HomeMy WebLinkAbout306 LA CANADA WAY - Building Permits Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OE COSTA MESA CONSTRUCTION PERMIT 1 PER N n TRACT NO. LOT NO. UNIT NO. A P # Zone
Project Address 7QcO af�/T cow-'➢0g // S Main Building: Accessory Building:
1 TYPE OF CONSTRUCTION ❑ NEW LI ADD U ALTERATION ❑ REPAIR E Z
Applicant's Mailing Address /Dgf 22 AS/G in;e. G_a.. Front
�� .00 �• /S 2!A/f ❑ CONVERSION ❑ DEMOLISH 0 OTHER 1 T 0
Owner's Name L� Ph0 7 DE CR IPT ION OF WORK/US OF BLDr7: - � A Rear N
Address S4"ie - e• Lfec Az �'rc^Ae�
Arch/Eng. License No. TYPE OF PERMIT GRADING Li FOUNDATION U STRUCTURAL C Right G
Address 0 TENANT 0 ELECTRICAL 54LUMBING 0 MECHANICAL S Left
� ar� 0 OTHERE
Contractor's Name�/StMers PiCarevd^ a�_Phone4•%d0'Y`vO Ping. Ref,# Parking Req./Provided E
gOJECT DESCRIPTION SQ. FT. OCCUPANCY Q
Address(mailing) /C'J�y 2- -T�N15� 09 00 tC ^�a`"��Cj` Planning Notes: M
City License No. (066 CON STRUCTION TYPE VALUATION$ RECEIVED {"IAY 2 5 gm
T
ZONE GRADING CU.YDS. ACRES $,
1 LICENSED CONTRACTOR DECLARATION
I hereby affirm that 1 am licensed under provisions of Charter 9(commencing Remarks:
with section 7000) of Division 3 of the Business and Pr• sions Code,and
my license is in full rrcc°'�^ ELECTRICAL FEES
License Cla r nso v _.A- '7
Qoat- - "- 5ignatur. _ . 0
WORKERS'COMPENSATION O -LARATIONBar Sink Showers Construction Pole Sub.
❑ 50+ KW
.eby affirm that I have a certificate of consent to self-Insure or a certificate
orkers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit Meter ❑up to 100 amps
Backflow Preventer Service Sink
MPolicy 11;,..../24/C cd7/�Y any iZ'4'�cuiee Backflow Irrigation Sewer Cap _ Dishwasher Meter Dover 100 amps
,.I AA Certified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel
.{At
Q j�yJC i pod with the city Building Diwslyyyy Bathtubs Sewer Connection
Da /7J(S:7 Applicant /j!-/�wvC1</LFi+7n' - N9 Fan Motors❑0.1 HP 01%-8
� OFA- 6 / Clarifiers Solar Collectors
EXEMPTION FROM WORKERS'C NSATI Di?
Don hundred
(This section need not be completed if the permit is for one ($100) or F.A.U. Inc.Solar 09-15 HP ❑16-15+
less). .• Dishwasher Solar Piping
I certify that in the performance of the work for which this permit issue° 1 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.
Date Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light
NOTICE:If,after making this declaration,you should become subject to the Outlets Range
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
I hereby affirm that there is a construction lending agency for the performance
of the work for which this permit is issued (Section 3097 Civ, C.) Interceptors / Water Heater .r� Garbage Disposal
Standing Sections
Lender's Name . �V • Generator 00-5 KW 05-15 KW Trash Compactor
Lender's Address Kitchen Sink Water Service i� _
OWNER BUILDER DECLARATION
I hereby affirm that 1 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 Of repair P-Trap Laundry Trey3
any structure, prior to its issuance, also requires te applicant for such permit
to file a signed statement that he/she isss licensed pursuant to the provisions of Roof Service ttl,Contractor's License Law (Chapter 9(commencing with Section 7000)of
hien 3 of the Business and Professions Code) or that he/she is exemptDrains
Reinspection Fee ' $15 Issue Fee $ 3
-from and the basis for the alleged exemption. Any violation of Section -
/-
'i.5 by any applicant for a permit subjects the applicant to a civil
ens DEVELOPMENT SERVICES REQUIREMENTS:
1 amelia of not r ofd than five hundred dollars($500).employees
4 LJ I, as owner of the property or my with wages as their sole Reinspection Fee I $15 Issue Fee S 3 99 Zoning Approved By
ompa (Sen, will do the work,and the structure Is not intended or offered nate
for salese (Section Business and Prf a property
Code: The Contractor'smroves MECHANICAL FEES r -Building Approved By -all_
- Date
erese Law does notapply to owner if a f who builds or improves -__. _ _ • _-. _ _ _ _
I thereon, and who does such work are(f or through his or err for Boiler Hood Or TypeApplication Issued By Dat
employees,f, o provided that suchorImprovementsimry are ootld intendedwihin oofr red of com- I ❑ -
sietl If, however. rwo nt dof psold within one year im- Canopy Type!) ❑ SUMMARY OF FEES
prove the owner willehave the burden Of proving he/she did not build or im- Duct- Under Ground
sero I. for e purpose he ofp sale).p - BUILDING PERMIT $ SM I $
LJ I. as owner of the property, Se tionexclusively7044, contracting with con- Duct-Structural Refrigeration System PLAN CHECK $ de h �• \TE T
tractors to construct the project (Section 7044,Business ande 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 $ I de • i •• •
builds or improves thereon,and who Contracts for such oroiects with a con- - EflGY C.
