HomeMy WebLinkAbout3268 MICHIGAN AVE - Building Permits-2 ; AOolicant ta lill in ail spatts except those within neavY eortler lines ana sign all apDropriate aeclantlons.
CITY OF COSTA MESA CONSTR UCTI ON PERMIT PERMIT NO. �z, TRACT NO. LOT NO. UNIT NO.
ProjectAddress – 3268 Michigan Ave. , Costa Mesa E��✓ ��
Applicant'sMailingqddress 1441 SO. AndhB.].rtl Blvd., A�ri�j.�4ifCONSTRUCTION rvEw AOD ALTERATION REaAiR
80�5� CONVERSION ❑ DEMOLISH ❑ OTHER A p.�b
ownersName Jeff Cole Pnone RSn-nv�8 Installation of heati
. DESCRIPTION OF WORK/USE OF BLDG.
Addreu �7§g x�'^h;gan A.i[f C^Sr� MPG'� n�] S MainBuilding:
E
Arch/Eng. LicenSeNo. q��+7S TVPEOFPERMIT.c� GRADING FOUrvDATIOc�Nt� STRUCTVRAL T Fmnt
Address ❑ TENANT .id ELECTRICAL ❑ PWMBING H.dMECHANICAL 8 Reef
ConVeCtOr'SNamP +i'*�.+e�� -nir nnnA;ri,appm�y 77�_1Q i �'OTHER C Riht
�p 1600 occuanrvcvsin le 9
Addresslmailing) +��� c.. . n�ntio{m g11cd Anahaim ROJECTDESCRIPTION SQ.FT. 9
� CONSTRVCTIONTVPE VALUATION$ �_S,zS nn g Left
� CityLiCenSeNo.�n���� ��R� ZpNE GRADINGCU.YDS. ACRES Pln Fcf.qW
LICENSED CONTRACTOR DECLARATION 9�
1 I be�¢by dffi�rtl thdl I dT IICCOSltl Uf1tl¢! p�Ovi51005 O� Cbdfl¢l 9(COTTBnCi09 qemarks: Planning Notes:
� wi[h secfion ]000� o( Division 3 of lhe Buslness antl Pro Slons Cotla, antl
my Iicenze is in tull torce antl eftect. � i 41 9 7 5 8„
License Class CZ � e
Date �+ � � � Signature t—R PLUMBING FEES
�—o-�— `-,ti'--a�QJ �-�-- —
WORKERS' COMPENSATION DECLARATION Bdr Sink $hOwerS
I hereby aHifm Nd( I have a celtititd[< of coni¢n[ to 5¢H-Insufe of d C¢rtlfiCd[e
� f Workers' Compen5ation Insurance, or a certilietl copy thereot ($ection
i'� Backflow Prevenrer Service Sink '
��`.�oo, l.ao. CJ Automatic Washer
:;$'a5licy rvo. r 4 700 ? 7 CompanyZNA Backflow Irrigation Sewer Cap Construction Pole Sub.
�Certifietl copy i5 heteby fumishetl. I
�ertitiea copy is filea witn the tlty Builtlin9 Dlvision.- Bathtubs Sewer COnneclion Cooking Unit
oate 1� 24-85 Aooiican� '
EXEMGTION FROM WORKERS' COMPENSATION DECLARATION Cld�ifi¢f5 $Old� C0112Ct0/5 Di5hwd5h¢�
(Thi55¢<tion neetl not be complel¢tl Ii the permit ii lor one huntlretl (E300) o�
icss). Dishwasher Solar Pip�ng Dryers OGas ❑Elec
I cer[ity that In lhC pe�fo�mante o1 IhG work to� which thi5 Plrm�t Is iSSUEtl, I
Shall not employ eny pe�son in any manner so a5 to become subjact lo the Drinking Fountains 5012� Td�k Fd�
Workers' ComOensa��on Laws ol California.
Dato Signaturo Floor Drains Swimming Pool w/Spa F.A.U.
NOTICE: H, aller making this tloClaralion, yoU ShoWtl �ecome Subjoc[ to the
Workers' ComO�nWtiOn Plovislon5 ot the LdbOr COtle, you mu5t lofthWlth FIOOfSinks U�indl Fiztuf¢S
comply with SUCh 0/ovl5ion5 or this Oerrt�ll ihall be tleemetl revokeU.
