HomeMy WebLinkAbout778 HUDSON AVE - Building Permits�
AoOlicant to fill in all spaces except ihase witnin heavy bortler Iines antl si9n all appropriate aeclarations.
�F COS7n MESa CONSTRUCTION PERMIT
roject Address �
Applicant's Mailing A dress
Owner's Name ne '
Address
Arch/Eng. License No.
Address
Contractor's Name • Phone '
Address Im� ���gl �����L � � �
City License No. ,36 C. i p
LICENSED CONTRACTOR DECLARATION '
I hereby affi�m that I am licensetl untlei provislons of Charter 9(commencinq
with Section ]000)' of Dlvision 3 of the Business antl Professlons Cotle, antl
my Iicense is in full �ce a tl ffect. �� �/�L/ a�
Licens�ClasS� �' Ace�e, 3i. _ .' /4/f�
Date�— � 5�9 t y �L� � y,�
WORKERS' COMPENSATION Gf LARATION
�ereby affirm ehat I have a cerYLf cate of mnsent to self-Insure or a certificate
Workers' Compen5ation Insurance, or a certl' tl copy thereof (Se tion
,00, Lab. C.y1 � . L=�
PolicY Nov%� �+-SL!%��.�ii -� ComPany �I
�Certifietl copy is nereby furnishe0. .
Certi ' tl c y I f" tl with the cit iltli D' C
Date� ' Applicant
EXEMP ION FROM WOf2KER5' C ENSATION DECLARATION
(Tbis section neetl not be complete rt e permit is for one huntlretl ($300) or
Iess).
I certify that in the perfOrmance of the work fOr which this permk is issuetl, I
shall no[ employ any person in any manner so as to become subject to the
Workers' Compensation Laws of California. � � �
Da[e - Siqnature
NOTICE: If, atte� rtiaking this tleclaration, you ShOultl become subj¢ct to the
Wo�ke�s' COmp¢nsation provisions of the Labor Cotle, y0u mus[ forthwith
comply with such 0/ovisions o� this pe�mit shall be tleematl revoketl.
CONSTRUCTION LENDING AGENCV �
I hereby affi�m.that tM1ere, is a construction lentling a9ency fo� the performance
of the work ; tor whith this permit is i55uetl (Section 309] Civ. C.)
Lentler's Name
• Lentler's Atltlress - - -
OWNER BUILDER DECLARATION ' �
I hereby aftirm that 1 am exempt from the Contractor's License Law for the
tollowing�reason (Section ]031.5 Business antl Professional Cotle: Any city or
county whlch �equires a permit to const�uct, alter, improve, tlemolish or repai
any structure, prior to Its issuance, also requires the applicant for such permit
tn fiie a sionetl statement that he/she is licensetl ou�5udn[ to the O�ovisions oi
yaivision 3 of the Business antl Professions Cotle) or tha[ he/sbe �5 exempt
:!+refrom antl the basis�fot the allegetl exemptlon. Any violation of Section
:`�j,t'31.5 by any applican[ for a'permit subjects the applicant to a civil
""p20dlty of not mo�e than' five huntltetl tlolla�s (E500).
❑ I, as owner ot �the property or my employees wlth wages as their zole
compensation, will ao Ihe work, antl the structure is not intentletl or offerea
for sale (Section ]044,: Business antl Professional Cotle: The'Contractor'S
LicenS¢. Ldw tloes nol apply to an owner ot a propercy who builtls or imoroves
thereon, antl who tloes such work himseli/herself or inrou9h nis or her own
employeei, provitletl that such improvements a�e �not intentletl or of(eretl to�
sale. If, M1owevar, tM1e builtling or improvemen[ is soltl within one year ot com-
ple[ion, tM1e owne� will have the burGen ot proving he/sM1e tlitl not builtl or im-
prove for the purpoze of sale).
❑ I, as owner of the property, am exclusively contracting wi[h Iicensetl con-
tractors td construct the project (Section ]044, Business antl Professions Cotle:
Th¢.Contracto�'S License Law tloe5 not apply to an owner ot property who
builtls or improves th¢reon, anA who rontracts for suCh proj¢cts with a wn-
trattor�Sl Ilcense pursuant to the Cont�acto�'S LicenSe�Law). I am awa�e thaY
proof of their Worker's Compensation insurance Shoultl be provltletl to me.
