HomeMy WebLinkAbout3063 HAYES AVE - Building PermitsApplicant to (ill in all spaces ezceo� tnose within �eavy bortler Iines anE si9n all appropriate aeclarationz.
PERMIT NO. TRACT NO. LOT NO. UNIT NO.
CiTV OF COS7A MESA-' C'O/NSTRUCTION qP�ER�MIT � p%�� A.P.# zooe
�7ro'ect�ddress ���-3 .�S ,�� /�. GOTi+'r L.� .Q {/, � S Main Buildin Accessor Buiidin
I %f���y //r'� !hf �(� 9 � Y 9 �
Applicant'S Mailing Address ��T����L 9d�/ !./i.uw/.s TVPE OF CONSTRUCTION NEW ADD A TERATIOJy REPAI R E Front . IZ
Y77R�INRS L/.LF�'TK ���'—�zG�7Q/ � CONVERSION ❑ DEMOLISH ❑ OTHER ��P/10y- r o
Owner's Name $ Phone i9 �{�lqt L/tLewn/ B . . . N
��S D�E,S,�C'R,I[p710N OF WORK/USE OF BLq G. � �TT I A Rear �
Address . _ ��--�+-1L.£�1'�-3� � �,/ s/JW�e 'Lr�r i�! 3��! � I C Ri ht � N
Arch/Eng. License No. "� �I �TYPE OF PERMIT GRaoING FourvDATION uv.�TRUCTURAL ��^• '� K 9 G
Address ❑ TENANT ❑ ELECTRICAL ❑ PLVMBWG ❑ MECHANICAL g� Left " R
��
Convacmr's Name� ��'v �/4�Q ti Phone 7��" p��� �o7HER � Ping. Ref. # . Parking Req./Provided E
9� ��� ` r g G�� PROJECT DESCRIPTION SQ. FT. 3O oCCUPAz v Plannin Notes: n
Addresslmailin 1 7071 u.� i w[�e,�G�., G�/F 1 9 M
�^'-1 CONSTRUCTION TVPE VALUATION $ B�.W
City License No. -�/��� ZONE GRADING CU. VDS. ACRES T
S.
LICENSED CONTRACTOR OECLARATION - -
I hereby affirm that I am licensetl untle� p�ovisions of C�arte� 9(tommencing Remarks. F� ' ♦
witM1 section 7000) of Division 3 of the-Business antl Profpssions Cotle, antl '
my license is in f i torce ana ettect. � �r LQ � �� , S' �,� '
ELECTRICAL . FEES
�icense ciass - �.� e rvo.SS233 g
Date � 7,� Siqnature � � PLUM ING FEES Automatic Washer Transformer ❑ 15�50 KW
WORKERS'COMFENSATIONDE ARATION BarSink Showe�i ConStruCtionPole$ub. �50+KW
I hereby affirm tnat I have a certificate of consent to selt-insure or a certificate
o/ Workers' Compensation Insurance, or a certifietl copy thereo� (Section Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps •
3800
Poli<y No. Id�C.� pany Backflow Irrigation Sewer Cap � Dishwasher Meter ❑over 100 amps
Certifietl copy is hereby furnizhetl. S'�G�L(/lbCS . . � Dryers ❑Gas ❑Electric Sub Panel - �
CerY ietl co y i filetl with the city Itli�' Di��'s'�n. B3LhLubS Sewer Connection . � - -
p�ir _ ■ � � ���'�a� i6 � . � Fan Motors00-1 P�i%-8. ,
EXEMPTION FROM WORKERS' CO VENSATION OECLARATION CId�IFiC�S $013� COII¢ctOfS -
(Thissection neetl no[ be completetl i Ihe permit is tor one huntlretl (E300) or - . F.A.U. _
iess). Dishwasher Solar Pipi g InaSol 9-15 HP 016-15+
i certi(y that in the pertormance of tne w rk for whlc this perm�t is Issuetl, I Fixtures� - M' owave •
shall not employ any person in any m er as become subject to the Orinking Fountains � Solar �k �
workers' omg en�a tiqoyy ws o( Califo Device Boxes Pole Li ht
Oate ��7 S�O'7 Si9nature � Floor DrainS' S� ming Pool w/Spa 9 -
NOTICE: If, after making this tleclara on, you s � tl bec�t to the - Outlet5 ' Rdn ¢
Wo�kers' Compensation provisions the Labor Cotle, you must (orthwith Floot Sinks Urinal 9 '
comply with such Orovisions or this permit shall be tleemetl revoketl.