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration `r PLAN CHECK 25% $ ,' ' ' i •
proof of their Worker's Compensation Insurance should be provided to me. ELECTRICAL $ ,�..�) La+a'ERG
r 0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBG dk Fire Dampers "; `e' . • MICROFILM
• PLAN CHECK 50% $ _
Date Owner Heating System&Ducting Registers _ MECHANICAL $ me3A 1$ ..5-. 00
I •re'• certify that I have read this appl ation and state that the above 00.100,000 BTU 0100,000 BTL PLAN 25% CI I Y Of CO "
Int.rmatio is c• CHECK agree to •••Iy w all city and county ordinances $
and -tate a lating • build' g co stru I.n,and hereby authorize repro-
sante,ves of Is city : en r upo• th .bove-mentioned property for
Inspec • naso•._-s. `, Dated 19-89
Veneta
Drivers' License or 55# " Reinspection Fee $15 Issue Fee $ 3
0865-46,rev. 5/88 white - Building; Canary - Applicant; Pink -Accounting: Goldenrod - Assessor
CONSTRUCTION AND PLANNING ' A. POC . SPA
APPROVALS Permit# '' Date Inspector APPROVALS Permit# Date Inspector
1.'Temporary Electrical Service or Pole V - 52. Pool & Equipment Location \ -
2. Soil Pipe-Undrgrnd. •; 53. Steel Reinforcement
3.'Electtrical Conduit Utility-Undrgrnd. • 54. Forms
4. Eleciricel Conduit-Undrgrnd. -; i 55. Electrical Bonding -
5. Steel Reinforcement . ' -( 56. Rough Plumbing& Pressure Test
6.1 Electrical UFER.Grnd. \ / 57. APPROVAL TO COVER-GUNITE
•7( Footings --'\ ;, � 58. Electrical Conduit-Undrgrnd. • i
8. Foundation �� -•
�, _ '�` 59. Gas Pipe, 0 Undrgrnd.,Testv.
9: Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
. •
10. Structural Floor System i , 1, 61. APPROVAL TO DECK
11t Property Sewer Linei& House Co'nnection '- 62. Backwash & Receptor-Final
•
12: Sewer Cap i ♦ 63. Heater & Vent-Final
13. Roof Drains f • 64. Plumbing System - Final
14. Rough Plumbing ,.-' .' - 65. Electrical-Final
15. Rough Electrical-Conduit r t 66. Solar System-Final •
•
16. Rough Electric Wiring 67. Fencing & Access Approval
,-- _. .
Cf7. Rough Wiring Sign 68. APPROVED FOR PLASTERING
,i •.
,18c Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL •-
.19t Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT
20t 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 PREY. FINAL
30. Drywall NailingHEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. ,FOOD CERTIFICATEISSUED
33. Final Electric Notes. _t_ !
SCf 1`eX-cntr Edo(pactsacs
pa
34. Final Heating & Air Conditioning 2.0, & UPC,- C., 6.o
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final CR
r-r-
40. Gas Service-Final CH
41. Solar Domestic-Final,--, �--•s
42. Backflow Preventer 0 (/I t,y9 . ._.
43. Backflow Irrigation.e- • ,i':i 7,
,�
44. Landscape Irrigation System t•, `l•` - ,-,1 T
45. Sound Attenuation :t'
_
R^ M. R
46. Handicap Regulations Ntrair- t.,...7
Rp-^-p
47. FINALSTRUCTUE & BUILDING 3u + 'u
48. Special Requirements Completed tt
49. Electric Release to Edison rc -
.-
50. Gas Release to Southern California Gas Co - '-t .,
51. CERTIFICATE OF OCCUPANCY -2; \
No. Date ''Y'