HomeMy WebLinkAbout1530 SUPERIOR AVE - Building PermitsII Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations.
> CITY OF COSTA MESA
PE IT N
TRACT NO. LOT NO. BLDG. NO.
CONSTRUCTION PERMIT
3
TYPE OF CONSTRUCTION
•{� NEW ❑ ADD ❑ ALTERATION
❑ REPAIR ❑ CONVERSION ❑DEMOLISH
❑ OTHER '
a�
�7
107.1 7/06/82 20.00
ZONING REGULATIONS
Project Address/-1573pv PERG o
Owner T (r' P
Address 102.7 Cb .✓64 dZ-4 shone
Arch/Eng. License No.
DESCRIPTION OF WORK
A.P. of
( Address
- -
ZONE
PLNG. REF. gF
I�j 1� i Phond' .7
TYPE OF PERMIT -
❑ GRADING - ❑ FOUNDATION ❑STRUCTURAL-
❑TENANT I�ELECTRICAL ❑PLUMBING ❑MECHANICA
SETBAContractor
BUILDING T.
1 YA RO
-
- Tp g�1I�pING
PROPERTY LINE
t
• Address Zd aA -
LICENSED. CONTRACTOR DECLARATION `
I hereby affirm Mat I am licensed under provisions of Charter 9 (com-
1 -
5I HT _
R G
--
( men ding with section 7000) of, Division 3 of the Business and
❑ OTHER
Professions Co VYand my license IS In full force antl Hect.
REAR YARD (TO 'P/L)" -- - -
PROJECT DESCRIPTION
License Class --- - ce Se No�
_ -'
PKG. SPACE REQ.
PROVIDED- - -
7-61- _M_
SQ. FT.
_
Date Signatur
- - - -
-
STREET WIDTH
_ . PARK FEE§ - -
WORKERS'.COMPENSATION.DECLARATION
._ OCCUPANCY_ CONSTRUCTION TYPE
I hereby affirm that I have a certificate of consent to self -Insure or a
VALUATION ZONE
ZONING APPROVED BY ---- - DATE - - - -
Certificate of Workers' Compensation Insurance, or a. certified copy
thereof (Section 3800, Lab. C.).
GRADING CU. YOS. ACRES
•SPECIAL CONDITIONS: -
Policy No. Company
r' ':ertifietl copy is hereby furnished.
'.ertified copy Is filed with the city building Division.
--.EMPTION FROM WORKERS' COMPENSATION DECLARATION
'(This section need not be completed if the permit is for one hundred
-or
($3001 less(.
- -•-
-
-
-- --
I Cerl fy that to the Performance of the work for which this permit IS
i55u¢tl-I shalnot employ any person in any manner so as to become
I
PLUMBING ,- ,PLAN CHECK -
1.
-
ELECTRICAL
PLAN CH ECK� -
subject to, the Workers' Compensation LawS of California_
- BATHTUBS'SHOWERS -'-
_
,• •
- -
'
Date Signature '
!NOTICE: If after making this declaration, you Should become subject
TOILETS. 1 . URINALS- --
GENERATOR.
TRANSFORMER
• 0.1 KW 1-10 KW
to the Workers' Compensation provisions of the Labor Code, you -must
forthwith comply with such provisions or this permit shall be deemed
LAVATORIES DOUBLE LAYS- --
-
APPLIANCE
30-50 KWV_50 + KW. "T•
revoked.-
:CONSTRUCTION LENDING AGENCY -
-KIT. SINKS - - DISHWASHERS -
-
MOTORS. -
0 -1 -HP 1.30 HP+
I hereby affirm that there Is a construCtlon lending agency for the per-
SE0.VICE SINKS - -
_
(INC. SOLAR)_
30-50 HP 50 + IF {
formance o1 the work for which this permit Is Issued (Section 3097
,SUMPS-
- FLOOR SINKSFLOOR DRAINS --
-• - -
FIXTURES 4
OUTLETS - SWITCHES OO
'Civ.. C.). - - - -
Lender's Name
Lender's Address -
- DRINKING FOUNTAINS - -
-
-GASTUBE SIGNS.-
OWNERBUILDERDECLARATION^- -- -
I hereby affirm that I am exempt from the Contractor's License Law for
INTERCEPTORS "' --
A
'CLARIFIERS
'-
POLE LIGHTS -
-'-
the-following reason (Section 7031.5 Business.and Professions Code:
SWIMMING POOL- P TRAP
-
Any city or county which requires a permit to Construct, alter,
POL"ES
METE - SUB
WATER SERVICE --ALTERATION
-
PANELS
MAINRED SUD
improve; demolish or repair any structure, prior to Its Issuance, also re-
quires the apoicanl for such permit to file a signed statement that he
_
GAS SERVICE - - ' O LETS -
-
SERVICE
- AMP -
Is -licensed pursuant to the provisions of the Contractor's Ucenso Law
(Chapter 9 (commencing with Section 7000) of Division 3 of the
WATER HEATERS BTU OUTPUT
-
- •' ' --
Business and Professions Code) -or that he isexempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by
SEWER CONNECTIONS (
-
- - -
a-, applicant for a permit syybjotts the applicant to a. civil. ponalty
a than live hund retl dollars ($500).
