HomeMy WebLinkAbout2019 NEWPORT BLVD - Building Permits Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. UJUJ I /1.1/.;,,
CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT N� g,OG.. NO. - w"'1 i
CONSTRUCTION PERMIT 7QS -
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'Project Address 62.(J / N ' TYPE OF CONSTRUCTION , . . .. , , ,
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Owner L Ll]CA - 5 1'/-a U Phone 8'i 674' ❑ NEW 0 ADD 0 ALTERATION (M A •
- " " -
Address aQ3'S acts/ Cr(Qr--\� - ❑ REPAIR ❑ CONVERSION�/(--'IDEMO}.I !� ,
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Arch/Eng. 7 License No. 0 OTHER %.744720477/�-"- �tc•7 _ ZONING REGULATIONS'
DESCRIPTION OF WORK A.P.•g
Address - ZONE PLNG. REF.VP
•
ContractorCiiitcneu,i-J\figPhone TYPE OF PERMIT • BUILDING Tp g�1ILpING
rr�� SETBACK C/L ST. - PROPERTY LINE
Address ❑GRADING y� FOUNDATION El STRUCTURAL $IDE YARD ,
LICENSED CONTRACTOR DECLARATION 0 TENANT EELECTRICAL,❑PLUMBING ❑MECHANICAtt-15-IE?EE YARD
I hereby affirm that I am licensed under provisions of Charter 9 (com- , RIGHT •
mencing with section 7000) of Division 3-of the Business and 0 OTHER
Professions Code, and my license is in full force and effect. REAR YARD ITO P/L) '
PROJECT DESCRIPTION: - '
License Class License No.1 - SD FT - • PKG.SPACE REQ. PROVIDED
Date -Signature • - • STREET WIDTH • PARK FEE'S •
WORKERS'COMPENSATION DECLARATION • . - - - OCCUPANCY—CONSTRUCTION TYPE ,
1 hereby affirm that I have a certificate of consent to self-Ensure or a VALUATION ZONE ZONING APPROVED BY- DATE
certificate of Workers' Compensation Insurance, or a certified copy .
"- sof(Section 3800, Lab.C.). 'GRADING CU:YDS._ ACRES SPECIAL CONDITIONS: +
/ NO. Company - - • .- - _.
L.,,ertified copy is hereby-furnished. . _. REMARKS: . .- '
0 Certified copy is Bled with the city Building Division. .
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION _ • - - . . .
((This section need not be ..completed if the permit Is for one hundred I. ..
($100) or lesst. . . . . _ • .
certify that In the performance of the work for which this permit is .
Issued, 1 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. • UW tLLING 4ARAGE
BATHTUBS . SHOWERS- -
Date Signature - SO FT SO FT -
NOTICE: If after making this declaration, you should become subject TOILETS - URINALS ' - • GENERATOR 0-1-KW 1-10 KW
to the Workers' Compensation provisions of the Labor Code,you must - - TRANSFORMER
forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS - APPLIANCE 10.50 KW 50+ KW -
revoked- - • •
CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS - MOTORS - 0-1 HP 1-10 HP -
I.hereby-affirm that there is a construction lending agency for the per- SERVICE SINKS -(INC.SOLAR) 10.50 HP 50 +HP' ' .
formance of the work for which this permit is issued (Section 3097 - -
Clv. C.). FLOOR SINKS FLOOR DRAINS "FIXTURES ,
SWITCHES- '
Lender's Name _ - _
Lender's Address DRINKING'FOUNTAINS -' GAS TUBE SIGNS - - - - .
OWNER BUILDER DECLARATION' - .-.. _ ,_
I hereby affirm that I am exempt from the Contractor's License Law for INTERCEPTORS CLARIFIERS "POLE LIGHTS' - _ -
the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL ' P TRAP - LUNO tItUL IIUN _ ,_ +
Any city or county which requires a permit to construct, alter, POLES METERED SUB
Improve,demolish or repair any structure, prior to Its issuance,also re- WATER SERVICE ALTERATION' PANELS MAIN - SUB • ' -
quires the applicant for such permit to file a signed statement that he
is licensed pursdant'to the provisions of the Contractor's License Law GAS SERVICE OUTLETS ' SERVICE AMP _ -
(Chapter 9 (commencing with Section 7000) of Division 3 of the
P"-'ness and Professions Code)or that he Is exempt therefrom and the WATER HEATERS BTU,OUTPUT - .
