HomeMy WebLinkAbout360 18TH ST - Building PermitsCITY OF COSTA MESA. - .
CONSTRUCTION PERMIT
Applieanl l0 fill (n all ipaces except those within �eavy �ortle� lines anA sign all approortate tleclarotions.
. ' , � iZlyl —
Project Address 3(��1 G �/ LtJ ' JT.('t�T •
ApplicanYs Mailing Address _S � � "
Owner's Name � � — C hone -��S73S
Address �^n � � �� �T�' �
Arch/Eng. ' . LiCense No. , _
Address'
Contractor's Name Phone
Address (mailing)
City License No. , � , - .
LICENSEO CONTRACTOR DECLARATION •
1'hereby affirm fha[ I am Iicensetl untler provision5 ot�C�arter 9(commencing �
witn section �000) of Divlsion 3 of Ihe BuslnesS antl ProteSzions Cotle, an❑
my Iitense is in full forte antl effect. ,
LJcenie Class LlCense No. ,
Dat¢ $i9natura
WORKERS' COMPENSATION DECLARATION '
,.�� are�y'alfirm tnat 1 have a cerUNcace ot consent to zelf-insure or a cerNticace
s'^Workers' Compensatlon Insurance, or a cerqfietl copY thereof (Sectlon'
��'=�00. Lab. CJ . •
Policy No. � Company �
eCertifietl copy I5 hereby furnishetl. ' �
Certifietl copy I5 file0 with the city Builtling Di�ision.
Date Appllcant
EXEMPTION FROM WORKERS' COMPENSAT19N OECLARATION
(This section naetl no[ be completetl if the permit is for one huntlretl ($100) or
less) '
I c¢rtity thdt in tne pertOrman<e of the wo�k tOr,Whlch thi5 perT�t is i55uetl I
shall not employ any person in any manner zo,as to become subject to t�e
Workers' Compensation Laws of California. ,
Datn Si9nature
NOTICE: It,'aftar making thls tletlaratlon, you ShoWtl become subject to the
Workers' Compensa8on provisions of the Labor Cotle, you musf fort�with
comply with such provisions or lhis permit shall be tleemetl revoketl. ,
CONSTRUCTION LENDING AGENCV " •
I nereby afflrm that there iz a construcUon lentling agency for tha performance
of the work (or whicn this permit Is issuetl (SecHon'�3097 Civ. CJ
�Lentler'S Name
LEntler's Atltlrezs
OWNER BUILDEH OECLARATION ,
I hereby a(flrm that I am exempt trom Ihe Contractor's License Law (or the
r�un.,,�na reaaon ��ction ]031.5 Busine55 anU Professional Cotle: Anv Gtv or
�refrom antl the basis far tne anegea exempuOn. Any vioiaLon ot Secvon
31.5 Cy any applicanf for a permit zubjects the aoP��cant to a, civil
,�e alty of'.not more than flve huntlretl tlollars (§500)..
1, as Owne� o( th¢ P�operty Or Ty emplOyQ¢s with wages as their Sole
compensation, will ao the work, antl the ztructure is not intentletl or offeretl -
for sale (Soction 7044, Business antl Professional Cotle: The Contractor'S
License Law tloe5 Oot appty [O an owna� of a prop¢�ty who.builtls or improves
theraon; and who tloes such work Nmself/herse�f or throu9h his or her own
employees, provltled that such improvements are not Intentletl or offaretl for •
sale. It, howaver, [he builtling o� Imp�overtient I55oltl wifhin one year of com-
pletiOn, the own¢r wlll hav¢ the bu�tlen Ot p/ovl�g h¢/She tlitl n0[ builtl o� Im-
�rove for the purpose of sale). '
I, as ownor of the property, am exclusively contracUng with Ilcensetl con-
Vactors to mnstruct the projecf (Sectlon 7044, BUsiness antl Professions Cotla: .
