HomeMy WebLinkAbout1590 HYLAND AVE - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
C -Y OF COSTA MESA' i . PERMIT N TRACT NO, LOT NO.- • • BLDG.NO.. r ' 1
t;: TRUCTION PERMIT ' -- /J 7/43 •
I •
trai 'tuiv'rAowte y t _
Applicant's Meiling Address e TYPE OF CONSTRUCTION U NEW U ADD 101 ALTERATION U REPAIR ,: - J �y -
.Project Address i-r'9o' Ny�/�/YO �+ •
+ ///J ❑ CONVERSION ® DEMOLIISSH 0 OTHER • ' -' S •: • BBGI, '5/I7�O.•I' - IJeO1� 'Ti
1 /JJDUf/K(tph nrcrC —'772 DESCRIPTION OF WORK /j�u0t7� W4-4.1...._ -
Owners Name I(/�.NFi/�` 0 p - _ • ' - •ZONING REGULATIONS -- - - • • •
Address' �jf f(///A wag Cif? !lE.l'.4 rpm• /� /''� ,
��7 •-• . _ •- . TYPE OF PERMIT ❑ GRADING -U FOUNDATION 1M STRUCTURAL •A.P.91s /39-0�J —� ZONE / //'�
Arch/Eng, ' -° License No.• 1 - • ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL_, • PLNG.REF..516 , I 48UILDING, ' _
•
•Address 1 - - •
❑'OTHER t '•• - TO BUILDING. _, ,SFTBerir on $T '�C
• COntfactoi s Name - Phone• PROJECT DESCRIPTION' SO.FT- ' - - •- OCCUPANCY - PROPERTY LINE I -REAR YARD (TO P/U \_� 1: '� •
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_ ' CONSTRUCTION TYPE - VALUATION$ .A$2.7•41 -. LEFT SIDE YARD 'S RIGHT SIDE YARD l ��✓
Address(mailing) ' + r • - - PKG.SPACE'REQ. , � PROVIDED
License NO ' - ZONE ' GRADING CU.YDS. • (ACRES
LICENSED CONTRACTOR DECLARATION • ' ' ' ' Remarks: t • STREET WIDTH ' co "• ,PARK FEE$ - _
I hereby'afflrm that I am licensed under provisions of Charter 9 (commencing • -
with section 7000) of Division 3 of the Business and Professions code,and SPECIAL CONDITIONS:
my license is in full force and effect. - • ' - ,
Ucanse Class t License No.- ! PLUMBING I j
Date Signature - I , ,
WORKERS'COMPENSATION DECLARATION ' 1 • •� Bar Sink Sewer Cap ELECTRICAL 1
'" - reby-af IIrm that.i.have.a.certificate of consent to self-Insure or a.certlfIdate. -_. _ _ _ , Automatic Washer., - __ •Meter ❑over 100 amps' _1
-;.e '- Backflow Preventer - Sewer Connection -
•Workers' Compensation Insurance, or a certified copy thereof (Section , ,
r' 1 - Construction Pole Sub Panel '
. 00, Lab. CJ i 1 Backflow Irrigation Solar Collectors • , I
Policy No. ' - ' Company ' - • i - - Cooking Unit ' 'Sub Pole
HCertified copy Is hereby furnished. 1 I , I , ' I Bathtubs i 1 I 1 Solar Piping `J , ..
