HomeMy WebLinkAbout3256 MICHIGAN AVE - Building Permits3asc.o r'Yl � cc-�i c��N =::�
AOP���ant to fill in all sDaces extept those within heavY �ortler lines antl sian all aoorooriate tleclarations.
CITV OF COSTA MESA CONSTRUCT�ON PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NG. � 3I I� U/ I BIE� Sro��� � i�
. Project Address �� 5 L nti � G H'LA uE . C. M. ^Z� �� � ' �
Applitan�'S Mailing Addfeis � A M E t TYPE OF CONSTRUCTION NEW��D ALTERATION REPAIR
Owner'sName.t%L�QF,QT 13DwliU pYL-o3tfb ���NVERSION ❑DEMOLISH THER q,p,# Zane
Phone i DESCRIPTIONOFWORK/USEOfBLOG. �E.lIDL�'MGE
Addreu �15(: AAILF� /SI�C' • C./1^. S MainBuilding: AccessoryBuilding: _
Arch/Eng. License No. TVPE OF PERMIT GRAoiNc FOUNoaTioN SrRUCTURA� T Front p
Address - ' ' ❑ TENANT -❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL A Rear N
Contracmr'sNam> Phone ��OTHER 2�^%L�¢�� �_SCrl�qr�
PROJECT DESCRIPTION 5ca. F7. '� m o � oCCUaANGv��— � Right N
Address Ima'I"ngl � K G
/ . CONSTRUCTIONTVPE C`mM� VALUATION$�gOm S LC(t
� City License No. � R
LIGENSED CONTRACTOR DECLARATION ZONE GRADING CU. VDS. ACRES 71ng. ReL # Pe�kiOg R¢q./ProvidEd E
I be�eDy aifirm that I am Iicensed untle� provi5ions of Charter 9'(commencing � Rema�ks: PI20ning NO . ' M
wi[h section 7000) of Division 3 of the Business antl Pro/essions Cotle, antl T
my Iicense is In tull force antl eftect. ' .
Licens¢ CIa55 Llcense No. , �
Dare Si9�ature � PLUMBING FEES
WORKEPS' COMPENSATION DECLNNATION
I hereby atlirm tnat I have a certificate of consent ro solt-insure or a certificato Bar Sink Showers ELECTRICAL FEES
ol Workers' Compnnzation Insurance, or a certifietl copy tnereot (Sectlon � gackflowPrevenler ServiceSink AutomaticWasher Transformer ❑ 15�50�KW
3800, Lab. C.) � '
Policy No. Company Backflow Irrigation Sewer Cap Construction Pole Sub. ❑ 50+ KW
BCertifletl copy Is hereby tumishetl. � d
CertifieU copy is filed with [he city Builtlin9 DiviSion. Bathtubs $ewer Conn¢Ction Cooking Unit Meter �up to 100 amps .
Date Applitant
. EXEMPTION FROM WORKERS' GOMPENSATION DECLARATION Clafifi¢rs $olar ColleCrors . Dishwasher Meter �over 100amp5'
(Thi55action neetl not be completOtl it the permlt I5 to� One huntl�etl ($300) or
less). � Dishrvdsher ' Solar Pi in '
� certi( tnat in tne ' P 9 Dryers ❑Gas ❑Electric Sub Panel
y perlo�mance Ot the woB fo� which [hi5 pe�m�t IS�Issuetl, I
snall not employ any person In any manner so as to become su0ject to the Drinking Fountains $olar Tank - ' Fan Motors �0.1 HP �t'h � 8
WorkQq[���s' Compensation Laws of Calitqrnia.
