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HomeMy WebLinkAbout1212 LAS ARENAS WAY - Building Permits Al. V •� e' de ' t Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. ` CITY OF COSTA MESA CONSTRUCTION PERMIT • PERMIT�NO. TRACT NO. LOT NO. UNIT N0. 'I'� .S'� �G//iYf�j/ '-- Project Address 161OZ /mss fffP.n Q s ✓.�>L�y M L 2 2 2� [M.-ADD - C 11 ��____VV7��� I l'o t r I'_ Applicant's Mallin• Address - S Iv e a TYPE OF CONSTRUCTION U NEW IJ ADD U ALTERATION U REPAIR 6756 -1111;i/JC_ ` �� ❑ CONVERSION ❑ DEMOLISH ❑ OT7E A.P.# I Zone- Owner's Name • ' • ,/a�• ` Phone - DE CRIPTION OF-WORK/USE OF B�QG�. /Y�/C COM Pr•ZES502 __ AddreCbm4 LLS /trend•-S Wdy _ f CONPE/VfjoP TO f•1'Jdv L I /I S Main Building: Accessory Building: _ / u E Z Arch/Eng. License No, TYPE OF PERMIT GRADING U FOUNDATION STRUCTURAL T Front _ O Address DI TENANT ❑ ELECTRICAL C7 PLUMBING CI MECHANICAL B Rear N /�/ eee---��� CI OTHER A Contractor's Name `"J, Phone - -- - -- -- - C Right N PROJECT DESCRIPTION SQ. FT. - OCCUPANCY K G Address(mailing/ CONSTRUCTION TYPE VALUATION$ S Left City License No. - ---- _. - _- - ZONE — - GRADING CU.YDS. ACRES R LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: Planning Notes: 0 with section 7000) of Division 3 of the Business and Professions Code;and M - my license is in full force and effect. T License Class License No. S Date Signature PLUMBING FEES - A WORKERS'COMPENSATION DECLARATION Bar Sink Showers I hereby affirm that I have a certificate of consent to self-Insure or a certificate . ELECTRICAL FEES of Workers' Compensation Insurance, or a certified copy thereof (Section' Backflow Preventer Service Sink - 3800, Lab. C.) Automatic Washer . Transformer 0 15-50 KW Policy No. Company Backflow Irrigation Sewer Cap Construction Pole Sub.' • 0 50+KW 8 Certified copy is hereby furnished. - Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps • Date Applicant - 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). 's� Dishwasher Solar Piping • Dryers ❑Gas ❑Electric Sub Panel certify that in the performance of the work for which this per•• '- ued, I • shall not mpl y any person in any ma-•:r • :5 o b- yr r. to the Drinking Fountains Solar Tank ' Fan I.� 1 96 Worker ' ion Laws of Califon. `/ Motors 1 HP 1171`6-8 • -"Date Signature Floor Drains Swimming Pool w/Spa �NOTIC :If, fter making this declaration,you should become sub'-ct to the - F.A.U. Inc.Solar ❑9-15 HP 016-15+ Worker ' Compensation provisions of the Labor Code, you mu forthwith - Floor Sinks Urinal - Fixtures comply with such provisions or this permit shall be deem-d revoked. Microwave • CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet , / Device Boxes Pole Light 2Q I hereby affirm that there Is a construction lending agency for the performance9 of the work for which this permit Is Issued (Section 3097 Civ. C.) interceptor's Water Heater Lender's Name p. / Outlets Rangeto Lender's Address - - - Kitchen Sink Water Serviceq OWNER BUILDER DECLARATION • Switches Sign 4� I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbagg Disposal • following reason (Section 7031.5 Business and Professional Code: Any city or 9 sP ;Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Treys - Generator ❑0.5 KW ❑5-15 KW Trash Compactor. any structure, prior to Its issuance, also requires the applicant for such permit P 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 • 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 - r p_er}4Ity of not more than five hundred dollars($500). - r: • L7 I, as owner of the property Reinspection Fee I $15 Issue Fee , $ 3 ^e^•ee^"tiwill 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 • la FEES 1 License Law does not apply to an owndr of a property who builds or improves _ • thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such Improvements are not Intended or offered for Boiler Hood or Type I 0 • el sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 Zoning Approved By Date �] pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground • - Building Approved By ___#6Date /' 3' 6 IL7 prove for the purpose of sale). •, ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural /,. Refrigeration System