HomeMy WebLinkAbout963 PRESIDIO DR - Building PermitsJ
Avv��cant to fill in all spaces exeept those within heavY OorEer Iines ana si9n all aporavriate aeclarations.
'TA6 MjESA NSTRUCTION PERMIT , PER NO � TFACT NO. LOT NO. UNIT NO. � A P#
fM5
i�� '��P9 �•. . � � ���� � : �� : .�� � . . � S Main Building:
nt'S Mailing Addr ss - -� � TYPE OF CONSTRUCTION - � NEW P.DD AL.TERATION REPAIR' . E
/�,� �/�oJr�' ❑ CONVERSION. O DEMOLISH ❑ OT ER T Ffont
wner'sNa��K.Ej1�S� ����r'u2 Phone��" � �DESCRIPTIONOFWORK/USEOFBLDG."�1,%��� _ � IA-Rear �
Address
Arch/Eng. ^� Licen5eN0. � TVPEOFPERMIT � GRADING ❑'FOUNDATION STRUCTURAL , I K Right
Address ' � ❑ TENANT O ELECTRICAL �❑ PLUMBING ❑ MECHANICAL ; $ � Left .
Contrector's Name �% Phone?G4=�3y �'OTHER - � Ping. Ref. # �
PROJECT DESCRIPTION Sp.FT.� - OCCUPAN v
Address (mailing) e� ' � � � Planning Notes:
City Litense No. C�� '�'3��6� � CONSTRUCTION TVPE VALUATION $� D
ZONE GRADINGCV.VDS. ACRES
LICENSED CONTRACTOR DEGLARATION '
I hereby affirm [hat I am�licensetl untler provisions o( Charfe� 9�(commencing
with seclion ]000) of DlviSion 3 of t�e Busine55 antl Pro(e55ion5 Cotle, antl
my license is in f Wjiorce anrl eitect. ' �,_�,, �
Date Siqnature
WORKERS' OMPENSATIONDEC ARATION�
\ I nereby afiirm that I �ave a certificate oi consent to self-insure or a certificate
of Workers' Compensation Insurance, or a certifieE copy thereof (Section
1 3800, Lab. C. {� �ar��p�¢n v�Lvury�����
\ PolicY No. �'�2� J^� ComPany ` " /
�'Certifietl copy is hereby turNshetl. '
Cerjifie�° p i iletl with the'city B ing Divisian.� A
Date ��� /� qpplicant � ti-.�.� Y .
EXEMPTION FROM WORKERS"COMP NSATION DEC ARATION
(Thiszection neetl nat be completetl if the permitis for one-0untlretl ($100) ar
less�. •
I certity•that'in the periormance oi the work /or which this perm�t is issuetl I
shall not employ any p¢rson in dny Tann¢� 50 as to become Subje e
Workers'. m s ioq Laws of Califomi �' �
Date'� Signature �
NOTICE: If, after making this declaratiOn, you ShoUltl become Subject to the
Worker5' Compensa[ion provisions of th¢ LabOr Cotle, y0u mu5t forthwith
comply �witn� sucn provisions or tnis permit shall be aeemetl revoketl.
CONSTRUCT.ION LENDING AGENCV '
1 hereby attirm Ihat there is a construction lentlin9 a9ency tor Ihe performance
of the 'work fOr whi[h Ihis permit is i55uetl (Section 3097 Civ. CJ
lRnder's Name� ' �
Lentlei's Atltliess '
OWNER BUILOER DECLARATION ' � � �
I hereby atiirm lhat I am exempt trom the ConVactor's License Law for Ne
tollowing reason (Section �031.5� Business anE Professional Cotle: Any ci[Y or
wunry whlch requires a permit to consVuct, alter, improve, tlemolisn or repair
any st�uctu�e, prio� to its issuance, also requi�es t�e applicant to� such pe�Tit
�to file a signetl statement [hat.he/she I5 licensetl pur5udnt to the O�ovisions of
the Contractor's License Law (Chapter 9(commencinq with Section 7000) of
�Division, 3 of the, Business antl ProteSsions Cotle) or that he/she is exempt
theretrom antl the basis for the allegetl exemDtion. Any violation ot Sectlon
�031'.5 by- any applicant for a permit subjects tM1e applicant to a civll '
penalty ot not more Ihan five huntlretl tlollars,($500). '� `
�� I, ds owner ot Ih¢ property or my em0�oye¢5 with wage5 a5 thei� Sole
compensation, will tlo the work, anC tne structure is'not intentletl or-ofteretl
for sale (Section 7044, Business antl Professional Cotle: The Contractor•s �
License Law tloes not apply to an owner ot a property who builtls or improves .
thereon; antl who; tloes such work himzelt/herself or throu9h hi5 or her own .
em0�oyees, piovitletl tnat such"improvements are not intentletl or offeretl for
sdle. If, howeve�, the builtling �o� improvement is Soltl within on¢ yea� of cOm-
pletion, the owner wiil have the burtlen of proving he/she tlitl not builtl or Im-
prove tor the'purpose of sale). , ' �� '
❑ I, as owner ot the property, am exclusivety contracting with licen5etl con-
' lractors to mnstruct the project (Section ]044, Business antl Professions Cotle: .
