HomeMy WebLinkAbout966 JUNIPERO DR - Building Permits\1
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AVP���ant to tiil in all spaces excev� thase witnin heavy Doraer lines ana sign aIl avorooriale aeclarations.
TV OP CQS'rA MESA CONSTRUCTION PERMIT PE T NO. ` `� TRACT NO. LOT NO. UNIT NO. .
�ectllddress � �v a
Applicant'S Mailing Address 12 Commercial C.M. 92627 TYPE OF CONSTRUCTION . NEW ADD ALTERATION REPAIR
John M; Lesh S�I — � CONVERSION ❑ DEMOLISH ❑ OTHER p� p#
Owner's Name Phone OESCftIPTION OF WORK/USE OF BLDG. II15td11 3�� fiberqlass
Address 966 Junioero Dr.�, Costa Mesa� CA 92627
Arch/Eng. License No.
Address
ConVactor'sName �'rank Bros: Rooflna COphone 548-5569
Addresslmailingl »F �'nmmarrial Wav- C_M_ 97_627
Cit� License nlo. 005993
LICENSED CONTRACTOR DECLARATION '
I hereby aftirm that I am litensetl untler provi5ion5 0! Charter 9(mmmencing
with section �000) of DiviSion 3 of the Busine55 antl Professlons Cotle, antl
my Iicense is in fulttoc�ane ettect. 4OHF777
License� Ips Licen No. —
Date y y Signature
WORKERS' COMPENSATION OECLARATION '
I hereby affirm tliat I have a certificate of consent to selt-insure or a certificate
oi Workers' Compensation Insurance, or a certifietl copy tnereof (Section
800, Lab. C.) Fremont Indemnity
o,;�Y N�. WP85362466 Company
❑ Certifietl copy is hereby furnishetl. � ' ///���
� Certifie c y isg� filetl witM1 the city Bull��visi�
Date Z� Applitan[ y� .
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(Thissection neetl not be completed if the permit is for one huntlretl ($100) or
less).
I certify that in the performance ot the work fo� which this pe�mit is i55uetl, I
shall not employ any person In. any manner so as to become subject to tM1e
Workers' Compensation LawS ot Calitornia. -
Da[e $ignature
'NOTICE: If, after makin9 thi5 tleclaration, you shoultl become subject to th¢
Workers' Compensation provisions of the LabOr Cotle, you must torthwith
compty with such provisions or this permit shall b¢ tleemetl �evoketl.
CONSTRUCTION IENDING AGENGV' �
1 M1ereby affirm that there i5 a mnstruction lentling a9ency for the pe�to�mance
ot the work for which Ihis permit is issuetl�� (Section 309] Civ. C.)
Lentler's Name
lentler's Atlaresz
OWNER BUIIDEN �ECLARATION
I hereby at(irm that I am eKempt trom the Contracto�'S LicenSe taw for the
followin9 �eason (Section 7031.5 Business antl Profe55ional Cotle: Any city or
county which requires a permit to construct, alter, improve, tlemoiish or repair
any structure, prior to its issuance, also requires the applicant for such permit
to file a signetl Statement tM1at he/She is licensetl pursuant to tne provisions o(
the Contractor'S License Law (Chapter 9(commencing with Section �000) of
DiviSion 3 of the Business antl Prote55ion5 Cotle) or that he/she is ezempt
therefrom and the basis for the allegetl exemption. Any violation of Section
i1.5 by any applicant fo� a permit subjects the applicant to a civil
alty of not more Ihan five huntlretl tlollars ($500).
.'I, as owner ot the oroperty or my employees with wages as their sole
compensation, will tlo Ihe wo�k, antl the st�ucture is not intentletl or offe�etl
for sale (Section ]044, Business antl ProfESzional Cotle: The Cont�acto�'S'
License Law tloes not applY to an owner ot a property who builtls or improves
thereOn, an0 who tloes such wotk hlmselt/herself or th�ou9h his or he� own
employces, proviCetl that sucM1 improvements are not intentletl or otteretl for
sale. If, however, the buil0ing or improvement is soltl within one year ot com-
pletion, the owne� wlll have [he bu�tlen of proving he/she tliG not builtl o� im-
prove for the vurpose of sale).
❑ I, as owner ot the property, am exclusively contracting with licensetl con-
tractorsto construct the project (Section 7044, Business antl Protes5ion5 Cotle:
The Contractor'S License Law tloes not apply to an owner of property who
builCs or improves Ihereon, antl who contracts tor such projects wlth a com
trac[or(51 license pursuant to the Contractor's License Law). I am aware that
proof of their Worker's Compensation insurance shoultl be provitletl to me.
❑ I am ezempt untler $ection B. & P. C. for this reason
Sill[1 les- rated "CIaSS A" S Main Bwidi
E
TYPEOFPERMIT GRA�ING FOUNDATION STRVCTVRAL T Front
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL . 6 Rear
❑ OTHER A
PROJECTDESCRIPTION Sq.Fr. Z ��� oCCVvarvcV5lRq 2 �C Right
CONSTRUCTIONTVPE' VALUATION$ 3'.S%O'.00 S Left
ZONE GRA�ING CU. VDS. ACRES Pln9. Ref. #
Remarks: Planning Notes:
Sink
Preventer
Irrigation
Dishwasher
Drinking Fountains �
Floor Drains
Floor Sinks
Gas Service " Outlets
I nterceprors -�
Kitchen Sink '
Lavamries
P—Trep
Roof Drai s
Fee � $15
Boiler
Duct - Under Ground
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple ❑
Firepl/Fact. BIt. ICBO #
Date Owner Heating System & Ducting
I hereby certity Ihat I have reatl this application antl state that the above ❑Q70�,�OOBTU O10�,��OBT
information is mrrect. I a9ree to comply with all city antl county ortlinances
antl state laws relatin9 to builaing mnsiruction, antl hereby autnorize repre-
senta[ivez of this rty to enter up the above-mentioneC pro0erty for
in5pection pwp �e �
5ignature /—`-e/ � oate�9/i3Fi
Drivers' License or� ���-- Reinspee[ion Fee
AF 0865-46, rev. 30/84 White - Builtling: Canary - Ap0licant; Pink - Accountinq; Goltlenrotl - Assessor
$15
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank,
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater � .
Water Service
Auto-Wash �
�--� Issue Fee
Hoodor Typel
Canopy Type I I
Refrigeretion System ��
❑0-700,OOOBTU, O10q
System Repair/Alteration
Fire Dampen '
Registers
Isue Fee
FEES
$ 3
$ 3
Auromatic Washer
Construction Pole Sub.
Cooking Unit
Dishwasher
Dryers ❑Gas ❑Electric
Fan
F.A.U.
Fixtures
Device Boxes
O utlets
2813 9/10/86
zone
Accessory Building:
Parking Req./Provitletl
ELECTRICAL
Transformer ❑ 15;50 KW
❑ 50+KW ,
Meter ❑up ro 100'amps
Meter ❑over 100 amps
Suh Panel
Mamrs�0-1 HP �1'/x-8
InaSolar �9-15 HP 016-15+
Microwave '
Poie Light
Range
Garbage Disposal ' I I; Standing Sections
Generator �0-5 KW �5�15 KW � Trash Compactor
27.50 TL
FEES
I Reinspection Fee �$15 I . I luue Fee � I $'3 I
�EVELOPMENTSERVICESREQUIREMENTS:
Zoning Approvad By Data
Building Approved By Date
Application laued By � Date q— 0—
• SUMM.A�R.�V O�F�rF,EES �
. BUILDING PERMIT $ _��V SMIP . $ , S�
PLAN CHECK $ PERMIT
PLUMBING $� ISSUANCE � $
PLAN CHECK 25% $ ENERGV P.C. $
- ELECTRICAL $ GRADING $
PLANCHECK 50% $ MICROFILM $
, MECHANICAL $ � TOTALFEE $� _a7_�D
PLAN CHECK 25% $. �
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"'7NSTRUCTIONANDPLANNING POOLy -'A
�S
. �'� .PPROVALS Permit# �Date Inspector APPROVALS Perrt��c# Date Inspector
,
,' .?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 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, O Undrgrnd., Test
9. Water Pipe-Undrgrnd, " 60. Backwash Lines, P-Trap, � 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
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
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
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas ❑Oil '
23. Gas Pipe-Rough & Test 72. �Underground Flush ,. �
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil ,
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. 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
31. 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. FINALSTRUCTURE&BUILDING /
48. Special Requirements Completed �
49. Electric Release to Edison
. 50. Gas Release to Southern California Gas Co
�51. .CERTIFICATE OF OCCUPANCY
No. Date � �
�
OWNER MES.4 DEL MAR
JOB ADDR�SS g66 ,7unip�
GENERAL CONTRACTOA ]
AP No. LOT
Ii :CTIONS
Sou
Gas
1
OCCUPANCY
C�MPANiC
TRACT 4260 RIRE ZONE
DATE 3-]2-62,
BUILDING PERMIT��.
DESCRIPTION OF WORKT2S
% I GROUP T�..T TYPE V 7.ONE
SUBCONTRACTOR
� f6617 ��� R��Eit���
COSTA MESA BUILDING-SAFETY DEPARTMENT MAR 7 �962
FINpNGE pt�t 19 - Tract 4260
v. o. aox sn COBTA MEBA. CALIPORNIA p13n 300-3
Cirr oF cosra MEsa
For Applicanf fo Fill In Complefely APPLICATION FOR PERMIT
TYPE OR PRINT. � �
eui�oiN� BUILDING
ADDRESS ni ero Drive
COSTA MESA CALIFORNIA For Office US@ �fl�Y
,...,.,�e Plesa Del Mar Development Co.. ����P* NO. PBRMIT wo
� .... � -
I MAIL
CiH�.1f � Tun' �R•3
Ave.
i0 &. Coast Hig
Del Mar. Calif
1 SIZE
� B6TB/�CK LINB FHOM
�
CASTA MESA CALIFORNIA
� � APPROVHD
�w ZONING
ZONL NO. OR U86 OP N8W S�f' ��w
• R� PLAN9 Z euito�na �� Qy�t
-li220 ea RIPIION Lo2` / 9 i R'�' 2� o
NO. OP BIDOB. NOn
noW oN tAT A. P. NO.
YARDS EVES
� I LHPT �� Q� I RIGHT 8�
DESCRIPTION OF WORK
BUILDING NO. OF
HIZE �n � Y �n � ROOMS
APPROVED
' ICeNT6R LIN6 6T.1
�......_ i D
I H6N6BY �GRNOWLEG6E THAT 1 HAVE RGD i5118 ARLIGTION
ANO eTATe THAT THE ABOVE IB CORREGT AND AGiiBE TO COM-
PLY WITN ALL CIiY OMINANCEe ANO BTATE L�WB fl80UlATNO
BUILDINO CONBiRUR10N. �
SIGNATURB OF t- Devel ntrent� Co,
PERMITT6
BY/ i.._ ._.00
�
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m
7overed Porch 36 S F.
THe AMOUNT eHOWN UNDER VALUATION le POR TH6
PUIiPOBE OP. EBTABLIBHINO A PERMIT PH6 ONLY.
$ 17��2H�OO Ip�pN CHECK