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HomeMy WebLinkAbout674 18TH ST - Building PermitsAoolicant to fill in all a .a n. nnr rn..a. wHnin nuw n...n:. 6...a ann a all a riate tleclarations P RMIT NO. TRACT NO. • , LOT NO. UNIT NO. ' p7Y OF COSTA MESA : CONSTRUCTI N ERMIT ' ', ' a.r.# � � ' ' zo�a.. . � � � ��o�Z;�. , � �oject Address CL _' , S- Main Building: Accessory Bwldingi ' Applicant'S Mailing Addres �� ; TYPE OF CONSTRUCTION' NEW-� ADD ALTERATION� REPAIR E . _ ,. , 2 p / �❑ CONVERSION.'❑ DEMOCISH ❑ OTHER 7' FiOnt . . ' O Owner s Name �_/L/ n1/�S d / 9 - ' ' ' � - - � � N ��� �,, a' / p� DESCRIPTION OF WORK/USE OF BLDG. ��Q it -� OtI�1� I�A � Rear • � _ � AAdresr� 9/'�' 1<���/ ' ' �-fY/CQ '{�. �/ l�{'!1 �^ �'. � ., , :. ' . . .' ' . � / '. . � . . . , . �_ N Arch/Eng LiCense No. � TVPE OF PERMIT �� � GRA�ING� FOUNDATION STRUCTURAL . � �, K Right ' - ' � ,'. G G Addre55 " ' � ' ' � '. � ' �❑ TENANT O ELECTRICAI p PLVMBING ❑ MECHANICAL , 'g - Left � . ' _ "- , , , . . ' R %/Y ^ ' - ❑ �OTHER �. ' . ' , -� � . Ping' Ref. �# t � � � � • ' Parking Req./Provided . • � E Contractor's�Name ' k�� � Phone 2y(x-SS22 � , . , . - , Q � �� PROJECT DESCRIPTION 50. FT. � OCCVPANCV Addresslmaifng)�p6����iNQy�j.v�'G�vq�T� � 9.7A�7 . . . � -PlanningNotes:' � - • ' � �- M � � �(�^ / '-CONSTRUCTION TVPE VALUATION $ ' - - ,T City LiCense No. ` �'�J { � � � ZONE GRAOING CU. VDS. ACRES � � � �S. LICENSED CONTRACTOfi DECIARATION � ' - • . , , .. • ' , . 1'herebyaffirm that I am licensetl untler provisionSof�Charter 9'(commencing Remarks: •� � � ��> � 6� � ' � with se<tion 7000) ot Division 3 of th Busin ofessions Cotle, and : . . ' ELECTRICAL ' � . FEES my license is in full t rce ntl e/fect. ���i�� ` M� • . ' � . : License Class — 'le o. � Automa[ic Washer' � � � Transtormer :� 15-50 KW � oate�-2'�''�9 Signatur - � - PWMBING FEES '0 50+KW ' WORKERS' COMPENSATI . . •' , ' CO�St�ucti00 POIE Sub. � I M1ereby'atfifm ttlat I,hdve a celtificate ot consent to self-insure oI a celilficate Bdf Slflk ShOw¢f3 . "Workers' Compensation Insurance, or a certifletl cooY tnereot-(Section � ' . � . ; ,,. Cooking Unit . Meter ❑up to 100 amps � ' o, Lab. C.) � � � - . BackflowPieventer � - �ServiceSink . - � --- -- � � � � �� --- oiicy No. � Company " gackflow Irrigation Sewer Ca . Dishwasher .� ��'� Meter pover 100amps P a BGer[ifietl copy is hereby furnishetl. ' �� � , , , - � � � . Dryers �Gas .�[�^ Electric � � � Sub Panel � ' � Certifietl copy is tiletl witn the city Builtling Division. Bathtubs Sewer Connection Date � AOPlicant � - ' �, � , . - ', Fan � � '�' ' Momrs �0-1. HP � 1 %'� 6 . EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Clafifiefs Solac Collectofi � .. � (Thissection neetl not be completetl if the permit is tor one huntlretl ($100) or . - . F'.A.U. �' ' ' � — Inc. Solar'�9-75'HP 016-75+ " iess�. — Dishwasher � � Solar Piping � � I certify tM1at in the perlormance ot Ihe work t i uetl, I • � FixtufCs Microwave � ' '' shall� not empioy any person in any ma oj to tne Drinking Foontains ' Solar Tank � � - Workers' ompens n �a�+s of Califo ia' - ' , , oate _�£_a,� ��F%- �5i5nature " Floor Drains � Swimming Pool w/SPa Device Boxes . . Pole Li9ht � . .NOTICE: If, after makin tbis tleclarati ject to'the � - ' " , ' - • Workers' Compensation provisions of� he'Labor tle ou ust forthwith FIoo�Sinks� � � �. . .� .Urinal � '- .. '. , , _ .. . . _, Outlets' : . Range • comply �'wi[h' Such provisions ot this permit Sha e tleemeE rewketl. � CONSTRUCTION LENDING -.AGENCV;. ' � � � � Switches Sign . I he�eby affinit that there is a constructlon lentling agenty for the pertormance , Gas Service , Outlets Water CIOSCt • of the work !or which this permi[ is issuetl (Section 309] Civ..CJ � � Ga�bageDisposal � StandingSections Ixntlers Name" �' Interceptors - Water Heater ' �enaers nddress � ' � �` Kitchen Sink `'� ' . Water Service � Generator �0-5 KW �5-75 KW Trash Compactor . ' OWNER BUIIDER DECLARATION ' ' ' , , � � - ' I heleby affilm�ihat I am exempt trom tM1e Contlactol's License Law f0� the' L2v2tO1i¢5 , '.. . L AUtO-Waih • � followinq-reason (Sectfon ]03L5 Businessantl Protesslonal Cotle: Any�tlty or , _ , , - county which requires a permit to construct, alter, improve, tlemolisn or repair P—Trep .. . � Laundry Treys ' � 'any structure, prior to its issuance, also requires the applicant for such permit � � -, • to tile a signea statement that he/she is licensetl pursuant to the orovisions of . Roof Drains - "�. � . the Contractor'd License Law (Chapter 9(mmmencing with 5ection �000) ot � �.Division 3 of the Business antl� Professions Cotle) �or tnat ne/she is exempt - . , . Reinspection Fee $15 155ue Fee � � $ 3 -efrom antl the basis tor the alle9etl exemption. Any violation of Section . � • , - _ � ' LS ��y any appli<ant for a pe�mit subjects the appli<ant to a civil . - �Ity ot not more than tive nunarea'aollars (5500).� . . . . � 3 DEVELOPMENT SERVICES REQUIREMENTS: ; ?LJ I, _as owner of ine property or my employees witn wages as their sole � ReinSpection Fee '$15 ', Issue Fee - $ Zoning Appmved'By Date � compensation, will tlo the work, antl the�-sVucture is not intentletl or.offeretl, � ' for sale (Section 7044, eusiness anG PFofessional Coae: The Contractor's - . . MECHANICAL . FEES Building Approved By Date License law�tloes nOt apply to an own¢r Of a property who builtl50r�improves� ' Z thereon; antl who tloes su[h work hlmselt/he�self or throu9h hi5 oi he� own , - , AppllWti00 ISSUBd By Det emoiovees, provitletl tha[ su<h improvements are not intentletl,or otfered for Boiler . Hood or Type I ❑ wie. H, however, the builain9 or improvement is soltl within one year ot com-- ' Canopy Type