HomeMy WebLinkAbout3120 PIERCE AVE - Building PermitsApD�i�ant to till In all s0aces except t�ose within �cavY EorEer lines antl slgn all aDDroOriale tleclarations.
CIT•v UF COSTA MESA �NSTRUCTION PER/IN�T
ProjectAddress 3/Z� `Y/FL� n�[,%. ( . �%%
Applicant'sMailingAddress ��7� C�A D/F$FRR�
Owner's Name � ���'�-��^l� Phone.�&8
Address � �/�/,�`
Arch/Eng. License No.7 /�V TVPE OF PEflM1T LI GRADING Ll FOUNDATION I.J STRUCTURAL
Address ❑ TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MECHANIGAL
2�7 ❑ OTHER
Contracror's Nam ��P Phone
Addresslma�l'nn1�I_3%�- �`'mi(E�iei¢� ✓•SEA��fl7(TII PAOJECTDESCRIPTION SQ.FT. OCCUPANCv_�
�L `S.� p�.�y0 CONSTRUCTIONTVPE VAIUATION$���
CityLicencrNo ���� ZONE GqADINGCV.YDS. ACRE$—
LICENSED CONTRACTOR DECLARATION
1 her¢by aftirm [hal I am licensetl untle� provisions of Charter 9(commencing
with section �000) ot Division 3 of the Business antl Professions Cotle, antl
Ty license is in / II for antl eff¢c[. �
License Class ' " ense No�
Date�� Si9nature
'VORKERS' COMPENSATION OECLA ON
�ereby aflirm tnat I have a certificate o consent ro selt-insure or a certificate
i Workers' Co [e, or a certltietl rop �ere
3800T2��
Policy No. Company
BCertifietl copy is hereDy /umishetl.
ertifietl c � is (iletl with the cit
Oal AOPI' t �
E%EMPTION FROM WORKERS' COMPEN T N DECLA TION
(This section neea not be com0�etetl if the p rmit is for one huntlretl ($100) or
less).
I cerlify Ihat in the perto�mance of the work tor whith thi5 pErm�[ is issuetl, I
shall noi employ any pe�son in any man r so as o become subipc :o tne
WOtkerj� C�p�1�y,jlon Laws of Califor '
Date �" (+b 9gnature
NOTIGE: It, after makin9 this tleclar ion, shoul become sy ' ct to Ihe
Worker5' COmpenzation D/ovisions of th bor Cotle, you m�5f /orthwith
compry wilh such prOviSiOnz or [his rmit Thall b2 tle¢metl revoke�.
CONSTRVCTION LENDING AGENCV
I hereby attlrm lhat t�ere is a construction lentling agency tor t�e performance
of the work for wtiich lhis permit is issuetl (Section 309] Civ. CJ
Lentler's Name �
Lentler's Atltlress
OWNER BUILDEH OECLARATION
I he�eby affirm thal I am exempi�irom tM1e Con[ractor's License Law for the
tollowing reason (Section 7031.5 Business antl Professional Cotle: Any city or
county whicb requires a,pe�mil to construct, alter, improve, tl¢molish o� repair
any slrucWre, prio� [o Ils i55uance, also require5 the applicant fo/ such permi[
lo tile a signetl statement that he/she i5 licensetl pursaant to the provi5iOn5 of
'he ContraclorY l_icense Law (Chapter 9(commencing with SeCtion 7000) of
Ivision 3 of the Business antl ProtessiOns Cotle) or that h¢/she is exemp[
ie�etrom antl lhe basi5 for the alleqetl exemption. Any violation ot Section
/031.5 by any applicant for a permit subje[ts tne applicant to a civil
�enalty ot noi more than five nunGretl tlollars (5500).
