HomeMy WebLinkAbout872 18TH ST - Building PermitsAOPlicant to lill in all spaces exceot those within heavy eorGer lines ane sign al1 avProoriate aeclarations.
CITY OF COSTA MESA CONSTRUCTION PERMIT
ProjectAddresz %� W' �g=N ST GOJTA MFJA . p1�G3
Applitan�'s Mailing Address�Si� /N/�/I�e✓/A AYb /2 N. HFihy�
Owner's Npamre� y Phone �`�p YfZ Z
Addreu ( f� y, �/� f Cp_�i /f i✓/G $�/7 _
Arch/Eng. License No.
Address
Contractor's Nam Phone
Address (mailing)
City License No.
LICENSED CONTRACTOR CL TI N �
Y hereby aitirm lhai I am licens un � s ot C�arte� 9(commencing
with uction 7000) ot Divislon 3 oi �o usines and ProPosslons Cotle, antl
my licensc iz in full force antl eifect.
License Class icenso No.
Date Si9nature
WORKE0.5' COMPENSFTION OECLARATION '
�"�h Workers'r Compen5atlon InSarance,�o� an certl( etl'copy rthu�eol e($acUon
�:�"'Y00, Lab. C.) �
��Policy No. Company
8 Certifietl copy is �ereby turnishetl.
. Certifietl copy is tiletl with the city Builtling Divislon.
Date Applicant
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(Tnis 5ection neetl not be completee if tne permlt is for ono huntlretl (E100) or
less).
I certity that in the perfo�mance Of tlte wo�k fo� wnlch thls pe�m�t Is Issuetl, I
5nall not employ any parson in any, manner 5o aij� become �ubject to Ihe
workers,So@pp,�nsat Syaws ot Cailtoreii� /J / O��
. Date Z � Signature �� C GLA
'NOTICE: It, atter making this tleUaration, you shoula bocomo subjact to the
Worker5' Compensalion provi5ion5 of the l.abor Cotlo, you musl Iorinwilh
comply witn such provisions ar this permlt shall bo tlaematl revoketl.
CONSTRUCTION LENDING AGENCY
I nereby aHirm that there Is a consVuction lentling a9ency tor the peAormance
ot the work for, which thii permit is issuctl (Sectlon 3097 pv. C.)
Lentler's Name
BUILOEft OECLARATION � '
affirm that I am exempt from tbe Coniractor'S License 12w for the
reason ISection 7031.5 Businazs antl Professional Coae: Any city or
]031.5 by any aPPlicanl for a pe�mlt subjects Iho apP�lcanl t0 a civll
�endlly ol noi Tore than tive huntlretl tlollars (5500).
I, as owner of the properly o� my emplOyoas wlth wa9os as thair 5010
comvensation, will tlo the work, antl the structure is not intontletl or olterotl
for wle (Section 7044, Business antl Professional Cotle: Tho Conbactor'S
�icenze Law aoez not apply to an owner ol a property wno bulltls or improves
tnereon, antl who aoes sucn work nlmself/herzelt or through his or her own
emplOyees, provitletl Ihat Such Improvem¢nts are not Inlentlod or oHeratl tOr
sale. 11, however, the bulltlin9 or improvement is soltl witnin ono year of com-
pletion, the ownet will nave the butGen Ot pmving ne/she tlltl not bulltl or IT-
�rOve forthe purpOSe of zalej.
I, as owner Of the property, am ¢xcluslvety tontracting with IicenSeU con-
Vac[ors [o consbuct the project (Settion ]044, Buziness antl Professlons Cotle:
The GonVactorY License Law tloes not apply (o an owner ot property who
builtls o� impraves Ihereon, antl who conVacts to� such projects wiln a con•
tractor(s1 license pursuant�ro tne ConVattor'S Llcense Law). I am aware that
proot o( Lneir Wo�ker's Compen5ation Insu�anc0 ShOultl be PrOvitletl to ma.
