HomeMy WebLinkAbout2057 Tustin Ave - Building Permits 1
ADDRESS OF BUILDING: 2057 TUSTIN AV UMT: F CITY OF COSTA MESA - BUILDING PERMIT
O1NIERSNAME IF KNOWN: DAVIS DEBRA PERM NO: P 071976
ADDRESS/ 2057 TUSTIN AV #F
COSTA MESA, CA 92626 PERMIT NO: P 071976 PLAN CHECK NO: N GOVT: N SUPP : N
631-1014
APPL.MMUNG ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: OTH
ARCHITECT OR ENGINEER: ANO.: JOB DESCRIPTION : DISHWASHER CHANGE-OUT SQ FT;
ARCH.OR ENG.'S ADDRESS: UMT:
CLAIM VALUE; CALC-VALUE; GROUP OCC : R-3 /
cownawnwe NOCK PLUMBING ( 714 ) 895-1246
cWNTRACroRSYMUNG 11612 KNOTT ST COMMENTS : NO OTHER WORK AUTHORIZED BY THIS PERMIT
ADDRESS: GARDEN GROVE CA UC.NO_ 511971 ***+ +t**ir******x**+c**r** -artier*,til-*ic*at*****r-acaae41-4 rc+t**** car**99-* E***N-94r*Wt.N-* E+E.a+c*r*+t**+a
92641 WIT: 17 ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby Slim under penally of perjury Mal I am licensed under provisions of Chapter 9 SETBACKS
(commencing with Section 7000)d Dimon 3 d the Business and Professions Code.and MY Boerae is in ND force and elfed.
CITY LIG.No.: 0 0386 LIG.CLASS: C-36 UC.NO.: 511971 EXP : 02/96 MAIN BUILDING ACCESSORY BUILDING
Date: el 17/c} 5—
Cor U PLUMAC9A1 FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN
LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penalty d perjury that I am exempt Iran the Contractors License Law for the
r r following reason(Section 7031.5 Business end Professions Cole:Any city or county which requires a permit to construct after,improve. PARKING REQ: P RO V: PARCEL: 00000000 Z N E; REF NO:
demofah,or repair any structure,pato to its issuance.abo requires the applicant for such nprna to fie a opal statement that he or she
:,licensed pursuant to the provision°of the Contractors License Law[Chapter 9(commencing wuh Section 7000)d Division 3 of the PLANNING NOTES>
aquas°end Professions Code)or that he or she is exempt therefrom and the basis for the Staged esernption.My violation of Section >
"9031.5 by Bmy upicent for apermit edgects the applicant toacivil penalty drat more than/ve hundred dollars X5500)). **********************************************ire*1f******************************
❑ L as owner of the progeny or my employees at wages as then sole compensation.veil do the work.end the structure a not intended D E V E L O P M E N T S E R V I C E S R E
r offered for sale(Section 7ou,BumContractorsss and Professions Code:TheContractorsr ors license Law does notapplyto an Owner of propend Q U I R EMEN TS
who buids or in proves thereon.and who does such work himself or herself or through he or her own employees.provided that such
improveowner-builderdaren havente'urdnofpoffered r wing hhaceshle.If.heeadndbafidoiimng ww.I°Icetheipseor sold al)one year d`°'"pl.ti°"'the ZONING APPROVED BY . . DATE:
❑ I.as owner of the property,am esdtvivey contracting with licensed contractors to construct the pitied(Sedbn 7044,Business end
Professions Code:The ernrscors License Law does not apply loan owner of properly who builds or improves thereon and who BUILDING APPROVED BY : DATE:
contracts for faith Protests with a rntracto(s)licensed pursuant to the Contracted License Law).
ElIamexemptunderSection: B.AP.Qreason: APPLICATION ISSUED BY: DATE: /" <07 .
Date: Owner ************************ **************************************** **ref ****
Idohereby caddy tlrnawrednd
and LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT:N
r
25534, f Mrlrany
otMOdi5 bilfomtheAWQ/wU onaot ger os)nee]bmmpywahsidRmemdsrdleeremptfromnbr BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
perms for matt or anrmoeevstonhrnt son l/wi argemstDiNed.R®oin colt sand nwcoraiomrherempemethese lot
provisions. PERMIT 7 . 00
Date: Applicant: 25% SM I P/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally d pequy one of the following declarations: PLAN
affirm
❑ I have and will mmaintaina ceMcae of consent to selfiure compensation,nsfor workers'cpensation,as providedd for by Section 3700 the Labor ISSUE FEE 20 . 00
Code,fotheperfrmanceol ewrkfrwiiehthis pr,mis issued. BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ I have and wit maintain workers'compenadnn insurance,as required by Section 3703 ache labor Cede,for the performance of the TOTALS----> 7 . 00 20 . 00 0 . 00 27 . 00 27 . 00 . 00
work for which this permit is sued.My workars'compensation insurance wrier and policy number me:
Carrier cTATP EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 27 , 00 OVER/SHORT: . 00
Policy Number 11 A'794Q7-95 03 /01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
Tis section need not be completed!the Pratt a/or one hundred dopers fit0O1 or lm.) 27 . 00
❑ I candy that in the pedrmrce of the work for which this permit is issued.1 shall not employ any person in any manner so as to
become tjvin compensation BlMxxn becomeeubled to the workers' ***********1F***************************************Mf f*********
****************
ccompenaio4isy Section 37he Leber Code.I shell fort provisions.
/ Date: f/27/9,� Applicant: IND I V IDUAL F E E BREAKDOWN
Warning:Failure to secure workers'compensation coverages unary;and shall*Weer en employer to criminal Peals rd TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil rens rep to one hundred thousand dollars($104000),is sddltbn to the cost of compensation damages as provided for In
Section 3706 of the Labor Coda,Interest and attorney's fees. PLU 1 DISHWASHER 7 . 00 7 . 00
• CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there IS a construction lending agency ler the END OF FEES
worm./the work for which the permit is issued(Section 3097.Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that l have read the appliccatiioo(nt and state that above udomalion is coned.I agree to comply with a0 city and county ordinances '
and state II relating to building ruction and he authorize representatives of the city to enter upon the above mentbned properly
for inspemap pymoes*kJ
..--"" 1 Print Name
IM —.9.112241-17
01 00180710-00150710 TOT 27.00
"--��� Data: Z7 GATE: 04/27/45 TIHE: 10:16
Signatu A °UAPYcemur,orurador
(5151-40,WP) White-Building 8 Soley:Green-Rb:Canary-Appicant,Pink-Revenue;Goldenrod-Assessor
CONSTRUCTION AND PLANNING POOL ?A
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
3. Electrical Conduit Utility-Undrgrnd. 54. Forms •
4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding •
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test j
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, 0 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 f.
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 HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED //�'
33. Final Electric Notes: 1C/M,fiL / A- /1
�
34. Final Heating& Air Conditioning
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. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No Date