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
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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 $