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HomeMy WebLinkAbout1865 HARBOR BLVD - Building Permits 14109 FEE RECEIVED - COSTA MESA BUILDING-SAFETY DEPARTMENT Qj 21.iSa1 O U�` P. O. BOX 917 COSTA MESA. CALIFORNIA Applicant to Fill In Completely FINANCE DEPT. For P y APPLIVNTIION FLQIjTRERMhA TYPE OR PRINT �1 BUILDING BUILDING /Res,/nRsOR PL ✓0 COSTA MESA. CALIFORNIA For Office Use Only K � 1, ei t I RECEIPT NO. PERMITNO. OWNER i / w / T/Q9 MAIL RECE�✓OY DA REC VH-6DATE —E ADDRESS I !P-/ / ✓%Jel ' ,�a+• � TEL.,. /�Ap BUILDING CITY on G J�5/4-CN/ Aids- NO//Eb I18/ ADDRESS ARCHITECT TEL. COSTA MESA. CALIFORNIA OR ENGINEER NO. FIRE er/ ADDRESS ` `� -}� - ZONE T�IYPE�✓/j GROly,(U9J -y ¢' CONTRACTOR7/� /Q//�J^(k /J/.SfEY(L1 T.[JL//1 DG.e APPROVED —9.j /-ATE/ µ ADDRESS/2./ G: /8m. V /1 f ZONING tyJ C 7� �� ZO I NO.OF USE OF NEW r� 1 . CITY iS alrfA �P PLANS BUILDING % NW`RV //�� LIC.TNO. /iy�( q/ NO.TEL. L / B-7//2. LLEGCRIPTION C 1 4 1-0 OJ l ('16 �/P /y SIZE I NO, OF NOW ON LOTS "/U / 3 {-n /-f t',(�/1 OF LOT - A.P.NO. //4 l o V/ -I/ �,J USE OF O �n YARDS EVES EXISTING BLDG.FUfa/T//RE .STn,ce APPROVED ALLOWED �� SETBACK LINE FROM (CENTER LINE ST.) CENTER OF STREET REAR YARD FRONT Ajl I FT. IN. SIDE YARD I LEFT ( RIGHT R.SIDE FT. IN. DESCRIPTION OF WORK L.SIDE FT. IN. NEW I II ALTERATION I/ II ADDITION I REAR T. IN. REPAIR I II MOVING I II DEMOLISH I APPROVED LA/ /1// j (�DATE d� (�I// I BUILDING NO. OF '�'/��(/I/ ✓ t✓ ROOMS STORIES �I/ EXTERIOR WALL' I ROOF - ��� ���/// 77 . COVERING COVERING - � ,,f^4,USE OF BUILDING AND WORK TO BE PERFORMEDr/,8A- S7WRF 1/: . J :C. .. _ DOR I ESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT`SHOWN UNDER VEU.-Cf. I THE jteLt �%� AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. PLY WITH AU. CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTR 1 N. -y„ VALUATION �^" .,f SIGNATURE �� • , . PERMIT FSE $ r PERMITTEE '� L y V a $ ��/ Y PLAN CHECK $ tilr� AUTHORIZED AGENT )F /` — E H TOTAL FEE $ 0 r - Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. . CITY OF COSTA MESA - PUIMIT Nq. -- - TRACT NO. LOT NO. BLDG.NO.- . - -- - - - CONSTRUCTION PERMIT O/()LT/ I 1295 1 /2• 7/82 .50 TI<I Project Address - ' %8�5- /P7S �ARRoo TYPE OF CONSTRUCTION Owner C%t� f ,...-?....s..72,„ ...-?....s,...-?....s..72,-> „nit. C44 'Phone 75-1,.•4$430 ' 0 NEW ❑ADD 0 ALTERATION - - - • - - - - - - - - • Address - • - - - - . 0 REPAIR 0 CONVERSION ApEMOLISH . q - ZONING REGULATIONS Arch/Eng. License No. .*/9 / D OTHER - _ _ - - r DESCRIPTION OF WORK A.P. . AddressSe,'G r T ,j• Z /, --- • - -- - _ _ •-_ _ __ ZONE - .. 