HomeMy WebLinkAbout1132 VICTORIA ST - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropria•eveclarations.�- ` , - -- --
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PERMIT NO. T5 ACT , LOT NO. U IT NO. 2c:1:-
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CITY OF COSTA MESA N RUCTION PERMIT i C05 (L{-Jy, �,�,� I_ ,
rr_ G 98Ss
P 1ec(Add•esS '3.Z�� QN ,� ` " y H REPAIR
-/sL/��G,�z3�L/� J� // TYPE OF CONSTRUCTION U NEW Lam' ADD ALTERATION
�Lliwnt' Mailing Atltlreis O4' �/IK/(/� L�!>f•�iP./�. El CONVERSION CI DEMOLISH El OTHER
Own ir's N me C✓:G d Strn- P/hone'e.00-J.S�a,� A.P.# 4 2Z. I -(90 • (Zone Z
DESCRIPTION OF WORK/USE OF BLDG.
Address �l3z l�•�"'wa,/ S Main Building: Floor Accessory Building: 15r (00{...-
Arch/Eng. ``- it' ' Lice/rye r.. I 9S TYPE OF PERMIT ID GRADING I—/.J7FOUNDATION STRUCTURAL T Front ad / I p
Address /j x 20:3 L - r - ❑ TENANT ❑ ELECTRICAL LJ PLUMBING ECHANICAL Rear I ( 1
Contractor's Nam- —:-.--."--Z- . I -"'on ❑ OTHER y ? A 1 , G- b I N
� JJ i -•� PROJECT DESCRIPTION SQ. FT. ,l 1 OCCUPANCY h -3 c Right ILP N
Address l mail in.....t. U'her, 7�V/ - JN K �,y�/. C'
r ' CONSTRUCTION TYPE
IV VALUATION$ Sd/OOD•Ob $ Left5 ( .Liu R
City License No. - . ZONE GRADING CU.YDS. ACRES
LICENSED CONTRACTOR D C ARATION ' .- i Ping. R¢f.# Parking Req./PfOvid¢d E
• I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: ) E C PlanningNotes: .4• Q
with section 7000) of Division 3 of the Business and Professions Code, and
pd. Pc !C?Ly ��•D rnl•ncr �,�f - Coles ecdrii-hOr M
my license is in fire and effect. //) J• i�Gy 2iI� 67L �7.+it � Jnp•y/ I (vs�•r-�' ✓ie/�'�I �'Vb'melt S
License Class License No.�`- - `/}� r •N 7 6 //•f�K l Gz1l{~k(T)Y_\�,~^ Ly`.`75�41 rC}`/Tal•��-" 1 C s / cK..el
Date Signature PLUMBING I ern ' / / f rea1 Kau
WORKERS'COMPENSATION DECLARATION e
' hereby affirm that I have a certificate of consent to self-insure,or a certificate /J Bar•. Showers ELEC ',CAL FEES -
r Workers' Compensation Insurance, or a certified copy thereof (Section
00, Lab. C.) ' Backflow,Preventer Service Sink Automatic Washer Transformer 0 15-50 KW
Policy No. _ Company _ _ Backflow Irrigation 0 50+ KW
9 Sewer Cap Construction Pole Sub.
A
Certified copy is hereby furnished. - .--
Certitied copy is filed with the city Building Division. -. -.! Bathtubs Sewer Connection al.DO Cooking Unit f Meter Epup to 100 amps 1J ab
Date Applicant I
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 ($100) or -
less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric / Sub Panel a
I certify that in the performance of the work for which this permit is issued, I
shall not employ any person In any manner so as to become
subject to te `;Drinking Fountains Solar Tank Fan Motors❑0-1 HP ❑1 x-8
Workers' Cowpe tion Laws of Calllorni;.- ' ' , e -
Date ._lt---1 -H7 Signature �-yw'c /1/' Floor Drains Swimming Pool w/Spa • F.A.U. Inc.Solar ❑9-15 HP ❑16.15+
NOT E-If,aft r making this declaration,you should become subject to the •
Workers' Compensation provisions of the Labor Code, you must forthwith Flom'Sinks Urinal Qf/ Fixtures Microwave
comply with such provisions or this permit shall be deemed revoked. - �f
CONSTRUCTION LENDING AGENCY /. / Gas Service Outlets / 2 Water Closet _r 6 oo Device Boxes Pole Light
I hereby affirm that there Is a construction lending agency for the performance - 9
of the work for which this permit is Issued (Section 3097, Civ. C.) Interceptors - Water Heater �' t7\ jg Outlets�y: Range, l,v
Lender's Name - `� 60
Lender's Address Kitchen Sink - Water Service
OWNER BUILDER DECLARATION '' - % Switches Sign -
f� .10
I hereby affirm that I am exempt from the Contractor's License Law for the 7 Lavatories'. • Auto-Wash +(f_ .
