HomeMy WebLinkAbout2082 MARIAN WAY - Building Permits •
+ - - -.-, - Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. r -?• .r
CITY OF COSTA M/E�SpA/� CO�N.tSnT,R/UNCTION PyERMIT PE ITN• •
TRACT NO. LOT NO. UNIT NO. .. - 6804 6/87/86 5.00' TL
.Project Address al'a !X /f/W/N./� ���<n.f EO •--3 `)(9,;- -
- - ✓ TYPE OF CONSTRUCTION ❑ NEW U ADD U ALTERATION REPAIR -
Applicant's Mailing Address - - -
Owner's Name –^ �� 11'r�tp //' Phone ee-/3 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER - A.P. Zone -
�C//-/L[/(�/ DESCRIPTION OF WORK/USE OF BLDG.
Address - . . S Main Building: - - _Accessory Building:
E • c • . • - Z
Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING FOUNDATION ❑ STRUCTURAL T Front' 0
Address ,,' ,, J• ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL B Rear N
Contractor's Name �r✓.��'J /� Ll•hone i{�r�Z��/ ❑ OTHER -
/ / PROJECT DESCRIPTION SQ. FT. - OCCUPANCY C Right N
Address(mailing) -
�� CONSTRUCTION TYPE _ VALUATION$ S Left , Fr-
City License No. ZONE ' GRADING CU.YDS. ACRES I
LICENSED CONTRACTOR DECLARATION Ping. Ref.# - Parrking Req./Provided _ E
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: _ Planning Notes: �'} {�/ ' 1985 _ Q'
with section 7000) of Division 3 of the Business and Professions Code,and RECEIVED MAY M
my license is in full .. - and effect. T
• License CI. s _ i S. A . lc•ns+ / ! S
Date _ r 'Signature fr 11` -7 .flea PLUMBING I FEES , •
sRKER ' COMPENSATION DECLARATION Bar Sink ShowersI
reby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL _ FEES
Workers' Compensation Insurance, or a certlfl copy thereof (Section - Backflow Preventer Service Sink "
Automatic Washer- Transformer 0 15-50 KW
3800, Lab /�
Policy No. • y CompanyilBackflow Irrigation Sewer Ca ❑ 50+KW •
�Certifie copy is hereby furnished. p Construction Pole Sub.
Cert iI. is filed with the city sgypylp visi Bathtubs Sewer Connection Cooking Unit• Meter ❑up to 100 amps
Date ' t Applicant� /• '`/','/'�`f'/v/�Lei / • •
EXEMPTION FROM WORKERS'COMPENSATI DECLARATION - (f Clarifiers - Solar Collectors ' Dishwasher Meter Dover 100 artlps
(This section need not be completed if the permit is for one hundred ($100) or Dishwasher �^-( °:-.12--
�s.�//�,
less). V`i Solar Piping Dryers ❑Gas ❑Electric Sub Panel
I certify that in the performance of the work for which this permit is issued, I •
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shall not employ any person in any manner so as to become subject to the • Drinking Fountains Solar Tank - Fan L/ Motors ❑0-i HP ❑1''A-8
Workers' Compensation Laws of California, _ __ '
I —
Date Signature Floor Drains 'Swimming Pool w/Spa p Al U •
NOTICE: If,after making this declaration,you should become subject to the •_ - Inc.Solar ❑9-15 HP 015-15+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks• • Urinal
comply with such provisions or this permit shall -be deemed revoked. Fixtures Microwave
CONSTRUCTION, LENDING" AGENCY • Gas Service Outlets -
Water ClosetDevice 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 '
Lender's Name - - - - - Range
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-Wash Garbage Disposal
following reason (Section 7031.5 Business and Professional Code: Any city or 9 P ;Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair P-Trap - Laundry Trays Generator ❑0-5 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
ie Contractor's License Law (Chapter 9 (commencing with Section 7000)of • '
vision 3 of the Business and Professions Code) or that he/she is exempt •
- ,,erefrom 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 - . •
_� —
penalty of not more than five hundred dollars($500). .. I • .
'❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee V $15 Issue Fee $ 3
•
compensation, will do the work, and the structure is not intended or offered - YY •
-
for sale (Section 7044, Business and Professional Code: The Contractor's .MECHANICALReinspection Fee $15 Issue Fee $ 3
License Law does not apply to an owner of a property who builds or improves FEES _ -.
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 corn- - Canopy Type II 0 • - Approved B y Date
Zoning
pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground • - Building Approved By Date
prove for the purpose of sale). ,
0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural . Refrigeration System ' Application Issued Byj�� Date
tractors to construct the project (Section 7044,Business and Professions Code: j'/
The Contractor's License Law does not apply to an-owner of property who Duct-Ventilating - ❑0.100,000 BTU ❑100,000 BTU
builds or improves thereon, and who contracts for such projects with a con- SUN MAflV OF FEES
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. $ PERMIT '
i: PLAN I am exempt under Section . B.& P.C.for this reason , Firepl/Fact.BIt. ICBG# Fire Dampers N PLUMBINGCHECK $ • Fj Q 0 ISSUANCE $
Date Owner 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 BTL ' 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 s'ci to enter upon the above-mentioned proem ffpf�r '
inspection p ces. / 4 /__ ' MECHANICAL $ 50't)
Signature % / "� Or' - DateReinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% TOTAL FEE $
Drivers' License or SS# _ / �� � -- Pe $ _
CMF 0865-46,rev.10/84 White - Building: Canary - Applicant; Pink -Accounting; Goldenrod -Assessor
CONSTRUCTION AND PLANNING PO' 1 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
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.
