HomeMy WebLinkAbout2364 COLLEGE DR - Building PermitsAOP�icant to till in all spaces except those witnin neavy bortler Ilnes ana si9n a11 aDpropriale Oeclarations.
CITY OF COSTA MESA CQNSTRUCTION PERMIT -�
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Project Address
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Applicant's Mailin Address ��p �r�
Owner's Name�j ��C �' � � Phone �l�
Address ` 6 GL� .�j'-� ' /�%
Arch/Eng. License No.
Address ���� p� � / ' � ��/�[�
Contracmr's Name_�YLGL_ ~ �` • �7' Phone ��
Address (mailing) ��_/_L�%�
City License No. d3 -S' ��%b � '
LICENSEO CONTRACTOR OECI-ARATION
I hereby a(firm that I am licensetl under provislons of Charte� 9(commencing
with section �000) of Division 3 ot tn Business antl Professlons'Code, antl
my license is in fu�ll o_re� tl eftect. J I �� � /fj ;,�l��-p
LicenseyCla��% qlgt'�- � � —
Date h l fi`/ sy t '�'� - . rl�%lAYI _
WORKERS' COMPENSATION DECLARATION
I hereby aftirm that I M1ave a certificate of consent [o self-insure or a certificate
of Workers' Compensation Insurilnce, or a certifietl copy thereof (Section
3800, Lab. CL. �—,.�.�__�„
Policy No. "�� �ZZ — Com,Qpany � � `
Certltieticopy!Sfeetlbwithrthenc�t�' ��/��/j tl'i �Jv,{ic��.
Oate �' �fi � ��% APPIic3nt 1" � �"/ v ��� •
EXEMPTION FROM W00.KER5' COMPENSATION DECLARATION
(Thissection neetl not be completetl it tM1e permit is fo� one huntlretl ($100) or
less).
1 tertify that in the Oerfo�mance Jf the work for whicb this perm�t is issuetl, 1
shall not employ any petson in dny manner so as to become subject to tne
Workers' Compensation Laws of California.
Date Signature
NOTICE: If, after makin9 this tleGaration, you shoultl become subject to the
WorkerY Compensation provisions of the Labor Cotle, you must forthwi[h
comply witM1 such p�ovisions or [his permit Shall be tleemetl revoketl.
CONSTRUCTION LENDING AGENCV
I ltereby affirm that there is a mns�ruction lentlin9 agency for the performance
of the work for which this permit is issuetl (Section 3097 Civ. CJ
Lentler's Name
Lentler�s Atldress
OWNER BUILDER �ECLARATION
I hereby aftirm thaLl�am-exempt trom the Contractor's License Law Por the
following reason (Section �031.5 Business antl Professlonal Cotle: Any city or
wunty witicb requires a Oe�mit t0 �onstruct, alte�, im0�ove, tlemolizh or repait
any structure, prior to its issuance, also requires the applicant for such permit
to fi1C a siqnetl sla[emenf that he/sne is IicenSetl pursuant to ihe provi5ions of
e Cont�a<tor'S License Law (Ch5P4er 9(tommencing with Section 7000) Ot
vision 3 of fhe Business antl P�of¢Ssions Cotle) o� that he/she is exerOPt
.e�efrom antl the basis tor Ihe 9�leqetl exemption. Any violalion ot Section
1031.5 by any applicant for a Permif subjects the applicant to a civil
eenally of not more than five buntlretl tlollars ($500).
