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