HomeMy WebLinkAbout1900 ARLINGTON DR - Building Permits ` Fd 0 /2r/ ,4' 17Oyl -P/ • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO.
eject Address .0,47.6.4/4S40../ear%AQ.l.'ve'.✓ear...451S.300 Zoll aor./.4/'l c- 2S/ 3 0
Applicant's Mailing Address ./...96-5;" ,42,,c Cie rs4 TYPE OF CONSTRUCTION .2.<NEW LI ADD LJ ALTERATION U REPAIR '
Owner's Name 4 $'4 a.V. /141d/7£2,27.'"7 Phone 7..ras-99A ❑ CONVERSION ❑ DEMOLISH El OTHER A.P.# Zone
DESCRIPTION OF WORK/USE OF BLDG.
Address /964- tOiAG.fvTel ties c fro aLIS 40 S Main Building: Accessory Building:
Arch/Eng. ,mss 4:1490 C License No. TYPE OF PERMITiS�7f ❑.GRADING ❑ FOUNDATION ❑ STRUCTURAL E Front Q
Address - //,,// ❑ TENANT ILN ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N
Contractor's Name CO3(114-C4( ✓/ ) Phone 9A.r.•.� ❑ OTHER A I
•
PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N
..Address(mailing) - K G
CONSTRUCTION TYPE VALUATION 5 S Left
•' City License No. R
••LICENSED CONTRACTOR DECLARATION ZONE GRADING CU.YDS. ACRES Ping. Ref. # Parking Req./Provided E
ITTereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: ��� -T.Ft� 5i�� �a ��J Planning Notes: M
With section 7000) of Division 3 of the Business and Professions Code, and Ye .e 'Yei/C
• .my license is in full force and effect. T
:'I cense Class License No. ' .�•�RT oroc7tC�iJ/'.Ofd/ S
" ate Signature PLUMBING FEES
,aORKERS'COMPENSATION DECLARATION Bar Sink ShOw¢rs
'eby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES
N
Yorkers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink
1, _..JO, Lab. C.) Automatic Washer Transformer 0 15-50 KW
W Policy Nor4PZ66 !Gott.J� Company Shins CWP T...t.F✓to Backflow Irrigation Sewer Ca 0 50+KW
\ [i,Certified copy is hereby furnished. p COnsVuc[ian POIe$lib.
J5 CertifiedGcopycoGis filed with the city Building Division' —Bathtubs Sewer Connection Cooking Unit Meter gup to 100 amps t��'
Date anieee Applicant dF4 1?4R G.f.0/S%, T
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers $olar Collect Ors Dishwasher Meter Dover 100 amps
(This section need not be completed if the permit is for one hundred ($100) or
1 \ less). Dishwasher Solar Pipi Dryers OGas ❑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 ank Fan Motors ❑O-1 HP D%-8
Workers' Compensation Laws of California. —
Date Signature Floor Drains imming Pool w/Spa F.A.U. Inc.Solar 09.15 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 Fixtures
comply with such provisions or this permit shall' be deemed revoked. Microwave
CONSTRUCTION LENDING' AGENCY Gas Service Outlets Water Closet
I hereby affirm that there is a construction lending agency for the performance Device Boxes Pole Light
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 Auto-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• Laundry Trays Generator ❑05 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 ains
the Contractor's License Law (Chapter 9 (commencing with Section 7000) of
'vision 3 of the Business and Professions Code) or that he/she is exempt
• arelrom and the basis for the alleged exemption. Any violation of Section
' J31.5 by any applicant for a permit subjects the applicant to a civil -
enalty of not more than five hundred dollars ($500).
fl,- 0 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 I
: 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
sale. If, however, the building or improvement is sold within one year of corn- Canopy Type II 0 Zoning Approved By Date
pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground
rove for the purpose of sale). Building Approved By Date
• .0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration • em Application Issued By Dat: in .
