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HomeMy WebLinkAbout574 WENDY LN - Building Permits` . . � . _ - � 334 � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only ADIDRESS '�"�; Mapl e lWCY�U� � C� F � a a � y F G �y � ..l 7 .�] �. W a O a C. z 3 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 � n �- m i m i � 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 �� � Ic� {iG W cL Q y y 'y. F C 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 '� Q � � n m i y�� �V` N m b N m m 0 LL f U 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