HomeMy WebLinkAbout1934 HARBOR BLVD - Building Permits t _ _ Applicant/to fill In all spaces except those within heavy border lines and sign all appropriate declarations. .
.a0f�+t.^+ - PERMIO TRACT NO. LOT NO. UNIT NO. • -
CITYOFCOSTA'MESA CONSTRUCTION PERMIT (,'., Q' 6958 10/07/87 170423 TL
Project Address ! 9 3'•1 !-I Ag8O2 ���- .3 OS `a 9 PDO�I/�/ l .f
Applicant's Mailing Address 17/ F- rlMPegult '! /1-tb ': TYPE OF CONSTRUCTION U NEW LI ADD L' ALTERATION U REPAIR Q
/El CONVERSION CI DEMOLISH CIOTH R ,,,I. A.P.# H + -1 — 205 — /O Zone C.. I
Owner's Name K4.MRv.e4 r Phone ./e„, z • : DESCRIPTION OF WORK/USE OF BLDG. - 4. t Os�`s^'r 1
Address 1t34 ('SAIQ$OeM. v/ ,f D:e I Z A- avt "D;H t s�/� S Main Building: Accessory Building: .
u { E Z
Arch/Eng. License No. I .f TYPE OF PERMIT ❑ GRADING OUNDATION ❑ STRUCTURAL T Front •/' /� pf Q //� s/mss ' , O
Address �•z -`L n�Sltl p.A '�O•i / T ENANT ❑ ELECTRICAL -PLVMBING ❑ MECHANICAL A Rear I niTeICI Ebe-- 19 Lrrefr-frr7 D (V S N
Contractor's Name A(-1N ISD TA]it U Phone 5'ZS-7/7/ , ,^❑.-OTHER C Ri ht N
g LII G J((�PgJCA / - j PROJECT,DESCRIPTION �Q T OCCUPANCYY 4- K g G
Address(mailin 1 /-r ff'G�.- #6/0= /p / /
35'90�o / GI i . :CON STRVCTION TYPE �/ VALUATION$ /0,-00r-2 S Left
City License No. _ FO (ZONE ' GRADING CU.YDS. ACRES• R
LICENSED CONTRACTOR DECLARATION ,/ "• ' I Ping. Ref.# Parking Req./Provided E
• I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: n I D - 7 �� ��� Planning Notes:" AL A4 g•MAIC I<ET of - G)20 cFsQ IES T
with section 7000) of Division 3 of the Business and Professions Code,-and Y 111
my license Is In full for nd effect. .1
License Gip I Li ense No. 'f6.1 S
1 Date O Signature PLUMBING FEES_J - '
Mj 'ORKERS OO MPENSATION DELL �4li-1 ' Maar Sink Showers _
`N ereby affirm that I have a certificate of consent to self-Insure or/a certificate 1 ELECTRICAL FEES
Iso Workers' Compensation Insurance, or a certified,copy thereof (Section ' . Backflow Preventer Service Sink
W 3800, Lab. C.) �s.a� -/ Automatic Washer Transformer 0 15.50 KW
PolicyNo. O /17�� Company J /U�`� �uais� '� Backflow Irrigation 0 50+KW
! a g Sewer Cap Construction.Pole Sub.
\\ Certified copy is hereby furnished.
Cerci(led o i filed with the city aulltlin9 Dlvl,-n. "/ ^ / �. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps •
Date /0/pi////p1y1//} Applicant € '
EXEMPTION F ROM WORKERS'COMPE TION DECLARATION' a. 5 . j Clarifiers Solar Collectors •
Dishwasher Meter ❑ov., 10 amps
(Thissection need not be completed If the permit is for one hundred ($100) or
less). - I. Dishwasher Solar Piping Dryers OGas DElectric Sub Pa 4, 5 VC
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 e 9 Drinking Fountains Solar Tank Fan
workers' Compensation Laws of California. - i • s❑0.1 HP ❑1%-8
Date - 'Signature . / ,-' Floor-Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 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 10 Fixtures Microwave ^^ pC'
• Comply with such provisions or this permit shall be deemed.revoked. - A. - O�
CONSTRUCTION LENDING AGENCY • ' Gas Service -Outlets IWater Closet Devi Pole Light
• I hereby affirm that there is a construction lending agency for the.performance - a , - ..
