HomeMy WebLinkAbout273 BAY ST - Building Permits PROJECT ADDRESS: 273 W BAY ST UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 052633
OWNER'S NAME: BAY STREET PARTNERS
ADDRESS: 2925 COLLEGE AV #A-3 PERMIT NO: B 052633 PLAN CHECK NO: N GOVT: N SUPP: N
CM CA 92626
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: DEM
979-9991
ARCH/ENGINEER: REG.ND.: JOB DESCRIPTION : DEMO GARAGE SQ FT:
ADDRESS: UNIT:
CLAIM VALUE: 500. 00 CALC—VALUE: 1, 000. 00 GROUP OCC: M-1 /
PERMITTEE: HILLSETH CONSTRUCTION (714 ) 240-6760
ADDRESS: 24722 PRISCILLA DR COMMENTS: DEMO GARAGE
DANA PT CA 92629 ***************REeE******RF*********:E************************+E*****+E**************
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS
CITYLIC.: 041956 STATEUC.: 435715CLASS: A
Date: 1' `�/ Signature:—� j_ MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that/have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation I�nsy(age.Eacg[hged_copy thereof(Section 3800.Lab.f� LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: 1 V`�1569-91 EXP.DATE: V 2/0 1 /9 2
COMPANY: STATE PARKING REQ• PROV: PARCEL: 00000000 ZNE: REF NO:
Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division.
PLANNING NOTES>
� 4 l� >
�"�� pJ/ Applicant: ***********************************************************************.********
gate:_ DEVELOPMENT V E L O P M E N T S E R V I C E S R EQ U I R E M E N;T S
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5100)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. ZONING APPROVED BY DATE: +-
Date: Signature: `/
NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE:
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. xreJ
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B — e�I�_�� DATE: o:- ' °0 i
"—
which this permit is issued(Section 3097,Civ.Cl. ******************** ' ''w"—'—'— _�"— ia
— -- ************ ****** **
LENDER: *********************************** ******************************************
ADDRESS: LEGALIZATION:N F E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING LECTR IC MECHANIC FIRE SMIP/RES GRADING
(Section 7031,5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 25. 00
repair any structure.prior to its issuance.also requires the applicant for such permit to life a signed statement that he/she is licensed SMIP/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN . 50
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031,5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(3500). - ISSUE' FEE
I. as owner of the property or my em loyees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 25. 50 0.00 0. 00 25. 50 25. 50 . 00
does not apply to an owner of a property who builds or improves thereon,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 REVENUE' DIVISION TOTALS--> COLLECTED• 25 . 50 OVER/SHORT• 00
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC.MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
• •
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 25. 00 . 50
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts lot such projects with a contractor(s)license pursuant to the ContractorsState License Law).1 am aware *******************************************************************************
I that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
❑ I am exempt under Section: B.8 P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST T•
OTAL COST
Date: Owner: .
NO FEES WERE SELECTED FOR THIS PERMIT
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from /
these provisions.
Date: Applicant: • •
v
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 representatives of this city to eider upon the above-mentioned
property for inspection purposes.
----- Date: 7_ I V Signature: "n a, dee! 11 00091115-0E091116 TOT
Drivers License or Social Security C: DATE: 07/02/91 TIFiE: 13:33
1641-46 While—Building:Green—Code Entorcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
• CONSTRUCTION AND PLANNING" POO PA
-APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Servite•or Pole - 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. y �6 53. Steel Reinforcement
p, ,
ti°PectrasaI Condgtr- ility49ndrgrndEA"t 54. Forms •
•
. a)
i,„A.` klictrjgaI Cont1 vAJendrgrnd. i 55. Electrical Bonding
a :
b. .@eel ReinforciqWipt ". 56. Rough Plumbing & Pressure Test •
to p. iv. T
,4:'etrilectrical UFE9 t rnd. ,; 57. APPROVAL TO COVER-GUNITE `''
L...:
•
.7'tFootings S • _- 58. Electrical Conduit-Undrgrnd.
/11.f n11-4 •y
`• t oundation XS 'U 59. Gas Pipe, 0 Undrgrnd.,Test .
ttWater Pipe-UneRggrnd. - 60. Backwash Lines, P-Trap, 0 Undrgrnd.
