HomeMy WebLinkAbout3113 BARBADOS PL - Building PermitsPAIU
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COSTA
P.O. B
For App/icant to Fill in Completely
FOR BUILDING PERMIT
BUILDING � F/ �'(/V
ADDRES$ � �J
OWNER A.P. NO. J � � —
MAIL ��O`S BUIID�NG �//
ADDRESS u ADDRESS
aU GITV `�S '�js NO TRACT �
z
CANSTRUCTION ,/ W �+� P
ON LENDER G I� . R+
d [p
J � BRANCH
J N 1 , OWNER I
mJ A�DRESS O V •- LON
m AqCHITECT TEL S
J a OR ENGINEER �� N
V a FIRE
W� ADDRESS .� ZONE T PE
a w APPROVED
W Z CONTRACTOR G BV
J Q
m Z
J � ADOHE55
W w N I.3 ._ ZON NO.OF
� TEL. P��
Z F CITV L%� NO. ^j .
wO STATE CITY VARDSAPPROVED
y� IIG. NO.• IIC. NO. MAIN BUILDING
7� SI2E NO.OF 8LOG5. (FFOM C/L 5T EET) -
OF LOT NOW ON LOT FRONT
USE OF ( j/
EXISTING BLDG. ) � S
H S12E OF NO. OF .�� /�
Z NEWBIOG. � ROOMS STORIES L.SIDE FT. .
a EXTERIOF WAL ROOF � //
V COVERING COVERING L REAR FT.
J USE OF BUILDING AND WOR TO BE PERFORMED OISTANCE BET.
a MAIN BLDGS.
a
a L, l� VAR.�
Q �Y� C.U.F.#t
� APPROVE
N �
Z
�
U1 hereby acknowledpe that I have reatl thiz application and state
� that tha above informaiion is correci antl apree to comply wiih
� all laws regulating builtling co�siruction, antl I shall not employ
F any parsoa i� violeNo� of fhe workma� s compe�ution laws af
y the Staro of Californla.
ZI �ereby certify that I am properly Itcensetl as a contractor untler SQ. FT.
the State of Calitornia Business antl Pro�ezslons Cotle, Di�isicn 3, TH AMOUNT SH(
Chaptar 9, antl that such licenses ere in full force and etfect, or I THE PVRPOSE OF E
am eaempt om ihe provisions of theState of California Business VALVATION
and Prote io�s otle, Division 3, Chapter 9.
$�Qf18LUIB ` • $ � j � �
Permittee
(!i
Authorizetl Apen
VALUE
USE OF NE
BUIL�ING oOm
VARD$ APPROVED
ACCESSORV BVILOII
DATE
TOTAL FEE $ �
�
O
�
¢
N
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m
E
0
LL
f:��:i"M���
DRE55
SOIL
r]
PROP. SWR. LINE U HOUSE CON.
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH NEATING AND AIR Ci
ICE
UNDERGROUN� �J POWER U
ROUGN WIRING
TRENCHES FORMS STEEL REINF.
FLOOR SYSTEM
SMEATHING
FRAME FNO FLASNING
LATHING - IN n
PLASTER, BROWN COA
DATE 10-4 "(4
I:1�11��7I:[�79x:7�1i I
SUBCONTRACTOR
t �` .� ,� 21033
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 9f 7 COBTA MESA, CALIFORNIA
For Applicanf fo Fill In Completely
n TYPE OR�/ PRINT
Bu1LOIN� �5 /i � /'l /� � � (
ADDRESS d /J/Y
COSTA MESA, CALIFORNIA
USE OF
EXISTING BLDG.
HETBACI( LINB FROM
0
FEE RECEIVED
NOV i s 1963
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMR
BUILDING
7 For Offiee Use Only
k
RECHIPT NO. pERM�T NO.
�2�� J3
1 C OAT8P6GBIV4D� ��'E/§y-L
//.i/�i'.�H ^1
ZONIN�i
Z NO. OR � U86 OF NI
� PLANB � BYILOINO
�/ /G �er /� �/
�eow� L fi � � % 1'
/ n. _ .fll . / ecaew��nox
L�
O
DESCRIPTION OF WORK
BUILDIN6
SIZE
EXTERIOR WALL
1 HEREBY ACKNOWL
AND BTATE THAT TI
PLY WITH ALL CITY
BUILDINO CONBTPUf
SIGNATURE OF
PERMITTE /
AUTHORIZ6D AQ8
ROOF
n/ O
T 1 NAVR qBAO TMI9 APPLIGTION
19 CORR6CT AND AORE6 TO COM-
:fi6 AND BTATi W8 P[OULhTINO
� , n ��I /� '' �
YARDSAPPROVEO
MAIN BUILDIN�
tOM C/L BTREET )
VAR. #
_/ S_! '�
G BHALL BE LEeS THAN
YAROSAPPROVED
AGCESSORY BUILDING
•L\p
THE AMOUNT 9HOWN UNOER VALl1ATION 19 FOR TH6
PYRP08E OP 68TABL18HIN0 A PERMIT FEE ONLT.
