HomeMy WebLinkAbout1069 WESTWARD LN - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
F COSTA MESA PE MIT NO.
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• TRACT NO. LOT NO. BLDG.NO. 5947 I B/
C NSTRUCTION PERMIT ]
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• Project Addres • •e- • As. TYPE OF CONSTRUCTION ❑ NEW ADD I_I�LTERA ON ❑ REPAIR ,
Applicant's Mailing Address�/ 'IF
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❑ CONVERSION ❑ DEry/7O,LISH OTHER L/17 A.P.# Zone
Owner's Name We 1726/rf'I ,/ N&a-O✓r Yhone _6CRIPTION OF WOR "^' O/�Pi tor l0-sS (�,..5'>C-
,zy�j'(aas GJ/� S Main Building: Accessory Building: Z
N 0 Lo- ¢PS // II-- �� 110
Address TYPE OF PERMIT ❑ GRADING LJ FOUNDATION U STRUCTURAL E Front N
Arch/Eng. License No. - ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear i
A N
Address • -7� • 5-31-0T3/
'OTHER C Right G
Contractor's Nam• - 710 I,/ • / Ph ne J�--3��03--�/ PROJECT DESCRIPTION SQ. FT. ?�aa OCCUPANCY R
Address(mailing) (y/�� trope_ - /�P•.JC Pn V e__ CON ST RUCTION TYPE VALUATION$ (cs'O `_ s Left • E
C- ZONE GRADING CU.YDS. ACRES Pin Ref.# Park.Fees $ 0
City Licnnse No. �LQZ/ g
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LICENSED CONTRACTOR DECLARATION Remarks: Parking Req./Provided I
I hereby affirm that I am licensed under provisions of Charter 9 (commencing R
with section 7000) of Division 3 of the Business and Professions Code, and Use of Building: E
my license Is in full f• .and effect.
License Class - +uir• .7 • .L PLUMBING FEES Planning Notes: M
Date --' m Signature --Srallele- E
'YORKERS'COMPENSATION DECLARATION Bar Sink Showers T
lereby affirm that I have a certificate of consent to self-insure or a certificate S
i Workers' Compensation Insurance, or a certified copy thereof (S n Backflow Preventer Service Sink S
3800, Lab. C.)ll ` i �`�•�/ _(n' `,,, Backflow Irrigation Sewer Cap • ELECTRICAL FEES
Policy No. rr(Y.I Company
led copy is hereby furnished. Bathtubs Sewer Connection Automatic Washer Transformer 0 15-50 KW
1C Certified copy is filed with the city Building Division. ❑ 50+ KW
Date Applicant Clarifiers • Solar Collectors Construction Pole Sub.
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION in Dishwasher Solar Pi
(This section need not be completed if the permit is for one hundred ($100)or Piping Cooking Unit Meter Duo to 100 amps
less). -
I certify that in the performance of the work for which this permit is issued, I - Drinking Fountains Solar Tank Dishwasher Meter Dover 100 amps ,
shall not employ any person in any manner so as to become subject to the -
Workers' Compensation Laws of California. Floor Drains. • Swimming Pool vv/Spa Dryers ❑Gas DElectric Sub Panel
Date Signature - •—
NOTICE: If,after making this declaration,you should become subject to the Floor Sinks Urinal Fan
Workers' Compensation provisions of the Labor Code, you must forthwith Motors❑0-1 HP ❑1%-6
comply with such provisions or this permit shall be deemed revoked. Gas Service Outlets Water Closet F.A.U. Inc.Solar ❑9-15 HP ❑16-15+
CONSTRUCTION LENDING AGENCY •
I hereby affirm that there is a construction lending agency for the performance Interceptors - Water Heater Fixtures Microwave
of the work for which this permit is issued (Section 3097 Civ. C.)
