HomeMy WebLinkAbout3117 CINNAMON AVE - Building PermitsAVollcant to f111 in all soacez exceot those witnin �eavy Eortler lines ana sign all appropriate declarations.
STAMESA CONSTRUCTIONPERMIT
iF �d,�s _ 3/� 7 /��—y / ���
Ap liCant'SMailinaAA�r/lw,�n �� ��l/�J U� f�(/1L�. LCiI
Owner's Name /� ��"7 `�'"'�� Phyop/�e
Address � 7—, —�.J— - _ _ "/ �
ArchlEng. License No.
Address
Contractor's Nam n Pry/� e � �
Addresslma'I'n�l�nsd� f p A �.CA
City License No. ..� 9 6 S �
LICENSED CONTRACTOR DECLARATION
1 h¢reby atiirm that I am lic¢nsetl untler provislons of Charte� 9(mmmencing
with sectlon J000) of Division 3 of tho Business antl Protessions Cotle, antl
my Ilcense is in full Pi rce a q(fect. . /
LitenseClass `� �`7 � .�� seNo. oa�b
Dalc � ' � —� 5'g t �7 A
WORKERS' COMPENSATION DECLARATION
I hereby a((irm that I have a certitiwte o/ tonsent to self-insure or a certificate
of Workers' Compensation Insurance, or a certifletl copY thereof (Sectlon
3800, Lab. C.)
Pollcy No. Comoany �
Certitietl copy is hereby furnlsM1etl. �
Certitietl copy iz filetl with [he city Bulltlinq Dlvision. ,
EXEMPTION FROM W00.KER5' COMPENSATION pECIARATION
(This section neetl no[ be completetl if Ihe permil is for one hundretl (E100) or -
iess).
I certify thal in the pe�formdnce Of [h¢ wOrk for which t 5 pe�m�t i5155uetl, I
Shall not employ any person In any mannq r 5y ,eSho �Ome subjeG[ to [he
WOrkers'��/� p�j�sa�t�' 'Laws o( California/. /L �
Data —/_a�_/ "—s2�5i9nature �/! n
'NOTIC�: If, after making this tleclaration, you shoultl become subject [o the
Workers' Compensation provisions of lhe Labor Cotle, you must forthwith
compiy with such 0/ovisions o� this pe�mit shali be tleemetl �evoketl.
CONSTRUCTION LENDING AGENCV
1 nereby afll�m that there is a construclion lentling agency to� t�e performance.
of the work far which [his permit is i55u¢tl (Section 309] Civ. CJ
Lentler's� Name
Lentler's Atltlress �
OWNER BUILOER �ECLARATION
I he�eby atilrm that I am exempt frOm [he Cont�acto�'S License Law fOr the
tollowing reason (Section �031.5 Buslness antl Professional Cotle: Any tlty or
Coun[y which requires a pe�mit to construct, alter, improve, tlemolish or repair
any structure, prior to its issuSnce, also requires ihe applicanCtor such permit
to file a sign¢tl statement [hat he/she is licensetl pursuan[ [o Ihe O�ovisions of
the Contractor's License Law (Chapter 9.(commencinq witn Section ]000) of
Division 3 ot the Business antl Pro(e55�on5 Cotle) or that he/she is exemp[
iherefrom and the basis for the alle9etl ex¢mp[lon. Any violation of Section
7031.5 by any ap0���ant ror a Permit subjects Ne'applicant to a civil
Q�enalty of not more than tive huntlretl tlollars (5500).
LJ I, as owner ot Ihe properly or my ¢mplOye¢5 with wages as their SOIn
compensation, will tlo the work, antl the structure Is not intendetl or ofteretl
br sale (Section 7044, Buziness antl Professional Cotle: The Conlractor's
License Law tloes not apply to an owner of a property who builtls or improves
thereon, antl who tloes such work himseli/herseli or through his or her own
employees, provitletl tna[ Such impwvem¢n[5 are not infentletl or oftoratl for
SaIG. H, however, the buil0ing or improvement i5 Soltl within one year ot com-
D�etloq the owner wlll nave Ihe burtlen o( provin9 he/she tlitl not builtl or im-
p�ove forthe purpo5e of sale).
❑ I, a5 owne� of [he prope�ty, am exclu5lvely Confracting' wi[h licensetl con-
lratto/s to construct the Oroject (Section 7044, Buziness antl Profe55ion5 Cotle:
The Contracior's License Law does not appty to an owner of property who
builtls or improves lltereon, antl who mnt�acts for sucn projects with a con-
bactor(s1 license pursuant to Ihe.ConVacto�4 License Law). 1 am aware that
• proot of tM1eir Worker'S Compensation Insurance shaultl be provitletl to me.
