HomeMy WebLinkAbout2985 BEAR ST - Building Permits ADDRESS a MIMI 2985 BEAR ST BMT' C CITY OF COSTA MESA - BUILDING PERMIT
OMNERSNAMEIFMANN NEWPORT MESA SCHOOL DIST PERM NO: F 081598
ADDRESS 2985 C BEAR ST
PERMIT NO: F 081598 PLAN CHECK NO: 04982-96 L GOVT: N SUPP : N
APPL.KCMG ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: FIR PURPOSE: OTH
ARCHITECT OR ENGINEER: tic.Mb: JOB DESCRIPTION : FIRE SUPPRESSION SYSTEM SQ FT:
ARCH.OR ENO:S ADDRESS: WIT:
CLAIM VALUE: 4, 059 . 00 CALC-VALUE: GROUP OCC : B /
CroxmACTOWSNAME MASTER PROT/FIRE MASTER ( 714 ) 990-5500
CCNTRACTORSIIMUNO 5220 EDISON AV COMMENTS: X
ADoRESA: CHINO CA uCNO.: 555875 ****+E-+E*+Eu-*************x******+t****+E**+E*********AE********+Eek+E**********N**ic-tE*** -N-
91710 OMT: Z ON ING R EQU IR EMENTS
LICENSED CONTRACTORS DECLARATION:I hereby Nim under penalty o/perjury that I am licensed under provisions of Chapter 9 SETBACK S
I
(.. .,. : .with Section 7000)d Division 3 of the Business and Professions Code,end my Sense is in lug lace and effectt
• a o.:036367 uc.ctss: C-16 uc.No.: 55875 EXP: 08/97 MAIN BUILDING ACCESSORY BUILDING
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
ae
OOtrsda /2.419-- LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
R BUILDER DECLARATION:I hereby cane udr penny at perjay that I am ramp horn the Contractors Lowe Law for the
idbwng reason(Section Trots Busbies and Professions Code:Any cent muntyxhdh requires a permit to construct,alter.improve. PARKING REQ: PROV: PARCEL : 14124201 ZNE: REF NO:
demofah.a repel any etncuve.prior b b evssrce,thin"Mira t e aRre ant la etch panni to Me°sig ed mramem Na he ee sM
is licensed pursuant to the provisions d the Contractors License DN
Law(Chapter 9(commencing with Section 7003)of Maim 3 d IM PLANNING NOT
Business and Professions Code)or that he or she is exempt therefrom and IM basis la the alleged expqun.Ary violation d Section >
7031.5 by any applicant for a Permit subleds the applicant to a dsil penalty of no more than fire hundred dollen(MOD. *******************************************************************************
❑ it,Ovmer d the ProPerlY or Int eMPloYeas wih wages as thei sole compensatim.wil do the work.and de einicture is not intended DEVELOPMENT SERVICES REQUIREMENTS
a offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does not apply to an owner of property
who bolds or improves thereot and who does such work himself or herself or through his or her own emplmes.provided that such
improvements are not intended or offend for sale.n,however,the building or improvement is sold within one year of completion.the ZONING APPROVED BY •
DATE:
ownr.budder will have the burden of proving Mor she did riot bund or improve for the purpose of sale).
❑ I.as°wmerofmepmpey'amacl ey minding with licensed conlmctntoc rudtheproied(Serb"7044'Bus"ss°end BUILDING APPROVED BY : DATE:
Professions Code:The Contractors License law does not apply to en owner of property We builds or improves thereon and who
contracts for such projects with a contractor(*)licensed pursuant to the Contractors License Law).
