HomeMy WebLinkAbout115 FLOWER ST - Building Permits Applicant to fill In all spaces except those within heavy border fines and sign all appropriate declarations. . - -
PERMIT NO. TRACT NO. LOT NO. UNIT NO.
CITY OF COSTA MESAL CONSTRUCTION PERMITy� A.P.# Zone
P1ojedt Address S• 1-10we'- 2 E v 718'6 •
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I ' �• ,1r - S Main Building: Accessory Building.
Applicant's Mailing Address 3402.i MML A6-4 Q TYPE OF CONSTRUCTION H NEW U ADD ALTERATION U REPAIR
Owners Name i )ic ( s-5 le- S/4 t Rhone Y97-W.33 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER I E Front N
Address DESCRIPTION OF WO' /U OF B D Rear
grit' /GIVNR2y. 114C/NNA- .{�Ac4 -- ( I . 1►+r/�ilanti • ��•` ; A 1
Arch/Eng. • - License No. TYPE OF PERMITOO1��_n..I III GRADING ❑ FOUNDATION N STRUCTURAL C Right - G
Address //•�,�(JJJyy.�ger-6137.
- ❑ TENANT ir&ELECTRICAL.ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S- Left
Contractor's Nam L . V C. T ' Phof(e7/y1(5 13 ❑ OTHER I I Ping. Reif.# Parking Req./Provided E
• �� VTVTp PROJECT DESCRIPTION 5Q. FT. OCCUPANCY O
Address(mailing) 10 Q• m���� D P er.', PlanningNotes: M
City License No. e �� I2-10- 12 57 CONSTRUCTION TYPE VALUATION $
(! IC/ T
ZONE GRADING CU.YDS. ACRES S,
LICENSED CONTRACTOR DECLARATION •
L hereby affirm that I am licensed under provisions of.Charter 9 (commencing Remarks: _
with section 7000) of Division 3 of the Business and Professions Code,and
my license is in ful force and effect. C ELECTRICAL FEES
License lass " b L ense • 7 s�
1 — ���IA Z. PLUMBING FEES ( Automatic Washer Transformer 0 15.50 KW
Date Signature �� r
RKERS' COMPENSATION DELLA' ATI•l� Construction Pole Sub. . j 0 50+ KW 3 00
1 Bar Sink Showers
eby affirm that I have a certificate • conse to self sure or a certificate — -
,vorkers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer �. Service Sink Cooking Unit I 'Meter *up to 100 amps /{( SV
Jt
..oOO, Lab. C.) 1 "s
Policy No. Company Backflow Irrigation - Sewer Cap
Dishwasher Meter Dover 100 amps �
8 Certified copy is hereby furnished. Dryers ❑Gas Electric Sub Panel a. [�
Certified copy is filed with the city Building Division. Bathtubs i Sewer Connection
Date Applicant •
Fan Motors 00-1 HP ❑1%-8
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors
(This section need not be completed if the permit Is for one hundred ($100) or _ F.A.U. Inc.Solar 09-15 HP 016-15+
less). - Dishwasher - Solar Piping
I certify that in the performance of the work for which rmit is issued, I Fixtures
shall not employ any person in any_�rrr[pp�anner • as to subjec to the Drinking Fountains \ Solar Tank Microwave . .
Worker Ctcper tlpn Laws of Cali is Device Boxes
Date 166 OO // Signature tv.J\....iJ �� Floor Drains Swimming Pool w/Spa Pole Light
NOTICE: If,after making this declaration ou sh'id eco
bject to the Outlets
Workers' Compensation provisions of th bor ide, yo� ust forthwith Floor Sinks Urinal Range
comply with such provisions or this permit .Il be •-emed revoked.
CONSTRUCTION LENDING AGENCYGas Service Outlet Wate/Closet - Switches Sign "aria-.
I hereby affirm that there is a construction lending agency for the performance
of the work for which this permit is issued (Section 3097 Civ. C.) Garbage Disposal Standing Sections
Lenders Name Interceptors Water Heater —
Lender's Address - Kitchen Sink Water Service Generator ❑0.5 KW 05-15 KW Trash Compactor'
OWNER BUILDER DECLARATION - -
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash ...
