HomeMy WebLinkAbout378 LA PERLE PL - Building PermitsCITV OF COSTA MESA .
SERVICE RBQUEST & PUBLIC ASSISTANCE FORM
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Attributes
Property Address
Address 1 378 LA PERLE PL
Address 2 COSTA MESA CA 92627
Parcel Information
Assessor Parcel Number 42531126
Legai N TR 1175 LOT 16
Range
Township
Section
Quarter Section
Area
Acres
Owner
Owner Address 1
Owner Address 2
Year Built
Building Square Feet
Building Count
Stories Number
Parking Spaces
Number of Units
garage Square Feet
Front Footage
Depth Footgae
Bedrooms
7199.00077
0.17
Owner Information
LA PERLE GEORGE R
1400 EASTON DR 141
BAKERSFIELD CA 93309
Property Specs
1950
900
1
1
3
Page 1 of 1
http://mesagis2x/website/costamesa/parcel/popup.asp?opt=Attributes&HistorylD= {9F50... 02/25/2003
S� ADP���ant to fill In all spaees exeept thosa within heavy bortl¢� Iines antl si9n all apprapriate tleclarations.
PERMIT NO. TRACT NO. LOT NO. UNIT NO.
Cirv OF COS7A MESa C� STRUCSION PERMIT �� � A.P. � 2ona
Project Address fl II _ S Main Building: Accessory Building:
Applicant'S Mailing AddrGSs TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR E FrOnt z
❑ CONVERSION ❑ OEMOLISH ❑ OT ER ' T O
Owner's Name r� Phone DESCRI�T�q N OF WORK/USE P �'LOG.�P'rC� ��� �� A Rear , � N
Address �� ��..—i 6�� n�� Q� �( �n¢n�n r� C!lass Yi� rnnlJoSil,on S� 1
TVPE OF PERMIT GRADING FOUNDATION STRUCTURAL I C Right N
Arch/Eng. License No. K G
Addreis ❑ TENANT ❑ ELECTRICAL ❑ PWMBING ❑ MECHANICAL ,$� Left
R
Contractor's Nam Phone - ��OTHER � Ping. Ref. # ' Parking Req./Provided E
Address Imailingl p} PROJECT DESCRIPTION FT OCCUVANC.,v�p� 9 M
Z`r"� CONSTRUCTIONTVPE VALUATION$Z,[�`/v•C� Plannin NotEs: T
Ciiy License No. iv� ZONE GRADING CU. VOS. ACRES g_
LICENSEO CONTRACTOR DECLARATION
I hereby a/(irm lhat I am licensetl untle� p�ovislons o( Chart¢r 9(commencln9 Remarks:
witll Sectlon ]000) of DivlSion 3 Of the Bu5Ine55 dntl Prof¢SSIonS Cotle, antl
my license is in tull torceqnd ej(spt. ELECTRICAL FEES
License Class ���- �7��� - ' �N .