Irl l
12:1.:StructuralFloojSystem ,; 61. APPROVAL TODECK
•11. Property Sewer Lirge•& HQ, se Coneaction 62. Backwash & Receptor-Final '
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains c1 r 64. Plumbing System - Final •
•d
14. Rough Plumbi'tbtt ' ,' / 65. Electrical-Final
15. Rough Electri Conduit `
g ',+ 66. Solar System-Final A.
. 16. Rough Electric-Wiring • 67. Fencing & Access Approval
17. Rough Wiring$gn 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19: Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20 Ro h Facto F ce x >,. Iy+ ,. •; tT ,-LLo:, 'z
to 'g YJP IC7 rter .'. O 5'* * 'l ccVALJ70Perrpit# Y >•
rr r^ '7, vt "Vx I 't'.n ID.-r `C I--. err' R 'l re :••••ro.-4•- 7 5., T
21 fIb upis,is.Stc}rctt 77.r-,S � S ., 2 * 570. ,rthdE q% H Jro :i 't
f- 0. 57 r .yt, .w ..l a , .-. .a. - W d
22. Dosis, Ventitating* OS * _ S e,',* x: ..71. Productr'P. ing BPoes DOil
rr - :y o `* -t _
23c -PipKRo,ush &Test `� a: _ Q' X72, Under ` oun� Ft's '" -x
I it.,„_, x to '¢ ,0'.; x 9 - p tlis- a *
C ng v.. I - -- V.., •r 7. c J:r :( .- 1�V to .a j. .
24;oRogf Framing t;.>. I H!- .d-- * '' c :r * 573�Undergrrtt4.Storape'Tank.,0Gas 0Oil
25. Ro` f SiNathin "•u 'F :d =: m i*1 p ti;* x S '� b
9 x
cc
x p -� (il�. x 74�Pverhead�-lydro,"
"'�x i a '-i Th D- :< V i�L�' ..
26pT-var Ceiling (Sructural) & lgpgcoat r: as Ti rt7 x 75_'Dry Chemical •- + rH t7
27ct-Frame and Flashid co 'D * o 76:pry Stan e => 4. ^'� cri
w _. r_. ,.l oa'tr r >+ tn• s -,co
• ,vJ$c :ytr;1 Cr x r» T } • r'4-! :x 0 1;1.
'.y'28` Latjaing,& Siting :c V., .1<Z tr, 7. ..'-' * 77r FIXED S-verSTE1 INALk
>'29. Insulation °
` O " ' P .rx ri it
�
14 � 6yFIRE PREV. FINAL . _, r .,.O _ y1x30. DrywalhhJairg * * x • ;I1EALiiDEPT.REQUIR%
MENT
231. Plaster 41iow.9 Coati C Irr�, o• ' x x 79r3FINAL IRISSECT€QN *k '
320•Electrical Pol,er Meter-Finalj * Cu pi801;;FOOD cgifiIF/6,TE ISSUED'' ac;
533;.4Final Electric :, t a' ' M � ( ty, * ri Not1bs: - -L X.
j34(tFi I Heati & F.".Co�itibrth� s t j '4� *; tc 'S pinm
I 35.:•,n*Final Gas Pipe-Tests CO _• # .-4i f .. x 1 r. Lto 71 .5+ x r i.--,
36!Ho dor Canopy Z tr ;x • • • a trt rr]
m Q py x 4. .
I-+3 ^, : t+' -a a lc n I * S ."lo y:
TJFimtl Factory Fireplace I SO" o le k: 7 > • .I :4: v
c7 M t'r; I •• •• g * N tt *. t � rr• x ii _
X38. Final Plumbing x N ! o r k S :-4 :+ to
39. Water Service•Final-
I i. u
x I :r t: fi :.'.q : ;C
ry 15' I Y tr t h; .- Y nJ x:
40. Gas Service mal x '= 7 --:.t * In CO
:r h'! cent., In
r OR) nJN z -(
z41. Solar Domestic-Finals 'd Jr" ••• a r 'x * ;<:u Hi :. !*
H :,t -r , * ti' .o r * Z .s'
:-'42.'4.- Backflow Preventef :'- rt-31 Y. z { i it-. x ' 4 '0- * s
)' r., v,-u-i ,.. I-r .w -
43. Backflow Irrigation. tCSS 'sE-o .! 3
u -rie < ?: y . - 1
44. Landsc a irtigati•`n Syste ^� "' * *
0.1 5F. - `�
tr ,9p G rRstYc� .� w at " t. t7* M -r , cu ; 1r CO
u
tJ 111 } t>'CJ, LII - '�t -C %C,m ... 2 a,. 3
>'45:-. .., ,-,nation 1-4 •:f-• [*' ' x r in IT ." 1-4 r /-zr • e.-4 :r
X46;Handiced Re9ulati4ns �' S sr 'q •• •• '"* * 5_1 ry •ro-
47gFl§Q•AL STFWCTURE & Btn;LDING '� iz): * •ya iu Lo �✓ *
„48R'FIISALPLANNING9' ' tr't*' �CI: 1
* 'u z G *
049�Elgptric Release to;l Bison t v. i it:.
