HomeMy WebLinkAbout1127 CORONA LN - Building PermitsApplicant to fill in all spaces within heavy border lines and sign all appropriate declarations.
CITY OF'COSTA MESA
PERMIT NO.
TRACT NO. LOT NO. BLDG. NO.
0092 12/3I I81 %100
CONSTRUCTION PERMIT
(
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_
t` vl �,�
- -r
Project Address
i) �'� �
TYPE OF CONSTRUCTION
❑ NEW ❑ ADD O ALTERATION -
': .l•h }
V �b3rI �I`
V
,
_... `
V' �o O
Owner Phon
Address' -
❑ REPAIR ❑ CONVERSION ❑DEMOLISH
❑"OTHER
V
ZONING REGULATIONS -
Arch/Eng— License No. -
DESCRIPTION OF WORK
~-
A.P.
ZONE
PLNG. REF. h'
_
Address '- - - -
Contract G•- Ph
- � � - �' ---
_ TYPE OF PERMIT
-❑ GRADING - ❑ FOUNDATION ❑ STRUCTURAL
[]'TENANT ❑ ELECTRICAL ❑PLUMBING ❑MECHANICA
-
SETBACK C L ST.
LIDET YARDLICENSED
55ID E VAR
- �ROPUEIfi�Y�GNE
- - - -- -
Addres3
_
dE , -
CONTRACTOR -DECLARATION -
that I licensed Charter 9
I hereby affirm am under provisions of (Com-
mencing with section ]000) of Division of the Business and
❑ OTHER - -
RIGHT
Professions Code, and my license J.✓ �Jy�liTpr act.
REAR YARD (TO
P/Q
S
'PROJECT DESCRIPTION -
_
LYft:�pNe''1�
License Class e s
PKG. SPACE REQ.
PROVIDED ,
Date Signatur ' I
SQ. FT.
• OCCUPANCY_ CONSTRUCTION TYPE
STREET WIDTH
PARK FEE $
WORKERS' COMPENSATION DECLARATION-
1 hereby affirm that I have a certificate of consent to self -Insure or a
VALUATION ZONE
ZONING APPROVED BY DATE
certificate of Workers' Compensation Insurance, or a certified copy
-
thereof (Sp�tJart �A9&A#s-C•Company7
GRADING CU. YDS. ACRES
SPECIAL CONDITIONS:
Policy Nol SI IUJ`T I dm� - - _
-
❑ Certified copy is hereby furnished.
REMARKS:
Certified copy is filed with the city Building Division.
EMPTION FROM WORKERS' COMPENSATION DECLARATION
- - - -
-
nis section need not be..completed if the permit is for one hundred
_
` • I'•
SS300) or 1es51.
_
certtty. that n the performance of the work for. which this permit is
issued, 1 shall not employ any person in any manner so.as to become
-PLUMBING y'PL'AIV CHECK
_
ELECTRICAL
_
PLAN CHECK -
subject to the Workers' Compensation Laws of California. _
BATHTUBS SHOWERS
Date Signature
NOTICE: If after 'ma king this declaration, you should become subject
TOILETS '. URINALS -
-GENERATOR
0-1 KW— 1-10 KW -
to the Workers' Compensation provisions of the Labor Code, you must
TRANSFORMER
forthwith comply with such provisions or this permit shall be deemed
LAVATORIES DOUBLE LAVS
-
APPLIANCE
10-50 KW._50 * KW _ -
revoked.
CONSTRUCTION LENDING AGENCY
-_ .
KIT. SINKS DISHWASHERS -
MOTORS-
0.1 HP -1-10 HP -
I hereby affirm that there is a construction lending agency for the per-
SERVICE SINKS SUMPS"
-
(INC. -SOLAR)
10-50 HP_ 50 .-HP
formance of the work_ for which this permit is issued (Section 3097
FLOORSINKS FLOOR DRAINS
FIXTURES'
OUTLETS - SWITCHES 7 - I
Len
Lender's Name
_ _
Lender's Address
DRINKING FOUNTAINS
-
GASTUBESIGNS
- - - -
' OWNER BUILDER DECLARATION
INTERCEPTORS CLARIFIERS
POLE LIGHTS--
I hereby affirm that I am exempt from the Contractor's License Law for
SWIMMING POOL PTRAP-
-
- "- -' '
the following reason (Section 7031.5 Business and Prof essio ns'Code:
Any city or county which requires a permit to construct, alter,
POLES
METERED SUB.
WATER SERVICE ALTERATION
-
PANELS
MAIN - .SUB '-
Improve, demolish or repair any structure, prior to its Issuance, also re-
quires the apl.licant for such permit to file a Signed statement that hC
GAS SERVICE OUTLETS
SERVICE
'- - AMP -
Is licensed pursuant to the provisions of the Contractor's License Law
(Chapter 9 (Commencing with Section 7000) of Division 3 of the
WATER HEATERS - BTU OUTPUT
- --- - - - --
Business and Professions Code) orthathe IS exempttherefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by
SEWER CONNECTIONSof
any applicant for a permit subjects the applicant to a Civil penalty
not more than five hundred dollars ($500).
