HomeMy WebLinkAbout170 MCCORMICK AVE - Building Permits PROJECT ADDRESS: 180 MC CORMICK AV UNIT: CITY OF COSTA MESA — BUILDING PERMIT t-)=KM NU: t uS JV.A<
OWNER'S NAME: PROC ME TECHNOLOGY
• ADDRESS: SAY PERMIT NO: E 053052 PLAN CHECK NO: N 'Jut/ t ; N SuFP: I'.
•
CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: 0TH
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION ; UPGRADE SERVICE SQ FT;
ADDRESS: UNIT:
CLAIM VALUE: CALL—VALUE: GROUP OCC: /
PERMITTEE: NOOR ELECTRIC ( 714 ) 631 -8777
ADDRESS: 711TW. 17TH STREET 2 J-4 *OM****.***** **>F***************************************** ***+�>f�AyF******x*******
COSTA MESA CA 926..
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions olyt'ter 9( !Zen with Section Z O N I N G REQUIREMENTS
7000)01 Division 3 of the Business and ProfessionsssonCode.and my license is in lull force ie—1. SETBACKS
CITY LIC.:
030877 STATE LIC.: 4527 /4 CLASS: C—T •I
MAIN BUILDING ACCESSORY BUILDING
Date:. '''__-_V----1 1, signature: , - FRNT: FT IN REAR: FT IN FRNT: FT IN REAR ; FT IN
T WORKERS'COM DECLARATION: I hereby ata Ihave. le of con I el4 sure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
f tmpensation Ibs6ra2�or1 y3cenlyg copy thereof(Sectio MOO. •4 /01 /92
\,i POLICY NO.: EXP.0 v
DmPANr: STATE FUND,,.yy / PARKING REQ• PROV: PARCEL: 00000000 7.NE: REF NO:
J Certified copy is hereby furnished. t,'1 Cemfied copy is filed with the thy Body; Divis' / PLANNING N TES>
Date:_7-z•S -/ ' (Applicant: .1 / ***lE**************************3NM%i(******************* ***********iE*************
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
AW -
EXEMPTION to
e W WORKERS'COMPENSATION DECLARATION: R, not ��70 if the -mit is for one hundred(5100)or less). '% '
I certify that in the performance of the work for which this permit'.. I shall not•.tploy any person in any manner so as to become ./,
subject to the Workers'Compensation Laws at California. ZONING APPROVED BY DATE:
Date: Signature: BUILDING APPROVED BY : DATE:
NOTICE:II,after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor Q
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked.
APPLICATION ISSUED B Y: ''. ✓ DATE:
CONSTRUCTION LENDING AGENCY: (hereby affirm that there uaconstruction lending agency for the performance of the work for ****************************** ****,********************************** 1 *1\***
which this permit is issued(Section 3097.Civ.C).
• *******************************40***,********************************************
- ADDRESS: LEGALIZATION:N F �E'�E: SUMMARY STRUCTURAL SEGMENT:N
1 BLDG PMT PLUMBING ,-ELECTRIC MECHANIC FIRE SMIP/RES GRADING
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason PERMIT 18 , 5 0
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or
repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 5 0 Y 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
• and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031,5 by ISSUE FEE 15 . 00
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500).
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
I. as owner of IAC property or my employees with wages as their sole compensation, wit do the work, and the TOTALS----> 18 . 50 15. 00 0 . 00 33. 50 33 . 50 . 00
❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State 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 employees,provided that such improvements ate not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED: 33 . 50 OVER/SHORT: . 00
improvement is sold within one year of completion,the owner will have the burden 01 proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
lot the purpose of sale). 33 . 50
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business
❑ and Professions Code: The Contractors'Slate License Law does not apply to an Ownerol property who builds or improves thereon *,.*,**.**,****,*.*-*-*,****,****.*,*****.*,*,.**.*,**.****,***,**,*-*,***,*********3E****,*,*,**,*******-*,**,**
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'state License Law).I am aware
that proof Of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
❑ I am exempt under Section: B.6 P.C.
for this TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
•
Date Owner: ELE 1 SERVICES BELOW 600 V & BELOW 201 AMP 18 . 50 18 . 50
I do hereby certify that I am aware of and understand the requirements 01 California Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and that I or any Willie building occupant wiltvnn not(circle one)need to comply with said state codes and the requirements for a
perm! or construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant: , /
I hereby certify that I have read this applicaOan and state that the above iii , .tior s co L/./
t.I agree t0 comply with all city and county /
ordinances and state laws relating to build g construction and hereby aur r e rept ell" 0lthis city to enter upon the above.menlione0 --
property for inspection purposes.
