HomeMy WebLinkAbout2300 NEWPORT BLVD - Building Permits City of Costa Mesa
Fire Department
FROM: COSTA MESA FIRE DEPARTMENT
TO: COSTA MESA BUILDING DEPARTMENT
Section 'RIGA GA , 2A t1 V 0.15 ‘ O C-,1-E p7
Location 42. 30o - 1`.Ic cap° ��Ja. Z,\\ S RENTALS
This is to inform you that an apparent hazard exists at the above address as
follows:
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Inspector: IS ,,4rw..-.r-.
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Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA ��Q, CONSTRUCTION PRMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. A.P.# I Zone
Project Address ] ♦ t%1' 't-r 'gyp• 1 ( S Main Building: Accessory Building:
Applicant's Mailing Ad•ress i0 • r Gr G - L 5C t inLYPE OF CONSTRUCTION ❑ NEW ADD LJ ALTERATION U REPAIR E Z
Owner's Name / ,__vii 7h� 1/(--?Ms, ❑ CONVERSION ❑ DEMOLISH OTH`E'R • T Front 0
`�/ DESCRIPTION OF WORK/USE OF BLDG. 1 • "' .. --/W-1.5$ B Rear N
Address S-3 et, N8-' -r. .3L 4'. 31,1' afeol �j1
Arch/Eng. License No. TYPE OF PERMITF�i1 ❑ GRADING 1L`1 FOUNDATION STRUCTURAL I C Right N
Address ❑ TENANT Uet ELECTRICAL ❑ PLUMBING MECHANICAL $ Left G
R
❑ OTHER I Ping. Ref.# Parking Req./Provided E
Contractor's Name PhonedPROJECT DESCRIPTION S tOCCUPA Y
Address(mailing) CONSTRUCTION TYPEfr. VALUATION S � Planning Notes: M
City License No. T
ZONE . _ - GRADING CU.YDS. ACRES S.
LICENSED CONTRACTOR DECLARATION ,.yam
I hereby affirm that I am licensed under provisions Of Charter 9 (commencing Remarks:pi * 2S 3 �Ye/ � Ge 30-2 �r #4�j7 a
with section 7000) of Division 3 of the Business and Professions Code,and 6� T/ CJ ` y ELECTRICAL FEES
my license is In full force and effect.
License Class License No.
Date Signature _ PLUMBING FEES Automatic Washer Transformer 0 15-50 KW •
`•'DR KE RS' COMPENSATION DECLARATIONConstruction Pole Sub. 0 50+KW
reby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers
Workers' Compensation Insurance, or a certified copy thereof (SectionBackflow Preventer Service Sink Cooking Unit Meter Cup to 100 amps
3800, Lab. C.)
Policy No. . Company Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps
A
Certified copy is hereby furnished, — Dryers ❑Gas ❑Electric Sub Panel
Certified copy is filed with the city Building Division. Bathtubs er tion
Date Applicant Fan Motors 00.1 HP 01%-8
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers f Ilect
(This section need not be completeU if the permit is for one hundred($100) or Dishwasher iping F.A.U. Inc.Solar 09-15 HP 016.15+
less). —�
I certify that in the performance of the work for which this permit is Issued, I - FlXtufeS -- Microwave
shall not employ any person in any manner so as to become subject to the Drinkin• FOunta. olar Tank _-
Workers' Compensation Laws of California. !}�,`
Date Signature Flo. Swimming Pool w/Spa Device Boxes Pole Light
NOTICE:If,after making this declaration,you should b' - subject to the
Workers' Compensation provisions of the Labor Code, •u must forthwith Flo. Willir Urinal Outlets Range
comply with such provisions or this permit Shall • deemed revoke
CONSTRUCTION LENDING AGENCY Gas S: Ice Outlets Water Closet ` Switches Sign
I hereby affirm that there is a construction lending agency - •erformance
of the work for which this permit is issued (Sacci, 097 Civ ) Garbage Disposal Standing Sections
Intercep,a. Water ter _, _
Lender's Address
Lender's Name Kitchen Sink er _ _
