HomeMy WebLinkAbout446 EMERSON ST - Building Permits, rI
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ADo�icant to fill in a�l spaces except those within heavy bortle� lines antl sign all appro0��ate tleclarations.
CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO.
ProjectAddress 44Fi Frmrtnn, �L1C'F.,i M'i�3� �r� 9iF%� _
Applicant's Mailing Address
Owner's Name � �roS �� Phone�l4-riR3-1qf19
Address P.O. Box 8064 Laguna Hills. Ca 92654
Arch/Eng. License No.
Address
Contractor'sName' Vdf1C2 & ASS00 R(Xlflflj TnC Phone ��4-�i-3��
Address�mailing) P_�_ Rnx 1(Ylrifi fnct� Nhca,��q2fi�7
City License No. (YK91i
LICENSED CONTRACTOR DECLARATION
1 hereby affirm tha[ I am licensetl untle� provi5ion5 of Chart¢r 9(commencing
with section ]000) of DiviSion 3 of the Business antl Pro(e55ion5 Cotle, antl
my license is in tull force antl efiect.
License Class Lic e No.
WORKERS' COMPENS��OECLARATION
I M1ereby affirm Nat I have a certi(icate of conseM to selt-insure or a certificate
-�WorkerY Compensation Insurance, or a certifletl copy tnereot (Section
0, Lab. CJ
�iry No. �a^Y �� uwui iii.ciui�w�iC
BCertitietl capy is hereby turnisnetl. 'r
Certifietl mpy is filetl with the city Builtling Division.
Oate_��� licant
E%EMPTION FROM WORKERS' COMPEN R I
(This section neetl nOt be com0leted if the permit is for one huntlretl ($300) or
less).
I certify Ihat in tbe performance of tM1e work tOr which this pe�mit is i55uetl, I
shall not emDloy any person in any manner so as to become subject to the
Workers' Compen5ation Laws of Califomia.
Date Si9nature '
NOTI[E: If, after makin9 this Oeclaration, you should become subject to [ne
Workers' Compensation provisions of the Labor Code, you must forthwith
comply with suc� O�ovision5 or ittis pe�mit shall be tl¢emetl �evoketl.
CONSTRUCTION LENDING AGENCV
I hereby atflrm that there is a construction lentling agency for the pertormance
Of tM1e work tor which tnis permit is i55uetl (Section 309] Civ. CJ
LenGer's Name
Lentler'z Atltlress
OWNER BUILDER DECLARATION
I hereby affirm lhat I am exempt from [ne Contractor's License Law for the
'i following reason (Section 7031.5 Business antl Professional Cotle: Any city or
'� county which requires a pe�mit to const�uct, altCr, improve, tlemolish o� r¢pair
' any ztructure, prior to its issuance, also requires tne applicant for such permit
to file a signetl statement thdt he/she is IiCensetl pu�suant to the p�ovi5ions of
[he Contractor's License Law (CnaO<er 9(commencing with Section ]000) of
Divislon 3 of the Business antl Professions Cotle) or that he/she is exempt
'^erefrom antl the basis for [he allegetl�exemption. Any violatlon of Section
11.5 by any applicant for a permit subjects the applicant to a civil
�alty of not more than five huntlretl tlollars (g500).
J I, as owner of the properry or my employees with wa9es as their sole
compensalion, will tlo the work, antl Ihe structure is not intentletl or offeretl
(or sale (Section �044, Business antl Protessional Cotle: The Contractor'S
Litense law does not apply to an owner of a property who builtls o� imprOves
thereon, and who Goes such work himseli/herself or throu9h his or her own
employees, provitletl thdt Su[h ImO�ovem¢nts a�e nOt intentletl o� otferetl fo� ,
sdle. If, howev¢r, the builtling o� imprOvement i5 SOItl wlthin one year ot com-
pletion, the owner will have the burtlen of proving he/she tlitl not bwltl or im-
prom for the pu�pose of Sale).
❑ I, as owner of the property, am exclusively mntractinq with licensed ron-
vactors m construct the project (Section 7044, Business and Professions Cotle:
The onVactoYs License l.aw tloes not apply to an owner of property who
rj�afi or imp�bves thereon. antl who contracts to� such oroiects with a r.on-
�� Vactor(sl license Oursuan[ to cne ConVactor'z License Law). I am aware that
prooi, o� Iheir Worker's Compensation insurance shoultl be provitletl to me.