❑ lern exempt under Section: B.E.P.C..for this reason: APPLICATION ISSUED BY: tea. _ DATE:
********************** ************** **
Date:
al OWer
LEGALIZATION:N F E E SUMMARY STRUCTURAL StGMENT:N
I do hereby certify that I am aware of and understand Me requirements of California Health end Soley Code Sections 25505.25533.and
25534.and that l«any future building occupant win/wDnot(dmf°me) edtommplywihsaidmlecodesandthregdremrmro BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a permit for construction or modification ute ttyyMa
cation on the Aagement District.Residential wwrvdare
ion appicatian exempt from these
provisions. PERMIT 100 . 00
Date: Applicant: 65% SMIP/NON-RES
PLAN 65. 00
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury me of the blowing declensions: ISSUE FEE
❑ Ihmand wlmaintain acenikstedconsent to°Wtivasfor worker's mnpenWbn,m •li03
provided for -
Labor BUILDINGDIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code,for the daa
performance «wN
ewaklanthis permit .issued. TOTALS----> 100 . 00 0 . 00 65 . 00 165 . 00 165 . 00 . 00
43 I have end meimen rtaa wworkers'compensation insurance.es Sectionrequired aperformance d
ed by 3700 the labor Code. the pamrthe
iFwork for Wirth this penny Is Issued.My workers'compensation insurance tinier and policy number me:
Lanier: STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 100 . 00 OVER/SHORT: . 00
Policy Number: 0804624-95 03/01 /97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need not be completed y the permit S for one hundred loran Mega laza) 100 .00
• Ey that in the performance of the work for Mitch this permit is issued.I shag not employ any person in any manner so a to
subject to the workers'compensation lawn of California and Nat A I should become staled to the worker' *********************************************************.**********************
coat.: ,:•ion.,. .aa. Sedirh 37the labor Cade,Itl ll forth pry with those INDIVIDUAL F E E BREAKDOWN
Date Ce i / -
( DatApplicant: ,4 L
•
Ing:Falun to no"wovk°ncomyrwtipnengage hl unlawful,and shall subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up to one hundred thousand dollars($104000),In addition to the cost of compensation,damages as provided for In
Section 3706 of the labor Coda Interest,and attorney's fen FIR 100 FIRE EQUIP FEE (FROM BLDG VAL TABLE) 1 . 00 100 . 00
CONSTRUCTION LENDING AGENCY:I hereby affirm under penally of perjury that there is a mnstndbn lending agency for the END OF FEES
performance of the work for which this permit is issued(Section 3097,Cit.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I candy that l have read this application and state that the above information is coned.I agree to comply with all city end county ordinances
and state laws relating to building construction end hereby authorize representatives of this cry to enter upon the abae.mentiortd popery
f«unpeawn purposesVAUGHN WELLS - ' 82-11-1997/01:38 PM/5188.88
RCPT#:81 0081944
! PnttNa» 44/A7
Date: .'J PERMIT:081598
._ �
'.termed. . _ .«
(5151-46.WP) Wiee.BuitdiM A 15dry:Green-Fie:Curry-Appirag:Pink-Revenue:GoMernd-Ass•°sa
CONSTRUCTION AND PLANNING . ,it & SPA
APPROVALS Permit# - • .Date Inspector APPROVALS Permit # ' Date Inspector
•
1. Temporary Electrical Service or role 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
T. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation - 59. Gas Pipe, O Undrgrnd.,Test
9. Water Pipe-Undrgrnd.- 60. Backwash Lines, P-Trap, 0 Undrgrnd.
i
10. Structural Floor System • 61. APPROVAL TO DECK �!
! I
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 671 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 008
23. Gas Pipe-Rough& Test -- 72. Underground Flush
24. Roof Framing' 73- Undergrnd.Storage Tank 0 Gas Obil
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 �
/ {t-f7 �
29. Insulation 78. FIRE PREV. FINAL f
' 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 •
-
35. Final Gas Pipe-Test
36. Hood or Canopy •
37. Final Factory Fireplace -
38. Final Plumbing • _ - l
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. FINAL PLANNING -
49. 'Electric Release to Edison . •
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
•
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
6102 . 1 /-18-/85 - ' • ' 183000 . TL
CITY OF COSTA MESA CONSTRUCTION PERMIT _ PERMIT NO. TRACT'NO. LOT NO. UNIT NO.
•
Project Address -2985 Bear St. . Hills ( / O �� • - l
Applicant's Mailing Addressf 26081_ Buena Vista Ct. ,Laguna TYPE OF CONSTRUCTION - H NEW' El ADDU.ALTERATION H REPAIR. F
❑ CONVERSION' CD DEMOLISH CI OTHER
Owner's Name 'NEWPORT 'MESA SCHOOL DIS`;♦ihone 556-3390 - • - - A•P•# - _ . 2°ne
- _ DESCRIPTION OF WORK/USE OF BLDG: _..
