HomeMy WebLinkAbout754 ALLEGHENY AVE - Building Permits. ���. ,. �
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 317 COSTA MESA. CALIFORNIA
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�F!Pl���'CE DEPT.
CI I( Uh GUJIA MtJH
FOR APPUCANT TO f/LL /N COMPLETfLY APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILOING
nDORess ALLEGHENY AVENUE
COSTA MESA, CALIFORNIA rf/I� OFFII.G USE ONGI
flEGE1PT NO. I ^ ����5 Np,
OWNER KWK CONSTRUC �� v�`i
MAIL RECEIV D BY OATE NEC�jIVED DATE ISSUEDL
ADDRESS � � � (Q—�/ � i L `�4,f
TEL. BUILDING
ciTr NEWPORT BEACH C LIF No.6- Z2 nooREss
ARCHITECT ��c. COSTA MESA, CALIFORNIA
OR ENGINEER NO.
AODRE55 FIRE ✓
ZONE TYPE GROUP Q
CONTRAGTOR
K,W. Ko�� LIC.NTO. O�� BYPROVEO pATE
ADDRE55 � PLACENTIA NEWpORT EA ZONING
LEGAL ILOT /1' I I O � ZONE INO.OF IUSE OF NEW
OESCFIPTION NO. r BLOCK TRACT R�l PLAN8I1 BUILDING x
G
A.P. NO. ROYle APPROVED
BY W.L•D. DATE 1-6-6i
SIZE / p NO.OF BLDGS. yqRDS EVES
OF LOT OOX � Z .9U I RR EG how orv toT O REQUIRED ALLOWED
USE OF fCENTER LINE ST.1 �)�
EXISTING BLDG. FRONT FT. '�
SETBACR LINE FROM � �
CENTER OF STFEET �O REAR YAR� �O R. SIDE FT. IN.
I 5� I 5, �
SIDE YARO LEFT RIGHT L.SIDE FT. IN.
DESCRIPTION OF WORK
REAR FT. IN.
NEW I X IIALTERATION I IIADDITION I
REPAIR I IIMOVING I IIDEMOLISH I
BUILDING NO.OF
SIZE � SF ROOMS STORIES �
EXTERIOR WAL{, ROOFROCK /�
COVERING STUC COVERING ✓�
USE OF BUILDING AND WORK TO BE PERFOftMED
SINGLE FAMILY RESIDENCE AND
ATTACHED GARAGE PLAN NO. `+'B
I HEREBY qCKNOWLEDGE THqT 1 HAVE REAO THIS APPLICATION
AND STNTE THAT THE A90VE COPNECT A RGFEE S COM� THE AMOUNT BHOWN UNOER VALUATION IS FOR THE
PLY WITH ALL CITY OFDINA 5 ANO $TA/ LAWS F LATING PUNPOSE OF ESTABLISHING A PERMIT FEE ONLY.
eU1LDING CONSTRUCTIOI�. � VALUATION `
SIGNATURE OF � � PERMIT FEE $ �� ^
PERMI77EE $ ),�j �//l j�' �C,
� PLAN CHECK $ /
AUTHORIZED AGENT TOTAL FEE S ��✓
AOPllcant to fill in aIl soaces except tnose within neavY boraer lines antl sign all apo�opriate tleclarations.
�i.IIY OF COSTA MESA CON TRUCTION PERMIT rcnrvu � .��� � n..�i i.v. �.. � �.... uiw i rvu.
�Project Address I e BN
S TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR
Applicant's Mailing Address ����� ��� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER
Owner'sName W��T 5paodc Pone:7.].O_�.7 DESCRIPF IONO1FW�ORK/USEOFBLDG.���£�� �eR'WF wt
Address S��P ' �-'�S �DI��TJ r-7s lb� I��b��i�Afl �i�ifi
Arch/Eng. ��` License No. � TVPE OF PEHMIT GaADwG ❑ FO NU DATION ❑ STRUCTVRAL
Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL
Contracror'sNamact'R=A7 HiL3'�ZRwI R.E'tFl•C1 Phone71"3� "S �18 �"'�THER Q C7V'F'I^jL'�
Address Imailingl �D��O �.�%: �'Kw�4"� u�f� ��:� ��:�vc�p''% PROJECT DESCRIPTION 5q. Fr. �P occuPaNCY
�j '7 CONSTRUCTIONTVPE VALUATION$ 13uLS. �
City Lic¢ns¢ No. �S�? V� ZONE GRADING CU. VDS. ACRES
LICENSED CONTRACTOR DECLARATION
1 hereby affirm tM1al I am licensetl untler provisionsot Charter 9(commencing Remarks: .
with Section ]000) of Division 3 ot the Brousiness antl Prote55ions Cotle, and
my license is in full force antl effecLC'� % ..__......._ 361 3R9 _
Dale � � S -6 N Signature
'NOHKERS' COMPENSATION DECL RATION
`,�'-her¢by affirm that 1 nave a certiticate of con5ent to 5¢If-insure or a Certificate
.::f Workers' Compensation Insurance, or a certi(ied copY thereot (Section
�3800, lab. �, i� n, l� OJ ComPanY J"��� �"� �
PolicY No. � '� -�•r a
Certifietl copy is her¢by furnishetl.
Cer i ietl op i filetl with the cit DI� i�i�i n.
Date� ����� Applicant��� w��VV
EXEMPTION FROM WORKERS' COMPENSATION OECLARATION
(Tnis section neetl no[ be completetl if the permlt is for one hundretl ($300) or
IessJ.
1 cer0ry Ihat in the performance of tM1e work Por wnich this perm�t is i55uetl, I
snall not employ any pereon In any manner So as to became subje<t [o the
Workers' Compensation Laws oi California.
