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HomeMy WebLinkAbout220 19TH ST - Building Permits -2_-2.40 C. /912:- Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT N0. A P # Zone Project Address 220 Pit Sr. /� 235 3 C�2 '3 0 t S Main Building: Accessory Building: Applicant's Mailing Address //1 S trots!<e 4� �futi TYPE OF CONSTRUCTION LJ NEW U ADD U ALTERATION U REPAIR E lc,�,,AA / ❑ CONVERSION A DEMOLISH 0 OTHER T Front Owner's Namem447 AI es c---.Z�� Phone��TL2-% I CRIPTIe OF WOR SE OF :LDG. i B Rear Address/a. °' C.-1 L,J .rii r1 Z 7 \\ t sa • t A .4- _7A���aPe�ni _ II Arch/Eng. License No. TYPE OF PERMIT U GRADING... Ill FOUNDATION ` RUCTURAL C Right Address ❑ TENANT ❑AE'LECTRICAL LT PLUMBING ❑ MECHANICAL , S' Left Contractor's Namp Ssia.AEp.4 /C.•..1..h Phone TZK60� ❑ BOTHER RMO .�w -S��e�' �R�t ^3 I Ping. Ref.# Parking Req./Provided E PROJECT DESCRIPTION SQ. FT. ( OCCUPANCY ,< PlanningNotes: 0 Address(mailing/ C' cs o M lC CON STRUCTION TYPE�� VALUATION$ 'I On 0' T City License No. T(O V ZONE GRADING CU.YDS. ACRES ' LICENSED CONTRACTOR DECLARATION S. I hereby affirm that I am licensee under provisions of Charter 9 (commencing Remarks: • with section 7000) of Division 3 of the Business and Professions Code, and my license is in full or1ce and effect. ELECTRICAL FEES Licens Class�LZ I e No. 5(A AC.to f j PLUMBING FEES Automatic Washer Transformer 0 15-50 KW oatdf1S9� Signature WORKERS'COMPENSATION OECRATION Bar Sink Showers Construction Pole Sub. 0 50+KW I hereby affirm that I have a certificate of consent to self-insure Ora certificate ' Workers' Compensation Insurance, or a certified copy thereof (SectionBackflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps )0, Lab. C.) licy No. _ Company .. Backflow Irrigation / Sewer Cap Dishwasher Meter Dover 100 amps 8 Certified copy is hereby furnished. • �� Certified copy Is filed with the city Building Division. Bathtubs Sewer Connection Dryers ❑Gas ❑Electric Sub Panel Date Applicant Fan Motors❑0-1 HP ❑1%-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors (This section need not be completed if the permit is for one hundred ($100)or Dishwasher Solar Piping F.A.U. less). Inc.Solar 09-15 HP 016-15+ I certify that in the performance of the work for which this ermit is Issued, I Fixtures shall not employ any person in any manner s s o subject to the Drinking Fountains Solar Tank Microwave -. Worker}; pprhensation Laws of C - 1 Date /life/gSwimmingDevice Boxes le Light d hignator Floor Drains Pool w/SpaL NOTICE; ter making thisv ions fi you sr d yosubject to forthwith Outlets Range comply such Compensation rprovisions of the Labor Code, you et t evoked. Floor Sinks Urinal 9 - CONST with such provisions sir this permit shall be deemed revoked. Switches CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Sign I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Kitchen Sink Water Service Generator 00.5 KW 05-15 KW Trash Compactor P Lender's OWNER BUILBUIL Address �- DER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and ProfessionalCode: Any city or county which requires a permit to construct,alter,improve, ,demolish or repair P-Trap Laundry Tra9s 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 g with Section 7000)of Division 3 of the Business and Professions Code) or that he/she Is exempt Reinspection Fee $15 Issue Fee $ 3 -,erefrom and the basis for the alleged exemption. Any violation of Section 91.5 by any applicant for a permit subjects the applicant to a civil laity of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: J I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 Zoning Approved By nate compensation, will do the work,and the structure is not intended Proffered for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By License Law does not apply to an owner of a property who builds or Improves Date s I thereon, and who does