HomeMy WebLinkAbout904 VICTORIA ST - Building PermitsI �
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rnaecTaoosess: � ypq VICTORIA ST
OWNEN'SNRME: CITY OF COSTA MESA
eooness: pJBLIC SERVICES
77 FAIR DR
754-5291
AflCM/ENGINEFR:
RDOPESS:
PEG.NO.:
UNIT:
UNIT:
� PEflMITiEE: CITY OF COSTA MESA ( 714 ) 754-5791
aooxess: 7� FAIR DR
CO5TA MESA CA 92626
UCENSED CONTP�CTOfl OECLAMTION: I here�y allirm t�at I am IicenseC under prw5iom ot CIuO�er 9(tommmcinp wit� Section
7000� ot Oivision � oi i�e Business anE Pmlessions CoOe. ana rtry license h in INI force aM etlect.
CITY UC.: ST�TE LIC.: CIASS:
Date: SiAnature:
WOflNEBS' fAMPEN511TI0N OECUNRTION: I �¢reUy alfirm Ihat I �ave a Cetliliwie 01 ConSeni IO SCIf-in5ur¢ af a CertiliWtO Of Wofk¢rs'
Compensation Ireurance. or a cendie0 capy tnereol �Section 3800. LaE. C�.
IPOULV NO.: E%P. OFTE:
contrnxr:
�] Cenilietl wpy is here0y Nrnishee. ❑ C¢rti�ieG copY is IileC with I�¢ cily BuilNnq DiMsion.
Oaie: ApWiWnl:
E%EMPiION FflOM WONI(EXS' WMPENSRTION OECUMTION: (this secuon neM irot be cmWletea il ihe perrtq's tn me NWreG (5700) or kss�.
I[erlify Itui in IAe petlarmance o� IAe vrork lor wNch �N5 permi� i5 itsued. I SMII no1 ¢mpby any person in any manner sp a5 ta Oetom¢
su01e�� �o I�e Wor ers Com epSatiW law5 0l Calitomia. y Q
Oale: SiqnaWre:� �+�— �/—�`
�
NOTItE f. atler aqng ipi� deUaration. you s�ould �ecome su0ject to tAe Workers' Compenutlon pwdsions ol ihe La�or
CoGO. yau musl �onAvntO �pmpty wit� such prOvi5ion5 or W5 permii 5hdll Ce OeemeG r¢vake0.
CONSTBUCTION LENOING RGEq�Y: I here�y a��irm Ihat Ihere is a conslrU[Iion lenaing apency lor I�e Detlormance ol lhe worq lor
which tbis Oe�mil i5 i55u¢tl (Sep�ion 3097. Civ. C�.
LENOEN:
qUUNE$5:
. t �
� C�'CY AF COSTA MESA — BUILDING PERMZT PERM NO; E 05823�
PERMIT NO; E 058237 PLAN CHECK NO: N GOVT; Y SUPP; N
CONSTRUCTION TYPE; PERMIT TYPE: ELE PURPOSE: OTH
JOB DESCRIPTION ; METER FOR R.O.WAY LANDSCAPINGTIMER SQ FT:
CLAZM VALUE; CALC—VALUE: GROUA OCC: /
COMMENTS: VICTORIA STREET WZDENING
if iE if iF if �k iFif�if )f if if i(� iE af �lf iE if �k� it �M �%3f iE �If �1Fif �lE �I's if if �lE �1F if if iE �k k�tE If �JF ikiF �lE �K-iE ik�lF �M IE���1F iF-%�f �f �1E IEiE iE iF �IE iE iE�IE�iE df iE 14 if� �M �1E �If�it� 1t# 9tiF if
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT T.N REAR: FT IN FAN'I': FT IN REAR: FT IN
LEFT: C•T IN RGHT: FT TN LEFT; PT IN RGHT: FT IN
PARKING REp • PROV; PARCEL; 42217415 'LNE: REF NO:
PI,ANNING N(STES>
1
if iE iE 1F iE �F 3E iE IE if if iE 3e iF 1E iF iF iE if iF 1E it IE if if if iF ik iE ik ic iEif if iF 3F 1E 3E 3E iF iF iEif �b # aFiF ik if iEiF if iE �lf iE i4 iF iF?F�f ik if # it �f if iF �E iE i'r iE i(� y.� 3E iFlt iE # 1F
D E V E L O P M E N T-'S:E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY " DATE;
