HomeMy WebLinkAbout220 MAGNOLIA ST - Building Permits /d-I H Applicant to fill in all spaces except those within heavy border lines and_sign all appropriate declarations,
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clrv'OF coSTA MESA CONSTRUCTION'PERMhT /CJ .6053 10/2 /86 5 00 ' TL
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" Protect Address .7;/.(2:1)' ' ' - �� - • , i 1
Q p9, TYPE OF CONSTRUCTION ❑ NEW LI'ADD U ALTERATION L'TREPAIR i
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Owneres Nameailin• IV/(� Phone CZ/9N 7, - .. - ' .. - ., .. A.P.-#_ -.- " _.--_ _ 2ona -_
Mailing V ❑ •CONVERSION ❑ DEMOLISH ❑ OTHER_ I •
�j� I DESCRIPTION OF WORK/USE OF BLDGr i AddressIi �([<, ,Q2 ' - , . S Main Building: 1 , Accessory Building: - ' I
Arch/Eng. I License No. TYPE OF PERMIT ❑ GRADING ❑ F UNDATION ❑ STRUCTURAL E Front , t• O
Address I QQ ��11 ❑,TENANTi ❑ ELECTRICAL' PLUMBING ❑ MECHANICAL B Rear •
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• Contractor's Nam" ��a .�/ PhoneGYQ9OL/‹' ❑,OTHER. - I - C" Right -- •• - - �- ---I - ' N-
9
q ,�l PROJECT DESCRIPTION SD. FT. ' • OCCUPANCY ' _ •
Address(mailing) ' 4� Q�/'I _ - K ' G
I Nn;/7.9 ) • • i C ON ST RUCTI ON TYPE ' VALUATION$ s Left I ' • - •, R
City License No. • 1,51''!'S ZONE • I GRADING CO.YDS: ' ' ACRES '
, LICENSED CONTRACTOR DECLARATION I - _ Ping. Ref.# ' Parking Req./Provided I ( I E
I hereby affirm that I am licensed under pro'islons of Charter 9(commencing Remarks: - I ' Planning Notes: , • ` ' _ - i ) I ' M
• with:section 7000) of Division 3 of the Business and.Professions Code, and - - - •
•
my license is in ful,O.c,'antl effect. i .l ( T
Licens.Cl n Li•e s-�No —A„ •a - - RECEIVED' OCT 2 .,4 ;� $
Date f AT Signature '.�� � Al -d I ,PLUMBING -FEES' •- - - itkg)
WORKE•5 COMPENSATION DECLARATION Bar - , Showers - - - i ,ELECTRICAL -� FEES ,
I hereby affirm that I have a certificate of consent to self-insure or a certificate •
of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer i . Service Sink I _
3800, Lab. //yy ppJJ//-7� /,,,///'''yyy ��, e - - - i Automatic Washer _ Transformer ❑ 15-50 KW.•
Policy No. `1Oy',1�1 Company �+ ry may ` ' Backflow Irrigation i -. _ - ' •
lr 9 ' I Sewer Cap O 50+KW .`1
❑.Certified copy is hereby furnished. • _ ; r i ConStructiOn'POle Sub.:;
IIi CerY)))f" �coP�-1 filedwith the city 'd' l w/J. ,(� Bathtubs Sewer Connection r Cooking Unit , ' Meter ❑up to 100 amps _
' Date PT ON FR t Applicant M �(' `�— t -- , - '
EXE PT ON FROM WORKERS'COMPENSATION DECLARATION. Clarifiers Solar Collectors. Dishwasher - • Meter ID 100 amps -- ' l
(This section need not be completed if the permit is for one hundred($100) or - - _ - -
less) Dishwasher - • Solar Piping _ - • Dryers OGas ❑Electric - Sub Panel' ' •
I certify that in the performance of the'work for which this permit is issued,I - - -Workers'
employ any person in any manner so as to become subject to the ' Drinking-Fountains I Solar Tank ' L_ Fan
Motors ❑0-1 HP ❑1%5 B -
Workers' Compensation Laws'of California, - -, -
' Date Signature Floor'Drains ' Swimming Pool w/Spa ' F.A.U. 1 ' '
NOTICE:.If,after making this declaration, you should become subject to the _ t Inc.Solar ❑9-1 • HP,❑16-15+;
' Workers' Compensation provisions of the Labor Code, you must forthwith Floor SinksI
Urinal Fixtures
comply with such' provisions or this permit shall be deemed revoked. I � - ' . Microwave � t,
CONSTRUCTION LENDING AGENCY 1 f I
Gas Service : Outlets Water Closet , Device Boxes Pale
I hereby affirm that,there is a construction lending agency for the performance Lighti ,
of the work for which this permit is issued (Section 3097:' Civ. C.) •l /` • -I _ :tat Interceptors i I Water Heater - Outlets • Range •
Lender's Name ' ,
, .Lender's.Address. . - 1 ar :. Kitchen Sink. - - - -Water Service - , - - - - Switches- - •• ' Sign; . I -
• OWNER BUILDER DECLARATION I - -
I hereby affirm that I am exempt-from the Contractor's License,Law for the , Lavatories . ' Auto-Wash 1( 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-Trapl I iLaundry TraysGenerator' KW ❑5-15 KW
Trash Com actor
any structure, prior to its issuance, also requires the applicant fopsuch permiti P -
• to file a signed statement that he/she I5 licensedorpursuant to the provisions of ' ROOF Drains ' -
the Contractor's License Law (Chapter 9(commencing with Sectiod•7000)of .
