HomeMy WebLinkAbout1586 HYLAND AVE - Building Permits _ _ __ _ Applicant to fill in all spaces except these within heavy border lines and sign all appropriate declarations.-- - - 9373 b/25/83 20.30_ TL
CITY OF COSTA MESA, I I ^` _
PERMIT NO.- I TRACT NO. LOT NO. - BLDG.NO. i•
CONSTRUCTION PERMIT " - ' 7� I - • '
Applicant's Mailing Address /I/-47820✓CSy// 'anD 1��//p� TYPE OF CONSTRUCTION U NEW Li ADD -UALTERATION- U REPAIR ' �' ' - - , ' f I •
Project Address ))/��6 t r[)Y��9,1S �7V� ' - 0 CONVERSION 17 DEMOLISH ❑ OTHER _ - - - ` r •
{(/1/1$7e/Q IRNI DESCRIPTION OF WORK •
Owrier's,Nemna L I+ T/P/ '� Phone _ - _ I • , _ . . ZONING REGULATIONS -
Address v/1 s ' $'t/n'�.6fano s@ • - / • TYPE OF PERMIT ,LI GRADING 0 FOUNDATION U STRUCTURAL - A.P.M4 • - ZONE - � ' •
Arch/En . • 31 _ License NO.`�eQ,S���� ' ❑ TENANT 0 ELECTRICAL ❑,PLUMBING ❑.MECHANICAL - . • BUILDING - ' '9 - • PLNG.RE F.sW" _ -
Address' //J�/•/� 7 /- .•� pipe
2 ❑,OTHER ' " •• - , I •-TO BUILDING cr=Twerr n i gr '
Contractor's NamsttfaC h LTed . /EC/Lei• P e`? PROJECT DESCRIPTION SG FT. OCCUPANCY PROPERTY LINE I - - REAR YARD(TO P/L)
�y h(pJn d • •LEFT SIDE YARD RIGHT SIDE YARD r,
/J/,�J4GSr a'/'7 VP r 'lZ ' 'CONSTRUCTION TYPE VALUATION$ PKG.SPACE REO. PROVIDED
Address(mailing) d w' , •
7�0.� •� �r - ' 20NJ= - GRADING CU. (ACRES - _ ,
License No. 47 - '
LICENSED CONTRACTOR DECLARATION i I ' STREET WIDTH I ;PARK FEE'$ -
Remarks: !
I hereby;affirm that l'am licensed under provisions of Cha ^9(commencing -• f - -
with section 7000) of Division 3 of the Business and Profess Co e,and • I I SPECIAL CONDITIONS: I j - •
my license is In full force and effect. - I , - '
•
Ucenie Class' License No.' _ ' PLUMBING - I ,
Date Signature ' - - Bar Sink Sewer Cap ELECTRICAL r
\RKERS'COMPENSATION DECLARATION : - ' - -- - - - -
weDy affirm that I have a•certificate-of consent to Self-Insure ora certificate -- -- • - - : - - - - Automatic Washer ' ... . iMeta.Dover 100 amps. L � -.
