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HomeMy WebLinkAbout3109 PIERCE AVE - Building Permits�_, � �. Applicant lo HII in all spatts except those within neavy Oortlei lines antl sign all approp�iate Oaclarationz. - ' � - � - . PERMIT NO. �- - � - . 'TRACT NO"' COT NO. - - '-- - - � - - � F COS7A MESA ' CON�STRUCTION PERMIT _ . � • � , ,,. � � i UNIT'NO. A P #i � � zo�a ' • ` 3ID�1 �r� . . - .�ject Add�rc,� s � - A � � � _ � � /� � � � � � � � �� S Main Bmlding: � Accessory Buildmg. � ' ' . Applicant 5 fVailing Addreis, : �. e' TYPE OF CONSTRUCTION� , NEW �ADO ALTERATION REPAIR E Front '� � ' • ' � � �� , Z ❑ CONVERSION�� O'DEMOLISITY � �OTHER �� ' T ' - - O - - � �Owner s Name -- , �� �Phone �-� , DESCRIPTION, F WORK/USE O� E�`D - �y.� 4, Rear' � -� � . � �N Address - • �. � ' i�i� ���C�-�- ���� � ' ��"_1 . �� Arcfi/En � _ � � Licenu�No. ' , � " � TVPE OF PERMIT ' ' GaADING LJ FOUNDATioN � � STR . ; C, Right� � . � � � . N . � Addrei5Q9�/� ' ` ` ' O TENANT ❑,ELECTRICAL,-❑ PLVMBING � ❑ MECHANIC�a�L�' (�J(��,� �� S � �eft • ' � , . R � l� Conv�CToV's Nam �� hone� � �'�oTHER � ' - � ' ' � � Ping.-Ref.'#� � • - . 1 Parking Req./Provided . E •�- /' - . - ` '. _ PROJECT DESCRIPTION 5 . F '� � ! , � OGCVaaNCV — � plannin9 Noter ' , � ' _ . � '• n Aparess�lmailingl - � � . ' M � - ',CONSTRVCTIONTVPE' V VALUATIONS� , ' Clty ¢en32 No. �� �� � ��s r � ZONE GRADING GU. VDS.� � ACftES � � T , , 11�5ED CONTRACTOR DECLARATION � - � ' ' . � • ' ' . �5� � . . � . - - � 1 . khereby aHi�m Ihat I im licensetl untlGr provi51on5 of Charte� 9� (Commencing � Remarks: �� - ' with section.�000) ot'Olvision 3 of the Business antl Profe55ions Cotle, antl. __ -. , . . . -+ - my license is in fun (or4f�an�.@tfecL F ' � ' � � ' . , ' � i . � � ELECTRICAL , , . , FEES ' � � "� vl t .. i :�a��. No. � � � License �Cla � � • • � Date � "� ` �Si9 �t � ' ' � PLUMBING . � � • FEES Flutomatic Washer ' �, Transformer' � 15-50�KW � � ' WORKERS' COMPENSATION DECLARATION' � ' . - , � � i Construction Pole Sub. � � � 50+ KW • 1 ' ' � ' hereby,aHirm that I have atertificate ot wnsent to ielt-insure or a tertificate � Bar $ink , Showers" . � : � �f Workers' Compensatlon Insurance; or a_certitletl copY.tnereof� (Sect on . ' , 1 Cooking Unit . � Mete� �up to 100 amps • aeoo,-'Lao: cJ - Backflow'Preventer � ServiceSmk_ . •, . � Poiicy No. �in79� �l. S% Company _ ��� , Backflow Irrigation ' Sewer Cap � � � Dishwasher ' � Meter ❑over 100 amps : : , � Cerlrtietl copy is hereby fumahetl. �. � � � . i . ' Dryers �Gas ❑Electric , Sub Panel � "' '.. I Certi iea py � wrtn tne city�e �Itlinq Di si �Q..