HomeMy WebLinkAbout210 MCCORMICK AVE - Building Permits 1 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. -. 5529 3/07/84 _ 68 e 7O TL
PTY
OF COSTA MESA • PERMIT NO. TRACT NO. LOT NO. BLDG.NO. •
ONSTRUCTION PERMIT/ —�/ 7o8I
Project Address 2/0"'- /-r o , -64.—A44./(ik - TYPE OF CONSTRUCTION LI NEW ADD U ALTERATION LJ REPAIR ' -
Applicant'sMailin ddr-ss ' /O `t / /7 , ' 4/ y • ✓�.1 ❑ CONVERSION ❑ DEMOLISH//��❑B OTHER ^� A.P.# - 'IZone-
/qp� DESCRIPTION OF WORK ete, !� feG✓�V` J
Owner's'Name �r/r r. / ph;n� a `w ��� _ S Main Building: . ' . Accessory Building: ZO
Address '- - E -
TYPE OF PERMIT ❑ GRADING ��i OUNDATION ❑ STRUCTURAL T Front N
Arch/Eng. License No. - ❑ TENANT ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B. Rear _ • - I
Address yyy �7 �-❑ 'OTHER . A - N
Contractor's Nam' 's Ierir�,/-F•�- an fl• on S7C�fOJECT DESCRIPTION SQ. FT. OCCUPANCY �L Right - -
g A. d4 �/Q (J P`/x•t CONSTRUCTION TYPE VALUATION$ YY6/ '�fg�. Left • r - • R
Address(mailing) 4 1�i E
3/`Qi/ ZONE _ GRADINGCU.YDS. AC Ping. Ref.# Park.Fees $ Q
City License No. ((//(O� - '
LICENSED CONTRACTOR DECLARATION ' ' •— • - U
Remarks: Parking Req./Provided I
I hereby affirm that I am licensed under provisions of Charter 9(commencing 1 ' R
with section 7000) of Division 3 of the Business and Professions Code,antlUse of Building: . - - E
my license is in full force nd a fact-
License Class Lif{nse N� Planning Notes: M
PLUMBING FEES E
Date S_7 Signature /7N f I —`- - N
WORKERS'COMPENSATION DECLA TION Bar Sink Showers T
hereby affirrn that I have a certificatedif consent to self-Insure ora certificateBackflow Preventer Service Sink - S '
zf Workers' Compensation Insurance, or a certified copy thereof (Section . '
3800, Lab. _ •Backflow Irrigation Sewer Cap . - ELECTRICAL • FEES
P Icy No. Company S/ ieiCnpf r _
Certified copy Is hereby furors ed. , Bathtubs Sewer Connection. Automatic Washer Transformer 0 15-50 KW
LLLJJJ Cert,t d�+�Dy is filed with the city �� tiu-�g •D n r• ❑ 50+ KW. •
Date .f—` Applicant // // Clarifiers Solar Collectors _ " ' Construction Pole Sub.
EXEMPTION FROM WORKERS'COMPEN ION DECLA ION Dishwasher Solar Piping ' Cooking Unit Meter ❑up to 100 amps,
(This section need not be completed if the rmit is for one h dred ($100)or � ^
I certify thatinthe performance of the work for which this permit is issued I Drinking Fountains Solar Tank Dishwasher / Meter YDOver 100 amps 7-5—(7.L�
shall not employ any person in any manner so as to become subject to the
Workers' Compensation LOWS of California- Floor Drains Swimming Pool w/Spa Dryers ❑Gas '❑Electric 3 Sub Panel / S'Date Signature L
NOTICE:If,rafter making this declaration, you should become subject to the Floor Sinks Urinal - Fan - - Motors®61 HP VJ 1'/-B J7 '�
Workers' Compensation provisions of the Labor Code, you must forthwith � /
comply with such provisions-or this permit shall be deemed revoked. ' Gas Service Outlets Water Closet• F.A.U. • Inc.Solar 49-15 HP 016-15+ S
CONSTRUCTION LENDING AGENCY ,
I hereby affirm that there is a construction lending agency for the performance, Interceptors . - Water Heater • ?3 Fixtures • !Microwave it GD
of the work for which this permit is issued (Section 3097 Civ. C.) _• _
Lender's Name. - Kitchen Sink . Water Service v /' Device Boxes Pole Light ' 8 O
Lender's Address Lavatories
OWNER BUILDER DECLARATION ' _. - Y Outlets Range �2
.-f I hereby affirm that 1 am exempt from the Contractor's License Law for the P—Trap .
following reason (Section 7031.5 Business and Professional Code: Any city or Switches Sign '
4 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 • Roof Drains Garbage Disposal / Standing Sections /S —
to file a signed statement that he/she is licensed pursuant to the provisions of —
he Contractor's License Law(Chapter 9 (commencing with Section 7000) of
• fHision 3 of the Business and Professions Code) or that he/she is exempt r Generator 00.5 KW 05-15 KW Trash Compactor
llll'llsrefrom and the basis for the alleged exemption. Any violation of Section
1331.5 by' any applicant for a permit subjects the applicant to a civil Reinspection Fee $ 3
openalty of not more than five hundred dollars($500). P I $25 Issue Fee •
I, as owner of the property or my employees with wages as their sole . Reinspection Fee $25 Issue Fee $ 3
compensation, will do the work, and the structure Is not intended or offered - MECHANICAL FEES
for 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, and who does such work himself/herself or through his or her own - Zoning Approved By Date
employees, provided that such Improvements are not intended or offered for Canopy Type II 0sale.