x j > '-1
:j50, Gas Release to So4pern Cahfo nia Gas CO } j � ik w _ F c , 0
':51. CERTIFICATEO� AN
OCCUPCY • ;_ f*o ., r,
No. Date •
PROJECT ADDRESS: 273 W BAY ST UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: BP 052632
OWNER'S NAME: BAY STREET PARTNERS
ADDRESS; 2925 COLLEGE AV #A-3 PERMIT NO: BP 052632 PLAN CHECK NO: N GOVT: N SUPP: N
CM CA 92626 •
CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU STR PURPOSE: DEM
979-9991
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : DEMO APT BLDG SQ FT:
ADDRESS: UNIT:
CLAIM VALUE: 2,000. 00 CALC-VALUE: 1,000. 00 GROUP OCC: R-3 /
PERMITTEE: HILLSETH CONSTRUCTION (714 )240-6760
ADDRESS: 24722 PRISCILLA DR COMMENTS: DEMO APT BLDG
DANA PT CA 92629 ******+E*******:E**:E**********************************+E:ESE*********************+E*+E
LICENSED CONTRACTOR DECLARATION: I hereby allirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R EQU IR EMEN TS
70001 0l Division 3 of the Business and Professions Code.and my license is in lull force and effect. SETBACKS
CITY LIC.: 041956 STATE LIC.: 435715fit:: A, s%J'���1/A
Date; 7' -z--4I Signature: G1/ MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have acetificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance,on a certified copy thereof(Section 3800.Lab.Cl. LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
mama: 1091569-91 EXP.GATE: 02/01/92
COMPANY: STATE PARKING REQ• PROV: PARCEL: 00000000 ZNE: REF NO:
rCi Certified copy is hereby furnished. 0 Certified copy is filed wi the city Building Division. PLANNING NOTES> •
/� >
.,ate: 1-- 1- 1) Applicant: • IiFZa.1, ****IE******************************************m********************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). DEVELOPMENT SERVICES R E Q U I R E M E N,T S
I certify Thal 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. ZONING APPROVED BY . DATE: _
Date: Signature: . ,
NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE:
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY. - - �' -,. DATE: d'.7 O Z
which this permit is issued(Section 3097.Civ- ********************** ************;****** **
*
LENDER: ************************************** *****1-.*********************#4**********
ADDRESS: LEGALIZATION:N F E E : U M M A R Y STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECE RIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct.alter,improve,demolish,or PERMIT 25. 00 2 00
repair any structure.prior to its issuance.also requites the applicant for such permit to file a signed statement that he/she is licensed 25# SMTP/NON-RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN . 50
any applicant for a permit subjects the applicant to a civil penalty of not mare than live hundred dollars($500). ISSUE FEE 3. 00
I, as owner of the property or my employees with wages as their sole compensation. will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sate(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS---->' 27. 50 3 . 00 0.00 30. 50 30. 50 . 00
does not apply ID an owner of a property who builds or improves thereon.and who does such work himself/herself or through
hor
imps rover ment is soln d within onevided year ofthat
completion.improvements the ownerare
will have intended
ine burden of provingsale.
he/she did not bur ild ore improveREVENUE DIVISION TOTALS--> COLLECTED: 30. 50 OVER/SHORT: 00
. ; for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business • 25.00 5.00 . 50
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware **************************m m***************************************************
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
❑ I am exempt under Section: B.8 P.C. •
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: OwnerPLU 1 SEWER CAP / DEMOLITION EACH 2 . 00 . 2 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safely Code Sections 25505,25533,and END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Mr Duality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that I have read this application and stale 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 oath rite representatives of this city to enter upon the above-mentioned
Propertyfor inspection purposes.
