HomeMy WebLinkAbout1868 ORANGE AVE - Building PermitsAppllcant!o fill in all spaces within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA
i`ER IT NO.
TRACT NO, LOT NO. BLDG. NO.
7598
10/28/81 6.OD
CONSTRUCTION PERMIT
— 2
I
TYPE OF CONSTRUCTION
F❑ NEW ❑ ADO ❑ ALTERATION
❑ REPAIR ❑ CONVERSION F1 DEMOLISH
❑OTHER
ZONING REGULATIONS
-Project AddressR�L Q�f—(,
Owner Phone �5,
Address
Arch/Eng. License No.
DESCRIPTION OF WORK
A.P. fP
ZONE PEND. REF. #
Address
Contractor ' Phone .3 —t!7
TVPE OF PERMIT
❑GRADING ❑ FOUNDATION N�❑ STRUCTURAL
❑ TENANT ❑ELECTRICAL i%MBING ❑MECHANICA
B
SETBACKST.
SIDE YARD
LS IEpFE VA
Tp gl1 I1�DING
PROPERTY LINE
-
/
Address lr'
LICENSED CONTRACTOR DECLAMATION
1 that I licensed of Charter 9
hereby affirm am under provisions (com.
lection 7000) of Division 3 of the Business and
❑ OTHER
RIGHT
mencing with
Professions Code, nd my license is In full force an t.
REAR YARD (TO P/L)
//dtl tech
PROJECT DESCRIPTION
Licento Cl ss' ��°^°^ No.���•� ^^
PKG. SPACE REQ.
PROVIDED
i — r �/IZIJ Aft
SQ. FT.
Date Signature c
STREET WIDTH
PARK FEE S
WORKERS' COMPENSATION DECLARATION
OCCUPANCY -CONSTRUCTION TYPE
1 hereby affirm that I have a of consent to self -Insure ora
VALUATION ZONE
ZONING APPROVED BY
DATE
Compensation I
=^Jflf of WOlkef, C dLlOn Insurance, Or a certified copy
-
. C.).
aof (Section 3800, Lab. C.J.
(S
k�-SLY
GRADING CU. YDS. ACRES
SPECIAL CONDITIONS:
NO. Company
_
-
❑ Cert it led copy Is hereby furnished.
REMARKS:
-
❑ Certified copy Is filed with the city Building Division.
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
-
-
(Thls section need not be completed if the permit Is for one hundred
1$100) or less).
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
PLUMBING PLAN CHECK
ELECTRICAL PLAN
CHECK
subject to the Workers Compensation Laws of California. -
BATHTUBS SHOWERS
Date Signature
NOTICE: If after making this declaration, you should become subject
TOILETS URINALS
GENERATOR 0-1 KW_
1-30 KW
to the Workers' Compensation provisions of the labor Code, you mutt
TRANSFORMER
forthwith comply with such provisions or this permit shall be deemed
LAVATORIES DOUBLE LAYS
APPLIANCE 10-50 KW_50+KW
revoked.
KIT. SINKS DISHWASHERS
MOTORS 0-1 HP -1-10
HP
CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction lending agency for the per.
SERVICE SINKS SUMPS
(INC. SOLAR) 10-50 HP
50 + HP
formance of the work for which this permit is Issued (Section 3097
FLOOR SINKS FLOOR DRAINS
FIXTURES OUTLETS
SWITCHES
Civ' C.);,
Lender's,Name
Lender's Address
DRINKING FOUNTAINS -
GAS TUBE SIGNS
INTERCEPTORS CLARIFIERS
POLE LIGHTS
OWNER BUILDER DECLARATION
I hereby affirm that 1 am exempt from the Contractor's License Law for
SWIMMING POOL P TRAP
the following reason (Section 7031.5 Business and Professions Code:
Any city or county which requires a permit to construct, alter,
POLES METERED
SUB
WATER SERVICE ALTERATION
PANELS MAIN
SUB
Improve, demolish or repair any structure, prior to its Issuance, also re-
quires the applIont for such permit to file a signed statement that he
GAS SERVICE OUTLETS
SERVICE
AMP
is licensed pursuant to the provisions of the Contractor's License law
( iter 9 (commencing with Section 7000) of Division 3 of the
WATER HEATERS BTU OUTPUT
fro
"
I .ss and Professions Code) or that he is exempt therefrom and the
L for the alleged exemption. Any violation of Section 7031.5 by
SEWER CONNECTIONS
any applicant for a permit subjects the applicant to a civil penalty
Of not more than five hundred dollars ($500).
