HomeMy WebLinkAbout2868 INROZ DR - Building PermitsAOV���ant to fi11 in all spaces exeept inose witnin heavy oorEer lines anG sign all appro0�iate aeclaralions.
Ci7v oF,coSTa M�S� CONSTRUCTION PERMIT PER O. LOT NO. UNIT NO. '
Projec�Addresi �d'h - i� � 3a9 � • � 8386 �4/(33/(':; 5oG�-�
Applicant'S Mailing ddra�c y 3� /� TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR
�n �/ ❑ CONVERSION ❑ DEMOLISH ❑ OTHER qp, �(t Zone
' Owner's Name Phone �V-� 1� DESCRIPTION OF WORK/USE OF BLDG.
Address � ' S Main Building: Accessory 8uilding:
Arch/Eng. LiCCnSC NO. TVPE OF PERMIT GRADING FOUNDATION ❑ STRUCTURAL T Front � p
Addr¢i5 ❑ OTHERT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL A Rear N
Contractor's Nam � hone � C Right N
Address (mailing) � �� ��/ //�� PROJECT DESCRIPTION 5c�. FT. ocCUPANCv K G
/1 ��� / '�— CONSTRVCTIONTVPET VALUATION$ S L¢F[ ,
Ciry License N0. ��� ZONE GRADING CU. VDS. ACRES R
LICENSED CONTftACTOR DECLARATION Plny. R¢i. # P3�kin RCq./P v� E
Q
I nereby affirm Ibat I am licensetl untler p�ovislons of Char[er 9(commCnclnq Remarks: Planning Notes: ry�
with section 7000) of �ivision 3 of the BuSiness antl Profe551on5 Cotlo, antl T.
my license is in fu�f c antl effect. • ��j��� •S n% , � � S
Licanse I ss Licensa N/o.�`'�' i1 - -
Date Signature ��-b�+bb� � PLUMBING FEES
WORKE 5' C PENSATION pECLARATION Bd�Sink $hOw¢�5 -
I hereby afiirm tnat I nave a cerli(itate of cansent to self-Insure or a certificate ELECTRICAL FEES
ot Worker5' Compensalion Inw�ance, or a certlfi¢tl COpy th¢reof ($ectlon AUtOmBtiC WBShe� Transformer 0 1$-$0 KW '
' � Backflow Preventer Service Sink
3800, Lab. C � � � (� �/tl ��
� Policy No. �� � � oO Company �]S� Backflowlrri ation - ❑ 50+KW
9 $ewer Cap Construction Pole Sub.
erti(ietl copy IS hereby furnishe�.
C i �iletl with the city B m � siop Bathtubs � Sewer Connection Cookin9 Unit . Meter ❑up to 100 amps
Dale� APPlicant���� -� A- Clarifiers SolarCollecrors ' Dishwasher Meter
EXEM TION ROM WORKERS• COMPENSATIQN DECL ATIOI`T� ❑over 100 amp5
(This section neetl not be mmpletetl if the permit 6 for one huntlretl (5100) or
less). Dishwasher Solar Piping Dryers �Gas ❑Electric Sub Panel
I certity tM1at In [he Oerto�mance Of [he work tot which this pe�mR is ISiuetl, I �
shall not employ any person in any manner so as to betome subject m tne Drinking Fountain5 'Solar Tank Fan , Motors �0.1:HP �1X- 8
Workers' CompansaHon Laws of Calitornia.
Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar.09-15 HP �i6-15+
NOTICE: If, af[er making tM1is tleclaration, you shoultl become sub�ect to the . , — .
