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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