HomeMy WebLinkAbout2099 FEDERAL AVE - Building PermitsAoolicant to fiil In all s0aces wlthin heavy EorEer Iines anG sign all approp�late tleclaratlons.
CITY O,r COSTA MESA PERMIT NO. TRACT NO. LOT NO. BLDG. NO. •
CONSTRUCTION PERMIT E— �• . 8055 I I/09/BI 4.00
- Project Address �C � TYPE OF CONSTRUCTION ' • � � ' • �
OwnBf L -PhOnE � G „� NEW ❑ AOO ❑ ALTERATION �
Addfe54 ' �? ❑ REPAIR ❑ CONVERSION ❑DEMOlISH �
ZONING REGULATIONS
Arch/Eng. License No. ❑ OTHER . ,
DESCRIPTION OF WORK A'P' � '
Address
ZONE PLNG. REF. �
Contractor �yL ''C �' LCE/S PhO� TVPE OF PERMIT TpgU I�p ING
Addf255 -/ SET FC T. PROPERTY LINE
�/ i, .PSY D ❑ GRADING , ❑ FOUNDATION ❑ STRUCTVRAL• I VARD
LICENSED CONTRACTOR DECLARATION ❑ TENANT ❑ ELECTRICAL OPlUM81NG ❑MECHANICA 5iDE yq •
I hereby affirm tM1at I am Ilcensetl unticr provisloni ol Charlar 9(com- qIGHT
mencing with section 7000) of Divlslon 3' of the Business� an0 ❑ OTHER .
Professions Coqe, antl my Iicense is In full /orca antl ¢H [. REAR VARD (TO P/L)
�( PROJECT DESCRIPTION
LltenSeClass �� IJc SeNv�'��ry � PKG.SPACERE�. PROVIDED �
Da[e ��--� � t� Slgnahre ;�L . • SQ. FT. . . .
WORKEXS'COMPENSATIOND CLARATION OCCUPANCV_CONSTRUCTIONTVPE STREETWIDTH PARKFEEE
I h¢r¢by affirm that I �ave a Cert(tiGate Of consent to selbinSurB Or d VALUATION ZONE ZONING APPROVEO BV DATE ,
tertlfiwte of Workers' CompenSaUorfmy ranca, or a certlfieE copy ' - SPEpAL CONDITIONS: - � �
thereo� ct n 380�1 Lab. C.). 1 � GRADING CU. VDS. ACRES
P��icY N CJ N ComPanY ��•QC= i p s% . _
fietl copy is �ereby furnisnetl. REMARKS: . _
:ertifietl copy Is tiletl wi[h the city Builtlin9 Divislon. �
EXEMPTION FROM WORKER$' COMPENSATION DECLARATION' ' '
(This 5e<tion neetl not be mmpletetl it tha permit i5 for one huntlretl - , _ .
SS300) or less).
certify that In the per(ormanca of the work for which this permit is
issuetl, I shali not emPloy any person in any manner so az to.become PLUMBING � PLAN CHECK � ELECTRICAL ' PLAN CHECK '
sub7ectto the Workers Compensatlon Laws ot Gllfornia.
Date 519nature BATHTUBS SHOWERS '
NOTICE: If after making thii tlaclaral(on, you shoultl become subject TOILETS URINALS - ' GENERATOR Od KW_1-]0 KW
to [he Workers' Compenzation provizions of the laDor Cotle, you must TRANSFORMER
for[hwit� comply wit� such provi5lani or this permit ihall ba tlaemetl LAVATORIES DOUBLE LAVS APPLIANCE 30-50 KW_50 t KW
revoketl. . .
