HomeMy WebLinkAbout981 PRESIDIO DR - Building PermitsAOPlicant to fill in a11 sDaees ezcept tnose within heavY Oortler lines ane sign all aporopriate tleclarations.
ciTV oF COSTa ESn n�CONSTRUCTION PERMIT �
ProjecTAddress ���� 1�Y�Sl�.CO �''iJ¢�3 CM' QZ(c2�
Applicant's Mailingq ddress � ��� '
: � '_^ ��P/
Owner'sName'J�l'T�1YWSi�ta�1� /J�('M1 ��i;� 5.57�' �'Z�
� Addreu �� 4 ���L
Arch/Eng. License No.
Address � /� 'f ' ' �
Convactor's Name—(,L ��`- u�-n �" '- Phone -
f ,
Address (mailing) -
City License No. • � �
LICENSED CONTRACT R DECLARATION � .
I hereby atfirm that I am licensetl untler provisions of Charter 9(commencing
with section 7000) ot Division 3 of the Business antl Professions Cotle, antl
my Ilcense is in full torce antl effect. .
License Class License No.
Date Siqnature
WORKERS'COMPENSATION OECLARATION � •
I hereby aHirm that I have a certificate of consent to seibinsure or a certiticate
ot Workers' Compensation Insurance, or a certifletl coOY thereof (Section
3800, Lab. C.) � ,
Policy No. Company
BCertitied copy is hereby furnizhea. ,
Certifietl copy is filetl with the city Building Olvision. ,
Date Applicant
EXEMPTION FROM WORKERS' COMPENSATION DECLHRATION
(This section neeC not be completetl�if [he permit iz for One huntlretl (§300) or
Iess).
I certity lhat in Ihe performanGe o( Ihe work (Or whic thif perm�t is i55uetl, I
shall not erNpl� any person In any manfier so as t bepome subject to tne
WorketSSComo Ase9lon Laws ot CalitMnJa! d
Date _.S4_/;�(.81C--Signatur mx- o'
NOTICE� ✓f; a$er� i�aking thi5 tleUalation you sh I�become zubjec[ to the
Workers' COmp¢n5ation provisions'Qf. Labor Cotle; you must fo�tM1witM1
comply with such orovisions or this oermit shall be tleemeG revoketl.
CONSTRUCTION L'ENDING�AGENCV ' �
I he�eby affitm that theie is a const�uction lentling agency to� the pertormanc¢
of the work for whioh this permit'is issuetl (SeGtion 309] Civ. C.)
Lentler's Name _ _
Lentler'S�HtlCreSs� � - --
OWNER BUILDEIi DECLARATION �
I hereby aftirm thaLl'am exemp[ from �the Con[ractor's License Law for tbe
following reason (Section 7031.5 Business antl Professional Cotle: Any ci[y or
munty wnich requires a permit to construct, alter„improve, tlemolish or repal
any structu�e, prior to its issuance,'also requi�es the applicant for such pe�mit
lo (ile a signetl statement thal he/She is licensetl pursuant to the provi5ions of
:from �antl ,tne basis for the allegetl exemption. Any violation ot Sectlon
LS by any applicant tor a permit subjects the applicant to a civil
ilty ot not more than five huntlretl dollars (5500).
�, as owner of the p�operty � �
paasd(yQ� will do th¢ wotk, antl the Structu/e is not intentletl o� offeretl
sale (Section,]044, Business antl Professional Cotle: The Contractor's
nse Law tloes�not apply to an owner of a property who builtls or imOroves
eon;�antl wno'tloes:such work'himself/nerselftor through his or her own
loyees, provitletl tM1at such Imp�ovements are not Intentle0 or offeretl fo�
If, however, the bulltling or improvemen[ is soltl witnin one yea� of com-
bn, the owner will-M1ave tM1e burtlen of proving he/she tlitl not builtl or im-
�e for the purpose ofsale). � � '
, as'owne� of the property, am exclusively cont�acting with licensetl con-
[or5to'wnstructthe project (SectionJ044, Busine5sand Professions Cotle:
Contraclor's License L•aw does not appty to an'owner�of'property=who
tls or improves tM1ereon, antl who contracts for 5uch projects wrtn a con-
tor(s) bcense purzuan[ to the Cont�acto�'S Gic nse Law): I am awar¢ that
�f of their Wo�ker'S Compensation insurance houltl be provitletl to me.
am ex�mp[ untler Sec[ion �� 6. & P. C. for this reason .