'P,LNG. REF. ''Contractor - < Phonecr/6?e - TYPE OF PERMIT ' -I -- -- t - - . BUILDING _ TTpp ggll11ILDING • _ ' Address-/7702 Cn.,r.d.J L�iii'lP CASy - SETBACK C/L$T. - PROPERTY LIIV E'_ _ 0 GRADING O FOUNDATION„. aa0 STRUCTURAL SIDE YARD .LICENSED CONTRACTOR DECLARATION ❑TENANT'❑ ELECTRICAL O LUMBING OMECHANICAL SSIIDEEYARD- '1 hereby affirm that I am licensed under provisions of Charter 9 (corn- - _ ' RIGHT - - 'mencing with- section -7000) of 'Division .3 of the- Business. and ❑OTHER - Professions Code, -and my license is in full force and effect. ''REAR YARD(TO'P/L) --- - ' - ” -- - • .. . . • • PROJECT DESCRIPTION- ' - LicenseClass -7' " - se No.-- �'�` Pe'r - ' - •'--'- PKG.SPACE'REO' PROVIDED, - Date' �' Signature - �ar_><iv - SQ. FT. r it, I,_ - - _ _ - - - -- -- QST REET WIDTH-` -•' - PARK FEE E - WORKERSSCOMPENSATIO LARA N _ - _ OCCUPANCY' CONSTRUCTION_TYPE _ _ - - - ' � l II hereby affirm that I have a ertlficate of consent to self-insure or a VALUATION / Sob f1ZONING APPROVED,BY - ^DATE certificate--of Workers' Compensation Insurance, or.a.certified'copy • .. - . _ ,/ ,ZONE ••^ - ' - I t+s�reof(Section 3800, Lab. C.). .GRADING-CU.,YDS. - • 1 ACRES 'SPECIAL CONDITIONS • immomilimec 0ertified,copy is-hereby furnished. . - REMARKS: _ _ I- ) .Certified copy Is filed with the city Building Division. - - - - - --- - '� '- -` - - r EXEMPTION-FROM WORKERS'-COMPENSATION DECLARATION - - --. • - -- - --- •---- ----- • (This section need not be completed if the permit is for one hundred - ,- ', .', _ ($100) or less). _- _ -- ._ : - - - _ _ _ _- 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 . PLUMBING- -„ PLAN CHECK - - ' • - ELECTRICAL-- - - -PLAN-CHECK' - ' - - • subject to the Workers' Compensation Laws of California. ' _ _ ..• Date s Signature I -BATHTUBS" - 'S0 FT INb SO FT t - - A ,NOTICE: If after making this declaration, you should become-subject- - TOILETS,;. ..r,,, URINALS '---- - - -- - • - -- GENERATOR -- -0-]' to the Workers' Compensation provisions of the Labor Code,'you must• - .ITRANSFORMER •4 a i.i forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE-LAVS - -" 1-- - - - - ';APPLIANCE 10-50-KW. - 50+.KW - -- - - { CONSTRUCTION LENDING AGENCY - - KIT.SINKS • -- --'DISHWASHERS - - • - MOTORS' - - -O-P HP_1-1 OHP - - I hereby affirm that there is a construction lending agency for the per- ..- . _ - .'.(INC..SOLAR) ..10-50 HP 50 +HP �formance of the work for which this permit Is issued (Section 3097 SERVICE SINKS • - SUMPS-• - - . ;Civ..-C.).• - • - - --- - - - - ---- - '- FLOOR'SINKS 'FLO R DRAINS'- -' -^' FIXTURES- - -- OUTLETS- SWITCHES -- - - ,Lender's Name , ' - - -Lender's Address - ' DRINKING FOUNTAINS - ' - - - - - - - GAS TUBE SIGNS -- - - - - - • OWNER BUILDER DECLARATION - - -- - POLE LIGHTS - - ) I hereby affirm that I am exempt from the Contractor's License Law for INTERCEP RS- LARIFIERS - -' -' - - the following reason (Section-7031.5-Business and Professions Code: -SWIMMING OL PT _ _ __ __ Lurvbl Rut,I wry Any city or.county which requires a permit to construct, alter, - - "POLES "METERED _SDB' improve, demolish or repair any-structure,-prior to Its issuance,-also re- WATER SERV E "A T ATION - • - ' PANELS - --MAIN -SUB- •- - - quires the apt Ilcant for such permit to file a signed statement that he - - - , is-licensed-pursuant-to-the provisions-of the Contractor's License Law GAS SERVIC TS-- - - '-- - - AMP-- _ -(Chapter 9 (commencing with Section 7000) of Division 3 of the - • - B.••iness and Prdessions Code) or that he Is exempt therefrom and the. ,-WATER-HEA ERS • TU TPUT - -- - - - - -- • = - for the alleged exemption. Any violation of Section 7031.5 by - - Ipplicant for-a permit subjects the applicant-to-a-civil penalty SEWER CO ECTIONS- -- • - - - -- -- -- - - -- - -- - - - .. at 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 the structure Is not intended ' - or offered-for sale. (Section 7044, Business and Professions Code: The- SOLAR PIPING SYS. --- -• ' - -- - - - -- - - • ISSUE - - - _ - - - • Contractor's License Law does not apply to an owner of a property ;qpp LIGATION 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 I .intended or offered for sale. If, however, the building or improvement MECHANICAL - PLAN CHECK - - - - -- -`- - SUMMARY OF FEES is sold within one year of completion, the-owner will have the burden Q r ee t/�S /� D , I of proving"hedid not build or Improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU , PERMIT G 6Y �7�,v l�. $ '� ❑ I, as owner of. the.property,. am exclusively contracting.with AND DUCTING e licensed contractors to construct the project (Section 7044, Business 100,000+ BTU PLAN CHECK $ PERMIT - i and-Professions Code: The Contractor's License Law does.not apply to - .$ •• _ _ 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) Ilcesned .pursuant so SYSTEM-- _ -" GRADING $ the Contractor's License Law). 100,0001 BTU - PLAN'CHECK -$ _ ._ 0 1 am exempt under Section - - B.& P.C.for thit $ BOILERS ELECTRICAL S reason. _ _ - MICROFILM S • SYSTEM RALTERATION — EPAIR,ALTERATIOPLAN-CHECK $ - Date _ Owner I . . •TOTAL FEE$ - - - - -- MECHANICAL' $ - - • I hereby Certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE LESS AD- Information Is correct: I agree o comply with all city and countyPLAN CHECK- E VANCE PC S_ ordinances and s to laws rel to construction,and hereby authorize representatives- f this n to enter upon the above mentioned - - �� property for gttl n po s ' Signature Date ,•�.7-y4- - - -' r FINAL FEE E a Drive •' ense or SS* ISSUE FEE_. _-. _ - __ - CM 0865-46 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNING ' • f POOL&SPA'` APPROVALS Permit 6 �-` 4'y Date •-Inspector - - - Date- •- Inspector APPROVALS '' Permit# 1. Temporary Electrical Service or_Pole _ _ 43. Pool & Equipment Location --' -" -- -- • -- 2. Soil .iFpe:Undrgrn ._ - _ .. _ _ __ _44. Steel Reinforcement - '- - .. - - - 3. Electrical Conduit.Utility-Undrgrn._ .. . . . - _ 45. Forms - - - - 4. Electrical-Conduit-Undrgrn . _ -. _ _46. Electrical Bonding -- - - -- -- - - - 5. Steel Reinforce' - - _- - 47. Rough-Plumbing.