HomeMy WebLinkAbout2816 SAN JUAN LN - Building Permits_ _ _ Applicant to till in all spaces except those wit�in �eavy Cortler lines anE sign.all appropriate Geclarations. _ . , � ._ . __, .. _.
' _ .• . .. , - . . . -r . _ ."i_. - . ... '1
�ITY oF COSTA MeSA �CONSTRUCTION PERMIT �^IT NQ��� TRACT NO. � LOTrNO., � UNIT NQ � •. 5541 10/20/86 27.50 'TL
Prolect Address iZP✓�6 �SiiN �.%Zd1N �JYV.f. � J � � ` ' � ' ' ' " �. { '
A�pplmanYs Mailing Address • I ' t,, ' TYPE OF CONSTRUCTION , NEW /�DD ALTERATION REPAIR' ' ' : �
�W�� Phone %''vZJ � CONVERSION. ❑ DEMOLISH ❑ OTHE q,p. #_ _ _ _ _ __ __ . i_ _ . _ , , .. ' .2one- . -i � � -
�ner's Name � �'� , , DESCRIP 10�1 pF WORK/�$ E OF BLDG. (S �X/377Nre 6�'E ' � � � `
- Address �-�f /�S �i(%EcA � �$',(/eT/�d"�/NST11U- K/£pVYLW/611T��F26LFt4S Si/N16LL`S ' S MainBwlding: I �- � ' ' 'Accessoryeuildingr, . ' j
Arch/Eng.� �� � � License No. ' TVPE OF PERMIT ❑ GRADING, FOUNDATION STRUCTURAL � T Front � � ' � � � ' i ; p
Addre55 �'`� ,�/ - Y� . � J ❑p� TENANT ,❑ EC7RICAL ❑ PLUMBING ❑ MECHANICAL � . B Rear � ' N
� • p �,��I "�(' Phone �/ � •bJ OTHER ��s�i�i . __ • _ ' ' _" A ' _ . 1
!Contrectar's Nama � i PROJECT DESCRIPTION � 5�. FT. � 7�J �' � Wpp�.� : K Right � ' ' ' � � - ' � G
Address Imailing) /�%',✓•.T��m��� ` ' ' ' I vALUAOION $'•� �% �� 5 Left � ' ' ' ' ' � i R
�9/� . ,CONSTRUCTIONTVPE ,
� City License No. — .ZONE GRADING CU. VDS. ACRES
IICENSED CONTRACTOR DECLARATION � - , PInJ. REf. # ' ' Pa�king�Req./ProvidCd � ' E
. � 1 hereby affirm that I am lic¢nsetl untlerlprovlslons o( Charter 9 (mmmencing Remarks: ' � ' � . Planning Notes:� � i ' � - ` � ' ' � � M
wi[h section 7000) ot DivisloP- 3 ot the Bu ine55 antl Pro�esslons Cotle, and ' _ ,�
�my license is in full fofc tl,�etfecL� ' ' , . � � - ' t � ' � ' . •
�icensep� ss C_. :/ �s 011i ' S.
�Date �/V�0 Sg i �� 6 - PLUMBING i ,FEES . � � . �
' WORKERS' COMPENSATION DECLARAT ON Ba� Sink ; , Z Showers � ' - . r . �
1 hereby affirm that 1 have a��certrticate.of consent to self-insure or a certihcate �^ - � � � � � ELECTRICAL, :. . r- F,EES
� of Workers' Compensation.lnsurance,;or a certifietl cooY tnereof (Section gackflowPreventer '' �Service$ink - � - I �
3800, Lab. C.) �,.O ?= - � ' " '
Y ^ P Y � Backflow Irri ation � ' Auromatic Washer`� .'Transformei ❑ 75-50 KW
1 Polic No. '��%//�6 Com an �� u�� . ' ,_
9, Sewer Cap �• Construction PoleSub. ' � 50�+KW
� � Cer[ifietl copy is hereby,.turmshed. . . - . , , , _ , - �
Cert'fi y is filatl vaith the ciry B ild 'on Bathtubs � Sewer Connection Cooking�Unit - � `� Meter ❑up ro 100 amps �
x Date Appl¢ant � . � - ' - �
EXEM TI NFHOMWORKERS'COMPENS ION CLARATION Clarifier5 � .� SOIafColleCtors� ' � DishWaSher '� V � Meter'DOveG100amp5 �
(This section neetl not be mmpletetl if the pe�mi[ i5 fo� one huntl�etl ($300 0� . � _ � . � ' i
, less). � �. � ?., I . � � Dishwashen ' ' Solar Piping . � �- Dryers ❑Gas ❑Electric ' ' Sub Panel. ! � �
I certlty that in the performance of the work fOr which this pe�m�t is issuetl, 1 � , �- �"
snall not employ•any person in any manner so as to become subjecNto tne Drinking Fountains $olarTank Fan �
Momrs �0-1 HP ��1 % -.8
- workers' Compensation Laws o/ Califomia?' - '
Date Si9nature Floor Diains- � � � Bwimming Pool w/Spa • ' F.A.U. . IncSolar �9-15 HP �16-15+ i
�-NOTICE If, after making this tleclaratlon,-you shoultl b¢come Subject to the - -
' Wofkefs' Comp¢nsation pfovisions ot the Ldbof Gotle, you must forthwith FIOOfSinkS � •Ufi031 ' � ' Fixtuf25 � MiclOwdv2 �
� comply with such provision5 or 'thi5, permit shall be tleemetl revoketl. � '
CONSTRUCTION L'ENDING AGENCV � G35Se�vice 'Outl¢LS WaterCloset � � . ' D¢VIC¢BOx¢S ' - '
I hereby aHirm that there is a construction lentlinq agency for the performance Pole Light �
of Ih¢ work tor which this permit is issuetl (Section 309] Civ. C.) - � " � . - � .
