HomeMy WebLinkAbout1805 HUMMINGBIRD DR - Building PermitsApplicant to fill in all
CITY OF COSTA MESA C NSTRUCTIgN PERMIT t,
Project Address 'iP0 Y
Applicant's Mailing Address{' -V, —�� �
Owner's Name _ Phone
Address ^
Arch/Eng. License No.
Address
Contractor's Name P Pe
Address (mailing)
OK City License No.
LICENSED CONTRACTOR DECLARATION
1 hereby affirm that I am licensed under provisions of Charter 9 (commencing
with section 7000) of Division 3 of the Business and Professions Code, and
my license is in fulr Band effect, nN^ rl 1s, ILeQ�
Licen��°JJC L - `� ^ a Ice2 ._. VMJ_0
Date " 1 S'9 t ^
vORKERS' COMPENSATION DECLARATION
lereby affirm that 1 have a certificate of consent to self -insure or a certificate
Workers' Compensation Insurance, or a certified Copy
j(te
thereof (�SlAection
QO 3800, Lab. C
Policy No. m
Copany Fl f WJ\
�s'I �} Z7CJ
❑,
Certified
copy is hereby
furnishth the ed.
/p/Wyo
Dulate✓✓'r�� Applicant-
E%EMPTION FROM WORKERS' COMPENgAf ION DECLARATION
(This section need not be completed if the permit is for one hundred ($100) or
less).
I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner so as to become subject to the
Workers' Compensation Laws of California.
Date Signature
NOTICE: If, after making this declaration, you should become subject to the
Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance
of the work for which this permit is issued (Section 3097. Civ. C.)
Under's Name
Lender's Address
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct, alter, improve, demolish or repai
any structure, prior to its issuance, also requires the applicant for such permit
,O'11.5 by any applicant for a permit subjects the applicant to a civil
enalty of not more than five hundred dollars ($500).
I, as Owner of the property or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered
for sale (Section 7044, Business and Professional Code: The Contractor's
License Law does not apply to an owner of a property who builds or improves
thereon, and who does such work himself/herself or through his or her own
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or Improvement is sold within one year of com-
pletion,
the owner will have the burden of proving he/she did not build or im-
prove efar the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed con-
tractors to construct the project(Section 7044, Business and Professions Code:
The Contractor's License Law does not apply to an owner of. property who
builds or improves thereon, and who contracts for such projects with a can -
tractor( s77 license pursuant to the Contractor's License Law). I am aware that
proof of their Worker's Compensation insurance should be provided to me.
❑ 1 am exempt under Section B. & P. C. for this reason
Date Owner
I hereby certify that I have reap
sentauves of nis ch to a to
If
inspection p r o
Signature
Drivers' License or SS #
CMF 086546, rev. 10/84 White - Bu
tion and state that
all city and county
those within heavy border lines and sign all appropriate declarations.
TRACT NO. LOT NO. UNIT NO.
TYPE OF CONSTRUCTION •L NEW LJ ADD
LALTERATION YJ REPAIR
FEES
❑ CONVERSION ❑ ❑ OTHER
Bar Sink
DEMOLISH
Reinspection Fee
A.P. #
DESCRIPTION OF WORK/USE OF BLDG.
Service Sink
$ 3
Automatic Washer ' Transformer ❑ 15-50 KW
❑50+KW -
Pole Sub.
Backflow Irrigation
Sewer CapConstruction
S
Main Buildi
I�I
TYPE OF PERMIT ❑ GRADING L.Y'FOUNDATION
El STRUCTURAL
Cooking Unit Meter ❑up to 100 amps -
Front
El TENANT ❑ ELECTRICAL PLUMBING
❑ MECHANICAL
T
B
Dishwasher
Rear
❑ OTHER
Dryers ❑Gas ❑Electric Sub Panel
A
Solar Tank
PROJECT DESCRIPTION SQ. FT.
OCCUPANCY
C
Right
CONSTRUCTION TYPE
VALUATION$
S
Left
ZONE GRADING CU.YDS.
ACRES
Ping. Ref.
