HomeMy WebLinkAbout3016 BUCHANAN WAY - Building Permits, .
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COSTA MESA BUILDING•SAFETY DEPARTMENT
P. O. BOX 917 C08TA MEBA. CqLIPOiW1A
For Applieanf fo Fill In Complefely
'['rpE OR PRINT
BUILDING .30�� 'p �
AOORES6 U�� 4hn a�
COSTA MESA. CALIFORNIA
■ ARGHITECT
� STATE
TEL.
TEL.
SIZE NO. OP BLC08. .
OF LOT �� X/ Q'9 r+oW oN LOT
U88 OF
EXISTING BLDG
68TBALK LIN6 FROM
CENT¢R OF BTREET REAR YARD
SI�E YARD I LEFT I RIGHi
DESCRIPTION OF WORK
NEW I�ALTERATION I II ADDITION I
REPAIR I IIMOVING I IIDEMOLISH I
BUILDING NO. OF /
91ZE ROOMS STORIES
EXTERIOR WA 1/ IROOF
COVERING j��L�° � COVERING
USH OF BUILDING AND WORK TO BE PERFORMED
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�le N y
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�_\��. ��CE��J��
�l JAN 1 1 �962
a FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT ,
BUILDING
For Office Use Only
rsace�ar No. PeaCi��
rse� er I cyr� ap�rvey� o�reieti 1`J�Z
/ / (4
BUILDING
ADDRE88
COSTA MESA. CALIFORNIA
FIRE
ZONE TYPE GROUP. ��
ZONING
ZON¢� _ I I NO. OP � I BISIILDINO � S,�r �t
PL1N8 ��4# �`
llOAL 7 � z� //P v39s_
DEBCRIPTION �-O
A. P. NO.
VAROB EVES
uHe er.� / —^
�'� s— FT. IN.
IQ FT. IN.
� S FT. IN.
�r f FT. -- IN.
-°���_ ne,� �//OI�z
0
I
1 HEPEBY ACKNOWLLD6C TXAT � MAVC RGD TH18 APPLICATION THE AMOUNT BHOWN UNOER VALUATION 19 FOR THE
ANO BTATE TNAT THE ABOVE IS GOM¢CT ANO AGRE6 TO COM- pURP08E OP EBTABLIBHING A PERMIT PE¢ ONLY.
PLY WITH ALL CITY ORDINANC69 AND 8TAT6 LAWB RBOUL�TING
Bu1tDINo coN9rnuciloN. VALUATION
SIGNATURE OF � . PERMIT FEE $ ��%T_
PERMITTE �7
$/���7/ / PLAN CHECK $ � S� �% b
AUTHORIZED AGENT tC� ._
Aov���ant to fiil in all spacez except those within �eavy Oortler lines ana si9n all appropriate tleclarations.
PER IT NO. TRACT NO. LOT NO. UNIT NO.
CITY 9F COSTA MESA CONST��R,�(�IC/TION Pl'ERMIT i/ q.p, # zooa
ProjecT Address --�/%� C �i .1 / Y
TYPE OF CONSTRUCTION NEW ADO ALTERATION REPAI R S Main Building: ACCe55ory Building:
Applicant's Mailing Address L E Z
��Ownef's Name �.L����%'`-��� Phone � CONVERSION ❑ DEMOLISH ❑ OTHER � 7 F�Ont p
�� � DESCRIPTIONOFWORK/USEOFBLDG. A Rear N
Address -
Arch/Eng. LicenSeNo. TYPEOFPERMIT GRADING FOUNDATION STRVCTURAL C Right G
K Left
Address ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL �$' R
[[y��11 ���rrrJJJ���rrr ❑ �oTHEa Pln Fief. # Parkin R
Contractor's Nam� � Phon � g. g eq./Provided Q
PROJECT DESCRIPTION Sa.FT. ocGUPANCv
Address (ma'I'ng) � t� % �� Planning Notes: M
CONSTRUCTION TVPE VALUATION $ T
City LicenSe No, _�j�� ZpNE GRADING CU. VDS. ACRES S.
