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HomeMy WebLinkAbout320 WALNUT PL - Building Permits�... . :; = 6�'�� COSTA MESA BUILDING DEPARTMENT P.O. BOX 31] COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN noo e�s"s 320 G]elnut st-�� COSTA MESA. CALIFORNIA OWNER cirv CO ARCHirECT C OR F VEER LEGPL DESCRIPTION A.P. NO. �� Grove USE OF E%ISTING BLDG. SETBI�CN LINE FROM 46, CENTER Oi STXEET SIDE YARD RIGHT �t TEI. No. LI LIC. NO. G,�.� �,�� �a���C'� �� � ` ° ���� 'i� ' ��� 31� �S�`� . �..::�� ��f(�. �,; t, �� �,�.�;� ; :r�� APPLIC;ATION FOR PERMIT BUILDING FOR OFFICE USE ONLY PECEIVEO 9Y OniE RECEIVED 9 �J 3- �7' -J 2 3/i eui�oiN�--� nooRess 3 2b �✓RL. itl V j COSTA MESA. CALIFORNIA FIRE � CITY LI0. /'Sj PLPNS•� NO. /I THo: LI 8-ll59 g�PROVE J��,� �� DATE "�� _e,�_ 1��t CORRECTIONS NO.OF BLDGS. REAR YARD 16� LEFT �t ' DESCRIPTION OF WORK NEW A ALTERATION AODITION REPAIR MOVING DEMOIISH SIZIEDING �Lnl S �Ft• ROOMS {� STORIES � W1 E%TERIOR WALL k_____ ROOF �___ � $TATE TNRT TXE A90VE I$ ORRECT RNO RGREE TO COMpLY WITM PLL CITV ORDINANCEB PND 5 L<WS REGVL/�TING BUILDING CONSTNUG� iio�+. VALUATION SIGNATURE OF PERMITTEE t1� s 13,690.00 AUTHORIZED AGENT . D168 & CO1Cg2roV0� IriC. PERMIT FEE S Zl�n�yn PLAN CHECK S ���Vv TOTAL FEE 8 �yH�OO v°'"� 1 � ADO�icant to fil� in all s0aces ezcept those within heavy Dortle� lines antl si9n all aoo�opriate aeclarations. CITY OF COS7A MESA COq�NjQ]TRUCTI N PERMIT . P�oject Address � �FJ L /Ff_K�.t� Applicant's Mailing Address p Owner's Name Phona��=�p( Address � �"Q ���•-� j � � u� Arch/Eng. Licenu No. Address Contractor's Nam � Phone �i��S S.j i Adtlress (mailing) � � y City License No. LICENSED CONTRACTOR DECLARATION I hereby af�irm [ha[ I am IicenSetl unae� provisions of Charte� 9(commencing with 5e<tion ]000) of Divislon 3 ot th¢ Business antl Prof¢sslons Cotle, antl '. my license is in full torte ntl effect. �� License Class � License No. � I Date�C 2�= Signature 4 WORKERS' COMVENSATION D LARATION ' hereby attirm that I have a certitiwte ol consent to seH-insure or a certificate f Workers' Compensalion Inwrance, or a certifietl c0 y[hereof ($ectioj� J800. Lab. � 'g`-�� n � // PoIicY No. � ��� �PanY r' �vcQ! �t�tietl c�PY is (eetlbwlthrthehci�tY in9 Division. / Date-� a�"'�F Applican L EXEMPTION FROM WORKERS' C PENSATION DEC ARATI (This section neeU not be complaletl f the permit 6 for one huntlred (5300) or- less). I certify that in tne per(ormance of the work for which this oerm�t Is issuetl, I Shall no[ employ any person In any manne� so as to becoma subject to th¢ Workers' Compensalion Laws of California. . Date Si9nature 'NOTICE: If, atter making this tle<laration, you shoWtl become subject to tne Wo�ker5' Compensalion provi5ion5 Ot the 12bo� Coae, you musl forthwith. compty wilh such provislons o� this Oe�mlt � shall be tleemetl revoketl. CONSTRVCTION LENOING AGENCV I hereby aifirm that there is a construction lentling agenty tor�the per(ormance ot the work tor which thiz permit iz issuetl (Sectlon 3097 Civ. C.) Lentler'S Name Lentlet's Atldress ' OWNER BUILDEH DECLARATION ' I hereby aftirm that I am ezempt irom lhe Contrac[or's License Law tOr the foilowing reason (Section ]031.5 Business and