HomeMy WebLinkAbout333 22ND ST - Building Permits. APpllcant t0 fill in all ipaees axcapl those withln �eavy 4orCer Ilnez anE sign all app�oprlata decla�ations. . .. .
CITY OF COSTA MESA ' PE MIT f�%O� "f-}iACT N�. LOT NO. � BLD . .
CONSTRUCTIONPERMIT ' ! i�-- 4285 2/14/84 37.5�
Project Address -- • •-� � � �/ ' p ^ p� TYPE OF CONSTRUCTION NEW nDD, TERATIOrv REaAI R �
AppliCenYS Mailing,�,4�{ �dfeu .��� �/� P�IP��- cl •/'7. C��� ❑ CONV ERSION ❑ DEMOL � OTHER ��' �/ ✓ q p# Zone
Owner's Name
�"�ar' � C C��C ' 7hon0 DESCRIPTION OF WORK �d Ll�n/iC �7i r+;. s Main BUilding: ACceisory Building: ' Z
Address . 3."�; `�� r1� J .. I yl. CL' . - E � O
/�� � TVPEOFPERMIT GRADING FOUNDATION STRUCTURAL T Ffon[ N
Afch/Eng. /_YA LiCenSe N0. ❑ TENANT ❑ ELECyBLCAL � PLUMBING ❑ MECHANICAL 6 Rear � �
Addfess � � ❑ �OTHER 'l . q ' N
Contracror'eNnmr�. � . . � Phone �S(_�q'!)�'S�I PROJECTDESCRIPTION. 5 T. OCCUPANCYp C Right G
IAddress lm '�' „� ^��' 7�� ''�� L�� 'S `9 r C� CON STRUCTION TVPE ' VALUATION $+�p lY5 . G � g Left . � R
` ZONE GRADI GCU.VDS. ACRES , d
� City License No. � 3 Q7`.�'-Z- Pln9. Ref. # Park. Fees $
(� LICENSED CONTRACTOR DECLARATION U
Remarks: Parking Req./Provided �
\I hereby atflrm that I am Ilcensetl untler provl5lons of Charter 9(commen<Ing R
wlth section ]000) of Divislon 3 of the s ness antl Grofessions Cotla, antl U5¢ of Building: E
my Ilcenie is In f Wy for e nG ect. .
Ci���� n b'�u � PLUMBING FEES Planning Notes: M
\ Llcense Class ` s E
Date�� �4-,i� Si9nature '
U'^RKERS' COMPENSATION DECLARATION Bar Sink Showers N
eby af/irm that I have a certlflcate of consen[ to self- nsure or a certlficate T
Jorkers' Compensatlon Insurance, or a certltlatl copy thereof (Section Backflow Preventer Service Sink S
3noo, Lab. C) q ('' Backflow Irrigation Sewer Cap ' ELECTRICAL FEES
Polity No. �l ���/ � � � Company ���� f��`+� ��
A CerUfled <opy Is hereby furnishetl. Bathtubs Sewer Connection Automatic Washer Transformer ❑ 15-50 KW
pQ Cerll fietl co y ip tlletl with the tlty By�Itl)n� Djvis(pn. ❑ 50 + KW
Dateij'�� �"�( Appucant L�0/�/F-1 R�-JA�/TLi�( Clarifiers SolarCollectors ConstructionPoleSub.
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Di5hwa5hef Solar Piping Cookin Unit Meter �u t
(Thi558ttiOn n!¢d not be completetl Ii tha pe�mlt i5 to� one huntlratl (EI00) o� j p o 700 amps
lass) Drinkin Fountains
I certlty tnat in the pertormance of tne work for wnlCn tnls perm�t is Issuetl I 9 Solar Tank Dishwasher Meter ❑over 100 amps
shall not employ any person In any manner so as to become subject to t�a _
Workers' Compenzatlon Laws oi Californla. . Floor Dreins Swimming Pool w/Spa Dryers OGas ❑Electric Suh Panel
Date Si9nature
NOTICE: If,iafter making thlt tleclaration, you znoultl berome subject to the Floo� Sinks ' Urinal Fan Morors O0.1 HP O1'f.- 8
Workers' Compenution provl5ions of the Labor Code, you must torthwith
comply with such provislons or this permit shall be tleemetl revoketl. GaSService Outlats - Wate� Closet F.A.U. Inc.Solar �9-15 HP �16-15+
CONSTRUCTION LENDING AGENCV
I M1ereby afflrm that tnera I5 a constru<tion lentling agency for [ne performance Interceptot5 Wa[er Heater Fixtures Microwave
of tne wark far whlcM1 thls permit I5 Issuetl (Section 308� Civ. C.)
. Lentler's Name Kitchen Sink ' Water Service ' ���
Lentler's Atltlrass Device Boxes Pole Light
OWNER BUILDER�DECLARATION ' LavatOries � ' Outlets Range
1 hereby atfirm that I am exempt from the Contractor's Llcense Law tor tne p—T�a '
following reason (Sectlon 7031.5 Buslness antl Professlonal Cotle: Any city or P Switches ,Sign
county whlch requires a permlt to construct, alter, improve; tlemolish or repalr -
any structure, prlor ta itz issuance, also requires the applicant for such permlt Roof Drains � � ' Garbage Disposal � Standing Sections
to flle a slgnetl statement Shat he/she is Ilcensetl puisuant to the provlsions of
tha Contractor's Licanse Law (Chapter 9(commencing.wltn SecNon 7000) of ' � � J Generator 00.5 KW �5-15 KW Trash Com acmr
R4Fp�on,3 of the Buslness antl Protesslons Cotle) or that M1e/she is exempt � P
'- �y rom ana the basls for the allegetl exemptlon. Any violation ot Saction . ,
S by, any applicant for a. permlt subjects the ,appli<ant to a, clvll Reinspection Fee $25 Issue Fae � $ 3
c
��y ot not more than tive nuntlretl tlollars (5500).