CONSTRUCTION LENpING AGENCV Gas Service Outl¢t5 Wet¢f CIOSEt D2ViCe BOx25
I hereby a114rm tha� there is a construttion lentling agency for the performance
Of the work toY µhich thls D�rTlt is iiiue0 ($¢c[ion 3097 Clv. C.) IO�CfC¢pLOlS W8t¢f HEdt¢I �utl¢l5
Lentler'z Nama
Lontler4 AGtlress Ki[chen Sink Warer Service $witches
OWNER BUILDEq DECLARIITIOfJ �
I horeby affirm t4at I am exemPt Irom the Contractor's License Law 1m the Lavato�ies Garhage Disposal
/ollowin9 reason ($o��lon �031.5 Buslness an0 Professional Cotle: AnY city or
county whlCh rnqWreS d p¢rmil l0 cOnstruct, alter, Imp�ove, tltmolish Or repair P–Tfyp Generator QO-$ KW �
uny it�uctur¢, P�IO� t0 Its lsSuan<a, a15o �equirCs Ne applicant for Sucb permit
to file a si9natl ztgtement that he/sne Is licensea pursuant to the provisions oi Roof Drains
tne ContractoYs �icens¢ Law (Chapter 9(commenUng wltb Section 7000) ot
Dlvlsion 3 of Ih¢ gusinass antl Prole55ions Cotlo) or tnat ha/iha is exempt
, lneretrom antl tne ba5i5 to� lhC allegetl exeTptiOn. Any v101atiOn oi Settlon
� '031.5 by any gpplican[ ror a permit sub�octs tne applicant lo a civil
�nalty oi not mow than five huntlretl tlollars (5500). $ 3
I J r I t r m emplo oes with wagas as lholr sole Roinspection F9a $15 Issue Foe
6603 I/29/85
2one
Accessory Bu�
ELECTRICAL
Transfarmer �� 15-50 KW
❑ 50+KW
Meter ❑up to 100amps
Meter ❑over100amps
Sub Panel
Morors�0.1 HP�1X-8
Inc. So1ar �9�15 HP 016-15+
� Microwave .
Pole Light
Range
Standin9 Sections
5�15 KW Trosh Compactor
I, ai owne o the propC� Y o Y Y
compensation, wlll Oo the work, antl the 5[ructuro is not intan0etl or ofleretl Reinipectian Fee $15 luue Fee
br sale (Section 7044, eusinass antl Professional Cotle: The Contractor's MECHANICAL FEES
LicenSC Law tloes not appty to an Owne� o( a propBrry wno builds or Improve5 �
thareon, antl who tloes such work nlmsell/herself or tnrou9h nis or her own DEVELOPMENT SERVICES REDUIREMENTS:
employeas, provltlatl [hat such ImO�ov¢ments are not intendetl or offeretl for BOd¢� HOOd O� Typ@ I ❑
salo. If, howevar, {pe builtlin9 cr improvement is zoltl within one year of com- � CanOpy Type II ❑ Zoning Approved By
pletion, tM1e Ownor will have Iha buttlen Ot P�ovin9 hC/sne tlid not bulld or Im- DuCt - Unde/ GrOund BUilding App�OVed By
FEES
1.50
$ 3
Z
O
N
I
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G
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E
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M
T
S.
