HomeMy WebLinkAbout855 Santiago Rd - Building PermitsApplicant to fill in all spaces except lhose within heavy bortler lines antl si9n ail appropriale Geclara[ions.
CITY QF COSTA MESA C NSTRUCTIO P RMIT ' PER �. � D TRACT NO. LOT NO. UNIT N6.
�,� c Q� fi�a� N, � 3665 I/21 /q3 5,A� '
Project Address �� - K�X _
`ApplicanYsMailinaADddr,s�� ���� %��/1 P�%'7� y�� /1 TYPEOFCONSTRUCTION New ADD a�TEaaTION REPAIR
� � ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A p# Za�e
Owner's Name �q��� n DESCRIPTION OF WORK/USE OF BLDG.
Address ,,j�/Jl^ �y � S Main Building: Accessory Buildin9: � �
ArchlEng. License No. TYPE OF PERMIT GRADWG FourvDaTlorv ❑ STRVCTURAI T Front . p
Address . • ❑ TENANT ❑ ELECTRICAL PLVMBING ❑ MECHANICAL A Rear � N
Contracmr'sName— � � 'J� '�PhQne ��� ��� � �THER C Rlght N
/) �� //�// �p � � h —{�� PROJECT-DESCRIPTION 5a. FT, ocCuaANcv K
Address(mailingl�{�� �/'!L '( CONSTRUCTIONTVPE VALUATION$ g Left G
CiLyLiC2n�PNn �nM:�� ZONE �GRADINGCU.YDS. ACRES R
LICENSEO CONTRACTOR DECLARATION PIn9. Ref. # P2�king fleq./P�Ovid¢d E
1 he�eby aftirm that I am licensetl untler provizions ot Charte� 9(mmmencin9 Rema�ks ir Pl2nning Not¢5: ' M
with section �000) ot Oivision 3 of the Business antl Professions Cotle, antl
my license is in full ofc antl effect. , ' T
License Ciass �`^F/'��--� /��/�-�+7�� ns N � S
�ate���$�� Sg t _L.�L�.1�� SF PLUMBING FEES
WORKERS' COMPENSATION DECLARATION BafSi(1k ShOw¢�5 ELECTRICAL FEES
I hereby affirm ihat I have a certificate of consent to sel(-insure or a certiflcate
ot workers' Compensation Insurance, or a certifietl copy thereoi (Section Backfl0w Preventel Service Sink
3800, �ab. C.1 + � /�/p p - Automatic Washer Transformer ❑ 15-50 KW
Policy No.���IC�U�—SC� Company��� ��_ Backflowlrri ation SewerCa ❑'50+KW
9 P Construction PoleSub.
�Certifietl wpy is M1ereby fumishetl.
Certifie m s filetl with the city /y'�i1/tlf�/� i��� lo/� BathtuKs Sewer Connection Cooking Unit Merer ❑up ro 100 amps
Date �• AOP��canti'✓� / ���.(� .� � - �
EXEM TION�RKERS' COMPENSATION DECLARATION Clarifiers 5013� COIIECf0�5 Di5hwa5h2� Merer ❑Ov¢� 100 drltp5
(Thissecfion neetl not be completetl if the permi[ is for one huntlretl ($100) o� .
less). DishWasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel
I cer[i}y that in the perfo�mance ot the work tor which this perm�t is issuetl, I
shau not employ any person in any manner sa as to become subject to the Drinking Fountains Solar Tank Pan Motors �0-7 HP �1 %- 8
Workers' ComOensation Laws of Califo�nia.
