HomeMy WebLinkAbout918 CORONADO DR - Building PermitsApP���ant to /III In all spaces axca0� �hOse wll�in �eavy bortler Iines antl si9n all a00�opriate Eaclanlions.
�Y OF COS7 M SA CONSTRUC ION PER �T
' Project Addreis � 0 NQ 0
Applicant's Mailin Adryre -� 3 Y
Owner's Name� �p��� .��i. Ph e � �
Address "'� ^� C �
Arch/Eng. License No.
AAdress —
Contractor's Nam O Ph
Address Imailingl Lv � 1 �A Q 'A
City License No d . d
LICENSED CONTRAC70R DECLARATION
1 hereby alfirm that I Am licensetl untler prOvisions ol �hart¢r 9(cOmmencing
with section ]000) of Divislon 3 0l tne Businesz antl Professions Cotle, ana
my license is in f tor ¢Ituct. �/h� n��
License �a ` nse No'ii� _�
Dat� ^ � 519nature
WORKERS'COMVENSATION DECLARATION
I nereby atfirm that I have a cerH�icate o1 consent to selNnsure or a certHiwte
' Workers' Compensa�ion Inmrance, or a certi leq co tnereof (Sectlon
7, Lab. (�' Qj
cY No.��ll�+� v`p Com n� 0
�Certifietl coOY is hereby tu�niSh¢tl. �
Certif' 0 Is �letl wi[h Ihe ci il ' 1 i n
oate � ` Appllcant �
EXEMPTI FH M ORKERS'COMPENSATIONDECLARATI N
(Thi55ection n¢etl nat be comple[etl It the permil is fo� on¢ huntlr¢0 (5100) or
less).
1 certify [hal in [he OeHormance of lhe wOrk to� wbith this p¢rm�t is i55u¢tl, I
shall not employ any berson In any manne� so di lo become subj¢CI to l�e
Workers' Compenzalion �w5 of Califomia.
�ate Signature
: NOTICE: I(, alter making thii tleUaratlan, you shoultl become sub7ect to lhe
Workers' COmpensatloq provi5ions of thG LdUo� Cotle, y0u must torlhwith
comply witM1 such prOvisions or this pe�mll Shall be deemetl ravoketl.
CONSTRUCTION LENDING AGENCV
I hereby altirm that the�e Is a constmctlon Ientlin9 a9ency for tna pertormanco
of [he wark tor wnlch thiz permit i5 ISiuea (5ection 3097 Civ. CJ
Lentler's Name
Lentlet'S Atltlre55
OWNERBUILDER DQCLARATION '
I hereby atfirT [hat 1 am exemD� ltom Ihe ConVacto�'s Litensc Law 1or lh0
following reason (Secqon ]031.5 BuSinoss antl ProfaSsional Cotlo: AnY dtY or
touniy whicb requires a permlt m consVuct, alteq improve, acmollsn or ropalr
any slructure, priOr to'its isivance, also �equlrei Ihe appliGant tor Sutn permit
to �ile a ziqnetl Slatempnt lhat h¢/SM1e IS lit¢n50tl puriudnt to th0 pfovl5iOn5 Ot
the ConlractOr's LI<enk �yw (Chapter 9(comm¢nCing with 5ection ]000) Ot
- Oivision 3 oi the Bu;iness antl Protassions Cotla) or thac ho/sha is oxem0�
^erefrom antl the ba515 tor thc alla9etl exempliOn. Any violalion ot SocUon
'1.5 by any applican[ 10r a permll Sublocts lh0 appllcant to a C7vil
nlly oi not more lhan iive huntlretl Eollars (E500).
.� I, as owner oi thC Property o/ my amployc05 wll0 wa9e5 as th¢ir sole
compenSatiOn; will tlo Ine work, an0 lhe st�uGtum IS n0[ intontletl Or olter00
ior sale (Soction 7044, Business and Prolessional Cotlo: Tho Conlractor's
LICCnu Law tloes nOt apply [O an owner o! a prOpe/ly who buIIGS Or ImprOv05
thereon, ana who tloqs such work himselt/harseli or throu9n his or ner own
employees, prOvitletl that such ImprovemCnts are nOt in[entloU or ottorotl tor
� sale. It, however, the builtling or Improvnmont I5 Soltl within ono Year of com-
D�etion, Ine ownar wiq havo lhe bur0on ot Proving ha/she Ob nOt builtl or Im-
prove fortbe purpose OfSal�).
