HomeMy WebLinkAbout2270 PACIFIC AVE - Building Permits i\
PROJECT ADDRESS: 2270 PACIFIC AV UNIT: CITY OF COSTA MESA – BUILDING PERMIT PERM NO: B 047995
OWNER'S NAME: MR, ALDERSON •
ADDRESS: 4601 ROXBERY PERMIT NO: B 047995 PLAN CHECK NO: N GOVT: N SUPP : N
pi
CDM CA 92725
CONSTRUCTION TYPE: V–N PERMIT TYPE: STR PURPOSE: ALT
ARCN/ENGINEER: 7,209685 REG.NO.: JOB DESCRIPTION : T/OFF REROOF SQ FT: 4, 528
/' ADDRESS: UNIT:
i CLAIM VALUE: 4 , 528 , 00 CALC–VALUE; 4 , 528 . 00 GROUP OCC: R-1 /
PERMITTEE: ORANGE COAST • •OFING ( 714 ) 631-1924
ADDRESS: 20122 SANTA A ,'. AV 6—A COMMENTS: T/OFF REROOF W/ COMP SHINGLES
S A HEIGHTS i A ' 2707 ***>F*+tOE*«******OE*******x**Nx**Otx*#EF*x*x***Nx**>F*ek#** ** *er06>F** ***Oa**at *** **NN
LICENSED CONTRACTOR DECLARATION: I hereby affirm that `-m licensed :r provih ons of Chapn r (commend with Section Z O N I N G REQUIREMENTS
7000)of Division 3 of the Business and Professions Code, : d license Is j II fore, and effect. SETBACKS
cm(Lich: 7
03n59 � STATELIC.:43674 '. CLAS C— 9 ' •
_—. Date: ''7'V — Signature: A► . A- - MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm at I have a certificate of consent to self-insure or a certificat of Workers' FRNT: FT IN REAR : FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance or a certified copy thereof(Sectio 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
_Donny No ATE
28590223 D : 0: /01 /91� -.0: STATE PARKING REQ: PROV: PARCEL : 00000000 ZNE: REF NO: •
1/441111.s/urti0ed copy rs hereby furnished. C3 Certified copy's With the ry BW g Division. � PLANNING NOTES>
Date: / —aq° Applicant: A1. *********************************!F*********************it**3E********************
�„
DEMON FROM WORKERS'COMPENSATION DECLARATION: (Thi 'nn need not be completed if the permh is for one hundred($100)or less). DEVELOPMENT SERVICES REQUIREMENT' S
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 Workers'Compensation Laws of California. ZONING APPROVED BY ,•
DATE: ..'
Date: Signature:
NOTICE:II,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE:
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. _ �r '7' �+''7
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for AR R Ty T C4E;EQW*
t;,*S5W4D*�{::At., tc.'�*E - . - it*3*�rt}a'f***********3P��1�Li;TF.4L�}Fe�NEtfic'frA�>E�L *
which this permit is issued(Section 3097,Civ.C). LE*GALI'LAIION*****************F*': rrtM*A*r*H*1*********gjmo iAx****G,*'i*N***
LENDER: N
ADDRESS:
BLDG PMT PLUMBING ELECT IC MECHANIC FIRE SMIP/RES GRADING
•
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason PERMIT 72 . 00 5 0
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or SM I P/NON–RES
repair any structure,prior to its issuance,also requires the applicant for such permit to tile a signed statement that he/she is licensed PLAN
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business ISSUE FEE
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by BUILDING–DIV–> PERMIT ISSUE PLAN–CHECK TOTAL PAID DUE
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). - TOTALS––––> 72 . 50 0 , 00 0 . 00 72 . 50 72 . 50 , 00
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law
does not apply to an owner of a properly who builds or improves thereon,and who does such work himself/herself or through REVENUE DIVISION TOTALS--> . COLLECTED : 72 . 50 OVER/SHORT: 00
his or her own employees,provided that such improvements are not Intended or offered for sale.If,however the building or BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN–CHECK
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve 72 . 00 . 50
• for the purpose of sale).
