HomeMy WebLinkAbout2115 PARSONS ST - Building PermitsCO
AODlicant to till In all spaces exceot inose witnin heavy borEer lines ana si9n all aoproorlata tlecbrations.
CiTY OF cCSTA nnESA C STRUCTION PERMIT ''`" '" '""�' "" "" ��v UNIT NO.
s D3//
Projec[ Address �
Applicant's Mailing Addr s TYPE OF CONSTRUCTION NEw ADD ALTERATION REPAIR
O ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A p �y
Owner's Name Phon DESCRIPTION OF WORK/USE OF BLDG.
Address S Main Building:
E
Arch/Eng. LicenseNo. TVPEOF�PERMIT GRADING� �FOUNOATION STRUCTURAL T Frant
Addr¢55 ❑ OTHERT ❑ ELECTRICAL 11YPLVMBING ❑ MECHANICAL A Rear
Contracmr'sName hone C Right
PROJECT DESCRIPTION Sq. F7, ocCucnrvcV
AddreSslmailing) CONSTRUCTIONTVPE VALVATION$ S Left
Ciry License No. �,,,,�
LICENSED CONTRACTOR DECLARATION
I hereby attirm that I am Iicensetl untler provisions of Charler 9(commencing
with Sectlon ]000) of Oivislon 3 ot thC Business antl Protessions Code, antl
my license is in full force a tl eilecL /�
Licens las ¢e a N
Date t ����
"ORN RS' C MPENSATION DECLARATION
ereby aftirm that I have a certiilcate ot consent to seH-insure or a certiilcate
Wotkers' Compensa[ion Insurance, or d ttrtili¢tl C OY thereo/ (Sec[ion
3800Y Lnb, y,j ,„_� P Y�� f,
Polic No. f�_�u� Com an � �n«�
D❑ �ertifled m R iz f IetlbwAPPI cac ry Itl /�
4V ���'����
EXEM 10 F OM WORKERS' COMPENSATION DECLARATION
(This section neetl not �e completetl il Ihe permit i5 for one �untl�e0 ($300) or
less).
I certify that in the per/ormance o1 the work for which Mcs oerm�i is Issuetl, I
Shall not employ any Oe�son In any manne� so as t0 becom¢ Subject to the
Workerz' COmpenSation Laws O/ CalifOrnid.
Date Signature
NOTICE: If, aiter makin9 this tleclaration, you shoultl become subject to tne
Workers' Compensatlon provislons oi the labor Cotle, you must fortnwith
comply with Suth provl5ion5 or thi5 pe�mit ihall De tl«metl r¢voked.
CONSTRUCTION LENDING AGENCV
I hereby afflrm tha[ Ihere is a Construtlion lentling agency tor [he performan<e
of tho work for w�ic� Ihis permil is ISSu¢tl (SeGtion 309] Civ. C.)
Lentler's Name
Lentler's Atltlress
OWNEH BUIL�EN pECLARATION
I hereby allirm that I am exempt trom thC Contraclor's Llcense Law for Ihe
following rcason (Sectlon 7031.5 Business antl Protessional Cotle: Any tlry or
county which reqWres a pe�mit [o ConSVUGt, alter, improvu, tlemolisb o� �epair
any structure, prlor to Its issuan<o, also requires the applicant for such permit
lo file a signetl Statement lhat ha/stm I51lcensetl pur5uant lo Ih¢ provisions ot
-`e Conbactor's License Law (Cnapter 9(commun<ing wi[h Sectlon 7000) of
risiOn 3 Of [he Business and Prole55ion5 COtlO) or lhat he/she is exempl
:re/rom an0 lne ba5i5 lor lhe allogatl exempllon. Any vlolalion o/ Settion
.J31.5 by any applicant tor a permlt subjocts the applicant to a civil
penalty ot not mOre than /iw huntlretl tlollars (E500�.
❑ I, as ownar of tho prOperty Or my omployea5 with wages as their sole
compensation wlll tla [ho work, antl Ne sVucturo Is not IntentleA or oHeretl
lor sale (Seclion 7044, Busine55 antl P�otesslonal Cotle: The Contra<tor's
License Law tloes not apply to an ownor o1 a property wlio builtls or imoroves
thareon, antl who tloes zuch work himsell/nerself or through his or her own
employecs, prOvitletl Ihal SucM1 Impiovements are nol iM2ntlCtl Or O/leretl tor
sale. If, however, the builtling or improvement Is soltl within one year ol com-
pletion, tne owncr wlll navo thn burden ol proving he/she tlitl not builtl or im-
prova for the pur0ose of salo�.
