HomeMy WebLinkAbout258 21ST ST - Building Permits i
Ili
-4411
Applicant to tilt in all spaces except those within heavy border Tines and sign all appropriate declarations.
Z4.TY OF COSTA MESA CONSTRUCTION PERMIT ,,�1 PERMIT NO TRACT NO. LOT NO. UNIT NO. ,
'^-eject Address gni- F• ;l `rs Tn Edd- 0-"1 a 40 ,SS ' 6571 11/03/86
10.50 TL
-o-.# TYPE OF CONSTRUCTION X NEW U ADD Li ALTERATION Li REPAIR
Applicant's Mallin Address ����� � � �� '7 ❑ CONVERSION 0 DEMOLISH ❑ OT R A.P.91s I Zone
Owner's Name e���QR `r 1��s.�••..y Den c1G,.�1��i / D CRIPTION OF W RK/USE OF BLDG. I Q A4 '� L
Address P-S 4% at S/KFC/ L� • "/ • 5 /-/AM/1 3 dE n a 4.11,5� 2 Atiy ti/ S Main Building: Accessory Building:
Arch/Eng. License No. TYPE OF PERMIT GRADING FOUNDATIbN ST RUCTu AL T Front U
Address //��,�./a .,' , .se 0 TENANT 0 ELECTRICAL PLUMBB17NG 0 MECHANICAL BA Rear N
Contractor's Namg t.0 I A 4 • • Pho 4(16 h2 1 'OTHER /n/750Ahey lT E B•9 R
q -= ' a t L PROJECT DESCRIPTION SQ. F OCCUPANCY rA C Right N
Address(mailing)-!'lar /er sy 1� K G
/��1� CON ST RUCTION TYPE VALUATION D0• $ Left
City License NR
O. �J-¢L�OS1 ZONE GRADING CU.YDS. ACRES - ping. Ref.# Parking Req./Provided E
LICENSED CONTRACTOR DECLARATION 0
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: M
with section 7000) of Division 3 of the Business and Professions Code,and T
my license is in II f c nd effect. �/
License Class $..r y je License No.,35/ I S
Dat Signature „� I i •"'"
PLUMBING FEES •
le-0C\ WORKERS'COMPENSATION •� RA 10 /4.ft?LIF
k. I hereby affirm that I have a certificate of con, t to self-Insure ora certificate Bar Sink Showers ELECTRICAL FEES
,f Workers' Compensation Insurance, or a ertified copy thereof (Sectio Backflow Preventer Service Sink
N ;coo, Lab. C. Automatic Washer Transformer-❑ 15-50 KW •
l Policy No. �3O 7Q 4 Company sink �K� Backflow Irrigation Sewer Ca 0 50-+;KW'
- ia '�A P _ Construction Pole Sub.
tiCertified copy is hereby fur i ed. � '•/A
Ce t}'�ieccopy ' jded wit j X0.26/ /1 r Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100amps-
Datebf 7 - 4r p is fiI a'" S� - - -
EXEMPTION FROM 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 ❑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 0o-1 HP 011/2-B •
Workers' Compensation Laws of California.
Date Signature Floor Drains Swimming Pool w/Spa F.A.U. - 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 Water Heater Outlets
Lender's Name Range
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
following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal ;Standing Sections'
county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays Generator 0.5 KW❑5.15 KW
its ❑ Trash Com ctor
to
structure,signed
Astor tom nt that he/, also licensed theapplicant for such ionspermit Pa
file a rector statement that he/she Is licensed pursuant to the provisions of Root 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 -
therefrom and the basis for the alleged exemption, Any violation of Section
031.5 by any applicant for a permit subjects the applicant to a civil •
chatty of not more than five hundred dollars($500). 3
ID I, as owner of the property or my employees with wages as their solo 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 ownDEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I 0 ZoningApproved B p}
sale. If, however, the building or Improvement is sold within ono year of com- Canopy Type II 0 .` pp y _ Date/'l`[ -��
Motion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground Building Approved By Data
prove for the purpose of sale). / (//
o I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued ByAi) Data tl 4
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 ❑0-100,000 BTU ❑100,000 BTU SUMM�I�V OF FEES
builds or Improves thereon,and who contracts for such projects with a con- - COtractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust SystemMultipleSystemRepair/Alteration •r' " BUILDING.PERMIT $ /0• SMIP $ V
!! 0 0
proof o their Worker's Compensation Insurance should be C.
