HomeMy WebLinkAbout2651 IRVINE AVE - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. _ TRACT NO. LOT NO. • UNIT NO. 4856 I �03iR5 gOC r
Project Address 2651 Irvine Avenue, Costa Mesa
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Applicant's Mailing Address 1175 N. Osprey Circle, Anaheim TYPE OF CONSTRUCTION NEW l ADD U ALTERATION U REPAIR 1
❑ CONVERSION ❑ DEMOLISH ❑ OTHER • A.P.# I Zone
Owner's Name Joe Avi I a Phone DESCRIPTION OF WORK/USE OF BLDG. McChffi11Ca1, Install - -
cpAddress 2101 Pl a en i a Avenue, Costa Mesa 3 Ton Lennox Heat Pump S Main Building: • Accessory Building:
("� Arch/Eng. License No. TYPE OF PERMIT U GRADING L I FOUNDATION ❑ STRUCTURAL . T Front - p
Y Address — ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ® MECHANICAL BA Rear •
N
$LAl�-AIR CONDITIONING 'Phone 630-6412 ❑ OTHER
Contractor's Nam PROJECT DESCRIPTION SQ. FT. OCCUPANCY K Right G
.1 Address(mailing/1175 N. Osprey Circle- Anaheim '
02626 CONSTRUCTION TYPE VALUATION$ $ Left
City License No. ZONE GRADING CU.YDS. ACRES R
LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: - a
• -
with section 7000) of Division 3 of the Business and Professions codde,, and M
my lice•nse is in full force an, affect, i T
Ucense Class - I - • Lic- se No. a a— 1 e 1 S.
Date : Signature .i - .. - •
PLUMBING FEES . .
I •
WORKERS'COMPENSATION DECLARATION , Bar Sink Showers
-thereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES
f Workers' Compensation Insurance, or a certified copy-thereof (Section •
Backflow Preventer Service Sink - -'
Automatic Washer Transformer' •❑ 15-50'KW •
4$00, Lab. 0401062 STATE COMP INS.FUND - ❑ 50+KW
P •
nolicy No. Company Backflow Irrigation $ewer Cap Construction Pole Sub.
E
Certified copy is hereby furnished, ,
Certified cyp>.l filed with the city Ing,D,iivv'}i • Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
Date 19/261E4 APPlicant ent(h``ie
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers - - - Solar Collectors DishwasherMeter Dover 100 amps'
(This section need not be completed if the permit is forone hundred($100) or
less). Dishwasher - Solar Piping Dryers ❑Gas ❑Electric 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 011/2-8 •
Workers' Compensation Laws of California. , , -
Date • Signature - - Floor Drains ' Swimming Por I w/3p F.A.U. Inc.Solar ❑9-15 HP ❑1615+
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 - - -
comply with such provisions. or this permit shall be deemed revoked. Microwave
CONSTRUCTION LENDING AGENCY - I ' I Gas Service -Outlets - Water '
I hereby affirm that there is a'construction lending agency for the performance Device Boxes ,Pole Light
of the work for which this Permit is issued (Seclion,z309] Clv. C.) I Interceptors - -te eater / •
_ Outlets f - I '
Lender's Name - - '}1�y `A'I� Range
Lender's Address' - . •' - '^ - ' Kitchen Sink - r j \water Service /� Si n
OWNER BUILDER DECLARATION - - i ' i Switches 9
I hereby affirm that I am exempt from the Contractor's License Law for the , ' 'Lavatories r `\ �I 'Ylls
following reason (Section'7031.5 Business and Professional Code: Any city or it Garbage Disposal Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair• P-Trap - .
any structure, prior to its:issuance, also requires the applicant for such permit - Generator 00-5 KW ❑5.15 KW Trash Compactor
•
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
'ivision 3 of the Business and Professions Code) or that he/she is exempt ,
•refrom and the basis for the alleged exemption. Any violation of Section . . .
d1.5 by any applicant for-a permit subjects the applicant to' a civil - A y'>tif"/ i"�`
_,.endlty bf not more than five hundretl dollars($500). $ 3 (
-LI i,i, as,owner of the property or my employees with wages as their sole , ''Reinspection Fee ii ; $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 I 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 O Zoning Approved By Date
sale. If, however, the building or Improvement is sold within one year of com- Canopy - Type II ❑
pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved By Date
trove for the purpose of sale). ��� �
•
U I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By G. gip/- Dat Z 'B c
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 • 00-100,000 BTU 0100,000 BTU - SUMMARY OF FEES
builds or improves thereon, and Who contracts for such projects with a con-
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System El Multiple ❑ System Repair/Alteration BUILDING PERMIT $ SMIP $
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT
❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# 1 3 H.P. Compressor ' 4 pO PLUMBING • $ SSUANCE $ -.'�
Date Owner - Heating System& Ducting PLAN CHECK 25% $ - _ ENERGY P.C. $ '•
I hereby certify that I'have reap this application and state that the above ❑0.100,000 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 y to enter upon the above-mentioned property for
inspection purpo . ,/ - 12/26/34 - MECHANICAL 1•Ca ot14r 7.00
Signature - 1' ,.c J / Date Reinspection Fee $15Issue Fee $ 3 PLAN CHECK 25% TOTAL FEE $
Drivers' License or S# .
