HomeMy WebLinkAbout3030 LANGS BAY - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. "925 I I-/ ! vi ',- ,o..
CITY OF COSTA MESA . - - ' PERMIT NO. I TRACT NO. LOT NO. BLDG.NO.
CONSTRUCTION PERMIT • P -/O Q 70 . ••
Project AddresssIO 0 _•�AN.65 L�RU TYPE OF CONSTRUCTION Li NEW Li ADD U ALTERATION U REPAIR p
Applicant's Mailing Address 024r Ida fhMOiv/4 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER „,, // A-P• s Zone '
/� DESCRIPTION OF WORK Ds SOOS•N/Z (,;.41•
Owner's Na A7
Nein” ONN E:eQ Phonnd9/-�9Uo J S Main Building: Accessory Building: Z
Address 303o LANCS o4y E 0
TYPE OF PERMIT U GRADING U FOUNDATION U STRUCTURAL T Front N
Arch/Eng. License No. ❑ TENANT 0 ELECTRICAL .PLUMBING 0 MECHANICAL B Rear I
Address 0 OTHER A N
C Right G
Contractor's Name P CTI/ =NS774aA72S phones4273g13 PROJECT DESCRIPTION SQ. FT. OCCUPANCY K R
Address Imailing) QS W• POM nM i4 CON STRUCTION TYPE VALUATION$ S Left - E
City License No. SY N3 ZONE GRADING CU.YDS. ACRES Ping. Ref.# Park.Fees $ u
LICENSED CONTRACTOR DECLARATION Remarks: Parking Req./Provided 1
I hereby affirm that I am licensed under provisions of Charter 9 ncing - R '
with section 7000) • e'' —�• the susine and Prole •�• and Use of Building: E
my license is in . ,- / /pQ
License Ci.- •-n-.-.--.-7—.3".. ��!a����!��a��� /Q (� PLUMBING I FEES Planning Notes: • E
Date ( _ .s. -f41111a I_'L'G - _
• .. Bar Sink 2 Showers N
'"` "-- RKE•S'COMPENSATION DECLARATION " T
t +31
,:-"hereby affirm that I have a certificate of consent to self-insure or a certificate O
Backflow Preventer Service Sink S
r Workers' Compensation Insurance, or a certified copy thereof (Section `l IS
r3800, Lab. C.) 6394 Backflow Irrigation I' Sewer Cap • ELECTRICAL FEES
Policy No. Company 'VVVV'
$.ertified copy Is Hereby furnished. Bathtubs •
C. Sewer Connection Automatic Washer Transformer 0 15-50 KW
IL�Certifi tl coo pp
is filed with the city Builq in9,D•ivision. 0 50+KW
Date /�//F•Z Applicant /{• ee YYls7�/L. Clarifiers Solar Collectors Construction Pole Sub.
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Dishwasher Solar Piping CookingUnit Meter ❑U to 100 amps -
(This section need not be completed if the permit is for one hundred ($100)or p p
less).cer DrinkingFountains
I certify that in the performance of the work for which this permit Is issued,I I Solar Tank Dishwasher 1 Meter Dover 100 amps
shall not employ any person In any manner so as to become subject to the
Workers' Compensation Laws of California. Floor Drains Swimming Pool w/Spa Dryers ❑Gas ❑Electric Sub Panel '
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Date Signature
NOTICE:If,after making this declaration,you should become subject to the Floor Sinks Y Urinal Fan Motors 0o-1 HP 011/2-8
Workers' Compensation provisions of the Labor Code, you must forthwith - - -.
comply with such provisions or this permit shall be deemed revoked. Gas Service OutIkt Water Closet F:A.U. Inc.Solar ❑9-15 HP 016-16+
CONSTRUCTION LENDING AGENCY - • '
I hereby affirm that there is a construction lending agency for the performance Interceptors Water Heater Fixtures Microwave
of the work ,for which this' permit is issued (Section 3097 Cly. C.)
