HomeMy WebLinkAbout566 JOANN ST - Building PermitsApo��<ant to /ill in all spaces e eo� those within neavy bortler Ilnes ana sign all aooropriate eeclarations.
CITY OF COSTA MESA C�ONSTRUCTION PERMIT P RM�N� 3 a-3 TRACT NO. LOT NO. UNIT NU.
Projeci Address —b Gi (< TO/} Nit//-� _ `
Applicant's Maili Add ��%�7 7 Gi�E Q/2 �.�-Nq,y/�j yiTVPE OF CONS7RUCTiON NEW ADD
GF� Z�/VU.FST �y?Q •� CONVERSION ❑ DEMOLISH ❑ O �
Owner's Name Phon �- DESCRIPTION OF W�RK/USE OF�LDG.�
Add'ress /�%�0/ /t�Fki/l�O!%�` f i/�. YJ..�rN i/ ia^ .Y � t -r »-�.
Arch/Eng. � License No.
Address /� � >_�-��,
Contractor's Name Q��CI� /f �� ��O Phone 1tuvS7���
Address (mailing� ��2 % l�%l �r �/�' i%/�/9lS�F!/�
City License No. `�y� � � �
LICENSED CONTRACTOR DECLARAT�ON
I M1er¢by atfi�m that I am licensetl utltler 0/ovi5ion5 of Charter 9(commenGing
with sectlon 7000) ot Divlsion 3 of [he Bu5ine55 antl PrOfeszioni Cotle, antl
my Iicense is in f I force antl effect.
License C s� ,�' �����cenj �e o.�����
Date L .�Q�� �
WORKERS' COMPENSATION DE�ARATION �
I hereby affirm tnat I nave a certiflcaCe of mnsent to selt-insure ar a certificate
� Workers' Compensation InSurance, or a certitietl coOY tM1ereof (Section
70, Lab. C.) ' ./� n� /� /�
olicy No. �•��u� 2 Company Jr/ /T� �/%� V
❑ Certifietl copy is hereby furnishetl. J
f�T`Certifief� coy y�} filetl wrth the city B Ginq ision.
Da[e��(-_ti L_ APplicant
EXEMPTION FROM WORKERS' CO ENSATION D LARATION
(Thissection neetl no[ be tompletCtl i� [h¢ permit i5 for one huntlred ($100) o�
less). ,
I tertify that in [he Performante of the work tor which this pe�m�t is Issuetl, I
sball not employ ang person in any manner so as to betome subject to the �
workers' Compensation Laws oi Cali�omia.
Date ' Si9nature
NOTICE: If,afler making this tleclara��on, you 5hoW4 become subject to the
Workers' Compensatlon o�oNsions 0� Ne Labor Cotle, you must fortnwith
comply with such provisions or this permit shall be tleemetl revoketl.
CONSTRUCTION LENDING AGENCY
I he�eby affirm [hat [heie is a const�u«�on lentling aqency for Ihe performance
of the work ror w0ich thi5 perinit is issuetl (Section 309] Civ. C.)
�entler's Name
�Lentler's Atltlress
OWNER BUIL�ER.OECLHRATION
I hereby affl�m that'I am exempt hom the Conlrattor'S Uc¢nse L.aw for the
following reason (Sectlon 7031.5 BUsiness antl Protessional Cotle: Any ciry or
wunly which �equlre5 a Oermit to c0�struct, alteq imOrove, tlemOlish ot �epal�
any structure, prlor to its issuance, 5�so reqWres the applicant for sucn permit
to file a signetl Slatem¢flt [hat he/she i5 Iic¢n5¢tl pUfsuant to lhe proviSiOns Of
the Contractor'S Licenst Law (Chapter 9(commencing witn Sectlon 7000) of
Division 3 of lhe Business antl PIO�¢SSIOIIS CO4B) o� that he/sh¢ is exompt
"�erefrom antl the basis for the alle9e0 exemption. Any violatlon o1 $ection
31.5 by any applicant lor a pCtmit SubjeG[s tM1e aOPlicant to a civil
�tdlty o/ not more Ihan tive huntlretl t1011ars (§500�.
