HomeMy WebLinkAbout3028 LANGS BAY - Building Permits - • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. .
CITY OF COSTA MESA CONSTRUCTION PERMIT PERMANO. � � _ TRACT NO. LOT NO. UNIT NO. '• , •
.fit L JI/ 071 CF`:
Project Address .�k--1 A,c•S _ II'' ;r.__ y-!`�
Applicant's Mailing Address fo2'2p (_F}N6S . TYPE OF CONSTRUCTION ❑ NEW,ADD U ALTERATION U REPAIR ' - -'-
��- ,.,� ❑ CONVERSION ❑ DEMOLISH OTHERith �-�-- q•p,# ..s , ��
Owner's Nameg 'q� -} 41 P. Phone- .T DESCRIPTION.OF WORK/USE OF BLDG.r �1n orL bow -4110-
Address SOW) `� l S Main Building: Accu 4 g
1 E • ‘V :.N .
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Arch/Eng. ' _ i... • • • _,_ . TYPE OF PERMIT ❑.GRADING ❑ FOUNDATION U STRUCTURAL T Front . ss� 0
Ir�i rams;sod �� • a ❑ TENANT ❑ ELECTRICAL ��lI�� � "
IS J , - ILNLUMBING ❑'MECHANICAL B Rear • P • �1 N
Address y,,� ��,p�� ❑ OTHER
Contractor's Name 4F far'7 koirl�b���l.�'- -PshhoniX- t° PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right - /-^ /t
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Address(mailing)
g) l���1I `,2�99--tt(,�"`�`•'�ti �`. CONSTRUCTION TYPE - VALUATION$ S Left �''.� y' Q �` R
(NCity License No. `AsVLU • ZONE GRADING CU.YDS. ACRES Ref. # \P`h'r In R q �� E
'_ l LICENSED CONTRACTOR DECLARATION _Ping. ♦as4 g q./Prodded] Q
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: 4,\\ - f,•(-� / � M
with section 7000) of Division 3 of the Business and Professions Code and �r ,r��{1`ESO f14,167.1sJ` ' '
my license is in lull for • a'd effect. ,,YY//'' t{.r LV G t
License lass — • Liu -e N•IG D AP
Dat4� LA Signature �t_ _. 4.111.1 PLUMBING FEES RECEIVE
)RKERS'COMPENSATION DECLARATION •
.ereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers ELECTRICAL FEES
,.f Workers' Compensation Insurance, or a certified copy thereof (Section
Backflow Preventer Service Sink
3800, Lab. C.) Automatic Washer Transformer 0 15-50 KW
�(, 6C314e�
Policy No. O2�'[73 Company 4921/46 Cr Backflow Irrigation Sewer Cap . /Construction Pole Sub. • 0 50+KW
Iiirtified cop is hereby .furnished. .
Cel ' i p led with the city Bui ding D5sip f ' I , & Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100'amps
Date Applicant Se�3 P� L�A'V��J
•
EXEMPT N FROM WORKERS'COMPENSATION D CLARATION Clarifiers - Solar-Collectors • Dishwasher Meter Dover 100 amps - •
(This section need not be completed if the permit is for one hundred ($100) or -
less). Dishwasher Solar Piping, Dryers OGas ❑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❑0-1 HP ❑1'h-6
Workers'.Compensation Laws of California. .—
Date Signature - Floor Drains • Swimming Pool w/Spa F.A.U. Inc Solar ❑9-15 HP ❑16-15+
NOTICE: If,after making this declaration,you should become subject to the
Workers' Compensation provisions of the Labor Code, you must forthwith Floor SinksUrinal Fixtures Microwave
comply with such provisions or this permit shall be deemed revoked. .-
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet _ Device Boxes
I hereby affirm that there is a construction lending agency for the performance _ Pole Light
Of the work for which this permit' is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Range
Lender's Name -
Lender's Address Kitchen Sink , Water Service - - Switches Sign
OWNER BUILDER DECLARATION �S v.T
I hereby affirm that I am exerhpt from the Contractor's License Law for the Lavatories - l Auto-Wash Hx/GoyxYt/ - 2.C(f Garbage Disposal I;Standing Sections ,
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 - Generator 00-5 KW 05-15 KW Trash Compactor 1 '
any structure, prior to its issuance, also requires the applicant for such permit -
`o file a signed statement that he/she is licensed pursuant to the provisions of ROOF Drains
le Contractor's License Law(Chapter 9(commencing with Section 7000) of '
ivision 3 of the Business and Professions Code) or that he/she is exempt .
