HomeMy WebLinkAbout754 SCHENLEY BAY - Building Permits� ' � AO��Iwnl to flll I� all sDaees axcaD< <�ab w����� �aary DorEar Ilnaa anE tlqn all aDYroorlate Ceclaratlons. O%3O 6/21 /83 I 82• 85 1L
' CITY OF COSTA MESA � � � � ' - � � ER IT NO. ' TR O LOT NO. . � ' ' ' ' � �
CONSTRUCTION PERMIT • � i � • 7 • �� � � � ` '' .
Appl _cenYs Maili Ad � e � NPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR � .. , , . � � � , � . � , • ,' �
PrujectAddress - ❑ CONVERSION ❑ DE T R .. � ' , � � .. ' ' , - . �
OWnef'a N h0 � RI ION O W R � '• I U
' 1 I
Address TVP OFPEHMIT OHADING F UNDATION TRUCTURAL , . �A.P.tN - - J' - I / �• ZONE . -. . "� - �
' AlthlEny.. � 8 N . ��TENANT ❑.ELECTRICAL ❑ PLUMBINO ❑'MECHANICAL .PLNG. REF.SM �j�'� � � BUILDING, �. O�
❑ OTNER , REAR VARD (TO P/U: V(S O
Addresa - i ' - � -TO BUILDING • �/ '.
PRQIECT DESCRIPTION 5�. FT. � OCCUP v �I, _ �� N� •�
Contrector'sNam � hone� . �LEF7SIDE VARD � RIGHTSIDE VAR
Addrext�lmeiling) � ; CONSTRUGTIONT.YP� VAl ATIONS - .
' � . . . � ' ZON�' ORADINGGV.VDS. �ACR PKC�.SPACERE�. � , PROVIDED . ..
Licenze No. '
LiCENSED CONTRACTOR DECLARATION ' Ramarka: , � ' � r STREET WIDTN � � � � P PqRK FEE S
1 �ereby alflfm that I am Ilcenzatl untler provislons Ot Charter 9(Commentlnq , , , _ , . � - � . � �
wit0 tactlon 7000) of Dlvislon 3 of the Buslness anG ROTesilons CoOe, anG i ' � ' . , - 1 � SPECIAL CONDITIONS: � �
, my IlcanSe�Is In full farce antl eHect. � " + l�oi n COn (•pr�+IA p (� p*���(T �` ,
� � � i • PWMBING ' � i bU 1' i� vl Gbl � i�E\[u11��1f1Y1\ls ; %�, . ' 1 �
Litenza CIa3s' � LJtense No. � � �
Data ' � Signature ' , � ; garSink ' ' � SewerCap� ' � � ' ' . �� � � ELECTRICAL ; � �
WORKERS' COMVENSATION DECLAflAT10N - ' -- ' 1 I `M2t2r OOvef l0�am 5
eraGy afflrm.tnat.l.nave a certlficate of consenCto soltaniuro ar a certlflfate. �. _ !. gy�kflow�Pre'venter- - - - -Sewer Conneciion' - - � - - � . - --- 4— ?utomatic Washer__ , j._ • _ _ p _ . _ __ _
Work6n' Compen5ation Insurtnce, or a certltlaE�copY �hereof (Section � � �
Construction Pale � I "t-
� 00, LaD. cJ � � , , , ; , � Beckflow Irrigation Solar Collectws . • � . Sub Panel ; � � , �
� �cy No. - � Company � - . �� , Cqpking Unit � � ' •Sub Pol2 . '��
'Lertifle0 coOY �s heraby fumliheO. ' ' � ; � Bathtub5 � S018I Piping ; . � � - � ' " j
J CartlfleC <o0Y is tibG with t�e city BullUing Dlvision. � Dishwasher Motors �0.1 HP �1 Ya$ ", ' �
Date 7 1 ' - APPIIWnt ' . � ' I ' ClBfifiEf6 . S0�3f.Tenk �,��1 � ' ' _ •
� EXEMPTION,FROM WORKERS' COMPENSATION DECLARATION � Di5hN25h¢f . � SWimming POOI WJSpe � . DryerS ❑Gas'�OElec[ric '"' .InaSolar'09-15 HP 01645+ i �
(Thisse<tlon neeA not be ComD�etetl H Ne permlt is 1or�ana huntlroG (5100) or I ' _. . ' . �
Iess) ' . . . � � ' . . . � t ! { Fan; ' � 'Microwave ' � . .
