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HomeMy WebLinkAbout1785 Whittier Ave - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign.all appropriate declarations. Of COSTA MESA CONST U ION PERMIT PERMIT/ PF,�M IT NO. L / TRACT NO. LOT NO. UNIT NO; Project Address 1 7 gra; h/ /C/C .S}' , C a 5 7 07 •AppGcant's Mailing Address .4 L. e - � - ' K TYPE OF CONSTRUCTION U NEW LJ ADD U ALTERATION U REPAIR r 3438 9/19/B6 • a 0^ TL I ❑ CONVERSION ❑ DEMOLISH ❑ OTHER Owner's Name Jill SLOB- - U 14 ( Phone\ryQ 9' C - - A.P.# I Zone - / ,/ DESCRIPTION OF WORK/USE OF BLDG. Address 0 e o L 6751,-1 4 I/-e • l p L _ E Main Building: Accessory Building: Z Arch/Eng. / ' License No. ••I TYPE OF PERMIT LI GRADING IT FOUNDATION ❑ STRUCTURAL T Front G Address • f ' • ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL BOTHER . A Rear N Contractor's Nam P ne - C Right N Pt0 11/1e� , ' „PROJECT DESCRIPTION SQ. FT. OCCUPANCY G Address(mailin9l //`e „PROJECT TYPE • VALUATION$ S Left City License No. _ • "ZONEGRADING CU.YDS. ACRES R LICENSED CONTRACTOR DECLARATION. . 1, 4 • •••• Ping. Ref.# Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: M with section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. r. �' - T .1 . . . $ License Class . License No. - ••-•Dale Signature PLUMBING FEES' - WORKERS'COMPENSATION DECLARATION /- Y"-; . Bar Sink - Showers - ELECTRICAL FEES , 'hereby affirm that I have a certificate of consent to self1insure or a,certiflcate f Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer - Service Sink • X800, Lab. C.) .I 'y,�. Automatic Washer' Transformer 0 15-50 KW _ Policy No. - ' Company Backflow Irrigation _ Sewer Cap - 0 50+ KW • Construction Pole Sub. ACertified copy is hereby furnished. - std . •- 7��[/ Certified copy is fileiJ with the city Building Dlvision:,ns , Bathtubs ; Sewer Connection Cooking Unit V Meter 2up to 100 amps • 5.00 Date Applicant , I - EXEMPTION FROM WORKERS'COMPENSATIONgDEOLARATION Clarifiers Solar Collectors Dishwasher . Meter Dover 100 amps • (This section need not be completed if the permit is-for tine hundred ($100) or . less). )il i1 r Dishwasher- Solar Piping Dryers OGas DElectric Sub Panel ' I certify that in the performance of th¢ • k for which*thi :ermit'is issued�/ shall not e ploy any person in any y r so a ,' - •..me subj o Drinking Fountains Solar Tank • - Fan Motors ❑0-1 HP ❑1'/:-8 Worke a s' f e.. ti• Laws a Oaff.. •. •- r' Inc.Solar ❑9.15 HP ❑16-15+ Date Signatur)f .',..i _ -�� Floor Drains Swimming Pool w/Spa -- • F.A.U.NOT :If, . er making this declare Ion,y. .should become subject to the - - Work- 5' Co •pensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures Microwave comply with such provisions or this permit shall be deemed revoked. i 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 Outlets Lender's Name Range ' Lender's dress tiU VI. Ad -• 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 following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays Generator 00-5 KW 05-15 KW Trash Compactor any structure, prior to its issuance, also requires the applicant for such permitp - 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 - 'livision 3'of the Business and Professions Code) or that he/she is exempt - - -- - erefrom and the basis for the alleged exemption. Any violation of Section • i 13 5 by any applicant for a permit subjects the applicant-to a civil -• e ally of not more than five hundred dollars($500). Reinspection Fee I $15 Issue Fee $ 3 _ I, as owner of the property o [tielT=sole � uc�L cpaon, will do the work, and the strut ire is not intended or offered I .Reinspection Fee ' $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 1 ❑ sale. It, however, the building or improvement Is sold within one year of com- Canopy Type II ❑ Zoning Approved By nate pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground 1 Building Approved By Date • prove for the purpose of sale). Cr_,- �ry) 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date n(0 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 ❑100,000 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 that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP ' $ proof of their Worker's Compensation insurance should • provided to me. PLAN CHECK $ PERMIT ❑ am exempt under.Section o S.C.for 's rd son Firepl/Fact.BIt. ICBG# Fire Dampers PLUMBING $ ISSUANCE 'S Date own- - /�' . �. i - / Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I heresy - tify that I have read this app ication and state that the above 00.100,000 BTU 0100,600BTL - //� • infor ation s correct. I agree to comply with all ci and county ordinances - ELECTRICAL $ � D GRADING $ ' and state laws relating to builds : constructi.n, a/. hereby authorize r•pre- MICROFILM $ sentatives of Is city t0 en ♦ upon - abo.-'mentioned or•pert for - PLAN CHECK 50% $ _ inspection uses. /�J� ,� MECHANICAL $ TOTAL FEE $ g_�rt-/"q� Signatur. : - It ! ._ Date . .Drivers' License •r S- # • Fee $15 Issue Fee $ 3 PLAN CHECK - 25% $' CMF 0865-46,rev. 10/84 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 COVE R-GUNITE • 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 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 ) hr.,. // 67. Fencing & Access Approval St�Iw 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 Ga 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 J 33. Final Electric y,a,�K.//1t1 Notes:9-?)-"CPG 7b;5 n5n n [ T 7 S 9-c 34. Final Heating & Air Conditioning . ✓- rt.an9[ 16- /4 n. SYS / ...-3! S.asa 35. Final Gas Pipe-Test 1,42 / 5 C>old oa A y'z.Dws 36. Hood or Canopy 37. Final Factory Fireplace • A '&Jr '4. Oho /4„,s,674.0 h hs.57-G 38. Final Plumbing. )0a or /l e .mol/So.- b J 4/ kr 39. Water Service-Final , 7,e- Sca'rtI .1 4.4 N. ,e/ 40. Gas Service-Final 1 . ,4‘• Al. Solar Domestic-Final iYtwcl/ J 1_//e 4-5.C' / w' Si ccll.?T O ) 42. Backflow ,t Preventer • G L/ c /� S� A ph;H ! I 43. Backf low Irrigation S -a"3a- c, t7 pn,d) a, kt. 44: Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations [ 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison C/-) a/©_d 50. Gas Release to Southern California Gas Co S'. . 51. CERTIFICATE OF OCCUPANCY / No. Date 4