Profassional Cotle: Any clty or munty whlch requires a pe�mit to con5[ruct, altei, Improve, tlemolish o� repair any structure, prior to i[s issuance, also requires the applicant for such permit to file a signetl statement Ihat he/she I5 IiconSetl pursuant to the prOvislons of the Contractor's Litense Law (Chapler 9(commencin9 wiih Seclion 7000) of ^�vision 3 ot the Business antl P�ofe55ions Cotle) o� that he/she is exempt refrom antl the basis tor the alle9etl exemption. Any violatlon of Section 31.5 by any applicant for a permit SubJeCts the applicant to a clvil �enalty oi not more than five huntlretl tlollars (y500). � Ll I, �as owner ot the oroperty or' my employeez witn wages as cheir sole compensa[ion, will tlo the work, antl the structure Is not intentletl or offeretl tor sale (Section ]044, Business antl Vrotessional Cotle: The Contractor's License Law tloes not appty to un owner of a property wnn bulitls or improves lhereon, antl who tloes such work himsell/he�self or throu9h his ot het own employ¢es, provitletl that such improvement5 are not Intentled or offeretl to� sal¢. If, however, the builtlinq or improvement Is Soltl within one yea� ot com- pletlon, the owner will nave the burtlen Of proving he/she tlItl not builtl or Im- prove for the purpose ot sale). ❑ 1, as ownet of lhe property, am exclusively Con[ractin9 with IicenS¢tl con- t�actors to construc[ tM1e project ($eclion ]044, Business antl Professions Cotle: The ConVactor's License law dOes not aOPly to an owne� of property who builtls or improves fhereon, antl who contracls tot such projects wlth a con- Vactor(51 license pursuant�to the Cont�actor'S LlcanSG Law). I am aware Ihat proof o( IM1eir Worker'S Compensation insurance shoultl be provitletl to me. ❑ I am exempt unEer Section B. & P. C. ror this reason C1 Date I hereby �certity that information is mrrect antl state laws relatin sentatives o( s cit Inspection pyf Ses. Siqnature ` Driver5' � n5e or 55 1F OB65-46, rev. ]0/84 — Owner _ I have reaE this I agree to compl to Ouiltlinq cons ��to enter uoon TVPE OFCONSTRUCTION LINEW U ADD LJ ALTERATION LIREPAIR ❑ CONVERSION ❑ DEMOLISH ❑,yp� HER DESCRIPTION OF WORK/USE OF BLDL9. ��� c TYPE OFPERMIT U GRADING �LJ �FOVNDATION LJ STRVCTURAL ❑ TENANT ❑ ELECTRICAL uGPLUMBING ❑ MECHANICAL ❑ OTHER PROJECT �ESCRIP710N 51�. FT. OCCUPANCv_ CON STRUCTION TVPE VALUATION 5 ZONE GRAOINGCV.VDS. ACRES_ Remarks: Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiers Dishwasher Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors ' Kitchen Sink . '—Trap ' ' Roof Dreins' Reinspection Fee $15 Duct- UnderGround Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑ 6100,000 BTU � 100,000 BTi Date� Y/ �� Reinspection Fee S75 White - Builtling; Canary - Appllcant; Plnk - Accountin9: Goltlenrotl - Assessor PLUMBING Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping � Solar Tank Swimming Pool w/Spa Urinal WdI2( CI052f Water Heater Water Service � Auto-Wash � Issue Fee Hootl or, Typel ❑ Canopy Typell ❑ Refrigeration System �0-100,OOOBTU ❑100,000 System Repair/Alteration Fire Dampers � Registers Issue Fee FEES A.P. # S Main Building: E T front ARear C Ri9ht K Left $ Ping. Ref. # Planning Notes: ' 