HomeMy WebLinkAbout2970 GRACE LN - Building Permits •
Applicant to tin in all spaces except those within heavy border lines and sign all appropriate declarations. 3437 12/04/94 OoDt] . 7L.
CITY OF COSTA MESA PERIWT NO. TRACT NO. LOT NO. BLDG. NO.
CONSTRUCTION PERMIT •
t eLV7 23
Project Address 0 G -4CC' km. TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION U REPAIR
Applicant's Mailin ddress /7 0 G,'ACE' N. ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# 1 Zone
(f'"6 'a DESCRIPTION OF WORK
Owner's Name RRt� �SPtrR �t4+T• Phon S Main Building: Accessory Building: Z ,
Address - /I ' - E 0
Y�3 D/ 3 TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION U STRUCTURAL T Front N
Arch/Eng. License No. IO ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL •• B Rear
• A N
Address �w ❑ •OTHER - C Right _ - G
ALL ? 1tAN JG/�7.II/Nth PROJECT DESCRIPTION SQ. FT.' OCCUPANCY •
Contractor's Nam zr� .e hon /7A K R
Address(mailing) 30&� eSPCR/nN W/t .. .sty m9 CONSTRUCTION TYPE VALUATION$ S Left E
6299/9 ZONE GRADING CU.YDS. ACRES Ping, Ref.# Park.Fees $ O
City License No. • U
LICENSED CONTRACTOR DECLARATION Remarks: Parking Req./Provided • , - 1
•I hereby affirm that I am licensed under provisions of Charter 9 (commencing - - R •
with section 7000) of Division 3 of the Business and Professions Code,and Use of Building: E
my license is In ful,force a.d effect.
17cens• Class a/ License •.. •31 -3 PLUMBING FEES Planning Notes: . E
ate et- - ) Signature .a i,!.As_ L4 SIJ/ N
WORKERS'COMPENSATION DECLA''ATION Bar Sink Showers T
'ereby affirm that I have a certificate of consent to self-insure or a certificate Backflow Preventer Service Sink S
Workers' Compensation Insurance, or a certified copy t�q roof (Section - . - - .
4800, Lab. cr�' .-r _-./-\�. �,, -I Backflow Irrigation Sewer Cap ELECTRICAL FEES
Policy No. viie •.h/O 9357 Company r1WvI,L��12ana1(T' '`
8 Certified dopy is hereby furnished. Bathtubs Sewer Connection • Automatic Washer,. Transformer 0 15-50 KW
Certli�jtetl copy isjjj�le with the city Build Div' on. / • 0 50+KW
Date .}" A-jf2 Applicant 7� iC-C»\ Clarifiers Solar Collectors Construction Pole Sub.
EXEMPTION,FROM WORKERS'COMPENSATION DECLARATION Dishwasher Solar Piping •
Cooking Unit 'Meter ❑up to 100 amps
(This section need not be completed if the permit Is for one hundred($100) or _
less). Drinking Fountains '
I certify'that,in the performance of the work for which this permit is Issued, I Solar Tank Dishwasher Meter ❑over 100 amps
shall not employ any person In any manner so as to become subject to the - -
Workers' Compensation Laws of California. Floor Drains Swimming Pool w/Spa Dryers ❑Gas ❑Electric Sub Panel •
Date Signature — - -
NOTICE: If,after making this declaration,you should become subject to the Floor Sinks Urinal Fan Motors 00.1 HP 171X-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. Inc.Solar 09-15 HP 016-15+
CONSTRUCTION LENDING AGENCY ' - - - - ._ —
I hereby affirm that there is a construction lending agency for the performance Interceptors / Water Heater �� Fixtures Microwave .
