HomeMy WebLinkAbout2868 LA SALLE AVE - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
PER TRACT NO. LOT NO. UN T N
!CITY OF COSTA MESA DD CONSTRUCTIONJ {� ' rPERMIT 3 f53�i/ A,P, fs • • l zone .
Project Address ,2860 2q S 'TJAI •_ S Main Building: Accessory Building: _
+ a - TYPE OF CONSTRUCTION ❑ NEW U ADD' ❑ ALTERATION REP _ _
Applicant s'Mailing Address ` ��/��j���[ Li •
CONVERSION ❑ DEMOLISH OT - •T• Front ' - o
Owner's Name ..+o 1- f'/f�lJ.7 Phon� - DESCRIPTION OF WORA/USE OF BLDG. L �/JOUP_• o 06/' .B Rear - N
Address /O)? ,sq l✓ pinto Cie, - - r'v57v,�L /-30..e4rftir�i f/ei1G/cNJ1 0(95;-4 SN/NO A - f
C Right. N
Arch/Eng. License No. TYPE OF PERMIT ,❑ GRADING FOUNDATION STRUCTURAL - K- _ - - G
S. Left - •
R
Address' ° ❑ TENANT.❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL - ,
Contractor's Nam¢S/ RR► l?UOF/N Phone <17-s:20 OTHER -- dpUOF/N9 - ` Ping. Ref.4• • - Parking Req./Provided _• - E
Address Iniailing)A63/ r(F. 7xER AN AB. CI9L//i �� PROJECT DESCRIPTION SQ. FT. . 3/Co OCCUPANCY/��swP«X Planning Notes: - - - M
City License No. ��.rJ /� •
CONSTRUCTION TYPE • VALUATION $ it die _ -
T
ZONE • GRADING CU.YDS,' ' ACRES -
LICENSED CONTRACTOR DECLARATION , - - ,
•L hereby affirm that I am-licensed under provisions of Charter 9 (commencing Remarks: - '
with section 7000) of Division 3 of the Business arid Professions Code, and
my license is in ful force a d effect. . ELECTRICAL - FEES
Licens- Cla s Licest- No 1 - '
•- 1Automatic Washer Transformer ❑ 15-50 KW '
Date - - a e - Signature r�! Air.......-/-x; .ice _ - PLUMBING FEES ,
WORKERS'COMPENSATION •f LARATION DOn$trUCtlOn POIe Scab. ❑ 5D+ KW ,
I hereby affirm that I have a cern icate of consent to self-i sure or a certificate Bar Sink Showers -
. of Workers' Compensation Insurance, or a certified copy-thereof (Section , Cooking Unit • Meter Cup to 100amps
3800, Lab. C.) —'' - - - --- - Backflow Preventer - - , Service Sink ---- .._ - - - - • •
Policy No. - Company - Backflow Irrigation Sewer Cap Dishwasher Meter [Dover 100 amps .•
Certified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel • 7 '
Certified dopy is filed with the city Building Division. Bathtubs Sewer Connection / - +
Date Applicant I .- --- Fan • Motors ❑0-1-HP ❑.1.1-B
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors • - '
-(This section need not be completed if the permit is for one hundred ($100) or - F,A.U. - - -
less). Dishwasher - _ Solar Piping • Ina Solar ❑9-15 HP❑16-15+ -
I certify that in the performance-of the work for which this rmit is issued, I • "t
shall not employ anyperson in any manner so a o bet e to the DrinkingFountains Fixtures Microwave • ,
subject Solar Tank i _
Workerg,ComAensaLi Laws of Ca l iy�rnia. - • Device Boxes Pole Light Date X777 X 6 Signature
Floor Drains Swimming Pool w/Spa 9 •
'
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NOTICE: It,after making this dada ion, you should beco a subject to the Outlets - Range �j+ _
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Workers' Compensation provisions of the Labor Code, you must forthwith - - Floor Sinks .. Urinal, - - . - _ . . ._ -. _
comply .with such _provisions or this permit shall be deemed revoked. . -
CONSTRUCTION LENDING AGENCY . . - ' - - - .' Switches - - Si n - % "•;
Gas Service •Outlets Water Closet - - g
I hereby affirm that there is a construction lending agency for the performance - -
