The URL can be used to link to this page

Home My WebLink About372 16TH PL - Building PermitsC� �- ' Aop�icant to fill in all spaces excevt those witnln heavy eorGer Ilnes ana si9n all avP�oDriate tleclarations. CITY OF COSTA MESA CON TRUCTION P.�MI�� Project Address �.2 � � • ��_�/�� L Applicant's Mailin ddreu r v/��y�� IOwner'sName �o,��y/ � Phone�y.��G I Address lLO.CCL'-.�/� n'-� %/�"y.—�,�/S � Arch/Eng. License No. I Address � Convactor's Nam Phone Address (mailing) � Ciry License No. LICENSED CONTRACTOR DECLARATION I hereby aHirm t�at 1 am licensetl untlar provisions of Cnarter 9(commencing with section ]000) of Division 3 of the Buslnesz antl Professlons Cotle, antl my Iicense is in full tor<e antl effect. License Class L�cense No. Date Signature WORKEqS'COMPENSATION DECLARATION I hereby attirm tnat I nava a certificate of consent to self-insure or a certiflca[e �f Workers' Compensa[ion Insurance, or a certifietl copy thereot (Seciion 300, Lab. C.) olicy No. Company ❑ Certified copy is hereby fvmisnetl. • Q Cortifiea copy is tiletl with tha city Builtling plvision. pate Appllcant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Thissectitl� neetl not ba comPletetl if the permit i5 to� One huntlretl ($300) or iess). � wrtify tnat in the oerformance ot the work for which thts perm�t is issuetl, I shall not amploy any person in any manner�} ��666 to beco p ubjept to the Workers' Co en.s� tJ'� n Laws of Californla.�7,[(� �,�e��/1 pate ��y(o_Si9nature GC/-� S�fF:r J NOTI E: l(, afte� making this tleUaration, y�l(a�ume �ecs R� t(o the Wo�kers' COmpensation p�ovislon5 of [h¢ L,aDor Cotl¢, you must torthwith Eompty wilh Such Provl5ion5 or tlti5 Permit shall be tleemetl �evoketl. 40NSTRVCTION LENDING AGENCV ' � hereby afllrm [ha[ [hGre ii a ConSVuc[ion lentling agency 1or tne perto�manGe tlf the work tor whiGh tniz permi[ i5 issu¢tl (SeGtion 3097 Civ. C.) 4entler's Name 4entler's AtlEress OWNER BUILDEH �ECLAl2ATION � horeby aftlrm that I am exempt from [he Con[ractor's LlcGnse Ldw for the (ollowi�g reason (5ection ]031.5 Bustoessantl Protessional Cutle: Any city oa county whicn requires.a permil to con5truct, alteq �mprove, tlemolizh or repair 9ny structure, p�br'to Its Issuance, also reqWres Ne ap0��ant for such permlt Co file a si9netl stacement lhat he/she is IicenSetl pursuant to the provisions oi Che Contraclor's License Law (Chapter 9,(comme�cing witn Section 7000) of pivision 3 of ihe Business a�tl Professions Code) or that he/she is exempt there5�om antl the basis fOr thE allegetl ¢xemption. Any violation Of Section '1j1.5 by any apPlicant for d pe�rt�lt subjects [he apP�kant lo a civil {�alty ot not more than tive huntlretl dollars (g500). � I, as ownei of the prop¢�ty or my employee5 wit� wages as their Sole �ompensation, will tlo tne work, and tne stru<ture is not Intentletl or offeretl for sale (Saction 7�44, Business antl Professional Cotle: The Co�hactor's �icenS¢ Ldw tloes n0[ apply [O an owner Of a propefty wh0 bulltls or Improves tnereon, antl whd' Aoes sucn work hiinseli/nerse�t or through his or her own Employees, provitled tnat sucn improvements are not intentletl or ofieretl (or yale. If, �O`Neve�, the bulltling o� Improvement I5 Soltl within one yed� of com- pletlon, the owna� will have the burtlen Of proving h¢/she tlitl not builtl or im- �rOva for[he pu�po5e of sale).' I, as owner Of the propertY, am extluzively <ont�acting with IicenSetl con- Vactors to Cons[ruGt tne project ($ection 7044, Business antl Profe55ion5 Cotle: Yhe Contraclor's LicenSe Law tloes nol apply [o an owner of property who builtls or Improves Ihereon, antl who contracts for such projecis with a con- tracto�(s) I�cense purs�ant to the Contractor•z L�cense LaW), I am aware that �root of [heir Worker'S Compensation insu�ance ihould be provitletl fo me. L7 I am ezempt untler Section � B. $,{�.