HomeMy WebLinkAbout2935 RED HILL AVE - Building Permits • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. y .00 4-41a/85 p
CITY OF COSTA MESA �9pNST..��IJCIITIQQN PERMIT i PE IT NO. TRACT NO. LOT NO. UNIT NO.
/e�0 1
X9 3.3—/F'�z<1d !PCGue cirarApplicant's - -I 1 TYPE OF CONSTRUCTION gbnIEW Li ADD U ALTERATION U REPAIR �.
Upq ��e�sQ� / �i� ❑ CONVERSION ❑ DEMOLISH 0 OTHER A,P,54. Zone
Owner's Name P�Q��o' '_ bffe71„g`f Phone DESCRIPTION OF WORK/USE OF BLDG.
Address y�6 O4 ei ' Zvs) Sr'M( n S Main Building: Accessory Building: �`'
Arch/Eng. Y License No. O TYPE OF PERMIT U GRADING U FOUNDATION U STRUCTURAL E
Front p
Address ,,, �) 0 TENANT 0 ELECTRICAL 0 PLUMBING 0 MECHANICAL B Rear N
Contractor's Name�1n 'ea Phone,/7/176'71 ❑ 'OTHER A I
4,.4- _4,-,/fes} Il r C r0 Cetc951, PROJECT DESCRIPTION 5G. FT. OCCUPANCY C Right N
Address(mailing) p7'1� (104:' 'r/ CONST RUCTION TYPE VALUATION$
3/ 7 Y ` $ Left
City License No. ZONE GRADING CU.UDS. ACRES R
LICENSED CONTRACTOR DECLARATION Ping. Ref. Parking Req./Provided E
D
I hereby affirm that I am licensed antler provisions of Charter 9(commencing Remarks: Planning Notes:
with section 7000) of Division 3 of the Business and Professions Code, and M
my license is In lull force and leffect. T
License Class G_ -� 3 b License o j If •t
Date li��?1 Signature"�'JJ a- �^� i PLUMBING FEES .
,i ORKERS'COMPENSATION DECLARATION ' A
hereby of firm that I have a certificate of consent to self-insure orya certificate Bar Sink Showers • ELECTRICAL FEES
Of Workers' Compensation Insurance, or a certified c9py the, of (Section Backflow Preventer Service Sink Automatic Washed - - Transformer 0 15-50 KW
3800, Lab. CY< _ - --• - -
P 'Certified
f/'i-3�� 7,3 Company - - Backflow Irrigation Sewer Cap Construction Pole;Sub. / 0 50+KW
Certified copy is hereby furnished. _
Certs led cop led with the city�Bu�ilQin Dlviiion. /�/J` Bathtubs Sewer Connection ' Cooking Unit �. Meter ❑up to 100 amps
Date Jjz�/ " Applicant-/�� vr- - - -
EXEMPTION FROM WORKERS'COMPENSATION CLARATION Clarifiers Solar Collectors Dishwasher '
, Meter
(This section need not be completed if the permit is for one hundred ($100) or Dover 100 amps
less). Dishwasher Solar Piping `' Dryers ❑Gas ❑Electric Sub Panel
I cetify that in the performance of the work tor 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 00.1 HP ❑1%-B
Workers' Compensation Laws of California. . .
Date Signature Floor Drains Swimming Pool w/Spa F.A.U.
