HomeMy WebLinkAbout2798 HARBOR BLVD - Building Permits PROJECT ADDRESS: 2798 HARBOR BL UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: E 0670611....."
OWNER'S NAME: CITY OF COSTA MESA
ADDRESS: 77 FAIR DR PERMIT NO: E 067061 PLAN CHECK NO: N GOVT: Y SUPP : N
C .M. 92628
CONSTRUCTION TYPE: PERMIT TYPE : ELE PURPOSE; OTH
ARCH/ENGINEER: REG.ND.: JOB DESCRIPTION : INSTALL . ELECT. SERVICE TO BUS SHELTERS SQ FT:
ADDRESS: UNIT:
CLAIM VALUE: CALL-VALUE: GROUP OCC : B-2 /
PERMITTEE: N.D . ELECTRIC (714 ) 498-1799
ADDRESS: 2816 VIA AMAPOLA COMMENTS : POWER TO BUS SHELTER FOR LIGHTING
SAN CLEMENTE CA 92673 **+6TE**kr****+c****kE**kI**********z-*T6******+6*******T6*************+E*******+E*********
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON ING R E Q U IR EMEN T S
7000)of Division 3 of the Business and Professions Code.and my license is in lull force and effect. SETBACK S
CITY LIC.: 0 0254 STATE LIC.:523613 CLASS: C-10
Date: '14 - re' signature:_ _ _ MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure ora certificate of Workers' FR NT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance or a certified copy thereof(Section 3800, Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: 1066062-94 EXP. DATE: 01 /01 /95
COMPANY: STATE FUND PARKING REQ: PROV: PARCEL: 00000000 ZNE: REF NO:
❑ Certified copy is hereby furnished. Q Certified copy is filed with the city Building Division. PLANNING NOTES>
,6 -971 >
Date: Applicant: *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less), D EV ELOP MENT S E-R V ICES REQUIREMENTS
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 /A-•
subject to the Workers' Compensation Laws of California. ZONING APPROVED BY .
DATE:
Date: Signature:
NOTICE:If.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor • B U I LD I NG APPROVED BY : DATE:
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that(here is a construction lending agency for the performance of the work for w^
APPLICATION ISSUED ** , C'IYh DATE: �yr �
which this permit is =_sued(Section 3097,Civ.C1 **.***.)E*.)E**. *,*.*.****.*.***,*,*,.K.*.*,***;*, .*** *,a** ******, *, ************* *(*
LENDER: ******.3E***************************4********************************************
ADDRESS: LEGALIZATION:N F E. E ! .S .0 M M A R Y STRUCTURAL SEGMENT: N
-/
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'Slate License Law for the following reason BLDG PMT PLUMBING . ELECTRIC - MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT' 27 , 50
repair 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 the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 5 0 t , SMIP/NON-RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE. FEE ,„125 . 00
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BU ILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law, TOTALS---=> 0 . 00 0 . 0 0 -' 0. 00 0 . 00 0 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through �„ .n
his or her own employees, provided that such improvements are not intended or offered for sale. If,however the building or
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED : . 00 OVER/SHORT: 00
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business '""a •
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon - _1 n
-
andwhocontractsforsuchprolectswithacontracfor(s)license pursuant to the Contractors'Slate License Law).l am aware .x.**.***.**,.H.*****,***.****.************* (,***************,)E**)♦,)E************************
that proof of their Worker's Compensation insurance should be provided to me.
❑ .1 am exempt under Section: B.8 P.C. INDIVIDUAL F•.. E E BREAKDOWN
for this TYPE QTY DESCRIPTIO N'. UNIT COST TOTAL COST
Date: Owner:
I do hereby certifythat I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533.and ELE 2 FIXTURES LIGHTING 1 ST 20 EA, . 75 1 . 5 0
ELE 1 SIGN/ OUTLINE LIGHT- SYS ON 1 B R CIRC RC 15 , 0 0 15 . 00
25534 and that I or any future budding occupant wilUwill not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from ELE 1. M I SC CONDUIT NOT 'LISTED REQ PERMIT 11 . 00 11 . 00
these provisions. END OF FEES
Date: Applicant: // 01 00160303-00160303 TOT ' .00
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county Y DATE: 0`/10/44 TIME: 11%59 f
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned q
property for inspection
�purposes. j
Date:Jj 'µi `p a /Signature:
Driver's License or Social Security 4:
Applicant: Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNING POOL & SPA I
'APPROVALS Permit#-
Date Inspector APPROVALS Permit # Date Inspector I
iI
•1. Temporary Electrical Servic@rdr Pole r - 52. Pool & Equipme.,X,gi.Kr*.;w.y--:-;•r _._._;;,_;-t, •
4.-w f -' oil Pipe-Undrgrno -- 53. Steel Reinforcement '*l
3. Electrical Conduit Utility-Undrgrnd., 54. Forms 1
4. Electrical Conduit•Undrgrnd`i„ -• 55. Electrical Bonding
5. 'Steel Reinforcement • 56. Rough Plumbing & Pressure Test {
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE i
7. Footings 58. Electrical Conduit-Undrernd.
. 8. Foundation J I( 59. Gas Pipe, 0 Lind;grnd., Test I
9. Water Pipe-Undrgind, .< (((
. /� 60. Backwash Lines, P-Trap, 0 tJnd'grnd. "/L_,
•
10. Structural Floor System il '1 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection I 62. Backwash & Receptor-Final
12. Sewer Cap63. Heater & Vent-Final f
13. Roof Drams • i 64. Plumbing System - Final + ,
t
14. Rough Plumbing65. Electrical-Final I
15. Rough Electrical-Conduit f 66. Solar System-Final
16. Rough Electric Wiring 67, Fencing&Access Approval
• 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING I
i
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT iA
20. Rough Factory Fireplace APPROVALS •Permit#
•
21. Ducts,in Structure . - 70. Underground Hydro
~
22. Ducts, Ventilating • 71. Product Piping 0 Gas 3 Oil
23..Gas Pipe-Rough & Test 72. Underground Flush'
24-:Roof Framing 73. Undergrnd.Storage Tank 0 Gas J Di;
25. Roof Sheathing .. • 74.•Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75,•Dry Chemical
27. Frame and Flashing . , 76. Dry Standpipe i
._I
28. Lathing& Siding' • -' 77, FIXED SYSTEM FINAL i
29. Insulation • - 78. FIRE PREY. FINAL - i
30. Drywall Nailing • HEALTH DEPT. REQUIREMENT
-i
31. Plaster Brown Coat i 79. FINAL INSPECTION
32. Electrical Power Meter-Final Pn .FOOD CERTIFICATE ISSUED i
33. Final Electric 7-1390��J I --?y, / /I`
((("` �oYes:�j -1_,.!_7 coo no" final poi.JG� _i
34. Final Heating& Air Conditioning /
So��ce a�N 1� lSCr Etegbc55 ¢ -
35. Final Gas Pipe-Test I y/� �p[� .
- 36. Hood or Canopy . Y/L /.'✓ �J��✓•
37. Final Factory Fireplace _
38, Final Plumbing - - •
39. Water Service-Final • 1
' -a
40. Gas Service-Final
41, Solar Domestic-Final
42. Backflow Preventer • -
43. Backflow Irrigation ' •
-I
44. Landscape Irrigation System .
45, Sound Attenuation '
46. _Handicap Regulations •
47, FINAL STRUCTURE & RUILDING
48. FINAL PLANNING I
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co / - ]
51. CERTIFICATE OF OCCUPANCY
No. Date -' I
J
.