HomeMy WebLinkAbout2120 THURIN ST - Building Permitsfi �� 26390
:�OSTA MESA BUILDINGSAFETY DEPARTMEM
P.O. BO%9f7 COSTA MHBA. CALIFORNIA
For Appllcanf fo Fill In Completaly
TYPE OR PRINT
BUILDINQ ����0 n + � //'
ADORE55 f. G
COSTA MESA. CALIFORNIA
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NOW ON LAT
WE�..L��
DESCRIPTION OF WORK
WALL
1 NEREBY ACKNOWLEDOE THAT I XAVg R8/�D TXIB /�PPLIGTION
AND BTATg THAT TX8 ABOVB IB CORRlR AND AORfiB TO COM.
PLY WITX ALL CITY ORpINANC88 ANO 9TATH LI�WB R80ULATINO
BUILOINO CONBTP ION. �
BIGNATURE OP
PERMITTE
AUTHOR�=EO AQENT DA A 1 i AQ.LU-
HOV22-66 00 965# *��`*18.00
APPLICATION FOR PERMR
BUILDINO
Fo� ONice Ilsa On(y
I R6C[IR NO. P_
2/ ZO %�/uri�al
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J����PE ORO�/ �2�
DATH '
ZONING
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PLAHB CWLDINO / � �
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D88CRIPTION � '
A.P.NO./I� �`�� -./
NOTE: NOHAVEOVERXANOBHALLBHLESBTNAN
90'TOSIDH@REARP.L ' � A
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EAVES � AK/l
ALLOWED �U.B.G.REQ IREMENT'.
YARDBAPPROVED YARDSAPPROVED
MAIN BUILOfN6 AGCESSORY BUfLOtNQ
VAR. �j
DATH
a
SC. PT. �
TXe IINOVNT BryOWN UNOER V�LUAT�ON IB FOR TN8 =
PURPOBH OP EBTABLIBH�NO • PEHMIT FE8 ONLY. �
VALUATION m
PERMIT FE8 � �
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIfORNIA 92626
For Applicant to FHI in Completely — Use Ink Only
ADDRESS �/ �.L��µ� ) � !-�(/ G
OWNER A I,(; U� �V /.. �O�i-�E�
c�n�i i . �
CIT
BRANCH
ADORESS
ARCHITECT TEL.
CONTRACTOR /( ///IT/OIJ "
TEL.
CITV NO.
STATE CITV
LIC. NO. LIC. NO.
SIZE NO.OF BLOGS.
OF LOT NOW ON LOT
USE OF
EXISiING BLDG.
Separate permits are required for
electric, plUmbing and heating work.
USE OF BUILDING AND WORK TO BE PERFORMEO
I haraby acknowlatlpo that I heve raetl Shi� apP���etlon entl sinm
thet the ebove Inlormetlon la eorract antl oprea to comply wiM
ell lawf rapulatlnp buildinp conrtructlon, antl I shall not amploy
eny parwn In violatlory pf tha workmnn's compenaatlon lew� oi
tha Stata of Calitornie.
I hareby cartify that I em properly Ilcensed as a contractor under
the STete of Callfornle Buslnest entl Profauiona Cotle, Dlvlsion 3,
Chapter 9, an0 t�et ean�es era in full force entl effect, or I
am exempt from prov6(om of tha Stete of Celffornfa Buafneu
entl Profassion� tle, pW��lon 3, ChapM� 9.
/
Sipnatura o . l%�
Permlttee �� V
Auihorizad Apent
'?AY 24-77FAt�OO1143� **° **5.��
CPS^
APPLICATION FOR STRUCfURAL PERMIT
REC E BY DATE R EIV DATE ISSVED
A.P. NO. I`/ �JL=-�.� ��7I PEFMIT NO.
BUILDING , t� [� ,
AODfiESS `7`r lf'
TRACT L T BLOCK
A
OWNER � L� � �
VALUE
s %E�bL �. . s
FIRE
20NE TVPE GHOUP
APPROVED J /�
BV DATE /1 �/
ZONE. ,�F, O.OF
-'C.r PLAPLS
VAR�S APPROVE
MAIN BUILDINC
(FROM C/l STREET)
VAR. qW
C.U.P.y�+
USE OF NEW
BUILDING {
BET. MAIN &
ACCE�. BLD
��
PPPROVED
THE AMOUNTSHOWN UNDER VALUATION IS FOF
THE GURPO6E OF ES'fABLSHiNG A PERMff FEE ONLV;
VALUATION PERMIT FEE S � a�
�/J PLAN CHEGK S
r—
$ �Q./� ' TAX 3 �
0� V
TOTALPAID S
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Applicant to fill in a11 spaces exceot those within heavY boreer Iines ane sign a11 aporoDriate aeclarations.
G�TYlp LOSTA M�jESA SIj_ONSTRUCTION PERMIT PERftM'T NO. _, , TRACT NO. LOT NO. UNi7 N[i �
r'r0iec[Address��f,Q�/�w1QlKi {��i� � � �
�:. `!q .
