HomeMy WebLinkAbout297 23RD ST - Building Permits �db f Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations-
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70 -V OF COSTA MESA - PERMIT NO. TRACT NO. LOT NO. BLDG.NO. 9351 I I /' ''/ [" e;
1 TRUCTION PERMIT l • e - 9 . 7 •
s s _ - ' /'-'e"� ,��� TYPE OF CONSTRUCTION H NEW H ADD Yom-/ ERATION H REPAIR
Appl tent's Mailing Add�J ess L z 0 /�� . v ❑ CONVERSION ❑ DEMO!<I St! Iy�J OIH Al'., qk' I Zone
4yyy}}} / // DESCRIPTION OF WORK v/1•J/L /i/0 67 / 7( J
Address Name � ;or
D,�'+��� I Phone f (((/ ' / - S Main Building: Accessory Building: Z
13H IV, E D
Address ,v z1 17 TVPE OF PERMIT ❑ GRADINb U FOUNDATION ❑ STRUCTURAL T Front - N
Arch/Eng. License No./!`{`.//_Jj�!/ Oc_ ❑ TENANT ❑ EL TRICAL, p BING ❑ MECHANICAL B Rear - • I
Address • ��iq7 ❑ OTHER frQ 0A / ),,L(y�y A N
I 11 / o%`�p/(l 4/ PROJECT DESCRIPTION SQ. FT. A (ice D OCCUPANCY / C Right G
Contractor's Nam�j�'7�- // re awe- o_n nv
Address(mailing/,J J/ 4;20 I -, / CONSTRUCTION TYPE ' VALUATION S. -.. n/�j g Left R
S E
O q'7� ZONE GRADING CU.YD5. ACES - Ping. Ref.# Park.Fees $ O
City License No. /+< J U
LICENSED CONTRACTOR DECLARATION Remarks: Parking Req./Provided • I
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 Use of Building: E
my license is in full fort- . • •ffect. �ys - -
License I.. - �- Jcense N�r/. .r�R/ ., PLUMBING FEES Planning Notes: M
Date ne;Signature Sr" ..'s-4 4'aroma •
E
Sink ShowersN
WORK RS' •eMPENSATION DECLARATION T
, 'hereby affirm that I have a certificate of consent to self-Insure or a certificate .
Backflow Preventer Service Sink • S
I Workers'- Compensation Insurance, or a certified copy thereof (Section - -
.800, Lab. C.) Yli/i.//Y • Backflow Irrigation Sewer Cap ELECTRICAL FEES
Policy No, - Compan /'!/ L1... • - -
Certified copy is hereby furnished. Bathtubs Sewer Connection. Automatic •Washer Transformer 0 15-50-KW
A
Certified copy is filed with the city Building Division. • • -
Clarifiers Solar Collectors ❑ 50+•KW
Date Applicant ' Construction Pole Sub.
•
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Dishwasher • - Solar Piping CookingUnit - Meter ❑u to 100 amps
(This section need not be completed if the permit is for one hundred ($11.•) or . P P
less). DrinkingFountains
•
I certify that in the performance of the work for Filch this p• ml is it ed, I Solar Tank Dishwasher Meter Dover 100 amps
shall not employ any person In any -r so/Ls to beco •bje f o the :
Workers' C rr��pp,ann Dom Laws of Cy��,{y,�I�,W"y- Floor Drains, Swimming Pool w/Spa Dryers OGas ❑Electric Sub Panel
Date f /6/3• Signatur�/! / . �--� AI
NOTICE:If,after making this declaration,you should beco e subject to the Floor Sinks I Urinal Fan • Motors El 0-1 HP ❑1%-8
-Workers' Compensation provisions-Of'the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked. ' Gas Service Outlets Water Closet „ F.A.U. Inc.Solar-❑9-15 HP 016-15+
CONSTRUCTION LENDING AGENCY,
I hereby affirm that there is a construction lending agency for the performance Interceptors Water Heater - Fixtures Microwave
of the work for which this permit Is Issued- (Section 3097 Civ. C.) ,
Lender's Name • Kitchen Sink • Water Service Device Boxes ' Pole Light
Lender's Address Lavatories
OWNER BUILDER DECLARATION - Outlets Range •
I hereby affirm that I am exempt from the Contractor's License Law for the P-Trap reason (Section 7031.5 Business and Professional Code: Any city or p - . Switches Sign
county which requires a permit to construct,alter,improve,demolish or repair
any structure, prior to Its issuance, also requires the applicant for such permit Roof Drains _ Garbage Disposal Standing Sections •
to file a signed statement'that he/she is licensed pursuant to the provisions Of - -
the Contractor's License Law(Chapter 9(commencing with Section 7000)of ' - • Generator ❑05 KW❑515 KW Trash Com actor
Division 3 of the Business and Professions Code) or that he/she Is exempt - . . p
•1 refrom and the basis for the alleged exemption. Any violation of Section • '
}/�i31.5 by any applicant for a permit subjects the applicant to a civil Reins CtiOn Fee 3
"P natty of not more than five hundred dollars($500). - pe ;I $15 Issue Fee - , - $ '
0 I, as owner of the property or my employees with wages as their sole MECHANICAL Reinspection Fee $25 Issue Fee - $ 3
