HomeMy WebLinkAbout2013 CAPELLA CT - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
r' PER T N TRACT NO. LOT NO.
OF COSTA MESACONSTRUCTIONC,O1NSTRU TTIJON/PERMIT 4 j UNIT NO. A P # Zone
If-4r
ect Address 2.01 N• C-��C�L+/•e 1 S Main Building: Accessory Building: -
,yyl / . Ill, TYPE OF CONSTRUCTION LI NEW L ADD U ALTERATION U REPAIR E Z
Applicant's Mailing Address I tic 2 LA 1 tsT�1 e I/ . Front
O ❑ CONVERSION ❑ DEMOLISH ❑ OTH R T _ 0
Owner's Name $a4Z ,SATS' Phone�4 z DESCRIPTION OF WORK/USE OF BLDG. /4AG of-nrs I B Rear N
Address 201 7 PJ t t kPc A / - •LG.. . t i. .• '� !AC /!�. !! A I
iRight
Arch/Eng. License No. TYPE OF PERMIT I• • RAPING . FOUNDATION STRUCTURAL I C N
Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Left R
Contractor's Name t•'r'(r izoomNJ en Phpne� CI OTHER I Ping. Ref.# Parking Req./Provided E
v PROJECT DESCRIPTION SQ. FT. ,�d5� OCCUPANCY 0
Address(mailing)_ ii `_ a - 7� /� - Planning Notes: M
3 /1 CONSTRUCTION TYPE VALUATION$/ f��J T
City License No. J ZONE GRADING CU.YDS. ACRES
S.
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks:
with section 7000) of Division 3 of the Business and Professions Code, and
my license is in full force and effect. fa'S ELECTRICAL FEES
Licen a Class AI ice05e No. Q -
Date Signature .� ��• PLUMBING FEES Automatic Washer Transformer ❑ 15-50 KW
WORKERS'COMPENSATION D net"
Construction Pole Sub. 0 50+ KW
I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink $hOWer$
of Workers' Compensation Insurance, or a certified copy thereof (SectionCooking Unit Meter Dup to 100 amps
1.'400, Lab. C.) Backflow Preventer Service Sink
cy No. Company Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps
Certified copy is hereby furnished. Dryers ❑Gas DElectric Sub Panel
LL Certified copy is filed with the city Building Division. Bathtubs Sewer Connection
Date Applicant Fan Motors ❑0-1HP ❑1`h-8
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors __
(This section need not be completed if the permit is for one hundred ($100) or Dishwasher $Olaf Piping F.A'U.
less). Inc.Solar 09-15 HP ❑16-15+
I certify that in the performance of the work for which this permit is issued, IFixtures Microwave
shaii not employ any person of any m so y; t0 become subject to the Drinking Fountains Solar Tank
Date Co-1 salion Laws Califo j Device Boxes Pole Light
Ne •er SignaturesdadFloor Drains Swimming Pool w/Spa
NOTICE:Compensation
anon oonlara n, you should becomesubject to wite - Outlets Range '
c
Workers' Com such ipprovisions o she Labor Code, you et forthwith —Floor Sinks Urinal
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING .AGENCY Gas Service Outlets Water Closet Switches Sign
I hereby affirm that there is a construction lending agency for the performance
of the work for which this permit is issued (Section 3097 CIV. C.) Interceptors Water Heater
Garbage Disposal Standing Sections
Lender's Name
Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash ' -
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 -
any structure, prior to its issuance, also requires the applicant for such permit •
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 Reinspection Fee I $15 Issue Fee $ 3
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
,_f- pelty of not more than five hundred dollars($500). 3 DEVELOPMENT SERVICES REQUIREMENTS:
x;,--I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ Zoning Approved By Date
J ='fmpensation, will do the work, and the structure is not intended or offered
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date
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 Al
9
Boiler Hood or Type I D Application Issued By Date_ ��'9
employees, provided that such improvements are not intended or offered for
sale- If, however, the building or improvement is sold within one year of com- Canopy Type H 0 . SU OF EES Q
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground - i�,�R� 7F� 1
prove for the purpose of sale). BUILDING PERMIT $ �/ I. DU SMTP $ �1
D I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System • PLAN CHECK $ PERMIT