more
as owner of -the property, or my employees with wages as their
SOLAR TANK • - COLLECTORSInCO
p e
s..._ compensation, will do the work, and the structure is not intended
or offeretl for Sale. (Section 7044, Business and Professions Coda: The
SOLAR PIPING SYS.
ISSUE FEE
-
Contractor's License Law does not apply to an owner of a properly
ISSUE FEE
_
CATION APPROVED BV. _ DATE
who 'builds "or Improves thereon, and who does such work himself or
.through his own employees, provided that Such Improvements: are not
'
MECHANICAL PLAN CHECK
- -
-.1
SUMMARY OF FEES - — —
intended or offered for Sale. If; however; .the building or Improvement
is sad within one year of completion, thesowner will have.tho burden
of proving he did not build or improvetfor the purpose of sale).
HEATING SYSTEM 0-100,00 BTU
_
BUILDING
PERMIT
.' -
'❑ as owner_ol the property, ane •exclusively contracts ng', with
AND DUCTING -- J..
E
§
—
licenced contractors to Pr 44, Business
n
_ 100,0001 ViTj))
-
PLAN CHECK E
_ _
PERMIT
he Cont4the
and. Professions Code: The License L aw does apply t-
tori Ucenso
-
.,
'ISSUANCE $
adol
thereon,
owner of property who builds or improves thereon, antl who ton-
build
REFRIGERATION 0-100,000 BTU
PLUMBING $
_
- '
tracts with a_conlractor(s) Ilcesnetl pursuant to
tracts from such.
SYSTEM -
-100,000+
GRADING
Uceolects
the Contractor's License Law).
BTU
'PLAN CHECK E-
.❑ I•am exempt under Secllon - B. B P. C. for this-
BOILERS BTV
ELECTRICAL $
§ —
I reason
SYSTEM REPAIR, ALTERATION
EXHAUST SYSTEM MULTIPLE
-
PLAN CHECK f
MECHANICAL f
MICROFILM S
-
TOTAL FEE E
LESS AD- 1
'Date Owner
• ,I hereby certify that I have read this application and state that the above
1 information Is correct. -I' agree to comply'wfth all city and county
PLAN CHECK f
VANCE PC, -
ordinances and state laws relating to construction, and hereby authorize
( representatives of this city -enter P th ove 'mentioned
-
` '
property f0 n p ct"
Vose
Signal re a[e7����
-
FINAL FEE E
-
Drivers manse or SS $
ISSUE FEE -
'
CMF 0865-46 White-Building;Canary-Applicant;Pink-Accounting; Goldenrod -Assessor
TL
CONSTRUCTION AND PLANNING
APPROVALS Permit # Date Inspector
POOL&SPA -
APPROVALS Permit-# - Date- Inspector
1.
Temporary Electrical Service or Pole
43.
Pool & Equipment Location
2.
SoilPipe-Undrgrn _
44.
Steel Reinforcement - -
3.
lem6cal Conduit Utility-Undrgrn
45.
Forms
T.
Electrical Conduit-Undrgrn
46.
Electrical Bonding - - -
5.
Steel ein orce -
47.
Rough Plumbing & Pressure Test - - -
6.
Electrical UF.ER Grn
48.
APPROVAL TO COVER'-GUNITE - -
. 7.
Footings _
49.