❑ I am exempt untler Section . B. & P. C. tor this reason
Date Owncr
I nereby <ertity Nat I have reatl this appliwtion antl state that Ihe above
Information is correcL I agree to comply with all city antl county ortlinances
antl state laws relating to buil ing construction, antl hereby autnorize re0re-
Sentatives ot this citb�CS1¢r�er upon the above-mentione0 property fo��
Signature vl/ •�
Drivers' License or 55 #
TYPE OF CONSTRUCTION LI NEW L..J ADD LI ALTERATION LI REPAI R
❑ CONVERSION ❑ DEMOLISH ❑ OTHER
DESCRIPTION OF WORK/USE OF BLDG.
TYPE OF PERMIT r GRADING FOUNDATION STRUCTV RAl
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑�MECHANICAL
❑ OTHER
PROJECT DESCRIPTION SQ. 7. oCCUanrvCv
CONSTRUCTIONTVPE _ VAIUATION$ �D !
20NE GRADI G CU. VOS. ACRES
Remarks:
Preventer - •
Irrigation
Drinking Fountains
Floor Drains
Floor Sinks
Gas Service Outlets
Intercepbrs
Kitchen Sink
Lavatories ,
P—Trap
Roof Drains �
Reinspection Fee
0
$75
Boiler
Duct - Under Ground
Duct - Structural
Duct - Ventilating �
Exhaust System ❑ Multiple ❑
FirepVFact. BIL ICBO # �
Heating System & Ducting
❑ 0-100,000 BTU 0100,000 BT
.,:� _
peinspection Fee � $15
CMF 0865-46, rev. 30/B4 White - Builtling: Canary - Appliwnt; Pink - Accounting; Goltlenrotl - Assessor
Showers
Service Sink ' -
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping '
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Auto-Wash
Laundry Trays �
laue Fee � $ 3
A.P. #
S Main Buildi
E
T Front
B Rear
A
C Right
K Left
$
Pln9. Ref. #
Planning Notes:
Aummatic Washer
Caretruction Pole Sub.
Cooking Unit �
Dishwasher
DrYers ❑Gas ❑Electric
Fan
F.A.U.
Fixtures
Device Boxes
Outlets
Switches
Garbage Disposal
Generator �0-5 KW
3792� 12/I�/84
Accessory Building:
Parking Req./Provided
�=�Oai� 7�
Zone -
ELECTRICAL
Transformer ❑ 75-50 KW
❑ 50+ KW
Meter ❑up to 100�amps
Meter ❑over100amps
Sub Panel
Motors00.1 HP �1N,-8
Inc.Solar 09-15 HP 016-15+
Microwave " '
Pole Light '
_L I; Standing $ections
5�15 KW Trash Compactor
Reinspection fee $15 luue Fee
IANICAL FEES
Hoodor T DEVELOPMEN75ERVICESREQUIREMENTS:
ype I ❑
Canopy Type I I ❑ Zoning Approved By
Building Approved By
Refrigeration System
❑0.100,OOOBTU ❑100,000
System Repair/Alteration
Fire Dampers
Registers
Issue Fee � � $ 3
Z
O
N
I
N
G
R
E
Q
M
T
S
FEES
$ 3
SUM ARV OF FEES �
BUILDING PERMIT $ �� SMIP $ �
PLAN CHECK $ PERMIT .
