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Home My WebLink About2956 ANDROS ST - Building Permits� � G jC,I7Y oF COSTA MEvSA /CONST�RpUCTION PERMIT �,�� Project Address . L 1 SY) ��f � ' ' i Applicant's Mailing Address ' - � - Owner's Name� ��'p��y-YF C�� Phone b5c�-3zz�3 Adr'�ess � ' � Arch/En9. License No. ' Address t7 Contracror'sNam F�%%,�S �� Cn pyho�µG ��'D��I/ �.J Address (mailing) < <- • � • �-'� ` • '1 �^� City License No. ��'s� B � ' LICENSED CONTRACTOR DECLARATION ' I ne�eby af(i�m that I am licensetl untle� p�ovisions ot Charter 9(mmmencing with section ]000) of Division 3 of tne Business antl Professions Cotle, antl my licenze is in full Porce ar effecL ��p� �icense Class C' 3� � l. 4D� Date 8"3- % Signature wORKERS'COMPENSATION DECLARATION ' ' �reby atfi�m tha[ 1 Itave a certificate of mnsent to self-insure o� a certiticate Norkers' Compensation Insurance, or a certifled copy�thereof (Section ,JO, Lab. CJ �.,��_ �� Policy No. Companj:J��f(�f �Certitietl copy is hereby (umishetl. ' - � er ' le ^ s filea with the ci[y in Divisi n/I 7� Da • Applicant ��•�� EXEMP ION FROM WORKERS' COMPE SATION DECLARATION (Thiz section neetl not be cortipletetl i( the pe�mit is to� One huntlretl ($300) or less). ; 1 certify Ihat in the pe�fo�mance of the wovk.for which this pe�mit is i55ued, I shall not employ any person'in any m ner so as o ec �ec[ to the Workers' omLge n LawS of Califo Date � ' S�� $ignatute _ � � � � NOTICE: If, afier making this tleclaration, you� shoultl become subjecC to the Workers' Compen5ation provi5ion5 of the Labo� Cotle, you must forthwith comply with such provisions or this permit shall be tleemetl revoked. CONSTRUCTION LENDING AGENCV I nereGy af(Irm that there is a construction Ientlin9 a9ency for the per(ormance ot Ihe work for wNich this permit is issuetl (Section 309] Giv. C.) Lentler's Name � Lentler's Adtlress - ' -- - � OWNER BUILOEN DECLAftATION I hereby affirm that I'a'm ezempt from the Contractor's License Law tor the following reason (Section 7031.5 Business antl Professional Cotle: Any city or county which requires a permit to construct, alter, improve, demolish or repair any strutture, priOr to if5 i55uanc¢, also requires the applicant for Su<h permit t0 file a siqnetl sta[emen[ that he/sne is licensed pursuant t0 the prOvisions of the Contractor's License Law (Chapter 9(commencin9 with Section 7000) ot 'vision 3 ot'the Business antl Professions Cotle) or-that'he/sne is exempt' :refrom antl the basis for the allegetl ezemption. Any vlolation of Section i31.5 by any applicant for a permit subjects the aOP�icant to a civll pendlty of not mor¢ than five huntlretl tlollars ($500). LJ I, as owner ot the property or my employees with wa9es as their sole compensation �will tlo'tbe work, antl the SVucture is not intentletl or ofteretl tor sale (Section ]044, Busine55 antl Professional Cotle: The Contractor's License Law tloes not appry to an owner of a property wM10 builtls or improves thereon, antl who tlaes sucM1�wotk himself/herself o� throu9h his o� her own employees, provitletl that such improvements are not intentlad or offeretl for sdle. If, however, the builtling or imp�ovement is soltl within one yea� of com- �� pletion, the owner will have tne burtlen of p�oving he/she tlitl not builtl or im- prove for [he purpose of sale). ❑ I, as owne� oi the ptoperty, am exclusivety mntracting with