HomeMy WebLinkAbout892 PRESIDIO DR - Building Permits:CfY"OF COSTA
Project Address _
�.pplicant's Mailin�
Owner's Name —
Address
PERMIT
No.
Applicant to fill in a11 spaces except those within heavy eoraer lines anC sign all avVrooriate tleclarotions. ��-
P�RMIT NO.O �� TRACT NO. LOT NO. � UNIT NO. -
a
OFCONSTRUCTION rvEW ADD
CONVEft510N ❑ DEMOLISH ❑ OTHE�
SCRIPTION OF WO�RK/USE,OF BLDG. -�/E
Address (mailing) � �L�"'�� C'O =���r��-wr a �cL, �c.r�--w.+'
Ciry License No. �? p �
LICENSEO CONTRACTOR DECLARATION '
I hereby,affirm tha[ I am,licensetl untle� O�ovi5ion5 ot Chdrter 9(commencing
with settion ]000) ot OiviSion 3 of the Bu5ine55 antl Prote55ions Cotle, antl
my license is in ful force antl effect. y��{
License Class �� Lice se No. � ��`� '
Date� S'onar rP ���,C�r�
WORKERS'COMPENSATION DECLARATI N
I hereby aHirm Ihat I have a certiticate of consent to seli-insure or a certi(icate
of Workers' Compensation Insurance, or a certltietl copy thereof (Section
3800, Lab. C.) - -
Policy No. Company
8 Certifietl copy is hereby furnishetl.
Certifietl copy is filetl with the city Builtling Divisian.
�ate Applicant
EXEMPTION FROM WORKERS' COMPENSATION DECLA0.ATION
(This section neetl not be mmpletetl if the permit is for one huntlretl ($100) or
Icss).
I certify chat in the per(ormance of the work for which this perm�t is issueQ I
snall not emplOy any pe�son in dny mdnnel so as to be Ome subje to the
Workers' C m nsat�qp� Laws o! Califorrrte!
Date �•' �' O ! Signature —
NOTICE: If, aker makin9 this tleclaration, you sh ultl become subj ct to the
Workers' Comoensation provisions of the Labor otle, you must forthwlth
comply with such pwvisions or this permit sha11 be tleemetl revoketl.
CONSTRUCTION LENDING AGENCV
I hereby afiirm that there is a construction lentling agency for the performance
ot the work ror which this permit is issuetl (Section 309� Civ. CJ
LenOer's Name
Lentler's Atltlress —
OWNER BUILDER DECLARATION
I hereCy aftirm Ihat I am exempt from the Contractor's License Law tor the
following reason (Section ]031.5 Business antl Professional Cotle: Any city or
county which r¢quires a petmil to wnstruct, alter, improve, tlemolish or �epai�
any structure, pri0r to its issuance, also require5 [he applicant tor sucM1 pe�mit
to file a sign¢tl statement that he/She is licensetl pursuant to the provi5ion5 ot
the Contractor'S License Law (Cnapter 9(tommencing with Section ]000) of
Division 3 ot the Business antl Professions Cotle) or Ihat he/zhe is exempt
the�efrom antl the basis for the allegetl exemption. Any viOlation of SectiOn
7031.5 by any applicant for a permit subjects the applicant to a civil
penalty oi not more than five huntlretl tlollars ($500).
❑ I, as owner ot the property or my employees with wages as Iheir sole
compensation, will tlo the wo�k, antl tlte sVucture is not intentletl or�ofteretl
for sale (Section 7044, Business antl Professional Cotle: The Contractor's
Lirense Law tloes not apply [o an owner of a property who builtls or improves
tM1ereon, antl who tloes sucM1 wo�k himselt/her5elt or thrOu9h hls o� h¢r own
employees, p�ovitletl thal such improvemen[s ar¢ not intentletl or offeretl for
sale. I/, noweveq the DuilOing or improvement Is soltl within one year of com-
plelion, the owner will have the bu�tlen Of proving he/she tlitl not builtl or im-
prove for the purpose of sale).
❑ I, as�owner ot the property, am exclusively contracting with licensetl con-
eractorsto constructthe project (Section 7044, Business antl Protessions Cotle:
The ConVactor's License Law tloes not apply to an owner of property who
builtls or improves thereon. antl who contracts for such oroiects with a com
tractor(5V Lcense pursuant to [ne ContractoYs Llcense Law). I am aware tha2
proof o{ thei� Worker's Compensation insurance shoultl be provitletl to me.
