HomeMy WebLinkAbout2018 LEMNOS DR - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all approprlateLclarations.
CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. BLDG.NO. 3651 7/09/814 'I
CONSTRUCTION PERMIT Pi 3g9Q ,
Project Address 2.oI.? Zen-+is n A TYPE OF CONSTRUCTION U IVEW U ADD U ALTERATION LI REPAIR ,
Applicant's Mailing Addrreess/ / El CONVERSION ❑ DEMOLISH El OTHER A.P.0 I Zone
Owner's Name — 0/4CA Q ' Phone`5YO DESCRIPTION OF WORK
S Main Building: Accessory Building: Z
Address TYPE OF PERMIT U GRADING FOUNDATION U STRUCTURAL E Front N
Arch/Eng. / License No. LI TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL B I
Address A Rear N
/'�/ q�// `, / p p ❑ OTHER
Contractor's Nernrataca/) //asw.bent et ta„febti Phone J—YaSs PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right G
Address(mailing) I./ir l(f/J CN �n!� IT .T.fJ/i A a 927'? CON ST RUCTION TYPE VALUATION$ _ _ S Left R
City License Na.
3o ? 3S ZONE GRADING CU.YDS. ACRES Ping. Ref.# Park.Fees $ Q
U
LICENSED CONTRACTOR DECLARATION Remarks: Parking Req./Provided (
I hereby affirm that I am licensed under provisions of Charter 9 (commencing R
with Section 1000) of Division 3 of the Business and Professions Code, and Use of Building: E
my license is in full force and effect. Planning Notes: M
License�l ss LIc No PLUMBING FEES
Dat Signature .— ' E
WORKERS'COMPENSATION DECLARATION Bar Sink Showers T
T
I hereby,affirm that I have a certificate of consent to self-insure or a certificate Backflow Preventer Service Sink S
of Workers'urs' Compensation Insurance, or a certified copy thereof (Section -
3800, Lab. C.) Backflow Irrigation Sewer Cap ELECTRICAL FEES
Policy No.. Company €
BCertified copy Is hereby furnished. Bathtubs Sewer Connection Automatic Washer Transformer 0 15-50 KW
Certified copy is filed with the city Building Division.
Date (r Applicant...sClarifiers Solar Collectors Construction Pole Sub. ❑ 50+KW
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Dishwasher Solar Piping Cooking Unit Meter Dup to 100 amps
(This section need not be completed if the permit is for one hundred ($100) or
less). DrinkingFountains
I ss)certify-that in the person
performance of the work for which this permit is issued,I Solar Tank Dishwasher Meter Clover 100 amps
shall not employ any person in any manner so as to become subject to the
s,,s�,/ gensa Ion Laws of Califory "09 , Floor Drains • Swimming Pool w/Spa Dryers ❑Gas DElectric • Sub Panel
Date y
Date %�iG" Signature s[G //L!/J�tja
,Wean-
NOTICE:
E:If,:after making this declaration,you should become subject to the Floor Sinks Urinal Fan
Motors 00-1 HP 0114-B
Workers' Compensation provisions of the Labor Code, you must forthwith -
comply with such 'provisions or this- permit shall be deemed revoked. Gas Service Outlets Water Closet i F.A.U. Inc.Solar 09-15 HP 016-15+ '
CONSTRUCTION LENDING AGENCY •
I hereby affirm that there is a construction lending agency for the performance Interceptors Water Heater CO Fixtures • •
of the work for which this permit is issued (Section 3097 Civ. C.) p Ast9/u"a.- .2 Microwave
Lender's Name Kitchen Sink Water Service / Device Boxes Pole Light
Lender's Address - Lavatories
OWNER BUILER ECLARATION
DDOutlets Range
I hereby affirm that I am exempt from the Contractor's License Law for the P—Trap following reason (Section 7031.5.Business and Professional Code: Any city or - p _ 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 Drains . ' . ' Garbage Disposal Standing Sections
to file a signed statement that he/she is licensed pursuant to the provisions of •
the Contractor's License Law(Chapter 9(commencing with Section 7000)of -• Generator+❑0.5 KW ❑5.15 KW Trash Compactor Division 3 of the Business and Professions Code) or that he/she is exempt p
therefrom and the basis for the alleged exemption. Any violation of Section
7031.5 by any applicant for al permit subjects theapplicant to a civil Reinspection Fee I $25 Issue Fee ^ $ 3 Cl
oenalty of not more than five hundred dollars ($500). -
LJ I, as owner of the'property or my employees with wages as their sole MECHANICAL • Reinspection Fee $25• Issue Fee $ 3
compensation, will do the work, and the structure is not intended or offered FEES
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 . BoilerHood or Type I - 0 - ,
thereon;and who does such work himself/herself or through his or her own Zoning Approved By Date
employees, provided that such Improvements are not Intended or offered for - Canopy Type 11 ❑
•
sale. If, however, the buildingor improvement Is sold within oneyear of com- Duct-Under Ground .
