HomeMy WebLinkAbout1112 CORONA LN - Building PermitsCOSTA MESA BUILDING -SAFETY DEPARTMENT
P. O. BOX 317 COSTA MESA, CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
BUILDING
ADDRESS
COSTA MESA, CALIFORNIA
[OWNER a D Mar Develo ent :io
o
ADDRESS 3800 E. Coast Highway
C,TYCorona Del Mar Calif. No.
ARCHITECT _ _ _ . ,- TEL. 0r1_niA
Co
LIC.TNo.
-A-SB-L
NOL
. Oriol
SIZE
✓j
Aingle f dwelling w attached
NO
OFLOTI x
971
F
NOS
USE OFNone
453 SIF.
EXISTING BLDG.
SQ. FT.
SETBACK LINH FROM
1
THE AMOUNT
CENTER OP STREHT
G
REAR
SIDEYARDI LEFT
I
G A PERMIT FEE ONLY.
FEE O
I RIGHT
DESCRIPTION
OF WORK
&I ROOF Wood
1611
FEE RECEIVED
T? 5 1963
REPLICATION FOR PERMIT
F1NANVulib_1h&
CIT7FR5F RTS?AUft51"ly
_ RECEIPT NO. •ry
FIRE
ISSUED
4 1963
/ F Y
ZONING
kE:NO
NO. S' I USEOFNEW
PLArvB BUILDING W/ att u_ar
N t 6 Tract 02
none
SAVE OVERHANG SHALL BE LESS THAN
IDE 8 REAR P. L.(U. B. C. REQUIREMENS APPROVED YARDS APPROVED
BUILDING ACCESSORY BUILDING
VAR, #
9_V �
USE OF BU I LDINC AND WORK TO BE PERFORMEW"��
✓j
Aingle f dwelling w attached
Dwellin
22
F
garage. plan 600-B
Garage
453 SIF.
SQ. FT.
I HEREBYTHAT ACKNOWLEDGE 1 HAVE READ THIS APPLICATION
THE AMOUNT
UNDER VALUATION THE
ANO STATE THAT THE VE I CORRECT AND AGREE TO COM
PURPOSE
ESTABLISHING
OF BHTABLI6MIN0
G A PERMIT FEE ONLY.
FEE O
PLY WITH ALL CITY ORDINANCES
E
NC88 AND STATE LAWS REGULATING
VALUATION
BUILDING CONSTRUCTION.
TION.
I �(��•
PERMITFEE S ✓
SIGNATURE OP a>n....T 1.. !•..
6 23,985.00
PROJECT ADDRESS: 1 1 1 2 CORONA LN 2 i m UNIT'
OWNER'S NAME: KNOX, CARL B JR
ADDRESS: 1112 CORONA LN
COSTA MESA,CA 92626
ARCHIENGINEER: REG.NO.:
ADDRESS: UNIT:
PERMITTEE: NOCK PLUMBING (714)895-1246
ADDRESS: 11610 SEABOARD CIR
STANTON CA 90680
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code. and my license is in lull force and effect.
CITY LIC.: 05/�0386 STATE UC.: 51197 CLA 3-36 EXP: 02/95
Date: ..���J7/1 Signature:
WOR KER$' COMPENS ION DECLARATION: I hereby at Irm that I have a cenificate of consent to sel -0 SIRiLR'L'BfABcat[chWakMe—
Compensation Insurance. or a certified copy thereof (Section 3800, Lab. Q.
POLICY NO.: 1167992-94 EXP. DATE: 03/01/95
COMPANY: STATE
❑ Candied copy is hereby furnished. [2 Certified copy i 'with the city Building Division.
Date: Applicants`!) -
EXEMPTION 40M WORKERS' COMPENSATION DECLARATION: (This section need note mpteted if the permit is for one no or less).
I cenily that in the penormance of the work for which this permit is issued, I shall not employ any person in any manner so as to
subject to the WorkersCompensation Laws of California.
Date: Signature:
NOTICE: IL after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor
Code. you must forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for,lhe performance of the work for
which this permit is issued (Section 3097. Civ. C).
LENDER:
ADDRESS:
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason
(Section 7031.5 Business and Professional Code: Any city of 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 to file a signed statement that he/she is licensed
pursuant to the provisions of the Conlractor5 Slate License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code) or that na/she is exempt m r Irom and tno basis for the alleged exemption, Any violation of Section 7031.5 by
any applicant lora permit subjects the applicant to a civil penalty of not more Than five hundred dollars (E500).