I, as owner ot tne property or my employees with wages•as thelr sole � MECHANICAL Reinspection Fee $25 Issue fee ' $ 3
compensation wlll tlo the work, antl the structure is not IntendeC or ofteretl . FEES
for sale (Sec�ion ]044, Buslness antl Professional. Cotle: The ConVactor's PUBLIC SERVICES RE�UIREMENTS: . ' �
Llcense Law tloes not apply to an owner of a property who builtls or Improws Boiler � . Hood or Type I�❑ �
thereon, antl who tloas sucn work nimselt/hertelf or tnroug� hls or har own Zaning Approvad 6y Data
emD�oy ees, provlCetl tha[ such improvements are noc Intentletl or offeretl for Csnopy Type II ❑
ule. If, however, Ihe bulltling or Improvement I5 soltl withln one year.of com- 1 Duct- Und¢��Ground ' Building Approved By
pletlon, tha owner,will have tha burtlen of proving he/she Altl not builtl or Im- Date_'�/.,/L/L_/...,C(_�
�rom for the purvose ot saie). Duct - Struttural Refrigeration System � Appiintion Issued By ,1 / � Data.�L�
I, as owner of the property, am ezcluslvely contracting witn�licensetl con• ' .
tractors t8 construct tha projett (Section 7064, Business antl Protessions Cotle: -, Duct - Ventilating .' . ❑0-700,000 BTU ❑100,000 BTU SUMMA^RV O�/) EES ' /'�
The Contractor'S License Law does not apply to an owner o/ properey who BUILDING PERMIT �/�� �V /�%� O
builtls or Improves thereon, antl who contracts for 5uch pio7ect5 with a con- Exhaust System ❑ Multipl¢ ❑ System Repai�/Alte�ation $ SMIP $
tractor(s) Ilcense pursuant to the Contractor's Licenze Law). PLAN CHECK $ PERMIT .
❑ i am exampt untler Sactlon B. & a. C. for thls reason Firepl/Fact. Blt. ICBO # ' P�UMBING '$ ISSUANCE $
Date owner Heating System & Ducting �! � PLAN CHECK 25% $ ENERGV P.C. $
1 hereby certlfy that I nave reatl this appu<atlon ana�state tnae the abova -' �❑0.100,OOO�BTU �100,OOOBT � �� ELECTRICAL $ GRADING ;$ '
Informatlon is corre . I agree to comply wlth all city antl county ortlinances �
antl state laws rel g to Ing constructlon, antl hereby authoriza repre- � . . PLAN CHECK 50% $ ' MICROFILM $
tantativas o! t 1 ty t t upon t�e above-mentlonatl property for
Inspectlon pur e �.�_ � � _� MECHANICAL ' $ TOTAL FEE '$ '
Signature � �' .
- Rainspeetion Fee $25 � Issue Fee S 3 PLAN CHECK 25% $ ��
Drivers' LlcenSe or SS.� — -
cmF 0865-a6 rev. 12/83 Whlte - Builtlln9� Canary • AOP���nt vink - accounung; uoiaenroa -qssesso�
t' CONSTRUCTION AND PLANNING > � , . � -- POOL 9 "PA _ . , :
- � ( Date Ins ector � '
��I � C� �, P AppROVALS Per�.... #- � Date ". Inspector
. -C,PPROVALS Permit # ; � .
1. Temporary Electric8l Service or Pole 52. Pool & Equipment Location�; �
` 2.� Soil Pipe-Undrgrnd. ' ' 53. Steel Reinforcement . ' . � _ � , _
_ 3:� Electrical Conduit Utiliry-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 , ' �
i
7. Footings � �' - 58. Electrical Conduit-Undrgrnd. . f-
8. Foundation ' � , 59. Gas Pipe, O Undrg'rnd., Test - � �
9. Water�Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � 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 ' . � . -
74. 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. POOUSPA SYSTEMS FINAL ���� �
�19. Rough Heating & Air Conditioning • � FIRE DEPT. REQUIREMENT, , •
20. Rough Factory Fireplace APPROVALS Permit # � , -
, 21. Ducts, in Structure 70. Underground Hydro �, �
t�2. Ducts, Ventilating 71. Product Piping OGas ❑Oil � '
�23. Gas Pipe-Rough & Test � . 72. Underground Flush � '
24�Roof Framing �� 73. Undergrnd.StorageTank �Gas ❑Oil � � �
25. Roof SFieathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical , -- . ..
27. Frame and Flashing 76. Dry Standpipe � � i , .�
28. Lathing & Siding , 77. FIXED SYSTEM FINAL • �, . ,
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing , � HEALTH DEPT. REQUIREMENT
37. Plaster Brown Coat 79. FINAL INSPECTION ' .
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED �-
33.FinalElectric Notes:��ZQ,g¢ �N �
�.E'oo F. C �
34. Final Heating &'Air Bonditioning � � ' � ,
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 pomestic-Final - ' � '
42. Backflow Preventer ' • . , -, � , ;
43. Backflow Irrigation , . � ,
44. Landscape Irrigation SYstem ' - . �
45. Sound Attenuation .
46. Handicap Regulations � ' ' J
47. FINALSTRUCTURE&BUILDING ,Zq.B� ��` _ , � ,
48. SpeciafRequirements Completed � � '
49. Electric Release to Edison � . - ' � " .
50. Gas Release to Southern California Gas Co � . � . .
51. CERTIFICATE OF OCCUPANCY -- •� L
No. Date , , . . . .