HomeMy WebLinkAbout2604 REDLANDS DR - Building Permits - Applicant to fill
lii�n all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA CQ�I.STr UnCT ON PERMIT -PERMI 103gsy7 TRACT NO. LOT NO. UNIT NO. A P # I Zone
Project Address O�II/dre n/oci KJ �•,�{2�•,�/`(M( �,,/�/D/��r�.,�,•, t� �j T OF �.{ S Main Building: Accessory Building:
I Applicant's Mailing ddress 1s5a_-/a P aul•19 T;•�•� TYPE OF CONSTRUCTION U NEW ❑ ADD U ALTERATION -- REPAIR E Z
/y p� ( n ' , ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ' T Front 0
Owner's Name 'A�rn-e�(e�' a.t�/ Phone DESCRIPTION OF WORK/USE OP BLDG. B Rear N
Address •'GFS//w JJ .
TYPE OF PERMIT U GRADING III---III FOUNDATION U STRUCTURAL C Right • N
Arch/Eng. License No. �J. K G
Address ❑ TENANT ❑ ELECTRICAL .PLUMBING MBING ❑ MECHANICAL $ Left
pq 0 OTHER R
,L 8 Y7n0, Ping. Ref.# Parking Req./Provided E
Contractor's Nam- d/� "hone
J ///< r/ '//' PROJECT DESCRIPTION SQ. FT. OCCUPANCY Q
Address(mailing) ��-t / `' /' ( CONSTRUCTION TYPE VALUATION$ Planning Notes: s�1pp M
City License No. O/3 S/ T
ZONE ^ GRADING CU.YDS- - ACRES ®�CEI�ED MAY WOJ S.
LICENSED CONTRACTOR DECLARATION �// [�
Thereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: ✓
with section 7000) of Division 3 of the Business and Professions Code, and
my license is in fu • c and effect. ELECTRICAL FEES
License is ansa No. •al f —
Date .� ' Signature � �/- PLUMBING FEES Automatic Washer Transformer 0 15-50 KW
WORKERS'C•MPENSATION DECLARATION Bar Sink Showers Construction Pole Sub. 0 50+ KW
•
I hereby affirm that I have a certificate of consent to self-insure Or a certificate
-••••3 f Workers' Compensation Insurance, or a certified copy thereof (Section . Cooking Unit Meter :hp to 100 amps
300, Lab.,�Q/ci 2'' ``- �, ` r - / Backflow IrigatiOr Service Sink • `
Policy No. / N! Company triltd Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps
Cert if ietl copy is hereby furnished. Dryers ❑Gas 'DElectric ^^ Sub Panel
,Certified
Cerci i y gopk9 filed with the city le in 'LhyZj _ / Bathtubs I Sewer Connection
Date {//tSJFRO Applicant ( ND CLAR CSC Fan :'1 Motors❑O-1HP ❑1X-8
EXEMP io FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors
(This section need not be completed if the permit Is for one hundred ($100) orDishwasher Solar Piping F.A.U.
less). Inc.Solar 09.75 HP 016-15+
I certify that in the performance of the work for which this permit is issued I Fixtures J
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 t•�
Date Signature Floor Drains Swimming Pool w/Spa 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 _
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 �l _ Garbage Disposal Standing Sections
Lender's Name "t
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 exemptReinspection Fee $15 Issue Fee $ 3
•refrom and the basis for the alleged exemption. Any violation of Section
11.5 by any applicant for a permit subjects the applicant to a-civil - i
laity of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS:
LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee ` $15 Issue Fee $ 3
' compensation, will do the work,and the structure is not Intended or offered Zoning Approved By nate
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 Hood or Type I ❑ • / Application Issued By-- Dat- S 11L•r
employees, provided that such improvements are not Intended or offered for Boiler
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 t• SUMMARY OF FEES
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground f
prove for the purpose of sale). BUI LDING PERMIT $ SMIP $
oI, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System • PLAN CHECK $ PERMIT
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 0o-100,000 BTU 0100,000 BTU a PLUMBING $ •0• ISSUANCE $
builds-or improves thereon.and who contracts for such oroiects with a con- r_
- tractor(s) license pursuant to tne Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $
proof oftheir Worker's Compensation Insurance should be provided to me. ELECTRICAL $ GRADING $
0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBO# Fire Dampers ' •f MICROFILM $'
PLAN CHECK 50% $ /,,.��//�y
Date owner Heating System&Ducting Registers MECHANICAL $ ,•JVV
❑0-100, 000BTL TOTAL FEE $
I hereby certify that I have readthis application and state that the above 000 BTU ❑100, PLAN CHECK 25% $
Information is correct. I agree tocomply cost with all cidy and county authorize
repre-
sentatives
n state laws relating it to building construction,andhereby dutho•-r yfor
Inspection
of this city to enter •on the above-mentioned pro•-ray for
Inspection p •-les nr a —
Signature . / St i/ i :�'
Date _ Reinspection Fee $15 Issue Fee $ 3
Drivers' License or SS#
� pe tl' :0033251-0083323A TOT 5.00
0865-46,rev. 5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor 04TE. 05/17/89 TPt S 15:26
CONSTRUCTION AND PLANNING . POOI 'PA "'i
ARPROVALS Permit# Date Inspector APPROVALS Pe'rmit# Date Inspector y,
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 UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings - 58. Electrical Conduit-Undrgrnd.
8..Foundation I / 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
r
16. Rough Electric Wiring 67. Fencing & Access Approval
517. Rough Wiring Sign 68. APPROVED FOR PLASTERING •
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
,• r
/19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
• 120. 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:404181 ze coeo
. 4•F0
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test -
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing //frA
39. Water Service-Final
40. Gas Service-Final t?,
41. Solar Domestic-Final t"')
42. Backflow Preventer
43. Backflow Irrigation , v •
44. Landscape Irrigation STs'temCr•
1
45. Sound Attenuation :)•-•
46. Handicap Regulations
47. FINAL STRUCTUREy& BUILDING
48. Special Requirements'Completed
49. Electric Release to Edison '
50. Gas Release to Southern California Gas Co t �
51. CERTIFICATE OF OCCUPANCY ;_., •
No. Date ''"