HomeMy WebLinkAbout1894 HARBOR BLVD - Building Permits Applicant to fill In all spaces within heavy border lines and sign all appropriate declarations. '
CITY OF COSTA MESA PERMIT O. '' // TRACT NO. LOT NO. BLDG.NO. - • - ' ' ' ' ' '
-"CONSTRUCTION 'ERMIT igP 9c7/5` •
•
/� Project Address /15-frJ�//`/CSG_ t��14/ /� 44 UQ TYPE OF CONSTRUCTION' - '1 U 16O7t 6:2Th ,
r f l Owner 6701" //..��QeL Lai/J.., 4 ' Phone7f 37 " 0 NEW 0 ADD 0 ALTERATION tA./� , .2250 I t /P9l�r!•
0aa 'VA
cb Addrea. 77 Mir< ele to /F SCoTT - 0 REPAIR 0 CONVERSION • VEMOLISH '[,�
�sZONING REGULATIONS
`I Arbh/Eng. pa/License No.2j9Q Y-19 0 OTHER. , A.P. - '
Address ,s ,/ �J� ^v^•-I ,DESCRIPTION OF WORK _
-O D.[JfOT �XO7 lJlv/I,DUQ, � -G11�� ` g..Q/Yl••. ��/� �� ,,/ / ZONE PLNG.REF.9F •
Contractor_-- 6 L/!LL/AA[a ' - Phone s53-6313 'TYPE OF PERMIT //�'— - BUILDING TO BUILDI1G
_ (.� � SETBACK C/L ST.
PROPERTY INE
O Address }fid 3e& 1$07- Cd,npeltl� RI 7.10 0 GRADING, 0 FOUNDATIONI. ❑ STRUCTURAL '9 $IDE YARD - -
V
LICENSED CONTRACTOR DECLARATION ❑ TENANT ❑,ELECTRICAL 4SLPLU MBING ❑MECHANICAL L9EIDEYARD - -
I hereby affirm that I am licensed under provisions of Charter 9 (corn-.
com- .r / RIGHT
mencing with section 7000) of Division 3 of the-Business and ❑ OTHER - -- REAR YARD(TO P/L)
Professions Co d my license is in full force a a f t .
1. _PROJECT DESCRIPTION _
License Class / yeense PKG.SPACE REQ. -PROVIDED
•
Date Signature ' L/ /�/ , " SQ. FT. - -" - STREET WIDTH PARKFEE$
WORKERS'COMPENSATION-• �• - ATION - - .00CUPANCY CONSTRUCTION TYPE_ - ZONING APPROVED BY • ' GATE
I hereby affirm that I have a ce rficate of consent to self-Insure or a VALUATION i��0 ZONE - f '
certificate of Workers' Compensation Insurance, or a-certlfietl copy - - SPECIAL CONDITIONS:
-�reof(SQ�I��o���n 3800 Lab.G ��..!!•�1, .fes �C1�K GRADING CU.YDS. ACRES
fri
cy NO!"`•'•nitILMJt.F mpany,)11'1 (•QMP4K+filf✓IrGh{'ry' _ ...Certified copy is hereby furnished. • - - - r"' REMARKS:
❑ Certified copy A tiled with the city Building Division. ,
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION . - - - - . - - -
.(This section need not be completed if the permit is for one hundretl -. - - _ - .. . '
($100) or less). -
certify that in the performance of the work for which this permit_is . I
issued, I shall not employ any person in any manner so as to become PLUMBING•. • PLAN CHECK - ELECTRICAL PLAN CHECK . I
subject to the Workers'Compensation Laws.ot California. - - - UWtLLINIa ' c.AHAt•L- -
Date Signature BATHTUBS SHOWERS SO FT. SO FT ' •
NOTICE: If after making this declaration, you should become subject •:TOILETS ' ) • URINALS — GENERATOR I GENERATOR 0-1 KW 1-10 KW -
to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER -
-forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE L'AVS --\ APPLIANCE 10-50'KW_50+ KW - '
F levoked. _- - - . _ _. - .