$ - •
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CMF 0865-46,rev.4/84 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor
CONSTRUCTION AND PLANNING - - POO ;PA - .
APPROVALS Permit# - Date Inspector APPROVALS. • Permit#, Date Inspector
1. Temporary Electrical Service or Pole 52. Pool;& Equipment Location r '
•
2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement •
3. Electrical Conduit Utility-Undrgrnd. 54. Forms - t
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. ' i4
8. Foundation - 59. Gas Pipe, D Undrgrnd.;Test PI .
9. Water Pipe-Undrgrnd. , 60. Backwash Lines, P-Trap, 0 Undrgrnd. I.,J
10. Structural Floor System 161. 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,Wirin'g 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 El Gas ❑Oil
23. Gas Pipe-Rough &Test 72. Underground Flush ' -24. Roof Framing 73. Undergrnd.Storage Tank,0Gas -❑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 -
1
38. Final Plumbing ' •
39. Water Service-Final ,
40. Gas Service-Final -
41. Solar Domestic-Final ' .
•
42. Backflow Preventer, • 1
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
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. -
'. CITY OF•COSTA MESA --- - - - PE MIT NO. -TRACT NO. LOT NO. BLDG.NO. - ' - ; - 1679 " 1/1?3/j/' - - - +*i ' TI.
. CONSTRUCTION PERMIT ' ��1 f//J V— 103 (.0 •
r�•' o -• '•❑yam -
Project Address 4945/ eef "�- . TYPE OF CONSTRUCTION' LJ NEW U ADD U ALTERATION- !kr-REPAIR REPAIR '
Applicant's Ma ng Addr... ❑ CONVERSION ❑ DEMOLI 14 0 OTHER , - A,P,# - I Zone
Owner's Nae S/ .-...,...y, L -`� � ���"' �� �r DESCaJyT10N OF WOR�C ��«s � �� - - - ' •
, �� ne B%jOQ`�T ION) fff ��I 4 S Main Building: I Accessory Building: _ 12
Address ll✓ '-'e- - TVP F PERMIT' GRADING�UNDATION ❑ STRUCTURAL T Front - • N
ArcH/Eng. - License No. 0 TENANT ❑ ELECTRICAL PLUMBING 0 MECHANICAL B Rear • _ I '
Address ❑ OTHER A N
Contractors Nam of �sw 0 G` hone PROJECT DESCRIPTION, SO. FT. OCCUPANCY K Lege t _ /, t - G
) Address(mailing)l/7�S'�// , CONSTRUCTION TYPE .VALUATION$ $ n¢Il/➢%7 r E ,
(t\ 30 3 ZONE GRADING CU.YDS. -ACRES Ping. Ref.# ,,� .I- t/ P1ar e ,_' , U '
City License No. t (,( ���•••"`
( LICENSED CONTRACTOR DECLARATION I Remarks: -. ' Parking Req./Provide _ •
•
. 1•
1 hereby affirm that I am licensed under provisions of Charter 9 (commencing " •- - / • R
I with section 7000) of •Division 3 of the Business and Professidns Code,and — ; •%�;f- etevri yj07 r r r i�' Use of Building: 5 1 - _ E
my license Is in f I for . d effect. 1 M
License Class- r Lioe�a `.` �'= PLUMBING ; '- , FEES Planning Notes: f0 = ti
Date Signature - Bar Sink . I •,y-.• 'r+; Sh'ower5? 1"--- ( t N
`WORKERS' COM•ENSATIO,N DECLARATION pp • �'• '' j 1 t O t� y r p - T
hereby affirm that I have a Certificate of consent to self-insure or a certificate Backflow PreVe/ltef �, -�SBNIGe'Sink 1 '- , tI •
, f•i + S
' ,f Workers' Compensation Insurance, or -a certifie;drscoppy thereof (Section -• - / I
• 3800, Lab. C.) I /�'"'we ` 1"d Backflow Irrigation`.. !•f 1 4 Sewer Cap,, i - '.i ._L.L, I /lf7 ELECTRICAL ' 1 . FEES
Policy Company - • ,
rtified copy is her y furnished. Bathtubs I • Sewer Connection < Automatic Washer Transformer ❑ 15-50 KW
Cer ifie opy f I with the'city B 4 • Divi sort. ice/ - -
Date Applicant i .. l/�� Clarifiers I /Solar Collect Construction�,, Construction Pole Sub. 1 ❑ 50+ KW 4
EXEMPTION FRO WORKERS'COMPENSATION DECLARATION =Dishwasher ' I UA I't//o/g C '•�4p'�" ��� D
(This section need not be completed If the permit is for one hundred ($100)or $olIB4-Piping • _ Cooking Unit Meter Cup to 100 amps
less): I _ _-
Fountains Solar Tank Dishwasher Meter Dover 100am s
•
I certify that'in the performance an the work for which this permit is issued, I DrinkingP
shall not employ any person in any manner so as to become subject to fle
Workers' Compensation Laws of California: I 1 Floor Drains Swimming Pool w/Spa Dryers OGas ❑Electric Sub Panef ,
Date Signature T
NOTICE: If,after making this declaration,you should become subject to the l Floor Sinks 1 , Urinal , g f Fan' Motors 00-1 HP ❑1 K-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. - HP 016-15+ ,
