HomeMy WebLinkAbout2135 REPUBLIC AVE - Building Permits Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
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1 CITY OF.COSTA MESA ••
CONSTR UCTI ON PERMIT I PERMIT NO. TRACT NO. • LOT NO. UNIT NO. • •
•Project Address Z/�iS /C'EAd€52./ ;; �.m . -1J Z� �6� 18 2rr I _• II���7 ; "'r r• • ^
! TYPE OF CONSTRUCTION ❑ NEW. LJ ADD l71 ALTERATION U REPAIR 0922 7/�,7/F� "• ,^ TL
• Applicant's Mailing Address • f
a1 /.� ' ❑ CONVERSION ❑ DEMOLISH ❑ OTHER / w
Owner's Nam{-A/W-y e'- .c--'�✓'4-`1/es'--4- d one C-C/-e 6-9 r A.P.# �'Z2. '� Y' T! /I • Zone
s DESCRIPTION OF WORK/USE OF BLDG.FnCInC ing Carpnr`t qn
Address 2,5c5 �E"f-i/Ft•+G/� �. //%', QX • I`n. - _ J S Main Building: • Access�ory/�Bjuihding: •
• Arch/Eng. License No. TYPE OF PERMIT IN GRADING IIIc FOUNDATION IJ STRUCTURAL i E Front Lehi (/'- O
Address p ❑ OTHERCI T LI ELECTRICAL ❑ PLUMBING CI MECHANICAL BA Rear ' 'T 39 fs l' N
ContiactgYs Name Q. A - - Phone C Right - + (�L ,Q, 'fL ¢Q n N
: PROJECT DESCRIPTION SQ. FT. OCCUPANCY K G
Address(mailing)
CONSTRUCTION-TYPE VALUATIONS y,OGZI- 00 s Le /D fg ��
City License No. V • . ZONE GRADING CU.YDS. - ACRES R
LICENSED CONTRACTOR DECLARATION Ping. Ref.# • - Parking Req./Provided E
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I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: •- • Planning Notes: anti-0d ��� - gait/ /�g4 ,/7c M
with section 7000) of Division 3 of the Business and Professions Code, and - _ - �^'—'— T
my license is In full force and effect. (/ Ca 1/0 �, et . il. /D f •
License Class " •
- c License No. / �/� V 5
Date `+Signature' ' PLUMBING 'FEES r t'un Q/)4-AI- .A.Os-r, . t> AO-evaL
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WORKERS'COMPENSATION-DECLARATION . Bar Sink • - Showers
I hereby affirm that I have a-certificate of consent to self-insure or a certificate i ELECTRICAL FEES
of Workers' Compensation^Insurance, or a certified copy thereof (Section Backflow Preventer - • Service Sink • _ -
• 3800, Lab. C.) '(-r' :K - Automatic Washer - • Transformer ❑ 15-50 KW - -
Policy No. +` Company Backflow Irrigation ' . - . ❑ 50+ KW
B Certified copy is'hereby.=f urn ishetl. g Sewer Cap, Construction Pole Sub• . ' - -
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Certified copyis filed With the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter Dui)to 100 amps
Date r • :Applicant -
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors . Dishwasher _ - Meter, ❑over 100 amps '
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(This section need not be completed if the permit is for one hundred ($100)or ,
less). - -;p Dishwasher • Solar Piping 4 Dryers•❑Gas ❑Electric Sub Panel -
' 'I certify that in thosperformance of the work for which tfls permit is issued, I
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shall not employ a y person-in any manner. -• as to0' • e subject to the • Dririking Fountains Solar Tank ' Fan _ Motors 00-1 HP 011A-B
s'+
WorkerCo n ypp•Laws of California. —
X Date '/ 55� Signature. "' . Floor Floor Drains Swimming Pool w/Spa - F.A.U. Inc:Solar ❑9:15 HP ❑1615+ -
NOTICE: f,a er.,making this declaratio , you sho • •ecome subject to the . — _ - .