dedthis to me. PLAN CHECK $ PERMIT
❑ I am exempt under Section B.8. P.C.for this reason Firepl/Fact.Blt. ICBG# . Fire Dampers ISSUANCE $
PLUMBING $
Date Owner Heating System& Ducting Registers • PLAN CHECK 25% $ _ ENERGY P.C. S
I hereby certify that I have read this application and state that the above ❑0-100,000 BTU ❑100,000 BTU— GRADING $ -
information is correc, I agree to co yyy-• y with all city and county ordinances ELECTRICAL $
and state laws rela • to build' g--truction, and hereby authorize repre-
sentatives of thi /dy to et • •nit e above-mentioned property for
inspection p -ans. MECHANICAL $ TOTAL FEE $ �O'�
Signature 4..4�r. f 40 —�/I Date u-3-
Drivers' License or SS ,
Pink -Accounting; Goldenrod - Assessor -.
', .'
1 l'f�NSTRUCTION AND PLANNING :-.1POOL PA
APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector
1. Temporary Electrical Service or Pole, 52. Pool & Equipment Location '
2. Soil Pipe-Undrgrnd, 1. . 53. Steel Reinforcement I.
.3. Electricalr Condttti,Uti)ity-Undrgryd: 54. Forms ,</- .'
.
4;Electrical Condutt-U6drgrnd. ''" V 55. Electrical Bonding
S:•Steel Reinforcement.' , 56. Rough Plumbing & Pressure Test "
6!"ElecIricalUFER'Grt+d. 57. APPROVAL TOCOVER-GUNITE .
7..•Footingsr , .t. SAie' f7 58. Electrical Conduit•Undr rnd. '�
8:: Foundatjon •• :. : 59. Gas Pipe, 0 Undrgrnd.,Test _
-
9.-WaterP/pe-Undrdtnd. I.
- 60. Backwash Lines,P-Trap, 0 Undrgrnd.
10.:6tructural Floor S 5Stem . 61. APPROVAL TO DECK '
11. Property,•Sewer Line-8r HouseCdr(neiition ' !';' •62. Backwash& Receptor-Final
12.-Sewer Cap `: w 63. Heater&Vent-Final
13.'Roo} ;,
grains '� 'I, S .:'s 64. Plumbing System - Final .'
14i..-RoughPlumbing7 ' i - -' 65. Electrical-Final . 1
15. Rough Electrical-Conduit 66. Solar System-Final •
16. Rough Electric Wiring • 67. Fencing&Access Approval
17. RoughtWiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough I-Mating & Air Conditioning FIRE DEPT. REQUIREMENT .
20. Rough Factory Fireplace APPROVALS Permit#
• • 21. Ducts, i:i: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, J-Bar-Ceiling (Stmictural) & Monocoat 75. bry Chemical
27. Fram,gand Flashing • - 76. Dry Standpipe
28. Lathing-Bi Siding•, • - - 77. - FIXED SYSTEM FINAL
•
' 29.-Insujatidn - 78. FIRE-PREY. FINAL
30. Drywall Nailing - HEALTH DEPT. REQUIREMENT
• 31.-Plaster Brown Coat .. 79. FINAL INSPECTION . .
32. Electrical Power Meter-Final _ 80'. FOOD CERTIFICATE-ISSUEQ / __
33. Final Electric Notes: da -G.y --'`G� !1 f�.v��(7Gfy' '
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 '(•/,E/ 0 ow
48. Special Requirements Completed ` t�
49. Electric Release to Edison -
50. Gas Release to Southern California Gas Co • .
51. CERTIFICATE OF OCCUPANCY
.'No. _ Date
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Permit No.