following reason (Section 7031.5 Business and Professional Code:•Any city or r� C,.: �p0 Garbage Disposal -$landing Sections
county which requires a permit to construct,alter,Improve,demolish or repair P-Trap ; Laundry Trays Generator ❑0-5 KW ❑5.15 KW
any structure, prior to Its issuance, also requires the applicant for such permit - - yrash COmpaC[Or
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to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains '
the Contractor's License Law(Chapter 9(commencing with Section-7000)of ;r +
Division 3 of the Business and Professions Code) or that he/she is exempt
erefrom and the basis for the alleged exemption. Any violation of Section
31.5 by any applicant for a permit subjects the applicant to a civil ^. - _
•natty of not more than five hundred dollars($500).
0 I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
compensation, will do the work,and the structure is not intended or offered - Reinspection Fee ` $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL _ i 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 REQUIREME �� Q�
employees, provided that such Improvements are not Intended or offered for Boiler Hood or Type I G- / o
sale. If, however, the building or improvement is sold within one year of com- Can Opy Type II ❑ Zoning Approved By'Zoning Approved 1 U1'� Date O
pie ton, the owner will have the burden of proving he/she did not build or IM- Duct-Under Ground Building Approved By Date
rySve for the purpose of sale). •� vel g t,l
IO I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date O D�D 1
tractors to 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 00-100,000 BTU 0100,000 BTU SIRMARY OF FEES
builds or improves thereon,and who contracts for such projects with a con- - C• w•O�
tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System S• Multiple ❑ System Repair/Alteration BUILDING PERMIT $ 7•00 SMTP $ T
proof of their Worker's Compensation insurance should be provided to me. GJ PLAN CHECK $ — PERMIT
0 I am exempt under Section B. & P.C.for thi ason ! Firepl/Fact.Blt. ICBG 4 Fire Dampers
- r--- a PLUMBING $ iq OD ISSUANCE $
Date "R'n Owninti HeatingiSystem& Ducting Registers PLAN CHECK 25% $ Q_a a ENERGY P.C. $
I hereby certify that I have read this application and state that the above I {0.100,000 BTU 0100,000 BT a ELECTRICAL $ at-
and
0 GRADING $
information is correct. I agree to comply with all city and county ordinances a
and state laws relating to building construction,and hereby authorize repre- PLAN CHECK 50% $ 1 . 00 MICROFILM $
sentatives of his city to enter upon the above-mentioned property for
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inspection p poses. - /g'/�^g� (`�MECHANICAL $ 1 . b L
- 1 I
Signature .us• _ I DateTOTAL FEE $ 317 .0
Drivers' License or SS /! � Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ 1 •1(]
vIF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting: Goldenrod - Assessor
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CONSTRUCTION AND-PLANNING POOL & SPA
APPROVALS -Rermit# 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
4. Electrical Conduit-Undrgrnd: 55. Electrical Bonding
5. Steel Reinforcement • /027/ ' 6-/✓ 56. Rough Plumbing & Pressure Test
g
6. Electrical UFER Grnd. , ` 71
Q7 6_,.../ 57. APPROVAL TO COVER-GUNITE
•7,. Footings �. !Z?/ � X58. Electrical Conduit-Undrgrnd. -
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8. Foundation g/�' �..✓/ 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. • J 111 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 7//y/57 G N, 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains ��"�� 64. Plumbing System - Final T.
