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HomeMy WebLinkAbout1165 ATLANTA WAY - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CIY OFtCOSTA MESA CONS TRLJCTION PERMIT PER Q TRACT NO. LOT NO. UNIT NO13 9 . • Project Address �( a/ 3664 1 /21 /83 5000 TL _ ? ''///7 J/ rn� , Applicant's Mailing Add es a_J�Yg / •✓ .r- )4.1 TYPE OF CONSTRUCTION ❑ NEW H ADD ❑ ALTERATION 1'�l REPAI R 5// ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A P # I Zone Owner's Name &M �Iy1'y� Phone DESCRIPTION OF WORK/USE OF BLDG. • Address .y�/ / '� S Main Building: Accessory Building: Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING ❑ UNDATIOry E Z /yp ID T Front O Address /y) / ��/1 {� y��� j�n ❑ TENANT ❑ ELECTRICAL LId"PLUMBING ❑ MECHANICAL B Rear N Contractor's Name //l (KJ) y" ( 1:1 ///7l-l' Phone Sl�"1y�/ ❑ OTHER A • I Address(mailing) �` 5_,/P^tet1A77 �'� /✓/ F - PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N /�/��/ CONSTRUCTION TYPE VALUATION$ S Left G City License No. \f`f /� 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 Planning RLCEIVFO .SANM ( 9 Remarks: Notes: 1 8 1988 with section 7000) of Division 3 of the Business and Professions Code, and `, my license is in tut f• -atid -ffect. iT tr.- License Class . a ' Li en ?a $ Date - st _ANS/MSJ ._ _� r r PLUMBING FEES 00 WORKERS' COMPENSATION DECLARATION Bar Sink Showers / I 'hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES Workers' Compensation Insurance, or a certified co y thereof (Section Backflow Preventer Service SinkI I 00, Lab. �C.�qq ''CC /' Automatic Washer Transformer 0 15-50 KW PolicyNo. /47/0/.34'b 7 CompanyVS L / Backflow Irrigation Sewer Cap0 50+ KW 9 Construction Pole Sub. ,Certified copy is hereby furnished. Certified co y is filed with the city inI/npyy/l' it ,, Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Dated--27-8PTION� KERSAppl'CO ,' 5 VC . EXEPTION FROM WORKERS'CEN ATION DECLARATION Clarifiers Solar Collectors Diahwa5h¢f Meter ❑Over 100 amps , (This section need not be completed if the permit is for one hundred ($100) or less). / Dishwasher Solar Piping , Ill Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors❑0-1 HP ❑1'/x-8 Workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 HP 016-15+ NOTICE: If,after making this declaration,you should become subject to the - Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal comply with such provisions or this permit shall be deemed revoked. Fixtufe3 Microwave CONSTRUCTION LENDING AGENCY f. Gas Service Outlets Water Closet Device Boxes POIe Li ht I hereby affirm that there is a construction lending agency for the performance g of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Lender's Name • Range Lender's Address - • Kitchen Sink Water Service OWNER BUILDER DECLARATION Switches Sign I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories A uto-Wash Garbage Disposal following reason (Section 7031.5 Business and Professional Code: Any city or 9 P Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap LaundryTrays any structure, prior to its issuance, also requires the applicant for such permit Y Generator ❑0-5 KW ❑5-15 KW Trash Compactor to file a signed statement that hapte is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter (commencing with Section visio of ,I Division 3 of the Business and Professions Code) or that he/she is exempt - tl,erefrom and the basis for the alleged exemption. Any violation of Section :V31.5 by any applicant for a permit subjects the applicant to a civil ' .fialty of not more than five hundred dollars($500). LI I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 . Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 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 ❑ sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 Zoning Approved By Date pletlon, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved By Date rove for the purpose of sale). • as owner of the property, am exclusively contracting with licensed Con- Duct-Structural Refrigeration System Application Issued By Dat- M. tractorsto 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 • - tractors) license pursuant to the Contractor's License Law). I am aware thatBUILDING PERMIT $ SMIP _ $ III System ❑ Multiple D System Repair/Alteration 1p I proof of their un Worker's Compensation insurance should.& P.C.provided to me. PLAN CHECK $ PERMIT ❑ I am exempt under Section B.& . for this reason Firepl/Fact.Bit. ICBG# I■ Fire Dampers -5, 00ISSUANCE $ PLUMBING $ Date owner Heating System&Ducting Registers PLAN CHECK 25% $ • ENERGY P.C. $ , I hereby certify that I have read this application and state that the above El 0-100,000 BTU ❑100,000BT . ELECTRICAL $ GRADING $ information is correct. I agree to comply with all city and county ordinances _ and state laws relating to building construction,and hereby authorize re pre- ■ II CHECK 50% $ MICROFILM $ sentatives of this cit o enter- upon t e above-mentioned property for inspection puref's. - 7 MECHANICAL $ Si ,, Signature LI / AL . Dare / - -0 O TOTAL FEE $ - - Drivers' License or SS — - $15 llIssue Fee $ 3 I PLAN CHECK 25% $ CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND'PLANNING POOL &SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1 ;v yemporary Electrical'Service or Pole 52. Pool & Equipment Location, r _ ' 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement t: • .- - Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MES, _ Ofy,ST,RUCTIO PERMIT PER NO. / TRACT NO. LOT NO. UNIT NO. ,1 Project Address �/'ff fJ yJ/�s • 3J 403 Co r7�// 2049 12/L3/87 5000 TL • Applicant's Mailing Ar.d r¢ 5 �• �4 l/ (y TYPE OF CONSTRUCTION ❑ NEW H ADD H ALTERATION UQ REPAIR ' l)�A_4i//!d ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# Zone fii Owner's Name c� Phone 7U'' O T7C DESCRIPTION OF WORK/USE OF BLDG. Address c�6 S Main Building: Accessory Building: Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING OUNDATION 111 STRUCTURAL T Front ZO • Address ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL BA Rear N Contractor's Name Ii� •a , - di '&'•hon- rV/L/I ❑ OTHER �'�jf/ . _ i• /,ar, PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right G Address(mailing) ..x.' /�/r/'�•� r CON ST RUCTION TYPE VALUATION$ S Left R City License No. ZONE GRADING CU.YDS. ACRES E LICENSED CONTRACTOR DECLARATION Ping. Ref.# $ Parkin Req./Provided 1 hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: PlanningNotes: p. RECEIVED DEC 1 8 1987 M with section 7000) of Division 3 of the Business and Professions Code,and • T my license is in full f. • effect. Licen a Class / in N/Gn` 7 S Date Signature Arra P : �- PLUMBING FEES WORKERS'COMPENSATION DECLARATION Bar Sink Showers 7" I hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink )o, Lab. D,f�/�� ^,` �/� /� �/ , Automatic Washer Transformer 0 15-50 KW � olicy, No. r d`( Company cSIGLTP ! (�Lv� Backflow Irrigation Sewer Cap0 50+KW Construction Pole Sub. ❑pemiffed copy is hereby furnished. Cer fed ct is filed with the city 1 Bathtubs $ewer Connection Cooking Unit Meter Duo to 100 amps Date/ edc c Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar COII¢Ctpr's Dishwasher Meter Dover 100 amp's (This section need not be completed if the permit is for one hundred ($100) or less). Dishwasher Solar Piping II Dryers ❑Gas ❑Electric Sub Panel - I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors 00-1 HP 01%-8 Workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 0915 HP 1716-15+ NOTICE: If,after making this declaration, you should become subject to the — Workers' Compensation provisions of the Labor Code, you must forthwith .Floor Sinks ■ Urinal ■ Fixtures comply with such provisions or this permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets ■ Water Closet ■ Device Boxes I hereby affirm that there is a construction lending agency for the performance _ _ Pole Light of the work for which this permit is issued (Section 3097 'Civ. C.) Interceptors t Water Heater Outlets Name Range Lender's Address Kitchen Sink Water Service Switches Sign OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories AUfO-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 any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt ;-7prefrom and the basis for the alleged exemption. Any violation of Section �'•'`�,T31.5 by any applicant for a permit subjects the applicant to a civil 'tjklalty of not more than five hundred dollars ($500). `'LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work, and the structure is not intended or offered Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL I 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 i sale. If, however, the building or improvement is sold within one year of com- Canopy Type II El pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date prove for the purpose of sale). 0 I, as owner of the property, am exclusively contracting with licensed com Duct-Structural Refrigeration System Application Issued By.. .Dat 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 0100,000 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 that ■Exhaust System ❑ Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT 0 I am exempt under Section B.& P.C.for this reason Fire I/Fact.Blt. ICBG# Fire Dam ers p • . P III PLUMBING $ tet• Ott ISSUANCE $ Date Owner , Heating System = Ducting Registers ■ PLAN CHECK 25% $ ENERGY P.C. $ , I hereby certify that I have read this application and state that the above DO-100,000 BTU 0 ss sssB GRADING $ information is correct. I agree to comply with all city and county ordinances ELECTRICAL $ and state laws relating tot building construction,and hereby authorize repre-yfor ■--. PLAN CHECK 50% $ MICROFILM $ - L Signature of this city to end: up• the above-mentioned property for inspection pur•• -s /� `���/ per/ Signature srd'S e��i.a.. _ Date / /O / MECHANICAL $ TOTAL FEE $ I Drivers' License or SS# •' $15 . Issue Fee $ 3 PLAN CHECK 25% $ _ CMF 0865-46,rev. 10/84 White - Building: Canary -Applicant; Pink -Accounting; Goldenrod - Assessor ., CONSTRUCTION AND-PLANNING POOL &SPA - _ APPROVALS Permit Date Inspector APPROVALS Permit# - Date Inspector 1. Temporary Electrical;SeIvice or Pole 52. Pool & Equipment Locationgj 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement. Ca , • 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 17.2 5. Steel Reinforcement 56. Rough Plumbing,& Pressure Test 6. Electrical UF ER Grnd: 57. APPROVAL TO COVER-GUNITE 7. Footings ( . 58. Electrical Conduit-Undrgrnd �''t 8. Foundation 59. Gas Pipe, O Undrgrnd.,Test .n 9. Water 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 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 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 20. Rough Factory Fireplace APPROVALS Permit# _ 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank ❑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 Nailing HEALTH DEPT. REQUIREMENT t 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 /-z41( 665 . 