HomeMy WebLinkAbout3144 BEAR ST - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA CONSTR�UCTION PERMIT P MIT NO. 1 TRACT NO. LOT NO. UNIT NO. • 7201 10/12/B7 500(1 11
Project Address '5/4/! /7`144- Si-- ' 3067 / �/
/ VA, /r`A,c _9'f • TYPE OF CONSTRUCTION cti NEW U ADD Li ALTERATION U REPAIR )
Applicant's Mallin/9�Address `,
Owner's Name/ +Phon 7 CONVERSION ❑ DEMOLISH ED
[G !f 4,3 A.P.qW Zone
3 — _ gS �7c U/ DESCRIPTIO OF WORK/USE OF BLDG. al/�w W ort r rk--
Address I i9 lo
�LLo/vS15/� S Main Building: Accessory Building:
—ihb�/ Q'ttigr� • E Z
Arch/Eng. License No. TYPE OF PERMIT LJ GRADING U/FOUNDATION LI STRUCTURAL T Front 0
Address - x� ' ,/ �s U TENANT U ELECTRICAL PLUMBING U MECHANICAL B Rear N
Contractor's Nam �Jt4fl F ,r�,,4; Hz//,,yy��p eCT T9I/ U OTHER A 1
9'T /- '"�It ll C Right N
Address(mailing) /O4"Z Z 269S.0 �(/� PROJECT DESCRIPTION SQ. FT. OCCUPANCY
�6� CONSTRUCTION TYPE VALUATIONS S Left G
1(
0City License No. ZONE - GRADING CU.YOS. ACRES R
l` LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E
I herebyaffirm that I am licensed under provisions of Charter 9 (commencing - Q
Remarks: Nv �/i IMuv� /�� t�Yae'I�t Planning Notes: M
with section 7000) of Division 3 of the =. - Professions C•tle, and r I
my license is in fullI ce d - fect. ;;•a 7 T
License Class r� ' •nse No./ �t '� s
Date/C -�-ei 7 Signature Tr- Js PLUMBING FEES
WORKERS'COMPENSATION D ARATIO 40101r Bar Sink Showers •
ELECTRICAL FEES
'ereby affirm that I have a certificate of conse self-Insure or a certificate .
Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer. Service Sink -
00 .dod, Lab. C.yy+" �.�/ /JAutomatic Washer Transformer 0 15-50 KW
Policy No. / 7�" �Z Compan>77����k !' Backflow irrigation Sewer Cap -
0 50+KW
to / � Construction Pole Sub.
Certified copy is hereby fur she•
rtif' cop s +ith t e cit -11-NIC---Hi. Bathtubs Sewer Connection Cooking Unit Meter Cup to 100 amps
Date -Q Appli .• „�
Air ,___
EXEMPTION FROM WORKERS'C• SAT s 41.EC .RATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 a ..
M (This section need not be completed if the per • i or one undred ($100)or —Dishwasher
less). Solar Piping • Dryers ❑Gas ❑Electric Sub Panel
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 subject to the Drinking Fountains Solar Tank - Fan Motors PE a-1 HP 01%-8
Workers' Compensation Laws of California. - - _ -
Date Signature Floor Drains Swimming Pool w/Spa i-- F.A.U. I olar ❑9.15 HP 016-15+
NOTICE: If,after making this declaration, you should become subject to the '
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures Microwave
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes
1 hereby affirm that there is a construction lending agency for the performance Pole Light
of the work for which this permit is issued (Section 3097 ICIv. C.)
Interceptors / Water Heater #.1-60 Outlets Range
Lender's Name
Lender's Address - Kitchen Sink Water Service - Switches - Sign
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Dis os
following reason (Section 7031.5 Business and Professional Code: Any city or 9 P Standing Sections
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 P -Trap Laundry Trays Generator 0.5 KW❑5-15 KW Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains
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 •
lerefrom and the basis for the alleged exemption. Any violation of Section
031.5 by any applicant for a permit subjects the applicant to a civil it
penalty of not more than five hundred dollars($500). 3
U I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $
compensation, will do the work,and the structure is not intended or offered - - - - - - Reinspection Fee , $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES
License Law 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 DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I 0
sale. If, however, the building or improvement is sold within one year of corn- Canopy Type II ❑ Zoning Approved By Date
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date
prove for the purpose of sale). _ ,���
0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Dat. a' 7�T
tractors to construct the project (Section 7044,Business and Professions Code: '
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU ❑100,000 BTU SUMMARY OF F 5
builds or improves thereon,and who contracts for such projects with a con- _
tractor license pursuant Contractor's insurance
sura License be I ov aware that 0 MultiBUILDING PERMIT $ $MIP $
proof of their Worker'sCompensation octor's should be provided to meExhaust SystemMultiple 0 System-Rena' Iteration
PLAN CHECK $ PERMIT
0 I am exempt under Section B.8 P.C.for this reason Firepl/Fact.BIt. ICBG# Fire pets PLUMBING $ _57-00 ISSUANCE $
Date � Heating System&Ducting egisters PLAN CHECK 25% $ ENERGY P.C. $
I herebythat I nave read)thl .pp .
