HomeMy WebLinkAbout338 BROADWAY - Building Permitsr y
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Pfl0.1ECT RDOHESS: � 3 �f gROPSJWAY.
04141!EWSNRMF. `���jt�c�TOAT��'
nooeess: Ff9;1 SA�IDCASTLE
CURUDIA UEL� MAR
..CA 92625
7].41 645— 7"783
INCHIENGINEEP:
�ooaess:
NEO.NO.:
UNIT:
uxrt:
PEBMITTEE: T,ARRY. JONES ( 714 ) 650-7170
nooness: 2 p z Ei POM6NA AV
CM. CA 92627
LICENSED CONTMCIDN UECUMTIOX: I �ereby atlirm that I am Iicense0 unaer Orovisions oi ChaDter 9(commencinB with Section
7000� ol Oivisi0n 3 o�(he Busine55 ana Pmfessions CoOe, antl my license is in full�orce and eHect.
aTr uc.: 0 3 S S"2 3 srare uc.:q 016 8 7 �uss: (' 1
oa�e: � 1-28'�f Signature:
WOBNEBS' COMPENSATION OECIAMTION: I Aereby aflirm ��at I �ave a certificate of consent ro seli-insua ar a certilicate oi Workers'
Compensation Insurance, or a certifie0 copy ihereot (Section 3800, Lab. C�.
'OUCY NO.: EXP. U1TE: . '
COMPRNY:
,❑ Certified copy is he2by furnishetl. ❑ Certitied coDY is tileA wit� the ciry BuilOinq Uivision.
Date: Applicant:
IXEMPf10N FqOM 1VOHNEH3' COMPENSRTION OECIAMTION: (�Ins section ireetl not be compktN if tlre ce� ��a one huMreU (5100) w less).
I ceriily�in t�e peAo�ma� nce of t� � which this permii is i�o��loy Oerson in any mann¢r so as to b¢wme
suDhct to ihe Wo ers' Com e tion Laws af Califamia.
Date: Signature:
NO710E: If, afler making this Aeclaration, you sAoultl Oecome subject to the Workers' ComDensation pmvisions oi the La6or
Cotle, yrou must forthwith camDly with suc� O�ovisions or I�is permit shall 6e AeemeA revoked. �
CONSTNUCTION IFNOING �GENCV: I here6y aifirm tAat there is a consimction lendinq apency for the peAormance of the work tor
which this Dermh is issueJ (Section 3097, Civ. C). •
IFNDEN:
aooxess:
OWNEB BUIlOEB OECLAMTION: I hereEy ailirm that I am exemD� �mm [he Con(ractors' State License Law for ihe lollawinp reason
(Section 7031.5 Business ana Prolessional Cotle: Any ciry otcaunty which requires a permit ro consbuct,alter,improve, tlemolish, or
re0air any slrucWre, pnor ta its Issuance, also requires Ihe aODlicant lor such permi� to file a sipned statement that he/sha is IicenseA
pursuant to the Drovisions af Ihe Camractors' State License Law (CAapter 9(commencing wit� Section 7000) of �ivision 3 of the Business
antl Pmfessions Coae) or tAat Ae/s�e is exemD� ��erefrom an0 ihe basis for the alleAed exemD�ion. My violation of.Section 7031.5 by
any ap0licant lor a permit suhlects t�e aDDlicant ro a ciWl penalry oi not mare than five hunOreA Aollars (5500�. ' - � •
I, as awner of the DropeM or my emyloyees wilh wape5 as Iheir mle campensation, vnll Ua tAe woM, anU tAe
7 slmciure is not intended or oflere0 far ule (Seclian 7044, Business and Pmfessional CoOe: The Contracrors' State Licenu Law
Oaes not aDPly to an owner ol a property who huiltls ar im0�oves t�ereon, antl who Ooes such xrork himselfPoerutl or thmugh
his or her own employees, provitleE fiat such improvemenis are not inten0etl or oHereO for safe. It, �owev¢r t�e builEinp or
� imDmvement is solU unihin ane year oi completion, tAe owner will have the burtlen oi proving �e/she tlid noi Guild or improve
for the Durpose ai sale). '
I, as owner of the pmparry. am evclusively caniractinA with Iicense0 contracmrs ro constmct the prolect (5ection 7044, Business
❑ antl Prolessions CaGa: The Contactors' State License Law Aces not aD01y ro an owner of properry who builds or impmves ihereon
anA who contracts for suc� projects with a cont2ctor(s�license pursuan[ ro the Contrac�ors' Siate License Law). I am aware
that proof ot t�eir Worker's Compensation insuronce sAoultl 6e Drovidetl to me.
