HomeMy WebLinkAbout3040 GRANT AVE - Building PermitsAOC���ant to till in all s0aces exceDl I�ose wit�in �eavy Gortler Iines an0 sign all aoVroo��ata Ceclarations.
CITV OF COST,/A �M��A�c�dR41CTMION PERMIT
Project Address � /� p VE
Applicant'sMailingAdd`ess �O� �}eX '37/ o
Owner's Nameo O �df -1J�L Phane f
Addrea � R�—
Arch/Eng. License No.
Address C /� (�
Cont�actor'sName�.J.(1t.'I�L{�—{��9f1.��� Phone$�'��%
Addresslmailin9l-��'Z�� 1 �fnab.,co CT . 92L'��
City Licenw No. • �'
LICENSED CONTRACTOR OECLARATION
I hereby allirm tnat I am IlcenSeC untler provislons p� �parter 9(commantin9
with section 7000) ol Divislon 3 of tne Buslnass antl Professlons COCe, antl
my license is in lull force antl eilect.
License Class � �-��e�ze o._
� Date��i-$�- Signature � �
� WORKERS' COMPENSATION CLARATION
� I hereby atlirm that I hdve a certifi<d[< Of consent to 5¢It-insute o� a certifitdte
� Workers' Compensation Inzurance, or a c¢rtitige cooY t�ereof (Section
0, Lab. C. � '� q�
r` ulicy No. �f0-2-I-O--- Company - .Q �E ��/r�
�Certifie0 copy is hereby turnishetl.
cer ifietl cooY is filetl with tne city Builaing Di�isi n. '
o,�e %—�6 ^8� Aoau�a�c unP. ��- Rod F�
E%EMPTION FROM WOFKERS' COMPENSATION DECLARATION
(Tnis section need not be tompletetl if tne permi[ iz for one huntlretl (y100) or
less).
I certify [hat in lhC Pe�b�manCe Ot Ihe wo�k tar whi<h this pe�mi( i5 i55uetl, I
shall not employ any pe�Son in any manne� SO as t0 become subjec[ to the
Wo�ker5' Compen5ation l.awz OI Calitomia.
Da[e Si9nature
NOTICE: It, a/ter making this tleGlaratlon, you ShOUItl become Sub)ect [o [he
Workers' CompensaUan proviilons oi the Labor Cotle, you must fortnwith
comply with sucb orovisions or this permlt shall be tleemea revoketl.
CONSTRUCTION LENDING AGENCV
I hereby allirm that tnere is a consl�uctlon ICnOing aqency for th0 Perto�manc¢
o( tha work tor whicn thls oermit is issuetl (5eoilon 3097 Civ. C.)
Lenaer's Nama
lentler's Atltlress
OWNER BUILDEH DECIARATION
I hereby affi�m Inat I am oxempl irom tbo Conlractor's License Law for the
following reason (Seclion ]031.5 Buslness antl Protessional Cotle: Any ci[y or
counly whlGh requires a p¢rmit lo ConStruct, alt¢r ImprOve, tlemoli5h or repolr
any structurq prior to Its issuance, also reqWres t�0 applicant lor such permit
to file a SignCtl StdlCmenl thal he/She Is IICenSetl pyrSudnl lo lh¢ provl5ion5 Ot
tne ConVactar's LicenSe Law (Chapter 9(tommenting witn Sottion 7000) of
Division 3 0/ lhc Busine55 antl Prote55ion5 COtle) or tilat ha/Sh0 I5 e%empt
`^re/rom antl the basis br the allegetl exompHon. Any violation ot Sectlon
'1.5 by any appli<anl lor a pe�mi[ Subjecti Ihe applitant to a clvil
nity ot nol more lhan �Ive huntlretl t1011a�s (5500),
��I, as ownor ol tho prooerty or my omployaos wllh wagos as thoir sole
compensation, will tlo tne work, antl lne Slrutture i5 not intentletl or of(eretl
lor sale (Section 7044, Business antl Professional Cotle: The Contractor'S
License Law tloes not apply lo an owner ot a proOeYry who bulltli or improves
lhoreon, antl wlto tlo¢5 such wO�k himself/harsell o� lhrOugb ttit or hC� own
employees, provitletl Ihal SucM1 improvemmts aro not intentletl Or offeretl tor
sale. It, bow¢vlr, lhe DUIItlin9 Or Imp�oveTent IS SOItl withln one y0a� ot com-
pletiOn, In¢ Ownar will hav¢ Ihe burtlen OI proving he/Sbe tlitl nOt builtl Or Im-
prove ior lhe purpose of sale).
