HomeMy WebLinkAbout2741 MENDOZA DR - Building Permits�
AVG���ant to fili in all spaces exceD� those witnin heav�
CITv oF COSTA M�SA CONSTRUCTION PEARMIT PERMi No. i TRACT NO.
-,Project Address � � �� M � n'O� Z "� � �O ���
Applicant's Mailing Address Yrf F C�Si S/�� TYPE OF CONSTRUCTION rvEW /aDD
Owner's Name �/ �� C�a j'��� - Phones��'�33g � CONVERSION ❑ DEMO�ISH ❑ OTH
Q DESCRIPTION OF WOq K/U$ E Op BLp G. �
Add -/C.r.1P //_ n�....__iv1 /!_��C../� 7nn�_
ress
ArchlEng. License No.
Address /�
Contractor's N �'q�^ P /+•�p � 'f/�•g Phnn $Z��
Address (mailing) �Y( ��,^'�!�'S� r s�' 2Q �/Y/ n�Q
City License No. '�� 0 0`�'
LICENSED CONTRACTOR DECLARATION
I hereby affiim Ihat I am licensetl untl¢r provisions of Charte� 9(commenCinq
with section 7000) of Division 3 0� the Bu5ine55 antl Professions COtlE, antl
my license is in fun i/�c�ce antl e fect. �O S J� 7�
LicenseLlass ` � � 'i���_a�n�se /�.y�
Date �>— 6 r 5�9 t 4�L�.� M � _�
WORKERS' COMPENSATION DECLARATION
I nereby affirm that I have a certificate of consent to self-insure or a certificate
'.Workers' Compensation Insurance, or a cert(i/i¢d copy tltereof (SeCtiOn
o,�ab.�'653GG7�QG Company Jf4f�f �:C✓✓�
� i�crY No.
Ll Cer}�il1ietl C�PY 15 f1 l�etlbw'thrthehc'tY B�� 9 Divisyi !�y����
�at �`��� �Y Applicant /k---+�/'"���11�
EXEMPTION FROM WORKERS' COMPENSATION DECLARATIONB�
(This seclion neetl not be completetl if the permit is fo� one huntlretl ($300) or
less�.
I certify that in the performance of tne work for which tnis perm�t is issuetl, I
Shall not employ any pe�son in any manne� so as to become subject to the
workers' Comoensation Laws of Calitornia.
�Date Signature
NOTICE: If, atter making this tleclaraHon, you shoUltl becOm¢ subject t0 thE
Workers' Compensation provisions of the l.abor Cotle, you must forthwith
tomply with such orovisions or this permit shall be tleemetl revoketl.
CONSTRUCTION LENDING AGENCV
I hereby atfirm that there is a construction lentling agency for the performance
of the work for wn�cn this permit is issued (Section 3097 Civ. CJ
Lentler's Name
Lentler's AtltlreSs
�OWNER BUILDER DECLARATION
I here0y affirm lhat I am exempt from ihe Contractor's License l.aw for the
following reason (Section 703L5 Business antl Professional Cotle: Any ciiy or
county which requires a permit to construct, alter, improve, tlemolish or �epai�
any structure, prior to Its issuance, also requires the applicant for SucM1 Oermit
lo tile a sign¢tl 5[atement that he/she is IicenSeG pu�suant to the p�ovi5ions ot
-roe Contractor's License Law (Chapier 9(commencing with Section �000) of
Division 3 ot [he Business antl Prote55ion5 Cotle) o� that he/she is exempt
t�--�from antl the Dasis for the alleged exemption. Any violation of Section
5 by any applicant for a permit subjects the applicant to a civil
ly of not more than five huntlretl tlollars (5500).