Workers' Compensation Insurance,.or a certified copy thereof (Section - Backflow Preventer " -- 'Se Wer Connexion -' (- ' " ; . V Q7
• I -- , Construction Pole . I / Sub Panel '
3800, Lab. C.) • I r ` Backflow Irrigation Solar_Collectors -} _ *7„,52,'
Policy No. ' ' Company I - - - - - Cooking Unit Sub Pole -
9 Certified-copy Is hereby furnished. j ; . I —Bathtubs ' ' • Solar Piping , • v ,
Certified copy Is filed with the city Building Division. I , Dishwasher Motors ❑0-1 HP 1pt1 X-6 1
r I Clarifiers Solar Tank O( �f
_Date Applicant _ '_- . -_ .___ ._•-,. _ _ .- _ •- - - - _
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Dishwasher Swimming PDO(W/$pe • Dryers ❑Gas' ❑Electric
IncInc.Solar ❑9-15 HP ❑16-15+
(This section need not be completed If the permit Is for one hundred($100)or . . 1
less DrinkingFountains Urinal ' Fan Microwave , • 00
1 certify that in the performance oinof the wor. or•whici •-rmit is issued,I _ : '
shale not employ any person In any ma• e o'as /e subject to te , - I - - F.A.U. !Pole tight 1
Workers',Com Rensatlon,Laws of Calif Or- -.- - Floor Drains I Water closetI , -
Date J ft�Y Signature - - - Fixtures • • _ Ran a --; - _ - '
NOTICE:'If,'after'maklny this-declaration,-y•Ashoul•• •ecome-subject to the ' - ' Floor Sinks-,--- ' 1 _• - - -Water'Heater, -- -_-i - ' - - - ' - - 8
Workers', Compensation provisions of the r•or C'•e,-you must-forthwith. ' — - I aag
comply ,with' such •provisionsnor t.this.pe mit ,shall be ,deemed. revoked- • GasService: i ,Outlets{ �r ; (Water-Service I ; y I Sign. I • 7
CONSTRUCTION(LENDING AGENCY ' I I ,., :� Outlets ' ' - '
I hereby affirm that there is alconstruction lending agency for the performance: I �: 1 Interceptors I I t' I : I - • ! ( ' • ! • ;Standing Sections I
of the ,work for, which- this. permit 'is !Issued,.(Section .3087' Civ. C4 _ - ' •- SI _ - , -,
' Lender's Name' - • ' ' ' l - - • Kitchen'Sinki ' I - ;II', • - ' ^ I - Switches • i Trash Compactor ! I 1
Lantler•si 'Address 1 7 ^ - • - Garbage Disposal ' ' • c_o'er /4 Tv-,L) '
OW NE R!BUILOER DECLARATION. "' Iwetories - ,
. I hereby offirm that I am•exempt'fiom that Contractor's•License Law for the - • - - _ r Generator 00-5 KW ❑5-15 KW y4 9174 „o , -1'7.••+ / tt
following reason (Section 703115 Business and Professional Code: Any city or • P-Trap; r . - I. r . . '/%t(/�Lw/" OS�C✓
.county which requires a spermit-to construct,alter,improve,demolish or repair - Transformer 015-50 KW
any structure; prior to Its that ce,halso requires the applicant for such permit - Roof Drains' - . - • l
•to file a signed statement that he/she is licensed pursuant to the.provisions of - I _ _ 050+KW. I • Reinspection Fee $15
the Contractor's License Law,(Chapter 9(commencing with Section 7000)of _ - = •
-
Vision3 of the Business and Professions Code) Or that he/she is exempt Showers Reinspection Fee $15
, >re(rom and the basis for the alleged exam tion.-Any.violicant of Section , • _ • Meter °up to 100,amps Issue Fee ! • $ 3
9 P
E:431'S by. any applicant fora'permit., ubjects'the•applicant to a-civil ' Service Sink "1 Issue Fee _ - ' _ I
' anally of not more than five hundred dollars($500). ` 1 , . $ 3 Zoning Approved By Date
U I, as'owner of the.property or'my employees with wages as their sole 1 -- •
compensation', wllil do the work,and,the structure is not intended or offered - • ' MECHANICAL 1 t
P I Application Approved BY Data
' for sale•(Sec/ion 7044, Business,and i Professional Cotler The,Contractor's ------ - • -- — - - - - - - _--- _
f License Law does not apply to an owner of a property,who builds or Improves I Boiler ; Refrigeration System , ' I ¢
' thereon„and who does such work himself/herself or through hli or her own Application Issued By ' Date t^a�! 7 '
employees, provided that such improvements areinot intended or offered for . ❑0.100,000 BTU ❑100,000 BTU •
I sale. If, however, the building or improvement is sold within one year'of com- i I Duct-Under_GrOund : , •
• pietion, the owner.will have the burden of proving he/she did not build or im- 1 . - ' SUMMARY OF FEES
glove for the purpose ofsale). i I - 1 Duct-Structural I I System Repair/Alteration BUILDING PERMIT $. t SMIP ; ' $ I
U I,as ownei of the property, an: exclusively contractingwithlicensed con- I • -
tractorsto-construct the-project (Section 7044,-Business and Professions.Code: ( - Duct Ventilating ... _ .� . -..__;_.- •,4� •- ._ ., . PLAN CHECK • S. ; PERMIT
The Contractor's License Law does not apply to an owner of property who , - - , I ISSUANCE ! $ I
I builds or improves thereon, and who contracts for such projects with a con- Exhaust System 0 Multiple 0 Y I I I ? •� ,PLUMBING ' S - I I
tractor(s) license pursuant to the Contractors License Law): I , i • i ' GRADING ' , $ .