of the work for which this permit Is issued (Section 3097 Civ. C.) -
Lender's Name Kitchen Sink Water Service Device Boxes Pole Light '
Lender's Address' Lavatories •
OWNER BUILDER OEC LARATION - Outlets . Range
I hereby affirm that I am exempt from the Contractor's License Law for the P-Trap -
following reason.(Section 7031.5 Business and Professional Code: Any city or 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 ' I - 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 ❑45 KW❑5-15 KW Trash Compactor
'vision'3 of the-Business and Professions Code) or that he/she is exempt - ' , Pa
trefrom and the basis for the alleged exemption. Any,violation-of Section • - - -
231'.5 by.;any applicant for-a permit subjects-the applicant to a civil -Reinspection-Fee $25 Issue Fee $ 3
5nalty of not more than five hundred dollars($500). •
LJ I, as owner of the property or my employees with wages as their sole (MECHANICAL Reinspection Fee $25 Issue Fee $ 3
compensation, will do the work,and the structure Is not Intended or offered FEES
for sale (Section 7044, Business and Professional Code: The Contractor's '''' PUBLIC SERVICES REQUIREMENTS:
License Law does not apply to an owner of a property who builds or Improves Boiler Hood or Type I 0
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 II 0
sale. If, however, the building or Improvement Is sold within one year of com- Duct:Under Ground Application Approved By DatO
p lotto the owner se have the burden of proving he/she did not build or Im- 1
LJrove for the purpose of sale). Duct-Structural Refrigeration System Application Issued By Dat
I, as owner of the property,am exclusively contracting with licensed con- ❑0.100,000 BTU ❑100,000 BTU
tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating SUMMARY OF FEES
The Contractor's License Law does_not apply to an owner of property who. - - - - - •- BUILDING PERMIT $ ' SMTP $
- builds or improves thereon, and who contracts for Such projects with a con- Exhaust System 0 Multiple ❑, System Repair/Alteration - •
tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK $ �T PERMIT
0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.oft. ICBG# PLUMBING $ 5.W ISSUANCE • $
PLAN CHECK $ ENERGY P.C. $
: Heating Date Owner System& Ducting
I hereby certify that I have read this application and state that the above ❑0-100,000 BTU 0100,000 BT ELECTRICAL $ • GRADING $
Information is correct. agree to comply with all city and county ordinances - - - -
and state laws relating to building construction;and hereby authorize repre- - PLAN CHECK $ MICROFILM $ '
sentatives of this city o enter, upo the above-mentioned pro erty for '
inspection purposes. ,{p� e� �/ / MECHANICAL $ TOTAL FEE $
Signature 6faf�t-IIN� Date •
Reinspection Fee I $25 Issue Fee $ 3 PLAN CHECK $ .
Drivers' License or SS# - •
CMF 0865-46 rev. 7/83 • White-Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor .. .-
ti
CONSTRUCTIONANDPLANNING-
Date
APPROVALS Permit #
Inspector
POC SPA
APPROVALS Permit #
Date
Inspector
1. Temporary Electrical Service or Pole
��
52. Pool & Equipment Location
2: Soil Pipe-Undrgrnd. - '
iv
53. Steel Reinforcement -
3' Electr, calConduii,Utility-Undrgrnd'-
54. Forms
4. Electrical Conduit, grnd. �;+'
r+
_
55. Electrical Bonding
5.. Steel Reinforcement- .% �
�
�
56. Rough Plumbing & Pres'sure.Test _
6. ''Electrical UFER�Grnd.
r . c•_
57. APPROVAL TO COVER-GUNITE
7.�,Foptings • t'
58. Electrical Conduit-Undrgrnd.
8._Founiiation - -
r
59. Gas Pipe, O Undrgrnd., Test .
9. Water'Pipe-Undrgrnd' - -
"y
60. Backwash Lines, P -Trap, O Undrgrnd..
,
10. Structural Floor System -
^
61. APPROVAL TO DECK -
11. Property Sewer Line ,.& House Cott ection
1-
-
62: Backwash & Receptor -Final
12. Sewer'Cap,!, �f`,; Y u"'
C
63.. Heater & Vent -Final
13. Roof; Drains .i
64. Plumbing System -.Final
14. Rough Plumbing:-'
}
65. Electrical -Final
15. Rougli'Electrical-Conduit
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
APPROVALS Permit#
20. Rough Factory Fireplace
21. Ducts, in Structure t
70. Underground Hydro
22. Ducts, Ventilating
71. Product Piping OGas OOil
23. Gas Pipe -Rough & Test
72. Underground Flush
24. Roof Framing
73. Undergrnd. Storage Tank OGas OOil
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 & AirConditioning
35. Final Gas Pipe -Test
'
36. Hood or Canopy
'
37. Final Factory Fireplace
-
38. Final Plumbing
CACAO
39. Water Service -Final
40. Gas Service -Final
41. Solar Domestic -Final
_
42. Backflow Preventer i
43. Backflow Irrigation
44. Landscape Irrigation System
i
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 -
_.