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 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 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 7.144(. CtO
39. Water Service-Final ' t
Cs
40. Gas Service-Final r-'
41. Solar Domestic-Final it;
42. Backflow Preventer fr
A43. Backflow Irrigation
n44. Landscape Irrigation System •
...
n_45. Sound Attenuation ci
Lt
156. Handicap Regulations y:s
ti47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed -
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
c�1. CERTIFICATE OF OCCUPANCY
No. Date _
OWNER DUMORD Corp. DATE 7-31-63
JOB ADDRESS 2082 Marian Way BUILDING PERMIT NO. 20105
GENERAL CONTRACTOR J. R. Metcalf VALUE $ 16,273.00
AP No. LOT 6 TRACT +2+ FIRE ZONE DESCRIPTION OF WORK Res.w/att.gar.
I' 'ECTIONS Signature DATE GROUP I&J TYPE V ZONE R-1
S jj. 7-Il c--1--4 7 SUBCONTRACTOR PERMITS ISSUED
Gas _ DATE NUMBER
Water/Mc- ' CL-,O< Pr- r-/.7
Rough Corn. Refrig. 0 Air Cond. ❑ •
l
f1
Rough Heating 7� y-5--69 -737E A
Rough Plumbing -4! 9- ;-/B k x h �y/er'erz(te6.g-• 7-et-‘3 CIY9 f'?' 11k j
Miscellaneous it
Prop. Swr. Line VHouse Con.Ca'St. Swr. 0,44/4-.5 /O J$'ti3 0 v 2,/.. e:,,,.,--G-. tL/z 24 a /tial(:
Sprinkling System q+'
Construction Pole '
Underground ❑ Power 0
Rough Wiring_ e /7-(13 �y`_'-n & /
Ke, . ,-.d 2 P-6 p o 7,-`
Trenches p' Forms p' Steel Reinf. ❑ (/r 1n7-6,
Floor System
Bond Beam ❑ Steel Reinforce 0
Sheathing 6111 e 9'_ c — 3
Frame and Flashing R/, Ir p,yt.(,3
Lathing — In SIF- Out p--- H t u-t-o)
Platter, brown coat e_ // - -y - ---//4.
F '. 0 Air Con. ❑ Final
Ii.._..ng, Final ,fi Ion,/ /f. y-(.3
Plumbing Fixtures, Final ( ' . S/O-G
Final Gas Test �/�,./p..G
Electric Fixtures, Final �� /2 •.34.+.5
Building, Final 92-71 j2-/15-/.; _ i
OCCUPANCY 5 .
Form BU4-5M-3-63—S-13 P Qrn nc
20105
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COSTA MESA. CALIFORNIA
For Applicant to Fill In Completely F EIPpLIRRFF IOCIN F FUR EP
MIT
TYPE OR PRINT U11 3 1!P{TILD G
BUILDING 8 MAZtIAi-) • l.k)aNI FINANCE DEI.
BUILDI 8
COSTA MESA. CALIFORNIA CFOrl7Ottl CAMOnly
4-.3 u�olit> �c' I RECEIPT NO. I 2c405.OWNER
MAIL (( /' 1,\C RECEIVED/qYI DA RECEIVE O�j IS H
ADDRESS 110"I� WfiSICI._4FF De.l __ I� /-- T 6a
'` q/� -Patti-
�� TEL. Mt. BUILDING ///
CITY UF_u)pOR Pani-. NO.02:2.,,.191 ADDRESS
ARCHITECT
OR ENGINEER ►-�oeels ANS TEL.Q`}�'IT3 COSTA MESA. CALIFORNIA
L.ONZ�LTi AC. NO.
ADDRESS 40' ' 0
HEnE.�� FIRE
ZONE TYPE GROUP Li 7-
CONTRACTOR
3�jkG\C.ALg APPROVED
ADDRESS tOIc-i SEesAA in
BY DATE
ZONING
• /4 `
I���\/I Z/ / NO. S UBB OF NEW '/.y 1
CITY 17.„......, / / eUILDI Gg>,�,ll� I,..Iu.
STATEIG.N TEL. /� -0Z.Z(y OAL _C7r wC 6 �YYIV/
LIC.NO. 2 0 NO. l0 /� OSSCMIPno
SIZE
OF LOT / 4 co a I NOW ON LOT NO. OF S tel/ A.P.NO. —
USE OF ttt YARDS EVES
EXISTING BLDG _ ____ -__ APPROVED ALLOWED
' (CENTER LINE ST.)
SETBACK LINE FROM ' 1, 5 'C)
CENTER OP STREET � REAR YARD Lam,/ FRONT • J v FT.÷— IN.
` I
SIDE YARD I LEFT (L7 I RIGHT c/ R.SIDE _CFI-. IN.
DESCRIPTION OF WORK /0 FT. IN.
L.SIDE
NEW III ALTERATION I II ADDITION I REAR
REPAIR I Y MOVING I II DEMOLISH I AP _ /111114_
PROVE', a�� FT
pDATE 0 - L 6 3
BUILDING qQ NO. OF I.ZE �4 lO ROOMS coL. STORIES 1
EXTERIOR WAL1��� ROOF TT�+�� I ' /J b
COVERING .'CLIACL COVERING SAO E. A-Cc . a )C r
USE OF BUILDING AND WORK TO SE PERFORMED
PEC ► - F /-/3'00 a — 6 ' l t
I 'KIRKBY ACK dr DOE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER'VALUATION IS POR THE
AND STATE THA THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION
SIGNATURE OF e- /� �/ �]/ alp_ PERMIT FEE $ "6-34
PERMITTEE r '' ' � 'u"��
S /4j73 PLAN CHECK $ a? 7. tee 111;
AUTHORIZED AGENT ,) x
' TOTAL FEE I$ `� �� i0 c