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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 O N I N G R E Q M T $ 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 � , i � a � a w �i a ¢ v c � �. G � � � 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��. � �-, - . . . , ; _. (,��r-.� _,.,�� e � �� o�� S o»�t'2 , o o�� �2 - ��� -�t�Q � d o�zSo ,