� J I, as owner o( the properly or my em0loyees with wages as their solo
i compenSatiOn, will tlo th¢ wOrk, and the St�ucture i5 n0l intentletl o� olle�etl
for sale (Sectlon ]044, Business antl Protessional Cotle: The Contrattor'S
'i License law tloes not apply to an oWne� of a prop¢rty wM10 bulltls o� Improves
'� Iheraon, antl who tln¢s suth work plmtelf/her5ell or tbrougtt his or her own
iemployees, provitletl [ha[ SUCh imp�Ovemen[s are not intentlatl or o(Poretl for
sale. If, however. tM1e bWltling or improvement is soltl within one year of com-
' pletioq the owner wlll have the burtlen of proving he/s�e tlltl nol builtl or im-
prove for lha pu�pose of sale).
❑ I, as own¢r of the property, am exclusively contra<tlng with Ilcensetl con-
l�actors t0 const�uct lhe D�oject (Sed�on ]044, Business antl ProfeSsions Cotle:
The Contractor'S Li<ense !aw <loes �ot apply Io an owner of property who
builtls or improves lhereon, antl who contra<[5 for such project5 with a con-
Vaclor(s license pursuant to [he Ctl�i�acto�'s Llcense Law). 1 am awaie tnat
proof o� their Worker's Compensation insurance should be P�ovitletl to me.
❑ I am exempt untler Section B. 8 P. C. for this reason
Date Owner �
I hereby certity tnat d have reatl tNs a
info�mation is correcL I agree to comP�Y
antl state laws relatiny�to builtlinyE onst
sentatives oYDhis aR�4 to eptyupo�
Signature �
Driver5' ���ense or 55
CMF 0865-46, rev. 10/84
tate that Ih¢ above
tl county ortlinances
•by authorize repre-
lonetl propertyc (fo�r
Datri � � �a /
REPAIR
TVPE OF PERMIT LJ GRADING LJ FOUNDATION LJ STRUCTURAL
•�O TENANT �❑ ECT CAL� PLUMBING ❑ MECHANICAI
❑ OTHER �O�N
PROJECT DESCRIPTION SCZ. F�F `��f.��� OCCUaANCV—
CONSTRUCTIONTVPE_ •S VALUATION$ uaG
ZONE GRADINGCU.YpS. ACRES_
Remarks:
low Preventer
low Irri9ation
Dishwasher .
Drinking Fountains
Floor Drains
Floor Sinks
GasServlce Outtets
InterCeptori
Kitchen Sink
Lavatories
P—Trap
Roof Drains
Reinspection Fee � $15
Duct - Under Ground
Duct - Structural
Duct - Ventilating �
Exhaust System ❑ Multiple ❑
Firepl/Fact. BIL ICBO #
Heating Sysrem & Ducting
❑0.100,000 BTU 0100,OOOBTi
ReinspeMion Fee � $15
WM1ite - BuilGin9: Canary - qpplicant; Pink - Accounting; Goltlenrotl - Assessor
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Pipin9
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Auto�Wash
Laundry Trays
laue Fee
Hood or Typel ❑
Canopy Typell ❑
Retrigeration Sys[em
❑0-100,OOOBTU ❑100,0008T
System Repair/Alteretion
Fire Dampers
Registers
Issue Fee
S 3
$
A.P. #
S Main Building:
E
T Front
8 Rear
A
C Right
K Left
S
Ping. Ref. #
Planning Notes:
Automatic Washer
Construction Pole Sub.
Cooking Unit
Dishwasher
Dryers ❑Gas ❑Elec[ric
Fan
F.A.U.
Fixtures
Device Boxes
Outlets
$Wi[Cf125
Garbage Disposal
Generator �0-5 KW �5�'
� Reinspection Fee
—
DEVELOPMENTSER
2oning Approved By_
Building Approved By
7133 5ioiie�
Zone
Accessory Building:
Parking Req./Provided
ELECTRICAL
Transformer ❑ 15�50 KW
❑ 50+KW
Meter ❑up to 100amps
Meter ❑over100amps
Sub Panel
Motors �0-1 HP 01 h- 8
Inc.Solar 09-15 HP 016-75+
Microwave
Pole Light
Range
I I Standing Sections
5 KW � I Trash Compactor
$15 � � Issue Fee
—
REDUIREMENTS:
40050 TL
FEES
$ 3
Z
O
N
I
N
G
R
E
Q
M
T
S
SUMM/A�RV�FEES
BUILDING PERMIT $ �`� SMIP 5 ���
PLAN CHECK $ PERMIT
PLUMBING $ ISSUANCE . S
PLAN CHECK 25% $ ENERGV P.C. $
ELECTRICAL S GRADING S
PLAN CHECK 50% y MICROFILM S �
MECHANICAL $ TOTAL FEE $ L' '_
PLAN CHECK 25% $
CONSTRUCTIQN AND PLANNING POOL & SPA
APPROVALS Permit # Date Inspector p�ppROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcemeni
3. Electrical Conduit Utility�Undrgrnd. 54. Forms
4. Elec[rical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVALTO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
S. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor Syscem 61. APPROVAL TO DECK
t i. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
72. Sewer Cap 63. Heater & VenrFinal
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
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
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 �oat � 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD ERTIFICATE 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 . ,
39. Water Service-Final �. �
40. Gas Service-Final
41. Solar pomesticFinal � �
42. Backflow Preventer ' � �
.
