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HomeMy WebLinkAbout1696 PALAU PL - Building Permits • Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. -" ..1 CITY OF COSTA MESA' PERM NO. TRACT NO. LOT NO. 'BLDG.NO. - -r 4js '. CONSTRUCTION PERMIT P�353 ! `- Project Address /6 96 p/94.96, L . q ` TYPE OF CONSTRUCTION _ • ,ylf` Owner V L)r R Sc... Phone97?2S3 7 ❑ NEW 0 ADD ❑ALTERATION /1 ' 672(1 10/13/W ! j6e00 }y. Address SE.L... _-e s 0 REPAIR 0 CONVERSION ❑DEMOLISH `/ Y ZONING REGULATIONS Arch/Eng. License No. ❑OTHER - - . . Address DESCRIPTION OF WORK A.P.* * Contractor / - / / ZONE• , PLNG. REF. (l, _ Sys 1 Phone . TYPE OF PERMIT SETBACK Cil.ST. TO BUILDING PROPERTY LINE Address '7 SC)/ •••.- 0 GRADING 0 FOUNDATION 0 STRUCTURAL SIDE YARDLEFT LICENSED CONTRACTOR DECLAR• ION 0 TENANT 0 ELECTRICAL Ird'p LUMBING ❑MECHANICAV SIDE VANE) I hereby affirm that I am licensed under provisions of Charter 9 (corn- RIGHT mencing with section 7000) of Division 3 of the Business and 0 OTHER Professions Code and my license is in full force and effect. REAR YARD(TO P/L) PROJECT DESCRIPTION License Classp ,p-7,� cense No PKG.SPACE REQ. PROVIDED Date /0-R 1/ Signature d +`r SQ'FT' K WORKERS'COMPENSATION DECLARATION OCCUPANCY` AW�NST- CTIT111 T�Np E STREET WIDTH • PARK FEE$ I hereby affirm that I have a certificate of consent to self-Insure or a �'� f1 �— -?ON4NG APPROVED BY DATE certificate of Workers' Compensation Insurance, or a certified copy VALUATION 20N ,it Policy Nthereof o n. "800'Lab. C.). GRADING GRADING CU. 55. . 1a. ACRES 1 SPE IAL CONDITIONS: VII t1 r• II • 0 Certified copy is hereby furnished. REMARKS: (� 1 --Certified copy is filed with the city Building Division. "/QJ 1�-a - • EXEMPTION FROM WORKERS' COMPENSATION te forDECLARATIONonehundred rl A l E Z. Q (This section FR not completed the permit is for one tl ✓✓7r'-ii r I cercior leu 1. certify that n the performanceof-the work for which this permit Is r— Issued, I shall not employ anynyperson in any manner so as to become PLUMBING- ' PLAN EIEC EL CTRICAL PLAN CHECK Subject to the Workers Compensation Laws of California: -•�„U tLLING GA RAfaE Date Signature BATHTUBS SHOWERS 5 .FT So FT NOTICE: If after making this declaration, you should become subject TOILETS URINALS GENERATOR 0-1 KW_1-10 KW ' to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER . forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS APPLIANCE 10-50 KW 50+ KW revoked. KIT.SINKS DISHWASHERS MOTORS CONSTRUCTION LENDING AGENCY 0-1 HP 1-10 HP I hereby affirm that there is a construction lending agency,for the per- SERVICE SINKS SUMPS 4 frey.fkk (INC.SOLAR) 10-50 HP 50 + HP formance of'the work for which this permit is issued (Section 3097, ' - Civ. C.). FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES Lender's Name Lender's Address DRINKING FOUNTAINS GAS TUBE SIGNS OWNER BUILDER DECLARATION \ INTERCEPTORS CLARIFIERSPOLE LIGHTS t I hereby affirm that I am exempt from he Contractor's License Law for • - the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL P TRAP LUNSI RVI.I IUN Any city or county which requires a permit to .construct, alter, POLES METERED SUB improve,demolish or repair any structure, prior to Its Issuance,also re- WATER SERVICE ALTERATION PANELS MAIN - SUB quires.the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions-of the Contractor's License Law GAS SERVICE OUTLETS SERVICE AMP (Chapter 9 (commencing. with Section 7000) of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the WATER HEATERS BTU OUTPUT / 3 00 I basis for the alleged-exemption. Any violation-of Section 7031.5 by _ any applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS of not more thanfivehundred dollars ($500). - ' ' . ❑ I, as owner of the property,or my employees with wages as their SOLAR TANK COLLECTORS sole"compensation,Will do the'work, and the structure is not Intended - - . - -- or offered for sale. (Section 7044, Business and Professions Code:The SOLAR PIPING SYS. ISSUE FEE Contractor's License Law does'not apply to an owner of a property who builds or improves thereon, and who does such work himself or ISSUE FEE -3 co APPLICATION APPROVED BY DATE ' through his own employees, provided that such'improvements are not - Intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK SUMMARY OF FEES is-sold within one year of completion:the owner will have the burden - - - - - - of proving he did not _build or improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU BUILDING ❑ 1, as owner of the property, am exclusively contracting with PERMIT $- SMIP $ ' AND DUCTING (Section contractors to construct the project 7044, Business _ 100,000 +BTU PLAN CHECK $ PERMIT and Prwn r of t: Theor Contractor's License Law does not apply to - ,� ISSUANCE $ an orr of property who builds improves thereon, antl who con- REFRIGERATION 0-100,000 BTU PLUMBING $ •� tractsC from such projects with a contractor(s) licesned pursuant to SYSTEM GRADING $ "' the Contractor's License Law). _ 100,000+BTU _ - PLAN CHECK $ - ❑ I am exempt under Section _ - --- B.& P.C.for this - $ reason - BOILERS - BTU - _ ELECTRICAL $ - MICROFILM $ • SYSTEM REPAIR,ALTERATION PLAN CHECK $ Date Owner - '" - TOTAL FEE$ �' I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE MECHANICAL $ - information is correct. I agree to comply with all cityand countyPLAN CHECK $ VANESS EAPC VANCE PC $_ ordieand state laws relatingittoonconstruction,and hereby authorize representatives sofp this city to enter upon the above mentioned • l property foF 'Insp tion pqr sec. - - V Signature _.a ,-✓-rRYI Date IO -R-1/ - FINAL FEE (j CO- Drivers' License or SS ISSUE FEE 'CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor • CONSTRUCTION AND PLANNING APPROVALS Permit# Date Inspector POOL & SPA _ APPROVALS Permit# , ` Date Inspector ,J, Temporary ElectricallSerYice or Pole 43. Pool & Equipment Location 2. SoilPipe-Undrgrn 44. Steel Reinforcement 3. Electrical Conduit tility-Undrgrn - 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding ' 5. Steel ein orce 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn 48. APPROVALTOCOVER-GUNITE 7. Footings 49. Electrical Conduit-Undr rn B. Foundation - - -50. Gas Pipe, ❑Undr rn,Test 9. Water Pipe-Undrgrn 51. Backwash Lines P -Trap,❑ Undrqrn' 10. Structural Floor System 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. Backwash & Receptor -Final 12. Street Sewer Connection - 54. Heater & Vent -Final 13. Rough Plumbing _- - - - 14. Rough Electric -Conduit X56. Electrical -Final ' 15. Rough Electric -Wiring -- 57. Solar System -Final • 16. Rough Heating & Air Conditioning Fencing & Access Approval 17. Ducts, in Structure 9. APPROVED FOR PLASTERING - 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL - 19. Gas Pipe -Rough & Test 20. Roof Framing 21. Roof.Sheathin - _ NOTES: - 22. Frame and Flashin 23. Insulation - - j - Ae 24. Lathing & Siding i 25. Drywall Nailing - - - 26. Plaster Brown Coat i • 27. Electrical Power Meter -Final - - 28. Final Electric 29. Final Heating & Air Conditioning ' 30. Final Gas Pipe -Test 31. Final Plumbing 32. Water Service -Final 33. Gas Service -Final - 34. Solar Domestic -Final 35. Landscape Sprinkling System 36. Sound Attenuation '- 37. Handicap Regulations,.) •�-- -- 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed " 40. Electric Release to Edison - 41. Gas Release to Southern California Gas Co. -- - - - 42. CERTIFICATE OF