HomeMy WebLinkAbout3493 SAN RAFAEL CIR - Building PermitsAVD���ant to till in all spaees except those wilhin heavy Gortler lines and sfan all aoorooriate Eeclaralions
ci7Y oF COSTA MESA " CONSTRUCTIO1N PERMIT P,,E?M�T NO. TRACT NO. LUY NU. UNIT NO. A P# . . Zone
Project Address __� y 43 SqJ QAF4�lC �- Q �� ' � �
� � - S Main Building: Accessory Building: . �
Applicant'S Mailing Addr�e5j5� -` -' . TYPE OF CONSTRUCTION ' NEW DD ALTERATION REPAIR E _. Z
Owner'SName C�, (�f.p SiM � �9�`7 -� CONVERSION ❑ DEMOLISH ❑ OTHER T Front . . 0
Phone DESCRIPTION OF WORK/USE OF BLDG. 8 Rear � � N
Address �yy3 � sA�, ����csl. � . I A � 1
Arch/Eng. ' ' LicenSC No. TVPE OF PERMIT GRADING FOUNDATION ' STRUCTURAL I C Ri9ht ' N
K G
Address p�� � � ❑ TENANT. �LECTRICAL ❑ PLUMBING �iIECHANICAL , g � Left . � � R
g Phone [��� �'OTHER - � Ping. Ref. # � Parking Req./Provided � E
Contractor's Name �
� PROJECT DESCRIPTION 54. FT. ocCUPaNCv � M
Address (ma'I'ng���12y GAM'��A�LrOd✓tf L.at, N✓7i . - � Planning Notes: � ' - �
��� ��� -y--$ CONSTRUCTION TVPE VALUATION $ r
City License No. ZONE GRADING CU. VDS. ' ACRES S
� LICENSE� CONTRFCTOR DECLARATION ,
�i I, here0y a/fiim that I am licensetl untler p�ovisions of Charte� 9(comm¢ncing Remarks: C�� �(„f�y
with section 1000) oi Divisian 3 of the Businezs antl Professions Cotle, antl ELECTRICAL FEES
mv license is in tull torce antl ettect. G• 1{� , n"" . , � '
�+1� �
� License Class� Li nse No.�v�i� Y � � �
Date��_I _�4_ SignaWre � - PLUMBING FEES P.utomatic Washer Transtormer ❑ 15-50 KW ' _
WORKERS' COMPENSATION DECLARA�'f10N Construction PoleSub.� ❑ 50+'�KW
I hereby affi�m tM1at I have a certificate,ot consent t0 Selt-insure O/ a certiflCat2 Bar Sink $hOw2l5 .
o( Workers' Campensation Insurance, or a certitietl mpy thereof (Section Backflow Preventer - Service Sink ' • - - Cooking Unit � Meter ❑up to 100amps.
3800, Lab. C.) ' , .
Policy No. ' Company.�J �fJ�✓� Dishwasher Meter ❑over100am s ..
��� Backflow Irrigation Sewer (:ap , P
�Certitietl wpy Is hereby (urnishetl. ' Dryers ❑Gas ❑Electric Sub Panel
Certi(ietl co flle0 with the city Bu�i ivision. 1 . Bathtubs Sewer Connec[ion �
Date_�-=(G�� Applicant ��.-�-•�� Fan
EXEMVTION FROM WORKERS' COMP N�DECLARATION Clarifief5 Solar ColleCtors Motors �0.1 HP 01'/: - 8 �
-�Thissection neetl not be completetl it the permit i5 for one-huntlretl ($300 or . ') F.A.U.