1 certNy�[hat in the perTormance ot t�e work for�whlth this permq Is Issuetl I Drinking FOuntains U�insl' "�, � . -
� s�all:mt amploy any perion in any manner so�az [o becoma sub)ettto the � . � � - � - , F.A.U. ' ' .Po12�Li ht '
� Workars' ComvenzatlomLaws of CdlltorNa.' I FIOOr Drains� ' W�er qoSEt' • � � 9 '
� NOTICE: If, a7ter makln9 lhis Oeclaratlon, you-shoWG Deco , � ' ' � Fixtutfs I j__ �. •Ren � �
, masuD7ecttotne -. . FloorSinks�" - •.-';'-- -WaterHeater--' -- -. '_.-�' ' -" - � � ' '
- : _" ' _' .l. _ - '
�, Workars' Com0en5allon Drovislons.oi.the Lnbor COGe, you must fortnwllh ' " , . . � , - _ ! . � -
. comply Iwith' such provision5' or this';permit , zhall be Itlaeme0� revokeGy �.�� , Ges SCtyicB� � �Ou[IBtS , - WetEf S¢rvlCe , j, �' � i Device BOxei � Sign � � � � �
' CONSTRUCTION�LENOING'AGENCV'� � � � . ' � � . - OutIBtS 1 i � � �
I hereby alfirm that lhere is a<onstructlon IenCing a9ency.for t�a per}ormance Int2rt2pta�s � .- �� '� ,� i- � . � 1 Standing SBctions �
of tfie work for wltich this� p rmlt �is ueG (Sectlon 3 97 CI . CJ. � - • � .
l,entler's� Name � ' Kitchen Sink ' - , � ' •- � ' ' � Switches � � � � Trash Compactar . �
. I�nOer's AtlGrau " ' - � � - { � ' •
OWNER�BUILDERDE LARATION � ' � � � Lievatories •- , ' � . . � � GerbagaDispoml � �
'� 1 herobyla/fl�m thal I am BxeTpt !/Cm tha�GOMrdttO/Y Ucenie Ldw /0� the ' P_T 8 �, - . � GCn¢fet0� 003 KW �545KW � ' • ' � '
', lollowinq mason (Sectlon 7031.5 BuSinaiS antl Pro/esslonal Cotla: Any Nty or � , , P� i - � • � � � '
��'county wnlcn� requlras a parmlt'lo conzlrucY, altar ImDrova; Oemollsh�or re0alr ' - . , . - . 1 . - Trentformer �15-50 KW � i � : � • � �
' any strutluie, Ddor lo its Issuan<e,'also requlres l�e applicant lor such permit • ' ROo}'D�BinS �� ��
to flle a slgneE itatement t�at he/sha Is Iicensatl pursuant to the O�ovliloas of � ' � '� �5U + KW � �
the Contractor's Llcanse Law (C�aD�er 9(commenNnq wIN Sectlon4000) o/ ' � � � -. I ' -� � � :Reintpattion Fe! $15'
.yf.ylslon i3' o} the Businass antl Prafeuionz� Coae)' or tnat na sna-is enempt �� Shbwert I ._ �• �- � ReinSpeCtion'Fa0 §75 .
--. aeirom ena tne�, Dasiz for tne alleqeE exemptlon. My viola�lon -af,5actlon - - Meter ❑up to 100 emps i ISSue Fee � ,' S 3 �
� `d1:5 Dy"any applicant for a permlt' sub7ecti'the apD����� to a' Uvll � ' • � � - � ' � ' � '
5'�analt of not moro than fiva hunarea aoliars 5500 . , , :, I SB(vice Sink - ' - laue Fee �' E - • - ! --
Y 1 ) 3 ZoninB APProwd BY Dete i
i'n I, as,owner af the property or•my employees with wa9ez as thelr sole � MECHANICAL - ' ' ' - ' � 9 i
�� compen5ation' willlGo tne work, anE the struttum,is not Intentlatl or offeretl ��' ' . , , qppliwtion Approved By ate � ?�
br sale �(Seclion 7044, Buslness� anE, Pro(eulonal Cotle: The' Contractor's . � / , 2 ��
� License Law Coes not apply to.an ownar o} a property who builtli or ImDroves � � BOile� � ' • Refrigeretion System ' ' ' . Y ,
' the/eon,jantl wno tloei Suth woik hlmself/t�erself or through �IS or �er own '� - � 1 � � ApPlifation laued By . . ' nate
� employ ea5, p�Ovitletl that sUth Imp�Ovements a�a nol Inlantletl o� offa�atl to� + � ❑a10�,�0�BTU ❑1�,O�O�U � � . �
, Duct�Under'Ground � I