❑ I am exempt untler Section B. & P. C. for this reason
Date
certify t
m is wn
$ignatur¢
Orivers' LI
CMF 0065-46,
_ ownei
have reatl.this application antl state that the above
agree to comply with all tlty antl coun[y ortlinances
o builtlin9 consVuction, antl hereby authorize repre--
to n[ o [he above-mentionetl roperty tor '
Da[e.�// ��
or55� + . _ _ _
30/84 White
A
u
TYPE OFC�NSTRUCTION LJ NEWm U, ADD Ll ALTERATIOf LJ REPAIR
� ❑ CONVERSION ❑ DEMOLISH LYOTHE AP #
DESCRIPTIOJV OF WORK/USE OF BLDG.
TYPE OF PERMIT LJ C�4DING
❑ TENANT ❑ ELECTRICAL
�THER � /CO'
PROJECT DESCRIPTION SQ.FT.�
CONSTRVCTION TYPE�
ZONE GRF
Remarks:
Bar$ink . .. ��
Backflow Preventer -
Backflow Irrigation
Drinking Fountains
Floor Drains "
Floor Sinks '
GasService Outlets
In[efceptof5
Kitchen Sink ' '
Lavatories �
P—Trap
Roof Drains
� �
Reinspe�ction Fee $15
Boiler
Duct-UnderGround .
Duct-Structural ' '
Duct - Ventilating �
Exhaust System ❑ Multiple
Firepl/Fact BIL ICBO #
Heating System & Ducting.
❑0.100,000 BTU �100,000
Reinspeaion Fee � $15
Canary - Applicant; Pink - Accounting; Goltlenrotl - Asse55or
� S Main Building:
E
FOUNDATION STRVCTVRAL T FrOnt
LUMBING ❑ MECHANICAL ' 6 Rear
w� . _ q .
; O O OCCUPANCY C Right
vAWATION $ y QQ� g Left
3 CU. VDS. • � ACRES Ping. Ref. #
' � ' Planning Notes:
Showers •
Service Sink , � �
Sewer Cap
Sewer Connection
$Old( CO�IEC[Of5
Solar Piping . � �
Solar Tank �
Swimming Pool w/Spa
Urinal
Water Closet �
Water Heater
Water Se}vice
Auto-Wash
LaundryTrays �
Issue Fee
IANICAL
Hood or � Typel ❑
Canopy Typell ❑ .
Refrigeration System ,
❑0-100,OOOBTU ❑700,000
System Repair/Alteration
Fire Dampers
Registers, �
Issue Fee
FEES
$ 3
FEES'
N
$ 3
Aummatic Washer
Construction Pole Sub.
Cooking Unit
Dishwasher
Dryers ❑Gas ❑Elec
Fan '
F.A.U. '
Fixtures
Device Boxes
Switches
Garbage Dispoul
Generetor �0.5 KW
DEVELOPMENTSER
Zoning APProved BY—
Building Appruved By
' ��Y4 9/II/86 �
��` _ . ,
Zone
� Accessory Building: . �
Parking Req./Provided •
i
, ELECTRICA�
Transformer ❑ 15-50 KW
� SO+KW
� Meter �up to 100 amps ,
� Merer ❑over 100 amps
Sub Panel
Motors OO-1 HP � 7%- 8
Inc.Solar �9-15 HP �16-1:
Microwave � '
� Pole Lighr' �
Range
Standing Sections
15 KW � Trash Compactor
. $15 Issue Fee '
REQUIREMENTS:
1
26.50 �Tl.
Z
O
N
I
N
G
R
E
Q
M
T
S
FEES
R
$ 3
�
' SUMM V O FEES ' � �
BUILDING PERMI7 $ � SMIP • ' $ � S
PLAN CHECK $ PERMIT .
PLUMBING , $ ISSUANCE $ - �
PLAN CHECK 25% $ � ENERGY P.C. $ �
ELECTRICAL .$ GRADING� $ - �
P,LANCHECK 50% g MICROFILM $ �'�i� ��
MECHANICAL $ TOTAL FEE � $ �_ �L
PLAN CHECK 25% $ � � .
