HomeMy WebLinkAbout432 EMERSON ST - Building PermitsAVD���ant ta fill in all spaces eccept those within neavy bortler lines ana sign all approoriate aeclarations.
CONSTRUCTION PERMIT PERMIT NO. ' TRACT NO. LOT NO. UNIT NO. P
CITY OF COSTA MESA
"Project Address 432 5rerson, Costa f�sa. Ca 92627 � _
Applicant's Mailing Address
Owner's Name � �roS �A Phone 714-.�.3-1�
Address � P O Box 8064 Laguna Hills .a q 6�t1�
Arch/Eng. License No.
Address
Contractor'sName Vance & Associates RoofinaPd6� 714-646-�1
Acldress Imailing) P.0 Box 104ri5 Cnsta Npsa Ca q2E96
City License No. � ��9�3
LICENSED CONTRACTOR DECLARATION
I M1ereby affirm Iha[ I am licensetl untle� provi5ion5 ot Chdrter 9(comm2ncing
with section ]000) of Division 3 of the BuSiness antl Professions Cotle, antl
my license is in fuil force antl eftect.
License Class — nse No.�—
Date �' + P /�
v
WOHKEHS' COMPENSATION DECLARATION
� he�eby aHi�m that 1 have a cer[ifi[ate ot mn5ent to self-insu�e or a certificate
� Worker5' Compensation Insurance, or a certitietl copy thereof (Section
o, Lab. C.) Cy�
�licY No. �Jy�y�anY I iFa��h��ii��{i�aii�e
eCer[ifietl copy is hereby furnishetl.
Certifietl copy i54Ne�+fth the city Builtlin9 Division.
Date '�G�lican[ .
EXEMPTION FROM W KERS' COMPENS TION C
(ThissectiOn neetl not be mpletetl if the permit Is fo� one buntlretl ($100) ar
less).
I ceRify that in the•pe�fo� ance of tM1e work foi which this permit is i55uetl I
shall not employ,a y pers in any manner so as to become subje<i to t�e
Workers' Compen�on La of California.
Date re
NOTICE: If, after makin ou should become subjeot to the
Workers' Compensation pro bi ^ bo� Code, you mu5t forthwith �
comply with suth provi5ions or tnis~pe� � shall be tleem¢tl revoketl.
CONSTRUCTION LENDING A , �
I hereby aifirm that there is a nstruct n lentling agency tor the per/ormance
of the work tor which this perm is issuetl (Section 309� Civ. C.)
L¢ntler's Name -
I_entler's Atltlre55 ��
OWNER eUILDER DECLA
I hereby aftirm lhat I am exempt from the ContractorY License Law Por the
�, following reazon (Sectlon 7031.5 Business antl Professional Cotle: Any city or
' county which requires a permit to cons[ruct, alte�, improve, tlemolish o� �epair
' any structure, prior to its issuance, also requires the applican[ for-such permit
to file a signetl Sta[ement that he/she i5 licensetl pur5udnt to the provi5ion5 O(
[he Contractor'S License Law (Chapter 9(commencing with Section ]000) of
nivision 3 of the Business antl Protessions Code) or tha[ he/sne is exempt
�eftom antl the basis for the allegetl exemption. Any violation ot Section
1.5 by any applican[ for a permit subject5 the applicant to a civil
al[y of not more than five hundretl tlollars ($500).
LJ I, as owner of the Oroperty Or my em0loyee5 wi[h wages as their sole
compensation, will tlo the work, antl the stru<tur¢ is not intentletl or�offeted
for sale l5ection 7044, Business antl Professional Cotle: The Contractor'S
License Law tloes not appty to an owner of a property wno builtls or improves
tM1ereon, antl who tloes sucb wo�k himselt/her5elf or throuqh his o� h¢r own
employee5, providetl that such improvements are not intentletl o� o��eretl for
sale. If, however, the buildin9 or improveTent I5 soltl within'one y¢ar of com-
pletlOq tM1e owner will have the burden of O�oving he/she tlitl not builtl o� i�n-
�rOve to� the purpose of sale).