Workers' ComOensatlon provisions of tM1e Labor Cotle, you mus[ forthwith Floor Sinks Urinal � Fixtur25
cOmply wilh such p�ovisions o� thi5 permit Shall be tleeme❑ revoketl. MiC�owave
CONSTRUCTION IENDING AGENCV @rvic¢ OutIEtS WaLerC105et DeVIC¢BOxeS
I nereby aftirm that there is a mn5truction lentlinq agency fo� the pertOrmdnG¢ POIE Light
of the wolk lol which fhi5 pelmit is issuetl (SeCtion 3097 Clv. C.) IOt¢IC¢ptOfs W2L¢� H¢dLC� OUtI¢LS FidO 2 '
Lentler's Name 9
Lentler's AtlEress Kitchen Sink -- - Water Service ' Switches � Si9n
OWNER BUILDEH DECLARATION -
I hereby affirm [hat I am exempi �rom the Con[ractor'S Llcense Ldw.(or the LavatOfi2i AuLO�W25h (�idlbd 2 Di5 OSdI �
following reason ($ectlon ]031.5 Business antl Protessional Cotln Any city or 9 P Standing Sections
county which requires a permit to <onstruct, alter, improve, tlem6lish or repair p—Trap Laundry Trays Generator �0-5 KW �5-15 KW
any structure, prlor to its issuance, also requires the applicant for sucn permit Trash Compactor
to tile a slgnatl ztatemenl that he/she iz licensetl Oursuant to Ihe provisionz of Roof Drains
[be Contractor's License �aw (Chapter 9(commencin9 witb Section 7000)b(
Division 3 of the Business antl Professions Cotle) or that he/she is exempt
theretrom antl lhe Dasis for the alle9etl exemption. Any violation ot $ecllon
]031.5 by any applicant for a permit subjects the applicant to a clvil ,
� enalty of not more than five nunAretl tlollars ($500�.
� I, as owner of the property or my employees with wa9es as their sole Reinspec[ion Fee S75 laue Fee .$ 3
comp¢nsation, will tlo the work, antl the structu�e is not intentletl o� offer¢tl RBinSpetti0� Fe¢ $1$ IS5U0 FBB $ 3
br sale (Se<tion 7044, Buslness antl Protezsional Cotle: The Contractor's MECHANICAL FEES
Licenu l.aw tlo¢5 nOl ap01y t0 an owner Of a p�oparty who builtls o� ImprOves
thoreon, and wno aoez sucM1 work himself/herself or througn nis or hor own Hood or Type 1 ❑ DEVELOPMENT SERVICES REQUIREMENTS:
employ¢es, provitletl that zuth improvements are n0t intentled or ol/eretl for BOiler 20ning Approv@d By Date
sdle. 11, howev¢r, Ihe builtlin9 or Imp�ovement is soltl within one yea� 01 Com- �ynOpy Typ¢ I I ❑
pletion, the Owne� will have tha burtlen of provin9 he/She tlitl nol builtl o� im- DuCt - Und¢� GfOund Building App�oved 6y Ddt¢�.� �_
prove for ine purpOie of sale). ���'�h�
❑ I, as owner of the property, am exUusively contracting with Ilcens¢tl con- Duct -Structural Refrigeration System AppliWtian Issued By Date—_Fl—�-F-�-��
tractors to construct the oroject (Section 7044, Business antl Proiessions Cotle: .
The ConVactor's License Law does not apply ro an owner oi property who Duct - Ventilating ❑0-100,000 BTU ❑100,000 BTU SUMMARV OF FEES
builtl5 or Impwves lh¢reon, antl who contract5 for such projecl5 with a con- '
tractor(s) ucensa pursuant to tne Contractor's �Icense Law). I am aware that Exhaust System ❑ MWtiple ❑ Sysrem Repair/AI[eration BUILDING PERMIT $ SMIP $'
proof o( their worker's CompensaHon insurance should be provitletl ro me. PLAN CHECK S / PERMIT �
❑ I am exempt untler Section B. a P. C. for thls r¢ason Firepl/Fact. BIL ICBO # Fire Dampers PLUMBING $ / ISSUANCE - 3
Date Owner Heating System & Ducting Registers PLAN CHECK 25% $ ENEFGY P.C.. $
I hereby certify that I have read tnls application antl state tnat the above ❑0-100,000 BTU �100,OOOBT ELECTRICAL � $ GRADING $
Information I5 corrocL I agree to com0ly with all dty antl county ortlinances -
antl state laws relatin9 �o builtling construction, antl hereby authorize repre- � PLAN CHECK 50% $ MICROFILM $
sentatives o! tnis city to enter u o the above-menlioneA proparty for � - �
insoectlan pur e — -`3�� MECHANICAL S TOTAL FEE $
Signature Oaie �
Drivers' License or 55 qf Reinspection Fee 515 luue Fee $ 3 PLAN CHECK 25% $
CMF 0865-46, �¢�. 10/84 White - BWltling; Canary - Applicant Pink - Fccounting; GOItl¢nrotl - Assesso�
CONSTRUCTION AND PLANNING . POOL & SPA
APPROVALS Permit# Date Inspector qppROVALS Permit# Date � Inspector
.1- Temporary Elettrical Service or Pole 52. Pool & Equipment Location
r
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms �`','r��
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding i.,a�
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test '
6. Electrical UFER�Grnd. 57. APPROVAL TO COVER-GUf,�V�,ITE
7. Footings �• '- 58. Electrical Conduit-Undrgrnd�
8. Foundation 59. Gas Pipe, O Undrgrnd., Test(t)
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, � U,��lrgrnd.