CONSTRUCTION LENDING AGENCY' - , •
- ,
I hereby affirm that there is a construction lending agency for the performance Interceptors• Water Heater Fixtures ' - ;Microwave I • '
of the •work for which, this permit is, issued (Section 3097 Civ. 'C.) - -
Lender's Name ' _ 1 ' Kitchen Sink , Water Service Device Boxes r Pole.Light • I
Lender's Address, - - Lavatories +
OWNER BUILDER DECLARATION , Outlets Range ' I '
I hereby affirm that I am exempt from the Cdntractor's.License Law for the - - I
following reason (Section.7031:5 Business and Professional Code: Any city or • P-Trap' -', •, 1 r . ' - • ` _ 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 ❑O-5 KW❑5-15 KW Trash Compactor
'ivision 3 of the.Business and Professions Code) or that he/she is exempt • - . -
erefrom and the basis forthe alleged exemption. Any violation of Section -
J31.5 by any applicant for permit. subjects the applicant to a civil pe I• $25. Issue Fee - 3 - _
enalty of not more than five hundred dollars($500). Reinspection-Fee $ -
U I, -as owner of the'property or my employees with wages as their sole Reinspection Fee , $25 Issue Fee I $'3
compensation will do the work,and the structure is not intended or offered • .MECHANICAL FEES
for sale (Section 7044, Business and Professional Code: The Contractor's -- ---. -- - ------ ----- --- -'-' --- -- -- PUBLIC SERVICES REQUIREMENTS:
License Law does not apply to en-owner of a property who builds or improves Boiler - Hood or Type I ' ❑ • -
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 I) D •
Duct-Under Ground
sale. If, however, the building or Improvement is sold within one year of corn- _ Application Approved By Date
pletion, the owner will have the burden of proving he/she did not build or,im- - .1 _3 _l
a)
prove for the purpose of sale). Duct-Structural - Refrigeration System - Applicationy -
LJ I, as owner of the property, am exclusively contracting with licensed con- Issued'B rt !�� i Date
tractors to construct the project (Section 7044,Business and Professions Code: . Duct-Ventilating , ❑0-100,000 BTU ❑100• ,000 BTU SUMMARY 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 ❑ Multiple❑ System Repair/Alteration BUILDING PERMIT $ SMIP • $
tractor(s) license pursuant to the Contractor's License Law). - - i PLAN CHECK $ PERMIT
❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# PLUMBING $ .c-/ 0 d 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 ' DO-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 repro- ' PLAN CHECK $ - MICROFILM $
sentatives of. at, city to'eater upon the ove-m Honed property for • ' -
inspection cpur ense s. / i• , MECHANICAL $R,
Signature ••� _� Date _ TOTAL FEE $ S, D
Drivers' License or SS# Reinspection Fee $25 , Issue Fee $ 3 •PLAN CHECK $ I
'CMF 0865-46-Iev.-7/83 White-Building:Canary-Applicant;Pink-Accounting;Goldenrod -'Assessor- - _ - - _ - '..a -
CONSTRUCTION AND PLANNING: POO SPA
• : APPROVALS 'Permit#1 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. •-r - - 57. APPROVAL TO COVER-GUNITE r
7. Footings.., ;-' . , . 58. Electrical Conduit-Undrgrnd.
8.'/Foundation ' . ; i . 59. Gas Pipe, O Undrgrnd.,Test
9rWate :Pi pe-Undrgrnd. • : • - 60. Backwash Lines, P-Trap, O Undrgrnd.
10: Structural;FloorSystem - 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. Rouges Electrical-Co duit . - ' • - - - ,• `-e 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 : t.; ' ' ' , 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 J 78. FIRE PREV. FINAL
, . 30. Drywall Nailing i HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat l ' 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 . , t -
37. Final Factory Fireplace ,
38. Final Plumbing '
39. Water Service-Final . • ' ' ' '
40. Gas Service-Final . . I ,
41. Solar Domestic-Final- -
42. Backflow Preventer '
43. Backflow Irrigation • •
44. •Landscape Irrigation System
45. Sound Attenuation ,
46. Handicap Regulations '
47. FINAL STRUCTURE & BUILDING . l ,
48. Special Requirements Completed
49. Electric Release to Edison --- -. - - - - - -
50. Gas Release to Southern California Gas Co • - ,
51. CERTIFICATE OF OCCUPANCY. - _. _ .
No. - ' Date '•