HomeMy WebLinkAbout932 18TH ST - Building PermitsORANGE COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT �
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STREET
PLOT PLAN
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COSTA MESA BUILDINGSAFETY DEPARTMENT FE,/�E RECEiV�D
P, O. BOX 31] COSTA MESA. GAI.IFORNIA `Yi'�� � z� �"' -'�S
FINANCE DEPT,
fOR APPUCANT TO f/[[ /N OM LETELY APP�4�/�iQ�'�C1�t'f�ERMIT
i ,E OR PRINT � BUILDING
BUILDING
ADDRE55 r
COSTA MESA. CALIFORNIA FOR OFFICL USE ON(.J
F. ` AI G RECEIPT NO. I �ERMIT N�j
OWNER -/- �"^h
Mp�� � �/ b,vRb v�,c� A��. RECE 6D Y O REC¢IVED I��q1TE i SU �
ADDRESS �"� S Y / a
CITY osTH /i%ES/i TNO!)/U ��/V A�D EISS O
ARGHITECT /p � /�� ��c. � COSTA MESA, CALIFORNIA
OR ENGINEER �� l �N / NO. .,
ADDRE55 � � S •A �QV C FIRE �
// ZONE TYPE GROUP .
� /` N � LIC.NTO. �`PPROVED "" %i
CONTRACTOR BY •DATEI I
wooRess J � �iS /'r%j0✓}' ONING �
i �j'
LEGAL LOT L {K p�'J7 ZONEy / NO.OF USE OF NEW���C� ,
OES 10 I NO. /OO l' 1�LOCK I �,y' // / I PLAN9 �UILDIN6 � �' �_
A.P. NO. •• _/p[D� � _ 3S�R^ y APPROVED � v .
Y C . /DAT� — F�-
ISIZE /2 HO.oFaLOGs. ypRDS '�EVES
OF LOT o' � X �OO I now oN �Oi � REqUIRED ALLOWED
USE OF ICENTEH L�NE BT.) �^
EXISTING @LDG. �SI CN A FRONT J FT. IN.
SETBqCK LINE FHOM � I � , 2
CENTER OF 5TftEEi REAR YA� {�,SIOE `'FT. IN.
SIDE VARD I LEFT ' I RIGHT L. SIDE FT. ^ IN.' y
DESCRIPTION OF WORK }� � n
REAR � �.FT. / � � IN.
NEW I II ALTERATION I II ADDITION I •'1 �n(�
REPAIR I IIMOVING IXII^�OEMOLISH I �� �/� V^^ y �
ZEOING� Q 'jl ROOMS�L �• � 5fORl 5 / n "� � V
/ �E%TERIOR WAL ROOF � A �
COVERING �T�CO COVERIN � �v �
USE OF BU DIfG��D W01jif TO E PERFO ME� ' ���
t 3 , �/ \
_ �
I XEREBY pCNNOWLEOGH THAT � HAVE READ TN18 APPLICATION THE AMOUNT 9HOWN UNDEN VALUAT�ON IB FOR THE
RN� BTATE THAT THE ABOVE IS CORRECI AND pGPEE TO COM�
PLT WITN pLL CITY OH INANCES ND TE LAWS REGULATIN6 PURp08E OF ESTABLI9HING A PERMIT FEE ONLY.
aui�oiHc coNSiRu i . VALUATION 1 1 ,
Y
SIGNATURE OF '? • PERMIT FEE Sl �'�_ � J
PERMITTEE I �� �
g �� � PLAN CHECK $ �/
AUTHORIZED AGENT TOTAL FEE $ O�// �
ADY���nl to IIII In all iDaees withln
CITY OF COSTA MESA _� VERMIT o
CONSTRUCTION �ERMIT �'/S�%
Addrea
License No.
Address
Contmctor � I � 5 ��'�;yf Phone
Address ��/4�i��r. /Y:iiiFs:.i.
EorAer Iines anG sign all aoV�oDriate Oaelantion
TRACT NO. LOT NO. ; BLDG. NO.
TVPE OF CONSTHUCTION
� ❑ NEW ❑ ADD ❑ ALTER,.�A,�TION
❑ REPAIR ❑ CONVERSION L7DEMOLISH
❑ OTHER
DESCRIPTION OF WORK �%ln'� �
1 hereby e/fl!m that 1 am Ilcensp� under pfovlslons of Charter 9(com-
mencing with section 7000) ot Dlvislon 3 of the BuSiness antl
Rofesslons Cotle, .antl my Ii�nse Is In full force antl alfect.
LltenTe Class Licanu No.
