HomeMy WebLinkAbout574 WENDY LN - Building Permits` . .
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� COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
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OWNER
ADOflESS P. 0. Box 15584
TEL.
c�rvSanta Ana N�•
CONSTflUCTION
BRANCH
ADDFESS
ADDRESS4G] F. 17th St_ - f.ncta a
CONTRACTOR Owner - Builder
ADDRESS 1720 E. Garrv Ave./ Ste
TEL.
arv ganta Anam. 92705 "0.7
STATE CITV
LIC. NO. LIC. NO.
OF LOT 21 x 54 NOWON
USE OF
EXISTING BLDG.
Separate permits are required for
electric, plumbing and heating work.
9237 4/14/7B 106e84 TL
9237 4/14/78 106o84CKT0
9237 00004458 34 I II
APPLICATION FOR STRUCfIJRAL PERMIT
RECEIVEDBV DATE ECEIVE nerciccimr
�� � � BUILDING � %'y ('MV
ADDFESS
TRACTiO3HF) LO'
W AL
X
OWNER John R. Davie
9f,�1 S' f
FIRE //
j ZONE TVPE �V
APPROVED
BV I
ZONF�n � NO.OF USEf
K PLAf�LS BUILC
VARDSAPPROVED Vi
MAIN BUIIDING ACC
� (FFOM C/L ST )
O R
� lJ / / 9�
I hereby acknowledge ihat I hove reatl th(e apDlication end etate
that the above Informatlon Is correct en� eprae to comply with
ell laws reBulaiinp 6uildlnB constructlon, antl 1 shall not employ
any person in vlolation of Me workman'e eompenzetlon lewa of
me state ot calitornia.
I hareby certify Shat I am p�Op9�ly IlcenaeE ef e conbettOf undaf
Me Stete of Calitornla eusineas end Profassione Code, Dlvieion 3,
Chapter 9, entl that such licensea are In full force entl effect, or I
am exampt from the provizlons of the State of Celifornla Businace
entl Professlons Cotle, Dlvislon 3 ar 9.
Slenatura of /'�/ -",',�/�� //
Permlttee 'r �/ "`����G
A�thorizetl AOant
DISTANCE BET.
MAIN BLDG.^a.
VAR. qM� �J` �
C.U.P.vY/L s
BEf. MAIN
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SQ. FT. �� ' H
THE AMOUNTSHOWN UNDER VALUATION IS FOR m�
THE PURPOSE OF ESTABLISHING A PEPMR FEE ONLV: �
VALUATION pERM1T PEE 5 �
m
(�.(j PLAN CHECK E � 0 �
$ ��SOV ' TAX S � 8 u .
TOTALPAID S �Gj �� �
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C05TA MESA BUILDING-SAFETY DEPARTMENT
' P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626
,. _,....
7104 6)2�/7B "' � 1�60.00 `' �TL'�
APPLICATtON FOR STRUCTURAL PERMIT
For Applican[ [o Fill in Com letely — Use Ink Only RECEI V ED BY DATE RECEIVED
BUILO�NG � DATEISSVED
ADDRESS
P RMIT NO.
OWNER s A.P. NO. ,�
MA1 L BUILDING
ADDRESS AODRESS
TEL. TRACT LOT BLOCK
CITV NO.
CONSTPUCTION W A D A P
LENDER
BRANCH /
OWNER �
A�DRESS ALUE
ARCHITECT TEL. $
OR EN INEER
FIRE
ADDRE55 ZONE TVPE GROUP
APPROVED
CONTF:ACTOR BV DATE
ADDRESS
TEL. 20NE NO.OF USE OF NEW
CITY NO. P�� BUILDING
STATE CITV YARDSAPPqOVED VAROSAPPqOVED
LIC. NO. I.IC. NO. MAIN BVILDING ACCESSORV BUILDING
SIZE NO.OF BLDGS. (FROM C/LSTREET)
OF �OT NOW ON LOT RONT FT. FT.
USE OF
ExISTING BLOG. T FT
Separate permits are required for L. SIDE FT. FT.
electric, plumbing and heating work.
NEAR FY. FT.
USE OF BUIIDING AND WORK TO BE PERFORMED DtSTANCE BET. BET. MAIN &
MAIN BLDGS. ACCESS. 8LOG5.
VAFi.qW DATE
C.U.P.qW APPROVED
APFROVED
I herebV ecknowledBe that I heve reatl this applleetion and state
that ihe above In/ormation ia corract and agree to comply with
all laws �e8uleting builtling connruction, antl I shell not employ
any pe/wn in violetian af <he workmen's compensatlon laws ot
the State of Celifornia.
I herebVi certify thet I am properly licensetl as a connactor under SQ. FT.
tha State of Celifarnia B�etnesa and Professionz Coda, Divislon 3, THE AMOUNT SNOWN UNDEF VALUATION IS FOR
Chapter 9, antl thet such Iicanses ara in full force end affecc, or I THE PURPOSE OF ESTABLISHING A PERMIT ONL
em azamPt from the provlsions of ihe State of Californie Buziness
end Profassions Cotle, Dlvision 3, Chapter 9.