I,as owner of the property,am exclusively contracting with lichnsed contractors to construct the project(Section 7044,Business *******************************************************************************
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon INDIVIDUAL F E E BREAKDOWN
and who contracts for such projects v th a contractor(s)license pursuant to the Contractors'State License Law).I am aware
that proof of their Worker's Compenszhon insurance should be provided to me.
❑ I am exempt under Section: B.S P.C. TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
for this reason: SFR 4528 REROOF BY VALUE RESIDENIAL NOZONE 1 . 00 4 , 528 . 00
Date: Owner: END OF FEES
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
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that I have read this application and state that t above info an n is rrect.I ag e t comply i all city and county
ordinances and state laws relating to building construction and h re authorize p sentat es of this c t enter upon a above-mentioned
property for inspection purposes. I
•
Date: 15—a—
/'a--'1° /� .
0100064379-000643380 TEST 72.50
Driver's License or social Security x: DATE: 07/02/90 TIhE: 12:57
164146 White-Building;Green-Code Enforcement;Canary-Applicant;Pink-Revenue;Goldenrod-Assessor •
CONSTRUCTION AND PLANNING PO SPA
;r' • Date Inspector Date Inspector
AP;EtOyAI S Permit# APPROVALS Permit#
•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 UF ER 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, 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 I 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 . 4. Notes:
r
34. Final Heating& Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy -
37. Final Factory Fireplace I
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 �0
frif
48. FINAL PLANNING �'l`
49. Electric Release to Edison - -
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
_ ix Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. -
CITY OF COSTA MESA, CO TRUCTION �P/ERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. 634k1 9/29/87 504
• Project Address/ 2 2 /0 c_/r/G /y lie ... .5 -g E 3 0 So �y
Applitant'S Mails g Address A A'S AEGr/� TYPE OF CONSTRUCTION LI NEW ❑ ADD LI ALTERATION i0 REPAIR
_ -- ❑ CONVERSION 111 DEMOLISH ❑ OTHER
R y
•
r• A-P,# _ ' Zone
Owne`r's Name -• ' �. _� Phone DESCRIPTION OF WORK/USE OF BLDG. esµr"PM
Address - S <' _- AI _ .....• ' r S Main Building: Accessory Building:
E Z
Arch/Eng, License No, TYPE OF PERMIT
rw m GRADING li FOUNDATION STRUCTURAL T Front O
Address AA �{{{±jjj ��Yj/ ❑ TENANT I ELECTRICAL El PLUMBING ❑ MECHANICAL BA Rear N
Contractor's Name. S t- #gc t Plo e 5-4--.4.7-N o El OTHER C Right N
Address(mailing? �2/ �1r 4 5° R L.4.7N PROJECT DESCRIPTION SQ. FT. _OCCUPANCY
�`��,�s, CONSTRUCTION TYPE VALUATION S ��c O'Cr� S Left R
City License No. sr/ Y ZONE GRADING CU.YDS. ACRES
oo LICENSED CONTRACTOR DECLARATION -
Ping. Ref.# Parking Req,/Provitled E
CI
cbI hereby affirm that I am licensed under provisions of Charter 9(commencing. Remarks: Planning Notes: Rq'
with section 7000) of Division 3 of the Business and Professions Code,and) ` .
` my license is in full nd effect. L/ O�/. � T
License Class 0 1nq $
Date —c3-r Signature g PLUMBING FEES /
VOR Eqs'COM DELL IaN
- Bar Sink Showers ELECTRICAL FEES
hereby affirm that I have a certifica of consent to self-in lire or certificate
C's of Workers' Compensation Insurance, or a cer ' d copy thereof Section Backflow Preventer Service Sink ❑ 1550 KW 1
3800, Lab. C.yy'�'� / // e•-"•—• Automatic Washer Transformer
Policy No. W��/ (� Company �-if/L �- ,leen Backflow Irrigation Sewer Cap0 50+KW
Construction Pole Sub.
Certified copy is hereby furnished.
Date
isrf Jpd with the ally u' in ivisi • _ Bathtubs Sewer Connection Cooking Unit Meter Dula to 100 amps
Date 7j N FROM
Applicant )'�.•rd �-
EXEMPTION FROM WORKERS'C PENSATI DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps
(This section need not be complete if the permit is for one hundred ($100) or
less). Dishwasher Solar Piping Dryers OGas ❑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 01'h-8
Workers' Compensation Laws of California. ___J _
Date Signature Floor Drains Swimming Pool w/Spa F.A.U.