SOLAR TANK COLLECTORS
❑ I, as owner of the property, or my employees with wages as their
tole 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
who builds or improves thereon, and who does such work himself or
ISSUE FEE
OI
APPLICATION APPROVED BY
DATE
through his own employees, Provided that such improvements are not
MECHANICAL PLAN CHECK
SUMMARY OF FEES
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 did not build or Improve for the purpose of sale).
HEATING SYSTEM 0.100,000 BTU
BUILDING
PERMIT $
SMIP $
El I, as owner of the property, am exclusively contracting with
AND DUCTI NG
licensed contractors Construct the project (Section Business
100,000 +BTU
PLAN CHECK $
PERMIT
es not
and Professions Cotle:' The Contractor's License Law does not apply to
i
ISSUANCE $
an owner of property who or Improves thereon, and who con-
REFRIGERATION 0.100,000 BTU
PLUMBING $ •
tracts from Such projects withith a a contractor(s) licetnetl pursuant to
SYSTEM -
GRADING $
the Contractor's License Law).
100,000 + BTU
PLAN CHECK $
❑ 1 am exempt under Section B. & P. C. for this-
BOILERS BTU
ELECTRICAL $
$
reason '-PLAN
SYSTEM REPAIR, ALTERATION
EXHAUST SYSTEM MULTIPLE
CHECK g
MECHANICAL $
MICROFILM $
TOTAL FEE $
LESS AD -
Date - Owner
I hereby certifythat I have read this application and state that the above
information It correct. agree to comply with all cite and county
PLAN CHECK $
-
VANCEP PC $
and State laws ng,e construction, and hereby authorize
esentordinances
a city to a ¢r upon the above mentioned
ti' Of city
-
proparty fo pe< n pure s
pro
property Nion
FINAL FEE te-,6
Signature ' Date '6^1
ISSUE FEE
$
-
Dlivers' License or SS
CMF 086546 While-Builtling;Canary-Applicant:Pink-Accounting; Goldenrod -Assessor
TL'
CONSTRUCTION AND PLANNING
APPROVALS Permit #
POOL & SPA
Date Inspector APPROVALS Permit # Date Inspector
1.
Temporary Electrical Service or Pole
43.
Pool & Equipment Location -
2.
SoilPipe-Undrgrn
44.
Steel Reinforcement
3.
Electrical Conduit Utility-Undrgrn
45.
Forms
4.
Electrical Conduit-Undrgrn
46.
Electrical Bonding
5.
Steel ein orce
47.
Rough Plumbing & Pressure Test
6.
Electrical UFER Grn
48.
APPROVAL TO COVER-GUNITE
7.
Footings
49.
Electrical Conduit-Undr rn
8.
Foundation
50.
Gas Pipe, ❑ Undr rn, Test -
9.
Water Pipe-Undrgrn
51.
Backwash Lines P -Trap.❑ Undrqrn
10.
Structural Floor System
52.
APPROVAL TO DECK
11.
Property Sewer Line & House Connection
53.
Backwash & Receptor -Final
12.
Street Sewer Connection
54.
Heater & Vent -Final
13.
Rough Plumbing
55,
Plumbina System - Final
14.
Rough Electric -Conduit
56.
Electrical -Final
15.
Rough Electric -Wiring
57.
Solar System -Final
16.
Rough Heating & Air Conditioning
- -
encing & Access Approval
17.
Ducts, in Structure
59.
APPROVED FOR PLASTERING
18.
19.
20.
Ducts, Ventilating
Gas Pipe -Rough & Test
Roof Framing
60.
POOL/SPA SYSTEMS FINAL
21.
22.
Roof Sheathing
Frame and Flashing
NOTES:
23.
Insulation
24.
Lathing & Siding
25.
Drywall Nailing
26.
Plaster Brown Coat
27.
Electrical Power Meter -Final
28.
Final Electric
29.
Final Heating & Air Conditioning
30.
Final Gas Pipe -Test
31.
Final Plumbing
32.
Water Service -Final
33.
Gas Service -Final
34.
Solar Domestic -Final
35.