Remarks:
Planning Notes:
Accessory Bu
0
Z
O
N
I
N
G
R
E
Q
M
T
it S
PLUMBING
S 3
FEES
Bar Sink
Showers
Reinspection Fee
ELECTRICAL FEES
Backflow Preventer
Service Sink
$ 3
Automatic Washer ' Transformer ❑ 15-50 KW
❑50+KW -
Pole Sub.
Backflow Irrigation
Sewer CapConstruction
Hood or T
Type I ❑
Canopy Type 11 1:1Zoning
Bathtubs
Sewer Connection
DEVELOPMENT SERVICES
Approved By
Building Approved B
Application Issued By
Cooking Unit Meter ❑up to 100 amps -
Clarifiers
Solar Collectors
� l
Dishwasher Meter ❑over 100 amps
Dishwasher
Solar Piping
BUILDING PERMIT
PLAN CHECK
PLUMBING
PLAN CHECK 25%
ELECTRICAL
PLAN CHECK 50%
MECHANICAL
PLAN CHECK 25%
Dryers ❑Gas ❑Electric Sub Panel
Drinking Fountains
Solar Tank
Fan Motors ❑0-1 HP ❑ 1'F. - 8
Floor Drains
Swimming Pool w/Spa
Fire Dampers
F.A.U. Inc. Solar 1:19.15 HP Ill 6-15+
Floor Sinks
Urinal
Fixtures Microwave
Gas Service Outlets
Water Closet
Device Boxes Pole Light
Interceptors
Water Heater
Issue Fee
Outlets Range
Kitchen Sink
Water Service
Switches Sign
Lavatories
Auto -Wash
Garbage Disposal Standing Sections
P—Trap
Laundry Trays
Generator 1:10-5 KW 05.15 KW Trash Compactor
Roof Drains
Reinspection Fee 1 $15
Boiler
Duct - Under Ground
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple EJ
Firepl/Fact. Bit. ICBO *
Heating System & Ducting
❑0-100,000 BTU ❑100,000BT
Reinspection Fee 1 $15
Canary - Applicant; Pink - Accounting; Goldenrod - Assessor
Issue Fee
S 3
Reinspection Fee
$15 Issue Fee
$ 3
1ANICAL
FEES
Hood or T
Type I ❑
Canopy Type 11 1:1Zoning
DEVELOPMENT SERVICES
Approved By
Building Approved B
Application Issued By
REQUIREMENTS:
t
,�•%��_Dat
Date
Date
Oat
� l
Refrigeration System
❑0-100,000 BTU E1100,000BTU
BUILDING PERMIT
PLAN CHECK
PLUMBING
PLAN CHECK 25%
ELECTRICAL
PLAN CHECK 50%
MECHANICAL
PLAN CHECK 25%
SUMMARY OF
$
$
$ SL7U
$
$
$
$
$
hEIV
SMIP
PERMIT
ISSUANCE
ENERGY P.C.
GRADING
MICROFILM
TOTAL FEE
$
$
$
$
$
. $
System Repair/Alteration
Fire Dampers
Registers
Issue Fee
$ 3
CONSTRUCTION AND PLANNING
APPROVALS Per mit#
Date
.Inspector
POOL & SPA" '.
�PPROVALS Permit#
I •Date
Inspector
1. Temporary Electrical Service or Pole
52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd.
53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd.
54. Forms I :xr
4. Electrical Conduit-Undrgrnd.
55. Electrical Bonding r•.
5. Steel Reinforcement-
56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd.
57. APPROVAL TO COVER-GojTE
7. Footings
58. Electrical Conduit-Undrgrnd._.,
"
