HomeMy WebLinkAbout2995 HARBOR BLVD - Building Permits _ _ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. _ -
CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. BLDG.,NO. - . - 6403 �� 5IQt: 260]`} TI-
CONSTRUCTION PERMIT 4560 6- �, Iy'10� y ' •
•
Project Address W99S NAR6oA dt VO �`•"�� TYPE OF CONSTRUCTION LI NEW bl ADO 19I ALTERATION H REPAIR .
Applicant's Mailing Address : I/Ya ,CEO 644.401 Sr' A'ok'!n CI CONVERSION ❑ DEMOLISH El OTHER . A.P.# - . ' Zone-
Owner's'Name Phone DESCRIPTION OF WORK
S Main Building: Accessory Building: Z
Address - TYPE OF PERMIT U GRADING ❑ FOUNDATION NNS ❑ STRUCTURAL E
Front - - N
Arch/Eng. License No. ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING lila'MECHANICALB - - I
. Rear N
to Address '+ • ❑ OTHER A C Right • - - G
Contractor's Name Wf t CIUW
.tithadPhone LiD"3X2 PROJECT DESCRIPTION SQ. FT. OCCUPANCY -
��''.3�t CON ST RUCTION TYPE VALUATION$ 5 Left R
( Address(mailing) /�y0' .CL�6lIa'1 3T 19.( E�nsE
City License No. ISO Ci77 ZONE �/,G�RADIN.GG CU.YDS.`/ ACRES Ping. Ref.# Park.Fees $ Q
M LICENSED CONTRACTOR DECLARATION : • Remarks: ' LOG �C/�/'/lT 'YT 10 17 51 Parking Req./Provided - �
in
I hereby affirm that I am licensed under provisions of Charter 9 (commencing R
' with section 7000) of Division 3 of the Business and Professions Code,and , I - Use Of Building: E
my license is in full force and effect.
Licen C ass C ��(�Ic/g�ysja,�No. '2? r�.l PLUMBING FEES Planning Notes: ME
Date ' Signet Lire ,
ORKERS'COMPENSATION DECLARATION Bar Sink • Showers N
T
'ereby affirm that I have a certificate of consent to salt-Insure or a certificate -. - - - '
of Workers' Compensation Insurance,or a certified copy thereof (Section Backflow Preventer-- Service Sink S
3800, Lab. C.) t. Mrl7 c�h� Backflow Irrigation Sewer Cap r'. ELECTRICAL FEES
Policy No. AJPI?,yo' Company _ '
❑ Certified copy Is hereby furnished. ' Bathtubs Sewer Connection Automatic Washer Transformer ❑ 15.50 KW
f$Cerpfi tl,�opy Is filed with the city B�lO�g D v sio 0 50+ KW
Date d �7 Applicant e- + ��-�' Clarifiers Solar Collectors f _ Construction Pole Sub. -
EXEMPTION FROM WORKERS'COMPENSATION DE LARATION Dishwasher Solar Piping
(This section need not be completed if the permit is for one hundred ($100) or P 9 Cooking Unit Meter ❑up to 1008mps
less). DrinkingFountains '
I certify that In the performance of the work for which this permit Is Issued, I Solar Tank Dishwasher Meter Dover 100 amps
shall not employ any person in any manner so'as to become subject to te - I .
Workers' Compensation.Laws of California. Floor Drains Swimming Pool w/Spa Dryers ❑Gas -❑Electric Sub Panel
Date Signature - '
NOTICE:Ifod(I¢f making this declaration, you ShUWd become subject to the Floor Sinks Urinal - Fan '
Workers' Compensation provisions of the Labor Code, you must forthwith - Motors❑61 HP ❑iX-8
comply with such provisions or this permit shall be deemed revoked. ' Gas Service Outlets Water Closet •
F.A.U. Inc.Solar HP 016-15+
CONSTRUCTION LENDING AGENCY -
1 hereby affirm that there is a construction lending agency for the performance • Interceptors Water Heater • Fixtures
Microwave •
permit is Issuep
of the work for mutesti (Section 3097 Civ. C.)
Lender's Name /Vp/1/ _ ' Kitchen Sink. • Water Service Device Boxes Pole Light • I
Lender's Address Lavatories -
OWNER BUILDER__EC DECLARATION . Outlets 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 , _ Switches Sign ,
:county which requires a permit to construct,alter,Improve,demolish or repair .
any structure, prior to its issuance, also requires te applicant for such permit Roof Drains - Garbage Disposal Standing Sections
fp file a signed statement that he/she is licensed pursuant to the provisions of ,
f "- Contractor's License Law(Chapter 9(commencing with Section 7000)of
r..i^ision'3 of the Business and Professions Code) or that he/she is exempt • - Generator 00-5 KW 05-15 KW Trash Compactor
¢`ySrefrom and the basis for the alleged exemption. Any violation of,Section '
1031.5 by any applicant for a permit:.subjects the applicant to a civil Reinspection Fee I
pe $25 Issue Fee $ 3
penalty of not more than five hundred dollars($500).
LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee $25 Issue.Fee ,$ 3
compensation will do the work,and the structure is not intended or offered MECHANICAL I 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 Boiler Hood or Type I ❑
thereon, and who does such work himself/herself or through his or her 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 com- Duct-Under Ground Building Approved ByDate
pletion,the owner will have the burden of proving he/she did not build or im-
rove for the purpose of sale). Duct-Structural Refrigeration System Application Issued By Dat t5
I, as owner of the property,am exclusively contracting with licensed con- ❑0-100000 BTU ❑100000 BTU
tractors to construct the project (Section 7044,Business and.Professions Code: Duct-Ventilating
The Contractor's License Law does not apply to an owner of property who - , , SUMIVIARV OF FEES
builds or Improves thereon,and who contracts for such projects with a con- ' Exhaust System D Multiple❑ System Repair/Alteration . BUILDING PERMIT $ SMIP $
tractor(s) license pursuant to the Contractor's License Law). (gyp PLAN CHECK $ PERMIT '
❑ I am exempt under Section B.&P.C.for this reason Firepl/Fact.Blt.ICBG# I A/j, ({,I/0w rl/.3 9 p0 PLUMBING $ f ISSUANCE '$
Date • Owner Heating System& Ducting MA- OPet� 4.1/OLX/3' is 00 PLAN CHECK 25% $ ENERGY P.C. $ '
I hereby certify that I-have read this application and state that the above - ❑0.100,000BTU 0100,000 BT - 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 repro- . PLAN CHECK 50% $ MICROFILM ,$
sentences of this city to enter upon the above-mentioned property for , '•
Inspection purpo /f Q •�/ MECHANICAL $ 2.2.C� a6. 7'r '
Signature Agee�i /(
Reinspection Fee l $25 Issue Fee • . $ 3 PLAN CHECK 25% $ nab+ 2r •
Drivers' License or SS# - - - '
-
CMF 0865-46 rev,12/83 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor
CONSTRUCTIONANDPLANNING i ,POC SPA . • . '. , •
APPROVALS Permit# Date Inspector APPROVALS Permit# - _ Date ' .Inspector. _
- .. , ! - - • - _ I`.• _
r 1 Temporary Electrical Service or Pole?: " _ ` 52.'Pool & Equipment Location „ ,i ..
2: Soil Pipe-Undrgrnd. 53: Steel Reinforcement
-3...ElectricalConduit Utility_Undrgrnd:, : :�. ' . 54: Forms • - _ -. . �
-,
4 Electrical Conduit-Undrgrnd. - 55'Electrical Bonding _ _
5:Steel,Reinforcement , , 56. Rough Plumbing& Pressure Test - ,
6. Electrical UFER 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. " "I -
n
10 'Strubtural Floor System 1 61. APPROVAL TO DECK •
11.'Property Sewer Line & House Connection • r "' ''
62. Backwash & Receptor-Final - ' _
12.,SewerlCap 63. Heater &Vent-Final.
13. Roof:Drains '' 64. Plumbing System - Final' ' _ I >: • . - -
14. Rough Plumbing .• 65. Electrical-Final - ` '
15. Rough Electrical-Conduit 66. Solar System-Final ,- ._ " ' ' -"'-- - . -- , ,
•
16. Rough Electric Wiring - -" _67. Fencing & Access Approval - - ' - - " - : - 't '
17. Rough Wiring Sign 68.,APPROVED FOR PLASTERING , ` '
18. Rough Electrical-T Bar Ceiling - ., 69. POOL/SPA SYSTEMS FINAL . I 'n
.,19. Rough Heating& Air Conditioning 1/0121 G56 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 tI •• , , I 11
23. Gas Pipe-Rough& Test 72. Underground Flush . t--'
I
24. Roof Framing" 73. Undergrnd.Storage Tank LGas O'Oil- '
25. Roof Sheathing • 74.,Overhead Hydro _ . r, : - ! '
,II 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical -
27. Frame and Flashing 76. Dry Standpipe r 7 - }'.'. ,
•
28. Lathing'& Siding ' l 77. FIXED SYSTEM FINAL !' t '
• 29, Insulation 78. FIRE PREV. FINAL - '
:30. Drywall Nailing • HEALTH DEPT. REQUIREMENT t
31. Plaster Brown Coat 79. FINAL INSPECTION i , I ' '.
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED • : ', , •
33. Final ElectricNotes: t
34. Final:Heating &'AirConditioning &a-kQ
. (. 0- '
35. Final Gas Pipe-Test. , -
36. Hood or Canopy . _ - ,
37. Final Factory Fireplace -
38. Final Plumbing I , , I , - - ,
39. Water Service-Final : ' • ' 4 ' - , - 7
40. Gas Service-Final ' .
41. Solar Domestic-Final , _ i , e
,-
�1'i
1.
42. Backflow Preventer t _ t _ •• '0I� '
43. Backflow Irrigation • • .
44. Landscape Irrigation System ' . .
45. Sound Attenuation• - r-L- - i-
46. Handicap Regulations • 2 -
47. FINAL STRUCTURE& BUILDING ! `
48. Special Requirements Completed: • • .
F
49. Electric Release to Edison - t - - - - I 41
•
50. Gas Release to Southern California Gas Co •
51. CERTIFICATE OF OCCUPANCY - • . - - • - - - " '1_
No, - - Date: -