The COntrdttOr'S LlcenS!-13w doe5 nOt ap01y [b an ownef ot pfoper[y who
builtls o� Improve5 the�eon, dntl who conVaGts }or 5y� h proj¢Cts wifh a con-
tractor(5) Iicense pursuant to the Contractor's Li Tcen� l�aw�
❑ I am exemot untler Sectlon���- � d&/P: C. for this reason
Date Owner' w--�'
I hereby carHiy tha I have reatl tn applica on antl state Ihat the above
i..o....,w�,... �. �....a�� n aa.nx tn u.mow with ali citv ann cnuntv ortlinances
orrverr ucense or o> �
CMF0865-46 rav. �/83 - Whlte
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0
TYPE OF CONSTRUCTION LJ NEN(' LJ ADD lJ ALTERATIOPJ�,�J REPAIR �
❑ CONVERSION ❑ DEMOUSH ❑ OTHER �P�fl« �jp # ,' � � .
DESC�TIO�O�F WOR,Ii ���0 CLER P{WC'C
f�i CC '^ IG�O A�'ii7V�_17 E Main Building:'.
TVPEOFPERMIT GRADING FOUNDATION STRUCTURAL T FfOnt _
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL . A Reyr �
O •OTHER �
PROJECT DESCRIPTION 5t�. F7. T oCCU�N�Y_ __ C Rig4t
CONSTRUCTIONTYPE VALUATION �Q3.1� g Left
20NE � GRADING CU.YDS. ACRES p�ng. Ref.9k
Remarks: � � � � � � � Parking Req.IProvided
- � � UseotBuildirg:
� � PLUMBING • . FEES P�anning Notes: � �
3ar Sink
3aCkflow Preventer �
3ackflow Irrigation �
3athtubs '�'�
Clarifiers � ' . '
�IShNfd5h2f .
Drinking Fountains
Floor Orains�
Floor Sinks a .
Gas Service Outlets
Intercep[ors �
Kitchen Sink
Lavamries �
P—Trap �
Roof Drains.
Reinspection Fee� $25
uct- Under Ground
uCt - $tfuCtuf81
Duct � Ventilating
Exhaust System ❑ Multiple ❑
Firepl/Fact. Blt. ICBO #p?��
Heating System & Ducting
❑P700,000 BTU 0100,0008T
� -' ' . I � I Reinspection Fee . I � $25.
: Canary - Appliwn[; 71nk - Attounting; Goltlenrotl - Assessor
Showers
Sewer Cap '
Sewer Connection
Solar Collectors
Solar Pipin9 �
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Issue Fee
Hood or Typel ❑
Canopy' Typell'-❑
❑aioo,aoosru ❑ioo,000el
System Repair/Alteration .
laue Fee
$ 3
FEES
$ 3
Automatic,Washer
Cooking Unit,
2760 , I /20/84 .
�- 2one �
'AcceuaryBuildi�g: �
�
� Park.Fees $ -- � � . �
��
ELECTRICAL � ,
Transformer ❑ 15�50 KW
❑ 50 + KW
� Meter �up ta 100 amps '
Meter �over 100 amps �
Dryers LJGas LJElectric
Fan
F.A.U.
Fixtures
Device Boxes .
OUtIQti
Switches
Garbage Dispoul
Generator �a5 KW 05-15 KW
PUBLIC SERVICES REO
Zoning APPraved BY�
Application Approved By
BU�LDING PERMIT
PLAN CHECK
PLUMBING
PLqN CHECK
ELECTRICAL
PLAN CHECK
MECHANICAL .
P�ANCHECK �
51.12 TL
9
FEES
Sub Panel ' .
Motors 061 HP O1'h - 8
Inc.Solar 09-15 HP Ot6-15+
' Microwave
Pole Li9ht �
Range �
Sign
Standing Sections .
Trash Compactor
$25 Issue Fee ' $ 3
i' � '�/�
Dete �
Date � r�..g�—. �
, /!/� / .._._ //.,F�l/!
O
N
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N
G
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Q
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$ S M2ARY OF FEES
�/ / 2 SMIP $ • s�
$ PERMIT ,
$ ISSUANCE • $ �
g ENERGV P.C. � $
g - GfiAOING $ �
g MICROFILM $
� �',� TOTALFEE $ �
$ • i ��
CONSTRUCTION AND PLANNING POO. ;PA
APPROVALS Permit# Date Inspector qppROVALS 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. ' 54. Forms �
-4.-.Electrical Conduit-Undrgmd. 55. Electrical Bonding '
5. Steel Reinforcement � 56. Rough Plumbing & Pressure Test �
� 6. Electrical UFER Gmd. - 57. APPROVALTO COVER-GUNITE ��
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation � 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash� Lines, P-Trap, O Undrgrnd.
