HomeMy WebLinkAbout1835 PARK AVE - Building Permits •
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA . . PERMITN9' TRACT NO. , LOT NO. BLDG.NO.
CONSTRUCTION PERMIT • • _ , 7q 7 •
Applicant's Mailing Address /D 9 / S TAN r�4 D r.-C.,--ti.—it-.-7' tl-oTYPE OF CONSTRUCTION AJJEW U ADD U ALTERATION U REPAIR - . 6990 93:00 TL
Project Address - ' 'CI0A1 'Q4 RIC /h 35 �ltlk 1) 0 CONVERSION 0 DEMOLISyy� 0 /�OTHER�
Owner's Name CjT7 C"! C• "'"• Phone DESCRIPTION OF WORK / (1IV� ✓3l ti 6
ZONING REGULATIONS
Address •
TYPE OF PERMIT U GRADING 0 FOUNDATION U STRUCTURAL A.P. • ZONE .
Arch/Eng. License No. 0 TENANT 0 ELECTRICAL V.PLUMBING ❑,MECHANICAL PLNG. REF.# , BUILDING
Address /� ❑.OTHER - TO BUILDING SFT9 nCk C/' ST
669eRrs Pu,.1,9Es4$ .d'6¢F1scRf�v �''�(sl,;2c9� •
PROJECT DESCRIPTION SQ. FT. ' OCCUPANCY PROPERTY LINE REAR YARD (TO P/LI
Contractor's Name hone •
(Y) Address(mailing) 1070/ 5TA'✓( OAO AVE 6,G / 426kto CONSTRUCTION TVPF VALUATIONS LEFT SIDE YARD RIGHT SIDE YARD - -
• • , , ZONE GRADING CU.YDS.. ACRES PKG.SPACE REQ. • r PROVIDED
%Se License No, •__ - -- - .
LICENSED CONTRACTOR DECLARATION Remarks: ' - STREET WIDTH . • •PARK FEE$
• I I-hereby'affirm that'I am licensed under provisions of Charter 9 (commencing ,
n�\wiithi sectionIs In 70 0)/ofce andDivision
nf c3 t,of
the Business and Professions Code, and - SPECIAL CONDITIONS: -
iV License lass , - ,_ - License No.31 3 g 3
• a PLUMBING � ,
��rpl ate "� Signature �' • - �•- a' . WS. Bar Sink Sewer Cap ELECTRICAL
I.i
it
`rYORKERS'COMPENSATION DECLARATION ' - --
1f 1 ' r hereby affirm that I have a.certlnwte.of consent to self-Insure or a certificate Backflow Preventer Sewer Connection Automatic Washer 'Meter Dover 100 amps
of Workers' Compensation Insurance, or a certified copy thereof (Section - -
3800, Lab. a .c Beikflow Irrigation Solar Collectors Construction Pole Sub Panel ,
Policy No. <-7 /33g- 22.-. Company ;5r-*'C Ki.i41v - -." Cooking Unit Sub Pole
_ ❑.Certified copy is hereby furnished, • 1 Bathtubs Solar Piping r
Cer /letl Dopy I: II d with the city. It ng Iv175t Dishwasher Motors ❑0-1 HP ❑1''A-8
Date �}_�/ 1 � � ApplicantIn„1� � E L Clarifiers 1 • Solar Tank
• EXEMPTION FROM WORKERS'C P SATION DELLA RATIO Dishwasher L •
Swimming Pool w/Spa • Dryers ❑•Gas,-❑Electric Ina Sola •
r❑9-15 HP 015-15+ -
(This section need not be completed if the permit is for ane hundred( 00)or --.
