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HomeMy WebLinkAbout335 BORDEAUX LN - Building PermitsAOPlicant to fill in all spaces eacept those wit�in heavY eortler iines and sign all aporopriate aeelarations. _ � Prolect�� . _ . . - -, ..... .. _ . . . ' ' "' ' ' . _ _ . ' _ _ _ ' ' ' _ ' _ ; _ " . _ . . . . . - i + CITY' -_.'�70STA MESA (�`�'�" ST�R`l, CTION PERMIT PERMIT NO.O� � I TRACT NO. .. 'LOT, NO.� UNIT NU. � � r � `8046 I O/a3/QJ � , �o^�' � TL � , dress .�'i��']� . \Oh 1�7u' • yc. � � ' O ' ' I . • t i � ' ' . ` . � Applicant'S Mailing,Address • • e� � j TVPE OF CONSTRUCTION NEW ADD � LTERATION REPAIRf � � Owner'SName � Phone - � � CONVERSION ❑ OEMOLISH ❑ OTHER ' ' � AP # � . _ � _ „� i Za�e t ;DESCRIPTIONOF�WORK/USEOFBLDG. RQ �� �Q ��� Address �,� -� SSdU `�� .� ' ' S Main Building: Accessory Building:� � � , . . . . . • E . � , . - Z `� Arch/En9. -� � License No. - TVPE OF PERMIT ❑ GRADING^ �OurvDATiOrv $TRUCTURAI . , T Front ' ' • . • ' : p t Addre55 ��-- � ' 'Q TENANT ❑ ELECTRICAL ,L�PLVMBING � MECHANICAL . . B Rear � �i � • ' � N I � Contractor's Nam ' Phone ---- '� OTHER ._ � . _ - � - - - � - - - "� Right � � �� ' ' � � ' G PROJECT DESCRIPTION, 5 T. �' OCcuPArvcv AJdresslmailing) ' � ' ' � K . • . - � , , � ' . - ' ' �GONSTRUCTION�TVPE�;vn � qTION$ � S Left , . � R City License No. �— ' � ZorvE �GRAOING CU.vDS. � ACRES Ping. Ref. # � -� � �Parking Req./Provided ' E LICENSED CONTRACTOR DECLARATION � � � Q I hereby affirm that 1 am licensetl untle� provisions of Charter 9(mmmenCing pemark:: s' . �� ' ' _ Planning Notes: i'- - � ' ` ' M with section ]000) of Division 3 ot the Business antl Professions Cotle, antl � my license is in,tull force antl effect. , i ', , ' ` � ' . ,- ' • ' � - ' � � ` � �� , � t t T License Class ' � � License No. � . . , _ S Date Signature � ' � . PLUMBING � � 'FEES ' ' ' �' + � � � WORKERS' COMGENSATION DECLARATION � � - , � . � , , � � BarSink � � 'Showers , �ELECTRICAL , - FEES , I hereby aftirm that I have a certificate of consent to self-insure or a certifitate :* -�� � '' � of Workers' Compensation Insurance, or a certifietl copy thereof (Section BackflOw.Prev¢nte� - : 'Service'Sink� � ^ � � � � � ' C. 3B0o, lab. C.)i - Automatic Washer� Transformer :� 15-50 KW � _ Policy No. � � Company Backflow�lrrigation � � 'SewerCa '� � - � ❑�50+KW � . _ P Construction Pole Sub. 8 Certitietl capy is hereby furnishetl. • i . , � ' ' Certifietl copy is tiled with the city 6uiltlin9 Division. , , Bathtubs � Sewer�Connection � Cooking Unit Meter ❑up to 100 amps � Date ' Applicant � � ' ' - EXEMPTION FROM WORKERS' COMPENSATION DECLARATION ' Clarifier5 � � � - �Solar ColleCtors' . - DiShwashec : ' � � .Metef �over 100amps � (T�issection neetl not be completeC it the permit is for one huntlretl ($100 or � . _ � ' less). � � � � Dishwasher Solai Piping_ '. ' � -- � ' ' ' - ' Oryers ❑Gas ❑Electric- Sub Panel .� .. I certi(y Ihat in the pe�fo�mance oi the wotk fo� which this pevmit is issuetl, I . -. , ' � '' shall not employ any person in any man er so as to e me subjec to the Drinking Fountains� Solar Tank „' Fan. , ' .