HomeMy WebLinkAbout887 TOWNE ST - Building PermitsADP���ant to /lll In all sDaees except those within heavy bortler Ilnes ana si9n al1 aoo/aPrlate tleclarations.
+ P RM�NO. TRAFT NO. LOT NO. UNIT N0.
CITYO� COSfA nnESA �QQ���JT RUCTION PERMIT •
Prole'Address ✓ I �rX��✓i� 24-� �� : �
Applican�'S Mailing Address S4•�.Q TVPE OF CONSTRUCTION NEW ADD LTERATION REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.p.q� Zona
Owner's Name '��5 U C �pM�rr. s. aho�e —�" e
DESCFiIPTION OF WORK/U OF QLDG. Kj�Q 1 _Ss�%lg ��
Address S�t—[�-.O /- D + S�a 2�'�n ��� l i S Main Building: Accessory Building:
Q�CU�—���-� t� —�i ��c�����2
Arch/Eng. LicenuNo, TVPEOYPERMIT" LJGRADIta�FOVNDATION LJ95TRVCTiSRAL `� T Front p
AddreSs ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Reer N
OTHER A
I
Convactor's Nnm hone pqp,�ECT DESCRIPTION Sa. FT. OccuaAtrvCv� � Righ[ G
Addreu�mailingl_�n�P CONSTRUCTION,TVPE VALVATIONSy�dro g Left R
City License No. zONE �G— IrvG Cu, v�5. ACRES Ping. Ref. � Parkin9 Req./Provided E
LICENSED CONTRACTOR DECLARATION Q
I horeby a/firm that I aT li<ensetl untler provi510n5 ot Chdrter 9(commCnCing Remark[: t'� r� � O Pl2nning NOt¢5: M
with section 7000) ot Olvision 3 of the Business antl Professions Cotla, antl
my license is in full force antl eflect. '� T
License Class License No. b� S
Date Signature PW G FEES
WORKERS'COMPENSATIONDECLARATION Be�Si�k ShOW2�5 • ELECTRICAL FEES
1 hereby atfirm thal I havC a Certi/iCale ot ConSent to Selt-insure o� a certitiwte
of Workers' Compensalion Insurance, o� a certitietl copy thereof ($ectlon
3800, Lab. C.) Backflow Prevenrer Service Sink Automatic Washer Transformer ❑ 15-50 KW
PolicyNo. Company Backflowlrrigation SewerCa ❑50+KW
8 Certifietl copy is h¢r¢by /urnishetl. P Construction Pole Sub.
Certifiea copy is Iiletl with the city Builtlin9 Division. Bathtubs $ewer Connection Cooking Unit Meter �up to 700 amps
Date ApPlicant
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Clarifi¢r5 Solar ColleCtors DiShwaiher ' MEter ❑over OOamps
(ThiSsectlon naetl no[ b! completetl If tne p¢rmit i5 for one huntlretl (E300) o�
less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel
1 certify that in the pertormance o! tne work tor which this perm�t is IssueQ I
shall not employ any person in any manner so as lo become sub]ect to the Drinking Fountains Solar Tank Fan Motors P1 HP �1'h- 8
Wo�kars' Co pen tfon LawS OI CdlitOmid._
Date -�%Signature Tienc ��id��Y� S Floor OrainS Swimming I w/$pa F.A.U. Int olar �9-15 HP �16�15+
NOTIC : f, aller making Mi5 tleClarati�, y0u shOultl become subjeGt t0 Ihe
Worker5' COmp¢nsatlOn prOWsionz of the l.abor Cotle, y0u must forinwiN FIOOr Sinki Urin Fi%[ure5 '
Compty wilh suc� p�ovisions a� this pe�ml[ s�all be tleemetl revoketl. iCrowdvE
CONSTRUCTION LENDING AGENCV Gai$erVice Outlets a[¢rClosEt Device8oxe5 PoleLi ht
1 ne�eby alllrm tba[ tbere IS a consVuctlon lentlin9 a9enCy for the perbrmdnCG 9
of th0 work IOr whlch this p¢rmit is ISsuetl (SectiOn 3097 Civ. C.) Int¢rC¢ptOrS Wdter H¢dter OutIeLS Ran 2
Lenaer's Name 9
Lentler's Atltlress Kiichen Sink Water Service Switches
OWNER BUILDER DECLARATION Sign
I hereby alflrm that I am exampt lrom tne Contractor's Li<ensc Ldw lor Ne Lavalories Auto-Wash
following rCasOn ($Oclion ]031.5 Business antl Prof¢SSional Cotle: Any cily or ridfbdtJE Di5pO5dl Stdflding $CCliOf15
