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HomeMy WebLinkAbout3015 HARBOR BLVD - Building Permits • • City of Costa Mesa Development Services Department CERTIFICATE OF OCCUPANCY No. O O 3 4 3 3 Building Safety Division P.O.Box 1200 Costa Mesa,California The Building located at 3015 Harbor Boulevard has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group B2 Occupancy. Use of Building Dominos Pizza Legal Description 139-201-02 ' (See reverse side for Metes and Bounds) Building Permit No BPM 34983 Electrical Permit No. E 34990 Plumbing Permit No. BPM 34983 Mechanical Permit No. 8PM 34983 Number of apartments - and/or guest rooms •\ ISSUED TO: Building Official George Edmiston 2: Dotsev 825 Center Street by !r /." l .a°/. Costa Mesa, CA 92627 Date September 1, 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 1015-46 rev.1/83 White-Owner;Canary-Numerical File;Pink-Bldg.Permit File Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. lis PERMITr. NO. LOT NO. UNIT NO. CITY OF COSTA MESA 'CON�S/T I N PERMIT\ 3 90 A.P. Zone • �,,,•i Project Address + v AIA- u LV'J �,/ S Main Building: Accessory Building: ^I Applicant's Mailing Address/ g 7 a TyaEE /IfZVI Mt• CA' TYPE OF CONSTRUCTen ION W LI ADD LLL777 ALTERATION U REPAIR E - Front Z T. 11.QTS try . •CISH ❑ OTHER T 0 Owner's Name Phone DESCRIPTION OF WORK/USE OF BLDG. �� I B Rear - N Address 4 2-C CL�7VTEE ST COSTA MESA—. CA A . - I S29 r� Z TYPE OF PERMIT ( I GRADING LI FOUNDATION U STRUCTURAL • C Right N Arch/Eng. License No. ,_,/�� K G Address ❑ TENANT IS ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S • Left R Contractor's Namee sQi. IILA-LC ezareic / PhoneSS9-11/I El OTHER Ping.ng. Ref.# Parking Req./Provided E Address(mailing) )37%2 neck" 1AJAy ICVINC, CIS PROJECT DESCRIPTION SQ. FT. OCCUPANCY Planning Notes: M /1 t_ cJ Cot CONSTRUCTION TYPE VALUATION$ T City License No. "TMV ZONE GRADI NG CU.YDS. ACRES S. . LICENSED CONTRACTOR DECLARATION n I hereby affirm that I am licensed under provisions of Charter.9(commencing Remarks: "E • R P/�, 4,G R.•� - with section 7000) of Division 3 of the Business and Professions Code, and _( ELECTRICAL FEES my license is in full force and effect _ �• License Class C� /0 - ' ens• No..52989-Z A/b e'1`el'/� ^7� 04 /—t '"1 Dat•22hU46T5 Signature, - • " C PLUMBING I FEES Automatic Washer Transformer 0 15-50 KW PRICERS'COMPENSATION DECLARAT Construction Pole Sub. - ❑ 50+KW ,hereby affirm that I have a certificate of consent to self-Insure or a certificate Bar Sink Showers — o! workers' Compensation Insurance, or a certified copy thereof (Section . Cooking.Unit Meter Cu to 100 amps 3800, Lab. C.) Backflow Preventer Service Sink Policy No. Company Backflow Irrigation Sewer Cap Di she 1 Meter Rtiver 100 amps - 'I 1 , Certified copy Is hereby furnished. DryOGas ❑Electric f• Sub Panel 11 ©V — Certified copy Is filed with the city Building Division. Bathtubs Sewer Connection - - • Date - Applicant -. Fan 2.----Motors ❑0-1 HP 01%-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors o (This section need not be completed if the permit Is for one hundred ($100) or Dishwasher Solar Piping • i F.A.U. Inc.Solar 09-15 HP 016.15+ less). " — I certify that in the performance of the n' k fo . ch this permit is issued I Fixtures a shall not employ any person in any -r s• as to become subject to , e Drinking Fountains Solar Tank t 3 - s� Microwave C) Date 7 C .415 a Laws aurf ia. e ` ' _ `_ C—... Device Bo s' Pole Li ht 2,--- Date : -> Signature — — /: Floor Drains Swimming Pool w/Spa 9 NOTICE:Compensation,alter moor v ions rofi h,you olio be you subject t0 ite - cys' suchprovisions of the Labor a. you'deemed forthwith Floor Sinks Urinal 0 Outlets Range 7 C� comply with such provisions or this permit AI be 'tleemetl revoketl. 