HomeMy WebLinkAbout186 BAY ST - Building PermitsDUPLICATE FILE
186 E. BAY STREET
SB65841 P/C/0334-9
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PROJECT ADDRESS: 186 E BAY ST UNIT:
OWNER'S NAME: EPISCOPAL DIOCESE OF L.A.
ADDRESS: ST JOHN THE DIVINE CHURCH
183 E BAY ST
1 ARCH/ENGINEER: REG.NO.:
ADDRESS: UNIT:
PERMITTEE: RICHARD DORSEY (714)548-2237
ADDRESS: 183 E BAY
C.M. CA 92626
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full farce and effect.
CITY LIC.: STATE LIC.: CLASS:
Date: Signature'.
WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure or a Cori of Workers'
Compensation Insurance, or a certified copy thereof (Section 3800, Lab. C).
POLICY NO.: EXP. DATE:
COMPANY:
❑ Codified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division.
Date: Applicant:
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section nee not be com et i the rmo is far one hundred ($100) or less).
I certify that the polio mance f the work for which this permit is iss tl hal a m to on in any manner so as to become
subject to In Workers p nsation Laws of California.
Date: 1 Signature:
NOTIC : If. alter making &s declaration, you should becom subject to The Workers' Consation provisions of the Labor
Cade. you must forthwith comply with such provisions Or this permit shall be deemed rev ed.
CONSTRUCTION LENDING AGENCY: I 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:
ADDRESS:
OWNER BUILDER DECLARATION: I hereby a0irm that I am exempt from the Contractors' State License Law for the following reason
(sect on 7031.5 Business and Professional Code. Any city of 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 Contractors' Slate 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 far the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).
I, as owner of the properly or my empployees with wages as their sole compensation, will do the work, and the
structure is not intended or offered for sale )Section 7044, Business and Professional Code', The Contractors' State License Law
does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through
his or her own employees, provided that such improvements are not intended or offered for sale. If, however the building or
improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build a( improve
for the purpose of sale).
1.as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business
❑ and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractors) license pursuant to the Contractors' State License Law). I am aware
that proof of their Worker's Compensation insurance should be provided to me.
❑ am xempt u der (section: B. 8 P. C.
fort ig Jeason ,1
Date: //%(/(/•, •/�'1 Owner:
I do hereby certify that I am aware of and understand the requirements of California ealth and Safety Code Sections 25505, 25533, and
25534 and that I or any future building occupant will/will not (circle one) need to comply with said stale codes and the requirements for a
permit for construction or modification from the Air Quality Management District. Residential construction applications are exempt from
these provisions.
Date:
I hereby cert
multitudes
property ,,for
Dale: 1r
Drivers Li t
1641-06
Applicant:
that I have read this application and state that the above informs' n is lied a rncoply all city and county
:salelawssalelaws elating to building and hereby authorizere r se a Ih' ce above-mentioned
section urpose .
Signature:
or Social security
Green—Code Enforcement: Canary—Applicant: Pink—Revenue: Goldenrod—Assessor
CITY OF COSTA MESA — SIGN PERMIT PERM NO: SB 06584
PERMIT NO: SB 065841 PLAN CHECK NO: 00334-94 S GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: STR SIG PURPOSE: OTH
JOB DESCRIPTION : RELOCATE 15SF MONUMENT SIGN SQ FT:
CLAIM VALUE: 250.00 CALC—VALUE: 250.00 GROUP OCC: A-3 /
COMMENTS: "ST JOHN THE DIVINE EPISCOPAL CHURCH" NONLUMINATED MONUMENT SIGN
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S I G N I N F O R M A T I O N
DISTRICT: 3 TYPE: GROUND ILLUMINATION: NON CATEGORY: NEW
DIMENSIONS: 6FT 04IN X 2FT 01IN AREA: 15,OOSQFT LETTER HT: 6 INCH
STREET FRONTAGE 1: 151,00 STREET 1: ORANGE
STREET FRONTAGE 2: 316.00 STREET 2: BAY
PARCEL: 42619129 ZONE: PDR—HD LOCATION > FRONT: X REAR:
BUSINESS NAME: ST, JOHN THE DIVINE CHURC> LEFT: RIGHT:
O T H E R T O T A L S G R O U N D S I G N
THIS ACTIVITY 15,OOSQFT OVERALL HEIGHT: 7FT OIN
THIS SITE 15.00SQFT GROUND CLEARANCE: 3FT 6IN
ITEMS OF INFO 6 PLANTER AREA: 30,OOSQFT
ITEMS FOR ACTIVITY: 3 BLDG SET BACK: 20FT
COPY VERBIAGE ST. JOHN THE DIVINE EPISCOPAL CHURCH ETC....