SOLAR TANK COLLECTORS-
OLLECTORS
-'
- -
o, 1, as owner of the property, or my employees with wages as their
' compensation, will do the work,.and the structure Is not intended
'compensation
..Jffered
for sale. (Section 7044, Business and Professions Code: The
_
SOLAR PIPING SYS.
_ _
ISSUE FEE
_
- - - -
Contractor's License Law does not apply to an owner of a property
_ _
ISSUE FEE
APPLICATION APPROVED
BY -DATE
who builds or improves thereon, and who does such work himself or
through his.own employees,provided that such improvements are not
MECHANICAL PLAN CHECK
SUMMARY OF. FEES
intended or offered for sale. If, however, the building or Improvement
is sold within one year of completion, the owner will have the Curd en
of proving he did not build or improve for the purpose of sale).
HEATING SYSTEM 0-100,000 TU DO
Q6
BUILDING
PERMIT $
-- -
'SMIP $•
'❑ 1, as owner of the property, am exclusively Contracting with
licensed contractors to construct the (Section Business
-� _
AND DUCTING ("(�/X£
100,000
project
and Professions Code: The es not
Law does not apply to
cor
PLAN CHECK $
- -
'- PERMIT
- ISSUANCE $ ;
owner of properly who builds or improves [hereon, and who con-
build improves a
REFRIGERATION 0-100,000 BTU
PLUMBING $
- -
tracts -from such a contractor(s) Ilcesne0 pursuant to
the
- SYSTEM
- - -
- - -- GRADING $
Contractor's License Lawith
the Contractor's License Law).
100,000 i BTV
PLAN CHECK' $
i
"{, J-
01 am exempt u er Seclfo __ B. & P. C. for this
BOILERS BTU
ELECTRICAL $
$
reason - - '
REPAIR, ALTERATION
-
PLAN CHECK $�
MICROFILM $
Date - O ne - -
SYSTEM
-
MECHANICAL $
to/—L-W TOTAL FEE $ "
I hereby ce la[ 1 r ad this ap H. and state that the above
EXHAUST SYSTEM MULTIPLE
'LESS AD-
informatio torr In all city and county
r
PLAN CHECK $
- VANCE PC $
ordinance a tateI at. g 0n on, and hereby authorize
•-
- _
representativesrepresentatives p�city to en r u on the above menti nad to en r u on the above menti ned
,
property a urposes.
_
Signature -
11
_ FINAL FEE $
_—Date
Drivers' License or S
ISSUEFEE _
CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor C ( i . i ct lam
' CONSTRUCTION AND PLANIN
APPROVALS Permit#7
POOL & SPA'
Date Inspector APPROVALS Permit #
Date Inspector
1.
Temporary Electrical Service or Pole
43.
Pool & Equipment Location --
--- - -•• ---
2.
SoilPipe-Undrgrn -
44.
Steel Reinforcement
- - - •-• -- - - - -
3.
Electrical Conduit Utility-Undrgrn
45..
Forms
4.
, Electrical Conduit-Undrgrn
46.
Electrical Bonding
'
5.
Steel . ein orce
47.
Rough Plumbing & Pressure Test
"
6.
Electrical UFER Grn
48.
APPROVALTO COVER-GUNITE-- - -
--- •-- -
7.
Footings
49.
Electrical Conduit-Undr rn
8.
Foundation
50.
Gas Pipe, ❑ Undr rn, Test -
-
9.
Water Pipe-Undrgrn
51.
Backwash Lines P-Tra ° -ED nd6r:ri
- - - - -
10.
Structural Floor System
52.
APPROVALTO DECK----'-"
11.
Property Sewer Line & House Connection
53.
Backwash & Receptor -Final '
12.
Street Sewer Connection
54.
Heater & Vent -Final
13.
Rough Plumbing
14.
Rough Electric -Conduit
56.-
Electrical -Final
15.
Rough Electric -Wiring -
57.
Solar System -Final
16.
Rough Heating & Air Conditioning
- -_55.
Fencing & Access Approval
17.
Ducts, in Structure
59.
APPROVED FOR PLASTERING
18.
19.
20.
Ducts, Ventilating -
Gas Pipe -Rough & Test
Roof Framing -
_ _-
60.
-
POOL/SPA SYSTEMS FINAL
'
21.
22.
Roof Sheathing
Frame and Flashing
NOTES:
L�77
23.
Insulation
24.
Lathing & Siding
25.
Drywall Nailing -
26.
Plaster Brown Coat '
27.
Electrical Power Meter -Final
28.