BUILDING APPROVED BY : DATE:
APPLICATIOtJ ISSUE:U BY: ' DATE; %���j,.�
fEiElfiFif�iFlEiElfiF3E1E1f�1Ei'ti:i4iE�lfifiFi'r . x . : iflkiFiEiFIF3fiEitiF% ti ieiF
if if k iF iE 1f if iE i! 1E 1f iF iF If IF 1f If iE iE af iE iF iF iF IF IE if iE 1F if �E ff If i6�E iF 1F if 1f iF �f� af iF 1f iF iF ai #F �(�iE #t iF?F iE if !f if if iE iF iF iP IF 3f� 1F i't iE iE ih aEii fF iF )F if iF �f 1F #F
LEGALI2ATION;N F E E S U M M A R Y STRUCTUAAL SEGMENT;N
OWNENBWLOEBOECIAMTION: I�ereOyatfirmitwllame�emD���omiheCaniractori SlateLiceiaeLawlortnelonowinOreason BLDG FMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Secibn 70�7.5 Business anC Pmlessional Cotle: My city ol wunty wNcli repuires a permii to constmct, alter, improve, demolis4 or ]> $FZM Z T 1 8, S 0
rtpair any struc�we. prior to i¢ �iunce, also repuires I�e ap0�iwnt for wch permit ro ICe a 4pne0 statement that hrls�e is licenua 5 0 t SM I P/ NON —R ES
oursuani io �ne promian ol nce Contractors S�ate L¢ense Law IC�apier 9lwmmeirci�p wiin Sectlon 70W� ol Dmswn 3 0l the euvness P LAN
an0 PmIe53i0n5 CoOe� Or Itui qU5t18 i5 Ceempl Ih¢ielmm antl Ihe Ga5i5 �af I�e alltpeE Bxemplion. R�ry vi01ali0n ol Sec�ion 7031.5 hy
any aDGliunt lor a permit su�llcis I�e ap0liwni lo a dvil Oenaliy ol noi mora Ilwn IivO �unOreO OallaR (5500�. I SSU G FEE 1 5, 0 0
i, as owner a� me pmoeny ar my emyioyees wiin wapes as tneir 5018 compensatlon, wlll Ao ihe wor�, ana me BUILDING—DZV—> PEIiMIT ISSI�E PLAN—CHcCK
L%9 sVuclua a no� imenGep or o�lere0lor sale (Section 70aa. Business antl Pwtessional Cotle: Tne contracmrs' State License Law TOTAL S--- —> �, � � 0, � 0 �, 0 �
�, does noi aDDN �a an owner ol a pmpeny wtro builds ar improves Iherean, and w�o Eces wch xrork himseti/herself or thmugA
his or her own employa,¢s. pmvitleA Ihat such imD�avements are not inten0ee or offereA lor sa1e. II, however t�e builOinB a� REVr.AIUE A I VIS IUN TOTALS--> COLLECTED •
imOmvemenl is 5010 w�pin one year ol com0lelion, t�e owner vnll Aave I�e OurOen ol 0«ng he/she aid not Eviltl or imOrove
mrinep�roo:eoisaiej. BLDG PM1 PLUMBING ELECTRIC MECIiANIC
I. as owneralt�e pmpeny.am eMclusively cantracting wit� Iicertte0 Wnlractorsta fARSinitt the pmject (Section 7044, Business
❑ aiM Pmlessians CaGe' TAe Convaclors State License Law tlas not appty to an ovmer ol D�operty w�o Eud05 or improves IAereon
TOT00 pA00 D00
.00 OVER/SHORT: 00
FIRE SMZP/TOT GRADING PLAN—CHECK
anOwtacantracislor5�npraiectsvritnacontractorlsllkensevur5uanttolneContacmrs'StaleLiceriSeLawl.lamaware *'�*'M"�'*'�'*�'*'*'R�'*�"K'**•�"�***'*'�'�'�`"�'�'*�'**'�'�'�'**'*'�"K'�'�'�'**"���'�K'****'�'�*1f?F�f3Fif3F�EiF1i�t�IF3F3FifitiEf'iF)#iE
mai prooi ai nreu wwker's Compenution insurance snaNa be prmdam m me. I N D I �7 j D IJ P. I. F$$ B R E A K D O W N
� I am exempl unEer Seqbn: B. 8 P. C.