of the work for which this permit is issued (Section 3097 Civ. C.) - Interceptors Water Heater f Garbage Disposal •' Standing Sections
Lender's Name - •
Lender's Address . ' - - Kitchen Sink - • - Water Service - , --",' Generator 00-5 KW 05-15 KW Trash Compactor,//I • •
OWNER BUILDER DECLARATION . ._ - -� _-
I hereby affirm that I am exempt fiom the Contractor's License Law for the' Lavatories. - Auto-Wash - _ -s I + '
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 • s
any'rtruct ure, prior to its:issuance, also requires the applicant for such permit - !TI
-to file a signed statement that he/she is,licensed pursuant to the provisions of - • - �-+ :1•' �' ,
-the Contractor's.License Law (Chapter 9 (commencing with Section 7000) of Roof Drains
' Division 3'of the Business and Professions Cotle) or that he/she is exempt -- 7. - • ` Reinspection Fee : $15 Issue Fee • $ 3
therefrom and the basis for the alleged exemption. Any violation of Section ._ ,. - . - ` .r
-7031,5 by any. applicant for a permit subjects the applicant: to a civil - - v penalty of not more than five hundred dollars($500). • - -DEVELOPMENT SERVICES REQUIREMENTS:
�� I, as owner of the property or my,employees with wages as their sole Reinspection Fee' I $15 , ,. Issue Fee : $ 3 . .l •
.compensation, will do the work, and the structure is not intended or-Offered - Zoning;Approved By Date_
for salese (Section Business and f aProfessional Code: The Contractor's -. MECHANICAL .FEES ...Building Approved By, Date
License;Law'does not apply to an owner of a property who builds orim proves' -
thereon, �nz .-
and who does such work himself/herself or through his or her own. .. - , Application Issued By' Dat
employees, provided that such improvements are not intended or offered for Boiler 'Hood or Type I ❑
sale. If, however,the building'or improvement is sold within one year of com- Canopy. Type II ❑ - - SUMMAgV pF FEES
pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground /.,'L t TD .+
prove for the purpose of sale). - ' BUILDING PERMIT $ ' lYJ V SMTPnll $I s
❑ I, as owner of-the property, am exclusively contracting with licensed con- Duct-Structural ' • Refrigeration System • $ PERMIT �'')
tractors to construct the project (Section 7044,Business and Professions Code: , - PLAN CHECK ,. -
The Contractor's'License Law does not apply to an owner of property who' Duct-Ventilating- , ,,•-_- , ❑o-100,000 BTU'❑100,000 BTU �. PLUMBING $ ISSUANCE' $
builds or improves thereon.and who contracts for such oroiects with a con- - - _ --
( )• Exhaust System •❑ Multiple ❑ ' System Repair/Alteration i ' -1 ' ENERGY P,C. $
tractor(s) license pursuant tope Contractor's License Law I am aware that: I - PLAN CHECK 25% $ - i
proof of their Worker's Compensation insurance should -be provided to me. - GRAD!NG ' $'
ELECTRICAL $ •
❑ I am exempt under Section B.& P.C.for this reason Firepl/Pati.Blt. ICBG# Fire Dampers PLAN CHECK 50% $ : MICROFILM : $ '
Date - Owner - Heating System& Ducting i Registers ' `- t9 -' 6
,, /�
I hereby-certify that •I have read-this application and state that the above - 00-100,000 BTU 0100,0008 L - _ . _ MECHANICAL $ ' TOTAL FEE $' (Y;•SL./
information is correct, I agree to comply with all city and county ordinances - I - ._ ' PLAN CHECK , 25% $ at
and state laws relating'-to buildirrrWWW construction,and•hereby authorize repre- • , -
sentatives of this. 'ty v• enter'/upon the above-mentioned property for . •
inspection 1( pose / p p f�X , •.