Date:?-4,--- Signature/ • / ;YJE7;~', _ :.. r _ •
��� `. ., 177.._
Driver's License or Social Security a: •S.
1641.46 White—Building:Green—Code Enforce • Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNl1y/ • PG . & SPA
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service pr Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. - •
53. Steel Reinforcement
3/4lectrical Conduit Utility-Undfgrnd. r 54. Forms
aElectrical 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, 0 Undrgrnd., Test
•
9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P•Trap, 0 Undrgrnd.
10. Structural Floor System i 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection • 62. Backwash & Receptor-Final - • • •
12. Sewer Cap , ' i• 63. Heater & Vent-Final
13. Roof Drains - • 64. Plumbing System - Final
14. Rough Plumbing , i 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, ;n 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 1 FINAL INSPECTION
32. Electrical Power Meter-Final ,Lt • lir p' FOOD CERTIFICATE ISSUED
. - 1rte - --
33. Final Electric r„ 9l O� E1-.es:
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.lrrigation
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
^. 2 elk g Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
—Cfl�OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. TRACCTNO. LOT NO. UNIT NO. . - y
Project Address / D Ivipvi�so�.• r C,, H1Q .//4 �9 7 7 O G "'� 1, 'iC 1/ "O :+.�.e4 :/f / / /
•
Applicant's Mailing Address ?ALP/ /0 /G 3 C,II, 9;p 27 TYPE OF CONSTRUCTION ❑ NEW ❑ ADD L�ALTERATION REPAIR r
/77 CC,, ❑ CONVERSION ❑ DEMOLISH ❑ OTHER 1+2: r y�(1
Owner's Nam 4r �=-/ �'- i. Oo52Pho5��•7l0 3�D� ,A s A.P.# `TL/ —�7�--o �- _ Zone 1 1 P
DESCRIPTION WORK/USE OF BLDG.*flirt` y ,i r• �Tt QKT Sr.".
Address ���,"1��e�✓'/Mc ICA .<s 6f€� /y c6' �/ Cs re e,P ISG f KpCl4P r(�,.4f , rt S Main Building: cscicw Accessory Building: ,
Arch/Eng. `M-ILATEX i4/6/. 1 License� -- No. 3 D 3S Sb TYPE OF PdRMIT U GRADING Li FOUNDATION LI STRUCTURAL T Front �`,_r\ _� 0 0
Address T /1 N Pet /air/ �_sJ_sJ._[��,eif - ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear )r k> • N
Contractor's Name -. ' Oa' Phone ❑ OTHER
PROJECT DESCRIPTION SQ. FT. OCCUPANCY 4 Right N
\ Address(mailing) . 'Cr•
f�_
CONSTRUCTION TYPE VALUATION$ .."0/.YJU g Left • R
City License No. • ZONE ' GRADING CU.YDS. ACRES -
LICENSED CONTRACTOR DECLARATION LICENSED Ref.# /3, Parking Req./Provided E
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: P ( (� r PlanningNotes: j,��t //.fit-`{�., Q
with section 7000) of Division 3 of the Business and Professions Code, and 1 C' �� I ��' tic Fn �hs� �'i rt;�` `e'�� M
1 my license is in full force and effect •
r w- / —pyfri mix O / r•/i Imo. Lvs �r-YI r,• S
LelLicense Class License No. - P•�/ l.l.,t.{..� t.M/s TV6J�. t�i/-�YJ`-
Date Signature • PLUMBINI • FEES _lin n dos/, 1•Q,t njl f 021._c n"l/,�,[f,r7), /J
WORKERS'COMPENSATION DECLARATION 3 Bar Sink _ - Showers / 00 ' ]/
Iereby affirm that I have a certificate of consent to self-insure ora certificate F+ ELEC RICAL l.. FEES
. Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink
3800, Lab. C Automatic Washer Transformer ❑ 15-50 KW
Policy No. AWr 2$f/D/ea Company f/rt/MA.d Eu Backflow Irrigation Sewer Cap0 50+KW
•
Construction Pole Suh.
