HomeMy WebLinkAbout2805 DRAKE AVE - Building PermitsApplicant to fill in all spaees exeeDt tnoze within heavy Dortler lines ana si9n all aporopriate tleclarations.
Ci7Y oF COSTA MESa CO STR �TION PERMIT
� �
- � Aroject Address
Applicant's Mailing /A�ddress /7
Owner's Name � Phone • �� V G
Address � P/
Arch/Eng. License Na. '
Address
ConVactor's Name � P b
Address Imailing)
i
City License No.
LICENSED CONTRACTOR DECLARATION
I hereby attirm that 1 am licensetl untler provisions oi Charter 9(commencing
witM1 section ]000) of Division 3 ot tne Business antl Professions Cotle, antl
my license is in ful f c antl effecL .�` �
Licens Cla � L' en No. �
Date�� ' Signatu�e
� WORKERS' COMPENSATION DECLARATION
� i Fie�eby affi�m tM1at I have a certificate ot consent to seli-insure o� a certificate
� Workers' C,orm�pensatlon Insurance, p� a ce�Hfiejtl� mpy thereo( (Section
00, LaD. �H �Q� � 77ZS � y'p.��
� �olicy No. � Company � Y�
ert)ifietl ycoQpy is nereby furnishea. 9g�pyq pg( � / A
p���t/fC�( /P�sfjletl wAPPhcantY��y,��/�' i (IS(/L�S A//it
X
EXEMPTION FROM WORKERS' CONfPENSATION DECLARATION
(This section neetl not be completetl if t�e Oermit I5 for one huntlretl ($100) or
less).
I certify that in the perto�mance of the work fo� wM1ich this pe�m�t iz issuetl, I
shall noi emPloy any person in any manne� so as to become subject to tne
Workers' Compensation Laws of Calitornia.
Date Signature ��
NOTICE: 11, atter making this tletlaration, you shoultl beCome subject to the
' Workers' Compensation provisions ot the Labor Cotle, you must /orthwiN
' comD�Y witn Such provisions o� this pe�mit shall be tleemetl revoketl.
CONSTRUCTION LENDING AGENCV
1 hereby affi�m that there is a const�uctlon lentlinq agency for the pe�fovmance
o( the work for which thi5 permit is issuetl ($ectlon 309]% Civ. C.)
�entler's Name
Lentler's Atltlress
OWNER BUILDER OECLARATION .{\.,
I hereby af(irm that 1 am exempt irom the Contractor'S Lirense. Caw for the
following reason (SecHon 7031.5 Business antl Profe55ional CotlerAny city or
county which �equires a permit to construct, alter, improve, tlemolish or repair
any stru[ture, prior to its issuance, also �equires tM1e applicant for'SUCh petmit
to file a siqnetl statement tttat ne/sM1e Is licensetl pursuant lo [he provisions of
the ConVactar'S License Law (Chapter 9(commencinq wi[h Section 7000) of
Division 3 oi the Business antl P�ofessions Cotle) or that M1e/zhe is exempt
-^/rom a�tl the basi5 tor the allegetl exemption. Any violation ot Section
.5 by any applicant fo� a permit subjects fhe applicant to a civil
Ity of not more than five huntlretl tlollars ($500).
�., i, as owner of the property or my employees with wages as their sole
compensation, wlll tlo U�e work, antl tM1e sVucture is not intentletl or offeretl
for sale (Section �044, Business antl Professional Cotle: The Contractor's
License Law tloes not apply to an owner ot a property who builtls or improves
[hereon, antl wtto tloes Such work himself/herSElf ar througlt his or hEr own
employees, PrOvitletl that suth improvemenis are not intenCetl or otteretl to�
� sale. It, however, the bulltling or improvement is soltl within one year of com-
pletion, the owner will have Ihe burtlen of proving he/she tlitl not builtl o� im-
prove for fne purpose o( sale).
❑ I, as ownev of the property, am exclu5ivety tontracting with licensetl con-
[�aciors to consttuct the 0/oject (Section ]044, Business and Profes5ions Cotle:
The Contractor's License l.aw tloes not apply to an owner ot property who
builtls or Imp�oves the�eon, antl who contracl5 for such D/ojects with a mn-
� tractor(s) license. pursuant to the Contractor's License Law). I am aware thai
proot of tbei� Worker'S Compensation insurance shoultl be provitletl to me.
❑ I am exempt untler Section B. 8 P. C. for this reason
CI
Date Owner
I hereby certity that I have read this application and state t�at the above
iniormation is correct. I agree to compty witn all city antl county ortlinances
antl state laws relating to builtling tonstruction, antl hereby autho�ize repre-
sentatives ot this cit to enter up9 n tM1e above-mentionetl roperty fo�
inspection pu ses�/� n // � (�
Si9nature � QLt�,_,X ,(//� Date O �D
�
Drivers' License or 55 �
AF 0865-46, rev. 10/84
TYPEOFCONSTRUCTION U NEW LJ ADD LJ ALTERATION LfykEPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER . q,p, #.
DESCRIPTION OF WORK/USE OF BLDG.
