HomeMy WebLinkAbout1982 PELICAN PL - Building Permits Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. ' 1,
CITY TMESA PE$,- {V O. �� TRACT NO. LOT NO. BLDG.NO. • 510 6 • 6�055�82 . 6.00 TL
CONSTRUCTION• PERMIT to 47/!]� �) •
Project Address/W2 .l� �� ) .S-2,4 s .,
ice. TYPE OF CONSTRUCTION 1
,-Owne7722-.4�"Yi - .�Phone-3-+4 0 NEW 0 ADD 0 ALTERATION • - . . '
, /,
Address �4� �)P ' t ,, s � •- , ❑ REPAIR 0 CONVERSION 0 DEMOLISH
_
ZONING REGULATIONS • - -
Arch/Eng. - . . License No. . . 0 OTHER
Address •
_ _ DESCRIPTION OF WORK _
T ZONE• -PLNG. REF: .
-
Contractor /f// / Phdn - ��j TYPE OF PERMIT. - - - - •
Tp gt�l INC -
r"" ' 2.,,,./24.-• ry SETBACK('JL ST. PROPERTY LINE
Address ss/J U..4�74 t.! /�6��,_ _ftette-a-,4��❑ GRADING 0 FOUNDATIONS- 0 STRUCTURAL �S II YARD - '- -
LICENSES CONTRACTOR OECLARAIION_ ❑ TENANT ❑IELECTRICAL ❑PLUMBING ❑MECHANICAL! SIDE YARD - -- -
I hereby affirm that I .m licensed undMM provisions of Charter 9 (corn, . RIGHT
mencing with se o 7000) of Division 3 of the Business and. ❑.OTHER' REAR VAROP -
Professions Co.„44 - d • ens: I In full forcercand of -c (TO /U - - +
License Clas �+ "mss' ce-seaYul / PROJECT DESCRIPTION. __ - - PKG.SPACE REQ. PROVIDED.--- - -
Date ./. e Signature • •laA--• SO.`FT. - -. - - . _ _ -
--
WORKERS'C• PENSATION DECLARATION -
OCCUPANCY-CONSTRUCTION TYPE I STREET WIDTH - PARK FEE $-
1 hereby affirm that I have a certificate oft nsent to self-insure or a VALUATION - ZONE ZONING APPROVED BY 'DATE
certificate-of Workers'. Compensation Insu ce, or-a-certiiletl coy - - '_ SPECIAL CONDITIONS:
thereof (Sec io�380 Lab. C.). • I GRADING CU.UDS. -ACRES
,..,act. No .•�� Co mPanY a--C".ik
t�W _ - _
^ertl co is hereb furnished. L REMARKS: •_" ',
'v,„` __ Pt._.- Y __ _ _ - . _ _ _. _ . . . . - __ - _ _
rtl fled copy is filed with the city Building Division. , .,.
EXEMPTION FROM-WORKERS' COMPENSATION DECLARATION - - - - - - - - -- - -
(This section need not be completed if the permit is for one hundred t• _
($100) or- lessl. . _ _ _ -_- _-. .. -_ -... - . _ - •• _ . - -..
