HomeMy WebLinkAbout442 EMERSON ST - Building PermitsADolicant to fill in all spaces except those within heavy Dortler Iines ana sign all aoProoriate tleelarations.
CiTY OF COSTA MESA CONSTRUCTION PERMIT
; Project Address � ��'$�. �S� �Sa, Ca 92627
' Applicant's Mailing Address
Owner's Name � p�� �--Phone �1_.—�.i� [�_,(�+
Address �._w����_�aQyna f{}}}S� E] q'���
ArchlEng. License No.
Address
Contractor's Name Vance & Associates Roofinq �e J�4—�-3Z1'I
Address Imailing) P• •Q• �X 10456 Costa N�sa, Ca 92627
Ciry License No. �59�3
LICENSED CONTRACTOR DEGLARATION
I he�eby af(irm [hat I am litensetl untle� OrOvi5ion5 af Charte/ 9(commencing
with section ]000� of Division 3 of the Business antl Protessions Cotle, antl
my license is in full force antl effect.
License Class - nse No. �i.i
Oa[e �S�Qi:g(�e _
WORKERS' COMPENSATION DECLARATION
' hereby atfirm that I nave a certificate of consent to self-insure or a certlficate
Worke�s' Compensation Insurance, o� a certifietl cOpy the�eof ($ection
i0. lab. C.) �' 1610302534b1$,
. Pou�v No. a„v I ihprt�}rtiial TnturanC
eCertifietl copy is hereby fumishetl.
Certifietl copy is filetl witM1 the city Builtling Division.
oate 7-7iq�Qiicant llanro R Accrr Rmfi TTnr
�EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(This section neetl not be completetl if tne permit is for one huntlretl ($100) or
less).
1 certity lhat in the performance of [h¢ work for which this permit is i55uetl, I
shall nol employ any pErSon in any Tanner so as to become subject to the
Workers' Compensation Laws of Galifornia.
Date Signature
NOTICE: If, aRer making this tleUaration, you shoultl become subject to the
Workers' Compensation provisions of tM1e Labor Cotle, you mu5t torthwith
mmply with suth provisions o� this pe�mit Shall be tleemetl revok¢tl.
CONSTRUCTION IENDING AGENCV -
I hereby af(irm that there iz a mnstruction lentling agency for the performance
of the work for whicn this permit is issuetl (Section 309� Civ. CJ
Lentler's Name
Lentler's Atltlress �
�� OWNE0. BUILDER DECLARATION
� I hereby af�irm lhat I am ezempt from the ConVactor's License Law for the
I following reason (Section 7031.5 Business anG Professional Cotle: Any�city or
'� county which requires a permit to construct, alter, improve, tlemolish or repair
any slructure, prior to ils issuance, also requires the applicant tor su<h permit
to (ile a siqnetl statement [hat he/sM1e is licensetl pu�suant to the prOvi5ion5 oi
� the ConVactor's License L.nw (Chapter 9(commencing with Section 7000) of
. n���sion 3 of the Business antl Professions Cotle) or that he/she is exempt
I 'efrom antl the basis for the alleged exemption. Any violation of Section
1.5 by any applicant for a permi[ subjects the applicant to a civil
�alty of not more tban tive huntlretl tlollaro ($500).
V I, as owner ot the oroperty or my emoloyees with wa9es as their sole
compensation, will ao tne work, antl the structure is noi intentletl or offeretl
for sale (Section ]044, Business antl Piofessional Cotle: The Contractor's
License Law aoes not apply to an owner of a property who builtls or, imoroves
lhereon, antl who tloes such work himSElf/he�selt or throu9h his o� her own
employees, providetl that such improvements are not intentletl or offeretl tor
Sale. H, howeve�, the builtling or improvement i55oltl within one y¢ar of com-
pletion, the owner will have the burtlen ot proving he/she Gitl not builtl or im-
ptove for the purpose of sale).
❑ I, as owner o( the property, am exclusivety wntracting with licensetl com
Vactors to construct tne project (Section ]044, Business antl Professions CoOe:
The ConVactor's License Law tloes not apply to an owner ot property who
�uiltls or im�roves !M1ereon. antl wM10 con[racts for such oroiects with a mn-'
tractor�sl '(cense pursuane to ine Contractor•s License Law). I am aware that
proof o� their Worker's Compensation insurance shoultl be provitletl to me.