' Shce. If, nowever, the bulltliny or Improvement Is coltl wltnin one yeaYol com- � , � ., . , ' � � SUMMA V OF FEES ' ,
. ple lon, t�a owner will �ave the Uurtlen af Proving he/s�e Cltl not buIIE or Im- � . . �� � . . ' ' ' ' I � � �:
� r eforthe0urposeot,sale). � : , � , � ; . • ' Duct-Strucwral , SystemRepairlAlteretion ; BUILOINGPERMIT $� � � • . SMIP � , $ ��
I as ownar of tne O�oDerty, am axclusivaly contratting'wilh Ilcente0 con- � � . . . 1 � �-y� �
��ll�orsto construct tna pro7ect,(Sectlon 70aa, Buzineu antl Profazsions Cotle:. ! � Duct,- VenJilating ' _., , _ • � ; _„ ' ,PLAN CHECK. � $� ��� , PERMIT • ; �
Tha Contrattor's License Law does not apply to an owna� of Oroperty who � ' IS$UANCE '$'
fDu11Gz or Improves thereon, antl who contractz lor such projects with a con• Exheust System ❑ MWtip10 ❑ ' � � ' ;PLUMBING � $, � � �
tractor(s) Iicense pursuant to tne Contractor's lJcanse law):. ' - PLAN CHECK�, � $ ' GRADING ' ' S�
❑ I?am enempt unAer Section 8. 6 P. C. for [�is roason � Firepl/Fetl.81L ICBO iW � . � i ' . �
_ � . ' ' : : � • . . . ELECTRICAL ; $ ' ' ' ' � E
, Date ' ' � � owner � � ` � ' Heating System & Oucting � • � • ' . ' � ; MICROFILM � $ �
i �hereby certlty�-thaC� have-reatl tMstappliwtion anA-state-that tha�abow - ❑4100,OOO�BTU �100,000 --- --, --� - -,- � ?L�N CHECK� � $ . . .
Informatlon iz cor act. agree to comply witn all Uty.antl county ortlinantes : ' ' '' ,MECHANICAL $� � � TOTAI FEE: �$' ' �
� antl°stata laws re ng o builtling constru<tion, anE �ereby aut ori rapra- ; HOOd oi T e 1 ❑. ' � � � � ' � � � �
� sentativez ot th it to enter � upon the above-mentionetl p for YP Reinspection Fea' S15 ,PLAN CHECK, y. ' LESS � , �
InsDecUon ourv ( � � ' . � �^� � T - e II ❑� ' ' � ' . - ADVANCED PC � S ' aa s �
I Signiture Data ' � � � ' ( � . � ' • � � .
� ; i i Registers � ' la've Fee $ 3 • ' �
� Drivers' LJcenSe 55 $ � i � � . . FINAL FEE' E
CMF 0865-06 rev. 1 hite - Builtling; Canary - ADP��cant: Pink - Actountin9: Golaenrod - Assessor
AOV���ant to fili in all soaees ezceot those within heavy GorEer Ilnes anE sign all avoroD/iate tleclarations.
CITY OF COSTA ME�� CQ STR_I�CTION PERMIT PERMI�O.�� TRACT NO. LOT NO. ^' �^� N�;� ^
Project Address T
y c� � � e-��r
Applicant's Mailin Addresg � �/L �%�`/iA i.�Pr�l.G
Owner's Name "0' Phone -
Address
Arch/Eng. Licenu No.
Address
Contracmr's Name / �Phrone 1 y2 �i
Addrezs (ma��'��� ' y�� ��L� !�-���/���� TA-=�T
City License No. � '
LICENSEO CONTRACTOR DECLARATION
I hareby a(tirm lhat I am'litensetl untl¢r prOvi5ion5 of Charte�-9 (commencing
witb section 7000) of �ivision 3� of [he Business and Professions Cotle, antl
my Itcense is in f fo e antl e(tect.
Licen ri LI ens� o�3�
Date �� ���5'gn t ,�'�""` /�.�
WORKERS'COMGENSATION DECLARATION ��
• hereby affirm that I have a certiticate ot consent to Sel/-insure or a certificate
f Workers' Compensation Insurance, or a<¢rtl�fle+tl copY-thereof (Sectlon
�eoo, un. cdj /�--6 p�.a comoanv sJ/�rG �t,wlr
Polity No. _fP(
Certifietl copy I5 hereby (urnisM1etl.
ateQi��tl��p�QisSlletl wAppl canitY B' n9 �ivision. •
O �
EXEMPTION FFOM WORKERS' COMPENSATION DECL 1 TION
(This section neetl not be cqmpletetl it the permlt is for one 4ntlretl (E100) or
less).