Date Si9nature floor Drains Swimming Pool w/Spa F.A,U. Inc.Solar 09-15 HP �i6-15+
NOTICE: If, af[er making this tleclaration, you shoultl become subject to the —
Workers' Compensation provisions of the labo� Cotle, you must forthwith FIoO� $inki U�iOdl Pixtu�25
mmply with such provisions o� this permit shall be tleemetl revoketl, MiC�owav¢
CONSTRUCTION LENDING AGENCV GasS¢rviC¢ �UUCtS W3tef C1052t D2viC¢ BOx25 Poi2 Light
1 be�eby affirm Ihai [here is a construction lentling a9ency for the perfo�mance
of Ine work for wnich this permit is issuetl (Section 309];Civ. C.) Interceptors WaterHeater — Outlets Range
�enaer's Name
Lentler's Atlmess , Kitchen Sink Water Service Switches Sign
OWNER BUILDEH �ECLARATION •
I hereby affi�m that I am exempt from the Contractor'S License Law tor the LdvdtO�ies AutO-WeSh '
following reason (Section �031.5 Business antl Professional Code: Any ciry or Garbage DispoSai Standing Sections
county which requires a permit to construct, alter, improve, tlemolisn or repalr P—Trap Laundr Tra s
any svucture, prior to its issuance, also requires the applicant tor such permit Y Y Generator �0�5 KW �5-15 KW Trash Compactor
to tlle a signed statement ihat he/she is licensetl pursuant to the provisions of Roof Drains '
the Contractor'S License Law (Chapter 9(commencing with Section-7000) of
Division 3 of the Business antl Professions Cotle) or tha[ M1e/she is exemp[
tM1erefrom antl the ba5is fo� the alleqetl exemption. Any violation of Section
]031.5 �by any applicanf tor a permit subjects Ihe applicant to a civil
�enalty of not more than five huntlretl dollars (E500). '
LJ I, as owner of the Property or my employees with wages a5 their sole ReinSp¢Ction Fee $75 ISSue Fe¢ $ 3
comoensation, will tlo ihe work, antl the structure is not intentletl or oiferetl Reinspection Fee $15 Issue Fee $ 3
for saie (Section 7044, Business antl Protessional Cotle: The Contractor's MECHANICAL FEES
License.l2w tloes not apply [o an owner of a property who builtls o� imp�oves -
thereon, and who aoes such work himself/herself or tnrough nis or her own Hood or Type I ❑ DEVELOPMENT SEflVICES REQUIREMENTS:
employee5, provitletl tnat sucM1 improvemen[s are nof infentlod or offeretl for BOiIB� ZOning App�ov¢d By D3ta
sale. If, however, Ihe builtling or improvement is soltl within one year of com- CanOpy Type II ❑
pletion, the owner will have the burtlen of provin9 he/she tlitl not builtl or im- DuCt - Und2� G�Ound BUilding Approved By Dat�
prove tor Ihe purpose of sale).
❑ I, as owner of the property, am ezclusively contrac[ing with licensetl con- DuCt -St�uctu�dl Refrigeration System APpIICdti00ISSU¢d By Ddt
tracton to construc[ tM1e pro7ect (Section 7044, Business antl Prote55ion5 Cotle: ,
The conVactor's License Law tloes not apply to an owner of property who Duct - Ventilating ❑0�100,000 BTU ❑700,000 BTU SUMMARV OF FEES . �
builtls or improves Ihereon, antl who contracts for such project5 with a con- —
tractor(s1 ucenze pursuant to the Contractor's License �aw). I am aware that Exhaust System ❑ Multiple ❑ System Fepair/Alteration BUILDING PERMIT $ SMIP $
proof of tneir Worker's Compensation insurance snoum be provitletl to me. _ PLAN CHECK $ PERMIT
❑ I am exempt untler Section B. & P. C. for this reason FirepVFact. Blt. ICBO # Fire Dampers PLUMBING $� ISSUANCE $
Date � owner Heating System & Ducting Registers PLAN CHECK 25� $ ENERGV P.C. $
1 hereby certiry tnat 1 have reatl this application antl state tnat the above ❑0.100,OOOBTU �t00,0006T GRADING $
information is correcL 1 agree ro comply with all clty antl county ortlinances ELECTflICAL $
antl state laws relating to buildin9 construction, antl nereby authorire repre- P�AN CHECK 50% $ MICROFILM $�
sentatives of [iis citi to ente upon the above-meniionetl property for .
inspection pu s. MECHANICAL $ TOTAL FEE $
Siqnature Dam -
Drivers' LI<ense or 55 � � Reinspection Fee $75 Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865-46, rev. 10/84 White - Builtling: Canary - Applicant; Pink - Accounting; Goltlenrotl � Aszessoi
CONSTRUCTIONANDPLANNING POOL&SPA . -
AF'PROVALS Periqit# Date Inspector � APPROVALS Permit# - Date � Inspector
��
1�: Temporary Electricai�Service or Pole 52. Pool & Equipment Location '
2. Soil Pipe-Undrgmd. ' 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 �-��i 58. Electrical Conduit-Undrgrnd. �
8. Foundation �: ��'� � 59. Gas Pipe, O Undrgrnd., Test � .
9. Water Pipe-�7ndrgrnd. ' _ � 60. Backwash Lines, P-Trap, � Undrgmd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & ReceptorFinal.