CONSTRUCTION IENDING AGENCV GaSService OUtl2t5 WatefCloSet SwitCheS Sign
I hereby affi�m that,there is a construction lentling agency fo� the performance �
ot tne work tor wnicn. tnis permit is issuetl (Section 309� Civ. G.) Interceptors Water Heater � Garbage Disposal Standing Sections
lentler's Name
Lentler's Atltlress Kitchen Sink - Water Service Generator �0.5 KW 05-15 KW Trash Compactor
OWNER BUILDER DECLARATION � � '
1 hereby affi�m ihat I am exempt from [he Contractor's Li[ense Law to� the LBvdtO�iCS AUtO-W35h - ' '
followin9 reason (Section ]031.5 Business antl Professional Catle: Any city or
county which requires a permit to construct, alter, Improve, tlemolish or repair P-Trap Laundry Trays '
any SVuc[ure, p�ior to its issuante, also require5 the applitant for Such petmit
to file a sl9netl statemeM Ihat he/she is licensetl pursuant to the provisions of Roof Drains ' '
the Contracror's License Law (Chapte� 9(commencin9 witn Section 7000) of
Division 3 of the Business antl Professions Cotle) or [hat ne/she is exempt . . Reinspection Fee $15 luue Fee . $ 3
therefrom antl the basis tor [he alleged ezemption. Any violation of Section ,
�031.5 by any applicant for a permit subjects the applicant to a civil - ,
� enalty of not more than five huntlretl tlollars (5500). � . $ 3 DEVELOPMENT SERVICES REQUIREMENTS: ' �
� I, as owner of tbe property or my employee5 with wage5 as theil sole RBinSpeMl00 F8B $15 ISSuO Fe¢ ' '
compensation, will tlo the work, antl the structure is not intentletl or offeretl Zoning Approved By Oate
for sale (Section 7044, Business antl Professional Cotle: The Contrattor's MECHANICAL FEES Building Approved By
License Law tloe5 not apply to an owne� of a p�ope�ty who builtls Or improves D3tB
.tpereon, antl who tloes suth work himself/he�selt or tnrouqh his o� h¢� own BOil2f ' HOOd Of yp¢ I ❑ APP���tion IsSUBd By D84
employees, provitletl tM1a[ such improvemantz are not intentletl or offeretl tor . ,
sale. Ii, however, tne builtling or improvement is soltl within one year of com- , Canop Type II ❑ SUMCRV OF FEES �
pletioq tM1e owner will have the bu�tlen o( provinq he/she tlid not builtl or iT- DuC[ - Und¢f i�iroUnd .
proveforthepurposeotsaie). . BUILDINGPERMIT $ •Ov SMIP � $ - S�
❑ I, as owner of the property, am exclusivery contra<ting with licensetl con- Duct -Structurel frigeretion System PLAN CHECK �
tractorsto construct the project (Section �044, Business antl Professions Cotle: $ PERMIT�
The Coniractor's License Law tloes not apply to an owner of oroperty who Duct � Ventilating ❑0-100000 BTU ❑100,000 BTU PLUMBING $ ISSUANCE $
builtls or improves thereon, antl who confracts fo� Such oroiect5 with a ron-
tractor(si Lcense pursuanc m me ConVacmrs License Law). 1 am aware that Exhaust System � MWtiple System Repair/Alteration P�P.N CHECK 25% $. ENERGV P.C. $
pro0f of tneir Worker's Compensalion insurance snoula be proviaeC to me. � ELECTRICAL $ GRADING $
❑ I am exempl untler Section � � B. 6 P. C. for this reason FirepVFact.6lt. ICBO � Fire Dampers . MICROFILM $ �'
' - PLAN CHECK 50% $
Date � Owner Heating System & Oucting � Registers ' MECHANICAL � $ S • j(�
I hereby certify tnat I have reatl this application antl state that the above � ❑0-100,000 BTU �100,0006T TOTAL FEE $
information is correct. I agree to comp�y with all city antl county'o�tlinances PLAN CHECK .25% $
antl state' laws ielating to builtling Construction, dntl he�eby authoriie re0re- , � .
sentatives of this ty to e[er upon the above-mentionetl property Gfor � %
Inspection pu/L�se ��D Da[es���'6 S '
Signature ��
�i. Reins ection Fee $75 Issue Fee $ 3
Drivers' Ci l!,__ _ t�k � P :�. -,r,^.'c-U'"���:.'J])JQ � t. '� . ,
- � .