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation • • 44. Landscape Irrigation System - . ' . ' 45. Sound Attenuation - • 46. Handicap Regulations • 47. FINAL STRUCTURE& BUILDING 48. Special Requirements Completed • 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY • No. Date • _ l I • " Lf 7 s9� L``' `y °�"e. FE RECEIVED .y . COSYA�MESA BUILDING-SAFETY DEPARTMENT I� JUL i 3 I o2 P. O. BOX 817 COSTA MESA. CALIFORNIA FINANCE DEPT. For Applicant to Fill In Completel / APPLICATCON-FOR PERMIA T ESA TYPE PRINT EUILDING ADDRESSt41•1 - 'X BUILDING I - aa ren / _ -, , R;S LLL77PLLLrrrh-fir. a,MESA.. ALIFORNIA J- / For Office Use Only OWNER �A� �L- ��L RECEIPT NO. PERMIT7- NO7 MAIL1/ ^I / RECEIVED/BY DATE RECEIVED DATE2-7-1.2_ ISSUED ADDRESS ADDRESS j4c, . L, J M I-My/Lt) l/Ct I I / -7-1 z CITY©pp .TEL. BUILDING [, -- / A/frl,q // NO./ ADDRESS //Oo/' l(j�/.(/i� /W'�/�//,- ORARCENGECTINEER�f� l}<prLt% NOTEL/Ci x/31_• COSTA MESA. CALIFORNIAI/ 1 ✓ - ADDRESS2./2-J i}/�,�'[/I 4/4 //'J/i l 4si77 Aft ZONE TYPE ✓ GROUTv` CONTRACTOR S. 1/ 4.4-_ A,Z edson. c APPROVED DATE �' a. ADORE-- rI; ^^^^ ///J • FIL ZONINGJ CITY /C./7t/4Z 4,c- ZONE -I I PLANS NO.OF z I BUILDING USE OF NEW S.',7 A� STATE / [�/ TEL. /� TI LEGAL Tg ("`! LIC.NO. /�� /2SIZEy 9 NO.�// rp z3 DESCRIPTION Lot 8 ��� OF LOT •/d /I //If0 - I NO. OF ILDGB. NOW ON LOT A.P.NO. USE OF s. YARDS EVES EXISTING BLDG. ___ _/ APPROVED ALLOWED SETBACK LINE FROM ,Sti 0 i (CENTREAR YARD 7L FRONT LINE ST 1 ,5 FT. IN. CENTER OF STREET lJ V r SIDE YARD I LEFT '2 I RIGHT r R.SIDE .S FT. -6- IN. i DESCRIPTION OF WORK L.SIDE A' Or FT. — IN. ~~ • NEW I I/II ALTERATION I II ADDITION I REAR FT. 6 IN./ REPAIR MOVING I DEMOLISH ( APPROVED _ /-1�nD DATE I ,/�-'�b a BUILDING,7 -0• /Sy-1,NO. OF 6ROOMS STORIES i ��l U / SIZE Y '',''' �J���......{yyyyyy EXTERIOR WAL GT el° I ROOF co/fio COVERING //'4 COVERING S /iH}/-, USE OF BUILDING AK,WORK TO BE PERFORMED ///;Gt- ,,ilk->iGr fgiescT_.teralnQi1 CAP AL_ -- O • / >ilt/ f f-: . ... I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CON. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES NO STATE LAWS REGULATING BUILDING CONSTRUCTION. VALUATION •• (f SIGNATURE OF - ` PERMIT FEE $ �,-J' �- PERMITTEF ` ? m '�//,// $ /�tj �J �- PLAN CHECK $ 2 4 AUTHORIZED ENT L ( "' f G TOTAL FEE - 0 OWNER NEWPORT HOMES INC. • DATE '7-9-62 JOB ADDRESS �_; -e_ -- . A ' /a -te-1-1 %,-„t/- BUILDING PERMIT NO. - 17469 GENERAL CONTRACTOR q V. &liunsOkAr Sonc o VALUE $ lb 253, nO • AP No. LOT 8 TRACT 4653 FIRE ZONE DESCRIPTION OF WORK Res/Att.Gar. IDT^^ECTIONS Signature DATE GROUP 1-& J TYPE V ZONE R-1 S j P-c5 • SUBCONTRACTOR PERMITS ISSUED Gas /Y}J•$ //E'ei7 DATE NUMBER Water .// /(/1FS 7 /%•/.Y Rough Com. Refrig. 0 Air Cond.e Dr Rough Heating ,t4, !� J6� , t" el-a404/ WO V Rough Plumbing ^ S _,22-'/Z ! ;i .'_ Y 3(097v Miscellaneous i. psi p � Y/7-27 — �. ' =ry e Prop.Swr.Line 0 House Con. 0 St.Swr. P-.tia.cAb_c stir -77(Si Co y 5 qS cri I(-1 Sprinkling System 9 Construction Pole `I Underground 0 Power .0 � _ _q_.�y�� �{y ' Bough Wiring /rii1'�' Zpiri Se;:, '-a./ .r 1713 v - Trenches Va' Forms E'J Steel Reinf. 0 oar 7-17-6 - Floor System Bond Beam 0 Steel Reinforce ❑ Sheathing ,/,1 x}- oh—%_i9 Frame and Flashing Tr-.7y_ Z • S'/% Lathing — In ©-- Out gr Plaster, brown coat 0✓/!-1 'I i7 r g. 0 Air Con . 0 Final Final / ..' aff(.o_ Plumbing Fixtures,sFinal / C Ell t )i,�Zr /_ Final Gas Test (l // �✓7f Electric Fixtures, Final // /7 Building, Final ( //7t//h lO(i I OCCUPANCY FORM BU4-5M — 7-61 -- 1 71169