Final Electric
29.
Final Heating & Air Conditioning
30.
Final Gas Pipe -Test _
31.
Final Plumbing
32.
Water Service -Final
33.
Gas Service -Final
34.
Solar Domestic -Final
35.
Landscape Sprinkling System
+ i
-
36. -
Sound Attenuation
•--
37.
Handicap Regulations
38.
FINAL STRUCTURE & BUILDING
39.
Special Requirements Completed
40.
Electric Release to Edison,.--
41.
Gas Release to Southern California Gas Co.
- -
42.
-
CERTIFICATE OF OCCUPANCY
No Date
Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA
CONSTRUCTION PERMIT
Project Address 1121 ('O 2r0 e14 LAa.JC COSTA -Ma. -3A
Applicant's Mailing(P�ddre
Owner's Name (A'L' A-cM13t1k0E ! Phonemes -2176
Address _// z7 Cd�/LOA( I- J,4 U 1p_
Arch/Eng. License No.
Address
Contractor's Name oA%'VEK Phone'
Address (mailing)
City License No.
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of Charter 9 (commencing
with section 7000) of Division 3 of the Business and Professions Code, and
my license is in full force and effect.
License Class License No.
Date Signature
y WORKERS' COMPENSATION DECLARATION
I hereby afflrm that I have a certificate of consent to self -Insure or a certificate
of Workers' Compensation Insurance„ or a certified copy thereof (Section
3800, Lab. C.)
Policy No. Company
BCertified Copy Is hereby furnished.
Certified copy Is filed with the city Building Division.
Date Applicant
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(This section need not be Completed if the permit is for one hundred ($100) Or
ess).
I certify that in the performance of the work for vVMh this permit is issued I
shall not employ any person In any man P,r s s o becobject o tete
Worker C 1, p t n Laws of Call_Yof. Data A`
NOTICE: If miler milking this declaration, you shouldCod become subject to the
Workers' with
such
pr provisions of the Labor Code, you must forthwith
comply with such LENDING
provisions, or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there I5 a construction lending agency for the performance'
of the work for which this permit is Issued -(Section 3097 Civ. C.)
Lender's Name
Lender's Address
OWNER BUILDER DECLARATION
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
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 Ills a signed statement that he/she Is licensed pursuant to the provlsion5 of
the Contractor's License Law (Chapter 9 (commencing with Section 7000) of
Division 3of 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
9alty of not more than five huntlred 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 (Sec/lon 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-
5 rove for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed con-
tractors to construct the project (Section 7044, Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who
builds or Improves thereon, and who contracts for such projects with a con-
tractor(5) license pursuant to the Contractor's License Law).
❑ 1 am exempt under Section B. & P. C. for this reason
Date — - Owner
I hereby certify that I have read this appllcation and state that the above
Informal Ion is correct. I a4ree to Comply with all city and cmmty nrrfinances
NEW ADD 6 ALTERATION REPAIR
TYPE OF CONSTRUCT17N
❑ CONVERSION ❑ DEMOLISH ❑ OTHER
DESCRIPTION OF WORK_
TYPE OF PERMIT U GRADING LJ FOUNDATION LJ STRUCTURAL
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL
❑'OTHER {3L0 Ck<— wA-LL '
PROJECT DESCRIPTION. SO. FT. OCCUPANCY
CON STRUCTION TYPE VALUATION $
ZONE GRADING CU. YDS. ACRES
Remarks: (0LJF' 1A_1, PIG=nAJ �a.4elp e
A.P.#,/S/1 -6/
5 Main Building:
E
T Front
A Rear '
C Right
SLeft
Ping. Ref. #
Parking Req./Provided
Use of Building:
Planning Notes: 11 C
.3
14 Zone
Accessory Building: L�
7
7-6 Vz
PL-
Park. Fees $
r--
O
N
I
N
G
R
E
U
I
R
Bar Sink
Showers
BUILDING PERMIT
$
T
T
Backflow Preventer
Backflow Irrigation
Service Sink
Sewer Cap
- S
ELECTRICAL FEES
Bathtubs
Sewer Connection'
Automatic Washer
Construction Pole Sub.
Transformer Cl 15.50 KW
1:1 50+KIN
Clarifiers Solar Collectors
Dishwasher
Solar Piping
Cooking Unit
Meter ❑up to 100 amps,
Drinking Fountains
Solar Tank
Dishwasher
Meter Clover 100 amps
Floor Drains
Swimming Pool w/Spa
Dryers ❑Gas ❑Electric
Sub Panel
Floor Sinks - -
Urinal
Fan
Motors 0&l HP❑I Y.-8
Gas Service Outlets
Water Closet
F.A.U.
