HomeMy WebLinkAbout2840 STROMBOLI RD - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
PER IT NO. TRACT NO. LOT NO. UNIT NO. '
CITY OF COSTA MESA,/, CO TRU TI[2N P YIT as--. /= A.P.# Zone
.�Peci.�Fddress �" D / `teten l l Pawl-
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n ; �i S Main Building: Accessory Building:
Applicant's Mailing Address I V"' • TYPE OF CONSTRUCTION NEW1. ADD ALTERATION REPAIR E Z
"''� Ot • ❑ CONVERSION ❑ DEMOLISH ❑ 0 ER - "T Front - ' . Q
Owner's'Name r Phone Z!s'...A� '"� l rr i;�. - w • / .
11��-_- n I D CRI TION�F WO,Rry/US€ Bq. u • ` A Rear N
Address Y)u/!"74-0 BA HG(�'�p iL rL ,Q� .
os
Right N
Arch/Eng. . License No. PE OF PERMIT ❑ RADING ❑ FOUNDATION �' TRUCTURA st�� K - G
Address - P,, �s Q �/ ❑ TEt�NT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S . Left 1 - ,,
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Contractor's Nam.-/ASK 'l a., d •hor#�°- t+O/O ❑ 'OTHER - Ping. Ref.# 'Parking Req./Provided E
Address(mailing) �U7 v PROJECT DESCRIPTION SQ. FT. --1 OCCUPA Planning Notes:. M
' ll1,25
CONSTRUCTION TYPE VALUATION$ - T
City License No. y� ZONE GRADING CU.YDS. ACRES S.
LICENSED CONTRACTOR DECLARATION •mss ___ ____ - - •
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: - e
with section 7000) of Division 3 of the Business and Professions Code, and tttJJJ
riiy license is in full force a . •ff-.tt/ dr It c - C '(.1 ELECTRICAL FEES
Licenie cia . s-ns • �'t^+-e _
date . • 'if �ASignature -1����� PLUMBING FEES Automatic Washer Transformer i❑ 15-50 KW
i � CP' ❑ 50+ KW
WORKE• ' • ATIONDECLARAT ON Bar Sink Showers Construction Pole$Lib.
lL I hereby affirm hat I have a certificate of consent to sel e or a certificate
"p of Workers' Compensation Insurance, or a c�.tifletl there f (Section Cooking Unit -Meter pup to 100 amps -
\ 3800, La - Backflow Preventer Service Sink
ri Polk NoU-4-,43 -la ��-i Com an MI ' Cap Dishwasher __ Meter Dover 100 amps
•p Backflow Irrigation Sewer
ert ifietl opy is hereby furnished. Alir
- Dryers OGas ❑Electric Sub Panel '':.!
\ Cerci si i f ith the city Bukiii •-, .' Bathtubs ' $ewer Connection
. ` Date //�V Applicant - Fan Motors❑0-1.HP ❑1'`/z-8
Q.
EXEMPT' N FR M WORKERS'COMPENSATION DELLAT10 Clarifiers Solar Collectors
(This section need not be completed if the permit is for one, ,dred ($100) or . . • - F.A.U. - - Inc.Solar 09-15 HP 016-15+ ' '
less). Dishwashers Solar Piping •
I certify:that in the performance of the work for which this permit is Issued, IFixtures - r
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 DrainsSwimming Pool w/Spa Device Boxes Pole Light
NOTICE:If,after making this declaration,you should become subject to the Outlets ,
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks _ Urinal Range .