4 CONSTRUCTION LENDING AGENCY I Switches Sign �i e Gas Service Outlets Water Closet / � 9 O I hereby work that there is a construction issue agency for the performance — Of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disp I Standing Sections • Lender's Name Generator ❑o- KW 05-15 KW Trash Compactor Lender's Address Kitchen Sink Water Service P OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or .. county which requires a permit to construct,alter,Improve,demolish or repair , P—Trap Laundry Trays - any-structure, prior to Its Issuance, also requires the applicant for such permit — file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains e Contractor's License Law(Chapter 9(commencing with Section 7000)of - fT vision 3 of the Business and Professions Coae) or that he/she is exempt Reinspection Fee $15 Issue Fee $,� 00 nerefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). . DEVELOPMENT SERVICES REQUIREMENTS: U I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 Zoning Approved ByDate compensation, will do the work,and the structure is not intended or.offeretl MECHANICAL _�� for sale (Section 7044, Business and Professional Code: The Contractor's FEES Building Approved By � Date License Law does not apply to an owner of a property who builds or improves Application Issued By .r!�j��� Le thereon, and who does such work himself/herself or through his or her own Hood or Type ��� Dat: employees, provided that such Improvements are not intended or offered for Boiler I 0 _ sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ - SUMMAR OF FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground prove for the purpose of sale). BUILDING PERMIT $ SMIP $ 0 I, as owner of the property, am exclusively Contracting with licensed con-, Duct-Structural Refrigeration System PLAN CHECK tractors to construct the project (Section 7044,Business and Professions Code: — $ PERMIT The Contractor's License Law does not apply to an owner of property whoDuct-Ventilating -100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $. builds or Improves thereon. and who contracts for such projects with a con- tractor(s) license pursuant to me Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ oro�'off their Worker's Compensation Insurance should be provided to me. 'ELECTRICAL $ .� GRADING $ LJ I am exempt under Section B.E P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLAN CHECK 50% $ _117 •Sg MICROFILM $ 7 Date Owner Heating System& Ducting Registers MECHANICAL $ $ . (� ❑0.100,000 BTU 0100,000BTL TOTAL FEE 43 I hereby certify that haverread thismapplication h and state that the aboves - PLAN CHECK 25% information is • cin agree o g const with all city and y county ordinances $ and state la Cr- sit to -enter construction,ve- a ion d propertyiee scorer inspection O Ity • enter upon the above-me liorle0 for Inspection . yes. Signature 01 00012566-00012567 T O T 127.13 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor DATE: 08/22/88 TIME: 11:03 r CONSTRUCTION AND PLANNING' J I . &SPA APPROVALS Permit# . Date Inspector APPROVALS Permit # ,Date Inspector .4 LI • • 1.'Temporary Electrical Service or Pole ,- 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. C, 1r 53. Steel Reinforcement ; r .t•, ,t a _ 131 Electrical Condu trUtility-Undrgrnd. to 54. Forms t • 4:',Electrical Conduit-Undrgrnd. ' 55. Electrical Bonding +A ., Lr 1 / •. 1--.15tee1 Reinforcement `�. 56. Rough Plumbing & Pressure Test .i '4-hLt `'6• vElectfical UFER Grnd r,,'I. 57. APPROVAL TO COVER-GUNITE .iJ .7 Footings 9 :: ,1 r;;' r 58. Electrical Conduit-Undrgrnd. L 1 l til (81 Foundation" . ;r ,,c,.