HomeMy WebLinkAbout958 MAGELLAN ST - Building PermitsAVClicant to fill in al1 sva[es except ihose witnin �eavY �o�tler �ines anE sign all apvropriate Oeclarations.
PERMIT NO. TRACT NO. LOT NO. UNIT NO.
Ci7Y oF COSTA MES CO TRUCTI yPERMIT A,P.# zo�e
�' � �1 a9e�le�J � 3
P.roject `�lress S Main Building: Accessory Building:
� U TVPE OF CONSTRUC ION NEW AD� ALTERATION REPAIR E Z
A��li �ftsMailingAd ress �,�..�'/�� ❑ CONVERSIONl❑ DEMOLISH ❑ OTHE � T Front �
Owner's Name � SO �ii Phone.s�a{ 7s,ap DESC ION O¢�WORK/lj6E OF BLDs � ��Y B N
Address �u^"'�'� �/s6L✓ LQ S ('/1'f.Wl��� Zr Y� ��'-- A Rear �
Arch/Eng. License No. ' TYPE OF PERMIT RAOING FOVN ATION ST UCTURAL I K Right G
Address ❑ TENANT,�O EL CTRICAL ❑ PLUMBING ❑ MECH�q//N IC L � i g� Left R
Contracmr's Name �� _Phone �YS86CC� �'OTHER �/'�FJC C t. , Ping. Ref. # Parking Req./Provided E
Address Imailing) 3zs 4' ��p PROJECT DESCRIPTION SQ. �FTm.+ OCCUPANCv �'� Planning Notes: M
Cit LicenseNo ���i CONSTRUCTIONTVPE Y� VALUATION$ 4.s�0�
�� — T
� ! ZONE GRADINGCU.VOS. ACRES
LICENSED CONTRACTOR DECLARATION S'
I hereby affirm that I am licensetl untler provisions of Charter 9(commencing Remarks: �, � �
with zection 7000) oi �Ivision 3 of the Business antl Professions Cotle, antl
my license is in fun fo ce �eHecL !/G ! ELECTRICAL FEES
License ( �� �1 Li ense �d ` Automatic Washer Transformer ❑ 15�50 KW
Date ��Q'`�— 519 �� PLUMBING FEES
WORKERS' COMPENSATION DECLARATION 88f Sink ShOwEIs Construction Pol¢Su6. � 50+ KW
I h¢reby attirm tnat I have a certiticate o( conSeM to selt-insure or a certi(i<at¢ '
'Norkers' Compensa[ion Insura e, or a certlfie copy thereof (Section Cooking Unit Meter ❑up to 100 amps
J, Lab. G.) ry Backtlow Preventer Service Sink
r.,iicy rvo. 1d��a �'2� � Oishwasher Meter ❑over100amps
� Company Backflow Irrigation Sewer Cap
Certifietl copy is nereoy fumisnea. Dryers ❑Gas ❑Electric Sub Panel
erty�etl c�op y' +�i�tl with the city B I g''' n Bathtubs Sewer Connec[ion
Dat ;5^�-'/�) Appiicant Fan Motors 00-1 HP �1X-8
EXEMPTION FROM WORKERS' COM NSATION DECLAR TION Clarifiers $Old� CoIICCL0�5
(Thissection neetl not be completetl if [he permii is for one huntlretl ($100) or Dishwasher F�A�U� �nc. Solar 09-75 HP 076-15+
iess). Solar Piping
I tertify that in the pe�fo�mance of the wo�k fo� which this pe�mk is issuetl, I FixLU�25
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave
Workets' Compensation LawS of CalifOrnia.
