HomeMy WebLinkAbout1128 CORONA LN - Building PermitsApplicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY bF COSTA MESA CONSTRUCTION PERMIT
Project Address // 2..3 CA�GY�/iI'
Applicant's Ma III
Owner's Names AUL L�(N Phone
Address _J/ �Lls1,KZ4ney F+`7
Arch/Eng. License No.
Address
Contractor's Nam Phoneis_ __(f_W
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
WORKERS' COMPENSATION DECLARATION
1 hereby affirm that I have a certificate of consent to self -insure or a certificate
�f Workers' Compensation Insurance, or a certified copy thereof (Section
'00, Lab. C.)
licy No. Company
L� Certified 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 IF I is for one hundred ($100) or
less).
I certify that in the performance of the hich this permit is issued
shall not employ any person in any n as become subject to the
Wor leery sat"ptptpyy ws of Calif
Date/ �' LJ / Signatur
NOTICE: If, after making this declarationou 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
1 hereby affirm that there is 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 1 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 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
'031.5 by any applicant for a permit subjects the applicant to a civil
ln'alty of not more than five hundred dollars ($500).
_^1, as owner of the property or my employees with wages as their sole
pensalion, 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 tloes such work himself/herself or through his or her own
employees, provided that such improvements are not intended or offered for
sale. II, however, the building or improvement is sold within one year of com-
pletion, the owner will have the burden of proving he/she did not build or Im-
prove for the purpose of sale).
❑ 1, as the
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 wlth a con-
tractors) license pursuant to the Contractor's License Law). I am aware that
Proof of their Worker's Compensation insurance should be provided to me.
❑ 1 am exempt under Section B. & P. C. for this reason
Date
Drivers'
i�15�rul
ha read this application and state that the above
I. ee to comply with all city and county ordinances
construction, and hereby authorize yforupon the above-mentioned property for
.,.osI//-181
or SS #
3ar Sink
Showers
3ackflow Preventer
Service Sink
3ackflow Irrigation
TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR
3athtubs
❑ ❑ ❑
Clarifiers
CONVERSION DEMOLISH OTHER
A.P. # J
DESCRIPTION OF WORK/USE OF BLDG.
Drinking Fountains
Solar Tank
Floor Drains
S
Main Building:
'
Gas Service Outlets
ater Closet
TYPE OF PERMIT GRADING FOUNDATION STRUCTURAL
T
Front
11TENANT F-1ELECTRICAL❑ PLUMBING ❑MECHANICAL
B
Auto -Wash
❑ OTHER
A
Rear
PROJECT DESCRIPTION 50. Fr. OCCUPANCY
C
K
-
CON STRUCTION TYPE VALUATIONS X00(2
$
Left
ZONE GRADING CU. YDS. ACRE$
Ping. Ref. #
Remarks: 5 gL� W 7ia, / rf IDA tax
Planning Notes: r
r �
PLUMBING
FEES
Reinspection Fee
3ar Sink
Showers
3ackflow Preventer
Service Sink
3ackflow Irrigation
Sewer Cap
3athtubs
Sewer Connection
Clarifiers
Solar Collectors
Dishwasher
Solar Piping
Drinking Fountains
Solar Tank
Floor Drains
Swimmi ool W/Spa
Floor Sinks
Uri
Gas Service Outlets
ater Closet
Interceptors
Water Heater
Kitchen Sink
Water Service
Lavatories
Auto -Wash
P—Trap
Laundry Trays
Roof Drains
e Dampers
7639 E/II/f7
o� Accessory Building:
v/
Or Alh
Q
Parking Req./Provided
R
E
0
M
T
S
ELECTRICAL FEES
Automatic Washer
Construction Pole Sub.
Transformer ❑ 15-50 KW
❑ 50+ KW
Cooking Unit
Meter ❑up to 100 a
Dishwasher
Meter Dover 1P -Ps
Dryers ❑Gas ❑Electric
Sub Panel
Fan
Motor 0-1 HP ❑lh-8
F.A.U.
I .Solar 09-15 HP ❑16-15+
Fixtures
Microwave
Device Boxes
Pole Light
Outlets
Range
Switches
Sign
Garbage Disposal
Standing Sections
Generator C30,1AW ❑5-15 KW
Trash Compactor
Reinspection Fee
$15
Issue Fee
$ 3
Reinspection Fee
$15 Issue Fee
MECHANICAL
FEES
Boiler
Hood or Type ❑
Canopy Type I I ❑
DEVELOPMENT SERVICES REGUIREMEpUT$(/�
Zoning Approved By-'!/L-t-�•�'v-� I
Building Approved By
Application Issued By I
Duct - Under Ground
Duct - Structural
Refrigeration System
❑0-100,000 BTU ,000 BTU
Duct - Ventilating
SUMMARY OF FEES
BUILDING PERMIT $ 3Z•5"Z7 SMIP
PLAN CHECK $ �� • �'L PERMIT
PLUMBING $ ISSUANCE
PLAN CHECK 25% $ ENERGY P.C.