8. Foundation
59. Gas Pipe, 0 Undrgrnd., Tess;'
9. Water Pipe-Undrgrnd-.,: •
60. Backwash Lines, P -Trap, 0LWndrgrnd.
10. Structural Floor System
61. APPROVAL TO DECK ly;
11. Property Sewer Line,& House Connection
62. Backwash & Receptor -Final .r
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 PLASTERING
'
18. Rough Electrical -T Bar Ceiling
69. POOL/SPA SYSTEMS FINAL
-
19. Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
APPROVALS Permit # -
i
20. Rough Factory Fireplace
21. Ducts, in Structure
70. Underground Hydro
22. Ducts, Ventilating
71. Product Piping 0Gas El Oil
-
23. Gas Pipe -Rough & Test
72. Underground Flush
24. Roof Framing
73. Undergrnd. Storage Tank OGas moil
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
fO.1T•y'T
acp
- '
39. Water Service -Final
40. Gas Service -Final
41. Solar Domestic -Final
-
42. Backflow Preventer
43.'Backflow Irrigation
-
44. Landscape Irrigation System
-
45. Sound Attenuation"
46. Handicap Regulations
;
47. FINAL STRUCTURE & BUILDING
,
48. Special Requirements Completed
-
49. Electric Release to Edison
-
50. Gas Release to Southern California Gas Co
- _-
51. CERTIFICATE OF OCCUPANCY
No. Date
-
-
- -
OWNER OBERtVDOFriR, Marvin DATE 3-24-71
-JOB ADDRESS 1805 Hummingbird Drive BUILDING PERMIT NO
.G^'�RAL CONTRACTOR pacific General Const. DESCRIPTION of WORK Patio Cover
AER,"t).139-602-02 LOT TRACT FIRE ZONE VALUE $ 477.00
'INSPECTIONS Si nature I Date GROUP 0 TYPE >
SOIL SUBCONTRACTOR PEF
GAS Date
WATER Plu.bin
ROUGH PLUMBING
PROP. SWR. LINE ❑ HOUSE CON.
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER E]
ROUGH WIRING Heating and Vent.
TRENCHES 0 FORMS ❑ STEEL REINF. ❑
FLOOR SYSTEM
BOND BEAM STEEL REINFORCE
SHEATHING
FRAME AND FLASHING
P
STn dT
ELECTRI
BUILDINi
x2847
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
RAR 24-71ZM00 618
APPLICATION FOR BUILDING PERMIT
RECEIV D BY
BUILDING
DATE ISSUED
A.P. NO.
ADDRESS Q
�'D2
PERMi�, –i
s -t .. ^ r
OWNER a Z
W m
ADDRESS
MAIL
TRACT
LO
ADDRESS �-
W ADD
Z
WJ U
CITY e STr4l ;!�4�A
TEL.
IqH
OWNER,,/
ZZ
Q
CONSTRUCTION
�' _
USE !Lj�(a��
N
LENDER
20N
O
USE OF NE d0
W
am
ZCITY
J �
BRANCH ---�—
PLAN$ -
J to
J
ADDRESS
YARDS APPROVED
M
J Q
ARCHITECT
NEL.
RAR 24-71ZM00 618
APPLICATION FOR BUILDING PERMIT
RECEIV D BY
DATE RE EIVED
O//�
DATE ISSUED
A.P. NO.
�'D2
PERMi�, –i
s -t .. ^ r
BUILDING
ADDRESS
W m
ADDRESS
ZONE TVP GROUP
TRACT
LO
BLOCK
W ADD
A T PAR
J O
CONTRACTOR f O LUIVK
IqH
OWNER,,/
ADDRESS
�' _
USE !Lj�(a��
m Z
J K
LUE 17
$
U N
OR ENGINEER
FIRE
W m
ADDRESS
ZONE TVP GROUP
ylpeay
APPROVED 3 ^%
n w
J O
CONTRACTOR f O LUIVK
BY DATE
ADDRESS
m Z
J K
20N
NO. OF
USE OF NE d0
W
ZCITY
n
` Vr NO S-IOS 5/
–
PLAN$ -
BUILDING
STATE n CITY
YARDS APPROVED
YARDS APPROVED
O
Lu
LIC. NO. ?j� (� LIC. NO.
MAIN BUILDING
ACCESSORY BUILDING
O
(FROM C/L STREFy..
SIZE NO. OF BLOTS.
OF LOT NOW ON LOT
ii/
FRONT F
FT.
USE OF
EXISTING BLDG.
�Q FT.
FT.
F
SIZE OF NO. OF
Z
NEW BLDG. ROOMS STORIES
L. SIDE FT.
FT.
UEXTERIOR
WALL
ROOF
_
COVERING
COVERING
REAR FT.'
FT.
J
USE OF BUILDING AND WORK TO BE PERFORMED
DISTANCE BET.