Signature r4 . "at:,. v� 'Sate?'" • - ' -• •
Drivers' ens- or SS Reinspection Fee $15 • Issue Fee ,$ 3 _
-__ s ! _ _ - . . bi 60014716-00014;;..17 .•I 1 lT. h�.5li _ .
0865-46,rev. 5/88 White - Building; Canary -Applicant; Pink - Accounting; Goldenrod - Assessor 1• DATE: 09/19/38 TINE: 12:13
6�CONSTRLICTION AND PLANNING - POOL&SPA
,APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector
V
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1. Temporary Electrical Service or Pole . t 52. Pool & Equipment Location ! -
2. /toil Pipe-Undrgrnd. ': 53. Steel Reinforcement 'l
3_.: Electrical Conduit;Utiliiy-Undrgrnd. l ,, 54. Forms - -
4. Electrical Conduit-Undrgrnd. 2,. 55. Electrical Bonding i
5: Steer1Reinforcenent.; • - 56. Rough Plumbing & Pressure Test
r. i� 57. APPROVAL TO COVER-GUNITE
6. Electrical UFER�Grnd`. i;
�G.
7;:Footings rr'rf =i ' 58. Electrical Conduit-Undrgrnd. 'I7
• 8::Foundation 2•1'44• - .."4- 59. Gas Pipe, 0 Undrgrnd.,Test ir�'
9. Water Pipe-Undrgrnd. , i.l ' 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System h 61. APPROVAL TO DECK :j^
11. Property Sewer Line;& House Connection 1`- ,..V 62. Backwash & Receptor-Final
12. Sewd Cap ,;, �. v' 63. Heater & Vent-Final
13. Roof Drains r''r•- tv ' 64. Plumbing System - Final
.. _� C -
A. -1
_
14. Rnugh Plumbing„" 65. Electrical-Final '
•
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring • 67. Fencing & Access Approval
r%17' Rough Wiring Sign • 68. APPROVED FOR PLASTERING •
41$. 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, Ventilati9g- 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe=Rough-&Test 72. Underground Flush
24. Roof Framing iii • 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. RooftSheathing •/ 74. Overhead Hydro
26. T-BarCelling (Structural) & Monocoat i 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 ' J. HEALTH DEPT. REQUIREMENT '
31. Plaster,Brown Coai•f 79, FINAL INSPECTION
432•Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED •b..
33xFinal Electric ' •
(NNoote _s: fo _ 01< 7.Q9 5-
inal.Heating & Air Conditioning V .Q C'� D
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 Domestic-Final \\
42. Backflow Preventer %,t \
43. Backflow Irrigation • 1�
44. Landscape Irrigation System U
45. Sound Attenuation r�i ` \
46. Handicap Regulations .
47. FINAL STRUCTURE &BUILDING ' - �•�• - (; '�,�2�3�•4 G9?- & 8C
48. §Denial Requirements Completed
49. Electric Release to Edison .
50. Gas Release to Southern California Gas Co • 0- 1 1 . ti
51. CERTIFICATE OF OCCUPANCY --'
r' 1v
No. Date "xi O
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City of Costa Mesa
Building Safety Department CERTIFICATE OF OCCUPANCY N? 1845 C
P. 0. Box 317
Costa Mesa, California
The Building located at A "'UW'„ 11--D
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group Ti R+ J Occupancy.
Use of Building U. . to .s . sad. •a trs3
•
Legal Description ;At 111.2 Tract 5011
(See reverse side for Metes and Bounds)
•
Building Permit No. 19838 Electrical Permit No. gpltlfl Plumbing Permit No. 3na7
Floor Load Signs have been installed as Room Capacity Signs have been instaled as
required under Sec. 2308 U. B. C. required under Sec. 3301 (1) U. B. C. .