Interceptors Water Heater ' Outlets
Lentle�'s Name � Range '
�Lentler'sAatlress � �� � - KitchenSink � - � WaterService��'� '' � �. ' Swicches . '-" � � ' - �� ' "'
OWNER BUILOEH �EGLARATION ' ' � Sign
1 hereby affirm that I am ¢xempt froT th¢ Cont�acto�'s License �Law tor th¢ Lavamries . ; Auto-Wash - ' Garbage Dispoul Standing Sections '
followinq reason (Sectian 703L5 Business antl Professional Cotle:.Any city or , '
county which requires a permit m construct, alteq improve, tlemolizh or repair P-Trap � Laundr,y Troys � Generator QO-S�KW �5-15 KW Trash Com acmr '
any structure, p�io�,to its issuance, also requires the applicant fo��such permit P ' '
to tile a signetl 5[atement [hat he/She is IicenSCtl pulsuant to the provi5ion5 of ROOf Dfd105 � ' � ' ' ' -
the Contractor'S License law (Chapter 9'(commenting with Section 7000) of ' ' . '
'Division 3 of-the Business'antl Professions Cotle) or that he/she-is ezempt' . . `- . '�
therefrom antl lhe basis for tne allegetl exemp[ion. Any violation of Section � � ' . � � , ' ' � ' . , � '
7031.S�by any applicant tor a permit subjects the applicant to a[ivil
�enalty of not more than five hundretl tlollars (5500). � ' . ^ ' - � � • � � ' ' • �
.� U 1, as owner of the property or my employees with wages as their sole ReinSpection Fea ; $75 � � ISSue Fee � $ 3 '
compensation, will Ao the work, antl the structure is nof intentletl or offeretl Reinspection Fee $15 � Issue Fea � ' $ 3
1 for sale (Section Jo44, Business antl Professional Cotle: The Contractor's -' � ' MECHANICAL ' ' ' ' FEES
� LicenSe �Law tlaes not apPly to an owner of a property who builtls O� improves �-. �
chereon, antl who tloes such work himsel//herseli'or through his or her own � , � DEVELOPMENTSERVICESREQUIREMENTS: ; � •" �' '
employees, provitletl thaTsuch improvements are not intentletl or otferetl fOr BOilef � ' HOod or Type I ❑ • � � � �
-wle.li;'however, tne builaing or improvement is soltl within one year of mm- . Canopy �Type I I ❑ � � Zoning Approved By ' . , Date .;
-pletion,�the owner will have the bu�tlen of proving�he/she tlitl not builtl or im- Duct- Under Ground ' Buildin A �oved B � Dete
prove for the'purpose of�sale). �� � � 9 PP Y � ��/� ' ,
❑ I, as owner of the prope�ty, am;ezclusively convactin9 with Iicensedcon- Duct -S[ructural Refrigeration System . Applintion Issued By � � KV� � Dat �t% �' d
tractorsto construct the.project (SectionJ044, Business antl Professions Cotle: • _ ,
The �Contractor's �icense Law tloes not appry to an owner of property who ' Duct - Ventilating � � �0-100,000 BTU ❑100,000 BTU ' ., S1,I MMAR�' OF FEES - `'
- builtls or improves thereon;.antl who cont�acts tor such projects with.a com - - - . s/ ��^�
'tractor(sl ucense pursuant to the,Contractor's License Law). I am aware tnat � M � � . ��; BUILDING PEFiM1T _$� J�� d �SMIP - � $�. V v
proot of their,Worker_s Compensation insurance should be provitletl to me. ExhaustSystem � Multiple ❑;� System Repair/Alteration ' , pLAN�CHECK .'$' �PERMIT -
❑ 1 am exempt untler Seciion e. & p, C. fo� this reason ', FirepVFact..Blt. ICBO # Fire Dampers � - ' ' � � � ' "ISSUANCE ' $ �_ �
P,LUMBING � $,-
.oate"� Owner - " Heatin9 System &•Ducting _ � . Register ' i ' pS� � . PLAN.CHECK 25%� $ ' ENEfiG�'.P.C.- $ : '
�1 hereby certify that 6 have reStl this application antl state tnat the above - ❑0-700,OOOBTU Ot00,0006T ' - .- ' _ GRADING �-$
intormation is correct. agree to comoiv with ali city antl counry ortlinances ' � �� ' i - ELECTRICAL $�.�
antl state laws relatin to builtling struction, antl hereby�authorize repre- � - � � � ' - pLAN CHECK ' 50% $ , � ' �MICROFILM ' $ - `:� �
sentatives of, nis ent th¢ above-mentionetl p�o ery,fo� � _ _ � � � ��,�r� � C�' S�g, - . , . - ` ' ' : -
m5pection pu� ose . � ' �J - —� — . MECHANICAL ' $ TOTAL FEE $ -a 7 s� � o
Signafure - Date / LO ; ,, • � i , - . . .