Dale ��-�" Signature - _ PLUMBING FEES Auromatic Washer Transtormer ❑ 15-50 KW
WORKERS' COMPENSATION DECLARATION � Conitruction PoleSub. � 50+ KW
I h¢reby alOrm Ihdt 1 �dve a certificate of consenl to self-in5u�e o� a certlficdte Bar Sink $hOW¢�5 -
r' 'brkers' Compensation Insurance, or a certltietl copY �hereof (Sectlon Cooking Unit Meter ❑up to 100 amps
�b � � �-1 �{.��p `�� Backflow Preventer Service Sink
F, .y No. �32-� �—f Company ��� `� Backflow Irrigation Sewer Cap Dishwasher Meter ❑over 100 amps
Certitietl copy IS h¢reby furnishetl. Dry¢r5 ❑G85 ❑Elec[ric Sub Pan¢I
Certi�le o s filetl with the Cit 9 D 5 n. B3[htU65 Sewer Connection
Date Applicant Fan
� EXEMPTION FROM WORKERS' COMPENSATION DECLARA, ON Clafifier5 $ola� ColleCtOrs MotofS �0-1 HP O1'h - B
(TMssection neetl not be completetl if the permit is tor one hun etl (51 or F.A.U. Inc.Solar �9-15 HP �16�15+
less Dishwasher � Solar Piping
I certity �hat in lhe performante of the wo�k fo� wbich tbis pe�m�t is ISSuetl, I PixtufES
shall not employ dny perzon in any manne� so as to become subject to th¢ Drinking Fountains $012� Tdnk Microwave
�Workers' Compensation Laws of Calitornia. '
oate 5iqnature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light
NOTICE: 11, aiter makin9 this tleclaratlon, you shoultl become subject to the
Workers' Compensation provisions of the Labor CoOe, you must forthwith Floo� Sinks Urinal Outlets Range
' tomply with such O�ovi5ion5 or thlz pe�mlt shall be tleemetl revoketl. SwiLchCS
� CONSTRUCTION LENDING AGENCV GaSSefviCe Outle[5 WetefCloSet Sign
1 hereby affirm that there is a constructlon lentling agency for the performance
(�% oi tho work tor which this permlt is issuetl (Seclion 3097 Civ. C.) Interceptors Water Heater Garbage DispoSal Standing Sections
� Lentler's Name .
�Lentler's ACtlrezs Kitchen Sink Water Service Generator 00.5 KW �5-15 KW Trash Compactor
OWNER BUILDER DECLARATION
1 he�eby alti�m lhat I dm exempt trOm the Contracto�'S License Law for the Lavatories AutO-W25h
followin9 reason (Section 7037.5 Business antl Protesslonal Coae: Any city or
County which r<quires a permil to const�uct, alte�, ImprOve, tlemoli5h O/ �e0ab P-7l0p Laundry Tra'ys
any structure, prlor to its issuance, also requires the applicant tor sucn permit .
to iile a Sign¢tl slatemint [hat he/She I5 IlcenS¢tl pu�suant to th¢ P�ovl5ion5 of ROOi D�aini
tne Contractor'S License Law (Chapter 9(COTmencing with Sec[ion 7000) ot
Division 3 ot che Buziness antl Professions Cotle) or that he/sne is exempt Reins ection Fee .
thn�ef�om antl thG basis for the allegetl ezemption. Any v101ation o1 Section P 15 IAuO FBa $ 3
' .5 by any applicant for a permit subjects [he appllcant to a civil
:y ot not more tnan five huntlretl tlollars 15500). 3 DEVELOPMENT SERVICES REQUIREMENTS:
L, as owner of tna Oroperty or my emv�oyees with wa9es as their sole Reinipaction Fee $15 Issue Fee S
compen5dtion, will Co the wolk, antl tlle structule is not IntOntletl or offefeE ZOnine AppfOVBd By DdtB
for sale (Section 7044, eusiness antl Professional Cotle: The Contractor's MECHANICAL FEES Buildin8 APP�oved By • Data�.,,,�_ _,__,_
License Law tloes not aOP�Y to an owner o( a property who builtls or improves '1 `
thereon, antl who tloes such work himselt/herself or throu9n his or her own Hood or Type I ❑ APP����'on Issuad By DatP�l ��
employees, provitletl that such improvements are not Intentletl or oiteretl for Boilel
