HomeMy WebLinkAbout2044 GARDEN LN - Building Permits Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. 1
CITY OF COSTA MESAatiENSTR UCTI ON PERMIT IPER li. a // TRACT NO. LOT NO. UNIT NO.
n T (v f(J A.P.1V'+ Zone
Project Address C7�ri-.f� ✓..�1�� tt � lllppp S Main Building: Accessory Building:
Applicant's Mailing Address _
TYPE OF CO STRUCTION U NEW ❑ ADD U ALTERATION P1 REPAIR E Front Z
_(. �� �fl�"'/�T34 Phone 650 LO ❑ CONVERSION ❑ DEMOLISH ❑ OTHER B O
Owner's Name ` DESCRIPTION OF WORK/USE OF BLDG. A Rear N
Address i..rI
Arch/Eng. License No. TYPE OF PERMIT U GRADING�yU. FOUNDATION U STRUCTURAL CK Right N
Address ❑ TENANT 0 ELECTRICAL Jm PLUMBING 0 MECHANICAL S Left GR
�h'7-792t 0 OTHER 'Ping. Ref.4 Parking Req./Provided E
Contractor's Nam Phone
p PROJECT DESCRIPTION SQ. FT. OCCUPANCY O
Address(mailing) O �f10.3�3 SRti'T�/}N/4 gr
Planning Notes: M
City License No. 2 0 7 2 —2 f -y� CONSTRUCTION TYPE VALUATION$
T
ZONE GRADING CU.YDS. ACRES S.
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: f1r 2M4 t .-.-FF L /3 A�.n e 3 gm..7
O with section 7000) of Division 3 of the Business and Professions Code,and rvr
1,` my license is In full lord a d effect. �QU�O� — ELECTRICAL
FEES
V` LicenClass 1 Li se No..JV 7 Automatic Washer Transformer 0 15.50 KW
Date �%r Signature _ - PLUMBING FEES^ —
0 50KW
.'''''RKERS'COMPENSATION DECLAR IONConstruction Pole Sub.
eby affirm that I have a Certificate of consent to self(�e or a certificate Bar Sink Showers +
CookingUnit - Meter ❑u to 100 ams
.
Backflow,Jorkers' Compensation Insurance, or a certified copy thereof (Section P P
3800, Lab. C.1 /' //mac L Backflow Preventer Service Sink
Q fzrd 5 ST .5'74 t FMVV 0 I. Dishwasher -', - Meter Dover 100 amps ■
Policy No.. ompany Backflow Irrigation Sewer Cap
iiiCertified copy is hereby furnished. Dryers OGas DElectric Sub Panel
Certj1;ed njs VI with the city Buil.' g Division I Bathtubs Sewer Connection
Date L( L �`/ Applicant Fan Motors❑0-1HP ❑1%-8
EXEMPTION FROM WORKERS'COMPENSATION DECLAR•/ ON Clarifiers Solar Collectors •
(This section need not be completed if the permit is for one hun• ed ($100) or Dishwasher Solar Piping F.A.U. Inc,Solar 09-15 HP D16-15+
less). .
I certify that in the performance of the work for which this permit is issued, I Fixtures Microwave
shall not employ any person In any manner so as to become subject to the Drinking Fountains Solar Tank
Workers' Compensation Laws of California. .
Device Boxes •.