L� �; as owne� of the property o� my employees wittt waSeS a5 th¢ir sole
compensation will tlo fhe work, antl the structure is not intentletl or-ofteretl
lar saie (Section �O4A, Business antl Pro(essional Cotle: The Contractor's
�icense Law tloes not apply to an owner of a property who builtls or improves
thcreon, antl,�vho does such work himselt/herself or tnrou9h his or her own
employQes, ryovitletl that such improvements are not intentletl or oHe�etl to�
sale. 1/, however, Ihe builtlin9 or improvement Is soltl within one year of com-
pletion, Ihe owner will have the burtlen of proving he/She tlitl nOt builtl o� Im-
prove fori thef�u�pose ot sale). �
❑ I, as ownejof the property, am exclusively contracting with licensetl con-
[ractors to coostruct the project (Section ]044, Business antl Professions Cotle:
The Contractor's License l.aw tloes not applY to an owner of properry who
builtls or improves thereon, antl who cont�acts Tor Such oroiects wlth a r.on-
tractor(s) Lcense pursuant m me Contractor's License Law). 1 am aware thac
proof of their Worker's Compensation insurance zhoultl be provitletl to me.
❑ 1 am exempt untler Section B. & P. C. tor tnis reason
Date
I hereby cer
intormation i
antl state law
sentatives of
inspection pu
Signature �
Drivers' Licei
_ Owner _
tha[ I have reatl this a
�rect. I a9ree to comply
latine to builtlinu Const
or' S5 �
[ion antl state that the above
all city antl county ortlinances
i, antl bereby authorize repre-
3Ave-mentionetl property tar
lines antl si9n all app/opriate Oeclatations. �
ALTERATION LJ REPAIR
HY
TVPE OF P�RMIT LJ GRADING LJ FOUNDATION -LJ STRUCTURAL
❑ TENANT ❑ E CTRICAL ❑ PLUMBING ❑ MECHANICAL
❑ �OTHEft �o S �
PROJECT DESCRIPTION �5(/l.
C O N ST RUCTI ON TV PEK
ZONE
Remarks:
Backflow Preventer
Backflow Irrigation
Clarifiers
Dishwasher
Drinking Fountains
Floor Drains
Floor Sinks
Gas Serviee Outlets
�en�a ' VALUP,T,ION 5 �
GRA�INGCU.YOS. � ��ACRE°
Kitchen Sink
�avatories �
P—Trap
Roof Drains
Reinspection Fee , $15
Boiler
Duct- Under Ground
Duct - Structural
Duc[ - Ventilatin9
Exhaust System ❑ Multiple ❑
Firepl/Fact. Blt. iCBO �
Heating System & Ducting
❑0.100.000 BTU 0100,OOOBTi
Reinspection Fee ' � $75
0865-46, rev. 5/88 White � Builtling; Canary - AppllCant Pink - Accounting; oltlenrotl - ASSesSo/
$hoWefs
Service Sink
Sewer Cap
Sewer Connection �
Solar Collectors
Solar Piping.
Solar Tank
Swimming Pool w/Spa
Urinal
Vv3tEf C�052i
Water Heater
Water Service .
Auto-Wash
Laundry Tra'ys
laue Fee
Hood or Typel ❑
Canopy Typell ❑
Refrigeration System
❑4700,OOOBTU ❑100,000
System Repair/Alteration
Fire Dampers
Registers
luue Fee
4.P. #
5 Main Buildinc
E
T Front
A Rear
C Right
SLeft
�Ing. Ref. #
Planning Notes: ,
FEES Auromatic Washer
� CoristructionPoleSub.
Cooking Unit
Dishwasher
Dryers ❑Gas ❑Electric
Fan
F.A:U.
Fixtures
Device Boxes
ouueu
Switche5
Garbage Disposal
Generator O0.5 KW �5-�
�
FEES
i
$ 3
2ane
Accessory Building:
Z
O
N
I
• N
G
_ R
- • Parking Req./Provided E
U
� M
T
S.
ELECTRICAL '
Transformer � 15-50 KW
❑ 50+KW
Meter ❑up to 100 amps
Meter ❑over 100 amps
Sub Panel
KW
Motors��0-1 HP � 1 Y- 8
Inc.Solar 09-75 HP �16-75+
Micwwave � '
Pole Light �. �:`�.�'.'