•
Gate;e:__7'1/ q Signature: ' `a/
01 00091117-00091119 TOT 30.50
Driver's License or Social Security e: DOTE: 07/02/91 TOE: 13:40
1641-46 White—Building;Green—Code EnlorcemenL Canary—Applicant;Pink—Revenue:Goldenrod—Assessor - -
CONSTRUCTION AND PLANNING POOL ?A
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporaty Electrical Serie or Pole co -• 52. Pool & Equipment Location
u •
2. Soil Pipe-Undrgrnd. a :v1 53. Steel Reinforcement
L,"L,Elettrical Conduitc.l4lity-6ildrgrnc tt't 54. Forms ,
✓_Al Elei;trical Condult,Undrgrnd. I 55. Electrical Bonding • ..
rM r.
"X1.1 . inforcep'iL,eni' 56. Rough Plumbing& Pressure Test v -
'o
¢6.rifilectricalUFERGrnd. 4, 57. APPROVAL TO COVER-GUNITE
. 'C
-.9'ifootings - 58. Electrical Conduit-Undrgrnd. R..
` ; oundation ;ti '' 59. Gas Pipe, 0 Undrgrnd.,Test /'
S C
314Nater Pipe-Lind-kg-id. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
r1 a„ t-..♦.
•Lr --
1.0 t-Structural FloonSystem G. 61. APPROVAL TO DECK
•>-
11.
11. Property Sewer Ling& Haase Conrection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains r0 64. Plumbing System Final
r` v
14. Rough Plumbic `:'' R 65. Electrical-Final %-,,,..
15. Rough Electric:`]-Conduit ` 66. Solar System-Final -
16. Rough Electric'Wiring 67. Fencing & Access Approval .
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electri-c7-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
;l .) n ♦- . ` '- '' .L f.. S un-1bWE' cg x H -
20tr'RoL1 h F�ctocy Fireplace xtr, <'1 * C D b':% r *APPRI VALS3QCPeren it # 'e
-d A _ H •t x 1-4. ^ *
21,>_D us, ir✓Strgctu -* •- -. ;-iS x 5 a .- t * -+70. dergtg•, -j Hydro r:
22. Dues, Ventttatirit* OS r S d::« x %71. ProducVr11$,ing Q16es O'Oil
C r w 1'k n * I.7 .cf n 1-.X n S 1'n r -+ X
23CGa Pip.Rom h&' est T•. tix x -' r , a x ��
• � _ !:'S Y Irl 7 s C'+. x :72. Underg48plllj F1, Vit,+ x
24c.rRo5f Framing rr:' I Fr• ••F• * : O c" x * S73mUndergrn0tStoragirfank:0Gas 0Oil
H SX T, X ". 1R ;-,x x •• 'l ru SO Tr
25- Ro' St9athing a'.'''... r. CU .. tr: m C N+: x S. 0 ,•-: c m
53y i• * 0 > co* De 74,�Q,verheadi-lydro0'
26-_T-•_TCeiling (Stcuaturall &Slonocoat ; -I ,n tt:7 rr,* x 75,:Dry Chemical 1 x.- r.:., CJ
--+' SF x r‘ ,. Cr t S') W J•
27rr=Fra[ne atld FI sh' : co; * H"• Off: x 5 m •'
t� .� ... �� .�iClk +- 7' Y x x 76. Dry Stan�i�e t-.�Jn, * .n
x `-,tn:. y.". ..
i a ,. .1 .0 •�.
,-.28. Lathhin - Suing_x ri -dlz: Q t. ••* 4. 777 FIXED S iSTEM/SIPALi!
-• - ^ l: • 7rrr_. ..I ..I . ^t x r„1 no--.n _ n "'
x`29. Insulat(cn c:) 0 S -• " '.`k to • l x 7L 'FIRE PR EV. FI4IA-L ::-> x s
,r'30. Drywall-Naittng :i; ze. x * r--, •cn •' fEALTyrDEPTx REQUIREMENT
y . , 3 x
I . S'7^ re pJltr.
