HomeMy WebLinkAbout3156 BEAR ST - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY,OF COSTA MESA CONSTRUCTION2 ( 35-63
TYPE OF CONSTRUCTION ❑ NEW U ADD LI ALTERATION Li REPAIR
Applicant's Mailing AdpIress IIA
��..��....,,,,.�, QQ�'�rt,�, El CONVERSION DEMOLISH El OTHER 11 .. II _���� cc GG q,p,# Zone
Owner's Name S - - 1E47 .•hone..]�('6C�%C/ DESCRIPTION OF WORK/USE OF BLDG. b° rv�,6Ct<N f•�••o cae
Address L. ,'• VS • / ' + S Main Building: Accessory Building:
E '�IJUt'LT :ATE RECEIPT 1,
Arch/Eng. License No TYPE OF PERMIT ❑ GRADING U FOUNDATION U STRUCTURAL T Front „0,.,..,v„,,/�
Address ._tr-tree �••1/• El TENANT CI ELECTRICAL LI PLUMBING CI MECHANICAL B Rear v� V y�
Contractor's Nam- ASP 1413"�S]Cgun—�—' - ❑ OTHER - A . - I
Aisq uiiP • one PROJECT DESCRIPTION SQ. FT. OCCUPA CY C Right N
K G
Address(mailing) urW=��+NLS+ « .cF7 CONSTRUCTION TYPE VALUATIONS 1[�[i(/ $ Left R
City License No. ZONE - GRADING CU.YDS. ACRES
LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E
Q
I hereby affirm that I am licensed under provisions of C• yer 9 (commencing Remarks: Planning Notes: M
with section 7000) of Division 3 of e tpa.9••ne55 a fersions Code, and - T
my license is in I ar•• .p• ect.� cbo p^
License Clas �— --:� /__ L1 No. aS..L/JJo S
Date .+' �'ignat �S se- PLUMBING FEES
WORKER COMPENSATIO dr ATION Bar Sink I Showers' 1 ELECTRICAL FEES
I hereby affirm that I have a c • oconsent to self-Insure or . •ertiflcate •
workers' Compensation Ins. . ce, or a certified copy f .action • Automatic Washer Transformer 0 15 50 KW
\• -4 �: / Backflow Preventer Service Sink -
00, Lab. C.) 6
n• .,icy No. !o' lC'?-97 Compa. .�=.•- Backflow Irrigation Sewer Cap - Construction Pole Sub. - . - 0 50+KW
Certified copy is hereby furnished. .i�/�
Certif a copy�'jfl h the cit /i Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps •
•
EXEMPT' FROM WORKERS DE RATION Clarifiers Solar Collectors - Dishwasher Meter Dover 100 amps
(This sects need not be completco f the permit is for . undred($100)or • —
less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel
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 011/2-.8
Workers' Compensation Laws of California.
Date Signature Floor Drains Swimming Pool w/Spa F.A.U.
NOTICE:If,after making this declaration,you should become subject to the • Inc.Solar ❑g-15 HP ❑16-15+
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 Range
Lender's Name
•
Lender's Address Kitchen Sink Water Service Switches' Sign
OWNER BUILDER DECLARATION '
I hereby affirm thatfl.am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city or I
county which requires-a permit to construct,alter,Improve,demolish or repair P—Trap Laundry Trays Generator 00.5 KW 05-15 KW Trash Compactor
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 '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 -
- 031.5 by any applicant for a permit subjects the applicant to a civil
:natty of not more than five hundred dollars($500). •
$ 3 ,
., I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 _ Issue Fee _ . .
l compensation, 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 Boiler HOOd or T ¢I 0
employees, provided that such improvements are not intended or offered foryP /sale. If, however,the building or improvement is sold within one year of com- Canopy Type II ❑ Zoning Approved By / Date
pletlon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground _ Building Approved By Date
Lirove for the purpose of sale).