Certify that in the performance of the work for which this permit is
issued, I shall not employ any-person In any manner-so as to-become PLUMBING-at•„-„ -- ,PLAN CHECK-- • - - ELECTRICAL - PLAN'CHECK-,:' -”- - - -
subject to the Workers'_Compensation Laws of California. - _ - _ UW tLLINI _ UMHHGL - •
-
Date s Signature - BATHTUBS ' - ”- SHOWERS '" •
SQ FT SO FT -. - -
NOTICE: If after making this declaration, you should become subject. . TOILETS URINALS - -- - - - ' - - -GENERATOR- 0-1 KW_1-]0 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 LAYS - -- • -APPLIANCE' 10-50'KW_50'+ KW- - --
revoked. - _ • _ _ _ -
_
CONSTRUCTION LENDING AGENCY "' KIT:SINKS- rDISHWASHfc R5Th i;jal ' MOTORS--• -• -04 HP 1'10 HP - "- -;- ' --
I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS SUMPS- - - - " - - . -t(INC.SOLAR)--10-50-HP=--50-+ HP- ---- -- - - - - - -
formance of the work for which this permit is issued (Section 3097 - -
Clv. - - - - -_FLOOR SINKS" ' FLOOR-DRAINS ' - - - FIXTURES "' -OUTLETS- ' SWITCHES . - " ' - ' "
Lender's Nagle - _ _ - - - _
•
-' ' DRINKING•FOUNTAINS- -, - - - GAS TUBE-SIGNS -- "'
Lender's^Adores's
OWNER BUILDER DECLARATION - - INTERCEPTORS - - CLARIFIERS - POLE LIGHTS - "- ' ----- - -- -- ,• _l
I hereby affirm that I am exempt from the Contractor's License Law for -
the following reason_(Section.7031.5 Business and-Professions Code: -SWIMMING-POOL - P TRAP - - • -- - - LOINS I HUL win
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- - r - -PANELS MAIN,- - - SUB -' - • '
quires the ap:licant for such permit to file a signed statement that he -
is licensed pursuant to the provisions of the Contractor's License Law- GAS SERVICE SERVICE - - ----AMP • - - - I
(Chapter 9 (commencing with Section 7000) of Division 3 of the _ ' __ __._ _ _ _ - -
•
,
Business and-Processions Code).or that he is exempt therefrom and the -WATER HEATERS - BTU OUTPUT
b' for the alleged exemption. Any violation of Section 7031.5 by s - - _
a P - - ' . .- ' - --- - - - '
c : more than live hundred dollars ($500). 'Docent for a permit subjects the applicant_to.a civil.penalty - SEWER-CONNECTIONS -- - -
❑ 1,•as owner of the property, or my employees with wages-as-their SOLAR TANK- • COLLECTORS- - - - - -- -' - -' -- ' - - r
sole compensation, will do the work, and the structure is not intended - '
or offered for sale. (Section-7044, Business and Professions Code: The SOLAR PIPING SYS. - -- - ', ISSUE'PEE - - - - - - -' - - -
Contractor's License law does not apply to an owner of a property - '
- - -- -APPLICATION APPROVED BY DATE-
wM10 builds or improves thereon;and who does such work himself or ISSU E'FEE O
P / ,
Intend through his own employees, provided that such improvements are not - - y__-- _ - - - I
intended onedear sale.-if, however, the building or improvement MECHANICAL - PLAN CHECK -
SUMMARY OF FEES
is sold within year of completion, the owner will have the burden • _
01 proving he did not build-or Improve for -the purpose of-sale). HEATING SYSTEM 0.100,000 BTU PERMIT O• __ __ __ _$ SMIP. „•$
❑ I, as owner of, the, property, am exclusively contracting with AND DUCTING - - -- - - - - - - -- -
licensed contractors to construct the project (Section 7044, Business 100,000 + BTU PLAN CHECK $ PERMIT
and Professions_Code: The Contractor's.License Law-does not apply to _ - _ LJaISSUANCE -4 - ---
an owner of property who builds or Improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ G ;
tracts_from_such projects with.acontractor(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 BOILERS BTU ELECTRICAL $ -' •' • - $ ,, -'
reason - - -- - - - -- PLAN CHECK $ -- _ 'MICROFILM S " • -
' SYSTEM REPAIR,ALTERATION
Date _ Owner A
- TOTL FEE$ • 1
!thereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE •MECHANICAL $ •
- '" -
information is correct. I a ee to- complywith all city and countyPLAN-CHECK - 'LESS Ap-
$ VANCE PC $__
represent
ordinances and stat laws r ating to constru Lion,and hereby authorize I • .r Ov,
represent a this- Pyy(( to- enter upCConrI the above ment••ned - o-
ProPerlYllpr i pu7po5)tsg1 p
Signature 4� / // Date •► - 1 _ FINAL FEE $
Drivers' License or SS# • ��- - ISSUE FEE - O� -� �Q
CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor ---- ...all-----------
. r i "' - - . '
CONSTRUCTION AND PLANNING POOL&SPA . . • -
APPROVALS Permit# P-`1319 Date Inspector
APPROVALS Permit# Date ' Inspector
• �
1. Temporary Electrical Service or Pole 43., Pool & Equipment Location - - - - - - •
2. Soil Pipe-Undrgrn ' 44. Steel Reinforcement -- -
3... Electrical Conduit Utility-Undrgrn _ 45. Forms - - - -
4.. Electrical Conduit-Undrgrn _ - - - - 46. Electrical.Bonding - -
, 5. Stee!Reinforce _ _-_ _ - -• 47. Rough Plumbing & Pressure Test' - - - - ' . -- •
6.-- Electrical.UFER Grn ._- - 48. APPROVAL TO COVER-GUNITE - I
7. Footings - _ 49. Electrical Conduit-Undrgrn '
8. .Foundation ..- _ - . . _ _ 50. Gas Pipe, 0 Undrgrn,Test • _ ' -
9.. Water Pipe-Undrgrn , . _ -- _ 51.. Backwash Lines,P-Trap, 0 Undrgrn - - -
' 10. _Structural Floor System . 52. APPROVAL TO DECK - =
1.1.. Property Sewer Line & House Connection _ 53. Backwash & Receptor-Final ' ' '. . • •
. 12. _ Street.Sewer-Connection __ - - - - .• - 54. Heater &Vent-Final - - ' • ...-
.13. Rough Plumbing _ - . _ _ .55. Plumbing Svstem -Final - •
14. Rough Electric-Conduit -- . . - - 56. Electrical=Final - -
15. Rough Electric-Wiring - - - - 57. -Solar System-Final - - • -
16- Rough Heating & Air Conditioning - - - - - - 58. Fencing &-Access Approval
17. Ducts, in Structure - - - - _. . 59.. APPROVED FOR PLASTERING - ,
18. Ducts, Ventilating - - - • - - - - . ... . _
19. Gas Pipe=Rough &Test • . _ 60. POOL/SPA SYSTEMS FINAL ' ,,, • _ • ..
20: - Roof Framing••_ - - .- , - - - - .
21.1 Roof Sheathing ,•
22. Frame d Flashing - : - NOTES:
23. Insulation - - - • 7,p o>ca-r. .0-4 -t'L 4441:
24. Lathing & Siding - • -4 - - -- -
1 25: Drywall Nailing - , . . _ -. - -
26. Plaster Brown Coat - - - - - • -
27. Electrical Power Meter-Final • - _ . . - .
28. ---Final Electric - -- - -- -- - - - -
29. Final Heating & Air Conditioning - - . . _ - - . -
30. Final Gas Pipe-Test - - - - •
31: Final Plumbing - /6-Z--2 X.- __ -
32. Water Service-Final - •-
33. Gas Service-Final - - - _ - - -
34. Solar Domestic-Final - -
35. Landscape Sprinkling System- - -- - - - '
4 36. Sound Attenuation •
-
37. Handicap Regulations
38. FINAL STRUCTURE & BUILDING -
39. Special Requirements Completed •
_ - _
i 40. Electric Release to Edison
• 41. Gas Release to Southern California Gas Co. -
42. CERTIFICATE OF OCCUPANCY . -. '
No Date - - - . . •
2. ! 8 7 FCC I1tULJVED
L 63 MAR 3 1 1904
, COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT
' P.O.BOX 317 COSTA MESA,CALIFORNIA ,
CITY OF COSTA MESA
• For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
For Office Use Only
BUILDING 1982 Pelican Flare
RECEIPT NO.
COSTA MESA. CALIFORNIA 2 t,J 9�y
REC ID BY O E RECEIVED A�KTPSIStUFg64 • .
OWNER Pemba Subdividers, Inc. �c� ;j-3/d 11 �I``,�,UU
MAIBUILDING
ADDLRESS 2850 Mesa Verde Drive ADDRESSFIRE
r/ /^/
CITY Costa Mesa No'5490395 ZONE TYPE / GROUP(- ` Jy
ARCHITECT
'' IEER TEL'NO. APPROVED
E. G. Kaltenbach 547804E BY DATE
( RESS 1833 E. 17th St. , SantaAin ZONING
ZONE I NO.OPI USE OF NEwsingl alfl•
3' or R-1 Puns BUILDING W attt gar.
CONTRACTOR 2
LEGAL
ADDRESS DESCRIPTION Lot 63, Tract 5289
ICITY A.P.NO. none
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE TEL. SO'TO SIDE&REAR P.L.
