HomeMy WebLinkAbout2803 FRANCIS LN - Building Permits� O `,' L AGOIIcant lo fill in all spaces exce0t ��ose wlthin �eavY DorGer Iines antl slgn all a00ropriate tleclarations.
CITY OF COSTA MESA CONSTRUCTION P IT � �M� � D TRACT NO. LOT NO. UNIT NO.
�i�i . � �,6J� A.P. � Zo�a
� Project Adtlress Z �-� �� C�s • ^ ^'So S Main Building: Accessory Building:
� � TYPE OF CONSTRUCTION NEW ADD TERATI N EPAIR E Z
ApplicaM's Mailing ddress � TH ��_ �pu`�j a� � T Front p
�p�� p �/ �CI� � ❑ CONVERSION ❑ DEMOLISH ��/
Owncr's Name �` rr M-�ta Phon - � DESCR ION OF WO F BLD��e—��j�'�� � A Rear N
Adari�s o G t . o M 6� ;.�� �-e161x�,S' '
TVPE OF PERMIT GRAOING FOUNDATION STRUCTURAL � C Righ� N
Arch/Eng. Licenx No. K G
Add�kSS � TENANT ❑ ELECTRICAI ❑ PLUMBING ❑ MECHANICAL g Left
�OTHER � PIn9. Ref. �W Perking Req,/Provided p
Contractor's Name Phone • E
PROJECT DESCF}IPTION � 5�. PT. OCCUaANCV Planning Notes: M
Addre551mailingl CONSTRUCTION TVPE VALUATION S � L1 jf' 6"�
T
City Licenze No. ZONE GRADING CU.YDS. ACRES S.
LICENSED CONTRACTOR DECLAf2ATION
1 hereby al/irm that I am licenietl untler provislons of Charter 9(commancing Remarks: � V. ��. �/�
with mctlon 7000) ot Dlvision 3 oi the Business antl Protessioni Cotle, an0
my license is in f WI lorce antl et(ect. ELECTRICAL FEES
License Class �icanse No.
Date Sl9nature PLUMBING FEES Auromatic Washer Transformer ❑ 15-50 KW
WORKE0.5' COMPENSATION DECLARATION Bar Sink Shawers ConstructiOn Pole Sub. ❑ 50 + KW
I hereby a/tirm tha� I nave a C¢rti/icate oi consent to 5¢If-insure or a ceriiflCatO
-' ,Workers' Compensation Insurance, or a certifieC copy thareof (Sectlon gackflow Preventer ServiceSink Cooking Unit Me(er ❑up to 100amps
0, Lab. C.) Dishwdsher Meter
dcy No. Company Backflow Irrigation Sewer f,ap ❑over 100amps
BCertitietl copy is hereoy turnishetl. � DryerS ❑Ga5 ❑Elecvic $ub Panel .
Certitied copy is lilea with the city auiltling Division. Ba[htubs Sewer Connection
Oate APplicant Fan
E%EMPTIONFROMWORKERS'COMPENSATIONOECLARATION Clarifiers $OIdfC011¢C[Of5 MOt0�5 0.1HP�l�h-8
(Tnis section neetl not be <ompletetl it the permit is for one nuntlretl (E300) or F.A.U.
iess�. Dishwasher Solar Piping Inc.Solar 9-15 HP �16�15+
I certity that in lhe peAormance of the work for which this perm�t Is Issuetl, I FixWres �
sball nOt employ any pe�5on {n any manner So az f0 become subject IO th0 Drinking Fountain5 $018� Tdltk MiC�OWZV¢
Workers' Compenzation Laws ot California.
Date Siqnature Floor Drains Swimming Pool w/Spa Oevice Bozes Pole Light
NOTICE: It, ail¢r making Ihis tlGclaratlon, you ShOWd becOme sub)ett l0 th0 Qu[IBtS Rdflg¢
Workers' Compensalion Owvisions oi [ne Labor COCe, you must forthwlth FIOo� Sinks Urinal
comply with Suc� p�ovlSiOnS o� tbi5 0¢�mit shall be Aeemetl rGVOk04.
