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HomeMy WebLinkAbout117 18TH ST - Building PermitsApplicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations OF COSTA MESA CONSTRUCTION PV.IT PER T NO. `3 � 7 TRACT NO. LOT NO. UNIT NO. A P # Zone ad 'Project Address .1�� FS - . Applicant's MallinyAddress Owner's Name �C.Y Phone Address %����i - #-/] A6 9k&625 Arch/Eng. License No. Address e73 S Main Building: Accessory Building: TYPE OF CONSTRUCTION NEW ADD A ERATION REPAIR L�� �� ❑CONVERSION ❑DEMOLISH ❑OTHER zs"-+�✓P�v' DESCRIPTIO NIOF WORK/USE OF BLDG. - T Front Q B A Rear N I TYPE OF PERMIT GRADING 11 FOUNDATION 0 STRUCTURAL ❑ TENANT ❑ E CTRICAL ❑ PLUMBING ❑ MECHANICAL `f ❑ OTHER PROJECT DESCRIPTION 5 _ FT. you OCCUPANCY - CONSTRUCTION TYPE VALUATION$ �.ODd, !2 ZONE GRADING CU.YDS. ACRES K Right G $ Left R J �7 7y Contractor's Nam Pone rs y Address (mailing) ���-nss- /7 9� 7!I/ City License No. C y . LICENSED CONTRACTOR DECLARATION ping. Ref. # Parkin g Req./Provided E Planning Notes: O M T S. Remarks: t. 6 IV I hereby affirm that 1 am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and ELECTRICAL FEES \ I my license is in full for�+e ants fact. License Class `-� `-' Lit nse NG.�a-7 Tnh � Date a -/J 519 t WORKERS' dOMPI LAR TION I hereby affirm that I have a certificate of consent to self -Insure or a certificate Workers' Compensation Insurance, or a certified copy thereof (Section ). Lab. C) /t cy No. lCOtilS.:S / Company S�-e t��J ICertified copy is hereby furnished. rd tl p is 'led with the city B�/ffj_r}g�IvisIO ` PLUMBING FEES Automatic Washer Transformer ❑ 15.50 KW Construction Pole Sub. ❑50+KIN Bar Sink Showers Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps Backflow Irrigation Sewer Cap Dishwasher Meter ❑over 100 amps Bathtubs Sewer Connection Dryers ❑Gas ❑Elettr is Sub Panel Date Applicant � %� ....'s.^`C EXEMPT N' ROM WORKERS' COMPENS TION DECLARATION Clarifiers Solar Collectors Fan Motors 00-1 HP❑l%-8 (This section need not be completed i1 the permit is for One hundred ($100)F.A.U.or less). I certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of California. Date Signature Dishwasher Solar Piping , Inc. Solar 1:19-15 HP ❑16-15+ Drinking Fountains Solar Tank Fixtures Microwave Floor Drains Swimming Pool w/Spa Device Boxes - Pole Light NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions Of the Labor Code, you must forthwith comply with such provisions Or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCYSwitches 1 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.) Lender's Name Floor Sinks Urinal Outlets - Range Gas Service Outlets Water Closet Sign Interceptors Water Heater Garbage Disposal Standing Sections Lender's Address Kitchen Sink Water Service - Generator 1110-5 KW E15-15 KW Trash Compactor OWNER BUILDER 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 Professional Code: Any city or county which requires a permit to construct, alter, Improve, demolish or repair 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 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 Ar;.grefrom and the basis for the alleged exemption. Any violation of Section by any applicant for a permit subjects the applicant to a civil t +iralty of not more than five hundred dollars ($500). " L I, as. owner of the property or my employees with wages as their sole compensation, will do the work, and the structure is not Intended oroffered for sale (Section 7044, Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds or improves and who does such work himself/herself or through his or her own 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- pletion, the owner will have the burden Of proving he/she did not build or im- prove for the -purpose of sale). ❑I,as owner of the property, am exclusively contracting with licensed con- construct the project (Section 7044, Businessand Professions Cotle: The Contractor's License Law does not apply to an owner of property who or Improves thereon. and who contracts for such oroiects with a con. tractors) license pursuant to the Contractor's License Law). I am aware that proof off their Worker's Compensation insurance should be provided to me. ❑ 1 am exempt under Section B. & P. C. for this reason P—Trap Laundry Trays ROOF Drains - - Reinspection Fee ' $15 Issue Fee DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By D Building Approved By Application Issued By D Dthereon, 1$a Reinspection Fee $15 Issue Fee $ 9 MECHANICAL FEES BOiI¢! Hood Or Type I ❑ yP Canopy Type II ❑ Duct- Under Ground 06EES BUILDING PERMIT $ ' 0 SMTP PLAN CHECKtractorsto $ PERMIT PLUMBING $ ISSUANCEbuilds PLAN CHECK 25% $ ENERGY P.C. ELECTRICAL$ GRADING