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HomeMy WebLinkAbout3031 CLUB HOUSE CIR - Building Permits� . AVPIIcaN to fill in all ipaces except those within heavy Go�tler Ilnes antl si9n all2pprop�lata Eecla�ations. � BSpO 9/'2' �/81y - �ROQ__ T� ' CITUiOF COSTA MESA • '�" - -' i � - " ' � PER T NO. TRACT NO. , � LOT NO. BLD . • '; ' - � • i � ' -'- " - ' r - CONSTRUCTION PERMIT ' . ' � .� � j3 S ' ^ , ; � - � ,. , . • ; ,, � ' � , - ,. �, � ' `. , : � = ''� - . I � PfajeCLAddress � � U � �� . � � .TYPE�OFCONSTRUCTION �� NEW' ADD ACTER7iTION. �REPAIR -" ' ' !- Applicant'sMailin9Addreu� �-r33 'G(J'�.-/.d r a��% • � � �' � i � ❑ CONVERSION,O DEMOLISH ❑ OTHER- ' ` ' _- ' � ', � %� _ AiP. # Zone� ; . � � Owrier'SName.n�A�.� �JPf�/e'f • phOne.sf�/�•���� �DESCRIPTION�OFWORK�-� ' � . . � , � � _ , _ � ; . , . . • F � �. � � . S Main Bmlding., >, Accessory Bwlding:. O Addreu' � � ._ „ ` . ' TVPE�OFP,ERMIT � � GRADING. � FOUNDATION� D�STRUCTURAL` T Front ; � � � � � � , N Arch/Eng. � � �� Licens¢ No. � _ :� TENANT :� ELECTRICAL P,LVMBING �. MECH}iNICAL � B Reaf - � _ ' � ' P.ddre55 . . " � , 1 • . . . . ❑ �OTHER : :. . . . ' � . ": . q . : � . ' N i 9 � � � Contractor's Nam � S /� / /� � �phone�l�'�5�70 , , PROJECT DESCRIPTION 5�. FT. �� � � �oCCuv,arvcv ^ K Ri ht ' . . � . - i . � ' `~ G , � Address�(mailin91��3-?��J�j��r'�/'Ll � •Y• � V CONSTRLICTION.TVPE � ' , ' �-VALUATION$ g, Left ' y � , � � � R ' � �{ E . ZONE GRADINGCU.VDSi ACRES Ciry,Cicense No. � - �� � � i Ping. Ref. # .. � ' '. Park.Fees $� G � � � 1, n � � LICENSED CONTRACTOR DECLARATION 1 - + � Remarks: � _ � { � , � � � � � � � � � _ ' u � � Parking Req./Rrovided �� �' Q� Phereby,aftirm that I am licensetl untler provislonsof'Char[er 9 (commencing � , _ , , ' ' - - -� _ _ R � with section 7000) of Divislon 3 of the Business antl Professions Cotle, antl ' , �� ' . . - � �� i USe�of Building: . � '' - . y n � " E t my license�is in full torce a tl effe�t. � . ' ' - ' ' ' . _ � _ Licenser.�ass � ' - ' Lic nse o �� � �-�7 ' , ' ' PLUMBING . ' ' ; FEES Plannin9�Notes: ' ' ; k ' ' , � � � M 1 �y E Date? -/3 �� Si9natur ' , � � � ' � . • ' � . i { ' pJ 00.KER5' COMPENSATION DECLARAT�ION � � ' Baf Sink Showers , . � , � � T ereby.affirm that I have a certiticate of consent to self-insure or a certiilcate i � gackflow Preventer Service Sink ,`[/ _��, '' 1 ` � � � ' S 'Workers' Compensation'Insurance,•or"a"certifietl'copy thereof (Section - - - � ---- - - " 3800, Lab. C:) n,l��ri ^ . � .� ' � � � ' � Backflow Irrigation A ' � Sewer Cap • � �� . � � � ELECTRICAL , � � , FEES � PolicY No. Q� y� 7'�� ' ..ComPanY �Pfl r/C� ' �i✓S. . . - ' . ; ' ', � ': . 