❑ I am exempt untler Section B. & P. C. for this reason
Date - Owner
I hereby certi(y thal I have reatl tbis application dntl state tha[ [he aoove
intormation is correct. I agree to wmply with all city antl county ortlinances
antl state laws relating to builtling construction, antl hereby authorize repre-
sentatives of this city t en upon he above-mentionetl properry for
in5pectlon puiposes/? 7_12_89
�Siqnature ___ l�i __� _ � Date
Drivers' License or 55 ,'t �
F33°1Z93 I I I
TVPEOFCONSTRUCTION NEW ADD' ALTERATION REPAIR
❑ CONVERSION ❑ DEMOLISH � OTHER
DESCRIPTION OF WORK/USE OF BLDG. 1°�L^f2
TVPEOFPERMIT ❑ GRADING ❑ FOUNDATION STRUCTURAL
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL
❑ OTHER
PROJECT DESCRIPTION Sa.FT. oCGUaArvCv '
; CONSTRUCTION TYPE _� N VAlUAT10N S�7n�=�
ZONE GRADINGCU.YDS. ACRES
Remarks:
��C.. _�r
Sink
Preventer
Irrigation
Drinking Fountains
Floor Drains
Floor Sinks
Gas Service - Outlets
Interceptors
Kitchen Sink . '
Lavarories
P—Trap
Roof Drains
Reinspeetion Fee � $15
Boiler
Duct- UnderGround
Duct - Structural
Duct - Ventilating
ExhaustSystem ❑ MW[iple❑
Firepl/Fact. Blt. ICBO dk
Heating System & Ducting
❑aioo,000 aru �ioo,000er
Reinspaction Fee � $15
OB65-46, rev. 5/88 White - Builtlin9: Canary - qpp���ant; Pink - Accounting; Goltlen�otl - Asse550/
. 1 •
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
Issue Fee
Hood or Typel ❑
Canopy Typell ❑
Refrigeration System
❑o-�oo,000aru ❑ioo,000
System Repair/Alteration
Fire Dampers
Registers
Issue Fee
A.P. #
S Main Building:
E
T Frant
B Rear
A
C Right
K Left
$
Ping. Ref. #
Planning Notes:
FEES P.uromatic Washer
Construction Pole Sub.
Cooking Unit
Oishwasher
Dryers ❑Gas ❑Electric
Fan
F.A.Ur
Fix[ures
� Device Boxes
Outlets
$witch¢5
Garbage Dispoul
Generator �0.5 KW �5-15 K
$ 3
FEES
Zone
Accessory Building:
Parking Req./Provided
ELECTRICAL '
Transformer ❑ 15=50 KW
❑ SO+KW
Meter ❑up to 100 amps
Merer ❑over100amps
Sub Panel � ,
Motors OO-1 HP � 1,% - 8
Inc:Solar 09-15"FIP �16-15+
Microwave
Pole Light ;'-�-
Ran9e
Sign
Standing Sections
W � Trash Compactor
FEES
N
I
N
G
R
E
�
M
T
S.
Reinspection'Fee $15 Issue Pee $ 3
DEVELOPMENTSERVICESREQUIREMENTS: � .
Zoning Approved By ' Date
Building Approved By Date
' Application Issued By Dat 3— t49
SUMMARV OF FEES �
BUILDWGPEFMIT $ LO%i6i7 SMIP $ /7�
PLAN CHECK $ PERMIT
PLUMBING $ ISSUANCE $
PLAN CHECK 25% $ ENERGV P.C. $
ELECTRICAL $ GRADING $
- PLAN CHECK 50% $ MICROFILM $
MECHANICAL $ TOTALFEE $ �3 _
PLAN CHECK 25% $
$� b[y� ��� +�� aooa»zi-000a7�?2 -r„-e � �3.�c�
GATE: 0�/?3/89 TIflE: 50:18
y. ' �.� \ -�
CONSTRUCTION AND PLANNING ' POOI 'PA
APPROVALS Permit # Date Inspector qPPROVALS 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 ��
r t.
