HomeMy WebLinkAbout2960 MENDOZA DR - Building Permitsl '� •- Aoolicant to tili in all s0aees except those witnin heavy Oortler lines antl sign all apvrovriate tleclarations.
Cl�y OF'COSTA MESA CONi�IO��ER IT -PERMrY NO. � TRACT NO. LOT NO. � UNIT NO. ..
� U � I�/ � -
!
0
� t Adoij55 �7�� ., C f ��'
A�caM's Mailing Address _!^/�'S ' .�i �'> > •�/��
Owner's Neme'. 1Zn��'+'%-�f it/ ���i�� Phone '— - -
Address . � ' � � ' �
Arch/Eng. License No.
Address '
Contractor's Nam � Phone �-S7'd �i3-
Address (m:.ilin9) �'; "�� �%�� �/f.A�ii.L� -,-�,�� .lzQ. �
Ciry License No. • � � G ' �
LICENSED CONTRHCTOR DEGLARATION '
I ne�eby affirm that I�am licensetl untler provisions of Charter 9(commencing
witn section ]OOOyaf Division 3 of.the Business antl Professions Cotle, antl
my license is in tull force antl efiect. • ' . -
License Class License No. �
'Date Si9nature �
-•�ORKERS' COMPENSATION DECLARATION
ereby afiirm that I have a certificate of consent to selt-insure or a certificate,
Wo�kers' Compensation'� Insu�ance, or a certifietl Copy thereot,(Section
3800, Lab. C.) . � � � , , ,
Policy No. Company
Certifietl copy is he�eby furnishetl: ' i '
Certi(ietl copy is filetl wlth tne city Buiitling Division.
Date Applicanl
E%EMPTION PROM WORKERS' GOMPENSATION DECLARATION �
(Thissection neetl not be completetl if,the permit i5 for one huntlretl (E300) or
less).
I certify that in the perfo�mance ot the wo�k (or which tM1is pe�mit is issuetl, 1
shall not emplay any person in any manner so as to become� subject to t e
Workers' Com ensat� on Laws ot Galiforn�r
Da[e �G ��3 `3' ti Si9na[ure �^-�� �.��'��
'NOTICE: If, afte� makin9 this tleclatation, you shoultl become subject to the
Workers' Compensation provisions of.the Labor Cotle, you must (orthwith ..
comply wi[h such provisions or this permit Shall be tleemetl� rewketl.
CONSTRUCTION LENDING AGENCV ' '� � '
I herety afflrm that there is a construction Ientling agency for the pertormanc¢
of [he wo�k for which thi5�pe�mit I5 issuetl (Sectlon,309],Civ: C.)
Lender's . Name '
Lenaer's Atltlress -
OWNERBUILDEH bECLARATION
I hereby affirm thac 1 am ezempt trom the Contractor's License Law for the
following reason (Section 7031.5 Buziness antl Protessional Cotle: Any city'or
county which requires a permit to construct, alter, improve, tlemolish or repaii
any structure, prior to its issuance, also requires the.applicant tor such permit
to liie a signetl statement that he/she is licensetl pursuant to the�provisions of
_tne Contractor's License' Law (Chapter 9(commencing with Section 7000) of
m 3 oi the Business antl Pro1
rom antl_the basis�for the alle�
5 by any •applicant for a pe
y of not more than five nuntlre�
a5 owner of the p�operty or
:nsa[ion. will Oo the work, antl
:he applicant to a civu
with wages as their sole
: not intentled or offeretl
�
�; ,
TYPE OF CONSTRUCTION � LI NEW LI ADD L1 ALTERATION LJ REPAI R' -
_ ❑ CONVERSION ❑ DEMOLISH ❑ OTHER � A p # '
DESCRIPTION OF WORK/USE OF BLDG. � S Main Building: �
TVPEOFPERMIT GRADING ❑FOUNDATION� STRUCTURAL T F�ont �
-❑ TENANT ❑ ELECTRICAL_ ❑ PIUMBING ❑ MECHANICAL 'B Reef:
❑ �OTHER' . ' A
PROJECT DESCRIPTION 'SQ. FT. OGCUPANCV '� C Right
CONSTRUCTION�TVPE - �' VALUATION$' g, Left
ZONE ' GRADING CU. VDS. , � ACRES ping. Ref. #
i
Remarks: - � ' � . , . � � {Pianninq Notes: '
Sink (
low Irrigation
Dishwasher '
Drinking Fountains
Floor Drains
Floor Sinks
Gas Service Outlets .
