HomeMy WebLinkAbout991 POST RD - Building PermitsADP���ant to fill In all ipaees except ihose wifhin neavy bortler Iines anC sign al1 a0vrovriate aeclaratlons.
CITY OF COSTA I�F 7[O TR CTI�N PERMIT PERMIT NO. �� TRACT NO. LOT NO. UNIT N0. A P# Zone
Project Address � S Main Building: Accessory Building:
a 3 TYPf�E �OF CONSTRUCTION NEW ADD ALTERATION REPAIR E Z
Applicani'S Mailing Add�E55 /� Q�� � ��pNVER510N ❑ OEMOLISH ❑ OTH � T FrOnt p
Owner's Na e , hO^e`�--�—�'-a ESCRIPTION OF WORK/USE OF BLDG. — A Rear N
Address � l GO '
Arch/Eng. ��C�2 —/�JIJiiE� icense No. TYPE OF PERM T GRnDiNG�OUNDA7 ON STaUC UR.aL I C Right N
Address ❑ TENANT ❑ EIECTRICAL PI.VMBING ❑ MECHANICAL � g� Left R
Contractor's Nam Phone ❑�OTHER Ping. Ref. # Parking Req./Provided E
PROJECT DESCRIPTION 5a. FT. oCCUaarvCV n
Address (mailing) Planning Notes: ry�
CONSTRUCTION TVPE VALUATION $ T
City LiCen58 No. ZONE GRADING CU. VDS. ACRES $,
LICENSED CONTRACTOR DECLARATION
I hereby at�i�m thal I am IicenSetl untl<r prOvlsiOns ot Cba�te� 9(commencing Remarki:
with 5¢CliOn ]000� Of DIvi510n 3 O� th0 Bu5in855 dntl PrOf¢SSIOnS COOB, dntl
my license Is in tull torce antl eHect. ELECTRICAL FEES
License CIasS License No.
Date• Signature PLUMBING FEES P.utomatic Washer Transformer ❑ 15-50 KW
WORKERS' COMPENSATION DECLARATION 82f Siflk ShOw¢f5 Consbuction PoleSub. ❑ 50+ KW
I M1ereDy aHirm [bat I have a certitiGdtO Of consent to selT-insu�e o� a Ce�UfiGdt¢
o/ Workers' Compensation Insurance, or a certiiletl copy thereof (Sectlon CoOking Unit Meter ❑up to 700 amps
38oq, Lab. C.) Backflow Preventer Service Sink
Poiicy nlo. � Company Backflow Irrigation Sewer Cap Dishwasher Meter ❑over 700 amps
eCertifietl coov �s nereby furnishetl. � Dryers ❑Gas ❑Eleciric Sub Panel
Cm[ifietl copy is filetl with the cIW BUlltling DiviSion. Bdthtub5 Sewer Connection (V
Date APplicant Fan Motors�41HP�1'h-6
EXEMPTION FROM WORKERS' COMPENSATION DEC�ARATION Clarifiefs Solaf C011ectofs
(ThiSsection neeC not be completetl it the permit is for one hunaretl (5100) or F.A.U. Inc.Solar 09�15 HP �16-75+
less). Dishwasher Solar Piping
I certiiy Ihat in tne pe�fo�manG< Of [he wo�k for whi<h this p¢rT�t I5 issuetl, I �.- FiXtufCS �
Shall nOl employ any per5on in any ryfn ner�5cy as f0 �op e subject to lhe Drinking Fountains $018t TdOk MIC�OWdvE
worker yompe f" ws o( Caliibfrtia. .// ?7Y/,� „
Date �� $i9natur¢ Vl//(U.�.0 f��V LC� � Floor Drains Swimming Pool w/Spa Device Bozes - Pole Light
NOTICE: Ii, after makin thiz Ceclaratlon, you shoultl become sub7ect t�he Outlets Rang2
Workers' Compensation provisions o( the Labor Cotle, you must forthwith FIOo� Sinks U�inal
compry with such provisions or Ihis pCrmit snall be tleemetl rewketl.
