HomeMy WebLinkAbout1995 IRVINE AVE - Building Permits 14820 E RECEIVED
JUN 1 OM
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P. O. BOR 817 COSTA MESA. CALIFORNIA CITY OF COSTA MESA
For Applicant to Fill In Completely� APPLICATION FOR PERMIT
TYPE O PR�/atr_ BUILDING
BUILDING ��9 '�
ADDRESS
COSTA ESA. CALIFORNIA For Office Use Only
/ /I O/L-7 I RECEIPT NO. PERMIT NO.
OWNER SS ,{ `J/�/[!L/L Y/'f/�_
MAIL - R�// �^ arc BY I gATe/ a^el 61 I DACa E- tISSUEDl'1
ADDRESS .+ G "�/r.C/ru L' l/
/ i
u TELBUILDING /9 9C
CITY ADDRESS J /
ARCHITECT TEL COSTA MESA. CALIFORNIA
OR ENGINEER NO.
4
ADDRESS FIRE
_ a•
ZONE TYPE GROUP !
CONTRACTOR • 5 C� BYPROV/+% /
/ 85.A 01}1 S7` . BY ZONING
ADDRESS k
/[�
:on HO.OP 0 USE OF Navvy.—
CITY e// — J (X,/ {/ ,� ' I PLANE l_� I BUILDING
LIC.TNO. $OL¢6 8 NO. n V {7 �� f , DESCRIPTION pog -ti / d- 3 78lc y:/ l
9 L86A
OF I" •/ I NO.OON OTB. • //
7 -a f3 - o �I
OF LOT �/.USE OF r A.P.NO.
EXISTING BLDG /I / �5��� APPROVED ALLOWED DS EVES `///���
SETBACK LINE PROM E •#‘.'
Y
(CENTER LINE BT.) (V
CENTER oP ITrREET /' REAR YARD /I FRONT R QQFT. IN.
SIDE YARD I LEFT i' it I RIGHT f y R.SIDE ,Qil/�FT. IN.
DESCRIPTION OF WORK // ��
L.SIDE _SIFT. IN.
NEW I II ALTERATION I VII ADDITION I REAR ^-.Pi- SFT. IN..
REPAIR I IIMOVING I II DEMOLISH I APPROVED I /I// DATE r( r U/
BUILDING NO. OF // / `/V�/ t/
SIZE ROOMS N STORIES
EXTERIOR WALI3� � I ROOF e
COVERING COVERING e _""-7/°
f�.p^� ^-
USE OF BUILDING AND WORK TO BE PERFORMED r O.)(.fR�� ,G --aa
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CARR AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT PEE ONLY.
PLY WITH ALL CITY ORDINANCES ATE LAWS REGULATING
BUILDING CONeTRUCCC///yyy'tttp�N'.�/ VALUATION
SIGNATURE OF /�/���/� j�. 1y PERMIT FEE $ oR N
PERMITTEP /// �De
$ /(90 PLAN CHECK S
AUTHORIZED AGENTPO
�_ TOTAL FEE $ 2- ^••• 0
Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. 861 - •i? Co
PERMIT NO. T C O. LOT [[[VVVO. UNIT NO. ■
CITY-OF cosTAMESA CONSTRUCTION PERMIT A.P.# yZ(Q 3Z -gyp Zone g
Project Address /99S XeI1lNr yde - IMy� S Main Building: Accessory Building:
Applicant's Mailing Address SAm r TYPE OF CONSTRUCTION NEW �l ADD U ALTERATION U REPAIR EFront ^/ rirZ
Owner's Name l'nH N) C. C'O AJS6Q Phone SSIS1-'4903 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T ( 0
1995 �K(/!N A DESCRIPTION O WOR /USE OF BLDG. _-• - -r P A Rear S� N
Address A L lag .:• • _d j(I s
Arch/Eng. License No. TYPE OF PERMIT El GRADING I♦ FOUNDATION ❑ STRUCTURAL C Right `�� _ G
Address ❑ TENANT 0 ELECTRICAL ❑ PLUMBING ❑ MECHANICAL /
$ ,Left 4 / R
Contractor's Name Phone ❑ OTHER Ping. Ref.# Parking Req./Provided E
PROJECT DESCRIPTION ..$1:15. U OCCUPANCY 1� Planning Notes: /� 1 0
Address(mailing)
CONSTRUCTION TVP VALUATION$ ' 00 , 444 J.lak -1-0 eklj�-rL•. lop b« T
City License No. ZONE - GRADING CU.YDS. ACR 5 / S.
