HomeMy WebLinkAbout792 WESLEYAN BAY - Building Permits(1)
Applicant lo fill in all spaces exceDt thosa wit�in �eavy Dortler Iines an0 sign all avProvriate tleelantions.
CI7Y OF COSTa MESA CONSTRUCTION PERMIT '
Projett Address 792 Weslevan Bay
Applicant's Mailing Address 1872 N. Case St. Oranae 92665
Owner's nlame . Mike Fedd2Lly Phone 662-0326
Address 797 Wesl_e}�an Bav Costa Mesa
ArchlEng. ANnFRSnN AIR COND. License No. ,
Address
Contractor'sName A�II�FRGnN ATR COND. �Phone99$-6850
Addresslmai�ingl 1R79 N_ Casp St Orange CA
City License No. 0142�A
LICENSEO CONTRACTOR DECLARATION
1 he�eby at(irm [hat 1 am litlnsetl un � �ovi510n5 O harte� 9(commencin9
�:Sith section 1000) of Division 3 of he u iness tl Prot¢ssions Cotle, an0
my Iicense is in i�y� ���e ana ettect. ZS%S7O
Ucense Class ce No.
Oate c_o�to.�Oz Si9nature
WCIHKERS' COMPENSATION a . An erson
hereby aifirm that I �ave a certi/icate o( c s nt to selt-insure or a certlficate
Workers' ComOensa[ion Insurance, o a srtitietl topy thereof (SecHon �
800, l.ab. CJ
Policy No. Q.L�Q 8� �' C mpan
BCertifietl copy is hereby fumishetl. � /
Certifietl copy is filetl wich the city B tl' vii n. ,
Date_�� 'y^ pn� � Applican
EXEMPTION FRD� ORKERS' C M NSATION DECLARATION
(ThiS S¢[tiOn neetl not De cOmpletetl It th¢ perTlt I5 f0� OnC hunGrEtl (5300) o�
less).
I c¢rtity that in th¢ p<rtormance o( lhe work for whi<h this p¢rm�t ISlssuetl, I
Shall n0[ employ any pe�son in any mann¢r 50 as to become iuDject to the
Workers' ComOensation Laws of Calitomia.
Date Signature �
NOTICE: If, afte� making this declaratlOn, you snoultl. become sublect to th¢
Workers' ComOGnsation prOvi5iOn5 ot tne Labor Cotle, you must tOr[hwith
comply with such p�Ovisions o� this permit Shall be tle¢metl �evoketl.
CONST0.UCTION LENOING AGENCV �
I hereby attirm that there is a construction lentling a9ency /or the performance
of tha work ,for which tnis permit is,lssuetl, (Sectian 3097 Civ. C.)
Lentler's Name
Lentler's AEtlress
OWNER BUILDER OECLARATION '
I hereby atfirm that I am exempt irom the ConVactor's License Law tor the
following reason (Section �031.5 Business antl Protesslonal Gotle: Any city or
county which requires a permit to construct, alteq imorove, tlemollsh or repair
any struclure, prbr to Its issuance, alzo requlres the appli<ant for such permlt
,to file a signlG statement tnat he/she is Ilcensetl pursuant to lhe provisions of
the Contractor's License Law (Cbapter 9(commencing with Secfion 7000) of
Oivislon 3 of the Business antl Professions Cotle) or [hat he/she is ezem0l
ierefrom antl the basis for the allegetl exemption. Any viola[ion of Section
D31.5 by any applicant for a permit sub�ects lhe applicant lo a clvil
. enalty oi not more tnan five �untlretl tlollars (E500)..
� I, as ownc/ ot the pro0erty o� rtiy emplOyc¢5 with wages as [M1ei� sole
com0¢nsatlon, will tlo the work, antl Ihe structu�e Is not intentletl o� offer¢tl
for sale• (Seclion 7044, Business antl Professional Cotle: The Contractor's
LicenSe ;I.aw tloes not apply to un owner of a property who bulltls or improves
t�eteon, antl who tloes SucM1 wo�k himself/M1¢r5elf or Ihrough his o� hCr Own
employees, p�Ovitletl tM1at such.improvements are no[ intentled or offeietl to�
Sa1e. If, nowever, lhe builainq t. improvement is soltl within one year of com-
pletlon, the owner will have the burtlen of proving he/shc tlitl not bulltl or Im-
��ove for tne purpOse of sale).
I, a5 owne� of Ihe property, am exclusiv0ly cont�acting with Iltensetl con-
tractorsto wnstruct tne project (Section ]044, Business antl Professions Code:
The Conlractor's Lirense Law doez nOt apO�Y �o an owner of properly who
builtls or Improves thereon, ana wno contracts for such orojects with a con-
tractor(s1 license pursuant�to the Contractor's License Law). I am aware that
proot o1 [helr Worker's Compensation InSuranCe shoultl Ge provitlea to me.
