HomeMy WebLinkAbout2942 CENTURY PL - Building Permits • �1paW A.DDREss: 2942 CENTURY PL • UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 063721
own!LA's NaME: MAHLER RAY
ADDRESS: P.O. BOX 1500 PERMIT NO: B 063721 PLAN CHECK NO: NGOVT: N SUPP •
: N
COSTA MESA,CA 92626
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ALT
ARCH/ENGINEER: 548-0606 REG.NO.: JOB DESCRIPTION : T/OFF ROCK INSTALL 3 PLY ROCK SQFT: 19, 000
ADDRESS: UNIT:
PERMITTEE: CLAIM VALUE: 19,000. 00 CALL—VALUE: 19, 000 . 00 GROUP OCC; B-2 /
ADDRESS: LEE ROOFING (714 )642-7223
1653 SUPERIOR COMMENTS; T/OFF ROCK INSTALL 3 PLY ROCK
((''((���G JjL� E' jL *******************************************************************************
LICENSED CONTRACTOTDEOIANGTION: I heerreby affirm that I am licensed under CArovisions of hapter 9(commencing with Section ZONING N I N G REQUIREMENTS
7001)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS
CITY uC2751 STATE LIC.: 34968 ss: JJ � �
e: S y q g Signature: —/ ^T� MAIN BUILDING ACCESSORY BUILDING`
WORKE CO ENSATIONDECLARATION: I hereby affirm that I h a cenificate of consent to self-insure or a cenificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.or a cenified copy thereof(Section 38 ab.C). LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: 1FT IN
POLICY NO.: 1300948-93 EXP. ATE: 06/30/94
•
' COMPANY: STATE FUND PARKING REQ• PROV: PARCEL: 41820210 ZNE: REF NO:.
❑ Certified copy is hereby furnished. LX Unified copy is filed with the city Buildin Division. PLANNING NOTES> — '
ale: // gin Applicant: r *******************************************************************************
EXEMPTION FRGM WORKERS'COMPENSATION DECLARATION: (Thi lion need not be completed if the permit is for one hundred(S100)or less). DEVELOPMENT SERVICES R E Q U I R E M E N.'T .S
I certify that in the performance of the work for which this per )i is issued,I shall not employ any person in any manner so as to become •
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE: r•i '
Date: Signature:
NOTICE:If,after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY • DATE: —.
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. • f
CONSTRUCTION LENDING AGENCY: 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). APPLICATION ISSUED BY• — DATE; X. 30-
93
LENDER: ***********************************************************************!********
ADDRESS: LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC t FIRE SNIP/RES? GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish.or PERMIT 198.00 _
repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensedy.✓
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SMIP/NON-RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN /)_, ,1, 3 . 99e1
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE - (
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID i j DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Prof essional Code: The Contractors'State License Law TOTALS----> 201 . 99 0. 00 0. 00 201 . 99 201 : 99 'A . 00
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 employees,provided that such improvements are not intended or offered for sale.If.however the building or •
•
improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED; 201 . 9,9 -'OVER/SHORT• ' . 00
for the purpose of sate). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE 'SMIP/TOT GRADING.:PLAN—CHECK
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 198 . 00 i'3. 99 -.
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware .**,**,*,**********,**,***,**,*x*****************************ilii************************
that proof of their Worker's Compensation insurance should be provided to me.
I am exempt under Section: B.S P.C. INDIVIDUAL F E E B R E>A K D O W N
for nis reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner: •
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533.and SFC 19000 REROOF BY VALUE COMMERCIAL NOZONE / 1 .00 19, 000 . 00
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from `-
these provisions. /{ ley
Date: Applicant: 2
•
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county01 00145924-00145925 TI)T 201.99
ordinances and state laws relating to building construction and hereby authork' •presentatives of this city to enter upon the above-mentioned DATE: 08/30/93 TIME:
property for`/insp cdon pyrposes. 09:1$
— Date: a Signature:
Driver's censeo Social Security a:
1641.45 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
a
it CONSTRUCTION AND PLANNING - . P.0._ & SPA
'iR 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 •
-
•31•Electrical Condui.t•Utility-Undrgrnd., • 54. Forms
,'4:,Electrical Conduit-Uhdrgrnd. c. 55. Electrical Bonding
t 5.•Steel Reinforcement. , - 56. Rough Plumbing& Pressure Test
64;Electrical UFERCvng. i ' 57. APPROVAL TO COVER-GUNITE
"7. Footings 58. Electrical Conduit-Undrgrnd.