❑ I am exempt untler Secfion 8. & P. C. for thi5 reason
Date Owner
I hereby certi(y that I have reatl this applicalion antl state that the above
information is co�rett. 1 agree lo comO�Y w��h all city antl county ordinances
antl State IawS /elating to builtling constru[tiOn, and hereby authorize repre-
5entatives of tM1is citv to enter upon G?le above�mentionetl property �or
�� Nu
ure . �� Date 6
s'Licenseor55�qF '
�6, rev. 5/88 White - Builtlin9� Canary - Appli<ant; Pink - Accountinq; GOltlenrotl - A55¢ssor
TION L1 REPAIR
' iv� Mn.+e J �'
Tl'PE OF PERMIT GRADING ❑ FOUNDATION STRUCTURAL
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL
❑ OTHER
PROJECT DESCRIPTION SQ. FT. OCCUPAN,C/ V�--,
CONSTRUCTION TVPE �^ � VALUATION $ �-�y
b —
ZONE GRADINGCU.VDS.- ACRE
Remarkz: (� Mr J Vi ol_ Of/U .ie..:w .�._
Bar Sink
Backflow Preventer
Backflow Irrigation
eathtubs
Clarifiers
DIShW25f1Ef '
Drinking Fountains
Fioor Dreins
Floor $inks
GasService Outlets
<itchen Sink
Lavatories
Roof Drains
Reinspec[ion Fee
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar,�Col lectors
Solar Pipin9
olar Tank �
Swimming Pool w/Spa
�Jf10d1
WdtCI CI052S
Water Heater
Water Service
Auto-Wash
Laundry Tra"ys
$15 Issue Fee
Boiler
Duct-UnderGround
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multipl:
FirepUFact. BIL ICBO #
Heating System & Ducting
❑0-100,000 BTU 0100,000
Reinspeaion Fee � $15
Hoodor Typel ❑
Canopy Type II ❑
tefr' eration System
0.700,OOOBTU ❑100,000
System Repair/Alteration
F ire Dampers
Issue Fee
ZLd
FEES
A.P. �f`-
S Main Building:
E
T Front
ARear
C Ri9ht
K
g . Left
Ping. Ref. #
Planning Notes:
Automatic Washer
Construction Pole Sub.
Cooking Unit
Dishwasher
Dryers ❑Gas ❑Eleci
Fan
F.A.U.
Fixtures
Device Boxes
Outlets
Switches
Garbage Disposal
Generetor �0.5 KW C
Zone
Accessory Building:
2
O
N
�
N
G
R
Parking Req./Provided E
Q
M
T
S.
ELECTRICAL FEES
Transformer ❑ 15-50 KW
� SO+KW
Meter ❑up to 100 amps
Meter ❑over100ainps
'ic Sub Panel -
Motors00.7 HP�1X�8
Inc. Solar 09-15 HP 016-15+
Micww
ole Light. '
Range �
Sign
Standing Sections
5-75 KW Trash Compactor
Reinspection Fee ' $15 luue Fee
$ 3 DEVELOPMENTSERVICESREQUIREMENTS:
Zoning Approvad By
FEES Building Approved 6y %� p� �
$ 3
, BUILDING PERMIT $ ?2• ��%
PLAN CHECK $
PLUMBING $ �
PLAN CHECK 25% $
ELECTFICAL $
— PLAN CHECK 50% $
MECHANICAL $
PLAN CHECK 25% $
$ 3
SMIP � $ �-ia
PERMIT
ISSUANCE � $
ENERGY P.C. $
GRADING $
MICROFILM $ �-J�
TOTAL FEE $ �Z• Jv
41 000;4391-Q�l�3439? T���' %?,�t�
o,a7E. ohroaizs rin:-: c::.a5 . .
�� C6TUSTRUCTIOIV,AND PLANNING
I
i' APPROVALS rPermit#
1. Temporary Electrical Service or Pole
�
2. Soil Pipe-Undrgrnd. �
��� Electrical Coriduit Utility-Undrgrnd.
�4:! Electrical Conduit-Undrgrnd.
5.` Steel.Reinforcement � �
,6�Electrical UFER Grnd..
- 7-� Footings � �
f''
9�; Foundation �� `
i
•9� Water Pipe-Undrgrnd.
10. Structural Floor System .�,
i t. Property Sewer Line & House Conne,ction
12. Sewer Cap -- ^ _
13. Roof Drains ' r '
14. Rough Plu�bing -
15. Rough Electrical-Conduit
t1�.6. Rough Eleatric Wiring _�
n'
;17. Rough Wiring Sign ��
, �
18. Rough Electrical-T Bar CeiAng��
�19. Rough Heating & Air Conditioning
✓
�20. Rough Factory Fireplace��;j
2•1:' Ducts,.in Structure y� � i
�
22. Ducts, Ventilating l.-� !•�
23. Gas Pipe-Rough & Test - �
� �.
24. Roof Framing j � �
}-� .