PER T NO. , TRACT NO. LOT NO. � UNIT N0. � I
� 3oosl � ` ;
TYPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR�
❑ GONVERSION ❑ DEMOLISH ❑ OTHER � � q,p, #
DESCRIPTION OF WORK/USE OF BLDG. ��G - n� ' �
S Main I
TVPEOFPERMIT GRADING� FOUNDATION STRVCTURAL � i T Front
�❑ TENANT ❑ ELECTRIGAL ❑ PLVMBING ❑ MECHANICAL ' . B Reaf
'O OTHER . � � ' p` �
PRQIECTDESCRIPTION� SQ.FT. %�DC7� � OCCUaANCv C Right
K
CONSTRUCTIONTVPE � �V'ALUATION$,200� g LeFt
ZONE �GRADING CU. VDS.' ,qCRES � ,p�ng. Ref.
ing:
qemarks: . , �� , � ' , . , • Planning Notes:
Bar Sink � `_
Backflow Preventer �
8ackflow Irrigation ,
7rinking Fountains
Floor Drains '
��OOf $IlIkS �
�as Service Outlets
Interceptors • �
Kitchen Sink ' • � - ' �
Lavatories �
P-TraP
Roof Drains '
i
Reinspection Fea � $75
Boiler
Duct - Under Ground .
Duct-Structurel ' '
Exhaust5ystem ❑, MWtiple❑
Firepl/Fact. elt. ICBO #
Heating System &�Ducting�
I hereby�certifV hhat I have �a�t is applic�ion and state that Ihe above ❑0-100,OOOBTU �t00,000BT1
infOrmation is eovrecL.l agree jo co ply with all city antl county ortlinances -
� antl•s[ate laws r,elatin9 �o bu' din construction, antl he eby authori e repre- .
sentatives of fs city, to te upon,the above- tiOnetl pro e� to� .. _ ' _
,inspectlon p r ses.' �/ � '
' Signatur � peinspection Fea � !$15
orivers' cen e or 55 �
CMF 0865-46�r . 30/84 White - Builtling; Canary - Applicanq Pink - A<countin9; Goltlenrotl - Aszessor
Showers �
ServiceSink� � � '
Sewer �Cap ' - �
Sewer Connection
Solar (�.O��ECIOfS
�Solar Piping -.
Solar Tank
Swimming Pool w/Spa
Uiinal
Water Closet
Water Heater
Auto-Wash
Issue Fee
�ANICAL .
Hood or TYPe I ❑
Canopy �Typell ❑ '
Refrigeration System
❑0-100,OOOBTU ❑100,000
System� Repair/Alteretio n
� Fiie Dampers � �
Registers � � � '
� • luue Fae ' • i
Automatic Washer "
� ,
�: f;61,4 9/�c/77 :
iJ
_ ' ' _� " Zane_
' Accessory,Buildin9:� .
�
ing Req./Provided
" � ELECTHICAL. , -
Transformer ❑ 15-50 KW r
� � � ; ❑ SO+:KW
- 'Cookiog UoiY� - -' Meter ❑up to 100 amps � -
' Dishwasher' � ' � Meter ❑over�100amps' '
� Dryers ❑Gas ❑Electric 'SubPaneP � :
Fan _Motors �0-1.HP 07 X- 8
� F.A.U. ' Inc. Solar �9-15 HP 016-15
Pixtures ' Microwave � �
Device Boxes � Pole Light ,
Outlets � � Range
Switcher ' ' - - - ' Sign ' ' "
Garbage Disposal ' Standing Sections }
Generetor �0-5 KW �5-15 KW Trash �Compactor , '
' $ 3
�— Reinspection Fae
S
DEVELOPMENT SER
2oning APProved BY—
Building Approved By
Aooliption Issued Bv_
0
$15 � I I Issue Fee ' '
REQUIREMENTS: . �
a�_ TL
2
O
N
I
N
G
R
� E
Q
M
T
S
F�EES
'_$ 3
�
" .I _ � � , - SUM7M/p RV FEES . - ' ,l
� BUILDING PERMIT $ - R V• D� i SMIP ' _ $ *- '�Sv !
PLAN CHECK . $ r - PERMIT .
� PLUMBING ' § . 'ISSUANCE $
� PCAN CHECK 25% $ - , ENERGV P.C. $ _ "
_ ELECTRICAL $�� - GRADING , $ �
- , PLAN CHECK 50%� $ MICRORI.M S - �
�MECHANICAL $ TOTALFEE ,$ ��SD
$ 3� , PLAN CHECK 25% $ - � _ __ .