14. Rough Plumbing Mk/7 ,�P`"�[/�F�S 65. Electrical-Final '
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring re l 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 (%1$7 flea° FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit# -
21. Ducts, in Structure 70. Underground Hydro •
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22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank ❑Gas ❑Oil
25. Roof Sheathing 74. Overhead Hydro .
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing /4d in G/✓ 76. Dry Standpipe -
28. Lathing & Siding l 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing (LI3(� (1.& - HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat t 79. FINAL INSPECTION i I
32. Electrical Power Meter-Final 9.9.8167 r) 80. FOOD CERTIFICATE ISSUED
33. Final Electric ,4/xfii I) tes:/0 /t n 42 ,L- j ,L-. y
34. Final Heating & Air Conditioning /-5--neQ r r .�/`•'r . z :/J" `
or etis.i
35. Final Gas Pipe-Test .(O/a-3`87 Li p(ec fr 1
f oct( o% enov�/�
36. Hood or Canopy dr7wal/-iced to See; 'Sic -1erl t,1
37. Final Factory Fireplace • r6efcre C(eu.•Ces Ore 'i.nstoi/tt '" ICA"i
38. Final Plumbing 441/717,
9f�1/y !y� j ( , ' r .
39. Water Service-Final �n / v �u be`//sA4-- . :,-7.9te- d -- /_r�G��/
40. Gas Service-Final
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41. Solar Domestic-Final •r.
42. Backflow Preventer
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43. Backflow Irrigation ,
44. Landscape Irrigation System
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•45. 'Sound Attenuation -
46. Handicap Regulations i e
t f - r
47. FINAL STRUCTURE & BUILDING (f 6I Ce aN
48. Special Requirements Completed /r
49. Electric Release to Edison
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50. Gas Release to Southern California Gas Co
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51. CERTIFICATE OF OCCUPANCY . l r.
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No. Date _ i
l \.. • •i '-art* .� .. ' �.
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CERTIFICATE OF COMPLIANCE
PAYMENT OF SCHOOL FACILITY FEES
NEWPORT-MESA UNIFIED SCHOOL DISTRICT
Developer/Applicant : `V 1E L rI.-.4S0
Address : 1132 lc*or'IoL 1k . Cosk1
4 mesa CA • 9262-7
Telephone Number : 711-4 AS-0 15.2.2_
Tract/Parcel and Lot Number(s ) :
Location of Project : 113Z- V, G_�0t Ib` PL. Co.aq PIesq �ltce?
Number of Square Feet of �7 cWD
Residential Space 1004e) x $1 . 50 Total '• 5 /d1
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Number of Square Feet of
Commercial and
Industrial Space x $0 . 25 Total
The provisions of Government Code Section 53080 are not
applicable .
This certifies that the above-named Developer/Applicant has paid
school facility fees in compliance with Government Code Sections
53080 and 65995 .
Checks are to be made payable to Newport-Mesa Unified School
District . egi
,ecez
Business Manager
Newport-Mesa Unified School District
The above representation as to square footage is true .
Developer/Applicant agrees that if it is later determined that
such representations are not true then this certificate shall
�I{ automatically terminate and the appropriate City/County shall be
notified .
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Date : O -I 8-137 Developer Applicant
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City of Costa Mesa INSULATION CERTIFICATION , Building Safety Division
1132 lira-Grin PI, 6O'I14 /1xs4 agANCTF.
Number and Street City County
Subdivision Lot Number •',�
JAN 5 `I)
DESCRIPTION OF INSTALLATION30
ROOF
Material Brand Name �P
Thickness (inches) Thermal Resistance (R Value)
EXTERIOR WALL
Material Brand Name OA,'Cr., Cx,le.,.;�
Thickness (inches) 31 r Thermal Resistance (R Value) l(
CEILING
Batt or Blanket Type ap'rt Brand Name (1h-'9"Av4 Corwhxr
n l
Thickness (inches) Thermal Resistance (R Value) 9
Loose Fill Type Brand Name
Minimum Thickness (inches) - Number of bags Weight per bag lb.
Area Covered (ft2) Thermal Resistance (R Value)
FLOOR, ELEVATED
Material gflfi Brand Name c h cN5 Ooh✓iNj
n
Thickness (inches) (- Thermal Resistance (R Value) 17
FLOOR,SLAB
Material Brand Name
Thickness (inches) Thermal Resistance (R Value)
Width (inches) _
FOUNDATION WALL
Material Brand Name
Thickness (inches) Thermal Resistance (R Value)
DECLARATION
I hereby certify that the above insulation was installed in the building at the above location in conformance with
the current regulations setting Energy Conservation Standards for new residential buildings (located in Title 24
of the California Administrative Code).
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General C6ntractor(Builder) License Number
.444, '✓o�� /—5: 677
S ignature and Title Date
Sub Contractor(Insulation Applicator) License Number
Signature and Title Date
CMF 1106-46