HomeMy WebLinkAbout320 WALNUT PL - Building Permits�... .
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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�`� .
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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