HomeMy WebLinkAbout3440 SAKIOKA DR - Building Permits— 3�i00 /a19'GB1= �IP!J AP
CI7Y�F COSTa.MESA CONSTRUCTION PERMI"T��
ProjectAddress I 3y�1� S�/O�+G �f �O,py� G'IP1ii
Applicant's Mailin�jAddress ���� �KLJo�I'�� LO,l ��a"!�f
Owner's Na�myey�� /�P6-�L��Md/"C— ' Phone '
Address �7i'rd �r�K.cO�'I�i �%r C�S/�- �Pi✓� �
Arch/Eng.; _ License No.
Address
Contractor's Name Wd��F� £�� � Phone 2�//r� ���T'
Addresslmailingil�r.�/ q�'�'�0�� �OS I:�OM�7VJ
Ciry License No. ���0/ ' '
LICENSED CONTRACTOR �ECLARATION
1 he�eby atfirm that 1 am licensetl untler provisions of Charte� 9(commencin9.
wi[h section ]000) of Division 3 of the Business antl Professions pCo�tle, antl"
my license is in full f�� antl ettect: SOOL �
�icens�C a s �C � Licens No� ,
Date Signature
WORKE S' COMPENSATION DECLAR ION /
4ereby aftirm that I bave a certi(icate oi consen[ to self-insure or a cerHficate
Workers' Compensation Insurance, or a certifietl copy thereof (Sectio �
.eoo, �b. J��o///-f3
1�, poiicy No. ! Company v�'� GQi� �r
�certifie0 copy is �ereby furnishetl. ' '
Cer[ilie o y' iletl with the city Builf i�q D/'vision.
Date APplicant "�`O:KP���C�1 L ' '
EXEM ON ROM WORKERS' COMPENSATION DECLARllT10N
(Thissection neetl not be completetl It the permit is for on¢ huntlretl ($300) o�
less).
I certlfy that in tne pertormance ot Ihe work,tor which this perm�t is issuetl, I
shall mt employ any person in any manneLso as to become subject.to the
Workers' Compen5ation Laws o( California.
Oate Si9nature
. NOTICE: If, aRe�_makin9 tM1is Oecla�ation, you shoultl beCome subject to the -.
Workers' Gompensation provisions ot the Ldbor Cotle, you must fortnwHh
comply witn sucn provisions or,this petmit shall be Oeemetl revoketl.
CONSTRUCTION LENDING�AGENCV � -
1 hereby atfirm that there iz a mnstruction lentling agency tor the performance
o� the work Por which this permit � is issuetl, (Section 3097 Civ. C.)
LEntle�'s Name . ,
Lentler's Atltlress -
OWNER BUILDER bECLAftATION
I hereby affirm ihat I am exempt from the GonVactor's License Law �or the
following reason (Section 7031.5 Business antl Professional Cotle: Any city or
counry whlch requires a permit to construct, alter, imorove, tlemolish or repair
any structure, prior to Its issuance, al5o veqWres the appliCant (o� such pevrnif
to tiie a signetl statement that he/she is licensetl pursuant to the provisions of
-� the Contractor's License Law (Cnapter 9(commencing with Section 7000) ot
Divislon' 3 of the'Business antl Professions Cotl¢) or that he/she is exempt
- lerefrom an0 the basis tor the allegetl exemption. Any violation of Section
)31.5 by any applicant for a permit subjects the applicant to a civil
enalty ot not more than.five huntlretl tlollars (5500). '
❑ I as�owner oi the �property or my employees with wages as their sole
� compen5a[ion, will tlo Ihe wo�k, antl the st�ucture i5 not intentletl o� of(¢retl
' for sale ($ection 7044, Business antl Professional Cotle: The Cont�acto�'S
�, LicenSe� Ldw tloes not appty to an owner of a property who builtls or improves
� fhereon, and who tloes such work himself/herself� or throu9h his or her own
employees, provitletl that SucM1 improvements are not intendea or otfered tor
Sale. If; hOwever, Ihe bUiltling o� improvement is soltl within one Year o( com-
. pletion; tbe owner will have the burtlen of prOving he/she tliC not builtl or im-
��oVe fo� the purpOse of saleJ.�
1, as owner of the property, am ekclusively mnfracting with Ilcensetl con-
' tractors to consV uct tne project (Sec[ion 7044, Business antl Professions Cotle:
The Contractor's License Law tloes not apply to an�owner of p�ope�ty who
builtls or improves thereon, antl who�contracts.for such projects with a con-
tractor(51 I¢ense'pursuant to the Contracto�'s License Law). 1 am aware tbat�
proot of their WorkeYS Compensation inzurance sboultl be provitletl to me.
` L7 I am exempt untler.Section: B. & P. G �or tnirreason �;
. Date - ' Owner ' ' =
I hereby certify that I have reatl this applicatlon antl ztate that the above
information i5 carrect.' I agree to,comply with all city antl county ortlinances
antl state laws relatin9 to builtlin9 constructlon, antl hereby authorize repre- =
senta[ives ot tM1is, c�ty io enter upo� the�bove-meniioned pro�erTy `or .
nt to till in all soaees
those within heavY bortler Ilnes an0 si9n all
TRACT NO. � LOT NO.
tleclarations.
, �. �
TYPE OF CONSTRUCTION 'C�: NEW LI ADD LJ ALTERATIOfJ U REPAI R
❑ CONVERSION" ❑ OEMOLISH ❑ OTHER � p� p# ,
..�� DESCRIPTION OF WORK/USE OF BLDG.