8 Certifietl copy is hereby rumishetl. . I � � ; j Bathtubs Sewer Connection . Automatic Washery; , .Trensformer ❑ 75-50 KW � � Certif'�p co yis tpeq with the city��q �Itlin9 Div sia r � I ' j" oate `1 ''�S -C�F Applicant.4,(L����rt-,. ¢� % ± Clarifiers ; Solai Collectors � Construction_Pole Sub. � � ,' � 50+ KW • , j � EXEMPTION'FROM WORKERS'�COMPENSATION'DE L'ARATION`-� � '-' �- - • - - � -1-- - �-- - -�--� - - _ - _„ .I Di'sfiwasher : Solei Pipiny? �� � Cookin Unii � � Meter ❑u' to 100�am s � (This section neetl not be completetl If the permit�.is for one huntlred (5100) or . � . i : , 9 ,/,. , Y t � P . P � I� less). � • ' . • � . . Drinkin Fountains . � - � � � - ' . I . , , + ' I ce�tify�that In tM1e pe�fo�mance oi the work f0/'which thi5 p¢rrtiit is.i55u¢tl 1- y 9 $Old� Tdnk � �Dis6washer I, � F 'Met2� ❑Ov¢f 1002mp5, � ' .shall� not employ 5ny per5on in any manner so'as to become subject to,t{�e � . . . - �� � Workers' Compensation� Laws oT California.� ' � �- , Floor Dreins �� i 7' Swimming Pool w/Spa ; ' Dryers �Gas� OElectric 'Sub Panel . ' j Date Signature � . . � ' .^, � . � , . . . . , . . NOTICE: If,'after making this tleclaration, you should become subject to the � ' Floo� Sinks � ' � ` Urinal :,_ _ ', _ , __: ' ' _ � � _ _ __ Fan, � � � .Moto�s �0-1_HP �1'/x - 8 ' �Workers'; Compensation prbvisions of.the' Cabor-Cotle; you"must forthwi[h" ' —' . ' " - - "' - -- ' ' - ' � - -- ^ comply with such . provisions� or,;this :Oe�mit � shall �Ge j tleemetl �evoketl:. , � Gas Sernce ' • e0utlets� � ' Wet¢/ CbSEL � � ' � � } y CONSTRUCTION LENDING• AGENCV � ' � �^ 1 . - � . - � � ' r\ F.A.0 � . • �IncS018� �9-15 HP 016-15+ y i " I hereby aitirm that there is a,construction lentling agency for the performance Interce'tors r' � Water Heater. �! � ' � �. MicrOwave � ' of the 'work �for "whwti• this permit 'i5 issuetl� (Sectlon 3097. Crv. C:)' � � • P - � ' � - OU Fixtures . { . L.entler's Name' 1 - - ' ' '- ' ' ' � ' ! � ' ,. � , , � KitchemSink� � Water Servwe - Device Boxes ' � � , � Lentler's Atltlress � '� � �- - ' ' ' ' � ' _ . Pale�Light t , OWNER BUILDER DECLARATION ' ' I • ; � '- > ': �Lavatofiei. . �� � � - � � � � , � � - - . � . •' i �_ _ � � _ Outlets Range r I hereby aftirm that I am'ezempf from the Cdntractor's��icense Law for the p'Tra � � i following reason (Section.:�031:5 Businessantl Professlonal,Cotle: Any city or ,,,� P, " ' � � Switches: - ' i Sign' ' ' • touniy which requires a permit,to construct, alter, improve, tlemolish or repair ' � ' • �any structure�, prbr to its �issuance, also requires the applicant for such permit '- Roof Drams� � - ` _ Garbage Disposal � ; Standing $ections • to fJe a si9netl statemenLthat he/she is licensetl pursuant co the proJisions ot ' � .Contractor's:License Law (Chapter 9 (commencing wrth Sectlon 7000) of . � , - �� , •� � � � � � .. Generotor 00.5 KW �5�15 KW � ' � ' • �;;�ion 3 ot�the!Business antl Professions Cotle);or that he/she'is exempt � � ` � .