Landscape Sprinkling System
36.
Sound Attenuation
37.
Handicap Regulations
38.
FINAL STRUCTURE & BUILDING
39.
Special Requirements Completed
40.
Electric Release to Edison
41.
Gas Release to Southern California Gas Co.
42.
CERTIFICATE OF OCCUPANCY
No Date
I J I i -O 1 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA
CONSTRUCTION PERMIT
PERMIT,NQO ��
�l
TRACT NO.
LOT NO.
BL .
county which req uiras a permit to construct, alias Int Drove, demolish or repair-
--: • it r utt u,e; prior to Its Issuance, also requires the applicant for such permit
i_I. a Sign ad statement that he/she is licensed pursuant to the provisions of
t ontractor's license Law (Chapter 9 (commencing with Section 7000) of
Jlsiah •3 of the BUSiness antl Professions Code) or that he/she Is exempt '
therefrom and the, basis for the alleged exemption. Any•violat Ion' of Section I
Applicant's Mailing Address; 10 rS�?RAI Dt•
Project Address
TYPE OF CONSTRUCTION 0 NEW 0 ADD L1 ALTERATION LJ REPAIR
1:1 CONVERSION' ElDEMOLISH 1:1 OTHER
_
7 - $ 3
Service Sink' ' Issue Fee `
��1 igpt��
Owners Name hone SQ_R
DESCRIPTION OF WORK
1
Address. 15 cMTl RJP. __
TYPE OF PERMIT 0 GRADING 0 FOUNDATION 0 STRUCTURAL `
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL
__4.r, §.
Arch/Eng. License No.
I
Address' - 'n
❑ OTHER
PROJECT DESCRIPTION' Sq.FT.Contractor's OCCUPANCY
CONSTRUCTION TYPs, VALUATION$
ZONjE GRADINGCU.VDS. ACRES
Nam •
Address(rnaIIIng) 'n}S Li4g,O )D�
�'
License No.
__
LICENSED CONTRACTOR DECLARATION
Remarks: -
The Contractor's License Law does not apply to an owner of.PropertyWho
builds or Improves thereon, and who contracts for such projects with a con-
I SUMMARY OF FEES
1 hereby affirm that 1 am licensed under provisions of Charter 9 (commencing
_
'
tractors) license pursuant to the Contractor's License Law). I
❑ I am exempt under Sectlon B. & P. C. for this reason
with section 7000) Of Division 3 o/ the Business and Professions Code, and
Firepl/Fact. Bit. ICBO 4
my license is In full force and effect.
1Jcense I ssC - License No. IS $ y4 3
Date Owner •
I herebyy certify that I have-reatl-Ihls-eppllcatlon antl state -that the above
informatl on Is correct. I agree to comply with all city and county ordinances
and state laws relating ,to building con, ,yctiop ,and hereby authorize repre-
santatives of thl city' to enter, up n the �ebova-ment loved pro erty r
iospattl on our es J
PLUMBING
I Heating System & Ducting
❑0.100,000 BTU ❑100,00067
I
Signature D �Q S3
'7RKE S' OMPENSATION DECLARATION
Bar Sink Sewer Cep
Backflow Preventllr -- - - Sewer Connection -
-
Hood
CanopyOr Type I I ❑' Reinspection Feel
'. i hereby.affirm that Lhave a Certificate of consent to wlf4nsure or a certificate
. of Workers' Coti s nce, or a certified copy thereof (Section
_
Backflow Irrigation Solar Collecrs
- to-
Registers I, ' - Iss ist Fee
3800, Lab. C. S-a�
7//
Signature - Dated% A3
Drivers' LJcehsa or' SS ga
Policy No. Company ����
Certified copy Is hereby furnished. // //��
Bathtubs Solar Piping
TOTAL FEE'
Certl/ia
Eco y s t118d with the city Builtll D It on.
Date ADPIIcant / �—
XEMPT NI ROM WORKERS' COMPENSATION D L RATION/ -
(This section need not be completed If the permit Is lot' one hundred ($100) or
less):
I certify,that in the performance of the work /or which this permit Is Issued I
Clarifiers Solar Tank
Dishwasher Swimming Pool w/Spa .