. . . . J',r�. '_ ' "; 'r;"• ' ' " '
OB65-46, �ev. 5/88 White - Builtling; Canary - Applicani; Pink - Accounting; GoltlenrOtl - A55esso� + r_ i. ui � i.l%• A.��%�.S
CONSTRUCTION AND PLANNING POOL & SPA �
APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
1. Temporary Electrical Service o� Pole 52. Pool & Equipment Location
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 & Pressure Test
6. Electrical UFER Grnd. �- � 57. APPROVAL TO COVER-GUNITE
7. Footings � 58. Electrical Conduit-Undrgrnd.
B. Foundation � .� 59.� Gas Pipe, O Undrgmd., Test
9. Water Pipe-Undrgrnd. ��� �`• ;60. Backwash Lines, P-Trap, � Undrgrnd.
ti�
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 PLASTERI,NG ,�
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL` �
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ' - � r'
C ` `: 11 .i
20. Rough Factory Fireplace APPROVALS Permit # " _ j '
21. Ducts, in Structure 70. Underground Hydro � ;� 1�
i '
22. Ducts, Ventilating 71. Product Piping O Gas ❑�Oil` +� � ��
23. Gas Pipe-Rough & Test 72. Underground Flush ,-� '� �s : k,
�
24. Roof Framing 73. Undergrnd.StorageTank OGas��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 FINALv '"�' '
29. Insulation 78. FIRE PREV. FINAL 1.�_.��� ��� ���
30. Drywall Nailing HEALTH DEPT�•REQUIREMENT �
31. Plaster Brown Coat 79. FINAL INSPECTION '"` •�
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED -
�„ � V
33. Final Elecvic Notes: SMol4� �J "7': O/L 060�i
34. Final Heating & Air Conditioning ' : .' I
,
35. Final Gas Pipe-Test � � -
36.�Hood or Canopy � �
37. Final Factory Fireplace ; - � . • �.
� ,�
38.�Final Plumbing : � =-t . ',
39.�WaterService-Final ' • .
.r
40. Gas Service-Final �( ; !,� . � � -
•4,1. Solar pomesticFinal . � - _ • � '� , �
42. Backflow Preventer � . r
- .1 %
�43. Backflow Irrigation � � �� - � :{
1 !t
�44. landscape Irrigation System � � � �� � ti_ �` ' : •�� ;;
45: Sound Attenuation ; .' � " � .' - �E -
46. Wandicap Regulations • �� '
47. FINALSTRUCTURE&BUILDING . " - . � • . �''
48. Special Requirements Completed ' � .. • .
�
49:.Electric Release to Edison � .1 •�'�
50. Gas Release to Southem California GasCo �� �'r �� .�
57. CERTIFICATE OF OCCUPANCY ' ,
No. Date '
GENERAL CONTRACTOR
cc
OF WORK
VAL
SUBCONTRACTOR
< � ..' 26484
, �, �
COSTA p�ESA BUILDINCrSAFETY DEPARTMEM
� P.O. BOX 72W COSTA MESA, CALIFORNIA 92E2E
For dppllcaM ro Fill In ComplNdy
TYPE OR PRINT
euaoina � �
AOOR68Q �
COSTA ME6A. � LIFORNIA
T6L
■ STATE
DEC 28-66 00 937 �****�5.00
A►PLICATION FOR PERMR _
BUILDINO
For OHIc� Uw Only
eaenrt eo. ��ei
ZONING
ZON NO.O! U�[
� ( �LAN� ��- �1111
uoe� / _ --� n `
�
OFLOT �Q� I Na•OletDo). � ��OWED (U.B.G.RBQUIRlM6NT',
NOW ON IAT
YARDBMPROVED YARD9APPROVHD
USE OP MAIN BUILDIN6 ACC6580RY BUILDIN6
E%18TIN0 BLD6.
(FROM C/}STR$[T7
6ETBACR LIN6 fROM �nnur ,ILTT ...
DESCWPT{ON OF WORK
NO.OP � VAR.#
ROOMB � R�RI[B Q C.O. P.
� UYGOP,pV��D�f�YANDWORKTO
� MRRRGY ACRNOWL[DO[ TIAT.1 XAV[ 11tAD YMI� A►�LIGTOM
AND eTAT[ TXAT TN[ AOOV� ID CORR[CY ANO AOII[[ 1D CAY.
PLY WITX ALL cITY ORDItUIFV A�10 RAT[ L111M� 11i0YtATNO
GU�LDINO CONBTpU4T101�.
8I6NATUH�EOP ��^n� ����� �n�
PHRMITTB
AUTl10RIZ[D AO[N7
To
DATB
a
w
�
so. rr. �
i116 IIYOUMT �XOWN uND6R VALUATION IB POR TN8 �
�YRIWe{ 0I tflAp4oNIN0 A PtRMIT !l8 ONLY. 1?
VALUATION � �UO �'
PERMIT PE8 � �
f �oo w
Od o
' COSTA MESA BUILDINGSAFETY DEPARTMENT APPLICATION FE���S1�I�OCTURALPERMIT 5.50 TI��
o n onv �onn rneTn nnocn rn� mnonun ooeoe
.."'_"""' _"..,...__...—.._.._..._...__'_'
RECEIVED PERMIT
For Applicant to Fdl in Comple[ely — Use Ink Only l
BUILDING �. �/ •� `. p , A.P, NO.