Inc. Solar ❑9.15 HP 016-15+
Interceptors
Water Heater
Fixtures
Microwave
Kitchen Sink, -
Water Service
Device Boxes
Pole Light
Lavatories
PLAN CHECK 25%
Outlets
Range
P—Trap
-
Switches
Sign
Roof Drains
Garbage Disposal
Standing Sections
Generator ❑0.5 KW 05-15 KW
Trash Compactor
Reinspection Fee I $25 I I Issue Fee I $ 3
MECHANICAL FEES
Duct- Under Ground
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple
Firepl/Fact. Bit. ICBG #
Heating System & Ducting
00.100,000 BTU 11100,000
Signature ! Date'• // - >'
Drivers' License Or SS 9P
" Reinspection Fee
CMF 0865-46 rev. 12/83 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor
S25
Hood or Type Cl
Canopy Type 11 Cl
Refrigeration System
00.100,000 BTU ❑ 100,000
System Repair/Alteration
Issue Fee
ReinspeMion Fee
PUBLIC SERVICES R
Zoning Approved By_
Building Approved By
Application Issued By.
$251 Issue Fee
$ 3
S- 61 -
TL
BUILDING PERMIT
$
SU `MIy1ARY OF FEES
b,f�0 SMIP
'
• $
PLAN CHECK
$
PERMIT
PLUMBING
PLAN CHECK 25%
ELECTRICAL
PLAN CHECK 50%
$
$
$
$
ISSUANCE
ENERGY P.C.
GRADING
MICROFILM
$
$
$
$
-
MECHANICAL
$
TOTAL FEE
$
26,90
$ 3
PLAN CHECK 25%
$
-
..
TL
-CONSTRUCTION AND'PLANNING
APPROVALS Permit#
Date
., -
Inspector
POOL &SPA
.-gPPROVALS 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 Reinforcemept
--
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, O Undrgrnd., Test -.
9. Water Pipe-Undrgrnd.
60. Backwash Lines, P -Trap, O 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
_J_
i-
17. Rough Wiring Sign
17.
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 #
j
20. Rough Factory Fireplace
21. Ducts, in Structure-
70. Underground Hydro
22. Ducts, Ventilating
71. Product Piping O Gas OOil
23. Gas Pipe -Rough & Test
X72. Underground Flush
24. Roof Framing
73., Undergrnd. Storage Tank OGas OOiI'
25. Roof Sheathing
74. Overhead Hydro
26. T -Bar Ceiling (Structural) & Monocoat
_
75. Dry.Chemical
I -
27. Frame and Flashing
76. Dry Standpipe _
28. Lathing & Siding
77. FIXED SYSTEM FINAL
29. Insulation
78. FIRE PREV. 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
39. Water Service -Final
p
40. Gas Service -Final
'
41. Solar Domestic -Final
42. Backflow Preventer
43. Backflow Irrigation
-
44. Landscape Irrigation System
-
'r
45. Sound. Attenuation
-
46. Handicap Regulations
'.
47. FINAL STRUCTURE &BUILDING
48. Special Requirements Completed
/2
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. ''Da`te-_
- -- -
'
.. 20301
COSTA MESA BUILDING -SAFETY DEPARTMENT
P. O. BOK 817 COSTA MESA. CALIFORNIA
[A7DDnt to Fill In Completely
PE OR PRINT
RESS1127
Corona Lane
MESA, CALIFORNIA
OWNER Nesa Del Mar Development Co.
ADDRESS 3800 E. Coast Highway
wHGMIItGIniacco Realt CO. TIL. vA i11
OR ENGINEER y NO.
ADDRFSR Same as above
STATE
1 v 071
SETBAK LINE FROM p
CENTERCi11 OF STREET L 1 REAR YARD2811011
SIDEYARDI LEFT 51 I RIGHT 71611
DESCRIPTION OF WORK
NEW I A I AI TFRATION I I AOIIITIRN
SZIEDING 61,61,x5 1&60mB 6 STORIES 1
EXTERIOR 11?ROOF
COVERINGWALLq Od &I COVERINGWood Shake
USE OF BUILDING AND WORK TO BE PERFORMED
o I. i ng .hPd
garage. Plan 400 -CR
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CON.
PLY WITHALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION.
SIGNATURE OF .. -1
�IFFE1seRECEIVED
APPL CATION FOR PERMIT
ZONING
ZONE NO. OF USE OF NEW
R-1 PLANE P BUILDING,/
LEGAL
OVERHANG SHALL BE LESS THAN
YARDS APPROVED
I YMADN BUILDINGD I ACCESSORY BUILDING
DISTANCE BET. BET. MAIN @
MAIN BLDGS. ACCESS. BLDG'
.
VAR.* DATE
S
N
SO. Fr.
THE AMOUNT SHOWN UNDER VALUATION 1E FOR THE i
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
VALUATION I
PERMIT FEE $ (p (e N
m
$ 20,288.00 H to
TOTAL FEE $