•j ; 59. Gas Pipe, O Undrgrnd.,Test �n ,91Water.Fipe-Undrgrnd. ^ f O,�._.•1 60. Backwash Lines,P-Trap, 0 Undrgrnd. 4 10. StructuralFlooCSYstem `' �, 61. APPROVAL TO DECK s1 .1 11 Pfoperiy Sewer Line & House Connection 62. Backwash & Receptor-Final - 12: Sewer ii? N• •` ./n 63. Heater & Vent-Final Ni 13. Roof Drains v 4 , . .r ) - ' • 64. Plumbing System - Final ,-. 14. Rbugh Plumbing, " .t 65. Electrical-Final m j 15.*R`ugh Electrical-Conduit /J66. Solar System-Final 16. Rqugh Electric Wiring , _J', Z�-41ts�""' 67. Fencing& Access t tt wacµ �• Approval i17. Rough Wiring Sign . APPROVED FOR PLASTERING i t .18. Rough Electrical-T Bar Ceiling . 00L/SPA SYSTEMS FINAL G /J U119. Rough Heating & Air Conditioning • FIRE DEPT. REQUIREMENT C 1-20! Rough Factory Fireplacer APPROVALS Permit# A , r i 21. Duets, in Structure 70. Underground Hydro L 22. Dycts, Ventilating L0- 'r 7/1'. Product Piping 0 Gas ❑Oil is.23.1as Pipe-Rough & Test CL, 9 ;172. Underground Flush '24. Roof Framing 1.1 7 73. Undergrnd.Storage Tank 0 Gas 0 Oil / 25. Roof Sheathing ,. 74. Overhead Hydro 26. T-Bar Ceiling (Structural) &-Mpnocoat 75. Dry Chemical • 27y Frame and Flashing ��� 76. Dry Standpipe 28. Lathing& Siding vv 1477. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat FINAL INSPECTION r g�f /�. FOOD CERTIFICATE ISSUED 32. Electrical Power Meter-Final � l._ 33. Final Electric 9:In 1 tes: 34. Final Heating & Air Conditioning .J 9 i • 35. Final Gas Pipe-Test • 36. Hood or Canopy -,-.4 �i� i77t b3 37. Final Factory Fireplace _ /] r 38. Final Plumbing - j �'`'o•.� 39. Water Service-Final y if �.tl 40. Gas Service-Final !r /n 41. Solar Domestic-Final i l.-. 42. BackflowPreventer . _. - 'tit - { ia'Ii / ``1- • --^ii 43. Backflow Irrigation I 'r r. n: 44. Landscape Irrigation System `s 4 45. Sound Attenuation ,j .t� � 46. Handicap Regulations t 47. FINAL STRUCTURE & BUILDING . 48. Special Requirements Completed 49. Electric Release to Edison _ ----I 50. Gas Release to Southern California Gas Co f 1 r .,j 1. • 51. CERTIFICATE OF OOCUPANCY L'- :y- v •� ;- -• No. Date , 'pi f. - A., Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 1CITI'a.F COSTA,MMgsz/.-CONST UCTION PERMIT PERMIT NO. TRf1T O. GOT NO. UNIT NO. ' ''Project Address. , S. ,R $/' 7 349 f 3 J j�� �j//�/1 ffA-2�iraQ. 131-VD, d Applicant'y"r7lailing Address ]� TYPE OF CONSTRUCTION NEW ADD ALTERATION U REPAIR C-, T t-��' Phone ❑ CONVERSION ❑ DEMOLISH ❑ OTHERr• A.P.# /3 9 •�,0 1 • c 2 ,I Zone c Owner's Name Dr DESCRIPTION OF WORK/USE OF BLDG. J C•• Address 7/ fS� ` 4f f S Main Building: • Accessory Building: '—? S Q9AI ❑ STRUCTURAL T Front D ng. �/ �r�,�� �Clitr a No.. 741-77---77/4 �� ♦te— TYPE OF PERMIT U GRADING ❑ FOUNDATION Address /Sil / s•F�KC�I/ egg1�V/rV�- 7�� ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING El MECHANICAL B Rear _ N Contractor's Name ly��,, ❑ OTHER AeK-abl I L�/C.At1U z� �P,hlone _ C Right • ) N Address(mailing) - �iG.ed�f.�k .-PROJECT DESCRIPTION SQ. FT. •' OCCUPANI��y alien, Jas g " - '' `� CON ST RUCTION TYPE ��N VALUATIONS/•//�° S Left v h S G City License No. Ci La-. R ZONE GRADING CU.YDS. ACRES Ping. Ref. # arking.Req./Prgyided E LICENSED CONTRACTOR DECLARATION - ( h Q I hereby affirm that I am licensee under provisions of Charter 9 (commencIng Remarks: P. C.f� $ IoS 3D l(I s-/fe Planning Notes:' (�" 5 I7 M with section 7000) of Division 3 of the Business and Professions Code,and - s Cave: 1 I%0 • T my license is in full for`nd effect. ��Cr��� P�1 J4••� (�&'5— $ y L Licen Cla Lir se No.1�' • - -N' 1 u S. ^ rr Si 1G�� PLUMBING FEES Q Dat: Signature � - �� NORKERS'COMPENSATIONning Notes:'I Sink Showers I hereby affirm that have a certificate of consent to self-insure or a certificate ELECTRICAL FEES 1 of Workers' Co ensation Insurance, or a certified copy thereof (Section Backflow Preventer I Service Sink 00 _`I 3800, Lab. C •� �• 2 Automatic Washer • Transformer 0 15-50 KW • Policy No. �•S CompanyS\)hTQ O�Lr/-70 Backflow Irrigation Sewer Cap ❑ 50+ KW 9 Construction Pole Sub. tified copy is hereby furnished. • , 3 Certjfi t p ss filed with the cit uiltlin 'vii n. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps • Date a Applicant EXEMPTION FROM WORKERS`COMPENSATION DEC RATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for one undyed ($100)or less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric • Sub Panel I certify that In the performance of the work for which this permit Is Issued, I - shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors DO-1 HP 01%-8 Workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa F.A.U. - NOTICE:If,after making this declaration,you should become subject to the Inc.Solar❑9-15 HP❑16.15+ Workers' Compensation provisions of the Labor Code, you must forthwith I Floor Sinks Urinal 2 OO Fixt comply with such provisions or this permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY •;.r Gas Service 5 t_Outlets Water Closet 400 g ' ' I hereby affirm that there is a construction lending agency for the performance•.+ •• _ I i Device Oxes Pole Li ht of the work for which this permit is issued (Section 3097.iCiv. C.)4 I_Ierce tors t• Water Heater t' O'0 ' Lender's Name �' - p - 1 2 Outlets• • Range y • - Lender's Address I Kitchen Sink .. Water Service 2 ✓D Switches Sign OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for theC -I. Lavatories i.. �y 0. Garbage Dis sal Standing Sections r .$ following reason (Section 7031Business and Professional Code: Any city or. _ county which requires-a permit to construct,alter,Improve,demolish or repair P?Trap ') Laundry Trays . Generator • any structure, priori() its Issuance, also requires the applicant for such permit. - t . D0. KW 05.15 KW Trash Compactor r to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains • - - '.jhe Contractor's License Law(Chapter 9(commencing with Section 7000)of" - .r jo *-',Division 3 of the Business and Professions Code) or that he/she Is exempt • `therefrom and the basis for the alleged exemption. Any violation of Section . 7031.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars($500). 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 I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES ereon Law does not apply to hams if a or who builds s or improves DEVELOPMENT SERVICES REQUIREMENTS: thereon, and who does such work over of a property self or through his or her own 0 employees, provided that such improvements are not Intended or offered for BoilerHood or 6 $D Zoning Approved By ' Date$41a sale. If, however, the building or improvement Is sold within one year of com- •. . C q motion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground Building Approved By 1 Date • prove for the purpose of sale). -. pI/p p p 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrineration System Application Issued By / '� Date D- I-Q' e tractors to construct the project `Section 7044,Business and Professions Code: J The Contractor's License Law does not apply to an owner of property who Z I,._� Duct-Ventilating ` 0-100,000 BTU 0100,000 BTU 13 SUMMARY OF FEES builds or improves thereon,and who contracts for such projects with a con- n tractor(s) license pursuant to the Contractor's License Law). I am aware that 2 Exhaust System ❑ Multiple G System Repair/Alteration • BUILDING PERMIT $ _ /a�'. 