HomeMy WebLinkAbout336 REIMS LN - Building Permits- . - , -. . Aopllcant la fili in all svaces except those within heavY eoraer Iines.anC.sign all apDropriate aeelarations. . �- -- - �- -
CITY�OF COSTA ME2$ A/ C STRUCTION PERMIT ' " PERM NO. " 7�� TRACT NO. - .LOT NO,. . �UNIT NO, � ' ' � � - ", -� ` , . : " . � � . �
� Project�Address �cJ�O �P%�j��5_�}� . . . a3 �V ' � . . - . ' g121 -F.'�.��'•�Eic . FoC- f
Applicant's Mailin Address. - - ' ' TYPE OF CONSTRUCTION ;. NEW AD� � ALl"ERATION. . REPAIR
�❑.GONVERSION ❑ DEMOLISH ❑ OTHER q p # � ' ' . ' : � _ Zone
, Owner'sName ��-n �Phone DESCRIPTIONOFWORK/USEOFBLDG. ~ � �
Addiess � � • � � " - S Main Building: � - � Accessory Building: �
Arch/Eng.� License No. TYPE OF PERIVIIT - GR�aoING FOUNOATION T � � . - . - �
❑ STRUCTURAL E Ffont
Address • - � � - ❑ TENANT ❑ ELEC'TRICAL PWMBING .O MECHANICAL . � " ' ' ' � . •� _ � � M�
B Rear - . . . � �
Contlactor'S Nam hone �.Q �OTHER� � ' - - � ' A . ,
� PROJECT DESCRIPTION 5c.t. FT. � OCCUanrvCV• ' C Right N, �
Address (maiiing) ' ' , � ' � � , _
•� • � CONSTRUCTION_TYPE '� � �VALUATION$ � S Left • . .;, . ,, �� G
Ciry License No. " ZONE ' GRADING CU. VDS. ACqES �� R
LICENSED CONTRACTOR DECLARNTION � � Ping. R¢1. #� Pd�kl�g R¢q./P�avidCd� : ,�' E
I hereby affirm that I am licensetl untle� O�ovisions of Charte� 9(commencing Remarks: ' • -� � Pl2nnintJ NoteS: _�� � � M
with section']000) oi�Division 3 of the Business antl Professions Gotle, antl - T- �
my license iz in f I� � e antl etfect. . , , ¢ , - � . � ^ �n - i G S
License CI s Li e s o. , . i �. �
� �ate - Signature• ' ' � PLUMBING � FEES � ' " �
C�.. WORKERS' COMPENSATION DECLARATION � � � � � � • � � � i
-r� I hereby aifirm that I have a certificate oi wnsent to self-insure or a certyficate Bar Sink Showers � ELECTRICAL FEES
�-of Workers' compensation �Insurance, or a certJi�tietl� yco�py thereaof/ (Section- " gackflow Preventer �-. Servite Sink Automatic Washer I ' Trensformer ❑ 15-50 KW '
3800. Lab.�,������,� '1�\P�AIILIA�AA'ii � . • ' � i
1 Poiicy rvo. Company � gackflowlrrigation • � SewerCap�' � � � ConstructionPoleSub. � • � 50+KW
� �ertitietl 6opy is nereby fumishetl. � � ' • ` ; - ;
Cer ie o 's filea wim the city g,qj� �I sion Bathiubs . � Sewer Connection � Cooking Unit Meter ❑up to 100 amps . � �
Date Applitant �� �' Pl�����iinQ - -T'
E%EMGTION FROM WORKERS'�COMPENSATION DECLAfiAT10N - Q3/ifi¢�5... . . _ SOIdf C0112Ct0�5 � _ _ Di5hw25he�_ ' � - - M2Le�-�ov¢��100dmps - - - -
(Thissectian neetl not be completetl if the permifis for one�huntlretl ($100) or '" '
less). � Dishwasher , � � Solar Piping � Oryers �Gas �Electric � Sub Panel � �
I certi(y that�in Ihe perfo�mance of the work for which thi5 perm�t is issuetl, I ' ' �
shail not employ any per5on in any manne� so as to berome Subject to the ; Dfinki�J FOuntains � Solar Tank ' Fan :�' Motors �0-1 HP O1 %- 8
Workers' Compensation laws of California. � ' '
Date ' Signature � � � t Floor Drains Swimmin9 Pool w/Spa F.A.U. � � ' ' IncSolar 09-15 HP �i6-15+ '
'NOTICE: If, atter making thi5 tleclaration, you should become SUDject to th¢
Wolkero' Co�tpenzalion provisions of Ihe LaborCotle, you must torthwltM1 - FIOOf Si0k5 � '�� � Ulin31 � ' � Fi%tuf¢5, � � '
comply with such p�ovisions- or..tM1is permit' shall be tleemetl revok¢tl. � - MiC�owave � .