tractors to construct the project (Section 7044, Business and Professions Code:
C The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-1 s•,.so BTU 0100,000 BTU
' builds or improves thereon, and who contracts for such projects with a con- SUMMARY O FEES •
tractor(s) license pursuant to the ontractor's License Law).fl am aware that Exhaust System 0 Multiple 0 ystem Repair/Alteration BUILDING PERMIT $ IP 'Ti
proof of their Worker's Compen . on insurance sh. Id be • ovided to me. _ PLAN CHECK $ / •� (RMI
0 1 am exempt under Section P.C.-. this reason Firepl/Pott.Bit. ICBG# Fire Dampers IUANCE $
v - PLUMBING sPilli' •
- Date 11111,11 Owner tt i Ral0`triXthl n... Heating System& D mg Registers PLAN CHECK 25% " 0.13.-Cal ENER V C. $
I hereby certify that I1 ave re���ppp this •pplication and state t at he above ❑0100,000 : • ■100,000 BTU— r - , ai/i
informatio correct. me to`epmply with all city and coun o .mantes ELECTRICAL $1 �_/
and state I.w- relating to uildin on the
and hereby auth.ri e repre- �CA. I , $
sentatives o his city to Cr on the above-mentioned .ro•erty for PLAN CHECK 50% $ �,�I j
inspection pu •os s. • MECHANICAL $ IOy, •TAL FEE $
Signature �•. ._ _• 1 Date ,1, Cr ' 7• --
Drivers' License or SS# �� ' Se Reinspection Fee $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 Service or Pole 52. Pool & Equipment Location
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. APPROVAL TO COVER-GUNITE
7. Footings' , 58. Electrical Conduit-Undrgrnd.
8'. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
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 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 Nailing HEALTH DEPT.. REQUIREMENT
31. Plaster Brown Coat . 79. FINAL INSPECTION
32. Electrical Power Meter-Final / it 80. FOOD CERTIFICATE ISSUED
33. Final Electric `i(y Notes: •
34. Final Heating & Air Conditioning .
35. Final Gas Pipe-Test
36. Hood or Canopy ,r
37. Final Factory Fireplace
,38. Final Plumbing •
39. Water Service-Final 2
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 o"
51. CERTIFICATE OF OCCUPANCY
/
No. Date
,9C10 ' // /l'ta' l Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
• ICIT,Y-OF COSTA/�MESA, CONST UCTION PERMIT II PF•$pt11T NO.a_9/ TRACT NO. LOT NO. UNIT NO.
i Project Address/02.444/5/0/4//as?/0A/OQ r Y1OR/,!t @ cJre Lee �� 31 R
TYPE OF CONSTRUCTION bl NEW U ADD H ALTERATION LI REPAIR
Applicant's Mailing Address /9t51'Ol�oe.l£.uri�p/g✓6 C trent TYPE
/945 4 .V, ❑ CONVERSION ❑ DEMOLISH ❑ OTHER _ A.P.# _ Zone
Owner's Name c-17 1�•4T,?/l Q/Si Phone7S><-f-�98 DESCRIPTION OF WORK/USE OF BLDG. 1
Address -/96rPaast./%� .wf_ CO,r/m Ater., C4 S Main Building: Accessory Building:
Arch/Eng: A25 �l�O✓//r License No. TYPE OF PERMIT.,._ El GRADING El FOUNDATION III STRUCTURAL E Front Zo
Address - � T.`l
El TENANT Yom'ELECTRICAL El PLUMBING ❑ MECHANICAL B Rear N
Contractor's Name {J "�"c�rI�(�ISPbdne s~'"""` ❑ OTHER A I
v' k s(
` - PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N
Address(mailing ) K G
CONSTRUCTION TYPE VALUATIONS S Left
City License No. - • R
LICENSED CONTRACTOR DECLARATION ZONE GRADING CU.YDS. /AAC RES Ping. Ref.# Parking Req./Provided E
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks:�EG//�62 �/7O4J //✓aezec /1zG� Planning Notes: M
with section 7000) of Division 3 of the Business and Professions Code, and ` 1// T
my license is in full force and effect. �/!—j/%it/r�OS. "C`�in/r S
License Class License No. .•..ss��/�
Date Signature PLUMBING FEES .
