HomeMy WebLinkAbout742 WESLEYAN BAY - Building Permits\
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COSTAMESABUILDINGSAFETYDEPA T T � �AP�I,IC�TIONFORSTRI1Cr'fl�RdLPERMI'I51%,.i1 TL
� P.J.BOX1200 COSTAMESA,CALIFORNIA92626
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°eNANT�R M.D. Janes Co.,
ADDRE55 2950 Airway Ave
CITV Costa Mesa
CONSiRUCT10N
LENDER NOY selected
BRANCH N/A
ADDRESS N�A
ARCHITECT _ . _ .
Inc.
, D-9
TEL.
No. 9
TE
CONTRACTOR a�er
ADDRESS A
TEL.
CITY e NO. e
STATE CITV
LIC. NO. e LIC. NO. A
SIZE NOW ON 10�T A
OFLOT 550' x 334' �
USE OF
EXISTiNG BLOG. N�A
Separate permi[s are required for
electric, plumbing and heating work.
I �e�eby acknowledpe chet I hevo reatl this application entl naia
tnat the ebove information is corrac2 and eB�ae to eomply wit�
all laws reBulailnB builtling consvucqon, and 1��ail no[ empiov
any person in violation of the workman's compensatian laws of
ihe State of California.
I hareby certify t�et I am properly Iicensetl as e eanvactor untlar
the Sta2e of California B�sinesz antl Protession� Cotla, Division 3,
Chapter 9, anE that sucA lieensas are M full forea entl eHect, or I
am ezempi fram the rovisions of i�0 State of Cellfornia Bysinass
entl Profassions Cotl Divisiyrp 3, Chapter 9.
i /
SiB^ature ot
Permittee �
or 8/17/79
Authoriied ABent e
0
UNIT OR
SPACE NO.
LOT
REPAIR
OWNER �Rf'N12� (_B-
VALUE
USE E
3K � Irvoc I r.aniic N,✓
qPPROVED$ETBACKS
PLANNING ACTION '
�— � Q / /� PPPROVED �' .�O �
nwaWSti �� ' / n .. /[1_�
m
� �
i� m "7
O SQ. FT. j �q�
THE AMOUNT SHOWN UNDER VALUATION IS FOR m G�
THE PURP�E OF ESTABIISHING A PERMIT FEE ON�Y: �
VALVATION PERMITFEE y a �
PLANCHECK E Sd�, � o n�7^'
S Sd % �Q.. � \
TAX S f-.,- _ :
S�
TOTAL PAI� S �� � �/ ,
7. K,
. �,
wi;:s-
PflOJECTADDNESS: •142 �.j���EY�h k��Y
OWNEfl'S NPME: �DShTARD PE 1 ROS
nooeess: �q � y�rCSi.EYAN bAY
COSTA ,yESA,CA 926'6
AflCM/ENGINEEfl:
nooxess:
UNIT:
NEG.NO.:
UNIT:
PE"miTTEE' EDWARD PETRUS ( 714 ) 754-5295
aoonEss: �q � y3£SLEYAN BAY
CUS:A MESA CA 92676 '
LICFNSEO CONTPACTON OECtABATION: I here�y allirm Ihal I am licensetl unaer pmvisions ol Chapter 9 �commencing wiih Section
7000� oi Div�sion 3 0l Ihe eusiness anJ Pm�essions Coae. antl my license is in �ull �orce antl e��ec�.
CITV LIC.: STATE LIC.: CUSS:
Date: SignaWre:
WOPREBS' COMPENSATION OECLAfll1TI0N: I hereby a��irm Ihal I have a ceni�icate o� consenl �o sel4insure or a cerii�icale ol Workers'
Compensation Insurance. or a certifie0 coDY �hereof (Sectian 3800. La�. C�.
POLICY NO.: EXP. ORTE:
COMPANY:
❑ Cerli�ietl copy is hereby �umishetl. ❑ Cenified coOY �s filetl with the ciry 8uiltling Oivision.