6242 �5/27786 Zone Acceuory Building: Parking Req./Provided ELECTRICAL Automatic Washer Construction Pole Sub. Cooking Unit ` Dishwasher ' Dryers ❑Gas ❑Electric Fan " F.A.U. Fixtures Device Bozes Outlets Switches Garbage Disposal Generator �0-5 KW 05-15 KW $� Reinspection Fee $75 FEES �DEVELOPMENT SERVICES HEQI Zoning Approved By Building Approved By Appliption luued Bv E 3 Transformer ❑ 15-50 KW � 50+KW Meter ❑up m 100amps Meter �over100amps , Sub Panel Motors �0.1 HP � 1%- 8 Inc. Solar �9-15 HP �16-75+ Microwave � Pole Light � Range Sign ' Standing Sections Trash Compactor Issue Fee u 5.00 TL FEES $ 3 Z O N I N G R E � M T S SUMMARV OF FEES BUILDING PERMIT S SMIP $ PLAN CHECK $ PERMIT PLUMBING . $ � ��UANCE $ PLAN CHECK 25% $ ENERGV P.C. �$ � ELECTRICAI $ � GRADING $ PLAN CHECK 50% $ MICROFILM $ [� �� MECHANICAL $ TOTALFEE $ ,��}LlL PLAN CHECK 25% $ � � ,_ �- CONSTRUCTION AND P4ANNING � ='� - . POC SPA � �- �ate . Inspector Date Inspector � APPROVALS Permit # _ � APPROVALS Permit # 1.-Temporary Electrical Service or Pole 52. Pool & Equipment Location .�' 2. 5oil Pipe�Undrgrnd. � ,;% � 53. Steel Reinforcement , � 3. E�ectrical Conduit Utility-Undrgrnd. ' �! � 54. Forms .4. Electrical Conduit-Undrgrnd. � 55. Electrical Bonding " � .-5. Steel Reinforcement � 56. Rough Plumbing & Pressure Test �' `�' 6. Electrical UFER Grnd. �� �� 57. APPROVAL TO COVER-GUNITE ,�.-'�� 7. Footings �� 58. Electrical ConduifUndrgrnd. �'' �, 8. Foundation ' �. .'. 59. Gas Pipe, O Undrgrnd., Test �"'��� •" � .1 9. Water Pipe-Undrgrnd. � ' 60. Backwash Lines, P-Trap, O Undrgrnd. ;. '10. STructural Floor System -, � .', � 61. APPROVAL TO DECK . 11. Property Sewer Line & House Connection � 62. Backwash & ReceptorFinal .� 12. Sewer Cap � l,� 63. Heater & Ven[-Final ` Y 13. Roof Drains � /; 64. Plumbing System - Final " 14. RoughPlumbing � �� .' ' 65. Electrical-Final � .. 15. Rough Electrical-Conduit 66. Solar System-Final - - i6. 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 F�INAL - 19. Rough Heating & Air Conditioning � � X�� FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. �Ducts, in Structure 70. Underground Hydro .22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil . 23. Gas Pipe-Rough & Test 72. Underground Flush -� 24. Rdof Freming � - 73. Undergmd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing ,� � 74. Overhead Hydro 26. T-6ar�Eeiling (Structural) & Monocoat 75. Dry Chemical � '27. Frame'andFlashing 76. DryStandpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. �Insulaeion 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 & Air Conditioning 35. Final Gas Pipe-Test, � � (� � , 36. Hood or Canopy � � 37. Final Factory Fireplace . ' '�. . 38. Final Plumbing i 2q `(,j/� , 39. Water Service-Final 40. Gas Service-Final - 41. Solar pomesticFinal ' , 42. Backflow Preventer , ' � � 4�:�Backflow Irrigation � _ 44� Laridscape Irrigation SYstem � 45�Sound Aftenuation � � 46yHandicap Regulations , � ' � ' - 47yFINAL STRUCTURE & BUILD{NG � � . 48. Sp¢cial Requirements Completed ; . -� 49. Electric Releaseto Edison � � -•-- ' ; ' � � 50::Gas Release to Southern California Gas Co � 57�CERTIFICATE OF OCCUPANCY � _ . . ,. . Nn. � Date � ' � . o-. i