Interceptors �
KitchenSink' '
Lavatories , ' •
P—Trap `
Roof Orains - .
�Reinipection Fee $75
`���"`"`�� � Boiler
employees, provitletl that Such improvement5 are not intentletl or ofteretl for � i j
sale. If, however, the builtling or improvemenf is soltl within one year of�com-
pletion, the owner will have the burtlen of proving he/sne tlitl not builtl or im-, Ducl - Undef Ground
prove for the purpo5e o1 sale). � � � . -
- truttural
f h� r ert 'a i el �contractin with IicenSetl con- DUCt $ .
❑ 1 as owne� o t e O m exclu5 v 9
P P Y. Y
t�actor5 to Canstruct the p�oject (Section ]064, Business antl Prbfe55ion5 Cotla: '
The Contractor's LicenSe Law does not apply to an owner of ptope�ty wh0 DUCt i V¢ntil3tipy
- builtlz.or improves thereon, antl who contracts tor such projects with a mn-
tractor,(5 license pulSUant to the Contractol'S Lirense Law). I am awar¢ that E%hdUst Sy5t2T ❑ MW[
proof o� their WorkeYs Gompensation in5urance shoultl be provitletl ro me.
❑ I am exempt untler Section ' B. &� P. C. for Ihis reason Firepl/FacL 81t. IC80 #
Date Owner Heating System & Ductin
9'M1ereby�cer[ify1that� I have-reatl this ap0�icatiomantl state4hat the above 00-100,000 BTU �100,
information'is correct. I a9ree [o comply with all dty antl county ordinances
antl State laws relatin9 �o builtling mnstructlon, antl hereby autho�iie �ep�e- .
Sentatives o( this {�ity to: en[er upon the above-mientionetl p�o0erty to� •
insoeGtion Durp s: O / �
Si9nature ' �(,�/?/i.!/� � 1 �%O /� oate�//��2�-r•T.�7 � �
Drivers' License or 55,� "��^'� '��� �� �` Reinspaetion Fee
AF OB65-46, rev. 10/B4 White - Builtling; Canary - APpllcant; Pink - Ac<ountin9: Goltlenrotl - Assessor'
. ■
��•
Showers' •
Service Sink - + -
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping '
Solar Tank
Swimmin9 Pool w/Spa
Urinal
Wafer Closet r
Water Heater--
Water Service ,
Trays ' '
� . �
, Issue Pee i
Hood or Type I ❑
CanOpy Typell ❑
i
Refrigeration System
❑O�100,0006TU ❑1!
System Repair/Alterati
FireDampers �
Registers '
0
Issue fee
FEES
� 2783 10/23/85 ` �
' ,Zone
- Accessory Building:
' ' . ��
' Parking Req./Provided 't �
' ' Automatic Washer - -'
.Construction�Pole Sub.
� Cooking Unit � '
� i Dishwasher �
Dryers ❑Gas ❑Electri
F.A.U.
� � Fixtures • -
a— Device Boxes �
Outlets
Switches
� ' Garbage Disposal
. � Generator DO-5 KW �5-15�
ELECTRICAL . � � '
' Transformer ❑ 15-50'KW
❑ 50+ KW
� Meter ❑up to 100 amps
Meter ❑over 100 amps
Sub Panel
Motors O61 HP � 7%� 8 �
Inc.Solar �9-15 HP �16-15+
- Microwave � --- -
Pole Light • �
Range
; Standing Section
Trash Compactor
I
$ 3 , , � •
Rainspection Fee � $15 Issue Fee
FEES �
i DEVELOPMENTSERVICESRE�UIREMENTS: • ' �
Zoning APP�oved By - C
Building Approved By C
APoliration laued Bv� C
$ 3
as00 TL
Z
O
• N
I
N
G
�, . .R
' E
Q
- M
� - T
$
0
� 53
� � SUMMARVOFFEES � �
BUILDING PERMIT. $ ' SMIP $
PLAN CHECK $� + . PERMIT. �
PLUMBING $, � ISSUANCE . $
. PLAN CHECK 25% $. ENERGY P.C. $
� ELECTRICAL $� � � ' GRADING $� �
PLAN CHECK 50% $ � � MICROFILM $ �
. MECHANICAL� $ � TOTAL FEE } $, S����._
` PLANCHECK; 25% $ � j �
�--. . � . �. .. + s• a. . . r • . . . :.. . .
