HomeMy WebLinkAbout2049 Tustin Ave - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTApIEES�tA'.,/, COSNSCTRU TION EER MITn/7 PERMIFO. TRACT NO. LOT NO. UNIT NO.
Project Address re. / , r J✓tfiv. r9��.((♦F�ad7.s/e� 3.5 7� f
' Applicant's Mailin9rA?ddd�reesss �1S33 LS)• L/,oc FCC TYPE OF CONSTRUCTION L i NEW U ADD Li ALTERATION LI REPAIR
1 01/40M--Se 100 PhoneI1_I I ]„ I /P. ❑ CONVERSION LI DEMOLISH ❑ OTHER A.P.# I Zone
Owner's Name FCC
DESCRIPTION OF WORK/USE OF BLDG.
AddressS Main Building: Accessory Building:
E Z
Arch/Eng. License No. TYPE OF PERMIT U GRADING LI FOUNDATION U STRUCTURAL T Front O
Address • ''1 � ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL A Rear N
/a-3(//L? ❑ OTHER I
Contractor's Name _-• f < Phone r C Right ' N
2 PROJECT DESCRIPTION SQ. FT. OCCUPANCY G
Address(mailing) I 2CI 1�CrJ I-� K Left
(-1�] ty CONSTRUCTION TYPE VALUATION $ S R
City License No. -11.1 X ZONE GRADING CU.YDS. ACRESE
LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided
`� I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: Planning Notes: M
`Y� with section 7000) of Division 3 of the Business and Professions Code,and �r��1 T
` my license is in full twee - • effect. tet/%3-7 _ t -
\V Li tens .s lc ryq�i{ S
Date . aSignature . // . I. PLUMBING FEES
WORK RS' OMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES
N. 'hereby affirm that I have a certificate of consent to self-insure or a certificate
Workers' Compensation Insurance, or a c ed copy thereof (Section •
Backflow Preventer Service Sink '
:,-,1/4 300, Lab. C.) Automatic Washer Transformer 0 15-50 KW
Policy No. ()YQ L!D Company TTiL, fC - .2 Backflow Irrigation Sewer Cap0 50+ KW
Construction Pole Sub.
__Certified copy is hereby furnished. -
-
CerMJJ'yd_cypyyAS d with the city Builf�m IvISPI 7 1 A//1 /• Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
Date A Aft• ROM
Applicant �/� lDEC C C AT .///'I S - -
EXEMP ION ROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps
(This section need not be completed if the permit Is for one hundred ($100)or
less). Dishwasher Solar Piping Dryers OGas DElectric Sub Panel
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 Drinking Fountains Solar Tank Fan Motors 00-1 HP 01h•B
Workers' Compensation Laws of California.
Date Signature - Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP 016-15+
NOTICE:If,after making this declaration,you should become subject to the —
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures Microwave
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes
I hereby affirm that there is a construction lending agency for the performance Pole Light
of the work for which this permit Is issued (Section 3097 Civ. C.) Interceptors I Water Heater g2) Outlets Range '
Lender's Name
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 Auto-Wash 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 P-Trap Laundry Trays Generator 005 KW 05-15 KW Trash Compactor
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 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
erefrom and the basis for the alleged exemption. Any violation of Section
:31.5 by any applicant for a permit subjects the applicant to a civil •
enalty of not more than five hundred dollars($500). $ 3
❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee
compensation, will do the work, and the structure Is not intended or offered - Reinspection Fee I $15 Issue Fee $ 3
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
thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS:
Hood or Type provided that such improvements are not intended or offered for Boiler I 0 Zoning Approved By \\ Date
sale- If, however, the building or improvement is sold within one year of com- Canopy Type II 0
pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved By Date
prove for the purpof sale). -
❑ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Dat •
tractors 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 0o-100,000 BTU 0100,000 BTU SUMMARY OF FEES
builds or improves thereon,and who contracts for such projects with a con-
tractor(s) ncense pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple CI System Repair/Alteration BUILDING PERMIT $ SMIP $
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT
❑ lam exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING S ..'5-0MM ISSUANCE $
Date Owner Heating System& Ducting Registers ENERGY P.C. $
PLAN CHECK 25% $
I hereby certify that I have read this application and state that the above 00-100,000 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- PLAN CHECK 50% $ MICROFILM $
sentatives of this it/y t gn(er ••upon the above-mentioned propertyS'S---
Cfor
inspection purp/.y L[ 4 //n ��y •
Date S' d/0� MECHANICAL $ TOTAL FEE $ v7•� - -
Signature //"" L jJJ•'}//
Drivers' License or 5S -- Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
alla
CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant0100017035-00017085 TOT 5,00 Pink - Accounting: Goldenrod - Assessor DATE: 10/14/83 TIME: 12:2A
CONSTRUCTION AND'PLANNING POOL &SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# _ Date Inspector
1. Temporary Electric& Ser-vice 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. APPROVAL TO COVER-GC'INITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, O 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 OGas ❑Oil
23. Gas Pipe-Rough& Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas O Oil
25. Roof Sheathing •It 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoal 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 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: a-27-a'r LeF7" £46p 6.ez
34. Final Heating & Air Conditioning ,2,-7-gg Peanur erwirzto pt-s pee 3-1-13
35. Final Gas Pipe-Test UPS-. LCD
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 4.
