HomeMy WebLinkAbout136 MAGNOLIA ST - Building Permits Ai __ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
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CITY OFCOSTA.MESA :CONSTRUCTION PERMIT
Otoject Address I!� : 7NC-e.1L'�Ll n 1 ! i ' •
Applicants Mailing Address ' l -7TYPE OF CONSTRUCTION i ❑ NEW. U'ADD U ALTERATION H REPAIR r '
Owner's Name MM Phone >,.❑ CONVERSION ❑.DEMOLISH ❑ OTHER
t'tgR� - sIRkfaC. "f- f1";'7rf�,
;ice / DESCRIPTION OF WORK/USE OF BLDG.
• S Main Bwldin r ' , ,'AccessoryBuilding:
Address /1 C_ _ L a - , 9d?�M: 1 Z
:\ t Arch/Eng, �, / �siq en/C3
- License NOClO 2%C) mac, TYPE OF PERMIT ' ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL T "Front; ) f���G O
Address � w^1 1�• / c�I p '� ��� ❑ TENANT; ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Reap 7- �C,y na .- N
Cont ..
ractor's Name gni �>- -TE1L phone t.(e•.+ ❑ OTHER. • C Right W — �1� - - - • - -N'
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Address(mailing) 9�'� , PROJECT DESCRIPTION -5Q. FT. I •C1cG OCCUPANCY - •
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i ' CONSTRUCTION TYPE • 1 • VALUATION$ • S Lefti. cp.. , , G
City License No. a9. ',ZONE '11 GRADING CU.YDS. ACRES • z" q �� E
LICENSED CONTRACTOR DECLARATION i I I , - Ping. Ref. # y p\'\\ I `_ Parking',Req /Provided , , D
I hereby affirm that I am licensed under provisions of harter 9 (commencing Remarks: - �I
/ with-section 7000) of Division 3 of t e Business an. Professions Code,and - •I - Pla nning Notes: 1 ' - 11g
my license is in full force and effect. r 1 ' 1 _ •• ' _ ; -
License Cizss G • . Licen r NoZ1 r aat0 , . I ) s
Dated 2. A-N G-Sf/-Signature - •
I . . . ! . PLUMBING . • • , FEES - ..
I WORKERS'COMPENSATION DECLARATION : Bar Sink • Showers - ' • - _ - -
\. ereby affirm they! have a certificate of consent to self-insure or.a certificate - I - - , , 'ELECTRICAL r - FEES
Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer - - Service Sink . . '•
.00, Lab. c.) I : . - Automatic Washer , '3 1 ' Transformer 15 50 KW -
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Policy No; (5.7-C:3n7 Compo Ly 1�`~J-' / "*'�- ' Backflow Irrigation , r. Sewer Cap• • • - • 1 - I , Construction'Pole Sub ; 1.- -❑ 50+KW1 - , '
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8 Certified copy is hereby furnished. ' / - - - '
' Cert tlyq p i led,with the city B.il•:ng ••iv Bathtubs -
yq y� ' Sewer Connection Cooking Unit Meter�lpy4(p to 100 amps -ly /
, Date.l t`i� Applicant 1 - 1 _ / t J' ��
• EXEMPTION FROM WORKERS'COMPE -ATION DECL• - • BION• Clarifiers • - Solar Collectors- ' ' - • ' . Dishwasher . Meter ❑Over:100 amps • _
' (This section need not be completed if the permit is for one hundred ($1 s:) or - - ; '- - ' '
' less). Dishwasher,,; , Solar Piping ' • 1 - Dryers ❑Gas '❑Electric • Sub Panel
I certify that in the performance of the work for which this permit is issued, I --- - - ,. i
shall not employ any person'in any manner so as to become subject to the • Drinking'Fountains . Solar Tank Fan •- • i Motors ❑0.1 HP ❑1''/ 0 -
Workers' Compensation Laws'of California. , '' - - - - - - ' . I
' Date. _ " Signature Floor Drains Swimming Pool w/Spa - • F.A.U. '
-NOTICE:If,after making this declaration,you should.become.subject.to„the. - -- - - - _ Inc.Solar❑9-15 H135116;1 6+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks i - ' Urinal i Fixtures i • I '
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i comply with such. provisions or thisMicrowave. _
p permit shall be deemed revoketl, I j
CONSTRUCTION LENDING AGENCY Gas:Se"rvice Outlets Water Closet •
Device Boxes - ' t
' I hereby affirm that there is construction lending agency for the performance .. ' , , Pole Light. i •
of the work .for whirl� @@ p r.rfIf is issued (Section 3097 Civ. C.)