� 'S Main Buildi
TVPE OF PERMIT ❑ GRADING F UNDATION ❑ STRUCTURAL T Front
❑ TENANT ❑ ELECTRICAL �MBING ❑ MECHANICAL B Rear
❑ OTHER-' ' � '. %�
PROJECT DESCRIPTION Sq. FT. OCCVPANCv C Right
K Left
CONSTRUCTIONTVPE VALUATION$ $
ZONE GRADINGCU.VDS. ACRES . PIng.Ref.#
Remarks: ' Planning Notes:
Preventer
Irrigation
Clarifiers
Dishvuasher
Drinking Fountains
Floor Drains
Floor Sinks
GasService Outlets
Interceptors
Kitchen Sink
Lavatories
P—Trap
Roof Drains
Reinspection Fee
$15
Boiler
Duct - Under Ground
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple ❑
Firepl/Fact. Blt. ICBO # ^
Heatin9 System & Ducting
❑ 0-100,000 BTU � 100,000 BTi
Reinspaction Fee � $15
White - 9uiltling; Canary - AppllcanL Pink - Acwunting; Goltlenrotl - Assessor
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
A uto-W ash
Laundry Trays
Issue Fee
Hood or Typel ❑
Canopy Type I I ❑
Refri9eration System
❑0.100,000 BTU ❑100,000 BT
System Repair/Alteration �
Fire Dampers
Registers
Issue Fae
FEES
5258 2/17/88
Zone
Accessory Building:
Parking Feq./Provided
[ C R � � ��b�
RE�E1V��
ELECTRICAL
Automatic Washer Transformer ❑ 15-50 KW
ConstructionPoleSub. ' �50+KW
Cooking Unit Meter ❑up to 100amps
Dishwasher Meter ❑over 100 amps .
DrYers ❑Gas ❑Electtic . Sub Panel
Fan Motors00-1 HP 01X-6 .
F,A.U.. IncSolar �9-15 HP 016-15+
Fix[ures Microwave
Device Boxes Pole Light
Outlets Range �
Switches
Garbage Disposal
Generator �0�5 KW 05-15 KW
Standing Sections
Trash Compactor
$ 3 I
�— Reinspection Fee $75 Issue Fee
FEES
. DEVELOPMENT SERVICES REQUIREMEN75:
2oning Approved By
� Building Approved By
Aaolication luued Bv n
§ 3
5,00 TL
Z
O
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I
N
G
R
E
Q
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$
FEES
$ 3
SUMMARV OF FEES
BUILDING PERMIT $ SMIP $
PLAN CHECK $ �—,�� PERMIT � �
PLUMBING $ .> • CJ� ISSUANCE $
PLAN CHECK 25% $ ENERGY P.C. $
ELECTRICAL $ GRADING $
PLANCHECK 50°,6 $ MICROFILM $ ���
MECHANICAL $ ' TOTAL FEE $ —fb� —
PLAN CHECK 25% $
CONSTRUCTION AND PLANNING �' _ . .. . POOI & SPA �
✓' .Date ' �Inspecton � Date Inspector
,APPROVALS Permit # APPROVALS Permit #
t� t
1'.. Temporary Electrica'I;�Service or Pole � , 52. Pool & Equipment Location � ' �
2. Soil Pipe-Undrgrnd. , ' 53. Steel Reinforcement <<> �
a;
3. Electrical Conduit Utility-Undrgmd. , 54. Forms -` � �
4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding .,�, � ' , �
5. Steel Reinforcement • ' 56. Rough Plumbing & PressureiTest , �
6. Electrical UFER Grnd. .57. APPROVAL TO COVER-GUNITE '
7. Footings� ' _ 58. Electrical Conduit-Undrgrr]d. � �
�.
8. Foundatioq 59: Gas Pipe, O Undrgrnd., T�st '
n� �u
9. Water Pipe-Undrgrn\dc�'i , • --60. Backwash Lines, P-Trap,L 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. ROOL/SPA SYSI'EMS FINAL
19. Rough Heating & Air Conditioning , � FIRE DEPT. REQUIREMENT '
4
20. Rough Factory Fireplace APPROVALS � Permit# �
21. Ducts,in Structure 70. Underground Hydro , �
22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush .
24. Roof.Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing, 74. Overhead Hydro � •�
26. T-8ar Ceiling (Structurall & Monocoat . 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe t,. �
28. Lathing & Siding � 77. � FIXED SYSTEM FINAL �
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT r_3
31. Plas[er Brown Coat - ' 79. FINAL INSPECTION � �i-�,
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED �1„�
33. Final.Electric � Notes: - �
r�
34. Final Heating & Air Conditioning : � � ' � - � .
35. Final Gat Pipe-Test �
36. Hood or Canopy . A'� � �
37.' Final Factory Fireplace . ' � � ^ � '`�
� t-
38. Final Plumbing " � � � [�{� � � " �� _. , • � �J
r
39. Water Service-Final ' ' " � rJ � � . J �� � �
40. Gas Service-Final Y "'�+� , �• c:% �
• 41. Solar pomesticFinal L: ��= � � i':
�,� ,�. i
42. Backflow Preventer . ' �e' � , -'_�
:i.�
. 43. Backflow Irrigation N � j� •��i. -%
„44. .Landscape Irrigation System � y �l �� ' �
.r`«
� 45. Sound Attenuation � � � `�'.. - °' �
46. HandicapRegulations � - . _ •-" ;��- '
47. FINAL STRUCTURE & BUILDING �� ' `� r � � ��' � �
r, ii' ., r
48. Special RequirementsCompleted � � �h _�. .,- -
49. Electric Release to Edison � `•�
)� l'i
50. Gas Release to Southern California Gas Co �' . �
51. CERTIFICATE OF OCCUPANCY . - .
No. Date � .. .# � � - -
t 1
..T. . . • . _ . .
