HomeMy WebLinkAbout3129 CORAL AVE - Building PermitsApplicant to flll in all spaces except thosa within �eavy EorOer lines antl sign all appropriate tleclarations.
CITY.OF COSTA MESA CONSTRUCTION PERMIT
Proje!Address � � _
,Applicant'sMaili gAddress�7 � L Ld�-__-'S$��
�wner's Name � 3EI T ,tJ Z^ /J/'��phon 7
Atldress/ �z' �O.viO.t%0 N�i
Arch/Eng. License No.,
Address
Contractor's Nam R� � /— Phone �
AdAresslm='�'���7tJC�� LM1�ALE� � i�. �sH%
City License No. OO %�9
f
LICENSED CONTRACTOR DECLARATION
I he�eby affi�m that I am licensetl untler p�ovi5lons of Charter 9(commencing
with section ]000) of Division 3 of the Business antl Professions Cotle, antl
my license is In tull t r antl effect.
License Class ^ Lice s'� 6�
Date " 0- ' Signature �
WORKERS' COMPENSATION OECLARATION
1 hereby affirm Ihat I have a certificate of consent to self-insure or a certlficate
�� Workers' Compensation Insurance, or a certifietl copy thereof (Section
-0� Lab�. /C.) c�
:y Note��.si�3� a 9 Company��'TL� COM�
�CertCertifietl copy is hereby furnishetl. //lei,�'c-`—
ifle� cop i filetl witb the cit�r .' Divi io�
Oate ' Applicant T L
EXEMPTION FR M WORKERS' COMPENSA�ECLARATION
(Thissection neetl not be completetl if the permit Is for one huntlretl (8100) or
IC55).
I certify that in the performance of th¢ work for which thi5 Oe�mit i5 i55uetl, I
shall not employ any persOn in dny manner so as [o become 5ubjeC[ to the
Workers' Comoensation �aws of Cali(ornia.
Date Signa[ure
NOTICE: If, aiter making this tleclaratlon. You shoultl become subject to the
Workers' Compen5ation provisions of the Labor Cotle, you must forthwith
com0ly with sucM1 p�ovi5ion5 or thi5 pGrmit, Shall be tleemetl revoketl.
CONSTRUCTION LENDING AGENCV
1 nereby affirm that there is a construction lentling agency�for the performance
ot the �work for which thi5 permit i5 i55u¢tl, (Section 309] Civ. -0.)
Lentler's Name
Lentler's Atltlress �
OWNER BVILDER DECLARATION
1 bereby aHirm lhat 1 am exempt from the Contractor's Cicense Law tor the
following reason (Section ]031.5 Business antl Professional Gotle: Any city or
county wnich requires a permit to con5[ruct, alte�, imOrove, tlemolish o� repair
any'structure, prim to Its issuance,-also requires the applicant for such permit
lo tile a signetl statement that he/She is licensetl pursuant to the provi5ion5 0(
the Contractar's License Law (Cnapter 9(wmmencing with Section 7000) of
Division 3 of the Business antl Professions Cotle) or tnat ne/she is exempt
therefrom ana tM1e basis tor the allegetl exemption. Any vlolation of Section
'4L5 by any� applicant fo� a perinit subjects the aOP��cant to a tivll
alty ot not more than tive huntlretl tlollars ($500).
I, as owner of the property or my employees with wa9es as thei� Sol¢
� compensation, will tlo the wo�k, antl the strutture i5 not intentletl orof(e�etl
for sale (Section 1044, 6usiness antl Professional Cotle: The Contractor's
� License Ww tloes not apply to�an owner o( a p�operty wha builtls o� im0�ove5
' lhereon, antl who tloes such work himself/herself or through bis or her own
employee5, provitletl thai such improvemenl5 ar¢ not IntenCetl o� offeretl f0/
sale. If, howeveq the bwltling or improvement is soltl within one year ot com-
pletion, the owner will have the burtlen of proving he/sM1e tlltl not builtl or im-
prove tor Ihe,pu�pose of sale). �
❑ I, as owner ot.the property, am exclusivety contracting witn licensetl con-
traCtors to consV uct the ploject (Settion ]044, Bu5ine55 and Profe55iOn5 COtle:
The ConVactor's License Law does not apptY to an�owner ot property who,
builtls or improves thereon. antl who contracts for such orolects wkh a r.on--
tractor(sl hcense pursuan[ to me ConVatfor•s 1_icense Law�. I am aware that
proot of their Wo�ker's Compensation insu�ance shoultl b¢ provitletl to me.
