HomeMy WebLinkAbout260 15TH ST - Building Permits PROJECT ADDRESS: 260 E 15TH ST UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 049711
OWNER'S NAME: ST JAMES LYNDA I
ADDRESS: 536 WESTMINSTER PERMIT NO: B 049710 PLAN CHECK NO: N GOVT: N SUPP: N
NEWPORT BEACH,CA 92663
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ADD
4 646-3565
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : REROOF 400SF W/COMPOSITION SHINGLES SQ FT: 1 , 000
ADDRESS: UNIT:
CLAIM VALUE: 1 ,000 .00 CALL—VALUE: 1,000 . 00 GROUP OCC: R-3 /
PERMITTEE: LYNDA TAYLOR ST JAMES ( 714 ) 646-3565
ADDRESS: 262 E 15TH ST COMMENTS: X •
C.M. CA 92626E***** e*r**** r** r************ r*+ ****** E*+ * EE*******+ S ********+ *SMOK* B $Er
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LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z O N I N GREQACKS
UIRE M E N T S
7000)0l Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS REQUIRED
CITY LIC.: STATE LIC.: CLASS:
Date: Signature: MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance. or a caddied copy thereof(Section 3800,Lab. C), • LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
`LICE NO.: EXP.DATE:
aMPANr: PARKING REQ: PROV: PARCEL: 42516103 ZNE: REF NO:
•0 Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES>
> /
Date: Applicant: *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($tip)or less). D E V E_•L O P M E N T SERVICES REQUIREMENTSI.
I certify That in the performance of the work for which this permit• issued,I shall not a r'rloy any person in any :p n r pas to become
•
t sublect
to theEWorkers'� Compeenn�sa�tionJLlaws4f California. /
/ ZONING APPROVED BY DATE:
1 Date.ter-3o /' ?L 'Signature: / / ._ .- .:'. !Id t • i.'///i r
NOTICE:II.after making this declaration,you should bec e subject to the Workers'Compensati• provisio orf the Labor BUILDING APPROVED BY DATE
r Code,you must forthwith comply with such provisions or this permit shall be deemed revoked.
gAPPLICATION ISSUED BY; DATE• 0 3
CONSTRUCTION LENDING AGENCY: hereby affirm that there is a construction lendingagency for the performance of the work for �—
whichthispermitisissued(Section3097,Civ.CT ********************** '**************************************************** 4
LENDER: ***************************************************************************,.***
ADDRESS: LEGALIZATION:N F E E S U M MAR Y STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/AES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct.alter,improve,demolish,or PERMIT 25. 00 5 0 '
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed • SMIP/NON—RES
pursuant to the provisions of the Contractors'Stale License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by
1 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($51X). ISSUE FEE
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILD ING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
7 structure is not intended or offered for sale(Section 7044.Business and Prof essional Code: The Contractors'State License Law TOTALS- ---> 25 .50 0 .00 0 . 00 25. 50 25 . 50 .00
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 employees,provided that such improvements are not intended or offered for sale. If,however the building or REVENUE DIVISION TOTALS--> COLLECTED: 25. 50 OVER/SHORT: 00
orimprovement is Otsolds le)hin one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
Lor the purpose of sale).
I.as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 25• 0 0 . 50
and Professions Code: The projectsContractors'wit State License Law does not apply to an owner of properly who builds or improves thereon *******************************************************************************
and who cts for such with a econtractor(sf license pursuant to the Contractors'State License Law).I am aware
that proof of their Worker's Compensation insurance should be provided t. me. I 'N D I V I D U A L F E E BREAKDOWN
O I am exempt under Section: B.&P.C.
for this reason: TYPE QTY DESCRIPTION UNIT COST TOTAL COST
Dae: 6e4 30 pqd r
Al/ '�3, A SFR 1000 REROOF BY VALUE RESIDENIAL NOZONE 1 .00 1 ,000.00
I do hereby certify that I am aware of and understand the requirements of Calilo is Health and Safety Core Sections 25505.2 i3,and — END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit Int construction or moddicalion from the Air Duality Management District.Residential construction applications are exempt from ` •+,•
these provisions.
`fir
Date: Applicant: 1!CITYCOCFTC03
I hereby certify that I have read this applicati -and state that lit bove information is correct.Iagree to coly with all city an�county01990 'ordinances and stale laws relating to buildin construction and ny authorize rept entativesol this city to enll upo above-m ntioned
DmpertyforinsmOimp�urpases. c� n _M1 itDale: 3V/ /.J Signatwe /l a�f '/1 ,I �1 /!� STtt F
Driver's License or Social Security a: �ES� fr
164645 White—Building:Green—Code Enforcement:Canary—Applicant: GoldenrM=Assessor J--` /O � /
CONSTRUC,.LION AND PLANNING, • I -& SPA
APPRCID/ALS. 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. EI_ectrical Conduit"Undrgrnd. . ' 55. Electrical Bonding _ i
rE5,$teel Reinforcement 56. Rough Plumbing& Pressure Test 7
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 't'
n G
'.=:.7,;(Footings 58. Electrical Conduit-Undrgrnd.