NOTICE: If,after making this declaration, you should become subject to the — _ Inc.Solar ❑9-15 HP 016-15+
Workers' Compensation provisions of the Labor Code, you must forthwith "i Floor Sinks ' Urinal - Fixtures Microwave
, 3
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY Gas Service - - Outlets Water Closet Device
I hereby affirm that there is a construction lending agency for the performance ' - Boxes Pole Light
of the work for which this permit Is issued (Section 3097 Civ. C.) Interceptors Water Heater - Outlets
Lender's Name - Range
Lender's Address Kitchen Sink Water Service ' • Switches Sign '
OWNER BUILDER DECLARATION ' •
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories
following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal 'Standing Sections
county which requires a permit to construct,alter improve,demolish or repair P-Trap Generator ❑0.5 KW ❑5-15 KW Trash Compactor
any structure, prior to Its issuance,also requires the applicant for such permit - '�� �D p ctor
to file a signed statement that he/she is licensed pursuant to the provisions of �l Roof Drains I
he Contractor's License Law(Chapter 9 (commencing with Section 7000)of -' -
*Division 3 of the Business and Professions Code) or that he/she is exempt i
therefrom 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 •
aenalty of not more than five hundred dollars($500). /1/} /
LJ I, as owner of the property or my employees-with wages as their solo Reinspection Fee I $15 Issue Fee $ 3 ✓-
compensation, will do the work,and the structure is not intended or offered -
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL . - _. Reinspection Fee $15 Issue Fee $ 3
thereon Law does not apply to owner if a property who builds or improves
FEES
thereon, andwho does such work himself arelf or intended
his or her own ' DEVELOPMENT SERVICES REQUIREMENTS:
employees,le. If, provided that suchngorimprovementsimry are oot within
or ofcd m-or Boiler • Hood oType I 0
sale. If, thehowever,wthe building dopro i sold within one yeardrim- Canopy Type II ❑ Zoning Approved By Date
plebe the owner sewill have the burden of proving M1O/she did not build or im- Duct-Under Ground Building Approved ByDate
�srove for the purpose the of sale).p
LJ t as owner tr the project tcontracting ing wrof licensedioncon- Duct-Structural Refrigeration System Application Issued By -------91W—Data 8
hetors t construct the project (Section 7044,Business owner antl Pro prop rt Cotle:
The Contractor's License Law doth not tract to ran property who Duct-Ventilating ❑0.100,000 BTU El 100,000 BTU SUMMARY OF FEES
tbuildsracts or improves thereon, and who contracts for such Iprojectswith a con- 1
tracter(s) license pursuaht'to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration • BUILDING PERMIT $ $MIP $
proof of their Worker's Compensation Insurance should be provided to me. PLAN CHECK $ PERMIT
I: I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIL ICBG•k PLUMBING $ 'T ISSUANCE $
Date Owner Heating System& Ducting PLAN CHECK 25% $ 1 ENERGY P.C. $
I hereby certify that I have read this application and state that the above ❑0-100,000 BTU 0100,000 BTL - ELECTRICAL $ GRADING $
Information is correct. I agree to comply with all city and county ordinances
and state laws relating to building construction, and hereby authorize repre- MICROFILM $
sentatives of this city to enter upon th ,4bove-m coned property for - PLAN CHECK 50% $
Inspection sea
Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865-46,rev.4/84 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor - -
CONSTRUCTION AND PLANNING- PL_ &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 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final •
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 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 1. 78. FIRE PREV. FINAL
30. Drywall Nailing
r
sF II! HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat if ( 79. FINAL INSPECTION
32. Electrical Power Meter-Final fl i+ 80. FOOD CERTIFICATE ISSUED
33. Final Electric V Notes:
34. Final Heating& Air Conditioning
35. Final Gas Pipe-Test •
36. Flood or Canopy
37. Final Factory Fireplace
38. Final Plumbing 21/i/rCift,
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final -
42. Backflow Preventer
•
43. Backflow Irrigation ,
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison
, 50. Gas Release to Southern California Gas Co
•
51. CERTIFICATE OF OCCUPANCY
No. Date _
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
PERMIT NO. TRACT NO. LOT NO. UNIT NO.
CITY OF COSTA MESA CsN$/T UCTION PERMIT PERMIT -rt e 4673 7/23/84 4R•Ci: TI,
Project Address 29 3'S "amu rill dao, /`4A ,l — M I L1-1 €
Applicant's Mailing Address ?FCC 55iives Ibk /1`YL' TYPE OF CONSTRUCTION !KNEW 0 ADD U ALTERATION U REPAIR
Owner's Name ` •�I:S �inisRS mop. Phone #'103 0 CONVERSION ❑ DEMOLISH ❑ OTHER A.P•.46 Zone
�i PA
DESCRIPTION OF WORK/USE OF BLDG.
Address WC 6ussin.et Pk et S Main Building: Accessory Building:
CO Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING LI FOUNDATION U STRUCTURAL E Front ZO
CO Address AA,,.. 0 TENANT ❑ ELECTRICAL ❑ PLUMBING lot MECHANICAL BB Rear N
I Contractor's Name /V °J Oats eN� Phone ❑ BOTHER C Right N
PROJECT DESCRIPTION SQ. FT. OCCUPANCY _ g
Address(mailing) 3127 kreF ertCom• CD yin K G
( g 7 CON ST RUCTION TYPE VALUATIONS s Left R
City License No. /ZOgJ - ZONE GRADING CU.YDS. ACRES _ Ping. Ref.# Parking Req.IProvided E
LICENSED CONTRACTOR DECLARATION - - O
I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: Planning Notes: M
with section 7000) of Division 3 of the Business and Professions Code,and
my license Is in full or a0ntl este 36/j0�E`
T
License CL a• Licen • o. veT' _J S.