Generator 00-5 KW ❑5-15 KW Trash Compactor
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's LI se Law for the Lavatories Aut e
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit toconstruct,alter,Improve,demolish or repair P—Trap ry Traits
any structure, prior to its issuance,, alsolso requires the applicant for such permit
to file a signed statement that he/she Is licensed pursuant to the provisiogoof
f Drains
>ee Contractor's License Law(Chapter 9 (commencing with Section 7000
"(...vision 3 of the Business and Professions Code) or that he/she Is axpeatipn Fee $15 Issue Foe $ 3
-e;,;i?•refrom and the basis for the alleged exemption. Any violation of Se
.S)31.5 by any applicant for a permit subjects the applicant to a
enalty of not more than five hundred dollars($500). ELOPMENT SERVICES REQUIREMENTS:
LI I, as owner of the property or my employees with wages as theirein n Fee $15 Is, e Fa ' Zoning Approved By Date
compensation, will do the work, and the structure is not intended or of
for sale (Section 7044, Business and Professional Code: The ContraMECHANIC' � FEES Building Approved By Date
License Law does not apply to an owner of a property who builds or imp __
thereon, and who does such work himself/herself or through his or her011ef ❑ Application Issued By Date
employees, provided that Such improvements are not intended or offere
sale. if, however, the building or improvement is sold within one year of corn- • •py pe II 0 SUMMARY OF FEES
pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground
prove for the purpose of sale). BUILDING PERMIT $ SMIP $
❑ I,as owner of the property, an, exclusively contracting with licensed con- D =.• ural • 'r ation System PLAN CHECK $ PERMIT
•
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 ;, .q 00.100,000 BTU 0100,000 BTU PLUMBING $ _ ISSUANCE $
builds or improves thereon.and who contracts for such oroiects with a con-
ENERGY P.C. $
tractor(s) (,cense pursuant to tne Contractor's License Law). I am aware that Ex' • t System 1 e 0 System Repair/Alteration [ch oroiectof $ _ GRADING $
❑ I am exempt under Section B.8 P.C.for this reason Firer), : . •1 . ICBO# Fire Dampers MICROFILM $
PLAN CHECK 50% $
Date Owner Heating ystem&Ducting Registers MECHANICAL $ TOTAL FEE $
I hereby certify that I have reap this application and state that the above ❑o-100,000 BTU 0100,000 BTL PLAN CHECK 25% $
information is correct. I agree to comply with all city and county ordinances
and state laws relating to building construction, and hereby authorize repre-
sentatives of this city to enter upon the above-mentioned property for 11.
Inspection purposes. -
Signature Date
Drivers' License or SS Reinspection Fee $15 Issue Fee $ 3
0865-46,rev.5/88 White - Building; Canary ' Applicant; Pink -Accounting: Goldenrod - Assessor
CONSTRUCTION AND PLANNING PO '. SPA
APPROVALS Permit# 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.'ElectricalUFERGrnd. 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, 0 Undrgrnd. •
10. Structural Floor System 61. APPROVAL TO DECK
r..-
11.. Property Sewer Line & House Connection41
• ••
62, Bacl vyash & Receptor-Final
12 Sewer Cap 461. Heger & Vent-Final
•13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing lab.Electrical-Finals r
15. Rough Electrical-Conduit 'r'v N'
s� "'Solar System-,final N`
16. RoUgh Electric Wiring 167. Fencing & Accsesitoval
APfSP sr.