31. Plaster 5°19 Coat s * x '" _,792FIFML41j1SgECTI( N " " b' C
J32b•Electrical Potyer Mater,Finah N x x x1
g 180 Elf 00D CERTIFICATE ISSUED C
s33'.s?firtil Electric . .r I tr * m i � MNcrtes: = :; - O :-:n
r .� x-`• I :r t •4. S R r• Q Cr!' ' x r,
pj34nFirei He:ting;& Air, - n -,. I I * * tc s n_ * S O C•
35?'Final Gas Pide-Tesf! tix ^- :r ( I * Y n t': m5 X rr• 0
3677 or Canopy ` C Y I (, x W . .•C 7 M
W _� py ;k l-'J I tr 0 r n I a * s:
ID S C' S'1 C ♦ 'x t•1 �O -' -1
' +37CFiria'1 Factory Fire iecc 1 Sir' 0 *. t7 Y n 5. n ii., Cl
: C•h O o I x a x Y N
38. Firtgl Plumbing x �N t 6 •C/5.� I " • x i S i-i •J
ti '-. - Irl C ((( ( �:-r-+ to
..39. Wafer Service:FinaIt ; O r I LK t- C� o.im * I1: M
40. Ga�Service- nal -, x • * Co` �"J • x LI
,n 'r. 'r1 'S tr it S * in g � Cnum *
..: .: lC P .,
s'41. Solar Dome0c•Fine IS '• •• *0 I F� '' �a;^-r ^i-. r
o * M .W. h %� I'• '7C r x.T
-'42 Backflow PreventeT ., t" *" rr x ca *
43. Backflow Irf4gt: o:
SS a_ w 1.1:1--,01.1:1-1.1:1--,0 :t.0 C LI
r. >• * i%. 4 v 0 i n .
"1. x b:x U '>:* * * F• I 3 J ,)
,44. Landscape 3r;gatign SysterI p: Ir. * m a 7 a* a cc to to 't _ cu 0
.-,. < .,. J: 4 s,': .. 7 E c,: O''
`-45: Sound AtteBuatiori '--, !r t 'r". . =* :>: ` 1-4 r•1 tr0 I- O x
r ;l - . .. tr1 r 1i;x y C^ - V
='46:•Handicap R gulatlans = S " " • •' "'r * 'o ' o `�
47sFINAL STRUCTURE & BUtLDING L !Z i = N is
o i.
48C 114AL PLANNING ; try-
f-:-ir ft- Y d Ix
49=Ele.ctric Release twEdison t 1 Fir x u: - i
°t50-Gas Release to Soulhern Callfgr Ia Gas Co .4 Y - `'7 ` 4.; r'
r -9 . I t r. a - r- �: o:r1 O _•
;;51. CERTIFICATE OF.000UP4kN'CY ;k ;; v „ r- a ? xc
No. Date
PROJECT ADDRESS: 273 W BAY ST UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: BP 052631
OWNER'S NAME: BAY STREET PARTNERS
ADDRESS: 2925 COLLEGE AV #A-3 PERMIT NO: BP 052631PLAN CHECK NO: N GOVT: N SUPP: N
CM CA 92626
CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU STR PURPOSE: DEM
979-9991
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : DEMO SFD • SQ FT;
ADDRESS: UNIT:
CLAIM VALUE: 1 , 500. 00 CALC-VALUE: 1, 000. 00 GROUP OCC: R-3 /
PERMITTEE: HILLSETH CONSTRUCTION ( 714 ) 240-6760
ADDRESS: 24722 PRISCILLA DR COMMENTS: DEMO SFD
DANA PT CA 92629 RE***;E*sE****RE*******;E*;E******RESP**** *RF******************SE****;F**********x*REx**RE*
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
7000)01 Division 3 of the Business and Professions Code,and my license is in full force andeffect. SETBACKS
clTr LIC.: 0 419 56 STATE LIC.:4 3 5 71 5 ass: A K^ .
Data t-' Signature:— MAIN BUILDING ACCESSORY BUILDING
7 Z_ d FRNT; FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or acenificate of Workers' LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
Compensation Ins
ykapFa gc die�Ipc py thereof(Section 3800.Lab.