/
CONSTRUCTION AND PLANNING � ' ; POOL & SPA _ � �
QFPROVALS CBermiY# Date' ' Inspector� -� qppROVALS Permit# � • Date � Inspector
��
1%Temporary Electrical Service or. Pole . 52. Pool & Equipment�Location � �
Y"�
I
2.�Soil Pipe-Undrgrnd. "+� � , 53. Steel Reinforcement � , � . � .
3. Electrical Conduit Utility�Undrgrnd. 54. Forms _, � , ' ''
� 4. Elecirical Condult-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-Undrgrnc�.' �' - ' ' � � 60. Backwash Lines, P-Trap, � Undrgrnd. -
� 10. Structural Floor System �� 61. APPROVAL TO DECK ' ' �
i t. Property Sewer Line & House.Connection 62. Backwash & Receptor�Final � �
12. Sewer �Cap . � , 63. Heater & Vent-Final
73. 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. Rou9h Wiring�Sign - ' - 68. APPROVED�FOR PLASTER�NG -• �- �
18. Rough Electrical-T Bar Ceiling -� `- � 69. POOL/SPA SYSTEMS FINAL �
19. Rough Heating & Air Conditioning �: FIRE DEPT. REQUIREMENT �
� 20. Rougfi Factory Pireplace � . ' APPROVALS - Permit # _ � -
21: Ducts, in Structure 70. Underground Hydro - .
22. Ducts, Ventilating - 71. Product Piping OGas OOiI �
23: Gas Pipe-Rough & Test 72. Underground Flush � �
24. Roof Framing � •. , 73. Undergrnd. Storage Tank 0 Gas ❑ 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 ' �
' 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 ' .:�l
33. Final Electric Notes: ' � � ' • � ��
�� )
34. Final Heating & Air Conditioning � . � . � h•', : '
35. Final Gas Pipe-Test . , . • , � �
36. Hood or Canopy •
i �
'
.'�37. •Final Factory Fireplace ' ' , . . '
38fFinal Plumbing � � . . � . �_
39. Water Service-Final - , � � . .. ' . ..
. 40. Gas Service-Final � � . . � , .
� '
41. Solar pomestic-Final . . � - - � - " � � •
� 42. Backflow Preventer : � � � ; � . �;� ,
, -
�� 43. Backflow Irrigation 3 � ' _ - � . ' -
, • -
� 44. Landsca�e Irrigation System� . - - _ � . . • ` � � ;,
' 45. SounH Attenuation - � � � � - � +�
46. Handicap Regulations - , . , - ' .
47. FINALSTRUCTURE&BUILDING l.l� � . ' . � �
48. Special Requirements Completed - + . ' . . � . " ' • ''
i. l -
"49. Electric Release to Edison ? � � . . , � � . � -
� . _ .
50. Gas Release to Southem California Gas Co _ � � � �. ' : . � -'
51. CERTIFICATE OF OCCUPANCY- _ � � � � � - ; - , ' �
No. ' Date- - " - � . . � � i :
,�j UwN�t tvuvwvt�, �, w. DATE 1-co-b�
JOB ADDRFSS 1 Presidio Drive BUILDING PERMIT N0. p)��q
� GENERAL CONTRACTOR �Pr/byil�gr VALUE$700.00
t�R7 AP No.l lil -�S-O� LOT 'lRACT FIRE ZONE DESCRIPTION OF WORK rxl ab &£�g� fo:
� INSPECfIONS I Signature DAT� � GROUP T TYPE V ^ZONE Rl ^ flit. g�ji
SUBCONTHACTOR DATE �I NUMBER
: ����4
, �OSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX D77 C08TA M66A� CALIFORNIA
�
For Applicant !o Fill In Completely
TYPE OR PRINT
BUILDIN6 '\
ADDRESS � � J �, �O v
. COSTA MESA, CALIFORNIA
A MAIL
CITY
STATE
LIG. NO. "'��NOt
SIZE I NO.OPBLDOB.
USE OF
EXISTING BLD6.
6ETBACK LINH PROM
I 7 #�a 31'i7L•]:t•I37I•7;7:�
;•]�
�EXTERIOR WALL �` —I. ROOF
COVERING COVERIN6 ���
USE OF BUILDIb/B M1D WORK TO BE P6RFORMHD
��
FEE RECEIVE��
JAN 2 6 196�
FINANCE DEPT.