such work himself/herself or through his or her own Application Issued By • Date cr, c employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ , sale. If, however, the building or improvement is sold within ono year of com- Canopy Type II 0 SUMM RY OF FE pletlon, the owner will have the burden of proving he/she did not build or Im- Duct- Under Ground prove for the purpose of sale). - BUILDING PERMIT $ _•42? SMIP $ i_S-1:2 o I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System tractors to construct the project (Section 7044,Business and Professions Code: PLAN CHECK $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-.)Ventilating 00.100,000 BTU 0100,000 BTU PLUMBING $ 5- . m'J ISSUANCE $ builds or improves thereon.and who contracts for such oroiects with a rmecon- ENERGY P.C. $ con- tractor(s) license pursuant to 6 Contractor's License Law). I am aware that Exhaust System 0 Multiple❑❑stem Repair/Alteration PLAN CHECK 25% $ proof of their Worker's Compensation Insurance should be provided to me. ❑ I am exempt under Section B. & P.C.for this reason Firepl/Fact.Blt. ICBO# Fire Dampers ELECTRICAL $ GRADING $ 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 ❑o-100,000 BTU 0100,000 BTL TOTAL FEE $ '37 ' -SD Information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building construction,and hereby authorize repre- sentatives (_ is c1 o nter u the above-mentioned property t-for Nv Inspection /_2 //�/4? Signature ' , Dale G Drivers' License or 55 —. Reinspection Fee $15 Issue Fee $ 3 01 00019659-00019661 TOT 33.50 0865-46,rev. 5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 11/16/88 TIME: i2:01 ' CONSTRUCTION AND PLANNING POOL `A APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector ' 0. ,1. Temporary Electrical Service or Pole 52. Pool & Equipment Location • 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 1 ' • v; 3.;Electrical Conduit Utility-Undrgrnd. 54. Forms ;,-1 4Y lectricat Conduit-Undrgrnd. 55. Electrical Bonding ' '1 5.,Steel Reinforcement I 56. Rough Plumbing & Pressure Test 1 6. •Electnicat UF ER Grid. 1 1 57. APPROVAL TO COVER-GUNITE 1 i ,' j 7. Foptingsl �I.; • 1 t. 58. Electrical Conduit-Undrgrnd. 8. Foundation . • ;.;I• ; '� - 59. Gas Pipe, O Undrgrnd.,Test 9. Water Pipe-Undrgrnd, . 60. Backwash Lines, P-Trap, 0 Undrgrnd. ` 10'•Strpctural Floor System 61. APPROVAL TO DECK • 11. Property Sewer Line'St House Connection 62. Backwash & Receptor-Final 12. Sewer:Cap - 'i . //(Jlfr„MO 63. Heater & Vent-Final 13. Roof Drains .- 64. Plumbing System - Final 14. Rough Plumbing • 65. Electrical-Final - 15. Rough Electrical-Conduit 66. Solar System-Final 161 Rough Electric Wiring 67. Fencing & Access Approval 17: Rough wiring Sign 68. APPROVED FOR PLASTERING , 18! Rough Electrical-I Bar Ceiling 69. POOL/SPA SYSTEMS FINAL s. 19. Rough-Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Eactory:Fireplace APPROVALS Permit# 21. Ducis, in Structure 70. Underground Hydro 22. Ducts,Ventilating �( 71. Product Piping 0 Gas 0 Oil 23. Gas PipeZRough& Test ----• 72. Underground Flush 24. Roof Framing I 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof S eathing'1 74. Overhead Hydro 26. T-Bar Gil (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing&Siding 77. FIXED SYSTEM FINAL 29. Insulation A 78. FIRE PREV. FINAL 30. Drywall Nailing �- HEALTH DEPT. REQUIREMENT 31. Plaster,Brown Com=1 79. FINAL INSPECTION 32. Electrical,P.ower Mete'r-Final .a 80. FOOD CERTIFICATE ISSUED 33. Final Electric 1,� 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 - •'l 41. Solar Domestic-Final 42. Backflow Preventer -•! {• 43. Backflow Irrigation -- 44. .Landscape Irrigation System . •• _ 1 45. Sound Attenuation • 46. Handicap Regulations i 47. FINALSISLIC E& BUILD4P1G (/,%-i /or 48. Special Requirem nts Completed 49. Electric Release to Edison /. t J 50. Gas Release to Southern California Gas Co .