187318
LIC.NO. NO,
p� EAVES
SIZE �1-.J.i 66ISt) I No.OF BLOCS. 0 ALLOWED (U.B.C.REQUIREMENT)
OF LOT r NOW ON LOT
Lit USE OF I O (Y/. p X =x� I e— YARDS APPROVED YARDS APPROVED
EXISTING BLDG. MAIN BUILDING ACCESSORY BUILDING
(FROM C/L STREET)
SETBACK LINE FROM 1 I
d FT. FT.
CENTER OF STREET 50 REAR YARD FRONT
SIDE YARD I LEFT 5' - ( RIGHT 51 R.SIDE SFr. FT.
DESCRIPTION OF WORK L.SIDE SPT. Fr.
, NY X ALTERATION _ ADDITION REAR // FT. FT.
J DISTANCE BET. BET.MAIN
REPAIR 1 MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS.
BUILDIN(2 481 NO.OF 9 2 VAR.# DATE
SIZE 1 ROOMS STORIES C.U.P.# APPROVED /
EXTERIOR WALLO kiln ROOF n` �i • APPROVE lJ
COVERING �y CC COVERING bhmgie BY �, +'Ltin-\ DATE 3r C/
USE OF BUILDING AND WORK TO BE PERFORMED
it Single family with attached garage t\--t____
' House
) t---
House 2 030 s«.ft.
. Garage 451 sq.ft. Plan 54 BR �l J
" 02O3tFr.d ' '602 P1 h
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
' PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION ‘57---
�j/'57— m
BUILDING CONSTRUCTION -
' PERMIT FEE 5 n
SIGNATURE OF '/_l al
O
SIGNATURE
e'er �f�" $ q/ 4- PLAN CHECK $ 3�5 0 0
AUTHORIZED A.- T / cy 71 E
rf .>..r_... ., TOTAL FEE SA23, .5--o
17
. COSTA MESA BUILDING-SAFETY DEPARTMENT !UN -9-75c MSp00 306 cdi***tr*6.00
P. 0. BOX 1200 ""
• Costa Mesa, California
121.111 I ld I r I I ( PERMIT TRACT NO. ( Bi7674i7
CONTRACTOR' if atiZOW LOT NO. DATE ISSUED
Address ,,/ / /J/ / BUILDING USE —9- 76—
City I i Te-17No� — /=DDRE G /y? 4� ~Yea.,
ADDRESS 7 (e
State License Noo2//fl0P Class. 4/ COSTA MESA. CALIFORNIA
NEAREST /�/�j//� /✓� ///�
I CROSSWNE "7 / G�'t/'�L�2 r
w CityLicense No.
H OWNER
Q NUMBER TYPE OF FIXTURE OR ITEM FEE MAIL
Water Closet(Toilet) - ADDRESS i`I ��
��?� D S�e�'/
Bath Tub GIN t.,- , TEL. N
ShowerI hereby acknowledge that I have read this application
Lavatory(Wash Basin) and state.that the'above is correct and agree to comply
> Kitchen Sink with. al' City Ordinances and State Laws regulating
CC -CC Laundry Tub or Tray - plumbing.. '
' I Certify that I possess the above valid state of Cali-
a Service Sink ' ':fornix classification or I am they egal owner of the resi-
O Floor Sink - I :dential property escribe abov
cc , Floor Drain t.�,
-�7• n n Signature o
•Ci. IDi ihwasher
Permittee
Z Drinking Fountain , , Pf''
= Urinal J INSPECTION RECORD
Garbage Disposal -'CSA b.. '
I—
Automatic Washing Mich. I.
Water Softener. . It
2 Water lie-weir B'Veni
CC Receptor"
w
O. Swim:'Pool Filter System
CC Gas System . . . Outlets
D Lawn Sprinklers
fs Installation or Alteration
Water Prev APPROVALS
Back Flow Prevcnter
cn Prop. Sewer ft. INSPECTOR DATE
r }louse Sewer Connection U/G Soil
I-- Cesspool, Septic Tank U/G Water
Services—Water 0 Gas 0
Miscellaneous Rough Plumbing
Sprinkler System
Gas
, Property Sewer
Pool Receptor
Filter System
Pool Heater
Miscellaneous
Issuing Permit e0
I TOTAL 2Final Gas �`
''N>'r 4 5t Plumbing Final
Utility Co. Notified -O 6—I —'f S'
FORM eu.0 I I /�//'/y�
BLDG. PERMIT NO. , ✓ `lY