- 1,- e a� r •-
for the alleged exemption. Any violation of Section 7031.5 by t f, ae/(�[/
applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS - . -
0, .ot more than five hundred dollars ($500). I
WI, as owner of the property, or my employees with wages as their SOLAR TANK -COLLECTORS _
sole compensation, will do the work, and the structure is not intended _
_ . '
or offered for sale. (Section 7044, Business and Professions Code:The SOLAR PIPING SYS. ' ' ' - ISSUE FEE_ •
Contractor's License Law does not apply to an owner of a property - � 4who builds or improves thereon, and who does such work himself or ISSUE FEE - P t R tA APPSLICATION APPROVED'BY - DATE
through his own employees, provided that such improvements are not - C-$ _Afinr '
•
intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK tCbp •
Is'sold within one.year of completion, the owner will have the burden rpDtete s SUMMARY OF FEES
of proving he did not build or improve for the purpose of sale). HEATING SYSTEM 0-100.000 BTU is1co (((''',,,���nCt �u' gig:, - • '
❑ I, -as owner of the property, am exclusively- contracting with AND DUCTING 711" Sig Ia." . _ 5 SMTP $ -
licensed contractors to construct the project (Section 7044, Business 100,000+BTU
:Lai?' PLAN CHECK 5 PERMIT
and Professions Code: The Contractor's License Law does-not apply to '- �,;� ISSUANCE $
an owner of property who builds or Improves thereon, and who con. REFRIGERATION 0-100,000 BTOMC PLUMBING 5 '
tracts from such protects with-a contractor(s) Iicesned pursuant to SYSTEM GRADING E -
the Contractor's License Law). 100,000 +BTU PLAN CHECK 5 '
Qm I aexempt untler Section B:8. P.C.for this BOILERS BTU ELECTRICAL -$ 8 5 I
reason - --. • PLAN CHECK -$ MICROFILM 5
SYSTEM REPAIR,ALTERATION
Date -- - Owner .TOTAL FEE$
I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE MECHANICAL E _
D-
Information is correct. I agree to comply with all city and county - - - PLAN CHECK 5- -.. LESS EP PC'
ordinances and state laws relating to construction,and hereby authorize - CE S
representatives of this city to ter upon the above mentioned - —:
property fo�p�ns p�e,a�rys�q pyre
Signature's ^`""` /� Date 1/^ro Se "i , FINAL FEE §
Drivers'License or SS ' ISSUE FEE . _ . -
CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor
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l_ 4g. ` �I
CONSTRUCTION AND PLANNING POOL&SPA i • ''!,.;'i '1^ ;Li
Date .Inspector - - - "-r " r ' - -- :'` - '=- --J - -Date . -:Inspector ---
APPROVALS Permit# APPROVALS .. . - d Permit#
1. Temporary Electrical Service or Pole _ _`_; , • 43. Pool & Equipment Location- - - - --- - - -- ' ---- -• - -
1__2._ Soil Pipe;Undrgrn,_ _ _ -__ _. _ _ _ 44.. Steel Reinforcement:- - - - . - - - - - - - - - - - - - -
.3.__ Electrical Conduit.Utility:Undrgrn._ __ .. _ _ _ _ 45. , Forms • . - - - •- - - -