12. Sewer Cap , � 63. Heater & Vent-Final
13. Roof Drainsi;� 64. Plumbing System - Final �
74. Rough Plumbing . 65. Electrical-Final .
15. Rough Electrica6Conduit 66. Solar System-Final - �
16. Rough Electric Wiring 67. Fencing & Access Approval ' -
17. Rough Wiring�Sign � 68. APPROVED FOR PLASTERING �
78. Rough Electrical-T Bar Ceiling ' 69. POOUSPA SYSTEMS FINAL
79. 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 O Gas ❑ Oil �
23. Gas Pipe-Rough & Test � 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O 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 & Sid�ing 77. FIXED SYSTEM FINAL
29. Insulation � 78, FIRE PREV. FINAL
30. Drywall Nailing , HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL WSPECTION ,
32. Electriral Power Meter-Final 80. FOOD CERTIFICATE ISSUED �
33. Final Electric �" Notes:(-�'(�.$9 L�'G'�j�, 4E.A� s'�`�
34. Final Heating & Air Conditioning 3+�y�b' [„EpT (�20. L•�, ' .�"�
35. Final Gas Pipe�Tesi
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing"' ��� L� � .
39. Water Service-Final � . '
40. Gas Service-Final � . - . ;
41. Solar pomestic-Final � - . '
42. Backflow Preventer .. �
43. Backflow Irrigation � � . . -
44. Landscape Irrigation System . •
45. Sound Attenuation � • �
46.-Handicap Regulations � .
47. FINALSTRUCTURE&BUILDING , ; '
�48. Special Requirements Completed .
49. Electric Release;to Edison � - ' . - - . ,
50. Gas Release to Southern California Gas Co �
51. CERTIFICATE OF OCCUPANCY ,
No. Date � ' - � �
`; -
OWNER
GEN�RAL CONTRACTOR
AP No. L
INSPECTIONS
BUiLDII�'G P�RMIT
TRACT 14260 FIRP ZONE llESCRIPTION OR WORK TeS
� Signature � DATF GROUP Tf�..T TYPP V 7.ONE Rl
SUI3CON'PRAC'POR
B�T
- zsr- , cro�
� 16685 ► r� �LGEIU�D
� MAR 7 1962
COSTA MESA BUILDING-SAFETY DEPARTMENT FINr.NCE DE� 87 - Tract 1�260
P. O. BOX 917 C08TA MEBA. CALIPORNIA /
CITY OF COSTA MESAP�n 901-G
For Applieanf fo Fill In Compleiely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
ADDRE58 855 Santiagp fZO�C�
COSTA MESA. CALIFORNIA FOI' Office Use Only
owNErt �"�sa Del Pi�r Develepm�nt Co. , R6C61pT �o. '�
AODRESS 380� E. CO3St H1ghW8j� ����eo ev I �Ta R6Le�VED DAT6 isaueo
� une � ,, tCG".
w
cirv Corona Del M3r Calif. �o: �!t3-1S2 pDDRE63
aacHirecr Clif£ O]Sten � Te�.
no �u��urre .____ ..�.�i4A_�1991 COSTA MESA. CAI.IFORNIA
■ SIZE
; t4acco Corporation Calif.
3800 E.Coast F'.ighway
orona Lel I•ar,Calif.
9RROB-SE-1 No: OR 3-L220
6790 S.I'. Iw�;,.°�we�oTe.Alnr
IH FPOM
�Twaai �7� REAR YAR[
' I LEFT 7� I RIGHT �
DESCRIPTION OF WORK
x 50'
ttached garage
7
1
ZONING
20N NO.OP ''') U8H OF NHW S�h/C
��., I PLANB ` BUIlDINO �// �SY�
m.y
�eo�� L � 87 %/� �'/260
oescxiwrioN o
� , curmw uxe ar.>
m
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3
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I HEPB�Y ACKNOWLHO06 THAT 1 MAVE p6AD TH�B APPLICATION
AND BTATB THAT TXE ABOV¢ 16 CORRBCT ANO AOREE TO COM- THe AMOUNi BHOWN UNOHR VALUAT�ON 18 FOq TXE
PUf1P09E OP E9TqBL�9HIN0 A PBNMIT FEE ONLY.
PLY WITX ALL GITY OIiDINANCEB AND BTATH LAW9 REOULATINO
euILDINa eONBTRUCTION. VALUATION �j
SIGNATURE OF,_ _ _ __ � „ . ,� PERMIT FEE $"?�. �
$ 17,333.00
■ AUiHOR12ED