II ❑ ' ' ' � SUMMARV OF FEES ' ' . - pietion, the owner will have the burtlen oi provin9 he/she tlitl not builtl or Im-' Duct - Under Ground . prove for the purpose of sale), - . BUILDING PERMIT $ SMIP $ ' � I, as owner oi the propeity, am exclusively contratting with Ilcensetl con-' Duct -Strucmrel �� � Refrigeration System ' - p�P,N CHECK $ PEFMIT � ' � tractorsto constru<t the project (Section �044, Business antl Professions Cotle: ' The Conbactor's License Law tloes not apply to an owner oboroperty who , Duct -..Ventilating . DO-100,000 BTU ❑100,000 BTU PLUMBING $� ISSUANCE $ builtls or improves Nereon. antl who contraCts for such' oroiects with a mn- - ' � � - . eracror(s) license purzuani �o cne Convactors License Law). I�am aware Ihat PLAN CHECK 25% $ ENERGV P.C. $ proof oi their Worker's Compensation insurance shoultl be provltletl to me, Exhaust System ❑ Multiple ❑ System Repair/Alteration , , GRADING $' � ELECTRICAL � $ . L7 I am exempt untler Section � B. & P. C. for tliis reason Firepl%Fact Blt. ICBO #' fire Dampers PLAN CHECK � 50% $ MICROFILM $ Date � Owner ' � Heating System & Ducting Registers - � � ' � MECHANICAL' $ TOTAL FEE $ I heieby certiry thaY I have reatl this pyli� tion'antl sfate that the above � ❑0�100,000-BTU �100,0008T' � �' �' � ' i � pLAN CHECK 25% information Is correct:.l agree t city antl county ortlinances � ' $ - antl stale laws relating to w c tlon ntl hereby aut�orize repre- , - � 5entatives o; this t e 4e-mentionetl pi�srtyr r : . , , ' ' ' . ' - ; ��sPe�uo� vqrv 41 000{32YU—COOEr3296 TG� .�+.OD' Signature Date -. b . � . . ; � , D}Fvers' License or Reinspection Fee �$15 Issue Fee - .$ 3 , ; OATE% O9�a�✓5�% . TIM�� �i�ZO ' . 0865-46,.rev. 5/88 White - Builtling; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor � ' � . :i '.. .-t(.. • . =�aP' r_i+=.s....""?':+." _ _ . ", CONSTRUCTION ANbPLANNING . '� � � P��� �A � � . � APPROVALS Permlt # _ Date Inspector qppROVALS Permrt # � Date Inspector. , 1. Temporary Electrical Service or Pole ,� �u 52. Pool & Equipment Location � ..- 2i Soil P,ipe-Undrgmd. '' �U 53. Steel Reinforcement � � ' � : -i 3!�Electr ac I�Conduiy.Utility-Undrgrrid! ' i� 54. Forms . � .��"t . � 4�Electrical'Conduit-Undrgrnd. � .� 55. Electrical Bonding � � �� ��'� - %.�;. . 5. Stee� Rein'forcement. i - �� ; � 56. Rough Plum6ing & Pressure Test : �.� �� �, 6.h�'Elect�ical UFER Gmtli'� � , f+�j�' 57. APPROVAL TO COVER-GUNITE . i_� ;:� 7. F,o tings� � ,;1 � �� ��;i �y '� 58. Electrical Conduit-Undrgrnd. . �' %` '�• '� Y SrFoundation. " a^p�L- �"� ��{� �'')" 59�. Gas Pipe, D Undrgmd.,Test '„ ��ty% . , il ,. . � . � • 7i�• 9: Water P,ipe-Undrgmd. ✓� �� �/ � 60. Backwash Lines, P-Trap, � Undrgrnd. � 10 �Structur"al FloorSy cm �` � �%.j'f,� 61. APPROVAL TO DECK � � �r'�n 11 SPro`�;y.SewerfLine'& HouseConnection A.