6 e5 0 SMTP $ •2-5— pr0a1 of their Worker's Compensation insurance should be provided to me. 7 PLAN CHECK $ / PERMIT D I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBO# Fire Dampers I I *re PLAN $ 17.O 0 ISSUANCE $ Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ 3.SD ENERGY P.C. $ I hereby certify that I have read this application and state that the above D0.100,000 BTU 0100,000BTU— ELECTRICAL $ GRADING $ information Is corre t. I agree to comply with all city and county ordinances and state laws re mg to • ilding construction, and hereby auth • a repre- PLAN CHECK 50% $ MICROFILM $ sentatives 5 city o . ter upon the above-mentioned operty for V inspection •'M s. ` �/ p�i-� MECHANICAL $ a2,cep TOTAL FEE $ 25e,5D Signature I Pink -Accounting; Goldenrod - Assessor OpTE:V08/14/8S TIME: 16:15 CONSTRUCTION AND;PLANNING POOL SPA 1\ I "' Date Inspector , Date Inspector APPROVALS lPermit# APPROVALS Permit# 1 Temporary Electrical-Service or, Pole _ 52. Pool & Equipment Location / 2. Soil Pipe-Undrgrnd. V1 Y234W LED 53. Steel Reinforcement ,\/ 3. Electrical Conduit Utility-Undrgrnd. 54. Forms "e i-' • _4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding 5. Steel Reinforcement l ` 56. Rough Plumbing & Pressure Test 2'1 i I 6. Electrical UFER Grnd. /Fr? 57. APPROVAL TO COVER-GIJNITE t),,a . ) :V./footings. t- 58. Electrical Conduit-Undrgrnd. ,., ti� -1 . 8..Foundiion ( 1 _ 59.A Gas Pipe, 0 Undrgrnd.,Test 1•,-, ) j ;•9'Water pipe=Undrgrnd. ( 'J j 6otBackwash Lines, P-Trap, 0 Undrgrnd 10. Structural Floor System i 61. APPROVAL TO DECK 1 ib I t 11.•Property Sewer Line & House Connection /• ,62. Backwash & Receptor-Final n . e. . 12. Sewer Cap * /63. Heater & Vent-Final Y ) I 13. Roof Drains --... \t ` 64. Plumbing System - Final Y--- (/N...) /w 14. Rough Plumbing fiLte y "?.6.9„....1 65. Electrical-Final 1- 15. Rough Electrical-Conduit 66. Solar System-Final - 16. Rough Electric Wiring 67. Fencing &Access Approval 177. Rough Wiring,Sign Q 0 n 0 68. APPROVED FOR PLASTERING ,t-i I318_JRough Electrical-T,Bar Ce6ng jl 4 69. POOL/SPA SYSTEMS FINAL h 19. Rough Heating &Air Conditioning 9//z/g'v• LE') FIRE DEPT. REQUIREMENT a !y 20. Rough Fac ory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro - 22. Ducts, Ventilating / 71. Product Piping 0 Gas 0 Oil , - 23. Gas Pipe-Rough&Test 72. Underground Flush /- n 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil --1 -'(-'z- . 25. Roof Sheathing 74. Overhead Hydro - ,, ' L " l iJ 26. T-Bar Ceiling (Structural) &-Moncicoat 75. Dry Chemical of;M c 27. Frame and Flashing -. - 76. Dry Standpipe_ a' N Z �t.2„,„ 28. Lathing & Siding 77. FIXED SYSTEM FINALS U 1 29. Insulation 78. FIRE PREY. FINAL ; ' 30. Drywall Nailing 0 ///�8D4- HEALTH DEPT. REQUIREMENT 0'7 31. Plaster Brown Coat Li 79. FINAL INSPECTION ' f till , . I 32. Electrical Power Meter-Final t. 80. FOOD CERTIFICATE ISSUED •Y 33. Final Electric Notes: ,t / • cv/ 34. Final Heating& Air Conditioning � f2,/ . 4- /(K 8 25 eve 35. Final Gas PipOest Ji-ll(--GED - !.V (n .f7 36:,Hood or Canopy 11.4y •Lc l 37UFihal:Factory Fireplace %j! 'p1 Q '1 l° 38;.'Finaf Plumbin g 94-et COLu) i f 1 r,l- /� lie c 39! Water Service-Final .+ ' . ) C - G 40. Gas Service-Final - ' Cl -1, ii 15 11 U D f0 r^ 41. Solar Domestic-Final ° '�. a` Irl ]U ,\ I r- d InA •r X42. Backf low Preventer (\1 (V n v i L r . illy 1 • 1.43.)Backflow Irrigation .1\ r 1 ‘1 k `O II) %. !' •44:.Landscape Irrigation System 1_\ P 7 f N n n b.... .. •C 45SSound Attenuation 1Y{ " V-�y� ; .'46:�HandicapRegulations yfcli s l.) -• (I!I, �/, ,' 47. FINAL STRUCTURE & BUILDING p I\t‘ 1'- "1";��t5 ^ -•r r n 48�Special Requirements Completed 1, -? I- - '� ' - l 49 electric Release to Edison --L, I /6 N ,�" 50. Gas Release/to Southern California Gas Co -, 1 ? r 51. CERTIFICATE OF OCCUPANCY / 1U/ 1 t�,' No. Date >4 n fee, 'I