HomeMy WebLinkAbout150 DEL MAR AVE - Building Permits _ - -• _- - , Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations: - - -
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CITY OF COSTA ME ' 'CO L $TRU TON PE• I IT PERMIT NO. TRA T NO. . L T NO.' UNIT NO.' ' - S
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Project Address .I a U/Zt !/ _ . B5 3 3 '3 CJ h E 1 307400 5
Applicant's Mailing Address •dr "we- i�� /r ./ ��+$• •-� ,• TYPE OF CONSTRUCTI�I .H NEW ADD ALTERATION U REPAIR: /� T G{�
• �'` -� ❑ CONVERSION ffi DEMOLISH_ Ell OTHER •
- - A.P.# A3 .'t /"&� _
Owner's Name'_' / ��%!�;hone DESCRIPTION OF WORK/USE OF BLDG. �7` Zon¢
Address i/ �/a-1• •• O ' S Main Building: , -Accessory Building:. • ,
E — Z
• Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL I T Front' • •' p
Address - ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL A Rear ' N
''/ww// ❑ OTHER • •
Contractor's Name Q�w�� • Phone - C Right ', N
PROJECT DESCRIPTION SQ. FT. OCCUPANCYM
Address(mailing) I /�G.N K Left G
'CONSTRUCTION TYPE VALUATION $ $
" City License No. - • ZONE GRADING CU.YDS. ACRES R
LICENSED CONTRACTOR DECLARATION • , Ping. Ref. # Parking•Req./Provided E
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: ' . . - Planning Notes: , - • " M
with section 7000) •of Division 3 of the Business'and Professions Code, and - . .
my license is in'full force and effect, . • -
" - T
License Class License No. - $
Date Signature _ PLUMBING - FEES• r - _ '
"'n RKE affi COMPENSATION DECLARATION Bar Sink - Showers ELECTRICAL' FEES
reby affirm that have a certificate of consent to self-insure or a certificate - -
•
Norkers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink
9d00, Lab. C.) - - Automatic Washer Transformer 0 15-50 KW ,
Policy No. Company Backflow Irrigation - Sewer Cap •1 Construction Pole Sub. '❑ 50+ KW •
' C Certified copy is hereby furnished. _
C Certified copy is filed with the city Building Division. •
' Bathtubs Sewer Connection COoking,Unit •_ Meter Cup to 100 amps
Date Applicant
•
X EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers •
• 'Solar Collectors IIIDi• shwasher - Meter' ❑Over'100 amps
(This section need not be completed if the permit is for one hundred ($100) or - ,
less)- Dishwasher. Solar Piping Dryers ❑Gas DElectric , - Sub Panel • -
I certify that in the performance of the work for which this permit is issued, I - '
onot employ
115 any person in any mann ylso as to become ubject'to the Drinking Fountains , Solar Tank ■ Fan Motors❑0-1 HP ❑1%'-8
Workers' O en ion Laws of Calif(falYi rry/i/}/�// - _
Date //qf 'a' Signature - Floor Drains Swimming Pool w/Spa FA.U. Inc.Solar ❑9-15 HP ❑16-15+ '
NOTICE: f,of r making this declar to you should become subject to the — ' - . - - •
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks ■ Urinal Fixtures • Microwave' r
comply with such provisions or this permit shall be deemed revoked. - vvp•�
CONSTRUCTION LENDING AGENCY Gas Service Outlets ' ■ x Pole Li ht
I hereby affirm that there is a construction lending agency for the performance Water Closet Device Boxes g •
' of the work for which this permit is issued (Section! 3097 Civ. C.)
