HomeMy WebLinkAbout3013 DEODAR AVE - Building PermitsADO���ant [o fill in all svaces exeeot those witnin �eavy bortler lines anC si9n all aovropriate aeciarationz�
CITY OF COSTA MESA COf�STRUCTI,O.�7N PERMIT
PrcrctAddkss 3��� �J�6�'9K-
ApplicanYs Mailing Address 7+2� �• � 9� %� �
Owner's Name Phone
Address
Arch/Eng. License No.
Address
Contractor'sNam��� � ��v���`J� Phone �'3�2`�
Address Imailing) � � � J � �m'4
City License No.
LICENSEO CONTRACTOR DECLARATION
1 hereby atfirm that Y am licensetl untl¢r provisions of Charter 9(commencing
with sec[ion 7000) of �ivision 3 of the Business antl Professions Cotle, antl
my license is in full f fe antl eftecL �� ,
License class — Licens�o.
Date �0�� Si9nature �
WORKERS'COMPENSATION DEC RATION
I hereby affirm that I have a certificate of consent to self-insure or a tertificate
f Workers' Compensation Insurance, Or a certlfietl copY thereot (Section
800, Lab. CJ �
P��olllicy No. Company
�Certified c� opy ie herebY furnishetl. ^��
Certifietl o y' IeC with the city Bwl�n4�6i
Date� r Applicant L
EXEMPTION FROM WORKERS' COM ENSATION DECLARATION
(This section neetl not be mmpletetl if the permit is for one hundretl ($300) or
less). ,
I certity that in the performance of tbe < fo� which this perm�t is issuetl, I
shall not employ any person in any nner as to be o e SubjeCt to the
Workers' �j°m ensa Laws ot Calif �'
Date � �%7�Si9natur
�NOTICE: If af er making this tleclar tion, y u noulE become subject to the
Workers' Compensation provisions f tne Labo� Cotle, you must (o�thwith
comDly with such O�ovlsions or this permit shall be tleemetl �evoketl.
CONSTRUCTION LENDING HGENCV � -�
I hereby afilrm ihat there is a ronstruction lentlin9 agency for tne performance
ot the wo�k fo� which this pe�mit is isSueC (Section 309] Civ. CJ
L.entler's Name
Lentler'S Aatlress
OWNER BUILOER �ECIARATION
I hereby atiirm that I am exempt trom the Contractor's License taw for the
tollowing rea5on (Section ]03L5 Busine55 antl Vrofessional Cotle: Any city or
county whlch requires a permit to wnstruct, alter, improve, tlemolish or repalr
any structure, prior to its issuance, also requires the applicant for such permit
t0 file a signetl statement Ihat he/she i5 licenzetl pu�suant to th¢ p�ovisions of
the Con[ractor's License Law (Chapter 9(commencing with Sectlon 7000) of
�ivision 3 of the Business antl Profession5 Cotle) or that M1e/she is exempt
"�erefrom ana the basis for the allegetl exemption. Any violation o( Section
i1.5 by any applicant fo� a permit subjects the appli[ant'to a civil
�alty of nat more [ban five huntlretl tlollars ($500).
J I, as owner ot the p�operty or my employees with wages as their sole
compensation, will tlo Me work, antl the slructure is not intendetl o� offeretl
for sale (Section ]044, Business antl Protessional Cotle: The Cont�acto�'s
License Law tloes not appty to an owner ot a properry wno buiitls or improves
the�eon, antl wM10 tlocs such work M1imself/herself o� th�ough his or he� own
employees, provitletl that such improvements are not Intendetl or offeretl for
wle. It, however, the builtlin9 or improvement is soltl witnin one Year of com-
pletion, the owner will have the burden oi provin9 he/she tlitl not builtl or im-
�rove for the purpose of sale).
I, as owne� of the property, am exclusively mntracting with licensetl Con-
tractorsto construct the project (Section ]044, 8usinessand Profe55ion5 Cotle:
The Contractor4 �icense Law tloes not apply to an �owner of property who
builtls or improves tnereon, antl who contracts for such projects with a con-
fractor(s} license pursuant�to the Con[ractor's License Law). 1 am aware that
proof ot their Worker's Compensation insurance shoultl be provitletl to me.