iess). ' � � Dishwasher Solar Piping � Ina Soiar �9-15 HP �16-15+
I certity that in the performance of the work for which this perm�t is issuetl, I �� Fixtures
shall not employ any person in any manner so as to become subject ta.the Dfinking Fountains SolarTank � Microwave
Workers' Compensation Ldws o( CalifOrnia. ' � D¢viC¢ BO%¢5
Dare 5ignature � Floor Drains Swimming Pool w/Spa Po�e Light
NOTICE: Ii, after makin9 this tleclaracion, you shoultl become subject to tha
Worker5' Compensation provisions Of th¢ LdbOf Cotle, you must tofthwith FIOOf $inks - Ufin21 - - OUtI¢ti fldngE _
. comply wiN wch provisions or tnis permit shall be tleemetl revoketl. � Si n
CONSTRUCTION �ENDING AGENCV' ' ' GasService -Outle[5 WaterClOset , SwitChes 9
1 hereby affirm lhat the�e is a construcfion lentling agency to� t�e petfo�manc¢ - -
oi tne �work tor whicn, tnis permit is issued (5ection 3097 Civ. C.) Interceptors Water Heater Garbage Dispos2l Standing Sections
Lentler's Name '
Lender'S Atltlress Kitchen Sink �� ' Water Service ' - Generator �0.5 KW �5-15 KW Trash Compactor
OWNER BUILDER DECLARATION ' - �-��• o-
I hereby afTirm lhat I am exempt from the Contractor's License Law Tor the Lavatolies ' � Auto-WaSh
following reason (Section ]031.5 Business antl Professional Cotle: Any city or "
counry wnich requires a permit to construct, alter, improve, tlemolish or repalr P=Trap ' . - Laundry Trays �
any structure, prior to its issuance, also requirez the applicant tor such permit
to file a signetl statement that he/she is licensetl pursuant to the provisions of Roof D�ains ' � � �� �
'the Contractor's License Law (Chapter 9(commencing with Section 7000) of
Division 3 ot the Business antl Professions Cotle) or that he/she is exempt qeinspeMion Fee . $75 luue Fee $
inerefrom antl the basis for Ihe allegetl exemption. Any violation of Section -
�7031.5 �by_ any applitant for a permit subjecls lhe'apP��cant to -a civil
�enalty ot not more than tive hundretl dollars (E500). - . DEVELOPMENT SERVICES HEQUIREMENTS: ,
LJ I, as owner of the property or my�employees wim wa9es as their sole' Reinspec[ion.Fee $15 Isue Fee $ 3 �'� � Zoning Approved By Date
'compen5atio0, will tlo [he wo�k, antl Ihe SGucture is not intentletl o��offer¢tl �
for sale (Section 7044, Business antl 7rotessional Cotle: The Contractor4 MECHANICAL FEES . Building Approvad By Date
' license Law tloes not apply to an owner of a property who builtls or improves �
thereon; antl' who tloes such work himself/herselt or through his or her own � � - Application Issued By Dat
employees, ptovidetl that such'improvements a�e not intentletl or otferea (o� BOiI¢� � HOOtl 01 Typ¢ I ❑
5a1e. It, however, the builtlin9 or improvement is sola within one year of com- Canopy Type II ❑ SUMMARV OF FEES
pletion, the Owner will have the burtlen Ot proving he/she tlitl not bwltl o� im- DuCt - U�d¢� Ci�OUnd -
II provetorthepurposeotsale). � . ' BUILDINGPERMIT $ SMIP $
❑ I, as owner of the property, am exclusivety contractin9 with licensetl <on- Duct -Struciural Refrigeration System � pLAN CHECK
[ractors [o construc[ the project (Section 7044, Business antl Pro�essions Cotle: . �r. $. PERMIT
� The ConVactor's License Law does not appty to an owner ot property who Duct- Ventilating �0-100,0008TU ❑100,000 BTU � pLUM61NG �SS.UANCE $
builtls or imOroves therean. antl who cont�acts fo� such oroiects with a ron- - $
tractor(sl license punuani m me Contractors License Law). I am aware tnat PLAN CHECK 25% —�y— ENERGV P.C. $
proof of tneir worker's compensation insurance snoula be proviaea to me. Exhaust System ❑ Multiple ❑ System Repair/Alteration $ -/ /„�RADING $
� ELECTRICA� $ __G�L
❑ I am'exempt untler Section � B. & P. C. �or mis reason Firepl/Fact. BIG ICBO # Fire Dampers MICROF I LM $
PLAN CHECK 50% $
Date � ' Owner Heating System & Ducting Registers . MECHANICAL $ ��ipTAL FEE $ � � '�
I hereby certify that I have reatl this appliwtion antl state that the above QP100,OOOBTU �100,0008T �
Intormation is wrrecQ I a9ree to comply with all city antl county ortlinances ' ' A PLAN CHECK 25% $ �
antl 5[ate laws �elating to builtlin9 conSVUction, anC hereby autho�iie reore- -
sent5tives of t is to e[er upon the above-mentlonetl Property tor E`
Inspection pur �? C4�Ji'��%-�QQ3Z.�i�B ��T J�.�J
Signature `� Date S �
Drivers' License or ss �. Reinspection Fee � 515 laue Pee 3 � pq7E� 95/01189 T?11E� 12�5f•
0865-46,�rev. 5/88 White - Builtlin9� Canary - Applicant; pink - Accountlng; Goltl¢nrotl - Assessor , �
�. _.. . . .. .
. I+'��� . ' . . . . . . . ;y . . .
CONSTRUCTION AND PLANNING j ! POOL & SPA � . . .
APPROVALS Permit # Date . Inspector AppROVALS Permit # Date � Inspector
r:�
7. Temporary Electrical Service or Pole- 52. Pool & Equipment Location _
2. SoiI�P`pe-Undrgrnd., - �p 53. Steel Reinforcement � ' - -�i�
3. Electrical Condui;.Ufility-Undrgrnd. 54: Forms j�
4. Electrical Conduif-Undrgrnd. " 55. Electrical Bonding � �
5. Steel Reinforcement_ . 56. Rough Plumbing & Pressure Test '���
6. �•Electriczl UFER Grnd: s � 57. APPROVAL TO COVER-GUNITE � ;�'
� -
•. 7. Fo'otings "� �� _ .� - 58. Electrical Conduit-Undrgrnd. �
• 8.�-Foundation '� � v-; •�� 59. Gas Pipe, O Undrgrnd., Test ��
� � ... i.