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Workers' compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal - Fixtures Microwave
comply with such provisions or this permit shall be deemed revoked. _
CONSTRUCTION LENDING, AGENCY '• Gas Service Outlets • Water Closet
I hereby affirm that there is a construction lending agency for the performance Device Boxes Pole Light
' of the work .for which this permit, is issued (Section 3097 Civ. C.) —
Interceptors Water Heater Outlets Lender's Name Range
Lender's Address , Kitchen Sink • _ Water Service. .. Switches Sign -
OWNER BUILDER DECLARATION - . - •
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash '
following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator ❑0-5 KW ❑5-15 KW • Trash Compactor
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any structure, prior to Its issuance, also requires the applicant for such permit P
to file a signed statement that he/she is licensed pursuant to the provisions of -Drains - '
the Contractor's License Law (Chapter 9 (commencing with Section 7000) of .
Division 3 of the Business.and Professions Cotle) or that he/she is exempt - - ... _ .. -
• therefrom and the basis for the alleged exemption. Any violation of Section •
703 ' by any applicant for a permit subjects the applicant to a civil • -
e By of not more than five hundred dollars ($500). I -
I; as owner of the, property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
compensation, will do the work, and the structure is not intended or offered 1 - Reinspection Fee 1 $15 Issue Fee $ 3
• for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES
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 ownBoiler - DEVELOPMENT SERVICES REQUIREMEN I
. employees, provided that such improvements are not Intended or offered for Hood or Type I D Cr �
sale. If, however, the building or improvement is sold within one year of com- - - Canopy • Type II El Zoning Approved By L,7 • - Date --7
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground • Building Approved By 4- ' Date 717 `97
_prove for the purpose of sale). . - /r,x J/ {
. 0 I. as owner of"the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System ^Application Issued By ' • •' ` Date /
. tractors to construct the project (Section 7044,Business and-Professions Code: -
The Contractor's License Law does not apply-to an owner of.property.who Duct-Ventilating • . ❑0-100.000 BTU 0100,000 BTU • , SUMMARY OF FEES
builds or improves thereon, and who contracts for such projects with a con- • - _ ' •-
tractor(s) license pursuant to the Contractor's License Law). I am aware-that 0 System - _BUILDING PERMIT $ 44. 5o SMIP $ ' Q '50
proof of their Worker's Compensation insurance should-be provided to me: Exhaust System ❑ Multiple Repair/Alteration •
- - PLAN CHECK $ 2 8 •43 PERMIT
❑ I am exempt under SectionB.& P.C.for this reason F irepl/Fact.BIL ICBG# Fire Dampers PLUMBING $ ' • - ISSUANCE •. ,$ _ •
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Date (1=3c= � Owner -• et L(Loh - ' Heating System& Ducting. Registers - . - PLAN CHECK 25% $ ENERGY P.C. $ .
I hereby certify that'I have read t is apy!dation and state that the above ❑0-100,000 BTU 0100,000 BT - - - - - GRADING $ '
information is correct. I agree to comply with all city and county ordinances ' - - • - - ' . ' . ELECTRICAL -$
and-state laws relating to building construction,and hereby authorize repre- �. _ PLAN CHECK 50% $ - MICROFILM $
• sentatives of-,t is city to enter upon the above-mentioned-property for - .. _ 4,
inspection"p�uf�Qhses. /� �l �- ' - •-
Signature **- C/LC///,Wt1>Ocalitat)- , - Date b--.'-)CJ-�' / _, - - MECHANICAL $ TOTAL FEE $ 7... -
Drivers' Lice se or/- # -
Pink Accounting; Goldenrod - Assessor - - - - -
CONSTRUCTION AND.PLANNING _ POOL & SPA
APPROVALS Permit # Date Inspector APPROVALS Permit# Date Inspector
1.f Temporary Electrical Service or Pole 52. Pool &'Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms - • '
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4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding ,
5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test '
6. Electrical UF ER Grnd.. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd'.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
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9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 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
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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 0 Gas 0 Oil
123. Gas,Pipe-Rough & Test 72. Underground Flush
\ 24. Roof Framing 73. Undergrnd:Storage Tank 0 Gas 0 Oil •-
125. Roof Sheathing 74. Overhead Hydro
I26. 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 PREY. FINAL
O. Drywall Nailing HEALTH DEPT. REQUIREMENT
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1. Plaster Brown Coat 79. FINAL INSPECTION - ,
I>. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED -
I Final Electric - • 'Notes: - I'
Final Heating & Air Conditioning •
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Final Gas Pipe-Test
\Hood or Canopy .
