HomeMy WebLinkAbout3074 HAYES AVE - Building Permits� .^.CDiieant to fill in all spaces except those witnin heavy bortler �ines a�a sy� au aourooriate aeciaratio�:. -� p630 5/ I 6/88 45 50
CIT'Y OF COSTA MESA CONSTRUCTION PERMIT PERMy7�N���� TRACT NO. LOT NO. UNIT NU. � � �
Pro�ctilddress U� �% �'��� S l'��: �'`1
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-Applicant's Mai/l�ing Address j�Op� �f�Y ����<S A V F TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR
, Owner'sNamen��-K�/�1�1{'�\ �r-S1ik��'�PhOne��Q-3�� �CONVERSION ❑DEMOLISH ❑OTH�RO � A.P.# Zone
DESCRIPTION OF WORK/USE OF BLDG. ��
Address �� �' �'�'A� S iFV F' S Main Building: Accessory Building:
E Z
Arch/Eng. ' LicenSe No. TVPE OF PERMIT GRA�ING ❑ FOUNDATION ❑ STRUCTURAL T Front p
Addre55 � ❑ OTHERT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL A Rear N
Contractor's Name�(� o' �\'�Phone pROJECT DESCRIPTION 5c�. FT. � n-S(�(/A�Fi Q occuPnNCv �
Addresslmailing) �R'��� K Right N
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Q CONSTRVCTIONTYPE VALUATION$ Z1OO4 5 Left R
City License No. zoNe GRADING CU.YDS. ACRES Ping. Ref. # Parking Neq./Provided E
IICENSED CONTRACTOR OECLARATION ' Q
I hereby affirm that I am licensetl untler provisions of Charter 9(commencinq Remarks: Pldnning Not¢5: M
with sectlon 7000) o( Divislon 3 of [he Buziness antl Professions Cotle, antl
my license is in full force antl effect. ' T
License Class license No. � S
Date Signature PLUMBING FEES
WORKERS' COMPENSATION DECLARATION Ba� Sink ShOw¢�s ELECTRICAL FEES
1 hereby atti�m lhat 1 Oave a certiticale ot con5ent to self-insure o� a certificate
ai Workers' Compensation Insurance, or a certi�ietl copy thereoi (Section BackflowPreventer ServiceSink
3800, �ab. C.) Automatic Washer Trensformer ❑ 15-50 KW
Policy No. Company Backflowlrrigation SewerCa ❑ SO+KW
P Consbuction PoleSu6.
❑ Certifietl coOY i5 hereby furnishetl.
❑ Certitietl copy is filetl with the city euimin9 Division. Bathtubs Sewer ConnecLon Cooking Unit Merer ❑up m 100 amps
Oate APplicant
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Cle�i(iC�s Sola� Collect0�5 Di5hwd5h¢/ M¢tE� ❑ov¢� 1002mp5
(This section neetl not De com0letetl if the permit is Por one huntlretl ($100) or
less). Dishwasher Solar Pipin9 Dryers �Gas ❑Electric Sub Panel
I certify Ihat In lne pe�Po�mance of the work Por which this permk is issuetl, I
shall not emoloy any person in any manner so as to becort7e, subject to the Drinking Fountains Solar Tank Fan Momrs �0-1 HP 01'Ni - 8
Workers' Co � s ti aws of Califom'ra� fi" �
Date Signatur¢ ��` T�+"/�'�'�/�/1 a�-e/1lu.v�> Floor Drains Swimming Pool w/Spa p,q,U. Inc.Solar 09-15 HP 016-15+
NOTICE: I, after king this tlecla�ation, you Shoultl become subject to the —
Workers' Compensatlon O�ovisions ot the Ldbor Cotle, you must fofthwith FI00lSinkS U�iOdl FixtUf25 MictOwdve
camply with such provisions or this permit sM1all be tleemetl revoketl.