Lender's Name Interceptors , Water Heater • Outlets •,t• R• ange
Lender's Address 4/22/1.1e. - -• Kitchen Sink - Water Service Switches - - ' •'
OWNER BUILDER DECLARATION . . Sign
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal": . • Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays ... _
Generator ❑0.5 KW 5-15 KW Trash Com actor
any structure, prior to its issuance, also requires the applicant tor•such permit � - n p
to file a signed statement that he/she is,licensed pursuant to the provisions of •Roof Drains - -' _
"e Contractor's License Law (Chapter 9 (commencing with Section 7000) of ✓'
, 'ision 3 of the Business and Professions Code) or that he/she is exempt -
'efrom and the basis for the alleged exemption. Any violation of Section . ' '
31.5 by any applicant for a permit subjects the applicant to a civil
penalty of not more than five hundred dollars($500). III 3 I , "
U I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $
compensation, will do the work,and the structure is not intended or offered Reinspection Fee I $15 Issue Fee $ 3
for sale (Secion 7044, Business and Professional Code: The Contractor's MECHANICAL FEES -
License Law does not apply to an owner of a property who builds or improves ' _ _.
thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: •
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 Zoning Approved By Date
sale. If,however, the building or improvement Is sold within one year of com- . Canopy •Type II 0 -
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By - -["/' Date_S
�• - - .
Drove for the purpose of sale). give
J51 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System - Application Issued By Date
tractors to construct the project (Section 7044,Business and Professions Code:
• The Contractor's License Law does not apply to an owner of property who Duct- Ventilating ❑0-100,000 BTU ❑100,000 BTU _ ,
.,SUMMARY OF FEES
builds or improves thereon, and who contracts for such projects with a con- - - - . , , ,
tractor(s) license pursuant to the Contractor's License Law). I am aware thatBUILDING PERMIT $ i .SMTP $
proof of their Worker's Compensation insurance should be provided,to me. Exhaust System 0 Multiple 0 System Repair/Alteration -
PLAN.CHECK $ ' /f� PERMIT
❑ I am exempt under Section - e. & P. C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING •
$ - ISSUANCE $ •
Date _9/4• R L owner " Heating System& Ducting Registers - PLAN CHECK 25% $ r ENERGY P.C;• $ : ' '
hereby certiL'fy that I have rea th' application and state that the above ❑0-100,000 BTU 0100,00013T - ELECTRICAL $ t�� _GRADING $ -
'information is correct. I agree to co ply with all city and county ordinances
and state laws relating to building construction; and hereby authorize repre- PLA N.CHECK 50% $ - /:I� MICROFILM $ -
sentatives'of this ity to enter upon the above-mentioned pro erty or •-
inspection [au. MECHANICAL $ TOTAL FEE $
7 Signature 1 Date 7
Drivers' Li ase st.SS IReinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING
APPROVALS Permit:#
Date -
Inspector"
- POOL & SPA
APPROVALS Pen -nit
-Date
Inspector
1. Temporary Electrical Service or Pole
..
-52. Pool & Equipment Location
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r
2. Soil Pipe-Undrgrnd.
53. Steel Reinforcement
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3. Electrical Conduit Utility-Undrgrnd.
54. Forms
4: Electrical Conduit-Undrgrnd.
55. Electrical Bonding
5. Steel Reinforcement
56. Rough Plumbing & Pressure Test
6. ElectricalUFERGrnd.
-
57. APPROVAL TO COVER-GUNITE
7. Footings
58. Electrical Conduit:Undrgrnd. '
8. Foundation. -
59. Gas Pipe, 0 Undrgrnd., Test
9.- Water'Pipe.Undrgrnd.
-
60. Backwash Lines, P -Trap, 0 Undrgrnd:
I
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
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17. Rough Wiring Sign
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68.' APPROVED FOR PLASTERING
18. Rough Electrical -T Bar Ceiling
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69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
,
20. Rough Factory Fireplace
21. Ducts, in Structure
70. Underground Hydro
22. Ducts, Ventilating
71. Product Piping OGas 0Oil
23. Gas Pipe -Rough & Test
72. Underground Flush
24. Roof Framing
73. Undergrnd. Storage Tank 0 Gas 0 Oil
25. Roof Sheathing
74. Overhead Hydro
26. T -Bar Ceiling (Structural) & Monocoat
75. Dry Chemical .I
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27. Frame and Flashing -
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76. Dry Standpipe
28. Lathing & Siding
77. FIXED SYSTEM FINAL
29. Insulation
78. FIRE PREV. FINAL
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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
_
J �'
r
3�.- Final Factory Fireplace
3$,,Final Plumbing
39. Water Service -Final
40. Gas Se vice -Final
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-"
41. Solar Domestic -Final
i '%•� '!