17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied
until the owner or operator has been issued a valid certificate of occupancy by the enforcement agency.
(b) A new certificate of occupancy shall be obtained whenever there is a change in:
• 1) Occupancy classification of a building or portion thereof
2) The number of apartments or guest rooms
3) Ownership
'1 If Group H Occupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California
Administrative Code, Title 8, Chapter 9, Article 8.
•
Number of apartments_ b. and/or guest rooms
ISSUED TO: Building Official
JffCROPT ul" ' 'CE, INC. by %' Ifl.chi
Date PA:wtam-,J 17, 1911s
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. 306 (e) U.B.C. Fora, sv34—IM—tt-63—S-B
9838FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT dUN 1 0 1963 .
P.O.BOX 917 COSTA MESA,CALIFORNIA
FINANCE DEPT.
For Applicant to Fill In Completely Ci or-Dvaln I JERMIT
TYPE OR PRINT BUILDING
a868 La Salle Ave. - For Office Use Only
BUILDING
ADDRESS T,ot 14, 'Tract 5D11 I RECBIPT NO, - PERP�TjRQ�Y1
COSTA MESA. CALIFORNIA 111 �lyJAl8Hj�Ey38
RECEIVED BY DA- ..;,En, JUN 1 V yn3
OWNER HYCROFT TERRACE INC. !/Gw L// Jur
1 U
BUILDING
MAIL ADDRESS
ADDRESS 250 E: 17th; Suite G yy'//'�
TEL. 1� FIRE
TYPE IL GROUP O/tIT
CITY Costa Mesa NO.646-9347 I
APPROVED
ARCHITECT TEL BY DATE
OR ENGINEER Charles R. Hiller No.PR 52007
•
ZONING
ADDRESS 925 Suite $ - N. Euclid --Anh.
J I ZONW' `-I NO.OP USE OF NEW �I. �M-V1-J
��- ( ! PLANS I BUILD/NGT,1 R -`T-''A1 eci
LCONTRACTOR Same I }} IIAA}1 (`� /
ADDRESS Same DESCRIPTION I-L�1 I `I 1 Y` '.�``�
CITY Same A.P.NO. '
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE / TEL. 30"TO SIDE a REAR P.L.
LIC.NO. R2i 6O NO. Same
EAVES
SIZE I NOW r SLOGLOGS. ALLOWED (U.B.C.REQUIREMENT)
OF LOT 701 x 971
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
(FROM C/L/SS�TREET)
SETBA;KO
K LINE FROM , - I FRONT ( l FT, Fr. F
CENTER OF STREET - • REAR YARD 14
SIDE YARDI LEFT 101 - ' I RIGHT 51 R.SIDE �� FT. FT. :+.I
DESCRIPTION OF WORK L.SIDE /0 FT. FT. LLI
NEW X ALTERATION ADDITION REAR / T Fr. FT. d
DISTANCE BET. BET.MAIN @ -I
REPAIR MOVING DEMOLISH MAIN SLOGS. ACCESS.SLOGS.
BUILDING VAR.# DATE -I
SIZE 551 x 731 ROOMS STORIES 2 C.0-P,# APPROVED Q
I-
.J V
EXTERIOR WALL I COVE APPROVEL{. ,5 /--[ 'J a.
COVERING tl)P(`O COVERING shingle 6Y DATE '/'-
USEOFBUILDINGANDWORK.TpBEP R MED VI
Apt (4 nlexYJil� L ��� a
0
p1 N A
o
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HE AMOUNT SHOWN UNDER VALUATION IS FOR THE F �.'
AND STATE THAT THE ABOVE I6 CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION CONSTRUCTION. PERMIT FEE $ ./02.4913-0
SIGNATURE OF HYCROFT TERRACE, INC. / GD, �-S..s
PERMITTEE $0)8,-4 PLAN CHECK $
AUTHORIZED AGENT�� .01/47;---i--.+--Q 4.- ( 6
\ TOTAL FEE $,efOt 73
v.