1 certl/y that in the performance oi the work tor which tnis perm�c is Issuetl I
shall not employ any person in any manner so as to become subject to t{te .
Workers' Compensalion Laws ot California.
Date Signature ' -
NOTICE: If, af(Gr making this tlecla�ation, y0u ihoultl b¢Come 5ubjeCt to th9
Workets' Compensation provisions of the LaDo� Cotle, You rpust forthwilM1
comply with such ,provis�ons w this permit zhall be tleemetl revoked.
CONSTHUCTION LENOING AGENCV - '
t hemby alBrm tnat there is a constructlon lentlin9 a9ency tor Ihe performance
of the work tor which fhiz permit is I5sue0 (Section 3097 Civ. C.)
Lentler•s Name
Lender's,Ailtlress
OWNER BUILDER DECLARP.TION�� � �
I he�eby affi�m that I am ¢xempt from the Contracto�'s LicenSe Law tor the
followin9 reason (Section �031.5 8usiness antl Professional Catle: Any city or
county wM1ich requires a p2rmit'to Const�ucl, alte�, improve, Demoli5h o� �epalr
any s[ructure, prior to its issuance, also requires lhe applicant For such permit
t0 file a Si9netl Statement that he/she IS licensetl�pu�suant to t0e pwvi5lons of
the Contractor'S License L,gw (Cnapter 9(commencing with Section 7000) of
DlvVsion� 3 oi lhe Business antl Protessions Cotle) or that ne/she is exem0�
�here(rom antl the basis fo(the alle9etl exemptlon. Any violation of Section
7W1.5 by any applicant tor a permit Su�ject5 [he applicanl [o d clvil
�enalty oi not more tnan tive huntlretl tlollars (E500).
1, as' owner of the Orope�ty or my em010yee5 with wag¢z a5 Ihei� sole
compensatlon, will tlo the �york, antl the ztructure is not intendetl or oiferatl
for zale (Section 7044, Buziness antl Protessional Cotle: Tne Contractor's
License Law tlo¢s not apply to an own¢r oi a prOPerty who bulltl5 or Improve5
thereon, and who tloes sych work himself/hersaH or throu9h his or her own
em0�oyees, provitletl that 6uch improvements are not intentletl or offeretl for �
sale. 11, however, [he buil�{�g cr improvement IS Soltl within one year of com-
pl¢tlOn, the owner will ha�e tne burtl¢n of prOving he/She Oitl not DUIItl o� iT-
�rove tor the purpose ot sale).
I, as owner ot the properry, am excluslvely contracting with licensetl con-
tractors to wnstruct lhe project (Seclion 7044, Business antl Professions Cotle:
The ContraCto�'S Li[ense �y� does no[ apply to an owner of property who
builtls ot Improves therean, antl who contracts fo� such projects wlth a-con-
trdttot(51 IicenS¢ pursuant�to the Contrattor'S Licens¢ Law). I am aware [hat
prOoi o1 their Wo�ker'S Compensatlon Insu�ancG shoultl be provitletl to ma.
❑ I am exempt unCer Section B. 6 P. C. for this reason
Date Owner
I hereby certiry that I heve reatl Ihis application anU state that tbe above
information is correct, t agree to comply with all titY antl munty ortlinances
antl ttate laws relating to builtling constructlon, antl hereby authorize repro-
Sentdtives ot Ihj citY �O en �ppy.�he dbOve-mentiOnetl p�operty for
in5pectlon Our 6 es. �r
Signature Date
TVPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER q,p,�
DESCRIPTION OF WORK/USE OF BLDG.
S Main Build
E
TVPE OF PERMIT GRADING ❑ FOUNDATION STRUCTVRAL T FrOnt
❑ TENANT �ELECTRICAL ❑ PLUMBING ❑ MECHANIGAL A q¢ar
❑ OTHER
PROJECT DESCRIPTION SGt. FT. OCCUaANCv C Right
K left
GONSTRUCTIONTVGE VALVATION$ $
ZONE GRADING CU.YDS. ACRES ping, Ref. #
Remarks: � ���� Planning Notes
3ar Sink
3ackflow Preventer -
Backflow Irrigation
Ba[htubs
Clarifiers �
Dishwasher
Drinking Fountains
Floor Drainr
Floor�$inks��- ' • �
Gas Service Outlets .