4. Electrical.Conduit-Undrgrnd. 55. Electrical Bonding t• 1
5. Steel Reinforcement ' 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE �
7. Footings � 58. Electrica! Conduii-Undrgrnd. ,r,
., � .:�
8. Foundation 59. Gas Pipe, � Undrgrnd., Test ,
9. Water Pipe-Undrgrnd. �-'� � 60. Backwash Lines, P-Trap, O Undrgmd. �
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
1�6� 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 �
2Q. Rough Factory Fireplace ;.� APPROVALS Permit #
21. Ducts, in Structure '� 70. Underground Hydro
22. Ducts, Ventilating �� `.'.� 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test �i� 72. Underground Flush
24. Roof Framing a� 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing r" 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Muoocoat 75. Dry Chemical
., ,
27. Frame�andFlashing �F 76. DryStandpipe
28. Lath�g &�Siding 77. FIXED SYSTEM FINAL
29. Insulation �C+ 78. FIRE PREV. FINAL
30. Drywall Nailing a HEALTH DEPT. REQUIREMEIIIT
� 31. Plaster Brown Coat � 79. FINAL INSPECTION
i 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
I� 33. Final Electric Notes:
I34. Final Heating & Air Conditioning
I35. Final Gas Pipe-Test
I
36. Hood or Canopy
� 37. Final Factory Fireplace
I 38. Final Plumbing -- �
� 39. Water Service-Final ----
; 40. Gas Service-Final �
I
41. Solar pomestic-Final
42. Backflow Preventer
I �J
I 43. Backflow Irrigation ��
44. Landscape Irrigation System ^ � ��
i45. Sound At[enuation `' �
I 46. Handicap Regulations ' � �
, 47. FINALSTRUCTURE&BUILDING �f7[+��i �
48. Special Requirements Completed �
49. Electric Release to Edison •-
50. Gas Release to Southem Califomia Gas Co J� �� � '�
:l •
51. CERTIFICATE OF OCCUPANCY � - .: ,
� No. Date ' �
�..
,� ,. � I`�87
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 911 CQg'rp MlBA. CALIFORNIA
For Applican! !q Fill In Completely
TYPE OR PRINT
wooa°ess° yZ E/'yL�/S'SoN ST�t'�F(
COSTA MESA, CALIFORNIA �
OWNER Cape Series, Inc. � � �
1320
�wport Beach, Calif.
221233 rT,o •646-9341
O 00..C1 .11i0._ni nn I NO.OPeI
USE OF
EXISTING BL
fiETBRCK LIN6
DESCRIPTIpN OF WORK
�. OP
�OMS
ROOF
e. OSE OF
LEOAL
FEE RECEIVED
NOV 2 7 1963 \
FINANCE DEPT. �
CITY Of COSTA MESA �
APPLICATION FOR PERMIT
BUILDING
For Off3ce Use Only
necnrr no. I -�� +
/�-
ZONING
NO. OP � U6E OF NEW
PLANB� lWLD1N0
Lot 33 Tract 5212
�
NOTE: NOEAVEOVERHANGSHALLBELESSTHAN
90• TO SIDE 8 REAR F
EAVES
a� � OWED
YAftOSAPPROVED
MAIN BUILDING
ARD :t/L �� FRONi
O R.81D
L. SID �
'ION REAR
DISTANGE
MAIN BLD
LISH
VAR. # :
'ORIE9 C. U. P. #
APPROV G
ar shak 4Y
ED
�.
1 HEREBY ACKNOWLED�E THAT � HAVE PEAD TNIe.�PPLIGTION
•ND BTATE THAT THE ABOVE I8 CORpECT ANO AORE6 TO COM.
PLY WITH-ALL CITY OqO1NANCfi9 ANO BTATB LAWB R60ULATINO
6UILUINO CON8TR11CTION. �
SIGNATUREOF
PERMITTE a S '
AUTHORIZED A6ENT, f�j��� ���/�.'
YARDSAPPROVED
ACCESSORY BU ILDIIJ6
DATE
1425 sa. Fr. ' m
THE RMOUNT eHOWN IINDER VALUATION 18 FOR THe F
PURPOSE Op EBTABLIBHINO A pEFMIT FEE ONLY. �
VAWATION m
�jl'3�'181. `z5�. PERMITFEE S 4%_ rjQ� - j
S �� �
TpTetLFEE � S�Z.S4 4