LJ I. as owner of ine properry or my employees with wages as their sole
compensation, will tlo the work, antl the structure is not intentled or offeretl
for sale (Section ]044, Busine55 antl Protessional Cotle: The Contracto�'s
License�.�w tloes not apply to an o`�'ner ot a property who builtls or improves
thereon, antl who tloes zuch wolk himself/herself or through his or her own
employees. Provitletl that such irPProvement5 are not Intentletl or offe�etl �or
sale. It, howeveq the builtling or �mprovement is sold within one year of com-
pietion,�,tne owner will have the Vurtlen of proving he/she tlitl not builtl or im-
prOVE fc�uthe purpose of sale). \
❑ I as•owner of the property, am exclusivery contracting with licensetl ton-
bac{ors to mnstruct the project (S=�LIOII iOO4� BU51f1¢55 dlld Professlons Cotle:
The Contractor's License Law does no[ aPPly to an owner of properry who
builtls or improves thereon, and who contracis (or such projecis wiih a con-
i trattor(s) hcense pu�suant to the ConVactor'S License Law). I am aware that
' proof ot tbeir WorkeYS COmpensztion insu�ance shoultl be provitletl to me.
❑ I am exempt untler Section B. & P. C. tar this reason
Date
I hereby certify that
information i orrect
dI1C� SSdIE Id s relatin
sentatives his c�(
inspection pe5e5.
Signature Ll �
Drivers' License or 55
CMF 0865-46, rev. 10/84
_ owner
have rea�
ication antl state tnat the above
Ih all city antl county ortlinantes
y� n, antl hereby authorize repre-
/ above-mentionetl prope � o
� /'
Oate «�
- Applicanh Pink - Accountin9: Goltlenrotl - Assessor
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collecmrs
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Wate� Service
A uto-W ash
Laundry Trays
Issue Fee
Hootl or Typel ❑
Canopy Type I I ❑
Refrigeration System
❑o-ioo,000aru ❑ioo,000
System Repair/Alteration
Fire Dampers
Registers
Issue Fee
$ 3
FEES
$ 3
A.P. #
S Main Buildi
E
T Front
B Rear
A
C Right
K Left
S
Ping. Ref. #
Planning Notes:
Building:
Parking Req./Provided
ELECTRICAL
Aummatic Washer Transformer ❑ 75-50 KW
Construction Pote Sub. ❑ 50 + KW
Cookin9 Unit Meter ❑up to 100 amps
Dishwasher Meter ❑over100amps
Dryers ❑Gas ❑Electric Sub Panel
Fan Momrs �0-1 HP � 7�� B
F.A.U. Inc,Solar 09-15 HP �56-
Fixtures Microwave
Device Boxes Pole Light
Outlets Ran9e
Switch¢s
Garbage Disposal
Generator �0.5 KW �5�15 KW
Zone
Standing Sections
Trash Compacmr
Fee �$15 � � issue Fee
DEVELOPMENTSERVICESREQUIHEMENTS:
Zonin9 Approved By
Building Approved By (
15+
FEES
$ 3
Z
O
N
I
N
G
R
E
Q
M
T
S
SUMMARV OF FEES
BUII.DING PERMIT $ �z'E� SMIP $ ��V�
PLAN CHECK $ PERMIT
PLUMBING $ ISSUANCE $
PLAN CHECK 25% $ ENERGY P.C. $
ELECTRICAL $ GFiADING $
PLAN CHECK 50% $ MICROPIIM $ �
MECHANICAL $ TOTAL FEE $ �_�=
PLAN CHECK 25% $
• Oi%:9/fic--TIrlr: i:95� .,•
CONSTRUCTION ANCI pLANNING POOL & SPA
APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector
1, 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. APPROVALTO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd.
10. Structural Floor SYstem 61. APPROVALTO DECK
1 7. PropertY Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Finai
13. Roof Drains . 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
75. 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 DEP7. REQUIREMENT
i� -
20. Rough Factory Fireplace APPROVALS Permit# � _
21. Ducts, in Siructure 70. Underground Hydro
22. Ducts, Ventilating . 71. Product Piping OGas OOiI
23. Gas Pipe-Rough & Test 72. Underground Flush �
24. Roof Framing 73. Undergrnd.StorageTank�OGas ❑Oil
25. Roof Sheathing � 74. Overhead Hydro �
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemira! �
27. Frame and Flashing 76. Dry Standpipe �
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTN DEP"f.. 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 '
.?