-
Lender's Name - Kitchen Sink Water Service .,
Boxes Pole Light
Lender's Address Lavatories a�
OWNER BUILDER DECLARATION 1 'pis pas E2 QV Outlets: J Range
I hereby affirm that I am exempt from the Contractor's License Law for the P—Tra
following reason (Section 7031.5 Business and Professional Code: Any city or P IA: Switches Sign
county which requires a permit to construct,alter,improve,demolish or repair -
any structure, prior to its Issuance, also requires the applicant for such permit Roof DrainsL� _`' Garbage Disposal Standing Sections
to file a signed statement that he/she is licensed pursuant to the provisions of - Y
o Contractor's License Law(Chapter 9(commencing with Section 7000)of
vision 3 of the Business and Professions Code) or that he/she Is exempt Generator 00-5 KW 05-15 KW Trash Compactor
erefrom 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 Reinspection Fee $25 Issue Fee S 3
enalty of not more than five hundred dollars(3500).
O I, as owner of the property or my employees with wages as their sole MECHANICAL - ' w- Reinspection Fee $25 Issue Fee $ 3
compensation, will do the work, and the structure is not intended or offered FEES I
for sale (Section 7044, Business and Professional Code: The Contractor's PUBLIC SERVICES REQUIREMENTS:
License Law does not apply to an owner of a property who builds or improves Boiler Hood or Type I 0
thereon, and who does such work himself/herself or through his or hor own Zoning Approved By - nate
employees, provided that such improvements are not intended or offered for Canopy Type II ❑
sale. If, however, the building or improvement is sold within one year of corn- Duct-Under Ground Application Approved By ('� Date
pletion, the owner will have the burden of proving he/she did not build or Im- /I(o•-rl y/ - --" / J!/
prove for the purpose of sale). Duct-Structural Refrigeration System Application Issued By f r Date
O I, as owner of the property, am exclusively contracting with licensed con- ❑0.100,000 BTU ❑100,000 BTU
tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating SUMMARY OF FEES
The Contractor's License Law does not apply to an owner of property who
builds or Improves thereon,and who contracts for such projects with a con- Exhaust System 0 Multiple 0 System Repair/Alteration • BUILDING PERMIT $ SMIP $
tractors) license pursuant to the Contractor's License Law). PLAN CHECK $ PERMIT
❑'l am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# PLUMBING $ 0O ISSUANCE $ -Se-&-
Date /7f _Z Owner Heating System& Ducting PLAN CHECK $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BTUGRADING $
Information is correct. I agree to comply with all city and county ordinances ELECTRICAL $
and state laws relating to building construction,and hereby authorize repro- PLAN CHECK $ MICROFILM $
sentatives of this city ()Leda
enter�� upon the�above-mentioned property for •
Signature /{Inspection A � p
/ Date /L z. Iii "MECHANICAL $ TOTAL FEE $ 500
/
CMF 0865-46 rev. 7/83 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor - -
CONSTRUCTION AND PLANNINGPG <SPA
. APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
. . -1. Temporary Electrical Service or.PoleT 52. Pool & Equipment Location -
'2. Soil Pipe-Undrgrnd. . 53. Steel Reinforcement - '
. . 3.'.Elect Ir cal Conduit Utility-Undrgrnd. - 54. Forms /' 4 .1 i
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
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r5. Steel Reinforcement 56. Rough Plumbing & Pressure Test `o��
6. -Electrical UFER'Grrid. • ,1 . 57. APPROVAL TO COVER-GUNITE
7. Footings • ' 58: Electrical Conduit-Undrgrnd. .• rd i
8. Foundation .r 59. Gas Pipe, 0 Undrgrnd., Test �J
9: Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
r
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 "r...