mrmrsreaw�: TYPE (,�TY D E S C R I P T I O N UNIT COST TOTAL COST
Oaie: ��/��%1�/���%` Z o+mef�� �a"�� �/'� EI.E 1
I tlo nereoy ceniry rtWi (am awar¢ ol antl unA¢r5�an01he mQuiremenl5 0l Calilornia MeaIIA and $ateiy CaOe $ec�i0n5 255U5, 25533, antl
255Ja anC I�al I or any IuWre GuilUing occu0anl will/vnll nol (circle one) neeA lo compty wil� sai0 state todes antl Ihe requiremenis for a
permit lor consimclion or moElliWlion Imm I�o Art Oualily ManaAemenl Dislricl. Resiaential consVuciion applitali0ns are evempi Irom
Ihest O�ovisions.
Daie: ApDlicam:
I M1ertGy terUly I�ai I �ave reaG �k5 ap0licaiion anG S�a�¢ Ihai Ihe aGwe inlormaii0n is corrtti. I apr¢e ro tomph/ wi�� ail Ciy an0 couniy
orWwncCS an0 slaie la�+s reldtinq Io DUIEinq cOn9mclion anG �erehy aulhor¢e repte5¢nidliv¢5 0l tlG5 dry �o enter UpOn I�e abOve�m¢nlionEG
propeny lorin5peclion pwpa5e5. `�
Daie: �-0 � SiOnaWre: � �/�'^--�
Drive�'s License o� so�i s��,�,Y r:
i64L46 W�ite—BuilCing; Green—CoEo EnlorcemenC Canary—Applicant: Pink—Revenue: GolEenroO—Assesaor
SERVICES BELOW 600 V 6 Be,LOW 201 AMP
ENA OF FEES
18.50 18.50
GL �J�:I'. ..i "" ' .... .
;':�'It• U%.t� ._ L:. 1" . �
CONSTRUGTION ANDPLANNING POO SPA
APPROVALS Permit � Date Inspector �pROVALS Permit � Oate Inspector
1. Temporery Electrical Service or Pole ° 52. Pool & Equipment Location �� �
�
2. Soil Pipe�Undrgmd. 53. Steel Reinforcement • s
3. Hectrical Gonduit Util(ty•Undrgrnd. 54. Forms � '
� 4. Elettrical 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 CqnduibUndrgmd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Tesi .
9. Water Pipe�Undrgrnd. - 60. Backwash Lines, P�Trap, � Undrgrnd. '
70. Structural Floor System ;� 61. APPROVAL TO DECK �
11. Property Sewer Line & House Connection 62. Backwash & Receptor�Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System � Final
14. Rough Plumbing � 65. Electrical-Finai � �
75. Fough Electrical-Conduit 66. Solar Sy:tem-Final
�
i 6. Rough Eletiric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVEO FOR PLASTERING'
18. Rough Electrip4T Bar Ceiling 69. POOUSPA SYSTEMS FINAL �
19. Rough Heating & Air Cond�tioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. DuCts, in Structure 70. Underground Hydro
22. DuMs, Ventilating � 71. Product Pipinq OGas OOiI
23. Gas Pipe�Rough & Test � 72. Underground Flush
24. floof Fram��g 73. Undergrnd. Stornge Tank O Gas � Oil
25. Roof Shea[hi�g 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat � 75. Dry Chemicai
27. Frame and Flashing 76. Dry Standpipe
!28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAI
30. Orywall Nailing ' HEALTH DEPT. REQUIREMENT
31. Plaster Bro�vn Coat I 79. FINAI INSPECTION
32. Electrical Power Meter•Final � 80. F000 CERTIFICATE ISSUED
� tf . �
33. Final Elecir�c i � Notes:
� 34. Final Heating & Air Conditioning '
35. Final Gas PiPe-Test � �
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing �
39. Water Service-Final
40. Gas Service-Final
41. Solar pomCstic-Final
42. Backflow Preventer
43. Backflow I�rigation
44. landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUII.DING
48. FINALPIANNING
49. Electric Release to Edison , _
50. Gas Release to Southern California Gat Co
51. CERTIFICATEOFOCCUPANCY
No. Date