HomeMy WebLinkAbout2425 HARBOR BLVD - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. . - _
CITY OF COSTA MESA CONSTRUCTION eERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO.
Project Address 245 \A fl. v P �0��7 6966 10/07/87
��V LI 5e00 TL
Applicants Mailing Address Sar" - t't TYPE OF CONSTRUCTION U NEW ADD ❑ ALTERATION ❑ REPAIR
1A, Or-m-aY ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# - - - Zone '
Owner's Name u1 Vf. 0 Taa Phone DESCRIPTION OF WORK/USE OF BLDG.
Address S Main Building: Accessory Building:
•s
Arch/Eng. License No. TYPE OF PERMIT U GRADING I 0 FOUNDATION ❑ STRUCTURAL E Front o
Address❑ TENANT El ELECTRICAL ID' LUMBING IIIMECHANICAL BA Rear N
Contractor's Name Sa c C .4.‘eXe-, 9lnutt,).. Phone 94.4-sc�•, ElOTHER-
C Ri ht N
N. PROJECT DESCRIPTION SQ. FT. OCCUPANCY 9
Address(mailing) 1(+11ti sue m cxa W-• - - '
r.Cra.- Qa6-71
S7 1aq - CON ST RUCTION TYPE VALUATION $ K Left
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City License No. ty vl /[A1 /✓1 ZONE GRADING CU.YDS. ACRES R
LICENSED CONTRACTOR DECLARATION Ping. R¢f.,# Parking Req./Provided E
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I hereby affirm 7 that I am licensedion under provisions f Charter 9 ns(commencing Remarks: Planning Notes: M
with sectioneis n full of a and of 3 of the Business and Professions Code, and -
my license is in full force antl{tfect. • -- T
License CIaFs C- -a`a Licensepo •`=- _� S
Dater'-xa1 �1 a* Signature"- ...suss- t4�..._:-�---.35,14 .3 • PLUMBING FEES
"ORKERS'COMPENSATION DECLARATION V,J'( Bar Sink Showers ELECTRICAL FEES
/L lereby affirm that I have a certificate of consent to self-Insure or a certificate -
0 i Workers' Compensation Insurance, or a certified copy th,reof (Section Backflow Preventer Service Sink _
r70 3800, Lab. C.) oa tGo \J Au matte Washer Transformer 0 15-50 KW
Policy No. O'US"67 t]41LA- Company 44.1e.e,V.ava Backflow Irrigation Sewer Cap • Con uction qb, 0 50+ KW
, 8Certified copy is hereby furnished. - - '
Certifiedcopy is filed with the city Bul-(ding Divislo \ Bathtubs Sewer Connection Cook nit Meter Oup to 100 amps
Date'tFkN,`e) Applicant —F- \\W' _
1 EXEMPTION FROM WORKERS'COMPENSATION 0 L RATION Clarifiers Solar Collectors l Dishwa er Meter Dover 100 amps
(This section need not be completed if the permit is for one hundred ($100) or
less). Dishwasher Solar Piping Dryers Gas ❑Electric Sub Panel
I certify that in the performance of the work for which this permit is issued,I -
shall not employ any person in any manner so as to become subject to the Drinking Fountains - Solar Tank Fan • Motors❑01 HP 01%-8
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 - 1 I - Inc.Solar ❑9.15 HP 016-15+
Workers' Compensation provisions of the Labor Code, you must forthwith —Floor Sinks Urinal Fixtures
comply with such provisions or this permit shall be deemed revoked. Microwave
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.) -
Lender's Name
I-' Interceptors Water Heater Outlets Range
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Lender's Address - Kitchen Sink X Water Service - 2 oO Switches Sign
OWNER BUILDER DECLARATION .
I hereby affirm that I am exempt from the Contractor's•License law for the Lavatories Auto-Wash Garba a DIS oral
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-Trap Laundry Trays Generator 00-5 KW 05.15 KW Trash Compactor
any structure, prior to its Issuance, also requires the applicant for such permit
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains
• Contractor's License Law(Chapter 9(commencing with Section 7000)of _
'ision 3 of the Business and Professions Code) or that he/she is exempt
.refrom and the basis for the alleged exemption. Any violation of Section '
031.5 by any applicant for a permit subjects the applicant to a civil
penalty of not more than five hundred dollars($500).
I_I I, as owner of the property or my employees with wages as their sole Reinspection Fee 1 I $15 Issue Fee $ 3
compensation, will do the work and the structure is not intended or offered - Reinspection Fee I $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 I 0
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 Zoning Approved By nnn nate
pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved ByV�r Date �0%1 rj 1
prove for the purpose of sale). /'�t0 I ` J/
0 I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By nate
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 0100,000 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 be provided to me. _ PLAN CHECK $ PERMIT
0 I am exempt under Section B. & P.C.for this reason Firepl/Fact.Bit. ICBG#, _ Fire Dampers PLUMBING - $ S. 0 ISSUANCE $
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Date owner Heating System& Ducting ' Registers PLAN CHECK- 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BT - ELECTRICAL $ GRADING $.
information is correct: I agree to comply with all city and county ordinances -
' and state laws relating to building construction, and hereby authorize.repre- PLAN CHECK 50% $ MICROFILM $
sentatives of this city enter up n the above-mentioned property for
• L—r J,\
inspection our res. ` MECHANICAL $ 7 V
Signature Date Se) TOTAL FEE $
Drivers' License or SST ...? Reinspection Fee 1 $15 Issue Fee $ 3 PLAN CHECK- 25% $
CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor 111
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 COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation59. Gas Pipe, El 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 c 64. Plumbing.System - F,inal
14. Rough Plumbing 65. Electricil_Final f
15. Rough Electrical-Conduit 66. Solar System-F
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
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
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24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing i 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
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 _ t1
35. Final Gas Pipe-Test _ -
36. Hood or Canopy I ;1
37. Final Factory Fireplace -"C.::.
38. Final Plumbing 34.-fl' t-ti ; (, i' j
• 39. Water Service-Final Ti
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.'40. Gas Service-Final 3p f71 L&%2 I . •
41. Solar Domestic-Final •
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• 42. Backflow Preventer • .
43. Backflow Irrigation - - '
• 44. Landscape Irrigation System - '
45. Sound Attenuation '
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46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING •
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48. Special Requirements Completed !
49. Electric Release to Edison - '
50. Gas Release to Southern California Gas Co -
51. CERTIFICATE OF OCCUPANCY '
No. Date ' , -