The Contractor's License Law tloes not apply to an owner of property who �
builtls oi improves [hereon. antl who contracts for such oroiects�with a mn-
trattor(s) hcense pursuant to [ne�Gontractor•s License Law),I am aware that
proof o( their Wo�ke�'S Compensation insurance shoultl be provitletl to me.
❑ I:am exempt untler Section � B. & P. C. for this reason
� Date Owner' - '
I hereby certity that.l have reatl this-application antl-state Ihat tne-above '.
Information is carre<t I agree to comoly with ail city antl countY ortlinances �
dntl State laws relating to builtling construction, anA he�¢by authoriie repre-
sentatives of � tnis city to enter, upon the above-mentionetl property for
inspectlon pur oses. , ' ' : ' '�
Siqnature ' DateL�� ,
DrlvBrs' Lic e 55 � � � �
0865-46, rev. 5/88 Whi[e - Bulltling; Canary - Applicant; Pink - Accounting;
Remarks: . '
Bar Sink
Backflow Preventer
Backflow Irrigation
Bathtubs
C12lIfIEfS '
Dishwasher �
Drinking Fountains
Floor Drains
Floor Sinks
Gas'Service , Outlets '
Intercep[ars
Kitchen Sink � �
Lavamries � -
P—TreP
Roof Drains �
- Reinspection Fea , $15
Boiler "
Ducf-UnderGround .
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple
Firepl/Fact.' Blt. ICBO #
Heating System & Ducting
❑0.100,000 BTU 0100,000
-peinspection Fee
ssessor
$15
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet � � '
Water Heater
Water Service �
Auto-Wesh
Laundry Tra'ys "
laue Fee '
IANICAL ' � • �
Hoodor Typel ❑ _
Canopy Type II ❑,
Refrigeratlon System .
❑0.100,000 BTU ❑100,000 BTU
System Repair/Alteration �-
Fire Dampers
Registers .
laue Fee
FEES
Automatic Washer
Constructian PoleSu6.
Cooking. Unit
Dishwasher �
Dryers ❑Gas ❑Electric
Fan
F.A.U.
Fixtures
Device Boxes,
QUtI¢t5
Switches
Garbage Disposal
Generator �65 KW
ACC¢SSOfY BUI
Req./Provided
ELECTRICAL '
Transformer ❑ 15-50 KW
❑ 50+KW
Meter �up to 100 amps
Meter ❑over100amps
SubPanel ..� .
Motors OO-1 HP 07:5:- 8�
Inc.Solar �9-15 HP��16-15+
Microwave -
Pole Light :�
Sign
Standing Sections
75 KW Trash Compactor
Reinspection Fee $15
$ 3 DEVELOPMENTSERVICESHE�UIR
Zoning Approved By
FEES Buildine APProved By
�r' Appliwtion Issued By
$ 3
luue Fee
BUILDING PEFMIT $ S%.s. OG
PLAN CHECK $ •
PLUMBING � $
PLAN CHECK 25% $
ELECTRICAL $
P.LAN CHECK 50%' $ '
MECHANICAL, $
PLAN CHECK ZS% $
r
O
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N
G
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U
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T
S.
FEES '
�
$ 3
es , SD
SMIP $
PERMIT
ISSUANCE $
ENERGV P.C. $
GRADING $
MICROFILM $� �—/�
TOTALFEE � $ S'.J�
al 00pi6497-00016495 Tr�T ;,�.,�p
DA7E: iG/07/S8 TIME: G9:'L3
,
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TRUCTION AND PLANNWG a�� . � � POOL & SPA -
OVALS Permit # Date Inspector p�ppROVALS Permit # Date Inspector
Temporary Electrical Service.or Pole rI .�� 52. Pool & Equipment Location ' _ .
2. Soil PipB-Undrgrnd. -^�� , r �� t�'1 53..Steel'Reinforcement � ' ��i
'`'3� Electrical �onduit•Utility-Undrgrnd� 'v� n� �kw. 54. Forms - � �
4eEElecYrical Coitluit=Updrgrnd. � 55. Electrical Bonding ' �..
