HomeMy WebLinkAbout453 ELMHURST LN - Building PermitsApplicant lo fill in all
-CITY OF COSTA MESA - � PEy� IT NC
CONSTRUCTION PERMIT /= �,'
Address
Addreis " '
Contractor Q-1 �•.
within heavy Eoraer 11nes antl sign all apo�opriale aeclaratlons.
J� TRACT NO. LOT�NO. �BLOG. NO.
Zy( - TYPE OF CONSTRUCTION
PhonS�/,( -;3�/(� ❑ NEW .O ADD ❑ ALTEf3ATION
� -� - • - `❑-REPAIR OCONVERSION ❑DEMOLISH
"LiC2nse No. - - ❑ OTHER
, _ __ _ DESCRIPTIONOFWORK
iACTOR OECLARA�IQN -�
�. I am Ilcensetl untler provisions of i
lon 7000)' ot �ivision 9 oi the
�antl my li�ense is In tull torc
- ense No:
"`" / �� TVPE OF BERMIT ,
- ❑GRADING ❑�FOUNDATION ❑STRVCTVRAL��
9(com- �TENANT:O'ELECTRICAL..�IIPLUMBING ❑MECHANIi
us antl ❑ OTHER -
=��Yt' � - -
PROJECT DESCRIPTION
��
Date'� % �� Si9nature f ' �2! ' S4. FT_� ' ' . . - .
WORKERS'COMPENSATION DECLARATION� � - � OCCUPANCY_CONSTRUC710N.TVPE
I hereby affirm tbat I have a certificate ot consent to selLinsure or a. VALUATION �' ZONE
'certititate of Workers' Compensation Insurante,'o certifietl copy
thereot (Se on_ 890 Lab. C.). GRADING CU. VDS. ACRES
ICY No.�O�. (�n � ComPanY :/�'p" _� . . . _ _ . ' _'
. '-'erti(iEtl COpy I5 h¢r¢by turniShCtl: � � � - - � REMARKS: �- - , - - �- � -�- - --•�
;erti(letl copy is tilatl with the tity Builtling Divislon.
G EMPTION FROM WORKERS' COMPENSATION OECLAFATION � ' - � � ' � ' ' "
(This secHon•neetl not be completad if the permii is for one huntlretl . . ..
(5100) or less). - , . �
I certify that In the performance of the work for which.this permit is
Issued, I shall not employ any person in any manner so as to�become PLUMBING
subject to the Workers' Compensation Laws�ot•Californla. .. -
Date Si9ndture � BATHTUB$
NOTICE: If after makinq [his tlecl5ration, you shoultl become subject -TOILETS•
to tha Workers' Compensation provisions ot the �abor Cotle, you must
torthwith comply with such provisions or this permit shall be tleemetl LAVATORIES
revoketl. -- -- � - -- �
CONSTRUCTION LENDING AGENCV KIT. SINKS
I he�¢by affirrtf that fher¢ is a Construction I¢ntling ag¢nGy fOr the per- SERV ICE SINKS
formance of the work for which this_ permit is issuetl (Section 309]
Civ. CJ. � �. � '` FL-OOR SINKS �'
Lentler's.Name � '� �
t[haPl am exempt from-the Conirector;S�LicenSe I
reason (Section ]031.5 Business and Professions
county which require5 a pe�mit to ConStruct.
�lish or repair any structure, prior to its Issuance,
licant tor Such permit to file a Signetl Statement.t
�,.......... _ .__......_.._...� ...... .�__..... . _.._, _. _..._._.. _ _. ..._
BusinEss antl Profe55ions Cotle) or that ne is exempt therefrom antl tM1e
basis tor. the alleqetl exemption. Any violation of Section ]03L5 by
' appllcant tor a permit subjects the applicant to a civil penalty
�t more than.five huntlretl tlollars ($500).