PLAN CHECK 506 $ MICROFILM $ MECHANICAL $TOTAL FEE $ PLAN CHECK 25% $ Duct -Structural Refrigeration System Duct - Ventilating ❑0.100,000BTU ❑100,000BTU Exhaust System ❑ Multiple ❑ System Repair/Alteration Firepl/Fact. Bit. ICBG # Fire Dampers Date Owner I hereby certify that I have read this application and state that the above Information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize repre- Heatin System & Ducting Registers ❑0.100,000 BTU ❑100,0008 sentatives of this city to enter upon the above-mehtloned Property for Inspection purpqxes. SignatureDateQ4Z& `. orivers' License or SS Yt - 01 0002570E-00025707. TOT DATE: 02/03/89 TIME: 14135 Reinspection Fee $15 Issue Fee $ 3 0865-46, rev. 5/88 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor �� __. it i" •.} r .1 ,. - -. ' CONSTRUCTION AND PLANNING .`` APPROVALS Permit # Date Inspector POOL 'A APPROVALS Permit # Date Inspector �1. Temporary Electrical Service or Pole 52. Pool &Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement ! , 3�•Electrical Conduit Utility-Undrgrnd. 1 54. Forms , 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5'.ISteel Reinforcern&nt - 56. Rough Plumbing & Pressure Test 6. Electrical UFER.Grnd., - 57. APPROVAL TO COVER-GUNITE 7'. (Footings ' 58. Electrical Conduit-Undrgrnd. " 8. Foundation ,'„ !� ` 59. Gas Pipe, 0 Undrgrnd., Test ' 9.'Water Pipe-Undrgrn6. 60. Backwash Lines, P -Trap, 0 Undrgrnd. " 10:,Structural Floor System 61. APPROVAL TO DECK 11r Property Sewer Line-& House Connection-� f 62. Backwash &Receptor -Final 12. Sewer. Cap - -, •' 63. Heater & Vent -Final 13. Roof Prains - 64. Plumbing System - Final 14. Rough Plumbing • 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final .16: Rough Electric Wiring .e 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING .18. Rough Electrical -T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 7Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20'. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro .22. Ducts, Ventilating 71. Product Piping 0 Gas 0Oil 23. Gas Pipe -Rough &Test 72. Underground Flush 24. Roof Framing ! 73. Undergrnd. Storage Tank 0 Gas 0 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 Factory Fireplace 38. Final Plumbing 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation ` 44. Landscape Irrigation System - 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 Co 51. CERTIFICATE OF OCCUPANCY No. Date - i Applicant to rill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PE IT NO. TRACT NO. T N -BLDG. NO. CONSTRUCTION PERMIT 6 /$ 72 7 _ TYPE OF CONSTRUCTION WIN ❑ ADD ❑ ALTERATION ❑ REPAIR ❑ CONVERSION ❑DEMOLISH ❑ OTHER 8867 12/01/81 '24_.4_2 ZONING REGULATIONS Project Address I _ _� Z I kI IAT OwnerD�UU �-4� Phone Address Arch/Eng. License No. DESCRIPTION OF WORK _ A.P. - - ZONE(� - PLNG. REF. - 1 - Address - - Contractor aa& if Phoney S'11(Ila TYPE OF PERMIT '.`\ -C SETBACK .5 p'PLekVlryG ROPE RTY LINE _ Address Z.(o Sk �o w. ❑GRADING OC-P6i1NDATION Fl-fTRUCTURAL 11 TENANT 1:1 ELECTRICAL ❑PLUMBING ❑MECHANIC ble YARD /QV F Vq RD - LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions Of Charter 9 (com- C - W5ILEp qIG HT mencing with section 7000) of Division 3 -of the Business and ❑ OTHER Professions Code, and my license is n full f rce and effect. REAR YARD (TO P/L) / - bo PROJECT DESCRIPTION License Class L71S� Ro PKG. SPACE REQ. PROVIDED Signature SQ. FT. Oate/1-30-51 STREET WIDTH PARK FEE$ WORKERS'COMPENSATION DECLARATION OCCUPANCY- ONSTRUCTION TYPE I hereby affirm that I have a Certificate of consent to self -insure ora VALUATION �B''�'ZONE ZONING APPROVED BY DATF11 Certificate of Workers' Compensation InsurAnce, or a tertifietl opy thereof (SecSjon , ib. _). µ��T `9 GRADING CU. YOS. ACRES SPECIAL CONDITIONS: Policy No. Company A^C.A.L 7`LGz-�Y _ REMARKS: - - - h Certified copy is hereby.furnished. ertified copy is filed with the city Building Division. .MPTION FROM WORKERS' COMPENSATION DECLARATIONe- - (This section need not be completed if the permit -is for one hundred _ ($100) or less). 