LICENSED CONTRACTOR DECLARATION �/ D II �e �z -�1p
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks C4¢ 1 01--a l5 1 c_- `e.`C ' �•••ts• LJ•7/s
with section 7000) of Division 3 of the Business and Professions Code,and (141911-13
,�/ Ll r f ■ ELECTRICAL FEES
Lc license is in full force and effect. If OP\ rl41 9•E46Ie ,TVLL'IC/Y•e
License Class License No.
Date Signature - PLUMBING FEES Transformer 0 15-50 KW
WORKERS'COMPENSATION DECLARATIONBar Sink Showers ❑ 50+KW
a':!iereby affirm that I have a certificate of consent to self-insure or a certificate .
'•&-.workers' Compensation Insurance, or a certified copy thereof (SectionBackflow Preventer Service Sink Meter ❑up to 100 amps
king Unit
clic Lab. C.)y No. Company Backflow Irrigation Sewer Cap ••• Meter Dover 100 amps
yPolic
8 Certified copy is hereby furnished. • ■ - ■ . Sub Panel IICert hied copy i5 filed with the city Building Division. Bathtubs Sewer Connection
Date Applicant
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Col r Motors 0-1 HP 01'h-6
(This section need not be completed if the permit is for one hundred (s100) or Dishwasher F.A.U. . Inc.Solar 09.15 HP 016-15+ ■
less). Sola Pipi
I certify that.in the performance of the work for which this permit is IssuedI
MI,
shall not employ any person In any manner so as to become subject to the Drinking Fountains ,- ^ Fixtures, a ":n Microwave _■
Workers' Compensation Laws of California.
Oath Signature Floor Ore ' - - ming Pool w/Spa Device Boxes Pole Light . ,
NOTICE: If,after making this declaration, you should become subject to the
Workers' Compensation provisions of the Labor Code, you must forthwith F I•• Urinal Outlets Range
comply with such provisions or this permit shall be deemed revoke•., -
CONSTRUCTION LENDING AGENCY - O ets Water Closet Switches Sign III
:
I hereby affirm that there is a construction lending agency for the per -. .nce
of the work for which this permit Is Issued (Section 309 v. C. [except•-- Water Heater I Garbage Disposal 111. Standing Sections
Lender's Name 1
Lender's Address Itchen Sin' Water Service Generator Do-5 KW 05-15 KW Trash Compactor
OWNER BUILDER DECLARATION � II '
I hereby affirm that I am exempt from the Contractor's Lltenze La e LBVatdri¢5 Auto-Wash
following reason (Section 7031.5 Business and Professional Code: An y or
county which requires a permit to construct,alter,improve,demolish or repair P-Trap J Laundry Trays
any structure, prior to its issuance, also requires the applicant for such permit ,,.. .
to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains —.
the Contractor's License Law(Chapter 9(commencing with Section 7000)of
•inion 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3
^from and the basis for the alleged exemption. Any violation of Secti_
• 1tofany applicant aant for a permit subjectsthe applicant to a - ' �L - -� �. III
salty bynot more than five hundred dollars ($500). DEVELOPMENT SERVICES REQUIREMENTS:
App
U I, as owner of the property or my employees with wages as th- sole I Reins...1.1,z:: .
compensation, will do the work,and the structure is not intended or. -red _ _ Zoning Approved ey Date
for sale (Section 7044, Business and Professional Code: The Contra• •r's C� MECHAN ,.-t FEES Building Approved By Date
License Law does not apply to an owner of a property who builds or im• -___ _- _ -- ____ _-..