Date Signature Floor Drains Swimming Pool w/Spa Pole Light
NOTICE: If,after making this declaration, you should become subject to the
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Outlets Range
comply with such provisions or this permit shall be deemed revoked. Switches
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Sign
1 hereby affirm that there is a construction lending agency for the performance u /�
of the work for which this permit Is Issued (Section 3097 Clv. C.) interceptors Y Water Heater =l- +
Lender's Name iii �l Garbage Disposal Standing Sections
Address Lender's Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor
OWNER BUILDER DECLARATION
I hereby affirm that I amon exempt from tse Contractor's License Law for the Lavatories Auto-Wash
followingunye ction 7031.5t Business and, Professional Code: Any city or
repair
county r which requires ta permita to,construct,alter,improve,demolish or mitP-Trap Laundry Trays
any era gre, prior m itstthe/, is requires theesuanto for rochvi permit
to file a rsignedtstatement thathe/she(Chapter
i9 licensed(commencing
t Section
provisions of Roof Drains -
'e Contractor's LicenseiLaw ar e 9 Code)ng with Se/she 7 x)of
,rebs 3 of the sand Professionsdeprion or that ais exempt Reinspection Fee $15 Issue Fee $ 3
arefrom and the basiscfor ore alleged txsmAey violation a Section
031 t any applicant for a permit subjectsSthe applicant to a civil
malty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS:
LJ I, as owner of the propert or myemployees with wages as their sole Reinspection Fee $15 Issue Fee 3
v e $ Zoning Approved By Date
compensation, will do the work,and the structure Is not intended or offered -- -
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date
License Law does not apply t0 an owner of a property who builds or improves
thereon, and wh) does such work himself/herself or through his or her own Application Issued By Data_
employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I 0
sale. If, however, the building or Improvement Is sold within one year of com- Canopy Type II 0 SUM ARV OF FEES
plotion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground
prove for the purpose of sale). BUILDING PERMIT $ SMIP $
❑ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct- Ventilating 00-100,000 BTU 0100,000 BTU PLUMBING $ 5 o0 ISSUANCE $
builds or Improves thereon.and who contracts for such oroiects with a con- ENERGY P.C. $
tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple❑ System Repair/Alteration PLAN CHECK 25% $
proof of their Worker's Compensation insurance should be provided to me. I
ELECTRICAL $ GRADING $
IDI am exempt under Section- B. & P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLAN CHECK 50% $ MICROFILM $
Date Owner Heating System& Ducting Registers
MECHANICAL $ TOTAL FEE $ • Da
I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BTL PLAN CHECK 25% $
information is correct. I agree to comply with all city and County ordinances
and state laws relating to building constru •, and hereby authorize repre-
sentatives of his city to enl• upon - .ve-mentioned property for
inspection p •oses. �7"!l- py
Signature / Date ! 4 G
Drivers' License or - la • - �' Reinspection Fee ' $15 Issue Fee $ 3 f - ni-r77✓6_--...-.,.r. --
•
h r7. ±T� •a i -: 'r'
OB65-46,rev. 5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor - -r - -'
� t
/ CONSTRUCTION AND PLANNING PO 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. Elect[ical Conduit-Utility-Undrgrnd: 54. Forms
�4.;Elec[rical
Conduit,-Undrgrnd. • 55. Electrical Bonding
p._Steel Reinforcement • 56. Rough Plumbing & Pressure Test
Bn,Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
•-4
7r.Footings . 58. Electrical Conduit-Undrgrnd.
•
8;•Foundation 59. Gas Pipe, 0 Undrgrnd., Test i
9. Water.Pipe-Undrgrnd. ) • - 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10:1-Structural Floor System - • 61. APPROVAL TO DECK
11 Property Sewer Line & House Cbnnection 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 Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
v-.
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough& Test � 72Anderground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing „'1 74. Overhead Hydro
26. T-Bar Ceiling (Structural) $L'Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing& Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31'Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80.,FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing 7/13/I? (yep
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer �.
43. Backflow Irrigation • . ft
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co -
51. CERTIFICATE OF OCCUPANCY
No. Date --•
�•yJ
•
Applicant to fill in all spaceslexcept those within heavy border lines and sign all appropriate declarations. 11`
PERMIT O. f TRACT NO. LOT NO. UNIT O. �,
nr.COSTA EA. CONS RUCTION PERMIT p� II // RM A.P.# I Zone^('�fctt.ddress /-044 L-74RDEt/ Opte A! /i Al. "- - S Main Building: Accessory Building:
a Applicants Mailin Address Ra Roy /0??8 SANTA-okit(A TYPE OF CONSTRUSr.TION Li NEW Ll ADD H ALTERATION REPAIR E Front • Z
n y ❑ CONVERSION ❑ DEMOLISHT
Owner's Name
n�•s �/ke S eA/nP/f SX Phone ❑ OTH F„Ji n E� B Rear N
Adr'e5s h(/¢'Y C-r9�DCIf/ /� DES�C+R IPTION OF1 WORK/USE OF BLDG. CC,- e
`C"L r•e GlR"_ �J r.Q.l r A I
Arch/Eng. License No. TYPE OF PERMITS ❑ GRADh GLI FOUNDATION STRUCTURAL C Right G
Address ,f O ❑ TENANT Q ELECTRICAL ❑ PLUMBING k MECHANICAL S Left R
Contractor's Name/(f" • Phone 6779,72 117 OTHER M- I Ping. Ref. # Parking Req./Provided E
Address(mailing) Pi". Ba- /0 3.4 SRry 4744 PROJECT DESCRIPTION SQ. FT.S+' OCCUPANCY M
CONSTRUCTION TYPE .—y VALUATION$_T rJBO cr.
