HomeMy WebLinkAbout159 WILSON ST - Building Permits (3) -------- 6397 2/24/78 36.50 TL
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
P A ON FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely— Use Ink Only
/' �(J''/ RE E D DATE RECEIVED DATE ff$$S
BUILDING/.� �w sr /-1/Lsco _ ) �(,Jf� q
ADDRESS /� Mar /},Jf J PERMIT O.
OWNBR ei57A/ZL�S �Ih A.P. NO. I/�--//O'QL/
_
BUILDINGMAIL c•--
ADDRESS
ADDRESS s7cr� JJ//'JI✓L.6 E'r ADDRESS S Cd 1e 0/GSQ�
CITV ,fit NO/ /Vft/w9On- NOTEL.4'aw o2
TRACT /,s •OLOT R. �a BLOCK
CONSTRUCTION /m�F // NEW (ADD_ALTER�REPAIR (MOVING f)FMf/1 ISH
LENDER /1�
`` X
BRANCH OWNER 8,6'1c Grs P/ 4'E'.0
ADDRESS VALUE f�
ARCHITECT - 9 TEL. $
lV
OR ENQINEER /'Voir),_ NO
FIRE
ADDRESS ZONE TYPE GROUP
APPROVER /l (/)
CONTRACTOR £ ( ,snA/l.Y!/nir /14/'AtfO.Ctb BY rt.LQ/ejL..z , GATE ,A5,4 Q
ADDRESS /4 �-r� �/Ayw7/.r Anis dF/"
CCC TEL. J ZONEn� NO.OF USE OF NEW
CITY 72.2,,,g0gA.) gqQ/� NO.�.3-odi, 1 V/ PLANS BUILDING
.F-. STATE CITY 999 YARDS APPROVED YARDS APPROVED
gLIC.NO.5714/ / LIC.NO./9 d MAIN BUILDING ACCESSORY BUILDING_
W SIZE NO.OF BL
fYC (FROM CIL STREET)
O. OF LOT NOW ON LOT y FRONT FT. FT.
Q USE OF
ca EXISTING BLDG. w//Aft .?/CiAge '/4Q R.SIDE FT. FT.
0
I Separate permits are required for L.SIDE FT. / FT.
C electric,plumbing and heating work. REAR Fr. `v F .
USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. //gyp MAI
Q //�) �J� MAIN BLDGS. / 1JD U D .
Q ,S--,.. �2/./. 0ne ..a9,,g6r1d C UpP. /u rjJ "(\�` OVER
>. ,,s6;11,2_,W J :ea 4 —flY ROVED (((���kg-.."
�/ DATE
W �/a �.rC.G
0 I hereby acknowledge that 1 have read this application and state /` In
CC that the above Information Is correct and agree to comply with
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all laws regulating building construction, and I shall not employ >:
Z any person in violation of the workman's compensation laws of e
T55. the State of California.
I hereby certify that I am properly licensed as a contractor under SO. FT. w
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are In full f ca and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the provisions of the Stet California Business 'O
VALUATION PERMIT FEE E t��� <
and Professions Code, n3,3,Chapter s!�in
'
Signatureof 7��ie� /NST+ tat,'
2'-'----,
c1(w PLAN CHECK f/� a
Permittee
'('tjµ-(� $ (/ TAX S t12IL
2
TOTALU
f
Authorized Agent PAID 5
plicant to fill in all spaces within heavy border lines and sign all appropriate declarations.
, CITY. ,[SA • - PERMIT N/O. - - TRACT-NO. LOT NO... BLDG.NO. - - - - '
ICOP RUCTION PERMIT�-�q con 3� '
Project Address W SO.1✓ ` TYPE OF CONSTRUCTION - <
Owner ?'s A� y�cr,q / Phone S fs', 0 NEW 0 ADD 0 ALT a- ION �� / -
Addre55 Zi"JSj(r n4,�-/s, L- y� G 0 REPAIR 0 CONVERSION.'jIt IEM _
Arch/Eng. - 7 License No. 0 OTHER (`�Y //..�� ZONING REGULATIONS l
Address DESCRIPTION OF WORK •s- '^ _ / A.R.TA • _7 '
Slv-• 4S 'l2 Ce O ,I ( kfilslT,�„ys ZONE PLNG. REF.Tie .
Contractor Ci/g Phone TYPE OF PERMIT • 1 -r•• BUILDING - aROBpliI iNL NE
SETBACK CIL ST.
