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HomeMy WebLinkAbout3189 SICILY AVE - Building PermitsAVGlicant to (ill in all spaces ezceot thoze within heavy eoraer lines anA sign all apDroO��ate tleclarations. , ' CITY OF COSTA MESA CO STR CTIO�f,, PERMIT ,_' PERMIT NO. j � � TRACT NO - LOT NO.- j-- UNI7 NO -- A P#' . � � � �_ � � ( {Za�e i . \ (� (' 3£�, •3 � �<_ ,� ;, � �r° !;� ,��: �, = _: � ! Broject Address�� -L--� i �V� � � `-'��� ��0.' � i . � � S � Main�Bwlding ��� � � `�A'ccessory" emld�ng ` - i ! �1' ' ;.. TYPEOFCONSTRUCTION -�NEW_ '^ADD �ALTERA7ION 'REPAIRr � � ApplicanYsMailin9Address ��I'4LCo �m Q14'i1.��'.11✓U � � � c � � I - m I�O�TCIb�I -` � : �T Front�.. i i. I � I � ,�9 , � i � , :. . O M 1—; � �❑ CONVERSION;O DEMOLISH OTHEj� � Owner s Name - ��1� ` ��i�f�Q � i�"PCl1�. Phone - . .. . I/<Z� lIUP��? i I A Rear - ., I :r � i c i n 1 . � �' � : .f^ � � � � �- r N -DESCRIP71 N Cjf�ORK/�� BLDG . � ,_ Address. � � ' ' - '• . � ; r i c. : ' '+ 4 � . - �� i . � - . , . li � . T t,- I_�_ _ �� _ � . n � C' Right� �,"' i r i i, i'� 7 i _ t �' f� P� ��: N � LicenSe No. � ' TVPE OF PERMIT i� GRADING'- O FOUNDP.TION , STRUCTUftAL� �� �_ K, . ,_ � � ; �� G �. Arch/En9 � � - � ' ' ' ^ i ' Left � � � r �~ " � c � � � � - � ' :� I ' � :' I . : ❑ TENANT -❑ ELECTRICAL �O PLUMBING O MECHANICAL� � . �S . n � � i I � �' � ^ I " I r ' t �. 1 , I � t % � ? - R Address 1 ' � �. . . ' , . _ . ' , - . . .. � . . � > ,. � c � � ' . n � � � I i r ., � : � , . �., ❑ �OTHER - _ . . . . . Pln Ref.`�1`- � � „� c I ':Perking Req./Prowded T E 1 Contractor s Name' �RF�T�. ��.�E�S � -�Phone gS 100�'�� � , {� � . 9.. = I _ - I -� � � ., � � PROJECT'DESCRIPTION 5a. FT' ` . , , oCCUPANcv � _ _ i Address (m � 1' �1�2'�O- �i�'��'�! �.V'�` �"'S �. �. � . , I Planning Notes T i � i` � �` t �� M GONSTRUCTION.TV,PE � �ViILUATION$ Ci[y C�cenSe No ' ' � � � � � � � � � � r � � 20NE � - � - GRADING CV. YDS. � ' ACRES � i �, � 1 ` � � ' ` ' ' � c ~ �S. I:ICENSED CONTRACTOR DECLARATION � � � : • � ' ' . � ' ; � ; � ' ; ; � � _ '.� _ I"hereby aHi�in Ihat 1 am.licensetl untle� provisionSof�Charta� 9i(rommencing � Remarks � = � � � j : i °• � � � � , � �, ' � ' � ' ' _ k �' ' ! f. � vuilh sectmn 7000) ot Division 3 of the Business antl PrOfessions Cotle, antl � �_ - ' � - � � � 1 ' I � �� i � � i • . � ' . i , i ELECTRICAL i i i � �' - FEES � my license'is in tull orce antl effect. � � ' -# ; ' / i � ' � ' r � � ; � � � � f ; i , � i •- � � � ' � , n m i Licens ais � � � LI n No. e'� �� � ' � ' ' ' G'• . � � ` • , . . . I q,i..