�. far tnis reason �ate �� =�[. ' I hereby ccrtify that 1 jplOflildSlOtl IS COl antl ztate laws rel sC�tatives of thi ty inspection purpos , 5�9nature Driverz' License or 55 �, IF 08fi5-46, rev. 10/B4 Owner all` n. a Date ��o� B as�� ,y - - �..,,..�. TYPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ OEMOLISH ❑ OTH R Ap #, (iESC IPTION O�F}� ORK/USE OF BLDG. � — r �r C�1 4/O u1 V{ St q { ,g'%• ��2 � S Main Buildi TVP^E FPE I�LRADIN�UNDATIO' STRUCTURAL� T Front LJ TENANT ❑ ELECTRICAL ❑ PI.UMBING ❑ MECHAN�CAL B Reaf ❑ OTHER A PROJECT DESCRIPT�ON Sa.FT. oCCUPArvCv C Right C�NSTRUCTIONTVPE VALUATION$ �S�YJU' S Left ZONE GRA�INGCV.YDS. ACRES PIng.Re(.# Remarks: n .-�+ • . ^ \ � �� _� q'� Planniny Notes: Sink Preventer Irrigation Drinking Fountains- Floor Drains Floor Sinks iid5$CfVlt2 �UIICtS Interceptors Kitchen Sink Lavatories . P—Trap Roof Drains Fea � $15 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Mul[iple Firepl/Fact Blt. ICBO # Heating System & Ducting ❑0-100,000 BTU O1 , 00 Fee � $15 Whi[e - BUlltling: Canary - Appliwnt; Pink - Accounii�9: Goltlenrotl - AsSessor FEES Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimmin ool w/Spa ter Goset Water Heater Water Service Auto-Wash laue Fea � $ 3 Automacic Washer Construction PoleSub. Cooking Unit . �IShW25hCf Dryers flGas. nElec Fan F.A.U. Fixtures Oevice eoxes Outlets Switches Garbage Disposal Generamr �45 � 4761 10/OB/86 . .50 TL �!47�0 10/DB/86 16.50 TL Zone O N I N G R E Q M T S ELECTNICAL FEES Transformer ❑ 15-50 KW ❑ 50+KW Meter Qup to 100 amps Merer ❑over100am Sub Panel Motors ❑ HP [� 1'h - 8 Inc. S r �9-15 HP 016�15+ crowave Pole light � Range Sign Standinq Sections KW Trash Compacror i t �ANICAL FEES Rainspection Fee S75 laue Fee Hood or Type I ❑ DEVELOPMENT SERVICES REQUIREMENTS: Canopy Type I I ❑ Zoning Approved By _ Building Approved By Refrigeration System ❑0.100 000 8 100,000 BTU tys�epa ir/Alterat io n � Fire Dampers � Re9isters Issue Fee � $ 3 SUMMARV OF FEES � � BUILDING PEfiMIT $ �U. 00 SM1P $ � � PLAN CHECK $ r� � S�J PERMIT � � PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ _ MICROFILM § MECHANICAL $ TOTALfEE $ �Zf �� PLAN CHECK 25% $ _ � CONSTRUCTION ANDPLANNING APPROVALS Permii # 1. Temporary Electrical Service or Pole 2. Soil Pipe-Undrgrnd. 3� Electrical Conduit Utility-Undrgrnd. 4� Electrical Conduit-Undrgrnd. 5� Steel Reinforcement 6� Electrical UFER Grnd. 7. Footings 8. Foundation � � 9. Water Pipe�Undrgrnd. 10. Structurel Floor System 11 . Property Sewer Line & House Cqnnection 12. Sewer Cap 13. Roof Drains 14. Rough Plumbing 15. Rough Electrical-Conduit 16. Rough Electric Wiring 17. Rough Wiring Sign 18. Rough Electrical-T Bar Ceiling 19- Rouqh Heating & Air Conditioning 20. Rough Faciory Fireplace 21. DuCts, in Structure 22. Ducts, Ventilating 23. Gas Pipe-Rough & Test 24. Roof Framing 25. Roof Sheathing 26. T-Bar Ceiling (Structural) & Monocoat 27. Frame and Flashing 2$• Lathing & Siding 29. Insulation 30, Drywall Nailing 31, Plaster Brown Coat 32, Electrical Power Meter-Final 33. Final Electric 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plum6ing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-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 4y, Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No, Date _ _ Date I Inspector I qppROVALSPo Pe m i# I� Date � 52. Pool & Equipment Location 53. Steel Reinforcement 54. Forms 55. Electrical Bonding 56: Rough Plumbing & Pressure Test 57. APPROVALTOCOVER-GUNI7E 58. Electrical Conduit-Undrgrnd. 