HomeMy WebLinkAbout337 21ST ST - Building Permits�
�
Applican[ to fill in all spaces except those within heavy bortler lines antl sign all appropriale Gecla�ations.
CITY OF COSTA MESA CONSTRUCTION PERMIT PER I N. TRACT NO. LOT NO. UNIT NO. 9064 �IO4/°] ' �o�,
a�o�e�c�,ddress 337 E. 21st St E
Applicant'SMailingAdd�ess 337 E. 21st SC $ TYPEOPCONSTRUCTION NEW .qDD A�TERATION REPAIR
GZ'8Y 863�iSOO � CONVERSION ❑ DEMOLISH ❑ OTHER q,p. � _ Zone
�Owner'sName Phone �DESCRIPTIONOFWORK/USEOFBLOG.
Address 337 E. ZiSC $C E ' S Main Building: Accessory Building:
E Z
Arch/Eng. License No. TYPE OFPERMIT GRADING ❑ FOUNOA710rv STRUCTUR/�� T Front p
Address ' ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL g N
Contractor'sNam�'�e5 P1umb1IIK-He8L1II&phone 53�-2440
❑ 07HER A Rear �
nddress Imau��y1 10422 Trask Ave
PROJECT DESCRIPTION 5a. FT. oCCuvaNCV C Right N
CONSTftUCTIONTVPE VALUATIONS g Left G
City License nlo. 6664 ZO�`1E GRApING CU.YDS. ACRES R
LICENSE� CONTRACTOR DECLARAT�ON Ping. Ref. # Parking Req./Provided E
I hereby affirm li<ensetl un � Charter 9(commencing qem 5��' e eSteL Planning Notes: M
with section 00) o� Oi on 3 [he Busine55 an I Prot �tle, antl
my licenze is n 1 e an ej(e � T
License C 55 �— � License N 0� S
Date �� � Signature � ' PLUMBING FEES
WORKERS'COMPENSATION eG�P.RAT N BarSin'k Showers � ELECTRICAL FEES
� hereby affirm that I bave a c titicate of c nse t to selt-insure or a certificate
Woikers' Compensation I surance, or ¢rtifietl copy thereof (Section
.q �ab. C. Backflow Preventer Service Sink � Automatic Washer Transformer ❑ 15-50 KW
�78832 Re u ic d
Policy No. Co ny Backflowlrri9ation SewerCa � 50+KW
P Construction Pole Sub.
Certifietl copy is hereby furnishetl.
�erti1i�qc,opxi.5 tiletl with the city Buil ' ivi ion. Bathtubs . Sewer Connection Cooking Unit Meter ❑up m 100 amps
Date 7 lb 6/ qpplicant ' �
EXEMPTIONFROMWORKEHS'C PENSATI / EC RATION Clarifiers SOIdfC0112ct0�5 Di5hWd5h¢f M¢[e� ❑ov2�l00dmp5
(Thissection neetl not be camplete it e Permit or one iundretl ($100) or � �
less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel
I certify that in the performance o( the Work tOr which thls De�ml{ is Issuetl, I
snall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan
Workers' Compensation Laws of Californ�a. Motors DO-1 HP �1 %- 8
Date Si9nature Floor Dreins $wimmin9 Pool w/Spa -
NOTICE: If, afte� making this tlecla�ation, You shoultl become subject fo the F�A�U� Inc Solar �9-15 HP �16-1$+
Workers' Compensation provisions of the Labor Cotle, you must torthwitn . p�oor $inks Urinal -
comply wi[h such provisions or this permi[ Shall be tleemetl r¢voketl. Fixtu�2S MiG�Owdv2�- �
CONSTRUCTION LENDWG AGENCV GasService OuUets WaterCloset DeviceBoxes �
I hereby a(firm tM1at there is a con5t�uctioP lentling agency for the performance POI¢ Liyht -
of tne work for which this permit is issuetl (Section 3097 Civ. C.) �ntercepto�5 Water Heater Outlets
Lentler's Name Range
�entler's Atltlress Kitchen Sink Water Service Switches Sign
OWNER BUIL�ER OECLARATION
I hereby affirm that I am exempt from [he ContractoYs License Law for tM1e Lavatories Auto-Wash
following reason (Sectlon 7031.5 BusineSs antl Grofesslonal Code: Any city or Garbage Disposal Standing Sections
wunty which reQuires a permit to Construct, alte�, improve, tlemoli5h or repair p—T�2p LeuOd� T�d 5
any structure, prior to its issuance, also Yeauires the�applicant for such permit Y � Generamr �0-5 KW 05-15 KW Trash CompaCmr
to file a signetl statement tnat M1e/she is licensetl pursuant to the provisions of Roof Drains �
the Con[ractor'S License Law (Chapter 9(commenong with Section �000) of
Division 3 of the Business antl Professions Cotle) or that he/she is exemp[
. �Q from antl the ba5i5 for the allegetl exemption. Any violatian of'Section
�>03 5 by any applicant tor a permi� subjects the applicant to a civil
��Ity of not more than fiv¢ huntlretl tlO�lars ($500). 3
I, as owner of'tne property or my employees with wages as their sole ReinspeMion Fee $15 Issue Fea $.
