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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 ( �. _ 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 $