�rove for the purpose of sale). , I_G�_�
LJ 1, as owner oi the vroperty, am exclusively tontracting with Iiconsetl con- Duct - Struc�urnl Refrigeration System Appliwtion luued By Date
lraCtarsto consVUct Ihe project ($action 7046, Businass dnU PrOfess7ons Cotle: e
T�a ConVaclor's License taw does not apply m an owner oi pro0erty who Dutt - Ventilating �4100,000 BTU ❑100,000 BTU 4 � SUMMARV OF FEES —�–
builtls or ImprovQs thereon, antl who tOnt�acti to� such Otojetts wl[h a con-
tra<tor(sl 6conse pursuant to th¢ Convacror's Llcensa Law). I am aware that Exhaust Sysiem ❑ Multiple ❑ System Repair/Alteration BUILDING PERMIT $ SMIP $
prooi ol cneir WorkePz Compensation insuranca shoultl be provitlea to me. PLAN CHECK $ PERMIT
❑ I am ezempt untler Section e. & P. C. tor Nis reason Firepl/Fact.8lt. IC80 # � ISSUANCE S�
Oate Owner - 1
I hereby certify {hat I have r¢atl this aoP�ication antl state that the above
InPormation I5 covrect. I agree [o cOmply wlth all clty antl county OrUlndnces
antl state laws relating to builtling constructlon, an� hereby authoriza r¢Dre-
sentatives of thii city [o ente upm Ne above-mentione0 property for
Inspection O��+e:�inney r Condi "oningp
Si9nature ate 7_7d–RS
Drivers' License or 55 � — -
Heating System & Ducting
k3�t 00,000 BTU � 100,000
Reinspec[ion Fee � 375 � � Issua Fee
CMF 0865-46, rev. 4/84 Wnite - Builtling: Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor
P�UMBING 5
PLAN CHECK 25% 5 ENERGY P.C. $
4.00 ' ELECTRICAL § �I- SO GRADING $
PLAN CHECK 50% 5 MICROFILM S
� MECHANICAL 5 I I � TOTALFEE 5-}�§e
§ 3 00 PLAN CHECK 25% $ .
CONSTRUCTION ANDPLANNING POOL. A
APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector
. 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
�2. Soil Pipe-Undrgmd. 53. Steel Reinforcement �
3. Electrical Condui[ Utility-Undrgrnd. 54. Forms
4. Electrical Condui[-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, � 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 SYSTEM$ 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 OGas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank � 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. Orywall 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. FINAL STRUCTURE & BUILDING
i
48. Special Requirements Completed
49. Electric Release to Edison . � -
50. Gas Release to Southern California Gas Co � �
51. CERTIFICATE OF OCCUPANCY
No. Date
° ?6 _ TR Z FEE RECEIVED
• '1_�'� Q�� (� � �IAR 2 4 i�i'
COSTA MESA BUILDING-SAFETY DEPARTMENT �INANCE DEPT.
P. O. BOX 917 COBTA MEBA. CALIFORNIA CITY�� OF �OSTA MESA �
For Applicanf fo Fili In Complefely APPLICATION FOR PERMIT
TYPE OR PRIJVT
B� �p NG p 5:� BUILDING
ADDRESS J268 ,�A4AVENUE
COSTA MESA. CALIFORNIA FOr Office Use Only
� MAIL
:E�' � COSTA MESA. CALIFORNIA
FIRE
ZONE
APPROVED
ADDRE53 � PLACENTIA AVENUE ZONING
ZONe NO. OP UB6 OP NHW
dTY NEWPORT BEACH CAL I F. R-1 I vurva '� I BUILUINGW� 8'tt gA2'.
' STATE_ C� � nr TEL. �� � L,�,�,�� LeGAI _
6� X� �� NO.OP BLDO6.
NOW ON �o'r _Q_ a_ c_ wo. 130IIE
6lTBACK LINC FROM / a t ICEMER LINC
CENTeR OF BTRH6T "� SD REAR YARD 2.1 FRONT
SIDE YARD I LEFi 5' I RIGHT �' w SIDE
DESCRIPTION OF WORK __
APPROVED
BZ�ING i6��.�7SSFROOMS � STORIES � {//�/. .. ._ ..� �
I
EXTERIOR WAL IROOF �CK
COVHRING �TUCCO COVERING !
USE OF BUILDING AND WORK TO BE PERFORMED � O
SINGLE FAMILY RESIDENCE AND
ATTACHED GARAG�
Paen No. �-H
� X80.EBV ACKNOWLECGE TXAT 1 HAVE PCAD TH18 APPLIWTION THE �MOUNT BXOWN IINO¢R VALUAT�ON IB POR THE
AND BTAT6 THAT THE ABOVE IB CORRECT AND AGREE TO CON- pUftPOBE OF EBTABLIBHINO A PERMIT FEE ONLY.
PLY WITH ALL GITY OFDIN.WCE9 A 6TAiE B N80ULATIN6
OUILDINO CONBTRU ION. \I VALUATION /
SIGNATURE OF ` J / PERM17 FEE $ 3(p �
PERMITTE d' � `�- /� / ��+� n
$ / n PLAN CHECK $ � J �
AUTHORIZEO AGENT ___ ___ _ ,�/��,