compensation, will do Ihe work, antl ihe structure i5 not intentletl o� offeretl R¢inspection F¢e $15 I55�¢ F¢¢ $ 3
for sale (Section �044, Business and Grotessional Cotle: The Contractor's ' MECHANICAL FEES'
License Law tloes not apply to an Owner of a property who builtls or improves
thereon, antl who tloes such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: -
employees, provitled that sucM1 improverr�ents are not intentletl or offeretl for Boiler Hood or Type 1 ❑
sdle. If, M1owever, Ihe builtling or improvCmeni is soltl within one yea� of com- CanOpy Type II ❑ ZOning App�Oved By Date
pletioq the owne� will have the burtlen J� Proving he/she Gitl not builtl or im- DUCt - Und¢� Ground @uilding f�PproVCd By Date��///y�{��-�$�/—
provG for the purpose of sale). � �„'— y-f---
❑ I, as owner o( the property, am exclusively contractin9 witn licensetl com Duct -Structural Refri9eration System Appliwtion Issued 8y �Dat
tractors to construct the project (Section 7044, Business antl Profe55ions Cotle:
The Contractor's License l�w tloes mt appry to an owner of property who DUCt- Ventilating ❑0-100,000 BTU ❑100,000 BTU
builtls or improves mereon, and who co�vacts tor suc� orojects with a com SUMMARV OF FEES
tractor(s) ucense pursuan[ to ihe Contractor'S License Law). I am aware that BUILOING PERMIT $ SMIP $ �-�"-
proof of their Worker's Compensation insurance shoultl be provitletl to me. Exhaust System ❑ MWtiple ❑ System Repair/Alteration , ��
PLAN CHECK $ PERMIT � /'�'C�
❑ I am exempt untler Section B. & V. C. for this reason Firepl/FacL Blt. ICBO # Fire Dampeis pLUMBING $ ISSUANCE $ ����
Oate Owner eating System & Ducting Registers p�,4N CHECK 25% $ ENERGY P.C. $
I hereby certi a i read this pplication antl state that the above 100,0008TU �100,OOOBT GRADING $
information correcL I agr to c9m �rth all city antl county ortlinances ELECTRICAL $
antl ztate ws relating t uiltli g s iction, antl hereby authorize rep�e- PLAN CHECK 50% $ MICROFIL $
Sentative o( this o entei p the a ove-mentlonetl Property tOr '
inspecti �
9
- qccounting; Goltlenrotl - Assessor
CONSTRUCTIO�N AND PLANNING POOL & SPA '� �
�APPROVALS Permit# Date Inspector p�ppROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole . 52. Pool & Equipment Location�=
. 2. Soil Pipe-l)ndrgrnd: 53. Steel Reinforcement �
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding �`-
5. Steel Reinforcement 56. Rough Plumbing & Pressu�e.Test
6. Electricai UFER Grnd. 57. APPROVAL TO COVER _GUNITE
7.-Footings 58. Electrical Conduit-Undrgrnd.
�r8: Foundation 59. Gas Pipe, O Undrgrnd., T.est
�.:
-�9?_Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
�tt. Property�Sewer Line & HouseConnection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
�1!3. Roof Drains �' 64. Plumbing SYstem - Final
9'4. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar Syscem-Final
16. Rough Eleciric 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 OGas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank QGas OOiI
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical �
27. Frame antl Flashing ' 76. Dry Standpipe "
c
28. Lathing & Siding 77. FIXED SYSTEM FINAL 4
29. Insulation 78. FIRE PREV. FINAL ,.>
30. Drywall Nailing HEALTH DEPT. FEEQUIREMENT �-i
31. Plaster Brown Coat 79. FINAL INSPECTION � -
32. Electrical power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: ( Z?��$Q� G�f• C'f�Qp, (,,,��
34. Final%Heating & Air Conditioning 3��� �„ '' -
C.��, q5 NtR 300.4 UMG (�.� ,
35. Final Gas pipe-Test
36. Hood or Canopy ,
?
3�. Final Factory Fireplace � `i� i-.
i
38. Final Plumbing � � � �� ��
n
39. Water Service-Final ' . � '� �
i
40. Gas ServiCe-Final � ' '
��
41. Solar pomesticFinal � ' ;' i.;
�•
42. Backflow preventer ' ' - � � �� ,
' o�
43.� Backflow Irrigation ,. ' . c r� � n
� .,
• 44. Landscape Irrigation SYstem � � � ' � � �. ��
45. Sound Attenuation � j�, � F-. �� ' -
46:� Handicap Regulations - � '
47. FINALS7RUCTURE&BUILDING ' � �' � '
c, � �. . .��.�u .
r
48. Special Requirements Completed �- � �� �: 4'' T� `� "
49. Electric Release to Edison � � �'
�
50. Gas Release to Southern California Gas Co `� "
57. CERTIFICATE OF OCCUPANCY ,' . ,
No. Date �- � •