CONSTRUCTION LEN�ING AGENCV� � � - ' G25S¢/viC¢ ,OutlEts ' Wet¢�CI052t � DEvic¢BOxES � �
I he�eby�af9tm Na[ there is a construclion lentling agency for th2 Performance POIe Light �
� of the work for which this permi[ �is i55u¢d (Section ,3097 Civ. C:) Interceptors�� -�. Water Heater � � Outlets � Ran e � � �
Lentler's Name � 9 �
Lentler's Htltlress '' ' - �' ' Kitchen Sink - Water Service ,. � Switches' Sign ' �
OWNER BUILDER bECLARATION ' � . '
I hereby atfirm that I am e%empt from the Contrdctor'S LicenSe Law tof tlle L2vdtOIiES ' • � AutO-W25h � ` Gdfbd 2 Di5 OSdI ' '
g p i ; Standing Sections •
following reason (Seclion' �031.5 Business antl Profezsional Cotle: Any ci[y or � ' �
county whlch requires a permit to construct, alter, improve, tlemolish or repair' P=Trap Laundry Treys ' - Generator �0.5 KW 05-15 KW Trash Com actor •
any Structure, prior to its:issuance, also require5 the applicant for such permif - P
to tile a siqnetl statement'that he/she is licensea pursuant to the p�ovisions of ' Roof� Drains � " � ' - -
the Contractor's License Law (Chapter 9'(comm¢nCinq wi[h Section 7000),0/ " - � ' '
Division 3 oi the Business antl Professions Cotle) or [hat he/she is exempt � , � . � - , ,
[heretrom antl the basis for the alle9etl exemption. Any violation ot Section � - ' ,, ' . � ,
'•7031.5 �by any appticant for a permit subjectr the;�applicant to 'a civil r " - ' ' f
penatry of not more than tive huntlretl tlollare (g500). _ � � � . . _ , - , � ' � . '
❑ I, as owner ot ihe property or my.employees with wages as their sole' Reinspection-Fee �( $15 - : Issue Fee�. � � $.3. .
<ompensation, wil� tlo the work, antl the:structure is no[ intentletl or offeretl � ' Reinspection Fee � $15 Issue Fee . • .$ 3
tor sale (Section'�o44, Business antl P.rofessional Cotle: The Contractor's' .:� � MECHANICAI . t FEES � � '
License Law'tloes not apply to an owner o( a property who builtls o� improves ' , -
the.eon, ana who tloes such work himsel(/herself�or throu9h his or her own � • , DEVELOPMENTSERVICESREQUIREMENTS: , �
employees, provitletl that sucM1 unprovements are not intentled or offeretl for BOilef , • Hood oI� Type I' ❑ � , .
sale. It,'however, tne buildinq or'imp�ovement is soltl wiNin one year oi com- � � � i . Canopy, Type II ❑ " . Zaning Approved By ! Date � � .
pletion, the owner will have the burtlen of proving he/she ditl not builtl or im- � DuCI - UndC� G�Ound BUilding App�oVed 6y - DBtO � �
p�ove for [ne purpose of sale). ' � � � �
❑ I, as'owner of�the property, am ezUusively contraciing wi[h licensed con- Duct -Structural � - Ref�ige�ation SYstem � Appliption luued By � � Date '.�� n
tratto�s t6 construct [he project (Section 7044, Business antl Profe55ion5 Cotle: � �' .
_The Contractor's License.Law tloes not_appty.to_an,owner_oi�property wno Duct- Ventilating - ' DO-100,OOO�BTU ❑100,000 BTU __ . ' , . '' SUMMARV OF FEES � i
builas or improves tnereon, antl who mntracts,tor such projects wiM a con- �
tractor(s} license pursuant to the Contractor's License Law). I am aware tnat BUILDINGPERMIT ,$ ' SMIP � $� '
Exhaust System ❑ Multiple ❑ System Repair/Alteration
prooi of tneir Workens Compensalion insurance shoultl be provitletl to me.• _ PLAN CHECK ' �$ �.�_ PERMIT ' � ,
❑ I am exempt untler Section e. & P. C. (or this reason FirepVFacVBlt. ICBO # , Fire Dampets ' ' �-/// / ISSUANCE ,$�
' ' ' - PLUMBWG i t $ � ��'�'� ' �
Date � ' owner � Heating System & Ducting Fegisters � } ' � p�,p,N CHECK '25% $ ENERGY P.C. � $
- 1'nereby'rertify that I have reatl this application znd state�Enat'the above � ❑0.100,OOOBTU�O100,OOOBT , � i ' ' GRADING �$ � � '
in(ormation is correcL I a9ree to comply witn all city antl county ortlinances ELECTRICAL �$ . , , i
antl state Iaws relating,to builtlinq construction antl hereby autnorize repre- . • • �MICROFILM $�
sentatives o( this city, to enter upon the above-mentionetl properW for , • . ' � � � , PLAN CHECK 50°h $' . q/ I
inspection p os � ���%..,�� � : • ' MECHANICAL , $ � TOTAL FEE � $ ' V v
Signature Dace-�F-s�-y-'K ReinsPection Pee $15' ' ' Issua Fee . ,$ 3 PLAN CHECK 25%' $ � .
Drivers' License or 55 � .