� � � . � � '� , , �Trash Compactor � � � ; from antl Ihe basis for.the alle9etl exemption. Any violation:bf Section . � ', . . ..::'i1:5 .by.!any applicant ton aa permit subjects.the SpPlicant'to a civll � � ' ! ^ � - � I i 1 � � . � . i ' ' .�enalty ot not more than five hunilred tlollars�($500). �' . � � .. , � `ReinSpect�on:Fee r$25� - ^ , , Issue Fee �' $'? ' �- I, -as owner of the� property or�my employees with wzger as thei'r sole �� Heinspection Fee ' $25 ' Issue Fee� { '$ 3 r �compenzation, will tlo the work, antl the structure is not intentletl or.of(eretl � . :,. , � � � � .MECHANICAL � ' � ' FEES for saie. (Section J044, eusiness antl� Piofessionai Cotle: The� Contrattor's � � -� PUBLIC SERVICES REOUIREMENTS: � � . ' i � License Law tloes n0[ apply t0 an owner ot a property, who builtls or improves � � ' i - � , ; � . thereon; antl who tloes such work himself/hersClf or thwugh hIs o� he� own Boiler, :.- ` HOOd O� TypE I� Q. �� y� i � , � i f� � t� � .� - Zoning Approved By � ' D'ate employees, provitletl that such improvaments are mt intentlatl or otferetljfor - • Canopy , Type Ilj ❑ .. , , , , , . . sale. It„however, tne builtlin or im rovement is�soltl wlthin one ear,of com- Duct- Under Ground ( . - � , , �' j i 9 P Y - Appliwtion Approved By Daie pletlon, the owner, wfll �have �the burtlen of proving he/she tlitl not bui�tl or im- . . , . ��� - � � � � I � � T ' �rove foi tne purpose ot sale). � �; ' � t � Duct - Structural . ' Refrigeration System � Application Iuuad�By �V1�� ' � � Data ��7+_, 1 i� i LJ I, es owner ot the property, am exclusively cbntractin9:witti Iicensetl mn- � ' ' .. eractors to construct the project (Section 7044, eusiness antl Protessions Cotle: . Duct - Ventilating 1 : I ❑0-100,000 BTU ❑ 100,000 8TU . � ''- '', . � � 'SUMMARV OF FEES � ' � The�Contractor'S•License Law doernot apply�to-an ownerof property who � . " . . , � ( � F� I � i builtls or improves thereon, and who mntracts tor such projects with a con- ' Exhaust System � 1 Multiple �� System flepair/Alteration '-' • ' BUI LDING PERMIT ,$' � SMIP. � $� - Vactor(5) license pursuant to�the Contractor.'S License Law): . � � � . " ! • ' '� ❑�I'am exempt under 5ection � e. & P. G. for this reason � Firepl/Fact. BIt. IC80.# � • � , � ; ' ! PLAN OHECK ; j$ 1 ' � i PERMIT � � � � i �' � ' � � � ' • - - . PLUMBING `S,t� �-+ �ISSUANCE � $ . - � oate . owner � Heating System & Ducting ' !� i � ' � 1 ' , � ENERGY P.C. $� � � , . .. � � : .. � � i � . PLAN CHECK � $ � . _ I hereby _certify_that 1 have reatl thls appliwtion antl stale that tlie above '.