CONSTRUCTION LENDING AGENCV Ga5 ServiCe OULIetS Water Closet Device Boxes
1 hereby affirm thaPthere is a construction lentling a9ency to� the performance POIe Light
of [he work for ivhich this permit is issuetl (Section 309] Civ. C.) Interceptors Water Heater Outlets
�entler's Name Range
Lentler'sAtltlress ' KitchenSink WaterService
OWNE0. BUILDEH dECLHRATION Switches Sign
I hereby affirm that'1 am"exempt t�om the Cont�actor's License Law for the Lav3t0li¢5 AutPW35h
following reason (Section 7031.5 Business antl Protessional COGe: Any city or Gar6age Disposal Standing Sections
county which requires a permit to construct, alter, improve, tlemolish or repair p—Trap � Laundr Tra s
any structure, prior to•its issuance, also requires the applicant for such permit � Y Generator DO-5 KW �5-15 KW Trash Compactor
to tiie a siqned slatement that he/she is licensed pursuant to tne provisions af Roof Drains -
the Contractor'S License Law (Chap[er 9(commencin9 witM1 Saction �000) of
�Division 3 of the Business antl Prolessions Cotle) or that he/she i5 exempt
therefrom antl the basis for the allegetl exemption. Any violation of Section �
7091.5 by any applitan[ fo� a permii subjects the applicant to a civil
^ p�alty of not more than five huntlretl tlollars ($500). 3 � �
` I, as owner of the property eb=sole-+ Reinspection Fee $15 Issue Fee $
�` rsmpeu5alrerr will Eo the wo�k, antl Ihe structure is noi intentled or ofieretl
r, for sale (Section 'l044, Business antl Pro(essional Cotle: The Contractor's MECHANICAL Reinspection Fee 15 Issue Fee $ 3
License l.aw tloes not apply to an owne� of a properiy wito builtls or improves FEES
thereon, antl who tloes sucn work himself/herselt or throu9h his or her own DEVELOPMENT SERVICES REQUIREMENTS:
employees, provitletl [M1at such �mprovements are not intendetl or offeretl for BOiICf HOOd Ot Typ21 ❑ Zpnin A fOV¢tl B
sale. If, however, the �uiltling or Imorovement is soltl within one year ot com- Canopy Type I I ❑ 9 PP Y Dare
oletion, the owner will have tne burtlen of proving he/she tlitl not buila or im- Ducl - Under Ground Building Approved By Date__��_
prove tor the purpose ot sale). �-- o�i�
❑ I, as owner ot the oro0erry, am exclusivery wntracting with licensea con- Duct-Strucmral Refrigeration System Applifatian luued By Da[e���L�p�
tractors to construct the project (Se[tion 7044, Business antl Protessions COEe:
The Contractor's License Law tloes not apply to an owner oi property who Duct - Ventilating ❑0.700,000 BTU ❑100,000 BTU SUM F FEES
builtls or improves ihereon, antl who contrac[5 fo� such project5 with a con-
tractor(s) ucense pursuant to ine Coniractor's �icense Law). I am aware that Exhaust System � Multiple ❑ System Repair/Alteration BUI LDING PERMIT $ � SMIP $ � SO
proof o( their Worker's Compensation insurance zhoultl be provitletl ro me. _ PLAN CHECK $ PERMIT
❑ I am exempt untler Section e. & P C. for lhis reason Firepl/Fact. BIt. ICBO # Fire Dampers PLUMBING $ ISSUANCE $
Date Owner �� Heating System & Ducting Registers ENERGV P.C. $
PLAN CHECK 25% S
I nereby cert ty that I have reatl ihis application antl state mat me above ❑0-100,000 BTU �100,0006T
iniormation is wrrect. 1 a9ree to comoly with all city antl county ortlinances ELECTRICAL $
antl itate laws relating to builtlinq mnstruction, an0 hereby authorize repre- $ MICROFILM $
sentatives of this city to enter upon e bove-mentionetl property for PLAN CHECK 50% �'/
inspectlon purp e. /� MECHANICAL $ TOTAL FEE $�
Signature �� � oate $
Drivers' License or 5 Reinspac[ion Fee $75 Issue Fee $ 3 PLAN CHECK 25%
CMF 0865-46, /ev. 30/64 WM1ite - Builtlinq; Canary - Hpplicant; PinH - HccounUng; t�oioenrotl - Assesso�
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� POOL&�SPA • ��
C^(�iVSTRUCTION AND�PLANNING .. •
jlPPROVALS �Permit# Date Inspector AppROVALS Permit# Date Inspector
' � rt .
