HomeMy WebLinkAbout2580 WILLO LN - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY.OF COSTA MESA CO\NSIT'RUCTION PERMIT n PE Rf�f)T Nip. �� TRACT NO. LOT NO. UNIT NO. A P il`- • I Zone
Project Address ��Sle0 LVA I L.L.O I LA��s `"I�G��) I/J /T/ S Main Building: Accessory Building:
• Applicant's Mailin Address ) S33 W LA niece...Pa TYPE OF CONSTRUCTION U NEW L I ADD ❑ ALTERATION LI REPAIR E Front Z
[y�[� 3 ❑ CONVERSION ❑ DEMOLISH 10 OTHER T 0
Owner's Name t ` t0�`��� • Phone •7 l DESCRIPTION OF WORK/USE OF BLDG. I A Rear N
Address
TYPE OF PERMIT Li GRADING LJ FOUNDATION ❑ STRUCTURAL C Right N
ArchlEng. License No. �I� K G
Address YY�� ((yy (� ��//11 ❑ TENANT 0 ELECTRICAL al-PLUMBING PLUMBING ❑ MECHANICAL S • Left R
r Contractor's Name21'vf1S Yl I)mQnuI5 Phone� 2a-3q 0. ❑ 'OTHER I Ping. Ref.# Parking Req./Provided E
APROJECT DESCRIPTION SQ. FT. OCCUPANCY PlanningNotes: Q
ddrescense No. `�(mailing/ 1335' `� Q. L.tt\.)6 nl N-3 CON STRUCTION TYPE VALUATION$ RECEIVED SEP 2 7 1989
M
City LicenseZONE - GRADING CU.YDS. ACRES II
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of Charter 9(commencingtw
Remarks: 3T���Y� 1 \ All' r a�-C
Ith section 7000) of Division 3 of the Business and Professions Code, and U `AJ s--� C
my license is in full for • an. fiect. ^1? /) ELECTRICAL FEES
Lice I_ V: .rat
a lc- e-No. / Automatic Washer Transformer
Date . AI -.r Signature k - a. PLUMBING FEES 0 15-50 KW
t WORKERS'COMPENSATION DECLARATION ConstrUCtlon POIe Sub. 0 50+ KW
1 •reby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers
Q 'workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit Meter ❑up to 100 amps
.JO, Lab. C -'T'� Backflow Preventer Service Sink
dyg(4D 1�Qa e Dishwasher -- Meter ❑over 100 amps
Policy No. Company U Backflow Irrigation Sewer Cap .• _
Fl t',��rtified copy Is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel
Da C^"t{'�if ser�}},,55,.qQp Iletl with the nty$mI{1/ng LSI vi ''qn.n(� Bathtubs Sewer Connection
Date4 re ` Applicant 1"1.T OND DECLARATION
/0 • Fan Motors❑0-1 HP ❑1'h-9
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors
(This section need not be completed If the permit Is for one hundred($100) or -
Dishwasher Solar Piping F.A.U. Inc.Solar 09-15 HP 016-15+
less).
I certify that in the performance of the work for which this permit is Issued,I Fixtures shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank - Microwave
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 e Outlets Ran
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal 9
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches Sign
1 hereby affirm that there Is a construction lending agency for-the performance
of the work for which this permit_ Is Issued (Section 3097 Clv. C.) Interceptors Water Heater /1 ./1 Garbage Disposal Standing Sections
Lender's Name K V
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 Reinspection Fee , $15 Issue Fee $ 3
therefrom and the basis for the alleged exemption. Any violation of Section
1031.5 by any applicant for a permit subjects the applicant to a civil
enalty of not more than five hundred dollars($500). •3 DEVELOPMENT SERVICES REQUIREMENTS:
• I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee •
$ 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 to an owner of a property who builds or improves —
thereon, and who does such work himself/herself or through his or her own • Application Issued By at
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 SUMMARY OF F ES
;Melon, the owner will have the burden Of proving he/she did not build or im- Duct-Under Ground
rove for the purpose of sale). - BUILDING PERMIT $ SM IP $
• 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
-)r
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU PLUMBING $ eD ISSUANCE $
builds or improves thereon, and who contracts for such oroiects with a con-
tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $
proof of their Worker's Compensation Insurance should be provided to me. ELECTRICAL $ GRADING $
❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG dk Fire Dampers • MICROFILM $
PLAN CHECK 50% $
Date Owner • Heating System& Ducting Registers MECHANICAL $ TOTAL FEE $ e,L�
I hereby certify that I have read this application and state that the above • 00-100,000 BTU 0100,000 BTU
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 repre-
sentatives of this city to enter upon the above-mentioned property for
inspection pppp{ ,est 3 Date 2-a9-95
-Signature �(
Dribars'•License or 55 a Reinspection Fee $15 Issue Fee $ 3 01 000433793-00043793 TOT 3.C-
DATE: 09/29109 TICIE: 16:44
0865-46,rev. 5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor
•
CONSTRUCTION AND PLANNING POOL _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
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
•
6. 'Electrical UFERGrnd. 57. APPROVAL TO COVER-GUNITE •
.7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation - • - 59. Gas Pipe, D 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 I 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
116 Rough Electric Wiring _ 67. Fencing & Access Approval
-17. Rough Wiring Sign : 68. APPROVED FOR PLASTERING
-t.
18! Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19 Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
- 201 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 72. Underground Flush
24. Roof Framing - 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing - 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & 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 I/ 0 tom'
39. Water Service-Final !!!
40. Gas Service-Final
41. Solar Domestic-Final':
(-)
42. Backf low Preventer 11
43. Backflow Irrigation It;
44. Landscape Irrigation:System
45. Sound Attenuation:- - -'�
46. Handicap Regulations)
47. FINAL STRUCTURE_& BUILDING •
48. Special RequirementstCompleted •
49. Electric Release to Edison �-
50. Gas Release to Southern California Gas Co =
51. CERTIFICATE OF OCCUPANCY
No. Date