compensation, will do the work,and the structure is not intended or offered FEES -
-
for sale (Section 7044, Business andProfessionalCode: The Contractor's s PUBLIC SERVICES REQUIREMENTS: •
License Law does not apply to an owner of a property who builds or improves Boiler Hood or Type I 0 . -
thereon, and who,does such work himself/herself or through his or her own Zoning Approved By
employees, provided that such improvements are not intended or offered for Canopy Type II ❑ Date
sale, If, however,the building or Improvement Is sold within one year of cam- Duct-Under Ground Application Approved By Date •
ple6-3
tion, 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 •0. / Date ///
�I,as owner of the property, am exclusively contracting with licensed con- •
tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU 'RV OF FEES •
The Contractor's License Law does not apply to an owner of property who •
builds or improves thereon, and who contracts for such projects with a con- Exhaust System 0 Multiple 0 System Repair/AlterationBUILDING PERMIT $ . 0 SMIP • $ .S'd
tractor(s) license pursuant to the Contractor's License Law). •
PLAN CHECK $ PER MIT
❑ 1 am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# ,
• PLUMBING $ ISSUANCE $
Date Owner Heating System&Ducting PLAN CHECK $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above 00-100 000 BTU 0100,000 BTL GRADING $
information is correct. I gree to-comply wit• all city and county ordinances • - - - • ELECTRICAL $
and.-state laws relating building •ns• uc�/•n,and hereby authorize r pre- PLAN CHECK $ MICROFILM $
sentatives of • city `o enter ••..• th�above-mentioned r per p q
inspection OS s. r /I-j� r �� it MECHANICAL $ TOTAL FEE $ r1?�'.SO
Signatur- ��iIS* - &..4 .I at
Drivers' License or SS � Reinspection Fee $25 Issue Fee $ 3 PLAN CHECK $ •
•CMF 0865-46 rev. 7/83 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor
IINSTRUCTION AND PLANNING POOL WA
PJfVA'LS Permit# - _ Date Inspector APPROVALS Permit# Date Inspector
m
porary 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. Foundation59. 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 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:
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-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 it!lie Pit
48. Special Requirements Completed y ���lll
49:'Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY ,
No. Date '
II
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.IJ'b. 9S:i4 1 ' 1 • f
CONSTRUCTION PERMIT
y c T M _ 77�� °
Project Address r497 E. 2.t a3A ° Steger TYPE OF CONSTRUCTION ,❑ NEW U ADD U ALTERATION ,1d REPAIR
Applicant's Mailing Address 3A
�1ar 'F 11 •'7/ ❑ CONVERSION '❑ DEMOLISH 0 OTHER A.P•.p• 1 Zone
Owner's Name �QOT/fy (!LMP8FIL Phone i-l8rO 3/b DESCRIPTION OF WORK _ _
441 E Z3 KD surer S Main Building: Accessory Building: Z
0
Address z1 TYPE OF PERMIT U GRADING ❑ FOUNDATION U STRUCTURAL E Front • N
Arch/Eng. N` License No. ❑• TENANT El ELECTRICAL 0 PLUMBING ® MECHANICAL BA Rear N
Address C OTHER reErtasc!✓ e' L)
Contractor's NamP C Q • COQ PhoneS?lI SO7 PROJECT DESCRIPTION SQ. FT- OCCUPANCY C Right G
CIS Q. P�Ox 1tfl CosiA MESA 9d(Da! s Left • E
�(1 Address(mailing) 2 9 fy CON STRUCTION TYPE VALUATION
• City License No. 033?-I ZONE GRADING CV.VOS. ACRES Ping. Ref.'Ih Perk.Facts $ Q
LICENSED CONTRACTOR DECLARATION U
Remarks: Porkin9 Req./Provided p
1 hereby affirm that I am licensedsion3 under pBusiness of Charter 9 (commencing •
R
I with section 7000) of Division 3 of the Business and Professions Code,and Use of Building: E
\ my license is In full for_•an• effect.
Licen • CI. la- - Licepse • Z7C figs PLUMBING FEES Planning Notes: • M
Date . 151% Signature area. L el.7i — E
tj Bar Sink Showers N
V WORKERS'COMPENSATION DECLARATION T
'hereby affirm that 1 have a certificate of consent to self-insure or a certificate Backflow Preventer Service Sink S
' Workers' Compensation Insurance, or a certified copy thereof (Section - - - - _
3 Seo. Lab. C.) `'I 57 Pr� C -V�D Backflow Irrigation Sewer Cap ELECTRICAL FEES
Policy No. 046-CV') Company f
Certified copy is hereby furnished. /'Yl Bathtubs Sewer Connection Automatic Washer • Transformer 0 15-50 KW
y��+y1{Ce/ if �(cpjzj(1s filed with the city tl D' inion ❑ 50+KW
Date 1�" '7-D Z Appliwn� � ��✓ Clarifiers Solar Collectors 'x Construction Pole Sub.