10. Structural Floor System - � 61. APPROVAL TO DECK �
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final -
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains " 64. Plumbing System � Final
14. Rough Plumbing , - - � 65. Electrical-Final
t_5. �Rough Electrical-Conduit ' � 66. Solar System-Final ' '
16. Rough Electric Wiring � � 67. Fencing & Access Approval -
1,7. 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 2-3_8Y �!//Q APPROVALS Permit #
N-t
21� Ducts, in Structure - � ' 70. Underground Hydro
22. Ducts, Ventilating � 71. Product Piping O Gas ❑ Oil
.23. Gas Pipe-Rough & Test � 72. Underground Flush
�
24. Hoof Framing . � 73. Undergmd. Storage Tank � Gas ❑ Oil
25. Roof �Sheathing 74. Overhead Hydro
v
26: T-Bar Ceiling (Structura0 & Monocoat � � 75. Dry Chemical
27. Freme 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. Firial Factory Fireplace j�/J�d'�/ � '
38. Final Plumbing , �
39. Water'Service-Final • i �
40. Gas Service-Final � ' �
41. Solar pomestic-Final ' _ � . '
�
42. Backflow Preventer � ' -
43. Backflow Irrigation � � �
44. ,Landscape Irrigation System �
45. Sound Attenuation ' ',� •� -
i'
, .•. �
46. Handicap Regulations . ;�
47. FINAL STRUCTURE & BUILOING, °��.,
.
48. Special Requirements Completed � � , � - , , 4 �'�
49. Electric Release to Edison � - - �
50. Gas Release to Southern California'GasCo
51. CERTIFICATE OF OCCUPANCY ,. '
No. � Date� ' �
• L/ �
.. ' � f..r rJ6�
COSTA MESA BUILDING DEPARTMENT
P. o. eox 31]
' COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
.. � . , �. � . .
COSTA MESA. CALIFORNIA
MAIL
AODRE55
ARCHITECT
OR E�'-�NEER
i'
ADDRE55
LEWt LOT
DE9CNIiT10N NQ.
A.P. NO�. �IZ�
SIZE �
OF LOT'
USE OF � �
E%ISTING BLDG:�
SET9RCN,LINE FROM
CENTER OF 9TREET
SIOF YARO / I
� �
�� i
REPniR �
J /�
TEL.
NO.
LIC.
NO.
J ` 6��7�G,
NO.OF BLOGS.
MOW ON LOi
SD 'REAR YARO /7
GHT , /U LEFT
}�21PTION OF WORK �
� . �
ALTERATION ADDITION
MOVING DEMOLISH
� \ NO.OF,
ROOMS STORIES
�
FEE R CEIV�D7 � �
�- ; � i
FINA E DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
RECEIPT NO. FGqMIT�(10v
i ✓ / � p �
BUILDING ��� ✓ / bCr
ADDRE55 L Q
COSTA MESA, CALIFORNIA
— 3
FIRE i
'PRO�� / BJ%��! / DATE �/ ��Z�
� CORRECTIONS
��.c.G.�C.; � . (o�i'
BY
CITY O� C�S �.a� �y.�4ESA I II
`L '. II�OL( �•• �
PILi�ECi TO BLDG. DEPT. REG. t�
EXTERIOR WALLC UGCO COVERINGCOM� S/j/��I '
COVERING cJ
USEOFNEW Yl / /1/ , /I �X �p �J �
BUILDING � �V (/ l, q
' � �.' li-�� � ) . � —
� � _ c_.�.�J ti
I MENEBV RCNNOWLE�GE TMFT NRVE READiiN APPLICATION 1Np
STATE THGT TNE ABOVE IS COR CT AND AGAEE O COMPLY WITN qLl ,
'CITV�OflOIN�NCE9 �Np ST.�TE L�WS REGUl4TING BVILUING CONSTRUC�
T���' VAIUATION � /� p-8
SIGNATURE OF � �� � PERMiT FEE S ��j( -
PERMITTEE /
- $ /3 79.�. at PLAN CHECK $ /�^ , �
�nur�aoarzeo aceNr , TOTAL FEE S � u—