❑ I am exemp[ untler Section B. & P. C. for thls rea5on
n,ea ' – j_ o e
I horeDy certity- that I have reatl this applicatlon antl st o that the above
inbrmation is mrrecc. I a9ree to tomply with all tlry an county ortlinances
antl state laws relating to builalnq construction, antl hornby authorize repre-
senlatives of this City Io t0r upOrl Iho abOve-menUonotl propnrty fOr
InsOettion purpp�S
Si9nature /7 � �^A^� DatCSaZ�-��
Drivers' License or 55�# _� ;
TYPE OFCONSTRUCTION LJ NEW U ADD LJ ALTERATION L1 REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER p� p,�,�
DESCRIPTION OF WORK/USE OF BLDG.
5 Main Buildin9:
TVPE OF PERMIT GRADING FOVfJDATION STRUCTURAL T FrOnt
❑ TENHNT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear
❑ �OTHER ' C Alght
PRQIECT DESCRIPTION Sp. FT. OCCUPANCV K
CONSTRUCTIONTYPE VALVATION$ S L¢ft
ZONE GRADING CU. VDS. ACRES ping. R2f. #
pemarks: Planning Notes:
Sink
Preventer
Irrigation
Clarifiers
Dishwasher
Drinking Fountains
Floor Drains "
Floor Sinks _
Gas Service Outlets
Interceptors
Kitchen Sink
Lavatories
P-Trap
Foof Drains
Reinspection Fee � $15
Duct-UnderGround
Duct - Sttuctural
Duct - Ventilating
Exhaust System ❑ Multiple
Firepl/Fact. Blt. ICBO #
Heating System & Ducting
❑0.100,000 BTU 0100,000
Reinspection Fee � $15
CMF 0865-46, rev. 30/84 White - Builtling; Canary - Applicant: Pink - Accouniing; Goltlenrotl - Assessor
FEES
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Pipin9
Solar Tank
Swimming Pool w/Spa
Urinal
Weter Close[
Water Hea[er
Water $ervice
Auto-Wash .
Issue Fee � � 3
Hood or Typel ❑
Canopy Typell ❑
3efr�9eration System
�o`too,000sTu ❑ioo,000i
Sys[em Repair/A�ter�io% P �
Fire Dampers ��complete I
Reg�s�er�s^
�
� Isue Fee
Auromatic Washer
Construction Pole Sub.
Cooking Unit
Dishwasher
Dryers ❑Gas ❑Elec
Fan
F.A,U. '
Fixtures
Device Boxes
Outlets
Switches �
Garbage Disposal
Generator �0�5 KW C
Fee
3G57 5/23/85 '
Zone
Accessory Building:
Parking Req./Provided
ELECTRICAL
Trans(ormer ❑ 15-50 KW
❑ 50+ KW
Meter LJup to 100amps
Meter ver700ampi
Sub Panel
Motors DO-1 HP 01 h- 8
Inc. Solar �9�15 HP 016-15+
Microwave , J.,, ,
Pole Light �-
Range ��
5-75 KW Trasfi
? :
r-
$15 Issue'
FEES
DEVELOPMENTSERVICESRE�UIREMENTS:
- Zaning APProved BY .
Be�i Approved By - '
AppliotiOn IssUa1 BV �
$ 3
_ � .�. �
Compactor
Fee �
FEES
$ 3
SUMMARV OF FEES '
_"' BUILDING PERMIT $ SMIP §
PLAN CHECK §' PERMIT
PLUMBING $ ISSUANCE $
PLAN CHECK 25% $ ENERGV P.C. $
ELECTRICAL $ -oZ0 • SO GRADING S
PLAN CHECK 50% $ � MICROFILM 5
� Q,�Sd
MECHANICAL 5 TOTAL FEE $
F PLAN CHECK 25% $ �
2
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' CONSTRUCTION AND PLANNING POO. oPA