CONSTRUCTION LENDING AGENCV KIT. SINKS � DISHWASHERS MOTORS p-1 HP_1-30 HP
I hereby atfirm that t�ere Is a constructlon lentling agency (or the per SERVICE SINKS . SVMPS -� IINQ SOLAR) 10-50 HP 50 + HP
formance of the work for which lhis permit Is issuetl (Setlion 3097
CIv. C.). ' FLOOR SINKS FLOOR DRAINS FIXTURES OVTLETS SWITCHES
Lentler's Name
Lantler'z Atltlress DRINKING FOUNTAINS GAS TUBE SIGNS
OWNER BUILDER DECLARATION " INTERCEPTORS CLARIFIERS PO�E LIGHTS
1 her¢by aHirm Ihat I am ezGmpt frOm the COntracior's LlcOnse Law ior
the tollowing reason (Section 7031.5 Bu5lness antl ProfeiSions Cotle: SWIMMING POOL PTRAP
Any city or county which reqWrez a permit ta construct, alter, 70LE5 METERED SUB �
improve, tlemoli5h or repair any structure, prior to'Its Bsuance, also re• yyq7ER SERV ICE ALTERATION ' PANELS MAIN SUB
qWres the applitant tor 5uch permlt to tila a signea statement tnat he
I5 Iicensetl purzuant to the provistons of t�e Cont�ac[or'S LlcenSe Law GASSERVICE OUTLETS SERVICE ' AMP
(Chapter 9(commencing with Sectlon 7000) ot Division 3 01 tha
6usiness antl Professwns Cotle) or tbat he I5 exempt theretrom antl tho yyqTER HEATERS �BTU OUTPUT � �1 � �. �
basis for tha allegetl exem0��on. Any violatlon ot Settion 7031.5 by
a� 'OP��wM for d OGrmit sUb�ects I�e applifant to a Civll pBndlty SEWER CONNECTION$
< more tnan Bve nuntlretl tlollars (5500�. �� �
L as owner ot t�e proparty, or my employces with wages as tnolr SOLAR TANK COLLECTORS
sole compensation, will tl0 llf0 work, anU t�e sV uc[ure Is OOt InteOtl¢tl
or offeretl for 5ale. (SeCtion 7044, Bu5ine55 antl Ro1e551on5 Cotle: T�a SOLAR PIPING SVS. ISSUE FEE
ContractorY License Law does no[ apply to an owner of a property - APPLICATION APPROVED BV DATE
w�o builOs or Improvas thereon, antl w�o tloes such work himself or ISSUE FEE
thrOugh hls Own employee5, provi0etl thai suGh ImDrovamCntS dr0 nOt
Intenaetl or oiferetl for sale. 11, however, tha bulltling or Improvement MECHANICAL PLAN CHECI( SUMMARV OF FEES
IS soltl wlthin onC y¢ar ol compleUon, [hC Owner will have lnu burden
of Proving ne tliU not builtl or improvo tor lhe purpo5a o( sale). HEATING SVSTEM 0-100,000 BTU PERMDIT G E SMIP E
❑ I, as owner ol the property, am exclusively conVaclin9 with qND DUCTING '
Iicensetl contracton to constru<t the project (Sec[lon ]044, Buiinoss 700,000 � BTU PLAN CHECK E PERMIT
antl Professions Cotle: The Contractor'S Litenu law Eoes not apply to ISSUANCE b
an Owner of property wno builtls or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING 5
tracts from'Such pro�ects wlth a contractor(s) Iicasnatl Oursuanl to SYSTEM GRAOING E
the Contractor's License Law). ]00,000 + gTU PLHN CHECK E
❑ I am exempt unOer Section B. 6 P. C. lor this BOILERS BTU ELECTRICAL S • �� E .