� � ' Bathtubs , Sewer-,Connection � � � ' A �te 1-fP�P P.PPlmant ' ����5(j�� . - , . - . : � t . Fan ' ' , � MotOrs�O-1 HP �1'/a-8 � � �� EXEMPTION iROM WORKERS� COMPENSATION DECLARATION � Clafifiers y Solar COIIecLofS � ! - -(Thisiection-neetl�not be tompletetl iLthe�permit Is for one nuntlretl (5100).or-.-� -� -- . __ . ti .._ F.A.U. .. . - - Ina Solar �9-75 HP 076-15+ -_.. .. . less) � ' i : • , ' ' ', Dishwasher: , . �Solar,Piping � � . ^ i I[¢rtify tM1at in tfie PerfOrmance�ot Ihe woik tor which Ihis perm�t i5 isSUetl, I � . � � i FixtU�¢5 � ' - � shall not amploy any person in'any manner so as to become�subject to the Drinking Fountains Solaf Tank - ' � Microwave . �,: ' Wolkels' Comp¢nsation LawS of CalitOrnia! � � j � ' , . � D2viC¢ BOx¢5 , f' ' � Date 5i9nature + Floor Drains . 3 Swimming Pool w/Spa � Pole Lijht �,. , NOTICE: If, after.makinq ttiis Oeclaration, you shoultl become subject to the � ' , . - � - - - � � . , Workers' Compensation provisions ot the Labor Cotle, you must (orthwith� ; FloorSinks� ' ' rinal: ' t OutletS Range complyi-witti' such provisions'or tnis permit shall be'tleemetl�revoketl: "" " - ' - ' , " ' ' ' '- - ' - . , , CONSTRUCTION CENOING'•AGENCV : � � ' c. ' � C, - � Switches , . . 9� - � . . "� ' GasService _.Outlets•� -Water�Closet�� i S' � 1 hereby�af(Irm'that tnere is a constructlon lentling agency tor the per/ormance' ' ' � . . ' of the' wotk PoY which thi5 -pe�mlt is issuetl (SeCtion 3097 Clv � C), r Interceptors . Water�Heater _. ' �� � � Garbage Disposal � St2nding $CCtIOnS , : �entler's �Name. � � �-� . � Generator �0.5 KW �5-15 KW Trash Com actor ..., � �ender�i naaress = �'� - °', � � � ' � _ ; ; . Kitchen Sink �_ � i . � Water�Servree. P OWNER BUILDEH DECL'ARATION ' ' ' ' �. -. .� � � i , � � , I helCby affilm ihat�l am�exemptitlom the Contlactol's L�cense L3w fOr the, LdV3tO�iCS i f , AutO-W85h�- - ti tollowing reason (Sectlon'�7031.5 Business antl Profe55ional Cotlei Any ci[y or, _ " " � � , . - county�which� �eqw/es'a permit to,construct, alter', improve, tlemoli5h o� �e0air • P-T�dp /. : Wundry Trays ' � ' ' - � anystructure,.priorto;its'issuance,.alsqrequires the applicant foCsuch permit� - � . , .�to (Ile a sign¢tlStatement thaL'he/sh¢'is IlcenSetl pufsuanCto'th¢ ProviSions�.of_ _ � ROOf��fBmii- -.. - - - ' 1j ^� -.:the Contrattor'S L�cenSe,Caw (Chapter 9 (commennng'with Section ]000) of ' ' --- - - - - - - �, � � � �vision,3 of the Business�antl,Professions'Cotl¢):or'that he/sne Is exempt � • � � , _ _ _ _ _ �refroin,antl-tne basis.for the allegetl exemption. Any violation of Section' .