EXEMPTION FROM WORKERS';COMPENSA+ION DECLARATION Dishwasher - - Solar Pi in
(This section need not be completed if the permit Is for one hundred ($100) or P 9 Cooking Unit Meter ❑up to 100 amps
less).
I certify that In the performance of the work for which this permit is issued,I . Drinking Fountains Solar Tank , " Dishwasher Meter Dover 100 amps
shall not employ any person in any manner so as to become subject to the •
Workers' Compensation Laws of California. Floor Drains Swimming Pool w/Spa Dryers ❑Gas ❑Electric Sub Panel
Date Signature
NOTICE:If,after making this of the you shbultl become subject to the Floor Sinks Urinal MallFan Motors 00-1 HP ❑1X-8
Workers' Compensation provisions of the Labor Code, you must forthwith - -
comply 'with such provisions or this permit shall be deemed revoked. - Gas Service Outlets Water Closet 1.1Ial F.A.U. ' Inc., Solar ❑9.15 HP 016-15+ •
CONSTRUCTION LENDING AGENCY - -
I hereby affirm that there is a construction lending agency for the performance Interceptors Water Heater Fixtures ' Microwave
of the work for which phj5- permit is issued (Section 3097 Civ. C.)
Lender's Name ,tieKitchen Sink - Water Service
•
Device Boxes • Pole Light
Lender's BUILDER
Address ' • Lavatories
OWNER BUILDER DECLARATION a Outlets Range
I hereby affirm that I am exempt from the Contractor's License Law for the P-Trap reason (Section 7031.5 Business and Professional Code: Any any or p - MallSwitches Sign
county which requires a permit to construct,alter,Improve,demolish or repair '
any structure, prior to its issuance, also requires the applicant for such permit - Roof Drains - Garbage Disposal Standing Sections
to file a signed statement that he/she is licensed Pursuant to the provisions of
the Contractor's License Law(Chapter 9 (commenting with Section 7000)of '
Division 3 of the Business and Professions Code) or that he/she Is exempt Generator 00-5 KW 05.15 KW Trash Compactor
'erefrom and the basis for the alleged exemption. Any violation of Section
131.5 by any applicant for a permit subjectg the applicant to a civil Reinspection Fee $25 Issue Fall $ 3 •
enalty of not more than five hundred dollars($500).
as owner of the property or my employees with wages as their sole MECHANICAL Reinspection Fee $25 Issue Fee $ 3
compensation, will do the work,and the structure Is not intended or offered FEES -
for sale (Section 0044, 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 0
thereon, and who does such work himself/herself or through his or her Own Zoning Approved By - Date
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 • - _- Application Approved ByDate
pletion, the owner will have.the burden of proving he/she did not build or im- -
prrove for the purpose of sale). , Duct-Structural Refrigeration System '- • Application Issued By - Dat: ' Mit
LJ I,as owner of the property,am exclusively contracting with licensed con- ❑0-100,000 BTU ❑100,000 BTU
tractors to construct the project (Section 7044,Business and Professions Code: Duct-VentilatingSUMMARY OF FEES
The Contractor's License Law does not apply to an owner of property who , - - - - '- BUILDING PERMIT . $ SMTP
builds or Improves thereon,and who contracts for such projects with a con- Exhaust System ❑ Multiple❑ System Repair/Alteration • $
tractor(s) license pursuant to the Contractor's License Law). • i PLAN CHECK , $ PERMIT
•
❑ 1 am exempt under Section B.&P.C.for this reason Firepl/Fact.Blt. ICBO# - - .. PLUMBING $ ISSUANCE $
-
Date Owner Heating System& Ducting
79 t- PLAN CHECK $ ENERGY P.C. $ .
l hereby certify that I have read this application and state that the above ❑0.100,000 BTU ❑100,0006 ELECTRICAL $ GRADING $
Information Is correct. I-agree"to comply with all city and county ordinances - - .
and state laws rola g•to building construction, and hereby authorize repre- PLAN CHECK , $ _ MICROFILM S ao
sentatives of thi y. to"enter upon the above-mentioned property for
inspection purpose£.{&/ / !Z ^A 11 s ' •• :sill
Signature o ^ (� 1/' -�- ••Date MECHANICAL S T� TOTAL FEE $• 7�
Drivers' Licenseof SS It Reinspection Fee •$25 Issue Fee $ 3 PLAN CHECK - $
CMF 0865-46 rev. 7/83 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor - - • - -
CONSTRUCTION AND PLANNINGPOOL .PA
APPROVALS Permit# 47/yy) 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 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, O 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 .s
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 Coat 79. FINAL INSPECTION
•
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning //I30/ri fir
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