}. { Motors �0-1 HP �1 %'- 8. ' Workers' Coy� nsaY L'aws o( Califor a ' ' - � ' • � ' Date �D � a� � � Signature ' Floor Drains' ' �Swimming Pool w/Spa ' ' ! F.A.U. � � � � ' NOTICE: If, afte� making�this tlecla�ation, y u sho�me sub cNtO the - _ _ _ Inc. la� O_9-15 HP �16�15+ Workers' Compensation provi5ion5 of the bor Cotle; you must fortbwith FloorSinks � Urinal Fixtu/¢S � iC�ow3v¢� ' � compry with such ptovisions or�this� permit shall ,be tleeme0 revoked. ' CONSTRUCTION LENDING AGENCV GasSefvice � Outlets � � I he�eby�affi�m that the�e is a const�uction lentling agency for the performanG¢ Wat¢f CI052t e Device Boxes � ' POIE LiPub � of the work ,tor which this permit is issuetl' ($eccion' 3097j Civ. CJ ' . ' ' , � Lenaer's rvame � .f• � �nterceptors Water Heater � � Outlets � ' � . Range ' . . , . , . , ' � � . . . - �enaer's Atlaress - - � - - - Kitchen Sink . - � - -- ' Water Service � - � �- - ' Switches ' - - '} Sign � � � � � - OWNER BUILDER UEGLARATION � ' � ' � - - ' � I hereby atfirm that I am exempt from �the ContrdCtor'S Lic¢nse Cdw,fol the LdvdtOfi25 ' , ' Auto-WdSh ' ' . Gafba E Di5 Osal � tollowin9 reason (Sectbn 7031.5 Business and Professional Cotle: Any city or 9 P Standing Sections . county which requires a permit to construct, alrer; improve, tlemolish or repair P-Trap ' ', Laundry Trays � Generator 00.5 KW �5-15 KW ` � any structure, prior [o its issuance, also �equires the applicant for such pe�mit . TfdSh COTpdttO� � . to tile a signetl statement that he/she iz,licensetl pursuant to the provisions af Roof Drains f - � p ' the Contractor's License Law (Chapter 9(commencing with Sectiort�]000) of ' Division 3 o('the Business'antl Professions Cotle)b�'thaY he/She is' exempY - ' -' - � theretrom�antl�the basis tor the allegedexemption. Any violation ot Section , ' � ' ' , - � ' ' , � ' ]031.5 by any applicant for a permi[ Subjects Ihe applicant to .a -Civil ' � eendlty of not more than five huntlretl tlolla�s ($500�. , , - 3 � � , . , � LI 1,. as owner of the-D�operty or my employees with wages as their sole ReinSpec[ion PBB -$15 IssuO FBB $ Compensation, will tlo the work, antl the structure i5 not intentletl or offeretl � Y ReinSpeCtion Fee . $15' ISSue Fee � � �$ $ , tor sale (Section 7044, Business antl Professional Cotle: The Contractor's ` � MECHANICAL - � .FEES � � , ` LicenSe Ldw tloes not apply to an owner of a property who builtls or improves -' � ' � , � Ihereon, and who tloes such work him5elf/herself or Ihrou9h his or her own , • � DEVELOPMENT SERVICES REQUIREMENTS: , .' � � employees, provitletl that such impravements are not intentletl or offe�e0 tor BOiIE� � HOOd O� Typ¢ I ❑ . . . - sdler If, howev¢r,'Ih¢ building o� improvement is Soltl within one year of com- . Canopy Typ2 II ❑ ' 2oning Approv¢d By Data -pletion, the ownev will have the burtlen of proving he/she ditl not builtl or im- Duct - Under Ground . ' ' �guilding Approved By Date p�ove for the purpose ot sale), i ' � � � , � �n.s ❑ I, as owner ot the property, am exclusively contracting with iicensetl con- Duct-Structuial � Refrigeration System ' Applitdtion ISSued By ' � ��^ Date �O �aZ�Jt/ tractors [o coustruct lhe project (Section 7044, Businezs antl Professions COEe: -� _ ' The ConVacror's'License Law tloes.not appry to an.owner ot property who . Duct- Ventilating ❑0.700,OOOBTU ❑100,000 BTU -� ' - SUMMARV OF F ES ' - � ' � builtls or imp�oves the�eon, antl-who contracts for Such projects witn a'con- - . � � 1 _ - . _ � tractor(s) I¢ense pursdant to the Con'tractor's License Law). I am aware that' Exhaust System � Multiple ❑ ystem Repair/AI[eration. ' , � BUILDING PERMIT $ ' SMIP � � ;' $ proof of their WorkeYS Compensation'insurance shoultl�be provitletl to me: . . - ; � � P,LAN CHECK , � $ . ' -PERMIT � � ' ❑ I am exempt untler Sec[ion ' ��L� .3Z%. B•� P. C. for this reason - F,irepl/FacL BIL IC80 # Pire Damperi ;_ , ' ` PLUMBING $ �� d� •` ISSUANCE; '- $. � oa�P �p�-'.