BET. MAIN &
C
a
MAIN BLOCS.
ACCESS. BLDGS.
Q
CARP.
DATE
O
_
C.U.P.#
APPROVED
HAPPROVED
3–�7
Z
UI
hereby acknowledge that I have read this application and state
that the above Information is correct and agree to comply with
cc
all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of
fA
the State of California.
m
1 hereby certify that I am properly licensed as a contractor under
SO. FT.
to
o
THE AMOUNT SHOWN UNDER VALUATION IS FOR
the State of California Business and Professions Code, Divisicn 3,
Chapter 9, and that such licenses are In full force and effect, or I
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
m
am exempt from th provisions of the State of California Business
�s
and Prof esslons 6 ,Division 3, Chapter 9.
VALUATION
�/�
PERMIT FEE
y
Signature of rI—
�
to
Permitta
$
.�_
PLAN CHECK $
E
/
0
Authorized Agent
u.
TOTAL FEE $ r
Z
lila U
Z
Z_Q
OMa. m
J U1
J (n
QW
M J
-m
J Q
Utn
Zm
w
aw
WZ
JO
03
J cc
W W
O=
WO
�M
?0002
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BVILDING
OWNER Jamaida Const. Co
MAIL
ADDRESS 2850 Mesa Verde Drive
TE
CITY Costa Mesa NQL5
BRANCHf
ADDRESS
RR 1 7-6CPAID^'OO 907' **^' 189.75
APPLICATION FOR BUILDING PERMIT
III BUILDING /
ADDRESS
5 TRACT
3
I hereby acknowledge that I have read this application and state
that the above information is correct and agree to comply with
all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of
the State of Califorala.
I hereby certify that I am properly licensed as a contractor under
the State of California Business and Professions Code, Divisicn 3,
Chapter 9, and that such licenses are In full force and effect, or I
am exempt from the provisions of the State of California Business
and Profosslons Code, Division 3, Chapter 9.
Signature
rmittee ure
Plama ica Construction Compan}
Permi_
Authorized Agent
�:2
'*`
ADDRESS 1823 E. 17th St. NN S.A.E
�,JTYPE GROUPayk
SHOWN UNDER VALUATION IS FOR
OVEDCONTRACTOR
Jamaica Const. CO
DATE
2850 Mesa Verde DriveE
L/PERMR
ADDRESS
L
FEE 5 p,
NO. OFUSE
OF NEW
sing( famSTATE
CITV Costa Mesa nTioL.549039PLANS
PLAN CHECK 5 r S1 02S
BUILDING
CITV
ARDS APPROVED
YARDS APPROVED
LIC.NO. 193122 LIC. NO.MAIN
BUILDING
ACCESSORY BUILDING
SIZE NO.OFBLDGS.M
C/L ST�lEET)
fAR
OF LOT NOW ON LOT
FT.
FT.
USE OF((...�.,EXISTING
BLDG.
J
FT.
SIZE OFNF/.�NEWBLDt�760 S FT. R OMS 9 STORIES2DE
✓ FT.
FT.
EXTERIOR WALL Uq_OF!!11COVERING
woodR
wd/stu $Q+U ERING
�t FT.
FT.
USE OF BUILDING AND WORK TO BE PERFORMED
NCE BET.
BET. MAIN &
sin le famil residence
BLDGS.
ACCESS. BLOGS.
w/att. EX garage
#
DATE
. #I+
APPROVED
A111 276 -CR
APPROVED
BY W. L. D.
naTF 4-10-69
I hereby acknowledge that I have read this application and state
that the above information is correct and agree to comply with
all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of
the State of Califorala.
I hereby certify that I am properly licensed as a contractor under
the State of California Business and Professions Code, Divisicn 3,
Chapter 9, and that such licenses are In full force and effect, or I
am exempt from the provisions of the State of California Business
and Profosslons Code, Division 3, Chapter 9.
Signature
rmittee ure
Plama ica Construction Compan}
Permi_
Authorized Agent
�:2
W'41
T.
SHOWN UNDER VALUATION IS FOR
OF ESTABLISHING A PERMIT FEE ONLY:
L/PERMR
L
FEE 5 p,
PLAN CHECK 5 r S1 02S
E
9 (o