�,� �_ i i � , PL`UM81NGi �j � j � ; ; � FEES ; Automatic Washer; , i I Transformer 0 15-50 KW � . � Dale ��ZI i � 59 } � � � � : ' . . � WORK RS'COMP,ENSATIONDECLARATIONj � ';. � � ' � BarSink � � � Showef5-� � � � j � ; � i j ConSt�uction�PoleSubi ; �� � i�50+�KW i rJ�� � I hereby�affirm that I have a certificate o( consent to self-in5ure or a cerirticate � � � � ' • � � � � ; o( workers' Compensation insurance, or a cerbtietl copy'thereof �(Secti n • - � ' _ � �, _ Service Sink _ '_ � _� ,._� _� _ 4 � Cooking'Unit � � i Meter �' up {0 100 amps � .�4 � ! _..�,__ _. _ _ _ ._ _ . p _ _ Backflow Preventer_ �_ � � ._3800� , ' , � 1 ��,/( ' ' , I ' " , " _ � . P li No��n�J LS Z-2 i Company s��L �""�' . � Backflow Irrigation , j � Sewer Cap � � � � � � � Dishwasher � � Meter �over 100 amps � Gertif�etl copy is bereby furnishetl. . � 1 t - � � � ' Dryers ❑Ga4 ❑Electnc $ub P2nel � : � � i Cerbfietl copy is tilea with the�aty Builain9 D�vivon. � � � � Bathtubs � � � 1 Sewer Connection ! ' : _ • � • � + Date . I : APPlicant � ' ' ' ' ; ' ' I . ; i , . � 4 Fan I Motors�0-1:HP�1X��8 � � Clanfiers � � ' , Solar Collectors . � : � � � ! ' - � - EXEMPTION FROM WORKERS' COMGENSATION �ECLARATION - . : , r I � � , �> ,. , $loo).ur��_. . ._ , .,_._ _. _,.'_ .. , i' _ �' _l __' -. ;-F:A:U.�. - ! ' - '-'IncrSoiar�9-15HP•�.16-15+ � - s Tnissection-neea�not be�completetl�if�the�perm�t'is�for one huntlretl�( �-- � --r , � � - iess . � � • � i ; i Dishwasher i I I � Solar Piping � � j . - T��- � �� I certify.thaLm the performance ot tne work tar.which this permk is.issuetl, I' � � � , � + � '. Fixtures � � Microwave � � � � : shallimt employ any person in any manner soias to become subject to(the � I Diinking Fountains � � � SolarTank , i , j ! � ; • ' ' � � � � : ( � • � Workers'- Compensation Law3 ot California: � ' ' { i - : � � , - � � � � , � Device Boxes � � i P012 Li ht � � � Date � ' ' Si9nature ' � ' ' ' ' ' ' ; FlOor Drains � � j I Swimming Pool w/Spa� � � � � . ; 9 ' I � , NOTICE: If, after makin this tleclarabon, yau shoultl become subject totthe � , . ' Workers' Compensation9provisions of the Labo� Code, y0U must forthwith ` ,� FIo9rSinks� � ,_j__ �_ _ Urinal �___' __ � _ ! � __� i OUtICtS i Range � � � � i ^ ��comply with'sucF provismn5 or this peimit 'shall'be tleemetl-,revoketl. � � � � � • � � , N CONSTRUCTION' LENDING�_.AGENCV: . � f.; i � . � r. [ ' <� � ' � _ ' � � . ¢t � $witche5 � $j9� i � I- Gas Service =0utlets Water Closet ��- i � ^I > �� � � I hereby'a(firm that there iz a con5lruction IenEmg agency. for the performance !' -- - ' - ' ' • - ' Ga�bage�Disposal � � Standing Section5 � of [ha work for which �his permit is issuetl .