❑ 1 am exempt unaer Section B. & P. C. Por this reason
Date ' Owner
I hereby certify that I have reatl�tnis application antl state that tM1e above
mformation is correct. I agree [o comply with all Uty antl county ortlinances
antl state laws relating'to b ilding co truttion, an0-he�eby duthorize r¢pre-
sentatives of lhis city. to nt the above-mentionetl property Por
insoec ' t � �D-,q�
$ignature Date O
TVPE OF CONSTRUCTION LJ NEW LJ ADD ILMLTERATION LJ REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER �
s����`��A�� T�w'6E 4� �54 C61S- �
l
TVPE OF PERMIT GRADING FOUNDATION STRVCTURAL
❑ TENANT ❑/� ELEC,�TMRICAL ❑ PLUMBING ❑ MECHANICAL
�-OTHER /C F. �/CaT/�
PROJECT DESCRIPTION S�. FT.�� 7 oCCVPA�JNC/v C�j 4p
CONSTRUCTION TVPE VALUATION Pfd�(�'(
ZONE GRADINGCV.VDS. ACRES
Remarks:
Sink
Preventer
Irrigation
Drinking Fountains
Flooi Dreins
Floor Sinks
Gas Service Outlets
Interceptors
Kitchen Sink
Lavatories
P-Trap
Roof Drains �
ReinspeMion Fee � $15
Boiler
Duct-UnderGround.
Duct-Structural -
Duct - Ventilating
Exhaust System ❑ Multiple
Firepl/FacL Blt. iCBO #
Heating System & Ducting
❑Q�100,000 BTU 0100,000
Reinspection Fee
privers"License or 55 � �
OBfiS-46, rev. 5/88 White - Builtling; Canary - Applicant; Pink - Acwunting; Goltlenrotl - Assessor
$15
Showers
Service Sink
Sewei Connection
Solar Collectors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater '
Water Service
Auto-Wash �
Fee
Hood or 'Type I ❑
Canopy 'Typell ❑
Refrigeration Sys[em .
❑0-t00,000BTU ❑100,000
System Repair/Alteration
P iie Dampers
Registers
laue Fee
A.P. #
S Main Building:
E
T Front
A Rear
C Right
K
g - Leh
Ping. Rei. #
Planning Notes:
FEES P.utomatic Washer
Construc[ion Pole Sub.
Cooking Unit
�IShW25h2f
Dryers ❑Gas ❑Electric
Fan
F.A.U.
Fixtures
Device Boxes
Outlets
Switches
' Garbage Dispoul
Generator �65 KW �5-15
$ 3
$ 3
.�� Reinspection Fee � $15
DEV ELOPMENT SERVICES REQI
2oning Approved By
Buildine APProved BY —F
Zone
Accessory Building:
Parking Req./Provided
ELECTRICAL -
Transformer ❑ 15�50 KW
❑ 50+KW
Meter ❑up to 100 amps
Meter ❑over100amps
Sub Panel
Motors �0.1 HP 07 %- 8
InaSolar �9-15 HP 016-15+
Microwave �
Pale Light
Range
Sign
Standing Sections �,
� Trash Compactor'
FEES
0
.i
laue Fee " . , $ 3
REMENTS: ' r„
N
I'
N
G
R
E
Q
M
T
S.
� SUMMA Y O FEES ' `�
BUILDINGPERMIT $ � SMIP • $,
� . PLAN CHECK $ , pERMITr:
PLUMBING $ �SSUANCE $
PLAN CHECK 25% $ ENERGY P.C. $
ELECTRICAL . $ GRADING $
— PLANCHECK 50% $ MICROFILM $
- MECHANICAL $ TOTAL FEE $ sy. sD
� PLAN CHECK 25% $ _. �
i
0! ��02526?-OOD25268 TL7T 54.Sp'
�ATf: 01l3Q/&9 TIhlE: iQ:le
--�- _�- .
CONSTRUCTION AND PLANNING �� ' POOL! 4 ,
.� Jate Inspector Date Inspector
• �APPROVALS Permit # ' APPROVALS Permit #
��
1. Tempo�ary Electrical Serviceor Pole ,�; :�. 52. Pool & Equipment Location �,
2. Soil.Pipe-Undrgrnd. ��l.`' �� ��� 53. Steel Reinforcement ,. �,
3. Electrical Conduit Utility-Undrgrnd. :� 54. Forms � 1.
4: ,Electiical Conduit-Undigmd. .r 55. Electrical Bonding .��
5. `Steel Reinforcement Ct �� 56. Rough Plumbing & Pressure Test ��.�
r.
6: Electrical UFER�Grnd. � 57. APPROVAL TO COVER-GUNITE ��;,
7. �Footings• �' � .'��; 58. Electrical Conduit-Undrgmd. ��'��
8' Fouridation 'i'• < '`� �• 59. Gas Pipe, O Undrgrnd., Test . !'
I' nl
9. .Water. Pipe-Undrgrnd-. �� ~ 60. Backwash Lines, P-Trap, � Undrgmd.
10. Structural Floor System .,'l� �'�� 61. `APPROVAL TO DECK
t t, Property Sewer Line & House Con'nection r�,,, � 62. Backwash & Receptor-Final
; . �
12. Sewer; Cap , v �- � ,' ;� �� , ��fr 63. Heater & VenrFinal • �.
- r .