CONSTRUCTION LENDING AGENCV GasService Outleti WatefCloSEt rl ry SWitChes Sign
I hereby a/firm that there is a con5truttion IenGing agency tor the performance �
of tna work for whicn tnis permit Is issuetl (Section 3097 Civ. CJ Interceptors Water Heater Garbage Disposal Standing Sections
Lentl¢r'S Name
Le�tler's Atltlress Kitchen Sink Water Service Z W Generator �0.5 KW �5-15 KW Trash Compactor
OWNER BUILDER DECLARATION
I hereby altirm lhat I am ¢xempt (rom the Contrac[o�'S Lic¢n5e Law (or the LeVdtO�i25 AUtO-WBSh
fOIIOWIO9 I2d50O ($ECiIOO %031.5 BUSI0855 dOC PYO}B5510l1d1 COd2: Ally CIIY OI
county which requires a permit to construtt, alter, Imorove, Gemolish or rapair p—Trap Leundry Treys
any Slructu�e, p�ior to ils issuante, also requires the applicant for such parmil
lo tile a signetl S(dtement that he/she IS Iicensetl purSUant to the provisiorl5 O/ Roof Drains
th¢ Contractor'S License Law (ChaO�er 9(comm¢ncing with Section ]000) of
Division 3 0( the Business antl Profe55ions Cotle) or that he/sne I5 exempt Reinspection Fee $75 laue Fea $ 3
lner¢IrOm antl th¢ basis for Ihe alle9¢tl exemptlon. Any viOlation o( Section
]031.5 by any applican[ tor a permit subjects the applicant to a civil
enalty ot not mo�e tnan tive nuntlreC eoiiars IE50o�. $ 3 DEVELOPMENT SERVICES RE�UIREMENTS:
ds owner ot the property Or my employe¢5 with wage5 as thell So10 (iein5p8ttiOn FBe $1�J 14Ue FBB
onfpen5ation, will tlo [he work, antl Ihe SVu<tu/e is not intentletl o� oif¢rCtl Za���9 APP�oved By DdtO
lor sale (Section �044, Business antl Professional Cotle: The Contractor's MECHANICAL FEES Building Approved By Date
License l.aw tloes not apply to an owner of a properry who builtls or improves C� _
thereon, rntl who tloe5 such work hlm5elf/hersClf o� th�ough his o� her own HOOd O� T APPIif�tiOn ISsued By ZL/��— Dat
employees, proviaetl that such Improvemants are not intmtletl or ofteree tor BOilef ype I ❑
sale. If, however, the builtling or improvoment is soltl within one year of com- Canopy Type II ❑ SUMMARV OF FEES
pletlon, the owner will have the �urtlen ol p�oving he/She tlitl not bulltl or iT- DuCt - Und2� GrouOd
nrove for the purpose ot zaie). BUILDING PERMIT $ SMIP $
❑ I, as owner oi the Droperty, am oxclusively contracting with licensetl wn- Duct - Structural Refrigeration System PWN CHECK $ PERMIT '
traclors to construct the prqect (Sectlon 7046, Buziness antl Profes5ions Cotle:
The Convactor's Li<ense Law does not apo�Y to an owner of oroperty who Duct - Ventilating ❑6100,000 BTU ❑100,000 BTU PLUMBING $ '���— ISSUANCE $
builtls or improves thereon. antl who contratts �or such oroietts with a con-
tracmr�zl Lcense oursuanc m�ne Contracrors License Law). i am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration PLAN CHECK 25% $ ENERGV P.C. $
proot o( thev Worker's Compensation insurance shoum be provitletl to me. ELECTRICAI $ GRADING $
❑ 1 am exempt untler Section e. & P. C. for this reason Firepl/FacL BIt. ICBO � Fire Dampers MICROFILM 5
• PLAN CHECK 50% $
Dat �" ' `��/O ,�' Heating System & Oucting Registers MECHANICAL $ _l_q. �
I hereby certiry that I have reatl tnis appli<ation antl state that the above ❑0.100,000 BTU �100,OOOBT TOTAL FEE $
information is mrrect. I a9ree ro comply with all tlty antl munty ortlinances PLAN CHECK 25% $
antl state laws relating to builtlinq constructlon, antl hereby authoNze repre-
sentatives of th' city to enter pon tne above-mentionetl property for///]]]
InSpection purp 5. � �. '�G�Q y
Signature • Date o �
� Reinspec[ionFee Sts IssueFae 8 3 O1 OQ025139—U0025139 T�i .9.t]
Drivers' License or 55 qF iliiTEd ifl/7A!?B TThiC' 15� iS
OBfiS-46, rev. 5/B8 White - Builtlinq; Canary - APPlitant; Pink � A<counting; Goltlenrotl - A55855or /
... . .t ._ . �_, , . . ..�....