❑ I am exempt untler Section 8. & P. C. Por Ihis reason
i�
Date Owner
I hereby cev i(y tha I have r�f
Sl9nature ��
Drivers' �Ic se or 55 � �
CMF 0865-46, rev.4/B4 White
TVPE OF CONSTRUCTION U NEW }�A AOD LI ALTERATION lJ REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER q,p, #
oescaianorv oF woRKiuse oF e�oc. Change-out 2-ton heat
C111mn_Tin?'PC�l� E MainBuildi
TYPEOFPERMIT LJGRAOING FOUNDnTIOy�rv STRUCTURAL T Front
❑ TENANT � EIECTRICAL ❑ PLUMBING RJ MECHANICAL A Rear
❑ �OTHER C Ri9ht
PRWECT DESCRIPTION 5a. FT. oCCUaarvCv K
CONSTRUCTION TVPE VA�UATION $ g Left
ZONE GRADING CU.YDS. ACRES Pln9. R¢f. #
Remarks: Planning Notes:
Bar Sink
Backflow Prevenrer
Backflow Irrigation
Bathtubs
Clari(iers
�ishwdsher
Orinking Fountains
Floor Drains
Floor Sinks
Gas Service
Ki[chen Sink
Lavatories
P—Trap
Roof Drains
Reinspaction Fea � $15
Boiler
Duct - Under Ground
Duct - Sttuctural
Duct - Ventilating
Exhaust System ❑ Multiple ❑
Firepl/Fact Blt. ICBO #
Heating System & Ducting
❑0�100,000 BTU 0100,0008T
qeinspectian Fee � S15
Canary - Applicant; Pink - Accountln9; Goltlenrotl - Aszessor
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Pipin9
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heacer
Water Service
Issue Fae
Hood or Ty�e I ❑
Canopy Typell �
Refrigeration System
❑o-�oo,000eTu ❑100,OOOBTU
System Repair/Alteration
laue Fee
FEES
4809 7/24/B4
Zone
Acceuory Building:
Parking Req./Provided
ELECTRICAL
Automatic Washer Transformer ❑ 15-50 KW
Cons[ruction Pole Sub. � � 50+ KW
Cookin9 Unit , Mecer �up to 100 amps
Dishwasher Meter �over 100 amps
Dryers ❑Gas OElectric Su6 Panel
Fan r Motors 00.1 HP f{Jt'f, - 8
F.A,U. Inc.Solar �9-15 HP �76-
Pixtures .Microwave
Device Boxes Pole Light
Outlets Range
Switches Sign
Garbage Dispoul Standing Sections
Generator �0.5 KW �5-15 KW Tresh Compactor
$ 3 _
Reinspectian Fee $15 luue Fee
FEES
�DEVELOPMENT SEflVICES REQUIREMENTS:
Zonin9 APProved BY .
Building Approved By
Aooliption Issued Bv �
�3
$ 3
5+
I 1 o5D TI
FEES
S 3
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SUMMARV OF FEES '
BUILDING PERMIT $ SMIP $
PLAN CHECK $ PERMIT
PLUMBING $ �SSUANCE $
PLAN CHECK 25% $ ENERGV P.C. $
ELECTRICAL $ _ �,Sfl GRADING $
PLAN CHECK 50% $ MIC(iOFILM $ � � �j�
MECHANICAL $ _ %DO TOTALFEE $ _�!��G—
PLAN CHECK 25% $
\ / ''
CONSTRUCTION AND PLA(S�-Q� � / POO. SPA ,
APPROVALS Permit #��_ Date Inspector qppROVALS Permit # Date Inspector
1. Temporary Electrica( $ervice or Pole 52. Pooi & Equipment Location -
2. Soil Pipe-Undrgrnd. . 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54..Forms . �
'4. Electrical Conduit-Undrgrnd. � • 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test �
6. Electrical UFER Grnd. � 57. APPROVALTO COVER-GUNITE
7. Footings , 58. Electrical Conduit�Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, O Undrgrnd.
.10. Structural Floor System 61. APPROVAL TO DECK
. 1 i. Property Sewer Line & House Connection 62. Backwash & ReceptorFinal
•12. Sewer Cap 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
17. Rough Wiring Sign ' 68. APPROVED FOR PLASTERING
18.. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. f2ough 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 O Gas ❑ Oil
� 23. Gas Pipe-Rough & Test � 72. Underground Flush '
24. ,Roof Framing , , 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing � � , 74-. Overhead Hydro
26. T-Bar Ceiling (5tructural) & 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. Electriral Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric � 8/(���( L� Notes: p ,
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
40. Gas Service-Final .
41. Solar pomestic-Final
42. Backflow Preventer
43. Backflow 6rigation � �
44. .Landscape Irrigation System
45. Sound Attenuation �
46. Handicap Regulations ..
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison -
50. Gas Release to Southern California Gas Co
57. CER7IFICATE OF OCCUPANCY . �
No. � Date � ,
r '� a'!/ O6/ a@
.. ��IY!%I'Q/4 BA� SZ-'�'� 02 O�% O(.� OB� /O /D
- CA5TA MESA Bl'- ING-SAFETY DEQART�EN� APPI i70N F6R`�'RI�f�IEA�'1. PERMIT 25.97 Ti
� . p.0. BOX 1200 'A MESA, CALIFORNIA 92626
For Applicant [o Fill in Completely — Use Ink Only R Bv P��7� No �
BUILDING "_"_" �.. ._ ., �n A..NO. �I—�RI�_IiIO,I�'{�1� IZ� Z
OWNER �R
TENANT M
MAI LI NG
ADDRE55 'z
CITY (,`
CONSiqUCT10M
LENDEFl
BRANGH N
ADDpESS N
CONTFACTOR
TEL.