thereon, and who does such work himself/herself or through his or her 1 rff 'O pe I El Application Issued By Date
, employees, provided that such Improvements are not intended or oere. -I, • -r
sale. If, however, the building or improvement is sold within one year of co)). , Type II ❑ SUMMARY OF FEES
pletion, the owner will helve the burden of proving he/she did not build or I •UCt-Un• _•d
grove for the purpose of sale). . / BUILDING PERMIT $ 4,571-•CO SMIP $ •�
_ U I, as owner of the property,am exclusively contracting with licensed con- •uct- -frigeratlon System _ PLAN CHECK
tractors to construct the project (Section 7044,Business and Professions Code: $ PERMIT
The Contractor's License Law does not apply to an owner of-property who •uct-Ve 00-100.000 BTU•0100.000 BTU PLUMBING $ ISSUANCE $
builds or Improves thereon. and who contracts for-such oroiects with a con-
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust Sys- ( 0 , ultiple 0 System Repair/Alteration PLAN CHECK 25% $ ' ENERGY P.C. $
proof off their Worker's Compensation Insurance should be provided to me. GRADING $
❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.BI :0 4k Fire Dampers • ELECTRICAL $
PLAN CHECK 50% $ ,MICROFILM $
Date Owner Heating System& Ducting Registers MECHANICAL
I'hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BT $ 'TOTAL FEE $
information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $
and state laws relat ng to building construction, and hereby authorize repre-
sentatives of this Ilty to enter u•on t • above-mentioned property for •
Inspection purpose 1 //
•
Signature if• I i.-..0 iI %J.44 Date '
Drivers' License o SS 9F � Reinspection Fee $15 Issue Fee $ 3
0865-46,rev.5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
•
• CONSTRUCTION AND PLANNING PO0' - 'SPA
-APPROVALS Permit# Date Inspector• APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
7_
2. Soil Pipe-Undrgrnd. • 53. Steel Reinforcement
3.Electrical Conduit Utility-Undrgrnd. - 54. Forms -
4.jElectrical Conduit-Undrgrnd. 55. Electrical Bonding
S:Steel Reinforcement 56. Rough Plumbing & Pressure Test •:,hry
�` -
6 Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE -er
•
__
77 F,00fings 58. Electrical Conduit-Undrgrnd. '�
-- -)
8...Fdu6'dation 59. Gas Pipe, 0 Undrgrnd.,Test '7/'
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. -h
10. Structural Floor System 61. APPROVAL TO DECK .
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63.�-leater & Vent-Final -`-•-
...--‘••
�
13. Roof Drains 624 Phi lil�ng System - FiJnal7.-. -1
14. Rough Plumbing (65. Electrical-Final `i
`
15.. Rough Electrical-Conduit - - 66/-41r System-Final�"�-'' N.
4N.,
16. Rough Electric Wiring ..Fencing & Access Approval
17. Rough Wring SignS V68$ APPROVED FOR PLASTEi NG
.�
18. Rough Eteectrical-T Bar Cell-in-1 ,POOL/SPA SYSTEMS F AL ,+w
19. Rough'geating& Air Conditioning K4 / FIRE DEPT. REQU�,REMENT 3
el a 7
20. Rough-Factory Fireplace " ¢ cc-,..... APPROVALS Per liP ' ` J?
21. Ducts,imStructureL, 0 4: , ')o. Underground`1Hydto ~ .�
22. Ducts, Ventilating 4 4,-d 'WY' 71. Product PP ping Gas 0 Oil ./l F
23.,Gas Pi4Rough &TM 0
est � p°�ocw. 72. Underground Flush A 4417
_ r
2-4: Roof Frrafning j rirt 73. Undergrnd.S orage Tank 0,93as 4iftlil
25. Roof,Shlqeathingf'7, � /,'.6''74. Overhead Hydro '94C'
26. T-Ba f ailing (Structural)r&-Mo�nocoat A I 75. Dry Chemical ,
27. Frame and Flashing �.4 76. Dry Standpipe v.- f
• .i a
28th
. Lath g'& Siding -:ti) •,:.-
,"..44
`p,, 77. FIXED SYSTEM FINAL
29. Insulation fV78. FIRE PREV. FI AL
30. DrywalL-Nailing 1 • 0 HEAL-TN-DEPREQUIREMENT
31. PlasW Bfown CAag'-t�'J -e 79. FINAL INSPE loiry
/�V •VJ
32. Electrical Power'M'eter-Fin - 80. FOOD CS.V.IAICATE ISSUED
33. Final Electric 'rill f Notes: 4I /4247
34. Final Heating & Air Conditioning 'itr
35. Final Gas Pipe-Test
:36. Hood or Canopy
w
'37. Final- at ory`sFireplabe
e38. Final Plumbing '
"39. Water Service-Final!
-
40. Gas Service-Final -T
Ut. Solar Domestic-Final
.i
42. Backflow Prevente a
43. Backflow Irrigaiionrr G
44. Landscape Irrigation'System •
45. Sound Attenuation
-Li
i
W _
46. Handicap/Regulations
47. FINAL(STRUCTURE & BUILDING
4; 7
r 48. Special Requirement's Completed
-49. Electric Release to Edison
-50(Gas Release to Southern California Gas Co
.v
51`. CERTIFICATE OF OCCUPANCY it
No. Date -