Date Slgnatur0
WORKERS'COMPENSATION qECLARATION
I heroby a(flrm Itwt I have a clrtlllwte oi wnsent to self�nsum or a
certi/iwte of Workers' Compe�satlon Iniurance, or a certlfleO topy
t�ereot(Settion 3800, Lab. G).
Pollty No. COmDa�y
[� '"vtlfletl copy I5 hereby /urN=hetl.
� NfIeU <opy IS fllad witn tha City BUIl01ng Olvislon.
fl.__MPTION FROM WORKERS' COMPENSATION DECLARATION
�This settlon neeC not �e com0leteA If the pefmit is for ona hunE/eO
E300) or lesl.
cert(/y tnat in the perbrmanc� of tha work for which t�is permll I5
zub)ec� toSthe1Worke sQ�Compens�(i�ryrlpws�Y Calitornlo as to become
Dale ��`�� �� Siqnaturp �IrJ
NOTICE: If after making this Ceclaratlon, you shoultl becomo sub)oct
to lha Workers' Compensation provlsions of [ha Labor Cada, you must
fort�with comply wit� such pro�islons or this parmlt ihall be tleemetl
revokatl.
CONSTRUCTION LENDING AGENCV
I hareDy a/tirm thal l�era Is a cpnslructlon lentling agancy for t�a per-
lormance oi lhe work /or which t�is parmlt I5 Iisuatl (Sectlon 3097
Civ. CJ.
L¢nOcr's Nama
L.entlerY AUtlrai
a
9(<ommanNng wllh 5e�tion 7000) ol Dlvislan 3 of t�e
ana vrdessions Cotle) Or tha[ ha 15lx0mpt therefrOm antl lha
the alle9etl exemption, Any Nolation of Section 7031.5 Ey
�AUOt fo� a plrTit subj<C[s [�e applitdnt f0 a clvil p¢nalty
iore Nan Bve nuntlraC dollars (5500�.
ownOr ol the p/operty, O/ mY amployees wltn wapas as thelr
'� Liconse Law does bot apply lo an owner ol a properry
or improves thereon, antl who tloes such work himself or
nwn nm�lovees. omvinnn tnat such Imorovemenls are noi
Is SoIO wl[bin one y0a� o� COTplelio0; l�p �OwnO/ wiil Oava me eumen�
oi proving he tlitl nol bulltl pr improve far lhe OurOose ol ule).
❑ I, as owner o/ the pro0e�ty, am exclusively contracting wit�
Ilcense0 contractors to tonstruct tne profoct (SecNon 7044, Buslnnss
dnE Profes510ns CotlO: The Cont�dttor'S Liceusa Law tlols nOl appty to
an owner of property who builtls or Improves thereon, ane who ton-
tra<ts from such prolects wlth a contrattor(s) Iicesnetl pursuant [o
lhe Contractor's Llcense Law). ,
❑ 1 am exempl untler $eGtlon B. 3 P. C. for Ihii
reawn
Date Owner
I bereby certify l�at I �ave reatl this appll�atlon ana state that lha above
In/ormaUon is correcL 1 d9rtt to comply wRh all d[Y antl county
ortlinances antl state laws relating to cons[rucUon antl hereby authorize
fCpfetGOtatives of thls City IO enter upOn t}I¢ a�Ova mentlonetl
property' f0� Spec on Ou�Po 5. � � Cr
$I9nature Date ��'Zz�u/
Drive�i' Licanse or 55 �
CMF 0865-46 White-Builtling; �nary-APP���nt; Pink-Actounting; G
TYPE OF PERMIT
❑ GRADING ❑ FOUNDATION ❑ STRUCTVRAL
❑ TENANT ❑ ELECTRICAL ❑PLUMBING ❑MEpiAN
❑ OTHER
PROJECT DESCRIPTION
SQ. FT.
OCCUPANCV�RUCTION TVPE
VALVATION ZISFJE
GRADING CV. VOS. ACRES
PLUMBING 7LANCHECK
BATHTUBS SHOWERS
TOILETS -'. • URINALS
LAVATORIES OOUBLELAVS
KIT. SINKS DISHWASHERS
SERVICESINKS � SVMPS
FLOOR SINKS FLOOR ORAINS
DRINKING FOUNTAINS
INTERCEPTORS CLARIFIERS
SWIMMINGPOOL PTRAP
WATER SERVICE ALTERATION
GASSERVICE OUTLETS
WATER HEATERS BTU OUTPUT
SEWER CONNECTIONS
SOLAR TANK COLLECTORS
SOLAR PIPING SVS.
ISSUE FEE
MECHANICAL vtArv cHECK
HEATING SYSTEM 0-300,000 BTU_
AND DUCTING 100,000 t BTU _
REFRIGERATION 0-100,000BTV_
SVSTEM 100,000+BTU_
BOILERS BTU
SVSTEM.REPAIR,ALTERATION
EXHAVSTSVSTEM MVITIPLE.