❑ ram exempt under Section • B.& P.C.for this reason ' ; Firepl/Fact.Bit. ICBG••� I I , I 'PLAN CHECK $
1 ` • I I ELECTRICAL : $ w•?O',3 D. $
Date I - Owner! I I Heating!System& Ducting , , •
; I l l - I MICROFILM ' $ I i 1
'PLAN CHECK, • $ •
r V hereby-recti/ ec . have read this—application and-state that the above ❑0.100;000 BTU'❑100,000 BTI. - -- - -'- i l I ; t
, information Is co ec . I agree to c•--ply th all city and county ordinances I I t l 'MECHANICAL $ 1 TOTAL FEET I $ '
antlrztala laws oat g to build c•n ctlon,'antl hereby authorize caeca- I - t I r
sentatives of I ity1 to .n :r. 'the above-mentioned pro erty for Hood or Type I 0 I I 1 .
I/ y , P. �•no Reinspection Fee. $15 ;PLAN CHECK' $ : LESS I • i
. Inspection pur q.'-s. _ �+ py' TYpe II ❑ _ i • I I ADVANCED,PC , $ ;
Signxtura r �� l Date -7��� I • n
Drivers' Ur se ort,SS -i �� 1 • , ,• Registers 1 i , Issue Fee I $ 3 1 I o(•B: 0
. i • I FINAL FEE, I $ I - -
CMF 0865-46 rev.12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor
... ' , .0p•f.... .. f. -
. :. - -. ,... .. .
•'1 rCONSTRUCTIONCANDAPPROVALS 4PI2ANNiNG7 i
RC' ..., ,1 --', ....' :„ Date. _ in..speci_Or • .
- j: Perirnit*- '- 'APPROVALS • 'Permit# Date Inspector
..... n..; ' : - ..
it; L'..- teniFor!ryElectricaI Service or'PoIe , •-;.,, .-- . - ' I, 7-'': : •••,.t' 5:257 Pool 8/EciuipMent Location ,, , • . --•
L - ' - " -.- i -, .- ,r - r ••
k... 2'; SOH Pipe-Undrgrnd. .:.'1' ...1, lc, T.:a.; 1 . -.• i-:, i • 't. - •- 1• 53. Steel ReinfOrcernent • . '..• -_-, - , _.,..„ , .
• - ' ; ''''' - -
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• ...",• 32 lect...12ical Co nduitiCifilii,)-Updrgrnr1.1 la., ••.• • ;•it. ,.. "-- .: :: ' 5.,.:ForMs.,i• -;? 3: ....„. ..._, - ,.; . -_ _, •• ''.f ..• ,
4' Electrical Conduit-Undrgrrid.' l'- -: ' ' ' I ' < li?-' -"7:2 '55' Electricit iiinding...". - • '7
T.'. j(11! • Lu„..; . , .. . - ...