}_ ,Op�100,000 BTU �100,OOOBT , __� i informatlon is mrrecti I a9ree to-cornply with all city and4ounty-ortlinances • -' '- - "f'" - '- ELECTRICAL � ,$ GRADING �$� � antl"state laws relating'to builtling construction; antl hereby authorize reore- � t • t` t . i PLAN'CHECK � "$ ' MICROFILM �� $ � sentatives of this�Gity� to'ent¢� upo the abOve-mentionetl O�operty,�(o� � � ' ' � ' ': InsPection P r,qoses. ; ' ' + ' . i i � � ; � � 1 •� - ' � � ' � S�gnature // DateG%-�..3-�� � � . . � ., � � MECHANICAL { � $ '+ TOTALFEE � $ � i Dri'vers' Licerise or'S5 � - - ' i ' Reinspection Fee ' $y5� � ' Issue Fae � $ 3 PLAN CHECK ' $ . � y • k � � - � �CMF�0865-46 rev. 7/83 �" 'Wnite = Builtling; Canary -Appliwnt; Plnk =�Accounting; Goltlenrotl--Assessor"-- -' ` - • -� -- • --- --- - -^ -^ - - - -- �- � -- ---' - -- � - - -- - --� - - - -- � -_- .., _ . . . _ . .. _ . _ _'1 . � , . �, , . . . ,. .. .. r. ; . r. , • . • ., , . . . . _- . . � CONSTRUCTION AND PLANNING � ' � - � � � P��""�;'�'�PA ' - ' � . � -� Date Inspector. � � � ,�c '�� ' - -.Date Inspector �, _ APPROVALS. Permit # - �: APPROVALS Fc�imit #� � � 1. Temporary Electrical Service or Pole -• ,. ' � 52.�Pool & Equipment�Location _ _ - � 2. Soil Pipe-Undrgrnd. ` , . . � ' 53. Steel Reinforcement � . � � 3., Electrical Conduit UtilityrUndrgrnd. : ' , 54'. Forms .. ' �• ' � 4. Electrical Condujt-Undrgr,nd.. . ' � . 55. �Electrical �Bonding . �. � 5. Steel Reinforcement' ' 56. Rough.Plumbing & Pressure.Test � � 6. Electrical UF,ER Grnd. - _ 57.-APPROVALTO.COVER-GUNITE 7.� Foofings ' � ' , . . ' � 58. Electrical Conduit-Undrgrnd. . . , 8.; Foundatiori ; � � .' � 59. Gas Pipe, O Undrgrnd., Test � 9. Water Pipe=Undrgmd. �-� � '� 60. Backwash'Lines, P-Trap, O Undrgrnd'. , 10. Structural Floor System � '„ 61. "APPROVAL TO DECK' � � 11.� Property Sewer Lin'e & House Connection 62. Backwash'& ReceptorFinal' - 12. Sewer Cap . � � , . - . . . � ' 63. Heater &�Vent-Fi�nal, , . 13. Roof Drains � ' _ , - � � � 64. Plumbing System -�Finaf , � � 14. Rough Plumbing : . - � 65.��Electrical-Final . . 75. Rough Electrical=Conduit - ' � • �. � � ' 66�.'Solar System-Final ' � �- ' � 16. Rough Electric Wi�ing ' - � '" � - - ' 67.-Fencing & Access Approval ' . , 17. Rough Wiiing Sign , � , 68. APPROVED FOR PLASTERING . � , 18. Rough Electrical-T Bar Ceiling � '� � I '' 69. POOL/SPA SYSTEMS FINAL` ' 19:� Fiough Heating & Air Conditioning ' , t FIRE DEPT. REQUIREMENT �, 20. Rough Factory Fireplace � - , APPROVALS Permit # � � 21. Ducts, in Structure � , � � 70. Underground Hydro -� : � 22. Ducts, Ventilating �' . 71. Product Piping � Gas' ❑ Oil , � 23. Gas Pipe-Rough & Test �� ' 72, Underground Flush • � � � 24...Roof Framing � � � • 73. Undergrnd. Storage Tank O Gas ❑ Oil ' . . 