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HomeMy WebLinkAbout297 17TH ST - Building Permits • • 3 i 098 NOV 14-6PAM 00 598 f*****5.00 COSTA MESA BUILDING-SAFETY-DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely� REX,By D��RECEI�E� BUILDING l� 97 /74., tyTJ! �!� IO °Ji'/9-UED 61 ADDRESS PERMIT Q OWNER 'PO c._•ek-IOC DII CO . A.P. NO. I/�'�/9a —aJ ©93 /.{ / BUILDING ,y ADDRESS/23 S laehh,/ RI ADDRESS 1 L'7 Z . YY W W f TEL. �J— �/ ,/ d U CITY ,SA i 1 c� S // , , r NO. -6 TRACT {y(�/ / i LOT yL BLOCK I—Z Z CONSTRUCTION NEW ADO ALTSR REPAIR MOVING DFMOI ISH OI- LENDER am n J 7 BRANC 01 ce ! C' m' AODRE • VALUE J t` ARCHITECT USE $ Q OR ENGINEER '• ZQ FIRE / W CC ADDRESS ZONE TYPE GROUP p_W APPROVED Lu O CONTRACTOR D Dudek 0 f/f. i-fl • BY DATE /'� Z (l • t/ Jcc ADDRESS /774.1 ComIin Pt 5/.Lu Lli /p� X��- z� CITY Qran Q Ca.I.i NO.,�31-350$ LiN_. '_s PLANS 0 BUILDINGE NO.OF USE OF S / TEL. 0 STATE Qn q9 / CITY In `Q YARDS APPROVED ACCESOS SORPBUOILDDING V) LIC. NO. J d J d LIC. NO. J J V r 0 (FROM C/L STREET) SIZE NO.OF BLDGS. //lI OF LOT / I NOW ON LOT /.. FRONT FT. FT. USE OF /C -4 t � .l / EXISTING BLDG. 5(1.vice $ /oh �4. R SIDE FT. FT. I— SIZE OF NO.OF 1_ , Z NEW BLDG. ROOMS STORIES _ L.SIDE FT. FT. Cr EXTERIOR WALL ROOF _ COVERING COVERING REAR FT. FT. \ USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& MAIN BLOCS. 1 ACCESS. BLDGS. li 7 i L demo l L�( CE VAR.# v DATE O �U(Olin,7, O O /i C.U.P.iW APPROVED APPROVED I f��r]]]J�/ J//I / Z \ _9Y V"I/ "ATE of iq G, O I hereby acknowledge that I have read this application and state 14\1/4 ` l CCthat the above Information is correct and agree to comply with CC ✓"C, J7� all laws regulating building construction, and I shall not employ I— any person in violation of the workman's compensation laws of co the State of California. e) ? I hereby certify that I am properly licensed as a contractor under SO. FT. to — the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: m am exempt from the provisions of the State of California Business C VALUATION and Professions Code,D' s n 3,Chapter 9. �/ ,' m U" PERMIT FEE $ cy n D Signature of // /I� Permittee I �/ (�✓ $ /OD PLAN CHECK $ E VVge u Authorized Agent TOTAL FEE $ • o Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. PERMIT NO. TRACT NO. LOT NO. U IT NO. CITY OACOSTA dressQMESA CO]N TR 5UCTI�N�}•PERMIT N ✓ n- A.P.'IW c 5 - a a5 Zone (�_5 Project Address-�T+�s �. 1 G • �T! 1 �� � - ""777"`CCCIIIJJJ �` Lilt- \"!1 - rr 11 S Main Building: Accessory Building: Applicant's Mailing Address is fit 4f'T OL.l TYPE OF CONSTRUCTION X NEW u ADD ALTERATION U REPAIR E Z ❑ CONVERSION ❑ DEMOLISH ❑ OTHE T Front 0 Owner's Name t`sv,�j^,7�AL ('''�(�� Cori Phone �lZly DESCRIPr 10 OF WORK/US OF B PG. rAirriA• i I B Rear N Address /�/�> P ( �.A-"`'' �IJ��P��/��yyhe\ i�a/. i� _ - ' / Q� - A I 1 \ r� G 12�(� TYPE OF PERMIT ii GRADING • FOUNDATION i� STRUCTURAL C Right N -+t Arch/Eng.g � � s License pNop.