PlanningNotes: T
City License No. 2q n47 ZONE GRADING CU.YDS. ACRES
LICENSED CONTRACTOR DECLARATION S.
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: I% c yr-- p s v i'�
with section 7000) of Division 3 of the Business and Professions Code, and JMDiC�paC-1 iro) 1l•Er,f 6t.Ul ra f Is✓Iiet/e-
my license is i lull force and effect. gQQp /� - G V ELECTRICAL FEES
License Class lk . 1 LI •nse No.✓si f /0Z- C] IV� (A.
i. Automatic Washer Transformer 0 15-50 KW
Date -Jr Signature .ate -�� • PLUMBING I FEES
WORKERS' COMPENSATION DECLAR ION Construction Pole Sub. ❑ 50+KW
e hereby affirm that I have a certificate of consent to self-Insure certificate Bar Slnk Showers
(` Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit Meter Duo to 100 amps
�t` .,800, Lab. C.) Backflow Preventer Service Sink
\ y Dishwasher ' - Meter Dover 100 am Os
Policy No. �O�{Z.9'Ql� Company ai - ' Backflow Irrigation Sewer Cap p
\ Certified copy is hereby furnished. Sub Panel co
J Certifjeddopy�ljJRd with the city :uilding . ' sio Bathtubs Sewer Connection I.VDryers�gae lleQr�c,�. - ..
N Date-G i ! �� 5,,,yy Applicant Fan
EXEMPTION FROM ORKERS'COMPENS•TION D LAR• Clarifiers Solar Collectors- .- Motors ❑0-1 HP ❑1'/a-B
(This section need not be completed if the pe it is f• one h • -d ($100)or F.A.U. Inc.Solar 09-15 HP 016-15+
less). Dishwasher Solar Piping .
I certify that in the performance of the work for which t .. permit is issued, I - - Fixtures -
shall not employ any person in any manner so as to b•come subject to the Drinking Fountains Solar Tank .+' Microwave . - 76^�
Workers' Compensation Laws of California. - !�
Date Signature Floor Drains Sw' ming Pool vv/Spa -- ,. Device •Boxes Pole Light ,
NOTICE: If,after making this declaration, you should become subject to the • Outlets e Ran
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks rinal 9
comply with such provisions or this permit shall be deemed revoked. n /
CONSTRUCTION LENDING AGENCY Gas Service Outlets 5 Switches Sign !S
Water Closet 9
I hereby affirm that there is a permit lending Sfor the performance
C.)
of the work for which this permit is issued (Section 3097 Civ. C.) Garbage Disposal Standing Sections
Interceptors Wafer Heater
Lender's Nam¢
Lender's Address Kitchen Sink Water Service Generator 00.5 KW 05-15 KW Trash Compactor
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
following reason (Section 7031.5 Business and Professional Code: Any city or '
county which requires a permit to construct,alter,improve,demolish or repair , P-Trap Laundry Trays -"
any structure, prior to its issuance, also requires the applicant for such permit •
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains
the Contractor's License Law (Chapter 9(commencing with Section 7000)of
Division 3 of the Business and Professions Code) or that he/she is exempt �ce
.therefrom and the basis for the alleged exemption. Any violation of Section Reinspection Fee J $15 Issue Fee
7031.5 by any applicant for a permit subjects the applicant to a civil •
penalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS:
LI I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3
compensation, will do the work,and the structure Is not intended or offered • Zoning Approved By Date
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By II , AV Date _
License Law does not apply to an owner of a property who builds or improves .. et 9/4Ar7
thereon, and who does such work himself/herself or through hid or her own Application Issued By 'r L ._ Dat
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ , `
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ SUM ARV OF FEET
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground
prove for the purpose of sale). . • . BUILDING PERMIT $ -77 5 00 SMTP $ • l50
o I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System
tractors to construct the project (Section 7044,Business and Professions Code: - - PLAN CHECK $ PERMIT