�APPROVALS Permit # Date Inspector qppROVALS Permit #` Date Inspector
7. Temporary Electrical Service or Pole ' 52. Pool & Equipment Location
� 2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement ,
3.,Electr[cal Conduit Utility-Undr9md. 54. Forms �
4.�Electrical Conduit-Undrgrnd. ' 55.� Electrical Bonding
5. Steel Reinforcement �, 56. Rough Plumbing & Pressure Test �
6- Electrical UFER Grnd. � 57. APPROVAL TO COVER-GUNITE
7. Footings� � d 58. Electrical Conduit-Undrgrnd. .
8. Foundat4on ' ` 59. Gas Pipe, O Undrgrnd:, Test � �
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 , 62. Backwash & Receptor-Final
72: Sewer Cap �� � 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
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18., Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19.� Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20.-Rough Factory Fireplace APPROVALS Permit #
27. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil
23. Gas Pipe�Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro ` �
26. T-Bar Ceiling (Structural� & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL �
30. Drywall Nailing HEALTH DEPT. REQUIREMENT - "
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED �
33. Final Electric Notes: �
34. Final Heating & Air Conditioning �
35. Final Gas Pipe-Test �� '
36. Hood or Canopy . � �
37. Final Fac[ory Fireplace '
38. Final Plumbing '
39. Water Service-Final
40. Gas Service-Final
41. Solar pomestic-Final i
42. Backflow Preventer � � '
43. Backflow Irrigation' R E D �
44. -Landscape Irrigation System ���p pfete Inspections „
45. Sound Attenuation �
. �
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison �.
50. Gas Release to Southern California Gas Cu , � , '
51. CERTIFICATE OF OCCUPANCY i � ' � ��
� No. Date ' � , �
City of Costa Mesa
Building Safefy Deparlment
P. O. Boa 3 V
Cmra Mem, Califomio
CERTIFICATE OF OCCUPANCY N� 1939 C
The Building located at Fr "rr.tr. li.t-h ^t.�nt
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group F—� "• ��2 Occupancy.
Use of Building .�.�:il.17tu2'c F.,icutiio _
Legal Description 11�-1.)2-2F
(Sae reverae side for Mate� and Bounds)
Building Permit No. ?'�7A7 Eledrical Permit No. a���a _ Pl�mbing Permit No. ����`�?
Floor Load Signs have been installed as Room Capacity Signs have been instaled as
required under Sec. 2308 U. B. C. . required �nder Sec. 3307 (1) U. B. C. _
17050. CERTIFICATE Of OCCUPANCY. (o) No apartment house, hotel, or lodging house shall be used or occ�pied
until the owner or operator has been issued a valid certificate of occupancy by the enfortement agency.
(b) A new certificate of occupancy shall be obtained whenever there is a change in:
1) Occupancy classification of a b�ilding or portion thereof
2) The number of apartments or guest rooms
3) Ownership
If Group H Occupancy, number of apaAments and/or guest rooms as required under Sec. 17050.1 (d), California
Administraiive Code, Title 8, Chapter 9, Article 8.
Number of apartments and/or guest rooms
ISSUED TO: B�ildin�f�cial �
CEO:$�L' iTJ1LL bY . '^"""""
Date .iulv 6. l..< �
This Certificate of Occupanry SHALL BE posted in a conspicuous place on fhe premises and SHALL NOT BE removed
except by the Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.C. Foro, sva+—iai—�i-es—s-a r
r
.r -
: ' 24707
� COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 � GOSTA MESA. CALIFORNIA 92626
for Applicon} to F711 In Completaly
TYPE OR PRINT
eviw��o �2 \,� _ � 0 ST
ADDRE59
COSTA MESA. CALIFORNIA
OWNER G-EaIZGE �1-iALi.-.
�—
ASTATB � THL. � �'
�( LIC. NO. NO.