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 within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA PERAIIT NO- TRACT NO. ' LOT NO. BLDG_NO. -• -
CONSTRUCTION PERMIT /,56 7557 10%88/81 6,00 TL
Project Address rpow 9 e2,1/-1---' TYPE OF CONSTRUCTION
Owner Tow S-E..Ndi - A, Phone6 C/a-j,/6,10 NEW 0 ADD 0 ALTERATION
Address S0r7 _e_ 0 REPAIR 0 CONVERSION 0 DEMOLISH
0 OTHER ZONING REGULATIONS
Arch/Eng. License No. A P 4 .
Address DESCRIPTION OF WORK
q ZONE PLNG. REF.5I
•
COntractori f •- Phdnerjy-L/��'•/ TYPE OF PERMIT BUILDING - TpOBUILOING
Address-258W , SETBACK C/LST. PROPERTY LINE
7S / /--,��,--''-�//r ❑ GRADING 0 FOUNDATION ❑ STRUCTURAL SIDE YARD
LICENSED CONTRACTOR DECLRR'ATIONFT
❑ TENANT 0 ELECTRICAL O1P'CU MBING ❑MECHANICAU LS IEDE YARD -
I hereby affirm that I am licensed under provisions of Charter 9(com- RIGHT
mencing with section 7000) of Division 3 of the Business and 0 OTHER
Professions Code, a my license Is in full force and f t. REAR YARD(TO P/L)
License ClassLI nse Nom PROJECT DESCRIPTION _
�� SQ. FT.
Date PKG.SPACE REQ. -PROVIDED
( •' Signature ' '
STREET WIDTH PARK FEE$
WORKERS'COMPENSATION DECLARATION OCCUPANCY—CONSTRUCTION TYPE
I hereby affirm that I have a certificate of consent to self-insure or a .VALUATION ZONE • ZONING APPROVED BY DATE
certificate of Workers' Compensation Insurance, o{{{ certified copy _ _ _
thereof(Se io 8z00}Lab.C.). GRADING CU-YDS. ACRES SPECIAL CONDITIONS:
icy No-r-/d 71.9 Company -
ert7fied copy Is hereby furnished. REMARKS: - -
: . ertified copy Is filed with the city Building Division.
•
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION •
•(This section need not be completed if the permit Is for one hundred - ,
($100) or less). s
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 PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK -
subject to the Workers Compensation Laws Of California. UW ELLINb GARAGE
BATHTUBS SHOWERS -
Date Signature •SQ FT. SO FT
NOTICE: If after making this declaration, you should become subject TOILETS • URINALS -- ilexGENERATOR 0-1 KW_1-10 KW
to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER
forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS'
1 APPLIANCE 10-50 KW_50+KW
revoked. -
CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS MOTORS 0-1 HP 1-10 HP •
I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS SUMPS - (INC.SOLAR) 10-50 HP 50 +HP
formance of the work for which this permit is Issued (Section 3097 - -
Civ. C.). FLOOR SINKS FLOOR DRAINS - FIXTURES' OUTLETS SWITCHES
Lender's Name _ .
Lender'sAddress -- - - - DRINKING FOUNTAINS - • GAS TUBE SIGNS -
OWNER BUILDER DECLARATION' ' •
I hereby affirm that I am exempt'from the'Contractor's License,Law for, INTERCEPTORS -CLARIFIERS POLE LIGHTS"
the following reason (Section 7031.5.Business and,Professions Code: SWIMMING-POOL' HLl
• P TRAP - LUNSI uIUN - -
Any city or county which requires a permit to construct, alter, POLES METERED SUB
Improve, demolish or repair any structure, prior to Its issuance,also re- WATER SERVICE ALTERATION PANELS MAIN SUB
quires the applicant for such permit to file a signed statement that he
Is licensed pursuant to the provisions oftheContractor's License Law GAS SERVICE •OUTLETS SERVICE AMP
(Chapter 9 (commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he is exempt therefrom and the WATER HEATERS BTU OUTPUT
b.sls for the alleged exemption. Any violation of Section 7031.5 by 3 ad
applicant for a permit subjects the-applicant to a civil penalty SEWER CONNECTIONS • - -
it more than five hundred dollars ($500).