�3- • o � � - Heating System & Ducting. ., Registers � � � � � � ENERGV P.C.� $ ' ' P,LAN CHECK 25%- $ . _ I hereby certify that I have reatl �this pplication antl stat�hat the above ❑0-100,OOOBTU �700,OOOBT . , . .,.� :- - , � - GRADING $ - information is correcL I a9ree to comoiY with all tlty antl county ortlinances - ' ELECTRICAL ' $. ana state ws relating:to builtlin construction, antl hereby authorize repre-_ � � . . _ - - � - ' MICROFILM $ . "� ' � � sentatives o this city. to'e te upon,the atiova-mentionPtl. property tor ` - , . . ' ' � , , . , PLAN.CHECK 50%� $ � . inspection u ses. � ' � � - MECHANICAL � $�, TOTALFEE $ �S�.OD Si9nature ' .�_!_ Datu� '� � _ -. r 1 . , . . .. . . Drivers' Lic s or 55 �' � ReinspeMion Fee $15 ' • Issue Fae' $ 3� PLAN'CHECK 25%' $ CMF 0865-46, rev. 0/84 White - Builtling; Canary - ApplicanL Pink - Accounting; Goltlenrotl - Assessor � POOL & SPA:.� . . . . . � . } . CONSTRUCTION AND PLANNING ' ,. - - ' ''Date "Inspector, � ' ' � " � ' � 'T"'•' "Date : .Inspector APPROVALS Permit�# � , , APPROVACS Permit# � � t. Temporary Electrical Service or Pole . � ' 52. Pool & Equipment Location � . � � , � I 1 2. Soil Pipe-Undrgrnd.�. - � � 53. Steel Reinforcement � ' � � 3. Electrical CondLit Utility-Undrgmd. � , � '54. Forms� � ' � � � � � i � . ��� ' 4. Electrical Conduit�Undrgrnd. � • � , 55. Electrical Bonding � ' � i � �� i 5. Steel Reinforcement� � .-56. ,Rough Plumbing & Pressure;Test ' ' � 6. Electrical UFER Grnd:� . 57. APPROVALTO•COVER-GUNITE ' 'f 7. Footings � , � � � ; . - t' 58. Electrical Conduit-Undrgrnd. � � � � 8. Foundation � ' � . . . . - � - ' 59. Gas Pipe, 0 Undrgrnd.; Test � • J, � � .. 9. Water Pipe-Undrgrnd;. ' � _ . _ _ _ _60.. Backwash Lines,`P-Trap,.0 Undrgrnd � � � � 10. Structural Floor System - ' , 61,. APPROVALTO'DECK � ' � ; . . 11. Property Sewer Line & House Connection � , 62. Backwash'& Receptor-Final � ! 12. Sewer Cap � � . , � • . � 63. Heater & Vent-Final � ' ' ' ' � , ,13! Roof Drains � 64. Plumbing Systerri - Final� � � � � � �. 14:'RoughPlumbing � , � . � ' 65. Electncal-Final � i � � � ' �" � i 15. Rough' Electrical-Conduit ' ' � ' 66. Solar System-Final � • - - 16. Rough Electric Wiring � � � - � • ��� ' 67." �Fencing & Access Approval' . I � "" ^'� '" � 17-: Rough Wiring Sign• - - - - • - � • . . �- 68. APPROVED FOR PLASTERING �- ' � ` 18.�RoughElectrical-TBarCeiling�� �� ' . , 69:POOUSPA�SYSTEMS,FINAL�. I � � 19. Rough Heating & Air Conditioning" • , � FIRE DEPT. REQ.UIREMENT I_ ' � r 20. Rough�FactoryFireplace ' , , - � � ' 'AppROVALS Permit# � ' _ , ' - . 21. Ducts, in Structure . 70. Underground Hydro � � � --• g� 22. Ducts, Ventila_ting . ' . ' 77. Product Piping � Gas ❑ Oil '� • - � 23. Gas Pipe-Rough & Test . , •72. Underground Flush � � T' ' � ', ' - . 