PLUMBING $ �SSUANCE $
PLAN CHECK 25% $ ENERGV P.C. $
ELECTRICAL $ GRADING, $
PLAN CHECK 50% $ MICROFILM $
MECHANICAL $ TOTAL FEE $ S• .� d
PLAN CHECK 25% $
O�OSTRUCTION AND PLANNING
ROVALS Permit# , -
. Temporary Electrical Service or Pole
2. Soil Pipe-Undrgrnd.
3. Electrical Conduit Utility-Undrgmd. �
4. Electrical Conduit-Undrgrnd.
� 5. Steel Reinforcement
6. Electrical UFER Grnd.`,
7. Footings �
8. Foundation
9. Water Pipe�Undrgrnd. ,
10. Structural Floor System
11. Property Sewer Line & House Connection
12. Sewer Cap . �
13. Roof Drains
14. Rough Plumbing
15. Rough Electriol�Conduit
16. Rough Electric Wiring
17. Rough Wiring Sign I
18. Rough Electrical-T 6ar Ceiling
� 19. Rough Heating & Air Conditioning
20. Rough Factory Fireplace
21. Ducts, in Structure '
22. Ducts, Ventilating
23. Gas �Pipe-Rough & Test
24. Roof Framing
25. Roof Sheathing
26. T-Bar Ceiling (Structuraq & Monocoat �
27. Frameand Flashing
28. Lathing & Siding
29. Insulation '
30. Drywall Nailing
31. Plaster Brown Coat �
32. Electrical Power Meter-Final
33. Final Electric
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 lrrigation System
45. Sound Attenuation I
46. Handicap Regulations ��.
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed,
49. Electric Release to Edison ,
�
50. Gas Release to Southern California Gas Co
� 51. CERTIFICATE OF OCCUPANCY
j�lo. � • Date � -
Date
%/
POOL & SPA
Inspector AppROVALS Permit#
. 52. Pool & Equipment Location
, 53. Steel Reinforcement
54. Forms
55. Electrical Bonding
56. Rough Plumbing & Pressure Test
57. APPROVAL TO COVER-GUNITE
58. Electrical Conduit-Undrgrnd.
59. Gas Pipe, � Undrgrnd., Test
60. Backwash Lines, P-Trap, � Undrgrnd.
61. APPROVAL TO DECK
62. Backwash & Receptor-Final
63. Heater & Vent-Final
- 64. Plumbing SYstem - Final
65. Electrical-Final
66. Solar System�Final
67. Fencing & Access Approval
68. APPROVED FOR PLASTERING
69. POOL/SPASYSTEMSFINAL
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
r/�J
7
70. Underground Hydro
77. Product Piping � Gas ❑ Oil
72. Underground Flush
73. Undergrnd. Storage Tank � Gas ❑ Oil
74. Overhead HYdro
75. Dry Chemical
76. Dry Standpipe
77. FIXED SYSTEM FINAL
78. FIRE PREV. FINAL
HEALTH DEPT. REQUIREMENT
79. FINAL INSPECTION
80. FOOD CERTIFICATE ISSUED
Notes:
;•
Date I II15�lP,Ci(ll
City of Costa Mesa
Building Safefy Deparfinent
P. O. 8oz 817
Cosfa Maso, Colifornia
CERTIFICATE OF OCCUPANCY N� 2437 C
The Building located at 3�-�-7 Cinnamon Avenue, A-D
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances opplicable ihereto
for a Groop g�'J Occupanry.
11se of Building !► UA1t Ap3rttuC�nt BuildlnP. Nith Ettt¢ched �+!9YF1s[eo Brnl 1CtuIIdi�
Legal Description Tract �x59� �t 2
(Sea reverse sida for Matas and Bounda)
Building Permit No. �301 Electrical Permit No. 265� Plumbing Permit No. ��5
Floor Load Signs have been installed as Room Capatity Signs have been instaled as
required under Set, 2308 U. B. C. . required under Sec. 3301 (1) U. B. C. —
17050. CERTIFICATE OP OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied
until the owner or operator has been iss�ed a valid certificate of occupancy by the enforcemenf agency.
(b) A new cerfificate of occupancy shall be obtained whenever there is a chonge in:
1) Occupancy classification of a building or portion thereof
2) The number of apariments or g�est rooms
3) Ownership
If Group H Occupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), Colifornia
Adminisfrative Code, Tifle 6, Chapter 9, ArTicle 8.
Number of aparlments��_ andjor guesT rooms
155UED TO:
. � „ �+ . - :+, � .,.
•
. / .
. �.0 �1/�/'I"�/i
/
�. ys
This Certificate of Occupancy SHALL BE posTed in a conspicuous place on The premises and SHALL NOT BE removed
� except by the Building Official of ihe City of Costa Mesa under Sec. 306 (e) U.B.C. r�,,, sva�iM—u-ea--s-a r
.-__` _
' COSTA MESA BUILDING-SAFEfY DEPARTMENT
P.O. BOX /20tl COSTA ME9A, CALIiORN1A Y2B2B
Por AppUcaM to Flll In CompbN �
TYPE OR PRINT
ADDREDY 3117 Cinnamon Ave . �
COSTA MESA, CALIFORNIA
�,.,,..w Ka1-South Deve1. Corp.
Fu17-erton
14�+2 s. Euclia
FuLlerton
26�+1 re4 871-8233
NO.
OFLOT 73 x 109.6 MOWONIAT ��
US80R -----
E%I8TIN0 BLD6.
BBTBACR LIN6 P110M Lfit�LJJ'� �
CHNT[R OP eTn[tT -! V-�/ RGR YAR �
aosrwn �err 18 � nia�tr 9�
DESCRIPTION OF WORK
..�., x ..,..e._.....� ..,..._.....
B���o�r,o46 x 82 No.o� ,13 2
s�ze aooMe aroni
EXTERIORWAL4.�uCCO ROO� Rock
COVERINa J COVHRINO
UYi OF GU ILDIXY AND WORK TO Bt P[I1lORM[D
plus 5 car Garage
1 HHIICGY ACKNOWL[DO[ TNAT.i HI�Y[ RGD
•MC eSATE T11AT TMF AlOY[ IB COqRiR A!
PLY WITN ALL'CITY OAD1. MID OTAiI
�YILOINOCONBTpYCII / i /
� wurHORtzco wa[r�t
�
euao�Na
ADDRiYQ
PIR[ /
OCT 31-66 001282# **�210.75
ArPLICATION FOR PERMR
BUILDING
For Offiav Us� Only
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