Data/�Signah� �✓ Floor Drains Swimmin9 Pool w/Spa � F.A.U. � Inc Solar �9�15 HP �16-15+
�NOYICE: If, after making this tleU�'a ion, you shoula become subject to the
Workers' Compensation provisions of the Labor Coae, you must fortnwi[h FIoo�Sinks Urinal ' Fix[ures
comply with such provisions or this permit snall be tleemetl revoke0. � Mitrowave
CONSTRUCTION LENOING AGENCV " GdSS¢rviC¢ .OuLIetS Wdt¢rC105¢t
I M1ereby affirm that tne�e is a mnstructlon lentlin9 agency tor [he Oerformance Device Boxes POIe Light
of the work for whicn tM1is permit is issuetl (Section 3097 Civ. C.) Int2�t2pt0�5 Wdt2� H¢dt¢f �Utl¢t5 Range
Lentler's Name �
Lentler's Adtlress Kitchen Sink ' � Water Service - SwiMhes Sign
OWNER BUILDER DECLARATION
1 hereby aifirm that I am exempt from the Contractor's Licenre l_aw for the Lavatories • AutorWash Garbage DispoShc : Standing Sections '
following reason (Sec[ion 7031.5 Business antl Professional Cotle: Any city or
wunty wNch requires a permit to construct, alter, improve, tlemolish or repair P-Trap Laundry Trays • Generator 00.5 KW 05-15 KW Trash Com actor
any itructure, pno� to its is5uance, also requires the applicant fo/ such pe�mi[ P
to tile a signetl statement that he/she i5 licensetl pursuant to the p�ovi5ion5 of ROOf D�dipS '
ihe Contractor's License Law (Chapter 9(commencing with Section ]000) of . �
Division 3 of the Business antl Professions Cotle) or [hat he/she is exempt �
th¢retrom antl [he ba5i5 tor N¢ dllegetl exemp[ion. Any violation of Sectlon ' ' ,
7031.5 by any applicant tOr a permit subjects the applicant to a civil
Qenalty of not more than /ive nundretl tlouars (5500). ' .
LJ I,. as owner o( the property or my empbyees with wayes as their sole Reinspeaion fee � �$15 Issue Fee $ 3
comoensation, wi11 tlo the work, antl tne sVucture is not Intentletl or offeretl Rainspeetion Fee $15 Issue Fee $ 3
tor sale (Section 7044, Business antl Professional Cotle: The Contractor's - MECHANICAL FEES
License Law tloes not apply to an owner ot a prope�ty wM10 builds or improves
thereon, antl who aoes sucn work himseli/h¢rseli or tnrough his or her own � DEVELOPMENT SERVICES REQUIREMENTS:
employ¢es, p�ovitle0 lhat such ImprOvements a�e n0[ intentletl or offeretl for BOiICI � HOOd O� Typ21 ❑ �
sale. It, howeveq the builtlin9 or improvement is soltl within one year o( com- Canopy Type I I ❑. ' Zoning Approved By Date
pletlon„tne owne� will have th¢ bUrtlen Ot proving �e/She tlitl no[ builtl ot Im- DUCf - Und¢� i�i�0und � BUildin A �oved 6
V�rove tor the ourpose of sale). 9 PP Y Date '
as owne� of the property, am ezcluslvely contractlng with Ilc¢n5¢tl Con- DUCt -$t�UCtU�21 Refrigeration System � Application lauad By Dat�
rs to construct the project (Section ]044, Business antl Profe55ions COtla: � -
The ConVactor's License Law does not apply to an owner of property who Duct � Ventilating �❑0-100,000 BTU �100,000 BTU 'SU MARV OF FEES
builtls or Improves Ihereon, antl who conlract5 IOr such prolect5 with a Con- . {
tractor(s1 Iicenze pursuant [o the Contractor's License Law). I am aware that Exhaust System ❑ MWtiple ❑ System Repair/Alteration BUILDING PERMIT $ �C� SMIP $ •�+O
proof 01 their WOtker'S Compen5ation inSurance Shoultl be provitletl to me. , �
PLAN CHECK $ PERMIT
❑ I am exempt untler Section B. & P. C for tnis reason Firepl/Patt. BIL ICBO # Fire Dampers PLUMBING � ISSUANCE $
Dat � - _ pwne 1 Heating System & Ducting Registers ' PLAN CHECK 25% 5 ENERGV P.C. $
I her¢by certity tha[ 1 hav¢ r¢atl�lhls appllGation antl state �hat tne above� ❑0.100,OOOBTU O100,0006T • - GRADING '$ �
in/ormatlon is correcL I agrec to comply with all city and county ortllnancas ' ' ELECTRICAL $
antl state laws relating m builtling tonstruction antl nereby authorizc repre- P�AN CHECK 5096 $ MICROFILM $_ta..
