HomeMy WebLinkAbout329 CABRILLO ST - Building PermitsApDlicant to fill in all spaces excev� those witnin heavy bortler lines ana sign all aDo�ooriate tleclarations.
...CITV�OF COSTA MESA� - �-' - - � ' -- ' -- - -- -- - ---- -� --
� CONSTRUCTION PERMIT. • ,
Project ndd.ess ��7-�i (.f+�hwvi//o .. y r 7,� -
r �
ApplicanYs Mailing Address 1 r 'U �/ 9 / _.
Owner's,Name ' ' K� Phone(f�f-�7 � �'
Address - - S�'n� ✓ - � �
Arch/Eng.; ` " License No. _
Address - - - � '
Contractor's Nam � � � � Phone'��� '3'f�o
Address (mailingl/,5 33 / ���1 %-i�J n� � �-�ih/A�/+c i�m
' �538 � .
City LicPns¢ No.
LICENSEO CONTRACTOR DECLARNTION . � '
1 hereby affirm that I am licensetl untler provisions oT Charter 9(commencing
with section 7000) of Dlvision 3 of the Business antl Professions Cotle, antl
my Iicense is in tu11 Tor� en�ect. �.����
\ License Class , e • �icens�g No.�----- �
oate � 3-�/' 4�-�h��[,0 �i' CS /!3� T,r�o
WORKERS' GOMPENSATION DECLARATION �
\I hereby affirm that I have a certlfica[e of consent to salt-insure or a certificate
O oi`Workers' Compensatlon Insurance, or 5 certlfletl copy thereoi'(Section .
3800, Lab. CJ � i
� Policy No. ���� V E Compan ��Ai/2,C �.✓S
�ertitietl copy is he�eby tuTisfietl.
Certitietl copy is filetl with the Ufy,�!�ilding pivjsion� � .
Date 3 �/ '�`'� APPlicant��✓1/-a�t'��_ �>:�.aJ
EXEMPTION FROM WORKERS"COMPENSATION �EGLARASION �
(This section neetl not be completetl if the permit.is for one huntlretl (5300) or
less)v � • - .
I certlfy that in the pertormance Of th¢ work tor which this permi� is,i55uetl, I
shalb not employ any person in any manner so as to become suGject [o the
Wo�kers', Compensa[ion Laws of California., . , . •
Date Signature
NOTICE: If,after makinq thiz tleclatation, you s�oultl become subject to the
Workers'� Compensation p}ovisions of [he Labor Cotle, you must torthwitfi �
comply with such provi5ions . or this permit � shall be tleemetl revoketl.
CONSTRVCTION LENDING AGENCV' = �• i �
I bereby aftirm that there is a, constructlon lentling agency for the performance '
ot the work �tor which' this' Dermlt is � issuetl (Sectian � 3097 Civ. C.)� ;
Lentler's Name �
Len(ler's AtltlresS� ' � � �� ' �
� OWNER BUILDER DECLARATION ' ' � �
1 hereby, affirm that I am�exempt trom the Cdntractor's License Law for the
following reasori (Section 7031:5 Business antl Protessional Cotle: Anv cltv or
- 300/ ' ' � :. �
TYPEOFCONSTRUCTION. NEW. ADD ALTERATION REPAIR �
' �. ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A-,p.#
DESCRIPTION OF WORK
. . - ' . S Main Bu
TVPEOFPERMIT � GRADING��FOUNDATION STRUCTURAL T Ffont
�,❑ TENANT �❑ ELECTRIGAL PLUMBING ❑ MECHANICAL A Rear
O �OTHER �
PROJECT DESCRIPTION 54: FT.� oCCUaANCv C Right
K Left
CONSTRUGTIOIV TVPE VALUATION $ ' $
20NE GRADING CU. VDS. ACRES ' p�ng. Ref. #
Remarks: , � � � ; . � Parking Req.
Bai Sink
Backflo'w Preventer
Baikfloiv Irrigation _
Bathtubs . •
Drinking Fou
Floor Drains,
Floor Sinks
Gas Service
I nterceprors
Kitchen Sink
P-Trap , - _
�Roof Diains ._ �
�nviswn. o o i ie ausinass ana rraressions coae7 or mat ne/sne is exempt . � .
.therefrom antl the basls tor the alle9etl axemptlon. Any violation of Section
7031:5 by any applicant tor a' pe�mit SUbjeCtS the-applicant to 'd Civil - '
.� enalty ot not more than five huntlretl tlollars�($500). . ' � Reinspec[ion .Fee �
I, a5 oWn'e� of thE:property o��my employees with wage5 a5 thei� Sole �
tompensatlon, will tlo the work, antl the struc[ure is not Intentled or otferetl � t�
tor sale (Section 7044, Business antl, Professional Cotle: The Contractor's , '
license Law tloes not apply to an owner of a propertywho builtls or improves � BO11ef i �
thereon, and'who'tloes such work himself/herself br through his or her own
employees, provltletl Ihdt Suth improv¢m¢nt5 are not IntentlCd Or ofteretl•tor Duct- Und¢� G�Ound
sale. If, however, the builtling or improvement is soltl within one year of com- .
