HomeMy WebLinkAbout311 21ST ST - Building Permits PROJECT ADDRESS: UNIT:
OWNER'S NAME: 311 21ST ST A CITY OF COSTA MESA — BUILDING PERMIT PERM NO; P 063225
ADDRESS:STOAKES
SAME PERMIT NO; P 063229 PLAN CHECK NO; N GOVT: N SUPP: .N
•
CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH
ARCH/ENGINEER: REG.NO.:
ADDRESS: UNIT: JOB DESCRIPTION : REPLACE WATER HEATER SQ FT:
PERMITTEE: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
AoDREss: EARL' S PLUMBING ( 714 ) 642-7753
1526 NEWPORTcPBL / n o 7 COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT
fin CTfl MF HF rl 'p 626Chapler 9lcommencin #**$**X'*IE######iF#*****************################*######xa#######*#########*##
LICENSED CONTRACTOWDE LA ATION: 1' a eby affirm that I am licensed un er mviv g with Section
7000)of Division 3 0l the Business and Professions Code.and my license is in full force and effect. Z ONING REQUIREMENTS
CITY LIC.: STATE LC.: 5CLASS:
SETBACKS
005938 2176e7 C36
MAIN BUILDING ACCESSORY BUILDING
WOW OMPENSATIONDECLARATION: I hereby affirm tha vencertificate ofconsent tosell-insure oracertificate alWorkers' FRNT; FT IN REAR; FT IN FRNT; FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.:13 3 9 2 7.5—9 3 EXP.DATE:
03/01 /94
COMPANY:STATF PARKING REQ• PROV: PARCEL: 00000000 7.NE; REF NO;
❑ Certified copy is hereby furnished. Certified copy is filed with the city Building Division. C5
,ry �1 /may --::.2.....e PLANNING N TES>
_\ Dale: /��/rte Applicant !/ /' = rJ
_/j TEj('###############k#####x##x#±E xx#########IE##iE###kx#xfti0##1E M.j(####%xx##)(-#iE%#xiEx##)E#
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This sec-:,enol be completed if the permit is for one hundred($100)or less). DEVELOPMENT S E R V I C E S," REQUIREMENTS
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
subtecl to the workers'Compensation Laws of California. ZONING APPROVED BY tP DATE:
Date: Signature:
NOTICE:If.after making This declaration.you should become subject to the Workers'Compensation provisions of the Labor
Code.you must forthwith comply with such provisions or This permit shall be deemed revoked. BUILDING APPROVED BY : 4 • DATE;
. CONSTRUCTION LENDING AGENCY: I hereby affirm that(here is a construction lending agency for the performance of the work for
which this permit is issued(Section 3097,Civ.C). APPLICATION ISSUED BY: DATE: 77ED
LENDER: ******############%##BE#A:###stint#####ieie#ir# # ###je/tie*It****k############8 ###xx####
ADDRESS: ##############xi(-######******#####fE#####fE######k###x###x##fE#####x############x##
LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N
OWNER BUILDER BDECLARATION: hereby affirm that am exempt hic the uomra per State License law forthe ve,oreason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SM IP/RES GRADING
(Section 7031.5 stc ure.prio and Professionalnce, Code: Any city county which requires a permit 10 construct,alter,improve,demolish,or v
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed PERMIT 7, 00
Pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 2 5% SNIP/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than rive hundred dollars(S503),
ISSUE FEE 2000
,
I. as owner of the property or my employees with wages as their sole compensation, wit do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/hersell or through TOTALS——--> 7 . 00 20 . 0 0 0 . 00 27 . 00 27 . 00 . 00
his or her own employees.provided That such improvements are not intended or offered for sale.If,however the building or
improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED • 27, 00 OVER/SHORT: 00
for the purpose of Sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SHIP/TOT GRADING PLAN—CHECK
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 27. 00
❑ and Professions Code: The Contractors'Stale License Law does not apply to an owner of properly who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware
that proof of their Worker's Compensation insurance should be provided to me. ########################################x#######x#######BE#####k##########x#####
❑ I am exempt under Section: B.8 P.C. INDIVIDUAL F E E BREAKDOWN
for this reason:
TYPE QTY DESCRIPTION UNIT COST TOTAL COST
Date: Owner:
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and PLU 1 WATER H EATER AND/OR VENT 7, 00 7 . 00
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 END OF FEES
permit lot construction or modification from the Air Duality Management District.Residential construction applications are exempt from •
these provisions.
