HomeMy WebLinkAbout2816 SERANG PL - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTAMESA CONSTRUCTION PERMIT I PERMIT Q1O. • TRACT NO. LOT NO. UNIT NO. A P # Zone
Pro'en Address //1 /Lo +y/{�Ay�/9 /l V I U
1 1 "fry Ov/2 his/!/ U ADD U ALTERATION REPAIR S Main Building: Accessory Building: Z
OI V (..//AJ✓!./Y/ TYPE OF CONSTRUCTION U NEW
Applicant's Maili7�g dd/r/ess /-f I/, ❑ CONVERSION CI DEMOLISH ❑ OTHER T Front • 0
Owner's Na�m�e/ wfL�//�. �-s�/� �`JX�prq{� .y1r�� Plio(I@r� DESCRIPTION OF WORK/USE OF BLDG. i B Rear N
Address , 3. /�I .6&n ry r1 l.Drt //2 5a CC(.. 9'/.OZ7n
Arch/Eng. ✓ License No. TYPE OF PERMIT ❑ GRADING El FOUNDATION ❑ STRUCTURAL I C ' Right G
Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING IN MECHANICAL S Left Fi
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Contractor's Name q/!�/�L. .'t i��ilU44/,. '-,�j Z - ❑ OTHER I Ping. Ref.# Parking Req./Provided E
Address(mailing) 7�ir, I �. PROJECT DESCRIPTION SQ. FT. -- OCCUPANCY _ - • Q
f„.al Li ✓J // Planning Notes: 0 ���� M
City License No. �-4/// il� . �% inrali i
CONSTRUCTION TYPE _ GRADING CU.VDSVALUATIONACRES �{>s�F IVED DEQ 3T
LICENSED CONTRACTOR DECLARATION "`'�� S.
1 hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks:
with section 7000) of Division 3 of the Business and Professions Code, and ELECTRICAL FEES
my license is in /yy fr cq and effect. �f
Licens- Clas C:' V Ice. - No / • PLUMBING FEES
A -
Date �" �.�� Signature »���� z- y _ Automatic Washer Transformer ❑ 15-50 KW
\ WORKERS' COMPENSATION DECLARATION / - OpnSIlUCIIOn POIe Sub. ❑ 50+ KW
Bar Sink Showers
hereby affirm that I have a certificate of consent to self-insure or a certificate
Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit Meter ❑up to 100 amps
400, Lab. C Backflow Preventer • Service Sink
/ /M 9Q S -ff_ 7c2ndDishwasher Meter Dover 100 amps •
li Policy No. Company Backflow Irrigation Sewer Cap •
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Certified copy is hereby f Wolshed. Dryers ❑Gas ❑Electric Sub Panel '
CerM eq cts filed with the city B I "vis' Bathtubs Sewer Connection
Date /dl%Y"dO Applicant �A774,o® - Fan Motors 00-1 HP ❑1 X-8
EXEMPTION FROM WORKERS'COMPENSA ION DECLARATI Clarifiers Solar Collectors
(This section need not be completed if the permit is for one hundred($100)or - F.A.U. Inc.Solar ❑9-15 HP ❑16-15+
less). Dishwasher Solar Piping
I certify that in the performance of the work for which this permit is issued, IFixtures .
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank - Microwave
Workers' Compensation Laws of California. .
Date Signature Floor Drains Swimming Pool w/Spa • Device Boxes. Pole Light
NOTICE:If,after making this declaration,you should become subject to the '
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Outlets Range
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches Sign
I hereby affirm that there is a construction lending agency for the performance ,
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections •
Lender's Name Generator ❑0-5 KW❑5-15 KW Trash Compactor
Lender's Address Kitchen Sink Water Service
OWNER BUILDER DECLARATION
I hereby areason hat 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
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays
any structure, prior to its issuance, also required the applicant for such permit
to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains
-the Contractor's License Law (Chapter 9(commencing with Section 7000) of
Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3
'herefrom and the basis for the alleged exemption. Any violation of Section
J031.5 by any applicant for a permit subjects the applicant to a civil
enalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS:
U 1, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 Zoning Approved By nate
compensation, will do the work, and the structure is not intended or offered . . -
forLic salese (Section Business and f aProfessionalprCode: The Contractor'smroves MECHANICAL FEES Building Approved By' Date _ r
ereon Law does not apply to owner f a proowho builds s Or improves
thereon, andwho does such work ovemntshimself/herself or intended
his or her own or Boiler Hood or Type I ❑ Application Issued By Det
le. It,employees, he that such or improvement
are ootld within qr rered c }-
pleti If, however,he the building dopro i sold within one year of rem- Canopy Type II ❑ SUMMARY OF FEES
prove the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground
prove for the purpose he pope). BUILDING PERMIT $ SMIP $
❑ t as owner tr tthe e project exclusively 7044, sinesscontracting with licensedioncon- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT
hetors t construct Law
(Sectionto Business and of'property
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The Contractor's License Law does not apply to an owner ie who Duct-Ventilating 00-100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $
builds or improves thereon.and who contracts for such oroiects with a con-
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration I PLAN CHECK 25% $ ENERGY P.C. $
proof of their Worker's Compensation insurance should be provided to me.