43. 8ackflow Irrigation � �
44. Landscape Irrigation System - �
45. Sound Attenuation � ,
46. Handicap Regulations . . �
47. FINALSTRUCTURE&BUILDING �� .��g ' 8� �
48. Special Requirements Completed • -
49.-Electric Relea3e to Edison - �
� 50. Gas Release to $outhern Califomia Gas Co - �
51. CERTIFICATE OF OCCUPANCY . �
No. Date '
_ �
City of Costa Mesa
Building Safety Deparfinent
P. O. Box 317
Cosla Mem, Californio
CERTIFICATE OF OCCUPANCY N� 1$�2 C
The Building located at � JQ� �'�OB'�s �±s �� �.°
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable fhereto
for a Group � ` Occupancy.
Use of Building � �'� �� ��' �' ��� --
Legal Description � �a � �s
(Sea ravena tide for Mefas and Boundi)
Building Permit No. �� ElecTrical Permit No. �� Plumbing Permit No. �
Floor Load Signs have been installed as Room Capacify Signs have been instaled as
required under Sec. 2308 U. B. C. . required under Sec. 3301 (1) U. B. C. —
17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or otcupied
until the owner or operator has been issued a valid certificate of occupancy by the enforcement agency.
(b) A new certificate of occupancy shall be obtained whenever there is a change in:
1) Occupancy classification of a building or portion thereof
2)' The number of apariments or guest rooms
3) Ownership
If Group H Occupancy, number of apariments and/or guest rooms as required under Sec. 17050.1 (d), California
Administrative Code, Title 8, Chapter 9, Article 8.
Number of apartments_�— and/or gue:t rooms
ISSUED TO: Building Official
�r �? � bY /s�—_—/ � / C-
oare � / a-7 /6 �'
This Certificate�of Occupancy SHALL BE posted in a conspicuous place on fhe premises and SHALL NOT BE removed
except by the Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.C. Form su3s—�M—tt_e�,ss r
. 2Q03�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOR 917 C09TA MESA, CALIFORHIA
ior Appltcanf to Fiil In Completaly
TYPE OR PRINT
wooaess° ��i�p A��� -� � � �
COSTA MESA, CALIFORNIA
OWNER Caswell & Struve
MAIL ........ .. . ... ... .
� 6ETBACK LIN6 FROM
DESCRIPTION OF WORK
—� MOVINO'ON � DEM
300�� ROOM9 11 1
WALL I ROOF �
�
FE�,�.,,R�C,,,�IVED
AP,P,U��7�10 PERMR
riivR���i„
CITYF6}Fcff�,iiA S�„iy
FI
�I�PLA!
I
L80AL C �
D88CR�lTION C;�J�,
� e vn �Er
YAROBAPPROVED
MAIN BUILDING
tOM C/L STREET )
I DISTANCE BET
MAIN BLD69.
2 �AR. # w
� /rlvu//.
I HER88Y ACKNOWLEOQE THAT 1 NAVE HEAO TNIB APPLICATtON
•ND BTATE THAT TH0 AB 8 19 CORRECT AND AOq6H TO COM-
PLY WITX ALL CITY O�p ANC88 NO 9TAT8 uWB q60UlATIN4
BUILOINO CONeTRUG/iW
SIGNATUREOP //�/� /
PERMITTEE L
AUTHORREDA6fiNT .
HOLD FOR
� DATE "
NQ
�
UeHORNEW ���
BUIt�INO „�
SHALL BE LE56 THAN
YARD9APPROVED
ACCESSORY BUILOING
BET. MAIN 8
AGCE59. BLO69.
�ATE
APPROVEO
DATE `' ��' `
REQUIREMENTS
THE AMOUNT BHOWN UNDBP
PURP066 OP 88TAB�I6MIN�
VALUATION
� � / /�� PERM
7 /
l
! l�y3 "
0
18 FOq TM8 F
FEE ONLY.