� I am exempi untler Section: B. 8 P. C.
lar ihis reazon:
Date: Ownec
I do �ere�y certiry t�at I am aware of antl understand the requiremenis o1 Califomia Health an0 Safery COAe Sections 25505, 25533, antl
2553d anE tAat I or any tuNre 6uiltlinA �cu0ant wilUwill not (circle one) nee0 to comply witn saitl state cotles and ihe requirements tar a
permit for constructian or motlification imm ihe Air Ouaiiry Manapement DisMct Nesitlential consimctian ap0lications are exempi imm
these praNsions. .
Oate: Applicant:
I hereUy certiy tAat I have 2aA this aOPlication an0 sWte t�at Ihe ahove information is wrrect. I aAree ta compy witA all city anU counry
oNinances anG state lavrs relatinp to OuilGinp construction an0 hereUy authonze representatives ol t�is cdy ro enter upon the above�men6one0
properry for insDe� D��poses. /� ^ ` �
C! �ICAi n // / � .
Date: D SignaNre: ��� �`�i�
Dnver's License ar Social Secunry x:
1641d6 W�ite—Builtlino: Green—Cotle Eniorcement; Canary—Appliwnp Pink—Revenue; Goltlenratl—Assessor
, _ CITY OF COSTA MESA` — BUTLDTNG PERMI`I'
PERMIT� DIO: �E 04`.i152 PLAN CFIECK NO; N
CONSTRUCTION TYPE: � PERMIT 'TYPE: ELE �
JOB DESCRIPTIODI ; UPGRADE F•.LECT. 5 METERS $—��p�10
PERM NO: E O�S152
GOVT: N SUPP: iJ
PURL�O�L•:: ALT
S(,� FT:
CLAIM VALOE: 7.,000.00 CALC—VALUE: `� GROUP OCC:. /
11
COMMENTS: 1 NF.W,2 UYGR.�DE METERS/MISC. EL�ECT rj/✓10�.� �E� �����D
*+�*�e*�*-x�**��=**+�+�***��r**�-***�x*�r��x�**��c-*�x�*x�r*�**�* * *� �** +�*�r� �c �* ��x�c*�
Z O N I N G R E� U I R E M E N'T S
S E T B A C K_S
------------ MAIN AUILDING -------- -----•---- ACCE..SSORY BL7ILDIDIG -----------
FRNT: FT IN REAR: FT IN FRNT: FT IN RE:AR: FT IN
LEF'T: FT IN RGHT: FT IN LEFT: F'T IN RGHT: FT I�]
PARK.7NG RE�: . PROV: PARCEI,: 17.725310 ZNE: REF NO:.
PI�ANNING NOTF.S�
� .
