HomeMy WebLinkAbout186 WELLS PL - Building Permits ,
' - - Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA CONSTRUCTION PERMIT PER NO. TRACT NO. LOT NO. UNIT NO.
Project Address —�. Z (.(,/FLL 5 7xA �C 719 1775 2/(]4/87 I I050 TL
• Applicant's Mailing ddfess d M TYPE OF CONSTRUCTION L I NEW LJ ADD %ALTERATION LI REPAIR y
Owner's Name /�/1oDA / /,+G/L 641,2- ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P. # I Zone ,
/Sac NA
✓ 7 Phone -s DESCRIPTION OF WORK/USE OF BLDG.
_ ;Address /TMJ ` �A7 -�!��� ���0/Q� a S Main Building: Accessory Building:
Arch/Eng. r� License No. TYPE OF PERMIT L I GRADING El FOUNDATION LJ STRUCTURAL E Front . ZO
Address ` p �/A G� n -❑ TENANT ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N
Contractor's Name earn L,EV e.tic Phone 2± O /��O' "� OTHER A I
^ PROJECT DESCRIPTION SQ. FT. OCCUPANCY � es C Right N
Address(mailing) A SA 5 ♦ •t:'• ,„LicenseK No. G
/73/. .CONSTRUCTION TYPE Aa9 /VALUATION$ S Left R
City . ZONE GRADI NG CU.YDS. ACRES
1LICENSED CONTRACTOR DECLARATION e ,1 4 A c+p n�• Ping. Ref. # Parking Req./Provided E
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: aP"ieT D/rvG eLec_7,ef C.41. asset/fee✓flee Planning Notes: a
with section 700•) of Di 'sion 3 of the Business and Professions Code, and M
my license is in '/I for d effect. /. 2 �� ��y��" .` nn
License as // Lic-•se • - Ai--
re, J �'--' 's" Ps — APP/AG- DUeO ORC T
S
Date Or JE'S Signature inn __— L i. PLUMBING FEES '
WORKER 'C•MPENSATIQN DECLA- � '� Bar Sink Showers
I hereby affirm that I have a certificate of cot to self-insure or a certificate - ELECTRICAL FEES
tf,Workers' Compensation Insurance, or a certified copy thereof (Section •
00, Lab. C.) Backflow Preventer Service Sink Automatic Washer Transformer 0 15-50 KW
licy No. Company - Backflow Irrigation Sewer Cap0 50+ KW
BCertified copy is hereby furnished. Construction Pole Sub.
Certified copy is filed with the city Building Division. Bathtubs Sewer Connection / Cooking Unit /eve o) jr. Meter Ours to 100 amps I
Date Applicant
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher / Meter �pver 100 amp(l�� se
/,
(Thissection need not be completed if the permit is for one hundred ($1 0) or �•
less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel
I certify th [ in the performance of the .r for which this per It is Sued, .
shall not e p y a y person in any m.r,-r so as to •••. u t to the Drinking Fountains Solar Tank - Fan Motors Do-i HP 011/2-8
Worke ' o ens Laws of Califon 4. -
Date Signature a. 'ft� I Floor Drains Swimming Pool w/Spa —
F.A.U. �_ Inc.Solar 09-15 HP 016-15+
NOT C .If,afte making this declaration,y.swrould become subject to the — _ — I —
Workers' Compensation provisions of the La.• Code, you must forthwith Floor Sinks Urinal Fixtures
comply with such provisions or this permit shall be deemed revoked. Microwave
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes
I hereby affirm that there is a construction lending agency for the performance Pole Light
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater '
Lender's Name Range
Lender's Address Kitchen Sink ' Water Service
OWNER BUILDER DECLARATION Switches Sign
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal
following reason (Section 7031.5 Business and Professional Code: Any city or 9 P Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays Generator ❑0-5 KW ❑5-15 KW
any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains
the Contractor's License Law (Chapter 9(commencing with Section 7000) of •
Division 3 of.the Business and Professions Code) or that he/she is exempt •
therefrom and the basis for the alleged exemption. Any violation of Section
'1.5 by any applicant for a permit subjects the applicant to a civil vA -
lty of not more than five hundred dollars($500). •
17'as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3
compensation, will do the work,and the structure is not intended or offered - Reinspection Fee I $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's - MECHANICAL FEES - -
License Law does not apply to an owner of a property who builds or improves
thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 Zoning Approved By • Date
plo move
the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date
trove for the purpsale).
LJ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Dat 7'
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU SUMMARY OF FEES
builds or improves thereon, and who contracts for such projects with a con-
tractor(s) license pursuant to the Contractor's License Law). I am aware thatBUILDING PERMIT $ SMIP $
proof of their Worker's Compensation insurance should be provided to me. —Exhaust System 0 Multiple 0 System Repair/Alteration
PLAN CHECK $ PERMIT •
❑ i am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ ISSUANCE $
Date Owner Heating System&Ducting Registers PLAN CHECK 25% 6I ENERGY P.C. $
I hereby certify, hat I have read this a•plicat'.n and state that the above 00-100,000 BTU 0100,000 BT
information is c• ect. I agree to comp . with .II city and county ordinances ELECTRICAL GRADING $
and state laws e a .ng to buildin• .• uc ' n, and hereby author a repse- PLAN CHECK 50% MICROFILM $
inspection pofu t - ity to e� ...n above-mentioned pro er y/ or $
inspection pure. -n _ dq MECHANICAL .$
Signature r,� —Aire Datee� /1 / - TOTAL FEE $
Drivers' License o_ Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ I
CM 0865-46,rev. 1. :4 White - Building: Canary -Applicant; Pink -Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING POOL &SPA -
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
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 UFER Grnd. 57. APPROVAL TO 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, 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 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 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 ' '
r,
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat �aT1i,S 79. FINAL INSPECTION w, .
32. Electrical Power Meter-Final • 80. FOOD CERTIFICATE ISSUED
33. Final Electric _ 4447 a Notes: a_)-�-1 re iti lR;y �s •ljrj r s
34. Final Heating & Air Conditioning /� ,7 9--,-
35. Final Gas Pipe-Test
36. Hood or Canopy `,
37. Final Factory Fireplace ,
38. Final Plumbingd
., -
39. Water Service-Final • -
40. Gas Service-Final •
41. Solar Domestic-Final •
42. Backflow Preventer • c - - -
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation - '
.
46. Handicap Regulations •
47. FINAL STRUCTURE & BUILDING •
. 48.,Special Requirements Completed • - " • ^0 •
49. Electric Release to Edison •
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY r'r .
' No. Date _ _.