' i ' ' S Main Building:
•TVPEOFPERMIT � GRADING ❑'FOUNDATION ❑ STRUGTURAL ' � T Front �
, �❑ TENANT � ELECTRICAL O PWMBING O MECHANICAL B Rear '
� ❑ OTHER %� .
trPROJECT DESCRIPTION 5(l. F7, oCCUPANCY C� �Right .—
�{j CONSTRUCTION TYPE • VALUATION S S Left �
ZONE GRA�ING CU. VDS. ACRES ping. Ref. #
'•�Remarks: l�,._; 200 �✓`Y� '+T 4ti/� �O!✓Cr �d�Gi ' , Planning Notes:
Sink
Preventer
Irrigation
Floor Sinks
GasSerJice Outlets
Interceptors �
Kitchen Sink _
Lavatories
P—Tra`p ..
- Roof Drains
_ _ _' 1
Reinspection Fee $75
Boiler .
Duct - Under Ground � ,
Duct - Sttuctural
Duct-Ventilating �
�� EzhaustSystem ❑ Multiple❑
Firepl/Fact: BIC ICBO #
Heating System & Ducting_ '
- ❑o,ioo,000sTu�ioo,000sr�
I_.�.._. ;. �— I I heinsPection Fee . I $15'
Drivers' Lic � 55 �
� CMF 0865-46, rev. 10/84 Wnite - Builtling; Canary - Appliwnt; Pink - Accountinq; Goldenrotl - Assessor
ShOWQfS
Service Sink' � ' �
Sewer Cap �,
Sewer Connection
Solar Collectors
Solar Piping .
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater �
Water Service -
A uto-W ash
Laundry Trays
Issue Fee
i
q„ •
, 4952 10/10/86 ; 23.00 TL
' , f' , _ I
� Zone �
� Accessory Building: , .
A
�
Req./Provided
. Z
O
N
I
' N'
G
R
E
Q
M
T
S
FEES �
' � . ELECTRICAL , , FEES �
Automatic Washer ' . Transformer -❑ 15-50 KW
Construction Pole Sub.. ' �_ � 50+ KW ; j�
� t.�
Cooking Unit . ' Meter ❑up to, 700 amps " ��
Dishwasher , Meter ❑over 100:amps, • .
iANICAL �
Hood or �Typel ❑ '
Canopy Typ¢ I I � . �
Refrigeration System �
❑0.700000BTU ❑100,0009
Svstem Reoair/Alteration
Registers '
Issue Fae
, $ 3
FEES '
Dryers ❑Gas ❑Electric "
Fan
F.A.U. � ' �� �
Fixtures � � �
Device Boxes �
Outlets , - � �
Switches � '
Garbage Disposal '
Generator �0-5'-KW �5-15 KW
Sub Panel ' �
Motors �0.1 .HP �1'h - 8, �
Inc.Solar �9-15 HP �16�15
Microwave
Pole Light �
Range
Sign - "�
Standing Sections ' .
' I Reinspection Fee =�,$15 I � I luue
DEVELOPMENTSERVICESREQUIREMENTS:
2aning Approved By ' � '
Building Approved By
Appliwtion Issued BV � �
- � ' .SUMMARV OF FEES -. _ � � � , . �
• ' BUILDINGPERMIT $� � =SMIP ' `- $ � �
� PLAN CHECK , � $ � - - � PERMIT�� � � _, -
' , P.LUMBING ! .. $- - � • � �SSUANCE _ $ ` ,
� _
' � PLAN CHECK '25%. $ � >�ENERGV P.C. $; ` �
� � �� ELECTRICAL ' . $��' �GRADING $ 1' � � _
PLANCHECK 50% $� � MICROFILM $ �
MECHANICAL $ TOTAI.FEE , $+ �-3;�D`
: $'.3 � PLAN CHECK 25% $ : ' � , , � � .
i�
- � � ' POO L & SPA �a;
CONSTRUCTION ANDPLANNING � - �
APPROVALS Permit,# Date � Inspector � AppROVALS Permit # Date Inspector
1. Temporary Electrical vice or P� �a/ ��G 52. Pool & Equipment Location �
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement '
3. Elecirical 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. APPF20VAL TO COVER-GUNITE
7. Footings , � �, . � 58. Electrical Conduit-Undrgmd.
8. Foundation � � 59. Gas Pipe,�O Undrgrnd., Test -
' 9. Water Pipe-Undrgrnd. ^ , _ 60. Backwash Lines, P-Trap, � Undrgrnd. '
10. Structural Floor System � 61. APPROVAL TO DECK '
71. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
' 12. Sewer Cap • ' 63. Heater & Vent-Final
13: Roof Orains . 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
20. Rough Factory Fireplace � APPROVALS Permit# _ ,
27. 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. Storage Tank O Gas ❑ Oil
25: Roof Sheathing . 74, Overhead Hydro
26. T-Ba� Ceiling (Structural) & Monocoat 75. Dry Chemical � �
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINA'L
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 ' .�
.L'
33. Final,Electric Notes: '
34. Final Heating & Air Conditioning ��^�� _�� � � •
35. Final Gas Pipe-Test � E � �
36. Hood or Canopy �_/ � - �+ � ,
y
37�. Final Factory Fireplace � , .
38. Final Plumbing • . � �p . �
39. Water Service-Final �� •• . �� � �
40. Gas Service-final � - , � . "
41. Solar pomestio-Final . � - : � � `
'42. Backflow Preventer _ � . �
43. Backflow Irrigation - . � •
44. Landscape Irrigation System ' �� � �
. i'
'45. Sound Attenuation � � ' '
�46. Handicap Regulations .. - � �
�47. FINAL STRUCTURE & BUILDING - � . � • -� �� •
48. Special Requirements Completed �" ' �
49. Electric Release to Edison � ' . "
ti�
50. �Gas Release to Southern California Gas Co '.
51. CERTIFICATE OF OCCUPANCY � � � •
- ��
No. Date
i