U I, ds owner of Ihe prope�ty, am exclusively mnVacHng with licensetl con-
[rattors to construct the O�oject (Settion ]044, Busine55 antl Professlons Cotle:
The Conlractor's license Law does nol apply to an owner of property who
builds or imDroves thereon. antl who contracts Por such oroiects with a r.on-
tractor(sl license pursuanc ta [ne Conttactor•s License Law). I am aware that
proof of thelr Wyker'S Compensation insurance shoultl be provitletl to me.
r
❑ I am exempt Wntler Section B. & P. C. for Ihis reason
Date Owner
I hereby certif,�%!Mt1[ I have reatl [hi5 application antl State that the abOve
information is correcL I agree to comply witn all city antl county orGinances
antl sta[e laws relating to builtling consiruction, antl hereby autM1orize repre-
5¢ntatives of this city to ent upOn Ihe abOve-mentionetl prope�ty fOr
insoection purpOzes. �_�� ry�
Signature Date —��
Dri'vers' License or 55 9f — —
r3 39 2 Y3 ` .
TVPEOFCONSTRUCTION NEW ADD ALTERATION REPAIR
❑ CONVERSION ❑ DEMOLISH � OTHER
DESCFIPTION OF WORK/USE OF BLDG.
TVPE OF PERMIT ❑ GaAOING FOUNDATION STRUCTV RAL
❑ TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MECHANICAL
❑ OTHER
PROJECT DESCRIPTION 5�. FT. oCCU�AIy�x�
CONSTRUCTIONTVPE VALUATION$ S U
ZONE GRADING CU. VOS. ACRES
Remarks:
Sink
Preventer
Irri9ation
Drinking fountains
Floor Drains
Floor Sinks
Gas Service Outlets
Interceptors
Kitchen Sink
Lavatories
P—Trap
Roof Orains
Reinspection Fee � $15
Duct - Under Grountl
Duct - Struc[ural
Duct -- Ventilating
Exhaust System ❑ Multiple
Firepl/Fact. Blt. iCBO #
Hea[ing System & Ducting
❑0.100,000 BTU �100,000
Reinspection Fee ' � $75
0865-4fi, rev. 5/88 WM1ite � Bulltling; Canary - Applicant; Pink - Acrountin9: Goltlenrotl - Assessor
ShOwQfS
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Pipin9
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
WaterService ,
Auto-Wash '
Issue Fee.
Hood or Typel ❑
Canopy Typell ❑
Refrigeration Sys[em
❑0-100,000 BTU ❑ 100,000 BTU
System Repair/Alteration �
Fire Dampers
Registers
laue Fee
$ 3
FEES
$ 3
n. . #
S Main Building:
E
T Front �
B Rear
A
C Right
SLeft
Ping. Ref. #
Planning Notes:
Automatic Washer
Construction Pale Sub.
Cooking Uni[
D ishwasher
Dryers ❑Gas ❑Electric
Fan
F.A.U.
Fixtures
Device Boxes
Outlets .
Switches
Garbage Dispoul
Generator O0.5 KW O5�'
Accessory Building:
Parking Req./Provided
ELECTRICAL
Transformer ❑ 15-50 KW
❑ 50+KW
Meter ❑up to 100 amps
Meter ❑over700amps
Sub Panel
Momrs �0-7 HP 01 %- 6
IncSolar �9-75 HP �16-75+
Microwave
Pole Light � '
Range '
Standing Sections w>
5 KW Tresh Compactor -
p
:1 � f
j
. ( .
� Reinspection Fee �$15 � � Issue Fee
DEVELOPMENTSERVICESREQUIREMENTS:
Zoning Approved 8y
Building Approved By ��
FEES
$ 3
N
1
N
G
R
E
Q
M
T
S.
SUMM RV OF FEES � `
BUILDING PERMIT $ � SMIP $` ����
PLAN CHECK $ PE9M1T ,,,, ,
PLUMBING ' $ ISSUANCE $
PLAN CHECK 25% $ ENERGY P.C. $
ELECTRICAL $ GRADING $
PLAN CHECK 50% $ MICROFILM $
MECHANICAL $ ��
TOTAL FEE $ �..�.�
PLAN CHECK 25% $
�PI� � � oa�0000iiiis°a3iz��: Io�id
6a.�e
. . �S� 1 �•
CONSTRUCTION AND PLANNING POOI �PA
APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector
1. Temporary Electrical Servics 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 .n
5. Steel Reinforcement � �_i 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-Undrgrnd. ��,j 60. Backwash Lines, P-Trap, O Undrgrnd. �
�10. Structurel Floor System n 61. APPROVAL TO DECK
11. Property Sewer Line & House Con�ection 62. Backwash & Receptor-Final
12. Sewer Cap , iji' 63. Heater & Vent-Final
13. Roof Drains � � 64. Plumbing System - Final
74. Rough Plumbing' 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-�inal
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
79. 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 � Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank � Gas O 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