-f
following reason (Section 7031.5 Business and Professional Code: Any city or
countywhich requires a permit to construct,alter,improve,demolish or repair c) -
any stucture, prior to its issuance, also requires the applicant for such permit P—Trap \sundry Trays 1 !. Cr '
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains >C Si
'he Contractor's License Law(Chapter 9 (commencing with Section 7000) of /fir
ivision 3 of the Business and Professions Code) or that he/she is exempt i . Reinspection Fee $15 Issue Fee- , rls • $'%
.terefrom and the basis for the alleged exemption. Any violation of Section
1031.5 by any applicant for a permit subjects the applicant to a civil , - • , 3
-,.
enalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS?" -
C1, as owner of the property or my employees with wages as their sole Reinspection Fee 1 $15 Issue Fee $ fi: -
compensation, will do the work,and the structure Is not intended or-offered — Zoning'Approved By Date
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL I FEES Building Approved By r' Date
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 Application Issued By t Date. 1 42 0
employees, provided that such improvements are not intended or offered for Boiler • Hood or Type I 0
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ SUMMARY OF FEES
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground
prove for the purpose of sale). BUILDING PERMIT $ SMIP - $ _
0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT
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 PLUMBING $ `-•+ ISSUANCE $
r
builds or improves thereon,and who contracts for such oroiects with a con- -
tractors)) license pursuant to the Contractor's License Law). I am aware that' PLAN CHECK 25% $ ENERGY-Pt: $
proof of( their Worker's Compensation insurance should be provided to me: —Exhaust System ❑ Multiple❑ System Repair/Alteration O
ELECTRICAL $ .3-9-5D GRADING $
❑ I am exempt under Section B.& P. C.for this reason Firepl/Fact.Blt. ICBO# Fire Dampers MICROFILM $ '
PLAN CHECK 50% $
Date Owner Heating System& Ducting Registers MECHANICAL $ TOTAL FEE $ 3 1 SV
I hereby certify that I-have read this application and state that the above 00100,000 BTU 0100,000BTU -
information is c• ict:I agree to co • y with all city and county ordinances PLAN CHECK • 25% $
and state I.. s elat g o building ..
f Ion, and hereby authorize repre- -
sentati -s o t'is ci - e e ••• t - above-mentioned. property f r -
inspectio• p p• -s
Signature I� A . A�� - Dat\--\b'�1 — \�v�t�1 Cl 00024440-00024440 TOT •"'.9•`ry
Dri•vers' License •r j- # Reinspection Fee $15 Issue Fee ``
$ 3 ' DATE: 41/17/89 12:00
0865-46,rev. 5/88 white - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
. • .. . .. -
• 'CONSTRUCTION AND PLANNING • PO, ,&SPA •
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole _ 52. Pool & Equipment Location
2. Soil Pipd-Undrgrnd. 71 • 53. Steel Reinforcement •
n ,
3..Electiical Conduit'Utility-Undrgrnd. 5, 54. Forms - - • -:
4. Electrical Conduit-,Undrgrnd. -) 55. Electrical Bonding
5. Steel Reinforcement i 56. Rough Plumbing & Pressure Test -.
6."Electrical UFER•Gmd?, - I -� 57. APPROVAL TO COVER-GUNITE >. '
7.-Footings ---, _ 58. Electrical Conduit-Undrgrnd.
• 8. Foundation ' ' t --� . 459. Gas Pipe, 0 Undrgrnd.,Test
9. iWater.Pipe-Undrgrnd. �" '60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. •Structural Floor System .'. • 61. APPROVAL.TO DECK
11. Property.Sewer Line,& House Connection _ 62. Backwash & Receptor-Final
12. Sewer-Capp _. �.. -r 63. Heater & Vent-Final
13. Roof Drains ,�'("- • � ! - 64. Plumbing System - Final
14. Rough Plumbing? •r;r'' i 65. Electrical-Final . ,
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
1//I. Rough Wiring Sign '68. APPROVED FOR PLASTERING
118? Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19: Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT
.20' Rough F�ctory Fireplace APPROVALS Permit#
21. Ducts, injStructure. 70. Underground Hydro '
22. Ducts, Ventilating - % ` i 71. Product Piping 0 Gas 0 Oil
•
13. Gas Pipe-Rough &Test ' ,;72V�Uriderground Flush
24. Roof Fral 'ming 73. UndergrndStorage Tank 0 Gas 0 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, Jailing 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 Domestic-Final
42. Backflow Preventer "'
43. Backflow Irrigation
p e�
44. Landscape Irrigation System EXP ( R E
t� .
°ns
45. Sound Attenuation
Incomplete hcpec!n,//�
46. Handicap Regulations t•)3tP 0 r:'( $igA'�'"
47. FINAL STRUCTURE & BUILDING • /v i{
48. Special Requirements Completed �•
49. Electric Release to Edison _.
te
' 50. Gas Release to Southern California Gas 03 , t.
51. CERTIFICATE OF OCCUPANCY y" ' `^; ` '" ' '
No. Date %'
Costa Mesa Building Department 1
s. APPLICATION FOR PERMIT
r COSTA MESA, CALIFORNIA �ra:Jl BUILDING
Fr FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
?� /J -� _ .. _ Receipt No.. Permit No.
