HomeMy WebLinkAbout310 UNIVERSITY DR - Building Permits Applicant to fill In all spates except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA CONSTRUCTION PERMIT PE T TRACT NO. LOT NO.
UNIT NO.
3/D (/1V,U 2sr�y ' lo3 yS 7371 11/17/66 5 0!t- rl
Project Address Q / // / r
A•pplicant's Mailing Address ,/ el 0/t 7;5 so vt% CJ96va/9 TYPE OF CONSTRUCTION LI NEW U ADD El REPAIR •
Owner's Name _Co DA x,10,40 iie649 El CONVERSION ❑ DEMOLISH El OTHER_
hone DESCRIPTION OF WORK/USE OF BLDG. RESTdeirt A.P.# • Zone
Address • S Main Building: Accessory Building:
Z
Arch/Eng. License No. TYPE OF PERMIT U GRADING FOUNDATION 11:1 STRUCTURAL E Front - o
Address . / '/ El TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL
lCl-C1_J-1C 6 ee .J rz -az r 2 ❑ OTHER A Rear N
Contractor's Name /n� 6 OI' SE�!/rYfphpne PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N
Address(mailing) M 0. 4� 5/75 fe y/1 �A6�tiA CI, K G
3 ci CON ST RUCTION TYPE VALUATION$ S Left R
City License No. ( r ZONE GRADING CU.YDS. ACRES
"74.ICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E
I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: Planning Notes: 0M
with section 7000) of Division 3 of the Business and Professions cabana -
my license Is in full orce4i6effect L75 T
Licen Oast. — J(O I No. / _•
S
Date/ N-1i sign ator• ����/��/ . ., 7fl • PLUMBING I FEES
i
_y, WORKERS'COMPENSATIO �/CLARATION Bar Sink Showers
L� •
I hereby affirm that I have a certificate of consent to self-Insure or a certificate ELECTRICAL FEES
Workers' Compensation Insurance, Or a certified copy thereof (Section •
\ )O, Lab. C { ,{' Backflow Preventer Service Sink
\ rolicy No.� +� colt/ Company JA�'f DrJ✓lO4 lN9, Backflow Irrigation Automatic Washer Transformer 0 15-50 KW
-�-L(7�7 �1/6 9 Sewer Cap Construction Pole Sub. 0 50+KW
Certified copy is hereby furnished.
•� Certifie fled with the city Bu',..,- '• vi Bathtubs Sewer Connection Cooking Unit Meter pup to 100 amps
v. Date Applicant ./•r _-' -
•
EX ION ROM WORKERS' %•CPENSAT ON DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps
•
(This section need not be tom Plete�If the permit is for one hundred ($100) or - .
less). Dishwasher Solar Piping Dryers ❑Gas DElectric 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 manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors❑0-1 HP❑1'h-B
Workers' Compensation Laws of California.
Date Signature Floor Drains 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
comply with such provisions or this permit shall be deemed revoked. Urinal Fixtures s Microwave •
CONSTRUCTION LENDING AGENCY Gas Service • Outlets Water Closet Device Boxes
I hereby affirm that there is a construction lending agency for the performance Pole Light
of the work for which this permit is issued (Section 3097 Civ. C.) ^
Lender's Name Interceptors Water Heater d COg
Outlets Range
•
Lender's Address Kitchen Sink Water Service Switches Sign
OWNER BUILDER DECLARATION - g
I hereby affirm that I am evempt from the Contractor's License Law for the Lavatories Auto-Wash '
following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal Standing Sections
•
county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays Generator ❑05 KW❑5-15 KW
any structure, prior to Its issuance, also requires the 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 - '
erefrom and the basis for the alleged exemption. Any violation of Section
11.5 by any applicant for a permit subjects the applicant to a civil •
•
salty of not more than five hundred dollars($500).
LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15Issue Fee $ 3 -
compensation, will do the work,and the structure is not intended or offered - Reinspection Fee ` $15 Issue Fee $ 3 '
for sale (Secion 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 v -
thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: '
employees, provided that such improvements are not intended or 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
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 purpose of sale). -
O I, as owner of the property. am exclusively contracting with licensed con- Duct-Structural • Refrigeration System Application Issued By Dat t /
tractors to construct the protect (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU SUMMARY OF FEES
•
builds or Improves thereon, and who contracts for such projects with a con- - •
tractor(s) license pursuant to the Contractor's License Law). I am aware 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 $ PERMIT
O 1 am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $. Se 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 00100,000 BTU 0100,000 BTL GRADING $
information is correct. I agr0 0 comp with . I city and county ordinances • ELECTRICAL $ -
senland enceslofnrel. •Y to • iter 01 ruc in, emehnteiionedauthorize.r.'-rtrepro- PLAN CHECK 501$ $ . MICROFILM $
inspection IOD •. pos...-„...do. // `�. _, MECHANICAL $ •
TOTAL FEE $ 5. 00
Signator, _ a/ ` Date ` -
Drivers' ense or SS 31
CMF 0865-46,rev. 10/84 White - Building: Canary -Applicant: Pink -Accounting;Goldenrod - Assessor
CONSTRUCTION AND PLANNING POOL &SPA
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 -,
6. Electrical OF 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 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 It 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:4/29/MJ C,Q,KLtc, ag pE(( aAitslJ.Ric Lin
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. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date _