HomeMy WebLinkAbout2697 HARBOR BLVD - Building Permits •
A6'.SIESS°F BNLE°42 2697 HARBOR BL OM': CITY OF COSTA MESA - BUILDING PERMIT.
- •GINERSNAMEIFA1": CITY OF COSTA MESA PERM DoE 072951
it ADDRESS: 77 PAIR DR
. C .M. 92628 PERMIT NO: E 072951 PLAN CHECK NO: N tOVT: Y SUPP: N
AwI.MMUNG ADORES& CONSTRUCTION TYPE: PERMIT TYPE: ELE P ' POSE: OTH
ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : INSTALL . ELECT. SERVICE TO BUS SHELTERS Sc FT• •
ARCH.OR ENG.'S ADDRESS: MIT:
CLAIM VALUE: CALC-VALUE: GROUP OCC : B-2 / \
wxmACTORSmkt N.D . ELECTRIC ( 714 ) 498-1799
CONTRACTOR'S NNW 2816 VIA AMAPOLA COMMENTS: POWER TO BUS SHELTER FOR LIGHTING, SUPPLEMENT TO E67062
ADORESS: SAN CLEMENTE CA uc.N& 523613 ****SEiEBFSE***BF**BE********BFBF**** -+FBFfF+F***rtiF+E**BF****SFBFSr+FSF*+E*******BF+E****** ***BEEF*SE**
92673 WIT: ZONING REQUIREMENTS
ICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 SET KS
(corn.,seeing with Section 7000)of Division 3 of the Business and Professions Code,and my liwnse bin full force and affect.
rTUC. °.:060254 UC.CLASS: C-10 LIC.NO.: 5 .: 13 EXP: 10/95 MAIN BUILDING ACCESSORY BUILDING
— � carred« FRNT: FT IN REAR: FT IN F : FT IN REAR: FT IN
DA LEFT: FT IN RGHT: FT N T: FT IN RGHT: FT IN
O. R BUILDER DECLARATION:I hereby affirm under penally of perjury t - I am exempt from the Contractors license Law la the
.reason(Section 7031.5 Buries,and Professions Code:Any ay a count which require*apenia to construct,eaer.improve, PARKING REQ: PROV: PA CEL: 00000000 ZNE: -REF NO:
demolish.or repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement Nal he of she
S licensed pursuant to the previsions of the Contractors License Law(Chapter 9(commencing with Sedan 7000)of Division 3 d the PLANNING NOTES>
Business and Professions Cabl or that he or she S exempt therefrom and the basis Is the alleged exemption.My violation d Section >
7031.5 by any applicant for a permit subjects the applicant to a civilpenaay of not more than thehadred dollars 1$500p. ************************************ *****************************************
❑ nM�of the
wedwages°°' sob
work od the° w'a
DEVELOPMENT SER ICES REQUIREMENTS
aaefor s,( «e ,nPofmeCont,a o vrill daLa doesnyan „ pw.m
who bolds or improves thereon,and who does such work himself or handl or through his or her own employees,provided that such
improvements are not intended or offered for rale.II.however,the building or improvement is sold within one year of completion,the ZONING APPROVED BYDATE•:
ownerbuilder wit have the burden d proving he or she did not build or Improve ford a
the purpose b). • ---
❑ I.as owner of the properly.am exclusively owradrlg with licensed contractors to contfud the project(Section 7044.Business sod
Professions Code:The Conrad,,Uceetes Law does not app&A en owner a property who ledkb or improves thereon and who BUILD ING APPROVED BY : DATE: __
contracts for such projects with a mmd
raor(s)licensed pursuant to the Contractors License Law).