Date: Ap0licant:
E%EMPTI�N FflOM WOflNEflS' COMPENSIITION OECIAflATION: (T�is seclion neetl no� be comple�0 il �he permi '� E700) or lew�.
I cerii�y Ihai in I�e pedormance o� ��e work �or which Ihis permit is issuetl, I s � e Af g A son i any nner so > Uecome
Sublett lo Ihe WOrkerS' pComDenSaiion Laws of Califomia.
Date: � � � � `� SignaWre:
NOTICE: I�. af�er making �his Ueclara�ion, you shoul on ub c� to �he Workers' Compensa�ion pmvisions o� �he La�or
Cotle, you mus� lotlhwi�h comply with su[� pmvi ons or this Dermi� shall be OeemeO revoke0.
CONSTBUCTION LENOING AGENCY: I hereby allirm I�al lhere is a cons�mction lending agency �or �he peAorman[e of Ihe work for
which �his permit is issuetl (Seclion 3097. Civ_ C)-
LENDEN:
ADOflE55:
OWNER BUILOEF DECLFflATION: I hereby a��irm Ihal I am exempt imm the Cantrac�ors' Stale License Law for �he �ollowinA �eason
(Sec��on 7�3L5 Business and Professional CoOe'. Any ciiy oi coun�y which tequires a permi� �o constmct, alter, impmve, demolish, or
repair any StmcNre. Drior lo i�s issuance. also requires �he applican� lor such permit to �ile a signed sla�emen� �ha� �elshe is Iicen5e0
pursuant m �he provisions of ��e Conlraciors' Stale License Law (Chap�er 9(commencinB wiih Section 7000) of Oivision 3 0� �he Business
anA Pmlessions CoOe) m I�al he/s�e is eKemp� Ihere�mm antl ��e basis �or ��e allegeA exemp�ion. Nny violalion ol Sec�ion 7031.5 by
any apPlican� lor a permil Suhleci5 Ihe applicani to a civil Denalty o� not more than hve huntlre0 tlollars (5500�.
I, as owner oi I�e pmpeny or my employees wit� wages as their sole compensation, will tlo t�e work, an0 the
❑ S�mt�ure is not inlenAed ar ofl¢red for Sale (Seclion 7044, 9USine55 ana Pmte55ional Cotl¢: TAe Contfac�ofs' Slale Litense Law
does not appty to an owner ot a D�operty who builtls or imDmves thereon, an0 who Uoes such work himseli/herself or thmugh
his or her own employees, proviUeO t�a� such improvemenis are not intenAed or oflered for sale. I�, however the builtling or
impmvemen� is soltl within one year of complelion. Ihe awner will have �he hurden o� pmving �e/s�e tlid no� Duiltl or improve
for �he purpose ol sale�.
I, as owner of ��e DmDerty, am exclusivety conVacting wi�h licensed cnntracmrs to cons�md the prole�� (Sec�ion 7044, Business
❑ an0 Pro�essions Coae: The ConVacmrs' S�aie Lirense Law does no� appty ro an owner o� DmOeM who �uilds o� imDroves �hereon
and who conlratls lor such pmlec[s wi�h a conlracioqs�license pursuantto �he Can��ac�ors' Sta�e LicenSe Law�.l am aware
Ihat pmo� o� Iheir Worker'S Compensation insurance ShoWd be pmvidetl �o me.
� i am eremp� under Sec�ion: BP! O 4 4 B. 8 P. C.
mrmisreasnn: ALi. WORK $Y OWNER
� -�
Daie:�— � —%� Z Ownec
I tlo hereby ceni�y ��al I am aware ol ana unders�antl the requlremems of ml eatlh anU Safe�y Code Sections 26fi05, 25533, antl
25534 an� �hal I or any INure �uiltling occupan� willlwill no� (circle on ed to compry with saitl s�a�e co0e5 anA �he �eQui�emen�s for a
permii for conslmction or motlificalion �mm the Air Ouality Managemen� DisVic�. flesiUen�ial constmc�ion aDPlications are exempt �mm
Ihese pwvisions.