❑ Certified copy is hereby furnished. - ,
❑ Certified copy is filed with the city Building Division. Bathtubs / Sewer Connection •5 eco Cooking Unit I Meter 0 u to 100 amps
Date Applicant
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors . Dishwasher q Meter Dover 100 amps
(This section need not be completed if the permit is for one hundred ($100)or a� 1
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 4 Fan C
Workers' Compensation Laws of California. - _ Motors❑0-1 HP ❑1'A-8 g
Date Signature --- - _ 5Floor Drains SwimmingPool vv/Spa aw
NOTICE:If,after making this declaration, you should become subject to the _ p /6 F.A.U. Inc.Solar❑9.15 HP ❑1615+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal -O
comply with such provisions or this permit shall be deemed revoked. 2 y Y2 Fixtures Microwave g yd
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet W
I hereby affirm that there is a construction lending agency for the performance 3 ` Device Boxes Pole Light y
of the work for which this permit is issued (Section 3097 Civ. C.) d0
Lender's Name Interceptors z Water Heater it Outlets Range • A 'a
Lender's Address / Kitchen Sink - Water Service .e / Switches Sign
OWNER BUILDER DECLARATION 9 'Z,SQ
co
I hereby affirm that I am exempt from the Contractor's License Law for the 3 Lavatories Auto-Wash
following reason (Section 7031.5 Business and Professional Code: Any city or ` Garbage Disposal Standing Sections so
county which requires aermit to construct,alter,improve,demolish or repair
any structure, prior to its issuance, also requires the applicant for such permit P-Trap Laundry Trays Generator❑45 KW ❑5-15 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 -
•
vision 3 of the Business and Professions Code) or that he/She is exempt
refrom and the basis for the alleged exemption. Any violation of Section .,
31.5 by any applicant for a permit subjects the applicant to a civil • .
Kielty 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 III $15 Issue Fee $ 3 s
compensation, will do the work,and the structure is not intended or offered _ _ - Reinspection Fee I $15 Issue Fee • $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's _. MECHANICAL [ 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 3 a,. DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such Improvements are not intended or offered for Hood or ' Type I I — - Iq s
sale- If, however, the building or Improvement is sold within one year of com- Canopy Type II ❑ Zoning Approved By ate Q UU
pletion,.the owner will have the burden Of proving he/she did not build or im- e Ii
4
trove for the purpose of sale). Building Approved ByDate yu. 7
_
U I,as owner of the property, am exclusively contracting with licensed con- a Refrigeration System Y Application Issued By_ ZikeDatn ` �Y
tractors to construct the project (Section 7044,Business and Professions Code: it
The Contractor's License Law does not apply to an owner of property who aVentilatingg0-100,000 BTU 0100,000 BTU seEx I rt SUMMARY OF FEES •
builds or improves thereon, and who contracts for such projects with a con- r c <+^1-ons
tractor(s) license pursuant to the Contractor's License Law). I am aware that - Exhaust System 0 Multiple 0 System Repair/Alteration IOCORPW-IgldrifEdn i $ 7 B3 -00 SMIP , \ $ 3--So '
- proof of their Worker's Compensation insurance should be provided to me. ate PLAN CHECK $ PER MIT
❑ am exempt under Section �, a P. fortni anon Firepl/Fact.BIL ICBO# Fire Dampers J PLUMQ(NG Sig Q , QJ ISSUANCE $
Date $S_�T� Owner / . 1 . Heating System& Ducting Registers [[ ENERGY P.C. $'
/—' PLAN CHECK 2525% j
I hereby certify that I have read this application and state th. the above SO-100,000BTU 0100,000BTUGRADING $ '
information is correct. I agree to comply with all city and county ordinances • Y. ro
- ELECTRICAL $ C
and state laws relating building construction,and hereby authorize repre- 71 PLAN CHECK 50% $ b MICROFILM $
sentatives of this to en�wupon,t •above-mentioned property for 3•
0
inspection pur $ { • re)t'1 TOTAL FEE $ / 3
/Aa/, V` MECHANICAL
Signature / fGGIi'.cL�/Y Date 0
Drivers' License or SS Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK . 25% $,- 2 •7.5
CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING t c ; � POOL & SPA
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. y^( V I 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test
6. Electrical LIFER Grnd. ' s 57. APPROVAL TO COVER-GUNITE
. 7. Footings, 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 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 / .- 1
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 Sigp,. -68. AP.P.ROVED 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 ❑Gas OOil
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 (Struftural) & Monocoat 75. Dry Chemical
27. Frame and Flashing : - ;.+ : : 76. Dry Starufpipe - 1
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 , t
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED • I
33. Final Electric Notes:
34. Final Heating & Air Conditioning ' '
35. Finat 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 EXPIRED _
IncomnIRta In$DectlOnS • .