Certified copy is filed with the city Building Division. 1 j Dishwasher 1 Motors 00-1 HP 0,1 h-8 ,
Date - APPutant • Clarifiers • 1 Sour Tank _ _ - 111
" EXEMPTION,FROM WORKERS'COMPENSATION DECLARATION I Dishwasher Swimming Pool wiSpx . Dryers ❑Gas, ❑Electrid - 1 Inc.Solar 09-15 HP_016-15+
(This section need not be completed if the permit Is for one hundred ($100)or
• less).. 1 , i Ur • Fan 1 i ! I i Microwave i .'' i )
. 1 certify', DrinkingFountains Urinal •
that in the performance of the work forso as to this permit is issued,I ! {
shall.not employ any person in any manner so as to become subject.to the I 1 . F.A.U. i ' ;Pole Light '5Yhi
Workers' Compensation;Laws of California,. I I , Floor Drains i Water Closet '• '
Date Signature - I
-NOTICE:If;after making this declaration;you should becomesubjectto the Floor Sinks--•-- -•- - • -•- • Water Heater - - .- ' Fixtures res
. Workers' Compensation provisions lof.the Labor Code, you must forthwith Device Boxes Sign
comply 'with Such :provisions.or;this, permit shall be'deemed revoked. .. 1 Gas Service`. j Outlets, 'Water Service. 9
CONSTRUCTION'LENDING 'AGENCY • - - - - Outlets- '
I hereby affirm that there Is a.construction lending agency for the'performance '- Interceptors ' n• • , - ,Y i T :,f'�,, ' Standing Sections + ,
•
of the work- for which- this.. permit-is issued (Section 3097 Civ: C.) - - - ,
• Trash Compactor I
•
Lender's! Name ' _ ' Kitchen Sink I , - Switches ,
Lender's' Address • .- , .. _ - - - '
- Lavatories,, - Garbage�D isposal I
OWNER BUILDER DECLARATION -' - - -
-
I herebylaffirm that I am exempt from the;Contractor's License Law for the - -. r , ' Generator 00-5 KW 05-15 KW • '
following reason (Section 7031'.5 Business and Professional Code: Any city Or P-Trap - • ( - /` _ - - '
' county which'requires a permit to construct,alter Improve,demolish or,repair . . _ — • - •� Transformer 015-50 KW ' I ' ' •
'any structure' prior to its issuance, also requires the applicant for such permit Roof Drains, - ; - - +
to file a signed statement that he/she is licensed pursuant to the-provisions Of , >. . ❑SU 4-KW, Reinspection Fee $15�
the Contractor's:License Law.(Chapter 9(commencing:with'Section 7000)of •
F ylslon:3 of the'Business and. Professions Code) or'that he/sheds'exempt I Showers _ • Reinspection Fee •• $151 •1 • ,
• 'xefrom-and the,basis for the alleged exemption. Any violation of Section ' I r Meter.' Oup to 100'amps + I Issue Fee. i . $ 3
j?:J1,5 by. any applicant fore a I permit-subjects the•applicant to a'civil " • 1 I --l• anai!),of not more than five hundred dollars($500)1 ' . , - I Service Sink -' Issue Fee`-• I I ' if:$ 3' Zonin A roved 6 7���C' "Alt
C�r
+�, Y I - , I _ 9 PP Y(/� /��- / Date
LJ (peas towner of,the•property or•my employees-with as their sole i MECHANICAL .-�1 I compensation; -
f ( will l the work,and .Phe structure_Professional.
not Intended oofferr's - 1 - i Appliotion Approved 8;r-^ �, 's/ate .
for sale (Section 7044, Business'an a Professional.Code:,The Contractor's _ - ,
• License Law does not apply to an owner of a property'who builds or improves Boiler Refrigeration System t' ApplicationIssued By ' Date
thereon„and who'does,such work himself/herself or through his or her own - ` I
employees, provided that sing or provements is sol t intended or offered for - , 00-,,100,000 BTU 0100,000 BTU I - - - -
sale. If, however, the building or improvement Is sold within one year,of com- Duct'-Under:Ground ; i• ' e ., •I •- ,•-1 �' ':' SUMMARY OF FEES
pletlon, the purpose
have the burden of proving he/she did not build or Im- - 1 ' - i ``
rove for the purpose of sale). i -- . Duct-Structural , . ` i • System Repair/Alteration - BUILDING PERMIT $ l�•�d •