❑ I am exempt untler Section B. & P. C. for this reason
Date
I hereby-certity tha'
information is correc'
antl state laws rela '
sentatives of thl ci
inspection purp
Signature �
Drivers' Li<ens or 5�
IF 0865-46, �ev. 30/84
_ Owner
I h� v�e reatl this appliwtion antl st
i'ao�ee to comolv with all citv antl
a
property for
TYPE OF CONSTRUCTION LI NEW IJ ADD LJ ALTERATION �' J REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER
DESCRIPTION OF WORK/USE OF BLDG.
TYPE OF PERMIT ❑ GRAOING
❑ TENANT ❑ ELECTRICAL
❑ OTHER
1FOUNDATION U STRVCTURAL
PLUMBING ❑ MECHANICAL ,
PROJECT DESCRIPTION SQ. FT. OCCUPANCV
CONSTRUCTION TVPE VALUATION $_
ZONE GRADINGCU.VOS. ACRES—
Remarks:
Bar Sink
Backflow Preventer
Backflow Irrigation
Bathtubs
Clarifiers
Dishwasher
Orinking Fountains
Floor Drains
Floor Sinks
Gas Service � �l1LIEt5
Interceptors
Kitchen Sink
Roof Drains
Reinspection Fee � $15
Duct - Under Ground
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple ❑
Firepl/Fact. BIt. IC80 #
Heating System & Ducting
❑4100,000 BTU �100,OOOBTi
� �— I I Reinspection Fee ' $15
White - Builtlin9; Canary - Applicanh Pink - Accounting; Goltlenrod - Assessw �
$howers
Service Sink
Sewer Cap
Sewer Connection
Solar Collecmrs
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Auto�Wash
Isue Fee
FEES
A.P. �
S Main Building:
E
T Front
e Rear
A
C Right
g Left
Ping. Ref. #
Planning Notes:
Automatic Washer
Construction PoleSub.
' Cooking Unit
Dishwasher
Dryers ❑Gas ❑Elec
Fan
F.A.U.
Fixtures
Device Boxes
Outlets
Switches
Garbage Disposal
Generator DO-5 KW C
$ 3
1547 10/07/85
Zone
Accessory Building:
Parkin9 Req./Provided
ELECTRICAL ,
Transformer ❑ 15-50 KW
❑ SO+KW
Meter ❑up to 100 amps '
Meter ❑over 100 amps � .
Sub Panel
Motors OP7 HP O1'/: - 8
Inc.Solar 09-15 HP 016-15+
Microwave �
Pole Light '
Range
I; Standing Sections
5�15 KW Trash Compactor
� � ReinspeMion Fee I$15 Issue Fee
IANICAL FEES
Hoodor Typel ❑ DEVELOPMENTSERVICESREQUIREMENTS:
Canopy Type I I ❑ 2oning Approved By
.__ __ _ __. .._ Building APProved By
Refrigeration System
❑0-100,OOOBTU ❑100,000
System Repair/Alteration
f ire Dampers
Registers
Issue Fee � $ 3
SoQ� TL
FEES
$ 3
SUMMARV OF FEES
BUI�DING PERMIT $ SMIP� $
PLAN CHECK $ PERMI7
PLUMBING $ �S• i7L� ISSUANCE . $
PLAN CHECK 25% $ ENERGV P.C. $
ELECTRICAL $ GRADING $
PLAN CHECK 50% $ MICROFILM $
MECHANICAL S TOTAL FEE $ � ��
PLAN CHECK 25% $ '
Z
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I
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G
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Q
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$
CONSTRUCTION ANDPLANNING . - POOL 'A
Pf�PROVALS Permit#� Date Inspector p�ppROVALS 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, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System . 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection � 62. Backwash & Receptor-Final
72. Sewer Cap 63. Heater & Vent-Final •
13. Roof Drains 64. Plumbing System - Final ,
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrica6Conduit � 66.-Solar System-Final
16. Rough Electric Wiring �67� Fencing & Access lapproval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. 1Rough 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 O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro '
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
2S. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQl11REMENT
31. �Plaster Brown Coat 79. FINAL INSPECTION
32.-Electriral Power MeterFinal 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test �' (�l��
36. Hood or Canopy -
37. Final Factory Fireplace -
38. Final Plumbing �OJ' � (��
39. Water Service-Final �
40. Gas Service-Final ' �
41. Solar pomesiic-Final . .
42. Backflow Preventer
43. Backflow Irrigation .
44. ,Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations , � �
47. FINALSTRUCTURE&BUILDING �
48. Special Requirements Completed .
49. Electric Release to Edison - � � -
� 50. Gas Release to Southern California Gas Co �
51. CERTIFICATEOFOCCUPANCY . . l , _, , .
�
No. Date
BUfLDING SAFETY DEPAICTMENT N�. � U� O C
�. O. Boa No. 317
Costa mesa, California /
Date�� � -- '^ �
CITY OF COSTA MESA
CERTIFICATE OF OCCUPANCY
Building Permit No • �%�� Electrical Permtt No Plumbing Permit No
Use of Building �,1(L �s %��a,t 2 a.i t.� -'' f' !..�
1'h�e building located a� o r i ��_�; i_s.�,(-.x ���r �-c�c.ti�-- �
Legal Descripdo� }
(See reverse side for Metes and Bounds) ,'
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordin-
ances applicable thereto for a Group ��—Occupancy. �.,
ISSUED TO: � City Buildiag Official
��� -�--� z, //� �_ � �%"�
(Owner of Building) ��4�1� ,� -"' '+'"Yt9"'�
CC: p Original—Owner ❑ lst eopy—Gas Co. ❑ 2nd copy—Edison C�"'�p 3rd copy—File
Form 208 SB P IM 1fi0
OWNER FISHER, W. E
JOB ADDRESS 3� Depd
GENERAL CONTRACTOR :
AP No.139''2�-0�5L07
P--�ECTIONS
S
1 ;. ❑ Air on . ❑ F�n
nnTE 8-27-62
BUILDING PERMIT NO.
TRACT TIRC ZONL D�SCRIP170N OF WORK PVb.B].k.Wall
DA7'L GROUP J TYPE III 70NB �_],
_ I PLRM77'S ISI
—i SUBCONTRACTOR .,,,,,,�,—Z �...
� i��ia
CQSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BO% 917 CO8TA MP$A. CALIFORNIA
For Applicanf fo Fill In Complefely
' TYPE OR PRINT
COSTA MESA. CALIFORNIA
� F. r-«h��
'ADDRESS IOI S///CLL_UI���
�,r f,�arOnA OD�My�
� ARGHITECT
F�E RECEIVED
� :AUG 2 b ly(i2'
FINANCE DEPT.
APPLICA�'�1 �D6�$A
BUILDING
For Office Use Only
RECEIPT NO. PlNMIT NC
COSTA MESA. CALIFORNIA
�alYr,qv, G, M, f:bN�
//i rp/l///G/ APPi
arr Gostu l�I�s
STATE �viS�Z (O TEI.. fI �S � / `��<
LIC. NO. ^ ��/ �p NO.
SIZE /J // � fi /�U� I NO. OP BLDOO.
OF LO7 V V n NOW ON LOT
USE OF %1r� - S�hov/
EXISfING BLOG
8ETB�CK LINE FROM r-�. � .L .