Address :2985 Bear St. , Costa' Mesa - S Main Building:. Accessory Building: Z
03 Arch/Eng. ' - License No, TYPE OF PERMIT ❑ GRADING 0-FOUNDATION ❑ STRUCTURAL - T Front • - . ' , D
t Address ElTENANT II ELECTRICAL CIPLUMBING ❑MECHANICAL A Rear -, . . • , ,,' N
Contractor's Name W•D.H• , INC. • -Phone 831-8544 ❑ 'OTHER - - •
•
-
PROJECT DESCRIPTION 5Q. FT. OCCUPANCY C Right - , N
Address(mailing) 26081 Buena Vista Ct Laguna Hills K - - - G
CONSTRUCTION TYPE VALUATION $ S Left R
City License No. 028803 - ZONE GRADING C• U.YpS. ACRES E
LICENSED CONTRACTOR 'DECLARATION Yr// _ Ping. R¢f.# Parking R¢q./Provided
0
I hereby,affirm that 1 am licensetl under provisions of Charter 9 (commencing Remarks: ' Y�_/^' Planning Notes: . . M
with section 7000) of Division 3 of the Business and Professions Code, and ; - •� > T
my license is in full force and effect. �S s y ,
License class ' C-1 I I_r 404765 �+C'^>• �J� ^ S l
Date - -16- Signature War - ✓,r_ f - i F"A`'[S /!/�...- - PLUMBING . , FEES . . --
WORKERS'COMPENSATION D:C • RATION Bar Sink 81.1.`� , Showers ELECTRICAL • I FEES
I hereby affirm that I have a certifica ' of consent to self-insure or a certificate
of Workers' Compensation Insuranc+, or a certified copy thereof (Section Backflow Preventer Service Sink - t - '- • - -- -
-' •• Automatic Washer Trarisformer' ❑ 15-50 KW
' -82WCI36760C Mission Insurance
Policy No. Company Backflow Irrigation Cap ❑ 50+ KW ,s
Sewer Construction Pole Sub.
8 Certified copy is hereby furnished. -
Certif iecLpoyy�filed with the city(ort Merl ' Bathtubs Sewer Connection Cooking Unit 'Meter ❑up to 100 amps
Date /—// 3pplicant /W. • /' •^•'��� )
EXEMPTION FROM WORKERS''C PENSATION DECLARATION Clarifiers Solar Collectors i Dishwasher .Meter Thayer 100 amps ;
(This section need not be completed f he.permit is for one.hundred($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❑0.1 HP ❑1'h-8
Workers' Compensation Laws of California. 1
Date : Signature - Floor Drains Swimming Pool w/Spa F.A.U, •
'NOTICE: If,after making this declaration,you should become subject to the Inc.InC $ol¢I 09-15 HP ❑15-15+
Workers'- Compensation provisions of the Labor Code, you must forthwith Floor Sinks • Urinal • Microwave
comply with such provisions or this permit shall -be-deemed revoked. d _ Fixtures - - —
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 t .
of the 'work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater • - OutletsRange Lender's' Name - - , 9 ' .
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 '
following reason (Section 7031:5 Business and Professional Code:.Any city or 'Auto-Wash Garbage Disposal Standing Sections . 1,
county which requires a permit to construct,alter,Improve,demolish or repair P-Trap- _ I LaundryTfa s, '
any structure, prior to its issuance, also requires the applicant for such permit y - Generator ❑0.5 KW❑5-15 KW _Trash Compactor , / -
to file a signed statementthat 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 fonthe alleged exemption. Any violation of Section - . • 16 A/C C Clin Device- i'j�
7031-,5 by any applicant for a permit subjects the -applicant to a civil - - ' . Y g l7 f/
pp�enalty of not more than five hundred dollars($500), I SCE I
,LJ I, as owner of the,property'or my employees-with wages as their sole Reinspection':Fee ' ! '$15! .Issue Fee '. $ '3
'compensation, will do the work,and the structure is not intended or offered - Reinspection Fee . $15 Issue Fee r'$ 3
for sale (Section 7044, Business and Professional Coder The Contractor's' ' . MECHANICAL ' ' FEES
License Law does not apply to an owner of a property who builds or improves - .