ISSUE FEE
A�P. _
ZONE
7280 10/22/81 39.00 TL�
,. . _..
INING REGULATIONS
I
PLNG. REF. � .
REAR YARD (TO P/L)
PKG, SPACE RE�.
STREET WIDTH-
CONING APPROVED BV
iPECIqL CONDITIONS:
RICAL
PROVIDED
PARK FEE
PLAN CHECK
GENERATOR 0-1 KW_ 1-30 KW �
TRANSFORMER
�APPLIANCE 10-SOKW_SO+KW�
MOTORS 0-1 HP_1-30 HP �
(INC. SOLAR) 30-50 HP 50 � HP _
•FI%TVRES OUTLETS SwITCHES
GAS TUBE SIGNS
.POLE LIGHTS
PANELS MAIN SUB
SERVICE AMP
APPLICATION APPROVED BV DATE
U1YIMARV OF FEES i�
BUI�DING `�
PERMIT f- �"SO SMIP = v
PLAN CHECK f PERMIT
PLUMBING E �- � �SSVANCE E
PLANCHECK s GRAD�NG S
ELECTRICAL f s
PLANCHECK S MICROFILM S
MECHANICAI S TOTAL FEE E
PLAM CHECK S LE55 AD-
VANCEPC S
FINALFEE b�
CONSTRUCTION AND pLANNING POOL•&'SPA.. . - �',`� • '� � • �
Date Inspector� Date Inspector
APPROVALS �3�=���QlPeimiti# APPROVALS • Permit# •
1. Temporary Electrical Service or Pole 43. Pool & Equipment Location '� �- �
Soi ipe-Undrgrn . � - - - - 44. 'Steel Reinforcement -
� 3. lectrical Conduit Utility•Undrgm �' - - ' 45. Forms •
j 4. Electrical Conduit-Undrgrn 46. Electrical Bonding '
. tee em orce . � 47. Rough Pluriibin & Pressure Test �
6. Electrical UFER Grn �� 48. 'APPROVAL TO COVER-GUNITE
7, ootings � � 49. Electrical Conduit-Undr rn "'�� �
� 8. Foundation - - 50. Gas Pipe, ❑ Undr Rl, TBSt •
9. Water Pipe-Undrgrn - 51. Backwash Lines P-Tre -❑� ndr m' ' '
10. Structural Floor System , 52. APPROVALTO DECK - - -- -- ---
11. Property Sewer Line & House Connec[ion •' - �53.\ Backwash & Rece torFinal .' � � �-�
� 72. Street Sewer Connection ' � . . . 54. Heater & Vent-Final � � � ' ' �
13. Rough Plumbing - -- -- - ------ - --- - - ' - - � • �
' 14. �Rough Electric-Conduit :56.. . Electriral�-Final . - � ,,,".-,�:
15.--Rou h Electric•Wiring� • • - -- - � 57. Solar System-Final �- �• ' � ' � ' � ``
16. - Rough Heating & Air Conditioning encing &.Access Approvai •,:
17. Ducts in Structure � � � APPROVED�FOR PLASTERING
18: Ducts, Ventilating - '� � i � _- �
19. Gas Pipe-Rough &Test. � - 60. POOL/SPA SYSTEMS FINAL � � �
20. Roof Framing - ' � � ' � �� ' � �i " '
21. Roof Sheathin �� � ' ' � - , . , ., . , . -
22. Frame and Flashin � ' NOTES: � - � � �
23. Insulation � � ' '
� 24. Lathin & Sidi�g � � �
25. Drywall Nailing � � � � � ' � � - - ' '
26. Plaster Brown Coat ' � � - � '�
, 27. Electiical Power Meter-Final • • r ' - ! ' � � � ' '
• 28. Final�Electric � � � � � '
. 29. Final Heating & Air Conditioning - � �. � ' � � � ' '
30: Final�Gas Pipe-Test ' - � �
31: Final Plumbing �
32-. Water Service-Final � ' � ' � � � � '
33. Gas�Service-Final '
34. Solar pomestiaFinal � � � • -
, 35. Landsca e S rinklin S ftem t` � '
36. Sound Attenuation -+>�-+'�-- - �
37. Handicap Regulations• ' - � - � - - � �� ' -
38. FINAL STRUCTURE & BUILDING
39. Special Requirements Completed • ' � -- - - ' �
40. Electric Release to Edison � � � � -- - - -- � •
� 41. Gas Release to Southern �ylifornia Gas Co. ' " - �
42. CERTIFICATE OF OCCUPANCY '
.. :f a ._ -- - -- � - � - -- � ..
� No Date - - -. . � �