Date Signature
'NOTICE: If, after making this deUaration, you sM1oultl become subject to the
Workers' Compensation provisions ot [M1e Labo� Cotle, you mu5t forthwith
comply with such p�nvisions or this permit Shall be tleemea revoketl.
CONSTRUCTION LENOING HGENCV
I hereby affirm that Chere is a construction lentlin9 a9ency for the performance
of the work foo, which thi5 permit is issuetl (Section 309] Civ. C.)
Lentler's Name
Lentler'S Adaress
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor4 License Law (or the
followinq reason (Section ]03L5 Business antl Professional Cotle: Any city or
county whith requir¢5 a permit to wn5truct, alteq improve, tlemollsh o� �epair
any structure, prior to Its issuance, also requires the applicant for suth permit
to file a signetl 5[atemenl thdt he/5he is licensetl pur5uant to th¢ provisions of
tne Contractor's Litense Law (enapter 9(commencing with Section �000) af
�ivision 3 of the Bu5ine55 antl Professions Cotle) or that he/she Is ezempt
therefrom antl the bazis for the allegetl exemption. Any violation ot Section
]031.5 by any applicant tor a permi[ Subjects tne applicant [o a civil
penalty of noi more than Tive huntlretl tlollars ($500).
❑ I, as owner ot the Property or my em0loyee5 with waqes as their sole
compensation, will tlo the work, antl the SVuctute is not intentletl Or offeretl
for sale (Section 7044, Business antl Professional Cotle: The Contractor's
LicenSe Law tloes not apply to an owner ot a prope�ry who builtls o� Improves
thereon, antl who tloes such work himself/nerself or thwugh his or her own
employees, provitletl Ihal sucM1 improvements aro not intentletl or offeretl tor
sale. If, howeveq the builtling or improvement is saltl within one year of com-
pletion, the owner will nave tne burtlen of proving ne/she ditl not bulltl or im-
prove for the purpose of sale).
'❑ I, ds owner oi tM1e prOperty, am exclusively contractin9 �"/ith licensetl con-
tractorst6 constructthe project (Section �044, Business and Professlons COGe:
The Contractor'S LlcenSe Law tloes mt appty to an owner ot praperly who
builtls or improves thereon, and who contracts for such projects wrtn a con-
tractor(s) Iicense pu�suant �to the Contracto�'S License Law). I am aware that
proof ol thei� WorkeYi Compenzation insurance shoultl be provitletl to me.
❑ I am exempt untle� $ection B. & P. C. for thi5 reason
Date owner
I hereby certity that I have reatl tnis application and state that the above
information is correct. 1 a9ree to comply with all city antl county ortlinances
antl state laws `elatinq to builtlinq construction, antl hereby authorize repre-
sentatives ' �• ^
inspection purposes.
Signature `
Drivers' License or 55
Bar Sink
Backflow Preventer
Batkflow Irrigation
rinking Fountains
loor Drains
loor Sinks
as5ervice Outlets
Kitchen Sink
Lavatories
P—Trap
Roof Droins
Reinspec[ian Fee � $15
Boiler
Duct - Under Ground
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple ❑
Firepl/Fact. BIt. IC80 #
Heating System & Ducting .
❑ o-i oo,000 aTu O i oo,000 eT
Reinspection Fea � $15
CMF 0865-46, rev. 10/84 White - Builtling; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Auto-Wash
Issue Fee
Hood or Typel ❑
Canopy Typell ❑
Refrigeration SYs[em
❑0-100,OOOBTU ❑700,000
System Repair/Alteration
F ire Da mpers
Registers
Issue Fee
$ 3
$ 3
A.P. #
S Main Buildi
E
T Front
6 Rear
A
C Ri9ht
K Left
S
Ping. Ref. #
Planning Notes:
Automatic Washer
Construction PoleSuh.
Cooking Unit
D ishwasher
Dryers ❑Gas ❑Electric
Fan
F.A.U.
Fixtures
Device Boxes
Outlets
Switches
Garbage Disposal
Generator �0-5 KW O54
P'��7� 4/,1: / :: .
2one
Accessory Building:
Z
O
N
I
N
G
R
Parking Feq./Provided E
Q
M
T
S
ELECTRICAL
Transformer ❑ 15-50 KW
❑ 50+KW
Meter ❑up m 100 amps
Meter ❑over100amps
Sub Panel
Momrs�0-1 HPOIh-8
�InaSolar �9-15 HP �i6-15+
Microwave
Pole Light
Range
�� Standin9 Sections
5 KW I Trash Compactor
FEES
� Reinspection Fee �$15 � I luue Fee I $ 3'
DEVELOPMENT SER VICES REQUIREMENTS:
Zoning Approved By Date
Building Approved By Date
Applicatian Issuad By Dat
SUMM V� FEES ,� 7�
BUILDING PERMIT $ � SMIP $ •_SL
PLAN CHECK $ PERMIT
PLUMBING $ �SSUANCE $
PLAN CHECK 25% $ ENERGV P.C. $
ELECTRICAL $ GRADING $
PLAN CHECK 50% $ MICROFILM $
MECHANICAL $ TOTAL FEE $ 15, Sc7
PLAN CHECK 25% $ �
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit # Date Inspector pppROVALS 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 Conduit-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-Undrgrnd.
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
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
75. Rough Electriral-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
19. 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. Storage Tank O Gas ❑ 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. 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: �
� . / . ,(/o APc�� Nm :c 94�
34. Final Heating & Air Conditioning `
/i/EJf /`g14�% llG ,
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 pomestic-Final �
42. Backflow Preventer �
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINALSTRUCTURE&BUILDING `� � - �l/.
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY "
,y
No. Date f