�� (��t�, 62. Backwash & ReceptorFinal - � �,� � ! '12..Sewe�Cap ���"�, �� r '�j : 63. Heater & Vent-Final E, � •L. 1 �p �' 13^Roof'Dr,ains �'�' .� ' 64 Plumbing System: Final _ � / 14.3Rougti•�Plumbingr. �, � . 65. Electrical-Final - � �'� 15. Rough Electrical-Co`nduit . �' 66. Solar System-Final �16. Rough Electric Wirin9 � y 67. Fencing & Access Approval '� 17.. Rough Wiring Sign . � 68. APPROVED FOR PLASTERING _ 18. Rough Eleciriral-T Bar Ceiling ' 69. POOL/SPA SYSTEMS FINAL . r•. � d9.� Rough Heating & Air �nditioning �FIRE DEPT. REQUIREMENT -,�t --- 20. Rough Factory Fireplace �-r APPROVALS Permit #_ � 21. Ducts, in Structure _...� 70. Underground Hydro � � r_ 22. Ducts, Ventilating �'� 71. Product Piping OGas �OOiI 23. Gas Pipe-Rough & Test j.� 72. Underground_F,lush , � ' 24.�Roof�Framing � �;�;� � � , 73. Undergrnd.StorageTankOGas ❑Oil � 25. Roof Sheathing ,� �� 74. Overhead Hydin ' . 26. 7-Bar;Ceiling (Structural) & Monocoat � 75. Dry ChemicaYl� . . r_. 27. Frame�and Flashing (' , 76. Dry Standpipe� '� � 28. Lathing & Siding '' � '. 77. F,IXED SYSTEM FINAL 29. Insulaiion �%J '' 78, FIRE PREV, FINAL ��,� � �� 30.�DrywellNailing, , - HEACTHDEPT.REQUIREMENT.�� '31. Plaster�Brown Coat �- - 79. FINAL INSPECTION '- 32. Electrical Power Meter-Final). , 80. FOOD CERTIF,ICATE ISSUED 33. Final Electric Notes: i. 34. Final Heating & Air Conditioning .' . �� � 35. Final Gas Pipe-Test- - ' 36. Hood or Canopy . - � • 37. Final Factory Fireplace . � " 38. Final Plumbing� �, , _Z�Q !�/, . � � � � 39. Water Service-Final � . - 40. Gas Service-F.inal � . ' 41. Solar pomesticFinal ' ' - 42. Backflow Preventer ` ti 43. Backflow Irrigation ' , ' � � ' . ' ' n . 44. .Landscape Irrigation System �' ,�, � . - 45. Sound Attenuation � � � 46. Handicap Regulations � � . � . . 47. FINAL STRUCTURE & BUILDING ' ' 4S. Special Requirements Completed . ; 49. Electric Release �to Eqison . � , ^�-. � 50. Gas Release to Southcrn Califomia Gas Co . .`�j � �F'^J 51. CERTIFICATE OF OCCUPANCY �� ^ �� No. , Date � a: Costa IVYesa Building Department R o�� . APPLICATION I�'OR PERiVYIT . g11 EA�jT 20th STREET - �_� � L �' � �^ � : �' - .COS7A'MESA, CALIFORNIA " ' � . Y'Oii APPI.ICAIPI� 'Y'O I�'ILL I10T j �'' OR OFFYCE US� O1VLY '� i!, � Recei No PermiYNo. { Buildin9 ,, 1 /�, � � - � ?. / � � � 1 Address W � i_ �_ f Recei ed�by Date Hec'd. Date Issue Costa Nesa, California y i GL.�'/ � ;; IJAN 26.1954 � ��7'��� Nearest ,p ' CrossSt. r/��/M '- Building 1 / �/ � Address � (� ��'GV --� , .Y/�T Owner ' fJ(/��f,� _y�. 1/El�M 1� j�i4 _ I Costa Mesa California ,' �.- i e � , � I Addresa� f����i�/Q�O� ,g�Vp Nearest 4 . � . J� ; i A � . 7e�, Cross St. i i. "' ! r C y LO �\ fi l9 M L SA � No.�C 'i / J"4� � Zo�e� � I plans " I Type �/ i Grou � Arohitector \ Lic. . ° P1'�. Engineer ' \ No. �.Z S % Approved ! ' „ t b i r ' •.