I. as owner of the property or my em levees 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 Contractors' State License Law
does not apply to an owner of a properly who builds or Improves thereon, and who does such work himsell/herself or through
his or her own employees. provided that such improvements are not intended or offered for sale. It, however the building or
improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve
for the purpose of sale).
I.as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business
❑ antl Professions Code: The Contractors' Stale License Law does not apply to an owner of propertwho builds or Improves thereon
and who contracts for such projects with a contractorls) license pursuant to the Contractors' $late License Law),I am aware
that proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B. 8 P. C.
for this reason:
nam
I do hereby cenily that I am aware of
25534 and that I or any future building
permit for construction or modification
these provisions.
Owner:
antl understand the requirements of California Health and Safety Code Sections 25505, 25533, and
occupant wiThmill no! (Circle one) need to comply with said state codes and the requirements fora
from the Air Dually Management District. Residential construction applications are exempt from
Dale: Applicant.
I hereby certify that I have read this application and State that the above
ordinances and stale laws relating to building construction antl here ulh
properly Ior inspection purposes.
Date: Signature:
I agree to comply with all city and county
this city to enter upon the above-mentioned
avers ¢e se or gcl ecunY
1641 46 White—Building: Green—Code Enforcement: Canary—Applicant: Pink—Revenue', Goldenrod—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 069234
PERMIT NO; P 069234 PLAN CHECK NO; N GOVT; N SUPP; N
CONSTRUCTION TYPE; V—N PERMIT TYPE; PLU PURPOSE: OTH
JOB DESCRIPTION : DISHWASHER CHANGEOUT
SQ FT:
CLAIM VALUE: CALL—VALUE; GROUP OCC; R-3 /
COMMENTS; NO OTHER WORK AUTHORIZED BY THIS PERMIT
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN
BUILDING ----------
SMIP/RES GRADING
---------
ACCESSORY BUILDING ---------
FRNT; FT IN
REAR:
FT IN
FRNT;
FT IN REAR: FT IN
LEFT: FT IN
RGHT;
FT IN
LEFT;
FT IN RGHT; FT IN
PARKING REQ;
PROV:
PARCEL:
13912311
ZNE: REF NO:
PLANNING NOTES>
TOTAT
PAID DUE
TOTALS— —>
7,00 20,00 0,00
27,0/JJ
• 27,00 00
REVENUE DIVISION
TOTALS--> COLLECTED:
r/
27,00 OVER/SHORT: ,00
BLDG PMT
PLUMBING ELECTRIC MECHANIC
FIRE SMIP/TOT
D E V E L O
P M E N T
S E R V I
C E S'
R E Q U I R E M E N T S
ZONING APPROVED BY
BUILDING APPROVED BY ;
APPLICATION ISSUED BY;
LEGALIZATION:N
DATE:
DATE:
DATE;
�I I
F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG
PMT PLUMBING ELECTRIC MECHANIC FIRE
SMIP/RES GRADING
PERMIT
7,00
252
SMIP/NON—RES
PLAN
ISSUE FEE
20,00
BUILDING_DIV—>
PERMIT ISSUE PLAN—CHECK
TOTAT
PAID DUE
TOTALS— —>
7,00 20,00 0,00
27,0/JJ
• 27,00 00
REVENUE DIVISION
TOTALS--> COLLECTED:
r/
27,00 OVER/SHORT: ,00
BLDG PMT
PLUMBING ELECTRIC MECHANIC
FIRE SMIP/TOT
GRADING PLAN—CHECK
27,00
I N D I V I D U A L F E E
B R E A K D O
W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
PLU 1 DISHWASHER 7,00 7,00
END OF FEES
27.00
D
01 0016941.5-00169415 TELT
DATE; 10/12/94 TIME: 11:24
CONSTRUCTION AND PLANNING
APPROVALS Permit #
Date
Inspector
POOL & A
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, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd.
60. Backwash Lines, P -Trap, E. 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
I
66. Solar Systern-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 1] Gas 00d
23. Gas Pipe -Rough & Test
72. Underground Flush
24. Roof Framing
73. Undergrnd. Storage Tank OGas JOil
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 PREY. FINAL
30. Drywall Nailing
HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat
-
79. FINAL INSPECTION
32. Electrical Power Meter -Final
80. FOOD CERTIFICATE ISSUED
33. Final Electric
Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe -Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
e 26-q
G
39. Water Service -Final
40. Gas Service - Final
41. Solar Domestic -Final
42. Backflow Preventer
43, Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
--
48. FINAL PLANNING-�
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
t
51. CERTIFICATE OF OCCUPANCY
No. Date