CONSTRUCTION AND PLANNING POOL & SPA �
APPROVALS Permit# -- • Date Inspector p�ppROVALS 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
�. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE - '
7. Footings ' 58. Elecirical Conduit-Undrgmd.
8. Foundation � 59. Gas Pipe, � Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. 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 Fsctory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Under9round 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
33. Final Electric - Notes: . • •
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing 34 � �
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 Regulafions
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
LIMITED STATEMENT OF RESPONSIBILITY
TO WHOM IT MAY CONCERN:
��� �os� RoaD C-�
Sireet Address
i, �G�?X / � l Q G Q I.Cc�.u7 ,
property, do hereb authorize:
91dg. Permit #
This Permit #
as Owner in Title of the above referenced
�7 ����c�
�
�.
� � :�� - -
Nartie � Telephone No.
� � , n .G� / �/ 2 GJ . �3� �-�3 D�1 �z. cJcP_
� ^ � Street Address
l�
/' _ .� /�
to obtain permits in my behalf, as owner/builder, for
at the above referenced property.
�i�iC/12!/li(..ln (/X �� .�
Should 3py oerson become an EIDp1IIyp.g engaged in the improvement of the property, I shall
immediately provide Worker's Compensation Insurance coverage and cause a certificate of that coverage
to be filed with the Building Division of the City of Costa Mesa, as required by State of California laws.
As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other per-
son, company o� corporation.
I agree to indemnify and hold the City of Costa Mesa and its employees or officers harmless from any
claim resulting in damage or personal injury to myself or any other parties.
�, i�� � �`'l�(�9� l ,�� �
Printetl Name
�j�� � �U �v/7�
Signature �
onsae. re.. s�e�
- 26-�'9'
Cnsta Mesa Bnilding Department APPLICATION FOR PERMIT
„_-� �; P.O.Box3�� 3C��;� BUiLDING '
COSTA MESA,.CALIFORNIA
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
Reeeipt No. Permlt No.
Building qq�
Address �.�Zpost Road �� a �
Costa Mesa, California Receiv y Date Rec'd. e� Date Issued
Nearest J'/" '�� `� �/�'��
CrossSt. Babb Building
Address
owner '+Yeloore Ho�res, Inc.
Costa Mesa, California
Mail
nddress �28 ti�'estminster Ave., Nearesc
Tei. Cross St.
Clty ti�`estminster ryv",Y9ID. 11 Zone / No.of T pe ./ Groug�
Architect or Lic.
57 !j' I Plans I Y �� c% �'
Engineer No. Approved� '
yy Date
nddress CORRECTIONS
cicr � .
Contracto�lelcome Hotnes, Inc. No. �%8
nddress 6C�8'r7estaninstor Ave.