9.� Water Pipe-Undig�nd. � -� � 60. Backwash Lines, P-Trap, O Undrgrnd. ' ''�
10. Structural Floor System � ���. 61. APPROVAL TO DECK , ''
11. Property Sewer line�& House Conne�tion , 62. Backwash & ReceptorFinal "
12. Sewer�Cap �� i �:i � + 63. Heater & Vent-Final ��
�
13. Roof Drains � � � � 64. Plumbing System - Final ,;
J
14. Rough Plumbing � 65. Electrical-Final �
15. Rough Electrical-Conduit , 66. SolarSystem-Final
16., Rough Electric Wiring �'; 67. Fencing & Access Approval
17'.�Rough Wiring Sign -� 68. APPROVED FOR PLASTERING
18:�:Rough Electrical-T Bar Ceiling ,,� 69. POOUSPA SYSTEMS FINAL �
19i'Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace "'• APPROVALS Permit #
'S -._ �
21. Ducts, in Structure ;' �;' 70. Underground Hydro '
22. Ducts, Ventilating ,.� " 71. Product Piping OGas ❑Oil
23. Gas Pipe-Rough & Test -� 72. Underground Flush � '
24. Roof Framing � 73. Undergrnd.StorageTank �Gas ❑Oil •'
25. RAoof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Fla\hing , 76. Dry Standpipe ,
28. Lathing & Siding ' ' 77. FIXED SYSTEM FINAL
29. •Insulation ' . 78. FIRE PREV. FINAL
30. Drywall Nailing HEAI.TH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final � 80. FOOD CERTIFICATE ISSUED �� y
��S .1 �'�
� ` -..
33. Final Electric � '.%BQ Notes: ^i ; ; .
•,
34. Final Heating & Air Cbnditioning s �Y �/17 � � � ' � �
35. Final Gas Pipe-Test
36. Hood or Canopy � �
�
37. Final Factory Fireplace --
38. Final Plumbing '"1 .
39. Watei Service-Final _I �
40. Gas Service-Final _. � ,
41. Solar pomestic-Final � � '-� ' '
42. Backflow Preventer J
t.�
43. Backflow Irrigation . � ,�/
44. ,Landscape Irrigation System ' � !� ,��
45. Sound Attenuation , , � � ' j,
46. Handicap Regulations '
47. FINALSTRUCTURE&BUILDING . -
48. Special Requirements Completed -
49. Electrie Release to Edison ' . _ . � � �
50. Gas Release to Southern California Gas Co ' -� r--
- -- / -.,-- t 71
51. CERTIFICATE OF OCCUPANCY -- � �'� ��,y., ' ;� �
No. Date � � ?1 7� ' • ''�
2 �
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 7T00 COSTA MESA. CALIFORNIA 92E26
For Applirnnt to Fill In Complately
TYPE OR PRINT
DRESS 34 3 a afa 1 �'
COSTA MESA, CALIFORNIA
� ARCHITECT
■ s¢e
No '936 -
NOL�
Los Angeles, California 90036
201098 No 936-1104
Ixo:o��tuos. 0
0 YCTlACK LIXt rRON
[RT 1 7 � � RIOHT
DESCWPTION OF WORK
JAN -7-69P���00 178# ***
cwsn 128.Z-
APPLICATION FOR PERMIT
BUlLDING
for Office Ure Only
R[C[IITNO, pEppl�{_(Ip�
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L.�J�.J
rsr GT[R6 erv¢o - pnrsiseyeq
f �-b�" /6
J'�4',�' ' %.1;.
' YARDHAPPROVED
MAIN BUILDINO
iFROM G R6[TI
1Z � FRONT PT.
1 R. IIIO[ � FI'.
. HID /T.
RGR
DIiTANC[ ![T.
MAIN BLD D.
VAR. # .
en�eniunwwW I ^w� WOOCI shing'
COVERIN6 StllCCO GOV8RIN0
UY8 OF EU I LDINY AND WORK TO D6 PBRPORM[D
ielling and Attached Garaee
404 - Lot � 23
1 NERlBY ACIINOWL6DOd SHAT 1 XAVB RGD THI! APP��WT�ON
AND 8TAT8 TXAT TH6 AlOV6 1� CORRlR AND AOR86 M COM•
PLY WITN ALL CITY OqDINAXCiO AND YTAT{ I./�WY R[OUTATINi
BUILGINO CONBiPUCT10N.
s��,ua�rnarnv ' �
AUTHORIZGD
tr�a �rauxr exo t
Pt1PPOB6 OP 4
VALUATION
s�,���
ZONINCi
uacorniw •
o euuoma;;,,�__�
iALL B8 LE88 THAN
U.B.G.REqU1R8MENT1
YARDSAPPROVED
ACCEII&ORYBUILDINO
DATB
1 / " � '- � M
w
�
� 4� �
vw��wnon �e roq TMs �
l� PERMIT FH8 ONLY.
�j �
IT FEE $ // S �