i_ ., as owner of the property, or my employees with wages as their SOLAR TANK COLLECTORS - •
sole compensation,will do the work, and the structure is not Intended _
or offered for sale- (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. ISSUE FEE
Contractor's License Law does not apply to an owner of a property
who builds or improves thereon, and who does such work himself or ISSUE FEE 3 00' APPLICATION APPROVED BY - - DATE •
through his own employees, provided that such Improvements are not
intended or offered for sale. If, however, the building or improvement MECHANICAL PLANCHECK
Is sold within one year of completion,the owner will have the burden SUMMARY OF FEES
of proving he did not build or improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU BUILDING
❑ I, as owner of the property, am exclusively contracting with _ .PERMIT $ SMIP $ •
licensed contractors to construct the project (Section 7044, Business AND DUCTING 100,000 +BTU
PLAN CHECK $ PERMIT
and Profeof Code: Thebuild orContractor's LicenseroveLew does, not apply to l O O ISSUANCE $
ownerfrom
of property who builds c improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ /O
hetracts ntr suchprojectsnwith a contractor(5) Iicesnetl pursuant to SYSTEM GRADING $
the Contractor's License Law). 100,000+BTU PLAN CHECK $
0 I am exempt under Section B.& P.C.for this -BOILERS BTU ELECTRICAL $ $
reason - - - PLAN CHECK $ MICROFILM $
Date Owner SYSTEM REPAIR,ALTERATION TOTAL FEE$
I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE MECHANICAL $ •
AD-
information is correct. I agree to comply with all city and county - -- PLAN CHECK $ LESS
ordinances and state laws relating to construction,and hereby authorize VANCE P PC $_
representatlyys pf is city to nt upon the above mentionedynL
property fed I• spec on purpos Date a �‘-/_// FINAL FEE $ V 'a0
Signature D-1` •/if •
Drivers'License or SS ISSUE FEE
CMF 0865-46 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor
_ - _
CONSTRUCTION AND PLANNING POOL&SPA
APPROVALS Permit # Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole _ 43. Pool & Equipment Location
2. Soil Pipe-Undrgrn 44. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrn - 45. Forms
4. Electrical Conduit-Undrgrn 46. Electrical Bonding
5. Steel Reinforce 47. Rough Plumbing & Pressure Test
6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE
7. Footings 49. Electrical Conduit-Undrgrn
8. Foundation 50. Gas Pipe, ❑Undrqrn,Test
9. Water Pipe-Undrgrn 51. Backwash Lines, P-Trap. ❑ Undrqrn
10. Structural Floor System 52. APPROVAL TO DECK
11. Property Sewer Line& House Connection 53. Backwash & Receptor-Final
12. Street Sewer Connection 54. Heater & Vent-Final
13. Rough Plumbing 55 Plumbing System-Final
14. Rough Electric-Conduit .56. Electrical-Final
15. Rough Electric-Wiring 57, Solar System-Final
16. Rough Heating &Air Conditioning 58. Fencing &Access Approval
17. Ducts, in Structure - 59. APPROVED FOR PLASTERING
18. Ducts, Ventilating
19. Gas Pipe-Rough &Test • 60. POOL/SPA SYSTEMS FINAL
Er
20. Roof Framing
21. Roof Sheathing 2 i�°a�
22. Frame and Flashing 'NOTBS '�,L1 /2,r -• UUUr •
23. Insulation
24. Lathing & Siding C/ �iLl�[!� - / //-- , Cn" p9.7 etAdr
�
25. Drywall Nailing / r GD4.0 rvi Y .41/PC e
26. Plaster Brown Coat
27. Electrical Power Meter-Final
28. Final Electric
29. Final Heating & Air Conditioning
30. Final.Gas Pipe-Test _
31. Final Plumbing
32. Water Service-Final
33. Gas Service-Final
34. Solar Domestic-Final
35. Landscape Sprinkling System
36. Sound Attenuation
37. Handicap Regulations
38. FI NAL STRUCTURE & BUILDING
39. Special Requirements Completed
40. Electric Release to Edison
41. Gas Release to Southern California Gas Co.
42. CERTIFICATE OF OCCUPANCY
•
No Date