thereon, arid who-does such work himself/herself or through his or her own - - DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided 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 ❑ - Zoning Approved By - Date
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground 4
rove for the•pur pose of sale). - - : Building Approved By 1 Date i�1
0 I, as owner of the property, am exclusively contracting with'licensed con- Duct-Structural Refrigeration System ' Application Issued By yl ✓I
'/ / t Date . C.f
1 t
tractors to construct the project (Section 7044,Business and Professions Code: . _
V
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00.100,000 BTU ❑100,000 BTU i SUMMARY OF FEES •
' builds or improves.thereon,•and who contracts for such projects with a con- I
- • ' tractor(s) license pursuadt to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration BUILDING PERMIT $ ' • SMIP' • $
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK '$ - PERMIT
I ❑ , DO 71
1 am exempt under Sectio•n B.& P.P.C.C.for this reason : Firepl/Fact.Bit. ICBG* ' ' V
Fire Dampers LPLUMBING •$ ISSUANCE $
Date : owner - ' - Heating System&Ducting Registers ' PLAN CHECK 25% $ ENERGY P.C. , $ •
I hereby certify that L have read this application and state that the above - -❑0.100,000'BTU X100,000 BTU _ - -.._ GRADING • $ ' l
':information is correct. I agree to comply with all city and county ordinances - - . . ELECTRICAL�'�.�� �Dy GO I
and state laws relating to building construction, and hereby authorize repre- - PLAN CHECK 50% $ ' MICROFILM $
• sentatives of this cit to enter,upon th• ..ove-mentioned property for - .
inspection • p.-.• I
Signature - �� / _ •ate/-7'.� - . MECHANICAL ' • $• I TOTAL FEE • $ ; �3v00
Drivers' dcense or SS 7y = - Reinspection Fee $15 - Issue Fee $ 3 PLAN CHECK 25% $ '
. a. - -. r . ._ - ..
CMF 0865-46,rev.10/134 - White - Builtling1 Canary -Applicant; Pink -Accounting; Goldenrod - Assessor - .
•- CONSTRUCTION AND PLANNING - .POOL &SPA • . '
APPROVALS - Permit# Date Inspector APPROVALS Permit Date ,Inspector
I
,•. 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
15. Steel Reinforcement ' 56. Rough Plumbing & Pressure test
--6. Electrical UFER Grnd. . 57. APPROVAL TO COVER-GUNITE '
,7. Footings - _ . 58. Electrical Conduit-Undrgrnd.
8:,Foundation 2 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. • - 60. Backwash Lines, P-Trap,❑ Undrgrnd.
X10. 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 Sytem-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 ❑Oil - •
23..Gas Pipe-Rough&Test '` 72. Underground Flush •
• 24. Roof Framing 73. Undergrnd.Storage Tank ❑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. Cathing&-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
3:i. Final Gas'Pipe-Test ,•
36. Hood or'. Canopy . - -
,A. Final Factory Fireplace . -
t
38. Final Plumbing I
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 Califorrna Gas Co i
51. CERTIFICATE OE OCCUPANCY - 1. _ _ .
No. Date - __ _ _ -
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
:CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO.
Project Address 2985 BEAR ST. , BLIT. C P/9/ 6 4648 7/23/84 137045 TL.
Applicant's Mailing Address 2684 LACY ST. LOS ANGELES TYPE OF CONSTRUCTION 1J NEW LJ ADD LI ALTERATION U REPAIR /
Owner's Name NEWPORT MESA SCHOOL DIST. 4' 4)556-3396 ❑ CONVERSION ❑ DEMOLISH 0 OTHER A.P.46 14 - z-4---z- -Cl Zone M I
DESCRIPTION OF WORK/USE OF BLDG.