❑ I, as ownet ol the OrOperty, am ¢Xclusivety coqVacting with IlcenSltl con-
IraGlorsto Constructt�e projeGt ($ectiOn 7044, BuS�nesS dntl PfofeSSiOns Cotla:
The ConVactor's License 12w do¢s not apO�Y t0 8n Owner Oi prope�ty wh0
builds or imorovez thereon. antl wno contracts lor zucn oroiects wilh a r.on-
Vactor�sl I�cense pursuam ro[ne Convattor•s Lice�� ��y). 1 am aware tnat
proot o� lheir WOrker's COTp¢nsatlOn InzuranCe bhoultl ba p�ovltletl to me.
❑ I am exempt unaer Sectlon B. 6 P. C. for [his reason
Date Owner
I here0y certify that I have reai
inlorma[ion i5 correct. I agree to
antl state laws relating to builain
SBOtdI�V25 Of 115 CIIy IO COICI
inspection r a es.
Signature '
Drlvers' icense or 55 $ —
.. ..,. �'1 ....._..." __._'. .,.......,. A.P.�W
TVPE OF `ONS R 1CTION NEW /�DD ALTERATION REPAIR S Main Building:
❑ CONVERSION ❑ DEMOLISH ❑ OTHER • T Ffont
DESCRIVTION OF WORK/USE OF BLDG. A Rear
TVPEOFPERMIT GRADING FOUNDP.TION STRUCTURAL � C Right
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL g Left
❑ OTHER � Ping. Ref. #
PROJECT DESCRIPTION 50. T. ���0 OCCUCANCv
+--- Planning Notes:
CONS TI TYPE VALUATIONS ��OO. OO
ZONE�_ GRADINGGU.YDS. ACRES
Remarks: Q�r...�� Cv.�.%. �__ Qan�n�/� GLL _ L C %in..G.
Sink
Preventer
Irrigation
Drinking Fountains
Floor DrainS
Floor Sinks
Gas Service
Interceptors
Kitchen Sink
Lavatories
P-Trap
Roof Drains
Reinspection Fee � 515
Boiler
Duct- Under GrOund
Duct - Structural
Duct - Ventilating
Exhaust System � Multiple
Firepl/Fact. BIL iC80 dk
Heating System & Ductin
❑4100,000 BTU 0,000
Reinspec[ion Fee � $15
,
0865-66, rev. 5/88 white � Builtlin9: Canary - qpppcant: Pink - AccounHng; Goltlenrod - Assessor
Shawers
Service Sink
$ewer (:ap
Sewer Connection
Solar Collecto
Soler Pi ' g
�Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
water Service
Auto-Wash
lauo Fee
Hood or Type I
Cenopy Typel
70.��,OOOBTU ❑100,000
r
'rysrem Repair/Alteration
Fire Dampers
Registers
Issue Fee
ES �+utomatic Washer
Construction Pole Sub.
Cooking Unit
Dishwasher
Dryers ❑Gas ❑Electric
Fan
F.A.U.
Fixtures
Device Boxes
�UIIQLS
Switches
Garbage Dispo
S 3
FEES
$ 3
Zone
ACcessory
Perking Req./Provided
ELECTRICAL
Transformer � 15�50 KW
❑ SO+KW
Meter �up to 100 amps
Meter ❑over 100 amps
KW LI5�15 KW
Sub Panel
Motors �41 7'h - 8
Inc.Sol 9�75 HP 016-75+
�owave
Pole Light �
Range
Sign
Standing Sections
Trash Compector
� Reinspection Fee '$15 I � Issue Fee
DEVELOPMENT SERVICES REQUIREMENTS:
Zoning APProved By
Building Approved By
Aoolication Issued Bv
FEES
$ 3
O
N
I
N
G
H
E
�
M
T
S.
SU ARY OF FEES �
BUILDING PERMIT $ SMIP 4
PLAN CHECK $ PERMIT
PLUMBING S ISSUANCE 5
PLAN CHECK 25% 3 ENERGY P.C. $
ELECTRICAL $ GRADING $
PLAN CHECK 50% $ MICROFILM S�
MECHANICAL $ TOTAL FEE $
PV1N CHECK 25% $
4: 90^�6�iq--^�J=_�r'� �'�� _ .
