HomeMy WebLinkAbout274 CECIL PL - Building Permits,
AGo���ant to /lll in ali spaces exceot those within neavy eoreer Ilnes ana si9n all aoPropriate aeclarations.
CITV OF COSTA MESA-p CONS/T�R U�TION PE MIT P RMIT N0. TFACT NO. LOT NO. UN1T NO.
Project Address � 1� l eiil' �� a$3 $� �
Applicant'SMailingAddre55 ��LI ii.q�Dl.. "�/ TYPEOPCONSTRUCTION NEW ADD ALTERATION REPAIR
�/� c 1 ❑ CONVERSION ❑ OEMOLISH ❑ OTMER
Owner's Name �`��o /"'� `��'��� DESCRIPTIpA.J OF WORK/USE DF BLDG.
Address '—�_" � ,,� ,�/}
Arch/Eng. L/s��� yi9�� LicEnse No. �/S7`%�
Address ��Uccc���OOO �pccc c+,
Contracror's Nam� Phone p
Atltlress (mailing) �i � � � � o � � �y— .(�u�atA
City License No. -� 9� %�o
LICENSED CONTRACTOR DECLARATION
1 he�eby affi�m tha[ 1 am littnsetl untler provisions of Chart¢r 9(commencing
with section 7000) ot Divislon 3 of the Businezs antl Protessions Cotle, antl
my license i5 in full force ntl ef(ect. �
License C�las% ������ icense No.
Date—�/_(�L(1� Signature
WORKEftS' COMPENSATION DECLAR TION
hereby aifirm that 1 have a certifi<ate ot consent to z¢Ii-insure or a<ertificate
F Workers' Compensailon Insurance, or a certitietl cooY [hereof (Section
3000, Lab. CJ
Policy No. Company
eCertifietl copy is hereby �urnishetl.
Certitiea copy is tiletl with the city Builtlinq Divislon.
Date Applicant
E%EMPTION FROM WORKERS' COMGENSATION DECLAqATION
(Thissection neetl not be completetl if the permit i5 for one huntlretl ($300) o�
Iess),
I certify Ihat in [h¢ performanGe o1 th¢ work for �ch this Oe�m�t is 5suetl, 1
shall not emplp y any person in any man o �o e su I to the
Workers' C�y peny� on Laws of Calif
Oace —2/ G/L'y Si9natu
NOTICE: If, afte� making this �ecla�allon, you shoultl become sub o the
Workers' Compenwtion provislons of the Labor Cotle, you must forthwith
comply with such provl5ions or this permit Shall b¢ tleemetl revok¢tl.
CONSTRUCTION LENDING AGENCV
1 nereby affirm that t�ere is a construcilon lentling a9ency for the performance
of the work tor whi<h thi5 permit i5 I55ueA (�«ion 309] Civ. CJ
Lentler's Name
Lentler's Htltlress �
OWNER BUILDER �ECLARATION
I nereby a/firm that I am exempt from the ConVActor's License Law for tha
following reason (Sectlan 7031.5 Business antl Pro�essional Gotle: Any city or
county whlch �equires a p¢rmit t0 cons[ruct, alte�, imOrove, tlemoli5h or �e0al�
any struccure, prlor to its Issuance, also requires tne applicant for such permit
to file a signetl statemept that he/she is li<ensetl pursuant to tne provisions of
'he Contrac[or's License Law (Chapter 9(commenGing witn Section �000) of
ivision 3 of tM1e Business antl Professlons Cotle� or that he/she I5 exempt
�erelrom antl tne basis tor [he allegetl exemptioq. A�Y ��olaHon ot SecHon
i031.5 �y any applican[ Por a permil subjects the applicant to a civil
�enalty oi nol more than five huntlr¢tl tlollars (§500).