POLICY NO.: 1V7+s`+ J� EXP.DATE: 2/001/92 •
COMPANY: STATE PARKING REQ• PROV: PARCEL: 00000000 ZNE; REF NO:
10 Certified copy is hereby lurnisneo. 0 Certified copy is filedthe city Building Divisip/ PLANNING NOTES>
�F / >
date: `-�J g/ Applicant' ********************************************************1E************t**********
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5100)or less). DEVELOPMENT S E R V I C E Sal" 'R E Q U I R E M E N:_iT S
I certify that in the performance Of the work or which this permit is issued,I shall not employ any person in any manner so as to become --.>',"-
subiect to the Workers'Compensation Laws of California. ZONING APPROVED BY :r. DATE: •
Date: Signature: , �
NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY DATE:
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. wan— • _.-
CONSTRUCTION
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED :Y: ,��J DATE: 0702-9 z-9 i
which this permit is issued(Section 3097,Civ.Cl. ****************** ' :=-i-2-L;;z:i:a:a:+'-+------ ' ' ' ' ' ' ' ' ' ' ' ' ' ' '
UNDER: ********************************** ********************************************
ADDRESS: LEGALIZATION:N F E SUMMARY STRUCTURAL SEGMENT:Y
•
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 25. 00 2 0 E
repair any structure.prior to its issuance,also requires the applicant or such permit to tile a'signed statement that he/she is licensed - . - - SM I P/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN50
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by
any applicant tar a permit subjects the applicant to a civil penalty of not more than live hundred dollars(3500). ISSUE FEE 3.00
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the. BUILDING—DIV—> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ structure is not intended or ottered or sale(Section/044,Business and Protessional Code: The Contractors'State License Law TOTALS----> 27. 50 3 .00 0 . 00 30. 50 30. 50 . 00
does not apply to an owner of a properly who builds or improves thereon.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 REVENUE DIVISION TOTALS--> COLLECTED• 30. 50 OVER/SHORT: 00
• improvement s of dale).is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve
• . ithe enBLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SM I P/TOT GRADING PLAN-CHECK
I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 25. 00 5'00 S0
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon
and who contracts or such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware *******************************************************************************
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
•
❑ I am exempt under Section: B. I P.C.
Mr this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner: PLU 1 SEWER CAP / DEMOLITION EACH 2. 00 2 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or moditication from the Air Quality Management District.Residential construction applications are exempt from - , /
these provisions. . . L�
Date: Applicant:
I hereby certity 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 representatives of this city to enter upon the above-mentioned .
Property for inspection purposes.
�' Date• 7-2,- 14 Signature: gen ICC a01 00091120-000
TINE: 13:40 91122 TOT30,54
Driver's License or Social Security r:
ONTE: 07/02.'91
1641.46 White—Building;Green—Code Enforcement;Canary—Applicant:Pink—Revenue;Goldenrod—Assessor
CONSTRUCTION AND PLANNING POOI PA
APPROVALS Permit # - Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Servrceror Pole111 - 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. a ccuu< 53. Steel Reinforcement
c. yElectr7cal Conddji tility43ndrgrnt irc 54. Forms
:4.ttIEctripal ContjuittUndrgrnd. Ir 55. Electrical Bonding
�'5.c.i8ccQel fleinforce,gi£fiC _ 56. Rough Plumbing & Pressure Test
:r
r1U;r.frclectrical UFEli 4rnd. a 57. APPROVAL TO COVER-GUNITE a
r-c w•
IL,,
:7YFootings 51-- 58. Electrical Conduit-Undrgrnd. ti
�vex ,
i9~foundation b:•,: '`' • 59. Gas Pipe, Q Undrgrnd.,Test rn c
al.-Mater Pipe-Undtgcnd. � •
60. Backwash Lines, P-Trap, 0 Undrgrnd. -'
tc+t
. Structural Float; 61. APPROVAL TO DECK
1�3
11. Property Sewei'Line& Hose Congiction 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains ro t- • 64. Plumbing System - Final
14. Rough Plumbing t' 65. Electrical-Final •
15. Rough Electric l-Conduit 66. Solar System-Final . 'J
9 "s`
16. Rough EleclritcWiring • 67. Fencing & Access-Approval •
17. Rough Wiring$ign 68. APPROVED FOR PLASTERING
18. Rough Electricfffl-T Bar Ceiling • 69. POOL/SPA SYSTEMS FINAL
19.•Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
• n a. qx r ' Cr 01-101- tc . 3Cr
20;iiRoggh ctocY fir .
eplace I .rtr7 .''('-'1• C) ^ .t* rAPPREIVAirS.^,OPermrt# *
tr., -e -V* : ,0r• trr1 3 C - coy x tm a• i1'ni Hr-• -, c r
21?Dur" s,i Str11ct ! •r S * .-r '7 •71.* ;. 6 -` S•D --¢¢ 1 n
r, { �. �. .. .. S.-' a S •- .-* * 170. (7rldergi(LW>d Hero y
u. .�.r. S.-. 4. ro r. - r. h ,---ii`...