41117
17. Rough Wiring Sign A e68. APPROVED FORP,PLASTERING . ,
18. l
Rough Electrical-T Bar Ceiin9 6 a' M �-
9 � 9'.oiPOOL/SPASYSTEM�INAL Ott
19. Rough Heating & Air Conditioning X'r FIRE DEPT. REGPUIREMENT v�
20. Rough Factory Fireplace APPROVALS ear#
21. Ducts, in Structure 'y '
• 70. Underground�Wydro lit
22. Ducts, Ventilating 'Cr •`s) 71. Prod ucttipi 9 0 Gas 0 Oil ",4 ,V
23. Gas Pipe-Rough 6/Test 'ii 72. Undergr ikl Flush /4 $4
24. Roof Framing M 73. Undergrnd.Storage Tank 0G0001l
25. Roof Sheathing t• -f 74. Overh'eadJHydro .
26. T-Bar Ceiling (Structural) &-Monocoat 75.C74 Chemical
27. Frame and Flashing -1J 76. Dry Sia dpipe
28. Lathing 8e-siding j 77. FIXED SYSTEM FI*'AL4'
29. Insulation y , 78. FIRE PREY. FINAL
30. Drywall Nailing f/ 17 HEALTH DEPT. REQUIREMENT
31. Plaster.Brown Coat, f 79. FINAL INSPECT-ION
l
32. Electrical Power Meter-Finall f 80. FOOD CER Tf IC#A;I E ISSUED
33. Final) Electric Notes: / re
±r f
34. Final Heating & Air Conditioning fitj
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
tl
43. Backflow Irrigation •'•
44. Landscape Irrigation System tit,
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
11•110m•m•-- '...—
2300 NEWPORT BL UNIT: CITY OF COSTA MESA SIGN PERMIT PERM NO: SB 046760
T ADORc53: PERMITr'
7Ltss: LLT.LLIAM J POWER
SAME NO: SB 046760 PLAN CHECK NO: 03433 90 S GOVT N SUPP : N
CONSTRUCTION TYPE: PERMIT TYPE: STR SIG •
PURPOSE: OTH
714 ) 548-3151 '
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : SIGN ON POSTS •
SQ FT:
ADDRESS: UNIT: - .
CLAIM VALUE: 500 . 00 CALL-VALUE: 500 . 00 GROUP OCC: B-2 /
PERMITTEE: REGINA CULBERTSON ( 714 ) 548-3151 '
ADDRESS: 2300 NEWPORT BL COMMENTS : SIGN ON POSTS •
' • CM CA 92627 >Fac+O*>E+t *N****It***l ********x****>E******ae>F* *****ae**IrrFxaE***3t> Fet>E >E****3E**********N '
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section SIGN IN F OR M A T I O N .
7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. DISTRICT: 1 TYPE: GROUND ILLUMINATION: NON CATEGORY: NEW 1
CITYUC.: STATELIC.: CUSS: DIMENSIONS : 4FT 00IN X 6FT 00IN AREA: 24'. O0SQFT LETTER FIT: 6"
Date: Signature: STREET FRONTAGE 1 : 120 . 00 . STREET 1 : NEWPORT EL '
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' STREET FRONTAGE -2 : 150 . 00 STREET 2 : 23RD ST
Compensation Insurance,or a certified copy thereof(Section 3800,Lab.C). PARCEL : 43927101 ZONE: Cl LOCATION > FRONT: X REAR: -
tUcYNO.:
• EXP.DATE: BUSINESS NAME: REGINA' S STATURARY > LEFT:. RIGHT:
OMRAxr: OTH ER TOTP. LS GROUND SIGN
Certified copy is hereby furnished. ❑ Certified copy is neo with me city Building Division. TIIIS ACTTVIT'Y 24 . OOSQF'I' OVERALL HEIGHT: 6FT 0 INTHIS SITE 24 . 00SQFT GROUND CLEARANCE: 2FT OIN
e: Applican ITEMS OF INFO 4 PLANTER AREA: 48 . 00SQF'IMPTIONFROMWORKERS' MPENSATIONDE N: (This -•notcecompletedAchepermitisfaanehundred($100)orless). ITEMS FOR ACTIVITY : 2 BLDG SET BACK: 20FT
rtifythatintheperformanceoftheworkfprMlle thispe mitlid. shallnotemplo .ny person in any manner so as to become COPY VERBIAGE REGINA' S STATUARY 548-9861
ject to the Workers'Compensa0on Laws of Cal omia. THE FEED BARN 54H-3151Ie:S� ` 36 < 0 Signal A, PLANNING NOTES .
NOTICE:If,atter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor
************N********************lF*************************!F****'***************
Code,you must forthwith campy with such provisions or this permit shall be deemed revoked. DEVELOPMENTS E R V I .C E 5 ' REQUIREMENTS
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for
which this permit is issued(Section 3097,Civ.C). ZONING APPROVED BY DATE: �(/
l Vel" _ _ _90
' LENDER: .