reason PLANCHECK 5 MICROFILM S
Date Owner SVSTEM REPAIR, ALTERATION TOTAL FEE S
I hereby certifythat 1 have reatl tnis appliwlion antl state that the above EXHAUST SVSTEM MULTIPLE MECHANICAL E
information is correct. I a re to tomply wlt� all clt antl count PLAN CHECK E LE55 AO-
9 4 Y Y VANCEPC S_
ortlinances antl state laws rela 1g to construction, antl hereby aulhorize
rep�ezentative5 f lhis tlty to' enler upon Ihe above mentlonetl �.n
property fo p�d[lon poses `. �
/ FINAL FEE S
Signature � C f :�1e �/ ISSUE FEE �
Drivers' License or 55 �
CMFOB65-96 Whlt¢-BWIO1ng;(:anary-App�iWnt;nne-qcwunnng;Goiaenroa-Hssessor
._
CONSTRUCTION AND pLANNIN / ? POOL & SPA • •�
APPROVALS Permit# ��` J Date Inspector qppROVALS Permit# Date Inspector w
1. Temporary Electricat Service or Pole 43. Pool & Equipment Location
2. Soil ipe-Undrgrn 44. Steel Reinforcement '
3. Electrical Conduit Utility-Undrgrn 45. Forms
4. Electrical Conduit-Undrgrn 46. Electrical Bonding
. tee ein orce 47. Rough Plumbin & Pressure Test
6. Electrical UFER Grn 46. APPROVAL TO COVER-GUNITE
7. ootings 49. Electrical Conduit-Undr rn
8. Foundation 50. Gas Pipe, ❑ Undr rn, Test
9. Water Pipe-Undrgrn 57. Backwash Lines P-Tra ❑ ndr rn
10. Structural Floor System 52. APPROVALTO DECK
11. Proper[y Sewer Line & House Connection 53. Backwash & Rece tor-Final
12. Street Sewer Connection 54. Heater & Vent-Final
13. Rough Plumbing � � ' '
14. Rough Electric-Conduit �56. Electrical-Final
15. Rou h Eiectric-Wiring 57. Solar System-Final
16. Rough Hea[ing & Air Conditioning � encing & Access Approval
17. Ducts in Structure APPROVED FOR PLASTERING
18. Ducts, Ventilating
19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL
20. Roof Framing
21. Roof Sheathin �
22. Frame and Flashin NOTES:
23. Insulation
24. Lathing & Siding
25. Drywall Nailing
26. Plaster Brown Coat
27. Electrical Power Meter-Final
28. Final Etectric C.. �
29. Final Heating & Air Conditioning
30. Final Gas Pipe-Test
31. Final Plumbing
32. Water Service-Final
33. Gas Service-Final
34. Solar pomestic-Finai -
35. Landsca e S rinklin S stem
36. 'Sound Attenuation
37. Handicap Regulations
38. FINAL STRUCTURE & 9UILDING
39. Special Requirements Completed
40. Electric Release to Edison
41 . Gas Release to Southern Cylifornia Gas Co.
42. CERTIFICATE OF OCCUPANCY
No Date
OWNER
DATE
BUIL
���0.115_lt9R l0 LOT TRACT FIRE ZONE VAL
I� ECTIONS
SOIL
Gn5
W ATER
ROUGH PLUMBING
PROP. SWR. IINE Q HOUSE CON. �
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AN� AIR CONOITIONING
TEMPORARV SERVICE OR pOLE
UN�ERGROUNO � POWER �
ROUGH WIRING
TftENCHES � FORMS ��
FLOOR SVSTEM �
BOND BEAM � STEEL REINFOPCE �
SHEATHING ja,,,,�y[ ti,�(�.�,,' '%'LyTh+�
FRAME AND FLASNING [St�JWGem
LATHING — IN OUi
PLASTER, BROWN COAT
5 TURAL, FINAL
H. .NG. VENT.. REFRIG. ANO A.C.
SUBCONTRAGTOR
�' '� 3004I
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BUILDING � Ave I
ADDRESS
OWNER ��
MAIL
Z ADDRESS 1�tG
W W TEL. (J
d U CITV C NO. L
ZQ CONSTRUC(ION . `
O N LENDER S P�
am
J � BRANCH
J �
� ADDRESS
J QARCHITECT TEI.
N OR ENGINEER N
U Q
w � ADDFESS
aw
J O CONTRACTOR 'ZS
m Z
J � ADORESS 22 '� �
w w TEL.
� CITV NO.g
2 H
y� STATE Ar CITY
2 LIC. NO. (�.� �� LIC. NO.
_ � SIZE NO.OF BLOGS. I
OF L NOW ON LOT
USE OF
E%ISTING84�. �5
� SI2E OF NO. OF I
Z NEW BLDG. X ROOMS STORIES
V EXTERIOR W/+LL ROOF
COVERING COVERING '- �
USE OF eU��DING AND WORK TO BE PERFORJNED
kPR 14-69Pa�oOO 674� ***�39.00
CMSA
APPLICATION FOR BUILDING PERMIT
REC V BY DATE REC IVED DA E ISSUED
a - --� -/y-�
^ PE
A.P. NO. ' s�� Q
BUILDING
ADDRE55
TRACT � LOT BLOCK
W A P
k � X
OWNER ` �
s �f�� LO � LUE �SI�
nGs, � f- D s
FIRE ' �
ZONE TYPE GROUP ����
APPROVED �Jy� ^. �- /� �(�
ZONE NO.OF USE OF NEW�.