13. Robf Drains '� 1. y� `! 64. Plumbing System - Final
14. Rough Plumbing� � 65. Electrical-Final '
15. Rough E`ectrical-Conduit 66. Solar System-Final �
16. Rough Electric Wiring 67. Fencing & Access Approval
: 1'7� Rough Wirin9 Sign � 68. APPROVED FOR PLASTERING
q8. Rough•Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19; Rough Heating & Air Conditionin9 FIRE DEPT. REQUIREMENT
20. Rough Factory,�Fireplace APPROVALS Permit#
21. Ducts, infStructure 70. Underground Hydro
22. Duc[s;,Ventilating 71. Product Piping O Gas ❑ Oil
23. Gas Pipe:liough & Test 72. Underground Flush
� .�
24. Roof Fiaming ' 73. Undergrnd. Storage Tank 0 Gas ❑ Oil
25. Roof Sheathing 'j q�' 74. Overhead Hydro
26. T-Bar.Ceiling (Structural) & Monocoat 75. Dry Chemical _ ._
27!Frame ariil Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation . 78. FIRE PREV. FINAL
„ �.�
30. Drywall Nailing i: , HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coatr, 79. FINAL INSPECTION
32. Elect�ical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
,
33. Final Electric Notes:
vJeQa t�O l��` -Mok� 9P1� e,�
34. Final Heating & Air Conditioning ,
Z-� - �8
35. Final Gas Pipe-Test �
36. Hood or Canopy .
Aa SMOI� P �e �b �-a�eT
37. Final Factory Fireplace , �
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. So�ar pomestic-Final • �j,
42. Backflow Preventer ` !,11
43. Backflow Irrigation _ U
44. .Landscape Irrigation System "�
45. Sound Attenuation
46. Handicap Regulations (�' � 3a �
47. FINALSTRUCTURE&BUILDING �.- �" B�
48. Special Requirements Completed .
49. Elec[ric Release to Edison „
�l
50. �as Release to Southern California Gas Co ��
�.� '�..
51. CERTIFICATE OF OCCUPANCY � ,j� • • �\)
No Date �. V
31994
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
ADDRESS 3129 Goral Ave.
OWNER �lprad�Plse+ha
MAIL
ADDRESS
TEL.
CITV ghwre�nn [1n4a_ F_nlif_ N��O-/�_SA'
LENDER
BRANCH
ADDRE55
ARCHITECT
ADORESSjL�(� ]�jO. Rnhnrt■en Atml_ Tn�,
CONTRACTOR PgC1PSC Condomininm,._ T„�
ADDRESS
- TEL.
CITY S}l82'G18II O8IC9i i�.91jP. NO. 9H6•
STATE CITV
LIC. NO. I.IC. NO.
SIZE NO.OF BLDG'
OF LOT 66X�OO iTTOg� NOW ON LOT
USE OF
EXISfING BLDG. �O138
SIZE OF NO.OF
NEWBLDG.SIfi ROOMS STORII
EXTERIOR WALL ROOF
COVERING COVEFING
USE OF BUILOING AND WORK TO BE PERFORMED
�
YAIU
�,i�: 2s-�in�p,n002 rr� : d:�: * 171.00
APPLICATION FOR BUILDING PERMIT
RECEIV�B�'/ DAT.EFECEIVED neTcicci�
A.P. NO./�(/ — 7 7/'� [lnJ�/,�� �'JIJ."
ADDRIE S�JI p / C1l"Z4`C�
� ..� V �: �� �
FIRE
ZONE
APPROVED
VAROSAPPR
MAIN BUILI
FROM GL STRI
VAR. #
-7v
VALUE
S
TVP UP�%T
ATE (p-2%� O
L�
OF USE OG NE ���
NS BUILDING
VED VARDSI�PROVED
NG ACCESSORV BUILDING
T�FT.
FT.
FT.
FT. �
BET. MAIN &
`� DATE ,l
�—/ V APPROVED — (�
r .,�r� �n -- �V�_%CJ
I hereby acknowledge that I have reatl this application antl state � '
that the above intormation is mrrect and agree to comply wiffi ¢��J
all laws regulating builtling construction, antl I shall not employ ��
any person in violation of the workman's compensation laws of
tha State of California. / p �
I hereby rertify that I am properly licensetl as a conttacmr untler ��� SQ. FT. (� J o
Me State of Calitornia Business end Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UN R VALUATION IS FOR
Chaptar 9, antl that such licenses ere in t�ll forca and efiect, or I THE PVRPOSE OF ESTABLISHING A PERMIT FEE ONLV: m
am ezempt from the provisions ot the St California Business ¢
antl Protessions tle, Division 3, Chap% VALUATION � ) �
/ PERMIT FEE 5 I/ i�! U �
Signature ot j y,/ m
Permittee � ^y �/�� PLAN CHECK $ � i U� E
o`
Auffior' etl Ag t �7 d LL
TOTAL FEE § % /�iD