HomeMy WebLinkAbout2952 ANDROS ST - Building PermitsApplicant to fi11 in all soaces exceo� those witnin heavy boraer lines ana sign all apPropriate tleclarations.
CITV OF COSTA MESA CONST.RUCTIO PERMIT � FRtMMIT NO. TRACT•NO. . � LOT NO. � UNIT NO. �
• Project Address Zq 5 z hnlAeaS �• ^' 3O $���
Applicant's MailingAddre55 �o I� �. �. � TVPE OF CONSTRUCTION , I_l NEW U ADD LJ ALTERATION LI REPAIR
G c��� ���-I ❑ CONVERSION ❑ DEMOLISH ❑ OTHER
' Owner's Name ��'P ��,r�� ,IP�h-�o-nAesa�2C[ `�Z DESCRIPTION OF WORK/USE OP BLDG. �
� Address ZQ�Z-'�✓F-Lu S� . C. /-�iv� ' - 1
� Arch/Eng. License No. TVPE OF PERMIT GRaoiNG FOUNDATION STRVCTURAL
Addteis �[�-���� .1 v c ��c � ❑ TENANT ❑�ELECTRICAL ❑ PLUMBING ❑ MECHANICAL
Cont�actor'SName'v`^�ETa T• r U��`-�� phone,, ��,Q�O 93 �.�THER -
Addresslmailing) � �j`S�E�$1�� CT� ���.fC' PRQIECTDESCRIPTION Sc�.F . �� OCCUPANCV
� CityLiCenseNO. � J"�'SZ CONSTRUCTIONTVPE ` ' VALUATION$ �'Io-�
ZONE GRADINGCU.YDS. ACRES
LICENSED CONTRACTOH DECLARATION - ' '
, I hereby affirm that 1 am Ilcensetl untler provisions of Charte� 9(commencing qemarks: :�'�O
with section ]000) of Division 3 ot the Busines5 antl Professions Cotle, antl
/� my license is in,full%� rc effect. C�L_� •� _
� Licensg CL�s s- `' � C en Se � O(l �U
� Date V'30' c'o�ar . 0. n� '
" _�-c
� I �+ORKE0.5' COMPENSATION DECLARATION By� Sink
� •eby affirm tnat.l nave a certiticate of consent to self-insure or a certiticate
'' /orkerz' Compensation Insurance, or a certitletl copY thereot (Section . Backflow Preventer
,� '. `a' `.2z9,-8� ' sr�[�. CoN� Futi1D
Policy No. Company Backflow Irrigation ,-
7
' �Certifietl copy i5 hereby furnishetl.
Certi etl qp y' �{etl with the cit Byy,19,i�y( �ivW' qq I/r Bathtubs
Date �-�C��""� I ApplicantY��- � rt'� FV� F-C, ,
E%EMPTION FROM WORKERS' COMPENSATION DECLARATION Clarifiers -
. (Thissectian neeB not be completetl if the permit is tor one huntlretl ($100) or
less). Dishmrasher
1 certify tnat in tne perio�mance oi the work for which this permit is Issuetl, I
shall nol employ any person in any manner So a5 to bewme SubjeCt to the Drinking Fountains
Workers' Compensation I�ws of Cali(omia.
Date Si9nature Floor Drains� . •
NOTICE: H, atter making this tleclaration, you snoultl become subject to the
Wo�ke�s' Compensation provisions of the La�o� Cotle, you must forthwith FI00/ SiOkS
comply with such provisions or this permit shall be tleemetl �evokeC.
CONSTRUCTION lENO1NG AGENCV GasServiCe ' Outlet5
� 1 hereCy a(fitm that there is a construcYion lending agency fo� the pe�formance
of the wark for, which this permit is i55uetl (Seotion 309] Civ. CJ Int¢rCeptOrs �
LenGer's � Name
' Lentler's Aaaress' - Ki[chen Sink
OWNER�6UIL�ER OECLARATION �
I hereby affirm that I am exempt trom the'ConVactor's License Law for the • Lavatories . ,
tollowing reason �Section �031.5 Buziness antl Professlonal Cotle: Any city or
county which requires a permit to construct, alter, improve, tlemolish or repair P—T�ap .
any strutture, priar to its issuance, also requires the applicant tor such permit
to tile a signetl statement that he/She is licensetl pu�suant to the provisions ot Roof Drains �
[he Contractor'S LiwnSe Law (CM1apter 9(commenting with Section 7000) of
' :�j=;�vision 3 of the Business antl Professions Cotle) or that he/she is exempt .