Mesa No.
TEL.
BUILDING
ADDRE55
UNIT OR
SPACE NO.
TR.ryOo�.�/ LOT
3376 � � h
NEW ADD LTI
OWNER
USE
APPfiOVEO
�l M �ra 8 Y3
BLK.
REPAIR MOVING DEMOLISH
VALVE
S
E ✓ GROUP /" `�
DATE
TEL. �
CITY e NO.
F STATE C�TV %�PPROVEDSETBACKS
� LIC. NO. A UC. NO. e
{� SIZE NO.OFBLDGS. (FROMC/LSTREET)
L OF �OY Q� x 334 � NOW ON LOT e OM
a USE OF
� EXISTING BLDG. —
y
FSeparate permits are required for • � si T.
� electric, plumbing and heating work. REAq FT.
�.�., USE.OFEUIL"DYNG�AND WORK TO BE PERFORMED PIJiNNING ACTION
Q �
� /� C7 ` � ��C�� APPROVED`�L� ' (
i �
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a I hereby acknowletlBa thet I have reatl this application end stexe m `��
y� t�at ffie ebove information is corroct antl eprae to comply wlth � `��
a all laws ra9�lating builtlinp conrtruction, entl I shall not employ �
Z any per5on in violaUOn of the wOrkman's compenutiOn laws at ° \
= t�e State of Celifomla. ';. (aD m
3 I heraby certi/y that I am properly licensatl as a contrector untler _
SQ. FT. ^+ �
tha State of California Busineas antl Profassions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, end ihat suc� licanses are in full force antl affact, or I THE PUAPOSE OF ESTABLISHING A PERMIT FEE ONLV: '�`,�
am e.ert�Pt trom N' prOvisiOns ot the $tate Of CalifOrnie Business e T'L
VAIUATION PERMITFEE E
antl Professiona Coy , Divjsio� 3, CheOter 9, u+
/ ^
� PLANCHECK b �7�� 1,/� o
Signature of � L "—' / G
Pe�mlttee . � $iG�(' ^���•� TAX E �, f C"�.
or �. � �
AuthorizatlAB �_.�te A�17�7Q V
TOTALPAID S',�,:�/]�
2 ,, i :�.i,;i;,, �' �
' COSTA MESA B�";a��INGSAFETV DEPARTME � APPL..,A'I10N FOR STRUCTURAL PERMIT
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•.V•Vv••`VV VVV•^•••`V^•V^`••v•••••^y`V`V RECEIVEDBV PERMIT
For Applicant to Fill in Completely — Use Ink Only D
BUILDINF^ 7 A.P. NO.
ADDFESS G+
OWNER OR I\ ADDRE55
TENANT �
MAILIN UNIT OR
ADDRE SVACE NO.
TR.NO. LOT BLK.
TEL.
CITV NO.
CONSi ON NEW ADD LTER REPAIR MOVING DEMOLISH
LENDE
BRANCH
OWNER
ADDRESS VALUE
ARCHITECT TEL. USE S
OR ENGINEER
ADORE55 ZON TVPE GROUP
avv �i ��7 /
CONTRACTOR BV DATE
ADDFESS
TEL.
CITV NO.
STATE CITV AP7ROVEDSETBACKS
UC. NO. LIC. NO.
SI2E NO.OF BLDGS. (FROM C/L STREET)
OF LOT NOW ON LOT NT FT.
VSE OF
EXISTING BLDG. � F
Separate permits are required for �, sioE FT.
electric, plumbing and heating work.
REAR FT.
USE OF BUILDING ANO WORK TO 8E PEHFOFlMED pLp.NNtNG ACTION
DATE
APPROVED
APPROVED
I �ereby ecknowledBe that I �ava reatl thiz appllcetion entl stata �
that the above information is correct e�tl eprea to comply wit�
all laws rag�lating builtlinB �onrtruction, anC 1 shell not employ
any parson (n violation of the workman's compensation laws of
Me Scate of Calitornia.
m
I heraby certNy that I am properly IiwnsaC es a contranor untler SQ. FT. ^�
tne Sate of Celifor ia Businezs end P�ofessiens COCe, Divizion 3, THE AMpUNT SHOWN UNDER VALUATION IS FOR m
Chaptar 9, an� th svch licenses are in full force antl affact, or I THE PURVOSE OF ESTABLISHING A GERMIT FEE ONL�: �
dm exempt from e prov' ons ot tM1e $iete 0/ GeIl/Omie BUS7n855
and Prof¢ssions ' n 3, Chaoter 9. VAWATION aERMrt FEE E 6.00 ,�
m
$ipnature o PLAN CHECK S o
Parm�ttee $ TAX E LL
or Z f
Authoriz¢tl nt Date u
TOTALPAID S/b �
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