t B. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System ' • 61. APPROVAL TO DECK
11. Property Sewer Line.& House Connection 62. Backwash & Receptor-Final
12. Sealer Cap
63. Heater & Vent-Final
13. Roof Drains - 64. Plumbing System - Final
14. Roughg, 1
Plumbing.' 65. Electrical-Final ,
15. Rough ElectricaiConduit - 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
u•
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
-,,s. `7 t7• t7•I-Itl,t-0.3.7H -I. 1 1 • to
20. ,RoughFactory Fireplace I .:91 .r-I , - u'x. • MPPRO•VAtS'iLvRermit # , in
--:.•
C rn . , trn •` i . , . Iv :. I to t?N• :t-. �' tr 1"1
21.AuCis, in- trfturW I I ,a > tel i : , 0, 1
2,dergro"u'nld-HydyV o r:
,r Lr
22. Duc;s,, Ventilating-,* I .•,L5 '� • w 4. 0 171. Product:_Pipidg 0 0 98
23. 'Gas Pipe::Rough &'Test I rt ',• , 1E:7; ` ,N,2. Undergrdundi FlhC„ ,r rh a-•
I , C,
24. goof-Framing.. _-- - t•f • - i ,> ''} l.' 73.;Undergrnd,Storage'=ank l7 Gas 0Oiu
25. Rooflheathing _sGe 41-r !.;7; 1:1 17 6Cr;,K .t '74.CQverhead Hydro`;t-1°
26.•1-BaLCeiling (Structural) & Monocoat ,..o - 75.,Dry Chemical n , `7
27.tFrame and Flashing:5 .77
_rF '-"i76.'D'ry Stand :‘••••;• •'' n
;28. Lathing& Siding, •-: {.t: •• ••h• 77.uFIXEDSYSTEM'.FINAL t+'
'29. Insulatidg ; '1' I` •" I I 1; 78. IRE PREV. FIN;AL, � a, 1
30. Drywall Mailing x •, HEALTH DEPT.,RBQUIREMENT
31. Plaster Brown-Coat v - 111111111 179.tPINA L INS .ECTION •; , , '•
t32.t6lectrical;
.< Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. •
-eine* COSTA MSS!},. CONS RU !O,,N P•E(�MIT f PERMIT NO. TRACT NO. LOT NO. UNIT N0. • 720B 2/07/05 2L.t TL
Project Address p�YYll Y es ^ '� -/•p',-�`C� /797/ t
Applicant's Mailing •ddress "L'a . .11 01
` TYPE OF CONSTRUCTION LI NEW U ADD U ALTERATION U'REPAIR 1
,^ r AS a� Phon !//•-O O ❑ CONVERSION ❑ DEMOLISH El OTHER A.P.# • - Zone
Owner's Name • is DESCRIPTION OF WORK/USE OF BLDG.
Address S Main Building: - Accessory Building:,
Arch/Eng. License No. _ TYPE OF PERMIT ❑ GRADING U FOUNDATION U STRUCTURAL T Front • G
Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N
❑ OTHER I
Contractor's Name Phone - C Right N
• PROJECT DESCRIPTION SQ. FT. OCCUPANCY 6 .-s(s K G
Address(mailing) - - CONSTRUCTION TYPE VALUATION$ . 7 6 I • r , s Left '
City License No •
. ZONE GRADING CU.YDS. ACRES
LICENSED CONTRACTOR DECLARATIO /J _ Ping. Ref.# Parking Req./Provided E
I hereby affirm that I am licensed under pro Bions of Charter 9 (commencing Remarks: n f I I re A (•,Irn ( 1•�' Planning Notes: M
with section 7000) of Division 3 of the B in ss nd Professions Code, and l FT
my license is in full force and effect. I1',�{n�1''' • T
License Class t�icMao No. • S
•Date • Signature PLUMBING FEES WORKERS'COMPENSATION DECLARATION Bar Sink Showers
I hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES
of Workers' Compensation Insurance, or a certified copy thereof (Section _ Backflow Preventer. - Service Sink - - - -
•
' 3800, Lab. C.) Automatic Washer" Transformer ❑ 15-50 KW
Policy No. Company Backflow Irrigation Sewer Cap _ Construction Pole Sub. • ❑ 50+KW '