6 61ZE �� �._ ��w-1 � wo.e���ea
� �ereeeR un� reor
DESCRIPTION OF WORK
r�i
!►f/[xE \VOCL'K kTLE(t—�-�o�
DE516N P•Mtil ER -- nG c
1 MOt�T IICRNOWL6D06 YMAT 1 M1�V[ 11fAD TII� AIPLI�
11NO 9iATH T!{AT SN[ A60� �� WRRtR�AHG AOR[t TI
PLY WITH ALL CITY OHDIl1AMC�I,AND A O Y
lUILOINO CONBiRYCT10N. •
816NATURB O►
PfiRM17T8
�AVTHORR[D AOtNT
CITY OF C��SrA MES
SEP 17 1965
APPLICATION FOR PERMR
11[C[I'T No.
U
ZONINt3 .
aox Ho.or ua[orncw
`�'n _ �un� � em�omo
o�i eimon 7�—!i—% �� 90 y-YAa.�.n.�A . �
A. P. NO. /I � lI � `� S— �
N0T6: NOBAVQOV[RNAN68HALLBELE88THAN �
90' TO SID[ S RBAR P. L
PJ1VE8
ALlOW6D (U.B.C.RECUIRHMENT) /�
YAROB /�PPROYBD YI�H09 APPROYBO ' `
MAINBUILDINO ACCEY80RYBUILDINO �
<PROMC/L4TR6Fr) �/
i
PRONT O' PT. }
R. BICi � RT. � PT. �
RBAR ✓ �/ RI'.
DIIITANCt ER. BBT. I
MAIN BLD • ACCE
y/�, jj DAT6
0
O � �
V t�1 FOp cnrnl . nF �1�...-� i—..Ir.� �
D ec. vr. � �
TN[ AYOUHf ONOWN ON061i VAWATON �e IOR TH6 j
Fl1RP0![ O! (OTAOLIOXIHO I� PBRNIT I88 OMLY. a
VALUATION , < 1 �
�V
PERMIT FBH p
0
s / `"
/f� ��l�' av
TOTAL FE8
,
F��' �: 22��
COSTA MESA BUh'DtNG-SAFETY DEPARTMENT
P.O. BOX 9f7 C08TA M88A, CALIFOqN1A
For Applicant to FiU In Completely
TYPE OR PRI�
ILDIN6 �i
DRESS ,� �(
_COSTA MESA, _CALIFORNIA
■ MAIL
l�
FEE RECEIVED
AUG 17 1964
fINANCE DEPT.
CITY OF COSTA MESA
APPIICATION FOR PERMIT
BUILDING
For Office Usa Only
I R6C8i/T NO, pP$Fft{ NO.
RCClI sr
BUILDIt/0 �
ADORfi58
� FIRH 2
ZONH
` APPKOVEO
�� BY
�"v`� � 1
TBL. �
NO.
/ I rl �� I NO. OP BLD08.
BETB�CK LINB PHOM
CENTER OP BTPEBT REAR �
61D8YpRDI LEFT RI6HT
DESCRIPiION OF WORK
WALL
I� USE
1 NEfl$BY ACRN LLOOB TNI�T I
AND 9{AiH TMA N ABOVB (8
PLY W�TM ALL 1 ROINANC88
BUILDINOCONB P ON.
61GNq7URE O
PERMITTE
AUTHORIZEDA6ENT .
f8: NOEAV80VER
' TO 81DH 8 REAR
�E6
.oweo
YARDBAPPROVEO
MAIN BUILDINO
20M C/L BTREET) �
VAR. QF
fYPE GROUP` �+ �
DATH �
ZONING �D
U �ee op �aw �
euao�rvo �
�,G ) 1'
-�/�-3�-`.
HAN6 SHALL BE LE88 THAN
P. L
I I I
(U.B.G.REOUIREMENT) \ �
YARDSAPPROV6D �
ACCESSORY BUILOIN6
OATE
e
ar�
TH8 AMOUNT BHOWN UNOeH V�LUATION 18 POP THE
PURP088 OP 88TAB118XIN0 A PBqMIi PH8 ONLY.
VALUATION m� f�
PERMIT FHE S 3
$ 3� ,