Date Si9nature Floor Orains Swimming Pool w/Spa Device Boxes Pole Light
NOTICE: If, atter making this tleclaration, you shoultl become subject to the
Workers' Compensation provisions of the Labor Cotle, you must forthwith Floo� Sinks Urinal Outlets •'-�t ange
comply with such prOvi5iOn5 0� Inis pErmit shall b¢ tl¢¢metl �evoketl. `I
CONSTRUCTION LENDING AGENCV GasSefviCe OUtIetS WatefCl05et � SwitCheS Sign
I hereby afti�m that there i5 a con5truction lending agency for the performanc¢ �
of the work tor which this permit is issuetl (Section 3097 Giv. CJ Interceptors Water Heater Garbage DiSposal Standing Sections
Lentler's Name _
�entler's Aatlress Kitchen Sink Water Service :�i Generator �0.5 KW �5-15 KW Trash Compactor
OWNER BUILDER DECLARATION _ .
I hereby affirm lhat 1 am exempf irom tlte ContrdGtor'S License Law for the Lavarories AutO-W35h
following reason (Section 7031.5 Business antl Protessional Cotle: Any city or �
munty whiCh requires a permit to const�uct, alt2r, imp�ove, tlemoli5h ov �epal� P—T�Bp Le�lldry T�e'y5 �-� � �
' any struCture, p�lo� to Its issuance, also requires the applicant for such Oe�mlt �
to tile a si9netl statement that he/she is licensea oursuant to the provisions o/ Roof Drains '
tne Contractor's License l.aw (Chapter 9(commencing with Section 7000) ot '_ �' �'�
pivision 3 of the Bu5ine55 antl Profe55ion5 coae� o� that he/sM1e is exempt �ReinS eCtiOn Fee �
•efrom antl the basis for the alleqetl ezemption. Any viola[Von ot Section . . P $15 �ISSue Fea $ 3
LS by any applicant for a permit subjects the applicant to a civil . :
.alty of not more than five hunaretl aollars (5500). � DEVELOPMENT SERVICES REQUIREMENTS! •
�J 1, as owner ot tne pro0erty or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 .+
comoensation, will tlo the work, antl the structure is not intentletl or-ofteretl Zoning Approved By Date
for sale (Section �044, Business antl Protessional Coae: The Contractor's MECHANICAL FEES Building Approvad By ^ pateys_
License Law tloes not aOP�Y to an owner ot a pro0e�ty who builtls Or imp�ove5 ��� ` ��Q
the�eon, antl who tloes Such wo�k him5elf/M1erself or throu9h his o� he� own goiler HOOd O� Typ¢ I ❑ %�PpliCdtiDOISSUBd 8y � Ddte���L_F�a�.
employees, provitletl that Sucb improvements are n0[ intentle0 0� otteretl f0� � ,
sale. If, nowever, tne buiiaing or improvement Is soltl within one year ot com- Canopy Type II ❑ SUMMARV OF FEE
pletion, [he owner will have the bu�tlen of proving ne/she tlitl not builtl or im- DuCt - UOdE� CiroUnd ^�'
proveforthepurposeotsaie). ' BUILDINGPERMIT $ %�•f,_C� SMIP $ 'Sv
❑ I, as owner ot the property, am exUusively contracting with Ilcensed con- Duct -Structural Refrigeration System p�P.N CHECK
tractorsto con5truct the projec[ ($ection 7044, Busine55 antl Prote55ion5 Cotle: $ PERMIT
The Contractor's License Law tloes not appry to an owner of oroperty who Duct- Ventilating ❑0-100,OOOBTU ❑100,000 BTU - PLUMBING $ ISSUANCE $
builtls or im0�oves thereon. antl who Contracts fot such oroie<ts with a r.on- ' �
tractor(sl Imense pursuan� to cne Contracrors License Law). I am aware that Exhaust System ❑ Multiple ❑ Sy�tem Repair/Alteration .� ENERGY P.C. $
proof of their WorkeYs Compensatlon insurance shoultl be providetl to me. P�N CHECK 25% $
� ELECTRICAL $ GFiADING $
❑ I am exempt untler Seciion B. & P. C. for this reason Firepl/Fact. Blt. ICBO # Pire Dampers - MICROFI LM $
P�AN CHECK 50% $ /y�
Dace owner Heating System & Duccing Registers MECHANICAL $ 2•,,,7 v
I hereby certity that I have reatl tnis application antl state that the above ❑0.100,000 BTU 0100,OOOBT TOTAL FEE $�
intormation is correct. I a9ree to wmply witn all city antl county ortlinances PLAN CHECK 25% $
antl state laws relating to builtlin tion, antl hereby authorize repre- , ' - �
Sentatives of [ ity to ente� =Mentionetl p�operty fo� pate _._.� Si .
