HomeMy WebLinkAbout3235 NEBRASKA PL - Building Permits�oT 30 - raA�T 36z5
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COSTA MESA BUILDING•SAFETY DEPARTMENT
P. O. BOX 9f7 C08TA MEBA. GLIFORNIA
For Applieanf fo Fill In Complefely
TVPE OR PRINT
2�rj NEBRASKA F'LACE
COSTA MESA. CALIFORNIA
�555 PLACENTIA AVENUE
NEWPORT BEACH TE�� 6-3
nDDREss �555 PLACENTIA AVENUE
GI7v NEWPORT BEACH
�� Na. 6t t95 No: M� 6-32z7
(1F EI !1T 65 X� oo I unv.�.'..+e�nae. Q
U6E OF
EXISTING BLDG.
98TBACK LINe PPOM O 1 REAR YARD 2� t
CeMER OP BTREET
R� �f
SI�E YARD ILEFT " RIGHT
DESCRIPTION OF WORK
.,�.., � x �� ., r�oer,,,u � �....,,_,..0 �
BUILDING NO. OF
81ZE � 9• ROOMS STORIES �
EXTERIOR WALL STUCCO I NOOF WOOD SHAKES
COVERING COVERING
UBE OF BUILDINC AND �MORK TO BH PERFORMED
� GLE- AMILY ESIDENCE AND ATTACHE
GARAGE PLAN Z-A
I HHR6BY ACNNOWLHD06 TMAT 1 HAVB RHAD TNIB APPLIGTION
ANO BTATC THAT TX6 A90V! 18 GOItPBR /�ND AOPCB TO COM•
PLY WITH ALL CITY OFD�MANC¢9 �ND 9TAT6 UW9 HBGUL.�TINO
9UILDINO CON8T11V.RION•
SIGNATUPE OP /1 �
� AUTHORIZED
FIRE
ZONE
APPROVED
BV
iONH
L60AL
11`i�'� ui'�'�'�v''��L�J
.�_-� 5-�3-�0
�ii�a�ct o���.
��IN fl" ^QCTd jUIF$�j
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
REC8IPT NO, P�1lNAMIT/'�NO.
'N '11 CJ1rI
CY DA,f$/pQCHYI 8U UATd ISBf
I�5 / i� /�/) I M�Y 1 6
COSTA MESA. CALIFORNIA
ZONING
NO.OP U8H OP NEW
PLANB �BUILDING �
IC8NT8R LINH BTJ
APPROVED
J
-/!- (ad
TH8 �MOUNT 6HOWN UNnER VALUAT�ON �8 FOR TMC
PURPO68 OR 88TABLIBHIN6 A PEPMIT FEE ONLY.
VALUATION � / �
PERMIT FEE $ d
�s-� �
S �6 "
/ PLAN CHECK $ � �
t(� i
TOTAL FEE J / '� ¢
i
C�TY oF COSTA MESA � C STRUCTION �ERMIT_ (. i.� '.
P.roject Addr¢ss 3a! -s-� � Ea�s r� Pu�c .' ��� '
i.. I�� �-, cu .. �- n s; , : s �
Apphcant's Mailing Address � � - - � �
'` U" ' � ; - ^ j . ' ' I i :' � n '
Owner's Name � �' _ - -` � �' hone � - - -
�' ' " ° i > ' I c ;
Addr2ss, � -
ArchlEng. �� '' License No. - ?
Address � � '� � ' "
Contractor'sName_ L Pho �y,
Address (mailing) � �
City�license No.
LICENSED CONTRACTOR DE9 ARATION -
I. hereby�aftirm lhai �I am IicensE untle� Orovisions of Charter 9(commencing
wim seciion ]000) of Division`,3�of the Business antl Professions Cotle, antl
my licens¢ is in tull/j1orcC anQtl effect. /% J�
LICCf152 CId55 ` y� �+ �� LIC SE NO �(�� v�
Date u- � v`� ^ 5�9 t ��tl,Ll -
WORKERS' COMPENSATION D CLAfiATION
1 hereby aHlrm that I have a certificate of mnsent to Ibinsure or a certi(icate
ot Workers' CompensatiOn Insurance, or d certifietl m0Y thereof (Section
3800, Lab. C - -.
aor�r No. /��r �,�r1P�S�(ocomaa�r �la� ��>�]C1�T ,
Certifietl capy is M1ereby (urnishetl.
er i ietl copy's letl with ihe city " iue�Division.