(Section` 309] Crv G I � ' Interceptors . � i Water Heater-. � � . �� ' ' • Lentl¢r's 'Name - ' - � - ' ' � ' I l.enaer's Adaresi � - � ' ' �=� ' ' � ' '- : ' ' ` � - Kitchen $ink � ' � " � �Water Service> , i ^ i Generator �0.5 KW �5-15��KW � Trash Compactor i ; ; i Y' i � i i � OWNER BUILDER DECLARATION . ' � i j I, i � ! ( � ;1 hereby affirm'lhat 1 am_exemp[ from the Contracror'S Licenie Law foi the , .Lavato�ies � �-f ,� '. �� j -AutO WaSh ,�,:� � � � f, � . '. following reason (Sectionf7031.5 Business zntl Professional Cotle:tAny aty or f E � counly which �equires a pe�mit to con5truct, alt¢r,'Irqp�ov2, tlemolish o� �epair; . � 'P� Tfdp !� �". C �? L3ulldry TfdyS I� 7- i � � � � � � � � rany'SVucture, priOr to-'it5"�ssuance,�dlso �equires tM1e applicant tor:such:permrt � • - , ; '„ ' � , . i � ' - N%to file a signetl statemenDifiat he/she is licensea pursuant to_the provisions of � Roof Drams � � � �- � � � ! � ' � � � � � :tbe Contractor'z License Caw (Chapter, 9 (commencin9 �'�th Section 7000) of . . � t� � � c. . ' � � � � '- � I i � ;Oivision 3 of tBe Business'antl Professions Gotle).or that he/she is exempt; ' , ��� I i_ .� �- � f - . �._ � - � �� Hainspection Fee � $15 Issue Fee i � $ 3 .?7031r5 �bYadtlY.haP01 cant�rfOYed I+Peem tx5 bPects thaPY,aPPI cent' Yo e�c�rv I • � t � � � 1 ' ' � �. � ! ' � : - 1 " a ;: � . � . . r enalty ot,not more than tive BLntlretl!tlollars ($500).: = ' G '- � '� � � � - ' - : t '• - .-. - � DEVELOPMENTSEPVICES REQUIREMENTS: ; I : ..� , _ . . _ __ . _ i .. . � ' . , ' Remspection�Feei � � $15 � � lisue Fee � -r; i ' I $'3� � i i i I,�ai owner of the property or my employees with wa9es as their'solel �� � _ i � � ZoningiAppruved'By � ' Date � �compensation, will tlo the work, antl Ine s(ructu�e �is not intenEetl O/-ofteretl i • � � � ' , ' � ' . tor sale (Section. �044, Business and Professional Cotle: The Contractor's i � �. � j � T, i � '! MECHANICAL � i �' � FEES � Building Approvad By. � � � Date-'/-- License Il2w:tloes,not appty;to'an owner ot a property who builtls or�improves i ' ` � " I i � I � /�., � �y` ��q [herenrc, antl' who tloes such�work.hims¢If)herselt or th�ough his o� he� own 1 i Bpil¢ �, r'y I ,-� �'HoOd oi Type I' ❑I � -� I %�PPliration Iwued By' - � • 1 - Dat9.1V =1_ 1_._1t� emplOYees, provitletl thaf such� im rovements are nOt intentletl'O� o((eretl to�' < <. � � ; i , . �� � i � sale. I/,Ihowever, the builtling'on mprovement is soltl within one year of mm-; � . � Canopyi T,ype II ❑� ;'' `'� � � � j j i � j � SUMMARY O FEES �. � � -� pletbn,�the owner will have the burtlen of�prov,ng he/she tlitl not builtl or im-j i Duc[ -�'UndBr Gfound � � I �. ; � i � ; I � . � ' proveiorthepurposeofsale). , " � ; ' � � 1 i ' i . ; , , , - � � BUILDINGPERMIT' $I �3s� I'SMIP � i $� '�� c ❑ I,�as�owner ofjthe property, am exclusively contractln9 with licensed'<om, Duct-Structural f � � i � Refrigeration,5yst2m ! ,:r � � � � i PLAN CHECK � � $; ' � PERMIT. ' ' tractors,to•construct the project (Section 7044, Busin¢55 and Profe55ion5 Cotle: � . i - j � i � , � , , , I TheConvaicjor's!LicenseLawdoesnotapplytoan'owneroY,property,whol � D�uct-Ventilating, � _ BTU.