CONSTRUCTION LENDING AGENCV GasService Outlets WeterClOsft SwitChes Sign
1 hereby atllrm that there Is a Conslruction lentling agency for the perlormdnCO -
of cno work ror wnicn tnlz permit is issuetl (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections
Lentler's rvame Generator �0.5 KW �5-15 KW
Lantler'z Aatlrezs Kitchen Sink Water Servite Tresh Compactor
OWNER BUILDER DECLARATION
1 hereby af17rT lhal I am axempt Irom [h0 ConVactOr'S Licensa Law io� lh0 Lavetories AULO�WBSh
Pollowing reason (Soclion 7031.5 Buslness antl Professional Cotle: Any tity or
county wnith reqWres a permit lo construct, alter, improve, tlemollsh or wpair P—Trep Laundry Tre'ys
any slructurc, O��or to il5 ItSuance, al5o require5 [he applicant �O� suth purmi�
lo /ila a si9noe ilatomenl lhat �e/she is Iicensetl pursuant to Iho Provlsions o1 RoOf D�ains
the Contractor'S License Law (Chapter 9(commencing wiih Sectlon 7000) oi
Division 3 ol tne Businass antl Professlons Cotle) or that he/she is exompt Reinspection Fee $15 Issue Fea $ 3
���erefrom antl lhe �asis for the allegetl exemption. Any violatlon o1 SocHon
t1.5 by any applicant tor a permit SUDjects tha applicant to a civll
alty ot not more tnan five huntlrCtl tlollars (5500). g 3 DEVELOPMENT SERVICES RE�UIREMENTS:
�I, as ownar ol tha property or my employees witn wa9es as thalr sole Rein3pBetion Fee $15 laue Foe ZOning Approved By Date
pollpBnsatiOn, will tlo t�C work, antl tho zVucture is nol Intentle0 or oiferc0 �
tor sale �Soction 7044, Business antl vro(essional Cotle: Tha Conlractor's MECHANICAL FEES Building Approved By �� Date� �� �
Licenu l.aw aoe5 nol applY to an owner ot a property who �uiltl5 Or Improves �� afGY/—f-f—LL.e
mereon, ana who aoes such work nimself/hersalt or tnrou9h hls or hor own goiler HOod or Type I ❑ APPlifation luued By � �� • � Dat _
emD�oyCeS, Provitletl lt�al such ImProvements ar8 nOt intenCetl Or Ol�eretl for i C
saie. 11, however, the ouiltlin9 or improvement is sola within one yaar o1 com- Cunopy Type II ❑ � SUMMARV S
pletloq tna ownar wili nave tha burtlen ot proving �e/she tlitl nol Dulltl or Im- Ducl - Under Ground
rove �or thc ourpase o� saie). BUILDING PERMIT $ SMIP $_�
� I, as owner o/ the property, am exclusively mntractlng with IlcenmU con- Dutt -Slrucmral Re(rigeretfon System P�AN CHECK $ PERMIT
tractor5 t0 ConSV uct U¢ ptojett ($Cction ]044, Buslne55 antl P�Ote55ion5 Cotle:
The Contraciar's Licensa Law does not apply to an owner oi property who Duct- Ventilating �0.100,OOOBTU ❑100,OOOBTU PLUMBING $ ISSUANCE $
ouiltls or imoroves tnereon. antl who convacts for such omietts with a r.on- ENERGY P.C. S
tractor(s1 bcense pursuan� ro[ne ConVactor's License �aw). I am aware lhat Exhaust System ❑ Multiple ❑ System Repair/Alteration PLAN CHECK 25% $
proo/ o( tn¢ir Worker's CompenvHon i ance shoultl ba provitlutl to mo. ELECTRICAL $ GRADING $
f�1 am eaempt untler Sectlon�— B. & P. C. �or tnis reason Firepl/FacL Blt. ICBO � Fire Dampers
-, PLAN CHECK 50°.6�.$` MICROFILM $ �
oate� � owner � Heating System & Ducting Registers MECHANICAL $ �_
I hereby ccrti y Nat I nave reaa t si po���ation antl stat �abova ❑0.100,OOOBTU �100,OOOB TOTALFEE $
inlormation is correct. 1 a9ree to com with all city antl county ortlinances PLAN CHECK 25% $ �
antl state laws relating to bulltling construction, antl hereby aulhorize repre-
5entative5 OI lhls c' t0 enl¢r u0on Ihe abOve-mentionetl O�operty tor
inspectlan os s. � \ � \ / C�
Signaturc �q M . +�iiA-o ✓ Date 6 "I —o
Drivers' License � 55 Reinspection Fee $15 Issue Fee $ 3 e `77 S �__h _
_ .y
0865-46, rev. 5/80 White - Builtling; Ca ary - Applicant; Pink - AccounUng; Goldenrotl - Assessor ,�'��° �%�� , �. .% ` :,,y' . , , �-
CONSTRUCTION ANDPLANNING P��� °A " �
� Date Inspector � Date Inspector
APPRCL�%ALS Permit # APPROVALS Permit # �
1. Temporary Electrical Service or Pole - 52. Pool & Equipment Locaiion
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement �
i
3. Elec[rical Conduit Utility-Undrgmd. 54. Forms '
4. Electrical Conduit-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 Concluit-Undrgrnd. �
8� Foundation 59. Gas Pipe, O Undrgmd., Test -
9..Wa[Br 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. Rouyh Electric Wiring „_ 67. Fencing & Access Approval
.77. Rouc]h Wiring Sign ? 68. APPROVED FOR PLASTERING
�98. Rough Electrical-T Bar Ceiling_ 69. POOL/SPA SYSTEMS FINAL
.19. Rou9h fieating & A+r Conditio�ing FIRE DEPT. REQUIREMENT
20:�Rouclh�FactoryFireplace-�;�•�'. APPROVALS Permit#
21. Ducts, in Structure' • 70. Underground Hydro
-.i .