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D E V E I� O T� M E N T S• E R V I C H S R E� t] I R r M E N T S
ZONING P.PPROVED AY DATE:
FJUILi)T.NG APPROVED i3Y. :
APPLICATION ISSUGD �lY:�
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T.EGALIZATSON:N F E E S
AI�DG PMT PLUMBING ELECT.RIC
PERMIT 82,00
' - 508
__ DATE: _
DA'TE: �,'�"�I
. . �F�FiF'**�x-**at�t*�t* x�* �"iFS�*it/ •
iE�EiE3EiE3EiEiFiEiEififiFikiEiElEiE�1E3E3FiEifiEdEjEiEdf3EiEiE3Eif�F9E3E�ElE �
M M A R Y ,' STRUCTURAL SEGMF•.NT:N "
MECHANIC FIRE SMIP/RES GRADING
�
PLAN , , SMIP/NON—RES
ISSUE FEE ].5.00.-
BUILDING—llIV—> PERMIT ISSUE PLAN—CHECK ' TOTAL PATD llUG
TOTALS----> 82.U0 15.00 ' 0.00 ' 97.00 97.00 .00
REVENUE DiVISION TOTALS--> COLLECTED: ' 97.00 OVER/SHORT: .00
DLDG PMT PLUMDING ELECTRIC MECHANIC � FIRE SM]:P/TOT GItADINC PLAN=CHECK
' �%.�U
ib # 1E �)f 3E jE iF 1E dE iE iE �E if !f 3E iE 3E �E iE 3E iE �E ik K� 9E 3F 3E iE iE iE IE iE �lf iE if 1E �E iF iF iE iE iF iE iE �1F iF f(� !f-3E iE 3f if �%1E iE �E 3E 1E dh ik iE * fE iE iE 9E iE dE i' iE if iF iE it k�E 1f # 3E
I N D I V I D U A L F E E B R F. A K D O W N '
TYPE QTY D E 5 C R I P T I O.N - L7NIT COST TOTAL C057'
F.LE �6 R�CEPT/OUTLET 1 ST 7..0 EA. .75 � 4.50
EI.E :) SERVICES BEI�OW 600 V& BELOW 200 AMP 1F3.50 55.50
ELE 2 SDA—PANEL . 11.00 �^.00
END 6F FEF.S '
Oi OOQ48330—�0048330 T CtiT : 97.00
OATE: 11/28/89 iIME: ID:37
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CONSTRUCTION AND PLANNING � � �& SPA
• APPROVALS Permit # � Date Inspector pppROVALS .Permit # Date Inspector
1. Temporery Electrical Service'or Pole 52. Pool & Equipment Location . ,
•�
2. Soil Pipe-Undrgrnd. � � 53. Steel Reinforcement � '
3. E�ctrical Conduit Utility�Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding '�
5. S[eel Reinforcement 56. Rough Plumbing & Pressure Test �
� 6.. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE '
• 7. Footings � 58. Electrical Conduit-Undrgmd.
8. Foundation ' i 59. Gas Pipe, O Undrgrnd., Test _.,
9. Water Pipe-Undrgrnd. .� , � 60. Backwash Lines, P�Trap, O 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. floof 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 Struaure ' � -- 70. Underground Hydro
22. Ducts, Ventilating ; � . � 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test - ' . 72. Underground Flush
24. Roof Framing . 73.. Undergrnd. Storage Tank O 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. 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 � '� i,•�, Notes: -;` - � ' v �
34. Final Heating & Air Conditioning �� J� �� � -
/1ea,�/s �a ..
35. Final Gas Pipe-Test � r"f. `CGT�i C:
�36. Hood or Canopy � _ _
�
37. Final Faaory Fireplace � - . � ��
_ 38. Final Plumbing - � .
39. Water Servite-Firial � � . •
� 40. Gas Service-Final � " = • �
41. Solar pomestic iPnal � ' , " � . �
42. Backflow Preventer • � � � -
43. Backflow Irrigation .. . -
44. Landscape Irrigatfon System � � � _ _ .
45. Sound Attenuation .. : � � � -
,'
46. Handicap Regulations - . • ' . '
47.- FINAL STRUCTU.RE & BUILDING � , �- . •
48. FINAL PLANN'ING -� ' '�1�
49. Electric Release;to Edison "`=�' - -
50. Gas� Release to Southem California Gas Co � - �
51. CERTIFICATE'OF OCCUPANCY „_ �. �
No. Date