8 Certified copy is hereby furnished.
v-rtifii• c.o.s.'led the c' Build'.t.a? j cion, Bathtubs Sewer Connection Cooking Unit Meter Dui)to 100 amps
Date -��•- A•• ' �nt •�aat/Sa_:e.Atz .` -
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION • Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps
(Thissection need not be completed if the permit is for one hundred(5100)-or - - . - • ` _ . . -` - - • - -
less). Dishwasher Solar Piping • Dryers ❑Gas ❑Electric Sub Panel
I certify that In the performance of the work • which t s •ermit is issued,I - _ -
shall not employ any person in any ma• a as to b `• e subject to the Drinking Fountains Solar Tank • i Fan '
Workers' ompensation Laws of Califor/••._f� /� _ Motors❑0.1 HP ❑1'f.-8
. Date '�11 g'Q"' Signature / I Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar❑9-15 HP 016-15+
NOTIC If,of er maRYYng this declaratl•n,you should bec• • subject to the -
Workers' Compensation provisions of the Labor_ Code, you must forthwith Floor Sinks Urinal - - Fixtures - - --
comply with such provisions or this permit shall be deemed revoked. Microwave
CONSTRUCTION LENDING AGENCY - Gas Service Outlets _ Water Closet Device Boxes Pole Light
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 Outlets -
Lender's Name - . . - - Range
•
Lender's Address Kitchen Sink . Water Service - Switches Sign
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 ' •
any structure, prior to its Issuance,also requires the applicant for such'permit - • Trays V - Generator 00-5 KW 05-15 KW Trash Compactor
to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains.
She 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 t
therefrom 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 - - . -
ally of not more than five hundred dollars($500).
$ 3
, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee
pensatlon, will do the work,and the structure Is not intended or offered Reinspection Fee I $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 ' , _ DEVELOPMENT SERVICES REQUIREMENTS:
thereon, and who does such work himself/herself or through his or her own Hood or Type provided that such improvements are not intended or offered for Boiler I 0 Zoning Approved By Date
sale. If, however, the building or improvement is sold within one year of Com- — Canopy Type II 0 / // /JJ '7�/p
prove , the owner will have the burden of proving he/she did not build or im- Duct. Under Ground Building Approved By fS �/�/� Date /�/J O
1�rove for the purpose of sale). •
���7Y/
O I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date
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 0o-100,000 BTU 0100,000 BTU SUMMARY OF FEES ' •
builds or improves thereon;and who contracts for such projects with a con- �-I
tractor(s) license pursuant to the Contractor's License Law), I am aware that ' Exhaust System 0 Multiple❑. System Repair/Alteration I BUILDING PERMIT $ l�Q•�S/ �t SMIP $ .S[/
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ ./' / (rr PERMIT
❑ I am'exempt under Section & P.C.for this reason Firepl/Fact.Blt. ICBO# Fire Dampers— PLUMBING $ ISSUANCE $
Date 0}.r_Tf7-X� oWner Heating System& Ducting RegistersPLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that the.above ❑0-100,000 BTU D100,000 BT - ' r - • GRADING $
information is correct. I agree to comply with all city and county ordinances ' ' •. r. . ELECTRICAL $ I
and state laws relating to bulitli • construction,and hereby authorize repro- a PLAN CHECK 50%' $ •
MICROFILM $ '
sentatives of'this cis ente' ;p n the above-mentioned property for a :
inspection purposes R_ (� MECHANICAL • $
Signature i U'�. a Os- TOTAL FEE - $e2'�+ '9�
,��/'V�. , Date �� Reinspection Fee $15 Issue Fee
-Drivers' License or SS# .. - -; - pe I $ 3 PLAN CHECK 25% $
CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor ,_./ '
•
. '- CONSTRUCTION AND PLANNING POOL _.SPA
APPROVALS Permit# -
Date Inspect•or - APPROVALS Permit , Date Inspector
t
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 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. - • 60. Backwash Lines, P-Trap, 0 Undrgrnd. • •
' 10. Structural Floor System 61, APPROVAL TO DECK
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. Pioduct Piping ❑Gas ❑Oil
23.'Gas Pipe-Rough&Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank ❑Gas ❑Oil
- 25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical • .
27. Frame and Flashing 76. Dry Standpipe
•
28. 'Lathing&Siding 77. .FIXED SYSTEM FINAL. ;d"ric tri.
29. Insulation . 78. FIRE PREY. FINAL €1-17 c�✓,y
30. Drywall Nailing HEALTH DEPT.REQUIREMENT•
V
31. Plaster Brown Coat 79. FINAL INSPECTION
r
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric 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
49. Electric Release to Edison • - - • • .
50. Gas Release to Southern California Gas Co •
CERTIFICATEOF'OCCUPANCY .. _
•
No. "' • Date' ! '
.
r �, �� FEE RECEIVED
'* ; JAN 3 1562
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P. O. BOX 317 COSTA MESA. CALIFORNIA
CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
AUDDSG 2712 c6Y/Ta6CY `pF^4G
COSTA MESA. CALIFORNIA For Office Use Only
OWNER sag VFYc/? SEKVict co. I RECEIPT NO. I PERMIT NO.