ELECTRICAL $ GRADING
PLAN CHECK 50% $ MICROFILM
MECHANICAL $ TOTAL FEE
PLAN CHECK 25% $
Exhaust System ❑ Multiple
m
SysteIteration
Firepl/Fact. Bit. ICBG #
e Dampers
Heating System & Ducting
00-100,000 BTU ❑100,0 T
Registers
Reinspection Fee
$15
Issue Fee
$ 3
CMF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor
$ 3
$
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 LIFER Grnd.
57. APPROVAL TO COVER-GUNITE.
7. Footings
r
58. Electrical Conduit-Undrgrnd.
8. Foundation
59. Gas Pipe, 0 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 ❑ Gas ❑ Oil
23. Gas Pipe -Rough & Test
72. Underground Flush
24. Roof Framing
73. Undergrnd. Storage Tank ❑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
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
'
e
38.'.FinaI Plumbing
39: Water Service -Final'
+'
40. Gas Service -Final
Solar D6mestic-Final
42: Backflow Preventer
r
A.•Backflow Irrigation
44. Landscape Irrigation System.
`.:451 Sound Attenuation
46:!Handicap Regulations
.
47.,FiNAL'STRUCTURE & BUILDING61-
,
48. Special.Requirements Completed
49. 'Electric",Release to Edison
i.
50. Gas Release to Southern California Gas Co
,
51. CERTIFICATE OF OCCUPANCY,
No. Date
'
'
THIS AGREEMENT, made and entered into this ID day of
/98 7
448, by and between 1YWL L L ISi�K�S
hereinafter referred to as "LAND GMER", and
hereinafter referred to as "ADJACENT =PROPERTY CWNER".
It is hereby agreed that a party wall will be constructed on the
property line between //;?F 4 / zmbq- LN 4Nd //32 COgz> VA- LN
in the City of Costa Mesa, County of orange, State of California, as per map
recorded in Book , Page of Miscellaneous Maps, in the office of the
County Recorder of said County. The party wall shall be permitted to encroach
IN WITNESS VHEREOF, the parties hate entered into this Agreement the
day and year first above written.
A4UL L��i4fC�S
Name (Typed or Printed)
//ZS
(Address)
42 S77q-
(Signature)
Name (Typed or Printed)
(Address)
9=62%
TYPICAL 611 CONCRETE BLOCK FENCE
Cement Coping Optional
Channel Block With 1.3/8
Horizontal Top of all
Fences
For Fences 5' or Less
Vert. Ban 3/8" � at 4' -0" O.C.
For Fences Higher Then 5'
Vert. Ban 3/8"0 at 32" O.C.
Fill Cells Solid With Grout
Where Steel occurs
Reinforcing Steel Shull
Conform to Sec.A-15.39
A.S.T.M.
All Steel to be Lapped
24" Or to Code
NATURAL
TWO 3/e"0 BARS
CONTINUOUS TOP .
8 BOTTOM
a
HOst7ZSTEEL MUST SE TIED IN
PLACE AT TIME OF TRENCH
INSPECTION.
a
4
BELOW
FOOTING REQUIREMENTS CHART i
GENERAL- NOTES
MORTAR:
One Part Plastic Cement, and
Three Parls'Sond
GROUT;
One Part Cement Three and
. . .I._12�, ....:
.... .. H" . ... . . . . .
One Half Parts Stand
COPING:
One Part Cement, Three
160..
Parts Sand
CONCRETE:
Well Mixed 1:2-1/2:3-1/2
. . . . 161. . . . . .'. . . .
Max. of 7-1/2 Gallons of
•
Water Per Sock of Cement
GROUT MAY BE POURED FROM THE TOP
OF THE FENCE IN CELLS WHERE STEEL
OCCURS.
CELLS AND AREASOF HORIZONTAL REIN-
FORCEMENT SHALL BE CLEAR, CLEAN e
FREE OF ALL MORTAR DEBRIS. ETC.
A OF EARTHTCOTH
13 THE HEiGTH OF FENCE
$FLOW BOTTOM OF FOOTING.
I
SCALE: 1/2" a I'
WIDTH .
. . . . .
12
. . . . . . . . .. . . ..14" . . . . . . . .
THICKNESS . . . . . . .10".. . . . .. . . ..
. .14. . .
.10" . . .. ..
. . .I._12�, ....:
.... .. H" . ... . . . . .
. e"
DEPTH OF EARTHTOOTH .. 24" . ..
20" .. . .
160..
12" '
SPACING OF EARTHTOOTH. . 12' . .. . .. . . .
. .141 .. . . . . .