59. Gas Pipe, O Undrgrnd., Test 60. Backwash Lines, P-Trap, O Undrgrnd. 61. APPROVAL TO DECK 62. Backwash & Receptor-Final . 63. Heater & Vent-Final 64. Plumbing System - Final 65. Electrical-Final 66. Solar System�Final 67. Fencing & Access Approval 68. APPROVED FOR PLASTERING 69. POOL/SPASYSTEMSFINAL . FIRE DEPT. REQUIREMENT APPROVALS Permit # 70. Underground Hydro 71. ProductPipingOGas ❑Oil 72. Underground Flush 73. Undergrnd.StorageTank OGas ❑Oil 74. Overhead Hydro 75. Dry Chemical 76. Dry Standpipe 77. FIXED SYSTEM FINAL 78. FIRE PREV. FINAL • HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION 80. FOOD CERTIFICA7E ISSUED Notes: Inspector � '.� �� . . ��3�0 COSTA MESA BUILDING DEPARTMENT , P.0.90% 31� COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN BUILDING 372 �,16th Place AODRESS COSTA MESA. CALIFORNIA WILGROWE CONSTRUCTION CO., INC. �'A�� ll933 Stanton Blvd., ADDRE55 c�Tv �eim, California No TW3-3135 ARCHITECT OR E^"'�NEER LIC. NO. �� 6�L"�►��'3�. r'R .z�3 �� b�b'f�- ,; �.,� ��i1'"A'CE DEPT. " ^� nnnTA APPLICATION FO'R PERMIT BUILDING FOR OFFICE USE ONLY RECEIPT NO. ��f�EF1�1� HO. ��i BUILfJING ADORE55 COSTA MESA. CALIFORNIA FIRE ZONE CONTRACTOR T� P. GT@� ��Ty N�, zp ADDRE55 11933 Stanton B1v�.,THo:TW 3-3135 a; LEG4L DESCR�Piiorv NO? 9 e�ocK rRncr 3345 A.P. NO. OFZ LOT 52.85 x 135.07 "°. °` a`°`�. None NOW ON LOT $ETBACN LINE FROM SOt SSr :EtrtEe of' slaEer REAF YARD VEW REPAin BUILDING , SIZE � E%TERIOR W COVERING USE OF NEW BUILDING lO RIGMT 15 LEFT DESCRIPTION OF WORK x AITERATION ADOITION MOVING OEMOLISH � NO.OF rj'] ROOMS $ STORIES tlY'-CC� L` 1LLlI� COV�ERING COIIlT)• STnTE TNAT THE wBOVE IS CORFECi 1NO CITV ONpIrvwN<ES n=p STwT� LaWS R�GI SIGNATURE OF `�, //// / AUTHORIZED AGENT CORRECTIONS a� COMPLY WITH RLL ILpING CONSTRUP VALUATION � PERMIT FEE 5 ` � ,b / � PLAN CHECK S $ TOTAL FEE 5 � vaJr ' 9��0 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 31] COSTA MESA. CALIFORNIA FOR APPL/CANT TO F/LL /N COMPIETfLY TYPE OR PRINT euaowc � �'i ADDRESS COSTA MESA. CALIFORNIA TEL. cva��uaa:a STATE IQ NO. �s» A.P. NO. SIZE �� % /�� I NO. OF BLDGS. OF LOT �� NOW ON LOT USE OF E%ISTING BLDG. SETBqGK LINE FROM CENTER OF STREET REAR YARO \ �j ' � 3 SIDE YARD ILEFT JO RIGHT DESCRIpTION OF WORK NEW _ REPn_. BUILDING SIZE EXTERIOR � COVERING USE OF BU NO. OF ROOMS ROOF COVERING iK TO 0E F SH I !IFS f S� 20NE r � � R ��av 21 �,s�� FINANCE DEPT. APPLICATIOIV (FOR, P,ERMIT BUILDING Fa,e officE usF oNcy I RECEIPT NO. I f�1� J �VED BY I�AT RECEI E'D. I�DAT I5: � � '). r �s"s� ? 7 Z_ / � . � /�� ( � %� COSTA MESA. CALIFORNIA - � / l, NE DATE � Z- S ZONING �. % I PLANS I BUELOFNG��. �' \L NED , � DATE ,�� EVES � / �CENTER LINE ST.) �I FRONT � /// FT. / �� R.SIOE � FT. I HEFEBY ACKNOWLEOGE TH/T I HqVE REFO l PI+pLICATION qND STRTE TXAT THE R90VE I$ CORRECT �1N� FGREE TO COM- PLY WITH ALL CITY ORDINANCES AND STATE LPWS FEGULATING BUILOING CONSTRIICTION. ^ /� 1 P RMITTEE �F�' ��—lti�Ytl �� l/� 1e / AUTHORIZED AGENT /,�X�C�f�l-�'��t l � � � Cl � �Z-�� THE AMOUNT SHOWN IINOEN VALUhT10N IS FOR THE PURPOSE OF ESiqBLISH�NG A PERMIT FEE ONLY. VALUATION �� M PERMIT FEE $ (l/ �L,C/ ` PLANCHECK $ �^ $ � � / TOTAL FEE S (�% —�— c