'•-4._ .Electrical Conduit-Undrgrn. __ _ -___ . _ - _ . _. . - . -__. _. . _ _. 46. Electrical Bonding. ' -- - - -- -- - - - - - -
t_ 5. Steel Reinforce _ _ _ - _ - 47. Rough Plumbing.& Pressure Test- - -- - - . .,
• 6.. Electrical.UFER Grn __ _ _ _ _ _ 48. APPROVAL TO COVER-GUNITE . - - -- -- -.- - - - - - -
▪ 7... Footings -- __ -__ . __ _ _ ._. . __ 49. Electrical Conduit-Undrgrn -
r_ 8. -Foundation.. _ - .__ . .. . . ____ _ 50.. •Gas Pipe, ❑:Undrgrn,Test - • ' - •
- .9.- •Water_Pipe-Undrgrn _.. . _ _' _ ' __ 51. Backwash Lines,P-Trap. 0 Undrgrn - - - k
_10. Structural Floor System_ , - _ 52. APPROVAL TO DECK '- - -' . - : _ -
11... Property Sewer Lint&,House.Connectiori. _ . . - _ 53.. Backwash& Receptor-Final • • -
•
-12. .-Street.Sewer_Connection.,_: - : .__' _ . - - . _- • - - 54. Heater& Vent-Final•
13. .Rough Plumbing _ _ _ _ _ ' --. ` - - - ' ' - ' 55. Plumbing System=Final - - _ - --- - - - - - - . . '
14. Rough Electric-Conduit - - --56: Electrical-Final - - .s •
15. Rough Electric-Wring - - - - - 57. Solar System-Final- -
16. Rough Heating& Air Conditioning - . . - - , - - --b6. Fencing&Access Approval _ .
-17.: Ducts,in Structure --- - - . ..r _.. . -_ _ • 59. APPROVED FOR PLASTERING ' . .
r 18.- -Ducts,Ventilating-- : -- - - .- ' _ - . __ . . _ _ _ -- ,. . i.
19.; Gas Pipe-Rough &Test '•' ' ._ -, _. _ . __ _ 60. _ .POOL/SPA SYSTEMS FINAL - ' ' ' - k
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-20 -Roof-Framing - - - _ _ .. - - - - .
21.4 Roof Sheathing "- - - -
22.. Frame and Flashing--- - - "- -_ - NOTES: ' •_ . _ _ -_ - . . . i
-23. Insulation - - - - - " " _ '
I- 24., Lathing &Siding- -• -- -- - - . - - -- •: . • -_- - -- -• -- . .
25.' -Drywall Nailing - - - - . - - - - -_- .. , .
26. -Plaster Brown Coat-- ' _ _ . . _ . -
27-:' -Electrical-Power Meter-Final - --. _ ._ ' __. _ _ _ - ,•
28.-- Final Electric - -• -- _-. _. - _ - - _ _ _ - _. . .-- - -- -
29. 'Final Heating Air Conditioning__' . •a , . fes' Ii
• 30.1 Final Gas Pipe-Test - - . _ - _ . .._ - . . :_ -. _ II
31.' .Final Plumbing - 'i
• 32. Water Service-Final - - - - "_ . _ _ _- ._ _ - . _ . . . '! .. :-, ' . -
33. Gas Service-Final.. _ - ,. ,•' 'I ,- _ - _ ' '
34. Solar Domestic-Final I - . - ' . '
35. Landscape Sprinkling System ""` v. i '
36. Sound Attenuation _ . . . -
37. Handicap Regulations - ._ .• - - - • - - • --
38. FINAL STRUCTURE & BUILDING • ' -- ,
' 39. Special Requirements Completed • . - -
40. Electric Release.to Edison . . .t • ' - - - ' •-- ;�
141. Gas Release to Southern California Gas Co. . . •
' 42. CERTIFICATE OF OCCUPANCY !.__ - V, -
i •
- No - ' • • Date - -
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
I CITY OF COSTA MESA - - .- PERMIT NO. . - TRACT,NO: LOT NO. - ' BLDG.NO.-- -'
CONSTRUCTION PERMIT • • 9634 I :/'—'7/C? I ip : Ti.
