HomeMy WebLinkAbout2612 REDLANDS DR - Building Permits t,&Q,L'rrry ' Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
• CITY OF COSTA MESA CO\N�SjT CTI(O.�N„PERMIT -
PERy�/y1�`I'T/���.1O.• �� TRACT NO. LOT NO. UNIT NO.
•
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Project Address 2,CO�Z /�` t �n•�fpc(r/+/�td% efe f
• Applicant's Mailin dre5 2`Y/2 2.Fr) b 1J9 TYPE OF CONSTRUCTION LI NEW DO Li ALTERATION LI REPAIR
t ❑ CONVERSION ❑•DEMOLISH LNOTH�j - Ay,# __ . - 1 Zone _I
Owner's Name�7 / C� jj Ci-�'� �S/ CLS. Phone /91/6-3.241°' DESCRIPTION OF WQ&K/USE OF BLDG. C •
Address 2 /O/ "� t/ -/�`S Sof X00 jj/Q .7Cp-(.(. S Main Building: ' Accessory Building: Z
Arch/Eng. License No. TYPE OF PERMIT GRADING �FOUNDAT IO ❑ -UCTURAL T Front O
Address / n / 7I"�� 2, ❑;TENANT' ID ELECTRICAL' ❑ PLUMBING �.I CHANICAL B Rear • , N
Contractor's Name 7 / '` 4 ;ire: /�l Phone D,&2/&' LI OTHER _ - _
�� �O! ! C Right N
Address(mailing/ c' / r - // i /l PROJECT DESCRIPTION SQ. FT. OCCUPANCY K - G
g n� /fa� CONSTRUCTION TYPE VALUATION$ S Left =
City License No. (hCG , ZONE - GRADING CU.YDS. ACRES - ' R
• LICENSED CONTRACTOR DECLARATION - Ping. Ret. ' Parking Re•./Provid . E
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I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: ••• v U I • • a M
with.section 7000) of Division 3 of the Business and Professions Code, and _
my license is in ladl f• • and effect. _ v/,�/ - , - I T
Z. License 1 - �yicen No. J W _ S
Date $ Signatur -lir IA- PLUMBING FEES-
\ WORKERS'COMPENSATION DEC -AoIONBar Sink .'
l¢reby affirm that I have a Insuricat•ance of consent to del fop thereof or a certificate
Workers' .)„, goosed g, nssur/once, or a certified cop tit Backflow
Service SinkAutomatic VVasher Transformer Li I
cis .dOQ Lab.11�a� ..c Sod 7lQH �urW' 1s^'[(�f� Il -k-
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KW j
Policy No.W Company
V rfied copy Is hereby furnished. - -
Cert” 0 pyy,,Is flied with the city Bull Ivlsio•. =s• II Sewer,Connection ■■ . 11 • • ' .
' Date �,C). Applicant
EXEMPTION FROM WORKERS'COM'ENSATIO DECLARA ION ■ $•• ® Dover• II .
(This section need not be,completed If the permit I for one hundred ($100)or eishvvasher Solar Piping - Dryers .
less)
I certify that in the performance of the-work for which this permit Is Issued, I
I shall not employ any person in any manner so as to•become subject to the e
Workers' Compensation Laws of California. ' Motors D
. Date - Signature 8 .es04
- 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 •
' comply with such provisions or this permit shall be deemed revoked.
' CONSTRUCTION LENDING AGENCY Device
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.)
Lender's Name Outlets
. Lender's Address
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Disposal • '
following reason (Section 7031.5 Business and Professional Code: Any city or
I county which requires a permit to construct,alter,Improve,demolish or repair -
any structure, prior to its issuance, also requires the applicant for such permit Generator'00-5 KW ❑5-15 KW Trash Compactor _
' to file a signed statement that he/she is licensed pursuant to theprovisions of e • •
the Contractor's License'Law(Chapter 9(commencing with Section 7000) of '
- -'livision-3 of the Business and Professions Code) or that he/she is exempt
erefrom and the basis for the alleged exemption. Any violation of Section • ,
.31.5-by any applicant for a permit subjects the applicant to a civil '
tenalty of not.more than five'hundred dollars($500). ' .
tI, as owner of the property or my employees with wages as their sole ' -
compensation, will do the work, and the structure is not intended or offered Reinspection Fee $15 Issue Fee . . $ 3
I for- sale (Section 7044, Business'and Professional Code: The Contractor's MECHANICAL 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 ownDEVELOPMENT SERVICES REQUIREMENTS: - --
employees, provided that such Improvements are not intended or offered for - ZoningApproved
' sale. If, however, thebuildingor improvement is sold within one year of com- . pP By Date
plebe q'theowner will have the burden of proving he/she did not build or im- Duct-Under Ground
•
• pure
rove for'the purpose of sale). Building Approved By _ . Date
LI"I, as owner of the property, am exclusively contracting wit h'ilcensed con- IJIIJL
Refrigeration 'Application Issued By Dat
' 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 ■I IuiIuI _ , jI
■ I IIs SUMMARY OF FEES builds or improves thereon, antl who contracts for Such projects with aeon- 'tractor(s)'license pursuant to the Contractor's License Law). I am aware that •0 . . ation BUILDING PERMIT $ SMIP $
proof of their Worker's Compensation insurance should be provided to me. •
PLAN CHECK $ PERMIT- _
❑-1 am exempt under Section B.& P.C.for this reason =• - jj1jijfjIJ i PLUMBING $ • '-ISSUANCE -T+$L•1�`' '
• 'rc nrn '••..cr
Date •
Owner a PLAN CHECK 25% $ IENERGY'P.0- '-$a. • •4.
I hereby certify that I have read this application and state that the above A I r11 III : 0100 III : , f' ',rya ti)NG \ti $L'-4 --•LL
Information Is correct. I agree to comply with all city and county ordinances ELECTRICAL . $and state laws relating to build' g cstar ruction, and hereby authorize repre- ■ . _�■ PLAN CHECK 50% $ MICROFILM $
sentatives of t city to e•• r/yrfQnhethe abboo tf-mentioned p erty for •inspection pu � j ..2V
Signature Date C - ���� _ MECHANICAL $ TOTAL FEE - $ .
Drivers' License or SS ��`�' Reinspection Fee S75 ' PLAN CHECK 25% $
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CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting;Goldenrod -Assessor
a eb
•CONSTRUCTION ANO PLANNING, • POOL &SPA
APPROVALS Permit# Date Inspector APPROVALS 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 t ,
5. Steel Reinforcement 56. Rough Plumbing & Pressure Tett .
6. Electrical UFER Grpd. 57. APPROVAL TO COVER-GUNITE
7. Footings - 58. Electrical Conduit-Undrgrndieti
8..Foundation 59. Gas Pipe, 0 Undrgrnd., Test
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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 - -
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# _
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'IStructural) & Monocoat 75. Dry Chemical'
, 27. Frame and Flashing 76. Dry Standpipe -
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL i ..l
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 06-74(r �,�
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 '
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