less). - DrinkingFountains Urinal , Fan' • Microwave
I cetify that In the performance of the work for which this permit is Issued I 3 _ - �p
• shall.not employ any person in any manner so as to become subject.to the , p - F.A.U. Pole Light
Workers' Compensation Laws of California. , • p Floor Drains 9 Water Closet 3Y- Qr. 9 I
Date Signature Fixtures •' - :Flange NOTICE:If,after making this declaration,you should'become subject to the - Floor Sinks - +- - - Water Heater `ate - - - -- - - g _ -. - • -
Workers' Compensation provisions.of the Labor Code, you must forthwith q
comply with such provisions-or'this.'permlt •shall be deemed revoked. 1. Gas SOMce ` Outlets: I Water$e.C ,`' - q: oO Device Boxes Sign
CONSTRUCTION LENDING AGENCY 1 ' s1 4-
I I hereby affirm that there is a'construction lending agency for the performance• Interceptors i' , _ -t, , ' .. _Outlets - I'Stand ing Sections '
' of the work' for which- this• permit is issued'(Section 3087 Civ. C.), • - - 1 •
Lnnder•s' Name - - 2 Kitchen Sink+�7, -9,- (1/4:N; `� • i . 4DOSwitches Trash Compactor ,
Lender's Address ' _ r_ - /. V - Garbage Disposal ,' OWNER:BUILDER DECLARATION • , ' • ' : , . 4 Lavatories} ./•,^ _LI% .1 J 1r \ g 0O— -
•
I hereby'affirm that I am exempt'from the Contractor's-License Law for the P-Tre ` 1 i ', d,W,4' - Generator ❑0-5 KW 05-15 KW •
-
following reason.(Section-7031-.5 Business and Professional Code: Any city or p \ 0� ,���•- Ii ,n ,_j. , �%1 ' • OC
'county which requires a permit-to construct,alter,improve,demolish or repair • `` /t ✓' -----_ YYY Transformer ❑15-50 KW , ' •
v structure, prior to its,issuance, also requires te-applicant for such permit ,a Roof.Drain\' \�• H ' . : �- v .(./ °jou
'
"le a signed statement that he/she is licensed pursuant to the provisions of • - /s' r ❑504 KW' • 'Rein ction Fee '
'' -ontractor's License Law(Chapter 9(commencing with Section 7000)of , - t 1 l I We $15'
r tion'3' of the-Business and Professions Code) or that,he/she is exempt - . Showers - 5,�,?�r' msp Ot6 ion Fee 7' $15 •
trefrom'and the'basis for the alleged exemption. Any'violation of Section - - _ Meter Dug to 100 amps Issue •Feed • '$ 3
0031.5 by:any applicant fon,.a permit-subjects the.applicant to a civil �Lfq�/ .%� ,� __. - - - - __
enalty of not more than five hundred dollars($500). ' �' Service Sink ,,.n, �_�-� '••�' Issue Fee $ 3 Zoning Approved By 1 i' Date
•
C I,'as owner of.the property or•my employees,with wages as their sola 1 }J 11„ MECHANICAL
compensation' will do the work',and the structure Js not intended'or offered .��. • + , • • Application Approved By nate
. for sale (Section 7044, Business and professional_Code: The-Contractor's - ---- - - -- -- - -__ --- - - --- - _ - - ' / 9 p
License Law does not apply to an owner of a property who builds or improves Boiler, ' Refrigeration System Application Issued By �S//�/ Date —f/v l
thereon,lantl who does such work himself/herself or through his or her own - i
employees, provided that such Improvements are,not intended or offered for Duct-Under Ground ❑0-100,000 BTU ❑100,000 BTU , I
sale. If, however, the building or Improvement is sold within one year of com- i , ' , , SUMMARY OF FEES-.-
the owner will have the burden of proving he/she did not build or Im-
rovefor the purpose ofsale). Duct-Structural System Repair/Alteration 'BUILDING PERMIT $
0 I, as owner of the property,am exclusively contracting with licensed con- $ SMTP
tractors to construct the project (Section 7044,.Business and Professions Code: - Duct-_Ventilating _ _ _ _ - __ PLAN CHECK $ CPERMIT •`
The Contractor's License Law does not apply to an owner of property who - - ��, QQ ISSUANCE j $
builds or Improves thereon,and who contracts for such projects with a con- ' Exhaust System ❑ Multiple❑ ' • PLUMBING $
tractor(s) license pursuant to the Contractor's License Law). - - f O O iGRADING I $
0 I am exempt under Section B.&P.C.for this reason ; Firepl/Fact.Blt. ICBO# r - ' PLAN CHECK $ w.
_ ELECTRICAL $ -.3--•'•.---
.
a $
Date Owner Heating System&Ducting •
-I hereby certify that I have read this application and-state that the-above ' 00.100,000 BTU 0100,000 BTI - - PLAN CHECK $ j' MICROFILM $
information is correct. I agree to comply with all city and county ordinances •' TOTAL FEE $ ' '
and-state laws r- ti g to building construction„ane hereby authorize repro- 'MECHANICAL $
sentatives of th c y o e to .-n •he .bove-mentioned property for Hood or Type I 0 •
Reinspection Fee $15 , LESS '
inspection pure r�'% / _//_a73 Ceno• T'•e II 0 - PLAN CHECK $ ADVANCED PC $
Signature a - -A
- - • Registers Issue Fee $ 3A • FINAL FEE ' $ , l� • O0
CMF 0865-46 rev.12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor • - - - ' -
I -
s_' UCONSTRUCTION AND_PL'ANNINGt + -•'Cc- , -_,0,7. ;11)0' I,SPA . - •• - - ••
i _ ' i - .Date - - Inspector p Date Inspector;
APPROVALS Permit:#- - ° - - - , . -APPROVALS•. -Permit.# - i ,
n 1_ Temporary Electrical Service or:PoI€ i p'- - - _ • 52?Pool &'.Equipment Location - • -
•
;v T. Soil Pipe-Undrgrnd.' _. `- .1 •• C; I ;•; - _ 53r; Steel Reinforcement •
3. Electrical Conduit•Utility-Undrgrnd.• I s • C� • p , -54r Forms P ., _ - • . '
..• 4' ElectIiral Conduit-Undrgrnd: F (Ia - - : _ - q c '551 ElectriLa . cal Bonding•- - . - - "
5' Steel 'Reinforcement j 1 4 ` • , r,i ' :, N rcr : '56- Rough Plumbing-.& Pressure Test : ,
6: Electrical OF ER Grnd.I - - ! - ' , 57'.;APPROVAL:TO COVER-GUNITE .