IicenSetl con- t�acto�st6 construct the project ($ection ]044, Bu5ine55 antl Professions Cotle: The Contractor's License Law tloes not apply.to an owner oi' property who builtls or improves thereon, antl who contracts for such projects with a mn- tractor(sl.lmense pursuan[ to'tne Contractor's license Law). I am aware tM1at proof o( Iheir Worket's Compensatiom in5urance Shoultl. be provitletl to me. ❑ I am exempt untler Section ,, B. & P. C. for this reason Date� � Owner � I he�eby certify� thaY I have'reatl this application antl state tltat .Ihe above information is correct. I aqree to compty wi[h all city antl county ortlinances antl state laws relating to builtlin9 �onStruCtion; antl hereby autho�ize repre-' sentatives ot t is city to' en er�Q on tne ab ve-mentionetl properiy_ for -iOcpection p 5E5. }/ }}�-,- $ignatu�e 1 1�. L D � Z^ Y 7 �'Driverrs' Lir>�_' ". cc gc', _ to fill in all spaces except tnose witnin heavy Dortler lines antl sign all avoropriate Eeclarations. B� 9 S 8 G , _ .,,., ,,..,. TVPE OF CONSTRUCTION NEW� ADD ALTERATION REPAI R , ❑ CONVERSION ❑ DEMOLISH O oTHER � ' p, p# � DESCRIPTION OF WORK/USE OF BLDG. � � S Main Building: TVPEOFPERMIT . GRADING ❑FOUNDATION ❑STRUCTVRA� T Front O TENANT �❑ ELECTRICAI ❑ PLUINBING ❑ MECHANICAL ' B Rear ❑ OTHER . ' . _ _.. A __ PROJECTDESCRIPTION SQ.�FT. ' �� OCCUPt4NCv C Right CONSTRUCTIONTVPE �ALUATION$ ZICO.O(� ' S left ZONE y , GRADING CU.YDS. ACRES � Pln9. R¢f. # Remarks: ' , � ' � � . � ' Planning Notes: Sink ackflow Irrigation , athtu6s ` Floor Drains - FloorSinks � �as Service � Intercep[ors KitchenSink -� Lavatories Roof Reinspection Fee Outlets ' Showers � � - ' , ServiceSink ' � Sewer Cap - Sewer Connection Solar Collectors . ' ' Solar Piping Solar Tank. Swimming Pool w/Spa � Urinal . Wdi2f C�052i Water Heater � - WaterService �- � Auto-WaSh . . LaundryTrays . � $15 Boiler , Duct - Under Ground Duct - Structural � Duct - Ventilating • Exhaust System ❑ Multiple Firepl/Fact. Blt. IC60 # Heating System & Ducting� � ❑0-100,000 BTU 0100,000 peinspectian Fee ' � I "$15 CMF 0865-46, rev. 30/84 White - BUIltling; Canary - Applicant; Pink - Accounting; Goltlenrotl - Aszessor Issue Fee Hood or Type I ❑ Canopy Type I I ❑ Refrigeration System ❑0-100,000 BTU ❑100,000 BTU System Repair/Alteration Fire Dampers .. Registers - � � - luue Fee � FEES :� $ 3 $ 3 � . � � i ' � ; ' � � ` � zo�e. � . Accessory Buildingi 2 • , � 1 N I . N G R ' ' � Patking Req./Provided E Q M T � � S Automatic Washer � ' ConsVuciion PoleSub. Cooking Unit , _ � Dryers ❑Gas �EI� Fan � � F.A.U.�. . . Fixtures Device Boxes Outlets Switches Garba9e Disposal ' Generator DO-5 KW. i ' ELECTRICAL � �FEES � Transformer ❑ 15-50 KW . � ❑ 50+KW' Meter LJup to 100 amps �'- .. Meter ❑over 100,amps � � - Sub Panel � �, Motors O0.1 HP � 1 Yh - 8 InaSolar �9-15 HP�O16-75i Microwave Pole Light ' Range ' ' ' Standing Sections 5-15 KW Trash Compacmr � $15 luue Fee : $ 3 DEVELOPMENTSERVICESREQUIREMENTS: ' . ' Zoning Approved By Date Building Approved By • �! � Date�2— �--.[_^!- V 1 Application Issuad By t� DatP �-} � ' ' SUMMARV OF FEES � BUI�DINGPERMIT �$ �6�oG SMIP $ '� PLAN CHECK � . •$ PERMIT � �- � . PIUMBING; $� ' ISSUANCE $ . PLAN CHECK, 25k $" ENERGV P.C. $ ' ELECTRICAL .