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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