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: T
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00.100,000 BTU 0100,000 BTU SUMN],Q$V65FEES 'yV
. builds or Improves thereon,and who contracts for such projects with a con- ` C VVU
tractor(s) license pursuant to the Contractor's License Law). I am aware that - BUILDING PERMIT $ f'v� SMIP $ •
f ) Exhaust System ❑ Multiple 0 System Repair/Alteration
Proof o their Worker's Compensation Insurance should be provided to me. PLAN CHECK $ PERMIT •
❑ I am exempt under Section B.8 P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers - PLUMBING $ ISSUANCE $
Date Owner air Heating System& Ducting Registers ENERGY P.C. $
PLAN CHECK 25% $
I hereby certify that I have read t -�.s�I.lication and state that the above 00-100,000 BTU 0100,000 BTL— ' ELECTRICAL $ GRADING $-
information is correc / a•ree to c•• • wi all city and county ordinances ,
and state laws rel.�,j' t• .uildi,� (p-tr • Ion, and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $
sentatives of t ty o en n e above-mentioned property for
inspection •
Signa % ��-� Date L Zr • MECHANICAL $ TOTAL FEE $
Orly: f �� Reinspection Fee I $15 Issue Fee - $ 3 PLAN CHECK 25% $
CMF 0865-4-,rev. 10/84 White - J7Itling; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING POOL&SPA . ,
(APPROVALS 'Permi�# Date Inspector APPROVALS Permit# Date Inspector
1.',Temporary ElectricaLService or Pole 52. Pool & Equipment Location
2:' Soil Pipe-Undrgrnd. I ' 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.
1.4
8. Foundation I , 0..,. 59. Gas Pipe, O Undrgrnd.,Test •
9. Water Pipe-Un(!rgrrid'. , 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
I
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT -
I'
r
20. Rough Factory Fireplace APPROVALS Permit#_- 1 4
I.• 1 •
21. Ducts, in Structure 70. Underground Hydro
-22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil I
23. Gas Pipe-Rough & Test 72. Underground Flush 1
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
•
' 25. Roof Sheathing 74. Overhead Hydro j
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 rsr.
30. Drywall Nailing HEALTH DEPT. REQUIREMENT -.,. % r
.f k,
31. Plaster Brown Coat 79. FINAL INSPECTION (•„'
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED (t�
33. Final Electric Notes: ( 'I
34. Final Heating & Air Conditioning Cy'
35. Final Gas Pipe-Test
,
36. Hood or Canopy •
.4_
37. Final Factory Fireplace .i ' -
38. Final Plumbing I 1 i
^
39. Water Service-Final /I. L, e �
•1
40. Gas Service-Final - ' •-�
41. Solar Domestic-Final n ' I : -- -,„' ' _
•
,42. Backflow Preventer ! :L: it
,43. Backflow Irrigation I -• f I '
-
•
44. landscape Irrigation System - - •'.I •.'N( -'*l �' • - .1
,,-y
(,45. Sound Attenuation ' ,j <<= -a .l "j'
•
•46. Handicap Regulations Il - .i ; .� LI: - i
47. FINAL STRUCTURE & BUILDING / r,/- I ' 1, ' ,r
:48:-Special Requirements Completed I , y'I
.
.',49. Electric Release to Edison 11 ,,
50. Gas Release to Southern California Gas Co r',
51. CERTIFICATE OF OCCUPANCY '
I No. Date _ _ 2 •
s:.
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 1056 4/12/85 Op04
CITY OF COSTA MESA CONSTRUCTION PERMIT - PERMIT NO. . TRACT NO. LOT NO. UNIT • I l! T
Project Address 3 /rh r �A ti E I `--1 , • I
•
Applicant's Mailing Address( //FJO) '• e 4 ILOJN,L 'J '. TYPE OF CONSTRUCTION LI NEW Li -ADD U'ALTERATION ❑ REPAIR
O "et •��} s ❑ CONVERSION ❑ DEMOLISH O OTHER A'p # . ,. Zone ' -
Owner's Name-G S N rftn tMl Phone7��/ I` e0 7 - ,-D• ESCRIPTION O . I• '� E Z
Arch/Eng. - License No.3,1'r"rf'-i TYPE OF PERMIT GRADING FOUNDATION I--� �,STRUCTURAL 1• Front - • - . 0
Address } ;,,y�rj'"vim ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING E: MECHANICAL ' B Rear _ • ' ' ' ,•
N
Contractor's Name 0 Ft ii 5-Y �w�Le`r - Phone-E7.��i-y/Xy El OTHER - A .. -
• PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N
Address(mailing) //VU / GIA A-Pie/A-L I - K - - G
�7 � � [ ��•1I CONSTRUCTION TYPE ' VALUATIONS S Left
City-License No. acC�Li_ •ZONE ' GRADING CU.YDS. ACRESR
LICENSED CONTRACTOR DECLARATION - - Ping. Ref.# Parking Req./PlOvided, '' E-
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: , •
Planning Notes: ' - Q
with section 7000) of Division 3 of the Business and Professions Code, and - •- - '
my license is in full force andeffect. J . - - - ' • • T•
License CI 5 G '/A LI se Np.J '1/ - 8'9 • , , , •
- - s
Date(filar Signature _ PLUMBING FEES I .