Address 2985 BEAR ST. COSTA MESA, CA. 92626 S Main Building: Accessory Building:
Arch/Eng. • License No. TYPE OF PERMIT LI GRADING U FOUNDATION T 0
U STRUCTURAL Front
• Address 0 TENANT 0 ELECTRICAL ❑ PLUMBING 0 MECHANICAL B Rear _ N
Contractor's Namrt4ASI'ER PROTECTION ENT. 162;J)225-6666 ❑ 'OTHER A I
Address
cense ing)7684 T�ACV ST. Ins ANGELES. CA. 90031 •
PROJECT DESCRIPTION SQ. FT. OCCUPAY CC Right N
CONSTRUCTION TYPE VALUATIONS ieW S Left G
City License No. 15493 R
LICENSED CONTRACTOR DECLARATION ZONE GRADING CU.YDS. ACRES - Ping. Ref.# Parking Req./Provided E
Q
I hereby affirm that I am licensed under provisions of Charter 9(Commencing Remarks: RE DD yr+ Planning Notes: - M
with section 7000) of Division 3 of the Business and Professions Code,and t-IATA-� r I-.+, vTi iCl: JYSTF,M
my license is In ful rce ffect T
se,�qj ss�� Ctil, LI ,p a No. 327907 s•
Date l/I�L7 CI4 Signaturs'� �, PLUMBING FEES
—
WORKERS'COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL , FEES
I hereby affirm that I have a certificate of consent to self-insure or a certificate
of Workers' Compensation Insurance, or a certified copy hereof (Section Backflow Preventer Service Sink
3800, Lab. Cd., may; - - -- Automatic Washer Transformer 0 15-50 KW . .. -
Po9licy No./i .�(n�1 f7O Company//APT gG Backflow Irrigation Sewer Ca - - 0 50+KW
F/V T 9 p Construction Pole Sub.
Certified copy is hereby furnished.
Ce VfliV r By is filed with the city B di g 'si Bathtubs Sewer Connection - Cooking Unit ' Meter ❑up to 100 amps
Date /-I- o F Applicant
EXEMPTION FROM WORKERS'COMP NSATION D ARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps
(This section need not be completed if the permit Is for one hundred($100)or Dishwasher less). Solar Piping Dryers ❑Gas ❑Electric Sub Panel
I certify that in they person
performance of the work for which this permit is Issued,1
shall not employ any person in any manner so as to become subject to the Drinking Fountains • Solar Tank Fan Motors❑01 HP 011/2-8
Workers' Compensation Laws of California.
Date Signature Floor Drains Swimming Pool.w/Spa F.A.U. Inc.Solar 09-15 HP❑16-15+
NOTICE:If,after making this declaration,you should become subject to the
Workers' Compensation provisions of the Labor Code, you must forthwith Floor$inks Urinal Fixtures
comply with such provisions or this permit shall be deemed revoked. - Microwave
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet
1 hereby affirm that there Is a construction lending agency for the performance Device Boxes 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
OWNER BUILDER DECLARATION Sign
I hereby affirm-that I am exempt from the Contractor's License Law for the Lavatories
Garbage Disposal '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
any structure, prior to Its issuance, also requires the applicant for such permit 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
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
7031.5 by any applicant for a permit subjects the applicant to a civil
eenalty of not more than five hundred dollars($500). • -
O I, as owner of the property or my employees with wages as their solo Reinspection Foe 1 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's MECHANICAL I FEES
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 DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided 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 ❑ Zoning Approved By /S�1//!/n//�1 ��1,'aY/fr/� Date Gam[
Mellon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By zi./ af � Date � 31Q T
orove for the purpose of sale). ,iJLJ !/.rt1z�
I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By_ nate .Z3
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 00100,000 BTU ❑100,000 BTU S MMA$V OF FEES
builds or improves thereon,and who contracts for such prolectS with a con- -7
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ .5-24
e
tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ ... SMTP § C;3
N•( goZ PERMIT
0 I am exempt under Section B.6 P.C.for this reason Firepl/Fact.Bit. ICBG# PLUMBING $ ' ISSUANCE $
Date Owner - Heating System&Ducting PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that-I have read this application and state that the above ❑0100,000 BTU 0100,000BTL ELECTRICAL $ GRADING S
information is correct. I agree to comply with all city and county ordinances '
and state laws relating to buil 9 construction, and hereby authorize repre- PLAN CHECK 50% $ MICROFILM S -.
sentatives of is ity t upon the above-mentioned property for !!JJ
inspection pu Ose 7�12�84 MECHANICAL $ TOTAL FEE $ /331 7�
Signature X ~ ♦( Date — .
