HomeMy WebLinkAbout385 LA CANADA WAY - Building Permits�
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AOP�icant to (ill in all spaces excepl tnose witnin �eavy bortler Iines anE sign all aporooriate Ceclarations.
CITY O�OSTA MESA CONSTR UCTION PERMIT PERMIS NO. _ TRACT NO. LOT NO. UNIT NC�
'ProjectAddresz 385 Ia Canada Way, Costa N�sa
% Cormiercia
Applicant's MaiiinRg �Address � ' '
Owner's Name "—'�Tt I�ll3rd , Phone 9
Address 385 � ��� Way, C'.M.
Arch/Eng. Licenu No.
Address
Contractor'sNam �ank Bros. Roofing RoJ�y- -- 69
Add�ess (mailingl 126 Commercial � Ci.�"�. 7�l)� /
City License No. 5993
LICENSED CONTRACTOR DECLARATION
I nereby a/lirm [nat I am IlcensoU untler provi5ion5 0/ Charter 9(commencing
wlth section 7000) of Divislan 3 ot the Business antl Profe55ions Catle, an
my Ilcensa is in full forc ntl 91feC[.
IJ<anzc 61�s9 � o a No.
Datc � � 519�ahre
"'ORKERS' COMVENSATION OE RATION
±reby aHirm that I have a certlflcate ot consent to seli-tnsure or a certitiWto
Workers' CompensatiOn InSurance, o� a certlfletl copy t�e�eot (Section
3800, Lab. .�„�, te F,Und
PoIICY No. 5/224-87 ComPanY
�Ce�tifietl copy is he�eby turnishetl.
Certifiqtlryq�y/�561ea witn lne city Bui�ng�visbTaS. ROO
Date �/L O/ APPlican[ d � �
EXEMPTION FROM WORKERS' COMPENSATION DEGLARATI
(Tnissection neetl not be Complete0 if the permit I5 fo� One huntlre dQ�ar �
NO�ICE: Ii, atter making this tlacl3ration, you ihoultl bacome subject to tba
Worke�i' Compensatlon provi5ions of lhe LabOr COtla, you must forthwith
comply with Suth prOvlsiOns o� thi5 permlt shall be tleemetl rBVOkeU.
CONSTRUCTION LENDING AGENCV
I hareby aHirm that thereJs a constructlon I¢naln9 agoncy for the pertormance
ol [ho work for v.Tich tni5 p¢rmit is issuetl (SeCliOn 3097 Civ. C.)
Lentler't Name
Lnntlor'z Atltlress
OWNER BUILDEH pECLARATION � ' '
I horeby atfirm thal'I •am examo< <rom the Contractor's License Law tor tha
tollowing reason (5¢ction 7031.5 Busine5s antl 7rofasslonal Cotle: Any cltY or
county which requires a permit to construct, alter, improve, tlemoliz� or repalr
any structure, prlor lo Its Issuancc, also requires the applicant for such permlt
t0 Iile d Signetl sldt¢menl Ihd[ he/she I5 IiGensetl pul5udn[ [o [he prOvisions ot
•he Contractor'z License Law (Chapter 9(commencing with Section 7000) 01
'vlSiOn 3 of the Busln¢Ss antl Profe55ion5 Cotle) Or that he/5hG is exampt
e�el�om an0 the ba5i5 to� the allegetl exemplion. Any vi0ialion of SeCtiOn
.031.5 by any ap0licant for a Permit subje<tz the applicant to a civil
�enalty ot not mor¢ than fiv¢ hUntlretl tlo11ar5 ($500).
1, as owner of Ine prOpe/ty or my employea5 wiltt wag¢s as t�ei� solB
compensa[ion, will tlo the work, antl the sVucture Is not intenaetl or oHereO
for sale (Section ]044, BuSiness antl Protessional Cotle: The Contractor's
License Law tloes not apply lo an owne� ot a property who Duilas or imprOvos
Ih¢reon, antl who tloes such work himseli/herseli or Nrough hls or her own
employ ees, provitletl that suth imorovements are not Intendea or oiterea for
sd10. II, however, the �ulltlin9 or ImOrOvement IS soltl wlthin one yea� ot com-
pletion, tne owner wili nave tha buraen oi provin9 he/she tlitl not builtl or im-
prove for the.p�rpose o1 zalo�.
❑ I, as owriei o/ t�e�o�oporty, am extluslvely toniractin9 witn Ilcensetl con-
IfdtlOfSIO WfISVIICI IhC DlOjCCt (5¢CSIOO 7044, Bu510055 dltd �Ofe55i0�5 COtlO:
Thn ConVactorY Licensa law dOes not apply to an owner oi proOerly wh0
builtls or Improves theraon, antl who conlracts for such O�ojects with a con-
tractw�s) Iwense pu�suant to tna Contra<tor's Licensa Law). I am aware that
proot of their Worknr'S COmpenzaHon insuranca Shoultl be prOvltletl to Te.