-
Lender's Name - Kitchen Sink Water Service Device Boxes Pole Light
Lender's Address Lavatories
OWNER BUILDER DECLARATION Outlets Range
I hereby affirm that I am exempt from the Contractor's License Law for the p-Tfa
following reason (Section 7031.5 Business and Professional Code: Any city or p• Switches Sign '
county which requires a permit to construct,alter,improve,demolish or repair -
any structure, prior to Its Issuance, also requires the applicant for such permit Roof DrainsGarbage Disposal Standing Sections
to file a signed statement that he/she is licensed pursuant to the provisions of ' •
'he Contractor's License Law(Chapter 9(commencing with Section 7000) of
(vision,3 of the Business and Professions Code) or that he/she is exempt • - ' Generator 00-5 KW 05-15 KW Trash Compactor '
Aerefrom 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 ,
enaity of not more than five hundred dollars($500). Reinspection Fee I $25 Issue Fee $ 3
•
I, as owner of the property or my employees with wages as their sole Reinspection Fee $25 Issue Fee $ 3
compensation, will do the work,and the structure is not intended or offered - MECHANICAL FEES -
for sale (Section 7044, Business and Professional Code: The Contractor's - PUBLIC SERVICES REQUIREMENTS:
License Law does not apply to an owner of a property who builds or improves Boiler Hood or Type I Elthereon, and who does such work himself/herself or through his or her own • Zoning Approved By nate
employees, provided that such improvements are not Intended or offered for Canopy Type II 0
sale. If, however,the building or Improvement is sold within one year of com- Duct-Under Ground Application Approved By Date
pletion, the owner will have the burden of proving he/she did not build or im- -
LJrove for the purpose of sale). Duct-Structural . Refrigeration System Application Issued By .`es/ Date//1/4r/e3
.t/I,as owner of the property, am exclusively contracting with licensed con- ❑4100,000 BTU ❑100,000 BTU
tractors to construct the project (Section 7044, Business and Professions Code: Duct-Ventilating SUMMARY OF FEES . •
The Contractor's License Law does not apply to an owner of property who
builds or improves thereon,and who contracts for such projects with a con- Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ aZO O D SMIP $ .50
tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK $ PERMIT
•
0 I am exempt under Section B. & P.C.for this reason Firepl/Fact.Bit. ICBG# PLUMBING $ ISSUANCE $
Date Owner Heating System&Ducting PLAN CHECK $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above ❑0.100,000 BTU 0100,000BTU— GRADING $
information is correct. I agree to comply with all city and county ordinances ELECTRICAL $
and state laws relating to building construction, and hereby authorize repre- PLAN CHECK MICROFILM $
sentatives of this city /1• enter .n the abve-mentioned property for $
Inspection Pur•, es. I,� ` (/J5)�3
Signature e Date / MECHANICAL $ TOTAL FEE $ ��'��
Drivers' License or 5S - • ' Reinspection Fee $25 Issue Fee S 3 PLAN CHECK $
--_-
CMF 0865-46 rev. 7/83 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor
CONSTRUCTION AND PLANNING POS, 3SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
i
1. Temporary Electrical Service or Pole 52. Pool & 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 UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
B. Foundation • 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. ' 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 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. Rough Fleeting & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure • 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & 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. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: /714 43 '7�!_ ,�t5� 7•". _y„__7G.v
34. Final Heating & Air Conditioning 0* B$7 `�-`� "/' `""`v"
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 Domestic-Final-
42. Backflow Preventer
43. Backf low Irrigation
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
51. CERTIFICATE OF OCCUPANCY
No Date
111111. 11- •
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use In
( /� �� /L � RECEIVED BY DATE RECEIVED DATE ISSUED
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BUILDING T/
ADDRESS
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LENDER
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BRANCH /��j� �J/, /7 ,.�yJj
OWN E Rpr kofer / DLIJQ! o '
ADDRESS )7 'L /s.}, • �[ /�_1,s,, ,sr/ VA UE
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ADDRESS 20 ¢ dh/„p /V( ZONE TYPE GROUP...
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CONTRACTOR (4.n,.pi1 BY DATE
ADDRESS
TEL. E/y n IND.029 USE ON NEV�.�
Y`_�/ PLANS( ,/(` BUILDING s
CITY NO. s_
F STATE / CITY YARDS APPROVED YARDS AP OVED
LIC.NO.Z6 88 L.3 LIC.NO. MAIN BUILDING ' ACCESSOR BUILDI _
IQ 512E NO.OF BLDGS. (FROM C/ ETit ���''
P. OF LOT SA-e NOW ON LOT FRONT h'syr,(/t1 FT.
Q USE OF
EXISTING BLDG. R.SIDE 3[/Q.1 ei- FT.
to
FSeparate permits are required for L.SIDE `C1qbth FT.
electric,plumbing and heating work.
c REAR FT.
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F- USE OF BUILDIN AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
Q MAIN BLOGS. ACCESS.BLOGS.
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Q ) ✓p 'y/H//�/,/,D C.U.P.gj /� ��3 APPROVED / /J�
). YY rf 1..-�'l/1 - Y__'APPROVED ,-/ r/r:DATE-/.`.2'1.-C1_-
W HOLD FOR SPEC AL REQUIREMENTS
0. 1 hereby acknowledge that I have read this application and state n
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K. that the above information Is correct and agree to comply with m
0• ail laws regulating building construction, and I shall not employ
Z any Person in violation of the workman's compensation laws of 2
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= the State of California. /9ar/� gm-
60 m
I hereby certify that I am properly licensed as a contractor under // /E// SO. FT. J/ r ry
the State of California Business and Professions Code, Division 3, TH AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
am exempt from the provisions of the State of California Business e
VALUATION PERMIT FEE S
and Professions de, Division 3,Chap er 9. m
PLAN CHECK $ 'n
Signature o1 0
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Perrnittee -e,. $
TAX S o
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Authorized Agent TOTAL PAID $