Electrical Conduit-Undr rn -
8.
Foundation-
50.
Gas Pipe ❑ Undr rn, Test
9:
Water Pipe-Undrgrn -
51.
Backwash Lines P-Tra ndr i
10.-
Structural Floor System
52.
APPROVAL TO DECK -
11.
Property Sewer Line &.House Connection - -
53.
Backwash & Receptor-Final
-12.
-Street Sewer Connection - - - -
54.
Heater & Vent-Final
13.
Rough Plumbing - - -
55, -,
�Plumbina System - Final
' 14.
Rough Electric-Conduit - -
56.
Electrical-Final
15.
Rough Electric-Wiring -
57.
Solar System-Final -
16.
Rough Heating& Air Conditioning
bH.
Fencing & Access Approval
17.
Ducts in Structure
59.
APPROVED FOR PLASTERING - -
18.
19.
t 20.
Ducts; Ventilating
Gas Pipe-Rough & Test's
'Roof Framing -
-
60.
- - - -
POOL/SPA SYSTEMS F INAL
-
' 21.
22. ,
Roof Shea thin - -
Frame and Flashing - -
- "
NOTES:.
23.
Insulation - - - -- --
- -
' 24. •
Lathing & Siding - -
- - - - -
' 25.
Drywall-Nailing -
-
26. - Plaster Brown Coat - - - -
-
27.
Electrical Power Meter-Final -
28.
Final: Electric - -
-
-
' 29.
Final Heating &Air Conditioning - - - 4r
30.
Final Gas Pipe-Test - =� 1 -.t r.•
-
31:
Final Plumbing-
' 32.
Watei Service-Final .Z.r
- 4.
33.
Gas Service-Final -tinC
•- E
34.
Solar Domestic-Final-
Incom Ieie OS
' 35.
Landscape Sprinkling System
-
36.
Sound Attenuation -
_big
37.
Handicap Regulations
-
38.
FI NAL STRUCTUR E & BUI LDI NG
39.
Special Requirements Completed
40.
Electric Release to Edison
41.
Gas Release to Southern California Gas Co.
42..
CERTIFICATE OF OCCUPANCY
No Date
Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA
P IT NO:
-- TRACT NO, LOT NO. BLDG. NO.
- -
CONSTRUCTION PERMIT
or 11
TYPE OF CONSTRUCTION
1<NEW ❑ ADD ❑ ALTERATION
ElREPAIR 11 CONVERSION .❑DEMOLISH
-
3921 7/23/82 243.19
- -
T
Project Address
O. OL �( Q - Phon
Address -5- t -
(•/fr7 p 1�
❑ OTHER
ZONING REGULATIONS
Arch/Eng! fjy� ansa
DESCRIPTION OF WORK r
A P
'
Address �/
B ���
4TYPE
S QJ'J
ZONE
PLNG. REF. r--�
-
-COntladtbr
_
OF PERMIT
❑GRADING ❑ FOUNDATION %STRUCTURAL
❑ TENANT ❑ ELECTRICAL ❑PLUMBING ❑MECHANICA
SETBACK C ST.
LD YARD
SIEDE V_MM
B I DING
-rp F f/
F
Il PROP TV LINE
Address Q /�
LICENSED CONTRACTOR DECLARATION
LICENSED
,herebyaffirm that I am licensed under provisions of Charter 9 (tom-
with section 7000) of Division -3 of the Buslness and
- ❑ OTHER
RIGHT
I ff
Professions Coded nd my license is in full force and effect.
REAR YARD (TO
P L
/ )
S
PROJECT DESCRIPTION _
- -
License ClaS Lice e
SQ. FT. - - -
PKG. SPACE REQ.
PROVIDED
-
Date Signature
-
STREET WIDTH
- _
PARK FEE
WORKERS' COMP. CLARATI
OCCUPANCY CONSTRUCTION TYPE
ZONING APPROVED BY DATE
1 hereby affirm that I have a certificate of consent to -Insure ora
r VALU ATIOy,b ZONE
Workers' Compensation Insur nce� �irtifie �y
certificate (Sect /�'� Lce
�c'� ��%C
- --
GRADING CV. YDS. ACRES
SPECIAL CONDITIONS:
Polircy Noeof
Compa
- Certified Copy is hereby Iurnlshed. _
REMARKS:- - _
HOLD FOR
-
SPECIAL REQUIREMENTS
_
<;-Certified copy Is filed with,the�city Building Division.