CONSTRUCTION AND PLANNING . POOL & SPA
� Date Inspector � Date Inspector
A�'PROVALS Permit # , APPROVALS Perinit #
1. Temporary Electrical Service or 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 t
7. Footings 58. Electrical Conduit-Undrgrnd. ��
8. Foundation 59. Gas Pipe, O Undrgrnd., Test "�
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
17. 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
i 6. Rough Electric Wiring - 67. Fencin9 & 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 O Gas ❑ Oil ,
23. Gas Pipe-Rough & Test ' 72. Underground Flush � �� '
24. Roof Framing 73. Undergrnd. Storage Tank 0 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 � ' _ .� - � �
y� �
39. Water Service-Final ' . � '
:� -
40. Gas Service-Final � ' � '
, �r' � ' i
� 41..Solarpomestio-Final � � , ' . � . ..
42: Backflow Preventer '� ! � � . �
43. Backflow Irrigation � � t . � '
,.-•
44: Landscape Irrigation System • � � .�
� 45: �Sound Attenuation � "
"a6. Handicap Regulations , ' �
47. FINALSTRUCTURE&BUILDING � � � �
.
48.,�Special Requirements Completed ' - �
. 49. Electrie Release to Edison
50. Gas Release to Southern California Gas Co ' .-
51. CERTIFiCATE OF OCCUPANCY
No. Date
Lot 60 T 00
.. ����9
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX :117 COBTA MEBA. CALIFORNIA
For Applfeani fo Fill In Complefely
TYPE OR PRINT
BUILDING � 7
ADDRESS Hll.d80II AVEIIl1.E
COSTA MESA CALIFORNIA
FEE RECEIVED
MAY 171951
�' FINANCE DEPT.
CITY Of COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Onlv
ADDRES6 r .. • � -// . � _ p-i�
��n, New�ort Beach No:rai 6-322 AooRess
ARGH�ie� re�. COSTA MESA. CALIFORNIA
OR ENOINEER NO.
FIRE
ADDRESS ZONE TYPE GROUP
CONTRACTOR APPROVED
BY DATE
ADDRE66 1555 Placentia ZONING
ciTr ONeR-1 I PLANe '2 I eulioiFi+c W� &f,t, g9T'.
�T�rNo. 6iiy5 NE�. DSl V���2� LEOAL }. (ry.,� y'J�/y\
O88CRIPIION �y �) yy8'Cy J/r�/
SIZE � No. oP eLD69.
OF LOT O/ HOW on LOi O q, p. Np. IIOi1C
USE OF None YARDS EVES
EXI ING BL�G APPROVED ALLOWED
SBTBI�CK LINe PROM ` / /�O/ I�NTeH L�Ne OT.>
CHNTea OP aixcCi � J REAR YARD rG FRONT FT. IN.
SIDE YARD ILEF7 v� IRIGMT ! R.SIDE FT. IN.
DESCRIPTION OF WORK �'
L. SIDE � FT. IN.
ucw I ii II si rwoer�nv I II anmm�u I __ __ '(J
� U6E
I II DEMOLISH I BY�'ROVED
l0. OF 1
tOOMS 7 STORIES
ftOOF $OC�C
COVERING
�TO E P FORMED
ly �es ence and
� xeneer �cKnow�a% n�wr i xwve ae�e n��a ,vruurwr+
AND BTAT6 THAT TH8 ABOVB IB CORRECT AND A6NE8 TO CON- TMB AMOUNT 6HOWN UNDER VALUATION 19 FOH TH6
PUIiP08E OP EBTABLIBNING A PERMIT F8E ONLY.
PLY WITH �LL CIYY OiiDINANGHB �ND BTATE IaWB p80ULATINO
BuiLDINo CONBTftuCTloN. VALUATION
BIGNATURH OP PERMIT FEE $ � �
PERMI7TE 7
r�y.�- � �
S/�/ PLAN CHECK $ �/ r�D n
AUTHORIZED qGBNT S � ¢
TOTAL FEE `-' � . S 4