CONSTRUCTION LENDING AGENCY KIT.SINKS • DISHWASHERS' MOTORS 0-1 HP 1-10 HP- - - - -
I hereby affirm that there Is a construction lending agency for the per- SERVICE SINKS ' ' ' SLM•S -"- • - (INC.- SOLAR) '10-50 HP 50 + HP - - -
formance•of•the work,for which thii•S(/ s permit is issued (Section 3097 - - -
Civ. C.). /,a _ • FLOOR SINK ) OOR DR•INS FIXTURES OUTLETS' - SWITCHES -. - - -.- -
Lender's Name
nder.'s Address `� - - DRINKING•Fi A i . ,• -GAS TU BE SIGNS'
C ,
OWNER BUILDER DECLARATION - INTERCEPTO V+fI RS POLE LIGHTS - "
I hereby affirm that I-am exempt from the Contractor's License Law for /I r '
-the following reason (Section 7031.5 Business and 'Professions Code: �' . 'f. - - . . _..7 LOLSr.HULI WIN -- -
Any city or county which requires a permit to construct, alter, SWIMMING-pf-' •la POLES METERED -SUB
Improve,demolish or repair any structure, prior to its issuance,also re- WATER SERV CE ALT •ATION ' PANELS. MAIN SUB - - "
quires the applicant for such permit to file a signed statement that he
is licensed pursuant to the provisions of the Contractor's License Law GAS SERV! E OUTLETS SERVICE - AMP
(Chapter 9 (commencing with Section 7000) of Division 3 of the - '
-mess and Professions Code) or that he is exempt therefrom and the -WATER HEATERS . BTU OUTPUT - - - - -
f : for the alleged exemption. Any violation of Section 7031.5 by - '-' -
-J. applicant for-a-permit subjects the applicant to a civil penalty SEWER CONNECTIONS
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their SOLAR TANK COLLECTORS ' . - ' . •
sole compensation, will-do the work,and thestructureis not intended ' . ..
or offered for sale. (Section 7044, Business and Professions Code; The SOLAR PIPING SYS. -
Contractor's License Law does not apply to an Owner of a-property APPLICATION APPROVED BY - • DATE
who builds or improves thereon, and who does such work himself-or ISSUE FEE , .
through his own employees, provided-that such Improvements are not. _
intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK - SUMMA RV OF FEES
is sold within one year of completion,.the owner will have the burden BUILDING - '
of proving he did not build or improve for the purpose of sale). HEATING SYSTEM_ 0-100,000 BTU ' PERMIT $
CII, as owner of the property, am exclusively contracting with AND DUCTING • -licensed contractors to construct the project (Section 7044, Business 100,000+BTU PLAN CHECK $ PERMIT
and Professions Code: The Contractor's License Law does not apply to " ISSUANCE '$
an owner of property who builds or Improves thereon,and who con- REFRIGERATION 0-100,000 BTU PLUMBING $
tracts from such -projects'with-a contractor(s) Iicesnetl pursuant to SYSTEM - - ' ' -- - ' GRADING $
the_Contractor's License Law), 100,000+BTU_ PLAN CHECK $
•
❑ 1 am exempt under Section - - B.& P.C.for this BOILERS BTU ELECTRICAL $ $ ,
reason - - - - - MICROFILM $ '
' SYSTEM REPAIR,ALTERATION PLAN CHECK $
Date - - Owner - - - - - - - • - - .. TOTAL FEE$
I herebycertifythat I have read.this.•.lication andEXHAUST SYSTEM MULTIPLE MECHANICAL $ ,
state that the above. _ 'LESS AD- -
information is corr.t. agree ly with all city and county . . PLAN CHECK $ ' VANCE PC $
repiesentaantl. a cityN truction,antl hereby authorize • _
representatives"t• s cityf upon the above en ionedpro •
Signature[rty ure fo/�-•e• i__�= p / I` Ru/�����e--i {�W FINAL FEE $ -
rnature en - or SS t - ISSUEFEE - -' /V/ ' / a_& rcirr - --
CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor
- f
CONSTRUCTION AND PLANNING POOL&SPA
-
APPROVALS Permit# O/� _ ector. `
OP--11.42.1`Sy'� Date - Inspector
Ins� p APPROVALS Permit.# p
1. Temporary Electrical Service or Pole - 43. Pool & Equipment Location_ ._ , - -- - - •
2. Soil Pipe-Undrgrn • _ _ 44. Steel Reinforcement - - - - �_- - - '
3. - Electrical Conduit Utility-Undrgrn - 45. Forms ' - - •.-- -- -
4. _Electrical Conduit-Undrgrn _ _ _ _ 1 _ `46. Electrical Bonding - - - - . . •.