Dale: Apblicanl:
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned
property for inspection purposes.
9;jg yep - �VY el143?38 0014S7S8 TOT $
Date. Signature'
Driver's License or Social Security s: pT t 0729/93 TINE: 25:29 �•00
1641.46 White—Building:Green— Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
,
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CONSTRUCTION AND PLANNING POO' PA
APPROVALS Permit c Date Inspector APPROVALS Permit Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equgimmrt Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3 Elect-Ical Conduit Lit -Unergrad. i 54. Forms i-
4. Electrical Cordwt•Urd^•• d. I 55. Electical Bnrd.i'g I
5. Steel Reinforceme r -I 56. Rough Plumb nr & P?cvurc Test
I
6. Electrical UF ER Grnri 57. APPROVAL TO COVER-GUNiTE i
7. Footings j 58. Electrical Ou_du t ,.i,j•L211:• i .__
1
8. Foundation 59. Gas P.pe, 2 i 1-.li gr'•,1 -res:
9. Vater Pipe•Undrgrnd. 60. Backwash L 177-, P Trey ' L'.-d•,4i,d. I---- _
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Linc & House Connection 62. Bactc,.„sh & Recaptoi Flo:'
12. Sewer Cap 63. Heate, & Vent-En-a!
13. Root Drains 64. Plumbing System F.":l
14. Rough Plumbing 65. ElectricalFinal
L
15. Rough Etectrieai•Cordu t , 66. Solar System-Final -
i 16. Rough Electric"ring I
ffi 67. Fencing & Ace 4pPo:a! I
17. Rough'?ring S'Ign � 168. APPROVE') FO.i PLASTERING -� - - - -
18. Rnugh Electricu'-T B-ir Ce•Fng 39. POOI_'SPA SYSTL"S FINAL
19. Rnugh Heating & Air G,rdlts^.ng FIRE 4FPT. AEQUtREh1EhT
� I I
20. Rauch F.ctory F'rrp ace i APPROVALS 2•ri:dt •
21. D..01;,in Structure I1' 70. Undr.g.o H;...o -- -�
I22. Duct, Vent:l:icing L71. Prudret n nirg ' _Gas 110 .
23. Gas Rise-Rough & Test
I - - --- -- - -- - '
� 72. Underground Rase
24. Roof Framing - Gas 9 %3. Undcrgrr.ri 'or,.�, T„r,�--_r r^., 1. GI; I
25. Roof Sheathing 74. Overhead llvdrr,
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical -._ I---
27. Frame and Flashing 76. Dry Standpipe
28. Lathing& Sirl.ng ! i • 77. FIXED SYSTE'.I FINAL _
29. Insulationi I l 78. Fl RE PREV_FINAL J - •
30. D'f:.a': i!.ii- no II WEALTH DEPT. REQUIREP:EI'T
31. P stir 3rar,n Coat I 79. FINAI I`:'_pL - -
32. Electrical Po,',er ;.:etar_Finui I • 30. FOOD CL'. (IF 11::.,7 F ISSUI D --- -_ ___- 1 - _ -
33. Flra' Elcur c .i i iUot:a: - - - - -- --- - __ _
24 F ^.;! Heutn.o gi Air CT-.1.t 011.i.; _1-
•
35. Foal Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing d/1/q?l ���.-r��c. -___-._ _.. -- -__. _ -_-
39. Water Service-Final •
40. Gas Service-Final
41. Solar Domestic-FinalI 1
42. Backflow Preventer
43. Backflow Irrigation - -
44. Landscupe Irrigation System
45. Sound Attenuatior _ ___ __ _ _ _
46. Hal:dicap Regulat o::, _-__L__. _. i__-__- - _ __ __-_-_
47. FINAL STRUCTURE & BUILDING
.I
48. FINAL PLANNING .e
49. Electric Release to Edison .n
50. Gas Ralease.to Southern California Gas Co I C- -- - ---- ---
51. CERTIFICATE OF OCCUPANCY ~ - -
No. Date I
I