HomeMy WebLinkAbout320 MAGNOLIA ST - Building Permits.°.o0���ant to fill in a1l spaces exeeDt t�ose within neavy OorEer lines antl sign all apo�o0��ate Ceclarations.
CITY�F COSTA MESA CONSTRUCTION PERMIT � oFwnniT tin � . ' TRACT NO. � �LOT NO. IINIT Nll
Rroject Address � � / R N� �- '
7Applicant'SMailinaArirlrrcc -�IO� SW��`/(JR� � '
Owner'sName S C� GS _Phone�6
Address � �% '�/ A ' . . _
Arch/Eng. � Licenu No. ' .
Address,
Contractor's Nam I ee Rcrrf'�,vG Phone yZ"%%�Z
A'ddresslmailing) /653�� �••-� �^^ � '
City License No. �� g 7.s � '
LICENSED CONTRACTOR DECLARATION �
I hereby aftirm that I am licensetl untle� p�ovisions of Chart¢r 9(commencing
witb sedion �7000) ot Division 3 of the Bu5ine55 antl Protesslons Cotle, antl
my license is in tull fo�cR antl eHecL � ����'
�.lC¢OS¢ CIT55 � �Cjl�� NO
Q�, Date �� �7- SI9 f X.C�.Q�bl_ -
C�p WORKERS' COMPENSATION DECLARATION
� "hereby aitirm that I have a certiticate of consent to sel/-insure or a certlficate '
Worker5' Compensation InSurance, or a c;/u fi�tl [[�� reb ct'
� .00, Lab: C.) � f155' !'����A„��
` Policy No. I�o 05l62 RR � Company A �
B Certi�ietl copY is hereby furnishetl.
. e Certifie0 o s filetl with the cJ ��(y�Iyi�n��D�i sion. 44
� Date��%'"{� P� APPlicah� _f�� � .
EXEMPTION FROM WORKERS' COMPENSATION DECIARATION
(Thissection neetl not be <omple[etl if the permi[ is for one huntlretl ($100).or ,
iess).
I certify that in tlie per(ormance'of the work for which this permR is issuetl, I
shall not employ any person in any manner so as to become subject to the
Workers; Compen5ation Laws ot California. ,
Date $i9natute
NOTICE: If, after making this tleclaration, you shoultl become subject to the
Workers' Compensation provisions of tbe Labor Cotle, you must torthwith
comply with such Orovisions or this permit' shall be tleemetl revoketl.
CONSTRUCTION LENDING�AGENCV ' - � ' '
I her¢by aftirm that there is a construction lentling ageucy for the pertormance ,
of tlie work for which this permit is issuetl (Section 309] Civ. C.)
LenGer's fJame �
Le�tler's Atltlresi � �
OWNER BUILDER DECLARATION
1 hereby affirm lha[� 1 am ezempt from the Contractor's License Law for the
following reason (Section 7031.5 Business antl Professlonal Cotle: Any city or
tounty whith requires a Oe�mit to construct, alter, improve, tlemolish or r¢pair
.any struc[ure, prlor to its issuance, also requires [he applicant tor such'permi[ :
to (ile a slgned statement thdt he/she is IicenSetl pU/suant to the provi5ion5 of
tne Contractor's License Law (Ghapter 9(mmmencing with Section 7000) ot
;,,!]ivision 3 of the Business antl Professions Cotle) or that he/she is exempt
?*-,ierefrom'ana the basi5 !or the allegetl exemption. Any violation of Section
,�4�,i,'J31.5 �by any applitant to� a permit subjects the applicant to a civil
'�� enalty ot not more than five huntlretl tlollars ($500). '
, �� I, as owner of the property, or my employees with wa9es as their sole
compensation, will do the work, antl the structure is mt intentletl or-offeretl
f0/ sale (Settion 7044, Business antl Professional Cotle: The Cont�acto�'S
LicenSe Law tloes not apply [o an owner of a prop¢rfy who builtls o� imprOves
lhereon, antl' who tloes Such work himself/hersElf or throuqM1 Itis o� h¢r own
employees, provitletl tM1at such improvements are not intentled or offere0 for
sale. Ii,'however, tne builtling or improvement is sold within one year oi dom-
pletion,�the owner wi11' have the burtlen of proving he/she tlitl not builtl or im-
prove forthe purpose oisale). .
