HomeMy WebLinkAbout888 19TH ST - Building PermitsI-'
;
I
i
;
�
,-� _ .�-o-.- _..;;,_..._ _ ._ , __._ ., ' '
v t
wesT 19� sm[�T 888 �
C�p. 5-8-5k�1'ID (200)Elec. 'r7/c QLt7`k��
Cance1.5-28-56 (2099)°ence /' 7
C�p. 1-22-59� �T99T)Elec. M%c��e..M�,
c�p. 3-23-� (1�76)Rrt.s:ria Pco1� �
comP. 6-z7-66/�x (4�4i8)i-�oE. _:c�u.�.r��,,,:
d �;
ea�►u;h'�-�a77 -- �
s�-a—s.� ti�3 .a�v� F/�/h�-`L
a-3i5- �o �1`^" i,000. '.
i
�
_r. '' .� .d.��F/'(J 3 -�3 - � � I��N�T�j -':n
,
G,.
COSTA MESA BUILDING-SAFETY DEPARTMENT �' `���C���/��
P.O. BOX 317 COSTA MESA. CALIFORNIA U
lo a-y-.i'%
fO�P APPUCANT TO f/LL /N COMPIETELY ,aPa�icwTrg{v rf�OR�PE�RMIT
TYPE OR PRINT BUIL^_DING
BUILDING l� . �w.A MESA
ADDRES$ � �
COSTA MESA, CALIFORNIA FOR OFFICL USE ONCY
�'� � RECEIPT NO. I PERMIT !{O.
OWNER �J
MAIL NEC¢IVeD Or . �AT REC Ey DA E 19q�+HD
ADDRESS lJ�iivy� _ �T �'J' ° 29 !vl I I o�nA/C'�
� LEGAL
��1 7
��or 3
)NO.
/ /��
LINH FHOM
�I MEXEeT
�NO 9TAT
PI.Y W ITH
BUILDINC
�.� oZ— 7�(!i
� NO.OF BLDGB.
� //`�' INOW ON LOT_
iJ i'�^ �.N� ` �f �.
� �� IRIGHT 7 �
ION OF WORK
� pMOVING
�.5" X 3 � RoaM
WALL IRO�F
COSTA MESA, CALIFORNIA
FIRE
ZON T GROUP
APPROVED �1� /1
BY ,Y'DATE/e
l
Z NING
� 20NH NO.OF UBE OF NEW` /%
PUNS �.BUILDINO/ l���
///^^^ l�
APPpOVED/n, �` �
ev L�r DATE D -
J YARDS �V 5���
REQUIRED ALLOWED
(CENTER LINE BT.1 ��
� FRONT 7 FT.
/ � �. (.�/
�R:'91DE t.� FT.
_ t�S1�E % FT.
THAT I NAVE RE/.O THI6 PPPLICATION
)VE IS COflRECT ANU AOHCE TO COM�
IANGES AND STI�TE LAWS PE6ULATING
TN6 AMOUNT BHOWN UNOER V�LUATION 18 FOH TXE
Pl1FPO8E OY EBTABLISNING A PERMIT FEH ONLY.
VALUATION oy
PERMIT FEE $ �Q� �
� �
$ � PLAN CHECK S �)
/ N
��CG TOTAL FEE $�� i �
Applicant to fill in all spaces within heavy EorEer Ilnes ane.sign a0 appropriate aeclarations.
GTY OF COSTA MESA �; aea IT"NO. i. TRACT'NO. ' 'LOT NO. �BLDG. NO.
CONSTRUCTION PERMIT �� 3�S I-I �� 3� 1,
Address
� Address
Addr¢55 /�y7� /u�
LICENSED CONTRACTOR D
1 hereby a(firm that 1 am Iicen�
mancing wit� sectlon ]000)
Protesslons Code_ antl.my I
� T�/ TVPE OF CONSTRUCTION •
Phone �f/ ❑ NEW ❑ ADD� � ALTERATION
❑ REPAIR ❑ CO/�VERSION EMOLISH.
License No. - - �ATHER �/FMO On�
DESCRIPTION OF WORK
Phone
ucens I s `� � Llce/��q,e� N`,o._ ��5
� Date �� � Si9natu e 'E"��Trd��
WORKERS'-COMPENSATION D� LARATION .
I hereby at/Irm that I have a certlficate of tonsent to self-insure or a
tertifitate of Workers' Compensatlon Insurance, or a cer[Ifietl copy
thereof (Section 3800, Lab. C.).