•
.herefrom 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). - $ 3
0 1, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee -
•
compensation, will do the work,and the structure is not intended or offered . fff - Reinspection Fee I $15 Issue Fee' $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL - FEES -. •- . - .. . . . _ _
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 ❑ • DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered forZoning Approved By Date
•
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑
•
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under GroundBuilding Approved By Data
•
rve for the purpose of sale).
oI,'as-owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued'13y , 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 ❑ Multiple❑ System Repair/Alteration BUILDING PERMIT $ SMIP $
proof oftheir Worker's Compensation insurance should be provided to me. PLAN CHECK $ - PERMIT
0 I am exempt under Section B. & P.C.for this reason Firepl/Fact.Bit. ICBO# Fire Dampers
•
PLUMBING $ t- ISSUANCE $Cii)
Date Owner Heating System & Ducting • Registers • _ PLAN CHECK 25% $ • ENERGY P.C. $ '
1 hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,00067 GRADING $
information is correct. I agree to comply with all city and county ordinances ELECTRICAL $
and state is elating toildin con truction, and hereby authorize repre- • PLAN CHECK 50% $ MICROFILM $
sentatives of is city tonter upon the above-mentioned pr pert for •
inspection p s s. ;� � MECHANICAL $ TOTAL FEE $ C�
c^+ Date
Signatur Reinspection Fee $15 Issue Fee l $ 3 PLAN CHECK 25% $
Drivers' License or SS •
- -- — - _ ., - • _
CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink - Accounting: Goldenrod - Assessor
CONSTRUCTION AND PLANNING - POS a 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 UF ER 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 4 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit66. Solar System-Final
a
16. Rough Electric Wiring k 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 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 S1ZaO7 GED
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation CT.
• l
44. Landscape Irrigatidn'System
45. Sound Attenuation .• rr
46. Handicap Regdlations • i:; r.�
47. FINAL STRUCTURE & BUILDING
1 48. Special Requirements Completed?'
49. Electric Release to Edison
50. Gas Release to Southern Califdrnia Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date •
. \I
Ct ratem" taw 74/, 431/6j ./744915-4S4,66 S74514i46/66i6riifY1 f •'i
- 4M3/419 6 B09 r 30z622 2y 26, z8/3o
e.----JA COSieMESABUILDING-SAFETY
ING SaFETYDEPA6ENT APPLICATION Faft4'RtU .PERMIT6B3e50 TL
COIA 9
_ REC V P MIT - '
For Applicant to Fill in Completely —Use Ink Only *8 76 -( 7 ^� 4
BUILDING A.P. C9 -
I (01I TT'1(r )L1-Z/
ADDRESS Tract 106261 �// � r!G f
BUILDING
OWNER OR ADD REss oopowstf Citay/ap 62.1„,s. .
TENANT M.D. Janes Co. • lnc• UNIT OR
/
MAILING SPACE NO.
ADDRESS 2950 Airway Ave. , D-9
Ti fXO 2FJ LOT (BLK.
CITY Costa Mesa NOL I(J(O
979 3376 NEW ADD ALTER REPAIR I MOVING I DEMOLISH
CONSTRUCTION
LENDER Not selected
BRANCH N/A
OWNER
ADDRESS N/A VALUE
ARCHITECT TEL.
USE S
OR ENGINEER Danielian & Assoc. No. 546-3693 Fl
iter
\ ADDRESS 3848 Campus Dr. , N.B. ZONE TYPE V GROUP
APPROVED
CONTRACTOR owner BY DATE
ADDRESS e
TEL.
CITY a NO. e
I-, STATE CITY APPROVED SETBACKS
LIC.NO. e LIC.NO. e
SIZE NO.OF SLD (FROM C/L STREET)
a. OF LOT 550' x 334' I NOW ON LOT a FRONT FT.
y • USE OF ��/1 ///;;;
EXISTING BLDG. N/A R.SIDE '"'�T. �I/
F Separate permits are required for L.SIDE
7e-(/' `
C electric,plumbing and heating work: i REAR FT.
GI
[-, USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
a �/ air
(1,u
/( q p /� DATE
7-1 Z //s/I, st.s�L� ���[/ (-O /,,'T APPROVED2.-34-71
4 a
>, „ b�, �2• CZ'� C� Rl ' Q /'• DATE/ �y/ 7
ed
Lia
aL I hereby acknowledge that I have reed this application and state ('1
that the above Information Is correct and agree to comply with C �(.Vr
O. all laws regulating building construction, end I shall not employ
Z any person In violation of the workman's compensation laws of : l�•
the State of California. Z.335,--- m 1•
ao\
�^1�,ZO SO.FT. '
I hereby certify that I am properly licensed as a contractor under T"'
the State of California Business end Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m V
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the •rovisions of the State of California Business VALUATION PERMIT FEE S a /�
and Professions Cod. Divi '• 3,Chapter 9. , .m _V
PLAN CHECK SO�l, 5� o /I„\
Signature of - G n
Permittee $ Cal r TAX S s z F r
or �f • 1 t. /: Zi,,,,,9,...-.
Authorized Age .Ste • TOTAL PAID $G 3.
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