Date -AC Signa;rJsa•rr ���_? PLUMBING FEES
YORKERS'C ATIO CLARATION
rs MI
hereby affirm that have a certificate of consent to self-Insure or a certificate Bar Sink FEES
Of Workers' Compensation insurance, or a certified copy thereof (Section IIthat I Backflow
3800, Lab. C�s.�f per) �+,�,,�. �-•� J�_� °
•
Polic No. r6f I�707D ComPan r*`�'r 0/s7C -LNK+'Cae11Vs ■ KW
■I -.A� utomatic Washer , Transformer ■ s
• Sewer Connection
I C Y y Backflow irrigationBathtubs Service Sink
Sewer Cap ■ ■
® Certified copy is hereby furnished-
Certif �/ppsL ics •
flied with t,s��y�y��� Buil•'n•� islo}i
Date 0I•/ s�J Ap -.�.TI �� -- ...
■ 11 amps
EXEMPTION FROM WORKS- 'ASO MPENSATION •ECLARClarifiers ATION Collectors „® ••• init ■•• ••
(Th is section need not be completed(f the permit Is for one hundred($100)or
less). • • - ■ ■
TI 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 ie Drinking Fountains
Workers' Compensation Laws of California. ■• • ■
Date Signature • 09-15 ■
i NOTICE: If,after making this declaration, you should become subject to the
1615+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal
comply with such provisions or this permit shall be deemed revoked. Microwave
CONSTRUCTION LENDINGng
Sola• Gas Service raterUhii.t :. .
I hereby affirm that there is a construction lending agency for the performance Pole Light
of the work for which this permit is 'sumo (Section 3097 Civ. C.) Interceptors Water Heater Outlets Range
Landers Name /Vet
Oda
aw1
Lender's Address �I/ Kitchen Sink Water Service Switches
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Garbage Disposal 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' •
5-15
any structure, prior to its issuance, also requires the applicant for such permit •11L,raitima•rILt4.1rns1.
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains
the Contractor's License Law(Chapter 9(commencing with Section 7000)of
Division 3 of the Business and Professions Code) or that he/she is exempt
therefrom 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
enalty of not more than five hundred dollars($500).
I, as owner of the property'or my employees with wages as their sole Fteinspection Fee $15 Issue Fee
compensation, will do the work,and the structure is not intended or offered
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 Reinspection
thereon, and who does such work himself/herself or through his or her owne • • '
employees, provided that such Improvements are not-Intended or offered for 3 Boiler ,/eovdc .(5111-/fev
t Hood or Type I • 0 C/1
sale, if, however, the building or improvement is sold within one year of com- Canopy Type II 0 L 2� 50 Zoning Approved By Date
diction, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground •Building Approved By
e&ove for the purpose of sale). •'
te
U I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By r4it•C-.) Date 7-1 7
tracors 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 ❑o-100,000 BTU ❑100,000 BTUY 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 ❑ Multiple❑ System Repair/Alteration Exhaust SystemyBUILDING =-
proof of their Worker's Compensation insurance should be provided to me.
❑ 1 am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# r
tisfi,atot PLAN CHECK $ PERMIT
PLUMBING $
Date Owner Heating System& Ducting 2 00 '•• £ () coot, ` 00PLAN CHECK 25% $ ENERGYI hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BTL' 11c »..� Coal, cGRADING $
Information is correct. I agree to comply with all city and county ordinances I 4 JO/OHO try y 1-IX4e ' 7 .7
• ELECTRICAL $
and state laws relating to building construction, and hereby authorize repro- PLAN CHECK •. MICROFILM
■.n[a[Ives of this city to en upon above-mentioned pro erty for
�Iy Pection purposes- / _•a
•nature , mini rrivers' License or S5 Date 7 mReinspection Fee $15• Issue Fee $ 3
I
CMF 0865-46,rev.4/84 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor
, CONSTRUCTION AND PLANNING PO.._&SPA
APPROVALS Permit # Date Inspector APPROVALS Permit# Date Inspector
•1. Temporary Electrical Service or Pole 521 Pool & Equipment Location
�
•
' 2. Soil Pipe-Undrgrnd. • � 53. Steel Reinforcement
3: Electrical Conduit Utility-Undrgrnd. • 54. Forms
4. ElectricalConduit-Undrgrnd. - 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Crud. 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. Seweti Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
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 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 Coatti‘ 79. FINAL INSPECTION
vara•32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED ' •
33. Final Electric - Notes:
34. Final Heating& Air Conditioning �(,tg
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
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date