.'n!' 9 V Interceptors Water Heater Outlets i I ',
Lender's Name i Range I bb
• Lender's Address I Kitchen Sink - ._ Water Service - - t Switches - - - - '- .-i
• OWNER BUILDER DECLARATION Sign.; 1 t p•Iv
' I hereby affirm that I am exempt-,from'the Contractor's License Law for the ' Lavatories Auto-Wash l Garbage Disposal Standing Sections
following-reason (Section 7031.5 Business and Professional Code: Any city or - • - _
county which requires a permit to construct,alter,improve,demolish or repair TraysGenerator ❑0.5 KW ❑5-15 KW Trash.
q o P-Trap Laundry i
any structure, prior to its issuance, also requires the applicant for such permit Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of • ROof.Drai ns
the Contractor's License Law (Chapter 9 (commencing with Section 7000) of '
'..vision•3 of the Business and'Professions'Coiey or-that, he/she is exempt -' - - - L. - - - - - - - --- - - - - - ' - •
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:31.5 m antl the basis for the alleged exemption. Any pplation of Section
-analt by any applicant for a -permit subjects the applicant to a ci vll I • ' - ' -
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1LaCa�nalty of not more than five hundred dollars($500). •
LJ I, 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 1 $15 • Issue Fee $ 3
for;sale (Section 7044,- Business,and Professional Code: The Contractor's MECHANICAL1 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 1 ' Boiler Hood Of Type I '❑ - I r • r
sale..if}however,ane building or imorovement is sold within one year of com- i • - Canopy Type II 0 • - , .Zoning Approved By • - • - Date -
, "pletion;the.owner will have the burden of proving he/she did not build or im- • Duct-Under Ground , - I n ' I , _,
1a�1rove for the purpose of sale). , . , - Building Approved By ' Date •
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LJ`I, as owner of the property, am efrcl usi very contracting with licensed con- Duct-Structural Refrigeration System - Application Issued By - - Dat: ' clad IL a
tractors to construct the project (Section 7044,Business and Professions Code: •• _
The Contractor's,License Law doesnotapply to an owner of property who - Duct-Ventilating • . . ❑0.100,000 BTU ID 100,000 BTU - - - SUMMARY OF FEES ' - _
builds•or:improves•thereon, and who contracts for such.projects with a con- •- - • ' - •,
tracto (s) ncense-pursuant to'the Contractor's License Law). 1 am aware,that - - BUILDING PERMIT $ SMIP 1 $
f ' Exhaust System-❑ Multiple❑ System Repair/Alteration • e
Proof o ,their Worker's.Compensation insurance should' be provided to me. i PLAN CHECK $ PERMIT' " ,i i '
❑ I am exempt under-Section Section - 'e.& P.C for this reason- Firepl/Fact.Bit ICBG# _ Fire Dampers -- r I PLUMBING ' 'ti $ n'pp ISSUANCE :J !$ '
• Date 'Owner - - - - Heating System& Ducting ' ' Registers PLAN'CHECK •. 25% $ -11fati - 'ENERGY P.C: .$. ' -
1 hereby ,ce'rtify/thiat I have read s appli .tion and state that the above ❑0-100,000 BTU 0100,000 BTU : 'j 1 ELECTRICAL $. - GRADING $ ' `+
information is c• tggct. I agree to • ply wi- all city and county ordinances-. r - - • .-
and state Lws /-jating_to build i.• .•nstr • ion, and hereby authorize repro-, - - ' - MICROFILM- $
sentatives .f is . to ent on e.above-mentioned' property for , . PLAN CHECK 50% $- , pp/,,`
Inspection •ur•o'es. • ' MECHANICAL • •$ TOTAL FEE i$ '�•OV
Signature • , Date'f.Z • -, , • • ' -
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=Drivers' License or SS#'ear •_ ' Reinspection Fee -$15 ' , Issue Fee •t . - e 3 ' - • i PLAN CHECK 25% $
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CMF 0865-46,rev.10/84 'White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor
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CONSTRUCTION AND PLANNING _ • _ POOL& SPA
Date Inspector Date Inspector
APPROVALS Permit# - APPROVALS Permit#
•1.. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd: t 53. Steel Reinforcement '
3. Electrical Conduit Utility-Undrgrnd. ' ' . 54. Forms . - l 'I
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4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. ' 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd. • •
8: Foundation . • -- 59. Gas Pipe, 0 Undrgind.,Test
9. Water Pipe-Undrgrnd. - 60. Backwash Lines,P-Trap, 0 Undrgrnd.
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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 .
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14: Rough Plumbing - 65.- Electrical-Final •
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring ?'(4-k ././.4 C67. Fencing & Access Approval
17'. Rough•Wiririg'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 •
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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 - I.• 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
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• 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED . '
' 33. Final Electric e...m. g(0. pe,J ' Notes:
34; Final Heating & Air Conditioning �' s� �' f%-«f -8�
(�nD� d� [ mr
35. Final Gas Pipe-Test - eCpA4
36. Hood or Canopy
- 37. Final Factory Fireplace - - . '
i38. Final Plumbing '
39? Water Service-Final - - •
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.40. Gas Service-Final -
41. Solar Domestic-Final
. 42. Backflow Preventer • •
43. Backflow Irrigatio ;
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations - • -
47. FINAL STRUCTURE & BUILDING
• 48.-Special Requirements Completed - - - . -
49. Electric Release to Edison •
50. Gas Release to'Southern California Gas Co
• 51. CERTIFICATE OF OCCUPANCY . . - - `
No. _ - Date _ -