❑ I, as owner of the OroPerty, am oxtlu5ively coniracting wi[h Iicensetl con-
lractots lo cons[rucl Ihe projet[ (SeCllon 7044, Business antl Prote55ions Cotle:
Tha Contractor's License Law doe5 nOt apply to an owner of property who
builds or improves tner¢on, ana who contracts tor such projects with a con-
lractor�sl iicense pursuant to the Contra<tor's Litense Law). 1 am aware that
proa/ o( t�eir Worker'S Compen5ation insurance snoultl be provitletl to me.
❑ I am exempl untler Section B. & P. C. tor this reason
Date Owner
I hereby certiiy that I have reatl tnis appliWtion antl state that the above
iniormation is correcL I agree to compty with all tity antl county ortlinances
dntl state laws relaling to builtlin9 COnStruclion, antl hereby aulM1orize repre-
sentatives po�tj t5h�i�s 'ncity to en/t$� upon the above-mentionrd property ior
�Sgnattu�e(!///!/'l0/ � Daia_�X/�
Drivers' L�cense or $S � ��
GRADING CV. VDS. ACRES Ping. ReL di'
Planninp Nntes:
3ar Sink
3ack(low Preventer
3ackflow Irrigation
3athtubs
Claritiers
�IShVYdShEf
�rinking Fountains
Floor Orains
Floor Sinks
3asService �U[ICtS
Interceptors
Kitchen Sink
Lavatories
P—Trap
Roof Drains
Reinspection Fee $15
Duc� - Under Ground
Duct - Svuctural
Ducl - Ventilating
Exhaust System ❑ Multiple �
Firepl/Fact. Bit. ICBO #
Heating Svstem & Duc[ing
❑ ai oo,000 sru O i oo,000 sr
Reinspection Fee � $15
IF OB65�46, rev. 10/8A White - Builtling; Canary - Applicanp Pink - Accounting; Goltlenrotl � Assessor
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Col�ectors
Solar Piping
Solar Tank
Swimming Pooi w/Spa
Urinal
Water Closet
Water Heater �
Water Service
Auto�Wash
Issue Fee
Hood or Type I ❑
Canopy Typell ❑
Refrigeration System
❑0.100,OOOBTU ❑700,000
System Repair�Alteration
F ire Dampers
Registers
Issue Fee
FEES
5 3
EES
$ 3
Automatic Washer
Construction Pole Su6.
Cooking Unit
Dishwasher
Dryers �Gas ❑Elec�
Fan
F.A.U.
Fixtures
Device Boxes
Ouilets
5484 9/17/87
Zone
Accessory Building:
ELECTRICAL
Transformer ❑ 75-50 KW
❑ SO+KW
Meter Dup [o 100amps
Meter �over700amps
Sub Panel
Motors 067 HP � i R- 8
Inc.Solar 09-15 HP �16�15+
Microwave
Pole Light
�wiccnes $ign
Garbage Disposal S[anding Sections
Generator �0�5 KW �5-15 KW Trash Compacror
5000 TL
FEES
2
O
N
1
N
G
R
E
�
M
T
S
� Reinspection Fee �$15 � � Issue Fea � S 3 �
DEVELOPMENTSERVICESRE�UIREMENTS: -
Zoning APProved By Date
Building Approvad By Date�}�_'_p�7
Appliption Issued By �� Data � % / `� /
SUMMARV OF FEES
BUILDING PERMIT S SMIP $
PLAN CHECK $ PERMIT
PLUMBING $ � ��UANCE S
PLAN CHECK 25% S ENERGV P.C. $
ELECTRICAL 5 GRADING 5
PLANCHECK 50% $ MICROFILM $ --�-�//���c—
MECHANICAL $ TOTALFEE $ �'—'
PLAN CHECK 25% $
CONSTRUCTION AND�PLANNING POOL & SPA
APPROVALS Permit�# Date Inspecior qppROVALS Permit# Date Inspector
1. Temporary Electrical'S�rvice or Pole 52. Pool & Equipment Locaa`5n
_.