NOTICE: If,after makingthis declaration, Inc.Solar 09-15 HP 016-15+
you shouldrCode,becomesubject to te
c
Workers' such
pssio provisions of the tr you et forthwith Floor Sinks Urinal / Fixtures ;Microwave comply with provisions or this permit shall be deemed revoked. __ d i.eL
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes
1 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 Clv. C.) Interce tors Water Heater 1
Lender's Name p Outlets / Range s' 7.t.'
Lender's Address Kitchen Sink Water Service / Switches Sign 2C
OWNER BUILDER DECLARATION _
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash /_ Garbage Disposal Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays , Generator ❑05 KW 05-15 KW Trash Compactor
any structure, prior to its issuance, also requires the applicant for such permit
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 •
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
7031.5 by any applicant for a permit subjects the applicant to a civil
penalty of not more than five hundred dollars($500). 3
U I, as owner of the property or my employees with wages as their sole 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 I _
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:
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0
sale, If, however,the building or improvement is sold within one year of com- Canopy Type II 0 Zoning Approved By Date
��_��' ,,,fff
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By � g Date
prove for the purpose of sale). -
LJ
I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date
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 00100,000 BTU 0100,000 BTU SUMMARY OF FEES
builds or improves thereon, and who contracts for such protects with a con- _ —
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ ,4 4... so SMIP $ nCO
proof of their Worker's Compensation insurance should be provided to me. _ PLAN CHECK $ f 4.- PERMIT
❑ i am exempt under Section B. & P.C.for this reason Firepl/Fact.Blt. IC8O# Fire Dampers PLUMBING $ ISSUANCE $
Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this applicatio and state that the above 00100,000 BTU 0100,000 BTL ELECTRICAL $ 5-• 4O GRADING $
information is correct. I agree to comply with - ity and county ordinances
and state laws relatint to b ildin on . uct'. , .ntl hereby authorize repre- MICROFILM $ avec
i PLAN CHECK 50% $
sentatives of t C.' to 'n up•• the a..ve-mentioned roperty for
Inspection puse
--20—Lf
20 af MECHANICAL $ TOTAL FEE $
Sure Date Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $Drivers' -
Li -nse or SS# �;� — .
` CMF 0865- 6,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor
' •I CONSTRUCTION AND PLANNING POOL &SPA
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
',II. Temporary Electrical Service or Pole 52. Pool & Equipment Location
l
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 OF ER 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, 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 J0I-? 67. Fencing & Access Approval
t
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 DGas DOil
1
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 ,:, ‘ ,
3D. Drywall Nailing HEALTH DEPT. REQUIREMENT 1
31. Plaster Brown Coat 79. FINAL INSPECTION 1
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED ,/ �J �' '
33. Final Electric I pl-yli -t' ' Notes: /O/ -t/c<-7 rl/tea L 04-1--�` NoT 1-ealla:
34. Final Heating & Air Conditioning //
i 35. Final Gas Pipe-Testf;
-
36. Hood or Canopy ,.'' ' � :r.
37. Final Factory Fireplace ,/ . r . (• 1
•
38. Final Plumbing .L ' ' fj.' -- 1 '
•
• 39. Water Service-Final -1
- I- 1 /
40. Gas Service-Final t. /; ,' �1Y1
41. Solar Domestic-Final - i
i' I.
v 42. Backflow Preventer 1 /- ' - , �'
43. Backflow irrigation " -•d '�
..44. Landscape Irrigation System / t 4- t °
. Y I /
.'45. Sound Attenuation . j .1
46. Handicap Regulations t - , -
. I.
47. FINAL STRUCTURE & BUILDING101;-711S1 er ti , ,1 -_,k" '• '
48: Special Requirements Completed
/49. Electric Release to Edison _ r 17
50. Gas Release to Southern California Gas Co f'
d
51. CERTIFICATE OF OCCUPANCY -
• No. Date - -
,