1.yTemporary Electrical$eivice or Pole 52. Pool & Equipmenf Location � '
n;
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. Etectrical Conduit-Undrgrnd.
8. Foundation /;, 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd;'�,� 60. Backwash Lines, P-Trap, � 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
77. Rough Wiring Sign -- 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling � 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Condi[ioning FIRE DEPT. REQUIREMENT
20. Rough FactorY Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
i
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil '
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & MonocoaY 75. Dry Chemical I
27. Frame and Flashing 76. Dry Siandpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT �•
e :
31. Plaster Brown Coat 79. FINAL INSPECTION t';
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED ,�
,Y
L
33. Final Electric Notes:
�,.•
34. Final Heating & Air Conditioning ;i�
35. Final Gas Pipe-Test
36. Hood or Canopy n �
37. Final Factory Fireplace �
38. Final Plumbing '
39. Water Service-Final , ; . .
� �
40. Gas Seivice-Final `
' 41. Solar pomestic-Final � �
i
i d2. Backflow Preventer �
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 � � � i
50. Gas Release to Southern California Gas Co 1
51. CERTIFICATE OF OCCUPANCY �
,, � f
No. Date •
I�P�Cla3
ROUGH PIUMBING
PROP. SWR. LINE Q HOUSE CON.
SPRINK�ING SYSTEM
MISCELLANEOUS
ROUGH NEATING AND PIR CONDITIONING
TEMPORAftV SERVICE OR POLE
UNOERGROUND � POWER �
ROUGM WIRING
TRENCHES � FORMS STEEL REINF
FLOOR SYSTEM
90N0 9EAM ❑ STEEL HEINFOACE ❑
SMEATHING
F0.AME ANO FLASNING
LATHING - IN ❑ OUT ❑
PLASTER, BROWN COAT
STRUCTIIRAL, FINAL
MEATING, VENT., REFRIG. AND F.C., FINAL
PLUMBING, FINAL ANO GAS TEST ❑
ELECTRIC, FINAL �
BUILOING, FINAL ° , � ��
UAIt
SUBCONTRACTOR
- � Rpf tu7.�0 930 0*+►***3.00
r` COSTA MESA BUILDINGSAFETY DEPARTMEM
P.O. BOX 12M COSTA MESA� CALIFORNIA 92820 -
uwntK PESTANA ALEXpNDER
JOB ADDRESS 307 Hayea Av�
%�GENERAL CONTRACTOR Owner-S
J 7VIL
V CiAS
W ATER
� ROUGH PLUM9ING
�\ PROP. SWR. LINE � HOUSE CON.
N SPRINNLING SYSTEM
N MISCELLnNE0U5
ROUGM NEATING ANO AIR CON�ITI
TEMPORARY SERVICE OR PO�E
UNOERGROUNO � POWER �
ROUGN WIRING
TRENCHES [ FORMS � STE
FLOOR SYSTEM
BON� BEAM n $TEEL REINFf
SHEATHING
FRAME RND FLASHING
LATHING - IN n OUT n
P�ASTEA.BROWN COAT
HEATING
PLUMBI!
ELECTRI
BUIl01k
AL, FINAL
VENT., REFRIG. AN� A.C., F
. FINRL ANO GAS TEST n
FINAI
FINAI
DATE 7_5_7k
BUILDING PERMIT N0.
RIPTION of WORK Brick & Wrougl
ZONE VALUEE450.00
PE III GROUP J 7
SUBCOHTRACTOR PE
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
PP IC TION FOR BUILDING PERMIT
For App/icant to Fill in Completely qE e�v o e DATE flECEIVED
DATEISSUED
BUI4DING
ADORESS % V F I ��
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OWNEfi Ii A-.JV A.P. NO. � _ v '�
MAIL BUILDING .—
Z ADORESS 3O7 A�E ' ADDRESS G
ac`i'.� cirv COSI'L} NI�s1i
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w � ADDRESS
a w APPROVE
W Z CONTRACTOR O L BY �ATE —�
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W w TEL. ZONE/� NO.OF /7 USE OF NEW
�= CITV NO. /�, / P��p�� BUILDING ,���
Z H ��-4,f
W � STAYE CITV VAqOS APPqOVED VARDS APPROVED WQ ��
y 2 LIC. NO. LIC. NO. MAIN BUII.DING ACCESSORV BUILDING
�O SIZE NO.OFBLDGS. (FROMGLSTREET) /
OF LOT NOW ON LOT RONT FT. FT. O �S
USE OF
EXISYING BLDG. FT --
H SI2E OF NO. OF O�� � ��e�
Z NEWBLOG. ROOMS STORIES �.SIDE FT.