� � RainspectiomFae=--- $15'- � �-155ue Fee�-_ _ _ t$�3. _ _ �i%� J31.5 by any applicant for a:�pe�mit'sublects the'applicant to ,a civil � ' �' • � -� � ` . enalty'of not more tnan five'huntlretl tlouars(g500). , r�DEVELOPMENT SERVICES REQUIREMENTS: " ��•� I, as owner of the property �br my em0loyees �with � wages as their sole �. Remspeition. Fee �$15 �,_ �' lesua Pae- t $, 3 - ' • � - :'wmpensation, will tlo the work, antl the.stru<ture is not intentletl or.offeretl'� - , �Za�i�9 APProved By '�Date� for sale (Section, �044, eusiness'antl Professional.Coae:-The Contractor's � ' ' - MECHANICAL ' ' ' F.EES .. '�Building Approved By �`'Date license' Law tloes not apply [o-an.owner�of aproperty who builtls or improves�" � ' ' hcatian,lwued B � � ther¢on, antl who tloes SUCh wo�k',hirnself/herselt or thrOugh his or he� own� i BOiI¢�` - .' .HOOd O! Typ¢ I ❑ � APP Y ��Det � employees, proviaed that sucfi improvements aie'not intentle0 or offered tor. � � , -1 . _ sale..,lf, nowever„the builtling�or improvement is soltl within one year of com- . ' ' nopy Type II ❑ - ' �' � � S MARV F S' ' • - � %pletion, the'owner will have the burtlen of.proving ne/she tlitl not builtl or Im- Duct �Under.Ground� � ; . _ � '"�1: :' - ' . prove ior the purpose of sale). � ^ . i __ , �- � ' , , . � ', .. ;j' BUILDING PEflMIT $; ' 0 SMIP. �c ; � $' r �� ❑ 1, as owner oi. the prooerty, am exclusivery contractin9 witn licensetl con- Duct -Structural . Refrigerati0n System , � ' j. p�,qN CHECK f $' ' PERMIT �� ' � ' tractors to construc[ the project (Settion 7044, Business anG Profession5 Cotle: � ; ; . . The Gonvactor's License Law tloes nol applY,to an owner of property who' Duct - Ventilating f � ❑0-100,000 BTU ❑100,OOO�BTU i PLUMBING � $; ISSUANCE y $, builtls'or improves'thereon: antl who cont�acts fo� such oroiect5 with a�r.on- � - � - - ' i. tractor(s) license�pursuanc co me Contractors License Law). I am aware that Exhaust System ❑ MWtiple �� System Repair/Alteretion ' `; '�� P�N CHECK� 25% $ ' ENERGV P�C. $ - , oroof of their Worker's Compensatlon insurance showtl be provlCetl m me. - .�, ELECTRICAL � $ ' ' GRADING;; '$ � ❑ I am exempt untler Section B. & P. C..for this reason' firepVFact Blt. ICBO #� . Fire Dampers � ' "'^a(, MICROFI LM .$ � � � i . I ` Heatin S stem & Ductin � Re isters + . PLAN CHECK 50% $ � � . , � Date . ' ! Owne� - 9 Y 9� 9 � • i' MECHANICAL $ TOTAL�FEE .^$ , � �"S� 1 hereby certiry �thaL.I���haLe-reaathis application antl state that the aoove�_. ❑0-100,OOOBTU.�100,OOOBT _ __ � _ . � ,+ � - intormation is correcL I a9ree to compry wlth all city antl county ortlinances� � „Z PLAN CHECK 25% $. .• � . , antl State laws �elating to builtling conztruction, antl her¢by duthoriie repre- .� � Sentdtives of thi5 city to,enter upOn the a/�bo�ve-mentionetl propert�y �f`O.r . - , ' , , ' ' � ' ' � InSPectionP�o^s.��I � � L9 �1_-Y(7.�Date'���.