'�I Oate: ApplicanC
I I �ereby cetliry �Aat I have reaa t�is apPlication antl slate t�at I�e above in�armation is mrrect. I agree to comply vnlh all ci�y an0
'i ortlinances an0 staie laws reiaiing ro builUing canstmction ana �ere6y authonze represematives f tAi e�me
I pmper�y for inspectio purpases.
��� Da�e'. � � �� Signa�ura _
Driver's License ar Social Securily M:
16<La6 White—Bmlaing: Green—CoOe Enlo¢ement: Canary—Applican�; Pink—Revenue: Goltlenrotl—Assessor
CITY OF COSTA NESA - B(lILDItiG PERMIT Fc:kM Nt7; E Q564AE
PERMIT hi0; E 056446 PLP.N CHBCK NO; 1� GOVT: N SliPP; \
CO�STRUCTIOh ''YPG; 5-N PERMIT iYPE: ELE PURPOSE; OTH
JOB llESCRIPTION : IN5TAiL SIX (6) CAA� iIGHTS IN KITCHEN SQ FT;
CLAIN VALOE: CALC-VALUE: GROUP OCC: R-1 /
COMMENT'S: TNS7'AI,iED W3Ti� PERFECTION!
if # �f.�iE # k Y. i4 iE # H� } )E �lE �7i 3( d( #f i! # # �k iE if 1E-Y �k if iF Jt �k �}* � SF # 9f �l!� -?f �if �X �YE iF # iE # # lE � le iE M iElF �ic iE'r: lE # df # # �!t df �iE iE # �c 1f �1c �4 �7C # �� lc 9f # #�?'. K
7. O N � N G A E Q U T A F. M E N T S
$ E 1 H A C t( $
------------ MA7N BITZLDING --------- -------- ACCESSORY �Jli,i>ING ---------
FRNT: FT IN REAR: FT 7N FRNT: FT IN HEAR: FT ZN
LEFT: FT IN RGF?T; FT ZN LEFT; F'T IIv RGHT; PT Iv
PARKING REQ• PROV; PARCEL; 9376A002 ZNE; REF NO;
PT.ANNING NU'I'ES>
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D£ V E L O P,"^. E N T S E. R V I C n S R E�1 J I R c N. E I� T S
20NIi�G APPROVED BY DATE:
$UIL'DING APPROVED �Y : _ _ DATE; /
APPLZCATI4i7 ISSUED BY• f��l'/.G� ����� DATE: /_t-'—'�
iFifieihie#14-%1f1E3E#iFlFieff#�IF�1f1EiEieiFi tCie"iF��F�.`SxY•'R�)F'±FTf�iFieFiF'S�� �$�'£�,.'���iFiFif�kiiX-if*#3E3ei���[��iFi,it�ir )f#
if iE i(• if 3f ik iE if if iF fE # iF �E it li� If if iE �1F 1E X� aF iF 7F �EjF 3c Y: i+ iE iE if 3f 3F.N� iE iE iE }�; iFit ;' * iE N� k �F if !E'f ?F k�)f ii� ic?F # iF � iP IE 3F iE ��k iF i• ii k�:. df� 3: ii�'r; jF ie if
LEGALIZATION;N F E E S G M M A R Y STRtJCTi7RAL �EGuEA�T:N
BLbG Pi`�T PLU,`�HING ELECTRIC MECAANIC rZRE SMIP/RES GRADI\G
PEAMIT q 5p
�Og 5�IP/NON-RES
PLAN
ISS[Ic FEE 15,00
BUILDiNG-DIV-> PERMIT ISSUE Fi,AN-CHECK TOTAL PAID D'JE
io�ars----> 4,50 15.00 0.00 1:=.so is.so .00
REVENUE DIV.ISIGD: TUTALS--> COLI,ECTED• 19.50 OVER/SHOkT; UO
BI;DG FMT PL'�MEING ELEC_TkIC MECHANIC F'IRE SryIt�/TOT GRAD?NG PLAN-CHECK
� 19,SU
3F # 1f if �F 3F�i �lE 7'r ie �F If iE iF 1! if iE k iE if 3i iF iF iE �J'r If if R 3F _u ii iE't(� iF �lF �3'r i'r iF �IE# 3F i't dF 3t iF i'r �1F 1E iF?c li �li #-%3E �IE N� n� tF �R!(� iF k-?e if iE ai if ie 3f iF #� �t iF i' �7k 3E iF �li�
I N D I V I D U A L F E E B k E A K D O W N
TYPE �TY U B S C R I P T I O N UNIT COST TOTAL COST
6 FIXTURES, LIGHTING 1 ST 20 cA, .'15
END OF rEES
� .����,.�
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�::5 MAR 1 2
C'T'f OF COSTA M�S�
4.�0
, CONSTRUCTION AND PLANNING
APPROVALS Permit #
t. Temporary Electri�yl Service or Pole
2. Soil Pipe�Undrgrnd.
3. Electrical Conduit Utility-Undrgrnd.
4. Electrical Conduit�Undrgrnd.
5. Steel Reinforcement
6. Electrical UFER Grnd.
- 7. Fooxings
8. Fo�ndation
9. Water Pipe�Undrgrnd.
10. Structural Floor System
t t. Property Sewer Line & House Connection
72. Sewer Cap
73. floof Dreins
14. Rou9h Plumbing
15. iiough Electrica�-Conduit
16. r�ough Electric Wiring
17. Rough Wiring Sign
18. fiough Electrical-7 Bar Ceiling
19. Rough Heating & Air Conditioning
20. Rough Faciory Fireplace
21. Dutts,in Structure
22. DuMs, Ventilating
23. Gas Pipe-Rough & Test
24. Roof Praming
25. Roof Sheathing
26. T�Bar Ceiling (Structural) & Monocoat
27. Frameand Flashing
28. Lathing & Siding
29. Insuiation
30. Orywali Nailing
37. Plaster Brown Coat
32. Electrical Power Meter�Final
___
33. Final Electric
34. Final Heating & qir Conditioning
35. Finai Gas Pipe-Test
36. Hood or Canopy
37. Final FactorY Fireplace
38. Final Plumbing
39. Water Service-Finai
40. Gas Service�Final
41. Solar pomestic-Final
42. Backflow Preventer
43. Backflow Irrigation
r
44. Landscape Irripation Sysiem
45. Sound Attenuation
46. Handicap Regutations
47. FINAL STRUCTURE & BUILDING
48. FINAL P�ANNING
49. Elec[ric Release to Edison
50. Gas Reiease to Southern California Gas G
57. CERTIFICATE OF OCCUPANCY
Date
Date
A
Inspector
i
POOI 2A
APPROVALS Permit #
��, 52. Pool & Equipment Location
' 53. Steel Reinforcement '
54. Forms
55. Electrlcal Bonding
56. Rough Plumbing & Pressure Test
57. APPROVAL TO COVER�GUNITE
58. Electrical Conduit-Undrgmd.
59. Gas Pipe, � Undrgrnd., Test
60. Backwash Lines, P�Trap, � Undrgrnd.
61. APPROVAL TO DECK
62. Backwash & Receptor-Final
63. Heater & Vent-Final �
64. Plumbing System � Final � :
65. Electrical-Fina�
66. Solar System-Final
67. Fencing & Access ApP�oval �
68. APPROVED FOR PLASTERING 7
69. POOLlSPASYSTEMSFINAL
FIRE DEPT, REQUIREMENT �
APPROVALS Permit #
Date ( Inspector
70. Underground Hydro
71. Product Pipin� O Gas ❑ Oil
72. Underground Flush
73. Undergrnd.StorageTank�Gas ❑Oil
74. Overhead Hydro
75. Dry Chemical
76. Dry Standpipe
77. FIXED SYSTEM FINAL
78. FIRE PREV. FIIVAL
HEALTH DEPT. REQUIREMENT
79. FINAL INSPECTION �
�. FO00 CERTIFICATE ISSUED
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