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 - - - - _ _ .. ._ • . _ . .