: CONSTRUCTION AND PLANNING . . . . � PO � SPA ' � ' - - ; � - -
;�OVALS Permit# Date Inspector AppROVALS Permit# -� � Date Inspector
" 1. Temporary Electrical Service or Pole �� 52. Pool & Equipment Location �� '
2. il Pipe-Undrgrnd. � 53. Steel Reinforcement ' - � ' �
o,
3.�Electrical Conduit�Utility;Undrgrnd. � 54. Forms . � . . ,
4..Electrical Conduit-Undigrnd. 55. Electrical Bonding ' �
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 t' - 59.� Gas Pipe, O Undrgmd., Test
9. Wafer 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 .. . _ _ _ _ ,
i 6. Rough Electric Wiring 67. Fencing & Access Approval _ .
,17. Rough Wiring Sign � 68. APPROVED FOR PLASTERI�NG� �._
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, # � � f
21. DuCts, in Structure 70. Underground Hydro , � � ' -
22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil
23. GarPipe-Rough & Test . ' 72. Underground Flush` - - � - � - + • -
' 24. Roof Framing � ' � 73. Undergrnd. Storage Tank � Gas ❑ Oil -' "
25. Foof 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 FIIVAL
29. Insulation � . 78. FIRE PREV. F,INAL - �
30. Drywall Nailing � • � HEALTH DEPT. REQUIREMENT' ,
31. Plaster Brown Coat � 79. FINAL INSPECTION - --.
�32. Electrical Power MeterFinal '80. FOOD CERTIFICATE ISSUED � �
33. Final Electric . Notes: � � "� - � ,
34. Fi'nal�Heating & Air Conditioning � � � ; ' ' � ' � ' � -
35. Final Gas Pipe-Test W �y (,fjJ ��, - �_' -. .
36. Hood or Canopy . ' � . - . .
37. Final Factory Fireplace ' . � ' ,- - .
38. Final Plumbing ' Zy 6,5` �'O � � '
39. Water Service-Final • .
40. Gas Service-Final . � • .
41. Solar pomestic-Final � � -
42. Backflow Preventer � � � � .
43. Backflow Irrigation " , � , . � . i � �
44. ,Landscape Irrigation System � - � ,
45. Sound Attenuation , - � � • � ' - .•
46. HandicapRegulations � � , � ' ' _ •� •� �
47. FINALSTRUCTURE&BUILDING ! ' � ' ' � , ' . .. ,- �
48. Special Requirements Completed ' � � � � � , !
49. Electrie Release to Edison _ ' _ , � . , , �
50. Gas Release to Southern California Gas Co � � .,
51. CERTIFICATE OF OCCUPANCY .
No. � . . Date, � ' - - - , . � .
I
% �� — iso6s
/ COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 317 COSTA M86A, CALIFORNIA
For Applican! !o Fill In Compietely
TYPE OR PRINT
BUILOIN6 aq.6 0 �,,� �
ADDRESS
COSTA MESA. CALIFORNIA
OWNER S� ✓OI�N �. �S . I.�j
AD RESB /02/ ��ER. s7• � �
AD�RE33 /7YP�—/Y� R�'� LA
� �c--r� ,q� �i-n 5 i �l�Q
CONTRACTOR
ADDRE88 �' <
CITV �
STATE �— TEL.
LIG. NO. � NO.
SIZE SOO yJ ��/� � I NOW ON LATf
OF LOT 0 0/� O
EXIST� NG BLD6. G�i�/�� GY OC���
BETBACK LINE FROM
CENTER Op 6TREET �� / REAR YARD��
SIDE YARD I LEFT �O / I RI�HT JJ �
DESCRIPTION OF WORK
J6 52x����`
)R WALL�.7y41
NG R STUQ',1
BUILDING I�j_O ri
r�EE RECEi�E�
C�hR 1 g 1963
f1NANCE DEPT.