, a5 owner ot Ihe property, o� my employees witn wages as t�eir
sole tompensation, will tlo [he work, antl the structure is not intentletl
or otferetl for sale. (Section ]044, Business antl Prafessions Cotle: The
Contractor's License Law tloes not apply to an owner of a�property
who builds or improves thereon, antl who tloes sucn work himself or
th�ougM1 his own employees, provitletl �that Such improvements are not
intendetl or olteretl for sale. If, howeveq the builtlin9 or impravement
is soltl within one year of completion, the owner will nave the burtlen
of proving he tlitl not builtl or improve for the purpose of sale).
❑ I, ds owne� Ot th2 property, am excluslvely contracting with
Iicensetl contractors to mnstruct the project (Section ]044, Buziness
antl Professions Cotla: TM1e Contractor's Licens¢ Law tloes no[ apply to
an owne� of prope�ty wno builtls o� Improves thereon, antl who con-
tracts trom such projects with a'contractor(s) licesnetl "pursuant to
the ContractoYs_License L.aw). . .
❑ 1 am exempt untle� Section B. & P. C. for this
reason� �� � � -
Date � Owner
I hereby certifythdt 4have reatl Ihis applicdtion antl StdtO that the above
Information is conECt. I agree to comply with all City antl county
o�tllnances antl State laws�relating to const�uctlon, antl hereby authOriie
PIAN CHECK
SHOWERS
DOUBLELAVS
FLOOR
INTERCEPTORS .. CLARIFIERS
SWIMMINGPOOL PTRAP�
WATERSERVICE ALTERATION
GASSERVICE OUTLETS
WATER HEATER$ .BTU OUTPUT
$EWERCONNECTION$ .
SOLARTANK COLLECTORS
SOLAR PIPING SVS.
ISSUE FEE
MECHANICAL PLAN CHECK
HEATING SYSTEM 0-300,000 BTU_
ANO DUCTI NG 300,000 + BTU _
REFRIGERATION 0-300,000 BTU_
SVSTEM 100,000 r BTU_
BOILERS BTV
SVSTEM REPAIR,ALTERATION
EXHAUSTSVSTEM MULTIPLE
representatives of hhis city to e er upon the above mentionetl �
property (o i e lon -put o es ✓ I
Signature � �'��"'��� � ' ' Dat¢� �-a'�`"
Drivers' License or 55 �_ ISSUE FEE
CMF 0865-46 Wllite-Builtling; Canary-Applicant; Pink-Accoun[ing; Goltlenrotl-Azsessor
i65� _2io3ie2
•'L�1 �J '
� � 1657 � � ..
A.P. � �
ZONE � PLNG. REF. �
v
REAR VARO (TO P/L) , '
PKG.SPACEREQ. PROVIDEO
STREET WIDTH � , PARK FEE.$ �
ZONINGAPPROVEDBV �_
�SPECIAL CONDITIONS: , , �
6.oa ; ri
1
6.00 'fL•
7� `
� ELECTRICAL � P�.4rv cHECK • � . ��
� � GENERATOR Q-1KW_1-lOKW�
.TRANSFORMER - �
� APPLIANCE ' 10-50 KW_ 50 + KW --- ' ' - '
� ' ' •MOTOR$ � - 0-1 HP_1-10 HP '
(IN0.50LAR) 10-SOHP=50+HP '- - i.,-
{ JJ' FI%TURES �� OVTLETS SWITCFIES � '
� GAS TUBE SIGNS " - " -
' � ''POLE LIGHTS " � ' '"- ` - ,
PANEL$ MAIN � � SUB �
SERVICE '� �-- " AMP ' '
ISSUE FEE - '
- Z �' APPGCATIONAPPROVED'BV - 'DATE '
SUMMARV OF FEES , .
'BUILDING ' . • ' " -'
�PERMIT § SMIP _ $ •
�PLANCHECK $ PERMIT r�---,�i_
PLUMBING g� �SSUANCE $ T��
- GRADING � $ �
PLAN CHECK E " '
ELECTRICA� $ � -� $ '
PLAN CHECK $
MECHANICAL $ - - - TOTA�..FEE $' '
LE55 AD- `
PCAN CHECK'$ VANCE PC $ "'
� . .