ILEtT �„ I RIGHT �
DESCRIPTION OF WORK
BUILDING NO. OF
SIZE ROOMS STOf
EXTERIOR WALL ROOF
COVERING COVERING
USE OF 6UILDING AND WORK TO BE PERFORMED
LHGAL
�/ . IC8NT8R urve
�
I HBREBY ACKNOWL8D0! TXAT 1 HAVE RBAD TH�B APPLIGTION
AND 8TAT6 THAT THE ABOVB �8 CORMCT AND A6R68.T0 COM-
PLY WITH ALL CITY ORDINANCEB AND 6T�T6 CAW6 H80t1LATiNO
BOILDIN6 CONBTRUCTIO�p!7 � �/J���J/ (//'�/, {/�
BIGNATURE OP G'!/%�9V/"/�Y/ /1////A/Z��
�AUTHORIZED AGENT
ZONING
NO. OP UBH OP N8W
runs ��i aw�.oiHo
�r��w�
TXH AMOUNT BHOWN UNDEH VALUATION IB FOR THE
PUIiP08H OP lBTADLIBHINO A PHRNIT FEE ONLY.
VALUATION � Q�
PERMIT FEE $
$��, /� PLAN CHECK $
�� s-�
TOTAL FEE
. '.
� 17251
EOSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 C08TA MEBA. CALIRORNIA
For Applicani Io. Flll In Complefely
TYPE OR PRINT
BUILDING �O/ z /
ADDRE68 d J ��
COSTA MESA GALIFORNIA
OWNER W.0 �IS/7L��
0
�E REC�II��D
JUPI.i 1 1962
FINANCE D�PT.
APPLICA710N �OR�' PERAM TESA
BUILDING
For Offtce Use Only
i - NHC[IPT NO. '[MMIT Np
-a o-
cin CD�ti1q �AEL /�R2 No.p/Z �o�� eui�iNc
ADDREBS
ARCNi7ECi 7E�. COSTA MESA. CALIFORNIA
OR ENGINEER L, L. �CAJ � NO. ��
ADDRE6S FIRE ��J �/ ///�
ZONE TYPE (/ OUP ✓/ /
CONTRACTOR Q AJE�� ��'W BYPROVE DATE�/ 2 O `
ADDRE6S S �1 = ZONING
/Y �f ZON I NO. OF U88 OP NtW
ci7v Lac PUNB BUILOINO
6TATE �7'IS(�''U % NO.�I ✓�OI�D • LaoAL 'I-'S 6�
LIC. NO. o¢scRlrtlo
61ZE /�� - llo. oP elnOe. � �/�. n �J //
OF LOT (C�� /� NOW ON LOT p_ p_ NO. /'� �/� /��OO�' OT
� 96TBACK LINB PROM
ILEFT J,/ I RIGHT �7 (y /
DESCRIPIION OF WORK
BUILDING NO. OF /
81ZE O ROOM6 BTORIEB
EXTERIOR WALL ROdF ^
COVHRING S� GCOICOVERING `�N Q�
U9E OP BUILOING AND WORK TO BE PERFORME
- `/�Tl'C- ScfiooL
S7o �
I XEREBY ACKNOWLCDOE TXAT 1 NAVE RGD iX18 APPLJGTION
AND BTATE THAT TH8 ABOVE IB COR$6CZ AND AGRCQ TO CON-
PLY WITH ALL CITY OilO1NANCEe 1(D 6T Wp REOULATNO
BNLD�NO COl;$
s�cruruRe oF�� �
PERMITTEC ( �
AUTHORIZED AGENT
� oare (
' APPB'�;�rp
z�r�.n,�-�^-wi�� it,�.�� � , - �
r
THE AMOUM BHOWN UNDBR VALUATION 16 POP TX8
PUXPO88 OP HBTAB48HING A P¢qMli FHH ONLY.
��J� aV LAN CHECK
U iOTAL FEH
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conait�ons:'. • " :
(1) 7nstallation of a block wall not less than 5'6" in height and
nat more than 6' in height by the applicant, at her expense, as
folloWs:
a. For a distance of 50' along h���herly property line from
the rear property line easterly. '
\��� For a distanc� of 83' along the property line facing the
.,.�lley, fro the no her p�l, a.nd Por a distance of 10'
t�t�ie �ri in �'
�� �•
"�'2j �a�191.� � a�ch&in link ience around the remainder of
the property. as 'rec}uired by the�te •Welfare Dept., at her
�� e��. �
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