l, � 122'74
COSTA.MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 3f7 COSiA MEBA. CALIFORNIA
For Applieanf fo Fill In Complefely
TYPE OR PRINT�
COSTA MESA. CALIFORNIA
cirr Corona del Mar iEo`�' 34220
ORCN�TE EER �yymond Levanas Np, �L 3%OL
ao� ,s 3432 Via orto Newprt Beach
CONTRACTOR Md'CCO C oration
ADORE55 3800 E. Coast Hi hwa
�,n. Corona del Mar
iicTivo. 98808 No: Or 3-4220
ovE �r 70 x 93 - . I x��.,°�ue�oas.0
Y 6ETBACK LINH PROM
I LEFT S I RIGHT S
DESCRIPTIOId OF WORK
BUILDING NO. OF
BIZE X 3 ROOMS % STOF
EXTERIOR W LL SCUCC ROOF
COVERING d�[1 COVERING WOOd
USE OF BUILDING AND WORK TO BE PERFORMED
35
Construct Sin le Famil Reaidence
with.attached garage
1 HEREBV ACKNOWLEDGE TXAT 1 HAVE READ TH�9 APP
AN� BTATE THAT THE ABOVE C� ELT�! OHE:
PLY WITH AlL CITY OROINAN e A 9TATE LAWB UL
BOII,�INO GON9iRUCiION. !
SIGNATURE OF
IAUTHORIZED AGHNT ( ��+eCC Manager
F�E RECEiV�D
��(,j,� ,IUN 17 1960
FINANCE. DEPT.
APPLICATIO�TIFOR PER�viliA MESA
Lot � 38 BUILDING
P1an.R 4D
For Office Use Only
PECENEO !Y DAT6 HELEIVED DATE I
�� 6-if �o � /�
�Ress 2805 Columbo Avenue
� COSTA MESA. CALIFORNIA
FIRE
ZONE
APPROVED
BY
ZONE
LEGAL L�
OE6CP�PT�O�
A. P. NO.
YARDS
aoNiN�
NO. OF I U8E OP NEW �
rurvs eui�mHa
EVES
LIN¢ eTJ
•v�
COM- � TXE AMOUNT SHOWN UNOER VALUATION 19 FOR THE
.TN6 � PURPOBe OF EBTABL�BHING A PERMIT PEE ONLY.
YALUA710N
PERMIT FEE $ 34.00
$ L�F,563.�� PLAN CHECK $ 17•�0
�..r., �« � ir1.DU
I
a
r 2 63
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 7200 - COSTA MESA�'CALIFOflN1A 92640
Fo� Appltmnt to FIII In Completely
TYPE OR PRINT �
COSTA ME3A, CALIFORNIA
-�E,� ��`�.E
9��
iCTlACN L�N[ I110tl
DESCRIPTION OF WORK
BUILDIN6
&IZE
EXTERIOR
/ U (� Gcl .
1 HCR69Y ACKNOWL6D06 iNAT 1 XAVB RGD TM�B APPL�GT�ON
AND 6TAT8 TXAT TN6 I1BOV[ 1! COPNBCT AND AORB6 M COM.
PLY WITH ALL CITY��O`�AND �T� y1V/p R60Y�
BUILOING CONBTRYCT (�� // /
e�e:'.^T°« �" Yin r u ii
iv� ✓�r�.c
wurHon�zeo'wacwr
Pnto
s�P �s-r����,«��� �.�oe� �.. 1>:2?_.50
APPLICATION FOR PERMR
BUILDINa
For Offlc�e Use Only
■ac�irtno, r
�
IY/ -pATQp6C[IV6D _D/
z
ZONING
Mo. o� u.[ or N[w :1�+.� Jy
�LANt Z GYILDIN4 �OOiM
N �� 38 r,? 37y9
/5'/ — 3d z — 0 6
6AV6 OViRHANO BHALL BE LH88 THAN
�
YARDSAPPROVED I YARD3APPROV6D
MAIN BUILDINO ACGE650RY BUILDIN6
VAR. OF
DATE
APPROVED
n�rr � � ��' �'
Y' d V ' {y
�
� �
80. Rf. ,i
0
TX8 AMOUIR BXOWN UNDBP VALUATION IB POR THt j
PUPPO88 OP [BTABLI8XIN0 A PERMIT F68 ONLY. S
VALUATION { �
s ���� �= PERMITFEE' ��/ D� �
%SO r
i �j I
TOTAL FEE $ L � � `� d