of the work for?which this permit is Issued (Section 3097s Civ. C.) '
Interceptors ( Water Heater ��s.s ('
Lender's Name c p tit.[ilJ h .Outlets Range v E7ri
Lender's Address ' Kitchen Sink • Water Service O 20 1 Switches Sign - s
OWNER BUILDER DECLARATION -
I hereby affirm that I am exempt from the Contractor's License Law for the I Lavatories - Auto-Wash �, t
following reason (Section 7031.5 Business and Professional Code:Any city or C Garbage Di . sal Standing Sections,
county which requires a permit to construct,alter,improve,demolish or repair 3 P-Trap -. -I- Laundry Trays RIeQ . 'Generator ❑1 KW 05-15 KW Trash Compactor
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
'he Contractor's License Law (Chapter 9(commencing with Section 7000)of
/vision 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 •
/031.5 by any applicant/for a permit subjects the applicant to a civil
nnalty of not more than five hundred dollars($500). $
I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee 3
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 I
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 Boiler Hood or T e I 0 DEVELOPMENT SERVICES REQUIREMENTS: •�
employees, provided that such improvements are not intended or offered for yp Zoning Approved By L '1 nil
II Date /0""7--67
sale. If; however, the building or improvement is sold within one year of com- Canopy Type II ❑
pletlon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground _ Building Approved By may-+z v,l Date /G�7-57
Lirove for the purpose of sale). -saiGL'Y- -ss(.if'f�}f/—
I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By_ • ate //)T7 Sa�
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law' oes not apply to an owner of property who Duct-Ventilating 00-100,00 TU 0100,000 BTU SUMMARY OF FEES
builds or improves thereon, and who contracts for such projects with a con- _ __ ,�(�
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple❑ Sys Repair/Alteration BUILDING PERMIT $ go
•s •�¢LL� SMTP $
proof of their Worker's Compensation Insurance should be provided to me. PLAN CHECK $ •Sc`.. J3 PERMIT
❑ 1 am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# ire Dampers PLUMBING $ ! 7 • 00 ISSUANCE $
Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ ',1• .5-0_ ENERGY P.C. $
I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,0 7L • ELECTRICAL $ i •_ O GRADING $
Information is correct. I agree to comply with all city and county ordinances D MICROFILM $
and state laws relating to building construction,and hereby authorize repre- - PLAN CHECK 5096 $ 4 '
sentatives of this city t nt upon the above-mentioned property for
inspection purpose 9p MECHANICAL $ TOTAL FEE $ 170.4,13
Driverion `' Date D /
Drivers' License or SS peinslpeaion Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
1
CMF 0865-46,rev. 10/84 White . Building; Canary -Applicant; Plnk -Accounting; Goldenrod - Assessor ,
CONSTRUCTION AND PLANNING - POOL&SPA '
Date Inspector APPROVALS Permit# Date Inspector
APPROVALS Permit#
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location - •
2. Soil Pipe-Undrgrnd. /O1-W7 ' L.CQ 53. Steel Reinforcement -
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. JO/tt�7afra 55. Electrical Bonding .
5. Steel Reinforcement . ,r . 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. rrf,' 60. Backwash Lines,P-Trap,0 Undrgrnd.
10, Structural Floor System" ,[' 61¢APPROVAL TO DECK ,
11. Property Sewer Line &'House Connection 1
1/ X62. Backwash & Receptor-Final
12. Sewer Cap ,Z Al 1l 63. Heater & Vent-Final
13. Roof Drains "t `' r- 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit t°Ii3iso g 66. Solar System-Final • ,
16. Rough Electric Wiring /0/a43,-1?„, 3 67. Fencing &Access Approval - ,
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling /0/q`g2 t€ vcS 69. POOL/SPA SYSTEMS FINAL .