I, r�pplicant's Malling Address `, ���J`��.$��� ��/�
Owner'sName �y• ��� 7�e�lin'fm��7�'�f-��-u���/���
Address ��� �f �i7 �� �� � � �=� `�
� ,
Arch/Eng. � License No.
Address /�,
Contractor's Naml.d�i%J�2�✓�l� �� � ,_Phone
Address (mailing) �
City License No.
LICENSED CONTRACTOR DECLARNTIOry
1 hCreby affi�m that I am licensetl untle� p�oyisions of Chartei 9(commencin9
with section 7000) of Division 3 of tne Business zntl Professions Cotle, antl
my license is in full force antl effect.
License Class ' License No.
Date Si9nature
'00.KER5' COMPENSATION DECLARATION �
ereby afti�m tM1at I have a certificate of coq5¢nt lo self-insure o� a C¢rtificate
� Workers' Compensation Insurance, or a certitietl mpy thereof (Settion
3800, Lab: C.)
Policy No. � Compaqy
eCertitietl copy is he�eby tumishetl.
Certifietl copy is tlletl with the city Builtling Division.
Date Applicant .
EXEMPTION FROM WORKEFS' COMPENSATION DECLARATION
(This section neetl not be completetl if [he permit is for ane huntlretl ($100) or
less).
I certify that in the pe�to�mance of th rk fo� which thi5 erm�t i5 issuetl, I
shall not employ any person i� eny ^�e�so as t�ec�� subject to the
Date
after making.this tlecla73tion, ypu sfy6ultl become
compiy w�m sucn pravivons or mis permit shan oe aeemea fCVOK¢Q.
CONSTRUCTION LENDING AGENCV �
I hereby afiirm that there is a construction lentling a9ency for the periormance
of Ihe wo�k for which this permit is issuetl ($ection 3097 Civ. C.)
Lentler's Name ,
Lentler's Atltlress � .
OWNER BUIL�ER �ECLARATION � •
I hereby atfirm that I'am exempt trom the Cont�actor's License Law for the
following reason (Section 7031.5 Business antl Professional Cotle:'Any city or
county which requirez a permit to consVuct, alter, improve, demolish or �epair
any structure, prioTto its issuance, also reqUires tne applicant for such permit
to file a signetl �statement that he/she is licehsetl pursuant to-the provisions ot
`�e Contractor'S License Law (Chapter 9(cor�mencing with Section 7000) of
Ivision 3�of the Business antl Pro(essions Cotle) or that he/she is exempt-
ierefrom antl the basis for the allegetl exemption. Any violation of Section
�J031.5 by any applicant for a permit sUbjects ihe applicant to a civil
�enalty of not more than five ttuntlretl tlollars ($500�. ' -
I, as owner of the property o� my eTployees with waqes as their sole
Compensation, will tlo the work, antl the structure i5 not intentletl o� ofteretl
for saie (Section 7044, Business antl Protessional Cotle: The Contractor's
License Law tloe5 n01 appty to an owner ot d properry wito builtls o� improves
thereOn, antl who tloes such work himselt/herself o� th�ou9h his or hEr own
employees, provitletl tM1a[ sucb improvemen(s are not Intentletl or offcretl for
sale:9�, however, the builtling or improvem@nt is soltl wlthin one year oi com-
Dletion, tM1e owne� will have the burtlen of proving he/She tlitl not builtl o� im-
prov the purpose ot sale). , � . �
as•owner of the property, am ezclusivery cont�acting with licensetl com
tractorsto wnstruct the project (Section ]Oqq, Business antl Professions Cotle:
The Contractor's License Law does not apply to an owner of property who
builtls o� improves theteon, antl who'contracts for zuch projects wltn a con-
Vactor(s) license pursuant to the Con ctor'S Litense Law). I am aware tbat
proof ot tM1eir Worket's Compen5at n nsU�ance Shoultl be provitletl to me.
' L7 I am exempt untler Section — B. & P. C. for this reason
TVPE OF CONSTRUCTION NEW ADD� ALTERATION REPAIR � I
❑ CONVERSION ❑ DEMOLISH ❑ OTHER � q,p, #
DESCRIPTION OF WORK/USE OF BLDG.
. S Main Buildi
E
TVPE OF PERMIT ❑ GRAOING ❑ FOUNDATION STRUCTURAL T Ffont
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL i ' B Rear .
❑ OTHER . ' � A
PROJECT DESCRIPTION Sq. FT. oCCUPA v � C Right "
�� K Left
CONSTRVCTIONTYGE ,VALUATION$�_(L_ $
ZONE GRADING CV. VDS. ACRES � . p�ng. Ref. #
iiemarks:� r e.._ � 'i // Fl � a, O,��i �9rS�_� PlanningNotes:
Date ��- `;r �� Owner ,
I her¢by cer[ify tM1a[ 1 have reatl tM1is applica on antl state that the above
information is orrecL 1 agree to comO�Y with all cily antl county ortlinances
antl 5[ate Iva �lating to builtling const�uc�ion antl hereby autho�lze repre-
sentatives f th 5 G to ente up [hg above-mentionetl property for
inspection ur zes� � ` �
Signature /A�� .2 Datrli'Y+Z��
Drivers' C'c � 0 55 � � � .� � __�__—
3ar Sink
9ackflow Preventer .