I, dz owne� of the prop¢rty Or my emplOye85 with waVeS as their solo
Compensatlon, will d0 th¢ wotk, antl lha itructure Is not intentl¢tl Or ot(er¢tl
for sale (Section']044, Business antl Pro/ezSionSl Cotle: The Con(rac[or's
LicenSe Ldw tloes not apply to an owner oi a oropBrty who builtls or Improves
thereon, antl who tloes such work hlmsel//herselt or through his or ner own
employees, prOvitletl [hat suclt improvements are not Intenaetl or oHeretl Po�
Sale. If, however, ihe builtlin9 or improvement i55Pltl wlihin one yea� oi com-
. pletion, lhe owner will M1ave [he Durtlen O/ proving he/she tlitl not builtl o� Im-
p�ov0 tor [ha Ou�pose of Sale).
�'� ❑ 1, as owne� of lhe property, am ¢xtlusivery co�lracting with Iicensetl con-
I Iractor5l0 ronstruct lhe prOject (Sec[ion 7044, Bu4�ne55 antl Profe55ion5 Cotle:
The ConVactor's License Law tloes nof appty to an owner oi property who
builtls or improves thereon, antl who contracts for such. projects with a con-
tractor(sl ucense pursuant to tne Contractor's License Law�. I am aware that
proof of their Worker'S Compenution insurance shoultl be provitletl to me.
❑ I am exempt untler Settion B. 8 P. C: for this reason
Date _
I hereby cer[i
information is'
antl sta[e laws
sentatives ot
inSpeCtion pu�l
$ignature�
Dri'vers' Licen!
_ Owner
that I have reatl tnis aoolication antl state that Ihe above
'recL I a9ree to comply with a11 CiIY antl county ortlinances
lating to builtling construc[ion, a�tl hereby authoriie repre-
�� ci enter on t bove-mentionetl prop ry or
Da�e � d 7
or 55 �
TVPE OF PERMIT IJ GRADING LJ FOUNDATION LJ STRUCTURAL
❑ TENFNT ❑ EI.ECTRICAL ❑ PLUMBING ❑ MECHANICAL
❑ OTHER
p�.�IECT DESCRIPTION 5�. FT. � d oCCUaArvCv
CONSTRUCTION TVPE VALUATION 5
' ZONE GRADING CU. VOS. ACRES_
Remarks: K.��
Bar
P
Preventer Service Sink �
Irrigation Sewer Cap-
Sewer Connectio
Solar Colle rs
'.r , ' Solar P' ing
Jrinking Fountains
=1oor Drains
=1oor Sinks
.ias Service Outle
Interceptors
Kitchen Sink
Lavatories .
'—Tra
Roof Drains
Reinspaction Fee $15
Boiler
Duct- Under Ground
Duct -$trUCtUrdl
Duct - Ventilating
Exhaust System ❑ Mu
Firepl/Fact. Blt. ICBO
Heating System uctii
❑0-700,000 B U O10(
peinspection Fee � $75
CMF 0865�46, rev. 10/84 WM1it¢ - Builtling: Canary - APPlicant: Pink - Accounting; Goltlenrotl - ASse55or
�ar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Auto-Wash
Laundry Treys
Isue Fee
Hood or Ty ❑
Canopy ype II ❑
�geration System
7aioo,000eru ❑ioo,000er
System Repair/Alteration
Fire Dampers
Registers
Issue Fee
ES
g 3
FEES
$ 3.
A.P. #
S Main Buildi
E
T Front
B Rear
A
C Right
K Left
$
Ping. Ref. #
Planning Notes:
Automatic Washer
Construction Pole Sub.
Cooking Unit
Dishwasher
Dryers ❑Gas �DElectric
Fan
F.A.U.
Fixtures
Device Boxes �
Outlets
Switches
Garbage Disposal
Generator �0-5 KW �5-75
7454 5/06/87
Zone
Accessory Building:
Parking Req./Provided
24050 TL
ELEC7RICAL FEES
. Transformer ❑ 15-50 KW �
❑ 50+KW �
/
Mete� ❑up to 100 amp
Meter ❑over 100 ps
Sub Panel
Mo 0.1HPO1h-8
naSolar �9-15 HP �16-15+
Microwave �
Pole Light
Fange
Sign
Standing Sections
� Trash Compacror
Fae . �$15 � � Issue Fee
DEVELOPMENT SERVICES RE�UIREMENTS:
Zoning Appravad 8y
Building Approved By ,�}—. �� �
SU A V OF
BUILDING PERMIT $ i ��
PLAN CHECK $
PLUMBING $
PLAN CHECK 25% $
ELECTRICAL $
PLAN CHECK 50% $
MECHANICAL $
PLAN CHECK 25% $
SMIP
PERMIT
ISSUANCE
ENERGY P.C.