Address 'r 0 GRADING 0 FOUNDATION 0 STRUCTURAL SIDE YARD - - - - ,
LICENSED CONTRACTOR DECLARATION 0 TENANT 0 ELECTRICAL ❑PLUMBING ❑MECHANICA LEFT YARD •
-
I hereby affirm thi.t I am licensed under provisions of Charter 9(corn- - RIGHT
moncing-with section 7000) of .Division 3 of the -Business and ❑ OTHER - '- _ REAR YARD(TO P/L) -
Professions Code, and my .license Is In full force and effect. PROJECT-DESCRIPTION - --
License Class • License No. • PKG. •SPACE REQ. - - - • PROVIDED -
Date Signature SQ. FT. i .
- -
STREET WIDTH PARK FEE$ •
WORKERS'COMPENSATION DECLARATION . - OCCUPANCY_CONSTRUCTION TYPE
I hereby affirm that I have a certificate of consent to self-Insure or a -VALUATION ZONE ZONING APPROVED BY -DATE '
certificate of Workers' Compensation Insurance, or.a certified copy - . - - — . - -
--reof (Section 3800, Lab.C.). - GRADING CU.YDS. ACRES SPECIAL CONDITIONS: '
y No. - ' Company - - .. - - _- - . .. .- - . . _ - • ..
Jertified copy is-hereby furnished. . . .REMARKS:" . .. _ - _. - . _ - '
0 Certified copy is filed with the city Building Division- - -
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - ' •, '• '• -- • ' - - -- - - "
(This section need,not be completed if the permit is for one hundred _ - - , - _ _ - • - -_
($100) or less). - - - -
I certify that In the performance of,the work for which this pe,rinnit Is _ - ,
issued, I shall not employ any person in any manner so as to come -PLUMBING • • PLAN CHECK " - ELECTRICAL • PLAN •CHECK
'SUDIeCt to C W rkCompensation (,COj O} IOir BATHTUBS SHOWERS - - UWLLLINb - UHF-if-Oat -
Date t Signature - 2-0"s• SO FT SO FT
.NOTICE: I after making this declaration ou should become subject TOILETS •URINALS • ' - GENERATOR - 0-1 KW_1-10 KW ' ' -' - '
to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER
'forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS' ' - APPLIANCE -10-50 KW 50+ KW - - ' ;'
revoked.
, _ _ _ -
CONSTRUCTION LENDING AGENCY KIT.SINKS' DISHWASHERS' MOTORS -' 0-1 HP 1-10 HP - - - t
'I hereby affirm that there Is a construction lending agency for the per- SERVICE SINKS . ' SUMPS (INC.SOLAR). 10-50 HP + HP' •
formance of the work for-which this permit is issued (Section 3097 - - -
- -• - FLOOR SINKS -FLOOR DRAINS FIXTURES "OUTLETS SWITCHES' -
Lender's Name - - ' '
Lender's Address - DRINKING FOUNTAINS _ - - ' GAS TUBE SIGNS - - ,
OWNER BUILDER DECLARATION • ' ' POLE LIGHTS- - --s!
I hereby affirm that I am exempt from the Contractor's License Law for INTERCEPTORS CLARIFIERS ... --
the following reason (Section 7031.5-Business and Professions Code: SWIMMING POOL P TRAP Lura I NUL- MIN ._
Any city or county which requires'a permit to construct, alter, POLES METERED SUB '
Improve,demolish or repair any structure, prior to its issuance,also re- WATER SERVICE' ALTERATION - PANELS - 'MAIN - SUB -
quires the ap,licant for such permit to file a signed statement that hC • - - .