Policy No. Company
Certifletl copy is hereby furnishetl.
�ertlfied copy I5 filetl with the clty Builtlin9 �ivision.
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(This 5¢CHon n¢Gtl nOt bG COTplBt¢tl if th¢ p¢rmit i5 (01 one Iluntlf¢tl
(E300) or leul.
I certlry that )n t�e per(ormanc¢ O/ Ihe work for whi<h this p¢rmit i5
issuetl, I shall not employ any person in any manner so as lo become
subjet(,jp t g o a r' Compen5ationJ• ws t Calif rnia.
Date � � Si9nature 4 t
NOTICE: If a([er making thi5 tlecla ion, you shoultl become sub�ect
to the Workers' Compensatlon prov lons of the Labor CoGe, you must
torthwlth comply with such provisiOns Or this p¢rmit Shall be tleemeC
�evOk¢0.
CONSTRUCTION LENDING AGENCV
I nereDy affirm that [here I5 a conitruction lentling agency for Ihe per-
tormante of the work for whlth lhii permit is issuetl (Settion 3097
Civ. C.).
LenEer's Name
Lentler'S Atldress
OWNER BUILDER DECLARHTION ' ' '
I hereby a(tirm that I am exempt from Ihe Contractor'S License Law for
t�e following reason (Section 7031.5 Buslness antl Professions Cotle:
Any cily o� county which r¢qWreS a permit to construct, alteq
IfTpfOV2� tlETOIISh Of 12pd11 d0y SVIICfOYQ, plIOY [O Ii515511dOC¢� d150I¢-'
quires the applicant for such permit to flle a signetl statement [hat he
Is Ilcensetl pursuant [o the provl5ion5 ot the Contractor's License Law
(Chaptar 9(commencing wi[h Sectlon ]000) of Division 3 0! the
Buslness antl PrWessions Cotle) or tM1at ne is exempt therefrom antl the
basis for Ihe allegetl exemptlon. Any violation of Section 7031.5 by
< appllwnt for a'permit sub�ec[s the applicant to a civil penalry
iot more ihan five nuntlretl tlollars (E500).
I, as owner of the properly, or my employees with wages as [heir
sole compensation, will tlo the wark, antl tM1e structure is not intentle0
or ofteretl for sale. (Section 7044, Buzinez5 antl Rofessions Cotle: The
Contrac[or's License Law tloes not apply to an owner of a pro0erty
who builtls or improves Ihereon, antl who tloes such work him5elf or
thfOugh hi5 own employees, plovltlCtl [bdt Su<h improvements afe nOt
in[¢ntl¢tl or offe�etl fo� Sale. It, howev¢r, Ih¢ builtling o� improvemen[
is soltl within one year oi completion, the owner will have the burtlen
ot prOving he tlitl not bulltl o� Improve for the purpo5e oi sale).
❑ I, as- owner of [he propmty, am exclusively mn[racting with
licenzetl contractors ro construct tne oroiect (Section ]04a. Business
TYPE OF PERMIT
❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL
❑ TENAIVT �-ELECTRICAL ❑PLUMBING �❑MECHFV
❑ OTHER
PROJECT DESCRIPTION
50. FT. - �
OCCUPANCV_CONSTRUCTION TVPE
VALUHTION�, D�O�ONE
GRADING CU. VDS. ACRES
REMARKS: " ..
PLUMBING
TOI l_ETS
LAVATORIES
KIT. SINKS
SERVICESINKS
FLOOR SINK$
ORINKING FOVNTAINS
INTERCEPTORS�
SWIMMING POOL
WATER SERVICE
GASSERVICE
PLAN CHECK
SHOWERS
URINACS
DOUBLE l.AVS
DISHWASHERS
SUMPS
FLOOR DRAINS
CLARIFIERS
P Ti3AP '
ALTERATION ' ��
OUTLETS
BTU OUTPVT
SEWERCONNECTIONS
SOLARTANK COLLECTOR'
SOLAR PIPING SVS.
ISSUE FEE'
MECHANICAL aLAN CHECK
HEATING SYSTEM 0-300,000 BTV _
AND DUCTING 300,000 + BTU _
antl R'of¢SSIonS Cotle: Tlle Con[raGtOr'S LiC¢n5e Ldw tloe5 not apply fo
an owner of property who builtls or Improves Ihereon, anC who con- REFRIGERATION 0-300,000 BTU_
t�act5 f�om SUch proj¢Ct5 with a tonlractor(s) licesnea pur5udnt to $YSTEM
the Contrac[or's License Law). 300,000 + gTU _
❑ I am exemot unCer Se<tion' B. & P. C. (or this BOILERS BTU
reason
Date Owner SVSTEM REPAIR, ALTERATION
I herEby Cerfify [hat I have rEatl thi5 appllcation antl state tha� the above EXHAUST $VSTEM MULTIPLE
information is mrre<i. 1 agree to comply with all city antl county
ortlinances antl state laws relatlng to constructlon, and hereby authorize
repre5entatives of this tity. lo enter upon the above mentionetl
property for,inspection purposes.