- . -.. •
6 tieel'AdirilOrcemen ' ' •• • ': !..:7 i 11 2 ^77:.- '56.: Riiugh Plurbbing& Pressure Tet ' • " -f:21 % -
6 ElectricaltFER brncr: - .- I 1 r L 5 ..V. ' 57APPROVALCOVER-GUNITE
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7. FoOtingS, . ,r, '- '- a 1 • • _ :: 2.. 1 ' -58: Electrical dOnduit-Undrarnd. • - ' --
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8. Founda , -ltion! . ' ,' L; .: .. , '1• 49. Gas Pine,lilndigrnd.,Test
:_•, ,• -.: ::' • ,•
-
9. Water,Pipe-Unargrnd. i ' - . l.., •1 :repo. Backinksh,iiines,P:trap, 0 Updrgrnd. 7 '
i• 4 • . 1 1 ! j - • I i '
. . .,*
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• 10. Structural Fle-or Sysiern . 1-- , ; : ; ',i 4 .... 61. `APPROVAL:TO-DECK •
11. Property Sever Ling.& House"Connection • ' •• 62. Backwash.& Recept-or-Final
12. wc.Seer' Cap 1 •••••• !1:4,1 -i
i.- ' ; , ...-. I '763 Heater &Went-Final 4''' ' -; . ' .-• ' I , .
... t-. :-I i . • - ;
13. 'Roof Drains .../1-41 ..,t: • • re• :.' :573 I: :e4. P'_iuribing:„SySte*-'Final • •, _ . •,_
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14. R9"ugh Plumbing L,. , 2> I, Al • - '65. ElectricakFinal- ' -- - - r- ' : eh': "-
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157-Roughtlectricaltonduit r -, -. r1 Tr-- , 1 Solar ys em- ma ; ,
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- L16. RoughElecirrieWiiri)g2 .., ; r 1 ,. :. • - ;a r:, I c., 3'• 671.;Fencing-8C-Aa-cets•AriPloyal ' --
',#-: 7...R.ou§h WidWgSignP '-c :P` PP • , . .: ' T.` 68 APPROVED FOR PLASTERING ' • ! IT - i . •' "'‘ •
t. ;‘ ii, ,_ r., „ „ r: • 1 I :.: , .: I ^ • : : i ..i I •-: r r., • ' 1 'I
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✓ it 18: 13&ughi.Electcicalg 8ar!Ceiling, 1, i t I F. ! I I '' IT : E • pe. P.tiothsPlA SYATEMS FINAL .' . . i r , • I,:_ ;
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. 19.••ROugh:Heating - r.
&•Air Conditioning • 4 :21 --! • ' I ! ! ' I FIRE OEPT. REQUIREMENT-., . . : • .= 1 '; -
•• .. .. . .) , . r ? • . I .l.: •. ; I : ri • t i .•-: ;- -•
. ' 20. Rough Factor Fire-place ' ' 41. ! 1 j ! I I i APPROVALS' 'Peewit#
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21bum,in Sti-•utt urel, ' ' I :' I ! : • ' I • i
70.•Underground Hydro
. ii___ .. • • ? I.; : , I I i • ? : • . .
`22. Ducts, yent1lating ,•. • • I 1 :3 I , . • 1 : 71.,Prodact Piping P Gas 000
. .
'23. GI's Pipe-Rowugh eiest. tt. i ,Ii..-,F- i • ; : , -- -f-- .11nrde6 rou-nd Flush •
I
. ( I i r : I , ' . '
• 24. ,Rpof,Framinng._ , 1 .. ,t6., .,,, • .s r c re • .4i:: I . : 73.1 Undergrnd.Storage Tank 0 Gas 0 Oil
‘.. it 25. iloof.SheathirA i • ' ' I I 11ia;li i i c . . I.. . I -; r.:: . 74.,OVerhlead Hydro
- •-26. T-Bar Ceiliris (Structural),& Mondboat ' .' ' ".;,C ''• •••; . 75 Dry Chemical
. _
27. Frame and Flashing - I' i II . • : •; ...... .
76.i Dry Standpipe
f: !I 28. Lathing& Siciing . ..• -e: ! ; : i: ; I ,' I ! I.:C.: I 1 I177.i FIXED SYSTEfM FINAL • . •
?. ' ' 1 A i ; - , , • ;I : I , i li I I
78. FIREPREV.. FINAL • . ' • , , r•
•
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9-30. DyWa
rll Nailing •,. • •-•
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. ' I ! 1 I 'Noes::I 1 • .
