSRTION DECUMTION: (This sttuon neaG nm be comDl¢Icd if I�e permil is 1a ane hunOreO (E100) a less�.
I teNh/ thd� iR II10 Dehotmance af IAe xroM �Of which this pefmii is i55ueA, I 5� em0loy any pelson in any mannEr 50 a5 t0 G¢rAmB
suCl�� �o N�e'W/o�k/ers m nsa6m La oi Calitom' .
Date: --a' � �� � SiqnaWm:
NOfItE: It, nller maldnq ttus tledaratlon, you stwultl me subj o t Wo :rs' Compensation P��ns oi Ne LaEor
CoAe, you'must IaNmith mmDN �+'�U wc� pr ' Itus permi tiall Ee emeE awkeE.
CONSTIiUCfION 1EN01NG IIGENCY: I hemby attum Ihat there is a construction IenEinp apency for tAe pertormanca al [�e wod far
whic� this DermU is iuuetl (Section 3097, Gv. C).
LENUEfl: ,
RODflE&4:
OWNEH BUILOEH UECUMTION: I here0y aHirm Itwt I am exempt hom t�e Contractors' SWte license Ww tar t�a followinp reasan
(Section 7031.5 Busin¢55 anE Pmfessianal CaOe: My ciry af caunry which requires a DermH to rnnstruct, atter, imDrove, demofis�, or
reDair any stmcture, Orior ta Ns issuance, alm repuires I�e apDllcanl for such permit lo lile a sipnetl statament [hat he/s�e is Iicense0
pursuant to t�e prmisions ot the Contadors' State Licenu Law (C�apter 9(commencinp with Sectbn 7000) oi Division 3 0l the Business
anA Pra/essions Cotle) ar I�at MJs�e is exempt t�erelrom anE t�e Oasis lor t�e alle0e0 oxemption. My vioWtion ol Seetlon 7031.5 by
any aOP�icant for a permit subjecis the ap0�ican[ to a civil penalry o/ not mom [han five huntlre0 Oolla�s (5500�.
I, as axner ol t�e DropeM or my employew with wapes as tAeir sole comDensation, wlll tlo ihe woM, anA ihe
❑ StmcWre is not intenOeA or ofiere0 for sale (Secban 70Cd, Busmess an0 Professianal CoOe: The Cantracrors' State License Law
tloas not appty to an ovmer ai a pmperty wAo huilAs ar imD�aves t�eaon, an0 wlw Aoes such work himsell/herself or tArouph
his or her own employees, provi0e0 ihat such ImD�ovements are not intendeU or otlem0 for sale. If, �owever tAe hulldinp or
impwvemeni is sold within one year ol comDletion, tAe awner will �ave the Euraen ol DmWnp hdsAe AiA not 6ui10 or imDmve
� for tne purpose ol sale�.
I, az owner at t�e D�aPerty, am exclusively caniractinq wii� licensatl contractors �o conslmci Iha D�olect (Section 7674, Business
m ariE Pmfessiau CoOe: The ConVactors' State liunse law Ooes not apply ro an owner oi properry wM bmlEs or imprwes Nereon
an0 wAo wntrzcis for such prolects wiN a cantractaqs) license pursuant to I�e Caniractors' State License Law). I am aware
t�al D��� of t�eir Worker's Camp¢nsation insurance shoWd he D�omOeC ro me.
� I am exem0� un0er Sectiw: B. 6 P. C.
tar mis reuo/n{: /� // �j /
�aro: '�/ � �/7 � 1 ��
Q�mer
i Eo Aerehy ceniry Wt I am aware ol anO unaerstanE t�e requirements of C ito a Healih Sa ry Co Sectiore 25505, 2i533, anE
25534 aM tnat I or any INure ouilAinO acupant vtiWrill not (circle ane) nee0 a wmpty vntn ia s es an0 tAe reQuirements lor a
permit tor consvudion or mo0ilicatlon imm t�e tir Uualhy Manapement OisMp. qcvEential constmction aDD����pns are exemD� �mm
Neu D��ons.