ADDRESS: • BUILDING- APPROVED BY. DATE:
�I
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason APPLICATION ISSUED B ir- DATE: (//�) 0
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,atter,improve,demolish,or *****X.********K******* .x>< **** '' {j�, :i -- • ' " ' iF**********lE of ii•i; ****z fF
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she U licensed LEGALIZATION: N F E E it M • R Y STRUCTURAL SEGMENT: Y
pursuant to the provisions of the Contractors'State 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.My violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). BLDG PMT PLUMBING ELECTRIC H.CHANIC SIGN SM•IP/RES GRADING •
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the PERMIT 15 . 00 24 • 00 r •
-
structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law S M I P/NON -RES .
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through •PLAN 9 . 75 . 50
his or her own employees,provided that such improvements are not Intended or offered for sale,If,however the building or r
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve I'>SU E' FEE
for the purpose of sale). • BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
'
I ci
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business
TOTALS----> 3 9 5 0 le
. 0 0 9 . 75 4 9 . 2 5 49 . 25 0 0
❑ and Professions Code: The Contractors'State License Law does not appy to an owner of property who builds or improves thereon
and who contracts for such projects with a contractors)license pursuant to the Contractors'stale License Law).I am aware REVENUE DIVISION TOTALS--> COLLECTED: 49" 25 OVER/SHORT: . 00
that proof of their Worker's Compensation insurance should be pr. tome. BLDG PMT PLUMBING ELECTRIC MECHANIC SIGN SMIP/TOT GRADING PLAN-CHECK
❑ I am exempt under Section: B.8 P.C. / 15 . 00 24 . 00 . 50 - 9 . 75
for this reason: / / •,
3 -30-- �j 11 r �,� _ ******x******************** ****************************************************
_Date: INDIVIDUAL F E E BREAKDOWN
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a TYPE QTY D E S C' P. I P T- I 0 N UNIT COST TOTAL COST
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions. '
• NO FEES WERE SELECTED FOR THIS PERMIT
r Date: Applicant: - '
I hereby certify that I have read this application and sta a above information is correct.I agree to comply with all city and county •
ordinances and state laws relating to building construe' and her ' representatives of this city to enter upon the above-mentioned • ,
prdpertY for inspection purposes. � /�� _ .
Date: c3' 38 — '70 signatu . •
�CiCJlXiO �T� 01 00057477-000574E0 T51T 49.25
Driver's License or Social Security
Canary—Applicant Pink—Revenue:Goldenrod—Assessor
/ POPA ,
•ST
CORUdTION AND PLANNING
tA
rROVALS .Permit# Date Inspector
f APPROVALS Permit # iy Date Inspector
7/Temporary Electrical Service or Pole 52. Pool & Equipment Location ,-
•
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement •
'3. Electrical Conduit Utility-Undrgrnd. 54. Forms A
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 l I 58. Electrical Conduit-Undrgrnd. V '
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test '
9. Water Pipe-Undrgrnd. - _ 60. Backwash Lines, P-Trap, 0 Undrgrnd.
•
10. Structural Floor System 61. APPROVAL TO DECK ~,
I 11. Property Sewer Line & House Connection - - 62. Backwash & Receptor-Final `- ,
•
12. Sewer Cap . - 63. Heater & Vent-Final
'l
13. Roof Drains64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final i
15. Rough Electrical-Conduit 66. Solar System-Final r
16. Rough ElectricWiring 67. Fencing & Access Approval r
• a
• 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 8/.Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank OGas 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 ' _ 7,7. 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 •
c."-- 80. FOOD CERTIFICATE ISSUED
33. Final Electric --- Notes:
34. Final Heating & Air Conditioning ' / '
•
35. Final Gas Pipe-Test . 14-- ! f
36. Hood or Canopy . ' 141 liI .
37. Final Factory Fireplace - f I I I . .i ,-/
38. Final Plumbing - I
39. Water Service-Final
40. Gas Service-Final -
'41. Solar Domestic-Final -
42. Backflow Preventer
•
43. Backf low Irrigation - .
44. Landscape Irrigation System ' '
45. Sound Attenuation .
46. Handicap Regulations • - •
•47. FINAL STRUCTURE & BUILDING 370/W l n({j ;1.7
48: FINAL PLANNING r,r
49. Electric Release to Edison 71
50. Gas Release to Southern California Gas Co (_� `.- - '
•
51. CERTIFICATE OF OCCUPANCY `., t.
No. Date