❑ I, as owner oi the property, am extluslvely contractin9 with Iicensetl con-
tractors IO Consltuct l4¢ projeci ISecliOn 7044, BusinCis and PrO�efSiOns Cotla:
The ConVactor's LicOnse Law dOes nOl apply to an Own¢r of pwperty wito
builtls or improves thereon, ana who contracts /or such projects with a con-
tractor(s) Ocense purs�ant to tne Contracror's LicenSe Law). 1 am aware tha[
prooi of their Worker's Comp¢nsallon inw�anca ipOWd be provitletl to ma.
❑ I am exempi untler 5e«�on B. & P. C. for this rcason
Date Owner
1 heieby certity tbat � have reaC �bis application_antl State thal the above
Signature � (�� �
Driverz' License or 55
CMF 0865-46, rev. 30/84
TVPE OF CONSTRUCTION LJ NEW I.J ADD LT RATIOPL LJ REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OT ' �"
�ES RIPTIONO OFi NU OF G.
tF C �--- �' ���r3` � _
TVPEOFPERMIT �GRADING FOUNDATION STRUGTVRAL
❑ TENANT �E R�CA� PLVMBING ❑ MECHANICAL
❑ OTHER � �
PRQIECT DESCRIPTION SO. FT. � oCCUPA v
CON STRUCTION TVPE VALUATION $ �.
ZONE GftADINGCU.VDS. � ACRES
Remarks: . '
Bar Sink
Beckflow Preventer
Backflow Irrigation
Clarifiers
Dishv.asher �
Drinking Fouritains
FlOor Drains
Floor Sinks
Ges Service Ou[lets
�Citchen S�nk
Lavatories
P—Trep
Roof Drains �
Reinspectian Fea $15
Boiler
Duct - Under Ground
Duct � Ventilating
Exhaust System ❑ Multiple
Firepl/Foct. Blt. IC80 �h
Heating System & Ducting
❑ ai oo,000 aTu � i oo,000
Reinzpection Fee
Whi[e - Builtling; Canary - Appliwnt: Pink - Accounting; Goltlenrotl - Assessor
$15
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Pipin9
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Auto�Wash
laue Fea
Hoodor Typel
Canopy Type II
Refrigeration System
❑aiao,000eru ❑iao,000
System Repair/Alteretion
Fire Dampers
Registers
Isue Fee ,
m
g 3
$ 3
A.P. 5W
S Main Buildi
E
T Front
B Rear
A
.0 Right
,K Left
S
Ping. Ref. #
Planning Notes:
Automatic Washer.
Consttuction Pole Sub.
Cookin9 Unit
Dishwasher
Dryero �Gas ❑Elec
Fan
F.A.U.
Fixtures
Device Boxes
OuUets
Switches
Garbage Dispowl
Generator �0-5 KW C
Reinspection Fee
81742 I /$q/E6
Zone
Accessory Building: '
Parking Req./Provided
ELECTRICAL
� Transformer ❑ 15-50 KW
❑ 50+KW
Meter �up to 100 amps
Meter ❑overtppamps
Sub Panel
Motors �61 HP �7'/, - 8
Inc.Solar �9-15 HP 016�15+
Microwave
Pole Light
Range
; Standing Sections
Tresh Compattor
S75 1 I Issue Fea
�i,uq •TL
FEES
$ 3
Z
O
N
I
N
G
R
E
O
M
T
S
DEVELOPMENT SERVICES REQUIREMENTS:
Zoning Approved By Date
Building Approved By Date r
APVlicetion laued BY Date___�_���(L
SU V F FEES
BUILDING PERMIT $ �� SMIP _ $ �
� , PLAN CHECK $ PERMIT �
PLUMBING $� ISSUANCE $
PLAN CHECK 25% $ ENERGV P.C. $
ELECTRICAL $ • GRADING $
PLAN CHECK 50% $ MICROFILM $
MECHANICAL $ TnT-••�--cE $
PLAN CHECK 251A�— �
- �_ _/
�^,TION AND PLANNING
� Permit #
/
.�ary Electrical Service or Pole
/aoil Pipe-Undrgrnd.