.. _
5, SteeliReinforcement • ;,� 56. Rough,Plumbing & Pressure Test �^.l
�, n '
�6� Ele�tricalUFE,RiG;nd�� s_..,� �'� . 57. APPROVALTOCOVER-GUNITE ' � �
7' Footings �;� �.,� " ' �; 58. Electrical Conduit-Undrgrnd. � 4
•! • Y� - H
8: Fo��dation (�I�ti ���, �Z `�. .y� `� 59. Gas Pipe, O Undrgrnd., Test . �'
9:- Watei Pipe-Undrgrn�d.� _�� ��. t� � 60. Backwash�Lines, P-Trap, O Undrgrnd. • ��-
10. Structural Flo`br System , - j f � 61. APPROVAL TO DECK � �
11. Property 6ewer Line &�House Gonnection �• r 62. Backwash & ReceptorFinal
12. Sewei Cap ;�� � � � j � ���' ' 63. Heater & Vent-Final . '1
13. Ro'of Drains �ri� � �� ���.i� "' �_ 64. Plumbing System - Final . „�
A
14. RoVgh Plumbirig � �� �7 65. Electrical-Final - • � >�� �
15. Rough Electricaf=Conduit � ' 66. Solar System-Final � .
16. Rough Electric Wiring , . - . 67. �Fencing & Access Approval - -
='17,. Rough Wiring Sign . , � 68. APPROVED FOR PLASTERWG
,t8. Rough Electrical-T Bar Ceili�g 69. POOt(SPA SYSTEMS F1NAL
119. 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 OGas ❑Oil ,
23. Gas Pipe-Rough &•Test. � � .72. Underground Flush � ��
24. Roof Freming . " - ' 73. Undergrnd.StorageTank �Gas OOiI
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 �
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 - '
i
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 Grigation . ' � � ` � ' j � ' •
/'� .;
44. Landscape,lrrigation System --' <7
, 45. Sound Attenuation � �
� 46. Handicap Regulations • � :
a7. FiNAL STRUCTURE & BUILDING �Q �Q ,� � ,
4R. Soer.ial Requirements Completed , � ,
49. Electriq Release to Edison - _ • , , ' , . �' � •
. �.
50. Gas Release to Southem�Califomia Gas Co � �- �^ � ��;
'51. CERTIFICATEOFOCCUPANCY �;� ti '
No. Date ' �� � � �
„r_ Lot 15
' ���v�..��_
COSTA MESA BUILDINGSAFETY DEPARTMENT
P. O. BOX 9/7 C08TA MEBA. CALIPORNIA
For ApplJeanf fo Fill In Compleiely
� � TYPE OR PRINT �
BUILDING . . . . _ .
COSTA MESA. CALIFORNIA
nooixess 3800 E. Coas t
ciTv Corona del Mar
ARCNITECT MyCCO C�T[>•
OR ENGINEER
•OOBFSA 3800 E. Coast
TEL.
NO.
TEL.
cirv Corona del Mar
uc No. 8808-SB-1 ' No: Oriole 3-422
SIZE NO. OP BLD69.
oF �07 fi51(1 R F xow ox �oTRO
USH OF
E%18TING BLDG none
BRBACK LIN[ PROM � 1
ee'rrea or srns¢r SO REAR YARD 23
91DE YARD I IEFT S' I RIGHT S�-3��
DESCRIPTION OF WORK
urw I X II e� rroer�nu I II ann�r�nu I
� _9��XrJo �
EXTERIOR WACL �""" ROOF
COVERINGFt � S tl1CC0 COVERI!
USE OF BUILDING AND WORK TO BE
.�
1
1 HHREBY AIXNOWLHDGB TMAT 1 MAVB F6AD THIB APPLIGTION
AND 6TAT! TXAT TH8 A90VE I6 GORRBQ AN� AdPL¢ M COM-
PLY WITX ALL CITY OPGINANCHB ANO BTATC GAWB RSOULATINO
BUILDIN6 CON9T1iUR10N. �
61GNATURE OF g�Del r Development Co.
PERMI7TH�. �
By • /!hC/ . _ • �/. . i.//%D
FIRE
Tract 4285 Plan 300 B
FEE RECEIVED
�SEP 6 },�j
FINANCE DEPT.
APPLICAT�I �1�8�9Y1ESA
BUILDING
For Office Use Only
neceirr No. eiutA'�N�p ,
A�.1rG.u`$
� BY I Dp� qqC¢IVEp/ I DAT¢ IBSUED
ci i�f i
COSTA MESA. CALIFORNIA
ZONING
O W ” i I vUN9 �I BU LDING
�..
^e�"'-._.__. -nP �/ z S'.f-
YARDS'
APPROVED
tcexrew uxs sr.>
FRONT �Q F
R.SIDE � F
L. SIDE � f
awaa z .3 s
APPROVED
3
E O /
/3�
r
Garage Area 432 S F
� Covered Porches
arr Araa 32 S F
TXE AMOUNT SXOWN UNDER VALUAiION IB FOR iXE
PUIiP086 OP, EBTABlI6HING • PERMIT FEE ONLY.
VALUATION
PERMIT FEE $ �� /
$ 15,326.00 p�pN CHECK $ / /��
70TAL FEE $-'2•SO
�
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