Inspection pw s 2��9 . ��
Signature Date � q ,
Reinspection Fea $15 Issue Fee $ 3 � � V l�
Drivers•Lice eoc55�f � 1�1 00029142—RQ0.914: �Q�" �J?a�!)
0865-46, rev. 5/88 White - Builtling; Canary - Applicant; Pink - Accounting: Goltlenrotl - Assessor , �. DATG� O3I�!�tiHQ Tzj'��: 1u�4�'Z
_ . !",��. _C� � . .
CO��STRUCTION ANq pLANNING ' POOL 'PA
APPROVAIS Permit # Date Inspector AppROVALS Permit # Date Inspector
1. mporary Electrical $ervice or Pole . 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. •� 53. Steel Reinforcement %��
3. Electrical Conduit�Utility-Undrgrnd� �- 54. Forms �� ��
4�;Electrical Conduit-Updrgrnd. `� 55. Electrical Bonding ��f
��.JSteel,Reinforcement;`� , , -°` 56. Rough Plumbing & Pressure Test �/
,6. Electrical UFER_Grnd.,f 57. APPROVALTO COVER-GUNITE j j�� :!
i
7!Footings � .,,�J � � ��,� _ 58. ElectricalConduit-Undrgrnd. d,.'
S;�Foundation � f 59. Gas Pipe, O Undrgrnd., Test �.1
9...Water Pipe-Undrgrnd. ' � ' 60. Backwash Lines, P-Trap, O Undrgrnd.
r.
10.' Structural Floor System f .�� 61. APPROVAL TO DECK
1'1. Property Sewer Line,& House Connection '4' �,/� 62. Backwash & ReceptorFinal
i;
i2. Sewgn Cap � . '' yf ^ �' � 63. Heater & Vent-Final �
�
� -•` ,
73. Roof Drains " � � 64. Plumbing System - Final •
''�'i .`i
14. Rough Plumbin��� ^' ' 65. Electrical-Final ' �
15. Rough Electrical-Conduit ' 66. Solar System-Final
16: Rough Electric Wiring � . � 67. Fencing & Access Approval �-
�1•7: Rough Wiring Sign ' � 68. APPROVED FOR PLASTERING
78. Rough Electrical-T Bar Ceili"ng •: 69. POOUSPA SYSTEMS FINAL �
'19. Rough,Heating & Air �nditioning FIRE DEPT. REQUIREMENT
�
20,., Rough'Factory Fireplace �,' APPROVALS Permit #
� �.
21. Ducts, in Structure � � 70. Underground Hydro
22. Ducts, U.entilafing �, , ' 71. Product Piping O Gas ❑ Oil
23. Gas Pipe �Rough'& Test : � 72. Underground Flush � �
•,, r
24. Roof Framing " ' 73. Undergrnd. Storage Tank O Gas ❑ Oil �
25. Roof Sheathing-' `� . 74, pverhead Hydro
26. T-Bar,'Ceiling (Structural) &,Monocoat � 75. Dry Chemical .
27.,Frame'and Flashing �� �. 76. Dry Standpipe
28. Lathing&•Siding !"' ' 77. FIXEDSYSTEMFINAL .
29. Insulaiion' '� 7S. FIRE PREV. FINAL
30. Drywall-Nailinq. , ' HEAITH DEPT. REQUIREMENT � _
��
31. Plaster,BrownC.oat'r� ,;� '�' 79. FINALINSPECTION
32. Electrical Power�Meter-Fina�,� 80. FOOD CERTIFICATE ISSUED
33. Final Electric % Notes: �A
34. Final Heating & Air Cbnditioning -' 3- �
K - o GXJ
35. Final Gas Pipe-Test
36. Hood or Canopy
1
37. Final Factory Fireplace �
38. Final Plumbing
39. Water Service-Final � ..
r
40. Gas Service-Final ��~ �
41 . Solar pomestic-Final � }
42. Backflow Preventer ��` .,�
43. Backflow Irrigation E X P I R E .f
44. Landscape Irrigation $ystem .! �
45. Sound Attenuation Uate _ Sig --_
: - + .