35. Final Gas Pipe-Test �s �- ' �`-
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 Irrigation System � _
45. Sound Attenuation � .
46. Handicap Regulations
47. FINALSTRUCTURE & BUILDING 'D
48. Special Requirements Completed .
49. Electric Release to Edison
50. Gas Release to Southern �Calif�i'nia Gas Co '
51. CERTIFICATE OF OCCUPANCY
No. Date �
.
..:
CITY OF COSTA MESA
Building Safety Departmenf
Application for permit for ihe fabrication and erection
of awnings, advertising signs or devices.
� ��
LOCATION
Building Site Address z3 G�/ �o��F}i E � Y. __
Name of Leasee vro �`��° �� �G � NS(�t� phone `Sy6— �o�y
Contractor �"d�hrw� � �`�' �SG%'� State license No. �`sS2/�
address�6��0'S /N (/�� �/� City ���� Ce'�� Phone T� �-0 660
Architect or ..,L Cp /d 0 7G
Engineer "� � �U u // � State License No. ` "
address � � � �e ��! c� City S�� ��- Phone �� � - �' � 7
DESCRIPTION
Descripfion of awning, advertising sign, or device:
Awnings canvas � metal� Width: � ft. U in. Lengfh: �ft. � in.
/��
Ground Sign � Projection Sign � Roof Sign � Wall Sign � Metal Letter Sign �
Banner � Canvas Sign � Gas Tube Eleciric Sign (Sub-section 1.44, Ordinance 313) �
Combination Sign � Special Device (other) � Explain:
Two copies of plans and specifications shall be submitted with application for permit for each sign. Plof on
plan sheets proposed location of sign and locations of all ofher signs at site. Minimum size sheets musf be 18"
by 24" and non-erasable.
If within the 10-foot area of front property line, owner is to sign written agreement with the City.
Size of Sign — Thickness ft, in. Height ft. in. Length ft. in.
�
Weight Ibs. Height above grade ft. in. Projection ft. in.
The �ndersigned hereby agrees to fabricate and erect awning or advertising structure within the intent and
meaning and in strict accordance with the provisions of Ordinance 95, Ordinance 313 (Electrical Ordinance of
fhe City of Costa Mesa), and all amendments thereto. •
ALL APPLICATIONS MUST BE FILLED OUT BY THE APPLICANT. ALL FOOTING, FRAMING AND ELECTRICAL IN-
SPECTIONS SHALL BE CALLED.
Signature of
Permitee �
Authorized AgenT �
Recd.
Form 214-1M—Il-Ba-S-B P
oat � �—G�—
The amo�nt shown under Valuation is for the purpose ol
esfablishing a permiT fee only.
VALUATION
00
s,� SU .
Permit Fee
$ �' �
Plan Check $�
Total Fee $�"��
'-- FEE RECEIVED
FlNANCE D�pT, �� a
FOR O��T�EQfbQ,`�I�'!M[�n
Date Issued � � �� � yPermit No. / /��
Fire Zone Type_ Group
Ap r ve by Date �� ��'2
NING �A
Zy�ng Use of Bldgs.
�+'i' � T � D- 7 3'c7 ��^
A. P. No. / IJ'—r��f iZ �� .�- d
�. Site Address /� 3 � �� � �
Legal
Address � � � y � ��
City Phone
� / j!� / c�-O �-�
Yards Approved. � 7'
Large Sign in excess of 8 sq. ft. Setback from center line
of street to front property line ft. in.
From property line to edge of sign ff. in.
Side Yard Setbacks:
Leh Side fi. in.
Right Side
�Iding Line Setback from
enter line of street
Area of Sign
Height above Grade
Projection
Awning Size—Widih
Length
Awning Height above Grade
Proiection
Location and size/��� �/' /
approved by�et/ i `J
ft. in.
ff. in.
ft. in.
ft. in.
ft. in.
�t. ~ irf.
��t+fi. in.
—zfr. in:
ft. d in.