19. Rough Heating & Air Conditioning FIRE DEPT, REQUIREMENT L' •
20. Rough Factory Fireplace APPROVALS Permit# - t
21. Ducts, in Structure 70. Underground'Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil ''
23. Gas Pipe-Rough& Test 72. Underground Flush ,, s
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
--i*.,--i*.,27. Frame and Flashing (x,13/2'1 - / 76. Dry Standpipe J ,v I_ '
28. Lathing&Sidingi 77. FIXED SYSTEM FINAL I::
29. Insulation • 78. FIRE PREV. FINAL ' ) - '
30. Drywall Nailing IOfrfhl G.P.1. HEALTH DEPT. REQUIREMENT : '
31. Plaster Brown Coat 79. FINAL INSPECTION •. • ;
32. Electrical Power Meter-Final 80. FOOD CERTIFICATEI55UED •' '/-fit It
33. Final Electric /0/30/€3.7totes: ' /201" /ayrtliYt.,& 7001,1: DI/p --
34. Final Heating& Air Conditioning p l ,Q / `�,. ,
O
. Ara real' yae<'P yiivi re 4
35. Final Gas Pipe-Test - ' t' - 1 7 '
36. Hood or Canopy 0I •
372 Final Factory Fireplace r " ///,
/
,6 art
38. Final Plumbing ; /GA 07S fi, cin / i ,N
39. Water Service-Final
(, , „ . _
40. Gas Service-Final ( ,' •
41. Solar Domestic-Final .
42. Backflow Preventer l
r.. i I 'I
743. Backflow Irrigation " 1 I.
j,
r 44. Landscape Irrigation System t,
'7.45. Sound Attenuation !
�
r' I1
�
c
, FINAL STRUCTURE & BUILDING //(.14 /l �,/
. Special rtequirements Completed / - .
49. Electric Release to Edison .--.., - -23 .
50. Gas Release to Southern California Gas Co r2
51. CERTIFICATE OF OCCUPANCY • / i
No. Date ,,.46:'
', . W/O #6882 . Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. 0193 �.I /24/67 - 8.00 TL
CITY OF COSTA PER I NO TRACT NO. LOT NO. UNIT NO. I
MESA CONSTRUCTION PERMIT • 1a97�) I
Project Address199 X344 Harbor Blvd. 7
Applicant's Mailing Address 1175 North Osprey Circle TYPE OF CONSTRUCTION Li NEW ® ADD U ALTERATION U REPAIR' '
KAMRAN TARESH 631-8/// ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# l Zone
Owner's Name Phone SCRIPTI (v OF WOF� �
K USE OF BLDG. Arid 1 ) 7Q N P Bea cap.
`
Address 1934 Harbor Blvd. i) supplies and ) Return.Air
S Main Building: .Building: •
•Arch/Eng. - License No. TYPE OF PERMIT LI GRADING U FOUNDATION Li STRUCTURAL T Front • ZO
Address ❑ TENANT i❑ ELECTRICAL ❑ PLUMBING ® MECHANICAL 8 Rear • •
N
Contractor's Name BLAKE A/C & SERVICE COPdbIU 630-6412 0 OTHER A _
PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N
CityAddLicensess e ng11175 Nnrt/^h1 ob dttY' Circle , Anaheim CONSTRUCTION TYPE VALUATIONS - S Left G
City License No. 1 OC�t) a10 'ZONE • GRADING CU.YDS. ACRES R
LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E
I hereby affirm that tam licensed under provisions of Charter 9 (commencing Remarks: PlanningNotes: a Q
with 'section 7000) of Division 3 of the Business and Professions Code,and
RECEIVED NOV J3 193 M
my license is in full r lid effect,
�® 396109 s
T
License Cl sjj License�Ny - -
Date 11�b Signature - PLUMBING 1 FEES •
WORKERS'COMPENSATION DE LARATION Bar Sink - Showers ELECTRICAL FEES
t I hereby affirm that I have a certificate of consent to self-insure or a certificate :-
.f Workers' Compensation Insurance, or a certified copy thereof (Section
Backflow Preventer Service Sink, Automatic Washer- - Transformer ❑ 15-50 KW
.1800, Lab. `4b1062 -
( •
Policy No. St at CtotdenkfRRr1$ COM en$at1 On ins ur Backflow lriigation Sewer Cap • ❑'50+KW
r - - Construction •Pole Sub. -
tCertified copy is hereby furnished. Fund
.�• Ce11-tj1 c p�/is filed with the city Epi g Dixi ) Bathtubs Sewer Connection • Cooking Unit Meter Due to 100 amps
1, Date II /s1�25/
Applicant
J�j•y t: L��'[.•r •
EXEMPTION FROM WORKERS'COMP SATION DECLARATION . Clarifiers Solar Collectors Dishwasher • Meter Dover 100 amps
(This section need not be completed if the permit is for one hundred($100) or
less). Dishwasher • Solar Piping Dryers ❑Gas ❑Electric I• Sub Panel
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 Drinking Fountains Solar Tank Fan Motors❑o-i HP ❑1'/a-8 •
Workers' Compensation Laws of California. -
Date Signature - - - Floor Drains SwimmingPool w/Spa - - ,
•