�100000:BTU � I pLUMBING � $� � � I'ISSUANCE I$i i ; , ' ❑0-100;000 � � I : -builtls"or'Imi�roves thereon:-antliwho;contracts;for-such oroiects wrth a�con i- -- -�-�—^---�- '- - '--'-- - - � -----'- � ; ' � i ' ; ( � ' ; tractor(s� hcense oursuane m me Contractors License Law). I�am aware'that� � Exhaust System ❑ Nlultiple � System'Repair/AlteraUon �.-- � � � ! PLAN CHECK I y5% $� i � � ENERGY P.C, $� prOof e the�7 Worker's Compensatlon insurance shoultl be provitletl to me. � � ; � • � � ' � � i I GRADINi�i $ � ' i i � - � , t � - � i � � � i � � ELECTRICAL � S : I , � ❑`y1 am�ekem t uneer Section B. & P. G(or this reason i Firepl/Fact BIL ICBO �k : � Fiie Dempers � : � , , � ; � MICROFJ LM $• ' ♦ � , �, � i ; ! t � : : . � . . i . PLAN CHECK I 50% g ( � � Date i � ' � Owner� � ` � � � ' I j Heating System & Ducting; Regaters � � � , � ; � � � I � � i MECHANICAL: � i I ' i I � - �0.100;000 BTU�O700;0008T _ _ .�y. � ..� _ � � t i $ I � TOTAL FEE $ I � -I-hereby-certity �that �I-have reatl-thii-application-antl scate-that-Ihe above %- -- ' - j � j , � PLAN CHECK � 25% $ � � I I inPo�ma[ior, is mrrect.il agree to;comply wrth all city antl County o�tlinanc¢5 1 � � � ' � � ' � . � � � � � antlrstate iews relatinq�to builtling construction', antliltereby authorize repre-' i ; j � ; � 1 i � � � � Sentatrves of� this� city to ' te� upon the above-mentionetl � /p� pert J for ' � j � � ( � � � � � � � � � � I � � i � ' � � � � � � inSPeCtiwiPur . � � _ ,„.� i� � 3 Y �f � � � � � , � � � � ; � ; � ; � i , I 1 � . � SignaL�a I ' ' 1 W"^� ' Date�s � t l � 1 � ' . �$3' � ' , � , ' i � � � � � � � � i � Reinspection Fee i$15 I � Issue Fee � � � � ' j � AC f � Orivb�s ,License oi 55 � � , ` , . � � ! i • ,(]t,,: �' ^ � � � I i � � Ut��1.T :O ;+ - -- - ..- f-- - —' - - - -- . _ . ._.. - - ' - �-- . ----- -- ------- ---� — ' ---- - 0865-46, rev. 5/88 WM1ite - Bwltlmg; Canary - Applicanh Pink - Acwunt�nq; Goltlenrotl - Assessor 1 �y �� T +� ����� T�� _ � i Ch:19/�9 1 :.;� TE�;D -,1_y. C' 1 �� - ! C; . CONSTRUCTION AND PLANNING POOL & SPA . APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspecto� 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location � ' 2. Soil Pipe-Undrgmd. �� 1 53. Steel Reinforcement � 3.�Electrical Conduit Utility�Undrgrnd. 54. Forms � 4.,Electrical Conduit-Und[gmd. �� 55. Electrical Bonding �•. 5. Steel Reinforcement ��.' 