1:1 I am exempt under Section: B.AP.C.,for this reason: APPLICATION ISSUED BY: Af•
' DATE: El 5i-
Date: Owner: ************************************ ********** **
LEGALIZATION: N F E E ' SUMMARY STRUCTURAL S GMENT:N
I do hereby candy that I am aware of and understand the requirements of Caliomis Heath and Safely Code Sections 25505.25` 33.and
25534.and that I or any haus building occupant will/veil not(cikcb one)need to comply with said see codes and the requirements for
a permit for o modification from the Ai amt anepenie Disci&Residential ere exempt born Nese BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
pradden& PERMIT 18 . 50 -
Date: Applicant: 50$ - SMIP/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally d penoned
perjury the following dedeatbn: PLAN '
ISSUE FEE 15 . 00 i
o Mays and wUme'vitt anceol ureamreOchthis nsunforwaken'arnpee*atbn,nprovidadtorbysarbah3700dtMlabor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code.for the performance the a'onaktawl�hthispemabissued.tsc
TOTALS > 0 . 00 0 . 00 0-. 00
0 . 00 . 00 . 00
I have end wit mix permit
it i workers' My w ion amrarhen n required by Section 3700 dtheict'labor Cods.b the performance d the •, ,
work for which this permit is issued.My wakens compensation insurance carrier end poky number aro:
cornier: STATE FUN EXPIRES REVENUE DIVISION TOTALS--> COLLECTED - . 00 OVER/SHORT- 00
/ Policy Number: 106A0A37-95 01 /01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
I -��1 -section need not be compb oneered I the perm*is hundred dollen($7001 or less.)
h " I choly that b the performance of the work for whish this permit is Sud,I shall not employ any Patau in any menrrr o e*to -
�.m ;bled to the oe rkrs'campea*ign lewd d Cafdania.and spree Mhat it I should bears subject to the waken' ****************************************.*'**************************************
parsation provsans a Seaurh 37ao a the Labs cad.. rhaB Ia .Nwah tom/p�y wait Na»pmrieian. IND IV IDUAL F E E/. B R E A K D O W N
'taming:Failure des
secure workers unlawful,and compensation coverage is unlnvanl shell subject anamPlayerf0 criminal w
nalPldasand TYPE QTY DESCRIPTION UNIT COST TOTAL COST
civil fines rig to one lunched thousand dollars(si m000A in addition to the cost of compensation,(WNW,as Provided for In
Secdan 3706 oI the Labor Cor.,interest,andafomys lee*. ELE 1 SERVICES BELOW 600- V- & BELOW 201 AMP 18 . 50 18 . 50
CONSTRUCTION LENDING AGENCY: I hereby elfin under penally of perjury that there is a constriction lending eo«ay for the END OF FEES
performance of the werk for Meth this permit S issued(Sedon 3097,CN.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I cattily that l have read this application end state that the above information is coned.I agree to comply with all sty and coaly adnerhw
and state laws nutlet 10 building nmmah
uand hereby eosins representatives d this city to enter upon the eboveanentioned property .
g elato
for inspection purposes. — ` . _. _
.h Q �"T�t\�\ _ ('•i 0.<ut._ '.-;1.'18/.' 8.' Ifs,": -
Y \\� . Print Marne • • DATC: U- 2 fir: rir'4: .-
/�/�A/J//� Date: 2.6
iS
/ sire OerrrlAganUA trades '
(5151 de.WP) White-Buldbp B Safety:Green-Rb:Canary-Appkcant:Pink-Revenue:Goldenrod-Assessor
. CONSTRUCTION AND PLANNING / „BOG-.&, '
SI
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 1
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding I
• 5. Steel Reinforcement 56. Rough Plumbing & Pressure jest r •
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE • •
7. Footings • 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, O Undrgrnd.
10. Structural Floor System / 61. APPROVAL TODECK ' f
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final c
12. Sewer Cap I( 63. Heater & Vent-Final
13. Roof Drains64. Plumbing System - Final
14. Rough Plumbing 9 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 0 Gas 0 Oil
23. Gas Pipe-Rough &I Test 1 .- ' . 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 PREY. FINAL
• 30. Drywall Nailing -, ,HEALTN DEPT. REQUIREMENT
31. Plaster Brown Coat • 79. FINAL INSPECTION
32.,Electrical Power Meter-Final •t; FOOD CERTIFICATE ISSUED
33. Final Electric r /6 -.r Dotes: 3 �' .. _/, I/
34. Final Heating & Air Condition- ing 1
`� 7� // /_,
35. Final Gas Pipe-Test . I ' - /
•
36. Hood or Canopy • it t• - / -
,
/e-av--Wit,
37. Final Factory Fireplace �' \ nIl IQA ,Q• c.
38. Final Plumbing / 1
39. Water Service•Final • •
I
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. FINAL PLANNING
.
49. Electric Release to Edison
-
50. Gas Release to Southern California Gas CO -%
51. CERTIFICATE OF OCCUPANCY
No. Date