`�
10. Strucwrel Floor System 61. APPROVAL TO DECK �
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final'1'�
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System � Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electriczl-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
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.StorageTank OGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro -
r.
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-7est ! .
36. Hood or Canopy
37. Final Factory Fireplace .
38. Final Plumbing y Be L(�.'D '
39. Water Service-Final �
40. Gas Service-Final �
41. Solar pomestic-Final
42. Backflow Preventer
43. Backflow Irrigat�on -
44. Landscape Irrigation System � .
45. Sound Attenuation - �
46. Handicap Regulations �
47. FINALSTRUC7URE&BUILDING � " '
48. Special Requirements Completed
49. Electric Release to Edison '
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
JOB ADDRESS 2Zi6t$ ]
GliN�RAL CONTRACTOA
DATE 3-11-63
BUILDING PliRMIT NO.
v�u.uE S 24, 4�,�.00
FIRE 'LONE DLSCRIPTION OR WORK
I GROUP 7R.T TYPE V 'LON
Gas � I—""--�`I' SUBCONTI�CPOR
.. ' g149
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOl[ 919 COBTA MC9A, CALIFONNIA
For Appficanf fo fill In Completely
TYPE OR� PRINT GS
BUILDING
ADDRE58 � g�✓ g %� r O Z �r'
COSTA MESA, CALIFORNIA
■ MAIL
FEEA REC,�fi3VED
�FINANCE DEPT.
APPLICATION FOR'�TEru�in COSTA MESA
BUILDING
For OKice Usa Only
116C[�Ii NO. �M T N� O., �
�/ `�i
OY DAT6 RHCHIVBD DATEISBUT
� ."i—/9—L_3 �AR2 2 ,o��
TBL. BY D/
NO.
ZONING
' a zoHe no.or ueeov
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LI G. NO. � J( �/ L b NO. /\� `I v y y>
SIZE c�' I No. o� aLnos,�
OF LOT O No�
USE OF
E%ISTIN6 BLDO.
BETOACK LINE PHOy /
GENTBq Op BTPBET � O REAR
61DE VARD LEk7 D� I RIGHT
DESCRIPTION OF WORK
NO EAV E OV ERHAN6 BHALL 88 LE66 THAN
� YARDSAPPROVED I YARDSAPPROVED
MAIN BUILDING ACCESSORY BUILDING
��� (FROMC/LSTREETI
� . ✓� FRONT `—j DFT. __ _ Ri. . ..
' B£=1EDIN0 �Z�O �' ROOMS L �ORIES �
■ EXTERIOR WALL I ROOF SI�< 1c¢ �
1 H8H88Y ACKNO�yL8D08 TNAT 1 NAVQ RBAO TX19 11PPL�GTION
ANO BTAT! THAT TXH A9 6 18 COPRCCT AND AOfl86 TO COM�
PLY WITH ALL CITy OPI�i CB8 AND 8TAT6 LAWB qHOULATIHO
BUILDINO CONBTHYCiION.
516NATUR�EOF xA� � �.�.�� 1
PERMITTE � -CI
AUTHORIZED ACSENT .
�.sioe � Fr. �
i�
REAR FT Ff
DISfANCE BET. BET. MAIN @
MAIN BLDGB. ACCE95. BLO
VAR. iX OATE
C.U.P. APPROVED
♦PPI�(]V �Q • . Z r
Y a3��'. � ��-D "� o
— ° ��� — _
TXC /�MOYNT 9HOWNNN�HR VALUATION IB POR THH 2'
PUPP08E OP BBTABLI9HIN0 A PBRMIT FEe ONLY. 0
VALUATION �_ N
PERMIT FEE �
$ _ /��j,/--- PLANCHECK $ � / — o
�` �J'
TOTAL FEE $ // / � LL