pletion, th¢ owner�will have the burtlen Ot pwving hE/Sh¢ tliE not builtl orJm- �
�rove•for the purpose of sale). �• � Duct - Structural � �
I, as owner o( the properry, am exclusively contracting with lirensetl con-
�
�
tractors to wnstruct the project (Section ]044, Business antl Professlons Cotle: ' Duct - Ventilating '
The-Contractor4� License �Law dqes nOt apply t0 dmowner ot property wh0'' � '
builtls or Improves thereOn, antl who cOnlydct5 fo� spch projCcts wi[h a con- . Exhausi System O MWtiple ❑
tractor(s) license pursuant to�the Contractor's �icense Law). `
❑ I,am exempt un0er Section B. & P. C. for Ihis reason ' Fi�epl/Fact. Blt. ICBO # '
Date Owner ' Heating System & Ducting
I hereby.certify tnat 1 have reatl thi5 appllcation aritl state that the above ❑0.100,000 BTU �100,OOOBT
�Intormation is correcL�l agiee lo comply wHh all ctty anA�county'ordinances- . - -
antl i[ate laws relating'to builtlin9 wnstruction, and hereby aut�orize reore- , .
5entatives o( is.ciry to enter pon the above-mentionetl property for
Inspection p r ses. � � '
5ignature l7iw.i ii f7 [/-�.�� Date �i'/ ' f� '
DriJers' License or 55 � - ' Reinspectian Fee :$25
CMF 0865-46 rev:'7/83 Whlte - Bulltling; Canary - Applicant; 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 -
Issue Fee
IANICAL ' '.
Hood or' Type 1 ❑
Canopy � Type I I; ❑
t , .
Refrigeration System
❑o-ioo,000aTu Oioo,00
System Repair/Alteration
�
. laua Fee
- Use of Building: �
FEES Planning Notes: � i
Automatic Washer ,
OBTU '
Cookin9 Unit ,
Dishwasher �
Dryers ❑Gas ❑Electric
Fan _a
F.A:U. �
Fixtures � .
Device Boxes �
Outlets
Switches ' •
Garbage Disposal '
Generetor �0-5 KW O5-�
� i
3832 5/03/B4
Zone �
Accessory Building:
Park.Fees $ . . •
ELECTRICAL ��
Transformer
5 KW
�• Reinspection Fee '- $
:ES
PUBIIC SEHVICES REQUIREMENTS:
2oning Approved By �
Application Approved By �—
i
❑ 15-50 KW
❑ 50+KW
,Mete� ❑upto100amps.� �
Meter ❑over100amps
'Sub Panel �
_ _Motors�0.7HP01'/:-8
Inc.Solar �9-75 HP 016-15+
� Microwave
'Pole Light
Range
Sign
Standing SecNons
� Trash Compactor ;
�
luue Fee
O
N '
I
� G
. R
, n
$ 3
�
� �SUMMARV OF FEES ' '
BUILDING PERMIT $ � SMIP : $
PLAN CHECK $ PERMIT ,�� '-�-
PLUMBING, $ � � � ��UANCE $
PLAN CHECK ; $ ENEFGV�P.C. • $ �
ELECTRICAL , ' $ - GRADING $
PLANCHECK ' ' $ � � MICROFILM $ - `
MECHANICAL - $ TOTAL FEE � $ � `�
PLAN CHECK ; $
' CONSTRUCTION AND PLA ING �� � � POOL & SPA
' APPROVALS� Permit# -?�d Date Inspector qppROVALS 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. APPROVAL TO COVER-GUNITE
7. Footings � , 58. Electrical Conduit-Undrgrnd. �
8. Foundation 59. Gas Pipe, � Undrgrnd., Test
9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, � Undrgmd.
10. Structural Floor System � 61. APPROVAL TO DECK �
17. Property Sewer Line & House Connection 62. Backwash 8i Receptor-Final
12.. Sewer Cap � 63. Heater & Vent-Final
13. Roof Dreins � 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 Structure ' � 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 � 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 Notes: '
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test �
36. Hood or Canopy .
37. Final Factory Fireplace ' ' � ,
38. Final Plumbing �- L�'J
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. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co '
51. CERTIFICATE OF OCCUPANCY ,
No. ' Date
OwNER ED LISHKA
JOB ADDRESS 329 Cabri
GENERAL CONTRACTOR W
AP No. q F-01 -07 LOT
INSPECTIONS
sm�
WS
W aTER
ROUGH PLUMBING
AOIIGH NEnTING nN0 AIR CON�ITIONING
TEMPORARV SEPVICE OR POLE
UN�ERGROUNO � POWER G
AOUGM WIRING
TRE4CHE5 FORMS STEEL REINF
FLOOR SYSTEIA
BONO BEnm J STEEL REINFORCE ❑
SNE>TMING
FFAME ANO FLASHING
STRUCTUAAL, FIN4L
HEAi1NG, VENT., REFRIG. �ND A.C., FIN�L
PLUM9ING. FINGL 5N0 Ga5 TEST n
DA7E 8-6-79
SUBCONTRACTOR
L]
F
C
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COSTA MESA BUILDINGSAFETY DEPARTMENT APPL ATION Fi�l�!STR�C4'��2�Ai. PERMIT ��•
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 �
REC I V PERMIT '
For Applicant to Fill in Completely — Use Ink Only N° 4 8 5 2 5
ADDRESS J / A'P' N�' S O��— O/
OWNEROR � BUILDING �Q /.. j_r.I
TENANT L ADDRE55 � v1 q
MAILING VNIT OR
ADDRE55 SPACE NO.