,�CCand state that the above ❑0.100,000 BTU ❑100,000 BT ELECTRICAL $ GRADING $
inlormati• is correct. I agree too ply wi . •city and county ordinances
and slat= laws relatin• to builtl(ng constr v I• and hereby authorize repre-
sentativ:. o a• enter upo ' .;0;0_,,,••••tioned property for / PLAN CHECK 50% $ - MICROFILM $ �/-�
Ingnatu•h • rpo / 0 _�' MECHANICAL $ TOTAL FEE $ S57w
Signature • -.—
�� Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
CMF 0965-46,rev. 10/84 W ite - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING POOL& SPA
APPROVALS Permit # Date Inspector 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. - 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 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-Undrgrnd: 60. Backwash Lines, P-Trap, ❑ 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
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. 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 APPROVALS Permit# _ -
21. Ducts, in Structure - 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping ❑Gas 0 Oil
23. Gas Pipe-Rough& Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank OGas ❑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 PREY. 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 G741 oal
39. Water Service-Final t '••
40. Gas Service-Final
41. Solar Domestic-Final
42.'Backflow Preventer f
43. Backflow Irrigation
44. Landscape Irrigation System _ •
45. Sound Attenuation •
46. Handicap Regulations
• Y
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
• Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA SA CO STRUCTION PERMIT PER T TRACT NO. LOT NO. UNIT NO. '
Project'Address le QewR ST,
. 3 CS-c;.
Applicants Mailing Address / C' TYPE OF CONSTRUCT! I LI NEW ❑ ADD LI ALTERATION U REPAIR
Owner's Name 4�ea•'� Phone.St ' ' ❑ CONVERSION aC DEMOLISH ❑ OT A-P-# I Zone
y ' �Tev rib—) 7' _ �� DESCRIPTION OFWORK/USE OF BLDG. 'e LA&C) i SA, ' -age
Address•M_y O ujt re,Vf1/$ 7y7/J ff � II - •S Main Building: Accessory Building: Z
TYPE OF PERMIT LJ GRADING IJ FOUNDATION LI STRUCTURAL T Front • sI VLU1 SY43-O011O39�4 TOT 2`, .OI
Arch/Eng. t 'e e' License No. T
Address T f3 (.. is ' - O r-1 �1 Ic El TENANT El ELECTRICAL ❑ PLUMBING El MECHANICAL BA Rear N
►• e. 7,376763 El OTHER Contractor's Name - Phone C Right N
yam/ 144-6` PROJECT DESCRIPTION SQ. FT. OCCUPAy /^� K G
Address(mailing) a - I. Q('/D� Left
CONSTRUCTION TYPE VALUATION S / S R
City License No. ZONE - GRADING CU.YDS. - ACRESE
LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided
I hereby affirm that I am licensed under provi5•ns of Cha /commencing Remarks: Planning Notes: M
with section 7000) of Division 3 of the -u ess and P s Code,and T
t
my license is i II..... • e{j,�rt�/Lic �•
_ C_. --.44
amara►=:: i /i , 8 S
Dalen Se Class /%� n5: /•
/ fits m PLUMBING FEES
Date �• �L"I. Signature /�'�� -
WORKERS' COMPENSATION .'(TION Bar Sink ShowersELECTRICAL FEES
hereby affirm that I have a cert)t+ e of consent to self-I/ re or . - tificate
Workers' Compensation Insu .nce, or a certified copy t e /Sec on
30o, Lao. `Backflow Preventer - Service Sink Automatic Washer Transformer 0 15-50 KW
�� A/
!Icy No. if]316, Com pan •• �:1/ a �/ Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+KW -
•
rF�.Ir1Certified copy is herebyfurnished. //
!Icy
d p fll ' the city Bu r-•'� , Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps t
Date �' pylic.- YET tea..