24: Roof Framing �. . �73. Undergrnd. Storage Tank �'Gas ❑ Oil ''.' - i � 25. Roof Sheathing , . . � ' , . ' 7q,, Overheed Hydro' � ' , ' ' � - 26. T-Bar Ceiling (Structural) &. Monocoat � 75. Dry Chemical - � �� - � 27. Frame and Flashing'� - , � � -' . 76. Dry Standpipe • ' - j - ' , � 28. Lathing & Siding ' � ' 77. .FIXED SYSTEM FINAL , � � - 29. Insulation ' ' � �78. FIRE PREV.-FINAC ' - ` � � ' 30. Drywell Nailing - � �� HEALTH DEPT. REQUIREMENT ' �'' � - : 31. Plaster Brown Coat - � 79� FINAL INSPECTION ' . 32. Electrical Power Meter-Final �_ � 80:. FOOD CERTIFICATE ISSUED _' � �` �'_ �33. Final Electric ' �� � ' � � ; � , �Notes: � .� � � • � � . '� ' , ', , 34: Final Heating&�Air Conditioning ` , � � : . . , � , � . � .� ' �, �„ , `P 35. Final Gas Pipe-Test� ' , ' , . � � , � �- � •� ` , -» _�:' , 36. Hood or Canopy 37. Final Factory Fireplace -� . : �. � � . ' � . � � 38. Final Plumbing � �(.Z �'] (,f,lj �. . ' � - � ' � � , 39. Water.Service-Final � � � . . - ' ` � � _ , .- � . - 40. Gas Ser:vice-Final ; � - , . ' . . � , ' , . � 41. Solar�Domestic-Firial � . ' � � � _ , - � � � � � . • , � �,. . . o ,'� ;42. BackflowPreventer � ' � � . � , - � � - � , ;: � : . � � , t� ,43. Backflow lirigation � � - ' - � - � � � . � - � i� i. ' � - � � :� '44. Landscape�Irrigation:System� : ��� . - , � _ � � � � . � � �� ' ;45: Sound Attenuation � � � � � � � - . � � ' ; � �- . i% � 46. Handicap Regulations ' � . . � �� - . � � _ �� � , , „ � � �47. FINAL•STRUCTURE&�BUILDING �. ' ' . " . • ' . - � - ' -. �,. ', , _ . , . . . � 1, , i 48. Special Requirements Completed . � ' - � � - - : ' .- �i �� 49. ElectriC Release to Edison - � . ' � � ' - � ' ' .' � �� '50.?Gas.Release to Southern California Gas Co � •. � � � ,� " . �. , � 51. CERTIFICATE OF OCCUPANCY . - � � � ' ' - �, ' : " . . � • - � - ��"� �� No. � � � Date � - - , . ' '' _ - " . . � c � � ' -' � .� DOYLE & SHIELDS GENERAL —m �a Co.�Inc. nnT� 6-3-63 . ,.i�au. vEu,ur: +y i' IRE 'LONE DESCRIPTION I GROUP I&,T TYPE V SUBCONl'AACTOR � , � s�� ;:u: COSTA.MESA BUILDING-SAFEfY DEPARTMENT P. O. BOX 9f 7 COHTA MEBA. CALIFORNIA Fo� Applicant fo Fill In Completely- TYPE OR PRINT ILOIN6 3�� ��-_/a.��� � /.. 1 ]RESS �/V l(�1'_C�.�/� COSTA MESA, CqLIFORNIA \ NER Doyle & Shie],ds Dev. Co.Ia MAIL ADOR6G8 CITY ARCHITECT St Same 151-250-8-1 F E CEIVED JUN ' 3 1963 + FINANCE OEPT. A�etraAvP�;ffS�R1 R�i�ilT BUILDING FO� �ffICO U50 On� R6ClIrT NO. P��� 1 N DATE R6CEIV6� DATEI88UED ZONIN(i NO.OF I U960FN! �L�N9 BUILDINO �n Lot 77 Tract � ZHOZO 90"TOSIDE@REARP EAVES NO.OPBLDOp. /�I�LOWED NOW ON LPT �� YAR�3 APPROVED ' MAIN BUILDING f FROM GL�TREET) 6ETBACKLIN6FROM ^O•CO� CENTEP OF 8TR6hT L J REAR YARD ��� SIDE YARDI CEFT " I RIONT DESCRIPTION Qp WORK I MOYI 6 ' I I DEMOLISH I M NABLO63� . SO NO.OR '7 Q^e cQ � ' VAR. i� � wnn�wa r �� o }2 9HALL BE LE88 TNAN (U.B.C.REQUIREMENT � YARDSAPpROVED ACCESSORV BUILDINQ DATE Model 42 I Ls24 50. �r. 3�0�� I HEREBY ACKIiOWLEO6i TXAi � MAVfi HEAD TXIS APPLICATION TXE AMOUNT BH UN�ER VALUATION IB FOR TH! AND STATE THAT THH ABOVH �8 CORqgCT AND AQREi TO COM- PlIRP085 OF L18HING A PExM�T PEE ONLY. PLr WITx ALL clrr oqo�NANCie ANq BTAT¢ LAWB RGouLATlno ypLUAT10N pERM1TFEE S(�J�� BUILDINO CONeTRUCTION, p�� � Cj� PERMITTE E � J '� ^'�/' � � d' �K' 4 C� � '7 �--y ♦' S I I/ !�� PLAN CHECK $ L.%I! J � AUTHORIZEDA6ENT �� ��y,� Z . TOTALFEE. S F LL (