❑ I, as owner of the Oroperty, am exclusively conGacting wlth licensetl ton-
tractors to construct tbe project (Section 7044, Business antl Professions Cotle:
The ConVactor's License Law does not apply to amowner of.pro0erty who
builtls or improves tM1ereon, antl who'contracts fo� Such oroiect5 wkh a r.on-.
tractor(s) Lcense pursuan[ [o tne ConVactoYs License Law). I am aware-tM1ai-
proaf o1 their Worker'S Compensation insuranCe shoultl be provitletl to me.
❑ I am exemp[ untler Sec[ion B. & P. C. for tbis reasan
�JJ. J +
TYPE OF CONSTRUCTION NEW ADD ALTERATION � REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTi� R
DESCRIPTION OF WORK/USE OF BLDG. —^.e R� � ��
TVPEOFPERMIT GRA�ING FOUNDATION STRUCTURAL
❑ TENANT�❑ ELECTRICAL ❑ PLUMBING�❑ MECHANICAL
� ❑ �OTHER . '
PROJECT DESCRIPTION 5�. FT. �7 OCCUPAN xa____
rCONSTRUCTIONTVPE -VALUATION$ �1�•UV
ZONE GRADINGCU.VDS. � ACRES
Remarks:
Sink
Preventer
Bathtubs
Clarifiers
DishNrasher � .
Drinking Fountains
Floor Drains
Floor Sinks
GasService' Outlets
Lavatories
P-Trep .
Roof Drains
Reinspection,. Fee
Boiler
Duct - Under Ground :
Duct-Structural � �
Showers
ServiceSink : .
Sewer Cap .
Sewer Connection
Shcar Col lectors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
� Water Closet =
Water Heater
� Water Service
Auto-Wash'
Laundry Tra'ys
$15 . � Issue Fee
Duct - Ventilating �
Exhaust System ❑ Multiple
Firepl/Fact. Blt. ICBO #
Date - � owner ' . � - � Heating System & Ducting � �
I h¢reby certify that. I have �eatl this application antl state.that the above .. - �O-100,000BTU 0100,OOOBTi
information is mrrect. I agree to comply with all Nty antl county ortlinantes '
antl state laws r¢lating [O builtling ConStrucfion; antl her¢by authoNze repre- . . .
5¢ntatives of this city t ent � upon the above-mentiOnetl P�operty. fOr ' ; - . �
inspec[ion pur e . � � �
Si9nature Date�d'�7'�B •
� Drivers' License or 55 � � �— Reinspection Fee �$15:
0865-46,�rev.�5/88 White - Building: Canary - Applicant Pink - Accounting; Goltlenrotl - Assessor
' I Hood or Type I ���
� Canopy Typell ❑
Refrigeration System �
❑0-100,000 BTU' L7100,000
System Repair/Alteration
Fire Dampers �
Registers � �
A.P..�
S Main Buildi
E
T Front
B Rear
.A
C' Right
S Left -
Ping. Ref. #
Planning Notes:
FEES P.utomatic Washer
ConStruction Pole Sub.
CoOking Unit
Dishwasher � '
Dryers ❑Gas ❑Electric
Fan
F.A.U. -
Fixtures
Device Boxes
� Outle[s
Switches � '
Zone
Accessory Building:
�� Parking Req./Provided -
ELECTRICAL � �
Transformer ❑ 15-50 KW
� 50+KW
Meter ❑up to 100 amps '
Meter ❑over 100 amps
Sub Panel - '
Motors�0-1HP"�1'h-8 �
' ' Inc.Soiar O9-i5 HP �16-75+
Microwave � . •r �.
Pole Li9ht . � . .