PLANNING NOTES:
D E V E L O P M E N T S E R V I C ES R E Q U I R E M E N T S
ZONING APPROVED BY LD// U. DATE: Ifo
BUILDING APPROVED BY :
APPLICATION ISSUED BY:
iF iE it 9f * * * * 9F 9E iE 9F lE iF iF 1E 1E 9E 9F iE 9e 9f
LEGALIZATION:N
BLDG PMT
PERMIT 15.00
PLAN 9,75
ISSUE FEE
DATE:
DATE:
��it���if��f�3f�;E i�iE if�f��f��f��1i 9E 9E aF 9E*iE if lF iE 9E *iP 9Eir-
F E E S U M M A R Y STRUCTURAL SEGMENT:Y
PLUMBING ELECTRIC MECHANIC SIGN SMIP/RES GRADING
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS ---- > 30,50 0.00 9.75
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
15.00
15.00
SMIP/NON—RES
,50
TOTAL PAID DUE
40.25 40,25 .00
40.25 OVER/SHORT: ,00
SIGN SMIP/TOT GRADING PLAN—CHECK
15,00 ,50 9,75
1E 9E ie iE 1E if 1E ik i! iE 9E 9E iE iE 1E 9E iE 9E ie if if iE iF if iE iE 1E iE ik iE je iE ff iE!(-9f 9E iF i! fF 1E iE iF iE 9E if 9E lf # 9u of if-iE 9f * * iE * fE fF if if eF 9E iE ielE iE iE iE iE ie aE 9E fF iE iE 9E ie
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
NO FEES WERE SELECTED FOR THIS PERMIT
EXPIRED
IE orrrPlet. !nspectsom
)ate 19 � uL� Sig
01 00154396-00154399 T O T 4-0. 5
DATW_; 011,16196 T IIE: 15:0?
IV'
i CONSfw,;TION AND PLANNING
APPROVALS Permitqr Date
Inspector
POOL SPA
APPROVALS Permit;
Date
Inspector
1 -1. Temporary Electrical Service or Pole
52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd.
53, Stnel Reinforcement
3. Electrical Conduit Utility-Undrgrnd.
54. Forms
4 Electrical Conduit -Undrgr nd.
55. Electrical Bond ng
6, Steel Reinforcement
56. Rough Plumbing & Pressure Test
". 6. FrctnC.; OF E R Grnd.
57. APPROVAL TO COVER-GUN'TE
I , 7. Footings
FS.�FoundaLon
58. Electrical Conduit-Undrgrnd.
59, Gat Pipe, 0 Undrgrnd., Test
! 9. Water Pipe-Undrgrnd,
60. Backwash Lines, P -Trap, 0 Undrgrrd.
10. St•uetu,,al F!oor System
-
61. APPROVAL TO DECK
11. Property Serer Line & House Connection
. -
62. Backti 81 Receptur Final
12. Scr:er Cap
-
63. Heater & Vent -Final
13. Root Drains
~- 4. Roach P:umbm9
-
64. Plumbing System - Final
65. E:acttical Foal
'
15 Ra.gh E.unrcal-GondU.t
66. Solar System -Final
16. Rough Electric Wiring
67. Fencing & Access Approval
17. Rough CSrirg Sign
68. APPROVED FOR PLASTERINC'
18. Rouqh Electrical -T Bar Ceiling
69. POOL/SPA SYSTE%, S FINAL
19. Rnugh Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
APPROVALS Permit
20, Rot gh Factory Fireplace
21. Ducts,' Structure
70. Ueri rg ccnti Hyaro
22. Duds, Ventilating
23. Ga: Pipe -Rough & Test
74 Roof Framing
25. Roof Srv.mhmg ----
6 f her Ceiling TStrjcturall & iNonocoat
71. Product Piping I7 Gas LI Oil
72. Unc.rground Flush
73. Urdergrnd.Storage Tank OGas 00il
74 OtUhead Hydro------
75. D'y Chemical I
76 Dry St..rdP•uc
FIXED SYSTEM FINAL
27. F:. r,: r -d F;arhirt3
28. LathmgL. Siding
---
- 1'77.
29• i'`-u'e:'^-r
78. FIRE PaEV. FINAL
_ _
30. D,yv:all i.aJing
HEALTH DEPT. REOUIRE,,SEf1T -
79. F 1'1A L' N SF CT 10'.1 I -
30. FOOD CERTIf ICATE ISSUED
Motes: -- ---- -- -�-I
31. P -te, 9io: n Coo
32 EleElcctn4.l Poi:er %%tur Final
32. =-i,.:='.a",c
34, F.n-1 H?at,r, & Au Cwditioning
35. Fin,.! G.i; Pip.�•Tes;
36. Hood or Canopy
- -- - -- -�
- ----"----------- - - -
-
--�--
37. Fr al Factory Fwop;.,r-
38. Fiml Plumbing
39. \Teter Service -Final
-
40. Gas Service final
41. Solar Oomtsnc-Final
43. Becsflor: Ir• ;zLor'_
- --�
1 44. L.:ndsctoc Lrgauon Systern
45 Sc, --d Attenuation
--- -- -_
46. Hardicap Rccu!at,ons
47. F!%AL STRUCTURE & BUILDING
48 FINALFi_ANNING
49. Electric Re!case to Edison
50. Gas Releasr to Southern California Gas Co
'
51. CERTIFICATE OF OCCUPANCY
No.- Date