—
'
Drinking Fountains i Urinal -
-
-
Flwr Drains, Water Closet
-
ADVANCED PC
shall not employ any Person in any manner so as to become subject to the
Workers' Compensation Laws of California. '
Date Signature '
NOTICE: If, after making this declaration, you should become subject to the
Workers' Compensation provisions o/ the Labor Code, you .must -forthwith
comply with such provisions or this. permit shall be deemed revoked,
Floor Sinks - - Water Heater -
Gas Service Outlets Water Service
CONSTRUCTION LENDING 'AGENCY
-
Interceptors '
I hereby affirm that Mere Is a construction lending agency for the performance
of the work for which this permit Is , issued (Section 3087 Civ. C.)
_
Kitchen Sink
Lender's Name
.
OWNER BUILDER DEC L'A RATION � -
BUILDING
CnTOaf-Y I-rl GT
' Lavatories -
I hereby. affirm that I am exemptfrom the Contractor's License law for the
following reason (Section 7031.5 : Business and Professional Code: Any city or
P -Trap
p '
county which req uiras a permit to construct, alias Int Drove, demolish or repair-
--: • it r utt u,e; prior to Its Issuance, also requires the applicant for such permit
i_I. a Sign ad statement that he/she is licensed pursuant to the provisions of
t ontractor's license Law (Chapter 9 (commencing with Section 7000) of
Jlsiah •3 of the BUSiness antl Professions Code) or that he/she Is exempt '
therefrom and the, basis for the alleged exemption. Any•violat Ion' of Section I
Roof Oreinz' '
I
- - Reins clion'Fee
Showers ; pe $15
_
7 - $ 3
Service Sink' ' Issue Fee `
7031.5 by'any applicant for a.pormit subjects the applicant to a civil
enalty of not more than five hundred dollars ($500).
'� 1, as owner of the 'Property or -my employees With wages as their sole
com pensatlon will do the work, and the structure is not Intended or offered j
for sale I(Spt/Ion 7044', Business antl Professional Code:' The' Contractor's
License Law does not apply to -an owner Of a property who builds or Improves
thereon,•and who does such work hlmseli/herself or through his or her own
employyees, provided that such improvements are not Intended or offered for
sale. If, however, the building or Improvement Is sold within one yoar of com•
pletion, the owneriwlll have the burden Of Proving he/she did not build or Im- ;
�ove for the purpose o/ sale). i
LJ I, as owner of the property, am exclusively contracting with llcensod con•
tractors to construct the project(Section 7044. Business and Professions Code;
MECHANICAL ,
1
Boiler- Refrigeration System '
�' t
Duct - Under, Ground i ❑0.100,000 BTU ❑100,0008TU•
Polo Light
Fixtures ' _
Range _
-
Duct - Structural System Repair/Alteration
Sign, '
Outlets
Duct._ Ventilating
Switches
The Contractor's License Law does not apply to an owner of.PropertyWho
builds or Improves thereon, and who contracts for such projects with a con-
I SUMMARY OF FEES
1 ,
Exhaust System El Multiple ❑,
'
tractors) license pursuant to the Contractor's License Law). I
❑ I am exempt under Sectlon B. & P. C. for this reason
$ .
Firepl/Fact. Bit. ICBO 4
I PERMIT
Date Owner •
I herebyy certify that I have-reatl-Ihls-eppllcatlon antl state -that the above
informatl on Is correct. I agree to comply with all city and county ordinances
and state laws relating ,to building con, ,yctiop ,and hereby authorize repre-
santatives of thl city' to enter, up n the �ebova-ment loved pro erty r
iospattl on our es J
'PLUMBING $
I Heating System & Ducting
❑0.100,000 BTU ❑100,00067
I
$
PLAN CHECK $
GRADING
Hood
CanopyOr Type I I ❑' Reinspection Feel
$15
� �
Registers I, ' - Iss ist Fee
$ 3
7//
Signature - Dated% A3
Drivers' LJcehsa or' SS ga
:MF 086546 rev. 12/82 White - Building: Unary - ADPlitant: Pink - Accounting; Goldenrod - Assessor
8286 5/10E/J3 ;.0, TL
PLNG. REF.gW -
BUILDING
CnTOaf-Y I-rl GT
TO BUILDING
PROPS RTV LINE
- REAR YARD (70 P/L)
'LEFT SIDE YARD
RIGHT SIDE YARD '
PKC. SPACE REO.