_ 5. Steel Reinforce _ 47. Rough Plumbirig& Pressure Test. _
_6. Electrical UFER Grn - 48. APPROVAL TO COVER-G11NITE--- - -- --- - _ •
- 7. Footings •- . . 49. ' Electrical Conduit-Undrqrn •
. 8._. Foundation .._ - - - - - - - 50. . Gas Pipe, . . - .
p El Undrgrn,Test ,
_9. ..Water Pipe-Undrgrn ,_ . - 51. Backwash Lines,P-Trap.'❑Undrgrn --- • - • -- -
10. Structural Floor System - ,. 52. APPROVAL TO DECK--- -""- _ _- -- -
11. Property Sewer bine&.4ewee-GennectionAeef /-L - 12 . . 4'Q - ,•,- '531.. •Backwash,& Receptor-Final. -
12. Street Sewer Connection , - - .. • - . 54. Heater & Vent-Final , - .. -
13. Rough Plumbing __- - - 55. Plumbing Svstem -Final . . • " -
14. Rough Electric-Conduit ---- - - - - - - ,56. Electrical-Final I
15. Rough Electric-Wiring - --` - - -. --- 57. Solar.System-Final - - "
16i-- Rough Heating& AirConditioning _ - - - - .. - - 68. Fencing & Access Approval „
17. Ducts, in Structure- ._ _ _ _- '- - _I _ . - __ _ - ' 59. APPROVED FOR PLASTERING I ' 1 ;
18. Ducts, Ventilating . - ; _-_- . _ - '
19. Gas Pipe-Rough &Test - _ - -. _ - 60. POOL/SPA SYSTEMS FINAL - -
20. - Roof.Framing _ . - _ • _ -- - • . .
21. Roof Sheathing - - __ . .. _ • . .. ,
22. Frame-and Flashingi NOTES:�� ,4 a nio 6v/Jt r[ry ,./r
- - - - - - - - ix 079 'sru/vT (/
23.. -Insulation . - - .. J / -'
24. Lathing &Siding _ _ . . • .. __ _ _ - . %`6p ,4 -ar ..,z -,4--,4-1.- „Licit/0,a- ,-,...k, a ' axi>�.r^
25.- Drywall Nailing • . . /� T- PreG •
26. Plaster Brown Coat ' - .. .- -,
27. Electrical Power Meter-Final ' _ - ' _ - _ - _ '_ •_ - ,
28. -Final Electric '- -. . ' - _
_
-
29. Final Heating & Air Conditioning. . . - _ ' - ' - , . ' ,
30. Final Gas Pipe-Test _ •
, . . • - '
31. Final Plumbing -
32. Water Service-Final - _ - - - _ • _ . ' . '
33. Gas Service-Final _ - - - ' -
34. Solar Domestic-Final • ' - - . . `_.° ..
35. Landscape Sprinkling System _J
36. Sound Attenuation _ - • . . •
37. Handicap Regulations - - ./.., - _
38. FINAL'STRUCTURE & BUILDING . ,
39. Special Requirements Completed - - - '
40. Electric Release•to Edison - - - - •
41. Gas Release to Southern California Gas Co.
42. CERTIFICATE OF OCCUPANCY _ - . - • - -
•No - - Date - • - - - - - -
1 - ,
•
•
City of Costa Mesa
Development Services Department CERTIFICATE OF OCCUPANCY No. 000253
Building Safety Division
P.0.Box 1200
Costa Mesa,iCalifornia
The Building located at 11492 pir1er ,lana - T4t3-tr /3.1"
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group_ B-2 Occupancy.
Use of Building Interior Alterations - Pizza Takeout
Legal Description 424-231-19
(See reverse side for Metes and Bounds)
E-8732
Building Permit No f'r8481 Electrical Permit No. G-8481 Plumbing Permit No. G-8481
Mechanical Permit No. n—g4R1 Number of apartments —O— _- an✓d/oorr guest rooms, —0--
/;
ISSUED TO: Building Official r- i
T.s1 e T. SNarnaki b/-1 �' ' 7/y
114811 Hunt_i ngton Street„ Huntington Reach, CA Date /O�/'_
This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the
Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C.
CMF 1015-46 rev.1/B3 White-Owner;Canary-Numerical File;Pink -Bldg.Permit File