HomeMy WebLinkAbout1210 LAS ARENAS WAY - Building Permits App L..nw
CITY OF COSTA MESA CONSTRUCTION PERMIT PE •
R N T I . UNIT NO.
ifs �� al ` •
Project Address 1210 Las Arenas Way LI OF CONSTRUCTION NEW ❑ ❑ADD U ALTERATION REPAIR
Applicant's Mailing Address
❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# I Zone
Owner's Name _ Phone DESCRIPTION OF WORK/USE OF BLDG.
Betty Cal loWay 336=2068 S Main Building: Accessory Building:
Address E Z
Arch/Eng. License No. TYPE OF PERMIT EllGRADING CIFOUNDATION ❑ STRUCTURAL T Front O
Address ❑ TENANT ❑ ELECTRICAL El PLUMBING ❑ MECHANICAL BRear N
❑ OTHER B
Contractor's Name—G Phone 7-5-3=2-541- Right - N
enQrak Ills LalfiaLiDn 53=2541 PROJECT DESCRIPTION SQ. FT. OCCUPANCY K
Address(mailing) 655- -west-BlV,♦. /;�C/!� CO4%TRUCTION TYPE VALUATION$ - S Left R
City License NO. ((11}}11ppqq��'Q} ll Y D su ZONE - ' GRADING CU.YDS. ACRES
LICENSED CONTRACTOY!`fll:'LURATION - - - Ping. Ref. # Parking,Req./Provided E
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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 1
my license is in full force and effect. 1 7 �qR9
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License Class ' C36 1C- p. .151839 = - RECEIII'�D JAN 4s
tw Date 4/89 Signature ` - , PLUMBING I FEES
�v,.. WORKERS' COMPENSATION DECLARATION Bar Sink - Showers ELECTRICAL FEES
")V ' 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 Service Sink
3800, Lab. C.) • - Automatic Washer Transformer 0 15-50 KW
Policy No. _'28.�[ Company 3CIr Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+KW
V_ Certified copy is hereby furnished.
Certified c py is file with'the city Boil g ry D7� // �1 Bathtubs • Sewer Connection Cooking Unit Meter Pup to 100 amps
te' N FRb Applicant 4�I�- /. `�JiAY� t
EXEMPTION FR WORKERS'COMPENSATION DE ARATION ' Clarifiers Solar Collectors DlShwaSh¢f • Meter Dover 100 amps
(This section need not be completed if the permit is for one hundred ($100)or
less). Dishv✓asher Solar Piping Dryers ❑Gas DElectric Sub Panel
I certify that in the performance of the work for which this permit is issued, I -
shail-not employ any person in any manner so as to become subject to the ' Drinking Fountains Solar Tank Fan • Motors❑0-1 HP ❑1%-8
Workers' Compensation Laws of California. _
Date' Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc:Solar ❑9-15 HP 016-15+
NOTICE: If,after making this declaration, you should become subject to the _ —
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
Light
of the work for which this permit is issued (Section 3097- Civ. C.) Interceptors 1 ' Water Heater 2 Outlets Range
Lender's Name -
Lender's Address - Kitchen Sink - Water Service t Switches Sign
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the - Lavatories Auto-WashGarbage 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 P—TrapLaundry Trays Generator 00-5 KW 05-15 KW
any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor
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 .
Division 3 of the Business and Professions Code) or that'he/she is exempt -
therefrom and the basis for the alleged exemption. Any violation of Section ,
7031.5, by any applicant for a 'permit subjects the applicant to a civil
penalty of not more than five hundred dollars($500). $ 3
U 1, 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 I $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 Boiler Hood or Type ID
SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered forZoning Approved By Date
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0
plebe n, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved By Date
1, for the purpose of sale).
0 1, - xj
as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Dat
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 ❑0-100 000 BTU 0100,000 BTU SUMMARY OF FEES •
builds or improves thereon, and who contracts for such projects with a can- • - -
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration BUI LDING PERMIT $ SMIP $
proof of their Worker's Compensation insurance should be provided to me. _ PLAN CHECK $ PERMIT
0 1 am exempt under Section B. & P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers ' �1�
PLUMBING $6.° ISSUANCE $ —4et--
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 BTI- - ELECTRICAL $ GRADING $
information is correct. I agree to comply with all city and county ordinances
and state laws relating to buildin construction, and hereby authorize repre-
sentatives of this city en poo the above-mentioned property for
inspection pu��j�Jd- MECHANICAL '$ TOTAL FEE $ 5.00
Signature //!/ 'L Date
Drivers' License or SS# 1/12 89 Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
-Applicant; Pink -Accounting; Goldenrod - Assessor ! UUJ14'G'r—UUd4 -/OY I U."l t :f.Ull
DATE: 01/20139 IMP 1.,.14
CONSTRUCTION AND..PLANNING POOL &SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspecto
1. TemporarAiElectrical 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 Gr.nd. 57. APPROVAL TO COVER-GUNITE
7. Footings ) - - 58. Electrical Conduit-Undrgrnd.
8. Foundatij n 59. Gas Pipe, 0 Undrgrnd., Tgst
9. Water Pipe=Undrgrnd. 60. Backwash Lines, P-Trap,C Undrgrnd.
10. Structuraltl1loor 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 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 D 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 75. Dry Chemical
27. Frame and Flashing 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: I-24_84 tc#r c440. L.E.D
34. Final Heating& Air Conditioning A g.7-81 pciziwur e>APl¢f.0AgG f C tASoj LEO
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 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
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. _ Date