NORKERS'COMPENSATION DECLARATION Bar Sink Showers •
I hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES
\ of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink
3800, Lab. C.) Automatic Washer Transformer 0 15-50 KW
-
Policy No.69P 266 C/H//a Company S%Arf_GN.p ZS'cvse..0 Backflow Irrigation . Sewer Cap0 50+ KW
❑ certified copy is hereby furnished. Construction Pole Sub. rya'
g Certiifie copy is tiled with the city Building Dlvi io9, �" Bathtubs Sewer Connection Cooking Unit Meter,iryup to 100 amps
N. Date 6W"• Applicant /6(CESO )�74e Ater
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps
(This section need not be completed if the permit Is for one hundred ($100) or -
less). Dishwasher Solar Piping P 9 Dryers OGas E Electric Sub Panel
I certify thatm in the performance the work for as which this permit is issued, _
o ' employ any person in any manner so as to become subject to the Drinking Fountains Solar T Fan Motors❑0.1 HP ❑1%-8
workers' Compensation Laws of California. _
Date Signature Floor Drains i S. ming Pool w/Spa - F.A,U. Inc.Solar ❑9-15 HP ❑1615+
NOTICE: It,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 AGENCYGas Service Outlets Water Closet Device Boxes
I hereby affirm that there is a construction tending agency for the performance Pole Light
of the work for which this permit is issued (Section 3097 Civ. C.) - '
• Lender's Name Interceptors Water Heater Outlets 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 Auto-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—Tra.• Laundry Trays Generator ❑O-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 •.of Drains
the Contractor's License Law (Chapter 9 (commencing with Section 7000) of
s Division 3 of the Business and Professions Code) or that he/she is exempt
therefrom and the basis for the alleged exemption. Any violation of Section .
•
7031.5 by any applicant for a permit subjects the applicant to a civil
penalty of not more than five hundred dollars($500). $ 3
❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee
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 MECHANICALr FEES
License Law does not apply to an owner of a property who builds or improves 4_
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 tom- - - - Canopy Type II 0 Zoning Approved By Date
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 Approved By Date
.,2 I, as Owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration em Application Issued By Date / —8z
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 00.1 , 00 BTU 0100,000 BTU SUMMARY FEES
builds or improves thereon, and who contracts for such projects with a con-
tractors) license pursuant to the �••j��ntractor's ense Law). I am aware that Exhaust System 0 Multiple ❑ System Repair/Alteration BUILDING PERMIT S St IP $
proof of their Worker's Compen n insuran hould .e provided to me. PLAN CHECK $
❑ I am ex- pt under Section B.& '.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers �����1� [ NCE
�1 - PLUMBING $ f7II1_ •_ /
Date MM.?" Owner '�ti . AKA��a��n..� Heating System&D lag Registers - PLAN CHECK 25% S I "•' • - -.
I hereby lily t at I hive read this application and stalk hat the above ❑0100,0008 100,000 BTL f1% .; �:
informati. 's correct. I a r to ply with all city and c. ty ordinances ELECTRICAL $ ,ii !
and state s relating to u Idin nstruction, and hereby authorize repre-
sentatives ., this city o�n theabove-mentioned o erty for $ Tiinspection • • p. es. —
Signature �� Date MECHANICAL S e AL FEE
Drivers' Licens or 55 yt • Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ _,
CMF 0865-46,rev. 10/84 White - Building; Canary Y -Applicant: Pink - Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit # Date Inspector APPROVALS Permit# Date Inspector
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 Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation - 59. Gas Pipe, 0 Undrgrnd.,Test
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 0•
Oir
23. Gas Pipe-Rough & Test • 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage 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 Yr
30. Drywall Nailing HEALTH DEPT':REQUIREMENT -
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final //al 6 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
44.. Landscape Irrigation System • • .
.45. Sound Attenuation .
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
• i
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY „r
No. Date . :
' r