d Building Approved By Date
the owner will have the burden of proving he/she did not build or im-
move f
rove for the purpose of sale). Duct-Structural Refrigeration System Application Issued By Dat
LI 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 BUI LDING PERMIT $ - SMTP $
tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK $ PERMIT
❑.l am exempt udder Section B.& P.C.for this reason Firepl/Fact.BIt. ICBG# PLUMBING $ S. et° ISSUANCE $
Date Owner Heating System& Ducting PLAN CHECK 25% '$ ENERGY P.C. $
_
I hereby certify that-I have read.this application and state that the above ❑0-100,000 BTU 0100,000 BT - I GRADING $
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- MICROFILM $
sentatives of this city to ente upon the above-mentioned property for PLAN CHECK 50% $
inspection pur•.s- - Q
Signature)- E. . .
Reinspection Fee $25• Issue Fee $ 3 PLAN CHECK 25% $
N.
Drivers' License or SS
CMF 0865-46 rev. 12/83 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor • -
•CONSTRUCTION AND PLANNING POOL&SPA r,
• Date Inspector - Date' , Inspector .
-APPROVALS Permit# ,,, APPROVALS Permit# ' _
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. 551. Electrical Bonding .
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE, ' ' r
7. Footings • . . 58. Electrical Conduit-Undrgrnd. .
8. Foundation 59. Gas Pipe,.0 Undrgrrid.,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 1
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 O Oil r ! '
23. Gas Pipe-Rough & Test 72. lnderground Flush' ,
- 24. Roof Framing • 73 Undergrnd.Storage Tank'O Gas ❑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 - I -
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:
34. Final Heating & Air Conditioning .
35. Final Gas Pipe-Test • •
-I
36. Hood or Canopy • ' - I
37. Final Factory Fireplace - -
_
38. Final Plumbing 0r CLO ,
39. Water Service-Final
40. Gas Service-Final '
41. Solar Domestic-Final - -
42. Backflow Preventer .
43. Backflow Irrigation - , ' - r° _
44. Landscape Irrigation System i ' ;
45. Sound Attenuation
46. Handicap Regulations
•
47. FINAL STRUCTURE & BUILDING -
48. Special Requirements Completed. S I I - '
49. Electric Release to Edison -
'50. Gas Release to Southern California Gas Co • i I , .
51. CERTIFICATE OF OCCUPANCY ---• ;-
No. - - Date .- - I _ _
•
OWNER PACESETTER WEST JOINT VENTURE DATE 3-22-63
JOB ADDRESS 2018 Lemnos Drive BUILDING PERMIT NO. 19102
GENERAL CONTRACTOR Andros Land Company VALUE $ 26,262.00
AP No. LOT 18 TRACT 13118 FIRE ZONE DESCRIPTION OF WORK res att gar
INSPECTIONS Signature DATE GROUP 1W TYPE V ZONE R 1
Soil -rte, PERMITS ISSUED
Gas SUBCONTRACTOR DATE NUMBER
Water f - -/ d
Rough Com. Refrig. 0 - Air Cond. 0
Rough Heating fail• t// -/44b5 r-its/ _ 5--AZ-13 .45-47f f✓
Rough Plumbing /-/%%g o„s/ii S�-a-G3 .3.O/d f0
Miscellaneous —�-"— 0 _
Prop.Swr.Line Q
House Con. 'St.Swr. 0 Q.fl /,-25-LJ r/._ -'- 6-id-L, T!i�' Al
Sprinkling System 1r
Construction Pole
Underground 0 Power El
Rough Wiring / J /•/?0 V3.nr o 1AN4LML1/n✓�A�C/ 1-9-di 0:70a."-A: e
'trenches It Forms IS- Steel Ifeirr--Itl a- y - (;
Floor System /4/011-60
Bond Beam 0 Steel Reinforce 0
Sheathing6-/C -n
Frame and Flashing 4 fq 4T
Lathing — In Rk- Out S- -„ .,T--z3_
Plaster, brown coat 77 7
R.efrig. 0 Air Cond. 0 Final
Heating, Final •.'I. 99- '"-7k4 5
Plumbing Fixtures, Final , // 91 ',y GZ
Final,Gas Test JS 41- 'L y_ � ?