Daie: Applicani:
I �ereby certity tlut I Aave reaE tltis applicaUon antl stati
orUinances antl state lavrs reW6np to bul0inp tonstmttlan
proDerty lar inspecItion' Durposes.
Daie: ��J'19v /SiAnature:
oriver's ucensa or Soeiai Securiry x:
abwe informaGan Ls correct. I a0�ee ro compty with all crty ana wunry
y autMnze reD��nutives ol tNs clry �o enter upon Ne a0ove-meMiane�
'szr�n�Q �,a, � /
16a618 W�ite—BuilEing; Green—COEe Enlo¢emem; Cenary—FOP�icem; Pink—Revenue; GolEenraE—Aveuor
f, CZTY OF COSTA MESA — BUILDINC PERMIT
PERMIT NO: E 047309 PLAN CHECK NO: N
CONSTRUCTION TYPE:
JOB DESCRIPTION .
CLAIM VALUE:
PERMIT TYPE: ELE
ELCT HOOK—UP
CALC—VALUE:
PERM NO: E 097309
GOVT: Y SUPP: N
PORPOSE: OTH
SQ FT:
GROUP OCC: /
COMMENTS;
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Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR: FT IN FRNT; FT ZN REAR: FT IN
LEFT: FT IN RGHT: FT ZN LEFT: FT IN RGHT; FT IN
PARKING REQ• PROV; PARCEL: 42243326 ZNE: REF NO;
PLANNING NtST'ES>
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D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY ; DATE:
BUILDING APPROVED HY : DATE:
APPLICATION ISSUED HY: DATE: —I � b
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LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:N
HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 18.50
SOt SMIP/NON—RES
PLAN
ISSUE FEE 15.00
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 0,00 0.00 0.00 0.00 .00 .00
REVENUE DIVISION TOTALS--> COLLECTED; ,00 OVER/SHORT: .00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
k �E iF iE iE ik if iE dt iE 1E 1F M if 1f it M if if ik k iE if iE 4 3E iE iElf iE iE 1E iE iE iE 1f iE iE k if if !F iE iE jE iF if iE if iF iE iE if iE �f iE iE iE �E 3E iE iE if iE iE ii ik if !f iE iE if if if if iE %it it
I N D I V I D U A L F E E H R E A K D 0 NJ N
TYPE QTY D E S C R I P T I O N ONIT COST TOTAL COST
ELE 1 5ERVICES bELOW 600 V S BELOW 201 AMP 18.50 18.50
END OF FEES
ai 000bosa�-ccasoaes ��-a-u- ,�,o
DATE: G3/15/90 TIitE: 11�11
CONSTRUCTION AND PLANNING POOL .PA
APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
i. TemDorery Electrical Service or Pole � 52. Pool & Equipment Location _ �
2. SojJ Pipe-Undrgrnd. 53. Steel Reinforcement ' -
3. Electriwl Conduit Utility-Undrgrnd. 54. Forms '
4. El�ctrical Conduit�Undrgrnd. 55. Electrica� Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test .
6. Electrical UFER Gmd. 57. APPROVAL TO COVER-GUNITE
7. Footings - _ 58. Electrical Conduit-Undrgmd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe�Undrgrnd. 60. Backwash Lines, P�Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK �
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent�Final .
73. floof Drains 64. Plumbing System - Final
74. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduii 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 FINA�
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 OGas ❑Oil
23. Gas Pipe-Rough & Test " 72. Underground Flush
24. Roof Framing � 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. aoo� Sheacht�g 74, Overhead Hydro
�6. T-Bar Ceiling 1Structural) & Monocoat 75. Dry Chemical
2� . Frame and Flashing 76. Dry Standpipe .
28. Lathing & Siding - 77: FIXED SYSTEM FINAL �
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
37. 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
36. Hood or Canopy ,
37. Final Factory Fireplace �
38. Final Plumbing ' '
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 Regulations
47. FiINALSTRUCTURE&BUILDING �
48. FINALPLANNING �--•
49. Electric Release to Edison „
50. Gas Release to Southern California Gas Co
51. CERTIFICATEOFOCCUPANCY
No. Da[e