De crlption I No. 15 I Block I 7raet 289E> �__ _
� ;'. :A 1 -' ��-
(Attach Metesand Bounds) { . �J �� ' `�� 1 �. � ;; �
�G No.ofBidga � --__j � �i
SizeofLot J�X10r7 I NowonLot None !.f ��
Q�
lJseof I No.of I No.of �,��r 1 P•n.-n �
Existing Bldg. NOnB Families Rooms ���. „ �.. �-��•� �
Setback Linefrom Rear Vard b . � Z
centerofStreet 55 F't• sidevard 5 Ft. y
DESCRIPTION-OF WORH �J �+r �a�; p;^�-ri "�-��
.. .,,,
New I X I plteration I I Addition I y v•• ��'
Repair I I Moving I I Demolish I
Building No. of
size 25� Aooms 5 storves 1
Exterior Wali Roof
Covering $�*6C0 Covering �oOd �PR,o�1f��s
Use oT New
Buildfng Single fflmilJ residerce e,T1d Faundation Location inspector - Date
Forms. Materials,
two car garage &tt&Ch9d. Under-Pinning
Frame: Fire Stops,
Bracing, Bolts
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to rnmply Lath. Int.
with all CIty Ordinances and State Iaws regulating
building co ruc ' �n. Lath. Ext.
Signature of �
Permittee "�-� — � Plaster, Int.
Authorized v Plaster, Ext.
Valuatlo�e"" Permi! Fee $ �� � Masonry Reinforced
$ �/n Plan Check $ / a � Bond Beam
� `"" � f Total 7
Fee $ .7 � FINAL
PLOT PLAN
Show location �and distances from
property line and between buiidings
unD.i .. e 7 _ ,�.� ;
f�• ,r
.D^-? �2EP�cd :lacul0(4
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♦
COSTA MESA BUILDING SAFETY DEPARTMENT
COMPLAINT INVESTIGAt � r. o. sox izoo
� COSTA MESA, CALIFORNIA �� `�/_/�
Received by i=� 646-24I I Date: OC Cd
Mede by: Ad ess /PJh. No.
AgainsL Address �� � !� �`--'�—
Diroctions:
Namre
Action teken: �> ✓i A e i 2� D�✓ ✓F..�- 9T YR a �N %i o "�.✓AS � ti� �T Br �.o.— f'�>t
Dw✓.: o fil ., s r� App ., x �2 /iy �/x S A q o. c, G Z� o v✓�✓ssx M,� �Qu.s
R � / _ .� � /i / /��- . . i ./ _
( c5(/�ti � l..�i✓rtr2 .�o �.�5 � � �_��✓il �✓ iTf%i�/ �nm�i %�, T
' - � ' ' -
Complete: Yes Complainant Yes By �
No Inter�wed: No Dace:
e
FORM BU01-2M-'J�p9—CP
. _ . ___ �,�... .
WNFR WELCOME HOMES
5-18-56
i
JOBADDRES3 Post R.oad BUILDINGPERMITNO. 30Z3
GENERAL CONTRACTOR 47e1COIR0 Homes VALUE $ 9,160.�0
LOT 15 BLOCK TRACT 2896 Sin�le Res. w/att ear
GROUP I & J
INSPECTIONS
FooYing Trench
Foundation Forms and Grade to
V ZONE RIi
DATE I SUBCONTRACTOR
Plumbing, Rough td'Slab � � -�/ —" o � -
Plumbing, Rough Complete �g� (�91 �S �/
Temporary Poie
Wiring, Rough �/f� �,�
Heating,Rough � p.L, �
Heating, Final � r0% / 8
ewer, House $ewer, St. �
Septic Tank or Cesspool
Lathinq.ln Out �/ ��
Plastering
Plumbing, Final, Fixtures
Piumbing, Fin.al Gas Test
Wiring, Final
Occupancy
FORM 210 3M �O�RS -
E.7
E DISTRICT j063
PERMITS ISSUED
DATE I NUMBF
�/S =
/ O '�
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