MAIL RECEIVED BYDATE?RECEIVED DATE ISSUED
ADDRESS J441Jt1) / -.�! -4,77s /-.2(�-- ?.,
TEL. /////��T��J'''' BUILDING
CITY NO./ ./ ADDRESS
ARCHITECT .•FTCNu�.iW�Q e TEL.
11Opyy�Y COSTA MESA. CALIFORI�A (C .
OR ENNGIN[N EEJRR E5440Ff NO. j QTy N/-I' 1
ADDRESS .gig sesehear e(�'��gala /SI�� ZONE j�/"Jy�//,T/��. TYPE rn ROUP /' �j
CONTRACTOR LFR" gt471/ 2 APBYPR�.1 b DATE/ C�-
V v
ADDRESS-7 lk i ,, ZONING
/I, ' n - ZONE NO.OP USE OP NSW Still.
CITY 1 �Q1/ / �,,I I PLANE Z I BUILDING S
STATE TEL.K/ 2_ 973 ) LEGAL 46 'TT
,L P 3 7 a
LIC.NO. NO. DESCRIPTION
SIZELOT /T V y pc/5- I /J /p¢ NO. OP BUDGE./���
OF NOW ON LOT P1cIYp A.P.NO.
USE OF YARDS EVES
EXISTING BLDG. APPROVED ALLOWED
SETBACK UNE FROM / p 2� (CORER LINE St' 6 !—t.
CENTER OR STREET O C! REAR YARD gP/ FRONT & -FT. -____ IN.
SIDE YARD I LEFT /O ' I RIGHT / , R.SIDE / FT. -- IN.
DESCRIPTION OF WORK
L.SIDE FT. IN.
NEW L I II ALTERATION I II ADDITION I REAR 83 FT. IN.
REPAIR I II MOVING I II DEMOLISH I BYPROVED.. /�R/a DATE i/3/ 62-.
BUILDING 6043o NO. OF
SIZE ROOMS STORIES/ kIOLD=T FOR SPECIAL REQUIarIvF NTS
EXTERIOR WALLO' I ROOF
COVERING O. COVERING 191/7 of
• 4zry..e / 44-LI -Iryne G.
/
USE OF BUILDING AND WORK TO BE PERFORMED
QEP.iii e P 4oiam% o - .. _ a)a,
SUQVtY//l( WS?%'%EMTs
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION 18 FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM• PURPOSE OF ESTABLISHING A PERMIT PEE ONLY.
PLY-WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION Q
SIGNATURE OF PERMIT FEE $ (�/J •�
PERMITTED �J/��� �� R
<�� ,4'� , $�n �� PLAN CHECK $ 3T'� i
AUTHORIZED AGE ry . `�/ s
TOTAL FEE $ /03-3-10 n
,BUILDING SAFETY DEPARTMENT *TQ 16 0 C
P O. Boa No. 317 lel
Costa Mesa, California
Oats �j — //y
—
CITY OF COSTA MESA
CERTIFICATE OF OCCUPANCY
Building Permit No ?Electrical Permit No _Plumbing Permit No
Use of Building / �`"ia
The building located at „9 7 1/ 7 A.--LA. 41 �f C2 ,?
Legal Description
(See reverse side for Metes and Bounds)
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordin-
ances applicable thereto for a Group 7- 2- Occupancy.
ISSUED TO: r
City Builfring Official
. 5 .