11 fn
Anal
,^�S,
IIS/ (,Cx Y/hU
J.- �EMPTION FROM WORKERS' COMPENSATION DECLARATION
- - -
(This section need not be completed If the. permit is for one hundred
se
- _ _ -•
tJ
�n
or less).
'
J$100)
certify that in the performance of the work for which this permit'ls
Issued, 1 shall not employ any person in any manner so as to become
_
PLUMBING 1 - PLAN CHECK -
-
ELECTRICAL
PLAN CHECK
subject to the Workers Compensation taws of California._
_ _
BATHTUBS SHOWERS
SO, FT
SO-FT-- -
Date Signature
NOTICE: If after making this declaration, you should become subject
TOILETS URINALS
GENERATOR
0-1 KW -1-10 KW - -
to the Workers' Compensation provisions of the Labor Cotle, you must
TRANSFORMER
-
forthwith comply with such provIisions or this permit shall be deemed
LAVATORIES DOUBLE LAYS- -
APPLIANCE "
10-50 KW=50 + KW
-
-revoked.. _ - - ..
CONSTRUCTION LENDING AGENCY
KIT. SINKS - - DISHWASHERS-- - -
MOTORS '-
0-1'HP-_1'-10 HP - --
I hereby affirm that there Is a construction lending agency for the per-
SERVICE SINKS SUMPS - "- --(INC.
SOLAR)
10-50 HP 50 + HP - -
- -
formantt of the .for w il� ermit is issued (Section, 3097
FLOOR SINKS - FLOOR DRAINS -
'FIXTURES
OUTLETS' - SWITCHES -
_work
Lender's� Na me !/ ll
Len
_
Lender's Address
_
DRINKING FOUNTAINS -' - " -'
-GAS TUBE SIGNS
INTERCEPTORS CLARIFIERS -
POLE LIGHTS
-' -- - --'
'OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's' License Law for
SWIMMING POOL PTRAP '"
- -
the followingreason (Section 7031.5 Business and Prof essions'Codei-
Any city or county which requires a permit to construct, alter,
POLES
METERED SUB
WATER SERVICE ALTERATION - -
PELS "
MAIN SUB
improve, demolish or repair any structure, prior to its issuance, also re-
the for such to file a signed statement that he
quires apoicanl permit
'is licensed pursuant to the provisions of the Contractor's License Law
GAS SERV ICE OUTLETS - -
SEWV ICE -
- AMP-
MP-(Chapter
(Chapter9 (commencing with Section 7000) .of Division 3 of the
WATER HEATER ; BTU OUTPUT -
- -
_
- ---
Business and Professions Code) or that he Is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by
SEWER CONNECTIONS _P
-- '" - -
any applicant for a pe rmit !subjects the applicant to a -civil penalty
not more than five hundretl dollars ($500). '.
-SOLAR TANK COL Qie 5
- - --
- - -
'1, as owner of the property, or my employees with wages as their
,:compensation, will do the work, and the structure is not intended
_
or offered for sale. (Section 7044, Business and Professions Code: The
_
SOLAR PIPING SVS.
-ISSUE FEE'
- -
Contractor's.License-Law does not apply to an owner of a property
-
ISSUE FEE
PLICATION APPROVED BY Z
DATE
who builds or improves thereon, and who does such work himself or
through. his own employees, provided that such Improvements are not
MECHANICAL LAN CHECK
"BUIL ING
U MARY OF FEES
- ^-
intended or offered for sale. If, however, the building•;opimprovement
is sold within one year of completion, the owner will-haveft Fie burueri
he did not build or Improve for, the purpose of sale).
of proving t..,,j', t._,.
