HomeMy WebLinkAbout2999 HARBOR BLVD - Building Permits PROJECT ADDRESS: UNIT:
2999 HARBOR BL CITY OF COSTA MESA — BUILDING PERMIT.. PERM NO: E 070446
OWNER'S NAME: CITY OF COSTA MESA '"
ADDRESS: 77 FAIR DR PERMIT NO: E 070446 PLAN CHECK NO: N GOVT; Y SUP?; Y
J C.M. 92628
CONSTRUCTION TYPE; PERMIT TYPE: ELE PURPOSE; OTH
\L% ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : INSTALL, ELECT. SERVICE TO BUS SHELTERS SQ FT;
ADDRESS: UNIT:
CLAIM VALUE; CALL—VALUE: GROUP OCC; B-2 /
PERMITTEE: N.D• ELECTRIC ( 714 ) 498-1799
ADDRESS: 2816 VIA AMAPOLA COMMENTS: POWER TO BUS SHELTER FOR LIGHTING SUPPLEMENT TO E67063
SAN CLEMENTE CA 92673 ***r***************** ***air*4€*******************************4k**333.**K-Yak***at***3E*
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 2 0 N I N G R EQU I R EMEN TS
7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.
CIYLlc.: 060254 STATELIC.:523613 cuss: C-10 EXP; 10/95 S E T B ACK S
ie:_�2 7>j —WC Signature'
�—' '— MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT• FT IN REAR; FT IN
Compensation Insurance.or a certified copy thereof(Section 3800,Lab.Cl. LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN
POLICY NO.: 10 6 6 0 6 2-94 EXP.DATE: 01 /01 /95
MPANY: STATE FUND PARKING REQ: PROV: PARCEL: 00000000 ZNE: REF NO:
' Certified copy is hereby furnished. X Certified copy is filed with the city Building Division. PLANNING NOTES>
>
Date:
[[
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). DEVELOPMENT S E...R V ICES R EQU IR EMEN TS
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 Workers'Compensation Laws of California. ZONING APPROVED BY . ...'
DATE;
Dale: Signature:
NOTICE:0,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : ... DATE:
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y; • : y DATE: 18 h it
which this permit is issued(Section 3097,Civ.C). ************************ *************.*.*.***.**.***.*******,***,M,µ*,** „ **
LENDER: ************************ *-iE*****.***********************************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SECMENT:N
I OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 18 . 50
repair any structure. prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 5 O;
pursuant to the provisions of the Contractors State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SM I P/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE ' 4 . 50
I. as owner of the property or my employees with wages as their sole compensation, win do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale)Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 0 . 00 0. 0 0 0 . 00 0.00 . 00 . 00
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 employees.provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS——> COLLECTED:
4
Ilorptheepurpose ooldawi;hin one year of completion.the owner will have the burden of proving he/she did not build or improve 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMI P. 00 O/TOT/SGRADING PLAN—CHECK
I,as owner DI the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business
❑ and Professions Cade: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).tam aware ********************************************44**********************************.
that proof of their Worker's Compensation insurance should be provided to me. I ND I V ID UAL F E E BR E A K D O W N
o I am exempt under Section: B.8 P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: owner: ELE 1 SERVICES BELOW 600 V s BELOW 201 AMP 18 , 50 •
18 , 50
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and' END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Orality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant.
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county 01 00173713-00173!13 Tp0: T .00
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned DATE: 12/20/94 71FIc': 09:59
property for inspection purposes.