Generator 00.5 KW �5-15 KW
Sign
Standing Sections
Trash Compactor
FEES
Reinspection Fee $15 luue Fee ' � $ 3
$ 3 DEVELOPMENT.SERVICESREQUIREMENTS: ; �
Zonine APP�a�ed By Date
F,EES euilding Approved By Date •�
� APPliration Iwued BY � � nat �� �
. laue Fee ' $ 3
N
I
N
G
R
E
U
M
T
S.
" SUMf��/q/R/y�/p� F FEES � �
BUILDING PERMIT�, $ � SMIP $ � . SO
PLAN CHECK ' $ PERMIT �
PLUMBING $ ISSUANCE $
PLAN CHECK 25% $ `ENERGV P.C: $ �
ELECTRICAL � $ � GRADING $.
PLANCHECK 50% $ � MICROFILM $, '
MECHANICAL� $, � �TOTALFEE � $, �/.s0
PLAN CHECK 25% $ � � . ' • -
ni uani�iso-000i�:ai r�e�'� yi,��
DAT'c: lp/17/88' T.iIE: G9:,i2
,`. . �
, c� "•'�
-(�JNSTRUCTION AND PLANNING � PO� . SPA
Date Inspector Date Inspector
APPROVALS Permit# APPROVALS Permit#
1. Temporary Electrical Service or Pol� 52. Pool &-Equipment Location
,�
2. Soil P.ipe-Undrgmd. ,1� - _, 53. Steel Reinforcement ��'
3.1 ElectriFal Condu�t;l,ltility-Undr9rnd. - -� 54. Forms. �'
+4: Electrical Conduii-Undrgrnd. � 55. Electrical Bonding . .�
5. Steel, Rginforceinent �• ��' - ' 56. -Rough Plumbing & Pressure Test �� �!%
..� � �
�6' ElectrYwl UFER�Gr�nd� :.; �? 57. APPROVALTO COVER�GUNITE � y
j.:'Foo�ings i.••�• � (' � 58. Electrical Conduit-Undrgrnd. �' '
8. F.ounda`tion • � • r� 59. Gas Pipe, O Undrgrnd., Test �,t
'l �i
9- VJater Pipe-Undrgrnd. J � k� =� 60. Backwash Lines, P-Trap, � Undrgmd.
10. Structural Floor System . "� .� �� • 61. APPROVAL TO DECK
11. Property Sewer Line & House Gonriection: �: 62. Backwash & Receptor-Final
12. Sewe,'r Cap �� %t ! 63. Heater & Vent-Final ��
13. Roo� Drains �: %1 � � 64. Plumbing System - Final ��
14. Ro�`gh Plumbing; �� � 65. Electrical-Final - , ��
15. Rough Electrical�Conduit. . , 66. Solar System-Final
76. Rough Electric Wiring 67. Fencing & Access Approval
-�r1
��17. Rough Wiring Sign 68. APPROVED FOR PLASTERING -
�18. Rough Electrical-T Bar Ceiling ' 69. POOUSPA SYSTEMS FINAL
:19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
t _.
�20. Rough Factory Fireplace APPROVALS Permit #
'�21. Ducts, in Structure � 70. Underground Hydro
i
22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil �
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing - 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing , � (U 1/ �� 74. Overhead Hydro
26. T-Ba�.Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe � .
28. LatRit�g & Siding � 77. FIXED SYSTEM FINAL .
29: Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
� 31. Plaster Brown Coa;; 79. FINAL INSPECTION �
32. Electrical Power MQter-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 �
� 39. Water Service-Final � �
40. Gas Service-Final � '
41. Solar pomestic-Final �
42. Backflow Preventer � -
I-
43. Backflow Irrigation � � i-J� ;�
44. landscape Irrigation System ' � '
45. Sound Attenuation '
46. Handicap Regulations ' � '
47. FINAL STRUCTURE & BUILDING zf
�?S. Soecial Requirements Completed ,
� 49. �EJectric Release to Edison ' �
�-
50. Gas Release to Southern California Gas Co % ' "�
i
51. CERTIFICATE OF OCCUPANCY - ,..•. � � �\%
No. Date - � ��� �-�%