• 51. CERTIFICATE OF OCCUPANCY ' .. No Date r^ r ��(� �^ /y •--v • i- .."----Thi. ____ a,.,mn heavy border lines and sign all appropriate Declarations. CITY OF COSTA M'JqEpSA CO/N�`RULCTI N PERMIT PE:MIT NO. 1 /T AOT:a g0�Ct �� UNIT NO. �! j�= i Zone 7� / Groject Address 2 o • - l"'?'tA - _ • .Y S Main Building: Accessory Building: _7 •--i 4 • TYPE OF CONSTRUCTION . EW N ADD N ALTERATION N REPAIR Appl ettn,Mailing Address 1 +� •- •� - E j 2 5 1 Phone! 77 ?/G ❑ CONVERSION ❑ DEMOLISH ❑ OTHER • B Front © am vna P .L. N Oddr2ss V•. .e DESCRIPTION OF WORK/USE OF BLDG. A Rear {- So' I Address ��C` 79 ne&-• r' TYPE OF PERMIT- U GRADING ❑ FOUNDATION U STRUCTURAL I C Right 5' N Arch/Eng..>� ����C'^ License No. K• Left 1 ` G Address . p ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL s ' R �Xs ' wa ` Phone$ QC� JS ❑ OTHER /(04-7-0 C¢ rj(-"R- 2-I 4 %Ol�•'�- ••�� / ^, Ping. Ref. Parking Req./Provided E Contractor's Nam oor p ,� /J ( PROJECT DESCRIPTION SQ. FT. ' OCCUPANCY } ' ��J •T a•."rJ •Ahl/a/<,l-•yflTKj)G• ,��G ie M City License s(nseNg) //Zt. Cy/9-141, Po "r/// ?/Q ra CONSTRUCTION TYPE V VALUATION $ 1«dl � ,_ PlanningNotes: p7Q ({(o 17 s MOLD FOR SPECIAL REQU E N s • T City License No. ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION 1 - I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: with section 7000) of Division 3 of the Business and Professions Code, and my license is in full orce and effect. 1 12, 15)16,_:CO7AS ELECTRICAL FEES License Class L�+ ns' • Ct IPGC i; ,•"J Dater" 5ignaturenalkStk _ PLUMBING FEES Automatic Washer Transformer 0 15-50 KW WORKERS'COMPENSATION DECLARATION • Bar Sink 2 Showers \1 Construction Pole Sub. / 0 5(1+ KW I hereby affirm that I have a certificate of consent to self-insure or a certificate TI ^• workers' Compensation Insurance, or a certified copy thereof (Section _ Backflow Preventer Service Sink Cooking Unit Meter Duo to 100 amps 10, Lab. C.) . , ,icy No. ' 'Company a' 3 ' Backflow Irrigation / Sewer Cap ' " i --6 Dishwasher Meter over 100 amps id Certified copy is herebyurnished. .e r �.•^•' - - l Certified copy is filed with the city Building Division.. i' Bathtubs y/. Sewe'r Connection 5°"'• i. -a ,:,e -• .Dryers -!Gas ❑Electric Sub Panel f,... Date Applicant • • t+ , - -g Fan Motors 00-1 HP ❑1'h-6 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Ci ,n.' (This section need not be completed if the permit is for one hundred ($100)or - - I 'F,A.U. Inc.Solar 09-15 HP 016-15+ less). - - Dishwasher SOIar.Piping . _ . 2- I certify that in the performance otthe work for which this per. it Is Issued 'I - Fi%tures " shall not employ any person in any-manner so o b-. jest to the Drinking Fountains Solar Tank / / Microwave Worker Cpm-insatlon Laws of Call is •`� •- Device BOxeav Pole Light Date �A/i t r Signature - --SS L Floor Drains - _ Swimming Pool w/Spa - 9 NOTICE.If,a ter making this declaration, you •u�•ecome subject to the - � • Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks j Urinal 30 Outlets '14 Et/ cyo,bax Range comply with- such provisions or this permit shall be deemed revoked. Y CONSTRUCTION LENDING AGENCY ' Gas Service C. Outlets 3 Water Closet +� 1111 21 Switches Z• -1( . ry Sign I hereby work that there is a permit ue agency for the performance C.) of th0 work for which this is issued (Section 3097 Civ. C.) Interceptors 1 Water Heater Garbage Disposals Standing Sections - Lender's Name Lender's Address j Kitchen Sink ' Water Service Generator ❑0-5 KW 05.15 KW! Trash Compactor OWNER BUILDER DECLARATION • - pp I hereby affirm that I am exempt from the Contractor's License Law for the 6 Lavatories Auto-Wash 12 - • q n ao x o,o%c -I . following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap / Laundry Tra's , 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 Division 3 of the Business and Professions Code) or that he/she is exempt jReinzpection Fee-•c $15 Issue Fee $ 3 / therefrom and the basis for the alleged exemption. Any violation of Section 31.5 by any applicant for a permit subjects the applicant to a civil laity of not more than five hundred dollars($500). $ 9 - DEVELOPMENT SERVICES REQUIREMENTS: (`'� I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee Zoning Approved By , - compensation, will do the work,and the structure is not intended or offered nate for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL Building Approved By Dat License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I ❑ Application Issued By !s _ Data employees, provided that such Improvements are not intended or offered for • .- sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground a0 qZ prove for the purpose of sale). I BUILDING PERMIT $ 39 — SMIP $ 1 n ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK' 0.31 $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0100,000 BTU 0100,000 BTU `PLUMBING $ 5L1 a0 ISSUANCE $ builds or improves thereon.and who contracts for such oroiects with a con- l ENERGY P.C. $ tractor($) license pursuant to sne Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK" 25% $ j proof oft U Worker's Compensation insurance should be provided to me. q ELECTRICAL $� • �1 ((��" GRADING $ 0 I am exe,*pt under Section B. & P.C.for this reason , Firepl/Fact.Blt. ICBG# Fire Dampers • 1 MICROFILM $ PLAN CHECK 50% $• , -- Date -, 1 Owner Heating System& Ducting Registers ■ - MECHANICAL $'All 3 3 i '76 I hereby cfai• that I have read this application and state that the above I :10-100,000 BTU 0100,000 BT .. — TOTAL •FEE $ information is correct. I agree to comply with all city and county ordinances Yr PLAN CHECK'. 25% $ - and state laws relating to building construction,and hereby authorize repre- sentatives of this cit enter�n the above-mentioned property ffoorr Inspactlo v ses. Da7e�Bl/9/gip I . .... .- % 7 I Signature + ' Drivers' License or SS Se / ^ ' Reinspection Fee 1 $15 Issue Fee FY re C1 0865-46,rev. 5 88 White - Building; Canaryg: Goldenrod - Assessor 111r277•2O %202.',9:1 TC'Sj ',,J,�?-,f _/ -Applicant: Pink - Accounting: PATEa Q1/0olry 'I PIE: ft .Q f .CONSTRUCTION AND PLANNING POOL `A 1, `APRROVALS Permit Date Inspector APPROVALS Permit - Date Inspector •1. Terkorafy Electrical Service or Pole 52. Pool & Equipment Location .l 2. Soil Pipe-Undrgrnd. ,� W 53. Steel Reinforcement '`-� ' 'r • 3: Electrical Cghauit Utility-Undrgrnd. Y . 54. Forms 4. Electrical Conduit-Undrgrnd. ti fbill gp 55. Electrical Bonding i. ., 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test :� /6} Electrical UFER Grnd - � '� li(6 /85 f 57. APPROVAL TO COVER-GUNITE ' 'LZ�. Footings • r .! $y- `;: (1 6/f Q!1 , I 58. Electrical Conduit-Undrgrnd. - j, 8. Foundation i• ' i b • ' 59. Gas Pipe, 0 Undrgrnd.,Test i. 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection/ �.G ear 62. Backwash & Receptor-Final • 12. Sewer Cap ,i r /'"( . 63. Heater & Vent-Final . I 13. Roof Drains 64. Plumbing System - Final .' RRough Plumbing' �/l/e[t LI fib 65. Electrical-Final .i ough Electrical-Conduit !// - 66. Solar System-Final 16y Rough Electric Wiring t/4j� L.n ��.,,(, 67. Fencing & Access Approval - • 17. Rough Wiring Sign /'•"��J7 F^�"-� 68. APPROVED FOR PLASTERING •18. Rough Electrical-T Bar Ceiling , 69. POOL/SPA SYSTEMS FINAL (19. Rough Heating & Air Conditioning ' S7�/e t4p FIRE DEPT. REQUIREMENT 20. Rough FactorylFireplace q/,1iI ? O , APPROVALS Permit# 21. butts, in Structure !Y/, //,L 70. Underground Hydro -22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23- Gas Pipe-Rough & Test ,,// // �/ 72. Underground Flush U, 2 ��i%I` g • ..24. Roof Framing ///4l///''' 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing - . J/ / e'J- 74. Overhead Hydro -26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing • A' : 76. Dry Standpipe -t - 28. Lathing& Siding i' !: