HomeMy WebLinkAbout2751 BRISTOL ST - Building PermitsJOB ADDA
GENERAL
DATE � GROUP
---I SUBCONTRACTOR
OCCUPANCY
BUILDING PERMIT NO
- Jo
5-2�-bo
Farm 410—SM-11-59 5-B P • 11E�•j
Y�l
, � � �. ��.C�ro'�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 817 C06TA MEBA. C�.�FORNIA
Fo� Applieanf fo Fill In Complefely
TYPE OR PRINT
COSTA MESA CALIFORNIA
/_ O � !J i
� MAIL
SIZE
OF LOT U� O
USE OF
EXIBTING BLDG
BHT9I�GK LINB PpON
�
TEL.
NO. OP BLDGB.
DESCRIPTION OF WORK �
EXTERIOR WAIL
COVBRING
U8E OF BUILDING !
� Heneer wcKnowi.ec
ANO 6TATC THAT TX
PLY WITX ALL CI
BUILDINO CON9 i
SIGNATURH �
PERMITTE
AUTHORIZ D AGENT
ROOF
; �� R���IU�!�
.�-�. s-a�l-�c
FINANCE DEP�'.
APPUCATION�fOR�R�tM� I�f.�.�
BUILDING
For Office Use Only
rteceiwr Ho. veax�c et�
•9��,�
BY DAT6 RECEIVEy I88
I ,3-30—loa I q ' �
I ��
COSTA MESA. CALIFORNIA '
ZONING � `
ZO I )/ NO.OF UBE OF NEW cl�'�
�i I PLANB BIIILD�NG /�(
O
IEGAL n(� //yr )=
OEBCRIPTION �J r 'J� ' ! C1 �- � / / �
'�
A. P. NO. / I,� ��� S�"� t
YARDS EVES
APPROVED ALIOWED
IC6NT6P LINe BT.) w _
� �/• /
�C� �'F//GI
._� _ .3 � i.. _
38 THAT I NAVE HHAD THIB APPLIGTION TMe AMOUM BXOWN IINDER VALUATION �8 FOR THE
ABOVB 18 CORPE� AN� AGREfi TO COM- pY1iP086 OP EBTABLI9HINO A PERMIT FEE ONLY.
I�INANCHB AT¢ LAWO REOULAi1N�
�H. VALUATION
�� PERMIT FEE $ �- `
$ /D�`/
` PLAN CHECK $ ��
( YY \ ..
0
AD����anl to till in all s0aces except t�ose wit�in heavy bortle� Iinez and si9n all apprap�iata tleclarations.
CITY OF COSTA �MpE-S�A�-F ONST_ R,.1CI'ION�R I� T_
Project Address �_/_ .9 / - f %
-ApplicanYs Maili�ddre�s7s �Z�,,� LT O S J
Owner'sName �y�fLB��(�,�=�i�1�-�-phone
Address
Arch/Eng. License No.
Address !�'��'' '
Contractor'sNam � hone�-F�y�yr,�
Address (m 'I'ngl �,� $ =�-� '� ra�Qsyg
City License No. ���/ ,s_`�(
IICENSED CONT ACTOR DECLARATION '
I hereby ailirm inat 1 am licens¢tl untle� p�ovislonz ot Cha�te� 9(commencing
wi[h snction 7000) of Oivision 3 of t�e Busineu antl Professions Cotle, an0
my license is in full force antl effect.
IJcense CIa ce e o
Dale 0 � Signa[ure
WORKERS' C MPENSATION DECLARATION
' hereby aili�m �hat I hdv¢ a Certifica[e of cons¢nt to Self-insure o� a certitiGat¢
Workers' Compensalion Insurance, or a certifietl copy Mereof (Section
J0, Lab. C.)�.
Policy No. ' Company
Certi/ietl copy is hereby furnisheU, n
Copyj5lj�Etl wl�h th¢ tity Btylping �vi5iad OJ�-
EXEMPTION FROM WORKERS' COMPENSATION DECL/Ii2AT10N
(Thissection neetl not b¢ complet¢tl it the permit is tar one huntlretl ($300) or
iess).
I certily that in the performante of the work for wnlyyyYYYf���his perm�t is issuetl, I
sball not employ any person in any manner s aS,C 'ect to Ihe
Worker C sati Laws of Califor � /
Dale Cry _Si9na[ure
NOTIG . If, atte���i m�n9 t�is decla�at on. YOu shoultl eco Su01ec to the
Workers' Compensation provislons of the Labor Cotle, y i must Porthwith
comply with su<h provisions or this perml[ shall be tleemetl revoketl.
GONSTRUCTION LENDING AGENCV '
1 hereby afllrm that there is a construction leneing agency for the performance
of tha work (or which this permit is issueA (Section 309] Civ. CJ
lPntler's Name
Lentler's Atltlress
OWNER BUILDER DECLARATION
I hereby a(iirm Ihat I am ezempt irom lhe Contractor's License l2w for the
following reason (Section 7031.5 Bu5ine55 antl Professlonal COAe: Hny city or
county whiGb /equires a pe�mit to ConStruct, al[e�, ImO�ove, tlemolish or tepai�
any StruCtU/e, p�lo� to it5 i55uanGe, also �equl�es lhe appliCant fOr such pe�mit
to (ile a signetl Sta[em¢nt tha[ he/sbe I5 Iicensetl pur5uant [o Ihe pwvi5ion5 ot
the Contractor's License Law (Chapter 9(<ommencing witn Section ]000) of
^ivision 3 ot the Business antl Professions CotleJ or tha[ he/she is exempt
vefrom antl the Dasis tor the allegetl exemptlon. Any violation ot Section
31.5 by any applicant for a permit subjects [he apP���ani to a civil
nalry of not more tban five huntlre0 tlollars (E500).
❑ I, as owner of tne OroDerty or my employees with wa9es as their sole
compensation, will tlo the work, antl the 5tructure is not intentled or.offeretl
lor Shce ($ection ]044, Business antl Professlonal Cotle: The Contractor's
License Law tloes nol apply to an owner of a properry who builtls or improves
thereon, an0 who tloes such work himselt/herself or through his or her own
Cmployee5, prOviCetl that such ImprOVEments are not intentleE or ofteretl fo�
sale. If, however, tha builtlin9 or improvement I5 solC within one year o( com-
pletion, the owner wlll have the burCen ot provin9 he/s�e tlitl not builtl or Im-
p�ov! fo�tne purpose of sale).
❑ I, as owner ot tne orooertY, am ezcluslvely tontracting with licentetl con-
tractors to tonstruct the Oroject ISectlon 7044, Business an0 Professions CoOe:
Tbe ConVactor's License law does not appty to an owner of property w�o
bUlldS O( IrtIp�OV¢5 Lh¢�¢00. dOtl Wh0 cO�tldCiS fOf SUCh OlOICCIS W�ill d f.011-
tractor(s1 Lcense pursuan[ to �ne Contractor•s LIcenSG Law). I am aware tha[
proot o( thei� WOrker's COmpanSation in5urance 5nou10 be 0/ovitletl to me.
❑ I am exempt untler Sectlon B. & P. C. tor lhis r¢ason
Date owner
1 hereby certity that 1 nave reatl this application antl s[ate that the above
informatien Is rorrecL I aaree to comolv wrtn all tltv antl countv ortlinances
Signature _�]/Q..�
Drivers' Licanse or 55
._.... . .._. � D ....._. __. __. .__. ....�� �.... A.P.�
S Main Buildi
TVPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR E
❑ CONVERSION ❑ DEMOLISH ❑ OTHER ' T Front
DESCRIPTIONOFWORK/USEOFBLDG. A Rear
TVPEOFPERMIT GRADiNG FOUNDnTiON STavCTuaA� � C Right
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S� l2ft
❑ �oTHER Ping. Ref. #
PROJECT DESCRIPTION Sq. FT. OCCUaANCY Planning Notes:
CO N STRVCTION TYPE VALUATION $
ZONE GRADINGCU.VDS. ACRES
Remarks:
8ar Sink
Backflow Preventer
Backflow Irrigation
Bathtubs
Clarifiers
Dishwasher �
Drinking Fountains
Floor Drains
Floor Sinks
GasService Oudets
Interceptors
Kitchen Sink
Lavatories
P—Trap
Roof Drains
Reinspection Fee
Boiler
Duct - Under Ground
Duct - Structural
$15
Exhaust System ❑ Multiple
Firepl/Fact. Blt. iCBO #
Heating System & Ducting
❑a700,000 BTU �100,000
Reinspection Fee � $15
0865-66, rev. 5/88 White - Builtlin9: Canary - Applicant; Pink - Accounting; Goltlenrotl • Assessor
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Salar Piping
Solar Tank
Swimming Pool w/Spa
Urinel
Water Closet
Water Heater
Water Service
Auto�Wash
laue Fee
Hood or Typel ❑
Canopy Type il ❑
Refrigeration System
Daioo,oaosTu ❑iao,000
System Repair/Alteration
Fire Dampers
Registers
laue Fee
Auromatic Washer
ConStruction Pole Sub.
Cooking Unit
Dishwasher . ��
Dryers ❑Gas `'�Eleci
Fan -�
F,A.U,
Fixtures %'.;
Device Boxes '
Outlets
Switches
Garbage Disposal
Generator �0.5 KW C
Fee
Zone
AccesSory Building:
Parking Req./Provided
ELECTRICAL
Transformer ❑ 15-50 KW
❑ 50+KW
Meter Llup m 100amps
Meter ❑over100amps
Sub Panel
Motors�Q7 HP 01Yh-B
Inc.Solar �9�75 HP �16-15+
Microwave
Pole Light
Range
Stending Sections
5 KW Trash Compactor
$15 luue Fee
$� DEVELOPMENTSERVICESREQUIREMENTS:
2oning Approved By
FEES Building Approved By �
Appliotion Issued By
$ 3
ES
$ 3
SUMMARV OF FEES
BUILDING PERMIT $ SMIP $
PLAN CHECK $ PEfiM1T
' PLUMBING $ � ��UANCE $
PLAN CHECK 25% $ ENERGV P.C. $
- ELECTRICAL $ GRADING $
PLANCHECK 50% $ MICROFILM $
MECHANICA� $ TOTAL FEE $ S• �O
PLAN CHECK 25% $
!
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�i El001�988-0001793E TOT 5.00
L�ATE: 10/27/88 TI%E� I1:0�
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CONSTRUCTION ANDpLANNING ' � POO Sva
,4PPROVAIS Permit # Date•.. Inspector pppROVALS Permit # Date Inspector
1. Temporary Electrical $ervice or Pole l� 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. � /���.� (��/i 53. Steel Reinforcement . �
3.�'EI'ectrical Conduit Utility-Undrgrnd�. � - 54. Forms � •
�
4.�Elect ical Condui�-Undr;grnd. 55. Electrical Bonding �
5.� Steel ReinforcemenL ,� ? 56. Rough Plumbing & Pressure Test i•��
6: Electj-ical UFER�Grnd�� • ; : 57. APPROVALTO COVER,GUNITE
�]� Footi�ngs � � ' � �� �, 58. Electrical Conduit-Undrgrnd. �
B:�Foun ation •" " `'! .� 59. GasPipe,O Undrgrnd.,Test I'
� .
9.'Wate Pipe-Undrgrnd. � � � 60. Backwash Lines, P-Trap, O Undrgrnd.
lO;iStiuc ural Floor .S`ysZem � �' 61. APPROVAL TO DECK ��
�
11:�Property Sewer Line,& House Cofinection . � 62. Backwash & Receptor-Final
12.,Sewer Cap �t,; � i � i ' � i / - " 63. Heater & Vent-Final � ,
13. Roof Drains � • �� � 64. Plumbing System - Final
14. RoughPlumbing; ,� 65..Electrical-Fin21 ,
15. Rough Electrical-Conduit „ 66. Solar System-Final
16. Rough Electric Wiring , � 67. Fencing & Access Approval
-�r,J'"�1. Rough Wiring Sign 68. APPROVED FOR PLASTERING
�181 Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
�.7�9� Rough Heating & Air �nditioning . �� FIRE DEPT. REQUIREMEN7 -
�20. Rough Factory Fireplace APPROVALS Permit #
21' Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating , 71. Product Piping OGas ❑Oil
23. Gas Pipe-Rough & Tesc . � 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTankOGas ❑Oil
� 25. Roof Sheathing 74. Overhead Hydro
26. T=6ar 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: f� (-¢� �(j/�� �� �,��.y�` L�
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace '
38. Final Plumbing (�..2_�'� (,.�L/�
39. Water Service-Final ' � .
40. Gas Service-Final
41. Solar pomestic-Final '' �
42. BackflowPreventer • r�`
43. Backflow Irrigation :;
44. �Landscape Irrigation $ystem
45. Sound Attenuation •
46. Handicap Regulations
� 47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed . �
49. Electric Release to Edison
50.• Gas Release to Southern California Gas Co . i`,( '�
51. CERTIFICATE OF OCCUPANCY ?
No. Date - ��j<i �
1