�� am eaempt unCer Section B. & P. C. for this reason
�4
Date Owner .
I. hereby certity that I have reatl
inPormation is correct. I aqree to c
dntl state laws �Clating to building
SCOLdLIV25 Oi LF115 CIIy 20 2[EY
Inspection purposes.
Signature
�.Drivers' License or 55 � _�
repre-
y for
TVPE OFCONSTflUCTION LJ NEW U ADD LJ ALTERATION LMFEPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHpER
DESCRIPTION OF WORK/USE OF BLDG. lle —✓�
TYPE OF PEflM1T LI GRAOING LI FOUNDATION YS� STRUCTURAL
❑ TENANT ❑ ELEGTRICAL ❑ PLUMBING ❑ MECHANICAL
❑ OTHER
PROJECT DESCRIPTION Sq. FT. oCCUPANCv R+3 .
CONSTRUCTION TVPE � A� VALUATION $ O� �
ZONE GRADING CU. VOS. ACRES
Remarks:
Bar Sink
Backflow Preventer
Backflow Irrigation
Bathtu6s
Clarifiers
Dishwasher
Drinking Fountains
Floor Drains
Floor Sinks
Gas Service � Outlets
Kitchen Sink �
Lavatories -
P-Trap
Roof Drains
Reinspection Fee $15
Boiler
Duct-UnderGround
Duct - Structural
Duct � Ventilaling
Exhaust System ❑ Multiple
FirepUFact. Blt. iC80 #
Heating System & Ducting
❑ o-i oa,000 sru O i oo,aoo
Reinspection Fee , � $15
0865�46,rev. 5/88 White - Builtling; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assezsor
0
Showers
$ervice Sink . .
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet .
Water Heater
Warer Service
Auto-Wash
Laundry Trays
Issue Fee
Hood or Typel ❑
Canopy Type I I ❑
Refrigeration System
❑aioo,000eru ❑ioo,000
System Repair/AI[eration
Fire Dampers
Registers
Issue Fee
FEES
A.P. �
S Main Buildi
E
T Front
B Rear '
A
C Right
K . Left
S
Ping. Ref. #
Planning Notes:
Bu
Parking Req./Provided
ELECTRICAL
Automatic Washer Transformer ❑ 15-50 KW
Construction PoleSub. � 50+KW
Cooking Unit
Dishwasher
Dryers �Gas ❑Electric
Fan
F.A.U.
Fixtures
Device Boxes '
O utlets
Switches
Garbage Disposal
Generator OO-5 KW 05-15 KW
Zone
Meter ❑up to 100 amps
Meter ❑overi00amps
Sub Panel '-
Motors �0-i HP 0.1'F. - 8
Inc.Solar 09-15 HP �16-75+
Microwave .�
Pole Light �� /
Range
Sign '
Standing Sections
Trash Compacmr
Fee �$15 � � Issue Fee
$ 3 DEVELOPMENTSERVICESRE�UIREMENTS:
Zoning Approved By
FEES 8uilding Approved By —C
�r� Aoolication Issued Bv_ �
$ 3
N
I
N
G
H
E
Q
M
T
S.
FEES
$ 3
SUM ARV OF FEES
BUILDING PERMIT $ __�p�i SMIP $ ���
PLAN CHECK $ PERMIT
PLUMBING $ ISSUANCE $
PLAN CHECK 25% $ ENERGV P.C. $
EIECTRICAL $ �GRADING. $
PLANCHECK 50% $ MICROFILM $ /1� �
MECHANICAL $ . TOTAL FEE $ �
PLAN CHECK 25% $
pltil �`� i o� 0003772`-00�3772d ru �- �s,sc
� DATE: 07113iE9 TItt[: lO:iS
. . . . , .. ..a,� . .,..✓,:... .- ' - . . . . .-. . .
�l � . . . � .
CONSTRUCTION AND PLANNING POOL 'A �'
Date Inspector � Da� Inspector
APPROVALS Permit # APPROVALS Permit # �
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 ConduibUndrgmd. , 55. Electrical Bonding . �
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test .-?'
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE .;�
7. Footings � ��J 58. Electrical Conduit-Undrgrnd. �-;
8. Foundation �� 59. Gas Pipe, O Undrgrnd., Test l�
r.