i SMTP I , $ '70
LJI,as owner of the property,am exclusively contracting with:licensed con- ' . - , - ` ,
tractors tp.construct the.project(Section 7044,-Business and.Professions Code: r Duct-Ventilating_ _ ___.,• - _ _ _ -a PLAN CHECK $ b'7 PERMIT
The Contractor's License Law does not apply to an owner of property who - ISSUANCE $
' builds or Improves thereon,and who contracts for such projects with a con- , Exhaust System ❑ Multiple 0; I ' ,,j PLUMBING , $
tractor(s)• IIcense pursuant to the Contractor's License Law): + r PLAN CHECK+ GRADING $
0 ram exempt under Section ' B.& P.C.for this reason , I Firepl/Fact.Bit. ICBO# I ',1 • 1 $ - i I I
f I 4 HeatingS stem&Ducting , ! j I ELECTR ICAL' $ ! • $ . ,
Date 1 Owner ' ' ` Y ( ! I ! MICROFILM $ -
I-hereby certify-that I.have read'this application•and state that-the'above--i -4- 00.100,000,BTU'0100,OOO BTU '^ -� -- - 1 PLAN,CHECK • $ - i t
ireed. I agree to comply with all city and county ordinances i I ~l MECHANICAL $ I TOTA LFEE 1 $ }
and'stet laws r ating to building co.struction,'and hereby authorize repro- Hood or T e I O'
sentativ olith city;to enter}u••n�the� abo�va•mentlonetl pr•pert for pe 1 I • Reinspection Fee: $15 1 j LESS ! I
Inspettlo u ses-- '' r/ ' ✓C/�s I ,w I Canopy. Type 11 ❑i 1 r i 1PLANCHECK. $ , 1
informati
!a7NTNi Date , • ADVANCED PC $
i •
•rivers' License • ' I f I 1 Registers I • i Imre Fee I $ 3 • , j FINAL FEE' ' $ j /.7 00
CMF 0865-46 rev.12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor - '- -
I , - '. POOL 'A _
i -1 1 ' TRUCTION AND?PLANN r. - �o r = _ ' '
1�-I I • r £ - - ,_ - Date l Inspector - - ' Date ' Inspector
. . APPROVALS ?, Permit;# - - , - i , . APPROVALS "Permit#, • -
'- ;1- Temporary Electrical Service oriPole it:- - ,t-..._ •‘52.'Pool &:Equipment Location- ' - - _
v 21? 'Soil Pipe-Undrgrndn ! 't,:•;!:',.::::, I C • i° G' .c53°Steel Reinforcement - z':
z 22
Electrical Conduit Utility-Undrgrnd; ' N; ° c 1 ''54' Forms ° r - :y -. ._;f. - ' ;,'. •-
•
4: Electrical Conduit-Undrgrnd: -. .; -, .. j? 2 ;• ;;r 55V Electrical:Bonding' I_ , _ '.�'
5,:• Steel'Reinforcement i m ` 1 y o - I ‘7,7-..., -';, e,P go2ii9 - n9 - - °3
56.t Rou, hlum
P. bin -&-Pressure Test
6: Electrical OF ER prod.' -2 I ;.! , 2- g Fc = ,57['-'APPROVAL'TO COVER:GUNITE ' ' 'I• i
7. Footing? ' , ! I I I :: ;it_ ' ' l•-•'
. eo .f i . ^ _ , :.,-;,c
58: Elect' t.. 1
° C i , ' ' 59- Gas ipe,:0 Undrgrnd;Test - _
8. Foundation I, _r P - -
9. Water Pipe-Undrgrnd. I ' , 60, Backwash Lines,P-Trap, 0 Undrgrnd.. - ' - -
10. StructuialFloorSystem i -: ; • i ? s> 61- APPROVAL TO DECK -
11. Property Sewer Line &'House'Connection _ ! '62- Backwash&:Receptor-Final -
12. Sewer Cap- � I i !: 2 I,_ - : 63- Heater & Vent-Final - - ', - . , - '
13. RooflDrain"s , I ,zt c- 1 ,,64- Plumbing:System-'Final-, - • •, - - --
c 14. Rough Plumbing • I ! - ' I ° - -65. Electrical-Final - - 7 • - '' °
k 15- iRough Electricaltonduit-r-I"-,.j,-- '. "I'T -- i'•1--"j' 66:1•Seilai:System=Final , --- -' T 1--: F. - - T-'- - -'--
r
:16. .Rough-Electric,Wiring, v : - ' ! -�, -- _ - -- - • r -' ' - - - -
N r.,__, , . ; ' I • ;1; i , ta I' 67., Fencing&-Access Approval I ❑ . _
17: Rough Wiring Signs I ' ; i - 1, 4 } •68.1 APPROVED FOR PLASTERING' r
18. iRough Electrical.T:Bar,,Ceiling' ' �.
1 : -- I i I r' - ,69OOL/
1 PSPA SYSTEMS-FINAL t _ ! . .
19. Rough`Heating&'Air•Conditioning 1 : I f I I ^` 1 I I FIRE DEPT. REQUIREMENT-
u' 20, 'Rough,Factory Fireplace f I I I ! I APPROVALS ', Permit# -
Ca '•etsi . 1 , + I •l a 11 I , I : r I . I 1 -
c b 21.''Ducts,.in Structure r � I I ' Il I � I ' ' ! ;70 i Underground Hydro i = j 1
�22. 'Ducts, Ventilating i o I }} Ii I I I I , I li ! 71•' Product Piping CJ Gas DOil . F .