VALUATION � BQj
U � PERMIT FEE $ ��
s ��c�� 3 ✓
TOTALFEE $
nl����q�,�, s
I OWNER BROCKWAY
�JOB ADDRESS
GENliRAL COt
� AP No. 139-1'
�INSPECTIONS
Forms ❑ Steel
DATE NOV 1 9 19�
BUILDING PERMIT NO. 21033 -� -
VALUE s �25.00
SUBCONTfG�CTOR
i. ;
_iije' ' J�"�1
COST,A MESA BUILDING DEPARTMENT
P. O. BOX 31]
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
MAIL
ADDRE55
QTV LO,^, �
AFCHITECT
OR ENGINEER
ADORE55
COSTA MESA. CALIFORNIA
TEL.
NO.
�ic.
NO.
rland Land =��� ��_.
LEGaL LOT �
oescw�vriorv NO.
A.P. NO.
51ZE 6000
OF LOT
USE OF
E%ISTING BLDG.
$EiBiCR LINE FROM
FEE RECEIVED
�c� ,a, i����:�;��.
fINANCE' DEPT.
A P P L�1��A`I' I C7T7T�C7fYAP E R M I T
BUILDING
FOR OFFICE USE ONLY
/i2%`�I �' Y�� % I IYIQ
BUILpING
ADDRE55
COSTA MESA. CALIFORNIA
FIRE
ZONE
TEL. APPROVED
t i� � NO. BV
BLOGK TRACT 2
NO.OF BLDGS. )
NOW ON LOT SZOyZB
cerviea or srAEcr �Q � REAR YARD �
SIDE VARD RIGHT I LEFT C 1
DESCRIPTION OF WORK
NEW � qLTERATION AOOITION
ftEPAIR MOVING DEMOLISH
BUILDING G NO.OF
SIZE l�U HOOM56 STORIES 1
EXTERIOR WALL ROOF
COVERING �1" COVERING j? �.jl
USE OF NEW
STf�TE THTT THE nBOVE IS CORRECT AND /GREE TO
CITT OROINRNCES 4Np ST�Tf L<W RFF.ULnT��dl
TION. /]�/�
� AUTHORIZED AGENT
CORRECTIONS
WITH ALL
CONSTFUP
VALUATION p
PERMIT FEE $ �(J� CO
$ /� (/ %� PLAN CHECK � yLi �OO
r�ti
TOTAL FEE $ 2� QQ �eM`
NER SIIM��'IIsRLAND I.AND CO. DATE
JOBADDRESS 3113 Barbados Place BUILDINGPERMITNO. #(1951
GENERALCONTRACTOR OLdT12Z' BldT'_ VALUE $ L�Li(i2f1_00
LOT 1.9 BLOCK TRACT 2353 Res. W�S$t, gar.
GROUP I Bc J TVPE V ZONE RZ FIRE DISTRICT �OO�.
PERMITSISSUED
INSPECTIONS DATE SUBCONTRACTOR
DATE I NUMBER
Footing Trench
Foundation Forms and Grade to
Rough Framing � . �
Plumbing, Rough to Slab `V�
Plumhing, Rough Complete
Temporary Pole
Wiring, Rough
Heating, Rough
Heating, Final
'�ewer,House L Sewer,:
eptic Tank or Cesspool
Lathing, In`,� OuY�(
/Plumbing, Fin�al, Fixtures
� Plumbing, Fin�al Gas Test
Wiring, Final
Occupancy
FORM 210 3M 10�•v5
—a—
-. u �
AOolicant to fill in all spaces except ihose within heavy Eorder lines and sign all avv�ovriate tleclarations.
CITY OF COSTA MESA CONSTRUCTION nP�E/RJ MIT PERMIT_NO. TRACT NO. LOT NO. uN1T n�in
Project Address � � � � ? � �� S !U-!
Applicant'sMailingAddr¢ss 7��3 �fi�b�S � ��-�� �..�
Owner's Name � ' 4,/ ��,,�� ��`j� Phone �o�.s—�+�_��
Address 3��'��_�+YL�Li�'� 5
Arch/Eng. /-� License No.