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^ go , in Structure -70. Underground,Hydro
22. Ducts, Ventilating' •
71. Product Piping 0 Gas 0 Oil
43. Gas Pipe-Rough & Test- 72. Underground Flush
24. Roof.Framing 73. Undergrnd.Storage Tank 0Gas 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
,c. 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 r;'4/y7va /�-2
r I ['Lark,- GK'S' 1 - ?3 .
35. Final Gas Pipe-Test /a/02.3-4 3 n i.„w _ ez- ,,/ _se,-
36. Hood or Canopy - �7
37. Final Factory Fireplace
38. Final Plumbing yA2. /4, t69 •
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39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final , - i
42. Backflow Preventer
•
43. Backflow Irrigation - , - - :I,
44. Landscape Irrigation System • ' - i
45. Sound Attenuation
46. Handicap Regulations - •
' 47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison
Re
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY •
No. Date ,
6/C3
Coe" i 74/, 4 y6 q;q f,S7/- '4,6b; S�S. , /�6�67I / 71
App
L.*sjn S n 3oz027/244 26/ Z€/50
COSTA MESA BUILDING-SAFETY DEPARTMENAPPLICATION FoPr'IRIk•If13I1.PERMIT693e50 TL j
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 En
MIT
For Applicant to Fill in Completely - Use Ink Only REC V �DF237� o
ADDRESSUILDINTract 10626 /�.�L1/. • ,_ A.P. QgiLfC 1O1I 'HA2rtz1-2.
BUILDING 1 /�
OWNER OR ADDRESS eV1ugc4 C�hoy/J9
TENANT M.D. Janes Co. , Inc. UNIT OR •�_77 ignycMAILING /
ADDRESS 2950 Airway Ave. . D-9 TEL. TPACNO.
(y(y OE 6 2/ LOT BLK.
CITY Costa Mesa NO.. Iv (gyp
979 3376 NEW ADD ALTER REPAIR MOVING DEMOLISH
CONSTRUCTION
LENDER Not selected
BRANCH N/A
OWNER
ADDRESS N/A VALUE
USE S
ARCHITECT MIT546-305
OR ENGINEER Daniel ian & Assoc. NO. 546-36432,
ADDRESS 3848 Campus Dr. , N.B. ZONE TYPE V GROUP k IT
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APPROVED
CONTRACTOR owner BY DATE
ADDRESS e
TEL.
CITY e NO. e
I-. STATE CITY APPROVED SETBACKS
LIC.NO. e LIC.NO. 9
SIZE NO.OF SLOGS. (FROM CR_STREET)
W
L OF LOT 550' x 334' I NOW ON LOT a FRONT FT. �/ •
a • USE OF AT.-_e
J1 JP- 1
'� EXISTING BLDG. N/A _B—SIDE (�V'-,=T. , V -�J,,..�.I
y ,y�z�c�l t
ESeparate permits are required for L.SIDE e
G electric,plumbing and heating work. I
REAR FT.
(W. USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
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a Z4 _/Irr w��/ � �71/J-01A APPROVED
-7y-77,2-2_6-77
). II Ay7, lid 6'I ` C ABY �(!/� �� ^ OATE/� /y /
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1 hereby acknowledge that I have reed this application and state \
LX that the above Information is correct end agree to comply with ,.
4. all laws regulating building construction, end I shall not employ
Z any person In violation of the workman's compensation laws of E /�•
SW the State of California. 7-3 35G�2O t^•r SO . •`+FT
. m 1 kk\
3 I hereby certify that I am properly licensed as a contractor under I
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m (N.
Chapter 9, end that such licenses are In full force end effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: m
am exempt from the •rovisions of the State of California Business
VALUATION PERMIT FEE E
and Professions Cod: Divi'• 3,Chapter 9. I.
n
C PLAN CHECK E(o(�lrS LL /'"
Signature of `I.'[YI
Permittee // E 5�(,30r TAX $ t C. y
or 8/17/79 ai' V.!.tb
Authorized Age TOTAL PAID $ 65 3.
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