NOTICE: if,after making this declaration,you should become Subject to the p • F.A.U. Ina Solar ❑9-15 HP❑16-15+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks , UrinalFixtures '
comply with such provisions or this permit shall be deemed revoked. • _ - Microwave
CONSTRUCTION LENDING AGENCY Ga -Service 'Outlets Water Closet Device Boxes Pole Light I hereby affirm that there is a construction lending agency for the performance 9
of the work for which this permit •is issued (Section 3097 Civ, C,) Interceptors Water Heater Outlets Ran e
Lender's Name g
Lender's Address Kitchen Sink Water Service . Switches - gign '
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 Garbage Disposal • Standing Sections
, county which requires a permit to construct,alter,improve,demolish or repair P-Trap - Laundry Trays Generator ❑Q5 KW ❑5-15 KW Trash Compactor
any structure, prior to its issuance, also requires the applicant for such permit P
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 - - -
`herefrom and the basis for the alleged exemption. Any violation of Section
1031.5 by any applicant for a permit subjects the applicant to a civil '
analty of not more than fivo hundred dollars($500). •
I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 , Issue Fee $ 3
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 ood or Type I 0 -
sale. if, however, the building or improvement is sold within one year of com- Canopy T - II ❑ Zoning Approved By slate
re the owner will have the burden of proving he/she did not build or Im• Duct-Under Ground
gBuilding Approved By Date
provovt
e for the purpose of sale). - -
❑ I, as owner of the property, am exclusively contracting with licensed co'n- Duct-Structural Refri. . ion System - Application Issued By LA=Dat
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 00,000 BTU 0100,000 BTUSUMMARY OF FEES
builds or Improves thereon,and who contracts for such projects with a con-
tractor(s) Ilcense pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multip 0 System Repair/Alteration BUILDING PERMIT $ - SMIP $
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ - _PERMIT
IDI em exempt under Section B.& P.C.for this reason Firepl/Fact:Bit. ICBG# , Fire Dampers ISSUANCE 3
PLUMBING $
Date Owner Heating System&Ducting Registers - PLAN CHECK 25% S ENERGY_P.C. S -
I hereby Certify that-I have read this application and state that the above El 0-100,000 BTU 1:1100,00013T GRADING $
information is correct. I agree to comply with all city and county ordinances k 21 H.P. Compressor 4 00 ELECTRICAL - $
and state laws relating to building construction,and hereby authorize repre- - •- MICROFILM $
sentatives of this city enter upon the above-mentioned property for ' . - PLAN CHECK 50%' $ • f�A
inspection purposes. / MECHANICAL $ 7. TOTAL FEE $ 8,00
' Signature" �,Q�J L` Date ]U6�i{7 Reinspection Fee $15 Issue Fee
Drivers' License or S9'# `� � • pS 3 `PLAN CHECK 25% $ 1.O •
CMF 0865-46,rev.10/84 White - 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 UF ER Grnd. ' 57. APPROVAL TO COVER-GONITE
7.rFootings - 58. Electrical Conduit-Undrgrnd:..
8:rF.oundation • 59. Gas Pipe, 0 Undrgrnd.,Tes--;
9..Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, E1 yndrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK r::
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 0 Gas 0 Oil
23. Gas Pipe-Rough& Test 72. Underground Flush
24. Roof Framing lr 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing v2 74. Overhead Hydro
26: T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Fra and Flashing g 76. Dry Standpipe
28. LathingIh {ng 11 77. FIXED SYSTEM FINAL
29. Insulation 11%k Alt
78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
Y
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED ...
33. Final Electric Notes: -
34. Final Heating & Air Conditioning /017, ) a
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 1
48. Special Requirements Completed .
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co '
51. CERTIFICATE OF OCCUPANCY
No. Date _- '