3. Electrical Conduit Utility-Undrgrnd.
4. Electrical Conduit-Undrgrnd.
5. Steel Reinforcemen[
6. Electrical UFER Grnd.
7. Footings
8. Foundation
9. Water Pipe-Undrgrnd�
10. Structural Floor System
11. Property Sewer Line & House Connection
12. Sewer Cap
13. Roof Drains
14. �Rough Plumbing
15. Rough Electrical-Conduit
16. Rough Electric Wiring
17. Rough Wiring Sign
18. Rough Electrical-T Bar Ceiling
19. Rough Heating & Air Conditioning
20. Rough Factory Fireplace
21. Ducts, in Structure
22. Ducts, Ventilating
23. Gas Pipe-Rough & Test
24. Roof Framing .
25. Roof Sheathing
26. T-Bar Ceiling (Structural) & Monocoat
27. Frame and Flashing
28. Lathing & Siding
29. Insulation
30. Drywall Nailing �
31. Plaster Brown Coat
32. Electrical Power Meter-Final
33. Final Electric
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
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
4�4. .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. CERTIFICATE OF OCCUPANCY
Date
Date � Inspector
��
POOL & SPA
APPROVALS Permit #
52. Pool & Equipment Location
53. Steel Reinforcement
54. Forms
55. Electrical Bonding
56. Rough Plumbing & Pressure Test
57. APPROVAL TO COVER-GUNITE
58. Electrical Conduit-Undrgrnd.
59. Gas Pipe, O Undrgrnd., Test
60. Backwash Lines, P-Trap, � Undrgrnd.
61. APPROVAL TO DECK .
62. Backwash & Receptor-Final
63. Heater & Vent-Final
64. Plumbing System - Final
65. Electrical-Final
66. Solar System-Final
67. Fencing & Access Approval
68. APPROVED FOR PLASTERING
69. POOUSPASYSTEMSFINAL
FIRE DEPT. REQUIREMENT .
APPROVALS Permit#
70. Underground Hydro
71. Product Piping O Gas ❑ Oil
72. Underground Flush
73. Undergrnd. Storage Tank � Gas ❑ Oil
74. Overhead Hydro
75. Dry Chemical
76. Dry Standpipe
77. FIXED SYSTEM FINAL
78. FIRE PREV. FINAL
HEALTH DEPT. REQUIREMENT
79. FINAL INSPECTION
80. FOOD CERTIFICATE ISSUED
Notes:
Date �In:peetor
, ":
; �. '.
, ���rS�_
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. o. BOX 917 C08TA MHBA. GLIFORNIA
For Appllcan+ io Fill In Complefely
' TYPE OR PRINT
A ORe�ss 918 Coronado Drive
COSTA MESA. CALIFORNIA
�"'w" 3g00 E, �oast
aoowvwa
VCER Macco Corporation�
3800 E. Coast Hi�hr.�a
TOR Liacco Corporation
3800 E. Coast HiPhwa
�orona del•Mar� Cali£.
...nn..n _' ' TEL. _'
Lot 83, `lY'act 42i's5; Plan" 1��O��I "� D
SEP 6 1369
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMI7
euauiN�
For Offiee Use Only
R6C81VT NO. � PC �L��
lJ L
RBC81 8D BV OA P8C81V6O DAT6 188UE�
z�. �_ ���-G�� I
31.2� BUILDINO
4 ADDRHSB
3L�ZtO COSTA MESA. CALIFORNIA
ZONING
20N��; I PLA BF ,/'"BUILDI6
�
LBowL �j�% � /� �
61ZE No. oI BLD09.
OF LOT 1 S F Now ON wT n0 A. P. NO.
USE OF _ YpRDS
E%ISTING BL�G none pppROVED
SHTlI�GI(.IJNQ PROM 1.�1 �L � ICCNTBR L1N8 BT.) y 3
ceNT¢R OP Hi1tEeT µ REAR YARD V FRONT
SIDH YARD ILEFT � IRIGHT 6� 6
R. SIDE
DESCRIPTtON OF WORK -
L. SIDE
NEW Y�^ IIALTERATION I OADDITION I REAR �� �
1�9"x53' ROOMS
WALL'i"_ _ _' I ROOF
ed
1
Bovered
area
1685 S F
etc. 68 S F
1 H6118lY ACNNOWL8D06 TNAT 1 HAVB RGD TXI9 ARLIGTION TH6 AMOUNT BHOWN UNUBR V�LUATION IB POR THe
•NO 8TAT8 THAT TH8 ABOVH 16 GOMFHGT A1ID AOfl88 TO GON- pUPPOBH OP 88T/.BLIBHING A P¢RM�T PEE ONLY.
rLY WITX ALL CIiY OPDINANCHB AND 8TAT6 tAVA q80ULATNO
Bu1tDINa CONBTRUGT1oN. VALUATION
81GNATURH OF Mesa Del b1ar Development Co PERMIT FEE $ 7��
PERMI7TE p� '
"J /-`�t,,/t/ _ A�f S 18�2�7�� PLAN CHECK $ ��
AUTHORIZED AGE ( L 'FZG�/ .
TOTAL FEE ����