OCCUPANCY No Date X1312 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 317 COSTA MESA. CALIFORNIA I f0R APPLICANT TO A[L /N COMPLETELY' TYPE OR PRINT 'BUILDINGADnRrqq 1696 Palau Place BUILDING S=EE RECEIVED 'JAN 2110'0 V u FINANCE DEPT. Cin OF COSTA MESA APPLICATION FOR PERMIT BUILDING COSTA MESA. CALIFORNIA _ _' FOR ONCE USE ONLY OWNER Kenkol Development Co. jIIc+. No. RECEIPT NO. 1 �VI ^y'P6�R{NIT.? 1555 Placentia RECEIVED BY D TE RECEIVED JANE ISSUED AMAILDDRESS a a 7-6 z 1 Newport Beach TIELL. BUILDING CITY - ADDRESS ARCHITECT LIC. COSTA MESA, CALIFORNIA OR ENGINEER NO. FIRE ADDRESS ZONE TYPE GROUP K. W. K011 61195 APPROVED CONTRACTOR W • LCT NTO. BY DATE a 8 �^^+s5en ADDRESS a Or 'DeaCi ZONING LEGAL I LOT �j n 3529 ZONE NO.OF _ USE OF NEW 7 DESCRIPTION NO. 3 i BLOCK TRACT PLANS Y / /BUILDINOiJ APPROVED Illy Y i A.P. NO, BY [ 44T/-�" I :DATE SI o VSR8ic80 irreg O YARDS EVES LOT NOW ON LOTS REQUIRED ALLOWED USE OFNone (CENTER LINE ST.) _nn EXISTING BLDG. FRONT � L'FT. IN. SETBACK LINE FROM [O 1 291 CENTER OF STREET REAR YARD R. SIDE FT. IN. of 1 - I p I 12.81 91FT. SIDE YARD LEFT O RIGHT L. SIDE IN, DESCRIPTION OF WORK REAR � FT. IN. Y NEW, IX II ALTERATION I II ADDITION REPAIR I II MOpVING I I DEMOLISH I IE DING 18o0 6 1 SZbl ROOMS STORIES EXTERIOR WALLLS ROOF Rock COVERING 17tu()(i0 COVERING USE OF BUILDING AND WORK TO BE PERFORME❑ ,in 1 - it A s-ience and Attached Garage I HEREBY ACK LEOGE THAT 1 HAVE READ THIS APPLICATION ' THE AMOUNT SHOWN UNDER VALUATION IS FOR THE . A._ S O ANO STAT. AT HE ABOV 6 CORRECT AND AGREE TO COM PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CIT C STA LAWS REGULATING 5`"LDINGIEONS R CTION. VALUATION SIGNATURE OF - PERMIT FEE S �R PE RM ITTE / 3 . PLAN CHECK S ��g� $ TOTAL FEE 5 -5^7'� AUTHORIZED AGENT Z . LU U Z Za F - am J0 J Ln co m J J Co Q Z< W LY tl W W JO mZ J � W W ZI.- U.1 0 WO N 0 70 32154 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 A1111,10-70Zp$A00 455 d1z****5.00 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely REVEj-V Ej}BV i//•w'iG DATE RECEIVED DA EISSV ED Qn Ml-lgo LS —ADDRESS /) OWNER%%%/CHS �/j�D�s A.P. NO. PERMITN PE / n n// y� `, AMAILDDRESS/(07 A4t-' '( �L� BUILDING ADDRESS .s-.� A, /r Q �O5/J/ TRACT F LOT BLOCK CITY /'I ciJ/5 NOL Q -Q W AD CONSTRUCTION w,v� �r LENDER BRANCH OWNER ADDRESS '� / VALUE ARCHITECT TEL. S C�G�✓ $� OR ENGINEER NO. FIRE ADDRESS ZONE TVP ROUP APPROVED CONTRACTOR BY DATE ADDRESS TEL. ZONE, NO.OF USE OF NEW CITY NO. kw PLANS BUILDING STATE CITY YARDS APPROVED VARDSAPPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING SIZE NO. OF SLOGS. (FROM C/L STR ET) OF LOT NOW ON LOT / FRONT FT. L- FT. USE OF EXISTING BLDG. R. SIDE,FT. FT. SIZE OF NO. OF NEW BLDG. ROOMS STORIES L. SIDE FT. FT. EXTERIOR WALL ROOF COVERING COVERING.CJ REAR FT. U$J�1F U LDI =N� RK Tt�B PTEj FOORMEO (/z/ �/�-� IBLDGS. / • MDISTANCE AIN BLDGST ACCESS. VAR.* DATE C.U.P.# APPROVED APPROVED D-2 0 I hereby acknowledge that 1 have read this application and state that the above information is correct and agree to comply with all laws regulating building construction, and I shall not employ any person in violation of Ma workman's compensation laws of the State of California. I hereby certify that I am properly licensed az a contractor under SD. FT. THE AMOUNT SHOWN UNDER VALUATION IS FOR the State of California Business and Professions Code, Divisicn 3, Chapter 9, and that such licenses are In full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. em e.empt from the provisions of the State of California Business Professions Code, Division 3, Che tar 9. VALUATION and L5 PERMIT FEE $ / �� Signature IV — Permittee S V500 PLAN CHECK $ Authorized Agent CZ .6—OP TOTAL FEE $