TR.NO.� �^ LOT ' C BLK.
TEL. "' J
CITv NO.
NEW ADD ALTER REPAIR MOVING DEMOlISH
CANSTRUCTION
LENDER �
BRANCH
OWNER S �.C.`.
ADORESS VALVE Q
ARCHITECT TEL. USE (N, � b���
OF ENGINEER
ADDRE55 ZONE TVPE GROUP
APPROVED / /7
CONTRACTOR �, _� BV DATE (d [
ADDRESS (� �
CITV �� NOLS/�'!��
STATE CITV APPROVEDSETBACKS
LIC. NO. 6 LIC. NO.
SIZE NO.OF BLDGS (FROM C/L STREET)
OF LOT SSX , S NOW ON LOT R NT FT.
VSE OF 1 �
EXISTING BLDG. J
Separate permits are required for � � sio cT.
electric, plumbing and heating work. REAR Fr.
USE OF BUILDING ANO WORK TO BE PERFORMED PLANNING ACTION
DATE
APPROVED
APPROVED 8�z� 79
I hareby acknowletlpa that I have read thls eppllcation antl stete
that the above Informetlon Is cor�ect end aprea to comply with
ell lews repuletinp builtlinB construction, and I shell not employ
eny person in violation of i�e workmen's compensation laws oi
ihe Stata o( Callfomla.
I hereby certify that I am proDerly Iicensetl as e contractor under SQ. FT.
the Staro oi Celitornle Busineza entl Protexilona Cotla, Dlvlaion 3, THE AMOUNT SHOWN UNDER VALUATION I$ FOR
Chapter 9, and thet such licensea ere In tul� forca antl afiact, or I THE PURPO6E OF ESTABLISNING A PERMIT FEE ONLY:
am ezempt from the provbions ot fhe Stet of Cellfornle Bualnaca
VALUATION PERMIT FEE E
entl Protasslons Code, Divlsion , Chepte 9. 2 •�n%
PLAN CHECK S � �d
Slpnatura of
Permittea S ���'� TAX b '�J
or �J �
AuthorizatlAOent �ate � v TOTALPAID 5 �
10 TL
-` - ����
'COSfifr MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 317 COSTA MESA, CALIFORNIA
fOR APPUCANT TO f/LL /N COMPLfTEIY
TYPE OR PRINT
BUILDING j� ^
ADDRE55 ��133�. "A�aQ�I lfl .lT
COSTA MESA, CALIFORNIA
NEWPORT BEACH
ARCHITECT NONE
OR ENGINEER
LEGAL
SIZE
OF LOT
LIC.
NO.
R �i � RpT'LNANN �ic NdEliA�t
172 E.�7TH ST.. CS,MESA
NO.OF BLDGS.
SETBRCK LINE FROM �/� /�(� �p
CENTER OF STREET �J�IJ�J REAR YARQ��
SIDEYAR� ILEFT �O�OO IRIGHT�O�OO
DESCRIPTION OF WORK
.��.., I XII „� r�o„r�.,,.� I II ,,.,,,�r�..,.�
REPAIR I IIMOVING I IIDEMOLISH I
SZ�EDING35x'io5 ROOMS �'1. STORIES �
v �� ��C�i���
��, 7��j
FIN NCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
faR afficF usF oNcr
qECEIVEO BV q� TE NECEIVED OATE
/J�"""� 6 � %7 % /G
BUILDING .
A�DRE55
COSTA MESA. CALIFORNIA
FIRE �
ZONE
APP OV
BY O7"tc� C DATE � �
ZONING
ZONE Yl I NO. OF I IISE OF NEW .t�
(CENTER LINE ST.)
FROIiT _ �SOFT.
\
COVER NGW LL ICOVERING C M // � /
USEOFBu�oURAFAMILYT�OWELLING� 0�-�00�
AND FOUR GAR[GS.S� 3 7 � ,�
'� � �
I XEREBY ACKNOWLE�GE THqT 1 HAVE READ THIS APPLICATION 7HE AMOUNT SHOWN �EP VALUATION 19 FOR THE
pND STATE THRT TNE ABOVE IS CORRECT ANO AGFEE TO COM- pUNPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLV WITH ALL CITY OROINRNCES ANU STRTE LTWS REGULNTING
9UILOING CONSTFUCTION. VALUATION
SIGNATURE OF PERMIT FEE $ i�p� �
PERMITTEE
/ / �� $ �� � i/9 PLAN CMECK $ p? �j --�
IG �������iC.e!/YL.A� / �C.r�I
AUTHOR E A ENT TOTAL F'EE $ ���