22. Duos, Ventdatigg - i OS tt S c* X k171. Producfning O tras OrOiI
23i%Ga 'piPe'-Ro, h&"Fest I s * c'" /1* -n ' b '- ',frt. CI
!s-. r-: &'Zest [hS * 18 T q al x ,72. Undergrobn Flp; t,a I-
o C .r ..:< 1 tr.Cr .._34.4 * I.. 'v t * v 1--1,1 .> v 3 .
24:nRopf Framing r ,. r-• i- 3 ' C * 3 ,573 Undergritf.Stor&pTank30 Gas ❑Oil
e1:. .. r _4 Jr . x • �^�
25. Rag! SQathing =" S 'g ` CI W. O N1CJ:t T:> 574;�verhead'Hydro-r"b 7:
C):: < V�. 7 7
to 'J3Jr r "26`.T-Br Ceiling (Stcuturall & oonocoat 1 t o O I.O. * 71"DIN Chemical ii t
-' 1-1 (V
v - -.3 y C Y �:C - -'
27:cFrame d Flashin 33 ` 'M .* '` 76:"6~ StanW¢i�e C' 1 S "1
l.rtc * or r tn* y to
~ .l. HMO C- A. ?- * ?. ¢ Y: t✓ :v U;
.28.. Lakin Siding ::, .,S n r w Y, * x 77- FIXED SaSTE 7 klMAL
C 0 ' ;1x: C i .. �.•�... .•. . r-, .--
II ri x
tt'•29. Insular n *0 !S • " > .}, rr3 * 7FIRE PREV. FIJ� L * ?a *
ls ; v :030. DrywaltNeiqqfig rS . a :r, JEALTO1DEPTREQUIRE
MENT
-t ; r '.- S.7_-;'l; c:tiL r T
31. Plaster Brow{ Coa 5 t, * I 'r •79rn?QAL li ECT(QN * 3' ;n
.32, Electrical Pas4er a4tet-Fina; '1-1 * CO I 1 ,r tn80171FOOD CEFRIFtIcsATE ISSUED C
. .I. " s- - C
• 33SFirlal Electric - 0 * m I 1 * a1 Ne-es' e" • >• * C .-
. 34f1Fi I Heati g& Ail Cbpditil ri" t`' * o• I r% r ICC g-2 * ^ rIS
' e .l i. * 1 I X * tY, S flan 3 011:
35.0Final Gas Noe-Test �W' z I-1 ( I r x u C Lc .7SH 3 ,
367-Fl `d or CanoPY * 1 I r� •"' • ".rl * f7
h *L' I tr.,-1 O * f 1 `t`� x 2: 5_ no �' tr•
'37CFiNgl Factory Fireplate' I Sc" 0 * to i ( I tr .': �.`y� ;co * •~ tri
.. .. r X I F-r-• o � _ 6 . C `L t x IZ
;38. Fin I Plumbing • p; I c +. S I-. • 1
39. WBtcr ServicrFinel o
7"40. Gars•5ervicer�inal . * 3 `co • ` '-
1 > :thy. crus~ 5 x t+1 I I . * Co v03 :r r 2
:,41. Soar Domestic-Finals fi •' +. Os I 1 t ;:tri., .i- y
• C x IT -y, ,i..4. V . r•
42Backflow Prevente7. ' CO 3 O I I tr M s CI, It C S
43. Backflow Irrigation. c :55 1 * o.-.1-10 * :� L^
44. Landsc a �t:rigati n SYste tKtX 1' '� 1 , CO '3 ;1 2 O
n t� .. rt[:7^ cc :t ti, 17 , G:±. 1 n: cu 2'r * CU O
..ya• t 1 a r ti. �T. a. .. �. .... . . ' :. v
:•4brSound ~Attenuation TtCE- tr r F - F* a< .'-I •-I •-•• ao t eC 's
'-• A ' �--+ .. .. X ,1' ,''n M:k itr a M 'S. • 7
Z4G..HandicEn Regulations 0 S c .r1 - •• ••t x U i i --- t
_ I. IC a :S • .r a r
\ r
V 47rFIf AL STRi:1CTUAE & BOLDING- jS j ze .494E * 'i 'r' So 4
' 4l �FIN71�.,L PLAtINING ' n v 1 I ` :.' tr• •1 :r b
_4%--+Elegtric Release to:Edison , * I I T y, : Ot 'ti * •=� J
-. 1 3 e Is' K - t
50SGes,Release to Sotihern California Gas Co ; I I i r :' C •
o`1. y •rr-. `;
'51. CalTIFICATEOc,OCCUPMCCY7. yc: Td,
No. Date