Utt IN CK
IJOB AC
UAIt
AP No. 141-221 —43 LOT TRACT FIRE ZONE VALUES 200_00
SUBCONTRACTOR
ROUGH PLUMBING
PROP. SWR. LINE
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND POWER
ROUGH WIRING Heatina and Vent.
TRENCHES FORMS STEEL REINF.
FLOOR SYSTEM
BOND BEAM STEEL REINFORCE
SHEATHING
FRAME AND FLASHING
I
PLASTER, BROWN COAT
STRUCTURAL. FINAL
HE 'G, VENT., REFRIG. AND A,
PL .NG, FINAL AND GAS TEST
ELECTRIC, FINAL
BUILDING. FINAL
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COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
RE I ED
DATE RECEIVED
BUILDING /�
ADDRESS O L�14oo
OWNER p -,L
A.P. NO.
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ADD RIESS'�''7(TEL.TRACT
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AWARCHITECT
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OR ENGINEER NFIREADDRESS
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APPROVED
CONTRACTOR K�ty,b. 5
BY DATE
ADDRESS
TE
ZONE
NO.OF
USE OF NEW
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CITY COS NO `Lb^D
PLANS
BUILDING
STATE CTYAPPROVED
ARDS
LIC. O. a.r 6o t— LIC. NO.
BUILDING
ACCESSORY BUILDDING
SIZE
NO. OF SLOGS
(FROM C/LSTREET)
OF LOT
NOW ON LOTFRONT'
T.
FT.
USE OF
EXISTING BLDG.
Ft. S OF F
FT
SIZE OF NO. OF
NEW BLDG. ROOMS STORIES
L. SIDE FT.
FT.
EXTERIOR WALL
ROOF
COVERING
COVERING
REAR FT.
FT.
USE OF BUILDING AND WORK TO BE PERFORMED
DISTANCE BET.
BET, MAIN &
MAIN SLOGS.
ACCESS. SLOGS.
VAR. SH'
DATE
C.U.P.+
APPROVED
APPROVED
BY
DATE
I hereby acknowledge that I have read this application and state
J \
that the above information Is correct and agree to comply with
all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of
the State of California.
1 hereby certify that I am properly licensed as a contractor under
SO. FT.
THE AMOUNT SHOWN UNDER VALUATION IS FOR
the State of California Business and Professions Code, Division 3,
Chapter 9, and that such licenses are in full force and effect, or I
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
em exempt from the provisions of the State of California Business
and Professions Code, Division 3, Chapter 9.
VALUATION
P
PERMIT FEE $
Signature(^' ///,/t
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Permittee 1 j'�_ \ .G./ 1
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$ /_ _ V
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PLAN CHECK $
Authorized Agent
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TOTAL FEE $
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WZOSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
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ADDRESS 9jq.Nj
TEL
CITY
FZLor Applicant to Fill in Completely
BUILDING
CITY
LIC. NO.
ADDRESS
SIZE ...zzz I �
i NO.OF SLOGS.
OWNER
MM9Q
I NOW ON LOT
USE OF I
MAIL
EXISTING BLDG.
erson in violation of the workman's compensation laws of
ADDRESS
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-
tate of California.
TEL.
CITY
SO. FT.
NO.
CONSTRUCTION
tate of California Business and Professions Code, Divisicn 3,
LENDER
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
a
BRANCH
Q
VALUATION
ADDRESS
rofessions no tuts n h to '
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ry
TEL
OR ENGINEER
ADDRESS
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ADDRESS 9jq.Nj
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,, 20-73„trO797: 81 13
APPLICATION FOR BUILDING PERMIT
V DATE RECEIV DA IS
BUILDING
ADDRE SZ`pt^Oh C'YC�FtC�' L N .
TRACTSM
G7U / ES LOT l \ BLOCK
LVALL:E
ll �
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APPROVED
ZONE NO. OF USE OF NEW
PLANS G� BUILDING'NDU AL
YARDS APPROVED YARDS APPROVED
MAIN BUILDING ACCESSORY BUILDING
(FROM C/L STREET)
EXTERIOR WALL ROOF
COVERING COVERING REAR FT. FT.
USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN &
MAIN SLOGS. ACCESS. BLOCS.
I jVAR.+ DATE
TEL
CITY
NO.