CMF OB65-46, rev. 30/80 White - Builtling; Canary - Applicant; Pink - Accountin9; Goltlenrotl - Assessor
CONSTRUCTION AND PLANNING POOL & SPA
, APPROVAIS Permit # Date Inspector AppROVALS 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
7 3. Roof Drains . 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final �
15. Rough Electrical-Conduit 66. Solar System-Final -
16. Rough Electrlc 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' 77. Product Piping O Gas ❑ Oil � �
23. Gas Pipe-Rough & Test 72, Underground Flush
24. Roof Framing , 73. Undergrnd.StorageTank �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: ,
34. Final Heating & Air Conditioning -
35. Final Gas Pipe-Test
36. Hood or Canopy . . , '
37. Final Factory Fireplace - �
38. Final Plumbing 7_j�.yb t,,EO ' �
39. Water Service-Final � ' �
4ti
40. Gas Service-Final � `� � � �
;'•�
41. Solar pomesticFinal ��+ � �
42. 8ackflow Preventer � i"'! � ' � ,
43. Backflow Irrigation � �,. ' �
44. Landscape Irrigation System . . � '
45. Sound Attenuation � "' � �
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDIfVG ' ,
48. Special Requirements Completed � . � -
49. Electrie Release to Edison - � �
50. Gas Release to Southern California Gas Co � �
51. CERTIFICATE OF OCCUPANCY , , . _ ,
No. Date
OWNER DOYLE & SHIELDS
JOB ADDRESS 33 Reims
GEN�RAL CONTRACTOR Dpy
AP No. LOT 15
INSPECTIONS
Water
Co.,Inc.
Dev.Co.,Inc.
�_FIRE ZONE
DATE I GROUP
�
vEu.uE � 19,417.00
DESCAIPTION OF WORK Res.w
TYPE V ZONE R-��
SUBCONTRACTOR
_ l9�04
COSTA �MESA BUILDINGSAFEfY DEPARTMENT
P. O. BOX 91] C06TA M6HA. CALIFORNIA
Fo� Applicanf �o Fill In Complefely
TYPE OR PRINT
BUILDING �� � �` ` / n °�__ �
ADDRE59 'K��•.�KJ
COSTA MESA, CALIFORNIA
OWNER D) G ii //��e/U t.(� I�p.i
' MAIL ��� � �an4 c1�� r Ri
AODRE83 /� `
e1N H'+ t�: IYi !.Ii� I/' NOY/C o(Q�
FEE RECEIVEU
' � 3 i96�
� � FII�iCE DEPT.
1CIiY OF COSTA MESA
APPLICATION FOR PERMR
BUILDING.
For Office Use Only
RHC8IPT NO. P6
I �'��4
!Y OAT6 0.6CGIVED DATE189UE�
-� -G JUN 3
� �lo i,..�� ��-, .
ADDRE59
�f/ Ov Wp� `yp,anµxK� ZONING
ZO NO. OP UBE OF NE
(��y� �� PUNB z I CUILDIN 'j
CONTRACTOR �J `^ � L / . )
DHGCRIPf10N i�J / � /ra � ��`� 3
ADDRESS � � � � �
CITY �f'h Q� A. P. NO �-
�y n ,,(/ NOTE: NOEAVEOVERHAN66HALLBELE55THAN
LIC.TNO��J/'�O�/J�� NO.�� �"��"� '�O"TO8IDEQREARP.L.
/
'SIZE �J�7 r c� � - NO.oPOLnCe. ALLOWED fU.B.C.REQUIREMENTI
OF LOT 3,} . J 3• J � nOw On laT ��
YARDSAPPROVED YARDSAPPROVED
USEOF �--�^ MAINBIIILDIN6 ACCESSORYBUIL�ING
EXISTING BLDq.
� ( FROM C/L STREET)
SETBACK LINi FROM FRONT FT. FT.
CENTER OF BTRbiT V� `�� REAR YARD
SI�EYARDI LEFf �- I R16HT R.SIDE � FT. Ff.
DESCRIPTION. OF WORK L. SIDE � F-r. Fr.
SRE D'N��-�'�`S -��' ROOM9 8T R168 Z GAU. P. # APPROVED
EXTERIOR WAl�. I ROOR S�/H6L.� APPROV ��� -��
COVERING v'�<<- COVERIN6 BY DATE
USE OF BUILDINB AfiD WORK TO BE P6RFORM6D
�-� ' eti�� �ifQ�=.l ��r
d�l 32-C_ �.z so.�. 3�Q' m
1 HEREBY ACKNOWLEDGfi THAT 1 HAVB RBA� THIS APPLICATION TNE AMOUNT 8H W UNUEP VALUATION �9 FOp TH8 �
AND 6TATH THAT THH ABOVH )8 CORRECT AND AOqE6 TO COM� PUqP056 OF T L�8HIN0 q PERMIT FEE ONLY. Q
PLY WITH ALL CITY ORDINANC86 ANO 9TAT6 LAW6 RBOULATINO ' ypLUAT10N 7 '
�Bu1L�IrvOcorvSTRUGTION. PERMITFEE $ CV � �
SIGNATIIRE OP �
PERMITTE �- m
' $l9 /7h 3.Sd e
AIITHORIZED A6fiNT � � � /� �� LL
TOTAL FEE $ i Ti �
i