Interceptors �
Kitchen Sink '- '
�avamries � �
P—Trap
Poof Drains �
Reinspection Fee $15
Duct- Under Ground
Duct - Structurel
Duct,- Ventilating
Ezhaust System ❑ Multiple
Firepl/Fact.8lt.ICB0;1`- ,
Heating System & Ducting
❑4700,000 BTU 0100,000
Drivers' License or 55 � I I Reinspection Fee I $15
CMF 0865-46, rev. 4/84 White - Builtling; Canary - APPII<ant; Pink - Accountlng; Goldenrotl - Assessor
PLUMBING
Showers
Service Sink '
Sewer Cap
Sewer Connection
Solai Collectors
Solar Pipin9
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
- Water Service
Isue Fea
Hood or Type I ❑
Canopy Type I I �'
x
❑0-100,000 BTU ❑100,000 BTU
System Repair/Alteration � �
Isue Fee
FEES
0076 5/09/84
' Zo�e
Accessory Building: •
� . �
Parking Req./Provided ,
ELECTRICAL . '
Autometic Washer Transtormer ❑ 15-50 KW
ConstructionPoleSub. � 50+KW ,
Cooking Unit � Meter ❑up to, 700 amps
Dishwasher Meter �over 100amps
Dryers ❑Gas ❑Electric Sub Panel
Fan Motors�0.1 HP �iX-'8
F.A.U. Inc.Solar �9-75 HP 016-15+
Fixtures Microwave � - �
Device Boxes Pole Light
Outlets ��
Switches ��'i
Garbage Disposal
Generator �65 KW 05-15 KW
Sign
Standing Sections
Trash Compactor
11.70 TL
FEES
Z
O
N
I
N
G
R
E
�
M
T
S.
$� .
Reinspection Fee $15 Issue Fee '$ 3
FEES
DEVELOPMENTSERVICESREQUIREMENTS: . �
ZoninB APProved By Date
Building ApD�oved By Date—��
Application Issued By Date � ��'a �
� SUMMARV OF FEES � '
. BUILDING PERMIT $ SMIP , , $
PLAN CHECK $ PERMfT . .
PLUMBING ' $ ' ISSUANCE $
PLAN CHECK 25% $ ENERGY P.C. $ �
ELECTRICAL S � GRADING $
PLANCHECK 5096 $ '�/O MICROFILM $
MECHANICAL $ TOTAL FEE $ �/ ��
$ 3 PLAN CHECK 25% $
CONSTRUCTION AND PLANNING -- POO� _ SPA
APPROVALS Permit # Date � Inspector - qppROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole' 52. Pool & Equipment Location
' 2. Soil Pipe-Undrg'rnd. '' � �� 53. Steel Reinforcement �
3. Elect�icalConduit�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 I " � • . - 58. Electrical Conduit-Undrgrnd. . �
8. �Foundation '.:� � l ' 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd, . • 60. Backwash Lines, P-Trap, O Undrgrnd. .�
10. Structural Floor System :� - �. 61. APPROVAL TO DECK
11. Property Sewer Line & House Corinection ; 62. Backwash & Receptor-Final
.. �
12. Sewer Cap �� .� . . �� 63. Heater & Vent-Final
13. Roof Drains "�;� ' , 64. Plumbing System - Final . �,
� 14. RoJgh Plumbing,, 65. Electrical-Final .
15. Rough Electrical-Conduit � 66. Solar System-Final '
16. 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 FINAL
19. Rough Heating�& Air Conditioning ' .� FIRE DEPT. REQUIREMENT
20.'Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70., Underground Hydro
22. Ducts, Ventilating , 71. Product Piping 0 Gas� ❑ Oil �
23. Gas Pipe-Rough & Test - 72. Underground Flush
24. Roof Framing � � . 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing , 74. Overhead Hydro
26. T-Bar Ceiling (Struc[ural) & Monocoat , . 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL �
29' Insulation ' 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31'. Plaster Brown Coat � 79. FINAL INSPECTION �
32. Electrical Power MeterFinal 80. FOOD CERTIFICATE ISSUED
33. Final Electric � J(�A LJ Notes:
34. Final Heating & Air Conditioning ,.� y'. .
35. Final Gas Pipe-Test ,
36. Hood or Canopy . ' � �� i � .
37. Final Factory Fireplace . �, �
38. Final Plumbing ' '
39. Water Service-Final
40. Gas Service-Final � , '
41. Solar pomesticFinal , , . - - ,
42. Backflow Preventer "� � . � '
43. Backflow Irrigation
44. ,Landscape Irrigation System
45. Sound Attenuation �
46. Handicap Reguletions � � ' ' �
47. FINALSTRUCTURE&BUILDING � �
48. Special Requirements Completed �
49. Electric Release,to �Edison � , . •
50. Gas Release to Southern California Gas Co ' ' �
�
51. CERTIFICATE OF OCCUPANCY
No. � ' Date ' � �
.1