ADDRESS 10�7 t�
BVILDING �
OWNEROR U �O ADORE55
TENANT
UNIT OR �
MAILINCa /� SPACE NO.
ADDRE55 �C,..i
Tfl.N9 LOT BLK.
TEl � (O J
CITV �j NO. 7
NEW ADD ALTER PAIR MOVING OEMOLISH
CANSTRUCTION
LENDER
BRANCH /�
OWNER /TUL D
ADDflESS ALUE
ARCHITECT TEL. E d
OR ENGINEER N .
ADDRESS ZONE TVPE GROUP
CONTPACTOR d BYPR� DATE /o �'
ADDRESS / ��
TEL.
CITV NO.
STATE CITV AP7ROVEDSETBACKS
LIC. NO. LIC. NO.
SIZE NO.OFBL�GS. (FROMGLSTREET)
OF LOT NOW ON LOT ROM' FT.
USE OF
EXISfING B�OG. E F
Separate permits are required for L SIDE FT.
electriq plumbing and heating work. REAR Fr.
USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
DATE
/ APPFOVED
APPROVEP_ / / O 7�
Y�6 Q !/
I hereby acknowletlge that I have reatl this appliceiion and state � °i
n
ihat She above intormation is correct and aBrea to comply with �
all laws re0ulatlnB b�ildin8 construction, and I shall not employ
any person In v(olation of the workman's compensaiion laws af m
the State ot California.
m
I hereby certify that I am pro0erly licansetl as a conttactor untler SQ. FT. �v
the State of California Businass end P�ofesstons Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licanses ara in full force antl effact, or 1 THE PURPOSE OF ESTABLISHING A PEfiM1T FEE ONLV: �
am exempt from the provisions of theState of California Businass VALUATION PERMIT FEE $ a
and Prqlecebn otla, D" islon 3, Chapter 9. �� Q � �
SD PLAN CHECK $ '^
Signature of �` . , . �
Permlttee ���Y�1. $ � TAx S S u
or
Authorizad Agent Date 1 TOTAL PAI D S ^
!
, " ?3964,
�
•' COSTA MESA BUILDING-SAFEfY DEPARTMENT
4 P. O. BOX 91] COSTA ME9A. CALIFORNIA
For Applicant to Fill In Complefely
TYPE OR PRINT
- BUILDIN63a � .� xa 09 Avenue
ADDRE59
COSTA MESA, CALIFORNIA �
cirr Ful l erton
OR EN'GEN ER W81}�
ADDRESS 18368 E.
Fullerton. Calif
SIZE /O �
OFLOT �O X�Q
� 9ETBACK LINE PROM
DESCRIPTION OF WORK
�lTY �� � �S e s� fl��SA
VYV
Mr7NP�ICATfON FOR
BUILDING
� �r�� Use
RHC61M NO.
FIRE `''��
�T1O =ONE TYPE' OROUP � T
APPROVEO
2 BY DATE
ZONING
ZON `� I NO. Op 1� I USE OF NE
PLANBfy` eu��om �
' � �j �
� OAL
DEeCRIR�ON
A. P. NO.
NOTE: NO EAVE OVERHAN6 SHALL B�'LESS THAN
90" TO SI�E 8 REAR P. L.
EAVES
Q ALLOWED (U.B.C.REQUIREMENT
YAROSAPPROVED YARDSAPPROVED
MAIN BUILDIN6 ACCESSORY BUILDIN6
� (FROMC/LSTREE
5� FRONT Ff. FT.
� R. SIDE FT. FT.
L.81D6 �FT. FT.
•l l+1 /� °7 .
BUILDIN6 �vy1q/' NO.OR /
S¢E G.Z ROOMS /B 6TORIEB �
COVER NGWALLStUCCOI COV�ERIN6 S}11II�IQ
U9E OF BUILDINO AIYD WORK TO BE PERFORMED
Tract 5340 — Lot 4
Plan 447B
R-1 Residence
1 HEREBY ACKNOWLEDOE THAT 1 HAVe READ THI6 APPLICATION
FND 6TAT8 THAT THE ABOVE I6 CORN6CT ANO A6qEE TO COM�
PLY WITH ALL C�TY ORO�N NCEB AND 9TAT6 We REOULATINO
BUILDINO CONBTRUCTIO �
SIGNATUREOP � ��-
PERMITTE
AUTHORIZED A6ENT
VAR. ii
BET. MAIN Q
ACCE55. BLI
OATE
s
/�Q � so. �. d 6 � � T'
THE RMOUNT BHOWN UNDEP VRLUATION 19 ROfl TH8
PURPOSE OF fiBTABLIBHINO R PERMIT FEE ONLT.
VAWATION �d ��
PERMIT FEE $
f CQ '� 3i -
1� � r CHEC
ci, 4