56. Rough Plumbing & Pressure Test �6. Electrical UFER Grna.i 57. APPROVAL TO COVER-GUNITE - 7. Footin s � � 9 58. Electrical ConduirUndrgrnd. _ , 8. �Foundation _, . 59. Gas Pipe, O Undrgrnd., Test 9.'Water Pipe-Undrgmd. `� �� 60. Backwash Lines, P-Trap, O Undrgmd. • 70. Structural Floor System . 67. APPROVAL TO DECK 11' Property Sewer Line & House Connection �' 62. Backwash & Receptor-Final 12.'Sewer Cap � 63. Heater & Vent-Final - 13. Roof Drains _�i . ' : 64. Plumbing System - Final - 14. Rough Plumbing. � 65. Electrical-Final ' 15. Rough Electrical-Conduit 66. Solar System-Final ,i'.6. Rough Electric Wiring 67. Fencing & Access Approval .17'. Rough Wiring Sign 68. APPROVED FOR PLASTERING 1�8. 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 OGas ❑Oil 23. Gas Pipe-Rough & T.est 72. Underground Flush 24. Roof Framing 73. Undergrnd.StoregeTank OGas ❑Oil 25. Roof Sheathing � 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27.��Frame and Flashing 76. DrV 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. Elect�ical Power Mefer-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: G � 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Faciory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer (l) 43. Backflow Irrigation �� 44. �Landscape Irrigation System � ; 45. Sound Attenuation �-' 46. Handicap Regulations � 47. FINAL STRUCTURE & BUILDING Z7 48. Special Requirements Completed � 49. Electric Release to Edison - � �� 50. Gas Release to Southern California Gas Co -- ' � 51. CERTIFICATE OF OCCUPANCY � ' . ' No. Date : OWNER fiifMh(1+'RLANTI T,ANI) C�_ DATE �—Z�l—S? JOBADDRESS 3189 Sicilv Ave BUILDING PERMIT NO. NµS%% GENERALCONTRACTOR Owner Bldr. VALUE $ 10�(�(� �� LOT 52 BLOCK TRACT 2353 i�,e5 W�81'.t �2T' GROUP j& J TYPE Q ZONE RZ FIRE DISTRICT 4907 PERMITSISSUED INSPECTIONS DATE SUBCONTRACTOR I Foundation Forms and Grade to Garage_ ,,, Rough Framing �,.y,�-,V i�s� Plumbing, Rough to Slab �—��# J�� Plumbing,RoughComplete �(jS (i�/3�3�� Temporary Pole Wiring,Rough " Heating, Rough yvl. (i 5 -/ .,f'; Heating, Final , �n�a3,1� f ewer. House �� Sewer, St. �%fs 6 2�--� Septic Tank or Cesspool Lathing, In Out x _�� 1� Plastering �/F/� <f ^'//' Plumbing, Fin�al, Fixtures Complete �,6 Q�ya -$ Plumbing, Fin,al GasTest ��j �M1'LC j IC-�a :�.� Wiring,Final ,��.� Jj� ,�}; Occupancy `� .� l% �i'' �'_��� FORM3�0 3M 10�•v! ` : - �90'7 G'OSTA MESA BUILDING DEPARTMENT P.0.90X 31� COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN BUILDING ADDRE55 COSTA MES�+. CALIFORNIA IMAIL ADORE55 '�� ARCHITEQ OR ENGINEER �� LIIrid SO. �Ece� OESCRIPTION A.P. NO. SIZE OF LOT I1( rE��i;e;stivie•.r No. :,_r,i��ri LIC. , NO. nu ��T� ���. C,o. No. 6- •e^ly TE�Cre �f'nl NO. YL BLOCK ITRA( NO, Oi BLDG6. NOW ON lOT