$ � � GRADING - �$- PLAN CHECK 50°� $ � MICROFILM 5 MECHANICAL , '$_ T,OTAL FEE $ 2(0•5� PLAN CHECK � 25% ,$ � � CONSTRUCTION ANDPLANNING � _ POOL&SPA . � � ' APPROVALS Permit # � ,Date :� Inspector' pppROVALS Permit # Date Inspector 1, Temporary Elecirical Service or Pole � ' 52. Pool & Equipment Location ' � 2. Soil Pipe-Undrgmd. � � ' � 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. APPROVAL TO COVER-GUNITE � 7. Footings " , � 58. Electrical Conduit-Undrgrnd. � 8. Foundation • ' - � 59. Gas Pipe, O Undrgrnd., Test ' � 9. Water Pipe-Undrgrnd. �.. ' � � 60. -Backwash Lines, P-Trap, O Undrgrnd: ' 10. Structurel Floor System -. ' . ' 61. APPROVAL TO DECK - • � 11. Property Sewer Line & House Connection 62. Backwash,& Receptor-Final . 12. Sewer Cap � � 63. Heater & Vent-Final i 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 Electriral-T Bar Ceiling .� - ' 69. POOL/SPA SYSTEMS�FINAC 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT � 20. Rough Factory Fireplace APPROVAIS Permit# _ 21. Ducts, in Structure ' 70. Underground Hydro' � 22. Ducts, Ventilating �' ,' 71. Product Piping OGas ❑Oil 23�. Gas Pipe-Rough & Test 72. Underground 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 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 . � P', . , . � . a.. _ 38. Final Plumbing ' � � - , , . � � "'"'.� - y •- � h 39. Water Service-Final � ' �' _ , ; �� ' , � , � 40. Gas Service-F.inal . ' ' � � � ' . -�� - ' .41:� Solar pomesticFinal , . � 4 ' , y , � ',,;,42. Backflow Preventer ' . •t'' .. �+ ' • `' � `43.'Backflow Irrigation _ � - �:� . , , � . � . ' - '-•.,. i � ,44. Landscape Irrigation System _ . . . � - � . . � i.. - . . . � . - - - � -45. Sound Attenuation .. . � , , - 46.-FHandicap Regulations . � '. �i , . ��+ 47. FINALSTRUCTURE&BUILDING p �� . � ' �. �,� •. , " �"" . 48;'Special Requirements Completed, � `�' � � � � � � � . �� - e 49. Electric Release to Edison � - � • � � � ' � 0 50. GasReleasetoSouthemCaliforniaGasCo � � � �.�a - �� . � � . 51. CERTIFICATE OF OCCUPANCY � . - � � No. ' � - Date J � . . . � /` � . � ��-�� - COSTA MESA BUILDING-SAFETY DEPARTMENT . P.O. BOX 31] COSTA MESA. CALIFORNIA fOR APPL/CANT TO f/LL /N COMP[ETfLY TYPE OR PRINT BUILDING 2956 Andros cJtr� ADDRE55 COSTA MESA. CqLIFORNIA OWNER Glenvezde Homes, Inc. MAIL B�X 6C ADDRESS � Balboa Island,CaTif. TE�Or3-lt22( CITY NO. ARCHITECT LIC. OR ENGINEER� NO. ADDRESS CONTRACTOR i.�CC� C��• LIC. NO. 98808 ADDRESS �X VJ� Balboa Island,Calif� LEGqL 'ILOT I I � � �escrsiPnON NO. 10 BLOCK TRAC Si A.P. NO. SIZE �000 I NO.OF BLOGS. OF LOT rvow oN �OT O SETB.�CK LINE FROM CENTEF OF STREET O REAR YARD ILEFf S IRIGHT DESCRIPTION OF WORK IX II ALTERATION I II A[]f]ITL maac»Ey:i BUILDING 1S2J�{I.n NO.OF p SIZE 4V ROOMS V ST EXTERIOR WALI. ROOF COVERING SLUCCO GOVERING n%Ck USE OF BUILDING AND WORK TO BF pERFORM I HEREBY �ICKNOWLE�GE THAT 1 HAVE pEAD THIS APPLICqT10N AND STRTE THAT THE ABOVE IS CORR@CT ANO AGFEE TO COM- PLY WITH ALL CITY OR�INANCES ANO STATE LAWS PEGULqTING BOILDING CONSTRUCTION. SIGNATUftE OF (:TL'TRlorn�n .n�___ ��E ��c�ivE� ..�t �� //- J 7. �S-� FINANCE DEPT. � � CITI' OF COSTA MESA APPLICATION FOR PERMIT BUILDING �aR ofFic� usF oa�r BT DATE I85UED COSTA MESA, CALIFORNIA FIftE ZONE APPROVED BY ZONING IO E NO. OF �� ``` lISE OF NEW �J / � � PLANS � � BUILOING APPROVED BY DATE YARDS REOUIRED � AL OWED (CENTER LINE ST.) _n DE lal FT. THE AMOUHT 6HOWN UNOEF VALUATION IB FOR THE PUFPOSE OF ,ESTABLISHING A PERMIT FEE ONLY, VALUATION � PERMIT FEE S3S $ /��/�/ � PLAN CHECK $ ��D �l (O TOTAL FEE $ �ca� ��