45: Sound Attenuation
46. Handicap Regulations Lit! _ I}
47.: FINAL.STRUCTURE & BUILDING 4,:. �•
✓ -1 "
48. Special Requirements Completed
,
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 line ropriate declarations. 3531 2/02/94 17e0ti TI_t
CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT N - LDG.NO.
CONSTRUCTION PERMIT -. • 8 — /O? ,7 -- y
•
Project Address lin` 4.- ' te ,,-V., ;re i2_ TYPE OF CONSTRUCTION LI NEW LI ADD LI ALTERATION QQ REPAIR
Applicant's Mailing A dress qs �� • ❑ CONVERSION ❑ DEMOLISH ❑ OTHER -
,g A ps . A.P. •# I Zone
V1f� �p(tneS Phon 3_//G3 DESCRIPTION OF WORK �RI9C-L' -fi2f u, `1'Pi✓�t-
Owner's Nam I- r,`...c s. S Main Building: - Accessory Building: Z
Address /7-99/ &4491/— -RV/eve ze.A. - E O
TYPE OF PERMIT LI GRADING LI FOUNDATION W.STRUCTURAL T Front N
Arch/Eng. &liar Z-41L/SON License Ng ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B
Address 3,-),Oth'M,' 4/. 1/96Ct✓a'9 / /7L4 c '❑ OTHERHA Rear - N
Contractor's Name SVML-- O/ Phone
PROJECT DESCRIPTION SQ. FT. 'OCCUPANCY C Right G
Address(mailing) - - 5.
C ON ST RUCTION TYPE VALUATION$ 00'0 S Left E
ZONE GRADING CU.YDS. ACRESPing. Ref.# Park.Fees $ O
City License No.
111 LICENSED CONTRACTOR DECLARATION Remarks: Parking Req./Provided • U
I hereby affirm that I am licensed under provisions of'Charter 9 (commencing _ - -
•
with-Section 7000) of Division 3 of the Business and Professions Code, and Use of Building: R
\„ my license is in full force and effect. E
V�7 Ucense Class License No. PLUMBING , FEES Planning Notes: M
Date Signature - E
WORKERS'COMPENSATION DECLARATION Bar Sink Showers N
I hereby affirm that I have a certificate of consent to self-insure or a certificateT
of Workers' Compensation Insurance, or a certified copy thereof (Section Back(Iow Preventer Service Sink S
.<- 3800, Lab. C. Backflow Irrigation Sewer Cap ELECTRICAL FEES
Policy No.4e-"frSAL4-41/SS Company a-. a' ..
`` x❑.Certified copy is hereby furnished. Bathtubs Sewer Connection Automatic Washer Transformer ❑ 15-50.KW
•
`VVV\ r!-Certified cop tallied with the city,B g'Div' 0 50+'kW
.2— —.'Y' dr Clarifiers
Date Applicant wC Solar Collectors Construction Pole Sub.
• EXEMPTION FROM WORKERS'COMPENSATION DECL ATION Dishwasher Solar Piping
!\Vr (This section need not be completed if the permit is for one hundred ($100)or ' Cooking Unit Meter ❑up[0'100 emus'
less). DrinkingFountains
I certify that in the performance of the work far which this permit is issued,t Solar Tank • Dishwasher Meter Cover 100 amps
shall not employ any person in any manner so as to become subject to the .
Workers' Compensation Laws of California- • Floor Drains Swimming Pool w/Spa Dryers DGas ❑Electric Sub Panel
Date Signature ti,
NOTICE:If,after making this declaration, you should become subject to the Floor Sinks Urinal Fan
Workers' Compensation provisions of the Labor Code, you must forthwith - ' - Motors 00-1 HP ❑ih-8
comply with such provisions or this permit shall be deemed revoked. Gas Service Outlets Water Closet
CONSTRUCTION LENDING -AGENCY - ' - ` - F.A.U. Inc.Solar 09-15 HP 016-15+
I hereby affirm that there is ac�o�nstruction lending agency for the performance Interceptors Water Heater Fixtures �'-
of the work for which LW
sQ-permit Is Issued (Section 3097 Civ. C.) 'Microwave z
Lender's _Name NoN - Kitchen Sink Water Service
- Device Boxes Pole Light
Lender's Address
OWNER BUILDER DECLARATIONLavatories , _ - - Outlets
I hereby affirm that I am exempt from the Contractor's License Law for the Range •
following reason (Section 7031.5•Business and Professional Code: Any city or • P—Trap - • - Switches
county which requires a permit to construct,alter,improve,demolish or repair - Sign
any structure, prior to its issuance, also requires the applicant for such permit Roof Drains - '
to file a-signed statement that he/she is licensed pursuant to the provisions of Garbage Disposal Standing Sections.