I, as owner ot the p�operly or my employees with wa9e5 as tM1eir Sole
<omoenzation, wili tlo tne work, antl the structure is not Intentletl or offerea
tor sale (Section ]044, Business. antl Protessional Cotle: The Contractor's
License Law tloes not apply to an owner of a properry who builtls or impmves
thereon, ana wM10 aoes sucn work nimseli/herseli or through his or her own
employ¢ez, provitletl Ihat such improvements are mt intentletl or offeretl (or
sdlG. It, however, the �uiltling o� improvement is soltl wit�in one year of [Om-
plCtion, tbe owner will have the burtlen of proving he/she tlitl not builtl o� Im-
piOve tor the Outpose 01 sale).
❑ I, as owner of the property, am exUusively contra<ting wtth licen5etl con-
tractors to conzcruct ihe project (Section 7044, Business antl Protessions Cotle:
The Coniractor's License Law doe5 mt a001y to an owner of property who
builtls or Improves thereon, antl who con[racts for such projecl5 with a con-
tractor(s) Imense pursuant to the Contractor's �icense Law�. I am aware that
prool of tM1eit Wo�ker's Compensation insurancC ShoWtl be provitletl lo me.
❑ I am exempt untler Section B. & P. C. tor this reason
��3,.�,32R' �(�i I ...,.., ,..,. I ..... ...,. I „�.,, ,��.
TVPE OF CONSTRUCTION NEW P.DD ALTERATION Rl�' Eaq�R
❑ GONVERSION ❑ DEMOLISH ❑ OTH�j R
DESCRIPTION OF WOR /I�i� OF BLDG_ -!�`�'� '� ��
f �� �
Date Owner _
I hereby certify that I M1ave reatl this
informailon is correct. I aaree to como
Signature �
Drivers' license or
CMF 0865-46, rev. 30/84
ication antl state tM1at the above
[h all city antl county ortlinances
:ion, antl bereby authoriie �ep�e-
r �bove�mentionetl prooe�ty for
ti' Dat���
Remarks:
Bar Sink
Backflow Preventer
Backflow Irrigation
Bathtubs
Clarifiers
Dishwdsher
Drinking Fountains
Floor Drains
Floor Sinks
Gas Service
In[erCeptof5
Kitchen Sink
Lavatories
P—Trap
Roof Drains
Reinspection Fee � $15
Boiler
Duct - Under Ground
Duct - Structural
Dutt - Ventilating
Exhaust System ❑ Multiple �
Firepl/Fact. Blt. ICBO #
Heating System & Ducting
❑ ai oo,000 eru � i oo,oao eT�
Peinspection Fee � $15
White - Builtling; Canary - AOP��cant; Plnk - ACCounting; GoltlenrOtl - Assesso�
$howers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
SOlar Piping
Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service �
Auto-Wash
Laundry Trays
Issue Fee
Hood Typel ❑
Ca y Type I I ❑
Refrigeration System
❑aioo,00aeTu ❑ioo,oao
System Repair/Alteration
Fire Dampers
flegisters
FEES
$ 3
FEES
luue Fee � $ 3
A.P. �
5 Main Building:
E
T Front
ARear
C Right
SLeft
Ping. Ref. #
Planning Noces:
Zone
'�sory6uilding:' � .;�y
�(C�7 J/1 r r... o
-- ^'� W N
` _ _� �
o �. . N
4 ' VQ G
R
ig ReqJProvided � E
Q
M
- T
$
ELECTRICAL �
Automatic Washer Transformer ❑ 75�50 KW -
ConstructionPoleSub. ❑ SO+KW
Cooking Unit Meter ❑up to 100 amps
Dishwasher Meter ❑over 100 amps
Dryers ❑Gas ❑Electric
Fan
F.A.U.