C Id�PLREA�IS���S� RMIT
BUILDING
fof �ffiCe {J4B �n�y
I REC61M NO. I PEflMIT NO.
FIRE
ZONING
ZOq{ NO.Op� 11860FNEWr
r' / PI.ANB � I. BYILUINO'2
T
L60AL ` �,t / Q T� `l 2-8-�
DHeCR�II'ION �j
A. P. NO. // I „' ���s�.f � �`3
NOTE: NOEAVEOVERHAN6SHALLBELE55THAN
90" TO SIOE 8 REAR P. L. .
EAVE9
-ALLOWED (U.B.C.RE�UIREMENT'.
YARDSAPPROVED YARDSAPPROVED
MAIN BUILDIN� ACCE590RV BUILDING
(FROMC/ BTR6EETL) F✓ �}�,/�( � C
PRONT �t � l ' •� ^ FT." ��J
e a�.,�/�Jji��li � Ex��'`�tr
�S �. --
�3� -
�.
VAR.1C I DATE
��
80. FT.
1 HEHEBY ACKNOWLEO08 THAT 1 XAVe pEAD TXIB APPLICAT�ON TXE AMOUNT eHOWN UNGEP VALUATION 19 FOR THE
AND 6�AT8 TNAT TNE ABOVfi IB CORRECT ANO AORfifi TO COM. PURPOSE OF H8TABLIHMINO ♦ PERMIT FEE ONLY.
PLY WITX ALL CITY ORDINANC88 AND BTATiLLLIII���W6//fiiiHGOLATINO yqLUAT10N � ^ -
BUILOINOCONBTPUC/T�I9{� � ..%R` I /'�
SIGNATURE OP /J /' .�, . _,/_ _ PERMIT FEE E i��
.. si aci •iiieo�a�i��ir �sia�.rii ��.� �
�
Lot 19 Tract 4285 Plan 300 A
,:.::::�� � `� � � FEES����UED
COSTA MESA BUILDINGSAFETY DEPARTMENT �. �� gEp 6 1961
'. °. B°" "' �°�'"'"�".� �""" FINANCE DEPT.
For Applieanf fo Fill In Complefely ' APPL�XTRSN���P�i
TYPE OR PRINT gU1LDING
nooRe�ss 81 Presidio Drive -
COSTA MESA CP.LIFORNIA FOI' Office US@ o11��1
� � RECEIPT NO. �M `�Ff^T�N�)
OWNER Mesa Del Mar Development Co. i
MAIL REC61yED BY I D�g /�IV�/ I DATE 188UHO
aoowEss 3A00 F.. Coast Hiehwav �� x�
!EER.-M�CCO'COYp
3800 E. Coast
roR Macco Corp
3800 E. Coast
rona del Mar
98908-SB-1
BUILDING
ADDRE68
COSTA MESA. CALIFORNIA
APPROVED
Oriole 3-4220 ,�EOAL
oee
I NO. OP BLD66.
ZONING
NO. OF n I UBE OP NEW
ruNs / eui�o�rvc _
utie �t � none VARDS EVES
EXISTING 6LDG APPROVED ALLO
68TlI�CI( LINB PROM 49 t REAR YARD Z4 � ���TaR I.INC 9i.) T
c6M8w OP 6TReET FRONT J O
FT.
SI�E YARD I LEFT 5� I RIGMT 5 13 �� R. SIDE �LJ FT.
DESCRIPTION OF WORK L.61DE s FT.
NEW I X IIALTERATION I IIADDITION I REAR �3 rr
BUILDING NO. OF
sizE 59'9"x50� ROOMS 6
WORK TO BE
e
1
I HEIiE6Y ACKNOWlPD6E TNAT 1 HAVE- RlAD TH18 MPL�GTION
ANO eTATE TXAT TH8 ABOVE IB CANREGT ANO AORBL TO COM-
PLY WITX ALL CIiY ORDINANCEB ANC BTATE LAWB ReOULATING
BLlILDINO CON8IRUGTION.
81GNATURE O es . el Mar Develo ment Cc
PERMIT'E �J
By� �. �//i ..Iiti//�
T
i�
�
TXE AMOUNT SXOWN UNDER VALUATION IB FOR THE
PU11P08E OF EBTAB�.IBHIN6 • PERMIT FEE ONLY.
VALUATION
PERMIT FEE $
� LS,326.00 PLAN CHECK $ //� `'�� ^
52.5� p
TOTAL FEE LL