HomeMy WebLinkAbout1963 RAYMOND AVE - Building Permits1111r - _ _ ___
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA Q C(jf�S1TRUCTION PERMIT �''PERM TRACT NO. LOT NO. UNIT NO. 1412 12/11 /57 5e00 TL
Pil5 ect Address _• 6.3 /7 t U . sl Til 3/� - •
Applicant's Mailing Address /5.9.9 Lc�1 inat/�e-41: TYPE OF CONSTRUCTION , U NEW U ADD U ALTERATION U REPAIR
.I /q✓l q 1 / ,// -tip—y)n ❑ CONVERSION: ❑ DEMOLISH ❑ OTHER
Owner's Nam LPM4E.P77ht) Phan /1 (l5 1 ((1� -- A.P.# ZoneC DESCRIPTION OF'`IORK/USE OF BLDG:
Address ���� � S Main Building: Accessory Building:
Arch/Eng. License No. TYPE OF PERMIT L', GRADING ❑ FOUNDATION U STRUCTURAL T Front Q
0 TENANT ❑ EUECTRICAL 0 PLUMBING ❑ MECHANICAL B N
Address }-� (1 r� 7� qI,/� Rear
Contractor's Namr/I/IE FAR15�•'L A]�Q Phone /�a�7Y�[/ 0OTHER- C Right N
Address(mailing) /5 Le kJ QL0 PROJECT DESCRIPTION• SQ. FT. OCCUPANCY K Left G
CON ST RUCTION TYPE VALUATION$ $
City License No. ZONE GRADING CU.YDS. ACRES R
LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: ,t 03 1987 M
0
with section 7000) of Division 3 of the Business and Professions Code, and ��` EIVE� IV QV
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my license is in full/. ce of feet. Si 7e0 ,
Lice •• — - Lce•s- No. UlJ • S
i/J� // ��� tower PLUMBING ' FEES ^C -
Da Signature , P�—• ( /Et3.BC — 4 ifl87
WO ' 'RENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES
r 'hereby a firm that I have a certificate of consent to self-Insure or a certificate
' Workers' Compensation Insurance, or a cud(' copy thereof (Section Backflow Preventer Service Sinkf
100, Lab- C-) �+s', ''ll
Automatic Washer - Transformer 0 15-50 KW-
Policy No. U� Company CA// �NS- Backflow Irrigation - Sewer Cap0 50+KW
9 Construction Pole Sub.
❑ Certify• is - ..y furnished. •
�Q C •
p is ile• with the city Bui ingpiiviy on, AA • Bathtubs Sewer Connection Cooking Unit Meter pup to 100 amps
Date -TION Applicant /f 6/ , Clarifiers •
Solar.Collectors Dishwasher Meter
EXE • 'TION F:• • WORKERS'COMPENSATION DECLARATION Dover 100 amps
-`--.
(This se - -ed 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
snarl not employ any person in any manner so as totbecome subject to the Drinking Fountains Solar Tank Fan
Workers' Compensation Laws of California- \ - - - 1.--___ Motors❑0-1 HP ❑1 h-8
Date Signature ` Fldor Drains /f Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 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 /f Urinal Fixtures - Micro Wave '
comply with such provisions or this permit shall be 'teemed revoked. -- - '
CONSTRUCTION LENDING AGENCY \\ Gas Service/7 Outlets Water Closet Device Boxes
I hereby affirm that there is a construction lending agency for theaperformance ,y Pole Light
of the work for which this permit is Issued (Section 3097 Civ. C.) Interceptors ) Water Heater OvOutlets Range
Lender's Name
Lender's Address ' "— Kitc7(ri Sink Water Service Switches Si n
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OWNER BUILDER DECLARATION �'`L g
I hereby affirm that I am exempt from the Contractor's License Law for the vs - "Lavatories
following reason (Section 7031.5 Business and Professional Code: Any city or Auto-Wash Garbage Disposal 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
any structure, prior to its Issuance, also requires the applicant for such permit r
Trash Compactor
to filo a signed statement that ho/she I5 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 - -
herefrom 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
dnalty 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 intendetl,0J 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 het own DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided-that such Improvements are not intentledror 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 ❑ Zoning Approved By Date
•
p , the owner will have the burden of proving he/she did not bull or im- Duct-Under Ground Building Approved By Date
proverove for the purpose of sale). / •,
•
IDI, as oWner of the property,am exclusively contracting With licensedicon- Duct-Structural Refrigeration System Application Issued By MDat
tractors to construct the projectSection 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 •
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tractor(s) license pursuant to the Contractor's License Law). I am awarii 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 $ �r•- PERMIT
0 I em exempt under Section B. 6 P.C.for this rgason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ s-r'�) ISSUANCE S
•Date Owner I 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 BTL 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-
sentatives of thl, city to ente u•.n the above-mentioned proper[ o
inspection pur.• s. A c1 .� MECHANICAL $ TOTAL FEE $ L:00.
Signature If / /// DIA _G .
""Drivers -
' License or SS � s` rl Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
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CMF 0865.46,re . 0/8• White - Building; Canary -Applicant: Picts.Accounting; Goldenrod - Assessor
CONSTRUCTION ANPLANNING POOL& SPA
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APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical.Service or Pole 52. Pool & Equipment Locations
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-Undrgrhd.
8. Foundation 59. Gas Pipe, 0 Undrgrnrl:,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, D 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 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 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 - ' . REQUI' r ( "
v
31. Plaster Brown Coat 9. FINAL INSPECTION �r }
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED •/
33. Final Electric Notes:(1_23-97 (,,At-tcfg/r Not $uc_ t- &AIsy,G6 / )
34. Final Heating & Air Conditioning
�}SWG1L 20.3 VP.G. L.€rJ
35. Final Gas Pipe-Test
36. Hood or Canopy
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38. Final Plumbing •
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40. Gas Service-Final
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41. Solar Domestic-Final
42. Backflow Preventer _
43. Backflow Irrigation
44. Landscape Irrigation System - •
'45. Sound Attenuation
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46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison `
2
50. Gas Release to Southern California Gas Com •'
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51. CERTIFICATE OF OCCUPANCY •
No - Date _ -