'PLICATION�FOR�FrERM1T E�
BUILDIN6
For Ofiice Use Only
I R8C61pT NO. I PEqM�T NO.
xecarveo er
�
BUILOINO
ADDRES$
FIRE
ZONE
� APPROVED °
ZONING
��R,i PLANB � I BUILDI�NQ W � ���
..
LEOAL
DEBCRIPTION I�j/—,�3/—�� � �—a3l— �
A. P NO. I T l j ��" �— jj
NOTE: NO EAVE OVERHANG SHALL BE LE88 THAN .
80" TO SIDE @ REAR P. L.
EAVES
ALLOWEO (U.B,C.REpU1REMENT)
YARDSAPPftOVE� YARDSAPPROVED
MAIN BUILDING ACCESSORY BUILDING
(FROM WLSTREE
FROPoT FT. FT. ' -
cvQ�Z
S1s7t3�Ls dr.a 1 c,A�c G�4+r s.-13 ",�-� �- �,
,
a9�,,9 .�vp
6�. FT. '
1 XEREBY ACKNOWLEDOE THAT 1 XAVe peAO THIB APPUCATION . TME AMOUNT 6H0 pNDEH V/
AND BTFTE THAT THE ABOVH 18 COPqECT ANO AGREE TO COM- PUHPOSE OF EBTABlI6HIN0 A
PLY WITN ALL CITY OqOINAN 88 ANO BTATB I.AW6 R80ULATINO yALUATION
eU1L�IN0 CONBTRt1Ri0 ry
SIGNATUREOR/ � � }�i� ,� PERMIT
PERMITTE $ �/�/ ���m-O I
AIITHORIZED A6 /
BET. MAIN Q
ACCE55. BLI
DATE
=a6 0
I FOR THE �
FEE ONLY. 0
� 7S . � i
m
d'7•sa F
¢
�ba, so4
,�, I9069
COSTA MESA BUILDING-SAFEf1' DEPARTMEM'
P. O. BOX 817 COBTA M6HA. CALIFORNIA
For Applicant fq Fill In Completely
� TYPE OR PRINT
��o,Na �y6o ��,,�z� �-
�RE59
'COSTA MESq, CALIFORNIA
I� MAIL
l0 AF
TEL.'
F E RECEIV�D
MAfl 1 g .1963
!INANCE OEPfi.
A�1{��UwILDING ��!T.
For Ofi3ce Use Only
rtecerveo sr � owr¢
� ��/�L ZONING
/^�1 zqr,e7 I NO.OF n 1 uee ov
/ 0C ALANH V' BUILDII
' v� �ii�.c� , � p�����
i- i � . L80AL � �r /j � / 4 TK1✓"'!
/ NOTE: NOEAVEOVER
STATE TEL F� C� �/ 90' TO SIDE 8 REAR F
LIC. NO. NO. / /
(` EAVE9
OF LOT S �Q I No, op BLDae. 3 ALLOWED
NOW ON LOT
/''�,�����)J��/�� YARDSAPPROVEO
EXIST� N6 BLDG. �"iit,(iCI � /�/�VL'S MAIN BUILDING
(FROMC/ EET).
SETBALK LINE FROM � 3 F� FR IYT
CCNTER OF BTREBT F1EAR YAR�jD V
SIDEYARDI LEFT "' 0 I RIGHT J`�� R.8ID8 FT�
DESCRIPTION OF WORK �. s�oe�'% Fr.
USE OF BU�LD /O AND'^`OReTO PERFORMED�'�
�Y� I•
f 2/'O L.F;
�XPX /G �3co clC.—
I HEREBY �CKNOWLEDO6 TXAY I HAVE READ TH18 APPLIGTION
AND 6TATE THAT THE ABOV6 �g ORpBCT ANO AOPEE TO COM-
PLT WITX RLL CITY ONOINA D 8TAT6 NW OULATING
eU1LDIN� CONHTPOCTIO .
n
SIGNATUREOF ��y,����
VAR. $C
6HALL BE LE58 THAN
YAROSAPPROYED
ACGESSORY BUILDING
DATE
l
so. Fr. n
TX6 AMOUNT eHOWN UNDER VALUAT�ON Ie FOR THE ' �
PURP088 Op EBTABLIBHIN6 A PHRN�T F6E ONLY. �
VALUATION % m
' PERMIT FEE $ `�' G� �'
G� �
m
S (� �, c e o
/ � LL
� TOTAL FEE $ 10 • �
/ /