HomeMy WebLinkAbout1109 CORONA LN - Building Permits20298
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 317 COSTA MESA, CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
COSTA MESA, CALIFORNIA
OWNER Deve e t C
ADRESB 800 E. Coast Highway
rM Ole
CITY Corona Del hfar Calif. No.' �
ARCHITECT •T____ n__�A.__ n_ TEL. Or 1018
LIE No. 20 -A -SB -1 TEL.Driole 3-4220
OIzzF LOT 1 2 1 is �� I I NO. OF SLDGfl110
N WON LOT
USE OF
EXISTING BLDG. None
SETBACK LINE FROM
CENTER OF STREET I I REAR YARD 32'2"
SIDEYARDI LEFT . 71 RIGHT 51
DESCRIPTION OF WORK
601x501
WALL1TOC
garage.
1HEREBY ACKNOWLEDO9 THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COM.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION, n
SIGNATURE OF CC tV CO
PERMITT�Ep'y
AUTHORIZED/ 6T
FEE REGENEU
�UL 2 5 196T
APPLIC.�,TION F�R PERMIT
tINNIVIeuuol o
CITYFo,FONIcAd'Only
BUILDING
ZONING
ZONE NO. OF USH OPNHN"±Ugt• fwu•
R-1 rune .� BuuDING W att
LEGAL
none
EAVE OVERHANG SHALL BE LESS THAN
YARDS APPROVED
MAIN BUILDING
IOM C¢ STREET)
YARDS APPROVED
ACCESSORY BUILDING
1
REAR FT. FT.
DISTANCE BET. BET. MAIN 3
MAIN BLDGS. ACCESS. BLDGS.
VAR.* DATE
N
so.
THE AMOUNT SHOWN UNDER VALUATION IS FOR THE z
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
VALUATION u
N
PERMIT FEE S
s 59,065.00 PLAN CHECK 5 r �`jp
a
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations
CITY OF COSTA MESA CO STR CTION PERMIT
Project Address, r /�(/� /"�� �[
PER NO�-.•� _
oS 7
TRACT NO.
LOT NO.
UNIT NO,
4666 11/22/85 5oOU TL
TYPE OF CONSTRUCTION El NEW U ADD U ALTERATION 7REPAI R
1-1CONVERSION. El DEMOLISH ❑ OTHER
DESCRIPTION OF WORK/USE OF BLDG.
Applicant's Mailing Address,
Owner's Name ,y,� Phone
Address is i/ /r pJ
A.P. 0 Zone
S
Main Building: Accessory -Building:
Z
Arch/Eng. License No.
Address _
TYPE OF PERMIT GRADING FOUNDATION STRUCTURAL
El TENANT F -1L ELECTRICA• PLUMBING ❑ MECHANICAL
OTHER -
Elme
PROJECT DESCRIPTION SQ. FT. OCCUPANCY •
CONSTRUCTION TYPE VALUATION$
ZONE GRADING CU.YDS. ACRES
T
Front
O
Rear
N
j1 /Jq
Contractor's Na Phone 1A.�gY-(J✓Q�
Address (mailing) {
City License No.
LICENSED CONTRACTOR DECLARATION -
I hereby affirm that I am licensed under provisions of Charter 9 (commencing
with c4nte section7000) of Division 3 of the Business and Professions Code, and
my license Cnseis IS in full O ¢ ntl effect. (, /��rA-�
LlC
A
C
- -
Right
N
G
K
S
Left
R
Ping. Ra(. 9� Parking Req./Provided
E
Q
Remarks:
Planning Notes:
M
-
T
$
LIe, o
Date Signature .
PLUMBING
FEES
Bar Sink Showers -
ELECT I A 8 FEE'
WORKERS' OMPENSATION DECLARATION
1 hereby affirm that I have a certificate of consent to self -insure or a certificate
Vl
of Workers' Compensation Insurance, or a certified copy. thereof (Section
3800, Lab. curl / r /p,n f� w.., ". / -
Policy No. _(2i�i L Company fJ (/f(e(d
P fz,,-ertified copy is hereby furnished. (/
O Certlf' Is filed with the city Iryg9.pl Iq
r
Backflow Preventer Service Sink
Automatic Washer Transformer 15-50 KW
- ❑ 50 + KW
Construction Pole Sub.
Backflow Irrigation Sewer Cap
Bathtubs Sewer Connection
Cooking Unit Meter ❑up to 100 amps
Date�� Applicant(/�g�/pyo
'L
EXEMPTI N FROM PIKERS' COMPENSATION DECLARATION
(This section need not be completed if the permit is for one hundred ($100) or
loss).
Clarifiers Solar Collectors
Dishwasher Meter ❑over 100 amps _
Dishwasher Solar Piping ^� _
-
.,Dryers ❑Gas ❑Electric Sub Panel
I certify that in the performance of the work for which this Permit Is Issued, 1
shall not employ any person in any manner so as to become subject to the
workers' Compensation Laws of California.
Drinking Fountains Solar Tank 1VVZl6BYz:!Motors
00-1 HP ❑1'h- B
Floor Drains Swimming Pool w/Spa
F.A.U. Inc. Solar 139-15 HP 016-15+
Date Signature
'NOTICE: If, after making this declaration, you should become subject to the
Floor Sinks Urinal
Fixtures Microwave
Workers' Compensation provisions of the labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
Gas Service Outlets Water Closet
Device Boxes Pole Light
CONSTRUCTION LENDING AGENCY I
1 hereby affirm that there is a construction lending agency for the performance
Interceptors
tors Water Heater
Of the work for which this permit is issued (Section 3097 Civ. C.)