Drivers' License or SS It . Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ _
CMF 0865-46,rev.4/84 White-
Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor -
CONSTRUCTION-AND PLANNING POOL&5PA •
Date Inspector Date Inspector
APPROVALS Permit# APPROVALS Permit #
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
i '. 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, O 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
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 ❑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 OPFIXED SYSTEM FINAL Tv //'r
29. Insulation 78. FIRE PREV. FINAL CO
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 •
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 '
PROJECT ADDRESS: 2985 BEAR ST UNIT: C CITY OF COSTA MESA - BUILDING PERMIT PERM NO: F 047438
1, OWNER'S NAME: NEWPORT MESA SCHOOL -DIST
ADDRESS: 2985 C BEAR ST . PERMIT NO: F 047438 PLAN CHECK NO: 03837-90 S GOVT: N SUPP: N
•
•
CONSTRUCTION TYPE: PERMIT TYPE; FIR PURPOSE: OTH
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : FIRE EXINGUISER SYSTEM ' SQ FT:
ADDRESS: - UNIT:
CLAIM VALUE: 8, 500 . 00 CALC-VALUE: GROUP OCC: /
PERMITTEE: MASTER• PROT/FIRE MASTER ( 213) 225-6666
ADDRESS: 2684 LACY ST COMMENTS:
LOS ANGELES CA 90031 . • grit**:r**********� **********�k***************(Eit�E�E**** kyr*****�E�E�Eitif�H****4***********
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
.7000)of Division 3 of the Business and Professions Code,and my license] In full force and effect. - SETBACKS _
CITY uc.: 036367 STATEuc.:555875 BASS:
Date�/227 Q U (Sign,nr� — i' _ __._-,/ MAIN BUILDING ACCESSORY BUILDING
WO ERS' OMPENSATIONDECLARATION: Ihereby affirm that Ihave acerttlicateofcOrr toself-insu: sracertifi Workers FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation l sr cj�Q� cortified copy thereof(Section 3800,Lab.5 LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: I X �V EXP.DATE: v7 3/13/9 1 •
COMPANY: STATE FUND f PARKING REQ: PROV: PARCEL: 14124201 ZNE: REF NO:
ID Certified copy is hereby furnished. IN Certified copy is filed wdh the city :.Ming Divr PLANNING NOTES> I •
If '/_ (/�7 > ,
Date: C "2'3_�9 C1 (ApPlic. � , •e -� ...Y r *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLA RATIO . (This section need not be c Bled if the, mi is far o ed($100)or less). D - E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
I certify that in the performance of the work for which this permit Is issued,I shall not employ any person in any '.so as to become x
'subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE; •
Date: 'Signature' BUILDING APPROVED BY : DATE:
NOTICE:If,after making this co declaration,iyou should become subject to the Workers' revoked.
provisions of the Labor
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. '
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: 'DATE: S=Z-'Z
•
which this permit is issued(Section 3097,Civ.C). ******************************************* *****************************IN**
LENDER: *******************************************************************************
ADDRESS: LEGALIZATION;N F E E SUMMARY -STRUCTURAL SEGMENT:N
-
OWNER BUILDER DECLARATION: thereby 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: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 108 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 to 5 2 SMIP/NON-RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN - 70.2 0
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by ISSUE •
FEE
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). -
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 sale(section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> .108 , 00 0,00 70 . 20 178 . 20 • 178 . 20 .00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herseff or through .
