HomeMy WebLinkAbout1909 RAYMOND AVE - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
•CIT F-COSTA MESA 'COI�I$TR UCTION ERMIT PER IT NO. TRACT NO. LOT NO: UNIT NO. -
P�piL Address /70 R`.'yy�r.. - y� I� S7,2 7 I ,, ffF� 9126 ,E/U5/87 15e�O TL
• Ap161icant's Mallin/og Addre/sg Pa 0 x 572.y /- TYPE OF CONSTRUCTION LJ NEW ❑ ADD U ALTERATION r�.REPAIR
/Owner's Name A L Ps c{.n. Eh e City ' p}r a s.(9 -7WO ❑ CONVERSION ❑ DEMOLISH ❑ OTHFy(2, �„O ll /f A p # I zone
�,�.._ �p, DESCRIPTION OF WORK/USE OF BLDG. (( ��
Address 9 V 6 / Q ft 7. -r\ ' r � -� e/be f- s 4 s- E Main Building: Accessory Building: Z
Arch/Eng. License No. TYPE OF PERMIT H GRADING U FOUNDATION L_1 STRUCTURAL T Front _ ' O
❑ TENANT ❑ ELECTRICAL 0 PLUMBING 0 MECHANICAL BA Rear N
Address i/� J' ��J /� '7�y
LJ r�J' / �00 ra. PM F+SO'Y�OO ❑ OTHER
Contractor's Name ��fI e C Right - N
Address(mailing) b n Ai $c �7 /�Gc��!__b'a<n/ PROJECT DESCRIPTION SQ. FT.)OO OCCUPANCY �-� .
I'���� CONSTRUCTION TYPE - VALUATION$/ZGST Oma• S Left •
Z( K G
City License No. ZONE GRADING CU.YDS. ACRES R
LICENSED CONTRACTOR DECLARATION - Ping. R rking Req./P - . E
I hereby affirm that I am licensetl under provisions of Charter 9(commencing Remarks: - Planning LES: Q
with section 7000) of Division 3'of the Business and Professions Code, and . M
my license is in full force an..effect. . •
-• _ T
License Class License • •. TOZ--nS V - S
%� Signature ' - PLUMBING FEES
Date <. -
WORKERS'COMP NSATION DE • RATION " Bar Sink - $hdWer$ -
•
I hereby affirm that I have a certificate of consent to self-insure or a certificate - ELECTRICAL FEES
'l Workers' Compensation tnsurafce`or a certified copy thereof (Section
100, Lab. C.) (• Backflow Preventer - Service Sink -
Automatic Washer Transformer 0 15-50 KW
-
Policy No. "' Company Backflow Irrigation Sewer Cap Construction Pole Sub.
❑ 50+ KW
8 Certified copy is hereby fuinished. �—
Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
•
Date Applicant
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers . . Solar Collectors - Dishwasher Meter Dover 100 amps
(Thissection need not be coypleted 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 man,er so as to beco • subject to the . Drinking Fountains Solar Tank Fan
Workers'p ort�perLution Laws of Califo n ` Motors 00-1 HP Di is-8
Date 6-5 - 4.-7Signature �-� ��► Floor Drains - - Swimming Pool w/Spa F.A.U. Ini:.Solar ❑9.15 HP 016-15+
NOTICE:If,after mg this declare -•n, you should become subject to the -
' Workers' Compensation provisions o the Labor Code, you must forthwith Floor Sinks Urinal Fixtures Microwave
comply with such provisions or this permit shall be deemed revoked. •
CONSTRUCTION LENDING AGENCY 'Gas Service Outlets Water Closet
I hereby affirm that there Is a construction lending agency for the performance Device Boxes • Pole Light
of the work for which this permit Is issued (Section 3097 Civ. C.) Interceptors - Water Heater Outlets Range
Lender's Name -
Lender's.Address '. Kitchen Sink Water Service Switches .. _ '
OWNER BUILDER DECLARATION - •Sign
I hereby affirm that I am exempt from the Contractor's License Law for the ' Lavatories Auto-Wash Garbage 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-Trap Laundry,Trays Generator DO-5 KW ❑5-15 KW
any structure, prior to its issuance, also requires te 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 '
'31.5 by any applicant for a permit subjects the applicant to a civil
salty of not more than five hundred dollars($500). -
I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $' 3
compensation, will do the work,and the structure Is not intended or offered ' - Reinspection Fee ' $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 Hood or Type I 0 - DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such Improvements are not Intended or offered for Zoning Approved By Date
' sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 -
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date
prove for the r of the
sale).p / ll1 th-C r/
❑ I, as owner cproject am exclusively contracting ing with licensed con- Duct-Structural Refrigeration System Application Issued By Date J
hetors t constructctors the project (Section 044, tos Business and Professionsfproperty
Code:
The Contractor's License Law doesnotct apply to an owner je is hta who Duct-Ventilating 00-100,000 BTU 0100,000 BTU $ SUMM� QF FESMiP S�
builds or improves thereon,and who contracts for such projects with a con- - (yam
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration BUILDING PERMIT r �V $ a
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT
❑ Ian exempt under Section B.& P.C.for this reason •Firepl/Fact.Bit. ICBO# Fire Dampers PLUMBING $ ISSUANCE $
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 - ❑O-100,000 BTU 0100,000 BT '
information is correct. I agree to comply with all city and county ordinances ELECTRICAL $ GRADING $
and state laws relating to building construction, and hereby authorize repro- MICROFILM $
sentatives of t ci to ente, .pon the above-mentioned property for . PLAN CHECK 50% $
inspection pile;
�� i Date -527de _ MECHANICAL . $ TOTAL FEE $ /S• 50
Signature •
Drivers' Li ense or SS / Reinspection Fee $15• Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
CONSTRUCTION AND POOL& SPA
PLANNING .
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location r)
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 11
' 3. Electrical Conduit Utility-Undrgrnd. 54. Forms /1
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding �(r �+
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test � p
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE•
7. Footings 58. Electrical Conduit-Undrgrnd. eget
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Tragi1Jt
DECO' 40
10. Structural Floor System 61. APPROVAL TO DEC bl
11. Property Sewer Line & House Connection 62. Backwash & ReceptojtFi
12. Sewer Cap 63. Heater & Vent-Final?
11 Roof Drains 64. Plumbing System Finaq �y
14. Rough Plumbing • 65. Electrical-Final eyAr p •
15. Rough Electrical-Conduit 66. Solar System-Final ��a-c7p
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
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:
•
34. Final Heating & Air Conditioning -1
35. Final Gas Pipe-Test -
36. Hood or Canopy
37. Final Factory Fireplace ,
3W Final Plumbingi ; '
39. Water Service-Final • .i
40. Gas Service-Final, • i .
41. Solar Domestic-Final •
42. Backflow Preventer '
,43. Backflow Irrigation i .. • . ' •
44. Landscape Irrigation System EXPIRED •
In •m. ate Inspection
45. Sound Attenuation • - '
'46. Handicap Regulations . . Date ..k ci I sig - -
47: FINAL STRUCTURE & BUILDING _
48/Special Requirements Completed '
49. Electric Release to Edison .
• 50. Gas Release to Southern California Gas Co • a-
51. CERTIFICATE OF OCCUPANCY - -
r
No. Date _ '
A