HomeMy WebLinkAbout1986 CHURCH ST - Building Permits -
"__________'-- -- — Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA IQ�EQ$A/ NSSTIRLUCTION PERMIT J_PERMITNO. TRACT NO. LOT NO. UNIT NO. A P 9W Zone
Project Addr I I ` O K� Cat+ E 31i (0---\ - Lf 2 26 q /� _
C S Main Building: Accessory Building:
�1.� LL TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION REPAIR E Z
Appligant•s Mailyz Address len t1n�,..c- ctk-gwp p t &cl'
Owner's Name V-V Cat Jl two 6 Fir phone0'f1 sag 0 CONVERSION 0 DEMOLISH 0 O HER _ T Front
G �7 p gESCRIPTION OF WO�i I�(USE OF L,QGJN SIf1ALt- Ai &tU .M 1�1'f2 B Rear N
Addressll l D l RE{R'C14 ewD/�v/�11 l gE It�CEI CA -1 ,147 OC-fl o 1J E O ILSOI� 1 E A
TYPE OF PERMIT U GRADING U FOUNDATION U STRUCTURAL I C Right N
Arch/Eng. License No. K G
Address �1 , * ❑ TENANT ELECTRICAL ❑ PLUMBING 0 MECHANICAL S Left R
Contractor's Name Q� / r+ ' Phone ❑ OTHER Ping. Ref.qW Parking Req./Provided E
Address(mailing) (( I 6I/ 1� PROJECT DESCRIPTION SQ. FT. OCCUPANCY ICI
Planning Notes: M
CONSTRUCTION TYPE VALUATION$ T
City License No. ZONE GRADING CU.YDS. ACRES S.
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks:
with section 7000) of Division 3 of the Business and Professions Code,and
my license is in full force and effect. ELECTRICAL FEES
, -tense Class License No.
to Signature PLUMBING I FEES Automatic Washer Transformer ❑ 15-50 KW
WORKERS'COMPENSATION DECLARATION Construction Pole Sub. ❑ 50+KW
I hereby affirm that I have a certificate of consent to self-Insure or a certificate Bar Sink $hOwert
of Workers' Compensation Insurance, or a certified copy thereof (SectionBackflow Preventer Service Sink , Cooking Unit I Meter p to 100 amps 18
3800, Lab. C.)
Policy No. _ - Company Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps
U Certified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel
Certified copy is filed with the city Building Division. Bathtubs Sewer Connection
Date _ Applicant Fan Motors❑0-1 HP ❑1'h-8
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors
(This section need not be completed if the permit is for one hundred($100) Or
less). Dishwasher Solar Piping ,I F.A.U, Inc.Solar 09-15 HP 016-15+
I certify that in the performance of the work for which this permit is issued I FI%tures Microwave
shall not employ any person in any m ner s a to b ome subject to the Drinking Fountains Solar Tank
Workers' p!�pen ation Laws of Califof Device Boxes Pole Light
Date 3�f•( 8 f Signature ( Floor Drains Swimming Pool w/Spa a.' 9
NOTICE:If,alter making this deciarall ,you shout become subject to the •
e Outlets Ran
Workers' Compensation provisions of a Labor Code, you must forthwith Floor Sinks Urinal 9
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches Sign
I hereby affirm that there is a construction lending agency for the performance
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections
Lender's Name
Lender's Address Kitchen Sink Water Service Generator ❑OS KW ❑5-15 KW Trash Compactor
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
mnty which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Traces
,y structure, prior to Its Issuance, also requires the applicant for such permit 'f"
• J 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 Reinspection Fee $15 Issue Fee •••---$ 3
therefrom and the basis for the alleged exemption. Any violation Of Section
7031.5 by any applicant for a permit subjects the applicant to a civil
enalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS:
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 • Zoning Approved By Date
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL I FEES Building Approved By Date -
�
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 Application Issued By Dat .�
employees, prcylided 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 com- Canopy Type II ❑ SUMMARY OF FEES
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground
prove for the purpose of sale). BUILDING PERMIT $ �SMIP $
❑ I. as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT
tractors to cov4truct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑o-100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $
builds or improves thereon.and who contracts for such orolects with a con-
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $
proof oftheir Worker's Compensation insurance should be provided to me. ELECTRICAL $ 35W GRADING S
❑ i am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG d6 Fire Dampers GICROFILM $
e PLAN CHECK 50% $
Date3�R— O� Owner Heating System& Ducting Registers MECHANICAL $PLAN CHECK 25% TOTAL FEE $ 3.5
I hereby certify that I have read this application a tate that le above 00-100,000 BTU 0100,000 BTL—
information is correct. I agree to comply with all city d county ordinances $
and state laws relating to building construction,and hereby authorize repre-
sentatives of thi city to e ter up•n the above-mentioned propertyfr
inspection • ••i.. 1 .
I� ft pV♦S�
0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor triiF.s 1331:51�� ?i is 1 vQi2Y .
CONSTRUCTION AND PLANNI. SOL& SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# - -- Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2:4 Soil Pipe-Undrgrnd. 53. Steel Reinforcement a • •v
_
3.-Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel,Reinforcement 56. Rough Plumbing & Pressure Test '
6' Electrical OF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7.' Footings: r 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test -
9.•Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. `Structural Floor System , • - 61. APPROVAL TO DECK "-•
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final I•.
