HomeMy WebLinkAbout2606 WILLO LN - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
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CITY OF COSTA MESA CONSTRUCTION PERMIT - PERMIT NO. TRACT NO. LOT NO. UNIT NO. - . ,
. Project Adel-ess 26 CO `deo �,V PEI ricacp
I 4739 1 /02/85. 20450 T1'
Applicant's Mailing ddress z1C e. til! '64 O L.r✓ TYPE OF CONSTRUCTION ❑ NEW U ADD U ALLTERATION H REPAIR .^
Owner's Name �e7 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER .�/'ca " iii fri-ear _
�etrel•? Tf/0-07/ ?Phoned." /_ S. A.P.# I Zone
• DESCRIPTION OF WORK/USE OF BLDG.
IV_) Address Z411�' 1.4"2Led ''.1":. S Main Building: Accessory Building:
Arch/Eng. - License No. - . TYPE OF PERMIT El GRADING LI FOUNDATION El STRUCTURAL E•
Front l - 0
RP Address - -- CITENANT CIELECTRICAL CIPLUMBING CIMECHANICAL B Rear • N
( Contractor 's Name/k�CO Phonon 79O� ❑ 'OTHER C Right - N
� Address(mailing) /".1/4"E t'/1+9-c'/' a".. 70,6- PROJECT DESCRIPTION SQ. FT. OCCUPANCY (•� K. G
CON ST RUCTION TYPE VALUATION$ 31 coo $ Left ,
1 City License No. ZONE . GRADING CU.YDS. ACRES R
(v LICENSED CONTRACTOR DECLARATION n1' //11 /� 1� Ping. Ref.# Parking Req,/Provided • E
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: t R� V - g� Planning Notes: 0M
with section 7000) of Division 3 of the Business and Professions Code, and 4 ` l -
my license is in full force and effect. r. ,,/n T
License Clasi nse rvo 9-7 9y.}" J 'd..(-�Kr - S
Date"--Z-7-� Signature.- Ce-AIC PLUMBING FEES
WORKERS' COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES
I hereby affirm that I have a certificate of consent to self-Insure ora certificate
• .f Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink
' 1800, Lab. C.) Automatic Washer Transformer 0 15.50 KW
s 22 i 'a n a�<.
Policy rvo�/'/J.37 Company Backflow Irrigation Sewer Ca 0 SO+KW
P Construction Pole Sub.
l Certified copy is hereby urnished.
cit
ert if sed copy is 4' with the city Building Div1si n. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
Date%7 ' 79=47/ APplicant�5�"— % /+�'ti- -
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Z Solar Collectors y,' 8' DC Dishwasher Meter Clover 100 amps
(This section need not be completed if the permit is for one hundred ($100)or Dishwasher
less). ' Solar Piping 2- OD Dryers ❑Gas ❑Electric Sub Panel
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 subject to the Drinking Fountains / Solar Tank 70^�(� R in Fan Motors❑0.1 HP ❑1%.8 I
Workers' Compensation Laws of California. /
. Date Signature Floor Drains Swimming Pool w/Spa F.A.U. • Inc.Solar 09-15 HP 016-15+
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 Fixtures - •
-
comply with such provisions or this permit shall be deemed revoked. Miererwave
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes
I hereby affirm that there is a construction lending agency for the performance - Pole Light
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors i Water Heater
Lender's Name vs Outlets Range
Lender's Address - Kitchen Sink Water Service . Switches Sign
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OWNER BUILDER DECLARATION g
I hereby affirm that I am exempt from the Contractor's License Law for.the Lavatories Auto-Wash 1 / Garbage Disposal
following reason (Section 7031.5 Business and Professional Code: Any city or 9 P Standing Sections
county which requires a permit to construct,alter,Improve,demolish or repair P-Trap • - Laundry Tray / Generator ❑05 KW❑5-15 KW
any structure, prior to its issuance, alnst requires the applicant for such permit - Trash Compactor
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 - ♦ `\ r,�
Division 3 of the Business and Professions Code) or that ais exempt - �I�� \�� _ p � V�� �
•herefrom and the.basis for the alleged exemption. Any violation of Section _IIIA\YJ
031.5 by any applicant for a permit subjects the. applicant to a civil 9 / �.4,
Qiktimi
' sUenalty of not more than five hundred dollars($500). {$�f{^ '
cUo I, as owner of the property'or my employees with wages as their sole Reinspection Fee ,$15 Issue Fee
compensation, will do the work, and the structure Is not intended or offered 'Reinspection Fee I $15 Issue Fee ' $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's f RANI CAL I FEES
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 _ - - DEVELOPMENT SERVICES REQUIREMENTS: i
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' 0 - • Zoning Approved By Date
pletion, the owner,will have,the burden of proving he/she Gid not build or im- Duct-Under Ground Approved By Date
prove for the purpose of sale).
0 I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System . Application Issued By - Date . ./ f50S •
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 I SUMMARY OF FEES
builds or improves thereon,.and who contracts for such projects with a con- ,
• tractor(s) license pursuant to the Contractor's License Law). I am aware that —Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ • SMIP' I$ '
proof of their Worker's Compensation Insurance should be provided to me. i
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❑ Lam exempt under Section B.& P.C.for this reason Firepl/Fact BPLAN CHECK ,$ PERMIT IL IC80# Fire Dampers ISSUANCE •
$ '
PLUMBING • $ 1(e 170
Date Owner Heating System& Ducting Registers '
• PLAN CHECK 25% $ ENERGY P.C. !$ '
I hereby certify-that 1 have read this application and state that the above ' 00-100,000 BTU 0100,000 BTL ' 7 - ' -- - I
information is correct. I agree to comply with all city.and county ordinances ' • r ELECTRICAL $ ' Le, so GRADING •$ '
and state laws ting to building con ruction, and hereby authorize repro- ' PLAN CHECK 50% $ MICROFILM ,$
sentative s ity t enter u above-mentioned property for
inspection rpos MECHANICAL $ - - Z�.
' Signatur ,,,..0•40- / - ..or--7-4-7C- _ Date/'L - -� : . TOTAL FEE ,$
/� Drivers' License or SS* . Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
\ CMF 0865.46,rev,10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor .
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._ 'CONSTRUCTION AND PLANNING POOL _ SPA
Date Inspector - Date Inspector I .
APPROVALS Permit# - APPROVALS Permit# 1111
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 UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd. -
8. 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 r
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#
.-CS 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& AirConditioning
35. Final Gas Pipe-Test - - ,
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
44. Landscape Irrigation System
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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 .
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