Date - ��� Apvlican
EXEMPTION FROM WORKERS' C PENSATION CLARATION
(This Section neetl nol be completetl if the permit is r ne huntlretl ($300) or
less).
I certity that in the performante of the wo�k fo� which this perm�t is issuetl, I
Shall; not employ any person in any manner so as to become subjec[ to tne
Workers' Compensation Laws of California.
Date Signature
�NOTICE: It, atter making thi5 tleUaratiOn, you shoultl berome subjeGt to the
Wo�ke�s' Compensation provisions of the Ldbor Cotle, you must forthwith
comply wi[h suc� p�ovisions o� this permit shall be tleemetl revoketl.
CONSTRUCTION LENDING AGENCV .
I hereby aflirm that fhere i5.a con3truction-lentling agency for the per(ormdnce
of the work for which this pe�mit is issuetl ($ection 3097 Civ. GJ
Lentler's Name � - -
Leneer's AtlOress
OWNER BUILDER OECLARATION
I hereby affirm that 1 am exempt trom the ConVactor's Ucense Law tor the
followinq reason (Set[ion ]03L5 Bu5ine55 antl Protesslonal Code: Any city or
county wnich requires a vermit to construct, alter, improve, demolish or reoalr
any ztructure, prior lo its'issuance, also �equires the applicant fo� such permit
to tile a signed statement tnat he/she is licensetl pursuant to ihe provisions of
the Gontracior's License law (ChaO�er 9(commencing with Section 7000) of
Division 3 ot the Business antl Professions Cotle) or that he/she is exempt
theretrom antl the bazis fo� tne allegetl exemption. Any yiolatlon o( Section
J031.5 by any applicant'toca permit Subjects the applicant to a civil
� enalty ot noi more than tive huntlretl tlollarz (5500).
'� I,�asiowne� ofithe�property or_my em0loyee5-with wa9es as thei� sole
compensation, will'tlo the work, anQ the structure i3 not in[eneetl or otferetl
Yor 551e'(Section 7044, Business antl Professional Cotle: The Contractor'S
License Law tloes no[ appty to an owner ot a property who builtls or improves
thereon,iantl who'tloes�such wo�k him5elf/herself o� through'his or her own
employees, provltletl that such-improvements are not Intentletl or ofieretl for
sale. If, nowever, Ihe builtling or improvement is soltl within one year of com-
, Dletion, the oovner!wili have the burden ot proving he/she tlia mt buI1G or im-
i prove forthe purpose of sale). .- . '-.+
� � I, as owner of the Oroperty, am exclusivery contiacting with licensetl con-
�'� tractorsto wnsVuct [he,Project (Section ] 4, Busine55 antl Professions Cotle:
I The Contracto�'s License Law tloes nOt a ply to an owner ot property who
i builtls,or_,impJOYes.[hereon,..antl who_cont cts foLsuth_prOjects with.a.con._
Itractor(s1 license p�ursuanl to the Conttact �'s Llcense Law). I am aware that
prooi of� their Worker's Compensation ins ranc¢ shoultl be provitletl to me. �
� i �
I� I:am exempt unifet Sectiod . . B: & P: C. tOr thi5 rea5on
�i n
mh
anc
sen
ins�
i Siq
Dri
CMF Ol
or
Owner
C
in all spaees exceD� those witnin heavy eoreer Iines ana sign a11
J�y� �I ' i �RACT NO. !, � LOT NO.
d�l %�J`�"— �' , � , v� .r :� ; s � �.. � ;
�,, .��.�;;�,,,rol_
PTION OF
O:��ANT ❑ ELECTRI
CIy��TI�1ER .. . -
DJE�I' � ESCRIPTION 5c�.
