HomeMy WebLinkAbout2139 HARBOR BLVD - Building Permits,GENERAL
CREST AUTO SALES
CONTRACTOR
Signature
Tag #966
DATE I GROUP
BUILDING PERMIT NO.
VALUES 300-04
TYPE v ZONE
OCT ; 1963
Soil
Gas SUBCONTRACTOR
PERMITS
ISSUED
DATE
NUMBER
Water
Rough Com. Refrig. ❑ Air Cond. 0
Rough Heating
Rough Plumbing
Miscellaneous
Prop. Swr. Line ❑ House Con. ❑ St. Swr. ❑
Sprinklin System
Construction Pole
Underground ❑ Power !D
Rough Wiring „ L
/O- 3 -G3
0
Trenches p Forms ❑ Steel Reinf. ❑
Floor System
Bond Beam ❑ Steel Reinforce ❑
Sheathing
Frame and Flashing
L-4,`:fng — In ❑ Out O
brown coat
ig. Cl Air Con. ❑ Final
Heating, Final
Plumbing Fixtures, Final
Final Gas Test
Electric .Fixtures, Final
Building, Final ifvW
OCCUPANCY
Form BU4 x5 -53 -B P on%moi
Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
L'ITV OF COSTA MES ,RUC` 0Z,, ERMIT
FPERMITNO.TRACT NO. LOT NO. UNIT NU.
Project Address j�Applicant's Mallin dress CONSTRUCTION NEw ADD ALTERATION REPAIR
ONVERSION ❑ DEMOLISH ❑OTHER A,P.Owner's Name n H ` Phone RIPTION OF WORK/USE OF SLOG.
Address
Arch/Eng. License No.
Address ��
Contractor's Nam r IV!% OrE - � PhOJ33?_dgaj
Address (mailing) _
City License No. ' iorZ S7
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of Charter 9'(commen6ing I
with section 7000) of Division 3 of the Business and Professions Code, and
my license Is in full force and effect.
License Class License No.
Date Signature
WORKERS' COMPENSATION DECLARATION
hereby affirm that I have a certificate of consent to self -Insure or a certificate
ff Workers' Compensation Insurance,or a certified copy thereof (Section
3800, Lab. C.) '
Policy No. i Company i
I�
Certified Copy is hereby furnished.
❑
Certified copy is filed with the city Building Division.
Date- Applicant
EXEMPTION FROM WORKERS'•COMPENSATION DECLARATION 1
(This section need not be completed if the permit is for one hundred ($100) or 1
less) •
I certify that In the performance of the work for which this permit is issued 1 I
shall not employ any person In any manner so as t2,PcCPme subject to the
Worker C use on Laws of Callfo� e.�
Date ..%Signatur
"NOTICE: Ii, after making lois deet ration, you shoUltl become subject to the
Workers' Compensation provisions of the Labor Code, you must forthwith
comply with, such provisions or this permit shall be deemed revoked. -
CONSTRUCTION LENDING AGENCY
1 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's Name
Lender's Address
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the
following reason (Section 7031.5 Business and Professional Code: Any city or
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 Contractor's License Law (Chapter 9 (commencing with Section 7000) of
<.7ivision 3 of the. Business and Professions Code) or that tie/she Is exempt
t `.:rerefrom and the basis for the alleged exemption. Any violation of Section
.7031.5 by any applicant for a permit subjects the applicant t0 a civil I
�inalty of not more than five hundred dollars ($500).
� I, as owner of the property.or my employees with wages as their sole
co mpensatlon, will do the work, and the structure is not Intended or offered
for sale (Section 7044, Business and ProfessionalCode: The Contractor's -
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 orher own 1
employees, provided that such Improvements are not intended or of to red for
sale. If, however, the building or improvement Is sold within one year of com-
pletion, the owner will have the burden of proving he/she did not bulltl or Im-
prove for the purpose of sale).
❑ 1, as owner of the property, am exclusively contracting with licensed can.
tractorsto construct the project (Section 7044, Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who
builds or Improves thereon, and who contracts for such projects with a Can. i
tractors l license Pursuant to the°Contractor's License Law). 1 am aware that
proof o1 their Worker's Compensation Insurance should be Provided to me.
❑ 1 am exempt under Section B. & P. C. for this reason '
Date Owner( "
I hereby certify that I have lead this application and state that the above
information is correct. I gree 90 COTPly with all city and county ordinances )
1 Drivers' License or SS
CMF 0865.46, rev. 10/84
TYPE OF PERMIT U GRADING U FOUNDATION STRUCTURAL
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL
❑ OTHER
S
E
T
B
A
Main Bwldl
Front
Rear
PROJECT DESCRIPTION SQ. FT. OCCUPANCY
CONSTRUCTION TYPE VALUATION S
ZONE GRADING CU. YDS. ACRES
C
$
Right
Left
Ping. Ref. #
Remarks:
Planning Notes:
' 7459 6%13/86
Zone
Accessary Building:
Parking Req./Provided
IB.Oo TL
Z
O
N
1
N
G
R
E
O
M
T
S
Building; Canary - Applicant; Pink - Accounting: Goldenrod - Assessor
PLUMBING
FEES
Bar Sink
Showers
- ELECTRICAL
FEES
Backflow Preventer
Service Sink
Automatic Washer
Construction Pole Sub.
Transformer ❑ 15-50 KW
❑50+KW
Backflow Irrigation Sewer Cap
9
Bathtubs i
Sewer Connection
Cooking Unit
,3 Meter up to 100 amps
�p
Clarifiers - -
Solar Collectors
Dishwasher
Meter ❑over 100amps,
/
Dishwasher
Solar Piping
Dryers ❑Gas ❑Electric
Sub Panel
'
Drinking Fountains
Solar Tank i '
Fan I I
Motors 110-1 HP ❑1'h- 8
Floor Drains
Swimming Pool w/Spa
F.A.U.