The Contractor's License Law does not apply to an owner of property who Duct- Ventilating 00-100,000 BTU 0100,000 BTU - PLUMBING $ ISSUANCE $
builds or improves thereon. and who contracts for such oroiects with a con- / _
tract or(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System D Multiple D System Repair/Alteration St PLAN CHECK 25% $ ENERGY P.C. $
proof of their Worker's Compensation insurance should be provided to me. 9ELECTRICAL $ ZZ..S� GRADING $
❑ I am exempt under Section B. & P.C.for this reason Firepl/Fact.BIt. ICBG# Fire Dampers
PLAN CHECK 50% $ MICROFILM $
Date Owner Heating System 8/ Ducting Registers MECHANICAL $ 1q • 57) TOTALFEE $ //y. s7
I hereby certify that I have read this application and state that the above -00-100,000 BTU 0100,000 BTL
information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $
and state laws relating to building construction, and hereby authorize repro- '
sentatives of this city to e er upon the above-mentioned property for
inspection purposes. - `.-f9-ft lc 00
Drivers' _J Date 6 _I �•'1
Reinspection Fee $15 Issue Fee
Drivers' License or S � � - . �•� p s 1 0I CtOL'3'.ti'C-CJO.`.567{ T G7 7 '
0865-46,rev. 5/88 White - Building; Canary ' Applicant; Pink -Accounting; Goldenrod - Assessor L,-.I F' 2 ,/Pe'TN l 1IIL 1.•$•t'a
I
CONSTRUCTION AND PLANNING •
1.APPROV;Q LS Permit# Da et Inspector POG..-t4 SPA -
APPROVALS Permit # Date Inspector
'1:erfipprary 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. - .V 55. Electrical Bonding
1 51Steel Reinforcement ' .Y 56. Rough Plumbing & Pressure Test • ,
f 6.. Electrical UFER Grnd:, 57. APPROVAL TO COVER-GUNITE
' 7•. Footings ., 58. Electrical Conduit-Undrgrnd.
8. Foundation `- 59. Gas Pipe, O Undrgrnd.,Test :.
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10.'Structural Floor System 61. APPROVAL TO DECK
11.'Property Sewer Lind& House Connection 62. Backwash & Receptor-Final
•
12: Sewer Cap • i 63. Heater & Vent-Final •
13.'Roof Drains ,!i 64. Plumbing System - Final '
14'-Rough Plumbing( -' 65. Electrical-Final
15. Rough Electrical-Conduit �J 66. Solar System-Final
'16! Rough Electric Wiring 713k c' // 67. Fencing & Access Approval �'
1% Rough •
,Wiring Sign l r� (E� l��• 68. APPROVED FOR PLASTERING
X1.8. Rough Electrical-T Bar Ceiling'-- 69. POOL/SPA SYSTEMS FINAL
,19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
;J
207Hough-Factory Fireplace - . ., APPROVALS Permit#
n . :. .. _
��L. Ducts, in Structure 4. tw-_� 70. Underground Hydro
22. Ducts, Ventilating 1.1 -_y ,-I 71. Product Piping 0 Gas 0 Oil
23. Gas PipeRough & Test ,,- 72. Underground Flush
24. Roof Framing - "-; 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25: Roof Sheathing 'FA 01i1 vc1 74: Overhead Hydro
=:26:=T-Bar Ceiling )Structural) &:Monocoai •75. Dry,Chemical . . - - -
27. Frame and F15s1ririg- .„ 07!yip _. L e 76. Dry Standpipe
•
28. Lathing&Siding 1 1/7.44.i 77. FIXED SYSTEM FINAL
29. Insulation %t J` 78. FIRE PREV. FINAL
30. Drywall Nailing , ' Olt4 4) HEALTH DEPT. REQUIREMENT
3Plaster Brown Coati 5
1! a{ fr‘ • ' 79. FINAL INSPECTION
32. Electrical Power.Metdr-Final' 80. FOOD CERTIFICATEQ `•�' . •
4_2.;j47..-I6ISSUED -
•
33. Final Electric t l �Z�9SNotes: ] ( /`-"" y n.
34. Final Heating & Air Conditioning '
fre-
35. Final Gas Pipe-Test " gnarl
/
36. Hood or Canopy
37. Final Factory Fireplace 4
38. Final Plumbing 9P/MS
39. Water Service-Final `• '!. .
(- .
40. Gas Service-Final ' - - . I -
t-. - /t1
41. Solar Domestic-Final I
42. Backflow Preventer 4,--,.•
I • .-
43. Backflow Irrigation •r •, I'.. It'
.',
•
44. Landscape Irrigation System 1 :.•/ '
45. Sound Attenuation 1i'7r ,
•46. Handicap Regulations 1�
47. FINAL STRUCTURE & BUI LDI NG 1� es'Y:Q --_ ---- - ? -_ --
48. Special Requirements Completed '/ v�
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co C7 .-
51.
51. CERTIFICATE OF OCCUPANCY LAI . t.r,
No. Date t' t/
•1 r,, N 7
/