�6 / _ ' , • , r . , . � . . ' . '. � � . � ' . . Slqnature , - , ' ' ' ' � � ' Drivars' Lice�se or 55 � : � : Reinspection Fee $75 1 Issue Fee , $ 3 �� - a,,, Q1 aQ�?4139-Oh�2414� T`RJIf ;a3.50: 0865-46, rev. 5/BB Wni[e - Bulltling; Canary - Applicanp Pink - Accounting; Goltlenrotl - Assessor � � � - - - "- ' ' ' ' ' - • DATE: �I�Z���7 { ZM�: ��J:�� . . t \. ' � . .. � .. . . •� � „ ��.: �: �:., �' R ....,_,,.. : �; .. . ,, .. . :, ��r�.. .. , . . . . \\\ .:ONSTRUCTION AND PLANNING , � . .1-. ' - � PO SPA , , Date Inspector - Date • Inspectoi APPROVALS �Permit# - ��,APPROVAIS.:Permit# � _ � . . . _ . . . - , �, 1. Temporary Electrical Service or Pole , ' -' 52. Pool &�Equipment Location. .. . i^, �� 2. Soil.Pipe-Undr9md. - _ti ^� , � 53.. Steel; Reinforcement - ' ' ' � , ' � - "`-^ � ,• . 3:� Ele'ctr cal Conduit�.Utility-Undrgrnd. �' - � �; � -� . m 54. Forms��� ' - � � " . � ' �. � _, � ^ � 4'rElectrical Conduitundrgrnd., �•� ^ � ;� � � ' _ 55.' Electrical.Bonding� - �� � t � . � ' 15- Steef Reinforcerrieni i� � . � j� � -� � ` 56.� Rough Plum6ing &'Pressure Test � � ` ' - ' t� �-. . �'A' �� �r� �" ' 57.�APPROVALTOCOVER-GUNITE i� ..'�� 6.• Electrical UFER,G�ndi �•' � �'; . ��; y . . . � , . , 7?iFootings �j 1�? I�, ' ' " �' _ - � � 58. Electrical Conduit-Undrgmd. , � ``^Sy���} ', 8. Foundation�'� � � � � � � i.� -. , � ' � " ' - 59.-Gas Pipe, 0 Undrgmd.; Test � � - ' 7 " ' 1 '. 1':: / " . K � ' . ""1 .! � ' � _ . � �9�'J Wa�� P`ipe-Undryrnd. �-i - �%� , ' � 60. Backwash Lines�, P-Trap; d �Undrgmd. ' , �� �n! 10. Str ctuial Floor��Sysiem � �� ' f i ,`y,. � 61-. APPROVAL'TO'DECK ��' - _ ' ' - _':' l.: _ 71..P,roperty Sewer l_ine & �House Connection ' ��'' - z , . � 62.� Backwash,& ReceptorFinal . � �UU '� y � t. ..� -. i"3'; 'Gr IC7�_. �J 12. Sew"er Cap ':u „\ � . L� � S ,��. _ � � 63. �Heater & Vent-Final - � � � . j � �; �.r 13.�Roof�Drains ''y`.�_ `�'; � �� ��� . 64..PlumbingSystem-Final _ . �• i, 14. Rough Plumbing. ��� � � '� ' - 65. .Electrical-Final �_ � � _ . ' :�' 7. . 15. Ro�gh Electrical'Conduit _ - ., , , 66. Solar System-Final , _ __ . . . . _ �i�6! �Rough �lectric Wiring � ; _' . ; _ 67. Fencing & Access Approval � .. ' . . ,iJ. RoughtWiring Sign, �'� . i �� � . � ' � 6S. APPROVED F,OR PLASTERING � � - " 418. �Rough�EJectrical�T Bar Ceiling � ' ' - ' 69. POOUSPA'SYSTEMS FINAL � � "19. Rough�Heating & Air Condit� ning ' � , � ; FIRE DEPT. REQUIREMENT _ � � - �20. Rough'�Factory Fireplace' � � ' � � � APPROVALS Permit # � � �2Y. Ducts,i�n Structure ' f? . 70. Underground Hydro ' _� 22. Ducts,�Ventilating ��� �� . . 77,�Product�Piping � Gas ❑ Oil � 23. Gas Pip�e�-Rough & Te�st �`� ' �72.-Underground Flush . � f� � - - - 24. Roof �Framing .�� � � � � ' , � 73. Undergrnd. Storage Tank O Gas .O Oil - � � ' 25. Roo�f SFeathing`.