PROVIDED -
STREET WIDTH '
PARK FEE $
Automatic Washer-
Meter Uover 100 amps
Construction Pole
Sub Panel '
Cooking Unit
Sub Pole '
Dishwasher 1
(Motors 00-1 HP 01X-6
Dryers ❑Gas ❑Electric '
�Inc.Solar. 09-15 HP 016-15+ '
Fan I
Microwave
F.A.U. t
Polo Light
Fixtures ' _
Range _
Device Boxes
Sign, '
Outlets
'Standing Sections
Switches
•Trash Compactor
Generator U0-5 KW U5-15 KW
Transformer 015-50 KW
i
❑50+KIN.
Reinspection Fee
$15
Mater ❑up to 100amps
Issue Fee:
l $ 3
Zoning Approved By
' Date I
Application Approved By
Date
Application Issued By I
Date
'
I SUMMARY OF FEES
I ,
'BUILDING PERMIT $
1 SMIP
I
$ .
PLAN CHECK' $
I PERMIT
l
'PLUMBING $
II ISSUANCE
$
PLAN CHECK $
GRADING
$'
'ELECTRICAL $
� �
$
',PLAN CHECK. $
MICROFILM
$
I
MECHANICAL $
TOTAL FEE'
$ '
,
(PLAN CHECK' $,
' LESS -
ADVANCED PC
$
FINAL FEE
$ .
CONSTRUCTION AND -PLANNING.
-'- ' `
- ' - Pr & SPA
,APPROVALS-
(APPROVALS Permit•#" J
•'Date•-•`
Inspector'
Permit# -
Date
Inspector
1. Temporary Electrical Service or Pole.
- ..
-
52:- Pool & Equipment Location
r 22 Soil Pipe-Undrgrnd.
-'
° •
53: Steel Reinforcement '
•- 3, Electfical Conduit Utilitv-Undrgrnd. --.
=
_
'-54. Forms
�. 4. Electrical Conduit'Undrgrnd, ' .', _
-
55. Electrical Bonding - -
-
5. �°Ael Reinforcement v '' .
-
'56, Rough Plumbing & Pressure Test
6. 'Electrical UFER Grnd: ' `
ry
57.' APPROVAL TO COVER GUNITE
7. Footings 7
- _
58. Electrical Conduit-Undrorod.
8. Foundation •- _
,
59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Uridrgrnd. -
- -
-
60. Backwash Lines, P -Trap, 0 Undrgrnd.
10. Structural Floor System -s
61. APPROVAL TO DECK
11. Property Sewer Line & House Connection
-
62. Backwash &Receptor -Final
12. Sewer.6p . ' ? -
-
63. Heater & Vent -Final
13. Roof Drains I
..
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.Bac Ceiling
69.. POOL/SPA SYSTEMS FINAL
19. Rough Heating &Air Conditioning
=
FIRE DEPT.'REOUIREMENT
APPROVALS . Permit #
-
20. Rough Factory Fireplace
• 21. .Ducts, in Structure,;
70. Underground Hydro
.; 22. Ducts, Ventilating ..
i
71. Product Piping 0 Gas 00il
' 23. Pipe -Rough & Test ' I
72., Underground Flush
`Gas
24. Roof Framing- ; I •r
I
�'
73.1 Undergrnd. Storage Tank 0 Gas 0Oil
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
177. FIXED SYSTEM FINAL
29. Insulation-. i�
i
,
78. FIRE PREV. FINAL -
- 30. Drywall Nailing - �;
,
Notes: -
31. Plaster Brown Coat
I I
32. Electrical Power Meter -Final
33. Final Electric r
r '
,
34. Final Heating & Air Conditioning
-
35. Final Gas Pipe -Test li i -
-
36. Hood or CarioPY
37. Final Factory Fireplace_
38. Final Plumbing. •`•
•'
-
39. Water Service -Final r ;
40. Gas Service -Final ' j •,//
41. Solar Domestic -Final
42. Backflow Preventer
••''I
43. Backflow Irrigation ' i
44. Landscape Irrigation System i-
45. Sound Attenuation-
46. Handicap Regulations, r 1
47. FINAL STRUCTURE•&BUILDING,
! I
48. Special Requirements Completed
I
49. Electric Release�to,Edison
50. Gas Release to Southern California Gas Co
-
51. CERTIFICATE OF, OCCUPANCY
No Date