Fixtures
Device Boxes
Outlets
Switches '
Garbage Disposal
Generaror �0-5 KW 05�15 KW
Sub P
�ors OO-1 HP O 1 h- 8
Inc.Solar �9-75 HP �76-75+
Microwave
Pole Lighi
Range
Sign
Standing Sections
Trash Compactor
Fee �$15 � � laue Fee
DEVELOPMENTSERVICESREQUIREMEN7S:
Zoning APProved By
Building Approved By �
Aooliption Issued 6v
ES
S 3
�
SUMMARV OF FEES`�
BUILDING PERMIT $ �� • BU SMIP $ • S�
PLAN CHECK $ PERMIT
PLUM8ING � ISSUANCE $
PLAN CHECK 25% $ ENERGV P.C. $
ELECTRICAL $ GFADING $
PLAN CHECK 50% S MICROFILM 5
MECHANICAL $ TOTAL FEE $ �3 , .S�
PLAN CHECK 25% $
CONSTRUCTION AND PLANNING _ POOL & SPA
APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector
1..Temporary Electrical Service or Pole 52. Pool & Equipment Location �
2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement���, 56. Rough Plumbing & Pressure Test �
6• Electrical UFER Grnd. . 57. APPROVAL TO COVER-GUNITE ,
7. Footings � 58. Electrical Conduit-Undrgrnd.
8. Foundation �� �• 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd" 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
77. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL �
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ��
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test 72, Underground Flush
24. Roof Framing 73. Undergmd.StorageTank OGas ❑Oil ��
25. Roof Sheathing 74. Overhead Hydro /
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical �
27. Frame and Flashing . 76. Dry Standpipe � �
28. Lathing & Siding 77. FIXED SYSTEM FINAL t�
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 � � - 0/' �
38. Final Plum6ing . � �� �J
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. FINAL STRUCTURE & BUILDING �-! � �•/..! • � ,
�
48. Special Requirements Completed , . � � ,
49. Electric Release to Edison � , �
50. Gas Release to Southern California Gas Co , �
51. CERTIFICATE OF OCCUPANCY
No. Date �-�-
18i36
COSTA MESA BUILDING•SAFETY DEPARTMENT
p, D. BOX 917 COHTA MEBA, CALIFORNIA
For Applicanf to Fill In Complefely
TYPE OR PRINT
BUILDING ..�.._ rw. n
1 STATE
COSTA MESA CALIFORNIA
oF e�nGe.
' BET6ACK LINC FROM �n __�� /
DESCRIPTION OF WORK
IBBZIELD�NG S2 X y9 ROOMS �
EXTERIOR WALIp � IROOF in
0
1 XEqHBY ACKNOWLeD6E THAT I HAVE R¢AD TH�9 APPUGTION
ANO eTATC THAT THE I180VE IB COPftHQ ANO A6REE TO CON-
PLY WITH ALL CITY OPOINANCEe AND HTATB LAWB Fi80ULATINa
BUILDINO CONBTqUCT10N.
816NATURE OF
��
��E ��C�al�ED
FEB 1 8 1963
flNl',NCE DEPT.
APPLICATION �OR•�ERMIT�Sp
BUILDING
For Office Use Only
HEC8IPT NO. M
� �
RE� �Y OATE qELE1VED pATE I64UCD
FE�3t 8 93 FF.3i ; u
BUILDING � {/{���
ADDREb6 3 rao /Bi%.�J'�(�G[.(� �
COSTA MESA. CALIFORNIA
��u� (�
rcc I rwnnv _`J �
ZONING
ZONE INO.OY U66OFNEWSin�/ "��A/Fy
'7 �/ I vLANe � I 9UILDINO W/ �L�y,
/ 1 Qli
DESCPIPTION �� 3 3 �� / 3 ,3 b
A, P. NO. �--
YARDS EVES
ICENTER LIN¢ 6T.)
°RONT ' a FT.
i. SIDE � FL �
L. SIDE s� FT.
acea �/ rr �
– f
� �/ %/J F/!'� /y'ir� i/ �0�0.
TXC AMOUNT 9HOWN UND¢R VALU TION 19 FOF THE
PUFPOBE OF ¢BTABLI8H�N6 A PBRM�T F[fi ONLY.
VALUATION
PERMIT FEE $ �/'—
M
� �
$ � � �� PLAN CHECK $ �����Gl n
' TOTAL FEE � �