❑ r ELECTRICAL $ GRADING $
I am exempt under Section B.& P.P.C.C.for this reason Firepl/Fact.Bit.ICBG dk Fire Dampers • MICROFILM $
Q ^a PLAN CHECK 50% $
/
Date Owner Heating System& Ducting Registers 1 {/" MECHANICAL $ ��,` DO TOTAL FEE $
I hereby certify that I have read this application and state that the above ®0.100,000 BTU 0100,00087E 72h.-------
information Is correct. I agree to comply with all city and county ordinances I PLAN CHECK 25% $
and state laws relating to builds eg co•structlon, and hereby authorize repre-
sentatives of th', it to ent.- up. the •bove-mentioned roper y for
Signature pureo.l1. / 4 4 A e Date 7 'ISD / 01 00023684-0602.3684 TOT 24.00
Drivers' License o SS - -�� / Reinspection Fee $15 • Issue Fee i L7 $ DATE: 01/05/89 TIME: 10:08
0865-46,rev. 5/88 White - B I ding; Ca•ary -Applicant; Pink -Accounting; Goldenrod - Assessor
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CONSTRUCTION AND PLANNING '' POO_ ,s SPA •
APPROVALS 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-Undrgi!nd. 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 - v i 58. Electrical Conduit-Undrgrnd.
8. Foundation :i 59. Gas Pipe, ElUndrgrnd., 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 1. 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
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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 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 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 �/ 3 �o (so
35. Final Gas Pipe-Test [[
36. Hood or Canopy
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37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final ill
40. Gas Service-Final 1.r1
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41. Solar Domestic-Final 11 i
42. Backflow Preventer t, •
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43. Backflow Irrigation '`)
44. Landscape Irrigation System
45. Sound Attenuation�y
46. Handicap Regulations''
47. FINAL STRUCTURE & BUILDING
48. Snecial Requirements Completed
49. Electric Release to Edison -
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY - -
No. Date •
Lot 71 1986ligiCui. /�/ MAR 6 196i 6r
COSTA MESA BUILDING-SAFETY DEPARTMENT FINAgeE Igpj•
P. O. BOX 917 COSTA MESA. CALIFORNIA CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR -RINT
BUILDING �EVP1/4 BUILDING
ADDRESS SI ro_-�G •
COSTA MESA. CALIFS2NIA For Office Use Only
OWNER
Investors Marine Inc. I RECEIPT NO. I i PERMIT
9SC,
e
MAIL RECE�p BY DERECEIVED-EDATE ISSUED
ADDRESS 1F00 V' Con a+ Hi •Iirray /V I .' -. —6, II AJAR R 1QR1
mi
Newport Beach TEL. BUILDING OST✓l� Si
CITY wP No. 655 ADDRESS o�- i .� i 1
ARCHITECT TEL. / COSTA MESA. CALIFOR A
OR ENGINEER Same NO. b
ADDRESS FIRE-
//�� $ (� i
ZONE TYPE GROUPhV VI\,/{�
CONTRACTOR Mesa Verde Builders Inc. APPROVED
1653 Minorca Drive BY DATE
ADDRESS --I ZONING � ts
CITY Costa Mesa,Calif. ZONE R NO.OF w }1.USE OF NEW yvJa-Q/ •
a` ' I PLANS 1/1 BUILDINQA� -�f/ .$
STATE 181269 . TEL. Ki. 9-0395 .' LeGAI 1 1 p 1.//"��`/ `d '
LIC.NO. NO. DESCRIPTION tf. ybV , J / 7/
OF LOT 78' x 90' I NO. ORB LOTS. 0
NOW ON LOT A.P.NO.
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USE OF YARDS EVES
EXISTING BLDG APPROVED ALLOWED
SETBACK LINE FROM 43' 00,_6T, (CENTER LINE BT.) 2 /
CENTER OF STREET REAR YARD GJ FRONT �„JFT. 0---C--12.1N:
71 7'
SIDE YARD I LEFT RIGHT R.SIDE 2`FT. IN.
DESCRIPTION OF WORK CFT. X IN.
L.SIDE
NEW I x II ALTERATION I V ADDITION I_ REAR .(�/J(J// \��(��`�9�let
FT. LIN.
IIMOVING I II I BYPROV�b\� V le DATE� ��D
REPAIRI DEMOLISH Uf - 1�ICY, (j
g z 'NG 1500 Sq.Ft.ROOMS 6 $$TORIE61
EXTERIOR WAJ.L siding ROOF .ShFike 6i" _ 0 4'/
COVERING FL stucco I COVERING shingle �- f�02
USE OF UUIL IND ND. ORK TO B PE FO ,a^
S1ngie family residence ` a garage �'�S/ -
Model No. 550-BR
I/I( Attached garage 462 Sq.Ft.
I HEREBY ACKNOWLpDGE T AT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT TFE ABO E IS CO AND GREE to COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDIN CES AND ATE LA S R MATING
BUILDING CONSTRUCT N. A VALUATION
6 —
SIGNATURE OF XIAAA ,I(/ ( PERMIT FEE $ 3 N
PERMITfEF / y' /" ° 1 ///.279— ii— o
I S / O PLAN CHECK $ w
AUTHORIZED AGENT LJ y— 0
TOTAL FEE $ y