;".�refrom and the basis iot the allegetl exemption. Any vlolation of Section
"�`;31 5 by any ap0licant for a permit Subjects tne applicant to a civil
. `''r�i'nalty of not more than five huntlretl tlollars ($500). -
V�� 1, as owner of the property or my employees with wages as Ihei� sole Relnspec[IOn FBe .$15
' comDensation, will tlo the wo�k, antl the st�uctu�e i5 not intentletl or ofte�etl
- for sale (Section �]044, Business antl Professional Cotle: The Contractor'S
License Law tloes not apply to an owner of a property who builtls or improves
thereon, antl who tloes such work himself/herself or througM1 hIs or her own
employees, Orovitletl that sucM1 improvemen[5 are not intentletl or offered for Boiler
sale. If, however, th¢-builtling or improvement is soltl wlthin one year of com-
pletion, Ihe owne�, will have the bu�tlen Of proving he/she tlitl not builtl o� im- DuCt - Und¢� Ci�Ound
. � prove for the pu�pose of sale). �
� ❑ I,�as owner of tbe property, am ezclusively contracting with Ilcensetl con- Duct-Stfuctural.
tractors to construct the project (Section 7044, Business antl Professions Cotle:
The Contractor's License Lzw-doe5 nOt apply to an owner of property who Duct - Ventilating �
builtls or improves thereon, antl who contracts for such projects with a con-
tractor(sl bcense pursuant to the Can[racto�'S License Law). I am aware that Exh3uSt Sy5t2m ❑ Multipl¢ ❑
proof of their Wo�ket'S Compensation inswance shoultl be provltletl to me.
❑ I am exempt untler Section B. & P. C. for this reason Firepl/Fact. Blt. ICBO �k
Date � owner Heating System &'Ducting
I her¢by certi(y that I have reatl Ihis application antl state that tM1e above ❑0-700,OOOBTU 0100,000BT
informatwn �5 mrrect. I agree to comply with all city antl county ordinances
antl state laws relating to builtling construc[ion,�antl hereby authoriz¢ rep�e-
sentatives of his city to e ter� on ab ve-mentionetl property for -
inspection p r ses. c�
Signature - �Date Q'�-o .
' Drivers' License or 55 � Reinspection Fee
CMF 0865-46, rev. 10/84 White - Bulltling; Canary - Appllcant; Pink - Accounting; Goltlen�otl - Asse55or
$15
Showers
Service Sink �
Sewer Cap
Sewer Connec[ion
Solar Collectors
Solar Pipin9 .
Solar Tank
Swimming Pool w/Spa �
Urinal �
WdiEI CIOSCt �
Water Heater �
Water Service
Auto-Wash
Laundry Trays
laue Fee
Hood or Typel ❑
Canopy Type I I ❑
Refrigeration System
❑0-100,000 BTU ❑100,000 BTU
System Repair/Alteration
FireDampers �
Registers
Issue Fee
A.P. #
S Main�Building:
E
T Front
ARear
C Fli9ht
SLeft
Ping. Ref. #
. Planning Notes:
Automatic Washer
Construction Pole Sub.
Cooking Unit . .
�
6375 . 9/30/87 ; 25,50 � TI.
. � ' ZOnB _ .. .
2
O
N
� �
� N
G
R
ded . � E
Q
M
T
S
ELECTRICAL •
� Transformer ❑ 15-50 KW
❑ 50+KW
Dryers L1Gas LJElectric
Fan .
F.A.U.
Fixtures
Device Boxes
Outlets
Switches
Garbage Dispoul
Generator �0-5 KW �5-15 KW
Meter LJup to 100 amps' � -
Merer ❑over 100 amps
Sub Panel
Motors�0-1 HP�1'/:-8 .
Inc.Solar �9-15 HP �16-15+
Microwave
Pole Lighc
Range
Standing Section�
Trash Compactor
FEES
$ 3
RainspeMian Fee $15 Issue Fee $ 3
FEES
DEVELOPMENT SERVICES REQUIREMENTS:
� Zoning Approved By Date
Building ApprOved By Date
� Application Issued By ' ' Date '
- ' � SUMMARV OF FEES � "
BUILDING PERMIT $ �-S — � SMIP $ ' �
PLAN CHECK $ ' � PERMIT
P�UMBING $ �SSUANCE � $ .