county wnlcn requires a permit to construtt, alter, impmve, aemolish or rnpair P-Trap Laundry Trays Generator �0-5 KW �5�15 KW Trash Com acror
any slruc�ure, priOr t0 Its lssuance, ali0 rlqWres the ap0���ani for Suth pe�mil P
to fila a si9netl statemont tnat ho/shc Is Ilcensetl pursuant to tho provlsions o1 Roo( Drains
tne Contractor's License Law (Chapter 9(commentin9 with Sectlon ]000) oi
Division 3 of thc Busines5 antl Prolessions Cotle) or [hat ne�sne Is exampl
lbere(rom ana the �a5i5 tor [he allegetl ex¢mplion. Any violalion of SnctlOn
7031.5 by any applicant tor a pCrmil subjecls lha aOPlitant to a clvll
enauy oi noi mora lM1an livo huntlretl tlollars (E500). g 3
I, a5 ownar of lhe prop¢rty o� my amployCCs with wage5 as their solo ReinSpBction FBB $15 Isue Feo
ompensatlon, will tlo tho work, antl Ihe structuro is not intentletl or o/teraE Reinspaction Fea $15 luue Fee $ 3
lor sale (Saclion 7044, Buslnass ana Professional Cotle: The Convactor's MECHANICAL FEES
LiconSe I.dw tloos no� apply t0 an ownOr Ot a properry who builUs Or Improve5
thareon, antl who tloes sucn work himzou/nerseif or throu9h his or her own DEVELOPMENT SERVICE$ REQUIREMENTS:
employeas, provitletl tbat sucn Improvoments are not intentletl or orreretl for Boiler Hood or Type I ❑
Shce. II, however, Ihe builtling or Improvement IS SOIE witbin OnC y¢ar of cOm- CanOpy Type I I ❑ Za��ng ApprovBd By DdtO
pletloq tho ownor will havc tbe burEen ol provinq be/she tlitl noi bulld or im- Ducl - Unde� Ground guilding Approvod By Data
MOve lo� tho purpOSo 01 sala). {�;��/�}
❑ I, as owner ot the property, am exclusively cantractin9 with Iicensetl con- Ouct � Structurel Refrigeration ystem Appliption lesued By �,cLJ_. d'����- Date� �� $7
tractorsto constructtne oroject (Seclion ]044, Business antl Prolesslons Cotle:
The Contracror's Licanse l.aw tloes not apply to an owner ot property wno Dutt � Ventilating ❑0-10 BTU ❑700,000 BTU SUMMARV OF PEE
bulltls or imOroves tneraon, antl wlto contracts for such pro�ects wlth a Con-
Vacmr(s iicense pursuant to the Contractor's License Law�. I am aware tnat Exhaust System ❑ Multiple ❑ stem Repair/Alteration BUILD WG PERMIT $ ��• Sb SMIP S • S�
proot o� tneir Worker's Compensatlon insurance shoultl be provitlea co me. _ �J'F/Qp�qN CHECK $ •� PERMIT
❑ I am axempt unOer Sectlon B. 3 P. G. �or this reason Firepl/FatL Blt. ICBO # Fire Dampers PLUMBING § IS$UANCE S
Date Owner Heating System & Ductin Registe�s PLqN CHECK 25% 5 ENERGY P.C. S
I hereby certiiy'that I have reatl mis application antl state Inai che above ❑O�100,0008TU O,OOOBT ELECTRICAL $ GRAOING 5
in/ormation is torrett. I agree to comply witn all city antl counry ortlinances
antl state laws relatin9 to builtling wnzVuction, ana hereby aumorize repre- PLAN CHECK 50% 5 MICROFILM 5
Sentatives ot thi5 <ily t0 Cnt¢r upon the abov¢-mentiOnPtl property for
inspeciion purpos¢ �/2 �.,> MECHANICAL S TOTAL FEE S � 10 O
Signature ' U
� Drivers' License or 55 � r� Daia qeinspection Fee $15 Issue Fae $ 3 PLAN CHECK 25% $
CMF 0865-46, rev. 30/84 White - Builtling; Canary - Ap011cant: Pink - Accounting; GolOenrotl - Asse55or
\'
�CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit# Date Inspector qPPROVALS 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 UFER Grnd. 57. APPROVA� TO COVER-GUNITE
7. Footings . � 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe�Undrgrnd.• 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System 61. APPROVAL TO �DECK