WORKE CMPENSATION DECLARATION •....`.
•
I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink I Showers - ELECTRICAL . FEES
of Workers' Compensation •Insurance,;or a certified copy thereof (Section -
3800, Lab. C.)-- -- . • ' - - - - Backflow Preventer -- - -- - Service Sink - Automatic Washer ' - •-- '- Transformer :0 15-50 KW•...- '- -
olicy No. - Company Backflow Irrigation Sewer Cap0 50+ KW
8 Certified copy _ Construction Pole Sub.
is hereby furnished.
certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit - Meter pup to 100 amps •- t I •
Date - Applicant - - '
EXEMPTION;FROM WORKERS'COMPENSATION DECLARATIONClarifiers . Solar Collectors - •, Dishwasher •Metgr 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 Panel
I cettify that in the performance of the work for which this permit is Issued, I - - -
•
shall not employ any person in any marm r s become subject to the Drinking Fountains Solar TankFan. Motors DO-1 HP 01'h-8 -
Workers'-Crnipensation:Laws of Callfor I' — •
Date' `1/4.- • I Signature Floor Drains Swimming Pool w/Spa, , F.A.U. - Inc.Solar.❑9-15 HP 016-15+
'NOTICE: If,after making this declarati , you should become subject to the . '
Workers' Compensation provisions of the Labor Code, you must forthwith Floor.Sinks - .,Urinal i
comply lwithr such provisions- or this permit- shall' be',deemed revoked. : •_ -' • - - - Fi%tales -� •- MiCrOwaVe- rCONSTRUCT,ION.LENDING AGENCY Gas Service l . 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 Andress - - - 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 - '
Garbage Disposal ;Standing Sections •
following reason (Section 7031.5 Business and imeove Code: Any city or - _ - - I
county which requires a permit to construct,alter,improve,demolish or repair P-Trap - Laundry Trays Generator 00-5 KW 05-15 KW Trash Compactor -
.any structure, prior to its.Issuance, also requires the applicant for such permit - P
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• - Lf/f( e �0 Eo�,P , 3
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 - - - '
7031.5 by any applicant for'a permit subjects the applicant to a civil - - - ' - ' '
Zenaity of not more than five hundred dollars($500).. . - - •
./U 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 - - Reinspection Fee $15 Issue Fee $ 3
for sale' (Section 7044, Business and Professional Code: The Contractor'sMECHANICAL FEES
License Law does not apply to en owner of a property who builds or Improves .
thereon, and who does such work himself/herself or through his or her own �goiler - Hood or. Type I DEVELOPMENT 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 II o 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 1 Date
Trove for the purpose of sale). -
LJ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued'By ' i Date ' Z-
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 ❑0-100,000 BTU 0100,000 BTU SUMMARY OFFEES '
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 0 Multiple 0' System Repair/Alteration BUILDING PERMIT $ SMIP - • $
proof of their Worker's Compensation insurance should be provided to,me.' PLAN CHECK $ PERMIT• '
0 I am:exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBG# Fire Dampen •
PLUMBING $ ISSUANCE $ '
Date owner - Heating System&Ducting • Registers I •
PLAN CHECK 25%' $ ENEflGY P.C. $
I hereby certify that 1-have read this application and state that the above •00-100,000 BTU 0100,000 BT ,r� GRADING $ I
information is correct. I agree to comply with all city and county ordinances - - - - --- ELECTRICAL $ 7-)•
and state laws r- . 'n• to bu' •'•• onstruction, and hereby authorize repre- PLAN CHECK 50% $ - MICROFILM • $ $ .
sentatives Of t . • e er ••• .•Ove-mentioned ;property for • I I
Inspection pure}tt - •
Signature / - Date z{//"- - MECHANICAL $ • TOTAL FEE • $ 8.00
Drivers' License or SS# Reinspection Fee $15 Issue Fee $ 3 - PLAN,CHECK 25% $
a
CMF 0865-46.rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod -Assessor • •• '- ' ' - - -•
•
CONSTRUCTION AND PLANNING POOL&..?A
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 •
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcemrent ;. 56. Rough Plumbing & Pressure Test
6. Electrical UEERIGrnd. 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, ❑ 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. 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 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 Sin /lv 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
51. CERTIFICATE OF OCCUPANCY
No. Date
i