25: floof 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: � � • � ` 34. Final.Heating & Air Conditioriing-� � � . 35. Final�Gas Pipe-Tesi � t � � ' �, 36. Hood'orCanopY , ' ' , ' . ' ' � � � � ' ' �� 37. Fina6Factory Fireplace , � , � , . � � • . ' ' . � . ' , . 38. Final Plumbing, � � ' �.� d+ �� L�'. � . � 39. Water Service-Final � ' � , � ' ' ' � � ' ' � 40. Gas Service-Final . ' ' � � ' � � • o 41. Solar pomestic;Final ' , � `. .' , . , - • . � - 42. Backflow Preventer � ' � ' � - � � .� 43. Backflow Irrigation ' � ; ` ' � , � � � - � 44. :Landscape Irrigation System� , • � ... � , � �. , � - 45. Sound'Attenuation.' � � � � " � � � . �. . �� 46. Handicap Regulations� . � � " � � � � � • . • , � �. � = 47. FINAL STRUCTURE & BUILDING . � . ; , _ � 48. Special Requirements,Completed � ' ' . ' . . . ' � • • • 49. Elec[ric Release to Edison - - j-- � � � . , „ 50. Gas Release,to Southem CaliforniaGasCo �. � . ' , ' � 51. CERTIFICATE OF OCCUPANCY . ' ' � _ ' ; , . • NO. � - Date ., " � ' � A . , . . „ � ' . ,� .. � ���?� COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BO% 917 COHTA ME9A. CALIFORNIA For Applican► ►o Fill In Completely . TYPE OR.PRINT COSTA MESA. CALIFORNIA OWNER Mesa Verde Dev.Co. � MAIL 2850�Mssa Verde Dr. � ADDR6SC ��.n, Costa Mesa No ARCH17EC7 _ _. _. _ . ' TEL 23 E. 17th St Same ps Owner STATE 181�2 TEL. LIC. NO. NO. S�ZE 26 x 62 OF LOT USEOF _���__��_ EXISTING BZD6 6ETBACK LIN! PROM - DESCRIpT10N OF x ��.�,.�e._.,...� . FEEEBR�C9�IVED FINANCE D�EPTF.pe APPLI�ATIQF7 FOR'RERMW BUILDING For Office Use Only � N6CHIPT NO. � !'p!plMyj BY BUILDING ADDR659 FIRE S .A . ZONING ZON6 NO.O� 11660FNHW e$• R�4. �LANO 2 Bl11LDIN0 gar8 LEOAL �^4 " LO�Yi 33 Tr, 4660 NOTE: NO EAVE OVERHANa SHALL B2 LESS THAN 90" TO SIOE B REAR P. L. , � EAVE9 No.oFeLDaeO ALLOWED �U.B.C.REQUIftEMENT� NOW ON LOT YARD8APPROVED YARDSAPPROVEO MAIN BUILDING ACCESSORY BUILDING (FROMC/LSTREE� j� 1 n- , AR YARD FRO T� v Ff. — l'YJ rpfa H,�, R. e1D8 � FT. F�. RK . a.ne � cr cr. SZIEDIN6 1y.95 ROOMS V BTORIEB 2 EXTERIOR WALL ROOF COVERING GOVERIN6 �11.'ill USE OF BUILDIf�G AND WpRKTO BE PfiRFORMED Res.w att.Gar. � �t I HEREBY �CKNOWLED68 }XAT 1 XAV6 pEAD THI9 �PPLICATION ANO BTATE TN TH6 ABOVH IB COpRECT /.ND AOREH TO COM. PLV WITH AL CIT�}� RDINANC[8 ANO RAi[ LAW9 qHOULATINO BUILOIN6 CO 6TRUf.T10N. .. � AUTHORIZED A6HNT _ , eer. CAU. P. $C �,'� APPROY6D 11-16-64 u•wRo -�,j,S -(,. BY DATE HOLD fOR SPECI L REQUIRFASEN�� See permit on t 1£or conditions 1525 Sa. �. d 44o sa.i 66 0 TNE AMOUNT BXOWN UNOER VALUATION IB FOH THE F PURPOS6 OF 88TAB1.18HIN0 A pEfiMIT FEE ONLT. � VALUATION / % _ m � PERMIT FEE S �d �o n i ^/ / m $ T� fP•�Ci G K r ¢ i OWNER MESA VERDE DevelopmeRt Co. DATE �_4-65.. or Steel Reinf. SUBCONTRACTOR