Project Address - de -. i j a / j' .!a TYPE OF CONSTRUCTION U _NEW�:>L}t DD LI ALT, ERAATIIOON ,.J-REPAIR • ,
AppliWnt's Mailing ' •dress ,' O• ���/(A�>7i�u! L� ' ❑ CONVERSION '❑ DEMOLISH LUTHER yC7�}�t�yC�nr,7 A.P.# Zone -
// �T' DESCRIPTION OF WORK -
Owner's Name -++-- - tree- -4r •.one A 671 /
c/ t/ - S Main Building: Accessory Building: Z
Address - • Ara.-- �'-"/�� TYPE OF PERMIT 'GRADING U FOUNDATION U STRUCTURAL E•
Front - N
N
Arch/Eng. , License No. ❑-TENANT . LECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear I
_
Address ❑ OTHER ' . A - N
•Contractor's Name eth_n n /b Phone 4 yb e/y/ PROJECT DESCRIPTION SQ. FT. OCCUPANCY • K Right - - R
.
Address(mailing) CONSTRUCTION TYPE VALUATION$ - • 5 Left - E
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City License No. . ZONE GRADING CU.YDS. ACRES Ping. Ref. Park.Fees $ - . Q
U
LICENSED CONTRACTOR DECLARATION - Remarks: - - Parking Req./Provided • I
I hereby affirm that 1 am licensed under provisions of Charter 9(commencing R
with section 7000) of Division 3 of the Business and Professions Code,and Use of Building: . . . E r
my license is in full force and effect.
Ucense Class License No ! PLUMBING I FEES Planning Notes: M
Date Signature - ' E
•i'^CORKERS'COMPENSATION DECLARATION Bar Sink Showers ' • T
i'':+ereby affirm that I have a certificate of consent to self-Insure or a certificate , Backflow Preventer • Service Sink - S
-'<r-Workers' Compensation Insurance, or a certified copy thereof (Section- - - . - - - - - _ - '
•-3800, Lab. C.) Backflow Irrigation Sewer Cap - ELECTRICAL - FEES
Policy No. Company '
-
® Eertified copy is hereby furnished. - • , Bathtubs - ( Sewer Connection Automatic Washer Transformer 9 15-50 KW
-Certified copy is filed with the city Building Division. ' - . 0 50+KW
Date Applicant ' - Clarifiers Solar Collectors V.Construction Pole Sub. S
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION + Dishwasher — -- Solar Piping
(This section need not be completed if the permit is for one hundred ($100)or - - - Cooking Unit',' ,- - 'Meter Sup to'100 amps -�• '-
Iecs). DrinkingFountains '
I certify thatm l the yeperson in of the work for so which this permit a issued, I I Solar Tank Dishwasher Meter !Dover 100 amps
Workers'
not employ anyiperson of any manneria. so as to become subject to the -
Workers' Compensation Laws of California. - Floor Drains Swimming Pool w./Spa • Dryers ❑Gas ❑Electric Sub Panel
Date Signature I - ,
NOTICE:If,after making this declaration, you should become subject to the Floor Sinks s Urinal ' Fan ' Motors❑0-1 HP 01:5-8
Workers' Compensation provisions of the-Labor Code, you must forthwith - , - - - - - . . - - - .
comply withsuch provisions or this permit shall be.deemed revoked. . Gas Service 'Outlets Water Closet' - F,A.U. - Inc.Solar 09-15 HP 016.15+
CONSTRUCTION LENDING AGENCY - -
I hereby affirm that there is a construction lending agency for the performance . Interceptors Water Heater Fixtures • Microwave
of the work for which, this permit is issued ,(Section 3097 Civ. C.) - -
Lender's Name - _ - - ' Kitchen Sink - Water Service t - Device Boxes Pole Light
Lender's Address Lavatories '
OWNER BUILDER DECLARATION ,_ . • • . - t - Outlets 'Range
I hereby affirm that I am exempt from theContractor's License Law for the p-Trap '
following reason (Section 7031.5 Business and Professional Code: Any city or p - Switches •
Sign
county which requires a permit to construct,alter,Improve,demolish or repair _
any structure, prior to its issuance, also requires the applicant for such permit Roof Drains Garbage Disposal Standing• '
'to file a.signed statement that.he/she is licensed pursuant to the provisions of - - - 9 P Sections
-,vision Contractor's