EXEMPT! N FROM WORKERS 4rTION DEC ' ION Clarifiers Solar Collectors Dishwasher .Meter Dover 100 amps
(This section need not be complet.T.••WW.z. •ermit Is for o fired ($100) or
less). Dishwasher Solar Piping Dryers OGas ❑Electric . Sub Panel
I certify that in the performance o the work for which th permit is issued, I
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank - Fan Motors❑0-1 HP Di%.B
Workers' o sation Laws of California. -
Date Signature Floor Drains Swimming Pool w/SpaF.A.U. - Inc.Solar 09-15 HP 01615+
NOTICE:If iter making this declaration, you should become subject to the --
Workers' mpensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures
comply with such provisions or this permit shall be deemed revoked. - Microwave
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes
I hereby affirm that there Is a construction lending agency for the performance • Pole Light
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Range -
Lender's Name ,
Lender's Address - Kitchen Sink Water Service Switches Sign '
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city or •
county which requires a permit to construct,alter,Improve,demolish or repair P-Trap
structure, prior to Its Issuance, also requires the applicant for such permit p Laundry Trays Generator 00.5 KW 05-15 KW Trash Compactor
to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains 1
the Contractor's License Law(Chapter 9(commencing with Section 7000) of
wision 3 of the Business and Professions Code) or that he/she is exempt -
erefrom and the basis for the alleged exemption- Any violation of Section
'� k��.331.5 by any applicant for a permit subjects the applicant to a civil •
-:i. 'enalty of not more than five hundred dollars($500).
❑❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee. 1 I $15 Issue Fee $ 3
compensation, will do the work, and the structure is not intended or offered - Reinspection Fee I $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL I FEES
License Law 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 DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such Improvements are not intended or offered for Boiler
sale. If, however, the building or Improvement is sold within one year of com- Zoning Approved By Date
•
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved fay i Date
rove for the purpose of sale).
LJ '
I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural • //��Application Issued By Dat: Ma'
tractorsto construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100.000 : 0100,000 : UMZILLRY O FEES
builds or improves thereon, and who contracts for such projects with a con-
tractors) license pursuant to the Contractor's License Law). I am aware thatExhaust SystemRepair/Alteration '
BUILDING PERMIT $ SMIP $ •
proof of their Worker's Compensation insurance should be provided to me.
0 1 am exempt under Section B.& P.C.for this reason :• - Fire Dampers
PLAN CHECK $ PERMIT
PLUMBING $ ISSUANCE $
Date Owner PLAN CHECK 25% $ _ ENERGY P.C. $
I hereby certify tha I have read • application and state that the above Do-100,000 : 0100,00013T
' GRADING $
information is cor/,./. I a ree t• a• �� ELECTRICAL $
g y with all city and county ordinances
and state laws V>,ng o but .nstfuctlon, and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $
sentatives of Cit to -'•yon he above-mentioned property for (�T
inspection p Bras. '�/__ Date .%� MECHANICAL $ TOTAL FEE $ � V
Signa mDirrorrip Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ _
CMF 088•rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting;Goldenrod - Assessor
•
CONSTRUCTION AND"PLANNING POOL &SPA .
Date Inspector Date Inspector
APPROVALS Permit#' APPROVALS Permit#
1!`.Temporary EleGtrical.:Service or Pole 52. Pool & Equipment Location
2 Soil Pipe-Undrgrnd. i . 53. Steel Reinforcement
3. Electrical`Conduit Utility-Undrgrnd. 54. Forms '
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 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-Undrgrnd. 60. Backwash Lines, P-Trap, 0 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
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval.
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
•
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL r ,
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT { I
•i
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas ❑OilI: ,
23. Gas Pipe-Rough &Test 72. Underground Flush i)
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro 1/. 1
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 .` n
31. Plaster Brown Coat 79. FINAL INSPECTION r,(
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED Cr''
33. Final Electric Notes: • IV
34. Final Heating& Air Conditioning , -
L
35. Final Gas Pipe-Test
361 Hood or Canopy
-
37. Final Factory Fireplace \,-j �,
i
38' Final Plumbing ' i.. . 4; •
7'ri
39. Water Service-Final )'t' �,� '! :. ' . ' • 1
I •
40. Gas Service-Final _ -- ..r - '"i V /1
41. Solar Domestic-Final i ,"r . I. II: ,
42. Backflow Preventer I ,- /i V t.,i/ ;1 `.L t• ,i
'..43. Backflow Irrigation 'r -I.,'" ', .'
; 44. Landscape Irrigation System `y`;•.
, 1.45: Sound Attenuation N _.• i .
`F, 1 , - , i"
1
• 46. Handicap Regulations ;A �+, i •I• •--
47. FINAL STRUCTURE & BUILDING /i / tp :. , ,- f' � r:i
48..Sp '; recial Requirements Completed n
49:;Electric Release to Edison : '
'•/ -
50. Gas Release to Southern California Gas Co •
..
-51. CERTIFICATE OF OCCUPANCY , .'
No. Date
1 '.`\ t :`,