,
Duct-Under Ground
pleti If, the owner
building dof pro i g within one year of or im- Building Approved By Date
plebe n, r th owner will have the burden of proving he/she did not build or im-
rove for the purpose of sale). Duct-Structural Refrigeration System Application Issued By y • Date
LI I, as owner of the property, am exclusively contracting with licensed con- ❑0.100,000 BTU ❑100,000 BTU '
i tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating _ SUMMARY OF FEES
The Contractor's License Law does not apply to an owner of property who - - BUILDING PERMIT $ SMIP $
builds or Improves thereon,and who contracts for such projects with a con- Exhaust System 0 Multiple ❑' System Repair/Alteration
tractor(s) license pursuant to the Contractor's License Law). - • PLAN CHECK $ PERMIT
❑ I am exempt under Section B• .& P.C.for this reason ' Firepl/Fact.• bit. ICBG# PLUMBING• '$ ISSUANCE $
Date OwnerHeating System&Ducting
_ PLAN CHECK 25% $ �� ENERGY P.C. $
I hereby certify that I have read this application-and state that the:above ❑0.100,000-BTU 0100,000 BT -
.ELECTRICAL $ —/E= rte GRADING $
Information Is correct. I agree to comply with all city and county ordinances
and state laws relating to building construction,and hereby authorize repre- ' I PLAN CHECK 50% $ ' MICROFILM $ •
sentatives of thi • •• e - apo the a•- e-mentioned property ford" 1 - �j �j
inspection par-:� - ,� +�� 7 MECHANICAL $ TOTAL FEE $ � o'w
Signature t/ A. SIL Date 3
Drivers' License 0,'f" Reinspection Fee - $25 Issue Fee • - $ 3 PLAN CHECK 25% .$ - .-
. N.
CMF 0865-46 rev. 12/83 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor i
/ -,�_k
_ 'CONSTRUCTION AND PLANNING V POO WA r- '
Date Inspector ' - Date Inspector
. APPROVALS Permit# - APPROVALS Permit#
1• Temporary Electrical Service or Pole _ I - 52. Pool & Equipment Location
2Soil Pipe-Undrgrnd.. ' - - 53. Steel Reinforcement f
3. Electrical Conduit.Utility-Undrgrnd. 54.: Forms • -
4: Electtical Conduit-Undrgrnd. _ - 55: Electrical Bonding - ,
5: Steel Reinforcement . 56. Rough Plumbing & Pressure Test
6- 'Electrical OF ER Grnd. i 57. APPROVAL TO COVE R-GUNITE •
7. Footings. ! - 58. Electrical Conduit-Undrgrnd. .
•
8. Foundation 59. Gas Pipe, 0 Undrgrrid.,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 i 1" 62. Backwash & Receptor-Final
12. Sew€r,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 . V
-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 - t 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 1 79. FINAL INSPECTION
32. Electrical Power Meter-Final ; t Ik# •brj 80. FOOD CERTIFICATE ISSUED I
33. Final Electric /i1L _e, Notes: 3/9 //'� (/,///1�'[Dl15uA�Yl12
34. Final Heating & Air Conditioning .
35. Final Gas Pipe-Test . i - . - '
t
36. Hood or Canopy •
-
37. Final Factory Fireplace .
38. Final Plumbing ••
39. Water Service-Final .
40. Gas Service-Final . -
~
41. Solar Domestic-Final -
, , . _ Y
42. Backflow Preventer • " -
43. Backflow Irrigation. •
44. .Landscape Irrigation System
45. Sound Attenuation .
46. Handicap Regulations ' ' • -
477. FINAL STRUCTURE & BUILDING
-
48. Special Requirements Completed , , i
49. Electric Release to Edison ' - -
•
•
50. Gas Release to Southern California Gas Co '
51. CERTIFICATE OF OCCUPANCY - •
-
No. Date . . .
.`s 41.905 ` ..„ PdIL
y -4-76 -.00 133* **7119.93
cm
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
• 4P C' ION FOR STRUCTURAL PERMIT
For Applicant to Fillies rmrletely —Cs
- Ink
1 ly - RF
l pa
DATE ISSUED
BUILDING ,-'
ADDRESS - . . _ - - .. ..
• • • �a7'
OWNER Dow Corning & IMO Development A.P. NO. dO77-4Q / PERMIT NO.