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms .; �
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding �`
5. Steel Reinforcement 56. Rough Plumbing & PressVre Test
�_ ;
6. Electrical UFER Grnd. 57. APPROVAL TO COVEfi=GUNITE
7. Footings'� 58. Electrical Conduit-Undr rnd.
8. Foundation . 59. Gas Pipe, O Undrgrnd.,Iest
�'� , .
9. Water Pipe=�Jndrgrnbr�'' 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 �
i
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electriral-Final
15. Rough Electrical-Conduit � 66. Solar System-Final
76. Rough Electric Wiring 67. Fencing & Access Approval �
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling � 69. POOUSPA 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 OGat ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing :73. Undergrnd.SiorageTank OGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro ' '
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame�and F�ashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster 8rown Coat 79. FINAL INSPECTION , '
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Note:�`i8'88 �iQ��Gf�� /ib P� =O.K V�. (.IR.D -
34. Final Heating & Air Conditioning µq =� ���LK ' �
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 • i . � -
�42. BackflowPreventer � � � . � .
43. Backflow Irrigation • � , ' -
' �44. Landscape Irrigation SYstem � � ; , � � �
��45. Sound Attenuation , ' ' ' � ��
46. Handicap Regulations ' , � ' �
47. FINALSTRUCTURE&BUILDING � � � ' �
48. Special Requirements Completed ' .
49. -Electric Release to Edison ' ' � •
50. Gas Release to Southern California Gas Co � ' '
51. CERTIFICATE OF OCCUPANCY -
No. Date
owNea DIKE & COLEGROVE, TNC. DATE 5-8-57 _
JOB ADDRSSS 2115 Parsons StI'eEt. BUILDING PERMIT NO. #SOZI.I
GENERAL CONTRACTOR pWner Bldr. VALUE $ 11, 932.00
AP. No. LOT Q2 TRACT'j2Q7 FIRE ZONE DESCR[PT[ON OP WORK RBS.w�Btt,. g�r.
GpOUP I..& J TYPE V ZONC Ii�1 PLAN NO. ��96i
L.?ECTIONS I DATE I gUBCONTRACTOR I DATE PERMITSNUMBER
r��—
J - �
�" + � � 4963
COSTA MESA BUILDING DEPARTMENT
P.O. BOX 31]
COSTA MESA. CALIFORNIA
BUILDING
ADORE55
FOR APPLICANT TO FILL IN
1�) YATROII4 tiT.I'RE+7.
COSTA MESA. CALIFORNIA
OWNER D7IC. R[ •O �g'L� TT'-�._
MAIL
nooRess L,19 East 17th Street
TEL.
CITv COSt.B MP9fl ��
ORE JEER Carlson & Middlebr`�
Street
LEGAL
OESCRIPTION
A.P. NO.
USE OF
E%ISTING BLDG.
BPCK LINE FPOM �O'
CENTER OF STFEET
CITV LIC.
.,...e NO.
NO.OF BlDGS.
SIDE VAR� RIGHT gf LEFT �
NEW
EXTERIOR W�
COVERING �
USE OF NEW
BIJILDING
DESCRIPTION OF WORK.
ALTERATION ADDITION
MOVING DEMOLISH
NO.OF
S 't ROOM56# STORIES
�� ROOF
•..,.w.. COVERING (!mm�.
FEE RECEIVED
� �-�, � q-�� �-Q,
FI ANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
RECEIPi NO. P
� Eiv7E0j i OnTE RECEIVEO �pq.TE IS@UEO�� I
11Y � �y
COSTA MESA. CALIFORNIA
DATE
CORRECTIONS
1 HEREBY ACKNOWLEOGE TH.�T 1 EAO THIS RPPIIC.�TION /.NO
STRTE TMRT THE /.60VE IS COwFECT wNp qGREE TO COMPLY WIiH nlL
CITY OROINANCES ANO STwTE LwWS REGVLATING BVIIDING CONSTRUC�
norv. /�(• ' VALUATION
SIGNATUFE OF / _` ,
PERMITTEE �
' $ i1,932.ao
PERMIT FEE $ 2�
PLAN CHECK $ 14
TOTAL FEE 5 �y'2
��
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