• --Division 3 ofithe Business and-Professions-Code) or that-he/she-is:exempt- - - - - - - - - - • -- - - -- - -- - • - • -
' therefrom and the-basis for the alleged exemption. Any violation of Section I •, ,
7031.5 by any applicant for a permit subjects the applicant to a civil ' - - - - '
enalty of not more than five hundred dollars($500). : ' I ' - 3 `
•
LJ I; as owner of the property or my employees with wages as their sole Reinspection Fee $15 '. ' • Issue Fee $ -
compensation, will'do the work,and the structure is not intended or offered ' ' ' Reinspection Fee , •! $15 Issue Fee , - - $ 3
for•sale (Section- 7044, Business;and Professional Code: The Contractor's - MECHANICAL I 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 ❑ • -
sale:If, however,the building or Improvement is sold within one year of com- -Canopy Type II ❑ I - 'Zoning ApproV¢d By-_-' - Date - -
.pletion,'the-owner will-have the burden of proving he/she did not build or im- _ . Duct-Under Ground , • - i Building Approved By - : Date
•
prove for,the purpose-of sale):
. 0 I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System ,Application Issued By - - (,y1 Dat, �4TJGMP7 g
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 7 Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU - - ' SUMMARY OF FEES ,
builds-or improves thereon,and who contracts for such.projects with a con- l - - - _
tractor(s) license-pursuant to the Contractor's License Law). I am aware that ❑ Multi le❑ System , BUILDING PERMIT °$. SMIP $
• proof of their Worker's Compensation insurance should be provided to me. - Exhaust System p Repair/Alteration ' _ , - i
• PLAN CHECK $, - PERMIT-
❑ I am exempt under Section - - B.&•P. C.far this reason-, ; Firepl/Fact.Bit, !CBO# Fire Dampers ••'�'1y--,, d a ISSUANCE $ •-�J
• - PLUMBING , .$ r�r�Date' ' • - Owner - - - Heating System& Ducting ' Registers' - . . PLA N'CHECK 25% $ • - ENERGY_ P.C. $. -
I hereby certify'that I have-read'this application and state that the above ' OH 0-100,000 BTU 0100,00013T -: - l ' GRADING- $ -
information is correct. I agree to comply with all(city and county ordinances. - • - , - - ELECTRICAL - .a- _ - _
. and"state laws'relating to building construction, and hereby authorize repre-- - .MICROFILM $"° - •
' sentatives'of -is ity to- e ter upon' e above-mentioned pro ert for -. - _ PLAN CHECK . 50% $ _ -
i inspection p1Y:o ; - ,� / 1 i 9 80 •
MECHANICAL $- I I TOTAL FEE $• -' - -
Si9nature i� /(d, --411. Date / O Issue Fee $ 3- ' PLAN CHECK -25% $
Drivers' License or SS# Reinspection Fee $15 ' ,
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CMF 0865.46,rev.10/84 White - Building: Canary - Applicant; Pink -Accounting; Goldenrod -Assessor
..� ` \ V\� 1.
CONSTRUCTION AND PLANNING. POOL&SP •A
'APPROVALS Permit Date Inspector APPROVALS Permit Date Inspector
H.
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement.
3. Electrical Conduit Utility-Undrgrnd. 54. Forms - • i
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4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding .z. i
5. Steel Reinforcement • 56. Rough Plumbing & Pressure Test ' - O
6. Electrical UF ER Grnd. • 57. APPROVAL TO COVERaGUNITE m
7. Footings r• 58. Electrical Conduit-Undrgrnd. v
8. Foundation - 59. Gas Pipe, 0 Undrgrnd.!Test .
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9. Water Pipe-Undrgrnd. - 60. Backwash Lines,P.Trap-c Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECKU.1 ,
-r.
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 I
22. Ducts; Ventilating _ - 71. Product Piping 0 Gas 0 Oil '
23: Gas Pipe-Rough &Test ' ' 72. Underground Flush i -
24. Roof Framing ' - 73. Undergrnd.Storage Tank 0Gas ❑Oil
25. Roof Sheathing . 74. Overhead Hydro -
26. T-Bar Ceiling (Structural) & Monocoat - 75. Dry Chemical •
27. Frameand Flashing . , ' 76. Dry Standpipe i
28. Lathing & Siding 77. FIXED SYSTEM FINAL i .
29. Insulation . • 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION ..
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED -
33. Final Electric , Notes:
34. Final.Heating & Air Conditioning -
35. Final Gas Pipe-Test '
.36. Hood or Canopy . .
' 37. Final Factory Fireplace
38. Final Plumbing 0/87 GEO .
39. Water Service-Final
40. Gas-Service-Final . - -
41. Solar Domestic-Final - ,
42. Backflow Preventer , .
43. Backflow Irrigation
44. Landscape Irrigation System :
45.'Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING .
48. Special Requirements Completed .
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49. Electric Release to Edison
50. Gas Release to Southern California Gas Co ' • - '
a
- 51'. CERTIFICATE OF OCCUPANCY .
No. - Date _ ...