IICENSED CONTRACTOR �ECLARATION
1 hereby affirm tnat I am licensetl untle� provi51on5 of Charte� 9(commencing Remarks:
with section ]000) ot oivision 3 of the Business antl crofcssions Cotle, antl
my license is In twi torce antl effect ELECTRICAL FEES
,Q License ciass �i n Automatic Washer Trensformer ❑ 15-50 KW
(� oate�_ Signature PWMBING FEES
V` WOR R COMPENSATIONDECLARATION BarSink $hoWeri ConStfuctionPoleSub. ❑50+KW
( I nereby af�irm that I have a cer[iticate of consent to self-insure or a certiflcate
of Workers' Compensation Insurance, or a certitleC copy thereof (Section Cooking Unit Meter ❑up to 100amps
� Backflow Preventer Service Sink
1 3800, Lab. CJ �/-
` Policy No.(��93�%� Company ��"�'J �-�-��=� Backflow Irrigation Sewer Cap P
Dishwasher Meter ❑over100am s
�ertifietl copy is hereby (urnishetl. ��,, /J�� �
Cer iti tl y is filea witn tne city eui}tlrry� pivml�li%GCi�C,� Bathtubs Sewer Connection Dryers ❑Gas ❑Electric Su6 Panel
�ate ' qpplican[ ��f�I Fan Motors�0.lHP�iX-8
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Clarifier5 Sola� CollectOrs
(This section neetl not be completetl if the permit is for one huntlretl ($100) or F.A.U. Inc. Solar �9-15 HP �16�15+
less). Dishwasher Solar Piping
I certify that in the performance of the work for which this perm�t is issuetl, I
shall not employ any penon in any manner so as to become subject to the Drinking Fountains Solar Tank Fixtures Microwave
Workers' Compensation Laws of CalifOmia. DeviCe BoxeS
Date Signature Floor Dreins Swimming Pool w/Spa Pole Light
NOTICE: If, after making this tleclaration, you shoultl become subject to the
Worker5' Compensation provi5ion5 of the Ldbor Cotle, you must forthwith PIOOf $ink5 011t1¢t5 RdOgE
comply with such provision5 or [his pe�mit Shall be tleemetl revoketl. UfiOdl
CONSTRUCTION LENDING AGENCV GaSService Outl2t5 WaterCl05et SwiLcheS Sign
I hereby aHirm tM1at there is a mnstruction lentling a9ency fo� the Oeriormanc¢ Garha C Dii 0521 $tdndin
of tbe work for which this permit is issuetl (Section 3097 Civ. C.) Intereeptors / Wa[e� Heat¢r
� 9 p g Sections
Lentler'S Name �
Lentler's Atltlress Kitchen Sink Water Service Generator �0.5 KW �5-15 KW Trash Compactor
OWNERBUILDEft DECLARATION
I he�eby affirm Lhat I am exempt from th¢ ContraCtor'S License Law to� the L2v2tOfi25 , AutO-WeSh
followin9 reason (Section 7031.5 Bu5ine55 antl Professional Cotle: Any city or
county whlch �equires a pe�mit to cOnstruct, alteq Imp�ove, tlemolish or �epal� P—T�dp Laundry T�dyS
any 5lrucWre, p�io� to itz issuance, also �equires the ap0�icant tor such permit
to fi�e a signetl statement that he/she is licensetl pursuant to the provisions of Roof Drains
the Contractor•5 License Law (Chapter 9(commencinq with Section 7000) ot
Division 3 ot the Business antl Professions Cotle) or Ihat he/sne is exempt Reinspection Fee $15 Issue Fee $ 3
therefrom antl the basis �or the allegetl exemption. Any violation of Section
']031.5 by any applicant for a permit subjects [he applicant to a civil
�enalty o( not more tnan five huntlretl tlollars (g500). DEVELOPMENT SERVICES REQUIREMENTS:
I, as owner of tne oroperty or my emoloyees with wages as their sole Reinspec[ion Fee $15 Issue Fee $ 3 Zoning Approved By Date
Comp¢n5dtion, will tlo the wo�k, antl the st�ucture is not intentl¢tl or ott¢retl
for sale (Section �044, Business antl Professional Cotle: The Contractor's MECHANICAL FEES ��Building Approved By Dat�
LitenSe Law tloes not ap01y to an owner of a p�operty who builtl5 or impmvez
thereon, antl who tloes such work him5elf/herselt or through his or her own •ApplitetiOn ISSUed By Ddt
employees, provitled that such improvements are nOt intentletl ot offe�etl (or BOiI¢f HOOd Of Typ¢ I ❑ -
sale. I�, nowever, the builtling or improvement is soltl within one year oi com- Canopy Type II ❑ SUMMARV OF FEES
pletion, [he owner will have [he bUrtlen of proving h¢/she tlitl not builtl o� im- Duct - UndE� G�Ound
prove tor the purpose ot sale). BUILDING PERMIT $ SMIP $
❑ i, as vwne. ot tne property, am exctusively contractin9 with licensetl con- Duct-Structural Refrigeration Sys[em PLAN CHECK �
[raGtorsto construct the projec[ (Section 7044, Businessantl Protessions Cotle: $ '�PERMIT
The Contractor's License L.aw does not apply to an owner ot property wno Duct- Ventilating �a700,0006TU ❑100,000 BTU PLUMBING $�+��UANCE $
builtls or improves thereon. antl who contracts for such oroiects with a con-
tracmr(s) Lcense pursuani m me Contractors License Law). I am aware thax PLAN CHECK 25% $ ENERGV P.C. $
proot ot tneir worker•s compensation insurance snould be provided to me. Exhaust System ❑ Multiple ❑ System Repai�/Alteration GRADING $
ELECTRICA� $
❑ 1 am exempt untler Section B. 6 P. C. for tnis reason Firepl/FacL Blt ICBO # Fire Dampers p�,qN CHECK 50% $ MICROFILM $
Date owner Heating System & Ducting Registers MECHANICAL $ TOTAL FEE $�
I hereby certi(y that I have reatl this application antl state that tne aGove ❑0.100,000 BTU �100,0008T
Information is correct. I agree to comply wim au clty antl county ortlinances PLAN CHECK 25% $
antl State laws relating to bviltling construction, and he�eby duthorize repre-
5entatives of this c�ijy enter u the above-men[ionetl property tor
inspec[ion purposeSJ/�
Signature w/ 2�i oace_�-� Oi OG0�5;3�J-C�p2c":3p �-;.-1, _- - �;�
HeinspectionPee $15 IaueFea $ 3 �J:1�(39 If�iF� i�"i1 L
Drivers' License or 55 � 1}H � E: �
uabo-ro, rev. o/eu wmre - ewiamg; Canary - Appll[ant; Pink - ACCountlng; Goltlen�otl - Assesso�
CONSTRUCTION AND PLANNING POOL & SPA
APPROVA�S Permit # Date Inspector p�ppROVALS Permit # Date Inspector
if 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-GUNfTE
7. Footings , - 58. Electrical Conduit-Undrgrnd.
8. Foundation . � 59. Gas Pipe, O Undrgrnd., Test ,
9.'Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd.
i0. St�uctural Ffoor System 61. APPROVAL TO DECK
1i. Property Sewer Line & HouseConnection 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 Electriral-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. POOUSPA SYSTEMS FINAI
�,-
19" Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating 77. Product Piping O Gas ❑ Oil
23. Gas Pfpe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank �Gas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical �
27. Frame antl 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. Electriral Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric No<e5:3 z!%D'y GE�7'Csl�eo. G�D
34. Final Heating & Air Conditioning ����.� ��f�i� �,P��p ���2 �,3 ll�G
35. Final Gas pipe-Test (_„�17
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 ;�, �U
44. Landscape Irrigation System �'�
45. Sound Attenuation �
46. Handicap Regulations
47. FINALS7RUCTURE&BUILDING
48. Special Requirements Completed
49, Electric Release to Edison
50. Gas Release to Southern California Gas Co � ��� �
51. CERTIFICATE OF OCCUPANCY
No. Date -