L.:TC: .,'Zii.:S T:..� .. _.
� ` 1 1 t
CONSTRUCTION ANDPLANNING ` POOL �A
APPROVAC�S Permit# _ Date' Inspector AppROVALS Permit# Date Inspector
1. Temparary Electrical Service or Pole 52. Pool & Equipment Location
�
2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement '
3� Electrical Conduit Utili[y-Undrgrnd. � 54. Forms
4. Electrical Conduit-Und.rgrnd. 55. Electrical Bonding
5. Steel Reinforcement ' 56. Rough Plumbing & Pressure Test �
6• Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE .
7.'Footings , : �•��� 58. ElectricalConduiDUndrgrnd. �
8. Foundation �. �-, 59. Gas Pipe, � Undrgrnd., Test .: �7
9. Wa[er Pipe-Undrgr.nd. �- � � 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 i-
13. Roof Drains 1 • ' 64. Plumbing System - Final '
74. Rough Plumbing' :, 65. Electrical-Final
15. Rough Electrical-Conduit - 66. Solar System-Final
�16. Rough Electric Wiring . 67. Fencing & Access Approval
,77. Rough Wiring Sign _ 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceilin'g 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace , APPROVALS Permit #
2,1. Ducts, in Structure . 70: Underground Hydro .
22. Ducts,Ventilating � ,•71. ProductPiping�Gas ❑Oil .�
23. Gas Pipe-Rough & Test � ,' 72. Underground Flush
24. Roof Framing �� � , 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing �. • 74. Overhead Hydro �
26. T-Bar Ceiling (Struc[ural) & Monocoat � 75. Dry Chemical �
27. Frame and Flashing . 76. Dry Standpipe �
28. Lathing & Siding -i 77. FIXED SYSTEM FINAL
29. Insulation � � ' 78. FIRE 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
r
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING / J� � ' .
r
48. Special Requirements Completed '
49. Electric Release to Edison j . ;
50. Gas Release ro Southem California Gas Co '.
57. CERTIFIC TE OF OCCUPANCY -
_ ,
No. Date _ '
Lor 3 �
, :�,�:�,�.�.-�ti
COSTA MESA BUILDING•SAFETY DEPARTMENT
P. O. 80% 917 COSTA MEHA. CALiFORN7A
For Applicanf io Fill In Complefely
TYPE OR PRINT n
COSTA MESA. CALIFORNIA
� ARCHITECT
LIC.TNO. O I I NEO. r'i � O- 2z
neEnr7n� x 99.�1 � IRREG. I.�.�G.��..��ra�
BeT6ACN LIN6 P0.0M �•1� � 'Z'Z I
CENTHR OP BTR681 44 REAR YARD
SIDE YARD I4EFT �'� �H�� I RIGNT �0��
DESCRIPTION OF WORK
� BUILOING
ROOP �.OMPO�tjl$�"[
ICLO COVERING SHI�
AND WORK TO BH PERFORMED
r�rctt,ti�tu
SEP 271961
fINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
°i' Y14" BUILDING
Yiw� . d'- 4 o r
For Office Use Only
RECEIPT NO. P6RMIT NO.
BY
HUILDING
COSTA MESA. CALIFORNIA
FIRE
ZONING
ZONE O�� I Pu 9F � I BUILDING (,V/� y
n � .,
�a�o,..,,.0 h�.� 37 TR y 2. 3 L
BTJ
sr
S
�y
ZZ� fi
APPROVED
f��
PLAN No. zB U
I HHR6BY AGNNOWL8O08 THAT I MAVB PBAD TNID MPLIGTION }HE AMOUNT BHOWN tINDEH VALUATION 19 IOH TH8
•ND 9TATE TMAT TH8 A90VH I6 COflRBR ANO AONEB TO COH- pV1iP088 OR 66TA6LIBHINO � PepMIT PHe ONLY.
pLY WITN ALL GiY ORDINANC89 AND BiATH LAWB P80ULATINO
eu��olNo CONBtMurnoN. VALUATION
81GNATUR6 OP � �G` PERMIT FEE S .��
PERMITTC ^r
. 3/ J �� PLAN CHECK $ I� .J �
AUTHORIZE� AGENT _ � � �;