Final Factory Fireplace •
',final
Iinal Plumbing • -
Vater Service-Final- •
las Service-Final
i
filar Domestic-Final -
ckflow Preventer •
r
ickf low Irrigation r .
ndscape Irrigation System
Ind Attenuation - E X pi R E D
�dicap Regulations - I ' Piet Inspecuurn •
AL STRUCTURE & BUILDING y , r
)al Requirements Completed Ode-
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tIic Release to Edison - ;t
elease to Southern California Gas Co -
IFICATE OF OCCUPANCY { , /
Date ^co
t
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ORANGE COUNTY BUILDING DEPARTMENT- APPLICATION FOR PERMIT
636 North Broadway _
SANTA ANA, CALIFORNIA
FOR APPLICANT TO FILL IN , FOR OFFICE USE ONLY
RECEIPT NO. PERMIT NO.
BUILDINGL7 9 (�l
ADDRESS 213$ Republic Ave.. . - '/ St 7 1 P
SCHOOL DIST. RECEIVED BY DATE RECD. DATE ISSUED
OR TOWN Costa Mesa _
CROSS ST. Crow
Ave. 3NEAREST 0// I "
4 -2i 'v C i 2/=nP
OWNER Crow Homes Inc. BUILDING
ADDRESS '-'" 010
. Jai i_—., �`�/ t
MAIL
ADDRESS 9969 Wilshire Blvd. SCHOOL DIST I / ,
OR TOWN -.4.1.0....; i
..i s: .
CITY Beverly Hills Nh CR 54361 NEAREST
CROSS ST. - . S
ARCHITECT Q(f.„ C ZONE NO. OF TYPE GROUP
ENGINEER
1/41
ENGINEER 8'1IP PLANS
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ADDRESS 2110 E.W alnut-Pasadena BYPROVED. DAT -do-1/43
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CONTRACTOR LIQ BA1boA •viQtA DM143231 CORRECTIONS
ADDRESS 9363 Wilshire-Beverly Hoi11E
LEGAL I NO.
NOT
DESCRIPTION2171 BLOCK I TRACT 1^72
(ATTACH METES & BOUNDS) ,
NO.OF BLDGS. • '
SIZE OF LOT 70 x 103I NOW ON LOT 0
USE OFNO. OF NO. OF
EXISTING BLDG. �.. I FAMILIES 1ROOMS
CENTERSETBACKOFINE STREETM 1y. SIRAR (I DE YARAD?�11Ef
DESCRIPTION OF WORK $
Lic.esNEW I X I ALTERATION I ADDITION I O
2
REPAIR I I MOVING�1Q I I DEMOLISH I D
r
OF
SIZE BUILDING 1034 sq.LR&Ms 5 STORIESn1
EXTERIOR WALL I ROOF CCWDC
COVERING EMI,eon COVERING Silingle
USE OF
BUILD NGEW ResidenceO-Att.Carport
APPROVALS
FOUNDATION; LOCATION INSPECTOR DATE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS UNDER-PINNING RM , MATERIALS, �/ 1� ../-�OC/1/
APPLICATION AND STATE THAT THE ABOVE IS CORRECT �(�� 4L• 4 )T
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FRAME: FIRE STOPS, n 4 ' !
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. BRACING, BOLTS .. 1/ H
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LATH. INT. &''�J rS 7
SIGNATURE OF •
LATH. EXT. J
PERM ITTEF Bal. A Vyat•, Co
PLASTER, INT. ,{h/'y�'i
AUTHORIZED AGT ,,� _ /,4-. a� PLASTER, EXT. ..44-4n 7��' " /
L/- PERMIT FEE $ J4 MASONRY REINFORCED
VALUATION $ 4830.00 . PLAN CHECK $
BOND BEAM pyo �y
FEEAL $/6 FINAL ec Q -)7-�
SM 3-30-D3
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STREET. ` . Z 1 \.
PLOT PLAN
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Show location and distances from
property line and between buildings. -- .
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