�../
9. Water Pipe-Undrgrnd: � J� 60. Backwash Lines, P-Trep, O Undrgrnd. ��
10. Structural Floor System �� 61. APPROVAL TO DECK �
11. Property Sewer Line & House Con�ection 62. Backwash & Receptor-Final
12. Sewer Cap . �`�' 63. Heater & Vent-Final
13. Roof Drains % 64. Plumbing System - Final
74. Rough Plumbing� 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
18. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign :> 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling!_r 69. POOL/SPA SYSTEMS FINAL
19� Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace �n APPROVALS Permit #
21. Ducts, in Structure 7 70. Underground Hydro
22. Ducts, Ventilating �� v � 71. Product Piping OGas ❑Oil
23. Gas Pipe-Rough & Test y,r� 72. Underground Flush
24. Roof Framing ?� 73. Undergrnd.StoregeTank OGas ❑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 Si�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 ' '
41. Solar pomestic-Final �
42. Backflow Preventer - `
43. Backflow Irrigation ��
�
44. _Landscape Irrigation System , ��l .
45. Sound Attenuation �
46. Handicap Regulations
47. FINALSTRUCTURE&BUILDING �iU� �"�`-�"" '
48. Special Requirements Completed
49. Electric Release to Edison `
50. Gas Release to Southern California Gas Co �' ,� � ��
51. CERTIFICATE OF OCCUPANCY �^ `
No. Date �.- �
• �io�5
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX H1] COBTA MEBA, CALIPORNIA
Fo� Applic6nt �o Fill In Completely
TYPE OR PRINT
eu��oiNo !.�'�l0 E%�EO.SoN S/%�'F�
AODRESS
�-COSTA MESA, CALIFORNIA �
OWNER eries Inc � � �
MAIL .-... ., �.________.. m__.�..
■ ARCHITECT
FEE RECEIVED
NOV 2 7 196;t
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMfT
BUILDING
For Office Usa Only
I R6CHIP� NO. I M1
o., 851320 Carmelita La una Beach zoNlNci '
S� 6 NO.O. U860FNEW
- PLANB B ILOIN
CONTRACTOR ca e �Series IT1C. '
`�°"` Lot 35 Tract 5212
ADDR68i ' SOi NO NeW �i�t BIVd DeBCRIPTION
�,T.; Newporr Beach, . Calif: �. P. No. -��- —'
0
�
�
�
221233 646-9341 NOTE: N0 6AVE OVERHANO SNALL BE LESS THAN
, STATE TEL. 90' TO 81DE 8 REAR P. L.
LIC. NO. NO.
SIZE Ho. op e�ooe. ALLOWED N. B. C. REQUIREMENT'
oF�oT28• 33x51.08x31.33 � „o„,o„,�,. 0
YARD8APPROVEO YARDSAPPROVED
USE OF MAIN BUILDIN6 ACCESSORY BUILDING
EXISTIN6 BLD6. n��Ze
/ +.ZS ( FROM C/L)STj3EET )
6ETBACKLINEFNOMC �,�� FR NT ,p FT. FT•
CENTER OF 6TREi �EAR YARD
SIDE YARD I LEFT Q I RIGHT ' O . R. BIDE O FT• FT•
DESCRIPTION OF WORK �. sioE �. Fr.
NE�'- I X �I YLTERYTION I I�OOITION I REAR �✓ FT. FT•
1425
NO. OF 5
ROOMB
I ROOF
COVERIN(
RK TO BE PE
res.
I OISTANCE B4T.
MAIN BLOG9.
^ VAR. #
8 L C. U. P.
.S'h'd(�e BYPROV ' •
1 HEPEBY �CftNOWLE0O6 TX�T 1 NRVE qEAO TXIB APPLICATION
ANO 6TAT8 TXAT TN6 ABOVE IB CORRECT AND AOqfiB TO COM-
PLY WITH ALL CITY OROINANC88 AND 8TAT8 I.AWB P80ULATIflO y
BIIILO�NO CON9TPUCT�ON.
SIGNATUREOF Ca e Series Inc.
PERMITTEF /��
AUTHORIZEDAGENTii'l'- %%�/. /. //1/w� s
�ATE
� /
v
TX6 �MOIINT BHOWN UNDEP VALUATION IS FOH THH
PURPOSE OP 68TABL�6HINO ♦ PERMIT FEC ONLY.
UpATION
1J, IHl. ZS PERMIT FEE s 42. 54
�0 y
42.54 "