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TYPICAL 611 CONCRETE BLOCK FENCE
a _
Gement Coping Optional 6i gi ji GENERAL- NOTES
Gunnel Block With Onor14
Hor6onul Top of aH• i + MORTAR: One Part Plastic Cement, and
Fences • lH1111��1 I
Three Parte Sand
GROUT: •. One Port Cement Thee and
For Fences 6'w Lea {B8; a �, -'t I [ One Half Ports Sand
von.Ban 3/8'4 et e'4"O.0 111 Sr° COPING: One Part Cement, Three
For Fences Higher Then 5' MI �` u I M MI I Parts Sand 1 1
• CONCRETE: Well Mire I: 2% s 354
Vert.Ben 318" et 32"G.C. Y W 4
a r • Max. of 7/2 Gallons. of
Fill Collo Solid With Grout gI• > .' —" I Water Per Sack of Cement
WMroSteel Ocwn ill
W ' 1111
I
Reinforcing Steel Shall IE4� OROUr MAYBE POURED FROM THE 70P
Conform to Sec.A•1638 pp u 0
OF THE FENCE
ASTM: lit _ ~ �'�-'� I CELLS AND AREAS OF HORIZONTAL REIN.
All S:eeI to be Lapped 1 y I I el I FREE OF LT SHALL BE CLEAR.CLEAN•
W"nr to Code in
p f FREE OF ALL MORTAR DEBRIS.ETC.
NATURAL GRADE y !� • .' -" 1 BONDS SHALL BE PROVIDED BY LAYING
gl—cl � 1 f a ql� iI I - j 1� BLOCKS IN STRETCHER COURSES SO THAT
eek VERTICAL JOINTS ALTERNATE IN EACH
r• .,.o `p . . b . . . a • COURSE.
TWO LB" BARS 'T [7 _ �. o � • •..
CONTINUO
6BOTTOMUSTOP
al . O WIDTH 430 TO 16' 0 C. MAX. . O .
P SEE CHART • a _•
• . b BELOW O� •' • • DEPTH. OF EARTHTCOTH
ye
b 1/3 THE HEIGTH OF FENCE
O • O HECDW BOTTOM OF FOOTING.
__ , lo' � " 2. SCALE: 1/2" = I'
_FOOTING REQUIREMENTS _
� ,
WALL HEIGHT 6' • 5• 4' 31
•
WIDTH OF FOOLING 14" 14" 12" 12"
THICKNESS OF FOOTING 10" 10" 6 " 6 '
DEPTH OF EARTHTOOTI' 24" 20" 16" 12"
SPACING OF EARTHTOOTH 12' 14' 16' 16'
almimeRS nn -/y r
1E JOB EADDRE SE .oma L — :/—' 2_t•---,
R G E-1-
.
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City of- Costa Mesa, California
. Building Department .
JOB ADDRESS•. 258 E. 21st St. , A /r"Car e 77rhA BUILDING PERMIT NO. 23146. .
a GENERAL CONTRACTOR Same I r - y=g kr VALUE $ 19,212.00
7.y AP NoJJ.8-153-].0 11 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORK Res•. watt.Gar.
ISU$,',+',FCTIONS Signature DATE GROUP I&J TYPE V ZONE R1
Se 717/73- l2 /Gy SUBCONTRACTOR
ISSUED
t Gas DATE NUMBER
Wateryq/Yf,S' /2.--,7--64/ fi-/c /2--2-4(‘
Rough dom. Refrig. a Air Cond. {]
Rough Heatingaq,dL ,(,� _ I / i- -L 5 '' u-
Rough Plumbing - , � �7/ se 1. i1/30/0/ ,L 4S6_ '
Miscellaneous (r !,
Prop. Swr. Line El-Souse Con.:0-St. Swr. 0 41•f_$ /-r -45— %t (/v„„_<,X,. /a�.5.44., -7/C 3 2 ' I
Sprinkling System 1(6
k
Construction Pole
Underground 0 Power 0
Rou h Wir' - -7Z- .t �iC4G j a/a9/G`V '
Trenches Forms 0 Steel Reinf. 0 i 7-al
Floor System x6! /,Jc/¢Y . .. 1F
Bond Beam ❑ Steel Reinforce 0 plana^ S,adl •• • i •.). tI/
Sheathing 4/144/. / es- Som a.a •�— ,- ,
Frame and Flashing • R i ,- et l oa.a 4J /A t 1. '-
Lathing •- In�fJl('/ Out:c4 g/ or / a't Meeh �,; J
Pli. r, brown coat e_ / a.9/ g S `y" •
W.. c Air Con. ❑ Final
Heating, Final
Plumbing Futures, Final •
Final Gas Test /5#` y- '1, --4„S
Electric Fixtures, Final f' 3. S
I:uil,linn Final `f — 'S/ ritC _ ___ ___ ._. .. - - ____