Inc. Solar 09-15 HP ❑16-15+
Floor Sinks
Urinal
r
Fixtures
Microwave
Gas Service Outlets
Water Closet
Device Boxes
Pole Light
Interceptors
_ Water Heater
Outlets
Range
Kitchen Sink
Water Service
Switches
Sign
Lavatories
Auto -Wash L _
Garbage Disposal
' Standing Sections
P—Trap
Laundry Trays
Generator 00.5 KW El 5.15 KW
Trash Compactor
Roof Drains
Reinspection Fee
$15
I Issue Fee
S 3
Reinspection Fee
$15
Issue Fee
$ 8
MECHANICAL
FEES
DEVELOPMENT SERVICES REQUIREMENTS:
Zoning Approved By Date
Building Approved By Date
Application Issued By n Det
Boiler
Hood or Typal ❑ i
Canopy I Type I I ❑ =.'
Duct -Under Ground
Duct - Structural
Refrigeration System
❑0:180,0008TU 01D0,0068TU
Duct - Ventilating " "'
SUMMARY
BUILDING PERMIT $
PLAN CHECK $
I PLUMBING $
-
PLAN CHECK 25%; $
ELECTRICAL $
PLAN CHECK 50%x$
MECHANICAL $
' PLAN CHECK 25% $
OF FEES
SMIP $
_ PERMIT
ISSUANCE $
ENERGY P.C. $
GRADING � $
MICROFILM $
TOTAL FEE $
'
Exhaust System ❑ Multiple ❑,
System Repair/Alteration
Firepi/Fact. Bit. ICBG#
Fire Dampers
Heating System &Ducting
00-100,000 BTU 0100,00087
Registers -
•
1
Reinspection Fee
$15Issue
Fee
S 3
Building; Canary - Applicant; Pink - Accounting: Goldenrod - Assessor
I--
w CONSTRUCTION AND PLANNING
APPROVALS Permit # Date
1. Temporary Electrical Service or Pole
Inspector
POC SPA
APPROVALS Permit#
52. Pool & Equipment Location
Date
Inspector
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
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
19. Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
APPROVALS Permit
20. Rough Factory Fireplace
21. Ducts, in Structure
70. Underground Hydro
22. Ducts, Ventilating
71. Product Piping O Gas OOil
23. Gas Pipe -Rough & Test
72. Underground Flush
24. Roof Framing
73. Undergrnd. Storage Tank 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. FIRE PREV. FINAL
30. Drywall Nailing.
HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat
79. FINAL INSPECTION
32. Electrical Power Meter -Final
19
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
-
3). Water Service -Final
40. Gas Service -Final
41. Solar Domestic -Final
.. .. .. -
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FI NAL STRUCTURE & BUILDING
,
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
,
51. CERTIFICATE OF OCCUPANCY
No. Date
Z .
a U
Z
ZQ
O U)
am
J
In
J Q
U�
Z Q
W
aW
WZ
JO
M Z
J K
W W
OF-
_Z F-
WU
to =
Z)O
H
Z
Q
U
33068
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
PAY 11-71CN1'00 364 J"***5 CO
ATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
By
DATE �C^Ij
DATESUED
O_�
BUILDING 2
ADDRESS v
-
`
/Oa
.PERMIT NO.
OWNER
��I 1 �i
2 V�v V�
MAIL
ADDRESS
LJ/TEL.T 3
5DE
I
NO.CONSTRUCTION
T
LOT
BLOCKCITY
PLENDER
BRANCH
/G'ADDRESS
VALUE
$
ARCHITECTTEL.
OR ENGINEER N
FIRE
ADDRESS
ZONE TYPE ROUP
APPROVEDIrz �.z
CONTRACTOR
BV DATE (/—
ADDRESS
TEL.
ZONE
NO.OF
PLANS
USE OF NEW
BUILDINGQ
CITY NO.
STATE CITY
YARDS APPROVED
YARDS APPROVED
LIC. NO. LIC. NO.
MAIN BUILDING
ACCESSORY BUILDING
SIZE NO. OF BLDGS.
(FROM C/L STREET)
OF LOT NOW ON LOT
FRONT FT.
FT.
USE OF
EXISTING BLDG. (>A'/OR
R RIMF
,
SIZE OF NO. OF
NEW BLDG. ROOMS STORIES
L.S
FT.
EXTERIOR WALL
COVERING
CROOF
OVERING
REAR FT.
FT.
E OF UI NAND K BEP FORM
DISTANCE BET.
BET. MAIN &
O 44WMAIN
BLOGS.
ACCESS. SLOGS.
VAR.*
DATE
C.U.P. 916APPROVED
APPROVED / GDATE,
—'7f
I hereby acknowledge that I have read this application and state
/ io' a ��
art Wo uAll iJ
that the above Information Is correct and agree to comply with
/�
` atj 1
IV
all laws regulating building construction, and I shall not employ
any person In violation of the workman's compensation laws of
4
the State of California.
1 hereby certify that I am properly licensed as contractor under
SQ. FT.
THE AMOUNT SHOWN UNDER VALUATION IS FOR
the State of California Business and Professions Code, Divisicn 3,
Chapter 9, and that such licenses are in full force and effect, or I
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the rovI ions of the State of California Business
VALUATION
and Professions C hrision 3, Chapter 9.
PERMIT FEE $
'70 0
Signature of
Permittee
/'�/�
$ `3 VV
PLAN CHECK $
Authorized Agent
C
TOTAL FEE $ V