❑ I am exempt untler $ettlon B. 6 7. C. �or this reason
Date Owner
I hereby certity that I have rea [his applicatlon tl state that [he above
Information Is corr¢ct. I agr to om01y wi[ all c antl county ortlinances
antl stat¢ IawS�rela n t0 IIAi const � a h¢reby autho�ize ra0re-
Sentalives ol [ to ent the ab0 entionatl Property fo�
inspection ourpoi
Slgnacure �_ Date�
�rivers' Ucen or 55 �F —
TVPE OF CONSTRUC
� ❑ CONVERSION�
. DESCRIPTION QF
ADD 7C7� ALTERATION LJ REPAIR
DEMOLISH LJ OTHER A.p, �6
IK/USE O BLDG. 1RSC311 � C ass A
`25. �W filEt3 e e& HS 1 S. S Main Building:
E
TYPEOFPERMIT LJGRADING FOVNDATION • STRUCTURAL _ T FrOni
❑ TENANT ❑ ELEGTRICAL ❑ PLVMBING ❑ MECHANICAL A Rear
❑ OTHER
PROJECT DESCRIPTION SQ. FT. z OCCUPA/N, C7jj j`�f�pjj` C Right
CONSTRUCTIONTVPE TeS�Cnt1�ATION$ T•'^��•`"� � g Le(t
ZONE � GRADING CV. VDS. � ACRES Ping. ReL �/k
Remarks: � Planning Notes:
Bar Sink
Backflow Preventer
Backflow Irrigation
Bathtubs
Dishwasher' . '
D�inking Fountains
Floor Drains
Floor Sinks
Gas Service Outlets
Lavatories
P—Trap
Roof Drains
Reinspection Fee
$15
Boiler
Duct � Under Ground
Duct - Struttural
Duct - Ventilating
Exhaust System ❑ Multiple �
Firepl/Fact. Blt. IC80 9W
Heating Sysrem & Ducting
❑ai oo,000 eTu � i oo,000 eT�
Reinspection Fee � � -S15
CMF 0865-46, rev. ]0/84 W�ite - Builtling; Canary - Appliwnt; Pink - Accountin9; Goldenrotl - Assessor
PLUMBING
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Watcr Heater �
Water Service
Auto-Wesh
laue Fee � S 3
Automatic Washer
Construction Pole
Cooking Unit �
Dishwasher
Dryers ❑Gas �❑
Fen
F.A,U.
Fixtures
Device Boxes
Outlets ,
Switches -
Garbage Disposal�
b 4806 3/30/�7
Zane
Parking Req./Provided
ELECTRICAL
Transformer ❑ 75-50 KW
❑ 50+KW
Meter �up to 700 amps
Meter �over 100 amps
Sub Panel
Motors O0.1 HP O 1'f, - 8.
Inc. Solar �9�15 HP 016-15+
Mivowave
Pole Light �
Generaeor 065 Kw OS-75 KW
Standing Sections
Trash Compactor
Reinspection Fee ' $15 Issue Fee
IANICAL, ' FEES
Hoodor Typel ❑ DEVELOPMENTSERVICESREQUIREMENTS:
CanoPY TYPe II ❑ Zonin9 APProved By ^ .
Building Approved By � � '
Refrigeration System
❑aioo,000eru ❑ioo,000
System Repair/Alteration
' Fire Dampers
Registers
laue Fee � 5 3
SUM RV Q�FI
BUILDING PERMIT $ ���OU
PLAN CHECK $
PLUMBING $
PLAN CHECK 25% $
ELECTRICAL $
PLAN CHECK 50% $ �
MECHANICAL $
PLAN CHECK 25% $
35,50 ; TL
2
O
N
1
N
G
R
E
�
M
T
S
FEES
$ 3
ea
SMIP $ • S
PERMIT
ISSUANCE $
ENERGV P.C. $
GRADING $ - '
MICROFI,LM $
TOTALFEE s 3S-s C)
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit # Date Inspector pppROVALS 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� Reinforcemeni 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
B. Foundation 59. Gas Pipe, � Undrgrnd., Test ,
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd.
10. Structural Floor System 61. APPROVAI TO DECK
11. Property Sewer Line & Nouse 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
16. Rough Electrical-T Bar C¢iling 69. P00 VSPA SYSTEMS FINAL
19. Rou9h Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplacp ' APPROVALS Permit # _
21. Ducts, in Structure � 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil ��
23. Gas Pipe-Rough & Test . 72. Underground Flush '
24. Roof Framing . 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Strucwral) & Monocoat 75. Dry Chemiral
27. Frame and Flashing 76. Dry Standpipe �
28. Lathing & Siding 77. FIXED SYSTEM fINAL
29. Insulation 78. FIRE PREV. FINA�
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 � �
39. Water Service-Final
40. Gas Service-Final
41. Solar pomestic-Final •
42. Backflow Preventer
43. Backf�ow I�rigation .
44. Landscape Irrigation System '
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING Q� �
48. Special Requirements Completed
49. Electric Release to Edisan ' .
50. Gas Release to Southern �ylifornia Gas Co .'
5i. CERTIFICATE OF OCCUPANCY - �/ �
No. Date _ � -