� PIANS I �
'�"�A�pROVED OSktdP
--�itl�i BUILDING
fFROM C/l yHE ` //��� a�
RONT ��FT � F'
/ { .
T F'
L SIOE FT. F'
'_'_ ii __ .i// � .�r/
DISTANCE BET. BET. M,41N &
MAIN BLOGS. ACCESS. BLD(
4 VAR. # DATE
O C.U.P.3y'+ APPROVED
� APPROVED
N �
Z _ '
�
VI horoby eck�owletlpa that I hnva raed this appllcation nntl state
� thut tho ab0�e information is correct antl eBree to comply with
� ell laws regUla[lnp builtlinp consiruc[ion, and I ahall not amploy
� any Derson in violallon ot the workmen's compensation laws of
y the Steca of California. m
z T `�' `i� :G :� �
I heroby certity that 1 em properly Iicensetl as e contrector untler 2�/ SQ. FT. ` o
che Sta[e ot Calitornla Business entl Profassions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOF '
Chap[er 9, e�tl that such licanses are In full foree antl eifect, Or I TFIE PURPO6E OF ESTABLISHING A PERMIT FEE ONLV: Q
em ouempt from the provisions of t�e Smte of Californle Business VALVATION
entl ProfassiP�s Cotlo, Divislon 3, Chapier 9. � n O m
O PERMIT FEE $ j
Si ne[ure ot • {� � g ^
Permittae ' �-+ � § j��f �� PL4N CHECK 3/./ � � �-1 E
.�1 , /� 0
Au[horized A9ent ,G�(,� I TOTAL FEE $� / L' O LL
ORANGE COUMTY BUILDING DEPARTMENT
�_ _ 6}6 North Brood:voy - � . .
.�� � „ SANTA ANA, CALIFORNIA
FOR APPLICANT TO FILL IN
BUILDING �
ADDRE55 ?OQ9 FP�Pai"Ci�
OI T
APPLICATION FOR PERMIT �
�V�.���.a�J _.
\J
FOR OFfICE USE ONLY I
� I RECEIPT N9.. I P�RMIT NO.
SCHOOL 5. RECENED BV � �ATE OF AP
OR TOWN /
NEAREST ' [ �� �i
caoss sr. �Ti rt.nri a S+_ °�'
BUILOING � Q��
OWNER Ocer.F HbMFC� INC_ ADDRE55 /
MAIL / SCHOOL DIST�
AODRE55 ��p� WILSNIRE BLVO. ORTOWN
CITV BEVERLY HIIIS No��cR. 5436i NEAREST
CRO55 ST. �"'L
ARCHITECT TEL. /t' 20N O. OF TYP=_
ENGINEERC N B� MCKERRACHER NO. SY. 0Y 9� / I PLANS � iT
J�'
ADDRE55 Z��O E. WALNUT ST. pASADENA ETBACKLINE C[NTER OF ST.
TEL. REAR VARD ���'t .r' SIOE Y.SRD 1
�NTRACTORNEMPORT VISTA CO.NO.CR� !� �qYpROVED ; —
..00aEss E) WIISHIRE Blvo. BEv. ���s CORRECTIONS
DESCRIPTION I LOT NO. pY BLOCK ��� ' , ,
�ATTACH METES & BOUND51 _ ___
1 NO. OF BLDGS.
SIZE OF LOT 7O X 1 �O NOW ON LOT Q
USE OF NO. OF NO. OF
EXISTING BLDG. FnMiu[s I ROOMS
DESCRIPTION OF WORK
NEW I Y I ALTERATION I I qDOITION
REPAIR I I MOVING I I DEMOLISH
BUILDING 11 NO. OF
SIZE �Oi4 SO.FTFa�MS �i STORIES i
COVERING STUCCO + COVERI
USE OF NEW
BUILDING RESIDENCE �'
I HEREBY ACKNOWLEDGE THAT I HqVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY OROINANCES
AND STATE LAWS REGULATING BUILDING CONSTRUCTIOY.
SIGNATURE OF �.Jc�pORT VI ' O.