25��Roof Sheathing : U
26. T-Bar Ceilin9 (Structural) &+IVlonocoat
,27'Frame�and Flashing ���
r
28. Lathing°& Siding !�i
29. Insulation 'r �
30. Drywall,Nailing �, :� .-�
31. Plaster Brown CoatN ' �
32. Electrical Power Meter-Finali �
♦ 1
33. Final Electric ' `'
] 3,
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or CanopY
37. Final Factory Fireplace
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. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Ca
51.CERTIFICATEOFOCCUPANCY
Date
Date
0
POOL & SPA
Inspector p�ppROVALS Permit #
. 52. Pool & Equipment Location
• 53. Steel Reinforcement
54. Forms _
55. Electrical Bonding
56. Rough Plumbing & Pressure Test
57. APPROVAL TO COVER-GUNITE
�
, 58. E�ectrical Conduit-Undrgrnd.
`� ' 59. Gas Pipe, 0 Undrgrnd., Test
60. Backwash Lines, P-Trap, � Undrgrnd.
61. APPROVAL TO DECK
� 62. Backwash & Receptor-Final
:w.
63. Heater & Vent-Final
' 64�Plumbing System - Final
' 65. Electrical-Final
66. Solar System-Final
67. Fencing & Access Approval
68. APPROVED FOR PLASTERING
� 69. POOL/SPASYSTEMSFINAL
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
0
70. Underground Hydro .
71. ProductPipingOGas ❑Oil
72. Underground Flush �
73. Undergrnd. Storage Tank O Gas ❑ Oil �
74. Overhead Hydro �
�75. Dry Chemical
76. Dry Standpipe
77. FIXED SYSTEM FINAL
78. FIRE PREV. FINAL .
HEALTH DEPT. REQUIREMENT
79. FINAL INSPECTION
80. FOOD CERTIFICATE ISSUED
Notes: fµ�p1LE VG� p�L 060�.d
V
:l
Date Inspector
�
� �
i
���
'J
1'7
�.,?-3-70 `Zr� /�_.e�` l ��` i/
COMPLAINT INVESTIGATION �OSTA MESA BUILDING SAFETY DEPARTMENT
P. O. BOX 1200
COSTA MESA. CALIFORNIA
Received by �' 646-241 I Date:
Made by: � /
Againsr. �
Direc[ions: .—� �--
nt:
Action taken:
ComO�ete: Yes
No
FORM BV<1-2M-5-84—CP
Address /� { Ph. No. ��
Address (7 C�� 1,/�L�� %rT--(/ ./ ✓�/ '
Complainant Yes , � By ��'i � v ��
In[erviewed: No � Da[e: �'/ �`"�
�
- : ~ �,P J��JL
COSTA MESA BUILDING-SAFETY DEPARTMENT
� P. O. 90X 917 GOBTA MEBA. CALIFORNIA
For Applieanf fo Fill In Compleiely
. TYpE OR PRINT
COSTA MESA. CALIFORNIA
c�Tr Corona del
ARCHITECf'
FC��EC��ii��
[� a r- ii, P��r,v +� a� s lseo
rtP,ta►�+Erf pE?T.
APPLICATION FOR�,PERMIT
e�.: ut Q:f►STA t�7E��1
BUILDING
For Office Use Only
RECEIPTNO. pGSWIT��O�
1lJYt !
REC IVED BY I DAT��.f2E�VEpT I DATE 19SUED
�' [ �� Ii4P n I1 'iCC1�i
BUILDING g92 Peeaidio Drive N
ADDRE6S
COSTA MESA. CALIFORNIA
FIRE
ZONING
ZONE NO.OF I IISE OF NEW
R�1 I PWNB 2 BUILD�NG �
LEGAL �.I� 1 � . �A
SIZE � � � NO. OP B1SG6.
OF LOT NOw orv LOi q, p, NO. 1
USE OF YARDS
FJCISTING BLOG. APPROVED
B6TBACK LIN6 FROM � /� / ICENTER LINE eiJ
ceNT6R OP BiREET O" I REAR YARD Sl� FRONi
/
SIDE YARD I �EFT / RIGHT R. SIDE
DESCRIP710N OF WORK
BUIL�ING NO. OF
SIZE ROOMS
EXTERIOR WALL ROOF
COVERING ,a..0 �' COVEF
USE OF BUILDING AND WORK-TO B
I HEREBY ACKNOWLHD6E YHAT 1 HAVE READ TH18 APPLIGTION
wNp BiAT6 THAT TXE ABOVE 16 GORftEGT AND AGR TO CON-
PLY WITH �LL GITY O Nu'1 AND eTATE LAWB GULATINO
BWLDINO CONBTRUGTIO p�//J
SIGNATURE OF / A A-1, i , d
� AUTHORIZED AGENT
EVES
AILOWED
� FT. P—�-�= ' ��
� FT. J I�
�� A
� Fr. �iil��"a/��n
�fT. � ��033 k
n. .,er� i2-8-60
THH AMOUNT BHOWN UNDEH VALUATION 16 FOR THE
PURP08E OF EST/.BtIBH�NG I. pERM�T F66 o�aLv.
VALUATION
PERMIT FEE $ �. D�
$�yl6i6l•QQ PLANCHECK $ '7.01