42. Backflow Preventer
43. Backflow Irrigation
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..r_
.44. Landscape Irrigation System
' 45. Sound Attenuation
46. Handicap Regulations
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47: FINAL STRUCTURE & BUILDING
x;48,, SpecialSBequirements Completed
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,;49.' Electric Release to Edison
ri
50. Gas Reldase to Southern California Gas Co
51. -CERTIFICATE OF OCCUPANCY
No.' Date
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- -
ANDERSEN. DAVE &:MARTLENP
DATE 9-27-60
GENERAL CONTRACTOR xomar bullaer5 VALUE $ 14'1c}.vv
AP. No.119-00' 7 LOT TRACT FIRE ZONE DESCRIPTION OF WORK ReS.w att. ara
INSPECTIONS/);-/�,O
DATE I GROUP I & J TYPEV ZONE
Underground Soil /y};S U.G. Water
SUBCONTRACTOR
PERMITS ISSUED
T- rground Gas
DATE
NUMBER
t lead Water and Gas
Rough Heating S
/l -/r/. Gf.-mow
t2. /`/Y.
3 O
Rough Plumbing
/
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ci
Miscellaneous
Prop. Swr.i.ine- H01tae Con.
i
Sprinkling System
Heating, Final
/-/f -
/
Plumbing Fixtures W
^
Final Gas Test -
-2'
Construction Pole
- G o
/
Underground Power
Rough Wirings
Trenches Forms Steel
e•-
Z — o
Floor System
Steel Reinforce Chimney Re -Rod
Bond Beam
Sheathing �--
�—
Frame and Flashing c—
tl
Lathing, In Out
,r, brown coat e_
Jing Fixtures, Final
/
Electric Fixtures, Final
-
Building, Final
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OCCUPANCY
Form 210-5M-11-59 S -B .P 12895
12895_
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 317 COSTA MESA. CALIFORNIA
fOR 4MIC40 TO FILL /N COMPLETELY
TYPE OR PRINT
BUILDING
ADDRESS
COSTA MESA, CALIFORNIA
MAIL
ADDRESS
CONTRACTOR FSO M A R DU I L C
APPROVED �,r�-q/�
BY ( /
ADDRESS
lz6NING
NEWPOR
LEGAL
LOT P3
APPROVE
BY DATE
DESCRIPTION
NO
R.SIDE FT. cl�/T IN. 1
BLC
A.P. NO.
I I /G J
'�j
O // 0-
OF SLOGS.
SETBACK LINE FROM ;` ��.
CENTER OF STREET D REAR YAR 6
SIDE YARD (LEFT_ /�- (//' (RIGHT
DESCRIPTION OF WORK
■ NEW
BUIL
SIZE
BE PERFORMED
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM-
PLY WITH ALL CITY ORDINANCES AN STATE LAWS REGULATING
BUILDING CONSTRUE)ION.
SPERMITTEE IGNATURE OF-/, I
v �
AUTHORIZED AGENT
FEF RECEIVED
l� SEP 231960
FINANCE DEPT.
APPLICATICMyFg GWIk SSA
BUILDING
/ FOR OFF/CE USE MY
■ COSTA MESA. CALIFORNIA
FIRE
ZONE TYPE GROUP
APPROVED �,r�-q/�
BY ( /
DATE
lz6NING
'IT
NO.OF
PLANS
USE OF NEW
BUILDING A.
APPROVE
BY DATE
YARDS EVES
REQUIRED ALLOWED
(CENTER LINE ST.)
FRONT FT. IN
R.SIDE FT. cl�/T IN. 1
L. SIDE IN.
/
REAR ,S FT. IN.
.�6
THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
VALUATION
®0
(J/U
PERMIT FEE $J
{W
PLAN CHECK $ / 9(
TOTAL FEE 5 J /'
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