sentatives of this tlty to enter upon [he above-mentionatl property for ' , �`.
InSpec[lon purpOSe '
Signature � Date y��� . . MECHANICAL $ TOTALFEE $ •/
orivers' License or'S5 � —�� � Reinspection Fee $15 Issue Fee � $ 3 PLAN CHECK 25% $
CMF 0865-46, rev. 10/84 White - Builtling: Canary - Appllcant; Pink - Accountin9: Goltlenrotl - A55essor
CONSTRUCTION ANDPLANNING 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 Reinforcement ' ,
3. Electrical�Condult Utility�Undrgrnd. 54. Forms .
4.� Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test �
6. Electrical'UFERGrnd. 57. APPROVALTOCOVER-GUNITE
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
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
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. Duc[s, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping OGas ❑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 Chemiral
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding � 77. FIXED SYSTEM FINAL
29. Insulation � 78. F�RE 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
39. Water Service-Final
40. Gas Service-Final
41. Solar pomestic-Final.
42. 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
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY , - i�:y
I`.o. J Date _ _
�
Lor 29 - TR 2
� ����_c
COSTA MESA BUILDING-SA�ETY DEPARTMENT
P. o. eox s�� eoerw MEsw. enueoxn�w
For Applicanf fo Fill In Complefely
?56 ARt-E9if1 AVENUE
COSTA MESA. CALIFORNIA
NEWPORT BEACH, CAL�F
TEL.
� 6 'z'Z BUILDING
ADDRE68
FIRE
ZONE
INC. APPROVED
BY
E
20NH
'�ql]-i LHOAL
FEE RECEIVED
� :�ia� � 4 �+r�
�fiNANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
Fo� Ofiiee Use Only
RECe1PT NO. � /PERMITINO.
ar I o� p—/7 e(P%I mAk`a'�";�6a
COSTA MESA. CALIFORNIA
ZONING
NO.OF U8E OP NHW
PLANB q BUILDINQ_/
61ZE %� x� oo I NO. OP BLDG9.
OF LOT � NOw ON LOT O p, p, NO.
USE OF yqRD6
EXISTING BLDG APPROVED
66TBACK LINB PROM � sQ! REAR YARO 2o t ��Mgw une ei.)
CBNTER OP BTR¢BT FRONT
r�� 6'
SIDE VARD LEFT J RIGHT R.61DE
DESCRIPTION OF WORK
L.SIDE
ucw X II e� rcoer�nu I II aoo�rinu I __. _
� BUILDING
IV. V1' �
!OOMS 7- STORIES
RooF W�OD SHINGLES
COVERING
K TO BE PERFORMED
FSIDENCE AND
EVES
ATTACHED GARAGE /"-
PLAN N0. -
I XER6BY AGNNOWL8O08 TH�T I HAVE READ THI9 APPYGTION THg AMOUNT BXOWN UNOER VALUATION IB POH TH6
AND 8TAT8 TH�T TX8 ABOVE 19 CARREC'! AND AGPEE TO COM- pUfiP088 OF EBTABLIBHING • PHRMiT PEe ONLY.
PLY WITH ALL CITY ORDINANLEB AND BtATH IAWB PEOULATNO
BuitDlNa CONBTRu o . VALUATION
SIGNATURE OF PERMIT FEE $ �� �
PERMITTE // `�17� p
$ &S� PLAN CHEGK $ /�/ �
AUTHORIZED AGENT ��(I