IS'licensed pursuant to the provisions of the Contractor's License Law "GAS SERVICE OUTLETS ,SERVICE AMP
(Chapter 9 (commencing with Section 7000) of Division 3 of the - - - •-'
But ss and Professions Code) or that-he Is exempt therefrom and the WATER HEATERS BTU OUTPUT- "' 1�' _ R-Rj ' ����' '�'- ,^
be,-.-- the alleged exemption. Any violation of Section 7031.5 by • 1f/s"s-s "-
ar-?:- .w-pllcant for a permit subjects the applicant to a'civil penalty- ' SEWER CONNECTIONS - - - - - ' --
'
of? . more than five hundred dollars ($500). - -' •. - - ' - ' '
O•I-, as owner of the property;or my employees with wages as their' SOLAR TANK " COLLECTORS • ' ' • - -
•sole compensation, will do the work,and the structure is not Intended _ • ,
or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. _ ISSUE FEE .�-
Contractor's License Law does not'apply to an owner of a property • - -APPLICATION APPROVED BY DATE_ ^T t
who builds or improves thereon, and who does such work himself or ISSUE FEE ,
through his own employees,'provided that such Improvements are not -
Intended or offered for sale. II, however, the building or improvement MECHANICAL PLAN CHECK . SUMMARY OF FEES
is sol within ono year of completion, the owner will have the burden
of oving he did not build or improve for. the purpose of sale). BUILDING - - •• "
HEATING SYSTEM 0-100,000 BTU PERMIT $ ' - ' SMTP' - . $
I; as- owner of the property, am- exclusively contracting with AND DUCTING
icensed contractors to construct the project (Section 7044, Business 100,000 +BTU PLAN CHECK $ PERMIT
and Professions Code: The Contractor's License Law does not apply toISSUANCE $
an'owner of property who builds or improves thereon,and who con- REFRIGERATION 0-100,000 BTU •• PLUMBING $
tracts from such projects with-a contractor(s) Ilcesned pursuant to SYSTEM - - • - - • GRADING $ -
the Contractor's License Law). • 100,000 +BTU PLAN CHECK $ -
0 I am exempt under Section - B.& P.C.for this BOILERS BTU I • ELECTRICAL $ O -- $
reason - PLAN CHECK" E MICROFILM $ •
Date Owner SYSTEM REPAIR,ALTERATION TOTAL FEE $
I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE . -MECHANICAL $
-PLAN CHECK $ _ ,LESS AD-
•
information Is correct." agree to comply with all city and countyVANCE PC $_ •
o
rdinances and state laws relating to construction,and hereby authorize
representaN ves of is city to enter upon the above mentionetl8..,1----property,for i ns.� on p s- -
Signature gipIfr +. sate -/ rQ= - - FINAL FEE S_
Drivers' License or * ISSUE FEE - - -
CMF 0865-46 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor
CONSTRUCTION AND PLANNING, •- , -r1 a T "A -- POOL&SPA • ►.
APPROVALS Permit spe <
APPROVALS Permit#
f1. 33 - .Date Inctor - " - Date . Inspector,
1. Temporary Electrical Service or Pole do: .! ,.. . 43. Pool & Equipment Location ' - - - - - - --- •
- 2. Soil Pipe-Undrgrn - . . _ . '• 'tt t.'.. '�- 44. Steel Reinforcement -- -
3. Electrical Conduit Utility-Undrgrn tif. . . --_ } ; 45. Forms - -
4. Electrical Conduit-Undrgrn _ ':,:.''-.'Nr", i.• 4 , .•,.;., - 46. Electrical Bonding - -
5. Steel Reinforce - - 47. Rough Plumbing& Pressure Test - •
.6. Electrical LIFER Grn 48. APPROVAL TO COVER-GUNITE -
7. Footings - _ 49. Electrical Conduit-Undrgrn
8. Foundation - 50. Gas Pipe, ❑Undrgrn,Test
9. Water Pipe-Undrgrn 51.- Backwash Lines.P•Trap. 0 Undrgrn
10. Structural Floor System - 52. APPROVAL TO DECK - '
11. Property Sewer Line & House Connection _ 53.. Backwash & Receptor-Final ' ' '
12. Street Sewer Connection. ' " : _ 54. Heater & Vent-Final - - -t
13. Rough Plumbing - . - - 55. Pluinbino Svatvm=Final
14. Rough Electric-Conduit - -56.- Electrical-Final
15. Rough Electric-Wiring- - • -- 57. Solar System-Final - -
16. Rough Heating& Air Conditioning -. - - 58. Fencing&Access Approval
17. Ducts, in Structure • _ 59. APPROVED FOR PLASTERING
18. Ducts, Ventilating - - - _ . - - - - .- - _
19. Gas Pipe-Rough &Test - "60. - POOL/SPA SYSTEMS FINAL • .
20. -Roof Framing - - .
21. Roof Sheathing - - - . - - -- - -
22. Frame and Flashing. - - NOTES: ' „ ,
' 23. Insulation - - - - •. -
24. Lathing& Siding . . -- - -
25. Drywall Nailing
26. Plaster Brown Coat - _ - .. - 4
27. Electrical Power Meter-Final . -- • 1 39 g.Z-�e___ -
28. Final Electric - - -- - • - - - _ -
29: Final Heating& Air Conditioning _ -- _. - •
-
30. Final Gas Pipe-Test _-
31.: FinalPlumbing . . • - . _ '
32. Water Service-Final - . - -
33. Gas Service-Final - • . •
-
34. Solar Domestic-Final ' -
35. Landscape Sprinkling System - - - ' '
' 36. Sound Attenuation - -
37. Handicap Regulations - ,
38. FINAL STRUCTURE&BUILDING - '
39. Special Requirements Completed • • - -
40. Electric Release to Edison - - -
41. Gas Release to Southern California Gas Co. •
1
42. CERTIFICATE OF OCCUPANCY -
No - - ' - Date - -