7. Footings ' •
I ; �� �c •.f• _ v r. 7' ••58 Electrical_C6nduit-Undrarnd
8. Foundation• I • I I - s 4 c _ i - -
:Ti. s, _ , ;X59. Ges'Pipe_0'Undrgrnd:,Test r,
9. Water Pipe-Undrgrnd. ' I _ J : _ 60. Backwash LinesP
-Trap 0 Undrgrnd. - 1
10. structural Floor System I i -It ' 61. APPROVAL.TO DECK O;, r
11. Property Sewer Line& House'Connection 4 . i I •:62. Backwash &-'Receptor-Final _
12. Sewer Cap 4 I •• - . -
f , - , "63. ;Heater&Vent-Final. - . -
13. •Roof'Drains ' ' ' ' I ;; - -
;`64. PlumbingSystem-Final• . ,
14. Rough Plumbing' .. ' '' "65. Electrical-Final • - - _
I '15'Rough Eleotrical-Cdnduit`j R-r - , -i -I-1- I `-i`r: ,fi6.'Solar;System-Final'-' - �' -
• •
116. ,Rough,Ele�•'tric Wiring ,. I .. 1 - `r c.71--;: = i - 67..Fencing &Access:Approval - - •- "
17. Rough_WirinotSign,- - 'm• I I I " ' : I a i = ' - • r t_ ' ;1. ; ; '68; APPROVED FOR PLASTERING ' - - 4 -
E.' 18. '.Fiough:Electrical1T'Bar Ceiling' :I � -, i 14 1 ; i 8 L 1 • 169.; POOL/SPA SYSTEMS FINAL , • '
0• 19. iRough Heating & Air`Conditioning i I . i 1 i; ' , ! 'FIRE DEPT.;REQUIREMENT, •
•x 7 20. IRough.Factory Fireplace ' I I t I APPROVALS' ' Permit# -
., ... - - i ,I r I 1 ' 4 I I • , . , , ,
7. 21. ,Ducts,in Structure, ' 1 I ,I 70 Underground Hydro: '
'22.-,Ducts, Ventilating I. ;i 1 l I j , 71. product Piping I Gas ❑Oil
4 ,23. Gas Pipe-Rough&T,,est c• I ` ;4 7.7
_I �- - ^�--t-•- I 72 Underground Flush., I _ - '
,
`24.)Roof Fr , ^amingr, ' l ' I l , • 1 •• i•. 'rf
. ' I 73. Unde,rgrnd.Storage Tank O Gas 0 Oil • •
•
•
25. Roof Sheathing1 14 I S !i _ , , , = ,,_ 74,� Overhead Hydro ,
•
_ ,'r26. T Bar Ceiling (Structural).& Monocoat I I ' i '75. Dry Chemical . .
27. Frame and 1 1 „ ' _ j ! ; _ ' 76., Dry Standpipe •,
^ . •
`, ii 28. L'athing 8/Siding:) j, 2 !! I , I a' 1 ,77.. FIXED SYSTEM-FINAL . I
29. Insulation D . n 1 • II , I 78. FIRE PREY. FINAL t .
•
-' '-30.Drywall Nailing `' • ! I ; Notes: - a: -R0Y Cy/.4,72wni.lp/ ¢x
'/1T
-.I I - - ' 131.1Pla5ter Brown Coat ' Y' !/4f'T�>rsf ave /04047 / of na ict s
32. Electrical Power Meter-Final • i ' ' i '
' - 9.03 2.6e4-7ror ' %1vncv ir te;I(- f1/4-31,rl Jy`J
1 , ,. f 1
P '! 33.!Final Electric .-_ I. _ ' I ' .. .-. _ . _
34. Final Heating &.Air Conditioning , , • i , , • ' r
35. Final Gas Pipe=Test - I ---', 2' i . - • '. t i ' j r I , _ - '
36. Hood or1Canopy'- .-1.i I -1 ,. ! - - I - . ' •
' 1 _ - I _
37. Final Factory Fireplace, ' • i • �. ` . - •
38. Final I?lurnbing i I • I i I ' I 1 I ; 1 .- "- -
I
39. Water Service-Final• 1
4
40. Gas Service-Final I I . ' ' ' I ,
41. Solar Domestic-Final i ' I l '• - -- ,:? i '
42. Backflow Preventer „ I - I '
43. Backflow Irrigation t] Y� •I • '• I I 1 ' _' I -_ I ' . , •
44. Landscape Irrigation=System - = - -
45. Sound :Attenuation , i e I - t I . _ i
46. Handicap Regulations ' I ? � i I ' ' "! . ' 1 I, i I I !
47. FINAL STRUCTURE:& BUILDING - I
48. Special Requirements Completed. it , l' $ ' �I , ' 1 I 1 ! 1
49. Electric ReleaseitojEdison 1 I ' ' ; I _ '�_! IiI t_I .
R ,
50. Gas Release to Southern California Gas Co - ! ' ' i 1 ' ,^ ' • • I- '
51. CERTIFICATEIOF OCCUPANCY ' ' ; __ ! : I . 1 -f_ '__1- `I'_•• •-
No � Date ' 1 ' I J-
r