VALUATION PERMIT FEE E
PLAN CHECK 5
Slgnaturo of
Pe�mittee $ TAX S
Authot{�etlABent TOTALPAID E
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AOPlicant to flll in all spaces wilhin neavy bortler lines anG sign all appropriate tleclarations.
CITY��F COSYA MESA ' PERMIT NO. TRACT NO. LOT NO. BLDG. NO.
'COItiSTRUCTION PERMIT E o'� �o� /Q38Cv IS
� °. ^/�::/?I I^�:.
-.Project Address S (�f trNJ� L� TVPE OF CO�STRUCTION �
Owner �R-,OIQ/US(i Phonej Q ❑NEW �ADD ❑ALTERATION `
Address ` f` arv{i (� ❑ REPAIR ❑ CONVE0.510N ❑�EMOLISH -
ZONING REGULATIONS
Arch/Eng. License No. ❑ OTHER _
DESCRIPTION OF WORK A'P' � �I'2 �
Address
S PA I NSTQi/:-ATIO ZONE � . � LNG. REF. �
Contrector hon TYPE OF PERMIT �� � � i/� '
SETBACK C T.
AddIMS � ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL IDE VARD 1 iU �
LICENSED �CONTRACTOR DECLARAT ON ❑ TENANT ❑ ELECTRICAL �PWMBING ❑MECHANICA �E�HTA . �`-Iy
I hereby aftirm that I am IlcanSetl untler provlslOns of ChdrtBr 9(Com-
mencing wltn sectlon 7000) ot Division 3 oT the Business and ❑ OTHER � �� _
Professions Cotla,� antl my Ilcenze Is in full foree antl ettect, pROJECT DESCRIPTION REAR VAR� (TO P/U
Litense Class Lltanse No. PKG. SPACE REQ. PROVIDED �-
Date Si9nature SQ. FT. _
WORKERS' COMPENSATION DECLARATION OCCUPANCY CONSTRUCTION TVPE STREET WIDTH PA(3K FEE $��
I hereby affirm that I have a certificate of consent to self-inture or a VALUATION�oa" ZONE Z�NING APPROVED BV DATEQ '
tertificate of Workers' Compensation Insurance, or a certifletl copy .
thereof (Sectlon 3800, Lab. G). � GRADING CU. VDS. ACRES SPECIAL CONDITIONS:
P icy No. Company � �
��ertifletl copy is hereby furnlshetl. REMA0.K5:
^Y'er[Ifietl copy if (ilatl wlth the city Builtlinq DiWsion.
� MPTION FROM WORKERS' GOMPENSATION.DECLARATION
(This 5ectian neetl nat be completetl if the Oermit I5 for one huntlretl _ -
SE300) or leul. " '
cert(ty that in the performance of the work for which this permit is
issuetl, 1 shall not employ any person In any manner so as to become �PLUMBING • PLAN CHECK - ELECTRICAL PLAN CHECK
subject [o the Workers' Compansation Laws of Californla.
Date Si9nature B.4THTUBS SHOWERS -
NOTICE: If after makinq this tleclaration, you shoultl become subject TOILETS URINALS GENERATOR 0-1 KW_1-10 KW -
to th¢ Worker5' Compensation provisions o( th¢ Labor Cotle, you must TRANSFORMER
forthwitn comply with such.provi51on5 or Ihit permit snall be tleemetl LAVATORIES DOUBLE LAVS ' APPLIANCE 30-50 KW_50 + KW
�¢vOk¢tl.
CONSTRUCTION LENDING AGENCV KIT. SINKS � DISHWASHERS MOTORS ' 0-1 HP_1-30 HP
I hereby atfirm that there is a con5truction Ientling agency for the per- SERVICE SINKS SUMPS pNC.50LHR) 30-50 HP 50 + HP - -
formance of the work for whlch this permit is issuetl (Section 309�
Civ. C.). FLOOR SINKS � FLOOR DRAINS � FIXTURES TLETS SWITCHES "
Lentler's Nama
Lentler's Atltlress DRINKING FOUNTAINS GAS TUBE SIGNS
OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS POLE LIGHTS
I hereby affirm that I am exempt from the Contractor'S License Law for
[he followinq reason (Sectlon 7031.5 Business antl Professions Cotle: SWIMMING POO P TRAP
Any city or COunty whiGh requires a permit to ConStruCt, alter, POLES RED SUB
Improve, tlemolish or repair any sVucture, prlor to its issuance, also re- y./qTER SERVIC T ATION PANELS A N SVB
quire5 the appllcant to� Such pe�mlt to flle a slgn¢tl StatErt�¢nt thdt he
is licensetl pursuant [o the provislons of the Contractor's License law GASSERVICE UTLETS � SERVICE AMP'
(Chapter 9(commencinq with Section �000) of Divislon 3 of the
Business antl Prolessions Cotle) or that he I5 exempt therefrom antl the yyqTER HEAT BTU OUTPUT
Gasis for [he allegetl exemptlon. Any violation of Section 7031.5 by
a' apPlicant for a permit subjecis the applicant to a civil'penalty SEWERCON ECTI 5 - '
t more than five huntlretl tlollars ($500).