Application Issued By Date 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 Itr0-100,000 BTU ❑100,000 BTU 4 00 SUMMARY OF FEES builds or improves thereon, and who contracts for such projects with a con- tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust •System ❑ Multiple ❑ System Repair/Alteration - •'BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should to me. - PLAN CHECK $ PERMIT 0 1 am ex mpt under Section : J s reason Firepl/Fact.BIL ICBG# Fire Dampers yPLUMBING $ ISSUANCE $ DateOwner - Heating System& Ducting Registers j •• - :PLAN CHECK 25% $ ENERGY P.C. $ ///((( ea 1 hereb cer ify that I have read this application and state at the above - DO-100,000 BTU 0100,000 BTL inform ion is correct. I agree to com•l with all city and co.nty ordinances I ELECTRICAL $ GRADING $ and state laws relating to building - Ion,and hereby authorize rept¢- . PLAN CHECK 50% $, •© MICROFILM $ sentatives of I y inter r e above-mentioned op ty for inspection p poses q� /ye / • MECHANICAL $ TOTAL FEE $ 14 t1 ^Signet ure V � 2D�t 3 -Drivers' License or SS# z Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ // CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor ' CONSTRUCTION AND PLANNING-- POOL &SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil PiptzUndrgrnd. 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, 0 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 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 Rectory Fireplace APPROVALS Permit# - r 210 Ducts, in;Structure 70. Underground Hydro 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 0 Gas 0 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. FinalElectric 4fr 5r,g, Notes: "/ / •`J 34. Final Heating & Air Conditioning ,1„1 ip4'p �ous'LS We{- I/•'€ Cr -6 35. Final Gas Pipe-Test • 3-e7 lia-rte/474. 36. Hood or Canopy 7.0/ 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer -• f 43. Backflow Irrigation -44. Landscape Irrigation System • 45. Sound Attenuation • 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY • No. Date c<. •`+ : 1 Applicant to till in all spaces except those within heavy border lines and sign all appropriate declarations. 6637 11/04/86 ITY OF COSTA MESA CONSTRUCTION PERMIT PEWITfill in . C/ TRACT NO. LOT NO. UNIT NO. 1 - B•OO ""TL Project Address It/ 7 /'� �5 ,�}✓2nCL5 r, �(-]{�, 2L �d Applicant's Mailin Address /•�/2 105 Area way: TYPE OF CONSTRUCTION LJ NEW 1:15,ADD U ALTERATION H REPAIR , raG�'- ____ii/ ZP" Phone7L2"7"Z, El CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# I Zone Owner's Name DESCRIPTION OF WORK/USE OF BLDG. • Address X212. /r6 Pirel)/ll War S Main Building: Accessory Building: Arch/Eng. License NO. TYPE OF PERMIT ❑ GRADING Ell FOUNDATION ❑ STRUCTURAL T Front o Address �• ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear QQ • N E. 5: / . ❑ OTHER A J Contractor's Name Phone C Right N Address(mailing) /�(,cc' ,tXD7/�-�C' i29re 1 PROJECT DESCRIPTION SQ. FT. • OCCUPANCY K RECEIVE NO G /�7'1 qq ✓ CONSTRUCTION TYPE_. VALUATION$ S Left R City License No. .?2/Y✓ ZONE GRADING CU.YDS. ACRES Ping. Ref.# ParkingQ('Re�aaalJeed E LICENSED CONTRACTOR DECLARATION - C f'�? V yppQ I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: Planning Notes: CFIVED V I U 1JY - M • with section 7000) of Division 3 of the Business and Professions Code, and T my license is in full •rce .nd effect. REr 3//109 _ E VEO QCT 2 b S. 4 Date se /�s1i�. . PLUMBING FEES . w. - - `` Bar Sink Showers _ I hereby affirm that I have a certificate of consent to self-Insure or a certificate of Workers' Compensation Insurance, or a certified copy'thereof (Section Backflow Preventer Service Sink • ■ 3800, Lab. C. 1 VV Policy No. /tt -,PS-339382 Company4P7=9 `L/ '/ Backflow Irrigation ' Sewer Cap ■ ■ ertified •• 's hereby furnished. ,-J �• Zp•y is ith the city Building Division.g 5 Bathtubs ■ Sewer Connection ■ r . G -x�KERS'ant IJit•l:.a;•a`."'- 'KERS'COMPENSATION DECLARATION Clarifiers ■ Solar Collectors Dishwasher - • ■. 