SdIC. I�, however, [he builtlin9 or improvement is soltl withln one year of com- CdpOpy Typ¢ I I ❑ SUMMARV, OF FEE$ _ ., ;'{)
pletion, the owner will nave Ihe burtlen of provin9 he/sne tlitl not builtl ar im- Duct - Under Ground
prove tor the purpose oi sale). BUILDING PERMIT $_��� SMIP $__�p_
❑ I, as owner ot the property, am exclusively contractin9 wltn licensetl con- Duct - Structural Refrigeratfon System P�„qN CHECK $ PERMIT
Iractorsto construct(ne Project f5ectlon 7044, Business anC Professions Cotle:
The Con[ractor's License Law does not apply to an owner ot property who Duct- Ventilating ❑6100,OOOBTU ❑100,OOOBTU PLUMBING $ ISSUANCE�' $
builtls o� Improves thereon. antl who contracts fo� Such oroiect5 witb a con-
tractor(s) license pursuan� to �ne Convactor's Licanse Law). I am aware tha� Exhaust System ❑ Multiple ❑ System Repair/Alteration PLAN CHECK 25% $ ENERGV P.C. $
prool of thelr Worker's Compensatlon insurance snoultl be provltletl to me. ELECTPICAL $ GRADING $
❑ I am exempt unaer Sectlon B. & P. C. for this reason Firepl/Fact. Blt. iCBO �k Fire Dampers
PLANCHECK 50% $ MICROFI�M $ �
Dace Owner Heating System & Ducting Registers MECHANICAL $
' i hereby certity that 1 �ave reatl miz appiication antl state tnat the above ❑4100,000 BTU �100,0008 TOTAL FEE $
inlormation Is correct. I agree to complY �+�th all city antl counly ortlinances FLAN CHECK 25% $
antl stale laws relating to builtlinq constructlon, antl nerEOy authorize repre-
Sentatives of lhis Ci[y t0 ente� upon Ihe above-menlionetl p�operty fo� _
inipectlon purposes Date l�- ��
Signature . Reinspection Fee $15 laue Fee $ 3
Drivers' Llcense or ss �. Dl 0002055$-�002065? 1L"�JT =r,`�
0865-46, rev. 5/88 White - Builtling; Canary - Applicant; Pink - Accountin9: Goltlenrotl - Assessor GATE: ti/79/8� T1nC7 j�:S2
CONSTRUCTION AND PLANNING P��� $ �PA
� Jate Inspector # Date Inspector
APPROVALS Permit # APPROVALS Pen.
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe=Undrgrnd. � 53. Steel Reinforcement
3. ElectricaFConduit.Utility-Undrgrnd. 54. Forms �
4. Electrical Conduit'Undrgrnd. '- 55. Electrical Bonding ',
5. Steel Reinforcement � ' 56. Rough Plumbing & Pressure Test
i • ,
6..;Electr�ical UFER Grnii. 57. APPROVALTO COVER-GUNITE
7. Footings'' ! � �- 58. Electrical Conduit-Undrgrnd.
8. ,Foundation ', j ., 59. Gas Pipe, O 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 Con�ne`ction • 62. Backwash & Receptor-Final
12. Sewer Cap . ; �� 63. Heater & Vent-Final �
I '
13. Roof Drains i�. � 64. Plumbing System - Final
14. Rough Plumbing : 65. Electrical-Final '
15. Rough Electrical-Conduit 66. Solar System-Final
i 6. Rough Elec[ric Wiring 67. Fencing & Access Approval
17., Rough Wiring Sign 68. APPROVED FOR PLASTERING
18r Rough Electrica6T Bar Ceiling 69. POOUSPA 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 O Gas ❑ Oil
23. Gas Pipe-Rough & Tesi 72. Underground Flush
24. RoofFraming , . 73. Undergrnd.StorageTankOGas ❑Oil
25. Roof She9thing - 74. Overhead Hydro
26. T-Bar Ceiling (Structurap & Monocoat 75. Dry Chemical
i
27. Frame and Flashing 76. Dry Standpipe
i ,
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing � HEALTH DEPT. REQUIREMENT
37. Plaster 8rown 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
••-� A = � _.
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. FINAL STRUCTURE & BUILDING � u. � J), �_ �\'^c
48. Special Requirements Completed
49. Electric Release to Edison �
50. Gas Release to Sou[hern California Gas Co � _ � _
51. CERTIFICATE OF OCCUPANCY ,
No. Date � �