BuilAddress t�/.f le.;
v /J� a-'3 5GS
Received.by Date Redd. Date Issued
Costa Mesa, California
Nearest '��" �--to-4 6 ..Z—/O S e,
Cross St. C/ cr/ t- Building
e/ Address •
Owner Costa Mesa, California
Mail "_ �- c7��
Address 60-c�,, /•�"[idp Nearest
/� C/,,"4cTel. Cross St.
.City £T.lo.__ re,aQ,, No. Zone/a No.of Type I Group _
Architect or Lic. ` .�- Plans I
Engineer No. Approved
by Date
•rens CORRECTIONS
�{ City Lie.
Contractor C7-ean,r,r--- No.
Address
LeDescription l I No .Lot 7 I Block 47 I Tract 7.97 _
(Attach Metes and Bounds) // 7 -%o y—/ 7
No.of Bldgs. t '. 'i ���ii 1 '! ` �� ,
Size of Lot jig 4 — cr,6, L Le I Now on Lot ' ./`-`�— _ I H
0
Use of I No.of I No.of
Existing Bldg. Families Rooms ��'J�
Setback Line from' Rear Yard qd • - —
Center of Street 6 Sa-. Side Yard _ />—
DESCR ON OF WORK ! UPI Y nc.lin T4 nary,.
New I I Alteration I Addition Ix i`1.:.,_e W' vvv�n 1ftLJH,.
Repair I I Moving I I Demolish I " '
Building No.of 9
ze /0 /y Rooms Stories r l A Iv
tenor Wall I Roof '70
//�
overing Covering & ^,, APPROVALS
Use oui IdinNeW
B Foundation Location Inspector Date
g C / I Forms,Materials,
Under-Pinning
Frame: Fire Stops,
Bracing,Bolts •
I.hereby acknowledge that I have read this Application Lath. Int.
and state that the above is coil eco and agree to comply Lath. Ext.
with all City Ordinances and State Laws regulating
building construction.
Signature n /J .., /
Plaster, Int.
Permittee ` Mrd ..
Plaster,Ext.
Authorize Agt.
Masonry Reinforced
Valuation ■ Permit Fee $ u 42
a Plan Check $ Bond Beam
$ /_50 Total
Fee $ ,73 , o O FINAL
FORM 204 G-H 2M 5-54
Costa Mesa Building Department APPLICATION FOR PERMIT
;,. P. O. Box 317 3171 BUILDING 1
COSTA MESA, CALIFORNIA
FOR OFFICE USE ONL§
FOR APPLICANTtTO FILL IN Receipt No. Permit No.
Building /�✓ c/ yj �i� • I 3/ �i ,
Address QJ�'Wt 1/� 4' /
Costa Mesa, California Received by / Date/Reo'd: gate I
ssued/�/,
Nearest ��77'' -�� c,,J-/� b — 7'—V 6 4- T�rl
Cross St. (71�z�,�� Building '
�� a /
Address -
Owner
Mail Vv%'%� D,,..., Costa Mesa, Califo•
rnia
Address /4)1-9_ �/7 /JAG CNearest
ross St.
n Tel.
City �n Ja�J No. Zon No.of Type ,/ Group i
Architect or Lic. XPlans I - (/ J
Engineer No. A ro
by Date
(Dress -- I . - . _ ii 1 NS
r City Lic.
Contractor � �,, No. a A 1 Ppm,
Address C]T 0 ED
DescLription I Lot 7 I Block ,5 I Tract��, 'UN. ;��` MES,
(Attach Metes and Bounds) /17'—/D4,— )7 rnailiai
No.of Bldgs, - :I
Size of Lot'S/G t "` 6. I Now on Lot �_ O
4se of No.of No.of s A
Existing Bldg. - Families I Rooms _
Setback Line from // „ 'Rear Yard C
Center of Street 6- ,� :', Side Yard [) 'j
DESCRI ON OF WORK X . i u_ it `i irn
r
New I I Alteration ( Addition I C;'-'—' � � ��
Repair I I Moving I I Demolish I ,IUM a {-70
BuildingNo.of
ee fet—� Rooms Stories
terlor —/P WallRoof
Covering I Covering �q CITY 14PPRUVAL,'SF SA
Use of New
Building / Foundation Location Inspector Date
��fY Forms,Materials,
Under-Pinning
Frame: Fire Stops,
Bracing,Bolts
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to comply Lath. Int.
with all City Ordinances and State Laws regulating
building construction. ,/ Lath.Ext.
Signature �J /hv�^-e-✓'� Plaster,Int
Permittee
Authorize Agt Plaster,Ext.
Valuation Permit Fee $ J Masonry Reinforced
/� Plan Check$ Bond Beam
$ `� 0� Total O O
Fee $ FINAL
FORM 204 10.55 O.P.&5.
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PLOT PLAN . 6.- 0 1,21- ',C-e`-2c-.G
Show location and distances from
property line and between buildings.
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