HomeMy WebLinkAbout583 VICTORIA ST - Building Permits�
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VPOJECiR00NE53: SR.i I:SCTOF.IA ST
OWNEfl'SNRME: CITY OF COSTA MESA
noosess: pUHLIC SERVICES
77 FAIR DR
754-5291
AflCMIENGINEEH:
�OONESS:
flEG.NO.:
UNIT:
UNIT:
PEHMITTEE: CITY OF COSTA MESA ( 714 ) 754-5291
RUONESS: % % FAIR DR
COSTA MESA CA 92626
UCENSEO CONTflRCTOP �ECNMTION: I �¢reCy atlirm tlut I am IitenseE unaer 0«ions ol C�apeer 9(commendnq wilA Section
7000� ol Division 9 of tlu Business an0 Professans COCe, an0 my litt�e ¢ in INI lorce antl eftttt.
CITY LIC.: STRTE LIC.: LUSS:
Daie: Siqnamrt:
WONREPS' COMPENSRTION DECLABFiION: I nereEy aflirm tnat I ruve a cenilicate al wnsent to selbinsure or a cenilicate ai Workers'
Compen5alion Insmance. Or a[ertdie0 fApy Itrerrof (Sectlon 3800. LaG. C�.
POLICY NO.: E%P. O�TE:
COMPRNV:
�] C¢rli�ie0 [o0Y � her¢by Iumi50e0. ❑ Cenifie0 copy is IileO wiN tlre dry Bu00inp Division.
.,e: nDPiwm:
EXEMPTION FflOM WOXKEflS' WMPEN511TION OECIAMiION: Rhb Ser,(yn neM mi be tanpl¢IW if fhe pamt 6 fa one MmOr¢G (51U0) a I65�.
I tetlily Ihat in I�e Deharmantt a� I�e wark lOr wAitll (his Dermi� R� mVloY�n i� nner so as o Oecome
SUGRti lo ��e WOM1¢rz Co e�aaqon LawS 01 faGtomia.
Oate: d Sqmture.
NO71LE: I, atler akinA Ms EeUaration, yrou shaul0 Oewme EuDjttt ta t�e Workers' CompensaUw provisions of Ne Labor
Cotle, you must fanmvi�n campry witn suU o�ovisions or tlis perrtnt snan oe aeemee rerokeA.
CONSTNUCTION LENDING �GENCY: I �ereDy affirm Itwt there is a constnrctron IenOing apency for t�e performance of ihe vrork for
wnicn this permit is issuea ISection 3097. Civ. CI.
LENOEN:
nooxess:
OWNEB BOILOEB OECIABRTION: I here�y affirm t�at I am exempi ��om t�e Contracmrs' Sia�e License Law lor t�e foltowinp reason
(Seclbn 703L5 Business anA Professional COOe: My city ol County ymj�h rlquiros a permit to tonsirucl, altet, impwve. Gemolis�, ar
reDair any StmClufe, D�ior �o i�s iisuante. al5o feQuireS �he applitaqi fof SUC� pGrmii l0 Iiie a Sipnetl Stai¢meni IM1aI �e/SAo is licensetl
pursuanl lothe o�ovisians aflhe Coniractar5'State License LawICIWp1er91wmmencinp witn Sttlion 7000�a1 Division 3 oline Business
anU Prolessions Cotle) ar Ihal he/she is exempt t�erelmm anG IOe hasis lor ��e allepeG exemD�ion. Any violation of Seclion 7031.5 by
any aoG�icant lor a permii suojects tne apD���ant 10 a cNil penalty ol mt mom rtun live �unOreE aollars (5500�.