Sl9na[ure Oate
�rivers' License or 55 � ' �SSUE FEE �
CMF 0865-46 White-Builtling; Canary-Applicant; Pink-A<countin9� Goltlenrotl-Assesso�
0372 7/2i/BI
A.P. iF I.����� � ��i
ZONE �'� 'PLNG
6QTLbTF� ���
SETBACK C/L ST.
SIDE VARD
L5EpF
R�IGHTA
REAF YARD (TO P/L)
PKG. SPACE REQ.
STREET WIDTH
ZONING APPROV� .�V
<
SPECIALGONDITIONS: �
�
PROVIDED
PARK FEE $
ELECTRICAL 'VLAN CHECK
GENERATOR 0-1 KW_1-10 KW _
TRANSFORMER
APPLIANCE 10-50 KW_50 + KW _
' " ' MOTORS ' 0-1 HP_1-30 HP _
(INC. SOLAR) 10-SO HP SO + HP _
FIXTURES OUTLETS SWITCHES
GAS TUBE SIGNS
POLE LIGHTS '
PANELS ' - MAIN SUB
SERVICE ' AMP'
29.37 TL
ISSVEFEE - �
�LICATION APP0.0VED BV DATE
SUMMARV OF FEES , �O
BVILDING ����
PERMIT S�-•`i— SMIP E
PLAN CHECK S PERMIT .
155UANCE S
PLUMBING E
GRADING E
PLAN CHECK E •
ELECTRICAL b E
PLANCHECK $ MICROFILM S
MECHANICAL § TOTAL FEE E
;PLAN'CHECK y LESSAD-
VANCEPC $_
FINAL FEE § N�' � �
CONSTRUCTION AND PLANNING POOL & SPA .
APPROVALS � Permit # Date Inspector pppROVALS Permit # ' � Date ,,, Inspector
1. Temporary Electr'rcal Service or Pole 43. Pool & Equipment Location
. Soil ipe-Undrgrn � 44. Steel Reinforcement
3. . Electrical Conduit Utility_Undrgrn; �'-' . 45. Forms
4. Electrical Conduit-Undrgrn . 46. Electrical Bonding �
. tee em orce 47. Rough Plumbin & Pressure Test � � �
6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE '
7. FOotings � 49. Electrical Conduit-Undr rn
8. FOundation �' 50: � Gas Pipe, ❑ Undr rn, Test
9. Water Pipe-Undrgrn � 51. Backwash Lines P-Tra ❑ Undr rn _�
10. Structural Floor System 52. APPROVALTO DECK
71: Property Sewer Line & House Connection .- 53. �Backwash & Rece tor-Final �
12. Street Sewer Connection � 54. Heater & Vent-Final
13. Rough Plumbing
14. Rough Electric-Conduit - �56. Electrical-Final
15. RvughElectric-Wring � - � - 57. SolarSystem-Final
16. Rough Heating & Air Conditioning • encing & Access Approval
17. Ducts in Structure - 9• APPROVED FOR PLASTERING '
16. Ducts, Ventilating . . . ` . �� •
19. Gas Pipe-Rough &Test � � 60. POOL/SPA SYSTEMS FINAL -
20. Roof Framing
21, Roof Sheathin
22. Frame and Flashin NOTES:
23. Insulation
24. Lathin & Siding '
25. Drywall Nailing
26. Plaster Brown Coat �
27. Electrical Power Meter-Final �
28. Final Electric '
29. Final Heating & Air Conditioning " '
30. Final Gas Pipe-Test
31. Final Piumbing
32. Water Service-Final -
33. Gas Service-Final
34. Solar pomestic-Final
35. Landsca e S rinklin S stem �
36. Sound Attenuation
37. Handicap Regulations
38. FINALSTRUCTURE&BUILDING
39. S cial Requiremen[s Completed � �
40. Electric Release to Edison
41. Gas Retease to Southem California Gas Co.
42. CERTIFtCATE OF OCCUPANCY
No Date