GRADING
MICROFILM
TOTALFEE
Z
O
N
I
N
G
R
�
Q
M
T
S
CONSTRUCTION AND PLANNING . POOL & SPA •
APPROVALS Permit# Date Inspector 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 ConHuit-Undrgrnd. 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-Undrgmd.
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
73. 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
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit # _
21. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O 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 (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. F�RE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT �
31. Plaster Brown �at 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 pomesticFinal
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound AttenUation ;� . �
46. Handicap flegulations � '-,
47. FINAL STRUCTURE & BUILDING �
48. Special Requirements Completed '
49. Electric Release to Edison '
50. Gas Release tq Southern California Gas Co
57. CERTIFICATEOFOCCUPANCY
No. Date
V�
� �5�.0 �
C057A MESA BUILDING-SAFETY DEPARTMENT
P. O. HOX 917 COBTA MEBA, CALIFORNIA
For Applieanf fo Fill In Complefely
TYPE OR PRINT
6UIL�ING Z, �'y CC(. / ��d [�
ADDRE58
COSTA MESA. CALIF'ORNIA
oWNeR2OTH C'ENTURY HOME8 INC.
ADORE552 2 NEYPPORT BOULEVpRD
c,rr Coara Mesa Not[8 8
ORCENGENEER M E L � o v� e ' No:L ! 8 B
AOORESS2 2 NEI7PORT BOULEVqRD
rn�uroerrno2OTH CENTURY HOMES� INC•
��.n, COSTA MESp� CALI�ORNLA
s;�TNo.�2ol�-667 ;,o: L[893
OF 0LD08.
USE OF
EXIBTING BI
ecrewu une
DESCRIPTION OF WORK
X II I II
EXTER{OR WALLf—""' ROOF
COVERING OfP/O/n /� COVERING
U6E OF BUILDING AND WORK TO BE PERFORME�
� X¢PEBY ACI(NQM'L8G0H TXAT I HAVB RBAD THI6 APPLIWTION
AN� 6TAiE TMA1'TM6 A00VB IB CONRER AND AGR88 TO COM-
PLY WITH ALL FIIY OHDINANCE9 AND ATH L�WB R8OUL11TIN0
BUILDINO CONB�T� ��U�)'JQI N.(�
BIGNATURB OF �Y IA: \lO�. C. D/ �D �. 11�
� AUTHORIZED
FEE RECEIVED
�NOV 3 1981 .
fINANCE DEPT.
CITY Of COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
RECEIM NO. I 'n P{RMLTiNO..
%"�='%°i I net�g��°�s�
MESA. CALIFORNIA
FIRE
ZONING
ZONH NO. OF UBE OF NEW ��/
� �I I PLAN9 L Bl11LDING � ���
�eo�� �il i/f' 3/ 5' /!/� �r. T
DE9CRIPTION / /
A.P.NO. I�!/ — �/O O � �p �
tceHrza uxe sr.>
=RONT S_3 FT. �—
t.51DE � FT. �
_. SIDE S FT.
!"'
4EAR J �' � FT.
4PPROVED.. /�p DATE ///'3
3Y viv�d{
�.�N
HOT.n FQq S _
�n �:., 0 -u...z! �»z.�
1' .�%��'
a
/ • /,v�i.�.,. /�i�
— 3.J � t� O O `�
THE AMOUM BHOWN UNDER VALUA N IB FOP TH!
PURPO6fi OF E9TABL�BHING /� PE M�T R6E ONLY.
VALUATION LI�
PERMI7 FEE $ ��/ �—
$ I�I C�OD � PLAN CHECK $ � ` ��