Address ��,7/� �' d [
Contractor's Name Phone
� ��
Address (mailing) - � � ��
City License No.
LICENSED CONTRACTOR DECLARATION
1 M1ereby affirm that I am licensetl untle� provisions of Charte� 9(tommenting
with section 7000) of Division 3 ot the Business antl Professions Cotle, and �
my license is in full force antl etfect.
License Class License No.
Date Signature
WORKERS' COMPENSATION DECLARATION�
I hereby affirm tnat I have a certificate of consent to self-insure or a certiticate
o( Workers' Compensation Insurance, or a cerHfietl copy thereof (Section
3fl00, Lab. C.)
Policy No. Company
8 Certifietl coOY is hereby furnishetl.
Certifletl copy is tiletl with the city Builtling Division.
Date Applicant
EXEMPTION FHOM WORKERS' COMPENSATION DECLFRATION
(This section neetl not be completetl if tM1e permit Is for one huntlretl ($100) or
1255J.
I certify ihat in the performance�of the work for which this per t is issuetl, I
snall not employ any person in any manne�become ubject to the
workers' Com QensaY�o n Laws ot Califo[dia.
Date V- \S - th(e Signature q�
'NOTICE: It, afte� making thi5 tleGlaratiOn, you shOultl become subject to the
Workers' Comp¢nsation pravi5ion5 oi the Labor Cotle, you must tortM1with .
comply'with such provisions o� this permit shall be deemed revoked.
CONSTRUCTION LENpING AGENCV
I hereby aifirm that there Is a mnstruction lentlin9 agency tor the pertorman<e
of the wo�k fo� which thi5 permit is issuetl (SectiOn 3097 Civ. CJ
Lender's Name
LentleYs Atltlre55
OWNER BUILOER �ECLARATIOfJ
I hereby aftirm that 1 am exempt trom the ConVactor's License Law tor the
following �eason ($ection ]031.5 Busine55 antl Protessional Cotle: Any ci[y or ,
county which requires a permit to con5truct, alter, Improve, demolish o� repai�
any struc[u�e, p�lor to its issuance, also requires th¢ appliCant fo� such pe�mit
to file a signetl slatement thdt he/she is licensetl pursuanl to the p�ovisions of
tne Contractor's License Law (Chapter 9,(<ommencin9 with Section ]000) of
�ivision 3 of the Business antl Profesvons Cotle) or that he/she is exempt
theretrom antl the basis for Ihe dllegetl exemption. Any violatlon o( Section
]031.5 by any applicant for a permit subjects-the applicant to a civil
p�e.y� Ity oi not more than five nuntlretl tlollars ($500).
L�S I, az owner of the property � �
�e,wpmeelfem will do the work, antl Yhe structure is not intentletl or offeretl �
for sdle (Section 7044, Business antl Professional Cotle: The Contractor'S
, LicenSe Law tloes not apply to an owner of a proper[y who builtls or improves
thereon, ana wno tloes such work himseli/herself or tnrough his or her own
employees, provitletl that suth improvem¢nts are not intentletl o� otteretl for
sale. If, however, the builtlinq or improvement is soltl witnin one year o1 com�
pletion, the owner will have the burtlen of provin9 he/sne tlitl not builtl or im-
��ove fo� the purpose ot sale).
1, as owner of the p�operty, am exUusively confracting wi[h licensetl con-
tractorsto mnstruct the proje<[ (Section 7044, Business antl Professions Cotle:
The Contractor's License Law tloes not appty to an owner of property who
builtls or improves thereon, antl who contracts for such projects with a mm
tractor�51 license pursuant to the Contracior's I..Icense Law). I am aware that
oroot of their Worker'S Compen5afion insu�ance shoultl be provitletl to me.