PLAN CHECK 25% $ - ENERGV P.C. $' � .`
ELECTRICAL $ � GRADING - $
PLAN CHECK,. 50% $ MICROFILM $ '
MECHANICAL $ TOTALFEE $ aS•S�C)
$ 3 "PLAN CHECK 25% $ _ ' ,
CONSTRUCTIONAND.PLANNING -• � . _ POOL&SPA . . -
APPROVALS Permit # -' Date � �Inspector qppROVALS Permit # � � Date Inspector
1: .Temporary Electrical Service or Pole ' • 52. Pool & Equipment Location I
2. Soil Pipe-Undrgrnd. . , 53. Steel Reinforcement �
3. Electrical Conduit Utility-Undrgrnd. � 54. 'Forms � �
4. Electrical Conduit-Undrgrnd. � 55. Electrical Bonding � ,
5. Steel�Reinforcement 56. Rough Plumbing & Pressure Test � '
6. Electrical UFER Grnd. , 57. APPROVQL TO COVER-GUNITE
7. Footings �'• • . - 58. Electrical ConduibUndrgmd.
. 8. Foundation '��: �� �� - 59. Gas Pipe, � Undrgrnd., Test �
9. Water Pipe-Undrgrnd. . _ � - ' 60. Backwash Lines,'P-Trap, O Undrgrnd: ��
- 10. Structural Floor System • 67. 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
78. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL '
19. Rough Heating & Air Conditioning FIRE DEPT. FtEQUIREMENT •
20. Rough Factory Fireplace , APPROVALS Permit #_ J - �.� "
.�
21. Ducts, in Structure � 70. Underground.Hydro � _ r� :' �
22. Ducts, Ventilating 71. Product Piping O Gas ❑-Oil�
23. Gas Pipe-Rough & Test • 72. Uniierground Flush `" �� �
24. Roof Framing , • 73. Undergrnd.StorageTank'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 & Siding � ' 77. FIXED SYSTEM FI�NAL `� ' .- -
29. Insulation . 78. FIRE PREV. FINAL '� � � - .
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown.Coat � ' � 79. FINAL INSPECTION '.�
32. Electrical Power MeterFinal , 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 - � ' - 1 . ' _ . . �
I. f'
38. Final Plumbing � � „' • ' " ' -'�
_
39. Water Service-Final- � � ' . . � � •� .i
1
40. Gas Service-Final , _ � ' � , . '
41 : Solar pomesticFinal . � - ;, _ - ,
;42. Backflow Preventer ' ', � _
�43.:Backflow Irrigation . ' ._ , , �
i
,�44. �Landscape Irripation System . . �� - � -
.45. Sound Attenuation . !" .
46.�HandicapRegulations :-�'. ' � '
47. FINAL STRUCTURE & BUILDING � ��
a 9 c �- - �-c3-�=
48, Special Requirements Completed �[�'' � � �� C'�� . � .
49� Electric Release to Edison . � ��� � �'
50. Gas Release to Southern California Gas Co . .
51. CERTIFICATE OF OCCUPANCY - `J '
No. Date ' , .. ��"
\ - `t - �
, � ����Y
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 3fy COSTA MESA. CALIFORNIA
� fOR APPUCflNT TO F/ll /N COMPCETE[1'
7YPE OR PRINT
COSTA MESA. CALIFORNIA
OWNER Glenverde Homes, Inc.
MAIL ♦�yX 65
ADOftE55
c�TYBalboa Island,Calif. TN�',
ARCHITECT. ' � � LIC.
OR ENGINEER NO_
ADDRE55 �X (5� Ba1bOa IS1and�Gallf.
LEGAL �ILOT l I I �
n[sceiPnoN NO. �y BLOCK TRAC
7000
� SETBACK LINE FROM
� I uowOnu LDTS. O
SIDE YARD ILEFT 7 IRIGH7
DESCRIPTION OF WORK
NEW I Z IIALTERATIONI IIAODITION
BUILDING 1525/44o RO MS v S�
SIZE
EXTERIOR WALLS..GUCCO I ROOF rock
COVERING COVERING
USE OF BUILDING AND WORK TO'BE PERFOR�
30
,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANO 9TATE THAT TH@ qBOVE IS CORRECT /�NO AGFEE TO COM-
PLY WITH ALL CRY Qqp�NANCES �1ND STATE LAWS REGULATING
BIIILDING CONSTFUCT�ON.
SIGNATURE OF GLFiNOEI�E HOMES, INC•
FIRE
ZONE
ZONE
�EE RECi�i1�El�
..�«s �i �, � ... fl`-
FINANCE DEPT.
CITY OF COST,a PJIESA
APPLtCATION FOR PERMIT
BUILDING
FOR officF vsE oacr
BY
OATE ISSUED
COSTA MESA, CALIFORNIA
ZONING
NO.OF U6E OF NEW
PLAN9 � BUILOING
r.
THE AMOUNT SHOWN IIN�ER VALUATION IS FOR THE
PURPOSE OF ESTA9LISNING A PERMIT FEE ONLY. '
VALUATION .
PERMIT FEE $L�S�
$/L % �..// � PLAN CHECK $ ����
lJ �j / �
TOTAL FEE � �q� �