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 00-100,000 BTU ❑100,000 BTU PLUMBING $ ISSUANCE $ -
builds or improves thereon-and who contracts for such oroiects with a con- - -
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System D Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $
proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $
0 I am exempt under Section B. & P.C.for this reason Firepl/Fact.Bit. ICBO# Fire Dampers
PLAN CHECK 50% $ MICROFILM $
Date Owner Heating System& Ducting Registers MECHANICAL $ TOTAL FEE $ VV---41/
I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BTL
information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $
and state laws relating to building construction, and hereby authorize repre-
sentatives of this city to enter upon the above-mentioned property for
inspection purpo �q
Signature Dateq• =(, z a' (':f;'43, :h- J('�-J,'-,i _ -
7 Reinspection Fee $15 Issue Fee $ 3
Drivers' Lnse Or 59f� I!='TG1 0?;/9;c:‘, 1.;i,:
01365-46, rev. 5/BB White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor
, `
"CONSTRUCTION AND PLANNING
vPOOL &
APPROVALS Permit# ale 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
1
•4: Electrical,Conduit-Undrgrnd. 55. Electrical Bonding 1
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-Undigrnd. / 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System lee 61. APPROVAL TO DECK
y
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
1.6;; Rough Electric Wiring 67. Fencing & Access Approval
.1.7- Rough Wiring Sign 68. APPROVED FOR PLASTERING
'1.8,'. 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 ❑Gas 0 Oil
23. Gas PipetRough &Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing V. 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 :2 79. FINAL INSPECTION
32. Electrical Power Mlt r-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:/dOZ,�cl BOO F O fL NEtS S^-t-occ,
34. Final Heating & Air Conditioning
caeru'c1002 Fo cz_ F-10,ML
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 A
46. Handicap Regulations l��i� //
47. FINAL STRUCTURE & BUILDING /0/1hp I � C/� i t _- t e7 i/(
48. Special Requirements Completed /^
49. Electric Release to Edison .-
50. Gas Release to Southern California Gas Co •` -
.)
51. CERTIFICATE OF OCCUPANCY
No. Date •
16532 FES 2 RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT '' MAR 2 1
P. O. BOX 317 COSTA MESA. CALIFORNIA • FINANCE DEPT.
Applicant to Fill In Completely CITY OF COSTA MESA
For
P Y APPLICATION FOR PERMIT
TYPE OR PRINT
BUILDING L074%442 -r..enor- 43.1.9 BUILDING
ADDRESS ZOI /vi✓r/i a,e//< C.. ..t
COSTA MESA. CALIFORNIA For Office Use Only
'e / 1 RECEIPT NO. f IPSgil{y
OWNER Qydc=Se-rre& WEST I 5`r],7
MAIL �,/ /� RECEIV BY DA E.RECEIIV_EEDD .�I. DATE ISSUED
ADDRESS /oS19 /lther e'4 h TEL../' d�//'(O�f MAR 2 19R2
CITY CO$Tg MEs� L. ,9tie NOF./ qO9 c- BUILDING
CTr/�^^ ADDRESS
ORARCENGEINE/ER4 [4€L �LTEN/3APN
TEL
COSTA MESA. CALIFORNIA
777:4TELL/7 Ave:, AvgmEin FIRE t 0
ADDRESS � ZONE TYPE GROUP C/
CONTRACTOR 4Zi/t 2 Lm-A/D CO, APPROVEDBY DATE
ADDRESS /6c19 M/N0.0g4 Me. ZONING
///� ` HE
^ //' ZONEn NO.OF USE OF NEW $.n 'AM, Ad.
CITY [ Ga79 HES/9 l AL/` /` -/ (PLANS I BUILDING /Q# CRS,,
LEGAL
STATE G/ TEL. % p �J Lot di Z TR y 3 19
LIC.NO. 7l Z NO. � /�.�%s DESCRIPTION
SIZE 1 NO. OF BLDGS.
OF LOT 7Q/ i p 0 NOW ON LOTA6.126 A.P.NO.
USE OF YARDS EVES
EXISTING BLDG / _. APPROVED ALLOWED
SETBACK
CENTER OPNE STREETS 4G REAR YARD 3o FRONT LINE ST. y/d FT. IN.
SIDE YARD I LEFT // I RIGHT G R.SIDE T/ FT, IN.
DESCRIPTION OF WORK —_L.SIDE • // FT. IN.
NEW IA ALTERATION I V ADDITION I REAR 30 FT. -- IN.
REPAIR I II MOVING I NO. OF ryII DEMOLISH I APPROVED e.01 DATE t//‘/St
SIZE
BUILDING // .7 5—
ROOMS / STORIES / /
V P
EXTERIOR WALL lil e" ROOF [co"00 "I
COVERING 4.r/t4!/0 COVERING .0W/flee-
USE
0W/j{(6 / i� /
USE OF BUILDING AND WORK TO BE PERFORMED I u r
SA /
`Ntiii-V Aw'oeives Al0 ( -011 /
t
ifTTf3!'rlfl SA2H fib- t- P� p7
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 COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION �-
8 ATURE OF PERMIT FEE $
RM F •� /�/�J // n/ o_
RIZED A NT1 s/3 / ( PLAN CHECK $ /� —
F
E
TOTAL FEE $ .57 — y