comply with' such provisions' or this permit -shall be-deemed revoked. - Switches CONSTRUCTION LENDING AGENCY Sign
Gas Service Outlets Water Closet
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.) . Garbage Disposal Standing Sections
Lender's; Name ' Interceptors Water Heater • _
Lender'slAddress ' - , Kitchen Sink - - - Water Service - Generator 00-5 KW 05-15 KW Trash Compactor
OWNER BUILDER DECLARATION
I hereby affirm.that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash i
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 requires 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 i •
Division 3 of the Business and Professions Code) or that he/she is exempt . Reinspection Fee ! $15 Issue Fee $ 3
therefrom and the basis for.the alleged exemption. Any violation of Section •
7031-.5 by any applicant for a permit subjects the applicant to a civil -
onalty of not more than five hundred dollars($500). - ' _ DEVELOPMENT SERVICES REQUIREMENTS: •
LJ 1;'•as owner of the' property or.my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 Zoning Approved By Date
compensation, will do the work,and the structure is-not intended or-offered - - -
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date ��
License Law does not apply to an owner of a property who builds or improves _ _ __ r
thereon, and who does such work himself/herself or:through his or her own - - Application Issued By Dat
employees, provided that such-improvements are not intended or offered for Boiler Hood or Type I 0
sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II 0 SUMMARY OF ES ,
pletion, the owner will have the burden of proving he/she did not build or im- • Duct-Under Ground . g9 , •
prove.for the purpose of sale). BUILDING PERMIT $ / ! rOO SMIP $
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural • Refrigeration System .
PLAN CHECK , $ PERMIT
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of,property 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-
' tract or(s) license pursuant to tne Contractor's License Law). I am aware that - PLAN CHECK 25% $ ,ENERGY P.C. $
proof of their Worker's Compensation insurance should beExhaust System 0 Multiple 0 System Repair/Alteration _ GRADING $
provided to me. ELECTRICAL $
0'1 am exempt under Section B.& P. for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLAN CHECK 50% $ MICROFILM $
Date ow .r Heating System 8i Ducting Registers MECHANICAL $ iTOTAL FEE $ /
!
I hereby certify that I hay read this application and state that the above 00-100,000 BTU 0100,000 BTT- - ,
Information is correct. I agr e t• •omply with all city and county ordinances _ PLAN CHECK 25% $
and state laws relating to .ui1•'n• or ction, and hereby auth��oria repr - - . .
Inspection
sentatives purpo this citg�• e e ' •o j' e above-mentioned top rty_f r�T. ' -
ses. ,T O KJ'
l Signature - Date Reinspection Fee $15 Issue Fee $ 3 01 00017425-00017426 ' TOT 99.54
Drivers' License or'SS
Pink -Accounting; Goldenrod -Assessor
` c4,;\ .
ONSTRUCTION AND PLANNINGPOOL &SPA .
APPROVALS Permit Date Inspector APPROVALS Permit Date Inspector
•
V. Temporary Electrical Service or Pole - 52. Pool-& Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd.? ' L 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding - -
5. Steel Reinforcement : t - - ' 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd.• 57. APPROVAL TO COVER-GUNITE
- 7. Footings58. Electrical Conduit-Undrgrnd. ! ,
8. Foundation 1 59. Gas Pipe, 0 Undrgrnd.,Test •
-9. Water Pipe-Undrgrnd. _ i 60. Backwash Lines,P-Trap, 0 Undrgrnd.
10. Structural Floor System ` ,, - ( ✓ 61. APPROVAL TO DECK -
11. Property Sewer Line & House Connection - . 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final •
13. Roof Drains • 64. Plumbing System - Final -
14. Rough Plu`\`\nbing 65. Electrical-Final -
15. Rough EIe\ -ical-Conduit 66. Solar System-Final
. 16! Rough Ele-tric Wiring .- - . 67. Fencing & Access Approval .-
''17. Rough Wiring Sign Al - 68. APPROVED FOR PLASTERING
'18. Rough Electrical-T Bar Ceiling i9 69. POOL/SPA SYSTEMS FINAL •
;19, Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
120: Rough Factory Fireplace ti !Z APPROVALS Permit#
,
21. Ducts, in Structurer ,,: r 70. Underground Hydro
22.-Ducts, Ventilating A i A71. Product Piping 0 Gas 0 Oil
23 Gas Pipe=Rough &Test '; - - - '72. Underground Flush
24. Roof Framing I• l • 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing '
•- i>v, 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Mott coat 75. Dry Chemical •
27. Frame and Flashing 4ii. 76. Dry Standpipe
28. Lathing'& Siding - r J., 77. FIXED SYSTEM FINAL
29. Insulation "! - 78. FIRE PREY. FINAL '
30. Drywall Nailing i •
it 9'- HEALTH DEPT. REQUIREMENT
31. Plaster, Brown Coat- _ "- 79. FINAL INSPECTION
32. Electrical PowerMeter-Final 80. FOOD CERTIFICATE ISSUED •
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33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test '