'ONc �RUCTION iVPE=
Remarki:
Preventer
Irrigation
rinking Fountains
loor Drains
loor Sinks
as Service Outlets
Kitchen Sink
Lavatories
Reinspaction Fee
LISH �U OT ER� '- `-: I- ��' I T
F BLDG: -
>�NG' �FOV,�DATIOIV, STRUCTURAL '
YAL O PWM�ING_ �iMECHANICAL
°T. � � " OGCUPANCV_
VALUATION S �OC
GRADING CU. VOS. ACRES_
�$15
Boiler_ � �� -
Duct - Under Ground'
Duct � Structural �. �
Duct - Ventilating � �
j Exhaust�5ystem ❑ Multiple �
� Firepl/F,act.Blt.IC80,�# �
i Heating�System & Du in �
;, DO-100,000.BTU. ,OOO.B]
1 � I I
I i + � � I
`' I I I
('_, Heinspection Fee I� $15
Showers
Service Sink -
Sewer Cap
Sewer Connec[ion
Solar Collectors
SOlar Piping
Solar k
Pool w/Spa
tleclarations. _
" _T ' t_. _i _ - �7 (-��La7_ e 0' . I'L
�
+ j�a � N� i I � I m I�'s � o, i� �+ w ii rti i io j✓` m c? v �`•` '. i
AIRr' fT � - � n- : �r : E: i (.1 � ^y ! Ci [U -il I h I r � ;r �v m (� flr, � �
—= A.P. � i _ �' nJ ' - � - I ._ Zo�e ' G , �
`= T F" n't� _
_ A {�yar �_ � '
� C ht _
• OD g Left
Ping..Ref. #
Planning Notes:
ES
Urinal
Water Closet �
Water Heater
Water Service
AUlO-WBSII
Laundry Trays � -
� - I
� ' Isue F � ' m ` $ 3'
IANICAL � FE '�
Hood ar Type I ❑ i ��n "�
CanOpy � Type II ❑ ' � � '�
- I / � -
Da
3
Automatic Washer
ConstNction Pole $i
Cookin9 Unit
Dishwasher
Dryers ❑Gas ❑EI
Fan
F.A.U.
Fixtures
Device Boxes
Outlets
Switches
Garbage D' sal
Generator 065 KW
�DEVELOPMENT ER
�
Zonine APProved _
� Building.Appraved By
� Appliwtion Issued y.
iI B I ILDING EF
'��tP �AN CHE K
I I P �UMBJNG
E
r � ' r �
.. � '; _ = 1
o ' �" ' y
G '
� Pa king Req./Provided ' -
I
�
ELECTR
.—��:.
Meter LJup
Meter ❑ov
Sub Panel
Motors O4
Inc.Sola
F��E$
-�-15=50"KW"" --'
❑ 50+KW .
to 100 amps /
er 100 amps
1 H 1X-8
�1,5 HP �i6-75+ � �
Z �
O
N
I '
N
G I.
Q' I '
M
T
$
Pole Light - ��
Fiange
Sign �? � � �
; Standing Sections'• [ ^ -� .
_ i �
I S KW Trash Compacmr'� ,;� ,., � l� ��:
— "���''i
.� �.
� T �
$15 luue Fee • G' r; '$ 3
REDUIREMENTS: � , , - �� ' �
� i
Date
— Oate � �
" �'� Date �f-�%VL"8% �i:
SU—� p�—� � I I•� _ 'p
g 3'1•'OOI SMIP� � ($ I .���
$ : i I i pER IT � �
� I i' � � ISSU NCI j$ � I
g I � I I ENE GV .C. 1$ i i i .}
$ i I I � GRA IN I$
$ � � � � MICR FI M �$ � � � f�
$ � � � � �OT L F E $ 3� �� 4
$ , I I i �
CONSTRUCTION AND P4ANNING � POOL & S°A �
APPROVALS Permit,#'' Date Inspector AppROVALS Permit# Date Inspectnr �
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement
31 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 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgmd..�_ 60. Backwash Lines, P-Trap, O Undrgmd.
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
j3. Roof Drains 64. Plumbing SYstem - Final
1A. 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 PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Cond�tioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Duc[s, in Structure � 70. Underground Hydro
22. Ducu, Ventilating . . 71. Product Piping OGas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ 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
39. Water Service-Final "
40. Gas Service-Final
41. Solar pomestic-Final
42. Backflow Preventer � -
43. Backflow Irrigation�
44. �LandscapelrrigationSystem .
45. Sound Attenuation
46. Handicap Regulations � X P I R E D � -
47. FINAL STRUCTURE & BUILDING Incomplete Inspections,
48. Special Requirements ComPleted � � �
49. Electric Release to Edison � ^
50. Gas Release to Southern Califomia Gas Co , �
51. CERTIFICATE OF OCCUPANCY � i. .. '
�o. Date� - �