., HEATING SYSTEM 0-100,000 BTU
PER T E�
-SMIP $LL
❑ i, as owner of -the property, -am co ng sines
(
_
AND DUCTING -
-
-
- i- -
project (Section 70441
licensed contractors to construct the project ($action 7044, Business
00,000+BTU
PLAN CHECK $.ZZ
PERMIT
and Professions Code: The Contractor's License LaWdoes not apply to
ISSUANCE $
an owner of property who builds or improves theieon,-and who con-
REFRIGERATION -100,000 BTV
PLUMBING $
- ,
tracts from such projects with a contractor(s) Iicesnedlfpursuant,to-
'SY,ST;EMt - - -
-
GRADING -$'-
the Contractor's License Law).
s' 100,000 + BTU
PLAN CHECK $
❑ I am exempt under Section ' B. & P: C. for this
BOILERS BTU
ELECTRICAL $
reason - -
SYSTEM REPAIR, ALTERATION
-
EXHAUSTSVSTEM MULTIPLE
PLAN CHECK E
- MECHANICAL $
-MICROFILM $
- TOTAL FEE $,'
- ' LESS AD -
Date Owner '
I hereby certify that have read this application and state that above
Information Y county
Information is correct. agree [o comply with all city and
- _
PLAN -CHECK E
- VANCE PC E - --
nces an state laws relating [o co etr coon, a tl hereby authorize
c
re re en s of t ci to an r o above-mentioned
re re
,property ec to p
tT(
Signatu Y Date
_ ISSUE FEE --
_
FINAL FEE $
- - -' - -
Drivers' License or SS # ;
CMF 0865-46 White-Builtling; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor
TL
M
riE
0
CONSTRUCTION AND PLANNING
APPROVALS Permit #
POOL &SPAr
Date Inspector APPROVALS Permit #
.
Date Inspector
1.
Temporary Electrical Service or Pole
43.
Pool & Equipment Location
- - -
Soil_Pipe- ndrgrn - _
44.
Steel Reinforcement -
-
_ _ .3.
Electrical.Conduit Utility_UPdrgrn ��'• -
., . 45.
Forms- -
- - - - -
..4.
Electrical Conduit-Undrgrn _'_
,46.., Electrical Bonding-
__
-Steel Reinforce
47.
Rough Plu - mbing & Pressure Test"
6.
Electrical UFER-Grn _ _ -
48.
APPROVAL TO COVER-GUNITE
- --
7.
;Footings _ _
49..
Electrical Conduit-Undr rn
8.
Foundation
50.-
Gas Pipe, ❑ Undr rn, Test
9.
Water Pipe-Undrgrn
51.
Backwash Lines P-Trap.❑ Undrdrn
.10.
Structural Floor System
52.
APPROVAL TO DECK '
11..
Property Sewer Line & House Connection
53.
- .Backwash & Receptor-Final
12.
Street Sewer Connection1.
- -54.
Heater & Vent-Final
13.
Ro6ghrP,l6mbipg:.0J !M-4XM :!G'i ¢IVI'`i
14.
Rough Electric-Conduit
- -56.
Electrical-Final
15.
Rough Electric-Wiring -
57.
Solar System-Final
- +
16.
Rough Heating & Air Conditioning
W.
Fencing & Access Approval
17.-
Ducts, in Structure
59.
APPROVED FOR PLASTERING
18.
19.
-- 20.
Ducts, Ventilating
Gas Pipe-Rough & Test
Roof Framing
60.
POOL/SPA SYSTEMS FINAL
21.
22.
Roof'Sheathin -
- Frame and Flashing _
-
- NOTES:
23.
- Insulation --
p
¢,-
24.
Lathing & Siding
a P-�
25.
Drywall Nailing
26.
Plaster Brown Coat
27.
Electrical Power Meter-Final
1 &a oil A,6 .0 snob ar3 S
3) ,1� •fa b
28.
Final Electric
!ate oas
0• C aS .
--29.
Final Heating & Air Conditioning
:b. CIA s::,[Mstd17
2 '� O+
30.
Final Gas Pipe-.Test
•,,;� _ -
31.
Final Plumbing
" IL;U+,,•.,,t
-
. 32.
Water Service-Final
'
-33:
Gas Service-Final
34.,
Solar Domestic-Final '
i
F X P I R E 1)
- -
• 35:'• Landscape S rinklin 'S sterii b
Ipcomplete Insoggtorls
36.
Sound Attenuation '= ., r
-
37.
Handicap Regulations
38.
FINAL STRUCTURE & BUILDING
39.
Special Requirements Completed
40.
Electric Release to Edison
41.
Gas Release to Southern California Gas Co.
42.
•
CERTIFICATE OF OCCUPANCY
�'Nb Date
_