HomeMy WebLinkAbout207 22ND ST - Building Permits ADDRESS OF WOWS: Wit GREGORY N WitCITY OF COSTA MESA — BUILDING PERMIT
RS NAME IF MOWN: •
NO: B 072861
onlE
! WILSON LORI D
f ,,. ADDRESS:
2111 StERLING AVE PERMIT NO: B 072861 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA,CA 92646
APPL.IWUNO ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION : T/OFF RE—SHEATH & RE—ROOF W/COMP . SQ FT: 1 , 400
ARCHITECT OR ENGINEER: UC.NO.:
ARCH.OR ENG.'S ADDRESS: Wit CLAIM VALUE: 1 , 400 . 00 CALC—VALUE: 1 , 400 . 00 GROUP OCC : R-3 /M-1
CONTRACTOR'SME COMMENTS : SMOKE DETECTORS ARE REQUIRED IN EVERY BEDROOM & HALLWAY, 1991 UBC
CONTRACTORS MAIUNO *****1ElElEIfiF1f****1E1FiE1E1E1f1EiEiE1E1E1E1kiE*** 1E1EiElFiE1f1E3EiEiElEififlElE3E9EiEiE1ElE1E1E1(-1E1E1tilt*iE1FiE1F1EiEiFBEihikiElEiEiE***
ADDRESS: UC.NO.:
ZONING REQUIREMENTS
°N` SETBACKS
LICENSED CONTRACTORS DECLARATION:I hereby alliin under penalty of perjury that I em licensed under provisions of Charter 9
(commencing with Section 7000)of Division 3 o the Business and Professions Code.end my Ikons.'is infund effect. MAIN BUILDING ACCESSORY BUILDING
CITY LIC.No.: LK.CLASS: UC.No.: FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
M •1 Date: Contractor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT : FT IN
WNER BUILDER DECLARATION:I herebyeffinn under penalty of perjury that l am exempt frau the Contradon Lioese Lew forth PARKING REQ: PROV: PARCEL : 42614404 ZNE: REF NO:
reason(Section 7031.5 Business and Professions Code:Any city or county which requires a permit to mnstud.alter,improve.
awash.or repair any alnrcp°e.error to itsissuance.issuance.eoe.also requires the applicanl for such permit to fie a signed statement that hes she PLANNING NOTES>
licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)d Division 3 of the >
Business and Professions Code)or that he or she is exempt therefrom and the basis la the fallegedive exemption.Any violation cSwion *******************************************************************************
7031.5 by any applicant for a permit subjects the applicant to a erred penalty of not more than Rive hundred dollars($500)).
❑ I.as owerdthepmPnyormyempoyeeswithwagesatheirsolecompensation,willdotMwork,andthestructuresrofintended DEVELOPMENT SERVICES REQUIREMENTS
or offered for sale(Section 7044,Business and Professions Code:The Contraclors License Law does not apply to an Owner of progeny
who buds or improves thereon.end dip does such work himself or herself or through he or her own employees.provided lhel such ZONING APPROVED BY DATE:
improvements are not intended or offered for sale.If,however.the building or improvernem is sold within one year d completion.the
ownerbuiter wit have the burden A proving he or she did not bid or improve for the purpose of sale).
❑ I.as newer of the property.am fuchsia*contracting with"sensed OXIIISCIOM to construct the prdecl(Secticn 7044,Business and BUILDING APPROVED BY : / 7 DATE:
Professions Cab:The Contractors License Law does not apply to an owner of;moony who bufds or improves thereon and who
Yb contacubrerh Pmjeda Mr/tit Iicensad Pmusmtothe Cotti� nor bit' /D ER. APPLICATION ISSUED BY: _ DATE: . p
93—
I am exempt under Seclon: B.A P.C..br this reason: *.*.**.*.**.*.*.*.**.*.**.******* .,{3.•ie **********TVr• • • •* •** ,
Date: 4//7 /55 c;: , 4,-.f.-C LEGALIZATION:N F E E SUMMARY STRUCTURA SEGMENT: Y
I do hereby certify that I am aware of and understand the dram anomie Health and Safely Cads Sedum 25505,25533,and
05534,and that l or any Mum buildingomeent,ll/wil one)need to comply with said stem codes and thersghdreerds kr BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
e perms forcordmoticn or modification from the A'rO yu anggemae District.Residential gMnidion•ppicatons en exempt ran thea PERMIT 33 . 00 , 50
proisons.