Lender's Name
Outlets 'Ran 9 ¢
Kitchen Sink Water Service
I- Switches Sign
Lender's Address
OWNER BUILDER DECLARATION
Lavatories - - Auto -Wash
.. Garbage Disposal ' Standing Sections '
I hereby affirm that I am exempt from the Contractor's License Law for the
following reason (Section 7031.5 Business and Professional Code: Any City or
P—Trap Laundry Trays
Generator 110-5 KW 115-15 KW Trash Compactor
county which requires a Permit to construct, alter, improve, demolish or repair
any structure, prior to its issuance, also requires the applicant for such permit
Roof Drains
to file a signed statement that he/she is licensed pursuant to the provisions of
the Contractor's License Law (Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code) or that he/she is exempt
therefrom and the basis for the alleged exemption. Any violation Of Section
-
7031.5 by any applicant for a permit subjects the applicant to a civil
enalty of not more than five hundred dollars ($500).
I, as owner of the property or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered
for sale (Section 7044, Business and Professional Code: The Contractor's
License Law does not apply to an owner of a property who builds Or Improves
thereon, and who does such work himself/herself or through his or her own
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of com-
pletlon, the owner. will have the burden of proving he/she did not build or Im-
prove for the purpose of sale). -
Reinspection Fee
$15 Issue Fee
$ 3
Reinspection Fee $15 Issue Fee $ 3
MECHANICAL
FEES
DEVELOPMENT SERVICES REQUIREMENTS:
Zoning Approved By Date
Building Approved By Date
--
Boiler Hood or Type 1 ❑
Canopy Type II ❑
Duct - Under Ground
Duct - Structural Refrigeration System
❑ I.as owner of the property, am exclusively contracting with licensed con-
Application Issued By Date_i
tractors to construct the project (Section 7044, Business and Professions Code;
The Contractor's License Law tloes not apply to an owner of property who
builds or improves thereon, and who contracts for such projects with a con-
tractor(s1 license pursuant to the Contractor's License Law). I am aware that
Proofo their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section B. & P. C. for this reason
Duct - Ventilating ❑0.100,000 BTU 13100,00OBTU
SUMMARY OF FEES
BUILDING PERMIT $ SMIP $
PLAN CHECK $ PERMIT
PLUMBING S ISSUANCE $
Exhaust System ❑ Multiple ❑ System Repair/Alteration
Firepl/Fact. Bit. ICBG 0 Fire Dampers
Date Owner -
Heating System & Ducting Registers
PLAN CHECK 25% $ ENERGY P.C. S
I hereby certify that I have read this application and state that the above
Information Is Correct. I agree t0 Comply with all city and county ortlinances
and stale laws relating to building construction, and hereby authorize repre-
sentatives Of this City to a ter upon the above.mentioned property for
inspection �p
DSilrivers' Date
Drivers' License or SS9r
❑0.100,000 BTU ❑100,000B c
ELECTRICAL - $ GRADING $
MICROFILM $
PLAN CHECK 50% $ _
MECHANICAL S TOTAL FEE $ .LGL.`=
PLAN CHECK 25% $
-
Reinspection Fee $15 Issue Fee $ 3
CMF
0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting;
Goldenrod - Assessor
CONSTRUCTION AND PLANNING
APPROVALS Permit #
Date
Inspector
POOL &SPA
APPROVALS 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, ❑ Undrgrnd., Test
9. Water Pipe-Undrgrnd.
60. Backwash Lines, P-Trap, ❑ Undrgrnd.
10. Structural Floor System
61. APPROVAL TO DECK
11. Property Sewer Line & House Connection
62. Backwash & Receptor-Final
12. Sewer Cap
63. Heater & Vent-Final
13. Roof Drains
64. Plumbing System - Final
14. Rough Plumbing
65. Electrical-Final
15. Rough Electrical-Conduit
66. Solar System-Final
16. Rough Electric Wiring
67. Fencing & Access Approval
17. Rough Wiring Sign
68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling
69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
20. Rough Factory Fireplace
21. Ducts, in Structure
70. Underground Hydro
22. Ducts, Ventilating
71. Product Piping 0Gas ❑Oil
23. Gas Pipe-Rough & Test
72. Underground Flush
24. Roof Framing
73. Undergrnd. Storage Tank Cl Gas ❑ Oil
25. Roof Sheathing
74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat
75. Dry Chemical
27. Frame and Flashing
"'
76. Dry Standpipe
28. Lathing & Siding
77. FIXED SYSTEM FINAL
29. Insulation
78. FIRE PREV. FINAL
30. Drywall Nailing
j
HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat
79. FINAL INSPECTION
32. Electrical Power Meter-Final
80. FOOD CERTIFICATE ISSUED
33. Final Electric
-k
Notes: -�_],_�(� ►.(p 6wE .w� .�
34. Final Heating & Air Conditioning
4a m2, 606 vlRG GEO
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final rt
40. Gas Service-Final.•`
41. Solar Domestic-Final .„
42. Backflow Preventer r
43. Backflow Irrigation -
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date