- Date 1 . � � � dress� • _ ' � I (�'Q�t,RY+�'CTIONS � i . . /� � City Lia E ' ' Contrector �4r/"/%J � � No. - � ¢ - . . i . ' � . . . . . . � .. ( _ Address � � - ' � i � De cr9ption I No. JO/'" II� Block I Trect/}�lu/'� k�"{ ` � /� / � e I (AttachMetesandBounds)R/-IJI�-09�r/� � � �i� ' � � . � I � No. of Bidgs. Size of Loi Fj0_x 30'0 I Nawon Lot �...---. t_.........__..._..___w--._ _ �._ . O Use of - ' No. of No. of � . ' �,.;?'r6 � A Existing Bldg. ' I Families I Rooms —� �_� SetbackLine.from r RearVard RJ "'-_'""""",-""-"�---� . Z Center of Street � .� - Side Vard S' Y� , . �. � .' � ;�.��F ,.g� � DESCdi�I�TION OF WORK _ _. :. � — -..w_.._� .....,,. .... . .._ ..._... New I x Alteration I Addition� I � � ..:. . . _._..._ _��..•_____. .. - ...y..._..... ..""' _' ." '.- ._ . . . Repair I I Moving I I Demolish I� uflding // ,0 � No. of (� ' ize /(� �0 � Raoms X Stories � � . � Exterfor Wall ' Roof ' - Cevering_��'(J CC d I Covering ' G/� ` APPROVALS Use of New Building (�.(J ��.E� � �fY'A�%��'j� FoundationLocation Inspector Date � Forms, Materials, . ry��A (z r Under-Pinning - - ' � Frame: Fire Stops, . � Bracing, Bolts � I hereb,y acknowledgc that I have rcad this Application Lath. Int. - and state hat the above is correct an agree to comply Lath. Ext. � � � with all Cily 'dinanees- and State ws reg ating — btdlding onstruc n. ' . � � �l - Plaster, Int. Signature o . . - Permittee � Piaster, Ext. � Authorized Agt. - Masonry Reinforced Valuation � "permit Fee $ i'+� � . ) � �' Plan Check $ �5' Bo�d Beam ' $ �.T �+'� � Total � ' , Fee $ 3 7 FINAL � I+nrm 204 G-A 1M 1-b9 -. ' . _ . _ :�" . _ . .. �, � . .t�_ _ ,n. �, �t ' '.`li:�.. . {':iC. _ '.? : �.ii..C. _: .: . � .... �. . . ' T . \ l �t R 7 ': . � r?_ ,. ^F:'id,�i!t�� 'j(1'�• • •t �i 1 f i , ' ' G� + . 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L� - �r �� � _ ..__,_. _. 1�1._. __ .. ._ . „"'_ � , '" "'��i _". i � ' . . !.� ' '�`3 4� � J t..��,_ � . � a . 1 �� ; _ . . . -- — . -. •- — -- - - - ---i-., � yr '' 0 1' 3 . t � . �.'�IT , . .: ` � �`� ..�1.�. �"�u. . ..- � � n —.� `� � }, t''� i � � . � v ;• � � - -5S { -- t.,.��� :�.� t. _ . .t .�: : _ .. .S / � .. Street � 1-, .:t �� . � ' eU �!: v . . . . . . �r�:u C:i;. . .��.�'i,.n',:1.'.: i_ _ C� . � . . bi.,:' �e .,� . .�r�, � ! �rd.�,; , : i v ; �.�_ .! . . �,, _ �,i,.. ' . PLO� PLAN -_: �.a-� ;;,r; _ - •��,> ,- --:-� �� --::�' - - -- -� --- _ ' � �''; `, t . .. . ��,� � . ' Show Iocallon and distances from �� ' �� �.onr �'.. , � . " . r. � � property lino-and between buildings. � - � • ' ' � � � � � � � _ _. ,. � � ;:f!la��cct ,iu.o`; � �ntr.'1 j ' � � ' . - ' ..' . ; •_IA' � { %.c �'�=r 60 ' ,;L� �.� �� . .�,�;� � ,��:� _ • - , .� `' � . ; _ _ . .. 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' . ^� _ J.:Ff;_� ' �i � ... _^_. �� — --- - LL�� •� . ---"'----- -_' '_- - --�jl"---�'- -.--- ..:�i_P.�.-t.:�": -,;,,i�- .