,
r Date:—�L—23 L T Signature:
r 1
Driver's License or 29872
1641-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pmk—Revenue:Goldenrod—Assessor
I `\...,
CONSTRUCTION AND PLANNING - P00 SPA I '�T--
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Sena or Pote-n; 52. Pool & Equipment Location
2. Spil Pipe-Undrg-rnd. ci • ?...: 53. Steel Reinforcement
.3IL- ictrical CondsriF,l. 1ity-ttndrgrndnc,t l 54. Forms
:r ,:Ir
0,4':Electrical ConduittUiidrgrnd. ! J 55. Electrical Bonding
. -
.l..at. .y..,,1 4r:
;.,5. Steel Reinforceypotr• 56. Rough Plumbing & Pressure Test _
t»6)uElectrica1 UFER'Grind. ci 57. APPROVAL TO COVER-GUNITE
nn; .r C.. •,, ;,
914 FbPtings nu: 2 58. Electrical Conduit-Undrgrnd. "
-i8: Foundation 0 59. Gas Pipe, 0 Undrgrnd.,Test
Si _
9,' Water Pipe-Undrg'md. 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 Cap0) 0 a, 63. Heater & Vent-Final
^
13. Roof Drains rt'' nt 64. Plumbing System - Final
14. Rough Plumbirtl"g-,. u : 65. Electrical-Final
15. Rough Electrical-Conduit •-• 66. Solar System-Final
L)
16. Rough ElectriciVttiring , 67. Fencing & Access Approval
17. Rough Wiring Sign ,� 68. APPROVED FOR PLASTERING
18. Rough Electricai;T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating& Air ConditioningFIRE DEPT. REQUIREMENT
1 !. 1 p," .....• . * r.• r„ .... 1 • ^t C' o')-41331--r ti: to
20.4'Pough Fe)ctelli FiNalace I trta <-1 I O C) ='4 4 :p1,PPRCSVAt' )`)C}'erRflit# * `)
L 40 ,-, .--. - l 4 a " ._..., +.. ' • ,
21..Ducts,i Structure •• •• r+_ -+
n; r i -• J * .-; lr... gioi.4(11HY1 !)
22.•.Puci3, V'Fnti{-tin • ' i CJ•: • <• ,.',, y o• 1 '<• rw,1 ,
, ' qt)r I C', f C7 e' CJ i.'t 4 ui✓1. ProducLtlPij'ik LJTogs CID i I
p' -y 1J, _ Li 1 * `• r, : t LJ V.
23.. .R
Gas,Rip opgh&Trest P15 •'•
nl •', C)- • 72. Undergroti*1d Flustfl L•
24.'Roof:Framing• 04 i F.=-• "F - ' ' 7 lir
1-1 ti:* -11 .,.. t, 0: 1-.;,• • - ...linder rnU'Stora`'n�tnk r•Gas ❑Oil
25. Roof,Shg thing 6.• •-* ';i n14 4 74 .Overhead HydrO•^
26....T-Bed Ceiling (Strycturall &AAprtoEoat `, 0) [i h;, 'I' 75CDr:.14y Chen :a1 -1 t " rtit
+
•
27. Frame and Flashi v Ll ' > 3!* -
* * r• PI, , • ,
Rg* _10;m _ 1 o' >• � • 76. Dry Standpipe - •,n
28. ,Lathingt& Siding:J-• (^ <:x"' 0: * Z ..'4 ; 77„;FIXED S ST
' Er4 ANAL` 4 • '
•4
LO v 0) 1.1 ,. '. 4 ill a • I * .,.
29. Insulation d;. 4 _ . t 4 78ThIRE PREV. FINN!. * > til
30. Drywall Nailing ')" * Y * I1 IiMLTHt?7EPT:REQUIRCWIENT
31. Plaster Brpwq Coe/..' t• I ,+•n' I �' * 9.i.'FINAL 1 ECTIi f-J a
-32.tElectricaPPoCver Metei:
•
PROJECT ADDRESS: 2999 HARBOR BL UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 067063
OWNER'S NAME: CITY OF COSTA MESA
ADDRESS: 77 FAIR DR PERMIT NO: E 067063 • PLAN CHECK NO: N GOVT: Y SUPP : N
LAO C,M, - 92628
CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: OTH
t ARCH/ENGINEER: REG.ND.:
ADDRESS: UNIT: JOB DESCRIPTION : INSTALL . ELECT. SERVICE TO BUS SHELTERS SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC : B-2 /
PERMITTEE: N,D, ELECTRIC (714 ) 498-1799
ADDRESS: 2816 VIA AMAPOLA COMMENTS : POWER TO BUS SHELTER FOR LIGHTING
SAN CLEMENTE CA 92673 **********************BF*+E+t***BF*************+F****+t*ar k*BFy6**BFaF************kF**Br**ii•*
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect.