SMIP/NON—RES
Ode: Applicant: PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: ISSUE FEE
❑ Ihave and wilmaintain a tett/cats d cowed to selfiadeMmarry'compesations,proidedfobySection 3700othe Laba BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code.for the peformanceduelawl
work kr issued. TOTALS----> 33 . 50 0 . 00 0 . 00 33 . 50 33 . 50 . 00
❑ I have end el maintain workers'compensation insurance.as required by Sermon 3700 d the Labs Code.for the performance d the
work for whihthis home isissued.Mywriters'comPemat°n insurance e
anceaanr and poicyaunbe ereREVENUE DIVISION TOTALS--> COLLECTED: 33 . 50 OVER/SHORT: . 00
CBO1ef: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
Policy Number _ --- 33 . 00 . 50
spas section need ml be completed I the permit is tor one hundred dollars/5100)or lea.) •
•LJ Icerily Mat in the performance of the work for which the Permits issued,I shall ndemOlofaM peteon nary manner eoIIS lo **1E***1E******1lffEik*******iE**iEi ********iE*iE*1EfE1l****IE*****iE**************fE*iEfkib*****-1f
•
become subject!o the workers'compensation laws of Graduals.and agree this if count eh
become bjed to the wc*ss'
compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply ' Oma provisions. INDIVIDUAL F E E BREAKDOWN
Dale: CeFsU 5•os1 nlei2r✓� f ubject/_"�J TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Warning: t to to secure workers'compensation cawereg•I•unb ,•M stet subject an employer to e. pMlmes and
de/r fineawto one hundred thousand dollars($100.000).In nro the cost of compensation damages as provided for m SFR 1400 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 1 , 400 . 00
Section 3706 0l M Labor Coda,Interest and Mom
CONSTRUCTION LENDING AGENCY: I hereby affirm under penury dagency that there is a construction lending for the END OF FEES
performance of the work for which this permit is issued(Sed'on 3097.Civ.C).
LENDER'S NAME:
LENDERS ADDRESS:
I cenify that 1 have reel this application end date that the above odanwion is cared.l cepa to comply with alt caY end count ordinances
end state laws relating to building cons:maion end hereby authorize representatives of this lily to enter upon the abms'mW bred property
loinsp/mynnPrpoa.G..REG WILSON
(1,-F--6 for11,5s c.
--I� Prim w ^ ._ •••-0-'
Data: �/7/] c"---
(SI
I Nature d OwnerlApsnVAppirenpCatlredpr �-�1
(5151 d6.WP) Whto-&tiMtq A Salary:Orson-Fla;Canary-Ha"'
Pink-Revenue:Goldenrod-Avxsea
i
• CONSTRUCTION AND PLANNING ' PO 4 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 L._ •_
5: Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. • 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
B. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
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. 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 Ceilingi 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace - H. APPROVALS Permit#
21. Ducts,in Structure - 70.'Underground Hydro ,
22. Ducts, Ventilating- 71. Product.Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing ...?. . • 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26: T-13Ceiling (Structural) & Monocoat 75.'Dry Chemical -
B
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 I _
I
32: Electrical Power Meter-Final - 80. FOOD CERTIFICATE ISSUED
33, Final Electric Notes: - •
- 34. Final Heating &Air Conditioning . 6-1-z.--75_ S0e0y,4
•
35. 'Final Gas Pipe-Test ` - - _ 4-64--
.
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 ;t, • -
44. Landscape Irrigation System • -
45. Sound Attenuation
46..Handicap Regulations
47. FINAL STRUCTURE & BUILDING � �
48. FINAL PLANNING . /�/�'
49. Electric Release lo Edison .- -
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY - -
No. Date