& Pressure Test - -• -= - • = . -- 6. .Electrical LIFER Grn, - -_ _, 48. APPROVAL TO COVER-G UNITE" -- = - , -. - 49. Electrical Conduit-Undrqrn - - �1 r- 8. Foundation- -- . . -" " 50. .. Gas Pipe, ❑Undr9m,Test ' " • ' . . - 9.. Water Pipe•Undrgrn _ _ _ _ __ . _ _ : ' 51. Backwash Lines. P-Trap: ❑ Undikrn' ' '- _ - - " - . ' ' ' • 10. ._Structural Floor System , a-__ . _ 52. APPROVAL TO DECK -11-. - Property Sewer.Line & House Connection . - • -- - _..53." •Backwash & Receptor-Final 12. Street Sewer Connection .- ' , . _- - , .. - . . -- •O 54.-- Heater& Vent-Final . ' " ." , 13. Rough Plumbing_ ___ _. . - - 55 Plumbind-System -Final • , .1 14. Rough Electric-Conduit Z--" - - --- - `--- - - --- '--56: Electrical-Final '- - 15. Rough Electric-Wring .•-_ __ - - - - - - - - 57. Solar System-Final - ' ' 16: •-Rough Heating & Air Conditioning - - -_ -- . - -= _=_ _b8. Fencing &Access Approval - . , . , _ , 59. APPROVED FOR PLASTERING r - 17�- -Ducts,-in Structure= r. -- - -- - _ _.- : - - - 18: Ducts, Ventilating - - ._ . __ ___-_ - _ _ .. -- - - 19: Gas Pipe=Rough&Test - - I • : -,-- - - - - ---- x-60. POOL/SPA SYSTEMS FINAL . - , . 20. Roof,Framing - -- - -' - - - - - - - -- - . - . .. / . . .', -., • G 21. Roof'Sheathing .. . .. ; - - - ---- - -- -- - - '- ' ,, , 22: Frame and-Flashing --- - __ _ NOTES: ` -- . . - ' .r .. Pre,, 23. - Insulation - - - - - - !- - 1- _ - - - - 24: - Lathing & Siding -- _ .. - -- - - - - -. _ .. .- _ - --- -- - - - 25: Drywall-Nailing -- , - - - --- - - - - - - - -- - - • - . - , . 26. Plaster Brown Coat - - - - - - - - - . - - - - -- -- - - r - 27. Electrical Power Meter-Final - - - - - - _ - - _ . ' . - - • - • - . • - - 28. - Final Electric - - - - - , - -- ._-- _ ._ _ _ - _ _ - 29.- Final:Heating & Air Conditioning- - - - - -:- --- - - - - _ _ - ' . • - 30. FinaliGas-Pipe-Test - - - - - . - �"-- - -- •- • . - - - r ' ,• _'. .` - ...i31. Final-Plumbing • - - " . , - -- -- . -1- - --- - ' . _ 32. Water-Service-Final --- - -- - -- -- - - - , - -- --- - --- . ' -- - - 33. Gas Service-Final,- -- - - - }_.-. - _ - _ 34: - Solar Domestie-Final . .` ' - - ' - u. • - - - - ,i 35. Landscape Sp?ihklinq System- - ' ' ' - -- - " ' - . - • , 36. Sound Attenuation - - - - ._ _ __ . - - - _- - - - 37. Handicap Regulations - • - .. - ' ' - - ' 38. FINAL STRUCTURE &BUILDING Ow- /a/3/g3 . /4F, dti ' ' - _ 39. Special Requirements Completed - __ _, - _ ___ . . _ . 40. Electric Release to Edison - - -' _ - ' • 41. Gas Release to Southern California Gas Co. i - - . - - 42. CERTIFICATE OF OCCUPANCY ---- - ' Date - - - - _ _ .. ._ • . _ . .