HomeMy WebLinkAbout821 PRESIDIO DR - Building PermitsCITY OF COSTA
Project Address s
ON PE/R+MIT
D C,.-/i'
OwnBr'sNaf e,�C`dA-'-�!�W d/V Phone � /7
Address /� � piP����� 6 �1�% < 9�62.' +�
Arch/Eng.' � - License No. -
Addresr - ��
Contrector'sNam � Phonr�'%�
Address (mailing)L¢� G �6I71 /sl /F'p�//l'� �N'�1 �
City�License No.� 0��� �
GCENSED CONTRACTOR DECLARATION .
I hereby affirm Ihat I am licensetl under provisions o� Charter 9(commencing
wltn 5ection ]000) of Division 3 tha BuSiness antl ProteSsions Cotle, antl
my license is in� t^� d ef(ect. Cj/ �
Licens Cla Lice� No. VIO
Date�'� Si9nature �
WORKERS' COMPENSATION LARATION
I hereby affirm that I have a ce i cat¢ of tons¢nt to Selt-in5ure o� a certificate
of Workers' Compensa5ion In rCance, or a certifietl pc,oppy thereof (Se�ct/iy n
3800,-Lab.��_s/�zy-l` � // �C� /f.G._.
Policy No. �� Company
Certifi¢tl copy is hereby furnishetl. � , �
Ce ietl i with the city in DI io
Date_ � Applicant
EXEMPTION ROM WORKERS' COMPENSATION DECLARATION
_(This section neetl not be completetl i&the permit is for one huntlretl ($100) or
le5s).
I certity that in the pertormance�ot the work for which this permit is issuetl, I
shall not employ any person in any manner so as to become'subject to the
workers' Compensation Laws ot Calitornia. . '
Date Si9nature
�NOTICE: It, after making this tleclara[ion, you shoultl become subject to Ihe
Workers' ComOensation provisions of�tne Labor Cotle, you must torthwith
comply . with such' orovisions or tnis permit shall be tleemetl revoketl.
I CONSTRUCTION;LENDING AGENCV � � - , _ ,
I here�y�affirm that there is a construction lentling agenty for the performance
of the ,.work, for, which this Oermit is' issued (Section 309� Civ. CJ
' Lentler's Name ` � �
Lentler's Atltlress
ippllcant to fill in all spaces except those within heavy boraer Iines anC sign all appropriate Eeelarations.
PERMIT NO. � � ' TRACT NO.� LOT NO. . UNIT NO. A P#� '
m � s' '�
S Main Buildi
� TYPEOF_CONSTRUCTION , �NEW D ALTERATION . R p,� E
�sY � ❑ CONVERSION ❑ D��E,,My�OLISH O O ER �� T Front
� DES IPTION F�Rt$K75E 0� B DG. ' I A� Rear .
u �
TVPE OF PERMIT ' GRADING FOVNDATION O STRUC RALs�/ta� _.'. � Right
❑ TENANT ❑ ELECTRICAI ❑ PLUMBING ❑ MECHANICAL ' � g� L2ft
.S-3��i � ❑ �oTHER �- ' � � . . � _ ' � � ' PIn9..Pef. #'
PROJECT DESCRIP.TION SQ. T ���'" OCCUPA C
V�'� . . $'S .� Planning Notes:
CONSTRUCTIONTVPE , ALUATION ///t7�_.
ZONE GRADING CU. VDS.- A RES
Remarks: �� ,y��„y� ( _ Iw � � . .
OWNERBUILDER �ECLARATION � �
I M1e}¢by affirm ihat I am exempt frOm the Cont�acto�4 License Law tor Ihe
following, reason (Seclion 7031.5 Business antl Professional Cotle: Any ciry or
county whith requires a permit to const�uct, alter, improve, tlemolisn o� repai�
any'strdtiure, prior to IIS ISSOdOCC�-d�50 r¢quires tne applicant fo� such'permit
�to file a si9netl statement that he/she is Iicensea pursuant to the provisions oi'
:roe Contractor's License Law (Chapter 9(commencing with Section 7000) ot
Division 3 of the Business�antl Professions Cotle) or that he/she is exempt.
thereirom'antl the Dasis tor the alle9etl exemption. Any violation ot Section;
J03L5 by Sny' applicant fo� a pe�mit 5ubject5 th¢ dppliWnt to a civil
��enalty of not more than tive huntlreG�dollars ($500).