U EMERIOR WALL ROOF
COVERING COVERING REAR FT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED
a DISTANCE 8E . gEf. MAIN &
a V' � ` G� MA{tJ BLDfiS. ACCESS. BLOGS.
Q OU W C.U.P # qPPROVED
y I L' UL() L;S — 5 APPROVED" I �" _ r
I/v >
oS'_/i��O.G.
VI hereby acknowledga chat 1 have read chis appliwtion and siate
� thet ihe above intormation is corract entl agrea to comply with
� all lews regulating building conshuction, antl I shall not amploy
F any person in violation of the workman's compensation laws of
y ffie S�ata of California. - T �
zI hereby certify that 1 am properly licansetl as a contractor under SQ. FT. o
the Stete of Galitornie eusiness entl Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VAIUATION IS FOR �
Chapter 9, and that s�ch licenses are In full force antl atfect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: m
am exempi from the provisions nf ihe State of California Busi�ess ¢
antl P�afessions Cotle, Divislon 3, Chapter 9. VALUATION m
�/� PERMIT FEE $ �
Signetureof/'� yL-- ,/ G �'i m
Permlttae ,/� ���'AiI�/ �/t a O!J ./..i7,. � / $ �{- l�� � P�,qN CHECK $ E
✓ `o
AuthOrizatl ABent / � LL
TOTAL FEE $
. ?
r COSTA MESA BUILDINCrSAPETY DEPARTMENT
P.O. BO% 1200 � COSTA MESA, CALIFORNIA 92626
For Appllcant to F711 In Completaly
d
,�jG TYPE OR PRINT
BUILOINO
ADDR88L -
COSTA ME3A, FORNIA
355 Front Street �ooR
RIRB
Die o Calif. No`.'�3�+-7912 =o"a
TE BYPRi
�A, s, Henrpox nc`�46-5610
�Ol arfl p]ace Costa Mesa
:o�
I.ewis R. Schmid
ua��
291td-A Randolph Ave. o�=■�
- See Plot P1 :eW°�.':,',.°'• 0
G[TlACK LiN[ fRON
eHNTBn oF OTn[R �• � RiAR
HID6YARD 1,1[F! � � RIOFTT
DESCRIPTION OF WORK
BUILDINO
61ZE
EXTERIOR
COVERINO
UDH OP 9U
9iNo.o� 6
neoma
17.5
Pl70
SEP 25-67cesa00 713:% *::_;:.��-) ��
APPLICATION FOR PERMR
BUILDING
Ro� OffFca Use o��y
n�cein no. _1y�Mrr no.
ZONIN(i
�o. o. .. �.� o.
iAV6OVCRHAN6 SMALL E6 LE88THAN
YARDH MPROVED
MAIN BUILDIN6
� VAR.�
1 a_u_a_
Lot 37 - Plan D
i MEReBY ACKHOWL6C0[ TNAi 1 MAK 11CAD iMl! APPLIGTON
A�iO BTATB TXAT T116 ApOV6 It CORRBR�AND A00.8[ TO COM•
PLY WITH ALL CITY OpD)lUNCO AND �AT[ LAWI R[YYIATIHO
eu��o�Ho eoxarnucriox� _
� wurHort�zec wo¢rer
iX[ AYOUM ONOY
•URP086 OP [BTI
VALUATION
i�� C15� �
YARDS MPROV6D
ACCEIIIIOPY BUILDINO
DATH
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D7
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0
v�w�noH �e �ox n�s �
I� PePNIT PH8 ONLY.
IT FHE � � �
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_ FEE $ �/ �