. _ ' _ , FINAL FEH��
,
CONSTRUCTION AND PLANNIN � POOL & SPA '
APPROVALS Permit # ��J��`5 Date Inspector qppROVALS Permit # � Date Inspector
1,., Temporary Electrical Service or Pole 43. Pool & Equipment Location
Soil ipe-Undrgrn 44. Steel Reinforcement -
3. Electrical Cpnduit Utility-Undrgrn 45. Forms -
4. Electrical Cqnduit-Undrgrn 46. Electrical Bonding
. tee ein orce� - 47. Rou h Plumbin & Pressure Test �
6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE
7. Footings 49. Electrical Conduit-Undr rn
6. Foundation � 50. Gas Pipe, ❑ Undr rn, Test
9. Water Pipe-Undrgrn � 51. Backwash Lines P-Tr ❑ ndr rn
. 10. Structural Floor System • 52. APPROVAL TO DECK
' 11. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final
12. Street Sewer �nnection ' 54. Heater &. Vent-Final
" 13. Rough Plumbing • � - - -
14. Rough Electric-Conduit �56. Electrical-Final
15. Rough Electric-Wiring - � - 57. Solar SYstem-Final � �
16. Rough Heating &�Air Conditioning • encing & Access Approval
17. Ducts in Structure .. 9• APPROVED FOR PLASTERING ••
18. Ducts, Ventilating �
19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL
20. Roof Framing ' . •
- 21. Roof�Sheathin ' . •
22. Frame and Flashin NOTES:
23. Insulation �
24. I�thing & Siding
25. Drywall Nailing z.
26. Plaster Brown Coat .
27. Electrical Power Meier-Final -
28. Final�Electric ' -
29. - Final Heating & Air Conditioning � - '
30. Final Gas Pipe-Test �
31. Final Plumbing O - �- �
32. Water Servir,e-Final
33. Gas Service-Final -
.34. $olar pomestic-Final �
35. Landsca e S rinklin S stem '
36._ Sound Attenuation �
37. Handicap Regulations � • �
38. FINAL STRUCTURE & BUILDING
39. Special Requirements Completed '
' 40. Electric Release to Edison
41. Gas Release to Southern California Gas Co.
42. CERTIFICATEOFOCCUPANCY
No Date
_� �Costa Mesa Building Department _, APPLICATION FOR PERM T
� � 111 EAST 20th STREET , 2��� B U I L D N G '
- � �COSTA MESA, CALIFORNIA ti
FOR OFFICE USE ONLY
FOR APPLICANT TO FIId. IN Receipt No. Permit No.
Building � (�' [L�
Address 453 �lmhurst Lane � �
L'OStB� M83&� Ci8��1fOTII18, Recei diKy I Date Redd� Dat 'las ��
i�
Owner
Address
or Const.Con,e"'"'3761
Lot I
No.42 Block I TracY
��� �� � ��
T
Costa Mesa, California
Size of Lot I 4 c � Nowon Lot ^ � D:? i f; '1!:a ;�; I
Useof I No.of I No.of . ��� .�� 7�0
Exfsting Bldg. Families Rooms �
Addition � � - . . •.. ..
� ' . .
No. of
Rooms Stories
�
APPROVAI.S
Fire Stops,
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to comply Lath. Int
with all City Ordinances and State Iaws regulating
building construction. Lath. Ex!
Signatureof
Permittee Harbor COriSt Ctl P_ CO. Plaster,lnt.
Authorized Agt. Plaster, E�R.
Valwation Pe�mit Fee $� / Masonry Reinforced
Pian Check $ 1 � �
$ 11 i 200 • Total . Bond Beam
�
.Fee $ � FINAL
RM 204 S-BP 2M 6-55
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_ _PLOT PLAN � - - - � . ` � .- "t � �' � - " "-
6how locatlon and distances from � � ,
property Iine�and between buildinga _ ' ,
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