1, as owner of the property�or my:employees with wa9es as their sole.
.tompensation, will tlo the wo�k, antl the structu�e i5 not int¢ntletl o��ofteretl
for sale (Seclion 7046, Business antl Professional Cotle: The Contractor's �
LiCenSe Ldw,tloes�not apply'to an owne� of a property who builtls o� imp�ove5
ihereon, antl. wno tloes such work-himsel(/herseli-or through his or her own
�employees, provitled that such improvements are not intentletl or o!leretl for'
� sale. It, however, the Cuiltling or improvement is soltl within one year of mm- �
pletion,�th¢ Owner will have the burtlen ot provin9"he/she tlitl not builtl or im-
,orove forfne purpose of sale). . _ .
❑ I, as owner of-.the property, am exclusively mntrzcting with Ilcensetl con-
tractorsSo construct the projecc (Section 7044, Business antl Protessions Cotle:
The Contractor's License Law tloes not apply to an owner ot O�operty who
��builtls or improves thereon: antl who cont�actsfor�such aroiect5 wifh a mn-
[ractor(51 littnse pursuam to me ContractoYs License Law). I am aware that
prooi of Ineir Worker'S Compensation insurance shoultl be prOvitletl to me.�
❑,1 am exempt untler Section : , , B. & P. C. tor this reason
Date � Owner. � ' '
_.I_herebv tertifv fhat I have reatl thls aoolicdii� antl.state that-the above- -
Signature G�
Oriverz' L se or 55 �
OB65-46,rev.5/88 '
Bar Sink
Backflow Preventer
Backflow Irrigation '
Bathtubs �
Clarifiers ' � '
Dishurasher .
Drinkin9 Fountains �
Floor Drains :
Floor Sinks _ �
Gas Service -�Outlets
Interceptors -
Kitchen Sink - . �
Lavatories ., � -
P—Trap •
Raof Dreins
Reinspection�Fea� $15
tlotler � •
Duc4-UnderGround� ' .
Duct-Structural � � '
Duct - Ventilating : � �
Exhaust System ❑ MWtiple ❑
Firepl/Fact. Blt. ICBO �k I �
Heating System & Ducting �'
❑ a� oo,000 sTu Oa oo,000 eT
� � I� I ReinspectionFee : I �575
Builtlin9; Cana/y - qpplicani; Pink -'Accounting; Goltle��oa - ASSesso�
ShOwers
Service Sink _
Sewer Cap
Sewer Connectiai
Solar Collectors .
Solar Piping
Solar Tank
Swimming Pool v
Urinal .
Water Closet � '
Water Heater
Water Service
Auto-Wash �
FEES Automatic Washer.
Canstruction Pole
� Cooking Unit
Dishwasher
� Dryers OGas ❑
Fan
F-A 11 � -
Issue Fee � , $ 3
VICAL . � �FEES
�Hood or Type I ❑; ' •
Canopy� Typell ❑ _
Refrigeration System .i
❑o-i oo,000 eru O i oo,000 e'
System Repair/Alteration
Fire Da�mpers
Registers
laue Fee
Fixtures
Device Boxes
�UtIEtS
Switches
Garbage Dispoul
Generator �P5KW
Fee
2onin9'APProved-BY _
Building APProved By
Auplication Issued Bv_
. _ . � . 2one.- .
Accessory Building: '
' Parking Req./Provided
� EIECTRICAL � �
� Transformer-❑ 15-50KW
❑ 50+KW '
; Meter ❑up io 100 amps
� � Meter ❑over100amps
Sub Panel � � � ' _
� MotorsO61HP�1'h-8I
. .. IncSolar �9-15 HP �76-15�
Microwave � ��'
� Pole Light �
�. . . Ran9? -. .. . _ ..