PERMITTE
L�
AUTHOHIZED AGT � �( OZCJ
g 4830. oo � P. �. s
VA�UATION S � //
� Fee �7 FINAL
APPROVALS
: LOCATION I Ih$qEi(
MATERIALS. //
�
OATE ISSi
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r
OATE
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` 2''
ORANGE C�.{INTY BUILDING"DEPARTME�
636 NorTh Broadwar
�
, � 'SANTA ANA, CALIFORNIA
FOR APPLICANT TO FILL IN
BUILDING �oy9 n���./�iC �-�'.�
nooRess a .
SCHOOL DIST. % � ��c�� � . A
ORTOWN ,'d.1/L.�'� `J',�4ci(s�/�
CR SS�6T. 1�C.^_:Ill )d. . Ut�n�`.Cr�
TEL.
r ' . . �-L�% 1�i: L ��?C�.GL� NO.
iCT OR LIC.
:R NO.
ADDRE55
LIC.
NTRACTOR NO.
..,oRess � �.j
LEGAL I LOT / � I .
]ESCFIPTION NO. (� I BLOCK TRACT��s,
fATTACF/ METES @ BOUN�S)
512E OF LOT ��� � Q I NOW ON LOT I
USE OF � NO.OF NO.OF
E%ISTING BLDG..L/�^ '>k�. Fwniu[! I ROOMS
SETBACK LINE FROM� �.: •� REAR VARD
CENTER OF STREET �! � L/ SIOE YARD �
DESCRIPTION OF WORK
BUILOING/^ /�q ^, NO.OF
61ZE �i V ✓ K/ ROOMS
E%TERIOR WALL • � t ROOF
COVERINO I COVEI
USE.DINGEW /a N!Ilil./ -
—._.-.-LICATION FOR PERMIT
BdJILDING
FOR OPFICE USE ONLY
I RECEIPT NO. I PERM
U'�� ��'�� -P���--�� '.I"
ILDING -
DDRESS �/f%��� IZ-
SCHOOL D15T. � � (�
OR TOWN Lj/ObI L
NEAREST I/ `
CRO55 ST. �O'�(A�
ZONE NO.OF TYPE GROUP
I PLAt15 I . \�
APPROVED ` � �(
BY DATE`� � �]�
CORRECTIONS
�4- o -0�
2 v�:.��/t, 1' � c.�-�.
! s�� A�'� i. P /y'. t'., � o
�: �i 'i 6 �'�.: ,�t . �
N�Ot.� -lu L�1TY oF L�.P1L�A �
IJ n (° M-�-. � A� �A u� f� '�f 1' a t�--
� n C . I.A -Z2-S"1�
� o �, i
FOUNDATION
I HEREBV ACKNOWLEDGE THAT 1 HAVE READ THIS FORMS.
APPLICATION AND STATE THAT THE ABOVE IS CORRECT UNOER-P
AND AGREE TO COMPLY WITN ALL COUNTY ORDINANCES FRAME: FIRE
BRACING
AND STATE LAWS REGULATING BUILDING CONSTRUGTION.
LATH. INT.
SIGNATUREOR/�Q� /y�D �j>��. � LATH.E%T.
PERMITTEF �/i � v
" / � 6 PLASTER.IN7
AUTHORIZED AGT.
LA6T l
PertwlT Fea f Jf Nq �p
VALUATION S P��q CHecK !
� ��� _, BOND BEAM
� TOTAL J
FEE FINAL
`�M ]�20-69
APPROVALS
fION I INSPEG'
ALS,
�
�'
. `.2 .
v:}.ri� ��
STREET
PLOT PLAN
Shcw location and distances from
property line and between buildings.
Do you carry Workman's Cemuensat5cry
InsuranceP Yes (� A'o '
L1 �
I an a5,3r.�c:" P: o�ie :or. 3i'C� nk
' the SL��'�
--Labcr Ccuu"�::._�i� i�•„�=:zir>�: �..,Ar�.��,plo�t'a�y'
to be i.-:,�ire! :•ain�� lia'.,ili.ty Por
�:�.
warkmen'.;;oLpensatio�, � .
;�ned:_ �v1'��92Q /�T/,7�_-
- --- — - — - _.�. _. _ _ . . �