1`23. :Gas:Pipe-Rough&Test : 1 '14 ,( I -i I --1 -- -'1 l - - - r ' - . --
1 , I - 1 11^1! ! 11-T -I i_--,72., Underground Flush I .,; I t
n 24. .Roof Frarpingi ' 1 i I :is 1 ^y i , 1:4 ; a, r
1 .,1 0 I ,.! X73. UnderCIgrnd.Storage Tank Gas ❑Oil :
•o • 25. (Roof Sheathing ! 51 , !, ' 741 Overhead Hydro !,. ' . - '
-26- T'--.Br Ceiling (Structural,& Monocoat I _ 1 - ` ' 1 ` ' '75: Dry Chemical r - i 7
1.27- Frame and Flashing _ , : 'rl ! `b (tJP ,76., Dry Standpipe 1 - - t
, 28. aLathing &-Siding; n c' I I I i ji •! i I ' E I f i i ,-
' ,: I i77.: FIXED SYSTEM FINAL 1 , 77.
: 29. !!Insulation s , ; `IRI I II ,} I '! I 1 I I , 178: FIRE PREY. FINAL . ' •
a ,30-iDrywall Nailing , ,. " I j r ' I I Notes:, %j 7, 3 F-.••���`•,.! ' I i 1
1 . I 1 r
✓ , r 1 ' 1 ;
31. Plaster Brown Coat• ' ! ,ege
• ;' 32.(Electric•al Power •Meter.Final ' • , I I rJ
!33.'Final Electric i I I I I,. 1 It I 1 � Ca
; ' 2-Pnaavt d.E.c/ o / { 477 , 1
is 34. Final Heating &Air Conditioning ; ' i 1 1 ; I ! "-t- 'QDa,, _
35. Final Gas Pipe:Tesi' I t, I ;" ' 1' ^ ' i< /�/ ! . O 4 pK ,. ;
36. Hood or lCanoPY, 1 n ;,`'-, } :>: .:; 1' I ! { : I ' Irl I - ' ; - tl. /n� i . c - '}- . r;pp /� /. [�
Pr t , 1 r, _ I Zit, - 1.-; . , , 1 1 /Y/r//SD✓-el f 'fife/#.as CI r egfel
37. Final Factory F1repla"ce„ , if l t, 11 , ,,° I. 1 I ,:1 I I 1 "1 'i /II I! -. , ` _ ,
„, 1
38, Final Plumbing 1- 1 - l i , CiI I ' i 7?` I l I it I ,
l11 1 1 �
39. Waterpeivice-Final: ; 1 I I , I 1 - - _
40. Gas Service-Final I , , . ', I I � I I j y
41. Solar f)omestic-Final i I •'I r- I _ ! 1 -!_i_ ;.- I_ I _ _ _ •,• . •
42- Backflow Preventei I t; - -! _i �. _+ - -- ! ,
L .
Backflow litigation T , I ! :tit l ' 1 t ' 1 r:! ..1 i 1 '- I ' 'I ` . i . /
44. Landscape Irrigatton-System ; •• '.[ , _ ; ` 1 _ ' i -•, i . r
:I. ' l } 1 ' - 1 7;3 1 -71 I 1 , , 1 , 1 -
45. Sound Attenuation _ T I I I f,I 1 r , '
-
46. Handicap' Regulation`s I I T ; !f' 1 !° l rI 1 lI , I _I • ' I ' /`1 '' . Y,''
47 FINAL STRUCTURE& BUILDING ! I; 2-4-t3 teeJI ! • I
48. Special Requireinerits Cornpleted, d ' I I 1 1 ' ' •, -
49. Electric Raleaselto:Edison I I I - _j___�___i-__y i-__- I__j_4___I .k__! _.. it: i'
1.
50. Gas Release to Southern California G�s Co • I I ! } ! I I , A' ' I '
51. CERTIFICATE'OFIOCCUPANCY 1_ 1 __'_ __' _4-_!_ ' '
No it r I - Date ' I I ' , - l