36. Hood or Canopy
37. Final Factory Fireplace - - .
38. Final Plumbing
39. Water Service-Final j
40. Gas Service-Final . i
41. Solar Domestic-Final • _. fr
42. Backflow Preventer
43. Backflow Irrigation . - - r/ /
•
44. Landscape Irrigation System : . - �;#27 .1
45. Sound Attenuation • - - ( � •
46. Handicap Regulations _ - ' Z •
47. FINAL STRUCTURE & BUILDING -f 64.at CT /U' .-
48. Special Requirements Completed -
49. Electric Release to Edison ,
50. Gas Release to Southern California Gas Co •-",- ,
5\. CERTIF4CATEOFOCCUPANCY .
- 'r' '
No. Date - /,` .
r�
16081 FEE REC WVED
COSTA MESA BUILDING-SAFETY DEPARTMENT 1/ ,JAN 3
P. O. BOX 817 COSTA MESA. CALIFORNIA l�C FINNNCE DEPT.
For Applicant to Fill In Completely APPLICATOR P to eRMI'PESA
TYPE OR PRINT BUILDING
BUILDING Lot 6S, Tract 4)11
ADDRESS a 6y -S T/{a,n poi/ %C4p
COSTA MESA. CALIFORNIA For Office Use Only
OWNER Adams Street Company RECEIPT NO. I-r)QuGT i,
MAIL 1653 Minorca Drive RECEI D Br D T� Raj IS I DAA/TE IesOeC[o
ADDRESS '- --
,- - ( ,pC p[ /����11N 3 ilk
CITY Costa Mesa ;7,1:K19-0395 BUILDING
ADDRESS
ARCHITECT Earl Kaltenbach TELKeS-0533
OR ENGINEER NO. COSTA MESA. CALIFORNIA
ADDRESS 9772 Katella AVe. ,Anahei.m FIRE p7 �'
ZONE TYPE GROUP
CONTRACTOR Samar Construction Co. .Ine. APPROVED
BY DATE
ADDRESS 1653 Mf',mic Minorca Drive . ZONING 141-
CITY
y
ZONE NO.OF UEe OF ON S'iI'�J+. .ay
CITY Costa Mesa R -1 PLANE Z BUILDIN4,/yyi ,•
STATE 197838 TEL. Ki 9-0395 LEGAL L,y 63 7-e q3//
LIC.NO. _ NO. DESCRIPTION
SIZE OF LOT 70 x 100 I NO. OP NOW ON LOLOTSO
T A.P.NO.
USE OF - YARDS EVES
EXISTING BLDG, APPROVED ALLOWED
SETBACK (CENTER LINE ST.) -
CENTER OF LINE Bracer PROM 52 REAR YARD 35 FRONT -SL FT. -
IN.
SIDE YARD I LEFT 9 I RIGHT 7 R.SIDE 7 FT. IN.
DESCRIPTION OF WORK
L.SIDE 7 FT. IN.
NEW I X II ALTERATION I H ADDITION I REAR 3 5 FT. -
IN.
REPAIR .I H MOVING I II DEMOLISH I APPROVED 41V DATE IZ L7/6/
BUILDING NO. OF V e.40°-
SIZE 2050 ROOMS 8 STORIES 2 '
EXTERIOR WALL wood- I ROOF shaker
COVERING S LCCO COVERING - rOC& 7:
USE OF BU PIN AND WOS TO BE PE FOR D /I t
5ingie faml�y reslaenc and /L /
attached garage ��Q � c'
1'/a /I/ of 11
—0 5
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM-
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDI CES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION VALUATION
SIGNATURE OF til
qqq/ I PERMIT FEE $ j��'
PERMITTEE � 'r.'• � �� ET Caul - ,/( n
�� $ �Y �? 7 PLAN CHECK $ ///���/
AUTHORIZED AGENT ' / /, �q �— re
.._.-.... .. • . . .. TOTAL FEE $ .E/
4