•Drivers^License or 5� fieinspection Fee $15� � � laue Fee $ 3 PCAN CHECK 25% $
CMF 0865-46, rev. 30/84 White - Builtling: Canary - Applicant Pink - Accounting; Goldenrotl - A55e55o� �', i �
�: - t�
CONSTRUCTION AND PLANNING POOL & SPA �_. - .
APPROVALS Permit # ' Date Inspector qppROVALS Permit # � Date � Inspector
� .
1. Temporary Electric2l Service or Pole 52. Pool & Equipment Location , � �
2. Soil Pipe-Undrgrnd. � , 53. Steel Reinforcement �
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4: Electrlcal Conduii-Undrgmd. 55. Electrical-Bonding ,' ' �
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test � �
6. Electrical UFER Gmd. � � � 57. APPROVAL TO COVER-GUNITE .� �!'}
c.
7. Footings � �� � . 58. Electrical Conduit-Undrgmd. .
8. Foundation . 59.� Gas Pipe, � 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 �
20.� Rough Pactory Fireplace �' APPROVALS ' Permit #�
F
21. DuCts, in�Structure - 70. Underground Hydro �
22.�Ducts';Ventilating � 71. ProductPiping�Gas ❑Oil .
23. Gas Pipe:Rough & Test 72. Underground Flush '
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil '
25. RooYSheathing 74. Overhead Hydro -
26. T-Bar Ceiling (Structural) &.Monocoat 75. Dry Chemical , - �
27. Frame and F.lasliing 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 - ,
39. Water Service=Final � -
40. Gas Service-Final �
41. Solar pomestic-Final � •
. 42. Backflow Preventer � � '
43. Backflow Irrigation- '
� 44. Landscape'Irrigation Systero E X PJ R E . ,
�45. Sound Attenuation • ��mp@ �
46. Handicap Regulations 'T' $Ie.�.�'�
47. FINAL STRUCTURE & BUILDiNG �
48. Special Requirements Completed " -� �
49. Electric Release to Edison '`
-50. Gas�ReleasetoSouthernCaliforniaGasCo � �
51. CERTIFICATE OF OCCUPANCY �
No. Date � � . � _.` # '
,1� ,. . . , .�. . . tA � . . � ..
OWNER t��SFi DEL
DATE
DATE
SUBCONTIiACTOR
� � 205?g
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 817 COBTA MEBA. CALIPORNIA
�
For Applieanf fo Fill In Complefely
TYPE OR PRMT -
COSTA MESA CALIFORNIA
-1
BIZE 6C� X 93, I r+o. o' e�oae.N�
OF LOT' 7 NOW ON LOT
U8E OF
EXISTING BLDG
88TlACK LIN6 PROM
cermR OP BTtEET � REAR YA[RD i ��
BIDH YARD I LEFT S� I RIGHT V� �
DESCRIPTION OF WORK
NO. OF
garage. Pl,ant 600-B
� xexeev wcKeiow�eooe rxwr � xwve neno rx�s MPlJGT10N
AND BTATE THRT THE ABOVE 16 CORREGi AND AGREZ TO COM-
p�Y WIrH ALL CIiY ORDINANCEB AND BTAT¢ IAWB R60ULATING
BWLDIN6 CONBTRUCTION. - .
P RMni�RE OF D � ent C
�' o-..p1` °--�-e--�
AL7THORIZED AGEN7
�EE RECEIVED
SEP 1 0 1963
FINI�NCE DEPT. .
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
RBCeiPT NO. I PERy1T N�
�L�li
neoefyeq pr I,.�a g�cziye� I S�RTl �u iab3.
GrX�'G �� (O �o r
BUILOING
ADDRESS
COSTA MESA. CALIFORNIA
FIRE ��� 9.-�
�nmw rcc I� ranno �
APPROVED
LF6AL
LINE
ZONING
no. op l e oi
rurve yi{.q�.
Garage '� Lt53�S.F.
THE AMOUNT 9XOWN UNDER VALl1AT10N IB voa iH¢
PUFPO6Z OF, EBTqBLI8HIN0 A PENMIT GEE ONLY.
s 23,985��� IPLAN CHECK
K
0
4