22. Ducts; Ventilating .j �"� 77. 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 Chemical
27' FJame and Flashing , • 76. Dry Standpipe
28. Lathin9 & 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. Elettrical Power`Meter-Final �.' 80. FOOD CERTIFICATE ISSUED
33. Final Electric � ` - �' Notes: ,.yvKG^ !L 06 !`l �
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy �
37. Final Factory Fireptace
38. Final Plumbing
39. Water Service-Final ,
40. Gas Service-Final �
47. Solar pomestic-Final •
42. Backflow Preventer �i� � +'
`'.
43. Backflow Irrigation . �
i �
44. Landscape Irrigation SYstem � ����
45. Sound Attenuation � � �
46. Handicap Regulations ,'
47. FINAL STRUCTURE & BUILDING �'I �'
48. Special Requirements Campleted
49. Electric Release to Edison -�
50. Gas Release to Southern California Gas Co %; '
51. CER7IFICATE OF OCCUPANCY '
No. Date '� .' / 1' .
.
• �_�LYII �
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COHTA MEBA. GLIFORNIA
For Applieanf io Fill In Complefely
YYPE OR PRINT '
BUILDING
ADDRE55 �[ IIC�B LflC@
COSTA MESA CALIFORNIA
ADDRESS 380� ,F.• C088C H�S7.bV8�_ _
arr Corona del Mar NobB 34220
ORCENGE EER j`J$CCO C.OL OI8t�0A NO`DR 34220
AO�RESS COSSC H� IiVB "'
CONTRACTOR �$CCO CiOY oration
ADDRESS
cm Corona del liar
STATE TEL. �
LIC. NO. NO.
S2E ��� _/a O� I NO. OP GLDii. �
LANB iROM J
�p arnEEr �O - I jl REAR YARI
RD I LEFf �] ' I RIGHT S
DESCRIPTION OF WORK
BUILDWG
312E
EXTERIOR
COVERING
UQE OF BI
r,
NO. OF
�oEc 9 �rsst� -
L o y' 9' 3, f't 9%v '���� 8��_
i:l!.� ,
APPLICATION FOR PERMIT
BUILDING
For Office Use Only '
PECHIPT NO. PCNMIT NO.
�`-
� �����n
RECEIVHJ7 !Y qA REC6IVEp DA'f!'ied'ueT
/f"� I /�—%-G'�'I Fle�+n n �ocnr,
�DRES6 2803 Francis Lane
COSTA MESA. CALIFORNIA
FIRE
ZONE
APPROVED
BY
ZONe
R-1
�eew�
ZONING
NO.OF I USE OP NEW
PlANB 7 BUILDINO__/
YAROS
APPROVED
/ (ClNT6R LIN[ �T.1
�
�
EVES
u
. 1GYy.
HEREBY KNOWLEDPB THAT I X�V6 RH�D TXIB APPYGTION }X6 AMOUM BHOWN UNO¢H V�LUATION IB POR TM¢
ND 9TAT HAT THE ABOVE IB GORN6GT AND IiPe TO-CON- � pUliP096 OP 68TA9LI6HING A P6PMIT Fee ONLY.
PLY WITH /1LL CITY O IN CE9 AND HTATB LA RHOULATINO
9U�LOINo coNe'rttuf.Tl N. . VALUATION
SIGNATURE OF PERMIT FEE $ ��8"i
PERMITfE
� � S 1� pQ �. � PLAN CHECK S � g• OZ
AUTHORIZED AGENT
TOTAL FEE O'