Range �r� �r
Sign ' ' �
Standing Sections �
Trash Compactor
1
Reinspection Fee ! $15 laue Fee
DEVELOPMENT SERVICES REQUIREMENTS:
Zoning Approved By
Building Approved By
'Aoolication Issued Bv
FEES
$ 3
SUM V� FEES /� �J
BUILDING PERMIT $ — SMIP $ V—
, PLAN CHECK $ PERMIT
PLUMBING $ ISSUANCE $
''PLAN CHECK 25% $ ENERGY P.C. $
— ELECTRICAL $ GRADING $
— PLAN CHECK 50% $ MICROFILM $ ��
MECHANICAL $ �TOTAL FEE $ _QJ._�_
�" PLAN CHECK 25% $
o� aco,��,v-cao<«9::0 ��-�� ���
�7E: no; Ga; s° iir�Ei CT: .r "'
, . , . , . . ryr7 ' 1 .- � . ` . . . . . K
�
CONSTRUCTION AND PLANNING
� POOL " ''PA
'I ' Date Inspector qppROVALS Pei,...c# Date Inspector
APPROVALS Permit# � �� �
1. Temporary Eliectrical Service or Pole � 52. Pool & Equipment Location T�� �+
2. Soil Pipe-Undrgrnd. „' -� 53. Steel Reinforcement ������ i. +
3., Electrical Conduit-Utility-Undrgmd. �� 54. Forms -
,�
,4r Electrical Conduit-Undrgrnd, � � , 55. Electrical Bonding - .
5: Steel-Reinforcement, ., �' � 56. Rough Plumbing & Pressure Test ��.,
,
6: ,Electrical UFER Gmd.� 57. APPROVAL TO COVER-GUNITE "
�. .
7. Footings �' . � 58. Electrical Conduit-Undrgrnd.
8' Foundation '- 59. Gas Pipe, O Undrgrnd., Test �
9. Water Pipe-UndrgmB. � 60. Backwash Lines, P-Trap, O Undrgrnd. �,�
10.. Structural Floor SYstem ��. � �' 61. APPROVAL TO DECK
11. Property Sewer Line & HouseCo�nnection r� �� 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-Fina1
16. Rough E�ec[ric 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 #
i-
21 . Ducts, in Structure 70. Underground Hydro ,
22. Ducts, Ventilating ,� 71. Product Piping O Gas ❑ Oil '
23. Gas Pipe-Rough.& Test 72. Underground Flush
2A. Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ Oil
� 25. Roof Sheathing � 74. Overhead Hydro
i
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. DrywalfNailing !r HEALTHDEPT.REQUIREMENT '
31. Plaster Brown Coat•' 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final�Electric . Notes. ��a �/
34. Final Heating & Air Conditioning ..
35. Final Gas Pipe-Test S�d G' � / �
_, 36. Hood or Canopy
� 37. Final Factory Fireplace
38. Final Plumbing �
39. Water Service-Final
40. Gas Service-Final
41. Solar pomestic-Final � � I
42. Backflow Preventer
+',
� 3. Backflow Irrigation �. - '
� .
' 44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations c � -
47. FINAL STRUCTURE & BUILDING �
- i- �
48. Special Requirements Completed �,�� '
49. Electric Release to Edison - L'-- �
� '\
50. Gas Release to Southern California Gas Co .� �
�,
51. CERTIFICATE OF OCCUPP.NCY ��� 4� � �
No. Date � � � � {�'
r,
.�
OWNER
G�'^TERAL CONTFtACTOIt
r o. 14�
I r, Brown C
S.._,;tural, Final
oi
_�
���
DESCRITTION OF WORK p
FIRE ZONE VALUE
-IGROUP J TYPE I
SUBCONTRACTOR
25928
"COSTA MESA BUILDINO-SAFEIY DEPARTMENr
P.O. BOX 1200 'COSTA M�<., CALIFORNIA 92E2!
For App1(mM to Flll In Compldely
TYPE OR PRINT
op�°�?���i rn/Z1vi.-g �n :
COSTA MESA, CALIFORNIA
wxeR � t�t !'U" - C _ L �4.�'I+�/
/� 7[L �i�D'
. /G1i- .A No. /� 7 .