11. Properiy 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 Electric�al-Conduit 66. Solar System-Final
i 6. 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 �Gas ❑Oil ��
23. Gas Pipe-Rough & Test 72. Underground 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 �
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT..REQUIREMENT �
31. Plaster Brown Coat 79. FINAL INSPECTION .. •
32. Electrical Power Meter-Final S0. FOOD CERTIFICATE ISSUED .
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test � ��
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Wa[er Service-Final
40. Gas Service-Final
41. Solar pomeSticFinal
42. Backflow Preventer �
43. Backflow Irrigation
44. Landscape Irrigation System ' '
45. Sound Attenuation t�
9
46. Handicap Regulations „
47. FINALSTRUCTURE&BUILDING /p �
48. Special Requirements Completed
T
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co �
51. CERTIFICATE OF OCCUPANCY
No. Date
OWNER gp
J JOB ADDRE55
� GENERAL CON
� AP No. ].16-1
INSPECTIONS
� SOIL
GAS
WATER
ROUGN PLUMBING
PROP. SWR. LINE
$PRINKLING SVST
MISCELLANEOUS
+�Z"..:ST'-7
CON.
UNOERGROUNO � POWER U
ROUGH WIRING
TRENCHES � FORMS � STEEL RE
FLOOR SVSTEM '
BONO BEAM � STEEL REINFORC��
SMENTHING
FRAME AND FLASHING '
�^' ^_ '^�
PLASTER, BROWN COAT
STRUCTURAI, FINAL
HEATING. VENT., flEFRIG.
LUMBING, FINAL ANO GA
LECTFIC, FINAL
�11LDING, FINAL
F INAL
T
DATE 7_2_'/�j
BUILDING PERMIT N0.
FIRE ZONE
SUBCONTRACTOR
4019� nil —1-75PAI`00 217'� ***-18.50
c.,�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
ForApplicant to Fi!lin Completely APPLICATION FOR BUILDING PERMIT
RECEIV BY D TE REC DATE ISSUE
BUILDING � � �
ADDRESS � —''�^
q/� �ERMIT NO.
OWNER ' A.P. NO. I � � vJ
MA�� ` BUILOING �j
Z . Q
ADDRESS � � r�� ADDRESS / _
W W TEL. TRAC LOZJ BLOCK
dU CIT NO.�
ZZ
Q CAN5fRUCTION W
O N LENDEF
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J � BRANCH
-� N OwN E R /J C
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m AFCHITEGT TEL S U V � S PV
'� � OR ENGINEER
W�V ^ �O � FIR
AODRESS O� ZONE TV E GROUP
�' w APPqOVED �
W Z CONTPqCTOR BY DATE
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O= CDDRE55 �NO, Z E/ P�� BVILOINNEW � (
z�. ��AP.l.7F�l�
wO STATE CITY qs �'ARDSAPPROVED VAq SAPPROVEO
? O IIC. NO. � � —� �IC. NOJ MAIN BUIL IN(
S12E NO.OF BLDGS. , (FR�M C/ ST ETI
OF LOT NOW ON LOT � qONT
USE OF
EXISTING BLDG. 1 C �
f' S12E OF NO. OF
Z NEWBLDG. G • C ROOMS STORIES L.SIDE T.
a EXTERIOR WAL ROOf �
L% COVERING COVERING � REAF T.
J USE OF BUII�ING AND WORK TO BE PERFORMED DISTANCE BET,
a
y nnaw a�ocs.
Q VAR. #
0 � U EL � c.u.v.9w
� I � �\ APPROVE
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UI horeby aCknowletlBe that I heve reatl this epplicetion antl state
� thet Mo nbove information iz correet antl aprae to eomply with
� all lewz repulating buildlnB �onstructlon, and I shall not employ
� any person in violation oi the workman'� compensation laws of
y t�e State of Californie.
zI he�o�y tertify t�at I em properly Ilcanmtl es e cont�actor untler S�. FT.
tha Stete of Callfornie 9usiness antl Profeasione Cotla, Olvi cn 3, THE AMOUNT SH
C�epror 9, entl that such licenses ara In fuli force antl etf c or I THE PURPOSE OF I
om oremp[ trom ihe provisionsaf the Stero of Galifornia u iness
antl Professlone Cotle, D���sion 3, �ept r 9 VALUATION
Slgnaiute ot � r�,�
Permittoe S/ DO..-��
Authorizatl ABant
DATE
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�RV BUILDII
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ON IS FOR '
FEE ONLV: Q
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