Backflow Irrigation � .
Bathtubs , �
C12fIt12f5
Dishwasher . '-
Drinking Fountains .
Floor Drains '
Floor Sinks
Gas Service Outlets
Interceptors -
Kirehen Sink . . .
Lavamries
P-Trep
Roof Drains .
Reinspettion Pee � $15
Boiler
Duct-UnderGround '
Duct - Sttuctural
Duct - Ventilating
Exhaust System ❑ Multiple ❑
FirepVPact: elt. IC60 #
Heating System &�Ducting
❑ ai oo,000 eru O i oo,aoo ar
Reinspection Fee $15
rev. 10/B4 White - Builtling; Canary - Applicanh Pink - Accounting; Goltlenrotl - ASsessor
Showers
'Service Sink..
Sewer Cap ' • �
Seuver Connection
$O�dI COII¢CLOfS
Solar Pipin9 '
Solar Tank
Swimming Pool w/Spa'
Urinal
Water Closet '
Water Heater
�Water Service ' �
Al1LO�W85I1 .
Issue Fee
Hoodor �Typel ❑
Canopy TYPe, I I ❑
Refrigeretion System
❑0-100,OOOBTU ❑100,000
System Repair/Alteration �
Fire Dampers �
Registers
Issue Fee
-FEES
� �
. ,�-. .
" " � _ , . _, Zone
ig: Accessory Building: �
�
0
Automatic Washer
Construction PoleSub.,.
Cooking.Unit �
Dryers
Fan
F�A:U.
• Device Boxes
' OuLIeLS
Switches � �
' Gar6age Disposal
� - Generator �0-5 KW
Parking Req./Provided
:
ELECTRICAL � : .
Transformer ❑ 15-50 KW� �
� � 50+KW �
Meter � �up ro 100 amps ,
Meter ❑over 100 amps
Sub Panel _ � � '
Motors OO-1 HP, �1 %- 8 '
Inc.Solar �9-15 HP 016-15+
Microwave �
Pole Li9ht
Ran9e
Sign '
Standing Sections •
� Trash Compacror
$ 3
Reinspection Fee !$15 Issue Fee
FEES
�DEVELOPMENTSERVICESREQUIREMENTS:
- Zoning Approved By '
Building Approved By '
APPliwtion laued By �
$ 3
FEES
'.
Z
O
N
I
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G
R
E
Q
M
T
S
-- SU ARV F FEES ' � (^�
BUILDING PERMIT $ �-�' ,SMIP $ •� `� _
PLAN CHECK � $ PERMIT � -
PLUMBING � $ ISSUANCE: $ .
PLAN CHECK 25% $- ENERGV P.C' $ �
ELECTRICAL g GRADING $
PLAN CHECK 50% $ MICROFILM $
MECHANICAL $ TOTALFEE $a��
PLAN CHECK -25% $ - ' ' � �
TL
{
CONSTRUCTION AN,D PLANNING POOL & SPA ,
�APPROVALS 'Perrriit:�h ' �Date Inspector qppROVALS Permit# � Date Inspector
� �J
1.' Temporary Electrical`Serv�ce or Pole � 52. Pool & Equipment Location .
21' Soil Pipe-Undrgrnd. ��"' 53. Steel Reinforcement �
3. Electrical Conduit Utility-Undrgrnd. 54. Forms• -.
4. Electrical Conduit-Undrgmd. 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, � Undrgrnd., Test
9. Water Pipe-Und�grnd. 60. Backwash Lines, P-Trap, � Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
i
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 - . �
i 6. 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 •
20. Rough Factory Fireplace � APRROVALS Permit# � ,__ _
21. DuGts, 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.StorageTank OGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro -�
26. T-Bar Ceiling (Structuraq & 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 DEP.T. 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 . . . � '
_ �
40. Gas Service-Final � � •�
41. Solar pomestioFinal � � . . � �
�42. Backflow Preventer . - -' ,. �.
�.
.43. Backflow Irrigation . '' - . ' �'
44. Landscape Irrigation System � � ' i ,:. -, - . ,'
45. Sound Attenuation . . ' ' •
46. Handicap Regulations � � , ;,,.;� -�
47. FINAL STRUCTURE & BUILDING � � 7 ;: �
1�;
48. Special Requirements CoruPleted ' u � `.- -
�' �,
49. Electric'Releaseto Edison � �
/
50. Gas Release to Southern Califomia Gas Co � � � . • -� .
51..CERTIFICATE OF OCCUPANCY . �
No. ' Date . . L` f�,