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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 Z W W a Ll F Z_ O (n am J7 J Irl mJ m J Q U� Z(r aW W Z J Q La Z J � W W _ZH W0 N CC Z)O f Z a U J CL CL a O F N Z O_ F- PICION FOR BUILDING PERMIT U F' N Z a58. 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. rV ( - y�('� S� /1AMAILDDR� ADD RIESS'�''7(TEL.TRACT Sl- NO61'IZ' UCONSTRUCTIONLENDER LOTCITU IIJ BRANCH OWNER ADDRESS AWARCHITECT TEL. OR ENGINEER NFIREADDRESS ZONE YPE G APPROVED CONTRACTOR K�ty,b. 5 BY DATE ADDRESS TE ZONE NO.OF USE OF NEW I,/ 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 � Permittee 1 j'�_ \ .G./ 1 /.ry//� $ /_ _ V / PLAN CHECK $ Authorized Agent f TOTAL FEE $ :3 7` /`SfJ WZOSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 R 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 O rjfs - 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 ' ,.iVfgh ARCHITECT ry TEL OR ENGINEER ADDRESS ,-MjbPNC. W 0I is_ R ADDRESS 9jq.Nj !'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 � /nnnn Ci� 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 � /nnnn Ci� 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 m 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 ' ,.iVfgh T[RMIT ME $ ry ture of . / at lttea $ /+L44 PIAN CHECK $ Lam' `� E a orized Agent u 1IITRC'PEE— $ Z ww a Z Z ZQ F - am J � J to Q W m J J M Q UW Za W (3- cL W J Q in Z J cc W W Z Z_F W0 W = =)O 3�5�8 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA CALIFORNIA 92626 N; :.: c 13 - APPLICATION i�:�,;- 00 r19 t1 -.+*160.50 PLICATION FOR BUILDING PERMIT For Applicant to Fill in CompletelyVED BY OISECEIVEDSSUEDBUILDNGnn_ADDRESS GLAYT NOOWNER kj.MAIL G z -ADDRESS ESS /TEL.RACTLOCKCITY NO.CONSTRUCTION LENDEflBRANCHR fiAN AADDRESSI',r..)ARCHITECT S TEL.(�� V �// OR ENGINEER N �1 ADDRESS T PE GROUP GVED-/�CONTRACTOR DATEADDRESS USE OF NEW TEL.NO.OF BUILDING 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 EXISTING BLDG. R. SIDEFT, FT SIZE OF NO. OF NEW BLDG. R OMS 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 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 BUILDING ♦�%% A DDfl ESS Z DATE^RECEIVED p.� / DAJEE PER BUILDING � / ADDRESS/oTRACT 0 L a- U CITY NO. . \.�. W D ZQ CONSTRUCTION BY JO LENDER O N A1T. A L VALUE ADDRESS b am TEL.), ZONE J Z) BRANCH ZM J to PIANS W ADDRESS m O STATE CITY M J Q ARCHITECT OR ENGINEER TEL SED 13-714 rtPAI000 650x ***126.04 . 4(L)tFj?ION FOR BUILDING PERMIT REC V / /t A.P. NO �y /Q'� DATE^RECEIVED p.� / DAJEE PER BUILDING � / ADDRESS/oTRACT 0 L W IL ADDRESS LOT . \.�. W D W Z CONTRACTOR BY JO OWNER D Z A1T. A L VALUE Go m BUILDING FIRE A PERMIT FEE ONLY.- L W IL ADDRESS ZONE (r . \.�. APPROVED I� dw W Z CONTRACTOR BY JO $ D Z J Ir ADDRESS b TEL.), ZONE NO. OF WW ZM CITY 5 NO. PIANS - O STATE CITY YARDS APPROVED W to M LIC. NO. LIC. NO. MAIN BUILDING Z) O SIZE No OF BLOCS. IF ROM C/L STREET) .r OF LOT 70 K .�{� NOW ON LOT IROM FT: USE OF EXISTING BLDG. G }� SIZE OF NO. OF Z NEW BLDG. ROOMS STORIES L SID FT. EXTERIOR ALL t..1 COVERING COVERING REAR T. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. CILlee F/ MAIN BLOCS. a0 VAR. 46a C.U.P. alt � APPROVED I N Z O 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 H any person in violation of the workman's compensation laws of H the State of California. ? 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— USE OF NE m BUILDING A PERMIT FEE ONLY.- C YARDS APPROVEDV\ ((t�, ACCESSORY BUILDING . \.�. BET. MAIN AOCEffi. Bl. DATE v« TAX m VALUATION IS FOR A PERMIT FEE ONLY.- C ,y m E $ N m :KS E `o 1 W $