•
( ner of Building) By --9' -t• yd 7��
CC: 0 Original—Owner ❑ 1st copy—Gas Co. ❑ 2nd copy—Edison Co. 0 3rd copy—File
'
Form 206 -B P 1M 1-60
2443
•
PROJECT ADDRESS: 2942 CENTURY PL 0X17' CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M 048629
OWNER'S NAME:
SERVCO
ADDRESS: SAME PERMIT NO: M 048629 PLAN CHECK NO: N GOVT: N SUPP : N
CONSTRUCTION TYPE: PERMIT TYPE: MEC PURPOSE: OTH
ARCH/ENGINEER: 546-0606 REO.NO.:
ADDRESS: UNIT: JOB DESCRIPTION : CHANGEOUT AC UNIT SQ FT :
PERMITTEE; CLAIM VALUE: CALC—VALUE: GROUP OCC : B-2 /
ADDRESS: GRAHAM BROTHERS (714 ) 546-1653
2952 CENTURY COMMENTS : CHANGEOUT AC UNIT
COSTA MESA CA 92626 *****************aE+t+t+cu-*w->f-x**+t -**N-*+rix-ytetatePerer***xt***->E***x-et*-ar+t*ac-****aeyaytar-x***�E**stout*
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions ol Chapter 9(commencing with Section Z ONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code, license is in fun force and effect. SETBACK S
CITY uG.: 00596� STATELIC.:2486 CLASSC �(�
Date: P. .42:2 ._. C:11 Signature: aL V�ll� MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800,Lab.C). LEFT: FT IN RGHT : FT IN LEFT: FT IN RGHT : FT IN
No.: WC2161030226018 EXP,DATE: 08/01 /91
ANY: LIBERTY PARKING REQ: PROV: PARCEL : 14145209 ZNE; REF NO:
rtifietl copy is hereby furnished. � Certified cop d with the city Building Divi i� PLANNING NOTES>
2�•<t0 •
>
_ Date: � � Applicant' �� *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be comp ed if the permit is or one unfired(SILO)or less). DEVELOPMENT SERVICESREQUIREMENTS
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 workers'Compensatipn Laws of California. ZONING APPROVED BY • DATE:
Dale: - Signature:
NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : •
DATE;
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. _A0�—'
CONSTRUCTION LOWING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y • — "� _ DATE• Q ZO'R
which this permit is issued(Section 3097,Civ.C). ********************** .s.s.s.s.s.s.s.s_sr"' *******if** * ****** 14)
UNDER: •
********************************* ' * - ***************************.*********
ADDRESS: LEGALIZATION:N F E E S U MARY STRUCTURAL SEGMENT :N
• . i 1
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 9 . 00
repair 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 the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 25% SMIP/NON—R E S
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by .PLAN • ,
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars moo). ISSUE FEE 15 , 00
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sate(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS————> 9 . 00 15 . 00 0 . 00 24 .00 31 , 50 —7 . 50
does not apply to an owner of a properly who builds or Improves thereon,and who does such work himself/herself or through
his or her own employees,provided that such Improvements are not intended or offered for sale. If,however the building or
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS——> COLLECTED : 31 . 50 OVER/SHORT: 7 . 50
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I,a5 owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 24 . 00
❑ ' and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projectsvith a contractors)license pursuant tothe Contractors'State License Law).I am aware **,N.**********************************.*********,********************,***********,N*
that proof of their Worker's Compenszbon insurance should be provided to me.
❑ am exempt under Section: B.&P.C. I N D I V I D U A L F E E B R E A K D O W N
for this reason: TYPE QTY DESCRIPTION UNIT COST TOTAL COST
Date: Owner:
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533.and MEC 1 REFRIGERATION SYSTEM <= 100 K H T U/H 9 . 00 9 . OO
25534 and that I or any future building occupant willvill not(circle one)need to comply with said state codes and the requirements for a END OF FEES
permit for construction or modification from theAilly Management District.Residential constriction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with at city and county
ordinances and state laws relating to building construction and he authorize representatives
�p\fid'ss cly tto(o enter upon the above-mentioned
propDate for inspection purposes. "•"' 7 —` i
11115-4.
� 01 00067852-00067852 TOT 31:50
Date: g'2�'? �� Signature: - DATE: 08/20/90 TI11E: 02:44
Driver's License or Social Security N:
1641-46 White—Building;Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor
I ,
CONSTRUCTION AND PLANNINGC SPA
Date Inspector Date Inspector
APPROVALS Permit # -� PO
1 APPROVALS Permit #
,
1. Temporary Electrical Service;i r 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-GUNITE
7. Footings . "_ 58. Electrical Conduit-Undrgrnd.
8. Foundation - 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. • j 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System - ' 61. APPROVAL TO DECK •
•
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 6• 6. Solar System-Final
16. Rough Electric Wiring i - 67. Fencing & Access Approval - l;
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 - • 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26..T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing - 76. Dry Standpipe
28. Lathing& Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing - HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric - Notes: '
34. Final Heating& Air Conditioning Y30(410 Lep
35. Final Gas Pipe-Test
36. Hood or Canopy I i
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
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48. FINAL PLANNING
49. Electric Release to Edison •
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50. Gas Release to Southern California Gas Cu •
51. CERTIFICATE OF OCCUPANCY
No. Date _. -
C-