1 certify that in the Performance Of the work for which this permit is Issued, I shall not employ any person In any manner so as to become PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK subject to the Workers' Compensation Laws of California. BATHTUBS SHOWERS SQET - �- Date Signature NOTICE: If after making this declaration, you should become subject TOILETS URINALS GENERATOR 0-1 KW_ KW to the Workers' Compensation provisions of the Labor Code, you must_ TRANSFORMER ,1-10 - forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS APPLIANCE 10-50 KW_50 + KW revoked. _ _ KIT. SINKS DISHWASHERS MOTORS 0-1 HP -1-10 HP' CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the Per- SERVICE SINKS SUMPS - (INC. SOLAR) 10-50 HP_ 50 --HP formance of the work for which this permit is issued,(Section 3097, :FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES Civ. CJ-- - Leritl er's Name f %A� /� t Lender's Address DRINKING FOUNTAINS GAS TUBE SIGNS ' ,ANTE RCEPTO RS CLARIFIERS POLE LIGHTS ' OWNER BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License -Law; for SWIMMING POOL PTRAP the following reason (Section 7031.5 Business and Professions Code: Anycity or county which requires a permit Jo construct, alter, POLES METERED SUB WATER SERV SCE ALTERATION PANELS MAIN SUB Improve, dem o lash or repair any structure, prior,to its Issuance, also re-" quires the applicant for such pernOCto-file a signed statement that he GAS SERVICE OUTLETS SERVICE - AMP Is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the WATER HEATERS BTU OUTPUT Business and Professions Code) -or that he is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by SEWER CONNECTIONS - - - any applicant for a permit subjects the applicant to a civil penalty rot more than five hundred dollars ($500). TANK COLLECTORS - as owner of the property, or my employees with wages astheirSOLAR compensalion, will do the work, and the structure Is not intended or offered for Sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. ISSUE FEE Contractor's License Law does not apply to an owner of a property ISSUE FEE APPLICATION APPROVED BY GATE who builds or improves thereon, and who tloes such work himself or through his own employees, provided that such Improvements are not MECHANICAL PLAN CHECK SUMMARY OF FEES Intended or offered for sale. If, however, the building or Improvement Is sold within one year of Completion, the owner will have the burden of proving he did not build or improve for the purpose of Sale). HEATING SYSTEM 0-100,000 BTU BUILDING PERMIT $ / y., o _ SMIP E ' ❑ a5 owner of the property, exclusively contracting with AND DUCTING licensed Contractors construct the project (Section Business p 100,000 +BTV PLAN CHECK $ ?� PERMIT : es not and Professions Code: The Contractor's License Law does not apply to and _L�, ISSUANCE E an owner of property who builds or improves [hereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING E tracts from such projects with a contractor(s) licennetl pursuant to SYSTEM GRADING $ the Contractor's License Law). 100,000 +BTU 'PLAN CHECK $ ❑ I am exempt under Section B.8 P. C. for this BOILERS BTU ELECTRICAL S , $ reason SYSTEM REPAI R, ALTERATION EXHAUST SYSTEM MULTIPLE PLAN CHECK E - MECHANICAL $ MICROFILM $ TOTAL FEES LESS AO- Date Owner thereby certify that I have read this application and state that the above informalion is correct. I agree to comply with 511 city and county PLAN CHECK $ VANCE PC- ordinantesantlstatdClawSrelatingt-const ruct i on, and hereby authorize representatives f/thi5 City O enter upon the above mentioned property for pection u oses. nn FINAL FEE E Signature Date %1-253. Ll _ - Drivers' Li ense or SS 9� ISSUE FEE I ' CMF 0865-46 White -Building; Canary -Applicant? Pink-ACCount(ng; Goldenrod -Assessor T LI Ii u 8/ CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector _ POOL & SPA Date Inspector APPROVALS Permit # ; 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. Soil Pipe-Undrgrn 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms - 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel ein orce .g/ 47. Rough Plumbing & Pressure Test 6. Electrical LIFER Grn - 48. APPROVAL TO COVER-GUNITE 7, Footings 4, t.-_ 49. Electrical Conduit-Undr rn 8. Foundation 50. Gas Pipe, ❑ Undr rn, Test. 9. Water Pipe•Undrgrn 51. Backwash Lines, P -Trap,❑ Undrarn r 10. Structural Floor System 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. Backwash & Receptor -Final 12. Street Sewer Connection - 54. Heater & Vent -Final 13. Rough Plumbing ,._ - _ 14. Rough Electric -Conduit 56.' Electrical -Final 15. Rough Electric -Wiring r 57. Solar System -Final 16. Rough Heating & Air Conditioning ��-Fencing & Access Approval 17. Ducts in Structure - APPROVED FOR PLASTERING 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL , 19. Gas Pipe -Rough &Test 20. Roof Framing 21. Roof Sheathing NOTES: . 4n -,a_ 22. Frame and Flashing 23. Insulation 24. Lathing & Siding 6 - 25. Drywall Nailing / -3-- 26. Plaster Brown Coat )1 S2' . 27. Electrical Power Meter -Final ja 51 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 Domestic -Final 35. ' Landscape Sprinkling System. 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING / q9- 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date