� _
MAIL BUILDING ADDRESS O� 0 m ���/ ,e.�C /Y..(J v
ADDRESS 187 W. Orangethorpe, Suite B �„JJJ --_ '
TEL. TRACT 3(,Q� LOT BLOCK
CITY Placentia NO. 996-3762 I
CONSTRUCTION NEW ADD ALTER REPAIR I MOVING DFMf11.ISH
LENDER none
BRANCH OWNER Al..tiirt121,44.M
1 U NV.
ADDRESS 1 -D`� r�
OARCHITECTR ENGINEER Bill Ma1COmb N TEL. 752-6692 USE 00 �[,�(., vnw$ /d� �
FIRE �L /✓//1�_
ADDRESS 2201 Martin #203, Irvine ZONE rr JJJTYPE 1_ GROG P `
APPROVED / �/1>1' 71
CONTRACTOR owner/builder BY ��//�y,, ///"}}} / �/-�f DATFy(�}/� ///
CITY p//P IPL BUILD /4IS' /.-/�/// 3
TEL. ZON/'' NO.OF USE OF N V `3/"
CITY NO.
F• •
STATE CITY YARDS APPROVED YARDS APPROVED
gLIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
W SIZE NO.OF BLOTS.O (FROM C/L•9TRk ETA/ ,�y,
LL LOT 9 acres NOW ON LOT ONT L6I-113PIT (i.. 0 /FJf�Jine
Q USE OF //��
V. EXISTING BLDG. none R SIDE ( T. FT.
rn
C~ Separate permits are required for L.SIDE S. FT.
electric,plumbing and heating work.
C RL T. h e ea2.6 FT.
(-, USE OF BUILDING AND WORK TO BE PERFORMED '
F^ DISTANCE BET. BET.MAIN&
<Q MAIN BLOCS. ACCESS. BLDGS.
-� . DATE
construction of multi-tenant industrial C URP —/ia///•rrt'y�f1APPROVEED3�^..�/„
7 APPROVEDeg)-'�( Ver.'
_
).• buildin _ i-1
W HOLD FOR SPEC AL REQUIREMENTS
0 I hereby acknowledge that I have read this application and state C\
N
CL that the above information is correct and agree to comply with N.
L+ all laws regulating building construction, and I shall not employ m
Z
any person in violation of the workman's compensation laws of 2
ILI the State of California. /
I hereby certify that I am properly licensed as a contractor under )41 eSO. FT. N
the State of California Business antl Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
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 o he State of California Business VALUATION a
and Professions ode, a islon 3, pier 9. PERMIT FEE $ m
m
PLAN CHECK $ a.3�/,ao 0)
Signature of '
Permittee ., I 1 (-5:3860. TAX ' $ /O 7.9 2
Authorized Agent r / U9,
TOTAL PAID $�� C(3
i/905 'll •• 7?-7�•P„r•on79s6 0-11".:3:368.^C
0•
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely— Use Ink Only
/ /J �/ RECEIV DATE RECEIVED D• E ISSUEDISS
ADDRESSBUILDING 2/O at /�. �•'2
PERMIT NO.
OWNER /MO A.P. NO.
MAIL BUILDING
ADDRESS ADDRESS
TEL. TRACT I LOT BLOCK
CITY NO.
CONSTRUCTION NEW ADD!ALTER REPAIR (MOVING nFMOL64H
LENDER JI1
BRANCH
OWNER
ADDRESS VALUE
ARCHITECT TEL. US_E $
OR ENGINEER NO.
FIRE
ADDRESS ZONE TYPE GROUP
APPROVED
CONTRACTOR BY DATE
ADDRESS
TEL. ZONE INO.OF USE OF NEW
CITY NO.
PLANS BUILDING
f^" STATE CITY YARDS APPROVED YARDS APPROVED
LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
L SIZE INO.OF BLDGS. (FROM C/1_STREET/
C. OF LOT NOW ON LOT FRONT FT. FT.
a USE OF
in EXISTING BLDG. R.SIDF FT. FT,
CA
-±" Separate permits are required for L.SIDE FT. FT.
electric,plumbing and heating work. REAR FT. FT.
Ems. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
Q< S.
MAIN BLDGS. ACCESS.BLDG
.� /,(, Vo'I(' C URP ,qW DATE
APPROVED
Q
APPROVED
).. _ BY DATE
..1
IX
9.
I hereby acknowledge that I have read this application and state N.
N
a4 that the above information is correct and agree to comply with m
O. all laws regulating building construction, and I shall not employ
i
Z any person in violation of the workman's compensation laws of o
W the State of California.
m
I hereby certify that I am properly licensed as a contractor under SQ. FT. cv
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are In full force end effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
vs
am exempt from the provisions of the State of California Business
VALUATION PERMIT FEE Ee
and Professions Code, Division 3,Chapter 9. ,46,00 �n
vs
/ PLAN CHECK $ .� vs
o
Signature of G
Permittee $ TAX $ LL
F
V
ry
Authorized Agent \ TOTAL PAID $ gei OQ