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 •. Generator 00-5 KW 05.15 KW Trash Compactor
• therefrom and the basis for the alleged exemption. Any violation of Section
703115 by any applicant for a permit subjects the-applicant to a civil •
Salty of not more than five hundred dollars($500). Reinspection Fee $25 Issue Fee $ 3
I, as owner of the property,or my employees with wages as their sole • _ - • Reinspection Fee $25 Issue Fee $ 3
ompensation, will do the work,and the structure-is not Intended or offered - MECHANICAL . FEES Reinspection
sale (Section 7044, Business and Professional Code: The Contractor's ' - PUBLIC SERVICES REQUIREMENTS:
'
License Law does not apply to an owner of a property who builds or improves Boiler Hood or Type I 0 .
thereon;andwho does such work himself/herself or through his or her own
employees, provided that such Improvements are not Intended or offered for Canopy Type II 0 Zoning Approved By Date
sale. If, however, the building or Improvement 1s sold within one year of com- Duct-Under Ground2� o�f
Plotkin,She owner,will have the burden of proving he/she did not build or im- Application Approved By ....le- Date �'J
prrove dor the purpse of sale).lDuct-Structural Refrigeration System Application Issued By — Date d'1 —5-
LJ I,as owner of the property, am exclusively contracting with licensed con-
tractors
to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating 00-100,000 BTU ❑100,000 BTU SUMMARY OF FEES
The'Contractor's License Law does not apply to an owner of property who - - •
builds or Improves thereon,and who contracts for such projects with a con- Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ /�j'oo SMIP $ ,CO
tractor(s)license pursuant to the Contractor's License Law).
PLAN CHECK $ G'� PERMIT
0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# PLUMBING $ ISSUANCE $ .
Date Owner Heating System& Ducting • PLAN CHECK $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above ❑o-100,000 BTU 0100,000BT GRADING , $
Information is correct:I agree to comply with all city and county ordinances I ELECTRICAL $
and state laws relating'to building construction,and hereby authorize repro- MICROFILM $
sentativ Is Y n r upon he above-nient,ioned property for PLAN CHECK $
i igntur i r //P 1_ xi __���fi� /p(/ MECHANICAL $ oe
enpecti�� �U( I�
Reinspection Fee $25 Issue Fee $ 3 PLAN CHECK $
CMF 0865-46 rev. 7/83 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor
CONSTRUCTION AND PLANNING POOL &SPA
APPROVALS Permit# 10 10P)37Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole • • 52. Pool & Equipment Location
2. SoilPipe-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 UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings / 58. Electrical Conduit-Undrgrnd. ?
8. Foundation • 'CO 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 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 Flashinglic
76. Dry Standpipe
78. Lathing &'Siding 77. FIXED SYSTEM FINAL
9. Insulation 78. FIRE PREY. FINAL
E0. Drywall Nailing • HEALTH DEPT. REQUIREMENT
i.
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 . `,R
47. FINAL STRUCTURE& BUILDING 2.0.25y2.0.25y /(y .
48. Special Requirements Completed WL���^^�����w��/
49. Electric Release to Edison 4 -
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date •
O t.f N PicOPEY.rc's SHEET NO.. V .OF
robert lawson, atr tw engineers Jon N 1 CPO - ,3 .
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APP CATION FOR STRUCTURAL PERMIT
For Applicant�} to Fill in Completely - Use Ink Only
1 (Q 1 m ,IITU. REC?NY DA Ri E DATE ISSUED
BUILDING ! / V 80�p/�MI �1
ADDRESS E1de. 7, 3180 PsllMa.. 1 ryMlpyrt�pp��,�pJr���
OWNER Dow Corning & IMO Development A.P. No.14 '71—`&7/-0/ P4T911 /3
MAIL
BUILDING X70 /YO glee", ` /
ADDRESS 187 W. Orangethorpe. Sute B ADDRESS rJ / ^m-j�+L`. f��
TEL. TRAC LOT BLOCK /7'
CITY Placentia NO. 996-3762 %�
CONSTRUCTION NEW� I ADD ALTER I REPAIR (MOVING DEMO'ISH
LENDER none
BRANCH
OWNER
ADDRESS �a'r .�9 Q
ARCHITECT Bill Malcomb TEL. 752-669a SE�/U� 234/pr.
vnw$ /� 7�d�
OR ENGINEER NO. tLJ
FIRE
ADDRESS 2201 Martin #203, Irvine ZONE TYPE GRODU
APPROVED /_ 2\ „�/
CONTRACTOR owner/builder
APPROVED
DATIr`_76
ADD
CITY ESS it p IPLAN BUILD( . l in
TEL. Z // NO.OF USE OF N TT,JJJ[[[
CITY NO.