STATE
CITY
LIC. NO.
LIC. NO.
SIZE ...zzz I �
i NO.OF SLOGS.
q
OF LOT /(] X%`xt.
I NOW ON LOT
USE OF I
ws regulating building construction, and I shall not employ
EXISTING BLDG.
erson in violation of the workman's compensation laws of
!'0 PaiEQ tfna s 1,
,, 20-73„trO797: 81 13
APPLICATION FOR BUILDING PERMIT
V DATE RECEIV DA IS
BUILDING
ADDRE SZ`pt^Oh C'YC�FtC�' L N .
TRACTSM
G7U / ES LOT l \ BLOCK
LVALL:E
ll �
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APPROVED
ZONE NO. OF USE OF NEW
PLANS G� BUILDING'NDU AL
YARDS APPROVED YARDS APPROVED
MAIN BUILDING ACCESSORY BUILDING
(FROM C/L STREET)
EXTERIOR WALL ROOF
COVERING COVERING REAR FT. FT.
USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN &
MAIN SLOGS. ACCESS. BLOCS.
I jVAR.+ DATE
HOLD FOR SItCIA
REQUI WNT`
eby acknowledge that I have read this application and state
,
the above information is correct and agree to comply with
ws regulating building construction, and I shall not employ
erson in violation of the workman's compensation laws of
O rjfs
-
tate of California.
m
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by certify that I am properly licensed as a contractor under
F
SO. FT.
o
THE AMOUNT SHOWN UNDER VALUATION IS FOR
tate of California Business and Professions Code, Divisicn 3,
ter 9, antl that uch licenses ere in full force end effect, or I
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
a
empt fro . tt rout 'ons Q( the Lata of California Business
Q
VALUATION
rofessions no tuts n h to '
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T[RMIT ME $
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COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA CALIFORNIA 92626
N;
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APPLICATION
i�:�,;- 00 r19 t1 -.+*160.50
PLICATION FOR BUILDING PERMIT
For Applicant to Fill in CompletelyVED
BY OISECEIVEDSSUEDBUILDNGnn_ADDRESS
GLAYT
NOOWNER
kj.MAIL
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ESS /TEL.RACTLOCKCITY
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T PE GROUP GVED-/�CONTRACTOR
DATEADDRESS
USE OF NEW
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CITY NO.PLANS
STATE CITY
DS APPROVED
YARDS APPROVED
LIC. NO. LIC. NO.
MAIN BUILDING
ACCESSORY BUILDING
(FROM C/L STREET)
SIZE
NO. OF SLID
OF LOT
NOW ON LOTFRONT
FT.
FT.
USE OF
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SIZE OF NO. OF
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EXTERIOR WALL
ROOF
COVERING
COVERING
REAR FT.
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USE OF BUILDING AND WORK TO BE PERFORMED
DISTANCE BET.
BET. MAIN &
MAIN BLOCS.
ACCESS SLOGS.
VAR. #
DATE
A
C.U.P.*
APPROVED
APPROVED
RY
DATE
1 hereby acknowledge that I have read this application and state
that the above Information is correct and agree to comply with
all laws regulating building construction, and I shall not employ
any person In violation of the workman's compensation laws of
the State of California.
1 hereby certify that I am properly licensed as contractor under
SQ. FT.
THE AMOUNT SHOWN UNDER VALUATION IS FOR
the State of California Business and Professions Code, Division 3,
Chapter 9, and that such licenses ere in full force and effect, or I
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the provisions of the State of California Business
and Professions Cnda, Division 3, Chapter 9.
VALUATION
e
PERMIT FEE $
Signature of
Permittee
$
PLAN CHECK $
S
Authorized Agent
TOTAL FEE $
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
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1 hereby acknowledge that 1 have read this application and state
that the above information is correct and agree to comply with
all laws regulating building construction, and I shall not employ
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any person in violation of the workman's compensation laws of
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the State of California.
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I hereby certify that I am properly licensed as a contractor under
SQ. FT.
THE AMOUNT SHOT
the State of California Business and Professions Coda, Division 3,
Chapter a h licenses are in full force and effect, or I
THE PURPOSE OF ES'
am a visions of the State of California Business
VALUATION
rofesslons Coda, ivision 3, Chapter 9.
ON
Sig tura
Authorized Agent
DATE /_/ 1—
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A PERMIT FEE ONLY.-
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((t�,
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DATE
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