+�. . + � � �' ' ' jq, �pverhead�Hydro , _ . , ' �� � 26. T-Bar`Ceiling (Structural) & Monocoat � �� 75. Dry Chemical • � i 27= Frarrie and Flashing � � . ' - � 76. Dry Standpipe - . , � " 28. •Latfiinq & Siding ' • - � 77. FIXED SYSTEM FINAL - � - ' ��:t � � 29. Insulation � � 78. FIRE PREV. FINAL . 30. Dryw�ll•Nailing ��� ' , HEALTH DEPT. REQUIREMENT ' � .:. �',� � ��31�. Plast2FaBr'own Coat�� � • � 79: -FINAL INSPECTION - • �� � i32. ElectiicalCPo;wer Meter-Final� ' , ' � � 80. EOOD CERTIFICATE ISSUED � � • 33. �FinalrElectric 4 � � � � � Notes' - � " ' � � -� � " ` 34. Final Heating & Air Conditioning , � ` ' �(� f Y�' .. 35. Final�Gas Pipe-Test � � 36.; Hood or Canopy 37. Final Factory Fireplace � . i . 38. Final Plumbing � 39. Water Service-Final , ; � 40. Gas Service-Final ' 41. Solar pomestic-Final � 42. Backflow Preventer � � 43. Backflow Irrigation � _ ' 44. Landscape Irrigation System - . � 45. Sound Attenuation . 46. Handicap Regulations . • __ , 47. �FINALSTRUC7URE & BUILDING aR. Soe'c:ial Reauirements Complete?I 49. �Electric Release to Edison - 50. Gas�.Release to Southern California Gas 51. CERTIFICATE OF OCCUPANCY - ' No. - �� �- � � Date � '" R ... .� . � . . . � 1 L �. ^ • /,,;�� . - < /� J_.._ . i:l % � � l � �c, :"�;J - . _ ��. . , ; � ,.. n � . �� �i 4,� - I8746 COSTA MESA. BUILDING-SAFETY DEPARTMENT '�' P. O. BOX 917 C08TA MEBA, CALIRORNIA For Applicanf fo. Fill ��In Complefely TYPE OR PRINT � � BUILDING n . q � ADDRE58 TI � � COSTA MESA. CALIFORNIA � e � 81ZE �, NO. OP BLOee. 9 � ' NOW ON LOT . ��C RECEf'��D ' FEB 1 9 1963 fINfiNCE DEI'I. ` C1TY UF CCST� MESA _ APPLICATION FOR PERMIT BUILDING • For Office Use Only „ xece�rr rvo. pep�lz�uy��/ �$ / Yk RECEIV D BY �ATE RECEIVE� OATE IBBUEO tG I. tttt i� 190�3 �EB 1 8.190. ADDRE35 3�o y ��� � :. - . . COSTA MESA. CALIFORNIA . APPROVED - /. BY DATE V ZONENG ZONE 'NO.OF �j' IISE OF NEWyi. �Jti�{g . R� I I PLANB (� I BUILDINO �/4� �q` �eo�� � L % 6 D T�Q yS3 6 DEBCRIPTION O A. P. NO. use or EXISTING BLDG. � APPROVED ALLOWEO HHTBACK LINH PHON �/ �� lC6NTEp IINE BT.1 CHNTeR OF eTREEi SS/ ii REAR YAR� �. FRONT �� FT. ^— 61DE YAR� I LEFT �I RIGHT �� ' '— R.SIDE � FT. DESCRIPTION OF WORK �. s�oe • -� Fr. — NEW - I Y II ALTERATION I r1 II ADDITION I e�.e . Z� .-� � � BO�LDINO '�� Y�9 on�nn.�ic 1� '% 1� x o� -/�slf"Cl ��"� -.fL<J` "� 1 HEPEBY qCKNOWLEOGB THAT 1 HAVE',�REAO TXIB APPLIWTION ,� THg qMOUNT BXOWN UNOEH VqL �pT10N 18"FOR TME ANO eTATE TNAT TNe ABOVE IS CORReCT AND AGHEH TO COM- pypp08E OF, E9TABL19HINa A PERMIT FEE ONLY. PLY WITH ALL CITY OPDINANCES AND 6fATE UWe REOULATINO emtntNa coxernuGnox. o VALUA710N ' L/ � SIGNATURE OF - � .� . PERMIT FEE $ / �� ' PERMI7TE '1 $ ��� yy�✓ PLAN CHECK $ � � AUTHORIZED AGE �i � � TOTAL FEE _ ' � � � � � �� _ - ' . � �