- STATE CITY YARDS APPROVED YARDS APPROVED
LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
W SIZE NO.OF BLDGS. (�P_M,C/L ET)
B.. OF LOT 9 acres NOW ON LOT V .T T. FT.
dUSE OF n
EXISTING BLDG. none R.SAIF LFT. FT,
F Separate permits are required for L.S& - f
T.
G electric,plumbing and heating work. REAR / d T. tier-- T. _
[z7 USE OF BUILDING AND WORK TO BE PERFORMED (J�
F DISTANCE BET. BET.MAIN&
0 MAIN BLDGS. ACCESS. BLOCS.
construction of multi-tenant industrial cU#P. y/�p�-O / /�AAPPRROV 1 /� �7/
> budding RAPPROVEC_ujA P HATE ((/�/SrsC /(p
W HOLD FOR SPF REQUIRC I�I
p I hereby acknowledge that I have read this application and state ME•• l
u
a, that the above information is correct and agree to comply with m
W all laws regulating building construction, and I shall not employ
Z any person in violation of the workman's compensation laws of o
the State of California. ����
3 I hereby certify that I am properly licensed as a contractor under SQ. FT• a
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, end that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: ua
am exempt fro the provisions of State of California Business VALUATION PERMIT FEE $ e
and Professions de, • Ion 3,Cho: :r 9. ^ ./ n
111 PLAN CHECK $1T,1/ /5 2
Signature of \ 11 I /e� / r e
Permittee 1 $/55 7V v TAX $
/0.701 U
Authorized Agent / TOTAL PAID t252 0 S
1
• 2?-7r-E°-`002958 C ..°371.c0
101---- i7ja3
COSTA MESA BUILDING-SAFETY1.(1.0
COSTit
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 /
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely - Use Ink Only
�f n �J,q// RECEIV6q#,, DATE RECEIVED DOE SSUED
ADIDRESSG 1 0 '/�o int,"
//GG P!E/ORMIT2N07
OWNER Aga A.P. NO.
///
MAIL
BUILDING
ADDRESS ADDRESS
TEL.
CITY NO. TRACT LOT BLOCK
CONSTRUCTION NEW ADD ALTER REPAIR MOVING DFMOI ISH
LENDER
BRANCH
OWNER
ADDRESS VALUE
ARCHITECT TEL. S $
OR ENGINEER NO.
FIRE
ADDRESS ZONE TYPE GROUP
APPROVED
CONTRACTOR BY DATE
ADDRESS
TEL. ZONE NO.OF USE OF NEW
PLANS BUILDING
CITY NO.
E• STATE CITY YARDS APPROVED YARDS APPROVED
gLIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
1 SIZE NO.OF BLDGS (FROM C/L STREET)
{z
A. OF LOT NOW ON LOT FRONT FT. FT.
a USE OF
CA EXISTING BLDG. _R.SIDE FT. _ FT.
ra
l-,
Separate permits are required for L.SIDE FT. FT.
electric,plumbing and heating work.
C REAR FT. FT. '
[�., USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN&
CMAIN BLOCS. ACCESS.BLOCS.
�
,�(avc, VAR.. DATE
.-t /IJP J C.U.P.$s APPROVED
Q
APPROVED
} _BY DATE
4-1
OG
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aI hereby acknowledge that I have read this application and state
O U,
n
IX that the aluove information Is correct and agree to comply with
m
d all laws regulating building construction, and I shall not employ
Z any person In violation of the workmen's compensation laws of e
LL1
= the State of California.
I hereby certify that I am properly licensed as a contractor under SQ. FT. of
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR a
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: —
am exempt from the provisions of the State of California Business VALUATION PERMIT FEE § J�/
and Prof sslons Code,Division 3,Chapter 9. J // Un
tn
Signature of PLAN CHECK $ —• c
Permittee $ / TAX $ u.U
E
$ �7�0
Authorized Agent TOTAL PAID 0