39. Water Service-Final �
40. Gas Service-Final
47. Solar pomestic-Final '
42. Backflow Preventer � � .
43. Backflow Irrigation .;�
44. Landscape Irrigation System �� ,
,
.�
45. Sound Attenuation , r �� .
46. Handicap Regulations E D -
47. FINAL STRUCTURE & BUILDING Ineomplete Inspections
48. Special Requirements Completed O �'
49. Electric Release to Edison -
50. Gas Release to Southern California Gas Co . _ `, � '
,
51. CERTIFICATE OF OCCUPANCY }, �
No. Date `
� �io��
' COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 91] COSTA M69A, CALIFORNI/�
For Appllcant to Fill In Completely
TYPE OR PRINT
AD� E'SS / � � �ERSaN STi���� �
COSTA MESA. CALIFORNIA
owNER Ca e Series Inc:
MAIL 504 No, Newport Blvd.
ADDRE9S
��T,, Newport Beach, Galif, No646-9341
A, gs1320 Carmelita, Laguna Beach
CONTRACTOR �a e Serle"S InC. ' -
ADDRESY . SOY NO. Ne �i�t B1Vd.
�,T,. New ort Beach, Calif.
�;�TNa. 221233 Ng�• 646-9341
S'ZE 31.33x33.33 I NO.OP�LOOl.O
OF LOT ' NOW oN WT
USE OF
EXISTING BLD6. n�ne
eETewcK L�Nc FRomaq_ O � RfiAR YARD ��
CENTER OP YTN5i hlT
SIDB VARD I LEFT �� �� ' I RIOHT � I�'
DESCRIPTION OF WORK
BUILDINti���C S.ft. ROOMS 5 SfOR1E9 2
SIZE L J
EXTERIOR WALL ' ROOF.
COVERING COVERIN6CedST Shc
USfi OP BU Il�IfiB AtID W RK TO BH PERFORMfiD
sinele fami�y res.
�1 XEREBY ACKNOWLEDOB TXAT 1 N�VB REA� TXIB APPLICAT�ON
AND BTATE THAT TN8 �BOVfi IB CORP6CT AND AOqEQ TO COM�
�PLY WITX ALL CITY ORDINANC68 AND BTAT[ I.AW➢ p[ODUTINY
eu�tmrva wrvsrnucr�on.
9IGNATUREOP i+'i✓fc l"'.. /..
� AUTHORIZHD A6HNT
FEE RECEIVED
�OV z 7 1963
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMR
BUILDINCi
� FOI' �ffiCB {�SB �nty
R6CCIP� NO. I �ap
i�
er
ZONING
ZO ` NO.OP ' U860F NeW
�, � / PLANII I BUILDINfld �
W YL
� (�
LBOAL � LOT 27 Tract 5212
D6YCRIPlION
✓1
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NOTE: NO EAV E OV ERHANG SHALL BE LESS THAN
90" TO 81D6 @ REAR P. L.
EAVE6
ALLOWEO (U.B.C.REQUIREMENTI
YARDSAPPROVED . YARDSAPPROVED
MAIN BUILDING ACCESSORY 6UILDIN6
(FROM C/L9TREET)
R. SIDB FT. �.
L. SIDE FT. Ff.
REAR FT. FT•
DISTANCH BET. BfiT. MAIN R
MAIfi BLD69. ACCE55. BLDG9.
VAR.$C � ' DATE �
C. U. P..}k APPROVED
�anwo�%eo �i�.. , i .. � �� 7l -
1425 so. �,..
THE AMOUNT 6HOWH UNOER VALUATION IB FOR TMH
PURPOSE OF @BTABLI6HIN0 A PEPMIi PEE ONLY.
VALQUATION
.y13� IHl. ZS PERMITFEE $42. S4
f � PLAN CHECK $ OO
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