' Te�. —
NO.
s�- �'y �- m� �i Tn,
p ecrewcK uP¢ rRor
DESCRIPTION OP WORK
OF
� uae
I M[R6pY ACKNOWL[DOR TNAT.1 NAV! MAD YH10
Atto HTAT6 TNAT BOVi,18 CPRR[CT ANC AG
PLY WITN ALL CI OR INANCY ApD YTAT[ LA
GUILOINOGON CTIO . J,{/ /
8I6NATUR! O� �/./'{�y
JUL 20-66 001207 n 3°* **�3.00
APPLICATION FOR PERMR
BUILDIN6
for Offlce Usm Only
IISC6I�TNO. � �I
2�-��
ZONING
MO.OI U�[
►un� �. em�
�=
� �l- �� k� - i,L—
i��� ee �eas rx�w
U. 8. C. HEGIIIREM[NT�.
YARDBAPPROV6D
AGCH880RY BUILDIN6
fE: NOEAV80VER
' TO SIDO Q REAR P
E8
.OWBD
YARDH MPROVED
MAIN BUILDIN6
�
v�re. �t
DATB
M�ROV[D �� `
�N��A� DAT[ �
a
�
�
sa. rr. �
TX[ AMOYNT tXOWN I�ND[R VALUATION �B �OR TH8 �
PURPOe[ O! tfiAG4oXIN0 A PPJiYIi F68 ONLY.
VAWATION
� PBRMIT P86 �� �
s�o� w
TOT.tL PEE � �
_�_ - ! 9485
COSTA MESA BUILDING-SAFEfY DEPARTMENT
P.O. BO%]17 COBTA M66A. CALIPORNIA
� For Applicant to Fill In Completely
TYPE OR PRINT '
BUILDIN6 Z�41 � Mendoza Drive
ADDRES9
COSTA MESA, CALIFORNIA
-OWNER MBcco Realty�Company��
ADDRESS 3800 E.Coast Highr�ray
,.,.,, Corona del Mar,Calif. u�`�OR 34220
� :ss same as above
CONTRACTOR Macco.Realt CO•
.,,,,e«a same as above •
uc No. 207343-A-SBl NEL. OL 34220
F LOT 65' X 9J f NO. O� BLD
I Now on Lo�0II0
IISE OF " IIOTiC
EXISTIN6 BLO6. '
SHTBACK L�NH FflOM '
c6rvieq ov einaei �� R6AR YARO 33 � 6��
SID6YARDI IEFT 516" I RIGHT 5�6�� .
DESCRIPTION OF WORK '
NEW I X II ALT6RATION I II AOOITION I
S=ELDIN6S�V�XGL�G��- ROOMS 7 ST RIH9 2
EXTERIOR WALL ROOF ��
COVERING Stucco coveainc Shin le
USfi OF BUILDING AtiD WORKTO BE PHRFORMHD
Sin le Fam.Rea. W/Att. Gara e
PIAN NO �500-AR - -
� HEREBY ACKNOWLEOO[ THAT 1 HAVQ R¢AD TX�e APPtICATION
AND HTNTE THAT THfi ABOVB 19 COqRECi AND AORE[ TO COM-
p�r w�TH ALL CITY ORDINANC69 ANDn oYTAATi l�nY qiOULATINY
BUILCINOCONBTRYGTION.�CCO L\fiiLTY CO.
rl�. �rLr�lIED
L`:.ii � �/+, I�U�
FINA�!CE DEPT.
APPLIC TION FOR,r,PERMRi�ESA
BUILDING
For Office Use Only
� RGCEIPT NO. � PERMIT NO.
116C[IV OY
.I[1
�.Ll:
ZONING
zoN rvo. op use or ME y
u'� PLANS Z I lYILOINGLU��.
�i
n�ae�iniex LOt 1% - Tract 4784
NOTE: NOEAVEOVERHANGSHALLBELESSTHAN
80" TO SIDB 8 RfiAR P. L.
EAVES
ALLOWED (U.B.C.REQUIREMENT;
YARDS APPROVEO YAROS APPROVED
MAIN BUILOIN6 ACCESSORY BUILDING
S�
VAR. $
OATE
_ �
relling-2266 S.F. Gar-460 S.F. n
so. Fr. _
THE M1MOUNT SHOWN {INOER VAI.UATION IS FOR TH8 F', �
PUHP084 OF HBTABLISNINO A PEfiM�T FEH ONLY.
� g�,.�.,'��l � s 23,925.00
AUTHORIZED A6fiNT �_�� �