of the'Busin Law and Prrofesssir 9 ons Code)i or with he/she ction is exempt ' . - - - - Generator ❑0-5 KW ❑5.15 KW Trash Compactor '
^.'y.-refrom and the basis for the alleged exemption. Any violation of Section ' - - . - �a.v�_ '
;i.)31.5 by any applicant for a permit subjects the_applicant to a civil pains etion Fee $ 3 74J„K -7 .�
penalty of not more than five hundred dollars($500). - - ' pe .I '$25 Issue Fee
i41. as owner of the property or my employees with wages as their sole MECHANICAL - Reinspection Fee $25 Issue Fee ' $ 3
compensation, will do the work, and the structure is not Intended or offered • - FEES -
for sale (Section 7044, Business and Professional Code: The Contractor's -- - - -- - - - - -- - - -- - PUBLIC SERVICES REQUIREMENTS:
License Law does not apply to an owner of a property:who builds or improves Boiler , ' - Hood or Type I 0 • ' '
thereon, and who does such work himself/herself or through his or her own Zoning Approved By Date
employees, provided that such improvements are not intended or offered for Canopy Type II ❑
sale. If, however, the buildingor Improvement is sold within oneyear of com- Duc[-Under Ground
Application Approved ByDate
elation, the owner will have the burden of proving he/she did not build or Im- r '_�7 u/7/f��
prove for the purpose of sale). Duct-Structural • Refrigeration System Application Issued By 1C)r �"// / Date
LJ I, as owner of the property,am exclusively contracting with licensed con-
tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating 00-100,000 BTU ❑100,000 BTU - SUMMARY OF FEES
The Contractor's- License Law does not apply to an owner of property who
builds or Improves thereon,and who contracts for such projects with a con- Exhaust System 0 Multiple ❑ System Repair/Alteration BUILDING PERMIT $ SMIP $
tractor(s) license pursuant to the Contractor's License Law). - PLAN CHECK $ PERMIT
0 I am exempt under Section B.& P.C.for this reason Fire
sit. ICBG# • PLUMBING $ __ ISSUANCE $
•
Date • Owner — - Heating System&Ducting - ENERGY P.C. $
r v PLAN CHECK $ I
I hereby ce icy that 1 have read this application and state that the above ' 00-100,000 BTU 0100,000 BTL '7
information' s correct-,I agree to comply with all city and county ordinances - • - - - - ELECTRICAL $ 13,0 0 GRADING $ •
and state laws relating•to building construction,and hereby authorize repre- PLAN MICROFILM $
sentatives of this cit to enter u on the above-mentioned property for , CHECK $
inspection p ores. '
Signature. _)/�
Pink-Accounting;Goldenrod-Assessor - . . _ _ - -
- .--
i CONSTRUCTION AND PLANNING '_ _ _ - - _ POC SPA
6 APPROVALS Permit# -� 9YJ� Date Inspector 1APPROVALS Permit#_ - Date Inspector
1
'r1. Temporary Electrical Service or Pole •• •- - 52. Pool & Equipment Location
1 .
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 ,
1-6. Electrical UFER Grnd. 57., APPROVAL TO COVER-GUNITE
1
7. Footings • 58.- Electrical Conduit-Undrgrnd.
8: Foundation • 59. Gas Pipe, O 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. Rdugh Wiring Sign ` 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
191. 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 142,‘ 1ec 80. FOOD CERTIFICATE ISSUED
1
33. Final Electric 444 /l , Notes:
34. Final Heating & Air Conditioning ^r r"_ p
35. Final Gas Pipe:Test - . .
36. Hood or Canopy • •
I -
37. Final Factory Fireplace -
38. Final Plumbing ,
39. Water Service-Final .
40. Gas Service-Final !
41. Solar Domestic-Final 1 - _ - • -
42. Backflow Preventer -
43. Backflow Irrigation -
44. ,Landscape Irrigation System , •
45. Sound. Attenuation I
46. Handicap Regulations - .
47. FINAL STRUCTURE & BUILDING •
48. Special Requirements Completed , -
49. Electric Release to Edison .• - --
50. Gas Release to Southern California.Gas Co
51. CERTIFICATE OF OCCUPANCY _
No, - - - Date ,