,i , as owner of the property, or my employees with wages as their SOLAR TANK COLLECTORS ' - " '
soie mmpensation, will tlo the work, antl the structure is not Intentletl
or otieretl for sale. (Section 7044, Business and Professions Cotle: The SOLAR PIPING SVS. � ISSUE FEE
Contractor's �Icense Law tloes not appry to an owner of a property �
who builtls or improves thereon, antl who tloes such work nimself or ISSUE FEE APPLICATION APPROVED BV DATE
th�oU9h his Own ¢mploye¢S, provitletl-that SUCh improvement5 a�e not
Intentletl or offeretl for sale. It, however, [he builtlinq or improvement MECHANICAL PLAN CHECK
is soltl within one year of tompletion, the owner will hava tho burtlen $UMMARV OF FEE$
of proving he ditl not builtl or improve for the purpo5e of sale). BVILDING
I, as owner of the property, am exclusivaly contractinq with HEATING SYSTEM 0-300,000 BTU PERMIT $� SMIP $ •'�
icensed tontractor5 to construct the project (Sectwn ]044, Business AND OVCTING 100,000+BTU
PLAN CHECK $ �x� PERMIT
antl Protesslons Cotle: The ContractoYs License Law tloes not apply to ISSUANCE $ �
an owner of property who bulltls ar Improves thereon, antl who ton- REFRIGERATION 0-300,000 BTV PLUMBiNG 8 ln —
tracts irom sucn projects witn a contractor(s) Ilcesnetl� pursuant to SVSTEM GRA�ING S
the Contractor'S License Law). 300,000 + BTU P�AN CHECK S
❑ I am exempt untler Sectlon - B. 8 P. C. for this BOILERS BTV E�ECTRICAL S� $
reason ' PLANCHECK $ MICROFILM $
� Date Owner SYSTEM REPAI R, ALTERATION
MECHANICAL S TOTAL FEE $
I hereby certifythat I have reatl this application antl state that [he above EXHAUST SVSTEM MULTIPLE LE55 AO-
information is correct. I agree to comply with all dty antl county PLAN CHECK $ VANCE PC $_�
ortlinances antl state laws relatin9 to construc[ion, antl hereby authorize
representatives of i5 city W enter upon the above men ionetl �
prOperry tor p n purpOses. J r,
Slqnature �� Date 6 , ' FINAI FEE E
Drivers' License or 55 � � ISSUE FEE �
cmr uaao-va wniie-eunomg; canary-qppucant; wnrc-qccoun[mg; c;oiaenroa-Hssessoi
r�
CONSTRUCTION AND PLANNING � � ' POOL &.SPA � � . -' . '
APPROVALS Permit # Date Inspector qppROVALS Permit # � Date Inspector �
1. Temporery Electrical Service or Pole 43. Pool & Equipment Location " ,L G
2. Soi Pipe-Undrgrn � 44. Steel Reinforcement �
3. EleCtrical Conduit Utility-Undrgrn 45. Forms
4. Electrical Conduit-Undrgm � ' 46. Electrical Bonding... . L�
. tee em orce�, ; 47. Rough Plumbin & hressure Test � � '
6. Electrical UFER Gm 48. APPROVALTO COVER-GUNITE - �
7. Foqtings 49. Electrical Conduit-Undr rn
8. Foundation 50. Gas Pipe, ❑ Undr rn, Test -Z - t RG
9. Water Pipe-Undrgm 51 . Backwash Lines P-Tra n r m � -
10. Structural Floor System 52. APPROVAL TO DECK
11. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final
12. Street Sewer Connection � 54. Heater & Vent-Final -/ - G
13. Rough Plumbing, i/-
14. Rough Electric-Conduit �56. Electrical-Final L- G
15. Rough Electric-Wiring � 57. Solar SYstem-Final
16. Rough Heating & Air Conditioning . � encing & Access Approval _� _� L
17. Ducts, in Structure 9• APPROVED FOR PLASTERING
18. Ducts, Ventilating
19. Gas pipe-Rough & Test 60. POOL/SPA SYSTEMS FINAL �
20. Roof Framing �� i3���
21. Roof Sheathin
22. Frame and Flashing � NOTES:
23. Insulation - � '
24. Lathing & Siding -
25. Drywall Nailing � � �
26. Plaster Brown Coat �
27. Electrical Power Meter-Final
28. Final Electric '
29. Final Heating & Air Conditioning - � '
30. Final Gas Pipe-Test �
31. Final Plumbing ?
32. � Water Service-Final � -� �
33. Gas Service-Final �
34. Solar pomestic-Final
35. Candsca e S rinklin- S stem ' �
36. SoUnd Attenuation ' -
37. Handicap Regulations
36. FINALSTRUCTURE&BUILDING
39. Special Requirements Completed
40. Electric Release to Edison
41. Gas Release to Southern California Gas Co.
42. CERTIFICATE OF OCCUPANCY
No Date