HomeMy WebLinkAbout182 WELLS PL - Building Permits ADDRESS'OFBMLDMO: 182 WELLS PL WMT: - - CITY OF COSTA MESA - BUILDING PERMIT
OWNERS NAME IF KNOym:MAHON, GENEVIEVE E TR PERM NO: E 086037
.DDnEss: 370 WALNUT ST
COSTA MESA,CA 92627 PERMIT NO: E 086037 PLAN CHECK NO: N GOVT; N SUPP: N
APPL.MAKING ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE PURPOSE: OTH
ARCNRECT OR ENGINEER: UC.N0.: JOB DESCRIPTION : ELEC SERVICE CHANGE SQ FT:
AnCC OR ENG.'S ADDRESS: WIT:
CLAIM VALUE: CALC-VALUE: GROUP OCC: B /
coxmAcrarsNAME ELECTRIC RAY (714 ) 645-0729
CONTRACTORS MAILING 817 W 18TH ST COMMENTS : X
ADDRESS:COS TA MESA CA uc.ND_ 480485 jr***tEiFaEit#iklkif****3tiE3tiEiklElt#iEikillEif#iEiE3kifiEit****NjE3E1(-ikiFlE****3tiEiE3EiE#***x-ikiFlEiFiF3E*3E#+FiEfFjFjkiE***
92627 um: 9 ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I em licensed under provisions of Chapter 9 SETBACKS
(commencing v.4th Section 7000)of Division 3 of the Business end Professions Code,end my license is in lull force end effect.
037341 LIC.cuss: C 10 u•.No.: " 0485 0485 EXP : 12/97 MAIN BUILDING ACCESSORY BUILDING
Date: —kk —tet ` FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
1 Contractor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
BUILDER DECLARATION:I hereby affirm under penally of perjury that I em exempt from the Contractors k•- •:Law for the
following reason(Sedion 7031.5 Business and Professions Code:Any city or county which requires a permit to combo . er,improve, PARKING REQ: PROV: PARCEL : 13928427 Z N E: REF NO:
emolsh.or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she PLANNING NOTES>
A,,'r licensed pursuant to the provisions d the Contractors License Law)Chapter 9(commencing with Section 7000)of Di&Sion 3 of the
.t ''Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section >
7031.5 by any applicant fore permit subjects the applicant to a civil penally of not more then live hundred dollars LS5001). *3*3*al**.K.3333***3*3**3*3*3* .{b*.)E***.*****dl#.N.d(.4*3***.N.**.N.alk***.****.*3E**.******34*.4*44*it.*.N.*4*3f.
o I,as ovmer of the propedy or my employees with wages as their sole oompensation,will do the work,and the structure is not intended DEVELOPMENT S: E R V I C E S R E Q U I R E M E N T S.
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of properly i
who builds or improves thereon.and who does such work Nmsef or herself or through his or her own employees,provided that such
improvements are not intended or attired for sale.If,however,the building or improvement is sold within one year of completion.the ZONING APPROVED BY •
DATE: '
owner-buildpurpose owner-builder will have the burden of proving he or she did nal build or improve for the of sale). _ ``
❑ I.as owner of the property,am exclusively contracting with licensed contractors to construct Me project(Section 7044,Business and BUILDING APPROVED BY •
Professions Code:The Contractor,License Law doesmnot apply to an owner d property who builds or improves thereon and who , DATE: ^
contracts for soon projects with a conuxor(s)licensed pursuant to the Contractors License Law). N .>y+
❑ lemexempt under Section: B.AP.c..for this reason: APPLICATION ISSUED BY : .: •
DATE:
Date' Owner: LEGALIZATION: N F'E E SUMMARY STRUCTURAL SEGME :N
I do hereby certify Mat I am aware of end undemtand the requirements of California Health end Seery Code Sections 25505,Pca,n,and
25534,and ihetlor any or moebuikingocaperd art/wN not(arab'are)need locomplywihsadataacodsns and
are eemptfinenbbr BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a permit for thatI dion ormoddimionhomthe nt OuawyManegeme'o Darnel. to comia armrudionte°odeixn the remptfrom these
provisions. PERMIT 27 . 25
Date: Applicant: 50% SMIP/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby affirmunder penalty of perjury one of the following dedarmw
k : ISSN
IUILE FEE 22 , 00
o CdveaMwilerormaccefthewof rkfcrwnchthaprmekxwueers'c«np«agen,mprovidedi«bySaruon3700athelebor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code,nfor s. ail maintain workers'compensationme,as required by Section 3700 of the Labor Code,for the ped«m nice a the
work for which this permit is issued.My workers''compensation insurance carrier and policy number are:
Career: REVENUE DIVISION TOTALS--> COLLECTED : 49 . 25 OVER/SHORT: 00
Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(Thisy. section need nor be competed a the permit is for one hundred dollars/Stool or less.) 49 . 25
•L3 I certify that in the performance of the work for which this pemme' I shell not employ any person in any manner so as to
become subject to the workers'compensation laws of C agree that if I should bawl abject to the waken' *******************************************************************************
( pensation kn'asdna
Section p Code, shall with com wkn ep INDIVIDUAL F E E BR EAKDOWN
Dae: �eApplicant:
pplcam: J3j�
W, Failure tosecure workers'cc non coverage!.ran rat,and.heilstJecrane plo Maine)pen,meaend TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Res w to one hundred Mousers,dollars($30g000),In addition to the coat of cpmpensaUon, as provided for In
Section 3706 of the LMor Code,Interest end attorney's fees ELE 1 SERVICES BELOW 600 V & BELOW 201 AMP 27 . 25 27 . 25
CONSTRUCTION LENDING AGENCY: I hereby affimr under penally of perjury that there is a condrudion lending agency for the END OF FEES
performance a the work for which this pend is issued(Section 3097,CW.C).
LENDER'S NAME
LENDER'S ADDRESS:
I certify that I have read this application and date that the above information is correct.I agree to comply with all city and county ordinances
and slate laws relating to building construction and hereby authorize representatives of this city to enter upon the above-meat ned property
for inspection purposes RAY AMBURGEY
lk- -1997/01:23 Pil/549.2
PrintAnt. Name kCPTN:81 8016393
Date: t 2 —.1 —9 PER('►IT :0866 67
Signature a Owner/Ag...Applanc/C ntractor
I
(5151.46.WP) White-Building&Safety;Green-File:Canary-Applicant:Pink-Revenue;Goldenrod-Assessor •/i
•
CONSTRUCTION AND PLANNING J POO.. . SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location-
2.
ocation2. 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 OF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. _ 60. Backwash Lines,P-Trap, O Undrgrnd.
10. Structural Floor System _ 61. APPROVAL TO DECK I __
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 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 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 PREY. 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:
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 Domestic-Final -
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING 12-11/0
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date