FEES
- Standing Sections � '
15 KW Tresh Compactor .
$15 laue Fee ' $ j
REQUIREMENTS: . � , �
� � Date
x
N
I
N
G
R
E
Q
M
T
S.
u
� � � SUpMM�pepvY OF FEES ' • ' '�r,rj
BUILDINGPERMIT� $ _GI_(__— SMIP � $�`6��_
PLAN CHECK . $ • PEFiM1T '
PLUMBING ; $` ' �ISSUANCE $� '
PLAN CHECK 25% $� ' _ ENERGV P.C: $
ELECTRICAL $' ' GRADING � $�
PLAN CHECK '� 50% $ ; � � MICROFI LM $ � '
MECHANICAL $ , � TOTAL FEE �� $ �
PLAN CHECK 25% $ � � ' - '
Q1 G�Ot�9901-000U9902 .T€lT- ' 81.SG -
,
��t-, �� �
CONSTRUCTION ANDPLANNING � POOL&SPA •, •
APPR9VALS Permit# Date Inspector AppROVAIS Permit# Date Inspector
. y..
i. Te'Ynporary Electrical Service or Pole � 52. Pool & Equipment Location �
2. Soil�Pipe-Undrgrnd. i:j� �; �L' ��� ' 53. Steel Reinforcement ... -�.:1�
� 3.� Electrical Conduit Utility-UOdrgrnd. f.•' :i 54. Forms �
.
�, t �,.. _ . -
4. Electrical Conduit-Undrgrnd. � ;�� 55. Electrical Bonding ��
.. �
5[:St��l Reinforcement �'� '� 56. Rough Plumbing & Pressure Test • ��a �
�;6. EtectricalUFERGrnd.; � ,,��' .� 57. APPROVALTOCOVER-GUNITE . ._
F
7t Footings ,� � ���. j�� 58. Electrical Conduit-Undrgmd. f ��f.
.8�. Foundation � �= ^ % . 59. Gas Pipe, O Undrgmd., Test .%�� '�r �.
� . �
9.� Water Pipe-Undrgrnd. I �,. -: � 60. Backwash Lines, P-Trap, 0 Undrgmd. .• �r�,�
�.
J': ' t
10. Structural Floor System �- �/, 61. APPROVAL TO DECK �; i
11. Property Sewer Line & HouSe�Comnection �� . 62. Backwash & Receptor-Final .
. y
12-' Sewer �Cap ^ ., � '� � �
, �� � � � 7 � t.�; 63. Heater & Vent-Final ' ��
��
13. Roof'Drains ' �� �''Y � `' t"� 64. Plumbing System - Final �,��
+! ,f' i•
14. Roiigh Plumbinji r V � ' �r� , 65. Electrical-Final � '��J
15` Rough Electrical-Conduit 66. Solar System-Final
. r ��
�1,6. Rough Electric Wiring 67. Fencing & Access Approval
'17. Rough W,iring Sign � 68. APPROVED FOR PLASTERING
i
.18. Rough Electrical-T Bar Ceiling 69. POOI/SPA SYSTEMS FINAL
'79'. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
.-�
20. Rough Factory Fireplace r7 APPROVALS Permit# .
21. Ducts, in Structure �" 70. Underground Hydro
22. Ducts; Ventilating ��, �_ 71 . Product Piping O Gas ❑ Oil
23. Gas Pipe�Rough &iTest ,r 72. Underground Flush "
24. Roof F�aming � �': 73. Undergrnd. Storage Tank O Gas L1011 '
25f�Roof°Stieathing 4��:�, . � � 74. Overhead Hydro
26. T-Bar�Celling (Structural) & Monocoat � � 75. Dry Chemical
� 27. Frame and Flashing 76. Dry Standpipe �
28. Lathing & Siding ' 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywell:Nailing ;;u•' HEALTH DEPT. REQUIREMENT
31. Pla`s'te'r�Brown Coat%/• ' 79. FINAL INSPECTION
�, . _
32. Eleat"rical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Tett �
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing -
39. Water Service-Final
40. Gas Service-Final
41. Solar pomesticFinal '
K
42. Backflow Preventer � ' �_�.'.
ll .