Electric Fixtures, Final
Building, Final -apc
OCCUPANCY
19102 FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT2 2 1963
P.O.BOX 317 COSTA MESA,CALIFORNIA MAO
FINANCE DEPT.
For Applicant to Fill In Completely APPLICATION FQR'YPE1 %FLOSTA MESA
v `I V,/ TYPE OR PRINT ...417r BUILDING
For Office Use Only
BUILDING ^,/7� nn__
ADDRESS „( .-Q�stil/>1p'Q- .dL ' RECEIPT NO. P,rspryT/1q
COSTA MESA. CALIFORNIA / U1 / (•
��jJ`,�/��///__ / RECEIVE BY DATE RECEIVED DATE ISSUEDD�
OWNER >2NE%474 /Z.210.--910,420:11/` / - G' I,M 4 G
MAIL } '�/),, �/]� / BUILDING
ADDRESS�f/ tr )2747-Cne+ . jD2j/ q ADDRESS Q .7„...-
TEL.
CITY ( 2.P�_.ct_.. NO. O �L,y ZONE TYPE GROUP�.G. �
ARCHITECT •y/ /J_ / TEL. 771-• - APPROVED DATE
OR ENGINEER /T GGS`1CIrW NO. ?'S G /
l.�/ /Jo � (02w...,...& ZONING i
ADDRESS / 772 /�I _a al., .' 20•,;,.Y[�/ NO.OP •7�USEOPry j(�/, •
//// I�( PUNS EUILDIN !! y{�A I
CONTRACTOR� /LA}p (_�'A)G�Qycc. VVV LLL ���JT�� `V/' I f}'/\
(n�,, l('//�/JJ LEGAL ISL] 1 > l O rig/
ADDRESS /a .? /176.-rcB2e- -- .(9v DESCRIPTION
CITY ( /L� /7 A.P.NO. �-ft
CC
ATE /' NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
LIC..NO. /f 7/e NO. .C/TG�41 y 7� EAV S
SIZETO SIDE Q REAR P.L.
OF LOT 7o',L/p0 I NOW ON LOTS 0 ALLOWED (U.B.C.REQUIREMENT)
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
S (FROM C/L STREET)
SETBACK LINE FROM L ///, FRONT SFT. • FT.
CENTER OF STREET REAR YARD "' ' /
SIDE YARD I LEFT 5 I RIGHT 5 R.SIDE J FT. FT.
—
__
DESCRIPTION OF WORK L.SIDE �FT. FT.
NEW /, ALTERATION ADDITION REAR ) FT. FT.
—I DISTANCE BET. BET.MAIN @
REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS.
BUILDING NO.OF VAR.# //�� DATE
SIZE ROOMS STOR.IB'�•��/' C.U.P.#� \I APPROVED
EXTERIOR WALL ROOF �'CZ APPROV 3-7�3
COVERING _GGpi COVERING BY DATE
USE OF BUILDING AND RK TO BE['WORMED
/o �� AG -/ mil X71
y// r/!//}�
-1-044- 3 PGA' I a / 7BG.FT. sob
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE 8
AND STATE THAT THE :OVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
PLY WITH ALL CITY •'DI ANCES AND STATE LAWS REGULATING -
VALUATION `,
BUILDING CONSTRU ION. �/ PERMIT FEE $ ,/1 ,3 — j
SIGNATURE OF On G
PERMITTER A ./ �P-C�����LL���CLL-«C ,, 0 / - _. ' ' L
spl / (p _ J 0
AUTHORIZED AGENT a
‘ TOTAL FEE $ /02 iSG