'Piaster grO‘kin Coat 1 • ! 'i . ' , ; : • ;
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., •32. Elect1rical power Meter1FinII 1 !! •I I i I. i : s' ' ! ! ' ' . I • I ''-' •• I
i . • $ I., •
_ 1 i ; ' , ' ' •• i i i ' . , i ,
L rh ,fre„ ,. , . ; ,. „i„ i i. ; L ..;
_ -
•• 34. Final Healing &Air'Cokditioning : I ! I I -; 7••••'''1,.-- r- 1/2 i -i -
, ,te- ' I •
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35. Final da !PiriekeSi. t: • ^•LI 1 "' ; ' a !Cr, it*-1 'if. --,,..... I .. ' .: 4 : i 4 :•, 1;',.
. !, • ,, • a• ‘,.. . : . . . • •
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36. Hood or Caniork7.:•-:', 71 - •' ; 1 • - ' ' --. 1 n . , ,-
-
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1 , I. . .
37. Final Factory FileiSiaCefz at. .2' ' I C !,-.7 ; ' ".. ! • • '-. ••
. . . •
38. Final FhuPnbing 1 1 1 . I GI i i • ; t ' : - ' • 1 • " I -'' • „."' . ' : 1
. ! •: ' ' ...: I I I . . I I .: - I. f . .
39. Water Service-Final I i 1111'
! : I
1i
40. Gas Seryiee-Final • I ' j ; 1 •- t-- . .
:. it • 1 1 t ; 1 ! 4 I i ' i
41. Solar Dprhestic-Final ' I !, : . . i '
'. '- ----7)-- t -1 - -1- 1- --L - -< i :--I-• -r-- ' 1 •
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42. BackflowiPreventer _' 'li • I ' ;.'" I ' .-C-1 I I .
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• ,. n1 .21 .L1
11.W I" I :. ' ' : . . I . 1 If. - l.."'
43. Backfl?yy'Irr": alioniI .._ It_ i !
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-J, I-in :-.t •'' '''• ' ,:-.J i• • ; . 1 . , • ..,I ‘: i
44. Landscape IrrigationcSystem • *; '., • .t.'I . 1 ..: a' ci' -,,, : •
. • at; -. -..; a'• '
, - c. •
45. SoundtAttenUatiori ...„ • -; <1 ,
c• r.;- . . '.-I
! ''1 17-1 • ,
4 • . 7-t . . j .., •
46. Handicap•RegulationS- ii • ! i
47. FINAL STRUCTURE & Ell_iltDING ,1 i ` I 'a- , ! I , I 1.4; y
I: . ' : 1111 I t I 11.1 -i 1•-.- ;
48. Special Requirements dompleiI edi 1: 1 ! . I' , V i 1 I I I• 17 9 P'. 1 I
1 i p ; 7.:I iIII fa p
49. ElectriC Relilase o Edion! I • lj I I . I 1 '' ; i 1 r '
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t, ±: I , i 1 1 4 - -Cr-if.---I--.-- ' . 1,
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50. Gas Release to Southern California Gas1 I Co :- ' 1 ': ' I , ''
51. CERTIFICATE OF OCCUPANCY • :' '• : ;, _ l„ . ,,t, L. : , ,__' ' ,a1 _ •
' ' • I •'' i' I- .'' ' - ' ' t.: .`.7 . ...,
No ii 'i . . . Date ' ' ' ) ' • .. . ;:: ; •-- , i - •
- • . - .. _. .