0105:51+53:6, (This sec ion need not be completed if the permit is for one hundred ($100) or less): Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certify lhat.in the performance of the work for which this permit is issued, I • do shalt not employ any person in any manner so as to become subject to the . Drinking Fountains Solar Tank Fan Motors 00.1 HP 01%-B Workers' Compensation Laws of California. I Date Signature Floor Drains Swimming Pool w/Spa F.A.U. _ 09-15 HP 016-15+ LNOTICE: If,after making this declaration,you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures - Microwave comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes I I hereby affirm that there is a construction lending agency for the performance • . Pole Light 1 of the work f0! which this permit is Issued (Section 3097 Clv. C.) Interceptors . Water Heater , Outlets' Range IT Lender's Name - Lender's Address Kitchen Sink Water Service - : r Switches Sign OWNER BUILDER DECLARATION • - - I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories - + following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal 'Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P—Trap I any structure, prior to Its issuance, also requires the applicant for such permit • Generator ❑0-5 KW ❑5-15 KW Trash Compactor 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 /)')(yhf,d--•�,- '-f)t el_. 5" �O Division 3 of the Business and Professions Code) or that he/she is exempt . b' _ 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 - _ - . ' • • enelty 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 I $15 Issue Fee $'3 OD for sale (Section 7044, Business and Professional Code: The Contractor's - . . MECHANICALFEES 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 Boiler Hood or Type I 0 DEVELOPMENT SERVICES REQUIREMENTS: • employees, provided that such improvements are not intended or offered foryp Zoning Approved By • Date sale. if, however, the building or improvement is sold within one year of com- Canopy Type II 0 - / pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground - A Building-Approved By _ Date /(�/ trove for the purpose of sale). (F J U I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System • Application Issued By Date 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 SUMMARY OF FEES builds or improves thereon, and who contracts for such projects with a con- - • tractor(s) license pursuant'to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration - •. ' BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT O I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBO# ` PLUMBING $ ISSUANCE $ Ducting JENERGY P.C. $ Date Owner ' . PLANERICAL 25% $ I hereby certify that I have read this application and state that the' above 00-100,000 ■ 11•sls : ELECTRICAL $ Sp',OD GRADING $ information is correct. I agree to comply with all city and county ordinances • and state laws relating to building construction, and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ sentatives of this city • r upon the above-mentiones • ••ert for p- 'r1r ,IlL --"'- •ate �ru •6 MECHANICAL $ TOTAL FEE $ ' 0 '� Drivers' �- _�,_ Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ Drivers' License or S� • ����� ' CM r-• - •• e-Building;Canary-Applicant:Pink-Accounting:Goldenrod -Assessor CONSTRUCTION AND PLANNING POOL&SPA APPROVALS Permit 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 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, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. • 60. Backwash Lines,P-Trap, O 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 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 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 PREY. 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: Iea-3 C9 LU ever Acts /vo i Sea 34. Final Heating & Air Conditioning Gt/ - • Ci Aa S A/O 35. Final Gas Pipe-Test Wet/ O r�ff?!`4 k cui/7 O O GC;,n rr 36. Hood or Canopy 6k ep/ / 9- _S&J 37. Final Factory Fireplace - 38. Final Plumbing • 39. Water Service-Final. �r. n 40. Gas Service-Final 41. Solar Domestic-Finial 42. Backflow Prevenfer _� T 43. Backflow Irrigation . • 44. .Landscape Irrigation System r:y 45. Sound Attenuation - ..- cr, 46. Handicap Regulations a 47. FINAL STRUCTURE & BUILDING c:, 48. Special Requirements Completed+ 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY - ' • No. Date