' his or her own employees,provided that such improvements are not intended or offered for sale.'If,however the building or REVENUE DIVISION TOTALS--> COLLECTED: 108 ,00 OVER/SHORT: .00
improvement is
offs within one year of completion,the owner will have the burden of proving he/she did not build or improve 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 - 108 . 00
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon I
and who contracts for such projects lith a contractor(s)license pursuant to the Contractors'State License Law).I am aware *******************************************************************************
that proof of their Worker's Compenszfmn insurance should be provided to me. I N D I V •I D U A L F E E B R E A K D O W N .
• ❑ I am exempt under Section: B.S P.C.
•
for this reason: TYPE QTY DESCRIPTIO N UNIT; COST. . TOTAL COST
Date: Owner FIR 108 FIRE EQUIP FEE (FROM BLDG VAL TABLE) 1 . 00 ' 108 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,Mil,and END OF FEES
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
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from --J .;'1 •
•
these provisions. - ,
r h
Date: Applicant: C_
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 county -
ordinances and state laws relating to building construction and hereby aufllorize rep-'ntat city to elder upon the above-mention Ftl '
property for ection purposes. /
Date:S 0 .I .r1: -- '...IX {tt =� 01 00061447-00061447 T C5 T 108.00
Driver's icense or Social Security x: I
DATE: 05/22/90 TM: 12:05
1641.46 White-Building;Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor '
• CONSTRUCTION AND PLANNING - - . POOL & „PA
APPROVALS Permit# • Date Inspector APPROVALS Permit # - Date Inspector
1. Temporary Electrical Service or Pole.N - • 52. Pool &Equipment Location
T u¢,
•2•_Soil Pipe-Undrgrnd.- r3 t:•••" ' 53. Steel Reinforcement
-':3._Electrical Conduit:Utility-Undrgrnd' 54. Forms
Thr..Electrical Condui-,..e.: hdrgrnd. 5
• 55. Electrical Bonding
Ca•5?Steel Reinforce-mei-ill x, 56. 'Rough Plumbing & Pressure Test I '
^ B. Electrical UFER'G(4d. 57. APPROVAL TO COVER.GUNITE • "'
r.,7.Cr•Footings ç. 58. Electrical Conduit-Undrgrnd. _
d. Foundation ti 59. .Gas Pipe, 0 Undrgrnd:, Test •
9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, 0 Undrgrnd. - •
1A. Structural Floor,'System 61. APPROVAL TO DECK •
1.1. Property SeweriLinef& House Connection - 62. Backwash & Receptor-Final
1.2. Sewer Cap -a' ' =.) - •
63. •Heater & Vent-Final •
13. Roof Drains u ' 64. Plumbing System 'Final '
• 14. Rough Plumbing 65. Electrical-Final, j .
_15. Rough Electricat-Conduit - • 66. Solar Sytem-Final .
16. Rough ElectricWiring 67. Fencing & Access Approval 1
• 17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING j
,' 18. Rough Electricat-T Bar Ceiling - 69. POOL/SPA SYSTEMS FINAL
•
19. Rough HeatMg 84 Air Conditioning ,_ * ,� < . 4, - -,FIRE-DEPT. REQUIREMENT -
1 J " •1h , l.:M G,'J 4 v ✓ - 44. '^ y':!n Ill. )4`
20.•;,RoAh Factory Ftreplace , s„ r,-• R. S r-+ �•4 4: ,-...AP .-.VAt,S;,-p-Perms# - -'
2121.'-Duttt, in7Strtcturgx , •• -' '"= ' G --'i"` 70. U'gder round'H `ro
22_Duet's, Ventilating,* , x v a; ;: E-'t x <71. ProdujiPJping O_Gas 00il
23.•GasrPipe Rough & Test • __ rn fl 7T c: O r. -'72• Undergrou d.FIuh' y }
24`Rooi Fr3fning ' FF •^m U c^ - 3: S -i0,
h -1+ . ••73.tiUndergrnd.Storage=Tank O Gas 0 Oil
--
25. Root Sheathing * �:sr _ '' ''+ t-• E l'i lc -74^Overhea d Hydro•,-..
Cr:s -> ,
26.`T-Bgf Ceiling (Stru4urall &'Mo tpcoat * 0 -• C 0.• ;: 75.k-Dry Chemical r> x 44
_
^27:-Frame end Flashings: ••Qn r a. - %