. . . . 161. . . . . .'. . . .
. 16'
•
OWNERS NAME:
tilL l�A-If�S _
_ _ _ _ _
City of Costa Mesa, California
JOB
PERMTONUMS
Building
Department.. '
SIGNA
_ _ _ _ _
_ _ _ _ _
=vpbpo Now. at
City of Costa Mesa Building Dent.
OY / DATE S /� 1 %_' 7
THESE PLANS IAU.`.T BE i-)!! JOa AT ALL TII-,'.ES i•' ": -
NO OiANGES W:
i"NOOiANGESW: it!.;,.._.?,hCVALOi C:'1.
TY.E,!5,WANCE Ch ' "•'IS
.. .: OR F;,P,%'— .T.
PICAS AND SPaCl[. • ., v a
.. I:ONSTRL Ii!: i' ' • ..,
FOR Oit A^'
T�'�,,.' �'R:JV1510;.T� PI—1
'8cE:1GVh'r. TU '- +C
T":
AIITHQP jy TO V1091 ..
iF:: BVI: IC.!�5 �: ). ::.•
PP:' SHALL Pp Vql._',
,,.�: Ai TFic WUi:K Or US:
"11i:H IT AU -1
THE :5O1 a!i: OF e PFgMIT G' SED UPON Pl4P15 nnlp
ECIF.Cµ�;,;;a5 <..Ai: K^T PREVENT THE BUILDING C, al
FkON. THERE.-FTER REQUIRING 1HE CORRECTION G' o IN
SAID PLANS AND SPECIFICATIONS Cm *F \ .vT.-NG
BUILDING OPERATIONS BEING CARRIED ON TH.EREU vn E.I W nEN
IN VIOLATION OF THIS CODc OR OF ANY OTHER ORDINPNCE OF
THE CITY.
■cawcra
'76/ A 6'
Z6' .57�F
//2$
0[uoucc
PLAJ
St4M" TO 81IDG. DEPT. IZk
AXJ TF
D rOl PtANNINO
7 I/n 11 W1/1 X
ILuwcuci
STREET A CcoRaIVA- LN _
tli
W
A
M
L_TY OF COSTA MES._
CALIFORNIA 92626 P.O. BOX 1200
FROM THE OFFICE OF THE DIRECTOR OF BUILDING SAFETY
Project Address
Project Name
Owners Name 744j_r Z_ 1,4"-w
Owners Address /�ViPoAl,Q i(,gZ(./1
owners Telephone !;;75� l — S-S7S
Permit # 1802,S_
Type F 0 -
City Use Only
Contractor, (strike out all
except one) do hereby attest that employment of any person, or persons, is not
anticipated at the time of seeking the above -referenced permit. In the event that
any person, or persons, are employed under the provisions of this permit, I shall
immlediately cause a valid Certificate of Workmens Compensation to be filed with the
Costa Mesa Building Division.
I agree to defend at my own cost, and to indemnify and hold harmless, the City,
its officers, agents and/or employees, from and against, any and all liability,
damage, costs, lasses, claims and expenses, howsoever caused, resulting directly
or indirectly from, or connected with the improvement under this permit.
I further state that I have read and fully understand the implications and re-
sponsibilities of the above statements, and will comply with all provisions of the
Contractors State License Law found under the Business and Professions Code,
Division 3, Chapter 9, of the State of California.
Print Name
CMF 0777-46
-_-�2 '-? -�a
Date
GENERAL CONTRACTOR Air Vent DESCRIPTION OF WORK Sunshade Cover
An DTe l ).l -1 1, nm mo Anm crux 2nwv VGT.I1F. 4Rn (-)-n 1
INSPECTIONS Signature Date
GROUP J TYPE N ZONE R-1 „
Soil
SUBCONTRACTOR
I
PERMITS ISSUED _
Gas
Date Number Signa,
Water
Plumbing
Rough Plumbing
_
Prop. Swr. Line 0 House Con. 0
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground ❑ Power 0
Rough Wiring
Heating and Vent.
Trenches 0 Forms ❑ Steel Reinf. ❑
_
Floor System
Bond Beam ❑ Steel Reinforce ❑
Sheathing
Frame and Flashing
Lathing — In ❑ Out ❑
Plaster Brown Coat
Structural, Final
Electric
Heating, Vent., Refrig. and A.C., Final
Plumbing, Final and Gas Test Q
Electric, Final z
Building, Final
2027!1111
1
COSTA MESA BUILDINGSAFETY DEPARTMENT
(� ( �,)
FEE
BOX 917 COSTA MESA. CALIFORNIA
i V u
For Applicant
j% 251963
to Fill In Completely
P�ICATK�N FI
TPERMIT
��I�`Vi/l.�B�111[L(DI1N^I�,�11w
TYPE OR PRINT
(� _fir
�.