8.Foundation .;N 59. Gas Pipe, 0 Undrgrnd., Test 0
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. Sa'wer Cap
_• _ 63. Heater & Vent-Final -
13. Roof Drains r 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 +
cw
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING ` I
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
IL I19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT '
..r t :3
20trRough Factocy F`.lreplace i U'arr• rt-+ > 0 :-3 Ta. s. 'APPROVALS'::'CPer.mit # * +• "'
>. -cis. in-Stcticture,,..f T�. i c--t- Z ,- .{
• .). ♦ 'f 'y 7''t: 1 -c 7121,_Ducti Ht : =;70. Undergreund Hydro a
22. Ducts, Ventilating •
...:IS _. •� _ �< = r71. Product*Pjping 0G-es O•Oil -. -
231.Gas Pipe`Rough&-Test cos � r, t' t4 5Z' , _,72. Underground FlusM.`t *
24:rRoof Framing ha -•;r - a h 0 ' y 5739"Undergrnd'.Storage'Tank:CGas�0OtI •• '
_ • r
25. Roof Sfitiathing ,F v ;''. it 119 q"n iOkz _ ,' -'74_-Over head'Hydro 0 Z. t;
26 T-Bar Ceiling (Structural) &dutonocoat 12 tact a. 75�Ory Chemical "'_t s '-+ _ --
._ a _. .. _ M" L
27t-Frameand Flashin ru-~ _ ' 1• -'"' ,^.3= t^ 'x
z ox^• s �• >- ta7, ;. 76' Dry Stan011ie , ;p /1:5."
1.
, 28. Lathing;& Siding + c-; 'yyH t '' "` : - t - r v „
'-'1 " ••" 77.- FIXED SYSTEM.&INAL�'
1.'29. Insular an o ,' O S '• > t'1 I I k '- 78,?FIRE PREV. FINAL ;. _. a• „
?•30. Drywall Nailing y. ' •� x. I 'iC + '-' HEALTH:DEPT. REQUIREMENT
•,31. Plaster Brown Coat ,S -.r 1,791=FINAL IISISP_ECTI;2N ' G b' -_
-,32-Electrical P wer Mater,;Finab ' ?. ,v 0, , r80.'FOOD CERTIFICATE ISSUED
�33`Fin`al E12ctrtc '3' s "' 'Notes: ->2. '' r
p�;34:-Firu'1 Hc_atingj& Air Condition%g n p I I
` ,+.' u•,
<. :7 to ,‘ •'
35r-Final GB3 Pipe-Test r" I
It _ C. '' > t'
::0 G,.0 s. SO
'-+t>•
` ..36.�Hood oir. _CanoPY r �•t r , - a .r w -_ r x ^o - .rt ytr
I •, - ~ _
"37;LFinal Factory FirePlace•� 1 �:' ' ''1 �r• f
_ _ `r '' •La'38. FinaPlumbin9 r , ' - •. .� : 3 j!, ic r L C
^39. Water Service-Finali- '£ I •., ? I I ; t trti Y. I.; C
ra
;40. Gas Sereice-Final rrt •r•r.t.: * ti I l; rr' p v N_cti r LIc
41. Solar Domestic-Finals fi •: 4 :mss i art! i
. _
r -, 4 I:. + .v a- :
' 42?'Backflow Preventer` t 'fit '- - I ( p. $.-1t-'i '. .`i
43. Backflow Irrigation SJ •x Ct-c ' ':
„Cr.44. Landscape Irrigation System w, • t,t r✓ c.t - t: n; C3 .'_�. +: ' co a
':45;Sound -Attenuation .-'c*[ 'T' :e X [ F� F : +. "1 _ti i-; r(7,1 r,
. . .. - trl KI the }
n461 Handicap Regulati4hs P7 '-.2 f '• x Co •
�-47:,;FINAL STRUCTURE & BLtk&DING M rr C'o s
rr. I i �� 1 F t" y;
48i`FINALPLANNING I 'tr 9h3 €(I �} _J _
,49'Electric Release to Edison _ J F a - •i :: _
LL .
_ IIS - •
50..Gas,Retease to Southern California Gas Co r_
';51. CERTIFICATEOF,'000UPANCY c a
No. Date /
LN - / 44