SETBACKS
CI .: 0J0254 STATE LIG.:523613 CLASS: C-10
Dar /0 Signature: MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance or a certified copy thereof(Section 3800, Lab.CI. LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN
POLICY NO.: 10 66062-94 EXP.DATE: 0 1 /0 1 /95
MPANY: STATE FUND PARKING REQ; PROV: PARCEL : 00000000 ZNE: REF NO:
allied copy is hereby furnished. 1.2 Certified copy is sled with the city Building Division.
: _ PLANNING NOTES>
>
Date: 5—Io —7k ApplicanC **********************************4***********************iE********************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred($100)or less). DEVELOPMENT S E'-R VICES REQUIREMENTS
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 Workers'Compensation Laws of California. ZONING APPROVED BY ,
DATE:
Dale: Signature: —
NOTICE:II,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : ,f DATE:
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: �A DATE-
LENDER:
AT TE: V-_.V-_.which this permit is issued(Section 3097,Civ.C). **********.If***.M,.%.********* *.***.1E.4**iF*T(. *iP** *yE.M,jF*iF iF j4*ih**,Xr i(.,x,**** **,• *aF
LENDER: **********************************************************************• *** ****
ADDRESS: LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT:N
OWNER BUILDER DECORATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 27 . 50
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'Slate License Law(Chapter 9lcommencing with Section 7000)of Division 3 of the Business 50% SMIP/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
• any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($5113). ISSUE FEE 15 . 00
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not Intended or offered for sate(Section 7044,Business and Professional Code: The Contractors'Slate License Law TOTALS————> 0 . 00 0 , 00 0 . 00 0 , 00 . 00 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own employees,provided that such improvements are not intended or offered for sale.lf,however the building or
improvement is sold within one year 01 completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED : , 00 OVER/SHORT: 00
for the purpose ofsale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware *.****$p.*.*..N.*.N,**********.1(,.It**.i(.*..N..N,.N,.IE.IE*.**.*..N,*******.*.H,***if,******.*ie*,Ib***,****************
that proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B.a P.C. IND IV IDUAL F E E BREAKDOWN
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner: ELE 2 FIXTURES, LIGHTING 1 ST 20 EA. . 75 1 . 50
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and ELE •
1 SIGN/ OUTLINE LIGHT SYS ON 1 BR CIRC 1 S , 0 0 1 S . 0 0
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from ELE 1 . MISC CONDUIT NOTE LISTEDF FEES
Date:
PERMIT 11 , 00 11 , 00
these provisions.
Date: Applicant: .0100160305-00160305 TOT .00
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county DATE: 05/10/94 TIME: 12:00
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned
property for inspection purposes.
Date: J `5—I0 --14..A1s. Signature: Vi�
=e�erSiicense or Social Security
Applicant;Pink—Revenue;Goldenrod—Assessor
c,
CONSTRUCTION AND PLANNING POt , SPA
Date Inspector Date Inspector
APPROVALS Permits APPROVALS Permit it
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 1i
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utitity•Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement. 56. Rough Plumbing & Pressure Test
1
6. Electrical OF ER Grnd 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd. � f
8. Foundation r 59. Gas Ppe, 0 Undrgrnd., Test _ l
9. Prater Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, C Ur.ci•w no i
10. Structural Floor System i I 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection f 62. Backtvash & Re ceptor Flom
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains I
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 FireplaceAPPROVALS Per,nit #
21. Ducts, in Structure 70. Underground Hydro
--
22. Ducts, Ventilating - 71. Product Piping 11 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
1
24. Roof Framing 73. Undergrnd.Storage Tank C Gas ".,O.
25. Roof Sheathing 74. Overhead Hydro _
26. T-Bar Ceding (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing& Siding 77. FIXED SYSTEM FINAL
l
29. Insulation 78. FIRE PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION i
32. Electrical Power Meter-Final 80. FOOD CER-:iFIC\ E ISSLED 1-
33. Final Electric . I73-9y "bre News: --�
34. Final Heating & Air Conditioning _ .
35. Final Gas Pipe-Test
36. Hood or Canopy - • -
37. Final Factory Fireplace - - --- - --- _-_ - - ---
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Find -
41. Solar Domestic-Final
42. Backf low Preventer
43. Backf low Irrigation -~
I44. Landscape Irrigation System
I
45. Sound Attenuation _ •-•- -
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison - 1
50. Gas Release to Southern California Gas Co
I
51. CERTIFICATE OF OCCUPANCY I
No. Date