,.
43. Backflow Irrigation . � � •?�
44. Landscape Irrigation System - \ ,
45. Sound Attenuation �
46. Handicap Regulations
47. FINALSTRUCTURE&BU�LDING � ��
48. Soer.ial Requirements Completed
49. Electrie Release to Edison �' i' ��
50. Gas Release to Southem California Gas Co / ��"� �
��" ,�1 '�
51. CERTIFICATE OF OCCUPANCY ' �� �� i I
No. Date �r�"'� �'� �
OWNER HACKHAH'1'H G
JOB AnDRESS 20 Presi
GENERAL CONTRACTOA SW
AP. No. LOT
OCCUPANCY
.W. -
Dr.
�0015� IRc.
TtiACT 3
DATE
�1 � � !.-r
PUG 3 0 i961
SUBCONTRACTOR
DATF�1'23'�0
BUILDING PEAMIT N0.
VALUE 3 s •
Form 210—SM-11-59 5-B P , 1331I{
" �2 $
COSTA MESA BUILDING-SAFEN DEPARTMENT
P. O. BOX 9f7 C09TA MEBA. CALIFORNIA �
For Applicanf fo Fill In Complefely
TYPE OR PRINT
■ eui�o�N�
COSTA MESA. GALIFORNIA �.
OWNER Mese Del Mar 1>evelopment o.
ADORESS Suite 1 38�� E• C088t �� tlHB
c�n Corona del Mai' NEo`.' OI 342
ORCENGENEER .. RS ond T.evan8a No: � 370
ADDRESS 9 3 ot o Ne ott Seech
anuroeemo Macoo.Corporation � -
■ USE
65 x 93 I NO. OF BLDGB. o
Now ox �er
PROM �g
tBeT 45 ftEAR YARD
LEFT S IRIGHT S
ESCRIPTION OF WORK
52E�ING X�f ROOMS 6 STORIES1
COVER NGWS�"sid�Et�C�eov°ee�N�Wood Shinglea
USE OF BUILDING AND WORK YO BE PERFORMED
r,,..er,-„rr single Femily Residence
with attached garage
I HEREBY ACKNOWLEOGE TX T 1 HAVE RP.AD TXIB APP CATION
AND 6TATE THAT THE ABOV 19 Ga@RECT� AOqE6' O COM-
PLY WITH ALL CITY ORDIN GE9 �� 81'ATe LAWe ULATIN6
6UILDINO CONBTRUGTION. '
91GNATURE OF � (i� , „i . n _
''� I Project Manager
AUTHORIZED AGENT
� FEE RECL-I�ED
..Qj,� JUN1"r 196a
FINANCE DEPT.
� APPLICATION FOR��RM� ��SrA MESA
Lot 53 BUILDING
P1aA 1B
For Office Use Only
RECEIPT NO. �PQiY{I[�lip^
'/"/ Tt ]�(
nrrv�i��
NECEIVEO pV OAIE RECEIVED ATE I�aUEp
��/ �- /�-6 v I � /S �loo
ADDRe�ss 821 Preaidio Drive
COSTA MESA._CALIFORNIA
FIRE
ZONING
ZON6 INO.OF IUBE OP NEW
PLANB OUILDING
LcGAL � _'LOC rgct � 3749
YARDS-. EVES
APPftOVED ALLO
fCENTHR I.INE BTJ�
�
Q �
TMH pMOUNT BHOWN UNDEp VqLUAT10N IB i0R T�i¢
PUAP088 OP, £BTI�BIIBNING h PERMIT PEE ONLY.
VALUATION 3Z.00
PERMIT FEE $
g �.3,395.�0 pLAN CHECK $ 16.0