HomeMy WebLinkAbout116 DEL MAR AVE - Building Permits ORANGE COUNTY BUILDING DEPARTMENT . APPLICATION FOR PERMIT 4
636 North Broadway '' e
' SANTA ANA, CALIFORNIA _. BUILDING .-
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DE A/BR ' 1 RECEIPT NO. PERMIT NO.
ADDRESS '1a^ pt /'�1TT2 I4v�% I 0-739 I4.4io 3
SCHOOL DIST. W S'I` p /A/\ of A. RECEIV 0 BY- DATE OF APPL. DATE ISSUED
OR TOWN �J !! " 1 J
CROSS5ST.0 E1L D1^/CCN �/ 'y� ' / �o �se{1,3�Y //��53
OWNER r i .31 1?�i / • o I Is ADDRESS //6 la.Q 7a-I/ at— -e
MAIL
ADDRESS T' O I 13 O„ 33 SCHOOL DIST. . i�� Q�
(`.�.'1 /�/�e Q Q �{ �' OR TOWN
Cost, Mr) NO.�e, SO S) J ?• NEAREST
CITY CROSS ST. _
i ARCHITECT OR TEL. I ZONE ^` n NO OF TYPE I GROUP
ENGINEER NO. 1:, r?
l / I PLANS I "
+DDRESS ie
//� ` II SETBACK LINE FROM CENTER OFF ST. Sd
,NTRACTOR {%��t.. NO. REAR YARD (09.__5' .SIDE YA RD�'
I APPROVED�����y/��� .
��M` BY 'A�'[TJ _ _ DATE
ADDRESS 4.. II
LEGAL CORRECTIONS
DESCRIPTION I LOT NO. "'� I BLOCK "
' (ATTACH METES @ BOUNDS) :{�J/
TRACT 7
SIZE OF LOT 104 X I 0y / / (/
I I NOW ON LOT . .4"
USE OF , 1 D e t I NO. OF I I RN
OF 6 '
EXISTING BLDG. Imo} '" ` FAMILIES ROOMS Crap--
. "�
DESCRIPTION OF WORK �/ '1
NEW I /� I ALTERATION I I ADDITION Ix :. 1 O
A
a
REPAIR I I MOVING I I DEMOLISH I 1
1, j
r SIZEIBUILDING 111y �j1 NO. OF STORIES I �
` r
I� l ROOMS
WALL /�a��`�1 A A P
COVERING S+IxP,(
co� akfCROOVOF ERING�fp�1
USE OF NEW
• •JILDING 0t -0 aboanS •
i
•
APZOVALS
FOUNDATION: LOCATION INSPECTOR DATE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS FORMS, MATER IALS. .iii
-- d �1'Y VQ
APPLICATION AND STATE THAT THE ABOVE IS CORRECT - UNDER-PINNING
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FRAME: FIRE STOPS. •Y•�
BRACING. BOLTS tr! � �I---•.);)AND STATE LAWS REGULATING BUILDING CONSTRUCTION. 1
„2431.14.... LATH. INT. "Q. / . -e.s -.
SIG ERMITTEFNATURE Fnf LATH. EXT. _� L
PLASTER. INT. .
" AUTHORIZED AGT.
PLASTER. EXT. A . ..
$ OL P. C. $ I op MASONRY REINFORCED
/O0O / FEE
[ BOND BEAM 1 /
VALUATIONZS 0�r ! V/
. - . FEE S FINAL Wp ��7 �
•
- ele
JdPLOT PUN -y
U
F
N - r -
STREET- .,
e. e 1.
1 i_
.
q Q-o z -
, ..
•
Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. 7993 2/21 /85 18x01 TI
CITY OF COSTA MESA CONSTRUCTION PERMIT - PERT NO. / �,' TRACT NO. LOT NO. UNIT NO.
Project Address /4 .- - _ . . - ♦/.- �. 1/lhJ
SO Applicant's Mailin Address .203 %51 / GA�4r11.G Cr- TYPE OF CONSTRUCTIONI(�� . NEW U ADD . ALTERATION U REPAIR
X�9g7J ❑ CONVERSION y.S DEMOLISH 0 OTHER Zone
,gy•p •
Owner's Name gie.i/ acs CRR sN .P�Phone is7y- GSOA,P, •9W
� DESCRIPTION OF WORK/USE OF BLDG. I
�\l\Y Address /2620.6 'ISI- in V u t pstJ7" Yi<w4o's S Main Building: Accessory Building:
( �I Arch/Eng. License No. • TYPE OF PERMIT U GRADING U FOUNDATION 0 STRUCTURAL T Front 0
Address l ❑ TENANT ❑ ELECTRICAL 0 PLUMBING 0 MECHANICAL BB Rear N
Contractor's Namp ` 45.-C-7•"/".A60 •OTHER Cyto Li77n..,
/4iLK riUr,�.Jy/ Phone N T C Right N
'� PROJECT DESCRIPTION SQ. FT. > noel FT. - OCCUPANCY /YDNe� K G
Address(mailing) 0✓:/17� /'�• C9/•£�.r?- et- r� y` .