0
OW NER �osta Mesa L9tdt29 DATE 4-12-56 '
JOBADDRESS 236l� Col].ege Drive BUILDINGPERMITNO. 2698
GENERALCONTRACTOR �ven-Spiegel Co. VAWE �11�ZOO,OO
LOT 98 BLOCK TRACT 2%50 Sin�le Res w/att �ar
GROUP Z& J 7ypE 0 ZONE � FIRE DISTRICT 2%2O
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR DATE I NUMBER
FootingTrench ¢ %'/1'
i �
Foundation Forms and Grade to Garage /0–,�j
Plumbinq. flouph Com
Wirina.Rouah /v/� 1//.fr��SC.I%U�etii(li�X�.6i/�_. I�i_l_ �!o I .X 5�`// �
Final FF'S Y-8-S7 .��L`.'.�'-.f..:-!�)��+.�. //-.7- iG %.i s/v —
ouse� sewer,st. /�/��}S H�$-,�7 R.��,k� (vi�,.�� �.�s-�/'G�30e —
Tank or
Plumbing,Final,FixturesCompletel�j(-1J j
Plumbinq. Fin.al GasTest/cr /V�%i- S ll--ff S) aGA�! �L—/.( =
Occupancy pPR 1 $ 1957
FOFM 2�0 3M 10�.'i9
..Costa Mesa Bnilding Department
111 EAST 20th STREET
''r- y � ' COSTA MESA� CALIFORNIA
�I FOR APPLICANT TO FILL IN
Costa Mesa,
cn
or
s b r�
I Lot
�. � ''� �.
Tel. �1
?cBs � No. J�%
lic.
�G-, No_
:l.�o
��/jy;
/J� �� No. of Bldga
Size of Lot d �X �GO I Now on Lot
Use of No. oT No. of
Existing Bldg. I Familles Rooms
Setback Line frOm �' Q�— Rear Vard '.�
Center of Street Side Vard /o C E
DESCRIPTION OF WORH
New I� I Alteration I I Addition I
Repair I I�Moving I I Demolish I
Buildin / No. of
Size 9 � �l� (l�t7 Rooms � Stories �
Exterfor Wall _. ._ 1 Rnof - 9
APPLICATION FOR PERMIT
2�2� BUILD�NG '�
FOR OFFICE USE ONLY
Receipt No. Permit N�
� 9�
Received by Date Rec'd. Date Issui
�� S� /.?-s � 5�-/�-
Costa Mesa, California
Nearest
Cross St.
Zone ,/ I No. of I Type �/
ir Plans //
APPROVALS
,.,.. � �.s..d...,
" " - `� -- � Forms,MateNals
�,(�( j�- -C-q Gy(I Under-Pinning
Frame: Fire Stops,
Bracing, Bolts
I hereby acknowledge that I have read this Application
and state that the above is rnrrect and agree to rnmply �ath. Int
with all City Ordinances and 5tate Laws regulaUng
building construction. %` /'- �1 Lath. Ext
Pe9mtteeot �"�/%%-�' ��j� .C�/�7%�
Plaster, Int.
�.,�" /
Authorized Agl. f�j�(� Plaster, E�ct
Valuation P Mnit Fee S�"� Mawnry Reinforce
�j.� n��/ Pian Check $ / � gand Beam
$ / ��/ Total '/
Fee �`� FINAL
AM 206 F-AP 9M fl-RR
G)
2
D
d
�
J
d
0
�
a
Street
PLOT PLAN
Show lowtlon and distances from
property Iine and between buildinga
co,rr
^11 � r.-...;��.Z.��
-r r. -S� K
_ tlESi�
JOB ADDRESS
AP Nd,},!}1-1{SiL-ZH LOT
INSPI3CTIONS
OCCUPANCY
nau niie . su —
DATE �_a_�
BUILDING PERb1IT NO.
I, 41i�sOri VALUE $ 3�0.00
TRACT FIRE ZON� D�SCRIPTION OF WORKAdd
Signature DATE GROUP TYPE 7.ONE $-,
PERMITS
SUBCONIRACTOR nemc—�
/