46. Handicap Regulations '. ~r
i. -� ¢
47. FINALSTRUCTURE&BUILDING '� i,
48. Special Requirements Completed
49. Electric Release to Edison ,� �r
50. C�as Release to Southern California Gas Co f � �
57. CERTIFICATE OF OCCUPANCY " a ;�f ''
_ �/
No. Date - _
owrrE� MESA DEL M4R D�,'VELOPMENT COh�ANY
GENERAL CO]
AP No.
INSPECTIONS
G
Wntcr
k
0
wnt
LOT 3 TRACT !}Q(0 RII2� 'LONE
�Signature� DA'CE GROCIP
DATE �-12-(2
DI'sSCRIPTION OR WORKx�eS
TYP� � ZONE
� 16637 FE � RECEIVED
� �MAR 7 1962 �t 39 - Tract 4260
COSTA MESA BUILDING-SAFETY DEPARTMENT �� FINANCE DEPT. pian 400-�
P. O. BOX 9f7 C08iA MEBA. CALIFORNIA
17Y OF COS(A MESA
For Applieanf fo Fill In Compleiely APPLICATION FOR PERMIT
TYPE�OR PRINT gUILDING
BUILDING 5$ Ma e112n Street
ADDRE88
COSTA MESA CALIFORNIA For Offlte Use Only
wec¢ivr Ho. iF
OWNER P".esn Dol M.ar Develo�ment Go.� � i _
TEL.
Cliff Olsten
REC81V60 BY
v FIRE
ZONE
• APPROVED
DATH
COSTA MESA. CALIFORNIA
ADDRE65 li� Fi Coast Iii hivav ZONING
CITY Corona Del P��i�.. Va.111 ZONE A_� I NO.OF � I U98 OP NHW%/q ��^
'�` �� PUN9 BUILDINOW �%L R
pp /
LIG.TNO. 9JSOV �B-1 No: OR 3-1�220 LBWL Lot 3 9 TR �/2 6 0
oeacairr�ox
OF LOT 6696 S.� I NO. OP BLDO�a�
NOW OH LOT 1 ♦_ P_ NO. �—
� B6TBALK LIN6 FPOM
'ILEFT S� IRIGHT S�b��
DESCRIPTION OF WORK -
� S FT. IN.
.!J— FT. v IN.
S FT. '-� IN.
Z� FT. /� IN.
nl.� o.. . nerr Z' �Z/�(e L
81ZH � ��' � �� ROOMS G STORIE6 ]. �
EXTLRIOR WALLStACCO I ROOF
COVERING Tel -A COVERING � n .
USH OF BUILDING AND WORK TO BE PERFORMED
'nola F m lv urcll'n Ll��n. area 1. Q2 .5.�•
w/attached garage Garage �� 1�63 S.F.
Covered Porch 63 S.F,
I XHPEBY ACKNOWL8D08 THAT 1 MAV6 RH�D iXIB APPLJGTION TNE AMOUNT lXOWN UNDlR V.�LVATION �B FOR TXH
AND 9TATE THAT TH6 ABOYE I6 COPRECT AND AGR6E TO LOM- pU11P088 OF HQTABLIBNINO A PHRNIT IEE ONLY.
PLY WITM ALL CItY OFDINANC¢B AND 6TAT8 LAW6 R86ULFTNO
BUIIDINO CONeTRUCf10N. VALUATION
BIGNATURH OFT� � � r � F� ^n n PERMIT FEE $
PERMITTE ��' 1�L [/�/�'
BY $ � ) 4"7 �� pLAN CHECK $ / / . �
AUTHORIZED �_ _