C For 1,Wfi" bsdAWily
BUILDING
ADDRESS 1128 Corona Lane
[ 11
REAR YARD 3 1V
R[CHIPT NO.
COSTA MESA, CALIFORNIA
P1. -Ir
'.�'✓lam /.
ALTERATION
RHC pAT eCe1V D 1 �QATP�IS�U�[�C�
TiZ 6,/ JUL `Jv
OWNER r c
MAIL
3800 E, COa.St Highway
BUILDING
ADDRESS
ADDRESS
TEL.Or101e
IRE
ZONE
CITY Corona Del Mar Calif a o.
3 4220
TYPE GROUP6/ T
ARCHITECT TEL.Criole
APPROVED
BY. DATE
ORENGINEER Macco Real Co.NQ.
BET. MAIN S
REPAIR
ZONING
ADDRESS
ZONE NO. OFUSE OP NE
R_1 PUNH 2 BU ILDIV/ att 1_Tar.
HIzEL
6 1
1
R. SIDE FT
NO. OFBLDGs
OF LOT X
NCW ON LOT 1VORe
USE OF
None
EXISTING BLDG.
SETBACK LINE FROM
CENTER OF STREET
K� t
[ 11
REAR YARD 3 1V
A. P. NO, none
NOTE: NO SAVE OVERHANG SHALL BE LESS THAN
YARDSAPPROVEDI YARDS APPROVED
MAIN BUILDING ACCESSORY BUILDING
HIDE YARD LEFT 5f6If
I RIGHT 516ft
R. SIDE FT
FT.
DESCRIPTION OF WORK
L.HIDE Fr.
FT.
6
NEW
ALTERATION
ADDITION
REAR FT.
FT.
DISTANCE BET.
BET. MAIN S
REPAIR
MOVING
DEMOLISH
MAIN BLDGS.
ACCESS. BLDGS.
BUILDING `-t' NO OF
7 2
VAR.#
DATE
SIZE 541Aµ11611 ROOMS STORIES
C.U.P.#
APPROVED
EXTERIOR WALLWOed & ( ROOF Wood Shake
APPROVED
COVERING COVERING
BY W.L.D.DATE
6
U36 OF BUILDI ORKTO BEPER ORMED
Single famil dwelling w attached
Dwelling2266
Garage 460 S
F.
garage. Dl�' Knn17a
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
C
BUILDING CONSTRUION.
SIGNATURE OF
PERMDyManpo ILea
AUTHORIZED AGK 1
THE AMOUNT SHOWN UNDER VALUATION IS FOR THE S
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
VALUATION m
n
PERMIT FEE $ �
III 23,925.00 PLAN CHECK -375
E
25859
COSTA MESA BUILDING SAFETY DEPARTMENT
P. O. BOX 1299 COSTA MESA• CALIFORNIA 92828
For Applicant to Fill In Compbfsly
'1
TYPE OR PRINT
SU
ADDRESS 1 O �O 6•J IR •./
COSTA MESA, CALIFORNIA
OR ENGINEER h - .9'- 4 L, No.
ADDRESS 3 1 •'? `/e; /J • t L -A-
CONTRACTOR
CONTRA R
ADDRES I p Y ,. �'� /]...-C�!'+.aiLw.
CITU
NOTE: 1
LINO.
No��77-43G� ao TO
SIZE VOF LOT
USE OF -
EXISTING BLDG. -
BETDACtt LINE lAOR
Err 3 Im I RIGHT
DESCRIPTION OF WORK
Sri x
WALL
CITY OF ��NNU.';STA WSA
APPLIJA190F1 ` 0MMIT
SY I DATt�RBC�J70
Z8/ ct-o C
T'YP ORC
DATE
ZONING
NO. OF UDEOFNEW
PLANt BUILDING
YAROSAPPROVED
MAIN BUILDING
1 HERSDY ACKNOWLEDGE THAT.1 HAVE READ THIS APPLICATION
AND STATE THAT THE ASOVE IS CORRECT AND AOREE TO ODM.
PLY WITH ALL CITY ORDINANCES AND RATE LAWS REGULATING
BUILDING CONBiRUR10�
n
SIGNATURE Or r
PERMITTER
.aS 1n/�
soap
SHALL BE LESS THAN
(U. B. C. REQUIREMENT)
YARDS APPROVED
ACCESSORY BUILDING
R
REAR l Fr.
Fr.
DISTANCE BET.
BET. MAIN R
MAIN BLDGS.
ACCESS. SLOGS.
VAR.#
DATE
C.
APPROVED
APPROVED
Y
TL O
eta o SQ. Fr.
WE AMOUNT SHOWN UNDBR VALUATION IS FOR THE
►URP 8E OF ESTABLISHING A PERMIT FEE ONLY.
VALUATION
PERMIT FEE (0
s b ��
O
TOTAL FEE III