CONSTRUCTION TYPE J'jQRep VALUATION 5T 1? OAO ♦+i o• s Left • R
City License No. 010 %7 't - ZONE GRADING CU.YDS. ACRES Ping. Ref.# Parking Req./Provided Q
LICENSED CONTRACTOR DECLARATION . -
I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: Planning Notes: M
with section 7000) of Division 3 of the Business and Professions Code,and • T
my license is In lull force and effect.
License Class e— I ai icense No. ._ - - S 1
Date.a- 9-SIS Signature - - __ PLUMBING FEES 0
WORKERS' COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL 'j ' FEES
• 1 hereby affirm that I have a certificate of consent to self-insure or a certificate / ,•
tf Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink - -
Automatic Washer Transformer 9 15-50 KW
3800, Lab.'C.) ♦� • _
Policy No.M/N-$4-.�?96C/L;ompany //«/YJO N7�� T Back(lo'w Irrigation Sewer Ca ❑ 50+KW
H. P Construction Pole Sub.
Certified copy is hereby furnished. - -
Certified copy Is filed with the city Building •vision. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 imp's-
Date Z AV- YMApplicant 71, r..enas MJ'+�
W
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps
(This section need not be completed if the permit Is for one hundred ($100) or - - -
less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Paneli '
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 Drinking Fountains Solar Tank ' Fan Motors 00-1 HP 0115'4-18
Workers; Compensation Laws of California. - -
. Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09.15 HFA❑16.15+
NOTICE: If,after making this declaration, you should become 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
I hereby affirm that there Is a construction lending agency for the performance Pole Light
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Range
Lender's Name
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-WashGarbage Disposal i Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,Improve,demolish or repair P-Trap i Laundry Trays Generator 00.5 KW❑5-15 KW .
any structure, prior to Its Issuance, also requires the applicant for such permit Trash Compactor
to 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 -
-
therefrom and the basis for the alleged exemption. Any violation of Section 14
' '7031.5 by any applicant for a permit subjects the applicant to a civil - -
enalty of not more than five hundred dollars($500). •
I, 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 •
—- Rains ection Fee
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL I, FEES/ - p $15 Issue Fee $ 3
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 Boiler Hood or T•ype I ElDEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not Intended or offered for yP
•
sale. if, however, the building or Improvement is sold within one year of com- Canopy Type H ❑ Zoning Approved By Date
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground • Building Approved By Date
Drove for the purpose of sale).
LI I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Dat
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 00.100,000 BTU 0100,000 BTU SUMMARY OF FEES
builds or Improves thereon,and who contracts for such projects with a con-
tractor(s) license pursuant'to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration BUILDING PERMIT $ /7•¶1 SMIP $ ✓
proof of their Worker's Compensation insurance should be provided to me. r PLAN CHECK $ PERMIT
0 I am exempt under Section B.& P.C.for this reason . ilFirepl/Fact.BIL ICBG# Fire Dampers I PLUMBING $ SSUAN CE $
DateOwner . Heating System& Ducting Registers • PLAN CHECK 25% $ ENERGY P.C. $ ' '
I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BT -- • GRADING $ '
information is correct. I agree to comply with all city and county ordinances - - ELECTRICAL $ .
and state laws relating to building construction,and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $
sentatives of this city, to enter upon the above-mentioned property for Q
inspection purposes MECHANICAL $ TOTAL FEE . $• w'00
Signature •7r yf/ C'
« _
t
CMF 0865.46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor - 1�
'CONSTRUCTION AND PLANNING - . - . ' . . - POOL-et SPA _
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 - fi
. 3.'Electrical Conduit Utility-Undrgrna. 54. Forms
4.r.Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement ' . - 56. Rough Plumbing & Pressure Test
.6. Electrical UFER Gr'nd. . 57. APPROVAL TO COVER-GUNITE
-7. Footings . 58. Electrical Conduit-Undrgrnd.
8. Foundation • - .• .. 59. Gas Pipe, ❑ Undrgrnd., Test -
'9. Water:Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. •
10. Structural Floor System61. APPROVAL TO DECK
1.1.-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. Product Piping ❑Gas ❑Oil -� '
23. Gas Pipe-Rough&Test 72. Underground Flush
. 24. Roof Framing 73. Undergrnd.StorageTank ❑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. •
29. Insulation 78. FIRE PREY. 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: 71/2.1 7:013....44 ...
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 '77a//Air
48. Special Requirements Completed 7t ,
49. Electric Release to Edison. . - - . - .
50. Gas Release to Southern California Gas Co
51. CERTIFICATEOF'OCCUPANCY - - • '
No. c - Date '