�� ISI K G Aai.Ir�ess 380n W I , ••1 s 5ure s--,L ' ❑ TENANT Ip.ELECTRICAL ❑ PLUMBING ❑ MECHANICAL $ Left R I ' Contraci:X's Nam "l�' Phon I ❑OTHER I Ping. Ref.'4 ' Parking Req./Provided E tea i G PROJECT DESCRIPTION SQ. FT. OCCUPANCY �l Q - . Address(maaingl L �C � Planning Notes: la I nd I yi WELL , M CN ss 7LS 0 CONSTRUCTION TYPEN VALUATIONS , �o`—�pt .e �t ����`/� / J + , T :City License No. ! ZONE GRADING CU.YDS. ACRES ` �11 in- �(�^J al `+'pll ` vv a ti • LICENSED CONTRACTOR DECLARATION --'' 11`'__,%�71L Jr_ .V / /s /4 S. I hereby affirm that I am licensed nder provision •1 Charter 9 (commencing Remarks: //111 nti t _ t R1/lP w with section 7000) of Division 3 • the Business asi Professions Code,and I my license is in 1 or e and elle: ` ELECTRICAL FEES License C gm i� �� L 11u4`�``TTtyy� Oh - t \ Date - I -el; Signature _�Q�. �\\\\_ PLUMBING FEES Automatic Washer Transformer 0 15.50 KW �� WORKERS'COMPE SATION DE LA RA Bar Sink Showers Construction Pole Sub. 0 50+KW • • 'thy affirm that I have a certificate of co ;tit to set nsur • a certificate ' 'orkers' CompensationOra or a c- tiled c•••y ther-•f (Section Cookin Unit Meter Oup to 100 amps �J, Lab. ''77 io fJC�•�Lrb Backflow Preventer Service Sink • Policy No. f� I "s Compa � a , Backf low Irrigation Sewer Cap ! Dish Meter ❑over 100 amps Certified copy is Hereby-furnished. 1I1/4 Dryers ❑ s ❑Electric Sub'Panel ort ifietl co y is filed with the city Buildi • \�\\ Bathtubs Sewer Connection\ to pplicanl - \ ��� Fan Motors❑41 HP ❑1 R-8 EXEMPTIO O WOR ERS'COMPENSA ON LAR••''N Clarifiers Solar Collectors (This section need not be c mpleted if the permit Is for o • nundre•.$100) or - less). Dishwasher Solar Piping - F.A.U. Inc.Solar 09-15 HP 016-15+ - 1 certify that in the performance of the work for which th permit Is ued I Fixturesshall-not employ any person In any manner so as to become subject • the Drinking Fountains Solar Tank Microwave L.'''.- Workers' Compensation Laws of California. — Device Boxes a Pole Light I . Date Signature Floor Drains imming Pool w/Spa 9 5-. NOTICE: If,after making this declaration,you should become subject to the e Outlets Ran Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal 9 comply with such provisions or this permit shall be deemed revoked. Switches. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Sign I hereby affirm that there is a construction lending agency for the performance Garbo a Disposal of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater 9Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator ❑0-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION - 1 I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash .S l U14te cyeLl../'G� l I trUI following reason (Section 7031.5 Business and Professional Code: Any city or • V county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays • •f 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 Roof Drains f the Contractor's License Law (Chapter 9(commencing with Section 7000) of1w -ion 3 of the Business and Professions Code) or that he/she Is exempt - Reinspection Fee $15 Issue Fee S B ' from and the basis for the alleged exemption. Any violation of Section r'U l:5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). _ DEVELOPMENT SERVICES REQUIREMENT Qc L1 I, as owner of the property or my employees with wages as their sole• Reinspection Fee • $15 Issue Fee $ 3 gam{ Q (J� compensation, will do the work, and the structure is not intended or offered ' Zoning Approved By c� { `"- `� Det / ' for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date -a. W License Law does not apply to an owner of a property who builds or Improves Issued By 1(J� thereon, and who does such work himself/herself or through his or her own -Hood or Type I ❑ . Application • Dat: 1r _ :V employees, pro tletl that such improvements are not intended or offered for BoilerL sale. If, however, the building or Improvement is sold within one year of com- Canopy Type II 0 pletlon, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground sic, 00 SUM ARV OF FEES prove for the purpose of sale). - BUILDING PERMIT • SMTP $ •50 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System • PLAN CHECK 354 1L )-5- PERMIT tractors to construct the project (Section 7044,Business and Professions Code: y The Contractor's License Law oes not apply to .n owner of property who Duct- Ventilating ) 000 BTU ❑100,000 BTU PLUMBINGISSUANCE $ builds or Improves thereon.and who contracts to such oroiects with a con- tractors) license pursuant to the Contractor's Lite se Law). l am aware that Exhaust System ❑ Multiple /stem Repair/Alteration IPLAN CHECK 25%$ ENERGY P.C. $ proof of their Worker's Co• pensatlon insurance s •uld be provided to me. ELECTRICAL $ GRADING $ ❑ I am exempt under Section & & P.C.for this reason Firepl/Fact.Blt. ICBG# ire Dampers MIIS IIIaal . PLAN CHECK 50% $ MICROFILM $ Date to- 0 w n e ISIllaallii Heating System& Ducting Registers C MECHANICAL $ TOTAL FEE $ I'hereby c- tify p I have reed Is a.•licatlll .nd ate that the above ❑0100,000 BTU ❑700,000 BTI(— ' I to V PLAN CHECK 25% c information is c. ogr .1 co -•l y Ita,l anddy are co auth rite repro- •-Senta $ and state laws hi •�,to b• .1 co Vu ion, ente• authorize room- inspe fives of chi tto :\�` above-mention:d property for . inspection purpo5 \ ` , Date Q1 0003205 -00032655 TO 7! '!12,�0 g Reinspection Fee I $15 Issue Fee $ 3 n 5 ' Drivers' License o�� l��+`O`�� DATE: 05/02i89 TIME:l rE: ��:a. IX 0865-46,rev. 5/88 W •e - Building; - ary -Applicant: Pink -Accounting: Goldenrod - Assessor ! ( CONSTRUCT:ON AND PLANNING POOH'SPA APPROVALS \Permit# - Date Inspector APPROVALS L.init# Date Inspector I 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. J 53. Steel Reinforcement - 3. ,Eleci'icai Conduit Utility-Undrgrnd. . 54. Forms - 4; ElectricajCorriuit-Undrgrnd. g-i -32-? 4,4 55. Electrical Bonding '1 • 5. Steel Reinforcement' 56. Rough Plumbing& Pressure Test . 6. ,Electrical OF R Grnd.• • . !!!��' 57. APPROVAL TO COVER-GUNITE (_ 7. Footings \��� cIgh58. Electrical Conduit-Undrgrnd. . • ; 8. Foundation _ `,1 59. Gas Pipe, O.Undrgrnd.,Test 9. .WaterPipe-Uridrgrnd.. 60. Backwash Lines, P-Trap, O Undrgrnd. °;moi, 10. Structural Floor System • 61. APPROVAL TO DECK • : ; 11. Prbperty Sewer Line & House Connection 62. Backwash & Receptor-Final • 12. Sewer'COI,,,' ' .` 63. Heater & Vent-Final 13. Roof Diains.}� ' 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 181 Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# -21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating -t 71. Product Piping OGas 0 Oil 23. Gas Pipe-Rough& Telt .72. Underground Flush • 24. Roof Framing i %