� I, as owner ol I�e DroDerty ar rtry emyloyeu wiih �pes as t�eir sola comDe���ion, witl Go tAe xrork, antl ihe
simc�ure is not intentle0 or oltereA for sale �Section 70aa. Bpsiness anA Pmfessional Cotla: The Coniractors' State license Law
aoes nol apply lo an owner ol a pmpeny w�ro Guilas or imprOves Inereon, an0 wlio aoes 5uc0 woM himsell/nersell ar ihmuph
hi5 or her own em0loYeeS, pmvided I�ai SUCh impmv¢m¢qi5 are not inlen0etl or ollereU �or Sale. If, hOwever Ihe huilding ar
impwvement is SaIA within one year al camplelion, t�e awner will Iwve t�e OurG¢n of pmvin0 hdslle Oitl nal builC or imOmve
lui Ihe purpose ol saln�.
I, as owner of iAe o�openy, am eeclusively contractin0 wil� licensed comracmrs �o consimct I�a pmlec� (Sac�ion 7044, Business
❑ a� Pralessions CaAe: The Comraclors Slate Lkense Law po¢i �� yppy tp an owner al Ompefry wtro OmlOs or imDrovu thereon
anU who ConVatlS �or Sut� pmjeCls vn1A a tOnlracl0r�5)IiCOnSe purSUani io I�E COntrattOrs' S�a10 L¢en50 Law�. I am aware
IIIdi 0��1 0� I�Eif WOlkEi 5 �.OmpEfl5d�i0n i05ufdnt¢ SIIWItl E¢ O�Ovi0E0 IU m¢.
� I am eremD� untler Seclion: B. d P. C.
for inis 7reason: ,���/'� ��
Date: !/C�/// Z Ormer.�:�%��+-- � `
I tlo here�y cerlily I�a am aware of an0 unGerstana i�e repuirements ol Califomia Healt� anA Safety Coae Sections 25505, 25533, antl
I 255J4 and ��al I or any Wmrt huil0ing occupam wiNwill n0 (drUe anE) nteE lo mmply vni� Sab Slate mde5 an0 ih¢ r¢puirtmen�s lar a
Ip¢imi� br tonslmCiiOn or moaifitation ItOm IOe Air OUaliiy Manapemenl D¢IriCI. ReSiAeniial ConSlmtiion aD01iCa�ion5 are exem0� �mm
t�e5e Omvisions.
Uale: Applltanl:
I �llC�y tltltl�ihdl IlldvpfEd0IN5 d0011C3�W11dM SId1E IINIIIIC dbpV! YIIOfrtIdIIW 6 COffECi. IdO�=e�0 COfllply VA�IIdIIlliy d00 COOO�y
oitlmanc¢s and state laws relating to builEmg wrt5tmction aM �ere0y authoriie repreSenlative5 of tN5 uq to enter upon the above�mentionetl
proDehY �o� inspttlion Ourp ses �
Oaie: Zp �- $ignatur¢: �0�.
o���ei s uce�se o� sa�ai secm�ty n:
16aLa6 W�ile—Boilainq: Green—COEe EnlorcemnnC Canarv�Aoolicanl: PinF—Ravenue: GolEenratl—Assns r
i
_. ,, CITY OF COSTA MESA — BUILDING �ERMIT PERM NO: E 058238
PERMIT NO: E`058238 PLAN CHECK NO: N GOVT: Y SUP :
CONSTRUCTION TYPE; PERMIT TYPE: ELE PURPOSE; OTH
JOB DESCRIPTION ; METER FOR R,O.WAY BUS STOP SHELTER SQ FT;
CLAIM VALUE: CALC—VALUE; GROUP OCC: /
COMMENTS: VICTORIA STREET WIDENING ��
!E df iE 9E iE iE if �� �)f �N if iQ � iE �X� aE iE 3f if �lf� lf �lf �lf iF iF �f iF 1E iE �1f if df �IE�IE iF if iE iF�1E �IEiE �E iE iF 1F�lE �K �lf -lf 1E?E if dE iE ib � iE if ��� �1E k iF �IF iE 3k iF �� �� �lE lE 1f K if �%�� # ik iE
Z O N I N G R E Q U I R E M E N T S
sETsr,cxs
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT ZN FRNT: FT ZN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
PARKING REQ• PROV: PARCEL: 42217415 ZNE: REF NO:
PLANNING Nt3TE5>
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D E V E L U P M E N T 'S.%E,R V I C E S R E Q li I R E M E N T S
ZONING APPROVnD BY � DATE;
BUILDING APPROVED BY ; ••: DATE:
APPLZCATION ISSUED BY: �CC� DAiE; ��
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LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 18502 SMIP/NON—RES
PLAN
ISSOE FEE 15.00
BUILDING—DIV—> PERMZT ISSUE PLAN—CHECR TOTAL PAID DUE
TOTALS----> 0.00 O.OU 0.00 Q.00 ,00 ,00
REVENUE DIVI5ION TOTALS--> COLLECTED; ,00 OVER/SHORT; 00
HLDG FMT;PLUMBING ELECTRIC MECHANZC FIRE SMIP/TOT GRADING PLAN—CHECR
1F iF iF iF if If it iF iF iE k!f iE if 1F iF iP IE aE If k 1F iElE iE 1F 1E 1f iE ik 1F if 1! ih jF if ik iE i41f i! if if iP ik iF if 3f ik if �E # if i41F if 3e k�f i61E k IE iE IE i6 iF if X• IFlF iE it k ic iF k iF if�
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
ELE 1 SERVICES HELOW 60U V 6 HELOW 201 AMP 18,50 18.50
END OF F£ES
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CONSTRUCTION AND PLANNiNG POOL A
� APPROVALS Permit �h - - Date lnspeetor qpPROVALS Permit # Date Inspecco�
�, Temporary Electrical Service or Pole 52. Pool & Equipment Location �. ��
2, Soil Pipe-Undrgrnd. 53. Steel Rei�forceme�t ' �
3. �lectrical Conduit UtilitY-Undrgmd. 54. Forms �
4. Electricaf Condui[�Undrgmd. 55. Electrical Bonding
. 5. $teel Reinforcement 56. Rough Plumbing & Pressure Test
1 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
• 7. Footings 56. Electrical Conduit-Undrgrnd.
$. Foundation � 59. Gas Pipe, O Undrgrnd., Test �i
9. Water Pipe•Undrgrnd. � 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System � 61. APPROVAL TO DECK ,
� �, property Sewer Line & House Connection 62. Backwash & Receptor•Final
12. 5ewer Cap r 63. Heater & VenbFinal �
13. Roof Drains 64. Plumbing System • Final �
14. Rough Plumbing � 65. Electrical�Final � �
t5. Rough Electrical-Conduit . 66. Solar System-Final .
16. Rough E�eMric Wiring 67. Fencing & Access ApProval �� .'
77. Rough Wiring Sign ' 68. APPROVED FOR PLASTERING�'
18. Rough Electriwl-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. pough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. DuCts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 77. Product Piping OGas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
;24. Roof Framing 73. Undergrnd.SrorageTank �Gas ❑Oil
��15. poof Sheathing 74. Overhead Hydro
r
26. 7•Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27, Freme and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation � 78. FIRE PREV. FINAL
30. Drywall Nailing � � HEALTH DEPT. RE�UIREMENT
31. Plaster Brown Coat � t 79. FINAL INSPECTION
32. Electrical Power MeterFinal i � 80. FOOD CEflTIFICATE ISSUED
33. �inal Electric �� , , Notes:
34. Final Heating & Air Conditioning i � .�
35. F�nal Gas Pipe-Test i
36. Hood or Canopy
37. Final Factory Fireplate
38. Pi�al Plum6i�g
39. Water Service�Final
40. Gas Service-Final
41. Solar pomestic-Final - �
42. Backflow Preventer
43. Backflow Irrigation�
44. Landscape Irripation System
45. Sound Attenuation
46. Nandicap Regulations �
47. FINAL STRUCTURE & BUILDING -
48. FINAL PLANNING
49. Electric Release to Edisan �
50. Gas Release to Southern California Gas Co �
5t. GERTIFICATE OF OCCUPANCY
No. Date