12. Sewe 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
161 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 O Gas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas ❑Oil
25. Roof:Sheathing 74. Overhead Hydro
j
26. T-Barteiling (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 544'
80. FOOD CERTIFICATE ISSUED
33. Final'Electric 064
Notes:
34. Final Heating& Air Conditioning
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
•48. Special Requirements Completed
4,9. Electric Release to Edison ,
50. Gas Release to Southern California Gas Co •
51. CERTIFICATE OF OCCUPANCY •
No Date •
iIV
OWNER MINOR, John - _ DATE 7-19-62
e. JOB ADDRESS 1986 Church St. BUILDING PERMIT NO.17591
N •
GENERAL CONTRACTOR Owner-B1dr. VALUE $ 1100.00
AP No118-0114-07 LOT TRACT FIRE ZONE DESCRIPTION OF WORKAdd.to Ext.Pvt
INSPECTIONS Signature DATE GROUP J TYPE V ZONE R-2 Gar.
`y, SoilSUBCONTRACTOR PERMITS ISSUED
Gas DATE NUMBE1
Water
Rough Com. Ref rig. ❑ Air Cond. 0
Rough Heating
Rough Plumbing
Miscellaneous
Prop.Swr.Line 0 House Con. 0 St.Swr. 0
Sprinkling System
Construction Pole
Underground 0 Power ❑
Rough Wiring
Trenches 0 Forms 0 Steel Reinf. 0C----Le-r- 1-21 - 6
Floor System
Bond Beam ❑ Steel Reinforce 0
Sheathing i�-r 15 -q,,,(�.
Frame and Flashing lj� q -'7.&Sr
Lathing — In 0 Out IDp--1.4yp�-�Y d`L
Plaster, brown coat /Y1 a- 9 i / g —6.s----
Refrig. 0 Mr Cond. 0 Final _
Heating, Final
Plumbing Fixtures, Final
Final Gas 'Pest -
Electric Fixtures, Final
Building, Final \4417E- 2-/7'C9f.
OCCUPANCY
FORM Rab.SM — 7.61 17591
17591 FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT • IAIL 191962 b k
P. O. BOX 917 COSTA MESA. CALIFORNIA FINANCE DEPT.
STA
For Applicant to Fill In Completely APPLICATIIONOFOR PERMIT
TYPE OR PRINT BUILDING
BUILDING
ADDRESS 4 - S . P is
COSTA MESA. CALIFORNIA For Office Use Only
TO Jim.
.5 A / 1 w j RECEIPT NO. P RM IT NO.
OWNER V1) tNy� )J �d/ a !� T T%5 Cy/E 73-97
ADD / (j /I /`/ it (I S ! REC81VEp�Y I DA/ R// �- D�E/7:
:Xy ED y/
ADDRESS ( ASI ^'Kl Neil p /// Y
CITY 1 Q $r/, MESA NO �I',41AUBUILDING
ILDIN
ARCHITECT TEL. COSTA MESA. CALIFORNIA
OR ENGINEER NU.
ADDRESS - FIRE I/ ' -
ZONE ��(j�/�yy,TYPE / GROUP / A./
^'n ^
APPROVEDtJ // /(O z
CONTRACTOR/ Q,/!! /`+.' yJ�• BY DATE j
ADDRESS / ( F� �.-F: 7 ZONING
A
��yl _//� '/��/ 20N /fes NO.OF/ USE OF NEW I'fy��L LO
CITY `�1��/_-//(.I // ���' �� PLANBI I BUILDING^(�x1 ` ,@-�
STATE �--j �l // Q TEL
5)._ R - LEGAL //� {{{,,, J� cup,
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LIC.NO. 7 T -7s // NO - V b DESCRIPTION /�l L��-4 (/_ /1-SA ��/-'�� 7--
SIZE (/ C X / 3 I NO. OF BLOCS. 3 /1 K! 0/ (7,- 7 °-:i I
OF LOT ` J / , NOW ON LOT A.P.NO. 1 /V ( f —
USE OF r17 d YARDS EVES
_EXISTING BLDG. � APPROVED ALLOWED
SETBACK LINE FROM (CENTER LINE ST.) 3 _ E/�
CENTER OF STREET 2 REAR YARD • FRONT FT. - 5 IN.
HIDE YARD LEFT ./ RIGHT R.SIDE2FT.` (� ��� � IN.
DESCRIPTION OF WORK/ �/
L.SIDE oc.CA F -C .Li t� IN.
NEW I II ALTERATION I I ADDITION I X REAR / SFT. IN.
REPAIR I V MOVING 1 V DEMOLISH I gyPROp /.� v• DATE / -14 4 >"----
BUILDING
-_
BUILDING qq A NO. OF q�.�� STORIES 7�}l.
SIZE /I 6 X�., U ROOMS MAR_ (p.J -
EXTERIOR WALLROOF 4
COVERINGA4C25 I COVERING -
R LL
USE V.BUILDING ANT O Ta PERF RME
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING qr
BUILDING CONBTRUCTIO J/�f �/�/"/J VALUATION PERMIT FEE S / �`y� N
SIGNATUREITOF� �1 //(_1;-7 - - $ //O 0 / PLAN CHECK $ �J V B
AUTHORIZED AGENT /JL p
® TOTAL FEE $ / 3.50 4