❑ 1 am exempt untler Section� B. & P. C. Wr this reason
A
Ot Gl-l� - o
I hereby certity tnat I have reatl this application �antl state that the above
information is correcL I agree to comply with all city antl county ortlinances �
antl state laws relatin9 �o builtling con ruction, antl hereby authorize repre-
senta[ives of�is ity to ente� upo the above-mentionetl Property for
inspection pu ses
Siqnature Date V - �5 � ��o
Drivers' license or 55 � _�
TVPE OP CONSTRUCTION LJ NEW LJ ADD LI ALTERATION LJ REPAI R �
❑ CONVERSION ❑ DEMOLISH ❑ OTHER A•P• # �2/7_
DESCRIPTION OF WORK/USE OF BLDG. J��
S Main Building:
TVPE OF PERMIT GRADING FOUNDATION ❑ STRUCTURAL T Front
❑ TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MECHANICAL B Rear
❑ �OTHER C Rlght
PROJECT DESCRIPTION 5c?. FT. oCCUPaNCv
CONSTRUCTIONTVPE VAWATIONS S Left
ZONE GRAOING GU.YDS. ACRES Ping. Ref. #
Remarks: . Planning Notes:
Bar Sink
Backflow Preventer
Backflow Irrigation
Bathtubs
Clarifiers
Dishwasher
Orinking Fountains
Floor Drains
Floor Sinks �
Gas Service Outlets
Interceptors
Kitchen Sink „
Lavatories
P-Trap
Roof Drains �
Reinspection Fee
$15
Duct - Under Ground
Duct - Sttuctural
Duct - Ventilating
Exhaust System ❑ Multiple ❑
Firepl/Fact. Blt. ICBO #
Heating System & Ducting
❑ ai oo,000 eTu O i oo,000 sr
Reinspection Fee � $75
CMF 0865-66, rev. 30/84 White - Builtling; Canary - APPlicant; Pink - Accounting; Goltlenrotl - Assessor
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Pipin9
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Auto-Wash
Laundry Trays
laue Fee � $ 3
Automatic Washer
Construction Pole Sub.
Cooking Unit
Dishwasher �
Drvers ❑Gas ❑Elec
Fan
F.A,U.
Fixtures
Device Boxes
Outlets
Switches
Garbage Dispoul
Generator DO-5 KW C
3106 4/15/3E ,
- Zone
Accessory Building:
2
O
N
I
N
G
R
Parking Feq./Provided E
Q
M
T
S
ELECTRICAL
Transformer ❑ 15-50 KW
❑ 50+KW
Meter ❑up to 700amp5
Meter ❑over100amps.
Sub Panel
Momrs OO-1 HP O1'h - 8
Inc. Solar 09-15 HP 016-15+
Microwave
Pole Light
Sign
; Standing Sections
5 KW Trash Compactor
Reinspection Fea _ 1$15 I � Issue Fee
IANICAL FEES
Hoodor T DEVELOPMENTSERVICESREQUIREMENTS:
Cano TYPQ 1 ❑ 2aning Approved By
PY YPe 11 ❑ �-����j
Building Approved By �_.,
Refrigeration System
❑0�100,OOOBTU ❑700,000
System Repair/Alteration
Fire Dampers
Registers
Issue Fee
$ 3
�
SU MARV OF
BUILDING PERMIT $
PLAN CHECK $
PLUMBING $ •�F%
PLAN CHECK 25% $
EIECTRICAL $ � •�O
PLAN CHECK 50% $
MECHANICAL $
PLAN CHECK 25% $
FEES
$ 3
SMIP $
PERMIT
ISSUANCE • $
ENERGV P.C. S
GRADING $
MICROFILM $
TOTALFEE $ /���0
�CONSTRUCTION AND PLANNING POI._ ,s� SPA
�e 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, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, � 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
77. 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 O Gas ❑ Oil
23. Gas Pipe-Rough & Tesi 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank 0 Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Cathing & 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. F000 CERTIFICATE ISSUED
33. Final Electric Notes:2_?�I_N(� CQ,nuLQS ,T�Ee 2D..i UPL. L.Ei/i
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 pomestic-Final
42. Backflow Preventer � �
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINALSTRUCTURE&BUILDING
48. Special Requirements Completed
49. Electrie Release to Edison
50. Gas Release to Southern California Gas Co '
'51. CERTIFICATEOFOCCUPANCY �
No Date
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Me I;anical SGcii n3""�"`!"`� 'j
` 2� 5 �.o /
(� Fiwnbir�� �_c:ion s
TH ISSUktdCE OF A PEP.IAIf BFS:D UPOf� PiAh� Af�D
SPECIFIC.^ IO�IS SHALL P;OT PREVEP�T THi C�ILGItvG GFFICIAL
Fi.Ct�7 TH REAfTER RcQ'�I^nli3GiHE C0('.BECTICN OP EP.ROR
1?I SA!0 N$ kND SPECIFiC;.TIDt7S OR fRUPd PRE4ENTSfVG
i:uILDIfiG ' w o� �.. ,-,�,� ,• .�: n:,.i c �^
.N VIOWRaN OF THIS CCDE CR �F kNY OTHER QRD:NANCE
OF THE CITY. FOR I FGkidATI0f1 CAIL 754-5273
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