SETBACR LINE FROM r �^ ' CEe�TEH OF STnEET 7O � REAR YARD y � SIDE YARO RIGMT �� LEFT Ej � DESCRIPTION OF WORK NEW X ALTERATION ADDITION REPAiR MOVING DEMOLISH BUILDING �f NO.OF SIZE �/�II ROOMS STORIES E%TERIOR WALL ROOF COVERING Si;1�CC0 COVERING i�0(�]{ USE OF NEW FEE RECEIVED �-� ���'� ��•�. FINA CE DEPf. CITY OF COSiA MESA APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY GOSTA MESA. CALIFORNIA APPROVED BV DATE CORRECTIONS 24 eeea� �cnnow�eoee r��r i� Pvucwriorv nrvo STATE THAT TME �BOVE IS CORRECi"�NO AGREE TO COMPLY wITN �Ll CtTY ORDIN�NCES TNO STATE L�WS REGVLATING BUILDING CONSTHUC� riorv. VALUATION SiGNATURE OF PERMIT FEE S'2u r PERMITTEE / � / ��p PLAN CHECK 5 �,3 � VO �� �� g /0 iv [' AUTHORI2ED AG T TOTAL FEE 5�7 � OG s m �OWNER CHpWFORD� BRTAN DATE 3-17'fa � `Yw�TER Ol1GM PLUMBING PaOP. SWA.IINEI �HOUSE SPRI MISC / UNOERGROUNO (J POWER U ' FOUGM WIFING TFENCHES �J FOAMS STEEL REINF. FLOOR SYSTEM BONO BE�M L STEEL FEINiOPCE ❑ SHE1iNING FNAME ANO FLqSXING LITNING — IN � COAT PLUMBING. FI ELECiRIC, FI BUILOING, F11 suecoNra�croa I'1 'adLl�l F � W C. Q .N-� h � F G W F a C ..1 a > r � � w o. a° 6 {z!.� S 3 „ 456'72 COSTA MESA BUILOING-SAFETV DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92826 For Applicant to Fill in Completely — Use In�c Only BUILDING ��/i� l'i�. 1/ , A.i� OWNEfl MAIL CITV BRANCH ADDRESS ARCNITECT TEL. NO. TEL. ADDRESS TEL. CITV NO. STATE CITY LIC. NO. LIC. NO. SIZE ��' � /� NO.OFBLDGS OF LOT NOW ON LOT USE OF h �( ! EXISfiNG BLOG. .( L J�O(4I/�'f� 1 Separate permits are required for electric, plumbing and heating work. 1 heraby ecknawletlpa t�et 1 heva nstl t�i� applitetlon en0 ,teta Mat tha abova Informetion Is corf�ct entl eprea to comply wIM ell lewt repuletin0 bulldinp con�tructlon, antl I ahell not omploy onY cerwn In vlolation of the workman'� eamparoatlon lew� 01 Me Steta of Californie. 1 horuby cartlfy thet I nm Oroperly Ilcenwtl ea e conbector untlar tha State oi Celifornie Bu�inasf entl Prolauions Catla, Divl�lon 3, Cheptar 9, entl thet weh Iie�n�as era In full foree and Hfeet, or I am eaempt from tha provl�lons o/ t�a Stata of Cellfornle Bu�lnaa ontl Prof\slon� Cotle, DIvB10n 3, Cheptal 8. i Sipnature p} ' PermlttaB�� n�cnor�:ed nce�< BUILDIN6 ADDFE55 TRF ._�7 �1f'�r.�n�1 nqpn(� �1��� 11 It�`�i bivi)�N tl1rtlL�/� f�ON FOR STRUCTURAL PERI C • /'cr'LT VALU$ FIRE ZONE VP GROI APPROVED BV DATE ZONE NO.OF /� USE OF NEW PL4N5 �/ BUILDING VARDSAPPROVED VARDSAf MAIN BUILDING ACCESSOR' (FROM UL STREET) NT FT. ._ i . osrnr� eer MAIN BLOGi. VAR. � VALUATION $ �/� /1 V V BET. MAIN & C m s m rv VN UNDER VALUATION IS FOR m 'ABLISHIN� A PERMR FEE ONLY: n PERMIT FEE 3 N n PLAN CHECK 5 � 0 TAX ! LL E u TOTALPAID 3 (